（附论）
夫产后心腹痛者。由产后气血俱虚。遇寒乘之。与血气相搏。随气上冲于心。或下攻于
腹。故令心腹痛也。若久痛不止。则变成疝症也。
方
白术散 治产后冷气攻心腹疼痛。四肢不和。不思饮食。
白术（三分） 木香（半两） 当归（锉微炒三分） 陈橘皮（汤浸去白瓤焙三分） 人
参（去芦头三分） 附子（炮裂去皮脐三分） 芎 （三分） 桂心（半两） 槟榔（半两）
干姜（炮裂去皮半两） 浓朴（去粗皮涂生姜汁炙香熟三分） 赤芍药（半两） 甘草（炙
微赤锉） 吴茱萸（汤浸七次焙干炒各一分） 上为粗散。每服三钱。以水一中盏。入枣三
枚。煎至六分去滓。不计时
芍药黄 汤 治产后心腹痛。
芍药（四两） 黄 白芷 桂心 生姜 人参 芎 当归 干地黄 甘草（各一两）
茯
三。千
芎 汤 疗产后心腹切痛。不能饮食。忽然往来寒热。
当归 川芎 黄芩 人参 甘草 芍药 防风 生姜（各三分） 大黄（二分可量人强
弱方
砂丸 治产后腹中有余血不散。致心腹疼痛。
砂（细研） 芫花（醋拌匀微炒令干各一两） 当归（锉微炒） 赤芍药 木香 没
药蓬莪术
丸即丸如豌豆大
羊肉当归汤 治产后腹中心下切痛。不能食。往来寒热。若中风。乏气力。
羊肉（二斤） 当归 黄芩（一方作黄 ） 芎 防风（一方作人参） 甘草（各二
两） 芍药
取三升去滓。分三服。一方以黄 代黄芩。白术代芍药。名大羊肉汤。一方以桂心代防风。
加大枣十七枚。
泽兰散 治产后气力瘦乏。心腹胀痛。
泽兰 熟干地黄（各一两） 当归（锉微炒） 赤芍药 桂心 白术 芎 （各三分） 甘
草（一
至六分去滓。不拘时候。稍热服。
芍药散 治产后血气不和。心腹 痛。痰逆。不思饮食。
赤芍药 当归（锉微炒） 桂心 川椒（去目并合口者微炒去汗各一两） 半夏（汤浸
七遍去滑）
一盏。入生姜
当归散 治产后气血不散。心腹刺痛。胀满喘促。
当归（锉微炒） 白术 木香（各三分） 川大黄（锉微炒） 鬼箭羽（各一两） 桂
心（半两锉）
次入酒一小盏。更煎三两沸。去滓。稍热服。
桂心散 治产后恶血未尽。心腹 痛。
桂心（一两） 水蛭（微炒） 牡丹 延胡索 硫黄（细研各半两） 上捣细罗为散。
不计时候。
芫花散 治产后心腹疼痛不可忍。
芫花（醋拌炒令干） 没药（各一两） 砂（细研） 当归（锉微炒各半两） 硫黄
（一分细研）
木香散 治产后内伤冷气。腹中及心下切痛。不能饮食。四肢无力。
木香 芎 赤芍药 白术 青橘皮（去瓤白浸汤各三分） 当归（一两半锉微炒） 甘
草（炙
为散。每服
桃仁散 治产后败血不散。上冲心腹痛不可忍。
桃仁（汤浸去皮尖双仁麸炒微黄） 桂心（各半两） 蓬莪术（三钱） 当归（一两锉
微炒） 上捣
定痛散 治产后心腹 痛不可忍。
当归（锉微炒） 赤芍药 芎 （各一两） 上捣细罗为散。不计时候。以热生姜酒调
下一钱
生地黄汁 藕汁 童子小便（各三合） 上同煎二三沸。分温三服。
蓬莪术丸 治产后心腹有宿冷疼痛。
蓬莪术（一两） 五灵脂（三两） 酽醋（一升） 上捣罗为末。以醋熬为膏。候可丸
即丸如梧桐
失笑散 治产后心腹痛欲死。百药不效。服此顿愈。
五灵脂（酒研淘去砂土） 蒲黄（各等分） 上为末。先用酸醋调下二钱。熬膏。入水
一盏。煎
茱萸酒 治产后心腹内外痛。
用吴茱萸一升。以酒三升。煎取一升。空心温二服。
治产后心腹痛。
产后心腹痛。不解慢 惶。鸡蛋酒调下。止痛了寻常。
[Supplementary Discussion]
Postpartum heart and abdominal pain arises because both Qi (vital energy) and Blood are deficient after childbirth. When cold pathogenic factors invade, they contend with Qi and Blood. Following the upward movement of Qi, it rushes to the Heart, or attacks downward into the Abdomen, thus causing pain in the heart and abdomen. If the pain persists for a long time, it may transform into Hernia syndrome (Hernia disorders).
Prescriptions:
Baizhu San (Atractylodes Macrocephala Powder): Treats pain in the heart and abdomen caused by attacking cold Qi postpartum, discomfort in the four limbs, and loss of appetite.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma, 3 fen), Muxiang (Aucklandiae Radix, 0.5 liang), Danggui (Angelicae Sinensis Radix, chopped and slightly stir-fried, 3 fen), Chenjupi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, baked, 3 fen), Renshen (Ginseng Radix, radix tip removed, 3 fen), Fuzi (Aconiti Lateralis Radix Praeparata, cracked by processing, skin and navel removed, 3 fen), Xiong (Ligustici Chuanxiong Rhizoma, 3 fen), Guixin (Cinnamomi Cortex, 0.5 liang), Binglang (Arecae Semen, 0.5 liang), Ganjiang (Zingiberis Rhizoma, cracked by processing, skin removed, 0.5 liang), Houpo (Magnoliae Officinalis Cortex, coarse bark removed, coated with fresh ginger juice, roasted until fragrant and cooked, 3 fen), Chi Shaoyao (Paeoniae Radix Rubra, 0.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma, roasted until slightly red and chopped), Wuzhuyu (Evodiae Fructus, soaked in water seven times, dried by baking and roasted, 1 fen each). The above ingredients are processed into a coarse powder. Each dose is 3 qian. Add one zhong zhan of water and three dates. Decoct until reduced to six parts, then remove the dregs. Take at any time.
Shaoyao Huangqi Tang (Peony and Astragalus Decoction): Treats postpartum heart and abdominal pain.
Ingredients: Shaoyao (Paeoniae Radix, 4 liang), Huangqi (Astragali Membranacei Radix), Baizhi (Angelicae Dahuricae Radix), Guixin (Cinnamomi Cortex), Shengjiang (Zingiberis Rhizoma Recens), Renshen (Ginseng Radix), Xiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Gadihuang (Rehmanniae Radix Preparata), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang each), Fuling (Poria, 3 liang).
Chuanxiong Tang (Ligusticum Chuanxiong Decoction): Treats severe cutting pain in the heart and abdomen postpartum, inability to eat, and sudden alternating chills and fever.
Ingredients: Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Huangqin (Scutellariae Radix), Renshen (Ginseng Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Shaoyao (Paeoniae Radix), Fangfeng (Saposhnikoviae Radix), Shengjiang (Zingiberis Rhizoma Recens, 3 fen each), Dahuang (Rhei Radix et Rhizoma, 2 fen, dosage adjusted according to patient's strength).
Naosha Wan (Realgar Pill): Treats residual blood in the abdomen postpartum that does not dissipate, causing heart and abdominal pain.
Ingredients: Naosha (Realgar, finely ground), Yuanhua (Genkwa Flos, mixed with vinegar, slightly roasted until dry, 1 liang each), Danggui (Angelicae Sinensis Radix, chopped and slightly stir-fried), Chi Shaoyao (Paeoniae Radix Rubra), Muxiang (Aucklandiae Radix), Moyao (Myrrha), Peng'e Zhu (Curcumae Phaeocaulis Rhizoma). Form pills the size of pea seeds.
Yangrou Danggui Tang (Mutton and Angelica Decoction): Treats severe cutting pain in the abdomen and epigastrium postpartum, inability to eat, alternating chills and fever. Also treats wind-stroke with fatigue and weakness.
Ingredients: Yangrou (Ovis Aries Meat, 2 jin), Danggui (Angelicae Sinensis Radix), Huangqin (Scutellariae Radix; another version uses Huangqi/Astragali Membranacei Radix), Xiong (Ligustici Chuanxiong Rhizoma), Fangfeng (Saposhnikoviae Radix; another version uses Renshen/Ginseng Radix), Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang each), Shaoyao (Paeoniae Radix). Decoct to obtain 3 sheng, remove dregs, and divide into three doses. Another version substitutes Huangqi for Huangqin, and Baizhu for Shaoyao, named Dayangrou Tang (Large Mutton Decoction). Another version substitutes Guixin for Fangfeng and adds seventeen large dates.
Zelan San (Lycopus Herb Powder): Treats postpartum physical emaciation and fatigue, heart and abdominal distension and pain.
Ingredients: Zelan (Lycopi Herba), Shu Dihuang (Rehmanniae Radix Preparata, 1 liang each), Danggui (Angelicae Sinensis Radix, chopped and slightly stir-fried), Chi Shaoyao (Paeoniae Radix Rubra), Guixin (Cinnamomi Cortex), Baizhu (Atractylodis Macrocephalae Rhizoma), Xiong (Ligustici Chuanxiong Rhizoma, 3 fen each), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang). Decoct until reduced to six parts, remove dregs. Take at any time, slightly warm.
Shaoyao San (Peony Powder): Treats disharmony of Qi and Blood postpartum, heart and abdominal pain, rebellious Phlegm, and loss of appetite.
Ingredients: Chi Shaoyao (Paeoniae Radix Rubra), Danggui (Angelicae Sinensis Radix, chopped and slightly stir-fried), Guixin (Cinnamomi Cortex), Chuanjiao (Zanthoxyli Pericarpium, eyes and closed-mouth ones removed, slightly roasted to remove sweat, 1 liang each), Banxia (Pinelliae Tuber, soaked in water seven times to remove slipperiness), Shengjiang (Zingiberis Rhizoma Recens, one zhan).
Danggui San (Angelica Powder): Treats non-dissipation of Qi and Blood postpartum, stabbing pain in the heart and abdomen, distension, fullness, and panting.
Ingredients: Danggui (Angelicae Sinensis Radix, chopped and slightly stir-fried), Baizhu (Atractylodis Macrocephalae Rhizoma), Muxiang (Aucklandiae Radix, 3 fen each), Chuan Dahuang (Rhei Radix et Rhizoma, chopped and slightly stir-fried), Guijianyu (Ardisiae Caulifloris Ramulus, 1 liang each), Guixin (Cinnamomi Cortex, half liang, chopped). Add a small zhan of wine, boil for two or three boils, remove dregs, and take while slightly warm.
Guixin San (Cinnamon Twig Powder): Treats incomplete expulsion of evil blood postpartum, heart and abdominal pain.
Ingredients: Guixin (Cinnamomi Cortex, 1 liang), Shuizhi (Hirudo, slightly roasted), Mudanpi (Moutan Cortex), Yanshusuo (Corydalis Rhizoma), Liuhuang (Sulfur, finely ground, half liang each). Pound and sieve into a powder. Take at any time.
Yuanhua San (Genkwa Flos Powder): Treats unbearable heart and abdominal pain postpartum.
Ingredients: Yuanhua (Genkwa Flos, mixed with vinegar and roasted until dry), Moyao (Myrrha, 1 liang each), Naosha (Realgar, finely ground), Danggui (Angelicae Sinensis Radix, chopped and slightly stir-fried, half liang each), Liuhuang (Sulfur, 1 fen, finely ground).
Muxiang San (Aucklandia Powder): Treats internal injury from cold Qi postpartum, severe cutting pain in the abdomen and epigastrium, inability to eat, and weakness in the four limbs.
Ingredients: Muxiang (Aucklandiae Radix), Xiong (Ligustici Chuanxiong Rhizoma), Chi Shaoyao (Paeoniae Radix Rubra), Baizhu (Atractylodis Macrocephalae Rhizoma), Qingjupi (Citri Reticulatae Pericarpium Viride, pulp removed, white part soaked in water, 3 fen each), Danggui (Angelicae Sinensis Radix, 1.5 liang, chopped and slightly stir-fried), Gancao (Glycyrrhizae Radix et Rhizoma, roasted). Process into a powder. Each dose... [Text missing].
Taoren San (Peach Kernel Powder): Treats postpartum failing blood that does not dissipate and rushes upward, causing unbearable heart and abdominal pain.
Ingredients: Taoren (Persicae Semen, soaked in water, skin and tips removed, double-kernel wheat bran roasted until slightly yellow), Guixin (Cinnamomi Cortex, half liang each), Peng'e Zhu (Curcumae Phaeocaulis Rhizoma, 3 qian), Danggui (Angelicae Sinensis Radix, 1 liang, chopped and slightly stir-fried). Pound... [Text missing].
Dingtong San (Pain-Relieving Powder): Treats unbearable heart and abdominal pain postpartum.
Ingredients: Danggui (Angelicae Sinensis Radix, chopped and slightly stir-fried), Chi Shaoyao (Paeoniae Radix Rubra), Xiong (Ligustici Chuanxiong Rhizoma, 1 liang each). Pound and sieve into a fine powder. Take at any time, mixing one qian with hot ginger wine.
Shengdihuang Zhi (Fresh Rehmannia Juice), Ou Zhi (Lotus Root Juice), Tongzi Xiaobian (Child's Urine, 3 he each). Boil together for two or three boils. Divide into three warm doses.
Peng'e Zhu Wan (Curcuma Phaeocaulis Pill): Treats lingering cold pain in the heart and abdomen postpartum.
Ingredients: Peng'e Zhu (Curcumae Phaeocaulis Rhizoma, 1 liang), Wulingzhi (Trogopterori Faeces, 3 liang), Yan Cu (Strong Vinegar, 1 sheng). Pound and sieve into powder. Simmer with vinegar to form a paste. When ready, form pills the size of paulownia seeds.
Shixiao San (Easy Smile Powder): Treats postpartum heart and abdominal pain so severe one feels like dying, unresponsive to other medicines. Taking this brings immediate recovery.
Ingredients: Wulingzhi (Trogopterori Faeces, studied in wine and washed to remove sand/earth), Puhuang (Typhae Pollen, equal parts). Process into powder. First, mix with sour vinegar and take 2 qian. Simmer into a paste. Add one zhan of water, decoct... [Text missing].
Zhuyu Jiu (Evodia Wine): Treats internal and external pain in the heart and abdomen postpartum.
Use 1 sheng of Wuzhuyu (Evodiae Fructus) and 3 sheng of wine. Decoct to obtain 1 sheng. Take warm on an empty stomach in two doses.
Treatment for Postpartum Heart and Abdominal Pain.
For postpartum heart and abdominal pain, do not be slow to act or panicked. Mix with egg and wine and take. It stops pain and returns to normal.