（附论）
夫产后气虚挟宿寒。寒搏于血。血则凝结不消。气逆上者。则血随气上抢。冲击于而心
痛也。凡产后余血不尽。因虚冷则留结。与气相搏必痛。若遇久寒者。血结弥甚。则变成血
瘕。致令月水痞涩不通也。又云。余血奔心。盖是分解了。不便。与童子小便。并 心下。
及卧大速。兼食不相宜之物所致。但能根据方疗之。无不痊可。
方
治产后败血冲心。发热。狂言奔走。脉大虚者方。（出拔萃方）
干荷叶 生地黄（干） 牡丹皮（等分不拘多少） 上浓煎汤调生蒲黄二钱。一服即定。
四物汤
卷荷散（出医方大成）
治产后血上冲心。血刺血晕。气血腹痛。恶露不快。
初出荷卷 红花 当归（各一两） 蒲黄（细炒） 牡丹皮（半两） 上为细末。每服
二平钱。
荷叶散 疗产后七日内宿血不散。时时冲心。迷闷不识人。
荷叶（六分） 延胡索（八分） 地黄汁（二分） 上水二升。煮三味。取八合。下延
胡索。空心
疗产后余血攻心。或下血不止。心闷面青。冷气欲绝。（出肘后方）
当归 桂心 川芎 吴茱萸 橘皮 生姜 芍药（各三两） 上 咀。以水三升。煮取
一升。去滓空心服。
治产后余血攻心。（出大全良方）
用陈白梅捶碎。浓煎汤服。
金黄散（出大全良方）治产后恶血冲心。时发躁。
延胡索（一两） 蒲黄（半两） 桂心（一分） 上为细末。乌梅煎汤冷调下一钱。
生地黄汤（出大全良方）治产后余血奔心。烦闷不知。便与童子小便。并
心下。及睡太疾
生地黄 川芎（一两） 枳壳 芍药（半两） 上为末酒服方寸匕日三服。
赤龙鳞散
赤鲤鱼鳞（二两烧灰） 虻虫（半两微炒黄去翅足） 狗胆（半两干者） 蒲黄（半两）
乱发（二两烧灰） 麝香（一两细研） 上同研令细。不计时候。煎生姜汤。 童子小便调
下一钱。
麒麟竭（三两） 没药（一两） 木香（一两） 代赭石（半两） 麝香（半两细研） 上
捣细罗为散
没药散 治产后恶血冲心闷绝。疼痛不可忍。
没药 麒麟竭 当归（锉微炒） 芫花（炒成灰） 姜黄 金罗荜 凌霄花（以上各半
两） 麝香（一钱研细） 狗胆（二枚干者） 上为散。入研了药令匀。以醋煮面糊和为丸
如梧桐子大。不
芫花丸（出圣惠方）治产后恶血冲心。眼前黑暗。或生寒热。或时狂语。
或腹痛不可忍。
芫花 香墨 釜下墨 当归（切微炒） 姜黄 威灵仙（以上各一两） 砒黄（半两） 上
捣为末。生姜汁一盏同煎。熬药末为膏。入神曲末半两。和为丸如绿豆大。不计时候。煎当
归酒化下七丸。
治产后恶血冲心迷闷。（出圣惠方）
生地黄汁（半中盏） 凌霄根汁（半中盏） 槟榔（二枚锉） 羚羊角（半两为屑） 上
相和煎至七
又方（出圣惠方）
羚羊角（一两烧灰） 麝香（一钱） 上相和细研为散。不计时候以热酒调下一钱。
又方（出圣惠方）
黑豆（二合） 酸醋（一大盏） 上煎醋令极沸。然后投入黑豆煎三两沸。便滤出。每
用半合。或入前汤一合。相合温服。血虚者服之亦效。
又方（出圣惠方）
鸡子（一枚） 米泔（一合） 醋（二合） 上先煎醋及泔三两沸。入鸡子搅令匀。不
计时候服半
地黄饮子（出圣惠方）治产后恶血冲心。闷乱口干。
生地黄汁（三合） 藕汁（三合） 童子小便（三合） 上相和煎三两沸。分温二服。
益母散（出圣惠方）治产后恶血冲心。烦闷多渴。
益母草 干藕节 红花子（各一两） 上捣罗为散。每服三钱。以水一中盏。入生姜
半分。煎至六分。去滓不计时候温服。
疗产后恶血冲心。或胞衣不下。腹中血块等疾。（一名备急方出大全良方）
用大黄一两为末。以好醋半斤熬成膏。以药末搜膏为丸如梧桐子大。温醋汤吞五丸。良
久取下恶物。不可多服。亦治马坠内损者。及恶血不散。服之神效。
此药难用。大段虚弱。不可服。调药醋不宜太酸。恐伤肺脏。病家医者斟酌。
泽兰散 治产后因惊败血冲心。昏闷发狂。如有鬼祟。凡产前后诸病通治。
泽兰叶 石膏（研各二两） 白茯苓 卷柏 柏子（微炒另研） 防风 浓朴（制）
细辛（净） 桔梗 吴茱萸（泡炒各一两） 人参 本 干姜（炮） 五味子 白芷 川
椒（去合口者炒出汗） 黄 川乌（炮） 丹参（各三分） 当归（锉） 芜荑（炒赤） 甘
草（炙） 川芎 芍药（各一两三分） 生干地黄（一两半） 肉桂（一两一分） 白薇（半
两） 阿胶（半两炒） 上为细末。每服二钱。空心临卧热酒调下。加辰砂一匙。煎酸枣汤
调。一服安。
血竭散 治产后败血冲心。胸满气喘。命在须臾。宜服此。
真血竭（研） 上细末三钱。温酒调服。病势危笃者。尽二两可活。
产后败血冲心。皆因恶露不下。始则胸中微满。动加喘息者。为难治。产后所有诸方。
无如
膏蜜汤 主产后余血冲心。痛急欲死方。
猪膏（二分） 白蜜 生地黄（切各一升） 上膏煎地黄赤色出之。纳蜜和之。令调分
五服。日
紫金丹 治产后冲胀。胸中有物状。是噎气不调降。
代赭石 石〔各等分（案∶ 石之名不见药书。亦未详系何药的别名。）〕上为细
末。醋糊丸如桐子大。每服三五十丸。酒下。胸中痛加当归汤下。久服治血癖。
代赭石 桃仁（三钱炒去皮尖） 大黄（五钱） 上为末。薄荷水为丸如桐子大。每服
三五十丸
治产后血闷欲绝。
以乌芋捣汁服一升。
治产后血上薄心。闷绝伤身。
以生地黄捣汁饮之。
治卒恶血欲死。
以鸡苏一升煮服之。
(Attached Discussion)
Postpartum Qi deficiency accompanied by lingering cold. Cold qi contends with blood, causing the blood to coagulate and fail to dissipate. If Qi rebels upward, blood follows Qi rushing up, striking the Heart and causing heart pain. Whenever postpartum residual blood is not completely expelled, due to deficiency and cold it remains and knots; contending with Qi, it inevitably causes pain. If encountering prolonged cold, the blood knot becomes even more severe, transforming into a blood mass (Xue Jia), leading to menstrual obstruction and stagnation without flow. It is also said that residual blood rushing to the Heart is actually caused by improper diet, irregular living habits, and consumption of incompatible foods. As long as one treats according to the formulas, there will be no case that cannot be cured.
Formulas
Formula for treating postpartum敗血 (defeated blood) rushing to the Heart, presenting with fever, delirious speech, running about, and a large, deficient pulse. (From *Ba Cui Fang*)
Dried Lotus Leaf (*Nelumbinis Folium*), Dried Rehmanniae Radix (*Sheng Dihuang*), Moutan Cortex (*Mudan Pi*) (equal parts, quantity unrestricted). Decoct these strongly to make a soup, mix with two qian of Raw Cinnamon Seed Powder (*Sheng Puhuang*). One dose brings stability.
Si Wu Tang (Four Substances Decoction)
Juan He San (Rolled Lotus Leaf Powder) (From *Yi Fang Da Cheng*)
For treating postpartum blood rushing to the Heart, blood stabbing, fainting due to blood (*Xue Yun*), Qi and Blood abdominal pain, and slow expulsion of lochia.
Freshly opened Lotus Petiole Rolls (*Chu He Juan*), Safflower (*Hong Hua*), Angelica Sinensis Root (*Danggui*) (each 1 liang), Rhizoma Polygonati Odorati (*Puhuang*, finely stir-fried), Moutan Cortex (*Mudan Pi*) (0.5 liang). Grind into fine powder. Take 2 ping qian per dose.
He Ye San (Lotus Leaf Powder)
For treating residual blood remaining undissipated within seven days postpartum, occasionally rushing to the Heart, causing coma and inability to recognize people.
Lotus Leaf (*He Ye*, 6 fen), Corydalis Rhizome (*Yan Hu Suo*, 8 fen), Juice of Rehmanniae Radix (*Dihuang Zhi*, 2 fen). Add two sheng of water, decoct the three ingredients to obtain eight ge. Add Corydalis powder. Take on an empty stomach.
For treating postpartum residual blood attacking the Heart, or continuous bleeding below, chest oppression with cyanotic complexion, and sensation of cold air threatening extinction. (From *Zhou Hou Fang*)
Angelica Sinensis Root (*Danggui*), Cassia Twig (*Gui Xin*), Ligusticum Chuanxiong Rhizome (*Chuanxiong*), Evodia Fruit (*Wuzhuyu*), Tangerine Peel (*Jupi*), Fresh Ginger Shavings (*Shengjiang*), White Peony Root (*Shaoyao*) (each 3 liang). Chop the ingredients. Add three sheng of water, decoct to obtain one sheng. Remove dregs and take on an empty stomach.
For treating postpartum residual blood attacking the Heart. (From *Da Quan Liang Fang*)
Use aged white plums (*Chen Bai Mei*), crushed, decoct strongly in water and drink.
Jin Huang San (Golden Yellow Powder) (From *Da Quan Liang Fang*) For treating postpartum evil blood rushing to the Heart, with frequent episodes of irritability.
Corydalis Rhizome (*Yan Hu Suo*, 1 liang), Rhizoma Polygonati Odorati (*Puhuang*, 0.5 liang), Cassia Twig (*Gui Xin*, 1 fen). Grind into fine powder. Mix with cold decoction of Chinese Plum (*Wumei*) and take one qian.
Sheng Di Huang Tang (Rehmannia Decoction) (From *Da Quan Liang Fang*) For treating postpartum residual blood rushing to the Heart, causing vexation, oppression, and loss of consciousness. Immediately administer Child's Urine (*Tong Zi Xiao Bian*) and apply to the epigastrium, addressing cases of sleeping too quickly.
Rehmanniae Radix Preparata (*Sheng Dihuang*), Ligusticum Chuanxiong Rhizome (*Chuanxiong*) (each 1 liang), Aurantium Fructus Immaturus (*Zhi Ke*), White Peony Root (*Shaoyao*) (each 0.5 liang). Grind into powder. Take with wine using a square-inch spoon (*Fang Cun Bi*), three times daily.
Chi Long Lin San (Red Dragon Scale Powder)
Scales of Red Carp (*Chi Li Yu Lin*, 2 liang, calcined to ash), Blister Beetle (*Meng Chong*, 0.5 liang, lightly stir-fried until yellow, wings and feet removed), Dog Gallbladder (*Gou Dan*, 0.5 liang, dried), Rhizoma Polygonati Odorati (*Puhuang*, 0.5 liang), Disordered Hair (*Luan Fa*, 2 liang, calcined to ash), Moschus (*Shexiang*, 1 liang, finely ground). Grind all together until very fine. Take at any time, mixed with decoction of Fresh Ginger Shavings (*Shengjiang*) and Child's Urine (*Tong Zi Xiao Bian*), one qian.
Dragon's Blood (*Qilin Jie*, 3 liang), Myrrha (*Moyao*, 1 liang), Aucklandia Root (*Muxiang*, 1 liang), Hematite (*Daizhe Shi*, 0.5 liang), Moschus (*Shexiang*, 0.5 liang, finely ground). Pound and sieve into powder.
Moyao San (Myrrha Powder) For treating postpartum evil blood rushing to the Heart causing coma and unbearable pain.
Myrrha (*Moyao*), Dragon's Blood (*Qilin Jie*), Angelica Sinensis Root (*Danggui*, chopped and lightly stir-fried), Genkwa Flower (*Yuanhua*, stir-fried to ash), Turmeric Rhizome (*Jianghuang*), Jinluobi (*Jinluobi*), Campsis Grandiflora Flower (*Lingxiaohua*) (each 0.5 liang above), Moschus (*Shexiang*, 1 qian, finely ground), Dog Gallbladder (*Gou Dan*, 2 pieces, dried). Make into powder. Mix well with the ground medicine. Use vinegar-boiled wheat paste to form pills the size of Sophora seeds (*Wutongzi*).
Yuanhua Wan (Genkwa Pill) (From *Sheng Hui Fang*) For treating postpartum evil blood rushing to the Heart, causing visual darkness, alternating chills and fever, occasional delirious speech, or unbearable abdominal pain.
Genkwa Flower (*Yuanhua*), Fragrant Ink (*Xiang Mo*), Soot from the pot bottom (*Fu Xia Mo*), Angelica Sinensis Root (*Danggui*, sliced and lightly stir-fried), Turmeric Rhizome (*Jianghuang*), Spirit Vine (*Weilingxian*) (each 1 liang above), Arsenic Yellow (*Pi Huang*, 0.5 liang). Pound into powder. Decoct with one cup of Ginger Juice (*Shengjiang Zhi*). Boil the powder into a paste. Add half a liang of Medicated Leaven Powder (*Shenqu Mo*). Form pills the size of mung beans. Take at any time, dissolved in seven pills using Danggui Wine decoction.
For treating postpartum evil blood rushing to the Heart causing coma. (From *Sheng Hui Fang*)
Juice of Rehmanniae Radix Preparata (*Sheng Dihuang Zhi*, half zhong zhan), Juice of Campsis Radix (*Lingxiaogen Zhi*, half zhong zhan), Areca Seed (*Binglang*, 2 pieces, chopped), Antelope Horn (*Lingyangjiao*, 0.5 liang, shaved). Mix and decoct to seven parts.
Another Formula (From *Sheng Hui Fang*)
Antelope Horn (*Lingyangjiao*, 1 liang, calcined to ash), Moschus (*Shexiang*, 1 qian). Mix and grind finely into powder. Take one qian mixed with hot wine at any time.
Another Formula (From *Sheng Hui Fang*)
Black Soybean (*Heidou*, 2 he), Sour Vinegar (*Suan Cu*, one da zhan). Boil vinegar until extremely boiling. Then add black soybeans and boil for three boils. Strain out. Use half ge each time, or mix with one ge of the previous soup. Take warm. Effective for Blood deficiency as well.
Another Formula (From *Sheng Hui Fang*)
Egg (*Jizi*, one piece), Rice Wash Water (*Migan*, one he), Vinegar (*Cu*, 2 he). First boil vinegar and rice wash water for three boils. Crack egg in and stir evenly. Take half he at any time.
Di Huang Yin Zi (Rehmannia Drink) (From *Sheng Hui Fang*) For treating postpartum evil blood rushing to the Heart, causing vexation, confusion, and dry mouth.
Juice of Rehmanniae Radix Preparata (*Sheng Dihuang Zhi*, 3 he), Lotus Root Juice (*Ou Zhi*, 3 he), Child's Urine (*Tong Zi Xiao Bian*, 3 he). Mix and boil for three boils. Divide into two warm doses.
Yi Mu San (Motherwort Powder) (From *Sheng Hui Fang*) For treating postpartum evil blood rushing to the Heart, causing vexation and excessive thirst.
Motherwort Herb (*Yimucao*), Dried Lotus Root Node (*Gan Ou Jie*), Safflower Seed (*Honghuazi*) (each 1 liang). Pound and sieve into powder. Take three qian per dose. Add one zhong zhan of water and half fen of Fresh Ginger Shavings (*Shengjiang*). Decoct to six parts. Remove dregs and take warm at any time.
For treating postpartum evil blood rushing to the Heart, retained placenta (*Baoyi Bu Xia*), abdominal blood masses, etc. (Also known as Bei Ji Fang, From *Da Quan Liang Fang*)
Use Rhubarb (*Dahuang*) one liang as powder. Simmer half jin of good vinegar into a paste. Mix powder with paste to form pills the size of Sophora seeds (*Wutongzi*). Swallow five pills with warm vinegar soup. After a while, evil matter will be discharged. Do not take excessively. Also treats internal injury from horse falls, and undissipated evil blood; administration yields miraculous effects.
This medicine is difficult to use. Those with severe weakness should not take it. The vinegar used for mixing should not be too sour, lest it damage the Lung organ. Patients and physicians should exercise discretion.
Ze Lan San (Eupatorium Powder) For treating postpartum defeated blood rushing to the Heart due to fright, causing coma, confusion, and mania, as if possessed by spirits. Generally treats all diseases before and after childbirth.
Eupatorium Leaf (*Zelan Ye*), Gypsum Fibrosum (*Shigao*, ground, each 2 liang), Poria (*Baifuling*), Serpentine Stone Fern (*Juanbai*), Biota Seed (*Baizi*, lightly stir-fried and ground separately), Saposhnikovia Root (*Fangfeng*), Prepared Magnolia Bark (*Nongpo*), Cleaned Siberian Pricklyash Root (*Xixin*), Platycodon Root (*Jiegeng*), Evodia Fruit (*Wuzhuyu*, soaked and stir-fried, each 1 liang), Ginseng (*Renshen*), Ligusticum Wallichii Rhizome (*Ben*), Roasted Dried Ginger (*Ganjiang*), Schisandra Berry (*Wuweizi*), Angelica Dahurica Root (*Baizhi*), Sichuan Pepper (*Chuanjiao*, remove closed-mouth ones, stir-fry to sweat out moisture), Astragalus Root (*Huangqi*), Prepared Aconite Lateralis Radix (*Chuanwu*), Salvia Miltiorrhiza Root (*Danshen*) (each 3 fen), Angelica Sinensis Root (*Danggui*, chopped), Xanthium Seed (*Wuyi*, stir-fried red), Honey-fried Licorice Root (*Gancao*), Ligusticum Chuanxiong Rhizome (*Chuanxiong*), White Peony Root (*Shaoyao*) (each 1 liang 3 fen), Dried Rehmanniae Radix (*Sheng Gan Dihuang*, 1.5 liang), Cinnamon Bark (*Rougui*, 1 liang 1 fen), Anemarrhenae Rhizoma (*Baiwei*, 0.5 liang), Donkey-hide Gelatin (*Ejiao*, 0.5 liang, stir-fried). Grind into fine powder. Take two qian per dose, on an empty stomach and before sleep, mixed with hot wine. Add one spoon of Cinnabar (*Chensha*), mixed with Sour Jujube Seed (*Suanzaoren*) decoction. One dose brings peace.
Xuejie San (Dragon's Blood Powder) For treating postpartum defeated blood rushing to the Heart, causing chest fullness and panting, life hanging in the balance. This formula is suitable.
True Dragon's Blood (*Zhen Xuejie*, ground). Grind into fine powder, three qian. Take mixed with warm wine. In critical conditions, taking two liang can save life.
Postpartum defeated blood rushing to the Heart is always due to lochia not descending. Initially, there is slight chest fullness; if panting occurs upon movement, it is difficult to treat. Among all postpartum formulas, none are like... (Text seems incomplete here)
Gao Mi Tang (Fat and Honey Soup) Mainly for postpartum residual blood rushing to the Heart, causing urgent pain threatening death.
Pig Fat (*Zhugao*, 2 fen), White Honey (*Baimi*), Cut Rehmanniae Radix Preparata (*Sheng Dihuang*) (each 1 sheng). Decoct fat with Rehmannia until reddish, then remove. Mix in honey. Blend well and divide into five doses, daily... (Text seems incomplete here)
Zijin Dan (Purple Gold Pill) For treating postpartum distension and swelling, sensation of a mass in the chest, due to rebellious Qi failing to descend.
Hematite (*Daizhe Shi*), Shi... (Note: Name 'Shi' does not appear in materia medica books, nor is its alias clear.) (Equal parts above). Grind into fine powder. Form pills with vinegar paste the size of Sophora seeds (*Tongzi*). Take 30-50 pills per dose with wine. For chest pain, take with Danggui soup. Long-term use treats blood masses (*Xuexi*).
Hematite (*Daizhe Shi*), Peach Kernel (*Taoren*, 3 qian, stir-fried, skin and tip removed), Rhubarb (*Dahuang*, 5 qian). Grind into powder. Form pills with Mint Water (*Bohe Shui*) the size of Sophora seeds (*Tongzi*). Take 30-50 pills per dose.
For treating postpartum blood oppression threatening death.
Crush Water Chestnut (*Wuyu*) to extract juice, take one sheng.
For treating postpartum blood pressing on the Heart, causing coma and bodily harm.
Extract juice from fresh Rehmanniae Radix Preparata (*Sheng Dihuang*) and drink.
For treating sudden evil blood threatening death.
Decoct one sheng of Elsholtzia (*Jisu*) and take.