〔薛〕产后小腹作痛，俗名儿枕块，用失笑散行散之。若恶露既去而仍痛，用四神
散调补之。若不应，用八珍汤。若痛而恶心，或欲作呕，用六君子汤。若痛而泄泻，用六
君子汤送四神丸。若泄泻痛而或后重，用补中益气汤送四神丸。若胸膈饱胀，或恶食吞
酸，或腹痛手不可按，此是饮食所致，当用二陈加山楂、白术以消导。若食既消而仍痛，
或按之不痛，或更加头痛烦热，作渴恶寒欲呕等证，此是中气被伤，宜补脾胃为主。若
发热腹痛，按之痛甚，不恶食，不吞酸，此是瘀血停滞，用失笑散以消之。若止是发热
头痛，或兼腹痛，按之却不痛，此是血虚，用四物加炮姜、参、术以补之。《病机要》云∶
胎产之病，从厥阴经论之，无犯胃气及上中二焦，为之三禁，不可汗，不可下，不可利
小便。发汗者同伤寒下早之证，利大便则脉数而已动于脾，利小便则内亡津液，胃中枯
燥。制药之法，能不犯三禁，则荣卫自和而寒热止矣。如发渴，用白虎，气弱用黄 ，血
刺痛则用当归，腹中痛则加芍药，宜详察脉证而用之。丹溪先生云∶产后当大补气血为
先，虽有杂证，从末治之，一切病多是血虚，皆不可发表，一产妇腹痛发热，气口脉大，
余以为饮食停滞，不信，乃破血补虚，反寒热头痛，呕吐涎沫，又用降火化痰理气，四
肢逆冷，泄泻下坠，始悔。问余曰∶何也？余曰∶此脾胃虚之变症也。法当温补，遂用六
君加炮姜二钱，肉桂、木香各一钱，四剂，诸证悉退，再用补中益气之剂，元气悉复。
一妇人产后腹痛后重，去痢无度，形体倦怠，饮食不甘，怀抱久郁，患茧唇，寐而盗汗如
雨，竟夜不敢寐，神思消烁。余曰，气血虚而有热，用当归六黄汤内黄芩、连、柏炒黑，
一剂汗顿止，再剂全止。乃用归脾汤、八珍散兼服，元气渐复而愈。一产妇小腹作
痛，服行气破血之药不效，其脉洪数，此瘀血内溃为脓也，以瓜子仁汤二剂痛止，更以
太乙膏下脓而愈。产后多有此病，纵非痈，用之更效。一产妇小腹痛，小便不利，用薏
苡仁汤二剂痛止，更以四物加红花、桃仁，下瘀血而愈。大抵此证皆因荣卫不调，或瘀血
停滞所致，若脉洪数已有脓，脉但数微有脓，脉迟紧乃瘀血，下之即愈。若腹胀大，转侧
作水声，或脓从脐出，或从大便出，宜用蜡矾丸、太乙膏及托里药。一产妇小腹作痛
有块，脉芤而涩，以四物加玄胡、红花、桃仁、牛膝、木香治之而愈。一妇产后小腹
患痛，服瓜子仁汤下瘀血而痊。凡瘀血停滞，宜急治之，缓则腐化为脓，最难治疗。若流
注关节，则患骨疽，失治多为败证。一妇人寒月中产后腹大痛，觉有块，百方不治，一
人教以羊肉四两，熟地黄二两，生姜一两，水煎服之，二三次愈。
〔大〕儿枕者，由母胎中宿有血块，因产时其血破散，与儿俱下则无患也。若产妇
脏腑风冷，使血凝滞在于小腹，不能流通，则令结聚疼痛，名之曰儿枕也。
延胡索散 治产后儿枕腹痛。
延胡索 当归（各一两） 真琥珀 蒲黄（炒，各二钱半） 赤芍药（半两） 桂心（半两）
红蓝花（二钱）
上为细末，以童便合酒，温调三钱，食前服。
疗新产后七八日，腹痛两胁痛。
当归 刘寄奴 苦梗（各十二分） 延胡索（别为末） 桂心 陈皮（各四分） 茯苓
芍药（各八分）
上 咀，以水二升，煮取八合，调延胡索末，空心服。
疗先患冷气，因产后发腹痛。
川芎 桂心 当归 吴茱萸 茯苓 芍药 甘草（各六分） 桃仁（十分）
上 咀，以水七升，煮取二升，去滓分三服。
〔丹〕产后三日，血块痛，发热。
五灵脂（略炒） 牡丹皮 没药 滑石
上研细，分五帖，豆淋酒调下之，食前。
冯宅产后发热，腹中痛有块，自汗恶寒，曾服黑神散。
白术 芍药（三钱） 滑石（五钱） 黄芩 牡丹皮（各二钱半） 人参 川芎
当归尾 陈皮 荆芥 干姜（各一钱） 甘草（少许）
治血瘕痛无定处。
童便（三升） 生地黄汁 生藕汁（各一升） 生姜汁（二升）
上先煎三味，约三分减二，次下姜汁，慢火煎如稀饧，每取一合，温酒调下。
黑神散 疗产后血块痛，经脉行后腹疼，并经脉不调。
熟地黄（一斤） 陈生姜（半斤）
上二味，同和炒干为末。每服二钱，用乌梅调下，常服酒调，经脉不通，乌梅、荆
芥酒调下。
一方 用山楂浓煎汁，入砂糖少许，再煎热服。
治儿枕痛，乃血瘕也。用真蒲黄研细，调酒服二钱。如躁渴者，新汲水调下。
又方 隔年蟹壳烧灰，酒调下。
治产后儿枕大痛，
黑白散
乌金石（醋 七次，另研） 寒水石（ 存性，为末）
上各收之。痛时各抄一钱半，米饮调下，痛止勿服，未止再服。
海藏云∶四物加玄胡索、没药、白芷汤，治产后败血作痛。（通治妇人诸疾。）
四物苦楝汤（杂病腹痛。）
一方治脐下痛不可忍，四物汤加玄胡索二钱半服之。
紫金丸 治产后脐下痛，即失笑散醋为丸是也。
立效散 治产枕痛不可忍。
用五灵脂慢火炒干为末，温酒下二钱立瘥。
〔恶露不尽〕
〔金匮〕产后七八日，无太阳证，少腹坚痛，此恶露不尽，不大便，烦躁发热，切
脉微实，再倍发热，日晡时烦躁者，不食，食则谵语，至夜即愈，宜大承气汤主之，热在
里，结在膀胱也。
〔大全〕产后恶血虽常通行，或因外感五邪，内伤七气，致令斩然而止，余血壅滞，
所下不尽，故令腹痛，当审其因而治之。一产妇小腹痛甚，牙关紧急，此瘀血内停，灌
以失笑散，下血而苏。又用四物加炮姜、白术、陈皮而愈。一妇人经水来比常度过多
不止，遂用涩药止之，致腹作痛，此乃气血凝滞也，用失笑散二服而愈。
地黄散 治产后恶血不尽，腹中疼痛。
生地黄（炒） 当归（各二钱） 生姜（半两，切如芡实大，新瓦上焙令焦黑）
上为细末，每服二钱，空心姜、酒调下。
当归血竭丸 治妇人产后恶露不下，结聚成块，心胸痞闷，及脐下坚痛。
当归 血竭 芍药 蓬术（炮，各二两） 五灵脂（四两）
上为细末，醋糊和丸如梧桐子大。每服五十丸，食前温酒送下。
温隐居泽兰汤 治产后恶露不尽，腹痛往来，兼胸满少气。
泽兰（熬） 生干地黄 当归（各七钱半） 芍药 生姜（细切龟头大，新瓦上炒焦，各二两半）
甘草（一两半） 大枣（十四枚）
细切，水九升，煮三升，分三服。欲死涂身，得瘥。
卷荷散 治产后血上冲心，血刺、血晕、血气腹痛，恶露不快。
卷荷（初出水者） 红花 当归（各一两） 蒲黄（膈纸炒） 牡丹皮（各半两）
上为细末，每服二钱，空心盐酒调下，一腊内童子小便调。
又方 产后下血不尽，腹内坚痛不可忍。
当归 芍药 桂心（各三两） 桃仁（一百二十
粒，制）
上水六升，煮二升，温分两服。未瘥加大黄。
又方 产后血结下不尽，腹中绞痛不止。
大黄（别浸） 生干地黄 当归（各十分） 川芎 桂心 芍药（各八分）
甘草 黄芩（各六分） 桃仁（四十九粒，制）
细切，水七升，煮二升半，入大黄煎三沸，分温三服。
又产后血下不尽，腹中痛无计。
青木香 当归 牛膝 川芎 黄 芍药（各八分） 大黄（十三分浸） 芒硝（十二分）
细切，水七升，煮二升半，入大黄更三沸，分三服。
又产后恶露不尽，结聚小腹疼痛。
当归（七钱半） 制香附子（一两） 琥珀 没药 青皮 赤芍药 木香 桂心（各半两）
上为细末以乌豆淋酒调二钱。
《产宝》治产后余血作疼兼块者。
桂心 姜黄（各等分，为细末） 酒调方寸匕，血下尽妙。
产乳方芸苔散 产后恶露不尽，血结刺痛，名血母块。兼治心腹诸疾。
芸苔子（隔纸炒） 当归 桂心 赤芍药（各等分）
细末，酒调二钱。产后可常服。
黑神散治产后恶露不尽，心胸痞闷，脐腹撮痛，污血诸疾。（产后通用方。）
〔丹〕治产后恶露未尽，小腹作痛。
五灵脂（末） 香附末
上合和醋为丸，甚者加留尖桃仁。（一方加蛤粉。）
救急疗恶露不尽腹胀痛 取乱发如鸡子大，灰水洗垢净，烧存性末之，酒调服二钱。
又疗产后血不尽，心腹痛闷方。取荷叶烧灰存性，热汤和服，煮取汁饮之亦良。
又方 以铁秤锤一枚，烧赤投酒中，（酒准五升。）用此酒煮当归三两，取二升，去滓分温
再服。《千金》同。一方无当归。
《大全》 以恶露不尽腹痛、及儿枕心腹刺痛、小腹疼痛、寒疝，分为四门。由母胎
中宿有血块，产后不与儿俱下而仍在腹作痛，谓之儿枕。其恶露下不快而作痛者，胎中原
无积聚，不为儿枕也。若恶露已尽，或由它故腹痛，如仲景枳实芍药散证，或由血虚腹
痛，如仲景当归生姜羊肉汤证，自当别论。故复胪列诸名方于后，若服枳实芍药散不愈，仍
当求责瘀血也，故下瘀血汤诸方附焉，而补虚诸方终之，不复立寒疝条。
《金匮》云∶产后腹痛烦满不得卧，枳实芍药散主之。
枳实芍药散方
枳实（烧令黑，勿太过） 芍药（各等分）
上二味，杵为散，服方寸匕，日三服。并主痈脓，以麦粥下之。
〔薛〕前证若因气滞，用延胡索散。若因外寒，用五积散。若因怒气，用四物加木
香、柴胡。若因血虚，用四物、参、术、炮姜。若因阳气虚弱，用四君、当归、炮姜。若
因脾虚血弱，用六君、当归、炮姜治之。一产妇患前证，或作呕，或昏愦，此脾气虚
寒，用人参理中汤渐愈，又以补中益气汤加茯苓、半夏全愈。后复作痛而兼喘，仍用补
中益气汤，培补脾肺而瘥。
师曰∶产妇腹痛，法当以枳实芍药散，假令不愈者，此为腹中有干血着脐下，宜下瘀
血汤主之。
下瘀血汤方
大黄（二两） 桃仁（二十枚） 虫（二十枚，熬去足）
上三味，末之，炼蜜和为四丸，以酒一升，煎一丸，取八合，顿服之，新血下如豚
肝。
《保命方》治血晕血结，或聚于胸中，或偏于小腹，或连于胁肋，四物汤四两，倍当
归、川芎，加鬼箭羽、红花、玄胡各一两，同为粗末，加下四味煎，调没药散服。
虻虫（一钱，去翅足，炒） 水蛭（一钱，炒） 麝
香（少许） 没药（三钱）
上为末，入前药调服，血下痛止，只服一服。
千金桃仁芍药汤 治产后腹痛。
桃仁（半升） 芍药 川芎 当归 桂心 干漆（碎，熬） 甘草（各二两）
细切，水八升，煮二升半，分三服。
延胡索散 治产后脐下痛。
延胡索 桂心（各半两） 当归（一两）
上为细末，热酒调下二钱。
香桂散 治产后脐下疼痛不止。
川芎 当归（各二钱半） 桂心（半两）
上为细末，分为三服，每服酒一盏，煎三五沸，更入童便少许，煎至七分，温服。甚
者不过再服即瘥。
又方
釜底墨（醋炒令干） 延胡索 刘寄奴 桂心 子
上等分为末，热酒调下二钱。
紫金丸 治产后恶露不快，腰痛小腹如刺，时作寒热头痛，不思饮食。亦治久有瘀
血，月水不调，黄瘦不思饮食，并能治之。亦可疗心痛。（与失笑散同。）
五灵脂（水淘去砂石，焙干，秤，炒为末） 真蒲黄
上以好米醋调五灵脂，慢火熬成膏，次以蒲黄末搜和，丸如樱桃大。每服一丸，水
与童便各半盏，煎至七分，令药化，温服之，少顷再一服，恶露即下。久有瘀血成块，月
信不利者，并用酒磨下。
当归养血丸 治产后恶血不散，发渴，心腹疼痛及恶露不快，脐下急痛，连及腰脚疼
痛。
当归 赤芍药 牡丹皮 延胡索（各二两） 桂心（一两）
为末，炼蜜丸梧子大。空心酒下三、四十丸，痛甚者细嚼下。
《金匮》产后腹中 痛，当归生姜羊肉汤主之。并治腹中寒疝，虚劳不足。
当归生姜羊肉汤
当归（三两） 生姜（五两） 羊肉（一斤）
上三味，以水八升，煮取三升，温服七合，日三服。若寒多者，加生姜成一斤，痛
多而呕者，加橘皮、白术。加生姜者，亦加水五升，煮取三升二合服之。
〔衍〕一妇人产当寒月，寒气入产门，脐下胀满，手不得犯，此寒疝也。医将治之
以抵当汤，谓其有瘀血也。予教之曰∶非其治也，可服张仲景羊肉汤，少减，作二服，遂
愈。
产后六七日，忽然脐腹痛，皆由呼吸之间，冷气乘虚而入，宜服当归建中汤、四顺
理中丸共研，再丸作小丸，饭饮吞下，极妙。
仲景内补当归建中汤 治妇人产后虚羸不足，腹中刺痛不止，吸吸少气，或苦少腹
中急，痛引腰背，不能饮食，产后一月，日得服四五剂为善，令人强壮。
当归（四两） 桂枝（三两） 芍药（六两） 生姜（三两） 甘草（二两） 大枣（十二枚）
上六味，以水一斗，煮取三升，分温三服，一日令尽。若大虚加饴糖六两，汤成内
【薛己】产后小腹疼痛，俗称“儿枕块”，使用失笑散来行气活血、消散瘀血。如果恶露已经排尽但疼痛仍然持续，使用四神散进行调理和补益。如果服用后无效，使用八珍汤。如果疼痛伴有恶心，或者想要呕吐，使用六君子汤。如果疼痛伴有腹泻，使用六君子汤送服四神丸。如果腹泻且疼痛，或者有里急后重的感觉，使用补中益气汤送服四神丸。如果胸膈部饱胀，或者厌食、吞酸，或者腹痛且手不可按压，这是由饮食不当引起的，应当使用二陈汤加山楂、白术来消食导滞。如果食物已经消化但疼痛依旧，或者按压时不痛，或者出现头痛、烦热、口渴、恶寒、想要呕吐等症状，这是中气受损，应当以补益脾胃为主。如果发热且腹痛，按压时疼痛加剧，但不厌食、不吞酸，这是瘀血停滞所致，使用失笑散来消除瘀血。如果只是发热、头痛，或者兼有腹痛，但按压时却不痛，这是血虚所致，使用四物汤加炮姜、人参、白术来补益。《病机要》说：胎产疾病，应从厥阴经来论述，不要损伤胃气及上、中二焦，这就是所谓的“三禁”，即不可发汗，不可攻下，不可利小便。发汗会导致如同伤寒过早攻下那样的证候；利大便会使脉数而扰动脾脏；利小便会导致体内津液亡失，胃部干燥。制药的原则，如果不犯这“三禁”，那么营卫自然调和，寒热症状就会停止。如果出现口渴，使用白虎汤；气弱使用黄芪；血刺痛则使用当归；腹中痛则加芍药，应当详细诊察脉象和症状来用药。丹溪先生说：产后应当以大补气血为先，即使有其他杂症，也当作次要问题来处理，一切疾病多是由于血虚，都不可发表（发散解表）。有一个产妇腹痛发热，气口脉大，我认为她是饮食停滞，但她不信，反而使用破血补虚的药，结果导致寒热、头痛、呕吐涎沫，又用降火化痰理气的药，导致四肢逆冷、泄泻、肛门下坠，这才后悔。问我为什么这样？我说：这是脾胃虚弱产生的变症。治法应当温补，于是使用六君子汤加炮姜二钱，肉桂、木香各一钱，服用四剂后，所有症状全部消退，再使用补中益气汤，元气完全恢复。有一个妇人产后腹痛且有里急后重感，痢疾无度，身体倦怠，饮食无味，长期情绪抑郁，患茧唇症，睡觉时盗汗如雨，整夜不敢入睡，精神极度消耗。我说，这是气血虚弱而有热，使用当归六黄汤，并将其中的黄芩、黄连、黄柏炒黑，服用一剂后汗立刻停止，服用两剂后完全停止。然后使用归脾汤、八珍散同时服用，元气逐渐恢复而痊愈。有一个产妇小腹疼痛，服用行气破血的药物无效，其脉象洪数，这是瘀血内溃化为脓了，服用瓜子仁汤两剂后疼痛停止，再用太乙膏排出脓液而痊愈。产后多有这种病，即使不是痈肿，使用此方效果更好。有一个产妇小腹痛，小便不利，服用薏苡仁汤两剂后疼痛停止，再用四物汤加红花、桃仁，排出瘀血而痊愈。大抵这个证候都是因为营卫不调，或者瘀血停滞所致，如果脉象洪数说明已有脓，脉象仅数说明微有脓，脉象迟紧则是瘀血，攻下瘀血即可痊愈。如果腹部胀大，转动身体时有水声，或者脓从脐部流出，或者从大便流出，应当使用蜡矾丸、太乙膏以及托里透脓的药物。有一个产妇小腹疼痛且有肿块，脉象芤而涩，用四物汤加玄胡索、红花、桃仁、牛膝、木香治疗而痊愈。有一个妇产后小腹患病疼痛，服用瓜子仁汤排出瘀血而痊愈。凡是瘀血停滞，应当紧急治疗，拖延则会腐败化为脓，最难治疗。如果流注到关节，则患骨疽，失治大多成为败证。有一个妇人在寒冬月份产后腹部剧烈疼痛，感觉有肿块，各种方法都不见效，有人教她用羊肉四两，熟地黄二两，生姜一两，水煎服，两三次后痊愈。
【大论】所谓“儿枕”，是因为母亲在胎中素有血块，如果在分娩时这些血随胎儿一起排出就没有祸患。如果产妇脏腑受风冷侵袭，使血液凝滞在小腹，不能流通，从而结聚疼痛，就叫做“儿枕”。
延胡索散 治疗产后儿枕腹痛。
延胡索、当归（各一两）、真琥珀、蒲黄（炒，各二钱半）、赤芍药（半两）、桂心（半两）、红蓝花（二钱）。
以上药物研为细末，用童便和酒调和，温服三钱，饭前服用。
治疗新产后七八天，腹痛伴两胁痛。
当归、刘寄奴、桔梗（各十二分）、延胡索（另研为末）、桂心、陈皮（各四分）、茯苓、芍药（各八分）。
以上药物切碎，用水二升，煮取八合，调入延胡索末，空腹服用。
治疗原本患有冷气，因产后引发腹痛。
川芎、桂心、当归、吴茱萸、茯苓、芍药、甘草（各六分）、桃仁（十分）。
以上药物切碎，用水七升，煮取二升，去渣分三次服用。
【丹溪】产后三天，血块疼痛，发热。
五灵脂（略炒）、牡丹皮、没药、滑石。
以上研细，分五帖，用豆淋酒调下，饭前服用。
冯家宅产后发热，腹中痛且有肿块，自汗、恶寒，曾服用黑神散。
白术、芍药（三钱）、滑石（五钱）、黄芩、牡丹皮（各二钱半）、人参、川芎、当归尾、陈皮、荆芥、干姜（各一钱）、甘草（少许）。
治疗血瘕疼痛部位不定。
童便（三升）、生地黄汁、生藕汁（各一升）、生姜汁（二升）。
以上先煎前三味药，约减少三分之二，再加入姜汁，用慢火煎成稀饧状，每次取一合，用温酒调下。
黑神散 治疗产后血块痛，月经结束后腹痛，以及月经不调。
熟地黄（一斤）、陈生姜（半斤）。
以上两味药，一同炒干研为末。每次服用二钱，用乌梅调下，常服时用酒调下，若经脉不通，用乌梅、荆芥酒调下。
另一方 用山楂浓煎汁，加入少许砂糖，再煎热服用。
治疗儿枕痛，这是血瘕。用真蒲黄研细，调酒服用二钱。如果烦躁口渴，用新汲水调下。
又一方 隔年的蟹壳烧成灰，用酒调下。
治疗产后儿枕剧痛，
黑白散
乌金石（醋淬七次，另研）、寒水石（煅存性，研为末）。
以上分别收存。疼痛时各取一钱半，用米饮调下，疼痛停止后勿服，未停可再服。
海藏说：四物汤加玄胡索、没药、白芷汤，治疗产后败血作痛。（通治妇人各种疾病。）
立效散 治疗产枕痛难忍。
用五灵脂慢火炒干为末，温酒送服二钱，立刻痊愈。
〔恶露不尽〕
〔金匮〕产后七八天，没有太阳病的证候，少腹坚硬疼痛，这是恶露不尽，不大便，烦躁发热，切脉微实，发热加倍，日晡时分（下午3-5点）烦躁的，不吃东西，吃东西则谵语，到了夜晚就好了，应当用大承气汤主治，热在里，结在膀胱。
〔大全〕产后恶血虽然通常通行，但如果因为外感五邪，内伤七情，导致突然停止，余血壅滞，所下的血不尽，所以导致腹痛，应当审察病因进行治疗。一个产妇小腹痛甚，牙关紧急，这是瘀血内停，灌服失笑散，下血后苏醒。又用四物汤加炮姜、白术、陈皮而痊愈。一个妇人月经量比平时过多不止，于是用涩药止住，导致腹部疼痛，这是气血凝滞，服用两服失笑散而痊愈。
地黄散 治疗产后恶血不尽，腹中疼痛。
生地黄（炒）、当归（各二钱）、生姜（半两，切成芡实大小，在新瓦上焙至焦黑）。
以上研为细末，每次服用二钱，空腹用姜、酒调下。
当归血竭丸 治疗妇人产后恶露不下，结聚成块，心胸痞闷，以及脐下坚痛。
当归、血竭、芍药、蓬术（炮，各二两）、五灵脂（四两）。
以上研为细末，用醋糊和丸如梧桐子大。每次服用五十丸，饭前温酒送下。
温隐居泽兰汤 治疗产后恶露不尽，腹痛往来，兼有胸满少气。
泽兰（熬）、生干地黄、当归（各七钱半）、芍药、生姜（细切如龟头大小，在新瓦上炒焦，各二两半）、甘草（一两半）、大枣（十四枚）。
细切，用水九升，煮取三升，分三次服用。欲死涂身，得瘥。
卷荷散 治疗产后血上冲心，血刺、血晕、血气腹痛，恶露不快。
卷荷（初出水者）、红花、当归（各一两）、蒲黄（隔纸炒）、牡丹皮（各半两）。
以上研为细末，每次服用二钱，空腹用盐酒调下，一个月内可用童子小便调下。
又一方 产后下血不尽，腹内坚痛难忍。
当归、芍药、桂心（各三两）、桃仁（一百二十粒，制过）。
以上用水六升，煮取二升，温服分两次。未愈加大黄。
又一方 产后血结下不尽，腹中绞痛不止。
大黄（别浸）、生干地黄、当归（各十分）、川芎、桂心、芍药（各八分）、甘草、黄芩（各六分）、桃仁（四十九粒，制过）。
细切，用水七升，煮取二升半，入大黄煎三沸，分温三次服用。
又产后血下不尽，腹中痛无计。
青木香、当归、牛膝、川芎、黄芪、芍药（各八分）、大黄（十三分浸）、芒硝（十二分）。
细切，用水七升，煮取二升半，入大黄再煎三沸，分三次服用。
又产后恶露不尽，结聚小腹疼痛。
当归（七钱半）、制香附子（一两）、琥珀、没药、青皮、赤芍药、木香、桂心（各半两）。
以上研为细末，用乌豆淋酒调二钱。
《产宝》治疗产后余血作疼兼有肿块。
桂心、姜黄（各等分，为细末），酒调方寸匕，血下尽妙。
产乳方芸苔散 产后恶露不尽，血结刺痛，名血母块。兼治心腹诸疾。
芸苔子（隔纸炒）、当归、桂心、赤芍药（各等分）。
细末，酒调二钱。产后可常服。
黑神散治疗产后恶露不尽，心胸痞闷，脐腹撮痛，污血诸疾。（产后通用方。）
〔丹溪〕治疗产后恶露未尽，小腹作痛。
五灵脂（末）、香附末。
以上混合醋为丸，严重者加留尖桃仁。（一方加蛤粉。）
救急疗恶露不尽腹胀痛 取乱发如鸡蛋大，灰水洗垢净，烧存性研末，酒调服二钱。
又疗产后血不尽，心腹痛闷方。取荷叶烧灰存性，热汤和服，煮取汁饮之亦良。
又方 以铁秤锤一枚，烧赤投酒中，（酒准五升。）用此酒煮当归三两，取二升，去滓分温再服。《千金》同。一方无当归。
《大全》 将恶露不尽腹痛、及儿枕心腹刺痛、小腹疼痛、寒疝，分为四门。由母胎中宿有血块，产后不与儿俱下而仍在腹作痛，谓之儿枕。其恶露下不快而作痛者，胎中原无积聚，不为儿枕也。若恶露已尽，或由它故腹痛，如仲景枳实芍药散证，或由血虚腹痛，如仲景当归生姜羊肉汤证，自当别论。故复胪列诸名方于后，若服枳实芍药散不愈，仍当求责瘀血也，故下瘀血汤诸方附焉，而补虚诸方终之，不复立寒疝条。
枳实芍药散方
枳实（烧令黑，勿太过）、芍药（各等分）。
以上两味药，杵为散，服方寸匕，日三服。并主痈脓，以麦粥下之。
〔薛己〕前述证候如果因气滞引起，使用延胡索散。如果因外寒引起，使用五积散。如果因怒气引起，使用四物汤加木香、柴胡。如果因血虚引起，使用四物汤、人参、白术、炮姜。如果因阳气虚弱引起，使用四君子汤、当归、炮姜。如果因脾虚血弱引起，使用六君子汤、当归、炮姜治疗。一个产妇患前述证候，有时呕吐，有时昏愦，这是脾气虚寒，用人参理中汤逐渐痊愈，又以补中益气汤加茯苓、半夏全愈。后来再次疼痛兼喘，仍用补中益气汤，培补脾肺而瘥。
老师说：产妇腹痛，法当以枳实芍药散，假如不愈者，此为腹中有干血着脐下，宜下瘀血汤主之。
下瘀血汤方
大黄（二两）、桃仁（二十枚）、䗪虫（二十枚，熬去足）。
以上三味药，研为末，炼蜜和为四丸，以酒一升，煎一丸，取八合，顿服之，新血下如豚肝。
《保命方》治疗血晕血结，或聚于胸中，或偏于小腹，或连于胁肋，四物汤四两，倍当归、川芎，加鬼箭羽、红花、玄胡各一两，同为粗末，加下四味煎，调没药散服。
虻虫（一钱，去翅足，炒）、水蛭（一钱，炒）、麝香（少许）、没药（三钱）。
以上为末，入前药调服，血下痛止，只服一服。
千金桃仁芍药汤 治疗产后腹痛。
桃仁（半升）、芍药、川芎、当归、桂心、干漆（碎，熬）、甘草（各二两）。
细切，用水八升，煮二升半，分三次服用。
延胡索散 治疗产后脐下痛。
延胡索、桂心（各半两）、当归（一两）。
以上研为细末，热酒调下二钱。
香桂散 治疗产后脐下疼痛不止。
川芎、当归（各二钱半）、桂心（半两）。
以上研为细末，分为三服，每服酒一盏，煎三五沸，更入童便少许，煎至七分，温服。甚者不过再服即瘥。
又方
釜底墨（醋炒令干）、延胡索、刘寄奴、桂心、[子]（原文缺字，疑为某药或衍文，此处依原文保留结构，实际翻译中省略不明药物或视为整体）。
上等分为末，热酒调下二钱。
紫金丸 治疗产后恶露不快，腰痛小腹如刺，时作寒热头痛，不思饮食。亦治久有瘀血，月水不调，黄瘦不思饮食，并能治之。亦可疗心痛。（与失笑散同。）
五灵脂（水淘去砂石，焙干，秤，炒为末）、真蒲黄。
以上用好米醋调五灵脂，慢火熬成膏，次以蒲黄末搜和，丸如樱桃大。每服一丸，水与童便各半盏，煎至七分，令药化，温服之，少顷再一服，恶露即下。久有瘀血成块，月信不利者，并用酒磨下。
当归养血丸 治疗产后恶血不散，发渴，心腹疼痛及恶露不快，脐下急痛，连及腰脚疼痛。
当归、赤芍药、牡丹皮、延胡索（各二两）、桂心（一两）。
为末，炼蜜丸梧子大。空心酒下三、四十丸，痛甚者细嚼下。
《金匮》产后腹中 [拘急/绵绵] 痛，当归生姜羊肉汤主之。并治腹中寒疝，虚劳不足。
当归生姜羊肉汤
当归（三两）、生姜（五两）、羊肉（一斤）。
以上三味药，以水八升，煮取三升，温服七合，日三服。若寒多者，加生姜成一斤，痛多而呕者，加橘皮、白术。加生姜者，亦加水五升，煮取三升二合服之。
〔衍〕一个妇人在寒冷月份生产，寒气进入产门，脐下胀满，手不得触碰，这是寒疝。医生准备用抵当汤治疗，认为她有瘀血。我教导他说：这不是正确的治法，可以服用张仲景的羊肉汤，剂量稍减，分两次服用，于是痊愈。
产后六七日，忽然脐腹痛，皆由呼吸之间，冷气乘虚而入，宜服当归建中汤、四顺理中丸共研，再丸作小丸，饭饮吞下，极妙。
仲景内补当归建中汤 治疗妇人产后虚羸不足，腹中刺痛不止，吸吸少气，或苦少腹中急，痛引腰背，不能饮食，产后一月，日得服四五剂为善，令人强壮。
当归（四两）、桂枝（三两）、芍药（六两）、生姜（三两）、甘草（二两）、大枣（十二枚）。
以上六味药，以水一斗，煮取三升，分温三服，一日令尽。若大虚加饴糖六两，汤成内
[Xue Ji] Postpartum lower abdominal pain, commonly known as "child pillow mass" (Erzhen Kuai), should be treated with Shixiao San (Pain-Relieving Powder) to promote blood circulation and dissipate stasis. If lochia has been discharged but pain persists, use Sishen San (Four-Gentlemen Powder variant) to regulate and tonify. If ineffective, use Bazhen Tang (Eight-Treasure Decoction). If pain is accompanied by nausea or a desire to vomit, use Liujunzi Tang (Six-Gentlemen Decoction). If pain is accompanied by diarrhea, administer Liujunzi Tang with Sishen Wan (Four-Essence Pill). If diarrhea, pain, and tenesmus occur, administer Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with Sishen Wan. If there is fullness in the chest and diaphragm, aversion to food, acid regurgitation, or abdominal pain that cannot be pressed, this is caused by food stagnation; use Erchen Tang (Two-Aged Decoction) added with Hawthorn Fruit (Shanzha) and Atractylodes Macrocephala Rhizome (Baizhu) to digest and guide out stagnation. If food stagnation has cleared but pain remains, or if pressing does not cause pain, or if headache, vexation, heat, thirst, aversion to cold, and vomiting appear, this indicates damage to Middle Qi; the treatment should primarily focus on tonifying the Spleen and Stomach. If fever and abdominal pain occur, with exacerbation upon pressure, no aversion to food, and no acid regurgitation, this is due to blood stasis retention; use Shixiao San to dissipate it. If there is only fever and headache, or accompanied by abdominal pain but no pain upon pressure, this is Blood deficiency; use Siwu Tang (Four-Material Decoction) added with Fried Ginger (Paojiang), Ginseng (Renshen), and Atractylodes Macrocephala Rhizome (Baizhu) to tonify. *Bingji Yao* states: Diseases related to pregnancy and childbirth should be discussed from the perspective of the Jueyin Meridian. One must not violate the Stomach Qi and the Upper and Middle Jiaos; this constitutes the "Three Prohibitions": no sweating, no purgation, and no promoting urination. Sweating is similar to the syndrome of premature purgation in Cold Damage; purging the bowels causes rapid pulse and moves the Spleen; promoting urination leads to loss of body fluids and dryness of the Stomach. The principle of preparing medicines is that if these three prohibitions are not violated, Ying and Wei will naturally harmonize, and chills and fever will cease. If thirst occurs, use Baihu Tang (White Tiger Decoction); for weak Qi, use Astragalus Root (Huangqi); for stabbing blood pain, use Angelica Sinensis Radix (Danggui); for abdominal pain, add White Peony Root (Shaoyao). One should carefully observe the pulse and symptoms before using them. Mr. Danxi said: Postpartum, one should prioritize greatly tonifying Qi and Blood. Even if there are other miscellaneous syndromes, they should be treated as secondary. Most diseases are due to Blood deficiency, and releasing the exterior (sweating methods) should never be used. A postpartum woman had abdominal pain and fever, with a large pulse at the Qi Kou position. I believed it was food stagnation, but she did not believe me. Instead, she used blood-breaking and tonifying drugs, which resulted in chills, fever, headache, and vomiting of saliva. She then used drugs to descend fire, resolve phlegm, and regulate Qi, leading to cold extremities, diarrhea, and a sensation of bearing down. Only then did she regret it. She asked me why. I said: This is a transformational syndrome of Spleen-Stomach deficiency. The method should be warming and tonifying. Thus, I used Liujunzi Tang added with two qian of Fried Ginger, one qian of Cinnamon Twig (Guixin), and one qian of Aucklandia Root (Muxiang). After four doses, all symptoms subsided. Then, using Buzhong Yiqi Tang, her Yuan Qi was completely restored. Another woman had postpartum abdominal pain with tenesmus, profuse dysentery, physical fatigue, poor appetite, long-term emotional depression, cornified lip (Jianchun), heavy night sweats during sleep, insomnia, and mental exhaustion. I said this is Qi and Blood deficiency with Heat. I used Danggui Liu Huang Tang, frying Huangqin, Huanglian, and Huangbai black. After one dose, sweating stopped immediately; after two doses, it stopped completely. Then, Guipi Tang and Bazhen San were taken together, and her Yuan Qi gradually recovered, leading to cure. A postpartum woman had lower abdominal pain. Medicines for moving Qi and breaking blood were ineffective. Her pulse was surging and rapid, indicating that blood stasis had internally ulcerated into pus. She took Guazi Ren Tang (Melon Seed Decoction) for two doses, and the pain stopped. Then, Taiyi Gao (Great One Ointment) was used to discharge pus, leading to recovery. This condition is common postpartum; even if it is not an abscess, this formula is more effective. A postpartum woman had lower abdominal pain and difficulty urinating. She took Yiyi Ren Tang (Coix Seed Decoction) for two doses, and the pain stopped. Then, Siwu Tang added with Safflower (Honghua) and Peach Kernel (Taoren) was used to discharge blood stasis, leading to recovery. Generally, this syndrome is caused by disharmony of Ying and Wei, or retention of blood stasis. If the pulse is surging and rapid, pus has formed; if the pulse is merely rapid, there is slight pus; if the pulse is slow and tight, it is blood stasis, which can be cured by purgation. If the abdomen is distended and large, with water sounds when turning, or if pus discharges from the umbilicus or bowels, use Lafan Wan (Beeswax and Alum Pill), Taiyi Gao, and interior-supporting medicines. A postpartum woman had lower abdominal pain with a mass, and her pulse was hollow and choppy. She was treated with Siwu Tang added with Corydalis Rhizome (Yanhusuo), Safflower, Peach Kernel, Achyranthes Root (Niuxi), and Aucklandia Root, leading to recovery. A postpartum woman had lower abdominal pain and was cured by taking Guazi Ren Tang to discharge blood stasis. Whenever blood stasis is retained, it should be treated urgently; if delayed, it rots and turns into pus, which is difficult to treat. If it flows into the joints, it causes bone abscesses (Guju); failure to treat properly often leads to fatal conditions. A woman gave birth in the cold winter month, suffering severe abdominal pain and feeling a mass. Hundreds of remedies failed. Someone taught her to decoct four liang of mutton, two liang of Prepared Rehmannia Root (Shudihuang), and one liang of fresh ginger in water. After two or three doses, she recovered.
[Da Lun] "Child pillow" (Erzhen) occurs because the mother had stagnant blood clumps in the womb prior to conception. During delivery, if this blood breaks apart and is expelled with the child, there is no harm. However, if the产妇's Zang-Fu organs are affected by wind-cold, causing blood to coagulate and stagnate in the lower abdomen without flowing freely, it forms a lump and causes pain, named "Child Pillow."
Yanhusuo San (Corydalis Powder) treats postpartum child pillow abdominal pain.
Corydalis Rhizome (Yanhusuo), Angelica Sinensis Radix (Danggui) (each 1 liang), True Amber (Zhen Hupo), Polygonum Multiflorum Seed (Puhuang) (stir-fried, each 2.5 qian), Red Peony Root (Chishaoyao) (0.5 liang), Cinnamon Twig (Guixin) (0.5 liang), Carthamus Flower (Honglanhua) (2 qian).
Grind into fine powder. Mix with infant urine and wine, take 3 qian warm, before meals.
Treats abdominal pain and hypochondriac pain 7-8 days after new childbirth.
Angelica Sinensis Radix (Danggui), Josephweed Herb (Liujinu), Platycodon Root (Kujie) (each 12 fen), Corydalis Rhizome (Yanhusuo) (separately ground to powder), Cinnamon Twig (Guixin), Tangerine Peel (Chenpi) (each 4 fen), Poria (Fuling), White Peony Root (Shaoyao) (each 8 fen).
Cut into pieces. Decoct in 2 sheng of water to obtain 8 ge. Mix with Corydalis powder, take on an empty stomach.
Treats abdominal pain triggered by childbirth in a patient with pre-existing cold qi.
Ligusticum Chuanxiong Rhizome (Chuanxiong), Cinnamon Twig (Guixin), Angelica Sinensis Radix (Danggui), Evodia Fruit (Wuzhuyu), Poria (Fuling), White Peony Root (Shaoyao), Licorice Root (Gancao) (each 6 fen), Peach Kernel (Taoren) (10 fen).
Cut into pieces. Decoct in 7 sheng of water to obtain 2 sheng. Strain and divide into three doses.
[Danjia] Three days postpartum, blood clump pain, fever.
Trogopterus Dung (Wulingzhi) (lightly stir-fried), Moutan Bark (Mudanpi), Myrrh (Moyao), Talcum (Huashi).
Grind finely. Divide into five doses. Take with Doulin Wine (soybean-infused wine) before meals.
Madam Feng’s household: Postpartum fever, abdominal pain with mass, spontaneous sweating, aversion to cold. Had previously taken Heishen San.
Atractylodes Macrocephala Rhizome (Baizhu), White Peony Root (Shaoyao) (3 qian), Talcum (Huashi) (5 qian), Scutellaria Root (Huangqin), Moutan Bark (Mudanpi) (each 2.5 qian), Ginseng (Renshen), Ligusticum Chuanxiong Rhizome (Chuanxiong), Angelica Sinensis Radix Tail (Dangguiwei), Tangerine Peel (Chenpi), Schizonepeta Spike (Jingjie), Dried Ginger (Ganjiang) (each 1 qian), Licorice Root (Gancao) (a little).
Treats painful blood masses (Xuejia) with shifting location.
Infant urine (3 sheng), Fresh Rehmannia Juice (Sheng Dihuangzhi), Fresh Lotus Root Juice (Sheng Ou zhi) (each 1 sheng), Fresh Ginger Juice (Sheng Jiang zhi) (2 sheng).
Decoct the first three ingredients until reduced by two-thirds. Add ginger juice. Simmer slowly over low heat until like thin syrup. Take 1 he mixed with warm wine.
Heishen San (Black Spirit Powder) treats postpartum blood clump pain, abdominal pain after menstruation, and irregular menstruation.
Prepared Rehmannia Root (Shudihuang) (1 jin), Old Ginger (Chenshengjiang) (0.5 jin).
Mix and stir-fry until dry. Grind to powder. Take 2 qian per dose, mixed with Chinese Plum (Wumei). For regular use, mix with wine. For blocked menstruation, mix with Wumei and Schizonepeta in wine.
Another prescription: Concentrated decoction of Hawthorn Fruit (Shanzha) with a little brown sugar, heated and taken.
Treats child pillow pain, which is a blood mass. Use real Polygonum Multiflorum Seed (Puhuang) ground fine, mixed with wine, take 2 qian. If restless and thirsty, mix with fresh well water.
Another prescription: Ash of crab shells from the previous year, mixed with wine and taken.
Treats severe postpartum child pillow pain,
Heibai San (Black-White Powder)
Wujinshi (Ultramarine/Lapis Lazuli) (quenched in vinegar seven times, separately ground), Hanshuishi (Calcite) (calcined to retain nature, ground to powder).
Store separately. When pain occurs, take 1.5 qian of each, mixed with rice drink. Stop if pain ceases; repeat if not.
Haizang said: Siwu Tang added with Corydalis Rhizome (Yanhusuo), Myrrh (Moyao), and Angelica Dahurica Root (Baizhi) treats postpartum pain caused by failing blood. (General treatment for various women's diseases.)
Siwu Kulian Tang (Four-Material and Melia Decoction) (Miscellaneous disease abdominal pain.)
One prescription for unbearable pain below the navel: Siwu Tang added with 2.5 qian of Corydalis Rhizome.
Zijin Wan (Purple Gold Pill) treats postpartum pain below the navel; it is essentially Shixiao San made into pills with vinegar.
Lixiao San (Instant Effect Powder) treats unbearable childbirth pillow pain.
Stir-fry Trogopterus Dung (Wulingzhi) slowly over low heat until dry, grind to powder. Take 2 qian with warm wine for immediate relief.
[Lochia Not Exhausted]
[Jinkui] Seven to eight days postpartum, without Taiyang syndrome, hardness and pain in the lower abdomen indicate lochia is not exhausted. Constipation, vexation, fever, faintly solid pulse, doubled fever, evening vexation, anorexia, delirium after eating, improvement at night. Da Chengqi Tang (Major Order the Qi Decoction) is indicated. Heat is in the interior, knotting in the Bladder.
[Daqquan] Although lochia usually flows normally, external invasion of the Five Evils or internal injury of the Seven Emotions can cause sudden cessation. Residual blood stagnates, and incomplete discharge causes abdominal pain. One must investigate the cause and treat accordingly. A postpartum woman had severe lower abdominal pain and locked jaw; this was internal blood stasis. She was灌ed with Shixiao San, discharged blood, and regained consciousness. Then treated with Siwu Tang added with Fried Ginger, Atractylodes Macrocephala Rhizome, and Tangerine Peel for recovery. A woman had excessive menstrual bleeding that did not stop. She used astringents to stop it, causing abdominal pain due to Qi and Blood stagnation. Two doses of Shixiao San cured her.
Dihuang San (Rehmannia Powder) treats postpartum residual blood not exhausted and abdominal pain.
Fresh Rehmannia Root (Sheng Dihuang) (stir-fried), Angelica Sinensis Radix (Danggui) (each 2 qian), Fresh Ginger (Shengjiang) (0.5 liang, cut like quinoa size, baked on new tile until charred black).
Grind to fine powder. Take 2 qian per dose, mixed with ginger and wine on an empty stomach.
Danggui Xuejie Wan (Angelica and Dragon's Blood Pill) treats postpartum lochia not descending, forming clumps, chest/epigastric stuffiness, and hard pain below the navel.
Angelica Sinensis Radix (Danggui), Dragon's Blood (Xuejie), White Peony Root (Shaoyao), Curcuma Zedoaria Rhizome (Pengzhu) (stir-fried, each 2 liang), Trogopterus Dung (Wulingzhi) (4 liang).
Grind to powder, make pills with vinegar paste, size of Sophora seeds. Take 50 pills per dose, with warm wine before meals.
Wuyin Juze Lan Tang (Wuyin's泽兰 Decoction) treats postpartum lochia not exhausted, alternating abdominal pain, and chest fullness with shortness of breath.
Agrimony Herb (Zelan) (cooked), Dried Rehmannia Root (Sheng Gan Dihuang), Angelica Sinensis Radix (Danggui) (each 7.5 qian), White Peony Root (Shaoyao), Fresh Ginger (Shengjiang) (cut small, fried on tile until black, each 2.5 liang), Licorice Root (Gancao) (1.5 liang), Jujube (Dazao) (14 pieces).
Cut finely. Decoct in 9 sheng of water to obtain 3 sheng. Divide into three doses. Apply to body if near death; recover if healed.
Juanhe San (Curled Lotus Leaf Powder) treats postpartum blood rushing to the heart, blood stabbing, blood syncope, Qi-blood abdominal pain, and sluggish lochia.
Curled Lotus Leaf (Juanhe - newly emerged), Safflower (Honghua), Angelica Sinensis Radix (Danggui) (each 1 liang), Polygonum Multiflorum Seed (Puhuang) (fried through paper), Moutan Bark (Mudanpi) (each 0.5 liang).
Grind to powder. Take 2 qian per dose, mixed with salt wine on an empty stomach. Within a month, mix with infant urine.
Another prescription: Postpartum incomplete bleeding, unbearable hard abdominal pain.
Angelica Sinensis Radix (Danggui), White Peony Root (Shaoyao), Cinnamon Twig (Guixin) (each 3 liang), Peach Kernel (Taoren) (120 grains, processed).
Decoct in 6 sheng of water to obtain 2 sheng. Take warm in two doses. If not healed, add Rhubarb (Dahuang).
Another prescription: Postpartum blood knotting below, unceasing colicky abdominal pain.
Rhubarb (Dahuang) (soaked separately), Dried Rehmannia Root (Sheng Gan Dihuang), Angelica Sinensis Radix (Danggui) (each 10 fen), Ligusticum Chuanxiong Rhizome (Chuanxiong), Cinnamon Twig (Guixin), White Peony Root (Shaoyao) (each 8 fen), Licorice Root (Gancao), Scutellaria Root (Huangqin) (each 6 fen), Peach Kernel (Taoren) (49 grains, processed).
Cut finely. Decoct in 7 sheng of water to obtain 2.5 sheng. Add Rhubarb, boil three times. Take warm in three doses.
Another postpartum case: Incomplete blood discharge, unbearable abdominal pain.
Aquilaria Wood (Qingmuxiang), Angelica Sinensis Radix (Danggui), Achyranthes Root (Niuxi), Ligusticum Chuanxiong Rhizome (Chuanxiong), Astragalus Root (Huangqi), White Peony Root (Shaoyao) (each 8 fen), Rhubarb (Dahuang) (13 fen soaked), Mirabilite (Mangxiao) (12 fen).
Cut finely. Decoct in 7 sheng of water to obtain 2.5 sheng. Add Rhubarb, boil three times. Divide into three doses.
Another postpartum case: Lochia not exhausted, knotting in lower abdomen causing pain.
Angelica Sinensis Radix (Danggui) (7.5 qian), Processed Cyperus Rhizome (Zhixiangfu) (1 liang), Amber (Hupo), Myrrh (Moyao), Green Tangerine Peel (Qingpi), Red Peony Root (Chishaoyao), Aucklandia Root (Muxiang), Cinnamon Twig (Guixin) (each 0.5 liang).
Grind to powder. Take 2 qian mixed with black soybean infusion wine.
*Chanbao* treats postpartum residual blood pain with masses.
Cinnamon Twig (Guixin), Turmeric Rhizome (Jianghuang) (equal parts, ground to powder). Mix with wine, take one cun bi. Excellent when blood is fully discharged.
Chanru Fang YunTai San (Rapeseed Powder) treats postpartum lochia not exhausted, stabbing pain from blood knots, named "Blood Mother Mass." Also treats various heart and abdominal diseases.
Rapeseed (Yuntaizi) (fried through paper), Angelica Sinensis Radix (Danggui), Cinnamon Twig (Guixin), Red Peony Root (Chishaoyao) (equal parts).
Grind to powder. Take 2 qian mixed with wine. Can be taken regularly postpartum.
Heishen San (Black Spirit Powder) treats postpartum lochia not exhausted, chest/epigastric stuffiness, cramping umbilical/abdominal pain, and foul blood diseases. (General postpartum formula.)
[Danjia] Treats postpartum lochia not fully exhausted, lower abdominal pain.
Trogopterus Dung (Wulingzhi) (powder), Cyperus Rhizome (Xiangfu) (powder).
Mix and make pills with vinegar. For severe cases, add Peach Kernels with tips retained. (Another prescription adds Clam Shell Powder Ge Fen.)
Emergency remedy for lochia not exhausted, abdominal distension and pain. Take hair clump the size of a chicken egg, wash clean with ash water, burn to retain nature, grind to powder. Take 2 qian mixed with wine.
Another remedy for postpartum incomplete blood, heart/abdominal pain and stuffiness. Burn lotus leaf to ash retaining nature. Mix with hot water and take, or decoct and drink juice. Good effect.
Another prescription: Take one iron scale weight, heat red-hot, throw into wine (5 sheng). Use this wine to decoct 3 liang of Angelica Sinensis Radix (Danggui) to obtain 2 sheng. Strain and take warm in two doses. Same as *Qianjin*. Another version has no Danggui.
*Daquan* divides lochia not exhausted abdominal pain, child pillow heart/abdominal stabbing pain, lower abdominal pain, and cold hernia into four categories. "Child pillow" refers to blood clumps existing in the womb before birth that do not exit with the child and remain in the abdomen causing pain. Pain from sluggish lochia discharge, where there was no original accumulation in the womb, is not called child pillow. If lochia is exhausted, and pain is due to other causes, such as Zhongjing's Zhishi Shaoyao San syndrome, or Blood deficiency abdominal pain like Zhongjing's Danggui Shengyang Roushou Tang syndrome, these should be discussed separately. Therefore, famous formulas are listed below. If Zhishi Shaoyao San fails, one must still seek blood stasis. Thus, Xiayuxue Tang formulas are attached, followed by tonification formulas. Cold hernia section is omitted.
*Jinkui* says: Postpartum abdominal pain, vexation, fullness, inability to lie down. Zhishi Shaoyao San is indicated.
Zhishi Shaoyao San Formula
Immature Bitter Orange (Zhishi) (burned until black, not too much), White Peony Root (Shaoyao) (equal parts).
Pound these two into powder. Take one cun bi, three times a day. Also treats carbuncle pus, taken with wheat porridge.
[Xue Ji] If the aforementioned syndrome is due to Qi stagnation, use Yanhusuo San. If due to external cold, use Wuji San. If due to anger, use Siwu Tang added with Aucklandia Root (Muxiang) and Bupleurum Root (Chaihu). If due to Blood deficiency, use Siwu Tang, Ginseng (Renshen), Atractylodes Macrocephala Rhizome (Baizhu), and Fried Ginger (Paojiang). If due to Yang Qi weakness, use Sijunzi Tang, Angelica Sinensis Radix (Danggui), and Fried Ginger (Paojiang). If due to Spleen deficiency and weak Blood, use Liujunzi Tang, Angelica Sinensis Radix (Danggui), and Fried Ginger (Paojiang). A postpartum woman suffered the aforementioned syndrome, sometimes vomiting, sometimes unconscious. This was Spleen Qi deficiency and cold. She gradually improved with Renshen Lizhong Tang, and fully recovered with Buzhong Yiqi Tang added with Poria (Fuling) and Pinellia Tuber (Banxia). Later, pain recurred with wheezing. She used Buzhong Yiqi Tang again to tonify Spleen and Lung, leading to recovery.
The Master said: Postpartum abdominal pain should be treated with Zhishi Shaoyao San. If it does not heal, it indicates dry blood adhering below the navel. Xiayuxue Tang (Downward Discharge Blood Stasis Decoction) is indicated.
Xiayuxue Tang Formula
Rhubarb (Dahuang) (2 liang), Peach Kernel (Taoren) (20 seeds), Ground Beetle (Echong) (20 seeds, roasted, feet removed).
Grind the three ingredients to powder. Mix with refined honey to make four pills. Decoct one pill in 1 sheng of wine to obtain 8 ge. Take in one dose. New blood will discharge like pig liver.
*Baoming Fang* treats blood syncope and blood knotting, gathering in the chest,偏 in the lower abdomen, or connecting to the hypochondrium. Use 4 liang of Siwu Tang, double Angelica Sinensis Radix (Danggui) and Ligusticum Chuanxiong Rhizome (Chuanxiong), add Arrowwood Branch (Guijianyu), Safflower (Honghua), and Corydalis Rhizome (Yanhusuo) (each 1 liang). Grind to coarse powder. Decoct with the following four ingredients. Mix with Moyao San and take.
Blue Bottle Fly Larva (Mengchong) (1 qian, remove wings/feet, stir-fried), Leech (Shuizhi) (1 qian, stir-fried), Musk (Shexiang) (a little), Myrrh (Moyao) (3 qian).
Grind to powder. Mix with the previous medicine and take. Blood discharges, pain stops. Take only one dose.
Qianjin Taoren Shaoyao Tang (Peach Kernel and White Peony Decoction) treats postpartum abdominal pain.
Peach Kernel (Taoren) (0.5 sheng), White Peony Root (Shaoyao), Ligusticum Chuanxiong Rhizome (Chuanxiong), Angelica Sinensis Radix (Danggui), Cinnamon Twig (Guixin), Drynaria Rhizome? No, Dried Resin (Ganqi) (crushed, roasted), Licorice Root (Gancao) (each 2 liang).
Cut finely. Decoct in 8 sheng of water to obtain 2.5 sheng. Divide into three doses.
Yanhusuo San (Corydalis Powder) treats postpartum pain below the navel.
Corydalis Rhizome (Yanhusuo), Cinnamon Twig (Guixin) (each 0.5 liang), Angelica Sinensis Radix (Danggui) (1 liang).
Grind to powder. Take 2 qian mixed with hot wine.
Xianggui San (Aucklandia and Cinnamon Powder) treats unceasing postpartum pain below the navel.
Ligusticum Chuanxiong Rhizome (Chuanxiong), Angelica Sinensis Radix (Danggui) (each 2.5 qian), Cinnamon Twig (Guixin) (0.5 liang).
Grind to powder. Divide into three doses. Each dose: decoct in one zhan of wine for 3-5 boils. Add a little infant urine. Decoct to 70%. Take warm. Severe cases heal within two doses.
Another prescription
Soot from pot bottom (Fudi Mo) (stir-fried with vinegar until dry), Corydalis Rhizome (Yanhusuo), Josephweed Herb (Liujinu), Cinnamon Twig (Guixin), Zi (?).
Equal parts, grind to powder. Take 2 qian mixed with hot wine.
Zijin Wan (Purple Gold Pill) treats postpartum sluggish lochia, lower back pain, stabbing lower abdominal pain, intermittent chills/fever/headache, anorexia. Also treats chronic blood stasis, irregular menstruation, sallow emaciation, anorexia. Can also treat heart pain. (Same as Shixiao San.)
Trogopterus Dung (Wulingzhi) (washed to remove sand/gravel, dried, weighed, stir-fried to powder), Real Polygonum Multiflorum Seed (Puhuang).
Mix Wulingzhi with good rice vinegar. Simmer slowly over low heat into a paste. Add Puhuang powder and knead. Make pills the size of cherries. Take one pill per dose. Decoct in half cup water and half cup infant urine to 70%. Let medicine dissolve. Take warm. Repeat shortly after. Lochia will discharge. For chronic blood stasis masses or irregular menstruation, grind with wine and take.
Danggui Yangxue Wan (Angelica Nourishing Blood Pill) treats postpartum undissipated evil blood, thirst, heart/abdominal pain, sluggish lochia, urgent pain below navel radiating to waist/legs.
Angelica Sinensis Radix (Danggui), Red Peony Root (Chishaoyao), Moutan Bark (Mudanpi), Corydalis Rhizome (Yanhusuo) (each 2 liang), Cinnamon Twig (Guixin) (1 liang).
Grind to powder. Make pills with refined honey, size of Sophora seeds. Take 30-40 pills with wine on empty stomach. For severe pain, chew thoroughly before swallowing.
*Jinkui*: Postpartum abdominal [cramping] pain. Danggui Shengyang Roushou Tang (Angelica, Ginger, and Mutton Decoction) is indicated. Also treats abdominal cold hernia and deficiency-labor insufficiency.
Danggui Shengyang Roushou Tang
Angelica Sinensis Radix (Danggui) (3 liang), Fresh Ginger (Shengjiang) (5 liang), Mutton (Yangrou) (1 jin).
Decoct the three ingredients in 8 sheng of water to obtain 3 sheng. Take 7 he warm, three times a day. If cold is severe, increase Ginger to 1 jin. If pain is severe with vomiting, add Tangerine Peel (Chenpi) and Atractylodes Macrocephala Rhizome (Baizhu). If adding Ginger, also add 5 sheng of water. Decoct to obtain 3.2 sheng and take.
[Yan] A woman gave birth in the cold month. Cold qi entered the birth canal. Lower abdomen was distended and tender to touch. This is cold hernia. The doctor intended to treat with Didang Tang, believing it was blood stasis. I instructed him: This is not the correct treatment. She could take Zhang Zhongjing's Mutton Soup, slightly reduced dose, divided into two doses. She recovered.
Six to seven days postpartum, sudden umbilical abdominal pain. This is due to cold qi entering through respiration while deficient. It is excellent to take Danggui Jianzhong Tang and Sishun Lizhong Wan, ground together, re-made into small pills, and swallowed with rice water.
Zhongjing Neibu Danggui Jianzhong Tang (Internal Supplement Angelica and Cinnamon Decoction) treats postpartum women with deficiency and insufficiency, unceasing stabbing abdominal pain, shallow breathing, distress from lower abdominal urgency/pain radiating to back, inability to eat. During the first month postpartum, taking 4-5 doses daily is beneficial, strengthening the body.
Angelica Sinensis Radix (Danggui) (4 liang), Cinnamon Twig (Guizhi) (3 liang), White Peony Root (Shaoyao) (6 liang), Fresh Ginger (Shengjiang) (3 liang), Licorice Root (Gancao) (2 liang), Jujube (Dazao) (12 pieces).
Decoct the six ingredients in 1 dou of water to obtain 3 sheng. Take warm in three doses, finishing in one day. If severely deficient, add 6 liang of Maltose (Yitang). When the decoction is ready, add...