余素不知医，且不信医。每见世之庸医，偏执浅见，任意妄治，悖理误人者，指不胜屈。
故自谓∶嗜欲饮食稍为慎节，便可寡病。持此意几三十年。岁丁酉，子媳孕，余望孙甚切，而媳
素弱多疾，临产愈甚，举家惶惶，莫知所为。延医十数，聚论纷然，无济干事，真呼吸死生
也。适妹丈施君以《产后十八论》见与云∶得之世医，为效甚奇。余心疑之。既而无计可施，乃
按症投药，一服而子母保安，其应如响。余犹谓适然。尔后，值家人妇三、四辈，皆产后危
症，按论而治，不爽毫厘。真若以手之去物，而余始稍信焉。尚不敢播之于人，族党亲友间，以
此方治之者，无不神验。历年以来，百投百效，交口相传，溢于四方，然后知治之自有真焉。
药当通神诚哉言矣！于是有公世之志，而愿不知医者，勿吾向日之所疑疑之焉。
雍正己酉三月朔 溪觉河图道先氏漫书
红花（二两） 官桂（一两五钱，如妇人年三十以外加五钱） 熟地（一两） 当归（一两）
雄黑豆（一两） 莪术（一两，面煨） 赤芍（一两） 蒲黄（二两，炒） 干姜（一两，三十岁外加五钱）
上药九味，如法炮制，共为细末，盛瓷瓶内，临用时每服三钱。凡患产后诸症，细查《十八
论》中，必其所患与所论相符，乃照所论引子，用水二钟，煎七分，将前药三钱冲入，搅匀，空心温
服即效。其服数不拘多少，总以病好为度，大约重者不过四、五服，轻者二、三服而已。
第一论
孕妇有患热病六、七日，小腹疼痛欲死，指甲青色而口中出沫者，皆因脏腑热极，以致子
死腹中，不能顺下耳。若服此药即产，用滑石、榆皮各一钱，水二钟，煎汤七分，加陈酒三分，
和药三钱，热服之。
第二论
凡难产者，因子在母腹十个月，或有余血凝结为块，名曰儿枕。生时儿枕先破，败血流入衣
胞中，所以难产。急服此药逼去败血，自然易生。用炒黄燕子粪、滑石、榆皮各一钱，煎汤，照前入酒
和药服。
第三论
胎衣不下，败血流入衣中所致，照前引服。
第四论
产后三、五日起坐不得，眼见黑花，及昏迷不识人者，因败血流入五脏，奔注于肝。若误认为暗风
治之，必死，惟此药能救。用陈酒一盅，将生铁烧红，浸俟冷取出，再烧红浸之，如是三次。用榆根皮
炭、元胡索各一钱，共此酒煎汤七分，入童便三分，和服药。
第五论
产后口干心闷，多烦渴者，乃血气未定，便吃腥酸热物，以致余血结聚于心，故有此症。用当
归一钱，煎汤，亦入童便三分，和药服。
第六论
产后寒热往来，头疼腰背痛者，皆产时偶受风邪，入于肠内，败血不尽，上连心肺，下至肝肾，
故有此症，照前引服。
第七论
产后发热，或遍身寒冷，皆因散血攻注于四肢，停滞日久，不能还原，仍结脓血，甚至四肢
俱肿。若作水肿必误。盖水肿则喘，小便涩滞；气肿则四肢寒热，须细心辨明。先服此药，逐去
散血，次服通宝立效。用官桂、红花各一钱，煎汤，入陈酒三分，和药服。
第八论
产后言语颠狂，眼见鬼神，乃散血攻心所致。急服此药，用当归一钱、酒半盅，煎服，入
童便三分，和药服。
第九论
产后失音不语，是七孔九窍多被败血冲闭所致。用元胡索、粽皮各一钱，煎汤，入陈酒三分，
和药服。
第十论
产后腹痛兼泻痢，或腹胀虚满者，皆因月中误吃生冷热物，而余血结聚，日久渐甚，腹胀
疼痛，米壳不消，或脓血不止，水气入肠冷痛，或败血入小肠变赤白带。须先服此药，逐去败血，
然后调治泻痢。用葛根一钱，煎汤，入童便、陈酒，和药服。
第十一论
产后百节疼痛，乃败血入于关节之中聚结，虚胀不能还原故耳。用陈酒半盅，牛膝一钱，
煎汤，入童便三分，和药服。
第十二论
产后血崩如鸡肝色，昏闷发热者，因败血未定，误吃腥酸等物所致。用樟柳根、杏胶各
一钱，煎汤，入陈酒三分，和药服。
第十三论
产后昏迷惊恐，气逆咳嗽，四肢寒热，口干心闷，或背膊酸肿，腹中时痛，皆因血未还原，
早吃热物、面食，致有此症，日久甚至月经不通，黄赤带下，而小便或滑或胀。急服此药，用
引同前。
第十四论
产后胸隔气满，呕逆，因败血未净，故心如有恶物，兼之肺气不清，不可作伤食治。宜服
此药，用引同前。
第十五论
产后小便赤色，大便涩滞，或产户胀肿，乃败血流入小肠，闭却水道所致。切勿认作淋涩，
当服此散，用引同前。
第十六论
产后舌干鼻衄，绕项生点，因败血流入五脏，可用当归一钱，陈酒半盅，煎汤，入童
便三分，和药服。
第十七论
产后腰痛眼涩，或浑身拘挛，牙关紧闭，或两脚弓状如中风者，因百日内过行房事所致。
用虾蟆、麻子各一钱，煎汤，入陈酒三分，和药服。
第十八论
产后脏腑不安，言语不得，咽喉作蝉声，乃月中吃热物或停宿食，而败血攻注，喘息间有，
上下往来，与牙关相紧，故有此症。用乳香一钱，煎汤，入陈酒三分，和药服。
我向来不懂医术，也不相信医生。经常看到世间那些庸医，偏执于浅薄的见解，任意胡乱治疗，违背医理误人性命的情况，多得数不胜数。
所以我自认为：只要对嗜欲和饮食稍微谨慎节制，就可以减少疾病。抱着这个念头过了近三十年。到了丁酉年，儿媳怀孕，我非常渴望抱孙子，但儿媳一向体弱多病，临产时病情更加严重，全家惊慌失措，不知道该怎么办。请了十几位医生来，大家议论纷纷，却无济于事，这真是关乎生死呼吸的紧急时刻。恰逢我的妹夫施先生把《产后十八论》拿给我看，说：“这是从世传医生那里得来的，疗效非常神奇。”我心里对此表示怀疑。后来实在没有办法，于是按照书中的症状投药服用，结果一服药母子平安，反应迅速如回声相应。我还以为是偶然巧合。此后，遇到家中妇女三四辈出现产后危重病症，都按照书中的理论治疗，分毫不差。真的就像用手拿掉东西一样容易，这时我才稍微相信了。虽然不敢广泛传播给外人，但在同族乡亲亲友间，用这个方子治疗的，无不神效灵验。多年来，百次使用百次有效，大家交口相传，名声传遍四方，这才知道治病自有其真理所在。药物能够通神，这话确实不假！于是产生了将此书公之于世的志向，希望那些不懂医学的人，不要像我从前那样怀疑它。
雍正己酉年三月初一 溪觉河图道先氏随意书写
红花（二两） 官桂（一两五钱，如果妇人年龄在三十岁以上加五钱） 熟地黄（一两） 当归（一两） 雄黑豆（一两） 莪术（一两，用面粉煨制） 赤芍（一两） 蒲黄（二两，炒制） 干姜（一两，三十岁以上再加五钱）
以上九味药，按照规范炮制，共同研磨成细末，装在瓷瓶里。使用时每次服用三钱。凡是患有产后各种病症，仔细查阅《十八论》，必须确认所患症状与书中论述相符，然后按照书中所述的“引子”（药引），用水两钟（约400毫升），煎至七分（约280毫升），将前面的药粉三钱冲入其中，搅拌均匀，空腹温服即可见效。服药次数不限多少，总以病愈为标准，大概重症不过四、五服，轻症二、三服罢了。
第一论
孕妇如果有患热病六、七天，小腹疼痛难忍，指甲发青且口中流沫的，都是因为脏腑热极，导致胎儿死于腹中，不能顺产下来。如果服用此药后能分娩，用滑石、榆皮各一钱，水两钟，煎汤七分，加入陈酒三分，混合药粉三钱，热服。
第二论
凡是难产的，因为胎儿在母腹中十个月，或者有残留血液凝结成块，名叫“儿枕”。生产时儿枕先破裂，败血流入胎盘胞宫中，所以难产。急服此药逼迫排出败血，自然容易生产。用炒黄的燕子粪、滑石、榆皮各一钱，煎汤，照前法加入酒混合药粉服用。
第三论
胎衣不下，是因为败血流入胎衣所致，照前法作为药引服用。
第四论
产后三、五天起坐困难，眼前出现黑花，以及昏迷不认识人的，是因为败血流入五脏，奔注于肝脏。如果误认为是暗风（中风的一种）来治疗，必死无疑，只有此药能救。用陈酒一盅，将生铁烧红，浸入酒中冷却后取出，再烧红浸入，如此三次。用榆根皮炭、元胡索各一钱，在此酒中煎汤七分，加入童便（儿童尿液）三分，混合药粉服用。
第五论
产后口干心闷，多烦躁口渴的，是气血未定，就吃腥酸热物，导致余血结聚于心，所以有此症状。用当归一钱，煎汤，也加入童便三分，混合药粉服用。
第六论
产后寒热往来，头疼腰背痛的，都是生产时偶尔受风邪侵入肠内，败血未尽，上连心肺，下至肝肾，所以有此症状，照前法作为药引服用。
第七论
产后发热，或全身寒冷，都是因为散血攻注于四肢，停滞日久，不能恢复原状，仍结成脓血，甚至四肢俱肿。如果当作水肿治必误。因为水肿会喘促，小便涩滞；气肿则四肢寒热，须细心辨别清楚。先服此药，驱逐散血，其次服用通宝立效方。用官桂、红花各一钱，煎汤，加入陈酒三分，混合药粉服用。
第八论
产后言语颠狂，眼见鬼神，是散血攻心所致。急服此药，用当归一钱、酒半盅，煎服，加入童便三分，混合药粉服用。
第九论
产后失音不语，是七孔九窍多被败血冲闭所致。用元胡索、粽皮各一钱，煎汤，加入陈酒三分，混合药粉服用。
第十论
产后腹痛兼泻痢，或腹胀虚满的，都是因为月子里误吃生冷热物，而余血结聚，日久逐渐加重，腹胀疼痛，米壳不消，或脓血不止，水气入肠冷痛，或败血入小肠变成赤白带。须先服此药，驱逐败血，然后调治泻痢。用葛根一钱，煎汤，加入童便、陈酒，混合药粉服用。
第十一论
产后百节疼痛，是败血进入关节之中聚结，虚胀不能恢复原状的缘故。用陈酒半盅，牛膝一钱，煎汤，加入童便三分，混合药粉服用。
第十二论
产后血崩如鸡肝色，昏闷发热的，因败血未定，误吃腥酸等物所致。用樟柳根、杏胶各一钱，煎汤，加入陈酒三分，混合药粉服用。
第十三论
产后昏迷惊恐，气逆咳嗽，四肢寒热，口干心闷，或背膊酸肿，腹中时痛，都是因为血未还原，早吃热物、面食，导致有此症状，日久甚至月经不通，黄赤带下，而小便或滑泄或胀满。急服此药，用药引同前。
第十四论
产后胸膈气满，呕逆，因败血未净，所以心中感觉如有恶物，兼之肺气不清，不可当作伤食治疗。宜服此药，用药引同前。
第十五论
产后小便赤色，大便涩滞，或产户胀肿，是败血流入小肠，闭塞水道所致。切勿认作淋证涩痛，应当服用此散剂，用药引同前。
第十六论
产后舌干鼻衄（流鼻血），颈部周围生点，因败血流入五脏，可用当归一钱，陈酒半盅，煎汤，加入童便三分，混合药粉服用。
第十七论
产后腰痛眼涩，或浑身拘挛，牙关紧闭，或两脚弓状如中风者，是因为百日内过行房事所致。用虾蟆（蛤蟆）、麻子各一钱，煎汤，加入陈酒三分，混合药粉服用。
第十八论
产后脏腑不安，言语不得，咽喉发出蝉鸣声，是因为月子里吃热物或停宿食，而败血攻注，喘息间有，上下往来，与牙关相紧，所以有此症状。用乳香一钱，煎汤，加入陈酒三分，混合药粉服用。
I have never known medicine, nor did I believe in doctors. I often saw that among the physicians of the world, there were countless quacks who were biased and held shallow views, arbitrarily and recklessly treating patients, violating medical principles and harming people.
Therefore, I used to say: "If one is slightly cautious and restrained regarding desires and diet, one can avoid illness." I held this belief for nearly thirty years. In the Dingyou year, my daughter-in-law was pregnant. I was eager to hold a grandson, but she had always been weak and prone to illness. Her condition worsened significantly as delivery approached, causing panic throughout the family with no idea what to do. We invited more than ten doctors; their discussions were chaotic and unhelpful. It was truly a matter of life and death hanging by a thread. Coincidentally, my brother-in-law, Mr. Shi, presented me with *Eighteen Discourses on Postpartum Conditions* (Chanhou Shiba Lun), saying, "This was obtained from hereditary physicians, and its efficacy is miraculous." I harbored doubts about it. However, having exhausted all other options, I administered the medicine according to the symptoms described. After just one dose, both mother and child were safe, with an effect as immediate as an echo. I still considered it a coincidence. Subsequently, when three or four generations of women in my family suffered from critical postpartum conditions, I treated them according to the discourses, with results accurate to the slightest degree. It was as easy as removing an object with one's hand, and only then did I begin to believe. Although I dared not disseminate it publicly, among relatives and friends within our clan, those who used this prescription experienced miraculous cures. Over the years, it has been hundred percent effective in every instance, praised by all and spreading far and wide. Only then did I realize that there is indeed truth in treatment. The statement that medicines can achieve divine efficacy is indeed true! Thus, I developed the ambition to make this work public, hoping that those unfamiliar with medicine would not doubt it as I once did.
Written casually by Daoxian Shi, Xijue Hetu, on the first day of the third month of the Jiyi year of the Yongzheng reign.
Honghua (Safflower) (2 liang) Guizhi (Cinnamon Twig) (1.5 liang, add 0.5 liang if the woman is over thirty years old) Shudi (Prepared Rehmannia Root) (1 liang) Danggui (Angelica Sinensis) (1 liang) Xiongheidou (Black Soybean) (1 liang) Ezhu (Curcuma Zedoaria) (1 liang, stir-fried with flour) Chishao (Red Peony Root) (1 liang) Puhuang (Pollen Typhae) (2 liang, stir-fried) Ganjiang (Dried Ginger) (1 liang, add 0.5 liang if over thirty years old)
Process the above nine herbs according to standard methods, grind them together into a fine powder, and store in a porcelain bottle. When using, take 3 qian per dose. For any postpartum condition, carefully consult the *Eighteen Discourses*; ensure the patient's symptoms match the discourse exactly. Then, follow the specified "guiding herb" (Yinzi) for that discourse: decoct two zhong (approx. 400 ml) of water until reduced to seven parts (approx. 280 ml). Mix in 3 qian of the powder, stir well, and take warm on an empty stomach for immediate effect. The number of doses is unlimited, stopping only when the disease is cured. Generally, severe cases require no more than four or five doses, while mild cases require only two or three.
Discourse One
If a pregnant woman suffers from a heat pathogen for six or seven days, experiences excruciating lower abdominal pain, has cyanotic fingernails, and foams at the mouth, these are signs of extreme heat in the zang-fu organs, leading to fetal death in utero and inability to deliver naturally. If taking this medicine induces labor, use Huashi (Talcum) and Yupi (Ulmus Bark), each 1 qian. Decoct in two zhong of water until reduced to seven parts. Add 3 fen of aged wine, mix with 3 qian of the powder, and take hot.
Discourse Two
Difficult labor occurs because, after ten months in the womb, residual blood coagulates into masses known as "Erzhen" (Fetal Pillow). During birth, the Erzhen ruptures first, allowing necrotic blood to flow into the placental sac, causing obstruction. Urgently administer this medicine to expel the necrotic blood, facilitating natural delivery. Use fried swallow droppings, Huashi (Talcum), and Yupi (Ulmus Bark), each 1 qian. Decoct in water, then add wine and mix with the powder as previously directed.
Discourse Three
Retained placenta is caused by necrotic blood flowing into the placental sac. Administer using the guiding method described above.
Discourse Four
Inability to sit or stand three to five days postpartum, visual disturbances (seeing black spots), and coma/unrecognizability are caused by necrotic blood entering the five zang organs and rushing to the Liver. Misdiagnosing this as An Feng (Hidden Wind/Stroke) will result in death; only this medicine can save the patient. Take one zhong of aged wine. Heat a piece of wrought iron until red-hot, immerse it in the wine until cool, remove, reheat, and repeat three times. Use Tan Yupigen (Charred Elm Root Bark) and Yuanhusuo (Corydalis Rhizome), each 1 qian. Decoct in the treated wine until reduced to seven parts. Add 3 fen of Tongbian (Child's Urine), mix with the powder, and take.
Discourse Five
Postpartum dry mouth, chest oppression, irritability, and thirst occur because qi and blood are unsettled, and consuming fishy, sour, or hot foods causes residual blood to congeal in the Heart. Use Danggui (Angelica Sinensis) 1 qian, decoct in water, add 3 fen of Tongbian (Child's Urine), mix with the powder, and take.
Discourse Six
Alternating chills and fever, headache, and backache postpartum result from wind pathogens invading the intestines during delivery, combined with incomplete expulsion of necrotic blood. This affects the Heart and Lungs superiorly and the Liver and Kidneys inferiorly. Administer using the guiding method described above.
Discourse Seven
Postpartum fever or generalized coldness occurs because dispersed blood attacks the limbs, stagnates for a long time, fails to return to normal circulation, and forms pus-blood, potentially causing limb edema. Do not mistake this for Shui Zhong (Water Edema); Shui Zhong presents with wheezing and dysuria. Qi Zhong (Qi Edema) presents with alternating cold and heat in the limbs. Differentiate carefully. First, take this medicine to expel dispersed blood, then take Tongbao Li Xiao Fang. Use Guizhi (Cinnamon Twig) and Honghua (Safflower), each 1 qian. Decoct in water, add 3 fen of aged wine, mix with the powder, and take.
Discourse Eight
Postpartum delirious speech and hallucinations (seeing spirits) are caused by dispersed blood attacking the Heart. Urgently take this medicine: Use Danggui (Angelica Sinensis) 1 qian and half a zhong of wine. Decoct, add 3 fen of Tongbian (Child's Urine), mix with the powder, and take.
Discourse Nine
Postpartum aphonia is caused by necrotic blood obstructing the seven apertures and nine orifices. Use Yuanhusuo (Corydalis Rhizome) and Zongpi (Bamboo Leaf/Zongzi Wrapper), each 1 qian. Decoct in water, add 3 fen of aged wine, mix with the powder, and take.
Discourse Ten
Postpartum abdominal pain accompanied by diarrhea/dysentery, or abdominal distension with false fullness, results from consuming raw, cold, or hot foods during confinement, causing residual blood to congeal. Over time, this worsens, causing abdominal pain, indigestion (undigested rice husks), persistent pus/blood discharge, cold pain from water qi entering the intestines, or red/white leukorrhea due to necrotic blood entering the Small Intestine. First, take this medicine to expel necrotic blood, then treat the diarrhea/dysentery. Use Gegen (Kudzu Root) 1 qian. Decoct in water, add Tongbian (Child's Urine) and aged wine, mix with the powder, and take.
Discourse Eleven
Postpartum pain in all joints is caused by necrotic blood accumulating in the joint spaces, creating false distension that cannot resolve. Use half a zhong of aged wine and Niuxi (Achyranthes Root) 1 qian. Decoct, add 3 fen of Tongbian (Child's Urine), mix with the powder, and take.
Discourse Twelve
Postpartum hemorrhage resembling chicken liver color, accompanied by dizziness, oppression, and fever, is caused by unsettled necrotic blood and consumption of fishy/sour foods. Use Zhangliugen (Chenopodium Root) and Xingjiao (Apricot Gum), each 1 qian. Decoct in water, add 3 fen of aged wine, mix with the powder, and take.
Discourse Thirteen
Postpartum coma, fright, rebellious qi with coughing, alternating cold/heat in limbs, dry mouth, chest oppression, sore/swollen back, and intermittent abdominal pain are caused by blood failing to restore itself, exacerbated by early consumption of hot foods and wheat products. Long-term effects include amenorrhea, yellow/red leukorrhea, and urinary incontinence or distension. Urgently take this medicine using the guiding method described above.
Discourse Fourteen
Postpartum chest diaphragm fullness, vomiting, and retching are caused by incomplete clearance of necrotic blood, creating a sensation of foul matter in the heart, combined with unclear Lung qi. Do not treat as food stagnation. Take this medicine using the guiding method described above.
Discourse Fifteen
Postpartum dark urine, constipation, or vulvar swelling is caused by necrotic blood entering the Small Intestine and blocking the water passages. Do not misdiagnose as Lin Syndrome (strangury). Take this powder using the guiding method described above.
Discourse Sixteen
Postpartum dry tongue and epistaxis (nosebleed), with spots around the neck, are caused by necrotic blood entering the five zang organs. Use Danggui (Angelica Sinensis) 1 qian and half a zhong of aged wine. Decoct, add 3 fen of Tongbian (Child's Urine), mix with the powder, and take.
Discourse Seventeen
Postpartum lower back pain, gritty eyes, general spasms, locked jaw, or legs arched like stroke are caused by sexual intercourse within the first hundred days postpartum. Use Hamo (Toad) and Mazi (Hemp Seed/Cannabis Seed), each 1 qian. Decoct in water, add 3 fen of aged wine, mix with the powder, and take.
Discourse Eighteen
Postpartum organ instability, inability to speak, and cicada-like sounds from the throat are caused by consuming hot foods or retaining undigested food during confinement, leading to necrotic blood attack. Symptoms include intermittent breathing difficulties, wandering sensations, and tightness of the jaw. Use Ruxiang (Frankincense) 1 qian. Decoct in water, add 3 fen of aged wine, mix with the powder, and take.