（附论）
夫儿枕者。由母胎中宿有血块。因产时其血破散。与儿俱下。则无患也。若产妇脏腑风
冷。使血凝滞。在于小腹。不能流通。则令结聚疼痛。名曰儿枕也。
方
延胡索 当归（各一两） 真琥珀 蒲黄（各一分炒） 赤芍（半两） 桂心（三分） 红
蓝花（二
治产后儿枕。亦治赤白痢。
丁香（三钱） 罂粟壳（去瓤蜜炙） 香白芷（各半两） 百草霜（大钱重） 上为细
末。每服二钱
治产后儿枕痛不可忍立效散。（出危氏方）
用五灵脂慢火熬为细末。每服二钱。温酒调下。
定痛散（出便产须知）治产后三五日。但觉腹中痛儿枕未定。或恶血未止。
同煎至六
当归散（出圣惠方）治产后败血不散。儿枕块硬痛发热。及新产乘虚。风
寒内搏。恶露不快。脐腹坚痛。（一本作坚痛）
红蓝花 鬼箭羽（去中心木） 当归（去苗炒各二两） 上为粗散。每服三钱。酒一大
盏。煎至
二圣散（一名延胡散出圣惠方）治儿枕痛不可忍。
当归（洗） 肉桂（去皮） 延胡索（炒等分） 上为细末。每服二钱。热酒或童子小
便调下。又
牡丹散（出圣惠方）治新产儿枕。上下刺痛。壮热口干。烦渴头汗出。或
大小便不利。未得便下。但与生姜童子小便频服。其病亦顺。若风血相搏。其病未愈
。宜服。
牡丹（半两） 玄参（半两） 黄芩 芎 射干（各半两） 赤芍（三分） 川大黄
（三分锉微
分炒令微黄去翅足）
细罗为散。每服二钱。以
三四服。
木香散（出圣惠方）治产后心腹不利。儿枕痛。
木香（一分） 当归（一两锉微炒） 赤芍药（半两） 芎 （三分） 桂心（半两） 上
捣细罗为
麒麟竭散（出圣惠方）治产后腹中有凝血不散。攻刺疼痛。名为儿枕。宜
服。
麒麟竭（半两） 当归（半两微炒） 桂心（半两） 荷叶（半两） 川大黄（半两微
炒） 上捣罗为
又方（出圣惠方）
牡丹（半两） 水蛭（一分炒令微黄） 当归（半两锉微炒） 没药（半两） 川大黄
（半两锉微炒）
又方
益母草（一两） 生地黄（干一两） 牛膝（二两去苗） 当归（一两锉微炒） 川大
黄（一两锉微
又方
蒲黄（半两） 桃仁（半两汤浸去皮尖双仁麸炒微黄） 牡丹（半两） 川大黄（半两
锉微炒） 当
钱。
又方
子（一两） 当归（三分锉微炒） 赤芍药（半两） 姜黄（半两） 芎 （半两）
上为细
桂心散 治产后儿枕攻刺腹肚痛不止。
桂心（三分） 赤芍药（一两） 琥珀（半两细研） 白芷（半两） 当归（一分锉微
炒） 上捣筛为
时候服。
姜粉散 才产后服此。荡尽儿枕。除百病。
当归 人参 木香 黄 川芎 甘草 茯苓 芍药 桂心 知母 大黄 草豆蔻 白
术
分焙干。生姜一片。研取自然汁。于碗中停留食久。倾去清汁。取下面粉脚。摊在 叶中。
同入焙
产母自然睡醒。半日以来。睡觉再服。全除腹痛。每日三服。过九日。不可服。肚中冷也。
失笑散 治产后儿枕痛。（方见气类）
用米醋童子小便各半盏调服。
乌金散 治恶露败血。刺心腹。儿枕痛。坐卧不得动。余血不快。
川姜（七钱半烧黑瓶中存性） 黑附子（半枚炮去皮脐） 细末挑三钱。童子小便浸酒
调下。痛
秦艽汤 治偶伤风恶热。浑身疼痛。
熟地黄（三钱） 当归 白芍药 秦艽（去芦头） 柴胡 甘草 地骨皮（去土各一钱
半） 计一
煎服亦治。
黑白散 治产后儿枕大痛。
乌金石（烧红醋淬七次另为细末） 寒水石（烧存性末） 上二味。各等分另顿放。各
炒一钱半
醋煎散 治妇人血气腹刺痛不可忍者。及产后败血。儿枕急痛。并宜服之。
高良姜（一两） 当归（洗焙） 肉桂（去粗皮） 白芍药 陈橘皮（去白） 乌药（五
味各半两） 上件为细末。每服三钱。水半盏。醋半盏。同煎至七分。通口服。不拘时候。
延胡索散 治恶露败血。走刺心腹。痛儿枕痛。坐卧不得。\x
干姜三分烧。盖瓶中存性。附子半个。炮细末。童便下。以痛止血下为度。
[Supplementary Discussion]
The term "Erzhen" (Fetal Pillow) refers to blood stasis clumps that existed in the mother's womb prior to delivery. If, during childbirth, this blood breaks up and is expelled along with the fetus, no illness will occur. However, if the产妇's (postpartum woman's) Zang-Fu organs are invaded by wind-cold, causing blood to coagulate and stagnate in the lower abdomen without flowing freely, it will accumulate and cause pain. This condition is called "Erzhen".
Formulas
Yanhusuo Tang (Corydalis Decoction): Yanhusuo (Corydzis Rhizoma), Danggui (Angelicae Sinensis Radix) (each 1 liang); Zhenhupo (Succinum), Puhuang (Pollinis Typhae) (each 1 fen, stir-fried); Chishao (Paeoniae Radix Rubra) (0.5 liang); Guixin (Cinnamomi Cortex), Honglanhua (Carthami Flos) (2 qian).
Indications: Postpartum Erzhen pain; also treats red and white dysentery.
Dingxiang San (Clove Powder): Dingxiang (Caryophylli Flos) (3 qian); Yingusuqiao (Pericarpium Papaveris) (de-seeded, honey-stir-fried); Xiangbaizhi (Angelicae Dahuricae Radix) (each 0.5 liang); Baicaoshuang (Carbonis Herbae) (weight of a large qian).
Preparation: Grind all ingredients into a fine powder.
Dosage: Take 2 qian per dose.
Lixiao San (Instant Efficacy Powder for Postpartum Erzhen Pain) [Source: Wei Shi Fang]:
Use Wulingzhi (Trogopterori Faeces) stir-fried slowly over low heat until a fine powder.
Dosage: Take 2 qian per dose, mixed with warm wine.
Dingtong San (Pain-Relieving Powder) [Source: Bian Chan Xu Zhi]:
Indications: Three to five days postpartum, feeling abdominal pain where Erzhen has not resolved, or lochia has not stopped.
[Text missing: Preparation method involving decoction to six parts.]
Danggui San (Angelica Decoction) [Source: Sheng Hui Fang]:
Indications: Postpartum failure of敗血 (decayed blood) to disperse, hard and painful Erzhen mass with fever; also wind-cold invading internally due to deficiency after fresh delivery, slow expulsion of恶露 (lochia), and firm, painful umbilical/abdominal region. (Another version reads "firm pain").
Ingredients: Honglanhua (Carthami Flos), Guijianyu (Araliae Chinensis Ramulus), Danggui (Angelicae Sinensis Radix, de-radicle, stir-fried, each 2 liang).
Preparation: Grind into a coarse powder.
Dosage: Take 3 qian per dose, decocted with one large cup of wine until... [Text missing].
Ersheng San (Two Sages Powder, aka Yanhu San) [Source: Sheng Hui Fang]:
Indications: Unbearable Erzhen pain.
Ingredients: Danggui (Angelicae Sinensis Radix, washed), Rougui (Cinnamomi Cortex, bark removed), Yanhusuo (Corydzis Rhizoma, stir-fried, equal parts).
Preparation: Grind into a fine powder.
Dosage: Take 2 qian per dose, mixed with hot wine or child's urine. Also... [Text missing].
Mudan San (Tree Peony Powder) [Source: Sheng Hui Fang]:
Indications: Fresh postpartum Erzhen, stabbing pain above and below, high fever, dry mouth, irritability and thirst, sweating on the head, or difficulty in urination and defecation. Taking ginger and child's urine frequently can lead to recovery. If wind and blood clash and the disease persists, this formula is suitable.
Ingredients: Mudanpi (Moutan Cortex) (0.5 liang), Xuanshen (Scrophulariae Radix) (0.5 liang), Huangqin (Scutellariae Radix), Xiong (Chuanxiong Rhizoma), Shegan (Belamcandae Rhizoma) (each 0.5 liang), Chishao (Paeoniae Radix Rubra) (3 fen), Chuandahuang (Rhei Radix et Rhizoma) (3 fen, cut, lightly stir-fried until slightly yellow, wings removed).
[Text missing: Preparation method involving sieving.]
Dosage: Take 2 qian per dose... [Text missing]. Take 3-4 doses.
Muxiang San (Costus Powder) [Source: Sheng Hui Fang]:
Indications: Postpartum qi stagnation in heart and abdomen, Erzhen pain.
Ingredients: Muxiang (Aucklandiae Radix) (1 fen), Danggui (Angelicae Sinensis Radix, 1 liang, cut, lightly stir-fried), Chishaoyao (Paeoniae Radix) (0.5 liang), Xiong (Chuanxiong Rhizoma) (3 fen), Guixin (Cinnamomi Cortex) (0.5 liang).
Preparation: Pound finely and sieve.
Qilinjie San (Dragon's Blood Powder) [Source: Sheng Hui Fang]:
Indications: Postpartum blood stasis in the abdomen that does not disperse, causing stabbing pain, known as Erzhen. Suitable for use.
Ingredients: Qilinjie (Sanguis Draconis) (0.5 liang), Danggui (Angelicae Sinensis Radix, 0.5 liang, lightly stir-fried), Guixin (Cinnamomi Cortex) (0.5 liang), Heye (Nelumbinis Folium) (0.5 liang), Chuandahuang (Rhei Radix et Rhizoma) (0.5 liang, lightly stir-fried).
Preparation: Pound and sieve.
Another Formula [Source: Sheng Hui Fang]:
Mudanpi (Moutan Cortex) (0.5 liang), Shuizhi (Hirudo) (1 fen, stir-fried until slightly yellow), Danggui (Angelicae Sinensis Radix, 0.5 liang, cut, lightly stir-fried), Moyao (Myrrha), Chuandahuang (Rhei Radix et Rhizoma, 0.5 liang, cut, lightly stir-fried).
Another Formula:
Yimucao (Leonuri Herba) (1 liang), Shengdihuang (Rehmanniae Radix, dried 1 liang), Niuxi (Achyranthis Bidentatae Radix) (2 liang, de-radicle), Danggui (Angelicae Sinensis Radix, 1 liang, cut, lightly stir-fried), Chuandahuang (Rhei Radix et Rhizoma, 1 liang, cut, lightly stir-fried).
Another Formula:
Puhuang (Pollinis Typhae) (0.5 liang), Taoren (Persicae Semen, soaked in water, skin and tip removed, double-kernel bran-stir-fried until slightly yellow) (0.5 liang), Mudanpi (Moutan Cortex) (0.5 liang), Chuandahuang (Rhei Radix et Rhizoma, 0.5 liang, cut, lightly stir-fried), Dang... [Text missing] qian.
Another Formula:
Zi... [Text missing] (1 liang), Danggui (Angelicae Sinensis Radix, 3 fen, cut, lightly stir-fried), Chishaoyao (Paeoniae Radix) (0.5 liang), Jianghuang (Curcumae Longae Rhizoma) (0.5 liang), Xiong (Chuanxiong Rhizoma) (0.5 liang).
Grind into a fine... [Text missing].
Guixin San (Cinnamon Twig Powder):
Indications: Postpartum Erzhen stabbing abdominal pain that does not stop.
Ingredients: Guixin (Cinnamomi Cortex) (3 fen), Chishaoyao (Paeoniae Radix) (1 liang), Hupo (Succinum, 0.5 liang, finely ground), Baizhi (Angelicae Dahuricae Radix) (0.5 liang), Danggui (Angelicae Sinensis Radix, 1 fen, cut, lightly stir-fried).
Preparation: Pound and sieve.
Dosage: Take at appropriate times. [Text missing].
Jiangfen San (Ginger Powder):
Take immediately after delivery. It clears Erzhen and removes hundred diseases.
Ingredients: Danggui (Angelicae Sinensis Radix), Renshen (Ginseng Radix), Muxiang (Aucklandiae Radix), Huang... [Text missing], Chuanxiong (Chuanxiong Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Fuling (Poria), Shaoyao (Paeoniae Radix), Guixin (Cinnamomi Cortex), Zhimu (Anemarrhenae Rhizoma), Dahuang (Rhei Radix et Rhizoma), Caodoukou (Amomi Fructus Rotundus), Baizhu (Atractylodis Macrocephalae Rhizoma).
[Text missing: Processing method involving roasting/drying]. Slice one piece of fresh ginger, crush to extract natural juice, let stand in a bowl for a long time, pour off clear liquid, take the sediment/flour foot, spread on... leaves. Roast together.
After the mother wakes naturally from sleep, half a day later, take again upon waking. It completely relieves abdominal pain. Take three times daily. Do not take after nine days, as the abdomen becomes cold.
Shixiao San (Laughing Out Powder):
Indications: Postpartum Erzhen pain. [Formula seen in Qi Lei category].
Dosage: Mix half a cup of rice vinegar and half a cup of child's urine to take.
Wujin San (Black Gold Powder):
Indications: Lochia and decayed blood stabbing heart and abdomen, Erzhen pain, inability to sit or lie still, slow discharge of residual blood.
Ingredients: Chuanjiang (Zingiberis Rhizoma, 7.5 qian, burned black, preserved nature in jar), Heifuzi (Aconiti Lateralis Radix Praeparata, half pill, processed, skin and navel removed).
Preparation: Grind to fine powder.
Dosage: Take 3 qian, soaked in wine with child's urine. For pain... [Text missing].
Qinjiao Tang (Gentian Decoction):
Indications: Accidental wind invasion with aversion to heat, whole-body pain.
Ingredients: Shudihuang (Rehmanniae Radix Praeparata) (3 qian), Danggui (Angelicae Sinensis Radix), Baishaoyao (Paeoniae Radix Alba), Qinjiao (Gentianae Macrophyllae Radix, de-radicle), Chaihu (Bupleuri Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Digupi (Lycii Cortex), each 1.5 qian. Total... [Text missing].
Decoct and take. Also effective.
Heibai San (Black and White Powder):
Indications: Severe postpartum Erzhen pain.
Ingredients: Wujinshi (Ultramarine/Lapis Lazuli, heated red, quenched in vinegar seven times, separately ground to fine powder), Hanshuishi (Natrii Sulfatis Crystal, burned to preserve nature, ground).
Preparation: Equal parts of the two ingredients, kept separate. Stir-fry each 1.5 qian... [Text missing].
Cu Jian San (Vinegar-Decoction Powder):
Indications: Women with blood-qiu abdominal stabbing pain unbearable, and postpartum decayed blood with urgent Erzhen pain. Suitable for both.
Ingredients: Gaoliangjiang (Alpiniae Officinarum Rhizoma) (1 liang), Danggui (Angelicae Sinensis Radix, washed, roasted), Rougui (Cinnamomi Cortex, rough bark removed), Baishaoyao (Paeoniae Radix Alba), Chenjuapi (Citri Reticulatae Pericarpium, white pith removed), Wuyao (Linderæ Fructus) (five flavors, each 0.5 liang).
Preparation: Grind to fine powder.
Dosage: Take 3 qian, with half a cup of water and half a cup of vinegar, decoct to 0.7 parts, drink through. No specific time restrictions.
Yanhusuo San (Corydalis Powder):
Indications: Lochia and decayed blood moving/stabbing heart and abdomen, Erzhen pain, inability to sit or lie still.
Ingredients: Ganjiang (Zingiberis Rhizoma, 3 fen, burned, covered in jar to preserve nature), Fuzi (Aconiti Lateralis Radix Praeparata, half pill, processed, ground fine).
Dosage: Take with child's urine. Stop when pain ceases and bleeding stops.