为产血不足。肝虚多损目。莫劳瞻。莫悲哭。流泪昏沉内不睦。窍虚引入风邪来。烂湿赤垢久成笃。或食燥
腻五辛多。或有湿痰与劳碌。几般能致外生灾。早治免教多反复。
此症专言为产后而目病也。盖产则百脉皆动。气血俱伤。大虚而不足。故邪得以易乘。肝部发生之气
甚弱。血少而胆失滋养。精汁少。则目中精膏气液。皆失化源。所以目病者多。然轻重内外不同。有劳瞻
竭思。悲伤哭泣。而为无时。冷热泪流。内障昏渺等症。有窍不密。引入风邪。为湿烂头风者。有因虚湿热。
湿气归脑而为内障诸病者。有因虚劳碌。及恣辛嗜热。患热病而伤目血。为外障者。皆内不足所致。若
知爱护者。疾微而不变。不知爱养。反纵斫丧。则变症不一。大抵产后病宜早治。莫待其久。久则气血定
而病深入。治亦不易。其外症之显而易知者。人皆知害而早治。其内症之害隐缓。而人不知虑。屡遭其
患。而悔亦迟矣。若治产后。无有余之血。须护肝气。不可轻用薄肝之剂。当以四物汤养血之剂为主药也。
熟地黄汤（治妇人产后。眼昏头晕。虚渴口干。气少脚弱。）
熟地黄（酒洗晒干八钱） 糯米（一撮） 人参（一钱） 麦门冬（去心一钱五分） 甘草（炙五分） 花粉（三
钱）
上锉剂。水二钟。姜一片。枣二枚去核。煎至八分。去滓温服。
四物补肝散（治妇人产后。午后至夜。昏花不明。）
熟地黄（焙干二两） 香附子（酒制） 川芎 白芍（酒洗炒） 当归身（酒洗炒） 夏枯草（各八钱） 甘草（四
分）
上共为细末。每服二三钱。食后滚白汤送下。
上方以熟地黄补血。当归养血为君。夏枯草入厥阴。补养血脉为臣。甘草益元气。补脾胃。白芍补脾和
血为佐。川芎助清阳之气上升。香附理血气散郁为使耳。
四制香附丸（治妇人产后。崩漏亡血过多。致睛珠疼痛。经水不调等症。）
香附子（杵去皮毛净子八两分作四分酒醋童便盐水煮晒炒） 黄柏（酒炒） 熟地黄（各一两
酒水煮烂捣膏） 泽兰叶（净叶） 川芎（酒洗炒） 白芍药（酒洗炒） 当归（炒各两半） 益母草
（四两勿犯铁器）
除地黄膏另入。余共为细末。铺地一宿。去其火性。炼蜜为丸。如梧桐子大。每服二三钱。空心滚白汤送
下。或食远亦可。
上方以四制香附为君。益血气之药也。熟地、川芎、当归、白术为臣。补血养血和血之药也。黄柏为佐。补
肾滋阴之药也。泽兰叶、益母草为使。疗产后百病。行血逐积血生新血之药也。
由于分娩导致血液不足。肝脏虚弱容易损伤眼睛。不要过度用眼，不要悲伤哭泣。流泪会导致昏沉，体内气机不和。眼窍空虚容易引入风邪。长期烂湿、赤色分泌物和污垢会演变成严重的疾病。或者食用过多燥热、油腻及五辛食物。或者有湿痰以及过度劳累。这些情况都能导致外部产生的灾祸（眼病）。早期治疗可以避免病情反复。
此症专门论述产后眼部疾病。因为分娩时全身血脉都受到扰动，气血俱伤，身体极度虚弱且不足，所以外邪容易乘虚而入。肝脏所生发的阳气非常微弱，血少导致胆腑失去滋养，胆汁减少，那么眼中的精膏和气液都失去了化生的源头。所以眼部疾病很多。然而轻重和内外有所不同：有因过度用眼、思虑竭尽，悲伤哭泣，导致无定时冷热泪流、内障昏渺等症状；有因眼窍不严密，引入风邪，导致湿烂、头风者；有因虚湿热，湿气归脑导致内障诸病者；有因虚劳碌，以及恣意吃辛辣嗜热食物，患热病而伤目血，导致外障者。这些都是内里不足所致。如果知道爱护，疾病轻微而不变化；不知道爱养，反而放纵损耗，则变症不一。大抵产后疾病宜早治，不要等待其日久。日久则气血定型而病深入，治疗也不容易。那些外在症状显而易见的人，都知道危害而早治；那些内在症状危害隐蔽缓慢的，人们不知道顾虑，屡次遭受其患，后悔也迟了。若治疗产后病，没有多余的血液，必须护肝气，不可轻用薄肝之剂。应当以四物汤养血之剂为主药。
熟地黄汤（治疗妇人产后，眼昏头晕，虚渴口干，气少脚弱。）
熟地黄（酒洗晒干八钱） 糯米（一撮） 人参（一钱） 麦门冬（去心一钱五分） 甘草（炙五分） 花粉（三钱）
以上锉成剂。水二钟，姜一片，枣二枚去核，煎至八分。去渣温服。
四物补肝散（治疗妇人产后，午后至夜，昏花不明。）
熟地黄（焙干二两） 香附子（酒制） 川芎 白芍（酒洗炒） 当归身（酒洗炒） 夏枯草（各八钱） 甘草（四分）
以上共为细末。每服二三钱，食后滚白汤送下。
上方以熟地黄补血，当归养血为君药。夏枯草入厥阴经，补养血脉为臣药。甘草益元气，补脾胃，白芍补脾和血为佐药。川芎助清阳之气上升，香附理血气散郁为使药。
四制香附丸（治疗妇人产后，崩漏亡血过多，致睛珠疼痛，经水不调等症。）
香附子（杵去皮毛净子八两分作四分酒醋童便盐水煮晒炒） 黄柏（酒炒） 熟地黄（各一两酒水煮烂捣膏） 泽兰叶（净叶） 川芎（酒洗炒） 白芍药（酒洗炒） 当归（炒各两半） 益母草（四两勿犯铁器）
除地黄膏另入，其余共为细末，铺地一宿，去其火性，炼蜜为丸，如梧桐子大。每服二三钱，空心滚白汤送下。或食远亦可。
上方以四制香附为君药，益血气之药。熟地、川芎、当归、白术为臣药，补血养血和血之药。黄柏为佐药，补肾滋阴之药。泽兰叶、益母草为使药，疗产后百病，行血逐积血生新血之药。
Due to insufficient blood following childbirth, liver deficiency often damages the eyes. Avoid overusing the eyes and avoid sorrowful weeping. Tearing leads to drowsiness and internal disharmony of qi. Empty orifices easily invite wind pathogens. Prolonged dampness, red discharge, and debris can develop into severe conditions. Consuming excessive dry, greasy foods, or the "Five Pungent Spices" (Wuxin) may contribute. Presence of damp-phlegm and overwork are also factors. These conditions can cause external calamities (eye diseases). Early treatment prevents recurrence.
This section specifically discusses eye diseases occurring postpartum. Childbirth disturbs all meridians and vessels, injuring both qi and blood, resulting in extreme deficiency. Thus, pathogens easily invade. The generating qi of the Liver is very weak; insufficient blood fails to nourish the Gallbladder, leading to reduced bile juice. Consequently, the essence, paste, qi, and fluids of the eyes lose their source of transformation, making eye diseases common. However, severity and location vary: some suffer from intermittent hot and cold tearing, internal cloudiness, and dim vision due to eye strain, excessive thinking, and grief; others have loose orifices inviting wind pathogens, causing damp rot and headache; some have internal cloudiness due to deficient damp-heat affecting the brain; others have external obstructions due to overwork, indulgence in pungent and hot foods, and heat diseases damaging eye blood. All stem from internal insufficiency. Those who practice self-care keep illness mild and prevent progression; those who neglect care and indulge in depletion face varied complications. Generally, postpart illnesses should be treated early. Delay allows qi and blood to settle while pathogens penetrate deeply, making treatment difficult. Obvious external symptoms prompt early treatment, whereas subtle, slow-onset internal harms are often ignored until regret comes too late. In treating postpartum conditions, since there is no surplus blood, one must protect Liver qi and avoid harsh herbs that damage the Liver. Siwu Tang (Four Substances Decoction) for nourishing blood should be the primary formula.
Shudihuang Tang (Cooked Rehmannia Decoction): Treats postpartum women with blurry vision, dizziness, deficiency-thirst, dry mouth, shortness of breath, and weak legs.
Prepared Rehmanniae Radix (Shudihuang, washed with wine and sun-dried, 8 qian) Glutinous Rice (Nuomi, a pinch) Ginseng Radix et Rhizoma (Renshen, 1 qian) Ophiopogonis Radix (Mendong, heart removed, 1.5 qian) Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried, 0.5 qian) Trichosanthis Radix (Guafen, 3 qian)
Crush ingredients. Add two zhong of water, one slice of ginger, and two pitted jujubes. Decoct until eight-tenths remain. Strain and take warm.
Siwu Bulgan San (Four Substances Liver-Nourishing Powder): Treats postpartum women experiencing blurred vision from afternoon to night.
Prepared Rehmanniae Radix (Shudihuang, baked dry, 2 liang) Cyperi Rhizoma (Xiangfuzi, wine-processed) Ligusticum Chuanxiong Rhizoma (Chuanxiong) Paeoniae Radix Alba (Baishao, wine-washed and stir-fried) Angelicae Sinensis Radix (Danggui shen, wine-washed and stir-fried) Prunellae Spica (Xiakucao, each 8 qian) Glycyrrhizae Radix et Rhizoma (Gancao, 0.4 qian)
Grind into fine powder. Take 2-3 qian per dose, swallowed with boiling white water after meals.
In this formula, Prepared Rehmanniae Radix (Shudihuang) nourishes blood and Angelicae Sinensis Radix (Danggui) nourishes blood as the Sovereign herb. Prunellae Spica (Xiakucao) enters the Jueyin channel and nourishes blood vessels as the Minister herb. Glycyrrhizae Radix et Rhizoma (Gancao) benefits primordial qi and tonifies Spleen and Stomach; Paeoniae Radix Alba (Baishao) tonifies Spleen and harmonizes blood as the Assistant herb. Ligusticum Chuanxiong Rhizoma (Chuanxiong) assists the ascent of clear yang qi; Cyperi Rhizoma (Xiangfuzi) regulates blood qi and disperses stagnation as the Envoy herb.
Sizhi Xiangfu Wan (Four-Processed Cyperi Pill): Treats postpartum women with excessive bleeding from metrorrhagia and metrostaxis (Benglou), causing pain in the eyeball and irregular menstruation.
Cyperi Rhizoma (Xiangfuzi, pounded, skin and hairs removed, clean seeds 8 liang divided into four parts, boiled/dried/stir-fried with wine, vinegar, child's urine, and salt water) Phellodendri Cortex (Huangbai, wine-fried) Prepared Rehmanniae Radix (Shudihuang, each 1 liang, boiled in wine/water until soft, mashed into paste) Lantanae Herba (Zelan ye, clean leaves) Ligusticum Chuanxiong Rhizoma (Chuanxiong, wine-washed and stir-fried) Paeoniae Radix Alba (Baishaoyao, wine-washed and stir-fried) Angelicae Sinensis Radix (Danggui, stir-fried, each 1.5 liang) Leonuri Herba (Yimucao, 4 liang, do not touch iron)
Except for the Rehmannia paste added separately, grind the rest into powder, spread on the ground for one night to remove fire nature, mix with refined honey to make pills the size of paulownia seeds. Take 2-3 qian per dose on an empty stomach with boiling white water. Can also be taken long after meals.
In this formula, Four-Processed Cyperi Rhizoma (Sizhi Xiangfu) is the Sovereign herb, benefiting blood and qi. Prepared Rehmanniae Radix (Shudihuang), Ligusticum Chuanxiong Rhizoma (Chuanxiong), Angelicae Sinensis Radix (Danggui), and Atractylodis Macrocephalae Rhizoma (Baizhu - *Note: Text says Baizhu here but ingredient list did not explicitly include it, likely implied or error in original text context regarding 'harmonizing blood'*) are Ministers, herbs for tonifying, nourishing, and harmonizing blood. Phellodendri Cortex (Huangbai) is the Assistant, a kidney-tonifying and yin-nourishing herb. Lantanae Herba (Zelan ye) and Leonuri Herba (Yimucao) are Envoys, herbs treating hundred postpartum diseases, promoting blood circulation, expelling stasis, and generating new blood.