治胎衣不下，腹中胀急，此药腐化而下，缓则不救。
牛膝 川芎 蒲黄（微炒） 丹皮（各二两） 当归（一两五钱） 桂心（四钱
共为末。每服五钱，水煎服。
产后将护之法有四∶一曰倚坐。妇人产毕，须闭目稍坐，上床以被褥靠之，暑月，以凳
靠之，若自己把持不住，则用老练女人靠之，不可遽然倒睡。常以手从心 至脐下，俾瘀露
下行。房内宜烧漆器，及醋炭，以防血晕。如或昏晕不醒，更宜用此二法。二曰择食。凡产
后，宜专食白粥，数日后，以石首鱼纤少，洗淡食之。至半月后，可食鸡子，亦须打开煮之
方能养胃。盈月之后，再食羊肉、猪蹄少许。酒虽活血，然气性 悍，亦不宜多。如
此则产中无病，产后更加健旺矣。三曰避风、养神、慎言。凡新产，须避风寒，不宜梳头，
洗面，更忌濯足，惟恐招风受湿，疾病随起，又不宜独宿，恐受虚惊，惊则神气散乱，变症
百出。初生之际，不必问是男是女，恐因言语而泄气，或以爱憎而动气。寻常亦不可多言，
恐中气馁弱，皆能致病。慎之戒之。四曰服药。初产毕，古方用热童便少许饮之，此物一
时难以猝办，稍冷恐致呕恶，或用生化汤服之亦佳。然产后每多心慌自汗之症，予因制归姜
饮投之，殊觉妥适。加减如法，能救产后垂危之厄。凡产后用药，不宜轻投凉剂，又不宜过
于辛热。产后气血空虚，用凉剂恐生脏寒；然桂、附、干姜，气味辛热，若脏腑无寒，何处
消受，理应和平调治，方为合法。如或有偏寒偏热之症，又须活法治之，不可胶执也。
治疗胎衣不下，腹部胀满急迫，此药能使其腐化排出，若拖延则无法挽救。
牛膝、川芎、蒲黄（微炒）、丹皮（各二两）、当归（一两五钱）、桂心（四钱）
共研为末。每次服用五钱，用水煎服。
产后护理的方法有四种：一是倚坐。妇女分娩完毕后，须闭目稍坐，上床时用被褥支撑背部，夏季用凳子支撑，如果自己无法保持姿势，则请经验丰富的老妇人扶持，不可突然倒卧睡觉。常以手从心窝推至脐下，促使恶露下行。房内宜烧漆器，以及醋炭，以防血晕。如果出现昏晕不醒，更应使用这两种方法。二是选择饮食。凡是产后，适宜专门食用白粥，数日后，吃少许石首鱼丝，洗净淡食。到半个月后，可以吃鸡蛋，也必须打开煮才能养胃。满月之后，再少量食用羊肉、猪蹄。酒虽然能活血，但其气性猛烈，也不宜多饮。如此则产中无病，产后更加健康强壮。三是避风、养神、慎言。凡是新近生产，必须避开风寒，不宜梳头、洗脸，更忌洗脚，唯恐招风受湿，疾病随之而起，又不宜独宿，恐怕受到虚惊，惊则神气散乱，变症百出。刚出生时，不必问是男是女，恐怕因言语而泄气，或因爱憎而动气。平时也不可多言，恐怕中气馁弱，都能致病。谨慎戒除。四是服药。初产完毕，古方用少许热童便饮用，此物一时难以准备，稍冷恐怕导致呕吐恶心，或用生化汤服用也很好。然而产后常常出现心慌自汗的症状，我因此配制归姜饮投与之，觉得非常妥适。加减用法得当，能救治产后垂危的厄难。凡产后用药，不宜轻易投用凉剂，又不宜过于辛热。产后气血空虚，用凉剂恐怕产生脏寒；然而桂枝、附子、干姜，气味辛热，如果脏腑没有寒证，哪里能承受得住，理应和平调治，才是合法。如果或有偏寒偏热的症状，又须灵活法治之，不可固执拘泥。
To treat retained placenta with abdominal distension and urgency, this medicine causes it to decompose and pass; if delayed, rescue is impossible.
*Huai Niu Xi* (Radix Achyranthis Bidentatae), *Chuan Xiong* (Rhizoma Chuanxiong), *Pu Huang* (Pollen Typhae, lightly stir-fried) (each 2 liang), *Dan Pi* (Cortex Moutan) (1 liang 5 qian), *Gui Xin* (Cortex Cinnamomi) (4 qian).
All are ground into powder. Take 5 qian each time, decocted in water and taken orally.
There are four methods for postpartum care: First, leaning posture. After delivery, the woman should close her eyes and sit for a while, supported by bedding on the bed; in summer, use a stool for support. If she cannot maintain the position herself, have an experienced older woman support her; do not lie down suddenly. Frequently push the hand from the heart region down to below the umbilicus to facilitate the downward flow of lochia. It is advisable to burn lacquerware and charcoal soaked in vinegar in the room to prevent blood syncope. If fainting or coma occurs, these two methods should be used even more diligently. Second, dietary selection. For postpartum women, white rice porridge is suitable initially. After several days, consume a small amount of shredded hairtail fish, well-washed and eaten blandly. After half a month, eggs can be consumed, but they must be cracked and boiled to nourish the stomach. After one full month, small amounts of mutton and pig trotters may be added. Although wine promotes blood circulation, its nature is fierce, so it should not be consumed in excess. Following these guidelines ensures no illness during childbirth and improved health postpartum. Third, avoiding wind, nurturing the spirit, and speaking sparingly. New mothers must avoid wind and cold, refrain from combing hair, washing the face, and especially washing feet, lest wind and dampness invade and cause disease. They should not sleep alone to avoid fright; fright scatters the spirit and qi, leading to various complications. At the moment of birth, there is no need to ask whether the baby is male or female, as speech may leak qi, and emotions like love or hate may disturb qi. Generally, excessive talking should be avoided, as it may weaken middle qi and cause disease. Be cautious and vigilant. Fourth, medication. Immediately after delivery, ancient formulas recommend drinking a small amount of hot urine from a healthy boy. Since this is difficult to obtain quickly, and cold urine may induce vomiting, taking *Shenghua Tang* (Decoction for Generating Blood) is also excellent. However, postpartum women often suffer from palpitations and spontaneous sweating. Therefore, I formulated *Gui Jiang Yin* (Decoction of Angelica and Ginger) for them, which proves very appropriate. With proper modifications, it can save critical postpartum conditions. Medication for postpartum women should not involve cool/cold agents lightly, nor should it be excessively pungent and hot. Postpartum qi and blood are deficient; using cool/cold agents may cause cold in the zang organs. Conversely, *Gui Zhi* (Ramulus Cinnamomi), *Fu Zi* (Radix Aconiti Lateralis Preparata), and *Gan Jiang* (Rhizoma Zingiberis Preparatum) are pungent and hot; if the zang-fu organs are not cold, how could they tolerate such potency? Peaceful regulation is the correct approach. If there are symptoms of extreme cold or heat, flexible treatment is required; one must not be rigid or dogmatic.