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产后三十四问 · 妇科问答 · 医典·华经

妇科问答

产后三十四问3 / 4

妇科问答 · 产后三十四问

古文

白话

一问：产后子宫脱垂，如何治疗？
答曰：这是因为气血两虚，不能升提和收敛所致。适宜服用以下药物：
人参、当归、白茯苓、麦冬、甘草、川芎、生地黄、陈皮、香附。

二问：产后阴道口松弛不闭合，如何治疗？
答曰：适宜服用以下药物：
川芎、当归、茯苓、陈皮、甘草、续断、杜仲、人参、牛膝、熟地黄。

三问：产后失语（不语），如何治疗？
答曰：心脏有七窍，因产后败血阻滞心窍，导致心气闭塞，所以不能言语。适宜服用以下药物：
石菖蒲、荆芥、香附、茯苓、当归、陈皮、甘草、牡丹皮。

四问：产后胡言乱语（狂言乱语），如何治疗？
答曰：因为产后元气虚弱，神志不能守舍所致。适宜服用以下药物：
茯苓、远志、酸枣仁、荆芥、甘草、石菖蒲、当归、川芎、香附、陈皮、牡丹皮。

五问：产后咳嗽，服用什么药？
答曰：适宜服用清肺饮：
玄参、桔梗、前胡、山楂、天花粉、白桑白皮、甘草、枳实、牡丹花、马兜铃。

六问：产后发热，口干口渴，嘴唇开裂生疮，服用什么药？
答曰：适宜服用以下药物：
连翘、花粉（天花粉）、玄参、桔梗、前胡、丹皮、当归、陈皮、甘草。

七问：产后寒热往来如疟疾状，服用什么药？
答曰：适宜服用以下药物：
川芎、枳实、当归、前胡、白茯苓、半夏、丹皮、青皮、香附、甘草、陈皮、山楂。

八问：产后小便短少涩痛，服用什么药？
答曰：这是血热积聚于下焦所致，适宜服用八正散：
木通、猪苓、泽泻、茯苓、赤芍、海金沙、广陈皮、甘草、瞿麦、灯心草、车前子。

九问：（原文缺失）

十问：产后中风且失语，如何治疗？
答曰：因为产后元气虚弱，或者赤脚下床踩在冷地上，或者月子里行房事，或者对着风取凉洗澡，风邪侵袭所致。适宜服用以下药物：
川芎、半夏、当归、广陈皮、枳实、丹皮、甘草、白茯苓、防风、僵蚕、赤芍。

十一问：产后提重物，膀胱下垂，脱出体外无法收回，如何治疗？
答曰：产后元气虚弱，又过度劳累，损伤五脏，所以阴中有物挺出。适宜服用以下药物：
升麻、熟地黄、当归、川芎、白茯苓、山茱萸、人参、广陈皮、甘草。

十二问：产后突然心痛，难以忍受，如何治疗？
答曰：这也是恶血上升的缘故，适宜服用以下药物：
枳实、乌药、蓬术（莪术）、青皮、山楂、玄胡索（延胡索）、广陈皮、甘草、厚朴、没药、木香、小茴香。

十三问：产后患疟疾，如何治疗？
答曰：适宜服用以下药物：
川芎、广陈皮、山楂、青皮、半夏、白茯苓、枳实、厚朴。

十四问：产后患痢疾，如何治疗？
答曰：适宜服用胃风汤：
木通、猪苓、泽泻、苍术、厚朴、山楂、蓬术（莪术）、白茯苓、赤芍、陈皮、木香、草豆蔻、枳实、甘草。

十五问：产后吞酸，如何治疗？
答曰：适宜服用以下药物：
枳实、丹皮、山楂、香附、广陈皮、厚朴、半夏、甘草。

十六问：产后眩晕，如何治疗？
答曰：适宜服用以下药物：
天麻、当归、白茯苓、荆芥、前胡、花粉（天花粉）、陈皮、丹皮、益母草。

十七问：产后肢体麻木，如何治疗？
答曰：适宜服用以下药物：
生地黄、当归、天麻、白茯苓、丹皮、广陈皮、秦艽、甘草、杜仲、牛膝、续断。

十八问：产后血晕，如何治疗？
答曰：适宜服用清魂汤：
川芎、当归、荆芥（炒制）、泽兰叶、益母草、石菖蒲、白茯苓、甘草、赤芍、牡丹皮、广陈皮。

十九问：产后小腹痛，如何治疗？
答曰：这是瘀血未尽所致，适宜服用芎归散：
川芎、归尾、红花、赤芍、丹皮、玄胡索（延胡索）、蓬术（莪术）、香附、乌药。

二十问：产后乳汁不通，如何治疗？
答曰：适宜服用芎归涌泉汤：
川芎、当归、木通、白芷、花粉（天花粉）、漏芦、甘草、桔梗、陈皮、赤芍、牡丹皮。

二十一问：产后兜枕痛（后脑勺疼痛），服用什么药？
答曰：小腹中有积块，疼痛即是此症。适宜服用芎归汤：
川芎、归尾、乌药、香附、蓬术（莪术）、玄胡索（延胡索）、红花、丹皮、陈皮、赤芍、花粉（天花粉）、厚朴。

二十二问：产后谵语（说胡话），如何治疗？
答曰：心主血脉，产后失血过多，精神失守所致。脉象若大而热势严重者，难治。适宜用镇心宁神汤：
酸枣仁、石菖蒲、茯神、远志、麦冬、甘草、黄连、陈皮、薄荷、当归。

二十三问：产后瘀血不止且腰痛，服用什么药？
答曰：适宜服用益荣汤：
川芎、白茯苓、当归、白芍、甘草、香附、续断、陈皮、杜仲、牛膝、知母、破故纸（补骨脂）。

二十四问：产后汗出不止，如何治疗？
答曰：适宜服用以下药物：
麻黄根、酸枣仁、白茯神、麦冬、赤芍、炙干姜、益母草、当归、甘草、陈皮。

二十五问：产后尿频但尿量不多，如何治疗？
答曰：这是湿热所致，适宜服用渗湿抑火的方剂：
通草、陈皮、花粉（天花粉）、白茯苓、白芍、车前子、玄参、甘草。

二十六问：绝育（断产），服用什么药？
答曰：适宜服用无忧散：
白芷、赤芍、川芎、当归、丹皮、玄胡索（延胡索）、蓬术（莪术）、陈皮、花粉（天花粉）。

二十七问：产后乳痈（乳腺炎），如何治疗？
答曰：适宜服用橘翘汤：
橘叶、连翘、川芎、当归、花粉（天花粉）、桔梗、玄参、枳壳、陈皮、甘草、防风、青皮、赤芍、牡丹皮。

二十八问：产后小便不通，服用什么药？
答曰：适宜服用通米散：
桃仁、郁李仁、火麻仁、当归、木通、陈皮、蓬术（莪术）、天花粉、猪苓、前胡、枳实、牡丹皮。

二十九问：产后便血泄泻，服用什么药？
答曰：这是脾肺二经受病，适宜服用清热宁肺健脾汤：
前胡、黄连、花粉（天花粉）、桑白皮、桔梗、玄参、木通、泽泻、猪苓、白茯苓、山楂、赤芍、陈皮、甘草。

三十问：（原文删除）

三十一问：产后大便七八日不通，发热腹胀，如何治疗？
答曰：适宜服用顺燥宽中汤：
枳实、陈皮、大黄（酒制）、当归、麻仁、郁李仁、桃仁、丹皮、花粉（天花粉）。

三十二问：产后腿足疼痛，不能行走，如何治疗？
答曰：适宜服用芎归独活汤（注：原文为“芎归独坐汤”，疑为独活之误或别名，此处依原文翻译）：
独活、牛膝、红花、杜仲、薏苡仁、桑寄生、川芎、甘草、当归、丹皮、秦艽、萆薢、木瓜、防己。

三十三问：产后伤寒，如何治疗？
答曰：产后失血过多，元气虚弱，忽冷忽热，症状类似伤寒。轻微者淅淅恶寒、翕翕发热、微咳鼻塞；重者头痛身疼，饮食不进。虽然应当发汗，但如麻黄等峻猛发汗药不可用。适宜服用以下药物：
花粉（天花粉）、丹皮、甘草、山楂、干葛（葛根）、陈皮、枳实、羌活、前胡、川芎。

三十四问：产后胸膈不畅，小腹疼痛，时而寒热发作，如何治疗？
答曰：产后元气虚弱，瘀血未尽，余血与气相互搏结，随气机上下运行，从而形成胸膈不畅、小腹疼痛、时而寒热的症状。如果因血虚而用人参、熟地黄等滋补药，则会使瘀血凝固而不行；如果因积聚而用生姜、肉桂、蓬术等温通破积药，则会进一步耗损元气使其更虚。应当服用既能生新血、又能去瘀血并调理身体的药物，这才是两全其美的办法。使用理气和荣汤：
川芎、甘草、当归、香附、丹皮、益母草、山楂、红花、木香（少许）、白茯苓、陈皮。
临产时先服用四物汤，加入枳壳以理气，加入牛膝以引药下行，屡试屡验。产后服用一盏童便。

英文

Question 1: How to treat uterine prolapse (Yin protrusion) after childbirth?
Answer: This is caused by deficiency of both Qi and Blood, leading to an inability to lift and consolidate. It is suitable to take the following herbs:
Ren Shen (Ginseng Radix), Dang Gui (Angelicae Sinensis Radix), Bai Fu Ling (Poria), Mai Dong (Ophiopogonis Tuber), Gan Cao (Licorice Root), Chuan Xiong (Ligusticum Rhizome), Sheng Di Huang (Rehmanniae Radix), Chen Pi (Citri Reticulatae Pericarpium), Xiang Fu (Cyperi Rhizoma).

Question 2: How to treat vaginal laxity with incomplete closure after childbirth?
Answer: It is suitable to take the following herbs:
Chuan Xiong (Ligusticum Rhizome), Dang Gui (Angelicae Sinensis Radix), Fu Ling (Poria), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Licorice Root), Xu Duan (Dipsaci Radix), Du Zhong (Eucommiae Cortex), Ren Shen (Ginseng Radix), Niu Xi (Achyranthis Bidentatae Radix), Shu Di Huang (Rehmanniae Radix Preparata).

Question 3: How to treat aphasia after childbirth?
Answer: The heart has seven orifices. Postpartum lochia stasis blocks the heart orifices, causing obstruction of Heart Qi, resulting in aphasia. It is suitable to take the following herbs:
Shi Chang Pu (Acori Tatarinowii Rhizoma), Jing Jie (Schizonepetae Herba), Xiang Fu (Cyperi Rhizoma), Fu Ling (Poria), Dang Gui (Angelicae Sinensis Radix), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Licorice Root), Dan Pi (Moutan Cortex).

Question 4: How to treat delirious speech after childbirth?
Answer: This is due to postpartural Qi deficiency, causing the Spirit (Shen) to lose its residence. It is suitable to take the following herbs:
Fu Ling (Poria), Yuan Zhi (Polygalae Radix), Suan Zao Ren (Ziziphi Spinosae Semen), Jing Jie (Schizonepetae Herba), Gan Cao (Licorice Root), Shi Chang Pu (Acori Tatarinowii Rhizoma), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligusticum Rhizome), Xiang Fu (Cyperi Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Dan Pi (Moutan Cortex).

Question 5: What medicine should be taken for cough after childbirth?
Answer: It is suitable to take Qing Fei Yin (Clearing Lung Decoction):
Xuan Shen (Scrophulariae Radix), Jie Geng (Platycodonis Radix), Qian Hu (Peucedani Radix), Shan Zha (Crataegi Fructus), Tian Hua Fen (Trichosanthis Radix), Bai Sang Bai Pi (Mori Cortex), Gan Cao (Licorice Root), Zhi Shi (Aurantii Fructus Immaturus), Mu Dan Hua (Moutan Flos), Ma Dou Ling (Aristolochiae Fructus).

Question 6: What medicine should be taken for fever, dry mouth with thirst, cracked lips, and sores after childbirth?
Answer: It is suitable to take the following herbs:
Lian Qiao (Forsythiae Fructus), Hua Fen (Trichosanthis Radix), Xuan Shen (Scrophulariae Radix), Jie Geng (Platycodonis Radix), Qian Hu (Peucedani Radix), Dan Pi (Moutan Cortex), Dang Gui (Angelicae Sinensis Radix), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Licorice Root).

Question 7: What medicine should be taken for alternating chills and fever resembling malaria after childbirth?
Answer: It is suitable to take the following herbs:
Chuan Xiong (Ligusticum Rhizome), Zhi Shi (Aurantii Fructus Immaturus), Dang Gui (Angelicae Sinensis Radix), Qian Hu (Peucedani Radix), Bai Fu Ling (Poria), Ban Xia (Pinelliae Rhizoma), Dan Pi (Moutan Cortex), Qing Pi (Citri Reticulatae Pericarpium Viride), Xiang Fu (Cyperi Rhizoma), Gan Cao (Licorice Root), Chen Pi (Citri Reticulatae Pericarpium), Shan Zha (Crataegi Fructus).

Question 8: What medicine should be taken for scanty and dysuric urination after childbirth?
Answer: This is caused by Heat accumulation from Blood in the lower jiao. It is suitable to take Ba Zheng San (Eight-Herb Powder for Rectification):
Mu Tong (Akebiae Caulis), Zhu Ling (Polyporus), Ze Xie (Alismatis Rhizoma), Fu Ling (Poria), Chi Shao (Paeoniae Radix Rubra), Hai Jin Sha (Lygodii Spora), Guang Pi (Citri Reticulatae Pericarpium), Gan Cao (Licorice Root), Qu Mai (Polygoni Avicularis Herba), Deng Xin Cao (Junci Medulla), Che Qian Zi (Plantaginis Semen).

Question 9: (Original text missing)

Question 10: How to treat wind-stroke with aphasia after childbirth?
Answer: This is due to postpartural Yuan Qi deficiency, or stepping on cold ground barefoot, or sexual intercourse within the confinement month, or bathing while exposed to wind, causing Wind pathogen invasion. It is suitable to take the following herbs:
Chuan Xiong (Ligusticum Rhizome), Ban Xia (Pinelliae Rhizoma), Dang Gui (Angelicae Sinensis Radix), Guang Pi (Citri Reticulatae Pericarpium), Zhi Shi (Aurantii Fructus Immaturus), Dan Pi (Moutan Cortex), Gan Cao (Licorice Root), Bai Fu Ling (Poria), Fang Feng (Saposhnikoviae Radix), Jiang Can (Bombyx Batryticatus), Chi Shao (Paeoniae Radix Rubra).

Question 11: How to treat bladder prolapse protruding outside and unable to retract after lifting heavy objects postpartum?
Answer: Postpartural Yuan Qi is weak, and excessive labor damages the Five Zang organs, causing a mass to protrude from the vagina. It is suitable to take the following herbs:
Sheng Ma (Ephedrae Caulis / Cimicifugae Rhizoma - *Note: In this context likely Cimicifugae*), Shu Di Huang (Rehmanniae Radix Preparata), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligusticum Rhizome), Bai Fu Ling (Poria), Shan Zhu Yu (Corni Fructus), Ren Shen (Ginseng Radix), Guang Pi (Citri Reticulatae Pericarpium), Gan Cao (Licorice Root).

Question 12: How to treat sudden unbearable heart pain after childbirth?
Answer: This is also due to the ascent of evil blood (lochia stasis). It is suitable to take the following herbs:
Zhi Shi (Aurantii Fructus Immaturus), Wu Yao (Linderae Radix), Peng Zhi (Curcumae Rhizoma), Qing Pi (Citri Reticulatae Pericarpium Viride), Shan Zha (Crataegi Fructus), Yan Hu Suo (Corydalis Rhizoma), Guang Pi (Citri Reticulatae Pericarpium), Gan Cao (Licorice Root), Hou Po (Magnoliae Officinalis Cortex), Mo Yao (Myrrha), Mu Xiang (Aucklandiae Radix), Xiao Hui Xiang (Foeniculi Fructus).

Question 13: How to treat malaria after childbirth?
Answer: It is suitable to take the following herbs:
Chuan Xiong (Ligusticum Rhizome), Guang Pi (Citri Reticulatae Pericarpium), Shan Zha (Crataegi Fructus), Qing Pi (Citri Reticulatae Pericarpium Viride), Ban Xia (Pinelliae Rhizoma), Bai Fu Ling (Poria), Zhi Shi (Aurantii Fructus Immaturus), Hou Po (Magnoliae Officinalis Cortex).

Question 14: How to treat dysentery after childbirth?
Answer: It is suitable to take Wei Feng Tang (Stomach Wind Decoction):
Mu Tong (Akebiae Caulis), Zhu Ling (Polyporus), Ze Xie (Alismatis Rhizoma), Cang Zhu (Atractylodis Rhizoma), Hou Po (Magnoliae Officinalis Cortex), Shan Zha (Crataegi Fructus), Peng Zhi (Curcumae Rhizoma), Bai Fu Ling (Poria), Chi Shao (Paeoniae Radix Rubra), Chen Pi (Citri Reticulatae Pericarpium), Mu Xiang (Aucklandiae Radix), Cao Dou Kou (Cardamomi Fructus), Zhi Shi (Aurantii Fructus Immaturus), Gan Cao (Licorice Root).

Question 15: How to treat acid regurgitation after childbirth?
Answer: It is suitable to take the following herbs:
Zhi Shi (Aurantii Fructus Immaturus), Dan Pi (Moutan Cortex), Shan Zha (Crataegi Fructus), Xiang Fu (Cyperi Rhizoma), Guang Pi (Citri Reticulatae Pericarpium), Hou Po (Magnoliae Officinalis Cortex), Ban Xia (Pinelliae Rhizoma), Gan Cao (Licorice Root).

Question 16: How to treat dizziness after childbirth?
Answer: It is suitable to take the following herbs:
Tian Ma (Gastrodiae Rhizoma), Dang Gui (Angelicae Sinensis Radix), Bai Fu Ling (Poria), Jing Jie (Schizonepetae Herba), Qian Hu (Peucedani Radix), Hua Fen (Trichosanthis Radix), Chen Pi (Citri Reticulatae Pericarpium), Dan Pi (Moutan Cortex), Yi Mu Cao (Leonuri Herba).

Question 17: How to treat numbness after childbirth?
Answer: It is suitable to take the following herbs:
Sheng Di Huang (Rehmanniae Radix), Dang Gui (Angelicae Sinensis Radix), Tian Ma (Gastrodiae Rhizoma), Bai Fu Ling (Poria), Dan Pi (Moutan Cortex), Guang Pi (Citri Reticulatae Pericarpium), Qin Jiao (Gentianae Macrophyllae Radix), Gan Cao (Licorice Root), Du Zhong (Eucommiae Cortex), Niu Xi (Achyranthis Bidentatae Radix), Xu Duan (Dipsaci Radix).

Question 18: How to treat blood syncope after childbirth?
Answer: It is suitable to take Qing Hun Tang (Clearing Soul Decoction):
Chuan Xiong (Ligusticum Rhizome), Dang Gui (Angelicae Sinensis Radix), Jing Jie (Schizonepetae Herba, stir-fried), Ze Lan Ye (Lycopersici Herba), Yi Mu Cao (Leonuri Herba), Shi Chang Pu (Acori Tatarinowii Rhizoma), Bai Fu Ling (Poria), Gan Cao (Licorice Root), Chi Shao (Paeoniae Radix Rubra), Mu Dan Pi (Moutan Cortex), Guang Pi (Citri Reticulatae Pericarpium).

Question 19: How to treat lower abdominal pain after childbirth?
Answer: This is due to incomplete elimination of blood stasis. It is suitable to take Xiong Gui San (Chuanxiong and Angelica Powder):
Chuan Xiong (Ligusticum Rhizome), Gui Wei (Angelicae Sinensis Radix Tail), Hong Hua (Carthami Flos), Chi Shao (Paeoniae Radix Rubra), Dan Pi (Moutan Cortex), Yan Hu Suo (Corydalis Rhizoma), Peng Zhi (Curcumae Rhizoma), Xiang Fu (Cyperi Rhizoma), Wu Yao (Linderae Radix).

Question 20: How to treat milk duct obstruction after childbirth?
Answer: It is suitable to take Xiong Gui Yong Quan Tang (Chuanxiong and Angelica Springing Source Decoction):
Chuan Xiong (Ligusticum Rhizome), Dang Gui (Angelicae Sinensis Radix), Mu Tong (Akebiae Caulis), Bai Zhi (Angelicae Dahuricae Radix), Hua Fen (Trichosanthis Radix), Lou Lu (Euphorbiae Humifusae Herba), Gan Cao (Licorice Root), Jie Geng (Platycodonis Radix), Chen Pi (Citri Reticulatae Pericarpium), Chi Shao (Paeoniae Radix Rubra), Mu Dan Pi (Moutan Cortex).

Question 21: What medicine should be taken for occipital headache after childbirth?
Answer: There is a mass in the lower abdomen; pain indicates this condition. It is suitable to take Xiong Gui Tang (Chuanxiong and Angelica Decoction):
Chuan Xiong (Ligusticum Rhizome), Gui Wei (Angelicae Sinensis Radix Tail), Wu Yao (Linderae Radix), Xiang Fu (Cyperi Rhizoma), Peng Zhi (Curcumae Rhizoma), Yan Hu Suo (Corydalis Rhizoma), Hong Hua (Carthami Flos), Dan Pi (Moutan Cortex), Chen Pi (Citri Reticulatae Pericarpium), Chi Shao (Paeoniae Radix Rubra), Hua Fen (Trichosanthis Radix), Hou Po (Magnoliae Officinalis Cortex).

Question 22: How to treat delirium after childbirth?
Answer: The Heart governs Blood. Excessive blood loss postpartum causes the Spirit to lose its residence. If the pulse is large and heat is severe, it is difficult to treat. It is suitable to use Zhen Xin Ning Shen Tang (Calming Heart and Pacifying Spirit Decoction):
Suan Zao Ren (Ziziphi Spinosae Semen), Shi Chang Pu (Acori Tatarinowii Rhizoma), Fu Shen (Poria with Hostwood), Yuan Zhi (Polygalae Radix), Mai Dong (Ophiopogonis Tuber), Gan Cao (Licorice Root), Huang Lian (Coptidis Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Bo He (Menthae Haplocalycis Herba), Dang Gui (Angelicae Sinensis Radix).

Question 23: What medicine should be taken for continuous bleeding and lower back pain due to blood stasis after childbirth?
Answer: It is suitable to take Yi Rong Tang (Nourishing Prosperity Decoction):
Chuan Xiong (Ligusticum Rhizome), Bai Fu Ling (Poria), Dang Gui (Angelicae Sinensis Radix), Bai Shao (Paeoniae Radix Alba), Gan Cao (Licorice Root), Xiang Fu (Cyperi Rhizoma), Xu Duan (Dipsaci Radix), Chen Pi (Citri Reticulatae Pericarpium), Du Zhong (Eucommiae Cortex), Niu Xi (Achyranthis Bidentatae Radix), Zhi Mu (Anemarrhenae Rhizoma), Po Gu Zhi (Psoraleae Fructus).

Question 24: How to treat incessant sweating after childbirth?
Answer: It is suitable to take the following herbs:
Ma Huang Gen (Ephedrae Herba Radix), Suan Zao Ren (Ziziphi Spinosae Semen), Bai Fu Shen (Poria with Hostwood), Mai Dong (Ophiopogonis Tuber), Chi Shao (Paeoniae Radix Rubra), Zhi Gan Jiang (Prepared Zingiberis Rhizoma), Yi Mu Cao (Leonuri Herba), Dang Gui (Angelicae Sinensis Radix), Gan Cao (Licorice Root), Chen Pi (Citri Reticulatae Pericarpium).

Question 25: How to treat frequent urination with small volume after childbirth?
Answer: This is caused by Damp-Heat. It is suitable to take formulas that leaching out Dampness and suppressing Fire:
Tong Cao (Tetrapanacis Medulla), Chen Pi (Citri Reticulatae Pericarpium), Hua Fen (Trichosanthis Radix), Bai Fu Ling (Poria), Bai Shao (Paeoniae Radix Alba), Che Qian Zi (Plantaginis Semen), Xuan Shen (Scrophulariae Radix), Gan Cao (Licorice Root).

Question 26: What medicine should be taken for sterilization (ending childbearing)?
Answer: It is suitable to take Wu You San (Carefree Powder):
Bai Zhi (Angelicae Dahuricae Radix), Chi Shao (Paeoniae Radix Rubra), Chuan Xiong (Ligusticum Rhizome), Dang Gui (Angelicae Sinensis Radix), Dan Pi (Moutan Cortex), Yan Hu Suo (Corydalis Rhizoma), Peng Zhi (Curcumae Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Hua Fen (Trichosanthis Radix).

Question 27: How to treat mastitis after childbirth?
Answer: It is suitable to take Ju Qiao Tang (Tangerine Peel and Forsythia Decoction):
Ju Ye (Citri Reticulatae Folium), Lian Qiao (Forsythiae Fructus), Chuan Xiong (Ligusticum Rhizome), Dang Gui (Angelicae Sinensis Radix), Hua Fen (Trichosanthis Radix), Jie Geng (Platycodonis Radix), Xuan Shen (Scrophulariae Radix), Zhi Ke (Aurantii Fructus), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Licorice Root), Fang Feng (Saposhnikoviae Radix), Qing Pi (Citri Reticulatae Pericarpium Viride), Chi Shao (Paeoniae Radix Rubra), Mu Dan Pi (Moutan Cortex).

Question 28: What medicine should be taken for urinary retention after childbirth?
Answer: It is suitable to take Tong Mi San (Unblocking Rice Powder):
Tao Ren (Persicae Semen), Yu Li Ren (Pruni Semen), Ma Ren (Canavaliae Semen / Cannabis Seed - *Note: Usually Huo Ma Ren*), Dang Gui (Angelicae Sinensis Radix), Mu Tong (Akebiae Caulis), Chen Pi (Citri Reticulatae Pericarpium), Peng Zhi (Curcumae Rhizoma), Tian Hua Fen (Trichosanthis Radix), Zhu Ling (Polyporus), Qian Hu (Peucedani Radix), Zhi Shi (Aurantii Fructus Immaturus), Mu Dan Pi (Moutan Cortex).

Question 29: What medicine should be taken for bloody diarrhea after childbirth?
Answer: This is a disease of the Spleen and Lung meridians. It is suitable to take Qing Re Ning Fei Jian Pi Tang (Clearing Heat, Calming Lung, Strengthening Spleen Decoction):
Qian Hu (Peucedani Radix), Huang Lian (Coptidis Rhizoma), Hua Fen (Trichosanthis Radix), Sang Bai Pi (Mori Cortex), Jie Geng (Platycodonis Radix), Xuan Shen (Scrophulariae Radix), Mu Tong (Akebiae Caulis), Ze Xie (Alismatis Rhizoma), Zhu Ling (Polyporus), Bai Fu Ling (Poria), Shan Zha (Crataegi Fructus), Chi Shao (Paeoniae Radix Rubra), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Licorice Root).

Question 30: (Original text deleted)

Question 31: How to treat constipation for seven to eight days, fever, and abdominal distension after childbirth?
Answer: It is suitable to take Shun Zao Kuan Zhong Tang (Moistening Dryness and Expanding Middle Decoction):
Zhi Shi (Aurantii Fructus Immaturus), Chen Pi (Citri Reticulatae Pericarpium), Da Huang (Rhei Radix et Rhizoma, wine-processed), Dang Gui (Angelicae Sinensis Radix), Ma Ren (Canavaliae Semen), Yu Li Ren (Pruni Semen), Tao Ren (Persicae Semen), Dan Pi (Moutan Cortex), Hua Fen (Trichosanthis Radix).

Question 32: How to treat leg and foot pain preventing walking after childbirth?
Answer: It is suitable to take Xiong Gui Du Zuo Tang (Chuanxiong and Angelica Solitary Sitting Decoction):
Du Huo (Angelicae Pubescentis Radix), Niu Xi (Achyranthis Bidentatae Radix), Hong Hua (Carthami Flos), Du Zhong (Eucommiae Cortex), Yi Yi Ren (Coicis Semen), Sang Ji Sheng (Taxilli Herba), Chuan Xiong (Ligusticum Rhizome), Gan Cao (Licorice Root), Dang Gui (Angelicae Sinensis Radix), Dan Pi (Moutan Cortex), Qin Jiao (Gentianae Macrophyllae Radix), Bi Xie (Dioscoreae Hypoglaucae Rhizoma), Mu Gua (Chaenomelis Fructus), Fang Ji (Stephaniae Tetrandrae Radix).

Question 33: How to treat cold damage after childbirth?
Answer: Postpartural excessive blood loss leads to Yuan Qi deficiency, causing alternating chills and fever, resembling cold damage. Mild cases present with shivering aversion to cold, slight fever, mild cough, and nasal congestion; severe cases involve headache, body ache, and loss of appetite. Although sweating therapy is indicated, harsh diaphoretics like Ma Huang cannot be used. It is suitable to take the following herbs:
Hua Fen (Trichosanthis Radix), Dan Pi (Moutan Cortex), Gan Cao (Licorice Root), Shan Zha (Crataegi Fructus), Gan Ge (Puerariae Lobatae Radix), Chen Pi (Citri Reticulatae Pericarpium), Zhi Shi (Aurantii Fructus Immaturus), Qiang Huo (Notopterygii Rhizoma et Radix), Qian Hu (Peucedani Radix), Chuan Xiong (Ligusticum Rhizome).

Question 34: How to treat chest and diaphragm fullness, lower abdominal pain, and intermittent chills and fever after childbirth?
Answer: Postpartural Yuan Qi is weak, and blood stasis remains. Residual blood fights with Qi, moving up and down, causing chest fullness, lower abdominal pain, and intermittent chills/fever. If Tonics like Ren Shen and Shu Di Huang are used for Blood deficiency, the stasis will be consolidated and stagnate. If Warming/Promoting agents like Sheng Jiang, Rou Gui, and Peng Zhi are used for accumulations, Yuan Qi will be further depleted. One should take herbs that generate new blood, remove stasis, and regulate the body. Use Li Qi He Rong Tang (Regulating Qi and Harmonizing Nutritive Decoction):
Chuan Xiong (Ligusticum Rhizome), Gan Cao (Licorice Root), Dang Gui (Angelicae Sinensis Radix), Xiang Fu (Cyperi Rhizoma), Dan Pi (Moutan Cortex), Yi Mu Cao (Leonuri Herba), Shan Zha (Crataegi Fructus), Hong Hua (Carthami Flos), Mu Xiang (Aucklandiae Radix, small amount), Bai Fu Ling (Poria), Chen Pi (Citri Reticulatae Pericarpium).
At the time of delivery, first take Si Wu Tang (Four Substances Decoction), add Zhi Ke to regulate Qi, and add Niu Xi to guide downward; this has been tested repeatedly with success. After childbirth, drink one cup of infant urine (Tong Bian).