《大全》云∶产后恶露方行，忽然断绝，腰中重痛下注，两股痛如锥刺入骨。此由血滞经络，不即通之，
必作痈疽。宜桃仁汤、五香连翘汤。
沈尧封曰∶前方不稳，不若用桃仁、红花、地龙、肉桂、没药、当归为妥。
如神汤治瘀血腰痛。延胡、当归、肉桂等分，水煎服。
沈尧封曰∶腰痛不见前证者，多属肝肾虚，宜当归、杜仲、补骨脂之类。
沈尧封曰∶产后浮肿，先要分水病、气病。水病
皮薄色白而亮，如裹水之状；气病皮浓色不变。经云∶肾者，胃之关也。关门不利，聚水生病。盖产后肾气
必损，胃底阳微不能蒸布津液，通调水道，此聚水之由也。宜肾气汤丸。是证皮薄色白可证。人身营卫之
气，通则平，滞则胀。顽痰、瘀血，皆能阻滞气道作肿。是证皮浓色不变，以脉弦者为痰；脉结而芤者为
血分证，分别论治用药。更有一种血虚而致气滞者，其肿不甚，色带淡黄，宜归身为君，佐以白术、陈皮、茯
苓之类。
沈尧封曰∶一妇妊七八个月，痰嗽不止，有时呕浓痰数碗。授二陈、旋复不应，用清肺滋阴愈甚，遂
不服药。弥月而产，痰嗽如故，日夜不寐。三朝后，二陈加胆星、竹沥，吐浓痰数碗，嗽仍不止。更用二陈
加旋复、当归，少减，稍可吃饭。因嗽不减，痰渐变薄，加入生地四钱，食顿减，嗽转甚，通身汗出，脉
象微弦。用归身三钱，茯苓二钱，炒甘草一钱，紫石英三钱；因汗欲用黄 ，因嗽不止，推敲半晌，仍用
炒黄 三钱。一服汗止，而嗽亦大减，十剂而安。
The *Daquan* (Compendium of Great Importance) states: After childbirth, when lochia (postpartum vaginal discharge) has just begun to flow, if it suddenly stops, accompanied by a heavy pain in the waist radiating downward and stabbing pain in both thighs as if driven into the bone. This is caused by blood stasis in the meridians; if not unblocked immediately, it will inevitably develop into carbuncles and sores. Tao Ren Tang (Peach Kernel Decoction) and Wuxiang Lianqiao Tang (Five-Aromatic Fritillaria Decoction) are suitable.
Shen Yaofeng said: The aforementioned formulas are not stable enough; it is more appropriate to use Tao Ren (Peach Seed), Hong Hua (Safflower), Di Long (Earthworm), Rou Gui (Cinnamon Bark), Moyao (Myrrh), and Dang Gui (Angelica Sinensis).
Rushen Tang (Miraculous Efficacy Decoction) treats lumbago caused by blood stasis. Yanhusuo (Corydalis Rhizome) and Dang Gui (Angelica Sinensis) in equal parts, decocted in water and taken orally.
Shen Yaofeng said: Lumbago without the aforementioned symptoms mostly belongs to deficiency of the Liver and Kidney. Drugs such as Dang Gui (Angelica Sinensis), Duzhong (Eucommia Bark), and Buguzhi (Astragalus Complanatus Fruit) are suitable.
Xue Lizhai said: If pressing with the hand aggravates the pain, it is blood stasis; if pressing relieves the pain, it is blood deficiency.
Shen Yaofeng said: For postpartum edema, one must first distinguish between Water Disease (fluid retention) and Qi Disease (qi stagnation). In Water Disease, the skin is thin, white, and shiny, resembling a state of being wrapped in water; in Qi Disease, the skin is thick and the color remains unchanged. The Classics state: The Kidney is the gate of the Stomach. If the gate is not functioning properly, fluid accumulation occurs leading to disease. Generally, after childbirth, Kidney Qi is inevitably damaged, and the Yang energy at the bottom of the Stomach is weak, unable to vaporize and distribute body fluids or regulate the water passages. This is the cause of fluid accumulation. Shengji Wan/Tang (Kidney Qi Pill/Decoction) is suitable. The presentation of thin, white skin corroborates this. The Ying (Nutritive) and Wei (Defensive) Qi of the human body are peaceful when flowing smoothly and become distended when stagnant. Stubborn phlegm and blood stasis can both block the qi pathways causing swelling. For presentations with thick skin and unchanged color, a wiry pulse indicates Phlegm; a knotted and choppy pulse indicates a Blood pattern; these should be treated separately according to their respective discussions and medications. There is another type where Qi stagnation results from Blood deficiency; the swelling is not severe, and the color is pale yellow. It is suitable to use Dang Gui Shen (Angelica Sinensis Root Head) as the sovereign drug, assisted by Baizhu (Atractylodes Macrocephala Rhizome), Chenpi (Citrus Reticulata Peel), and Fuling (Poria) among others.
Shen Yaofeng said: A woman at seven or eight months of pregnancy suffered from incessant coughing, sometimes vomiting several bowls of thick sputum. Erchen Tang (Two-Cured Decoction) and Xuanfu Decoction were ineffective. Using methods to clear the Lung and nourish Yin worsened the condition, leading her to stop taking medicine. Upon full-term delivery, the coughing persisted, preventing sleep day and night. Three days postpartum, Erchen Tang was modified with Danxing (Arisaema Cum Bile) and Zhuli (Bamboo Juice); she vomited several bowls of thick sputum, but the cough continued. Then, Erchen Tang was modified with Xuanfu (Inula Flower) and Dang Gui (Angelica Sinensis); symptoms decreased slightly, allowing for some food intake. Because the cough did not subside and the sputum gradually became thinner, Si Qian Shengdi (four qian of Rehmannia Glutinososa Root) was added. Immediately, appetite decreased sharply, and the cough intensified, accompanied by sweating over the whole body and a slightly wiry pulse. Guishen San Qian (three qian of Angelica Sinensis Root Head), Fuling Er Qian (two qian of Poria), Chao Gancao Yi Qian (one qian of stir-fried Licorice Root), and Zhi Shiying San Qian (three qian of Hematite) were used. Because of sweating, Huangqi (Astragalus Root) was considered; because of the persistent cough, after much deliberation, Chao Huangqi San Qian (three qian of stir-fried Astragalus Root) was ultimately retained. After one dose, sweating stopped, and the cough significantly decreased; after ten doses, she recovered.