产后虚中，感寒饮冷，其寒下攻，小腹作痛。又有血块作痛者，又有产后血虚，脐下痛
者，并宜加减生化汤调治。
加减生化汤
川芎（六分） 当归（二钱） 炮姜（五分） 炙甘（四分） 桃仁（十粒）
问有血块痛，本方加元胡散二钱，亦治寒气痛。如血块无，但小腹痛，按而稍止者，属
虚，加熟地二钱。
元胡散
肉桂（一钱） 元胡（一钱）
为末。
产后遍身疼痛，由产后百节开放，血脉流散，气弱则经络间血多凝滞，累日不散。故筋
脉急
引，骨节不利，甚至腰背不能转侧，手足不能动履，或身热头痛，若误作寒热治而散表出汗
，则筋脉力竭，手足厥冷，变病出焉。
趁痛散 治遍身痛。
当归（二钱） 甘草（三分） 白术 牛膝 独活 肉桂（各八分） 葱白（八根） 黄 （一
钱） 姜（二片）
产后虚劳，指节痛颈痛，汗不出，用∶
当归 人参 黄 生姜 淡豉 薤白 猪肾（二个）
先将猪肾水煮热，取汁二盏，煎药八分碗温服。
筋骨乃血所养，产后血虚，亦能作痛。又寒主拘急，或感寒气，皆能作痛，须凭脉症，
加减用药为当。
产后腰痛，由妇人位系胞腰为肾腑，产后劳伤，肾气损动胞络；或虚未即平复，而风寒
易乘，二者皆致腰痛也。
当归（二钱） 独活（八分） 杜心（八分） 川芎（八分） 杜仲（八分） 续断（八分） 防风
（八分） 桑寄生（八分） 姜（三片）
服两帖后，痛未止，属肾虚，服加味大造丸。
加味大造丸 治产后日久，肾虚腰痛。
当归 川芎 熟地 天冬 五味子 杜仲 续断 山药 牛膝 故纸（炒） 小茴（炒）
丹皮 胡桃 人参（各等分）
为丸服。
又败血流入腰肾，痛如锥刺，宜服复元通气散。
川芎（一钱） 当归（一钱） 小茴（一钱） 故纸（一钱） 桂心（一钱） 元胡索（一钱） 牛
膝（一钱） 丹皮（一钱） 木香（水磨，五分）
甚者，加乳香、没药（四五分）。
Postpartum deficiency combined with cold invasion or consumption of cold drinks causes cold pathogenic factors to attack downward, resulting in lower abdominal pain. There are also cases where pain is caused by blood stasis (blood masses), and others where pain below the umbilicus results from postpartum blood deficiency. All these conditions are suitable for treatment with Modified Shenghua Decoction (Jiajian Shenghua Tang).
Modified Shenghua Decoction (Jiajian Shenghua Tang)
Chuanxiong Rhizome (Liu Fen) Angelica Sinensis Root (Er Qian) Prepared Ginger (Wu Fen) Honey-fried Licorice Root (Si Fen) Peach Kernel (Shi Li)
Question: If pain is caused by blood stasis, add Eruthrea Powder (Yuanhu San) two Qian; this also treats pain due to cold pathogenic factors. If there is no blood stasis but only lower abdominal pain that alleviates slightly upon pressure, it belongs to deficiency; add Prepared Rehmannia Root (Shudi) two Qian.
Eruthrea Powder (Yuanhu San)
Cinnamon Twig (Rougui) Corydalis Rhizome (Yuanhu)
Grind into powder.
Postpartum generalized body pain occurs because after childbirth, all joints and pores are open, and blood vessels disperse. Qi deficiency leads to stagnation of blood in the meridians, which does not dissipate over several days. Consequently, tendons and vessels become tense and pulling, joints are stiff and difficult to move, and even the waist and back cannot turn or bend, nor can the hands and feet walk or move. It may be accompanied by fever and headache. If mistakenly treated as an exterior cold-heat syndrome and treated with diaphoresis (sweating methods), tendon and vessel strength will be exhausted, leading to cold extremities and various complications.
Chentong San treats generalized body pain.
Angelica Sinensis Root (Er Qian) Licorice Root (San Fen) Atractylodes Macrocephala Rhizome Achyranthes Bidentata Root Eucommia Bark Cinnamon Twig (Each Ba Fen) Scallion White (Ba Gen) Astragalus Membranaceus Root (Yi Qian) Ginger (Pian)
For postpartum consumptive disease presenting with finger joint pain, neck pain, and absence of sweating, use the following prescription:
Angelica Sinensis Root Ginseng Radix Astragalus Membranaceus Root Fresh Ginger Fermented Soybean Scallion Bulb Pig Kidney (Two pieces)
First, boil pig kidneys in water until hot, take two cups of the broth, then decoct the herbs until reduced to eight-tenths of a bowl. Take warm.
Tendons and bones are nourished by blood; postpartum blood deficiency can also cause pain. Furthermore, cold pathogenic factors cause contraction and stiffness, and contracting cold can also cause pain. Treatment must rely on pulse and symptom differentiation to adjust the prescription appropriately.
Postpartum lumbar pain occurs because the woman's waist is connected to the uterus and belongs to the Kidney organ system. Postpartum labor injury damages the Kidney Qi and disturbs the uterine collaterals; or if the body remains deficient and has not yet recovered, wind-cold pathogens easily invade. Both situations lead to lumbar pain.
Angelica Sinensis Root (Er Qian) Eucommia Bark (Ba Fen) "Duxin" (Ba Fen - likely a variant or error for Du Zhong/Eucommia) Chuanxiong Rhizome (Ba Fen) Eucommia Bark (Ba Fen) Dipsacus Asper Root (Ba Fen) Saposhnikovia Root (Ba Fen) Taxillus Chinensis Stem (Ba Fen) Ginger (San Pian)
After taking two doses, if pain persists, it indicates Kidney deficiency; take Additive Da Zao Wan.
Additive Da Zao Wan treats prolonged postpartum Kidney deficiency lumbar pain.
Angelica Sinensis Root Chuanxiong Rhizome Prepared Rehmannia Root Asparagus Cochinchinensis Stem Schisandra Berry Eucommia Bark Dipsacus Asper Root Chinese Yam Achyranthes Bidentata Root Psoralea Corylifolia Seed (Stir-fried) Fennel Fruit (Stir-fried) Moutan Cortex Walnut Kernel Ginseng Radix (Equal parts)
Form into pills and take.
Additionally, if failed blood (stasis) flows into the lumbar region and kidneys, causing pain like needle pricks, Fu Yuan Tong Qi San is indicated.
Chuanxiong Rhizome (Yi Qian) Angelica Sinensis Root (Yi Qian) Fennel Fruit (Yi Qian) Psoralea Corylifolia Seed (Yi Qian) Cassia Bark (Gui Xin) Corydalis Rhizome (Yi Qian) Achyranthes Bidentata Root (Yi Qian) Moutan Cortex (Yi Qian) Aucklandia Root (Water-ground, Wu Fen)
In severe cases, add Frankincense (Ruxiang) and Myrrh (Moyao) (Si-Wu Fen).