（附论）
凡妇人非止临产须忧。至于产后。大须将慎。危笃之至。其在于斯。勿以产时无他。乃
纵心恣意。无所不犯。犯时微若秋毫。感病广于嵩岱。何则。产后之病难治于余病也。妇人
产讫。五脏虚羸。惟得将补。不可转泻。若其有病。不须 药。若行 药。转更增虚。就中
更虚。向生路远。所以妇人产后百日以来。极须殷勤忧畏。勿纵心犯触及即便行房。若有所
犯。必身反强直。犹如角弓反张。名曰蓐风。则是其犯候也。若似角弓。命同转烛。凡妇人
皆患风气。脐下虚冷。莫不由此。早行房故也。
凡妇人坐产毕。且饮冷童子小便一盏。不得便卧。且宜闭目而坐。须臾方可扶上床仰卧。
不得侧卧。宜屈膝。未可伸足。高倚床头。浓铺茵褥。遮围四壁。使无孔隙。免被贼风。兼
时时令人以物从以 至脐下。使恶露不滞。如此三日可止。仍不可令多卧。如多卧。看承之
人宜频唤醒。旧说产妇分娩了。三日方可上床。若三日上床。则必就地睡卧。又岂可令产妇
近地气乎。才生产毕。且先研醋墨三分服之。一法云。不可服醋墨。有伤肺经成咳嗽之戒。
诚过虑也。然醋墨本破凝结之血。然不可用大酽之醋。仍不可太多。即不至伤肺。然所在不
同。亦有不吃者。更产后三日内。令产妇尝闻醋炭气或烧干漆烟。若无干漆。以破旧漆器烧
之。以防血迷、血逆、血晕不省之弊。夏月宜于房外烧砖。以醋沃置于房中。夏月房中不须
着火及煮粥煎药之类。分娩之后。须臾且食白粥一味。不可令大饱。频少与之为妙。逐日渐
增之。煮粥时。须是煮得如法。不用经宿者。又不可令温冷不调。恐留滞成疾。仍时与童子
小便一盏饮之。亦须预备小便。若遇夏月。以薄荷养之。新产后不问腹痛不痛。有病无病。
以童子小便以酒和半盏。温服五七服妙。一腊（七日也）之后。方可少进醇酒并些小盐味。
一法才产不得与酒。缘酒引血逆入四肢兼产母脏腑方虚。不禁酒力。热酒入腹。必至昏
闷。七日之后。少进些酒。不可多饮。如未出月间欲酒吃。或服药酒者。可用净黑豆一升。
炒至无烟。以无灰酒五升烧淋。仍加好羌活一两。洗净拍破同浸。尤妙。当用此酒下药。或
时时饮少许。可以避风邪、养气血、下恶露、行乳脉也。如产妇素不善饮酒。或夏月之间。
亦不许强饮。一腊之后。恐吃物无味。可烂煮羊肉。或雌鸡汁。略用滋味。作粥饮之。或吃
烂粥猪蹄肉。忌母猪及白蹄猪肉。不可过。今江浙间产妇多吃熟鸡子。云补益亦风俗也。三
日之后。方可少食温麦面。成肿疾因食面早也。凡吃物过多。恐成积滞。若未盈月。不宜多
语、喜笑、惊恐、忧惶、哭泣、思虑、恚怒。强起离床行动。久坐或作针线。用力工巧。恣
食生冷。粘粳米菜肥腻鱼腥之物。及不避防风寒。脱衣洗浴。或冷水洗濯。当时未觉。大损
盈月。凡言盈月者。谓满三月。非三十日也。不慎即成蓐劳。手脚及腰腿酸重冷痛。骨髓间
飕飕如冷风吹。虽有名医。亦不能疗。又不得夜间独处。缘去血心虚。恐有惊悸。切宜谨之。
所有血衣洗濯不得日中晒曝。免致邪祟侵伤。又不得濯足。恐血气攻下。又不得刮舌伤心。
刷齿及就下低头。皆成血逆血晕。此产家谨护之常法也。盈月之后。尤忌任意饮食。触冒风
寒。恣意喜怒。梳头。用力高声。作劳工巧。房欲及上高厕便溺之类。如此节养。摄至百 。
始得血气调和。脏腑平复自安帖。设不根据此。即致产后余疾矣。产妇心下坚大如旋盘。乃饮
水所作。名曰气分。盖妇人童幼至天癸未行之间。皆属少阴。天癸既行。皆从厥阴论之。天
癸已绝。乃属太阴经也。治胎产之病。从厥阴经。无犯胃气及上二焦。为之三禁。不可汗、
不可下、不可利小便。发汗者。同伤寒下早之证。利大便则脉数而已动于脾。利小便。则内
亡津液。胃中枯燥。制药之法。能不犯三禁。则营卫自和而寒热止矣。如发渴而用白虎。气
弱而用黄 。血刺痛而用当归。腹中疼而加芍药。大抵产病天行。从增损柴胡。杂证从增损
四物。宜详察脉证而用之。
方
当归散（出大全良方）疗产后气血俱虚。慎无大补。恐增客热。别致他病。
常
令恶露快利为
当归 芍药 川芎 黄芩（各一两） 白术（半两） 上为细末。温童子小便或酒调下
二
钱。如腹不痛。若米饮调之炒。
加减四物汤（便产须知）治产后血虚发热。或日间明了。暮则发热憎寒。
当归 川芎 生地黄 柴胡 上等分。每服三钱。水一大盏。煎至六分去滓。服。
薤白汤（出千金方）治产后胸中烦热逆气。
薤白 半夏 甘草 人参 知母（各二两） 石膏（四两） 栝蒌根（三两） 麦门冬
（半升）
上咀。以水一斗三升。煮取四升。去滓。分五服。日三夜二。热甚即加石膏、知母各一两。
一方无石膏。
疗如觉烦热。（便产须知）
用圆白半夏不拘多少。净洗汤泡七次。为末。如大豆纳鼻中。即醒。医学发明云。产前
寒热。小柴胡汤中去半夏。谓之黄龙汤主之。
治血气逆心烦满。（出肘后方）
用生竹皮一斤。水三升。煮取一升半。分为再服。
皂甲散 治产后不苏。
川楝皮 皂角树皮（各一斤） 皂角核（一合） 石莲（一合去心） 上为粗末。煎汤
乘热。
以物为定熏。通手洗于净房中。就熏洗处铺荐席。才洗了。次帛挹干。便吃玉露通真丸。热
酒下二丸。便仰睡。
芎归汤（一名立效散出百一选方）治妇人产后忽两乳伸长。细小如肠。垂坠
直
过小肚下。痛不可忍。危在须臾。名曰乳悬。兼治产后恶露不下。腹痛或下血太多。眩
晕不能支吾。妊娠胎动腹痛下血。
川芎 当归（各二斤） 上将芎归各半斤。 咀。于瓦器内用水浓煎。不拘时候多少。
温
服。余芎归各一斤半。锉作大块。用香炉慢火逐旋烧烟。安在病患面棹子下。要烟气直上不
绝。令病患低头。伏棹子上。将口鼻及病乳常吸烟气。直候用此一料药尽。看病证如何。或
未全安或略缩减。再用一料。如前法煎服及烧烟熏吸必安。如此二料已尽。虽两乳略缩上而
不能复旧者。用冷水磨蓖麻子一粒。于头顶心上涂。片时即洗去。则全安矣。此通真子秘方。
一方加缩砂。腹中刺痛加芍药。口干烦渴。加乌梅、麦门冬。发寒加干姜、白芍药。水停心
下。微有呕逆。加茯苓、生姜。虚烦不得眠。加人参、竹叶。大便闭涩。加熟地黄、橘皮、
杏仁。小便不利。加车前子。腹胁膨胀。加浓朴。血崩不止。加香附子。咳嗽痰多。加紫菀、
半夏、生姜。腰痛脚痛。加牛膝。心下疼痛。加延胡索。恶血不下。腰腹重痛。加牡丹皮煎
治妇人临产服催生药惊动太早。未当离经。而用力太过。以致育膜有伤。产后水道
中垂出玉绵一条。约三四尺长。牵引心腹痛不可忍。以手微动之。则痛苦欲绝。龙兴铁
柱观前有一产妇。患此。诸医皆用失笑散。虽略止痛。而不能得肉线离脱。后有一道人
来问证。因曰诸医用失笑散尽不瘥。但不能绝根。乃买老姜三斤。净洗不去皮。于石钵
内研烂。用清油二斤拌匀。入锅内焙熟。以油干焦为度。先用熟绢一段。约五尺长。折
作结方。令稳重妇人轻盛起肉线。使之屈曲作一团。纳于水道中。却用绢袋兜裹。油姜
稍湿敷在肉在线。熏。觉姜渐冷。又用熨斗火熨热。使之常有姜气。如姜气已过。除去
。又用心如此熏熨一日一夜。其线已缩大半。再用前法。越两日。其肉线尽入腹中。其
病全安。不复痛矣。却服失笑散、芎归汤补理。道人云。此乃魏夫人秘传怪病方。切不
可使肉线断作两截。一断则不可治。
当归散（出大全良方）治产后。补虚益血。
当归 羌活（各一两） 延胡索（半两） 上为细末。用猪腰子一只。切作片。以水一
盏。
入药末二钱。同煎至七分。同腰子吃。
蓬莪术散（出大全良方）治产后血海气虚。腹脏痛疼。心胸注闷。每遇经脉
行
。或多或少。
莪术 桃仁（去皮尖炒） 大黄（湿纸煨） 当归（炒各一两） 桂心 川芎 木香 牡
丹皮
延
疗产后大虚。心腹急痛。血气上抢。心气虚乏补益方。（出大全良方）
黄 白术 当归 甘草 人参（各二两） 生姜（四两） 上先以白羊肉三斤。去膜。
以
水一斗九升。煮肉取汁五升。后下诸药。更煎取三升。分温三服。
得胜丸 治妇人产后血气虚冷。腰腹大痛。便痢脓血。
川乌（炮去皮一两） 五灵脂（二两） 没药（二钱） 上为细末。醋糊为丸如豆大。
每服二
三十丸。食前酒下。
竹根汤（出千金方）治产后虚烦。
甘竹根（细切一斗五升） 上以水二斗。煮取七升。去滓。用小麦二升。大枣二十枚。复
煮麦熟三四沸。内甘草一两。麦门冬一升。汤成去滓。服五合。不瘥更服取瘥。短气亦服之。
苏麻粥（便产须知）治产后郁冒多汗。汗则大便秘。难于用药。唯此粥最
佳。
此粥不独产妇可服。老人诸虚人风秘皆可服。昔有老人年八十四岁。风秘。脏腑壅血。
气聚膈中。腹胀恶心。不喜食气。上攻头目神昏。进此药。气血结粪自下。诸病悉去。
紫苏子 大麻子（净洗各半两） 上为细研。用水再研。滤汁一盏。分二服。煮粥食。
淡竹茹汤 治产后虚烦。头痛。短气欲绝。心中闷乱不解。
生淡竹茹 麦门冬 小麦（各五升） 甘草（一两） 生姜（三两产宝用干葛一两） 大
枣
（十四枚产宝用石膏三两） 上 咀。以水一斗。煮竹茹、小麦。取八升。去滓。乃内诸药。
煮取二升。去滓。分二服。羸人分作三服。若有人参入一两。若无人参内茯苓一两半。亦佳。
人
芍药栀豉汤（出拔粹方）治产后虚闷不得眠。
芍药 当归 栀子（各五钱） 香豉（半合） 上如前修。产后伤寒。便同下后变证。
治产后烦渴潮热。（出危氏方）
用五苓散、枇杷叶去白毛蜜涂炙、麦门冬二十粒去心。煎汤服。（方见寒暑湿门中暑类）
（按
五苓散原方∶泽泻二两半。桂心一两。猪苓去皮。赤茯苓去皮。白术去芦。各一两半。上为
末。每服二钱。沸汤调下。不拘时候。服讫多饮热汤。汗出即愈。）
治产后心闷。手脚寒热。气力欲绝。血晕。连心头硬。及寒热不禁。
用接骨木破如算子一握。以水一升煎取半升。分温二服。或小便数。恶血不止。服之即
瘥。此木可煮三次。其力一般。此是起死人方。
治产后心闷。手足烦热。奄奄气欲绝。血晕心头硬。作热憎寒忍不禁。（出肘后
方）
用续断皮一握。锉。以水三升煎取一升。分三服。服。如人行二三里再服。无所忌。此
药救产后垂死。
治产后心闷。手足烦热。气力欲绝。血晕。心头硬。及寒热不禁。（出肘后方）
用延胡索炒捣为末。酒服一钱。亦治秽污不尽。腹满。
千金三物黄芩汤 治妇人在草蓐自发露得风。四肢苦烦热。头痛者。与小柴胡汤。
头不痛但
黄芩（一两） 苦参（二两） 干地黄（四两） 上以水八升煮取二升。温服一升。多
吐下虫。
肾气汤 治妇人病饮食如故。烦热不得卧。而反倚息者何也。师曰。此名转胞。不
得溺也。
干地黄（八两） 薯蓣（四两） 山茱萸（四两） 泽泻 茯苓（三两） 牡丹皮（三
两） 桂枝
附
人参当归散（出大全方）治产后去血过多。血虚则阴虚。阴虚生内热。其证
心
胸烦闷。呼吸
人参 当归 生干地黄 桂心 麦门冬（去心各一两） 白芍药（二两） 上 咀。每
服四
大钱。水二盏。先将粳米一合。淡竹叶十片。煎至一盏。去米、竹叶。入药并枣三枚。煎至
七分去滓。温服。虚甚者用熟地黄。食前服。一方。血热甚者。加生地黄。
产后荣血暴竭。（便产须知）
治妇人血噤失音。冲恶。
用钥匙以生姜醋小便煎服。弱体人煎汤服亦得。
用大剂芎归汤。
艾煎丸（出卫生家宝方）治妇人产后。血海虚弱。面无颜色。腹痛。身体倦
怠。
艾叶（去梗一斤） 干姜（半斤） 当归（四两洗） 白芍药（半斤） 熟干地黄（四
两洗） 附
子（二个炮去皮尖切） 上五味。各切细。用米醋五升煮干。取出。焙干为末。醋糊丸如桐
子
大
又方
小乌沉汤烧荔枝核灰研和服。
乌金散（卫生家宝）治妇人产后十八种疾。宜预服。不生诸病。
没药（半两生） 血余（半两男子者烧灰） 红花子（一分生） 伏龙肝（一分研） 当
归（半
两微炒） 赤龙鳞（半两用鱼鳞烧灰存性） 干柏叶（一分烂杵） 香墨（一分烧红米醋淬）
凌
霄（半两生） 上为末。每服二钱。热酒下。不拘时候。酒不宜多。
延胡索散（产经）治产后血气攻刺。腹痛不止。及新旧虚实痛不止。
当归（酒浸） 延胡索 赤芍药 蒲黄（纸隔炒） 桂（不见火去皮） 乳香（水研） 没
药
[Attached Discussion]
Generally speaking, for women, worry is required not only during labor. After childbirth, extreme caution and care are necessary. The most critical and dangerous conditions often arise at this time. Do not assume that because there were no complications during delivery that one can indulge desires and act recklessly without restraint. Although the initial transgression of taboos may be as minute as an autumn hair, the resulting illness can be as vast as Mount Song or Mount Tai. Why? Because diseases after childbirth are more difficult to treat than other illnesses. After a woman gives birth, her five zang organs become weak and emaciated; she should only receive tonification and must not undergo purgation. If she already has an ailment, medication is not needed; if medication is forced upon her, it will further increase her deficiency. In a state of increased deficiency, the path to recovery becomes distant. Therefore, within one hundred days postpartum, a woman must be diligent in her vigilance and fear, avoiding indulgence and contact with taboo factors, and certainly not engaging in sexual intercourse immediately. If such taboos are violated, the body will inevitably become stiff and rigid, resembling opisthotonos (arched back), known as "Chufeng" (Postpartum Wind). This is the manifestation of violating postpartum precautions. If the condition resembles opisthotonos, life becomes as precarious as a candle in the wind. Generally, women suffer from wind pathogens and cold deficiency in the umbilical region, all caused by early engagement in sexual intercourse.
After a woman completes sitting-style delivery, she should first drink one cup of cold urine from an uncircumcised boy. She must not lie down immediately but should sit with eyes closed for a moment before being helped onto the bed to lie supine. Side-lying is prohibited; knees should be flexed, and legs extended only gradually. The head should be propped high on the bed, with thick bedding provided. Surrounding walls should be sealed without gaps to prevent infiltration by "thief wind" (drafts). Simultaneously, someone should frequently apply warm compresses to the area below the navel to ensure lochia does not stagnate. This practice should continue for three days. The parturient should not sleep excessively; if she does, the caregiver should wake her frequently. Old sayings suggest that a woman should not get into bed for three days after delivery. If she waits three days to go to bed, she would have to sleep on the floor, which exposes her to earthy qi, which is inadvisable. Immediately after delivery, grind and administer three fen of vinegar-ink. Another method states: do not consume vinegar-ink, as it may damage the Lung meridian causing coughing. This is indeed an overcautious view. However, vinegar-ink is intended to break up coagulated blood; using overly strong vinegar or excessive amounts could harm the lungs, but moderate use avoids this. Customs vary, and some do not take it. Additionally, within three days postpartum, let the mother smell the smoke of burning charcoal with vinegar or burning dry lacquer. If dry lacquer is unavailable, burn old lacquerware to generate smoke, preventing blood confusion, rebellion, or syncope. In summer, heat bricks outside the room and place them inside with vinegar poured over them. In summer, avoid heating the room or cooking porridge/medicine inside. Shortly after delivery, consume plain white rice porridge initially, avoiding overeating; small, frequent meals are best. Gradually increase the amount daily. Ensure the porridge is cooked properly, avoiding overnight leftovers, and maintain appropriate temperature to prevent stagnation and disease. Continue providing one cup of uncircumcised boy's urine periodically. Prepare urine in advance; in summer, preserve it with mint. Regardless of abdominal pain or existing ailments immediately postpartum, mix half a cup of uncircumcised boy's urine with wine and take warm, five to seven times, which is beneficial. After one "la" (seven days), small amounts of pure wine and salt flavor may be introduced. Another view prohibits alcohol immediately postpartum because wine draws blood rebelliously into the limbs, and the mother's viscera are too weak to withstand its power; hot wine entering the stomach causes dizziness and coma. After seven days, small amounts of wine may be taken, but not excessively. If craving wine or medicinal wine before the month is complete, use one sheng of clean black beans, stir-fried until no smoke rises, soaked in five sheng of non-grain-alcohol wine, plus one liang of high-quality Qianghuo (Notopterygium Rhizome), washed and crushed, steeped together. This is excellent. Use this wine to administer pills or drink sparingly occasionally to dispel wind-cold, nourish qi and blood, discharge lochia, and promote lactation. If the mother is not accustomed to drinking or it is summer, do not force it. After one "la", food may seem tasteless; boil mutton thoroughly or use hen broth, adding slight seasoning, to make porridge. Or eat well-cooked porridge with pig trotters, avoiding sow meat and white trotter pork, in moderation. In Jiangsu and Zhejiang regions, it is customary for mothers to eat many boiled eggs for tonification. After three days, warm wheat flour noodles may be eaten in small amounts; eating noodles too early can cause swelling disorders. Overeating risks food stagnation. Within the first month, avoid excessive talking, laughing, fright, anxiety, crying, overthinking, and anger. Forcing oneself out of bed, sitting for long periods, doing needlework, or strenuous labor is harmful. Indulging in raw/cold foods, sticky glutinous rice, greasy vegetables, fish/meat, exposure to wind/cold, undressing for bathing, or washing with cold water may not show immediate effects but severely damages recovery during the confinement period. "Full month" refers to three months, not thirty days. Negligence leads to "Chulao" (Postpartum Labor Sickness), characterized by soreness, heaviness, cold pain in hands, feet, waist, and legs, and a sensation of cold wind blowing through the marrow. Even famous doctors cannot cure this. Avoid staying alone at night due to heart deficiency from blood loss, fearing palpitations. Wash blood-stained clothes but do not expose them to midday sun to avoid evil influences. Do not wash feet, fearing downward attack of qi and blood. Do not scrape the tongue (damaging the heart) or bend forward while brushing teeth, as these cause blood rebellion and syncope. These are standard precautions. After the full month, strictly avoid arbitrary diet, exposure to wind/cold, emotional excesses, vigorous hair combing, loud shouting, manual labor, sexual desire, climbing heights, or straining during urination/defecation. Such disciplined care maintains harmony of qi and blood and restoration of viscera until one hundred days pass. Failure to follow this results in residual postpartum diseases. A hard mass like a rotating plate under the heart in a mother is caused by drinking water and is named "Qi Fen" (Qi Division). Generally, from childhood until menstruation begins, women belong to the Shaoyin category. Once menstruation starts, they are discussed according to Jueyin. After menopause, they belong to the Taiyin meridian. Treating pregnancy and childbirth diseases follows the Jueyin meridian, avoiding the Stomach Qi and the Upper and Middle Jiao, known as the "Three Prohibitions": no sweating, no purgation, no promoting urination. Sweating mimics the syndrome of premature purgation in Cold Damage. Promoting bowel movements makes the pulse rapid and disturbs the Spleen. Promoting urination depletes internal fluids, causing dryness in the Stomach. Medication methods that avoid these three prohibitions allow Ying and Wei to harmonize and fever/chills to cease. For thirst, use Baihu Tang; for qi weakness, use Huangqi Tang; for stabbing blood pain, use Danggui; for abdominal pain, add Shaoyao. Generally, epidemic diseases in postpartum follow modified Chaihu Tang, while miscellaneous conditions follow modified Siwu Tang. Pulse and symptoms must be carefully observed.
[Formulas]
Danggui San (from *Daquan Liangfang*) treats combined qi and blood deficiency postpartum. Caution against heavy tonification to avoid increasing guest heat and causing other diseases. It ensures smooth lochia discharge.
Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Huangqin (Scutellariae Radix) (each 1 liang), Baizhu (Atractylodis Macrocephalae Rhizoma) (0.5 liang). Grind into fine powder. Take 2 qian, mixed with warm uncircumcised boy's urine or wine. If no abdominal pain, mix with rice water and roast.
Jiajian Siwu Tang (from *Bianchan XuZhi*) treats postpartum blood deficiency with fever, or clarity during the day followed by fever and aversion to cold at night.
Danggui, Chuanxiong, Shengdihuang (Rehmanniae Radix), Chaihu (Bupleuri Radix). Equal parts. Take 3 qian per dose, decoct in one da zhen (approx. 200ml) water until reduced to 6 fen, strain, and drink.
Xiebai Tang (from *Qianjin Fang*) treats postpartual chest烦热 (stifling heat) and rebellious qi.
Xiebai (Allii Macrostemonis Bulbus), Banxia (Pinelliae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Renshen (Ginseng Radix), Zhimu (Anemarrhenae Rhizoma) (each 2 liang), Shigao (Gypsum Fibrosum) (4 liang), Gualougen (Trichosanthis Radix) (3 liang), Maimendong (Ophiopogonis Radix) (0.5 sheng). Coarsely chop. Decoct in 13 sheng water to obtain 4 sheng, strain, divide into five doses. Take three times during the day and twice at night. If heat is severe, add 1 liang each of Shigao and Zhimu. One version excludes Shigao. To treat perceived stifling heat (*Bianchan XuZhi*): Use round white Banxia in any quantity, wash cleanly, soak in boiling water seven times, grind to powder. Insert amount the size of a soybean into the nose to restore consciousness. *Yixue Faming* states: For pre-partum chills and fever, remove Banxia from Xiaochaihu Tang, called Huanglong Tang.
Treats blood/qi rebellion causing chest vexation and fullness (from *Zhouhou Fang*).
Use 1 jin of fresh bamboo skin, decoct in 3 sheng water to obtain 1.5 sheng, divide into two doses.
Zaojia San treats postpartum unconsciousness.
Chuanlianpi (Toosendan Cortex), Zaojiaoshupi (Gleditsiae Sinensis Cortex) (each 1 jin), Zaojiaohé (Gleditsiae Sinensis Seed) (1 he), Shilian (Nelumbinis Semen) (1 he, remove plumule). Coarsely grind. Decoct soup while hot. Use for fumigation. Wash the private parts thoroughly in a clean room, lay mats at the washing site. After washing, dry with silk cloth, then take Yulu Tongzhen Wan, two pills with hot wine, then lie supine.
Xionggui Tang (also called Lixiao San, from *Baiyi Xuanfang*) treats sudden elongation of breasts postpartum, thin as intestines, hanging below the lower abdomen, unbearable pain, critical condition, named "Ruxuan" (Breast Suspension). Also treats lochia retention, abdominal pain, or excessive bleeding causing dizziness and collapse. Treats fetal movement pain and bleeding during pregnancy.
Chuanxiong, Danggui (each 2 jin). Take 0.5 jin each of Chuanxiong and Danggui, coarsely chop, decoct strongly in water in a clay pot. Drink warm at any time. Take remaining 1.5 jin each, cut into large pieces, slowly burn in an incense burner to produce smoke. Place under a table facing the patient. Patient lowers head, leans on table, inhaling smoke through mouth/nose and applying to affected breast until one dose is used. Reassess condition. If not fully recovered, repeat. After two doses, if breasts retract but don't return to normal, rub one castor bean (Bimazi) with cold water and apply to vertex, wash off shortly after, then full recovery. This is Master Tongzhen's secret formula. Add Shasaren if needed. Add Shaoyao for stabbing abdominal pain. Add Wumei and Maimendong for dry mouth/thirst. Add Ganjiang and Baishaoyao for chills. Add Fuling and Shengjiang for fluid retention in heart with mild nausea. Add Renshen and Zhuye for deficiency vexation insomnia. Add Shudihuang, Juapi, and Xingren for constipation. Add Cheqianzi for difficult urination. Add Houpo for abdominal/flank distension. Add Xiangfu for metrorrhagia. Add Ziwan, Banxia, and Shengjiang for cough with phlegm. Add Niuxi for low back/leg pain. Add Yanhusuo for epigastric pain. Add Mudanpi for retained blood with heavy/painful waist/abdomen.
Treating women who took too early labor-inducing drugs, exerting excessive force before natural expulsion, injuring membranes, resulting in a jade-like ribbon (3-4 chi long) protruding from the vaginal canal postpartum, pulling heart/abdominal pain unbearably. Moving it slightly causes agony. A case at Longxing Tiezhuguan involved a woman with this symptom. Physicians used Shixiao San, which relieved pain slightly but didn't detach the flesh ribbon. A Daoist asked about the case, noting Shixiao San failed to remove the root. He bought 3 jin old ginger, washed clean without peeling, pounded in stone mortar, mixed with 2 jin clear oil, baked in pot until oil dried and charred. Used a piece of cooked silk (~5 chi long), folded, held by a sturdy woman to gently lift the flesh ribbon, coil it, insert back into vaginal canal, wrap in silk bag, apply moistened oil-ginger paste to the area, fumigate. When ginger cooled, reheat with iron. Maintain ginger scent for a day and night. Ribbon shrunk significantly. Repeat method. Two days later, ribbon fully retracted, pain ceased. Then administer Shixiao San and Xionggui Tang for tonification. Daoist said this is Lady Wei's secret recipe for strange diseases. Never let the ribbon break in two, or it becomes incurable.
Danggui San (from *Daquan Liangfang*) treats postpartum deficiency, tonifying blood.
Danggui, Qianghuo (Notopterygii Rhizoma) (each 1 liang), Yanhusuo (Corydalis Rhizoma) (0.5 liang). Fine powder. Slice one pig kidney, decoct with 1 cup water and 2 qian powder until reduced to 0.7 cup. Eat with kidney.
Peng'ezhu San (from *Daquan Liangfang*) treats postpartum Blood Sea qi deficiency, abdominal organ pain, chest oppression. Irregular menstrual flow (amount varies).
Ezhu (Curcumae Rhizoma), Taoren (Persicae Semen, peeled/hulled/roasted), Dahuang (Rhei Radix et Rhizoma, baked in wet paper), Danggui (roasted, each 1 liang), Guixin (Cinnamomi Ramulus), Chuanxiong, Muxiang (Aucklandiae Radix), Mudanpi (Moutan Cortex), Yanhusuo.
Tonifying formula for postpartum great deficiency, acute heart/abdominal pain, qi/blood rushing upward, heart qi deficiency (from *Daquan Liangfang*).
Huangqi (Astragali Radix), Baizhu, Danggui, Gancao, Renshen (each 2 liang), Shengjiang (4 liang). First, boil 3 jin white mutton meat (remove membrane) in 19 sheng water to obtain 5 sheng juice. Add herbs, decoct to 3 sheng. Divide into three warm doses.
Desheng Wan treats postpartum blood/qi deficiency-cold, severe waist/abdominal pain, dysentery with pus/blood.
Chuanwu (Aconiti Radix, processed/peeled, 1 liang), Wulingzhi (Trogopterori Faeces) (2 liang), Moyao (Myrrha) (2 qian). Fine powder, paste with vinegar into pill size of beans. Take 20-30 pills before meals with wine.
Zhugen Tang (from *Qianjin Fang*) treats postpartum deficiency vexation.
Ganzhugen (Phragmitis Rhizoma, finely cut, 1.5 dou). Decoct in 2 dou water to obtain 7 sheng, strain. Add 2 sheng wheat, 20 dates, boil wheat until cooked (3-4 boils). Add 1 liang Gancao, 1 sheng Maimendong. Strain when done. Take 5 he. Repeat if not cured. Also for shortness of breath.
Suma Zhou (from *Bianchan XuZhi*) treats postpartum depression/sweating leading to constipation where medication is difficult. This porridge is best. Suitable for elderly with deficiency and wind-constipation. Case: 84-year-old man with wind-constipation, visceral congestion, qi accumulation in diaphragm, abdominal distension, nausea, aversion to food odor, ascending attack causing dizziness/coma. Took this medicine, qi/blood bound stool passed, all diseases resolved.
Zisu Zi (Perillae Fructus), Damazi (Cannabis Fructus) (cleaned, each 0.5 liang). Grind finely, grind again with water, filter to obtain 1 cup juice. Divide into two doses, cook with porridge.
Danzhuru Tang treats postpartum deficiency vexation, headache, shortness of breath nearing death, central chest oppression/confusion.
Sheng Danzhuru (Bambusae Folium), Maimendong, Xiaomai (Tritici Fructus) (each 5 sheng), Gancao (1 liang), Shengjiang (3 liang, *Chanbao* uses Gan Ge 1 liang), Dazao (14 pieces, *Chanbao* uses Shigao 3 liang). Coarsely chop. Decoct Bambusae and Tritici in 1 dou water to obtain 8 sheng, strain. Add other herbs, decoct to 2 sheng, strain. Divide into two doses. Weak patients divide into three. If Renshen available, add 1 liang; if not, add Fuling 1.5 liang.
Ren Shaoyao Zhichi Tang (from *Bacui Fang*) treats postpartum deficiency oppression insomnia.
Shaoyao, Danggui, Zhizi (Gardeniae Fructus) (each 5 qian), Xiangchi (Fermented Sojae Semen) (0.5 he). Prepare as above. Postpartum Cold Damage is similar to post-purgation transformation syndromes.
Treats postpartum vexation/thirst tidal fever (from *Weishi Fang*).
Use Wuling San, roasted Loquat Leaf (Loquata Folium, remove hairs, honey-roasted), 20 Maimendong (remove core). Decoct and drink. (Formula seen in Heat/Cold/Dampness chapter Sunstroke category).
(Note: Wuling San original formula: Zexie 2.5 liang, Guixin 1 liang, Zhuling (Polyporus), Chifuling (Poria cum Radix Pini), Baizhu (each 1.5 liang). Powder. Take 2 qian with boiling water. Drink freely. Drink hot water after taking, sweat indicates cure.)
Treats postpartum chest oppression, alternating cold/heat in limbs, exhaustion, blood syncope, hardness extending from heart, uncontrollable chills/fever.
Use 1 handful of broken Eucommia Bark (Jiegumu), decoct in 1 sheng water to obtain 0.5 sheng. Divide into two warm doses. Also for frequent urination or persistent lochia. This wood can be boiled three times with same efficacy. Called "Resurrection Formula".
Treats postpartum chest oppression, hot hands/feet, gasping near death, blood syncope with heart hardness, intolerable chills/fever (from *Zhouhou Fang*).
Use 1 handful of Xuduan (Dipsaci Radix) bark, chop, decoct in 3 sheng water to obtain 1 sheng. Divide into three doses. Re-dose after walking 2-3 li. No taboos. This medicine saves dying postpartum women.
Treats postpartum chest oppression, hot hands/feet, exhaustion, blood syncope, heart hardness, uncontrollable chills/fever (from *Zhouhou Fang*).
Use Yanhusuo, stir-fry, pound to powder. Take 1 qian with wine. Also treats incomplete expulsion of filth, abdominal fullness.
Qianjin Sanwu Huangqin Tang treats women exposed to wind in grass bedding, suffering limb heat/vexation, headache. Give Xiaochaihu Tang. If no headache but...
Huangqin (1 liang), Kushen (Sophorae Flavescentis Radix) (2 liang), Gadihuang (Rehmanniae Radix) (4 liang). Decoct in 8 sheng water to obtain 2 sheng. Warm take 1 sheng. Often expels worms via vomiting/stool.
Shenqi Tang treats women with normal appetite, vexation/heat preventing sleep, leaning to breathe. Master says: Named "Zhuanbao", inability to urinate.
Gadihuang (8 liang), Shuyu (Dioscoreae Rhizoma), Shanzhuyu (Corni Fructus), Zexie, Fuling (Poria) (each 3 liang), Mudanpi (3 liang), Guizhi (Cinnamomi Ramulus), Fuzi (Aconiti Lateralis Radix Praeparata).
Renshen Danggui San (from *Daquan Fang*) treats excessive blood loss postpartum, blood deficiency leading to yin deficiency, internal heat, chest oppression, breathing difficulties.
Renshen, Danggui, Sheng Gan Dihuang (Rehmanniae Radix), Guixin, Maimendong (removed core, each 1 liang), Baishaoyao (2 liang). Coarsely chop. Take 4 da qian per dose, 2 cups water. First decoct 1 he Jingmi (Oryza Sativa Germen) and 10 Danshuye (Discoraeae Repens Folium) to 1 cup, discard grain/leaves. Add herbs and 3 dates, decoct to 0.7 cup, strain, take warm. Severe deficiency use Shudihuang. Take before meals. One version adds Shengdihuang for severe blood heat.
Postpartum sudden depletion of Ying blood (*Bianchan XuZhi*).
Treats female aphasia due to blood clamping, shock/malignancy.
Decoct key with ginger, vinegar, and urine. Weak bodies can take decoction.
Use large dose of Xionggui Tang.
Ai Jian Wan (from *Weisheng Jiabao Fang*) treats postpartum Blood Sea weakness, pale face, abdominal pain, fatigue.
Aiye (Artemisiae Argyi Folium, remove stems, 1 jin), Ganjiang (Zingiberis Rhizoma) (0.5 jin), Danggui (4 liang, washed), Baishaoyao (0.5 jin), Shu Gan Dihuang (4 liang, washed), Fuzi (2 pieces, processed/peaked/cut). Five ingredients chopped finely. Boil in 5 sheng rice vinegar until dry. Remove, dry, powder, paste with vinegar into pills size of paulownia seeds.
Another method: Xiao Wuchen Tang, burn Lychee seed ash, mix and take.
Wujin San (*Weisheng Jiabao*) treats eighteen postpartum diseases, preventive use prevents various illnesses.
Moyao (0.5 liang, raw), Xueyu (Human Hair, male, burnt to ash, 0.5 liang), Honghua Zi (Carthami Flos, 1 fen, raw), Fulonggan (Dragon's Liver, 1 fen, ground), Danggui (0.5 liang, lightly fried), Chilonglin (Dragon Scale, fish scale burnt to ash retaining nature, 0.5 liang), Ganbaiye (Biota Top Folium, 1 fen, pounded), Xiangmo (Ink Stick, 1 fen, quenched in red rice vinegar), Lingxiao (Campsis Grandiflora Caulis, 0.5 liang, raw). Powder. Take 2 qian with hot wine, anytime. Wine should not be excessive.
Yanhusuo San (*Chanjing*) treats postpartum blood/qi stabbing pain, continuous abdominal pain, new/old/excess/deficiency pain.
Danggui (wine-soaked), Yanhusuo, Chishaoyao, Puhuang (Lygodii Spora, stir-fried between paper), Gui (Cinnamomi Ramulus, unburnt/peeled), Ruxiang (Olibanum, water-ground), Moyao.