论产后宜补 附胎产金丹 回生丹
天师曰∶产后之病，不可枚举，终以补气补血为主。余未尝不可定方而概治之也。产后往往血晕头痛，
身热腹疼或手足逆而转筋，或心胁满而吐呕，风邪入而变为阴寒，或凉气浸而直为厥逆，皆死亡定于旦夕，
而危急乱于须臾也。此时若作外症治之，药下喉即死，可不慎欤。方用人参五钱，白术五钱，熟地一两，
当归二两，川芎一两，荆芥末炒黑二钱。此方为主，有风感之，加柴胡六分；有寒入之。加附子一钱，肉
桂一钱。其余诸症，俱不可乱加。以此方服之，无不神效。但可或减分两，而不可去取药味。盖产妇一
身之血，尽行崩下，皮毛腠理如纸之薄，邪原易入，然亦易出也。故以大剂补正之中，略加祛邪之药，少粘
气味，邪则走出于躯壳之外，乌可照平常无病之人，虑其邪之难散而重用逐邪
之方也。方中妙在纯是补气补血之品，全罔顾邪，尽于辅正，正气既多，邪气自遁。况方中原有荆芥
之妙剂，不特引气血各归经络，亦能引邪气各出皮毛，此方之所以奇而妙、妙而神也。惟有儿枕作痛，
手按之少痛者，加入山植十粒、桃仁五个可也。一剂即去之，余药万不可轻用增入也。问熟地三日内可
服否？一曰∶何尝不可服也。
张公曰∶产后方，最定得妙，无可再传方也。
华君曰∶与予异，并传子。如产后诸症，以补气血为主。方用人参三钱，当归一两，川芎五钱，
荆芥炒黑一钱，益母草一钱，水煎服。（〔批〕气血兼补汤。）有风，加柴胡五分；有寒，加肉桂一
钱；血不净，加山楂十粒；血晕，加炒黑姜片五分∶鼻中衄血，加麦冬二钱；夜热，加地骨皮五分；有
食，加山楂五粒、谷芽一钱；有痰，少加白芥子五分，余断断不可轻入。此方纯补气血而不治表，所以
为妙。予亲治产后，无不神效。不知天师何故不传此方，而另传方与远公。想因气数之薄，而此方尚欠
力量也，然亦可并传千古云。
附胎产金丹。治产后诸症。凡产后，好酒、童便化服一丸，诸病不生。产后经风，防风汤化服
一丸。儿枕疼者，山楂沙糖汤化服一丸。虚怯者，川芎当归汤每日服一丸，十日痊愈。无子者，行经后，
川芎当归汤服一丸，即能受孕。以上诸症，照方调服，能保命护身，回生起死，其功不能尽述。
回生丹，治产后诸症。凡产后三日，血气未定，还走五脏，奔充于肝，血晕，起止不得，眼见黑
花，以滚水调服即愈。或产后七日，血气未定，因食物与血结聚胸中，口干心闷烦渴，滚汤下。或产后虚
羸，血入于心肺，热入于脾胃，寒热似疟，实非疟也，滚汤下。或产后败血，走注五脏，转满四肢，停留
化为浮肿，渴而四肢觉寒，乃血肿，非水肿也，
服此即愈。或产后败血热极，中心烦躁，言语颠狂，非风邪也，滚水下。或产后败血流入心孔，闭塞失
音，用甘菊花三分，桔梗二分，煎汤调服。或产未盈月，误食酸寒坚硬之物，与血相搏，流入大肠，
不得克化，泄痢脓血，用山楂煎汤调服。或生产时，百节开张，血入经络，停留日久，虚胀酸疼，
非湿症也，用苏梗三分，煎汤调服。或产后月中，饮食不得应时，兼致怒气，余血流入小肠，闭却水道，
小便涩结，溺血似鸡肝，用木通四分，煎汤调服。又或流入大肠，闭却肛门，大便涩难，有瘀而成块，如
鸡肝者，用广皮三分，煎汤调服。或产后恶露未净，饮食寒热不得调和，以致崩漏，形如肝色，潮湿烦
闷，背膊拘急，用白术三分，广皮二分，煎汤调服。或产后血停于脾胃，胀满呕吐，非翻胃也，用陈皮
煎汤服。或产后败血入五脏六腑，并走肌肤四肢，面黄口干，鼻中流血，遍身斑点，危症也，陈酒化服。
或产后小便涩，大便闭，乍寒乍热，如醉如痴，滚水调服。以上诸症，皆产后败血为害也。故此丹最有奇
功。至产后一切异症，医所不识，人所未经，但服此丹，无不立安。一丸未应，二丸三丸必效无疑，慎之
重之。
天师说：产后发生的疾病，无法一一列举，但治疗始终以补气补血为主。我并非不能制定一个通用方剂来概括治疗所有情况。产后常常出现血晕、头痛，身体发热、腹痛，或者手足逆冷并发生转筋（肌肉痉挛），或者心胁部胀满并伴有呕吐，风邪侵入后转化为阴寒证，或者凉气浸渍导致直接发生厥逆（四肢冰冷至肘膝），这些情况都可能在早晚之间决定生死，危急时刻就在瞬息之间。此时如果当作外感病症来治疗，药一下喉就会致死，能不谨慎吗？方剂用人参五钱，白术五钱，熟地黄一两，当归二两，川芎一两，荆芥末炒黑二钱。此方作为主方，如果有风邪感受的，加柴胡六分；有寒气侵入的，加附子一钱，肉桂一钱。其余各种症状，都不可随意添加药物。服用此方，没有不神效的。只是可以适当减少剂量，但不能去掉或替换药味。因为产妇一身之血大量流失，皮毛腠理像纸一样薄，病邪容易进入，但也容易排出。所以在大力补益正气的方剂中，略微加入祛邪的药物，气味轻微，病邪就能从躯壳之外排出，怎么能像对待平常无病之人那样，担心病邪难散而重用驱邪的方剂呢？方中的妙处在于全是补气补血的药材，完全不顾及病邪，全力辅助正气，正气充足了，病邪自然退避。况且方中原有的荆芥这味妙药，不仅能引导气血各自归入经络，也能引导病邪各自从皮毛排出，这就是此方奇妙且神效的原因。只有儿枕痛（产后瘀血阻滞引起的腹痛），用手按压时疼痛减轻的，可以加入山楂十粒、桃仁五个即可。一剂药后就应去掉这两味药，其他药物万万不可轻易增加使用。问：熟地黄在产后三天内可以服用吗？回答说：何尝不可以服用呢。
张公说：这个产后方剂定得非常精妙，没有什么可以再传授的了。
华君说：这与我的观点不同，一并传授给你。如产后各种症状，以补气血为主。方剂用人参三钱，当归一两，川芎五钱，荆芥炒黑一钱，益母草一钱，水煎服。（批注：气血兼补汤。）有风邪的，加柴胡五分；有寒气的，加肉桂一钱；恶露不净的，加山楂十粒；血晕的，加炒黑姜片五分；鼻出血的，加麦冬二钱；夜间发热的，加地骨皮五分；有积食的，加山楂五粒、谷芽一钱；有痰的，少量加入白芥子五分，其余断断不可轻易加入。此方纯补气血而不治表证，所以为妙。我亲自治疗产后疾病，没有不神效的。不知道天师为什么不传授此方，而另外传给远公。我想是因为气数薄弱，而这个方剂还欠缺力量吧，然而也可以一并流传千古。
附胎产金丹。治疗产后各种症状。凡是产后，用好酒、童便化开服用一丸，各种疾病都不会产生。产后受风的，用防风汤化开服用一丸。儿枕痛的，用山楂红糖汤化开服用一丸。体虚怯弱的，用川芎当归汤每日服用一丸，十天痊愈。不孕的，行经后，用川芎当归汤服用一丸，就能受孕。以上各种症状，按照方剂调服，能保命护身，起死回生，其功效无法尽述。
回生丹，治疗产后各种症状。凡是产后三天，血气未定，血液回流五脏，奔涌充塞于肝，出现血晕，起止不得安宁，眼前看见黑花，用滚水调服即愈。或者产后七天，血气未定，因食物与血结聚在胸中，口干、心闷、烦渴，用滚汤送下。或者产后身体虚弱消瘦，血液流入心肺，热邪流入脾胃，寒热交替像疟疾，其实不是疟疾，用滚汤送下。或者产后败血，流注五脏，充满四肢，停留化为浮肿，口渴且四肢感觉寒冷，这是血肿，不是水肿，服用此药即愈。或者产后败血热极，心中烦躁，言语颠狂，不是风邪，用滚水送下。或者产后败血流入心孔，闭塞导致失音，用甘菊花三分，桔梗二分，煎汤调服。或者生产未满月，误食酸寒坚硬之物，与血相搏，流入大肠，无法消化，泄痢脓血，用山楂煎汤调服。或者生产时，全身关节开张，血液流入经络，停留日久，虚胀酸痛，不是湿症，用苏梗三分，煎汤调服。或者产后月中，饮食不能按时，兼致怒气，余血流入小肠，闭塞水道，小便涩结，尿血像鸡肝，用木通四分，煎汤调服。又或者流入大肠，闭塞肛门，大便涩难，有瘀血结成块，像鸡肝的，用广皮三分，煎汤调服。或者产后恶露未净，饮食寒热不得调和，以致崩漏，形状像肝脏颜色，潮湿烦闷，背膊拘急，用白术三分，广皮二分，煎汤调服。或者产后血液停滞于脾胃，胀满呕吐，不是翻胃，用陈皮煎汤服。或者产后败血进入五脏六腑，并走窜肌肤四肢，面黄口干，鼻中流血，遍身斑点，这是危重症状，陈酒化服。或者产后小便涩，大便闭，乍寒乍热，像喝醉了一样痴傻，用滚水调服。以上各种症状，都是产后败血为害所致。所以此丹最有奇功。至于产后一切奇异症状，医生不认识，人未曾经历过的，只要服用此丹，没有不立刻安好的。一丸无效，二丸三丸必定有效无疑，务必慎重重视。
On the Principle of Tonifying After Childbirth; Appendages: Taichan Jindan (Golden Pill for Fetal and Obstetric Conditions) and Huisheng Dan (Pill for Restoring Life)
The Heavenly Master said: The diseases occurring after childbirth are too numerous to enumerate, but treatment should ultimately focus on tonifying Qi and Blood. I am not incapable of prescribing a general formula to treat them all. After childbirth, one often experiences blood syncope (loss of consciousness due to blood loss), headache, fever, abdominal pain, or cold extremities with tetanic convulsions (muscle spasms). There may also be fullness in the heart and hypochondrium accompanied by vomiting, transformation into Yin-cold syndrome due to wind pathogen invasion, or direct occurrence of jue-ni (cold limbs extending to elbows and knees) due to chilling cold qi. These conditions can determine life or death within a day or night, becoming critical in an instant. If treated at this time as exterior syndromes, taking medicine would lead to immediate death; how can one not be cautious? The formula uses Ren Shen (Ginseng Radix et Rhizoma) 5 qian, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 5 qian, Shu Di Huang (Rehmanniae Radix Praeparata) 1 liang, Dang Gui (Angelicae Sinensis Radix) 2 liang, Chuan Xiong (Ligustici Chuanxiong Rhizoma) 1 liang, and Jing Jie Mo (Schizonepetae Spica) stir-fried until black 2 qian. This formula serves as the main prescription: if wind pathogen is present, add Chai Hu (Bupleuri Radix) 6 fen; if cold pathogen enters, add Fu Zi (Aconiti Lateralis Radix Praeparata) 1 qian and Rou Gui (Cinnamomi Cortex) 1 qian. For other various symptoms, do not arbitrarily add herbs. Taking this formula yields miraculous effects without exception. One may reduce dosages appropriately but must not remove or substitute ingredients. Since a parturient woman has lost a vast amount of blood, her skin pores and interstices are as thin as paper; pathogens enter easily but also exit easily. Therefore, within a large-dose formula for tonifying Zheng Qi (Upright Qi), slightly adding dispelling-pathogen herbs with mild flavors allows pathogens to exit from the body shell. How can one treat them like healthy individuals, worrying that pathogens are hard to scatter and thus heavily using formulas to purge pathogens? The brilliance of this formula lies in its pure use of Qi- and Blood-tonifying substances, completely disregarding pathogens, focusing entirely on assisting Zheng Qi. Once Zheng Qi is abundant, pathogens naturally retreat. Moreover, the Jing Jie (Schizonepetae Spica) in the formula is a wonderful agent; it not only guides Qi and Blood back into the meridians but also guides pathogens out through the skin and hair. This is why the formula is so wondrous and divine. Only in cases of Er Zhen Tong (postpartum abdominal pain caused by retained lochia), where pressing reduces pain, one may add Shan Zha (Crataegi Fructus) 10 grains and Tao Ren (Persicae Semen) 5 pieces. Remove these two after one dose; other herbs must never be lightly added. Question: Can Shu Di Huang (Rehmanniae Radix Praeparata) be taken within three days postpartum? Answer: Why could it not be taken?
Master Zhang said: This postpartum formula is exquisitely determined; there is nothing more to transmit.
Master Hua said: This differs from my view, yet I transmit it together. For various postpartum symptoms, the principle is tonifying Qi and Blood. The formula uses Ren Shen (Ginseng Radix et Rhizoma) 3 qian, Dang Gui (Angelicae Sinensis Radix) 1 liang, Chuan Xiong (Ligustici Chuanxiong Rhizoma) 5 qian, Jing Jie (Schizonepetae Spica) stir-fried until black 1 qian, Yi Mu Cao (Leonuri Herba) 1 qian, decocted in water and taken orally. (Commentary: Qi and Blood Dual-Tonifying Decoction.) If wind is present, add Chai Hu (Bupleuri Radix) 5 fen; if cold is present, add Rou Gui (Cinnamomi Cortex) 1 qian; if lochia is not cleared, add Shan Zha (Crataegi Fructus) 10 grains; for blood syncope, add stir-fried black ginger slices 5 fen; for epistaxis, add Mai Dong (Ophiopogonis Tuber) 2 qian; for night fever, add Di Gu Pi (Lycii Cortex) 5 fen; if there is food stagnation, add Shan Zha (Crataegi Fructus) 5 grains and Gu Ya (Hordei Fructus Germinatus) 1 qian; if there is phlegm, add a small amount of Bai Jie Zi (Sinapis Semen) 5 fen. The rest must absolutely not be lightly added. This formula purely tonifies Qi and Blood without treating the exterior, which is its brilliance. I have personally treated postpartum cases with miraculous efficacy. I wonder why the Heavenly Master did not transmit this formula but instead transmitted another to Yuan Gong. Perhaps because his Qi count was thin, and this formula still lacked strength? Nevertheless, it can be transmitted for millennia.
Appendage: Taichan Jindan (Golden Pill for Fetal and Obstetric Conditions). Treats various postpartum symptoms. For any postpartum condition, dissolve one pill in good wine and child's urine; various diseases will not arise. For postpartum wind exposure, dissolve one pill in Fang Feng Tang (Saposhnikoviae Root Decoction). For Er Zhen Tong (postpartum abdominal pain due to retained lochia), dissolve one pill in Shan Zha (Crataegi Fructus) and brown sugar soup. For deficiency and timidity, take one pill daily with Chuan Xiong Dang Gui Tang (Ligustici Chuanxiong and Angelicae Sinensis Decoction); recovery occurs in ten days. For infertility, take one pill with Chuan Xiong Dang Gui Tang (Ligustici Chuanxiong and Angelicae Sinensis Decoction) after menstruation, leading to conception. For the above symptoms, follow the formula for administration; it protects life and body, restores life from death, and its merits cannot be fully described.
Huisheng Dan (Pill for Restoring Life). Treats various postpartum symptoms. Within three days postpartum, when Qi and Blood are unsettled, blood returns to the Five Zang organs, rushing into the Liver, causing blood syncope, restlessness, and visualizing black spots; dissolve in boiling water to cure. Or seven days postpartum, when Qi and Blood are unsettled, food and blood knot in the chest, causing dry mouth, chest oppression, irritability, and thirst; swallow with hot water. Or postpartum emaciation, where blood enters Heart and Lung, heat enters Spleen and Stomach, presenting alternating chills and fever resembling malaria but not malaria; swallow with hot water. Or postpartum stagnant blood flowing to the Five Zang, filling the four limbs, stagnating and transforming into edema, with thirst and cold sensation in limbs—this is blood edema, not water edema; taking this cures it. Or postpartum stagnant blood reaching extreme heat, causing central irritability and delirious speech, not wind pathogen; swallow with boiling water. Or postpartum stagnant blood entering the heart orifice, causing aphonia due to blockage; decoct Gan Ju Hua (Chrysanthemi Flos) 3 fen and Jie Geng (Platycodonis Radix) 2 fen in water to dissolve the pill. Or within a month postpartum, mistakenly consuming sour, cold, and hard foods that clash with blood, flowing into Large Intestine, failing to digest, causing dysentery with pus and blood; dissolve in Shan Zha (Crataegi Fructus) decoction. Or during delivery, when joints open, blood enters meridians, stagnating for a long time causing distension and soreness—not dampness; dissolve in Su Geng (Perillae Caulis) decoction. Or mid-postpartum, irregular diet combined with anger, causing residual blood to flow into Small Intestine, blocking water passages, resulting in difficult urination and hematuria resembling chicken liver; dissolve in Mu Tong (Akebiae Caulis) decoction. Or again flowing into Large Intestine, blocking anus, causing difficult defecation with clots resembling chicken liver; dissolve in Guang Pi (Citri Reticulatae Pericarpium) decoction. Or when lochia is not cleared, diet冷热 (hot and cold) unharmonized, causing metrorrhagia resembling liver color, dampness, irritability, and stiffness in back and shoulders; dissolve in Bai Zhu (Atractylodis Macrocephalae Rhizoma) 3 fen and Guang Pi (Citri Reticulatae Pericarpium) 2 fen decoction. Or postpartum blood stagnating in Spleen and Stomach, causing distension and vomiting—not Fan Wei (regurgitation); dissolve in Chen Pi (Citri Reticulatae Pericarpium) decoction. Or postpartum stagnant blood entering Five Zang and Six Fu, spreading to skin and limbs, causing yellow complexion, dry mouth, epistaxis, and widespread macules—a critical condition; dissolve in aged wine. Or postpartum difficult urination, constipation, alternating chills and fever, appearing drunk or foolish; dissolve in boiling water. All above symptoms are caused by postpartum stagnant blood. Thus, this pill has unique merit. For all strange postpartum symptoms unrecognized by doctors and unprecedented by people, taking this pill brings immediate peace. If one pill fails, two or three pills will surely work; handle with utmost caution and respect.