全当归(酒洗八钱) 川芎(三钱) 姜炭(五分夏令四分) 炙甘草(五分) 桃仁(十粒去皮尖)
匙于药内服。渣另贮。俟三帖煎完。头煎服后。合三帖渣于一处。再
煎服。此方产后至宝。如虚人见危症。及热症堕胎。或产后劳甚。身热头痛。虽服过二三帖
。痛稍安而块痛未除。又当再制服之。盖产妇不厌药频。况产后诸症。俱以生化汤为君。其
余不过随症加减而已。(〔吴按〕饮热童便最妙。)
凡产母才送孩儿。无力送胞。或因临盆停久。外乘冷气。故血道凝涩。及胎前素弱。血气洞
法惟速服大料生化汤二三帖。使血旺腹和。或兼服益母丸。及鹿角灰
。外帖如神膏而已。至如济坤丸。万不得已而用之。只可一丸。若朴硝等药。产后腹内空虚
。服之有大害。断不可用。
益母草(紫花者。不拘多少。端午日收挂。当风阴干。) 石臼内杵末。蜜丸弹子大。临服生
萆麻仁(二两) 雄黄(二钱) 研成膏。涂产母两足心。立下胞。下后速去此膏。迟则肠出。
顶发。将此膏敷上顶门。肠即收。收后亦须速去顶上之膏。断不可至
再误。
凡儿下胞不下。务要坐守。不可睡倒。先剪断脐带。用轻物坠住胞带头。如寒月。扶产母上
栊于被内烘之。又频用热衣暖腹。但不可使阴户进风。并频服大料生
化汤。
胞下后须防虚。恐血晕。将预烧红秤锤投醋瓶中。将瓶口包紧。以瓶嘴向产母鼻孔。远远熏
秽气。且免晕厥。
产毕上床。宜高枕靠垫。倚人而坐。切勿睡倒。两膝宜竖。勿令伸直。令一人以热手。从心
百次。即饮热童便一盏。使闭目静养。但勿睡熟。恐倦极血气上壅。
能致晕厥。
产妇腹中。时用小衣烘热温之。虽暑月下体亦不宜盖单被。至若寒月。长用火烘被内。否则
作痛。
产妇恶血冲心。不知人事。速用韭菜切碎。冬月用根。放有嘴壶内。以热醋灌入。密札壶
其鼻熏之即苏。
产妇七日内。毋洗下部。毋梳头以劳神力。毋起早以冒风寒。毋行走以动筋骨。至七日外。
但须紧防产门入风。月内毋多言并劳女工。毋用凉水以洗手足。即温
水亦宜少洗。毋要惊恐。毋动怒气。毋多饮食。切忌房事。动欲火。即百二十日内。不可劳
神过度。产后饮食。较胎前尤宜知忌。毋食重浊。盖以脾胃大虚。必难克化。即壅滞经络。
使气血不通。毋食热物。使新血不宁。毋食水果。凉茶。冷水。冷物。使血块凝结。毋食消
导。耗散物。以损气。毋多饮醇酒。多食盐味。以烧干乳汁。
产后药不厌频。如无怪症。只服生化汤方足矣。若有他症。则于对症之药。加数味于生化汤
方。切勿用产室百问方。勿用妇人良方。毋用古人成方。毋用过路医
生丹方。
全当归（酒洗八钱）川芎（三钱）姜炭（夏令五分，平时四分）炙甘草（五分）桃仁（十粒，去皮尖）
用匙子将药送服。药渣另外保存。等到三帖药煎完。第一煎服完后。将三帖的药渣合在一起。再煎服。此方是产后的至宝。如果是体虚之人出现危重症状，以及热症导致的堕胎，或者产后劳累过度，身体发热头痛，虽然已经服用过二三帖。疼痛稍缓解但瘀块引起的疼痛未消除，又应当再次制服它。因为产妇不嫌用药频繁，况且产后各种病症，都以生化汤为主药。其余不过是随症状加减而已。（〔吴氏按语〕饮用热童便最好。）
凡是产母刚生下孩子。无力排出胎盘。或者因临盆时间过长，外受冷气侵袭。导致血道凝滞涩结，以及胎前体质素弱，气血不足。治疗方法只有迅速服用大剂量的生化汤二三帖。使血液旺盛腹部调和。或者兼服益母丸，以及鹿角灰。外用如神膏贴敷即可。至于济坤丸。万不得已才使用。只可服用一丸。如果像朴硝等药物，产后腹内空虚。服用会有大害。绝对不可用。
益母草（紫花的，不拘多少，端午节采集悬挂，在通风处阴干。）石臼内捣成粉末。蜂蜜制成弹子大小的丸剂。临服时生嚼。
蓖麻仁（二两）雄黄（二钱）研成膏状。涂在产母两足心。胎盘即可立即落下。胎盘落下后迅速去掉此膏。去晚了会导致肠子脱出。取头顶发。将此膏敷在头顶百会穴处。肠子即可收回。收回后也必须迅速去掉顶上的膏。绝对不能再次误用。
凡是胎儿生下后胎盘不下。务必坐守床边。不可躺下睡觉。先剪断脐带。用轻物坠住胎盘连接的脐带头。如果是寒冷月份。扶产母上床盖好被子烘烤。又频繁用热衣服暖腹。只要不让阴户进风。并频繁服用大剂量生化汤。
胎盘落下后须防虚证。恐怕发生血晕。预先烧红秤锤投入醋瓶中。将瓶口包紧。以瓶嘴对着产母鼻孔。远远地熏闻酸气。且避免晕厥。
生产完毕上床。宜高枕靠垫。倚着人坐着。切勿躺倒。两膝宜竖起。不要伸直。让一人用热手。从心窝向下按摩一百次。然后饮热童便一盏。使闭目静养。但不要睡熟。恐怕疲倦至极气血上壅。能导致晕厥。
产妇腹中。时常用小衣烘热温暖它。即使是暑月，下身也不宜盖单被。到了寒月。长时间用火烘烤被内。否则会产生疼痛。
产妇恶血冲心。不知人事。迅速用韭菜切碎。冬天用根部。放入有嘴的壶内。以热醋灌入。密封壶口。用壶嘴对着鼻子熏之即苏醒。
产妇七日内。不要清洗下部。不要梳头以劳损神力。不要早起以冒风寒。不要行走以动筋骨。到七日外。但须紧防产门进风。一个月内不要多说话并从事女工。不要用凉水洗手足。即温水也宜少洗。不要惊恐。不要动怒气。不要多吃饮食。切忌房事。动欲火。即使在一百二十日内。也不可过度劳神。产后饮食。较怀孕前更应知道禁忌。不要吃厚重浑浊的食物。因为脾胃大虚。必定难以消化。即使壅滞经络。使气血不通。不要吃热物。使新血不安宁。不要吃水果、凉茶、冷水、冷物。使血块凝结。不要吃消导、耗散之物。以损伤正气。不要多喝醇酒。多吃盐味。以烧干乳汁。
产后服药不嫌频繁。如果没有怪症。只服用生化汤方就足够了。如果有其他病症。则在对症的药物中。加几味于生化汤方中。千万不要用《产室百问》方的药。不要用《妇人良方》的药。不要用古人的成方。不要用路过医生的丹方。
Radix Angelicae Sinensis (Quanzhongdanggui, 全当归) washed in wine (8 qian), Radix Chuanxiong (Chuanxiong, 川芎) (3 qian), Carbonized Rhizoma Zingiberis (Jiantan, 姜炭) (5 fen in summer, 4 fen otherwise), Honey-fried Radix Glycyrrhizae (Zhigancao, 炙甘草) (5 fen), Semen Persicae (Taoren, 桃仁) (10 grains, peeled and removed of pits).
Take the medicine with a spoon. Store the dregs separately. Wait until three doses are decocted. After taking the first decoction, combine the dregs from all three doses in one place. Decoct again and take. This prescription is the supreme treasure for postpartum care. If a debilitated person presents with critical symptoms, or if there is abortion due to heat syndromes, or excessive labor after childbirth resulting in fever and headache, even if two or three doses have been taken, and pain is slightly relieved but the pain caused by blood stasis remains, it is necessary to administer it again. Postpartum patients do not dislike frequent medication; moreover, for various postpartum conditions, Shenghua Tang (Decoction for Generating New Blood) serves as the principal formula. Others are merely modifications based on specific symptoms. ([Wu's Note:] Drinking hot child urine is best.)
Whenever a mother has just delivered the infant but lacks the strength to expel the placenta, or due to prolonged labor, external cold qi invades, causing blood channels to coagulate and become stagnant, or due to inherent weakness of Qi and Blood during pregnancy, the treatment method is solely to quickly take large doses of Shenghua Tang (Decoction for Generating New Blood) for two or three doses. This will make the blood abundant and the abdomen harmonious. Alternatively, take Yimu Wan (Motherwort Pill) and Lu Jiao Hui (Deer Horn Ash) externally applied as Shen Gao (Miraculous Paste). As for Jikun Wan (Jikun Pill), use it only when absolutely necessary, and only one pill. Medicines like Poxiao (Niter) are harmful to the empty abdomen postpartum and must absolutely not be used.
Herba Leonuri (Yimucao, 益母草) (those with purple flowers, any amount, collected on the Dragon Boat Festival, hung up and dried in the shade in a ventilated place). Pound into powder in a stone mortar. Make pills the size of bullets using honey. Chew raw before taking.
Semen Ricini (Bimaren, 蓖麻仁) (2 liang), Realgar (Xionghuang, 雄黄) (2 qian). Grind into a paste. Apply to the soles of both feet of the postpartum woman. The placenta will drop immediately. Remove this paste quickly after the placenta drops; otherwise, the intestines may prolapse. Take hair from the vertex of the head. Apply this paste to the Baihui point (top of the head). The intestines will retract. Also remove the paste from the top of the head quickly after retraction. Do not misuse it again.
When the placenta does not drop after the baby is born, one must sit and watch carefully, not lie down to sleep. First, cut the umbilical cord. Use a light object to weigh down the end of the cord attached to the placenta. In cold months, help the postpartum woman get into bed and cover her with quilts to warm her. Frequently warm the abdomen with hot clothes. Ensure no wind enters the vaginal opening. And frequently take large doses of Shenghua Tang (Decoction for Generating New Blood).
After the placenta drops, guard against deficiency and fear of syncope due to blood loss. Preheat a steelyard weight until red-hot and throw it into a vinegar bottle. Cover the bottle mouth tightly. Hold the bottle spout towards the nostrils of the postpartum woman and fumigate from a distance with the sour smell to prevent fainting.
After delivery, go to bed. Use a high pillow and backrest. Sit leaning against someone. Do not lie flat. Keep knees upright, not extended. Have someone use warm hands to massage from the heart area downwards one hundred times. Then drink a cup of hot child urine. Close eyes and rest quietly, but do not fall into deep sleep, lest extreme fatigue causes Qi and Blood to rush upwards, leading to syncope.
Warm the abdominal cavity of the postpartum woman with a small garment heated by ironing. Even in summer, the lower body should not be covered with a thin quilt alone. In winter, keep heating the quilt with fire for a long time; otherwise, pain will occur.
If postpartum lochia rushes to the heart causing unconsciousness, quickly chop fresh chives. In winter, use the roots. Place them in a pot with a spout. Pour hot vinegar into it. Seal the pot mouth tightly. Fumigate the nose with the spout to restore consciousness immediately.
Within seven days after childbirth, do not wash the lower part, do not comb hair to avoid straining physical strength, do not rise early to avoid catching wind and cold, do not walk to avoid moving sinews and bones. After seven days, strictly guard against wind entering the birth canal. Within the month, do not speak much or engage in women's work, do not use cold water to wash hands and feet, even warm water should be used sparingly. Avoid fright, avoid anger, avoid overeating. Strictly prohibit sexual intercourse and stirring desire. Even within one hundred and twenty days, do not overstrain the mind. Dietary restrictions after childbirth are more important than during pregnancy. Do not eat heavy, turbid foods because the Spleen and Stomach are greatly deficient and cannot digest them easily, which would stagnate meridians and block Qi and Blood. Do not eat hot-natured foods to keep new blood calm. Do not eat fruits, cool teas, cold water, or cold foods to prevent blood clots from congealing. Do not eat digestive or dispersing foods that damage Qi. Do not drink strong alcohol or eat salty foods excessively, which can dry up breast milk.
Postpartum medication need not be infrequent. If there are no abnormal symptoms, taking Shenghua Tang (Decoction for Generating New Blood) is sufficient. If other symptoms exist, add a few herbs to the Shenghua Tang formula according to the corresponding syndrome. Absolutely do not use formulas from "Baishi Baiwen" (Hundred Questions of the Delivery Room), "Furen Liangfang" (Good Prescriptions for Women), ancient established formulas, or prescriptions from itinerant doctors.