产后胁痛，乃败血流入肝经，其厥阴之脉，循行胁肋，故作痛。此症有虚实，宜分治之，不可
误也。如胁下胀，手不可按，是瘀血也，宜去其血，芎归泻肝汤主之，如胁下痛，喜人按，其人闪
动肋骨，状若奔豚者，此去血大多，肝脏虚也，当归地黄汤主之。《尊生》云∶肋痛属气滞，归芍清肝
饮治之。
芎归泻肝汤 治产后瘀血胁痛，手不可按。
归尾（一钱） 川芎 香附（童便制，各八分） 青皮 枳壳（麦炒，各六分） 桃仁（八粒，去
皮尖） 红花（四、五分） 入童便 酒
当归地黄汤 治产后肝血去多，胁虚而痛。
人参 当归（酒洗） 白芍（酒炒） 熟地（各一钱半） 陈皮 炙草 桂心（各一钱） 姜 枣引
归芍清肝汤 治产后气滞肋痛。
当归（一钱半） 白芍 桔梗（各六分） 槟榔 枳壳（麦炒，各三分） 桂心 青木香 柴胡（各二
分五厘）
产后遍身疼痛者，因产百节开张，血脉流散，气弱不充，则经络间血多凝滞不散，筋脉急引，骨节
不利，故有腰背不能转侧，手足不能伸屈，或身热头痛者，起痛散主之。若误作伤寒，发表汗出，则筋
脉动，手足厥冷，变为痉证，又当十全大补汤也；若指节疼痛，补中益肾汤；足膝肿或痛，独活寄生
汤。《医通》云∶产后手足身痛，是血虚不能荣也。手足走痛者，是气血不能荣养四末，而浊气流于四肢
则肿，阴火游行四旁则痛也。不出养荣加黑姜主之。
起痛散 治产后遍身疼痛，由气血虚有滞，不可误作伤寒施治。
当归（二钱酒浸） 黄 （一钱蜜炙） 白术（土炒） 淮牛膝（蒸） 独活 肉桂 韭白（各
八分） 甘草（三分）
补中益肾汤 专治产后虚劳，指节疼痛，头疼汗出。
人参 蜜炙 黄 淡豆豉（各一钱） 当归（二钱酒浸）
韭白（五分） 生姜（三片） 猪肾（一付）
先将猪肾煎熟，取汁二盏，煎药八分，温服。
产后胁肋疼痛，是由于恶露败血流入肝经所致。足厥阴肝经的经脉循行经过胁肋部位，因此引发疼痛。这种病症有虚证和实证之分，应当分别治疗，不可误治。如果胁下感觉胀满，手不能触碰按压，这是瘀血阻滞的表现，适宜祛除瘀血，以芎归泻肝汤为主方；如果胁下疼痛，喜欢被人按压，患者身体闪动肋骨，症状类似奔豚病（一种气逆上冲的感觉），这是因为失血过多导致肝脏虚弱，以当归地黄汤为主方。《尊生统旨》记载：胁痛属于气机阻滞，用归芍清肝饮治疗。
芎归泻肝汤：治疗产后因瘀血导致的胁肋疼痛，特点是手不可按压。
处方组成：当归尾（一钱）、川芎、香附（用童子小便炮制，各八分）、青皮、枳壳（用麦麸炒，各六分）、桃仁（八粒，去皮去尖）、红花（四至五分）。煎服时加入童子小便和酒。
当归地黄汤：治疗产后因肝血流失过多，导致胁部空虚而疼痛。
处方组成：人参、当归（用酒清洗）、白芍（用酒炒）、熟地黄（各一钱半）、陈皮、炙甘草、桂心（各一钱）。煎服时加生姜、大枣作为药引。
归芍清肝汤：治疗产后因气机阻滞导致的胁肋疼痛。
处方组成：当归（一钱半）、白芍、桔梗（各六分）、槟榔、枳壳（用麦麸炒，各三分）、桂心、青木香、柴胡（各二分五厘）。
产后全身疼痛，是因为分娩时全身关节开张，血脉流散，加之气虚无法充盈经络，导致经络间血液多凝滞不散，筋脉拘急牵引，骨节活动不利，因此出现腰背不能转侧，手足不能伸展弯曲，或者伴有身热头痛等症状，以起痛散为主方。如果错误地当作伤寒治疗，使用发汗解表的方法导致出汗，则会导致筋脉动摇，手足厥冷，转变为痉证（肌肉痉挛强直），此时应当使用十全大补汤；如果是指节疼痛，使用补中益肾汤；如果是足膝肿胀或疼痛，使用独活寄生汤。《医宗金鉴》记载：产后手足及全身疼痛，是血虚不能濡养筋脉所致。手足游走性疼痛，是气血不能濡养四肢末端，而浊气流注于四肢则引起肿胀，阴火游行于四周则引起疼痛。这种情况不出养荣加黑姜汤的主治范围，应以养荣加黑姜汤为主方。
起痛散：治疗产后因气血虚弱且有瘀滞导致的全身疼痛，不可误当作伤寒进行治疗。
处方组成：当归（二钱，用酒浸泡）、黄芪（一钱，用蜜炙）、白术（用土炒）、淮牛膝（蒸制）、独活、肉桂、韭白（各八分）、甘草（三分）。
补中益肾汤：专门治疗产后虚劳引起的指节疼痛、头痛、出汗。
处方组成：人参、蜜炙黄芪、淡豆豉（各一钱）、当归（二钱，用酒浸泡）、韭白（五分）、生姜（三片）、猪肾（一副）。
煎服方法：先将猪肾煮熟，取汁液两盏，用药汁煎煮药物至剩余八分，温服。
Postpartum hypochondriac pain is caused by the flow of lochia (residual blood) into the Liver Meridian. The Foot Jueyin Liver Meridian traverses the hypochondriac region, thus causing pain. This condition presents as either deficiency or excess syndromes and requires differentiated treatment to avoid misdiagnosis. If there is distension under the hypochondrium that cannot be touched or pressed, it indicates blood stasis; the appropriate treatment is to remove the stasis using Xiongui Xiegan Decoction (Cnidium and Angelica Decoction to Drain the Liver). If there is pain in the hypochondrium that is relieved by pressure, accompanied by body movements involving the ribs resembling Ben Tun syndrome (a sensation of Qi rushing upward), this results from excessive blood loss leading to Liver deficiency; the appropriate treatment is Danggui Dihuang Decoction (Angelica and Rehmannia Decoction). *Zunsheng* states: Hypochondriac pain belongs to Qi stagnation, treated with Guishao Qinggan Yin (Angelica and White Peony Decoction to Clear the Liver).
Xiongui Xiegan Decoction: Treats postpartum hypochondriac pain due to blood stasis, characterized by intolerance to touch.
Ingredients: Dangguiwei (Tail of Angelica Sinensis, 1 qian), Chuanxiong, Xiangfu (processed with urine of a young boy, each 0.8 fen), Qingpi (Green Tangerina Peel), Zhike (Aurantium Fructus, stir-fried with bran, each 0.6 fen), Taoren (Peach Seed, 8 grains, skin and tip removed), Honghua (Carthamus Flower, 4-5 fen). Decoct with urine of a young boy and wine.
Danggui Dihuang Decoction: Treats postpartum hypochondriac pain due to deficiency resulting from excessive loss of Liver Blood.
Ingredients: Renshen (Ginseng), Danggui (Angelica Sinensis, washed with wine), Baishao (White Peony Root, stir-fried with wine), Shudi (Prepared Rehmannia Root, each 1.5 qian), Chenpi (Aged Tangerina Peel), Zhi Gancao (Honey-fried Licorice Root), Guixin (Cinnamon Twig, each 1 qian). Use fresh ginger and jujube as guides for decoction.
Guishao Qinggan Yin: Treats postpartum hypochondriac pain due to Qi stagnation.
Ingredients: Danggui (1.5 qian), Baishao, Jiegeng (Platycodon Root, each 0.6 fen), Binglang (Areca Seed), Zhike (stir-fried with bran, each 0.3 fen), Guixin, Qingmuxiang (Tasmannia Stem), Chaihu (Bupleurum Root, each 0.25 fen).
Generalized body pain after childbirth occurs because the joints open during delivery, blood vessels disperse, and Qi deficiency fails to fill the meridians. Consequently, blood in the meridians stagnates and does not dissipate, causing tendons and vessels to contract and pull, leading to stiffness in bone joints. Thus, one may experience inability to turn the waist and back, inability to extend or flex limbs, or symptoms such as fever and headache. Qitong San (Qi-Pain Resolving Powder) is the primary formula. If mistakenly treated as Taiyang Shanghan (Cold Damage) with sweating methods, it will cause tendons to tremble, cold extremities, and transform into Jing Zheng (Spasm Syndrome); in such cases, Shiquan Dabu Tang (Ten Significant Tonifying Decoction) should be used. If finger joints are painful, Buyi Zhishen Tang (Tonify Middle and Benefit Kidney Decoction) is indicated. If feet and knees are swollen or painful, Duhuo Jisheng Tang (Angelica Pubescens and Porcinus Decoction) is indicated. *Yitong* states: Postpartum pain in hands, feet, and body is due to Blood deficiency failing to nourish. Wandering pain in hands and feet indicates that Qi and Blood fail to nourish the four extremities, while turbid Qi flows into the limbs causing swelling, and Yin Fire travels around causing pain. The text suggests Yangrong Jia Heijiang Tang (Nourish Ying Decoction plus Blackened Ginger) as the treatment.
Qitong San: Treats generalized body pain after childbirth due to Qi and Blood deficiency with stagnation; do not mistake it for Shanghan.
Ingredients: Danggui (2 qian, soaked in wine), Huangqi (Astragalus Root, 1 qian, honey-fried), Baizhu (Atractylodes Macrocephala Rhizome, soil-fried), Huainiuxi (Achyranthes Bidentata Root, steamed), Duhuo (Angelica Pubescens Root), Rougui (Cinnamon Bark), Jiubai (Leek White, each 0.8 fen), Gancao (Licorice Root, 0.3 fen).
Buyi Zhishen Tang: Specifically treats postpartum consumptive disease with finger joint pain, headache, and sweating.
Ingredients: Renshen, Honey-fried Huangqi, Danshichidou (Light Soybean, each 1 qian), Danggui (2 qian, soaked in wine), Jiubai (0.5 fen), Fresh Ginger (3 slices), Pig Kidney (1 piece).
Preparation: First, boil the pig kidney until cooked, take two cups of its juice, and decoct the herbs in this juice until reduced to 0.8 cup. Take warm.