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After childbirth, if anger causes rebellious Qi ascending, leading to distension and discomfort in the chest and diaphragm, or even pain, especially when accompanied by pain from blood stasis clots, Muxiang Shenghua Decoction (Costus Root Decoction for Generating Blood) is appropriate. This will naturally facilitate the rapid resolution of blood clots and the dissipation of anger, treating both conditions without conflict. If one treats difficult labor (or weak constitution) while overemphasizing Qi stagnation, and exclusively uses herbs such as Cyperi Rhizoma (Xiangfu), Linderae Cortex (Wuyao), Aurantii Fructus (Zhiqiao), Aucklandiae Radix (Muxiang), and Amomi Fructus (Sharen) to move Qi and disperse clots, it may instead damage the Yuan Qi (Primary Qi), thereby increasing chest oppression, fullness, and pain. This is not a skillful approach to postpartum treatment. Furthermore, if food is consumed immediately after an outburst of anger, resulting in weak Stomach Qi and food retention causing fullness and stuffiness, but without pain from blood clots, Jianpi Huashi Liqi Decoction (Spleen-Strengthening, Food-Resolving, and Qi-Regulating Decoction) should be used. One must then carefully identify the specific food that caused the injury and add corresponding herbs to aid digestion; the pain and stuffiness will then be relieved. One must be cautious about lightly using formulas such as Binglang Wan (Areca Seed Pill) or Liuqi Yin (Flowing-Qi Decoction) to move Qi and resolve food, as this could cause severe double deficiency in already weak postpartum women, with consequences too dire to mention.

Muxiang Shenghua Decoction: Treats postpartum pain from unresolved blood clots exacerbated by daily emotional distress; highly effective.
Chuanxiong Rhizoma (Chuanxiong, 2 qian), Danggui Radix (Danggui, 6 qian, washed with wine), Zingiberis Rhizoma Recens (Ganjiang, 4 fen, roasted until black), Citri Reticulatae Pericarpium (Chenpi, 3 fen), Aucklandiae Radix (Muxiang, 2 fen, ground and taken with decoction).
Decoct in water and take orally. If food injury occurs after anger, treat similarly to food injury. Identify the specific food injured and use corresponding herbs to resolve it.

Jianpi Huashi Liqi Decoction: Treats postpartum cases without blood clot pain but affected by emotional distress and food injury.
Ren Shen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried with soil), Danggui Radix (washed with wine, each 2 qian), Chuanxiong Rhizoma (1 qian), Zingiberis Rhizoma Recens (roasted until black), Glycyrrhizae Radix et Rhizoma Praeparata (Zhi Gancao, each 4 fen), Citri Reticulatae Pericarpium (3 fen).
Decoct in water and take orally. If noodles were consumed, add fried Medicated Leaven (Shenqu) and fried Hordeum Fructus Germinatus (Maiya). If meat was consumed, add Crataegi Fructus (Shanzha) and Amomi Fructus (Sharen). If cold-damaged food remained stagnant between the hypochondrium causing pain, add Cinnamomi Ramulus (Guizhi) and Evodiae Fructus (Wuzhuyu); alternatively, adding only 8 fen of Guizhi is also acceptable.

In the human body, Qi belongs to Yang, and Blood belongs to Yin. When Yin and Yang are harmonious and flowing smoothly, there is no disease. The head is the confluence of all Yang meridians. After childbirth, excessive blood loss leads to Yin deficiency, causing deficient Yang to lose its anchor and rush upward to the head, resulting in headache. By simply tonifying the Blood, Yang can find its proper place, and the headache will cease spontaneously. Occasionally, retained bad blood stays in the uterus, associated with the Jueyin meridian, whose pulse connects to the vertex, causing vertex headache. Even if symptoms of fever and aversion to cold are present, only modified Shenghua Decoction should be used; Qianghuo (Notopterygii Rhizoma et Radix) and Duhuo (Angelicae Pubescentis Radix) must be strictly avoided. This is because the True Yang is depleted, allowing turbid Yin to invade the upper part and sink into the Marry Sea (brain), causing distension and pain. Unless clear Yang rises and recovers, turbid Yin cannot descend. Pathogens arising from within the interior differ from those entering from the exterior; they cannot be cured by sweating methods. Moreover, Chuanxiong and Ganjiang in Shenghua Decoction can also dispel exterior pathogens, and Taoren (Persicae Semen) can expel blood stasis. Thus, it can treat multiple aspects simultaneously. With slight modifications based on the syndrome, why use other light-handed prescriptions? *Zunsheng* treats blood-deficiency headache with Xiongui Tang; treats cold-induced headache with Sushen Xiongui Tang. Mizhai treats headache due to stagnant blood with Xuezheng Heishen San. True headache, where death occurs in the evening after morning onset, is incurable.

Postpartum Xiongui Tang (also known as Foshou San, this formula adds herbs based on the syndrome): Treats postpartum headache due to blood deficiency.
Danggui Radix, Chuanxiong Rhizoma (each 2.5 qian).
Decoct in water and take orally. If sweating is present, indicating Qi deficiency, add Ren Shen (5-7 fen) and Cinnamomi Cortex (Guixin, 3 fen). If cold is contracted, add Gastrodiae Rhizoma (Tianma), Angelicae Dahuricae Radix (Baizhi), and Notopterygii Rhizoma et Radix (Qianghuo) (each 4 fen).

Sushen Xiongui Tang: Treats postpartum common cold.
Ren Shen, Perillae Folium (Zisu), Puerariae Radix (Gange) (each 1 qian), Danggui Radix, Chuanxiong Rhizoma (each 2 qian).
Add one slice of Zingiberis Rhizoma Recens (Fresh Ginger), decoct and take.

Shenghua Decoction (see discussion on Shenghua Decoction at the end of this volume).
Xuezheng Heishen San (see Delirium section in the previous volume).