白术（土炒，二钱） 茯苓（去皮，二钱） 猪苓（一钱五分） 泽泻（一钱五分）
煎服。
产后心腹痛
产后败血凝聚，气上冲心作痛，大岩蜜汤。七情相干，血与气并，心痛，玄胡索汤。败血攻刺心腹痛，失
笑散。寒
气腹痛，理中汤。（失笑散、理中汤方俱见胎前条下。）
大岩蜜汤
治产后败血冲心，心腹疼痛不可忍者。
当归（酒浸，一钱） 独活（一钱） 干姜（炮，一钱） 熟地黄（酒蒸，一钱） 吴茱萸（一钱） 桂心（一
钱） 远志（去心，一钱） 白芍药（炒，一钱） 甘草（炙，七分） 细辛（七分）
锉一剂，水二盏，煎一盏服。
玄胡索汤
治产后七情伤感，血与气并，心腹疼痛。
玄胡索（一钱） 当归（酒洗，一钱） 白芍（酒炒，一钱） 浓朴（姜炒，一钱） 莪术（煨，一钱） 川楝
子（一钱） 三棱（煨，一钱） 木香（一钱，煨） 川芎（一钱二分） 桔梗（一钱二分） 黄芩（炒，八分） 甘
草（七分，炙） 槟榔（一钱）
锉一剂，水二盏，煎八分，空心时热服。
产后咳嗽
产后恶露上攻，肺经受邪，咳嗽，二母散。血风感寒、热、湿气，咳嗽痰涎，坐卧不安，旋复花散。时感
伤风，咳嗽，有外邪，恶风寒发热，参苏饮。
二母散
治产后恶露上攻，流入肺经，以致咳嗽。
知母（酒炒，一两） 贝母（去心，一两） 人参（去芦，八钱） 白茯苓（去皮，八钱） 桃仁（去皮、
尖，四十九粒） 杏仁（去皮、尖，四十九粒）
上锉，每剂七钱，用水二盏，煎八分，食后细细呷下。
旋复花散
治产后血风，感寒、暑、湿气，喘满咳嗽壅盛。
旋复花（一钱） 赤芍药（八分） 前胡（八分，去芦） 杏仁（去皮、尖，十四粒） 半夏曲（七分） 荆
芥（去根，六分） 白茯苓（八分） 五味子（去梗，
十粒） 麻黄（不去根节，一钱） 甘草（六分）
姜、枣，水煎服。
参苏饮（方见胎前条下。）
产后霍乱
产后霍乱，渴而饮水者，五苓散。寒多不渴者，人参理中汤，吐利厥冷者，加附子。腹痛甚，手足寒者，
高良姜散。转筋者，木瓜散，不止，辣蓼煎汤洗之即止。
五苓散
治产后霍乱吐泻，口渴饮水，此药甚效。
茯苓（一钱五分） 泽泻（去毛，一钱） 白术（土炒，一钱） 猪苓（一钱） 肉桂（七分）
锉一剂，水二盏，煎至八分，空心温服。
人参理中汤（即理中汤，方见胎前条下。）
高良姜汤
治产后霍乱吐利，心腹疼痛，因寒所致。
良姜（一两） 当归（酒洗，二两） 草豆蔻仁（炒，一两）
上为末，每服一钱，米汤调下。
木瓜散
治产后霍乱，吐利转筋，扰闷，如神药也。
木瓜（一钱五分） 茴香（炒，一钱） 紫苏叶（五分） 甘草（三分，炙） 吴茱萸（泡七次，炒，一钱）
锉一剂，生姜五片，水二盏，煎服。
产后郁冒
产后郁冒，由胃弱不食多汗故也。血虚必厥，厥必郁冒，白薇汤。产后有三疾∶郁冒则多汗，多汗则大
便秘结，此皆去血过多，难以药治，苏麻粥主之。
白薇汤
治产后血虚郁冒及胃弱不食，脉微多汗。
白薇（三钱） 当归（三钱） 人参（一钱五分） 甘草（炙，七分）
煎服。
苏麻粥
治产后郁冒则多汗，多汗则大便难之疾。
苏子、麻仁不拘多少，研烂，水滤取汁，煮粥食之。
产后香港脚
产后热闷，气上冲，转为香港脚，小续命汤去麻黄、石膏、附子。平素感受风、寒、暑、湿、燥、火之气，
因产后血气不足，遂袭于足经，因乘而发者，独活寄生汤。
小续命汤（方见前产后中风条内。）
独活寄生汤
治产后风、寒、湿气乘虚而入成香港脚。
独活（八分，去芦） 桑寄生（八分） 杜仲（炒，八分） 川牛膝（去芦，一钱） 细辛（七分） 秦艽（去
芦，八分） 白茯苓（八分） 白芍药（酒炒，一钱） 桂心（六分） 川芎 （八分） 防风（去芦，七分）
甘草（炙，七分） 人参（去芦，八分） 熟地黄（一钱） 当归（酒洗，一钱）
水煎，空心热服。
产后遍身疼
因产后走动，气血升降失常，留滞于关节间，筋脉引急或手足拘挛不能屈伸，故遍身肢节走痛者，趁痛散。
余血不尽，流于遍身肢节，腰、脚关节处作疼，如神汤。
趁痛散
治产后走动，气血升降失常，留滞疼痛。
当归（酒浸，一钱） 桂心（八分） 白术（炒，一钱） 川牛膝（酒浸，去芦，一钱） 黄 （蜜炙，一
钱） 独活（去芦，八分） 生姜（一钱） 薤白（一钱） 桑上寄生（一钱）
锉一剂，水二盏，煎一盏，食前热服。
如神汤
治产后余血不尽，流入入腰、脚、腿、膝疼痛。
浓朴（姜炒，一钱） 半夏（汤泡，六分） 枳壳（炒，七分） 白芍药（酒炒，八分） 木香（六分）
桂心（六分） 陈皮（六分） 白姜（六分） 桔梗（八分，去芦） 香附（醋炒，七分） 茴香（炒，六分） 苍
术（米泔浸，晒干，炒，一钱） 甘草（炙，五分） 人参（去芦，六分） 白茯苓（六分） 川芎 （七分）
当归（酒洗，一钱） 白芷（八分） 木瓜（六分） 桃仁（去皮、尖，炒，六分）
上锉，一剂，加生姜三片，水二盏，煎八分，食前热服。
产后气喘急
产后气喘，由荣血暴竭，气无所主，触发于肺，故令喘急也，此孤阳绝阴，难以药疗，十死一生之候也。
若败血停滞，上朝于肺而作喘者，夺命丹主之。
夺命丹（方见临产条下。）
产后头疼
产后头疼，有血虚、气弱、痰厥、寒厥者之不同，用四物汤随病加减。产后感于异证，手、足牵搐，切牙
头痛，昏冒，先服加减四物汤，次服秦艽丸。
加减四物汤（即四物汤加减，方见经候条下。加减法详见第三卷血证条下。）
秦艽丸
治产后气血大虚，风邪入于头脑作痛者。
川芎（二两） 当归（二两，酒洗） 秦艽（一两，酒洗） 荆芥（一两，取穗）
末之，酒糊丸如绿豆大，每服三钱，食后白汤送下。
产后淋沥（附胞损）
产后诸淋，茅根汤。产后败血不止，淋沥不断，乌金散。淋久不止，四肢乏力沉困，牡蛎散。产时稳婆误
损其尿
胞，以致日夜淋沥者，参术膏主之。
茅根汤
治产后诸淋，无问冷、热、膏、石、气、肉等淋。
白茅根（二钱） 瞿麦（一钱五分） 葵子（二钱五分） 白茯苓（一钱五分） 人参（去芦，一钱） 蒲
黄（生用，一钱） 桃胶（一钱） 滑石（一钱五分，研细，水飞） 半夏（姜制，三分） 紫贝（一个，烧）
石膏（一钱， 过）
姜、灯心，水煎服。
乌金散
治产后败血不止，淋沥不断，腹痛头眩。
麒麟竭（一两） 百草霜（一两） 玄胡索（一两） 男子乱发（ ，一两） 当归（酒洗，一两） 肉桂
（一两） 赤芍药（一两） 鲤鱼鳞（烧灰，一两） 松墨（ ，醋淬，一两）
末之，每服二钱，空心温酒调下。
牡蛎散
治产后淋沥不绝，四肢乏力，不思饮食。
牡蛎粉（二钱） 川芎（一钱） 白茯苓（一钱） 熟地黄（酒浸，一钱） 龙骨（ ，二钱） 续断（一钱）
当归（酒洗，一钱） 艾叶（酒炒，一钱） 人参（去芦，一钱） 五味子（十粒） 地榆（一钱） 甘草（炙，五分）
上锉，一剂，姜三片，枣二枚，水二盏，煎一盏，空心服。
参术膏
治产后误损胞中，以致昼夜淋沥不绝。
人参、白术各一斤，煎成膏子，每用三匙，白汤下。
产后腹痛呕吐
产后恶露下少，败血乘虚散入于脾，为胀满，胃受之则呕吐，抵圣汤。产后腹胀而呕逆者，胃气不和故
也，桔梗半夏汤主之。
抵圣汤
治产后恶露下少，败血入于脾胃之证。
赤芍药（一钱） 半夏（泡，一钱） 泽兰叶（一钱） 陈皮（一钱） 人参（去芦，一钱） 甘草（炙，七
分） 生姜（焙干，一钱）
锉一剂，水煎服。
桔梗半夏汤
治产后腹胀呕逆，调和阴阳。
桔梗（二钱五分） 陈皮（二钱五分） 半夏（汤泡，二钱五分）
姜、水煎，温服。
产后小便不利
产后小水不通者，木通散。小水不通，腹满，用盐填脐中，葱白一把，缚定，切去两头，留一寸浓，置盐
上，以艾灸之，热气入腹，即通利也。
木通散
治产后小便不利，此药主之，其效如神。
木通（一钱） 麻子仁（一钱） 葵子（一钱） 滑石（一钱，研细，水飞） 槟榔（一钱） 枳壳（一钱）
甘草（一钱）
锉一剂，水煎服。
产后口鼻黑作衄
产后气消血败，荣卫不理，散乱入于诸经，不得还元，故口鼻黑气起，及变鼻衄。此因产后虚热，变成此
证，为胃绝肺败，多死，犀角地黄汤主之，十可救一。
犀角地黄汤
治产后口鼻黑作衄。
犀角（镑碎，三钱） 生地黄（三钱） 白芍药（炒，一钱半） 牡丹皮（一钱半）
上锉，一剂，水二盏，煎一盏，温服。
Bai Zhu (Earth-fried, 2 qian), Fu Ling (Poria with skin removed, 2 qian), Zhu Ling (Polyporus, 1.5 qian), Ze Xie (Alisma, 1.5 qian). Decoct and take orally.
Postpartum Heart and Abdominal Pain
Accumulation of lochia stasis in the postpartum period causes Qi to rush upward to the heart, resulting in pain; Da Yan Mi Tang (Great Rock Honey Decoction) is indicated. Interference among the Seven Emotions (Joy, Anger, Worry, Thought, Sorrow, Fear, Fright) leads to blood and Qi merging, causing heart pain; Xuan Hu Suo Tang (Corydalis Decoction) is indicated. Stabbing pain in the heart and abdomen caused by lochia stasis; Shi Xiao San (Silent Suffering Powder) is indicated. Abdominal pain caused by Cold Qi; Li Zhong Tang (Regulate the Middle Decoction) is indicated. (The formulas for Shi Xiao San and Li Zhong Tang are both found under the Prenatal section.)
Da Yan Mi Tang (Great Rock Honey Decoction)
Treats postpartum lochia stasis rushing to the heart, causing unbearable heart and abdominal pain.
Dang Gui (Angelica Sinensis soaked in wine, 1 qian), Du Huo (Angelica Pubescens, 1 qian), Gan Jiang (Dried Ginger roasted, 1 qian), Shu Di Huang (Prepared Rehmannia steamed in wine, 1 qian), Wu Zhu Yu (Evodia, 1 qian), Gui Xin (Cinnamon Twig Heart, 1 qian), Yuan Zhi (Polygala Root with heart removed, 1 qian), Bai Shao Yao (White Peony Root fried, 1 qian), Gan Cao (Licorice Root honey-fried, 0.7 qian), Xi Xin (Asarum, 0.7 qian).
Coarsely crush one dose, add two cups of water, decoct to one cup, and take.
Xuan Hu Suo Tang (Corydalis Decoction)
Treats postpartum heart and abdominal pain caused by emotional injury, where blood and Qi merge.
Yan Hu Suo (Corydalis Rhizome, 1 qian), Dang Gui (Angelica Sinensis washed in wine, 1 qian), Bai Shao (White Peony Root fried in wine, 1 qian), Hou Po (Magnolia Bark fried with ginger, 1 qian), E Zhu (Curcuma Rhizome baked, 1 qian), Chuan Lian Zi (Sichuan Chinaberry Seed, 1 qian), San Leng (Knotweed Rhizome baked, 1 qian), Mu Xiang (Aucklandia Root, 1 qian, baked), Chuan Xiong (Ligusticum Rhizome, 1.2 qian), Jie Geng (Platycodon Root, 1.2 qian), Huang Qin (Scutellaria Root fried, 0.8 qian), Gan Cao (Licorice Root honey-fried, 0.7 qian), Bing Lang (Areca Nut, 1 qian).
Coarsely crush one dose, add two cups of water, decoct to 0.8 cup, and take hot on an empty stomach.
Postpartum Cough
Lochia attacking upward after childbirth, pathogenic factors invading the Lung Meridian, causing cough; Er Mu San (Two Mother Powder) is indicated. Blood Wind contracting Cold, Heat, or Dampness, causing cough with phlegm and saliva, restlessness in sitting and lying; Xuan Fu Hua San (Inula Flower Powder) is indicated. Frequent contraction of wind-cold, cough, presence of external pathogens, aversion to wind and cold with fever; Shen Su Yin (Ginseng and Perilla Decoction) is indicated.
Er Mu San (Two Mother Powder)
Treats postpartum cough caused by lochia attacking upward and flowing into the Lung Meridian.
Zhi Mu (Anemarrhena Rhizome fried in wine, 1 liang), Bei Mu (Fritillaria Bulb with heart removed, 1 liang), Ren Shen (Ginseng Root with rhizome removed, 8 qian), Bai Fu Ling (White Poria with skin removed, 8 qian), Tao Ren (Peach Kernel with skin and tip removed, 49 grains), Xing Ren (Apricot Kernel with skin and tip removed, 49 grains).
Coarsely crush the above ingredients. For each dose, use 7 qian, add two cups of water, decoct to 0.8 cup, and sip slowly after meals.
Xuan Fu Hua San (Inula Flower Powder)
Treats postpartum Blood Wind contracting Cold, Summerheat, or Dampness, causing severe wheezing, fullness, and cough.
Xuan Fu Hua (Inula Flower, 1 qian), Chi Shao Yao (Red Peony Root, 0.8 qian), Qian Hu (Peucedanum Root with rhizome removed, 0.8 qian), Xing Ren (Apricot Kernel with skin and tip removed, 14 grains), Ban Xia Qu (Pinellia Paste, 0.7 qian), Jing Jie (Schizonepeta with roots removed, 0.6 qian), Bai Fu Ling (White Poria, 0.8 qian), Wu Wei Zi (Schisandra Berry with stems removed, 10 grains), Ma Huang (Ephedra without roots and joints, 1 qian), Gan Cao (Licorice Root, 0.6 qian).
Add fresh ginger and jujube, decoct in water, and take.
Shen Su Yin (Ginseng and Perilla Decoction) (Formula details see Prenatal section.)
Postpartum Cholera-like Disease
Postpartum cholera-like disease with thirst and desire to drink water; Wu Ling San (Five-Ingredient Powder with Poria) is indicated. With much cold and no thirst; Ren Shen Li Zhong Tang (Ginseng Regulate-the-Middle Decoction) is indicated. If vomiting, diarrhea, and cold extremities occur, add Fu Zi (Aconite). Severe abdominal pain with cold hands and feet; Gao Liang Jiang San (Galangal Powder) is indicated. Muscle spasms (charley horse); Mu Gua San (Papaya Powder) is indicated. If it does not stop, wash with a decoction of La Liao (Polygonum Hydropiper) to stop it.
Wu Ling San (Five-Ingredient Powder with Poria)
Treats postpartum cholera-like disease with vomiting, diarrhea, thirst, and desire to drink water; this medicine is very effective.
Fu Ling (Poria, 1.5 qian), Ze Xie (Alisma de-haired, 1 qian), Bai Zhu (Atractylodes Macrocephala earth-fried, 1 qian), Zhu Ling (Polyporus, 1 qian), Rou Gui (Cinnamon Bark, 0.7 qian).
Coarsely crush one dose, add two cups of water, decoct to 0.8 cup, and take warm on an empty stomach.
Ren Shen Li Zhong Tang (Ginseng Regulate-the-Middle Decoction) (Same as Li Zhong Tang, formula details see Prenatal section.)
Gao Liang Jiang Tang (Galangal Decoction)
Treats postpartum cholera-like disease with vomiting and diarrhea, heart and abdominal pain caused by Cold.
Gao Liang Jiang (Galangal Root, 1 liang), Dang Gui (Angelica Sinensis washed in wine, 2 liang), Cao Dou Kou Ren (Cardamom Seed fried, 1 liang).
Grind into powder. Take 1 qian per dose, mixed with rice soup.
Mu Gua San (Papaya Powder)
Treats postpartum cholera-like disease with vomiting, diarrhea, muscle spasms, and restlessness; it is as effective as a divine medicine.
Mu Gua (Chaenomeles Fruit, 1.5 qian), Hui Xiang (Fennel Seed fried, 1 qian), Zi Su Ye (Perilla Leaf, 0.5 qian), Gan Cao (Licorice Root honey-fried, 0.3 qian), Wu Zhu Yu (Evodia soaked seven times, fried, 1 qian).
Coarsely crush one dose, add five slices of fresh ginger, two cups of water, decoct, and take.
Postpartum Yu Mao (Depression and Vertigo)
Postpartum Yu Mao (depression and vertigo) is due to weak Stomach function leading to poor appetite and excessive sweating. Blood deficiency inevitably leads to Jue (reversal/collapse), and Jue inevitably leads to Yu Mao; Bai Wei Tang (Cynanchum Atratum Decoction) is indicated. There are three diseases in the postpartum period: Yu Mao leads to excessive sweating, and excessive sweating leads to severe constipation. All these are due to excessive blood loss and are difficult to treat with medicine; Su Ma Zhou (Perilla and Hemp Porridge) is the primary treatment.
Bai Wei Tang (Cynanchum Atratum Decoction)
Treats postpartum blood deficiency with Yu Mao, weak Stomach function preventing eating, faint pulse, and excessive sweating.
Bai Wei (Cynanchum Atratum Rhizome, 3 qian), Dang Gui (Angelica Sinensis, 3 qian), Ren Shen (Ginseng Root with rhizome removed, 1.5 qian), Gan Cao (Licorice Root honey-fried, 0.7 qian).
Decoct and take.
Su Ma Zhou (Perilla and Hemp Porridge)
Treats postpartum Yu Mao leading to excessive sweating, and excessive sweating leading to difficulty in defecation.
Use Su Zi (Perilla Seed) and Ma Ren (Hemp Seed) in any amount, grind until smooth, filter through water to extract juice, cook into porridge, and eat.
Postpartum Hong Zhang Jiao (Foot Qi / Gout)
Postpartum heat and stifling sensation, Qi rushing upward, transforming into Hong Zhang Jiao (Foot Qi); Xiao Xu Ming Tang (Minor Continuation of Vitality Decoction) with Ma Huang, Shi Gao, and Fu Zi removed. If one usually contracts Wind, Cold, Summerheat, Dampness, Dryness, or Fire pathogens, and due to postpartum deficiency of Qi and Blood, they invade the Foot meridians and manifest later; Du Huo Ji Sheng Tang (Angelica Pubescens and Taxillus Decoction) is indicated.
Xiao Xu Ming Tang (Minor Continuation of Vitality Decoction) (Formula details see previous Postpartum Wind-Stroke section.)
Du Huo Ji Sheng Tang (Angelica Pubescens and Taxillus Decoction)
Treats postpartum Foot Qi caused by Wind, Cold, and Dampness invading due to deficiency.
Du Huo (Angelica Pubescens with rhizome removed, 0.8 qian), Sang Ji Sheng (Taxillus Stem, 0.8 qian), Du Zhong (Eucommia Bark fried, 0.8 qian), Chuan Niu Xi (Cyathula Root with rhizome removed, 1 qian), Xi Xin (Asarum, 0.7 qian), Qin Jiao (Gentiana Macrophylla Root with rhizome removed, 0.8 qian), Bai Fu Ling (White Poria, 0.8 qian), Bai Shao Yao (White Peony Root fried in wine, 1 qian), Gui Xin (Cinnamon Twig Heart, 0.6 qian), Chuan Xiong (Ligusticum Rhizome, 0.8 qian), Fang Feng (Saposhnikovia Root with rhizome removed, 0.7 qian), Gan Cao (Licorice Root honey-fried, 0.7 qian), Ren Shen (Ginseng Root with rhizome removed, 0.8 qian), Shu Di Huang (Prepared Rehmannia, 1 qian), Dang Gui (Angelica Sinensis washed in wine, 1 qian).
Decoct in water, take hot on an empty stomach.
Postpartum Generalized Body Pain
Due to movement after childbirth, the ascending and descending of Qi and Blood becomes abnormal, stagnating between the joints, causing tendons and vessels to pull tight or limbs to spasm and unable to flex or extend, resulting in wandering pain throughout the body and joints; Chen Tong San (Seize Pain Powder) is indicated. Residual blood not fully expelled, flowing into the body's joints, causing pain in the waist and leg joints; Ru Shen Tang (Divine Efficacy Decoction) is indicated.
Chen Tong San (Seize Pain Powder)
Treats postpartum wandering pain due to abnormal ascending and descending of Qi and Blood from movement.
Dang Gui (Angelica Sinensis soaked in wine, 1 qian), Gui Xin (Cinnamon Twig Heart, 0.8 qian), Bai Zhu (Atractylodes Macrocephala fried, 1 qian), Chuan Niu Xi (Cyathula Root soaked in wine, with rhizome removed, 1 qian), Huang Qi (Astragalus Root honey-fried, 1 qian), Du Huo (Angelica Pubescens with rhizome removed, 0.8 qian), Sheng Jiang (Fresh Ginger, 1 qian), Xie Bai (Allium Macrostemon Bulb, 1 qian), Sang Shang Ji Sheng (Taxillus growing on Mulberry, 1 qian).
Coarsely crush one dose, add two cups of water, decoct to one cup, and take hot before meals.
Ru Shen Tang (Divine Efficacy Decoction)
Treats postpartum residual blood not fully expelled, flowing into the waist, legs, thighs, and knees causing pain.
Hou Po (Magnolia Bark fried with ginger, 1 qian), Ban Xia (Pinellia Tuber soaked in boiling water, 0.6 qian), Zhi Ke (Bitter Orange fried, 0.7 qian), Bai Shao Yao (White Peony Root fried in wine, 0.8 qian), Mu Xiang (Aucklandia Root, 0.6 qian), Gui Xin (Cinnamon Twig Heart, 0.6 qian), Chen Pi (Tangerine Peel, 0.6 qian), Bai Jiang (White Ginger, 0.6 qian), Jie Geng (Platycodon Root with rhizome removed, 0.8 qian), Xiang Fu (Cyperus Rhizome fried in vinegar, 0.7 qian), Hui Xiang (Fennel Seed fried, 0.6 qian), Cang Zhu (Atractylodes Lancea soaked in rice water, dried, fried, 1 qian), Gan Cao (Licorice Root honey-fried, 0.5 qian), Ren Shen (Ginseng Root with rhizome removed, 0.6 qian), Bai Fu Ling (White Poria, 0.6 qian), Chuan Xiong (Ligusticum Rhizome, 0.7 qian), Dang Gui (Angelica Sinensis washed in wine, 1 qian), Bai Zhi (Angelica Dahurica, 0.8 qian), Mu Gua (Chaenomeles Fruit, 0.6 qian), Tao Ren (Peach Kernel with skin and tip removed, fried, 0.6 qian).
Coarsely crush one dose, add three slices of fresh ginger, two cups of water, decoct to 0.8 cup, and take hot before meals.
Postpartum Rapid Asthma
Postpartum asthma is due to sudden depletion of Ying (Nutrient) Blood, leaving Qi without mastery, triggering the Lung, thus causing rapid breathing. This is a condition of solitary Yang and severed Yin, difficult to treat with medicine, representing a prognosis of ten deaths for every one survival. If lochia stasis stagnates and rushes upward to the Lung causing asthma, Ming Dan (Life-Snatching Pill) is indicated.
Ming Dan (Life-Snatching Pill) (Formula details see Delivery section.)
Postpartum Headache
Postpartum headaches vary due to blood deficiency, Qi weakness, Phlegm Jue, or Cold Jue; Si Wu Tang (Four Substances Decoction) should be modified according to the condition. After childbirth, if affected by abnormal symptoms such as twitching of hands and feet, grinding teeth, headache, and dizziness, first take Modified Si Wu Tang, then take Qin Jiao Wan (Gentiana Pill).
Modified Si Wu Tang (Modification of Four Substances Decoction) (Formula details see Menstrual Disorders section. Modification methods detailed in Volume 3, Blood Syndromes section.)
Qin Jiao Wan (Gentiana Pill)
Treats postpartum severe deficiency of Qi and Blood, with Wind Pathogen entering the head causing pain.
Chuan Xiong (Ligusticum Rhizome, 2 liang), Dang Gui (Angelica Sinensis washed in wine, 2 liang), Qin Jiao (Gentiana Macrophylla Root washed in wine, 1 liang), Jing Jie (Schizonepeta, 1 liang, using the flower spikes).
Grind into powder, make pills with wine paste the size of mung beans. Take 3 qian per dose, swallowed with plain warm water after meals.
Postpartum Dribbling Urination (Including Bladder Injury)
Various types of Lin (Dribbling Urination) syndromes after childbirth; Mao Gen Tang (Imperata Rhizome Decoction) is indicated. Unstopping lochia stasis, continuous dribbling; Wu Jin San (Black Gold Powder) is indicated. Long-standing dribbling with fatigue and heaviness in the four limbs; Mu Li San (Oyster Shell Powder) is indicated. If the midwife accidentally injures the bladder during delivery, causing day-and-night dribbling; Shen Zhu Gao (Ginseng and Atractylodes Paste) is indicated.
Mao Gen Tang (Imperata Rhizome Decoction)
Treats various postpartum Lin syndromes, whether Cold, Heat, Gao (Paste), Shi (Stone), Qi (Qi), or Rou (Meat) Lin.
Bai Mao Gen (Imperata Rhizome, 2 qian), Qu Mai (Dianthus Herb, 1.5 qian), Kui Zi (Malva Seed, 2.5 qian), Bai Fu Ling (White Poria, 1.5 qian), Ren Shen (Ginseng Root with rhizome removed, 1 qian), Pu Huang (Typha Pollen raw, 1 qian), Tao Jiao (Peach Gum, 1 qian), Hua Shi (Talcum ground fine, water-flown, 1.5 qian), Ban Xia (Pinellia Tuber processed with ginger, 0.3 qian), Zi Bei (Purple Shell burned, 1 piece), Shi Gao (Gypsum calcined, 1 qian).
Add fresh ginger and Deng Xin Cao (Juncus Effusus), decoct in water, and take.
Wu Jin San (Black Gold Powder)
Treats postpartum unstopping lochia stasis, continuous dribbling, abdominal pain, and dizziness.
Qi Lin Jie (Dragon's Blood, 1 liang), Bai Cao Shuang (Soot from hundred herbs, 1 liang), Yan Hu Suo (Corydalis Rhizome, 1 liang), Nan Zi Luan Fa (Man's loose hair burned to ash, 1 liang), Dang Gui (Angelica Sinensis washed in wine, 1 liang), Rou Gui (Cinnamon Bark, 1 liang), Chi Shao Yao (Red Peony Root, 1 liang), Li Yu Lin (Carp Scale burned to ash, 1 liang), Song Mo (Pine Ink burned to ash, quenched in vinegar, 1 liang).
Grind into powder. Take 2 qian per dose, mixed with warm wine on an empty stomach.
Mu Li San (Oyster Shell Powder)
Treats postpartum continuous dribbling urination, fatigue in the four limbs, and lack of appetite.
Mu Li Fen (Oyster Shell Powder, 2 qian), Chuan Xiong (Ligusticum Rhizome, 1 qian), Bai Fu Ling (White Poria, 1 qian), Shu Di Huang (Prepared Rehmannia soaked in wine, 1 qian), Long Gu (Dragon Bone calcined, 2 qian), Xu Duan (Dipsacus Root, 1 qian), Dang Gui (Angelica Sinensis washed in wine, 1 qian), Ai Ye (Mugwort Leaf fried in wine, 1 qian), Ren Shen (Ginseng Root with rhizome removed, 1 qian), Wu Wei Zi (Schisandra Berry, 10 grains), Di Yu (Sanguisorba Root, 1 qian), Gan Cao (Licorice Root honey-fried, 0.5 qian).
Coarsely crush one dose, add three slices of ginger and two jujubes, two cups of water, decoct to one cup, and take on an empty stomach.
Shen Zhu Gao (Ginseng and Atractylodes Paste)
Treats postpartum accidental injury to the uterus, causing continuous day-and-night dribbling.
Ren Shen (Ginseng Root) and Bai Zhu (Atractylodes Macrocephala) each 1 jin. Decoct into a paste. Take three spoons per dose, swallowed with plain warm water.
Postpartum Abdominal Pain and Vomiting
Postpartum scanty lochia discharge, lochia stasis dispersing into the Spleen due to deficiency, causing distension; if affecting the Stomach, it causes vomiting; Di Sheng Tang (Support Sage Decoction) is indicated. Postpartum abdominal distension with regurgitation/vomiting is due to disharmony of Stomach Qi; Jie Geng Ban Xia Tang (Platycodon and Pinellia Decoction) is indicated.
Di Sheng Tang (Support Sage Decoction)
Treats postpartum scanty lochia discharge and lochia stasis entering the Spleen and Stomach.
Chi Shao Yao (Red Peony Root, 1 qian), Ban Xia (Pinellia Tuber soaked, 1 qian), Ze Lan Ye (Lycopus Herb, 1 qian), Chen Pi (Tangerine Peel, 1 qian), Ren Shen (Ginseng Root with rhizome removed, 1 qian), Gan Cao (Licorice Root honey-fried, 0.7 qian), Sheng Jiang (Fresh Ginger baked dry, 1 qian).
Coarsely crush one dose, decoct in water, and take.
Jie Geng Ban Xia Tang (Platycodon and Pinellia Decoction)
Treats postpartum abdominal distension and regurgitation, harmonizing Yin and Yang.
Jie Geng (Platycodon Root, 2.5 qian), Chen Pi (Tangerine Peel, 2.5 qian), Ban Xia (Pinellia Tuber soaked in boiling water, 2.5 qian).
Add fresh ginger, decoct in water, and take warm.
Postpartum Difficulty in Urination
Postpartum inability to urinate; Mu Tong San (Akebia Decoction) is indicated. Inability to urinate with abdominal fullness: fill the navel with salt, bind a bunch of white scallion over it, cut off both ends leaving one inch thick, place on the salt, moxa-burn it. The heat entering the abdomen will promote urination.
Mu Tong San (Akebia Decoction)
Treats postpartum difficulty in urination; this medicine is the primary treatment, with miraculous efficacy.
Mu Tong (Akebia Vine, 1 qian), Ma Zi Ren (Hemp Seed, 1 qian), Kui Zi (Malva Seed, 1 qian), Hua Shi (Talcum ground fine, water-flown, 1 qian), Bing Lang (Areca Nut, 1 qian), Zhi Ke (Bitter Orange, 1 qian), Gan Cao (Licorice Root, 1 qian).
Coarsely crush one dose, decoct in water, and take.
Postpartum Black Mouth and Nose with Epistaxis
After childbirth, Qi dissipates and Blood fails, Ying and Wei mechanisms become disordered, scattering into the meridians without returning to their origin, causing black qi to appear at the mouth and nose, and transforming into epistaxis (nosebleed). This is due to postpartum deficient heat transforming into this syndrome, indicating failure of Stomach and Lung Qi, mostly fatal; Xi Jiao Di Huang Tang (Rhinoceros Horn and Rehmannia Decoction) is indicated, with only one in ten recoverable.
Xi Jiao Di Huang Tang (Rhinoceros Horn and Rehmannia Decoction)
Treats postpartum black mouth and nose with epistaxis.
Xi Jiao (Rhinoceros Horn shaved thin, 3 qian), Sheng Di Huang (Raw Rehmannia, 3 qian), Bai Shao Yao (White Peony Root fried, 1.5 qian), Mu Dan Pi (Moutan Cortex, 1.5 qian).
Coarsely crush one dose, add two cups of water, decoct to one cup, and take warm.