产后劳伤肾气，感风腰痛不可转侧，宜养荣壮肾汤。若日久气虚，肾弱腰痛，宜归肾丸。
养荣壮肾汤
当归（二钱） 川芎 独活 桂心 杜仲（炒） 续断（各八分） 防风（四分） 桑寄生（八分）
生姜（三片）
水煎服。若肾虚加熟地黄三钱。
归肾丸
熟地黄（八两） 山药 山萸肉 茯苓 杜仲（炒） 菟丝子（制） 枸杞（各四两） 当归（三两）
上为末蜜丸，每服百丸白汤下。
产后腿痛不能立久而不进饮食，此脾阴不足之候。脾主四肢，故病下体也，宜石斛牛膝汤。甚则连腰脐，
腿胯俱痛。则又兼肾气之不足矣，宜补骨四物汤。
石斛牛膝汤
石斛 牛膝 木瓜 白芍 酸枣仁 生地黄 枸杞子 茯苓 黄柏 甘草 车前子（各一钱）
水煎服。
补骨四物汤
熟地黄 当归（各二钱） 白芍（酒炒） 川芎 川乌 茜草 菖蒲（各一钱）
水煎服。
四肢麻痹
产后四肢麻痹，皮肤瘙痒不仁者，皆血虚风袭之也，宜逐邪四物汤。
逐邪四物汤
熟地黄 当归（各三钱） 白芍（二钱） 川芎 白附子 羌活
独活 薄荷 白芷（各一钱）
水煎温服。
产后香港脚热闷气上冲，若因平日感六淫之气，今又因产血气不足，遂袭于足经，因乘虚而发也。宜独活寄
生汤、羌活续断汤。
独活寄生汤
独活 当归 白芍 桑寄生（各七分） 熟地黄 川芎 人参 茯苓 牛膝 杜仲（炒） 秦艽 细辛
防风 肉桂（各五分） 甘草（三分） 姜（三片）
水煎空心服。
羌活续断汤
羌活 防风 白芷 细辛 杜仲（炒） 牛膝 秦艽 续断 熟地黄 当归 人参 白芍 赤茯苓 桂心
川芎（各五分） 姜（三片）
水煎空心服。
After childbirth, labor damages the Kidney Qi (Kidney energy), and wind pathogen invasion causes lower back pain so severe that turning or bending is impossible; Yangrong Zhuangshen Decoction (Nourishing Glory and Strengthening Kidney Decoction) is indicated. If the condition persists for a long time leading to Qi deficiency and weak Kidneys causing lower back pain, Gui Shen Wan (Return to Kidney Pill) is indicated.
Yangrong Zhuangshen Decoction
Danggui (Radix Angelicae Sinensis, 2 qian), Chuanxiong (Rhizoma Chuanxiong), Duhuo (Radix Angelicae Pubescentis), Guixin (Cortex Cinnamomi), Duzhong (Cortex Eucommiae, stir-fried), Xuduan (Radix Dipsaci, each 8 fen), Fangfeng (Radix Saposhnikoviae, 4 fen), Sangjisheng (Ramulus Taxilli, 8 fen).
Shengjiang (Fresh Ginger, 3 slices).
Decoct in water and take orally. If Kidney deficiency is pronounced, add Shudihuang (Radix Rehmanniae Preparata, 3 qian).
Gui Shen Wan
Shudihuang (Radix Rehmanniae Preparata, 8 liang), Shanyao (Rhizoma Dioscoreae), Shanzhuyu (Fructus Corni), Fuling (Poria), Duzhong (Cortex Eucommiae, stir-fried), Tusizi (Semen Cuscutae, processed), Gouqi (Fructus Lycii, each 4 liang), Danggui (Radix Angelicae Sinensis, 3 liang).
Grind into powder, mix with honey to form pills. Take 100 pills per dose with warm water.
Leg pain after childbirth, inability to stand for a long time, and loss of appetite indicate insufficient Spleen Yin. The Spleen governs the four limbs, hence the pathology manifests in the lower body; Shihu Niuxi Decoction (Dendrobium and Achyranthes Decoction) is indicated. In severe cases, pain extends to the waist and umbilicus, involving both legs and hips, indicating concurrent insufficiency of Kidney Qi; Buguo Siwu Decoction (Kochia Fruit and Four Substances Decoction) is indicated.
Shihu Niuxi Decoction
Shihu (Herba Dendrobii), Niuxi (Radix Achyranthis Bidentatae), Mugua (Fructus Chaenomelis), Baishao (Radix Paeoniae Alba), Suanzaoren (Semen Ziziphi Spinosae), Shengdihuang (Radix Rehmanniae Recens), Gouqizi (Fructus Lycii), Fuling (Poria), Huangbai (Cortex Phellodendri), Gancao (Radix Glycyrrhizae), Cheqianzi (Semen Plantaginis, each 1 qian).
Decoct in water and take orally.
Buguo Siwu Decoction
Shudihuang (Radix Rehmanniae Preparata), Danggui (Radix Angelicae Sinensis, each 2 qian), Baishao (Radix Paeoniae Alba, wine-fried), Chuanxiong (Rhizoma Chuanxiong), Chuanwu (Radix Aconiti Kusnezoffii), Qiancao (Radix Rubiae Cordifoliae), Changpu (Rhizoma Acori Tatarinowii, each 1 qian).
Decoct in water and take orally.
Paralysis of the Four Limbs
Postpartum numbness and paralysis of the four limbs, accompanied by skin itching and insensitivity, are caused by Blood deficiency and wind pathogen invasion; Zhuxie Siwu Decoction (Expelling Pathogens and Four Substances Decoction) is indicated.
Zhuxie Siwu Decoction
Shudihuang (Radix Rehmanniae Preparata), Danggui (Radix Angelicae Sinensis, each 3 qian), Baishao (Radix Paeoniae Alba, 2 qian), Chuanxiong (Rhizoma Chuanxiong), Baifuzi (Rhizoma Typhonii), Qianghuo (Rhizoma Notopterygii), Duhuo (Radix Angelicae Pubescentis), Bohe (Herba Menthae), Baizhi (Radix Angelicae Dahuricae, each 1 qian).
Decoct in water and take warm.
Hongkong Jiao (Foot Qi / Beriberi) after childbirth presents with heat, stuffiness, and upward rushing of Qi. This occurs if one has been exposed to the Six Excesses (Wind, Cold, Summer-heat, Dampness, Dryness, Fire) previously, and now, due to postpartum Qi and Blood deficiency, pathogens invade the foot meridians and erupt upon emptiness. Duohuo Sishen Decoction (Angelica Pubescens and Taxillus Decoction) or Qianghuo Xuduan Decoction (Notopterygium and Dipsacus Decoction) are indicated.
Duohuo Sishen Decoction
Duhuo (Radix Angelicae Pubescentis), Danggui (Radix Angelicae Sinensis), Baishao (Radix Paeoniae Alba), Sangjisheng (Ramulus Taxilli, each 7 fen), Shudihuang (Radix Rehmanniae Preparata), Chuanxiong (Rhizoma Chuanxiong), Renshen (Radix Ginseng), Fuling (Poria), Niuxi (Radix Achyranthis Bidentatae), Duzhong (Cortex Eucommiae, stir-fried), Qinjiao (Radix Gentianae Macrophyllae), Xixin (Herba Asari), Fangfeng (Radix Saposhnikoviae), Rougui (Cortex Cinnamomi, each 5 fen), Gancao (Radix Glycyrrhizae, 3 fen), Jiang (Ginger, 3 slices).
Decoct in water and take on an empty stomach.
Qianghuo Xuduan Decoction
Qianghuo (Rhizoma Notopterygii), Fangfeng (Radix Saposhnikoviae), Baizhi (Radix Angelicae Dahuricae), Xixin (Herba Asari), Duzhong (Cortex Eucommiae, stir-fried), Niuxi (Radix Achyranthis Bidentatae), Qinjiao (Radix Gentianae Macrophyllae), Xuduan (Radix Dipsaci), Shudihuang (Radix Rehmanniae Preparata), Danggui (Radix Angelicae Sinensis), Renshen (Radix Ginseng), Baishao (Radix Paeoniae Alba), Chifuling (Poria cum Ligno, i.e., Poria with bark), Guixin (Cortex Cinnamomi), Chuanxiong (Rhizoma Chuanxiong, each 5 fen), Jiang (Ginger, 3 slices).
Decoct in water and take on an empty stomach.