恶露不下，由产后脏腑劳伤，气血虚损，或胞络挟于宿冷，或当风取凉，风冷乘虚而搏于血，壅滞不宣，积蓄在内，
故不下也。宜温暖活血，则血自行。更有服燥血枯不能宣滞者，惟为温补气血自通也，不可攻之，反增别病。
产后恶露不绝，由产时伤其经血虚损不足，不能收敛；或恶血不尽则好血难安；或阴虚内热，热搏血分；或挟于宿
冷致气血不调，并宜脉候参详。虚极者，但温补生新而瘀自化；虚不甚者，则为去瘀生新可也。
产后恶露不绝，若肝气热，不能生血，六味丸；若肝气虚，不能藏血，逍遥散；若脾气虚，不能摄血，六君子汤；
胃气下陷，不能统血，补中汤；若脾经郁热，血不归源，加味归脾汤；若肝经怒火，荣血妄行，加味四物汤；若气血两
虚，十全大补汤；若肝经风邪，其血沸腾，一味防风丸；若淫欲怒气，有伤冲任，血久不止者，六味地黄汤加阿胶、麦
冬、五味子。
头者，诸阳之会也。产后五脏皆虚，胃气亏弱，饮食不充，而虚阳失守，上凑于头，阳实阴虚，则令头痛。间有败
血头痛者，总浊气在上也。虽有身热、恶寒之候，只宜生化汤加减，慎不可用羌独等药。盖此由真阳亏损，浊阴得以犯
上，陷入髓海，为胀为痛，是非清阳升复，则浊阴不降，在里内起之邪为病，非若外入之邪可表而愈也。
恶露不下，是由于产后脏腑受到劳损伤害，气血虚弱亏损，或者胞络夹杂有宿存的寒气，又或者在产后吹风受凉，风冷之邪乘虚侵入并与血液搏结，导致血液壅滞不通，积蓄在体内，所以恶露不能下行。适宜采用温暖血脉、活血通经的方法，血液自然能够运行通畅。更有因为服用燥血药物导致血液枯涸、无法宣通瘀滞的情况，只能采用温补气血的方法，气血充足自然通畅，不可使用攻下之法，否则反而会增加其他疾病。
产后恶露不绝，是由于分娩时损伤了经血，导致虚损不足，无法收敛；或者是恶露排不干净，导致新血难以安宁；或者是阴虚产生内热，热邪搏结于血分；或者是夹杂宿存寒气导致气血不调，这些情况都需要结合脉象详细诊察。如果虚损极其严重，只需采用温补生新的方法，瘀血自然化解；如果虚损不严重，则可以采用去除瘀血、促进新血生成的方法。
产后恶露不绝，如果是肝气有热，不能正常化生血液，用六味丸；如果是肝气虚弱，不能藏摄血液，用逍遥散；如果是脾气虚弱，不能统摄血液，用六君子汤；如果是胃气下陷，不能统领血液，用补中益气汤；如果是脾经郁结发热，血液不能归源，用加味归脾汤；如果是肝经怒火旺盛，营血妄行，用加味四物汤；如果是气血两虚，用十全大补汤；如果是肝经受风邪侵袭，血液沸腾，用一味防风丸；如果是房事过度或愤怒伤及冲任二脉，导致出血长久不止，用六味地黄汤加入阿胶、麦冬、五味子。
头部是诸阳经汇聚的地方。产后五脏都处于虚弱状态，胃气亏弱，饮食营养供给不足，导致虚阳失去固守，向上冲逆至头部，造成阳实阴虚的状况，从而引起头痛。间或有因败血（瘀血）引起的头痛，总归是浊气停留在上部的原因。即使出现身体发热、怕冷的症状，也只适宜用生化汤加减治疗，千万不可使用羌活、独活等发散药。这是因为真阳亏损，浊阴之气得以侵犯上部，陷入髓海，导致胀满疼痛，这不是清阳之气升发恢复，浊阴之气就不能下降，这是由体内产生的邪气致病，不像外感入侵的邪气可以通过发汗解表而痊愈。
Lochia retention is caused by damage to the Zang-Fu organs from postpartum overexertion, leading to deficiency and depletion of Qi and Blood. It may also result from cold pathogens lingering in the uterine collaterals, or from exposure to wind and cold after childbirth, where wind-cold invades the deficiency and clashes with the blood, causing stagnation and obstruction. The blood accumulates internally and thus fails to discharge. Treatment should focus on warming the channels and promoting blood circulation, allowing the blood to flow freely. In cases where dryness-inducing herbs have been taken, leading to dried-up blood and inability to resolve stagnation, only warming and tonifying Qi and Blood will restore free flow; purgative methods must be avoided as they may induce other diseases.
Postpartum lochia non-stop is caused by injury to the meridians and blood during delivery, resulting in deficiency and insufficiency that prevents consolidation. Alternatively, if lochia is not fully expelled, new blood cannot settle securely. It may also stem from Yin deficiency generating internal heat, which clashes with the blood level, or from lingering cold causing disharmony of Qi and Blood. These conditions require detailed examination of pulse patterns. In cases of extreme deficiency, warming and tonifying to generate new tissue will naturally resolve stasis; in cases of mild deficiency, removing stasis to generate new tissue is appropriate.
For postpartum lochia non-stop: If Liver Qi is hot and fails to generate blood, use Liuwei Wan (Six-Ingredient Pill with Rehmannia); if Liver Qi is deficient and fails to store blood, use Xiaoyao San (Free and Easy Wanderer Powder); if Spleen Qi is deficient and fails to control blood, use Liujunzi Tang (Six-Gentlemen Decoction); if Stomach Qi sinks and fails to command blood, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction); if Spleen channel depression generates heat and blood fails to return to its source, use Jiawei Guipi Tang (Modified Heart-Spleen Tonic Decoction); if Liver channel fire anger causes Nutritive blood to run recklessly, use Jiawei Siwu Tang (Modified Four-Substance Decoction); if both Qi and Blood are deficient, use Shiquan Dabu Tang (Ten-Accordance Great Tonifying Decoction); if Liver channel wind pathogen causes blood to boil, use Yiwu Fangfeng Wan (Single Herb Saposhnikovia Pill); if excessive sexual activity or anger injures the Chong and Ren vessels, causing prolonged bleeding, use Liuhuang Dihuang Tang (Six-Ingredient Rehmannia Pill) added with Ejiao (Donkey-Hide Gelatin), Maidong (Ophiopogon Root), and Wuweizi (Schisandra Berry).
The head is the convergence point of all Yang meridians. After childbirth, the Five Zang organs are all deficient, Stomach Qi is weak, and dietary nourishment is insufficient, causing deficient Yang to lose its anchor and rush upward to the head. This results in an excess of Yang and deficiency of Yin, leading to headache. Occasionally, headaches are caused by retained blood (stasis), which is essentially turbid Qi residing in the upper body. Even if symptoms such as fever and aversion to cold appear, only Shenghua Tang (Generate the New Decoction) with modifications should be used; one must strictly avoid using Qianghuo (Notopterygium Rhizome) and Duhuo (Angelica Pubescens). This condition arises from the loss of True Yang, allowing Turbid Yin to invade the upper regions and sink into the Marrow Sea, causing distension and pain. Without the restoration of Clear Yang ascending, Turbid Yin cannot descend. This is a disease caused by internal pathogens, unlike external pathogens which can be resolved through diaphoresis.