凡孕妇产毕，血气未定，不宜睡倒，不宜侧坐。须床头浓铺 褥，高倚仰靠，
宜竖膝，不宜伸足，并遮围四壁，使无孔隙，免致贼风为害。倘闭目睡倒，或忿怒逆气，即令人眩晕也。
再用醋涂鼻，房中或用醋炭，更烧以漆品，轻轻以手从心按摩至脐，则恶露尽下，又何血晕血逆之有？
常见人产毕即饮热童便一盏，又有三日内，以童便和酒，温服五七次。予谓酒虽能下恶露，行乳汁。产
后脏气方虚，即素日善饮者，亦不可多饮，并不可产毕即饮。盖恐引血入四肢，或引上行，能令血晕。
至于童便味臊而性凉，如胃气弱者，得臊气而呕恶。里无火者，得凉性而滞血，且能伤胃气，均非所宜。
不若预煎生化汤，产毕即服为妙。或用红糖滚水冲化，频饮，以行其瘀。时食白米薄粥，煮石首鱼，甘
澹食之，如此调摄自无事矣。有人先于临月时，用有毛淡菜十余个，纸包，吊风处二十余日，阴干，勿
令人知，产下即煎汤一钟，热服，产后再不生病。
生化汤（见本卷生化汤论后。）
凡生产既下，不必问是男是女，恐因言语而泄气，或以爱憎而劳神，最忌大喜
大怒。喜则气散，或生红汗。怒则气逆，或生 瘕。不可独宿，恐致虚惊。不可刮舌，恐伤心气。不可刷
齿，恐致血逆。勿勤梳头，恐头皮作痛。须气血平复，方可治事。犯时微若秋毫，成病重如山岳。
凡初产，其牛、羊、猪肉，鸡、鹅、鸭肉及蛋，并猪蹄、猪肾、绿豆凉粉、荞麦面食等类，一切
滞气坚韧难化之物，及生冷腻滑，皆不宜食。恐新产脾胃气虚，难于运化，易致内伤也。
凡产逢暑月，切不可当风睡卧，最忌食凉用扇，及洗足澡浴，虽盛暑不可用冷水洗手足。
凡新产骤虚，最忌着寒。寒则血气凝滞，诸变冗生，每致饮食不化，腹痛作泻，此时欲去其瘀，
则正气并脱，欲止其泻，则瘀结不行，可不慎欤。治法见后泄泻门。
凡产逢冬月，宜重棉兜护其腹，虽夏月亦当复巾裹之，以免厥阴受寒。
凡产后百日内，不詈骂，少劳碌，禁淫欲，终身无病，而且多子。若未满百日交合，则虚羸百疾从
此而生，必患脐下虚冷，手足腰腿酸痛等证，名曰蓐劳，最难治疗。
凡产后勿用椒姜艾酒，虽血块得热流通，然新血为之不宁耳。即砂仁汤亦能动血，咸在禁忌。
产后乳汁乃血气所成，不可食咸，咸能止血，令无乳汁，且发嗽难治。
产后南北风土不同，江以南新产后即食鸡子，虽告之以利害，相沿成习，毫无疑惧，且竟多安然
无事者。予亦只得随俗，令其豁开淡煮而食之，尚有养胃却痰之功也。
凡是孕妇分娩结束后，气血尚未稳定，不适宜躺倒睡觉，也不适宜侧身坐着。必须在床头厚铺褥子，高高地倚靠仰坐，应当竖起膝盖，不适宜伸直双腿，并且要遮挡围住四周墙壁，不留缝隙，以免贼风（外邪之风）侵害身体。如果闭目躺倒，或者愤怒导致气机逆乱，就会使人发生眩晕。
再用醋涂抹鼻子，房间里可以使用醋炭，或者燃烧漆器制品，轻轻用手从心口按摩至肚脐，这样恶露就能排尽，又怎么会有血晕、血逆的病症呢？
常见有人分娩后立即喝一盏热童便（童子尿），还有人在产后三天内，用童便混合酒，温热服用五到七次。我认为酒虽然能促使恶露下行，促进乳汁运行。但产后脏腑之气刚刚虚弱，即使是平时善于饮酒的人，也不可多喝，并且不可在分娩后立即饮用。大概是因为担心酒会引血流入四肢，或者引血上行，从而导致血晕。
至于童便味道腥臊而性质寒凉，如果胃气虚弱的人，闻到腥臊气味就会呕吐恶心。体内没有火热之邪的人，遇到寒凉性质会导致血液凝滞，而且会损伤胃气，这些都不适宜。
不如预先煎好生化汤，分娩结束后立即服用最为巧妙。或者使用红糖用滚水冲化，频繁饮用，以行散瘀血。按时食用白米薄粥，煮石首鱼（黄鱼），清淡地食用，像这样调养摄护自然就没有事了。
有人先在临产月份时，用带壳淡菜（贻贝）十多个，用纸包裹，悬挂在通风处二十多天，阴干，不让别人知道，分娩后立刻煎煮一钟（量器名）汤，热服，产后就不再生病。
凡是生产结束，不必问是男孩还是女孩，恐怕因为言语交谈而耗泄元气，或者因为爱憎情绪而劳损心神，最忌讳大喜和大怒。喜悦则气机涣散，或者产生红汗（产后出血）。愤怒则气机上逆，或者形成瘕聚（腹中结块）。不可以独自居住，恐怕导致虚惊。不可以刮舌苔，恐怕损伤心气。不可以刷牙，恐怕导致血气逆乱。不要勤快梳头，恐怕头皮疼痛。必须等到气血平复，才可以处理事务。触犯禁忌时症状轻微如秋毫，一旦成病则严重如山岳。
凡是初次生产，其牛、羊、猪肉，鸡、鹅、鸭肉及蛋，以及猪蹄、猪肾、绿豆凉粉、荞麦面食等类，一切阻碍气机、质地坚韧难消化的食物，以及生冷油腻滑腻之物，都不适宜食用。恐怕新产妇产后脾胃之气虚弱，难以运化，容易导致内伤。
凡是生产遇到暑天，切不可对着风睡卧，最忌讳吃凉食、用扇子，以及洗脚洗澡，即使是盛夏也不可用冷水洗手足。
凡是新产妇人突然变得极度虚弱，最忌讳受寒。受寒则气血凝滞，各种变证丛生，常常导致饮食不化，腹痛腹泻，此时如果想去除瘀血，正气就会随之脱失；如果想止住腹泻，瘀血就会凝结不行，能不谨慎吗？治疗方法见后面的泄泻门。
凡是生产遇到冬天，宜用厚棉兜护腹部，即使是夏天也应当用巾布包裹，以免厥阴经（肝经）受寒。
凡是产后一百天内，不骂人，少劳累，禁绝淫欲，终身无病，而且多子。如果未满百日就进行房事，那么虚弱消瘦、百种疾病从此而生，必定患脐下虚冷，手足腰腿酸痛等证候，名叫蓐劳（产后虚损劳倦），最难治疗。
凡是产后不要用花椒、生姜、艾叶泡的酒，虽然血块得到热气流通，但新产生的血液因此不得安宁。即使是砂仁汤也会动血，都在禁忌之列。
产后乳汁是由气血所生成，不可吃咸味食物，咸味能止血，导致没有乳汁，而且引发咳嗽难以治愈。
产后南北方水土不同，江南地区的新产妇人即食鸡蛋，虽然告知利害关系，但相沿成习，毫无疑惧，而且竟然大多安然无事。我也只得随顺习俗，令她们豁开蛋壳淡煮而食用，尚有养胃祛痰的功效。
After a woman has given birth, her Qi and Blood are not yet stabilized. She should not lie down to sleep, nor sit on her side. It is necessary to place thick mattresses at the head of the bed, leaning back in a high, supine position. The knees should be kept upright, not extended, and the four walls should be enclosed without gaps to prevent "thief wind" (pathogenic wind) from causing harm. If she closes her eyes and lies down, or if anger causes Qi to rebel, it will lead to dizziness and vertigo.
Applying vinegar to the nose, using vinegar-heated charcoal in the room, or burning lacquerware items, followed by gently massaging from the heart area down to the umbilicus with the hand, will ensure the complete discharge of lochia. In this way, how could blood syncope or blood rebellion occur?
It is common to see people drinking a cup of hot neonatal urine immediately after delivery. Others drink a mixture of neonatal urine and wine, warmed, five to seven times within three days. I believe that although wine can promote the downward discharge of lochia and facilitate milk flow, the visceral Qi is just becoming deficient postpartum. Even those who are accustomed to drinking alcohol should not consume much, nor should they drink immediately after delivery. This is because it may draw blood into the four limbs or cause it to rise upward, leading to blood syncope.
As for neonatal urine, its taste is fishy and its nature is cool. For those with weak Stomach Qi, the fishy odor may induce nausea and vomiting. For those without internal heat, the cool nature may stagnate the Blood and damage Stomach Qi; thus, it is not suitable.
It is better to prepare Shenghua Tang (Life-Restoring Decoction) in advance and take it immediately after delivery. Alternatively, dissolve brown sugar in boiling water and drink it frequently to move Blood stasis. Eating thin white rice porridge at regular intervals, cooking Sciaenops ocellatus (Croaker), and consuming them blandly will ensure proper care and recovery without issues.
Some people use more than ten fresh mussels (Mytilus edulis) before the month of delivery, wrap them in paper, hang them in a ventilated place for over twenty days to dry naturally without others knowing. Immediately after delivery, decoct one cup of the liquid and drink it hot; the mother will not fall ill again postpartum.
Shenghua Tang (See the discussion on Shenghua Tang later in this volume.)
Once delivery is complete, there is no need to ask whether the baby is male or female. One must avoid speaking excessively, which might leak Qi, or experiencing love and hate, which might strain the Spirit. Great joy and great anger are strictly forbidden. Joy scatters Qi, potentially causing red sweat (postpartum hemorrhage). Anger causes Qi to rebel, potentially forming masses (Jia). One should not live alone, fearing deficiency-induced palpitations. One should not scrape the tongue, fearing damage to Heart Qi. One should not brush teeth, fearing Blood rebellion. One should not comb hair frequently, fearing scalp pain. Only when Qi and Blood have recovered can one attend to affairs. Violating these taboos may seem trivial as an autumn hair, but the resulting illness can be as heavy as a mountain.
For the first postpartum period, beef, mutton, pork, chicken, goose, duck meat, eggs, pig trotters, pig kidneys, mung bean jelly, buckwheat noodles, and similar foods—all of which obstruct Qi, are tough, and difficult to digest—as well as raw, cold, greasy, and slippery foods, are all unsuitable. This is because the Spleen and Stomach Qi are deficient after new delivery, making transportation and transformation difficult, easily leading to internal injury.
If delivery occurs in summer, one must absolutely not sleep or lie down facing the wind. Eating cold food, using fans, washing feet, and bathing are strictly forbidden. Even in peak summer, cold water should not be used to wash hands and feet.
New mothers are suddenly extremely deficient and must strictly avoid cold. Cold causes Qi and Blood to stagnate, generating various complications. It often leads to indigestion, abdominal pain, and diarrhea. At this time, if one tries to remove Blood stasis, the Healthy Qi will collapse; if one tries to stop the diarrhea, the stasis will remain bound. Can one not be cautious? See the Diarrhea section for treatment methods.
If delivery occurs in winter, the abdomen should be protected with thick cotton. Even in summer, it should be wrapped with cloth to prevent the Jueyin (Liver) channel from receiving cold.
Within one hundred days postpartum, avoiding cursing, minimizing labor, and abstaining from sexual intercourse ensures lifelong health and fertility. If intercourse occurs before one hundred days are completed, deficiency, emaciation, and myriad diseases will arise. Symptoms such as coldness below the umbilicus, soreness and pain in the hands, feet, waist, and legs will manifest, known as Chulao (Postpartum Exhaustion), which is the most difficult to treat.
Postpartum, do not use wine infused with Sichuan pepper, ginger, and mugwort. Although heat may help circulate blood clots, it disturbs the newly formed Blood. Even Amomum villosum (Cardamom) decoction can disturb Blood and is therefore contraindicated.
Postpartum milk is formed from Qi and Blood. Salty foods should be avoided because saltiness stops bleeding, preventing milk production, and can trigger difficult-to-treat coughs.
Postpartum conditions vary by region. In the south of the Yangtze River, new mothers eat eggs immediately after delivery. Despite warnings about risks and benefits, this custom persists without fear, and many remain healthy. I must follow local customs, instructing them to boil eggs lightly in plain water, which still has the benefit of nourishing the Stomach and resolving phlegm.