产后形体劳倦，脾胃俱伤。是以新产之后，去膏粱，远浓味，食粥茹蔬，以为调摄。不知者，惟
虑产后之虚，以浓味为有补。更有本不思食而强与之，胃虽少纳，脾难转运，易至食停痞塞，甚而伤食
发热，切勿误认为阴虚。更有食滞腹痛，又勿错疑为血凝。治斯证者，体认真实。如发热而饮食调者，
方可补血。若恶食嗳酸者，
食滞之征，即当扶元为主，补气养血，健脾助胃，审伤何物，佐以何药消导，则脾气复而转输易，滞
物行而胃思谷矣。如此补消兼治，无有不安。故善治者，治法有先后缓急，论证因块痛有无，产后有
日数新久，能重产虚之本，而兼去停积之标，攻补如法，无不应手而愈。故有生化消食汤、健脾消食汤
之分别施治。如误服峻药，过于消导，致不思谷，惟活命丹可救。予每见治产者，但知速消食物，反
损正气，益加满闷。一剂不效又加峻药，一医无功又更一医，先后互异，轻证反重，以致命绝。病家自
归命数，医家以为尽技，岂不惜哉。
生化消食汤 治产后块痛未止，停食痞塞。
川芎（二钱） 当归（五钱，酒炒） 干姜（炙黑） 炙草（各四分） 桃仁（十粒，去皮尖）
神曲（炒） 麦芽（炒。各六分）
水煎服。伤肉食，加山楂五分，砂仁五分。伤寒物，加吴茱萸一钱，肉桂五分。虚人，加人参一
钱，或二钱。
健脾消食汤 治产后块痛已除，停食痞塞。
人参（二钱） 当归（三钱，酒洗） 川芎 神曲（炒。各一钱） 白术（一钱五分，土炒）
山楂 砂仁（各六
分） 麦芽 炙草（各五分）
水煎服。或停寒日久，脾胃弱甚，虽药不能即运，须以手揉按。或炒麸曲熨法亦妙。
长生活命丹 治过服消导之药，致令少食，或本思食之人，反令绝食。
人参（三钱）
用新罐或银铫，水钟半，煎七分。再用饭锅焦研粉，先用些许，以参汤调送二三茶匙。引开胃口
后，渐惭加多，渐加参汤，陆续调服。煎参不可用药罐，恐闻药发呕。此方曾活数十余命，神效。
After childbirth, the body is fatigued and exhausted, and both the Spleen and Stomach are injured. Therefore, after new delivery, one should avoid rich and greasy foods, stay away from strong flavors, consume congee and vegetables, and use these as methods of regulation. Those who do not understand only worry about postpartum deficiency, considering rich flavors to be nourishing. Furthermore, there are cases where food is forced upon someone who has no appetite; although the Stomach may accept a small amount, the Spleen finds it difficult to transform and transport, easily leading to food stagnation and epigastric fullness/stuffiness, and even fever due to food injury. Do not mistakenly identify this as Yin Deficiency. In cases of abdominal pain caused by food stagnation, do not wrongly suspect blood stasis. To treat such conditions, one must carefully ascertain the reality (excess/deficiency) of the syndrome. If there is fever but dietary intake is normal, then blood tonification can be performed. However, if there is aversion to food and sour belching, these are signs of food stagnation; one should immediately focus on supporting the Yuan Qi (Original Qi), tonifying Qi and Blood, strengthening the Spleen and assisting the Stomach. Determine what food was injured and supplement with appropriate herbs for digestion and guiding out stagnation. Thus, when Spleen Qi recovers and transformation becomes easy, stagnant matter moves, and the Stomach desires grain. With such combined treatment of tonification and purgation/digestion, there will be no instability. Therefore, skilled practitioners distinguish treatment methods by priority and urgency, differentiate syndromes based on the presence or absence of mass-pain, and consider the duration since delivery. They can emphasize the root of postpartum deficiency while simultaneously eliminating the branch of accumulated food. If attacking excess and tonifying deficiency are done according to method, recovery is assured. Hence, there are distinct treatments using Shenghua Xiaoshi Tang (Life-Generating Food-Dissolving Decoction) and Jianpi Xiaoshi Tang (Spleen-Strengthening Food-Dissolving Decoction). If harsh medicines are mistakenly taken, causing excessive digestion and leading to loss of appetite, only Huoming Dan (Life-Saving Pill) can save the patient. I often see practitioners treating postpartum conditions who only know how to quickly eliminate food accumulation, thereby damaging Zheng Qi (Upright Qi) and increasing bloating and stuffiness. When one dose is ineffective, harsher drugs are added; when one physician fails, another is consulted. Methods vary sequentially, mild conditions become severe, leading to death. The family attributes it to fate, and the physician believes they have exhausted their skills. Is this not lamentable?
Shenghua Xiaoshi Tang (Life-Generating Food-Dissolving Decoction): Treats postpartum abdominal mass-pain that has not ceased, and food stagnation causing epigastric fullness/stuffiness.
Chuanxiong Rhizome (Chuanxiong Radix) (2 qian) Danggui Radix (Danggui, 5 qian, stir-fried with wine) Dried Ginger (Ganjiang, charred black) Prepared Licorice Root (Zhigancao, 4 fen each) Peach Kernel (Taoren, 10 grains, skin and tip removed) Medicated Leaven (Shenqu, stir-fried) Malt (Maiya, stir-fried, 6 fen each)
Decoct in water and take orally. For meat injury, add Hawthorn Fruit (Shanzha, 5 fen) and Amomum Fruit (Sharen, 5 fen). For cold-damaged food, add Evodia Fruit (Wuzhuyu, 1 qian) and Cinnamon Bark (Rougui, 5 fen). For deficient persons, add Ginseng Root (Renshen, 1 qian, or 2 qian).
Jianpi Xiaoshi Tang (Spleen-Strengthening Food-Dissolving Decoction): Treats postpartum abdominal mass-pain that has ceased, and food stagnation causing epigastric fullness/stuffiness.
Ginseng Root (Renshen, 2 qian) Danggui Radix (Danggui, 3 qian, washed with wine) Chuanxiong Rhizome (Chuanxiong) Medicated Leaven (Shenqu, stir-fried, 1 qian each) Atractylodes Macrocephala Rhizome (Baizhu, 1.5 qian, stir-fried with soil) Hawthorn Fruit (Shanzha) Amomum Fruit (Sharen, 6 fen each) Malt (Maiya) Prepared Licorice Root (Zhigancao, 5 fen each)
Decoct in water and take orally. If cold stagnation has persisted for a long time and the Spleen and Stomach are extremely weak, even medication may not immediately facilitate transformation; manual rubbing and pressing should be used. Alternatively, applying stir-fried bran leaven externally with heat is also excellent.
Changsheng Huoming Dan (Long-Life Life-Saving Pill): Treats loss of appetite due to overuse of digestive/purgative herbs, or cases where a person who originally desired food instead experiences total anorexia.
Ginseng Root (Renshen, 3 qian)
Use a new jar or silver pot, half zhong of water, decoct until seven-tenths remain. Then, grind the scorched rice from the bottom of a rice cooker into powder. First, take a small amount, mixed with the Ginseng Decoction, administered as two or three tea spoons. After the appetite is stimulated, gradually increase the dosage, gradually adding more Ginseng Decoction, and administer successively. Do not use medicinal jars to decoct Ginseng, lest the smell of medicine induce vomiting. This formula has saved dozens of lives and is miraculously effective.