大岩蜜汤
心痛厥逆爪青白，寒凝大岩蜜温行，四物去芎加独活，姜桂茱萸草远辛；因食恶食多呕吐，曲麦香砂
入二陈；大便燥结小便赤，兼热饮冷玉烛攻。
【注】产后心胃痛，若四肢厥逆，爪甲青白，乃风冷寒凝，气血滞涩，宜用大岩蜜汤
温以行之，即生地、当归、赤芍、独活、干姜、桂心、吴茱萸、甘草、远志、细辛也。若
因饮食停滞，中脘作痛，心恶食呕吐，宜二陈汤加神曲、麦芽、木香、砂仁。若大便结
硬，小便赤涩，渴欲饮冷者，乃内有实热也，宜玉烛散攻之。
玉烛散（方见首卷）
香桂散
去血过多血虚痛，去少壅瘀有余疼，伤食恶食多胀闷，寒入胞中见冷形。血虚当归建中治，瘀壅失
笑有奇功，伤食异功加楂曲，胞寒香桂桂归芎。
【注】产后腹痛，若因去血过多而痛者，为血虚痛；若因恶露去少，及瘀血滞壅而痛
者，为有余疼；若因伤食而痛者，必恶食胀闷；若因风寒乘虚入于胞中作痛者，必见冷
痛形状。血虚宜当归建中汤，血瘀宜失笑散，伤食宜异功散加山楂、神曲，胞寒宜香桂散，
即佛手散加桂心也。
当归建中汤 失笑散 异功散（方俱见首卷）
延胡索散
少腹痛微名儿枕，硬痛尿利血瘀疼，尿涩淋痛蓄水证，红肿须防 疝癃。儿枕瘀血延胡
散，归芍蒲桂琥珀红，蓄水须用五苓散， 疝吴萸温散行。
【注】产后少腹痛，其痛若微，乃产时血块未净，名儿枕。痛若少腹坚硬红，小便利者，
为瘀血痛；少腹硬而小便不利，淋涩胀痛者，乃蓄水作痛；若坚硬、肿而痛者，须防成 、
疝、癃之证。因儿枕瘀血者，宜延胡索散，即当归、赤芍、蒲黄、肉桂、琥珀、红花也。因
水蓄者，宜五苓散。若将成 、疝、癃者，当以吴茱萸汤温散之。
五苓散（方见三卷） 吴茱萸汤（方见首卷）
Da Yan Mi Tang (Great Rock Honey Decoction)
Heart pain accompanied by cold limbs and cyanotic/white fingernails indicates cold coagulation; Da Yan Mi Tang should be used to warm and promote circulation. The formula consists of Siwu Tang (Four Substances Decoction) with Chuanxiong removed, plus Duhuo (Angelicae Pubescentis Radix), Shengjiang (Zingiberis Rhizoma Recens), Guixin (Cinnamomi Cortex), Wuzhuyu (Evodiae Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), Yuanzhi (Polygalae Radix), and Xixin (Asari Radix et Rhizoma). If caused by food stagnation leading to anorexia and frequent vomiting, Shenqu (Massa Medicata Fermentata), Maiya (Hordei Fructus Germinatus), Muxiang (Aucklandiae Radix), and Sharen (Amomi Fructus) are added to Erchen Tang (Two Aged Decoction). If accompanied by dry constipation, red urine, a preference for cold drinks, and signs of heat, Yuzhu San (Jade Candle Powder) is used to purge heat.
[Note] Postpartum heart-stomach pain, if accompanied by cold limbs and cyanotic/white fingernails, is due to wind-cold coagulation causing stagnant and sluggish qi and blood. It is appropriate to use Da Yan Mi Tang to warm and promote circulation. This formula comprises Shengdi Huang (Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), Chishao (Paeoniae Radix Rubra), Duhuo (Angelicae Pubescentis Radix), Ganjiang (Zingiberis Rhizoma), Guixin (Cinnamomi Cortex), Wuzhuyu (Evodiae Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), Yuanzhi (Polygalae Radix), and Xixin (Asari Radix et Rhizoma). If the pain is due to food stagnation in the Zhongwan region (CV12), with aversion to food and vomiting, Erchen Tang (Two Aged Decoction) plus Shenqu (Massa Medicata Fermentata), Maiya (Hordei Fructus Germinatus), Muxiang (Aucklandiae Radix), and Sharen (Amomi Fructus) is indicated. If there is hard stool, red and scanty urine, and thirst for cold drinks, this indicates excess-heat internally, and Yuzhu San (Jade Candle Powder) should be used to purge it.
Yuzhu San (Formula seen in Volume 1)
Xiang Gui San (Fragrant Cinnamon Powder)
Pain due to excessive blood loss and blood deficiency, or pain due to insufficient lochia discharge and residual blood stasis; pain from food stagnation causing anorexia and distension; cold entering the uterus manifesting as cold symptoms. Blood deficiency pain is treated with Danggui Jianzhong Tang (Danggui Build the Middle Decoction); blood stasis obstruction is treated with Shixiao San (Laughing No More Powder) which has miraculous effects; food stagnation is treated with Yigong San (Five Virtues Powder) plus Shanzha (Crataegi Fructus) and Shenqu (Massa Medicata Fermentata); uterine cold is treated with Xiang Gui San (Fragrant Cinnamon Powder), which is Foshou San (Buddha's Hand Powder) plus Guixin (Cinnamomi Cortex).
[Note] Postpartum abdominal pain: if caused by excessive blood loss, it is called blood-deficiency pain; if caused by insufficient lochia discharge and stagnation of blood stasis, it is called "excess" pain; if caused by food injury, there must be anorexia and distension; if caused by wind-cold invading the uterus through deficiency, cold pain symptoms will appear. For blood deficiency, Danggui Jianzhong Tang (Danggui Build the Middle Decoction) is indicated; for blood stasis, Shixiao San (Laughing No More Powder) is indicated; for food stagnation, Yigong San (Five Virtues Powder) plus Shanzha (Crataegi Fructus) and Shenqu (Massa Medicata Fermentata) is indicated; for uterine cold, Xiang Gui San (Fragrant Cinnamon Powder), which is Foshou San (Buddha's Hand Powder) plus Guixin (Cinnamomi Cortex), is indicated.
Danggui Jianzhong Tang (Danggui Build the Middle Decoction) Shixiao San (Laughing No More Powder) Yigong San (Five Virtues Powder) (Formulas all seen in Volume 1)
Yanhusuo San (Corydalis Powder)
Mild lower abdominal pain is named Erzhen (Child's Pillow) pain; hard pain with free urination indicates blood stasis pain; difficult, dribbling, painful urination indicates water accumulation syndrome; redness and swelling require prevention of hernia (Shan) or strangury (Long). Erzhen blood stasis pain is treated with Yanhusuo San (Corydalis Powder), composed of Danggui (Angelicae Sinensis Radix), Chishao (Paeoniae Radix Rubra), Puhuang (Typhae Pollen), Rougui (Cinnamomi Cortex), Hupo (Succinum), and Honghua (Carthami Flos). Water accumulation requires Wuling San (Five Ingredient Powder with Poria). Cases approaching hernia or strangury should be treated with Wuzhuyu Tang (Evodia Decoction) to warm and disperse.
[Note] Postpartum lower abdominal pain: if the pain is mild, it is because blood clots from childbirth have not cleared, named Erzhen (Child's Pillow). If the lower abdomen is hard and red, with free urination, it is blood stasis pain; if the lower abdomen is hard with difficulty in urination, dribbling, and distending pain, it is water accumulation pain; if hard, swollen, and painful, one must guard against the formation of Shan (Hernia) or Long (Strangury). For Erzhen blood stasis, Yanhusuo San (Corydalis Powder) is indicated, composed of Danggui (Angelicae Sinensis Radix), Chishao (Paeoniae Radix Rubra), Puhuang (Typhae Pollen), Rougui (Cinnamomi Cortex), Hupo (Succinum), and Honghua (Carthami Flos). For water accumulation, Wuling San (Five Ingredient Powder with Poria) is indicated. For cases approaching Shan (Hernia) or Long (Strangury), Wuzhuyu Tang (Evodia Decoction) should be used to warm and disperse.
Wuling San (Five Ingredient Powder with Poria) (Formula seen in Volume 3) Wuzhuyu Tang (Evodia Decoction) (Formula seen in Volume 1)