产后积血块冲疼，多因新产冷风乘，急服延胡散可逐，日久不散血瘕成；更有寒疝亦作痛，吴萸
温散不须攻。
【注】产后腹中有块，坚硬攻痛，多因新产之后，风冷乘虚而入，以致瘀血凝结，宜
服延胡索散以逐之。若迟久不散，必结成血瘕矣。又有寒疝之证，亦在少腹中攻筑而痛，
此属寒气滞涩，宜用吴茱萸汤，温散其寒，自愈，不必攻也。
吴茱萸汤（方见首卷）
产后筋挛鸡爪风，血亏液损复乘风。无汗养荣兼散邪，四物柴瓜桂钩藤；有汗八珍加桂枝，黄 阿胶大补荣。
【注】产后筋脉拘挛疼痛，不能舒展，俗名鸡爪风，皆由产后血液亏损，不能荣筋，又
被风乘，故令拘挛疼痛也。无汗者，宜于养荣之中兼祛外邪，用四物汤加柴胡、木瓜、桂
枝、钩藤。若有汗者，宜八珍汤加桂枝、黄 、阿胶，以大补其荣血可也。
四物汤 八珍汤（方俱见首卷）
产后伤食心下闷，恶食嘈杂吞吐酸。六君楂曲香砂共，呕逆痰涎二陈煎。
【注】产后过食肉面，伤于饮食者，必心胸饱闷，恶闻食气，懊 嘈杂，吞酸吐酸，宜
用六君汤加山楂、神曲、香附、缩砂，以补而消之。若更呕逆痰涎，必是兼痰兼饮，宜二陈
汤加减调治。
六君子汤（见首卷） 二陈汤（见三卷）
丁香豆蔻散 茹橘饮
产后呃逆胃虚寒，丁香白蔻伏龙肝，桃仁吴萸汤冲服，不应急将参附添，热渴面红小便赤，竹茹干
柿橘红煎。
【注】产后呃逆，皆因气血两伤，脾胃虚寒，中焦之气厥而不顺所致。宜服丁香豆蔻
散，即丁香、白豆蔻、伏龙肝为未也，用桃仁、吴茱萸煎汤冲服。如不效，当以参附汤
峻补之。若发热面红，小便赤色，属热实，宜用竹茹、干柿、橘红煎服之，名茹橘饮。
产后瘀血积块上冲疼痛，多因新产之后冷风乘虚而入所致。急服延胡散可以驱除瘀血；若日久不散，则形成血瘕（由瘀血凝结而成的肿块）。此外，寒疝（寒气凝滞引起的腹痛）也会引起疼痛，使用吴茱萸汤温散寒邪即可，不需要使用攻下法。
【注】产后腹中有硬块，坚硬且攻窜作痛，多因新产之后，风冷之邪乘虚侵入，导致瘀血凝结，适宜服用延胡索散以驱逐瘀血。如果拖延时间久不消散，必定结成血瘕。又有寒疝这一病证，也在少腹部攻筑作痛，这属于寒气滞涩所致，适宜用吴茱萸汤，温散其寒邪，自然痊愈，不必使用攻下法。
吴茱萸汤（方剂见首卷）
产后筋脉拘挛，俗称鸡爪风，是由于血液亏损、津液损伤后又受风邪侵袭所致。无汗者，宜用养荣汤兼以疏散外邪，方用四物汤加柴胡、木瓜、桂枝、钩藤；有汗者，宜用八珍汤加桂枝、黄芪、阿胶，以大补营血。
【注】产后筋脉拘挛疼痛，不能舒展，俗名鸡爪风，皆因产后血液亏损，不能濡养筋脉，又被风邪乘袭，故而令筋脉拘挛疼痛。无汗的，适宜在养荣之中兼祛外邪，用四物汤加柴胡、木瓜、桂枝、钩藤。若有汗的，适宜用八珍汤加桂枝、黄芪、阿胶，以大补其营血即可。
四物汤 八珍汤（方剂俱见首卷）
产后饮食所伤，心下部闷胀，厌恶食物气味，胃中嘈杂，吞酸或吐酸水。可用六君子汤加山楂、神曲、香附、缩砂仁共同煎服；若伴有呕吐逆气、痰涎增多，宜用二陈汤煎服调理。
【注】产后过食肉类面食，损伤饮食的，必定心胸饱闷，厌恶闻见食物气味，心中烦闷嘈杂，吞酸吐酸，适宜用六君子汤加山楂、神曲、香附、缩砂，以补益脾胃兼消食导滞。如果再加上呕吐逆气、痰涎，必定是兼夹痰饮，适宜用二陈汤加减调治。
六君子汤（见首卷） 二陈汤（见三卷）
产后呃逆，多因胃气虚弱寒冷所致。可用丁香、白豆蔻、伏龙肝（灶心土），或用桃仁、吴茱萸汤冲服，不应急于添加人参、附子。若出现发热、口渴、面红、小便赤色，属热证，宜用竹茹、干柿、橘红煎服。
【注】产后呃逆，皆因气血两伤，脾胃虚寒，中焦之气厥逆而不顺所致。适宜服用丁香豆蔻散，即丁香、白豆蔻、伏龙肝研为末，用桃仁、吴茱萸煎汤冲服。如无效，应当用参附汤峻补元气。若发热面红，小便赤色，属于热实证，适宜用竹茹、干柿、橘红煎服之，名为茹橘饮。
Postpartum pain caused by the upward rush of accumulated blood masses is mostly due to cold wind invading after childbirth. Urgently administering Yanhu San (Corydalis Powder) can expel the blood stasis; if it persists for a long time without dispersing, it forms a Xuejia (blood mass). Additionally, Hanhan (cold hernia/abdominal pain due to cold) also causes pain; using Wuzhuyu Tang (Evodia Decoction) to warm and disperse the cold is sufficient, without the need for purgative methods.
[Note] A hard mass in the abdomen postpartum that is firm and causes stabbing pain is mostly due to wind-cold pathogens invading through deficiency after childbirth, causing blood stasis to coagulate. It is appropriate to administer Yansu San (Dioscorea Hypoglauca Powder) to expel it. If left untreated for a long time without dispersing, it will inevitably form a Xuejia (blood mass). There is also the condition of Hanhan (cold hernia), which also causes stabbing pain in the lower abdomen; this belongs to stagnation and obstruction due to cold qi. It is appropriate to use Wuzhuyu Tang (Evodia Decoction) to warm and disperse the cold, leading to natural recovery, without the need for purgatives.
Wuzhuyu Tang (Evodia Decoction) (Formula seen in Volume 1)
Postpartum tendon spasms, commonly known as Jizhao Feng (chicken-claw wind), occur when blood deficiency and fluid damage are compounded by wind invasion. For those without sweating, Yangrong Tang (Nourishing Ying Decoction) combined with exterior-dispersing herbs is indicated, specifically Siwu Tang (Four Substances Decoction) added with Chaihu (Bupleuri Radix), Mugua (Chaenomelis Fructus), Guizhi (Cinnamomi Ramulus), and Gouteng (Uncariae Ramulus cum Uncis). For those with sweating, Bazhen Tang (Eight Treasures Decoction) added with Guizhi (Cinnamomi Ramulus), Huangqi (Astragali Radix), and Ejiao (Asini Corii Colla) is indicated to greatly tonify Ying blood.
[Note] Postpartum tendon spasms and pain, inability to extend freely, commonly known as Jizhao Feng (chicken-claw wind), are all due to postpartum blood deficiency failing to nourish the tendons, combined with wind pathogen invasion, thus causing spasms and pain. In cases without sweating, it is appropriate to dispel external pathogens while nourishing Ying, using Siwu Tang (Four Substances Decoction) added with Chaihu (Bupleuri Radix), Mugua (Chaenomelis Fructus), Guizhi (Cinnamomi Ramulus), and Gouteng (Uncariae Ramulus cum Uncis). In cases with sweating, it is appropriate to use Bazhen Tang (Eight Treasures Decoction) added with Guizhi (Cinnamomi Ramulus), Huangqi (Astragali Radix), and Ejiao (Asini Corii Colla) to greatly tonify Ying blood.
Siwu Tang (Four Substances Decoction) Bazhen Tang (Eight Treasures Decoction) (Formulas seen in Volume 1)
Postpartum food injury causing epigastric fullness, aversion to food odors, gastric discomfort, acid regurgitation, or vomiting sour fluid. Liu Jun Zi Tang (Six Gentlemen Decoction) added with Shanzha (Crataegi Fructus), Shenqu (Massa Medicata Fermentata), Xiangfu (Cyperi Rhizoma), and Suosha Ren (Amomi Fructus Rotundus) should be used together; if accompanied by vomiting, acid reflux, and phlegm-saliva, Er Chen Tang (Two Aged Ingredients Decoction) should be decocted for regulation.
[Note] Overconsumption of meat and noodles postpartum, injuring the diet,必然 leads to chest and heart fullness, aversion to smelling food odors, mental restlessness and gastric discomfort, acid regurgitation, and vomiting sour fluid. It is appropriate to use Liu Jun Zi Tang (Six Gentlemen Decoction) added with Shanzha (Crataegi Fructus), Shenqu (Massa Medicata Fermentata), Xiangfu (Cyperi Rhizoma), and Suosha Ren (Amomi Fructus Rotundus) to tonify while resolving stagnation. If there is additionally vomiting, acid reflux, and phlegm-saliva, it indicates a combination of phlegm and fluid retention. It is appropriate to use Er Chen Tang (Two Aged Ingredients Decoction) with modifications for treatment.
Liu Jun Zi Tang (Six Gentlemen Decoction) (Seen in Volume 1) Er Chen Tang (Two Aged Ingredients Decoction) (Seen in Volume 3)
Dingxiang Doukou San (Clove and Cardamom Powder) Rujuyin (Zhusu and Citrus Decoction)
Postpartum hiccups are due to stomach deficiency and cold. Dingxiang (Caryophylli Flos), Baikou (Cardamomi Albi Fructus), and Fulonggan (Caoshixin Tu - Caulis Longanae Folium / Furnax Terra) can be used, or taken with Tao Ren (Persicae Semen) and Wuzhuyu Tang (Evodia Decoction). One should not urgently add Renshen (Ginseng Radix) and Fuzi (Aconiti Lateralis Radix Preparata). If fever, thirst, red face, and dark urine appear, it indicates heat; Zhu Ru (Bambusae Membrana Saccharina), Ganshi (Dried Persimmon), and Juhong (Citri Reticulatae Pericarpium Rubrum) should be decocted and taken.
[Note] Postpartum hiccups are all due to dual injury of Qi and Blood, spleen and stomach deficiency-cold, causing middle Jiao Qi to rebel and become unsmooth. It is appropriate to take Dingxiang Doukou San (Clove and Cardamom Powder), which consists of Dingxiang (Caryophylli Flos), Baikou (Cardamomi Albi Fructus), and Fulonggan (Furnax Terra) ground into powder, taken with decoction of Tao Ren (Persicae Semen) and Wuzhuyu Tang (Evodia Decoction). If ineffective, Shen Fu Tang (Ginseng and Aconite Decoction) should be used to vigorously tonify. If fever, red face, and dark urine occur, it belongs to excess-heat. It is appropriate to decoct and take Zhu Ru (Bambusae Membrana Saccharina), Ganshi (Dried Persimmon), and Juhong (Citri Reticulatae Pericarpium Rubrum), named Rujuyin (Zhusu and Citrus Decoction).