凡产妇因忿怒气逆，胸膈不舒，血块又痛，宜服生化汤。临服时，磨木香二分在内，则
血块
自化，怒气自散，并治而不悖也。若轻产重气，偏用香附、乌药、枳壳、香砂之类，以散气
行块，则元气反损，满闷益增，此非善治产也。又如怒后即食，胃弱闷停，当审何物，加山
楂、砂仁，以消肉伤；加神曲、麦芽，以消饭伤。若伤寒物作痛，留滞胁腹，加桂枝、吴茱
萸在生化汤内，以逐寒定痛，无有不安，慎勿木香槟榔丸，流气饮之方，以散气化食，是虚
弱产妇，重虚之祸，有不可胜言者也。
木香生化汤 治产后血块痛未除，又受气，宜服此方。
川芎（二钱） 当归（六钱） 干姜（四分） 炙甘草（五分） 木香（二分） 陈皮（三分）
此方减桃仁而用木香、陈皮。前有减干姜者详之。
健脾化食散气汤 治产后受气伤食，问无血块痛，可服。
白术（二钱） 当归（二钱） 川芎（一钱） 干姜（四分） 陈皮（三分） 砂仁（七分）
如寒停胁下作痛，加桂枝八分。
大抵产后弱妇，受气停食，愈消愈增满闷，必攻补兼行，方化滞进食，但时医所见，知
耗气
而疑参补，误人多矣。余屡见误服散气消导药，致使少食思谷之人，反绝食日久者，亦用长
生活命丹而活甚多。大抵产后忿怒气逆及停食二症，善治者重产而轻怒食，必补气血为主，
佐以顺气调气，则怒郁散而元气不损；佐以健脾消导，非惟气顺，则停食亦行，而胃思谷，
此治产后怒伤食伤之正法也。若专理气消导，胀不散，停食不行，且损元减食，甚至绝谷不
救者多矣，惜哉!
凡是产妇因为愤怒导致气机逆乱，胸膈部感觉不舒畅，血块疼痛，适宜服用生化汤。在服药时，磨入二分木香在内，那么血块自然化解，怒气自然消散，两者同时治疗而不相冲突。如果是轻视产后体质而重视情绪，偏用香附、乌药、枳壳、香砂仁之类的药物来行气散结，那么元气反而受损，胀闷感更加增加，这不是善于治疗产后病的方法。又比如发怒后立即进食，因胃气虚弱导致食物停滞，应当审察是哪种食物造成的损伤：加入山楂、砂仁，以消除肉食积滞；加入神曲、麦芽，以消除米面饭食积滞。如果是食用了寒凉性质的食物导致疼痛，且邪气留滞在胁腹部位，应当在生化汤中加入桂枝、吴茱萸，以驱逐寒气、安定疼痛，没有不安稳的，切记不要使用木香槟榔丸、流气饮这类方剂来行气化食，这是因为产妇身体虚弱，再用此类攻伐之方会导致双重虚损，其祸害不可胜言。
木香生化汤：治疗产后血块疼痛未除，又受到气滞影响，适宜服用此方。
川芎（二钱） 当归（六钱） 干姜（四分） 炙甘草（五分） 木香（二分） 陈皮（三分）
此方减去桃仁而改用木香、陈皮。之前有提到减去干姜的情况，请参考。
健脾化食散气汤：治疗产后受气伤食，询问确认没有血块疼痛，可以服用。
白术（二钱） 当归（二钱） 川芎（一钱） 干姜（四分） 陈皮（三分） 砂仁（七分）
如果寒气停留在胁下导致疼痛，加入桂枝八分。
大抵产后体弱的妇女，若受气滞和停食，越是使用消导药，胀闷感越增加，必须攻补兼施，才能化解积滞、促进进食。但是当时的医生所见，只知道消导药会耗气而怀疑人参等补益药的使用，误导了很多人。我多次见到误服散气消导药，致使原本食欲减退想吃饭的人，反而长时间绝食不食，我也常用长生活命丹救活了很多这样的人。大抵产后因愤怒导致气逆以及停食这两种病症，善于治疗的人重视产后体质而轻视对怒气饮食的单纯攻伐，必须以补益气血为主，辅以顺气调气，那么郁结的怒气消散而元气不损；辅以健脾消导，不仅气机顺畅，而且停滞的食物也能运化，胃气恢复想要进食，这是治疗产后怒伤和食伤的正法。如果专门使用理气消导的方法，胀满不能消散，停食不能运行，并且损伤元气减少食欲，甚至导致绝食无法救治的情况很多，可惜啊！
In cases where a postpartum woman suffers from qi rebellion due to anger, resulting in discomfort in the chest and diaphragm, along with pain from blood stasis (blood masses), it is appropriate to administer Shenghua Tang (Life-Birth Decoction). When taking the decoction, grind two fen of Muxiang (Aucklandiae Radix) into it; this will naturally resolve the blood stasis and dissipate the anger, allowing both conditions to be treated simultaneously without conflict. If one neglects the postpartum constitution while focusing solely on emotional regulation, and excessively uses herbs such as Xiangfu (Cyperus Rhizome), Wuyao (Ligusticum Wallichii Rhizome), Zhike (Aurantii Fructus Immaturus), or Xiangsha (Amomi Fructus), to move qi and disperse masses, the primordial qi (Yuan Qi) will instead be damaged, and abdominal distension and fullness will increase. This is not a skillful approach to treating postpartum disorders. Furthermore, if food is consumed immediately after an outburst of anger, leading to food stagnation due to weak stomach function, one must determine the type of food ingested: add Shan Zha (Crataegi Fructus) and Sharen (Amomi Fructus) to digest meat stagnation; add Shen Qu (Massa Medicata Fermentata) and Maiya (Hordei Fructus Germinatus) to digest grain stagnation. If pain arises from consuming cold-natured foods, with pathogenic cold lingering in the hypochondrium and abdomen, add Guizhi (Cinnamomi Ramulus) and Wuzhuyu (Evodiae Fructus) to Shenghua Tang to dispel cold and alleviate pain, ensuring stability. One must strictly avoid formulas like Muxiang Binxiang Wan (Aucklandia and Areca Nut Pill) or Liuqi Yin (Flowing Qi Drink) for moving qi and digesting food, as these are harsh draining methods that would cause double deficiency in already weak postpartum women, leading to dire consequences beyond description.
Muxiang Shenghua Tang: Indicated for postpartum blood stasis pain that has not yet resolved, accompanied by qi stagnation.
Chuanxiong (2 qian) Danggui (6 qian) Ganjiang (4 fen) Zhi Gancao (5 fen) Muxiang (2 fen) Chenpi (3 fen)
This formula reduces Tao Ren (Persicae Semen) and replaces it with Muxiang and Chenpi. Refer to previous discussions regarding the reduction of Ganjiang.
Jianpi Huashi Sanqi Tang: Indicated for postpartum qi stagnation and food injury, provided there is no pain from blood stasis.
Baizhu (2 qian) Danggui (2 qian) Chuanxiong (1 qian) Ganjiang (4 fen) Chenpi (3 fen) Sharen (7 fen)
If pain occurs due to cold stagnating under the hypochondrium, add Guizhi (8 fen).
Generally speaking, for weak women postpartum, if qi stagnation and food retention occur, excessive use of digestive/draining agents only increases distension and fullness. One must combine tonification with drainage to resolve stagnation and restore appetite. However, contemporary physicians often fear that tonics like Renshen (Ginseng Radix et Rhizoma) might hinder qi movement, leading them to doubt their use, thereby misleading many patients. I have frequently seen cases where misusing qi-moving and digestive drugs caused women with poor appetites to stop eating entirely for long periods. I have successfully saved many such patients using Changsheng Huoming Dan (Long-Life Life-Sustaining Pill). In summary, for postpartum conditions involving qi rebellion from anger and food stagnation, skilled practitioners prioritize the postpartum constitution over merely attacking anger or food. The primary treatment should focus on tonifying qi and blood, assisted by herbs that soothe and regulate qi; this dissipates emotional depression without damaging primordial qi. Assisted by herbs that strengthen the spleen and aid digestion, not only does qi flow smoothly, but retained food is also transformed, restoring the stomach's desire for food. This is the correct method for treating postpartum injuries from anger and food. If one relies solely on qi-regulating and digestive methods, distension will not resolve, food stagnation will persist, and primordial qi will be further depleted, often leading to fatal starvation. Such outcomes are truly lamentable!