产后血大来，审血色之红紫，视形气之虚实。如血多紫色有块，乃当取之，败血也，止涩反作痛，
不可论崩。如鲜
血红大来，乃是惊伤心不能主，怒伤肝不能藏，劳伤脾不能统血归经耳，当以崩治，先频服生化汤几帖，
则行中有补而血生旺矣。若崩形脱，或有汗，或气促，宜倍参生化汤以益气，斯阳长阴生，血自旺矣，
非棕灰止血药可止也。如产中月外崩，又宜升举大补汤治之。凡年老虚弱人患崩，亦宜升举大补汤。
生化汤 治产后血崩。
川芎（一钱） 川归（四钱） 干姜（四分，炙黑） 甘草（五分，炙） 荆芥（五分） 桃
仁（十粒，去皮尖）
上枣水煎。如鲜血红大来，加荆芥、白芷各五分；血块形脱，加人参一钱；汗多气促，加参三四钱；
无汗形不脱，气不促，只服生化汤则血自安也。世言∶芎、归活血，不可治崩，误矣！
滋荣益气汤 治崩止血。
川芎 麦冬 黄 （各一钱） 人参 川归 淮生地 白术（各二钱） 陈皮 甘草（炙，各四分）
白芷 荆芥 升麻（各四分） 黄连（三分，退心火） 枣（三枚）
水煎。汗多加麻黄根一钱，浮小麦一撮；大便不通，加肉苁蓉一钱；有气，磨木香一分；有痰，加
贝母六分，竹沥少许，姜汁少许。寒嗽，加杏仁、桔梗、知母各一钱；惊悸，加酸枣仁、柏子仁各一钱。
加味生化汤 治产后三日，发热头痛症。
川芎（五钱） 川归（三钱） 甘草（四分） 干姜（四分，炙黑） 桃仁（十粒，去皮尖）
羌活 防风（各四分）
上服四帖，头痛身热不除，加白芷八分，细辛四分。若头痛如破，加莲须、葱头五个；虚加人参二三钱。
Postpartum hemorrhage involves profuse vaginal bleeding. One must carefully examine whether the blood color is red or purple, and observe the patient's physical constitution and qi deficiency or excess. If the blood is dark purple with clots, this indicates retained blood (stasis); it should be treated by promoting blood circulation. Using astringent hemostatic agents in such cases will instead cause pain; this condition cannot be discussed as metrorrhagia (uterine bleeding). If the blood is bright red and flows heavily, this results from fright damaging the Heart, causing it to fail to govern the blood vessels; anger damaging the Liver, causing it to fail to store blood; or overexertion damaging the Spleen, causing it to fail to control blood within the meridians. This should be treated as metrorrhagia. Initially, administer Shenghua Tang (Decoction for Generating New Blood) frequently for several doses. This allows for tonification amidst blood activation, thereby promoting vigorous blood generation. If there is collapse of form (prostration), sweating, or rapid breathing, use Shenghua Tang with doubled Ginseng to benefit qi. Thus, yang grows and yin generates, and blood naturally becomes vigorous. This cannot be stopped by simple hemostatic medicines like Zonghui (Charred Palm Fibre). If metrorrhagia occurs one month after delivery, Shengju Dabu Tang (Decoction for Lifting and Great Tonification) is appropriate. For elderly and weak individuals suffering from metrorrhagia, Shengju Dabu Tang is also suitable.
Shenghua Tang (Decoction for Generating New Blood): Treats postpartum metrorrhagia.
Chuanxiong Rhizome (1 qian) Angelicae Sinensis Radix (4 qian) Dried Ginger (0.4 fen, charred black) Licorice Root (0.5 fen, honey-fried) Schizonepeta Spike (0.5 fen) Peach Kernel (10 grains, skin and tip removed)
Decoct with jujube water. If the blood is bright red and flows heavily, add Schizonepeta Spike and Angelica Dahurica Root (each 0.5 fen); if there are blood clots and prostration, add Ginseng (1 qian); if there is excessive sweating and rapid breathing, add Ginseng (3-4 qian); if there is no sweating, no prostration, and no rapid breathing, simply taking Shenghua Tang will stabilize the blood. The world says: Chuanxiong and Danggui activate blood and cannot treat metrorrhagia; this is erroneous!
Zirong Yiqi Tang (Decoction for Nourishing and Benefiting Qi): Treats metrorrhagia to stop bleeding.
Chuanxiong Rhizome Ophiopogon Tuber Astragalus Membranaceus Root (each 1 qian) Ginseng Angelicae Sinensis Radix Rehmannia Glutinososa Root Prepared (Bai Zhu) Atractylodis Macrocephalae Rhizoma Tangerine Peel Glycyrrhizae Radix et Rhizoma Preparata (each 2 qian) Tangerine Peel Glycyrrhizae Radix et Rhizoma Preparata (each 0.4 fen) Angelicae Dahuricae Radix Schizonepetae Spica Cimicifugae Rhizoma (each 0.4 fen) Coptidis Rhizoma (0.3 fen, to clear heart fire) Jujube (3 pieces)
Decoct with water. If sweating increases, add Ephedrae Herba Root (Mahuang Gen, 1 qian) and Triticum Aestivum Fruit (Xiao Mai, 1 bunch); if constipation, add Cistanche Deserticola Stem (Rou Cong Rong, 1 qian); if qi stagnation, grind Costus Root (Mu Xiang, 0.1 fen); if phlegm, add Fritillaria Thunbergii Bulb (Bei Mu, 0.6 fen), Arundo Donax Juice (Zhu Li, a little), and Ginger Juice (Jiang Zhi, a little). If cold cough, add Apricot Seed (Xing Ren), Platycodon Root (Jie Geng), and Anemarrhena Rhizome (Zhi Mu, each 1 qian); if palpitations due to fright, add Sour Jujube Seed (Suan Zao Ren) and Biota Seed (Bai Zi Ren, each 1 qian).
Jiawei Shenghua Tang (Modified Decoction for Generating New Blood): Treats fever and headache occurring three days postpartum.
Chuanxiong Rhizome (5 qian) Angelicae Sinensis Radix (3 qian) Licorice Root (0.4 fen) Dried Ginger (0.4 fen, charred black) Peach Kernel (10 grains, skin and tip removed) Notopterygium Rhizome and Root (Qiang Huo) Saposhnikoviae Root (Fang Feng) (each 0.4 fen)
Take four doses. If headache and body heat persist, add Angelicae Dahuricae Radix (0.8 fen) and Asari Radix et Rhizoma (Xi Xin, 0.4 fen). If the headache is severe as if breaking, add Nelumbinis Plumula (Lian Xu) and Scallion White (Cong Tou, five pieces); if deficiency, add Ginseng (2-3 qian).