〔薛〕产后小腹作痛，俗名儿枕块，用失笑散行散之。若恶露既去而仍痛，用四神
散调补之。若不应，用八珍汤。若痛而恶心，或欲作呕，用六君子汤。若痛而泄泻，用六
君子汤送四神丸。若泄泻痛而或后重，用补中益气汤送四神丸。若胸膈饱胀，或恶食吞
酸，或腹痛手不可按，此是饮食所致，当用二陈加山楂、白术以消导。若食既消而仍痛，
或按之不痛，或更加头痛烦热，作渴恶寒欲呕等证，此是中气被伤，宜补脾胃为主。若
发热腹痛，按之痛甚，不恶食，不吞酸，此是瘀血停滞，用失笑散以消之。若止是发热
头痛，或兼腹痛，按之却不痛，此是血虚，用四物加炮姜、参、术以补之。《病机要》云∶
胎产之病，从厥阴经论之，无犯胃气及上中二焦，为之三禁，不可汗，不可下，不可利
小便。发汗者同伤寒下早之证，利大便则脉数而已动于脾，利小便则内亡津液，胃中枯
燥。制药之法，能不犯三禁，则荣卫自和而寒热止矣。如发渴，用白虎，气弱用黄 ，血
刺痛则用当归，腹中痛则加芍药，宜详察脉证而用之。丹溪先生云∶产后当大补气血为
先，虽有杂证，从末治之，一切病多是血虚，皆不可发表，一产妇腹痛发热，气口脉大，
余以为饮食停滞，不信，乃破血补虚，反寒热头痛，呕吐涎沫，又用降火化痰理气，四
肢逆冷，泄泻下坠，始悔。问余曰∶何也？余曰∶此脾胃虚之变症也。法当温补，遂用六
君加炮姜二钱，肉桂、木香各一钱，四剂，诸证悉退，再用补中益气之剂，元气悉复。
一妇人产后腹痛后重，去痢无度，形体倦怠，饮食不甘，怀抱久郁，患茧唇，寐而盗汗如
雨，竟夜不敢寐，神思消烁。余曰，气血虚而有热，用当归六黄汤内黄芩、连、柏炒黑，
一剂汗顿止，再剂全止。乃用归脾汤、八珍散兼服，元气渐复而愈。一产妇小腹作
痛，服行气破血之药不效，其脉洪数，此瘀血内溃为脓也，以瓜子仁汤二剂痛止，更以
太乙膏下脓而愈。产后多有此病，纵非痈，用之更效。一产妇小腹痛，小便不利，用薏
苡仁汤二剂痛止，更以四物加红花、桃仁，下瘀血而愈。大抵此证皆因荣卫不调，或瘀血
停滞所致，若脉洪数已有脓，脉但数微有脓，脉迟紧乃瘀血，下之即愈。若腹胀大，转侧
作水声，或脓从脐出，或从大便出，宜用蜡矾丸、太乙膏及托里药。一产妇小腹作痛
有块，脉芤而涩，以四物加玄胡、红花、桃仁、牛膝、木香治之而愈。一妇产后小腹
患痛，服瓜子仁汤下瘀血而痊。凡瘀血停滞，宜急治之，缓则腐化为脓，最难治疗。若流
注关节，则患骨疽，失治多为败证。一妇人寒月中产后腹大痛，觉有块，百方不治，一
人教以羊肉四两，熟地黄二两，生姜一两，水煎服之，二三次愈。
〔大〕儿枕者，由母胎中宿有血块，因产时其血破散，与儿俱下则无患也。若产妇
脏腑风冷，使血凝滞在于小腹，不能流通，则令结聚疼痛，名之曰儿枕也。
延胡索散 治产后儿枕腹痛。
延胡索 当归（各一两） 真琥珀 蒲黄（炒，各二钱半） 赤芍药（半两） 桂心（半两）
红蓝花（二钱）
上为细末，以童便合酒，温调三钱，食前服。
疗新产后七八日，腹痛两胁痛。
当归 刘寄奴 苦梗（各十二分） 延胡索（别为末） 桂心 陈皮（各四分） 茯苓
芍药（各八分）
上 咀，以水二升，煮取八合，调延胡索末，空心服。
疗先患冷气，因产后发腹痛。
川芎 桂心 当归 吴茱萸 茯苓 芍药 甘草（各六分） 桃仁（十分）
上 咀，以水七升，煮取二升，去滓分三服。
〔丹〕产后三日，血块痛，发热。
五灵脂（略炒） 牡丹皮 没药 滑石
上研细，分五帖，豆淋酒调下之，食前。
冯宅产后发热，腹中痛有块，自汗恶寒，曾服黑神散。
白术 芍药（三钱） 滑石（五钱） 黄芩 牡丹皮（各二钱半） 人参 川芎
当归尾 陈皮 荆芥 干姜（各一钱） 甘草（少许）
治血瘕痛无定处。
童便（三升） 生地黄汁 生藕汁（各一升） 生姜汁（二升）
上先煎三味，约三分减二，次下姜汁，慢火煎如稀饧，每取一合，温酒调下。
黑神散 疗产后血块痛，经脉行后腹疼，并经脉不调。
熟地黄（一斤） 陈生姜（半斤）
上二味，同和炒干为末。每服二钱，用乌梅调下，常服酒调，经脉不通，乌梅、荆
芥酒调下。
一方 用山楂浓煎汁，入砂糖少许，再煎热服。
治儿枕痛，乃血瘕也。用真蒲黄研细，调酒服二钱。如躁渴者，新汲水调下。
又方 隔年蟹壳烧灰，酒调下。
治产后儿枕大痛，
黑白散
乌金石（醋 七次，另研） 寒水石（ 存性，为末）
上各收之。痛时各抄一钱半，米饮调下，痛止勿服，未止再服。
海藏云∶四物加玄胡索、没药、白芷汤，治产后败血作痛。（通治妇人诸疾。）
四物苦楝汤（杂病腹痛。）
一方治脐下痛不可忍，四物汤加玄胡索二钱半服之。
紫金丸 治产后脐下痛，即失笑散醋为丸是也。
立效散 治产枕痛不可忍。
用五灵脂慢火炒干为末，温酒下二钱立瘥。
〔恶露不尽〕
〔金匮〕产后七八日，无太阳证，少腹坚痛，此恶露不尽，不大便，烦躁发热，切
脉微实，再倍发热，日晡时烦躁者，不食，食则谵语，至夜即愈，宜大承气汤主之，热在
里，结在膀胱也。
〔大全〕产后恶血虽常通行，或因外感五邪，内伤七气，致令斩然而止，余血壅滞，
所下不尽，故令腹痛，当审其因而治之。一产妇小腹痛甚，牙关紧急，此瘀血内停，灌
以失笑散，下血而苏。又用四物加炮姜、白术、陈皮而愈。一妇人经水来比常度过多
不止，遂用涩药止之，致腹作痛，此乃气血凝滞也，用失笑散二服而愈。
地黄散 治产后恶血不尽，腹中疼痛。
生地黄（炒） 当归（各二钱） 生姜（半两，切如芡实大，新瓦上焙令焦黑）
上为细末，每服二钱，空心姜、酒调下。
当归血竭丸 治妇人产后恶露不下，结聚成块，心胸痞闷，及脐下坚痛。
当归 血竭 芍药 蓬术（炮，各二两） 五灵脂（四两）
上为细末，醋糊和丸如梧桐子大。每服五十丸，食前温酒送下。
温隐居泽兰汤 治产后恶露不尽，腹痛往来，兼胸满少气。
泽兰（熬） 生干地黄 当归（各七钱半） 芍药 生姜（细切龟头大，新瓦上炒焦，各二两半）
甘草（一两半） 大枣（十四枚）
细切，水九升，煮三升，分三服。欲死涂身，得瘥。
卷荷散 治产后血上冲心，血刺、血晕、血气腹痛，恶露不快。
卷荷（初出水者） 红花 当归（各一两） 蒲黄（膈纸炒） 牡丹皮（各半两）
上为细末，每服二钱，空心盐酒调下，一腊内童子小便调。
又方 产后下血不尽，腹内坚痛不可忍。
当归 芍药 桂心（各三两） 桃仁（一百二十
粒，制）
上水六升，煮二升，温分两服。未瘥加大黄。
又方 产后血结下不尽，腹中绞痛不止。
大黄（别浸） 生干地黄 当归（各十分） 川芎 桂心 芍药（各八分）
甘草 黄芩（各六分） 桃仁（四十九粒，制）
细切，水七升，煮二升半，入大黄煎三沸，分温三服。
又产后血下不尽，腹中痛无计。
青木香 当归 牛膝 川芎 黄 芍药（各八分） 大黄（十三分浸） 芒硝（十二分）
细切，水七升，煮二升半，入大黄更三沸，分三服。
又产后恶露不尽，结聚小腹疼痛。
当归（七钱半） 制香附子（一两） 琥珀 没药 青皮 赤芍药 木香 桂心（各半两）
上为细末以乌豆淋酒调二钱。
《产宝》治产后余血作疼兼块者。
桂心 姜黄（各等分，为细末） 酒调方寸匕，血下尽妙。
产乳方芸苔散 产后恶露不尽，血结刺痛，名血母块。兼治心腹诸疾。
芸苔子（隔纸炒） 当归 桂心 赤芍药（各等分）
细末，酒调二钱。产后可常服。
黑神散治产后恶露不尽，心胸痞闷，脐腹撮痛，污血诸疾。（产后通用方。）
〔丹〕治产后恶露未尽，小腹作痛。
五灵脂（末） 香附末
上合和醋为丸，甚者加留尖桃仁。（一方加蛤粉。）
救急疗恶露不尽腹胀痛 取乱发如鸡子大，灰水洗垢净，烧存性末之，酒调服二钱。
又疗产后血不尽，心腹痛闷方。取荷叶烧灰存性，热汤和服，煮取汁饮之亦良。
又方 以铁秤锤一枚，烧赤投酒中，（酒准五升。）用此酒煮当归三两，取二升，去滓分温
再服。《千金》同。一方无当归。
《大全》 以恶露不尽腹痛、及儿枕心腹刺痛、小腹疼痛、寒疝，分为四门。由母胎
中宿有血块，产后不与儿俱下而仍在腹作痛，谓之儿枕。其恶露下不快而作痛者，胎中原
无积聚，不为儿枕也。若恶露已尽，或由它故腹痛，如仲景枳实芍药散证，或由血虚腹
痛，如仲景当归生姜羊肉汤证，自当别论。故复胪列诸名方于后，若服枳实芍药散不愈，仍
当求责瘀血也，故下瘀血汤诸方附焉，而补虚诸方终之，不复立寒疝条。
《金匮》云∶产后腹痛烦满不得卧，枳实芍药散主之。
枳实芍药散方
枳实（烧令黑，勿太过） 芍药（各等分）
上二味，杵为散，服方寸匕，日三服。并主痈脓，以麦粥下之。
〔薛〕前证若因气滞，用延胡索散。若因外寒，用五积散。若因怒气，用四物加木
香、柴胡。若因血虚，用四物、参、术、炮姜。若因阳气虚弱，用四君、当归、炮姜。若
因脾虚血弱，用六君、当归、炮姜治之。一产妇患前证，或作呕，或昏愦，此脾气虚
寒，用人参理中汤渐愈，又以补中益气汤加茯苓、半夏全愈。后复作痛而兼喘，仍用补
中益气汤，培补脾肺而瘥。
师曰∶产妇腹痛，法当以枳实芍药散，假令不愈者，此为腹中有干血着脐下，宜下瘀
血汤主之。
下瘀血汤方
大黄（二两） 桃仁（二十枚） 虫（二十枚，熬去足）
上三味，末之，炼蜜和为四丸，以酒一升，煎一丸，取八合，顿服之，新血下如豚
肝。
《保命方》治血晕血结，或聚于胸中，或偏于小腹，或连于胁肋，四物汤四两，倍当
归、川芎，加鬼箭羽、红花、玄胡各一两，同为粗末，加下四味煎，调没药散服。
虻虫（一钱，去翅足，炒） 水蛭（一钱，炒） 麝
香（少许） 没药（三钱）
上为末，入前药调服，血下痛止，只服一服。
千金桃仁芍药汤 治产后腹痛。
桃仁（半升） 芍药 川芎 当归 桂心 干漆（碎，熬） 甘草（各二两）
细切，水八升，煮二升半，分三服。
延胡索散 治产后脐下痛。
延胡索 桂心（各半两） 当归（一两）
上为细末，热酒调下二钱。
香桂散 治产后脐下疼痛不止。
川芎 当归（各二钱半） 桂心（半两）
上为细末，分为三服，每服酒一盏，煎三五沸，更入童便少许，煎至七分，温服。甚
者不过再服即瘥。
又方
釜底墨（醋炒令干） 延胡索 刘寄奴 桂心 子
上等分为末，热酒调下二钱。
紫金丸 治产后恶露不快，腰痛小腹如刺，时作寒热头痛，不思饮食。亦治久有瘀
血，月水不调，黄瘦不思饮食，并能治之。亦可疗心痛。（与失笑散同。）
五灵脂（水淘去砂石，焙干，秤，炒为末） 真蒲黄
上以好米醋调五灵脂，慢火熬成膏，次以蒲黄末搜和，丸如樱桃大。每服一丸，水
与童便各半盏，煎至七分，令药化，温服之，少顷再一服，恶露即下。久有瘀血成块，月
信不利者，并用酒磨下。
当归养血丸 治产后恶血不散，发渴，心腹疼痛及恶露不快，脐下急痛，连及腰脚疼
痛。
当归 赤芍药 牡丹皮 延胡索（各二两） 桂心（一两）
为末，炼蜜丸梧子大。空心酒下三、四十丸，痛甚者细嚼下。
《金匮》产后腹中 痛，当归生姜羊肉汤主之。并治腹中寒疝，虚劳不足。
当归生姜羊肉汤
当归（三两） 生姜（五两） 羊肉（一斤）
上三味，以水八升，煮取三升，温服七合，日三服。若寒多者，加生姜成一斤，痛
多而呕者，加橘皮、白术。加生姜者，亦加水五升，煮取三升二合服之。
〔衍〕一妇人产当寒月，寒气入产门，脐下胀满，手不得犯，此寒疝也。医将治之
以抵当汤，谓其有瘀血也。予教之曰∶非其治也，可服张仲景羊肉汤，少减，作二服，遂
愈。
产后六七日，忽然脐腹痛，皆由呼吸之间，冷气乘虚而入，宜服当归建中汤、四顺
理中丸共研，再丸作小丸，饭饮吞下，极妙。
仲景内补当归建中汤 治妇人产后虚羸不足，腹中刺痛不止，吸吸少气，或苦少腹
中急，痛引腰背，不能饮食，产后一月，日得服四五剂为善，令人强壮。
当归（四两） 桂枝（三两） 芍药（六两） 生姜（三两） 甘草（二两） 大枣（十二枚）
上六味，以水一斗，煮取三升，分温三服，一日令尽。若大虚加饴糖六两，汤成内
[Xue Ji] Postpartum lower abdominal pain, commonly known as "child pillow mass" (Erzhen Kuai), should be treated with Shixiao San (Pain-Relieving Powder) to promote blood circulation and dissipate stasis. If lochia has been discharged but pain persists, use Sishen San (Four-Gentlemen Powder variant) to regulate and tonify. If ineffective, use Bazhen Tang (Eight-Treasure Decoction). If pain is accompanied by nausea or a desire to vomit, use Liujunzi Tang (Six-Gentlemen Decoction). If pain is accompanied by diarrhea, administer Liujunzi Tang with Sishen Wan (Four-Essence Pill). If diarrhea, pain, and tenesmus occur, administer Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with Sishen Wan. If there is fullness in the chest and diaphragm, aversion to food, acid regurgitation, or abdominal pain that cannot be pressed, this is caused by food stagnation; use Erchen Tang (Two-Aged Decoction) added with Hawthorn Fruit (Shanzha) and Atractylodes Macrocephala Rhizome (Baizhu) to digest and guide out stagnation. If food stagnation has cleared but pain remains, or if pressing does not cause pain, or if headache, vexation, heat, thirst, aversion to cold, and vomiting appear, this indicates damage to Middle Qi; the treatment should primarily focus on tonifying the Spleen and Stomach. If fever and abdominal pain occur, with exacerbation upon pressure, no aversion to food, and no acid regurgitation, this is due to blood stasis retention; use Shixiao San to dissipate it. If there is only fever and headache, or accompanied by abdominal pain but no pain upon pressure, this is Blood deficiency; use Siwu Tang (Four-Material Decoction) added with Fried Ginger (Paojiang), Ginseng (Renshen), and Atractylodes Macrocephala Rhizome (Baizhu) to tonify. *Bingji Yao* states: Diseases related to pregnancy and childbirth should be discussed from the perspective of the Jueyin Meridian. One must not violate the Stomach Qi and the Upper and Middle Jiaos; this constitutes the "Three Prohibitions": no sweating, no purgation, and no promoting urination. Sweating is similar to the syndrome of premature purgation in Cold Damage; purging the bowels causes rapid pulse and moves the Spleen; promoting urination leads to loss of body fluids and dryness of the Stomach. The principle of preparing medicines is that if these three prohibitions are not violated, Ying and Wei will naturally harmonize, and chills and fever will cease. If thirst occurs, use Baihu Tang (White Tiger Decoction); for weak Qi, use Astragalus Root (Huangqi); for stabbing blood pain, use Angelica Sinensis Radix (Danggui); for abdominal pain, add White Peony Root (Shaoyao). One should carefully observe the pulse and symptoms before using them. Mr. Danxi said: Postpartum, one should prioritize greatly tonifying Qi and Blood. Even if there are other miscellaneous syndromes, they should be treated as secondary. Most diseases are due to Blood deficiency, and releasing the exterior (sweating methods) should never be used. A postpartum woman had abdominal pain and fever, with a large pulse at the Qi Kou position. I believed it was food stagnation, but she did not believe me. Instead, she used blood-breaking and tonifying drugs, which resulted in chills, fever, headache, and vomiting of saliva. She then used drugs to descend fire, resolve phlegm, and regulate Qi, leading to cold extremities, diarrhea, and a sensation of bearing down. Only then did she regret it. She asked me why. I said: This is a transformational syndrome of Spleen-Stomach deficiency. The method should be warming and tonifying. Thus, I used Liujunzi Tang added with two qian of Fried Ginger, one qian of Cinnamon Twig (Guixin), and one qian of Aucklandia Root (Muxiang). After four doses, all symptoms subsided. Then, using Buzhong Yiqi Tang, her Yuan Qi was completely restored. Another woman had postpartum abdominal pain with tenesmus, profuse dysentery, physical fatigue, poor appetite, long-term emotional depression, cornified lip (Jianchun), heavy night sweats during sleep, insomnia, and mental exhaustion. I said this is Qi and Blood deficiency with Heat. I used Danggui Liu Huang Tang, frying Huangqin, Huanglian, and Huangbai black. After one dose, sweating stopped immediately; after two doses, it stopped completely. Then, Guipi Tang and Bazhen San were taken together, and her Yuan Qi gradually recovered, leading to cure. A postpartum woman had lower abdominal pain. Medicines for moving Qi and breaking blood were ineffective. Her pulse was surging and rapid, indicating that blood stasis had internally ulcerated into pus. She took Guazi Ren Tang (Melon Seed Decoction) for two doses, and the pain stopped. Then, Taiyi Gao (Great One Ointment) was used to discharge pus, leading to recovery. This condition is common postpartum; even if it is not an abscess, this formula is more effective. A postpartum woman had lower abdominal pain and difficulty urinating. She took Yiyi Ren Tang (Coix Seed Decoction) for two doses, and the pain stopped. Then, Siwu Tang added with Safflower (Honghua) and Peach Kernel (Taoren) was used to discharge blood stasis, leading to recovery. Generally, this syndrome is caused by disharmony of Ying and Wei, or retention of blood stasis. If the pulse is surging and rapid, pus has formed; if the pulse is merely rapid, there is slight pus; if the pulse is slow and tight, it is blood stasis, which can be cured by purgation. If the abdomen is distended and large, with water sounds when turning, or if pus discharges from the umbilicus or bowels, use Lafan Wan (Beeswax and Alum Pill), Taiyi Gao, and interior-supporting medicines. A postpartum woman had lower abdominal pain with a mass, and her pulse was hollow and choppy. She was treated with Siwu Tang added with Corydalis Rhizome (Yanhusuo), Safflower, Peach Kernel, Achyranthes Root (Niuxi), and Aucklandia Root, leading to recovery. A postpartum woman had lower abdominal pain and was cured by taking Guazi Ren Tang to discharge blood stasis. Whenever blood stasis is retained, it should be treated urgently; if delayed, it rots and turns into pus, which is difficult to treat. If it flows into the joints, it causes bone abscesses (Guju); failure to treat properly often leads to fatal conditions. A woman gave birth in the cold winter month, suffering severe abdominal pain and feeling a mass. Hundreds of remedies failed. Someone taught her to decoct four liang of mutton, two liang of Prepared Rehmannia Root (Shudihuang), and one liang of fresh ginger in water. After two or three doses, she recovered.
[Da Lun] "Child pillow" (Erzhen) occurs because the mother had stagnant blood clumps in the womb prior to conception. During delivery, if this blood breaks apart and is expelled with the child, there is no harm. However, if the产妇's Zang-Fu organs are affected by wind-cold, causing blood to coagulate and stagnate in the lower abdomen without flowing freely, it forms a lump and causes pain, named "Child Pillow."
Yanhusuo San (Corydalis Powder) treats postpartum child pillow abdominal pain.
Corydalis Rhizome (Yanhusuo), Angelica Sinensis Radix (Danggui) (each 1 liang), True Amber (Zhen Hupo), Polygonum Multiflorum Seed (Puhuang) (stir-fried, each 2.5 qian), Red Peony Root (Chishaoyao) (0.5 liang), Cinnamon Twig (Guixin) (0.5 liang), Carthamus Flower (Honglanhua) (2 qian).
Grind into fine powder. Mix with infant urine and wine, take 3 qian warm, before meals.
Treats abdominal pain and hypochondriac pain 7-8 days after new childbirth.
Angelica Sinensis Radix (Danggui), Josephweed Herb (Liujinu), Platycodon Root (Kujie) (each 12 fen), Corydalis Rhizome (Yanhusuo) (separately ground to powder), Cinnamon Twig (Guixin), Tangerine Peel (Chenpi) (each 4 fen), Poria (Fuling), White Peony Root (Shaoyao) (each 8 fen).
Cut into pieces. Decoct in 2 sheng of water to obtain 8 ge. Mix with Corydalis powder, take on an empty stomach.
Treats abdominal pain triggered by childbirth in a patient with pre-existing cold qi.
Ligusticum Chuanxiong Rhizome (Chuanxiong), Cinnamon Twig (Guixin), Angelica Sinensis Radix (Danggui), Evodia Fruit (Wuzhuyu), Poria (Fuling), White Peony Root (Shaoyao), Licorice Root (Gancao) (each 6 fen), Peach Kernel (Taoren) (10 fen).
Cut into pieces. Decoct in 7 sheng of water to obtain 2 sheng. Strain and divide into three doses.
[Danjia] Three days postpartum, blood clump pain, fever.
Trogopterus Dung (Wulingzhi) (lightly stir-fried), Moutan Bark (Mudanpi), Myrrh (Moyao), Talcum (Huashi).
Grind finely. Divide into five doses. Take with Doulin Wine (soybean-infused wine) before meals.
Madam Feng’s household: Postpartum fever, abdominal pain with mass, spontaneous sweating, aversion to cold. Had previously taken Heishen San.
Atractylodes Macrocephala Rhizome (Baizhu), White Peony Root (Shaoyao) (3 qian), Talcum (Huashi) (5 qian), Scutellaria Root (Huangqin), Moutan Bark (Mudanpi) (each 2.5 qian), Ginseng (Renshen), Ligusticum Chuanxiong Rhizome (Chuanxiong), Angelica Sinensis Radix Tail (Dangguiwei), Tangerine Peel (Chenpi), Schizonepeta Spike (Jingjie), Dried Ginger (Ganjiang) (each 1 qian), Licorice Root (Gancao) (a little).
Treats painful blood masses (Xuejia) with shifting location.
Infant urine (3 sheng), Fresh Rehmannia Juice (Sheng Dihuangzhi), Fresh Lotus Root Juice (Sheng Ou zhi) (each 1 sheng), Fresh Ginger Juice (Sheng Jiang zhi) (2 sheng).
Decoct the first three ingredients until reduced by two-thirds. Add ginger juice. Simmer slowly over low heat until like thin syrup. Take 1 he mixed with warm wine.
Heishen San (Black Spirit Powder) treats postpartum blood clump pain, abdominal pain after menstruation, and irregular menstruation.
Prepared Rehmannia Root (Shudihuang) (1 jin), Old Ginger (Chenshengjiang) (0.5 jin).
Mix and stir-fry until dry. Grind to powder. Take 2 qian per dose, mixed with Chinese Plum (Wumei). For regular use, mix with wine. For blocked menstruation, mix with Wumei and Schizonepeta in wine.
Another prescription: Concentrated decoction of Hawthorn Fruit (Shanzha) with a little brown sugar, heated and taken.
Treats child pillow pain, which is a blood mass. Use real Polygonum Multiflorum Seed (Puhuang) ground fine, mixed with wine, take 2 qian. If restless and thirsty, mix with fresh well water.
Another prescription: Ash of crab shells from the previous year, mixed with wine and taken.
Treats severe postpartum child pillow pain,
Heibai San (Black-White Powder)
Wujinshi (Ultramarine/Lapis Lazuli) (quenched in vinegar seven times, separately ground), Hanshuishi (Calcite) (calcined to retain nature, ground to powder).
Store separately. When pain occurs, take 1.5 qian of each, mixed with rice drink. Stop if pain ceases; repeat if not.
Haizang said: Siwu Tang added with Corydalis Rhizome (Yanhusuo), Myrrh (Moyao), and Angelica Dahurica Root (Baizhi) treats postpartum pain caused by failing blood. (General treatment for various women's diseases.)
Siwu Kulian Tang (Four-Material and Melia Decoction) (Miscellaneous disease abdominal pain.)
One prescription for unbearable pain below the navel: Siwu Tang added with 2.5 qian of Corydalis Rhizome.
Zijin Wan (Purple Gold Pill) treats postpartum pain below the navel; it is essentially Shixiao San made into pills with vinegar.
Lixiao San (Instant Effect Powder) treats unbearable childbirth pillow pain.
Stir-fry Trogopterus Dung (Wulingzhi) slowly over low heat until dry, grind to powder. Take 2 qian with warm wine for immediate relief.
[Lochia Not Exhausted]
[Jinkui] Seven to eight days postpartum, without Taiyang syndrome, hardness and pain in the lower abdomen indicate lochia is not exhausted. Constipation, vexation, fever, faintly solid pulse, doubled fever, evening vexation, anorexia, delirium after eating, improvement at night. Da Chengqi Tang (Major Order the Qi Decoction) is indicated. Heat is in the interior, knotting in the Bladder.
[Daqquan] Although lochia usually flows normally, external invasion of the Five Evils or internal injury of the Seven Emotions can cause sudden cessation. Residual blood stagnates, and incomplete discharge causes abdominal pain. One must investigate the cause and treat accordingly. A postpartum woman had severe lower abdominal pain and locked jaw; this was internal blood stasis. She was灌ed with Shixiao San, discharged blood, and regained consciousness. Then treated with Siwu Tang added with Fried Ginger, Atractylodes Macrocephala Rhizome, and Tangerine Peel for recovery. A woman had excessive menstrual bleeding that did not stop. She used astringents to stop it, causing abdominal pain due to Qi and Blood stagnation. Two doses of Shixiao San cured her.
Dihuang San (Rehmannia Powder) treats postpartum residual blood not exhausted and abdominal pain.
Fresh Rehmannia Root (Sheng Dihuang) (stir-fried), Angelica Sinensis Radix (Danggui) (each 2 qian), Fresh Ginger (Shengjiang) (0.5 liang, cut like quinoa size, baked on new tile until charred black).
Grind to fine powder. Take 2 qian per dose, mixed with ginger and wine on an empty stomach.
Danggui Xuejie Wan (Angelica and Dragon's Blood Pill) treats postpartum lochia not descending, forming clumps, chest/epigastric stuffiness, and hard pain below the navel.
Angelica Sinensis Radix (Danggui), Dragon's Blood (Xuejie), White Peony Root (Shaoyao), Curcuma Zedoaria Rhizome (Pengzhu) (stir-fried, each 2 liang), Trogopterus Dung (Wulingzhi) (4 liang).
Grind to powder, make pills with vinegar paste, size of Sophora seeds. Take 50 pills per dose, with warm wine before meals.
Wuyin Juze Lan Tang (Wuyin's泽兰 Decoction) treats postpartum lochia not exhausted, alternating abdominal pain, and chest fullness with shortness of breath.
Agrimony Herb (Zelan) (cooked), Dried Rehmannia Root (Sheng Gan Dihuang), Angelica Sinensis Radix (Danggui) (each 7.5 qian), White Peony Root (Shaoyao), Fresh Ginger (Shengjiang) (cut small, fried on tile until black, each 2.5 liang), Licorice Root (Gancao) (1.5 liang), Jujube (Dazao) (14 pieces).
Cut finely. Decoct in 9 sheng of water to obtain 3 sheng. Divide into three doses. Apply to body if near death; recover if healed.
Juanhe San (Curled Lotus Leaf Powder) treats postpartum blood rushing to the heart, blood stabbing, blood syncope, Qi-blood abdominal pain, and sluggish lochia.
Curled Lotus Leaf (Juanhe - newly emerged), Safflower (Honghua), Angelica Sinensis Radix (Danggui) (each 1 liang), Polygonum Multiflorum Seed (Puhuang) (fried through paper), Moutan Bark (Mudanpi) (each 0.5 liang).
Grind to powder. Take 2 qian per dose, mixed with salt wine on an empty stomach. Within a month, mix with infant urine.
Another prescription: Postpartum incomplete bleeding, unbearable hard abdominal pain.
Angelica Sinensis Radix (Danggui), White Peony Root (Shaoyao), Cinnamon Twig (Guixin) (each 3 liang), Peach Kernel (Taoren) (120 grains, processed).
Decoct in 6 sheng of water to obtain 2 sheng. Take warm in two doses. If not healed, add Rhubarb (Dahuang).
Another prescription: Postpartum blood knotting below, unceasing colicky abdominal pain.
Rhubarb (Dahuang) (soaked separately), Dried Rehmannia Root (Sheng Gan Dihuang), Angelica Sinensis Radix (Danggui) (each 10 fen), Ligusticum Chuanxiong Rhizome (Chuanxiong), Cinnamon Twig (Guixin), White Peony Root (Shaoyao) (each 8 fen), Licorice Root (Gancao), Scutellaria Root (Huangqin) (each 6 fen), Peach Kernel (Taoren) (49 grains, processed).
Cut finely. Decoct in 7 sheng of water to obtain 2.5 sheng. Add Rhubarb, boil three times. Take warm in three doses.
Another postpartum case: Incomplete blood discharge, unbearable abdominal pain.
Aquilaria Wood (Qingmuxiang), Angelica Sinensis Radix (Danggui), Achyranthes Root (Niuxi), Ligusticum Chuanxiong Rhizome (Chuanxiong), Astragalus Root (Huangqi), White Peony Root (Shaoyao) (each 8 fen), Rhubarb (Dahuang) (13 fen soaked), Mirabilite (Mangxiao) (12 fen).
Cut finely. Decoct in 7 sheng of water to obtain 2.5 sheng. Add Rhubarb, boil three times. Divide into three doses.
Another postpartum case: Lochia not exhausted, knotting in lower abdomen causing pain.
Angelica Sinensis Radix (Danggui) (7.5 qian), Processed Cyperus Rhizome (Zhixiangfu) (1 liang), Amber (Hupo), Myrrh (Moyao), Green Tangerine Peel (Qingpi), Red Peony Root (Chishaoyao), Aucklandia Root (Muxiang), Cinnamon Twig (Guixin) (each 0.5 liang).
Grind to powder. Take 2 qian mixed with black soybean infusion wine.
*Chanbao* treats postpartum residual blood pain with masses.
Cinnamon Twig (Guixin), Turmeric Rhizome (Jianghuang) (equal parts, ground to powder). Mix with wine, take one cun bi. Excellent when blood is fully discharged.
Chanru Fang YunTai San (Rapeseed Powder) treats postpartum lochia not exhausted, stabbing pain from blood knots, named "Blood Mother Mass." Also treats various heart and abdominal diseases.
Rapeseed (Yuntaizi) (fried through paper), Angelica Sinensis Radix (Danggui), Cinnamon Twig (Guixin), Red Peony Root (Chishaoyao) (equal parts).
Grind to powder. Take 2 qian mixed with wine. Can be taken regularly postpartum.
Heishen San (Black Spirit Powder) treats postpartum lochia not exhausted, chest/epigastric stuffiness, cramping umbilical/abdominal pain, and foul blood diseases. (General postpartum formula.)
[Danjia] Treats postpartum lochia not fully exhausted, lower abdominal pain.
Trogopterus Dung (Wulingzhi) (powder), Cyperus Rhizome (Xiangfu) (powder).
Mix and make pills with vinegar. For severe cases, add Peach Kernels with tips retained. (Another prescription adds Clam Shell Powder Ge Fen.)
Emergency remedy for lochia not exhausted, abdominal distension and pain. Take hair clump the size of a chicken egg, wash clean with ash water, burn to retain nature, grind to powder. Take 2 qian mixed with wine.
Another remedy for postpartum incomplete blood, heart/abdominal pain and stuffiness. Burn lotus leaf to ash retaining nature. Mix with hot water and take, or decoct and drink juice. Good effect.
Another prescription: Take one iron scale weight, heat red-hot, throw into wine (5 sheng). Use this wine to decoct 3 liang of Angelica Sinensis Radix (Danggui) to obtain 2 sheng. Strain and take warm in two doses. Same as *Qianjin*. Another version has no Danggui.
*Daquan* divides lochia not exhausted abdominal pain, child pillow heart/abdominal stabbing pain, lower abdominal pain, and cold hernia into four categories. "Child pillow" refers to blood clumps existing in the womb before birth that do not exit with the child and remain in the abdomen causing pain. Pain from sluggish lochia discharge, where there was no original accumulation in the womb, is not called child pillow. If lochia is exhausted, and pain is due to other causes, such as Zhongjing's Zhishi Shaoyao San syndrome, or Blood deficiency abdominal pain like Zhongjing's Danggui Shengyang Roushou Tang syndrome, these should be discussed separately. Therefore, famous formulas are listed below. If Zhishi Shaoyao San fails, one must still seek blood stasis. Thus, Xiayuxue Tang formulas are attached, followed by tonification formulas. Cold hernia section is omitted.
*Jinkui* says: Postpartum abdominal pain, vexation, fullness, inability to lie down. Zhishi Shaoyao San is indicated.
Zhishi Shaoyao San Formula
Immature Bitter Orange (Zhishi) (burned until black, not too much), White Peony Root (Shaoyao) (equal parts).
Pound these two into powder. Take one cun bi, three times a day. Also treats carbuncle pus, taken with wheat porridge.
[Xue Ji] If the aforementioned syndrome is due to Qi stagnation, use Yanhusuo San. If due to external cold, use Wuji San. If due to anger, use Siwu Tang added with Aucklandia Root (Muxiang) and Bupleurum Root (Chaihu). If due to Blood deficiency, use Siwu Tang, Ginseng (Renshen), Atractylodes Macrocephala Rhizome (Baizhu), and Fried Ginger (Paojiang). If due to Yang Qi weakness, use Sijunzi Tang, Angelica Sinensis Radix (Danggui), and Fried Ginger (Paojiang). If due to Spleen deficiency and weak Blood, use Liujunzi Tang, Angelica Sinensis Radix (Danggui), and Fried Ginger (Paojiang). A postpartum woman suffered the aforementioned syndrome, sometimes vomiting, sometimes unconscious. This was Spleen Qi deficiency and cold. She gradually improved with Renshen Lizhong Tang, and fully recovered with Buzhong Yiqi Tang added with Poria (Fuling) and Pinellia Tuber (Banxia). Later, pain recurred with wheezing. She used Buzhong Yiqi Tang again to tonify Spleen and Lung, leading to recovery.
The Master said: Postpartum abdominal pain should be treated with Zhishi Shaoyao San. If it does not heal, it indicates dry blood adhering below the navel. Xiayuxue Tang (Downward Discharge Blood Stasis Decoction) is indicated.
Xiayuxue Tang Formula
Rhubarb (Dahuang) (2 liang), Peach Kernel (Taoren) (20 seeds), Ground Beetle (Echong) (20 seeds, roasted, feet removed).
Grind the three ingredients to powder. Mix with refined honey to make four pills. Decoct one pill in 1 sheng of wine to obtain 8 ge. Take in one dose. New blood will discharge like pig liver.
*Baoming Fang* treats blood syncope and blood knotting, gathering in the chest,偏 in the lower abdomen, or connecting to the hypochondrium. Use 4 liang of Siwu Tang, double Angelica Sinensis Radix (Danggui) and Ligusticum Chuanxiong Rhizome (Chuanxiong), add Arrowwood Branch (Guijianyu), Safflower (Honghua), and Corydalis Rhizome (Yanhusuo) (each 1 liang). Grind to coarse powder. Decoct with the following four ingredients. Mix with Moyao San and take.
Blue Bottle Fly Larva (Mengchong) (1 qian, remove wings/feet, stir-fried), Leech (Shuizhi) (1 qian, stir-fried), Musk (Shexiang) (a little), Myrrh (Moyao) (3 qian).
Grind to powder. Mix with the previous medicine and take. Blood discharges, pain stops. Take only one dose.
Qianjin Taoren Shaoyao Tang (Peach Kernel and White Peony Decoction) treats postpartum abdominal pain.
Peach Kernel (Taoren) (0.5 sheng), White Peony Root (Shaoyao), Ligusticum Chuanxiong Rhizome (Chuanxiong), Angelica Sinensis Radix (Danggui), Cinnamon Twig (Guixin), Drynaria Rhizome? No, Dried Resin (Ganqi) (crushed, roasted), Licorice Root (Gancao) (each 2 liang).
Cut finely. Decoct in 8 sheng of water to obtain 2.5 sheng. Divide into three doses.
Yanhusuo San (Corydalis Powder) treats postpartum pain below the navel.
Corydalis Rhizome (Yanhusuo), Cinnamon Twig (Guixin) (each 0.5 liang), Angelica Sinensis Radix (Danggui) (1 liang).
Grind to powder. Take 2 qian mixed with hot wine.
Xianggui San (Aucklandia and Cinnamon Powder) treats unceasing postpartum pain below the navel.
Ligusticum Chuanxiong Rhizome (Chuanxiong), Angelica Sinensis Radix (Danggui) (each 2.5 qian), Cinnamon Twig (Guixin) (0.5 liang).
Grind to powder. Divide into three doses. Each dose: decoct in one zhan of wine for 3-5 boils. Add a little infant urine. Decoct to 70%. Take warm. Severe cases heal within two doses.
Another prescription
Soot from pot bottom (Fudi Mo) (stir-fried with vinegar until dry), Corydalis Rhizome (Yanhusuo), Josephweed Herb (Liujinu), Cinnamon Twig (Guixin), Zi (?).
Equal parts, grind to powder. Take 2 qian mixed with hot wine.
Zijin Wan (Purple Gold Pill) treats postpartum sluggish lochia, lower back pain, stabbing lower abdominal pain, intermittent chills/fever/headache, anorexia. Also treats chronic blood stasis, irregular menstruation, sallow emaciation, anorexia. Can also treat heart pain. (Same as Shixiao San.)
Trogopterus Dung (Wulingzhi) (washed to remove sand/gravel, dried, weighed, stir-fried to powder), Real Polygonum Multiflorum Seed (Puhuang).
Mix Wulingzhi with good rice vinegar. Simmer slowly over low heat into a paste. Add Puhuang powder and knead. Make pills the size of cherries. Take one pill per dose. Decoct in half cup water and half cup infant urine to 70%. Let medicine dissolve. Take warm. Repeat shortly after. Lochia will discharge. For chronic blood stasis masses or irregular menstruation, grind with wine and take.
Danggui Yangxue Wan (Angelica Nourishing Blood Pill) treats postpartum undissipated evil blood, thirst, heart/abdominal pain, sluggish lochia, urgent pain below navel radiating to waist/legs.
Angelica Sinensis Radix (Danggui), Red Peony Root (Chishaoyao), Moutan Bark (Mudanpi), Corydalis Rhizome (Yanhusuo) (each 2 liang), Cinnamon Twig (Guixin) (1 liang).
Grind to powder. Make pills with refined honey, size of Sophora seeds. Take 30-40 pills with wine on empty stomach. For severe pain, chew thoroughly before swallowing.
*Jinkui*: Postpartum abdominal [cramping] pain. Danggui Shengyang Roushou Tang (Angelica, Ginger, and Mutton Decoction) is indicated. Also treats abdominal cold hernia and deficiency-labor insufficiency.
Danggui Shengyang Roushou Tang
Angelica Sinensis Radix (Danggui) (3 liang), Fresh Ginger (Shengjiang) (5 liang), Mutton (Yangrou) (1 jin).
Decoct the three ingredients in 8 sheng of water to obtain 3 sheng. Take 7 he warm, three times a day. If cold is severe, increase Ginger to 1 jin. If pain is severe with vomiting, add Tangerine Peel (Chenpi) and Atractylodes Macrocephala Rhizome (Baizhu). If adding Ginger, also add 5 sheng of water. Decoct to obtain 3.2 sheng and take.
[Yan] A woman gave birth in the cold month. Cold qi entered the birth canal. Lower abdomen was distended and tender to touch. This is cold hernia. The doctor intended to treat with Didang Tang, believing it was blood stasis. I instructed him: This is not the correct treatment. She could take Zhang Zhongjing's Mutton Soup, slightly reduced dose, divided into two doses. She recovered.
Six to seven days postpartum, sudden umbilical abdominal pain. This is due to cold qi entering through respiration while deficient. It is excellent to take Danggui Jianzhong Tang and Sishun Lizhong Wan, ground together, re-made into small pills, and swallowed with rice water.
Zhongjing Neibu Danggui Jianzhong Tang (Internal Supplement Angelica and Cinnamon Decoction) treats postpartum women with deficiency and insufficiency, unceasing stabbing abdominal pain, shallow breathing, distress from lower abdominal urgency/pain radiating to back, inability to eat. During the first month postpartum, taking 4-5 doses daily is beneficial, strengthening the body.
Angelica Sinensis Radix (Danggui) (4 liang), Cinnamon Twig (Guizhi) (3 liang), White Peony Root (Shaoyao) (6 liang), Fresh Ginger (Shengjiang) (3 liang), Licorice Root (Gancao) (2 liang), Jujube (Dazao) (12 pieces).
Decoct the six ingredients in 1 dou of water to obtain 3 sheng. Take warm in three doses, finishing in one day. If severely deficient, add 6 liang of Maltose (Yitang). When the decoction is ready, add...