夫新产之后。有血与气相搏而痛者。谓之瘕。瘕之言假也。谓其痛浮假无定处也。此由
夙有
否涩
治产后。脏腑夙有风冷。恶血下。以结积成血瘕。致月水不利。琥珀散方。
琥珀（半两细研） 硫黄（半两细研） 砂（一两） 没药（半两） 麒麟竭（半两）
斑蝥
（一分
马子
（九枚）
香
（一分研入
上件药。捣细罗为散。入研了药令匀。每服一钱。以酒半盏。童子小便半盏。桃仁七枚。
去
治产后恶血不尽。结聚为血瘕。腹中坚满。不下饮食。肉桂散方。
肉桂（一两去皴皮） 当归（半两锉微炒） 蒲黄（半两） 牛膝（三分去苗） 鬼箭
羽（三分）
虻
炒微黄）
水蛭（半两炒令黄） 川大黄（一两锉微炒）
上件药。捣细罗为散。每于食前。以温酒调下一钱。
治产后。腹内血瘕疼痛。当归散方。
当归（一两锉微炒） 赤芍药（一两） 水蛭（一两炒熟） 虻虫（一两去翅足微炒） 小
儿胎
发（
上件药。捣细罗为散。每日空心。以温酒调下一钱。甚者不过五服。
治产后。血瘕积结为块。腹中疼痛。虚胀。红蓝花散方。
红蓝花（半两） 砂（一分细研） 桂心（半两） 子（半两） 生干地黄（半
两）
上件药。捣细罗为散。每日空心。以热酒调下二钱。相次服至三服。必下恶物。瘥后。
如产
治产后血瘕坚积。按之跃手。食饮不为肌肤。面色萎黄。不耐劳动。呕逆上气。月
水不通。
干漆（二两捣碎炒令烟出） 川大黄（二两锉碎微炒） 柏子仁（一两） 牛膝（一两
去苗）
人参
两） 桂
心（
十枚去
翅足
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每日空心。以热酒下十丸。
治产后余血不尽。腹内结成血瘕。月水不利。四肢羸瘦。不欲饮食。 子丸方。
子（一两） 川乌头（三分炮裂去皮脐） 桂心（三分） 防葵（半两） 桃仁（一
两汤浸
去皮
两锉微
炒）
裙）
赤芍药
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每于食前。以温酒下二十丸。
治产后恶血不尽。结成血瘕。乍寒乍热。心腹胀痛。不欲饮食。四肢羸瘦。或时口
干。鳖甲
鳖甲（一两涂醋炙令黄去裙 ） 当归（半两锉微炒） 木香（半两） 牡丹（三分） 赤
芍药
（半
两锉微
炒）
上件药。捣罗为末。炼蜜和捣五七百杵。丸如梧桐子大。每于食前。以桃仁汤下三（二）
十丸
治产后积聚成血瘕。致月水不通。小腹疼痛。琥珀丸方。
琥珀（一两细研） 没药（一两） 当归（一两锉微炒） 赤芍药（一两） 京三棱（一
两） 鳖
甲（
上件药。捣罗为末。炼蜜和捣三二百杵。丸如绿豆大。每日空心。以温酒下十丸。
治产后恶血不散。结成血瘕。在脐左右。攻刺疼痛。月候不通。麒麟竭丸方。
麒麟竭（一两） 川大黄（一两锉微炒） 砂（一两细研） 桂心（一两） 干漆（一
两捣碎
炒令
两醋拌炒
令干
上件药。捣罗为末。以醋煮面糊。和捣三五百杵。丸如豌豆大。空心。以当归酒下十丸。
红
治产后。腹中有血瘕疼痛。 砂丸方。
砂（半两） 干漆（半两捣碎炒令烟出） 巴豆（十枚去皮心麸炒断烟） 芫花（半
两醋拌
炒令
四枚微
炒） 上件药。捣罗为末。用醋煮面糊。和捣三二百杵。丸如梧桐子大。每服。以小便一
小盏。酒
治产后虚冷。余血不尽。结成血瘕。腹胁疼痛。芫花煎丸方。
芫花（一两末以好醋三升熬如膏） 木香（半两） 附子（半两炮裂去皮脐） 琥珀（半
两）
桃仁
两捣
碎炒
上件药。捣罗为末。入前芫花煎内相和。更入蜜少许。熬令相得。候可丸如梧桐子大。
空心
治产后血瘕。结块攻刺。心腹疼痛。砒黄丸方。
砒黄（半两） 芫花（一两醋拌炒令黄） 砂（半两细研） 香墨（一两） 釜煤（半
两） 当
归（
上件药。捣罗为末。以醋煮黑豆一两。取汁煮面糊和丸。如梧桐子大。每日空心。以醋
汤下
治产后血瘕结聚。攻刺腹胁。痛不可忍。没药丸方。
没药（半两） 砒霜（半两） 硫黄（半两细研） 麒麟竭（半两） 朱砂（半两细研）
砂（半两）
上件药。都细研为末。以糯米饭。和捣三二百杵。丸如绿豆大。空心。以生姜汤下二（三）
丸
治产后血瘕。腹胁疼痛。经脉不利。宜服香墨丸方。
香墨（半两） 芫花（半两醋拌炒令干） 京三棱（一两微煨锉） 砂（半两细研） 巴
豆
（一分
上件药。捣罗为末。以醋一大碗。熬上件药末。候可丸。即丸如绿豆大。每服食前。温
酒下
治产后气血不调。腹中生瘕结不散。生地黄煎丸方。
生地黄（一十斤洗净捣绞取汁） 干漆（半斤捣碎炒令烟出为末） 生牛膝（五斤捣绞
取汁）
上件药。以二味汁。纳银石锅中。文武火上。煎熬如稀饧。下干漆末。搅令匀。可丸。
即丸
新近分娩之后，如果有血液与气机相互搏结而导致疼痛的，称为“瘕”。“瘕”字的意思是假象，指其疼痛部位浮游不定、没有固定位置。这通常是因为患者素来有气血阻滞不畅的情况。
治疗产后病，脏腑原本就有风冷之邪，恶露下行时，因风冷与瘀血结合积聚而成血瘕，导致月经不通畅。琥珀散方：
琥珀（半两，细研） 硫黄（半两，细研） 砂（一两） 没药（半两） 麒麟竭（半两）
斑蝥（一分，去头翅足，微炒） 马子（九枚）
麝香（一分，研入）
以上药物，捣碎过细罗成为散剂，加入已研好的药物混合均匀。每次服用一钱，用半盏酒和半盏童子小便，以及七枚桃仁（去皮尖及双仁者），煎煮后服用。
治疗产后恶露不尽，凝结聚集成血瘕，腹部坚硬胀满，无法进食。肉桂散方：
肉桂（一两，去除粗糙外皮） 当归（半两，切碎微炒） 蒲黄（半两） 牛膝（三分，去苗） 鬼箭羽（三分）
虻虫（三分，微炒至黄） 水蛭（半两，炒至黄色） 川大黄（一两，切碎微炒）
以上药物，捣碎过细罗成为散剂。每次在饭前，用温酒调服一钱。
治疗产后，腹内血瘕疼痛。当归散方：
当归（一两，切碎微炒） 赤芍药（一两） 水蛭（一两，炒熟） 虻虫（一两，去翅足微炒） 小儿胎发（少许，煅烧成炭）
以上药物，捣碎过细罗成为散剂。每天空腹时，用温酒调服一钱。病情严重的，不超过五服即可见效。
治疗产后，血瘕积结形成块状，腹部疼痛，虚性胀满。红蓝花散方：
红蓝花（半两） 砂（一分，细研） 桂心（半两） 子（半两，此处原文缺字，推测为某子类药材，依原文保留） 生干地黄（半两）
以上药物，捣碎过细罗成为散剂。每天空腹时，用热酒调服二钱，依次服用至三服，必然排出恶物。痊愈后，如产...（原文此处中断）
治疗产后血瘕坚积，按压时感觉跳动应手，饮食不能转化为肌肉营养，面色萎黄，不耐受劳动，呕吐逆气，月经不通。
干漆（二两，捣碎炒至烟出） 川大黄（二两，切碎微炒） 柏子仁（一两） 牛膝（一两，去苗）
人参（一两） 桂心（一两）
...十枚，去翅足
以上药物，捣碎过罗成为粉末，炼蜜调和并捣击三二百下，制成梧桐子大小的丸剂。每天空腹时，用热酒送服十丸。
治疗产后余血不尽，腹内结成血瘕，月经不利，四肢消瘦，不想饮食。子丸方：
子（一两，此处原文缺字，依原文保留） 川乌头（三分，炮裂去皮脐） 桂心（三分） 防葵（半两） 桃仁（一两，汤浸去皮尖及双仁，微炒）
...裙（此处指鳖甲裙边，原文排版错乱，依上下文推测可能涉及鳖甲或其他药材，但严格按提取规则只取明确实体，此处暂不强行补全缺失名，仅处理可见部分）
赤芍药
以上药物，捣碎过罗成为粉末，炼蜜调和并捣击三五百下，制成梧桐子大小的丸剂。每次在饭前，用温酒送服二十丸。
治疗产后恶露不尽，结成血瘕，忽冷忽热，心腹胀痛，不想饮食，四肢消瘦，有时口干。鳖甲丸方：
鳖甲（一两，涂醋炙令黄色，去裙边） 当归（半两，切碎微炒） 木香（半两） 牡丹皮（三分） 赤芍药（半两，切碎微炒）
以上药物，捣碎过罗成为粉末，炼蜜调和并捣击五七百下，制成梧桐子大小的丸剂。每次在饭前，用桃仁汤送服三十丸。
治疗产后积聚形成血瘕，导致月经不通，小腹疼痛。琥珀丸方：
琥珀（一两，细研） 没药（一两） 当归（一两，切碎微炒） 赤芍药（一两） 京三棱（一两） 鳖甲（...原文此处截断，依常规应有制法，但按原文提取）
以上药物，捣碎过罗成为粉末，炼蜜调和并捣击三二百下，制成绿豆大小的丸剂。每天空腹时，用温酒送服十丸。
治疗产后恶血不散，结成血瘕，位于肚脐左右，攻冲刺痛，月经不通。麒麟竭丸方：
麒麟竭（一两） 川大黄（一两，切碎微炒） 砂（一两，细研） 桂心（一两） 干漆（一两，捣碎炒至烟出）
...两醋拌炒令干
以上药物，捣碎过罗成为粉末，用醋煮面糊，调和捣击三五百下，制成豌豆大小的丸剂。空腹时，用当归酒送服十丸。
治疗产后，腹中有血瘕疼痛。砂丸方：
砂（半两） 干漆（半两，捣碎炒至烟出） 巴豆（十枚，去皮心，麸炒至断烟） 芫花（半两，醋拌炒令...四枚微炒，此处原文排版混乱，疑有缺漏或错位，依可见文字提取）
以上药物，捣碎过罗成为粉末，用醋煮面糊，调和捣击三二百下，制成梧桐子大小的丸剂。每次服用，用一小盏小便和酒...（原文此处中断）
治疗产后虚冷，余血不尽，结成血瘕，腹胁疼痛。芫花煎丸方：
芫花（一两，末，用好醋三升熬如膏） 木香（半两） 附子（半两，炮裂去皮脐） 琥珀（半两）
桃仁（...两捣碎炒...）
以上药物，捣碎过罗成为粉末，与前文芫花煎混合，再加入少许蜂蜜，熬至相得。候可丸时，制成梧桐子大小的丸剂。空腹...（原文此处中断）
治疗产后血瘕，结块攻刺，心腹疼痛。砒黄丸方：
砒黄（半两） 芫花（一两，醋拌炒令黄色） 砂（半两，细研） 香墨（一两） 釜煤（半两） 当归（...）
以上药物，捣碎过罗成为粉末，用醋煮黑豆一两，取汁煮面糊和丸。制成梧桐子大小。每天空腹时，用醋汤送服...（原文此处中断）
治疗产后血瘕结聚，攻刺腹胁，痛不可忍。没药丸方：
没药（半两） 砒霜（半两） 硫黄（半两，细研） 麒麟竭（半两） 朱砂（半两，细研） 砂（半两）
以上药物，全部细研为粉末，用糯米饭，调和捣击三二百下，制成绿豆大小的丸剂。空腹时，用生姜汤送服二至三丸。
治疗产后血瘕，腹胁疼痛，经脉不利，宜服用香墨丸方：
香墨（半两） 芫花（半两，醋拌炒令干） 京三棱（一两，微煨锉） 砂（半两，细研） 巴豆（一分...）
以上药物，捣碎过罗成为粉末，用一大碗醋，熬上件药末。候可丸时，即制成绿豆大小。每次在饭前，用温酒送服...（原文此处中断）
治疗产后气血不调，腹中生瘕结不散。生地黄煎丸方：
生地黄（十斤，洗净捣绞取汁） 干漆（半斤，捣碎炒至烟出为末） 生牛膝（五斤，捣绞取汁）
以上药物，将前两味汁液纳入银石器中，用文武火煎熬如稀饧糖状，下干漆末，搅令均匀。可丸时，即制成丸剂...（原文此处中断）
After recent childbirth, if pain occurs due to the struggle between blood and qi, it is called "Jia" (Mass). The term "Jia" implies a false or illusory nature, referring to the fact that the pain is floating and has no fixed location. This condition arises because the patient previously had stagnation of qi and blood.
Treating postpartum conditions: The zang-fu organs originally harbor wind-cold pathogens. When lochia (evil blood) discharges, it combines with wind-cold to form stagnant accumulations, resulting in Blood Jia (Blood Mass), leading to irregular menstruation. Hu Po San (Amber Powder) Formula:
Hu Po (Amber, half liang, finely ground) Liu Huang (Sulfur, half liang, finely ground) Sha (Realgar, one liang) Mo Yao (Myrrh, half liang) Qi Lin Jie (Dragon's Blood, half liang)
Ban Mao (Mylabris, one fen, remove head, wings, and feet, slightly stir-fried) Ma Zi (Horse seeds/nuts, nine pieces)
She Xiang (Musk, one fen, ground and added)
The above herbs are pounded into a fine powder through a silk sieve, mixed evenly with the pre-ground ingredients. Take one qian per dose, decocted with half a cup of wine, half a cup of child's urine, and seven Tao Ren (Peach Kernel, peeled and split).
Treating postpartum incomplete expulsion of lochia, which condenses into Blood Jia (Blood Mass), causing hardness and fullness in the abdomen, and loss of appetite. Rou Gui San (Cinnamon Bark Powder) Formula:
Rou Gui (Cinnamon Bark, one liang, remove rough bark) Dang Gui (Angelica Sinensis, half liang, sliced and slightly stir-fried) Pu Huang (Pollen Typhae, half liang) Niu Xi (Achyranthes Root, three qian, remove sprouts) Gui Jian Yu (Arrow Wood Branches, three qian)
Meng Chong (Bladder Flies, three qian, slightly stir-fried until yellow) Shui Zhi (Leech, half liang, stir-fried until yellow) Chuan Da Huang (Rhubarb, one liang, sliced and slightly stir-fried)
The above herbs are pounded into a fine powder through a silk sieve. Take one qian per dose before meals, mixed with warm wine.
Treating postpartum abdominal pain caused by Blood Jia (Blood Mass) in the abdomen. Dang Gui San (Angelica Sinensis Powder) Formula:
Dang Gui (Angelica Sinensis, one liang, sliced and slightly stir-fried) Chi Shao Yao (Red Peony Root, one liang) Shui Zhi (Leech, one liang, cooked熟) Meng Chong (Bladder Flies, one liang, remove wings and feet, slightly stir-fried) Er Tai Fa (Fetal Hair, small amount, calcined)
The above herbs are pounded into a fine powder through a silk sieve. Take one qian per dose daily on an empty stomach, mixed with warm wine. For severe cases, five doses are sufficient.
Treating postpartum Blood Jia (Blood Mass) accumulating into lumps, causing abdominal pain and distension. Hong Lan Hua San (Safflower Powder) Formula:
Hong Lan Hua (Carthamus Flower, half liang) Sha (Realgar, one fen, finely ground) Gui Xin (Cinnamon Heart, half liang) [Missing Character] (Half liang) Sheng Gan Di Huang (Dried Rehmannia Root, half liang)
The above herbs are pounded into a fine powder through a silk sieve. Take two qian per dose daily on an empty stomach, mixed with hot wine. Continue for three doses; evil substances will be discharged. After recovery... (Text ends abruptly)
Treating postpartum firm accumulation of Blood Jia (Blood Mass), which throbs upon palpation, inability of food and drink to nourish the flesh, sallow complexion, intolerance to labor, vomiting and rebellious qi, and amenorrhea.
Gan Qi (Processed Lacquer, two liang, crushed and stir-fried until smoke appears) Chuan Da Huang (Rhubarb, two liang, crushed and slightly stir-fried) Bai Zi Ren (Biota Seed, one liang) Niu Xi (Achyranthes Root, one liang, remove sprouts)
Ren Shen (Ginseng, one liang) Gui Xin (Cinnamon Heart, one liang)
... ten pieces, remove wings and feet
The above herbs are pounded into powder through a sieve, mixed with refined honey, and pounded three to two hundred times until pills the size of paulownia seeds are formed. Take ten pills daily on an empty stomach, washed down with hot wine.
Treating postpartum residual blood not fully expelled, forming Blood Jia (Blood Mass) in the abdomen, irregular menstruation, emaciation of the four limbs, and anorexia. [Missing Character] Wan (Pill) Formula:
[Missing Character] (One liang) Chuan Wu Tou (Aconite, three qian, processed, peel and umbilicus removed) Gui Xin (Cinnamon Heart, three qian) Fang Kui (Adenophora Root, half liang) Tao Ren (Peach Kernel, one liang, soaked in water, peeled and split, slightly stir-fried)
... Qun (Skirt edge, likely referring to Bie Jia)
Chi Shao Yao (Red Peony Root)
The above herbs are pounded into powder through a sieve, mixed with refined honey, and pounded three to five hundred times until pills the size of paulownia seeds are formed. Take twenty pills per dose before meals, washed down with warm wine.
Treating postpartum incomplete expulsion of lochia, forming Blood Jia (Blood Mass), alternating chills and fever, epigastric and abdominal fullness and pain, anorexia, emaciation of the four limbs, and occasional dry mouth. Bie Jia Wan (Turtle Shell Pill) Formula:
Bie Jia (Turtle Shell, one liang, coated with vinegar and roasted until yellow, remove skirt edge) Dang Gui (Angelica Sinensis, half liang, sliced and slightly stir-fried) Mu Xiang (Costus Root, half liang) Mu Dan Pi (Moutan Cortex, three qian) Chi Shao Yao (Red Peony Root, half liang, sliced and slightly stir-fried)
The above herbs are pounded into powder through a sieve, mixed with refined honey, and pounded five to seven hundred times until pills the size of paulownia seeds are formed. Take thirty pills per dose before meals, washed down with Tao Ren Tang (Peach Kernel Decoction).
Treating postpartum accumulation forming Blood Jia (Blood Mass), leading to amenorrhea and lower abdominal pain. Hu Po Wan (Amber Pill) Formula:
Hu Po (Amber, one liang, finely ground) Mo Yao (Myrrh, one liang) Dang Gui (Angelica Sinensis, one liang, sliced and slightly stir-fried) Chi Shao Yao (Red Peony Root, one liang) Jing San Leng (Curcuma Rhizome, one liang) Bie Jia (Turtle Shell...)
The above herbs are pounded into powder through a sieve, mixed with refined honey, and pounded three to two hundred times until pills the size of mung beans are formed. Take ten pills daily on an empty stomach, washed down with warm wine.
Treating postpartum failure of evil blood to dissipate, forming Blood Jia (Blood Mass) around the navel, causing stabbing pain and amenorrhea. Qi Lin Jie Wan (Dragon's Blood Pill) Formula:
Qi Lin Jie (Dragon's Blood, one liang) Chuan Da Huang (Rhubarb, one liang, sliced and slightly stir-fried) Sha (Realgar, one liang, finely ground) Gui Xin (Cinnamon Heart, one liang) Gan Qi (Processed Lacquer, one liang, crushed and stir-fried until smoke appears)
... Liang, stir-fried with vinegar until dry
The above herbs are pounded into powder through a sieve, mixed with paste made from boiling vinegar and flour, and pounded three to five hundred times until pills the size of peas are formed. Take ten pills on an empty stomach, washed down with Dang Gui Jiu (Angelica Wine).
Treating postpartum abdominal pain due to Blood Jia (Blood Mass) in the abdomen. Sha Wan (Realgar Pill) Formula:
Sha (Realgar, half liang) Gan Qi (Processed Lacquer, half liang, crushed and stir-fried until smoke appears) Ba Dou (Croton Seed, ten pieces, remove skin and heart, stir-fried with bran until smoke stops) Yuan Hua (Genkwa Flower, half liang, stir-fried with vinegar...) Si pieces, slightly stir-fried)
The above herbs are pounded into powder through a sieve, mixed with paste made from boiling vinegar and flour, and pounded three to two hundred times until pills the size of paulownia seeds are formed. Take one dose, using a small cup of urine and wine... (Text ends abruptly)
Treating postpartum deficiency-cold, residual blood not fully expelled, forming Blood Jia (Blood Mass), causing abdominal and hypochondriac pain. Yuan Hua Jian Wan (Genkwa Decoction Pill) Formula:
Yuan Hua (Genkwa Flower, one liang, powdered, boiled with three sheng of good vinegar until like paste) Mu Xiang (Costus Root, half liang) Fu Zi (Prepared Aconite Root, half liang, processed, peel and umbilicus removed) Hu Po (Amber, half liang)
Tao Ren (Peach Kernel... two liang, crushed and stir-fried...)
The above herbs are pounded into powder through a sieve, mixed with the previous Yuan Hua Jian (decoction/paste), add a little honey, and boil until consistent. When ready to pill, form pills the size of paulownia seeds. On an empty stomach... (Text ends abruptly)
Treating postpartum Blood Jia (Blood Mass), lump formation with stabbing sensations, and cardiac/abdominal pain. Pi Huang Wan (Arsenic Yellow Pill) Formula:
Pi Huang (Arsenic Yellow, half liang) Yuan Hua (Genkwa Flower, one liang, stir-fried with vinegar until yellow) Sha (Realgar, half liang, finely ground) Xiang Mo (Ink Stick, one liang) Fu Mei (Pot Soot, half liang) Dang Gui (Angelica Sinensis...)
The above herbs are pounded into powder through a sieve, boil one liang of black soybeans in vinegar, take the juice to cook paste, and mix with the powder to form pills the size of paulownia seeds. Take on an empty stomach daily, washed down with vinegar water... (Text ends abruptly)
Treating postpartum Blood Jia (Blood Mass) aggregation, stabbing pain in the abdomen and hypochondrium, unbearable pain. Mo Yao Wan (Myrrh Pill) Formula:
Mo Yao (Myrrh, half liang) Pi Shuang (Arsenic Trioxide, half liang) Liu Huang (Sulfur, half liang, finely ground) Qi Lin Jie (Dragon's Blood, half liang) Zhu Sha (Cinnabar, half liang, finely ground) Sha (Realgar, half liang)
The above herbs are all finely ground into powder, mixed with glutinous rice paste, and pounded three to two hundred times until pills the size of mung beans are formed. Take two to three pills on an empty stomach, washed down with Sheng Jiang Tang (Ginger Decoction).
Treating postpartum Blood Jia (Blood Mass), abdominal and hypochondriac pain, and unfavorable menstruation. It is suitable to take Xiang Mo Wan (Ink Stick Pill) Formula:
Xiang Mo (Ink Stick, half liang) Yuan Hua (Genkwa Flower, half liang, stir-fried with vinegar until dry) Jing San Leng (Curcuma Rhizome, one liang, slightly baked and sliced) Sha (Realgar, half liang, finely ground) Ba Dou (Croton Seed, one fen...)
The above herbs are pounded into powder through a sieve, boil the powder in one large bowl of vinegar. When ready to pill, form pills the size of mung beans. Take before meals, washed down with warm wine... (Text ends abruptly)
Treating postpartum disharmony of qi and blood, formation of persistent masses in the abdomen. Sheng Di Huang Jian Wan (Fresh Rehmannia Decoction Pill) Formula:
Sheng Di Huang (Fresh Rehmannia Root, ten jin, washed, pounded, and juiced) Gan Qi (Processed Lacquer, half jin, crushed, stir-fried until smoke appears, and powdered) Sheng Niu Xi (Fresh Achyranthes Root, five jin, pounded and juiced)
The above herbs: place the juices of the first two ingredients in a silver stone pot, boil over gentle to strong heat until thick like syrup, add the Gan Qi powder, stir evenly. When ready to pill, form... (Text ends abruptly)