《大全》云∶产后痢疾者，因行起太早，使冷风乘虚入于肠胃，或食生冷难化之物，伤
胃，皆令洞泄水泻，甚则变为痢。若血渗入肠则为血痢也，难治。世谓之产后痢也。得冷则
白，或如鱼脑，热则黄赤，或为骤血。若冷热相搏则下痢赤白，或脓血相杂。若下痢青色，
则极冷也。若饮食不进，便痢日夜无度，瘦之羸弱，谓之虚羸下痢。又有产后气血不顺而下
痢赤白，谓之气痢。治之之法，热则凉之，寒则温之，冷热相搏则调之。滑者涩之，虚羸者
补之，水谷不分者当利小便。若产妇情性热着，不能宽解，须当顺其气，未有不安者也。与
泄泻参看。
《大全》云∶妇人乳汁乃气血所化，其或不行者，由虚弱经络不调所致。或产后乳胀，
作者，此年少之人初经产乳，内有风热也。须服清理之药则乳行。若累经产而无乳者，亡津
液故也，须服滋阴之药以助之。或虽有乳而不多者，须服通经之药以通之，仍以羹 引之
。盖妇人之乳汁资以冲脉，冲与胃经通故也。按《三因方》云∶乳汁不行有二∶有血气盛而
壅闭不行，有血少气弱涩而不行者。虚当补之，盛当疏之(盛者当用通草、漏芦、土瓜根，
虚者当用炼成钟乳粉、猪蹄、鲫鱼之属)。薛氏曰∶若气血虚弱而不生化者，宜壮脾胃，怒
动肝胆而乳肿、乳汁不出者，宜清肝火。若夫屡产无乳或大便涩滞，当滋化源。未产前乳汁
自不出者，谓之乳泣。
乳头生小浅热疮，搔之黄汁出，浸淫渐大，百疗不瘥，动经年月，名为妒乳。若感外受
之邪
与气血相搏，即壮热大渴引饮，牢强掣痛，手不近是也。若夫不得于舅姑，忧怒郁遏，时日
累积，脾气清汨肝气横逆，遂成隐核如鳖棋子，不痛不痒，十数年后方为疮陷，名曰乳岩(
仲圭曰∶本病若在未成溃疡以前，以香附饼治之良效。方用香附细末一两，麝香二分，研匀
，以蒲公英二两，酒煎去渣，以酒调药，乘热敷患处，日数次。如已成溃疡者，应受外科之
治疗，特本症之病原既由肝脾抑郁而起，则怡情悦情又为至要。汤剂以逍遥散与归脾汤间服
。至于性情如何怡悦，则莫如披阅内典，以了解人生观为上策)。
《妇人大全良方》记载：产后患痢疾，是因为过早起身活动，导致冷风趁虚侵入肠胃，或者食用了生冷难消化的食物，损伤胃气，这些情况都会导致腹泻如水，严重时则转变为痢疾。如果血液渗入肠道，就会变成血痢，这种病症难以治疗，世人称之为“产后痢”。感受寒邪的，大便呈白色，或者像鱼脑一样；热邪盛的，大便呈黄红色，或者出现突然的大量出血。如果冷热邪气相互搏结，就会排出赤白相间的痢疾，或者脓血混杂。如果排出青色痢疾，说明寒气极重。如果饮食无法进入，同时日夜无节制地腹泻，身体消瘦虚弱，这称为“虚羸下痢”。还有因为产后气血运行不畅而导致的赤白痢疾，称为“气痢”。治疗的原则是：热证用凉法治疗，寒证用温法治疗，冷热相搏则调和之；滑泄不止的用固涩法，身体虚弱的用补益法，水谷不分（小便不利、大便稀溏）的应当通利小便。如果产妇性情急躁易怒且内热盛，不能自我宽解，应当顺调其气机，没有不安稳的道理。此病可与泄泻篇参看。
《妇人大全良方》又记载：妇女的乳汁是由气血化生而成的，乳汁不行的原因，是由于身体虚弱、经络不调所致。如果是产后乳房胀痛且乳汁不通，这是年轻女性初次生育哺乳，体内有风热所致。需要服用清热理气的药物，乳汁即可通畅。如果多次生育后仍然没有乳汁，这是因为津液耗竭的缘故，需要服用滋阴的药物来辅助。如果虽然有乳汁但量不多，需要服用通经活络的药物来疏通，并且配合汤羹引导。因为妇女的乳汁来源于冲脉，冲脉与胃经相通的关系。参考《三因方》记载：乳汁不行有两种情况：一种是血气旺盛导致壅塞闭阻而不行，另一种是血少气弱导致涩滞而不行。虚证应当补益，实证应当疏泄（实证者应当使用通草、漏芦、土瓜根等药，虚证者应当使用炼制的钟乳粉、猪蹄、鲫鱼等物）。薛己说：如果是气血虚弱而不能生化乳汁的，应当强壮脾胃；如果是因愤怒导致肝胆火旺而出现乳房肿胀、乳汁不出的，应当清泻肝火。如果是多次生产后无乳汁，或者大便干结涩滞的，应当滋养生化的源头。产前乳汁自然流出的，称为“乳泣”。
乳头生出浅表的小热疮，搔抓后有黄色汁液流出，逐渐蔓延扩大，各种治疗都不见效，持续经年累月，这称为“妒乳”。如果感受外来的邪气，与气血相互搏结，就会出现高热、大渴引饮、局部坚硬强直、牵拉疼痛，手不敢触碰患处。如果因为不被公婆喜爱，忧愁愤怒郁结，时日累积，导致脾气不清爽而肝气横逆，最终形成隐核如鳖棋子大小的肿块，不痛不痒，十数年后才溃烂成疮，这称为“乳岩”（仲圭说：本病如果在未形成溃疡之前，用香附饼治疗效果良好。方子是用香附细末一两，麝香二分，研匀，再用蒲公英二两，酒煎去渣，用酒调制药粉，乘热敷在患处，每天数次。如果已经形成溃疡，应该接受外科治疗，特别指出本症的病因既由肝脾抑郁引起，那么调节心情愉悦又是至关重要的。汤剂可以交替服用逍遥散和归脾汤。至于如何使性情愉悦，莫过于阅读佛道经典，以了解人生观为上策）。
The *Daquan* (Compendium of Great Health) states: Dysentery occurring postpartum is caused by rising and moving too early, allowing cold wind to enter the intestines and stomach due to deficiency, or by consuming raw, cold, and indigestible foods that damage the Stomach. All these conditions lead to profuse watery diarrhea, which may severe into dysentery. If blood seeps into the intestines, it becomes bloody dysentery, which is difficult to treat; this is commonly referred to as "postpartum dysentery." When affected by cold, the stool is white or resembles fish brains; when affected by heat, it is yellow-red or presents as sudden hemorrhage. If cold and heat pathogens contend with each other, red and white dysenteric stools are passed, or pus and blood are mixed. If green dysenteric stools are passed, it indicates extreme cold. If food intake ceases, accompanied by unceasing day-and-night diarrhea, leading to emaciation and weakness, it is termed "deficiency-emaciation dysentery" (Xu Lei Xia Li). Additionally, red and white dysentery caused by the stagnation of Qi and Blood postpartum is called "Qi dysentery" (Qi Li). The treatment principles are: for heat patterns, use cooling methods; for cold patterns, use warming methods; for contending cold and heat, use harmonizing methods; for slippery/uncontrolled discharge, use astringent methods; for deficiency-emaciation, use tonifying methods; for the inability to distinguish water and grain, promote diuresis. If the parturient has a hot temperament and cannot relax, her Qi mechanism must be smoothed, ensuring stability. This condition should be cross-referenced with the section on Diarrhea.
The *Daquan* further states: Women's milk is transformed from Qi and Blood. Its failure to flow is caused by physical weakness and disharmony of the meridians. If there is breast distension and pain with milk stasis after childbirth, this occurs in young women during their first lactation due to internal Wind-Heat. Medications that clear heat and regulate Qi should be administered to promote milk flow. If a woman who has given birth multiple times still lacks milk, it is due to the depletion of Body Fluids; nourishing Yin medications should be taken to assist. If milk exists but is scanty, medications that unblock the meridians should be used to facilitate flow, supplemented by soups or broths as guides. This is because women's milk originates from the Chong Mai (Penetrating Vessel), which connects with the Stomach Meridian. According to the *Sanyin Fang* (Formulas of Three Causes), there are two types of milk stasis: one where abundant Qi and Blood cause obstruction and blockage, and another where deficient Blood and weak Qi cause涩滞 (stagnation). Deficient patterns require tonification, while excess patterns require dispersion (for excess patterns, use Tongcao, Lulü, and Tugua Gen; for deficient patterns, use refined Zhongru Fen, pig trotters, and crucian carp). Xue Ji stated: For those whose Qi and Blood are weak and fail to transform milk, strengthen the Spleen and Stomach. For those whose anger moves Liver and Gallbladder fire, causing breast swelling and milk stasis, clear Liver Fire. For those lacking milk after multiple births or suffering from constipation, nourish the source of transformation. Milk flowing spontaneously before delivery is called "Ru Qi" (Milk Weeping).
Small superficial heat sores appearing on the nipple, oozing yellow fluid upon scratching, spreading gradually, resistant to all treatments, and persisting for years, are named "Du Ru" (Jealous Breast). If external pathogenic factors invade and contend with Qi and Blood, symptoms include high fever, intense thirst requiring drinking, firm rigidity, pulling pain, and tenderness such that the area cannot be touched. If distress arises from not being favored by parents-in-law, leading to accumulated sorrow and anger, causing Spleen Qi to become turbid and Liver Qi to flare horizontally, hidden nodules like turtle eggs form, painless and itchless, only ulcerating into sores after ten or more years; this is named "Ru Yan" (Breast Rock/Cancer). (Zhong Gui noted: Before ulceration forms, applying an Xiangfu cake is highly effective. The formula consists of 1 liang of fine Xiangfu powder and 2 fen of Shexiang, ground together. Two liang of Pugongying is decocted in wine, strained, and the wine is used to mix the medicine. Apply warm compresses to the affected area several times daily. If ulceration has already occurred, surgical treatment is required. Notably, since the etiology stems from Liver-Spleen depression, emotional regulation is paramount. Decoctions can alternate between Xiaoyao San and Guipi Tang. As for how to achieve emotional joy, reading Buddhist and Daoist classics to understand life philosophy is the best strategy.)