《大全》云∶产后恶露方行，忽然断绝，腰中重痛下注，两股痛如锥刺入骨。此由血滞经络，不即通之，
必作痈疽。宜桃仁汤、五香连翘汤。
沈尧封曰∶前方不稳，不若用桃仁、红花、地龙、肉桂、没药、当归为妥。
如神汤治瘀血腰痛。延胡、当归、肉桂等分，水煎服。
沈尧封曰∶腰痛不见前证者，多属肝肾虚，宜当归、杜仲、补骨脂之类。
沈尧封曰∶产后浮肿，先要分水病、气病。水病
皮薄色白而亮，如裹水之状；气病皮浓色不变。经云∶肾者，胃之关也。关门不利，聚水生病。盖产后肾气
必损，胃底阳微不能蒸布津液，通调水道，此聚水之由也。宜肾气汤丸。是证皮薄色白可证。人身营卫之
气，通则平，滞则胀。顽痰、瘀血，皆能阻滞气道作肿。是证皮浓色不变，以脉弦者为痰；脉结而芤者为
血分证，分别论治用药。更有一种血虚而致气滞者，其肿不甚，色带淡黄，宜归身为君，佐以白术、陈皮、茯
苓之类。
沈尧封曰∶一妇妊七八个月，痰嗽不止，有时呕浓痰数碗。授二陈、旋复不应，用清肺滋阴愈甚，遂
不服药。弥月而产，痰嗽如故，日夜不寐。三朝后，二陈加胆星、竹沥，吐浓痰数碗，嗽仍不止。更用二陈
加旋复、当归，少减，稍可吃饭。因嗽不减，痰渐变薄，加入生地四钱，食顿减，嗽转甚，通身汗出，脉
象微弦。用归身三钱，茯苓二钱，炒甘草一钱，紫石英三钱；因汗欲用黄 ，因嗽不止，推敲半晌，仍用
炒黄 三钱。一服汗止，而嗽亦大减，十剂而安。
《妇人大全良方》记载：产后恶露刚刚排出，突然中断，腰部沉重疼痛并向下方放射，两腿疼痛如同锥刺入骨。这是由于血液瘀滞于经络，如果不立即疏通，必定会形成痈疽。适宜使用桃仁汤、五香连翘汤。
沈尧封说：前面的方剂不够稳妥，不如使用桃仁、红花、地龙、肉桂、没药、当归更为妥当。
沈尧封说：腰痛如果没有前面提到的那些症状的，多属于肝肾虚弱，适宜使用当归、杜仲、补骨脂之类的药物。
薛立斋说：用手按压时疼痛加剧的，是血瘀阻滞；按压时疼痛缓解的，是血虚。
沈尧封说：产后出现浮肿，首先要区分是水病还是气病。水病表现为皮肤薄、颜色白而光亮，像包裹着水的样子；气病表现为皮肤厚、颜色没有变化。经书说：肾，是胃的关口。如果关口不利，水液积聚就会生病。大概因为产后肾气必然受损，胃中阳气微弱不能蒸腾布散津液，通调水道，这是聚水的原因。适宜使用肾气汤丸。这种证候皮肤薄、颜色白可以印证这一点。人身体的营卫之气，通畅则平和，停滞则肿胀。顽痰、瘀血，都能阻滞气道导致肿胀。这种证候皮肤厚、颜色不变，脉象弦的是痰饮；脉象结代且芤的是血分证，分别论述治疗用药。又有一种因血虚导致气滞的情况，其肿胀不严重，颜色带淡黄色，适宜以当归身为君药，佐以白术、陈皮、茯苓之类的药物。
沈尧封说：一位妇女怀孕七八个月，咳嗽不止，有时呕吐浓痰数碗。给予二陈汤、旋覆花汤无效，使用清肺滋阴的方法反而加重病情，于是停止服药。足月生产后，咳嗽依然如故，日夜无法入睡。产后第三天，在二陈汤基础上加入胆南星、竹沥，吐出浓痰数碗，咳嗽仍然不止。又改用二陈汤加入旋覆花、当归，症状稍减，稍微能吃饭。因为咳嗽不减，痰液逐渐变稀薄，加入四钱生地黄，食欲顿时减少，咳嗽反而加重，全身出汗，脉象微弦。使用三钱当归身，二钱茯苓，一钱炒甘草，三钱紫石英；因为出汗想要用黄芪，因为咳嗽不止，推敲许久，最终仍使用三钱炒黄芪。服用一剂后汗止，咳嗽也大幅减轻，十剂后痊愈。
The *Daquan* (Compendium of Great Importance) states: After childbirth, when lochia (postpartum vaginal discharge) has just begun to flow, if it suddenly stops, accompanied by a heavy pain in the waist radiating downward and stabbing pain in both thighs as if driven into the bone. This is caused by blood stasis in the meridians; if not unblocked immediately, it will inevitably develop into carbuncles and sores. Tao Ren Tang (Peach Kernel Decoction) and Wuxiang Lianqiao Tang (Five-Aromatic Fritillaria Decoction) are suitable.
Shen Yaofeng said: The aforementioned formulas are not stable enough; it is more appropriate to use Tao Ren (Peach Seed), Hong Hua (Safflower), Di Long (Earthworm), Rou Gui (Cinnamon Bark), Moyao (Myrrh), and Dang Gui (Angelica Sinensis).
Rushen Tang (Miraculous Efficacy Decoction) treats lumbago caused by blood stasis. Yanhusuo (Corydalis Rhizome) and Dang Gui (Angelica Sinensis) in equal parts, decocted in water and taken orally.
Shen Yaofeng said: Lumbago without the aforementioned symptoms mostly belongs to deficiency of the Liver and Kidney. Drugs such as Dang Gui (Angelica Sinensis), Duzhong (Eucommia Bark), and Buguzhi (Astragalus Complanatus Fruit) are suitable.
Xue Lizhai said: If pressing with the hand aggravates the pain, it is blood stasis; if pressing relieves the pain, it is blood deficiency.
Shen Yaofeng said: For postpartum edema, one must first distinguish between Water Disease (fluid retention) and Qi Disease (qi stagnation). In Water Disease, the skin is thin, white, and shiny, resembling a state of being wrapped in water; in Qi Disease, the skin is thick and the color remains unchanged. The Classics state: The Kidney is the gate of the Stomach. If the gate is not functioning properly, fluid accumulation occurs leading to disease. Generally, after childbirth, Kidney Qi is inevitably damaged, and the Yang energy at the bottom of the Stomach is weak, unable to vaporize and distribute body fluids or regulate the water passages. This is the cause of fluid accumulation. Shengji Wan/Tang (Kidney Qi Pill/Decoction) is suitable. The presentation of thin, white skin corroborates this. The Ying (Nutritive) and Wei (Defensive) Qi of the human body are peaceful when flowing smoothly and become distended when stagnant. Stubborn phlegm and blood stasis can both block the qi pathways causing swelling. For presentations with thick skin and unchanged color, a wiry pulse indicates Phlegm; a knotted and choppy pulse indicates a Blood pattern; these should be treated separately according to their respective discussions and medications. There is another type where Qi stagnation results from Blood deficiency; the swelling is not severe, and the color is pale yellow. It is suitable to use Dang Gui Shen (Angelica Sinensis Root Head) as the sovereign drug, assisted by Baizhu (Atractylodes Macrocephala Rhizome), Chenpi (Citrus Reticulata Peel), and Fuling (Poria) among others.
Shen Yaofeng said: A woman at seven or eight months of pregnancy suffered from incessant coughing, sometimes vomiting several bowls of thick sputum. Erchen Tang (Two-Cured Decoction) and Xuanfu Decoction were ineffective. Using methods to clear the Lung and nourish Yin worsened the condition, leading her to stop taking medicine. Upon full-term delivery, the coughing persisted, preventing sleep day and night. Three days postpartum, Erchen Tang was modified with Danxing (Arisaema Cum Bile) and Zhuli (Bamboo Juice); she vomited several bowls of thick sputum, but the cough continued. Then, Erchen Tang was modified with Xuanfu (Inula Flower) and Dang Gui (Angelica Sinensis); symptoms decreased slightly, allowing for some food intake. Because the cough did not subside and the sputum gradually became thinner, Si Qian Shengdi (four qian of Rehmannia Glutinososa Root) was added. Immediately, appetite decreased sharply, and the cough intensified, accompanied by sweating over the whole body and a slightly wiry pulse. Guishen San Qian (three qian of Angelica Sinensis Root Head), Fuling Er Qian (two qian of Poria), Chao Gancao Yi Qian (one qian of stir-fried Licorice Root), and Zhi Shiying San Qian (three qian of Hematite) were used. Because of sweating, Huangqi (Astragalus Root) was considered; because of the persistent cough, after much deliberation, Chao Huangqi San Qian (three qian of stir-fried Astragalus Root) was ultimately retained. After one dose, sweating stopped, and the cough significantly decreased; after ten doses, she recovered.