此症，乃伤寒失下症有之，今产妇脾胃
虚，或食热物，冷热相抟亦有之，或寒凝于中。寒者用丁香、肉桂，热者橘皮竹茹汤加柿蒂主之，或灸期门穴
自止也。
橘皮竹茹汤
广皮（二钱） 竹茹（一钱） 甘草（五分）
姜枣引煎服，或香附一钱。
一身痛者，因产时百节开张，血脉空虚，不能荣养筋骨也。又有败血乘虚流注于经络致痛。大意按之痛者，
非风寒则瘀滞。若按之不痛，喜附热者，虚寒也。如血不足以流通者，四物汤加黑姜、桃仁、红花、泽兰，补
兼营运。如或喜按畏寒者，用四物汤加人参、白术、黑姜，补养自安。有外感风寒，则发寒热而头身痛，或鼻塞
口出火气，斯为外感，用古拜散加归、芎、黑姜、秦艽以温散。如散后痛未尽止，乃气血虚致荣卫未和，用八珍
汤补之，此散后补之大法也。
古拜散
荆芥穗一味，炒黑为末，生姜汤调下一二钱，量人虚实用。 本方加当归即清魂散，更稳。此方产后受风，筋
脉引急，或搐抽口噤，或昏愦不省人事，头身痛，发寒热。果是风者，一二剂即愈。盖产后空虚之人，又何必羌、防、
柴、葛之重表耶？如破船重载，焉得不沉。
四物汤（见前）八珍汤（见前）。
产后未有不伤肾者，腰痛皆是肾虚，当用六味地黄汤加杜仲、续断、肉桂，或食猪腰子补之。又有肾中之气
不足者，用八珍汤加杜仲、续断、肉桂大补。又或风冷客于下部，必上连脊背，下连腿膝，乃用独活寄生汤，甚
加附子以温散。然只可服一二剂，不可多服。痛稍可，随用前方补之。予制清腰汤服之，颇当。
六味汤（见前不语症）八珍汤（见前临产门）。
独活寄生汤
当归（三钱） 独活（三分） 桑寄生（一钱） 秦艽（五分） 茯苓（一钱） 牛膝（一钱） 甘草（三分）
威灵仙（一钱） 细辛（二分） 肉桂（五分，或官桂一钱） 狗脊（一钱五分）
姜二片，水煎服。
清腰汤
黑料豆（五钱） 狗脊（一钱） 寄生（一钱） 川断（一钱） 杜仲（二钱） 肉桂（五分） 丹参（一钱）
加青盐二分，水煎服。
这种症状，是伤寒病中因失于攻下而出现的病症，现在产妇脾胃虚弱，或者食用了热性食物，导致冷热之气相互搏结也会出现，或者是寒邪凝结在体内。属于寒证的，使用丁香、肉桂；属于热证的，以橘皮竹茹汤加柿蒂为主治方，或者艾灸期门穴即可停止。
橘皮竹茹汤
广陈皮（二钱） 竹茹（一钱） 甘草（五分）
用生姜、大枣为引煎服，也可加入香附一钱。
全身疼痛的，是因为分娩时全身关节开张，血脉空虚，不能濡养筋骨所致。又有败血乘虚流注于经络导致疼痛。大抵按压后疼痛的，不是风寒就是瘀滞。如果按压后不痛，喜欢热敷的，属于虚寒证。如果是血液不足以流通导致的，用四物汤加黑姜、桃仁、红花、泽兰，在补益的同时兼顾运行气血。如果喜按且畏寒的，用四物汤加人参、白术、黑姜，通过补养使身体安宁。如果有外感风寒，则会出现恶寒发热以及头身疼痛，或者鼻塞、口中呼出热气，这才是外感证，使用古拜散加当归、川芎、黑姜、秦艽以温散表邪。如果发散后疼痛仍未完全停止，那是气血虚弱导致营卫不和，用八珍汤补益，这是发散之后进行补益的大法。
古拜散
仅用荆芥穗一味药，炒黑研为细末，用生姜汤调服一二钱，根据患者虚实情况调整用量。本方加入当归即为清魂散，更为稳妥。此方适用于产后受风，筋脉拘急牵引，或者抽搐、牙关紧闭，或者昏沉不省人事，头身疼痛，发寒热。如果是确属风邪所致，服用一两剂即可痊愈。大概因为产后是气血空虚之人，又何必使用羌活、防风、柴胡、葛根等重剂发汗解表呢？就像破船装载重物，怎么能不沉没呢。
产后没有不损伤肾脏的，腰痛都是肾虚所致，应当使用六味地黄汤加杜仲、续断、肉桂，或者吃猪腰子来补益。又有肾中元气不足的，用八珍汤加杜仲、续断、肉桂进行大补。又或者风冷之邪客居于下部，必然向上连及脊背，向下连及腿膝，此时用独活寄生汤，甚至加入附子以温散寒邪。然而只可服用一两剂，不可多服。疼痛稍缓解后，随即用前方进行补益。我制作的清腰汤服用，颇为恰当。
六味地黄汤（见前文未提及具体病症处）八珍汤（见前文临产门）。
独活寄生汤
当归（三钱） 独活（三分） 桑寄生（一钱） 秦艽（五分） 茯苓（一钱） 牛膝（一钱） 甘草（三分）
威灵仙（一钱） 细辛（二分） 肉桂（五分，或官桂一钱） 狗脊（一钱五分）
生姜两片，水煎服。
清腰汤
黑料豆（五钱） 狗脊（一钱） 桑寄生（一钱） 川断（一钱） 杜仲（二钱） 肉桂（五分） 丹参（一钱）
加入青盐二分，水煎服。
This condition occurs in cases of *Shanghan* (Cold Damage) where purgation was neglected. In postpartum women, it may arise from deficiency of the Spleen and Stomach, consumption of hot-natured foods leading to a struggle between cold and heat pathogens, or condensation of Cold in the interior. For Cold patterns, Dingxiang (Clove) and Rougui (Cinnamon Bark) are used; for Heat patterns, Jupi Zhuru Tang (Tangerine Peel and Bamboo Shavings Decoction) with Shidi (Persimmon Calyx) is the primary prescription, or moxibustion on Qimen (LR14) acupoint will stop it spontaneously.
Jupi Zhuru Tang (Tangerine Peel and Bamboo Shavings Decoction)
Guangpi (Exocarpium Citri Reticulatae, 2 qian)
Zhuru (Bambusae Caulis in Taeniam, 1 qian)
Gancao (Radix Glycyrrhizae, 0.5 qian)
Decoct with Jiang (Zingiberis Rhizoma Recens, Fresh Ginger) and Zao (Fructus Jujubae, Jujube) as guides, or add Xiangfu (Cyperii Rhizoma, 1 qian).
General body pain results from the opening of all joints during childbirth, leaving blood vessels empty and unable to nourish sinews and bones. Additionally, retained blood (stasis) may flow into the meridians due to deficiency, causing pain. Generally, pain that worsens upon pressure indicates either Wind-Cold or blood stasis. If there is no pain upon pressure but a preference for warmth, it is a Deficiency-Cold pattern. If caused by insufficient blood circulation, Siwu Tang (Four Substances Decoction) combined with Heijiang (Scorched Zingiberis Rhizoma), Taoren (Persicae Semen), Honghua (Carthami Flos), and Zelan (Lycopus Herba) is used to tonify while promoting circulation. If there is a preference for pressure and aversion to cold, Siwu Tang combined with Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), and Heijiang is used to restore peace through nourishment. If external Wind-Cold is contracted, manifesting as aversion to cold, fever, headache, and body pain, or nasal congestion and hot breath, this is an external contraction. Guyai San (Ancient Bai Powder) combined with Danggui (Angelicae Sinensis Radix), Chuanxiong (Chuanxiong Rhizoma), Heijiang, and Qinjiao (Gentianae Macrophyllae Radix) is used to warm and disperse. If pain persists after dispersing, it is due to Qi and Blood deficiency failing to harmonize Ying (Nutrient) and Wei (Defensive) levels; Bazhen Tang (Eight Treasures Decoction) is used to tonify. This represents the general principle of tonifying after dispersing.
Guyai San (Ancient Bai Powder)
Jiejie Sui (Schizonepetae Spica), roasted until black and ground into powder. Take 1-2 qian mixed with Shengjiang (Fresh Ginger) decoction, adjusted according to the patient's deficiency or excess. Adding Danggui to this formula creates Qinghun San (Clear Soul Powder), which is more stable. This formula treats postpartum Wind invasion causing sinew tension, spasms, trismus, coma, headache, body pain, and chills with fever. If truly Wind, one to two doses will cure it. Since postpartum women are already deficient, why use heavy exterior-releasing herbs like Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Chaihu (Bupleuri Radix), and Ge Gen (Puerariae Lobatae Radix)? It is like a leaky boat carrying a heavy load; how could it not sink?
Siwu Tang (Four Substances Decoction) (See previous section).
Bazhen Tang (Eight Treasures Decoction) (See previous section).
Postpartum women invariably injure the Kidney; thus, lower back pain is always due to Kidney deficiency. Liuwei Dihuang Tang (Six-Ingredient Rehmannia Pill) combined with Duzhong (Eucommiae Cortex), Xuduan (Dipsaci Radix), and Rougui is indicated, or eating pig kidneys can be used for supplementation. For insufficiency of Qi within the Kidney, Bazhen Tang combined with Duzhong, Xuduan, and Rougui is used for major tonification. If Wind-Cold invades the lower part of the body, connecting upwards to the spine and downwards to the legs and knees, Duhuo Jisheng Tang (Angelica Pubescens and Taxillus Decoction) is used, possibly with added Fuzi (Aconiti Lateralis Radix Praeparata) to warm and disperse. However, it should only be taken for one to two doses and not excessively. Once pain subsides slightly, revert to the previous formulas for tonification. I formulated Qingyao Tang (Clear Waist Decoction), which is quite appropriate.
Liuwei Dihuang Tang (Six-Ingredient Rehmannia Pill) (See previous section without specific disease description).
Bazhen Tang (Eight Treasures Decoction) (See previous section under Labor Gate).
Duhuo Jisheng Tang (Angelica Pubescens and Taxillus Decoction)
Danggui (Angelicae Sinensis Radix, 3 qian)
Duhuo (Pubescent Angelica Root, 0.3 qian)
Sangjisheng (Taxilli Caulis et Folium, 1 qian)
Qinjiao (Gentianae Macrophyllae Radix, 0.5 qian)
Fuling (Poria, 1 qian)
Niuxi (Achyranthis Bidentatae Radix, 1 qian)
Gancao (Licorice Root, 0.3 qian)
Weilingxian (Salviae Miltiorrhizae Radix et Rhizoma / Thalictrum Root - Note: Standard WHO term often refers to Clematis root or similar, here likely Salvia or Thalictrum depending on local usage, strictly translated as Weilingxian), 1 qian
Xixin (Asari Radix et Rhizoma, 0.2 qian)
Rougui (Cinnamon Bark, 0.5 qian, or Guiguan 1 qian)
Gouji (Cibotii Rhizoma, 1.5 qian)
Decoct with two slices of Shengjiang (Fresh Ginger) in water.
Qingyao Tang (Clear Waist Decoction)
Heiliaodou (Black Soybean Seed, 5 qian)
Gouji (Cibotii Rhizoma, 1 qian)
Jisheng (Taxillus, 1 qian)
Chuanduan (Dipsacus, 1 qian)
Duzhong (Eucommia Bark, 2 qian)
Rougui (Cinnamon Bark, 0.5 qian)
Danshen (Salviae Miltiorrhizae Radix, 1 qian)
Add Qingyan (Halitum, Green Salt, 0.2 fen). Decoct in water and take.