20.胁痛瘀滞犯肝经, 左血右气要分明, 血用延胡散可治, 气宜四君
加柴青, 去血过多属虚痛, 八珍加桂补其荣.
【注】产后胁痛, 因气血瘀滞, 干犯肝经. 在左多属血, 在右多属气
.血宜延胡索散, 气宜四君子汤 加柴胡, 青皮. 若因去血过多而痛
者,为虚痛, 宜八珍汤加肉桂, 以补其荣血自愈.
四君子汤 八珍汤 方俱见首卷
21.腰疼下注两股痛, 风冷停瘀滞在经, 佛手散加独活桂, 续断牛膝
桑寄生, 血多三阴伤气血, 地黄桂附续杜寻.
【注】产后腰疼下注两股皆痛者, 乃产时风冷乘之, 瘀血滞于肝经,
宜用佛手散加独活, 肉桂, 续断, 牛膝, 防风, 桑寄生, 以温散而行
之.若因去血过多, 三阴经气亏损者, 则当用六味地黄汤加肉桂, 附
子,续断, 杜仲, 以温补之.
佛手散 六味地黄汤 方俱见首卷
趁痛散
22.产后身疼荣不足, 若因客感表先形, 趁痛散用归耆术, 牛膝甘独
薤桂心, 血瘀面唇多紫胀, 四物秦艽桃没红.
【注】产后遍身疼痛, 多因去血过多, 荣血不足, 或因风寒外客, 必
有表证. 二者俱宜用趁痛散, 即当归, 黄耆, 白术, 牛膝, 甘草, 独
活,薤白, 桂心也. 若面唇紫色身胀痛者, 必是停瘀所致, 宜用四物
汤,加秦艽, 桃仁, 没药, 红花以行之.
四物汤 方见首卷
20. 胁痛若因瘀血阻滞而侵犯肝经，左侧多属血分病变，右侧多属气分病变，必须分辨清楚。血分瘀滞可用延胡散治疗；气分郁滞宜用四君子汤加入柴胡、青皮。若因产后失血过多导致的疼痛属于虚痛，应用八珍汤加入肉桂以补养营血。
【注】产后胁痛，是由于气血瘀滞，干犯肝经所致。病位在左者多属血分，在右者多属气分。血分瘀滞适宜使用延胡索散，气分郁滞适宜使用四君子汤加柴胡、青皮。若是因失血过多而引起的疼痛，属于虚痛，适宜使用八珍汤加肉桂，以补益其营血，自然痊愈。四君子汤和八珍汤的方剂组成均见本书首卷。
21. 腰痛向下放射至大腿疼痛，是风冷之邪停留，瘀血阻滞于经脉所致。可用佛手散加入独活、肉桂，以及续断、牛膝、桑寄生治疗。若因失血过多导致三阴经受损，气血亏虚，则应寻找地黄、肉桂、附子、续断、杜仲（即六味地黄汤加味）来温补。
【注】产后腰痛并向下放射至双侧大腿皆痛，乃是分娩时风冷之邪乘虚而入，瘀血停滞于肝经所致。适宜使用佛手散加独活、肉桂、续断、牛膝、防风、桑寄生，以温通发散并推动气血运行。若是因失血过多，导致三阴经气亏损者，则应当使用六味地黄汤加肉桂、附子、续断、杜仲，以进行温补。佛手散和六味地黄汤的方剂组成均见本书首卷。
22. 产后身体疼痛，多因营血不足所致；若因外感客邪引起，则表证先显现。可使用趁痛散，由当归、黄芪、白术、牛膝、甘草、独活、薤白、桂心组成。若见面部嘴唇紫胀，则是血瘀所致，宜用四物汤加入秦艽、桃仁、没药、红花以活血化瘀。
【注】产后遍身疼痛，多因失血过多，导致营血不足；或因风寒外邪侵袭，必然伴有表证。这两种情况都适宜使用趁痛散，即由当归、黄芪、白术、牛膝、甘草、独活、薤白、桂心组成。若见面部嘴唇紫色且身体胀痛，必定是瘀血停滞所致，适宜使用四物汤，加秦艽、桃仁、没药、红花以行血化瘀。四物汤的方剂组成见本书首卷。
20. Hypochondriac pain caused by blood stasis invading the Liver Meridian requires clear differentiation between left-sided blood disorders and right-sided Qi disorders. Blood stasis is treated with Yanhu San (Corydalis Rhizome Powder); Qi stagnation is treated with Sijunzi Tang (Four Gentlemen Decoction) added with Chai Hu (Bupleuri Radix) and Qing Pi (Aurantii Fructus Pericarpium). Pain resulting from excessive blood loss is a deficiency pain, treated with Bazhen Tang (Eight Treasures Decoction) added with Rou Gui (Cinnamomi Cortex) to nourish Ying Blood.
[Note] Postpartum hypochondriac pain arises from Qi and blood stasis interfering with the Liver Meridian. Left-sided cases mostly involve blood; right-sided cases mostly involve Qi. Blood stasis is suitable for Yanhusuo San (Corydalis Rhizome Powder); Qi stagnation is suitable for Sijunzi Tang (Four Gentlemen Decoction) added with Chai Hu (Bupleuri Radix) and Qing Pi (Aurantii Fructus Pericarpium). If the pain is due to excessive blood loss, it is a deficiency pain, suitable for Bazhen Tang (Eight Treasures Decoction) added with Rou Gui (Cinnamomi Cortex) to tonify Ying Blood, leading to natural recovery. The formulas for Sijunzi Tang (Four Gentlemen Decoction) and Bazhen Tang (Eight Treasures Decoction) are found in the first volume.
21. Lower back pain radiating to both thighs indicates wind-cold retention and blood stasis obstructing the meridians. Treat with Foshou San (Hand Buddha Powder) added with Duhuo (Angelicae Pubescentis Radix), Rou Gui (Cinnamomi Cortex), Xuduan (Dipsaci Radix), Niuxi (Achyranthis Bidentatae Radix), and Sangjisheng (Taxilli Herba). If excessive blood loss injures the Three Yin meridians causing Qi and blood deficiency, seek Dihuang, Rou Gui (Cinnamomi Cortex), Fuzi (Aconiti Lateralis Radix Praeparata), Xuduan (Dipsaci Radix), and Duzhong (Eucommiae Cortex) [formulated as Liuwei Dihuang Tang added].
[Note] Postpartum lower back pain radiating to both thighs occurs when wind-cold pathogens invade during childbirth, causing blood stasis to stagnate in the Liver Meridian. It is suitable to use Foshou San (Hand Buddha Powder) added with Duhuo (Angelicae Pubescentis Radix), Rou Gui (Cinnamomi Cortex), Xuduan (Dipsaci Radix), Niuxi (Achyranthis Bidentatae Radix), Fangfeng (Saposhnikoviae Radix), and Sangjisheng (Taxilli Herba) to warm, disperse, and promote circulation. If excessive blood loss leads to depletion of Qi in the Three Yin meridians, one should use Liuwei Dihuang Tang (Six-Ingredient Rehmannia Pill) added with Rou Gui (Cinnamomi Cortex), Fuzi (Aconiti Lateralis Radix Praeparata), Xuduan (Dipsaci Radix), and Duzhong (Eucommiae Cortex) for warming tonification. The formulas for Foshou San (Hand Buddha Powder) and Liuwei Dihuang Tang (Six-Ingredient Rehmannia Pill) are found in the first volume.
Chentong San
22. Postpartum generalized body pain is mostly due to insufficient Ying Blood; if caused by external pathogenic invasion, exterior symptoms appear first. Use Chentong San (Pain-Relieving Powder) composed of Danggui (Angelicae Sinensis Radix), Huangqi (Astragali Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Niuxi (Achyranthis Bidentatae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Duhuo (Angelicae Pubescentis Radix), Xiebai (Allii Macrostemonis Bulbus), and Guixin (Cinnamomi Ramulus). If the face and lips are purple and swollen, it is caused by blood stasis; treat with Siwu Tang (Four Substances Decoction) added with Qinjiao (Gentianae Macrophyllae Radix), Taoren (Persicae Semen), Moyao (Myrrha), and Honghua (Carthami Flos) to promote blood circulation.
[Note] Postpartum generalized body pain is mostly due to excessive blood loss leading to insufficient Ying Blood, or due to external invasion of wind-cold, necessarily accompanied by exterior syndromes. Both conditions are suitable for Chentong San (Pain-Relieving Powder), consisting of Danggui (Angelicae Sinensis Radix), Huangqi (Astragali Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Niuxi (Achyranthis Bidentatae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Duhuo (Angelicae Pubescentis Radix), Xiebai (Allii Macrostemonis Bulbus), and Guixin (Cinnamomi Ramulus). If the face and lips are purple and the body is distended and painful, it must be caused by retained blood stasis; it is suitable to use Siwu Tang (Four Substances Decoction) added with Qinjiao (Gentianae Macrophyllae Radix), Taoren (Persicae Semen), Moyao (Myrrha), and Honghua (Carthami Flos) to move blood. The formula for Siwu Tang (Four Substances Decoction) is found in the first volume.