产后忿怒气逆，胸膈不舒，甚而作痛者，兼之血块又痛，宜木香生化汤，则自然血块速化，怒气
易散，并治而不悖也。若轻产而重气，偏用香附、乌药、枳壳、香、砂之类，以散气行块，而元气反
损，闷满疼痛益增，非善治产者也。又如怒后
即食，胃弱停闷，已无块痛，宜用健脾化食理气汤；再审何物所伤，则佐以何药消之，痛闷即除。慎勿
轻用槟榔丸、流气饮等方，以散气化食，则虚弱产妇重虚之祸不可胜言矣。
木香生化汤 治产后块痛未除，日受气恼，至效。
川芎（二钱） 当归（六钱，酒洗） 干姜（四分，炙黑） 陈皮（三分） 木香（二分，磨，冲服）
水煎服。若怒后伤食，与伤食治同。审伤何物，以何药消之。
健脾化食理气汤 治产后无块痛而受气伤食者。
人参 白术（土炒） 当归（酒洗。各二钱） 川芎（一钱） 干姜（炙黑） 炙草（各四分）
陈皮（三分）
水煎服。如伤面，加炒神曲、炒麦芽。伤肉，加山楂、砂仁。伤寒物留滞胁间作痛，加桂枝、吴
茱萸，亦有止加桂枝八分亦可。
人身之中，气为阳，血为阴，阴阳和畅，斯无病矣。夫头者，诸阳之会也。产
后去血过多，阴气已亏而虚阳失守，上凑于头，则令头痛。但补其血，则阳气得从，
而头痛自止。间有败血停留子宫厥阴之位，其脉上贯巅顶，作巅顶痛者，虽有身热恶寒之候，只宜生化
汤加减，慎不可用羌、独等药。盖由真阳亏损，浊阴得以犯上，陷入髓海，为胀为痛。是非清阳升复，
则浊阴不降。在里内起之邪为病，非若外入之邪，可表而愈也。况生化汤中，芎、姜亦能散表邪，桃仁
亦能逐瘀血，是又可兼治，再少为因证加入，又何用另方轻产而施治乎？《尊生》治血虚头痛，用
芎归汤；治感冒头痛，参苏芎归汤。密斋治停瘀头痛，用血证黑神散。如真头痛旦发夕死，不治。
产后芎归汤（即佛手散，此方因证加药治法） 治产后血虚头痛。
当归 川芎（各二钱五分）
水煎服。有汗是气虚，加人参五七分，桂心三分。感寒，加天麻、白芷、羌活各四分。
参苏芎归汤 治产后感冒。
人参 紫苏 干葛（各一钱） 当归 川芎（各二钱）
姜一片，煎服。
生化汤（见本卷生化汤论后。） 血证黑神散（见上卷谵语门。）
产后因愤怒导致气机上逆，出现胸膈部胀闷不舒，甚至疼痛的情况，如果同时伴有血块引起的疼痛，适宜使用木香生化汤。这样能使血块迅速化解，怒气易于消散，两者兼顾治疗而不相冲突。如果是难产（或指体质虚弱者）而过度关注气滞，片面使用香附、乌药、枳壳、木香、砂仁等药物来行气散块，反而损伤元气，使胸闷腹胀和疼痛更加严重，这不是善于治疗产后病的方法。又如发怒后立即进食，导致胃气虚弱、食物停滞闷堵，此时已经没有血块疼痛，适宜使用健脾化食理气汤；再仔细辨别是吃了什么食物造成的伤害，便辅助加入相应的药物来消导，疼痛和闷堵即可消除。千万不要轻易使用槟榔丸、流气饮等方剂来行气化食，否则会使虚弱的产妇遭受双重虚损的祸害，其后果不堪设想。
木香生化汤：治疗产后血块疼痛未除，每日受气恼刺激，效果显著。
川芎（二钱）、当归（六钱，用酒清洗）、干姜（四分，炙至黑色）、陈皮（三分）、木香（二分，磨汁冲服）。
用水煎煮后服用。如果是发怒后伤食，治疗方法与伤食相同。仔细辨别伤了何种食物，用相应药物消导。
健脾化食理气汤：治疗产后没有血块疼痛，但受到气恼影响且伤食的情况。
人参、白术（土炒）、当归（酒洗，各二钱）、川芎（一钱）、干姜（炙黑）、炙甘草（各四分）、陈皮（三分）。
用水煎煮后服用。如果伤了面食，加炒神曲、炒麦芽；伤了肉食，加山楂、砂仁；如果伤了寒性食物，滞留胁间引起疼痛，加桂枝、吴茱萸，也可以只加八分桂枝。
在人体中，气属于阳，血属于阴，阴阳调和畅达，就没有疾病了。头部是诸阳经汇聚的地方。产后失血过多，阴气已经亏损，导致虚阳失去依附而上冲于头，从而引起头痛。只要补充血液，阳气就能有所依附，头痛自然停止。偶尔有败血停留在子宫所在的厥阴经位置，其脉气上贯头顶，引起巅顶疼痛，即使伴有身体发热、恶寒的症状，也只适宜加减使用生化汤，千万不可使用羌活、独活等药物。这是因为真阳亏损，浊阴之气得以侵犯上部，陷入髓海，造成胀满疼痛。如果不是清阳之气升发恢复，那么浊阴之气就不会下降。这种由体内产生的邪气致病，不同于外来的邪气，不能通过发汗解表的方法治愈。况且生化汤中的川芎、干姜也能疏散表邪，桃仁也能驱逐瘀血，这又可以兼治，再稍微根据证候加入其他药物，又何必另外使用轻率的方剂来治疗呢？《尊生》治疗血虚头痛，使用芎归汤；治疗感冒头痛，使用参苏芎归汤。密斋治疗瘀血停滞引起的头痛，使用血证黑神散。如果是真正的“真头痛”，早晨发病晚上就死亡，无法治疗。
产后芎归汤（即佛手散，此方根据证候加药的治疗方法）：治疗产后血虚引起的头痛。
当归、川芎（各二钱五分）。
用水煎煮后服用。如果有汗出，说明气虚，加人参五七分，桂心三分。感受寒邪，加天麻、白芷、羌活各四分。
After childbirth, if anger causes rebellious Qi ascending, leading to distension and discomfort in the chest and diaphragm, or even pain, especially when accompanied by pain from blood stasis clots, Muxiang Shenghua Decoction (Costus Root Decoction for Generating Blood) is appropriate. This will naturally facilitate the rapid resolution of blood clots and the dissipation of anger, treating both conditions without conflict. If one treats difficult labor (or weak constitution) while overemphasizing Qi stagnation, and exclusively uses herbs such as Cyperi Rhizoma (Xiangfu), Linderae Cortex (Wuyao), Aurantii Fructus (Zhiqiao), Aucklandiae Radix (Muxiang), and Amomi Fructus (Sharen) to move Qi and disperse clots, it may instead damage the Yuan Qi (Primary Qi), thereby increasing chest oppression, fullness, and pain. This is not a skillful approach to postpartum treatment. Furthermore, if food is consumed immediately after an outburst of anger, resulting in weak Stomach Qi and food retention causing fullness and stuffiness, but without pain from blood clots, Jianpi Huashi Liqi Decoction (Spleen-Strengthening, Food-Resolving, and Qi-Regulating Decoction) should be used. One must then carefully identify the specific food that caused the injury and add corresponding herbs to aid digestion; the pain and stuffiness will then be relieved. One must be cautious about lightly using formulas such as Binglang Wan (Areca Seed Pill) or Liuqi Yin (Flowing-Qi Decoction) to move Qi and resolve food, as this could cause severe double deficiency in already weak postpartum women, with consequences too dire to mention.
Muxiang Shenghua Decoction: Treats postpartum pain from unresolved blood clots exacerbated by daily emotional distress; highly effective.
Chuanxiong Rhizoma (Chuanxiong, 2 qian), Danggui Radix (Danggui, 6 qian, washed with wine), Zingiberis Rhizoma Recens (Ganjiang, 4 fen, roasted until black), Citri Reticulatae Pericarpium (Chenpi, 3 fen), Aucklandiae Radix (Muxiang, 2 fen, ground and taken with decoction).
Decoct in water and take orally. If food injury occurs after anger, treat similarly to food injury. Identify the specific food injured and use corresponding herbs to resolve it.
Jianpi Huashi Liqi Decoction: Treats postpartum cases without blood clot pain but affected by emotional distress and food injury.
Ren Shen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried with soil), Danggui Radix (washed with wine, each 2 qian), Chuanxiong Rhizoma (1 qian), Zingiberis Rhizoma Recens (roasted until black), Glycyrrhizae Radix et Rhizoma Praeparata (Zhi Gancao, each 4 fen), Citri Reticulatae Pericarpium (3 fen).
Decoct in water and take orally. If noodles were consumed, add fried Medicated Leaven (Shenqu) and fried Hordeum Fructus Germinatus (Maiya). If meat was consumed, add Crataegi Fructus (Shanzha) and Amomi Fructus (Sharen). If cold-damaged food remained stagnant between the hypochondrium causing pain, add Cinnamomi Ramulus (Guizhi) and Evodiae Fructus (Wuzhuyu); alternatively, adding only 8 fen of Guizhi is also acceptable.
In the human body, Qi belongs to Yang, and Blood belongs to Yin. When Yin and Yang are harmonious and flowing smoothly, there is no disease. The head is the confluence of all Yang meridians. After childbirth, excessive blood loss leads to Yin deficiency, causing deficient Yang to lose its anchor and rush upward to the head, resulting in headache. By simply tonifying the Blood, Yang can find its proper place, and the headache will cease spontaneously. Occasionally, retained bad blood stays in the uterus, associated with the Jueyin meridian, whose pulse connects to the vertex, causing vertex headache. Even if symptoms of fever and aversion to cold are present, only modified Shenghua Decoction should be used; Qianghuo (Notopterygii Rhizoma et Radix) and Duhuo (Angelicae Pubescentis Radix) must be strictly avoided. This is because the True Yang is depleted, allowing turbid Yin to invade the upper part and sink into the Marry Sea (brain), causing distension and pain. Unless clear Yang rises and recovers, turbid Yin cannot descend. Pathogens arising from within the interior differ from those entering from the exterior; they cannot be cured by sweating methods. Moreover, Chuanxiong and Ganjiang in Shenghua Decoction can also dispel exterior pathogens, and Taoren (Persicae Semen) can expel blood stasis. Thus, it can treat multiple aspects simultaneously. With slight modifications based on the syndrome, why use other light-handed prescriptions? *Zunsheng* treats blood-deficiency headache with Xiongui Tang; treats cold-induced headache with Sushen Xiongui Tang. Mizhai treats headache due to stagnant blood with Xuezheng Heishen San. True headache, where death occurs in the evening after morning onset, is incurable.
Postpartum Xiongui Tang (also known as Foshou San, this formula adds herbs based on the syndrome): Treats postpartum headache due to blood deficiency.
Danggui Radix, Chuanxiong Rhizoma (each 2.5 qian).
Decoct in water and take orally. If sweating is present, indicating Qi deficiency, add Ren Shen (5-7 fen) and Cinnamomi Cortex (Guixin, 3 fen). If cold is contracted, add Gastrodiae Rhizoma (Tianma), Angelicae Dahuricae Radix (Baizhi), and Notopterygii Rhizoma et Radix (Qianghuo) (each 4 fen).
Sushen Xiongui Tang: Treats postpartum common cold.
Ren Shen, Perillae Folium (Zisu), Puerariae Radix (Gange) (each 1 qian), Danggui Radix, Chuanxiong Rhizoma (each 2 qian).
Add one slice of Zingiberis Rhizoma Recens (Fresh Ginger), decoct and take.
Shenghua Decoction (see discussion on Shenghua Decoction at the end of this volume).
Xuezheng Heishen San (see Delirium section in the previous volume).