（附论）
夫产后腹痛及泄痢者何。答曰。产后脾胃虚怯。寒邪易侵。若未盈月。饮冷当风。风冷
乘虚
或下赤
之谨之
产后气血俱虚。饮食易为伤动。脾胃不和。水谷不化。故腹满肠鸣而为泄泻。更遇寒气。
则
方
加味五积散 治产后因食动伤。腹痛至甚。水谷不化。洞泻肠鸣。
五积散除麻黄。加高良姜。附子。生姜。乌梅。红枣煎服。效。
地榆散 治产后泄泻不止。烦渴困倦。不思饮食。
地榆 桂 草豆蔻 黄连（各二分去须） 槟榔（锉） 当归（切） 肉豆蔻（去壳） 阿
胶（炒）
二钱。温酒调下。
附子丸 治产后虚冷。泄泻不止。脏腑冷痛。腹胀满闷。
附子（炮裂去皮脐） 木香（炮） 当归（切炒） 甘草（炙） 干姜（炮） 芍药（各
半两） 浓朴（去粗皮生姜汁炙锉） 吴茱萸（各一两） 陈皮（去白） 诃黎勒（炮去核
三分） 黄连（去须一两
丸。米饮下。食前服。
龙骨丸 治产后日久泄泻。倦怠烦渴。
龙骨 甘草（炙） 赤石脂 乌梅肉（炒） 人参 黄芩（去黑心） 枳壳（去瓤） 赤
茯苓（各半
米饮下。食前
阿胶丸 治产后虚冷洞下。心腹绞痛。兼泄泻不止。
阿胶（四两） 人参 甘草 龙骨 桂心 干地黄 白术 黄连 当归 附子（各二两）
上为
调中汤 治产后腹痛。又泻痢。或成赤白。或洞泻肠鸣。
高良姜 当归 桂心 芍药 附子 川芎（各一两） 甘草（半两） 上为粗末。每服
三钱。水
评曰。产后下痢。非止一证。当随所因而调之。既云饮冷当风。何所不至。寒热风湿。
本属外因。喜怒忧思。还从自性。况劳逸饥饱。皆能致病。若其洞泄。可服调中汤。赤白滞
下。
阿胶丸 治产后泄泻。肠滑不止。
阿胶（炒） 黄柏（去粗皮） 人参 干姜 当归 酸石榴皮（各一两） 上为末。麸
糊和丸梧桐
白垩丸 治产后冷滑泄泻不止。
白垩（火烧一两） 赤茯苓（去黑皮） 生地黄（焙） 干姜（炮） 陈皮（去白各半
两） 上为末。
浓朴汤 治产后泄泻久不止。不思饮食。
浓朴（姜汁炙二两） 生地黄（焙） 苍术（各一两） 当归（三分） 酸石榴皮（半
两） 上为散。
人参丸 治产后泻痢不止。
人参 草豆蔻 诃黎勒（炮去核） 甘草（炙各一两） 白矾（熬令汁尽半两） 上为
末。面糊和
木香汤 治产后热痢不止。
木香 黄连（去须各一两） 诃黎勒皮（炮三分） 龙骨（火烧红半两） 浓朴（去粗
皮姜汁三分）
浓朴汤 治产后泄泻不止。
浓朴（去粗皮姜汁炙锉） 干姜（炮） 白术（各一两） 甘草（炙半两） 陈皮（去
白三分） 上
四君子汤 治产后腹微疼。泄泻不止。
四君子汤用陈米煎汤调下。
赤石脂丸 治产后久泻不止。
赤石脂 人参（各一两） 干姜（炮半两） 龙骨（二分） 上为末。面糊和丸梧桐子
大。每服三
四胜丸 治产后水泻不止。
代赭 干姜 龙骨（各一两） 附子（去皮脐三分） 上为末。面糊和丸梧桐子大。每
服二十丸
熟艾丸 治产后冷泻。日久不止。
熟艾（四两） 附子（去皮脐） 陈皮（去白） 干姜（各一两） 上为末。面糊丸梧
桐子大。每服
肉豆蔻散 治产后冷泻不止。
肉豆蔻（一两） 生姜（三合汁） 细面（二两） 上二味。用姜汁调作饼子。慢火炙
干。再焙。
治产后腹痛泻痢。及肠胃虚怯。寒邪易侵。若未盈月。饮冷当风。风冷乘虚袭于肓
膜。散于
生姜自然汁（二分） 浓米饮（一分） 上调匀。放温。先以温米饮一二口通咽路。却
取汁不住
的奇散 治产后泄泻。恶露不行。此余血渗入大肠为泻。分过则愈。虽洞泄不禁。
下青黑色
用荆芥大者四五穗。于盏内燃火烧成灰。不得犯油火。入麝香少许。研。沸汤一两呷调
下。
治产后泄泻不止。脐腹撮痛方。
白矾（烧汁尽） 附子（去皮脐各二两） 上为末。炼蜜和丸如梧桐子大。每服十丸。
温米饮下
浓朴汤 治产后泄泻。腹痛呕逆不能食。
浓朴（去粗皮姜汁制二两） 白术（炒一两） 上捣筛。每服五钱。水一盏半。煎八分
去滓。空
治产后泄泻不止。
用艾子一两。微炒为末。每服一钱。温酒调下。
疗产后遗粪。
矾石（枯） 牡蛎（熬各等分） 上为末。酒饮服方寸匕。每日服三次。此方男子极神
效。可治
疗产后出粪不知遗时。
白蔹 芍药（各等分） 上为末方寸匕。酒服。
疗产后遗粪。
取故燕窠中草。烧为末。以酒调下半钱。亦治男子。
[Attached Discussion]
Q: What are the causes of abdominal pain, diarrhea, and dysentery occurring after childbirth?
A: After childbirth, the Spleen and Stomach are deficient and weak, making them susceptible to invasion by Cold pathogenic factors. If within one month postpartum, cold drinks are consumed or exposure to wind occurs, Wind-Cold pathogens invade due to deficiency, leading to dysentery with bloody stools (Chibai). Caution is advised.
Postpartum Qi and Blood are both deficient; dietary intake easily damages the Spleen and Stomach, causing disharmony between the Spleen and Stomach and failure to transform food and fluids. Consequently, abdominal distension, borborygmus, and diarrhea occur. If further exposed to Cold, the condition worsens.
Jiawei Wuji San (Modified Five Accumulations Powder): Treats postpartum injury caused by improper diet, severe abdominal pain, failure to digest food and fluids, profuse watery diarrhea with borborygmus.
Composition: Remove Ephedrae Herba (Mahuang) from Wuji San (Five Accumulations Decoction), add Alpiniae Officinarum Rhizoma (Gaoliangjiang), Aconiti Lateralis Radix Praeparata (Fuzi), Zingiberis Rhizoma Recens (Shengjiang), Mume Fructus (Wumei), and Jujubae Fructus (Hongzao). Decoct and take orally. Effective.
Diyu San (Sanguisorba Powder): Treats persistent postpartum diarrhea accompanied by irritability, thirst, fatigue, and anorexia.
Composition: Sanguisorbae Radix (Diyu), Cinnamomi Ramulus (Gui), Cardamomi Fructus (Caodoukou), Coptidis Rhizoma (Huanglian) [each 2 fen, remove stamens], Arecae Semen (Binglang) [crushed], Angelicae Sinensis Radix (Danggui) [sliced], Myristicae Semen (Roudoukou) [dehulled], Colla Corii Asini (Ejiao) [stir-fried]. Grind into fine powder. Take 2 qian each time, mixed with warm wine.
Fuzi Wan (Aconite Pill): Treats postpartum deficiency-cold, persistent diarrhea, cold pain in the viscera, and abdominal fullness/stuffiness.
Composition: Aconiti Lateralis Radix Praeparata (Fuzi) [processed, cracked, skin and umbilicus removed], Aucklandiae Radix (Muxiang) [processed], Angelicae Sinensis Radix (Danggui) [sliced and stir-fried], Glycyrrhizae Radix et Rhizoma (Gancao) [honey-fried], Zingiberis Rhizoma (Ganjiang) [processed], Paeoniae Radix (Shaoyao) [each 0.5 liang], Magnoliae Officinalis Cortex (N Houpu) [bark removed, processed with ginger juice and crushed], Evodiae Fructus (Wuzhuyu) [each 1 liang], Citri Reticulatae Pericarpium (Chenpi) [albedo removed], Chebulae Fructus (Helile) [processed, pitted, 3 fen], Coptidis Rhizoma (Huanglian) [remove stamens, 1 liang]. Mix and form pills. Take with rice water before meals.
Longgu Wan (Dragon Bone Pill): Treats prolonged postpartum diarrhea, fatigue, irritability, and thirst.
Composition: Os Draconis et Mastodi (Longgu), Glycyrrhizae Radix et Rhizoma (Gancao) [honey-fried], Halloysit Rubrum (Chishizhi), Mesgae Pruni (Wumei Rou) [stir-fried], Ginseng Radix et Rhizoma (Renshen), Scutellariae Radix (Huangqin) [remove black heart], Aurantii Fructus Immaturus (Zhiqiao) [pith removed], Poria cum Radix (Chifuling) [each 0.5 liang]. Mix and form pills. Take with rice water before meals.
Ejiao Wan (Donkey-hide Gelatin Pill): Treats postpartum deficiency-cold causing profuse watery diarrhea, colicky pain in the heart and abdomen, accompanied by persistent diarrhea.
Composition: Colla Corii Asini (Ejiao) [4 liang], Ginseng Radix et Rhizoma (Renshen), Glycyrrhizae Radix et Rhizoma (Gancao), Os Draconis et Mastodi (Longgu), Cinnamomi Cortex (Guixin), Rehmanniae Radix Preparata (Shengdihuang), Atractylodis Macrocephalae Rhizoma (Baizhu), Coptidis Rhizoma (Huanglian), Angelicae Sinensis Radix (Danggui), Aconiti Lateralis Radix Praeparata (Fuzi) [each 2 liang]. Mix and form pills. Take with rice water.
Tiaozhong Tang (Regulate the Middle Decoction): Treats postpartum abdominal pain accompanied by diarrhea and dysentery, presenting as red and white stool, or profuse watery diarrhea with borborygmus.
Composition: Alpiniae Officinarum Rhizoma (Gaoliangjiang), Angelicae Sinensis Radix (Danggui), Cinnamomi Cortex (Guixin), Paeoniae Radix (Shaoyao), Aconiti Lateralis Radix Praeparata (Fuzi), Chuanxiong Rhizoma (Chuanxiong) [each 1 liang], Glycyrrhizae Radix et Rhizoma (Gancao) [0.5 liang]. Grind into coarse powder. Take 3 qian each time, decoct in water.
Commentary: Postpartum dysentery is not a single syndrome; treatment must follow the specific etiology. Since drinking cold and exposure to wind are mentioned, various pathogens may arise. Cold, Heat, Wind, and Dampness belong to external causes; Joy, Anger, Worry, and Thought stem from internal nature. Moreover, overexertion or lack thereof, hunger, and satiety can all cause disease. For profuse watery diarrhea, Tiaozhong Tang may be used; for red and white dysentery, other measures are required.
Ejiao Wan (Donkey-hide Gelatin Pill): Treats postpartum diarrhea with intestinal slippage and persistence.
Composition: Colla Corii Asini (Ejiao) [stir-fried], Phellodendri Cortex (Huangbai) [rough bark removed], Ginseng Radix et Rhizoma (Renshen), Zingiberis Rhizoma (Ganjiang), Angelicae Sinensis Radix (Danggui), Punicae Granati Pericarpium (Suan Shiliupi) [each 1 liang]. Grind into powder, mix with wheat bran paste to form pills the size of phoenix seeds.
Baie Wan (Kaolin Pill): Treats persistent cold-slippery diarrhea postpartum.
Composition: Kaolinite (Baie) [fired, 1 liang], Poria cum Radix (Chifuling) [black skin removed), Rehmanniae Radix (Shengdihuang) [roasted], Zingiberis Rhizoma (Ganjiang) [processed], Citri Reticulatae Pericarpium (Chenpi) [albedo removed, each 0.5 liang]. Grind into powder. Take with rice water.
N Houpu Tang (Magnolia Bark Decoction): Treats persistent postpartum diarrhea lasting long, with anorexia.
Composition: Magnoliae Officinalis Cortex (N Houpu) [processed with ginger juice, 2 liang], Rehmanniae Radix (Shengdihuang) [roasted], Atractylodis Rhizoma (Cangzhu) [each 1 liang], Angelicae Sinensis Radix (Danggui) [3 fen], Punicae Granati Pericarpium (Suan Shiliupi) [0.5 liang]. Grind into powder.
Renshen Wan (Ginseng Pill): Treats persistent postpartum diarrhea and dysentery.
Composition: Ginseng Radix et Rhizoma (Renshen), Cardamomi Fructus (Caodoukou), Chebulae Fructus (Helile) [processed, pitted], Glycyrrhizae Radix et Rhizoma (Gancao) [honey-fried, each 1 liang], Alum (Baifan) [boiled until liquid is gone, 0.5 liang]. Grind into powder, mix with flour paste to form pills.
Muxiang Tang (Aucklandia Decoction): Treats persistent postpartum heat-dysentery.
Composition: Aucklandiae Radix (Muxiang), Coptidis Rhizoma (Huanglian) [remove stamens, each 1 liang], Chebulae Fructus Cortex (Helile Pi) [processed, 3 fen], Os Draconis et Mastodi (Longgu) [fired red, 0.5 liang], Magnoliae Officinalis Cortex (N Houpu) [bark removed, processed with ginger juice, 3 fen]. Grind into powder, decoct in water.
N Houpu Tang (Magnolia Bark Decoction): Treats persistent postpartum diarrhea.
Composition: Magnoliae Officinalis Cortex (N Houpu) [bark removed, processed with ginger juice and crushed], Zingiberis Rhizoma (Ganjiang) [processed], Atractylodis Macrocephalae Rhizoma (Baizhu) [each 1 liang], Glycyrrhizae Radix et Rhizoma (Gancao) [honey-fried, 0.5 liang], Citri Reticulatae Pericarpium (Chenpi) [albedo removed, 3 fen]. Grind into powder, decoct in water.
Sijunzi Tang (Four Gentlemen Decoction): Treats mild postpartum abdominal pain and persistent diarrhea.
Usage: Decoct aged rice in water, use the rice water to administer Sijunzi Tang.
Chishizhi Wan (Halloysite Rubrum Pill): Treats prolonged postpartum diarrhea.
Composition: Halloysit Rubrum (Chishizhi), Ginseng Radix et Rhizoma (Renshen) [each 1 liang], Zingiberis Rhizoma (Ganjiang) [processed, 0.5 liang], Os Draconis et Mastodi (Longgu) [2 fen]. Grind into powder, mix with flour paste to form pills the size of phoenix seeds. Take 30 pills each time with warm water.
Sisheng Wan (Four Victories Pill): Treats persistent postpartum watery diarrhea.
Composition: Haematitum (Daizhe), Zingiberis Rhizoma (Ganjiang), Os Draconis et Mastodi (Longgu) [each 1 liang], Aconiti Lateralis Radix Praeparata (Fuzi) [skin and umbilicus removed, 3 fen]. Grind into powder, mix with flour paste to form pills the size of phoenix seeds. Take 20 pills each time with warm water.
Shuai Ai Wan (Cooked Mugwort Pill): Treats postpartum cold diarrhea persisting for a long time.
Composition: Artemisiae Argyi Folium Preparatum (Shuai Ai) [4 liang], Aconiti Lateralis Radix Praeparata (Fuzi) [skin and umbilicus removed], Citri Reticulatae Pericarpium (Chenpi) [albedo removed], Zingiberis Rhizoma (Ganjiang) [each 1 liang]. Grind into powder, mix with flour paste to form pills the size of phoenix seeds. Take 30 pills each time with warm water.
Roudoukou San (Myristica Powder): Treats persistent postpartum cold diarrhea.
Composition: Myristicae Semen (Roudoukou) [1 liang], Zingiberis Rhizoma Recens (Shengjiang) [juice, 3 he], Fine Flour (Ximian) [2 liang]. Mix the first two ingredients with ginger juice to make cakes, dry slowly over low fire, then roast again. Grind into powder.
Treatment for postpartum abdominal pain and diarrhea/dysentery, where the intestines and stomach are weak and susceptible to Cold. If within one month, cold drinks and wind exposure allow Wind-Cold to invade the Huangmo (Diaphragm/Epigastrium) and spread to the intestines.
Usage: Fresh Ginger Juice (2 fen), Thick Rice Water (1 fen). Mix well, warm slightly. First swallow 1-2 mouthfuls of warm rice water to clear the throat, then slowly consume the ginger juice.
Deqi San (Miraculous Odd Powder): Treats postpartum diarrhea with lochia retention. This is diarrhea caused by residual blood seeping into the Large Intestine; once dispersed, it heals. Even uncontrollable profuse diarrhea can be treated.
Symptoms: Passage of dark green/black stool.
Usage: Take 4-5 spikes of large Schizonepetae Spica (Jingjie), burn in a cup until ash, avoiding oil/fire. Add a small amount of Moschus (Shexiang), grind. Mix with 1 liang of boiling water and take orally.
Formula for postpartum persistent diarrhea with cramping pain in the umbilical and abdominal region.
Composition: Alum (Baifan) [burned until liquid gone], Aconiti Lateralis Radix Praeparata (Fuzi) [skin and umbilicus removed, each 2 liang]. Grind into powder, mix with refined honey to form pills the size of phoenix seeds. Take 10 pills each time with warm rice water.
N Houpu Tang (Magnolia Bark Decoction): Treats postpartum diarrhea, abdominal pain, vomiting, inability to eat.
Composition: Magnoliae Officinalis Cortex (N Houpu) [bark removed, processed with ginger juice, 2 liang], Atractylodis Macrocephalae Rhizoma (Baizhu) [stir-fried, 1 liang]. Crush and sieve. Take 5 qian each time, decoct in 1.5 cups of water until reduced to 0.8 cup, strain, and take on an empty stomach.
Treatment for postpartum persistent diarrhea.
Usage: Take 1 liang of Artemisiae Folium (Aiye), lightly stir-fry and grind into powder. Take 1 qian each time, mixed with warm wine.
Treatment for postpartum fecal incontinence.
Composition: Alum (Fan Shi) [calcined], Ostrea Concha (Muli) [calcined, equal parts]. Grind into powder. Take one cun bi (measure) with wine, three times daily. This formula is also highly effective for men.
Treatment for postpartum loss of bowel control.
Composition: Ampelopsis Radix (Bailian), Paeoniae Radix (Shaoyao) [equal parts]. Grind into powder. Take one cun bi with wine.
Treatment for postpartum fecal incontinence.
Usage: Take grass from old swallow nests, burn into powder, mix with wine and take half qian. Also applicable for men.