薛立斋治一产妇，腰痛腹胀，善噫，诸药皆呕，薛以为脾虚弱，用白术一味炒黄，每剂一两，米泔浸，时
饮匙许，四剂后渐安，服百余剂而愈。
一产妇因怒，两胁胀痛，吐血甚多，发热恶寒，胸胁胀痛。此气血俱虚，用八珍汤加柴胡、丹皮、炮姜而
血顿止，又用十全大补汤而寒热退。此病非用姜辛温，助脾肺以行药势，不惟无以施其功，而反补其胀耳。（雄
按∶亦须参之以脉，始可用也。）
王时亨室，产后腰间肿痛，两胁尤甚。此由瘀血滞于经络而然也，不早治，必作骨疽，遂与桃仁汤，二剂
稍愈。更用没药丸数剂而痊。亦有恶血未尽，脐腹刺痛，或流注于四肢，或注股内，疼如锥刺；或两股肿痛，
此由冷热不调；或思虑动作，气所壅遏，血蓄经络而然。宜没药丸治之。亦有经血不行而肿痛者，宜当归丸治
之。凡恶血停滞，为患匪轻，治之稍缓，则流注以为骨疽，多致不救。
衍义治一妇人，产当寒月，脐腹胀满，痛不可按，百治不效。或作瘀血，将用抵当汤。曰∶非其治也，此
脾虚寒，邪客于子门也。以羊肉四两，当归、川芎、陈皮各五钱，姜一两，煎服，二三次而安。
周慎斋治一产妇，腹胀痛，服败血去瘀之药，致小腹胀痛，硬入大腹，用姜、桂、吴茱萸、荜茇，数剂而
愈。（同上。）
一产妇患小腹痛，或作呕，或昏愦，此脾气虚寒，用人参理中汤渐愈。又以补中益气汤加茯苓、半夏全愈。
后复作痛而兼喘，仍用补中益气汤，培补脾肺而遂瘥。（《良方》。）
一产妇小腹作痛，小便不利，内热晡热，形体倦怠，用加味逍遥散以清肝火，生肝血，用补中益气汤补脾
胃，升阳气而痊。（同上。）
朱丹溪治冯宅妇，产后发热，腹中痛，有块，自汗恶寒，曾服黑神散，用白术、白芍各三钱，滑石五钱，
黄芩、丹皮各二钱五分，人参、川芎、归尾、陈皮、荆芥、干姜各一钱，甘草些须。
薛立斋治一妇，产后小腹作痛有块，脉芤而涩，以四物加元胡、红花、桃仁、牛膝、木香，治之而愈。
周于文母，产后月余，腹中作痛不已，甚至恶心不食，恶寒发热，服药不效。有人教用荔枝四两，连核壳
烧灰存性，称准四两，好酒煎服。或作几次服下，亦无不可。按此系平阳事也。其地产后每食老姜汤，或服姜
醋，以其山水寒冷故也。如少饮，则为患不小。（雄按∶此不独东瓯为然，而广东尤盛，亦习俗使然耳。贫苦
之家，或无大害，席丰履浓者，多伤损而死，不悟也。）
Xue Lizhai treated a puerpera who presented with lower back pain, abdominal distension, frequent belching, and vomiting of all administered medicines. Xue diagnosed this as Spleen deficiency (deficiency of the Spleen organ) and prescribed a single herb, Baizhu (Atractylodis Macrocephalae Rhizoma), stir-fried until slightly yellow, at a dosage of one liang per dose. It was soaked in rice washing water and administered in small spoonfuls occasionally. After four doses, symptoms gradually improved, and after more than a hundred doses, she recovered completely.
Another puerpera developed distending pain in both hypochondria due to anger, accompanied by massive hematemesis, fever, aversion to cold, and chest and hypochondriac distending pain. This was identified as a deficiency of both Qi and Blood. She was treated with Bazhen Tang (Eight-Treasure Decoction) augmented with Chaihu (Bupleuri Radix), Danpi (Moutan Cortex), and Paojiang (Prepared Zingiberis Rhizoma), which stopped the bleeding immediately. Subsequently, Shiquan Dabu Tang (Ten-Ingredient Great Tonifying Decoction) was used to resolve the alternating chills and fever. For this condition, without using acrid-warm herbs like Jiangxin (Dried Ginger and Galangal) to assist the Spleen and Lung in promoting the action of the medicine, not only would the treatment fail, but it might also exacerbate the distension. (Commentary: The pulse must also be consulted before applying this method.)
The wife of Wang Shiheng suffered from swelling and pain in the waist after childbirth, particularly severe in the hypochondria. This was caused by stagnant blood obstructing the collaterals. If not treated promptly, it would inevitably develop into bone abscess (Guju). Taoren Tang (Peach Kernel Decoction) was prescribed, resulting in slight improvement after two doses. She then took several doses of Moyao Wan (Myrrha Pill) and recovered. There are also cases where lochia remains incomplete, causing stabbing pain in the umbilical and abdominal regions, or where blood stasis flows to the limbs or inner thighs, causing pain like needle pricks; or swelling and pain in both thighs due to imbalance of cold and heat; or due to excessive worry and physical exertion leading to Qi stagnation and blood accumulation in the collaterals. These should be treated with Moyao Wan. Cases of swelling and pain due to amenorrhea should be treated with Danggui Wan (Angelica Sinensis Pill). Any stagnation of lochia poses a serious threat; if treatment is delayed, it may flow and form bone abscesses, often leading to death.
Yanyi recorded the treatment of a woman who gave birth during a cold month, presenting with fullness and unbearable tenderness in the umbilical and abdominal regions, unresponsive to various treatments. Some suspected blood stasis and proposed Didang Tang (Resolute Decoction). The physician stated: "This is not the correct treatment. This is Spleen deficiency-cold with pathogenic factors lodging in the Zi Men (uterine opening)." He prescribed lamb meat (4 liang), Danggui (Angelicae Sinensis Radix), Chuanxiong (Chuanxiong Rhizoma), Chenpi (Citri Reticulatae Pericarpium) (5 qian each), and Shengjiang (Fresh Zingiberis Rhizoma) (1 liang), decocted and taken orally. The patient stabilized after two or three doses.
Zhou Shenzhai treated a puerpera with abdominal distension and pain. After taking blood-invigorating and stasis-resolving drugs, her lower abdominal pain worsened, with hardness extending into the greater abdomen. She was treated with Shengjiang (Fresh Zingiberis Rhizoma), Guirou (Cinnamomi Ramulus), Wuzhuyu (Evodiae Fructus), and Bibo (Long Pepper Fruit) for several doses, resulting in recovery. (Same source.)
A puerpera suffered from lower abdominal pain, occasional vomiting, and faintness. This was diagnosed as Spleen Qi deficiency-cold. Renzhen Lizhong Tang (Ginseng Regulate the Middle Decoction) led to gradual improvement. She was then fully cured using Buzhong Yiqi Tang (Tonify the Middle and Augment Qi Decoction) augmented with Fuling (Poria) and Banxia (Pinelliae Rhizoma). Later, pain recurred accompanied by asthma. Buzhong Yiqi Tang was used again to tonify the Spleen and Lung, leading to recovery. (*Liangfang*.)
A puerpera presented with lower abdominal pain, difficult urination, internal heat, afternoon tidal fever, and physical fatigue. Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) was used to clear Liver fire and generate Liver blood, while Buzhong Yiqi Tang (Tonify the Middle and Augment Qi Decoction) was used to tonify the Spleen and Stomach and raise Yang Qi, resulting in recovery. (Same source.)
Zhu Danxi treated a woman in the Feng household who had postpartum fever, abdominal pain, palpable masses, spontaneous sweating, and aversion to cold. She had previously taken Heishen San (Black Spirit Powder). Zhu prescribed Baizhu (Atractylodis Macrocephalae Rhizoma) and Baishao (Paeoniae Radix Alba) (3 qian each), Huashi (Talcum) (5 qian), Huangqin (Scutellariae Radix) and Danpi (Moutan Cortex) (2.5 qian each), Renshen (Ginseng Radix), Chuanxiong (Chuanxiong Rhizoma), Guiwei (Angelicae Sinensis Radix Tail), Chenpi (Citri Reticulatae Pericarpium), Jingjie (Schizonepetae Herba), and Ganjiang (Zingiberis Rhizoma) (1 qian each), with a small amount of Gancao (Licorice Root).
Xue Lizhai treated a woman with postpartum lower abdominal pain and a palpable mass. Her pulse was hollow (Kou) and choppy (Se). She was treated with Siwu Tang (Four-Substance Decoction) augmented with Yuanhu (Corydalis Rhizoma), Honghua (Carthami Flos), Taoren (Persicae Semen), Niuxi (Achyranthis Bidentatae Radix), and Muxiang (Aucklandiae Radix), resulting in recovery.
The mother of Zhou Yuwen suffered from incessant abdominal pain for over a month postpartum, progressing to nausea, anorexia, aversion to cold, and fever, unresponsive to medication. Someone advised burning 4 liang of lychees (with seeds and shells) to ash while preserving their medicinal properties, weighing exactly 4 liang, and decocting them in good wine. This could be taken in divided doses or all at once. Note: This practice is specific to Pingyang. Postpartum women there regularly consume old ginger soup or ginger-vinegar mixtures because the local waters and mountains are cold. Consuming less leads to significant harm. (Commentary: This is not unique to Dong'ou but is even more prevalent in Guangdong, driven by custom. Poor families may suffer little harm, but those living in comfort often die from such damage, unaware of the cause.)