【歌】产下婴儿血气空，丝毫触犯便伤荣。倏然致疾如
山重，不与寻常一样同。去血过多因发热，焦姜参术入芎 。阴虚作热心烦闷，自汗黄 可奏功。恶心呕逆伤
脾胃，抵圣汤医腹胁膨。归 止汗除身热，不愈当归奏效崇。风中愈风汤立验，茯苓散子治怔忡。诸风痿痹筋
挛缩，志士明医用血风。乍见鬼神由血耗，调经散服起疲癃。中风口噤牙关闭，搐搦身张似角弓，此是血虚筋
螈，举轻古拜配归芎。产后经来因适断，感于异证在其中，手牵足搐牙关紧，昏冒柴胡视听聪。阴虚发热憎
寒证，昼日清明夜觉凶，加增四物神功大，一服能令病脱躬。胞中误损成淋沥，参术煎膏溲自通。浮肿定须分
水道，忧思郁结在宽胸。痢初化滞香连芍，积久须当用胃风。初感寒邪微发表，热邪不解守黄龙。躁烦实热芩
连理，渴甚人参白虎从。热泄柴芩除半夏，便难议以大柴攻。汗多表弱宜行桂，里弱虚时制理中。发表内攻须
带补，勿行孟浪内伤荣。小便淋沥行时痛，但用茅根可治癃。泄泻君苓汤可用，寒加肉果桂姜同。若因热泄并
肠垢，姜炒黄连佐木通。
【论】产后气血大损，易产力壮者，尚然感疾，为终身之患。产母不可恃健，不行保重，劳碌以损其荣，
多食以伤其胃，外感六淫之邪，内受七情之气，为患莫测。古云∶产后犯若丝毫，感病重于山岳，信夫！或有
恶露末尽而作热作疼，真元不复而为痿为劳，比比皆然也。故产后诸疾，先以大补气血，纵有他疾，以末治之。
或欲祛邪，必兼补剂，殊为切当。若以峻剂攻之，再损气血，危可立待。或恶露当去者，亦须以去故生新，温
养为主，斯得其正也。
【脉】产后缓滑，沉细亦宜。实大弦牢，涩疾皆危。
《脉经》曰∶妇人新生乳子，脉沉小滑者生，实大弦急者死。妇人生产之后，寸口脉焱疾不调者死，沉细
附骨不绝
者生。妇人生产之后，因中风、伤寒、热病，喘鸣而肩息，脉实而浮缓者生，小急者死。
丹溪曰∶产前脉细小，产后脉洪数皆死。又曰∶产前当洪数，既产而洪数如故，岂得不死？
产后蓐劳
新产后自汗，肢体走痛，虚眩无力者，名曰蓐劳，当归羊肉汤。产后血气大亏，失于将理，自汗发热，虚
羸，饮食不消，时咳，发渴者，人参鳖甲散。发寒热，石子汤。
当归羊肉汤
治产后发热自汗，肢体疼痛，名曰蓐劳。
当归（七钱，酒洗） 人参（七钱，去芦） 黄 （一两，蜜炙） 生姜（五钱）
上，用羊肉一斤，煮清汁五大盏，入药煎四盏，作六服。
人参鳖甲散
治产后蓐劳，其状虚羸，寒热似疟。
人参（五钱，去芦） 桂心（五钱） 桑寄生（五钱） 当归（酒洗，五钱） 白茯苓（五钱） 白芍药（五
钱） 熟地黄（五钱） 桃仁（去皮、尖，五钱） 麦门冬（五钱） 甘草（炙，五钱） 续断（二钱五分） 川牛
膝（去芦，一钱五分） 鳖甲（炙，一两） 黄 （炙，一两）
上末之，猪肾一对，去脂膜，用水二盏，生姜一片，枣子三枚，煮一盏，入药末二钱，葱白三寸，乌梅半
个，荆芥五穗，再煎十数沸，用细绢滤去渣，空心温服。
石子汤
治产后虚羸，往来寒热，自汗乏力，喘促等证。
猪肾（一对，去脂膜，用竹刀切作四片） 香蕈（二两） 葱白头（二两） 白芍药（二两）
分二帖，每用水三升，煮升半，匀三服。
产后不语
产后败血停蓄，上干于心，心气闭塞，故舌强不能言语者，八珍汤。产后内因痰气郁滞，闭目不语，用好
白明矾一钱为末，白沸汤调服。
八珍汤（方见前经候条下。）
产后虚渴
产后血热，心烦口渴者，凉血饮。虚而烦渴者，生脉散。产后虚渴少气，脚弱目昏，头目眩晕，饮食无味
者，熟地黄汤，或四物汤加麦门冬、天花粉。
凉血饮
治产后血热心烦，口渴烦躁及经水不调。
黄芩（二钱，炒） 赤芍药（二钱） 川芎（二钱） 甘草（炙，一钱） 荆芥（二钱，取穗） 栝蒌根（二
钱） 生地黄（二钱） 麦门冬（去心，二钱）
上锉，二帖，每帖竹叶七片，灯心二十茎，水煎温服。
生脉散
补气复脉，生津液，止烦渴。
人参（二钱，去芦） 麦冬（去心，钱半） 五味子（一钱）
水二盏，煎服。
熟地黄汤
治产后虚渴，口干少气，脚弱，头目昏晕。
人参（四钱，去芦） 甘草（炙，一钱） 栝蒌根（六钱） 麦门冬（去心，三钱） 熟地黄（酒浸，晒干，
两半）
分二帖，糯米一撮，姜、枣煎，温服。
四物汤（方见前经候条下。）
产后失血
产后去血过多，腹痛身热自汗者，当归黄 汤。若去血多眩晕者，芎归汤。虚甚者，加焦姜、人参，腹痛
加桂。产后失血多，阴虚内热，心烦气短，自汗，当归建中汤。
当归黄 汤
治产后失血过多，腰疼身热自汗。
当归（三两，酒洗） 黄 （二两，蜜炙） 白芍药（一两五钱，酒炒）
上锉，每用五钱，生姜三片，水二盏，煎八分，空心服。
当归建中汤
治产后虚损气血，内热心烦，短促之证。
当归（四两，酒洗） 肉桂（三两） 甘草（炙，二两） 白芍药（炒，六两）
上锉，每用五钱，生姜三片，大枣二枚，水二盏，煎服。
芎归汤（方见胎前条下。）
产后下痢
产后下痢腹痛，里急后重，至圊不能便者，香连散加人参、当归、神曲、麦芽、浓朴。病久不已，四君
子汤加当归、白芍药、曲 、陈皮、木香、黄连。
香连散
治产后痢疾，里急后重，腹中 痛不可忍。
黄连（炒，一钱半） 木香（一钱二分） 白术（炒，二钱） 白芍药（炒，二钱） 滑石（一钱，研细）
甘草（炙，五分）
锉一剂，水二盏，煎八分服。
四君子汤（方见胎前条下。）
产后浮肿
产后败血停蓄五脏，循经流入于四肢，化为水，因成虚浮肿者，调经散。产后血气大虚，肢体浮肿者，
不可通利其水，宜大补气血，四君子汤加苍术。
调经散
治产后败血乘虚流入四肢以致浮肿之证。
当归（酒浸，一两） 赤芍药（一两） 桂心（一两） 没药（一钱，另研） 琥珀（一钱，另研） 麝香
（五分） 细辛（五分） 甘草（炙，二钱）
上为细末，每服五分，入生姜自然汁少许，酒调下。
四君子汤（方见胎前条下。）
产后发热
产后血虚发热，头痛自汗，心烦短气者，人参当归散。产后阴虚不足，发热日轻夜重，憎寒者，四物汤加
焦姜，小热加茯苓。产后蒸乳发热者，四物汤加黄 、人参、白术、天花粉。
人参当归散
治产后血虚发热，自汗心烦，短气。
熟地黄（一两） 人参（去芦，一两） 当归（酒洗，一两） 麦门冬（去心，一两） 肉桂（一两） 白芍药
（炒，二两）
每五钱，竹叶、生姜煎服。
四物汤（方见经候条下。）
产后风痿
产后诸风痿弱，筋挛无力者，血风汤。产后血虚气弱汗多，风搏之而成 ，口噤反张脊强，汗出不止者，
难治，大圣散加川乌、黄 。
血风汤
治产后诸风痿弱，筋挛无力，四肢不举。
秦艽（一钱，去芦） 羌活（一钱，去芦） 防风（七分，去芦） 白芍药（一钱半，酒炒） 白芷（八分）
川芎（一钱二分） 白术（炒，一钱） 当归身（酒洗，钱半） 熟地黄（二钱） 白茯苓（一钱） 半夏（制，
八分） 黄 （蜜炙，一钱五分）
上为一剂，水二盏，煎一盏，温服，或丸或散俱可用。
大圣散（方见胎前条下。）
产后怔忡
产后血少，怔忡恍惚惊悸，睡不安宁者，益荣汤或养心汤或宁志丸。产后心虚，怔忡恍惚者，茯苓散。
益荣汤（方见胎前条下。）
养心汤
治产后心虚血少，恍惚怔忡，惊悸不安。
黄 （炙，五钱） 白茯苓（五钱） 白茯神（五钱） 远志（汤泡，去心，炒，五钱） 半夏曲（五钱）
当归（酒洗，五钱） 川芎 （五钱） 酸枣仁（炒，二钱五分） 辣桂（二钱五分） 人参（二钱五分） 五味
子（二钱） 柏子仁（炒，二钱五分） 甘草（炙，四钱）
每服锉三钱，姜三片，枣二枚，水煎服。
宁志丸
治产后心血虚少，恍惚多惊，睡卧不得。
人参（二钱五分） 当归（酒洗三钱） 琥珀（二钱五分） 柏子仁（炒，二钱五分） 白茯苓（二钱）
白茯神（二钱） 乳香（二钱五分） 石菖蒲（二钱五分） 酸枣仁（温酒浸半日，去壳，隔纸炒，二钱五分）
朱砂（二钱五分，另研）
上为末，炼蜜丸如梧子大，每服三钱，枣子汤送下。
良方茯苓散
治产后心虚，怔忡不定，恍惚多惊。
人参（去芦，一钱） 甘草（炙，一钱） 干山药（一钱） 当归（酒洗，一钱） 生姜（三钱） 远志（二
钱，去心） 白茯苓（一钱） 桂心（一钱） 麦冬（去心，一钱） 大枣（二枚）
锉一剂，水二盏，煎一盏服。
产后中风
产后中风口噤，牙关紧急，手足螈 者，举轻古拜散。产后血大损，经络空虚，劳碌太早，风邪乘虚而
入者，小续命汤或愈风汤。中风角弓反张，涎潮，大豆子汤。
举轻古拜散（方见胎前条下。）
小续命汤
治产后风邪乘虚而入，偏枯不遂。
麻黄（去节，一钱） 人参（去芦，一钱） 黄芩（炒，一钱） 白芍药（炒，一钱） 川芎 （一钱） 甘草
（炙，八分） 杏仁（十四粒） 防己（一钱） 肉桂（七分） 附子（面裹，煨，一钱）
锉一帖，姜三片，水煎服。
愈风汤（即举轻古拜散。方见胎前条下。）
大豆子汤
治产后中风，角弓反张，涎潮口噤不开。
黑豆（半升，炒令焦黑，候烟起，将无灰酒二升沃之，入瓶内）
每用此酒半升，入独活五钱，同煎十数沸，温服。
产后阴虚
产后阴虚血弱，四物汤加炒黑干姜。产后去血过多，阴虚生内热，烦惫，吸吸短气，头痛闷乱，骨节烦
疼，人参当归散。阴虚发热者，小柴胡汤去半夏。
四物汤（方见经候条下。）
人参当归散
治产后去血过多，阴虚内热烦乱。
人参（一两，去芦） 当归（一两，酒洗） 肉桂（一两） 熟地黄（一两，酒洗） 麦冬（去心，一两）
白芍药（炒，二两）
每五钱，竹叶、生姜煎服。
小柴胡汤（方见胎前条下。）
产后乍见鬼神
产后乍见鬼神，由血虚之极。败血攻冲，邪淫于心，胡言乱语，如见鬼祟，非风邪也，调经散少加龙脑，
或妙香散加当归、黄连、生地黄。
调经散（方见前产后浮肿条内。）
妙香散
治产后乍见鬼神及恶露不尽，如神药也。
麝香（一钱，研） 白茯苓（一两） 白茯神（一两） 干山药（一两，姜汁拌炒） 黄 （一两，炙）
远志（一两，去心） 人参（五钱，去芦） 桔梗（五钱，去芦） 甘草（五钱，炒） 辰砂（三钱，另研） 木
香（二钱五分）
末之，每服二钱，临卧或食后温酒送下。
产后伤寒
产后血气大亏，纵有寒邪，不可大发汗，芎归汤加人参、紫苏、干葛微汗之。热不止，黄龙汤加芎、
归，大热加知母、黄连。可攻、可温者，临时斟酌，不可妄用峻剂耗损真元也。
芎归汤（方见胎前条下。）
黄龙汤（方见胎前条下。）
产后寒热
产后寒热，头痛自汗，阴虚短气者，人参当归散。蓐劳发寒热，肢体痛，自汗，当归羊肉汤。产后阴虚，
憎寒壮热烦闷，知母汤。
人参当归散（方见前产后阴虚条内。）
当归羊肉汤（方见前产后蓐劳条内。）
知母汤
治产后乍寒乍热，心胸烦闷，阴虚血少。
知母（酒炒，二钱） 赤芍药（一钱） 黄芩（炒，一钱） 桂心（八分） 甘草（炙，六分）
锉一剂，水二盏，煎八分，空心时温服。
产后疟疾
产后疟疾，寒热相半，或热多，草果饮子，或清脾饮去青皮、浓朴。寒多，人参养胃汤或四兽饮、胜金丹。
草果饮
治产后疟疾，寒热往来或热胜于寒之证。
草果（一钱，去壳） 川芎（一钱） 紫苏叶（一钱） 白芷（一钱） 良姜（七
分） 甘草（炙，八分） 陈皮（去白，八分） 青皮（一钱）
上锉，一剂，用水二大盏，煎至八分，温服，日进三次。
清脾饮
人参养胃汤
四兽饮
胜金丹（方俱见胎前条。）
产后泄泻
产后泄泻，君苓汤。挟寒，腹痛肠鸣，小水清白不浊，口不渴，加肉豆蔻、煨桂、炒芍药。如热泄肠垢，
口渴，痛一阵，泻一阵，加炒黄连、木通，或益元散。湿胜水泄，胃苓汤。
君苓汤
治产后泄泻。
即四君子加后药。（四君方见胎前。）
白术（炒，二钱） 白茯苓（二钱） 猪苓（一钱五分） 泽泻（一钱五分）
煎服。
益元散
止泻利水，生津止渴。（一名六一散，一名天水散。）
滑石（水飞，六两） 甘草（一两，为末）
每服二钱，新汲水调下。
胃苓汤
即平胃散合后药，治产后泄泻。（平胃散方见胎前条。）
[Song] After the delivery of the infant, Qi and Blood are empty; even a slight violation will injure Ying (Nutritive) Blood. Sudden illness is as heavy as a mountain, quite different from ordinary diseases. Fever due to excessive blood loss can be treated with Jiao Jiang (Scorched Ginger), Renshen (Ginseng), Baizhu (Atractylodes Macrocephala Rhizome), and Chuanxiong (Sichuan Lovage Rhizome). Heart irritability and stuffiness due to Yin Deficiency, along with spontaneous sweating, can be cured by Huangqi (Astragalus Root). Nausea and vomiting injuring the Spleen and Stomach are treated with Disheng Tang (Di Sheng Decoction) for abdominal and hypochondriac distension. Danggui (Angelica Sinensis Radix) stops sweating and eliminates body heat; if not healed, using Danggui in high doses yields excellent results. Yufeng Tang (Yu Feng Decoction) acts immediately for wind-stroke; Fuling San (Poria Powder) treats palpitations. Various wind-induced Wei Bi (Flaccidity and Obstruction) and tendon cramping are treated by wise physicians with Xuefeng Tang (Blood Wind Decoction). Seeing ghosts suddenly is caused by extreme blood consumption; Tiaojing San (Regulate Menses Powder) revives the exhausted. Stroke with locked jaw, clenching teeth, convulsions, and body stiffness like opisthotonos is due to Blood Deficiency causing tendon spasms; ancient formula Ju Qing Gu Bai San (Ju Qing Gu Bai Powder) combined with Danggui and Chuanxiong is used. Postpartum menstruation that stops and then returns involves strange pathogens; hand and foot traction, clenching teeth, and dizziness are treated with Chaihu Tang (Bupleurum Decoction) to restore clear vision and hearing. Yin Deficiency fever with aversion to cold: clear during the day but ominous at night; adding Siwu Tang (Four Substances Decoction) brings great merit, curing the disease with one dose. Injury to the uterus causing dribbling urine is treated with Shen Zhu Jian Gao (Ginseng and Atractylodes Paste) to promote urination. Edema must distinguish water pathways; worry and depression require opening the chest. Early dysentery is treated with Xianglian Shaoyao Tang (Coptis and Peony Decoction); long-standing cases require Weifeng Tang (Wei Feng Decoction). Initial cold pathogen requires mild diaphoresis; unresolved heat pathogen adheres to Huanglong Tang (Yellow Dragon Decoction). Restlessness and excess heat use Qinlian Li (Huangqin and Coptis Formula); severe thirst uses Renshen Baihu Cong (Ginseng White Tiger Approach). Heat diarrhea is removed by Chaiqin Banxia (Bupleurum, Scutellaria, and Pinellia); difficult defecation is addressed by Daxie Gong (Major Bupleurum Attack). Excessive sweating with exterior weakness suits Guizhi Tang (Cinnamon Twig Decoction); interior weakness with deficiency controls Lizhong Tang (Li Zhong Decoction). Exterior release and interior attack must include tonification; do not act rashly to injure Ying Blood. Painful dribbling urine is treated with Maogen (Imperata Rhizome) for Long (Dysuria). Diarrhea uses Junling Tang (Jun Ling Decoction); cold adds Rouguodou (Nutmeg), Guizhi (Cinnamon Twig), and Shengjiang (Fresh Ginger). If heat diarrhea with intestinal mucus, use Jiangchao Huanglian (Ginger-fried Coptis) assisted by Mutong (Akebia Caulis).
[Dissertation] Postpartum Qi and Blood are severely damaged. Even those with strong labor power who deliver easily may still contract diseases, becoming lifelong afflictions. The mother must not rely on her health or neglect self-care, working hard to damage Ying Blood, or eating too much to injure the Stomach. External invasion of the Six Evils (pathogenic factors) and internal reception of the Seven Emotions create unpredictable harm. As the ancients said, "Postpartum violation, even slight, causes illness heavier than a mountain," this is true! Often, lochia is not fully expelled, leading to fever and pain; Yuan Zhen (True Origin) fails to recover, resulting in Wei (Flaccidity) or Lao (Consumption), which is common. Therefore, for all postpartum diseases, first greatly tonify Qi and Blood. Even if there are other diseases, treat them secondarily. If one wishes to expel pathogens, one must combine with tonifying agents, which is very appropriate. If harsh agents are used to attack, Qi and Blood are further damaged, and danger awaits immediately. If lochia should be expelled, it must also focus on removing the old and generating the new, with warm nourishment as the main principle; this is correct.
[Pulse Diagnosis] Postpartum pulses that are slow and slippery, or deep and fine, are suitable. Pulses that are full, large, wiry, and firm, or choppy and rapid, are dangerous.
The *Mai Jing* (Pulse Classic) states: For a woman who has just given birth, a pulse that is deep, small, and slippery indicates life; full, large, wiry, and urgent indicates death. After childbirth, if the Cun Kou (Inkwell) pulse is blazing, rapid, and irregular, it indicates death; if deep, fine, and unceasing upon pressing to the bone, it indicates life. After childbirth, due to wind-stroke, Shanghan (Cold Damage), or heat disease, if there is wheezing with shoulder breathing, a pulse that is full and floating-slow indicates life; small and urgent indicates death.
Danxi stated: Before pregnancy, a small and fine pulse is normal; after pregnancy, a full and rapid pulse indicates death. He also said: Before pregnancy, the pulse should be full and rapid; if it remains so after delivery, how can death be avoided?
Postpartu Ru Lao (Bedridden Consumption)
Spontaneous sweating, wandering limb pain, and weak dizziness shortly after delivery are named Ru Lao, treated with Danggui Yangrou Tang (Danggui and Mutton Decoction). Severe depletion of postpartum Qi and Blood, lack of care, spontaneous sweating, fever, emaciation, indigestion, occasional cough, and thirst are treated with Renshen Biejia San (Ginseng and Turtle Shell Powder). Chills and fever are treated with Shizi Tang (Stone Seed Decoction).
Danggui Yangrou Tang
Treats postpartum fever, spontaneous sweating, and limb pain, named Ru Lao.
Danggui (7 qian, wine-washed), Renshen (7 qian, remove rhizome), Huangqi (1 liang, honey-fried), Shengjiang (5 qian).
Take 1 jin of mutton, boil to obtain 5 large bowls of clear broth. Add herbs and decoct to 4 bowls. Divide into 6 doses.
Renshen Biejia San
Treats postpartum Ru Lao, characterized by emaciation and chills/fever resembling malaria.
Renshen (5 qian, remove rhizome), Guixin (Cinnamon Heart, 5 qian), Sangjisheng (Taxillus Branch, 5 qian), Danggui (wine-washed, 5 qian), Baifuling (White Poria, 5 qian), Baishaoyao (White Peony Root, 5 qian), Shudihuang (Prepared Rehmannia Root, 5 qian), Taoren (Peach Kernel, peeled and split, 5 qian), Maimendong (Ophiopogon Tuber, 5 qian), Gancao (Licorice Root, fried, 5 qian), Xuduan (Dipsacus Root, 2.5 qian), Chuanniuxi (Cyathula Root, remove rhizome, 1.5 qian), Biejia (Turtle Shell, fried, 1 liang), Huangqi (honey-fried, 1 liang).
Grind into powder. Take 1 pair of pig kidneys, remove fat membrane. Boil in 2 bowls of water with 1 slice of ginger and 3 jujubes until reduced to 1 bowl. Add 2 qian of herb powder, 3 cun of scallion white, half a smoked plum, and 5 sprigs of Jingjie (Schizonepeta Spike). Decoct for ten more boils. Filter through fine silk. Take warm on an empty stomach.
Shizi Tang
Treats postpartum emaciation, alternating chills and fever, spontaneous sweating, fatigue, and panting.
Zhu shen (Pig Kidney, 1 pair, remove fat membrane, cut into 4 pieces with bamboo knife), Xiangxun (Mushroom, 2 liang), Congbaitou (Scallion White Head, 2 liang), Baishaoyao (White Peony Root, 2 liang).
Divide into 2 doses. Each dose boiled in 3 sheng of water until 1.5 sheng remains. Divide evenly into 3 servings.
Postpartum Aphasia
Accumulation of toxic blood obstructing the Heart, blocking Heart Qi, causing a stiff tongue and inability to speak is treated with Bazhen Tang (Eight Treasures Decoction). Internal phlegm-qi stagnation causing closed eyes and silence is treated with 1 qian of good-quality Bai Mingfan (Alumen) ground into powder, mixed with boiling water.
Bazhen Tang (See Menstrual Disorders section).
Postpartum Thirst
Blood heat causing heart irritability and thirst is treated with Liangxue Yin (Cool Blood Infusion). Deficiency causing irritability and thirst is treated with Shengmai San (Generate Pulse Powder). Postpartum deficiency thirst with shortness of breath, weak legs, dim vision, dizziness, and tasteless food is treated with Shudihuang Tang (Rehmannia Decoction) or Siwu Tang (Four Substances Decoction) plus Maimendong and Tiakuafen (Trichosanthes Root).
Liangxue Yin
Treats postpartum blood heat, heart irritability, thirst, restlessness, and irregular menstruation.
Huangqin (Scutellaria Root, fried, 2 qian), Chishaoyao (Red Peony Root, 2 qian), Chuanxiong (Sichuan Lovage Rhizome, 2 qian), Gancao (Licorice Root, fried, 1 qian), Jingjie (Schizonepeta Spike, 2 qian), Gualougen (Trichosanthes Root, 2 qian), Shengdihuang (Raw Rehmannia Root, 2 qian), Maimendong (Ophiopogon Tuber, dehearted, 2 qian).
Chop into pieces. Two doses. Each dose with 7 leaves of Zhuye (Bamboo Leaf) and 20 stems of Dengxin (Juncus Effusus Pith). Decoct in water and take warm.
Shengmai San
Tonifies Qi, restores pulse, generates fluids, and stops thirst.
Renshen (Ginseng Root, de-rhizomed, 2 qian), Maidong (Ophiopogon Tuber, dehearted, 1.5 qian), Wuweizi (Schisandra Fruit, 1 qian).
Decoct in 2 bowls of water.
Shudihuang Tang
Treats postpartum deficiency thirst, dry mouth, shortness of breath, weak legs, and dizziness.
Renshen (Ginseng Root, de-rhizomed, 4 qian), Gancao (Licorice Root, fried, 1 qian), Gualougen (Trichosanthes Root, 6 qian), Maimendong (Ophiopogon Tuber, dehearted, 3 qian), Shudihuang (Prepared Rehmannia Root, wine-soaked and dried, 1.5 liang).
Divide into 2 doses. Decoct with a pinch of Nuomi (Glutinous Rice), ginger, and jujubes. Take warm.
Siwu Tang (See Menstrual Disorders section).
Postpartum Hemorrhage
Excessive blood loss causing abdominal pain, body heat, and spontaneous sweating is treated with Danggui Huangqi Tang (Danggui and Astragalus Decoction). Dizziness from excessive blood loss is treated with Xiong Gui Tang (Liquorice and Angelica Decoction). Severe deficiency adds Jiao Jiang (Scorched Ginger) and Renshen; abdominal pain adds Guizhi. Excessive blood loss with Yin Deficiency internal heat, heart irritability, shortness of breath, and spontaneous sweating is treated with Danggui Jianzhong Tang (Danggui Build the Middle Decoction).
Danggui Huangqi Tang
Treats postpartum excessive blood loss, lower back pain, body heat, and spontaneous sweating.
Danggui (Angelica Sinensis Radix, 3 liang, wine-washed), Huangqi (Astragalus Membranaceus Root, 2 liang, honey-fried), Baishaoyao (White Peony Root, 1.5 liang, wine-fried).
Chop. Use 5 qian per dose with 3 slices of ginger and 2 bowls of water. Decoct to 0.8 portion. Take on an empty stomach.
Danggui Jianzhong Tang
Treats postpartum Qi and Blood deficiency, internal heat, irritability, and shortness of breath.
Danggui (4 liang, wine-washed), Rougui (Cinnamon Bark, 3 liang), Gancao (Licorice Root, fried, 2 liang), Baishaoyao (White Peony Root, fried, 6 liang).
Chop. Use 5 qian per dose with 3 slices of ginger and 2 jujubes in 2 bowls of water. Decoct.
Xiong Gui Tang (See Prenatal Section).
Postpartum Dysentery
Abdominal pain, tenesmus, and inability to defecate despite urgency are treated with Xianglian San (Costus and Coptis Powder) plus Renshen, Danggui, Shenqu (Medicated Leaven), Maiya (Barley Sprout), and Houpo (Magnolia Bark). Chronic cases are treated with Sijunzi Tang (Four Gentlemen Decoction) plus Danggui, Baishaoyao, Shenqu, Chenpi (Tangerine Peel), Muxiang (Aucklandia Root), and Huanglian (Coptis Rhizome).
Xianglian San
Treats postpartum dysentery with unbearable tenesmus and abdominal pain.
Huanglian (Coptis Rhizome, fried, 1.5 qian), Muxiang (Aucklandia Root, 1.2 qian), Baizhu (Atractylodes Macrocephala Rhizome, fried, 2 qian), Baishaoyao (White Peony Root, fried, 2 qian), Huashi (Talcum, finely ground, 1 qian), Gancao (Licorice Root, fried, 0.5 qian).
One dose. Decoct in 2 bowls of water to 0.8 portion.
Sijunzi Tang (See Prenatal Section).
Postpartum Edema
Toxic blood accumulating in the Five Zang Organs and flowing into the four limbs via meridians transforms into water, causing deficiency edema, treated with Tiaojing San (Regulate Menses Powder). Severe Qi and Blood deficiency causing limb edema should not be treated with diuretics; instead, greatly tonify Qi and Blood using Sijunzi Tang plus Cangzhu (Atractylodes Lancea Rhizome).
Tiaojing San
Treats postpartum edema caused by toxic blood flowing into the four limbs due to deficiency.
Danggui (wine-soaked, 1 liang), Chishaoyao (Red Peony Root, 1 liang), Guixin (Cinnamon Heart, 1 liang), Moyao (Myrrh, separately ground, 1 qian), Hupo (Amber, separately ground, 1 qian), Shexiang (Musk, 0.5 qian), Xixin (Asarum Root, 0.5 qian), Gancao (Licorice Root, fried, 2 qian).
Grind into fine powder. Take 0.5 qian per dose with a little fresh ginger juice and wine.
Sijunzi Tang (See Prenatal Section).
Postpartum Fever
Blood deficiency fever with headache, spontaneous sweating, heart irritability, and shortness of breath is treated with Renshen Danggui San (Ginseng and Danggui Powder). Yin Deficiency fever that is lighter by day and heavier by night with aversion to cold is treated with Siwu Tang plus Jiao Jiang; minor heat adds Fuling (Poria). Lactation fever is treated with Siwu Tang plus Huangqi, Renshen, Baizhu, and Tiakuafen.
Renshen Danggui San
Treats postpartum blood deficiency fever, spontaneous sweating, heart irritability, and shortness of breath.
Shudihuang (Prepared Rehmannia Root, 1 liang), Renshen (de-rhizomed, 1 liang), Danggui (wine-washed, 1 liang), Maimendong (dehearted, 1 liang), Rougui (Cinnamon Bark, 1 liang), Baishaoyao (fried, 2 liang).
Use 5 qian per dose with Zhuye and Shengjiang. Decoct and take.
Siwu Tang (See Menstrual Disorders Section).
Postpartum Wind Flaccidity
Various wind-induced flaccidity, tendon cramping, and weakness are treated with Xuefeng Tang. Blood and Qi deficiency with excessive sweating, compounded by wind strike causing spasms, locked jaw, opisthotonos, and continuous sweating is difficult to treat; Da Sheng San (Great Sage Powder) plus Chuanwu (Aconite Child Root) and Huangqi is used.
Xuefeng Tang
Treats postpartum wind flaccidity, tendon cramping, weakness, and immobility of limbs.
Qinjiao (Gentiana Macrophylla Root, de-rhizomed, 1 qian), Qianghuo (Notopterygium Rhizome, de-rhizomed, 1 qian), Fangfeng (Saposhnikovia Root, de-rhizomed, 0.7 qian), Baishaoyao (wine-fried, 1.5 qian), Baizhi (Angelica Dahurica Root, 0.8 qian), Chuanxiong (1.2 qian), Baizhu (fried, 1 qian), Danggui Shen (Danggui Body, wine-washed, 1.5 qian), Shudihuang (2 qian), Baifuling (1 qian), Banxia (Processed Pinellia Tuber, 0.8 qian), Huangqi (honey-fried, 1.5 qian).
One dose. Decoct in 2 bowls of water to 1 bowl. Take warm. Pills or powder are also acceptable.
Da Sheng San (See Prenatal Section).
Postpartum Palpitations
Blood deficiency causing palpitations, trance, fright, and restless sleep is treated with Yirong Tang (Nourish Blood Decoction), Yangxin Tang (Nourish Heart Decoction), or Ningzhi Wan (Calming Spirit Pill). Heart deficiency causing palpitations and trance is treated with Fuling San.
Yirong Tang (See Prenatal Section).
Yangxin Tang
Treats postpartum Heart deficiency and blood scarcity causing trance, palpitations, and fright.
Huangqi (honey-fried, 5 qian), Baifuling (5 qian), Baifushen (White Poria with Hostwood, 5 qian), Yuanzhi (Polygala Root, soaked in water, dehearted, fried, 5 qian), Banxiaqu (Pinellia Medicated Leaven, 5 qian), Danggui (wine-washed, 5 qian), Chuanxiong (5 qian), Suanzaoren (Ziziphus Seed, fried, 2.5 qian), Lagui (Spicy Cinnamon, 2.5 qian), Renshen (2.5 qian), Wuweizi (Schisandra Fruit, 2 qian), Baiziren (Biota Seed, fried, 2.5 qian), Gancao (fried, 4 qian).
Chop 3 qian per dose with 3 slices of ginger and 2 jujubes. Decoct in water.
Ningzhi Wan
Treats postpartum Heart blood deficiency causing trance, frequent fright, and insomnia.
Renshen (2.5 qian), Danggui (wine-washed, 3 qian), Hupo (Amber, 2.5 qian), Baiziren (fried, 2.5 qian), Baifuling (2 qian), Baifushen (2 qian), Ruxiang (Frankincense, 2.5 qian), Shichangpu (Acorus Rhizome, 2.5 qian), Suanzaoren (soaked in warm wine for half a day, shell removed, stir-fried between paper, 2.5 qian), Zhusha (Cinnabar, separately ground, 2.5 qian).
Grind into powder. Make pills with refined honey the size of wutong seeds. Take 3 qian per dose with jujube soup.
Liangfang Fuling San
Treats postpartum Heart deficiency, unstable palpitations, trance, and frequent fright.
Renshen (de-rhizomed, 1 qian), Gancao (fried, 1 qian), Ganshangyao (Dried Yam, 1 qian), Danggui (wine-washed, 1 qian), Shengjiang (3 qian), Yuanzhi (dehearted, 2 qian), Baifuling (1 qian), Guixin (Cinnamon Heart, 1 qian), Maidong (dehearted, 1 qian), Dazao (Jujube, 2 pieces).
One dose. Decoct in 2 bowls of water to 1 bowl.
Postpartum Wind Stroke
Wind stroke with locked jaw, tight teeth, and twitching limbs is treated with Ju Qing Gu Bai San. Severe blood loss leaving meridities empty, early overwork allowing wind pathogen to enter due to deficiency is treated with Xiao Xuming Tang (Minor Continuation of Life Decoction) or Yufeng Tang (Defeat Wind Decoction). Opisthotonos, salivary flooding, and locked jaw are treated with Dadouzi Tang (Black Soybean Seed Decoction).
Ju Qing Gu Bai San (See Prenatal Section).
Xiao Xuming Tang
Treats postpartum wind pathogen entering due to deficiency, causing hemiplegia.
Mahuang (Ephedra Stem, remove joints, 1 qian), Renshen (de-rhizomed, 1 qian), Huangqin (Scutellaria Root, fried, 1 qian), Baishaoyao (fried, 1 qian), Chuanxiong (1 qian), Gancao (fried, 0.8 qian), Xingren (Apricot Seed, 14 grains), Fangji (Stephania Root, 1 qian), Rougui (Cinnamon Bark, 0.7 qian), Fuzi (Prepared Aconite Root, wrapped in flour, baked, 1 qian).
One dose. Decoct with 3 slices of ginger in water.
Yufeng Tang (Same as Ju Qing Gu Bai San. See Prenatal Section).
Dadouzi Tang
Treats postpartum wind stroke, opisthotonos, salivary flooding, and locked jaw.
Heidou (Black Soybean, half sheng, fried until black and smoking, pour 2 sheng of non-fermented wine over it, put in bottle).
Use half a sheng of this wine per dose. Add Duduo (Angelica Pubescens Root, 5 qian). Decoct for ten boils. Take warm.
Postpartum Yin Deficiency
Yin Deficiency and blood weakness are treated with Siwu Tang plus charred Ganjiang (Dried Ginger). Excessive blood loss causing Yin Deficiency internal heat, exhaustion, shortness of breath, headache, confusion, and joint pain is treated with Renshen Danggui San. Yin Deficiency fever is treated with Xiao Chaihu Tang (Minor Bupleurum Decoction) minus Banxia.
Siwu Tang (See Menstrual Disorders Section).
Renshen Danggui San
Treats postpartum excessive blood loss, Yin Deficiency internal heat, and restlessness.
Renshen (de-rhizomed, 1 liang), Danggui (wine-washed, 1 liang), Rougui (Cinnamon Bark, 1 liang), Shudihuang (wine-washed, 1 liang), Maidong (dehearted, 1 liang), Baishaoyao (fried, 2 liang).
Use 5 qian per dose with Zhuye and Shengjiang. Decoct.
Xiao Chaihu Tang (See Prenatal Section).
Postpartum Seeing Ghosts
Seeing ghosts suddenly is due to extreme blood deficiency. Toxic blood attacking and disturbing the Heart causes nonsense speech and hallucinations, not wind pathogen. Treat with Tiaojing San plus a little Longnao (Borneol), or Miaoxiang San (Wonderful Fragrance Powder) plus Danggui, Huanglian, and Shengdihuang.
Tiaojing San (See Postpartum Edema Section).
Miaoxiang San
Treats postpartum seeing ghosts and incomplete lochia expulsion.
Shexiang (Musk, 1 qian, ground), Baifuling (1 liang), Baifushen (1 liang), Ganshangyao (Dried Yam, stir-fried with ginger juice, 1 liang), Huangqi (honey-fried, 1 liang), Yuanzhi (dehearted, 1 liang), Renshen (de-rhizomed, 5 qian), Jiegeng (Platycodon Root, de-rhizomed, 5 qian), Gancao (fried, 5 qian), Chensha (Vermilion, separately ground, 3 qian), Muxiang (Aucklandia Root, 2.5 qian).
Grind into powder. Take 2 qian per dose before bed or after meals with warm wine.
Postpartum Cold Damage
Severe Qi and Blood deficiency means even with cold pathogen, strong diaphoresis is forbidden. Use Xiong Gui Tang plus Renshen, Zisu (Perilla Leaf), and Gange (Kudzu Root) for mild sweating. If heat persists, use Huanglong Tang plus Chuanxiong and Danggui; add Zhimu (Anemarrhena Rhizome) and Huanglian for high fever. Adjust attack or warmth according to circumstances; do not recklessly use harsh agents to consume True Yuan.
Xiong Gui Tang (See Prenatal Section).
Huanglong Tang (See Prenatal Section).
Postpartum Chills and Fever
Chills and fever, headache, spontaneous sweating, Yin Deficiency, and shortness of breath are treated with Renshen Danggui San. Ru Lao with chills/fever, limb pain, and sweating is treated with Danggui Yangrou Tang. Yin Deficiency with aversion to cold, high fever, and irritability is treated with Zhimu Tang (Anemarrhena Decoction).
Renshen Danggui San (See Postpartum Yin Deficiency Section).
Danggui Yangrou Tang (See Postpartum Ru Lao Section).
Zhimu Tang
Treats postpartum alternating chills and fever, chest irritability, Yin Deficiency, and blood scarcity.
Zhimu (Anemarrhena Rhizome, wine-fried, 2 qian), Chishaoyao (Red Peony Root, 1 qian), Huangqin (Scutellaria Root, fried, 1 qian), Guixin (Cinnamon Heart, 0.8 qian), Gancao (fried, 0.6 qian).
One dose. Decoct in 2 bowls of water to 0.8 portion. Take warm on an empty stomach.
Postpartum Malaria
Alternating chills and fever, or more heat, is treated with Caoguo Yinzi (Tsaoko Infusion) or Qingpi Yin (Clear Spleen Drink) minus Qingpi (Green Tangerine Peel) and Houpo. More chills are treated with Renshen Yangwei Tang (Ginseng Nourish Stomach Decoction), Sishe Yin (Four Beasts Drink), or Shengjin Dan (Golden Pellet).
Caoguo Yin
Treats postpartum malaria with alternating chills/fever or heat predominating.
Caoguo (Tsaoko Fruit, de-shelled, 1 qian), Chuanxiong (1 qian), Zisuye (Perilla Leaf, 1 qian), Baizhi (Angelica Dahurica Root, 1 qian), Liangjiang (Galangal Rhizome, 0.7 qian), Gancao (fried, 0.8 qian), Chenpi (Tangerine Peel, pith removed, 0.8 qian), Qingpi (Green Tangerine Peel, 1 qian).
One dose. Decoct in 2 large bowls of water to 0.8 portion. Take warm, three times daily.
Qingpi Yin
Renshen Yangwei Tang
Sishe Yin
Shengjin Dan (All formulas see Prenatal Section).
Postpartum Diarrhea
Diarrhea is treated with Junling Tang. With cold, abdominal pain, borborygmus, clear urine, and no thirst, add Roudoukou (Nutmeg), Wei Gui (Baked Cinnamon), and Chao Shaoyao (Fried Peony). With heat diarrhea, intestinal mucus, thirst, and pain preceding diarrhea, add Chao Huanglian (Fried Coptis) and Mutong, or Yiyuan San (Benefit Origin Powder). Water diarrhea due to dampness is treated with Weiping Tang (Stomach Peace Decoction).
Junling Tang
Treats postpartum diarrhea.
It is Sijunzi Tang plus the following:
Baizhu (fried, 2 qian), Baifuling (White Poria, 2 qian), Zhuling (Polyporus, 1.5 qian), Zexie (Alisma Rhizome, 1.5 qian).
Decoct and take.
Yiyuan San
Stops diarrhea, promotes urination, generates fluids, and stops thirst. (Also known as Liu Yi San or Tian Shui San.)
Huashi (Talcum, water-flown, 6 liang), Gancao (Licorice Root, ground, 1 liang).
Take 2 qian per dose mixed with fresh well water.
Weiping Tang
It is Pingwei San combined with the following, treating postpartum diarrhea. (Pingwei San see Prenatal Section.)