至哉坤元，万物资生，理之常也。初产之妇，好血未必亏，污血未必积，脏腑未必寒，何以药为？饮食起居，勤加
调护，何病之有？或有他病，当求起病之因，病在何经，气病治气，血病治血，何《局方》不审，而海制黑神散之方哉！
予每见产妇之无疾者，必教以却去黑神散与大鸡子、火盐，诸般肉食，且与白粥将理，间以些少石首鱼，煮令甘淡食
之。至一月之后，方与少肉，鸡子亦须豁开煮之，大能养胃祛痰。产后调理药∶当归（一钱） 川芎（一钱） 白
芷官桂 莪术 牡丹皮（俱五分） 茯苓（一钱） 甘草（三分） 上煎服之，腹痛加
玄胡索，发热加黄芩、柴胡，食不进加缩砂、陈皮。清魂散治产后血晕∶苏木（半两） 人参（一两） 童便
上三味，以水酒共煎服。产后血晕，乃虚火载血渐渐而来，用鹿角烧灰出火毒，研极细末，好酒调，灌下即醒，行血
极快。又方，韭叶细切，盛于有嘴瓶中，以热醋沃之，急封其口，以嘴塞产妇鼻中，可愈目眩。产前母滞，产后母虚，
产后当大补血，虽有杂证以末治之。产后，一切病不可发表。产后补虚∶人参 白术（各一钱） 黄芩（半钱，一本作
黄） 陈皮（五分） 川芎（五分） 炙甘草（三分） 当归身尾（五分） 有热加干姜三分，茯苓
一钱。产后消血块∶滑石（三钱） 没药（三钱） 麒麟竭（二钱，无麒麟竭牡丹皮代之用一钱） 上为末，醋糊丸。
产后恶露不下，以五灵脂为末，神曲糊丸，白术、陈皮汤下。麒麟竭、五灵脂消产后血块极好。产后恶露不尽，小腹痛，
用五灵脂、香附末和醋为丸，甚者入桃仁，不去尖。产后腹痛发热，必有恶血，当去之。产后发热增损四物汤。产后
七八日，因大惊恐而发热，呕逆呕吐，痰甚多，呕则汗出，八物
汤加黄 ，小腹并痛加桂。产后中风，切不可作风治。产后中风，用荆芥穗、炒当归，等分为末，每服二三钱，豆
淋酒下。（亦治血晕。）产后血迷血晕，服清魂散∶泽兰叶 人参（各二钱半） 荆芥（一两） 川芎（半两） 甘
草（二钱） 上末之，汤酒各半，调服。产后腹痛，或自利者，服青六丸，用补脾、补
血药汤送下。产后泄，用白术、川芎、茯苓、干姜、黄芩、滑石、陈皮、白芍药，炒 咀，煎服。产后大发热，
必用干姜，轻用茯苓淡渗其热，一应苦寒发表之药皆不可用。或曰∶大热而用干姜何也？曰∶此热，非有余之热
也，引血药生血，勿独用，必与补阴药同用。此造化自然之妙，非天下之至神，其孰能与于此！产后发热恶寒，皆血
气虚。左手脉不足，补血药多于补气药；右手脉不足，补气药多于补血药。产后恶寒发热腹痛者，当去恶血，益母草
即茺蔚子治胎前产后诸病。产后，如服四物汤，勿用白芍，以其酸寒，伐生发之气也。壮盛者，亦可用。产后无
乳，通草、瞿麦、桔梗、青皮、柴胡、白芷、赤芍药、天花粉、连翘、甘草，水煎，食后带饱细呷，以一手摩乳房。
产后恶寒，发热无乳者，无子，当消乳，麦 二两炒研末，汤调作四帖服。产后水肿，必用大补气血为主，少佐苍
术、茯苓，使水自利。产后，败血乘虚流注经络，腐壤成水，四肢面目浮肿，切不可用导水气药，先用五皮散加牡丹
皮三五服，次以局方调经散二三十帖，效，其血自行而肿消也。五皮散，五加皮、地骨皮、生姜皮、桑白皮、茯苓皮
加牡丹皮煎服。调经散∶当归 肉桂 琥珀（各一钱） 麝香 细辛（各五分） 没药（一钱） 赤芍（一钱） 上末，
五分，姜汁少许，温酒调服。产后血不止，蒲黄三两，水三升，煎一升服。产后血晕，心闷气绝，
红花一两，上研为末，分二服，酒二
盏，煎一盏并服。口噤者，斡开灌之。产后诸风，苍耳草汁半盏，温服。牙疼亦可治。产后遍身起粟米粒，热如
火，桃仁烂研腊月猪脂，敷之。产后血晕欲绝者，半夏末水丸，如大豆大，入鼻孔中即苏。下死胎及生子后胞衣未
下，麝香半钱，官桂末三钱，温酒送下，须臾如手推出。一人小产，有形物未下，四物汤加硝。一妇人，年十八难
产，七日后产，大便泄，口渴气喘，面红有紫斑，小腹胀，小便不通，用牛膝、桃仁、当归、红花、木通、滑石、甘
草、白术、陈皮、茯苓，煎汤，调益母草膏，不减后以杜牛膝，煎浓膏一碗，饮之，至一更许，大下利一桶，小便通，
而愈。口渴，四君子汤加当归、牛膝，调益母膏。一妇人，产后惊忧得病，头重，心胸觉一物重坠，惊怕，身如在
波浪中恍忽不宁，用∶枳实 麦芽 神曲 贝母 侯莎（各一钱半） 姜黄（一钱半） 半夏（二钱） 桃仁 牡丹
皮栝蒌子（各一钱） 红花（五分） 上末之，姜饼丸。服后胸物消，惊恍未除，后用∶
辰砂 郁金 黄连（各三钱） 当归 远志 茯神（各二钱） 真珠 人参 生甘草 菖蒲（各一钱半） 牛黄
熊胆 沉香（各一钱） 红花（五钱） 金箔（一片） 胆星（三钱） 上末之，猪心血丸。服后惊恍
减，后用∶枳实 半夏 姜黄 山楂 神曲 麦芽 陈皮 山栀（各五钱） 白术（一两） 上末之，姜饼丸，服此
助胃消食痰，后用∶牛黄（二钱） 菖蒲（二钱半） 朱砂 郁金（各三钱） 远志 琥珀
（各二钱半） 珍珠 红花 沉香（各一钱） 黄连 人参 胆星（各五钱） 当归 上末之，猪心血丸。服此镇心
安神，后用∶干漆（三钱炒烟尽） 三棱 莪术（各七钱半） 苍术 青皮 陈皮 针沙（各一两） 浓朴 当归（
各半两） 生香附（二两） 上末之，炊饼丸。设此方不曾服，倒仓后服煎药∶白术（四钱） 陈皮 黄芩 白芍药 香
附子（各二钱） 茯苓（一钱半） 当归 麦门冬 青皮（各一钱） 枳壳（六
分） 沉香 生甘草（各五分） 上分作六帖，除胸满清热淡渗。治妇人儿枕痛，浓煎棠 子，入沙糖调服，立效。
胎前产后，多是血虚。一妇人年近三十余，正月间新产，左腿右手发搐，气喘不得眠，口鼻、面部黑气起，脉浮弦
而沉涩，右手为甚，意其脾受湿证遂。问∶怀胎时曾大渴思水否？彼云∶胎三月时，尝喜汤茶水。遂以黄芩、荆芥、
木香、滑石、白术、槟榔、陈皮、苍术、甘草、芍药，至四服，后加桃仁，又四服，腹有漉漉声，大便下者，视皆水
晶块，大者，如鸡子黄，小者，如科斗数十枚，遂搐定喘止。遂于药中，去荆芥、槟榔、滑石，加当归身、茯苓，
与其调理血脉，服至十帖而安。尝见尿胞因收生者之不谨，以致破损而得淋沥病。徐氏妇，壮年得此，因思，肌骨破伤
在外者，且可补完，胞虽在腹，恐亦可治。诊其脉虚甚，因悟曰∶难产之人多是血虚，难产之后，气血尤虚，因用
峻补之药，以术、参为君，桃仁、陈皮、黄 、茯苓为佐，而煎以猪、羊胞中汤，于极饥时与之，每剂用一两，至一
月而安。恐是气血骤长，其胞可完，若稍迟缓，恐难成功。
坤德广大，万物赖以生长，这是自然的常理。刚生产完的妇女，未必耗损了充足的血液，未必积聚了污浊之血，脏腑也未必寒冷，为什么要用药呢？只要在日常饮食起居上，精心调养护理，会有什么疾病发生呢？如果患有其他疾病，应当探究发病的原因，病在哪个经络，气分有病就治气，血分有病就治血，为什么《局方》不仔细审察，而一概制作黑神散这个方子呢！
我每次见到没有疾病的产妇，必定教导她们摒弃黑神散、大鸡蛋、火盐以及各种肉食，只给白粥来调理，偶尔给一点石首鱼（黄鱼），煮得清淡食用。到了一个月之后，才给少量的肉，鸡蛋也必须敲开煮食，这非常能够养胃祛痰。产后调理药方：当归（一钱）川芎（一钱）白芷官桂 莪术 牡丹皮（各五分）茯苓（一钱）甘草（三分）以上药材煎服。腹痛加玄胡索，发热加黄芩、柴胡，食欲不振加缩砂、陈皮。
清魂散治疗产后血晕：苏木（半两）人参（一两）童便（适量）。以上三味，用水和酒共同煎服。产后血晕，是由于虚火载着血液渐渐上冲所致，用鹿角烧成灰以去除火毒，研成极细末，用好酒调匀，灌服后立即苏醒，此法行血速度极快。另一个方子，将韭叶细细切碎，盛在有嘴的瓶中，用热醋浇灌，迅速封住瓶口，将瓶嘴塞入产妇鼻孔中，可以治愈目眩。产前母体多滞涩，产后母体多虚弱，产后应当大补气血，即使有杂证也应以治本为主。产后，一切病症不可使用发汗解表的方法。
产后补虚方：人参 白术（各一钱）黄芩（半钱，另一版本作黄芪）陈皮（五分）川芎（五分）炙甘草（三分）当归身尾（五分）有热症加干姜三分，茯苓一钱。
产后消除血块方：滑石（三钱）没药（三钱）麒麟竭（二钱，若无麒麟竭可用牡丹皮代替，用量一钱）以上研为细末，用醋糊制成丸药。产后恶露不下，以五灵脂研为细末，神曲糊制丸药，用白术、陈皮汤送服。麒麟竭、五灵脂消除产后血块效果极好。产后恶露不尽，小腹痛，用五灵脂、香附研末，和醋制成丸药，严重的加入桃仁，不去尖。产后腹痛发热，必然有瘀血，应当祛除瘀血。产后发热用增损四物汤。
产后七八天，因受到巨大惊恐而发热，伴有呕逆呕吐，痰很多，呕吐时出汗，用八物汤加黄芩，小腹并痛加桂枝。产后中风，切不可当作普通风邪治疗。产后中风，用荆芥穗、炒当归，等分为细末，每次服用二三钱，用豆淋酒送下。（也能治疗血晕。）
产后血迷血晕，服用清魂散：泽兰叶 人参（各二钱半）荆芥（一两）川芎（半两）甘草（二钱）以上研为细末，用汤剂和酒各一半调服。产后腹痛，或者自行腹泻者，服用青六丸，用补脾、补血药的汤剂送下。产后泄泻，用白术、川芎、茯苓、干姜、黄芩、滑石、陈皮、白芍药，炒后捣碎，煎服。产后大发热，必须用干姜，轻用茯苓淡渗利湿以退热，所有苦寒发汗解表的药物都不可用。有人问：大热症为何用干姜？回答说：这种热，不是有余的实热，而是引血药生血产生的热，不要单独使用，必须与补阴药同用。这是造化自然的奥妙，如果不是天下最神妙的人，谁能理解这一点呢！
产后发热恶寒，都是血气虚弱所致。左手脉不足，补血药多于补气药；右手脉不足，补气药多于补血药。产后恶寒发热腹痛者，应当祛除恶血，益母草即茺蔚子可治疗胎前产后各种疾病。产后，如果服用四物汤，不要用白芍，因为白芍酸寒，会损伤生发之气。身体强壮的人，也可以使用。
产后无乳，用通草、瞿麦、桔梗、青皮、柴胡、白芷、赤芍药、天花粉、连翘、甘草，水煎，饭后饱食时慢慢细饮，同时用手按摩乳房。产后恶寒，发热且无乳者，若不想哺乳，应当回奶，用麦芽二两炒研为末，开水调服，分四次喝完。
产后水肿，必须以大补气血为主，稍加苍术、茯苓，使水液自然排出。产后，败血乘虚流注经络，腐烂化为水湿，导致四肢面目浮肿，切不可使用导水利尿的药物，先用五皮散加牡丹皮服用三五次，再用局方调经散服用二三十帖，见效后，瘀血自行消散，肿胀也就消除了。五皮散由五加皮、地骨皮、生姜皮、桑白皮、茯苓皮加牡丹皮煎服。调经散：当归 肉桂 琥珀（各一钱）麝香 细辛（各五分）没药（一钱）赤芍（一钱）以上研为细末，每次五分，加少许姜汁，温酒调服。
产后血不止，用蒲黄三两，水三升，煎至一升服用。产后血晕，心闷气绝，用红花一两，研为细末，分两次服用，用酒二盏，煎至一盏，一并服下。牙关紧闭者，撬开嘴巴灌服。产后各种风症，用苍耳草汁半盏，温服。牙疼也可以治疗。产后遍身起粟米粒状皮疹，热如火，用桃仁烂研，腊月猪脂涂抹患处。产后血晕欲死者，用半夏末水泛丸，如大豆大小，纳入鼻孔中即可苏醒。
下死胎及生子后胞衣未下，用麝香半钱，官桂末三钱，温酒送下，片刻后胞衣如手推出。有一人小产，有形之物未下，用四物汤加芒硝。有一位妇人，十八岁难产，七日后才生产，大便泄泻，口渴气喘，面红有紫斑，小腹胀，小便不通，用牛膝、桃仁、当归、红花、木通、滑石、甘草、白术、陈皮、茯苓，煎汤，调益母草膏服用，后来改用杜牛膝，煎浓膏一碗，饮下，到一个时辰左右，大下利一桶，小便通畅，于是痊愈。口渴者，用四君子汤加当归、牛膝，调益母膏。
有一位妇人，产后因惊忧得病，头重，心胸感觉有一物重坠，惊怕，身体像在波浪中恍惚不宁，用：枳实 麦芽 神曲 贝母 侯莎（各一钱半）姜黄（一钱半）半夏（二钱）桃仁 牡丹皮栝蒌子（各一钱）红花（五分）以上研为细末，姜饼为丸。服用后胸中异物感消失，但惊恍未除，后用：辰砂 郁金 黄连（各三钱）当归 远志 茯神（各二钱）真珠 人参 生甘草 菖蒲（各一钱半）牛黄 熊胆 沉香（各一钱）红花（五钱）金箔（一片）胆星（三钱）以上研为细末，猪心血为丸。服用后惊恍减轻，后用：枳实 半夏 姜黄 山楂 神曲 麦芽 陈皮 山栀（各五钱）白术（一两）以上研为细末，姜饼为丸，服用此方助胃消食化痰，后用：牛黄（二钱）菖蒲（二钱半）朱砂 郁金（各三钱）远志 琥珀（各二钱半）珍珠 红花 沉香（各一钱）黄连 人参 胆星（各五钱）当归以上研为细末，猪心血为丸。服用此方镇心安神，后用：干漆（三钱炒至烟尽）三棱 莪术（各七钱半）苍术 青皮 陈皮 针沙（各一两）浓朴 当归（各半两）生香附（二两）以上研为细末，炊饼为丸。假如这些方子未曾服用，倒仓疗法后服用煎药：白术（四钱）陈皮 黄芩 白芍药 香附子（各二钱）茯苓（一钱半）当归 麦门冬 青皮（各一钱）枳壳（六分）沉香 生甘草（各五分）以上分作六帖，以除胸满清热淡渗。治疗妇人儿枕痛，浓煎棠梨子，入沙糖调服，立即见效。
胎前产后，多是血虚。有一位妇人年近三十余，正月间新产，左腿右手发搐，气喘不得眠，口鼻、面部黑气起，脉浮弦而沉涩，右手脉象尤为明显，推测是脾受湿证。询问：怀孕时曾有大渴思水吗？她回答：怀孕三个月时，曾喜欢喝汤茶水。于是用黄芩、荆芥、木香、滑石、白术、槟榔、陈皮、苍术、甘草、芍药，服用四帖后，加桃仁，又服四帖，腹中有漉漉声，大便排出的，看都是水晶块，大的如鸡子黄，小的如蝌蚪数十枚，于是抽搐停止，喘息平息。于是在药中去掉荆芥、槟榔、滑石，加当归身、茯苓，给她调理血脉，服用十帖而安。
我曾见过尿胞因接生者不谨慎，以致破损而患上淋沥病。徐氏妇，壮年得此病，我想，肌骨破伤在外者，尚且可以补完，胞虽在腹内，恐怕也可以治疗。诊其脉虚甚，因而领悟说：难产之人多是血虚，难产之后，气血尤其虚弱，因此用峻补之药，以术、参为君药，桃仁、陈皮、黄芪、茯苓为佐药，并用猪、羊胞中汤煎煮，在极度饥饿时给她服用，每剂用一两，到一个月而痊愈。恐怕是气血骤然增长，其胞可修复，若稍迟缓，恐怕难以成功。
Kun virtue is vast, all things rely on it for growth; this is the constant principle of nature. For a woman who has just given birth, sufficient blood may not necessarily be depleted, foul blood may not necessarily accumulate, and the zang-fu organs may not necessarily be cold. Why use medicine? If one diligently cares for diet and daily life, what illness would there be? If other illnesses occur, one should seek the cause of onset, determine which meridian is affected, treat qi disorders by regulating qi, and treat blood disorders by regulating blood. Why does *Ju Fang* (Formulary of the Bureau) fail to examine carefully and instead universally prescribe the formula Heishen San (Black Spirit Powder)?
I often see postpartum women without illness, and I must instruct them to discard Heishen San (Black Spirit Powder), large chicken eggs, fire salt, and various meats. Instead, provide white rice gruel for management, occasionally offering some stone-head fish (Yellow Croaker), boiled until bland and light. After one month, then offer small amounts of meat. Chicken eggs must also be cracked open and boiled; this greatly nourishes the stomach and dispels phlegm. Postpartum conditioning prescription: Dang Gui (Radix Angelicae Sinensis, 1 qian), Chuan Xiong (Rhizoma Ligustici Chuanxiong, 1 qian), Bai Zhi (Radix Angelicae Dahuricae), Guan Gui (Cortex Cinnamomi Cassiae), E Zhu (Rhizoma Curcumae Zedoariae), Mu Dan Pi (Cortex Moutan Radicis, all 5 fen), Fu Ling (Poria, 1 qian), Gan Cao (Radix Glycyrrhizae Uralensis, 3 fen). Decoct and take orally. Add Yan Hu Suo (Rhizoma Corydalis Yanhusuo) for abdominal pain; add Huang Qin (Radix Scutellariae Baicalensis) and Chai Hu (Radix Bupleuri) for fever; add Suo Sha (Fructus Amomi Rotundus) and Chen Pi (Pericarpium Citri Reticulatae) for poor appetite.
Qing Hun San (Clear Soul Powder) treats postpartum blood syncope: Su Mu (Santalum Album Lignum), Ren Shen (Radix Ginseng, half liang), Tong Bian (Child's Urine). The above three ingredients are decocted together with water and wine and taken orally. Postpartum blood syncope arises from deficient fire carrying blood upward gradually. Burn Lu Jiao (Cornu Cervi Pantotrichum) to ash to remove fire toxicity, grind into an extremely fine powder, mix with good wine, and administer via gavage to induce immediate awakening; this method moves blood very rapidly. Another prescription: finely cut Jiuye (Folium Allii Tuberosi), place in a bottle with a spout, pour hot Cu (Vinegar) over it, quickly seal the mouth, insert the spout into the mother's nostril to cure dizziness. Before delivery, the mother tends to have stagnation; after delivery, the mother tends to be deficient. Postpartum care should focus on greatly tonifying blood and qi. Even if there are miscellaneous symptoms, treat the root first. In postpartum conditions, all diseases should not be treated with diaphoretic methods.
Postpartum deficiency tonification: Ren Shen (Radix Ginseng), Bai Zhu (Rhizoma Atractylodis Macrocephalae, each 1 qian), Huang Qin (Radix Scutellariae Baicalensis, half qian; another version says Huang Qi [Radix Astragali Membranacei]), Chen Pi (Pericarpium Citri Reticulatae, 5 fen), Chuan Xiong (Rhizoma Ligustici Chuanxiong, 5 fen), Zhi Gan Cao (Radix Glycyrrhizae Preparata, 3 fen), Dang Gui Shen Wei (Radix Angelicae Sinensis body and tail, 5 fen). Add Gan Jiang (Rhizoma Zingiberis Preparatum, 3 fen) if there is heat; add Fu Ling (Poria, 1 qian).
Postpartum blood stasis resolution: Hua Shi (Talcum, 3 qian), Mo Yao (Resina Myrrhae, 3 qian), Qilin Jie (Dragon's Blood, 2 qian; if unavailable, substitute Mu Dan Pi [Cortex Moutan Radicis], 1 qian). Grind into powder, make pills with vinegar paste. For postpartum lochia retention, grind Wu Ling Zhi (Excrement Trogopteri, 3 qian) into powder, make pills with Shen Qu (Massa Medicata Fermentata), and swallow with Bai Zhu (Rhizoma Atractylodis Macrocephalae) and Chen Pi (Pericarpium Citri Reticulatae) decoction. Qilin Jie (Dragon's Blood) and Wu Ling Zhi (Excrement Trogopteri) are excellent for resolving postpartum blood stasis. For postpartum lochia non-discharge with lower abdominal pain, use Wu Ling Zhi (Excrement Trogopteri) and Xiang Fu (Rhizoma Cyperi Rotundi) powder mixed with vinegar to form pills; for severe cases, add Tao Ren (Semen Persicae), unremoved tips. Postpartum abdominal pain with fever indicates必有 (must have) evil blood, which should be removed. Use Zengsun Siwu Tang (Modified Four Substances Decoction) for postpartum fever.
Seven or eight days postpartum, fever caused by great fright, accompanied by retching and vomiting, excessive phlegm, sweating upon vomiting: use Bawu Tang (Eight Substances Decoction) plus Huang Qin (Radix Scutellariae Baicalensis); if lower abdomen and pain coexist, add Gui Zhi (Ramulus Cinnamomi Cassiae). Postpartum wind-stroke must never be treated as ordinary wind. For postpartum wind-stroke, use Jingjie Sui (Cacumen Schizonepetae) and Chao Dang Gui (Fried Radix Angelicae Sinensis), equal parts ground to powder, take 2-3 qian per dose, washed down with Dou Lin Jiu (Bean Drip Wine). (Also treats blood syncope.)
For postpartum blood confusion and syncope, take Qing Hun San (Clear Soul Powder): Ze Lan Ye (Herba Lycopi Japonici), Ren Shen (Radix Ginseng, each 2.5 qian), Jing Jie (Cacumen Schizonepetae, 1 liang), Chuan Xiong (Rhizoma Ligustici Chuanxiong, half liang), Gan Cao (Radix Glycyrrhizae Uralensis, 2 qian). Grind to powder, mix with half decoction and half wine, and take orally. For postpartum abdominal pain or spontaneous diarrhea, take Qing Liu Wan (Green Six Pills), swallowed with decoction of spleen-tonifying and blood-nourishing herbs. For postpartum diarrhea, use Bai Zhu (Rhizoma Atractylodis Macrocephalae), Chuan Xiong (Rhizoma Ligustici Chuanxiong), Fu Ling (Poria), Gan Jiang (Rhizoma Zingiberis Preparatum), Huang Qin (Radix Scutellariae Baicalensis), Hua Shi (Talcum), Chen Pi (Pericarpium Citri Reticulatae), Bai Shao Yao (Radix Paeoniae Alba). Stir-fry, crush, decoct, and take. For severe postpartum fever, Gan Jiang (Rhizoma Zingiberis Preparatum) must be used; use Fu Ling (Poria) lightly to leach out heat through urination; all bitter-cold diaphoretic drugs are forbidden. Someone asks: Why use Gan Jiang (Rhizoma Zingiberis Preparatum) for severe heat? Answer: This heat is not excess heat; it is generated by blood-moving herbs generating blood. Do not use alone; must be used with yin-tonifying herbs. This is the wonder of natural creation; only the most divine can understand it!
Postpartum fever and aversion to cold are both due to blood and qi deficiency. If the left hand pulse is insufficient, blood-tonifying herbs should exceed qi-tonifying herbs; if the right hand pulse is insufficient, qi-tonifying herbs should exceed blood-tonifying herbs. For postpartime aversion to cold, fever, and abdominal pain, one should remove evil blood. Yi Mu Cao (Herba Leonuri Japonici), also known as Chong Wei Zi (Fructus Leonuri Japonici), treats various diseases before and after delivery. When taking Siwu Tang (Four Substances Decoction) postpartum, do not use Bai Shao Yao (Radix Paeoniae Alba), because its sour and cold nature destroys the vitalizing qi. Those with robust constitution may still use it.
For postpartum agalactia, use Tong Cao (Medulla Tetrapanacis), Qu Mai (Herba Portulae), Jie Geng (Radix Platycodonis), Qing Pi (Pericarpium Citri Reticulatae Viride), Chai Hu (Radix Bupleuri), Bai Zhi (Radix Angelicae Dahuricae), Chi Shao Yao (Radix Paeoniae Rubra), Tian Hua Fen (Radix Trichosanthis), Lian Qiao (Fructus Forsythiae), Gan Cao (Radix Glycyrrhizae Uralensis). Decoct in water, drink slowly while full after meals, and massage the breast with one hand. For postpartum aversion to cold, fever, and agalactia, if breastfeeding is not desired, to suppress lactation, use Mai Ya (Fructus Hordei Germinatus, 2 liang), stir-fried and ground to powder, mixed with water, taken in four doses.
For postpartum edema, the main treatment must be greatly tonifying blood and qi, with slight addition of Cang Zhu (Rhizoma Atractylodis Lanceae) and Fu Ling (Poria) to allow water to pass naturally. Postpartum,败血 (败坏之血/defective blood) flows into meridians due to deficiency, rotting into water, causing swelling of limbs and face. Do not use water-draining drugs. First, use Wupi San (Five Barks Powder) plus Mu Dan Pi (Cortex Moutan Radicis) for 3-5 doses, then use Ju Fang Tiaojing San (Bureau Formula Regulating Menstruation Powder) for 20-30 doses. Once effective, blood moves freely and swelling subsides. Wupi San (Five Barks Powder): Wujia Pi (Cortex Acanthopanacis Senticosi), Digupi (Cortex Lycii Radicis), Shengjiang Pi (Pericarpium Zingiberis Recens), Sangbaipi (Cortex Mori Radicis), Fuling Pi (Poria cum Ligno), plus Mu Dan Pi (Cortex Moutan Radicis), decoct and take. Tiaojing San (Regulating Menstruation Powder): Dang Gui (Radix Angelicae Sinensis), Rou Gui (Cortex Cinnamomi Cassiae), Hu Po (Electrum, each 1 qian), She Xiang (Moschus), Xi Xin (Herba Asari, each 5 fen), Mo Yao (Resina Myrrhae, 1 qian), Chi Shao (Radix Paeoniae Rubra, 1 qian). Grind to powder, take 5 fen, add a little Ginger Juice, mix with warm wine.
For postpartum bleeding that does not stop, use Pu Huang (Pollinis Typhae, 3 liang), water 3 sheng, decoct to 1 sheng and take. For postpartum blood syncope with chest oppression and breathlessness, use Hong Hua (Flos Carthami Tinctorii, 1 liang), grind to powder, divide into two doses, decoct in 2 chan of wine to 1 chan, and take together. For trismus, pry open and administer. For various postpartum wind syndromes, use Cang Er Cao Zhi (Juice of Herba Xanthii Japonici), half chan, take warm. Toothache can also be treated. For postpartum millet-grain-like rash, heat like fire, mash Tao Ren (Semen Persicae), mix with December pig fat, and apply. For postpartum blood syncope near death, make Ban Xia (Rhizoma Pinelliae Ternatae) powder pills with water, size of soybeans, insert into nostrils to revive.
To expel dead fetus or retained placenta after delivery, use She Xiang (Moschus, half qian), Guan Gui (Cortex Cinnamomi Cassiae) powder (3 qian), wash down with warm wine; within moments, the placenta will be expelled like a hand pushing it out. One case: minor abortion,有形物 (tangible matter) not expelled, use Siwu Tang (Four Substances Decoction) plus Xiao (Natrii Sulfas). One woman, age 18, difficult labor, delivered after seven days, diarrhea, thirst, panting, red face with purple spots, lower abdominal distension, urinary retention. Use Niu Xi (Radix Achyranthis Bidentatae), Tao Ren (Semen Persicae), Dang Gui (Radix Angelicae Sinensis), Hong Hua (Flos Carthami Tinctorii), Mu Tong (Caulis Akebiae Trifoliatae), Hua Shi (Talcum), Gan Cao (Radix Glycyrrhizae Uralensis), Bai Zhu (Rhizoma Atractylodis Macrocephalae), Chen Pi (Pericarpium Citri Reticulatae), Fu Ling (Poria). Decoct, mix with Yimucao Gao (Leonurus Paste). Later replaced with Du Niu Xi (Radix Achyranthis Asperae), decoct to thick paste, one bowl, drink. After about one double-hour period, profuse diarrhea of one bucket, urination cleared, cured. For thirst, use Sijunzi Tang (Four Gentlemen Decoction) plus Dang Gui (Radix Angelicae Sinensis), Niu Xi (Radix Achyranthis Bidentatae), mix with Yimu Gao (Leonurus Paste).
One woman, postpartum illness due to fright and worry, heavy head, sensation of heaviness dropping in chest and heart, fear, feeling like floating in waves, unsettled. Use: Zhi Shi (Fructus Aurantii Immaturus), Mai Ya (Fructus Hordei Germinatus), Shen Qu (Massa Medicata Fermentata), Bei Mu (Bulbus Fritillariae Cirrhosae), Hou Sha (Rhizoma Zingiberis Officinalis var. Roscoe? Note: Text says 侯莎, likely typo for 厚朴 or similar, but keeping original entity name as per instruction "keep original"), Jiang Huang (Rhizoma Curcumae Longae, each 1.5 qian), Ban Xia (Rhizoma Pinelliae Ternatae, 2 qian), Tao Ren (Semen Persicae), Mu Dan Pi (Cortex Moutan Radicis), Gua Lou Zi (Semen Trichosanthis, each 1 qian), Hong Hua (Flos Carthami Tinctorii, 5 fen). Grind to powder, make pills with Ginger Cake. After taking, chest mass dissipated, but fright/unsettled feeling remained. Next use: Chen Sha (Cinnabaris), Yu Jin (Radix Curcumae Longae), Huang Lian (Rhizoma Coptidis Chinensis, each 3 qian), Dang Gui (Radix Angelicae Sinensis), Yuan Zhi (Radix Polygalae Tenuifoliae), Fu Shen (Poria cum Radix, each 2 qian), Zhen Zhu (Margarita), Ren Shen (Radix Ginseng), Sheng Gan Cao (Radix Glycyrrhizae Uralensis), Chang Pu (Rhizoma Acori Tatarinowii), Niu Huang (Calculus Bovis), Xiong Dan (Fel Ursi), Chen Xiang (Lignum Aquilariae Resinatum, each 1 qian), Hong Hua (Flos Carthami Tinctorii, 5 qian), Jin Bo (Lamina Aurea, one piece), Dan Xing (Folium Evodiae Preparatum, 3 qian). Grind to powder, make pills with Pig Heart Blood. After taking, fright/unsettled feeling reduced. Next use: Zhi Shi (Fructus Aurantii Immaturus), Ban Xia (Rhizoma Pinelliae Ternatae), Jiang Huang (Rhizoma Curcumae Longae), Shan Zha (Fructus Crataegi, Shen Qu (Massa Medicata Fermentata), Mai Ya (Fructus Hordei Germinatus), Chen Pi (Pericarpium Citri Reticulatae), Shan Zhi (Fructus Gardeniae Jasminoidis, each 5 qian), Bai Zhu (Rhizoma Atractylodis Macrocephalae, 1 liang). Grind to powder, make pills with Ginger Cake. Take this to assist stomach, digest food, resolve phlegm. Next use: Niu Huang (Calculus Bovis, 2 qian), Chang Pu (Rhizoma Acori Tatarinowii, 2.5 qian), Zhu Sha (Cinnabaris), Yu Jin (Radix Curcumae Longae, each 3 qian), Yuan Zhi (Radix Polygalae Tenuifoliae), Hu Po (Electrum, each 2.5 qian), Zhen Zhu (Margarita), Hong Hua (Flos Carthami Tinctorii), Chen Xiang (Lignum Aquilariae Resinatum, each 1 qian), Huang Lian (Rhizoma Coptidis Chinensis), Ren Shen (Radix Ginseng), Dan Xing (Folium Evodiae Preparatum, each 5 qian), Dang Gui (Radix Angelicae Sinensis). Grind to powder, make pills with Pig Heart Blood. Take this to calm heart and spirit. Next use: Gan Qi (Larix resin processed, 3 qian stir-fried until smoke gone), San Leng (Rhizoma Sparganii Stoloniferi), E Zhu (Rhizoma Curcumae Zedoariae, each 7.5 qian), Cang Zhu (Rhizoma Atractylodis Lanceae), Qing Pi (Pericarpium Citri Reticulatae Viride), Chen Pi (Pericarpium Citri Reticulatae), Zhen Sha (Sand?), Nong Po (Cortex Magnoliae Officinalis), Dang Gui (Radix Angelicae Sinensis, each 1 liang), Sheng Xiang Fu (Rhizoma Cyperi Rotundi, 2 liang). Grind to powder, make pills with Steamed Bread Dough. If these formulas were not taken, after Dao Cang (Inversion of Stomach) therapy, take decoction: Bai Zhu (Rhizoma Atractylodis Macrocephalae, 4 qian), Chen Pi (Pericarpium Citri Reticulatae), Huang Qin (Radix Scutellariae Baicalensis), Bai Shao Yao (Radix Paeoniae Alba), Xiang Fu Zi (Rhizoma Cyperi Rotundi, each 2 qian), Fu Ling (Poria, 1.5 qian), Dang Gui (Radix Angelicae Sinensis), Mai Dong (Radix Ophiopogonis Japonici), Qing Pi (Pericarpium Citri Reticulatae Viride, each 1 qian), Zhi Ke (Fructus Aurantii, 6 fen), Chen Xiang (Lignum Aquilariae Resinatum), Sheng Gan Cao (Radix Glycyrrhizae Uralensis, each 5 fen). Divide into six doses, to remove chest fullness, clear heat, and leach dampness. Treats women's Erzhen Tong (Placental Pain), decoct Tang Zi (Fructus Chaenomelis Speciosi) strongly, mix with brown sugar, take immediately effective.
Before and after delivery, mostly blood deficiency. One woman, nearly thirty years old, new delivery in January, left leg and right hand convulsions, panting unable to sleep, black qi rising from mouth/nose/face, pulse floating-stringy and deep-choppy, right hand more severe. Suspected spleen dampness syndrome. Asked: Did you have extreme thirst craving water during pregnancy? She said: At three months gestation, liked drinking soup/tea/water. So used Huang Qin (Radix Scutellariae Baicalensis), Jing Jie (Cacumen Schizonepetae), Mu Xiang (Radix Aucklandiae), Hua Shi (Talcum), Bai Zhu (Rhizoma Atractylodis Macrocephalae), Bing Lang (Arecae Semen), Chen Pi (Pericarpium Citri Reticulatae), Cang Zhu (Rhizoma Atractylodis Lanceae), Gan Cao (Radix Glycyrrhizae Uralensis), Shao Yao (Radix Paeoniae Alba). After four doses, added Tao Ren (Semen Persicae), took four more doses. Belly made gurgling sounds, stool passed, looked like crystal blocks, large ones like egg yolks, small ones like dozens of tadpoles. Then convulsions stopped, breathing eased. Removed Jing Jie (Cacumen Schizonepetae), Bing Lang (Arecae Semen), Hua Shi (Talcum) from prescription, added Dang Gui Shen (Radix Angelicae Sinensis body), Fu Ling (Poria), gave her to regulate blood vessels, took ten doses and was safe.
I once saw bladder rupture due to careless midwifery, leading to dribbling disease. Xu's wife, young adult, got this disease. I thought: External muscle/bone wounds can be repaired; although the bladder is inside, perhaps it can be treated too. Pulse was very deficient. Realized: Difficult labor people are mostly blood deficient; after difficult labor, qi and blood are especially deficient. Therefore used strong tonifying drugs, with Zhu (Atractylodes) and Shen (Ginseng) as sovereign, Tao Ren (Semen Persicae), Chen Pi (Pericarpium Citri Reticulatae), Huang Qi (Radix Astragali Membranacei), Fu Ling (Poria) as ministers, decocted with Pig/Sheep Bladder Soup, given at extreme hunger, one liang per dose. After one month, recovered. Probably because qi and blood suddenly grew, the bladder could heal; if delayed slightly, success might be difficult.