〔大〕产后月水不调者，由产伤动血气，虚损未复，而风邪冷热之气客于经络，乍冷
乍热，冷则血结，热则血消，故令血或多或少，或在月前，或在月后，故名不调也。
〔薛〕前证若过期而作痛者，气血俱虚也，八珍加柴胡、丹皮。不及期而来，血热
也，四物、山栀、柴胡。将来而作痛者，血实也，四物加桃仁、红花。过期而来者，血
虚也，四物加参、术。紫黑成块者，血热也，四物加炒栀、炒连、丹皮。作痛而色淡者，痰
多也，四物合二陈。治当临证制宜。一产妇月经不调，内热燥渴，服寒凉之剂，血更
如崩，腹胀寒热，作呕少食。用六君子二十余剂，诸病悉愈，以加味逍遥散调理而安。
琥珀散 治产后经脉不调，四肢烦疼，饮食全少，日渐羸瘦。
琥珀 牛膝 生干地黄 当归（各一两） 桃仁 赤芍药（各半两）
上为粗末，每服三钱，水一盏，姜三片，煎至六分，去渣服。
姜黄丸 治产后虚乏不足，胸心短气，腹内紧急，腰背疼痛，月水不调，食少烦渴，四
肢无力。
姜黄 当归 熟地黄 牡丹皮 浓朴（制） 桂心 川芎 续断 桃仁 白术（各一两）
赤芍药 木香（各七钱半） 羚羊角屑（二钱半）
上为细末，炼蜜丸如梧子大。每服三十丸，食前温酒下。
【戴元礼】产后月经失调，是由于分娩时损伤了气血，虚损尚未恢复，风邪及冷热之气侵袭经络。寒气与热气交替作用，遇寒则血液凝滞成块，遇热则血液消散流动，因此导致经量或多或少，经期或提前或推后，所以称为月经不调。
【薛己】上述病症如果经期过后才出现疼痛，属于气血两虚，用八珍汤加入柴胡、牡丹皮。如果经期未到就提前来潮，属于血热，用四物汤加山栀、柴胡。如果在经期将来之前出现疼痛，属于血实（瘀血阻滞），用四物汤加桃仁、红花。如果经期过后才来潮，属于血虚，用四物汤加入人参、白术。如果经血色紫黑且有血块，属于血热，用四物汤加炒山栀、炒黄连、牡丹皮。如果疼痛且经色淡，属于痰湿较多，用四物汤合二陈汤治疗应当根据临床具体情况灵活制宜。有一位产妇月经不调，伴有内热、口干燥渴，服用寒凉药物后，出血更加严重如崩漏一般，并出现腹胀、寒热往来、呕吐、食欲减退等症状。使用六君子汤二十多剂后，各种病症全部痊愈，再用加味逍遥散调理而安定。
琥珀散：治疗产后经脉不调，四肢烦扰疼痛，饮食极少，日渐消瘦。
琥珀、牛膝、生干地黄、当归（各一两）、桃仁、赤芍药（各半两）。
以上药材研为粗末，每次服用三钱，加水一盏，生姜三片，煎至六分水量，去渣服用。
姜黄丸：治疗产后身体虚弱乏力，心胸短气，腹部拘急紧张，腰背疼痛，月经不调，食少烦渴，四肢无力。
姜黄、当归、熟地黄、牡丹皮、浓朴（制）、桂心、川芎、续断、桃仁、白术（各一两）、赤芍药、木香（各七钱半）、羚羊角屑（二钱半）。
以上药材研为细末，用炼蜜制成梧桐子大小的丸剂。每次服用三十丸，饭前用温酒送服。
[Dai Yuanli] Postpartum irregular menstruation is caused by the injury to Qi and Blood during childbirth, where the deficiency has not yet recovered, and Wind pathogens along with Cold and Heat pathogenic factors invade the meridians. The alternating effects of Cold and Heat cause Cold to coagulate the blood while Heat dissipates it, resulting in varying amounts of menstrual flow, either occurring before or after the expected time; hence it is termed irregular menstruation.
[Xue Ji] In the aforementioned conditions, if pain occurs after the period is overdue, it indicates a deficiency of both Qi and Blood; treat with Bazhen Tang (Eight Treasures Decoction) added with Chaihu (Bupleuri Radix) and Danpi (Moutan Cortex). If bleeding arrives ahead of schedule, it indicates Blood Heat; treat with Siwu Tang (Four Substances Decoction) added with Shanzhi (Gardeniae Fructus) and Chaihu (Bupleuri Radix). If pain occurs before the onset of menstruation, it indicates Blood Excess (stasis); treat with Siwu Tang (Four Substances Decoction) added with Taoren (Persicae Semen) and Honghua (Carthami Flos). If bleeding arrives after the period is overdue, it indicates Blood Deficiency; treat with Siwu Tang (Four Substances Decoction) added with Renshen (Ginseng Radix) and Baizhu (Atractylodis Macrocephalae Rhizoma). If the blood is dark purple and forms clots, it indicates Blood Heat; treat with Siwu Tang (Four Substances Decoction) added with fried Shanzhi (Gardeniae Fructus), fried Lian (Coptidis Rhizoma), and Danpi (Moutan Cortex). If there is pain accompanied by pale color, it indicates excessive Phlegm-Dampness; treat with Siwu Tang (Four Substances Decoction) combined with Erchen Tang (Two Aged Substances Decoction). Treatment should be adapted to clinical circumstances. A postpartum patient presented with irregular menstruation, internal heat, dry mouth and thirst. After taking cold-natured medicines, the bleeding worsened into a flooding pattern, accompanied by abdominal distension, alternating chills and fever, vomiting, and poor appetite. After administering Liu Junzi Tang (Six Gentlemen Decoction) for over twenty doses, all symptoms resolved, and she was stabilized using Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) for regulation.
Hupo San (Amber Powder): Treats postpartum meridian irregularities, vexing pain in the four limbs, minimal food intake, and progressive emaciation.
Ingredients: Hupo (Succinum), Niuxi (Achyranthis Bidentatae Radix), Sheng Gan Dihuang (Rehmanniae Radix Preparata), Danggui (Angelicae Sinensis Radix) [each 1 liang]; Taoren (Persicae Semen), Chi Shaoyao (Paeoniae Radix Rubra) [each 0.5 liang].
Preparation: Grind into coarse powder. Take 3 qian per dose, add 1 zhan of water and 3 slices of fresh ginger, decoct until reduced to 6 fen volume, strain, and take warm.
Jianghuang Wan (Curcuma Pill): Treats postpartum weakness and insufficiency, shortness of breath in the chest and heart, tension in the abdomen, pain in the lower back and back, irregular menstruation, poor appetite with vexation and thirst, and weakness in the four limbs.
Ingredients: Jianghuang (Curcumae Longae Rhizoma), Danggui (Angelicae Sinensis Radix), Shu Dihuang (Rehmanniae Radix Preparata), Mudanpi (Moutan Cortex), Houpo (Magnoliae Officinalis Cortex) [processed], Guixin (Cinnamomi Ramulus), Chuanxiong (Ligustici Chuanxiong Rhizoma), Xuduan (Dipsaci Radix), Taoren (Persicae Semen), Baizhu (Atractylodis Macrocephalae Rhizoma) [each 1 liang]; Chi Shaoyao (Paeoniae Radix Rubra), Muxiang (Aucklandiae Radix) [each 7.5 qian]; Lingyangjiao Xie (Saigae Tataricae Cornu) [2.5 qian].
Preparation: Grind into fine powder, mix with refined honey to form pills the size of guazi (loquat seeds). Take 30 pills per dose, swallow with warm wine before meals.