论曰产后恶露不断者，盖由脏腑宿有冷滞，气不调和，即产之后。恶露乘虚，不能制约
。淋沥不断，久不已，则经血不荣，脐腹坚痛，面色萎黄，气短不足，是其证也。治法宜温
补之剂。
治产后七八日，恶露下不绝。当归饮方
当归（切焙） 败酱 续断（各一两） 芍药（一两一分） 生干地黄（焙一两半） 竹
茹芎
上七味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服，日三。
治产后恶露下不绝，败酱饮方
败酱 当归（切焙） 芍药 芎 （各半两） 竹茹（一两） 生干地黄（焙干一两）
上六味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服，日三。
治产后恶露不绝，心闷气短，艾叶饮方
艾叶 当归（切焙） 人参 地榆 干姜（炮） 阿胶（炙令燥） 生干地黄（焙一两）
上七味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服，日三。
治产后恶露不绝，阿胶散方
阿胶（炙令燥用） 牛角 （烧灰） 龙骨（ 各一两）
上三味，捣罗为散，每服二钱匕，薄粥饮调服。
治产后恶露不绝，腹中 痛气急，及产蓐三十六疾。阿胶丸方
阿胶（炙令燥） 乱发灰（别研各半两） 代赭（别研） 干姜（炮一两） 马蹄（半
个烧令烟
上七味，捣罗为末，炼蜜和丸。如梧桐子大。空心粥饮下二十丸。日午夜卧再服。加四
十丸。
治产后虚冷、下血，昼夜无度，及恶露不绝，龙骨丸方
龙骨（细研四两） 干姜（炮） 甘草（炙） 桂（去粗皮各二两）
上四味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，温酒下，早晨日午晚间各一
治产后恶露过多，心闷气短，无力不能食。虎掌饮方
虎掌 当归（切焙） 艾叶（微炒各一两） 人参（半两） 地榆（三分） 生干地黄
（焙一两
上六味，粗捣筛，每服三钱匕，以生姜三片，水一盏，煎至七分，去滓温服。
治产后恶露下多，短气乏力，人参饮方
人参（半两） 当归（切焙一两半） 生干地黄（焙二两） 地榆（一两）
上四味，粗捣筛，每服三钱匕，生姜三片，水一盏，同煎至七分，去滓温服。
治产后恶露下多，心烦气短，减食多倦。地榆饮方
地榆（一两） 当归（切焙） 艾叶 人参（各二两） 生干地黄（焙三两） 桂（去
粗皮一两）
上六味，粗捣筛，每服三钱匕，以水一盏，入生姜三片，同煎至七分，去滓空心温服。
治产后下血不止，桑耳饮方
桑耳（微炙） 芍药 地榆 茜根 牛角 （烧灰） 阿胶（炙令燥各一两） 艾叶 鸡
苏（
上九味，粗捣筛，每服二钱匕，水一盏，煎至七分，去滓温服，早晨日午夜卧各一。
治产后血下不止，芍药丸方
芍药 阿胶（炙令燥各一两半） 乌贼鱼骨（去皮甲一两） 当归（切焙三分）
上四味，捣罗为末，炼蜜和丸，梧桐子大，空心以葱汤下三十丸，日三。
治产后血不止，兼漏下，柏叶汤方
柏叶（炙干二两） 当归（切焙） 禹余粮（烧醋淬七遍各一两半）
上三味，粗捣筛，每服三钱匕，水一盏，入薤白二寸细切，同煎至七分，去滓食前温服
，日三。
治产后血露不断，地黄丸方
生干地黄（焙） 当归（切焙） 阿胶（炙令燥） 黄 （锉各一两） 艾叶（炙三分）
生姜（
上六味，捣罗为末，醋煮面糊和丸，如梧桐子大，每服三十丸。温酒或米饮下。不拘时
治产后恶露不断。秦艽汤方
秦艽（去苗土） 玄参 芍药（各一两） 艾叶（炙） 白芷 续断 当归（切焙各一
两半）
上七味，粗捣筛，每服二钱匕，水一盏，生姜三片，煎七分，去滓温服，不拘时。
治产后恶露不断。寄生丸方
桑寄生（锉炒） 附子（炮裂去皮脐） 芍药（各一两） 地榆（锉炒） 白龙骨（各
一两半）
上六味，捣罗为末，炼蜜和丸，梧桐子大，每服三十丸，温酒或米饮下，不拘时。
治产后血伤不止，或下血痢。蛇黄散方
蛇黄（二枚火 醋淬七遍）
上一味。捣罗为细散。每服三钱匕，以米饮调下。甚者不过再服。
论述说：产后恶露淋漓不断，大概是因为脏腑素有寒邪停滞，气机不调和，到了生产之后。恶露乘虚而下，不能受到制约。淋沥不断，如果长久不愈，就会导致经血无法荣养身体，出现脐腹部坚硬疼痛，面色萎黄，气短乏力等症状，这就是其证候表现。治疗方法适宜使用温补的方剂。
治疗产后七八天，恶露下注不绝。当归饮方
当归（切后焙干） 败酱草 续断（各一两） 芍药（一两一分） 生干地黄（焙干一两半） 竹茹 川芎
以上七味药，粗捣筛碎，每次服用三钱匕，用水一盏，煎煮至七分，去渣滓温服，每日三次。
治疗产后恶露下注不绝，败酱饮方
败酱草 当归（切后焙干） 芍药 川芎（各半两） 竹茹（一两） 生干地黄（焙干一两）
以上六味药，粗捣筛碎，每次服用三钱匕，用水一盏，煎煮至七分，去渣滓温服，每日三次。
治疗产后恶露不绝，伴有心烦胸闷、气短，艾叶饮方
艾叶 当归（切后焙干） 人参 地榆 干姜（炮制） 阿胶（炙烤至干燥） 生干地黄（焙干一两）
以上七味药，粗捣筛碎，每次服用三钱匕，用水一盏，煎煮至七分，去渣滓温服，每日三次。
治疗产后恶露不绝，阿胶散方
阿胶（炙烤至干燥使用） 牛角腮（烧成灰） 龙骨（各一两）
以上三味药，捣碎过筛成为散剂，每次服用二钱匕，用稀薄米汤调服。
治疗产后恶露不绝，腹中疼痛、气息急促，以及产褥期三十六种疾病。阿胶丸方
阿胶（炙烤至干燥） 乱发灰（单独研细，各半两） 代赭石（单独研细） 干姜（炮制一两） 马蹄（半个烧至冒烟）
以上七味药，捣碎过筛成为粉末，用炼蜜调和做成丸药。大小如梧桐子。空腹时喝粥送服二十丸。半夜和睡前再服一次。可加量至四十丸。
治疗产后虚冷、下血，昼夜无度，以及恶露不绝，龙骨丸方
龙骨（细研四两） 干姜（炮制） 甘草（炙烤） 桂枝（去掉粗皮，各二两）
以上四味药，捣碎过筛成为粉末，用炼蜜调和做成丸药，大小如梧桐子，每次服用二十丸，用温酒送下，早晨、中午、晚间各一次。
治疗产后恶露过多，心烦胸闷、气短，无力且不能进食。虎掌饮方
虎掌（即附子） 当归（切后焙干） 艾叶（微炒，各一两） 人参（半两） 地榆（三分） 生干地黄（焙干一两）
以上六味药，粗捣筛碎，每次服用三钱匕，加入生姜三片，用水一盏，煎煮至七分，去渣滓温服。
治疗产后恶露下多，短气乏力，人参饮方
人参（半两） 当归（切后焙干一两半） 生干地黄（焙干二两） 地榆（一两）
以上四味药，粗捣筛碎，每次服用三钱匕，生姜三片，用水一盏，同煎煮至七分，去渣滓温服。
治疗产后恶露下多，心烦气短，食欲减退且多疲倦。地榆饮方
地榆（一两） 当归（切后焙干） 艾叶 人参（各二两） 生干地黄（焙干三两） 桂枝（去掉粗皮一两）
以上六味药，粗捣筛碎，每次服用三钱匕，用水一盏，加入生姜三片，同煎煮至七分，去渣滓空腹温服。
治疗产后下血不止，桑耳饮方
桑耳（微炙烤） 芍药 地榆 茜根 牛角腮（烧成灰） 阿胶（炙烤至干燥，各一两） 艾叶 鸡苏（各一两）
以上九味药，粗捣筛碎，每次服用二钱匕，用水一盏，煎煮至七分，去渣滓温服，早晨、中午、半夜、睡前各一次。
治疗产后血下不止，芍药丸方
芍药 阿胶（炙烤至干燥，各一两半） 乌贼鱼骨（去掉皮甲一两） 当归（切后焙干三分）
以上四味药，捣碎过筛成为粉末，用炼蜜调和做成丸药，大小如梧桐子，空腹时用葱汤送服三十丸，每日三次。
治疗产后血不止，兼有漏下，柏叶汤方
柏叶（炙干二两） 当归（切后焙干） 禹余粮（烧后用醋淬七遍，各一两半）
以上三味药，粗捣筛碎，每次服用三钱匕，用水一盏，加入薤白二寸细切，同煎煮至七分，去渣滓饭前温服，每日三次。
治疗产后血露不断，地黄丸方
生干地黄（焙干） 当归（切后焙干） 阿胶（炙烤至干燥） 黄芪（锉碎，各一两） 艾叶（炙烤三分） 生姜（切片）
以上六味药，捣碎过筛成为粉末，用醋煮面糊调和做成丸药，大小如梧桐子，每次服用三十丸。用温酒或米饮送下。不拘泥时间。
治疗产后恶露不断。秦艽汤方
秦艽（去掉苗土） 玄参 芍药（各一两） 艾叶（炙烤） 白芷 续断 当归（切后焙干，各一两半）
以上七味药，粗捣筛碎，每次服用二钱匕，用水一盏，生姜三片，煎煮七分，去渣滓温服，不拘泥时间。
治疗产后恶露不断。寄生丸方
桑寄生（锉碎炒制） 附子（炮裂去皮脐） 芍药（各一两） 地榆（锉碎炒制） 白龙骨（各一两半）
以上六味药，捣碎过筛成为粉末，用炼蜜调和做成丸药，大小如梧桐子，每次服用三十丸，用温酒或米饮送下，不拘泥时间。
治疗产后血伤不止，或下血痢。蛇黄散方
蛇黄（二枚火煅后用醋淬七遍）
以上一味药，捣碎过筛成为细散。每次服用三钱匕，用米饮调下。病情严重的不过再服一次即可。
Discussion: Postpartum continuous lochia discharge is generally caused by cold stagnation in the viscera and bowels, with disharmony of Qi. After childbirth, lochia flows down taking advantage of the deficiency, unable to be restrained. The dripping continues; if it persists for a long time without healing, it leads to blood failing to nourish the body, resulting in hard and painful umbilical and abdominal regions, sallow complexion, shortness of breath, and fatigue. These are the manifestations of this syndrome. The treatment method should employ warming and tonifying formulas.
For postpartum cases after seven or eight days where lochia discharge does not cease: Danggui Yin (Angelica Decoction)
Danggui (Radix Angelicae Sinensis, sliced and roasted), Baijiangcao (Herba Patriniae), Xuduan (Radix Dipsaci, each one tael), Shaoyao (Radix Paeoniae Alba, one tael and one fen), Sheng Gan Dihuang (Radix Rehmanniae Preparata, roasted, one tael and half), Zhuru (Caulis Bambusae in Taeniam), Chuanxiong (Rhizoma Chuanxiong).
The above seven herbs are coarsely crushed and sifted. Each dose consists of three qianbi, decocted with one zhan of water until reduced to seven-tenths. Strain and take warm. Three times daily.
For postpartum continuous lochia discharge: Baijiang Yin (Patrinia Decoction)
Baijiangcao (Herba Patriniae), Danggui (Radix Angelicae Sinensis, sliced and roasted), Shaoyao (Radix Paeoniae Alba), Chuanxiong (Rhizoma Chuanxiong, each half tael), Zhuru (Caulis Bambusae in Taeniam, one tael), Sheng Gan Dihuang (Radix Rehmanniae Preparata, dried, one tael).
The above six herbs are coarsely crushed and sifted. Each dose consists of three qianbi, decocted with one zhan of water until reduced to seven-tenths. Strain and take warm. Three times daily.
For postpartum continuous lochia accompanied by chest oppression and shortness of breath: Aiyе Yin (Mugwort Decoction)
Aiyе (Folium Artemisiae Argyi), Danggui (Radix Angelicae Sinensis, sliced and roasted), Renshen (Radix Ginseng), Diyу (Radix Sanguisorbae), Ganjiang (Rhizoma Zingiberis Preparatum, processed), Ejiao (Colla Corii Asini, roasted until dry), Sheng Gan Dihuang (Radix Rehmanniae Preparata, roasted, one tael).
The above seven herbs are coarsely crushed and sifted. Each dose consists of three qianbi, decocted with one zhan of water until reduced to seven-tenths. Strain and take warm. Three times daily.
For postpartum continuous lochia: Ejiao San (Donkey-Hide Gelatin Powder)
Ejiao (Colla Corii Asini, roasted until dry used), Niujiao (Cornu Bubali, burnt to ash), Longgu (Os Draconis, each one tael).
The above three substances are pounded into powder. Each dose consists of two qianbi, taken with thin porridge drink.
For postpartum continuous lochia, abdominal pain, rapid breathing, and thirty-six diseases of the lying-in period: Ejiao Wan (Donkey-Hide Gelatin Pill)
Ejiao (Colla Corii Asini, roasted until dry), Luан Fa Hui (Ash of disordered hair, separately ground, each half tael), Daizhe (Haematitum, separately ground), Ganjiang (Rhizoma Zingiberis Preparatum, processed, one tael), Matie (Hippopotamus tooth, half a piece, burnt until smoking).
The above seven substances are pounded into fine powder, mixed with refined honey to form pills the size of sophora seeds. Take twenty pills on an empty stomach with porridge drink. Take again at midnight and before sleep. Dosage may be increased to forty pills.
For postpartum deficiency-cold, bleeding, unceasing day and night, and continuous lochia: Longgu Wan (Dragon Bone Pill)
Longgu (Os Draconis, finely ground, four taels), Ganjiang (Rhizoma Zingiberis Preparatum, processed), Gancao (Radix Glycyrrhizae Preparata, roasted), Guizhi (Ramulus Cinnamomi, bark removed, each two taels).
The above four substances are pounded into powder, mixed with refined honey to form pills the size of sophora seeds. Take twenty pills with warm wine. Once in the morning, noon, and evening.
For postpartum excessive lochia, chest oppression, shortness of breath, weakness, and inability to eat: Huzhang Yin (Aconite Decoction)
Huzhang (Radix Aconiti Lateralis Preparata, i.e., Fuzi), Danggui (Radix Angelicae Sinensis, sliced and roasted), Aiyе (Folium Artemisiae Argyi, slightly fried, each one tael), Renshen (Radix Ginseng, half tael), Diyу (Radix Sanguisorbae, three fen), Sheng Gan Dihuang (Radix Rehmanniae Preparata, roasted, one tael).
The above six herbs are coarsely crushed and sifted. Each dose consists of three qianbi, with three slices of fresh ginger, decocted with one zhan of water until reduced to seven-tenths. Strain and take warm.
For postpartum excessive lochia, shortness of breath, and fatigue: Renshen Yin (Ginseng Decoction)
Renshen (Radix Ginseng, half tael), Danggui (Radix Angelicae Sinensis, sliced and roasted, one tael and half), Sheng Gan Dihuang (Radix Rehmanniae Preparata, roasted, two taels), Diyу (Radix Sanguisorbae, one tael).
The above four herbs are coarsely crushed and sifted. Each dose consists of three qianbi, with three slices of fresh ginger, decocted with one zhan of water until reduced to seven-tenths. Strain and take warm.
For postpartum excessive lochia, irritability, shortness of breath, reduced appetite, and fatigue: Diyу Yin (Sanguisorba Decoction)
Diyу (Radix Sanguisorbae, one tael), Danggui (Radix Angelicae Sinensis, sliced and roasted), Aiyе (Folium Artemisiae Argyi), Renshen (Radix Ginseng, each two taels), Sheng Gan Dihuang (Radix Rehmanniae Preparata, roasted, three taels), Guizhi (Ramulus Cinnamomi, bark removed, one tael).
The above six herbs are coarsely crushed and sifted. Each dose consists of three qianbi, with one zhan of water and three slices of fresh ginger, decocted until reduced to seven-tenths. Strain and take warm on an empty stomach.
For postpartum unceasing uterine bleeding: Sang'er Yin (Fungus Lignearius Decoction)
Sang'er (Fungus Lignearius, slightly roasted), Shaoyao (Radix Paeoniae Alba), Diyу (Radix Sanguisorbae), Qiangen (Radix Rubiae Cordifoliae), Niujiao (Cornu Bubali, burnt to ash), Ejiao (Colla Corii Asini, roasted until dry, each one tael), Aiyе (Folium Artemisiae Argyi), Jisu (Herba Elsholtziae, each one tael).
The above nine herbs are coarsely crushed and sifted. Each dose consists of two qianbi, decocted with one zhan of water until reduced to seven-tenths. Strain and take warm. Once in the morning, noon, midnight, and before sleep.
For postpartum unceasing bleeding: Shaoyao Wan (Paeonia Pill)
Shaoyao (Radix Paeoniae Alba), Ejiao (Colla Corii Asini, roasted until dry, each one tael and half), Wutouyu Gu (Cutula Sepiae, skin and shell removed, one tael), Danggui (Radix Angelicae Sinensis, sliced and roasted, three fen).
The above four substances are pounded into powder, mixed with refined honey to form pills the size of sophora seeds. Take thirty pills on an empty stomach with scallion soup. Three times daily.
For postpartum unceasing bleeding with metrorrhagia: Baiye Tang (Biota Leaf Decoction)
Baiye (Folium Biotae, roasted dry, two taels), Danggui (Radix Angelicae Sinensis, sliced and roasted), Yuyuliang (Limonitum, burnt and quenched in vinegar seven times, each one tael and half).
The above three herbs are coarsely crushed and sifted. Each dose consists of three qianbi, with one zhan of water and two cun of finely cut Xiebai (Bulbus Allii Macrostemonis), decocted until reduced to seven-tenths. Strain and take warm before meals. Three times daily.
For postpartum unceasing bloody discharge: Dihuang Wan (Rehmannia Pill)
Sheng Gan Dihuang (Radix Rehmanniae Preparata, roasted), Danggui (Radix Angelicae Sinensis, sliced and roasted), Ejiao (Colla Corii Asini, roasted until dry), Huangqi (Radix Astragali, chopped, each one tael), Aiyе (Folium Artemisiae Argyi, roasted, three fen), Shengjiang (Rhizoma Zingiberis Recens, sliced).
The above six herbs are pounded into powder, mixed with paste made from flour boiled in vinegar to form pills the size of sophora seeds. Take thirty pills. Swallow with warm wine or rice drink. No specific time restriction.
For postpartum continuous lochia: Qinjiao Tang (Gentian Decoction)
Qinjiao (Radix Gentianae Macrophyllae, roots and soil removed), Xuanshen (Radix Scrophulariae), Shaoyao (Radix Paeoniae Alba, each one tael), Aiyе (Folium Artemisiae Argyi, roasted), Baizhi (Radix Angelicae Dahuricae), Xuduan (Radix Dipsaci), Danggui (Radix Angelicae Sinensis, sliced and roasted, each one tael and half).
The above seven herbs are coarsely crushed and sifted. Each dose consists of two qianbi, with one zhan of water and three slices of fresh ginger, decocted until reduced to seven-tenths. Strain and take warm. No specific time restriction.
For postpartum continuous lochia: Jisheng Wan (Mulberry Mistletoe Pill)
Sangjisheng (Ramulus Taxilli, chopped and fried), Fuzi (Radix Aconiti Lateralis Preparata, processed, cracked, skin and navel removed), Shaoyao (Radix Paeoniae Alba, each one tael), Diyу (Radix Sanguisorbae, chopped and fried), Bailonggu (Os Draconis, each one tael and half).
The above six substances are pounded into powder, mixed with refined honey to form pills the size of sophora seeds. Take thirty pills with warm wine or rice drink. No specific time restriction.
For postpartum unceasing blood injury or bloody dysentery: Shehuang San (Snake Yellow Powder)
Shehuang (Chalcanthite, two pieces, calcined and quenched in vinegar seven times).
The above single substance is pounded into fine powder. Each dose consists of three qianbi, taken with rice drink. For severe cases, no more than two doses are needed.