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Treats postpartum lochia dripping incessantly, chest oppression and shortness of breath, weakness and fatigue in the four limbs, loss of appetite, dizziness and heaviness of the head and eyes, five-palm heat (heat sensation in the palms, soles, and chest), sallow complexion, and emaciation. Muli San (Oyster Shell Powder).

Muli (Oyster Shell), Chuanxiong Rhizoma (Ligusticum Chuanxiong), Shudihuang (Prepared Rehmannia Root), Baifuling (Poria with Hostwood, Poria cocos), Longgu (Fossilized Mammal Bones) (each 1 liang); Xuduan (Dipsacus Root), Danggui (Angelica Sinensis, fried), Aiyè (Artemisia argyi Leaf, wine-fried), Renshen (Ginseng Root), Wuweizi (Schisandra Fruit), Diyu (Sanguisorba Root) (each 0.5 liang); Gancao (Licorice Root) (1 fen).

Grind the above ingredients into a fine powder. Take 2 qian per dose. Add 1 zhongzhan (approx. 200ml) of water, 3 slices of fresh ginger, and 1 jujube. Decoct until reduced to 6/10 volume, strain, and take before meals.

Cases where lochia fails to discharge are caused by labor and injury to the zang-fu organs after childbirth, leading to deficiency and depletion of qi and blood. It may be due to the uterine collaterals harboring old cold pathogens; or because the patient exposed themselves to wind and sought coolness after childbirth, allowing wind-cold to invade through the deficiency and clash with the blood. This causes blood stagnation and obstruction, accumulating internally, thus resulting in the failure of lochia to discharge.

Treats postpartum lochia retention occurring three to four days after delivery, accompanied by vomiting, belching, and high fever. Shaoyao Tang (Peony Decoction).

Shaoyao (White Peony Root) (10 fen), Zhi mu (Anemarrhena Rhizome) (8 fen); Shengjiang (Fresh Ginger), Danggui (Angelica Sinensis), Puhuang (Lygodium Spore) (each 4 fen); Honghua (Carthamus Flower) (2 fen); Hetao Zhongxin Di (Lotus Seed Pod Center Tip) (7 pieces); Shengdihuang Zhi (Juice of Raw Rehmannia Root) (2 he).

Finely chop the above ingredients. Add 2 sheng of water and decoct until reduced to 7 he. Strain the liquid. Add Puhuang (Lygodium Spore) and boil for four cycles. Divide into three doses, take warm, on an empty stomach.

Treats postpartum evil blood rushing to the heart, retention of the placenta, and blood masses in the abdomen. Beijidan (Emergency Pill) (from *Chanru*).

Take 1 liang of Jinwen Dahuang (Jinwen Rheum Palmatum Rhizome), pound it into a fine powder. Use 0.5 sheng of strong vinegar and simmer together until it forms a paste. Shape into pills the size of paulownia seeds. The patient should use 0.7 zhongzhan of vinegar to dissolve 5 to 7 pills and ingest them. Within a short time, the blood will descend and the condition will resolve. It is also effective for internal injuries from falling off a horse where evil blood cannot be expelled.
This medicine is difficult to use; those who are extremely weak and deficient must not take it. Furthermore, when preparing the medicine, the vinegar should not be too sour, as it may damage the lung organ. This requires careful judgment by the physician.

Treats postpartum lochia retention, abdominal pain, and mental restlessness. Hetao San (Lotus Leaf Powder).

Ganheye (Dried Lotus Leaf) (2 liang); Guijianyu (Swallowtail Twig), Taoren (Peach Seed), Liujinu (Agrimonia Pilosa), Puhuang (Lygodium Spore) (each 1 liang).

Grind the above ingredients into a coarse powder. Take 3 daqian per dose. Add 1 zhongzhan of urine from a healthy young boy, 3 slices of ginger, and 1 fen of raw rehmannia root. Crush them and decoct together until reduced to 6/10 volume. Strain and take hot at any time.