妇人有产后水道中出肉线一条，长二、三尺，动之则疼痛欲绝，人以为胞胎之下坠也，谁知是带脉之虚脱乎！
夫带脉束于任督之间，任脉前而督脉后，二脉有力，则带脉坚牢；二脉无力，则带脉崩坠。产后亡血过多，无血以
养任督，而带脉崩坠，力难升举，故随溺而随下也。带脉下垂，每每作痛于腰脐之间，况下坠者而出于产门之外，
其失于关键也更甚，安得不疼痛欲绝乎！
方用两收汤。
人参（一两） 白术（二两，土炒） 川芎（三钱，酒洗） 九蒸熟地（二两） 山药（一两，炒） 山萸（四钱，
蒸） 芡实（五钱，炒） 扁豆（五钱，炒） 巴戟（三钱，盐水浸） 杜仲（五钱，炒黑） 白果（十枚，捣碎）
水煎服。一剂而收半，二剂而全收矣。此方补任督而仍补腰脐者，盖以任督连于腰脐也。补任督而不补腰脐，
则任督无助，而带脉何以升举？惟两补之，则任督得腰脐之助，带脉亦得任督之力而收矣。
眉批∶此方凡肾虚、腰痛、遗尿皆可治，甚勿轻忽。
歌括∶产后水道出肉线，动之疼痛更增添。
此乃带脉虚脱故，任督无力不能还。
两收参术和山药，熟地芡实扁豆炒。
杜仲山萸巴戟肉，川芎白果共煎熬。
妇人产后阴户中垂下一物，其形如帕，或有角、或二歧，人以为产颓也，谁知是肝痿之故乎！夫产后何以成肝
痿也？盖因产前劳役过伤，又触动怪怒，以致肝不藏血，血亡过多，故肝之脂膜随血崩坠，其形似子宫，而实非子
宫也。若是子宫之下坠，状如茄子，只到产门，而不能越出于产门之外。惟肝之脂膜往往出产门外者，至六、七寸
许，且有粘席干落一片，如手掌大者，如是子宫坠落，人立死矣，又安得而复生乎！治法宜大补其气与血，而少加
升提之品，则肝气旺而易生，肝血旺而易养，肝得生养之力，而脂膜自收。
方用收膜汤。
生黄 （一两） 人参（五钱） 白术（五钱，土炒） 当归（三钱，酒洗） 升麻（一钱） 白芍（五钱，酒炒
焦）
水煎服。一剂即收矣。或疑产后禁用白芍，恐伐生气之源，何以频用之而奏功也？是未读仲景之书者，嗟乎！白芍
之在产后不可频用者，恐其收敛乎瘀也；而谓伐生气之源，则误矣。况病之在肝者，尤不可以不用；且用之于大补气血
中，在芍药亦忘其为酸收矣，又何能少有作祟者乎！矧脂膜下坠，正借酸收之力，助升麻以提升气血，所以奏功之捷也。
眉批∶收肝膜全赖白芍之功，不可用炭。
歌括∶产后阴户一物生，其形如帕或角形。
肝之血膜随血堕，病名肝痿补气灵。
收膜汤中参 用，白术白芍当归同。
升麻提升量宜少，一剂即收奏奇功。
有一位妇女在产后，阴道中脱出一条肉线，长达二、三尺，触动它则疼痛难忍，几乎让人昏厥。人们都以为是胞胎下坠，哪里知道这是带脉虚损滑脱所致呢！
带脉环绕约束于任脉和督脉之间，任脉在前而督脉在后，这两条经脉有力，带脉就会坚固牢靠；如果这两条经脉无力，带脉就会松弛崩坠。产后失血过多，没有血液来滋养任脉和督脉，导致带脉松弛崩坠，力量不足以升举，所以随着小便排出而下垂。带脉下垂，经常在腰脐部位产生疼痛，何况是向下坠出产门之外，这种关键部位的失守更加严重，怎么能不疼痛欲绝呢！
方剂使用两收汤。
人参（一两） 白术（二两，土炒） 川芎（三钱，酒洗） 九蒸熟地黄（二两） 山药（一两，炒） 山茱萸（四钱，蒸） 芡实（五钱，炒） 扁豆（五钱，炒） 巴戟天（三钱，盐水浸） 杜仲（五钱，炒黑） 白果（十枚，捣碎）
水煎服。服用一剂后症状收敛一半，服用两剂后完全收回。这个方子补益任脉和督脉的同时又补益腰脐，是因为任脉和督脉与腰脐相连。只补任督而不补腰脐，那么任督就缺乏辅助，带脉凭什么升举？只有同时补益两者，任督得到腰脐的辅助，带脉也能得到任督的力量而收敛。
眉批：此方凡是肾虚、腰痛、遗尿都可以治疗，千万不要轻视忽略。
歌诀：产后水道出肉线，触动时疼痛更增添。
这是因为带脉虚脱的缘故，任督无力不能回还。
两收汤中用人参、白术配合山药，熟地黄、芡实、扁豆炒制。
杜仲、山茱萸、巴戟天肉、川芎、白果共同煎熬。
有一位妇女产后阴户中垂下一物，形状像手帕，有的有角，或者分叉，人们以为是产颓（子宫脱垂），哪里知道这是肝痿的缘故呢！为什么产后会形成肝痿呢？大概因为产前劳役过度受伤，又触动愤怒情绪，导致肝脏不能藏血，血液流失过多，所以肝脏的脂膜随着血崩而下坠，其形状类似子宫，但实际上并非子宫。如果是子宫下坠，形状像茄子，只到产门，而不能越出产门之外。只有肝脏的脂膜往往出产门外，长达六七寸左右，甚至有粘在席子上干落一片，如手掌大小的，如果是子宫坠落，人立刻就会死亡，又怎么能复生呢！治疗方法应当大补气和血，并少量加入升提的药物，那么肝气旺盛就容易生长，肝血旺盛就容易滋养，肝脏得到生养的力量，脂膜自然收回。
方剂使用收膜汤。
生黄芪（一两） 人参（五钱） 白术（五钱，土炒） 当归（三钱，酒洗） 升麻（一钱） 白芍（五钱，酒炒焦）
水煎服。服用一剂即可收回。有人怀疑产后禁用白芍，担心它伐伤生气之源，为什么频繁使用却能奏效呢？这是没有读过张仲景书籍的人发出的感叹啊！白芍在产后不可频繁使用的理由，是担心它收敛瘀血；而说它伐伤生气之源，则是错误的。况且病位在肝脏的，尤其不可以不用；而且在大量补益气血的药中使用，白芍也就忘记了它的酸收特性了，又有什么能作祟的呢？何况脂膜下坠，正借助白芍酸收的力量，帮助升麻提升气血，所以见效迅速。
眉批：收摄肝膜全赖白芍的功效，不能用炭制品。
歌诀：产后阴户一物生，其形如帕或角形。
肝脏的血膜随血堕落，病名肝痿补气灵验。
收膜汤中用人参，白术、白芍、当归同用。
升麻提升用量宜少，一剂即收奏奇功。
A woman, after childbirth, had a fleshy cord protruding from the vaginal canal, two or three chi long. Touching it caused excruciating pain, nearly causing fainting. People assumed it was the prolapse of the placenta (Baotai), but who would know that this is actually due to the deficiency and collapse of the Dai Mai (Girdle Vessel)!
The Dai Mai binds between the Ren Mai (Conception Vessel) and Du Mai (Governor Vessel). The Ren Mai is anterior and the Du Mai is posterior. When these two vessels have strength, the Dai Mai becomes firm and secure; when they lack strength, the Dai Mai collapses and sags. After childbirth, excessive blood loss means there is no blood to nourish the Ren Mai and Du Mai, leading to the collapse of the Dai Mai. Its strength is insufficient to lift, so it descends along with urination. The sagging Dai Mai often causes pain in the waist and umbilical region. Moreover, since it descends out of the birth canal, the failure at the critical gate is even more severe, how can it not cause excruciating pain?
Prescribe Liang Shou Tang (Double Astringent Decoction).
Ren Shen (Ginseng Radix) - 1 liang
Bai Zhu (Atractylodis Rhizoma) - 2 liang, stir-fried with soil
Chuan Xiong (Ligusticum Chuanxiong Rhizome) - 3 qian, washed with wine
Jiu Zheng Shu Di Huang (Prepared Rehmanniae Radix, steamed nine times) - 2 liang
Shan Yao (Dioscoreae Rhizoma) - 1 liang, stir-fried
Shan Yu (Corni Fructus) - 4 qian, steamed
Qian Shi (Euryales Semen) - 5 qian, stir-fried
Bian Dou (Lablab Album Seed) - 5 qian, stir-fried
Ba Ji Tian (Morinda Officinalis Root) - 3 qian, soaked in salt water
Du Zhong (Eucommiae Cortex) - 5 qian, stir-fried until black
Bai Guo (Ginkgo Biloba Seed) - 10 pieces, crushed
Decoct in water and take orally. After one dose, half recovers; after two doses, full recovery occurs. This formula tonifies the Ren Mai and Du Mai while also tonifying the waist and umbilicus because the Ren Mai and Du Mai are connected to the waist and umbilicus. If only the Ren Mai and Du Mai are tonified without the waist and umbilicus, the Ren Mai and Du Mai will lack assistance, and how can the Dai Mai be lifted? Only by tonifying both can the Ren Mai and Du Mai receive help from the waist and umbilicus, allowing the Dai Mai to gain the strength of the Ren Mai and Du Mai to retract.
Commentary: This formula can treat Kidney Deficiency, lower back pain, and enuresis. Do not neglect it lightly.
Rhyme:
After childbirth, a fleshy line emerges from the water passage,
Touching it adds to the pain.
This is due to the deficiency and collapse of the Dai Mai,
The Ren Mai and Du Mai lack strength and cannot return.
Liang Shou Tang uses Ren Shen, Bai Zhu, and combined with Shan Yao,
Cooked Shu Di, Qian Shi, and Bian Dou.
Du Zhong, Shan Yu, Ba Ji Rou, Chuan Xiong, and Bai Guo are decocted together.
After childbirth, a mass hangs down from the vulva, shaped like a handkerchief, sometimes with corners or bifurcated. People assume it is uterine prolapse (Chan Tui), but who would know this is due to Liver Atrophy (Gan Wei)? Why does Liver Atrophy occur after childbirth? It is likely due to overexertion before childbirth, combined with emotional disturbance and anger, causing the Liver to fail to store blood. Excessive blood loss leads to the Liver's fatty membrane descending with the blood. Its shape resembles the uterus, but it is not the uterus. If the uterus were prolapsing, it would look like an eggplant and stop at the vaginal opening, unable to extend beyond it. However, the Liver's fatty membrane often extends outside the vaginal opening, reaching six or seven cun, and sometimes a piece dries and falls off, sticking to the mat, as large as a palm. If the uterus were truly prolapsed, the patient would die instantly, so how could she survive? The treatment method should heavily tonify Qi and Blood, with a small addition of lifting herbs. Then Liver Qi will flourish and grow easily, Liver Blood will flourish and nourish easily. With the power of growth and nourishment, the fatty membrane will naturally retract.
Prescribe Shou Mo Tang (Membrane Retaining Decoction).
Sheng Huang Qi (Astragali Radix) - 1 liang
Ren Shen (Ginseng Radix) - 5 qian
Bai Zhu (Atractylodis Rhizoma) - 5 qian, stir-fried with soil
Dang Gui (Angelicae Sinensis Radix) - 3 qian, washed with wine
Sheng Ma (Cimicifugae Rhizoma) - 1 qian
Bai Shao (Paeoniae Radix Alba) - 5 qian, stir-fried with wine until scorched
Decoct in water and take orally. One dose results in retraction. Some doubt the use of Bai Shao postpartum, fearing it damages the source of vital Qi. Why does frequent use achieve success? This is the sigh of those who have not read Zhang Zhongjing's works! The reason Bai Shao should not be used frequently postpartum is to avoid retaining blood stasis; claiming it damages the source of vital Qi is mistaken. Moreover, for diseases located in the Liver, it is especially indispensable. Furthermore, when used within a formula heavily tonifying Qi and Blood, Bai Shao forgets its sour-astringent nature, so what harm could it do? Besides, for the prolapse of the fatty membrane, the sour-astringent power of Bai Shao is precisely needed to assist Sheng Ma in lifting Qi and Blood, which explains the rapid efficacy.
Commentary: Retaining the Liver membrane relies entirely on the merit of Bai Shao; charcoal form should not be used.
Rhyme:
A mass grows in the vulva after childbirth,
Its shape is like a handkerchief or horn-shaped.
The Liver's blood membrane descends with the blood,
The disease name is Liver Atrophy; tonifying Qi is effective.
Shou Mo Tang uses Ren Shen,
Combined with Bai Zhu, Bai Shao, and Dang Gui.
Sheng Ma lifts, dosage should be small,
One dose achieves miraculous results.