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[Da] Postpartum lochia that does not cease is caused by damage to the meridians and blood deficiency after childbirth, or by incomplete expulsion of lochia during delivery, which remains in the abdomen. Combined with pre-existing cold in the zang-fu organs, this leads to disharmony of qi and blood, resulting in continuous dripping of lochia.

[Xue] For the aforementioned syndrome: if liver qi heat fails to control blood, use Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill). If liver qi deficiency fails to store blood, use Xiaoyao San (Free and Easy Wanderer Powder). If spleen qi deficiency fails to contain blood, use Liujunzi Tang (Six-Gentleman Decoction). If stomach qi sinks and fails to command blood, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). If spleen meridian depression-heat causes blood to fail to return to its source, use Jiawei Guipi Tang (Modified Guipi Decoction). If liver meridian fire-stagnation causes blood to move recklessly, use Jiawei Siwu Tang (Modified Four-Substance Decoction). If both qi and blood are deficient, use Shiquan Dabu Tang (Ten-Ingredient Great Tonic Decoction). If liver meridian wind-pathogen causes blood to boil, use Yiwei Fangfeng Wan (Single-Ingredient Saposhnikovia Pill). A postpartum patient presented with continuous dripping of lochia, fatigue, sallow complexion, poor appetite, aversion to cold, insomnia day and night, palpitations, and sweating. This was due to deficiency-heat in the spleen meridian; she recovered after taking Jiawei Guipi Tang. Later, due to anger causing hypochondriac distension, vomiting, and reduced food intake, she was treated with Liujunzi Tang added with Chaihu (Bupleuri Radix) and recovered.

Xiong Gui Jiao Shaoyao Tang (Chuanxiong, Angelica Sinensis, and Peony Decoction): Treats postpartum metrorrhagia with vertigo and loss of consciousness.
Chuanxiong (Rhizoma Chuanxiong), Danggui (Radix Angelicae Sinensis), Shaoyao (Radix Paeoniae Alba/Lactiflorae) (equal parts).
Coarsely crush the above herbs. Take 4 qian per dose, decoct with 1.5 zhong of water until reduced to 0.7 zhong, strain, and take warm at any time.

Yunqi treated postpartum metrorrhagia resembling bean juice with excessive purple-black color using Siwu Tang (Four-Substance Decoction) added with Puhuang (Pollen Typhae), raw Dihuang juice (Jus Radicis Rehmanniae Recens), Ejiao (Colla Corii Asini), Jigen (Radix Cirsii Japonici), Aiye (Folium Artemisiae Argyi), and Baizhi (Radix Angelicae Dahuricae), decocted and taken orally.

Treats postpartum lochia continuing for seven to eight days.
Baijiangcao (Herba Patriniae), Danggui (Radix Angelicae Sinensis) (each 6 fen); Shaoyao (Radix Paeoniae Alba/Lactiflorae), Xuduan (Radix Dipsaci) (each 8 fen); Chuanxiong (Rhizoma Chuanxiong), Zhuru (Caulis Bambusae in Taenia) (each 4 fen); Shengdihuang (Radix Rehmanniae Recens, stir-fried dry, 12 fen).
Finely chop the above, decoct with 2 sheng of water until reduced to 8 ge, and take on an empty stomach in one dose.

[Dan] A seventeen-year-old woman, after being exposed to cold and crying excessively postpartum, experienced recurrent bleeding with a deep pulse.
Danggui (Radix Angelicae Sinensis), Baizhu (Rhizoma Atractylodis Macrocephalae), Chenpi (Pericarpium Citri Reticulatae), Chuanxiong (Rhizoma Chuanxiong), Ganjiang (Rhizoma Zingiberis Secati), Huangqin (Radix Scutellariae) (each 2 qian); Shaoyao (Radix Paeoniae Alba/Lactiflorae) (1 qian); Zhi Gancao (Radix Glycyrrhizae Preparata) (a small amount).
Divide into two doses, decoct with water and take orally.

Lady Wang, due to worry and grief, suffered from continuous bleeding more than two months after abortion, accompanied by abdominal pain. This indicates constitution deficiency with qi stagnation and incomplete expulsion of lochia.
Chenpi (Pericarpium Citri Reticulatae) (1 qian), Baizhu (Rhizoma Atractylodis Macrocephalae) (2 qian), Shaoyao (Radix Paeoniae Alba/Lactiflorae) (1 qian), Mutong (Caulis Akebiae), Chuanxiong (Rhizoma Chuanxiong) (5 fen); Gancao (Radix Glycyrrhizae, prepared) (2 fen).
Prepare as a decoction, and administer with sixty pills of Wuzhi Wan (Five-Essence Pill) before meals.

Dusheng Tang (Single-Saint Decoction): Treats postpartum excessive blood loss leading to severe heart and abdominal pain, followed by bleeding that persists for a long time. It also treats leukorrhea (red and white discharge) refractory to various medications over many years, with excellent efficacy.
Guanzhong (Rhizoma Cyathiulae, whole, shape like a thorn, remove hairs and vines, do not cut).
Moisten with high-quality vinegar, roast slowly over low heat until fragrant and cooked. Cool and grind into fine powder. Take 2 qian mixed with rice water on an empty stomach before meals.

Qianjin Fang (Prescriptions Worth a Thousand Gold) treats postpartum retention of evil blood lasting a month or half a year. Shengma (Rhizoma Cimicifugae) 3 liang, clear wine 5 sheng, decoct until reduced to 2.5 sheng, divide and take warm twice.

Muli San (Oyster Shell Powder): Treats postpartum continuous dripping of lochia, chest stuffiness, shortness of breath, weakness in four limbs, heavy and dizzy head and eyes, irritability, fever, loss of appetite, sallow complexion, and emaciation.
Muli (Concha Ostreae), Chuanxiong (Rhizoma Chuanxiong), Shudihuang (Radix Rehmanniae Preparata), Bai Fuling (Poria cum Risus), Longgu (Os Draconis/Fossilia Ossis Mastodi) (each 1 liang); Xuduan (Radix Dipsaci), Danggui (Radix Angelicae Sinensis), Aiye (Folium Artemisiae Argyi, wine-fried); Renshen (Radix Ginseng), Wuweizi (Fructus Schisandrae Chinensis), Diyü (Radix Sanguisorbae) (each 0.5 liang); Gancao (Radix Glycyrrhizae) (2.5 qian).
Grind into powder. Take 2 qian per dose with 1 zhong of water, three slices of fresh ginger, and one jujube. Decoct until reduced to 0.6 zhong, strain, and take before meals.

Chan Shu (Book of Childbirth) states that if residual blood and fluid remain postpartum, Doulin Jiu (Bean-Dripping Wine) should be taken. Black beans 5 sheng, roasted until smoke ceases, quenched in 1 dou of wine in a porcelain vessel. Bean-dripping wine treats foul blood and releases the exterior.

Treats postpartum continuous evil blood, uncontrollable metrorrhagia, colicky abdominal pain, and rapid breathing. Treats thirty-six diseases of the lying-in period. (Guangji Fang)
Luafa (Human Hair, burned, 1 liang), Ejiao (Colla Corii Asini, 2 liang), Daizheshi (Haematitum), Ganjiang (Rhizoma Zingiberis Secati) (each 3 liang); Matike (Horse hoof shell, one, burned), Ganyedi Huang (Radix Rehmanniae Preparata, 4 liang); Niujiao (Cornu Bubali, 5 liang, fried with butter).
Grind into fine powder, mix with refined honey to form pills the size of paulownia seeds. Take 30-40 pills per dose with rice water on an empty stomach, twice daily.

Fanhun Dan (Soul-Returning Pill) (see previous general principles of pregnancy and childbirth).

Wenzhong and Ge Shi treat lochia non-stop with the following formula: Saw off mulberry wood, take a handful of sawdust, and take with wine.
Another prescription: Roast Sangbaipi (Cortex Mori) and decoct in water to drink.

Milu records treating continuous bleeding after abortion by burning mulberry wood borers into powder, taking a cunbi measure with wine, twice daily.

Treats uncontrolled postpartum hemorrhage and abdominal pain with chest oppression. Use Jianghuang (Rhizoma Curcumae Longae) ground into powder, take a cunbi measure with wine, three to four times daily. (Hu says: Jianghuang treats lochia non-stop.)

Treats postpartum bleeding that does not stop, leading to extreme emaciation nearing death. Also treats blood and qi disorders. Puhuang (Pollen Typhae) 2 liang, water 2 sheng, decoct until reduced to 8 ge, take in one dose.