〔《大》〕产前乳汁自出者，谓之乳注，生子多不育。产后乳汁自出，盖是身虚，宜服补药以止之。
若乳多急痛而出者，温帛熨之，漏芦散亦可。
漏芦（二钱半） 蛇蜕（一条） 栝蒌（十个）
上为末，酒调二钱，无时。
〔丹〕一妇人三十余岁，生女二日后，产户一物如手帕下，有帕尖，约重一斤。予思之，此因胎前劳乏伤
气成肝痿所致，却喜血不甚虚，其时岁暮天寒，恐冷干坏了，急与炙黄 半钱，人参一钱，白术五分，当归一
钱半，升麻五分，三帖连服之，即收上。得汗通身，乃安。但下裔沾席处干者落一片，约五六两重，盖脂膜也。
食进得眠，诊其脉皆涩，左略弦，视其形却实。与白术、芍药各钱半，陈皮一钱，生姜一片，煎二三帖以养之。
一妇人产子后，阴户中下一物如合钵状，有二歧。其夫来求治。予思之，此子宫也，必气血弱而下坠。遂
用升麻、当归、黄 ，大料二帖与之。半日后其夫复来曰∶服二次后，觉响一声，视之已收阴户讫，但因经宿
干着席上，破一片如掌心大在席，其妻在家哭泣。恐肠破不可复生。予思之，此非肠胃，乃糟粕也，肌肉破尚
可复完，若气血充盛，必可生满。遂用四物汤加人参与一百帖，三年后复有子。
治子宫下，用黄 一钱半，人参一钱，当归七分，升麻三分，甘草二分，作一帖，水一钟，煎至三分，
去渣，食前服。却用五倍子末泡汤洗，又用末敷之。如此数次，宜多服药，永不下。
治阴脱，盖产努力太过，致阴脱，若脱肛状，及阴挺出，逼近肿痛。举重房劳，皆能发作。清水续续，
小便淋露。用硫黄、乌贼骨各半两，五味子一分，为末，敷患处，兼服参、 、归、草、升麻等补药。
治产后阴下脱。人屎，烧酒下方寸匕，日一。（《千金》、无择蝎皮散加鳖头，炙亦治。方见脱肛。）
〔《大》〕治产后阴肿下脱内出，玉门不闭。锻石一升，炒极热，汤二升投灰中，适温冷，澄清，坐水中，
以浸玉门，斯须平复如故。又方，以铁精粉上推内之，又灸脐下横纹二七壮。一法，用铁精、羊脂二味，
搅令稠，布裹炙热熨推内之。铁精是锻铁灶中飞出如尘，紫色而轻虚可以莹磨器皿者。又方，单炒蛇床子一
升，乘热以布裹煨患处，亦治产后阴户痛。
〔《子母》〕疗产后阴下脱。烧兔头末敷之。
〔东〕女人胞胎门落颓不收，常湿∶神关 玉泉（五十壮。） 身交（脐下指缝中，灸五十壮，三报。）
又法∶玉泉傍开三寸（灸，随年壮，三报。）女人阴门冷肿∶皈来（三十壮。）
〔《甲》〕妇人阴挺出，四肢淫泺，身闷，少海主之。（一作“照海”。）
【《产宝》】产前乳汁自行流出者，称为“乳注”，胎儿出生后大多难以存活。产后乳汁自行流出，这是由于身体虚弱所致，适宜服用补益药物来止住乳汁。
如果乳房胀满急痛而乳汁流出，可用温热的布巾熨烫患处，漏芦散也可以使用。
漏芦（二钱半） 蛇蜕（一条） 栝蒌（十个）
以上药物研为细末，用酒调服二钱，不拘时候服用。
【朱丹溪】有一位三十多岁的妇人，生下女儿两天后，产道脱出一物状如手帕下垂，有手帕的尖角，重量约一斤。我思考此症，是因为妊娠期间劳累乏力损伤了气机，导致肝痿（肝脏功能衰退、筋脉弛缓之证），幸好血液亏损不严重。当时正值岁末天寒，担心寒冷之气侵袭导致组织坏死，急忙给予炙黄芪半钱，人参一钱，白术五分，当归一钱半，升麻五分，连续服用三帖，脱出物即回纳。患者全身出汗，病情才安定下来。但下体接触床席处干燥脱落的一片，约重五六两，那是脂膜。之后患者饮食增加，能够安睡，诊其脉象皆涩，左侧略弦，观察其形体却显得充实。给予白术、芍药各一钱半，陈皮一钱，生姜一片，煎煮二三帖以调养身体。
另一位妇人生子后，阴户中脱出一物状如合钵，分为两歧。其丈夫前来求治。我思考此症，这是子宫脱出，必定是气血虚弱导致下坠。于是使用升麻、当归、黄芪，大剂量两帖给予她。半天后其丈夫再次前来说：“服用两次后，听到响声，查看发现已收回阴户内，但因为隔了一夜干粘在席子上，破了一片如掌心大小在席子上，妻子在家哭泣，担心肠子破裂无法再生。”我思考此症，这不是肠胃，而是糟粕（此处指脱出的脂膜或坏死组织），肌肉破损尚可修复，若气血充盛，必定可以生长填满。于是使用四物汤加入人参，共一百帖，三年后该妇人又生育了孩子。
治疗子宫下脱，使用黄芪一钱半，人参一钱，当归七分，升麻三分，甘草二分，作一帖，用水一钟，煎至三分之一，去渣，饭前服用。再用五倍子粉末泡汤清洗患处，并将粉末敷于患处。如此数次，宜多服药，可永不复发。
治疗阴挺（阴道壁膨出或子宫脱垂），多因分娩时用力过度，导致阴部脱出，状如脱肛，以及阴部突出，逼近肿痛。举重、房劳过度，都能诱发此病。清水不断流出，小便淋漓不尽。使用硫黄、乌贼骨各半两，五味子一分，研为细末，敷于患处，同时服用人参、黄芪、当归、甘草、升麻等补益药物。
治疗产后阴部下脱。人屎烧灰，用酒送下方寸匕，每日一次。（《千金方》、无择蝎皮散加鳖头，炙烤后也可治疗。方剂见脱肛条。）
【《产宝》】治疗产后阴肿下脱内出，玉门（阴道口）不能闭合。锻石一升，炒至极热，投入二升汤水中，待温度适中变冷，澄清后，坐于水中，浸泡玉门，片刻即可平复如初。又一法，用铁精粉涂抹并推入内部，又在脐下横纹处灸十四壮。另一法，使用铁精、羊脂两味药，搅拌至稠厚，用布包裹加热后熨烫并推入内部。铁精是锻铁灶中飞出的如灰尘般的物质，紫色且轻虚，可以用来磨亮器皿。又一法，单炒蛇床子一升，趁热用布包裹热敷患处，也可治疗产后阴户疼痛。
【《子母秘录》】治疗产后阴部下脱。烧兔头研末敷于患处。
【张元素】女人胞胎门（阴道口）落颓不收，常感潮湿：神阙穴、玉泉穴（灸五十壮）。身交穴（位于脐下指缝中，灸五十壮，分三次施灸）。
又一法：玉泉穴旁开三寸处（灸，随年龄决定壮数，分三次施灸）。女人阴门冷肿：归来穴（灸三十壮）。
[From *Chanbao*] When breast milk flows spontaneously before delivery, it is called "Ru Zhu" (Breast Leakage), and the newborn often fails to survive. When breast milk flows spontaneously after delivery, it is due to body deficiency; it is appropriate to take tonifying medicines to stop the flow.
If the breasts are distended, urgent, painful, and leaking milk, apply hot cloth compresses (Wen Bo Yun) to the area; Loulu San (Descurainia Powder) may also be used.
Loulu (Radix Descurainiae, 2.5 qian) Shetui (Ophisthotropis Peripatus Skin, 1 strip) Gualou (Fructus Trichosanthis, 10 fruits)
Grind the above into powder, mix with wine to take 2 qian, at any time.
[Zhu Danxi] A woman in her thirties, two days after giving birth to a daughter, had an object protruding from the vaginal opening resembling a handkerchief hanging down, with a pointed tip, weighing approximately one jin. I reasoned that this was caused by Qi deficiency resulting from fatigue during pregnancy, leading to Gan Wei (Liver Flaccidity). Fortunately, blood deficiency was not severe. At that time, it was late in the year and cold; fearing cold invasion might damage the tissue, I urgently prescribed Zhi Huangqi (Prepared Radix Astragali, 0.5 qian), Renshen (Radix Ginseng, 1 qian), Baizhu (Rhizoma Atractylodis Macrocephalae, 0.5 qian), Danggui (Radix Angelicae Sinensis, 1.5 qian), and Shengma (Rhizoma Cimicifugae, 0.5 qian). After taking three doses consecutively, the prolapse retracted. The patient sweated all over and then felt secure. However, a piece of tissue adhered to the bedsheet where the lower body touched had dried and fallen off, weighing about five or six liang; this was adipose membrane. Subsequently, her appetite improved, she slept well, and her pulse was wiry-rough (Se) generally, slightly wiry on the left. Her physical constitution appeared solid. I prescribed Baizhu (Rhizoma Atractylodis Macrocephalae) and Shaoyao (Radix Paeoniae Alba), each 1.5 qian, Chenpi (Pericarpium Citri Reticulatae, 1 qian), and Shengjiang (Rhizoma Zingiberis Recens, 1 slice), decocted for two or three doses to nourish her.
Another woman, after childbirth, had an object protruding from the vagina resembling a lidded bowl, bifurcated into two parts. Her husband sought treatment. I reasoned that this was uterine prolapse (Zigong Xia Tuo), likely due to weak Qi and Blood causing sinking. Thus, I prescribed Shengma (Rhizoma Cimicifugae), Danggui (Radix Angelicae Sinensis), and Huangqi (Radix Astragali) in large doses for two packets. Half a day later, the husband returned saying: "After taking two doses, there was a popping sound, and upon inspection, it had retracted into the vaginal opening. However, because it had been exposed to air overnight against the mat, a piece the size of a palm broke off and remained on the mat. My wife is crying at home, fearing intestinal rupture which cannot be healed." I reasoned that this was not intestine but necrotic tissue (Cao Po); muscle tears can heal, and if Qi and Blood become abundant, the tissue will regenerate. I prescribed Siwu Tang (Four Substance Decoction) added with Renshen (Radix Ginseng) for one hundred doses. Three years later, she gave birth again.
For treating uterine prolapse, use Huangqi (Radix Astragali, 1.5 qian), Renshen (Radix Ginseng, 1 qian), Danggui (Radix Angelicae Sinensis, 0.7 qian), Shengma (Rhizoma Cimicifugae, 0.3 qian), and Gancao (Radix Glycyrrhizae, 0.2 qian) as one dose. Add one zhong of water, decoct until one-third remains, strain, and take before meals. Then wash the affected area with a decoction of Wubeizi (Galla Chinensis) powder and apply the powder topically. Repeat several times; continuous medication will prevent recurrence permanently.
Treating Yin Ting (Prolapse of the uterus or vaginal walls): This is often caused by excessive straining during labor, resulting in prolapse resembling rectal prolapse, with protrusion near the anus accompanied by swelling and pain. Heavy lifting and sexual exhaustion can trigger it. Clear fluid flows continuously, and urination is dribbling. Use Liuhuang (Sulfur) and Wuzhegu (Cutula Sepiae), each half liang, and Wuweizi (Fructus Schisandrae), one fen, ground into powder and applied to the lesion. Concurrently administer tonics such as Renshen (Radix Ginseng), Huangqi (Radix Astragali), Danggui (Radix Angelicae Sinensis), Gancao (Radix Glycyrrhizae), and Shengma (Rhizoma Cimicifugae).
Treating postpartum genital prolapse. Burn human feces to ash, take one cunbi (square inch measure) with warm wine, once daily. (*Qianjin Fang*, Wuxie Xiepi San added with Bie head, roasted, also treats this. See Rectal Prolapse section.)
[From *Chanbao*] Treating postpartum vulvar swelling and prolapse with inability to close the Yumen (vaginal introitus). Use Duanshi (Calcined Iron Oxide), one sheng, stir-fried until extremely hot, pour into two sheng of boiling water, let cool to lukewarm, clarify, and sit in the liquid to soak the Yumen. It will recover to normal shortly. Another method: Apply Tiejing (Iron Rust) powder internally by pushing it in, and moxa-burn seven times (two sets of seven burns = 14 burns) below the umbilical transverse crease. Another method: Mix Tiejing (Iron Rust) and Yangzhi (Mutton Fat), stir until thick, wrap in cloth, heat, and apply as a hot compress while pushing it inside. Tiejing refers to dust-like particles flying from the forge, purple in color, light and porous, used for polishing vessels. Another method: Stir-fry one sheng of Shechuangzi (Fructus Cnidii) alone, wrap in cloth while hot, and apply as a warm compress to the affected area; this also treats postpartum vulvar pain.
[From *Zimu Milu*] Treating postpartum genital prolapse. Burn rabbit head to ash and apply to the site.
[Zhang Yuansu] For women with prolapsed vaginal introitus that does not retract, often damp: Shenque (CV8), Yuquan (Moxa 50 burns). Shenjiao (Located in the gap below the umbilicus, Moxa 50 burns, repeated three times).
Another method: Three cun lateral to Yuquan (Moxa, age-based burns, repeated three times). For cold swelling of the female genital opening: Guilai (ST29, Moxa 30 burns).
[From *Jiayi Jing*] For women with vaginal prolapse, lethargy in the four limbs, and bodily heaviness/stuffiness, Shaohai (HT3) is indicated. (Alternatively stated as Zhaohai, KI6.)