凡产妇因忿怒气逆，胸膈不舒，血块又痛，宜服生化汤。临服时，磨木香二分在内，则
血块
自化，怒气自散，并治而不悖也。若轻产重气，偏用香附、乌药、枳壳、香砂之类，以散气
行块，则元气反损，满闷益增，此非善治产也。又如怒后即食，胃弱闷停，当审何物，加山
楂、砂仁，以消肉伤；加神曲、麦芽，以消饭伤。若伤寒物作痛，留滞胁腹，加桂枝、吴茱
萸在生化汤内，以逐寒定痛，无有不安，慎勿木香槟榔丸，流气饮之方，以散气化食，是虚
弱产妇，重虚之祸，有不可胜言者也。
木香生化汤 治产后血块痛未除，又受气，宜服此方。
川芎（二钱） 当归（六钱） 干姜（四分） 炙甘草（五分） 木香（二分） 陈皮（三分）
此方减桃仁而用木香、陈皮。前有减干姜者详之。
健脾化食散气汤 治产后受气伤食，问无血块痛，可服。
白术（二钱） 当归（二钱） 川芎（一钱） 干姜（四分） 陈皮（三分） 砂仁（七分）
如寒停胁下作痛，加桂枝八分。
大抵产后弱妇，受气停食，愈消愈增满闷，必攻补兼行，方化滞进食，但时医所见，知
耗气
而疑参补，误人多矣。余屡见误服散气消导药，致使少食思谷之人，反绝食日久者，亦用长
生活命丹而活甚多。大抵产后忿怒气逆及停食二症，善治者重产而轻怒食，必补气血为主，
佐以顺气调气，则怒郁散而元气不损；佐以健脾消导，非惟气顺，则停食亦行，而胃思谷，
此治产后怒伤食伤之正法也。若专理气消导，胀不散，停食不行，且损元减食，甚至绝谷不
救者多矣，惜哉!
In cases where a postpartum woman suffers from qi rebellion due to anger, resulting in discomfort in the chest and diaphragm, along with pain from blood stasis (blood masses), it is appropriate to administer Shenghua Tang (Life-Birth Decoction). When taking the decoction, grind two fen of Muxiang (Aucklandiae Radix) into it; this will naturally resolve the blood stasis and dissipate the anger, allowing both conditions to be treated simultaneously without conflict. If one neglects the postpartum constitution while focusing solely on emotional regulation, and excessively uses herbs such as Xiangfu (Cyperus Rhizome), Wuyao (Ligusticum Wallichii Rhizome), Zhike (Aurantii Fructus Immaturus), or Xiangsha (Amomi Fructus), to move qi and disperse masses, the primordial qi (Yuan Qi) will instead be damaged, and abdominal distension and fullness will increase. This is not a skillful approach to treating postpartum disorders. Furthermore, if food is consumed immediately after an outburst of anger, leading to food stagnation due to weak stomach function, one must determine the type of food ingested: add Shan Zha (Crataegi Fructus) and Sharen (Amomi Fructus) to digest meat stagnation; add Shen Qu (Massa Medicata Fermentata) and Maiya (Hordei Fructus Germinatus) to digest grain stagnation. If pain arises from consuming cold-natured foods, with pathogenic cold lingering in the hypochondrium and abdomen, add Guizhi (Cinnamomi Ramulus) and Wuzhuyu (Evodiae Fructus) to Shenghua Tang to dispel cold and alleviate pain, ensuring stability. One must strictly avoid formulas like Muxiang Binxiang Wan (Aucklandia and Areca Nut Pill) or Liuqi Yin (Flowing Qi Drink) for moving qi and digesting food, as these are harsh draining methods that would cause double deficiency in already weak postpartum women, leading to dire consequences beyond description.
Muxiang Shenghua Tang: Indicated for postpartum blood stasis pain that has not yet resolved, accompanied by qi stagnation.
Chuanxiong (2 qian) Danggui (6 qian) Ganjiang (4 fen) Zhi Gancao (5 fen) Muxiang (2 fen) Chenpi (3 fen)
This formula reduces Tao Ren (Persicae Semen) and replaces it with Muxiang and Chenpi. Refer to previous discussions regarding the reduction of Ganjiang.
Jianpi Huashi Sanqi Tang: Indicated for postpartum qi stagnation and food injury, provided there is no pain from blood stasis.
Baizhu (2 qian) Danggui (2 qian) Chuanxiong (1 qian) Ganjiang (4 fen) Chenpi (3 fen) Sharen (7 fen)
If pain occurs due to cold stagnating under the hypochondrium, add Guizhi (8 fen).
Generally speaking, for weak women postpartum, if qi stagnation and food retention occur, excessive use of digestive/draining agents only increases distension and fullness. One must combine tonification with drainage to resolve stagnation and restore appetite. However, contemporary physicians often fear that tonics like Renshen (Ginseng Radix et Rhizoma) might hinder qi movement, leading them to doubt their use, thereby misleading many patients. I have frequently seen cases where misusing qi-moving and digestive drugs caused women with poor appetites to stop eating entirely for long periods. I have successfully saved many such patients using Changsheng Huoming Dan (Long-Life Life-Sustaining Pill). In summary, for postpartum conditions involving qi rebellion from anger and food stagnation, skilled practitioners prioritize the postpartum constitution over merely attacking anger or food. The primary treatment should focus on tonifying qi and blood, assisted by herbs that soothe and regulate qi; this dissipates emotional depression without damaging primordial qi. Assisted by herbs that strengthen the spleen and aid digestion, not only does qi flow smoothly, but retained food is also transformed, restoring the stomach's desire for food. This is the correct method for treating postpartum injuries from anger and food. If one relies solely on qi-regulating and digestive methods, distension will not resolve, food stagnation will persist, and primordial qi will be further depleted, often leading to fatal starvation. Such outcomes are truly lamentable!