产后起居太早，产门感风作痛，衣被难近身体，宜用祛风定痛汤。
川芎（一钱） 当归（三钱） 独活 防风 肉桂 荆芥（各五分，炒黑） 茯苓（一钱） 地黄（二钱）
枣二枚，煎服。
又附阴疳阴蚀。阴中疮曰 疮，或痛或痒，如虫行状，脓汁淋漓。阴蚀几尽者，由心肾烦郁，胃气虚弱，致气血流
滞。经云∶“诸疮痛痒皆属于心。”治当补心养肾，外以药熏洗，宜用十全阴疳散。
川芎 当归 白芍 地榆 甘草（各等分）
水五碗，煎二碗，去渣熏，日三夜四，先熏后洗。
一方，用蒲黄一升，水银二两，二味调匀搽。
一方，用虾蟆、兔粪等分为末，敷疮。
一方，治疳虫食下部及五脏。取东南桃枝，轻打头散，以绵缠之。
一方，用石硫黄末，将缚桃枝蘸而烟熏之（按此条宜与上条合看）。
一方，截一短竹筒，先纳阴中，以桃枝烧烟熏之。
歌括∶祛风定痛治阴痛，独活肉桂与川芎。
当归地黄炒荆芥，大枣防风白茯苓。
十全阴疳散 疮，先熏后洗外用方。
归芍川芎地榆草，日三夜四除痛痒。
即系裹儿污血，产时恶露随下，则腹不痛而产自安。若腹欠温暖，或伤冷物，以致恶露凝块，日久不散，则虚
症百出；或身热骨蒸，食少羸瘦；或五心烦热，月水不行，其块在两胁，动则雷鸣，嘈杂晕眩，发热似疟，时作时
止，如此数症，治者欲泄其邪，先补其虚，必用补中益气汤送三消丸，则元气不损，恶露可消。
加味补中益气汤
人参（一钱） 白术（二钱） 当归（三钱） 黄 （一钱，炙） 白芍（一钱） 广皮（四分） 甘草（四分）
姜、枣，煎服。
三消丸 治妇人死血食积痰三等症。
黄连（一两，一半用吴萸煎汁去渣浸炒，一半用益智仁炒，去益智仁不用） 川芎（五钱） 莱菔子（一两五钱，炒） 桃仁（十粒） 山栀 青皮 三棱 莪术（各五钱，俱用醋炒） 山楂（一两） 香附（一两，童便浸炒）
上为末，蒸饼为丸，食远服，用补中益气汤送下五、六十丸；或用白术三钱，陈皮五钱，水一钟，煎五分送下亦可。
眉批∶此方产后伤食，恶露不尽。若初产恶露不下，宜服生化汤加查炭三钱。每日一帖，连服四剂妙。
歌括∶恶露不行诸症生，食少羸瘦现骨蒸。
五心烦热月水断，块在两胁动则鸣。
加味补中益气汤，参 芍草归枣姜。
白术广皮送三消，恶露可除正不伤。
三消丸中黄连君，芎栀棱莪青桃仁。
山楂香附莱菔子，连服四剂恶露尽。
产后过早起身活动，产门感受风邪而疼痛，衣物被褥难以贴近身体，适宜使用祛风定痛汤。
川芎（一钱） 当归（三钱） 独活 防风 肉桂 荆芥（各五分，炒黑） 茯苓（一钱） 地黄（二钱）
大枣两枚，煎煮后服用。
另外附注阴疳（外阴溃烂生疮）和阴蚀（外阴腐蚀）。阴道内生疮称为“疮”，或痛或痒，感觉像虫子爬行一样，脓液淋漓不尽。若外阴腐蚀严重几近毁坏，是由于心肾烦闷郁结，胃气虚弱，导致气血运行停滞所致。《内经》说：“各种疮疡的痛痒都归属于心。”治疗应当补益心气、滋养肾精，外用药物熏洗，适宜使用十全阴疳散。
川芎 当归 白芍 地榆 甘草（各等分）
水五碗，煎至两碗，滤去药渣，先用药气熏蒸，每日三次夜间四次，先熏后洗。
另一方案，用蒲黄一升，水银二两，将这两味药调匀涂抹患处。
另一方案，用蟾蜍、兔粪等分为末，敷于疮口。
另一方案，治疗疳虫侵蚀下部及五脏。取东南方向的桃枝，轻轻敲打头部使其散开，用绵絮缠绕。
另一方案，用石硫黄粉末，将绑有桃枝的工具蘸取并燃烧烟熏患处（按：此条应与上一条结合观看）。
另一方案，截取一段短竹筒，先放入阴道内，用桃枝燃烧烟熏。
歌诀：祛风定痛治疗阴部疼痛，用独活、肉桂与川芎。
当归、地黄、炒荆芥，大枣、防风、白茯苓。
十全阴疳散治疗阴疮，先熏后洗的外用方。
归芍川芎地榆草，日三夜四消除痛痒。
如果是包裹婴儿时沾染污血，生产时恶露随之排出，则腹部不痛且生产平安。如果腹部不够温暖，或者吃了生冷食物，导致恶露凝结成块，日久不散，就会出现各种虚证；或者身体发热如骨蒸，饮食减少身体消瘦；或者五心烦热，月经停止，肿块在两胁部位，动则发出雷鸣声，嘈杂眩晕，发热似疟疾，时作时止。面对这些症状，医者想要泻除病邪，必须先补益正气，必须用补中益气汤送服三消丸，这样元气不损，恶露可消。
加味补中益气汤
人参（一钱） 白术（二钱） 当归（三钱） 黄芪（一钱，炙） 白芍（一钱） 广皮（四分） 甘草（四分）
生姜、大枣，煎煮后服用。
三消丸 治疗妇人死血（瘀血）、食积、痰饮三种病症。
黄连（一两，一半用吴茱萸煎汁去渣浸泡炒制，一半用益智仁炒制，去掉益智仁不用） 川芎（五钱） 莱菔子（一两五钱，炒） 桃仁（十粒） 山栀 青皮 三棱 莪术（各五钱，均用醋炒） 山楂（一两） 香附（一两，童便浸炒）
以上研为细末，用蒸饼做丸剂，饭后服用，用补中益气汤送下五六十丸；或者用白术三钱，陈皮五钱，水一杯，煎至五分量送服也可以。
眉批：此方适用于产后伤食、恶露不尽的情况。如果是初次生产恶露不下，适宜服用生化汤加干山楂炭三钱。每日一帖，连服四剂效果妙。
歌诀：恶露不行导致诸症发生，饮食少身体瘦现骨蒸。
五心烦热月经断绝，肿块在两胁动则鸣响。
加味补中益气汤，参、芍、草、归、枣、姜。
白术、广皮送服三消丸，恶露可除正气不伤。
三消丸中以黄连为君药，川芎、山栀、三棱、莪术、青皮、桃仁。
山楂、香附、莱菔子，连服四剂恶露排尽。
After childbirth, rising and moving too early causes the vaginal opening to be invaded by wind pathogen, resulting in pain where clothing and bedding cannot touch the body. It is advisable to use Qufeng Dongtong Decoction (Wind-Dispersing Pain-Calming Decoction).
Chuanxiong Rhizome (Qian), Danggui Radix (San Qian), Du Huo (Angelicae Pubescentis Radix), Fangfeng Radix Saposhnikoviae, Rougui Cortex Cinnamomi, Jingjie Fructus Schizonepetae (each Wu Fen, stir-fried until black), Fuling Poria, Dihuang Rehmanniae Radix Preparata (Liang Qian).
Two Jujubae Fructus (Da Zao), decocted and taken orally.
Additionally, it addresses Yingang (vulvar ulceration) and Yinshi (vulvar erosion). Sores within the vagina are called "chuang" (sores), presenting with pain or itching, feeling like insects crawling, with dripping purulent discharge. If vulvar erosion is severe and nearly destroys the tissue, it is caused by mental restlessness and depression of the Heart and Kidney, combined with weak Stomach Qi, leading to stagnation of Qi and Blood. The Classic states: "All sores and itching belong to the Heart." Treatment should tonify the Heart and nourish the Kidney, with external herbal fumigation and washing. It is advisable to use Shiquan Yingan San (Ten-Ingredient Complete Vulvar Ulcer Powder).
Chuanxiong Rhizome, Danggui Radix, Baishao Radix Paeoniae Alba, Diyu Sanguisorbae Radix, Gancao Glycyrrhizae Radix et Rhizoma (equal parts).
Five bowls of water, decocted to two bowls. Remove dregs for fumigation. Apply three times daily and four times at night; fumigate first, then wash.
Another prescription uses Pulvis Pteridis Mollis (Puhuang) one sheng, and Hydrargyrum (Shuiyin) two liang. Mix these two ingredients evenly and apply topically.
Another prescription uses Bufo (Toad) and Leporis Faeces (Tufen) ground into powder in equal parts, applied to the sores.
Another prescription treats gan worms eating the lower part and five zang organs. Take peach branches from the southeast, gently beat the head to disperse it, and wrap it with cotton.
Another prescription uses Pulvis Sulphuris Rubrum (Shiliuhuang). Bind the peach branch, dip it in the powder, and smoke the area (Note: This item should be read together with the previous one).
Another prescription involves cutting a short bamboo tube, inserting it into the vagina first, and smoking with burning peach branches.
Rhyme Prescription: Qufeng Dongtong treats vulvar pain, using Du Huo, Rougui, and Chuanxiong.
Danggui, Dihuang, stir-fried Jingjie, Da Zao, Fangfeng, and Fuling.
Shiquan Yingan San treats vulvar sores, an external formula for fumigating first and washing later.
Danggui, Baishao, Chuanxiong, Diyu, and Gancao eliminate pain and itching day and night.
If this is due to dirty blood wrapped around the infant, and lochia flows down during delivery, the abdomen will not hurt and delivery will be safe. If the abdomen lacks warmth, or if cold food is ingested, causing lochia to coagulate into clumps that do not dissipate over time, various deficiency syndromes will emerge; such as fever resembling bone-steaming, reduced appetite and emaciation; or heat in the five centers (palms, soles, and chest), amenorrhea, masses in the hypochondrium that make rumbling sounds when moved, epigastric discomfort, dizziness, and fever resembling malaria, coming and going intermittently. For such symptoms, if the physician wishes to drain the pathogen, they must first tonify the deficiency. One must use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) to deliver Sanxiao Wan (Three-Reduction Pill), so that Yuan Qi (Original Qi) is not damaged and lochia can be eliminated.
Modified Buzhong Yiqi Decoction
Renshen Ginseng Radix et Rhizoma (Qian), Baizhu Atractodis Rhizoma (Er Qian), Danggui Radix (San Qian), Huangqi Astragali Radix (Qian, honey-fried), Baishao Radix Paeoniae Alba (Qian), Guangpi Pericarpium Citri Reticulatae (Si Fen), Gancao Glycyrrhizae Radix et Rhizoma (Si Fen).
Jiang (Ginger) and Da Zao (Jujube), decocted and taken orally.
Sanxiao Wan treats three conditions in women: dead blood (blood stasis), food retention, and phlegm.
Huanglian Coptidis Rhizoma (Liang Liang, half soaked in Wuzhuyu Evodiae Fructus decoction residue and stir-fried, half stir-fried with Yizhiren Alpiniae Oxyphyllae Fructus, removing Yizhiren), Chuanxiong Rhizome (Wu Qian), Laifuzi Raphani Semen (Liang Qian Wu Qian, stir-fried), Taoren Prunus Persica Seed (Ten grains), Zhizi Gardeniae Fructus, Qingpi Pericarpium Citri Reticulatae Viride, Sanleng Sparganii Rhizoma, Ezhu Curcumae Rhizoma (each Wu Qian, all vinegar-fried), Shanzhao Crataegi Fructus (Liang Liang), Xiangfu Cyperi Rhizoma (Liang Liang, soaked in child's urine and stir-fried).
Grind the above into powder, form pills with steamed wheat cake dough. Take after meals, delivered with Buzhong Yiqi Tang (50-60 pills); or alternatively, use Baizhu (San Qian), Chenpi (Wu Qian), one cup of water, decocted to a small amount for delivery.
Marginal Note: This formula is for postpartum food injury and incomplete lochia discharge. If lochia does not flow immediately after initial delivery, it is advisable to take Shenghua Tang (Generate the New Decoction) plus Shan Zha Tan (Charred Hawthorn) three qian. One dose daily, taken for four doses for excellent results.
Rhyme Prescription: Failure of lochia discharge generates various symptoms, reduced food intake, emaciation, and bone-steaming appear.
Heat in five centers, menstruation stops, masses in hypochondrium make sounds when moved.
Modified Buzhong Yiqi Decoction, with Renshen, Baishao, Gancao, Danggui, Da Zao, Jiang.
Baizhu and Guangpi deliver Sanxiao Wan, eliminating lochia without harming Zheng Qi (Upright Qi).
In Sanxiao Wan, Huanglian is the Sovereign herb, along with Chuanxiong, Zhizi, Sanleng, Ezhu, Qingpi, and Taoren.
Shanzhao, Xiangfu, and Laifuzi, taking continuously for four doses ensures lochia is completely discharged.