皮（四分，炒） 煨木香（二分）
产后患赤白痢疾，后重频并，最为难治。须行不损元，补不助邪，惟生化汤去炮姜，加
木香、茯苓，则可以并治而不悖也。后立数条，斟酌用之。
一产痢黄色，乃脾土真气虚，宜服加味补中益气汤，加煨木香四分，煨肉果四分。
一久痢元气下陷，肛门如脱，宜服六君子汤，加木香四分，煨肉果四分，干姜四分炒，
归身三钱土炒，升麻三分。
一久痢四肢浮肿，宜四君子加木香四分，五加皮四分，归身二钱土炒。
一产痢脐下急痛，生化汤加木香四分，大腹皮六分，白术一钱土炒。
一产痢呕吐，生化汤加广藿香五分，制半夏五分，焦白术一钱，陈皮四分。
一产痢小便短涩，生化汤加茯苓二钱，木香三分，人参四分，泽泻一钱。
一产后血痢过多，日久不止，血分虚也，宜四物汤，加人参一钱，荆芥炭五分，淮山药
三钱，白术八分。
产后膨胀，皆因中虚伤食多气瘀积所致也。中虚，宜加参生化汤，内加陈皮五分；多气
，生
化汤内加川郁金五分，砂仁三分炒研；伤食，生化汤内加白术炭六分，焦麦芽八分；焦神曲
八分。瘀积，生化汤内加沙糖、炒山楂一钱五分，新绛一钱五分，陈皮四分。以上四症，如
虚必须人参，随机酌用。
产后霍乱因血虚，阴阳升降不顺，清浊乱于肠胃，冷热不调，邪正相搏，遂上吐下泻，
宜生化六和汤。
川芎（一钱） 归身（三钱） 炮姜（三分） 炙甘草（三分） 茯苓（一钱五分） 砂仁（四分）
陈皮（四分） 藿香（五分）
如手足厥冷无块痛者，加人参一钱，白术一钱，淡附子三分。
产后呕逆不食，人之胃腑为水谷之海，水谷之精，化而为气血，荣润脏腑。产后空虚，
寒邪
易乘，入于肠胃，则气逆呕恶而不食也。初宜生化汤加砂仁，治七日后，始用温胃丁香散。
归身（二钱） 白术（一钱） 干姜（三分） 丁香（二分） 人参（一钱） 陈皮（五分） 炙甘
草（四分） 半夏曲（五四炒） 藿香（四分）
产后水肿，肢体俱浮，皮肤光泽，乃脾虚不能制水，肾虚不能行水，宜实脾饮、香砂六
君子
汤、金匮肾气丸、济生肾气丸，因证择用，断不可用破滞行水之药。丹溪治产后误服消导药
，以致水肿方。
人参（二钱） 白术（二钱） 归身（三钱） 木通（六分） 白芍（一钱，炒焦） 茯苓（二钱）
泽
泻（一钱，炒） 浓朴（五分，炒） 苏叶（四分） 陈皮（五钱） 木香（四分） 大腹皮（六分）
莱菔子（六分，炒）
又加味五皮饮
五加皮（四分） 地骨皮（六分） 大腹皮（六分） 茯苓皮（三钱） 生姜皮（三分） 加人参
（一钱） 归身（二钱） 白术皮（一钱） 陈皮（四分）
产后惊悸怔忡，因惊忧劳倦，去血过多，惟宜补养心血，调和脾胃，病自渐安。后列二
方。
加减养荣汤
人参（一钱五分） 归身（三钱） 川芎（一钱） 茯苓（二钱） 熟枣仁（二钱） 麦冬（一钱
五分）
远志（四分炒） 炙黄 （一钱） 白术（一钱） 陈皮（四分） 炙甘草（四分） 龙眼肉（一钱）
如虚烦加竹茹八分姜汁炒，有痰竹沥三匙，姜汁一匙。
养心汤
黄 （一钱，炙） 茯神（一钱五分） 归身（二钱） 川芎（八分） 麦冬（一钱，去心） 远
志（
四分） 枣仁（一钱五分，炒研） 柏子仁（一钱五分，勿研） 五味子（十粒，炒） 人参（一钱
）炙甘草（四分）
产后骨蒸，乃阴虚生内热也，宜保真汤加减治之。
人参（一钱） 白术（一钱） 茯苓（二钱） 知母（一钱，炒炭） 生地（二钱，炒炭） 熟地
（二
钱，炒炭） 麦冬（一钱） 白芍（一钱，炒焦） 枸杞子（一钱） 川芎（一钱） 五味子（十粒）
甘草（四分）
此方繁多，须临病斟酌加减用。
产后胃脘痛，因血虚肝气上犯；或由风冷乘虚袭入，皆宜生化汤，加泡淡吴茱萸三分，
陈皮四分。如遍身疼痛，宜服趁痛散。
归身（三钱） 炙黄 （一钱） 白术（一钱） 牛膝炭（八分） 上肉桂（二分） 独活（四分）
薤白（四分） 炙甘草（四分）
如痛喜手按，属大虚，加熟地三钱，川断一钱五分酒炒。如少腹结痛加川芎一钱延胡七
分酒炒。
产后感冒风寒伤冷，腰痛不能转侧，宜服养荣壮肾汤。
当归（二钱） 独活（四分） 桂心（四分） 川芎（一钱） 杜仲（三钱） 防风（四分） 川断
（一钱五分） 桑寄生（一钱五分，酒炒） 生姜（三分）
如虚加熟地三钱。
产后血块已消，腹中空痛不止，宜服交加地黄汤。
人参（一钱） 当归（三钱） 川芎（一钱） 白芍炭（八分） 煨木香（三分） 没药（四分）
制香附（四分） 熟地炭（三钱） 煨姜（三分） 大枣（一枚）
产后或败血，或湿痰，乘虚流注，宜服参归生化汤。
人参（一钱） 马蹄香（一钱） 当归（三钱） 川芎（一钱五分） 生甘草（四分） 炙黄 （
一钱五分） 肉桂（四分） 茯苓（二钱）
以上产后论治数条，虽未能全备症情，而遍考方书，摘取纯正，试之辄效，刊以质之同
人，
未必无小补耳。予凡看胎产诸症，已二十余年，遇大险大危之候，竟得十中挽回七八者，皆
以用补得宜，不随世俗以治标逐瘀为先务也。寿乔识
(Chenpi, 5g, stir-fried); Xiangmu (Costus Root), 2 fen.
Postpartum dysentery with red and white discharge, accompanied by frequent tenesmus, is the most difficult condition to treat. Treatment must avoid damaging the Yuan Qi (Original Qi) while not assisting the pathogenic factors. Only by using Shenghua Tang (Life-Restoring Decoction) with Paojiang (Prepared Ginger) removed, and adding Muxiang (Costus Root) and Fuling (Poria), can both conditions be treated simultaneously without contradiction. Several prescriptions follow for your consideration.
1. Postpartum dysentery with yellow stool indicates deficiency of the true Qi of Spleen Earth. It is suitable to take Jiawei Buzhong Yiqi Tang (Modified Center-Boosting Qi-Supplementing Decoction), adding Wei Muxiang (Baked Costus Root), 4 fen, and Wei Rouguo (Baked Myristica Seed), 4 fen.
2. Chronic dysentery leading to sinking of Yuan Qi, with a sensation of anal prolapse, is suitable for Liujunzi Tang (Six Gentlemen Decoction), adding Muxiang (Costus Root), 4 fen, Wei Rouguo (Baked Myristica Seed), 4 fen, Ganjiang (Dried Ginger), 4 fen (stir-fried), Dangshen (Radix Angelicae Sinensis), 3 qian (soil-fried), and Shengma (Cimicifugae Rhizoma), 3 fen.
3. Chronic dysentery causing edema in the four limbs: Si Junzi Tang (Four Gentlemen Decoction) plus Muxiang (Costus Root), 4 fen, Wujia Pi (Acanthopanacis Cortex), 4 fen, and Dangshen (Radix Angelicae Sinensis), 2 qian (soil-fried).
4. Postpartum dysentery with urgent pain below the navel: Shenghua Tang (Life-Restoring Decoction) plus Muxiang (Costus Root), 4 fen, Dafupi (Arecae Pericarpium), 6 fen, Baizhu (Atractylodis Macrocephalae Rhizoma), 1 qian (soil-fried).
5. Postpartum dysentery with vomiting: Shenghua Tang (Life-Restoring Decoction) plus Guang Huoxiang (Patchouli), 5 fen, Zhi Banxia (Prepared Pinellia Tuber), 5 fen, Jiao Baizhu (Charred Atractylodis Macrocephalae Rhizoma), 1 qian, and Chenpi (Citri Reticulatae Pericarpium), 4 fen.
6. Postpartum dysentery with scanty and obstructed urination: Shenghua Tang (Life-Restoring Decoction) plus Fuling (Poria), 2 qian, Muxiang (Costus Root), 3 fen, Renshen (Ginseng Radix), 4 fen, and Zexie (Alismatis Rhizoma), 1 qian.
7. Excessive postpartum bloody dysentery persisting for a long time indicates deficiency in the Blood aspect. Siwu Tang (Four Substances Decoction) is suitable, adding Renshen (Ginseng Radix), 1 qian, Jingjie Tan (Charred Schizonepeta Spike), 5 fen, Huaishanyao (Dioscorea Hypoglauca Tuber), 3 qian, and Baizhu (Atractylodis Macrocephalae Rhizoma), 8 fen.
Postpartum abdominal distension and swelling are caused by deficiency of Middle Jiao Qi, food stagnation, excessive Qi, and blood stasis accumulation. For Middle Jiao deficiency, use Jiashen Shenghua Tang (Shenghua Decoction with Ginseng) plus Chenpi (Citri Reticulatae Pericarpium), 5 fen; for Qi stagnation, add Chuan Yujin (Curcumae Longae Rhizoma), 5 fen, and Sharen (Amomi Fructus), 3 fen (baked and ground); for food stagnation, add Baizhu Tan (Charred Atractylodis Macrocephalae Rhizoma), 6 fen, Jiao Maiya (Charred Hordeum Fruit), 8 fen, and Jiao Shenqu (Charred Massa Medicata Fermentata), 8 fen; for blood stasis accumulation, add Brown Sugar, Chao Shanzha (Stir-fried Crataegi Fructus), 1.5 qian, Xinjiang (SaFFlower Stamen), 1.5 qian, and Chenpi (Citri Reticulatae Pericarpium), 4 fen. For these four syndromes, if deficiency is prominent, Renshen (Ginseng Radix) must be used; apply according to circumstances.
Postpartum cholera-like syndrome due to Blood deficiency, resulting in unsuccessful ascending and descending of Yin and Yang, confusion of clear and turbid Qi in the intestines and stomach, imbalance of cold and heat, and struggle between pathogenic and righteous Qi, leading to upper vomiting and lower diarrhea, is suitable for Shenghua Liuhe Tang (Shenghua Harmonizing Decoction).
Chuanxiong (Ligusticum Rhizome), 1 qian; Dangshen (Radix Angelicae Sinensis), 3 qian; Paojiang (Prepared Ginger), 3 fen; Zhigancao (Prepared Licorice Root), 3 fen; Fuling (Poria), 1.5 qian; Sharen (Amomi Fructus), 4 fen; Chenpi (Citri Reticulatae Pericarpium), 4 fen; Huoxiang (Patchouli), 5 fen.
If there is coldness in the hands and feet without mass-related pain, add Renshen (Ginseng Radix), 1 qian, Baizhu (Atractylodis Macrocephalae Rhizoma), 1 qian, and Dan Fuzi (Prepared Aconite Lateral Root), 3 fen.
Postpartum retching and inability to eat: The Stomach is the sea of water and grain. The essence of water and grain transforms into Qi and Blood to nourish the Zang-Fu organs. Postpartum emptiness allows Cold Pathogens to easily invade. Entering the intestines and stomach, it causes Qi rebellion, nausea, and anorexia. Initially, Shenghua Tang (Life-Restoring Decoction) with Sharen (Amomi Fructus) is suitable. After seven days, Wenwei Dingxiang San (Stomach-Warming Clove Powder) may be used.
Dangshen (Radix Angelicae Sinensis), 2 qian; Baizhu (Atractylodis Macrocephalae Rhizoma), 1 qian; Ganjiang (Dried Ginger), 3 fen; Dingxiang (Caryophylli Flos), 2 fen; Renshen (Ginseng Radix), 1 qian; Chenpi (Citri Reticulatae Pericarpium), 5 fen; Zhigancao (Prepared Licorice Root), 4 fen; Banxia Qu (Pinellia Fermented Paste), 5-4 stir-fried; Huoxiang (Patchouli), 4 fen.
Postpartum edema with full-body swelling and shiny skin is due to Spleen deficiency failing to control Water and Kidney deficiency failing to move Water. Shipi Yin (Spleen-Strengthening Decoction), Xiangsha Liujunzi Tang (Costus and Amomi Six Gentlemen Decoction), Jin Gui Shenqi Wan (Kidney-Qi Pill from the Golden Cabinet), and Jisheng Shenqi Wan (Kidney-Qi Pill for Childbearing Decoction) are suitable, chosen according to the syndrome. Absolutely do not use herbs that break stagnation and promote diuresis. This is Danxi's formula for treating postpartum edema caused by mistakenly taking digestive-promoting drugs.
Renshen (Ginseng Radix), 2 qian; Baizhu (Atractylodis Macrocephalae Rhizoma), 2 qian; Dangshen (Radix Angelicae Sinensis), 3 qian; Mutong (Akebia Caulis), 6 fen; Baishao (White Peony Root), 1 qian (stir-fried until scorched); Fuling (Poria), 2 qian; Zexie (Alismatis Rhizoma), 1 qian (stir-fried); Houpo (Magnolia Bark), 5 fen (stir-fried); Zisu Ye (Perilla Leaf), 4 fen; Chenpi (Citri Reticulatae Pericarpium), 5 qian; Muxiang (Costus Root), 4 fen; Dafupi (Arecae Pericarpium), 6 fen; Laifuzi (Radish Seed), 6 fen (stir-fried).
Additionally, Jiawei Wupi Yin (Modified Five Peel Decoction):
Wujia Pi (Acanthopanacis Cortex), 4 fen; Digupi (Lycii Cortex), 6 fen; Dafupi (Arecae Pericarpium), 6 fen; Fuling Pi (Poria Peel), 3 qian; Shengjiang Pi (Ginger Peel), 3 fen; plus Renshen (Ginseng Radix), 1 qian; Dangshen (Radix Angelicae Sinensis), 2 qian; Baizhu Pi (Atractylodis Macrocephalae Rhizoma Peel), 1 qian; Chenpi (Citri Reticulatae Pericarpium), 4 fen.
Postpartum palpitations and fright are due to fright, worry, fatigue, and excessive blood loss. It is only suitable to nourish Heart Blood and harmonize the Spleen and Stomach, after which the illness will gradually settle. Two formulas follow.
Jiawei Yangrong Tang (Modified Nourishing Vigor Decoction):
Renshen (Ginseng Radix), 1.5 qian; Dangshen (Radix Angelicae Sinensis), 3 qian; Chuanxiong (Ligusticum Rhizome), 1 qian; Fuling (Poria), 2 qian; Shu Zaoren (Processed Sour Jujube Seed), 2 qian; Maidong (Ophiopogon Tuber), 1.5 qian; Yuanzhi (Polygalae Radix), 4 fen (stir-fried); Zhihuangqi (Prepared Astragalus Root), 1 qian; Baizhu (Atractylodis Macrocephalae Rhizoma), 1 qian; Chenpi (Citri Reticulatae Pericarpium), 4 fen; Zhigancao (Prepared Licorice Root), 4 fen; Longyanrou (Longan Aril), 1 qian.
For deficiency irritability, add Zhuru (Bamboo Shavings), 8 fen (stir-fried with ginger juice); for phlegm, add Zhuli (Bamboo Sap), 3 spoons, and Jiangzhi (Ginger Juice), 1 spoon.
Yangxin Tang (Heart-Nourishing Decoction):
Huangqi (Astragalus Root), 1 qian (pre-stir-fried); Fushen (Poria with Hostwood), 1.5 qian; Dangshen (Radix Angelicae Sinensis), 2 qian; Chuanxiong (Ligusticum Rhizome), 8 fen; Maidong (Ophiopogon Tuber), 1 qian (heart removed); Yuanzhi (Polygalae Radix), 4 fen; Zaoren (Sour Jujube Seed), 1.5 qian (stir-fried and ground); Baiziren (Biota Seed), 1.5 qian (do not grind); Wuweizi (Schisandra Berry), 10 grains (stir-fried); Renshen (Ginseng Radix), 1 qian; Zhigancao (Prepared Licorice Root), 4 fen.
Postpartum bone-steaming fever is due to Yin deficiency generating internal heat. Baozhen Tang (Preserve Truth Decoction) modified is suitable for treatment.
Renshen (Ginseng Radix), 1 qian; Baizhu (Atractylodis Macrocephalae Rhizoma), 1 qian; Fuling (Poria), 2 qian; Zhimu (Anemarrhenae Rhizoma), 1 qian (charcoal-fried); Shengdi (Rehmanniae Radix), 2 qian (charcoal-fried); Shudi (Prepared Rehmanniae Radix), 2 qian (charcoal-fried); Maidong (Ophiopogon Tuber), 1 qian; Baishao (White Peony Root), 1 qian (stir-fried until scorched); Gouqizi (Goji Berry), 1 qian; Chuanxiong (Ligusticum Rhizome), 1 qian; Wuweizi (Schisandra Berry), 10 grains; Gancao (Licorice Root), 4 fen.
This prescription contains many ingredients; adjustments must be made according to the specific disease at hand.
Postpartum epigastric pain is caused by Liver Qi attacking upward due to Blood deficiency, or by Wind-Cold invading due to deficiency. Shenghua Tang (Life-Restoring Decoction) is suitable for both, adding Paodan Wuzhuyu (Soaked Evodia Fruit), 3 fen, and Chenpi (Citri Reticulatae Pericarpium), 4 fen. If there is body-wide pain, Chentong San (Pain-Chasing Powder) is suitable.
Dangshen (Radix Angelicae Sinensis), 3 qian; Zhihuangqi (Prepared Astragalus Root), 1 qian; Baizhu (Atractylodis Macrocephalae Rhizoma), 1 qian; Niuxi Tan (Charred Achyranthes Root), 8 fen; Shang Rougui (Top Cinnamon Bark), 2 fen; Duhuo (Angelicae Pubescentis Radix), 4 fen; Xiebai (Allii Macrostemonis Bulbus), 4 fen; Zhigancao (Prepared Licorice Root), 4 fen.
If the pain prefers pressure, it belongs to severe deficiency; add Shudi (Prepared Rehmanniae Radix), 3 qian, and Chuanduan (Drynaria Rhizome), 1.5 qian (wine-fried). If there is knotting pain in the lower abdomen, add Chuanxiong (Ligusticum Rhizome), 1 qian, and Yanhusuo (Corydalis Rhizome), 7 fen (wine-fried).
Postpartum cold damage from Wind-Cold, with waist pain preventing turning, is suitable for Yangrong Zhuangshen Tang (Nourishing Vigor and Strengthening Kidney Decoction).
Danggui (Angelicae Sinensis Radix), 2 qian; Duhuo (Angelicae Pubescentis Radix), 4 fen; Guixin (Cinnamon Twig Heart), 4 fen; Chuanxiong (Ligusticum Rhizome), 1 qian; Duzhong (Eucommia Bark), 3 qian; Fangfeng (Saposhnikoviae Radix), 4 fen; Chuanduan (Drynaria Rhizome), 1.5 qian; Sangjisheng (Taxilli Caulis et Folium), 1.5 qian (wine-fried); Shengjiang (Fresh Ginger), 3 fen.
If deficient, add Shudi (Prepared Rehmanniae Radix), 3 qian.
After postpartum blood masses have dissipated, but empty pain in the abdomen persists, Jiaojiao Dihuang Tang (Intersecting Rehmannia Decoction) is suitable.
Renshen (Ginseng Radix), 1 qian; Danggui (Angelicae Sinensis Radix), 3 qian; Chuanxiong (Ligusticum Rhizome), 1 qian; Baishao Tan (Charred White Peony Root), 8 fen; Wei Muxiang (Baked Costus Root), 3 fen; Moyao (Myrrha), 4 fen; Zhi Xiangfu (Prepared Cyperi Rhizoma), 4 fen; Shudi Tan (Charred Prepared Rehmanniae Radix), 3 qian; Wei Jiang (Baked Ginger), 3 fen; Dazao (Jujube), 1 piece.
If postpartum敗血 (retained blood) or damp-phlegm flows into the channels due to deficiency, Shen'gui Shenghua Tang (Ginseng and Angelica Life-Restoring Decoction) is suitable.
Renshen (Ginseng Radix), 1 qian; Matixiang (Horseshoe Spice Root), 1 qian; Danggui (Angelicae Sinensis Radix), 3 qian; Chuanxiong (Ligusticum Rhizome), 1.5 qian; Sheng Gancao (Raw Licorice Root), 4 fen; Zhihuangqi (Prepared Astragalus Root), 1.5 qian; Rougui (Cinnamon Bark), 4 fen; Fuling (Poria), 2 qian.
The above several articles on postpartum treatment, although not fully covering all symptoms, have been selected from medical books as pure and effective, tested with immediate results. Published for consultation with colleagues, they may offer some minor benefit. I have treated various pregnancy and postpartum conditions for over twenty years. In cases of extreme danger, I have managed to save seven or eight out of ten. This is all due to appropriate tonification, rather than following secular trends that prioritize treating symptoms and expelling blood stasis. Shou Qiao records this.