论曰产后气脉不和，恶露不尽，风冷留滞，与正气相击，故胁腹之间，结聚块痛，盖以
新产之后，脐腹空虚。真气怯弱，寒气入里，与恶血共相为害。其痛如物所筑，故名筑痛也
治产后血块攻刺腹胁疼痛，或冲心烦闷。琥珀散方
琥珀（细研如粉） 鲤鱼皮（烧灰） 赤芍药 姜黄 蒲黄 牡丹（去心） 当归（微
炙） 大
上一十一味，捣罗为散，每服一钱匕，温酒调下，空心夜卧各一。
治产后血块攻筑疼痛，蓬莪术散方
蓬莪术（煨熟） 桂（去粗皮） 干漆（捣碎炒烟出各半两） 吴茱萸（汤洗微炒一分）
上四味，捣罗为散，每服二钱匕，温酒调服。
治产后血块时攻心腹，疼痛不可忍，商陆散方
商陆（干者） 当归（切炒各一分） 紫薇（凌霄花是也） 蒲黄（各一两）
上四味捣罗为散空腹温酒调下二钱匕。
治产后血块攻心腹 刺痛，姜黄散方
姜黄 当归（切炒） 蒲黄 桂（去粗皮） 生干地黄（焙各一两）
上五味，捣罗为散，空心温酒调下二钱匕，日再服。
治产后血气不和。血块时攻心腹痛，地黄散方
生地黄（八两） 生姜（四两）
上二味细切，同就银石锅内，慢火炒令半干。取出同焙燥，捣罗为散，每服二钱匕，温
酒调下，不拘时服。
治产后血气不和，血块时攻心腹痛不可忍，姜黄散方
姜黄 牡丹皮 牛膝（去苗酒浸切焙） 乌药（锉） 生干地黄（焙各一两）
上五味，捣罗为散，每服三钱匕，温酒调下。
治产后血气血块恶露不快，攻筑疼痛。蓬莪术散方
蓬莪术（炮锉） 紫薇（微炒） 木香（炮） 羌活（去芦头） 细辛（去苗叶） 当
归（切炒）
上七味，捣罗为散，每服三钱匕，用温酒调下，日再服。
治产后血气血块攻冲心腹痛。当归汤方
当归（切炒） 干漆（炒烟透） 棕榈（烧灰） 红蓝花 甘草（炙） 鲤鱼皮（烧灰）
白芍药
上一十一味，粗捣筛，每服三钱匕，葱白三寸，生姜三片，水酒共一盏，同煎至七分，
去滓稍热服。
治产后血气血块攻脐腹痛。紫薇汤方
紫薇 当归（切炒） 木香（炮各半两） 没药（一分） 牛膝（去苗酒浸切焙三分）
上五味，粗捣筛，每服二钱匕，水酒共一盏，同煎七分，去滓温服，未瘥再服。
治产后血气血块恶露不尽攻筑刺痛。牡丹散方
牡丹（去心） 芍药 当归（切炒） 桂（去粗皮） 漏芦（去芦头） 白芷 五灵脂
（炒） 陈
上一十一味，捣罗为散，每服二钱匕，生姜温酒调下。
治产后血气 痛。血块作梗。吴茱萸丸方
吴茱萸（微炒） 木香 当归（微炙各一两） 桃仁（去皮尖双仁麸炒研半两） 砂
（研一
上五味，捣罗三味为末，入 砂桃仁和匀，炼蜜为丸，如梧桐子大，每服二十丸。
槟榔汤下。
治产后虚冷，恶血结块不散，生地黄饮方
生地黄汁（半盏） 童子小便（半盏） 生姜（一分取汁）
上三味，一处煎三四沸。分作两服，温分服，须臾再服，恶血下，滞气通，立瘥。未效
再作服。
治产后血块攻冲，心腹痛，姜黄散方
姜黄（切碎炒干） 蒲黄（微炒） 桂（去粗皮各一两）
上三味，捣罗为散，每服二钱匕，生地黄自然汁调下，日三夜一。
治产后余血不尽，结块上冲，心烦腹痛，干地黄散方
生干地黄（焙） 芎
上二味，各等分，捣罗为粗散，每服三钱匕，以酒水各半盏，煎至八分。去滓温服。食
前日三。
治产后余血不尽，结成症块。脐腹 刺疼痛。 砂散方
砂（一两细研） 芫花（半两醋拌炒干） 虻虫（半两去翅足微炒） 水蛭（半两微
炒） 琥
分研入）
上九味，捣研罗为细散，拌和令匀，每服一钱匕，温酒调下食前。
治产后余血不尽，结聚成块，坚硬疼痛，腹肋胀满，乌鸡饮方
雌乌鸡（一只去毛羽爪肚） 鳖甲（一两涂醋炙令黄去裙 ） 桃仁（一两汤浸去皮尖
双仁
两） 鬼
炙） 芒硝（各半两）
上一十二味，除鸡外，粗捣筛和匀，以水四升，将鸡全煮取汁。以瓷器澄令清，每服二
钱匕，鸡清汁一盏，煎至七分，去滓温服，不拘时。
治产后血块攻筑心腹痛。芎 散方
芎 当归（炙焙令香锉碎） 柏叶（炙黄各一两） 桂（去粗皮半两） 大黄（炮锉
一分）
上五味，捣罗为散，每服二钱匕，煎当归酒调下。日三夜一。'
论述说：产后气脉不和，恶露不尽，风冷留滞体内，与正气相互搏击，因此在胁腹之间，结聚成块并产生疼痛。这是因为新产之后，脐腹部空虚。真气怯弱，寒气侵入体内，与恶血共同为害。其疼痛感觉如同被物体撞击，所以称为“筑痛”。
治疗产后血块攻刺腹胁疼痛，或者冲逆导致心烦闷乱的琥珀散方：
琥珀（细研如粉） 鲤鱼皮（烧成灰） 赤芍药 姜黄 蒲黄 牡丹（去除心部） 当归（微炙）
以上十一味药，捣碎过筛制成散剂，每次服用一钱匕，用温酒调服，空腹时和睡前各服一次。
治疗产后血块攻筑疼痛的蓬莪术散方：
蓬莪术（煨熟） 桂（去除粗皮） 干漆（捣碎炒至烟出，各半两） 吴茱萸（汤洗后微炒一分）
以上四味药，捣碎过筛制成散剂，每次服用二钱匕，用温酒调服。
治疗产后血块时常攻冲心腹，疼痛难以忍受的商陆散方：
商陆（干燥者） 当归（切后炒，各一分） 紫薇（即凌霄花） 蒲黄（各一两）
以上四味药，捣碎过筛制成散剂，空腹时用温酒调下二钱匕。
治疗产后血块攻冲心腹刺痛，姜黄散方：
姜黄 当归（切后炒） 蒲黄 桂（去除粗皮） 生干地黄（焙干，各一两）
以上五味药，捣碎过筛制成散剂，空腹时用温酒调下二钱匕，每日服用两次。
治疗产后气血不和，血块时常攻冲心腹痛的地黄散方：
生地黄（八两） 生姜（四两）
以上两味药，细细切碎，一同放入银石锅内，用慢火炒至半干。取出后一同焙干，捣碎过筛制成散剂，每次服用二钱匕，用温酒调服，不限时间服用。
治疗产后气血不和，血块时常攻冲心腹痛难以忍受的姜黄散方：
姜黄 牡丹皮 牛膝（去苗，酒浸后切焙） 乌药（锉碎） 生干地黄（焙干，各一两）
以上五味药，捣碎过筛制成散剂，每次服用三钱匕，用温酒调服。
治疗产后血气、血块及恶露不畅，攻筑疼痛的蓬莪术散方：
蓬莪术（炮制锉碎） 紫薇（微炒） 木香（炮制） 羌活（去芦头） 细辛（去苗叶） 当归（切后炒）
以上七味药，捣碎过筛制成散剂，每次服用三钱匕，用温酒调服，每日服用两次。
治疗产后血气、血块攻冲心腹痛的当归汤方：
当归（切后炒） 干漆（炒至烟透） 棕榈（烧成灰） 红蓝花 甘草（炙） 鲤鱼皮（烧成灰） 白芍药
以上十一味药，粗捣筛过，每次服用三钱匕，加葱白三寸，生姜三片，水和酒共一盏，同煎至七分，去渣稍热服用。
治疗产后血气、血块攻冲脐腹痛的紫薇汤方：
紫薇 当归（切后炒） 木香（炮制，各半两） 没药（一分） 牛膝（去苗，酒浸切焙三分）
以上五味药，粗捣筛过，每次服用二钱匕，水和酒共一盏，同煎七分，去渣温服，病未愈再服。
治疗产后血气、血块、恶露不尽，攻筑刺痛的牡丹散方：
牡丹（去除心部） 芍药 当归（切后炒） 桂（去除粗皮） 漏芦（去芦头） 白芷 五灵脂（炒） 陈...（原文此处似有缺字，依上下文推测可能为陈皮或其他陈药材，但严格按原文提取实体，仅列出现有名称）
以上十一味药，捣碎过筛制成散剂，每次服用二钱匕，用生姜温酒调服。
治疗产后血气疼痛，血块作梗的吴茱萸丸方：
吴茱萸（微炒） 木香 当归（微炙，各一两） 桃仁（去皮尖双仁，麸炒研半两） 砂...（原文此处似有缺字，结合下文“入砂桃仁和匀”，推测为砂仁或类似药材，但严格按原文提取实体，仅列出现有名称）
以上五味药，将其中三味捣罗成末，加入砂...和桃仁混合均匀，炼蜜为丸，如梧桐子大，每次服用二十丸，用槟榔汤送下。
治疗产后虚冷，恶血结块不散的生地黄饮方：
生地黄汁（半盏） 童子小便（半盏） 生姜（一分取汁）
以上三味药，一起煎煮三四沸。分作两份，温服，片刻后再服，恶血下行，滞气通畅，立即痊愈。若无效，再制作服用。
治疗产后血块攻冲，心腹痛的姜黄散方：
姜黄（切碎炒干） 蒲黄（微炒） 桂（去除粗皮，各一两）
以上三味药，捣碎过筛制成散剂，每次服用二钱匕，用生地黄自然汁调服，日三次夜一次。
治疗产后余血不尽，结块上冲，心烦腹痛的干地黄散方：
生干地黄（焙干） 芎...（原文此处似有缺字，通常指川芎，但严格按原文提取实体，仅列出现有名称）
以上两味药，各等分，捣罗成粗散，每次服用三钱匕，以酒水各半盏，煎至八分。去渣温服。饭前服用，每日三次。
治疗产后余血不尽，结成症块，脐腹刺痛疼痛的...砂散方：
砂...（一两细研） 芫花（半两醋拌炒干） 虻虫（半两去翅足微炒） 水蛭（半两微炒） 琥...（分研入）
以上九味药，捣研罗成细散，拌和均匀，每次服用一钱匕，饭前用温酒调服。
治疗产后余血不尽，结聚成块，坚硬疼痛，腹肋胀满的乌鸡饮方：
雌乌鸡（一只去毛羽爪肚） 鳖甲（一两涂醋炙令黄去裙襕） 桃仁（一两汤浸去皮尖双仁...） 鬼...（炙） 芒硝（各半两）
以上十二味药，除鸡外，粗捣筛和匀，用水四升，将整只鸡煮熟取汁。用瓷器澄清，每次服用二钱匕，加鸡清汁一盏，煎至七分，去渣温服，不限时间。
治疗产后血块攻筑心腹痛的芎...散方：
芎... 当归（炙焙令香锉碎） 柏叶（炙黄，各一两） 桂（去除粗皮半两） 大黄（炮锉一分）
以上五味药，捣碎过筛制成散剂，每次服用二钱匕，煎当归酒调服。日三次夜一次。
Commentary states: After childbirth, the qi and blood vessels are disharmonious, lochia (postpartum discharge) is not fully expelled, wind-cold remains stagnant, and it clashes with healthy qi. Consequently, masses form and cause pain in the hypochondriac and abdominal regions. This is because after fresh childbirth, the umbilical and abdominal areas are empty. The true qi is weak, cold pathogenic factors invade internally, and they jointly harm the body alongside evil blood (stagnant blood). The pain feels as if being struck by an object, hence it is called "Zhu Tong" (Beating Pain).
Hupo San Formula for treating postpartum blood mass attacking and piercing the abdomen and hypochondrium, or rushing upward causing heart vexation and oppression:
Hupo (Amber, finely ground like powder), Liyu Pi (Cyprinus carpio skin, burnt to ash), Chishao Yao (Radix Paeoniae Rubra), Jiang Huang (Rhizoma Curcumae Longae), Puhuang (Pollen Typhae), Mudan (Cortex Moutan, remove the heart), Danggui (Radix Angelicae Sinensis, slightly roasted).
The above eleven ingredients are crushed, sifted into a powder. Take one qianbi (approx. 3-5g) per dose, mixed with warm wine, taken on an empty stomach and before sleep.
Peng'ezhu San Formula for treating postpartum blood mass attacking and beating causing pain:
Peng'ezhu (Rhizoma Curcumae Phaeocaulis, roasted), Gui (Ramulus Cinnamomi, remove coarse bark), Ganqi (Resina Licupii, crushed and stir-fried until smoke appears, half liang each), Wuzhuyu (Fructus Evodiae, washed in water and slightly fried, one fen).
The above four ingredients are crushed, sifted into a powder. Take two qianbi per dose, mixed with warm wine.
Shanglu San Formula for treating postpartum blood mass frequently attacking the heart and abdomen, with unbearable pain:
Shanglu (Radix Phytolaccae, dried), Danggui (Radix Angelicae Sinensis, sliced and fried, one fen each), Ziwei (Lonicera japonica flower/Campsis grandiflora flower, i.e., Lingxiaohua), Puhuang (Pollen Typhae, one liang each).
The above four ingredients are crushed, sifted into a powder. Take two qianbi on an empty stomach, mixed with warm wine.
Jiang Huang San Formula for treating postpartum blood mass attacking the heart and abdomen with stabbing pain:
Jiang Huang (Rhizoma Curcumae Longae), Danggui (Radix Angelicae Sinensis, sliced and fried), Puhuang (Pollen Typhae), Gui (Ramulus Cinnamomi, remove coarse bark), Shenggan Dihuang (Dried Radix Rehmanniae Praeparata, baked, one liang each).
The above five ingredients are crushed, sifted into a powder. Take two qianbi on an empty stomach, mixed with warm wine, twice daily.
Dihuang San Formula for treating postpartum qi and blood disharmony, with blood mass frequently attacking the heart and abdomen:
Shengdihuang (Radix Rehmanniae Fresh, eight liang), Shengjiang (Rhizoma Zingiberis Recens, four liang).
The above two ingredients are finely chopped, placed together in a silver or stone pot, and slowly stir-fried until half-dry. Remove and bake until dry, then crush and sift into a powder. Take two qianbi per dose, mixed with warm wine, at any time.
Jiang Huang San Formula for treating postpartum qi and blood disharmony, with blood mass frequently attacking the heart and abdomen with unbearable pain:
Jiang Huang (Rhizoma Curcumae Longae), Mudanpi (Cortex Moutan), Niuxi (Radix Achyranthis Bidentatae, remove sprouts, soak in wine, slice and bake), Wuyao (Lignum Stemonae), Shenggan Dihuang (Dried Radix Rehmanniae Praeparata, baked, one liang each).
The above five ingredients are crushed, sifted into a powder. Take three qianbi per dose, mixed with warm wine.
Peng'ezhu San Formula for treating postpartum qi and blood, blood mass, and unsmooth lochia, causing attacking and beating pain:
Peng'ezhu (Rhizoma Curcumae Phaeocaulis, processed and crushed), Ziwei (Campsis grandiflora flower, slightly fried), Muxiang (Radix Aucklandiae), Qianghuo (Rhizoma et Radix Notopterygii, remove rhizome head), Xixin (Herba Asari, remove sprouts and leaves), Danggui (Radix Angelicae Sinensis, sliced and fried).
The above seven ingredients are crushed, sifted into a powder. Take three qianbi per dose, mixed with warm wine, twice daily.
Danggui Tang Formula for treating postpartum qi and blood, blood mass attacking and rushing to the heart and abdomen:
Danggui (Radix Angelicae Sinensis, sliced and fried), Ganqi (Resina Licupii, stir-fried until smoke penetrates), Zonglv (Fibrum Palmae, burnt to ash), Honglanhua (Flos Carthami Tinctorii), Gancao (Radix Glycyrrhizae, roasted), Liyu Pi (Cyprinus carpio skin, burnt to ash), Baishao Yao (Radix Paeoniae Alba).
The above eleven ingredients are coarsely crushed and sieved. Take three qianbi per dose, add three cun of scallion white and three slices of ginger, mix with one zhan of water and wine, decoct until reduced to 70%, remove dregs, and take slightly warm.
Ziwei Tang Formula for treating postpartum qi and blood, blood mass attacking the umbilical and abdominal pain:
Ziwei (Campsis grandiflora flower), Danggui (Radix Angelicae Sinensis, sliced and fried), Muxiang (Radix Aucklandiae, processed, half liang each), Moyao (Olibanum, one fen), Niuxi (Radix Achyranthis Bidentatae, remove sprouts, soak in wine, slice and bake, three fen).
The above five ingredients are coarsely crushed and sieved. Take two qianbi per dose, mix with one zhan of water and wine, decoct until reduced to 70%, remove dregs, and take warm. Repeat if not cured.
Mudan San Formula for treating postpartum qi and blood, blood mass, incomplete lochia, causing attacking and beating stabbing pain:
Mudan (Cortex Moutan, remove the heart), Shaoyao (Radix Paeoniae), Danggui (Radix Angelicae Sinensis, sliced and fried), Gui (Ramulus Cinnamomi, remove coarse bark), Loulu (Radix Euphorbiae Humifusae, remove rhizome head), Baizhi (Radix Angelicae Dahuricae), Wulingzhi (Faeces Trogopterori, fried), Chen... (Text incomplete, likely Chenpi or similar aged herb).
The above eleven ingredients are crushed, sifted into a powder. Take two qianbi per dose, mixed with ginger and warm wine.
Wuzhuyu Wan Formula for treating postpartum qi and blood pain, where blood mass causes obstruction:
Wuzhuyu (Fructus Evodiae, slightly fried), Muxiang (Radix Aucklandiae), Danggui (Radix Angelicae Sinensis, slightly roasted, one liang each), Taoren (Semen Persicae, remove skin and pointed ends, double-kernel, bran-roasted and ground, half liang), Sha... (Text incomplete, likely Sharen/Amomum fruit based on context).
The above five ingredients: crush three into powder, mix with Sha... and Taoren, bind with refined honey into pills the size of paulownia seeds. Take twenty pills per dose, delivered with Binglang Tang (Betel Nut Decoction).
Shengdihuang Yin Formula for treating postpartum deficiency-cold, where evil blood forms masses that do not disperse:
Shengdihuang Zhi (Fresh Juice of Radix Rehmanniae, half zhan), Tongzi Xiaonian (Urine of healthy young boy, half zhan), Shengjiang (Rhizoma Zingiberis Recens, one fen, extract juice).
The above three ingredients are boiled together for three to four boils. Divide into two doses, take warm, repeat after a short while. When evil blood is discharged and stagnant qi flows freely, recovery is immediate. If ineffective, prepare and take again.
Jiang Huang San Formula for treating postpartum blood mass attacking and rushing, causing heart and abdominal pain:
Jiang Huang (Rhizoma Curcumae Longae, chopped and stir-fried dry), Puhuang (Pollen Typhae, slightly fried), Gui (Ramulus Cinnamomi, remove coarse bark, one liang each).
The above three ingredients are crushed, sifted into a powder. Take two qianbi per dose, mixed with natural juice of fresh Rehmannia root. Three times during the day, once at night.
Gan Dihuang San Formula for treating postpartum residual blood not fully expelled, forming masses rushing upward, causing heart vexation and abdominal pain:
Shenggan Dihuang (Dried Radix Rehmanniae Praeparata, baked), Xiong... (Text incomplete, likely Chuanxiong/Rhizoma Chuanxiong).
The above two ingredients, equal parts, are crushed into a coarse powder. Take three qianbi per dose, decoct with half a zhan of wine and half a zhan of water until reduced to 80%. Remove dregs and take warm. Take before meals, three times daily.
...Sha San Formula for treating postpartum residual blood not fully expelled, forming malignant masses, causing umbilical and abdominal stabbing pain:
Sha... (One liang, finely ground), Yuanhua (Flos Genkwa, half liang, mixed with vinegar and stir-fried dry), Mengchong (Insectus Blaberidae/Sarcophaga, half liang, remove wings and feet, slightly fried), Shuizhi (Hirudo, half liang, slightly fried), Hu... (Text incomplete, likely Hupo/Amber).
The above nine ingredients are crushed, ground, and sifted into a fine powder, mixed evenly. Take one qianbi per dose, mixed with warm wine before meals.
Wuji Yin Formula for treating postpartum residual blood not fully expelled, gathering into hard masses, causing hard and painful abdomen and hypochondrium, with distension and fullness:
Ci Wuji (Female Black Chicken, one, remove feathers, claws, and viscera), Biejia (Carapax et Plastrum Testudinis, one liang, coat with vinegar, roast until yellow, remove skirt edge), Taoren (Semen Persicae, one liang, soak in hot water, remove skin and pointed ends, double-kernel)... Gui... (Roasted), Mangxiao (Natrii Sulfas, half liang each).
The above twelve ingredients, excluding the chicken, are coarsely crushed and mixed. Add four sheng of water, boil the whole chicken to extract juice. Clarify in a porcelain vessel. Take two qianbi per dose, add one zhan of clarified chicken juice, decoct until reduced to 70%, remove dregs, and take warm, at any time.
Xiong... San Formula for treating postpartum blood mass attacking and beating the heart and abdomen:
Xiong... (Likely Chuanxiong/Rhizoma Chuanxiong), Danggui (Radix Angelicae Sinensis, roasted and baked until fragrant, crushed), Baiye (Folium Platycladi, roasted yellow, one liang each), Gui (Ramulus Cinnamomi, remove coarse bark, half liang), Dahuang (Radix et Rhizoma Rhei, processed and crushed, one fen).
The above five ingredients are crushed, sifted into a powder. Take two qianbi per dose, mixed with decocted Danggui wine. Three times during the day, once at night.