疗产后余血作疼痛兼块者。
桂心 姜黄（等分）
上为细末，酒服方寸匕，血下尽妙。
治产后恶物不尽，腹内 痛。产后常服甚妙。
生干地黄 当归（并略炒，各一两） 生姜（细切如蝇头大，新瓦炒令焦黑。半两）
上为细末，炒姜，酒调一大钱服。
治产后血上冲心，血刺、血晕，血气腹痛，恶露不快。
初出卷荷 红花 当归（各一两） 蒲黄（纸炒） 牡丹皮（各半两）
上为细末，每服二平钱，空心，温酒调下。一腊内只使童子小便调。如才产后便服此药
，即诸疾不生。（出《妇人方》）
疗产后恶露不下，血结不散，冲心刺痛，将来才冒寒踏冷，其血必往来心腹间刺痛，有
不可忍，谓之血母块。但产后心腹诸疾，并宜服之。（出《产乳》）
芸苔子（纸炒） 当归 桂心 赤芍药（各等分）
上为细末，温酒调服二平钱。赶下恶物，产后三日不可无此。
夫儿枕者，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，名曰儿枕也。
《产宝》论产后心腹痛者，由产后气血俱虚，遇风寒乘之，与血气相搏，随气上冲于心
；或下攻于腹，故令心腹痛。若久痛不止，则变成疝瘕也。
治产后儿枕腹痛，得效。（出《经验妇人方》）
延胡索 当归（各一两） 真琥珀 蒲黄（各一分，炒） 赤芍药（半两） 桂心（三
分） 红蓝花（二钱）
上为细末，以童子小便合细酒，温酒调三钱，食前服。
治产后儿枕，亦治赤白痢。
丁香（三钱） 罂粟壳（去穣，蜜炙） 香白芷（各半两） 百草霜（六钱重）
上为细末，每服二钱，童子小便调下。如痢疾，米饮调下。
产后儿枕，痛不可忍。
五灵脂，慢火熬为细末。每服二钱，温酒调下。
To treat postpartum pain accompanied by masses caused by residual blood accumulation.
Guixin (Cortex Cinnamomi), Jianghuang (Rhizoma Curcumae) (equal parts)
Grind the above herbs into a fine powder. Take one Fangcunbi (a traditional Chinese measuring spoon, approx. 1-2 grams) with wine. The effect is excellent when the residual blood is completely discharged.
To treat incomplete discharge of lochia and abdominal pain after childbirth. Regular use after childbirth is very effective.
Sheng Gansheng Dihuang (Radix Rehmanniae Preparata), Danggui (Radix Angelicae Sinensis) (both lightly fried, each 1 liang), Shengjiang (Fresh Rhizoma Zingiberis, cut into fine pieces the size of a fly's head, fried on a new tile until charred black, 0.5 liang)
Grind the above herbs into a fine powder. Mix with fried ginger and wine, take one Daqian (approx. 3-5 grams).
To treat postpartum blood rushing to the heart, blood stabbing sensation, syncope due to blood stasis, abdominal pain due to blood qi stagnation, and slow discharge of lochia.
Chuchu Juanhe (Herba Nelumbinis), Honghua (Flos Carthami), Danggui (Radix Angelicae Sinensis) (each 1 liang), Puhuang (Pollen Typhae, fried on paper), Mudanpi (Cortex Moutan) (each 0.5 liang)
Grind the above herbs into a fine powder. Take two Pingqian (approx. 6 grams) per dose. On an empty stomach, mix with warm wine to swallow. Within one month postpartum, only use urine from a young boy for mixing. If this medicine is taken immediately after delivery, various diseases will not arise. (From *Fun Ren Fang*)
To treat postpartum lochia retention, blood coagulation and failure to dissipate, stabbing pain in the heart caused by blood rushing upwards. If the puerpera encounters cold or steps on cold ground shortly after delivery, the blood will move between the heart and abdomen causing unbearable stabbing pain, known as "Xue Mu Kuai" (Blood Mother Mass). This formula is suitable for all kinds of heart and abdominal disorders after childbirth. (From *Chan Ru*)
Yuntaizi (Semen Brassicae Napus, fried on paper), Danggui (Radix Angelicae Sinensis), Guixin (Cortex Cinnamomi), Chishao Yao (Radix Paeoniae Rubra) (equal parts)
Grind the above herbs into a fine powder. Take two Pingqian mixed with warm wine. It expels lochia; it should not be absent for three days after childbirth.
The term "Er Zhen" (Child Pillow) refers to residual blood clots originally present in the uterus. During delivery, if these clots break down and are expelled along with the fetus, no harm occurs. However, if wind-cold invades the zang-fu organs of the puerpera, causing blood stagnation that remains in the lower abdomen without flowing freely, it condenses and causes pain, which is named "Er Zhen".
*Chan Bao* discusses the cause of postpartum heart and abdominal pain: it arises because both qi and blood are deficient after childbirth. When wind-cold invades, it clashes with qi and blood, rushing upward to the heart with the qi, or attacking downward into the abdomen, thus causing heart and abdominal pain. If the pain persists for a long time, it may transform into Shan Jia (hernia and fibroid/mass).
To treat abdominal pain caused by postpartum Er Zhen, with good efficacy. (From *Jing Yan Fu Ren Fang*)
Yanhusuo (Rhizoma Corydalis), Danggui (Radix Angelicae Sinensis) (each 1 liang), Zhen Hu Po (Real Amber), Puhuang (Pollen Typhae) (each 1 fen, fried), Chishao Yao (Radix Paeoniae Rubra) (0.5 liang), Guixin (Cortex Cinnamomi) (3 fen), Hong Lan Hua (Flos Carthami) (2 qian)
Grind the above herbs into a fine powder. Mix urine from a young boy with fine wine, take 3 qian mixed with warm wine, before meals.
To treat postpartum Er Zhen, also treats red and white dysentery.
Dingxiang (Flos Caryophylli) (3 qian), Ying Su Ke (Pericarpium Papaveris, remove core, honey-fried), Xiang Bai Zhi (Radix Angelicae Dahuricae) (each 0.5 liang), Bai Cao Shuang (Carbonized Herba Artemisiae Annuae) (6 qian weight)
Grind the above herbs into a fine powder. Take 2 qian per dose, mixed with urine from a young boy. For dysentery, mix with rice water.
Postpartum Er Zhen, unbearable pain.
Wulingzhi (Trogopterus Dung), slowly roasted into a fine powder. Take 2 qian per dose, mixed with warm wine.