（见呕吐中）
（见痉病中）
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产妇腹中□痛，当归生姜羊肉汤主之，并治腹中寒疝，虚劳不足。
【注】
产后暴然腹中急痛，产后虚寒痛也。主之当归生姜羊肉汤者，补虚散寒止痛也。并治
虚劳不足，寒疝腹痛者，亦以其虚而寒也。
【集注】
程林曰：产后血虚有寒，则腹中急痛。『内经』曰：味厚者为阴。当归、羊肉味厚者
也，用以补产后之阴；佐生姜以散腹中之寒，则□痛自止。夫辛能散寒，补能去弱，
三味辛温补剂也，故并主虚劳寒疝。
魏荔彤曰：妊娠之□痛，胞阻于血寒也。产后腹中□痛者，里虚而血寒也。一阻一虚
，而治法异矣。
（见寒疝中）
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产后腹痛，烦满不得卧，枳实芍药散主之。
【注】
产后腹痛，不烦不满，里虚也；今腹痛，烦满不得卧，里实也。气结血凝而痛，故用
枳实破气结，芍药调腹痛，枳实炒令黑者，盖因产妇气不实也。并主痈脓，亦因血为
气凝，久而腐化者也，佐以麦粥，恐伤产妇之胃也。
【集注】
尤怡曰：产后腹痛而至烦满不得卧，知血郁而成热，且下病而碍上也，与虚寒□痛不
同矣。
枳实（烧令黑，勿太过） 芍药等分
右二味，杵为散，服方寸匕，日三服。并主痈脓，以麦粥下之。
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师曰：产妇腹痛，法当以枳实芍药散。假令不愈者，此为腹中有干血着脐下，宜下瘀
血汤主之。亦主经水不利。
【注】
产妇腹痛，属气结血凝者，枳实芍药散以调之。假令服后不愈，此为热灼血干着于脐
下而痛，非枳实、芍药之所能治也，宜下瘀血，主之下瘀血汤，攻热下瘀血也。并主
经水不通，亦因热灼血干故也。
（参见呕吐章节）
（参见痉病章节）
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产妇腹部疼痛，用当归生姜羊肉汤主治，同时治疗腹中寒疝及虚劳不足。
【注】
产后突然腹部急痛，是产后虚寒引起的疼痛。使用当归生姜羊肉汤主治，是为了补虚散寒止痛。同时治疗虚劳不足、寒疝腹痛，也是因为属于虚寒所致。
【集注】
程林说：产后血虚伴有寒气，就会导致腹部急痛。《内经》说：味道浓厚的属于阴。当归、羊肉都是味道浓厚的药物，用来补充产后之阴；配合生姜来驱散腹中的寒气，那么腹痛自然停止。辛味能散寒，补法能去除虚弱，这三味药是辛温补剂，所以同时也主治虚劳和寒疝。
魏荔彤说：妊娠期的腹痛，是因为胞宫阻滞且血寒。产后的腹痛，是因为里虚且血寒。一个是阻滞，一个是虚弱，治疗方法不同。
（参见寒疝章节）
@@@
产后腹痛，伴有烦闷胀满、不能平卧，用枳实芍药散主治。
【注】
产后腹痛，如果不烦不胀，属于里虚；现在腹痛，伴有烦闷胀满、不能平卧，属于里实。气机郁结、血液凝滞导致疼痛，所以用枳实破气结，用芍药调理腹痛。枳实炒至黑色，是因为产妇之气不实。同时也主治痈脓，也是因为血液被气机凝滞，日久腐化而成，配合麦粥服用，是担心损伤产妇的胃气。
【集注】
尤怡说：产后腹痛发展到烦闷胀满、不能平卧，可知是血郁化热，且下部的病变影响了上部，这与虚寒性腹痛不同。
枳实（烧至黑色，但不要过度） 芍药 等分
以上两味药，捣碎成散剂，每次服用一方寸匕，每日三次。同时也主治痈脓，用麦粥送服。
@@@
老师说：产妇腹痛，按理应使用枳实芍药散。假如服药后不愈，这是因为腹中有干血附着在脐下，适宜用下瘀血汤主治。也主治月经不畅。
【注】
产妇腹痛，属于气结血凝的，用枳实芍药散来调理。假如服药后不愈，这是因为热邪灼烧血液变干，附着在脐下引起疼痛，不是枳实、芍药所能治疗的，适宜攻下瘀血，主方用下瘀血汤，以攻逐热邪和下瘀血。同时也主治月经不通，也是因为热邪灼烧血液变干所致。
(See section on Vomiting)
(See section on Spasm)
@@@
For postpartum abdominal pain, Danggui Shengyang Roushou Tang (Dongqu, Ginger, and Mutton Decoction) is the primary treatment; it also treats abdominal cold colic and deficiency-fatigue insufficiency.
[Annotation]
Sudden acute abdominal pain after childbirth is caused by postpartum deficiency-cold. Danggui Shengyang Roushou Tang (Dongqu, Ginger, and Mutton Decoction) is used to tonify deficiency, dispel cold, and relieve pain. It also treats deficiency-fatigue insufficiency and cold colic abdominal pain because these conditions are also due to deficiency and cold.
[Collected Annotations]
Cheng Lin stated: Postpartum blood deficiency with cold leads to acute abdominal pain. The *Neijing* states: "Substances with thick flavors belong to Yin." Dongqu (*Radix Angelicae Sinensis*) and mutton are substances with thick flavors; they are used to tonify the Yin of the postpartum state. Ginger (*Rhizoma Zingiberis Recens*) is added to dispel cold in the abdomen, so the pain stops naturally. Pungent flavors can dispel cold, and tonification can remove weakness; these three ingredients form a pungent-warm tonic formula, thus it also treats deficiency-fatigue and cold colic.
Wei Litong stated: Abdominal pain during pregnancy is due to uterine obstruction and blood-cold. Abdominal pain after childbirth is due to interior deficiency and blood-cold. One is obstruction, the other is deficiency; therefore, the treatment methods differ.
(See section on Cold Colic)
@@@
For postpartum abdominal pain accompanied by vexation, fullness, and inability to lie down, Zhishi Shaoyao San (Immature Bitter Orange and White Peony Powder) is the primary treatment.
[Annotation]
Postpartum abdominal pain without vexation or fullness indicates interior deficiency; current symptoms of abdominal pain with vexation, fullness, and inability to lie down indicate interior excess. Pain caused by Qi stagnation and Blood coagulation requires Zhishi (*Fructus Aurantii Immaturus*) to break Qi stagnation and Shaoyao (*Radix Paeoniae Alba*) to regulate abdominal pain. Zhishi is stir-fried until black because the Qi of postpartum women is not solid. It also treats carbuncles and pus, which arise from Blood being coagulated by Qi and decomposing over time. Wheat gruel (*Mai Zhou*) is used as a vehicle to prevent damage to the postpartum woman's Stomach Qi.
[Collected Annotations]
You Yi stated: When postpartum abdominal pain progresses to vexation, fullness, and inability to lie down, it indicates that Blood stagnation has transformed into Heat, and pathology below is affecting the upper body; this differs from deficiency-cold abdominal pain.
Zhishi (*Fructus Aurantii Immaturus*) (burned until black, but not excessively) and Shaoyao (*Radix Paeoniae Alba*) in equal parts.
These two ingredients are pounded into a powder. Take one *fangcun bi* (a measure approx. 2-3 grams) per dose, taken three times daily. It also treats carbuncles and pus, administered with wheat gruel (*Mai Zhou*).
@@@
The Master said: For postpartum abdominal pain, the method dictates using Zhishi Shaoyao San (Immature Bitter Orange and White Peony Powder). If it does not heal, it is because there is dried Blood adhering below the umbilicus; Xiayuxue Tang (Downward Draining Blood Decoction) should be used. It also treats irregular menstruation.
[Annotation]
Postpartum abdominal pain due to Qi stagnation and Blood coagulation is regulated by Zhishi Shaoyao San (Immature Bitter Orange and White Peony Powder). If it does not heal after administration, it is because Heat scorching has dried the Blood, causing it to adhere below the umbilicus and cause pain; this cannot be treated by Zhishi (*Fructus Aurantii Immaturus*) and Shaoyao (*Radix Paeoniae Alba*). It is appropriate to drain Blood stasis, primarily using Xiayuxue Tang (Downward Draining Blood Decoction) to purge Heat and drain Blood stasis. It also treats amenorrhea, which is also due to Heat scorching and drying of the Blood.