Library

[Abdominal Pain During Menstruation]
Zhixiangfu (Cyperus Rhizoma, processed), Dangguiwei (Angelica Sinensis Root Tail) (each 2 qian); Yanhusuo (Corydalis Rhizoma), Chishao (Red Peony Root), Danpi (Moutan Cortex), Chuanxiong (Ligusticum Rhizome) (each 1.5 qian); Shengdi (Rehmannia Root) (1 qian); Honghua (Carthamus Flower) (8 fen).
Decoct these herbs in water and take one dose daily when pain occurs. Continuous administration for two to three doses will result in recovery. After recovery, strictly avoid consuming raw, cold foods, tea, rice meals, fruits, and other such items permanently.

[Postpartum Hemorrhage]
When massive bleeding occurs postpartum, observe whether the blood color is red or purple, and assess the deficiency or excess of the patient's physical constitution. If the blood color is predominantly purple, it indicates stasis blood that should be expelled; forcibly stopping it may exacerbate pain.

Jia Shen Shenghua Tang (Ginseng-Added Decoction for Generating New Blood): Treats postpartum hemorrhage accompanied by physical collapse, shortness of breath, and profuse sweating.
Prescription: Danggui (4 qian), Chuanxiong (3 qian), Jingjie (Schizonepeta Spike, 4 fen), Taoren (Peach Seed, 10 grains, crushed), Gaolishen (Korean Ginseng, 3 qian), Rougui (Cinnamon Bark, 5 fen). Take two doses.
If sweating persists, add Huangqi (Astragalus Root) and Gaolishen (each 3 qian); if thirsty, add Maidong (Ophiopogon Tuber) and Wuweizi (Schisandra Fruit); if diarrhea occurs, add Fuling (Poria) and Lianzi (Lotus Seed); if both hands' pulses are hidden or the right hand's pulse is [text incomplete], and if palpitations occur, add [text fragment "Wen Yao" and "Jia Chao" appear corrupted/incomplete, likely referring to specific herbs like Yuanzhi or Fried Zao Ren, but omitted here due to lack of explicit names in source].

Shengju Dabu Tang (Decoction for Raising and Greatly Tonifying): Treats prolonged postpartum hemorrhage that does not stop, or expulsion of large clots like chicken eggs, or sheets of blood. It is indicated to greatly tonify the Spleen and Stomach and raise Qi and Blood.
Prescription: Gaolishen (Korean Ginseng), Baizhu (Atractylodes Macrocephala Rhizome) (each 3 qian); Shudi (Prepared Rehmannia Root) (2 qian); Danggui (Angelica Sinensis Root) (1.5 qian); Chuanxiong (Ligusticum Rhizome), Huangqi (Astragalus Root) (each 1 qian); Baizhi (Angelica Dahurica Root), Jingjie (Schizonepeta Spike).
If thirsty, add Maidong and Wuweizi; if diarrhea, add Zexie (Alisma Rhizome) and Lianzi; if phlegm is excessive, add Banxia (Pinellia Tuber); if accompanied by leukorrhea, add Cangzhu (Atractylodes Rhizoma) and Banxia (each 1 qian). Decoct in water and take hot.

Shengmai San (Generate the Pulse Powder): Preserves the Lung and clears the Heart. Treats shortness of breath with profuse sweating, accompanied by thirst. It is used for critical conditions with absent pulses, and for cases in summer where Fire flares up and scorches Metal (Lung).
Prescription: Gaolishen (Korean Ginseng, 5 fen), Maidong (Ophiopogon Tuber, 8 fen), Wuweizi (Schisandra Fruit, 9 grains). Decoct in water and take warm.

[Postpartum Heart and Abdominal Pain]
Postpartum heart pain refers to epigastric pain. Since the epigastrium is located below the heart, pain arises from contracting cold pathogens or consuming cold substances. Use Shenghua Tang, assisted by methods to disperse cold and eliminate stagnation. The text implies adjusting based on symptoms ("Ze/Ruo" fragments suggest conditional adjustments).

Jiawei Shenghua Tang (Modified Decoction for Generating New Blood): Danggui (4 qian), Chuanxiong (2 qian), Paojiang (Roasted Ginger), Zhigancao (Honey-fried Licorice Root) (each 5 fen), Taoren (Peach Seed, 10 grains, crushed). When pain subsides, remove [one qian of a herb, likely Taoren or another specified agent, though the source text is fragmented]; if caused by meat food injury, add Sharen (Amomum Fruit) 1 qian.