立斋曰∶妇人气血方盛，乳房作胀，或无儿饮，痛胀寒热，用麦芽二三两炒熟，水
煎服，中正消取。其消散精华，以绝乳之源也。麦芽耗散之力可见，故《本草》谓其能
消肾也，若郁怒肝火炽盛，为肿为痛者，自当疏肝散郁，兼以养血和血，则肝阳不强，
而肿自退。若郁结弥甚，血滞不舒，更由乳汁壅积，溃而成脓，则为乳痈矣。气血大
伤，尤宜重为滋补，少佐疏肝解毒，若专事情解，则溃者难脓，而脓者难长矣。
产后阴脱者，多由妇人生产用力太过，致阴下脱及阴下挺，逼迫肿痛，举重房劳，
皆能发作，清水续续，小便淋沥，宜内服升补，外以硫磺、乌贼骨、五味子为末掺之。
产门不闭，由元气素弱，胎前失于调养，以致血气不能收摄故也，十全大补汤。有初
产阴户肿胀，或 痛不闭，肝经虚热也，加味逍遥散。若肿不闭者，补中汤，加五味子。虽
甚肿热，切忌寒凉，产后诸证，总以气血大虚为主，况阴挺下脱，玉门不闭，皆由气虚血脱
乎！丹溪立斋医按，见症种种，而治疗无非参 归地，加以升提收涩耳。甚有子富肿大，二
日方入，损落一片，如猪肝，面色痿黄，潮热自汗，懒食困倦，用十全大补汤，三十剂而愈。
产后诸症，其源有三，曰血虚火动，曰败血妄行，曰饮食过伤。何以明之？气属阳
也，血属阴也，《经》曰∶阳虚生外寒，阴虚生内热，盖产后去血过多，血虚火动，而
为烦躁发热之类，一也。血犹水也，水之就下，性也。然搏而跃之，可使过颡，激而行
之。可使在山，非水之性也，势使之然也。产后虚火上升，败血一行，而为头晕腹痛之
类，二也。《经》云∶少火生气，壮火蚀气。东垣云∶火为元气之贼，势不两立，一胜则
一负。产后元气大伤，脾胃虚弱，且土位无母，难以蒸腐五谷。若饮食过伤，则为痞满
吐泻之类，三也。治之之法，血虚大动则补之。败血妄行则散之，饮食过伤，则助脾胃
以消之。丹溪曰∶凡产后气血亏极之际，调治一切诸症，皆以大补气血为主，虽有杂症，
以未治之。
产后调理煎方
治气血虚弱，腰背疼痛，虚热往来，咽干喉痛，将成蓐劳。
熟地（五钱，炒干） 麦冬（炒燥） 白
术（乳拌炒，各二钱） 白芍（一钱二分，酒炒） 茯苓（一钱五分） 杜仲（二钱，酒拌炒
黄） 续断（一钱五分） 明牛膝（二钱） 黑姜（六分） 如恶露不行，水煎温服。
生化汤
产后生新去瘀，神效。
当归（三钱） 川芎（一钱） 桃仁（十三粒） 黑姜（一钱） 炙甘草（八分） 水煎服。
夺命丹
治产后血入衣中，胀满冲心，久而不下。
附子（炮，去皮。脐） 牡丹皮 干漆（炒令烟尽，各一两） 为末，用酸醋一升，
入大黄末一两，熬膏和药丸，桐子大，温酒下五十丸。
一方
治产后生肠不收。用枳壳二两，煎汤温浸，良久即入。
一方
治妇人子宫不收。
荆芥（中） 霍香叶（中） 臭椿皮（上） 煎汤熏洗，子宫即入。
一方
胎衣不下，子死腹中。用朴硝二钱，热童便调饮，立下。
四味汤
疗才分娩，一切诸疾。
当归 玄胡索 血竭 没药（各五分） 一方加红花。为末，用热童便半钟调服。
当归血竭丸
治产后恶物不下，结聚成块，心胸痞闷，胁下坚痛。
当归（炒） 血竭 蓬术 芍药（各一钱）
一方有五灵脂。为末，醋糊丸，桐子大，每服五六十丸，温酒空心食前服。
瑞莲散
治产后恶血崩漏，状如泉水。
瑞莲（一百枚，烧灰存性） 棕榈（烧灰存性） 当归（各一两） 官桂（五钱） 槟榔（一枚
）鲤鱼鳞（炒） 川芎（各七钱五分） 为末，每服三钱，煨生姜酒调，如未血，更进
一服，如血崩，此药涩治，连进三服即止。
千金散（即十全大补汤料）
治产后虚劳不能食。
白术 茯苓 黄 （各一两） 人参 川芎 熟地黄 芍药 当归（各一两） 肉桂（一两五
钱） 甘草（炒，五钱） 咀，每服一两，姜枣水煎，空心温服。
人参汤
治产后诸虚不足，发热盗汗。
归身 人参（各等分） 为末，用猪腰子一个，去膜，切作片子，以水三升，糯米半
合，葱白二茎，煮末熟，取清汁一钟，入药二钱，煎至八分服。
茯苓散
治产后蓐劳，因生产日浅，运动用力，四肢寒痛，寒热加疟。
茯苓（一两） 当归 川芎 桂心 白芍 黄 人参 熟地黄（各五钱） 水二钟，入
猪肾一双，去脂膜，细研，姜三片，枣二枚，同煎一钟，去肾、姜、枣，入没药五
分，煮取七分，去渣食，作二次温服。
参苏饮
治妇人产后血入于肺，面赤发喘几死者。
人参（一两，为末） 苏木（二两，捶碎） 水二碗，煎苏木一碗，去渣，调入参
末。随时加减服。
麻仁丸
治产后去血津枯，大便闭涩。
麻子仁（另研。上） 枳壳（麸炒、上） 人参（中） 为末，蜜丸，桐子
大，每服五十丸，温酒送下。
一方
治产后用力太过，阴门突出。用四物汤
煎熟。入龙骨末少许，空心连进二服，用麻油和汤熏洗即收。
猪蹄汤
治奶妇气力少衰，脉温不行，乳汁不通。
猪蹄（一只） 通草（五两） 上将猪蹄洗净，用水一斗，煮作羹，食之。
有一乳妇少，家中偶煮红豆，因吃豆及汤，当夜乳出如涌泉，后屡用皆效。
涌泉散
因气乳汁少。
瞿麦穗 麦门冬 王不留行 穿山甲（炮黄） 紫龙骨（等分） 为末，每服一钱，
热酒调下。先食猪蹄羹，后服药，以木梳梳乳上三十余下，日三服。谚曰∶穿山甲，王
不留，妇人吃了乳常流。
返魂丹
治生产诸证；并死胎恶而胎衣不下，横生逆产。产前清热养血，产后推陈致新，并效。
野大麻（一名益母草，四五月开紫花时采花。叶子，阴干，半斤） 赤芍药（六钱） 当
归（七钱） 木香（五钱） 为末，蜜丸弹子大，或童便酒，或薄荷汤，或米饮，或桂枝汤，
或枣汤，或秦艽汤，随侯酌汤，化下一丸。
当归羊肉汤
治产后发热自汗，肢体疼痛，名曰蓐劳。
黄 （一两） 人参 当归（七钱） 生姜（五钱） 肥羊肉（一斤） 煮汁去肉，入前药煎服。
如恶露不尽，加桂，辛热，自能行血也。
趁痛散
治产后血滞，筋脉拘挛，腰背强直，遍身疼痛。
黄 当归（酒浸） 官桂（不见火） 白术 独活 生姜（五钱） 川牛膝（酒浸，
五钱） 甘草（炙，三钱） 薤白（三钱五分）
咀，每服四钱，水煎服。加桑寄生半两，尤佳。川牛膝，须择粗肥长润明黄色者佳。
北方以黑色者为川牛膝，黄色者为怀牛膝误也。《纲目》注云∶黑者为雌牛膝，坚脆
无力，故南方从勿入药也。
冯楚瞻引用薛立斋的话说：妇女气血正旺盛时，乳房会感到胀痛，如果没有婴儿吸吮，会出现疼痛、胀满、发冷和发热等症状，此时可用炒熟的麦芽二三两，水煎服用，能中正地消除症状。麦芽具有消散精华的作用，从而断绝乳汁的来源。由此可见麦芽耗散之力很强，所以《本草》中说它能消肾气。如果是因郁怒导致肝火炽盛，引起乳房肿胀疼痛的，自然应当疏肝解郁，兼以养血和血，这样肝阳就不会过亢，肿胀自然会消退。如果郁结非常严重，血液停滞不畅，再加上乳汁壅积，溃烂而成脓，这就变成了乳痈（乳腺炎）。此时气血大伤，尤其应该着重滋补，稍加疏肝解毒的药物，如果专门使用攻伐泻下的药物，那么已经溃烂的就难以化脓，已经化脓的就难以生肌长肉了。
产后子宫脱垂者，多由妇女生产时用力过度，导致阴部下脱及阴道挺出，伴有逼迫感、肿痛，提重物或房事劳累，都能诱发此病，伴有清水不断流出，小便淋漓不尽，适宜内服升提补益的药物，外用硫磺、乌贼骨、五味子研成末撒敷患处。
产门不闭合，是由于元气素来虚弱，怀孕前缺乏调养，导致气血不能收摄所致，可用十全大补汤治疗。有的初产妇阴户肿胀，或者疼痛不闭合，这是肝经虚热引起的，可用加味逍遥散治疗。如果肿胀但不闭合的，用补中益气汤，加五味子。即使肿胀很厉害且有热象，也切忌使用寒凉药物，产后各种病症，总以气血大虚为主，何况阴挺下脱、玉门不闭，都是由于气虚血脱造成的！丹溪和立斋的医案显示，虽然症状种种不同，但治疗无非是用参、归、地等药，加以升提收涩的药物罢了。甚至有孕妇腹部肿大，过了两天胎儿才出生，胎盘脱落一片，像猪肝一样，面色萎黄，潮热自汗，食欲不振，困倦乏力，用十全大补汤，三十剂后痊愈。
产后各种病症，其根源有三条：一是血虚火动，二是败血妄行，三是饮食过伤。怎么说明呢？气属于阳，血属于阴，《内经》说：阳虚则生外寒，阴虚则生内热。大概因为产后失血过多，血虚导致火动，从而出现烦躁发热等症状，这是一点。血就像水一样，水往低处流是它的本性。但是拍打跳跃它，可以使它高过头顶；激荡引导它，可以使它流向山上，这并不是水的本性，而是形势迫使它这样的。产后虚火上升，败血妄行，从而出现头晕腹痛等症状，这是第二点。《内经》说：少火生气，壮火食气。李东垣说：火是元气的贼寇，两者势不两立，一方胜则另一方负。产后元气大伤，脾胃虚弱，且土位无母（指脾土失去肾水的滋养），难以蒸腐五谷。如果饮食过伤，就会出现痞满、呕吐腹泻等症状，这是第三点。治疗的方法：血虚大动则补益它；败血妄行则消散它；饮食过伤，则助益脾胃以消化它。朱丹溪说：凡是产后气血极度亏损的时候，调理治疗一切诸症，都以大补气血为主，虽然有杂症，暂且不治。
产后调理煎方：治疗气血虚弱，腰背疼痛，虚热往来，咽干喉痛，即将形成蓐劳（产后虚劳）。熟地黄（五钱，炒干）、麦冬（炒燥）、白术（乳拌炒，各二钱）、白芍（一钱二分，酒炒）、茯苓（一钱五分）、杜仲（二钱，酒拌炒黄）、续断（一钱五分）、明牛膝（二钱）、黑姜（六分）。如果恶露不行，水煎温服。
生化汤：产后生新去瘀，效果神奇。当归（三钱）、川芎（一钱）、桃仁（十三粒）、黑姜（一钱）、炙甘草（八分）。水煎服。
夺命丹：治疗产后血入衣中（指恶露滞留胞宫），胀满冲心，久而不下。附子（炮制，去皮脐）、牡丹皮、干漆（炒至烟尽，各一两）。研成末，用酸醋一升，加入大黄末一两，熬成膏调和药丸，如梧桐子大，温酒送服五十丸。
一方：治疗产后直肠脱出。用枳壳二两，煎汤温浸，良久即回纳。
一方：治疗妇人子宫不收。荆芥（中等用量）、藿香叶（中等用量）、臭椿皮（上等用量）。煎汤熏洗，子宫即可回纳。
一方：胎衣不下，子死腹中。用朴硝二钱，热童便调饮，立即落下。
四味汤：治疗刚分娩后的一切诸疾。当归、玄胡索、血竭、没药（各五分）。一方加红花。研成末，用热童便半钟调服。
当归血竭丸：治疗产后恶物不下，结聚成块，心胸痞闷，胁下坚痛。当归（炒）、血竭、蓬术、芍药（各一钱）。一方有五灵脂。研成末，醋糊为丸，如梧桐子大，每服五六十丸，温酒空腹食前服。
瑞莲散：治疗产后恶血崩漏，状如泉水。瑞莲（一百枚，烧灰存性）、棕榈（烧灰存性）、当归（各一两）、官桂（五钱）、槟榔（一枚）、鲤鱼鳞（炒）、川芎（各七钱五分）。研成末，每服三钱，煨生姜酒调服，如果未止住，再进一服，如果是血崩，此药有涩止作用，连进三服即可停止。
千金散（即十全大补汤料）：治疗产后虚劳不能食。白术、茯苓、黄芪（各一两）、人参、川芎、熟地黄、芍药、当归（各一两）、肉桂（一两五钱）、甘草（炒，五钱）。切碎，每服一两，姜枣水煎，空心温服。
人参汤：治疗产后诸虚不足，发热盗汗。归身、人参（各等分）。研成末，用猪腰子一个，去膜，切作片子，用水三升，糯米半合，葱白二茎，煮至熟透，取清汁一钟，加入药二钱，煎至八分服。
茯苓散：治疗产后蓐劳，因生产日浅，运动用力，四肢寒痛，寒热加疟。茯苓（一两）、当归、川芎、桂心、白芍、黄芪、人参、熟地黄（各五钱）。水二钟，加入猪肾一双，去脂膜，细研，姜三片，枣二枚，同煎一钟，去肾、姜、枣，加入没药五分，煮取七分，去渣食，分二次温服。
参苏饮：治疗妇人产后血入于肺，面赤发喘几死者。人参（一两，为末）、苏木（二两，捶碎）。水二碗，煎苏木一碗，去渣，调入参末。随时加减服。
麻仁丸：治疗产后去血津枯，大便闭涩。麻子仁（另研，上等）、枳壳（麸炒，上等）、人参（中等）。研成末，蜜丸，如梧桐子大，每服五十丸，温酒送下。
一方：治疗产后用力太过，阴门突出。用四物汤煎熟。加入龙骨末少许，空腹连进二服，用麻油和汤熏洗即收回。
猪蹄汤：治疗奶妇气力少衰，脉温不行，乳汁不通。猪蹄（一只）、通草（五两）。上将猪蹄洗净，用水一斗，煮作羹，食之。有一位乳母奶少，家中偶然煮红豆，因此吃了豆及汤，当夜乳汁涌出如泉，后来屡用皆效。
涌泉散：因气虚导致乳汁少。瞿麦穗、麦门冬、王不留行、穿山甲（炮黄）、紫龙骨（等分）。研成末，每服一钱，热酒调下。先吃猪蹄羹，后服药，用木梳梳乳上三十余下，日三服。谚语说：穿山甲，王不留，妇人吃了乳常流。
返魂丹：治疗生产诸证；并死胎恶露而胎衣不下，横生逆产。产前清热养血，产后推陈致新，均有效。野大麻（一名益母草，四五月开紫花时采花叶，阴干，半斤）、赤芍药（六钱）、当归（七钱）、木香（五钱）。研成末，蜜丸弹子大，或用童便酒，或薄荷汤，或米饮，或桂枝汤，或枣汤，或秦艽汤，随患者斟酌汤剂，化下一丸。
当归羊肉汤：治疗产后发热自汗，肢体疼痛，名曰蓐劳。黄芪（一两）、人参、当归（七钱）、生姜（五钱）、肥羊肉（一斤）。煮汁去肉，入前药煎服。如果恶露不尽，加桂，辛热，自能行血也。
趁痛散：治疗产后血滞，筋脉拘挛，腰背强直，遍身疼痛。黄芪、当归（酒浸）、官桂（不见火）、白术、独活、生姜（五钱）、川牛膝（酒浸，五钱）、甘草（炙，三钱）、薤白（三钱五分）。切碎，每服四钱，水煎服。加桑寄生半两，尤佳。川牛膝，须择粗肥长润明黄色者佳。北方以黑色者为川牛膝，黄色者为怀牛膝误也。《纲目》注云：黑者为雌牛膝，坚脆无力，故南方从勿入药也。
Xu Zhai (Xu Feng) stated: When a woman's Qi and Blood are abundant, her breasts may feel distended and painful. If the infant does not suckle, she may experience pain, distension, chills, and fever. In such cases, use two to three liang of stir-fried malt, decocted in water and taken orally, which can effectively alleviate these symptoms. Malt has the property of dissipating essence, thereby cutting off the source of milk production. This demonstrates its strong dissipating power; hence, the *Bencao* (Materia Medica) states that it can deplete Kidney Qi. However, if breast swelling and pain are caused by excessive Liver Fire due to depression and anger, one should naturally soothe the Liver, resolve stagnation, and simultaneously nourish and harmonize the Blood. This will prevent Liver Yang from becoming hyperactive, and the swelling will subside on its own. If the stagnation is severe, causing Blood stasis and discomfort, compounded by milk accumulation leading to suppuration, this becomes Ru Yong (Breast Abscess). At this stage, Qi and Blood are severely damaged, so heavy tonification is essential, with only a slight addition of herbs to soothe the Liver and resolve toxicity. If one exclusively uses purgative methods, the ulcerated tissue will fail to generate pus, and the pus-filled tissue will fail to heal.
Postpartum uterine prolapse often results from excessive exertion during childbirth, causing the vagina to protrude externally, accompanied by a sensation of pressure, swelling, and pain. Lifting heavy objects or sexual fatigue can also trigger this condition, along with continuous clear discharge and dribbling urination. Internal treatment should focus on lifting and tonifying, while external application should involve sulfur, cuttlefish bone, and Schisandra berry ground into powder and applied locally.
Failure of the vulva to close is due to inherent weakness of Yuan Qi and lack of proper care during pregnancy, resulting in an inability of Qi and Blood to consolidate. Shiquan Dabu Tang (Ten Ingredients Decoction for Great Tonification) is indicated. In some cases, primiparas may experience swelling of the vaginal opening or pain with incomplete closure, which is attributed to Deficient Heat in the Liver Meridian; Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) is appropriate. For swelling without closure, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with added Schisandra berry is used. Even if the swelling is severe and accompanied by heat, cold-natured herbs must be strictly avoided. Postpartum syndromes are fundamentally characterized by severe deficiency of Qi and Blood. How much more so for uterine prolapse and failure of the vulva to close, which are caused by Qi deficiency and Blood loss! Medical records from Danxi and Lizhai show that although symptoms vary, treatments invariably involve Ginseng, Angelica, and Rehmannia, combined with herbs that lift and astringe. There is even a case of a pregnant woman with abdominal distension who delivered after two days, with a piece of placenta resembling pig liver falling out. She presented with sallow complexion, tidal fever, spontaneous sweating, poor appetite, and fatigue. After thirty doses of Shiquan Dabu Tang, she recovered.
The origins of postpartum syndromes can be categorized into three types: 1. Blood deficiency with Fire agitation; 2. Rejected blood acting recklessly; 3. Dietary injury. How do we explain this? Qi belongs to Yang, and Blood belongs to Yin. The *Classic* states: "Yang deficiency generates external cold; Yin deficiency generates internal heat." Since postpartum hemorrhage leads to excessive blood loss, Blood deficiency causes Fire agitation, resulting in irritability and fever—this is the first point. Blood is like water; flowing downward is its nature. However, splashing it can make it leap over the forehead; channeling it vigorously can make it flow uphill. This is not the nature of water but the result of external force. Similarly, postpartum Deficient Fire rises, and rejected blood acts recklessly, causing dizziness and abdominal pain—this is the second point. The *Classic* says: "Lesser Fire generates Qi; Greater Fire consumes Qi." Li Dongyuan stated: "Fire is the thief of Yuan Qi; they cannot coexist. When one prevails, the other declines." Postpartum, Yuan Qi is severely damaged, and the Spleen and Stomach are weak. Without the Mother (Kidney Water) to nourish the Earth (Spleen), it is difficult to steam and rot the five grains. If dietary intake is excessive, it leads to epigastric fullness, vomiting, and diarrhea—this is the third point. The treatment principles are: tonify if Blood deficiency with agitation; disperse if rejected blood acts recklessly; assist the Spleen and Stomach to digest if dietary injury occurs. Zhu Danxi said: "At the time when postpartum Qi and Blood are extremely depleted, all treatments for various syndromes should primarily focus on greatly tonifying Qi and Blood. Even if there are mixed syndromes, treat them later."
**Postpartum Regulation Decoction**: Treats Qi and Blood deficiency, lower back pain, alternating deficient heat, dry throat, and sore throat, indicating impending Chulao (Postpartum Consumption). Prepared by decocting Shu Di Huang (Prepared Rehmannia Root, 5 qian, stir-fried dry), Mai Dong (Ophiopogon Tuber, stir-fried until dry), Bai Zhu (Atractylodes Rhizome, processed with milk and stir-fried, 2 qian each), Bai Shao (White Peony Root, 1.2 qian, wine-fried), Fu Ling (Poria, 1.5 qian), Du Zhong (Eucommia Bark, 2 qian, wine-mixed and stir-fried until yellow), Xu Duan (Dipsacus Root, 1.5 qian), Ming Niu Xi (Cyathula Root, 2 qian), and Hei Jiang (Black Ginger, 0.6 qian). If lochia does not flow, decoct in water and take warm.
**Shenghua Tang (Generate the New Decoction)**: Generates new blood and removes stasis postpartum; highly effective. Composed of Dang Gui (Angelica Sinensis Root, 3 qian), Chuan Xiong (Ligusticum Rhizome, 1 qian), Tao Ren (Peach Seed, 13 grains), Hei Jiang (Black Ginger, 1 qian), and Zhi Gan Cao (Honey-fried Licorice Root, 0.8 qian). Decoct in water and take.
**Duoming Dan (Life-Restoring Pill)**: Treats retained blood in the uterus causing chest oppression and heart distress, persisting for a long time. Composed of Fu Zi (Prepared Aconite Child Root, peeled and navels removed), Mu Dan Pi (Moutan Cortex, 1 liang each). Grind into powder. Mix with one sheng of sour vinegar and one liang of Da Huang (Rhubarb Root) powder, boil into a paste, and form pills the size of tung seeds. Take 50 pills with warm wine.
**Another Prescription**: Treats rectal prolapse postpartum. Soak 2 liang of Zhi Ke (Bitter Orange Fruit) in decocted water and apply warm compresses; the prolapse will reduce after a while.
**Another Prescription**: Treats uterine inversion/prolapse. Use Jing Jie (Schizonepeta Spike), Huo Xiang Ye (Patchouli Leaf), and Chou Chun Pi (Toona Bark) in equal parts. Decoct and fumigate/wash the area; the uterus will return to position.
**Another Prescription**: For retained placenta and fetal death in utero. Take 2 qian of Xiao Ming Jian (Mirabilite) mixed with hot child urine; the placenta will pass immediately.
**Siwei Tang (Four-Ingredient Decoction)**: Treats all ailments immediately after delivery. Composed of Dang Gui (Angelica Sinensis Root), Yan Hu Suo (Corydalis Rhizome), Xue Jie (Dragon's Blood), and Mo Yao (Myrrh, 0.5 fen each). Some add Hong Hua (Carthamus Flower). Grind into powder, mix with half zhong of hot child urine, and take.
**Danggui Xuejie Wan (Angelica and Dragon's Blood Pill)**: Treats retained lochia forming masses, chest stuffiness, and hard pain in the hypochondrium. Composed of Dang Gui (Angelica Sinensis Root, stir-fried), Xue Jie (Dragon's Blood), Peng Ze (Curcuma Zedoaria), and Shao Yao (Peony Root, 1 qian each). Some include Wu Ling Zhi (Trogopterus Feces). Grind into powder, bind with vinegar paste, and form pills the size of tung seeds. Take 50-60 pills with warm wine before meals on an empty stomach.
**Ruilian San (Lotus Powder)**: Treats postpartum metrorrhagia resembling a spring gush. Composed of Rui Lian (Lotus Calyx, 100 pieces, charred but retaining properties), Zong Lu Tan (Areca Palm Husk Charcoal), Dang Gui (Angelica Sinensis Root, 1 liang each), Guan Gui (Cassia Twig, 5 qian), Bing Lang (Areca Nut, 1 piece), Li Yu Lin (Carp Scales, stir-fried), and Chuan Xiong (Ligusticum Rhizome, 0.75 qian each). Grind into powder. Take 3 qian per dose, mixed with ginger-warmed wine. If bleeding persists, take another dose. For severe hemorrhage, this astringent formula stops bleeding after three consecutive doses.
**Qianjin San (Thousand Gold Powder)**: Equivalent to the ingredients of Shiquan Dabu Tang. Treats postpartum consumption with inability to eat. Composed of Bai Zhu (Atractylodes Rhizome), Fu Ling (Poria), Huang Qi (Astragalus Root, 1 liang each), Ren Shen (Ginseng Root), Chuan Xiong (Ligusticum Rhizome), Shu Di Huang (Prepared Rehmannia Root), Shao Yao (Peony Root), Dang Gui (Angelica Sinensis Root, 1 liang each), Rou Gui (Cinnamon Bark, 1.5 liang), and Gan Cao (Licorice Root, stir-fried, 5 qian). Cut into small pieces. Take 1 liang per dose, decocted with ginger and jujube, and take warm on an empty stomach.
**Renshen Tang (Ginseng Decoction)**: Treats general postpartum deficiency, fever, and night sweats. Composed of Dang Gui Shen (Angelica Root Neck) and Ren Shen (Ginseng Root) in equal proportions. Grind into powder. Take one pig kidney, remove the membrane, slice it, and boil with three sheng of water, half he of glutinous rice, and two stalks of scallion white until cooked. Strain to obtain one zhong of clear juice. Add 2 qian of the powder, decoct until eight-tenths remain, and take.
**Fuling San (Poria Powder)**: Treats postpartum Chulao (Consumption) due to early exertion after childbirth, causing cold pain in limbs, alternating chills and fever, and malaria-like symptoms. Composed of Fu Ling (Poria, 1 liang), Dang Gui (Angelica Sinensis Root), Chuan Xiong (Ligusticum Rhizome), Gui Xin (Cinnamon Heart), Bai Shao (White Peony Root), Huang Qi (Astragalus Root), Ren Shen (Ginseng Root), and Shu Di Huang (Prepared Rehmannia Root, 5 qian each). Add two pig kidneys (devoid of fat membrane, finely ground), three slices of ginger, and two jujubes to two zhong of water. Decoct until one zhong remains. Remove kidneys, ginger, and jujubes. Add 0.5 fen of Mo Yao (Myrrh). Boil until seven-tenths remain. Strain and consume, divided into two warm doses.
**Renshen Suyin (Ginseng and Tamari Indica Decoction)**: Treats postpartum blood entering the lungs, causing facial flushing, panting, and near-death state. Composed of Ren Shen (Ginseng Root, 1 liang, powdered) and Su Mu (Sappan Wood, 2 liang, crushed). Decoct two bowls of water with Sappan Wood until one bowl remains. Strain and mix in the Ginseng powder. Adjust dosage as needed.
**Maren Wan (Hemp Seed Pill)**: Treats constipation due to blood loss and fluid depletion postpartum. Composed of Ma Zi Ren (Hemp Seed, separately ground, superior grade), Zhi Ke (Bitter Orange Fruit, bran-stir-fried, superior grade), and Ren Shen (Ginseng Root, medium grade). Grind into powder, bind with honey, and form pills the size of tung seeds. Take 50 pills with warm wine.
**Another Prescription**: Treats vaginal prolapse due to excessive exertion postpartum. Decoct Siwu Tang (Four-Substance Decoction). Add a small amount of Long Gu (Fossilized Bone Powder). Take two doses consecutively on an empty stomach. Fumigate and wash with sesame oil-infused water to reduce the prolapse.
**Zhuti Tang (Pig Trotter Decoction)**: Treats lactating women with weak energy, sluggish pulse, and blocked milk secretion. Composed of one pig trotter and 5 liang of Tong Cao (Tetrapanax Pith). Wash the trotter thoroughly, boil in ten dou of water until it becomes a soup/congee, and eat. One nursing mother with low milk supply accidentally ate red bean soup at home; that night, her milk flowed like a spring. This method proved effective repeatedly.
**Yongquan San (Surging Spring Powder)**: Treats scanty milk due to Qi deficiency. Composed of Qu Mai Sui (Persicaria Spikes), Men Dong (Ophiopogon Tuber), Wang Bu Liu Xing (Vaccaria Seeds), Shan Jia Chuan (Pangolin Scales, fried until yellow), and Zi Long Gu (Purple Fossilized Bone) in equal parts. Grind into powder. Take 1 qian per dose with hot wine. Eat pig trotter soup first, then take the medicine. Comb the breasts over thirty times with a wooden comb. Take three times daily. As the saying goes: "Pangolin scales and Vaccaria seeds, once eaten by women, ensure constant milk flow."
**Fanhun Dan (Soul-Returning Pill)**: Treats various childbirth syndromes, including retained dead fetus, foul lochia, retained placenta, breech presentation, and malposition. Clears heat and nourishes blood prenatally; promotes elimination of old and generation of new postnatally. Effective for all. Composed of Ye Da Ma (Wild Hemp/Leonurus Herb, also known as Yi Mu Cao, flowers and leaves harvested in April-May when purple flowers bloom, dried in shade, 0.5 jin), Chi Shao Yao (Red Peony Root, 6 qian), Dang Gui (Angelica Sinensis Root, 7 qian), and Mu Xiang (Aucklandia Root, 5 qian). Grind into powder, bind with honey, and form pills the size of a bullet. Dissolve one pill in child urine with wine, mint tea, rice water, Guizhi Tang (Cinnamon Twig Decoction), jujube tea, or Qin Jiao Tang (Gentiana Macrophylla Decoction), according to the patient's preference.
**Danggui Yangrou Tang (Angelica and Mutton Decoction)**: Treats postpartum fever, spontaneous sweating, and limb pain, known as Chulao (Postpartum Consumption). Composed of Huang Qi (Astragalus Root, 1 liang), Ren Shen (Ginseng Root), Dang Gui (Angelica Sinensis Root, 7 qian), Sheng Jiang (Fresh Ginger, 5 qian), and fatty mutton (1 jin). Boil the mutton to extract the juice, remove the meat, add the herbs, decoct, and take. If lochia is not cleared, add Rou Gui (Cinnamon Bark); its acrid and hot nature will promote blood circulation.
**Chentong San (Pain-Relieving Powder)**: Treats postpartum blood stasis, muscle spasms, rigidity of the lower back and neck, and generalized body pain. Composed of Huang Qi (Astragalus Root), Dang Gui (Angelica Sinensis Root, soaked in wine), Guan Gui (Cassia Twig, not exposed to direct fire), Bai Zhu (Atractylodes Rhizome), Du Huo (Angelica Pubescens Root), Sheng Jiang (Fresh Ginger, 5 qian), Chuan Niu Xi (Cyathula Root, soaked in wine, 5 qian), Zhi Gan Cao (Honey-fried Licorice Root, 3 qian), and Xie Bai (Allium Macrostemon Bulb, 3.5 qian). Cut into small pieces. Take 4 qian per dose, decocted in water. Adding Sang Ji Sheng (Taxillus Branches, 0.5 liang) is especially beneficial. For Chuan Niu Xi, select thick, plump, moist, bright yellow roots. It is a mistake to identify black roots as Chuan Niu Xi and yellow ones as Huai Niu Xi. The *Compendium of Materia Medica* notes: Black roots are female Cyathula, which are hard, brittle, and weak in efficacy, so southern practitioners generally exclude them from prescriptions.