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Quan Da (General Collection) states: "Ji" (accumulation) belongs to Yin Qi and is generated by the five Zang organs; "Ju" (gathering) belongs to Yang Qi and is formed by the six Fu organs. Both arise from irregular diet and imbalance of cold and heat, leading to the stagnation of Qi in the five Zang organs forming "Ji", and the congestion of Qi in the six Fu organs forming "Ju". The characteristic of "Ji" is that pain remains fixed in its location; the characteristic of "Ju" is that the location of pain is not constant. This is because "Ji" involves Yin Qi, whose nature is deep and latent, so pain does not leave its original site; "Ju" involves Yang Qi, whose nature is floating and wandering, so pain has no fixed place. After childbirth, blood and Qi injure the Zang-Fu organs, causing them to become deficient. They are invaded by Wind-Cold pathogens, which contend with the Zang-Fu organs and knot together with blood and Qi, thus forming accumulations and masses.

Xue Ji (Mr. Xue) said: The aforementioned syndrome results from the depletion of True Qi, allowing pathogenic factors to take advantage of the deficiency. Especially when this occurs postpartum, one must prioritize consolidating True Qi. If one seeks immediate effects by attacking the pathogens, it will hasten the danger. One should refer to the various formulas and discussions on accumulation and gathering in miscellaneous diseases mentioned earlier for treatment.

A postpartum woman had a mass seemingly in her abdomen, which sometimes caused pain and moved around; pressing on it did not cause pain. Her complexion was sallow, and during pain episodes, her face turned pale (Note: 'Si' character might be an error; pressing without pain indicates deficiency; sallow, pale complexion, and floating/rough pulse all indicate Blood deficiency). Her pulse was floating and rough. I stated: This is Liver Qi deficiency and weak Blood. She did not believe this and used blood-breaking and Qi-moving herbs, which exacerbated the pain. The mass moved unpredictably. Later, she mistakenly identified it as "Blood Biē" (a type of blood stasis mass) and exclusively used blood-breaking and purging drugs. The pain attacked both hypochondriac regions, especially the abdomen, reinforcing her belief in "Blood Biē". She indeed took blood-expelling medicines, resulting in significant blood loss, further depleting her form and Qi. Small nodules formed in her limbs and joints, hidden within the muscles, which she believed were "Biē offspring" fleeing the medicine to the exterior. I said: The Liver stores Blood and nourishes the sinews. This condition arises because Liver Blood was further damaged, leading to dry sinews and spasmodic knotting (The concept of 'Blood exhaustion and sinew spasm' originated with Li Dongyuan; generally, lesions in the Liver-Gallbladder sectors require tonifying Lung Metal and Kidney Water, but these are difficult to cure; only those who adhere strictly to proper regulation achieve success). Since limbs, joints, chest, and neck belong to the Liver-Gallbladder meridians, by nourishing Spleen Earth, tonifying Lung Metal and Kidney Water to nourish Liver Blood, the sinews will naturally relax. Thus, using Bazhen Tang (Eight Treasures Decoction), Xiaoyao San (Free and Easy Wanderer Powder), and Guipi Tang (Restore the Spleen Decoction), adjusted according to symptoms, she recovered.

Another woman suffered from irregular menstruation, swelling at the root of the thighs (Note: 'Liang Ao' refers to the hip crease, belonging to the Liver meridian; urinary and lower abdominal cold-heat symptoms are governed by the Liver, while lack of taste in food relates to the Spleen, hence simultaneous treatment of Liver and Spleen is necessary), dysuria, and a painful mass in the abdomen that sometimes attacked upward to the hypochondrium and abdomen, or downward to the lower abdomen. She experienced fever, afternoon tidal fever, aversion to cold, emaciation, and loss of appetite. The symptoms closely resembled severe chronic illness ("Fei Zheng"). Despite prolonged treatment without success, I diagnosed it as Liver-Spleen Qi and Blood deficiency. Using Bazhen Tang, Xiaoyao San, and Guipi Tang, alternating based on symptoms, she recovered.

Quan Da states: In newly postpartum women, if pain occurs due to the contending of Blood and Qi, it is called "Jia" (false/mass). "Jia" implies falsity, meaning the pain is fleeting and lacks a fixed location. This is due to pre-existing Wind-Cold and disordered Blood and Qi (Although Wind-Cold is the cause, the root is always the disorder of Blood and Qi). During childbirth, blood flow decreases, leading to this disease. If not treated promptly, it often becomes an accumulation, interfering with menstruation; mildly causing distension and obstruction, severely causing complete blockage.

Xue Ji said: The aforementioned syndrome is caused by Cold pathogens lodging in the body, resulting in Qi and Blood congestion. This is a case where Qi pathology leads to Blood pathology. One should tonify Stomach Qi, regulate menstruation, and maintain a relaxed and quiet rest (This is a general statement; regarding specific treatment methods, moving Qi and breaking knots is indispensable, yet the theory that 'tonifying righteousness eliminates evil' is particularly beneficial for those with insufficient Stomach Qi and excessive attack). The Nan Jing states: Diseases of the Ren Mai (Conception Vessel) manifest as Seven Hernias in men and Jia-Ju (gathering masses) in women. Refer to previous and subsequent discussions for treatment.

Hejian Shaoyao Tang (Peony Decoction): Treats various postpartum accumulations; do not use purgatives. Instead, nourish Yin and clear Heat, and the disease will settle itself. (Note: If this formula is used for cases caused by Wind-Cold or Blood stasis accumulation, different treatments are required.)
Shaoyao (one jin), Huangqin (Scutellariae Radix), Fuling (Poria) (each six liang).
Crush into coarse powder. Take half a liang per dose, decoct in water, and take warm. Three times daily.

Sishen San (Four Spirits Powder): Treats postpartum unresolved blood stasis, formation of accumulations and masses, and severe cutting pain in the heart and abdomen. (Note: This formula uses Foshou San as a base for warming and moving.)
Danggui (Angelicae Sinensis Radix, remove radicle), Chuanxiong (Chuanxiong Rhizoma), Chi Shaoyao (Red Peony Root), Ganjiang (Zingiberis Rhizoma, processed) (equal parts).
Grind into fine powder. Take two qian per dose, mix with warm wine before meals.

Another Formula: Treats pain from Blood Jia, fullness below the umbilicus, amenorrhea, fever, and fatigue.
Danggui (two liang), Shaoyao (fried), Guixin (Cinnamomi Cortex), Xuexie (Sanguis Draconis), Puhuang (Typhae Pollen, fried, each one and a half liang), Yanhusuo (Corydalis Rhizoma, fried, one liang).
Grind into powder. Take two qian per dose, swallow with hot wine on an empty stomach.

Guixin Wan (Cinnamon Heart Pill): Treats postpartum stagnant Blood and Qi forming masses, attacking upward to the heart and abdomen, or causing alternating chills and fever, emaciation, and painful limbs. (Note: All three formulas primarily focus on eliminating blood stasis, but this one also moves Qi. There are differences in intensity; choose according to the condition.)
Guixin, Danggui, Chi Shao, Mudanpi (Moutan Cortex), Moyao (Myrrha), Binglang (Arecae Semen), Ganqi (Drynariae Rhizoma? No, Ganqi here likely refers to Drynaria or similar, but text says 'Ganqi' fried until smoke ceases - usually implies toxic herb processing, possibly Ganqi 干漆 - Drynariae Rhizoma or Canna Indica Rhizome? Context suggests blood breaking, likely Ganqi 干漆 - Dried Resin of Rhus chinensis), Qingpi (Citri Reticulatae Pericarpium Viride, each seven and a half qian), Houpo (Magnoliae Officinalis Cortex, processed), Sanleng (Sparganii Rhizoma, roasted), Yanhusuo, Dahuang (Rhei Radix et Rhizoma), Taoren (Persicae Semen, skin and tip removed), Biejia (Testudinis Carapax et Plastrum, prepared with butter, each one liang).
Grind into fine powder, make pills with refined honey the size of tung seeds. Take 30-40 pills per dose, swallow with warm wine before meals.

Chanbao Fang (Child Treasure Prescription): Treats Blood Jia pain with no fixed location.
Tongbian (Infant Urine, three sheng), Sheng Dihuangzhi (Fresh Rehmanniae Radix Juice), Sheng Ouzhi (Fresh Lotus Rhizome Juice, each one sheng), Sheng Jiangzhi (Fresh Ginger Juice, three sheng).
First decoct the first three ingredients until reduced by two-thirds. Then add Ginger Juice. Simmer slowly over low heat until thick like syrup. Take one he per dose, mix with warm wine. (Note:有形 (有形) refers to tangible forms, Jia is intangible. Tangible issues are Blood disorders, intangible are Qi disorders. Thus, Blood disorders are fixed, Qi disorders move. Here, Blood Jia pain with no fixed location indicates both Qi and Blood disorders. Qi is constrained by Jia, constraint generates Fire, Fire drives Jia to move, hence pain is unfixed. The formula uses infant urine, Rehmannia, and lotus juice to nourish Blood, clear Fire, and break stasis. Clearing Fire stops pain; breaking stasis resolves Jia. Ginger juice and warm wine are added because heat promotes circulation while cold causes stagnation, thus using them to treat the condition by following its nature. This formula has unique efficacy within its mild approach and is worth emulating.)

Qianjin Fang (Thousand Gold Prescription): Treats Blood Jia.
Sheng Gan Dihuang (Dried Fresh Rehmanniae Radix, one liang), Wouyu Gu (Sepiae Endoconcha, two liang).
Grind into fine powder. Take two qian bishi (small scoops) per dose, mix with warm wine on an empty stomach.