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Within seven days postpartum, if lochia (postpartum discharge of blood) has not been completely expelled, decoctions should not be taken. Wait until the clots below the umbilicus dissipate before administering Mutton Soup. Cases with severe pain are exceptions to this rule.
After two or three days, Zelan Wan (Celandine Pill) may be taken according to the patient's condition. It is best to finish the pills by the end of the first month; otherwise, deficiency and damage will not recover. If the patient is extremely emaciated and incurable, Wushi Zelan Wan (Five-Stone Celandine Pill) should be administered. All women in confinement must take Zelan Wan for tonification. The method of administration requires waiting until after the seventh day; it must not be taken too early.
If postpartum recuperation was conducted properly, limbs are comfortable, and no diseases are present, Black God San (Heishen Powder) should still be taken for four doses. Slightly prepare some tonifying pills and powders. Do not take too much, lest medication cause illness. This must be guarded against. Examples include Siwu Tang (Four Substances Decoction), Sishun Lizhong Wan (Four-Compliant Regulating Middle Pill), Neibu Danggui Wan (Internal Nourishing Angelica Pill), and Danggui Jianzhong Tang (Angelica Building Middle Decoction). Or, if the parturient has abundant blood and qi, is giving birth for the first time, and feels chest oppression and discomfort, Qibao San (Seven-Treasure Powder) should be mixed and taken. If the patient is calm and comfortable, no medicine is needed. If after three days there is high fever and headache... (Text implies: if due to warm bed curtains, abundant qi, or frequent anger/joy, causing dizziness as if on a boat or in a carriage, and mental depression/dizziness, this is Blood Syncope/Xue Yun.) Immediately administer medicine for Blood Syncope for one or two doses. Careful supervision by attendants is still required. If porridge tastes bland and the patient feels weak and fatigued, take Sishun Lizhong Wan for one or two doses. If not so, no medicine is needed. If between two or three days there is intermittent pinching pain in the abdomen, this is "Child Pillow Pain" (Erzhen Tong). Medicine for treating Child Pillow Pain must be taken for one or two doses. If constipation occurs, or urination is difficult, do not use purgatives or diuretics because body fluids are depleted. Using such medicines would cause uncontrollable diarrhea, which is untreatable. Strictly avoid this. If constipation is severe and purgation is necessary, only then can Henuan Tang (Warming and Harmonizing Decoction) be taken to achieve passage.
Postpartum patients should frequently consume warm rice gruel. Eating too much generates heat, and heat causes blood stasis. After seven days, alcohol and small amounts of salt may be consumed. Mutton, pig trotters, and pig stomach should be boiled until soft. Sow pigs and white-hoofed pigs are contraindicated. Black chicken and eggs are suitable for warming the blood. Food intake should not be excessive, nor should raw, cold, fatty, or greasy foods be eaten, lest they form stagnation. Generally, normal delivery results only in the emptiness of the blood organs. Tonify the deficiency, generate good blood, transform bad blood, protect organ qi, and dispel wind pathogens.

Formulas
Dihuang Yangzhi Jian (Rehmannia and Mutton Fat Fritter) [from *Qianjin Fang*]: Treats women postpartum who wish to become plump and fair-skinned, regulating diet.
Yangrou Tang (Mutton Decoction) [from *Qianjin Fang*]: Treats postpartum deficiency and severe deficiency from Cold Damage, upper rising qi, abdominal pain accompanied by slight wind.
Fat mutton (2 jin; replace with gazelle meat if mutton is unavailable), Poria (3 liang), Astragalus (3 liang), Dried Ginger (3 liang), Licorice (2 liang), Angelica Pubescens (2 liang), Cassia Twig Heart (2 liang), Ginseng (2 liang), Ophiopogon (7 he), Fresh Rehmannia (5 liang), Jujube (12 pieces). Cut the ingredients. Boil in 2 dou of water, cook the meat, and collect the juice... [Text cuts off].

Chanhou Cu Mo (Postpartum Vinegar-Ink) [from *Daquan Liangfang*]: Take pine-soot ink, heat over charcoal fire until red hot, quench in rice vinegar. Repeat quenching seven times. Grind extremely fine, sieve through silk gauze. Immediately after childbirth, take 3 qian of vinegar-ink, mixed with urine from a young boy.

Sishun Lizhong Wan (Four-Compliant Regulating Middle Pill) [from *Qianjin Fang*]: Treats postpartum injury to both qi and blood, sudden deficiency of the five zang organs, emaciation of limbs, shortness of breath, and excessive sweating.
From childbirth until 100 days postpartum, take daily. Strengthens qi, tonifies deficiency, regulates organ qi, eliminates residual diseases, promotes digestion and appetite. Also treats postpartum organ deficiency and incessant vomiting.
Licorice (2 liang), Ginseng (1 liang), Atractylodes Macrocephala (1 liang), Dried Ginger (1 liang). Make into powder, honey-pill sized like paulownia seeds. Take 10 pills initially, increase to 20 pills, with warm rice drink, before meals. If just delivered, dissolve in urine from a young boy. Within seven days, take three times daily. The *Chanru Fang* states this is Dali Zhong Wan with double the amount of Licorice. However, its efficacy is greater than the four ingredients in equal proportions. It uses the sweet flavor to moderate the middle and excels at unblocking meridians. This pill is indispensable during the first month postpartum but unnecessary after. Ancient formulas for women's tonification include Da Zelan Wan, Xiao Baiwei Wan, Shugan Dihuang Wan, and Dasheng San. These contain many herbs, making them hard to obtain for lower-class families or rural areas. Moreover, true herbs are rare in pharmacies. It is better to substitute with Sishun Lizhong Wan, which covers more indications than Zelan Wan.
If postpartum and within the first month, consuming alcohol or medicine, prepare Black Bean Wine.
Roast 1 sheng of clean black beans until very cooked. Pour 5 sheng of clear wine over them. Add 1 liang of Notopterygium Rhizome for maceration. Drink occasionally. This wine can dispel wind pathogens, nourish blood, expel lochia, and promote lactation.

Danggui Renshen San (Angelica and Ginseng Powder): Treats postpartum deficiency and weakness, difficulty moving, pain, chest fullness, and loss of appetite.
Angelica Sinensis (0.5 liang), Atractylodes Macrocephala (0.5 liang), Scutellaria Baicalensis (0.5 liang), Peony (0.5 liang), Rhubarb (0.5 liang), Poria (0.5 liang), Tangerine Peel (0.5 liang), Ginseng (0.5 liang), Astragalus (0.5 liang), Magnolia Bark (processed with ginger, 0.5 liang), Szechwan Lovage Rhizome (0.3 qian), Cinnamon Bark (0.3 qian), Licorice (1 liang), Bitter Orange (4 qian, remove pith, stir-fry with bran). Make into powder. Take 3 qian with 1.5 cups of water and 3 slices of ginger. Decoct to 0.6 cup, strain, and take warm anytime. For constipation, take Hezhong Wan with this powder.

For new mothers:
Take one black rooster, prepare as food, stir-fry with five flavors until fragrant. Put into 2 sheng of wine, seal, and leave overnight. Drink. Promotes plumpness and fairness.

For new mothers:
Take one black hen and 2 sheng of black sesame seeds. Roast until yellow and fragrant, grind into powder. Add wine until consumed. Highly effective.

Buzhong Wan: Suitable for regular consumption.
Szechwan Lovage Rhizome (0.5 liang), White Peony Root (0.5 liang), Astragalus (0.5 liang), Angelica Sinensis (0.5 liang), Ginseng (0.5 liang), Tangerine Peel (0.5 liang), Atractylodes Macrocephala (1 liang), Rehmannia (1 liang). Make into powder, honey-pill sized like paulownia seeds. Take 57 pills with warm water.

Zixue Tang (Nourishing Blood Decoction): Nourishes Ying blood, tonifies various deficiencies in women, treats long-standing cold in the Sea of Blood.
Angelica Sinensis (2 liang), Szechwan Lovage Rhizome (2 liang), Peony (2 liang), Ginseng (2 liang), Ophiopogon (2 liang), Moutan Cortex (2 liang), Donkey-hide Gelatin (2 liang), Amber (3 qian, ground separately), Sour Jujube Seed (stir-fried, 2 liang), Licorice (2 liang), Cassia Twig Heart (2 liang), Pinellia Paste (2.5 liang). Make into coarse powder. Take 3 large qian with 1 cup of water and 3 slices of ginger. Decoct to 0.7 portion, strain, and take warm. Three times daily.

Dabao Sheng Wan: Harmonizes original qi, treats various diseases, nourishes Ying and Wei. Long-term use yields great benefits.
Ginseng (1 liang), Ligusticum Wallichii (1 liang), Poria (1 liang), Angelica Sinensis (1 liang), Dried Rehmannia (1 liang), Red Kaolin (0.5 liang), Angelica Dahurica (0.5 liang), Corydalis Yanhusuo (0.5 liang), Cinnamon Bark (0.5 liang), Anemone Radicle (0.5 liang), White Peony Root (0.5 liang), Szechwan Lovage Rhizome (0.5 liang), Licorice (0.5 liang), Moutan Cortex (0.5 liang), Myrrh (0.5 liang). Make into fine powder, mix with honey into pills size of bullet seeds. Take one pill dissolved in warm wine, before meals on an empty stomach.

Ziyin Dan (Nourishing Yin Pill): Nourishes blood and harmonizes qi, regulates Ying and Wei, builds flesh and skin, invigorates blood and preserves complexion. Long-term use greatly tonifies Chong and Ren meridians, regulates menstruation. Effects are miraculous and cannot be fully described.
Prepared Rehmannia (2 liang), Poria (2 liang), Ginseng (2 liang), Chrysanthemum Morifolium (1 liang), Lycium Fruit (1 liang), Astragalus (1 liang), Salvia Miltiorrhiza (1 liang), Biota Seed (stir-fried, 1 liang), White Peony Root (1 liang), Fresh Rehmannia (2 liang). Make into fine powder, mix with honey into pills size of paulownia seeds. Take 50-60 pills with rice drink.

Bazhen Tang (Eight-Treasure Decoction): Harmonizes Ying and Wei, regulates Yin and Yang, nourishes blood and qi, improves appetite.
Angelica Sinensis (equal parts), Szechwan Lovage Rhizome (equal parts), Red Peony Root (equal parts), Prepared Rehmannia (equal parts), Ginseng (equal parts), Poria (equal parts), Licorice (equal parts), Amomum Villosum (equal parts). Make into coarse powder. Take 3 qian with 1 large cup of water, 7 slices of ginger, and 3 pitted jujubes. Boil for 3-5 boils, strain, let cool slightly, take on empty stomach three times daily.

Renshen Yangxue Wan (Ginseng Blood-Nourishing Pill): Treats women with congenital weakness, qi and blood deficiency. Regular use tonifies Chong and Ren meridians, regulates blood vessels, resolves obstruction and breaks accumulation, clears pathogenic heat, removes cold bi syndrome, relieves middle tension and subcutaneous hardness, calms spirit, moistens complexion, unblocks qi and relieves stuffiness. Also treats abdominal colic during pregnancy, dry mouth and anorexia, metrorrhagia and vertigo, and extreme thinness after childbirth that does not return to normal.
Ginseng (1 liang), Red Peony Root (1 liang), Szechwan Lovage Rhizome (1 liang), Acorus Tatarinowii (1 liang, stir-fried, or alternatively Polyporus/Pollen Typhae), Angelica Sinensis (2 liang), Prepared Rehmannia (5 liang), Dark Plum Flesh (3 liang). Make into powder, mix with honey, pound thousands of times, form pills size of paulownia seeds. Take 50-100 pills with warm wine or rice soup, before meals.

Gongchen Dan (Supporting the Pole Pill): Treats young adults whose true qi is still weak due to congenital frailty, not senile decline. Warm-drying drugs should be strictly avoided. Do not assume excess yin just because of cold extremities. Such treatment will not cure the disease but cause serious illness. Tonifying formulas with many ingredients have subtle effects and are hard to see results. But by consolidating the primordial qi, allowing water to rise and fire to descend, the five zang organs will harmonize and hundred diseases will depart. This formula governs this principle.
Deer Antler Glue (prepared with butter, remove hair/skin/horn) (4 liang), Cornus Officinalis (fresh, fleshy, red) (4 liang), Angelica Sinensis (4 liang), Musk (0.5 liang, ground separately). Make into powder, mix muscin evenly, boil in wine with wheat paste to form pills size of paulownia seeds. Take 50-100 pills with warm wine or salt water.

Nuangong Wan (Warming Uterus Pill)
Angelica Sinensis (2 liang), Szechwan Lovage Rhizome (2 liang), Hematite (quench in vinegar seven times, 1 liang each), Aconite Carle (prepared, peeled, 2 liang), Cassia Twig Heart (2 liang). Make into fine powder, paste with wine into pills size of paulownia seeds. Take 30 pills with wine on empty stomach, 2-3 times daily, increase to 50-70 pills.

For postpartum without other symptoms:
Fat mutton (1 jin, remove fat) (2 liang), Ginger (6 liang), Astragalus (4 liang). Cut mutton, boil in 1 dou of water to get 8 sheng. Use meat broth to cook the three herbs to get 2.5 sheng. Divide into four warm doses. If lochia is incomplete, add Cassia Twig Heart (3 liang). If lochia is excessive, add Szechwan Lovage Rhizome (3 liang). If feeling qi stagnation, add Asarum (2 liang). If feeling heat, add Fresh Rehmannia Juice (2 he).

Case of Yi'an, Fifth Son of Minister Liu, wife of Vice Director of Court of Imperial Sacrifices Shuqian, Ms. Li. In spring of Zhongtong Year 3, she wanted to visit her parents but could not, leading to emotional disturbance. Due to labor, she experienced fatigue in limbs, restlessness with heat and aversion to cold, intermittent pain, anorexia, vomiting after eating, weak and short breath, lethargy, and desire to sleep. Physicians treated it as Cold Damage, using exterior-releasing and sweating methods. The next day, the condition transmitted. They used Xiao Chaihu Tang and Da Chaihu Tang. After ten-plus days, symptoms worsened. The family asked if it was another disease. The physician said it was Cold Damage transmitting through six channels, expecting sweat for recovery. Next day, nails turned slightly blue-black, legs to waist felt ice-cold, eyes looked up and fixed, throat uncomfortable, cold qi from lower abdomen rushed to heart causing pain, incessant vomiting, breath nearly gone. Considered incurable. Summoned me. I diagnosed pulse as deep, fine, and faint. This is insufficient Middle Qi, wrongly treated as Cold Damage. Exterior-releasing and interior-purging further damaged Middle Qi. The ruined pattern was evident. The mother wept and stepped aside, saying the illness was critical, asking for my utmost effort. I first prepared 1 liang of pungent-hot herbs, cut, for one dose. At night, the medicine was ready but she couldn't drink. I dripped it slowly. By midnight, she groaned slightly, body warmed, suddenly asked for porridge. Drank until dawn, ate porridge twice. Decocted and gave more. By noon, other physicians arrived, diagnosed pulse recovering and symptoms returning. Everyone rejoiced and left. Three days later, the mother said the patient had bowel obstruction. Someone suggested using Pi Yue Wan (Spleen Restriction Pill) to moisten. I said the previous pattern was cured by pungent-hot agents generating yang and retreating yin. Using Rhubarb purgative might cause cold mismatch and other complications. Others disagreed, used 20 Pi Yue Wan. That night, profuse diarrhea occurred. Next day, face turned green, spirit weak, vomiting returned. I again used pungent-hot agents to warm and cured it. Named Wenzhong Yiqi Tang (Warm Middle and Boost Qi Decoction) [from *Weisheng Baojian*].
Aconite Carle (prepared, peeled, navel removed, 5 qian), Dried Ginger (prepared, 5 qian), Clove (2 qian), Patchouli (2 qian), Evodia Fruit (1.5 qian), Roasted Licorice (3 qian), Angelica Sinensis (1 qian), Cardamom (2 qian), Alpinia Oxyphylla (2 qian), Ginseng (1.5 qian), Atractylodes Macrocephala (2 qian), Tangerine Peel... [Text implies: Pungent-hot. Assists yang, retreats yin, thus used as Sovereign. Cardamom, Alpinia, Clove, Patchouli, Evodia are pungent-hot, warm middle, stop vomiting as Ministers. Ginseng, Angelica, Atractylodes, Tangerine Peel, White Peony, Roasted Licorice are bitter-sweet-warm, tonify middle, boost qi, harmonize blood vessels as Assistants. Cut all ingredients. Take 5 qian with 2 cups of water, decoct to 1 cup, strain, take warm before meals. For chronic cases, take 1 liang.]

Yiwei Shengyang Tang (Benefit Stomach and Ascend Yang Decoction) [from *Weisheng Baojian*]: "Blood loss, benefit qi" is the excellent method of ancient sages. Tonify stomach qi to assist generating qi. Thus, "Yang generates, Yin grows." Sweet herbs are prioritized. The world thinks they only boost qi, not knowing sweet can generate blood, following the principle of Yang generating Yin. Thus, regulate stomach qi first. In the body, grain qi inside is precious.
Astragalus (2 qian), Ginseng (1.5 qian), Roasted Licorice (2 qian), Cimicifuga (0.5 qian), Bupleurum (0.5 qian), Atractylodes Macrocephala (3 qian), Angelica Sinensis Body (1 qian), Stir-fried Yeast (1.5 qian), Tangerine Peel (1 qian), Raw Scutellaria Baicalensis (0.5 qian, less in spring/summer, omit in autumn/winter). Cut all. Weigh 3 or 5 qian per dose, adjust based on food intake. If eating little, reduce within 3 qian, do not exceed food capacity. Take with 2 large cups of water, decoct to 1 cup, strain, take slightly warm. If abdominal pain, add Peony 0.3 qian (make 1 qian total, remove peel, add slight Cinnamon). If thirsty or dry mouth, add Kudzu Root 0.2 qian, anytime.

Wujin San (Black Gold Powder) [from *Daquan Liangfang*]: Treats various postpartum diseases, greatly tonifying.
Red Peony Root, Angelica Sinensis, Dried Ginger, Polygonum Multiflorum Stem (Puhuang), Licorice, Prepared Rehmannia. Each make 1 fen powder. Add 1 he of black beans, roast until fragrant and cooked, remove skin. Remove Puhuang, mix with other herbs, pound into powder. Stir-fry in silver vessel over slow fire until purple, then add Puhuang. If no other postpartum diseases, take 1 qian daily with bean-dripping wine, preventing future diseases. If slight discomfort, taking it cures immediately. For postpartum blood rebellion, chest oppression, and abdominal pain, one or two doses stop it immediately.

Wuji Jian (Black Chicken Fritter) [from *Yangshi Jiacang Fang*]: Treats postpartum approaching consumptive injury, disharmony of qi/blood/organs, emaciation, infertility, irregular menstruation...
Deer Antler Glue (wine-prepared), Cistanche Deserticola (wine-soaked overnight, sliced, dried, 3 liang each), Achyranthes Bidentata (wine-soaked overnight), Eucommia Bark (remove rough bark, soak in ginger juice, stir-fry), Cornus Officinalis, Szechwan Lovage Rhizome, Raspberry (1 liang each), Cinnamon Bark (1 liang), Dipsacus Asper, Angelica Sinensis, Prepared Rehmannia, Schisandra Chinensis (2 liang each), White Peony Root, Astragalus, Acanthopanax Senticosus (1 liang each). Make into fine powder. Use 1 jin black chicken, boil in wine until soft, grind into pills size of paulownia seeds. If too hard, add slight wine paste. Take 30 pills with warm wine or rice drink, before meals on empty stomach.

Lurong Bugan Wan (Deer Antler Liver-Tonifying Pill): Treats postpartum labor injury, insufficiency of qi/blood in Liver meridian, dizziness, palpitations, limb flaccidity, shortness of breath. Regular use tonifies five zang organs.
Deer Antler, Prepared Rehmannia (1.5 liang, wash/dry), Angelica Sinensis (wash/dry), Atractylodes Macrocephala, Astragalus (honey-roasted), Aconite Carle (prepared, peeled/navel removed, 1 liang each), Biota Seed, Dendrobium (remove roots), Bitter Orange (remove pith, stir-fry with bran, 0.3 fen), Poria (remove skin), Raspberry, Sour Jujube Seed (stir-fried), Agarwood, Cinnamon Bark (remove rough bark, 0.5 fen each). Make into fine powder, honey-pill size of paulownia seeds. Take 50 pills with warm wine or rice drink, before meals on empty stomach.

Neijin Lurong Wan (Internal Golden Deer Antler Pill): Treats postpartum labor injury to blood vessels, cold in uterine collaterals, cloudy urine day and night, umbilical/abdominal pain, weak waist/knees.
Chicken Gizzard Membrane, Deer Antler, Astragalus (honey-roasted), Oyster Shell (fire-baked), Schisandra Chinensis, Aconite Carle (prepared, peeled/navel removed), Cistanche Deserticola (wine-soaked), Dragon Bone, Polygala Tenuifolia (remove heart), Sangjiaosheng (each equal parts). Make into fine powder, honey-pill size of paulownia seeds. Take 30 pills with warm wine or rice drink, before meals on empty stomach.

Antai Heqi Yin (Fetus-Securing and Qi-Harmonizing Decoction) [from *Ruyi Fang*]: Treats postpartum labor injury, weak intestines/stomach, diarrhea, borborygmus.
Chinese Fructus Litseae (1 liang), Atractylodes Macrocephala (1 liang), Tangerine Peel, Galangal, Aucklandia Costus, White Peony Root, Old Rice, Licorice (0.5 liang each). Cut. Use 2 cups water, add Aconite, Angelica, Ginseng. Decoct to 0.7 portion, strain, take warm.

Shenxian Sippei Wan (Immortal Four-Pair Pill) [from *Weishi Fang*]: Treats postpartum qi/blood insufficiency, sallow complexion. Regular use preserves youth, nourishes blood, calms spirit, opens stomach, promotes eating.
Ginseng (1 liang), Atractylodes Macrocephala (2 liang), Angelica Sinensis (2 liang, washed), Prepared Rehmannia (4 liang, washed). Make into powder, honey-pill size of bullet seed. Take one pill, chew with rice drink. If not chewing, make pills size of paulownia seeds, take 50 pills with rice drink or warm wine. Take on empty stomach.

Zengsun Zelan Wan (Modified Celandine Pill) [from *Qianjin Fang*]: Treats hundred diseases postpartum, regulates blood/qi, tonifies labor.
Celandine, Licorice, Angelica Sinensis, Szechwan Lovage Rhizome, Aconite Carle, Dried Ginger, Atractylodes Macrocephala, Angelica Dahurica, Cassia Twig Heart, Asarum (1 liang each), Saposhnikovia Divaricata, Ginseng, Achyranthes Bidentata (10 liang each), Biota Seed, Dried Rehmannia, Dendrobium (36 zhu each), Magnolia Bark, Ligusticum Wallichii, Xanthium Fruit (0.5 liang each), Ophiopogon (1 liang). Twenty ingredients make powder, mix with honey into pills size of paulownia seeds. Take 15-20 pills with wine on empty stomach.

Another Formula [from *Zhouhou Fang*]
Use 1 jin mutton, 1.1 dou water, boil to 7 sheng, remove meat. Add 5 liang ginger, 3 liang Angelica Sinensis, extract 3 sheng. Divide into four doses.