产后大便下血由血虚肠热也，宜四物汤（方见上大便闭结条中）加黄连一钱。
水煎服。
若血崩不止是谓重伤，宜补气养血汤。
补气养血汤
人参 黄 （蜜炙） 当归 白术（蜜炙） 白芍（酒炒） 艾叶 阿胶 川芎 青皮 香附（炒） 砂仁
炙甘草（各一钱）
水煎服。
是丹有回天造命之功，其用甚广，其传甚稀（世所传如海南一勺及扬城乌金丸方，亦用陈墨为主，然与此
方异）。惟徐灵胎先生《洄 医案》中略举其概（在瘀血上冲，厥而不回一条），曰黑神丸以陈墨为主，而以
消瘀镇心之品佐之，为产后安神定魄，去瘀生新之要品方亦未之出也。今从诸氏鸣皋却病锦囊中幸获全方，亟
为录刊广传于世，此药也累世蓄之，或未必用，一旦求之则难猝得。有室家者，根据方预合于以利己救人，同登
仁寿，亦有裨于生生之一端焉！谨将本方及治证引药开列于后。
陈墨一锭（须觅顶上选烟历百十年胶性全脱者，俟天雨时用新净瓷器当空接取，是为无根水洗净砚。
男子手磨成浓汁，倾入净细大瓷盘中，晒燥刮下研细待用。每料约用净墨粉肆钱，墨汁易坏用水勿太多，遇
久雨及夏令更宜斟酌。霉
雨勿用）。
百草霜二钱（得陈者佳，须取近山沿海人家烧各种野草者，取烟时先扫净火，门上积烟逐日扫下筛净，
研细待用，烧牛粪者最良。凡烧独种柴草者勿用，并勿误用锅煤）。
天麻二钱（要透明切时勿用，水泡研细待用）。
淮小麦面粉二钱（ 淮安府城西三十里外，麦方间开花可用，筛净，半入药中，余半糊丸）。
足赤大金箔五十页（以四十页研入药中，余俟丸成为衣）。上药先各研极细秤准足分，再合和研匀，
即将淮面粉打糊为丸，（打丸开水须俟凉定）金箔为衣，晒令极干如芡实大。每丸约重一分，外用蜡壳封护。
宜择天医天月二德等吉日斋戒，严洁于净室中，焚香修合得诵入。保产神咒等诸经虔礼斗忏尤着神验，忌
手足不具人，妇女孝服一切荤秽及鸡犬等触犯。（药工务宜预戒仆从先，须约束一切，器用俱要洁净，用此丸
催生者，忌犯阴人手）。
服药得愈，当量行善，愿以答神 。以后所开引药，如急证猝不及购，俱用童便或白汤研送。证轻者用药
一丸，重者二三丸（用丸时剥去蜡壳）。凡治小产后诸证与正产同。
横生倒产及一切难产，俱用黄酒或童便研送。
母脏热极熏蒸致胎死腹中，坠于脐下，其证指甲青黑，面赤舌青（此为胎死的据），四肢厥冷，口角出沫，
急用童便一杯，或黄酒研送。（若续用冬葵子一两，怀牛膝三钱，煎汤服更妙。若一服不下，并可再服或三
服）。
胎衣不下用黄酒，或童便研送一丸，如再不下用凉开水调百草霜数分，再送一丸即下。
产后忽然四肢发痉，口噤头摇（俗名产后惊风，因去血
过多，肝风内动所致）。用钩藤（此味后煎）、荆芥各五分，丹皮一钱，首乌藤二钱煎汤，冲入童便，研送两
丸（忌鱼腥痉证，亦有由外感者，必数日前先有畏寒身热，当另求治法勿误）。
产后七日内猝然厥冷，不省人事，并狂笑歌哭，神昏奇怪。（诸证俱属败血冲心，乃极险极重之候）急用
童便研化，先服两丸，再用真明琥珀五分研末先煎，生蒲黄、五灵脂、广郁金各八分，煎汤冲入童便一杯，研送
一丸（如数日前先有畏寒身热，由渐而起，非猝然厥冷昏狂者，系外感证，当另求治法。凡产后恶血上冲之证，
并宜速用米醋一大盆置产妇头边，淬入火炭，使醋气冲入口鼻，此法至稳至妙，虽有外感可用）。
产后腹胀胁痛，咳逆气喘，汗出如油，此败血逆冲心肺也。急用通草五分，真红花、桑白皮各一钱，煎汤
冲入米醋三匙，研送。（加旋复花一钱五分，夏布包煎更妙）
产后喉肿气喘，急如猫声，或寒战切牙（亦败血冲入心肺也）。急用桑白皮一钱煎汤研送（桑白皮恐力薄
更加桃仁、杏仁各一钱作引更妙）。
产后血晕眼目昏黑，或寒战切牙，由败血流入五脏，积于肝中也。急用红花八分煎汤，冲入童便一杯研送。
产后鼻黑及鼻衄，气血散乱，诸经虚热也。急用桑白皮一钱煎汤研送（加地骨皮、茅草根各二钱更妙）。
产后言语不出，手足不遂，由毛孔开张，风寒袭入所致，或由败血冲心者，用豆淋酒研送（按豆淋酒，用
黑大豆一合，即乌毛豆炒热，滚酒浸半刻去豆用酒）。
产后遍身生瘕，因三四日内强力下床致伤产穴，或怒气
冲伤五脏，初起眼涩口噤者，用豆淋酒研送。
产后三四日起卧不得，眼花口干，心乱不省人事者，用薄荷（少许）煎汤冲入童便研送。或血气未定，过
食热物致心闷口干，发热烦满者，用红花二三分煎汤研送。
产后腰痛，四肢作痛，因百脉开张，败血随气流行，散于四肢。初得气时肚热腰寒者，用铁秤锤炭火烧
红淬热酒研药和入，乘热送服。
产后中风，口开（口开一作口闭）气急，半身不遂，并头痛寒热，均用童便研送（此条与前言语不出，手
足不遂条相似，因有气急一证，故不用豆淋酒，恶其升也）
产后血崩，头痛口干，心神慌乱者，用醋炒海螵蛸一钱，紫葳花五分，煎汤研送，或恶露成块多瘀者，改
用真红花五分，煎汤研送。如血崩已缓而头痛口干，心乱不瘥者，改用生鸡子黄一个，煎清汤研送（鸡子黄宜
囫囵煎则汁清而不滞）。
产后腹痛难忍，按之得缓者，用酒水各半煎，酒炒白芍一钱研送。若按之痛反甚者，改用元胡索一钱，以
酒水各半煎汤研送（不饮者酒宜减，素有肝气者用水煎）。如痛而有块者，照后两条。
产后腹中生块不时作痛，常聚不散，因房事太早，食硬卧冷所致者，用当归一钱酒煎研送，并宜接服妇科回
生至宝丹（此丸杭城大药肆备之）。若痛时有块，痛止即散者（属气分）改用青皮五分，川楝子一钱，水煎
研送（不用酒煎当归）。
产后数日内腹中血块攻痛（俗名儿枕痛），由于恶露不通或通而甚少者，用山楂炭一钱炒枯黑，沙糖四钱
煎汤冲入童便半杯研送（此条当与前两条参看）。
产后因过食冷物心痛者，用茴香、真红花各五分，煎汤研送。
产后黄肿头疼，四肢沉重，因食冷物触动败血，传入脾胃变化作肿也。患者口枯体倦，用荆芥、槐角、
棘针、真红花各三分，酒煎研送（忌鱼腥）。此丸所治以上各证屡试屡验，其效如神，但用引不同，临服时必
须照本对证，细查确切，不可大意。至要至要。
产后大便下血是由于血虚且肠道有热所致，适宜使用四物汤（方剂见上文“大便闭结”条目中）加入一钱黄连。
用水煎煮后服用。
如果发生血崩且出血不止，这被称为严重损伤，适宜使用补气养血汤。
补气养血汤
人参、黄芩（蜜炙）、当归、白术（蜜炙）、白芍（酒炒）、艾叶、阿胶、川芎、青皮、香附（炒）、砂仁、炙甘草（各一钱）
用水煎煮后服用。
这个药丹具有回天救命的功效，应用非常广泛，但传承很少（世间流传的如海南一勺及扬州乌金丸方，也主要使用陈墨，然而与此方不同）。只有徐灵胎先生在《洄溪医案》中略微提及此方概况（在“瘀血上冲，厥逆不醒”一条中），说黑神丸以陈墨为主药，辅以消除瘀血、镇心安神的药物，是产后安神定魄、去瘀生新的关键方剂，但原方并未公开。如今从诸氏鸣皋的《却病锦囊》中幸运地获得了完整方子，急忙记录并刊印以广传于世。此药我家世代珍藏，或许未必用到，一旦急需则难以突然得到。有家室的人，可根据方子预先配制以便利己救人，共同达到仁爱与长寿，这也算是助益生命的一种方式！谨将本方及治疗各种证候的引药开列如下。
陈墨一锭（必须寻找顶部精选烟料，历经百年以上胶性完全脱尽者，等待下雨天时，用新净瓷器在空中接取雨水，以此无根水洗净砚台。男子用手磨成浓汁，倒入干净细大的瓷盘中，晒干后刮下研细备用。每料约需净墨粉四钱，墨汁容易变质，加水不要太多，遇到久雨及夏季更应斟酌。霉雨季节勿用）。
百草霜二钱（以陈旧者为佳，必须选取靠近山边沿海人家燃烧各种野草时收集的烟灰，收集烟灰前先扫净火种，将门上积存的烟灰每日扫下筛净，研细备用，燃烧牛粪产生的烟灰最好。凡是只燃烧单一品种柴草的勿用，并且不要误用锅底煤）。
天麻二钱（要透明切片的，水泡后研细备用）。
淮小麦面粉二钱（淮安府城西三十里外，麦苗刚开花时可用，筛净，一半入药，另一半用来糊丸）。
足赤大金箔五十页（其中四十页研入药中，剩余部分等丸药制成后作为包衣）。上述药物先分别研磨至极细，称准分量，再混合均匀研磨，即将淮面粉打糊制作成丸（打丸用的开水须待凉透），用金箔为衣，晒至极干，大小如芡实。每丸约重一分，外用蜡壳封装保护。宜选择天医、天月德等吉日斋戒，在严净的房间中，焚香调制，并诵念保产神咒等经典虔诚礼拜斗忏，尤其显著神验。忌讳手脚不全之人、穿孝服的妇女以及一切荤腥污秽之物和鸡犬等触犯。（制药工匠务必预先告诫仆从，须约束一切人员，器具用品都要洁净，用此丸催生的，忌讳接触阴手之人）。
服药痊愈后，应当量力行善，以报答神灵。以后所列出的引药，如果遇到急证来不及购买，一律用童便或白开水研化送服。证轻者用药一丸，证重者用二三丸（使用时剥去蜡壳）。凡治疗小产后的各种证候与正产相同。
横生倒产及一切难产，均用黄酒或童便研化送服。
母体脏腑热极熏蒸导致胎死腹中，坠于脐下，其症状是指甲青黑，面赤舌青（这是胎死的依据），四肢厥冷，口角出沫，急用一杯童便，或用黄酒研化送服。（若继续服用冬葵子一两，怀牛膝三钱，煎汤服用更佳。如果一服无效，可以再服或连服三次）。
胎衣不下用黄酒，或童便研化送一丸，如果仍不下，用凉开水调百草霜数分，再送一丸即可排出。
产后忽然四肢发痉，口噤头摇（俗名产后惊风，因失血过多，肝风内动所致）。用钩藤（此味后下）、荆芥各五分，丹皮一钱，首乌藤二钱煎汤，冲入童便，研化送服两丸（忌食鱼腥。痉证也有由外感引起的，必定在数日前先有畏寒身热，应当另求治法，切勿误治）。
产后七日内猝然厥冷，不省人事，并狂笑歌哭，神志昏乱奇怪。（这些证候都属于败血冲心，是极其危险严重的证候）急用童便研化，先服两丸，再用真明琥珀五分研末先煎，加生蒲黄、五灵脂、广郁金各八分，煎汤冲入一杯童便，研化送一丸（如果在数日前先有畏寒身热，逐渐而起，并非猝然厥冷昏狂者，属于外感证，应当另求治法。凡产后恶血上冲之证，都适宜迅速用一大盆米醋放在产妇头边，淬入火炭，使醋气冲入口鼻，此法非常稳妥奇妙，即使有外感也可使用）。
产后腹胀胁痛，咳逆气喘，汗出如油，这是败血逆冲心肺。急用通草五分，真红花、桑白皮各一钱，煎汤冲入三匙米醋，研化送服。（加旋复花一钱五分，用夏布包裹煎煮更佳）。
产后喉肿气喘，声音急迫如猫叫，或寒战切牙（也是败血冲入心肺）。急用桑白皮一钱煎汤研化送服（桑白皮恐怕药力薄弱，再加桃仁、杏仁各一钱作为引药更佳）。
产后血晕眼目昏黑，或寒战切牙，由败血流入五脏，积聚于肝中。急用红花八分煎汤，冲入一杯童便研化送服。
产后鼻黑及鼻衄，气血散乱，诸经虚热。急用桑白皮一钱煎汤研化送服（加地骨皮、茅草根各二钱更佳）。
产后言语不出，手足不遂，由毛孔开张，风寒袭入所致，或由败血冲心者，用豆淋酒研化送服（按豆淋酒制法：用黑大豆一合，即乌毛豆炒热，滚酒浸泡片刻去豆，只用酒）。
产后遍身生瘕，因三四日内强力下床致伤产穴，或怒气冲伤五脏，初起眼涩口噤者，用豆淋酒研化送服。
产后三四日起卧不得，眼花口干，心乱不省人事者，用薄荷（少许）煎汤冲入童便研化送服。或者血气未定，过食热物致心闷口干，发热烦满者，用红花二三分煎汤研化送服。
产后腰痛，四肢作痛，因百脉开张，败血随气流行，散于四肢。初得气时肚热腰寒者，用铁秤锤炭火烧红淬热酒研药和入，乘热送服。
产后中风，口开（口开一作口闭）气急，半身不遂，并头痛寒热，均用童便研化送服（此条与前言语不出、手足不遂条相似，因有气急一证，故不用豆淋酒，厌恶其升提之性）。
产后血崩，头痛口干，心神慌乱者，用醋炒海螵蛸一钱，紫葳花五分，煎汤研化送服，或者恶露成块多瘀者，改用真红花五分，煎汤研化送服。如血崩已缓而头痛口干，心乱不愈者，改用生鸡蛋黄一个，煎清汤研化送服（鸡蛋黄宜整颗煎煮则汁液清而不滞）。
产后腹痛难忍，按压可缓解者，用酒水各半煎，酒炒白芍一钱研化送服。若按压疼痛反而加重者，改用元胡索一钱，以酒水各半煎汤研化送服（不饮酒者酒量宜减，素有肝气者用水煎）。如痛而有块者，参照后两条。
产后腹中生块不时作痛，常聚不散，因房事太早，食硬卧冷所致者，用当归一钱酒煎研化送服，并宜接续服用妇科回生至宝丹（此丸杭州城大药肆备有）。若痛时有块，痛止即散者（属气分）改用青皮五分，川楝子一钱，水煎研化送服（不用酒煎当归）。
产后数日内腹中血块攻痛（俗名儿枕痛），由于恶露不通或通而甚少者，用山楂炭一钱炒枯黑，沙糖四钱煎汤冲入半杯童便研化送服（此条当与前两条参看）。
产后黄肿头疼，四肢沉重，因食冷物触动败血，传入脾胃变化作肿也。患者口枯体倦，用荆芥、槐角、棘针、真红花各三分，酒煎研化送服（忌食鱼腥）。此丸所治以上各证屡试屡验，其效如神，只是使用的引药不同，临服时必须根据本方对证，仔细查证确切，不可大意。至关重要。
Postpartum hematochezia (bleeding from the rectum) is caused by blood deficiency and intestinal heat. It is appropriate to use Siwu Tang (Four Substances Decoction) [see formula in the "Constipation" section above] with one qian of Huanglian (Coptidis Rhizoma).
Decoct in water and take orally.
If metrorrhagia (profuse uterine bleeding) persists, it is termed a severe injury. It is appropriate to use Buxue Yangxue Tang (Qi-Nourishing and Blood-Supplementing Decoction).
Buxue Yangxue Tang (Qi-Nourishing and Blood-Supplementing Decoction)
Renshen (Ginseng Radix et Rhizoma), Huangqin (Scutellariae Radix) [honey-fried], Danggui (Angelicae Sinensis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma) [honey-fried], Baishao (Paeoniae Radix Alba) [wine-fried], Aye (Colla Corii Asini), Chuanxiong (Ligustici Chuanxiong Rhizoma), Qingpi (Citri Reticulatae Pericarpium Viride), Xiangfu (Cyperi Rhizoma) [stir-fried], Sharen (Amomi Fructus), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) [each one qian].
Decoct in water and take orally.
This pill possesses the merit of reversing heaven and creating life; its application is extensive, yet its transmission is rare (worldwide circulated formulas such as Hainan Yiyi and Yangcheng Wuji Wan also primarily use aged ink, but they differ from this formula). Only Mr. Xu Lingtai briefly mentioned its outline in *Huixi Yi'an* (Cases of Huixi Clinic) [under the item "Blood Stasis Rushing Upward, Syncope Not Recovering"], stating that Heishen Wan (Black Spirit Pill) uses aged ink as the principal herb, assisted by herbs that resolve stasis and calm the heart and spirit. It is an essential formula for calming the spirit and stabilizing the soul after childbirth, removing stasis and generating new blood, yet the original formula was not disclosed. Now, having fortunately obtained the complete formula from Zhu Minggao's *Qiebing Jinang* (Silk Bag for Dispelling Illness), I urgently record and publish it to spread it widely. This medicine has been preserved by my family for generations; perhaps it may never be used, but if sought in an emergency, it cannot be obtained suddenly. Those with families should prepare it in advance according to the formula to benefit themselves and save others, ascending together to benevolence and longevity. This is indeed a contribution to the preservation of life! I hereby list the main formula and the guiding medicines for treating various syndromes below.
Chenmo (Aged Ink Stick) one stick (Must seek selected soot from the top, aged over a hundred years with fully detached gum properties. Wait for rainy days, catch rainwater in a clean porcelain vessel held in the air; this is called rootless water to wash the inkstone. Men should grind it into thick juice by hand, pour it into a clean fine large porcelain dish, dry it in the sun, scrape it down, and grind it finely for use. Each batch requires about four qian of pure ink powder. Ink juice spoils easily; do not add too much water, especially during prolonged rains and summer months. Do not use during damp/moldy rainy seasons).
Baicaoshuang (Soot from Hundred Herbs) two qian (Older is better. Must obtain soot collected from households near mountains or coasts burning various wild grasses. Before collecting soot, sweep away the fire first. Sweep down the accumulated soot on doors daily, sieve it clean, and grind it finely for use. Soot from burning cow dung is best. Do not use soot from burning single types of firewood, and do not mistake it for pot black).
Tianma (Gastrodiae Rhizoma) two qian (Use transparent slices. Soak in water, grind finely for use).
Huai Xiaomianfen (Flour of Huai Wheat) two qian (Available where wheat flowers are just blooming, thirty miles west of Huai'an Prefecture city. Sieve clean. Use half for the medicine, the other half to make paste for pills).
Zhuchi Da Jinbo (Pure Gold Leaf) fifty leaves (Grind forty leaves into the medicine; reserve the rest to coat the pills after formation). The above drugs should each be ground extremely finely, weighed accurately, then mixed and ground uniformly. Use Huai wheat flour paste to form pills (the boiling water for making paste must cool completely). Coat with gold leaf, dry until very hard, size like a Chinese quince seed. Each pill weighs approximately one fen. Seal externally with a wax shell for protection. Choose auspicious days such as Tianyi or Tianyuede for fasting and purification. Prepare in a strict, clean room, burn incense, and recite the Postpartum Protection Divine Mantra and other scriptures with devout repentance to the Dipper; this yields particularly miraculous results. Avoid contact with people with missing limbs, women in mourning clothes, all meat/fish/unclean items, and chickens/dogs. (Medicine makers must warn servants in advance, constrain all personnel, ensure all utensils are clean. When using this pill for inducing labor, avoid contact with individuals with "yin hands").
After recovery from taking the medicine, one should perform good deeds according to one's ability to thank the spirits. For the guiding medicines listed later, if urgent cases arise and purchase is impossible, use urine from a healthy child (Tongbian) or plain boiled water to dissolve and administer. For mild syndromes, take one pill; for severe syndromes, take two or three pills (peel off the wax shell before use). All post-abortal syndromes are treated similarly to postpartum syndromes.
For transverse or breech presentation and all difficult labors, dissolve in yellow wine or urine from a healthy child and administer.
If extreme heat in the maternal organs steams and causes fetal death in the uterus, causing the fetus to descend below the umbilicus, symptoms include cyanotic/black nails, red face, and blue tongue (this is evidence of fetal death), cold limbs, foaming at the mouth. Urgently use one cup of urine from a healthy child, or dissolve in yellow wine and administer. (If continuing treatment, adding Dongkuizi (Malvae Semen) one liang and Huainiu Xi (Cyathulae Radix) three qian, decocted in water, is even better. If one dose is ineffective, it can be taken again or up to three times).
For retained placenta, use yellow wine or urine from a healthy child to dissolve and administer one pill. If it still does not pass, mix several fen of Baicaoshuang (Soot from Hundred Herbs) with cool boiled water, then administer another pill to expel it.
Sudden spasms of the four limbs, locked jaw, and shaking head after childbirth (commonly known as postpartum convulsions, caused by excessive blood loss leading to internal stirring of liver wind). Use Gouteng (Uncariae Ramulus cum Uncis) [add later], Jingjie (Schizonepetae Herba) each five fen, Danpi (Moutan Cortex) one qian, Shouwuteng (Polygoni Multiflori Caulis) two qian. Decoct in water, add urine from a healthy child, dissolve the pills, and administer. (Avoid fishy smells. Convulsions can also be caused by external pathogens; if there were chills and fever several days prior, seek different treatment methods, do not err).
Sudden syncope, unconsciousness, manic laughter/crying, and strange mental confusion within seven days after childbirth. (These syndromes all belong to foul blood rushing to the heart, representing an extremely dangerous and severe condition). Urgently dissolve in urine from a healthy child, take two pills first. Then decoct Zhenming Hupo (Clear Amber) five fen (ground to powder) first, add Sheng Puhuang (Typhae Pollen), Wulingzhi (Trogopterori Faeces), Guang Yujin (Curcumae Radix) each eight fen. Decoct in water, add one cup of urine from a healthy child, dissolve one pill, and administer. (If chills and fever appeared gradually several days prior, rather than sudden syncope/manic behavior, it is an external pathogen syndrome; seek different treatment. For all postpartum foul blood rushing upward syndromes, it is suitable to quickly place a large basin of rice vinegar near the mother's head, quench hot charcoal in it, allowing the vinegar vapor to enter the nose and mouth. This method is very stable and wonderful; it can be used even if there is an external pathogen).
Abdominal distension and hypochondriac pain, coughing and wheezing, sweating like oil after childbirth. This is foul blood counter-rushing to the heart and lungs. Urgently use Tongcao (Tetrapanacis Medulla) five fen, Zhen Honghua (Carthami Flos) and Sangbaipi (Morus Cortex) each one qian. Decoct in water, add three spoons of rice vinegar, dissolve and administer. (Adding Xuanfuhua (Inulae Flos) one qian 5 fen, wrapped in linen cloth for decoction, is even better).
Postpartum throat swelling and wheezing, urgent sound like a cat, or chattering teeth due to cold shivers (also foul blood rushing to the heart and lungs). Urgently use Sangbaipi (Morus Cortex) one qian, decoct in water, dissolve and administer. (Sangbaipi may be weak in potency; adding Taoren (Persicae Semen) and Xingren (Armeniacae Semen) each one qian as guiding agents is even better).
Postpartum blood syncope with dim vision or blindness, or chattering teeth due to cold shivers, caused by foul blood flowing into the five zang organs and accumulating in the liver. Urgently use Honghua (Carthami Flos) eight fen, decoct in water, add one cup of urine from a healthy child, dissolve and administer.
Postpartum blackening of the nose and epistaxis, with scattered qi and blood and deficient heat in all meridians. Urgently use Sangbaipi (Morus Cortex) one qian, decoct in water, dissolve and administer. (Adding Digupi (Lycii Cortex) and Maocaogen (Imperatae Rhizoma) each two qian is even better).
Postpartum inability to speak and paralysis of limbs, caused by open pores allowing wind-cold invasion, or by foul blood rushing to the heart. Use Doulun Jiu (Bean-Dripping Wine) to dissolve and administer. (Note: Doulun Jiu is made by stir-frying one he of black soybeans [Wumao Dou] until hot, soaking in boiling wine for a moment, removing the beans, and using only the wine).
Postpartum masses appearing all over the body, caused by forcing oneself out of bed within three to four days, injuring the birth canal, or anger rushing and injuring the five zang organs. If initially presenting with gritty eyes and locked jaw, use Doulun Jiu (Bean-Dripping Wine) to dissolve and administer.
Postpartum inability to rise or lie down after three to four days, blurred vision, dry mouth, mental confusion and unconsciousness. Use Bohe (Menthae Haplocalycis Herba) [a small amount], decoct in water, add urine from a healthy child, dissolve and administer. Or, if qi and blood are unsettled, and excessive consumption of hot foods causes chest oppression, dry mouth, fever, and fullness, use Honghua (Carthami Flos) two or three fen, decoct in water, dissolve and administer.
Postpartum lower back pain and limb pain, caused by the opening of all vessels, with foul blood circulating with qi and scattering into the four limbs. If initially experiencing abdominal heat and waist cold upon onset, use iron scale weight charcoal, heated red and quenched in hot wine, to dissolve the medicine and administer while warm.
Postpartum wind-stroke, open mouth (or closed mouth),急促 breathing, hemiplegia, headache, chills, and fever. All should be administered by dissolving in urine from a healthy child. (This item is similar to the "inability to speak and limb paralysis" item above. Because there is急促 breathing, Doulun Jiu is not used because it is disliked for its ascending nature).
Postpartum metrorrhagia, headache, dry mouth, and mental panic. Use Haipiaoxiao (Sepiae Endoconcha) one qian stir-fried with vinegar, Ziwei Hua (Bignoniae Flos) five fen. Decoct in water, dissolve and administer. Or, if lochia forms clots with much stasis, change to Zhen Honghua (Carthami Flos) five fen, decoct in water, dissolve and administer. If metrorrhagia has slowed but headache, dry mouth, and mental confusion persist, change to one raw egg yolk (Jizi Huang), decoct in clear soup, dissolve and administer. (The egg yolk should be decocted whole so the juice is clear and not viscous).
Postpartum unbearable abdominal pain, relieved by pressure. Use equal parts wine and water to decoct, use Jiuchao Baishao (Paeoniae Radix Alba Prepared with Wine) one qian, dissolve and administer. If pain worsens with pressure, change to Yuanhusuo (Corydalis Rhizoma) one qian, decoct in equal parts wine and water, dissolve and administer. (Reduce wine if the patient does not drink; use water decoction if the patient has chronic liver qi stagnation). If pain is accompanied by masses, refer to the following two items.
Postpartum masses forming in the abdomen with intermittent pain, constantly gathering and not dispersing, caused by early sexual intercourse, eating hard foods, or lying on cold surfaces. Use Danggui (Angelicae Sinensis Radix) one qian, decoct in wine, dissolve and administer. It is also advisable to continuously take Fuke Huisheng Zhibao Dan (Gynecological Life-Returning Precious Pill) [available in major pharmacies in Hangzhou]. If masses appear only when painful and disperse when pain stops (belonging to qi level), change to Qingpi (Citri Reticulatae Pericarpium Viride) five fen, Chuanshan Lianzi (Toosendan Fructus) one qian, decoct in water, dissolve and administer (do not use wine-decocted Danggui).
Postpartum abdominal mass pain within several days (commonly known as "child pillow pain"), due to obstructed lochia or scanty flow. Use Shanzhutan (Crataegi Fructus Carbonized) one qian stir-fried until dark black, Sha Tang (Saccharum) four qian. Decoct in water, add half a cup of urine from a healthy child, dissolve and administer. (Refer to the previous two items for comparison).
Postpartum heart pain due to excessive consumption of cold foods. Use Huixiang (Foeniculi Fructus) and Zhen Honghua (Carthami Flos) each five fen. Decoct in water, dissolve and administer.
Postpartum yellow edema, headache, and heavy limbs, caused by consuming cold foods which agitate foul blood, transmitting to the spleen and stomach, changing into swelling. Patients present with dry mouth and fatigue. Use Jingjie (Schizonepetae Herba), Huaijiao (Staphyleae Fructus), Jizhen (Zanthoxyli Spina), and Zhen Honghua (Carthami Flos) each three fen. Decoct in wine, dissolve and administer. (Avoid fishy smells). The above syndromes treated by this pill have been tested repeatedly with miraculous efficacy. The only difference lies in the guiding medicines. At the time of administration, one must strictly match the syndrome according to this text, investigate carefully and accurately, and not be careless. This is crucial.