12.产门不闭由不足, 初产因伤必肿疼, 不足十全大补治, 甘草汤洗
肿伤平.
【注】凡产后玉门不闭者, 多由气血不足所致. 亦有因初产伤重者,
必肿而疼也. 气血不足者, 用十全大补汤治之; 因伤肿痛者, 浓煎甘
草汤洗之, 其肿伤自平.
十全大补汤 方见首卷
清魂散
13.产后血晕恶露少, 面唇色赤是停瘀, 恶露去多唇面白, 乃属血脱
不须疑. 虚用清魂荆芥穗, 人参芎草泽兰随, 腹痛停瘀佛手散, 醋漆
熏法总相宜.
【注】产后血晕, 有因恶露去少, 内有停瘀上攻迷晕者, 面唇必赤色
;有因去血过多, 血脱而晕者, 面唇必色白. 血虚者宜用清魂散, 即
荆芥穗, 人参, 川芎, 甘草, 泽兰叶也. 若停瘀腹痛者, 用佛手散.
二者俱宜频烧干漆及用火烧铁钉淬醋, 不时熏之.
佛手散 方见首卷
14.恶露不下是何因? 风冷气滞血瘀凝, 若还不下因无血, 面色黄白
不胀疼, 风冷血凝失笑散, 去多圣愈散补而行.
【注】产后恶露不下, 有因风冷相干, 气滞血凝而不行者, 必腹中胀
痛;有因产时去血太多, 无血不行者, 面色必黄白, 腹心不疼, 以此
辨之. 血凝者, 用失笑散逐而行之; 无血者, 用圣愈汤补而行之.
失笑散 圣愈汤 方俱见首卷
12. 产门不闭（产后阴道口松弛不能闭合）是由于气血不足所致，初次分娩因产道损伤必然出现肿胀疼痛。对于气血不足者，应用十全大补汤治疗；对于因损伤导致的肿痛，用甘草汤浓煎后清洗，肿胀和伤痛自然平复。
【注】凡是产后玉门（女性外生殖器入口）不能闭合的，大多是由气血不足引起的。也有因为初次分娩损伤严重的，必然会出现肿胀和疼痛的情况。属于气血不足的，使用十全大补汤进行治疗；属于因损伤导致肿痛的，用浓煎的甘草汤进行清洗，其肿胀和伤痛自然会平复。
十全大补汤 方剂见本书首卷
清魂散
13. 产后血晕（产后突然头晕眼花，甚至昏厥）且恶露（产后排出的余血浊液）量少，面色和嘴唇发红是瘀血停滞的表现；若恶露排出过多，嘴唇颜色发白，则属于血脱证，无需怀疑。虚证使用清魂散，由荆芥穗、人参、川芎、甘草、泽兰组成；若是腹痛且有瘀血停滞，使用佛手散；这两种情况都适宜频繁烧干漆或用火烧铁钉淬入醋中，不时熏蒸患处。
【注】产后血晕，有因为恶露排出少，内部有瘀血停滞上攻导致昏迷眩晕的，面色和嘴唇必定呈红色；有因为失血过多，血脱而导致晕厥的，面色和嘴唇必定呈白色。血虚者适宜使用清魂散，即由荆芥穗、人参、川芎、甘草、泽兰叶组成。如果有瘀血停滞且腹痛的，使用佛手散。这两种情况都适宜频繁烧干漆及用火烧铁钉淬醋，不时熏蒸。
佛手散 方剂见本书首卷
14. 恶露不下是什么原因？是因为风冷邪气干扰，气机阻滞，血液凝滞；如果是因为没有血液可下，面色黄白且不胀不痛。对于风冷导致血凝的，使用失笑散治疗；对于恶露排出过多导致的血虚，使用圣愈汤补益并促进运行。
【注】产后恶露不下，有因为风冷邪气相干，气机阻滞、血液凝滞而不能排出的，必然伴有腹部胀痛；有因为分娩时失血太多，无血可排的，面色必定黄白，心腹部不疼痛，据此进行辨别。属于血凝滞的，使用失笑散逐瘀而行；属于无血的，使用圣愈汤补益而行。
失笑散 圣愈汤 方剂均见本书首卷
12. Closure of the vaginal opening (Chanmen) fails due to deficiency of Qi and Blood. In first-time childbirth, injury inevitably causes swelling and pain. For deficiency, treat with Shiquan Dabu Tang (Ten Complete Tonifying Decoction); for swelling and pain caused by injury, wash with thickly decocted Gancao Tang (Licorice Decoction), and the swelling and injury will naturally subside.
[Note] Whenever the Yumen (vulva/vaginal introitus) remains open after childbirth, it is mostly caused by deficiency of Qi and Blood. There are also cases where the injury from first-time childbirth is severe, inevitably resulting in swelling and pain. For those with deficiency of Qi and Blood, use Shiquan Dabu Tang (Ten Complete Tonifying Decoction) for treatment; for those with swelling and pain due to injury, wash with thickly decocted Gancao Tang (Licorice Decoction), and the swelling and injury will naturally subside.
Shiquan Dabu Tang (Ten Complete Tonifying Decoction) Formula is found in the first volume.
Qinghun San
13. Postpartum Xueyun (Blood Fainting/Syncope) with scant Lochia (postpartum discharge) and redness of the face and lips indicates stagnant blood stasis. If Lochia has been excessive and the lips are pale white, it belongs to Blood Collapse, without doubt. For deficiency, use Qinghun San, composed of Jingjie Sui (Schizonepeta Spike), Renshen (Ginseng Root), Chuanxiong (Szechwan Lovage Rhizome), Gancao (Licorice Root), and Zelan Ye (Agastache Leaf). For abdominal pain due to stagnant blood stasis, use Foshou San; for both conditions, it is suitable to frequently burn Ganshi (Dry Lacquer) or quench a hot iron nail in Cu (Vinegar) to fumigate intermittently.
[Note] Postpartum Xueyun (Blood Fainting/Syncope): In cases where Lochia (postpartum discharge) is scant, internal stagnant blood stasis attacks upward causing coma and dizziness, the face and lips must be red. In cases where blood loss is excessive leading to syncope due to Blood Collapse, the face and lips must be pale white. For Blood Deficiency, Qinghun San is appropriate, consisting of Jingjie Sui (Schizonepeta Spike), Renshen (Ginseng Root), Chuanxiong (Szechwan Lovage Rhizome), Gancao (Licorice Root), and Zelan Ye (Agastache Leaf). If there is stagnant blood stasis with abdominal pain, use Foshou San. Both conditions are suitable for frequent fumigation using burned Dry Lacquer (Ganshi) or vinegar-quenched hot iron nails.
Foshou San Formula is found in the first volume.
14. What is the cause of Lochia (postpartum discharge) not descending? It is due to Wind-Cold interfering, Qi stagnation, and Blood coagulation. If it does not descend due to lack of Blood, the complexion will be yellowish-white without distension or pain. For Wind-Cold causing Blood coagulation, use Shixiao San (Laughing Out Powder); for excessive loss requiring tonification and promotion of flow, use Shengyu Tang.
[Note] Postpartum Lochia (postpartum discharge) not descending: In cases where Wind-Cold interferes, causing Qi stagnation and Blood coagulation preventing descent, there must be abdominal distension and pain. In cases where too much blood was lost during delivery, leaving no Blood to descend, the complexion must be yellowish-white, and the abdomen/heart region will not hurt; distinguish based on this. For Blood coagulation, use Shixiao San (Laughing Out Powder) to dispel stasis and promote flow; for lack of Blood, use Shengyu Tang to tonify and promote flow.
Shixiao San (Laughing Out Powder) and Shengyu Tang Formulas are both found in the first volume.