人身之中，气为阳，血为阴，阴阳和畅，斯无病矣。夫头者，诸阳之会也，产后去血过多，阴
气已亏，而虚阳失守，上凑于头，则令头痛，但补其血，则阳气得纵，而头痛自止。间有败血停留
子宫，厥阴之位，其脉上贯巅顶，作巅顶痛者，虽有身热恶寒之候，是宜生化汤加减，慎不可用羌、
独等药，盖由正阳亏损，浊阴得以犯上，陷入髓海，为胀为痛，是非清阳升复，则浊阴不降，在里
内起之邪为病，非若外入之邪可表而愈也。况生化汤中芎、姜亦能散表邪，桃仁亦能逐瘀血，是又可
兼治。再少为因症加入，又何用另方施治乎？
人之胃脘居于心下，产后或伤寒气及冷物而作痛，当散胃中之冷物，生化立效方治之，无有不安。
若独用熟药攻寒，其痛虽止，而血妄行，反虚产母。况寒者心挟虚，而燥热者必佐阴药，方能制其
僭越也。至于绵绵而痛，当问血块尽，又可揉按而少止，是虚当用补剂。大抵产后寒食，上攻于心
则心痛，攻于腹则腹痛，治心腹之痛，大约相同。冯氏云∶产后阴血亏，随火上冲心络，名下心胞
络痛，宜归脾汤主之。《医通》用理中加当归治之。
生化立效方 治产后因伤冷物，胃脘作痛。
川芎（二钱） 当归（四钱） 桃仁（十粒） 干姜（炙黑） 炙草（各五分） 肉桂 吴萸（各四分）
In the human body, Qi belongs to Yang, and Blood belongs to Yin. When Yin and Yang are harmonious and flowing smoothly, there is no disease. The head is the meeting point of all Yang meridians. After childbirth, excessive blood loss leads to a deficiency of Yin Qi, causing deficient Yang to lose its anchorage and rush upward to the head, resulting in headache. By replenishing the Blood, the Yang Qi can be subdued and relaxed, and the headache will cease spontaneously. Occasionally, retained lochia (stagnant blood) remains in the uterus. Since the channel of Foot-Jueyin Liver pierces through the vertex, this may cause vertex headache. Even if accompanied by fever and aversion to cold, it is appropriate to use Shenghua Tang (Decoction for Generating New Blood) with modifications. One must be cautious about using herbs such as Qianghuo (Notopterygii Rhizoma et Radix) and Duhuo (Angelicae Pubescentis Radix), because the deficiency of healthy Yang allows turbid Yin to invade the upper part and sink into the sea of marrow, causing distension and pain. Unless clear Yang rises and recovers, turbid Yin cannot descend. This pathology arises from internal pathogens, unlike external pathogens which can be resolved through diaphoresis (sweating method). Moreover, Chuanxiong and Ganjiang (Dried Ginger) in Shenghua Tang can also disperse exterior pathogens, and Taoren (Persicae Semen) can expel stasis; thus, they can treat both aspects simultaneously. With slight additions based on symptoms, why resort to another prescription?
The epigastrium is located below the heart. Postpartum, pain may occur due to invasion of cold pathogen or consumption of cold foods. It is necessary to dispel the cold accumulation in the stomach, which can be effectively treated with Shenghua Life-Efficiency Formula, ensuring recovery. If one solely uses hot-natured drugs to attack cold, although the pain may stop, it may cause reckless movement of blood, further weakening the postpartum mother. Generally, cold-induced pain involves deficiency alongside cold, while dry-heat-induced pain requires the assistance of Yin-nourishing herbs to restrain hyperactivity. For lingering, dull pain, one should inquire whether blood clots have been completely expelled; if massage provides slight relief, it indicates a deficiency pattern, requiring tonic formulas. Broadly speaking, when cold and food stagnation attack upward toward the heart, it causes heart pain; when it attacks the abdomen, it causes abdominal pain. The treatment principles for heart and abdominal pain are largely similar. Feng Shi stated: Postpartum Yin-blood deficiency allows fire to rush upward to the Pericardium collateral, named Pericardium Collateral Pain, which should be primarily treated with Guipi Tang (Restore the Spleen Decoction). *Yitong* (Medical Generalities) treats it with Lizhong Tang (Regulate the Middle Decoction) plus Danggui (Angelicae Sinensis Radix).
Shenghua Life-Efficiency Formula: Treats epigastric pain caused by consuming cold substances after childbirth.
Chuanxiong (Ligustici Chuanxiong Rhizoma) (2 qian)
Danggui (Angelicae Sinensis Radix) (4 qian)
Taoren (Persicae Semen) (10 grains)
Ganjiang (Zingiberis Rhizoma Recens dried/charred) (Blackened by roasting)
Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (Each 5 fen)
Rougui (Cinnamomi Cortex)
Wuzhuyu (Evodiae Fructus) (Each 4 fen)