当归（酒洗） 白芍（酒炒） 川芎 熟地黄 陈皮 半夏（姜汁泡炒） 白茯苓（去皮） 枳
壳（麸炒） 桔梗（去芦） 前胡 苏梗 葛根 人参 木香 甘草
上锉散。姜、枣。水煎服。
一产妇咳嗽痰盛。面赤口干。内热晡热。彻作无时。此阴火上炎。当补脾胃。遂用补中
益气汤、六味地黄丸而愈。
一论产妇粪后下血。诸药不应。饮食少思。肢体倦怠。此中气虚弱。用补中益气汤。加
吴茱萸炒黄连五分。四剂顿止。但怔忡少寐。盗汗未止。用归脾汤治之而愈。
一论产后大便不通。因去血过多。大肠干涸。或血虚火燥干涸。可不计其日期饮食数。
多以
药通润之。必待腹满觉胀。自欲去下不能者。乃结在直肠。宜用猪胆汁润之。若服苦寒药润
通
反伤中焦元气。或愈加难通。或通而泻不能止。必成败症。若属血虚火燥。用加味逍遥散。
气血俱虚。八珍汤。慎不可用麻子、杏仁、枳壳之类。
一产前产后大便不通。
当归（酒洗） 川芎 防风（去芦） 枳壳（麸炒各一钱） 甘草（炙二钱）
上锉。姜、枣煎服。忌动风之物。用蜜导之亦妙。
一产后五七日不大便。切不宜妄服丸药。用大麦芽炒为末。每服三钱。沸汤调下。与粥
间服。
一论产后胞损。小便淋漓不止。
人参（二钱五分） 白术（去芦二钱） 白茯苓（去皮一钱） 黄 （蜜炒钱半） 陈皮（一钱）
桃仁（去皮尖一钱） 甘草（炙五分）
上锉一剂。水煎猪羊胞。后入药煎服。
一论妇人子宫肿大。日日损落一片。殊类猪肝。已而面黄体倦。饮食无味。内热晡热
自汗盗汗。用十全大补汤。二十余剂。诸症愈后。仍复生育。
一论产后阴户痛极不可忍。桃仁泡去皮尖。研如泥。涂之即愈。
一论产后阴门痒极不可忍。用食盐一两。涂之亦止。
一论产后阴门不闭。发热恶寒。用十全大补汤加五味子。数剂而寒热退。又用补中益
气汤
加五味子。数剂而敛。若初产肿胀。或 痛而不闭者。用加味逍遥散。若肿既消而不闭者。
补中益气汤。切忌寒凉之剂。阴门不闭。用锻石煎汤。先熏后洗。一方。用荆芥、藿香、臭
椿根皮。煎汤熏洗。
一论产后生肠不收。皆由气虚血弱。所以挂下。但养气和血。其肠自收。
人参 白术（去芦炒） 黄 （蜜炒） 当归 川芎 甘草（炙）
上锉。水煎服。若挂二日。则入升麻五分升提之。日用热手心常熨腰肚。但腰肚气暖。
其肠自收。
一治产后生肠不收。蓖麻子去壳。研成膏。贴头顶心即收。内服补中益气汤。倍升麻。
去柴
胡。加益母草一钱。一论产后因子死。经断不行。一日小腹忽痛。阴户内有物如石硬塞之而
痛不禁。此乃石瘕也。
当归（酒洗） 川芎 白芍（酒炒） 生地黄 桃仁（去皮尖） 红花 大黄 三棱 槟榔
泽泻 香附 元胡索 血竭
水煎。空心服。
一论产后有疾。郁冒则多汗。汗则大便闭。故难用药。唯此药最嘉。
二子饮
苏子 火麻子（去壳）
二味各半合。拣净洗。研极细。用水再研。取汁一杯。分三次煮粥食之。此粥不特产后
可服。大抵老人诸虚人风闭。皆得效。
一论产后阴户肿大。用吴茱萸煎汤洗之。
一产后恶寒发热。余欲用八珍汤加炮姜治之。其家知医。以为风寒。用小柴胡汤。余曰
寒
热不时。乃气血虚。不信。服一剂。汗出不止。谵语不绝。烦热作渴。肢体抽搐。余用十全
大补汤二剂益甚。脉洪大。重按如无。仍以前汤加附子。四剂而安。
一产妇泻痢年余。形体骨立。内热晡热。自汗盗汗。口舌糜烂。口吐痰三碗许。脉洪大
重
按全无。此命门火衰。脾土虚寒而假热。然痰者乃脾虚。不能统摄归原。故用八味丸补火以
生土。用补中益气汤兼补肺金而健其脾胃。
当归（用酒清洗） 白芍（用酒炒制） 川芎 熟地黄 陈皮 半夏（用姜汁浸泡并炒制） 白茯苓（去皮） 枳壳（用麦麸炒制） 桔梗（去除芦头） 前胡 苏梗 葛根 人参 木香 甘草
以上药材切碎成散剂。加入生姜、大枣，用水煎煮后服用。
有一位产妇咳嗽且痰多。面色发红，口干，体内发热，傍晚时分发热加剧，发作没有定时。这是阴火向上炎升，应当补益脾胃。于是使用补中益气汤、六味地黄丸治疗而痊愈。
有一篇论述提到产妇大便后下血，各种药物无效，饮食减少，不想进食，肢体倦怠乏力。这是中气虚弱，使用补中益气汤，加入用吴茱萸炒制的黄连五分，四剂药后出血立刻停止。但仍有心悸失眠、夜间盗汗未止的症状，使用归脾汤治疗而痊愈。
有一篇论述产后大便不通，因为失血过多，大肠干涸；或者是血虚导致火燥使肠道干涸。这种情况不必计较日期和饮食数量，多用药物来通便润肠。必须等到腹部胀满感觉憋胀，想排便却排不出来的情况，才是粪便结在直肠。适宜使用猪胆汁来润肠。如果服用苦寒药物来润通，反而会损伤中焦元气，或者更加难以通便，或者通了之后腹泻不止，必定会导致败症（危重病症）。如果属于血虚火燥，使用加味逍遥散。气血俱虚的，使用八珍汤。千万不要使用麻子、杏仁、枳壳这类药物。
有一篇关于产前产后大便不通的论述。
当归（用酒清洗） 川芎 防风（去除芦头） 枳壳（用麦麸炒制，各一钱） 甘草（炙制，二钱）
以上药材切碎。加入生姜、大枣煎煮服用。忌食动风的食物。使用蜂蜜导便也很巧妙。
有一篇论述产后五到七天不大便。切不可以乱服丸药。使用大麦芽炒成粉末，每次服用三钱，用沸水调服。与喝粥间隔着服用。
有一篇论述产后子宫受损，小便淋漓不尽。
人参（二钱五分） 白术（去除芦头，二钱） 白茯苓（去皮，一钱） 黄芪（蜜炒，钱半） 陈皮（一钱） 桃仁（去皮尖，一钱） 甘草（炙制，五分）
以上药材切碎为一剂。用水煎煮猪或羊的胞衣，然后放入药物一起煎煮服用。
有一篇论述妇人子宫肿大，每天掉落一片，形状极像猪肝。随后出现面色萎黄、身体疲倦、饮食无味、体内发热、傍晚发热、自汗盗汗等症状。使用十全大补汤，二十多剂后，所有症状痊愈，后来仍然能够生育。
有一篇论述产后阴户疼痛剧烈无法忍受。将桃仁浸泡后去皮尖，研磨成泥状，涂抹患处即可痊愈。
有一篇论述产后阴门瘙痒剧烈无法忍受。使用食盐一两，涂抹患处也能止痒。
有一篇论述产后阴门不能闭合，伴有发热恶寒。使用十全大补汤加入五味子，几剂药后寒热退去。又使用补中益气汤加入五味子，几剂药后阴门收敛闭合。如果是初产时肿胀，或者疼痛但不闭合的，使用加味逍遥散。如果肿胀已经消退但不闭合的，使用补中益气汤。切忌使用寒凉的药物。对于阴门不闭，可以用锻石煎汤，先熏蒸后清洗。另一方，使用荆芥、藿香、臭椿根皮，煎汤熏洗。
有一篇论述产后直肠脱垂不收，都是由于气虚血弱，所以直肠挂坠下来。只要调养气和血，直肠自然会收回。
人参 白术（去除芦头并炒制） 黄芪（蜜炒） 当归 川芎 甘草（炙制）
以上药材切碎，用水煎煮服用。如果脱出两天，则加入升麻五分以提升提气。每天用热手掌经常熨烫腰腹部，只要腰腹部气息温暖，直肠自然会收回。
一方治疗产后直肠脱垂不收，将蓖麻子去壳，研磨成膏状，贴在头顶心即可收回。内服补中益气汤，加倍使用升麻，去掉柴胡，加入益母草一钱。
有一篇论述产后因胎儿死亡，月经停止不行。一天小腹突然疼痛，阴户内有物体像石头一样坚硬堵塞，疼痛不禁受。这是石瘕病。
当归（用酒清洗） 川芎 白芍（用酒炒制） 生地黄 桃仁（去皮尖） 红花 大黄 三棱 槟榔 泽泻 香附 元胡索 血竭
用水煎煮，空腹服用。
有一篇论述产后患病，郁冒导致多汗，出汗则大便闭塞，所以难用药治。唯有此药最好。
二子饮
苏子 火麻子（去壳）
这两味药各取半合，拣选干净洗净，研磨得极其细碎，用水再次研磨，取汁液一杯，分三次煮粥食用。这粥不仅产后可以服用，大致上老人各种虚证及风秘便秘，都能见效。
有一篇论述产后阴户肿大，用吴茱萸煎汤清洗患处。
有一例产后恶寒发热，我本想用八珍汤加炮姜治疗。其家属懂医，认为是风寒，使用了小柴胡汤。我说寒热不时发作，是气血虚弱，他们不信。服用一剂后，出汗不止，胡言乱语，烦躁发热口渴，肢体抽搐。我又用了两剂十全大补汤，病情反而加重，脉象洪大，重按却空虚无力。仍然用前面的汤药加入附子，四剂后安定下来。
有一例产妇患痢疾一年多，形体消瘦如骨立，体内发热，傍晚发热加剧，自汗盗汗，口舌糜烂，口吐痰约三碗。脉象洪大，重按完全无感。这是命门火衰，脾土虚寒而产生的假热。然而痰多是因为脾虚，不能统摄归原。所以使用八味丸补火以生土，使用补中益气汤兼补肺金以健运脾胃。
Angelicae Sinensis Radix (Washed with wine) Paeoniae Radix Alba (Stir-fried with wine) Ligusticum Chuanxiong Rhizome Rehmanniae Radix Preparata Chenpi Pinelliae Rhizoma (Soaked in ginger juice and stir-fried) Poria Cocos (Peeled) Aurantii Fructus Immaturus (Stir-fried with bran) Platycodonis Radix (Aerial part removed) Peucedani Radix Perillae Caulis Puerariae Radix Ginseng Radix et Rhizoma Aucklandiae Radix Glycyrrhizae Radix et Rhizoma
The above herbs are crushed into a powder. Add fresh ginger and jujube, decoct with water, and take orally.
A postpartum woman suffered from coughing with profuse phlegm. Her face was red, her mouth dry, she had internal heat, and fever worsened in the late afternoon, occurring at irregular intervals. This was due to Yin fire flaming upward; it was necessary to tonify the Spleen and Stomach. Thus, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) and Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) were used, and she recovered.
In one discussion regarding a postpartum woman who experienced bleeding after defecation which did not respond to various medicines, had poor appetite, and felt limb fatigue, this was identified as deficiency of Middle Qi. Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) was administered, with added Evodiae Fructus-stir-fried Coptidis Rhizoma (0.5 qian). After four doses, the bleeding stopped abruptly. However, palpitations, insomnia, and night sweats persisted. Guipi Tang (Restore the Spleen Decoction) was then used, and she recovered.
Regarding postpartum constipation caused by excessive blood loss leading to dryness of the Large Intestine, or dryness due to Blood deficiency and Fire燥 (dryness), the number of days and dietary intake should not be strictly counted. Medicines that promote bowel movement and moisten dryness should be used frequently. One must wait until abdominal distension is felt and there is an urge to defecate but inability to do so, indicating fecal impaction in the rectum. In such cases, porcine bile is suitable for moistening. If bitter-cold medicines are taken to promote bowel movement, they may damage the Yuan Qi (Original Qi) of the Middle Jiao, making defecation even more difficult, or causing unceasing diarrhea after passage, inevitably leading to a critical condition (Bai Zheng). If it belongs to Blood deficiency with Fire燥, Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) is used. For combined Qi and Blood deficiency, Bazhen Tang (Eight-Treasure Decoction) is used. It is strictly forbidden to use seeds like Hemp Seed (Huo Ma Ren), Apricot Seed (Xing Ren), or Aurantii Fructus Immaturus.
Regarding constipation before and after childbirth:
Angelicae Sinensis Radix (Washed with wine) Ligusticum Chuanxiong Rhizome Saposhnikoviae Radix (Aerial part removed) Aurantii Fructus Immaturus (Stir-fried with bran, each 1 qian) Glycyrrhizae Radix et Rhizoma (Roasted, 2 qian)
Crush the herbs. Decoct with fresh ginger and jujube and take orally. Avoid foods that stir up Wind. Using honey suppositories is also excellent.
Regarding postpartum constipation lasting five to seven days: Do not recklessly administer pill medicines. Use Coeli Globuli Germinatus (Sprouted Hordei Fructus) stir-fried and ground into powder. Take 3 qian per dose, mixed with boiling water. Administer between meals with porridge.
Regarding postpartum uterine injury causing continuous dripping of urine:
Ginseng Radix et Rhizoma (2.5 qian) Atractylodis Macrocephalae Rhizoma (Aerial part removed, 2 qian) Poria Cocos (Peeled, 1 qian) Astragali Membranacei Radix (Honey-roasted, 1.5 qian) Chenpi Peach Kernel (Pulp and tip removed, 1 qian) Glycyrrhizae Radix et Rhizoma (Roasted, 0.5 qian)
Crush one dose. Decoct with pig or sheep bladder in water, then add the herbs and decoct further before taking.
Regarding uterine enlargement in women, where a piece resembling pork liver falls out daily, followed by sallow complexion, physical fatigue, lack of taste in food, internal heat, evening fever, spontaneous sweating, and night sweats: Shiquan Dabu Tang (Ten-Agent Great Tonic Decoction) was used for over twenty doses. All symptoms resolved, and she subsequently regained fertility.
Regarding extreme pain in the vulva after childbirth: Soak Peach Kernel, remove skin and tip, grind into a paste, and apply topically. Healing occurs immediately.
Regarding extreme itching of the vulva after childbirth: Apply one liang of edible salt topically to stop the itching.
Regarding failure of the vulva to close after childbirth, accompanied by fever and aversion to cold: Shiquan Dabu Tang (Ten-Agent Great Tonic Decoction) with added Schisandrae Fructus was used for several doses, resolving the chills and fever. Then, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with added Schisandrae Fructus was used for several doses, resulting in closure. If swelling occurred initially after delivery, or if there was pain without closure, Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) was used. If swelling subsided but closure failed, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) was used. Cold-natured agents must be strictly avoided. For non-closure of the vulva, decoct calcined alum (Duanshi) for fumigation and washing. Another formula uses Schizonepetae Spica, Pogostemonis Herba, and Ailanthi Cortex, decocted for fumigation and washing.
Regarding prolapse of the rectum after childbirth, caused by Qi deficiency and Blood weakness leading to hanging down: Nourishing Qi and nourishing Blood will cause the rectum to retract naturally.
Ginseng Radix et Rhizoma Atractylodis Macrocephalae Rhizoma (Aerial part removed and stir-fried) Astragali Membranacei Radix (Honey-roasted) Angelicae Sinensis Radix Ligusticum Chuanxiong Rhizome Glycyrrhizae Radix et Rhizoma (Roasted)
Crush the herbs, decoct with water, and take orally. If prolapsed for two days, add Cimicifugae Rhizoma (0.5 qian) to lift and raise. Daily warming of the lower back and abdomen with hot palms helps; when the area feels warm, the rectum retracts naturally.
Another treatment for postpartum rectal prolapse: Grind Castor Seed (Ricini Semen) peeled into a paste and apply to the center of the crown of the head to induce retraction. Internally, administer Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with doubled Cimicifugae Rhizoma, removing Cimicifugae Rhizoma (Note: Source says remove Chaihu/Saposhnikoviae, keep Shengma/Cimicifuga), and adding Motherwort Herba (1 qian).
Regarding postpartum condition where fetal death leads to cessation of menstruation, sudden lower abdominal pain, and a stone-hard object blocking the vagina causing unbearable pain: This is Shi Jia (Stone Mass).
Angelicae Sinensis Radix (Washed with wine) Ligusticum Chuanxiong Rhizome Paeoniae Radix Alba (Stir-fried with wine) Rehmanniae Radix Fresh Peach Kernel (Pulp and tip removed) Carthami Flos Rheomi Radix et Rhizoma Sparganii Rhizoma Arecae Semen Alismatis Rhizoma Cyperi Rhizoma Corydalis Rhizoma Dragon's Blood
Decoct with water and take on an empty stomach.
Regarding postpartum illness where Yu Mao (depression and dizziness) causes excessive sweating, leading to constipation, making medication difficult: This remedy is best.
Er Zi Yin (Two-Seeds Decoction)
Perillae Fructus Cannabis Sativa Seed (Shelled)
Take half he of each, clean thoroughly, grind extremely finely, grind again with water, extract one cup of juice, and divide into three portions to cook with porridge. This porridge is suitable not only for postpartum women but also generally effective for elderly patients with various deficiencies and wind-induced constipation.
Regarding postpartum vulvar swelling: Wash with decoction of Evodiae Fructus.
Case of postpartime aversion to cold and fever: I intended to treat with Bazhen Tang (Eight-Treasure Decoction) plus roasted Ginger. The family, knowledgeable in medicine, believed it was Wind-Cold and used Xiaochaihu Tang (Minor Bupleurum Decoction). I stated that irregular chills and fever indicated Qi and Blood deficiency, but they did not believe me. After one dose, they experienced incessant sweating, delirious speech, irritability, thirst, and limb convulsions. I then administered two doses of Shiquan Dabu Tang (Ten-Agent Great Tonic Decoction), which worsened the condition. The pulse was surging and large but empty upon heavy pressure. I reverted to the previous decoction plus Aconiti Lateralis Radix Preparata. After four doses, stability was achieved.
Case of a postpartum woman suffering from dysentery for over a year, emaciated to the point of being skeletal, with internal heat, worsening evening fever, spontaneous and night sweats, oral ulcers, expectoration of approximately three bowls of phlegm, and a surging pulse that vanishes upon heavy pressure: This indicates decline of Mingmen Fire (Gate of Life Fire) and deficiency-cold of the Spleen Earth manifesting as false heat. The phlegm arises because the Spleen is deficient and cannot control the return to origin. Therefore, Bawei Wan (Eight-Ingredient Pill) was used to tonify Fire to generate Earth, and Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) was used to simultaneously tonify Lung Metal and strengthen the Spleen and Stomach.