典藏书目

The herbs are ground into fine powder. Half is made into pills with refined honey, sized like paulownia seeds, and the other half remains as a powder. Take 50-70 pills at a time, administered with warm wine.

Yufeng San (Wind-Dispelling Powder): Treats postpartum wind-stroke characterized by lockjaw (trismus), tightness of the jaw, spasms of the hands and feet, and opisthotonos (body arched like a bow).
Prescription: Jingjie Sui (Schizonepetae Spica) (lightly stir-fried and ground into powder).
Usage: Take 3 qian each time, mixed with Doulin Jiu (Soybean-infused Wine). Tongbian (Infant urine) may also be used. Another variant adds Danggui (Angelicae Sinensis Radix).
Commentary: Postpartum conditions often involve blood deficiency leading to malnourishment of the sinews and resulting in spasms that resemble wind-stroke. It is appropriate to use this medicine to unblock the vessels and clear the spirit. The addition of Danggui is likely for this reason; this does not fall under the category of external pathogenic factors. Therefore, this method is recorded tentatively; its theoretical basis is discussed later in Danxi's treatise.

Duxing San (Lone Traveler Powder): Treats postpartum blood fainting and coma.
Prescription: Wulingzhi (Trogopteri Dung) (stir-fried).
Usage: Ground into powder, taken with water, wine, and infant urine, 2 qian per dose.

Danggui San (Angelica Powder): Treats postpartum deficiency of both qi and blood. Since strong tonification might exacerbate "guest heat," this formula is suitable for eliminating lochia.
Prescription: Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Chuanxiong (Ligustici Chuanxiong Rhizoma), Huangqin (Scutellariae Radix) (each 1 liang), Baizhu (Atractylodis Macrocephalae Rhizoma) (0.5 liang).
Usage: Ground into fine powder, taken with warm infant urine, 2 qian per dose.

Huangqi Tang (Astragalus Decoction): Treats continuous sweating after childbirth due to yin deficiency.
Prescription: Huangqi (Astragali Radix) (2 qian), Baizhu (Atractylodis Macrocephalae Rhizoma), Fangfeng (Saposhnikoviae Radix), Shudihuang (Rehmanniae Radix Preparata), Muli (Ostreae Concha) (calcined), Baifuling (Poria), Maidong (Ophiopogonis Radix), Gancao (Glycyrrhizae Radix et Rhizoma) (honey-fried, each 0.5 qian).
Usage: Cut the herbs into small pieces. Take 0.5 liang per dose, decoct with dates.

Jiajian Siwu Tang (Modified Four Substances Decoction): Treats postpartum fever due to yin deficiency, or fever accompanied by chills occurring in the evening while consciousness is clear during the day.
Prescription: Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shengdihuang (Rehmanniae Radix), Chaihu (Bupleuri Radix).
Usage: Equal parts. Take 4-5 qian per dose, decoct in water.

Ruizhutang Fang (Formula from Ruizhu Hall): Treats abdominal pain caused by blood stasis masses after childbirth.
Prescription: Jingxiong (Ligustici Chuanxiong Rhizoma) (stir-fried), Danggui (Angelicae Sinensis Radix) (stir-fried), Shudihuang (Rehmanniae Radix Preparata), Baishao (Paeoniae Radix Alba) (stir-fried, each 0.5 liang), Puhuang (Typhae Pollen) (stir-fried, 2 fen).
Usage: Ground together into fine powder. Take 2 qian per dose, mixed with warm wine on an empty stomach.

Danxi Shen'gao (Danxi's Ginseng and Atractylodes Paste): Treats dripping urinary syndrome caused by uterine damage after childbirth.
Prescription: Renshen (Ginseng Radix et Rhizoma) (2.5 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (2 qian), Taoren (Persicae Semen), Chenpi (Citri Reticulatae Pericarpium) (each 1 qian), Huangqi (Astragali Radix) (1.5 qian), Fuling (Poria) (1 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (honey-fried, 0.5 qian).
Usage: Cut the herbs into small pieces, decoct in water, and finally add pig or sheep bladder to cook together as one dose.
Danxi stated: I have seen cases of dripping urinary syndrome caused by bladder rupture due to careless midwifery. A woman surnamed Xu contracted this in her prime. I reasoned that if external muscle wounds can be repaired, perhaps the bladder inside the abdomen can also be treated. Her pulse was extremely deficient. I realized that women who experience difficult labor often have qi deficiency, and their qi and blood are even more depleted after delivery. Therefore, I employed strong tonification, decocting the Shen'gao with pig or sheep bladder and administering it when she was extremely hungry. Each dose was 1 liang, and she recovered after one month. This suggests that rapid replenishment of qi and blood allowed the bladder to heal; if the process were slower, success might be difficult.

Yanshi Chengtong San (Mrs. Yan's Pain-Relieving Powder): Treats postpartum pain throughout the body, stiffness of the waist and back, and spasm of sinews due to blood stasis.
Prescription: Danggui (Angelicae Sinensis Radix), Guizhi (Cinnamomi Ramulus), Baizhu (Atractylodis Macrocephalae Rhizoma), Niuxi (Achyranthis Bidentatae Radix), Gancao (Glycyrrhizae Radix et Rhizoma) (each 3 qian), Huangqi (Astragali Radix), Duhuo (Angelicae Pubescentis Radix), Shengjiang (Zingiberis Rhizoma Recens) (each 0.5 liang).
Usage: Cut the herbs into small pieces. Take 0.5 liang per dose, decoct in water.
Commentary: The herbs affecting the three Yin meridities of the hand and foot in this formula originate from the Taiyang (Greater Yang) category, making it a surface-releasing agent. However, if lochia is not cleared and colic persists, internal-treating agents such as Xionggui Tang (Ligusticum and Angelica Powder) should be used, employing drugs like Dahuang (Rhei Radix et Rhizoma) and Taoren (Persicae Semen) to purge. If blood accumulates in the collaterals forming masses, Moyao Wan (Myrrha Pill) using insects like Mengchong (Blatta Orientalis) and Shuizhi (Hirudo) should be used to expel stasis. These are modified methods and are not detailed here; thus, the above formulas are all regulatory agents. Other complex conditions are detailed in *Daquan Liangfang*.

Note: Blood stasis in the meridians after childbirth often leads to abscesses, which can sometimes be fatal. This is because severe depletion and reversal of qi and blood occur. Generally, these conditions involve yin deficiency with hyperactive fire, so acrid-warm agents should be used with caution. Moreover, there are three prohibitions for medication after childbirth. My teacher, Mr. Danxi, stated that if there is no nausea/vomiting (or other excess patterns) postpartum, one should strongly tonify qi and blood. Even if other complications arise, they should be treated secondarily. For example, if wind-stroke occurs, do not treat it as ordinary wind-stroke with Xiao Xuming Tang (Minor Continue Life Decoction); instead, first tonify qi and blood, then resolve phlegm. Treatment should be guided by the pulse in the left and right wrists to assess the balance of qi and blood. Fever and aversion to cold indicate qi and blood deficiency: if the left wrist pulse is insufficient, use more blood-tonifying than qi-tonifying herbs; if the right wrist pulse is insufficient, use more qi-tonifying than blood-tonifying herbs. In cases of aversion to cold, fever, and abdominal pain, one should remove the evil blood to restore flow, demonstrating the principle of adaptation.