产妇素弱。临产又劳。中气不足。胸膈窒滞。胃虽纳谷。传化艰难。医者误认伤食。而擅用消导之剂。或因气郁。
而专事疏散。或因大便秘结。而妄议攻下。此膨胀所由来也。治法当大补气血为主。所谓塞因塞用。其效甚
捷。先服独参汤。调饭锅焦末。以通胃气。次服养生化滞汤。则脾运而胀消矣。
川芎（二钱） 当归（三钱） 人参（一钱） 于术（生二钱） 陈皮（八分） 香附（制五分） 茯苓（二钱） 甘
草（炙三分） 大腹皮（四钱） 桃仁（去皮尖研十一粒）
上药用水一盏半。加黄酒一小钟。煎七分热服。
大便秘结。加肉苁蓉二钱。误服大黄加生黄 四钱。倍用人参。胀甚人参可加至四五钱。丹溪先生治产后膨胀。参
服至半斤以上。大便方通。肿胀方退。
产后泄泻。悉属脾虚。亦有因寒因食之殊。惟热泻甚少。治法与杂症诸泻不同。诚以恶露未消。难以遽补。元气暴
竭。难以议消。太温恐新血流崩。骤寒虑血凝变症。大抵产后患此。先宜服生化汤。加茯苓一钱五分。俟二三剂后块痛
已除。方能补脾。消食温中。随症施治。产毕即泻。服诃皮生化汤。胎前久泻至产后不止。服参苓生化汤从权以济甚危。
块痛已除。服加味生化汤。因寒因食。分别调治。惟审系实在热泻。去黑姜肉果二味。切勿加以凉药。免致血寒。贻患
不可不慎。
产妇平时体质虚弱，临产时又过度劳累，导致中气不足，胸膈部位气机阻滞。虽然胃能接受食物，但消化传导十分困难。医生误认为是伤食（饮食积滞），擅自使用消食导滞的药剂；或者因为气郁（气机郁结），专门使用疏散理气的药物；又或者因为大便秘结，妄议使用攻下通便的方法。这些错误治疗就是产后膨胀（腹部胀满）产生的原因。治疗方法应当以大补气血为主，这就是所谓的“塞因塞用”（以补益固涩的方法治疗闭塞不通的病证），疗效非常迅速。先服用独参汤，调入饭锅焦末，以疏通胃气；接着服用养生化滞汤，这样脾脏运化功能恢复，腹胀就能消除。
川芎（二钱）、当归（三钱）、人参（一钱）、于术（生白术，二钱）、陈皮（八分）、香附（制香附，五分）、茯苓（二钱）、甘草（炙甘草，三分）、大腹皮（四钱）、桃仁（去皮尖研碎，十一粒）。
以上药材用水一盏半，加入黄酒一小钟，煎煮至七分量，热服。
如果大便秘结，加肉苁蓉二钱；如果误服大黄，加生黄芪四钱，并加倍使用人参；如果腹胀严重，人参可加至四五钱。丹溪先生治疗产后膨胀，有人服用人参达到半斤以上，大便才通畅，肿胀才消退。
产后泄泻，全部属于脾虚所致，也有因寒邪或饮食不当的区别，只有热性泄泻很少见。其治疗方法与杂病中的各种泄泻不同。确实是因为恶露（产后余血浊液）尚未排净，难以立即进补；元气突然衰竭，难以轻易使用消导法。过于温燥恐怕导致新血崩漏，过于寒凉担心血液凝滞产生变症。大体上产后患此病，先宜服用生化汤，加茯苓一钱五分。等到服用二三剂后，块痛（产后腹痛）已经消除，才能进行补脾、消食、温中的治疗，根据症状灵活施治。分娩后立即出现泄泻，服用诃皮生化汤；怀孕前长期泄泻延续到产后不止，服用参苓生化汤，这是权宜之计以救助危急情况。块痛已除后，服用加味生化汤。如果是因寒或因食引起的，分别调理治疗。只有确认为实热泄泻时，去掉黑姜和肉果两味药，千万不要添加寒凉药物，以免导致血寒，留下隐患，不可不谨慎对待。
The parturient had a constitutionally weak physique and was exhausted during labor, resulting in insufficiency of Middle Qi (vital energy of the spleen and stomach) and stagnation in the chest and diaphragm. Although the Stomach accepts food, digestion and transportation are difficult. Physicians mistakenly diagnosed it as Food Retention (accumulation of undigested food) and arbitrarily used digestive-promoting agents; or due to Qi Depression (stagnation of qi flow), they exclusively used dispersing and regulating methods; or because of constipation, they rashly discussed purgative treatments. These errors are the origin of Postpartum Distension (abdominal bloating). The treatment method should primarily focus on greatly tonifying Qi and Blood, known as "treating obstruction with tonification" (using astringent or tonifying methods to treat blockage syndromes), which yields very rapid effects. First, administer Single Ginseng Decoction (Dushen Tang) mixed with scorched rice crust powder to unblock Stomach Qi. Subsequently, administer Yangsheng Huazhi Tang, so that Spleen transportation is restored and distension dissipates.
Chuanxiong Rhizome (2 qian), Danggui Radix (3 qian), Renshen Radix et Rhizoma (1 qian), Atractylodis Macrocephalae Rhizoma (raw, 2 qian), Citri Reticulatae Pericarpium (8 fen), Cyperi Rhizoma (processed, 5 fen), Poria (2 qian), Glycyrrhizae Radix et Rhizoma (honey-fried, 3 fen), Arecae Pericarpium (4 qian), Persicae Semen (skin and tip removed, ground, 11 grains).
Take the above herbs, add one and a half cups of water and one small cup of yellow wine, decoct until seven-tenths remains, and take warm.
If constipation exists, add Cistanche Stem 2 qian. If Rhubarb was mistakenly taken, add Astragali Radix 4 qian and double the dosage of Renshen. If distension is severe, Renshen can be increased to 4-5 qian. Mr. Danxi treated postpartum distension where patients consumed over half a jin of Renshen before bowel movements became smooth and swelling subsided.
Postpartum diarrhea is entirely attributed to Spleen Deficiency, though there are distinctions between those caused by Cold or Diet. Hot diarrhea is rare. The treatment differs from various diarrheas in miscellaneous diseases. Indeed, since Lochia (postpartum residual blood and fluid) has not yet cleared, sudden tonification is difficult; since Yuan Qi (original vital energy) has suddenly depleted, easy elimination/digestion is inappropriate. Excessive warmth may cause new blood to hemorrhage; sudden cold may lead to blood coagulation and complications. Generally, for this condition postpartum, one should first take Shenghua Decoction with added Poria 1.5 qian. After two or three doses, once the mass-pain (postpartum abdominal pain) is eliminated, one can proceed to tonify the Spleen, digest food, and warm the middle, treating according to symptoms. Diarrhea occurring immediately after delivery: take Heqi Shenghua Tang. Chronic diarrhea before pregnancy continuing after delivery: take Shenling Shenghua Tang, a temporary measure to rescue critical conditions. Once mass-pain is eliminated: take Jiawei Shenghua Tang. For cases due to Cold or Diet, treat separately. Only if confirmed as excess-heat diarrhea, remove Black Ginger (carbonized Zingiberis Rhizoma) and Myristica Seed, and absolutely do not add cooling/cold-natured drugs to avoid causing Blood-Cold, leaving hidden troubles. One must be extremely cautious.