立斋曰∶妇人气血方盛，乳房作胀，或无儿饮，痛胀寒热，用麦芽二三两炒熟，水
煎服，中正消取。其消散精华，以绝乳之源也。麦芽耗散之力可见，故《本草》谓其能
消肾也，若郁怒肝火炽盛，为肿为痛者，自当疏肝散郁，兼以养血和血，则肝阳不强，
而肿自退。若郁结弥甚，血滞不舒，更由乳汁壅积，溃而成脓，则为乳痈矣。气血大
伤，尤宜重为滋补，少佐疏肝解毒，若专事情解，则溃者难脓，而脓者难长矣。
产后阴脱者，多由妇人生产用力太过，致阴下脱及阴下挺，逼迫肿痛，举重房劳，
皆能发作，清水续续，小便淋沥，宜内服升补，外以硫磺、乌贼骨、五味子为末掺之。
产门不闭，由元气素弱，胎前失于调养，以致血气不能收摄故也，十全大补汤。有初
产阴户肿胀，或 痛不闭，肝经虚热也，加味逍遥散。若肿不闭者，补中汤，加五味子。虽
甚肿热，切忌寒凉，产后诸证，总以气血大虚为主，况阴挺下脱，玉门不闭，皆由气虚血脱
乎！丹溪立斋医按，见症种种，而治疗无非参 归地，加以升提收涩耳。甚有子富肿大，二
日方入，损落一片，如猪肝，面色痿黄，潮热自汗，懒食困倦，用十全大补汤，三十剂而愈。
产后诸症，其源有三，曰血虚火动，曰败血妄行，曰饮食过伤。何以明之？气属阳
也，血属阴也，《经》曰∶阳虚生外寒，阴虚生内热，盖产后去血过多，血虚火动，而
为烦躁发热之类，一也。血犹水也，水之就下，性也。然搏而跃之，可使过颡，激而行
之。可使在山，非水之性也，势使之然也。产后虚火上升，败血一行，而为头晕腹痛之
类，二也。《经》云∶少火生气，壮火蚀气。东垣云∶火为元气之贼，势不两立，一胜则
一负。产后元气大伤，脾胃虚弱，且土位无母，难以蒸腐五谷。若饮食过伤，则为痞满
吐泻之类，三也。治之之法，血虚大动则补之。败血妄行则散之，饮食过伤，则助脾胃
以消之。丹溪曰∶凡产后气血亏极之际，调治一切诸症，皆以大补气血为主，虽有杂症，
以未治之。
产后调理煎方
治气血虚弱，腰背疼痛，虚热往来，咽干喉痛，将成蓐劳。
熟地（五钱，炒干） 麦冬（炒燥） 白
术（乳拌炒，各二钱） 白芍（一钱二分，酒炒） 茯苓（一钱五分） 杜仲（二钱，酒拌炒
黄） 续断（一钱五分） 明牛膝（二钱） 黑姜（六分） 如恶露不行，水煎温服。
生化汤
产后生新去瘀，神效。
当归（三钱） 川芎（一钱） 桃仁（十三粒） 黑姜（一钱） 炙甘草（八分） 水煎服。
夺命丹
治产后血入衣中，胀满冲心，久而不下。
附子（炮，去皮。脐） 牡丹皮 干漆（炒令烟尽，各一两） 为末，用酸醋一升，
入大黄末一两，熬膏和药丸，桐子大，温酒下五十丸。
一方
治产后生肠不收。用枳壳二两，煎汤温浸，良久即入。
一方
治妇人子宫不收。
荆芥（中） 霍香叶（中） 臭椿皮（上） 煎汤熏洗，子宫即入。
一方
胎衣不下，子死腹中。用朴硝二钱，热童便调饮，立下。
四味汤
疗才分娩，一切诸疾。
当归 玄胡索 血竭 没药（各五分） 一方加红花。为末，用热童便半钟调服。
当归血竭丸
治产后恶物不下，结聚成块，心胸痞闷，胁下坚痛。
当归（炒） 血竭 蓬术 芍药（各一钱）
一方有五灵脂。为末，醋糊丸，桐子大，每服五六十丸，温酒空心食前服。
瑞莲散
治产后恶血崩漏，状如泉水。
瑞莲（一百枚，烧灰存性） 棕榈（烧灰存性） 当归（各一两） 官桂（五钱） 槟榔（一枚
）鲤鱼鳞（炒） 川芎（各七钱五分） 为末，每服三钱，煨生姜酒调，如未血，更进
一服，如血崩，此药涩治，连进三服即止。
千金散（即十全大补汤料）
治产后虚劳不能食。
白术 茯苓 黄 （各一两） 人参 川芎 熟地黄 芍药 当归（各一两） 肉桂（一两五
钱） 甘草（炒，五钱） 咀，每服一两，姜枣水煎，空心温服。
人参汤
治产后诸虚不足，发热盗汗。
归身 人参（各等分） 为末，用猪腰子一个，去膜，切作片子，以水三升，糯米半
合，葱白二茎，煮末熟，取清汁一钟，入药二钱，煎至八分服。
茯苓散
治产后蓐劳，因生产日浅，运动用力，四肢寒痛，寒热加疟。
茯苓（一两） 当归 川芎 桂心 白芍 黄 人参 熟地黄（各五钱） 水二钟，入
猪肾一双，去脂膜，细研，姜三片，枣二枚，同煎一钟，去肾、姜、枣，入没药五
分，煮取七分，去渣食，作二次温服。
参苏饮
治妇人产后血入于肺，面赤发喘几死者。
人参（一两，为末） 苏木（二两，捶碎） 水二碗，煎苏木一碗，去渣，调入参
末。随时加减服。
麻仁丸
治产后去血津枯，大便闭涩。
麻子仁（另研。上） 枳壳（麸炒、上） 人参（中） 为末，蜜丸，桐子
大，每服五十丸，温酒送下。
一方
治产后用力太过，阴门突出。用四物汤
煎熟。入龙骨末少许，空心连进二服，用麻油和汤熏洗即收。
猪蹄汤
治奶妇气力少衰，脉温不行，乳汁不通。
猪蹄（一只） 通草（五两） 上将猪蹄洗净，用水一斗，煮作羹，食之。
有一乳妇少，家中偶煮红豆，因吃豆及汤，当夜乳出如涌泉，后屡用皆效。
涌泉散
因气乳汁少。
瞿麦穗 麦门冬 王不留行 穿山甲（炮黄） 紫龙骨（等分） 为末，每服一钱，
热酒调下。先食猪蹄羹，后服药，以木梳梳乳上三十余下，日三服。谚曰∶穿山甲，王
不留，妇人吃了乳常流。
返魂丹
治生产诸证；并死胎恶而胎衣不下，横生逆产。产前清热养血，产后推陈致新，并效。
野大麻（一名益母草，四五月开紫花时采花。叶子，阴干，半斤） 赤芍药（六钱） 当
归（七钱） 木香（五钱） 为末，蜜丸弹子大，或童便酒，或薄荷汤，或米饮，或桂枝汤，
或枣汤，或秦艽汤，随侯酌汤，化下一丸。
当归羊肉汤
治产后发热自汗，肢体疼痛，名曰蓐劳。
黄 （一两） 人参 当归（七钱） 生姜（五钱） 肥羊肉（一斤） 煮汁去肉，入前药煎服。
如恶露不尽，加桂，辛热，自能行血也。
趁痛散
治产后血滞，筋脉拘挛，腰背强直，遍身疼痛。
黄 当归（酒浸） 官桂（不见火） 白术 独活 生姜（五钱） 川牛膝（酒浸，
五钱） 甘草（炙，三钱） 薤白（三钱五分）
咀，每服四钱，水煎服。加桑寄生半两，尤佳。川牛膝，须择粗肥长润明黄色者佳。
北方以黑色者为川牛膝，黄色者为怀牛膝误也。《纲目》注云∶黑者为雌牛膝，坚脆
无力，故南方从勿入药也。
薛立斋说：妇女气血正旺盛时，乳房发胀，如果没有婴儿吸吮，会出现疼痛、肿胀、怕冷和发热等症状，可用炒熟的麦芽二三两，用水煎服，能迅速消退。麦芽具有消散精华的作用，从而断绝乳汁的来源。由此可见麦芽耗散之力很强，所以《本草》中说它能消肾气。如果是因郁怒导致肝火炽盛，引起乳房红肿疼痛的，自然应当疏肝解郁，兼以养血和血，这样肝阳不亢，肿胀自然消退。如果郁结非常严重，血液停滞不畅，再加上乳汁壅积，溃烂化脓，这就成了乳痈。此时气血大伤，尤其应该着重滋补，稍加疏肝解毒的药物，如果只专注于清热解毒，那么已经溃破的就难以生肌长肉，已经化脓的就难以愈合。
产后阴户脱出的，多由妇女生产时用力过度，导致阴部下脱及阴挺，伴有逼迫性肿痛，提重物或房事劳累，都能诱发此病，伴有清水不断流出，小便淋漓不尽，宜内服升提补益的药物，外用硫磺、乌贼骨、五味子研成末撒敷。
产门不闭合，是由于元气素来虚弱，怀孕期间失于调养，导致气血不能收摄的缘故，用十全大补汤治疗。有初产妇阴户肿胀，或疼痛不闭，这是肝经虚热所致，用加味逍遥散治疗。如果肿胀且不闭合的，用补中益气汤，加五味子。即使肿胀很厉害且有热象，也切忌使用寒凉药物，产后各种病症，总以气血大虚为主，何况阴挺下脱、玉门不闭，都是由气虚血脱引起的！丹溪和立斋的医案显示，症状种种不同，但治疗无非是用参、归、地等药，加上升提收涩的药物罢了。甚至有孕妇腹部肿大，过了两天胎儿才出来，死胎脱落一片，像猪肝一样，面色萎黄，潮热自汗，食欲不振，困倦乏力，用十全大补汤，服用三十剂后痊愈。
产后各种病症，其根源有三条：一是血虚火动，二是败血妄行，三是饮食过伤。怎么说明呢？气属于阳，血属于阴，《内经》说：阳虚则生外寒，阴虚则生内热。大概因为产后失血过多，血虚导致火动，出现烦躁发热等症状，这是一。血就像水一样，水往低处流是它的本性。但是如果拍打跳跃它，可以使它高过额头；激荡引导它，可以使它流向山上，这并不是水的本性，而是形势迫使它这样的。产后虚火上升，败血妄行，出现头晕腹痛等症状，这是二。《内经》说：少火生气，壮火食气。李东垣说：火是元气的贼寇，二者势不两立，一方胜则另一方负。产后元气大伤，脾胃虚弱，且土位无母（指脾土缺乏肾水滋养），难以腐熟五谷。如果饮食过伤，就会出现痞满、呕吐腹泻等症状，这是三。治疗的方法：血虚大动则补益它；败血妄行则消散它；饮食过伤，则助益脾胃以消除它。朱丹溪说：凡是产后气血极度亏虚的时候，调理治疗一切诸症，都以大补气血为主，虽然有杂症，也不先去治它们。
产后调理煎方
治疗气血虚弱，腰背疼痛，虚热往来，咽干喉痛，即将形成蓐劳。
熟地黄（五钱，炒干） 麦冬（炒燥） 白术（乳拌炒，各二钱） 白芍（一钱二分，酒炒） 茯苓（一钱五分） 杜仲（二钱，酒拌炒黄） 续断（一钱五分） 明牛膝（二钱） 黑姜（六分） 如果恶露不行，水煎温服。
生化汤
产后生新去瘀，效果神奇。
当归（三钱） 川芎（一钱） 桃仁（十三粒） 黑姜（一钱） 炙甘草（八分） 水煎服。
夺命丹
治疗产后血入衣中（指胎盘残留或瘀血滞留），胀满冲心，久而不下。
附子（炮制，去皮脐） 牡丹皮 干漆（炒至烟尽，各一两） 研成末，用酸醋一升，加入大黄末一两，熬成膏调和药丸，如梧桐子大，温酒送服五十丸。
一方
治疗产后直肠脱出。用枳壳二两，煎汤温浸，良久即回纳。
一方
治疗妇人子宫脱垂。
荆芥（中品） 藿香叶（中品） 臭椿皮（上品） 煎汤熏洗，子宫即可回纳。
一方
治疗胎衣不下，子死腹中。用朴硝二钱，热童便调服，立即排出。
四味汤
治疗刚分娩后，一切诸疾。
当归 玄胡索 血竭 没药（各五分） 一方加红花。研成末，用热童便半钟调服。
当归血竭丸
治疗产后恶物不下，结聚成块，心胸痞闷，胁下坚痛。
当归（炒） 血竭 蓬术 芍药（各一钱）
一方有五灵脂。研成末，醋糊丸，梧桐子大，每服五六十丸，温酒空腹食前服。
瑞莲散
治疗产后恶血崩漏，状如泉水。
瑞莲（一百枚，烧灰存性） 棕榈（烧灰存性） 当归（各一两） 官桂（五钱） 槟榔（一枚） 鲤鱼鳞（炒） 川芎（各七钱五分） 研成末，每服三钱，煨生姜酒调服，如果未止住，再进一服，如果是血崩，此药涩止，连进三服即止。
千金散（即十全大补汤料）
治疗产后虚劳不能进食。
白术 茯苓 黄芪（各一两） 人参 川芎 熟地黄 芍药 当归（各一两） 肉桂（一两五钱） 甘草（炒，五钱） 切碎，每服一两，姜枣水煎，空心温服。
人参汤
治疗产后诸虚不足，发热盗汗。
归身 人参（各等分） 研成末，用猪腰子一个，去膜，切作片子，用水三升，糯米半合，葱白二茎，煮至熟透，取清汁一钟，加入药二钱，煎至八分服。
茯苓散
治疗产后蓐劳，因生产日浅，运动用力，四肢寒痛，寒热加疟。
茯苓（一两） 当归 川芎 桂心 白芍 黄芪 人参 熟地黄（各五钱） 水二钟，加入猪肾一双，去脂膜，细研，姜三片，枣二枚，同煎一钟，去肾、姜、枣，加入没药五分，煮取七分，去渣食，分二次温服。
参苏饮
治疗妇人产后血入于肺，面赤发喘几死者。
人参（一两，为末） 苏木（二两，捶碎） 水二碗，煎苏木一碗，去渣，调入参末。随时加减服。
麻仁丸
治疗产后去血津枯，大便闭涩。
麻子仁（另研） 枳壳（麸炒） 人参（中品） 研成末，蜜丸，梧桐子大，每服五十丸，温酒送下。
一方
治疗产后用力太过，阴门突出。用四物汤煎熟。加入龙骨末少许，空腹连进二服，用麻油和汤熏洗即收。
猪蹄汤
治疗奶妇气力少衰，脉温不行，乳汁不通。
猪蹄（一只） 通草（五两） 上将猪蹄洗净，用水一斗，煮作羹，食之。
有一位乳母奶少，家中偶然煮红豆，因此吃了豆及汤，当夜乳汁涌出如泉，后来屡用皆效。
涌泉散
因气乳汁少。
瞿麦穗 麦门冬 王不留行 穿山甲（炮黄） 紫龙骨（等分） 研成末，每服一钱，热酒调下。先食猪蹄羹，后服药，用木梳梳乳上三十余下，日三服。谚语说：穿山甲，王不留，妇人吃了乳常流。
返魂丹
治疗生产诸证；并死胎恶露及胎衣不下，横生逆产。产前清热养血，产后推陈致新，均有效。
野大麻（一名益母草，四五月开紫花时采花叶，阴干，半斤） 赤芍药（六钱） 当归（七钱） 木香（五钱） 研成末，蜜丸弹子大，或用童便酒，或薄荷汤，或米饮，或桂枝汤，或枣汤，或秦艽汤，随患者斟酌汤剂，化下一丸。
当归羊肉汤
治疗产后发热自汗，肢体疼痛，名曰蓐劳。
黄芪（一两） 人参 当归（七钱） 生姜（五钱） 肥羊肉（一斤） 煮汁去肉，入前药煎服。
如果恶露不尽，加桂，辛热，自能行血也。
趁痛散
治疗产后血滞，筋脉拘挛，腰背强直，遍身疼痛。
黄芪 当归（酒浸） 官桂（不见火） 白术 独活 生姜（五钱） 川牛膝（酒浸，五钱） 甘草（炙，三钱） 薤白（三钱五分）
切碎，每服四钱，水煎服。加桑寄生半两，尤佳。川牛膝，须择粗肥长润明黄色者佳。北方以黑色者为川牛膝，黄色者为怀牛膝误也。《纲目》注云：黑者为雌牛膝，坚脆无力，故南方从勿入药也。
Xue Lizhai stated: When a woman's qi and blood are abundant, her breasts may become distended. If the infant does not suckle, she may experience pain, swelling, aversion to cold, and fever. In such cases, use two or three liang of stir-fried malt, decocted in water and taken orally, which can rapidly resolve the symptoms. Malt has the effect of dissipating essence, thereby cutting off the source of milk. This demonstrates the strong dissipating power of malt; hence, *Bencao* (Compendium of Materia Medica) states that it can consume kidney qi. However, if breast swelling and pain are caused by excessive liver fire due to depression and anger, one should naturally soothe the liver, dissipate stagnation, and simultaneously nourish and harmonize the blood. In this way, liver yang will not be hyperactive, and the swelling will subside on its own. If the stagnation is severe, causing blood stasis and discomfort, compounded by milk accumulation leading to ulceration and pus formation, this becomes Ru Yong (Breast Abscess). At this stage, qi and blood are severely damaged, so heavy tonification is especially appropriate, with a slight addition of herbs to soothe the liver and detoxify. If one focuses solely on clearing heat and detoxifying, ulcers will struggle to granulate, and abscesses will struggle to heal.
Postpartum prolapse of the yin (vaginal prolapse) is mostly caused by excessive exertion during childbirth, leading to the descent of the yin and vaginal prolapse (Yin Ting), accompanied by pressing pain and swelling. Lifting heavy objects or sexual fatigue can also trigger this condition, often with continuous clear discharge and dribbling urination. Internal administration of lifting and tonifying formulas is indicated, while externally, sulfur, cuttlefish bone (Hai Piao Xiao), and Schisandra berry (Wu Wei Zi) ground into powder should be applied.
Failure of the vulva to close after delivery is due to inherent weakness of primordial qi and lack of proper care during pregnancy, resulting in the inability of qi and blood to consolidate. Shiquan Dabu Tang (Decoction for Complete Great Tonification) is used. In some primiparas, swelling of the labia or painful non-closure indicates deficiency heat in the Liver channel, treated with Jia Wei Xiao Yao San (Modified Free Wanderer Powder). If swelling persists without closure, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with added Wu Wei Zi is used. Even if swelling and heat are severe, cold and bitter herbs must be strictly avoided. Postpartum syndromes are fundamentally characterized by severe deficiency of qi and blood. How much more so for vaginal prolapse and failure of the vulva to close, which are caused by qi deficiency and blood collapse! Medical records from Danxi and Lizhai show that although symptoms vary, treatment invariably involves Ginseng, Angelica sinensis, and Rehmannia root, combined with lifting and astringent herbs. There was even a case of a pregnant woman with abdominal distension who delivered a stillborn fetus after two days; a piece of tissue resembling a pig's liver detached. She presented with sallow complexion, tidal fever, spontaneous sweating, anorexia, and fatigue. She was cured after taking Shiquan Dabu Tang for thirty doses.
The origins of postpartum syndromes are threefold: blood deficiency with fire agitation, reckless movement of foul blood, and dietary injury. How is this explained? Qi belongs to Yang, and Blood belongs to Yin. The *Neijing* states: "Yang deficiency generates external cold; Yin deficiency generates internal heat." Since postpartum hemorrhage leads to excessive blood loss, blood deficiency causes fire agitation, resulting in irritability and fever—this is the first cause. Blood is like water; flowing downward is its nature. However, splashing it can make it rise above the forehead, and agitating it can make it flow uphill. This is not the nature of water but the force acting upon it. Similarly, postpartum deficiency fire rises, and foul blood moves recklessly, causing dizziness and abdominal pain—this is the second cause. The *Neijing* says: "Mild fire generates qi; intense fire consumes qi." Li Dongyuan stated: "Fire is the thief of primordial qi; they cannot coexist, and when one prevails, the other declines." Postpartum, primordial qi is severely damaged, and the Spleen and Stomach are weak. Without the mother element (Kidney Water) to nourish the Earth element, digestion of grains is difficult. Dietary excess leads to epigastric fullness, vomiting, and diarrhea—this is the third cause. The treatment principles are: tonify if blood deficiency causes severe agitation; dissipate if foul blood moves recklessly; assist the Spleen and Stomach to digest if dietary injury occurs. Zhu Danxi said: "At the time of extreme postpartum qi and blood depletion, all treatments for various syndromes should focus on major tonification of qi and blood. Even if there are mixed syndromes, do not treat them immediately."
**Postpartum Regulation Decoction**
Treats qi and blood deficiency, lower back pain, alternating deficiency heat, dry throat, and sore throat, indicating impending Chulu Labor (Puerperal Fever/Labor).
Shu Di Huang (Rehmanniae Radix Praeparata, 5 qian, stir-fried dry), Mai Dong (Ophiopogonis Tuber, stir-fried dry), Bai Zhu (Atractylodis Macrocephalae Rhizoma, processed with milk and stir-fried, 2 qian each), Bai Shao (Paeoniae Radix Alba, 1.2 qian, wine-fried), Fu Ling (Poria, 1.5 qian), Du Zhong (Eucommiae Cortex, 2 qian, wine-mixed and stir-fried until yellow), Xu Duan (Dipsaci Radix, 1.5 qian), Ming Niu Xi (Cyathulae Root, 2 qian), Hei Jiang (Black Ginger/Zingiberis Rhizoma Carbonisatum, 0.6 qian). If lochia does not discharge, decoct in water and take warm.
**Shenghua Tang (Life Generation Decoction)**
Generates new blood and removes stasis postpartum; miraculous efficacy.
Dang Gui (Angelicae Sinensis Radix, 3 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 1 qian), Tao Ren (Persicae Semen, 13 grains), Hei Jiang (Black Ginger, 1 qian), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Preparata, 0.8 fen). Decoct in water and take.
**Duoming Dan (Life-Seizing Pill)**
Treats postpartum blood entering the uterus (retained placenta/stasis), causing distension rushing to the heart, persisting for a long time.
Fu Zi (Aconiti Lateralis Radix Praeparata, processed, skin and umbilicus removed), Mu Dan Pi (Moutan Cortex, 1 liang each). Grind into powder. Use 1 sheng of sour vinegar, add 1 liang of Da Huang (Rhei Radix et Rhizoma) powder, boil into a paste, mix with the powder to form pills the size of Sophora seeds. Take 50 pills with warm wine.
**Another Formula**
Treats postpartum rectal prolapse. Use Zhi Ke (Aurantii Fructus, 2 liang), decoct in water for warm immersion. After a while, it reduces.
**Another Formula**
Treats uterine prolapse.
Jing Jie (Schizonepetae Herba, medium grade), Huo Xiang Ye (Agastaches Folium, medium grade), Chou Chun Pi (Toosendan Cortex, superior grade). Decoct for fumigation and washing; the uterus will reduce.
**Another Formula**
Treats retained placenta and fetal death in the womb. Use Xia Yan (Natrii Sulfas, 2 qian), mix with hot child's urine and drink. It will expel immediately.
**Siwei Tang (Four-Ingredient Decoction)**
Treats all diseases immediately after delivery.
Dang Gui, Yan Hu Suo (Corydalis Rhizoma), Xue Jie (Dragon's Blood), Mo Yao (Myrrha). (Each 0.5 fen). Another formula adds Hong Hua (Carthami Flos). Grind into powder, mix with half a zhong of hot child's urine and take.
**Danggui Xuejie Wan (Angelica and Dragon's Blood Pill)**
Treats postpartum foul matter retention, forming masses, chest oppression, and hard pain in the hypochondrium.
Dang Gui (stir-fried), Xue Jie, Peng Ze (Curcumae Rhizoma), Shao Yao (each 1 qian). Another formula includes Ling Zhi Zhi (Trogopterori Faex). Grind into powder, make pills with vinegar paste, size of Sophora seeds. Take 50-60 pills per dose with warm wine before meals on an empty stomach.
**Ruilian San (Ruilian Powder)**
Treats postpartum foul blood flooding and leakage, resembling a spring.
Rui Lian (100 pieces, burned to ash retaining nature), Zong Lu Tan (Palmae Fructus Carbonisatus), Dang Gui (each 1 liang), Guan Gui (Cinnamomi Ramulus, 5 qian), Bing Lang (Arecae Semen, 1 piece), Li Yu Lin (Cyprini Squama, stir-fried), Chuan Xiong (each 0.75 qian). Grind into powder. Take 3 qian per dose, mixed with ginger-warmed wine. If bleeding does not stop, take another dose. For flooding, this astringent medicine stops it after three consecutive doses.
**Qianjin San (Thousand-Gold Powder, i.e., Shiquan Dabu Tang ingredients)**
Treats postpartum deficiency labor with inability to eat.
Bai Zhu, Fu Ling, Huang Qi (each 1 liang), Ren Shen, Chuan Xiong, Shu Di Huang, Shao Yao, Dang Gui (each 1 liang), Rou Gui (1.5 liang), Gan Cao (stir-fried, 5 qian). Chop, take 1 liang per dose, decoct with ginger and jujube in water, take warm on an empty stomach.
**Ren Shen Tang (Ginseng Decoction)**
Treats postpartum general deficiency, fever, and night sweats.
Gui Shen (Angelicae Sinensis Radix radix part), Ren Shen (equal parts). Grind into powder. Use one pig kidney, remove membrane, slice. Boil with 3 sheng of water, half he of glutinous rice, and two stems of scallion white until cooked. Strain to get one zhong of clear juice. Add 2 qian of powder, decoct until 0.8 zhong remains, then take.
**Fu Ling San (Poria Powder)**
Treats postpartum Chulu Labor due to early postpartum exertion, causing cold pain in limbs, chills, fever, and malaria-like symptoms.
Fu Ling (1 liang), Dang Gui, Chuan Xiong, Gui Xin (Cinnamomi Ramulus), Bai Shao, Huang Qi, Ren Shen, Shu Di Huang (each 5 qian). Use 2 zhong of water, add one pair of pig kidneys (removed of fat membrane), finely ground. Add 3 slices of ginger and 2 jujubes. Decoct to 1 zhong. Remove kidneys, ginger, and jujube. Add 0.5 fen of Mo Yao. Boil to obtain 0.7 zhong. Strain and eat/drink, divided into two warm doses.
**Rensu Yin (Ginseng and Perilla Drink)**
Treats postpartum blood entering the lungs, causing red face, panting, and near-death state.
Ren Shen (1 liang, ground into powder), Su Mu (Sappan Lignum, 2 liang, crushed). Use 2 bowls of water, decoct Su Mu to 1 bowl. Strain, mix in Ren Shen powder. Adjust dosage as needed.
**Maren Wan (Hemp Seed Pill)**
Treats postpartum blood loss and fluid exhaustion causing constipation.
Ma Zi Ren (Cannabis Fructus, separately ground), Zhi Ke (Aurantii Fructus, bran-stir-fried), Ren Shen (medium grade). Grind into powder, make pills with honey, size of Sophora seeds. Take 50 pills with warm wine.
**Another Formula**
Treats postpartum excessive exertion causing vulvar protrusion. Use Siwu Tang (Four-Substance Decoction) decocted. Add a small amount of Long Gu (Fossilia Ossis Mastodi) powder. Take two doses consecutively on an empty stomach. Fumigate and wash with sesame oil soup to reduce.
**Zhuti Tang (Pig Trotter Decoction)**
Treats lactating women with declining strength, sluggish pulse, and blocked milk secretion.
Zhuti (one pig trotter), Tong Cao (Tetrapanacis Medulla, 5 liang). Clean the trotter, boil in 1 dou of water to make a soup/congee, and eat.
A lactating woman with low milk supply accidentally ate boiled red beans and soup at home. That night, her milk flowed like a spring. Subsequent uses were effective.
**Yongquan San (Surging Spring Powder)**
For scant milk due to qi deficiency.
Qu Mai Sui (Dianthi Herba spike), Mai Men Dong (Ophiopogonis Tuber), Wang Bu Liu Xing (Vaccariae Semen), Chuan Shan Jia (Manis Squama, fried yellow), Zi Long Gu (Fossilia Ossis Mastodi, equal parts). Grind into powder. Take 1 qian per dose with hot wine. Eat pig trotter soup first, then take the medicine. Comb the breast over thirty times with a wooden comb. Take three times a day. Proverb: "Chuan Shan Jia and Wang Bu Liu Xing; women who eat them have constant milk flow."
**Fanhun Dan (Soul-Returning Pill)**
Treats various birth syndromes; dead fetus, foul lochia, retained placenta, malpresentation. Clears heat and nourishes blood prenatally; promotes elimination of old and generation of new postnatally. Effective for both.
Ye Da Ma (One name: Yi Mu Cao/Leonuri Herba, harvest flowers and leaves in April-May when purple flowers bloom, shade-dry, 0.5 jin), Chi Shao Yao (Red Peony Root, 6 qian), Dang Gui (7 qian), Mu Xiang (Aucklandiae Radix, 5 qian). Grind into powder, make pills the size of a bullet with honey. Dissolve one pill in child's urine with wine, or mint tea, or rice water, or Guizhi Tang, or jujube soup, or Qin Jiao Tang, according to the patient's preference.
**Danggui Yangrou Tang (Angelica and Mutton Decoction)**
Treats postpartum fever, spontaneous sweating, and limb pain, named Chulu Labor.
Huang Qi (1 liang), Ren Shen, Dang Gui (7 qian), Sheng Jiang (5 qian), Fei Yang Rou (Fat Mutton, 1 jin). Boil to extract juice, remove meat, add previous herbs and decoct.
If lochia does not cease, add Gui (Cinnamon), which is acrid and hot, naturally promoting blood circulation.
**Chentong San (Pain-Chasing Powder)**
Treats postpartum blood stasis, tendon spasm, stiff back and waist, and generalized body pain.
Huang Qi, Dang Gui (wine-soaked), Guan Gui (Cinnamomi Ramulus, avoid direct fire), Bai Zhu, Du Huo (Angelicae Pubescentis Radix), Sheng Jiang (5 qian), Chuan Niu Xi (Cyathi Radix, wine-soaked, 5 qian), Zhi Gan Cao (roasted, 3 qian), Xie Bai (Allii Macrostemonis Bulbus, 3.5 qian). Chop, take 4 qian per dose, decoct in water. Adding Sang Ji Sheng (Taxilli Caulis, 0.5 liang) is especially good. For Chuan Niu Xi, choose thick, plump, moist, bright yellow ones. In the North, black ones are mistaken for Chuan Niu Xi, while yellow ones are Huai Niu Xi. *Bencao Gangmu* notes: Black ones are female Niu Xi, hard and brittle with little efficacy, so Southerners generally do not use them in medicine.