《大全》曰∶产后恶露不绝，由产后伤于经血，虚损不足，或分娩之时，恶血不尽，在于腹中，脏腑挟于
宿冷，致气血不调，故令恶露淋漓不绝也。
戴复庵曰∶妇人服固胎药太多，或正产，或半产，胎虽下而恶血不去，或经二三月，恶露犹点滴不尽。此非
败血之比，正缘当来，有固经药在内，致血滞不化。药宜顺血通气，不宜蓄血闭气也。
薛立斋曰∶前证若肝气热，不能生血，六味丸。若肝气虚不能藏血，逍遥散。若脾气虚，不能摄血，六君子
汤。胃气下陷，不能统血，补中汤。若脾经郁热，血不归源，加味归脾汤。若脾经怒火，血妄行，加味四物汤。若
气血两虚，十全大补汤。若肝经风邪，其血沸腾，一味防风丸。
慎斋按∶以上三条，序产后有恶露不绝之证也。妇人产下，其血不止，大约一月为期。如不及一月而止者，
气血虚也。如逾一月二月，而淋漓不绝，非气虚不能摄血，即立斋所论肝脾二经有亏，《大全》云经血虚损
不足是矣。又主于脏腑挟宿冷所致。夫血得热则行，得冷则凝，岂恶露不绝，反为寒冷致病之理。立斋以为肝脾
郁热怒火，此诚善悉病机者也。但产后血脱，当用益气升提之法。如《千金方》治恶露不绝，经月半岁，用一味
升麻，酒煎服，正是此意。至下多亡阴，则有寒无热，姜、桂亦所宜用。临证审之。
《产育宝庆集》（简称《大全》）说：产后恶露不绝，是因为产后损伤了经血，导致身体虚损不足；或者在分娩时，恶血没有排尽，残留于腹中，脏腑夹杂有宿有的寒气，致使气血不调和，所以造成恶露淋漓不断。
戴复庵说：妇人如果服用过多固胎的药物，无论是足月生产还是流产，虽然胎儿已下，但恶血未能排出，甚至经过两三个月，恶露仍然点滴不尽。这不属于败血的情况，正是因为原本应当排出的血液，被固经药所阻滞，导致血液停滞不能化行。用药应当顺应血脉、通畅气机，不应当让血液蓄积、气机闭塞。
薛立斋说：上述病症如果是肝气热，不能生血，用六味丸治疗。如果是肝气虚，不能藏血，用逍遥散治疗。如果是脾气虚，不能摄血，用六君子汤治疗。胃气下陷，不能统血，用补中益气汤治疗。如果是脾经郁热，导致血不归源，用加味归脾汤治疗。如果是脾经怒火，导致血妄行，用加味四物汤治疗。如果是气血两虚，用十全大补汤治疗。如果是肝经风邪，导致血液沸腾，用一味防风丸治疗。
慎斋按语：以上三条，叙述了产后恶露不绝的证候。妇人分娩后，出血不止，大约以一个月为期限。如果不到一个月就停止，是气血虚的表现。如果超过一个月两个月，仍然淋漓不断，要么是因为气虚不能摄血，要么是薛立斋所论述的肝脾二经亏损，《大全》所说的经血虚损不足就是这种情况。又主张是由于脏腑夹杂宿寒所致。但是，血得热则运行，得冷则凝滞，难道恶露不绝反而认为是寒冷致病吗？薛立斋认为是肝脾郁热、怒火所致，这确实善于洞察病机。然而，产后血脱，应当使用益气升提的方法。如《千金方》治疗恶露不绝，持续半年之久，只用一味升麻，酒煎服用，正是这个意思。至于下血过多导致亡阴，则有寒无热，干姜、肉桂也是适宜使用的。临证时需仔细审察。
The *Daquan* (Compendium) states: Postpartum lochia that does not cease is caused by damage to the menstrual blood after childbirth, resulting in deficiency and insufficiency. Or, during delivery, if the evil blood (lochia) is not completely expelled and remains in the abdomen, with the zang-fu organs harboring old cold pathogens, this leads to disharmony of qi and blood, causing the lochia to drip continuously without stopping.
Dai Fu'an states: If women take too many medicines for stabilizing the fetus, whether in full-term delivery or miscarriage, although the fetus has been expelled, the evil blood may not be removed. Even after two or three months, the lochia may still drip incompletely. This is not comparable to retained dead blood; it is precisely because the blood that should have been discharged was obstructed by astringent medicines for stopping bleeding, leading to blood stasis and failure to transform. The treatment should facilitate blood flow and promote qi circulation, avoiding the accumulation of blood and closure of qi.
Xue Lizhai states: For the aforementioned conditions, if liver qi is hot and unable to generate blood, use Liuwei Wan (Six-Ingredient Rehmannia Pill). If liver qi is deficient and unable to store blood, use Xiaoyao San (Free and Easy Wanderer Powder). If spleen qi is deficient and unable to control blood, use Liujunzi Tang (Six-Gentlemen Decoction). If stomach qi sinks and cannot command blood, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). If there is stagnant heat in the spleen meridian causing blood to fail to return to its source, use Jiawei Guipi Tang (Modified Restore the Spleen Decoction). If fire from anger in the spleen meridian causes reckless bleeding, use Jiawei Siwu Tang (Modified Four-Substance Decoction). If both qi and blood are deficient, use Shiquan Dabu Tang (Ten Complete Great Tonifying Decoction). If wind pathogen in the liver meridian causes blood to boil, use Yiwei Fangfeng Wan (Single-Ingredient Saposhnikovia Pill).
Shenzhen's Commentary: The above three passages describe the syndrome of postpartum lochia that does not cease. After childbirth, if bleeding continues, it generally lasts about one month. If it stops before one month, it indicates deficiency of qi and blood. If it persists dripping for more than one or two months, it is either due to qi deficiency failing to control blood, or as Xue Lizhai discussed, deficiency in the liver and spleen meridians, which aligns with the *Daquan*'s statement on deficiency and insufficiency of menstrual blood. It is also attributed to the zang-fu harboring old cold. However, blood flows when heated and coagulates when cooled; how can lochia that does not cease be caused by cold? Xue Lizhai attributes it to stagnant heat and fire in the liver and spleen, which indeed demonstrates a keen understanding of the disease mechanism. Nevertheless, following postpartum blood loss, methods of tonifying qi and lifting yang should be employed. For example, the *Qianjin Fang* treats lochia that does not cease, lasting half a year, using only Yiwei Shengma (Single-Ingredient Cimicifuga), decocted in wine, which embodies this principle. In cases where excessive downward discharge leads to loss of yin, presenting with cold rather than heat, Jiang (Zingiberis Rhizoma) and Gui (Cinnamomi Cortex) are also appropriate. Clinical judgment must be exercised carefully.