产后形体劳倦，脾胃俱伤，是以新产之后，去膏粱，远浓味，食粥、茹、蔬以为调摄。更有本不
思食而强与之，胃虽少纳，脾难运转，易致食停痞塞，甚而伤食发热，切勿误认为阴虚。更有食滞腹
痛，又勿错疑为血凝。治斯症者体认正实，如发热而饮食调者，方可补血；若恶食嗳酸者，食滞之症，
即当扶元为主，补气、养血、健脾、助胃，审伤何物，佐以何药。消导则脾气复而转输，易滞物行
而胃思谷矣。如此补消兼治，无有不安，故善治者，治法有先后缓急，论症因块痛有无。产后有日
数新久，能重产虚之本，而兼去停积之标，攻补如法，无不应手而愈。故有生化消食汤、健脾消
食汤之分别施治。
生化消食汤 即生化汤加神曲（炒）、麦芽（炒各六分）
健脾消食汤 治产后块痛已除，停食痞塞。
人参（二钱） 当归（三钱酒洗） 川芎 神曲（炒，各一
钱白术（一钱半土炒） 山楂 砂仁（各六分） 麦芽 炙草（各五分）
产后忿怒气逆，胸膈不舒，甚而作痛者，兼之血块又痛，宜用木香生化汤，则自然血块速化，
怒气易散，并治而不悖也。若轻产而重气，偏用香附、乌药、枳壳、香砂之类，以散气行块，而
元气反损，闷满疼痛益增，非善治产者也。
木香生化汤 治产后块痛未除，日受气恼至效。
川芎（二钱） 当归（六钱酒洗） 干姜（四分炙黑） 陈皮（三分） 木香（二分磨，冲服）
水煎服。若怒后伤食，与伤食同治，审伤何物，以何药消之。
产后身体疲劳倦怠，脾胃均受损伤，因此在刚生产之后，应当避免食用油腻精细的食物，远离浓烈滋味的菜肴，以喝粥、吃蔬菜和清淡食物来进行调养。更有甚者，产妇本来不想吃东西却强行喂食，胃虽然勉强接受少量食物，但脾脏难以运化，容易导致食物停滞、胸脘痞塞胀满，严重时会因伤食而发热，千万不要错误地认为是阴虚所致。又有因食物停滞引起腹部疼痛的情况，也不要错误地怀疑为血瘀凝结。治疗这类病症时，必须准确认识病情的真实情况，如果发热且饮食正常者，才可以进行补血；若厌恶食物、嗳气有酸腐味者，则是食滞的症状，就应当以扶助元气为主，采用补气、养血、健脾、助胃的方法，仔细辨别是伤了什么食物，辅助使用相应的药物。通过消食导滞的方法，脾气恢复从而转输功能正常，容易停滞的食物得以运行，胃也就想要进食了。像这样补益与消导同时治疗，没有不安稳的，所以善于治疗的人，治疗方法有先后缓急之分，根据症状和是否有块状疼痛来辨证。产后时日有新久不同，能够重视产后虚损的根本，同时去除停积食物的标症，攻邪与补虚合乎法度，没有不随手治愈的。因此有生化消食汤、健脾消食汤的区别施治。
生化消食汤 即在生化汤的基础上加入神曲（炒）、麦芽（炒）各六分。
健脾消食汤 治疗产后块痛已经消除，但仍有停食导致的痞塞胀满。
人参（二钱） 当归（三钱，用酒清洗） 川芎 神曲（炒，各一钱） 白术（一钱半，用土炒） 山楂 砂仁（各六分） 麦芽 炙甘草（各五分）。
产后因愤怒导致气机上逆，胸膈部不适，甚至出现疼痛，加之又有血块疼痛，适宜使用木香生化汤，这样自然能使血块迅速化解，怒气容易消散，两者同时治疗而不相违背。如果是轻于产褥护理而重于情绪郁结，片面使用香附、乌药、枳壳、香砂之类药物来行气散块，反而损伤元气，导致胸闷胀满疼痛更加加重，这不是善于治疗产后病的方法。
木香生化汤 治疗产后块痛尚未消除，每日遭受气恼至有效。
川芎（二钱） 当归（六钱，用酒清洗） 干姜（四分，炙黑） 陈皮（三分） 木香（二分，磨汁冲服）。
用水煎服。如果在发怒后又伤了饮食，按照伤食的方法来治疗，仔细辨别是伤了什么食物，用什么药物来消导它。
After childbirth, the body is fatigued and exhausted, and both the Spleen and Stomach are injured. Therefore, immediately after delivery, one should avoid rich and greasy foods (Gao Liang), stay away from strong-flavored dishes, and regulate diet with porridge, vegetables, and light meals. Furthermore, if the patient has no appetite but is forced to eat, although the Stomach may accept a small amount, the Spleen will struggle to transport and transform it, easily leading to food stagnation and chest/epigastric fullness and obstruction. In severe cases, this can cause fever due to food injury; do not mistakenly diagnose this as Yin Deficiency (Yin Xu). Additionally, abdominal pain caused by food stagnation should not be mistaken for blood coagulation. When treating these conditions, one must accurately recognize the true nature of the illness: if there is fever but normal digestion, blood tonification may be considered; however, if there is aversion to food and sour belching, it is a symptom of food stagnation, and the primary treatment should be to support the Yuan Qi (Primal Qi) by employing methods to tonify Qi, nourish Blood, strengthen the Spleen, and assist the Stomach. One must ascertain what food was ingested and add corresponding herbs accordingly. Through digestive and guiding methods, the Spleen Qi recovers and its transportation function resumes, allowing stagnant food to move and restoring the desire for grain. By combining tonification and elimination in this manner, stability is achieved without complication. Thus, skilled practitioners distinguish between priority and urgency in treatment methods, analyzing symptoms and the presence or absence of mass-related pain. Considering the varying durations since childbirth, one must address the root deficiency of postpartum state while simultaneously eliminating the branch manifestation of food accumulation. If attacking pathogens and tonifying deficiency are performed according to proper principles, recovery is swift. Hence, distinct formulas such as Shenghua Xiaoshi Tang and Jianpi Xiaoshi Tang are used for differentiated treatment.
Shenghua Xiaoshi Tang (Postpartum Invigorating and Digestive Decoction) consists of Shenghua Tang (Invigorating Blood Decoction) plus Qu Shenqu (Fermented Wheat Mass, stir-fried) and Maiya (Sprouted Hordeum Seed, stir-fried), each 6 fen.
Jianpi Xiaoshi Tang (Spleen-Strengthening and Digestive Decoction) treats postpartum mass pain that has been resolved, leaving only food stagnation causing fullness and obstruction.
Renshen (Ginseng Radix et Rhizoma, 2 qian) Danggui (Angelicae Sinensis Radix, 3 qian, washed with wine) Chuanxiong (Ligusticum Chuanxiong Rhizoma) Shenqu (Massa Medicata Fermentata, stir-fried, 1 qian each) Baizhu (Atractylodis Macrocephalae Rhizoma, 1.5 qian, soil-stir-fried) Shanzha (Crataegi Fructus) Sharen (Amomi Fructus Rotundus, 6 fen each) Maiya (Hordei Fructus Germinatus) Zhigancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, 5 fen each).
Following childbirth, anger causes rebellious Qi rising, discomfort in the chest and diaphragm, and even pain. If accompanied by pain from blood masses, Muxiang Shenghua Tang (Costus Postpartum Invigorating Decoction) is appropriate. This naturally facilitates the rapid resolution of blood masses and disperses anger, treating both conditions harmoniously. However, if one neglects postpartum care while focusing on emotional issues, and indiscriminately uses Qi-moving and mass-resolving herbs like Xiangfu (Cyperi Rhizoma), Wuyao (Linderae Radix), Zhike (Aurantii Fructus Immaturus), or Xiangsha (Aquilariae Lignum Resinatum and Amomi Fructus), the Yuan Qi (Primal Qi) may be damaged instead. This leads to increased chest oppression, fullness, and pain, which is not a skillful approach to treating postpartum conditions.
Muxiang Shenghua Tang (Costus Postpartum Invigorating Decoction) is effective for postpartum mass pain that persists despite daily emotional distress.
Chuanxiong (Ligusticum Chuanxiong Rhizoma, 2 qian) Danggui (Angelicae Sinensis Radix, 6 qian, washed with wine) Ganjiang (Zingiberis Rhizoma Praeparatum, 4 fen, stir-fried until black) Chenpi (Citri Reticulatae Pericarpium, 3 fen) Muxiang (Aucklandiae Radix, 2 fen, ground and taken with decoction).
Decoct in water and take orally. If food injury occurs after anger, treat it similarly to general food injury: ascertain the specific food ingested and use appropriate herbs to digest it.