《产宝新书》曰∶产后发痈疽，宜生化汤加连翘、金银花、甘草、乳香、绿豆粉和服，不可用大黄等药，
并败毒散之类。
慎斋按∶新产妇人，或在十朝十五朝之后，忽发痈肿于四肢、胸腹间，或者败血不尽，或者气血虚弱，荣
气不从，逆于肉理，发为痈毒。如败血瘀滞经络者，当补血行血，导瘀疏气为主。如气血虚弱，荣卫运迟，成
壅肿者，当补气活血为主。切不可从毒治，用寒凉清火解毒药，只用大补，如十全、八珍之属，以固本元。扶
胃气，气壮血流，其毒自解。若欲攻毒，势必溃烂，不能收功矣。
《大全》曰∶产后月水不调，由产伤动血气，虚损未复，风邪冷热之气，客于经络，乍冷乍热，冷则血结，
热则血消，故令血或多或少，或在月前，或在月后，名不调也。
《大全》曰∶产伤动血气，虚损未复，为风冷所伤，血得冷则凝结，故风冷伤于经，血结胞络之间，令月
水不通。凡血结，月水不通，则成血瘕。水血相并，复遇脾胃衰弱，肌肉虚者，为水肿。
陈良甫曰∶妇人冲任之脉，为经络之海，皆起胞内。手太阳小肠，手少阴心，此二经上为乳汁，下为月水。
若产后月水不通，新产后劳伤气血，或去血过多，乳汁自然不通。若乳子半岁或一岁之内，月经不行，此常候，
非病也。若半岁而行，或四五个月便行，是少壮血盛之人。若产后一二年，月经不通，无疾苦，亦不必服药。
或劳伤气血，冲任脉虚，气血衰少不行，但服健脾胃，资气血之药，自然通行。以药通之，为害滋大。
慎斋按∶以上三条，序产后有月水不调、不通之证也。月水不行，为妇人要病。至产后不行，又不可以病
言也。《大全》二条，均主风冷邪伤，专以外感为病，亦属偏论。夫产后月水不调，不通，有因于产动劳伤
脏气，血虚弱者；有因于怀子自乳，血脉上为乳汁者；有因脾胃气虚，饮食少进者。不止风邪冷热之感也。良
甫一条，甚悉病机。至云但服健脾胃，资气血药，不必通经，尤见探本之论。
《产宝新书》说：产后发生痈疽，适宜服用生化汤加入连翘、金银花、甘草、乳香、绿豆粉调和服用，不可使用大黄等药物，以及败毒散之类的方剂。
慎斋按语：刚生产后的产妇，有的在产后十天或十五天之后，突然在四肢、胸腹之间发生痈肿，这或者是恶露（产后余血）未尽，或者是气血虚弱，导致营气运行不畅，逆乱于肌肉纹理之间，从而发为痈毒。如果是恶露瘀滞于经络的情况，应当以补血行血、引导瘀血、疏通气机为主。如果是气血虚弱，营卫运行迟缓，形成壅滞肿胀的情况，应当以补气活血为主。切不可按照“毒”来治疗，使用寒凉清火解毒的药物，只应使用大补元气的方法，如十全大补汤、八珍汤之类的方剂，以巩固根本元气。扶持胃气，使气壮血流顺畅，毒素自然化解。如果想要攻伐毒邪，势必导致溃烂，无法痊愈收功。
《妇人大全良方》说：产后月经不调，是由于分娩时损伤了血气，虚损尚未恢复，风邪冷热之气客居于经络之中，时而冷时而热，寒冷则血液凝结，炎热则血液消散，因此导致经量或多或少，或者提前来潮，或者推后到来，这就叫做月经不调。
《妇人大全良方》又说：分娩损伤血气，虚损未复，被风冷邪气所伤，血液遇到寒冷就会凝结，所以风冷邪气侵入经脉，血液凝结在胞宫络脉之间，导致月经不通。凡是血液凝结导致月经不通的，就会形成血瘕（腹部结块病）。水湿与血液相互搏结，再加上脾胃衰弱、肌肉虚弱的情况，就会发展为水肿。
陈良甫说：妇女的冲脉和任脉，是经络之海，都起于胞宫内部。手太阳小肠经和手少阴心经这两条经脉，向上化为乳汁，向下化为月经。如果产后月经不通，是因为新近产后劳伤气血，或者失血过多，乳汁自然会不通畅。如果在哺乳婴儿半岁到一岁以内，月经不来，这是正常的生理现象，不是疾病。如果半岁就来月经，或者四五个月就来月经，这是年轻体壮、血气旺盛的人的表现。如果产后一两年，月经不通，但没有其他病痛不适，也不必服药。如果是劳伤气血，导致冲任脉虚弱，气血衰少而不行，只需服用健运脾胃、滋养气血的药物，月经自然会通畅。如果用通经的药物强行疏通，危害就很大了。
慎斋按语：以上三条，叙述了产后出现月经不调、月经不通的证候。月经不行，是妇女的重要病症。但到了产后阶段月经不行，又不必当作疾病来看待。《大全》中的两条论述，都主张是风冷邪气伤害，专门以外感作为病因，这也属于片面的观点。至于产后月经不调、不通，有的因为分娩劳伤脏气，导致血气虚弱；有的因为怀孕及哺乳，血脉上行为乳汁；有的因为脾胃气虚，饮食摄入减少。不仅仅是风邪冷热的外感所致。陈良甫的一条论述，非常详尽地分析了病机。至于他说只需服用健脾胃、资气血的药物，不必强行通经，更是探求疾病根本的高明论断。
*Chanbao Xinshu* (New Book of Obstetrics) states: For carbuncles and sores occurring postpartum, it is appropriate to take Shenghua Tang (Decoction for Generating the New) with added Qiaoyao (Forsythiae Fructus), Jinyinhua (Lonicerae Japonicae Flos), Gancao (Glycyrrhizae Radix et Rhizoma), Ruxiang (Olibanum), and Ludou Fen (Vigna radiata Powder), taken together. One should not use drugs such as Dahuang (Rhei Radix et Rhizoma), nor formulas like Baidu San (Poison-Resolving Powder).
Shen Zhai's commentary: In the early postpartum period, whether ten or fifteen days after delivery, sudden carbuncles and swellings may appear on the limbs, chest, or abdomen. This may be due to incomplete expulsion of lochia (postpartum residual blood) or to deficiency of qi and blood, causing Ying Qi (Nutritive Qi) to fail in its normal circulation and reverse into the muscle tissue, resulting in toxic sores. If the condition is caused by lochia stasis blocking the meridians, treatment should focus on nourishing blood, promoting blood circulation, guiding out stasis, and unblocking qi. If the condition arises from deficiency of qi and blood and sluggish movement of Ying and Wei (Defensive) Qi leading to congestion and swelling, treatment should prioritize tonifying qi and invigorating blood. One must absolutely avoid treating it as a "toxic" heat condition using cold, cooling, fire-clearing, and detoxifying herbs. Instead, one should employ strong tonification, such as with Shiquan Dabu Tang (Ten Significant Decoction for Great Tonification) or Bazhen Tang (Eight Treasures Decoction), to consolidate the root and yuan qi (Original Qi). By supporting stomach qi, strengthening the qi to ensure smooth blood flow, the toxicity will resolve spontaneously. Attempting to attack the toxin directly will inevitably lead to ulceration and failure to heal.
*Funü Daquan Liangfang* (Comprehensive Essential Prescriptions for Women) states: Irregular menstruation postpartum results from damage to blood and qi during childbirth, leaving the body in a state of deficiency that has not yet recovered. Pathogenic wind, cold, or heat qi lodges in the meridians, causing alternating sensations of cold and heat. Cold causes blood to coagulate, while heat causes blood to dissipate; thus, menstrual volume becomes excessive or scanty, and timing may occur earlier or later than expected. This is termed irregular menstruation.
*Funü Daquan Liangfang* further states: Childbirth damages blood and qi, and the resulting deficiency makes the body susceptible to injury by wind-cold. Blood coagulates upon exposure to cold. Therefore, when wind-cold invades the meridians, blood congeals between the uterine collaterals, leading to amenorrhea. Whenever blood coagulation causes amenorrhea, it may develop into Xuejia (Blood Masses/Abdominal Masses). When water-dampness and blood bind together, compounded by spleen-stomach weakness and muscular flabbiness, edema may ensue.
Chen Liangfu states: The Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel) are the seas of the meridians and originate within the uterus. The Hand-Taiyang Small Intestine Meridian and the Hand-Shaoyin Heart Meridian transform upwards into breast milk and downwards into menstruation. If menstruation does not resume postpartum, it is because recent childbirth has injured qi and blood through exertion, or due to excessive blood loss, which naturally impedes lactation. If menstruation does not return while nursing an infant aged six months to one year, this is a normal physiological state, not a disease. If menstruation returns at six months, or even four to five months postpartum, it indicates a young, robust constitution with abundant blood. If menstruation remains absent for one to two years postpartum but without other discomforts, medication is unnecessary. However, if qi and blood are injured by exertion, leading to deficiency of the Chong and Ren vessels and scarcity of qi and blood, one should simply administer herbs that strengthen the spleen and stomach and nourish qi and blood; menstruation will resume naturally. Using purgative or blood-invigorating drugs to forcibly induce menstruation causes significant harm.
Shen Zhai's commentary: The above three passages describe syndromes of irregular menstruation and amenorrhea postpartum. While amenorrhea is a major concern for women, its occurrence postpartum should not necessarily be classified as a pathological disease. The two passages from *Daquan* attribute the cause solely to wind-cold pathogenic invasion, focusing exclusively on external factors, which represents a biased viewpoint. Postpartual irregularity or absence of menstruation may result from: 1) labor and injury to the zang-fu organs causing blood and qi deficiency; 2) pregnancy and lactation diverting blood upwards to form milk; or 3) spleen-stomach qi deficiency leading to poor dietary intake. It is not limited to external wind-cold or heat pathogens. Chen Liangfu’s analysis thoroughly elucidates the pathogenesis. His assertion that one need only strengthen the spleen and stomach and nourish qi and blood, without forcibly unblocking the menses, demonstrates a profound understanding of addressing the root cause.