（附论）
夫产后四肢浮肿者何。答曰。产后败血。乘虚停积于五脏。循经流入四肢。留注日深。
却还不得。腐坏如水。故令面黄。四肢浮肿。医人不识。便作水气治之。凡治水气。多用导
水药极虚人。夫产后既虚。又以药虚之。是谓虚肿。往往因致夭枉。但服小调经散。血行肿
消则愈。
产后劳伤血气。腠理虚则为风邪所乘。邪搏于气。不得宣越。故令虚肿轻浮。是邪搏于
气。气肿也。若皮肤如熟李。壮则变为水肿。气肿者发汗即愈。水肿者利小便瘥也。
方
小调经散（出经验良方）治产后浮肿多端。有自怀妊肿。至产后不退者。
亦有产后失于将理。外感寒暑风湿。内作喜怒忧惊。血与气相搏。留滞经络。气分血分
。要当随证治之瘥。小调经散治血分固效。但力浅难凭。不若与吴茱萸汤、枳术夺魂散
、大调经散皆要也。又治产后血上于心不受触。致心烦躁。卧起不安。如见鬼神。言语
颠倒。
没药 琥珀 桂心 芍药 当归（各一钱） 细辛 麝香（各半钱一方无） 上为末。
每服半钱。生姜汁温酒各少许调服。大抵产后败血停积五脏。流入四肢。令人浮肿。医人不
识。便作水气治之。凡治水气。多以导水药。极是虚人。况产后本虚。又以药虚之。可谓重
虚。往往因致枉夭。但此药血行肿自消。又去血过多。心虚易惊。加龙脑煎服。四肢浮肿。
加甘草。鲍氏方有评曰。产后肿证多端。当治所因。治之有血分气分当辨。调经散治血分固
效。力浅耳。
治产后遍身青肿疼痛。产后血水疾。（出大全良方）
干漆 大麦 （等分） 上各为细末。以新瓦罐子中铺一重麦 。一重干漆。如此填
满。用盐泥固济。火煨通赤放冷。研为散。但是产后诸疾。热酒调下二钱。
治产后风肿。血虚水肿。（出大全良方）
泽兰叶 防风 上等分为末。每服一钱。温酒调。不能饮者。醋汤调亦可。
汉防己散（出大全良方）
治产后气虚血壅上攻心。头面浮肿。
汉防己 猪苓 枳壳 商陆 甘草 桑白皮（各一两） 上为粗末。每服四钱。水
一盏半。生姜三片。煎至七分。去滓空心温服。
沉香散（便产须知）治产后血未尽。分入四肢浮肿。腹胀气急。
沉香（三钱） 川芎（半两） 桂心（半两） 白芍药（半两） 甘草（三钱） 当归
（三钱） 牡丹皮（十一铢） 蒲黄（半两炒） 上为细末。温酒调下二钱。以血去肿消为
效。
夺魂散（出三因方）治妇人产后虚肿喘促。利小便则愈。
生姜（三两取汁） 白面（三两） 半夏（七个汤洗七次用） 上用姜汁搜面裹半夏
为七饼子。
大调经散 治产后肿满。喘急烦渴。小便不利。乍寒乍热。营卫不和。不可轻视
。若败血不散。岂止入心脾二脏。大抵一阴闭一阳。即作寒。阳胜作热。只云败血循经
流入。闭诸阳则热。闭诸阴则寒。营与卫解则体遇再会而复作。如诸药不效。有大调
经散治之。血虚恶露未消。气未散。败浊凝滞。营卫不调。阴阳相乘。憎寒发热。或
自汗。或肿满。皆营卫未平故也。
大豆（炒去皮一两半） 茯神（一两） 琥珀（一钱） 上为末。浓煎紫乌豆汤调下。
治妇人产后四肢虚肿。
荆芥（一两） 甘草（一两） 上为细末。每服二钱。用清茶调。
防己汤 治产后通身肿满。气喘烦闷。
防己 枳壳（去瓤麸炒） 桑根白皮（锉） 葳蕤 当归（切焙各一两） 葶苈（隔纸
炒一分） 木香（半两） 上粗捣筛。每服三钱。水一盏。枣二枚擘破。煎至七分。候去滓
温服。以疏利肿消为度。议曰。产后血气俱虚。寒湿客搏。以致脾胃怯弱。不能播散诸气。
使水与血不分。流溢肌肤。故为肿满。利其小水。则病可愈。
大腹皮汤 治产后肿满。因宿有抑郁滞。留结不散。变为浮肿。烦闷咳逆。恶血
不行。
大腹皮 赤茯苓（去黑皮） 当归（切焙） 紫苏茎叶 甘草 青橘皮（汤浸去白皮） 木
通（锉各一两） 桑根白皮（锉） 木香 槟榔（锉） 大黄（锉炒各半两） 上粗捣筛。
每服三钱。水
羌活汤 治产后浮肿烦闷。
羌活（去芦头） 青橘皮（去白麸炒各半两） 生干地黄（焙） 白术（锉各一两） 桑
根白皮（一两） 木香 牵牛子（略炒） 诃黎（微炒） 赤茯苓（去黑皮各半两） 上粗
捣筛。每服三钱。水一盏。煎至七分。去滓温服。不拘时。
防己枳壳汤 治产后肿满咳嗽。
防己（一两） 枳壳（去瓤二两麸炒） 桑根白皮（锉） 当归（切焙各一两） 木香
（半两） 紫苏茎（锉） 槟榔（锉各一两） 上粗捣筛。每服五钱。水一盏半。煎至一盏。
去滓温服。不拘时
贝母汤 治产后肿满。喘急咳嗽。
贝母（去心） 桑根白皮（锉） 紫菀 赤茯苓（去黑皮） 五味子（各一两） 杏仁
（去皮尖双仁令别研） 人参（各一两半） 葶苈（隔纸炒半两） 上粗捣筛。每服三钱。
水一盏。煎至七分
牵牛子丸 治产后遍身肿满。
牵牛子（半生半熟） 枳壳（去瓤麸炒各一两） 当归（切焙） 芎 生干地黄（焙）
桑根白皮（锉） 木香 防己 诃黎勒（炮去核各半两） 上为末。炼蜜和丸如梧桐子大。
每服二十丸。
羚羊角汤 治产后肿满。心闷烦。伤胃不利。
羚羊角屑 延胡索 枳壳（去瓤麸炒） 芍药 刘寄奴 槟榔（锉） 桑根白皮（锉等
分） 上粗
枳壳丸 治产后肿满烦闷喘嗽。
枳壳（去瓤麸炒） 防己（各一两） 诃黎勒皮（半两） 大黄（炒一两） 当归（切
焙二两） 郁李仁（去皮锉研半两） 桑根白皮（锉一两） 上除研外捣罗为末。拌匀。炼
蜜丸如梧桐子。每
商陆汤 治产后通身暴肿。烦闷不食。
商陆根（锉二两） 防风（去叉一两） 甘草（炙半两） 附子（炮制去皮脐一枚） 赤
小豆（二合） 麻子仁（三合） 上 咀如麻豆大。每服五钱。水一盏半。煎取一盏。去滓
温服。不拘时。
干地黄汤 治产后遍身头面浮肿。
生姜 干地黄（焙） 白术 芍药 赤茯苓（去黑皮各一两） 桑根白皮（锉二两） 甘
草（锉半两） 赤小豆（五合） 黄 （锉二两） 商陆根（锉二两） 上都用粗捣筛。每
服五钱。水一盏
贝母丸 治产后头面四肢肿满。气喘咳嗽。
贝母（去心） 赤茯苓（去黑皮各二两） 紫菀 五味子 桑根白皮（锉） 杏仁（去
皮尖双仁炒别研膏） 人参（各一两） 大枣（十枚煮熟去皮核别研膏） 上除研二味外捣
罗为末。以杏仁枣膏拌。如干。更入炼蜜少许。为丸如桐子大。每服二十丸至三十丸。浓煎
商陆根汤化下。不拘时。
枳壳丸 治产后头面浮肿。两胁痛。
枳壳（去瓤麸炒一两一分） 诃黎勒（煨去核二两） 当归（切焙） 大黄（锉炒） 防
己芍药（微炒各三分） 郁李仁（酒浸去皮一两） 木香 芎 甘草（炙锉各半两） 牵
牛子（一两炒捣取半两用） 上为末。炼蜜和丸如梧桐子大。每服二十丸。煎桑白枣汤化下。
加至三十丸。
防己汤 治产后肿满不能食。
防己（二两） 防风（去叉） 芎 附子（炮制去皮脐） 甘草（炙锉） 当归（切
焙） 陈橘皮（去白焙各二两） 赤小豆（楝三合） 上 咀如麻豆。每服三钱。水一盏。
入生姜三片。同
柘黄汤 治产后血风遍身浮肿。
柘黄 枳壳（去瓤） 白术 地丁（各一两半） 黄 （锉） 人参 款冬花 桔梗 上
粗捣筛。每服三钱。水一盏。煎至六分。去滓温服。不拘时。治妇人败血流溢。遍身肿。谓
之血分。芫花 当归 羌活 芍药 青皮 肉桂 蒲黄 大腹子 延胡索 熟地黄 上为细
末。每服半钱。空心服。
治产后肿痛满。（出肘后方）
用乌豆一斗五升。煮取五升。澄清去滓。如此三度。不令有浊。再以清酒五升合煮。煎
二升。分五服。
大腹皮散（出圣惠方）治产后风气虚滞。头面四肢浮肿气喘食促。不思饮
食。
大腹皮（一两锉） 天蓼木（半两锉） 白薇（半两） 猪苓（一两去黑皮） 杏仁（半
两去皮尖双仁汤浸麸炒微黄） 槟榔（半两） 枳壳（三分麸炒微黄去瓤） 桑根白皮（一
两锉） 紫苏叶（半两） 麻黄（半两去节根） 细辛（半两） 甘草（半两炒微赤锉） 上
捣筛为散。每服三钱。水
商陆散（出圣惠方）治产后虚风壅。通身浮肿。不能饮食。
商陆（方一寸白色者） 赤小豆（一分生用） 大麻仁（一合） 附子（半两炮去皮脐）
甘草（一分炙微赤锉） 防风（一分去芦头） 桑根白皮（一分锉） 上捣筛。每服四钱。
以水一盏。入
郁李仁散（出圣惠方） 治产后虚风。头面四肢浮肿。坐卧不稳。
郁李仁（一两汤浸去皮） 防风（去芦头三分） 羌活（三分） 赤茯苓（一两） 商
陆（一两） 泽泻（三分） 汉防己（半两） 木香（半两） 槟榔（半两） 上捣筛为散。
先用赤小豆一升。以水五升。煮小豆至烂。取汁二升。每服用药三钱。小豆汁一中盏。煎至
六分。候去滓温服。日
紫菀散（出圣惠方） 治产后风虚。遍身浮肿。上气喘咳。腹胁妨闷。不思饮
食。四肢少力。
紫菀（一两去苗土） 汉防己（半两） 桂心（半两） 细辛（半两） 槟榔（三分） 赤
茯苓（半两） 桑根白皮（半两锉） 枳壳（半两麸炒微黄去白瓤） 大腹皮（半两锉） 甜
葶苈（半两微炒） 木香（半两） 甘草（半两炙微赤） 上捣筛为散。每服三钱。水一中
盏。入生姜皮半分。共煎
槟榔丸（出圣惠方）治产后风虚。头面肿。两胁刺痛。四肢烦痛。不欲饮
食。
槟榔（一两） 枳壳（三分炒） 诃黎勒皮（一两） 当归（半两锉微炒） 陈橘皮（一
两） 川大黄（一两） 郁李仁（三分） 木香（半两） 桑根白皮 赤芍药（各半两） 牵
牛子（二两） 上捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服须于食前以生姜橘皮
汤下二十丸。
泽漆丸（出圣惠方）治产后风虚。面浮肿。心胸不利。少思饮食。
泽漆（一两） 汉防己（三分） 郁李仁（一两汤浸去皮微炒） 细辛（半两） 防风
（半两去芦头）
壳（三分麸炒微黄
子大。每于食前以生
治产后肌肤浮肿。
用柑皮为末。酒服之。
医评曰。产后浮肿多端者。有怀孕时先肿。至产后不退。有产后失于将理。外感
寒暑风湿。内感喜怒忧惊。血气相搏。留滞经络。气分血分。不可不解辨。调经散只
治血分。如未退枳术汤、夺魂散、大调经散。皆紧要药也。枳术汤治心下坚大如盘边
如旋边。名曰气分。（出大全良方）
枳实（炮去瓤二钱半） 白术（五钱） 计七钱半锉末。作三服。水一盏半。煎至七分。
温服。
调经散（出鲍氏方） 四肢浮肿。
没药（研） 琥珀（研） 桂心 赤芍药（一钱） 当归（一钱） 细辛 麝香（半钱）
上为末。每服半钱。以生姜汁温酒各少许调下。流淫而成浮肿。
医评曰。产后肿证多端。当随所因致之。有血分气分当辨。调经散治血分固效。
但力浅尔。如脏气暴虚。外感内伤。血气留滞。或腹痛呕利。宜加减茱萸汤。
吴茱萸（一两半） 枳壳 干姜 甘草 防风 细辛 麦门冬 当归（酒浸焙） 茯苓 桂
心牡丹皮（各半两） 半夏（汤浸七次各半两） 上为末。每服四钱。煎食前热服。或因
水饮所作
枳实（一两半） 白术（三两） 上为散。每服四钱。煎温服。腹中软即散。或虚肿喘
促。宜夺
生姜（三两取汁） 白面（三两） 半夏（七个破） 上以姜汁搜半夏及面作饼子。炙
焦熟为末。
独活汤（出本草） 治产后风虚。
以独活三两。水三升。煮取一升半。分作三服。耐酒者。可以酒水中煮之佳。
治身上浮风。（出本草）
以芋煮汁浴之。慎风半日许。
白藓皮汤（出本草） 治产后风虚。
以白藓皮三两。水三升。煮取一升半。分作三服。耐酒者可以酒水中煮之佳。
【附论】
产后四肢浮肿的原因是什么？回答说：产后败血（指瘀滞不行的恶露），乘人体虚弱之际，停滞积聚于五脏，顺着经络流入四肢，停留注积日益加深，却无法回流消散。血液腐败变质如同水液，因此导致面色发黄、四肢浮肿。医生如果不认识这是产后病机，便当作一般的水气病来治疗。凡是治疗水气病，多用导水利尿的药物，这对于极度虚弱的患者来说，在产后本就气血亏虚的情况下，再用药物进一步耗损正气，这被称为“虚肿”，往往因此导致夭折。只要服用小调经散，使血液运行通畅，肿胀自然消退即可痊愈。
产后因劳累损伤气血，腠理（皮肤毛孔及皮下组织间隙）空虚，风邪便趁机侵袭。邪气与气相搏结，不能宣发透越，因此导致虚肿且轻浮，这是邪气搏结于气分，属于“气肿”。如果皮肤像熟李子一样光亮紧绷，病情加重则转变为水肿。气肿通过发汗即可痊愈；水肿则需要利小便才能好转。
方剂
小调经散（出自《经验良方》）：治疗产后多种浮肿。有的从怀孕时开始肿，直到产后也不退；也有的是产后疏于调养，外感寒暑风湿，内伤喜怒忧惊，导致血与气相互搏结，留滞于经络。无论是气分还是血分的病变，都应当根据证候进行治疗才能痊愈。小调经散治疗血分病变固然有效，但药力较浅，难以完全依赖。不如配合吴茱萸汤、枳术夺魂散、大调经散等，都是重要的方剂。此外，还治疗产后败血上冲于心，心神不受触动而致心烦躁乱，卧起不安，如见鬼神，言语颠倒错乱。
药材：没药、琥珀、桂心、芍药、当归（各一钱）、细辛、麝香（各半钱，一方无此味）。以上研为末。每次服用半钱，用生姜汁和温酒少许调和服用。大抵产后败血停滞积聚于五脏，流入四肢，令人浮肿。医生不认识，便当作水气病治疗。凡治疗水气病，多用导水药，这对极虚之人伤害很大。何况产后本已虚弱，再用药物使其更虚，可谓双重虚弱，往往因此导致夭折。只有此药能使血行肿消，又因去血过多导致心虚易惊，可加龙脑（冰片）煎服。若四肢浮肿，加甘草。鲍氏方评论说：产后肿证多种多样，应当治疗其病因。治疗时要分辨是血分还是气分。调经散治疗血分固然有效，但药力较浅。
治产后遍身青肿疼痛、产后血水疾。（出自《大全良方》）
药材：干漆、大麦（等分）。以上分别研为细末。在新瓦罐中铺一层麦，再铺一层干漆，如此填满。用盐泥密封固济，用火煨至通红，放冷后研为散。凡是产后诸疾，用热酒调下二钱。
治产后风肿、血虚水肿。（出自《大全良方》）
药材：泽兰叶、防风。上等分为末。每次服用一钱，用温酒调服。不能饮酒者，用醋汤调服亦可。
汉防己散（出自《大全良方》）
治疗产后气虚血壅，上攻于心，头面浮肿。
药材：汉防己、猪苓、枳壳、商陆、甘草、桑白皮（各一两）。以上为粗末。每次服用四钱，用水一盏半，生姜三片，煎至七分，去渣，空腹温服。
沉香散（出自《便产须知》）
治疗产后血未尽，分入四肢导致浮肿，腹胀气急。
药材：沉香（三钱）、川芎（半两）、桂心（半两）、白芍药（半两）、甘草（三钱）、当归（三钱）、牡丹皮（十一铢）、蒲黄（半两，炒）。以上为细末。用温酒调下二钱。以血去肿消为见效。
夺魂散（出自《三因方》）
治疗妇人产后虚肿喘促。利小便则痊愈。
药材：生姜（三两，取汁）、白面（三两）、半夏（七个，汤洗七次使用）。上用姜汁和面裹半夏做成七个饼子。
大调经散
治疗产后肿满，喘急烦渴，小便不利，乍寒乍热，营卫不和。不可轻视。如果败血不散，岂止影响心脾二脏。大抵一阴闭阻一阳，即产生寒象；阳胜则产生热象。只说是败血循经流入，闭阻诸阳则热，闭阻诸阴则寒。营气与卫气和解则身体遇邪再会而复发。如果诸药无效，可用大调经散治疗。血虚恶露未消，气未散，败浊凝滞，营卫不调，阴阳相乘，憎寒发热，或自汗，或肿满，都是营卫未平故也。
药材：大豆（炒去皮一两半）、茯神（一两）、琥珀（一钱）。以上为末。浓煎紫乌豆汤调下。
治妇人产后四肢虚肿。
药材：荆芥（一两）、甘草（一两）。以上为细末。每次服用二钱，用清茶调服。
防己汤
治疗产后通身肿满，气喘烦闷。
药材：防己、枳壳（去瓤麸炒）、桑根白皮（锉）、葳蕤、当归（切焙各一两）、葶苈（隔纸炒一分）、木香（半两）。以上粗捣筛。每次服用三钱，用水一盏，枣二枚擘破，煎至七分，候去渣温服。以疏利肿消为度。议曰：产后血气俱虚，寒湿客搏，以致脾胃怯弱，不能播散诸气，使水与血不分，流溢肌肤，故为肿满。利其小水，则病可愈。
大腹皮汤
治疗产后肿满，因宿有抑郁滞气，留结不散，变为浮肿，烦闷咳逆，恶血不行。
药材：大腹皮、赤茯苓（去黑皮）、当归（切焙）、紫苏茎叶、甘草、青橘皮（汤浸去白皮）、木通（锉各一两）、桑根白皮（锉）、木香、槟榔（锉）、大黄（锉炒各半两）。以上粗捣筛。每次服用三钱，用水……（原文此处断句，依常理推测为煎煮）
羌活汤
治疗产后浮肿烦闷。
药材：羌活（去芦头）、青橘皮（去白麸炒各半两）、生干地黄（焙）、白术（锉各一两）、桑根白皮（一两）、木香、牵牛子（略炒）、诃黎勒（微炒）、赤茯苓（去黑皮各半两）。以上粗捣筛。每次服用三钱，用水一盏，煎至七分，去渣温服。不拘时候。
防己枳壳汤
治疗产后肿满咳嗽。
药材：防己（一两）、枳壳（去瓤二两麸炒）、桑根白皮（锉）、当归（切焙各一两）、木香（半两）、紫苏茎（锉）、槟榔（锉各一两）。以上粗捣筛。每次服用五钱，用水一盏半，煎至一盏，去渣温服。不拘时候。
贝母汤
治疗产后肿满，喘急咳嗽。
药材：贝母（去心）、桑根白皮（锉）、紫菀、赤茯苓（去黑皮）、五味子（各一两）、杏仁（去皮尖双仁令别研）、人参（各一两半）、葶苈（隔纸炒半两）。以上粗捣筛。每次服用三钱，用水一盏，煎至七分。
牵牛子丸
治疗产后遍身肿满。
药材：牵牛子（半生半熟）、枳壳（去瓤麸炒各一两）、当归（切焙）、芎藭、生干地黄（焙）、桑根白皮（锉）、木香、防己、诃黎勒（炮去核各半两）。以上为末，炼蜜和丸如梧桐子大。每次服用二十丸。
羚羊角汤
治疗产后肿满，心闷烦，伤胃不利。
药材：羚羊角屑、延胡索、枳壳（去瓤麸炒）、芍药、刘寄奴、槟榔（锉）、桑根白皮（锉等分）。以上粗……（原文此处断句，应为捣筛）
枳壳丸
治疗产后肿满烦闷喘嗽。
药材：枳壳（去瓤麸炒）、防己（各一两）、诃黎勒皮（半两）、大黄（炒一两）、当归（切焙二两）、郁李仁（去皮锉研半两）、桑根白皮（锉一两）。以上除研外捣罗为末，拌匀，炼蜜丸如梧桐子。每……（原文此处断句，应为服用）
商陆汤
治疗产后通身暴肿，烦闷不食。
药材：商陆根（锉二两）、防风（去叉一两）、甘草（炙半两）、附子（炮制去皮脐一枚）、赤小豆（二合）、麻子仁（三合）。以上㕮咀如麻豆大。每次服用五钱，用水一盏半，煎取一盏，去渣温服。不拘时候。
干地黄汤
治疗产后遍身头面浮肿。
药材：生姜、干地黄（焙）、白术、芍药、赤茯苓（去黑皮各一两）、桑根白皮（锉二两）、甘草（锉半两）、赤小豆（五合）、黄芪（锉二两）、商陆根（锉二两）。以上都用粗捣筛。每次服用五钱，用水一盏……（原文此处断句，应为煎煮）
贝母丸
治疗产后头面四肢肿满，气喘咳嗽。
药材：贝母（去心）、赤茯苓（去黑皮各二两）、紫菀、五味子、桑根白皮（锉）、杏仁（去皮尖双仁炒别研膏）、人参（各一两）、大枣（十枚煮熟去皮核别研膏）。以上除研二味外捣罗为末，以杏仁枣膏拌，如干，更入炼蜜少许，为丸如桐子大。每次服用二十丸至三十丸，浓煎商陆根汤化下。不拘时候。
枳壳丸
治疗产后头面浮肿，两胁痛。
药材：枳壳（去瓤麸炒一两一分）、诃黎勒（煨去核二两）、当归（切焙）、大黄（锉炒）、防己芍药（微炒各三分）、郁李仁（酒浸去皮一两）、木香、芎藭、甘草（炙锉各半两）、牵牛子（一两炒捣取半两用）。以上为末，炼蜜和丸如梧桐子大。每次服用二十丸，煎桑白枣汤化下。加至三十丸。
防己汤
治疗产后肿满不能食。
药材：防己（二两）、防风（去叉）、芎藭、附子（炮制去皮脐）、甘草（炙锉）、当归（切焙）、陈橘皮（去白焙各二两）、赤小豆（楝三合）。以上㕮咀如麻豆。每次服用三钱，用水一盏，入生姜三片，同……（原文此处断句，应为煎煮）
柘黄汤
治疗产后血风遍身浮肿。
药材：柘黄、枳壳（去瓤）、白术、地丁（各一两半）、黄芪（锉）、人参、款冬花、桔梗。以上粗捣筛。每次服用三钱，用水一盏，煎至六分，去渣温服。不拘时候。治妇人败血流溢，遍身肿，谓之血分。
药材：芫花、当归、羌活、芍药、青皮、肉桂、蒲黄、大腹子、延胡索、熟地黄。以上为细末。每次服用半钱，空心服。
治产后肿痛满。（出自《肘后方》）
用乌豆一斗五升，煮取五升，澄清去渣。如此三次，不令有浊。再以清酒五升合煮，煎至二升，分五次服用。
大腹皮散（出自《圣惠方》）
治疗产后风气虚滞，头面四肢浮肿气喘食促，不思饮食。
药材：大腹皮（一两锉）、天蓼木（半两锉）、白薇（半两）、猪苓（一两去黑皮）、杏仁（半两去皮尖双仁汤浸麸炒微黄）、槟榔（半两）、枳壳（三分麸炒微黄去瓤）、桑根白皮（一两锉）、紫苏叶（半两）、麻黄（半两去节根）、细辛（半两）、甘草（半两炒微赤锉）。以上捣筛为散。每次服用三钱，用水……（原文此处断句，应为煎煮）
商陆散（出自《圣惠方》）
治疗产后虚风壅，通身浮肿，不能饮食。
药材：商陆（方一寸白色者）、赤小豆（一分生用）、大麻仁（一合）、附子（半两炮去皮脐）、甘草（一分炙微赤锉）、防风（一分去芦头）、桑根白皮（一分锉）。以上捣筛。每次服用四钱，以水一盏，入……（原文此处断句，应为煎煮）
郁李仁散（出自《圣惠方》）
治疗产后虚风，头面四肢浮肿，坐卧不稳。
药材：郁李仁（一两汤浸去皮）、防风（去芦头三分）、羌活（三分）、赤茯苓（一两）、商陆（一两）、泽泻（三分）、汉防己（半两）、木香（半两）、槟榔（半两）。以上捣筛为散。先用赤小豆一升，以水五升，煮小豆至烂，取汁二升。每服用药三钱，小豆汁一中盏，煎至六分，候去渣温服。日……（原文此处断句，应为次数）
紫菀散（出自《圣惠方》）
治疗产后风虚，遍身浮肿，上气喘咳，腹胁妨闷，不思饮食，四肢少力。
药材：紫菀（一两去苗土）、汉防己（半两）、桂心（半两）、细辛（半两）、槟榔（三分）、赤茯苓（半两）、桑根白皮（半两锉）、枳壳（半两麸炒微黄去白瓤）、大腹皮（半两锉）、甜葶苈（半两微炒）、木香（半两）、甘草（半两炙微赤）。以上捣筛为散。每次服用三钱，水一中盏，入生姜皮半分，共煎……（原文此处断句，应为煎煮）
槟榔丸（出自《圣惠方》）
治疗产后风虚，头面肿，两胁刺痛，四肢烦痛，不欲饮食。
药材：槟榔（一两）、枳壳（三分炒）、诃黎勒皮（一两）、当归（半两锉微炒）、陈橘皮（一两）、川大黄（一两）、郁李仁（三分）、木香（半两）、桑根白皮、赤芍药（各半两）、牵牛子（二两）。以上捣罗为末，炼蜜和捣三二百杵，丸如梧桐子大。每次须于食前以生姜橘皮汤下二十丸。
泽漆丸（出自《圣惠方》）
治疗产后风虚，面浮肿，心胸不利，少思饮食。
药材：泽漆（一两）、汉防己（三分）、郁李仁（一两汤浸去皮微炒）、细辛（半两）、防风（半两去芦头）、……（原文此处缺失部分药材名，似为枳壳等，原文显示“壳（三分麸炒微黄”）、……（原文此处缺失部分，似为丸剂描述，原文显示“子大。每于食前以生”）
治产后肌肤浮肿。
用柑皮为末，酒服之。
医评曰：产后浮肿多端者，有怀孕时先肿，至产后不退；有产后失于将理，外感寒暑风湿，内感喜怒忧惊，血气相搏，留滞经络，气分血分，不可不解辨。调经散只治血分，如未退，枳术汤、夺魂散、大调经散，皆紧要药也。枳术汤治心下坚大如盘边如旋边，名曰气分。（出自《大全良方》）
药材：枳实（炮去瓤二钱半）、白术（五钱）。计七钱半锉末，作三服。用水一盏半，煎至七分，温服。
调经散（出自《鲍氏方》）
治疗四肢浮肿。
药材：没药（研）、琥珀（研）、桂心、赤芍药（一钱）、当归（一钱）、细辛、麝香（半钱）。以上为末。每次服用半钱，以生姜汁温酒各少许调下。流淫而成浮肿。
医评曰：产后肿证多端，当随所因致之。有血分气分当辨。调经散治血分固效，但力浅尔。如脏气暴虚，外感内伤，血气留滞，或腹痛呕利，宜加减茱萸汤。
药材：吴茱萸（一两半）、枳壳、干姜、甘草、防风、细辛、麦门冬、当归（酒浸焙）、茯苓、桂心、牡丹皮（各半两）、半夏（汤浸七次各半两）。以上为末。每次服用四钱，煎食前热服。或因水饮所作……
药材：枳实（一两半）、白术（三两）。以上为散。每次服用四钱，煎温服。腹中软即散。或虚肿喘促，宜夺……
药材：生姜（三两取汁）、白面（三两）、半夏（七个破）。以上以姜汁搜半夏及面作饼子，炙焦熟为末。
[Attached Discussion]
What is the cause of edema in the four limbs after childbirth? The answer is: Postpartum retained blood (stasis of lochia), taking advantage of the body's deficiency, stagnates and accumulates in the five zang organs. It flows along the meridians into the four limbs, where it remains and accumulates deeper day by day, unable to return and dissipate. The blood rots and transforms like water, thus causing a yellowish complexion and edema in the four limbs. If physicians do not recognize this postpartum pathogenesis and treat it as general water qi disease, they will often use diuretic drugs. For extremely deficient patients, using such drugs further depletes the already deficient postpartum qi and blood. This is called "deficiency edema," which often leads to premature death. Simply administering Xiao Tiaojing San (Minor Regulation of Menstruation Powder) allows the blood to circulate freely, and the swelling will subside, leading to recovery.
After childbirth, labor damages qi and blood. When the cou li (skin pores and interstitial spaces) are empty, wind pathogens take the opportunity to invade. The pathogen clashes with qi, preventing its dissemination and venting, thus causing deficiency edema that is light and floating. This is because the pathogen clashes with qi, resulting in "qi edema." If the skin becomes shiny and tight like a ripe plum, and the condition worsens, it transforms into water edema. Qi edema is cured by sweating; water edema requires promoting urination to improve.
Formulas
Xiao Tiaojing San (from *Jingyan Liangfang*): Treats various types of postpartum edema. Some women swell during pregnancy and do not recover after childbirth. Others suffer from poor postpartum care, external contraction of cold, heat, wind, and dampness, or internal injury from anger, joy, worry, and fright. This causes blood and qi to clash and stagnate in the meridians. Whether the pathology lies in the qi level or blood level, treatment must be based on the specific syndrome for recovery. Xiao Tiaojing San is effective for blood-level disorders but has shallow efficacy and may not be sufficient alone. It is better to combine it with Wuzhuyu Tang (Evodia Decoction), Zhizhu Duohun San (Bitter Orange Soul-Plucking Powder), and Da Tiaojing San (Major Regulation of Menstruation Powder), all of which are important formulas. It also treats postpartum retained blood rushing up to the heart, causing mental restlessness, inability to lie down or sit still, hallucinations (seeing ghosts/spirits), and disordered speech.
Ingredients: Myrrha, Amber, Cinnamon Heart, Peony Root, Angelica Sinensis (each 1 qian); Asarum, Musk (each 0.5 qian; one prescription omits this). Grind into powder. Take 0.5 qian per dose, mixed with a little ginger juice and warm wine. Generally, postpartum retained blood stagnates in the five zang organs and flows into the four limbs, causing edema. Physicians who mistake this for water qi disease and use diuretics harm the already deficient patient. Since postpartum deficiency is compounded by drug-induced depletion, it is a double deficiency, often leading to death. Only this formula promotes blood circulation and resolves swelling. For excessive blood loss causing heart deficiency and palpitations, add Borneol (Longnao). For edema in the four limbs, add Licorice Root. Commentator Bao states: Postpartum edema is diverse; one must treat the root cause. Differentiate between blood-level and qi-level disorders. While Tiaojing San is effective for blood-level issues, its power is weak.
Treats generalized cyanotic swelling and pain after childbirth, and postpartum blood-water diseases. (From *Daquan Liangfang*)
Ingredients: Dried Resin of Toxicodendron (Ganxi), Barley (equal parts). Grind each into fine powder. In a new clay pot, layer barley and Ganxi repeatedly until full. Seal with salt mud and fire-roast until red hot. Cool and grind into powder. For any postpartum disease, take 2 qian mixed with hot wine.
Treats postpartum wind edema and blood-deficiency water edema. (From *Daquan Liangfang*)
Ingredients: Leaf of Lycopodium Japonicum (Zelan Ye), Saposhnikovia Root (Fangfeng). Grind into powder. Take 1 qian per dose with warm wine. If alcohol is not tolerated, vinegar water can be used.
Han Fangji San (Han Fangji Powder) (From *Daquan Liangfang*)
Treats postpartum qi deficiency with blood congestion attacking the heart, causing facial and head edema.
Ingredients: Stephania Tetrandra (Han Fangji), Polyporus (Zhuling), Bitter Orange (Zhike), Phytolacca Root (Shanglu), Licorice Root (Gancao), Mulberry Root Bark (Sangbaipi) (each 1 liang). Coarsely grind. Take 4 qian per dose with 1.5 cups of water and 3 slices of fresh ginger. Decoct to 0.7 cup, strain, and drink warm on an empty stomach.
Chenxiang San (Agarwood Powder) (From *Bianchan Xu Zhi*)
Treats postpartum incomplete expulsion of blood, which disperses into the four limbs causing edema, abdominal distension, and rapid breathing.
Ingredients: Agarwood (Chenxiang) (3 qian), Ligusticum Chuanxiong (Chuanxiong) (0.5 liang), Cinnamon Heart (Guixin), White Peony Root (Baishao), Licorice Root (Gancao), Angelica Sinensis (Danggui) (each 3 qian), Moutan Bark (Mudanpi) (11 zhu), Pollen Typhae (Puhuang) (0.5 liang, stir-fried). Grind into fine powder. Take 2 qian mixed with warm wine. Efficacy is indicated by the disappearance of swelling as blood is expelled.
Duohun San (Soul-Plucking Powder) (From *San Yin Fang*)
Treats postpartum deficiency edema with panting. Promoting urination leads to recovery.
Ingredients: Fresh Ginger (3 liang, juice extracted), Wheat Flour (3 liang), Pinellia Tuber (Banxia) (7 pieces, washed seven times in boiling water). Use ginger juice to knead the flour and wrap the Pinellia, forming seven cakes.
Da Tiaojing San (Major Regulation of Menstruation Powder)
Treats postpartum abdominal fullness and edema, panting, thirst, difficulty urinating, alternating chills and fever, and disharmony of Ying and Wei levels. Do not underestimate this. If retained blood does not dissipate, it affects not only the Heart and Spleen. Generally, if one Yin obstructs one Yang, cold arises; if Yang prevails, heat arises. Retained blood flowing along meridians obstructs Yang (causing heat) or Yin (causing cold). When Ying and Wei harmonize, the body resists re-infection. If other formulas fail, use Da Tiaojing San. Blood deficiency with unexpelled lochia, stagnant qi, congealed turbid blood, disharmonious Ying and Wei, and mutual invasion of Yin and Yang cause aversion to cold, fever, spontaneous sweating, or edema. All are due to unbalanced Ying and Wei.
Ingredients: Soybean (Stir-fried, peeled, 1.5 liang), Polygala Root (Fushen) (1 liang), Amber (1 qian). Grind into powder. Take with thick decoction of black soybeans.
Treats deficiency edema in the four limbs of women after childbirth.
Ingredients: Schizonepeta Spike (Jingjie) (1 liang), Licorice Root (Gancao) (1 liang). Grind into fine powder. Take 2 qian per dose mixed with clear tea.
Fangji Tang (Stephania Decoction)
Treats generalized postpartum edema, panting, and chest oppression.
Ingredients: Stephania Tetrandra (Fangji), Bitter Orange (Zhike, pulp removed, bran-stir-fried), Mulberry Root Bark (Sanggen Baipi, sliced), Polygonatum Rhizome (Weirui), Angelica Sinensis (Danggui, sliced and roasted) (each 1 liang), Lepidium Seed (Tingli), Aucklandia Root (Muxiang) (0.5 liang). Coarsely crush and sieve. Take 3 qian per dose with 1 cup of water and 2 halved jujubes. Decoct to 0.7 cup, strain, and drink warm. Stop when edema subsides through draining. Commentary: Postpartum qi and blood are both deficient. Cold-dampness invades, weakening the Spleen and Stomach, impairing their ability to distribute qi. Water and blood mix and overflow into the skin, causing edema. Promoting urination cures the disease.
Dafupi Tang (Areca Peel Decoction)
Treats postpartum edema caused by chronic depression and stagnation of qi, which condenses and fails to dissipate, transforming into edema, chest oppression, coughing, and failure of evil blood to move.
Ingredients: Areca Peel (Dafupi), Red Poria (Chifuling, remove black skin), Angelica Sinensis (Danggui, sliced and roasted), Perilla Stem and Leaf (Zisujingye), Licorice Root (Gancao), Green Tangerine Peel (Qingjupi, soaked in water, white pith removed), Uncaria Rhynchophylla (Mutong, sliced) (each 1 liang), Mulberry Root Bark (Sanggen Baipi, sliced), Aucklandia Root (Muxiang), Betel Nut (Binglang, sliced), Rhubarb (Dahuang, sliced and stir-fried) (each 0.5 liang). Coarsely crush and sieve. Take 3 qian per dose... [Text cuts off, implies decoction].
Qianghuo Tang (Notopterygium Decoction)
Treats postpartum edema with chest oppression.
Ingredients: Notopterygium Root (Qianghuo, remove rhizome), Green Tangerine Peel (Qingjupi, remove white pith and bran-stir-fried) (each 0.5 liang), Raw Dry Rehmannia Root (Shenggan Dihuang, roasted), Atractylodes Macrocephala Rhizome (Baizhu, sliced) (each 1 liang), Mulberry Root Bark (Sanggen Baipi) (1 liang), Aucklandia Root (Muxiang), Immature Fruit of Sesame (Qianniuzi, lightly stir-fried), Chebula Fruit (Helile, lightly stir-fried), Red Poria (Chifuling, remove black skin) (each 0.5 liang). Coarsely crush and sieve. Take 3 qian per dose with 1 cup of water. Decoct to 0.7 cup, strain, and drink warm. Anytime.
Fangji Zhike Tang (Stephapia and Bitter Orange Decoction)
Treats postpartum edema with coughing.
Ingredients: Stephania Tetrandra (Fangji) (1 liang), Bitter Orange (Zhike, pulp removed, bran-stir-fried) (2 liang), Mulberry Root Bark (Sanggen Baipi, sliced), Angelica Sinensis (Danggui, sliced and roasted) (each 1 liang), Aucklandia Root (Muxiang) (0.5 liang), Perilla Stem (Zisujing, sliced), Betel Nut (Binglang, sliced) (each 1 liang). Coarsely crush and sieve. Take 5 qian per dose with 1.5 cups of water. Decoct to 1 cup, strain, and drink warm. Anytime.
Beimu Tang (Fritillaria Decoction)
Treats postpartum edema with panting and coughing.
Ingredients: Fritillaria Bulb (Beimu, remove heart), Mulberry Root Bark (Sanggen Baipi, sliced), Aster Root (Ziwan), Red Poria (Chifuling, remove black skin), Schisandra Berry (Wuweizi) (each 1 liang), Apricot Seed (Xingren, remove skin and tip, use twin kernels, grind separately), Ginseng (Renshen) (each 1.5 liang), Lepidium Seed (Tingli, stir-fried between papers) (0.5 liang). Coarsely crush and sieve. Take 3 qian per dose with 1 cup of water. Decoct to 0.7 cup.
Qianniuzi Wan (Sesame Pill)
Treats generalized postpartum edema.
Ingredients: Immature Fruit of Sesame (Qianniuzi, half raw half cooked), Bitter Orange (Zhike, pulp removed, bran-stir-fried) (each 1 liang), Angelica Sinensis (Danggui, sliced and roasted), Ligusticum Chuanxiong (Xiong), Raw Dry Rehmannia Root (Shenggan Dihuang, roasted), Mulberry Root Bark (Sanggen Baipi, sliced), Aucklandia Root (Muxiang), Stephania Tetrandra (Fangji), Chebula Fruit (Helile, processed, pitted) (each 0.5 liang). Grind into powder, mix with refined honey, and form pills the size of paulownia seeds. Take 20 pills per dose.
Lingyangjiao Tang (Antelope Horn Decoction)
Treats postpartum edema, chest oppression, irritability, and stomach injury with difficulty urinating.
Ingredients: Antelope Horn Shavings (Lingyangjiao Xie), Corydalis Rhizome (Yanhusuo), Bitter Orange (Zhike, pulp removed, bran-stir-fried), Peony Root (Shaoyao), Liu Ji Nu (Liu Jinu), Betel Nut (Binglang, sliced), Mulberry Root Bark (Sanggen Baipi, sliced) (equal parts). Coarsely... [Text cuts off, implies crushing/sieving].
Zhike Wan (Bitter Orange Pill)
Treats postpartum edema with chest oppression, panting, and coughing.
Ingredients: Bitter Orange (Zhike, pulp removed, bran-stir-fried), Stephania Tetrandra (Fangji) (each 1 liang), Chebula Peel (Helile Pi) (0.5 liang), Rhubarb (Dahuang, stir-fried) (1 liang), Angelica Sinensis (Danggui, sliced and roasted) (2 liang), Prunus Armeniaca Kernel (Yuliren, remove skin, slice, grind) (0.5 liang), Mulberry Root Bark (Sanggen Baipi, sliced) (1 liang). Except for ground ingredients, crush and sieve into powder, mix well, and form pills with refined honey the size of paulownia seeds. Each... [Text cuts off, implies dosage].
Shanglu Tang (Phytolacca Decoction)
Treats sudden generalized postpartum edema, chest oppression, and loss of appetite.
Ingredients: Phytolacca Root (Shanglugen, sliced) (2 liang), Saposhnikovia Root (Fangfeng, remove forked roots) (1 liang), Licorice Root (Gancao, honey-fried) (0.5 liang), Aconite Root (Fuzi, processed, peel and navel removed) (1 piece), Adzuki Bean (Chixiaodou) (2 he), Hemp Seed (Maziren) (3 he). Cut into sizes similar to hemp seeds. Take 5 qian per dose with 1.5 cups of water. Decoct to 1 cup, strain, and drink warm. Anytime.
Gan Dihuang Tang (Dried Rehmannia Decoction)
Treats generalized postpartum edema of the body, head, and face.
Ingredients: Fresh Ginger, Dried Rehmannia Root (Gan Dihuang, roasted), Atractylodes Macrocephala Rhizome (Baizhu), Peony Root (Shaoyao), Red Poria (Chifuling, remove black skin) (each 1 liang), Mulberry Root Bark (Sanggen Baipi, sliced) (2 liang), Licorice Root (Gancao, sliced) (0.5 liang), Adzuki Bean (Chixiaodou) (5 he), Astragalus Root (Huangqi, sliced) (2 liang), Phytolacca Root (Shanglugen, sliced) (2 liang). Coarsely crush and sieve. Take 5 qian per dose with 1 cup... [Text cuts off, implies decoction].
Beimu Wan (Fritillaria Pill)
Treats postpartum edema of the head, face, and four limbs, with panting and coughing.
Ingredients: Fritillaria Bulb (Beimu, remove heart), Red Poria (Chifuling, remove black skin) (each 2 liang), Aster Root (Ziwan), Schisandra Berry (Wuweizi), Mulberry Root Bark (Sanggen Baipi, sliced), Apricot Seed (Xingren, remove skin and tip, twin kernels, stir-fried and ground into paste), Ginseng (Renshen) (each 1 liang), Jujube (Dazao, 10 pieces, boiled, skin and pit removed, ground into paste). Except for the two pastes, crush and sieve into powder. Mix with apricot seed and jujube paste. If too dry, add a little refined honey. Form pills the size of paulownia seeds. Take 20-30 pills per dose, dissolved in thick decoction of Phytolacca Root. Anytime.
Zhike Wan (Bitter Orange Pill)
Treats postpartum edema of the head and face, with pain in the hypochondrium.
Ingredients: Bitter Orange (Zhike, pulp removed, bran-stir-fried) (1.1 liang), Chebula Fruit (Helile, baked, pitted) (2 liang), Angelica Sinensis (Danggui, sliced and roasted), Rhubarb (Dahuang, sliced and stir-fried), Stephania Tetrandra (Fangji) and Peony Root (Shaoyao, lightly stir-fried) (each 0.3 liang), Prunus Armeniaca Kernel (Yuliren, soaked in wine, skin removed) (1 liang), Aucklandia Root (Muxiang), Ligusticum Chuanxiong (Xiong), Licorice Root (Gancao, honey-fried and sliced) (each 0.5 liang), Immature Fruit of Sesame (Qianniuzi) (1 liang, stir-fried, pounded, take half). Grind into powder, mix with refined honey, and form pills the size of paulownia seeds. Take 20 pills per dose, dissolved in Mulberry Root and Jujube Tea. Increase to 30 pills if necessary.
Fangji Tang (Stephania Decoction)
Treats postpartum edema with inability to eat.
Ingredients: Stephania Tetrandra (Fangji) (2 liang), Saposhnikovia Root (Fangfeng, remove forked roots), Ligusticum Chuanxiong (Xiong), Aconite Root (Fuzi, processed, peel and navel removed), Licorice Root (Gancao, honey-fried and sliced), Angelica Sinensis (Danggui, sliced and roasted), Old Tangerine Peel (Chenju pi, remove white pith and roast) (each 2 liang), Adzuki Bean (Chixiaodou) (3 he). Cut into sizes similar to hemp seeds. Take 3 qian per dose with 1 cup of water, adding 3 slices of fresh ginger, and cook together... [Text cuts off].
Zhehuang Tang (Zhehuang Decoction)
Treats postpartum blood-wind causing generalized edema.
Ingredients: Zhehuang (Zhehuang), Bitter Orange (Zhike, pulp removed), Atractylodes Macrocephala Rhizome (Baizhu), Siegesbeckia Herb (Diding) (each 1.5 liang), Astragalus Root (Huangqi, sliced), Ginseng (Renshen), Winter Flower (Kuandonghua), Platycodon Root (Jiegeng). Coarsely crush and sieve. Take 3 qian per dose with 1 cup of water. Decoct to 0.6 cup, strain, and drink warm. Anytime. Treats women with flowing retained blood causing generalized edema, called "blood level."
Ingredients: Genkwa Flower (Yuanhua), Angelica Sinensis (Danggui), Notopterygium Root (Qianghuo), Peony Root (Shaoyao), Green Tangerine Peel (Qingpi), Cinnamon Bark (Rougui), Pollen Typhae (Puhuang), Areca Seed (Dafuzi), Corydalis Rhizome (Yanhusuo), Prepared Rehmannia Root (Shudihuang). Grind into fine powder. Take 0.5 qian per dose on an empty stomach.
Treats postpartum swelling and fullness. (From *Zhouhou Fang*)
Use 1.5 dou of black soybeans. Boil to obtain 5 sheng. Clarify and remove dregs. Repeat three times to ensure no turbidity. Then boil with 5 sheng of clear wine until reduced to 2 sheng. Divide into five doses.
Dafupi San (Areca Peel Powder) (From *Shenghui Fang*)
Treats postpartum deficiency and stagnation of wind-qi, causing edema of the head, face, and four limbs, panting, rapid breathing, and loss of appetite.
Ingredients: Areca Peel (Dafupi, sliced) (1 liang), Polygonum Multiflorum Vine (Tianliaomu, sliced) (0.5 liang), Anemone Root (Baiwei) (0.5 liang), Polyporus (Zhuling, remove black skin) (1 liang), Apricot Seed (Xingren, remove skin and tip, twin kernels, soak in water, bran-stir-fried until slightly yellow) (0.5 liang), Betel Nut (Binglang) (0.5 liang), Bitter Orange (Zhike, bran-stir-fried until slightly yellow, pulp removed) (0.3 liang), Mulberry Root Bark (Sanggen Baipi, sliced) (1 liang), Perilla Leaf (Zisuye) (0.5 liang), Ephedra Stem (Mahuang, remove joints and roots) (0.5 liang), Asarum (Xixin) (0.5 liang), Licorice Root (Gancao, stir-fried until slightly red and sliced) (0.5 liang). Crush and sieve into powder. Take 3 qian per dose with water... [Text cuts off, implies decoction].
Shanglu San (Phytolacca Powder) (From *Shenghui Fang*)
Treats postpartum deficiency wind obstruction, generalized edema, and inability to eat.
Ingredients: Phytolacca Root (Shanglu, square inch, white variety), Adzuki Bean (Chixiaodou, raw) (1 fen), Hemp Seed (Dama Ren) (1 he), Aconite Root (Fuzi, processed, peel and navel removed) (0.5 liang), Licorice Root (Gancao, honey-fried until slightly red and sliced) (1 fen), Saposhnikovia Root (Fangfeng, remove rhizome) (1 fen), Mulberry Root Bark (Sanggen Baipi, sliced) (1 fen). Crush and sieve. Take 4 qian per dose with 1 cup of water, add... [Text cuts off].
Yuliren San (Prunus Armeniaca Kernel Powder) (From *Shenghui Fang*)
Treats postpartum deficiency wind, edema of the head, face, and four limbs, instability in sitting and lying.
Ingredients: Prunus Armeniaca Kernel (Yuliren, soak in water, remove skin) (1 liang), Saposhnikovia Root (Fangfeng, remove rhizome) (3 fen), Notopterygium Root (Qianghuo) (3 fen), Red Poria (Chifuling) (1 liang), Phytolacca Root (Shanglu) (1 liang), Alisma Rhizome (Zexie) (3 fen), Stephania Tetrandra (Han Fangji) (0.5 liang), Aucklandia Root (Muxiang) (0.5 liang), Betel Nut (Binglang) (0.5 liang). Crush and sieve into powder. First, boil 1 sheng of adzuki beans in 5 sheng of water until soft. Extract 2 sheng of juice. For each dose, take 3 qian of medicine and 1 cup of bean juice. Decoct to 0.6 cup, strain, and drink warm. Daily... [Text cuts off].
Ziwan San (Aster Powder) (From *Shenghui Fang*)
Treats postpartum deficiency wind, generalized edema, upper body panting and coughing, abdominal and hypochondriac oppression, loss of appetite, and weakness in the four limbs.
Ingredients: Aster Root (Ziwan, remove stems and soil) (1 liang), Stephania Tetrandra (Han Fangji) (0.5 liang), Cinnamon Heart (Guixin) (0.5 liang), Asarum (Xixin) (0.5 liang), Betel Nut (Binglang) (3 fen), Red Poria (Chifuling) (0.5 liang), Mulberry Root Bark (Sanggen Baipi, sliced) (0.5 liang), Bitter Orange (Zhike, bran-stir-fried until slightly yellow, white pith removed) (0.5 liang), Areca Peel (Dafupi, sliced) (0.5 liang), Sweet Lepidium Seed (Tian Tingli, lightly stir-fried) (0.5 liang), Aucklandia Root (Muxiang) (0.5 liang), Licorice Root (Gancao, honey-fried until slightly red) (0.5 liang). Crush and sieve into powder. Take 3 qian per dose with 1 cup of water, adding 0.5 fen of fresh ginger peel, and decoct together... [Text cuts off].
Binglang Wan (Betel Nut Pill) (From *Shenghui Fang*)
Treats postpartum deficiency wind, facial edema, stabbing pain in the hypochondrium, painful four limbs, and loss of appetite.
Ingredients: Betel Nut (Binglang) (1 liang), Bitter Orange (Zhike, stir-fried) (3 fen), Chebula Peel (Helile Pi) (1 liang), Angelica Sinensis (Danggui, sliced and lightly stir-fried) (0.5 liang), Old Tangerine Peel (Chenju pi) (1 liang), Rhubarb (Dahuang) (1 liang), Prunus Armeniaca Kernel (Yuliren) (3 fen), Aucklandia Root (Muxiang) (0.5 liang), Mulberry Root Bark (Sanggen Baipi), Red Peony Root (Chishaoyao) (each 0.5 liang), Immature Fruit of Sesame (Qianniuzi) (2 liang). Crush and sieve into powder, mix with refined honey, and pound 300-200 times. Form pills the size of paulownia seeds. Take 20 pills before meals with fresh ginger and tangerine peel tea.
Zeqi Wan (Euphorbia Pill) (From *Shenghui Fang*)
Treats postpartum deficiency wind, facial edema, chest discomfort, and poor appetite.
Ingredients: Euphorbia Humifusa (Zeqi) (1 liang), Stephania Tetrandra (Han Fangji) (3 fen), Prunus Armeniaca Kernel (Yuliren, soak in water, remove skin, lightly stir-fried) (1 liang), Asarum (Xixin) (0.5 liang), Saposhnikovia Root (Fangfeng, remove rhizome) (0.5 liang)... [Text cuts off, likely missing ingredients like Zhike], ... [Text cuts off, likely pill description], ... [Text cuts off, likely dosage].
Treats postpartum skin edema.
Grind citrus peel into powder and take with wine.
Physician's Commentary: Postpartum edema is diverse. Some swell during pregnancy and do not recover after childbirth. Others suffer from poor postpartum care, external contraction of cold, heat, wind, and dampness, or internal injury from anger, joy, worry, and fright. Blood and qi clash and stagnate in the meridians. One must differentiate between qi-level and blood-level disorders. Tiaojing San only treats blood-level issues. If swelling persists, Zhizhu Tang, Duohun San, and Da Tiaojing San are essential. Zhizhu Tang treats hardness under the heart as large as a plate with edges like a spinning top, called "qi level." (From *Daquan Liangfang*)
Ingredients: Immature Bitter Orange (Zhishi, processed, pulp removed) (2.5 qian), Atractylodes Macrocephala Rhizome (Baizhu) (5 qian). Total 7.5 qian, coarsely ground. Divide into three doses. Decoct with 1.5 cups of water to 0.7 cup, and drink warm.
Tiaojing San (From *Bao Shi Fang*)
Treats edema in the four limbs.
Ingredients: Myrrha (ground), Amber (ground), Cinnamon Heart, Red Peony Root (Chishaoyao) (1 qian), Angelica Sinensis (Danggui) (1 qian), Asarum (Xixin), Musk (Shexiang) (0.5 qian). Grind into powder. Take 0.5 qian per dose, mixed with a little ginger juice and warm wine. Flowing and overflowing causes edema.
Physician's Commentary: Postpartum edema is diverse; treat according to the cause. Differentiate between blood-level and qi-level disorders. Tiaojing San is effective for blood-level issues but has weak power. If visceral qi is suddenly deficient, with external contraction and internal injury, stagnation of blood and qi, or abdominal pain, vomiting, and diarrhea, use Modified Wuzhuyu Tang.
Ingredients: Evodia Fruit (Wuzhuyu) (1.5 liang), Bitter Orange (Zhike), Dried Ginger (Ganjiang), Licorice Root (Gancao), Saposhnikovia Root (Fangfeng), Asarum (Xixin), Ophiopogon Tuber (Maimendong), Angelica Sinensis (Danggui, soaked in wine and roasted), Polyporus (Fuling), Cinnamon Heart (Guixin), Moutan Bark (Mudanpi) (each 0.5 liang), Pinellia Tuber (Banxia, soaked in water seven times, each 0.5 liang). Grind into powder. Take 4 qian per dose, decoct and drink hot before meals. Or if caused by water retention...
Ingredients: Immature Bitter Orange (Zhishi) (1.5 liang), Atractylodes Macrocephala Rhizome (Baizhu) (3 liang). Grind into powder. Take 4 qian per dose, decoct and drink warm. Abdominal softness indicates resolution. Or for deficiency edema with panting, use Du...
Ingredients: Fresh Ginger (3 liang, juice extracted), Wheat Flour (3 liang), Pinellia Tuber (Banxia, 7 pieces broken). Knead Pinellia and flour with ginger juice into cakes. Roast until burnt and cooked, then grind into powder.
Duhuo Tang (Angelica Pubescens Decoction) (From *Bencao*)
Treats postpartum deficiency wind.
Take 3 liang of Angelica Pubescens (Duhuo), 3 sheng of water. Boil to obtain 1.5 sheng. Divide into three doses. Those who tolerate alcohol may boil in wine water for better effect.
Treats floating wind on the body. (From *Bencao*)
Boil taro and use the juice for bathing. Avoid wind exposure for about half a day.
Baixianpi Tang (Dictamnus Decoction) (From *Bencao*)
Treats postpartum deficiency wind.
Take 3 liang of Dictamnus Root Bark (Baixianpi), 3 sheng of water. Boil to obtain 1.5 sheng. Divide into three doses. Those who tolerate alcohol may boil in wine water for better effect.