（《局方》）
治产后恶露不尽，攻冲作痛；及胞衣不下，胎死腹中由血滞不行也。
熟地黄 归尾 赤芍 蒲黄（炒） 桂心 干姜（炒） 甘草（炙，四两） 黑豆（炒，
去皮
此足太阴、厥阴药也。前证皆因血瘀不行，熟地、归、芍之润以濡血，蒲黄、黑豆之滑
以行血（昂按∶行血则蒲黄当生用），桂心、干姜之热以破血（干姜辛热，能去恶生新，故
产后发热必用之）；用甘草者，缓其正气，用童便者，散其瘀逆，加酒者，引入血分以助药
力也（产后恶露不行，坐蓐劳伤者，以前四味从轻治之。若挟宿冷气滞血凝，胞衣不下，则
宜全用快行之也，《纲目》曰∶寒多及秋冬宜之，若性急形瘦有火及夏月当审用。此丹溪之
论）。
古黑神散∶百草霜 白芷等分。每二钱煎，入童便、醋少许，和服。治横生逆产及胎前
产后、虚损崩漏等证。
（《局方》）
治恶露不行，心包络痛，或死血腹痛（恶血阻而不行，上冲于包络，下阻于腹中，皆闷
而
蒲黄 五灵脂，等分。为末，煎膏，醋调服。
此手足厥阴药也。生蒲黄性滑而行血，五灵脂气臊而散血气臊入肝，皆能入厥阴而活血
止痛，故治血痛如神。
本方各一两，加木通、赤芍各五钱，每四钱，入盐少许服，名通灵散∶治九种心痛。
（出自《太平惠民和剂局方》）
治疗产后恶露不尽，瘀血攻冲引起疼痛；以及胞衣不下、胎死腹中，这些情况都是由血滞不行导致的。
熟地黄、当归尾、赤芍、蒲黄（炒）、桂心、干姜（炒）、甘草（炙，四两）、黑豆（炒，去皮）。
这是足太阴脾经和足厥阴肝经的药物。上述病症都是因为血瘀不能运行所致，熟地黄、当归、白芍的滋润之性来濡养血液，蒲黄、黑豆的滑利之性来推动血液运行（汪昂按：若要行血，蒲黄应当生用），桂心、干姜的热性来破除瘀血（干姜辛热，能去除恶血、生成新血，所以产后发热必须使用它）；使用甘草，是为了缓和正气；使用童便，是为了消散瘀逆之气；加入酒，是为了引入血分以助长药力（如果是产后恶露不行，因分娩劳损受伤的患者，以前四味药从轻治疗。如果兼有宿冷气滞导致血凝、胞衣不下，则应该全方使用以快速行血。《本草纲目》说：寒证多及秋冬季节适宜使用，如果性情急躁、形体消瘦且有内火及夏季时应当审慎使用。这是朱丹溪的论述）。
古黑神散：百草霜、白芷等分。每次二钱煎煮，加入少许童便、醋，调和服用。治疗横生逆产以及胎前产后、虚损崩漏等证候。
（出自《太平惠民和剂局方》）
治疗恶露不行，心包络疼痛，或者死血腹痛（恶血阻塞而不能运行，上冲于心包络，下阻于腹部，都会感到闷痛）。
蒲黄、五灵脂，等分。研为细末，煎煮成膏，用醋调服。
这是手厥阴心包经和足厥阴肝经的药物。生蒲黄性质滑利而能行血，五灵脂气味腥臊而能散血气，臊味入肝，两者都能进入厥阴经而活血止痛，所以治疗血瘀疼痛如神效。
本方各一两，加入木通、赤芍各五钱，每次四钱，加入少许盐服用，名为通灵散：治疗九种心痛。
(From *Taiping Huimin Heji Jufang*)
Treats postpartum lochia that does not cease, with pain caused by attacking and rushing of blood stasis; as well as retained placenta and fetal death in utero, all resulting from blood stasis failing to circulate.
Shu Dihuang (Prepared Rehmannia Root), Guizhiwei (Cinnamon Twig with Tail - *Note: Context implies Dangguiwei/Codonopsis tail or Angelica caulis root end, usually Angelica sinensis tail in this formula context*), Chishao (Red Peony Root), Puhuang (Pollen Typhae, stir-fried), Guixin (Cinnamon Bark), Ganjiang (Dried Ginger, stir-fried), Gancao (Licorice Root, honey-fried, 4 liang), Heidou (Black Soybean, stir-fried, peeled).
This is a prescription for the Foot-Taiyin Spleen Meridian and Foot-Jueyin Liver Meridian. The aforementioned conditions are all due to blood stasis failing to move. Shu Dihuang, Danggui, and Baishao have moistening properties to nourish the blood; Puhuang and Heidou have slippery properties to promote blood circulation (Wang Ang notes: To promote blood circulation, Puhuang should be used raw); Guixin and Ganjiang have hot properties to break up blood stasis (Ganjiang is acrid and hot, capable of eliminating evil blood and generating new blood, thus it must be used for postpartum fever); Gancao is used to moderate the healthy qi; Tongbian (Child's urine) is used to dissipate stagnant and rebellious qi; Jiujiu (Wine) is added to guide the medicine into the blood level to assist its efficacy (For postpartum lochia stagnation due to labor injury, treat lightly with the first four ingredients. If accompanied by chronic cold qi stagnation causing blood coagulation and retained placenta, use the full formula for rapid action. *Bencao Gangmu* states: Suitable for excess cold and autumn/winter seasons; if one has an irritable temperament, emaciation, and internal heat, or during summer months, use with caution. This is Zhu Danxi's discussion).
Ancient Heishen San: Baicaoshuang (Willow Soot), Baizhi (Angelica Dahurica Root), equal parts. Decoct 2 qian per dose, add a small amount of Tongbian and Cu (Vinegar), mix and take. Treats breech presentation, malpresentation, and syndromes such as deficiency-impairment and metrorrhagia before and after childbirth.
(From *Taiping Huimin Heji Jufang*)
Treats lochia stagnation, pain in the Pericardium Collateral, or abdominal pain caused by dead blood (Evil blood obstructs and fails to circulate, rushing upward to the Pericardium and blocking downward in the abdomen, both causing stifling pain).
Puhuang (Pollen Typhae), Wulingzhi (Trogopterus Dung), equal parts. Grind into powder, decoct into a paste, mix with vinegar and take.
This is a prescription for the Hand-Jueyin Pericardium Meridian and Foot-Jueyin Liver Meridian. Raw Puhuang is slippery and promotes blood circulation; Wulingzhi has a fishy odor and disperses blood qi. The fishy odor enters the Liver; both can enter the Jueyin meridians to invigorate blood and relieve pain, thus treating blood-stasis pain with miraculous effect.
Take 1 liang each of the original ingredients, add Mutong (Akebia Caulis) and Chishao (Red Peony Root), 5 qian each. Take 4 qian per dose with a little salt. Named Tongling San: Treats nine types of heart pain.