凡产后三日内血块痛，人参当缓。遇危急加参可救。如服此方病势有生意，又当减参，再服原方。
凡产后七日内，未曾服生化汤，血块痛未除，仍可服生化汤
以消块止痛。
凡新产及三日内，服生化汤二三服，痛块未除，仍再服几帖，自然块消痛止，新血长旺，精神复旧矣。
凡产后七日内，血块未除，不可加参、 、白术，如用之则痛不止，而块难除。
凡产后或一二日内，血块虽痛未止，其产妇气血虚脱，或晕或汗多而厥，或形色脱去，口气渐冷，或烦渴
不止，或气喘急，则又无论块，从权多用参 生化汤以扶危急。
凡暑月产后，照前服生化汤以除痛。外用热衣裳暖腹，若失盖，虽服药，其病块不散。
凡产后大便或八九日，或十日以上不通，由血少肠燥故也。宜多服生化汤加麻仁以通润之，服川芎，当
归至斤数，自然通矣。虚加人参二三钱，慎勿大黄下药。
凡产后一二三日内，服生化汤三四帖，块觉减，其痛可揉按而定者，虚也。宜服生化汤内加人参三四钱。
凡产后三日内，感伤寒冷物，血块凝结痛甚，生化汤内加肉
桂五六分，至半月一月以上，凝块者，宜四消丸及大补汤或补中益气汤。
凡产后晕厥，脉脱形脱口冷诸危急症，从权惟人参可救，肥人有痰或暴怒卒中，生化汤加竹沥、姜汁。
凡是产后三日内出现血块疼痛的情况，人参的使用应当谨慎缓和。如果遇到危急情况，加入人参可以挽救生命。如果服用此方后病情出现好转迹象，又应当减少人参用量，再次服用原方。
凡是产后七日内，未曾服用生化汤，血块疼痛仍未消除的，仍可服用生化汤来消散血块、缓解疼痛。
凡是刚分娩及产后三日内，服用生化汤两三次后，疼痛和血块仍未消除的，应继续再服几剂，自然血块消散、疼痛停止，新血生长旺盛，精神恢复如初。
凡是产后七日内，血块未除，不可加入人参、白芍、白术，如果使用这些药物，则疼痛不止，且血块难以消除。
凡是产后一两天内，虽然血块疼痛未止，但产妇气血虚脱，或出现晕厥、出汗多而四肢厥冷，或面色神态脱失、口气逐渐变冷，或烦躁口渴不止，或气喘急促，那么无论是否有血块，都应权宜之计大量使用加入人参的生化汤来扶助危急。
凡是暑天产后，按照前述方法服用生化汤以消除疼痛。外用热衣物温暖腹部，如果失去覆盖保暖，即使服药，血块病也不会消散。
凡是产后大便一两天不通，或者八九天，甚至十天以上不通，这是由于血少导致肠道干燥的缘故。适宜多服用加入火麻仁的生化汤以通利润燥，服用川芎、当归达到一定剂量（斤数），自然就能通畅。体虚者加入人参二三钱，切勿使用大黄等泻下药。
凡是产后一二三天内，服用生化汤三四剂后，感觉血块减轻，疼痛可以通过揉按来缓解定住的，属于虚证。适宜在生化汤中加入人参三四钱。
凡是产后三日内，感受寒凉之物，导致血块凝结疼痛剧烈，可在生化汤中加入肉桂五六分；如果是半个月到一个月以上的凝块，适宜使用四消丸以及大补汤或补中益气汤。
凡是产后出现晕厥、脉象微弱欲绝、形体脱失、口冷等各种危急症状，权宜之计只有人参可以挽救；如果是肥胖之人有痰湿，或因暴怒突然昏倒中风的，在生化汤中加入竹沥、姜汁。
In cases of blood stasis pain within three days postpartum, the use of *Renshen* (Ginseng Radix) should be cautious and moderate. In critical emergencies, adding Ginseng can save life. If the condition shows signs of improvement after taking this prescription, the dosage of Ginseng should be reduced, and the original formula continued.
For those who have not taken *Shenghua Tang* (Decoction for Generating New Blood) within seven days postpartum, and whose blood stasis pain persists, *Shenghua Tang* may still be administered to dissipate stasis and relieve pain.
For newly delivered women or within three days postpartum, if pain and stasis persist after two or three doses of *Shenghua Tang*, several more doses should be taken. Naturally, the stasis will dissipate, pain will cease, new blood will flourish, and spirit will return to normal.
Within seven days postpartum, if blood stasis has not been eliminated, do not add *Renshen* (Ginseng Radix), *Baishao* (White Peony Root), or *Baizhu* (Atractylodis Rhizoma). Using these herbs will result in unrelenting pain and difficulty in eliminating stasis.
If, within one or two days postpartum, although blood stasis pain persists, the woman suffers from Qi and Blood collapse, fainting, excessive sweating with cold extremities, loss of complexion and demeanor, cooling breath, incessant irritability and thirst, or rapid panting, then regardless of the presence of stasis, a modified *Shenghua Tang* with a larger dose of Ginseng should be used pragmatically to support critical conditions.
During summer months postpartum, take *Shenghua Tang* as described above to relieve pain. Externally, keep the abdomen warm with hot clothing. If covered poorly, even with medication, the stasis disease will not dissipate.
If bowel movement is delayed for one or two days, or eight to ten days or more postpartum, it is due to blood deficiency causing intestinal dryness. It is advisable to take *Shenghua Tang* added with *Huo Ma Ren* (Cannabis Seed) to promote lubrication and unblocking. Taking sufficient amounts of *Chuanxiong* (Ligusticum Chuanxiong Rhizome) and *Danggui* (Angelica Sinensis Radix) will naturally restore regularity. For deficiency, add 2-3 qian of Ginseng; strictly avoid using *Dahuang* (Rhei Radix et Rhizoma) or other purgatives.
If, within one to three days postpartum, after taking three or four doses of *Shenghua Tang*, the stasis feels reduced and pain can be relieved by rubbing and pressing, this indicates deficiency. It is appropriate to add 3-4 qian of Ginseng to *Shenghua Tang*.
If, within three days postpartum, exposure to cold causes severe pain from coagulated blood stasis, add 5-6 fen of *Rougui* (Cinnamomi Cortex) to *Shenghua Tang*. For coagulated stasis persisting beyond half a month to a month, *Sixiao Wan* (Pill for Six Eliminations), *Dabu Tang* (Great Tonifying Decoction), or *Buzhong Yiqi Tang* (Decoction for Supplementing the Middle and Augmenting Qi) are suitable.
In cases of postpartum syncope, pulse disappearance, physical collapse, cold mouth, and other critical symptoms, only Ginseng can be used pragmatically for rescue. For obese individuals with phlegm or sudden stroke due to violent anger, add *Zhuli* (Bambusa Textilis Caulis Juice) and *Jiangzhi* (Zingiberis Rhizoma Juice) to *Shenghua Tang*.