产后七日内。未服生化汤。块痛未除。可用生化汤以清块痛。即三日内已服生化汤二三帖。
几帖。其块痛自除。
产后七日内。未可轻用参、术、黄 。恐块痛不止。若气血虚脱。或晕厥。或汗多而厥。或
烦渴不止。或气喘急脉脱。皆危急之症。亦须从权多用参 生化汤以
救之。如服后病有生机。又当减去参 。只服生化汤。以消其块痛。俟块痛已止。再用参
。暑月产妇服生化汤。本以消块痛。若腹失盖护。虽服生化汤。块痛终不消止。
产妇大便八九日不通。此血少肠燥也。宜用生化汤。加麻仁以通润之。服归芎以斤数。自然
参一二钱。慎勿用大黄等药以下之。
产后一二日内。已服生化汤二三帖。腹仍痛。然可揉按而止者。此虚也。宜生化汤加人参二
(〔吴按〕若拒按者实也。宜用加味生化汤。)
又产后七日内。感寒冷物。血凝作痛。宜生化汤加肉桂四五分。及至半月外。或一月以上。
气汤。
产后危症。从权用参以救也。若系肥人多痰。或暴怒卒中。只宜生化汤。加竹沥姜汁。
产毕血晕。速服大料生化汤神效。若实由禀弱。或胎前虚症所致。故产后倦厥。服生化汤一
钱。连进两帖可救。至或身热汗出。气促咽塞。神昏不舒。及胎前泻
。产后不止。昏倦等症。可于生化汤二帖。加人参一钱以救急。
产后血崩。晕倦厥去。如身心温暖。即挖开产妇口。灌加参生化汤。如不下咽。用鹅毛插入
腹渐热。药不拘数帖方可活。
产后血崩气脱。烦躁不宁。目瞑似邪。语言不正。速服生化汤。头煎后。即服定志养荣汤。
挟血如见鬼也。
产后手足冷厥。或口燥大渴。乃大虚危症。须大补以回生。如服加参生化汤后。犹渴。必用
后日久不食。服药即吐。用人参一二钱。加姜二三片。陈米一撮。另
用新罐煎服。以安胃气。凡产后诸危症。一日夜内。连服药三四帖乃可。若照常法服药。岂能
接将绝之气。救已急之危耶。
(〔吴按〕生谷芽灶心土煎化茶亦效。)
产后七日内，若未服用生化汤，瘀块疼痛未能消除，可以使用生化汤来清除瘀块引起的疼痛。即使在三日内已经服用了二三帖生化汤，只要再服几帖，其瘀块疼痛自然就会消除。
产后七日内，不可轻易使用人参、白术、黄芪等补气药，恐怕会导致瘀块疼痛不止。如果产妇出现气血虚脱，或者晕厥，或者汗出过多导致四肢厥冷，或者烦躁口渴不止，或者气喘急促且脉象微弱欲绝，这些都是危急的症状。此时也必须权宜行事，多用参附类药物配合生化汤来抢救。如服药后病情出现生机，又应当减去人参的用量，只服用生化汤，以消除瘀块疼痛。等到瘀块疼痛停止后，再用参类补益。夏季产妇服用生化汤，本意是为了消除瘀块疼痛；如果腹部失去保暖覆盖，虽然服用生化汤，瘀块疼痛终究无法消除。
产妇大便八九日不通，这是血少肠燥所致。适宜用生化汤，加入火麻仁以通润肠道。按照当归、川芎的剂量比例，加入人参一二钱，切勿使用大黄等泻下药来攻下。
产后一两天内，已服用生化汤二三帖，腹部仍然疼痛，但可以通过揉按而缓解停止的，这是虚证。适宜用生化汤加人参二钱。（吴谦按：如果是拒绝按压的，则是实证，适宜用加味生化汤。）
另外，产后七日内，感受寒冷之物，血液凝滞作痛，适宜用生化汤加肉桂四五分。到了半个月以后，或一个月以上，（此处原文可能有缺漏，结合语境推测为气虚或寒凝加重等情况，需参考上下文，但根据“气汤”二字疑似断句错误或残文，暂按前文逻辑处理，即针对后期症状调整）。
产后危重病症，权宜使用人参来急救。如果是肥胖多痰之人，或因暴怒猝中，只适宜用生化汤，加入竹沥和姜汁。
分娩后血晕，迅速服用大剂量的生化汤，效果神奇。如果确实是由于禀赋虚弱，或胎前就有虚症所致，所以产后疲倦厥逆，服用生化汤一钱，连续进服两帖可以挽救。至于身体发热出汗，气促咽喉堵塞，神志昏迷不适，以及胎前腹泻，产后不止，昏倦等症状，可以在生化汤两帖的基础上，加入人参一钱来急救。
产后血崩，出现晕厥疲倦四肢厥冷，如果身心温暖，就挖开产妇的口，灌服加参生化汤。如果药液咽不下去，用鹅毛插入喉咙刺激催吐或引导吞咽，腹部逐渐变热，药不拘泥于多少帖，才能救活。
产后血崩气脱，烦躁不安，闭目似有邪祟，言语错乱，迅速服用生化汤。头煎服完后，接着服用定志养荣汤。（此症）挟带血瘀如见鬼魅一般。
产后手足冰冷厥逆，或者口干燥大渴，这是大虚的危重病症，必须大补元气以回阳救逆。如服用加参生化汤后，仍然口渴，必定要用……（此处原文似有残缺，通常指进一步滋阴或温阳之品，依前文逻辑推断为继续调治）。日久不进食，服药即呕吐，用人参一二钱，加生姜二三片，陈米一撮，另用新罐煎服，以安顿胃气。凡是产后各种危重病症，在一昼夜内，连续服药三四帖才可以。如果按照常规方法服药，怎么能接续将绝之气，挽救紧急的危难呢？
Within seven days postpartum, if Shenghua Decoction (Invigorating Blood Decoction) has not been taken and pain from retained blood clots persists, Shenghua Decoction may be used to clear the clot-related pain. Even if two or three doses of Shenghua Decoction have already been taken within three days, after taking a few more doses, the pain from retained blood clots will naturally subside.
Within seven days postpartum, tonifying herbs such as Ginseng Radix et Rhizoma (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), and Astragali Radix (Huangqi) should not be used lightly, lest it cause the pain from retained blood clots to persist indefinitely. If the patient suffers from Qi and Blood collapse, syncope, excessive sweating leading to cold limbs, unceasing irritability and thirst, or rapid panting with a faint pulse, these are all critical conditions. In such cases, one must act flexibly and use large amounts of Ginseng combined with Shenghua Decoction to rescue the patient. If signs of life return after administration, the dosage of Ginseng should be reduced, and only Shenghua Decoction should be continued to eliminate the pain from retained blood clots. Once the pain from retained blood clots has ceased, tonics like Ginseng can then be reintroduced. In summer, parturient women take Shenghua Decoction primarily to eliminate pain from retained blood clots; if the abdomen is exposed to cold without proper covering, even if Shenghua Decoction is taken, the pain from retained blood clots will ultimately not subside.
If a parturient woman does not pass stool for eight or nine days postpartum, this is due to insufficient Blood causing dryness in the intestines. It is appropriate to use Shenghua Decoction supplemented with Semen Cannabisae (Huo Ma Ren) to moisten and unblock the bowels. Following the dosage ratio of Angelicae Sinensis Radix (Danggui) and Chuanxiong Rhizoma (Chuanxiong), add 1-2 qian of Ginseng Radix et Rhizoma (Renshen). Do not use Cathartics such as Rhei Radix et Rhizoma (Dahuang) to purge the bowels.
Within one or two days postpartum, if abdominal pain persists despite having taken two or three doses of Shenghua Decoction, but can be relieved by rubbing and pressing, this indicates a Deficiency pattern. It is appropriate to use Shenghua Decoction with an addition of 2 qian of Ginseng Radix et Rhizoma (Renshen). (Wu Qian notes: If the pain is aggravated by pressure, it indicates an Excess pattern, and Modified Shenghua Decoction should be used.)
Furthermore, within seven days postpartum, if pain arises from blood coagulation due to exposure to cold, it is appropriate to use Shenghua Decoction with an addition of Cinnamomi Cortex (Rougui) 4-5 fen. By the time half a month or more than a month has passed... [Text fragment implies adjustment for later stages].
For critical postpartum conditions, Ginseng is used flexibly for emergency rescue. For obese patients with abundant Phlegm, or those who suffer sudden stroke due to violent anger, only Shenghua Decoction supplemented with Bamboo Sap (Zhuli) and Ginger Juice (Jiangzhi) is suitable.
For postpartum blood syncope, rapidly administering a large dose of Shenghua Decoction yields miraculous results. If the condition is indeed caused by constitutional weakness or pre-existing deficiency during pregnancy, resulting in postpartum fatigue and syncope, administering 1 qian of Shenghua Decoction and continuing for two doses can save the patient. For symptoms such as fever with sweating, shortness of breath with throat obstruction, mental confusion and discomfort, as well as diarrhea present before delivery that continues postpartum, along with coma and fatigue, add 1 qian of Ginseng Radix et Rhizoma (Renshen) to two doses of Shenghua Decoction for emergency rescue.
In cases of postpartum metrorrhagia (profuse bleeding) accompanied by syncope, fatigue, and cold limbs, if the body and mind feel warm, open the patient's mouth and pour in Ginseng-supplemented Shenghua Decoction. If the medicine cannot be swallowed, insert a goose feather into the throat to induce swallowing or stimulate the gag reflex. Once the abdomen gradually becomes warm, the number of doses is not fixed until the patient survives.
For postpartum metrorrhagia with Qi collapse, restlessness, eyes closed as if possessed, and incoherent speech, rapidly administer Shenghua Decoction. After the first decoction, immediately follow with Dingzhi Yangrong Decoction (Calming Spirit and Nourishing Blood Decoction). This condition involves blood stasis manifesting as hallucinations of seeing ghosts.
Cold limbs and syncope of the hands and feet postpartum, or extreme dryness of the mouth with great thirst, indicate a critical state of severe Deficiency. Profound tonification is required to restore life. If thirst persists after taking Ginseng-supplemented Shenghua Decoction, further treatment is necessary... [Text fragment]. If long-term lack of food intake leads to vomiting upon taking medicine, use 1-2 qian of Ginseng Radix et Rhizoma (Renshen), 2-3 slices of Zingiberis Rhizoma Recens (Shengjiang), and a pinch of aged rice (Chenmi). Decoct separately in a new pot to calm the Stomach Qi. For any critical postpartum condition, administering three to four doses continuously within twenty-four hours is necessary. If treated according to standard methods, how could one possibly reconnect the dying Qi and rescue the acute crisis?
(Wu Qian notes: Decocting Sprouted Grain (Sheng Guya) and Caulis Bambusae in Medulla (Zao Xin Tu) to dissolve tea is also effective.)