产后腹满闷，呕吐不定者，因败血散于脾胃，脾受之则不能运化精微而成腹胀，胃受之
则不
能纳受水谷而生吐逆(此言虽泥于败血，而方中加参立斋纯于补气，似近于偏，临症似宜斟
酌)。若以寻常治胀止吐之药治之，病与药不相干，更伤正气，疾愈难治，但服抵圣汤则愈
。
赤芍 半夏 泽兰 橘红 人参(各一钱) 炙甘草(五分) 生姜(三片)
水煎服。
产后口干痞闷者，因食面太早(为食面者之戒，南人甚少于饮食，皆能致痰，不必拘于
一面
也)，不能消化，积聚于胃脘，上熏胸中，是以口干燥渴，心下痞闷，或产母内积忧烦，外
伤燥热，饮食肥甘，亦使口干痞闷，当随其所因调之可也，慎不可下。
四肢浮肿，败血乘虚停积，循经流入四肢，留淫日深，腐坏如水，故令面黄浮肿，不可
遽投
甘遂大戟等药，以导其水。夫产后必虚，又以药虚之，是谓重虚，多致夭枉。殊不知浮肿不
一，有自怀妊肿至产后不退者，亦有产后失于将理，外感风寒暑湿，内则喜怒忧惊，血与气
搏，留滞经络，不得宣越，故虚肿轻浮，是邪客于气，气肿也。若皮肤如熟李状，则变为水
。气肿者发汗即愈，水肿者利小便乃瘥也。
按∶产后浮肿，气分血分不可不辨(气分者先肿而后经断，血分先经断而后水肿)。然亦
审其
所因脉症以治之。如寒水侮土，宜养脾。肺气虚浮肿，宜益脾胃。水气浮肿，宜补中益气。
丹溪云∶产后浮肿，宜大补气血为主，少佐苍术、茯苓，使水自利。
产后腹部胀满闷塞，呕吐不定的，是因为败血（瘀血）散乱于脾胃。脾脏受邪则不能运化精微物质而形成腹胀；胃腑受邪则不能受纳水谷而产生呕吐逆气。（此段论述虽然拘泥于败血致病，但方剂中加入人参、白术等补气药，偏向于纯补正气，似乎略显偏颇，临证时应当斟酌使用）。如果用通常治疗腹胀和止吐的药物来治疗，药物与病机不相干，反而更伤正气，疾病就难以治愈，只要服用抵圣汤即可痊愈。
赤芍、半夏、泽兰、橘红、人参（各一钱），炙甘草（五分），生姜（三片）。
用水煎服。
产后出现口干、胸脘痞闷的，是因为过早食用面食（这是给吃面食者的戒律，南方人很少在饮食中摄入面食，但也都能导致痰湿，不必拘泥于只吃面食这一种情况），食物不能消化，积聚在胃脘部，向上熏蒸胸中，所以口干燥渴，心下痞闷。或者是产母体内积聚忧烦情绪，外部受到燥热侵袭，加上饮食肥甘厚味，也会导致口干痞闷，应当根据病因进行调理即可，千万不可使用泻下法。
四肢浮肿，是因为败血乘虚停滞积聚，顺着经络流入四肢，停留浸淫日久深入，腐败坏变如水样，所以导致面色黄且浮肿。不可以立刻投用甘遂、大戟等峻猛逐水药物，来导引排出积水。因为产后身体必然虚弱，再用药物使其更加虚弱，这叫做重虚，多会导致早亡。殊不知浮肿有多种情况，有从怀孕时开始肿直到产后也不消退的；也有产后失于调养护理，外感风寒暑湿邪气，内因喜怒忧惊等情志失调，血与气相互搏结，留滞于经络，不得宣通发散，所以出现虚性浮肿、轻浮的症状，这是邪气客居于气分，属于气肿。如果皮肤像熟李子那样有光泽或纹理变化，则转变为水肿。气肿者通过发汗即可痊愈，水肿者通过利小便才能康复。
按语：产后浮肿，气分和血分的病机不可不辨别清楚（气分者先出现浮肿而后月经停止，血分者先月经停止而后出现水肿）。然而也要审察其病因脉象症状来治疗。如寒水侮土（肾水反侮脾土），宜养护脾脏。肺气虚导致的浮肿，宜补益脾胃。水气浮肿，宜补中益气。朱丹溪说：产后浮肿，宜以大补气血为主，稍加苍术、茯苓，使水液自然排泄。
After childbirth, if the abdomen is full and stifling with irregular vomiting, it is due to *Bai Xue* (stasis blood) scattering into the Spleen and Stomach. When the Spleen is affected, it cannot transform and transport fine nutrients, resulting in abdominal distension; when the Stomach is affected, it cannot receive and digest food and fluids, leading to vomiting and reflux. (Although this explanation adheres strictly to stasis blood as the cause, the prescription adds Ginseng and Atractylodes macrocephala to purely tonify healthy Qi, which seems somewhat biased; clinical application should be judicious). If ordinary medicines for treating distension and stopping vomiting are used, the medicine will not address the pathology, further damaging healthy Qi, making the disease harder to cure. However, taking Di Sheng Tang will lead to recovery.
Red Peony Root (*Chi Shao*), Pinellia Tuber (*Ban Xia*), Landolphia Vine (*Ze Lan*), Tangerine Peel (*Ju Hong*), Ginseng Root (*Ren Shen*) (each 1 qian), Roasted Licorice Root (*Zhi Gan Cao*) (0.5 qian), Fresh Ginger (*Sheng Jiang*) (3 slices).
Decoct in water and take orally.
If postpartum dryness of the mouth and chest/epigastric stifling occur, it is because noodles were consumed too early (this serves as a warning for those consuming noodles; people in the South rarely consume noodles in their diet, yet can still generate phlegm-dampness, so one should not rigidly adhere only to noodle consumption). The food cannot be digested, accumulates in the epigastrium, and steams upward into the chest, causing dry mouth and thirst, and stifling sensation below the heart. Alternatively, if the mother has internal accumulation of worry and vexation, external injury from dry-heat pathogens, or consumes rich and sweet foods, these also cause dry mouth and stifling. One should regulate according to the specific cause. Caution: do not use purgative methods.
Edema of the four limbs occurs when stasis blood, taking advantage of deficiency, stagnates and accumulates, flowing along the meridians into the limbs. Lingeringly infiltrating over days and months, it corrupts and transforms into fluid-like substance, causing yellowish complexion and edema. Do not hastily administer harsh water-draining drugs such as Kansui Root (*Gan Sui*) or Kytotheca Root (*Da Ji*) to guide out the water. Since the postpartum state is inherently deficient, using drugs to further deplete it constitutes "double deficiency," often leading to premature death. It is unknown that edema varies: some swelling begins during pregnancy and does not resolve after childbirth; others result from poor postpartum care, where external invasion of Wind-Cold, Summer-Heat, and Dampness, combined with internal emotional disturbances (anger, joy, worry, fright), causes Qi and Blood to contend and stagnate in the collaterals, unable to diffuse and ascend. This results in deficiency-type, light, and floating edema, known as Qi Edema, where pathogenic factors reside in the Qi level. If the skin resembles that of a ripe plum, it transforms into Water Edema. Qi Edema resolves through sweating; Water Edema resolves through promoting urination.
Note: In postpartum edema, the differentiation between Qi-level and Blood-level pathology must not be neglected (Qi-level: edema appears first, followed by cessation of menstruation; Blood-level: menstruation ceases first, followed by edema). However, treatment must be based on careful examination of etiology, pulse, and symptoms. For example, when Cold-Water insults Earth (Kidney Water insulting Spleen Earth), nourishing the Spleen is appropriate. For edema due to Lung Qi deficiency, benefiting the Spleen and Stomach is indicated. For Water-Qi edema, tonifying Middle Jiao and augmenting Qi is suitable. Zhu Danxi stated: For postpartum edema, the primary approach should be greatly tonifying Qi and Blood, with minor additions of Atractylodes Rhizome (*Cang Zhu*) and Poria (*Fu Ling*), allowing water to drain naturally.