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Women's diseases are more frequent than men's, primarily due to the prevalence of postpartum conditions. Postpartum blood stasis (blood clots) is a domain where physicians should conduct detailed investigations. If treating blood stasis according to popular customs, one might use Shengdi Huang (Rehmanniae Radix Preparata) and Hong Hua (Carthami Flos) to promote blood circulation; or Sume (Lignum Dalbergiae Odoriferae) and Niuxi (Achyranthis Bidentatae Radix) to attack and expel stasis. For treating Qi distension, Wuyao (Linderae Radix) and Xiangfu (Cyperi Rhizoma) may be used to regulate Qi, while Zhike (Aurantii Fructus) and Houpo (Magnoliae Officinalis Cortex) to soothe Qi mechanisms. Even Qingpi (Citri Reticulatae Pericarpium Viride), Zhishi (Aurantii Fructus Immaturus), and Su Zi (Perillae Fructus) might be employed to direct Qi downward and calm wheezing, along with Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Zhizi (Gardeniae Fructus), and Huangbai (Phellodendri Cortex) to clear heat and relieve irritability. In cases of blood deficiency leading to dry stool, using Chengqi Tang (Purgative Decoctions) to purge would only exacerbate the constipation. When excessive sweating leads to scanty, dysuric urine, using Wuling San (Five-Ingredient Powder with Poria) to promote urination would worsen the retention. Because ancient texts like the *Ju Fang* advocate harsh purgation to eliminate painful masses, this is akin to killing with a blade. Obstetricians should not treat this lightly nor recklessly use Sume, Sanleng (Sparganii Rhizoma), and Ezhu (Curcumae Rhizoma), thereby placing patients in mortal danger. It is advisable to administer Biosheng Decoction (Biosheng Tang). All blood-breaking herbs, even Shan Zha (Crataegi Fructus) which has a mild nature, should not be used alone.

Biosheng Decoction: Chuan Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Chuanxiong Rhizoma), Tao Ren (Persicae Semen), Gan Jiang (Zingiberis Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma).
Decoct in water and take orally, including the dregs.
Lu Jiao Hui (Deer Horn Ash) can be taken directly with Biosheng Decoction, seven qian.
Another prescription: Yi Mu Wan (Motherwort Pill) taken concurrently is also effective.
Externally, apply warm clothes heated by ironing to the area of pain caused by blood stasis; even in midsummer, warmth must be maintained. Generally, postpartum women suffer from labor-induced injury, resulting in simultaneous deficiency of Qi and Blood. After delivery, they lack the strength to expel the placenta and blood clots, causing stagnation in the abdomen and pain. In severe cases, poor Qi and Blood circulation leads to coma, syncope, and vertigo. One must not rashly attribute this to "evil blood embracing the heart" and hastily use blood-dispersing formulas containing Sume, which could be fatal. Simply administering Biosheng Decoction frequently for two or three doses will quickly dissipate the clots, stop the pain, restore mental clarity and vitality, and bring immediate comfort and peace. Herbs that move blood include Sheng Di Huang and Niu Xi; herbs that break blood include San Leng and E Zhu. Popular practices using Shan Zha and rock sugar to dissolve clots, or ginger and Ai Ye (Artemisiae Argyi Folium) wine to relieve pain, often lead to strangury, metrorrhagia, and syncope.

After childbirth, if vision becomes blurred, head feels dizzy and faint, and consciousness is lost, it is termed Blood Syncope (Xue Yun). There are three causes: first, extreme fatigue and exhaustion leading to depleted Qi and clouded spirit; second, massive blood loss leading to impending collapse of Qi; third, Phlegm-Fire taking advantage of deficiency to rise from above and obscure the mind. These three conditions result in the soul failing to interact with the spirit, and bodily functions nearly ceasing. Emergency administration of pre-decocted Biosheng Decoction is required to move clots, alleviate pain, resolve old blood, and generate new blood. This will promptly regenerate blood, restore Qi flow, clarify the spirit, and stabilize the mind. Frequent intake of two or three doses will stabilize the chaotic Qi and Blood. This efficacy is attributed to the generative properties of Chuan Xiong and Chuan Dang Gui. If one rigidly adheres to unrecorded ancient prescriptions, misidentifying syncope as "evil blood rushing up to confuse the heart" and lightly using blood-dispersing agents; or identifying it as Phlegm-Fire and using formulas lacking tonification, resolution, or descending actions, grave errors occur. External treatments such as vinegar and leek juice insufflated into the nose or burning smoke inhalation, as well as moxibustion, should not be delayed. Physicians must not rashly diagnose "blood rushing up to the heart" and use harsh blood-breaking drugs like Sume, nor blindly follow ancient formulas like Mudan Du Ming San (Moutan Life-Taking Powder) to break blood. Exercise utmost caution! Furthermore, at the time of delivery, Biosheng Decoction must be prepared in advance, along with heating a hammer and hard stones. Immediately after the infant is born, administer two or three doses (two decoctions). Keeping vinegar and leek juice, and a hammer with vinegar bottle ready by the pillow, will prevent syncope. Also, upon birth, do not focus solely on the joy of the child while neglecting the mother; the mother must not forget her fatigue while attending to the child; nor should she sleep immediately after delivery, or become angry causing Qi rebellion, as these can all induce syncope. Take note, take note. Attached Prescription:
Modified Biosheng Decoction: Treats three grades of postpartum blood syncope.
Chuan Xiong (3 qian), Chuan Dang Gui (6 qian), Gan Jiang (4 fen, stir-fried until black), Tao Ren (10 grains), Gan Cao (5 qian, honey-fried), Jing Jie (5 fen).
Add three dates, two zhong of water. Decoct to obtain eight parts, take warm, including dregs.
Modifications:
For syncope due to extreme fatigue or Qi collapse from metrorrhagia, rapidly administer two doses. If complexion is pale/depleted or there is excessive sweating indicating collapse, urgently take one dose, then add Ren Shen (Ginseng Radix et Rhizoma) 3-4 qian and Rou Gui (Cinnamomi Cortex) 4 fen. Do not hesitate, fearing that Ren Shen being a tonic acts too slowly. For syncope due to Phlegm rising due to deficiency, add Ju Hong (Citri Reticulatae Pericarpium) 4 fen in the formula; if deficiency is severe, add Ren Shen 2-3 qian; for obese individuals with much phlegm, add Zhu Li (Bambusae Succus) 7 fen, wine 1 zhong, and a little Jiang Zhi (Zingiberis Juice). The above three types of syncope must not be treated with ancient formulas that break blood and deplete Qi. For severe pain from blood clots, concurrently administer Yi Mu Wan. Alternatively, Lu Jiao Hui can be administered, or Xuan Hu San (Corydalis Powder), or Du Shen San (Single Ginseng Powder). Once one formula proves effective, do not change it.
Emergency Modified Biosheng Decoction with Ginseng: Treats postpartum syncope due to depletion of form/color or excessive sweating.
Chuan Xiong (2 qian), Chuan Dang Gui (4 qian), Gan Jiang (4 fen, processed), Tao Ren (10 grains, skin and tip removed), Jing Jie (4 fen), Gan Cao (4 fen, honey-fried), Ren Shen (3 qian).
Add two zhong of water, decoct to obtain eight parts, and take. For severe pain from blood clots, add Rou Gui 5-7 fen; for thirst, add Mai Dong (Ophiopogonis Radix) 1 qian and Wu Wei Zi (Schisandrae Fructus) 10 grains; for excessive sweating, add Ma Huang Gen (Ephedrae Radix et Rhizoma) 1 qian; if clots are not painful, add Huang Qi (Astragali Radix) 1 qian to stop sweating; for dietary injury from flour/rice, add Shen Qu (Massa Medicata Fermentata) 8 fen and Mai Ya (Hordei Fructus Germinatus) 5 fen; for meat injury, add Shan Zha and Sha Ren (Amomi Fructus).