〔大全〕凡生产毕，饮热童便一盏，不得便卧，且宜闭目而坐，须臾上床，宜仰卧
不宜侧卧，宜竖膝未可伸足，高倚床头，浓铺 褥，遮围四壁，使无孔隙，免致贼风。及
以醋涂鼻，或用醋炭及烧漆器，更以手从心 至脐下，使恶露不滞，如此三日，以防血
晕血逆。不问腹痛不痛，有病无病，以童便和酒半盏，温服五七服妙。酒虽行血，亦不
可多，恐引血入四肢，且能昏晕。宜频食白粥少许，一月之后，宜食羊肉、猪蹄少许，仍
慎言语，七情，寒暑，梳头、洗足，以百日为度。若气血素弱者，不计日月，否则患手
足腰腿酸痛等证，名曰蓐劳，最难治疗。初产时不可问是男女，恐因言语而泄气，或以
爱憎而动气，皆能致病。不可独宿，恐致虚惊，不可刮舌，恐伤心气，不可刷齿，恐致
血逆，须血气平复，方可治事。犯时微若秋毫，成病重如山岳，可不戒哉。（陈藏器云∶渍
苎汁与产妇服之，将苎麻与产妇枕之，止血晕。产妇腹痛，以苎安腹上则止。）产妇将息
如法，脏腑调和，庶无诸疾苦，须先服黑神散、四物汤、四顺理中丸、七宝散。若壮热头
痛，此乳脉将行，用玉露散。头目不清，是血晕，用清魂散。粥食不美，是胃气虚，用
四顺理中丸。
〔丹〕或曰∶初产之妇，好血已亏，污血或留，彼黑神散非要药乎？答曰∶至哉坤
元，万物资生，理之常也。初产之妇，好血未必亏，污血未必积，脏腑未必寒，何以药
为。饮食起居，勤加调护，何病之有。诚有污血，体怯而寒，与之数帖，亦自简便。或
有他病，当求病起何因，病在何经，气病治气，血病治血，何用拘执此方，例令服饵。设
有性急者，形瘦者，本有怒火者，夏月坐蓐者，时有火令，姜、桂皆为禁药。至于将护
之法，尤为悖理，肉汁发阴经之火，易成内伤之病也。先哲具有训戒，胡为以羊、鸡浓
汁作糜，而又常服。当归丸、当归建中汤、四顺理中丸，虽是补剂，并是偏热，脏腑无寒，
何处消受？若夫儿之初生，母腹顿宽，便啖鸡子，且吃伙盐，不思鸡子难化，伙盐发热，
展转生证，不知所因，率尔用药，宁不误人。予每见产妇之无疾者，必教之以却去黑神散，
与夫鸡子、伙盐，诸品肉食，且与白粥将理，间以些少鲞鱼，煮令淡食之，半月后方与
少肉；若鸡子亦须豁开淡煮，大能养胃却疾。彼富贵之家，骄恣之妇，卒有白带头风，气痛
膈满，痰逆口干，经事不调，发秃体倦，皆是阳盛阴虚之病。天生血气，本自和平，曰
盛曰虚，又乌知非此等缪迷有以兆之耶。
《千金》云∶凡产后满百日，乃可会合，不尔至死，虚羸百疾滋长，慎之。凡妇人
患风气脐下虚冷，莫不由此早行房故也。产后七日内，恶血未尽，不可服汤。候脐下
块散，乃进羊肉汤。有痛甚切者，不在此例。候两三日消息，可服泽兰丸，此至盈月丸药
尽为佳，不尔，虚损不可平复也，至极消瘦不可救者，服五石泽兰丸补之。服法必七日
之外，不得早服也。
凡妇人因暑月产乳，取凉太多，得风冷腹中积聚，百疾竞起，迄至于死，百方疗不
能瘥，桃仁煎主之。出蓐后服之。妇人总令无病，每至秋冬，须服一二剂，以至年内，当
将服之佳。
丹溪云∶产后以大补气血为先，虽有杂证，以末治之。 产后一切皆不可发表。产
后不可用芍药，以酸寒伐生发之气故也。
〔通用方〕
加味四君子汤 新产之后，虽无疾故，宜将息调理脾胃，美进饮食，则脏腑易平复，气
血自然和调，百疾不生也。
人参 茯苓 白术 甘草 陈皮 藿香 缩砂仁 黄 （各等分）
上锉散，每服四钱，姜三片，枣一枚，煎温服。
四顺理中丸 治新产血气俱伤，脾胃不调，百日内宜常服。
人参（去芦） 干姜（炮） 白术（各一两） 甘草（炙，半两。为细末）
上炼蜜丸如桐子大。每服五十丸，空心米饮送下。
地黄丸 治产后腹痛；眼见黑花，或发狂如见鬼状；或胎衣不下，失音不语，心胸
胀满，水谷不化，口干烦渴，寒热往来，口内生疮，咽喉肿毒，心中忪悸，夜不得睡，产
后中风，角弓反张，面赤，牙关紧急；或崩中如豚肝，脐腹 痛，烦躁恍惚，四肢肿满；
及受胎不稳，唇口指甲青黑。
生地黄（研取汁，留滓） 生姜（各二斤，研取汁，留滓） 蒲黄 当归（各四两）
上于银石器内，取生地黄汁炒生姜滓，以姜汁炒地黄滓，各令干，四味同焙，研为细
末，醋煮面糊为丸如弹子大。每服一丸，食前当归酒化下。一方只用地黄、生姜，根据
交加法制为末，每服三钱，酒下。
当归散（见前胎堕半产条。）
四味汤 治产后一切诸疾，才方分娩，一服尤妙。
当归（心膈烦，加半钱） 玄胡索（气闷喘，加半钱） 血竭（恶露不快，加半钱）
没药（心腹撮痛，加半钱）
上等分为细末，每服二钱，食前以童子小便一盅，煎至六分温服。
玉露散 治产后乳脉不行，身体壮热疼痛，头目昏眩，大便涩滞，此药凉膈压热下
乳。
人参 白茯苓 甘草（各半两） 川芎 苦梗（炒） 白芷（各一两） 当归（二钱半）
芍药（七钱半）
上为细末，每服二平钱，水一盏，煎至七分，温服。如烦热甚，大便秘者，加大黄
二钱半。
地黄煎 治产后诸疾。
生地黄汁 生姜汁（各一升） 藕汁（半升） 大麻仁（三两，去壳研）
上和匀，以银器内慢火熬成膏，温酒调服半匙，更以北术煎膏入半匙尤佳。《产宝》
方无麻仁，用白蜜，治产后虚惫、盗汗、呕吐。
地黄酒 治产后百病。未产一月先酿，产讫可服。
地黄汁 好曲 好净秫米（蒸，各二升）
上先以地黄汁渍曲令发，准家法酿之至熟，封七日，取清者服，常服令酒气相接，勿
令绝。忌蒜、生冷、 滑、鸡、猪肉，一切毒物。凡妇人皆可服，但夏三月不可酿，春
秋宜作，以地黄汁并滓，纳米中炊合用之。若作一石、十石，准此二升为则。先服当归汤，
后服此妙。
桃仁煎 疗产后百病诸气。
桃仁（一千二百枚，去皮尖及双仁，熬令黄色）
上捣令极细，以上等酒一斗五升，同研三四遍，如作麦粥法，以极细为佳，入小长
颈瓷瓶中密塞，以面封之，纳汤中煮一伏时，不停火，亦勿令火猛，使瓶口常出在汤上，勿
令没之，候熟取出，温酒服一合，日再服。
产后醋墨
松烟细墨（不拘多少，用炭火 通红，以米醋淬之，再 再淬，如此七度）
上研令极细，用绢罗过，才产了服二钱，以童便调下。
黑神散 治妇人产后恶露不尽，胞衣不下，攻冲心胸痞满，或脐腹坚胀撮痛，及血
晕神昏，眼黑口噤，产后瘀血诸疾，并皆治之。又名乌金散，治产后十八证∶一曰因热
病胎死腹中。二曰产难。三曰胞衣不下。四曰血晕，五曰口干心闷。六曰乍寒乍热。七
曰虚肿。八曰乍见鬼神。九曰月内不语。十曰腹痛泄泻。（兼服止泻调气药。）十一曰遍身疼
痛。十二曰血崩。十三曰血气不通，咳嗽。十四曰寒热心痛，月候不来。十五曰腹胀满，呕
逆不定。（次服朱砂丸三二日，炒生姜、醋汤下七丸。）十六曰口鼻黑气及鼻衄。（此
证不可治。）十七曰喉中气喘急。（死不治。）十八曰中风。
熟干地黄 蒲黄（炒） 当归 干姜（炮） 桂心 芍药 甘草（各四两） 黑豆（炒去皮，半升）
上为细末，每服二钱，酒、童便各半盏，同煎服。
琥珀散 治产后一切危急之疾。
琥珀 朱砂 麝香 香墨（醋炙） 僵蚕 当归（各二钱半） 鲤鱼鳞（炒焦） 桂心
百草霜 白附子 梁上尘（炒令烟出，筛净，各半两）
细末之，炒生姜、热酒调服二钱效。
千金增损泽兰丸 疗产后百病，理血气，补虚劳。
泽兰 甘草 当归 川芎（各一两七钱半） 附子（炮） 干姜 白术 白芷 桂心 北细辛
（各一两） 北防风 人参 牛膝（各一两二钱半） 柏子仁 熟地黄 石斛（各一两半）
浓朴 本 芜夷（各五钱） 麦门冬（去心，二两）
上共为细末，炼蜜丸如梧桐子大。温酒下二十丸。
黑龙丹 治产后一切血疾，产难，胎衣不下，危急恶疾垂死者，但灌药得下，无不
全活。
当归 五灵脂 川芎 良姜 熟地黄（各一两）
上细锉，以沙合盛，赤石脂泥缝，纸筋盐泥固济，炭火十斤， 令通赤，去火候冷，
开看成黑糟色，取出细研，却入后药。
百草霜（五两） 硫黄 乳香（各一钱半） 花蕊石 琥珀（各一钱）
上五味，并细研，与前五味再研，如法修制和匀，以米醋煮面糊，丸如弹子大。每
服一丸，炭火烧令通赤，投于生姜自然汁与童子小便，入酒漉出，控干研细，只用此酒
调下。
〔诊〕妇人生产之后，寸口脉洪疾不调者死。沉微附骨不绝者生。妇人新生乳子，脉
沉小滑者生，实大坚弦急者死。
【大全】凡是分娩结束后，饮用热童子小便一杯，不要立刻躺下，应当闭目静坐片刻，然后再上床。宜仰卧而不宜侧卧，膝盖应竖起而不可伸直双腿，头部高高倚靠在床头，铺垫厚褥，遮挡四周墙壁，不留缝隙，以免贼风（外邪之风）侵入。接着用醋涂抹鼻孔，或者使用醋熏炭及烧焦的漆器气味，更用手从心口向下推至脐下，使恶露（产后排出的余血浊液）不致停滞。如此坚持三天，以预防血晕（因失血或瘀血导致的头晕昏厥）和血逆（气血上逆）。无论是否有腹痛，有病无病，都用童子便和酒半杯，温服五到七次，效果很好。酒虽然能行血，但也不可多喝，恐怕引血进入四肢，且容易导致昏晕。宜经常少量食用白粥，一个月之后，可少量食用羊肉、猪蹄。同时仍需谨慎言语，节制七情（喜、怒、忧、思、悲、恐、惊），注意寒暑变化，避免梳头、洗足等耗气行为，以一百天为限度。如果产妇原本气血虚弱，不论经过多少日子，否则会出现手足腰腿酸痛等症状，称为蓐劳（产后虚损劳伤），最难治疗。刚生产时，不要询问是男是女，恐怕因为言语而泄气，或者因为喜爱或厌恶而动气，都能导致疾病。不可独自居住，恐怕导致虚惊；不可刮舌苔，恐怕损伤心气；不可刷牙，恐怕导致血逆。必须等到血气平复，才可以处理事务。触犯这些禁忌时，症状轻微如秋毫，一旦发病则严重如山岳，能不警惕吗？（陈藏器说：浸泡苎麻汁给产妇服用，或将苎麻给产妇枕着，可以止血晕。产妇腹痛，将苎麻放在腹部上即可停止。）产妇按照上述方法调养，脏腑调和，才不会有各种疾苦，必须先服用黑神散、四物汤、四顺理中丸、七宝散。如果出现高热头痛，这是乳脉即将通行，用玉露散。头目不清爽，是血晕，用清魂散。饮食无味，是胃气虚，用四顺理中丸。
〔丹溪〕有人问：初产的妇女，好血（正常血液）已经亏损，污血（瘀血）或许滞留，那黑神散不是必要的药物吗？回答：说得对，大地元阴之气，万物依靠它生长，这是常理。初产的妇女，好血未必亏损，污血未必积聚，脏腑未必寒冷，为什么要用药呢？饮食起居，勤加调护，会有什么病呢？确实有瘀血，身体怯弱而寒，给她吃几帖药，也自然简便。如果有其他病，应当探究病因，病在哪个经络，气病治气，血病治血，何必拘泥执着于这个方子，一律让人服用。假设有性急的人，形体消瘦的人，本来就有怒火的人，夏天坐月子的人，时有火令（火热之气），姜、桂都是禁药。至于调养的方法，更是违背常理，肉汁会引发阴经之火，容易形成内伤之病。先哲都有训诫，为什么还要用羊肉、鸡肉浓汁煮粥，并且经常服用。当归丸、当归建中汤、四顺理中丸，虽然是补剂，但都偏热，脏腑没有寒症，哪里承受得住？至于婴儿刚出生，母亲腹部顿时变宽，就吃鸡子（鸡蛋），还吃咸盐，不考虑鸡子难消化，咸盐发热，辗转产生病症，不知道原因，仓促用药，难道不误人吗？我每次见到产妇没有疾病的，一定教她们去掉黑神散，以及鸡子、咸盐，各种肉食，只给白粥调养，偶尔加点咸鱼，煮淡了吃，半个月后才给少量肉；如果吃鸡子也必须敲开淡煮，大能养胃祛病。那些富贵人家，骄纵的妇女，突然患有白带头风（一种头痛病）、气痛膈满、痰逆口干、月经不调、脱发体倦，这些都是阳盛阴虚的病。天生血气，本自平和，说是盛、说是虚，又怎么知道不是这些谬误迷惑所致呢？
《千金方》说：凡是产后满一百天，才可以同房，不然直到死亡，虚羸（虚弱消瘦）百病滋长，要谨慎。凡是妇人患风气（风邪）脐下虚冷，没有不是由此过早行房造成的。产后七天内，恶血未尽，不可服药汤。等到脐下肿块消散，再进服羊肉汤。有疼痛非常剧烈的，不在此例。等到两三天后消息（病情稳定），可服用泽兰丸，这到满月丸药吃完为佳，不然，虚损不可平复，至极消瘦不可救药的，服用五石泽兰丸来补益。服药法必须在七天之后，不得早服。
凡是妇人因暑月生产，取凉太多，受风冷导致腹中积聚，百病竞起，以至于死，百方治疗不能痊愈，桃仁煎主治。出月子后服用。妇人总之没有病，每到秋冬，须服用一二剂，以至年内，应当将服用为好。
丹溪说：产后以大补气血为先，虽然有杂证，作为次要治疗。产后一切皆不可发表（发汗解表）。产后不可用芍药，因为酸寒会伐灭生发之气故也。
〔通用方〕
加味四君子汤 新产之后，虽然没有疾病，宜调养调理脾胃，美味进食饮食，则脏腑容易平复，气血自然和调，百病不生。
人参 茯苓 白术 甘草 陈皮 藿香 缩砂仁 黄芪 （各等分）
以上锉成散剂，每服四钱，姜三片，枣一枚，煎温服。
四顺理中丸 治疗新产血气俱伤，脾胃不调，百日内宜常服。
人参（去芦头） 干姜（炮制） 白术（各一两） 甘草（炙，半两。研为细末）
以上炼蜜制成丸如梧桐子大。每服五十丸，空心时用米饮送下。
地黄丸 治疗产后腹痛；眼前见黑花，或发狂如见鬼状；或胎衣不下，失音不语，心胸胀满，水谷不化，口干烦渴，寒热往来，口内生疮，咽喉肿毒，心中悸动，夜不得睡，产后中风，角弓反张，面赤，牙关紧急；或崩中（大量出血）如豚肝，脐腹疼痛，烦躁恍惚，四肢肿满；及受胎不稳，唇口指甲青黑。
生地黄（研取汁，留渣滓） 生姜（各二斤，研取汁，留渣滓） 蒲黄 当归（各四两）
以上在银石器内，取生地黄汁炒生姜渣滓，以姜汁炒地黄渣滓，各令干燥，四味同焙，研为细末，醋煮面糊为丸如弹子大。每服一丸，食前用当归酒化下。一方只用地黄、生姜，根据交加法（交替炒制）制为末，每服三钱，酒下。
当归散（见前胎堕半产条。）
四味汤 治疗产后一切诸疾，刚分娩，一服尤其好。
当归（心膈烦，加半钱） 玄胡索（气闷喘，加半钱） 血竭（恶露不快，加半钱）
没药（心腹撮痛，加半钱）
以上等为细末，每服二钱，食前用童子小便一盅，煎至六分温服。
玉露散 治疗产后乳脉不行，身体壮热疼痛，头目昏眩，大便涩滞，此药凉膈压热下乳。
人参 白茯苓 甘草（各半两） 川芎 桔梗（炒） 白芷（各一两） 当归（二钱半）
芍药（七钱半）
以上为细末，每服二平钱，水一盏，煎至七分，温服。如烦热甚，大便秘者，加大黄二钱半。
地黄煎 治疗产后诸疾。
生地黄汁 生姜汁（各一升） 藕汁（半升） 大麻仁（三两，去壳研）
以上和匀，在银器内慢火熬成膏，温酒调服半匙，再加北术煎膏入半匙尤佳。《产宝》方无麻仁，用白蜜，治疗产后虚惫、盗汗、呕吐。
地黄酒 治疗产后百病。未产一月先酿，产讫可服。
地黄汁 好曲 好净秫米（蒸，各二升）
以上先用地黄汁浸曲令发酵，按家法酿至熟，封七日，取清者服，常服令酒气相接，勿令断绝。忌蒜、生冷、滑腻、鸡、猪肉，一切毒物。凡妇人都可服，但夏三月不可酿，春秋宜作，用地黄汁并渣滓，纳米中炊合用之。若作一石、十石，准此二升为则。先服当归汤，后服此妙。
桃仁煎 治疗产后百病诸气。
桃仁（一千二百枚，去皮尖及双仁，熬令黄色）
以上捣令极细，以上等酒一斗五升，同研三四遍，如作麦粥法，以极细为佳，入小长颈瓷瓶中密塞，以面封之，纳汤中煮一伏时（一夜），不停火，亦勿令火猛，使瓶口常出在汤上，勿令没之，候熟取出，温酒服一合，日再服。
产后醋墨
松烟细墨（不拘多少，用炭火烤通红，以米醋淬之，再淬，如此七度）
以上研令极细，用绢罗过，才产了服二钱，用童便调下。
黑神散 治疗妇人产后恶露不尽，胞衣不下，攻冲心胸痞满，或脐腹坚胀撮痛，及血晕神昏，眼黑口噤，产后瘀血诸疾，并皆治之。又名乌金散，治疗产后十八证：一曰因热病胎死腹中。二曰产难。三曰胞衣不下。四曰血晕，五曰口干心闷。六曰乍寒乍热。七曰虚肿。八曰乍见鬼神。九曰月内不语。十曰腹痛泄泻。（兼服止泻调气药。）十一曰遍身疼痛。十二曰血崩。十三曰血气不通，咳嗽。十四曰寒热心痛，月候不来。十五曰腹胀满，呕逆不定。（次服朱砂丸三二日，炒生姜、醋汤下七丸。）十六曰口鼻黑气及鼻衄。（此证不可治。）十七曰喉中气喘急。（死不治。）十八曰中风。
熟干地黄 蒲黄（炒） 当归 干姜（炮） 桂心 芍药 甘草（各四两） 黑豆（炒去皮，半升）
以上为细末，每服二钱，酒、童便各半盏，同煎服。
琥珀散 治疗产后一切危急之疾。
琥珀 朱砂 麝香 香墨（醋炙） 僵蚕 当归（各二钱半） 鲤鱼鳞（炒焦） 桂心
百草霜 白附子 梁上尘（炒令烟出，筛净，各半两）
细末之，炒生姜、热酒调服二钱效。
千金增损泽兰丸 治疗产后百病，理血气，补虚劳。
泽兰 甘草 当归 川芎（各一两七钱半） 附子（炮） 干姜 白术 白芷 桂心 北细辛（各一两） 北防风 人参 牛膝（各一两二钱半） 柏子仁 熟地黄 石斛（各一两半）
浓朴 藁本 芜夷（各五钱） 麦门冬（去心，二两）
以上共为细末，炼蜜丸如梧桐子大。温酒下二十丸。
黑龙丹 治疗产后一切血疾，产难，胎衣不下，危急恶疾垂死者，但灌药得下，无不全活。
当归 五灵脂 川芎 良姜 熟地黄（各一两）
以上细锉，以沙合盛，赤石脂泥缝，纸筋盐泥固济，炭火十斤，煅令通赤，去火候冷，开看成黑糟色，取出细研，却入后药。
百草霜（五两） 硫黄 乳香（各一钱半） 花蕊石 琥珀（各一钱）
以上五味，并细研，与前五味再研，如法修制和匀，以米醋煮面糊，丸如弹子大。每服一丸，炭火烧令通赤，投于生姜自然汁与童子小便，入酒漉出，控干研细，只用此酒调下。
[Daquan] Whenever childbirth is completed, drink a cup of hot urine from an uncircumcised boy. Do not lie down immediately; instead, sit with eyes closed for a moment, then get into bed. It is advisable to lie on the back rather than on the side, with knees upright and legs unextended, leaning high against the headboard. Use thick bedding, surround the four walls to eliminate gaps, preventing invasion by pathogenic wind (external evil wind). Subsequently, apply vinegar to the nose, or use vinegar-smoked charcoal and burnt lacquerware fumes. Additionally, massage from the heart down to below the umbilicus to prevent stagnation of lochia (postpartum discharge of blood and mucus). Maintain this for three days to prevent syncope due to blood loss (blood fainting) and counterflow of qi and blood. Regardless of abdominal pain or health status, take half a cup of urine from an uncumcised boy mixed with wine, warmed and taken five to seven times, which is excellent. Although wine promotes blood circulation, it should not be consumed in excess, as it may draw blood into the limbs and cause dizziness. Frequently consume small amounts of white rice porridge. After one month, consume small amounts of mutton and pig trotters. Still, be cautious with speech, regulate the Seven Emotions (joy, anger, worry, thought, sadness, fear, fright), avoid extreme cold and heat, and refrain from combing hair or washing feet, taking one hundred days as the duration. If the patient's qi and blood are inherently weak, regardless of the time elapsed, otherwise symptoms such as soreness and pain in the hands, feet, waist, and legs will occur, known as postpartum labor injury (Rulao), which is difficult to treat. At the time of initial delivery, do not ask about the gender of the infant, lest speech deplete qi, or love/hatred stir qi, both of which can cause disease. Do not live alone, lest causing empty fright; do not scrape the tongue, lest damaging heart qi; do not brush teeth, lest causing counterflow of blood. Only after qi and blood have stabilized may one attend to affairs. Violating these taboos initially causes symptoms as slight as autumn hairs, but once illness sets in, it becomes heavy as mountains. Can one not be vigilant? (Chen Cangqi said: Soak ramie juice and give it to the parturient woman to drink, or place ramie as a pillow for her to stop blood fainting. For postpartum abdominal pain, placing ramie on the abdomen stops the pain.) If the parturient woman rests according to these methods, the zang-fu organs will harmonize, and various ailments will be avoided. One must first take Heishen San (Black Divine Powder), Siwu Tang (Four Substance Decoction), Sishun Lizhong Wan (Four-Directional Regulating Middle Pill), and Qibao San (Seven Treasures Powder). If there is high fever and headache, this indicates the milk channels are about to flow; use Yulu San (Jade Dew Powder). If the head and eyes are unclear, it is blood fainting; use Qinghun San (Clear Soul Powder). If food tastes bland, it is deficiency of stomach qi; use Sishun Lizhong Wan.
[Danxi] Someone asked: A woman who has just given birth has depleted her good blood (normal blood), and dirty blood (stasis) may remain. Is Heishen San not an essential medicine? The answer is: Indeed, the primal yin energy of the earth gives life to all things; this is the constant principle. A woman who has just given birth does not necessarily have depleted good blood, accumulated dirty blood, or cold zang-fu organs. Why use medicine? With diligent care in diet and daily life, what illness would there be? If there is indeed stasis, and the body is weak and cold, giving a few doses is naturally simple. If there are other diseases, one should seek the cause, determine the affected meridian, treat qi disorders by regulating qi, and blood disorders by regulating blood. Why cling to this formula and order everyone to take it? Suppose there are those with impatient temperaments, thin constitutions, pre-existing fire-heat, or those sitting confinement in summer when fire-energy is prevalent; ginger and cinnamon are forbidden medicines. Furthermore, the method of care is particularly contrary to reason. Meat broth stimulates fire in the yin meridians, easily leading to internal injury diseases. The sages had warnings; why use thick mutton and chicken broth as gruel and take it frequently? Danggui Wan (Angelica Pill), Danggui Jianzhong Tang (Angelica Decoction to Establish the Middle), and Sishun Lizhong Wan, although tonics, are all biased towards heat. If the zang-fu are not cold, where can they endure it? As for the newborn, the mother's abdomen suddenly expands. Immediately eating eggs and consuming salty foods—without considering that eggs are hard to digest and salt generates heat—leads to complications whose cause is unknown. Prescribing medicine hastily, does this not harm people? I often see healthy postpartum women; I teach them to discard Heishen San, eggs, salty foods, and various meats, relying only on white rice porridge for care, occasionally adding some dried fish boiled lightly. After half a month, give small amounts of meat. If eating eggs, boil them lightly cracked open; this greatly nourishes the stomach and dispels disease. Those wealthy families and indulgent women suddenly suffer from leukorrhea with headache (Baidai Touteng), qi pain with chest fullness, rebellious phlegm with dry mouth, irregular menstruation, hair loss with fatigue. These are all diseases of excessive yang and deficient yin. Innate qi and blood are originally peaceful. To speak of excess or deficiency, how do we know if these errors and confusion did not initiate them?
*Qianjin Fang* says: Generally, after childbirth, one may engage in sexual intercourse only after one hundred days; otherwise, death ensues, weakness increases, and myriad diseases grow. Be cautious. Any woman suffering from wind-cold and deficiency-cold below the navel usually arises from early sexual activity postpartum. Within seven days after childbirth, when lochia is not yet exhausted, do not take medicinal decoctions. Wait until the mass below the navel dissipates, then advance to mutton soup. Cases with severe pain are exceptions. After two or three days of stability, Ze Lan Wan (Lycium Root Pill) may be taken. It is best to finish the pills by the end of the first month; otherwise, deficiency cannot be resolved. In cases of extreme emaciation that are incurable, Wushi Zelan Wan (Five-Stone Lycium Root Pill) is used for supplementation. Medication must not be taken before the seventh day.
For women who give birth during the hot summer months, taking too much coolness leads to wind-cold accumulation in the abdomen, myriad diseases arise, and eventually death occurs. Hundred remedies fail to cure; Taoren Jian (Peach Kernel Paste) is the primary treatment. Take this after the confinement period. Even if women have no disease, they should take one or two doses every autumn and winter, continuing through the year, which is optimal.
Danxi said: Postpartum, the priority is to greatly tonify qi and blood. Even if there are miscellaneous syndromes, treat them as secondary. Postpartum, one must never use diaphoretic (sweat-inducing) methods. Postpartum, one must not use Shaoyao (White Peony Root), because its sour and cold nature destroys the generating and ascending qi.
[General Formulas]
Jiawei Sijunzi Tang (Modified Four Gentlemen Decoction) After new childbirth, even without disease, one should rest and regulate the spleen and stomach, eat well, so that zang-fu organs recover easily, qi and blood harmonize naturally, and myriad diseases do not arise.
Renshen (Ginseng Radix et Rhizoma), Fuling (Poria), Baizhu (Atractylodis Rhizoma), Gancao (Licorice Root), Chenpi (Citri Reticulatae Pericarpium), Huoxiang (Agastegiae Herba), Suosharen (Amomi Fructus Rotundus), Huangqi (Astragali Radix) (equal parts).
Grind into powder. Take 4 qian per dose, with 3 slices of ginger and 1 jujube, decoct and take warm.
Sishun Lizhong Wan (Four-Directional Regulating Middle Pill) Treats new childbirth where both qi and blood are injured, spleen and stomach are disordered. Suitable for frequent use within 100 days.
Renshen (Ginseng Radix et Rhizoma, remove rhizome), Ganjiang (Zingiberis Rhizoma, processed), Baizhu (Atractylodis Rhizoma) (each 1 liang), Gancao (Licorice Root, honey-fried, 0.5 liang, ground to fine powder).
Mix with refined honey to make pills the size of paulownia seeds. Take 50 pills per dose, swallowed with rice water on an empty stomach.
Dihuang Wan (Rehmannia Pill) Treats postpartum abdominal pain; seeing black spots before eyes, or mania resembling ghost possession; retained placenta, aphonia, chest and epigastric fullness, inability to digest food and water, dry mouth with irritability and thirst, alternating chills and fever, oral ulcers, throat swelling and toxicity, palpitations, insomnia, postpartum wind-stroke, opisthotonos, red face, locked jaw; metrorrhagia resembling pig liver, umbilical and abdominal pain, restlessness and trance, swollen limbs; unstable conception, cyanosis of lips, mouth, and nails.
Sheng Dihuang (Rehmanniae Radix, fresh, pressed for juice, retain dregs), Shengjiang (Zingiberis Rhizoma, fresh) (each 2 jin, pressed for juice, retain dregs), Puhuang (Typhae Pollen), Danggui (Angelicae Sinensis Radix) (each 4 liang).
In a silver or earthenware vessel, stir-fry the ginger dregs with the Rehmannia juice, and stir-fry the Rehmannia dregs with the ginger juice, drying each separately. Roast the four ingredients together, grind to fine powder, and form pills using vinegar-boiled wheat paste, sized like marbles. Take one pill before meals, dissolved in Danggui-infused wine. Another prescription uses only Dihuang and Shengjiang, prepared via alternating stir-frying method into powder. Take 3 qian per dose with wine.
Danggui San (Angelica Powder) (See section on spontaneous abortion and miscarriage above.)
Siwei Tang (Four-Ingredient Decoction) Treats all postpartum diseases; most effective taken immediately after delivery.
Danggui (Angelicae Sinensis Radix) (add 0.5 qian for心烦/irritability in chest/diaphragm), Yanhusuo (Corydalis Rhizoma) (add 0.5 qian for qi stagnation and panting), Xuejie (Dragon's Blood) (add 0.5 qian for slow lochia expulsion), Moyao (Myrrha) (add 0.5 qian for cramping pain in heart/abdomen).
Grind to fine powder. Take 2 qian per dose before meals, decocted with one cup of urine from an uncircumcised boy until reduced to 60%, then take warm.
Yulu San (Jade Dew Powder) Treats postpartum failure of milk secretion, high fever and body pain, dizziness of head and eyes, constipation. This formula cools the chest, suppresses heat, and promotes lactation.
Renshen (Ginseng Radix et Rhizoma), Baifuling (Poria), Gancao (Licorice Root) (each 0.5 liang), Chuanxiong (Ligustici Chuanxiong Rhizoma), Kujie (Platycodonis Radix, fried), Baizhi (Angelicae Dahuricae Radix) (each 1 liang), Danggui (Angelicae Sinensis Radix) (2.5 qian), Shaoyao (Paeoniae Radix Alba) (7.5 qian).
Grind to fine powder. Take 2 level qian per dose, with one sheng of water, decoct to 70%, take warm. If severe irritability and heat with constipation, add Dahuang (Rhei Radix et Rhizoma) 2.5 qian.
Dihuang Jian (Rehmannia Paste) Treats various postpartum diseases.
Sheng Dihuangzhi (Fresh Rehmannia Juice), Sheng Jiangzhi (Fresh Ginger Juice) (each 1 sheng), Ou Zhi (Lotus Root Juice) (0.5 sheng), Dama Ren (Cannabis Seed) (3 liang, shell removed and ground).
Mix evenly, slowly simmer in a silver vessel to form a paste. Take half a spoonful mixed with warm wine. Adding Bei Zhu (Atractylodis Macrocephalae Rhizoma) paste is even better. *Chanbao* formula omits Hemp Seed, using White Honey instead, treating postpartum exhaustion, night sweats, and vomiting.
Dihuang Jiu (Rehmannia Wine) Treats myriad postpartum diseases. Brew one month before delivery; take after birth.
Dihuang Zhi (Rehmannia Juice), Hao Qu (Good Yeast), Hao Jing Shumi (Good Clean Sorghum Rice, steamed) (each 2 sheng).
First soak yeast in Rehmannia juice to ferment, follow family method to brew until ripe. Seal for seven days, take the clear liquid. Consume regularly so the effect of the wine is continuous, do not let it cease. Avoid garlic, raw/cold foods, slippery foods, chicken, pork, and all toxic substances. All women can take this, but do not brew in the three summer months; spring and autumn are suitable. Use Rehmannia juice and dregs, mix with rice and steam together. If making one dan or ten dan, use this ratio of two sheng as the standard. Take Danggui Tang first, then this is superior.
Taoren Jian (Peach Kernel Paste) Treats myriad postpartum diseases and qi disorders.
Taoren (Persicae Semen) (1200 kernels, peel tips and double-kernels, roast until yellow).
Grind extremely fine. Mix with 1.5 dou of premium wine, grind together three or four times, like making wheat porridge, aiming for extreme fineness. Put in a small long-necked porcelain bottle, seal tightly, seal the lid with dough. Boil in water for one fu period (approx. 2 hours), keep fire steady but not fierce, ensure the bottle neck stays above water level. When cooked, remove, take one ge mixed with warm wine, twice daily.
Chanhou Cu Mo (Postpartum Vinegar-Ink)
Songyan Xi Mo (Fine Pine Soot Ink) (any amount, heat charcoal until red-hot, quench in rice vinegar, repeat quenching seven times).
Grind extremely fine, sieve through silk gauze. Take 2 qian immediately after delivery, mixed with urine from an uncircumcised boy.
Heishen San (Black Divine Powder) Treats postpartum incomplete lochia expulsion, retained placenta, attacking sensation causing chest/epigastric fullness, or firm distension and cramping pain in umbilical/abdominal region, as well as blood fainting with coma, blackened vision, locked jaw, and various postpartum blood stasis diseases. Also known as Wu Jin San (Black Gold Powder). Treats 18 postpartum syndromes: 1. Fetus died in uterus due to febrile disease. 2. Dystocia. 3. Retained placenta. 4. Blood fainting. 5. Dry mouth and chest oppression. 6. Alternating chills and fever. 7. Deficiency edema. 8. Hallucinations of ghosts/gods. 9. Aphonia within the first month. 10. Abdominal pain with diarrhea. (Also take anti-diarrheal and qi-regulating herbs.) 11. Generalized body pain. 12. Metrorrhagia. 13. Qi and blood blockage with cough. 14. Chills, fever, heart pain, amenorrhea. 15. Abdominal distension,不定 vomiting/regurgitation. (Next take Zhusha Wan for 2-3 days, taken with fried ginger and vinegar water, 7 pills.) 16. Black qi around mouth/nose and epistaxis. (This syndrome is incurable.) 17. Rapid wheezing in throat. (Fatal, incurable.) 18. Wind-stroke.
Shu Gansheng Dihuang (Prepared Rehmanniae Radix), Puhuang (Typhae Pollen, fried), Danggui (Angelicae Sinensis Radix), Ganjiang (Zingiberis Rhizoma, processed), Guixin (Cinnamomi Cortex), Shaoyao (Paeoniae Radix Alba), Gancao (Licorice Root) (each 4 liang), Heidou (Black Soybean, fried and peeled, 0.5 sheng).
Grind to fine powder. Take 2 qian per dose, decocted with half a cup of wine and half a cup of urine from an uncircumcised boy.
Hupo San (Amber Powder) Treats all critical postpartum emergencies.
Hupo (Electrum), Zhusha (Cinnabar), Shexiang (Moschus), Xiangmo (Ink, vinegar-fried), Jiangcan (Bombyx Batryticatus), Danggui (Angelicae Sinensis Radix) (each 2.5 qian), Liyu Lin (Cyprini Carpa Squama, fried until charred), Guixin (Cinnamomi Cortex), Baicaoshuang (Fuligo Silicea), Baifuzi (Typhonii Rhizoma), Liangshang Chen (Dust from Ridgebeam, fried until smoke rises, sifted clean) (each 0.5 liang).
Grind to fine powder. Take 2 qian mixed with fried ginger and hot wine for efficacy.
Qianjin Zengsun Zelan Wan (Qianjin Modified Lycium Root Pill) Treats myriad postpartum diseases, regulates qi and blood, tonifies deficiency and fatigue.
Zelan (Lycii Radicis Cortex), Gancao (Licorice Root), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 1 liang 7 qian 5 fen), Fuzi (Aconiti Lateralis Radix Praeparata, processed), Ganjiang (Zingiberis Rhizoma), Baizhu (Atractylodis Rhizoma), Baizhi (Angelicae Dahuricae Radix), Guixin (Cinnamomi Cortex), Beixixin (Asari Radix et Rhizoma) (each 1 liang), Beifengcong (Saposhnikoviae Radix), Renshen (Ginseng Radix et Rhizoma), Niuxi (Achyranthis Bidentatae Radix) (each 1 liang 2 qian 5 fen), Baiziren (Biota Semen), Shu Dihuang (Prepared Rehmanniae Radix), Shihu (Dendrobii Caulis) (each 1 liang 5 qian), Houpo (Magnoliae Officinalis Cortex), Ben Cao (Ligustici Wallichii Rhizoma), Wuyao (Lithospermi Radix) (each 5 qian), Maimendong (Ophiopogonis Radix, remove heart) (2 liang).
Grind all to fine powder, mix with refined honey to make pills the size of paulownia seeds. Take 20 pills with warm wine.
Heilong Dan (Black Dragon Pill) Treats all postpartum blood diseases, dystocia, retained placenta, critical malignant diseases near death. As long as the medicine can be administered, survival is assured.
Danggui (Angelicae Sinensis Radix), Wulingzhi (Trogopterori Faeces), Chuanxiong (Ligustici Chuanxiong Rhizoma), Liangjiang (Alpiniae Officinarum Rhizoma), Shu Dihuang (Prepared Rehmanniae Radix) (each 1 liang).
Cut finely, place in a clay pot, seal seams with red stone powder mud, reinforce with paper-slime salt mud. Roast over charcoal fire (10 jin) until red-hot. Remove from fire, let cool. Open to check for black residue color. Grind finely, then add subsequent herbs.
Baicaoshuang (Fuligo Silicea) (5 liang), Liuhuang (Sulfur), Ruxiang (Olibanum) (each 1.5 qian), Huaruishi (Manshuri Opsti Lapillus), Hupo (Electrum) (each 1 qian).
Grind these five ingredients finely, mix again with the previous five ingredients. Prepare uniformly according to method. Use rice vinegar and wheat paste to make pills the size of marbles. Take one pill per dose. Roast the pill in charcoal until red-hot, drop into natural ginger juice and urine from an uncircumcised boy, filter out with wine, drain dry, grind fine, and take suspended in this wine.
[Diagnosis] After childbirth, if the Cun Kou pulse (radial artery at the wrist) is surging, rapid, and irregular, death ensues. If the pulse is deep, minute, and unbroken upon pressing to the bone, life is preserved. For a woman who has just given birth and is nursing, if the pulse is deep, small, and slippery, life is preserved; if the pulse is solid, large, firm, wiry, and rapid, death ensues.