产后不惟去恶血，白芷楂陈梗牛膝，
干姜肉桂萸茱乌，香附灵脂玄胡入。
三日外若发寒热，柴胡归尾不可缺。
七日寒热小腹痛，桃仁蓬棱三味精。
十四外来是虚寒，归芎柴茯地黄尊。
廿一日外腹中疼，升上升下作气论，
草果槟榔砂仁蔻，四味加添效如神。
心腹之中一定痛，原来恶物尤未尽，
速加棱术归尾桃，恶物出兮无余剩。
又有气食相干症，升上升下痛难禁，
果槟枳实共山楂，便是棱术亦可进。
初产三至七日间，小腹状若有胎然，
此是临盆进风故，破腹伤风自古传，
药用荆防苏术葛，独活白芷三棱添。
廿八恶血鲜血来，产后淋漓真大害，
四物汤加花粉索，黄芩地榆牡蛎使，
切忌葱姜乌桂萸，因有鲜血恐大溃。
一月外发血虚寒，亦忌前方五味全，
参术芎归茯芍药，补其血气免忧煎。
咳嗽天冬味杏仁，有风而嗽慢评论，
须加干葛前胡紫，桑白须加止嗽神，
无风而嗽须芍药，白术芎归用茯苓。
恶心半夏加些好，发热柴胡自古论，
赤白淋漓只四味，地榆艾芷加牡蛎。
失于调理至虚损，白术肉桂加人参，
当归生地川芎芍，香附黄 甘茯苓。
三日外若瘀血虚，发狂颠倒中风形，
朱砂棱术柴官尾，乌壳姜楂陈萸梗。
三日外若瘀血坠，两足肿胀难进退，
前方减去朱乌壳，加入桃仁芷膝通。
积块棱术楂归尾，玄胡乌附木槟陈，
灵脂川芎桔草果，分气分痰仔细评，
气加青壳吴萸蔻，官桂干姜亦味佳；
若是痰兮用星半，减去灵脂桂姜萸。
骨节疼痛加羌活，头痛川芎荆芥临。
二十日内发大热，必用干姜须炒黑。
风症荆防苏木葛，蓬术独活芷三棱。
七日以外小腹痛，有块发寒血未尽，
或因内致产门伤，芷翘银花荆芥穗。
伤风苏葛与防风，有痰二陈汤须定。
骨痛羌活及当归，腰痛茯苓与杜仲。
小便不通车前子，木通泽泻升麻境。
大便枳实郁麻仁，七外不通将军应。
泄泻木通猪苓泽，山药苍朴薏米仁。
痢疾槟榔共木香，木通泽泻壳猪苓。
疟疾柴胡青皮草、浓朴槟榔草果仁。
血虚发热四物芩，伤食楂壳果蓬棱。
中湿遍体多浮肿，眼目视物不转睛，
荆防蓬棱茱萸术，姜桂柴卜尾桃仁，
川乌草乌休多用，每帖只用二三分。
中风不语血迷心，眼定不必费精神，
眼珠转动稍可救，陈皮桔梗与桃仁，
菖蒲归尾同乌药，门冬防风甘草辰。
Postpartum regulation is not only about expelling lochia; (if needed) Bletillae Rhizoma (Baizhi, 白芷), Crataegi Fructus (Shanzha, 山楂), Citri Reticulatae Pericarpium (Chenpi, 陈皮), Platycodonis Radix (Jiegeng, 桔梗), Achyranthis Bidentatae Radix (Niuxi, 牛膝), Zingiberis Rhizoma Recens (Ganjiang, 干姜), Cinnamomi Cortex (Rougui, 肉桂), Corni Fructus (Shanzhuyu, 山茱萸), Evodiae Fructus (Wuzhuyu, 吴茱萸), Linder Acanthocarpi Fructus (Wuyao, 乌药), Cyperi Rhizoma (Xiangfu, 香附), Trogopteri Dungus (Lingzhi, 五灵脂), and Corydalis Rhizoma (Yanhusuo, 玄胡索) can be included in the prescription.
If chills and fever occur after three days postpartum, Bupleuri Radix (Chaihu, 柴胡) and Angelicae Sinensis Radix Caulis (Dangguwei, 当归尾) must not be omitted.
If chills, fever, and lower abdominal pain occur seven days postpartum, Pruni Semen (Taoren, 桃仁), Curcumae Pharyngomatis Rhizoma (Penglang, 蓬莪术), and Curcumae Longae Rhizoma (Sanleng, 三棱) are the precise three herbs to use.
If deficiency-cold manifests fourteen days postpartum, Angelicae Sinensis Radix (Danggui, 当归), Chuanxiong Rhizome (Chuanxiong, 川芎), Bupleuri Radix (Chaihu, 柴胡), Poria (Fuling, 茯苓), and Rehmanniae Radix (Dihuang, 地黄) are paramount.
If abdominal pain occurs twenty-one days postpartum, one must differentiate whether it is due to Qi rebellion or sinking; Amomum Fructus (Caoguo, 草果), Arecae Semen (Binglang, 槟榔), Amomi Fructus Rotundus (Sharen, 砂仁), and Myristicae Semen (Kouren, 蔻仁), these four herbs added yield miraculous effects.
If there is definite pain in the heart and abdomen, it is originally because lochia has not been fully expelled; quickly add Curcumae Longae Rhizoma (Sanleng, 三棱), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Angelicae Sinensis Radix Caulis (Dangguwei, 当归尾), and Pruni Semen (Taoren, 桃仁); once lochia is expelled, nothing remains.
There are also syndromes where Qi stagnation and food retention interfere with each other, causing unbearable pain due to abnormal ascending and descending of Qi; Amomum Fructus (Caoguo, 草果), Arecae Semen (Binglang, 槟榔), Immature Bitter Orange (Zhishi, 枳实), and Crataegi Fructus (Shanzha, 山楂) together, and even Curcumae Longae Rhizoma (Sanleng, 三棱) and Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) can be advanced.
Between three and seven days after initial childbirth, if the lower abdomen feels as if pregnant, this is caused by wind invasion during delivery; abdominal wound wind invasion has been passed down since ancient times; medicinals include Schizonepetae Spica (Jingjie, 荆芥), Saposhnikoviae Radix (Fangfeng, 防风), Sappan Wood (Sumu, 苏木), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Puerariae Radix (Gegen, 葛根), with additional Angelicae Dahuricae Radix (Baizhi, 白芷), Curcumae Longae Rhizoma (Sanleng, 三棱), and Dolichos Lablab Seed (Duhuo, 独活).
If fresh blood flows on the twenty-eighth day postpartum while lochia is incomplete, persistent dripping postpartum is a great harm; Siwu Decoction (Four Substances Decoction) plus Trichosanthis Radix (Huafen, 花粉), Mantidis Oötheca (Suoluo, 桑螵蛸), Scutellariae Radix (Huangqin, 黄芩), Sanguisorbae Radix (Diyu, 地榆), and Ostrea Concha (Muli, 牡蛎) as guides; strictly avoid Allii Cepae Bulbus (Congbai, 葱白), Zingiberis Rhizoma Recens (Shengjiang, 生姜), Linder Acanthocarpi Fructus (Wuyao, 乌药), Cinnamomi Cortex (Rougui, 肉桂), and Corni Fructus (Shanzhuyu, 山茱萸), because with fresh blood, there is fear of severe hemorrhage.
If deficiency-cold develops after one month, do not use all five flavors of the previous formula; Ginseng Radix et Rhizoma (Renshen, 人参), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Chuanxiong Rhizome (Chuanxiong, 川芎), Angelicae Sinensis Radix (Danggui, 当归), Poria (Fuling, 茯苓), and Paeoniae Radix Alba (Shaoyao, 芍药) tonify Qi and Blood to relieve anxiety.
For cough, use Asparagi Radix (Tian Dong, 天冬), Schisandrae Fructus (Wuweizi, 五味子), and Armeniacae Semen Amarum (Xingren, 杏仁); for cough due to wind, evaluate slowly; add Puerariae Radix (Gegen, 干葛), Peucedani Radix (Qianhu, 前胡), and Asteris Radix (Zisu, 紫菀); add Pulmonariae Herba (Sangbaipi, 桑白皮) for miraculous stopping of cough; for cough without wind, use Paeoniae Radix Alba (Shaoyao, 芍药), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Chuanxiong Rhizome (Chuanxiong, 川芎), Angelicae Sinensis Radix (Danggui, 当归), and Poria (Fuling, 茯苓).
For nausea, adding Pinelliae Rhizoma Preparatum (Banxia, 半夏) is good; for fever, Bupleuri Radix (Chaihu, 柴胡) has been discussed since ancient times; for red and white discharge, only four herbs are used: Sanguisorbae Radix (Diyu, 地榆), Artemisiae Argyi Folium (Aiyi, 艾叶), Bletillae Rhizoma (Baizhi, 白芷), and Ostrea Concha (Muli, 牡蛎).
If neglect of regulation leads to deficiency and damage, add Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Cinnamomi Cortex (Rougui, 肉桂), and Ginseng Radix et Rhizoma (Renshen, 人参); Angelicae Sinensis Radix (Danggui, 当归), Rehmanniae Radix Preparata (Shengdi, 生地), Chuanxiong Rhizome (Chuanxiong, 川芎), and Paeoniae Radix Alba (Shaoyao, 芍药), along with Cyperi Rhizoma (Xiangfu, 香附), Astragali Radix (Huangqi, 黄芪), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), and Poria (Fuling, 茯苓).
If after three days postpartum there is deficiency due to blood stasis, leading to madness and inversion resembling stroke, use Cinnabaris (Zhusha, 朱砂), Curcumae Longae Rhizoma (Sanleng, 三棱), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Bupleuri Radix (Chaihu, 柴胡), and Angelicae Sinensis Radix Caulis (Dangguwei, 当归尾); Linder Acanthocarpi Fructus (Wuyao, 乌药), Zingiberis Rhizoma Recens (Ganjiang, 干姜), Crataegi Fructus (Shanzha, 山楂), Citri Reticulatae Pericarpium (Chenpi, 陈皮), Corni Fructus (Shanzhuyu, 山茱萸), and Platycodonis Radix (Jiegeng, 桔梗).
If after three days postpartum there is prolapse due to blood stasis, with swollen feet difficult to move, remove Cinnabaris (Zhusha, 朱砂) and Linder Acanthocarpi Fructus (Wuyao, 乌药) from the previous formula, and add Pruni Semen (Taoren, 桃仁), Bletillae Rhizoma (Baizhi, 白芷), Achyranthis Bidentatae Radix (Niuxi, 牛膝), and Tetrapanacis Medulla (Tongcao, 通草).
For masses, use Curcumae Longae Rhizoma (Sanleng, 三棱), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Crataegi Fructus (Shanzha, 山楂), and Angelicae Sinensis Radix Caulis (Dangguwei, 当归尾); Corydalis Rhizoma (Yanhusuo, 玄胡索), Aconiti Lateralis Radix Preparata (Wutou, 乌头), Aconiti Radix Preparata (Fuzi, 附子), Costi Rhizoma (Muxiang, 木香), Arecae Semen (Binglang, 槟榔), and Citri Reticulatae Pericarpium (Chenpi, 陈皮), Trogopteri Dungus (Lingzhi, 五灵脂), Chuanxiong Rhizome (Chuanxiong, 川芎), Platycodonis Radix (Jiegeng, 桔梗), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), and Amomum Fructus (Caoguo, 草果); carefully evaluate differentiation of Qi and Phlegm; for Qi stagnation add Green Tangerina Peel (Qingpi, 青皮), Evodiae Fructus (Wuzhuyu, 吴茱萸), and Myristicae Semen (Kouren, 蔻仁); Cinnamomi Ramulus (Guirui, 官桂) and Zingiberis Rhizoma Recens (Ganjiang, 干姜) are also flavorful; for Phlegm syndrome use Arisaematis Cum Bile (Xingban, 胆南星) and Pinelliae Rhizoma Preparatum (Banxia, 半夏), removing Trogopteri Dungus (Lingzhi, 五灵脂), Cinnamomi Ramulus (Guirui, 官桂), Zingiberis Rhizoma Recens (Ganjiang, 干姜), and Evodiae Fructus (Wuzhuyu, 吴茱萸).
For joint pain, add Notopterygii Rhizoma et Radix (Qianghuo, 羌活); for headache, Chuanxiong Rhizome (Chuanxiong, 川芎) and Schizonepetae Spica (Jingjie, 荆芥) are indicated.
If high fever occurs within twenty days, dried ginger (Ganjiang, 干姜) must be used and charred.
For wind syndromes, use Schizonepetae Spica (Jingjie, 荆芥), Saposhnikoviae Radix (Fangfeng, 防风), Sappan Wood (Sumu, 苏木), and Puerariae Radix (Gegen, 葛根); Curcumae Rhizoma (Pengshu, 蓬术), Dolichos Lablab Seed (Duhuo, 独活), Bletillae Rhizoma (Baizhi, 白芷), and Curcumae Longae Rhizoma (Sanleng, 三棱).
Seven days later, lower abdominal pain with masses, chills, and incomplete blood expulsion may be due to internal injury of the birth canal; use Bletillae Rhizoma (Baizhi, 白芷), Forsythiae Fructus (Qiaok, 翘壳), Lonicerae Japonicae Flos (Yinhua, 银花), and Schizonepetae Spica (Jingjiesui, 荆芥穗).
For wind-cold invasion, use Perillae Folium (Suye, 苏叶), Puerariae Radix (Gegen, 葛根), and Saposhnikoviae Radix (Fangfeng, 防风); for phlegm, Erchen Decoction (Two Aged Things Decoction) must be determined.
For bone pain, Notopterygii Rhizoma et Radix (Qianghuo, 羌活) and Angelicae Sinensis Radix (Danggui, 当归); for lower back pain, Poria (Fuling, 茯苓) and Eucommiae Cortex (Duzhong, 杜仲).
For urinary difficulty, Plantaginis Semen (Cheqianzi, 车前子); Akebiae Caulis (Mutong, 木通), Alismatis Rhizoma (Zexie, 泽泻), and Cimicifugae Rhizoma (Shengma, 升麻).
For constipation, Immature Bitter Orange (Zhishi, 枳实), Prunus Yedoensis Seed (Yuren, 郁李仁), and Cannabis Seed (Humaoren, 火麻仁); after seven days, Rheum Palmatum Radix et Rhizoma (Jiangjun, 大黄) should be used.
For diarrhea, Akebiae Caulis (Mutong, 木通), Polyporus (Zhuling, 猪苓), and Alismatis Rhizoma (Zexie, 泽泻); Dioscoreae Rhizoma (Shanyao, 山药), Atractylodis Rhizoma (Cangzhu, 苍术), Aurantii Fructus Immaturus (Houpo, 厚朴), and Coicis Semen (Yimiren, 薏米仁).
For dysentery, Arecae Semen (Binglang, 槟榔) and Aucklandiae Radix (Muxiang, 木香); Akebiae Caulis (Mutong, 木通), Alismatis Rhizoma (Zexie, 泽泻), Citri Reticulatae Pericarpium (Qingpi, 青皮), and Polyporus (Zhuling, 猪苓).
For malaria, Bupleuri Radix (Chaihu, 柴胡), Citri Reticulatae Pericarpium (Qingpi, 青皮), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Aurantii Fructus Immaturus (Nongpu, 浓朴), Arecae Semen (Binglang, 槟榔), and Amomum Fructus (Caoguoren, 草果仁).
For deficiency-blood fever, Siwu Decoction (Four Substances Decoction) plus Scutellariae Radix (Huangqin, 黄芩); for food injury, Crataegi Fructus (Shanzha, 山楂), Citri Reticulatae Pericarpium (Qingpi, 青皮), Amomum Fructus (Caoguo, 草果), Curcumae Rhizoma (Pengshu, 蓬术), and Curcumae Longae Rhizoma (Sanleng, 三棱).
For dampness obstruction with generalized edema and fixed gaze, use Schizonepetae Spica (Jingjie, 荆芥), Saposhnikoviae Radix (Fangfeng, 防风), Curcumae Rhizoma (Pengshu, 蓬术), Evodiae Fructus (Wuzhuyu, 吴茱萸), and Atractylodis Macrocephalae Rhizoma (Baizhu, 白术); Ginger (Jiang, 姜), Cinnamon (Gui, 桂), Bupleuri Radix (Chaihu, 柴胡), Raphani Semen (Boluozi, 萝卜子), Angelicae Sinensis Radix Caulis (Dangguwei, 当归尾), and Pruni Semen (Taoren, 桃仁); Aconiti Radix (Chuanwu, 川乌) and Aconiti Kusnezoffii Radix (Caowu, 草乌) should not be overused, only two to three fen per dose.
For stroke with inability to speak due to blood confusing the Heart, if eyes are fixed, no need to waste spirit; if eyeballs move, slightly salvageable; use Citri Reticulatae Pericarpium (Chenpi, 陈皮), Platycodonis Radix (Jiegeng, 桔梗), and Pruni Semen (Taoren, 桃仁); Acori Tatarinowii Rhizoma (Changpu, 菖蒲), Angelicae Sinensis Radix Caulis (Dangguwei, 当归尾), and Linderae Radix (Wuyao, 乌药), Asparagi Radix (Mendong, 麦冬), Saposhnikoviae Radix (Fangfeng, 防风), and Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) at Chen hour.