1．问曰∶新产妇人有三病∶一者病痉，二者病郁冒，三者大便难，何谓也？师曰∶新产血虚，多汗出，喜
中风，故令病痉。亡血复汗，寒多，故令郁冒。亡津液，胃燥，故大便难。
2．产妇郁冒，其脉微弱，呕不能食，大便反坚，但头汗出。所以然者，血虚而厥，厥而必冒。冒家欲解，
必大汗出。以血虚下厥，孤阳上出，故头汗出。所以产妇喜汗出者，亡阴血虚，阳气独盛，故
当汗出，阴阳乃复。大便坚，呕不能食，小柴胡汤主之。
3．病解能食，七八日更发热者，此为胃实，大承气汤主之。（见痉病中。）
4．产后腹中 痛，当归生姜羊肉汤主之，并治腹中寒疝，虚劳不足。
当归生姜羊肉汤方（见寒疝中）。
5．产后腹痛，烦满不得卧，枳实芍药散主之。
枳实芍药散方
枳实（烧令黑，勿大过） 芍药（等分）
上二味，杵为散，服方寸匕，日三服。并主痈脓，以麦粥下之。
6．师曰∶产妇腹痛，法当以枳实芍药散。假令不愈者，此为腹中有干血着脐下，宜下瘀血汤主之。亦主经
水不利。
下瘀血方
大黄（三两） 桃仁（二十枚） 虫（二十枚，熬，去足）
上三味，末之，炼蜜和为四丸，以酒一升，煎一丸，取八合，顿服之，新血下如豚肝。
7．产后七八日，无太阳证，少腹坚痛，此恶露不尽。不大便，烦燥发热，切脉微实，再倍发热，日晡时烦
躁者，不食，食则谵语，至夜即越，宜大承气汤主之。热在里，结在膀胱也。（见痉病中）。
8．产后风续续数十日不解，头微痛，恶寒，时时有热，心下闷，干呕，汗出，虽久，阳旦证续在耳，可与
阳旦汤。（即桂枝汤。方见下利中。）
9．产后中风，发热，面正赤，喘而头痛，竹叶汤主之。
竹叶汤方
竹叶（一把） 葛根（三两） 防风 桔梗 桂枝 人参 甘草（各一两） 附子（一枚，炮） 大枣（十
五枚） 生姜（五两）
上十味，以水一斗，煮取二升半，分温三服，温复使汗出。颈项强，用大附子一枚，破之如豆大，煎药扬去
沫。呕者，加半夏半升洗。
10．妇人乳中虚，烦乱，呕逆，安中益气，竹皮大丸主之。
竹皮大丸方
生竹茹（二分） 石膏（二分） 桂枝（一分） 甘草（七分） 白薇（一分）
上五味，末之，枣肉和丸弹子大，以饮服一丸，日三夜二服。有热者倍白薇。烦喘者加柏实一分。
11．产后下利虚极，白头翁加甘草阿胶汤主之。
白头翁加甘草阿胶汤方
白头翁 甘草 阿胶（各二两） 秦皮 黄连 柏皮（各三两）
上六味，以水七升，煮取二升半，纳胶令消尽，分温三服。
附方
《千金》三物黄芩汤 治妇人在草蓐自发露得风。四肢苦烦热，头痛者，与小柴胡汤；头不痛但烦者，
此汤主之。
黄芩（一两） 苦参（二两） 干地黄（四两）
上三味，以水六升，煮取二升，温服一升，多吐下虫。
《千金》内补当归建中汤 治妇人产后虚羸不足，腹中刺痛不止，吸吸少气，或苦少腹中急，摩痛
引腰背，不能食饮。产后一月，日得服四五剂为善，令人强壮宜。
当归（四两） 桂枝（三两） 芍药（六两） 生姜（三两） 甘草（二两） 大枣（十二枚）
上六味，以水一斗，煮取三升，分温三服，一日令尽。若大虚，加饴糖六两，汤成纳之，于火上暖令饴消，
若去血过多，崩伤内衄不止，加地黄六两，阿胶二两，合八味，汤成纳阿胶，若无当归，以川芎代之，若无生姜，
以干姜代之。
1. Question: There are three diseases in postpartum women: one is Jing disease (spasm), the second is Yumao (dizziness and confusion), and the third is difficult defecation. What does this mean? The Master said: Postpartum blood deficiency, excessive sweating, and susceptibility to wind pathogen lead to Jing disease (spasm). Loss of blood followed by sweating, with excessive cold, leads to Yumao (dizziness and confusion). Depletion of body fluids and dryness of the Stomach lead to difficult defecation.
2. In postpartum Yumao (dizziness and confusion), the pulse is faint, there is vomiting and inability to eat, stool is conversely hard, and only the head sweats. The reason for this is blood deficiency leading to Jue (reversal/cold extremities), and Jue inevitably causes Yumao. For Yumao to resolve, profuse sweating throughout the body must occur. Due to blood deficiency causing lower Jue (cold extremities) and solitary Yang floating upward, only the head sweats. Therefore, postpartum women tend to sweat; because Yin blood is depleted and deficient, Yang Qi alone is abundant, so sweating should occur to restore Yin-Yang balance. With hard stool, vomiting, and inability to eat, Xiao Chai Hu Tang (Minor Bupleurum Decoction) is indicated.
3. After symptoms resolve and appetite returns, if fever occurs again after seven or eight days, this indicates excess heat in the Stomach (Wei Shi), treated with Da Cheng Qi Tang (Major Order the Qi Decoction). (See section on Jing disease.)
4. For postpartum abdominal pain, Dang Gui Sheng Jiang Yang Rou Tang (Angelica Ginger Mutton Decoction) is indicated; it also treats abdominal cold cramps and deficiency-fatigue insufficiency.
Dang Gui Sheng Jiang Yang Rou Tang formula (See section on cold cramps).
5. For postpartum abdominal pain accompanied by irritability, fullness, and inability to lie down, Zhi Shi Shao Yao San (Immature Bitter Orange and White Peony Powder) is indicated.
Zhi Shi Shao Yao San formula
Zhi Shi (Immature Bitter Orange) (burned until black, but not overdone) Shao Yao (White Peony Root) (equal parts)
The above two ingredients are pounded into a powder. Take one cun-bi (measure) per dose, three times daily. It also treats abscesses and pus; take with wheat porridge.
6. The Master said: For postpartum abdominal pain, the method dictates using Zhi Shi Shao Yao San. If it does not heal, this indicates dried blood adhering below the umbilicus; Xia Yu Xue Tang (Drain Stasis Blood Decoction) is indicated. It also treats irregular menstruation.
Xia Yu Xue Tang formula
Da Huang (Rhubarb Rhizome) (three liang) Tao Ren (Peach Seed) (twenty kernels) E Chong (Ground Beetle) (twenty kernels, roasted, feet removed)
The above three ingredients are powdered, mixed with refined honey to form four pills. Boil one pill in one sheng of wine to obtain eight ge of liquid, and take in one dose. Fresh blood resembling pig liver will be discharged.
7. Seven or eight days postpartum, without Taiyang syndrome, there is hardness and pain in the lower abdomen, indicating incomplete expulsion of lochia. With constipation, irritability, and fever, the pulse is slightly solid. Fever doubles, and irritability worsens at Shen hour (3-5 PM); anorexia follows, with delirium upon eating, and mental confusion at night. Da Cheng Qi Tang (Major Order the Qi Decoction) is indicated. Heat is in the interior, congealed in the Bladder region. (See section on Jing disease.)
8. Postpartum wind strike persists for dozens of days without resolution; slight headache, aversion to cold, intermittent fever, chest oppression, dry retching, and sweating occur. Although prolonged, the Yang Dan syndrome persists; Yang Dan Tang is appropriate. (This is Gui Zhi Tang [Cinnamon Twig Decoction]. See section on diarrhea.)
9. Postpartum wind strike with fever, bright red face, wheezing, and headache is treated with Zhu Ye Tang (Bamboo Leaf Decoction).
Zhu Ye Tang formula
Zhu Ye (Bamboo Leaf) (one handful) Ge Gen (Kudzu Root) (three liang) Fang Feng (Saposhnikovia Root) Jie Geng (Platycodon Root) Gui Zhi (Cinnamon Twig) Ren Shen (Ginseng Root) Gan Cao (Licorice Root) (each one liang) Fu Zi (Aconite Lateral Root) (one piece, processed) Da Zao (Jujube Fruit) (fifteen pieces) Sheng Jiang (Fresh Ginger) (five liang)
The above ten ingredients are boiled in ten dou of water to obtain two and a half sheng. Divide into three warm doses. Cover to induce sweating. For stiff neck, use one large Fu Zi, broken into bean-sized pieces; boil medicine and skim off foam. For vomiting, add Ban Xia (Pinellia Tuber) half a sheng, washed.
10. In lactating women with deficiency in the breasts, irritability, restlessness, and vomiting/retching, An Zhong Yi Qi (Peace the Middle and Boost Qi) is achieved with Zhu Pi Da Wan (Bamboo Peel Large Pill).
Zhu Pi Da Wan formula
Sheng Zhu Ru (Raw Bamboo Shavings) (two fen) Shi Gao (Gypsum Fibrosum) (two fen) Gui Zhi (Cinnamon Twig) (one fen) Gan Cao (Licorice Root) (seven fen) Bai Wei (Cynanchum Root) (one fen)
The above five ingredients are powdered, mixed with jujube flesh to form pills the size of a quail egg. Take one pill with water, three times during the day and twice at night. Increase Bai Wei if there is heat. Add Bai Zi Ren (Biota Seed) one fen if there is irritability and wheezing.
11. Postpartum diarrhea with extreme deficiency is treated with Bai Tou Weng Jia Gan Cao E Jiao Tang (Belleric Myrobalan plus Licorice and Donkey-hide Gelatin Decoction).
Bai Tou Weng Jia Gan Cao E Jiao Tang formula
Bai Tou Weng (Pulsatilla Root) Gan Cao (Licorice Root) E Jiao (Donkey-hide Gelatin) (each two liang) Qin Pi (Ash Bark) Huang Lian (Coptis Rhizome) Huang Bo (Phellodendron Bark) (each three liang)
The above six ingredients are boiled in seven sheng of water to obtain two and a half sheng. Add gelatin and stir until dissolved. Divide into three warm doses.
Appendix Formulas
Qian Jin San Wu Huang Qin Tang (Three-Ingredient Scutellaria Decoction from Essential Prescriptions Worth a Thousand Gold) treats women exposed to wind while lying on straw mats postpartum. For bitter heat in limbs and headache, give Xiao Chai Hu Tang; for headacheless bitterness/heat, this decoction is indicated.
Huang Qin (Scutellaria Root) (one liang) Ku Shen (Sophora Root) (two liang) Gan Di Huang (Rehmannia Root) (four liang)
The above three ingredients are boiled in six sheng of water to obtain two sheng. Take one sheng warm; it may cause vomiting or purging of parasites.
Qian Jin Nei Bu Dang Gui Jian Zhong Tang (Internal Tonifying Angelica Building the Middle Decoction from Essential Prescriptions Worth a Thousand Gold) treats postpartum weakness and insufficiency, unceasing stabbing abdominal pain, shortness of breath, or urgency/pain in the lower abdomen radiating to the back, with inability to eat or drink. During the first month postpartum, taking four to five doses daily is beneficial for strengthening.
Dang Gui (Angelica Root) (four liang) Gui Zhi (Cinnamon Twig) (three liang) Shao Yao (White Peony Root) (six liang) Sheng Jiang (Fresh Ginger) (three liang) Gan Cao (Licorice Root) (two liang) Da Zao (Jujube Fruit) (twelve pieces)
The above six ingredients are boiled in ten dou of water to obtain three sheng. Divide into three warm doses, consumed within one day. For severe deficiency, add Yi Tang (Maltose) six liang; after decoction, warm on fire to dissolve maltose. For excessive blood loss, metrorrhagia, or internal bleeding that does not stop, add Di Huang (Rehmannia Root) six liang and E Jiao (Donkey-hide Gelatin) two liang, totaling eight ingredients. Add E Jiao after decoction. If Dang Gui is unavailable, substitute with Chuan Xiong (Ligusticum Rhizome); if Sheng Jiang is unavailable, substitute with Gan Jiang (Dried Ginger).