人身之中，气为阳，血为阴，阴阳和畅，斯无病矣。夫头者，诸阳之会也，产后去血过多，阴
气已亏，而虚阳失守，上凑于头，则令头痛，但补其血，则阳气得纵，而头痛自止。间有败血停留
子宫，厥阴之位，其脉上贯巅顶，作巅顶痛者，虽有身热恶寒之候，是宜生化汤加减，慎不可用羌、
独等药，盖由正阳亏损，浊阴得以犯上，陷入髓海，为胀为痛，是非清阳升复，则浊阴不降，在里
内起之邪为病，非若外入之邪可表而愈也。况生化汤中芎、姜亦能散表邪，桃仁亦能逐瘀血，是又可
兼治。再少为因症加入，又何用另方施治乎？
人之胃脘居于心下，产后或伤寒气及冷物而作痛，当散胃中之冷物，生化立效方治之，无有不安。
若独用熟药攻寒，其痛虽止，而血妄行，反虚产母。况寒者心挟虚，而燥热者必佐阴药，方能制其
僭越也。至于绵绵而痛，当问血块尽，又可揉按而少止，是虚当用补剂。大抵产后寒食，上攻于心
则心痛，攻于腹则腹痛，治心腹之痛，大约相同。冯氏云∶产后阴血亏，随火上冲心络，名下心胞
络痛，宜归脾汤主之。《医通》用理中加当归治之。
生化立效方 治产后因伤冷物，胃脘作痛。
川芎（二钱） 当归（四钱） 桃仁（十粒） 干姜（炙黑） 炙草（各五分） 肉桂 吴萸（各四分）
人体之中，气属于阳，血属于阴，阴阳调和畅达，身体就没有疾病了。头部是诸阳经汇聚的地方，产后失血过多，阴气已经亏损，导致虚弱的阳气失去固守，向上冲逆至头部，就会引起头痛，只要补充血液，阳气就能得到潜藏和舒缓，头痛自然停止。偶尔有败血（瘀血）停留在子宫，足厥阴肝经的脉气上贯连头顶，造成头顶疼痛的情况，虽然伴有身体发热、怕冷的症状，适宜使用生化汤进行加减治疗，千万不要使用羌活、独活等药物，这是因为正气中的阳气亏损，浊阴之气得以侵犯上部，陷入脑髓，导致胀满和疼痛，如果不是清阳之气上升恢复，那么浊阴之气就不会下降，这是由体内产生的邪气致病，不像外感入侵的邪气可以通过发汗解表的方法治愈。况且生化汤中的川芎、干姜也能疏散表邪，桃仁也能驱逐瘀血，这又可以兼治表证和里证。再稍微根据症状加入其他药物，又何必另外开方治疗呢？
人的胃脘部位位于心脏下方，产后如果感受寒邪或食用生冷食物而引发疼痛，应当驱散胃中的寒凉之物，使用生化立效方治疗，没有不安稳的道理。如果单独使用热性药物攻逐寒邪，虽然疼痛停止，但会导致血液妄行，反而使产妇更加虚弱。况且寒邪所致的心痛多夹杂虚证，而燥热所致的心痛必须佐以滋阴的药物，才能制约其亢盛之势。至于隐隐作痛且持续不断的，应当询问是否还有血块未排尽，如果可以揉按后稍见缓解，说明是虚证，应当使用补益剂。大抵产后因寒食停滞，向上攻冲至心则引起心痛，攻冲至腹部则引起腹痛，治疗心腹疼痛的方法大致相同。冯氏说：产后阴血亏虚，随着火气上冲至心包络，名为心胞络痛，适宜用归脾汤主治。《医宗金鉴·妇科心法要诀》（简称《医通》）用理中汤加当归来治疗。
生化立效方 治疗产后因受冷物影响，胃脘部疼痛。
川芎（二钱） 当归（四钱） 桃仁（十粒） 干姜（炙黑） 炙甘草（各五分） 肉桂 吴茱萸（各四分）
In the human body, Qi belongs to Yang, and Blood belongs to Yin. When Yin and Yang are harmonious and flowing smoothly, there is no disease. The head is the meeting point of all Yang meridians. After childbirth, excessive blood loss leads to a deficiency of Yin Qi, causing deficient Yang to lose its anchorage and rush upward to the head, resulting in headache. By replenishing the Blood, the Yang Qi can be subdued and relaxed, and the headache will cease spontaneously. Occasionally, retained lochia (stagnant blood) remains in the uterus. Since the channel of Foot-Jueyin Liver pierces through the vertex, this may cause vertex headache. Even if accompanied by fever and aversion to cold, it is appropriate to use Shenghua Tang (Decoction for Generating New Blood) with modifications. One must be cautious about using herbs such as Qianghuo (Notopterygii Rhizoma et Radix) and Duhuo (Angelicae Pubescentis Radix), because the deficiency of healthy Yang allows turbid Yin to invade the upper part and sink into the sea of marrow, causing distension and pain. Unless clear Yang rises and recovers, turbid Yin cannot descend. This pathology arises from internal pathogens, unlike external pathogens which can be resolved through diaphoresis (sweating method). Moreover, Chuanxiong and Ganjiang (Dried Ginger) in Shenghua Tang can also disperse exterior pathogens, and Taoren (Persicae Semen) can expel stasis; thus, they can treat both aspects simultaneously. With slight additions based on symptoms, why resort to another prescription?
The epigastrium is located below the heart. Postpartum, pain may occur due to invasion of cold pathogen or consumption of cold foods. It is necessary to dispel the cold accumulation in the stomach, which can be effectively treated with Shenghua Life-Efficiency Formula, ensuring recovery. If one solely uses hot-natured drugs to attack cold, although the pain may stop, it may cause reckless movement of blood, further weakening the postpartum mother. Generally, cold-induced pain involves deficiency alongside cold, while dry-heat-induced pain requires the assistance of Yin-nourishing herbs to restrain hyperactivity. For lingering, dull pain, one should inquire whether blood clots have been completely expelled; if massage provides slight relief, it indicates a deficiency pattern, requiring tonic formulas. Broadly speaking, when cold and food stagnation attack upward toward the heart, it causes heart pain; when it attacks the abdomen, it causes abdominal pain. The treatment principles for heart and abdominal pain are largely similar. Feng Shi stated: Postpartum Yin-blood deficiency allows fire to rush upward to the Pericardium collateral, named Pericardium Collateral Pain, which should be primarily treated with Guipi Tang (Restore the Spleen Decoction). *Yitong* (Medical Generalities) treats it with Lizhong Tang (Regulate the Middle Decoction) plus Danggui (Angelicae Sinensis Radix).
Shenghua Life-Efficiency Formula: Treats epigastric pain caused by consuming cold substances after childbirth.
Chuanxiong (Ligustici Chuanxiong Rhizoma) (2 qian)
Danggui (Angelicae Sinensis Radix) (4 qian)
Taoren (Persicae Semen) (10 grains)
Ganjiang (Zingiberis Rhizoma Recens dried/charred) (Blackened by roasting)
Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (Each 5 fen)
Rougui (Cinnamomi Cortex)
Wuzhuyu (Evodiae Fructus) (Each 4 fen)