于火上暖令饴消。若去血过多，崩伤内衄不止，加地黄六两，阿胶二两，合八味。汤成，
内阿胶服之。
济生增损四物汤 治产后阴阳不和，乍寒乍热，恶露停滞，亦令寒热，但看小腹急
痛为异。
当归（酒浸） 白芍药 川芎 人参（各一两） 甘草（炙，半两） 干姜（一两）
上 咀，每服四钱，姜三片，水煎，无时热服。
《千金》治产后余疾，腹中绞痛，瘦乏不下食。
当归、黄 芍药（各六分） 干地黄 白术（各八分） 桂心 甘草（各四分） 大枣（十四枚）
上 咀，水二升，煮取八合，空心服，忌生葱。
丹溪云∶《局方》五积散治产后余血作痛，
以苍术为君，麻黄为臣，浓朴、枳实为使，虽有当归、芍药之补血，仅及苍术三分之一，不
思产后之妇，有何寒邪，血气未充，似难发汗，借曰药性温和，可以推陈致新，岂可用
麻黄之悍，附以苍术、枳、朴之散乎？虚而又虚，祸不旋踵矣。
附〔肠中痒〕
治妇人产后肠中痒不可忍，以针线袋安所卧褥下，勿令人知。又方，取箭 及 ，
安所卧席下，勿令妇知。
〔大〕产后两胁胀满气痛，由膀胱宿有停水，因产后恶露下不尽，水壅，痞与气相
搏，积在膀胱，故令胁肋胀满，气与水相激，故令痛也。
〔薛〕前证若肝经血瘀，用玄胡索散。若肝经气滞，用四君、青皮、柴胡。若肝经
血虚，用四物、参、术、柴胡。气血俱虚，用八珍、柴胡。若肾水不足，不能生肝，用六
味丸。若肺金势盛，克制肝木，用泻白散。仍参前各论主之。一产妇因怒，两胁胀痛，吐
血甚多，发热恶寒，胸腹胀痛。余以为气血俱虚，用八珍加柴胡、丹皮、炮姜而血顿止，
又用十全大补汤而寒热渐退。此证苟非用姜、桂辛温，助脾肺以行药势，不惟无以施其功，
而反助其胀耳。
《经效》疗产后血气，胁肋胀痛。
当归（十二分） 芍药 苦梗 槟榔 枳壳（各八分） 桂心 青木香 柴胡（各六分）
上 咀，以水二升，煎取八合，去滓，空心分温二服。
疗产后恶露不下，血气壅痞，胁胀痛，不下食。
苏木 紫葛（各十二分） 芍药 当归（各八分） 桂心 蒲黄（各六分） 生地黄汁（三合）
上 咀，以水二升，煎取七合，下蒲黄，分两服。
当归散 治产后腹痛，胁肋胀满。
当归 干姜（等分）
上为末，每服三钱，水一盏，煎八分，入盐醋少许，食前热服。（《选奇方》用酒煎。）
《经效》理血气烦闷，胁胁胀满及痛。
芍药（八分） 蒲黄 延胡索（各四分） 当归（六分） 荷叶蒂（炙，三枚）
上水二升，煎取七合，后入蒲黄，空心分作两服。
《广济》疗产后腹痛气胀，胁下闷，不下食，兼微利。
茯苓 人参 当归 甘草（各六分） 生姜 陈皮（各四分） 浓朴（八分）
上 咀，以水二升，煎取八合，去滓分温服。
抵圣汤 治产后腹胁闷满或呕吐者。
赤芍药 半夏 泽兰叶 陈皮 人参 甘草（等分）
上 咀，每四钱，姜五片，煎温服。
在火上加热使饴糖融化。如果失血过多，出现崩漏或体内出血不止的情况，加入六两地黄、二两阿胶，共八味药。汤剂煎成后，将阿胶放入药汤中服用。
济生增损四物汤：治疗产后阴阳不和，忽冷忽热，恶露停滞，也导致寒热症状，区别在于伴有小腹急痛。
药材：当归（酒浸）、白芍药、川芎、人参（各一两），甘草（炙，半两），干姜（一两）。
制法与用法：切碎，每次服用四钱，加生姜三片，水煎，不拘时候热服。
《千金方》治疗产后余疾，腹中绞痛，身体瘦弱乏力，食欲不振。
药材：当归、黄芪、芍药（各六分），干地黄、白术（各八分），桂心、甘草（各四分），大枣（十四枚）。
制法与用法：切碎，用水二升，煮取八合，空腹服用，忌食生葱。
丹溪说：《局方》中的五积散治疗产后余血作痛，以苍术为君药，麻黄为臣药，厚朴、枳实为使药，虽然有当归、芍药补血，但剂量仅占苍术的三分之一。不考虑产后妇女有何寒邪，且血气未充，似乎难以发汗。即便说药性温和，可以推陈致新，岂可用麻黄的猛烈之性，配合苍术、枳实、厚朴的辛散呢？这会使虚者更虚，祸患随即而至。
附〔肠中痒〕
治疗妇人产后肠中瘙痒难忍的方法：用针线袋放在卧具褥子下面，不要让人知道。又一方：取箭竹及某物（原文缺字，推测为竹类或相关植物），放在卧席下面，不要让产妇知道。
〔大论〕产后两胁胀满气痛，是由于膀胱素有停水，因产后恶露排不尽，水液壅滞，痞结之气与水气相搏，积聚在膀胱，所以导致胁肋胀满，气与水相互激荡，因而疼痛。
〔薛己〕上述证候如果是肝经血瘀，使用玄胡索散。如果是肝经气滞，使用四君子汤加青皮、柴胡。如果是肝经血虚，使用四物汤加人参、白术、柴胡。气血俱虚，使用八珍汤加柴胡。如果是肾水不足，不能滋养肝木，使用六味丸。如果是肺金势盛，克制肝木，使用泻白散。仍参考前文各论述的主治原则。有一位产妇因愤怒导致两胁胀痛，吐血甚多，发热恶寒，胸腹胀痛。我认为这是气血俱虚，使用八珍汤加柴胡、牡丹皮、炮姜，血顿时止住；又用十全大补汤，寒热逐渐消退。此证若非使用姜、桂等辛温药物，助脾肺以行药势，不仅无法发挥药效，反而会加重胀满。
《经效方》治疗产后血气引起的胁肋胀痛。
药材：当归（十二分），芍药、桔梗、槟榔、枳壳（各八分），桂心、青木香、柴胡（各六分）。
制法与用法：切碎，用水二升，煎取八合，去渣，空腹分两次温服。
治疗产后恶露不下，血气壅滞痞结，胁肋胀痛，食欲不振。
药材：苏木、紫葛（各十二分），芍药、当归（各八分），桂心、蒲黄（各六分），生地黄汁（三合）。
制法与用法：切碎，用水二升，煎取七合，下蒲黄，分两次服用。
当归散：治疗产后腹痛，胁肋胀满。
药材：当归、干姜（等分）。
制法与用法：研为末，每次服用三钱，用水一盏，煎至八分，加入少许盐和醋，饭前热服。（《选奇方》用酒煎。）
《经效方》调理血气烦闷，胁肋胀满及疼痛。
药材：芍药（八分），蒲黄、延胡索（各四分），当归（六分），荷叶蒂（炙，三枚）。
制法与用法：用水二升，煎取七合，后入蒲黄，空腹分两次服用。
《广济方》治疗产后腹痛气胀，胁下闷塞，食欲不振，兼有轻微腹泻。
药材：茯苓、人参、当归、甘草（各六分），生姜、陈皮（各四分），厚朴（八分）。
制法与用法：切碎，用水二升，煎取八合，去渣分次温服。
抵圣汤：治疗产后腹胁闷满或呕吐者。
药材：赤芍药、半夏、泽兰叶、陈皮、人参、甘草（等分）。
制法与用法：切碎，每次四钱，加生姜五片，煎温服。
Warm over fire until the maltose (Yi Tang) melts. If excessive blood loss occurs, with metrorrhagia or internal hemorrhage that does not stop, add six liang of Shengdi Huang (Rehmanniae Radix Preparata) and two liang of Ejiao (Donkey-hide Gelatin), totaling eight ingredients. Once the decoction is ready, dissolve the Ejiao in it and take orally.
Jisheng Zengsun Siwu Decoction: Treats postpartum disharmony of Yin and Yang, alternating chills and fever, stagnation of lochia, also causing chills and fever; the distinguishing feature is acute pain in the lower abdomen.
Herbs: Dang Gui (Radix Angelicae Sinensis) (soaked in wine), Baishao Yao (Paeoniae Radix Alba), Chuanxiong Rhizoma, Renshen (Ginseng Radix et Rhizoma) (each one liang), Gancao (Licorice Root) (roasted, half liang), Jiangjiang (Dried Ginger) (one liang).
Preparation and Administration: Coarsely crush. Take four qian per dose, with three slices of fresh ginger, decocted in water. Drink hot at any time.
Qianjin Fang treats residual diseases after childbirth, including colicky abdominal pain, emaciation, weakness, and anorexia.
Herbs: Dang Gui (Radix Angelicae Sinensis), Huangqi (Astragali Radix), Shaoyao (Paeoniae Radix) (each six fen), Dihuang (Rehmanniae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma) (each eight fen), Guixin (Cinnamomi Cortex), Gancao (Licorice Root) (each four fen), Dazao (Ziziphi Jujubae Fructus) (fourteen fruits).
Preparation and Administration: Coarsely crush. Add two sheng of water, boil to obtain eight ge. Take on an empty stomach. Avoid raw green onions.
Danxi stated: The Wuji San (Five Accumulations Powder) from Ju Fang treats postpartum pain caused by residual blood. It uses Cangzhu (Atractylodis Rhizoma) as the sovereign herb, Mahuang (Ephedrae Herba) as the minister herb, Houpo (Magnoliae Officinalis Cortex) and Zhishi (Aurantii Fructus Immaturus) as the assistant herbs. Although it contains Dang Gui (Radix Angelicae Sinensis) and Shaoyao (Paeoniae Radix) for nourishing blood, their dosage is only one-third of that of Cangzhu. One must consider what cold pathogen a postpartum woman would have, given that her Qi and Blood are not yet replenished, making diaphoresis difficult. Even if one argues that the properties are mild and can eliminate stale matter to generate new tissue, how can one use the fierce nature of Mahuang (Ephedrae Herba) combined with the dispersing actions of Cangzhu (Atractylodis Rhizoma), Zhishi (Aurantii Fructus Immaturus), and Houpo (Magnoliae Officinalis Cortex)? This would cause deficiency upon deficiency, and disaster would follow immediately.
Appendix [Itching in the Intestines]
To treat unbearable itching in the intestines of women after childbirth: Place a needlework bag under the mattress where she sleeps, without letting others know. Another prescription: Take arrow bamboo and [missing character], place it under the sleeping mat, without informing the puerpera.
[Da Lun] Postpartum distension, fullness, and Qi-type pain in both hypochondriac regions are caused by retained water previously stored in the Bladder. Because lochia is not completely discharged after childbirth, water accumulates, creating a sensation of obstruction. Obstruction Qi clashes with Water, accumulating in the Bladder, thus causing distension and fullness in the hypochondriac and rib areas. The agitation between Qi and Water causes pain.
[Xue Ji] For the aforementioned syndrome, if it is Blood stasis in the Liver Channel, use Xuanhusuo San. If it is Qi stagnation in the Liver Channel, use Sijun Zi Tang (Four Gentlemen Decoction) with Qingpi (Tangerine Peel) and Chaihu (Bupleuri Radix). If it is Blood deficiency in the Liver Channel, use Siwu Tang (Four Substances Decoction) with Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), and Chaihu (Bupleuri Radix). If both Qi and Blood are deficient, use Bazhen Tang (Eight Treasures Decoction) with Chaihu (Bupleuri Radix). If Kidney Water is insufficient and cannot nourish Liver Wood, use Liuwei Wan (Six-Ingredient Pill with Rehmannia). If Lung Metal is overly vigorous and suppresses Liver Wood, use Xiebai San. Refer to the main treatments discussed previously. A puerpera experienced distending and painful hypochondriac regions due to anger, with severe hematemesis, fever, aversion to cold, and chest/abdominal distension and pain. I diagnosed this as deficiency of both Qi and Blood, and used Bazhen Tang (Eight Treasures Decoction) added with Chaihu (Bupleuri Radix), Danpi (Moutan Cortex), and Paojiang (Prepared Ginger). The bleeding stopped instantly. Then, using Shiquan Dabu Tang (Ten Great Tonifying Decoction), the chills and fever gradually subsided. In this case, unless pungent-warm herbs like Jiang (Zingiberis Rhizoma) and Gui (Cinnamomi Cortex) were used to assist the Spleen and Lung in promoting the action of the medicines, not only would the efficacy be lost, but the distension would be exacerbated.
Jingxiao Fang treats postpartum Blood and Qi disorders causing distending pain in the hypochondriac and rib regions.
Herbs: Dang Gui (Radix Angelicae Sinensis) (twelve fen), Shaoyao (Paeoniae Radix), Jiegeng (Platycodonis Radix), Binglang (Arecae Semen), Zhike (Aurantii Fructus) (each eight fen), Guixin (Cinnamomi Cortex), Qingmuxiang (Tasmanniae Radix et Rhizoma), Chaihu (Bupleuri Radix) (each six fen).
Preparation and Administration: Coarsely crush. Add two sheng of water, decoct to obtain eight ge. Strain. Divide into two warm doses, taken on an empty stomach.
Treats postpartum failure of lochia discharge, Blood and Qi stagnation and obstruction, distending pain in the hypochondriac region, and anorexia.
Herbs: Sumu (Sappan Lignum), Zigé (Polygoni Cuspidati Rhizoma et Radix) (each twelve fen), Shaoyao (Paeoniae Radix), Dang Gui (Radix Angelicae Sinensis) (each eight fen), Guixin (Cinnamomi Cortex), Puhuang (Typhae Pollen) (each six fen), Shengdihuang Zhi (Fresh Juice of Rehmanniae Radix) (three he).
Preparation and Administration: Coarsely crush. Add two sheng of water, decoct to obtain seven ge. Add Puhuang (Typhae Pollen), divide into two doses.
Danggui San: Treats postpartum abdominal pain and distension/fullness in the hypochondriac and rib regions.
Herbs: Dang Gui (Radix Angelicae Sinensis), Ganjiang (Zingiberis Rhizoma) (equal parts).
Preparation and Administration: Grind into powder. Take three qian per dose, with one cup of water, decoct to eight-tenths. Add a little salt and vinegar. Take hot before meals. (Xuanqi Fang uses wine for decoction.)
Jingxiao Fang regulates Blood and Qi irritability, distension/fullness, and pain in the hypochondriac region.
Herbs: Shaoyao (Paeoniae Radix) (eight fen), Puhuang (Typhae Pollen), Yanshusuo (Cyperi Rhizoma) (each four fen), Dang Gui (Radix Angelicae Sinensis) (six fen), Hetiaodi (Lotus Leaf Stalk Tip) (roasted, three pieces).
Preparation and Administration: Add two sheng of water, decoct to obtain seven ge. Add Puhuang (Typhae Pollen) afterwards. Divide into two doses, taken on an empty stomach.
Guangji Fang treats postpartum abdominal pain and Qi distension, stuffiness below the hypochondriac region, anorexia, accompanied by slight diarrhea.
Herbs: Fuling (Poria), Renshen (Ginseng Radix et Rhizoma), Dang Gui (Radix Angelicae Sinensis), Gancao (Licorice Root) (each six fen), Shengjiang (Zingiberis Rhizoma Recens), Chenpi (Citri Reticulatae Pericarpium) (each four fen), Houpo (Magnoliae Officinalis Cortex) (eight fen).
Preparation and Administration: Coarsely crush. Add two sheng of water, decoct to obtain eight ge. Strain. Divide into warm doses.
Diseng Tang: Treats postpart Stuffiness and fullness in the abdomen and hypochondriac regions, or vomiting.
Herbs: Chishaoyao (Paeoniae Radix Rubra), Banxia (Pinelliae Rhizoma), Zelan Ye (Leonuri Herba), Chenpi (Citri Reticulatae Pericarpium), Renshen (Ginseng Radix et Rhizoma), Gancao (Licorice Root) (equal parts).
Preparation and Administration: Coarsely crush. Take four qian per dose, with five slices of fresh ginger, decoct and take warm.