产后手足浮肿，皮肤作光莹色，及脾虚不能制水，肾虚不能行水，必大补气血为主，佐
以苍
术、茯苓、白术补脾。壅满，加半夏、陈皮、木香、香附监之。虚人加人参、木通。有热加
麦冬、黄芩以清肺火。
健脾利水补中益气汤 治产后七日外。
人参（二钱） 白术（二钱） 茯苓（一钱） 白芍（一钱） 陈皮（二分） 木瓜（八分） 木通
（四分） 紫苏（四分） 苍术（四分） 浓朴（四分） 大腹皮（四分）
大便不通，加肉苁蓉一钱，麻仁一钱。如因寒邪，湿气伤表，无汗而肿，宜服姜皮、半
夏、苏叶，加于补气血方以表汗。
五皮饮 治产后湿气，客伤脾经，气血凝滞，以致面目虚浮，四肢胀气喘，用五
加皮（有以桑白皮代之）、大腹皮、茯苓皮、生姜皮，水煎服。
产后忧惊劳倦，去血过多，则心中躁动不宁，谓之怔忡。若惕然而惊，心中怯怯，如人
将捕
之状，谓之惊悸。治此二症，惟调和脾胃补气血，志定神宁，气舒心安，而病愈矣。如分娩
后，血块未消，宜服生化汤，补血行块，血旺则怔忡惊悸自平，不必加定安心神之剂。如块
消痛止后患此症者，宜服加减养荣汤，加木香，减川芎、麦冬，即归脾汤。
加减养荣汤
川芎（一钱） 当归（二钱） 茯神（一钱） 枣仁（一钱） 人参（一钱） 麦冬（一钱） 白术
（二钱） 远志（二钱，去心） 黄 （二钱） 龙眼肉（八个） 陈皮（四分） 甘草（四分）
姜引。
虚烦，加竹肉一丸。痰，加竹沥姜汁。
养心汤 治产后心血不宁，惊悸不安。
黄 （一钱） 当归（二钱） 茯苓（八分） 川芎（八分） 麦冬（一钱） 人参（一钱） 甘草
（四分） 远志（八分） 枣仁（一钱） 柏子仁（一钱） 五味子（十粒）
姜引。
安神丸 与前药兼服。
黄连（三钱，酒炒） 怀生地（三钱） 归身（五钱） 炙草（五分）
为末，蒸饼糊为丸，如绿豆大，朱砂二钱为衣，每服四十九丸。
Postpartum edema of the hands and feet, characterized by shiny and lustrous skin, as well as symptoms caused by Spleen deficiency failing to control water and Kidney deficiency failing to transform water, must be treated primarily by strongly tonifying Qi and Blood. This should be supplemented with Cangzhu (Atractylodis Rhizoma), Fuling (Poria), and Baizhu (Atractylodis Macrocephalae Rhizoma) to strengthen the Spleen. If distension and fullness are present, add Banxia (Pinelliae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Muxiang (Aucklandiae Radix), and Xiangfu (Cyperi Rhizoma) to regulate Qi. For patients with deficiency constitution, add Renshen (Ginseng Radix et Rhizoma) and Mutong (Akebiae Caulis). If heat signs are present, add Maidong (Ophiopogonis Tuber) and Huangqin (Scutellariae Radix) to clear Lung fire.
Jianpi Lishui Buzhong Yiqi Tang (Spleen-Strengthening Water-Draining Middle-Jiao-Qi-Supplementing Decoction): Indicated for conditions occurring more than seven days postpartum.
Ingredients: Renshen (2 qian), Baizhu (2 qian), Fuling (1 qian), Baishao (1 qian), Chenpi (0.2 qian), Mugua (0.8 qian), Mutong (0.4 qian), Zisu (0.4 qian), Cangzhu (0.4 qian), Houpo (0.4 qian), Dafupi (0.4 qian).
If constipation is present, add Rongzong (Cistanche Deserticola) 1 qian and Haren (Cannabis Seed) 1 qian. If the condition arises from Cold pathogen invasion and Dampness damaging the exterior, resulting in anhidrosis and edema, it is appropriate to use Shengjiangpi (Zingiberis Recens Cortex), Banxia, and Ziye (Perillae Folium), added to a formula that tonifies Qi and Blood to induce sweating and release the exterior.
Wupi Yin (Five Peel Decoction): Indicated for postpartum Dampness invading and damaging the Spleen meridian, causing Qi and Blood stagnation, leading to puffy edema of the face and eyes, swelling of the four limbs, and wheezing. Use Wujiaopi (Acanthopanacis Cortex), Dafupi (Arecae Pericarpium), Fulingpi (Poria Cum Sylpha), and Shengjiangpi (Zingiberis Recens Cortex), decocted in water and taken orally.
Postpartum worry, fright, fatigue, and excessive blood loss lead to inner restlessness and agitation, termed Zhenchong (palpitations with restlessness). If there is sudden fright, timidity, and a sensation as if someone is about to capture one, it is termed Jingji (palpitations with fright). The treatment for these two syndromes lies solely in harmonizing the Spleen and Stomach, tonifying Qi and Blood, stabilizing the will, calming the spirit, ensuring smooth Qi flow, and pacifying the Heart mind, after which the disease will resolve. If lochia clots have not yet dissipated after delivery, Shenghua Tang (Birth Recovery Decoction) should be taken to nourish Blood and dispel stasis; once Blood is abundant, Zhenchong and Jingji will naturally subside, without the need for additional sedative or Spirit-calming agents. If this syndrome persists after the clots have dissipated and pain has ceased, Jiajian Yangrong Tang (Modified Nourishing Vigor Decoction), which is Guipi Tang (Spleen-Restoring Decoction) modified by removing Chuanxiong (Ligustici Chuanxiong Rhizoma) and Maidong, and adding Muxiang, should be taken.
Jiajian Yangrong Tang Ingredients: Chuanxiong (1 qian), Danggui (2 qian), Fushen (Poria with Hostwood, 1 qian), Zaoren (Ziziphi Spinosae Semen, 1 qian), Renshen (1 qian), Maidong (1 qian), Baizhu (2 qian), Yuanzhi (Polygalae Radix, 2 qian, heart removed), Huangqi (Astragali Radix, 2 qian), Longyanrou (Longan Aril, 8 pieces), Chenpi (0.4 qian), Gancao (Licorice Root, 0.4 qian).
Administration: Use Shengjiang (Fresh Ginger) as a guide.
For empty heat and vexation, add Zhuru (Bambusae Caulis in Taenia, 1 pill). For Phlegm, add Zhuli (Bambusae Sap) and Jiangzhi (Zingiberis Juice).
Yangxin Tang (Heart-Nourishing Decoction): Indicated for postpartum Heart Blood unrest, causing fright and palpitations.
Ingredients: Huangqi (1 qian), Danggui (2 qian), Fuling (0.8 qian), Chuanxiong (0.8 qian), Maidong (1 qian), Renshen (1 qian), Gancao (0.4 qian), Yuanzhi (0.8 qian), Zaoren (1 qian), Baiziren (Biota Seed, 1 qian), Wuweizi (Schisandrae Fructus, 10 grains).
Administration: Use Shengjiang (Fresh Ginger) as a guide.
Anshen Wan (Spirit-Calming Pill): Taken concurrently with the above medicines.
Ingredients: Huanglian (Coptidis Rhizoma, 3 qian, stir-fried with wine), Huai Dihuang (Rehmanniae Radix Praeparata, 3 qian), Guishen (Angelica Sinensis Radix body, 5 qian), Zhigancao (Prepared Licorice Root, 0.5 qian).
Preparation: Grind into powder, bind with paste made from steamed bread dough, form pills the size of mung beans, coat with 2 qian of Zhusha (Cinnabar). Take 49 pills per dose.