無或曰::初產之婦,好血已虧,瘀血尚留,黑神散非要藥歟。予曰:至哉坤元,萬物資生,理之常也,初產之婦,好血未必虧,污血未必積,臟腑必未寒,何藥為?飲食起居,勤加調護,何病之有,誠有污血體怯而寒,與之數帖亦自簡便,或有他病,當求病起何因,病在何經,氣病治氣,血病治血,寒者溫之,熱者清之,凝者行之,虛者補之,血多者止之,何用海製,此方不恤,無病生病,彼黑神散者,用乾薑當歸之溫熱,黑豆之甘熟,地黃之微寒,以補血之虛,佐以炒蒲黃之甘,以防出血之多,芍藥之酸寒,有收有散,以為四藥之助,官桂之大辛熱,以行滯氣,推凝血,和以甘草之緩,其為取用,似乎精密,然驅逐與補益似難同方施治,設有性急者,形瘦者,本有怒火者,夏月坐蓐者,時有火令,薑桂皆為禁藥,論語未達之戒,不知誰執其咎,至於將護之法,尤為悖理,肉汁發陰經之火,易成內傷之病,先哲具有訓戒,胡為羊雞濃汁作糜,而又常服當歸丸,當歸建中湯,四順理中丸,雖是滋補,悉犯桂附乾薑僣熱之劑,臟腑無寒,何處消受,若夫兒之初生,母腹頓寬,便啖雞子,且喫火鹽,不思雞子難化,火鹽發熱,展轉為病,醫者不識,每指他證,率爾用藥,寧不誤人,余每見產婦之無疾者,必教以郤去黑神散,與夫雞子火鹽,諸般肉食,且與白粥,將理間以些少石首魚,煮令甘淡,食之至半月以後,方與少肉,若雞子亦須豁開淡煮,大能養胃郤疾,彼富貴之家,驕恣之婦,卒有白帶,頭風氣痛,膈滿痰逆,口乾經水不調,髮脫體熱,皆是陽勝陰虛之病,天生血氣本自和平,曰勝曰虛,又焉知非此等繆妄有以啟之耶。局方發揮終。
Some asked: "In women who have just given birth, the good blood (normal blood) is already deficient, and the stasis blood remains. Is Heishen San not an essential medicine?" I replied: "The Kun Yuan (the creative power of Earth that generates all things) is profound; all things rely on it for life, which is the constant principle. However, in women who have just given birth, the good blood may not necessarily be deficient, the foul blood (lochia) may not necessarily accumulate, and the Zang-Fu organs are certainly not cold. What medicine should be used? By diligently caring for diet and daily life, what illness would there be? Indeed, if there is retained foul blood, physical weakness, and cold signs, administering a few doses is also a simple method. But if other diseases exist, one must seek the cause of the illness, determine which meridian is affected, treat Qi disorders by regulating Qi, treat Blood disorders by regulating Blood, warm the cold, clear the heat, move stagnation, tonify deficiency, and stop excessive bleeding. Why cling to the formula prepared by Haicang (Zhang Yuansu, styled Haicang) without regard for the patient's condition? This formula disregards the actual situation, potentially causing disease where none exists. That Heishen San uses the warming properties of Ganjiang (Dried Ginger) and Danggui (Angelica Sinensis), the sweet and cooked nature of Heidou (Black Soybean), and the slightly cold nature of Dihuang (Rehmannia Root) to tonify Blood deficiency; assists with the sweetness of Chaopuhuang (Stir-fried Spore of Lygodium Sporangium) to prevent excessive bleeding; utilizes the sour and cold nature of Shaoyao (Peony Root) for its astringent and dispersing effects as an aid to the aforementioned four herbs; employs Guigui (Cinnamon Twig) for its acrid and hot nature to move stagnant Qi and push out coagulated blood; and harmonizes with Gancao (Licorice Root) for its moderating effect. Its composition seems precise. However, expelling pathogens and tonifying deficiency seem difficult to treat simultaneously in one formula. Suppose there are those with irritable temperaments, thin constitutions, pre-existing fire-anger, or those giving birth in summer when fire regulations are prevalent; Ganjiang and Guigui are then contraindicated medicines. The warning in the Analects regarding 'not understanding' applies; who will bear the blame? As for postpartum care methods, they are even more contrary to reason. Meat broth can ignite fire in the Yin meridians, easily leading to internal injury diseases, as warned by ancient sages. Why consume thick broths of mutton and chicken as porridge, and constantly take Danggui Wan (Angelica Pill), Danggui Jianzhong Tang (Angelica Decoction to Build the Middle), and Sishun Lizhong Wan (Four Smooth Decoction to Warm the Middle)? Although these are nourishing agents, they all violate the principles by using overly heating agents like Guizhi (Cinnamon Twig), Fuzi (Prepared Aconite Root), and Ganjiang (Dried Ginger). If the Zang-Fu organs are not cold, how can they tolerate this? Regarding the newborn, when the mother's abdomen suddenly expands after birth, eating eggs and Huoyan (fire salt) immediately is unwise. One fails to consider that eggs are hard to digest and Huoyan promotes heat, leading to illness through progression. Physicians, failing to recognize this, often misdiagnose other syndromes and prescribe rashly, do they not harm people? Whenever I see postpartum women without illness, I instruct them to discard Heishen San, eggs, Huoyan, and various meat foods, providing only white rice porridge. During nursing, occasionally offer Shishouyu (Croaker fish), boiled until mild and bland, continuing this for half a month before introducing small amounts of meat. If eggs are consumed, they must be cracked and boiled plainly, which greatly nourishes the Stomach and prevents disease. Those from wealthy families or indulgent women who suddenly develop leukorrhea, Toufeng (head wind/headache), Qi pain, chest fullness, phlegm rebellion, dry mouth, irregular menstruation, hair loss, and body heat—all these are diseases of Yang excess and Yin deficiency. Naturally, Qi and Blood are originally balanced. How do we know that 'excess' and 'deficiency' are not triggered by such absurd and reckless practices? Thus ends Ju Fang Fa Hui."