郭稽中曰∶问产后口干痞闷者何？答曰∶产后荣卫太虚，血气未定，食面太早，胃不能消化，面毒结聚于胃，
上熏胸中，是以口干燥渴，心下痞闷。医者不识，认为胸膈壅
滞，以药下之。万不得已，但服见 丸则愈。
陈无择曰∶产后口干痞闷，未必只因食面，或产母内积忧烦，外伤燥热，饮食甘肥，使口干痞闷，当随所因
调之可也。
薛立斋曰∶前证若宿食停滞，六君子加枳实、神曲。若因肉食，加山楂。若因鱼 ，加陈皮。其物既消而
仍痞，或反作痛作呕，此脾胃受伤，六君子。或咽酸嗳腐，加炮姜。作泻加升麻，不应，佐四神丸，或间用补中汤。
慎斋按∶以上二条，序产后有伤食之证也。产后气血已虚，胃中元气甚弱，凡饮食偶有所伤，必难运化，
而成痞闷，诚不止面毒也。但北方以面为饭，南方风俗，三朝洗儿。有食面之例，产妇恃健，伤之者多，此
稽中举此为言也。故丹溪教新产妇食白粥，并戒食鸡子，正以虚人易致停滞故耳。
郭稽中曰∶产后腹胀满闷，呕吐不定者何？曰∶败血散于脾胃，脾受之则不能运化精微而成腹胀，胃受之
则不能受纳水谷而生吐逆。医者不识，若以寻常治胀止吐药，病与药不相干，转伤动正气，疾愈难治，但服
抵圣汤则愈。
薛立斋曰∶前证若败血伤脾胃，宜用前方。若饮食停脾，宜六君子加浓朴。若饮食伤胃，宜六君子汤。大
抵损其脾者，当节饮食为善。
慎斋按∶以上二条，序产后有腹胀呕吐之证也。产后腹胀呕吐，未有不因脾胃虚弱所致。郭论则主于败血，
薛论则主于伤食。食与血均属有余证，攻补合宜，是在临证之工耳。
郭稽中说：问产后出现口干、胸脘痞闷的原因是什么？回答说：产后营卫之气极度虚弱，血气尚未稳定，过早食用面食，胃无法消化，面毒结聚在胃中，向上熏蒸胸中，因此导致口干燥渴，心下（胃脘部）痞塞闷胀。医生如果不了解这种情况，误认为是胸膈部的壅滞阻滞，而使用泻下药治疗。万不得已时，只要服用见溲丸就能痊愈。
陈无择说：产后口干痞闷，未必仅仅是因为吃了面食。或者是产母体内积聚了忧愁烦闷的情绪，外部受到燥热之邪的侵袭，加上饮食甘腻肥厚，从而导致口干痞闷，应当根据具体的病因进行调理即可。
薛立斋说：上述症状如果是宿食停滞，可用六君子汤加入枳实、神曲。如果是因吃肉类引起，加入山楂。如果是因吃鱼类引起，加入陈皮。如果食物已经消化但痞闷仍然不消，或者反而出现疼痛、呕吐，这是脾胃受伤的表现，用六君子汤。如果出现咽酸、嗳出腐臭气味，加入炮姜。出现腹泻加升麻，如果无效，配合四神丸，或者交替使用补中益气汤。
慎斋按语：以上两条，叙述的是产后有伤食的症状。产后气血已经虚弱，胃中的元气非常微弱，凡是饮食稍微有所损伤，必定难以运化，从而形成痞闷，确实不仅仅是面毒的问题。只是北方以面食为主食，南方风俗，在婴儿出生第三天有洗儿宴，也有吃面食的惯例，产妇自恃身体健壮，因此伤食的人很多，这是郭稽中举这个例子来说明原因。所以朱丹溪教导新产妇吃白粥，并禁止吃鸡蛋，正是因为体虚之人容易导致食物停滞的缘故。
郭稽中说：产后出现腹部胀满闷痛，呕吐不定的原因是什么？回答说：败血（离经之血）散乱于脾胃之间，脾受到败血影响则不能运化精微物质而形成腹胀，胃受到败血影响则不能受纳水谷而产生吐逆。医生如果不了解这种情况，如果用通常治疗腹胀和止吐的药物，病情与药物不对症，反而会损伤正气，疾病将更难治愈，只要服用抵圣汤就能痊愈。
薛立斋说：上述症状如果是败血损伤脾胃，适宜使用前面的方剂（指抵圣汤）。如果是饮食停滞在脾，适宜用六君子汤加厚朴。如果是饮食损伤胃，适宜用六君子汤。大抵损伤脾脏的，节制饮食是最好的办法。
慎斋按语：以上两条，叙述的是产后有腹胀呕吐的症状。产后腹胀呕吐，没有不是因为脾胃虚弱所导致的。郭稽中的论述主要侧重于败血，薛立斋的论述主要侧重于伤食。饮食积滞与瘀血都属于有余（实证）的证候，攻法与补法的使用是否恰当，取决于临诊医生的判断。
Guo Jizhong said: Regarding the question of why postpartum women experience dry mouth and chest/epigastric stuffiness, the answer is: After childbirth, Ying (Nutritive) and Wei (Defensive) Qi are extremely deficient, and blood and Qi have not yet stabilized. If noodles are consumed too early, the Stomach cannot digest them. The "noodle toxin" accumulates in the Stomach, steaming upward into the chest, thereby causing dry mouth and thirst, as well as epigastric fullness and stuffiness. Physicians who do not recognize this condition may mistakenly diagnose it as obstruction in the chest and diaphragm and administer purgative medicines. In extreme cases, simply taking Jiansou Wan (See-Urine Pill) will lead to recovery.
Chen Wuyue stated: Postpartum dry mouth and stuffiness are not necessarily caused solely by eating noodles. It may be due to the mother harboring internal worry and vexation, external invasion by dry-heat pathogens, or consumption of sweet, greasy, and rich foods, leading to dry mouth and stuffiness. Treatment should be adjusted according to the specific etiology.
Xue Lizhai stated: If the aforementioned symptoms are due to retained food stagnation, Liu Jun Zi Tang (Six Gentlemen Decoction) with Zhi Shi (Immature Bitter Orange) and Shen Qu (Medicated Leaven) should be used. If caused by meat consumption, add Shan Zha (Hawthorn Fruit). If caused by fish consumption, add Chen Pi (Tangerine Peel). If the food has digested but the stuffiness persists, or if pain and vomiting occur instead, this indicates injury to the Spleen and Stomach; use Liu Jun Zi Tang. If acid regurgitation and belching of rotten smells occur, add Pao Jiang (Charred Ginger). If diarrhea occurs, add Sheng Ma (Cimicifugae Rhizoma); if ineffective, combine with Si Shen Wan (Four Spirits Pill), or alternatively use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction).
Shen Zhai's commentary: The above two passages describe postpartum conditions resulting from food injury. Postpartum blood and Qi are already deficient, and the primordial Qi in the Stomach is very weak. Any slight dietary indiscretion makes transformation and transportation difficult, leading to stuffiness. This is indeed not limited to "noodle toxin." However, in the North, noodles serve as a staple food; in the South, custom dictates a banquet on the third day after birth, which often includes noodles. Relying on their robust health, many postpartum women injure themselves through overeating. Thus, Guo Jizhong cites this example. Therefore, Zhu Danxi taught new mothers to eat white rice porridge and abstain from eggs, precisely because deficient individuals are prone to food stagnation.
Guo Jizhong said: Regarding the question of why postpartum women experience abdominal distension, fullness, and irregular vomiting, the answer is: Loathsome blood (stagnant blood) scatters into the Spleen and Stomach. When the Spleen is affected, it fails to transform and transport essence and micro-nutrients, resulting in abdominal distension. When the Stomach is affected, it fails to receive and decompose water and grain, resulting in vomiting and regurgitation. Physicians who do not recognize this condition may use ordinary medications for treating distension and stopping vomiting. Since the disease and medicine are mismatched, this will further damage the righteous Qi, making the illness harder to treat. Simply taking Di Sheng Tang (Rescue Sage Decoction) will lead to recovery.
Xue Lizhai stated: If the aforementioned symptoms are due to loathsome blood injuring the Spleen and Stomach, the previous formula (Di Sheng Tang) is appropriate. If food stagnates in the Spleen, Liu Jun Zi Tang with Hou Po (Magnolia Bark) is suitable. If food injures the Stomach, Liu Jun Zi Tang is suitable. Generally, for those whose Spleen is damaged, regulating diet is the best approach.
Shen Zhai's commentary: The above two passages describe postpartum conditions characterized by abdominal distension and vomiting. Postpartum abdominal distension and vomiting are invariably caused by Spleen and Stomach deficiency. Guo’s theory emphasizes loathsome blood, while Xue’s theory emphasizes food injury. Both food retention and blood stasis belong to excess syndromes. Whether to employ attacking or tonifying methods depends on the judgment of the clinician.