23.产后积血块冲疼, 多因新产冷风乘, 急服延胡散可逐, 日久不散
血瘕成. 更有寒疝亦作痛, 吴萸温散不须攻.
【注】产后腹中有块, 坚硬攻痛, 多因新产之后, 风冷乘虚而入, 以
致瘀血凝结, 宜服延胡索散以逐之. 若迟久不散, 必结成血瘕矣. 又
有寒疝之证, 亦在少腹中攻筑而痛, 此属寒气滞涩, 宜用吴茱萸汤,
温散其寒自愈, 不必攻也.
吴茱萸汤 方见首卷
24.产后筋挛鸡爪风, 血亏液损复乘风, 无汗养荣兼散邪, 四物柴瓜
桂钩藤, 有汗八珍加桂枝, 黄耆阿胶大补荣.
【注】产后筋脉拘挛疼痛, 不能舒展, 俗名鸡爪风. 皆由产后血液亏
损,不能荣筋, 又被风乘, 故令拘挛疼痛也. 无汗者, 宜于养荣之中
兼祛外邪, 用四物汤加柴胡, 木瓜, 桂枝, 钩藤. 若有汗者, 宜八珍
汤加桂枝, 黄耆, 阿胶, 以大补其荣血可也.
四物汤 八珍汤 方俱见首卷
25.产后伤食心下闷, 恶食嘈杂吞吐酸, 六君查麴香砂共, 呕逆痰涎
二陈煎.
【注】产后过食肉面, 伤于饮食者, 必心胸饱闷, 恶闻食气, 懊??
嘈杂, 吞酸吐酸, 宜用六君汤加山查, 神麴, 香附, 缩砂, 以补而消
之.若更呕逆痰涎, 必是兼痰, 兼饮, 宜二陈汤加减调治.
六君子汤 见首卷 二陈汤 见三卷
23. 产后瘀血积块上冲疼痛，多因分娩后受冷风侵袭所致，急服延胡散可驱除瘀血；若日久不散，则形成血瘕。此外，寒疝也会引起腹痛，使用吴茱萸汤温散寒气即可，无需使用攻下之法。
【注】产后腹中有积块，坚硬且攻冲作痛，多因新产之后，风冷之邪乘虚而入，导致瘀血凝结，适宜服用延胡索散以驱逐瘀血。如果拖延日久不散，必定结成血瘕。另有寒疝这一病证，也在少腹部攻筑作痛，此属寒气阻滞涩滞所致，适宜用吴茱萸汤，温散其寒气即可自愈，不必使用攻下法。
吴茱萸汤 方剂见首卷
24. 产后筋脉拘挛如鸡爪状（俗称鸡爪风），是因血液亏损、津液损伤后又感受风邪所致。无汗者，宜在养血荣筋的同时兼祛外邪，用四物汤加柴胡、木瓜、桂枝、钩藤；有汗者，用八珍汤加桂枝、黄耆、阿胶，以大补营血。
【注】产后筋脉拘挛疼痛，不能舒展，俗名鸡爪风。皆由产后血液亏损，不能濡养筋脉，又被风邪侵袭，故而令筋脉拘挛疼痛。无汗者，适宜在滋养营血之中兼祛除外邪，用四物汤加柴胡、木瓜、桂枝、钩藤。若有汗者，适宜用八珍汤加桂枝、黄耆、阿胶，以大补其营血即可。
四物汤 八珍汤 方剂俱见首卷
25. 产后伤食致心下部闷胀，厌恶食物气味，胃中嘈杂，吞酸吐酸。可用六君子汤加山楂、神曲、香附、缩砂仁共同煎服；若伴有呕吐逆气及痰涎，则用二陈汤煎服调理。
【注】产后过食肉类面食，损伤饮食者，必然心胸饱闷，厌恶闻见食物气味，心中烦闷嘈杂，吞酸或吐酸，适宜用六君汤加山楂、神曲、香附、缩砂，以补益脾胃兼消食导滞。如果更出现呕吐逆气及痰涎，必然是兼夹痰饮，适宜用二陈汤加减调治。
六君子汤 见首卷 二陈汤 见三卷
23. Postpartum abdominal pain caused by the upward rush of accumulated blood stasis and masses is often due to cold wind invading after childbirth. Urgent administration of Yanhu San (Corydalis Rhizome Powder) can dispel the stasis; if left unresolved for a long time, it will form a blood mass (Xuejia). Additionally, cold hernia (Hanhan) also causes pain; Wuzhuyu Tang (Evodia Decoction) warms and disperses the cold without the need for purgative methods.
[Note] A hard mass in the postpartum abdomen that attacks with pain is mostly caused by wind-cold invading through deficiency after childbirth, leading to coagulation of blood stasis. It is appropriate to take Yansu San (Dioscorea Hypoglauca Powder) to dispel it. If it remains unresolved for a long time, it will inevitably form a blood mass (Xuejia). There is also the syndrome of cold hernia (Hanhan), which also causes attacking pain in the lower abdomen. This belongs to stagnation and obstruction caused by cold qi. It is appropriate to use Wuzhuyu Tang (Evodia Decoction) to warm and disperse the cold, allowing self-healing, without the need for purgation.
Wuzhuyu Tang (Evodia Decoction) Formula is found in Volume One.
24. Postpartum tendon spasms resembling chicken claws (commonly known as Chicken Claw Wind) are caused by blood deficiency and fluid damage followed by wind invasion. In cases without sweating, nourishing Ying (Nutritive Qi) while simultaneously dispersing pathogenic factors is indicated, using Siwu Tang (Four Substances Decoction) added with Chai Hu (Bupleuri Radix), Mugua (Chaenomelis Fructus), Guizhi (Cinnamomi Ramulus), and Gouteng (Uncariae Ramulus cum Uncis). In cases with sweating, Bazhen Tang (Eight Treasures Decoction) added with Guizhi (Cinnamomi Ramulus), Huangqi (Astragali Radix), and Ejiao (Asini Corii Colla) is used to greatly tonify Ying blood.
[Note] Postpartum tendon spasms and pain, inability to stretch, commonly known as Chicken Claw Wind. All result from postpartum blood deficiency, failing to nourish the tendons, combined with wind invasion, thus causing spasms and pain. For those without sweat, it is appropriate to expel external pathogens while nourishing Ying, using Siwu Tang (Four Substances Decoction) added with Chai Hu (Bupleuri Radix), Mugua (Chaenomelis Fructus), Guizhi (Cinnamomi Ramulus), and Gouteng (Uncariae Ramulus cum Uncis). For those with sweat, it is appropriate to use Bazhen Tang (Eight Treasures Decoction) added with Guizhi (Cinnamomi Ramulus), Huangqi (Astragali Radix), and Ejiao (Asini Corii Colla) to greatly tonify Ying blood.
Siwu Tang (Four Substances Decoction) and Bazhen Tang (Eight Treasures Decoction) formulas are both found in Volume One.
25. Postpartum food stagnation causing epigastric fullness and oppression, aversion to food odors, gastric discomfort, and acid regurgitation. Liu Jun Zi Tang (Six Gentlemen Decoction) added with Shanzha (Crataegi Fructus), Shenqu (Massa Medicata Fermentata), Xiangfu (Cyperi Rhizoma), and Suosha Ren (Amomi Fructus Rotundus) should be decocted together. If accompanied by vomiting, regurgitation, and phlegm-saliva, Er Chen Tang (Two Old Decoction) should be decocted for regulation.
[Note] Those who overconsume meat and noodles after childbirth and suffer dietary injury will inevitably experience chest and heart fullness, aversion to smelling food odors, mental restlessness and gastric discomfort, and acid regurgitation. It is appropriate to use Liu Jun Zi Tang (Six Gentlemen Decoction) added with Shanzha (Crataegi Fructus), Shenqu (Massa Medicata Fermentata), Xiangfu (Cyperi Rhizoma), and Suosha (Amomi Fructus) to tonify and digest. If there is further vomiting and phlegm-saliva, it must be complicated by phlegm and fluid retention. It is appropriate to treat with modified Er Chen Tang (Two Old Decoction).
Liu Jun Zi Tang (Six Gentlemen Decoction) is found in Volume One; Er Chen Tang (Two Old Decoction) is found in Volume Three.