恶露不下是何因，风冷气滞血瘀凝；若还不下因无血，面色黄白不胀疼。风冷血凝失笑散，去多圣愈补而行。
【注】产后恶露不下，有因风冷相干，气滞血凝而不行者，必腹中胀痛；有因产时去
血太多，无血不行者，面色必黄白，腹必不疼，以此辨之。血凝者用失笑散逐而行之；无
血者用圣愈汤补而行之。
失笑散 圣愈汤（方俱见首卷）
恶露不绝伤任冲，不固时时淋漓行。或因虚损血不摄，或因瘀血腹中停。审色污淡臭腥秽，虚补实攻
要辨明。虚用十全加胶续，瘀宜佛手补而行。
【注】产后恶露，乃裹儿污血，产时当随胎而下。若日久不断，时时淋漓者，或因冲任虚
损，血不收摄；或因瘀行不尽，停留腹内，随化
随行者。当审其血之色，或污浊不明，或浅淡不鲜，或臭、或腥、或秽，辨其为实、为虚而攻
补之。虚宜十全大补汤加阿胶、续断，以补而固之。瘀宜佛手散，以补而行之。
十全大补汤 佛手散（方俱见首卷）
产后头疼面黄白，无表无里血虚疼，恶露不行兼腹痛，必因瘀血上攻冲。逐瘀芎归汤最效，虚用八珍加蔓荆。
【注】产后头痛，若面色黄白，无寒热身痛之表证，又无便秘之里证，则是因产后去
血过多，血虚头痛也。若恶露不行，兼腹痛者，乃属瘀血上攻之痛也。去瘀以芎归汤，补
虚以八珍汤加蔓荆子。
八珍汤（方见首卷）
恶露不下是什么原因？是风冷侵袭、气机阻滞导致血液瘀凝；如果是因为血虚而没有经血可下，则面色黄白且腹部没有胀满疼痛感。若是风冷导致血凝，使用失笑散治疗；若是产后出血过多导致的血虚，使用圣愈汤进行补益以推动血行。
【注】产后恶露不下，有因风冷邪气干扰，气滞血凝而不行的，必然伴有腹部胀痛；有因分娩时失血过多，无血可下的，面色必定黄白，腹部必定不疼，据此进行辨别。血凝者用失笑散逐瘀而行；无血者用圣愈汤补虚而行。
失笑散 圣愈汤（方剂均见首卷）
恶露不绝损伤任脉和冲脉，不能固摄而时时淋漓不断。有的因为虚损导致血液无法统摄，有的因为瘀血停滞在腹中。审察血色污浊或淡白，气味腥秽，必须辨明虚实，虚证宜补，实证宜攻。虚证用十全大补汤加阿胶、续断治疗；瘀血证用佛手散补益并推动血行。
【注】产后恶露，是包裹胎儿的污血，分娩时应当随胎而下。如果日久不止，时时淋漓，有的因为冲任二脉虚损，血液不能收摄；有的因为瘀血未尽，停留腹内，随着化生而排出。应当审察其血的颜色，或污浊不明，或浅淡不鲜，或有臭味、腥味、秽味，辨别其为实证还是虚证而采用攻法或补法。虚证适宜用十全大补汤加阿胶、续断，以补益并固摄；瘀血适宜用佛手散，以补益并推动血行。
十全大补汤 佛手散（方剂均见首卷）
产后头痛且面色黄白，既无表证也无里证，属于血虚引起的头痛；若恶露不行兼有腹痛，必然是瘀血上冲所致。逐瘀首选芎归汤最为有效，虚证用八珍汤加蔓荆子治疗。
【注】产后头痛，如果面色黄白，没有寒热身体疼痛等表证，也没有便秘等里证，则是由于产后失血过多，血虚引起的头痛。如果恶露不行，兼有腹痛，则属于瘀血上攻引起的疼痛。去瘀血用芎归汤，补虚用八珍汤加蔓荆子。
八珍汤（方剂见首卷）
What is the cause of lochia not flowing down? It is due to wind-cold invasion, qi stagnation, and blood stasis coagulation; if it is due to blood deficiency with no blood to flow, the complexion will be yellowish-white without abdominal distension or pain. For wind-cold causing blood coagulation, Shixiao San (Pain-Dispersing Powder) is used; for excessive blood loss during childbirth leading to blood deficiency, Shengyu Tang (Sage's Replenishing Decoction) is used to tonify and promote circulation.
[Note] Postpartum lochia not flowing down may be caused by wind-cold interfering, leading to qi stagnation and blood coagulation, which must present with abdominal distension and pain; or it may be caused by excessive blood loss during delivery, leaving no blood to flow, presenting with a yellowish-white complexion and no abdominal pain, allowing for differentiation based on these signs. For blood coagulation, Shixiao San (Pain-Dispersing Powder) is used to remove stasis and promote flow; for blood deficiency, Shengyu Tang (Sage's Replenishing Decoction) is used to tonify and promote flow.
Shixiao San (Pain-Dispersing Powder), Shengyu Tang (Sage's Replenishing Decoction) (Formulas are found in Volume One).
Lochia that does not cease damages the Ren Mai (Conception Vessel) and Chong Mai (Penetrating Vessel), failing to consolidate and resulting in continuous dripping. This may be due to deficiency and damage where blood cannot be controlled, or due to blood stasis stopping in the abdomen. One must examine whether the blood color is dark or pale, and whether the odor is foul, fishy, or repulsive, clearly distinguishing between deficiency and excess; deficiency requires tonification, while excess requires attack. For deficiency, Shiquan Dabu Tang (Ten Thousand Tonifying Decoction) plus Ejiao (Donkey-Hide Gelatin) and Xu Duan (Radix Dipsaci) is used; for stasis, Foshou San (Buddha's Hand Powder) is used to tonify and promote flow.
[Note] Postpartum lochia is the dirty blood containing the fetus, which should descend with the placenta during delivery. If it continues for a long time without ceasing, dripping continuously, it may be due to deficiency and damage of the Chong and Ren vessels, where blood cannot be retained; or it may be due to incomplete expulsion of stasis remaining in the abdomen, being expelled as it transforms. One must examine the color of the blood: whether it is turbid and unclear, or pale and dull, and whether the smell is offensive, fishy, or foul, to distinguish between excess and deficiency for appropriate treatment with purgative or tonic methods. For deficiency, Shiquan Dabu Tang (Ten Thousand Tonifying Decoction) plus Ejiao (Donkey-Hide Gelatin) and Xu Duan (Radix Dipsaci) is suitable to tonify and consolidate; for stasis, Foshou San (Buddha's Hand Powder) is suitable to tonify and promote flow.
Shiquan Dabu Tang (Ten Thousand Tonifying Decoction), Foshou San (Buddha's Hand Powder) (Formulas are found in Volume One).
Postpartum headache with a yellowish-white complexion indicates blood-deficiency headache, lacking both exterior and interior syndromes; if lochia does not flow accompanied by abdominal pain, it is necessarily due to blood stasis attacking upward. Xiong Gui Tang (Ligusticum and Angelica Decoction) is most effective for removing stasis; for deficiency, Bazhen Tang (Eight Treasures Decoction) plus Man Jing Zi (Fructus Viticis) is used.
[Note] Postpartum headache, if accompanied by a yellowish-white complexion, without exterior symptoms such as chills, fever, and body ache, nor interior symptoms such as constipation, is caused by excessive blood loss during childbirth, resulting in blood-deficiency headache. If lochia does not flow and is accompanied by abdominal pain, it belongs to pain caused by blood stasis attacking upward. To remove stasis, use Xiong Gui Tang (Ligusticum and Angelica Decoction); to tonify deficiency, use Bazhen Tang (Eight Treasures Decoction) plus Man Jing Zi (Fructus Viticis).
Bazhen Tang (Eight Treasures Decoction) (Formula is found in Volume One).