产后恶露不下有结聚成块，心胸烦闷，脐下坚痛者，宜当归血竭丸。有兼受寒热，劳碌腰脊骨烦痛者，宜
丹参散。有寒热交攻，心慌昏沉，腹中疼痛者，宜通瘀饮。又有恶露方下，忽然断绝，骤作寒热，脐腹百脉皆
痛如锥刺，由冷热不调，或思虑动作气所壅遏，血蓄经络者，宜没药丸。
当归血竭丸
当归 血竭 蓬术 五灵脂（炒）
上为末，米醋糊丸，酒服二钱。
丹参散
丹参一味，晒干为末，酒服二钱。
通瘀饮
当归尾 大黄（各三钱） 白术（蜜炙） 木通（各一钱） 红花（五分） 桃仁（三十粒，捣如泥）
水酒各半，煎三沸，入桃仁泥再煎一沸，温服。
没药丸
当归（一两） 白芍 桂心（各五钱） 桃仁（炒去皮尖，捣） 没药（研，各二钱五分） 虻虫（去翅
足，炒） 水蛭（炒焦，各二十枚）
上为末，醋糊丸梧子大，淡醋汤下三丸。
产后恶露不止，小便急痛者，宜磨块四物汤。或血下过多渐至瘦弱者，宜八珍汤去甘草，加浓朴、黄柏、阿
胶、牡丹皮。或下如豆汁紫黑过多者，宜加味四物汤。或至月余犹淋沥不止已为陷下，宜增益四物汤。或下不
止，至于数月及半载之久者，宜千金方。或恶血不绝，崩血不可禁，腹中绞痛气急者，宜牛角腮丸。或恶露淋
沥不断，心闷短气，四肢乏弱，头心昏重，五心烦热，面黄体瘦者，宜牡蛎散。若因血热者，宜清化饮。若伤
冲任之络者，宜固阴煎加减用之。若肝脾气虚不能收摄者，宜补中益气汤。若气血俱虚而淡血流不已者，宜十
全大补汤。若怒火伤肝而血不藏者，宜加减四物汤。若风热在肝而血下泄者，宜一味防风散，服之神效。
磨块四物汤
熟地黄 当归 白芍 川芎 延胡索 桃仁（去皮尖） 肉桂 熟大黄
水煎服。
八珍汤
人参 白术（蜜炙） 茯苓 炙甘草 熟地黄 当归 白芍 川芎（各一钱） 姜（三片） 枣（二枚）
水煎服。
加味四物汤
熟地黄 当归（各三钱） 白芍（二钱） 川芎 蒲黄 阿胶（炒） 蓟根 白芷（各一钱）
水煎服。
增益四物汤
熟地黄 当归（各三钱） 白芍（二钱） 川芎 升麻 白芷（各一钱） 血余灰（五分，另入）
水煎服。
千金方
升麻（二钱） 酣酒（二钟）
煮取一钟，分二服。
牛角腮丸
牛角腮（酥炙，五两） 马蹄壳（一个，烧） 生地黄（四两） 代赭石 干姜（各三两） 阿胶（炒，二两） 血
余灰
（一两，即头发灰）
上为末，蜜丸白汤下。
牡蛎散
牡蛎粉 龙骨 川芎 生地黄 茯苓 当归 人参 艾叶 地榆（各一钱） 炙甘草（五分）
水煎服。
清化饮
白芍 麦冬（去心，各二钱） 牡丹皮 茯苓 黄芩 生地黄（各二三钱） 石斛（一钱）
水煎，食远服。
骨蒸多汗加地骨皮一钱五分；热甚而渴，头痛加石膏一二钱；下热便涩加木通一钱，或黄柏、栀子。如兼外
邪发热加柴胡一钱。
固阴煎
人参 熟地黄（各三钱） 山药（炒，二钱） 山茱萸（一钱五分） 远志（七分，炒） 炙甘草（一钱）
五味子（十四粒） 菟丝子（炒香，二钱）
水煎，食远服。
阴虚微热而血不固者，加川续断二钱；肝肾血虚，小腹痛而血不归经者，加当归二钱；脾虚多湿或兼呕恶，
加白术一钱；气陷不固，加升麻（炒）一钱；心虚不眠或多汗者，加枣仁（炒）二钱；虚滑遗甚，加金樱子肉二
钱，或醋炒文蛤一钱。
补中益气汤
人参 黄 （炒） 白术（蜜炙） 炙甘草（各一钱半） 当归（一钱） 陈皮（五分） 升麻 柴胡（各三分）
姜（三片） 枣（二枚）
水煎服。
十全大补汤
人参 白术（蜜炙） 黄 （蜜炙） 熟地黄 当归 白芍 茯苓 川芎（各一钱） 炙甘草 肉桂（各五分）
枣（二枚） 姜（三片）
水煎服。
加减四物汤
熟地黄 当归（各三钱） 川芎（一钱） 白芍（二钱） 山栀仁（炒） 柴胡 牡丹皮（各一钱）
水煎服。
一味防风散
防风（去芦）
为末，每服一钱，白汤调下。
Postpartum lochia retention, if presenting with blood stasis accumulating into masses, accompanied by chest and heart restlessness, and hard, painful lower abdomen, is suitable for Danggui Xuejie Wan (Angelica Blood Dragon Pill). If complicated by cold-heat pathogens and labor-induced soreness and pain in the waist and spine, Danshen San (Salvia Powder) is suitable. If alternating chills and fever attack, accompanied by palpitations, dizziness, and abdominal pain, Tongyu Yin (Blood Stasis Unblocking Decoction) is suitable. Furthermore, if lochia begins to flow but suddenly stops, abruptly causing chills and fever, with piercing pain throughout the navel, abdomen, and all meridians due to disharmony of cold and heat, or qi stagnation caused by excessive thinking and physical exertion obstructing blood accumulation in the meridians, Moyao Wan (Myrrh Pill) is suitable.
Danggui Xuejie Wan (Angelica Blood Dragon Pill)
Ingredients: Danggui (Angelicae Sinensis Radix), Xuejie (Santalum Rubrum), Pengzhu (Curcumae Rhizoma), Wulingzhi (Trogopterori Faeces, stir-fried).
Grind the above ingredients into powder, use rice vinegar paste as a binder to make pills, take two qian with wine.
Danshen San (Salvia Powder)
Use only Danshen (Salviae Miltiorrhizae Radix), dry it, grind into powder, take two qian with wine.
Tongyu Yin (Blood Stasis Unblocking Decoction)
Ingredients: Dangguiwei (Tail of Angelicae Sinensis Radix), Dahuang (Rhei Radix et Rhizoma, each 3 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, honey-fried), Mutong (Akebiae Caulis, each 1 qian), Honghua (Carthami Flos, 5 fen), Taoren (Persicae Semen, 30 grains, pounded into paste).
Decoct with half water and half wine, boil three times, add Taoren paste, boil once more, take warm.
Moyao Wan (Myrrh Pill)
Ingredients: Danggui (Angelicae Sinensis Radix, 1 liang), Baishao (Paeoniae Radix Alba), Guixin (Cinnamomi Ramulus, each 5 qian), Taoren (Persicae Semen, stir-fried, skin and tip removed, pounded), Moyao (Myrrha, ground, each 2.5 qian), Mengchong (Bugus, wings and feet removed, stir-fried), Shuizhi (Hirudo, stir-fried until scorched, each 20 pieces).
Grind the above ingredients into powder, use vinegar paste to make pills the size of wutong seeds, take three pills with light vinegar soup.
Postpartum lochia overflow, accompanied by urgent and painful urination, is suitable for Mobai Siwu Tang (Polished Four Substances Decoction). If excessive bleeding gradually leads to emaciation and weakness, Bazhen Tang (Eight Treasures Decoction) without Gancao (Glycyrrhizae Radix et Rhizoma), plus Houpo (Magnoliae Officinalis Cortex), Huangbai (Phellodendri Cortex), Ejiao (Colla Corii Asini), and Mudanpi (Moutan Cortex) is suitable. If lochia flows like bean curd juice and is excessively purple-black, Jiawei Siwu Tang (Modified Four Substances Decoction) is suitable. If dripping continues for over a month, indicating sinking qi, Zengyi Siwu Tang (Augmented Four Substances Decoction) is suitable. If bleeding continues for months or even half a year, Qianjin Fang (Thousand Gold Formula) is suitable. If evil blood does not cease, metrorrhagia is uncontrollable, accompanied by colicky abdominal pain and急促 breathing, Niujiaoshai Wan (Cow Horn Scale Pill) is suitable. If lochia drips continuously, accompanied by chest oppression, shortness of breath, weak limbs, heavy head and mind, five-palm heat, sallow complexion, and emaciation, Muli San (Oyster Shell Powder) is suitable. If caused by blood heat, Qinghua Yin (Clearing and Transforming Decoction) is suitable. If the collaterals of Chong and Ren meridians are injured, Guyin Jian (Solidifying Yin Decoction) modified is suitable. If liver and spleen qi deficiency fails to control blood, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) is suitable. If both qi and blood are deficient with thin, unceasing blood flow, Shiquan Dabu Tang (Ten Complete Great Tonifying Decoction) is suitable. If anger injures the liver causing blood to fail to store, Jiajian Siwu Tang (Reduced/Modified Four Substances Decoction) is suitable. If wind-heat in the liver causes blood to leak downward, Yiwu Fangfeng San (Single Windproof Powder) is suitable, showing miraculous effects.
Mobai Siwu Tang (Polished Four Substances Decoction)
Ingredients: Shudihuang (Prepared Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Chuanxiong (Ligustici Chuanxiong Rhizoma), Yanhusuo (Corydalis Rhizoma), Taoren (Persicae Semen, skin and tip removed), Rougui (Cinnamomi Cortex), Shudahuang (Prepared Rhei Radix et Rhizoma).
Decoct with water and take.
Bazhen Tang (Eight Treasures Decoction)
Ingredients: Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma, honey-fried), Fuling (Poria), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma), Shudihuang (Prepared Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Chuanxiong (Ligustici Chuanxiong Rhizoma, each 1 qian), Jiang (Zingiberis Rhizoma Recens, 3 slices), Zao (Jujubae Fructus, 2 pieces).
Decoct with water and take.
Jiawei Siwu Tang (Modified Four Substances Decoction)
Ingredients: Shudihuang (Prepared Rehmanniae Radix), Danggui (Angelicae Sinensis Radix, each 3 qian), Baishao (Paeoniae Radix Alba, 2 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma), Puhuang (Typhae Pollen), Ejiao (Colla Corii Asini, stir-fried), Jigen (Leonuri Herba root part), Baizhi (Angelicae Dahuricae Radix, each 1 qian).
Decoct with water and take.
Zengyi Siwu Tang (Augmented Four Substances Decoction)
Ingredients: Shudihuang (Prepared Rehmanniae Radix), Danggui (Angelicae Sinensis Radix, each 3 qian), Baishao (Paeoniae Radix Alba, 2 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shengma (Cimicifugae Rhizoma), Baizhi (Angelicae Dahuricae Radix, each 1 qian), Xuyuhui (Calcinatus Capilli Humanus, 5 fen, added separately).
Decoct with water and take.
Qianjin Fang (Thousand Gold Formula)
Ingredients: Shengma (Cimicifugae Rhizoma, 2 qian), Hanjiu (Sweet Wine, 2 zhong).
Boil to obtain one zhong, divide into two doses.
Niujiaoshai Wan (Cow Horn Scale Pill)
Ingredients: Niujiaoshai (Cornu Bubali, roasted with butter, 5 liang), Matikeqiao (Calceolariae Folium, burned), Shengdihuang (Rehmanniae Radix, 4 liang), Daizheshi (Haematitum), Ganjiang (Zingiberis Rhizoma, each 3 liang), Ejiao (Colla Corii Asini, stir-fried, 2 liang), Xuyuhui (Calcinatus Capilli Humanus, 1 liang, i.e., hair ash).
Grind into powder, make pills with honey, take with plain boiled water.
Muli San (Oyster Shell Powder)
Ingredients: Muli (Ostreae Concha), Longgu (Fossilia Ossis Mastodi et Humeri), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shengdihuang (Rehmanniae Radix), Fuling (Poria), Danggui (Angelicae Sinensis Radix), Renshen (Ginseng Radix et Rhizoma), Aiye (Artemisiae Argyi Folium), Diyu (Sanguisorbae Radix, each 1 qian), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma, 5 fen).
Decoct with water and take.
Qinghua Yin (Clearing and Transforming Decoction)
Ingredients: Baishao (Paeoniae Radix Alba), Maidong (Ophiopogonis Radix, heart removed, each 2 qian), Mudanpi (Moutan Cortex), Fuling (Poria), Huangqin (Scutellariae Radix), Shengdihuang (Rehmanniae Radix, each 2-3 qian), Shihu (Dendrobii Caulis, 1 qian).
Decoct with water, take long after meals.
For bone-steaming fever and sweating, add Gubopi (Bark of Phellodendron amurense? No, Gu Pi usually refers to Cortex Lycii or similar, here likely Cortex Phellodendri or Cortex Acanthopanacis, but standard is Cortex Phellodendri or Cortex Lycii. Given context "Gu Zheng", likely Cortex Lycii or Cortex Phellodendri. WHO term for Gu Pi is often Cortex Lycii or Cortex Phellodendri depending on species. Let's stick to literal translation or standard pinyin if ambiguous, but typically Gu Pi in this context implies clearing deficiency heat, often Cortex Lycii or Cortex Phellodendri. I will use Cortex Lycii as common for bone steaming, or just transliterate if unsure. Actually, Gu Pi often refers to Cortex Lycii Radicis in modern TCM for bone steaming, but historically could be Cortex Phellodendri. I will use Cortex Lycii Radicis as it fits "bone steaming" better, or simply "Gu Pi". Let's use Cortex Lycii Radicis (Goji Root Bark) as it is standard for bone steaming.) 1.5 qian; for severe heat, thirst, headache, add Shigao (Gypsum Fibrosum) 1-2 qian; for lower jiao heat and difficult urination, add Mutong (Akebiae Caulis) 1 qian, or Huangbai (Phellodendri Cortex), Zhizi (Gardeniae Fructus). For external pathogen fever, add Chaihu (Bupleuri Radix) 1 qian.
Guyin Jian (Solidifying Yin Decoction)
Ingredients: Renshen (Ginseng Radix et Rhizoma), Shudihuang (Prepared Rehmanniae Radix, each 3 qian), Shanyao (Dioscoreae Rhizoma, stir-fried, 2 qian), Shanzhuyu (Corni Fructus, 1.5 qian), Yuanzhi (Polygalae Radix, 7 fen, stir-fried), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma, 1 qian), Wuweizi (Schisandrae Chinensis Fructus, 14 grains), Tusizi (Cuscutae Semen, fragrant stir-fried, 2 qian).
Decoct with water, take long after meals.
For yin deficiency with slight heat and unstable blood, add Xuanchuan Duan (Dipsaci Radix) 2 qian; for liver-kidney blood deficiency, lower abdominal pain, and blood not returning to vessels, add Danggui (Angelicae Sinensis Radix) 2 qian; for spleen deficiency with dampness or vomiting, add Baizhu (Atractylodis Macrocephalae Rhizoma) 1 qian; for sinking qi instability, add Shengma (Cimicifugae Rhizoma, stir-fried) 1 qian; for heart deficiency with insomnia or sweating, add Zaoren (Ziziphi Spinosae Semen, stir-fried) 2 qian; for severe slippery leakage, add Jinyingzi (Chrysanthemi Indici Fructus? No, Jinyingzi is Euryales Semen? No, Jinyingzi is Chrysosplenium? No, Jinyingzi is Fructus Rosae Laevigatae) flesh 2 qian, or Cu Chao Wen Ge (Veneris Concha, vinegar-fried) 1 qian.
Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction)
Ingredients: Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix, stir-fried), Baizhu (Atractylodis Macrocephalae Rhizoma, honey-fried), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma, each 1.5 qian), Danggui (Angelicae Sinensis Radix, 1 qian), Chenpi (Citri Reticulatae Pericarpium, 5 fen), Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix, each 3 fen), Jiang (Zingiberis Rhizoma Recens, 3 slices), Zao (Jujubae Fructus, 2 pieces).
Decoct with water and take.
Shiquan Dabu Tang (Ten Complete Great Tonifying Decoction)
Ingredients: Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma, honey-fried), Huangqi (Astragali Radix, honey-fried), Shudihuang (Prepared Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Fuling (Poria), Chuanxiong (Ligustici Chuanxiong Rhizoma, each 1 qian), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma), Rougui (Cinnamomi Cortex, each 5 fen), Zao (Jujubae Fructus, 2 pieces), Jiang (Zingiberis Rhizoma Recens, 3 slices).
Decoct with water and take.
Jiajian Siwu Tang (Reduced/Modified Four Substances Decoction)
Ingredients: Shudihuang (Prepared Rehmanniae Radix), Danggui (Angelicae Sinensis Radix, each 3 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma, 1 qian), Baishao (Paeoniae Radix Alba, 2 qian), Shanzhiren (Gardeniae Fructus, stir-fried), Chaihu (Bupleuri Radix), Mudanpi (Moutan Cortex, each 1 qian).
Decoct with water and take.
Yiwu Fangfeng San (Single Windproof Powder)
Ingredients: Fangfeng (Saposhnikoviae Radix, remove lu/head).
Grind into powder, take one qian per dose, mix with plain boiled water.