蝉蜕 蛇蜕 龟甲（各三钱）
新瓦焙干为末，好酒下之，立下。
子死腹中，用牯牛粪炒为末，入醋半盏调，以青布包好，于脐上熨之立下。
妊妇血晕，不论大小产，皆有此症。大补气血为主。然大产、小产不同，小产多因气血两虚而致，
其大产因败血流入肝经，致眼目黑暗，头目旋晕。宜破血为主。当先以烈火一盆，置病患口鼻之下，将
好醋一钟倾入火内，使气入其口鼻之中，其神乃定，而神自醒也。后随症治之。有下血过多而晕者，
以人参汤；有用心使力多而晕者，以防风通圣散加四物治之。
产后血晕，败血冲肝也。
山楂（三钱） 红花（二钱） 桃仁 官桂 香附 良姜 莪术（各一钱）
产后头痛、发热、口干、饱闷、出汗者，由饮食过多也。以消食祛风为主，数日内治∶
山楂（三钱） 莪术 天麻 桔梗 陈皮 麦芽 红花（各一钱） 黑干姜（八分）
产后作寒作热，血入心肺则热，血入脾胃则寒，寒热相生故也。认为疟治者，非也。
三棱 莪术 红花 桃仁（各二钱） 官桂 黑干姜（各一钱） 山楂（三钱）
产后四肢浮肿，因败血走注五脏，传流四肢，不能运化，或因饮食伤脾故也。以水肿治之，
非也。宜五苓散加三棱、莪术二钱、山楂三钱；月内加桃仁、红花、黑姜，不必多用。
产后癫狂，如见鬼神，狂言无度，败血，热血冲心，如有所触，勿作风邪。
山楂 官桂（各三钱） 木香 香附 黑姜（各一钱） 红花 桃仁（各二钱）
产后泄泻不止者，多因误食生冷坚硬之物，与恶血相搏，流注大肠，不能克化也。
三棱 莪术 红花 桃仁 黑干姜 山楂 加五苓散
夫产后泄泻，多有不同。或因难产之后，气血两虚而泄泻者，泻久则寒；或因寒气所侵而泻
者，久则必虚。其治法相同。
五苓散加三棱、莪术、山楂。
或因瘀血流入大肠而泄泻者。
黑姜 官桂 山楂 红花 桃仁
上二症，泄久与虚寒症同治，医须仔细，一有误，十不能救一也。产后泄泻，水谷不化，粪门
不闭，此虚寒极也。不论
久近，治法一同。
人参（五分） 白术 茯苓 肉桂 黑姜（各二钱） 猪苓 泽泻（各一钱）
产后泄泻，腹中作痛，大便急涩者，亦瘀血入大肠也。若久远，以虚寒治之。
黑姜 官桂 红花（各二钱） 三棱 莪术（各一钱） 桃仁
产后百节疼痛，由产后骨节开张，因冒风寒，败血不行，流入经络，停聚不散也。
红花 桃仁（各二钱） 归尾 黑干姜 官桂 乌药 秦艽（各一钱）
产后小便尿血，色如鸡肝者，因产后调理失宜，恼怒伤肝心二经，流入小肠也。若流入大肠，必
大肠阻难也。
红花 桃仁 丹皮（各二钱） 木香 桔梗 木通 香附（各一钱）
产后胸胀气滞，呕逆不定，因饮食过多，聚于胃中，与痰结聚成块。上喘气急，四肢寒热，口干心
闷，睡卧多惊，日近者用∶
山楂（三钱） 乌药（二钱） 砂仁 麦芽 川贝母 陈皮 香附 黑干姜（各一钱）
日远者用∶
三棱 莪术 前胡 槟榔 柴胡（各一钱） 砂仁（二钱）
产后喉中如蝉鸣，因恼怒所致，败血冲心，转入肺经，败血与气结聚成块，入于喉中。若患此症，
十难救一。
肉桂 红花 桃仁 良姜（各二钱） 木通 乌药 陈皮（各一钱）
产后泄泻，胸膈饱闷，泄泻不常，此食积也。
三棱 莪术（一钱） 山楂 壳砂 黑干姜 官桂（各二钱）
若久远，以虚寒治之。有粪渣可治，如屋漏黑水，必死无疑。
产后最忌泄泻，务必谨慎。
产后面黄舌干，鼻中出血，遍身斑点者，败血入于五脏六腑，转入肌肤，热结不行也，十无一生。
红花 桃仁 官桂 丹皮（各二钱） 莪术 木通 羌活 防风 荆芥（各一钱）
产后发热、头痛、手足不能伸缩者，由产时失于谨慎，多冒风邪也。切不可作中风邪，以发表剂抬之。
天麻 秦艽 川贝 防风 干姜 官桂 苏梗
产后头痛发热，腹中刺痛难忍，因寒气所侵，败血不行，结聚成块故也。不论远近同治。
山楂（三钱） 干姜 肉桂 乌药 吴萸 香附 玄胡 红花 桃仁（各二钱） 苏梗（一钱）
产后不言狂走。
石菖蒲 麦冬 防风 天麻 川芎 川贝 辰砂 香附
产后月外，发热发寒，饮食不进，腹中作痛，因气血两虚也。
当归 芍药 川芎 人参 白术 茯苓 香附
产后月外，喘促痰逆，虚黄，因饮食伤胃，痰固其积也。
三棱 莪术 浓朴 官桂 黑干姜 川贝 陈皮 桔梗 香附
产后月外，寒热不均，因气血两虚故也。
甘草 芍药 柴胡 白术 当归 茯苓 陈皮 川芎 香附
产后月外，虚汗不止，因气血虚而遇风邪也。
白术 茯苓（二钱） 黄 香附 麦冬 防风（一钱） 官桂（五分）
产后月外，声音不出，呕吐不止，饮食不纳。
陈皮 白术 茯苓 香附 干姜 前胡 黄
产后诸症，多因冒风寒，为败血作祸。其干姜、红花、桃仁，乌药、肉桂、山楂、香附必不可少。
治产之症，妙在干姜。若大热重用，若微热则轻用，轻则一钱，重则三钱。须要酒炒得黑，不黑不
可用，恐反生火。
产后月外，气血已定，已归经络，虽有诸症，宜大补气血。又宜活血，而诸书以芍药为产后最忌，
殊不知月外诸症，非芍药不能收功。诚恐不信谈论，特备其要，以俟违者鉴之。
产后月内，口眼歪斜，角弓反张，不能伸缩，此系产时冒风邪所致。而发热头疼者，宜用此方∶
天麻 贝母 秦艽 归身 官桂 苏梗 干姜
月外犯之，亦不可作中风治。皆因气血两虚甚，宜补气血，随即祛痰为要。产后发热恶寒，月内当
逐恶露为要，月外各归经络，气血两分既定而犯此症，是气血虚极。其左手脉不足，补血倍于补气；
右手脉不足，补气倍于补血，切不可发表。倘因饮食不节而犯此症，月内以逐恶露之药，加山楂、麦芽、
砂仁、贝母、陈皮；月外以调气补血为主，加山楂、麦芽消食行痰之药为要。最忌发表药。
产后口眼 斜，手足顽麻，半身不遂，皆因不谨慎，或误下生水，或冒风邪所致。应在半年数月
外发之，切不可作风邪鬼箭等症，误用针刺，并不可发表，如有一失，不可救矣。宜服此方∶
红花 花粉（二钱） 防风 荆芥 独活 当归 秦艽 羌
活牛膝 白术 沙参 茯苓 川芎（各二钱） 木香（八分）
加灯草、老酒煎服。先服四帖，如不愈，加桑寄生二钱，肉桂八分。服二帖即痊，可加天麻二钱妙。
Cicada Slough (Chantui), Snake Slough (Shetui), and Tortoise Shell (Guijia) (each 3 qian). Dry them on a new tile, grind into powder, and take with good wine; the fetus will be delivered immediately.
For a fetus dead in the uterus, roast bull dung into powder, mix with half a cup of vinegar, wrap in green cloth, and apply heat to the umbilicus; the fetus will be expelled immediately.
Maternal syncope due to blood loss occurs in both full-term delivery (Dachan) and miscarriage (Xiaochan). The treatment primarily focuses on greatly tonifying Qi and Blood. However, the etiologies differ: miscarriage is often caused by deficiency of both Qi and Blood, whereas full-term delivery syncope results from residual blood (Baixue, stasis) flowing into the Liver Meridian, causing visual darkness and vertigo. Treatment should prioritize breaking stasis (Huoxue Huayu). First, place a basin of fierce fire near the patient's nose and mouth, pour a cup of good vinegar into the fire to generate vapor for inhalation, which stabilizes the Spirit and restores consciousness. Subsequently, treat according to specific symptoms. For syncope due to excessive bleeding, use Ginseng Decoction (Renshen Tang); for syncope due to excessive mental or physical exertion, use Fangfeng Tongsheng San combined with Siwu Tang.
Postpartum syncope is caused by residual blood rushing to the Liver.
Hawthorn Fruit (Shanzha) (3 qian), Safflower (Honghua) (2 qian), Peach Kernel (Taoren), Official Cinnamon Bark (Guangui), Cyperus Rhizome (Xiangfu), Galangal Root (Liangjiang), Curcuma Zedoaria Rhizome (Ezhu) (each 1 qian).
Headache, fever, dry mouth, abdominal fullness, and sweating after childbirth are caused by excessive food intake. Treatment prioritizes resolving food stagnation and dispelling wind, curable within a few days:
Hawthorn Fruit (Shanzha) (3 qian), Curcuma Zedoaria Rhizome (Ezhu), Gastrodia Tuber (Tianma), Platycodon Root (Jiegeng), Tangerine Peel (Chenpi), Malt (Maiya), Safflower (Honghua) (each 1 qian), Charred Dried Ginger (Hei Ganjiang) (8 fen).
Alternating chills and fever after childbirth occur because blood entering the Heart and Lungs causes heat, while blood entering the Spleen and Stomach causes cold, leading to alternating sensations. Treating this as malaria is incorrect.
Burreed Tuber (Sanleng), Curcuma Zedoaria Rhizome (Ezhu), Safflower (Honghua), Peach Kernel (Taoren) (each 2 qian), Official Cinnamon Bark (Guangui), Charred Dried Ginger (Hei Ganjiang) (each 1 qian), Hawthorn Fruit (Shanzha) (3 qian).
Edema of the four limbs after childbirth is caused by residual blood flooding the five Zang organs and transmitting to the limbs, failing to be transformed, or by dietary injury to the Spleen. Treating it as edema is incorrect. Use Wuling San plus Burreed Tuber (Sanleng) and Curcuma Zedoaria Rhizome (Ezhu) each 2 qian, Hawthorn Fruit (Shanzha) 3 qian; if within one month postpartum, add Peach Kernel (Taoren), Safflower (Honghua), and Charred Ginger (Heijiang), without excessive dosage.
Postpartum mania, seeing spirits, and incoherent speech are caused by residual blood and hot blood rushing to the Heart, resembling external pathogen invasion; do not treat as Wind Pathogen.
Hawthorn Fruit (Shanzha), Official Cinnamon Bark (Guangui) (each 3 qian), Costus Root (Muxiang), Cyperus Rhizome (Xiangfu), Charred Ginger (Heijiang) (each 1 qian), Safflower (Honghua), Peach Kernel (Taoren) (each 2 qian).
Persistent diarrhea after childbirth is often due to accidentally consuming raw, cold, or hard foods, which clash with foul blood, flow into the Large Intestine, and fail to digest.
Burreed Tuber (Sanleng), Curcuma Zedoaria Rhizome (Ezhu), Safflower (Honghua), Peach Kernel (Taoren), Charred Dried Ginger (Heiganjiang), Hawthorn Fruit (Shanzha), added to Wuling San.
Postpartum diarrhea varies. Some cases result from Qi and Blood deficiency after difficult labor, leading to chronic cold from prolonged diarrhea; others result from Cold Pathogen invasion, leading to chronic deficiency. The treatment methods are identical.
Wuling San plus Burreed Tuber (Sanleng), Curcuma Zedoaria Rhizome (Ezhu), Hawthorn Fruit (Shanzha).
Some cases result from stagnant blood flowing into the Large Intestine.
Charred Ginger (Heijiang), Official Cinnamon Bark (Guangui), Hawthorn Fruit (Shanzha), Safflower (Honghua), Peach Kernel (Taoren).
For the above two conditions, if diarrhea is prolonged and belongs to deficiency-cold, treat similarly. Physicians must be meticulous; an error may result in fatality. Postpartum diarrhea with undigested food and incontinence indicates extreme deficiency-cold. Regardless of duration, the treatment is the same.
Ginseng (5 fen), Atractylodes Macrocephala Rhizome (Baizhu), Poria (Fuling), Cinnamon Bark (Rougui), Charred Ginger (Heijiang) (each 2 qian), Polyporus (Zuling), Alisma Rhizome (Zexie) (each 1 qian).
Postpartum diarrhea with abdominal pain and urgent, obstructive defecation is also due to stagnant blood entering the Large Intestine. If chronic, treat as deficiency-cold.
Charred Ginger (Heijiang), Official Cinnamon Bark (Guangui), Safflower (Honghua) (each 2 qian), Burreed Tuber (Sanleng), Curcuma Zedoaria Rhizome (Ezhu) (each 1 qian), Peach Kernel (Taoren).
General joint pain after childbirth is due to open bone joints allowing Wind-Cold invasion, causing residual blood to stagnate in the meridians.
Safflower (Honghua), Peach Kernel (Taoren) (each 2 qian), Angelica Sinensis Root Tail (Guiwei), Charred Dried Ginger (Heiganjiang), Official Cinnamon Bark (Guangui), Lindera Root (Wuyao), Gentian Root (Qinjiao) (each 1 qian).
Hematuria with chicken-liver-colored urine after childbirth is due to improper postpartum care and anger injuring the Liver and Heart meridians, causing blood to flow into the Small Intestine. If it flows into the Large Intestine, obstruction occurs.
Safflower (Honghua), Peach Kernel (Taoren), Moutan Cortex (Danpi) (each 2 qian), Costus Root (Muxiang), Platycodon Root (Jiegeng), Akebia Stem (Mutong), Cyperus Rhizome (Xiangfu) (each 1 qian).
Postpartum chest distension, Qi stagnation, and irregular vomiting are due to excessive food accumulation in the Stomach, knotting with Phlegm. Symptoms include panting, limb temperature fluctuations, dry mouth, chest oppression, and restless sleep. For recent onset:
Hawthorn Fruit (Shanzha) (3 qian), Lindera Root (Wuyao) (2 qian), Amomum Fruit (Sharen), Malt (Maiya), Fritillaria Bulb (Chuanbeimu), Tangerine Peel (Chenpi), Cyperus Rhizome (Xiangfu), Charred Dried Ginger (Heiganjiang) (each 1 qian).
For distant/chronic onset:
Burreed Tuber (Sanleng), Curcuma Zedoaria Rhizome (Ezhu), Peucedanum Root (Qianhu), Areca Seed (Binglang), Bupleurum Root (Chaihu) (each 1 qian), Amomum Fruit (Sharen) (2 qian).
Cicada-like sounds in the throat after childbirth are caused by anger, residual blood rushing to the Heart, transferring to the Lung Meridian, where residual blood and Qi knot into a mass in the throat. This condition is rarely curable (one in ten survives).
Cinnamon Bark (Rougui), Safflower (Honghua), Peach Kernel (Taoren), Galangal Root (Liangjiang) (each 2 qian), Akebia Stem (Mutong), Lindera Root (Wuyao), Tangerine Peel (Chenpi) (each 1 qian).
Postpartum diarrhea with chest fullness and irregularity is due to food stagnation.
Burreed Tuber (Sanleng), Curcuma Zedoaria Rhizome (Ezhu) (1 qian), Hawthorn Fruit (Shanzha), Cardamom (Kesharen), Charred Dried Ginger (Heiganjiang), Official Cinnamon Bark (Guangui) (each 2 qian).
If chronic, treat as deficiency-cold. Presence of fecal residue is treatable; "leaking roof black water" stool indicates certain death.
Diarrhea is the most feared complication postpartum; caution is essential.
Yellow complexion, dry tongue, epistaxis, and generalized macules after childbirth indicate residual blood entering the Zang-Fu organs and skin, with heat knotting and stagnation. This is fatal (none survive).
Safflower (Honghua), Peach Kernel (Taoren), Official Cinnamon Bark (Guangui), Moutan Cortex (Danpi) (each 2 qian), Curcuma Zedoaria Rhizome (Ezhu), Akebia Stem (Mutong), Notopterygium Rhizome (Qianghuo), Saposhnikovia Root (Fangfeng), Schizonepeta Spike (Jingjie) (each 1 qian).
Postpartum fever, headache, and inability to extend/flex limbs are due to careless exposure to Wind Pathogen during delivery. Do not treat as Stroke; avoid dispersing exterior agents.
Gastrodia Tuber (Tianma), Gentian Root (Qinjiao), Fritillaria Bulb (Chuanbei), Saposhnikovia Root (Fangfeng), Dried Ginger (Ganjiang), Official Cinnamon Bark (Guangui), Perilla Stem (Sugeng).
Postpartum fever, headache, and unbearable stabbing abdominal pain are due to Cold Pathogen invasion causing residual blood stagnation and knotting. Treat regardless of duration.
Hawthorn Fruit (Shanzha) (3 qian), Dried Ginger (Ganjiang), Cinnamon Bark (Rougui), Lindera Root (Wuyao), Evodia Fruit (Wuyu), Cyperus Rhizome (Xiangfu), Corydalis Rhizome (Yanyan/Huyan), Safflower (Honghua), Peach Kernel (Taoren) (each 2 qian), Perilla Stem (Sugeng) (1 qian).
Postpartum mutism and running wildly.
Acorus Rhizome (Shichangpu), Ophiopogon Tuber (Maidong), Saposhnikovia Root (Fangfeng), Gastrodia Tuber (Tianma), Ligusticum Rhizome (Chuanxiong), Fritillaria Bulb (Chuanbei), Cinnabar (Chensha), Cyperus Rhizome (Xiangfu).
One month postpartum, fever/chills, anorexia, and abdominal pain are due to Qi and Blood deficiency.
Angelica Sinensis Root (Danggui), Peony Root (Shaoyao), Ligusticum Rhizome (Chuanxiong), Ginseng (Renshen), Atractylodes Macrocephala Rhizome (Baizhu), Poria (Fuling), Cyperus Rhizome (Xiangfu).
One month postpartum, panting, phlegm reversal, and sallow complexion are due to dietary injury to the Stomach and phlegm accumulation.
Burreed Tuber (Sanleng), Curcuma Zedoaria Rhizome (Ezhu), Magnolia Bark (N Houpo), Official Cinnamon Bark (Guangui), Charred Dried Ginger (Heiganjiang), Fritillaria Bulb (Chuanbei), Tangerine Peel (Chenpi), Platycodon Root (Jiegeng), Cyperus Rhizome (Xiangfu).
One month postpartum, uneven chills and fever are due to Qi and Blood deficiency.
Licorice Root (Gancao), Peony Root (Shaoyao), Bupleurum Root (Chaihu), Atractylodes Macrocephala Rhizome (Baizhu), Angelica Sinensis Root (Danggui), Poria (Fuling), Tangerine Peel (Chenpi), Ligusticum Rhizome (Chuanxiong), Cyperus Rhizome (Xiangfu).
One month postpartum, persistent spontaneous sweating is due to Qi and Blood deficiency combined with Wind Pathogen.
Atractylodes Macrocephala Rhizome (Baizhu), Poria (Fuling) (each 2 qian), Astragalus Root (Huangqi), Cyperus Rhizome (Xiangfu), Ophiopogon Tuber (Maidong), Saposhnikovia Root (Fangfeng) (each 1 qian), Official Cinnamon Bark (Guangui) (5 fen).
One month postpartum, aphonia, persistent vomiting, and inability to ingest food.
Tangerine Peel (Chenpi), Atractylodes Macrocephala Rhizome (Baizhu), Poria (Fuling), Cyperus Rhizome (Xiangfu), Dried Ginger (Ganjiang), Peucedanum Root (Qianhu), Astragalus Root (Huangqi).
Most postpartum syndromes are caused by Wind-Cold invasion and residual blood pathology. Dried Ginger (Ganjiang), Safflower (Honghua), Peach Kernel (Taoren), Lindera Root (Wuyao), Cinnamon Bark (Rougui), Hawthorn Fruit (Shanzha), and Cyperus Rhizome (Xiangfu) are indispensable.
The key to treating postpartum conditions lies in Dried Ginger. Use heavy dosage for high fever, light for mild fever (1 qian light, 3 qian heavy). It must be stir-fried with wine until black; uncharred ginger is contraindicated as it may generate fire.
One month postpartum, when Qi and Blood have settled and returned to the meridians, even if symptoms persist, greatly tonify Qi and Blood and invigorate Blood. Although many texts list Peony Root (Shaoyao) as strictly contraindicated postpartum, it is essential for resolving conditions occurring after one month. This is noted to counter skepticism.
Facial deviation, opisthotonos, and limb stiffness within one month postpartum are caused by Wind Pathogen invasion during delivery. For those with fever/headache:
Gastrodia Tuber (Tianma), Fritillaria Bulb (Beimu), Gentian Root (Qinjiao), Angelica Sinensis Root Body (Guishen), Official Cinnamon Bark (Guangui), Perilla Stem (Sugeng), Dried Ginger (Ganjiang).
Invasion after one month should not be treated as Stroke. It is due to severe Qi and Blood deficiency; tonify Qi and Blood, then resolve Phlegm. For postpartum fever/chills, expelling lochia (Elu) is priority in the first month; after one month, when Qi and Blood settle in meridians, symptoms indicate extreme deficiency. If Left Pulse is deficient, double Blood tonification over Qi tonification; if Right Pulse is deficient, double Qi tonification over Blood tonification. Do not use exterior-dispersing agents. If caused by irregular diet, in the first month add Hawthorn (Shanzha), Malt (Maiya), Amomum (Sharen), Fritillaria (Beimu), Tangerine Peel (Chenpi) to lochia-expelling formulas; after one month, regulate Qi and tonify Blood, adding Hawthorn (Shanzha) and Malt (Maiya) for digestion and Phlegm resolution. Exterior-dispersing agents are strictly contraindicated.
Facial deviation, limb numbness, and hemiplegia after childbirth are due to carelessness, drinking raw water, or Wind Pathogen invasion. Onset months later should not be mistaken for Wind Pathogen or Ghost Arrow syndromes; avoid acupuncture and exterior-dispersing agents. Formula:
Safflower (Honghua), Trichosanthes Root (Huafen) (each 2 qian), Saposhnikovia Root (Fangfeng), Schizonepeta Spike (Jingjie), Notopterygium Rhizome (Duohuo), Angelica Sinensis Root (Danggui), Gentian Root (Qinjiao), Notopterygium Rhizome (Qianghuo), Achyranthes Root (Niuxi), Atractylodes Macrocephala Rhizome (Baizhu), Codonopsis Root (Shashen), Poria (Fuling), Ligusticum Rhizome (Chuanxiong) (each 2 qian), Costus Root (Muxiang) (8 fen).
Decoct with Juncus Effusus (Dengcao) and aged wine. Take four doses; if ineffective, add Taxillus Branch (Sangjisheng) 2 qian and Cinnamon Bark (Rougui) 0.8 fen. Two doses yield recovery; adding Gastrodia Tuber (Tianma) 2 qian is beneficial.