产后恶露不绝，大抵因产时，劳伤经脉所致也。其症，若肝气不和，不能藏血者，宜用
逍遥散。若脾气虚弱，不能统血者，宜用归脾汤。若气血两虚，经络亏损者，宜用八珍汤。
若瘀血停积，阻碍新血，不得归经者，其症腹痛拒按，宜用归芎汤，送下失笑丸，先去其瘀
逍遥散（见类中。
归脾汤 八珍汤（俱见虚证。
（又名佛手散
当归 川芎（等分
上每服五钱，水煎，热酒冲服。
失笑丸（见胞衣不下。
产后心腹诸痛，若非风冷客之，饮食停之，则为瘀血凝积。然产后中气虚寒，多致暴痛
宜各审其因而药之。大法，风寒者，口鼻气冷，停食者，吞酸满闷，俱用二香散主之。瘀
血者，转侧若刀锥之刺，手不可按，痛不可移，失笑丸主之。中气虚寒者，腹中冷痛，按之
稍止，热物熨之，稍松，理中汤加桂心主之。若小腹痛，气自脐下逆冲而上，忽聚忽散者，
此瘕气也，橘核丸主之。若小腹痛处有块，不可手按，此瘀血壅滞，名曰儿枕痛，并用前失
笑丸，瘀血行而痛止矣。
散寒、消食。
砂仁 木香 黑姜 陈皮 炙甘草（各一两） 香附（三两，姜汁炒）
共为末，每服二钱，生姜汤调下。
失笑丸（见胞衣不下。
理中汤（见中寒。
橘核丸（见杂症小腹痛。
产后恶露淋漓不尽，大多是因为分娩时劳损伤及经脉所致。其症状表现，如果是肝气不和，不能正常藏血的情况，适宜使用逍遥散。如果是脾气虚弱，不能统摄血液的情况，适宜使用归脾汤。如果是气血两虚，经络亏损的情况，适宜使用八珍汤。如果是瘀血停滞积聚，阻碍新血生成，导致血液无法回归正常脉道的情况，其症状表现为腹部疼痛且拒绝按压，适宜使用归芎汤，并送服失笑丸，先祛除瘀血。
（注：逍遥散见“类中”章节；归脾汤、八珍汤俱见“虚证”章节。）
归芎汤（又名佛手散）
药材组成：当归、川芎（各等分）。
用法：每次服用五钱，用水煎煮，用热酒冲服。
（注：失笑丸见“胞衣不下”章节。）
产后心腹部的各种疼痛，如果不是风冷邪气侵袭，就是饮食停滞所致，那么就是瘀血凝积。然而产后中气虚寒，多导致突然发生的剧烈疼痛。应当分别审查病因然后用药治疗。一般法则：属于风寒的，口鼻呼出的气息寒冷；属于停食的，有吞酸、胸脘满闷的症状，都使用二香散为主进行治疗。属于瘀血的，身体转动时感觉像刀锥刺入一样，手不可触碰，疼痛位置固定不移，使用失笑丸为主治疗。属于中气虚寒的，腹部冷痛，用手按压后疼痛稍止，用热物熨烫后稍感舒缓，使用理中汤加桂心为主治疗。如果是小腹痛，气从脐下逆冲而上，忽聚忽散，这是瘕气（一种气滞形成的包块），使用橘核丸为主治疗。如果小腹痛处有肿块，手不可按压，这是瘀血壅滞，名叫儿枕痛，均使用前文提到的失笑丸，瘀血运行通畅则疼痛停止。
（二香散功效：散寒、消食。）
药材组成：砂仁、木香、黑姜、陈皮、炙甘草（各一两）；香附（三两，用姜汁炒制）。
用法：共研为细末，每次服用二钱，用生姜汤调服。
（注：失笑丸见“胞衣不下”章节；理中汤见“中寒”章节；橘核丸见“杂症小腹痛”章节。）
Postpartum lochia that fails to cease is generally caused by the injury of meridians and vessels due to exertion during childbirth. Regarding its symptoms: if it is due to disharmony of Liver Qi, resulting in the inability of the Liver to store blood, Xiaoyao San (Free and Easy Wanderer Powder) is appropriate. If it is due to deficiency and weakness of Spleen Qi, resulting in the inability of the Spleen to control blood, Guipi Tang (Restore the Spleen Decoction) is appropriate. If it is due to dual deficiency of Qi and Blood, with depletion of meridians and vessels, Bazhen Tang (Eight Treasure Decoction) is appropriate. If it is due to stagnation and accumulation of Stasis Blood, obstructing the generation of new blood and preventing it from returning to the vessels, presenting with abdominal pain that refuses pressure, Guixiong Tang (Angelica and Ligusticum Decoction) should be used, administered together with Shixiao Wan (Pain-Dispel Pill), to first eliminate the stasis.
(Note: Xiaoyao San is found in the chapter on "Stroke-like Syndromes"; Guipi Tang and Bazhen Tang are both found in the chapter on "Deficiency Syndromes".)
Guixiong Tang (also known as Foshou San / Buddha's Hand Powder)
Ingredients: Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma) in equal proportions.
Administration: Take 5 qian per dose, decoct with water, and take with hot wine.
(Note: Shixiao Wan is found in the chapter on "Retained Placenta".)
Various pains in the heart and abdomen after childbirth, if not caused by invasion of Wind-Cold or stagnation of food, are due to coagulation and accumulation of Stasis Blood. However, postpartum deficiency-cold of the Middle Qi often leads to sudden severe pain. One must examine the cause individually and medicate accordingly. The general principles are: for Wind-Cold, there is cold breath from the mouth and nose; for food stagnation, there is acid regurgitation and chest/epigastric fullness and oppression; both are treated primarily with Erxiang San (Two Fragrances Powder). For Stasis Blood, turning the body feels like being pierced by a knife or awl, the area cannot be touched, and the pain is fixed and immovable; this is treated primarily with Shixiao Wan (Pain-Dispel Pill). For deficiency-cold of the Middle Qi, there is cold pain in the abdomen, which subsides slightly upon pressure and feels relieved by warming compresses; this is treated primarily with Lizhong Tang (Regulate the Middle Decoction) added with Guixin (Cinnamomi Cortex). If there is pain in the lower abdomen, with Qi rushing upward from below the umbilicus, gathering and dispersing suddenly, this is Zha Qi (a type of Qi stagnation forming a mass), treated primarily with Juzhe Wan (Tangerine Seed Pill). If there is a palpable mass in the painful area of the lower abdomen that cannot be pressed, this is Stasis Blood obstruction, named Erzhen Tong (Placental Pillow Pain); both cases are treated with the aforementioned Shixiao Wan (Pain-Dispel Pill), and once the Stasis Blood moves, the pain stops.
(Erxiang San functions: Disperses Cold, eliminates Food stagnation.)
Ingredients: Sharen (Amomi Fructus), Muxiang (Aucklandiae Radix), Heijiang (Zingiberis Rhizoma Carbonis), Chenpi (Citri Reticulatae Pericarpium), Zhigancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle) each 1 liang; Xiangfu (Cyperi Rhizoma) 3 liang, stir-fried with Ginger Juice.
Administration: Grind into fine powder, take 2 qian per dose, mixed with Ginger Decoction.
(Note: Shixiao Wan is found in the chapter on "Retained Placenta"; Lizhong Tang is found in the chapter on "Middle Cold"; Juzhe Wan is found in the chapter on "Miscellaneous Diseases: Lower Abdominal Pain".)