产后恶露有块，名曰儿枕。世多先消后补，殊不知旧血虽当消化，新血亦宜生养，若专
攻旧，则新亦不宁矣。世有济坤丹攻血块、下胞胎者，一时虽见速效，元气未免亏损，不得
已而用之，只可一丸，不宜多服，且须随进补剂，庶免虚弱之害。其或劳甚血崩形脱，汗喘
不止，急进加参生化汤数帖。
加参生化汤∶人参二钱，川芎二钱，当归四钱，姜炭四分，桃仁十四粒，枣三枚。加减
法∶
痛止，不可遽加参、 、白术、补住瘀血，祸不可言。
产后一二日内，块痛虽未除，其产妇气血虚脱，或崩或厥，或汗多而厥，或形色脱去、
口气渐冷，或烦渴不止，或气喘短促，无论块痛，从权加参、 以扶危急，如体倦无力，气
虚短促，本方多加人参，兼汗加黄 ，烦躁加竹茹，渴加麦冬、五味，喘加杏仁、桔梗。
产后大便不通，或至八九日者，由血少肠燥故也。宜生化汤加麻仁三钱，苁蓉五钱以润
之，日久自通。如虚加人参二钱，勿用承气汤。
产后七日内，或伤寒血块凝结痛甚，生化汤加肉桂五分，元胡一钱。或食冷物，连心腹
痛者，再加吴萸七分。
产后肥人多痰，宜生化汤加花粉、竹沥、姜汁，或加橘红四分，勿轻用牛黄及寒冷等味。
胎前素虚弱者，产后一二日，已服生化汤三四帖，块痛稍减，可按揉而定，宜生化汤加
人参三钱。
产后虽暑月亦要和暖，如失盖衣被，腹不温和，风邪乘虚而入，虽服生化汤，恐块痛不
能止，宜加肉桂四分，五灵脂一钱。
产后劳倦血晕，服生化汤一剂头煎后，即再取一帖加人参一二钱，汗多亦加。如形不脱
去，只用鹿角灰二钱，本汤送下。或益母丸亦可。外用细捣韭菜，纳有嘴瓷瓶内，将滚醋两
碗冲入，封其大口，以小口注产妇鼻中，敛其精神即醒。
产后发热汗出，手足厥冷，或血崩气短，神昏气脱，乃大虚症，急须大补，庶可回生。
宜加参生化汤，速进数剂，再以生脉散代茶，毋信《产室百问》及《妇人良方》等书。
产后日久不食，闻药即吐，须用独参二三钱，或姜少许，白米一大撮，水煎服，以安胃
气。如听其胃虚不能受药则危矣。
产后恶露中有血块，称为“儿枕”。世人多采用先化瘀后补虚的方法，却不知虽然旧血应当消散，但新血也适宜生养。如果专门攻伐旧血，那么新血也无法安宁。世间有名为济坤丹的药物，能攻逐血块、排出死胎，虽然一时可见速效，但元气难免亏损。实在不得已时才使用它，每次只可服用一丸，不宜多服，并且必须随后进服补益药剂，以免产生虚弱的危害。如果是因过度劳累导致血崩、形体脱失、汗出不止、气喘不止的危急情况，应立即急进加参生化汤数剂。
加参生化汤：人参二钱，川芎二钱，当归四钱，姜炭四分，桃仁十四粒，大枣三枚。加减法：
疼痛停止后，不可立即加入人参、[此处原文缺字，据语境推测为黄芪或类似补气药，但依规则不推测，故留空或指代前文提到的补气思路，此处原文似有脱漏，通常指黄芪等]、白术，以免补住瘀血，后果不堪设想。（注：原文中“加参、 、白术”中间有空格或缺字，翻译时保留原意，指出不可骤加补气固涩之品）。
产后一二日内，虽然血块疼痛未除，但如果产妇气血虚脱，出现血崩或昏厥，或多汗而厥冷，或面色形色脱失、口气渐冷，或烦躁口渴不止，或气喘短促，无论是否有血块疼痛，都应权宜之计加入人参、[同上，原文缺字]以扶持危急。如身体疲倦无力、气虚短促，本方多加人参；兼有出汗，加入黄芪；烦躁，加入竹茹；口渴，加入麦冬、五味子；气喘，加入杏仁、桔梗。
产后大便不通，甚至到八九天的，是由于血少肠燥所致。适宜用生化汤加火麻仁三钱、肉苁蓉五钱以润肠通便，日久自然通畅。如属虚证，加入人参二钱，切勿使用承气汤。
产后七日内，如果是伤寒导致血块凝结且疼痛剧烈，可用生化汤加肉桂五分、延胡索一钱。如果是吃了生冷食物，导致心腹疼痛的，再加吴茱萸七分。
产后肥胖的人多痰湿，适宜用生化汤加天花粉、竹沥、姜汁，或者加橘红四分，不要轻易使用牛黄及寒凉性质的药物。
怀孕前体质素来虚弱的人，产后一二日，已经服用生化汤三四剂，血块疼痛稍减，可以通过按揉来安定，适宜用生化汤加人参三钱。
产后即使在暑天也要保持温暖，如果失去盖衣被，腹部不温和，风邪乘虚而入，虽然服用生化汤，恐怕血块疼痛不能停止，适宜加肉桂四分、五灵脂一钱。
产后因劳倦导致血晕，服用生化汤一剂的头煎药后，立即再取一剂加入人参一二钱，如果汗多也加入人参。如果形体没有脱失，只用鹿角灰二钱，用本汤送服。或者益母丸也可以。外用方法：将韭菜细捣碎，放入有嘴的瓷瓶内，用两碗滚开的醋冲入，封住瓶口，将小口对着产妇鼻孔吸入醋气，收敛精神即可苏醒。
产后发热出汗，手足厥冷，或者血崩气短，神志昏迷气息欲脱，这是大虚症，急需大补，才可以挽回生命。适宜用加参生化汤，迅速服用数剂，然后再用生脉散代茶饮用，不要相信《产室百问》及《妇人良方》等书的说法。
产后日久不进食，闻到药味就呕吐，须用独参二三钱，或者少许生姜，一大撮白米，水煎服，以安养胃气。如果听任胃气虚弱不能受药，那就危险了。
Postpartum lochia containing blood clots is called "Erzhen" (Fetal Pillow). The world generally adopts the method of eliminating stasis first and tonifying later, not realizing that although old blood should be resolved, new blood also needs to be nourished. If one exclusively attacks the old blood, the new blood will also be disturbed. There is a medicine in the world called Jikun Dan (Ji Kun Pill), which attacks blood clots and expels retained placenta. Although it shows rapid effects at once, the primordial Qi is inevitably depleted. It should only be used when absolutely necessary, taking only one pill each time, not suitable for excessive consumption, and must be followed by tonifying agents to avoid the harm of weakness. In cases of severe fatigue leading to bloody discharge, physical collapse, continuous sweating, and incessant panting, Jiashen Shenghua Tang (Ginseng-Added Decoction for Generating New Blood) should be administered urgently for several doses.
Jiashen Shenghua Tang: Ren Shen (Ginseng Root) 2 qian, Chuan Xiong (Ligusticum Rhizome) 2 qian, Dang Gui (Angelica Sinensis Root) 4 qian, Jiang Tan (Charred Ginger) 4 fen, Tao Ren (Peach Seed) 14 grains, Zao (Jujube Fruit) 3 pieces. Modifications:
After pain subsides, do not abruptly add Ren Shen (Ginseng Root), [missing character in source], Bai Zhu (Atractylodes Macrocephala Rhizome), as this may trap the stasis, leading to dire consequences.
Within one or two days postpartum, although clot-related pain persists, if the parturient suffers from Qi and Blood collapse, presenting with bloody discharge or syncope, profuse sweating with cold limbs, loss of complexion and spirit, cooling breath, incessant irritability and thirst, or shortness of breath regardless of pain, one should pragmatically add Ren Shen (Ginseng Root) and [missing character in source] to support critical conditions. If there is fatigue and weakness, Qi deficiency with shortness of breath, increase Ren Shen (Ginseng Root) in the base formula; if accompanied by sweating, add Huang Qi (Astragalus Root); if irritable, add Zhu Ru (Bamboo Shavings); if thirsty, add Mai Dong (Ophiopogon Tuber) and Wu Wei Zi (Schisandra Berry); if panting, add Xing Ren (Apricot Seed) and Jie Geng (Platycodon Root).
Constipation postpartum, lasting up to eight or nine days, is due to blood deficiency causing intestinal dryness. It is appropriate to use Shenghua Tang (Decoction for Generating New Blood) added with Ma Ren (Hemp Seed) 3 qian and Cong Rong (Cistanche Stem) 5 qian to moisten the intestines, allowing natural passage over time. For deficiency patterns, add Ren Shen (Ginseng Root) 2 qian; do not use Chengqi Tang (Chengqi Decoction).
Within seven days postpartum, if cold damage causes blood clots to coagulate with severe pain, use Shenghua Tang (Decoction for Generating New Blood) added with Rou Gui (Cinnamon Bark) 5 fen and Yuan Hu (Corydalis Rhizome) 1 qian. If eating cold food causes heart and abdominal pain, add Wu Yu (Evodia Fruit) 7 fen.
Obese women postpartum often have phlegm-dampness; it is suitable to use Shenghua Tang (Decoction for Generating New Blood) added with Hua Fen (Trichosanthes Root), Zhu Li (Bamboo Juice), and Jiang Zhi (Ginger Juice), or add Ju Hong (Citrus Reticulata Peel) 4 fen. Do not lightly use Niu Huang (Calculus Bovis) or cold-natured herbs.
Women who were constitutionally weak before pregnancy, after one or two days postpartum, having taken three or four doses of Shenghua Tang (Decoction for Generating New Blood) with slight reduction in clot pain, can be stabilized by massage; it is suitable to use Shenghua Tang (Decoction for Generating New Blood) added with Ren Shen (Ginseng Root) 3 qian.
Postpartum, even in summer months, warmth must be maintained. If covered improperly and the abdomen becomes cool, wind-pathogen may enter through deficiency. Even if Shenghua Tang (Decoction for Generating New Blood) is taken, clot pain may not cease; it is suitable to add Rou Gui (Cinnamon Bark) 4 fen and Wu Ling Zhi (Trogopterus Dung) 1 qian.
For postpartum fainting due to labor and fatigue, after taking the first decoction of one dose of Shenghua Tang (Decoction for Generating New Blood), immediately prepare another dose adding Ren Shen (Ginseng Root) 1-2 qian; add Ren Shen (Ginseng Root) if sweating is profuse. If physical collapse has not occurred, use Lu Jiao Hui (Deer Horn Ash) 2 qian, taken with the base decoction. Yi Mu Wan (Motherwort Pill) is also acceptable. External treatment: finely crush fresh Chinese chives, place them in a porcelain bottle with a spout, pour in two bowls of boiling vinegar, seal the large mouth, and direct the small spout towards the parturient's nose to inhale the fumes; this gathers the spirit and restores consciousness.
Postpartum fever with sweating, cold limbs, or bloody discharge with shortness of breath, coma, and impending Qi collapse, constitutes a major deficiency syndrome requiring urgent strong tonification to save life. Use Jiashen Shenghua Tang (Ginseng-Added Decoction for Generating New Blood), administer rapidly for several doses, then substitute tea with Shengmai San (Generate Pulse Powder). Do not trust books such as *Chan Shi Bai Wen* (Hundred Questions of the Delivery Room) and *Fu Ren Liang Fang* (Good Prescriptions for Women).
If postpartum anorexia persists for a long time, with vomiting upon smelling medicine, use Dushen (Single Ginseng) 2-3 qian, or a little ginger, and a large pinch of white rice, decocted in water and taken orally to soothe Stomach Qi. If one allows the Stomach Qi to remain weak and unable to receive medication, the condition becomes critical.