产后儿枕不散，乃血瘕坚聚，按之攫手，日晡增剧，疼痛淋露不快，上攻心胸，困顿野狼
狈，宜服黑龙丹、当归汤、夺命丹治之。
治产后一切血疾垂死者。但灌药无有不效者，神验不可言。
当归 五灵脂 川芎 高良姜 干地黄(生者，各一两)
并细锉。入一椽头沙合内，赤石脂泥缝纸筋，盐泥固济，封合，炭火十斤 通红，去火
候冷，开取合子，看成黑糟，乃取出细研，入后药∶
百草霜(别研，五两） 硫黄 乳香（各钱半） 花乳石 琥珀（各一钱)
上为细末，米醋煮糊丸，如弹子大。每服一丸，炭火烧通红，生姜自然汁与无灰酒各一
合，小便半盏，研开顿服立效。
治产后败血不散，儿枕硬痛，或发或止；及新产乘虚，风寒内搏，恶露不快，脐腹坚胀。
当归(微炒) 鬼箭(取羽用) 红蓝花（各一两）
上为锉散。每服三钱，酒一大盏，煎七分，去滓，食前温服。
夺命丹 方见前第二论
产蓐最难调理，所以忌问男女，及不许见秽恶者，皆古人预防其妄念也。每见妇人以得
男则喜，得女则忧，忧喜太早，致心虚烦闷，多自此始。盖去血过多，血虚则阴虚，阴虚生
内热，内热曰烦，其证心胸烦满，吸吸短气，头痛闷乱，骨节疼痛，晡时辄甚，与大病后虚烦相类。
治产后烦闷不安。
人参 当归 麦门冬(去心) 干地黄 桂心（各一两） 芍药（二两）
上为锉散。每服四大钱，水二盏，先将粳米一合，淡竹叶十片，煎至一盏，去米、叶，
入药并枣三枚，煎七分，去滓，食前服。地黄宜用生干者，虚甚则用熟。
产后儿枕不散，乃血瘕坚聚，按之攫手，日晡增剧，疼痛淋露不快，上攻心胸，困顿野狼狈，宜服黑龙丹、当归汤、夺命丹治之。
产后儿枕（指产后瘀血凝结成的块状物）不消散，这是血瘕（腹部结块的病证）坚硬积聚所致，按压时感觉抓人，傍晚时分病情加重，疼痛淋漓不畅，向上冲攻心胸，使人困顿狼狈，适宜服用黑龙丹、当归汤、夺命丹来治疗。
治产后一切血疾垂死者。但灌药无有不效者，神验不可言。
当归 五灵脂 川芎 高良姜 干地黄(生者，各一两)
并细锉。入一椽头沙合内，赤石脂泥缝纸筋，盐泥固济，封合，炭火十斤 通红，去火 候冷，开取合子，看成黑糟，乃取出细研，入后药∶
百草霜(别研，五两） 硫黄 乳香（各钱半） 花乳石 琥珀（各一钱)
上为细末，米醋煮糊丸，如弹子大。每服一丸，炭火烧通红，生姜自然汁与无灰酒各一 合，小便半盏，研开顿服立效。
治疗产后各种血证濒临死亡的患者。只要灌药没有不有效的，神奇灵验无法用言语形容。
当归、五灵脂、川芎、高良姜、干地黄（生者，各一两），
一起细细切碎。放入一个椽头大小的砂盒内，用赤石脂泥填补缝隙并用纸筋加固，用盐泥密封坚固，封口，用十斤炭火烧至通红，去掉火源等待冷却，打开盒子，看里面变成黑糟状，然后取出细细研磨，加入以下药物：
百草霜（单独研磨，五两）、硫黄、乳香（各钱半）、花乳石、琥珀（各一钱）。
以上药物研成细末，用米醋煮糊制成丸药，大小如弹子。每次服用一丸，在炭火上烧至通红，配合生姜自然汁和无灰酒各一合，以及半盏小便，研磨开后一次性服用，立即见效。
治产后败血不散，儿枕硬痛，或发或止；及新产乘虚，风寒内搏，恶露不快，脐腹坚胀。
当归(微炒) 鬼箭(取羽用) 红蓝花（各一两）
上为锉散。每服三钱，酒一大盏，煎七分，去滓，食前温服。
夺命丹 方见前第二论
治疗产后败血（离经之血）不消散，儿枕硬痛，有时发作有时停止；以及新产之后趁身体虚弱，风寒内侵搏击，恶露排出不畅，脐腹部坚硬胀满。
当归（微炒）、鬼箭（取羽毛部分使用）、红蓝花（各一两），
以上药物切碎成散剂。每次服用三钱，用一大盏酒，煎至七分，去除药渣，饭前温服。
夺命丹 的方子见前面的第二篇论述。
产蓐最难调理，所以忌问男女，及不许见秽恶者，皆古人预防其妄念也。每见妇人以得 男则喜，得女则忧，忧喜太早，致心虚烦闷，多自此始。盖去血过多，血虚则阴虚，阴虚生 内热，内热曰烦，其证心胸烦满，吸吸短气，头痛闷乱，骨节疼痛，晡时辄甚，与大病后虚烦相类。
分娩后的调养是最难处理的，所以忌讳询问胎儿性别，也不许接触污秽不洁之物，这都是古人为防止产妇产生妄念而做的预防措施。经常见到妇人得到男孩就高兴，得到女孩就忧愁，过早地出现忧虑或喜悦，导致心气虚弱、烦闷，大多从此开始。因为失血过多，血虚则导致阴虚，阴虚产生内热，内热称为“烦”，其症状表现为心胸烦闷胀满，呼吸短促，头痛昏乱，骨节疼痛，傍晚时分往往加重，这与大病之后的虚烦症状相似。
治产后烦闷不安。
人参 当归 麦门冬(去心) 干地黄 桂心（各一两） 芍药（二两）
上为锉散。每服四大钱，水二盏，先将粳米一合，淡竹叶十片，煎至一盏，去米、叶， 入药并枣三枚，煎七分，去滓，食前服。地黄宜用生干者，虚甚则用熟。
治疗产后烦闷不安。
人参、当归、麦门冬（去心）、干地黄、桂心（各一两）、芍药（二两），
以上药物切碎成散剂。每次服用四大钱，用水二盏，先将粳米一合、淡竹叶十片，煎至一盏，去除米粒和竹叶，加入药物和三枚大枣，煎至七分，去除药渣，饭前服用。地黄适宜用生干地黄，如果虚损严重则用熟地黄。
Postpartum "Erzhen" (a mass formed by retained blood clots after childbirth) fails to dissipate, which is due to the hard accumulation of Xuejia (abdominal masses). It feels grasping upon palpation, worsens in the late afternoon (Dibang), and presents with lingering pain and discomfort. The pathogenic factor attacks upward to the chest and heart, causing extreme exhaustion and distress. It is appropriate to administer Heilong Dan (Black Dragon Pill), Danggui Tang (Angelica Decoction), and Duoming Dan (Life-Rescuing Pill) for treatment.
To treat postpartum blood disorders nearing death. Administering this medicine is invariably effective; its miraculous efficacy cannot be described in words.
Danggui (Radix Angelicae Sinensis), Wulingzhi (Trogopteri Dung), Chuanxiong (Rhizoma Chuanxiong), Gaoliangjiang (Rhizoma Alpiniae Officinarum), Gan Dihuang (Radix Rehmanniae Preparata - use raw form, each 1 liang).
Finely chop all ingredients. Place them in a sand box the size of a roof tile. Seal the seams with Chishizhi mud (Halloysitum Rubrum) reinforced with paper fibers, and secure tightly with salt mud. Seal the lid, and roast over ten jin of charcoal until red hot. Remove from fire, allow to cool, open the box, and observe that the contents have turned into black dregs. Take out and grind finely, then add the following herbs:
Baicaoshuang (Soot from Kitchen Chimney, separately ground, 5 liang), Liuhuang (Sulfur), Ruxiang (Resina Frankincense, each 1 qian half), Huarushi (Lapis Lazuli), Hupo (Amber, each 1 qian).
Grind all into a fine powder. Use rice vinegar to make a paste and form pills the size of a bullet. Take one pill per dose. Roast the pill in charcoal until red hot, then crush it with fresh ginger juice and unadulterated wine (each 1 he) and half a cup of urine. Mix well and take at once for immediate effect.
To treat postpartum failure of defeated blood (retained lochia) to dissipate, hardness and pain of Erzhen, which may come and go; as well as cases where new mothers, taking advantage of deficiency, suffer from internal invasion of wind-cold, leading to sluggish lochia and hard, distended umbilical and abdominal regions.
Danggui (Radix Angelicae Sinensis, slightly stir-fried), Guijian (Ramulus Corni, use the feather-like parts), Honglanhua (Flos Carthami Tinctorii, each 1 liang).
Chop into coarse powder. Take 3 qian per dose, decoct in one large cup of wine until reduced to 70%, remove dregs, and take warm before meals.
Duoming Dan (Life-Rescuing Pill): See the formula in the previous second discussion.
Postpartum care is the most difficult to regulate. Therefore, it is taboo to ask about the baby's gender, and contact with filth is prohibited. These are ancient precautions against delusional thoughts. It is often seen that women rejoice if they bear a boy but worry if they bear a girl. Such premature joy or sorrow leads to heart deficiency and vexation, often starting here. Since excessive blood loss occurs, blood deficiency leads to yin deficiency. Yin deficiency generates internal heat. This internal heat is called "Fan" (vexation). Its symptoms include fullness and vexation in the chest and heart, shortness of breath, headache and confusion, bone and joint pain, worsening in the late afternoon, resembling the deficiency vexation seen after severe illness.
To treat postpartum vexation and restlessness.
Renshen (Radix Ginseng), Danggui (Radix Angelicae Sinensis), Maimendong (Radix Ophiopogonis, remove the heart), Gan Dihuang (Radix Rehmanniae Preparata), Guixin (Cortex Cinnamomi), Shaoyao (Radix Paeoniae Alba, each 1 liang); Shaoyao (2 liang).
Chop into coarse powder. Take 4 da qian per dose. Add two cups of water, first decoct one he of Jingmi (Oryza Sativa Glutinosa) and ten leaves of Danzhuye (Herba Lophatheri) until reduced to one cup. Remove rice and leaves, add the herbal powder and three jujubes. Decoct until reduced to 70%, remove dregs, and take before meals. Gan Dihuang should preferably be used in its raw dried form; if deficiency is severe, use prepared (cooked) Rehmannia.