产后形体劳倦，脾胃俱伤。是以新产之后，去膏粱，远浓味，食粥茹蔬，以为调摄。不知者，惟
虑产后之虚，以浓味为有补。更有本不思食而强与之，胃虽少纳，脾难转运，易至食停痞塞，甚而伤食
发热，切勿误认为阴虚。更有食滞腹痛，又勿错疑为血凝。治斯证者，体认真实。如发热而饮食调者，
方可补血。若恶食嗳酸者，
食滞之征，即当扶元为主，补气养血，健脾助胃，审伤何物，佐以何药消导，则脾气复而转输易，滞
物行而胃思谷矣。如此补消兼治，无有不安。故善治者，治法有先后缓急，论证因块痛有无，产后有
日数新久，能重产虚之本，而兼去停积之标，攻补如法，无不应手而愈。故有生化消食汤、健脾消食汤
之分别施治。如误服峻药，过于消导，致不思谷，惟活命丹可救。予每见治产者，但知速消食物，反
损正气，益加满闷。一剂不效又加峻药，一医无功又更一医，先后互异，轻证反重，以致命绝。病家自
归命数，医家以为尽技，岂不惜哉。
生化消食汤 治产后块痛未止，停食痞塞。
川芎（二钱） 当归（五钱，酒炒） 干姜（炙黑） 炙草（各四分） 桃仁（十粒，去皮尖）
神曲（炒） 麦芽（炒。各六分）
水煎服。伤肉食，加山楂五分，砂仁五分。伤寒物，加吴茱萸一钱，肉桂五分。虚人，加人参一
钱，或二钱。
健脾消食汤 治产后块痛已除，停食痞塞。
人参（二钱） 当归（三钱，酒洗） 川芎 神曲（炒。各一钱） 白术（一钱五分，土炒）
山楂 砂仁（各六
分） 麦芽 炙草（各五分）
水煎服。或停寒日久，脾胃弱甚，虽药不能即运，须以手揉按。或炒麸曲熨法亦妙。
长生活命丹 治过服消导之药，致令少食，或本思食之人，反令绝食。
人参（三钱）
用新罐或银铫，水钟半，煎七分。再用饭锅焦研粉，先用些许，以参汤调送二三茶匙。引开胃口
后，渐惭加多，渐加参汤，陆续调服。煎参不可用药罐，恐闻药发呕。此方曾活数十余命，神效。
产后身体疲劳困倦，脾胃均受损伤。因此，在新产之后，应远离油腻厚味的食物，食用粥类和蔬菜，以此作为调养措施。不了解的人，只担心产后体虚，认为浓味食物有补益作用。更有甚者，本来不想吃东西却强行喂食，胃虽然勉强接受少量食物，但脾难以运化，容易导致食物停滞、胸脘痞塞，甚至因伤食而发热，千万不要误认为是阴虚证。又有因食物停滞引起腹痛的，也不要错误地怀疑为血瘀凝滞。治疗这类病症，必须仔细辨别病证的虚实本质。如果发热且饮食正常，才可以进行补血治疗。如果出现厌恶进食、嗳气酸腐的症状，这是食滞的表现，应当以扶助元气为主，补气养血，健脾助胃，审察是伤了什么食物，配合相应的药物进行消导，这样脾气恢复后运化容易，停滞的食物得以排出，胃就会想要进食了。如此补益与消导兼治，没有不安稳的。所以善于治病的人，治疗方法有先后缓急之分，辨证依据肿块疼痛的有无，产后时间的长短，能够重视产后体虚的根本，同时去除停积食物的标症，攻邪与补益合乎法度，没有不随手治愈的。因此有生化消食汤和健脾消食汤的区别施治。如果误服峻猛的药物，过度消导，导致不思饮食，只有活命丹可以挽救。我常见到治疗产后病的医生，只知道快速消除食物积滞，反而损伤正气，增加胀闷感。一剂药无效又加用峻猛药物，一个医生没治好又换另一个医生，前后方法各异，轻症反而加重，以致于死亡。病人家属归咎于命运，医生认为自己已尽力，难道不可惜吗？
生化消食汤 治疗产后腹部块状疼痛未止，食物停滞导致痞塞。
川芎（二钱） 当归（五钱，酒炒） 干姜（炙黑） 炙甘草（各四分） 桃仁（十粒，去皮尖）
神曲（炒） 麦芽（炒。各六分）
水煎服。伤肉食，加山楂五分，砂仁五分。伤寒物，加吴茱萸一钱，肉桂五分。体质虚弱者，加人参一钱，或二钱。
健脾消食汤 治疗产后腹部块状疼痛已除，食物停滞导致痞塞。
人参（二钱） 当归（三钱，酒洗） 川芎 神曲（炒。各一钱） 白术（一钱五分，土炒）
山楂 砂仁（各六分） 麦芽 炙甘草（各五分）
水煎服。如果是寒邪停滞日久，脾胃极度虚弱，即使服药也不能立即运化，需要用手法揉按。或者使用炒麸曲熨烫的方法也很好。
长生活命丹 治疗过服消导药物，导致食欲减退，或者是原本想吃饭的人，反而导致绝食。
人参（三钱）
用新罐或银锅，水半钟，煎至七分。再用饭锅底的焦饭研成粉，先用少许，用人参汤调送二三茶匙。待胃口打开后，逐渐增加剂量，逐渐增加人参汤，陆续调服。煎煮人参不可用药罐，恐怕闻到药味引发呕吐。此方曾救活数十人，效果神奇。
After childbirth, the body is fatigued and exhausted, and both the Spleen and Stomach are injured. Therefore, after new delivery, one should avoid rich and greasy foods, stay away from strong flavors, consume congee and vegetables, and use these as methods of regulation. Those who do not understand only worry about postpartum deficiency, considering rich flavors to be nourishing. Furthermore, there are cases where food is forced upon someone who has no appetite; although the Stomach may accept a small amount, the Spleen finds it difficult to transform and transport, easily leading to food stagnation and epigastric fullness/stuffiness, and even fever due to food injury. Do not mistakenly identify this as Yin Deficiency. In cases of abdominal pain caused by food stagnation, do not wrongly suspect blood stasis. To treat such conditions, one must carefully ascertain the reality (excess/deficiency) of the syndrome. If there is fever but dietary intake is normal, then blood tonification can be performed. However, if there is aversion to food and sour belching, these are signs of food stagnation; one should immediately focus on supporting the Yuan Qi (Original Qi), tonifying Qi and Blood, strengthening the Spleen and assisting the Stomach. Determine what food was injured and supplement with appropriate herbs for digestion and guiding out stagnation. Thus, when Spleen Qi recovers and transformation becomes easy, stagnant matter moves, and the Stomach desires grain. With such combined treatment of tonification and purgation/digestion, there will be no instability. Therefore, skilled practitioners distinguish treatment methods by priority and urgency, differentiate syndromes based on the presence or absence of mass-pain, and consider the duration since delivery. They can emphasize the root of postpartum deficiency while simultaneously eliminating the branch of accumulated food. If attacking excess and tonifying deficiency are done according to method, recovery is assured. Hence, there are distinct treatments using Shenghua Xiaoshi Tang (Life-Generating Food-Dissolving Decoction) and Jianpi Xiaoshi Tang (Spleen-Strengthening Food-Dissolving Decoction). If harsh medicines are mistakenly taken, causing excessive digestion and leading to loss of appetite, only Huoming Dan (Life-Saving Pill) can save the patient. I often see practitioners treating postpartum conditions who only know how to quickly eliminate food accumulation, thereby damaging Zheng Qi (Upright Qi) and increasing bloating and stuffiness. When one dose is ineffective, harsher drugs are added; when one physician fails, another is consulted. Methods vary sequentially, mild conditions become severe, leading to death. The family attributes it to fate, and the physician believes they have exhausted their skills. Is this not lamentable?
Shenghua Xiaoshi Tang (Life-Generating Food-Dissolving Decoction): Treats postpartum abdominal mass-pain that has not ceased, and food stagnation causing epigastric fullness/stuffiness.
Chuanxiong Rhizome (Chuanxiong Radix) (2 qian) Danggui Radix (Danggui, 5 qian, stir-fried with wine) Dried Ginger (Ganjiang, charred black) Prepared Licorice Root (Zhigancao, 4 fen each) Peach Kernel (Taoren, 10 grains, skin and tip removed) Medicated Leaven (Shenqu, stir-fried) Malt (Maiya, stir-fried, 6 fen each)
Decoct in water and take orally. For meat injury, add Hawthorn Fruit (Shanzha, 5 fen) and Amomum Fruit (Sharen, 5 fen). For cold-damaged food, add Evodia Fruit (Wuzhuyu, 1 qian) and Cinnamon Bark (Rougui, 5 fen). For deficient persons, add Ginseng Root (Renshen, 1 qian, or 2 qian).
Jianpi Xiaoshi Tang (Spleen-Strengthening Food-Dissolving Decoction): Treats postpartum abdominal mass-pain that has ceased, and food stagnation causing epigastric fullness/stuffiness.
Ginseng Root (Renshen, 2 qian) Danggui Radix (Danggui, 3 qian, washed with wine) Chuanxiong Rhizome (Chuanxiong) Medicated Leaven (Shenqu, stir-fried, 1 qian each) Atractylodes Macrocephala Rhizome (Baizhu, 1.5 qian, stir-fried with soil) Hawthorn Fruit (Shanzha) Amomum Fruit (Sharen, 6 fen each) Malt (Maiya) Prepared Licorice Root (Zhigancao, 5 fen each)
Decoct in water and take orally. If cold stagnation has persisted for a long time and the Spleen and Stomach are extremely weak, even medication may not immediately facilitate transformation; manual rubbing and pressing should be used. Alternatively, applying stir-fried bran leaven externally with heat is also excellent.
Changsheng Huoming Dan (Long-Life Life-Saving Pill): Treats loss of appetite due to overuse of digestive/purgative herbs, or cases where a person who originally desired food instead experiences total anorexia.
Ginseng Root (Renshen, 3 qian)
Use a new jar or silver pot, half zhong of water, decoct until seven-tenths remain. Then, grind the scorched rice from the bottom of a rice cooker into powder. First, take a small amount, mixed with the Ginseng Decoction, administered as two or three tea spoons. After the appetite is stimulated, gradually increase the dosage, gradually adding more Ginseng Decoction, and administer successively. Do not use medicinal jars to decoct Ginseng, lest the smell of medicine induce vomiting. This formula has saved dozens of lives and is miraculously effective.