黄 川芎 地骨皮(各六分) 人参 白术 当归 天冬 麦冬 白芍 枸杞 知母 生地
(各二钱) 茯苓 黄柏(炒各八分) 甘草(五分) 五味(十粒) 此丸方。上症加枣(三个)作
煎药服。
骨蒸劳热。服清骨散作汤药。不应。再服下方。
人参 当归 山药 枸杞(各一两) 麦冬 石斛(酒蒸各八钱) 银柴胡(六分) 生地(二两)
胡黄连(五钱) 黄柏(酒炒七钱) 另将门冬。地黄。先捣如泥。加紫河车(一具) 如系蒸
熟者亦另捣。然后入诸药末。和匀。捣匀为丸。若焙干河车则为末入药。捣匀蜜丸。
产后心痛。即胃脘疼。以胃脘在心之下。因伤寒气及冷物而作痛。且气近于心。故俗呼为心
痛。殊不知心为君主之官。主血行气。统驭脏腑。血气盛则泰然安。血不足则怔忡。惊悸。
而不安。心岂可痛乎。若真心痛。手足青黑色。旦发夕死。夕发旦死。昔已论之详矣。治法
当散胃中之寒气。消胃中之冷物。必用生化汤为主。而以散寒消食佐之。无有不安。若绵绵
而痛。可按而止。又无块痛在腹。则当论虚而加补也。其产后心痛腹痛二症。因寒食与气上
攻于心则心痛。下攻于腹则腹痛。二症治法。大约相同。均当用生化汤加肉桂。吴茱萸等热
药。以温散之可也。
(〔吴按〕心者君主之官。痛则无救。凡俗名心痛。皆胃脘气痛也。妇女最多。甚至呕逆
发厥。用胡索。五灵脂。丹参。当归。名加味拈痛散。屡效。)
黄柏、川芎、地骨皮（各六分），人参、白术、当归、天冬、麦冬、白芍、枸杞、知母、生地黄（各二钱），茯苓、黄柏（炒，各八分），甘草（五分），五味子（十粒）。这是制作丸剂的方子。上述症状若需改为汤剂服用，则加入大枣（三枚）。
出现骨蒸劳热（阴虚发热，感觉热自骨髓深处向外透发）的症状，先服用清骨散作为汤药。如果无效，再服用下面的方剂：
人参、当归、山药、枸杞（各一两），麦冬、石斛（酒蒸，各八钱），银柴胡（六分），生地黄（二两），胡黄连（五钱），黄柏（酒炒七钱）。另外，将天门冬、生地黄先捣烂成泥状，再加入紫河车（一个胎盘）。如果是已经蒸熟的紫河车，也单独捣烂。然后将其他药物的药末加入，混合均匀，再次捣匀制成丸剂。如果将紫河车焙干后磨成粉，则直接混入药中，搅拌均匀后用蜂蜜和丸。
产后心痛，实际上就是胃脘疼痛。因为胃脘位于心脏下方，由于感受寒邪或食用生冷食物而引起疼痛，且气机位置靠近心脏，所以俗称为“心痛”。殊不知心是君主之官，主司血液运行和气机升降，统率脏腑。气血旺盛时，身体安然舒适；气血不足时，会出现怔忡（心中悸动不安）、惊悸（受惊而心跳加速）等不安症状。心脏本身怎么会疼痛呢？如果是真正的真心痛，手足呈现青黑色，早晨发病晚上死亡，晚上发病早晨死亡，过去已经详细论述过了。治疗方法应当疏散胃中的寒气，消除胃中的积冷食物，必须以生化汤为主方，辅以散寒消食的药物，没有不能治愈的。如果是绵绵不断的隐痛，按压可以缓解，腹部又没有块状疼痛，那么应当辨析为虚证并加以补益。其产后心痛和腹痛两种症状，是因为寒邪、饮食停滞与气机上逆攻冲心脏则导致心痛，下攻腹部则导致腹痛。这两种症状的治疗方法大致相同，都应当使用生化汤加入肉桂、吴茱萸等温热药物，以温通散寒即可。
（〔吴氏按语〕心是君主之官，一旦真正疼痛则无法救治。凡是俗称的心痛，都是胃脘的气滞疼痛。妇女患此病最多，甚至出现呕吐逆气、四肢厥冷的症状，使用延胡索、五灵脂、丹参、当归，名为加味拈痛散，屡试屡效。）
Huangbai (Phellodendri Cortex), Chuanxiong Rhizoma, Digupi (Lycii Cortex) (each 6 fen), Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Danggui (Angelicae Sinensis Radix), Tiantong (Asparagi Radix), Maidong (Ophiopogonis Radix), Baishao (Paeoniae Radix Alba), Gouqi (Lycii Fructus), Zhimu (Anemarrhenae Rhizoma), Shengdi Huang (Rehmanniae Radix Praeparata) (each 2 qian), Fuling (Poria), Huangbai (Phellodendri Cortex) (stir-fried, each 8 fen), Gancao (Glycyrrhizae Radix et Rhizoma) (5 fen), Wuwei Zi (Schisandrae Chinensis Fructus) (10 berries). This is a formula for making pills. For the above symptoms, if decoction is required instead of pills, add Jujubae Fructus (3 fruits).
For symptoms of bone-steaming tidal fever (a sensation of heat steaming from the bones outward due to yin deficiency), first administer Qinggu San (Clearing Bone Powder) as a decoction. If ineffective, then administer the following prescription:
Renshen (Ginseng Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Shanyao (Dioscoreae Rhizoma), Gouqi (Lycii Fructus) (each 1 liang), Maidong (Ophiopogonis Radix), Shihu (Dendrobii Caulis) (wine-steamed, each 8 qian), Yinchaihu (Stellariae Radix) (6 fen), Shengdi Huang (Rehmanniae Radix Praeparata) (2 liang), Huhuanglian (Coptidis Rhizoma var. chinense or Coptidis Teetae Rhizoma) (5 qian), Huangbai (Phellodendri Cortex) (wine-stir-fried, 7 qian). Separately, mash Tianmendong (Asparagi Radix) and Shengdi Huang (Rehmanniae Radix Praeparata) into a paste. Add Zihewche (Placenta Humana). If the placenta has been steamed cooked, mash it separately. Then add the powders of the other herbs, mix evenly, and pound thoroughly to form pills. If the placenta is dried by baking and ground into powder, it is added directly to the medicine, mixed uniformly, and formed into honeyed pills.
Postpartum heart pain is actually epigastric pain. Because the epigastrium is located below the heart, pain arises from contracting cold pathogens or consuming cold substances, and since the qi mechanism is close to the heart, it is colloquially called "heart pain." However, one must not forget that the Heart is the sovereign official, governing blood circulation and qi movement, and commanding the zang-fu organs. When blood and qi are abundant, the body remains peaceful; when blood and qi are insufficient, palpitations (zhengchong) and startled palpitations (jingji) occur, leading to restlessness. How could the Heart itself suffer from pain? If it were true Zhenxin Tong (True Heart Pain), the hands and feet would turn blackish-blue, with death occurring in the evening if onset was in the morning, or in the morning if onset was in the evening. This has been discussed in detail previously. The treatment method should be to disperse cold pathogenic factors in the stomach and eliminate cold food stagnation in the stomach. One must primarily use Shenghua Tang (Invigorating Blood Decoction), assisted by herbs that dispel cold and promote digestion. There will be no case that cannot be cured. If the pain is continuous and dull, relieved by pressure, and there is no mass-like pain in the abdomen, one should analyze it as a deficiency syndrome and apply tonification. Regarding the two syndromes of postpartum heart pain and abdominal pain, these arise because cold pathogens, food stagnation, and rebellious qi attack upward toward the heart causing heart pain, or downward toward the abdomen causing abdominal pain. The treatment methods for these two syndromes are roughly the same; both should utilize Shenghua Tang added with Rougui (Cinnamomi Cortex) and Wuzhuyu (Evodiae Fructus) and other warming herbs to warm and disperse the cold.
([Wu's Commentary] The Heart is the sovereign official; if it truly suffers pain, it is incurable. All colloquial terms for "heart pain" refer to qi stagnation pain in the epigastrium. This is most common in women, sometimes even accompanied by vomiting, regurgitation, and cold extremities. Using Huyao (Curcumae Longae Rhizoma), Wulingzhi (Trogopterori Faeces), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), and Danggui (Angelicae Sinensis Radix), named Jiawei Nian Tong San (Modified Relieving Pain Powder), has proven frequently effective.)