妇人产后，如无他症，不必服药，三日之内，但以荆芥炭、益母草、砂糖煎汤，频频与饮，
使恶露下尽，自无血晕腹疼之患。切不可饮酒及鸡子牛羊猪肉之类。须以白粥干菜调理，或
松江淡鲞蒸熟食之。半月方可食鲜肉，渐渐加增，才免阳盛阴虚之患。若去血过多，恶露未
净，或伤饮食，或感风寒，或夹气恼，或三日蒸乳，皆能发热增寒，身疼腹痛，当以意消息
，不可偏执而用药也。丹溪云∶产后以大
补气血为主，虽有杂症，以末治之。产后不可发表，又不可早用白芍，以其酸寒，恐伐生气
也。慎之。
凡妇人产后，阴血虚，阳无所附而浮散于外，故多发热。治宜四物补阴血，而炮干姜之辛
温从治，收其浮散，使归于阴。然产后脾胃俱虚，多有过服饮食所伤，滞而发热者，误作
血虚则不效矣。如遇产后发热，须审问何物所伤，有食无食，胸膈可有饱闷，如恶食泄泻，
只作伤食治。若发热而饮食自调者，方用补血药，产后血晕，因虚火引血上行，渐觉昏晕，
急以鹿角烧灰，出火毒研极细末，煮酒童便调和灌下即醒，行血最快。
又法用铁秤锤，炭火烧红，以醋淬之，令产妇鼻搐之即醒。
郑良栋曰∶新产血晕，不省人事，大类中风，切不可遽以中风治之，急服琥珀丸即愈。如儿
以下地，一时血晕，昏昏不醒，速扶起抱住，勿令卧下，快与童便灌之。如不醒，再以烧红
炭投醋中，使醋气透入产妇鼻，内，即苏，因症用法，无不应效。
产后子已在蓐，切不可使之即卧，须扶坐片时可也。因初产之妇，血气未定，恐其血乘虚而
上逆，慎之。
新产饮酒大忌，乃第一证，但服童便为妙，他药苦寒，虽属降下之品，却能凝滞败血。且产
后即发热，切不可服凉药，以其伐生气而血凝也。若童便乃人身之元气所成，名曰还元丹，
惟能降火，盖以人补人之义。新产饮食最难克化，如赤豆、沙鸡、鸭蛋之类，盖新产暴大下
血，脾胃甚弱，最易成病。
新产之脉缓滑结，实大弦紧鬼来侵，若得重沉小者活，忽觉坚牢命不存。寸口涩疾不调死，
沉细附骨不绝生。请看此候分明记，常须念此向心经。
新生胞衣不下，血晕不醒，腹中刺痛，败血攻心，或眼闭口噤，或谵语狂言，困顿垂死者，
以琥珀黑龙丹，灌之立效，或黑神丹亦可。
产妇败血，有冲胃冲心之辨，不可混治。冲心，颠狂作乱是也。冲胃者，饱闷呕恶是也。二
者俱属危症，用药不可不速，迟则不救。
王肯堂曰∶产后败血，有冲胃、冲心、冲肺，三者皆属危症，用药不可不速。冲胃则呕，冲
肺则喘，冲心则发狂跳跃，急令两人扶住，急宜童便、降香、沉香、当归，煎汤灌下，其恶血自下行，新血各归经，即
时安宁矣。
皇甫中曰∶产后败血停蓄，上干于心，心气闭塞，故舌强不能言语者，八珍散。产后内因痰气郁滞，闭目不能语，
用明矾一钱为末，白滚汤冲服。
产后去血过多，晕闷不醒者，芎归汤。产后虚火引血上行，血迷血闷，晕昏不知人，清魂散。如不醒，以韭菜一二
斤捣烂，入壶中，沸醋倾入壶内，覆壶盖，以壶嘴放鼻间熏之，即苏。或干漆烧烟，令产妇搐烟，如不醒，急掐其人中，
提顶心头发，灌之以童便姜汁，自然苏醒。
黑龙丹 治产后一切血证，及胞衣不下，危急之症。
当归（二钱） 五灵脂（二钱） 川芎（二钱） 熟地（二钱） 良姜（二钱）
上药一两，以沙盒盛赤石脂，以纸包盐泥封固，炭火 令通红，火候冷取开，看成黑色，研
细入后药。
百草霜（五两） 硫黄（钱半） 乳香（钱半） 花蕊石（一钱） 琥珀屑（一两）
后药与前药研极细，以醋糊为丸，如弹子大，每服一丸，炭火 令通红，投入老姜自然汁与
童便，入酒漉出，烘干研细，只以此酒下。
清魂散 治血迷血晕，昏迷不省。
泽兰（一两） 人参（一两） 荆芥（四两） 炙甘草（八分）
每服二钱，热汤温酒各半盏调服。
妇人产后，如果没有其他病症，不必服药。三天之内，只用荆芥炭、益母草、砂糖煎汤，频繁地给产妇饮用，使恶露排尽，自然就没有血晕和腹痛的祸患。千万不可饮酒以及鸡蛋、牛肉、羊肉、猪肉等食物。应当用白粥和干菜来调理，或者食用松江产的淡咸鱼蒸熟后吃。半个月之后才可以吃鲜肉，逐渐增加分量，才能避免阳气过盛、阴血亏虚的祸患。如果失血过多，恶露未净，或者饮食损伤，或者感受风寒，或者夹杂气恼郁结，或者产后三日开始泌乳，这些情况都能导致发热恶寒、身体疼痛、腹部疼痛，应当根据具体情况斟酌处理，不可偏执地用药。朱丹溪说：“产后以大补气血为主，虽然有其他的杂症，也作为次要问题来处理。”产后不可使用发汗解表的方法，也不可以过早使用白芍，因为白芍性味酸寒，恐怕会损伤人体的生气。务必谨慎。
凡是妇人产后，阴血亏虚，阳气无所依附而浮散于外，所以多出现发热症状。治疗适宜用四物汤补益阴血，配合炮干姜的辛温之性进行从治（顺从其假象而治），收敛浮散的阳气，使其回归阴分。然而产后脾胃都虚弱，多有因过度饮食所伤，停滞而发热的情况，如果误认为是血虚则无效了。如果遇到产后发热，必须审问询问是什么东西造成的损伤，是否有积食，胸膈部是否有饱闷感，如果出现厌恶饮食、泄泻等症状，只按伤食治疗。如果发热但饮食正常，才使用补血药。产后血晕，是因为虚火引动血液上行，渐渐感到昏晕，紧急时用鹿角烧成灰，去除火毒研成极细粉末，用煮过的酒和童便调和灌下即可苏醒，这是行血最快的方法。
另一种方法是使用铁秤锤，在炭火烧红后，用醋淬炼，让产妇闻其气味即能苏醒。
郑良栋说：新产后的血晕，不省人事，非常像中风，千万不可以立刻按中风治疗，紧急服用琥珀丸即可痊愈。如果是婴儿落地后，一时血晕，昏昏不醒，迅速扶起抱住，不要让产妇躺下，快速给予童便灌服。如果不醒，再用烧红的炭投入醋中，使醋气透入产妇鼻内，即可苏醒，根据症状用法，没有不应验有效的。
产后胎儿已在床上，千万不可让产妇立即躺卧，只需扶持坐片刻即可。因为初产的妇女，血气尚未稳定，恐怕血液乘虚而上逆，务必谨慎。
新产饮酒是大忌，这是第一重要的禁忌，只要服用童便为妙，其他药物苦寒，虽然属于降下的药物，却能凝滞败血。而且产后即发热，千万不可服用凉药，因为它们会损伤生气而导致血液凝滞。如果童便是由人身元气所成，名叫还元丹，只能降火，这体现了以人补人的道理。新产后的饮食最难消化，如赤豆、沙鸡、鸭蛋之类，因为新产后大量出血，脾胃非常虚弱，最容易生病。
新产后的脉象如果是缓滑结，实大弦紧像是鬼来侵扰；如果脉象重沉小者有生机，突然感觉坚牢无根则性命难保。寸口脉涩疾不调主死，沉细附骨不绝主生。请看清楚这些征候并牢记，常常要念此心经。
新生儿的胞衣不下，血晕不醒，腹中刺痛，败血攻心，或者眼闭口噤，或者胡言乱语狂躁，困顿垂死的，用琥珀黑龙丹灌服立效，或者黑神丹也可以。
产妇的败血，有冲胃和冲心的区别，不可混淆治疗。冲心，表现为癫狂作乱。冲胃，表现为饱闷呕恶。两者都属于危重症，用药不可不迅速，迟则无法救治。
王肯堂说：产后败血，有冲胃、冲心、冲肺，三者都属于危重症，用药不可不迅速。冲胃则呕吐，冲肺则气喘，冲心则发狂跳跃，紧急命令两人扶住，急宜用童便、降香、沉香、当归，煎汤灌下，恶血自然下行，新血各归经脉，即时安宁了。
皇甫中说：产后败血停蓄，上干于心，心气闭塞，所以舌强不能言语的，用八珍散。产后内因痰气郁滞，闭目不能说话的，用明矾一钱研末，用白开水冲服。
产后去血过多，晕闷不醒的，用芎归汤。产后虚火引血上行，血迷血闷，晕昏不知人的，用清魂散。如果不醒，用韭菜一二斤捣烂，放入壶中，将沸醋倒入壶内，盖上壶盖，将壶嘴放在鼻间熏蒸，即可苏醒。或者用干漆烧烟，让产妇吸入烟雾，如果不醒，紧急掐人中穴，提顶心头发，灌之以童便姜汁，自然苏醒。
黑龙丹 治疗产后一切血证，及胞衣不下，危急之症。
当归（二钱） 五灵脂（二钱） 川芎（二钱） 熟地黄（二钱） 高良姜（二钱）
以上药材一两，用沙盒盛放赤石脂，用纸包盐泥封固，用炭火煅烧至通红，火候冷却后取出打开，看呈黑色，研细加入以下药物。
百草霜（五两） 硫黄（钱半） 乳香（钱半） 花蕊石（一钱） 琥珀屑（一两）
后药与前药研极细，用醋糊做成丸，如弹子大小，每服一丸，用炭火烧红，投入老姜自然汁与童便中，用酒滤出，烘干研细，只用此酒送服。
清魂散 治疗血迷血晕，昏迷不省人事。
泽兰（一两） 人参（一两） 荆芥（四两） 炙甘草（八分）
每服二钱，用热汤和温酒各半盏调服。
After childbirth, if there are no other symptoms, medication is not necessary. Within three days, decoct Jingjie Tan (Scrophulariae Radix Carbonized), Yimucao (Leonuri Herba), and Shatang (Sucrose) in water, and frequently administer the liquid to the puerpera to ensure the complete discharge of E Luo (lochia), thereby preventing Xue Yun (blood syncope) and Fu Teng (abdominal pain). Alcohol, as well as eggs, beef, mutton, and pork must strictly be avoided. The diet should consist of white rice porridge and dried vegetables, or steamed Songjiang Danxiang (light salted fish). Fresh meat may only be consumed after half a month, gradually increasing the quantity to avoid conditions of Yang excess and Yin deficiency. If blood loss has been excessive and lochia remains, or if there is dietary injury, wind-cold invasion, emotional distress, or onset of lactation on the third day, these can all cause fever with aversion to cold, body ache, and abdominal pain. Treatment must be tailored to the specific situation; one must not rigidly apply medications. Zhu Danxi stated: "For postpartum conditions, the primary approach is to greatly tonify Qi and Blood. Even if other miscellaneous symptoms exist, they should be treated secondarily." Postpartum patients should not undergo diaphoresis (sweating therapy), nor should Baishao (Paeoniae Radix Alba) be used early, as its sour and cold nature may damage the vital Qi. Caution is essential.
In general, after childbirth, Yin Blood is deficient, causing Yang to have no attachment and float/scatter outward, resulting in frequent fever. Treatment should utilize Siwu Tang (Four Substances Decoction) to tonify Yin Blood, combined with Paoganjiang (Prepared Dried Ginger) for its acrid-warm nature to treat the condition according to its apparent presentation, gathering the floating Yang and returning it to Yin. However, since the Spleen and Stomach are weak postpartum, fever caused by food stagnation from overeating is common; misdiagnosing this as Blood deficiency will yield no effect. When encountering postpartum fever, one must inquire about the cause of injury, check for food retention, and assess for chest/diaphragmatic fullness. If there is anorexia and diarrhea, treat solely as Food Injury. Only if fever occurs with normal appetite should blood-tonifying herbs be used. Postpartum Xue Yun (blood syncope), caused by deficient fire drawing blood upward, presents with gradual dizziness and fainting. Emergency treatment involves burning Lujiao (Deer Antler) to ash, removing fire toxicity, grinding into fine powder, and administering mixed with boiled wine and Tongbian (infant urine), which quickly awakens the patient by promoting blood circulation.
Another method uses an iron scale weight heated red-hot in charcoal, quenched in vinegar, allowing the puerpera to inhale the fumes to regain consciousness.
Zheng Liangdong stated: New-onset postpartum Xue Yun, characterized by unconsciousness resembling Zhong Feng (stroke), must not be immediately treated as stroke. Urgently administer Hupo Wan (Amber Pill) for recovery. If syncope occurs immediately after the infant's birth, rapidly lift and hold the mother upright, do not let her lie down, and quickly administer Tongbian (infant urine). If she does not awaken, throw red-hot charcoal into vinegar and allow the vinegar fumes to enter the nose until she revives. Applying treatment according to symptoms yields consistent results.
After delivery, while the infant is still on the bed, the mother must not lie down immediately; supporting her to sit for a moment is sufficient. Because the Qi and Blood of a new mother are unstable, there is a risk of blood rushing upward due to deficiency. Caution is required.
Drinking alcohol immediately postpartum is a major taboo, the first prohibition. Administering Tongbian (infant urine) is excellent. Other bitter-cold medicines, although descending, can congeal and stagnate defeated blood. Furthermore, fever occurring immediately postpartum must not be treated with cooling medicines, as they damage vital Qi and cause blood coagulation. Tongbian, formed from human Yuan Qi, is named Huanyuan Dan (Return to Origin Pill); it only descends fire, embodying the principle of using humans to supplement humans. Digestion is most difficult postpartum; foods like Red Bean, Sha Ji (Sand Chicken), and Duck Egg are hard to digest. Since massive bleeding occurs immediately postpartum, the Spleen and Stomach are very weak and prone to illness.
The pulse in the immediate postpartum period: if slow, slippery, knotted, solid, large, wiry, or tight, it suggests external pathogenic invasion; if heavy, deep, and small, life is preserved; if suddenly firm and secure without root, death ensues. A choppy, rapid, and irregular pulse at Cun Kou (radial artery) indicates death; a deep, fine pulse felt deeply against the bone indicates survival. Record these signs clearly and keep them in mind.
If the placenta (Bao Yi) fails to descend, accompanied by unrousable Xue Yun (syncope), stabbing abdominal pain, defeated blood attacking the Heart, closed eyes and locked jaws, delirious speech, or critical exhaustion, administer Hubei Heilong Dan (Amber Black Dragon Pill) for immediate effect, or Heishen Dan (Black Divine Pill) is also effective.
There is a distinction between defeated blood attacking the Stomach versus the Heart in postpartum women; treatments must not be confused. Attacking the Heart manifests as mania and chaos; attacking the Stomach manifests as fullness, nausea, and vomiting. Both are critical conditions requiring rapid medication; delay renders them incurable.
Wang Kentang stated: Postpartum defeated blood attacking the Stomach, Heart, or Lung are all critical conditions requiring urgent medication. Attacking the Stomach causes vomiting; attacking the Lung causes panting; attacking the Heart causes madness and jumping. Urgently have two people restrain the patient, and administer a decoction of Tongbian (infant urine), Jiangxiang (Aquilariae Lignum Resinatum), Chenxiang (Aucklandiae Radix), and Danggui (Angelicae Sinensis Radix). The evil blood will naturally descend, new blood will return to its vessels, and peace will be restored immediately.
Huangfu Zhong stated: For postpartum defeated blood stagnation affecting the Heart, causing Qi blockage, stiff tongue, and inability to speak, use Bazhen San (Eight Treasures Powder). For internal phlegm-Qi stagnation causing closed eyes and inability to speak, use Mingfan (Alumen) one qian ground to powder, taken with plain boiling water.
For postpartum excessive blood loss leading to fainting and unconsciousness, use Xionggui Tang (Ligusticum and Angelica Decoction). For postpartum deficient fire drawing blood upward, causing blood confusion and fainting, use Qinghun San (Clear Soul Powder). If the patient does not awaken, crush one to two jin of Chinese Chive, place in a pot, pour boiling vinegar inside, cover, and fumigate the nose with the spout until revival. Alternatively, burn Ganqi (Dried Lacquer) to smoke and inhale; if still unresponsive, urgently press Renzhong (GV26), pull the hair at the vertex, and administer Tongbian mixed with Ginger Juice for natural recovery.
Heilong Dan (Black Dragon Pill): Treats all postpartum blood disorders and retained placenta in critical conditions.
Danggui (Angelicae Sinensis Radix) (2 qian), Wulingzhi (Trogopteri Dung) (2 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma) (2 qian), Shudi (Rehmanniae Radix Preparata) (2 qian), Liangjiang (Alpiniae Officinarum Rhizoma) (2 qian).
Take one liang of the above herbs. Place Chishizhi (Halloysitum Rubrum) in a clay box, wrap in paper, seal with salt mud, and calcine in charcoal fire until red-hot. Cool, open, and grind until black. Add the following herbs:
Baicaoshuang (Soot) (5 liang), Liuhuang (Sulfur) (1.5 qian), Ruxiang (Olibanum) (1.5 qian), Huaruishi (Flower Porphyry Stone) (1 qian), Hupo Xie (Amber Fragment) (1 liang).
Grind posterior herbs with anterior herbs to extreme fineness. Form pills with vinegar paste, size of a bullet. Take one pill per dose. Calcine the pill red-hot, dip in fresh Ginger Juice and Tongbian, filter through wine, dry, and grind finely. Swallow only with this wine.
Qinghun San (Clear Soul Powder): Treats blood confusion and syncope with coma.
Zelan (Lycopus Herba) (1 liang), Renshen (Ginseng Radix) (1 liang), Jingjie (Schizonepetae Spica) (4 liang), Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma) (8 fen).
Take 2 qian per dose, mix with half a cup of hot water and half a cup of warm wine.