川芎（四钱） 当归（八钱，酒浸） 甘草（五分，炙） 干姜（四分，炒黑存性） 桃仁（去皮，十粒）
水二钟，煎七分，和酒六七茶匙，稍热服。渣并后帖再煎，两帖共三煎，要在一两个时辰内，未进饮食之
先，相继煎服。因下焦恶露，服多而频，则速化而骤长新血，自免晕症，其胎前素弱，产后劳倦，又当再制两
帖，以防怠倦。且产妇服一帖，便长精神几分，不厌药之频也。若虚人见危症，又热症堕胎，或劳甚身热头
痛，服四五帖虽稍安，未除血痛，又当再制服之。产后七日内未曾服生化汤，血块痛未除，仍用生化以消块止痛。
新产后及三日，服生化汤二三帖，痛块未除，再照前方服几帖，自然块消痛止。新血长旺，精神自复矣。
产后七日内血块未除，未可加参、 、白术。如用之痛不止，有才分娩，或一二日内血块痛未止，其产妇血气
虚脱，或晕或汗多而厥，或形色脱去，口气渐冷，或烦渴不止，或气喘气急。勿论块痛，且
从权多用参 生化汤，以扶危急。暑月产妇，
服生化汤以除块痛，外用热衣暖腹。若失盖护，虽服药痛块亦不止，产后大便八九日不通，由血少肠燥故也。
宜多服生化加麻仁以通润之。服芎归以斤数，自然通矣。虚加人参二三钱，慎勿以大黄下之。
产后一二日内，服生化汤三四帖块觉减，其痛可揉按而定者虚也。宜生化汤加人参三钱。
产后七日内，感寒伤冷物，血块凝结痛，生化汤加肉桂
五六分，至半月或一月以上凝结，四消丸补汤送。
产后晕厥，脉脱、形脱、口冷诸危急症，从权惟参可救。肥人有痰，或暴怒卒中，生化汤加竹沥、姜汁。
川芎（四钱） 当归（八钱，用酒浸泡） 甘草（五分，蜜炙） 干姜（四分，炒至焦黑但保留药性） 桃仁（去皮，十粒）
用水两碗，煎煮至剩余七分药液，加入六七茶匙黄酒，趁稍热时服用。药渣连同下一剂药一起再煎，三剂药共煎三次，要在两个时辰内，在未进食之前，接连煎好并服用。因为下焦的恶露（产后排出的余血浊液），如果服药次数多且频繁，就能迅速化瘀并快速生成新血，自然能避免晕厥症状。对于胎前体质素来虚弱，或产后因劳累倦怠者，应当再配制两剂药，以防倦怠乏力。而且产妇服用一剂药，精神就会恢复几分，不必嫌弃用药过于频繁。如果是气血虚弱的患者出现危重病症，或因热症导致堕胎，或者极度劳累后身体发热、头痛，服用四五剂药虽然稍微安定，但血瘀疼痛未除，应当继续服用以消除病痛。产后七日内未曾服用生化汤（Bianhua Tang, Postpartum Transformation Decoction），血块疼痛未除，仍应使用生化汤来消散血块、缓解疼痛。
新产之后及产后三日，服用生化汤二三剂，若血块疼痛未除，再按照前方继续服用几剂，自然血块消散、疼痛停止。新血生长旺盛，精神自然恢复。
产后七日内血块未除，不可随意加入人参、白术等补气健脾药。如果使用这些药物后疼痛不止，可能是刚分娩不久，或者一二日内血块疼痛仍未停止，此时产妇气血虚脱，或者出现晕厥、汗多而四肢厥冷，或者面色苍白无华、口气渐冷，或者烦躁口渴不止，或者气喘急促。不论是否有血块疼痛，暂且权宜之计大量使用人参配合生化汤，以扶持危急之症。暑天产妇，服用生化汤以消除血块疼痛，外用热衣温暖腹部。如果失去遮盖保护，即使服药，血块疼痛也不会停止。产后大便八九日不通，是由于血少肠燥所致。适宜多服用加入火麻仁（Hemp Seed）的生化汤以通利润肠。按斤两比例服用川芎和当归，大便自然通畅。体虚者加入人参二三钱，切勿使用大黄（Rhubarb Root and Rhizome）攻下。
产后一二日内，服用生化汤三四剂后感觉血块减少，其疼痛可以通过揉按而缓解的，属于虚证。适宜在生化汤中加入人参三钱。
产后七日内，感受寒邪或食用生冷食物，导致血块凝结疼痛，在生化汤中加入肉桂（Cinnamon Bark）五六分；若超过半月或一月以上才出现凝结，可用四消丸（Six-Ingredient Pill for Eliminating Stagnation）配合补益汤送服。
产后晕厥，脉象微弱欲绝、形体衰败、口唇冰冷等各种危急重症，权宜之计只有人参可以救治。肥胖之人多有痰湿，或因暴怒突然昏倒中风的，在生化汤中加入竹沥（Bamboo Sap）和姜汁（Ginger Juice）。
Chuanxiong (4 qian) Danggui (8 qian, soaked in wine) Gancao (5 fen, honey-fried) Ganjiang (4 fen, stir-fried until blackened but retaining its medicinal properties) Taoren (peeled, 10 grains)
Use two bowls of water, decoct until three-sevenths of the liquid remains. Add six or seven tea spoons of yellow wine, and take while slightly warm. The dregs should be combined with the next dose for further decoction. The three doses are to be decocted a total of three times within two shichen (4 hours). They should be consecutively decocted and taken before any food intake. Because the lochia (postpartum discharge of blood and mucus) in the lower jiao can be rapidly transformed into new blood if the medication is taken frequently and in sufficient quantity, dizziness symptoms can be naturally avoided. For those who were constitutionally weak during pregnancy or suffer from fatigue due to overwork postpartum, two additional doses should be prepared to prevent exhaustion. Moreover, after taking one dose, the patient's spirit will recover somewhat, so there is no need to dislike frequent medication. If a deficient person presents with critical symptoms, or has had an abortion due to heat syndromes, or suffers from body fever and headache due to severe fatigue, taking four or five doses may provide slight relief, but if blood stasis pain persists, continued administration is necessary to eliminate the pain.
If Bianhua Tang (Postpartum Transformation Decoction) was not taken within seven days postpartum and blood clots with pain persist, Bianhua Tang should still be used to dissipate clots and relieve pain. Within three days postpartum, if two or three doses of Bianhua Tang do not resolve the clot-related pain, continue taking several more doses according to the original prescription; naturally, the clots will dissipate and pain will cease. As new blood grows vigorous, spirit will naturally recover.
If blood clots remain unresolved within seven days postpartum, do not arbitrarily add Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome), etc., which tonify qi and strengthen the spleen. If pain persists after using these, it may be because delivery just occurred, or clot pain has not stopped within one or two days. In such cases, the parturient's qi and blood may be depleted, presenting as fainting, excessive sweating with cold limbs, pale complexion, cold breath, incessant irritability and thirst, or panting and shortness of breath. Regardless of whether there is clot pain, temporarily use a larger amount of Renshen combined with Bianhua Tang to support critical conditions. In summer, parturients taking Bianhua Tang to remove clot pain should also use hot clothes to warm the abdomen. If protection from cold is lost, even with medication, the clot pain will not stop. Constipation lasting eight or nine days postpartum is due to blood deficiency causing intestinal dryness. It is appropriate to take more Bianhua Tang added with Haren (Hemp Seed) to promote bowel movement and moisten the intestines. Taking Chuanxiong and Danggui in large quantities will naturally restore regularity. For deficient patients, add 2-3 qian of Renshen; strictly avoid using Dahuang (Rhubarb Root and Rhizome) for purgation.
Within one or two days postpartum, if taking three or four doses of Bianhua Tang reduces the clots and the pain can be relieved by massage, this indicates a deficiency syndrome. It is suitable to add 3 qian of Renshen to Bianhua Tang.
If, within seven days postpartum, cold pathogens or cold foods cause blood clot condensation and pain, add Rougui (Cinnamon Bark) 5-6 fen to Bianhua Tang. If condensation occurs more than half a month or a month later, administer Six-Ingredient Pill for Eliminating Stagnation (Sixiao Wan) with a tonic soup.
For postpartum syncope, pulse depletion, physical collapse, cold mouth, and other critical conditions, only Renshen can save the situation as a temporary measure. For obese individuals with phlegm, or those who suddenly fainted due to extreme anger (stroke-like condition), add Zhuli (Bamboo Sap) and Jiangzhi (Ginger Juice) to Bianhua Tang.