《千金》疗产后热结，大便不通。蜜兑法。
白蜜五合，慢火煎，令如硬饧，以投冷水中，良久取出，捻如拇指大，长二寸，内谷道
中即通。
论曰∶产后大小便不通者。肠胃本挟于热，因产血水俱下，津液燥竭，肠胃痞涩，热气
结于肠胃，故令大小便不通也。
《千金》疗产后淋沥。葵根汤。
葵根（二两，干者） 通草（二两） 车前子（一升） 乱发（灰） 大黄 桂心（各
一两） 冬瓜汁（七合） 生姜（六两） 滑石末（别研，一两）
上九味切，以水七升，煮取二升半，去滓，下滑石末，分三服。以愚考之，既有大黄，
亦可治大便不通，故录于此。更宜斟量虚实而投之。
疗产后津液燥竭，大小便不通。
芍药 大黄 枳壳 麻仁（等分）
上为细末，炼蜜丸如梧子大。空心，熟水下二十丸。一方有甘草、山栀仁。
治产后大小便秘涩。桃花散。
桃花 葵子 滑石 槟榔（等分）
上为细末，每服二钱。葱白汤空心调下。
疗产后遗粪方∶取故燕窠中草，烧为末，以酒调下半钱。亦治男子。
方∶矾石（枯） 牡蛎（熬）
上等分为末，酒服方寸匕，日三。亦治男子。
又疗产后遗粪不知出时方。
白蔹 芍药
上各等分为末，酒服方寸匕。
论曰∶产后诸淋，因产有热气客于脬中，内虚则起数，热则小便涩痛，故谓之淋。
又有因产损，气虚则挟热，热则搏于血，即流渗于胞中，故血随小便出，而为血淋。淋
者，如雨之淋也。
《三因》论曰∶治诸产前后淋秘，其法不同。产前当安胎，产后当去血。如其冷、热、
膏、石、气淋等为治，则一但量其虚实而用之。瞿麦、蒲黄最为产后要药，唯当寻其所因，
则不失机要。
《千金方》治疗产后热邪结聚，大便不通。蜜兑法。
用白蜜五合，在慢火上煎煮，使其变得像硬糖稀一样，投入冷水中，过一会儿取出，捏成拇指粗细、长两寸的形状，纳入肛门中即可通便。
论述说：产后大小便不通的，是因为肠胃原本挟有热邪，加上分娩时血液和津液同时下行，导致津液干枯枯竭，肠胃痞塞涩滞，热气结聚在肠胃之中，所以导致大小便都不通。
《千金方》治疗产后小便淋漓不尽。葵根汤。
葵根（二两，干品） 通草（二两） 车前子（一升） 乱发灰 大黄 桂心（各一两） 冬瓜汁（七合） 生姜（六两） 滑石末（另研细，一两）
以上九味药切碎，用水七升，煮取二升半，滤去药渣，加入滑石末，分三次服用。据我考证，既然方中有大黄，也可以治疗大便不通，所以记录在此。使用时更应斟酌患者虚实情况而投药。
治疗产后津液干枯枯竭，大小便不通。
芍药 大黄 枳壳 麻仁（等量）
以上药物研为细末，用炼蜜制成梧桐子大小的丸剂。空腹时，用温开水送服二十丸。另一版本方中有甘草、山栀子仁。
治疗产后大小便秘结涩滞。桃花散。
桃花 葵子 滑石 槟榔（等量）
以上药物研为细末，每次服用二钱。用葱白汤空腹调服。
治疗产后遗粪方：取旧燕巢中的草，烧成灰烬，用酒调服半钱。此方也适用于男子。
方剂：矾石（枯矾） 牡蛎（煅制）
以上药物等分为末，用酒送服一方寸匕，每日三次。此方也适用于男子。
又治疗产后遗粪不知何时排出的方子。
白蔹 芍药
以上药物各等分为末，用酒送服一方寸匕。
论述说：产后各种淋证，是因为分娩时有热邪客居于膀胱之中，内部虚弱则小便频数，有热则小便涩痛，所以称为淋。又有因分娩损伤，气虚挟带热邪，热邪与血搏结，流渗于胞宫之中，所以血液随小便排出，形成血淋。淋证，就像雨水淋洒一样（形容小便点滴而出或频数）。
《三因极一病证方论》论述说：治疗生产前后的小便淋秘，方法不同。产前应当安胎，产后应当祛瘀生新。如果是冷淋、热淋、膏淋、石淋、气淋等证的治疗原则是一致的，但都要根据患者的虚实情况来用药。瞿麦、蒲黄是最适合产后使用的要药，只要探寻其病因，就不会失去治疗的要领。
The *Qianjin Fang* treats postpartum heat accumulation with constipation. Honey Suppository Method.
Take five he of white honey, simmer over low heat until it resembles hard syrup, dip into cold water, remove after a while, shape into a cylinder the size of a thumb and two inches long, insert into the anus to relieve constipation.
Discussion: Postpartum obstruction of both large and small bowels occurs because the intestines and stomach originally harbor heat. Due to childbirth, blood and fluids are discharged together, leading to dryness and exhaustion of body fluids. This causes stagnation and涩 (roughness/stagnation) in the intestines and stomach, where heat accumulates, resulting in the inability to pass stool or urine.
The *Qianjin Fang* treats postpartum dribbling urination. Okra Root Decoction (Kuigen Tang).
Okra Root (two liang, dried), Tongcao (two liang), Plantaginis Semen (Cheqianzi, one sheng), Hair Ash, Rhubarb (Dahuang), Cinnamon Twig (Guixin) (each one liang), Winter Melon Juice (seven he), Ginger (six liang), Talcum Powder (Huashi mo, separately ground, one liang).
Cut the above nine ingredients, boil in seven sheng of water until reduced to two and a half sheng, strain, add Talcum Powder, divide into three doses. Upon my examination, since Rhubarb is included, this formula can also treat constipation; thus, it is recorded here. It should be administered after carefully assessing deficiency and excess.
Treats postpartum exhaustion of body fluids with obstruction of both large and small bowels.
Peony Root (Shaoyao), Rhubarb (Dahuang), Aurantium Fructus (Zhiqiao), Sesame Seed (Maren) (equal parts).
Grind into fine powder, make pills with refined honey the size of wheat seeds. Take twenty pills on an empty stomach with warm water. Another version includes Licorice Root (Gancao) and Gardenia Seed (Shanzhiren).
Treats postpartum constipation and涩 (roughness/difficulty). Peach Blossom Powder (Taohua San).
Peach Blossom (Taohua), Okra Seed (Kuizi), Talcum (Huashi), Areca Nut (Binglang) (equal parts).
Grind into fine powder, take two qian per dose. Mix with Scallion White Decoction (Congbai Tang) and take on an empty stomach.
Formula for postpartum fecal incontinence: Take grass from old swallow nests, burn to ash, mix with wine and take half a qian. Also effective for men.
Formula: Alum (Fan Shi, calcined), Oyster Shell (Muli, roasted).
Grind the above into powder equally, take one fangcun bi with wine, three times a day. Also effective for men.
Another formula for postpartum fecal incontinence where the patient is unaware of defecation.
Ampelopsis Radix (Bailian), Peony Root (Shaoyao).
Grind each into powder equally, take one fangcun bi with wine.
Discussion: Various types of Lin syndrome (dysuria) after childbirth occur because heat pathogens lodge in the bladder during delivery. Internal deficiency leads to frequent urination, while heat causes涩 (painful/difficult urination), hence termed Lin. Additionally, due to injury from childbirth, Qi deficiency carries heat; heat clashing with blood flows into the uterus, causing blood to exit with urine, forming Blood Lin (Xuelin). "Lin" refers to dripping like rain.
The *Sanyin Fang* discusses that treating Lin and retention before and after childbirth differs. Before childbirth, the method should focus on calming the fetus; after childbirth, it should focus on removing blood stasis. For treatments involving Cold Lin, Heat Lin, Paste Lin, Stone Lin, and Qi Lin, the principles are consistent, but one must always gauge deficiency and excess. Epilobium Herb (Qumai) and Polygoni Multiflori Caulis (Puhuang - *Note: Standard term is Puhuang, usually Lygodii Spora or Polygoni Multiflori Caulis depending on context, here likely Lygodii Spora/Polygoni Multiflori Caulis used for hemostasis*) are essential herbs for postpartum use. One must seek the underlying cause to not miss the key to treatment.