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Women's diseases are twice as many as men's, due to the prevalence of childbirth-related conditions. Postpartum blood stasis (blood clots) is a condition that physicians must discuss first; do not regard it as minor and neglect it.

The ancient *Ju Fang* (Formulas of the Imperial Pharmacy) biasedly used Suxmu (Lignum Dalbergiae Odoriferae), Pengzhu (Rhizoma Curcumae), and Sanleng (Rhizoma Sparganii) for aggressive attack on mass pain, which instead damaged and broke down newly formed blood, further debilitating the postpartum woman. This error was passed down through generations of practitioners, misleading people for thousands of years. It is no different from killing with a blade. Therefore, it is specifically listed in the first chapter to universally warn obstetricians: do not treat blood stasis as a mild condition and recklessly use Suxmu, Pengzhu, or Sanleng, thereby endangering lives. All blood-dispersing formulas and blood-breaking herbs, even Shanzha (Fructus Crataegi), which has a mild nature, should not be used alone; they are all harmful to life.

Shenghua Tang (Decoction for Generating New Blood) treats blood stasis; it is the sacred medicine for transforming old blood and generating new blood after delivery. Additionally, add Yimu Wan (Motherwort Pill) and Lujiaohui (Ash of Deer Horn), administered with one qian of Shenghua Tang. Externally, apply warm clothes heated by ironing to the area of mass pain; even in summer, warmth must be maintained. Generally, postpartum women suffer from qi and blood injury due to labor, and after delivering the fetus in a weakened state, they lack the strength to expel the placenta and blood clots, causing them to stagnate in the abdomen and induce pain. In severe cases, stagnant qi may lead to coma and syncope. One must never rashly diagnose this as "evil blood snatching the heart" and recklessly use blood-dispersing agents like Suxmu to kill patients. Simply administer several doses of Shenghua Tang frequently; immediately, the masses will dissipate, pain will cease, spirit will clear, qi will recover, and the patient will feel refreshed and peaceful. Blood-moving herbs include Shengdi (Radix Rehmanniae Preparata) and Niuxi (Radix Achyranthis Bidentata); blood-breaking herbs include Sanleng and Pengzhu. Common folk practices using Shanzha and brown sugar to dissolve masses, and ginger, pepper, mugwort, and wine to relieve pain, often result in strangury, metrorrhagia, and syncope.

After delivery, if one sees black spots before the eyes, experiences dizziness and fainting, and loses consciousness, it is called Xueyun (Blood Syncope). There are three causes: first, extreme fatigue leading to exhaustion of qi and clouding of spirit; second, massive blood loss leading to impending collapse of qi; third, phlegm-fire rising due to deficiency, clouding the spirit. In these three cases, the soul does not follow the spirit, and vital breath is nearly exhausted. One should urgently administer pre-decocted Shenghua Tang to move blood masses, relieve pain, transform old blood, and generate new blood. Immediately, blood generates and qi turns, spirit gradually clears, and the mind regains control. Frequent administration of two or three doses resolves the condition, calming confusion, due to the generative power of Xiong (Rhizoma Chuanxiong) and Danggui (Radix Angelicae Sinensis). If one blindly trusts ancient formulas, mistaking syncope for evil blood rushing up to confuse the heart, and lightly uses blood-dispersing agents; or mistakes it for phlegm-fire and treats it with cooling and fire-descending formulas, this is a grave error. External methods such as stimulating the nose with vinegar and chives, or fumigating with burning lacquer, must not be delayed. Physicians must not rashly diagnose evil blood rushing to the heart and use harsh blood-breaking agents like Suxmu to attack new blood; nor should they trust ancient formulas like Mudan Dueming Tang (Peony Life-Taking Decoction) to break blood, which would反而 damage life. Again, I urge that at the time of delivery, one must have Shenghua Tang pre-decocted and hard stones or lead weights pre-heated. After the infant is born, administer two or three doses continuously, decocting the medicine three times. Also, place a bottle containing vinegar and chives near the pillow with a hot weight; this method ensures no syncope occurs. When the baby is born, the family must not rejoice over the child while neglecting the mother; the mother must not forget her fatigue for the sake of the child. One must not lie down immediately after delivery, nor become angry with reversed qi, as these can cause blood reversal leading to syncope. These points are emphasized, and formulas are attached below.

Jiajian Shenghua Tang (Modified Decoction for Generating New Blood) treats three types of postpartum blood syncope.
Xiong (3 qian), Danggui (6 qian), Ganjiang (4 fen), Taoren (10 grains), Zhigancao (5 fen), Jingjie (5 fen).
Use Jujube as a guide, decoct in water.

Modifications: For severe fatigue-induced syncope, as well as syncope due to metrorrhagia and depletion of qi and blood, quickly administer two doses of Shenghua Tang. If complexion is pale/depleted or there is excessive sweating leading to depletion, urgently take one dose, then add Renshen (3-4 qian) and Rougui (4 fen). Do not hesitate to use Renshen thinking it is too tonic and slow-acting. For syncope caused by phlegm-fire rising due to deficiency, add Juhong (4 fen) to the formula; if deficiency is severe, also add Renshen (2 qian). Obese people tend to have phlegm; add Zhuli (7 fen in a wine cup) and a little Jiangzhi (Ginger Juice). For the above three types of syncope, do not use blood-breaking drugs like Suxmu. If blood mass pain is severe, additionally administer Yimu Wan, or Lujiaohui, or Yanhusuo, or Duxing San. Among these mass-dissolving formulas, if one shows efficacy, there is no need to change the formula.

Congquan Jiujia Shen Shenghua Tang (Emergency Ginseng-Added Decoction for Generating New Blood) treats postpartum syncope due to depleted complexion or excessive sweating.
Xiong (2 qian), Danggui (4 qian), Ganjiang (4 fen), Taoren (10 grains), Zhigancao (4 fen), Renshen (3 qian).
Decoct in water and take.

If blood mass pain is severe, add Rougui (7 fen). If thirsty, add Maidong (1 qian) and Wuweizi (10 grains). If sweating excessively, add Mahuanggen (1 qian). If the mass is not painful, add Huangqi (1 qian) to stop sweating. If food stagnation from rice/noodles, add Chao Shenqu (8 fen) and Maiya (5 fen). If meat stagnation, add Shanzha (5 fen) and Sharen (4 fen). Renshen tonifies qi and promotes movement; Baizhu tonifies qi but does not promote movement. Therefore, within seven days postpartum, if blood masses remain, it is better to use Renshen than Baizhu or Shudi. I have seen quacks use these, resulting in death from heart and abdominal pain.