（附论）
夫产后恶露不断者。盖由脏腑有冷。肺气不调和。既产之后。恶露乘虚不能制约。淋沥
不断。久不已则经血不荣。脐腹坚痛。面色焦黄。气短不足。是其证也。治法宜温补之剂。
凡妊娠当风取凉。则胞络有冷。至于产时其血必少。或新产而又风凉。皆令风冷搏于血。血
则壅滞不得宣通。蓄积在内。则有时恶露不下尽。故腹痛也。
凡妇人大产后。或腹脐腰痛。乃败血恶物之致然也。医者便作虚冷。以燥热药治之。误
人多矣。难经曰。诸痛为实。实者热也。可用导水丸、禹功散。泻三五行。然后以玉烛散。
和血通经。降火益水之药治之。慎不可便服黑神散燥热之药。当同半产治之。
方
桃仁汤（出千金方）治产后往来寒热。恶露不尽。
桃仁（五两） 吴茱萸（二升） 黄 当归 芍药（各三两） 生姜 醍醐（百炼酥）
柴胡
（各八两） 上 咀。以酒一斗水二升合煮。取三升。去滓。适寒温先食服一升。日三。
甘草汤（出千金方）治产乳余血不尽。逆抢心胸。手足逆冷。唇干腹胀。短
气
方。
甘草 芍药 桂心 阿胶（各三两） 大黄（四两） 上 咀。以东流水一斗。煮取三
升。
去滓。内阿胶令烊。分三服。一服入腹中。面即有颜色。一日一夜尽此三升。即下腹中恶血
一二升立瘥。当养之如新产者。
大黄汤（出千金方）治产后恶露不尽。
大黄 当归 甘草 生姜 牡丹 芍药（各三两） 吴茱萸（一升） 上 咀。水一斗。
煮
取四升。去滓。分四服。一日令尽。加人参二两。名人参大黄汤。
蛇黄散（出千金方）治产后血伤不止。或下血痢。以蛇黄二十枚火 醋淬七
遍
。捣罗为散。
蒲黄汤（出千金方）治产后余疾。有积血不出。腹大短气。不得饮食。上冲
胸
胁。时时烦愦
蒲黄（半两） 大黄 芒硝 黄芩 甘草（各一两） 大枣（三十枚） 上 咀。以水
五升。
煮取一升。清朝服至日中下。若不止。进冷粥半盏即止。若不下。与少热饮自下。人羸者半
之。千金翼名大黄汤而不用芒硝。
铜镜鼻汤（出千金方）治产后余疾。恶露不除。积聚作病。血气结搏。心腹疼
痛。
铜镜鼻（十八铢烧末） 大黄（二两半） 芍药 干地黄 芎 干漆 芒硝（各二两）
乱
发（鸡子大烧） 大枣（三十枚） 上 咀。以水七升。煮取二升二合。去滓内发灰、镜鼻
末。
分
小铜镜鼻汤（出千金方）治产后余疾。恶露不除。积聚作病。血气结搏。心
腹
疼痛。
铜镜（十铢烧末） 大黄 甘草 黄芩 芒硝 干地黄（各三两） 桃仁（五十枚） 上
咀。以酒六升。煮取三升。去滓。内镜鼻末分三服。亦治遁尸心腹痛。及三十六尸疾。
栀子汤（出千金方）治产后流血不尽。小腹绞痛。
用栀子三十个。以水一斗。煮取六升。内当归、芍药各二两。蜜五合。生姜五两。羊脂
一两。于栀子汁中。煎取二升。分三服。日三。
生地黄汤 治产后三日至七日。腹中余血未尽。绞痛强满。气息不通。
生地黄（五两） 生姜（三两） 大黄 芍药 茯苓 细辛 桂心 当归 甘草 黄芩
（各
一两半） 大枣（二十枚） 上 咀。以水八升。煮取二升半。去滓分三服。日三。
麻子酒（出千金方）治产后血不去。
用麻子五升捣碎。以酒一斗渍一宿。明旦去滓。温服一升。先食服。不瘥。夜服一升。
不吐不下。忌房事一月。将养如初产法。
升麻汤（出千金方）治产后恶物不尽。或经一月半岁一岁方。
用升麻三两。以清酒五升。煮取二升。去滓。分温二服。当吐下恶物为良。
治产后恶血不尽。腹中绞刺痛不可忍方。（出千金方）
大黄 黄芩 桃仁（各三两） 桂心 甘草 当归（各二两） 芍药（四两） 生地黄
（六两）
上咀。以水九升。煮取二升半。去滓食前分三服。
治产后恶血不除。四体并恶方。（出千金方）
用续骨木二十两。碎如算子大。以水一斗。煮取三升。分三服。相去如人行十里久。间
食粥。或小便数。或恶血下即瘥。此木得三遍煮。
羚羊角散（出肘后方）治产后恶血下不尽。烦闷腹痛。
治产后余血不尽。奔上冲。心烦腹痛。（出千金方）
捣生藕取汁饮二升甚验。一方饮一升。
治产后有血心烦腹痛。（出大全良方）
用生地黄汁不拘多少。以清酒一升。将生地黄汁和煎二十沸。分三服。
又方（出千金方）
用赤小豆捣散。取东流水和服方寸匕。不瘥更服。亦治心闷目不开。
治产后血不可止者方。（出圣惠方）
干菖蒲三两。以酒五升渍。煮取三升。分再服即止。
桃仁汤（出大全良方）治产后恶露方行。忽然渐少。断绝不来。腰中重痛不
止。两腹痛如锥刀刺。痛入骨中。此由血滞于经络。不即通之。有大痛处。必作痈疽。
宜桃仁汤。恐作痈者。预服五香连翘汤。
桃仁（去皮尖） 苏木 生地黄（各半两） 虻虫（去足翅炒） 水蛭（炒各三十个） 上
为粗
末。每服三钱。水一盏。煎至六分。去滓温服。无时候。恶露下即住服。
五香连翘汤 产经治产后恶露不绝者。由产后伤于经血。虚损不足。或分解之时。
恶血不尽
木香 沉香 丁香 乳香 麝香 升麻 独活 桑寄生 连翘 木通（各二两） 上为
粗散。每服五钱。水二盏。入竹沥少许搅停。去滓温服。一方有大黄一两。
疗产后恶露不多。（出大全良方）
川牛膝 大黄（各八分） 牡丹皮 当归（各六分） 芍药 蒲黄 桂心（各四分） 上
为末。生地黄汁调酒服方寸匕。日二服。血下愈。
没药丸（出大全良方）治产后恶露方行。忽然断绝。骤作寒热。脐腹百脉皆
痛如锥刺非常。
当归（一两） 桂心 芍药（各半两） 桃仁（去皮尖炒碎研） 没药（研各一分） 虻
虫（去足翅炒） 水蛭（炒各二十个） 上为末。醋糊丸。如豌豆大。醋汤下三丸。
泽兰汤（出千金方）疗产后恶露不尽。腹痛往来。兼胸满少气。盖产后恶露
不
尽。腹痛者何。答曰产后恶血虽常通行。或因外感五邪。内伤七情。致令渐然而止。余
血停积。壅滞不行。所下不尽。致令腹痛。皆因妊娠当风取凉。则胞络有冷。至于产时
其血必少。或新产时而取风凉。皆令风冷搏于血。血则壅滞不得宣通。蓄积在内。有时
恶露不尽。故令腹痛。急引腰背。
甘草（六分） 大枣（十四个） 上细切。以水九升。煮取三升。分为三服。日三。堕
身欲死。服益瘥。
救急恶露不尽。腹胀痛。
取乱发如鸡子。灰汁洗净。烧为灰。酒调服二钱。
又疗产后血不尽痛闷方。（出肘后方）
取荷叶烧作灰。暖水和服。煮取汁亦良。一方熬令香为末。煎水下方寸匕。
又方（便产须知）治产后下血。及妊娠腹胀。
以铁秤锤一枚。烧赤。投酒五升中。用此酒煮当归三两。取二升。去滓温再服。千金同
一方。无当归。
疗产后下血不尽。腹内坚痛不可忍。（出永类钤方）
当归 芍药 桂心（各三两） 桃仁（一百二十个） 上细切。以水六升。煮取二升。
分温二服。如未瘥。加大黄三两。
治产后恶露不尽。腹痛无计。（出永类钤方）
青木香 当归 牛膝 川芎 黄 芍药（各八分） 大黄（十三分浸） 芒硝（十二
分） 上细切。以水七升。煮取二升。入大黄更煎三沸。分三服。
治产后恶露不尽。结聚。小腹疼痛。（出永类钤方）
当归（三分） 香附子（一两） 琥珀 没药 青皮（醋炒） 赤芍药 木香 桂心（各
半两）
上为细末。以豆淋酒调下一钱。
地黄饮（出拔粹方）治产后恶露不尽。腹内 痛。产后常服甚妙。
生干地黄 当归（并略炒各一两） 生姜（细切如蝇头大新瓦上炒令焦黑半两） 上为
细
末。以姜酒调下一大钱。
紫金丸（一名失笑散出大全良方）治产后恶露不快。腰痛小腹如刺。时作寒
热。头痛不思饮
五灵脂（淘去石沙干醋炒末） 真蒲黄 上以好米醋调五灵脂末。慢火煎成膏子。次以
蒲
黄末搜和丸如樱桃大。每服一丸。水与童子小便各半盏。煎至七分。令药化。温服之。少顷。
再
生地黄汤 治产后余血不尽奔冲。心烦闷腹痛。
没药丸（出大全方）治产后心胸烦躁。恶血不快。
没药（研） 蛮姜 延胡索 干漆（炒） 当归 桂心 牛膝 牡丹皮 干姜（各等分）
上
为细末。醋煮面糊为丸如梧桐子大。煎面汤下十丸至十五丸。
大调经散（出经验良方）治产后血虚。恶露未消。气为败滞。营卫不调。阴
阳
相胜。憎寒发
大豆（一两半炒去皮） 茯神（一两） 真琥珀（一钱） 上为细末。浓煎乌豆紫苏汤
调下。喘急烦满。小便不利者亦可。
治产后秽不尽痛。（出圣惠方）
用玄胡索为末。热酒调下三钱服之。
治产后恶物上潮痞结。大小便不通。（出神效方）
芒硝 蒲黄 细墨（各等分） 上为末。童子小便半盏服之。
玉烛散
以四物汤承气汤等分。水煎去滓食前服。
当归养血丸（出和剂方）治产后恶血不散。发热疼痛。及恶露不快。脐腹坚
胀。并室女经脉
当归 赤芍药 牡丹皮 延胡索（各二两炒） 桂心（一两去皮） 上为末。蜜丸如梧
桐子大。温酒米饮下三十丸。食前温服。痛甚细嚼咽下。
青金散 治妇人产后恶露不快。腰腹疼痛。
当归（一两焙） 甘草（半两炒） 没药 自然铜（三两醋淬） 上为末。每服一钱。
热醋食前调下。
走马散（出海上方）治产后恶露不散。脐下疼。若刀搅几死者。
当归（一两） 红花（二钱半） 苏木（二钱半） 没药（二钱半） 官桂（去皮二钱
半） 上为末。每服三钱。好酒一大盏。煎三五沸。和滓温服食先。
遇仙汤 治恶露不快。肠痛满胀者。血室有冷滞不快。若腹疼如刺者。舒眉煎。恶
心者壮气
当归 桂心（各半两） 白芷 甘草（各三分） 上 咀。水煎食前热服。
治妇人小产。恶物滞注不通。两胁胀满。小腹绞痛不可忍者。或变成干血气。五心
烦热。月
当归 芎 芍药 熟地黄（各一两） 川楝子（和研用） 延胡索（各二两） 上为
末。每服二两重。水八合。好酒大盏。煎至七分。去滓温服。空心服。滓再煎。取下恶物为
妙。
治产后余血不尽。流入腰脚疼痛至甚者。
用五积散加桃仁煎服。一名如神汤。此药速败血去风湿。产后恶露方行。忽然断绝不来。
腰中疼注。两腿刺痛。如锥刀。痛入骨。此由血滞于经络。不即通之。有大痛处。必作痈疽。
宜桃仁汤。恐作痈者。预服五香连翘散。
治产后恶露不快及血晕。
以三月采取益母草洗择令干。于箔上摊曝令干。别用拔断。可长五寸以来。勿用刀。即
置锅中。以水二硕以来。令草上水深二寸三寸。煎煮令益母草烂。水三分减二。漉出草。取
五六斗汁。泻入盆中。澄之半日以来。以绵滤取清汁。盆中滓淀尽弃之。其清汁于小釜中慢
火煎取一斗以来。如稀饧。每取梨许大。热酒和服之。日再服。水和羹粥一二服瘥。如远行
不能稀煎。即更炼可丸。每服之。七日内则疼痛渐瘳。七日平复。
治女子胞中余血不尽欲死者。并治烦闷腹痞。
上方用鹿角烧灰。以清酒调服方寸匕。日三。夜煮 汁调服亦得。不能用 汁。煮水作
汤用之。
治产后犹觉有余血水气。
用黑豆五升。淋酒煎之。令烟绝。出于瓷器中。以酒一斗淬之。
治破产妇滞血。
用鲤鱼烧至烟绝研。酒送下。
治产后秽 下不尽腹疼。
用生姜二斤。以水煮取汁服即出。
治破血。
以渍苎与产妇温服之。
黄芩汤 治产妇腹中满疼。恶露不尽。
黄芩（去黑心） 芍药 赤茯苓（去黑皮） 大黄 熟干地黄（焙各一两） 浓朴（去
皮姜汁炒） 干姜（炮制） 桂（去皮各一两一分） 虻虫（去翅足炒） 甘草（炒） 桃
仁（汤浸去皮尖双仁炒黄各半两） 枳实（去瓤麸炒） 白术（各一两半） 芒硝（一两） 上
粗捣筛。每服三钱。水酒共一盏。煎七分。去滓温服。
地黄汤 治产后腹疼。余血未尽。不进饮食。
芍药 甘草（炙各一两） 丹参（一两半） 上捣筛。每服三钱。水一盏。煎至七分。
去滓入地黄汁一合。蜜半合。生姜汁一合。煎数沸。空心温服。
芎 汤 治产后恶血不下尽。心腹 痛。
芎 （一两半） 大黄（锉炒二两） 芍药（一两半） 黄芩（去心一两） 桂（去皮
一两） 甘草（炙一两） 当归（切焙二两） 熟干地黄（焙一两） 桃仁（汤浸去皮尖双
仁炒黄各半两） 上捣
牡丹饮 治产后腹中恶血不除。苦身强痛。
牡丹皮（一两） 大黄（炒一两） 桂（去皮一两） 桃仁（汤浸去皮尖双仁炒令黄四
十枚） 上捣筛。每服三钱。水一盏。煎至七分。去滓空心温服。
（附论）
产后恶露淋漓不断的，大概是因为脏腑有寒气。肺气不调和，分娩之后，恶露乘虚而下，无法被制约，导致淋漓不断。如果久治不愈，经血不能荣养身体，就会出现脐腹部坚硬疼痛、面色焦黄、气短不足等症状，这就是其证候表现。治疗方法适宜使用温补的药剂。
凡是怀孕期间当风取凉，会导致胞络受寒。到了分娩时，体内的血液必然亏少。或者刚生产完又感受风寒，都会导致风冷与血液相搏结，血液因此壅滞而不能宣通，蓄积在体内，有时会导致恶露排不尽，所以引起腹痛。
凡是妇女在大产之后，出现腹脐或腰部疼痛，这是由败血恶物引起的。医生如果将其当作虚寒证，用燥热药物治疗，误人的情况很多。《难经》说：各种疼痛属于实证，实证多属热证。可以使用导水丸、禹功散，泻下三到五次，然后用玉烛散，配合和血通经、降火益水的药物进行治疗。千万不要立即服用黑神散等燥热药物，应当像治疗小产一样来处理。
方剂
桃仁汤（出自《千金方》），治疗产后往来寒热，恶露不尽。
药材：桃仁（五两）、吴茱萸（二升）、黄芩、当归、芍药（各三两）、生姜、醍醐（百炼酥）、柴胡（各八两）。
制法用法：将药材切碎，用酒一斗、水二升合煮，取汁三升，去渣。待温度适宜，饭前服一升，每日三次。
甘草汤（出自《千金方》），治疗产后余血不尽，逆冲心胸，手足逆冷，唇干腹胀，气短。
药材：甘草、芍药、桂心、阿胶（各三两）、大黄（四两）。
制法用法：将药材切碎，用东流水一斗煮取三升，去渣。加入阿胶使其溶化，分三次服用。药入腹中，面色即会恢复红润。一日一夜服完这三升，即可排出腹中一二升恶血，立见痊愈。调养方法如同新产妇人。
大黄汤（出自《千金方》），治疗产后恶露不尽。
药材：大黄、当归、甘草、生姜、牡丹皮、芍药（各三两）、吴茱萸（一升）。
制法用法：将药材切碎，用水一斗煮取四升，去渣，分四次服用，一天内服完。若加入人参二两，则称为人参大黄汤。
蛇黄散（出自《千金方》），治疗产后血伤不止，或下血痢。
药材：蛇黄二十枚。
制法用法：将蛇黄用火煅烧，用醋淬七遍，捣碎过筛为散剂。
蒲黄汤（出自《千金方》），治疗产后余疾，有积血不出，腹部胀大，气短，不能饮食，气血上冲胸胁，时时烦闷。
药材：蒲黄（半两）、大黄、芒硝、黄芩、甘草（各一两）、大枣（三十枚）。
制法用法：将药材切碎，用水五升煮取一升，清晨服用，至中午时大便通畅。如果仍未通便，喝半盏冷粥即可停止（指停止服药或缓解症状，此处语境似指通过冷粥辅助或调整，原文“进冷粥半盏即止”通常指若不下利则停服或止呕，结合上下文“若不下”看，此处意指若未排便，可尝试其他方法；若已排便则止。注：中医古籍中“止”有时指停止服药，有时指症状停止。根据“若不下...自下”，推测“止”可能指停止继续强力攻下或指症状缓解。此处直译：若未排便，给少许热饮使其自行排出）。体弱之人减半服用。《千金翼方》将此方名为大黄汤，但不使用芒硝。
铜镜鼻汤（出自《千金方》），治疗产后余疾，恶露不除，积聚成病，血气结搏，心腹疼痛。
药材：铜镜鼻（十八铢，烧后研末）、大黄（二两半）、芍药、干地黄、川芎、干漆、芒硝（各二两）、乱发（如鸡蛋大小，烧成灰）、大枣（三十枚）。
制法用法：将药材切碎，用水七升煮取二升二合，去渣。加入发灰和镜鼻末，分次服用。
小铜镜鼻汤（出自《千金方》），治疗产后余疾，恶露不除，积聚成病，血气结搏，心腹疼痛。
药材：铜镜（十铢，烧后研末）、大黄、甘草、黄芩、芒硝、干地黄（各三两）、桃仁（五十枚）。
制法用法：将药材切碎，用酒六升煮取三升，去渣。加入镜鼻末，分三次服用。也可治疗遁尸心腹痛及三十六种尸疰疾病。
栀子汤（出自《千金方》），治疗产后流血不尽，小腹绞痛。
药材：栀子三十个。
制法用法：用水一斗煮取六升，加入当归、芍药各二两，蜜五合，生姜五两，羊脂一两，放入栀子汁中煎取二升，分三次服用，每日三次。
生地黄汤，治疗产后第三日至第七日，腹中余血未尽，绞痛强满，气息不通。
药材：生地黄（五两）、生姜（三两）、大黄、芍药、茯苓、细辛、桂心、当归、甘草、黄芩（各一两半）、大枣（二十枚）。
制法用法：将药材切碎，用水八升煮取二升半，去渣，分三次服用，每日三次。
麻子酒（出自《千金方》），治疗产后血不去。
药材：麻子五升。
制法用法：将麻子捣碎，用酒一斗浸泡一夜，次日早晨去渣，温服一升，饭前服用。若未痊愈，夜间再服一升。若不吐不泻，忌房事一个月，调养方法如初产。
升麻汤（出自《千金方》），治疗产后恶物不尽，有的甚至经过一月、半年、一年才排出。
药材：升麻三两。
制法用法：用清酒五升煮取二升，去渣，分两次温服。若能吐出或排出恶物为良效。
治疗产后恶血不尽，腹中绞刺痛不可忍受的方子。（出自《千金方》）
药材：大黄、黄芩、桃仁（各三两）、桂心、甘草、当归（各二两）、芍药（四两）、生地黄（六两）。
制法用法：将药材切碎，用水九升煮取二升半，去渣，饭前分三次服用。
治疗产后恶血不除，四肢皆痛的方子。（出自《千金方》）
药材：续骨木二十两。
制法用法：将续骨木切碎如算子大小，用水一斗煮取三升，分三次服用，间隔时间相当于人行十里路的时间。中间可吃些粥。如果出现小便频数，或恶血排出，即可痊愈。这种木材经过三次煎煮有效。
治疗产后余血不尽，奔上冲逆，心烦腹痛。（出自《千金方》）
药材：生藕。
制法用法：捣取生藕汁饮用二升，效果很好。另一说法是饮用一升。
治疗产后有血致心烦腹痛。（出自《大全良方》）
药材：生地黄汁。
制法用法：取生地黄汁不拘多少，用清酒一升，将生地黄汁与酒一起煎煮二十沸，分三次服用。
又一方（出自《千金方》）
药材：赤小豆。
制法用法：将赤小豆捣碎成散，用东流水调和服用方寸匕。若未痊愈，再次服用。也可治疗心闷、眼睛睁不开。
治疗产后血不可止的方子。（出自《圣惠方》）
药材：干菖蒲三两。
制法用法：用酒五升浸泡，煮取三升，分两次服用即可止血。
桃仁汤（出自《大全良方》），治疗产后恶露刚开始行，忽然逐渐减少，断绝不来，腰部沉重疼痛不止，两腹痛如锥刀刺，痛入骨中。这是由于血滞于经络，不及时疏通，有大痛处，必定会形成痈疽。适宜用桃仁汤。担心形成痈疽的，预先服用五香连翘汤。
药材：桃仁（去皮尖）、苏木、生地黄（各半两）、虻虫（去足翅炒）、水蛭（炒，各三十个）。
制法用法：将药材制成粗末，每次服用三钱，用水一盏，煎至六分，去渣温服，不限时候。恶露下行后即停止服用。
五香连翘汤，《产经》记载治疗产后恶露不绝。原因是产后损伤经血，虚损不足，或在分娩分解之时，恶血未尽。
药材：木香、沉香、丁香、乳香、麝香、升麻、独活、桑寄生、连翘、木通（各二两）。
制法用法：将药材制成粗散，每次服用五钱，用水二盏，加入少许竹沥搅匀，去渣温服。另一版本有一两大黄。
治疗产后恶露不多。（出自《大全良方》）
药材：川牛膝、大黄（各八分）、牡丹皮、当归（各六分）、芍药、蒲黄、桂心（各四分）。
制法用法：将药材研末，用生地黄汁调酒服用方寸匕，每日两次，血下则愈。
没药丸（出自《大全良方》），治疗产后恶露刚开始行，忽然断绝，骤发寒热，脐腹百脉皆痛如锥刺，非常剧烈。
药材：当归（一两）、桂心、芍药（各半两）、桃仁（去皮尖炒碎研）、没药（研，各一分）、虻虫（去足翅炒）、水蛭（炒，各二十个）。
制法用法：将药材研末，用醋糊制作成丸，如豌豆大小。用醋汤送服三丸。
泽兰汤（出自《千金方》），治疗产后恶露不尽，腹痛往来，兼有胸满少气。问：产后恶露不尽，腹痛的原因是什么？答曰：产后恶血虽然常通行，或因外感五邪，内伤七情，导致渐然而止，余血停积，壅滞不行，所下不尽，导致腹痛。这都是因为妊娠期间当风取凉，导致胞络有冷，到了分娩时血液必少，或者新产时取风凉，都令风冷与血相搏，血则壅滞不得宣通，蓄积在内，有时恶露不尽，所以令腹痛，急引腰背。
药材：甘草（六分）、大枣（十四个）。
制法用法：将药材细切，用水九升煮取三升，分为三次服用，每日三次。若因堕胎欲死，服用此药更有益处。
救急恶露不尽，腹胀痛。
药材：乱发如鸡蛋大小。
制法用法：用灰汁洗净，烧成灰，用酒调服二钱。
又治疗产后血不尽痛闷的方子。（出自《肘后方》）
药材：荷叶。
制法用法：将荷叶烧作灰，用暖水和服。煮取汁也良好。另一说法是熬香研末，用水煎下方寸匕。
又一方（出自《便产须知》），治疗产后下血，及妊娠腹胀。
药材：铁秤锤一枚。
制法用法：将铁秤锤烧红，投入五升酒中，用此酒煮当归三两，取二升，去渣温服两次。《千金方》同此方，只是没有当归。
治疗产后下血不尽，腹内坚痛不可忍受。（出自《永类钤方》）
药材：当归、芍药、桂心（各三两）、桃仁（一百二十个）。
制法用法：将药材细切，用水六升煮取二升，分两次温服。如果未痊愈，加大黄三两。
治疗产后恶露不尽，腹痛无计。（出自《永类钤方》）
药材：青木香、当归、牛膝、川芎、黄芩、芍药（各八分）、大黄（十三分，浸）、芒硝（十二分）。
制法用法：将药材细切，用水七升煮取二升，加入大黄再煎三沸，分三次服用。
治疗产后恶露不尽，结聚，小腹疼痛。（出自《永类钤方》）
药材：当归（三分）、香附子（一两）、琥珀、没药、青皮（醋炒）、赤芍药、木香、桂心（各半两）。
制法用法：将药材制成细末，用豆淋酒调下一钱。
地黄饮（出自《拔粹方》），治疗产后恶露不尽，腹内隐痛。产后常服甚妙。
药材：生干地黄、当归（略炒，各一两）、生姜（细切如蝇头大，在新瓦上炒令焦黑，半两）。
制法用法：将药材制成细末，用姜酒调下一大钱。
紫金丸（一名失笑散，出自《大全良方》），治疗产后恶露不快，腰痛，小腹如刺，时作寒热，头痛不思饮。
药材：五灵脂（淘去石沙，干醋炒末）、真蒲黄。
制法用法：用好米醋调五灵脂末，慢火煎成膏子，再加入蒲黄末混合，制成如樱桃大小的丸。每次服用一丸，用水和童子小便各半盏，煎至七分，使药化开，温服。稍后，再生地黄汤
没药丸（出自《大全方》），治疗产后心胸烦躁，恶血不快。
药材：没药（研）、蛮姜、延胡索、干漆（炒）、当归、桂心、牛膝、牡丹皮、干姜（各等分）。
制法用法：将药材制成细末，用醋煮面糊为丸，如梧桐子大。煎面汤送下十丸至十五丸。
大调经散（出自《经验良方》），治疗产后血虚，恶露未消，气为败滞，营卫不调，阴阳相胜，憎寒发热。
药材：大豆（一两半，炒去皮）、茯神（一两）、真琥珀（一钱）。
制法用法：将药材制成细末，用浓煎乌豆紫苏汤调下。喘急烦满、小便不利者也可用。
治疗产后秽物不尽痛。（出自《圣惠方》）
药材：玄胡索。
制法用法：研末，用热酒调下三钱服用。
治疗产后恶物上潮痞结，大小便不通。（出自《神效方》）
药材：芒硝、蒲黄、细墨（各等分）。
制法用法：将药材研末，用童子小便半盏服用。
当归养血丸（出自《和剂方》），治疗产后恶血不散，发热疼痛，及恶露不快，脐腹坚胀，并适用于室女经脉不调。
药材：当归、赤芍药、牡丹皮、延胡索（各二两，炒）、桂心（一两，去皮）。
制法用法：将药材研末，蜜丸如梧桐子大。温酒或米饮送下三十丸，饭前温服。痛甚时细嚼咽下。
青金散，治疗妇人产后恶露不快，腰腹疼痛。
药材：当归（一两，焙）、甘草（半两，炒）、没药、自然铜（三两，醋淬）。
制法用法：将药材研末，每次服用一钱，热醋在饭前调下。
走马散（出自《海上方》），治疗产后恶露不散，脐下疼，若刀搅几死者。
药材：当归（一两）、红花（二钱半）、苏木（二钱半）、没药（二钱半）、官桂（去皮，二钱半）。
制法用法：将药材研末，每次服用三钱，用好酒一大盏，煎三五沸，和滓温服，饭前服用。
遇仙汤，治疗恶露不快，肠痛满胀者，血室有冷滞不快，若腹疼如刺者，舒眉煎，恶心者壮气。
药材：当归、桂心（各半两）、白芷、甘草（各三分）。
制法用法：将药材切碎，水煎，饭前热服。
治疗妇人小产，恶物滞注不通，两胁胀满，小腹绞痛不可忍者。或变成干血气，五心烦热，月经...
药材：当归、川芎、芍药、熟地黄（各一两）、川楝子（和研用）、延胡索（各二两）。
制法用法：将药材研末，每次服用二两重，用水八合，好酒一大盏，煎至七分，去渣温服，空心服用。药渣再煎，以下出恶物为妙。
治疗产后余血不尽，流入腰脚疼痛至甚者。
药材：五积散加桃仁。
制法用法：煎服，一名如神汤。此药速败血去风湿。产后恶露刚开始行，忽然断绝不来，腰部疼痛注下，两腿刺痛，如锥刀，痛入骨。这是由于血滞于经络，不及时疏通，有大痛处，必定会形成痈疽。适宜用桃仁汤。担心形成痈疽的，预先服用五香连翘散。
治疗产后恶露不快及血晕。
药材：三月采取的益母草。
制法用法：洗择令干，在箔上摊曝令干，别用拔断，可长五寸以来，勿用刀。即置锅中，以水二硕以来，令草上水深二寸三寸，煎煮令益母草烂，水三分减二，漉出草，取五六斗汁，泻入盆中，澄之半日以来，以绵滤取清汁，盆中滓淀尽弃之。其清汁于小釜中慢火煎取一斗以来，如稀饧。每取梨许大，热酒和服之，日再服。水和羹粥一二服瘥。如远行不能稀煎，即更炼可丸。每服之，七日内则疼痛渐瘳，七日平复。
治疗女子胞中余血不尽欲死者。并治烦闷腹痞。
药材：鹿角。
制法用法：烧灰，用清酒调服方寸匕，日三次。夜间煮汁调服亦得。不能用汁，煮水作汤用之。
治疗产后犹觉有余血水气。
药材：黑豆五升。
制法用法：淋酒煎之，令烟绝，出于瓷器中，以酒一斗淬之。
治疗产后秽物下不尽腹疼。
药材：生姜二斤。
制法用法：以水煮取汁服即出。
治疗破血。
药材：渍苎。
制法用法：与产妇温服之。
黄芩汤，治疗产妇腹中满疼，恶露不尽。
药材：黄芩（去黑心）、芍药、赤茯苓（去黑皮）、大黄、熟干地黄（焙，各一两）、浓朴（去皮姜汁炒）、干姜（炮制）、桂（去皮，各一两一分）、虻虫（去翅足炒）、甘草（炒）、桃仁（汤浸去皮尖双仁炒黄，各半两）、枳实（去瓤麸炒）、白术（各一两半）、芒硝（一两）。
制法用法：将药材粗捣筛，每次服用三钱，水酒共一盏，煎七分，去渣温服。
地黄汤，治疗产后腹疼，余血未尽，不进饮食。
药材：芍药、甘草（炙，各一两）、丹参（一两半）。
制法用法：将药材捣筛，每次服用三钱，水一盏，煎至七分，去渣入地黄汁一合，蜜半合，生姜汁一合，煎数沸，空心温服。
川芎汤，治疗产后恶血不下尽，心腹疼痛。
药材：川芎（一两半）、大黄（锉炒，二两）、芍药（一两半）、黄芩（去心，一两）、桂（去皮，一两）、甘草（炙，一两）、当归（切焙，二两）、熟干地黄（焙，一两）、桃仁（汤浸去皮尖双仁炒黄，各半两）。
制法用法：将药材捣...
牡丹饮，治疗产后腹中恶血不除，苦身强痛。
药材：牡丹皮（一两）、大黄（炒，一两）、桂（去皮，一两）、桃仁（汤浸去皮尖双仁炒令黄，四十枚）。
制法用法：将药材捣筛，每次服用三钱，水一盏，煎至七分，去渣空心温服。
(Attached Discussion)
Postpartum lochia that flows continuously is generally caused by cold in the zang-fu organs. When the Lung Qi is not harmonious, after childbirth, the lochia descends due to deficiency and cannot be restrained, resulting in continuous dripping. If it persists for a long time without healing, the menstrual blood fails to nourish the body, leading to hard and painful pain in the umbilical and abdominal regions, sallow and scorched complexion, and shortness of breath. These are the manifestations of this syndrome. The treatment method should preferably use warming and tonifying formulas.
Whenever one catches wind and seeks coolness during pregnancy, cold enters the Bao Luo (uterine collaterals). By the time of delivery, the blood must be scant. Or if one is exposed to wind and cold immediately after childbirth, all these cause wind-cold to contend with the blood. The blood becomes stagnant and obstructed, unable to circulate freely, accumulating inside. Sometimes this leads to incomplete expulsion of lochia, thus causing abdominal pain.
For women after major childbirth, if there is pain in the abdomen, navel, or lower back, it is caused by failed blood and foul matter. Physicians often mistake this for deficiency-cold and treat it with drying-hot medicines, which has misled many people. The *Nan Jing* states: "All pains belong to excess; excess conditions are often heat." One may use Dao Shui Wan (Water-Guiding Pill) or Yu Gong San (Yu's Powder) to induce bowel movements three to five times. Then, use Yu Zhu San (Jade Candle Powder) combined with herbs that harmonize blood, unblock meridians, descend fire, and benefit water. One must be cautious about immediately taking Hei Shen San (Black Divine Powder) or other drying-hot medicines. It should be treated similarly to miscarriage.
Formulas
Tao Ren Tang (Peach Kernel Decoction) [from *Qian Jin Fang*]: Treats alternating chills and fever postpartum, and incomplete lochia.
Ingredients: Tao Ren (Peach Kernel, 5 liang), Wu Zhu Yu (Evodia Fruit, 2 sheng), Huang Qin (Scutellaria Root, 3 liang), Dang Gui (Angelica Sinensis, 3 liang), Shao Yao (Peony Root, 3 liang), Sheng Jiang (Fresh Ginger, 8 liang), Ti Hu (Clarified Butter/Ghee, 8 liang), Chai Hu (Bupleurum Root, 8 liang).
Preparation and Administration: Coarsely crush the herbs. Boil with 1 dou of wine and 2 sheng of water until reduced to 3 sheng. Strain. Take 1 sheng warm before meals, three times daily.
Gan Cao Tang (Licorice Decoction) [from *Qian Jin Fang*]: Treats residual blood postpartum not fully expelled, rushing upward to the chest and heart, cold extremities, dry lips, abdominal distension, and shortness of breath.
Ingredients: Gan Cao (Licorice Root, 3 liang), Shao Yao (Peony Root, 3 liang), Gui Xin (Cinnamon Twig Heart, 3 liang), E Jiao (Donkey-Hide Gelatin, 3 liang), Da Huang (Rhubarb Root, 4 liang).
Preparation and Administration: Coarsely crush the herbs. Boil with 1 dou of flowing water from the east until reduced to 3 sheng. Strain. Add E Jiao and melt it. Divide into three doses. After ingestion, the facial color will recover. Consuming these 3 sheng within one day and night will expel 1-2 sheng of foul blood from the abdomen, leading to immediate recovery. Nourish the body as one would after a new birth.
Da Huang Tang (Rhubarb Decoction) [from *Qian Jin Fang*]: Treats incomplete lochia postpartum.
Ingredients: Da Huang (Rhubarb Root, 3 liang), Dang Gui (Angelica Sinensis, 3 liang), Gan Cao (Licorice Root, 3 liang), Sheng Jiang (Fresh Ginger, 3 liang), Mu Dan Pi (Moutan Cortex, 3 liang), Shao Yao (Peony Root, 3 liang), Wu Zhu Yu (Evodia Fruit, 1 sheng).
Preparation and Administration: Coarsely crush the herbs. Boil with 1 dou of water until reduced to 4 sheng. Strain. Divide into four doses, consumed within one day. If added with 2 liang of Ren Shen (Ginseng Root), it is called Ren Shen Da Huang Tang.
She Huang San (Snake Yellow Powder) [from *Qian Jin Fang*]: Treats unceasing bleeding due to blood injury postpartum, or bloody dysentery.
Ingredients: She Huang (Snake Gallstone/Yellow, 20 pieces).
Preparation and Administration: Calcine the She Huang using fire, quenching it in vinegar seven times. Crush and sieve into a powder.
Pu Huang Tang (Typha Pollen Decoction) [from *Qian Jin Fang*]: Treats residual ailments postpartum, where accumulated blood is not expelled, causing abdominal distension, shortness of breath, inability to eat, upward rushing to the chest and hypochondrium, and frequent irritability.
Ingredients: Pu Huang (Typha Pollen, 0.5 liang), Da Huang (Rhubarb Root, 1 liang), Mang Xiao (Mirabilite, 1 liang), Huang Qin (Scutellaria Root, 1 liang), Gan Cao (Licorice Root, 1 liang), Da Zao (Jujube, 30 pieces).
Preparation and Administration: Coarsely crush the herbs. Boil with 5 sheng of water until reduced to 1 sheng. Take in the morning; stool should pass by noon. If it does not pass, take half a cup of cold congee to stop [the medication/symptoms]. If it still does not pass, give a little hot drink to facilitate passage. For frail persons, reduce the dose by half. *Qian Jin Yi Fang* names this Da Huang Tang but excludes Mang Xiao.
Tong Jing Bi Tang (Bronze Mirror Nose Decoction) [from *Qian Jin Fang*]: Treats residual ailments postpartum, where lochia is not cleared, accumulation forms disease, blood and qi knot together, causing heart and abdominal pain.
Ingredients: Tong Jing Bi (Bronze Mirror Nose/Handle, 18 zhu, calcined and powdered), Da Huang (Rhubarb Root, 2.5 liang), Shao Yao (Peony Root, 2 liang), Gan Di Huang (Rehmannia Root, 2 liang), Xiong Duan (Ligusticum Rhizome, 2 liang), Gan Qi (Dry Lacquer, 2 liang), Mang Xiao (Mirabilite, 2 liang), Luan Fa (Disordered Hair, size of an egg, calcined to ash), Da Zao (Jujube, 30 pieces).
Preparation and Administration: Coarsely crush the herbs. Boil with 7 sheng of water until reduced to 2.2 sheng. Strain. Add the hair ash and mirror nose powder. Divide into small doses.
Xiao Tong Jing Bi Tang (Small Bronze Mirror Nose Decoction) [from *Qian Jin Fang*]: Treats residual ailments postpartum, where lochia is not cleared, accumulation forms disease, blood and qi knot together, causing heart and abdominal pain.
Ingredients: Tong Jing (Bronze Mirror, 10 zhu, calcined and powdered), Da Huang (Rhubarb Root, 3 liang), Gan Cao (Licorice Root, 3 liang), Huang Qin (Scutellaria Root, 3 liang), Mang Xiao (Mirabilite, 3 liang), Gan Di Huang (Rehmannia Root, 3 liang), Tao Ren (Peach Kernel, 50 pieces).
Preparation and Administration: Coarsely crush the herbs. Boil with 6 sheng of wine until reduced to 3 sheng. Strain. Add the mirror nose powder. Divide into three doses. Also treats Dun Shi (Hidden Corpse) heart and abdominal pain, and thirty-six types of Shi diseases.
Zhi Zi Tang (Gardenia Decoction) [from *Qian Jin Fang*]: Treats incomplete bleeding postpartum, severe cramping pain in the lower abdomen.
Ingredients: Zhi Zi (Gardenia Fruit, 30 pieces).
Preparation and Administration: Boil 30 Gardenia fruits in 1 dou of water until reduced to 6 sheng. Add Dang Gui (2 liang), Shao Yao (2 liang), Mi (Honey, 5 he), Sheng Jiang (Fresh Ginger, 5 liang), Yang Zhi (Mutton Fat, 1 liang) into the Gardenia juice. Simmer until reduced to 2 sheng. Divide into three doses, taken three times daily.
Sheng Di Huang Tang (Rehmannia Decoction): Treats days 3 to 7 postpartum, where residual blood in the abdomen is not fully expelled, causing severe cramping pain, fullness, and blocked breathing.
Ingredients: Sheng Di Huang (Fresh Rehmannia Root, 5 liang), Sheng Jiang (Fresh Ginger, 3 liang), Da Huang (Rhubarb Root, 1.5 liang), Shao Yao (Peony Root, 1.5 liang), Fu Ling (Poria, 1.5 liang), Xi Xin (Asarum, 1.5 liang), Gui Xin (Cinnamon Twig Heart, 1.5 liang), Dang Gui (Angelica Sinensis, 1.5 liang), Gan Cao (Licorice Root, 1.5 liang), Huang Qin (Scutellaria Root, 1.5 liang), Da Zao (Jujube, 20 pieces).
Preparation and Administration: Coarsely crush the herbs. Boil with 8 sheng of water until reduced to 2.5 sheng. Strain. Divide into three doses, taken three times daily.
Ma Zi Jiu (Hemp Seed Wine) [from *Qian Jin Fang*]: Treats retained blood postpartum.
Ingredients: Ma Zi (Hemp Seeds, 5 sheng).
Preparation and Administration: Crush the hemp seeds. Soak in 1 dou of wine overnight. In the morning, strain. Take 1 sheng warm before meals. If not cured, take 1 sheng at night. If there is no vomiting or diarrhea, abstain from sexual intercourse for one month. Nourish the body according to the methods for a new birth.
Sheng Ma Tang (Cimicifuga Decoction) [from *Qian Jin Fang*]: Treats incomplete expulsion of foul matter postpartum, which may take one month, half a year, or even a year.
Ingredients: Sheng Ma (Cimicifuga Rhizome, 3 liang).
Preparation and Administration: Boil in 5 sheng of clear wine until reduced to 2 sheng. Strain. Divide into two warm doses. Expelling foul matter via vomiting or defecation indicates a good effect.
Formula for treating unbearable twisting and stabbing pain in the abdomen due to incomplete expulsion of evil blood postpartum. [from *Qian Jin Fang*]
Ingredients: Da Huang (Rhubarb Root, 3 liang), Huang Qin (Scutellaria Root, 3 liang), Tao Ren (Peach Kernel, 3 liang), Gui Xin (Cinnamon Twig Heart, 2 liang), Gan Cao (Licorice Root, 2 liang), Dang Gui (Angelica Sinensis, 2 liang), Shao Yao (Peony Root, 4 liang), Sheng Di Huang (Fresh Rehmannia Root, 6 liang).
Preparation and Administration: Coarsely crush the herbs. Boil with 9 sheng of water until reduced to 2.5 sheng. Strain. Divide into three doses before meals.
Formula for treating pain in all four limbs due to incomplete expulsion of evil blood postpartum. [from *Qian Jin Fang*]
Ingredients: Xu Gu Mu (Wood of Continuing Bone, 20 liang).
Preparation and Administration: Cut the wood into pieces the size of counting rods. Boil in 1 dou of water until reduced to 3 sheng. Divide into three doses. Space the doses by the time it takes a person to walk ten li. Eat congee in between. If urination becomes frequent or evil blood is discharged, recovery occurs. This wood is effective after being boiled three times.
Ling Yang Jiao San (Antelope Horn Powder) [from *Zhou Hou Fang*]: Treats incomplete expulsion of evil blood postpartum, irritability, and abdominal pain.
Formula for treating residual blood not fully expelled postpartum, rushing upward, causing heart irritability and abdominal pain. [from *Qian Jin Fang*]
Ingredients: Sheng Ou (Fresh Lotus Root).
Preparation and Administration: Crush fresh lotus root and drink 2 sheng of the juice; this is very effective. Another prescription says to drink 1 sheng.
Formula for treating heart irritability and abdominal pain due to blood postpartum. [from *Da Quan Liang Fang*]
Ingredients: Sheng Di Huang Zhi (Juice of Fresh Rehmannia Root).
Preparation and Administration: Take an appropriate amount of fresh rehmannia juice. Boil with 1 sheng of clear wine, simmering the juice and wine together for twenty boils. Divide into three doses.
Another Formula [from *Qian Jin Fang*]
Ingredients: Chi Xiao Dou (Red Adzuki Bean).
Preparation and Administration: Crush red adzuki beans into a powder. Mix with flowing water from the east and take one cun bi (measure). If not cured, take again. Also treats chest oppression and inability to open the eyes.
Formula for stopping uncontrollable bleeding postpartum. [from *Sheng Hui Fang*]
Ingredients: Gan Chang Pu (Dried Acorus Rhizome, 3 liang).
Preparation and Administration: Soak in 5 sheng of wine, boil until reduced to 3 sheng. Divide into two doses to stop bleeding.
Tao Ren Tang (Peach Kernel Decoction) [from *Da Quan Liang Fang*]: Treats lochia that starts flowing but suddenly decreases and stops, accompanied by heavy pain in the waist and stabbing pain in both sides of the abdomen penetrating to the bone. This is due to blood stagnation in the collaterals. If not unblocked promptly, severe pain points will likely develop into abscesses. Use Tao Ren Tang. To prevent abscess formation, pre-administer Wu Xiang Lian Qiao Tang.
Ingredients: Tao Ren (Peach Kernel, peeled and pitted, 0.5 liang), Su Mu (Sappan Wood, 0.5 liang), Sheng Di Huang (Fresh Rehmannia Root, 0.5 liang), Meng Chong (Blue Bottle Fly Larva, feet and wings removed, stir-fried), Shui Zhi (Leech, stir-fried, 30 each).
Preparation and Administration: Make into coarse powder. Take 3 qian per dose. Add 1 zhan of water, decoct until 0.6 remains. Strain and take warm. No specific timing. Stop taking once lochia flows.
Wu Xiang Lian Qiao Tang (Five Fragrances Forsythia Decoction): Recorded in *Chan Jing* for treating continuous lochia postpartum. Cause: Injury to menstrual blood postpartum, deficiency and insufficiency, or incomplete expulsion of evil blood during delivery.
Ingredients: Mu Xiang (Aucklandia Root, 2 liang), Chen Xiang (Agarwood, 2 liang), Ding Xiang (Clove, 2 liang), Ru Xiang (Frankincense, 2 liang), She Xiang (Musk, 2 liang), Sheng Ma (Cimicifuga Rhizome, 2 liang), Du Huo (Angelica Pubescens, 2 liang), Sang Ji Sheng (Taxillus Stem, 2 liang), Lian Qiao (Forsythia Fruit, 2 liang), Mu Tong (Akebia Stem, 2 liang).
Preparation and Administration: Make into coarse powder. Take 5 qian per dose. Add 2 zhan of water and a little Zhu Li (Bamboo Sap), stir well. Strain and take warm. Another version includes 1 liang of Da Huang.
Formula for treating scant lochia postpartum. [from *Da Quan Liang Fang*]
Ingredients: Chuan Niu Xi (Cyathula Root, 0.8 fen), Da Huang (Rhubarb Root, 0.8 fen), Mu Dan Pi (Moutan Cortex, 0.6 fen), Dang Gui (Angelica Sinensis, 0.6 fen), Shao Yao (Peony Root, 0.4 fen), Pu Huang (Typha Pollen, 0.4 fen), Gui Xin (Cinnamon Twig Heart, 0.4 fen).
Preparation and Administration: Make into powder. Mix with Sheng Di Huang juice and wine, take one cun bi. Take twice daily. Recovery when blood is discharged.
Mo Yao Wan (Myrrh Pill) [from *Da Quan Liang Fang*]: Treats lochia that starts then suddenly stops, with sudden chills and fever, and piercing pain throughout the abdomen and meridians.
Ingredients: Dang Gui (Angelica Sinensis, 1 liang), Gui Xin (Cinnamon Twig Heart, 0.5 liang), Shao Yao (Peony Root, 0.5 liang), Tao Ren (Peach Kernel, peeled, pitted, stir-fried, crushed, ground, 0.1 fen), Mo Yao (Myrrh, ground, 0.1 fen), Meng Chong (Blue Bottle Fly Larva, feet and wings removed, stir-fried), Shui Zhi (Leech, stir-fried, 20 each).
Preparation and Administration: Make into powder. Bind with vinegar paste into pills the size of pea grains. Take 3 pills with vinegar broth.
Ze Lan Tang (Euphrasia Decoction) [from *Qian Jin Fang*]: Treats incomplete lochia postpartum, alternating abdominal pain, accompanied by chest fullness and shortness of breath. Question: Why does incomplete lochia cause abdominal pain postpartum? Answer: Although postpartum evil blood usually flows, external contraction of the Five Evils or internal injury from the Seven Emotions can cause it to gradually stop. Residual blood accumulates and stagnates, not flowing freely, leading to incomplete discharge and abdominal pain. This is because seeking coolness in the wind during pregnancy causes cold in the Bao Luo. At delivery, blood is scarce. Exposure to wind/cold postpartum causes wind-cold to contend with blood, leading to stagnation and accumulation. Sometimes lochia is incomplete, causing abdominal pain that radiates to the lower back.
Ingredients: Gan Cao (Licorice Root, 0.6 fen), Da Zao (Jujube, 14 pieces).
Preparation and Administration: Finely cut. Boil with 9 sheng of water until reduced to 3 sheng. Divide into three doses, taken three times daily. If suffering from abortion to the point of death, taking this medicine brings further improvement.
Emergency remedy for incomplete lochia, abdominal distension and pain.
Ingredients: Luan Fa (Disordered Hair, size of an egg).
Preparation and Administration: Wash with ash lye, calcine to ash. Take 2 qian mixed with wine.
Another formula for treating pain and oppression due to incomplete blood postpartum. [from *Zhou Hou Fang*]
Ingredients: He Ye (Lotus Leaf).
Preparation and Administration: Calcine lotus leaf to ash. Take with warm water. Boiling the juice is also good. Another method: roast until fragrant, make into powder, decoct in water, take one cun bi.
Another Formula [from *Bian Chan Xu Zhi*]: Treats postpartum bleeding and abdominal distension during pregnancy.
Ingredients: Tie Cheng Chui (Iron Scale Weight, 1 piece).
Preparation and Administration: Heat the iron weight until red-hot. Throw it into 5 sheng of wine. Use this wine to decoct Dang Gui (3 liang) until reduced to 2 sheng. Strain and take warm twice. *Qian Jin Fang* has the same formula but without Dang Gui.
Formula for treating incomplete postpartum bleeding and unbearable hard abdominal pain. [from *Yong Lei Qian Fang*]
Ingredients: Dang Gui (Angelica Sinensis, 3 liang), Shao Yao (Peony Root, 3 liang), Gui Xin (Cinnamon Twig Heart, 3 liang), Tao Ren (Peach Kernel, 120 pieces).
Preparation and Administration: Finely cut. Boil with 6 sheng of water until reduced to 2 sheng. Divide into two warm doses. If not cured, add 3 liang of Da Huang.
Formula for treating incomplete lochia and unbearable abdominal pain postpartum. [from *Yong Lei Qian Fang*]
Ingredients: Qing Mu Xiang (Aucklandia Root, 0.8 fen), Dang Gui (Angelica Sinensis, 0.8 fen), Niu Xi (Achyranthes Root, 0.8 fen), Chuan Xiong (Ligusticum Rhizome, 0.8 fen), Huang Qin (Scutellaria Root, 0.8 fen), Shao Yao (Peony Root, 0.8 fen), Da Huang (Rhubarb Root, 1.3 fen, soaked), Mang Xiao (Mirabilite, 1.2 fen).
Preparation and Administration: Finely cut. Boil with 7 sheng of water until reduced to 2 sheng. Add Da Huang and boil for three more boils. Divide into three doses.
Formula for treating incomplete lochia, accumulation, and lower abdominal pain postpartum. [from *Yong Lei Qian Fang*]
Ingredients: Dang Gui (Angelica Sinensis, 0.3 fen), Xiang Fu (Cyperus Rhizome, 1 liang), Hu Po (Amber, 0.5 liang), Mo Yao (Myrrh, 0.5 liang), Qing Pi (Citrus Peel, vinegar-fried, 0.5 liang), Chi Shao Yao (Red Peony Root, 0.5 liang), Mu Xiang (Aucklandia Root, 0.5 liang), Gui Xin (Cinnamon Twig Heart, 0.5 liang).
Preparation and Administration: Make into fine powder. Take 1 qian mixed with Dou Lin Jiu (Bean-Dripping Wine).
Di Huang Yin (Rehmannia Drink) [from *Ba Cui Fang*]: Treats incomplete lochia and dull abdominal pain postpartum. Very beneficial for regular use postpartum.
Ingredients: Sheng Gan Di Huang (Dried Rehmannia Root, 1 liang), Dang Gui (Angelica Sinensis, 1 liang), both slightly stir-fried. Sheng Jiang (Fresh Ginger, finely cut like fly heads, stir-fried on a new tile until charred black, 0.5 liang).
Preparation and Administration: Make into fine powder. Take one large qian mixed with ginger wine.
Zi Jin Wan (Purple Gold Pill), also known as Shi Xiao San (Laugh-Out Powder) [from *Da Quan Liang Fang*]: Treats slow lochia flow, lower back pain, stabbing pain in the lower abdomen, alternating chills and fever, headache, and lack of thirst.
Ingredients: Wu Ling Zhi (Trogopterus Feces, washed to remove stones, dried, fried in vinegar, powdered), Zhen Pu Huang (True Typha Pollen).
Preparation and Administration: Mix Wu Ling Zhi powder with good rice vinegar. Simmer slowly over low heat until it becomes a paste. Add Pu Huang powder and mix. Form into pills the size of cherries. Take one pill per dose. Decoct with half a cup of water and half a cup of child's urine until reduced to 0.7. Warm and take.
Sheng Di Huang Tang (Rehmannia Decoction): Treats residual blood rushing postpartum, causing heart irritability and abdominal pain.
Mo Yao Wan (Myrrh Pill) [from *Da Quan Fang*]: Treats chest and heart irritability postpartum, slow evil blood flow.
Ingredients: Mo Yao (Myrrh, ground), Man Jiang (Galangal), Yan Hu Suo (Corydalis Rhizome), Gan Qi (Dry Lacquer, stir-fried), Dang Gui (Angelica Sinensis), Gui Xin (Cinnamon Twig Heart), Niu Xi (Achyranthes Root), Mu Dan Pi (Moutan Cortex), Gan Jiang (Dried Ginger), all equal parts.
Preparation and Administration: Make into fine powder. Bind with vinegar-boiled wheat flour paste into pills the size of paulownia seeds. Take 10-15 pills with decocted wheat flour soup.
Da Tiao Jing San (Great Menstrual Regulation Powder) [from *Jing Yan Liang Fang*]: Treats postpartum blood deficiency, uneliminated lochia, qi stagnation due to failed blood, disharmony of Ying and Wei, winning and losing of Yin and Yang, aversion to cold, and fever.
Ingredients: Da Dou (Soybean, 1.5 liang, stir-fried and peeled), Fu Shen (Poria with Hostwood, 1 liang), Zhen Hu Po (True Amber, 1 qian).
Preparation and Administration: Make into fine powder. Take mixed with strong decoction of Black Soybean and Perilla Soup. Also suitable for wheezing, irritability, fullness, and difficult urination.
Formula for treating pain due to incomplete expulsion of foul matter postpartum. [from *Sheng Hui Fang*]
Ingredients: Xuan Hu Suo (Corydalis Rhizome).
Preparation and Administration: Make into powder. Take 3 qian mixed with hot wine.
Formula for treating upward flooding of foul matter causing epigastric blockage and constipation postpartum. [from *Shen Xiao Fang*]
Ingredients: Mang Xiao (Mirabilite), Pu Huang (Typha Pollen), Xi Mo (Fine Ink Stick), all equal parts.
Preparation and Administration: Make into powder. Take half a cup of child's urine.
Yu Zhu San (Jade Candle Powder)
Mix Si Wu Tang (Four Substances Decoction) and Cheng Qi Tang (Descending Qi Decoction) in equal proportions. Decoct in water, strain, and take before meals.
Dang Gui Yang Xue Wan (Angelica Blood-Nourishing Pill) [from *He Ji Fang*]: Treats un-dispersed evil blood postpartum, fever and pain, slow lochia flow, hard and distended abdomen, and irregular menstruation in unmarried women.
Ingredients: Dang Gui (Angelica Sinensis, 2 liang), Chi Shao Yao (Red Peony Root, 2 liang, stir-fried), Mu Dan Pi (Moutan Cortex, 2 liang, stir-fried), Yan Hu Suo (Corydalis Rhizome, 2 liang, stir-fried), Gui Xin (Cinnamon Twig Heart, 1 liang, peeled).
Preparation and Administration: Make into powder. Honey-pill into pills the size of paulownia seeds. Take 30 pills with warm wine or millet drink before meals. Chew thoroughly and swallow if pain is severe.
Qing Jin San (Blue Metal Powder): Treats slow lochia flow, lower back and abdominal pain postpartum.
Ingredients: Dang Gui (Angelica Sinensis, 1 liang, roasted), Gan Cao (Licorice Root, 0.5 liang, stir-fried), Mo Yao (Myrrh), Zi Ran Tong (Natural Pyrite, 3 liang, quenched in vinegar).
Preparation and Administration: Make into powder. Take 1 qian mixed with hot vinegar before meals.
Zou Ma San (Running Horse Powder) [from *Hai Shang Fang*]: Treats un-dispersed lochia postpartum, pain below the navel, feeling as if cut by a knife, nearly dying.
Ingredients: Dang Gui (Angelica Sinensis, 1 liang), Hong Hua (Safflower, 0.25 liang), Su Mu (Sappan Wood, 0.25 liang), Mo Yao (Myrrh, 0.25 liang), Guan Gui (Cinnamon Bark, peeled, 0.25 liang).
Preparation and Administration: Make into powder. Take 3 qian. Boil in a large cup of good wine for 3-5 boils. Take warm with dregs before meals.
Yu Xian Tang (Immortal Meeting Decoction): Treats slow lochia flow, intestinal pain and distension, cold stagnation in the blood chamber, stabbing abdominal pain, soothing brow decoction, and strengthening qi for nausea.
Ingredients: Dang Gui (Angelica Sinensis, 0.5 liang), Gui Xin (Cinnamon Twig Heart, 0.5 liang), Bai Zhi (Angelica Dahurica, 0.03 liang), Gan Cao (Licorice Root, 0.03 liang).
Preparation and Administration: Coarsely crush. Decoct in water. Take hot before meals.
Formula for treating minor abortion, where foul matter stagnates and does not pass, with distension in both hypochondria, unbearable cramping pain in the lower abdomen. Or transformation into dry blood qi, with five-center heat.
Ingredients: Dang Gui (Angelica Sinensis, 1 liang), Chuan Xiong (Ligusticum Rhizome, 1 liang), Shao Yao (Peony Root, 1 liang), Shu Di Huang (Prepared Rehmannia Root, 1 liang), Chuan Lian Zi (Sichuan Chinaberry Fruit, ground together), Yan Hu Suo (Corydalis Rhizome, 2 liang).
Preparation and Administration: Make into powder. Take 2 liang per dose. Decoct with 8 he of water and a large cup of good wine until reduced to 0.7. Strain and take warm on an empty stomach. Decoct the dregs again. Passing foul matter is ideal.
Formula for treating severe pain in the waist and legs due to residual blood flowing downward postpartum.
Ingredients: Wu Ji San (Five Accumulations Powder) plus Tao Ren (Peach Kernel).
Preparation and Administration: Decoct and take. Also known as Ru Shen Tang (God-Like Decoction). This medicine rapidly disperses blood and removes wind-dampness. If lochia starts then suddenly stops, with pain radiating down the waist and stabbing pain in the legs penetrating to the bone, this is due to blood stagnation in collaterals. If not unblocked promptly, severe pain points will likely develop into abscesses. Use Tao Ren Tang. To prevent abscess formation, pre-administer Wu Xiang Lian Qiao San.
Formula for treating slow lochia flow and blood syncope postpartum.
Ingredients: Yi Mu Cao (Motherwort Herb), harvested in the third month, washed, selected, dried, spread on mats to dry. Pluck stems about 5 cun long, do not use a knife. Place in a pot. Add 2 shuo of water, ensuring water level is 2-3 cun above the herb. Decoct until the herb is soft and water reduces by two-thirds. Strain out the herb. Collect 5-6 dou of juice. Pour into a basin. Let settle for half a day. Filter through silk to obtain clear juice. Discard all sediment. Slowly simmer the clear juice in a small cauldron until reduced to 1 dou, resembling thin syrup. Take a piece the size of a pear, mix with hot wine, and take. Twice daily. One or two doses mixed with water, congee, or porridge can cure. If traveling and unable to make thick decoction, refine into pills. Taking them daily, pain gradually subsides within seven days, and recovery occurs.
Formula for treating women whose uterine residual blood is incomplete to the point of near death. Also treats irritability and epigastric blockage.
Ingredients: Lu Jiao (Deer Antler).
Preparation and Administration: Calcine to ash. Take one cun bi mixed with clear wine, three times daily. At night, decoct juice and take mixed with ash lye is also acceptable. If ash lye cannot be used, decoct in water as a soup.
Formula for treating residual blood and water qi felt postpartum.
Ingredients: Hei Dou (Black Soybeans, 5 sheng).
Preparation and Administration: Drip wine over and decoct until smoke ceases. Remove from porcelain vessel. Quench with 1 dou of wine.
Formula for treating stagnant blood in broken-down postpartum women.
Ingredients: Li Yu (Carp).
Preparation and Administration: Calcine until smoke ceases, grind. Take with wine.
Formula for treating incomplete expulsion of foul matter and abdominal pain postpartum.
Ingredients: Sheng Jiang (Fresh Ginger, 2 jin).
Preparation and Administration: Boil in water, take the juice to expel.
Formula for breaking blood.
Ingredients: Zhu Yu (Ramie Root/Bark soak).
Preparation and Administration: Take warm with the parturient woman.
Huang Qin Tang (Scutellaria Decoction): Treats abdominal fullness and pain, incomplete lochia in parturient women.
Ingredients: Huang Qin (Scutellaria Root, black heart removed, 1 liang), Shao Yao (Peony Root, 1 liang), Chi Fu Ling (Red Poria, black skin removed, 1 liang), Da Huang (Rhubarb Root, 1 liang), Shu Gan Di Huang (Prepared Dried Rehmannia Root, roasted, 1 liang), Hou Po (Magnolia Bark, peeled, stir-fried with ginger juice, 1 liang), Gan Jiang (Dried Ginger, processed, 1 liang), Gui (Cinnamon, peeled, 1.1 liang), Meng Chong (Blue Bottle Fly Larva, wings and feet removed, stir-fried, 0.5 liang), Gan Cao (Licorice Root, stir-fried, 0.5 liang), Tao Ren (Peach Kernel, soaked in water, peeled, pitted, double-kernel, stir-fried yellow, 0.5 liang), Zhi Shi (Immature Bitter Orange, pulp and bran removed, stir-fried, 1.5 liang), Bai Zhu (Atractylodes Rhizome, 1.5 liang), Mang Xiao (Mirabilite, 1 liang).
Preparation and Administration: Coarsely pound and sieve. Take 3 qian per dose. Decoct with 1 zhan of water and wine mixture until 0.7 remains. Strain and take warm.
Di Huang Tang (Rehmannia Decoction): Treats abdominal pain postpartum, residual blood not fully expelled, loss of appetite.
Ingredients: Shao Yao (Peony Root, 1 liang), Gan Cao (Licorice Root, honey-fried, 1 liang), Dan Shen (Salvia Root, 1.5 liang).
Preparation and Administration: Pound and sieve. Take 3 qian per dose. Decoct with 1 zhan of water until 0.7 remains. Strain. Add 1 he of Di Huang juice, 0.5 he of honey, 1 he of Sheng Jiang juice. Boil a few times. Take warm on an empty stomach.
Chuan Xiong Tang (Ligusticum Decoction): Treats incomplete expulsion of evil blood postpartum, heart and abdominal pain.
Ingredients: Chuan Xiong (Ligusticum Rhizome, 1.5 liang), Da Huang (Rhubarb Root, sliced and stir-fried, 2 liang), Shao Yao (Peony Root, 1.5 liang), Huang Qin (Scutellaria Root, heart removed, 1 liang), Gui (Cinnamon, peeled, 1 liang), Gan Cao (Licorice Root, honey-fried, 1 liang), Dang Gui (Angelica Sinensis, sliced and roasted, 2 liang), Shu Gan Di Huang (Prepared Dried Rehmannia Root, roasted, 1 liang), Tao Ren (Peach Kernel, soaked in water, peeled, pitted, double-kernel, stir-fried yellow, 0.5 liang).
Preparation and Administration: Pound...
Mu Dan Yin (Moutan Infusion): Treats unremoved evil blood in the abdomen postpartum, suffering from body stiffness and pain.
Ingredients: Mu Dan Pi (Moutan Cortex, 1 liang), Da Huang (Rhubarb Root, stir-fried, 1 liang), Gui (Cinnamon, peeled, 1 liang), Tao Ren (Peach Kernel, soaked in water, peeled, pitted, double-kernel, stir-fried yellow, 40 pieces).
Preparation and Administration: Pound and sieve. Take 3 qian per dose. Decoct with 1 zhan of water until 0.7 remains. Strain and take warm on an empty stomach.