产后二便不通者，因肠胃本挟热，产后水血俱下，津液耗竭，肠胃枯涩，热气燥结，故令
不通也。有产后患此，饮人乳、牛乳而通，故莫若补肾，盖肾主五液，肾主二阴也。
产后遗尿者，肾气不固也，五味子丸主之。若脾肾虚弱，以补中汤送还少丹。若脾
肾虚寒，用八味丸、四神丸佐之。
产后小便出血者，因气血虚而热乘之，血得热，而流渗胞内，故血随小便而出也。
有产妇尿血面黄，胁胀少食者，此肝木乘脾土也，用加味逍遥散、补中汤兼服而愈。
产后大便出血者，或饮食起居失宜，或六淫七情过极，致元气亏损，阴络受伤也。若因高粱积
热，醇酒湿毒，宜清之，怒动肝火，郁结伤脾，思虑伤心，宜和肝而调心脾。大肠风热血热，宜凉血
去风。肠胃虚弱，元气下陷，宜大补而兼升提。况产后气血大虚之后，复犯络伤失血之患，可不急固
脾元中气，以为摄血统血之用耶！
新产半月左右，忽发痈肿于四肢胸腹者，是败血不尽，流滞经络，或气血虚弱，荣气不从，逆于
肉理也。如败血瘀滞者，则 肿赤痛，而脉弦洪有力，当补血行血之中，佐以导瘀疏气为主。如气血虚弱
，荣涩卫逆者，则平塌散漫，而脉虚微无力，当大补气血为主，如十全、八珍之属，以固本元
扶胃气，气壮血和，其毒自解。若以毒治而用清凉解毒，势必不脓不溃，变成坏症矣。
产后二便不通，是因为肠胃原本挟有热邪，产后津液与血液同时下行流失，导致津液耗竭，肠胃干枯涩滞，热气燥结，因此造成大小便不通。有的产妇患此病，饮用人的乳汁或牛乳后得以通畅，所以治疗不如补肾，因为肾主管五液，且肾开窍于前后二阴（即前阴和后阴）。
产后遗尿，是肾气不固摄所致，可用五味子丸主治。如果是脾肾虚弱，用补中益气汤送服还少丹。如果是脾肾虚寒，用八味丸、四神丸辅助治疗。
产后小便出血，是因为气血虚弱而热邪乘虚而入，血受热则流动渗溢入胞宫，所以血液随小便排出。有的产妇出现尿血、面色萎黄、胁肋胀满、食欲不振的症状，这是肝木克制脾土的表现，服用加味逍遥散和补中益气汤兼服即可痊愈。产后大便出血，或者是饮食起居不当，或者是六淫（风、寒、暑、湿、燥、火）七情（喜、怒、忧、思、悲、恐、惊）过度，导致元气亏损，阴络受伤。如果是因为食用肥甘厚味积热，或醇酒湿毒引起，应当清热；如果是因愤怒引动肝火，郁结损伤脾脏，或因思虑过度损伤心脏，应当调和肝脏并调理心脾。如果是大肠风热血热，应当凉血祛风。如果是肠胃虚弱，元气下陷，应当大补元气并兼用升提之法。况且产后气血极度虚弱之后，又犯下络脉受伤失血的病患，怎能不急于巩固脾元中气，以起到统摄血液的作用呢！
新产半个月左右，突然在四肢、胸腹发生痈肿，这是因为败血未尽，流注停滞在经络中，或者是气血虚弱，营气运行不顺，逆乱于肌肉纹理之间。如果是败血瘀滞，则表现为肿胀、发红、疼痛，且脉象弦洪有力，应当在补血行血之中，辅以导瘀疏气为主。如果是气血虚弱，营涩卫逆，则表现为疮形平塌、散漫无头，且脉象虚微无力，应当以大补气血为主，如使用十全大补汤、八珍汤之类的方剂，以固护根本元气、扶持胃气，待气壮血和，毒邪自然解除。如果用治毒的方法而使用清凉解毒药，势必导致不能化脓溃破，变成坏症了。
In the postpartum period, obstruction of both urination and defecation occurs because the intestines and stomach originally harbor heat. After childbirth, fluids and blood are simultaneously discharged downward, leading to exhaustion of body fluids, dryness and astringency of the intestines and stomach, and accumulation of heat causing dryness and binding, thus resulting in obstruction. Some patients find relief after drinking human or cow's milk; therefore, tonifying the Kidney is preferable, as the Kidney governs the five fluids and opens into the two yin passages (the anterior and posterior orifices).
Postpartum urinary incontinence is caused by insecurity of Kidney Qi. It should be treated with Wuweizi Wan (Schisandra Berry Pill). If there is Spleen and Kidney deficiency, Buzhong Yiqi Tang (Decoction for Boosting the Middle and Augmenting Qi) should be used to deliver Huanshao Dan (Return to Youth Pill). If there is Spleen and Kidney deficiency-cold, Bawei Wan (Eight-Ingredient Pill) and Sishen Wan (Four Spirits Pill) should be used as adjuvants.
Postpartum hematuria occurs due to Qi and Blood deficiency allowing heat to invade. Heat causes blood to flow and seep into the uterus, so blood is expelled with urine. In cases where a parturient presents with hematuria, sallow complexion, hypochondriac distension, and poor appetite, this indicates Liver Wood overacting on Spleen Earth. Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) and Buzhong Yiqi Tang should be taken concurrently for recovery. Postpartum hematochezia may result from improper diet and lifestyle, or from excess Six Evils (Wind, Cold, Summerheat, Dampness, Dryness, Fire) and Seven Emotions (Joy, Anger, Worry, Pensiveness, Sadness, Fear, Fright), leading to depletion of Yuan Qi (Primal Qi) and injury to the Yin collaterals. If caused by accumulation of heat from rich foods or damp-toxin from alcohol, clearing heat is indicated. If caused by anger stirring Liver Fire, stagnation injuring the Spleen, or excessive thinking injuring the Heart, harmonizing the Liver and regulating the Heart and Spleen is indicated. For Wind-Blood-Heat in the Large Intestine, cooling Blood and dispelling Wind is indicated. For weakness of the intestines and stomach with sinking of Yuan Qi, major tonification combined with lifting is indicated. Moreover, after the severe deficiency of Qi and Blood following childbirth, if one suffers from collateral injury and blood loss, how can one not urgently consolidate the Spleen's Yuan Qi and Middle Qi to serve the function of controlling and holding blood?
Around half a month after delivery, sudden carbuncles and swellings appearing on the limbs, chest, and abdomen indicate that lochia has not been completely expelled, flowing and stagnating in the meridians, or that Qi and Blood are weak, causing Ying Qi (Nutritive Qi) to fail to follow its course and reverse into the muscle tissue. If due to lochia stasis, symptoms include swelling, redness, pain, and a wiry, surging, and forceful pulse. Treatment should focus on nourishing and moving Blood, assisted by guiding out stasis and dispersing Qi stagnation. If due to Qi and Blood deficiency with stagnant Ying Qi and reversed Wei Qi (Defensive Qi), symptoms include flat, diffuse swellings without heads, and a deficient, minute, and forceless pulse. Treatment should primarily involve major tonification of Qi and Blood, using formulas such as Shiquan Dabu Tang (Ten Complete Great Tonifying Decoction) or Bazhen Tang (Eight Treasure Decoction) to secure the root Yuan Qi and support Stomach Qi. When Qi is strong and Blood is harmonious, the toxin resolves spontaneously. If toxic diseases are treated with cooling and detoxifying herbs, it will inevitably fail to suppurate and rupture, turning into a disastrous condition.