临产努力太过，致子宫不收，及阴户下挺无收，小便淋漓，但用补中益气汤，频频服之，外洗寸金散。
朱丹溪云∶有产妇下物如手帕者，有出肉线一条者。
薛立斋曰∶子宫有损落一片者，皆气血虚脱所致，但服参 升提之药自愈。此非肠胃之比，无碍也，血肉
原可自长。
寸金散
紫梢花 葫芦巴 蛇床子 樟脑（各一钱）
四味水煎，熏洗。
一方用香油抹子宫上，以牙皂末吹鼻中，取嚏，时缩上（兹与盘肠产参看。）
补中益气汤（见前）
产后肠痒，因血去多，或调理失宜，气血两亏。王景泰法，用针线袋安产妇卧褥下，勿令人见。一法，取箭
锋及镞安卧席下，勿令妇知。或以食盐熬热，布袋包熨脐上，痒自止；或服四物汤，滋养自安。
四物汤
大熟地（三钱） 当归（二钱） 白芍（一钱炒） 川芎（五分）
水煎服。
此症因心肾虚而不交，脾虚不能运动食本。纵有微邪，皆由元气不足所致。右方七珍散，其中菖蒲、细辛、
防风须酌用，如果因风邪闭之，则暂服一剂，再察其病源、兼症治之。若思虑伤脾，倦怠食少者，服归脾汤。若
气血两虚，内热者，用八珍汤。若脾虚生痰，呕哑少食者，用六君子汤。或水亏生热，面赤火浮者，用六味地
黄汤。如法按经调理自然易愈。倘妄行祛风攻痰，或用香散之药，则去之远矣。
七珍散
生地（一两） 川芎（五钱） 石菖蒲（五钱） 细辛（一钱） 防风（五钱） 辰砂（五钱，研飞过）
人参（五钱）
共末，每服二钱，薄荷汤调下。
归脾汤（见血崩） 八珍汤（见临产）六君子汤（见血晕）。
六味地黄汤
大熟地（三钱） 山萸肉（二钱） 淮山药（二钱） 牡丹皮（一钱） 茯苓（一钱五分） 泽泻（一钱）
水煎服。
During childbirth, excessive effort leads to the failure of the uterus to contract and retract, as well as the prolapse of the vaginal orifice that cannot be withdrawn, accompanied by dribbling urination. One should simply administer Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) frequently, and wash externally with Cunjing San (Inch-Gold Powder).
Zhu Danxi stated: There are cases where a parturient expels tissue resembling a handkerchief, or a strip of fleshy cord.
Xue Lizhai said: Cases where a piece of the uterus falls out are all caused by deficiency and collapse of Qi and Blood. Simply taking herbs with ascending properties, such as Ginseng Radix et Rhizoma (Renshen), will allow it to heal itself. This is not comparable to diseases of the intestines and stomach; there is no serious harm, as flesh and blood can regenerate naturally.
Cunjing San (Inch-Gold Powder)
* Zishao Hua (Purple Tip Flower)
* Huluba (Fenugreek Seed)
* Shechuangzi (Cnidium Fruit)
* Zhangnao (Borneolum Syntheticum, Camphor)
(Each one qian)
Decoct the four ingredients in water for fumigation and washing.
Another method is to apply sesame oil to the protruding uterus, and blow powder from Gleditsia Sinensis Fruit (Yazao) into the nose to induce sneezing, which causes the uterus to retract upward (compare this with Prolapsed Intestine during Childbirth).
Buzhong Yiqi Tang (See previous section)
Postpartum intestinal itching is due to excessive blood loss or improper conditioning, resulting in dual deficiency of Qi and Blood. Wang Jingtai’s method involves placing a needle-and-thread bag under the parturient’s bedding without others knowing. Another method is to place arrowheads beneath the sleeping mat without the woman’s knowledge. Alternatively, heat salt, wrap it in a cloth bag, and apply it to the umbilicus to stop the itching; or administer Siwu Tang (Four Substances Decoction) to nourish the body and bring peace.
Siwu Tang (Four Substances Decoction)
* Shu Dihuang (Prepared Rehmannia Root) (3 qian)
* Danggui (Angelicae Sinensis Radix) (2 qian)
* Baishao (White Peony Root) (1 qian, stir-fried)
* Chuanxiong (Ligusticum Chuanxiong Rhizome) (0.5 qian)
Decoct in water and take orally.
This condition arises from the failure of communication between the Heart and Kidney, and Spleen deficiency failing to transport food essence. Even if there are minor pathogenic factors, they are all caused by insufficiency of Yuan Qi (Original Qi). In the aforementioned Qizhen San (Seven Treasures Powder), Shi Changpu (Acorus Tatarinowii Rhizome), Xixin (Asari Root), and Fangfeng (Saposhnikovia Root) must be used with discretion. If it is indeed caused by closure by Wind Pathogen, take one dose temporarily, then observe the disease origin and accompanying symptoms to treat accordingly. If worry injures the Spleen, leading to fatigue and poor appetite, Guipi Tang (Restore the Spleen Decoction) should be taken. If there is dual deficiency of Qi and Blood with internal heat, Bazhen Tang (Eight Treasures Decoction) should be used. If Spleen deficiency generates Phlegm, leading to vomiting, hoarseness, and poor appetite, Liujunzi Tang (Six Gentlemen Decoction) should be used. If Kidney Yin deficiency generates heat, manifesting as red face and floating fire, Liuwei Dihuang Tang (Six-Ingredient Pill with Rehmannia) should be used. Following these methods to regulate according to the meridians will naturally lead to easy recovery. If one recklessly uses wind-dispelling and phlegm-attacking drugs, or aromatic dispersing drugs, the treatment will be far off the mark.
Qizhen San (Seven Treasures Powder)
* Shengdi Huang (Rehmannia Root) (1 liang)
* Chuanxiong (Ligusticum Chuanxiong Rhizome) (5 qian)
* Shichangpu (Acorus Tatarinowii Rhizome) (5 qian)
* Xixin (Asari Root) (1 qian)
* Fangfeng (Saposhnikovia Root) (5 qian)
* Chen Sha (Cinnabar) (5 qian, ground and washed)
* Renshen (Ginseng Radix et Rhizoma) (5 qian)
Grind into powder. Take 2 qian each time, mixed with Bohe Tang (Mint Decoction).
Guipi Tang (See Blood Flooding section) Bazhen Tang (See Childbirth section) Liujunzi Tang (See Blood Syncope section).
Liuwei Dihuang Tang (Six-Ingredient Pill with Rehmannia)
* Shu Dihuang (Prepared Rehmannia Root) (3 qian)
* Shanzhuyu (Cornus Officinalis Fruit) (2 qian)
* Huai Shanyao (Dioscorea Opposite Flowering Tuber) (2 qian)
* Mudan Pi (Moutan Cortex) (1 qian)
* Fuling (Poria) (1.5 qian)
* Zexie (Alisma Rhizome) (1 qian)
Decoct in water and take orally.