【方歌】产后痈疽最属险，七情之伤六淫感，瘀血稽留成痈疽，
势溃托里不宜缓。
【注】此证因产后气血经络俱虚，或因七情所伤，或因六淫所
感，与瘀血相稽而成，最属险候。法宜大补，扶助根本
，兼活瘀生新为要，其客病以末治之。初服生化汤，随
证加减，以消毒；有表邪服清魂散，有里热服回生丹。
势欲溃脓时，急宜托里，迟则恐毒内陷，药味宜和平纯
善，最忌汗下峻剂。其余肿溃治法，俱按痈疽肿疡、溃
疡门。
方剂：生化汤
组成：当归（八钱） 川芎（四钱）
姜炭 甘草（炙，四分）
桃仁（去皮、尖，研泥，十粒）
水一钟半，煎六分，加无灰酒一小杯和服。
【方歌】生化汤宜产后疽，通滞和荣又补虚，归芎姜炭炙甘草，
桃仁酒服善消瘀。
又方：清魂散
组成：荆芥（一钱） 川芎（五分）
人参 甘草（炙）
泽兰叶（各三分）
为末，黄酒调服。
【方歌】清魂产后风邪侵，荆芥川芎与人参，炙甘泽兰同作剂，
能疏表证效通神。
又方：回生丹
组成：黑豆（煮熟，取汁三碗，去豆，三升）
红花（炒黄色，入醇酒，大壶同煮三、五碗，去红花用
汁）
生大黄（研末，一斤）
苏木（锉，用河水五碗煎汁，去楂）
先将大黄末，以好米醋三、四碗搅匀，文武火熬成
膏，如此二遍；次下红花酒、苏木汤、黑豆汁，共熬成
膏，离火，再入后药：
当归 熟地
川芎 白茯苓
延胡索 乌药
香附 蒲黄
牛膝 桃仁（另研）
苍术（米泔水浸，炒，各二两）
白芍（酒炒） 甘草（炙）
羌活 山萸肉（酒浸）
三棱 陈皮
地榆 木香
五灵脂（各五钱） 人参
白术（土炒） 青皮
木瓜（各三钱） 良姜（四钱）
乳香 没药（各一钱）
共研细末，用大黄膏为丸，如弹子大。每服一丸，
黄酒炖化，通口服。
【方歌】回生产后存恶露，致发痈疽服可逐，除热活瘀荣卫和，
红花大黄豆苏木，八珍羌萸棱延胡，乌药青陈榆香附，
乳没蒲黄良膝瓜，木香灵脂桃苍穴。
【方歌】产后发生的痈疽最为危险，多由七情内伤或六淫外感所致，瘀血停滞积聚而成痈疽，病情发展至溃脓阶段时，使用托里法不宜迟缓。
【注】此证候是因为产后气血及经络均处于虚弱状态，或因七情所伤，或因六淫（风、寒、暑、湿、燥、火六种外感病邪）所感，与体内瘀血相互搏结而形成，属于极为危险的证候。治疗法则应当以大补元气为主，扶助人体根本，同时兼顾活血化瘀、促进新血生成是关键，对于外来邪气则作为次要问题处理。初期服用生化汤，根据具体症状进行加减，以达到消毒散结的目的；若伴有表邪（如恶寒发热等体表症状），则服用清魂散；若有里热（内部热盛），则服用回生丹。当病情发展到即将溃破流脓时，急需使用托里透脓之法，若拖延恐导致毒邪内陷深入，药物性质宜平和纯正善良，最忌讳使用发汗或攻下的峻猛药剂。其余关于肿胀和溃烂的治疗方法，均参照《痈疽肿疡》、《痈疽溃疡》章节中的内容执行。
方剂：生化汤
组成：当归（八钱）、川芎（四钱）、姜炭、甘草（炙用，四分）、桃仁（去皮尖，研成泥状，十粒）。
用法：用水一钟半，煎煮至六分，加入无灰酒一小杯混合服用。
【方歌】生化汤适宜用于产后痈疽，能疏通滞涩、调和营血并补益虚损，由当归、川芎、姜炭、炙甘草组成，配合桃仁及黄酒服用善于消除瘀血。
又一方：清魂散
组成：荆芥（一钱）、川芎（五分）、人参、甘草（炙用）、泽兰叶（各三分）。
用法：研为细末，用黄酒调服。
【方歌】清魂散适用于产后因风邪侵袭之证，由荆芥、川芎与人参组成，配以炙甘草和泽兰共同制成制剂，能够疏解表证，疗效神奇。
又一方：回生丹
组成：黑豆（煮熟，取汁三碗，去掉豆渣，共得三升）、红花（炒至黄色，放入纯酒中，与大壶一同煮至三至五碗，去掉红花只用汁液）、生大黄（研成粉末，一斤）、苏木（锉碎，用河水五碗煎取汁液，去掉药渣）。
制作过程：先将大黄粉末，用好米醋三至四碗搅拌均匀，用文火和武火交替熬制成膏，如此重复两遍；接着加入红花酒、苏木汤、黑豆汁，共同熬制成膏，离火后，再加入以下药物：
当归、熟地黄、川芎、白茯苓、延胡索、乌药、香附、蒲黄、牛膝、桃仁（另研）、苍术（用米泔水浸泡，炒制，各二两）、白芍（酒炒）、甘草（炙用）、羌活、山萸肉（酒浸）、三棱、陈皮、地榆、木香、五灵脂（各五钱）、人参、白术（土炒）、青皮、木瓜（各三钱）、良姜（四钱）、乳香、没药（各一钱）。
将上述药物共研为细末，用大黄膏作为粘合剂制成丸药，大小如弹子。每次服用一丸，用黄酒炖化后，通口服下。
【方歌】回生丹用于产后恶露不尽，导致发生痈疽的情况，服用可逐除病邪，清除热邪、活血化瘀以调和营卫，主要成分包括红花、大黄、黑豆、苏木，以及八珍汤底方加羌活、山萸肉、三棱、延胡索，还有乌药、青皮、陈皮、地榆、香附、乳香、没药、蒲黄、良姜、牛膝、木瓜、木香、五灵脂、桃仁、苍术等。
[Prescription Verse] Carbuncles and sores occurring postpartum are extremely perilous; they arise from emotional injuries or invasions by the six pathogenic factors (wind, cold, summer-heat, dampness, dryness, fire). Stagnant blood accumulates to form carbuncles and sores. When the condition progresses to suppuration, the method of supporting the interior (Tuo Li) should not be delayed.
[Annotation] This syndrome occurs because Qi and Blood, as well as the meridians and collaterals, are deficient after childbirth. It may result from emotional injury, invasion by the six pathogenic factors, or the interaction with stagnant blood, making it a critical condition. The treatment principle should primarily involve substantial tonification to support the root, while simultaneously promoting blood circulation to remove stasis and generating new blood is essential. External pathogens should be treated as secondary concerns. Initially, administer Shenghua Tang (Postpartum Restoration Decoction), modified according to specific symptoms, to eliminate toxins. If exterior pathogenic factors are present, administer Qinghun San (Soul-Clearing Powder); if interior heat is present, administer Huisheng Dan (Life-Restoring Pill). When the abscess is about to rupture and suppurate, urgent application of interior-supporting methods is required; delay risks the internal sinking of toxins. Medicinal properties should be mild, pure, and gentle. Harsh diaphoretic (sweating-inducing) or purgative (downward-draining) agents are strictly contraindicated. Other treatments for swelling and ulceration follow the guidelines in the sections on "Carbuncle and Sore Ulceration" and "Carbuncle and Sore Rupture."
Formula: Shenghua Tang (Postpartum Restoration Decoction)
Composition: Danggui Radix Angelicae Sinensis (8 qian), Chuanxiong Rhizoma (4 qian), Jiangtan Carbonized Zingiberis Rhizoma, Gancao Radix Glycyrrhizae Preparata (roasted, 4 fen), Taoren Semen Persicae (skin and tip removed, pounded into paste, 10 grains).
Usage: Decoct with 1.5 zhong of water until reduced to 0.6 zhong. Mix with a small cup of unadulterated wine and take orally.
[Prescription Verse] Shenghua Tang is suitable for postpartum carbuncles and sores; it unblocks stagnation, harmonizes Ying and Wei (nutritive and defensive qi), and tonifies deficiency. Composed of Danggui, Chuanxiong, Jiangtan, and roasted Gancao, taken with Taoren and wine, it effectively eliminates blood stasis.
Another Formula: Qinghun San (Soul-Clearing Powder)
Composition: Jingjie Herba Schizonepetae (1 qian), Chuanxiong Rhizoma (5 fen), Renshen Radix Ginseng, Gancao Radix Glycyrrhizae Preparata (roasted), Zelan Ye Herba Lycopi (each 3 fen).
Usage: Grind into fine powder, mix with yellow wine, and take orally.
[Prescription Verse] Qinghun San addresses wind-pathogen invasion postpartum; composed of Jingjie, Chuanxiong, and Renshen, combined with roasted Gancao and Zelan Ye, it can disperse exterior syndromes with miraculous efficacy.
Another Formula: Huisheng Dan (Life-Restoring Pill)
Composition: Heidou Fructus Sojae Preparatus (boiled thoroughly, extract 3 bowls of juice, remove bean dregs, total volume 3 sheng), Honghua Flos Carthami (stir-fried until yellow, steeped in pure wine, boiled together in a large pot until reduced to 3-5 bowls, remove flowers and use only the juice), Dasheng Radix et Rhizoma Rhei (powdered, 1 jin), Sumu Lignum Calami.
Preparation: First, mix Dahuang powder with 3-4 bowls of good rice vinegar, stir evenly, and simmer over alternating mild and strong heat until it forms a paste; repeat this process twice. Then, add Honghua wine, Sumu decoction, and Heidou juice, and continue simmering until a paste is formed. Remove from heat, then add the following herbs:
Danggui Radix Angelicae Sinensis, Shudi Radix Rehmanniae Preparata, Chuanxiong Rhizoma, Baifuling Poria, Yanshusu Rhizoma Cyperi Rotundi, Wuyao Radix Linderae, Xiangfu Rhizoma Cyperi, Puhuang Pollinis Typhae, Niuxeni Radix Achyranthis Bidentata, Taoren Semen Persicae (separately pounded), Cangzhu Rhizoma Atractylodis Macrocephalae (soaked in rice wash water, stir-fried, each 2 liang), Baishao Radix Paeoniae Alba (wine-fried), Gancao Radix Glycyrrhizae Preparata (roasted), Qianghuo Rhizoma et Radix Notopterygii, Shanyurou Fructus Corni Officinalis (wine-soaked), Sanleng Rhizoma Sparganii, Chenpi Pericarpium Citri Reticulatae, Diyu Herba Sanguisorbae, Muxiang Radix Aucklandiae, Wulingzi Faeces Trogopterori (each 5 qian), Renshen Radix Ginseng, Baizhu Rhizoma Atractylodis Macrocephalae (earth-fried), Qingpi Pericarpium Citri Reticulatae Viride, Mugua Fructus Chaenomelis (each 3 qian), Liangjiang Rhizoma Alpiniae Officinarum (4 qian), Ruxiang Resina Olibani, Moyao Resina Myrrhae (each 1 qian).
Grind all ingredients into fine powder. Use the Dahuang paste as a binder to form pills the size of quail eggs. Take one pill per dose, melt in yellow wine by warming, and swallow orally.
[Prescription Verse] Huisheng Dan is used when lochia remains postpartum, leading to carbuncles and sores; it expels pathogens, clears heat, activates blood, resolves stasis, and harmonizes Ying and Wei. Ingredients include Honghua, Dahuang, Heidou, Sumu, plus the base of Bazhen Tang (Eight-Tonics Decoction) augmented with Qianghuo, Shanyurou, Sanleng, Yanshusu, Wuyao, Qingpi, Chenpi, Diyu, Xiangfu, Ruxiang, Moyao, Puhuang, Liangjiang, Niuxi, Mugua, Muxiang, Wulingzi, Taoren, and Cangzhu.