产后扶虚消瘀血。脉却宜虚。叔和云。新产之脉缓滑吉。实大弦急死。寸口来去涩疾不
调死
沉细附骨不绝生。凡产毕。不问腹痛不痛。有病无病。以童子小便。和酒共一钟。温服。
则百病不生。少坐床上。倚高。立膝仰卧。不时唤醒。及以醋涂鼻。或用醋烧炭。及烧漆器
更以手从心捍至脐下。使恶露不滞。如此三日。以防血晕血逆。酒虽行血。亦不可多。恐
引血入四肢。且能昏晕。宜频食白粥少许。一月之后。宜食猪蹄少许。仍慎言语七情寒暑。
梳头洗足。以百日为度。
若气血素弱者。不计日月。否则患手足腰腿酸疼症。名曰蓐劳
最难治疗。初产时不可因爱憎而动气。皆能致病。不可独宿。恐致虚惊。不可刮舌。恐伤
心
气。不可刷牙。恐致血逆。须气血平复。方可治事。犯时微若秋毫。成病重如山岳。可不戒
哉。
夫产后血晕。其由有三。有用心使力而晕者。有下血多而晕者。有下血少而晕者。其晕
虽同
其治特异。若下血多而晕者。当补血。以芎归汤为主。或恶露不止者。倍炒黑干姜止之。
若去血少而晕者。黑神散主之。但凡血晕不省人事。用火炭置产母旁。以醋沃之。使醋气熏
入产母口鼻。轻者亦醒。重者亦省人事矣。
一法。用韭菜细切。盛于有嘴瓶中。以热醋沃之。急封瓶口。以瓶纳产妇鼻孔中。 之
即醒。
一法。用旧漆器烧烟。熏之即醒。
一法。用荆芥穗研末。用一分吹鼻。即醒。
一法。用鹿角烧存性。每一钱。酒灌下。即醒。
夫产后发热。有去血过多者。有劳力过伤者。有恶露不尽者。有饮食失节者。有感冒风
寒者
有夹食伤寒者。有内伤挟外感者。有三日蒸乳者。俱能发热憎寒。并身疼腹痛。不可相类
而用药也。
一论去血过多。发热者。脉必虚大无力。内无痛楚。此非有余之热。乃阴虚生内热耳。
以归术保产汤主之。
一论有伤力发热。或早起劳动发热者。亦以归术保产汤主之。
一论恶露不尽。亦发热恶寒。必胁肋胀满连大小腹有块作痛者。宜黑神散主之。
一论脾胃虚弱。饮食必难克化。以致停滞发热。必有噫气作酸。恶闻食臭。而口中无味
胸膈饱闷。气口脉必紧盛。发热恶寒。头痛。宜理脾汤主之。
一论感冒风寒而发热者。其脉弦而紧。或恶露欠通。头痛身疼。发热恶寒。手足厥冷。
肚腹
疼痛。宜五积散主之。此药祛除败血。生新血。调和荣卫。滋养脏腑。使阴阳不相胜负。邪
气不能相干。则无寒热之患。并加米醋少许同煎。本方去麻黄。（方见中寒）
一论伤寒夹食。必恶食胸痞。腹痛头疼。发热。气口脉来紧盛。宜行气香苏散。一消一
发而治之。（方见内伤）
一论内伤元气。外感风寒。其脉洪大而虚。其症身热而烦。头痛恶寒而渴。自汗气高而
喘。宜补中益气汤加减治之。（方见内伤）
一论产后蒸乳。发热恶寒者。必乳间胀硬疼痛。令产母揉乳汁通。其热自除。不药而愈
一论产后发热恶寒。或口眼 斜等症。皆是血气虚甚。当以大补气血为主。若左手脉不
足。补血药多于补气药。右手脉不足。补气药多于补血药。
一论产后中风。切不可便作风治。不可服小续命汤之类。宜大补气血。若中风口噤。乃
血虚
而风入夹口。筋得风则急。故口噤也。若角弓反张。乃体虚而风入于诸阳之经。故独腰背挛
急
如角弓反张之状也。以归术保产汤去香附、干姜。加秦艽、羌活。又宜当归、荆芥各等
分。水一盏。酒少许。煎七分灌之。如口噤。以匙挖开。微微灌下。但下咽即效。又宜荆芥
略炒为末。每服三钱。黑豆淋酒调下。童便亦可。
一论产后虚羸诸病。惟宜十全大补汤。此药性温。平补养血气。壮健脾胃。乃诸虚百
损第一方也。
一产后血晕者。乃下血过多而眩晕也。不省人事者。气血大脱而神不用也。故用人参锉
两剂
水煎温服。盖人参甘温。益元气之品。可以回气。可以生血。而身热气急者。加童便一
杯。身寒气弱者。加附子三钱。外以炭火。以酸醋沃之。使醋气熏入鼻内。则能收敛。神
效。
一论产后诸疾。以本治之。大补气血为主。此方治一切诸症。气血虚损。脾胃怯弱。或
恶露
不行。或去血过多。或饮食失节。或怒气相冲。以致发热恶寒。自汗口干。心烦喘急。心腹
疼痛。头眩眼黑。耳鸣等症。不语昏愦。不省人事。并皆治之。
归术保产汤
当归（酒洗一钱五分） 川芎（一钱） 白芍（酒洗一钱） 熟地黄（酒蒸一钱） 白术（去芦
炒一
钱） 甘草（炙三分） 白茯苓（去皮一钱） 陈皮（八分） 干姜（炒黑八分） 香附米（童便炒一
钱） 气虚。加人参七分。
上锉一剂。生姜三片。枣一枚。水煎。温服。如去血过多。倍芎、归、干姜。如胸膈胀
满。加
枳实麸炒、砂仁、浓朴、姜炒、山楂肉。两胁肋痛。加青皮、上肉桂。小腹阵疼。加元胡索
、桃仁、红花、苏木。甚者加三棱、莪术。俱煨醋炒。有汗。加黄 蜜水炒、酸枣仁炒。口
干苦。加麦门冬去心。身不发热。小腹痛不可忍。用桃仁去皮捣烂五钱。韭菜汁和酒送下。
立效。恶露不行。加益母、牡丹皮、桃仁。入童便同酒服。吐痰。加半夏、贝母。咳嗽不止
加北五味、桑白皮。气恼。加乌药。昏愦口噤不语。加荆芥穗。
一论妇人产后一十八症。服之如神。
黑神散
棕皮灰 元胡索 当归（酒洗） 赤芍 白芍 生地黄 五灵脂（各一钱） 蒲黄（一两）
熟
地黄（一两） 香附米（炒一两） 干姜（炮一两） 沉香（五钱） 乳香（五钱） 大黑豆（五钱）
莪术（五钱） 红花（五钱）
上为细末。每服二钱。温酒童便调下。
一胞衣不下。败血攻心。眩晕欲绝。服此即醒。一将产血多。儿食不尽。余血裹胎难
下。服此弃子救母。
一临产用力太早。儿不及转。横生倒出。亦当急救母命。
一子死腹中。母必肢体冷痛。口角出沫。指甲青黑。服此药即出。
一恶露未尽。乃失而不治。又过食酸咸之物。因而得崩漏。一血昏眼花。坐起不得。
一血迷心窍。不能言语。一败血乘虚。散流四肢。因而浮肿。
一败血为害。口渴舌燥。乍寒乍热似疟。一败血入心。烦躁发狂。言语错乱。或妄见
似癫。
一败血停留肢节间。遍身疼痛 一月中饮冷。败血凝聚。腹痛难忍。或致泻痢。
一晡热鼻孔中黑 一败血结聚。小便闭涩。大便艰难。
一败血冲心。喉中气急发喘。一败血滞脾胃中。心腹胀满。呕吐似翻胃。
一产后诸般怪症。难以名状者。多是败血所致。服此立效。真仙方也。
一产后心腹痛。瘀血不行。或儿枕作痛。危急之至。
当归（三钱） 川芎 白芷 元胡索 官桂 牡丹皮 蒲黄 五灵脂 没药（各一钱） 白
芍（酒炒三钱）
上锉一剂。水煎。入童便。空心服。
一治产后小腹作痛。有块。脉芤而涩。以四物汤加玄胡索、红花、桃仁、牛膝、木香。
一论产后停食。胸膈饱闷。身发寒热。不思饮食。
理脾汤
苍术（米泔浸炒一钱） 陈皮（一钱） 浓朴（姜汁炒一钱半） 砂仁（七分） 神曲（炒一钱）
山楂（去核一钱） 麦芽（炒一钱） 干姜（炒黑八分） 甘草（炙三分）
上锉一剂。生姜三片。水煎服。泄泻。加白术、白茯苓。大便闭。加桃仁、红花。小便
闭涩。加大腹皮。
一治产后三日。牙关紧急。眼目直视。四肢厥冷。干姜炒黑五钱。水煎。入童便。温服
立效。
一论产后晕倒。不省人事。眼黑耳鸣等症。并治中风不省人事。口吐涎沫。手足螈 。
加味佛手散
当归 川芎 荆芥（各等分）
上锉一剂。水煎。入童便。温服。
一论产后恶露不快。腰疼小腹痛。时作寒热头痛。不思饮食。亦治久积恶血。月水不调
又
疗心痛。小肠气痛。血气痛欲死者。又治心腹疼痛。及儿枕痛不可忍。又或血迷心窍。不省
人事。又治北人青筋症。用酒三钱调下。
失笑散
五灵脂（水淘去砂醋炒） 真蒲黄（炒各等分）
上锉一剂。水煎。温服。一法。为细末。每服三钱。醋熬成膏。白汤化下。痛甚。加川
芎、肉桂、元胡索各一钱。
一论产妇小腹作痛。忽牙关紧急。灌以失笑散。良久即醒。又用四物汤。加炮姜、白术
、陈皮。
一论产后血脱。昏晕不省。以四物汤加香附、人参、白术、茯苓、炮姜。
一论产后瘀血。心腹疼痛。或发热恶寒者。以四物汤加元胡索、香附、桃仁、红花、青
皮、泽兰、牡丹皮。水煎。童便酒各一杯。
温服。若以手按腹愈痛。此是瘀血为患。宜服此药。或失笑散消之。若按之反不痛。是
血
虚。宜四物汤加参、术、茯苓。若痛而作呕。是胃虚。宜六君子汤加干姜炒、白芍酒炒。
一论蓐劳者。产中之病也。产中虚羸喘乏。乍寒乍热。病如疟状。名曰蓐劳。此是气血
之虚
不相顺接。虚故乍寒。壅故乍热。无时休息。症似疟。实非疟也。治宜大补气血。使其气
血顺接。则病愈矣。故用人参补气。当归补血。糯米益胃。葱、豉醒脾。猪肾者。取其以类
相从。能补系胞之区也。
猪肾汤 治产后蓐劳。发热盗汗。
人参 当归（各等分） 猪腰子（一个切片） 白糯米（半合） 葱白（三根） 淡豆豉（一合）
以水煮米及腰子熟。取清汁一盏。入参归、葱、豉。同煎好。不拘时服。腰子可另食。
一方。治产后蓐劳发热。猪腰子一对。去白膜。切作柳叶片。用盐酒拌炒食。先用粳米
一合。入葱椒煮粥。即以盐醋和腰子作肴。同热粥空心食之。
一治产后发热自汗。肢体疼痛。名曰蓐劳。
当归羊肉汤
当归（酒洗） 人参（各七钱） 黄 （一两） 生姜（五钱）
上锉。用羊肉一斤。煮清汁五大碗。去肉。入前药。煎至四碗。去渣。作六服。早晚频
进。
一论产妇牙关紧急。腰背反张。四肢抽搐。两目连札。此去血过多。元气亏损。阴火炽
盛。宜十全大补汤（方见补益）加炮姜。一剂而苏。又数剂而安。
一论产后筋挛背急。肌肉掣动。此气血俱虚。用十全大补汤而安。
一论产后血邪。心神恍惚。言语失度。睡卧不安。宜
茯神散
白茯神（去皮一钱） 人参 龙齿（研） 琥珀（研） 赤芍 黄 牛膝（去芦各五分） 生
地黄（一钱） 桂心（五分）
上锉。水煎温服。极效。
一论产后不语者何。答曰。人心有七孔三毛。产后虚弱。多致停积败血。闭于心窍。神
智不能明了。又心气通于舌。心气闭塞。则舌亦强矣。故令不语。如此者但服此汤。
八珍汤
人参 石菖蒲 怀生地黄 川芎（各一两） 细辛（二钱） 防风（五钱） 辰砂（另研五钱）
甘草（一钱）
上为末。每一钱。薄荷汤调下。不拘时服。
一论产后咳嗽不止。用干柿一个切片。以水一大杯。煎至六分。热饮之即止。
一论产后汗出不止。
嫩黄 （蜜水炒） 熟地黄 牡蛎粉 白术（去芦炒） 麦门冬（去心） 防风（去芦） 白茯
苓（去皮） 当归（酒洗）
上锉。红枣二枚。水煎温服。
一论产后消渴。饮水不止。
当归（酒洗） 川芎 白芍 生地黄 麦门冬（去毛） 五味子 知母（去心） 白茯苓（去
皮） 黄 （蜜水炒） 甘草
上锉。水煎温服。
一论产后疟疾。
当归（酒洗一钱五分） 川芎（一钱） 白芍（酒炒一钱五分） 白术（去芦炒一钱半） 白茯
苓（去皮一钱五分） 柴胡（八分） 青皮（去穣八分） 甘草（三分）
上锉。白水煎。温服。
一论产妇血痢。小便不通。脐腹疼痛。以生马齿苋捣烂。取汁三大合。煎汤。下蜜一合
调。顿服之即愈。
一治产后痢疾。不问赤白主方。
当归（酒洗） 川芎 白芍（炒） 白术（去芦炒） 白茯苓 陈皮 木香 香附（炒） 神曲
（炒） 干姜（炒） 甘草（炙）
上锉。水煎。温服。不思饮食。加砂仁。小便不利。加泽泻。
一论产后痢疾。久不止者。以四君子汤加黄 、粟壳。
一论产后胸痞腹胀。
当归（酒洗） 川芎 白芍（酒炒） 白术（去芦炒） 白茯苓（去皮） 陈皮 半夏（汤泡姜
炒） 砂仁 香附（炒） 浓朴（姜汁炒） 甘草
生姜煎服。
一治产后泄泻。
人参 白术（去芦土炒） 白茯苓（去皮） 陈皮 白芍（炒） 干姜（炒） 泽泻 浓朴（姜
汁炒） 砂仁 当归（酒炒） 甘草（炙）
上锉。姜、枣煎服。
一治产后呕吐。
陈皮 半夏（汤泡姜炒） 白术（去芦炒） 白茯苓（去皮） 砂仁 藿香 人参 神曲（炒
）当归（酒炒） 甘草（炙）
上锉。生姜五片。水煎温服。
一治产后头痛。
黄 （蜜水炒） 人参 白术（去芦炒） 陈皮 当归 升麻 柴胡 细辛 蔓荆子 川芎
本 甘草
上锉。生姜三片。水煎服。
一治产后发热咳嗽痰喘。
Postpartum management focuses on supporting deficiency (Fuxu) and eliminating blood stasis (Xiaoyuxue). The pulse should ideally be deficient. Shuhe stated: A postpartum pulse that is slow and slippery is auspicious, whereas one that is excess-large, wiry, and rapid indicates death. A Cun Kou pulse that is choppy and rapid in both directions and irregular indicates death; a deep and fine pulse that remains palpable even when pressed to the bone indicates survival. After delivery, regardless of whether there is abdominal pain or not, and regardless of the presence or absence of disease, mix one cup of child's urine with wine, warm it, and take it orally. This prevents all diseases. For a short time after birth, sit or lie on the bed with the back propped up high, knees bent, lying supine. Wake the mother frequently, apply vinegar to the nose, or burn vinegar into charcoal for fumigation, or burn lacquerware for fumigation. Additionally, massage from the heart region down to below the umbilicus to prevent stagnation of lochia. Maintain this for three days to prevent syncope due to blood loss (Xueyun) or counterflow of blood (Xueni). Although wine promotes blood circulation, it should not be consumed in excess, as it may draw blood into the limbs and cause dizziness. It is advisable to consume small amounts of white rice porridge frequently. After one month, small amounts of pig trotters can be eaten. One must also be cautious with speech, emotions (Seven Emotions), cold, and heat. Combing hair and washing feet should continue for one hundred days.
If the constitution was previously weak in Qi and Blood, regardless of the number of days postpartum, otherwise, one may suffer from soreness and pain in the hands, feet, waist, and legs, a condition named "Chorea Laboris" (Rulao), which is difficult to treat. Immediately after childbirth, one must not become angry due to love or hatred, as these can cause disease. One should not sleep alone, lest it lead to fright from deficiency. One should not scrape the tongue coating, lest it damage Heart Qi. One should not brush teeth, lest it cause counterflow of blood. Only when Qi and Blood have stabilized should daily affairs be attended to. Violating these precautions initially seems insignificant like an autumn hair, but once illness sets in, it becomes heavy as a mountain. Can one not be vigilant?
There are three causes of postpartum syncope due to blood loss (Xueyun): fainting due to excessive mental or physical exertion, fainting due to excessive bleeding, and fainting due to insufficient bleeding. Although the symptom of fainting is the same, the treatments differ. If fainting is caused by excessive bleeding, tonify Blood using Xiong Gui Tang (Safflower and Angelica Decoction) as the main formula. If lochia does not stop, double the dose of charred Gan Jiang (Dried Ginger) to stop bleeding. If fainting is caused by insufficient bleeding, use Hei Shen San (Black Divine Powder) as the main formula. In cases of syncope with unconsciousness due to blood loss, place hot charcoal next to the mother and pour vinegar on it so that the vinegar fumes enter the mouth and nose. Those with mild symptoms will wake up, and those with severe symptoms will regain consciousness.
One method: Finely chop Chinese chives, place them in a spouted bottle, pour hot vinegar over them, seal the bottle quickly, and insert the spout into the mother's nostrils. Inhalation leads to immediate awakening.
Another method: Fumigate with smoke from burning old lacquerware; inhalation leads to immediate awakening.
Another method: Grind Jing Jie Sui (Schizonepeta Flower/Tip) into powder, blow one fen into the nose; immediate awakening occurs.
Another method: Burn Lu Jiao (Deer Horn) until the exterior is charred but the interior retains its properties (Cunxing). Take one qian, administer with wine; immediate awakening occurs.
Postpartum fever may arise from excessive blood loss, excessive labor injury, incomplete lochia discharge, dietary irregularities, contraction of Wind-Cold, Cold-Heat complex with food retention, internal injury with external pathogen invasion, or milk engorgement on the third day. All can cause fever with aversion to cold, body ache, and abdominal pain. Do not categorize them together and prescribe indiscriminately.
First discussion: Fever due to excessive blood loss presents with a deficient, large, and forceless pulse, without internal pain. This is not an Excess Heat, but Internal Heat generated by Yin Deficiency. Treat with Gui Zhu Bao Chan Tang (Angelica and Atractylodes Postpartum Protection Decoction).
Second discussion: Fever due to labor injury or rising early to work is also treated with Gui Zhu Bao Chan Tang.
Third discussion: Fever and aversion to cold due to incomplete lochia discharge are accompanied by distension and fullness in the hypochondrium radiating to the lower abdomen with mass-like pain. Treat with Hei Shen San (Black Divine Powder).
Fourth discussion: Spleen-Stomach weakness leading to indigestion and stagnation fever presents with belching, acid regurgitation, aversion to food odors, tastelessness, chest and diaphragm fullness, and a tight, vigorous Qi Kou pulse, along with fever, aversion to cold, and headache. Treat with Li Pi Tang (Regulate Spleen Decoction).
Fifth discussion: Fever due to Wind-Cold invasion presents with a wiry and tight pulse, possibly unsmooth lochia, headache, body ache, fever with aversion to cold, cold extremities, and abdominal pain. Treat with Wu Ji San (Five Accumulations Powder). This formula expels stale blood, generates new blood, harmonizes Ying and Wei, nourishes Zang-Fu, balances Yin and Yang, and prevents pathogenic interference, thus resolving cold and heat issues. Add a little rice vinegar to decoct. Remove Ma Huang (Ephedra) from this formula. (Formula see Zhong Han chapter).
Sixth discussion: Cold-Heat complex with food retention presents with food aversion, chest stuffiness, abdominal pain, headache, fever, and a tight, vigorous Qi Kou pulse. Treat with Xing Qi Xiang Su San (Move Qi and Perilla Powder) to resolve food and induce sweating. (Formula see Nei Shang chapter).
Seventh discussion: Internal injury to Yuan Qi with external Wind-Cold invasion presents with a surging, large yet deficient pulse, fever with irritability, headache, aversion to cold, thirst, spontaneous sweating, and panting. Treat with Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) with modifications. (Formula see Nei Shang chapter).
Eighth discussion: Fever and aversion to cold due to milk engorgement present with swollen, hard, and painful breasts. Massage the breasts to promote milk flow; the fever will subside spontaneously without medication.
Ninth discussion: Postpartum fever with aversion to cold, or facial paralysis (mouth and eye deviation), indicates extreme deficiency of Qi and Blood. Prioritize major tonification of Qi and Blood. If the Left Hand pulse is deficient, use more Blood-tonifying herbs than Qi-tonifying ones. If the Right Hand pulse is deficient, use more Qi-tonifying herbs than Blood-tonifying ones.
Tenth discussion: Postpartum stroke should not be immediately treated as typical stroke, nor should Xiao Xu Ming Tang (Minor Continuation of Life Decoction) be used. Prioritize major tonification of Qi and Blood. If the mouth is locked (Jin), it is due to Blood deficiency allowing Wind to invade the jaw muscles, causing spasms. If opisthotonos (angular rigidity) occurs, it is due to constitutional weakness allowing Wind to invade the Yang meridians, causing only the back and waist to spasm like a drawn bow. Use Gui Zhu Bao Chan Tang removing Xiang Fu and Gan Jiang, adding Qin Jiao and Qiang Huo. Alternatively, use equal parts Dang Gui and Jing Jie, decocted in water with a little wine. If the mouth is locked, pry it open gently and administer. Effect is seen upon swallowing. Alternatively, stir-fry Jing Jie slightly, grind to powder, take 3 qian with black bean wine infusion or child's urine.
Eleventh discussion: Various debility conditions postpartum are best treated with Shi Quan Da Bu Tang (Comprehensive Great Tonifying Decoction). This formula is warm in nature, gently tonifies Blood and Qi, strengthens the Spleen and Stomach, and is the premier formula for various deficiencies and damages.
Twelfth discussion: Postpartum syncope due to excessive bleeding involves dizziness. Unconsciousness results from massive loss of Qi and Blood rendering Shen (Spirit) inactive. Use Ren Shen (Ginseng) cut into two doses, decocted in water and taken warm. Ren Shen is sweet and warm, tonifies Yuan Qi, restores Qi, and generates Blood. If there is body heat and rapid breathing, add one cup of child's urine. If there is body cold and weakness, add Fu Zi (Aconite) 3 qian. Externally, use charcoal fire with vinegar fumes to enter the nose for astringency; this is highly effective.
Thirteenth discussion: Various postpartum diseases should be treated by addressing the root, prioritizing major tonification of Qi and Blood. This formula treats all conditions involving Qi and Blood deficiency, weak Spleen-Stomach, stagnant lochia, excessive bleeding, dietary irregularities, or anger-induced counterflow, leading to fever, aversion to cold, spontaneous sweating, dry mouth, irritability, panting, heart and abdominal pain, dizziness, blurred vision, tinnitus, muteness, confusion, and unconsciousness.
Gui Zhu Bao Chan Tang (Angelica and Atractylodes Postpartum Protection Decoction)
Dang Gui (Washed in wine 1.5 qian) Chuan Xiong (1 qian) Bai Shao (Washed in wine 1 qian) Shu Di Huang (Steamed in wine 1 qian) Bai Zhu (De-rhizome, fried 1 qian) Gan Cao (Honey-fried 0.3 qian) Bai Fu Ling (Peeled 1 qian) Chen Pi (0.8 qian) Gan Jiang (Charred 0.8 qian) Xiang Fu Mi (Stir-fried in child's urine 1 qian) For Qi deficiency, add Ren Shen 0.7 qian.
Decoct one dose with 3 slices of Sheng Jiang (Fresh Ginger) and one Jujube. Take warm. For excessive bleeding, double Chuan Xiong, Dang Gui, and Gan Jiang. For chest/diaphragm fullness, add Zhi Shi (bran-fried), Sha Ren, Hou Po (ginger-juice fried), Shan Zha Rou. For hypochondriac pain, add Qing Pi and Rou Gui. For intermittent lower abdominal pain, add Yuan Hu Suo, Tao Ren, Hong Hua, Su Mu. For severe cases, add San Leng and E Zhu, all ginger-roasted and vinegar-fried. For sweating, add Huang Qi (honey-fried) and Suan Zao Ren (fried). For dry/bitter mouth, add Mai Men Dong (de-heart). For no fever but unbearable lower abdominal pain, use Tao Ren (peeled, pounded 5 qian) with Chinese chive juice and wine; effect is immediate. For stagnant lochia, add Yi Mu Cao, Mu Dan Pi, Tao Ren, taken with child's urine and wine. For phlegm vomiting, add Ban Xia, Bei Mu. For persistent cough, add Bei Wu Wei Zi, Sang Bai Pi. For anger, add Wu Yao. For confusion, mouth locking, and muteness, add Jing Jie Sui.
Fourteenth discussion: Eighteen postpartum syndromes in women; this formula works miraculously.
Hei Shen San (Black Divine Powder)
Zong Pi Hui (Ash of Palm Fruit Skin) Yuan Hu Suo Dang Gui (Washed in wine) Chi Shao Bai Shao Sheng Di Huang Wu Ling Zhi (Each 1 qian) Pu Huang (1 liang) Shu Di Huang (1 liang) Xiang Fu Mi (Fried 1 liang) Gan Jiang (Pao 1 liang) Chen Xiang (0.5 liang) Ru Xiang (0.5 liang) Da Hei Dou (0.5 liang) E Zhu (0.5 liang) Hong Hua (0.5 liang)
Grind to fine powder. Take 2 qian each time, mixed with warm wine and child's urine.
Indications: Retained placenta with stale blood attacking the Heart, causing severe dizziness; ingestion awakens the patient. Excessive bleeding during labor where residual blood wraps the placenta making expulsion difficult; ingestion saves the mother at the expense of the fetus. Premature exertion during labor causing malpresentation; ingestion rescues the mother. Fetal death in utero causing cold/painful limbs, foaming at the mouth, cyanotic nails; ingestion expels the fetus. Incomplete lochia neglected, combined with excessive sour/salty diet leading to metrorrhagia. Blood syncope causing blurred vision and inability to sit. Blood confusing the Heart orifice causing muteness. Stale blood flowing into limbs causing edema. Stale blood causing thirst, dry tongue, alternating chills and fever resembling malaria. Stale blood entering the Heart causing irritability, mania, confused speech, or hallucinations resembling epilepsy. Stale blood lingering in joints causing generalized pain. Drinking cold beverages within a month causing stale blood coagulation, unbearable abdominal pain, or dysentery. Evening fever with blackness in nostrils. Stale blood accumulation causing urinary retention and constipation. Stale blood rushing to the Heart causing panting. Stale blood stagnating in Spleen/Stomach causing abdominal distension and vomiting resembling inverted stomach. Various strange postpartum syndromes indescribable are mostly caused by stale blood; ingestion provides immediate relief. True Immortal Formula. Postpartum heart/abdominal pain due to non-circulating blood stasis or "Child Pillow" pain (afterbirth pain); critical condition.
Dang Gui (3 qian) Chuan Xiong Bai Zhi Yuan Hu Suo Guan Gui Mu Dan Pi Pu Huang Wu Ling Zhi Mo Yao (Each 1 qian) Bai Shao (Wine-fried 3 qian)
Decoct one dose in water, add child's urine, take on an empty stomach.
Treatment for postpartum lower abdominal pain with masses, KOU and SE pulse: Si Wu Tang (Four Substances Decoction) plus Yuan Hu Suo, Hong Hua, Tao Ren, Niu Xi, Mu Xiang.
Discussion on postpartum food stagnation: Chest/diaphragm fullness, alternating chills and fever, anorexia.
Li Pi Tang (Regulate Spleen Decoction)
Cang Zhu (Rice-water soaked, fried 1 qian) Chen Pi (1 qian) Hou Po (Ginger-juice fried 1.5 qian) Sha Ren (0.7 qian) Shen Qu (Fried 1 qian) Shan Zha (De-seeded 1 qian) Mai Ya (Fried 1 qian) Gan Jiang (Charred 0.8 qian) Gan Cao (Honey-fried 0.3 qian)
Decoct one dose with 3 slices of Sheng Jiang. Take warm. For diarrhea, add Bai Zhu, Bai Fu Ling. For constipation, add Tao Ren, Hong Hua. For urinary retention, add Da Fu Pi.
Treatment for postpartum day 3: Jaw stiffness, staring eyes, cold extremities. Charred Gan Jiang 5 qian, decoct in water, add child's urine, take warm for immediate effect.
Discussion on postpartum fainting, unconsciousness, black vision, tinnitus, and stroke with unconsciousness, frothing, and convulsions.
Jia Wei Fo Shou San (Modified Buddha's Hand Powder)
Dang Gui Chuan Xiong Jing Jie (Equal parts)
Decoct one dose in water, add child's urine, take warm.
Discussion on slow lochia discharge, lower back/abdominal pain, intermittent chills/fever/headache, anorexia. Also treats chronic blood stasis, irregular menstruation, heart pain, intestinal gas pain, severe blood/qi pain. Also treats heart/abdominal pain, unbearable "Child Pillow" pain, blood confusing Heart orifice causing unconsciousness, and Northern "Green Vein Syndrome". Take 3 qian mixed with wine.
Shi Xiao San (Pain-Relieving Powder)
Wu Ling Zhi (Water-washed, sand removed, vinegar-fried) Zhen Pu Huang (Fried, equal parts)
Decoct one dose in water, take warm. Alternative: Grind to powder, take 3 qian, boil with vinegar into a paste, dissolve in plain water. For severe pain, add Chuan Xiong, Rou Gui, Yuan Hu Suo (1 qian each).
Discussion: Postpartum lower abdominal pain with sudden jaw stiffness; administer Shi Xiao San, wakes up after a while. Then use Si Wu Tang plus Pao Jiang, Bai Zhu, Chen Pi.
Discussion: Postpartum blood depletion, fainting, unconsciousness. Si Wu Tang plus Xiang Fu, Ren Shen, Bai Zhu, Bai Fu Ling, Pao Jiang.
Discussion: Postpartum blood stasis causing heart/abdominal pain, or fever with aversion to cold. Si Wu Tang plus Yuan Hu Suo, Xiang Fu, Tao Ren, Hong Hua, Qing Pi, Ze Lan, Mu Dan Pi. Decoct in water, take warm with one cup each of child's urine and wine. If pressing the abdomen increases pain, it is blood stasis; take this medicine or Shi Xiao San. If pressing relieves pain, it is Blood deficiency; Si Wu Tang plus Ren Shen, Bai Zhu, Bai Fu Ling. If pain with vomiting, it is Stomach deficiency; Liu Jun Zi Tang plus charred Gan Jiang, wine-fried Bai Shao.
Discussion on Rulao (Chorea Laboris): A postpartum disease characterized by debility, panting, alternating chills and fever resembling malaria. This is due to Qi and Blood deficiency failing to connect smoothly; deficiency causes chills, stagnation causes fever, with no rest. Symptoms resemble malaria but are not. Treatment requires major tonification of Qi and Blood to ensure smooth connection. Use Ren Shen to tonify Qi, Dang Gui to tonify Blood, Glutinous Rice to benefit Stomach, Cong Bai and Dou Chi to awaken Spleen. Pig Kidney is used because similar things attract similar things, benefiting the uterus area.
Zhu Shen Tang (Pig Kidney Decoction) for postpartum Rulao with fever and night sweats.
Ren Shen Dang Gui (Equal parts) Zhu Yao Zi (One kidney, sliced) Bai Nuomi (Half he) Cong Bai (Three stalks) Dan Dou Chi (One he)
Boil rice and kidney until cooked, take one cup of clear liquid, add Ren Shen, Dang Gui, Cong Bai, Dou Chi, decoct well. Take anytime. Kidney can be eaten separately.
Alternative: For postpartum Rulao fever, take one pair of pig kidneys, remove white membrane, slice like willow leaves, stir-fry with salt and wine. First cook congee with rice, Cong Bai, and Sichuan pepper. Mix kidneys with salt and vinegar as a dish, eat with hot congee on an empty stomach.
Treatment for postpartum fever, spontaneous sweating, limb pain, named Rulao.
Dang Gui Yang Rou Tang (Angelica and Mutton Decoction)
Dang Gui (Washed in wine) Ren Shen (Each 7 qian) Huang Qi (1 liang) Sheng Jiang (5 qian)
Cut ingredients. Boil 1 jin mutton in water to obtain 5 bowls of clear broth. Remove meat, add herbs, decoct to 4 bowls. Strain, divide into 6 doses. Take frequently morning and evening.
Discussion: Jaw stiffness, opisthotonos, limb convulsions, eye twitching due to excessive blood loss, Yuan Qi depletion, and flourishing Yin Fire. Use Shi Quan Da Bu Tang (see Bu Yi chapter) plus Pao Jiang. One dose restores consciousness, several doses bring stability.
Discussion: Postpartum tendon cramping, back stiffness, muscle twitching due to joint Qi and Blood deficiency. Use Shi Quan Da Bu Tang for stability.
Discussion: Postpartum Blood Pathogen causing absent-mindedness, inappropriate speech, restless sleep. Use Fu Shen San.
Fu Shen San
Bai Fu Shen (Peeled 1 qian) Ren Shen Long Chi (Pounded) Hu Po (Pounded) Chi Shao Huang Qi Niu Xi (De-rhizome, Each 0.5 qian) Sheng Di Huang (1 qian) Gui Xin (0.5 qian)
Decoct in water, take warm. Highly effective.
Discussion: Why does postpartum muteness occur? Answer: The Heart has seven holes and three hairs. Postpartum weakness often leads to stagnant stale blood blocking the Heart orifices, clouding Shen. Heart Qi connects to the tongue; if Heart Qi is blocked, the tongue becomes stiff, causing muteness. Such cases respond to this decoction.
Ba Zhen Tang (Eight Treasures Decoction)
Ren Shen Shi Chang Pu Huai Sheng Di Huang Chuan Xiong (Each 1 liang) Xi Xin (2 qian) Fang Feng (5 qian) Chen Sha (Separately pounded 5 qian) Gan Cao (1 qian)
Grind to powder. Take 1 qian each time, mixed with Bo He (Mint) tea. Take anytime.
Discussion: Persistent postpartum cough. Slice one dried persimmon, decoct in one large cup of water until reduced to six parts. Drink hot to stop cough.
Discussion: Persistent postpartum sweating.
Nen Huang Qi (Honey-fried) Shu Di Huang Mu Li Fen Bai Zhu (De-rhizome, fried) Mai Men Dong (De-heart) Fang Feng (De-rhizome) Bai Fu Ling (Peeled) Dang Gui (Washed in wine)
Decoct in water with two Red Dates, take warm.
Discussion: Postpartum Xiao Ke (Wasting-Thirst) with incessant drinking.
Dang Gui (Washed in wine) Chuan Xiong Bai Shao Sheng Di Huang Mai Men Dong (De-hair) Wu Wei Zi Zhi Mu (De-heart) Bai Fu Ling (Peeled) Huang Qi (Honey-fried) Gan Cao
Decoct in water, take warm.
Discussion: Postpartum Malaria.
Dang Gui (Washed in wine 1.5 qian) Chuan Xiong (1 qian) Bai Shao (Wine-fried 1.5 qian) Bai Zhu (De-rhizome, fried 1.5 qian) Bai Fu Ling (Peeled 1.5 qian) Chai Hu (0.8 qian) Qing Pi (De-pith 0.8 qian) Gan Cao (0.3 qian)
Decoct in plain water, take warm.
Discussion: Postpartum bloody dysentery, urinary obstruction, umbilical/abdominal pain. Pound fresh Ma Chi Xian (Purslane), extract 3 he of juice, decoct in soup, mix with 1 he of honey, take in one dose for cure.
Main formula for postpartum dysentery, regardless of red or white type.
Dang Gui (Washed in wine) Chuan Xiong Bai Shao (Fried) Bai Zhu (De-rhizome, fried) Bai Fu Ling Chen Pi Mu Xiang Xiang Fu (Fried) Shen Qu (Fried) Gan Jiang (Fried) Gan Cao (Honey-fried)
Decoct in water, take warm. For anorexia, add Sha Ren. For difficult urination, add Ze Xie.
Discussion: Persistent postpartum dysentery. Si Jun Zi Tang plus Huang Qi, Su Qiao (Poppy Shell).
Discussion: Postpartum chest stuffiness and abdominal distension.
Dang Gui (Washed in wine) Chuan Xiong Bai Shao (Wine-fried) Bai Zhu (De-rhizome, fried) Bai Fu Ling (Peeled) Chen Pi Ban Xia (Soup-soaked, ginger-fried) Sha Ren Xiang Fu (Fried) Hou Po (Ginger-juice fried) Gan Cao
Decoct with Sheng Jiang.
Treatment for postpartum diarrhea.
Ren Shen Bai Zhu (De-rhizome, earth-soil fried) Bai Fu Ling (Peeled) Chen Pi Bai Shao (Fried) Gan Jiang (Fried) Ze Xie Hou Po (Ginger-juice fried) Sha Ren Dang Gui (Wine-fried) Gan Cao (Honey-fried)
Decoct with Ginger and Jujube.
Treatment for postpartum vomiting.
Chen Pi Ban Xia (Soup-soaked, ginger-fried) Bai Zhu (De-rhizome, fried) Bai Fu Ling (Peeled) Sha Ren Huo Xiang Ren Shen Shen Qu (Fried) Dang Gui (Wine-fried) Gan Cao (Honey-fried)
Decoct with 5 slices of Sheng Jiang, take warm.
Treatment for postpartum headache.
Huang Qi (Honey-fried) Ren Shen Bai Zhu (De-rhizome, fried) Chen Pi Dang Gui Sheng Ma Chai Hu Xi Xin Man Jing Zi Chuan Xiong Gao Ben Gan Cao
Decoct with 3 slices of Sheng Jiang.
Treatment for postpartum fever, cough, phlegm, and panting.