等分。先将上四味末和。入金石器内。微炒勿令焦。再研极细。再入余药末和匀。生地汁丸。每二十丸。食前温酒
下。
防风当归散 治产后痉。
防风 当归 川芎 生地(各一两)
每咀片一两。水煎。
增损柴胡汤 治产后感异症。手足搐搦。涎潮昏闷。
柴胡(三钱) 黄芩(一钱二分) 人参 炙草 半夏(各钱半) 知母(一钱)石膏(二钱) 黄 (二钱半)
咀片。分二服。加姜三枣二。不拘时。
秦艽汤 增损柴胡汤症已去。次服此方。去其风邪。
秦艽 白芍 柴胡(各一钱七分) 黄芩 防风(各一钱二分) 炙草(一钱三分) 人参 半夏(各一钱)
咀片。分二帖。加姜三片煎。食远服。
三分散 治产后日久。虚劳发热。
四物汤加 白术 茯苓 黄 (各一钱) 柴胡 人参(各钱半) 黄芩 半夏 甘草(各五分) 姜三枣二
食前服。
胃关煎 治产后肾气虚寒。泻利腹痛。
熟地(三五钱或一两) 炙草(一二钱) 山药 白扁豆(炒各二钱) 炒焦干姜(一二三钱) 泡吴萸(五七分)
白术(一二三钱)
食远温服。
排气饮 治产后气逆食滞。胀痛等症。
陈皮 藿香 枳壳(各钱半) 浓朴(一钱) 泽泻 乌药 香附(各二钱) 木香(七分至一钱)
热服。
大和中饮 治同上。
陈皮(一二钱) 山栀 麦芽(各二钱) 枳实(一钱) 砂仁(五分) 浓朴 泽泻(各钱半)
食远温服。
大岩蜜汤 治素有宿寒。因产大虚。寒搏于血。血凝不散。上冲心之络脉。故作心痛。
酒当归 熟地 吴萸(炒) 白芍(炒) 干姜(炒) 独活 桂心 小草(各一钱) 细辛 甘草(各五分)
一方熟地换生地。
紫金丹 治产后冲胀。胸中有物。状如噎气。
代赭石 磋砺石
等分。醋糊丸。每二三十丸。酒下。胸中痛。当归汤下。久服。治血癖。
又方 治同上。
代赭石(一两) 桃仁(泥炒三钱) 大黄(五钱)
薄荷汤打糊丸。
七圣丸 治产后风气壅盛。面目四肢浮肿。涕唾稠粘。咽干口燥。心胁胀满。大便秘。小便赤。睡卧不宁。
酒蒸大黄 川芎 桂心 槟榔 木香(各五钱) 郁李仁 羌活(各一钱)
蜜丸。每十五丸。食后汤下。山岚瘴地。最宜服。量虚实加减。如浮肿。又头痛昏冒。加川芎、羌活。谓风多也。
如只浮肿。但用本方。
通瘀饮 治产后恶露不通。心慌昏沉。寒热交攻者。
归尾 大黄(各三钱) 白术 木通(各一钱) 红花(五分) 桃仁泥(三十粒)
水一碗。酒一小盏。煎三沸。入桃仁再煎一沸。温服。
牛角腮丸 治恶血不绝。崩血不可禁。腹中绞痛。气息急。
发灰(一两) 阿胶(二两) 代赭石 干姜(三两) 生地(四两) 马蹄壳(烧一个) 牛角腮(酥炙五两)
蜜丸。
加味四物汤 治产后血崩如豆汁。紫黑过多者。
四物汤加 蒲黄 阿胶 蓟根 白芷
加味四物汤 治产后月余。经血淋沥不止。此陷下者必举之也。
四物汤加 升麻 白芷(各一钱) 血余灰另入五分
千金方 治恶血不尽。或经月及半年者。
升麻(三两) 清酒(五升)
煮取二升。分二服。
没药丸 治恶露方行。而忽然断绝。骤作寒热。腹脐百脉皆痛如锥刺非常。此由冷热不调。或思虑动作。气所
壅遏。血蓄经络。
当归(一两) 白芍 桂心(各五钱) 桃仁(炒) 没药(研各二钱半) 虻虫(去翅足炒) 水蛭(炒焦各二
十枚)
醋糊丸。梧子大。淡醋汤下三丸。
产后调理方 产后服此。永无疾病。
香附(一斤醋童便各浸三日将艾叶同煮干取出打为饼晒干为细末) 归身(酒炒) 熟地(各四两) 川芎(三两)
酒糊丸。汤下。
产后主方 治同上。
当归 白术 丹皮(各一钱) 益母草(三钱) 川芎(八分) 红花(七分) 陈皮(五分) 甘草(三分)
有瘀腹痛。加延胡索八分。痛甚。加肉桂三分、楂炭一钱。身热汗出。加黄 一钱。但身热。加茯苓三钱。汗出神
虚。加人参一钱。心虚胆怯。加远志、枣仁各一钱。腰痛。加牛膝、杜仲、川断各一钱。风寒发热。及停食恶心。或泄
泻减食。宜另斟酌。
断产方(附) 神效。不伤人。
四物汤各五钱加芸苔子二钱
经行后。空心温服。
又方 治同上。
蚕子故纸。方圆一尺。烧为末。经后酒服。终身不孕。
Equal parts. First, mix the powders of the first four herbs. Place them in a vessel made of metal or stone and stir-fry gently until not scorched. Grind again to an extremely fine powder. Then add the powders of the remaining herbs and mix evenly. Form pills using juice of *Rehmanniae Radix* (*Shengdi Huang*). Take 20 pills each time, administered with warm wine before meals.
**Fangfeng Danggui San (Saposhnikovia and Angelica Powder)**: Treats postpartum spasms.
Ingredients: *Saposhnikoviae Radix* (Fangfeng), *Angelicae Sinensis Radix* (Danggui), *Chuanxiong Rhizoma* (Chuanxiong), *Rehmanniae Radix Recens* (Shengdi) (each 1 liang).
Usage: Take 1 liang of the chopped herbs, decoct in water.
**Zengsun Chaihu Tang (Modified Bupleurum Decoction)**: Treats postpartum abnormal symptoms characterized by convulsions of hands and feet, salivary overflow, and drowsiness/confusion.
Ingredients: *Bupleuri Radix* (Chaihu, 3 qian), *Scutellariae Radix* (Huangqin, 1.2 qian), *Ginseng Radix* (Renshen), *Glycyrrhizae Radix et Rhizoma Praeparata cum Melle* (Zhigancao), *Pinelliae Rhizoma Preparatum* (Banxia) (each 1.5 qian), *Anemarrhenae Rhizoma* (Zhimu, 1 qian), *Gypsum Fibrosum* (Shigao, 2 qian), *Astragali Radix* (Huangqi, 2.5 qian).
Usage: Chop the herbs, divide into two doses. Add 3 slices of ginger and 2 jujubes. Take at any time.
**Qinjiao Tang (Gentian Decoction)**: To be taken after the symptoms treated by Zengsun Chaihu Tang have resolved, to dispel wind pathogenic factors.
Ingredients: *Gentianae Macrophyllae Radix* (Qinjiao), *Paeoniae Radix Alba* (Baishao), *Bupleuri Radix* (Chaihu) (each 1.7 qian), *Scutellariae Radix* (Huangqin), *Saposhnikoviae Radix* (Fangfeng) (each 1.2 qian), *Glycyrrhizae Radix et Rhizoma Praeparata cum Melle* (Zhigancao, 1.3 qian), *Ginseng Radix* (Renshen), *Pinelliae Rhizoma Preparatum* (Banxia) (each 1 qian).
Usage: Chop the herbs, divide into two decoctions. Add 3 slices of ginger for decoction. Take well after meals.
**Sanfen San (Three-Parts Powder)**: Treats prolonged postpartum deficiency fatigue with fever.
Ingredients: *Siwu Tang* plus *Atractylodis Macrocephalae Rhizoma* (Baizhu), *Poria* (Fuling), *Astragali Radix* (Huangqi) (each 1 qian), *Bupleuri Radix* (Chaihu), *Ginseng Radix* (Renshen) (each 1.5 qian), *Scutellariae Radix* (Huangqin), *Pinelliae Rhizoma Preparatum* (Banxia), *Glycyrrhizae Radix et Rhizoma* (Gancao) (each 0.5 qian). Add 3 slices of ginger and 2 jujubes.
Usage: Take before meals.
**Weiguan Jian (Stomach Gate Decoction)**: Treats postpartum kidney qi deficiency and cold, leading to diarrhea, abdominal pain.
Ingredients: *Rehmanniae Radix Preparata* (Shudi, 3-5 qian or 1 liang), *Glycyrrhizae Radix et Rhizoma Praeparata cum Melle* (Zhigancao, 1-2 qian), *Dioscoreae Rhizoma* (Shanyao), *Phaseoli Albi Semen* (Baibiandou, stir-fried, each 2 qian), *Zingiberis Rhizoma Aridum Carbonisatus* (Chaojiao Ganjiang, 1-3 qian), *Evodiae Fructus Macerated* (Pao Wuzhuyu, 0.5-0.7 qian), *Atractylodis Rhizoma* (Baizhu, 1-3 qian).
Usage: Take warm well after meals.
**Paqi Yin (Qi-Discharging Drink)**: Treats postpartum rebellious qi and food stagnation, causing distension and pain.
Ingredients: *Citri Reticulatae Pericarpium* (Chenpi), *Agastaches Herba* (Huoxiang), *Aurantii Fructus Immaturus* (Zhike) (each 1.5 qian), *Magnoliae Officinalis Cortex* (Noupu, 1 qian), *Alismatis Rhizoma* (Zexie), *Linderae Radix* (Wuyao), *Cyperi Rhizoma* (Xiangfu) (each 2 qian), *Aucklandiae Radix* (Muxiang, 0.7-1 qian).
Usage: Take hot.
**Dahezhong Yin (Great Harmonizing Middle Drink)**: Treats the same as above (postpartum rebellious qi and food stagnation causing distension and pain).
Ingredients: *Citri Reticulatae Pericarpium* (Chenpi, 1-2 qian), *Gardeniae Fructus* (Shanzhi), *Hordei Fructus Germinatus* (Maiya) (each 2 qian), *Aurantii Fructus Immaturus* (Zhishi, 1 qian), *Amomi Fructus Rotundus* (Sharen, 0.5 qian), *Magnoliae Officinalis Cortex* (Noupu), *Alismatis Rhizoma* (Zexie) (each 1.5 qian).
Usage: Take warm well after meals.
**Dayanmi Tang (Great Rock Honey Decoction)**: Treats pre-existing chronic cold, exacerbated by postpartum extreme deficiency. Cold clashes with blood, causing blood coagulation and stasis that rushes upward to the collateral vessels of the heart, resulting in heart pain.
Ingredients: *Angelicae Sinensis Radix* prepared with wine (Jiu Danggui), *Rehmanniae Radix Preparata* (Shudi), *Evodiae Fructus* (stir-fried, Wuzhuyu), *Paeoniae Radix Alba* (stir-fried, Baishao), *Zingiberis Rhizoma Aridum* (stir-fried, Ganjiang), *Angelicae Pubescentis Radix* (Duohuo), *Cinnamomi Cortex* (Guixin), *Radix Polygoni Multiflori* (Xiaocao) (each 1 qian), *Asari Radix et Rhizoma* (Xixin), *Glycyrrhizae Radix et Rhizoma* (Gancao) (each 0.5 qian).
Alternative formula: Replace *Rehmanniae Radix Preparata* with *Rehmanniae Radix Recens*.
**Zijin Dan (Purple Gold Pill)**: Treats postpartum chong and ren vessel qi distension, sensation of a mass in the chest resembling globus hystericus.
Ingredients: *Hematitum* (Daizheshi), *Natrii Sulfas Impurus* (Nuosha Shi) (equal parts).
Usage: Make pills using vinegar paste. Take 20-30 pills with wine. If chest pain occurs, administer with *Danggui* decoction. Long-term use treats blood masses (blood pi).
Another prescription: Treats the same.
Ingredients: *Hematitum* (Daizheshi, 1 liang), *Persicae Semen* (Taoren, mud-fried, 3 qian), *Rhei Radix et Rhizoma* (Dahuang, 5 qian).
Usage: Make pills using mint decoction paste.
**Qisheng Wan (Seven-Sages Pill)**: Treats postpartum excessive wind pathogen accumulation, causing edema of face, eyes, and limbs; thick sticky sputum and nasal discharge; dry throat and mouth; fullness in heart and hypochondrium; constipation; dark urine; restlessness during sleep.
Ingredients: *Rhei Radix et Rhizoma* steamed with wine (Jiu Zheng Dahuang), *Chuanxiong Rhizoma* (Chuanxiong), *Cinnamomi Cortex* (Guixin), *Arecae Semen* (Binglang), *Aucklandiae Radix* (Muxiang) (each 5 qian), *Prunus Armeniaca Seed* (Yuliren), *Notopterygii Rhizoma et Radix* (Qianghuo) (each 1 qian).
Usage: Honey-made pills. Take 15 pills after meals with water decoction. Most suitable for mountainous miasma regions. Adjust dosage according to deficiency or excess. If edema is present with headache and dizziness, indicating excessive wind, add *Chuanxiong* and *Qianghuo*. If only edema is present, use this formula alone.
**Tongyu Yin (Unblocking Stasis Drink)**: Treats postpartum lochia obstruction accompanied by palpitations, drowsiness, and alternating chills and fever.
Ingredients: *Angelicae Sinensis Radix* tail (Guiwei), *Rhei Radix et Rhizoma* (Dahuang) (each 3 qian), *Atractylodis Rhizoma* (Baizhu), *Akebiae Caulis* (Mutong) (each 1 qian), *Carthami Flos* (Honghua, 0.5 qian), *Persicae Semen* pulp (Taoren ni, 30 grains).
Usage: Decoct 1 bowl of water and 1 small cup of wine until boiling three times. Add *Taoren* pulp and boil once more. Take warm.
**Niujiaosai Wan (Ox Horn Scale Pill)**: Treats persistent lochia (blood stasis) and uncontrollable metrorrhagia, accompanied by severe abdominal colic and rapid breathing.
Ingredients: *Cinis Capillis* (Fahui, 1 liang), *Colla Corii Asini* (Ejiao, 2 liang), *Hematitum* (Daizheshi), *Zingiberis Rhizoma Aridum* (Ganjiang, 3 liang), *Rehmanniae Radix Recens* (Shengdi, 4 liang), *Testudinis Carapax et Plastrum* calcined (Matike, 1 piece), *Cornu Bubali* (Niujiaosai) prepared with butter (5 liang).
Usage: Honey-made pills.
**Jiawei Siwu Tang (Modified Four Substances Decoction)**: Treats postpartum metrorrhagia resembling bean curd residue, with excessive purple-black color.
Ingredients: *Siwu Tang* plus *Polygoni Citrati Pulvis* (Puhuang), *Colla Corii Asini* (Ejiao), *Cirsii Japonici Radix* (Jigen), *Angelicae Dahuricae Radix* (Baizhi).
**Jiawei Siwu Tang (Modified Four Substances Decoction)**: Treats postpartum menstrual dripping persisting for over a month. This addresses sinking conditions requiring lifting methods.
Ingredients: *Siwu Tang* plus *Cimicifugae Rhizoma* (Shengma), *Angelicae Dahuricae Radix* (Baizhi) (each 1 qian), *Cinis Capillis* (Xuyuhui, separately added 0.5 qian).
**Qianjin Fang (Thousand Gold Prescription)**: Treats incomplete expulsion of lochia (evil blood) lasting months or even half a year.
Ingredients: *Cimicifugae Rhizoma* (Shengma, 3 liang), Clear wine (Qingjiu, 5 sheng).
Usage: Boil down to 2 sheng. Divide into two doses.
**Moyao Wan (Myrrh Pill)**: Treats sudden cessation of lochia flow after it has just begun, accompanied by abrupt chills and fever, and severe piercing pain throughout the abdomen, umbilicus, and all collaterals. This is caused by imbalance of cold and heat, or excessive worry and physical exertion leading to qi stagnation and blood accumulation in the collaterals.
Ingredients: *Angelicae Sinensis Radix* (Danggui, 1 liang), *Paeoniae Radix Alba* (Baishao), *Cinnamomi Cortex* (Guixin) (each 5 qian), *Persicae Semen* (Taoren, fried), *Myrrha* (Moyao, ground, each 2.5 qian), *Blaberus* (Mengchong, wings and feet removed, fried), *Hirudo* (Shuizhi, fried until scorched, each 20 pieces).
Usage: Vinegar-paste pills, size of wu-tzu seeds. Take 3 pills with light vinegar decoction.
**Postpartum Regulation Formula**: Taken postpartum to prevent disease permanently.
Ingredients: *Cyperi Rhizoma* (Xiangfu, 1 jin, soaked in vinegar and child's urine for 3 days, then boiled with *Artemisiae Argyi Folium* until dry, formed into cakes, dried, and ground to fine powder), *Angelicae Sinensis Radix* body (Gui Shen, wine-fried), *Rehmanniae Radix Preparata* (Shudi) (each 4 liang), *Chuanxiong Rhizoma* (Chuanxiong, 3 liang).
Usage: Wine-paste pills, taken with water decoction.
**Main Postpartum Formula**: Treats the same (postpartum regulation).
Ingredients: *Angelicae Sinensis Radix* (Danggui), *Atractylodis Rhizoma* (Baizhu), *Moutan Cortex* (Danpi) (each 1 qian), *Leonuri Herba* (Yimucao, 3 qian), *Chuanxiong Rhizoma* (Chuanxiong, 0.8 fen), *Carthami Flos* (Honghua, 0.7 fen), *Citri Reticulatae Pericarpium* (Chenpi, 0.5 fen), *Glycyrrhizae Radix et Rhizoma* (Gancao, 0.3 fen).
Modifications: For blood stasis and abdominal pain, add *Corydalis Rhizoma* (Yanhusuo) 0.8 fen. For severe pain, add *Cinnamomi Cortex* (Rougui) 0.3 fen and *Crataegi Fructus Carbonisatus* (Zhatan) 1 qian. For body heat and sweating, add *Astragali Radix* (Huangqi) 1 qian. For body heat only, add *Poria* (Fuling) 3 qian. For spirit deficiency after sweating, add *Ginseng Radix* (Renshen) 1 qian. For heart deficiency and gallbladder timidity, add *Polygalae Radix* (Yuanzhi) and *Ziziphi Spinosae Semen* (Zaoren) each 1 qian. For lower back pain, add *Achyranthis Bidentatae Radix* (Niuxi), *Eucommiae Cortex* (Duzhong), and *Dipsaci Radix* (Chuanduan) each 1 qian. For wind-cold fever, food stagnation with nausea, or diarrhea with reduced appetite, adjust prescription accordingly.
**Contraceptive Formula (Appendix)**: Highly effective, non-toxic.
Ingredients: *Siwu Tang* ingredients each 5 qian, plus *Brassicae Napus Var. Trichocarpa Semen* (Yuntaizi) 2 qian.
Usage: Take warm on an empty stomach after menstruation ends.
Another prescription: Treats the same.
Ingredients: Mulberry paper used for silkworm rearing (Canzi Guzhi), square or round, one chi in size, burned to powder. Take with wine after menstruation ends to ensure lifelong infertility.