夫产后心痛者。是脏虚。遇风冷客之。与血气相搏而气逆者。上攻于心之络则心痛。凡
心痛
朝死
治产后血气上攻心痛。四肢厥冷。不纳饮食。熟干地黄散方。
熟干地黄（一两） 当归（二分锉微炒） 白术（半两） 甘草（一分炙微赤锉） 赤
芍药（半
两）
遍焙干微
炒）
上件药。捣粗罗为散。每服二（三）钱。以水一中盏。
煎至六分。去滓。不计时候温服。
治产后内伤冷气。腹中及心下切痛。不能饮食。四肢无力。木香散方。
木香（三分） 当归（一两半锉微炒） 甘草（半两炙微赤锉） 芎 （三分） 赤芍
药（三分）
白
汁炙令
香
上件药。捣粗罗为散。每服三钱。以水一中盏。
煎至六分。去滓。不计时候稍热温服。
治产后。血刺连心疼痛。当归散方。
当归（一两锉微炒） 胡椒（一分） 蓬莪术（半两） 白术（三分） 木香（半两）
上件药。捣细罗为散。不计时候。以热酒调下一钱。
治产后败血不散。上冲心腹。痛不可忍。桃仁散方。
桃仁（半两汤浸去皮尖双仁麸炒微黄） 蓬莪术（三分） 桂心（半两） 当归（一两
锉微炒）
上件药。捣细罗为散。不计时候。以热酒调下一钱。
治产后血气与冷气相搏。上攻心痛。芎 散方。
芎 （一两） 桂心（一两） 木香（一两） 当归（一两锉微炒） 桃仁（一两汤浸
去皮尖双
仁麸
上件药。捣细罗为散。不计时候。以热酒调下一钱。
治产后。血气攻心痛。青橘皮散方。
青橘皮（三分汤浸去白瓤焙） 木香（三分） 蓬莪术（三分） 桂心（一两） 干姜
（半两炮
裂锉）
汤浸去皮
尖双仁
上件药。捣细罗为散。以熟酒调下二钱。
治产后。血气冲心疼痛。桂心丸方。
桂心（一两为末） 芫花（一两为末） 香墨（二挺为末） 木香（一两为末）
上件药。以酽醋二升。先煎芫花为膏。次入木香并墨桂和丸。如梧桐子大。每服。以热
酒下
治产后血气冲心。闷绝疼痛。吴茱萸散方。
吴茱萸（半两汤浸七遍焙干微炒） 丁香（半两） 熟干地黄（一两） 当归（半两锉
微炒）
上件药。捣细罗为散。不计时候。以热酒调下二钱。
又方。
芸苔子（一两微炒） 当归（一两锉微炒）
上件药。捣细罗为散。不计时候。以热酒调下一钱。
产后心痛，是由于脏腑虚弱，风冷之邪侵袭，与气血相互搏结，导致气机逆乱，向上攻冲心之络脉，从而引发心痛。凡是出现心痛、早晨发作可能致死的情况，应治疗产后血气上攻所致的心痛，症状包括四肢厥冷、不能进食。使用熟干地黄散方。
熟干地黄（一两）、当归（二分，锉碎后微炒）、白术（半两）、甘草（一分，炙至微赤并锉碎）、赤芍药（半两，遍焙干后微炒）。
以上药物，捣碎并粗筛为散剂。每次服用二钱或三钱，用水一中盏，煎煮至六分，去渣滓，不拘时候温服。
治疗产后内伤冷气，腹中及心下剧烈疼痛，不能饮食，四肢无力。使用木香散方。
木香（三分）、当归（一两半，锉碎后微炒）、甘草（半两，炙至微赤并锉碎）、川芎（三分）、赤芍药（三分）。
以上药物，捣碎并粗筛为散剂。每次服用三钱，用水一中盏，煎煮至六分，去渣滓，不拘时候稍热温服。
当归（一两，锉碎后微炒）、胡椒（一分）、蓬莪术（半两）、白术（三分）、木香（半两）。
以上药物，捣碎并细筛为散剂，不拘时候，用热酒调服一钱。
桃仁（半两，汤浸去皮尖及双仁，麸炒至微黄）、蓬莪术（三分）、桂心（半两）、当归（一两，锉碎后微炒）。
以上药物，捣碎并细筛为散剂，不拘时候，用热酒调服一钱。
川芎（一两）、桂心（一两）、木香（一两）、当归（一两，锉碎后微炒）、桃仁（一两，汤浸去皮尖及双仁，麸炒）。
以上药物，捣碎并细筛为散剂，不拘时候，用热酒调服一钱。
青橘皮（三分，汤浸去白瓤焙干）、木香（三分）、蓬莪术（三分）、桂心（一两）、干姜（半两，炮裂并锉碎）。
以上药物，捣碎并细筛为散剂，用熟酒调服二钱。
桂心（一两，研为末）、芫花（一两，研为末）、香墨（二挺，研为末）、木香（一两，研为末）。
以上药物，用浓醋二升，先煎芫花成膏状，然后加入木香、香墨和桂心，混合制成如梧桐子大小的丸剂。每次服用，用热酒送下。
吴茱萸（半两，汤浸七遍，焙干后微炒）、丁香（半两）、熟干地黄（一两）、当归（半两，锉碎后微炒）。
以上药物，捣碎并细筛为散剂，不拘时候，用热酒调服二钱。
又一方：
以上药物，捣碎并细筛为散剂，不拘时候，用热酒调服一钱。
Postpartum heart pain arises from the deficiency of the Zang organs, where wind-cold pathogens invade and contend with Qi and Blood, causing Qi rebellion. This rebellious Qi attacks the collaterals of the Heart, resulting in heart pain. For cases involving heart pain that may lead to death by morning, one should treat postpartum heart pain caused by the upward attack of Qi and Blood, characterized by cold limbs and inability to take food. Use Shugan Dihuang San (Prepared Rehmannia Root Powder).
Shu Gan Di Huang (Prepared Rehmanniae Radix) (1 liang), Dang Gui (Angelicae Sinensis Radix) (2 fen, sliced and lightly stir-fried), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (0.5 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma) (1 fen, honey-fried until slightly reddish and sliced), Chi Shao Yao (Paeoniae Radix Rubra) (0.5 liang, evenly baked dry and lightly stir-fried).
The above ingredients are coarsely ground and sieved into a powder. Take 2 or 3 qian per dose, decoct with one zhong of water until reduced to 0.6 volume, strain, and take warm at any time.
To treat internal injury by cold qi in postpartum women, presenting as severe pain in the abdomen and epigastrium, inability to eat, and weakness in the four limbs. Use Muxiang San (Costus Root Powder).
Mu Xiang (Aucklandiae Radix) (3 fen), Dang Gui (Angelicae Sinensis Radix) (1.5 liang, sliced and lightly stir-fried), Gan Cao (Glycyrrhizae Radix et Rhizoma) (0.5 liang, honey-fried until slightly reddish and sliced), Xiong (Ligustici Chuanxiong Rhizoma) (3 fen), Chi Shao Yao (Paeoniae Radix Rubra) (3 fen).
The above ingredients are coarsely ground and sieved into a powder. Take 3 qian per dose, decoct with one zhong of water until reduced to 0.6 volume, strain, and take warm while slightly hot at any time.
To treat postpartum piercing pain connecting to the heart. use Dang Gui San (Angelicae Sinensis Radix Powder).
Dang Gui (Angelicae Sinensis Radix) (1 liang, sliced and lightly stir-fried), Hu Jiao (Piperis Longi Fructus) (1 fen), Peng E Zhu (Curcumae Phaeocaulis Rhizoma) (0.5 liang), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (3 fen), Mu Xiang (Aucklandiae Radix) (0.5 liang).
The above ingredients are finely ground and sieved into a powder. Take 1 qian per dose mixed with hot wine at any time.
To treat postpartum retained blood failing to disperse, rushing up to the heart and abdomen, causing unbearable pain. Use Tao Ren San (Persic Semen Powder).
Tao Ren (Persicae Semen) (0.5 liang, soaked in water, skin and pointed ends removed, double-kernels discarded, bran-fried until slightly yellow), Peng E Zhu (Curcumae Phaeocaulis Rhizoma) (3 fen), Gui Xin (Cinnamomi Ramulus Cortex) (0.5 liang), Dang Gui (Angelicae Sinensis Radix) (1 liang, sliced and lightly stir-fried).
The above ingredients are finely ground and sieved into a powder. Take 1 qian per dose mixed with hot wine at any time.
To treat postpartum heart pain caused by the contention between Qi/Blood and cold qi attacking upwards. Use Xiong San (Ligustici Chuanxiong Rhizoma Powder).
Xiong (Ligustici Chuanxiong Rhizoma) (1 liang), Gui Xin (Cinnamomi Ramulus Cortex) (1 liang), Mu Xiang (Aucklandiae Radix) (1 liang), Dang Gui (Angelicae Sinensis Radix) (1 liang, sliced and lightly stir-fried), Tao Ren (Persicae Semen) (1 liang, soaked in water, skin and pointed ends removed, double-kernels discarded, bran-fried).
The above ingredients are finely ground and sieved into a powder. Take 1 qian per dose mixed with hot wine at any time.
To treat postpartum heart pain caused by Qi/Blood attack. Use Qing Ju Pi San (Green Tangerine Peel Powder).
Qing Ju Pi (Citri Reticulatae Pericarpium Viride) (3 fen, soaked in water, white pith removed, baked dry), Mu Xiang (Aucklandiae Radix) (3 fen), Peng E Zhu (Curcumae Phaeocaulis Rhizoma) (3 fen), Gui Xin (Cinnamomi Ramulus Cortex) (1 liang), Gan Jiang (Zingiberis Rhizoma) (0.5 liang, processed until cracked and sliced).
The above ingredients are finely ground and sieved into a powder. Take 2 qian per dose mixed with cooked wine.
To treat postpartum pain caused by Qi/Blood rushing to the heart. Use Guixin Wan (Cinnamon Twig Bark Pill).
Gui Xin (Cinnamomi Ramulus Cortex) (1 liang, powdered), Yuan Hua (Genkwa Flos) (1 liang, powdered), Xiang Mo (Inkus) (2 ting, powdered), Mu Xiang (Aucklandiae Radix) (1 liang, powdered).
The above ingredients are boiled in two sheng of strong vinegar; first boil Yuan Hua until it forms a paste, then add Mu Xiang, Xiang Mo, and Gui Xin, and mix to form pills the size of Sophora seeds. Take each dose with hot wine.
To treat postpartum Qi/Blood rushing to the heart, causing suffocation and severe pain. Use Wuzhuyu San (Evodiae Fructus Powder).
Wu Zhu Yu (Evodiae Fructus) (0.5 liang, soaked in water seven times, baked dry and lightly stir-fried), Ding Xiang (Caryophylli Flos) (0.5 liang), Shu Gan Di Huang (Prepared Rehmanniae Radix) (1 liang), Dang Gui (Angelicae Sinensis Radix) (0.5 liang, sliced and lightly stir-fried).
The above ingredients are finely ground and sieved into a powder. Take 2 qian per dose mixed with hot wine at any time.
Another prescription:
Yun Tai Zi (Brassicae Pekinensis Seed) (1 liang, lightly stir-fried), Dang Gui (Angelicae Sinensis Radix) (1 liang, sliced and lightly stir-fried).
The above ingredients are finely ground and sieved into a powder. Take 1 qian per dose mixed with hot wine at any time.