（附论）
夫产后气脉不和。恶露不尽。风冷留滞。与正气相击。故胁腹之间结聚块痛。盖以新产
之后
产妇血块筑痛。此候因产断。赶血未尽所致。世俗收生。多就踏板赶血。不思生产之时
坐草近地久矣。产毕脏腑空虚。又且近地赶血。冷湿乘之。风邪入之。使败瘀凝为血块。是
谓血母。冲筑硬痛。非乳香、没药、延胡索、五灵脂辈所能疗也。治法不换金正气散加辣桂、
川芎、白芷、蓬术、干姜同煎。乘热入法醋。连进两服。冷湿风寒邪一散。其块自消
皆从大小便而出。凡新产须就床上赶血。下帐避风。
乌鸡饮 治产后余血不尽。结聚成块。坚硬疼痛。腹肋胀满。
雌乌鸡（一只去毛羽爪肚） 鳖甲（一两醋炙令黄去裙） 桂心 鬼箭羽 牛膝（去苗
各一两）
草（微炒半两）
干微炒） 上除鸡外。粗
鸡清汁一盏。煎至七分
琥珀散 治产后血块攻刺。腹胁疼痛。冲心烦闷。
琥珀（细研如粉） 鲤鱼皮（烧灰） 赤芍药 姜黄 蒲黄 牡丹（去心） 当归（微
炒） 大黄（
为散。每服一钱匕。
当归汤 治产后血块血气攻冲心腹疼痛。
当归（切焙） 干漆（炒烟透） 棕榈（烧灰） 红蓝花 甘草（炙） 鲤鱼皮（烧灰）
白芍药 牡丹（去心） 紫葳（各半两） 香墨（一分） 芫花（醋浸半日炒干焦色一分） 上
粗捣筛。每服三钱。以葱白三寸。生姜三片。水酒共一盏。同煎至七分
去滓。稍热服。
牡丹散 治产后血气血块血露不尽。攻筑刺痛。
牡丹（去心） 芍药 当归（切焙） 桂（去皮） 漏芦（去芦头） 白芷 五灵脂（炒）
陈橘
皮（
温酒调
蓬莪术散 治产后血块攻筑疼痛。
蓬莪术（煨熟） 桂（去粗皮各半两） 干漆（捣炒烟出半两） 吴茱萸（汤浸微炒一
两） 上为散
络石汤 治产后瘦损。不能饮食。腹中有血块。淋沥不尽。赤白带下。天行心闷。
用络石煎汁服之。亦浸酒服。（络石亦名石龙藤）
砂散（出圣惠方）治产后余血不尽。结成瘕块。脐腹攻刺疼痛。
砂（一两细研） 芫花（半两醋拌炒干） 水蛭（微炒） 虻虫（去翅足微炒各半两）
琥珀（三
入） 上为细散。
蓬莪术散 治产后血气血块血露不尽。攻筑疼痛。
蓬莪术（泡制） 紫葳（微炒） 木香（炮） 羌活（去芦头） 细辛（去苗叶） 当
归（切焙） 芎
琥珀散（出王氏普济方）治产后血气不和。脐腹块硬疼痛。
当归（焙） 川芎 广术（煨各一两） 赤芍药（三两） 陈皮（半两） 干姜（炮半
两） 上为细末
姜黄散 治产后血气血块攻刺痛。
姜黄 当归（切炒） 蒲黄 生干地黄（焙） 桂（去粗皮各一两） 上为散。每服三
钱。以酒调
紫葳汤 治产后血气血块攻脐腹痛。
紫葳 当归（切炒） 木香（炮各一两） 没药（一分） 牛膝（酒浸去皮三分） 上
粗捣筛。每服
吴茱萸丸 治产后血气攻痛。血块作梗。
吴茱萸（微炒） 木香 当归（微炒各一两） 桃仁（去皮尖双仁麸炒研半两） 砂
（研一分）
槟榔汤下。
芎 散 治产后血块攻筑。心腹疼痛。
芎 当归（炙焙令香锉） 柏叶（炙黄各一两） 大黄（炮制一分） 桂（去粗皮半
两）上为散。
治产后腹中有血块痛。
用蘩缕亦名鸡肠草。以酒炒绞取汁。和童子小便服。良久恶血出尽。又曝干为末。以醋
为丸
蒲黄散（出便产须知方）治产后腹中有块。上下时动。痛不可忍。此由产后
气
羸。恶露未
用真蒲黄研饮。调服二钱。如燥渴者。新汲水调。
商陆散 治产后血气血块时攻。心腹疼痛不可忍。
商陆（干者） 当归（切炒各一分） 紫葳（凌霄花是也） 蒲黄（各一两） 上为散。
空腹温酒调
治产后血块腹痛。（出医方大成）
京芎（炒） 川当归（炒） 干地黄（洗） 芍药（以上各一两） 蒲黄（一分铫内隔
纸炒赤）上同为
大乌金散 治妇人产血昏迷不省人事。血块疼痛。恶血不通。
乌金石（即铁炭三两） 自然铜（金色者碎末醋熬二两） 川大黄（童子小便浸一宿腊
月阴
干）
食前。
生地黄饮 治产后虚冷。恶血结块不散。
生地黄汁（半盏） 生姜（一分取汁） 童子小便（半盏） 上一处煎三四沸。分作四
服。温服。
姜黄散 治产后血块攻冲心腹痛。
姜黄（切焙炒干） 蒲黄（微炒） 桂（去粗皮各一两） 上为散。每服二钱匕。生地
黄自然汁调
大黄甘遂汤 治妇人小腹满如敦敦状。小便微难而不渴。由产后为水与血并结在血
室也。
大黄（四两蒸） 甘遂（炮） 阿胶（炒各二两） 上锉散。每服三钱。水一盏。煎至
七分去滓。
干地黄散 治产后余血不尽。结块上冲。心烦腹痛。
生干地黄（焙） 芎 上各等分。捣罗为粗散。每服三钱匕。以酒水各半盏。煎至八
分去滓
白石药方 治产后血块攻筑。心腹痛 晕方。
以阿息山白石药研如乳法。令至细如脂。以酒服半枣许。神验。亦治产后血不利。
地黄散 治产后血气血块败血不快。攻筑疼痛。\x
生地黄（八两） 生姜（四两） 上细切。同就银石锅内慢火炒令半干。取出。同焙燥。
捣罗为
(Attached Discussion)
After childbirth, the qi and blood meridians are disordered. Lochia is not completely discharged. Wind-cold pathogens remain stagnant in the body and clash with the healthy qi. Therefore, masses form in the hypochondriac and abdominal regions, accompanied by pain. This is because after parturition, blood masses cause stabbing pain. This condition arises because during delivery, midwives rush to expel blood. Secular midwives often use the method of having the puerpera step on a pedal to drive out blood. They fail to consider that during labor, the puerpera has been sitting on grass for a long time. After delivery, the zang-fu organs are empty. At this time, driving out blood while close to the ground allows cold-dampness to invade and wind pathogens to enter. This causes failed stasis to coagulate into blood masses, which is called "blood mother". The rushing and attacking cause hard and painful sensations, which cannot be treated with herbs such as Ru Xiang (Frankincense), Mo Yao (Myrrh), Yan Hu Suo (Corydalis Rhizome), or Wu Ling Zhi (Trogopterus Dung). The treatment method involves using Bu Huan Jin Zheng Qi San (Golden Exchange Upright Qi Powder) added with La Gui (Spicy Cinnamon Twig), Chuan Xiong (Sichuan Lovage Rhizome), Bai Zhi (Angelica Dahurica Root), Peng Zhu (Curcuma Longa Rhizome), and Gan Jiang (Dried Ginger), decocted together. Add Fa Cu (Processed Vinegar) while hot. Take two doses consecutively. Once the cold-dampness and wind-cold pathogens dissipate, the mass will naturally disappear and exit through urination and defecation. For all new mothers, blood expulsion must be done on the bed, and the curtain should be lowered to avoid wind.
Wu Ji Yin (Black Chicken Drink): Treats residual blood after childbirth not being fully discharged, forming masses that are hard and painful, with abdominal and rib distension.
Ci Wu Ji (Female Black Chicken, one, remove feathers, claws, and viscera) Bie Jia (Tartaric Turtle Shell, one liang, vinegar-fried until yellow, remove skirt) Gui Xin (Cinnamon Heart) Gui Jian Yu (Arrowwood Branch) Niu Xi (Achyranthes Root, remove sprouts, each one liang) Cao [Text incomplete] (lightly fried, half liang) Gan [Text incomplete] (lightly fried). Except for the chicken, coarsely crush and sieve into powder. Use one cup of chicken clear juice, decoct to seven-tenths.
Hu Po San (Amber Powder): Treats postpartum blood masses causing stabbing pain in the abdomen and hypochondrium, with rushing sensation causing heart vexation and stifling.
Hu Po (Amber, finely ground like powder) Li Yu Pi (Carp Skin, burnt to ash) Chi Shao Yao (Red Peony Root) Jiang Huang (Turmeric Rhizome) Pu Huang (Typha Pollen) Mu Dan (Moutan Cortex, remove heart) Dang Gui (Angelica Sinensis Root, lightly fried) Da Huang (Rhubarb Root [Text incomplete] into powder). Take one qian bi per dose.
Dang Gui Tang (Angelica Decoction): Treats postpartum blood masses and qi-blood rushing causing heart and abdominal pain.
Dang Gui (Angelica Sinensis Root, sliced and roasted) Gan Qi (Dry Lacquer, fried until smoke emerges) Zong Lu (Date Palm Spine, burnt to ash) Hong Lan Hua (Carthamus Flower) Gan Cao (Licorice Root, honey-fried) Li Yu Pi (Carp Skin, burnt to ash) Bai Shao Yao (White Peony Root) Mu Dan (Moutan Cortex, remove heart) Zi Wei (Catalpa Flower, each half liang) Xiang Mo (Ink Stick, one fen) Yuan Hua (Genkwa Flower, soaked in vinegar for half a day, fried dry to scorched color, one fen). Coarsely crush and sieve above ingredients. Take three qian per dose. With three cun of Scallion White, three slices of Fresh Ginger, one cup of water and wine, decoct together to seven-tenths. Strain and take slightly warm.
Mu Dan San (Moutan Powder): Treats postpartum qi-blood and blood masses/lochia not fully discharged, causing rushing and stabbing pain.
Mu Dan (Moutan Cortex, remove heart) Shao Yao (Peony Root) Dang Gui (Angelica Sinensis Root, sliced and roasted) Gui (Cinnamon Bark, remove bark) Lou Lu (Euphorbia Root, remove rhizome head) Bai Zhi (Angelica Dahurica Root) Wu Ling Zhi (Trogopterus Dung, fried) Chen Ju Pi [Text incomplete] (take with warm wine).
Peng E Zhu San (Curcuma Powder): Treats postpartum blood masses causing rushing and stabbing pain.
Peng E Zhu (Curcuma Longa Rhizome, baked熟) Gui (Cinnamon Bark, remove coarse bark, each half liang) Gan Qi (Dry Lacquer, pounded and fried until smoke emerges, half liang) Wu Zhu Yu (Evodia Fruit, soaked in water and lightly fried, one liang). Make into powder.
Luo Shi Tang (Trachelospermum Decoction): Treats postpartem emaciation, inability to eat, blood masses in abdomen, dripping discharge, red and white leukorrhea, and heart stifling due to epidemic disease.
Use Luo Shi (Trachelospermum Caulis) decocted juice to drink. Can also be soaked in wine. (Luo Shi is also known as Shi Long Teng).
Sha San (Sand Powder, from *Sheng Hui Fang*): Treats postpartum residual blood not fully discharged, forming jia masses, with umbilical and abdominal stabbing pain.
Sha [Text likely refers to a mineral/herb, e.g., Meng Shi or similar, text says "Sha"] (one liang, finely ground) Yuan Hua (Genkwa Flower, half liang, mixed with vinegar and fried dry) Shui Zhi (Leech, lightly fried) Meng Chong (Bladder Flies, remove wings and feet, lightly fried, each half liang) Hu Po (Amber [Text incomplete] into fine powder).
Peng E Zhu San (Curcuma Powder): Treats postpartum qi-blood and blood masses/lochia not fully discharged, causing rushing and stabbing pain.
Peng E Zhu (Curcuma Longa Rhizome, soaked) Zi Wei (Catalpa Flower, lightly fried) Mu Xiang (Costus Root, processed) Qiang Huo (Notopterygium Rhizome, remove rhizome head) Xi Xin (Asarum Root, remove sprouts and leaves) Dang Gui (Angelica Sinensis Root, sliced and roasted) Xiong [Text incomplete]
Hu Po San (Amber Powder, from *Wang Shi Pu Ji Fang*): Treats postpartum qi-blood disorder, hard and painful masses in umbilical and abdominal regions.
Dang Gui (Angelica Sinensis Root, roasted) Chuan Xiong (Sichuan Lovage Rhizome) Guang Zhu (Curcuma Longa Rhizome, baked, each one liang) Chi Shao Yao (Red Peony Root, three liang) Chen Pi (Tangerine Peel, half liang) Gan Jiang (Dried Ginger, processed, half liang). Make into fine powder.
Jiang Huang San (Turmeric Powder): Treats postpartum qi-blood and blood masses causing stabbing pain.
Jiang Huang (Turmeric Rhizome) Dang Gui (Angelica Sinensis Root, sliced and fried) Pu Huang (Typha Pollen) Sheng Gan Di Huang (Fresh Dried Rehmannia Root, roasted) Gui (Cinnamon Bark, remove coarse bark, each one liang). Make into powder. Take three qian per dose. Mix with wine.
Zi Wei Tang (Catalpa Decoction): Treats postpartum qi-blood and blood masses attacking umbilical and abdominal pain.
Zi Wei (Catalpa Flower) Dang Gui (Angelica Sinensis Root, sliced and fried) Mu Xiang (Costus Root, processed, each one liang) Mo Yao (Myrrh, one fen) Niu Xi (Achyranthes Root, soaked in wine and peeled, three fen). Coarsely crush and sieve. Take per dose...
Wu Zhu Yu Wan (Evodia Pill): Treats postpartum qi-blood attacking pain, blood masses causing obstruction.
Wu Zhu Yu (Evodia Fruit, lightly fried) Mu Xiang (Costus Root) Dang Gui (Angelica Sinensis Root, lightly fried, each one liang) Tao Ren (Peach Seed, remove skin and pointed end, double-kernel, bran-fried and pounded, half liang) Sha [Text incomplete] (pounded, one fen). Take with Bing Lang (Areca Nut) decoction.
Xiong [Incomplete Name] San: Treats postpartum blood masses causing rushing and stabbing pain in heart and abdomen.
Xiong [Incomplete Name] Dang Gui (Angelica Sinensis Root, honey-roasted until fragrant and crushed) Bai Ye (Cypress Leaf, honey-roasted until yellow, each one liang) Da Huang (Rhubarb Root, processed, one fen) Gui (Cinnamon Bark, remove coarse bark, half liang). Make into powder.
Treat postpartum abdominal pain due to blood masses.
Use Fan Lv (also known as Ji Chang Cao / Chickweed). Stir-fry with wine, squeeze to extract juice, mix with Tong Zi Xiao Nian (Boy's Urine) and take. After a while, evil blood will be fully discharged. Dry it in the sun, pound into powder, and make pills with vinegar.
Pu Huang San (Typha Pollen Powder, from *Bian Chan Xu Zhi Fang*): Treats postpartum abdominal masses moving up and down, unbearable pain. This is due to postpartum qi deficiency and lochia not...
Use real Pu Huang (Typha Pollen), grind and take with water, two qian. If dry and thirsty, use fresh drawn water.
Shang Lu San (Phytolacca Powder): Treats postpartum qi-blood and blood masses frequently attacking, unbearable heart and abdominal pain.
Shang Lu (Phytolacca Root, dried) Dang Gui (Angelica Sinensis Root, sliced and fried, each one fen) Zi Wei (Catalpa Flower, i.e., Ling Xiao Hua) Pu Huang (Typha Pollen, each one liang). Make into powder. Take with warm wine on an empty stomach.
Treat postpartum blood mass abdominal pain. (From *Yi Fang Da Cheng*)
Jing Xiong (Beijing Sichuan Lovage Rhizome, fried) Chuan Dang Gui (Sichuan Angelica Sinensis Root, fried) Gan Di Huang (Rehmannia Root, washed) Shao Yao (Peony Root, each one liang above) Pu Huang (Typha Pollen, one fen, fried red in a pot with paper barrier). All together...
Da Wu Jin San (Great Black Gold Powder): Treats women postpartum coma unconsciousness, blood mass pain, blocked evil blood.
Wu Jin Shi (Black Gold Stone, i.e., Iron Charcoal, three liang) Zi Ran Tong (Natural Copper, golden ones, crushed and simmered in vinegar, two liang) Chuan Da Huang (Sichuan Rhubarb, soaked in boy's urine overnight, dried in December shade). Take before meals.
Sheng Di Huang Yin (Fresh Rehmannia Drink): Treats postpartum deficiency-cold, evil blood forming masses that do not dissipate.
Sheng Di Huang Zhi (Fresh Rehmannia Juice, half cup) Sheng Jiang (Fresh Ginger, one fen, extract juice) Tong Zi Xiao Nian (Boy's Urine, half cup). Boil together three or four times. Divide into four doses. Take warm.
Jiang Huang San (Turmeric Powder): Treats postpartum blood masses rushing to heart and abdominal pain.
Jiang Huang (Turmeric Rhizome, sliced, roasted and dried) Pu Huang (Typha Pollen, lightly fried) Gui (Cinnamon Bark, remove coarse bark, each one liang). Make into powder. Take two qian bi per dose. Mix with Sheng Di Huang Zi Ran Zhi (Fresh Rehmannia Natural Juice).
Da Huang Gan Sui Tang (Rhubarb and Kansui Decoction): Treats women's lower abdomen full like a drum, slight difficulty in urination but no thirst. Caused by water and blood binding together in the Blood Chamber after childbirth.
Da Huang (Rhubarb Root, four liang, steamed) Gan Sui (Kansui Root, processed) E Jiao (Donkey-hide Gelatin, fried, each two liang). Coarsely crush into powder. Take three qian per dose. One cup of water, decoct to seven-tenths, strain.
Gan Di Huang San (Dried Rehmannia Powder): Treats postpartum residual blood not fully discharged, masses rushing upward, heart vexation and abdominal pain.
Sheng Gan Di Huang (Dried Fresh Rehmannia Root, roasted) Xiong [Incomplete Name]... Equal parts. Pound and sift into coarse powder. Take three qian bi per dose. With half cup water and half cup wine, decoct to eight-tenths, strain.
Bai Shi Yao Fang (White Stone Herb Formula): Treats postpartum blood mass rushing, heart and abdominal pain, fainting formula.
Grind Bai Shi Yao (White Stone Herb from Axi Mountain) like milk method, making it extremely fine like fat. Take half date-size with wine. Divine effect. Also treats postpartum blood difficulty.
Di Huang San (Rehmannia Powder): Treats postpartum qi-blood and blood masses, failed blood not smooth, causing rushing and stabbing pain.
Sheng Di Huang (Fresh Rehmannia Root, eight liang) Sheng Jiang (Fresh Ginger, four liang). Finely cut. Stir-fry slowly in silver stone pot until half dry. Remove. Roast dry together. Pound and sift into...