陈皮 桔梗 乌药 牛膝 山楂 白芷 干姜（炒） 肉桂 香附 甘草 山茱萸（末） 玄胡索
五灵脂
三日外发寒热，加柴胡、当归尾；七日外发寒热，小腹痛，加三棱、蓬术、桃仁；十四日外发寒
热，乃虚热也，加川
芎、当归、熟地、茯苓、柴胡；廿一日腹中升上升下痛者，乃气也，加草果、豆蔻、槟榔、砂仁；小
腹中一块痛，乃恶血不尽，加三棱、蓬术、归尾、桃仁；三、四日或七、八日，血已尽而升上升
下痛者，乃气食相干症也，加草果、槟榔、枳壳、山楂、三棱、莪术；初产三日至七日，小腹如有胎之
状，此临盆进风，为破腹伤风症，加防风、荆芥、苏木、干葛、独活、蓬术、三棱、白芷；廿八
日外，有鲜血、恶血来，即是淋沥，加天花粉、川芎、艾、牡蛎、地榆、黄芩、生地、白芍、当归、
玄胡索、肉桂（去）、乌药（去）、茱萸（去）、干姜（去）；一月外，血虚寒热，加人参、白
术、归身、川芎、茯苓、白芍、茱萸、干姜；咳嗽加杏仁、五味子、天冬；有风痰嗽，加干葛、
紫苏、前胡、桑白皮；无风痰嗽，加茯苓、白术、当归、川芎、赤芍；恶心加半夏；发热加柴胡；
赤白淋漓，加地榆、白芷、艾叶、牡蛎；失于调理虚损，加人参、白术、茯苓、甘草、黄 、川芎、当
归、白芍、熟地、肉桂、香附；三日外，瘀血奔上发狂，言语颠倒，不省人事，即是中风发狂，
加陈皮、桔梗、乌药、山楂、柴胡、真朱砂、三棱、枳壳、蓬术、归尾、干姜、茱萸、肉桂；三
日外，瘀血奔下，两胁肿胀，不便转动，即恶血流注，加陈皮、桔梗、山楂、木通、白芷、干姜、官桂、
柴胡、三棱、蓬术、茱萸、牛膝、归尾、桃仁；恶心，虚气相干，积聚为痞，在左为血，在右为气，
在中为痰，治血加陈皮、桔梗、乌药、山楂、香附、三棱、蓬术、五灵脂、玄胡索、归尾、川芎、
木香、槟榔、草果，治气加枳壳、茱萸、青皮、豆蔻、干姜、官桂，治痰加半夏、南星、五灵脂
（去）、官桂、茱萸，干姜；骨节疼痛加羌活；头痛加川芎、荆芥；二十日内大发热，必加炒黑干姜；风症加防风、荆
芥、
苏木、干葛、白芷、独活、蓬术、三棱；七日外，小腹作痛者，有块，发寒热，恶血未尽，或内伤产门，为阴伤症，轻
则七日而愈，重则十四日而愈，极重而廿一日而愈，加荆芥穗、白芷、连翘、金银花；伤风加
防风、紫苏、干葛；有痰加半夏、茯苓、甘草、陈皮；骨痛加羌活、当归；腰痛加茯苓、杜仲；
小便不通加车前子、木通、泽泻、升麻；大便不通加郁李仁、麻仁、枳实，七日以外仍加大黄；
泄泻加木通、猪苓、泽泻、山药、苍术、浓朴、米仁；痢疾加槟榔、木香、木通、猪苓、泽
泻、枳壳；疟疾加柴胡、青皮、槟榔、草果、浓朴、甘草；血虚发热加川芎、当归、白芍（炒）、
生地、黄芩；伤食加枳壳、山楂、草果、三棱、蓬术；中湿如水面上浮者之状，遍身浮肿，眼
目视物不转睛者，加防风、荆芥、三棱、蓬术、茱萸、白术、干姜、肉桂、柴胡、归尾、桃仁、
萝卜子、川乌、草乌（不可用多，每贴二分）；中风不语，不省人事，此乃恶血迷心，舌乃心之
苗，故不语，必先观其眼珠转动治，不能转动者不治，加陈皮、桔梗、石菖蒲、归尾、乌药、门
冬、桃仁、防风、辰砂、甘草。
陈皮、桔梗、乌药、牛膝、山楂、白芷、干姜（炒制）、肉桂、香附、甘草、山茱萸（研末）、玄胡索、五灵脂。
产后三日以外出现寒热症状，加柴胡、当归尾；产后七日以外出现寒热，且小腹部疼痛，加三棱、蓬术（莪术）、桃仁；产后十四日以外出现寒热，属于虚热，加川芎、当归、熟地黄、茯苓、柴胡；产后廿一日以上，腹中上下窜痛，属于气滞，加草果、豆蔻、槟榔、砂仁；小腹中有包块疼痛，属于恶露不尽，加三棱、蓬术、当归尾、桃仁；产后三、四日或七、八日，瘀血已排尽但出现上下窜痛，属于气与食积相互干扰的病症，加草果、槟榔、枳壳、山楂、三棱、莪术；初产妇产后三日至七日，小腹感觉如同怀孕般胀大，这是临产时受风所致，为破腹伤风症，加防风、荆芥、苏木、干葛（葛根）、独活、蓬术、三棱、白芷；产后廿八日以后，有新鲜血液和恶露淋漓不断，加天花粉、川芎、艾叶、牡蛎、地榆、黄芩、生地黄、白芍、当归、玄胡索、肉桂（去掉）、乌药（去掉）、山茱萸（去掉）、干姜（去掉）；产后一个月以外，因血虚导致寒热往来，加人参、白术、当归身、川芎、茯苓、白芍、山茱萸、干姜；伴有咳嗽，加杏仁、五味子、天冬；伴有风痰咳嗽，加干葛、紫苏、前胡、桑白皮；无风痰的咳嗽，加茯苓、白术、当归、川芎、赤芍；伴有恶心，加半夏；伴有发热，加柴胡；伴有赤白带下淋漓，加地榆、白芷、艾叶、牡蛎；因失于调理导致的虚损，加人参、白术、茯苓、甘草、黄芪、川芎、当归、白芍、熟地黄、肉桂、香附；产后三日以外，瘀血上冲导致发狂，言语错乱，不省人事，即是中风发狂，加陈皮、桔梗、乌药、山楂、柴胡、真朱砂、三棱、枳壳、蓬术、当归尾、干姜、山茱萸、肉桂；产后三日以外，瘀血下行，两胁肿胀，身体不便转动，即恶血流注，加陈皮、桔梗、山楂、木通、白芷、干姜、官桂、柴胡、三棱、蓬术、山茱萸、牛膝、当归尾、桃仁；伴有恶心，因虚气干扰，积聚形成痞块，在左侧属血瘀，在右侧属气滞，在中间属痰阻，治疗血瘀加陈皮、桔梗、乌药、山楂、香附、三棱、蓬术、五灵脂、玄胡索、当归尾、川芎、木香、槟榔、草果；治疗气滞加枳壳、山茱萸、青皮、豆蔻、干姜、官桂；治疗痰阻加半夏、南星、五灵脂（去掉）、官桂、山茱萸、干姜；骨节疼痛加羌活；头痛加川芎、荆芥；二十日内出现大发热，必须加炒黑的干姜；伴有风症，加防风、荆芥、苏木、干葛、白芷、独活、蓬术、三棱；产后七日以外，小腹部作痛且有包块，出现寒热，恶露未尽，或是内伤产门，为阴伤症，轻则七日痊愈，重则十四日痊愈，极重则廿一日痊愈，加荆芥穗、白芷、连翘、金银花；伴有伤风，加防风、紫苏、干葛；伴有痰湿，加半夏、茯苓、甘草、陈皮；伴有骨痛，加羌活、当归；伴有腰痛，加茯苓、杜仲；小便不通加车前子、木通、泽泻、升麻；大便不通加郁李仁、火麻仁、枳实，若七日以后仍不通畅加大黄；伴有泄泻，加木通、猪苓、泽泻、山药、苍术、厚朴、薏苡仁；伴有痢疾，加槟榔、木香、木通、猪苓、泽泻、枳壳；伴有疟疾，加柴胡、青皮、槟榔、草果、厚朴、甘草；因血虚发热，加川芎、当归、白芍（炒制）、生地黄、黄芩；因伤食，加枳壳、山楂、草果、三棱、蓬术；因中湿导致状如水面上漂浮般的浮肿，遍身浮肿，眼珠视物不能转动，加防风、荆芥、三棱、蓬术、山茱萸、白术、干姜、肉桂、柴胡、当归尾、桃仁、萝卜子、川乌、草乌（不可多用，每贴二分）；中风不语，不省人事，这是恶血迷心，舌是心的苗窍，所以不能言语，必须先观察其眼珠是否转动来诊治，如果眼珠不能转动者不治，加陈皮、桔梗、石菖蒲、当归尾、乌药、麦冬、桃仁、防风、辰砂、甘草。
Chenpi (Citri Reticulatae Pericarpium), Jiegeng (Platycodonis Radix), Wuyao (Linderae Radix), Niuxi (Achyranthis Bidentatae Radix), Shanzha (Crataegi Fructus), Baizhi (Angelicae Dahuricae Radix), Ganjiang (Zingiberis Rhizoma, stir-fried), Rougui (Cinnamomi Cortex), Xiangfu (Cyperi Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Shanzhuyu (Corni Fructus, powdered), Yanhusuo (Corydalis Rhizoma), Wulingzhi (Trogopterori Faeces).
If chills and fever occur after the third day postpartum, add Chaihu (Bupleuri Radix) and Dangguiwei (Angelicae Sinensis Radix caudex); if chills and fever occur after the seventh day accompanied by lower abdominal pain, add Sanleng (Sparganii Rhizoma), Pengzhu (Curcumae Rhizoma), and Taoren (Persicae Semen); if chills and fever occur after the fourteenth day, it is deficiency heat, add Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Shudi (Rehmanniae Radix Preparata), Fuling (Poria), and Chaihu; if moving pain up and down in the abdomen occurs after the twenty-first day, it is qi stagnation, add Caoguo (Tsaoko Fructus), Doukou (Amomi Fructus Rotundus), Binglang (Arecae Semen), and Sharen (Amomi Fructus); if there is a painful mass in the lower abdomen, it is incomplete expulsion of lochia, add Sanleng, Pengzhu, Dangguiwei, and Taoren; if moving pain up and down occurs on the third or fourth day, or seventh or eighth day after the blood has been exhausted, it is a syndrome of qi and food retention interfering with each other, add Caoguo, Binglang, Zhike (Aurantii Fructus Immaturus), Shanzha, Sanleng, and Ezhu (Curcumae Rhizoma); for primiparas, if the lower abdomen feels distended like pregnancy between the third and seventh days postpartum, this is wind invasion during delivery, known as abdominal wind injury syndrome, add Fangfeng (Saposhnikoviae Radix), Jingjie (Schizonepetae Spica), Sumu (Sappan Lignum), Gange (Puerariae Lobatae Radix), Duhuo (Angelicae Pubescentis Radix), Pengzhu, Sanleng, and Baizhi; after the twenty-eighth day, if fresh blood and lochia drip continuously, add Tianhuafen (Trichosanthis Radix), Chuanxiong, Aiye (Artemisiae Argyi Folium), Muli (Concha Ostreae), Diyü (Sanguisorbae Radix), Huangqin (Scutellariae Radix), Shengdi (Rehmanniae Radix), Baishao (Paeoniae Radix Alba), Danggui, Yanhusuo, Rougui (remove), Wuyao (remove), Shanzhuyu (remove), and Ganjiang (remove); after one month, if chills and fever occur due to blood deficiency, add Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Dangguishen (Angelicae Sinensis Radix radix), Chuanxiong, Fuling, Baishao, Shanzhuyu, and Ganjiang; if cough is present, add Xingren (Armeniacae Semen Amarum), Wuweizi (Schisandrae Chinensis Fructus), and Tiandong (Asparagi Radix); if wind-phlegm cough is present, add Gange, Zisu (Perillae Folium), Qianhu (Peucedani Radix), and Sangbaipi (Mori Cortex); if non-wind phlegm cough is present, add Fuling, Baizhu, Danggui, Chuanxiong, and Chishao (Paeoniae Radix Rubra); if nausea is present, add Banxia (Pinelliae Rhizoma); if fever is present, add Chaihu; if bloody and white discharge drips continuously, add Diyü, Baizhi, Aiye, and Muli; if deficiency damage results from lack of proper care, add Renshen, Baizhu, Fuling, Gancao, Huangqi (Astragali Radix), Chuanxiong, Danggui, Baishao, Shudi, Rougui, and Xiangfu; if blood stasis rushes upward causing mania, confused speech, and unconsciousness after the third day, which is stroke-induced mania, add Chenpi, Jiegeng, Wuyao, Shanzha, Chaihu, Zhenzhusha (Cinnabaris), Sanleng, Zhike, Pengzhu, Dangguiwei, Ganjiang, Shanzhuyu, and Rougui; if blood stasis rushes downward causing swelling of both hypochondria and immobility after the third day, which is evil blood flowing into collaterals, add Chenpi, Jiegeng, Shanzha, Mutong (Akebiae Caulis), Baizhi, Ganjiang, Guangui (Cinnamomi Ramulus), Chaihu, Sanleng, Pengzhu, Shanzhuyu, Niuxi, Dangguiwei, and Taoren; if nausea occurs due to deficiency qi interference leading to accumulation and痞 (fullness), located on the left is blood stasis, on the right is qi stagnation, and in the center is phlegm; for treating blood stasis, add Chenpi, Jiegeng, Wuyao, Shanzha, Xiangfu, Sanleng, Pengzhu, Wulingzhi, Yanhusuo, Dangguiwei, Chuanxiong, Muxiang (Aucklandiae Radix), Binglang, and Caoguo; for treating qi stagnation, add Zhike, Shanzhuyu, Qingpi (Citri Reticulatae Pericarpium Viride), Doukou, Ganjiang, and Guangui; for treating phlegm, add Banxia, Nanxing (Arisaematis Cum Bile), Wulingzhi (remove), Guangui, Shanzhuyu, and Ganjiang; if joint pain is present, add Qianghuo (Notopterygii Rhizoma et Radix); if headache is present, add Chuanxiong and Jingjie; if high fever occurs within twenty days, stir-fried black Ganjiang must be added; if wind syndrome is present, add Fangfeng, Jingjie, Sumu, Gange, Baizhi, Duhuo, Pengzhu, and Sanleng; if lower abdominal pain with a mass and chills/fever occur after the seventh day, indicating incomplete expulsion of lochia or internal injury to the birth canal (Yin injury syndrome), mild cases heal in seven days, severe in fourteen, and extreme in twenty-one days; add Jingjiesui (Schizonepetae Spica), Baizhi, Lianqiao (Forsythiae Fructus), and Jinyinhua (Lonicerae Japonicae Flos); if wind-cold is present, add Fangfeng, Zisu, and Gange; if phlegm is present, add Banxia, Fuling, Gancao, and Chenpi; if bone pain is present, add Qianghuo and Danggui; if lower back pain is present, add Fuling and Duzhong (Eucommiae Cortex); if urinary retention is present, add Cheqianzi (Plantaginis Semen), Mutong, Zexie (Alismatis Rhizoma), and Shengma (Bupleuri Radix); if constipation is present, add Yuliren (Pruni Semen) and Mahren (Hemp Seed), and if still unrelieved after seven days, add Dahuang (Rhei Radix et Rhizoma); if diarrhea is present, add Mutong, Zhuling (Polyporus), Zexie, Shanyao (Dioscoreae Rhizoma), Cangzhu (Atractylodis Rhizoma), Houpo (Magnoliae Officinalis Cortex), and Yiren (Coicis Semen); if dysentery is present, add Binglang, Muxiang, Mutong, Zhuling, Zexie, and Zhike; if malaria is present, add Chaihu, Qingpi, Binglang, Caoguo, Houpo, and Gancao; if fever occurs due to blood deficiency, add Chuanxiong, Danggui, Baishao (stir-fried), Shengdi, and Huangqin; if food retention is present, add Zhike, Shanzha, Caoguo, Sanleng, and Pengzhu; if dampness causes generalized edema resembling floating on water and inability of eyes to focus, add Fangfeng, Jingjie, Sanleng, Pengzhu, Shanzhuyu, Baizhu, Ganjiang, Rougui, Chaihu, Dangguiwei, Taoren, Luobozǐ (Radish Seed), Chuanwu (Aconiti Radix Preparata), and Caowu (Aconiti Kusnezoffii Radix Preparata - do not use excessively, 2 fen per dose); if stroke causes aphasia and unconsciousness due to evil blood confusing the heart (tongue being the sprout of the heart), first observe eye movement; if eyes cannot move, it is untreatable. Add Chenpi, Jiegeng, Shichangpu (Acori Tatarinowii Rhizoma), Dangguiwei, Wuyao, Maidong (Ophiopogonis Radix), Taoren, Fangfeng, Chen Sha (Cinnabaris), and Gancao.