妇人病倍于男子，因产后之症偏多也。夫产后血块，医家所归，宜当详究。若时俗治血块，有用生
地黄，红花以行之，苏木、牛膝以攻之；治气胀，有用乌药、香附以顺之，枳壳、浓朴以舒之。甚有用
青皮、枳实、苏子以下气定喘，芩、连、栀子、黄柏以退热除烦。至若血枯便实，反用承气下之而愈结；
汗多小便短涩，反用五苓通之而愈秘。因古《局方》，峻攻块痛，殆无异于刃之杀人也，事产者岂可视
为甚轻而妄用苏木、棱、蓬，以置人于死地也耶？宜服生化汤，一应破血药，虽山楂性缓，亦不可单用。
生化汤 川归 川芎 桃仁 干姜 甘草
水煎服，并渣。
鹿角灰就用生化汤送下七钱。
又方∶益母丸同服亦可。
外用烘热衣服暖和块痛处，虽暑月亦要和暖。大抵产妇劳伤，气血并虚，分娩子后，无力送胞送
块，涩滞腹间作痛，甚者气血不运而昏迷厥晕，切不可妄谓恶血抱心，遽用苏木等散血之方以杀人也。
只频服生化汤二三帖，实时块消痛止，神清气复而顿爽舒畅平安矣。行血如生地、牛膝，败血如三棱、
莪术。俗用山楂、砂糖消块，姜、艾酒定痛，皆致淋崩、昏晕等症。
凡分娩之后，眼见昏花，头眩昏晕，不知人事，谓之血晕。其故有三∶一因劳倦甚而气竭神昏，
二因血大脱而气欲绝，三因痰火乘虚从上而神不清。患此三者，皆魂不随神往来而机运几息也。当
急服预煎下生化汤，以行块定痛，化旧生新，实时血遂生而气转，神渐清而心有主矣。频服二三帖，
其昏乱气血即定，乃川芎、川归性有化生之功也。若偏执古方无传，认晕症为恶血抢上迷心，而轻
用散血之剂，认为痰火而用无补消降之方，误人甚也，外以醋韭冲鼻烧烟潦法度，炙不可缓，医者
切不可妄论血上抢心，而用苏木等以峻攻破血，偏执古方牡丹夺命等药以败血，慎之，慎之！再叮
咛临盆之际，必预煎生化汤，预烧称锤、硬石子，候儿下地，速服二三帖药，共二煎。又产妇枕边，
行醋韭，投锤醋瓶之法，决无晕症。又儿生下时，不可喜子慢母，母不可顾子忘倦；又不可产讫即
睡，或愤怒气逆，皆能致晕。谨记，谨记。附方∶
加味生化汤 治产后三等血晕。
川芎（三钱） 川归（六钱） 干姜（四分，炒黑） 桃仁（十粒） 甘草（五钱，炙） 荆芥（五分）
上枣三枚，水二钟。煎八分，温服，并渣。
加减法∶
凡劳倦甚而晕，及血崩气脱而晕，并宜速灌二帖。如形色脱，或汗多而脱，皆用急服一帖，后即
加人参三四钱，肉桂四分，决不可疑，参为补而缓服也。如痰乘虚从上而晕，方内加橘红四分；若虚甚，
亦用加人参二三钱；如肥人多痰，又用竹沥七分，酒一钟，姜汁少许。以上三等晕症，并不可用破血
耗气等古方，其血块痛甚者，兼送益母丸。一法或送鹿角灰，一法或用玄胡散，一法或用独参散。一方见
效，不须易方。
从权急救加参生化汤∶治产后形色脱晕，或汗脱晕。
川芎（二钱） 川归（四钱） 干姜（四分，制） 桃仁（十粒，去皮尖） 荆芥（四分）
甘草（四分，炙） 人参（三钱）
上水二钟，煎八分服。血块痛甚加肉桂五分、七分；渴加麦冬一钱，五味子十粒；汗多加麻黄根一
钱；如块不痛，加黄 一钱以止汗；如伤面食、饭食，加神曲八分、麦芽五分；如伤肉，加山楂、砂仁。
妇女的疾病比男子多，主要是因为产后病症偏多。对于产后血块这一病症，是医家应当详细探究的领域。如果按照世俗的方法治疗血块，有用生地黄、红花来行血的；有用苏木、牛膝来攻逐瘀血的；治疗气胀，有用乌药、香附来顺气的，有用枳壳、厚朴来舒理气机的。甚至有用青皮、枳实、苏子来降气定喘，用黄芩、黄连、栀子、黄柏来退热除烦的。至于血枯导致的大便干结，反而使用承气汤类方剂攻下，结果使结滞更甚；汗出过多导致小便短少涩痛，反而使用五苓散通利小便，结果使便秘更重。因为古代《局方》中峻猛攻伐以消除块状疼痛，这无异于用刀杀人，从事产科的医生岂能轻视此病而妄用苏木、三棱、蓬莪术等药，将人置于死地呢？适宜服用生化汤（Biosheng Decoction），所有破血药物，即使是性味缓和的山楂，也不可以单独使用。
生化汤 川当归 川芎 桃仁 干姜 甘草
用水煎服，连同药渣一起服用。
鹿角灰直接用生化汤送服七钱。
又一方：益母丸同服也可以。
外用烘热的衣服温暖血块疼痛处，即使在暑天也要保持温暖。大抵产妇因劳损受伤，气血俱虚，分娩之后，无力排出胞衣和瘀血块，导致瘀滞腹中作痛，严重的气血运行不畅而出现昏迷厥逆眩晕，切不可妄称是恶血抱心，急忙使用苏木等散血方剂来杀人。只需频繁服用生化汤二三帖，立刻血块消散疼痛停止，神清气爽恢复顿感舒畅平安。行血药如生地黄、牛膝，败血药如三棱、莪术。世俗常用山楂、砂糖消块，姜、艾酒定痛，都会导致淋证、崩漏、昏晕等症状。
凡是分娩之后，眼前视物昏花，头晕目眩，不省人事，称为血晕。其原因有三：一是因过度劳累疲倦导致气竭神昏，二是因大量失血导致气欲绝，三是因痰火乘虚从上扰而导致神志不清。患这三种情况，都是神魂不能随心神往来而机体运转几乎停滞。应当紧急服用预先煎好的生化汤，以行血块定疼痛，化旧血生新血，立刻血液生成而气机转复，神志渐清而有主宰。频繁服用二三帖，其昏乱的气血即可安定，这是因为川芎、川当归具有化生的功效。如果固执于没有流传的古方，认定晕症是恶血抢上迷心，而轻率使用散血药剂；认定是痰火而使用无补益、消导、降逆作用的方剂，误人非常严重。外治法可用醋韭冲鼻或烧烟熏鼻的方法，灸法不可迟缓。医者切不可妄论血上抢心，而使用苏木等峻猛攻破血的药物，也不要偏执古方中的牡丹夺命散等药来败血，务必谨慎，务必谨慎！再叮咛临盆之际，必须预先煎好生化汤，预先烧好秤锤、硬石子，等候婴儿落地，迅速服用二三帖药，共两煎。另外在产妇枕边，备好醋韭、投锤醋瓶的方法，决不会出现晕症。还有婴儿生下时，不可只顾喜欢孩子而慢待母亲，母亲不可顾看孩子而忘记疲倦；也不可生产结束后立即睡觉，或者愤怒导致气逆，都能导致晕症。谨记，谨记。附方：
加味生化汤 治疗产后三种等级的血晕。
川芎（三钱） 川当归（六钱） 干姜（四分，炒黑） 桃仁（十粒） 甘草（五钱，炙） 荆芥（五分）
大枣三枚，水二钟。煎至八分，温服，连同药渣一起服用。
加减法：
凡是过度劳累疲倦导致的晕，以及血崩气脱导致的晕，都适宜迅速灌服两帖。如果形色脱失，或者汗多导致脱证，都应当急服一帖，之后加入人参三四钱，肉桂四分，决不要怀疑，认为人参是补益药而缓慢服用。如果是痰乘虚从上导致的晕，方中加入橘红四分；如果虚损严重，也加入人参二三钱；如果是肥胖人多痰，再加入竹沥七分，酒一钟，姜汁少许。以上三种等级的晕症，都不可使用破血耗气等古方，其中血块疼痛严重的，兼送服益母丸。一种方法是送服鹿角灰，一种方法是用玄胡散，一种方法是用独参散。一方见效，不需要更换方剂。
从权急救加参生化汤：治疗产后形色脱晕，或汗脱晕。
川芎（二钱） 川当归（四钱） 干姜（四分，制） 桃仁（十粒，去皮尖） 荆芥（四分）
甘草（四分，炙） 人参（三钱）
加水二钟，煎至八分服用。血块疼痛严重加肉桂五分、七分；口渴加麦冬一钱，五味子十粒；汗多加麻黄根一钱；如果血块不痛，加黄芪一钱以止汗；如果伤及面食、饭食，加神曲八分、麦芽五分；如果伤及肉食，加山楂、砂仁。
Women's diseases are more frequent than men's, primarily due to the prevalence of postpartum conditions. Postpartum blood stasis (blood clots) is a domain where physicians should conduct detailed investigations. If treating blood stasis according to popular customs, one might use Shengdi Huang (Rehmanniae Radix Preparata) and Hong Hua (Carthami Flos) to promote blood circulation; or Sume (Lignum Dalbergiae Odoriferae) and Niuxi (Achyranthis Bidentatae Radix) to attack and expel stasis. For treating Qi distension, Wuyao (Linderae Radix) and Xiangfu (Cyperi Rhizoma) may be used to regulate Qi, while Zhike (Aurantii Fructus) and Houpo (Magnoliae Officinalis Cortex) to soothe Qi mechanisms. Even Qingpi (Citri Reticulatae Pericarpium Viride), Zhishi (Aurantii Fructus Immaturus), and Su Zi (Perillae Fructus) might be employed to direct Qi downward and calm wheezing, along with Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Zhizi (Gardeniae Fructus), and Huangbai (Phellodendri Cortex) to clear heat and relieve irritability. In cases of blood deficiency leading to dry stool, using Chengqi Tang (Purgative Decoctions) to purge would only exacerbate the constipation. When excessive sweating leads to scanty, dysuric urine, using Wuling San (Five-Ingredient Powder with Poria) to promote urination would worsen the retention. Because ancient texts like the *Ju Fang* advocate harsh purgation to eliminate painful masses, this is akin to killing with a blade. Obstetricians should not treat this lightly nor recklessly use Sume, Sanleng (Sparganii Rhizoma), and Ezhu (Curcumae Rhizoma), thereby placing patients in mortal danger. It is advisable to administer Biosheng Decoction (Biosheng Tang). All blood-breaking herbs, even Shan Zha (Crataegi Fructus) which has a mild nature, should not be used alone.
Biosheng Decoction: Chuan Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Chuanxiong Rhizoma), Tao Ren (Persicae Semen), Gan Jiang (Zingiberis Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma).
Decoct in water and take orally, including the dregs.
Lu Jiao Hui (Deer Horn Ash) can be taken directly with Biosheng Decoction, seven qian.
Another prescription: Yi Mu Wan (Motherwort Pill) taken concurrently is also effective.
Externally, apply warm clothes heated by ironing to the area of pain caused by blood stasis; even in midsummer, warmth must be maintained. Generally, postpartum women suffer from labor-induced injury, resulting in simultaneous deficiency of Qi and Blood. After delivery, they lack the strength to expel the placenta and blood clots, causing stagnation in the abdomen and pain. In severe cases, poor Qi and Blood circulation leads to coma, syncope, and vertigo. One must not rashly attribute this to "evil blood embracing the heart" and hastily use blood-dispersing formulas containing Sume, which could be fatal. Simply administering Biosheng Decoction frequently for two or three doses will quickly dissipate the clots, stop the pain, restore mental clarity and vitality, and bring immediate comfort and peace. Herbs that move blood include Sheng Di Huang and Niu Xi; herbs that break blood include San Leng and E Zhu. Popular practices using Shan Zha and rock sugar to dissolve clots, or ginger and Ai Ye (Artemisiae Argyi Folium) wine to relieve pain, often lead to strangury, metrorrhagia, and syncope.
After childbirth, if vision becomes blurred, head feels dizzy and faint, and consciousness is lost, it is termed Blood Syncope (Xue Yun). There are three causes: first, extreme fatigue and exhaustion leading to depleted Qi and clouded spirit; second, massive blood loss leading to impending collapse of Qi; third, Phlegm-Fire taking advantage of deficiency to rise from above and obscure the mind. These three conditions result in the soul failing to interact with the spirit, and bodily functions nearly ceasing. Emergency administration of pre-decocted Biosheng Decoction is required to move clots, alleviate pain, resolve old blood, and generate new blood. This will promptly regenerate blood, restore Qi flow, clarify the spirit, and stabilize the mind. Frequent intake of two or three doses will stabilize the chaotic Qi and Blood. This efficacy is attributed to the generative properties of Chuan Xiong and Chuan Dang Gui. If one rigidly adheres to unrecorded ancient prescriptions, misidentifying syncope as "evil blood rushing up to confuse the heart" and lightly using blood-dispersing agents; or identifying it as Phlegm-Fire and using formulas lacking tonification, resolution, or descending actions, grave errors occur. External treatments such as vinegar and leek juice insufflated into the nose or burning smoke inhalation, as well as moxibustion, should not be delayed. Physicians must not rashly diagnose "blood rushing up to the heart" and use harsh blood-breaking drugs like Sume, nor blindly follow ancient formulas like Mudan Du Ming San (Moutan Life-Taking Powder) to break blood. Exercise utmost caution! Furthermore, at the time of delivery, Biosheng Decoction must be prepared in advance, along with heating a hammer and hard stones. Immediately after the infant is born, administer two or three doses (two decoctions). Keeping vinegar and leek juice, and a hammer with vinegar bottle ready by the pillow, will prevent syncope. Also, upon birth, do not focus solely on the joy of the child while neglecting the mother; the mother must not forget her fatigue while attending to the child; nor should she sleep immediately after delivery, or become angry causing Qi rebellion, as these can all induce syncope. Take note, take note. Attached Prescription:
Modified Biosheng Decoction: Treats three grades of postpartum blood syncope.
Chuan Xiong (3 qian), Chuan Dang Gui (6 qian), Gan Jiang (4 fen, stir-fried until black), Tao Ren (10 grains), Gan Cao (5 qian, honey-fried), Jing Jie (5 fen).
Add three dates, two zhong of water. Decoct to obtain eight parts, take warm, including dregs.
Modifications:
For syncope due to extreme fatigue or Qi collapse from metrorrhagia, rapidly administer two doses. If complexion is pale/depleted or there is excessive sweating indicating collapse, urgently take one dose, then add Ren Shen (Ginseng Radix et Rhizoma) 3-4 qian and Rou Gui (Cinnamomi Cortex) 4 fen. Do not hesitate, fearing that Ren Shen being a tonic acts too slowly. For syncope due to Phlegm rising due to deficiency, add Ju Hong (Citri Reticulatae Pericarpium) 4 fen in the formula; if deficiency is severe, add Ren Shen 2-3 qian; for obese individuals with much phlegm, add Zhu Li (Bambusae Succus) 7 fen, wine 1 zhong, and a little Jiang Zhi (Zingiberis Juice). The above three types of syncope must not be treated with ancient formulas that break blood and deplete Qi. For severe pain from blood clots, concurrently administer Yi Mu Wan. Alternatively, Lu Jiao Hui can be administered, or Xuan Hu San (Corydalis Powder), or Du Shen San (Single Ginseng Powder). Once one formula proves effective, do not change it.
Emergency Modified Biosheng Decoction with Ginseng: Treats postpartum syncope due to depletion of form/color or excessive sweating.
Chuan Xiong (2 qian), Chuan Dang Gui (4 qian), Gan Jiang (4 fen, processed), Tao Ren (10 grains, skin and tip removed), Jing Jie (4 fen), Gan Cao (4 fen, honey-fried), Ren Shen (3 qian).
Add two zhong of water, decoct to obtain eight parts, and take. For severe pain from blood clots, add Rou Gui 5-7 fen; for thirst, add Mai Dong (Ophiopogonis Radix) 1 qian and Wu Wei Zi (Schisandrae Fructus) 10 grains; for excessive sweating, add Ma Huang Gen (Ephedrae Radix et Rhizoma) 1 qian; if clots are not painful, add Huang Qi (Astragali Radix) 1 qian to stop sweating; for dietary injury from flour/rice, add Shen Qu (Massa Medicata Fermentata) 8 fen and Mai Ya (Hordei Fructus Germinatus) 5 fen; for meat injury, add Shan Zha and Sha Ren (Amomi Fructus).