产后勿轻用乌药、香附、木香及耗气顺气等药,用之反增满闷,虽陈皮用不可过五分。
亦多损气血。
产后勿用青皮、枳实、苏子以下气定喘,用之元气必脱。
产后乳麦伤胃耗气,五味能阻恶露,枣仁油滑致泻,均为禁忌之品。
产后身热,误用黄芩、黄连、黄柏、栀子,损胃增热,致不进饮食。且黄芩苦寒,无论
恶露净与不净,皆非所宜。
产后四日内,未服生化汤以消血块,勿先用人参、 、术,致块不除。
产后勿轻用牛膝、红花、苏木、枳壳等类以消块,尤忌多用独用。至于三棱、莪术、枳
实、山楂等峻药更不可用。若误用旧血骤下,新血亦随之而损,祸不可测也。予每见俗用山
楂一味煎汁以攻血块,致成危证,频服两三贴必死。
产后勿轻用生地黄,以滞血路。
产后不可用大黄、芒硝以通大便,反成膨胀。
产后不可用五苓以通小便,用之愈闭。
产时不可用济坤丹以下胞胎。
不可信《妇人良方》及《产保百问》,俗医多有守此二书以治产,用芎、归、白芍、生
地,误入实甚,余可知矣!
凡人有疾病,多有求卜以问吉凶,并卜何方何姓人医治可愈,盖此人不明医理,不知医
者孰良孰庸,亦无可如何之计耳。岂知竟有医、卜相通,医求卜荐,许以分谢,卜者贪利,
假神道以指引,因卜而荐,误人性命,比比然也。产后之证,吉凶在于顷刻,不可不知而慎
重也。
或因产过食,恐其劳困,固令勉强,以致停蓄不散,此内伤之实证也。此上诸证,姑举
要者以见其概。然既有表邪,不得不解;既有火邪,不得不清;既有内伤停滞,不得不开通
消导也。今予治各证,后开生化汤中俱有,随证加减,一以重产,一以兼治,所谓道并行而
不相悖,可保万全者矣。
Postpartum women should not lightly use *Wuyao* (Linderae Radix), *Xiangfu* (Cyperi Rhizoma), *Muxiang* (Aucklandiae Radix), and other Qi-consuming regulating Qi herbs. Using them may instead increase chest and abdominal fullness and stuffiness. Even when using *Chenpi* (Citri Reticulatae Pericarpium), the dosage must not exceed five fen. These herbs often damage Qi and Blood.
Postpartum women should not use *Qingpi* (Citri Unshudae Pericarpium), *Zhishi* (Aurantii Fructus Immaturus), or *Suzi* (Perillae Fructus) to descend Qi and calm asthma; doing so will inevitably cause the collapse of Yuan Qi (Primordial Qi).
Consumption of *Maimai* (Hordei Fructus Germinatus) damages the Stomach and consumes Qi; *Wuweizi* (Schisandrae Chinensis Fructus) can obstruct the discharge of Lochia; and *Zaoren* (Ziziphi Spinosomi Semen) causes diarrhea due to its oily and slippery nature. All are contraindicated products.
If a postpartum woman presents with body heat, misusing *Huangqin* (Scutellariae Radix), *Huanglian* (Coptidis Rhizoma), *Huangbai* (Phellodendri Cortex), or *Zhizi* (Gardeniae Fructus) will damage the Stomach and increase internal heat, leading to an inability to eat. Moreover, since *Huangqin* is bitter and cold, it is unsuitable regardless of whether the Lochia has been cleared or not.
Within four days after childbirth, if *Shenghua Tang* (Decoction for Generating New Blood) has not been taken to dissolve blood stasis, do not first administer *Renshen* (Ginseng Radix et Rhizoma), *Baizhu* (Atractylodis Macrocephalae Rhizoma), etc., as this will prevent the elimination of blood clots.
Postpartum women should not lightly use herbs such as *Niuxi* (Achyranthis Bidentatae Radix), *Honghua* (Carthami Flos), *Sumu* (Pterocarpus Santalinus Lignum), or *Zhiqiao* (Aurantii Fructus) to eliminate blood stasis. It is especially taboo to use them in large amounts or exclusively. Harsher drugs such as *Sanleng* (Sparganii Rhizoma), *Ezhu* (Curcumae Rhizoma), *Zhishi* (Aurantii Fructus Immaturus), and *Shanzha* (Crataegi Fructus) must absolutely not be used. If misused, causing old blood to suddenly flow down, new blood will also be damaged along with it, and the consequences would be immeasurable. I often see laypeople using only *Shanzha* decocted in water to attack blood stasis, leading to critical conditions; frequent consumption of two or three doses will certainly result in death.
Postpartum women should not lightly use *Shengdihuang* (Rehmanniae Radix) because it stagnates the blood vessels.
Postpartum women must not use *Dahuang* (Rhei Radix et Rhizoma) or *Mangxiao* (Natrii Sulfas) to promote bowel movements, as this will instead cause distension and bloating.
Postpartum women must not use *Wuling San* (Powder of Five Ingredients) to promote urination; doing so will make urinary retention worse.
During labor, *Jikun Dan* (Pill for Nourishing the Uterus) must not be used to expel the placenta.
One should not believe in *Furen Liangfang* (Good Prescriptions for Women) and *Chanbao Baiwen* (Hundred Questions on Childbirth Preservation). Lay physicians often adhere to these two books to treat postpartum conditions, using *Xiong* (Chuanxiong Rhizoma), *Gui* (Angelicae Sinensis Radix), *Baishao* (Paeoniae Radix Alba), and *Shengdi* (Rehmanniae Radix). If applied to excess syndromes, the error is obvious, and one can infer the rest!
Generally, when people are ill, they often seek divination to ask about good or bad fortune, and to divine which person from which direction or with which surname can cure them. This is likely because they do not understand medical principles and do not know which doctors are skilled and which are mediocre; it is merely a last resort. Who would know that there are cases where medicine and divination intersect? Doctors seek recommendations from diviners, promising a share of the fees. Diviners, greedy for profit, feign divine guidance to direct patients through divination, thereby recommending doctors. Consequently, lives are lost due to such practices, and this happens frequently. The prognosis of postpartum conditions hangs in the balance within moments; one must know this and act with caution.
Sometimes, due to overeating after childbirth, fearing the mother's fatigue and exhaustion, she is forced to eat more, leading to food stagnation that does not dissipate. This is an excess syndrome caused by internal injury. The above symptoms are merely listed as key examples to illustrate the general principle. However, if there is exterior pathogenic factor, it must be resolved; if there is fire pathogen, it must be cleared; if there is internal injury with stagnation, it must be unblocked and digested. In my treatment of various conditions, the prescriptions listed later all include *Shenghua Tang*, modified according to the specific syndrome. This approach prioritizes the postpartum state while simultaneously treating the condition, embodying the principle that different methods can run parallel without contradiction, ensuring complete safety.