产后霍乱，气血俱伤，脏腑虚损；或饮食不消，触冒风冷所致。阴阳不顺，清浊相干，气乱于肠胃之间，
真邪相搏，冷热不调，上吐下利，故曰霍乱也。经云∶渴而饮水者，五苓散；寒多不饮水者，理中丸；大段虚
冷厥逆者加附子来复丹亦妙。
白术散
治产后霍乱，吐利腹痛，烦渴，手足逆冷。
白术 橘红 麦冬（去心） 干姜 人参（各一钱） 甘草（五分）
水一盏，姜三片，煎服。
温中散
治产后霍乱、吐泻不止。
人参 白术 当归（各一钱） 草豆蔻仁 干姜（各八分） 浓朴（姜制，一钱二分）
水一盏，煎服。
若吐逆不受汤药，用伏龙肝研细末三钱，米汤调。徐徐咽下即受。
产后血崩，多因惊忧恚怒，脏气不平。或服断血药早，致恶血不消，郁满作坚，亦成崩中。薛立斋曰∶若
血滞小腹胀满，用失笑散，方见血晕；血少小腹虚痞，芎 汤；肝火血妄行，加味逍遥散；脾郁不能统血，加
味归脾汤；脾虚不摄血，补中益气汤；浓味积热，清胃散加槐花；风热相搏，四君子加防风，枳壳。一产妇血
崩，小腹胀疼，用顺气行血之剂，其崩如涌，四肢不收，恶寒、呕吐、大便频泻。余用六君加炮黑干姜四剂，
稍愈，又以十全大补三十余剂而痊。一产妇血崩，因怒血崩，其血如涌，仆地口噤、目斜、手足抽搐，此肝经
血耗生风，余用六味丸料一剂，诸证悉退，但食少晡热，佐以四君、柴胡、牡丹皮而愈。
芎 汤
芎 当归 白芍药（各等分）
上大剂，浓煎，空心服。
白芍药散
治产后崩中，淋沥不绝，黄瘦虚损。
白芍 牡蛎 干姜 熟地黄 桂心 黄 鹿角胶 乌贼骨 龙骨（各一两）
上为末，每服二钱，食前温酒下。
阿胶丸
治产后崩中，下血不止，虚羸无力。
阿胶 赤石脂（各一两半） 续断 川芎 当归 甘草 丹参（各一两） 龙骨 鹿茸（酥炙） 乌鱼骨
鳖甲（酥炙。各二两）
上为细末，炼蜜为丸，如梧子大，空心温酒下三十丸。
又方∶治产后血崩不止。
香附子（童便浸、炒赤，二两） 莲蓬壳（五枚，烧存性）
上为末，米饮调下二钱。
产后霍乱，是由于气血双重受损，脏腑功能虚弱；或者是饮食停滞不化，感受风寒邪气所致。阴阳之气不相顺接，清浊之气相互干扰，气机在肠胃之间紊乱，正气与邪气相互搏击，寒热失调，出现上吐下泻的症状，所以称为霍乱。医经中说：如果口渴想喝水的，用五苓散治疗；如果怕冷不想喝水的，用理中丸治疗；如果虚寒严重、四肢厥冷的，加用附子来复丹也非常有效。
白术散
治疗产后霍乱，呕吐腹泻伴有腹痛，心烦口渴，手足逆冷。
药材包括：白术、橘红、麦冬（去除心）、干姜、人参（各一钱），甘草（五分）。
用水一盏，生姜三片，煎煮后服用。
温中散
治疗产后霍乱、呕吐腹泻不止。
药材包括：人参、白术、当归（各一钱），草豆蔻仁、干姜（各八分），浓朴（用姜汁炮制，一钱二分）。
用水一盏，煎煮后服用。
如果出现呕吐剧烈无法接受汤药的情况，可用伏龙肝研成细末三钱，用米汤调服。慢慢咽下即可受纳。
产后血崩，多因惊恐、忧愁、愤怒导致脏气不平。或者过早服用止血断血药物，导致恶露（产后余血）未能消散，郁结胀满变硬，也形成崩中漏下。薛立斋说：如果血液瘀滞导致小腹胀满，使用失笑散，该方见载于“血晕”章节；如果血少导致小腹空虚痞闷，使用芎劳汤；如果是肝火旺盛导致血液妄行，使用加味逍遥散；如果是脾郁不能统摄血液，使用加味归脾汤；如果是脾虚不能固摄血液，使用补中益气汤；如果是辛辣厚味积热，使用清胃散加槐花；如果是风热相搏，使用四君子汤加防风、枳壳。有一位产妇发生血崩，小腹胀痛，使用了顺气行血的药剂，结果出血如涌泉般不止，四肢无力下垂，怕冷、呕吐、大便频繁腹泻。我用了六君子汤加炮黑干姜，服用四剂后稍有好转，又用十全大补汤三十多剂才痊愈。另一位产妇因发怒导致血崩，出血如涌，倒地口噤、眼睛斜视、手足抽搐，这是肝经血液耗损生风所致，我用六味地黄丸料服用一剂，各种症状全部消退，但仍有食少和午后发热，辅助使用四君子汤、柴胡、牡丹皮而痊愈。
芎劳汤
药材包括：芎劳、当归、白芍药（各等分）。
加大剂量，浓煎，空腹服用。
白芍药散
治疗产后崩中，淋漓不断，面色萎黄消瘦，身体虚弱。
药材包括：白芍、牡蛎、干姜、熟地黄、桂心、黄芪、鹿角胶、乌贼骨、龙骨（各一两）。
以上药材研为细末，每次服用二钱，饭前用温酒送服。
阿胶丸
治疗产后崩中，下血不止，身体虚弱瘦弱无力。
药材包括：阿胶、赤石脂（各一两半），续断、川芎、当归、甘草、丹参（各一两），龙骨、鹿茸（酥炙）、乌鱼骨、鳖甲（酥炙，各二两）。
以上药材研为细末，用炼蜜制成梧桐子大小的丸药，空腹时用温酒送服三十丸。
另一个方子：治疗产后血崩不止。
药材包括：香附子（用童子尿浸泡、炒至赤色，二两），莲蓬壳（五个，烧至存性）。
以上药材研为细末，用米饮调服二钱。
Postpartile cholera is caused by the dual injury of Qi and Blood, leading to deficiency and impairment of the Zang-Fu organs; or it results from undigested food and exposure to wind-cold pathogens. When Yin and Yang fail to harmonize, clear and turbid energies interfere with each other, causing Qi chaos between the intestines and stomach. The upright Qi and pathogenic factors contend, and cold and heat are unbalanced, resulting in vomiting above and diarrhea below; hence it is called cholera. The classics state: If there is thirst and desire for water, use Wuling San (Five-Ling Powder); if there is much cold and no desire for water, use Lizhong Wan (Regulate the Middle Pill); if there is severe deficiency-cold and cold extremities, adding Fuzi Laifu Dan (Aconite Reviving Pill) is also excellent.
Baizhu San (Atractylodes Macrocephala Powder)
Treats postpartum cholera with vomiting, diarrhea, abdominal pain, irritability, thirst, and cold extremities.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma), Juhong (Citri Reticulatae Pericarpium Rubrum), Maidong (Ophiopogonis Radix, heart removed), Ganjiang (Zingiberis Rhizoma Recens), Renshen (Ginseng Radix et Rhizoma) (each 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 qian).
Add one cup of water and three slices of fresh ginger, decoct and take orally.
Wenzhong San (Warm the Middle Powder)
Treats postpartum cholera with persistent vomiting and diarrhea.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Danggui (Angelicae Sinensis Radix) (each 1 qian), Caodoukou Ren (Cardamomi Fructus Seed), Ganjiang (Zingiberis Rhizoma Recens) (each 0.8 qian), Houpo (Magnoliae Officinalis Cortex, processed with ginger juice) (1.2 qian).
Add one cup of water, decoct and take orally.
If vomiting is severe and oral medication cannot be retained, use Fulonggan (Dragon's House Soil) ground into fine powder (3 qian), mixed with rice soup. Swallow slowly to ensure retention.
Postpartum metrorrhagia is mostly due to fright, worry, and anger causing disharmony of the Zang-Qi. Or, taking hemostatic drugs too early causes lochia (postpartum residual blood) to fail to dissipate, leading to stagnation, fullness, and hardening, thus forming metrorrhagia. Xue Lizhai stated: If blood stasis causes lower abdominal distension and fullness, use Shixiao San (Pain-Relieving Powder), see "Blood Syncope" chapter; if blood deficiency causes lower abdominal emptiness and痞 (feeling of obstruction), use Xiong Gui Tang (Ligusticum and Angelica Decoction); if Liver fire causes reckless bleeding, use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder); if Spleen depression fails to control blood, use Jiawei Guipi Tang (Modified Restore the Spleen Decoction); if Spleen deficiency fails to hold blood, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction); if rich flavors accumulate heat, use Qingwei San (Clear the Stomach Powder) plus Huaihua (Sophorae Flos); if wind and heat contend, use Sijunzi Tang (Four Gentlemen Decoction) plus Fangfeng (Saposhnikoviae Radix) and Zhike (Aurantii Fructus Immaturus). One parturient had metrorrhagia with lower abdominal distension and pain; after using Qi-regulating and blood-invigorating agents, the bleeding surged like a spring, limbs became flaccid, accompanied by aversion to cold, vomiting, and frequent diarrhea. I used Liujunzi Tang (Six Gentlemen Decoction) plus Paohei Ganjiang (Charred Ginger Rhizome) for four doses, showing slight improvement, then cured with Shiquan Dabu Tang (Ten Great Tonifying Decoction) for over thirty doses. Another parturient had metrorrhagia due to anger, with blood surging, collapsing with locked jaw, deviated eyes, and convulsions of hands and feet; this was wind generated from Liver channel blood depletion. I used Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) material for one dose, all symptoms receded, but with poor appetite and afternoon fever; assisted with Sijunzi Tang, Chaihu (Bupleuri Radix), and Mudanpi (Moutan Cortex) led to recovery.
Xiong Gui Tang (Ligusticum and Angelica Decoction)
Ingredients: Xiong Gui (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Baishao Yao (Paeoniae Radix Alba) (equal parts).
Use a large dose, decoct strongly, take on an empty stomach.
Baishao Yao San (White Peony Root Powder)
Treats postpartum metrorrhagia with continuous dripping, sallow emaciation, and deficiency.
Ingredients: Baishao (Paeoniae Radix Alba), Muli (Concha Ostreae), Ganjiang (Zingiberis Rhizoma Recens), Shudihuang (Rehmanniae Radix Preparata), Guixin (Cinnamomi Ramulus), Huangqi (Astragali Radix), Lu Jiao Jiao (Corpus Cervi Pantotrichum Preparatum), Wutiegǔ (Sepiae Endoconcha), Longgu (Os Draconis) (each 1 liang).
Grind into powder, take 2 qian per dose, swallow with warm wine before meals.
Ejiao Wan (Donkey-Hide Gelatin Pill)
Treats postpartum metrorrhagia with continuous bleeding, weakness, and emaciation.
Ingredients: Ejiao (Colla Corii Asini), Chishizhi (Halloysit Rubra) (each 1.5 liang), Xuduan (Dipsaci Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Danshen (Salviae Miltiorrhizae Radix et Rhizoma) (each 1 liang), Longgu (Os Draconis), Lurong (Cornu Cervi Pantotrichum, prepared with butter), Wuyu Gu (Cutula Sepiae), Biejia (Carapax et Plastrum Testudinis, prepared with butter) (each 2 liang).
Grind into fine powder, make pills with refined honey, size of wu zi (wu berry), take 30 pills with warm wine on an empty stomach.
Another prescription: Treats persistent postpartum metrorrhagia.
Ingredients: Xiangfu Zi (Cyperi Rhizoma, soaked in child's urine, stir-fried until red) (2 liang), Lianpeng Ke (Nelumbinis Nelumbo, five pieces, burnt to retain nature).
Grind into powder, take 2 qian mixed with rice drink.