典藏书目

Shuhe stated: If the Cun-kou (radial artery pulse position) pulse is surging, rapid, and irregular after childbirth, it indicates death; if the pulse is deep, minute, and faint but remains unbroken when pressed to the bone, it indicates survival. He further stated: A deep, small, and slippery pulse indicates life; a full, large, tight, wiry, and urgent pulse indicates death.

Zhu Danxi stated: During pregnancy, the pulse should be surging and rapid; if the pulse remains surging and rapid after delivery, it indicates death. He also stated: If the pulse is fine and small during pregnancy but becomes surging and large after delivery, death is likely.

The *Ji Chan Sheng Jing* (Classic of Delivering Life in Obstetrics) states: For diseases during pregnancy, the pulse should ideally be substantial; for diseases after childbirth, the pulse should ideally be deficient. During pregnancy, one should regulate Qi to calm the fetus; after childbirth, one should support deficiency and eliminate blood stasis. This is the key principle.

The *Mai Yao* (Essentials of Pulse Diagnosis) states: The pulse before delivery must show the "Li Jing" pulse (an abnormal pulse distinct from the usual pattern), or appear deep, fine, and slippery. If pain begins at midnight, delivery will surely occur by noon the next day. After fresh delivery, a slow and slippery pulse is auspicious; however, a full, large, wiry, and urgent pulse suggests nearly exhausted Stomach Qi, which is an ominous and critical sign. If the Cun-kou pulse is rapid, slippery, and irregular, severe pathological conditions such as retained lochia will immediately manifest. Only a deep and fine pulse that remains unbroken when pressed to the bone is safe, even if the condition is severe.

**Jia Shen Sheng Hua Tang (Ginseng-Added Decoction for Generating New Blood)**: Treats various critical conditions after childbirth. This formula can be used even if there are blood clots.
Angelicae Sinensis Radix (Danggui, 4 qian), Chuanxiong Rhizome (Chuanxiong, 2 qian), Dried Ginger (Ganjiang, 4 fen), Peach Kernel (Taoren, 10 grains, skin and tip removed, crushed), Prepared Licorice Root (Zhigancao, 5 fen), Ginseng Root (Renshen, 2-3 qian).
Adjust dosage according to the urgency of symptoms. In critical cases, increase Ginseng to 5-6 qian. It is suitable for use after fetal expulsion when there is hemorrhage, syncope, or collapse of form.
Original modification methods: If there is excessive sweating and extreme fatigue after delivery, add 3-4 qian of Ginseng; if there is weakness in expelling the placenta and fatigue after delivery, this formula is suitable; if diarrhea occurred during pregnancy and fatigue persists after delivery, this formula is suitable with the addition of 3-4 qian of Ginseng; for excessive sweating, add 1 qian of Equisetum Arvense Caulis (Mahuanggen), 1 qian of Astragali Membranacei Radix (Huangqi), and 5 fen of Saposhnikoviae Radix (Fangfeng); for cold extremities, add 4-5 qian of Ginseng Root (Renshen) and 4 fen of Aconiti Lateralis Radix Praeparata (Fuzi); for shortness of breath, add 4 qian of Ginseng Root (Renshen); for thirst, add 1 qian of Ophiopogonis Radix (Maidong) and 10 seeds of Schisandrae Chinensis Fructus (Wuweizi); for constipation, add 1 qian of Cistanche Deserticola Herba (Roucongrong); for irritability and thirst, add one pill of Bamboo Shavings (Zhuru); for cold-type thirst, add 10 Almond Seeds (Xingren) and 5 fen of Platycodonis Radix (Jiegeng); for phlegm, add 8 fen of Platycodonis Radix (Tianhuafen), half cup of Bamboo Juice (Zhuli), and a little Ginger Juice (Jiangzhi).
For postpartum pain caused by blood clots, Shenghua Tang is the primary formula. If the blood clots dissipate but pain persists, Jia Shen Sheng Hua Tang is the primary formula.