产后患淋，由产虚弱，热客于脬中，内虚则溲数频，热则小便淋涩作痛，名谓之淋。宜
服茅根汤。
茅根汤 治产后冷热，膏石诸淋。
白茅根（三钱） 瞿麦（二钱） 茯苓（二钱） 人参（一钱） 葵子（一钱五分） 甘草梢（五
分） 滑石（二钱） 紫贝（二个） 石首鱼头（二个） 桃胶（一钱五分）
姜、灯心引，空心服。更入鲤鱼齿末五分。
又方 治产后淋，小便痛，又血淋。
白茅根 车前子 瞿麦 冬葵子 通草 鲤鱼鳞（一百个）
水煎，入鲤鱼齿末服。
又方 用导赤散加减最妙。
产后小便数者，由脬内宿有冷气，因产发初起，冷气入脬，致小便数也，宜用桑螵蛸散
。
桑螵蛸散
人参（二两） 黄 （二两） 桑螵蛸（三十个） 鹿茸（五钱） 牡蛎（五钱） 赤石脂（五钱）
为末，空心粥饮送。（每二钱为率）
又方 治小便或遗尿。
益智（三十个，炒）
为末，米饮送下，每一钱。
产后流注，皆由恶露流滞于腰臂手足关节之处，或漫肿，或结块，久则肿起作痛，肢体
倦怠。治法宜葱熨法，方以治外肿，内服参归生化汤，以散滞血无缓也。
参归生化汤
川芎（一钱五分） 当归（三钱） 炙甘（五分） 黄 （一钱五分） 肉桂（六分） 人参（二
钱） 马蹄香（二钱）
若漫肿微痛，属形气俱不足，最难治。未成脓或已成脓，或不溃，气血虚也，宜服人参
汤。
憎寒壮热，气虚也，十全大补汤。日晡内热，四物汤加参、术、丹皮。呕逆，属胃气虚，六
君子汤加炮姜。食少体倦，脾气虚也，补中益气汤加益智一钱。
葱熨法 葱一握，炙热，捣烂作饼，肿处用浓布两三层，熨斗熨之。
神仙回脓散（方在八卷乳痈下。） 治产后流注恶露，日久成脓，用此方先导其脓
。若人未补，得气血旺，此方又不宜服。（方见乳痈阴蚀五疳下。）
治阴蚀五疳法 妇人阴户生疮，名曰 疮。或痛或痒，如虫行状，脓汁淋漓，阴
蚀或尽者，
由心肾烦郁，胃气虚弱，致气血涩滞。经曰∶诸疮痛痒，皆属心火。治之当补养心胃，外以
药洗熏导并治之。
千金疗阴蚀疮洗方
川芎 当归 芍药 地榆 甘草
用水五升，煮二升，去渣熏洗，日三次，夜一次。
又方 蒲黄（一两） 水银（一两）
研末掺之。
又方 肥猪肉十斤，煮水浸疮，冷则再易，不过再三次愈。又肉十斤，数斗水煮，水多
可换易也。
又方 治疸虫蚀下部及五脏。用东南方向桃树枝三七枝，轻打枝至使散，以绵扎之，又
研石
硫黄末，将绵缚桃枝捻转之，令末少浓，又截一短竹筒，先纳下部中，以所捻药桃枝热，捻
熏之。
又方 虾蟆兔屎，等分研末，敷疮效。
治妇人阴肿 小麦 朴硝 白矾 五倍子 白芨
煎汤熏洗。
治妇人阴痒 蛇床子 白矾
煎汤洗。
又方 用牛肝或猪肝三寸，纳入阴户，久则取出之，立愈。
治妇人阴中生疮 杏仁 雄黄 生矾（各五钱） 麝香（二分半）
共研末，纳入阴中即愈。
产后患淋证，是由于分娩后身体虚弱，热邪侵入膀胱之中。体内正气虚弱则导致小便频数，有热邪则使小便淋漓涩痛，这种病症称为“淋”。适宜服用茅根汤。
茅根汤：治疗产后寒热错杂及膏淋、石淋等各种淋证。
配方：白茅根（三钱）、瞿麦（二钱）、茯苓（二钱）、人参（一钱）、冬葵子（一钱五分）、甘草梢（五分）、滑石（二钱）、紫贝（二个）、石首鱼头（二个）、桃胶（一钱五分）。
用法：以生姜和灯心草为引，空腹服用。另外加入鲤鱼齿磨成的粉末五分同服。
另一个方子：治疗产后淋证，小便疼痛，以及血淋。
配方：白茅根、车前子、瞿麦、冬葵子、通草、鲤鱼鳞（一百片）。
用法：水煎煮，加入鲤鱼齿磨成的粉末服用。
又一个方子：使用导赤散加减最为巧妙。
产后小便频数，是因为膀胱内原本有寒气滞留，因分娩发动之初起，寒气进入膀胱，导致小便频数，适宜使用桑螵蛸散。
桑螵蛸散：
配方：人参（二两）、黄芪（二两）、桑螵蛸（三十个）、鹿茸（五钱）、牡蛎（五钱）、赤石脂（五钱）。
用法：研成细末，空腹时用米粥汁送服。（每次以二钱为限度）
另一个方子：治疗小便失禁或遗尿。
配方：益智仁（三十个，炒制）。
用法：研成细末，用米饮送下，每次一钱。
产后流注，都是由于恶露停滞在腰、臂、手、足等关节部位，或者出现漫肿，或者结成块状，时间久了肿胀突起并产生疼痛，肢体倦怠乏力。治疗方法适宜采用葱熨法，外用方剂治疗体表肿胀，内服参归生化汤，以消散滞留的瘀血，不可迟缓。
参归生化汤：
配方：川芎（一钱五分）、当归（三钱）、炙甘草（五分）、黄芪（一钱五分）、肉桂（六分）、人参（二钱）、马蹄香（二钱）。
如果表现为漫肿且微痛，属于形体与正气都不足，最难治疗。如果脓液未形成或已形成，或者溃破后不愈合，都是因为气血虚弱，适宜服用人参汤。
如果出现憎寒壮热（怕冷且高热），是气虚所致，用十全大补汤。如果在申时（下午3-5点）出现内热，用四物汤加人参、白术、牡丹皮。如果出现呕吐逆气，属于胃气虚弱，用六君子汤加炮姜。如果饮食减少且身体疲倦，是脾气虚弱，用补中益气汤加益智仁一钱。
葱熨法：取一把葱，加热后捣烂做成饼状，在肿胀处垫上两层三层浓布，用熨斗熨烫患处。
神仙回脓散（方剂见第八卷乳痈篇下）：治疗产后流注恶露，日久化脓，用此方先引导排出脓液。如果人体尚未进补，待气血旺盛时，此方又不宜服用。（方剂见乳痈、阴蚀、五疳篇下。）
治疗阴蚀五疳的方法：妇女外阴部生疮，名为“妬”疮。或者疼痛或者瘙痒，感觉像虫子爬行一样，脓汁淋漓不尽，甚至腐蚀殆尽，这是由于心肾烦闷郁结，胃气虚弱，导致气血涩滞不通。医经说：“各种疮疡的疼痛和瘙痒，都归属于心火。”治疗应当补养心胃，外用药物熏洗导引并配合治疗。
千金疗阴蚀疮洗方：
配方：川芎、当归、芍药、地榆、甘草。
用法：用水五升，煮至二升，去渣滓，先熏后洗，每天三次，夜间一次。
另一个方子：蒲黄（一两）、水银（一两）。
用法：研成粉末撒在患处。
又一个方子：用肥猪肉十斤，煮水浸泡疮口，水冷了再更换，不超过两三次即可痊愈。也可以用肉十斤，用几斗水煮，水量多可以方便更换。
又一个方子：治疗疸虫侵蚀下部及五脏。取东南方向的桃树枝三七枝，轻轻敲打树枝使其松散，用棉线扎紧，又研磨硫磺粉末，将棉线绑在桃枝上捻转，使硫磺粉稍微浓集，再截取一段短竹筒，先将竹筒纳入下部，用蘸了药的桃枝烧热后，进行捻转熏蒸。
又一个方子：蟾蜍屎和兔屎，等量研成粉末，敷在疮口有效。
治疗妇人阴肿：小麦、朴硝、白矾、五倍子、白芨。
用法：煎汤熏洗。
又一个方子：用牛肝或猪肝三寸长的一段，纳入阴道内，时间久了取出，立即痊愈。
Postpartum suffering from strangury (Lin syndrome, characterized by painful and frequent urination) is caused by postpartum weakness, with heat pathogens invading the bladder. Internal deficiency leads to frequent urination; heat causes urine to be scanty, difficult to pass, and painful, a condition named "strangury." It is advisable to take Baogen Tang (White Reed Rhizome Decoction).
Baogen Tang: Treats postpartum alternating cold and heat, as well as various types of strangury such as gao lin (fatty strangury) and shi lin (lithiasic strangury).
Ingredients: Bai Mao Gen (Imperatae Rhizoma, 3 qian), Qumai (Dianthi Herba, 2 qian), Fuling (Poria, 2 qian), Renshen (Ginseng Radix et Rhizoma, 1 qian), Kuizi (Abelmoschi Semen, 1.5 qian), Gancao Shao (Glycyrrhizae Radix et Rhizoma caulis, 0.5 qian), Huashi (Talcum, 2 qian), Zi Bei (Concha Arcae, 2 pieces), Shishou Yu Tou (Cynoscion squamipinnis head, 2 pieces), Tao Jiao (Pruni Persicae Gum, 1.5 qian).
Usage: Use fresh ginger and Jixin (Junci Medulla) as guides, taken on an empty stomach. Additionally, add 0.5 qian of powder made from carp teeth.
Another prescription: Treats postpartum strangury, painful urination, and also xue lin (hematuria).
Ingredients: Bai Mao Gen (Imperatae Rhizoma), Cheqianzi (Plantaginis Semen), Qumai (Dianthi Herba), Dongkuizi (Abelmoschi Semen), Tongcao (Tetrapanacis Medulla), Liyu Lin (Cyprini carpio squama, 100 scales).
Usage: Decoct in water, add powder made from carp teeth, and take.
Yet another method: Using Dao Chi San (Guide Out Red Powder) with modifications is most excellent.
Postpartum frequent urination is due to pre-existing cold qi residing in the bladder. Upon the onset of labor, cold qi enters the bladder, causing frequent urination. It is advisable to use Sangpiaoxiao San (Mantis Egg-case Powder).
Sangpiaoxiao San:
Ingredients: Renshen (Ginseng Radix et Rhizoma, 2 liang), Huangqi (Astragali Radix, 2 liang), Sangpiaoxiao (Mantidis Oötheea, 30 pieces), Lurong (Cornu Cervi Pantotrichum, 5 qian), Muli (Concha Ostreae, 5 qian), Chishizhi (Lapis Kaolinicus, 5 qian).
Usage: Grind into fine powder, take on an empty stomach with millet gruel broth. (Standard dose is 2 qian per administration.)
Another prescription: Treats urinary incontinence or enuresis.
Ingredients: Yizhi Ren (Alpiniae oxyphyllae Fructus, 30 pieces, stir-fried).
Usage: Grind into powder, take with rice water, 1 qian per dose.
Postpartum liuzhu (flowing obstruction, often referring to abscesses or swelling due to stagnant lochia) occurs when lochia stagnates in the joints of the waist, arms, hands, and feet. This may present as diffuse swelling or nodules. Over time, swelling rises and becomes painful, accompanied by limb fatigue and weakness. The treatment method should include Congyi Fa (Scallion Moxibustion/Ironing Method). Externally apply formulas for treating surface swelling; internally administer Shen Gui Shenghua Tang (Ginseng and Angelica Birth-Invigorating Decoction) to dissipate stagnant blood without delay.
Shen Gui Shenghua Tang:
Ingredients: Chuanxiong (Ligustici Chuanxiong Rhizoma, 1.5 qian), Danggui (Angelicae Sinensis Radix, 3 qian), Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma, 0.5 qian), Huangqi (Astragali Radix, 1.5 qian), Rougui (Cinnamomi Cortex, 0.6 qian), Renshen (Ginseng Radix et Rhizoma, 2 qian), Mati Xiang (Costi Costus Root, 2 qian).
If there is diffuse swelling with slight pain, it indicates insufficiency of both form and qi, which is the most difficult to treat. If pus has not formed or has formed, or if the wound does not ulcerate/heal, it is due to qi and blood deficiency. It is advisable to take Renshen Tang (Ginseng Decoction).
If experiencing aversion to cold with high fever, it is due to qi deficiency; use Shiquan Dabu Tang (Perfect Ten Great Tonifying Decoction). If internal heat occurs at dusk (shen hour, 3-5 PM), use Siwu Tang (Four Substances Decoction) plus Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), and Mudanpi (Moutan Cortex). If vomiting and regurgitation occur, it belongs to stomach qi deficiency; use Liujunzi Tang (Six Gentlemen Decoction) plus Paojiang (Prepared Ginger Rhizome). If appetite is poor and body is tired, it is spleen qi deficiency; use Buzhong Yiqi Tang (Middle-Boosting Qi-Supplementing Decoction) plus Yizhi Ren (Alpiniae oxyphyllae Fructus, 1 qian).
Congyi Fa (Scallion Ironing Method): Take a handful of scallions, heat them, pound into a paste to make cakes. Place two or three layers of thick cloth over the swollen area, and iron it with a hot iron.
Shenxian Hui Nong San (Immortal Pus-Returning Powder) (Formula found under Breast Carbuncle in Volume 8): Treats postpartum liuzhu where lochia turns into pus after a long duration. Use this formula first to guide the discharge of pus. If the patient has not been tonified and qi/blood are robust, this formula is not suitable. (Formula found under Breast Carbuncle, Yin Erosion, and Five Gangrene sections.)
Method for treating Yin Erosion and Five Gangrene: When sores appear on the female genitalia, it is called "Du" sore. Symptoms include pain or itching, sensation like insects crawling, dripping purulent discharge, or even complete erosion. This is caused by heart and kidney vexation and depression, and weak stomach qi, leading to stagnant and sluggish qi and blood. The Classics state: "All sores and itching belong to heart fire." Treatment should focus on nourishing the heart and stomach, combined with external washing, fumigation, and guiding therapies.
Qianjin Yao Fang Yin Shi Chuang Xi Fang (Thousand Gold Prescription for Washing Yin Erosion Sores):
Ingredients: Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Diyu (Sanguisorbae Radix), Gancao (Glycyrrhizae Radix et Rhizoma).
Usage: Use five sheng of water, boil down to two sheng, remove dregs, fumigate and wash. Three times daily, once at night.
Another prescription: Puhuang (Typhae Pollen, 1 liang), Shuiyin (Hydrargyrum, 1 liang).
Usage: Grind into powder and sprinkle on the lesion.
Yet another prescription: Use ten jin of fatty pork, boil water to soak the sore. Replace when cool. It will heal within two or three changes. Alternatively, use ten jin of meat, boiled with several dou of water, allowing easy replacement due to large volume.
Yet another prescription: Treats dan chong (jaundice worms) eroding the lower body and five zang organs. Take thirty-seven branches of peach tree from the southeast direction. Gently beat the branches until loose, tie with cotton thread. Grind realgar (Shiliuhuang, Realgar) powder. Bind the cotton-wrapped branch, twist to concentrate the powder slightly. Cut a short bamboo tube, insert it into the lower part, heat the medicine-coated peach branch, and twist/fumigate.
Yet another prescription: Toad feces and rabbit feces, equal parts ground into powder, applied to sores is effective.
Treating female vulvar swelling: Xiaomai (Tritici Fructus), Puxiao (Natrii Sulfas), Baifan (Alumen), Wubeizi (Galla Chinensis), Baiji (Bletillae Rhizoma).
Usage: Decoct for fumigation and washing.
Treating female vulvar itching: Shechuangzi (Cnidii Fructus), Baifan (Alumen).
Usage: Decoct for washing.
Another prescription: Insert a three-cun piece of beef liver or pig liver into the vagina. Leave for a long time, then remove. Immediate cure.
Treating sores inside the female vagina: Xingren (Armeniacae Semen Amarum), Xionghuang (Realgar), Shengfan (Raw Alum, each 5 qian), Shexiang (Moschus, 0.25 fen).
Usage: Grind together into powder, insert into the vagina for immediate cure.