1．问曰∶新产妇人有三病∶一者病痉，二者病郁冒，三者大便难，何谓也？师曰∶新产血虚，多汗出，喜
中风，故令病痉。亡血复汗，寒多，故令郁冒。亡津液，胃燥，故大便难。
2．产妇郁冒，其脉微弱，呕不能食，大便反坚，但头汗出。所以然者，血虚而厥，厥而必冒。冒家欲解，
必大汗出。以血虚下厥，孤阳上出，故头汗出。所以产妇喜汗出者，亡阴血虚，阳气独盛，故
当汗出，阴阳乃复。大便坚，呕不能食，小柴胡汤主之。
3．病解能食，七八日更发热者，此为胃实，大承气汤主之。（见痉病中。）
4．产后腹中 痛，当归生姜羊肉汤主之，并治腹中寒疝，虚劳不足。
当归生姜羊肉汤方（见寒疝中）。
5．产后腹痛，烦满不得卧，枳实芍药散主之。
枳实芍药散方
枳实（烧令黑，勿大过） 芍药（等分）
上二味，杵为散，服方寸匕，日三服。并主痈脓，以麦粥下之。
6．师曰∶产妇腹痛，法当以枳实芍药散。假令不愈者，此为腹中有干血着脐下，宜下瘀血汤主之。亦主经
水不利。
下瘀血方
大黄（三两） 桃仁（二十枚） 虫（二十枚，熬，去足）
上三味，末之，炼蜜和为四丸，以酒一升，煎一丸，取八合，顿服之，新血下如豚肝。
7．产后七八日，无太阳证，少腹坚痛，此恶露不尽。不大便，烦燥发热，切脉微实，再倍发热，日晡时烦
躁者，不食，食则谵语，至夜即越，宜大承气汤主之。热在里，结在膀胱也。（见痉病中）。
8．产后风续续数十日不解，头微痛，恶寒，时时有热，心下闷，干呕，汗出，虽久，阳旦证续在耳，可与
阳旦汤。（即桂枝汤。方见下利中。）
9．产后中风，发热，面正赤，喘而头痛，竹叶汤主之。
竹叶汤方
竹叶（一把） 葛根（三两） 防风 桔梗 桂枝 人参 甘草（各一两） 附子（一枚，炮） 大枣（十
五枚） 生姜（五两）
上十味，以水一斗，煮取二升半，分温三服，温复使汗出。颈项强，用大附子一枚，破之如豆大，煎药扬去
沫。呕者，加半夏半升洗。
10．妇人乳中虚，烦乱，呕逆，安中益气，竹皮大丸主之。
竹皮大丸方
生竹茹（二分） 石膏（二分） 桂枝（一分） 甘草（七分） 白薇（一分）
上五味，末之，枣肉和丸弹子大，以饮服一丸，日三夜二服。有热者倍白薇。烦喘者加柏实一分。
11．产后下利虚极，白头翁加甘草阿胶汤主之。
白头翁加甘草阿胶汤方
白头翁 甘草 阿胶（各二两） 秦皮 黄连 柏皮（各三两）
上六味，以水七升，煮取二升半，纳胶令消尽，分温三服。
附方
《千金》三物黄芩汤 治妇人在草蓐自发露得风。四肢苦烦热，头痛者，与小柴胡汤；头不痛但烦者，
此汤主之。
黄芩（一两） 苦参（二两） 干地黄（四两）
上三味，以水六升，煮取二升，温服一升，多吐下虫。
《千金》内补当归建中汤 治妇人产后虚羸不足，腹中刺痛不止，吸吸少气，或苦少腹中急，摩痛
引腰背，不能食饮。产后一月，日得服四五剂为善，令人强壮宜。
当归（四两） 桂枝（三两） 芍药（六两） 生姜（三两） 甘草（二两） 大枣（十二枚）
上六味，以水一斗，煮取三升，分温三服，一日令尽。若大虚，加饴糖六两，汤成纳之，于火上暖令饴消，
若去血过多，崩伤内衄不止，加地黄六两，阿胶二两，合八味，汤成纳阿胶，若无当归，以川芎代之，若无生姜，
以干姜代之。
1. 问：新分娩后的产妇有三种病：一种是痉病，一种是郁冒，一种是大便难，这是什么意思呢？医生说：产后血虚，出汗多，容易感受风邪，所以导致痉病。失血后又出汗，寒气重，所以导致郁冒。津液耗伤，胃中干燥，所以导致大便难。
2. 产妇出现郁冒，脉象微弱，呕吐不能进食，大便反而干结，只有头部出汗。之所以这样，是因为血虚导致厥逆，厥逆必然引起郁冒。郁冒想要解除，必须全身大汗出。因为血虚导致下部厥冷，孤阳上越，所以只有头部出汗。因此产妇喜欢出汗，是因为阴血亡失而虚，阳气独盛，所以应当出汗，阴阳才能恢复平衡。大便干结，呕吐不能进食，用小柴胡汤主治。
3. 病症解除后能进食，过了七八天又发热的，这是胃家实热证，用大承气汤主治。（参见痉病篇。）
4. 产后腹中疼痛，用当归生姜羊肉汤主治，同时治疗腹中寒疝，虚劳不足。
当归生姜羊肉汤方（参见寒疝篇）。
5. 产后腹痛，心烦胀满不能卧睡，用枳实芍药散主治。
枳实芍药散方
枳实（烧至变黑，但不要烧过头） 芍药（与枳实等分）
以上两味药，捣碎成散剂，每次服用一方寸匕，每日三次。同时也主治痈脓，用麦粥送服。
6. 医生说：产妇腹痛，按法应当用枳实芍药散。假如不愈的，这是腹中有干血瘀结在脐下，宜用下瘀血汤主治。也主治月经不通利。
下瘀血汤方
大黄（三两） 桃仁（二十枚） 䗪虫（二十枚，炒过，去掉足）
以上三味药，研成细末，用炼蜜调和做成四丸，用酒一升，煎煮一丸，取八合药液，一次性服下，排出像猪肝一样的新瘀血。
7. 产后七八天，没有太阳表证，少腹部坚硬疼痛，这是恶露不尽。不大便，烦躁发热，切脉微实，发热加倍，日晡时（下午3-5点）烦躁加剧，不吃东西，吃了就谵语，到了晚上就神志不清，宜用大承气汤主治。热邪在里，结聚在膀胱部位。（参见痉病篇。）
8. 产后中风，症状持续数十天不缓解，头部轻微疼痛，怕冷，时不时有发热，心下闷堵，干呕，出汗，虽然时间久，但阳旦证依然存在，可以给予阳旦汤。（即桂枝汤。方剂见下利篇。）
9. 产后中风，发热，面色正红，气喘且头痛，用竹叶汤主治。
竹叶汤方
竹叶（一把） 葛根（三两） 防风 桔梗 桂枝 人参 甘草（各一两） 附子（一枚，炮制） 大枣（十五枚） 生姜（五两）
以上十味药，用水一斗，煮取二升半，分三次温服，服药后覆盖衣被使身体出汗。如果颈项强直，用大附子一枚，破开如豆大小，煎药时扬去沫。如果有呕吐，加半夏半升洗净。
10. 妇女哺乳期乳中虚损，心烦意乱，呕吐逆气，安中益气，用竹皮大丸主治。
竹皮大丸方
生竹茹（二分） 石膏（二分） 桂枝（一分） 甘草（七分） 白薇（一分）
以上五味药，研成细末，用枣肉调和做成弹子大小的丸剂，用饮服用一丸，白天三次，夜间两次服用。有热者加倍使用白薇。烦喘者加柏实一分。
11. 产后下利（腹泻）虚损至极，用白头翁加甘草阿胶汤主治。
白头翁加甘草阿胶汤方
白头翁 甘草 阿胶（各二两） 秦皮 黄连 黄柏（各三两）
以上六味药，用水七升，煮取二升半，加入阿胶使其完全溶化，分三次温服。
附方
《千金》三物黄芩汤 治疗妇人在产褥期自发露受风。四肢苦于烦热，头痛的，给小柴胡汤；头不痛只是烦热的，此汤主治。
黄芩（一两） 苦参（二两） 干地黄（四两）
以上三味药，用水六升，煮取二升，温服一升，多吐下虫。
《千金》内补当归建中汤 治疗妇人产后虚弱羸瘦不足，腹中刺痛不止，气息微弱，或者苦于少腹中急迫，牵拉腰背疼痛，不能饮食。产后一个月，每天服用四五剂为好，使人强壮适宜。
当归（四两） 桂枝（三两） 芍药（六两） 生姜（三两） 甘草（二两） 大枣（十二枚）
以上六味药，用水一斗，煮取三升，分三次温服，一天内服完。如果非常虚，加饴糖六两，汤成后放入火上暖令饴糖融化，如果失血过多，崩漏或内衄不止，加地黄六两，阿胶二两，合为八味药，汤成后放入阿胶，如果没有当归，以川芎代替，如果没有生姜，以干姜代替。
1. Question: There are three diseases in postpartum women: one is Jing disease (spasm), the second is Yumao (dizziness and confusion), and the third is difficult defecation. What does this mean? The Master said: Postpartum blood deficiency, excessive sweating, and susceptibility to wind pathogen lead to Jing disease (spasm). Loss of blood followed by sweating, with excessive cold, leads to Yumao (dizziness and confusion). Depletion of body fluids and dryness of the Stomach lead to difficult defecation.
2. In postpartum Yumao (dizziness and confusion), the pulse is faint, there is vomiting and inability to eat, stool is conversely hard, and only the head sweats. The reason for this is blood deficiency leading to Jue (reversal/cold extremities), and Jue inevitably causes Yumao. For Yumao to resolve, profuse sweating throughout the body must occur. Due to blood deficiency causing lower Jue (cold extremities) and solitary Yang floating upward, only the head sweats. Therefore, postpartum women tend to sweat; because Yin blood is depleted and deficient, Yang Qi alone is abundant, so sweating should occur to restore Yin-Yang balance. With hard stool, vomiting, and inability to eat, Xiao Chai Hu Tang (Minor Bupleurum Decoction) is indicated.
3. After symptoms resolve and appetite returns, if fever occurs again after seven or eight days, this indicates excess heat in the Stomach (Wei Shi), treated with Da Cheng Qi Tang (Major Order the Qi Decoction). (See section on Jing disease.)
4. For postpartum abdominal pain, Dang Gui Sheng Jiang Yang Rou Tang (Angelica Ginger Mutton Decoction) is indicated; it also treats abdominal cold cramps and deficiency-fatigue insufficiency.
Dang Gui Sheng Jiang Yang Rou Tang formula (See section on cold cramps).
5. For postpartum abdominal pain accompanied by irritability, fullness, and inability to lie down, Zhi Shi Shao Yao San (Immature Bitter Orange and White Peony Powder) is indicated.
Zhi Shi Shao Yao San formula
Zhi Shi (Immature Bitter Orange) (burned until black, but not overdone) Shao Yao (White Peony Root) (equal parts)
The above two ingredients are pounded into a powder. Take one cun-bi (measure) per dose, three times daily. It also treats abscesses and pus; take with wheat porridge.
6. The Master said: For postpartum abdominal pain, the method dictates using Zhi Shi Shao Yao San. If it does not heal, this indicates dried blood adhering below the umbilicus; Xia Yu Xue Tang (Drain Stasis Blood Decoction) is indicated. It also treats irregular menstruation.
Xia Yu Xue Tang formula
Da Huang (Rhubarb Rhizome) (three liang) Tao Ren (Peach Seed) (twenty kernels) E Chong (Ground Beetle) (twenty kernels, roasted, feet removed)
The above three ingredients are powdered, mixed with refined honey to form four pills. Boil one pill in one sheng of wine to obtain eight ge of liquid, and take in one dose. Fresh blood resembling pig liver will be discharged.
7. Seven or eight days postpartum, without Taiyang syndrome, there is hardness and pain in the lower abdomen, indicating incomplete expulsion of lochia. With constipation, irritability, and fever, the pulse is slightly solid. Fever doubles, and irritability worsens at Shen hour (3-5 PM); anorexia follows, with delirium upon eating, and mental confusion at night. Da Cheng Qi Tang (Major Order the Qi Decoction) is indicated. Heat is in the interior, congealed in the Bladder region. (See section on Jing disease.)
8. Postpartum wind strike persists for dozens of days without resolution; slight headache, aversion to cold, intermittent fever, chest oppression, dry retching, and sweating occur. Although prolonged, the Yang Dan syndrome persists; Yang Dan Tang is appropriate. (This is Gui Zhi Tang [Cinnamon Twig Decoction]. See section on diarrhea.)
9. Postpartum wind strike with fever, bright red face, wheezing, and headache is treated with Zhu Ye Tang (Bamboo Leaf Decoction).
Zhu Ye Tang formula
Zhu Ye (Bamboo Leaf) (one handful) Ge Gen (Kudzu Root) (three liang) Fang Feng (Saposhnikovia Root) Jie Geng (Platycodon Root) Gui Zhi (Cinnamon Twig) Ren Shen (Ginseng Root) Gan Cao (Licorice Root) (each one liang) Fu Zi (Aconite Lateral Root) (one piece, processed) Da Zao (Jujube Fruit) (fifteen pieces) Sheng Jiang (Fresh Ginger) (five liang)
The above ten ingredients are boiled in ten dou of water to obtain two and a half sheng. Divide into three warm doses. Cover to induce sweating. For stiff neck, use one large Fu Zi, broken into bean-sized pieces; boil medicine and skim off foam. For vomiting, add Ban Xia (Pinellia Tuber) half a sheng, washed.
10. In lactating women with deficiency in the breasts, irritability, restlessness, and vomiting/retching, An Zhong Yi Qi (Peace the Middle and Boost Qi) is achieved with Zhu Pi Da Wan (Bamboo Peel Large Pill).
Zhu Pi Da Wan formula
Sheng Zhu Ru (Raw Bamboo Shavings) (two fen) Shi Gao (Gypsum Fibrosum) (two fen) Gui Zhi (Cinnamon Twig) (one fen) Gan Cao (Licorice Root) (seven fen) Bai Wei (Cynanchum Root) (one fen)
The above five ingredients are powdered, mixed with jujube flesh to form pills the size of a quail egg. Take one pill with water, three times during the day and twice at night. Increase Bai Wei if there is heat. Add Bai Zi Ren (Biota Seed) one fen if there is irritability and wheezing.
11. Postpartum diarrhea with extreme deficiency is treated with Bai Tou Weng Jia Gan Cao E Jiao Tang (Belleric Myrobalan plus Licorice and Donkey-hide Gelatin Decoction).
Bai Tou Weng Jia Gan Cao E Jiao Tang formula
Bai Tou Weng (Pulsatilla Root) Gan Cao (Licorice Root) E Jiao (Donkey-hide Gelatin) (each two liang) Qin Pi (Ash Bark) Huang Lian (Coptis Rhizome) Huang Bo (Phellodendron Bark) (each three liang)
The above six ingredients are boiled in seven sheng of water to obtain two and a half sheng. Add gelatin and stir until dissolved. Divide into three warm doses.
Appendix Formulas
Qian Jin San Wu Huang Qin Tang (Three-Ingredient Scutellaria Decoction from Essential Prescriptions Worth a Thousand Gold) treats women exposed to wind while lying on straw mats postpartum. For bitter heat in limbs and headache, give Xiao Chai Hu Tang; for headacheless bitterness/heat, this decoction is indicated.
Huang Qin (Scutellaria Root) (one liang) Ku Shen (Sophora Root) (two liang) Gan Di Huang (Rehmannia Root) (four liang)
The above three ingredients are boiled in six sheng of water to obtain two sheng. Take one sheng warm; it may cause vomiting or purging of parasites.
Qian Jin Nei Bu Dang Gui Jian Zhong Tang (Internal Tonifying Angelica Building the Middle Decoction from Essential Prescriptions Worth a Thousand Gold) treats postpartum weakness and insufficiency, unceasing stabbing abdominal pain, shortness of breath, or urgency/pain in the lower abdomen radiating to the back, with inability to eat or drink. During the first month postpartum, taking four to five doses daily is beneficial for strengthening.
Dang Gui (Angelica Root) (four liang) Gui Zhi (Cinnamon Twig) (three liang) Shao Yao (White Peony Root) (six liang) Sheng Jiang (Fresh Ginger) (three liang) Gan Cao (Licorice Root) (two liang) Da Zao (Jujube Fruit) (twelve pieces)
The above six ingredients are boiled in ten dou of water to obtain three sheng. Divide into three warm doses, consumed within one day. For severe deficiency, add Yi Tang (Maltose) six liang; after decoction, warm on fire to dissolve maltose. For excessive blood loss, metrorrhagia, or internal bleeding that does not stop, add Di Huang (Rehmannia Root) six liang and E Jiao (Donkey-hide Gelatin) two liang, totaling eight ingredients. Add E Jiao after decoction. If Dang Gui is unavailable, substitute with Chuan Xiong (Ligusticum Rhizome); if Sheng Jiang is unavailable, substitute with Gan Jiang (Dried Ginger).