产后遍身疼痛，良由生产时百节开张，血脉空虚，不能荣养，或败血乘虚而注于经络，
皆令作痛。大法，若遍身疼痛，手按更痛者，是瘀血凝滞也，用四物汤，加黑姜、桃仁、红
花、泽兰，补而化之；若按之而痛稍止，此血虚也，用四物汤，加黑姜、人参、白术，补而
养之。其或有兼风寒者，则发热恶寒，头痛鼻塞，口出火气，斯为外感，宜用古拜散，加当
归、川芎、秦艽、黑姜，以散之。散后痛未除，恐血虚也，宜用八珍汤以补之。此治身痛之
四物汤（见虚证。
治产后受风，筋脉引急，或发搐搦，或昏愦不省人事，或发热恶寒，头痛身痛
上为末。每服三钱，生姜汤调下。
又方∶加当归等分为末。治症如前，名清魂散。
八珍汤（见虚证。
书云∶腰以下，皆肾所主。因产时劳伤肾气，以致风冷客之，则腰痛。凡腰痛上连脊背
下连腿膝者，风也；若独自腰痛者，虚也。风用独活寄生汤；虚用八珍汤加杜仲、续断、
肉桂之属。若产后恶露不尽，流注腿股，痛如锥刺，手不可按，速用桃仁汤消化之，免作痈
肿。凡病，虚则补之，实则泻之，虚中有实，实中有虚，补泻之间，更宜斟酌焉。
独活寄生汤（见腰痛。
八珍汤（见虚证。
产后全身疼痛，大多是因为分娩时全身关节开张，血脉空虚，不能得到濡养；或者是败血（瘀血）乘虚侵入经络，都会导致疼痛。治疗的大法：如果是全身疼痛，用手按压后疼痛加剧的，这是瘀血凝滞所致，使用四物汤，加入黑姜、桃仁、红花、泽兰，通过补益来化瘀；如果是按压后疼痛稍微缓解的，这是血虚所致，使用四物汤，加入黑姜、人参、白术，通过补益来滋养。如果有兼夹风寒邪气的，就会出现发热恶寒、头痛鼻塞、口中呼出热气等症状，这属于外感，适宜使用古拜散，加入当归、川芎、秦艽、黑姜，以发散邪气。发散之后疼痛仍未消除，恐怕是血虚，适宜使用八珍汤进行补益。这是治疗身痛的四种情况。（注：原文此处括号内文字“此治身痛之 四物汤（见虚证。”似有脱漏或排版错误，结合上下文及后续内容，此处主要讲辨治思路，且下文另起一段讲受风，故此处翻译仅针对前文逻辑）。
治疗产后感受风邪，筋脉牵引拘急，或者发生抽搐，或者神志昏愦不省人事，或者发热恶寒、头痛身痛，将上述药物研成细末。每次服用三钱，用生姜汤调服。
另一个方子：将上述药物与当归等量混合研成细末。主治症状如前所述，名为清魂散。
八珍汤（参见虚证章节）。
医书说：腰部以下，都由肾所主管。因为分娩时劳损伤了肾气，导致风冷邪气客居体内，从而引起腰痛。凡是腰痛向上连及脊背、向下连及腿膝的，是风邪所致；如果只是单纯腰痛，没有牵连其他部位的，是肾虚所致。风邪引起的用独活寄生汤；肾虚引起的用八珍汤加杜仲、续断、肉桂等药物。如果产后恶露不尽，流注于大腿部位，疼痛像锥刺一样，手不能触碰，应迅速使用桃仁汤消化瘀血，以免形成痈肿。大凡疾病，虚证就补益它，实证就泻除它，虚中夹实或实中夹虚的情况，在补泻之间更应当仔细斟酌。
独活寄生汤（参见腰痛章节）。
八珍汤（参见虚证章节）。
Postpartum generalized body pain is mostly caused by the opening of all joints during childbirth, leading to empty blood vessels that cannot nourish the body, or by retained blood (stasis) taking advantage of the deficiency to invade the meridians, both resulting in pain. The general principle of treatment: If there is generalized body pain that worsens upon pressure, it indicates stasis of blood; use Siwu Tang (Four Substances Decoction) with added Heijiang (Charred Ginger), Taoren (Peach Kernel), Honghua (Safflower), and Zelan (Eupatorium), to tonify while resolving stasis. If the pain alleviates slightly upon pressure, it indicates blood deficiency; use Siwu Tang (Four Substances Decoction) with added Heijiang (Charred Ginger), Renshen (Ginseng), and Baizhu (Atractylodes Macrocephala Rhizome), to tonify and nourish. If accompanied by wind-cold pathogens, symptoms such as fever and aversion to cold, headache, nasal congestion, and hot breath will appear, indicating an external contraction; use Guyi San (Ancient Powder) with added Danggui (Angelica Sinensis), Chuanxiong (Ligusticum Chuanxiong Rhizome), Qinjiao (Gentiana Macrophylla Root), and Heijiang (Charred Ginger) to disperse the pathogen. If the pain persists after dispersion, it may be due to blood deficiency, and Bazhen Tang (Eight Treasures Decoction) should be used for tonification. This outlines the differentiation for treating body pain.
For postpartum wind invasion causing tendon and vessel traction and stiffness, convulsions, unconsciousness, or fever with aversion to cold, headache, and body pain, grind the aforementioned herbs into powder. Take three qian per dose, mixed with ginger decoction.
Another prescription: Mix the aforementioned herbs with Danggui (Angelica Sinensis) in equal parts and grind into powder. Indications are as above, named Qinghun San (Clear Soul Powder).
Bazhen Tang (Eight Treasures Decoction) (see Deficiency Syndrome section).
Medical texts state: The lower part of the waist is governed by the Kidney. Due to labor injuring Kidney Qi during childbirth, wind-cold pathogens may lodge there, causing lower back pain. Pain extending from the lower back up to the spine and down to the legs and knees indicates Wind; isolated lower back pain without radiation indicates Deficiency. For Wind, use Duhuo Jisheng Tang (Notopterygium and Sangjisheng Decoction); for Deficiency, use Bazhen Tang (Eight Treasures Decoction) supplemented with Duzhong (Eucommia Bark), Xuduan (Dipsacus Root), Rougui (Cinnamon Bark), etc. If lochia fails to clear and flows into the thighs, causing stabbing pain like needle pricks that cannot be touched, immediately use Taoren Tang (Peach Kernel Decoction) to resolve stasis, preventing the formation of abscesses. Generally, diseases are treated by tonifying deficiency and purging excess; when deficiency coexists with excess or vice versa, careful consideration must be given to the balance between tonification and purgation.
Duhuo Jisheng Tang (Notopterygium and Sangjisheng Decoction) (see Lower Back Pain section).
Bazhen Tang (Eight Treasures Decoction) (see Deficiency Syndrome section).
Taoren (Peach Kernel, fried and ground, 10 kernels) Danggui (Angelica Sinensis, 3 qian) Niuxi (Achyranthes Bidentata Root, 2 qian) Zelan (Eupatorium Fortunei Herb, 3 qian) Sumu (Calamus Wood, 1 qian). Decoct in water, take with hot wine on an empty stomach.