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Postpartum heart pain is actually epigastric pain. Since the epigastrium is located below the heart, pain occurs due to invasion of cold pathogenic factors and consumption of cold foods. Using Shenghua Tang (Decoction for Generating Blood) combined with herbs that dispel cold and promote digestion will ensure recovery. If there is pain inside the abdomen, it must be due to retained blood stasis; taking only Shenghua Tang (Decoction for Generating Blood) supplemented with Yimu Wan (Motherwort Pill) and Cervus Cornu Carbonis (Charred Deer Horn) will resolve the stasis and stop the pain. If wind-cold invades the abdomen due to deficiency causing pain, Jiawei Shenghua Tang (Modified Decoction for Generating Blood) is also appropriate, as the formula contains Rou Gui (Cinnamon Bark) and Wu Zhu Yu (Evodia Fruit), which can warm and disperse cold. If it is Zhenxin Tong (True Heart Pain), the fingernails turn cyanotic and black, or the hands and feet become cold extending beyond the wrist joints; if it appears in the morning, death occurs by evening, and there is no cure.

Jiawei Shenghua Tang (Modified Decoction for Generating Blood)
Chuan Xiong (Ligusticum Chuanxiong Rhizome) (2 qian)
Dang Gui (Angelica Sinensis Radix) (4 qian)
Pao Jiang (Prepared Ginger)
Zhi Cao (Honey-fried Licorice Root) (each 5 fen)
Tao Ren (Prunus Persica Seed) (10 grains, remove when pain stops)
Rou Gui (Cinnamomi Cortex) (8 fen)
Wu Zhu Yu (Euodiae Fructus) (7 fen)
Sheng Jiang (Fresh Ginger Rhizome) (3 slices)
Decoct in water and take orally. For rice food stagnation, add Shen Qu (Medicated Leaven) and Mai Ya (Hordei Fructus Germinatus) each 1 qian. For meat food stagnation, add Sha Ren (Amomi Fructus) 7 fen and Shan Zha Rou (Crataegi Fructus) 5 pieces.

Note: Postpartum stomach qi pain implies the patient has a pre-existing condition; postpartum severe depletion of qi and blood naturally exacerbates it. However, there are nine types of symptoms, requiring differentiation into qi, blood, cold, food, parasites, phlegm, accumulation, deficiency, and excess. Treatment should primarily focus on Jiawei Lizhong Tang (Modified Decoction for Regulating the Middle).

Jiawei Lizhong Tang (Modified Decoction for Regulating the Middle)
Dan Fu Zi (Prepared Aconite Lateralis Radix) (2 qian)
Gan Jiang (Dried Ginger Rhizome) (1 qian)
Fu Ling (Poria) (1 qian)
Ren Shen (Ginseng Radix et Rhizoma) (as needed)
Zhi Cao (Honey-fried Licorice Root) (7 fen)
Jiao Bai Zhu (Charred Atractylodis Macrocephalae Rhizoma) (2 qian)
Bai Kou (Amomi Fructus Rotundus) (2 fen)
Rou Gui Xin (Inner Bark of Cinnamon Twig) (1 qian)
Yan Hu Suo (Corydalis Rhizoma, stir-fried with vinegar) (1.5 qian)
Ru Xiang (Olibanum, free from oil) (1.5 qian)

For qi pain, add Guang Mu Xiang (Aucklandiae Radix) 1 qian, Yu Jin (Curcumae Radix, wine-fried) 1 qian, Liang Jiang (Alpiniae Officinarum Rhizoma, vinegar-fried) 1 qian, and Zi Ding Xiang (Caryophylli Flos) 10 pieces. For blood pain, add Wu Ling Zhi (Trogopterori Faeces, vinegar-fried) 1.5 qian, Pao Jiang Tan (Charred Prepared Ginger) 7 fen replacing Gan Jiang, Pu Huang (Typhae Pollen, stir-fried) 7 fen, and Dang Gui Shen (Angelica Sinensis Radix, wine-fried) 2 qian. For cold pain, add Wu Zhu Yu (Euodiae Fructus) 1 qian, Xiao Hui Xiang (Foeniculi Fructus, salt-water fried) 1.5 qian, Lu Gen (Phragmitis Rhizoma, salt-water fried) 2 qian, and heavily use Rou Gui (Cinnamomi Cortex) and Fu Zi (Aconiti Lateralis Radix Praeparata). For food pain, add Jiao Shen Qu (Charred Medicated Leaven) 1.5 qian, Shan Zha (Crataegi Fructus, fried with brown sugar) 2 qian, Ji Jun Pi (Galli Gigerii Endothelium Corneum, roasted dry) 2 qian, Chen Pi (Citri Reticulatae Pericarpium) 1 qian, and Mu Ding Xiang (Caryophylli Flos) 7 fen. For parasite pain, add Chuan Jiao (Sichuan Pepper) 40 grains, Wu Mei (Mume Fructus) 2 pieces, Wu Zhu Yu (Euodiae Fructus) and Huang Lian (Coptidis Rhizoma) 1 qian boiled in water to stir-fry Ba Fen (8 fen), and Fei Zi Rou (Torreya Nucifera Seed) 3 qian. For phlegm pain, add Fa Xia (Pinelliae Rhizoma Preparatum) 2 qian, Cao Guo (Tsaoko Fructus, baked) 1 qian, Chen Xiang (Aquilariae Lignum Resinatum) 1 qian, Mu Li Fen (Concha Ostreae Powder) 2 qian, and Hua Ju Hong (Exocarpium Citri Grandis) 1 qian. For accumulation pain, where spleen accumulation is called Pi Qi (Stagnation), add Mu Ding Xiang (Caryophylli Flos) 8 fen, Chen Xiang Tuan (Agarwood) 2 qian, Fo Shou Gan (Citri Sarcodactylis Fructus) 1 qian, and Ba Dou (Crotonis Fructus, oil removed, frost obtained, roasted dry) 3 fen. Wrap this well with wet fermented bean curd skin and administer with herbal decoction. This Ba Dou Frost (Crotonis Fructus Frost) should only be used reluctantly when accumulation stagnation manifests and does not resolve urgently, and other medicines fail; use with caution. For deficiency pain, differentiate yin and yang. For yin deficiency, add Shu Di Huang (Rehmanniae Radix Preparata), Jiang Zhi (Ginger Juice), Yi Zhi Ren (Alpiniae Oxyphyllae Fructus), and Sha Ren (Amomi Fructus), totaling 15 grains, charred 5 qian, Gou Qi Zi (Lycii Fructus, wine-fried), E Jiao (Colla Corii Asini), and Pu Huang (Typhae Pollen, stir-fried) 2 qian, Yu Rou (Corni Fructus, wine-fried) 2 qian, Gan Jiang (Dried Ginger Rhizome) 5 fen replacing Pao Jiang. For yang deficiency, still use the original formula adding Fu Zi (Aconiti Lateralis Radix Praeparata). For excess pain, remove Ren Shen (Ginseng Radix et Rhizoma) and Jiao Bai Zhu (Charred Atractylodis Macrocephalae Rhizoma), add Zhi Ke (Aurantii Fructus) 1 qian, Cao Kou (Alpiniae Katsumadai Semen) 1 qian, Rou Gui (Cinnamomi Cortex) replacing Gui Zhi (Cinnamomi Ramulus) 8 fen vinegar-fried. In severe cases, add Jiu Zhi (Allium Tuberosum Juice) and Zhi Da Huang (Rhei Radix et Rhizoma Preparata) 3 qian, using Da Huang (Rhei Radix et Rhizoma) mixed with Jiu Zhi (Allium Tuberosum Juice), steamed and sun-dried nine times. For modifications of the above various symptoms, it is essential to clearly identify the syndrome pattern before treatment.