由产母才儿出，无力送衣，又有经时停久，外乘冷气，则血道凝涩而衣不下。又产母胎前素弱，气血固涸
而衣停，速煎生化汤大料，连进二三钟，使血旺腹和而衣自下。兼送益
母丸一法也，次用鹿角灰二法也，后开方俱可用。
益母丸方
益母草端午后小白日收，当风处挂阴干，石臼捣为末，
蜜丸如弹子大，临服时掐散，盏盛，汤锅炖热，生化汤送下。
儿下胎衣不下，产妇未免坐守，不可睡倒，必先断脐带，用草鞋滞之。如寒月扶产妇至床倚入坐，被盖火
笼，被中热衣暖腹，胞下后防虚，必须速服生化汤二盏，不可厌药频，自有妙处。
济坤丹下胎衣极妙，不可多服。至二三丸一丸为度。丹溪《纂要》下胎衣用朴硝神效，虚弱人反有害，
夫产儿后腹内空虚，非虚弱而何？必非先生所定之方，乃门下人附增耳。济坤丹列后，如圣膏方，用蓖麻子
（二两） 雄黄（二钱，二味研成膏，涂母足心，胎衣即下）。
加参生化汤方
治产后诸危急症通用，一日一夜须连服三四帖。若照常服，一日一帖，岂能接将绝之气，救危急之症哉！
川芎四钱，当归八钱，干姜四分（炒黑），甘草五分（炙），桃仁（制十粒，去皮），人参二钱。
虚脱厥去汗多，加参三四钱，枣汤煎服。加减法∶脉与形俱脱将绝，必服此方，频灌救加参四五钱于生化
汤内。分娩后手足厥冷发汗，服生化汤加参三四钱，兼汗亦止加参麦冬一钱，左右脉脱亦加参。
产后汗多加参三四钱，汗多渴甚加参并麦冬三钱。汗多痰喘加竹沥、姜汁、杏仁十粒。汗多喘嗽声重加
桔梗、杏仁五分。无汗喘嗽气短加半夏一钱多、杏仁十粒、桔梗五分。汗多身热气短加参。汗不止，三四
剂后加黄 一钱。凡产三日内块痛未除，人参当缓用，遇危急加参可救。如病势有生意，又当减参，止服生化汤原方。
加味生化汤方
治产后气短似喘非喘，气不相接续也。有兼热，有兼痰，有兼一二症而气短促危急之症也。当大补血气
为主，虽兼风寒之邪，而有头痛发热恶寒之症，唯当重产，且生化汤有姜、芎，再佐以表剂极稳当， 门伤
寒者慎勿发散。丹溪云∶产后切不可发表。
川芎（一钱） 当归（二钱五分） 炙甘草（五分） 干姜（四分） 桃仁（十粒） 人参（二钱） 枣仁（一钱）
又加参生化汤方 治产后汗出气短
人参（三钱） 桃仁（十粒） 麻黄根（一钱） 枣仁（一钱，炒） 浮麦（一撮）
渴加麦冬一钱，五味子十粒；嗽加杏仁十粒，桔梗五分；痰加竹沥一酒盏，姜汁半匙；汗多加黄 一钱。
又加味生化汤方 治产后气短，痰嗽声重，汗出。
川芎（一钱） 当归（三钱） 炙甘草（四分） 杏仁（十粒，去皮
尖） 枣仁（一钱，炒） 桔梗（四分） 人参（二钱） 半夏（八分）
痰多加黄 一钱，前症汗多加黄 并参，如块痛不除暂停，参 以定块。
产后汗多微喘气短，出言懒倦之甚，是气虚血脱，速服前药，外须时用醋炭以防晕。
加味补中益气汤方
此方须服生化汤原方三帖，后才可用补中益气汤。如块痛服之不止。
人参（二钱） 当归（三钱） 炙甘草（五分） 川芎（一钱） 陈皮（三分） 黄 （八分） 山
药（一钱） 麦冬（一钱）
渴加五味子十粒；血块作痛加桃仁十粒；小便不通加茯苓八分。切不可用猪苓、
泽泻、木通致亡津液。只可用茯苓。
产后头痛发热，气急发喘，有汗或喘甚者，是血气暴
竭，或坐褥久劳所致，当急煎生化万安汤，渐加人参治之。勿视为气实发喘，误投降气顺气等药。
又加味生化汤方 治产后头痛发热，气急喘汗。
川芎（二钱） 当归（三钱） 人参（三四钱） 炙甘草（五分） 陈皮（三分） 杏仁（七粒，
去皮尖） 七日内用黄 （三钱） 枣仁（一钱） 麦冬（一钱）
夫产后喘汗危症也。人多疑参助喘而不敢用，致不救者多矣。今加芎归汤内万全无失，有等不知用参，
俗医阻误病家，即有少用参，多加陈皮、枳壳监制之，皮从耗散切不可信。宁用独参汤万全无失，产后气血
虚极，产毕即有汗，必先服胎前预制生化汤两三帖，服完块消痛止，然后服调卫止汗汤。
调卫止汗汤方
内麻黄根不可误。用麻黄根善发汁，产后最忌发汗。
黄 （一钱） 当归（二钱） 麻黄根（一钱） 炙甘草（五分） 防风（三钱） 人参（一钱五分） 虚
甚（二三钱） 桂枝（四分） 七日外减桂枝 枣（一枚）
汗多而渴，回液生脉。加麦冬一钱，五味子十粒；汗多
小便不利，津液不足勿用利水药。有痰勿用半夏、生姜，只可用橘红四分。
产后气血暴竭虚汗 然，形色俱脱乃危急症也。难拘
常法，先定痛块，从权用调卫止汗汤二三帖，以救危急。待产妇稍有精神，又减参 以除块痛。
调卫从权参 方
黄 （一钱五分） 人参（三四钱） 麻黄根（一钱五分） 当归（一钱） 炙甘草（五分） 防
风（二分） 桂枝（五分）
汗少去之，加桂加参；块亦不痛，枣三枚，水煎服。禁用半夏、生姜汁，加麦冬、五味子。
寒热往来，勿用柴胡等。头痛发热，勿用麻黄、芩、连、柏。产后汗多，当作亡阴论，阴亡则阳
亦随而亡矣。岂不危哉！急服前方，自然安矣。
产后气短自喘，血气犹未竭。补剂可少缓，必先服生化汤一二帖，以行块定痛，然后加参。其产
劳甚，及血大崩，形色又脱而喘急，诚危急之症也。难论块痛，急于生化汤内就
加参三四钱以救危急，当于一时内连进两帖，迟则难以接续，如一日一帖，死亡立至矣。
加味生化补中益气汤方
川芎（一钱） 当归（三钱） 干姜（四分） 炙甘草（五分） 人参（三
钱） 桃仁（十二枚） 茯苓（一钱）
汗多不可用茯苓，加黄 一钱。渴加麦冬一钱，五味子十粒。若日久食少，闻药气即呕，及误用寒冷
等物，呕不纳谷，并用独参三四钱，生姜二片，和米一撮，水煎服。锅焦粉煎亦可。汗出气短
气喘，虚甚无疑，不受补者难治。
产后汗出，多项强口噤，牙紧筋搐，类伤寒病症，慎勿作伤寒治之。《难经》云∶汗多亡阴，阴亡
则阳随而亡，故曰∶汗多亡阳，产后血脱多汗，亡阴阳之危症也。用加味生化汤治产后汗多。
筋搐方
川芎（六分） 当归（三钱） 人参（二钱） 黄 （一钱） 麻黄根（一钱） 天麻（一钱）
甘草（四分） 防风（三分） 枣仁（一钱） 荆芥（四分） 枣（三枚）
水煎服。痰加竹沥大半酒盏，姜汁半茶匙。虚甚加人参三四钱，渴加麦冬一钱，五味子十粒。脉脱，精
神脱，加人参三四钱，附子四分。大便不通，加麻仁二钱（炒），忌姜、葱、煎炒生冷。
身热勿多用风药，并勿用芩、连、栀、柏。小便不通，因汗多亡津液，勿多用茯苓、猪苓、泽泻、木
通利水药。勿用小续命汤，愈风汤，半夏、南星不可多用，勿用邪术符水发尺。
产后血崩，气脱昏乱将绝，或晕厥，牙关紧，速煎返魂汤灌之。如气欲绝，灌药不下，即将鹅毛
插喉，用酒盏盛三四分灌之。如灌下药，腹渐温暖，不拘帖数可活，又用热手从单衣上，
由心操至腹，又常换热衣暖腹。
清神返魂汤方 治产后晕厥危症。
川芎（二钱） 当归（四钱） 炙甘草（五分） 人参（一钱） 荆芥（四分） 干姜（四分） 桃
仁（十粒，去皮尖） 肉桂（五分） 枣（一枚）
水煎服。
汗多再加人参二钱，黄 一钱。两手脉伏，右手脉绝，加麦冬一钱，五味子十粒。
如灌药得苏，其血块痛仍未除，减参 ，仍服生化汤以除块定痛，块痛止后加参 。渴加麦冬一钱，久不
食，胃气虚，闻药即吐，可用独参一二钱，水一钟，煎四分，用锅焦末渐引开胃。有痰加竹沥七分，酒半盏，
姜汁一匙。泻加茯苓。血块止减桃仁、肉桂。此危症一日须服二三帖，可保终吉，产妇不厌药频。
产后日久，血崩不止，或崩如鸡蛋大，或去血片。宜大补脾胃，升举气血，少加心火之剂。宜用升举大
补汤。治产后血崩，并老壮妇人崩淋。
白术（三钱） 人参（二钱） 当归（二钱五分） 顶熟地（二钱） 黄 （一钱） 炙甘草（五分） 升
麻（四分） 荆芥（四分） 白芷（四分） 陈皮（四分） 炒黄连（四分） 防风（三分） 黄
柏（炒褐色，四分） 羌活（四分）
口燥加麦冬一钱，五味子十粒。泄泻去黄柏，加泽泻五
分，莲子十粒。有痰加半夏一钱。白带多加半夏、苍术一钱。
泄泻参苓莲子饮方 治产后脾泄不止，并治年久不止脾泻。
人参（二钱） 白术（二钱） 白芍（八分） 当归（一钱五分） 白茯苓（一钱） 炙甘草（四分） 升
麻（三分） 陈皮（三分） 山药（一钱） 莲子（十二粒，去心） 姜（二片）
水二钟煎服。就取药内莲子送药。大忌房劳火动。年久脾泄，须服百余帖。甚者腹痛，加干姜（炙黑）
五分，虚甚加人参三四钱。但此二方有热，切忌栀、柏、芩、连。
产后泻方
产后脾胃虚，产毕即泻，必先服胎前预制生化汤一煎，后即加茯苓一钱五分，桃仁十粒，肉果一个（面裹
煨去面，去油），诃子皮一钱，莲子十粒，生姜煎，服后不止，加人
参一二钱。小便不通，因泻亡津液，慎毋利水。如渴加门冬一钱，五味子十粒。
参苓生化汤方
治胎前久泻，产后不止，产妇虚脱，从权服此方以扶其虚。如痛块不止，减参、肉果以除其痛。
川芎（一钱） 当归（二钱） 干姜（五分） 甘草（五分） 茯苓（一钱五分） 山药（一钱） 肉果（
一个，麦裹煨） 诃子皮（一钱） 莲子（七粒） 人参（二钱） 糯米（一大撮）
虚甚加人参三四钱。产后七日外，血块尚痛，亦服此方，血块不痛，加白术二钱，陈皮三分。泻兼热勿
用芩、连、栀、柏，有痰勿用半夏、生姜。泻渴用参麦散，以回津液。
【背景信息】
书名：宁坤秘笈 章节：胎衣不下 / 调护法 类别：综合
【原文翻译】
由于产妇在胎儿娩出后，无力排出胎盘，加之时间停留过久，外界寒气侵袭，导致血脉凝滞涩阻，从而胎盘不下。另外，若产妇产前体质素来虚弱，气血枯竭，胎盘停滞不下，应立即煎煮大剂量的生化汤（产后基础方剂），连续服用二三碗，使血液旺盛、腹部调和，胎盘自然脱落。此外还有服用益母丸的方法，以及使用鹿角灰的方法，后续列出的方剂均可选用。
益母丸方
选取端午节后小白日采集的益母草，挂在通风处阴干，用石臼捣碎成粉末，用蜂蜜制成如弹子大小的丸药。服用时捏碎，放在盏中，置于蒸锅上炖热，用生化汤送服。
胎儿娩出后胎盘不下，产妇难免坐着等待，不可躺下睡觉，必须先剪断脐带，并用草鞋按压止血。如在寒冷季节，扶产妇到床边倚坐，盖上被子，使用火笼取暖，被中衣物暖腹，胎盘脱下后要预防虚脱，必须迅速服用两盏生化汤，不要嫌弃服药频繁，自有妙效。济坤丹下胎盘效果极佳，但不可多服，以二三丸为一丸为限。朱丹溪《纂要》记载下胎盘用朴硝神效，但对于虚弱之人反而有害。分娩后腹内空虚，难道不是虚弱吗？这必定不是先生所定的方子，而是门人附增的内容。济坤丹列在后面，如圣膏方，使用蓖麻子（二两）和雄黄（二钱），将这两味药研成膏，涂于母亲足心，胎盘即可落下。
加参生化汤方
治疗产后各种危急病症通用，一日一夜须连续服用三四帖。如果照常服用，一日一帖，怎么能接续将绝之气，挽救危急之症呢！
川芎四钱，当归八钱，干姜四分（炒黑），甘草五分（炙），桃仁（制十粒，去皮），人参二钱。
若出现虚脱、四肢厥冷、汗多，加人参三四钱，用枣汤煎服。加减法：脉象与形体俱脱、气息将绝者，必服此方，频频灌救，可在生化汤内加人参四五钱。分娩后手足厥冷、发汗，服用生化汤加人参三四钱，兼有出汗也可止；加麦冬一钱，左右脉脱也加人参。
产后汗多加人参三四钱，汗多且口渴甚，加人参并麦冬三钱。汗多痰喘，加竹沥、姜汁、杏仁十粒。汗多喘嗽声重，加桔梗、杏仁五分。无汗喘嗽气短，加半夏一钱多、杏仁十粒、桔梗五分。汗多身热气短，加人参。汗不止，三四剂后加黄芪一钱。凡产后三日内瘀块疼痛未除，人参应当缓用，遇到危急情况加人参可救命。如果病势有生机，又当减少人参，只服用生化汤原方。
加味生化汤方
治疗产后气短似喘非喘，气息不相接续。有的兼有热邪，有的兼有痰湿，有的兼有一两个症状而气短促危急。应当以大补气血为主，虽然兼有风寒之邪，而有头痛发热恶寒的症状，唯独应当重视产后调理，况且生化汤中有干姜、川芎，再佐以解表药剂极稳当，患伤寒者慎用发散药物。朱丹溪说：产后切不可发表（发汗解表）。
川芎（一钱） 当归（二钱五分） 炙甘草（五分） 干姜（四分） 桃仁（十粒） 人参（二钱） 枣仁（一钱）
又加参生化汤方 治疗产后汗出气短
人参（三钱） 桃仁（十粒） 麻黄根（一钱） 枣仁（一钱，炒） 浮小麦（一撮）
口渴加麦冬一钱，五味子十粒；咳嗽加杏仁十粒，桔梗五分；痰多加竹沥一酒盏，姜汁半匙；汗多加黄芪一钱。
又加味生化汤方 治疗产后气短，痰嗽声重，汗出。
川芎（一钱） 当归（三钱） 炙甘草（四分） 杏仁（十粒，去皮尖） 枣仁（一钱，炒） 桔梗（四分） 人参（二钱） 半夏（八分）
痰多加黄芪一钱，前症汗多加黄芪并人参，如果瘀块疼痛不除暂停，用人参黄芪以定瘀块。
产后汗多微喘气短，说话懒倦之极，这是气虚血脱，速服前方，外部须不时用醋炭以防晕厥。
加味补中益气汤方
此方须先服用生化汤原方三帖，之后才可用补中益气汤。如果瘀块疼痛服用此方不止。
人参（二钱） 当归（三钱） 炙甘草（五分） 川芎（一钱） 陈皮（三分） 黄芪（八分） 山药（一钱） 麦冬（一钱）
口渴加五味子十粒；血块作痛加桃仁十粒；小便不通加茯苓八分。切不可用猪苓、泽泻、木通导致津液亡失。只可用茯苓。
产后头痛发热，气急发喘，有汗或喘甚者，是气血暴竭，或因坐褥久劳所致，应当急煎生化万安汤，渐加人参治疗。不要视为气实发喘，误投降气顺气等药。
又加味生化汤方 治疗产后头痛发热，气急喘汗。
川芎（二钱） 当归（三钱） 人参（三四钱） 炙甘草（五分） 陈皮（三分） 杏仁（七粒，去皮尖） 七日内用黄芪（三钱） 枣仁（一钱） 麦冬（一钱）
产后喘汗是危重症。人们多怀疑人参助喘而不敢用，导致不治者很多。现在加入芎归汤内万无一失，有等不知用人参，庸医阻误病家，即使少量用人参，多加陈皮、枳壳监制，这种耗散之法切不可信。宁可独用独参汤万无一失，产后气血虚极，产毕即有汗，必须先服用产前预制的生化汤两三帖，服完瘀块消、疼痛止，然后服用调卫止汗汤。
调卫止汗汤方
内中麻黄根不可误用。用麻黄根善于止汗，产后最忌发汗。
黄芪（一钱） 当归（二钱） 麻黄根（一钱） 炙甘草（五分） 防风（三钱） 人参（一钱五分） 虚甚（二三钱） 桂枝（四分） 七日外减桂枝 大枣（一枚）
汗多而渴，回液生脉。加麦冬一钱，五味子十粒；汗多小便不利，津液不足勿用利水药。有痰勿用半夏、生姜，只可用橘红四分。
产后气血暴竭虚汗淋漓，形色俱脱乃危急症也。难以拘泥常法，先定疼痛瘀块，从权用调卫止汗汤二三帖，以救危急。待产妇稍有精神，又减人参黄芪以除块痛。
调卫从权参芪方
黄芪（一钱五分） 人参（三四钱） 麻黄根（一钱五分） 当归（一钱） 炙甘草（五分） 防风（二分） 桂枝（五分）
汗少去之，加桂加参；瘀块亦不痛，大枣三枚，水煎服。禁用半夏、生姜汁，加麦冬、五味子。
寒热往来，勿用柴胡等。头痛发热，勿用麻黄、黄芩、黄连、黄柏。产后汗多，当作亡阴论，阴亡则阳亦随而亡矣。岂不危哉！急服前方，自然安矣。
产后气短自喘，血气犹未竭。补剂可少缓，必先服生化汤一二帖，以行瘀块定痛，然后加参。其产劳甚，及血大崩，形色又脱而喘急，诚危急之症也。难论块痛，急于生化汤内就加参三四钱以救危急，当于一时内连进两帖，迟则难以接续，如一日一帖，死亡立至矣。
加味生化补中益气汤方
川芎（一钱） 当归（三钱） 干姜（四分） 炙甘草（五分） 人参（三钱） 桃仁（十二枚） 茯苓（一钱）
汗多不可用茯苓，加黄芪一钱。渴加麦冬一钱，五味子十粒。若日久食少，闻药气即呕，及误用寒冷等物，呕不纳谷，并用独参三四钱，生姜二片，和米一撮，水煎服。锅焦粉煎亦可。汗出气短气喘，虚甚无疑，不受补者难治。
产后汗出，多项强口噤，牙紧筋搐，类伤寒病症，慎勿作伤寒治之。《难经》云：汗多亡阴，阴亡则阳随而亡，故曰：汗多亡阳，产后血脱多汗，亡阴阳之危症也。用加味生化汤治产后汗多。
筋搐方
川芎（六分） 当归（三钱） 人参（二钱） 黄芪（一钱） 麻黄根（一钱） 天麻（一钱） 甘草（四分） 防风（三分） 枣仁（一钱） 荆芥（四分） 大枣（三枚）
水煎服。痰加竹沥大半酒盏，姜汁半茶匙。虚甚加人参三四钱，渴加麦冬一钱，五味子十粒。脉脱，精神脱，加人参三四钱，附子四分。大便不通，加麻仁二钱（炒），忌姜、葱、煎炒生冷。
身热勿多用风药，并勿用黄芩、黄连、栀子、黄柏。小便不通，因汗多亡津液，勿多用茯苓、猪苓、泽泻、木通利水药。勿用小续命汤，愈风汤，半夏、南星不可多用，勿用邪术符水发尺。
产后血崩，气脱昏乱将绝，或晕厥，牙关紧，速煎返魂汤灌之。如气欲绝，灌药不下，即将鹅毛插喉，用酒盏盛三四分灌之。如灌下药，腹渐温暖，不拘帖数可活，又用热手从单衣上，由心操至腹，又常换热衣暖腹。
清神返魂汤方 治疗产后晕厥危症。
川芎（二钱） 当归（四钱） 炙甘草（五分） 人参（一钱） 荆芥（四分） 干姜（四分） 桃仁（十粒，去皮尖） 肉桂（五分） 大枣（一枚）
水煎服。
汗多再加人参二钱，黄芪一钱。两手脉伏，右手脉绝，加麦冬一钱，五味子十粒。
如灌药得苏，其血块痛仍未除，减参芪，仍服生化汤以除块定痛，块痛止后加参芪。渴加麦冬一钱，久不食，胃气虚，闻药即吐，可用独参一二钱，水一钟，煎四分，用锅焦末渐引开胃。有痰加竹沥七分，酒半盏，姜汁一匙。泻加茯苓。血块止减桃仁、肉桂。此危症一日须服二三帖，可保终吉，产妇不厌药频。
产后日久，血崩不止，或崩如鸡蛋大，或去血片。宜大补脾胃，升举气血，少加心火之剂。宜用升举大补汤。治产后血崩，并老壮妇人崩淋。
白术（三钱） 人参（二钱） 当归（二钱五分） 顶熟地（二钱） 黄芪（一钱） 炙甘草（五分） 升麻（四分） 荆芥（四分） 白芷（四分） 陈皮（四分） 炒黄连（四分） 防风（三分） 黄柏（炒褐色，四分） 羌活（四分）
口燥加麦冬一钱，五味子十粒。泄泻去黄柏，加泽泻五分，莲子十粒。有痰加半夏一钱。白带多加半夏、苍术一钱。
泄泻参苓莲子饮方 治疗产后脾泄不止，并治年久不止脾泻。
人参（二钱） 白术（二钱） 白芍（八分） 当归（一钱五分） 白茯苓（一钱） 炙甘草（四分） 升麻（三分） 陈皮（三分） 山药（一钱） 莲子（十二粒，去心） 姜（二片）
水二钟煎服。就取药内莲子送药。大忌房劳火动。年久脾泄，须服百余帖。甚者腹痛，加干姜（炙黑）五分，虚甚加人参三四钱。但此二方有热，切忌栀、柏、芩、连。
产后泻方
产后脾胃虚，产毕即泻，必先服胎前预制生化汤一煎，后即加茯苓一钱五分，桃仁十粒，肉果一个（面裹煨去面，去油），诃子皮一钱，莲子十粒，生姜煎，服后不止，加人参一二钱。小便不通，因泻亡津液，慎毋利水。如渴加门冬一钱，五味子十粒。
参苓生化汤方
治疗胎前久泻，产后不止，产妇虚脱，从权服此方以扶其虚。如痛块不止，减参、肉果以除其痛。
川芎（一钱） 当归（二钱） 干姜（五分） 甘草（五分） 茯苓（一钱五分） 山药（一钱） 肉果（一个，麦裹煨） 诃子皮（一钱） 莲子（七粒） 人参（二钱） 糯米（一大撮）
虚甚加人参三四钱。产后七日外，血块尚痛，亦服此方，血块不痛，加白术二钱，陈皮三分。泻兼热勿用芩、连、栀、柏，有痰勿用半夏、生姜。泻渴用参麦散，以回津液。
[Background Information]
Book: Ningkun Miji (Secrets of Gynecology)
Chapter: Retained Placenta / Regulation and Nursing Care
Category: Comprehensive
[English Translation]
Because the mother lacks strength to expel the placenta after the fetus is delivered, and because it remains for a long time, allowing external cold qi to invade, the blood pathways become congealed and obstructed, resulting in the retained placenta. Furthermore, if the mother was constitutionally weak before delivery, with depleted Qi and Blood causing the placenta to stagnate, one should immediately decoct a large dose of Shenghua Tang (Postpartum Recovery Decoction), administering two or three bowls continuously, so that Blood becomes abundant and the abdomen harmonizes, allowing the placenta to fall naturally. Another method is to administer Yimu Wan (Motherwort Pill), followed by the use of Lujiao Hui (Deer Horn Ash); all formulas listed subsequently can be used.
Yimu Wan Formula
Harvest Motherwort (Leonuri Herba) on the day after the Dragon Boat Festival, hang it in a ventilated place to dry in the shade, pound it into powder using a stone mortar, and make pills the size of a bullet using honey. When taking, crush the pill, place it in a cup, steam it hot in a pot, and swallow with Shenghua Tang.
When the fetus is delivered but the placenta is not, the parturient may sit waiting; she must not lie down to sleep. First, cut the umbilical cord and press it with a straw shoe. If in cold months, support the parturient to sit leaning against the bed, cover her with quilts, use a fire basket for warmth, and keep clothes warm over the abdomen. After the placenta descends, to prevent deficiency collapse, quickly administer two cups of Shenghua Tang. Do not dislike frequent medication; there will be wonderful effects. Jikun Dan (Empowerment of the Womb Pellet) is extremely effective for expelling the placenta but must not be taken in excess; limit to two or three pellets. Zhu Danxi's "Zuanyao" records that using Poxiao (Mirabilite) for expelling the placenta is miraculous, but it harms those who are weak. The abdomen is empty after delivery; is this not weakness? This must not be a formula established by the master himself, but added later by his disciples. Jikun Dan is listed below. Rusheng Gao (Sage Paste) uses Bi Ma Zi (Ricini Semen, Castor Seed, 2 liang) and Xionghuang (Realgar, 2 qian). Grind these two ingredients into a paste and apply to the sole of the mother's foot; the placenta will then descend.
Jia Shen Shenghua Tang (Shenghua Tang with Added Ginseng) Formula
This is generally used for various critical postpartum conditions. One must take three or four doses within a day and night. If taken normally, one dose per day, how can it rescue the nearly exhausted Qi and save critical conditions?
Chuanxiong Rhizome (4 qian), Dang Gui Root (8 qian), Dried Ginger (4 fen, stir-fried until black), Licorice Root (5 fen, honey-fried), Peach Kernel (10 grains, processed, peeled), Ginseng Radix (2 qian).
For deficiency collapse, cold limbs, and excessive sweating, add Ginseng Radix (3-4 qian) and decoct with Jujube Decoction. Modifications: For pulse and form both depleted with Qi about to vanish, this formula must be taken, administered frequently to rescue; add Ginseng Radix (4-5 qian) to Shenghua Tang. For cold limbs and sweating after delivery, take Shenghua Tang with Ginseng Radix (3-4 qian); excessive sweating will also stop. Add Ophiopogon Tuber (1 qian); for left/right pulse depletion, also add Ginseng Radix.
For postpartum excessive sweating, add Ginseng Radix (3-4 qian); for excessive sweating with severe thirst, add Ginseng Radix and Ophiopogon Tuber (3 qian). For excessive sweating with phlegm-wheezing, add Bamboo Sap, Ginger Juice, and Apricot Kernel (10 grains). For excessive sweating with wheezing/cough and heavy voice, add Platycodon Root (5 fen) and Apricot Kernel (5 fen). For no sweating with wheezing/cough and shortness of breath, add Pinellia Tuber (>1 qian), Apricot Kernel (10 grains), and Platycodon Root (5 fen). For excessive sweating with body heat and shortness of breath, add Ginseng Radix. For unceasing sweating, after three or four doses, add Astragalus Root (1 qian). Within three days postpartum, if mass pain persists, use Ginseng Radix cautiously; add Ginseng Radix in emergencies to save life. If the disease trend shows signs of recovery, reduce Ginseng Radix and only take the original Shenghua Tang.
Jiawei Shenghua Tang (Modified Shenghua Tang) Formula
Treats postpartum shortness of breath resembling panting but not quite panting, where Qi does not connect. Some cases have concurrent Heat, some have concurrent Phlegm, some have one or two symptoms leading to critical shortness of breath. The main treatment should be greatly tonifying Qi and Blood. Although there are concurrent Wind-Cold pathogens with symptoms of headache, fever, and aversion to cold, one must prioritize postpartum regulation. Since Shenghua Tang contains Dried Ginger and Chuanxiong, adding exterior-releasing agents is very safe. However, those with Shanghan (Cold Damage) must be cautious with dispersing methods. Zhu Danxi said: Postpartum, one must absolutely not use exterior-releasing methods.
Chuanxiong Rhizome (1 qian), Dang Gui Root (2.5 qian), Honey-fried Licorice Root (5 fen), Dried Ginger (4 fen), Peach Kernel (10 grains), Ginseng Radix (2 qian), Ziziphus Seed (1 qian).
Another Jia Shen Shenghua Tang Formula for Postpartum Sweating and Shortness of Breath
Ginseng Radix (3 qian), Peach Kernel (10 grains), Ephedra Root (1 qian), Ziziphus Seed (1 qian, stir-fried), Floating Wheat (a pinch).
For thirst, add Ophiopogon Tuber (1 qian) and Schisandra Berry (10 grains); for cough, add Apricot Kernel (10 grains) and Platycodon Root (5 fen); for Phlegm, add Bamboo Sap (one wine cup) and Ginger Juice (half spoon); for excessive sweating, add Astragalus Root (1 qian).
Another Jiawei Shenghua Tang Formula for Postpartum Shortness of Breath, Heavy Phlegm Cough, and Sweating
Chuanxiong Rhizome (1 qian), Dang Gui Root (3 qian), Honey-fried Licorice Root (4 fen), Apricot Kernel (10 grains, peeled and tip removed), Ziziphus Seed (1 qian, stir-fried), Platycodon Root (4 fen), Ginseng Radix (2 qian), Pinellia Tuber (8 fen).
For much Phlegm, add Astragalus Root (1 qian); for previous symptoms of excessive sweating, add Astragalus Root and Ginseng Radix. If mass pain persists, pause and use Ginseng Radix and Astragalus Root to settle the mass.
Postpartum excessive sweating, slight wheezing, shortness of breath, and extreme laziness in speech indicate Qi deficiency and Blood collapse. Quickly take the previous formula; externally, use Vinegar Charcoal from time to time to prevent fainting.
Jiawei Buzhong Yiqi Tang (Modified Tonify the Middle and Augment the Qi Decoction) Formula
This formula can only be used after taking three doses of the original Shenghua Tang. If mass pain continues despite taking this...
Ginseng Radix (2 qian), Dang Gui Root (3 qian), Honey-fried Licorice Root (5 fen), Chuanxiong Rhizome (1 qian), Tangerine Peel (3 fen), Astragalus Root (8 fen), Chinese Yam (1 qian), Ophiopogon Tuber (1 qian).
For thirst, add Schisandra Berry (10 grains); for blood mass pain, add Peach Kernel (10 grains); for urinary obstruction, add Poria (8 fen). Absolutely do not use Polyporus, Alisma, or Akebia to cause loss of Body Fluids. Only Poria may be used.
Postpartum headache, fever,急促 breathing/panting, with sweating or severe panting, indicates sudden exhaustion of Qi and Blood, or caused by prolonged labor in the lying-in period. One must urgently decoct Shenghua Wannan Tang (Shenghua Ten-Thousand-Safe Decoction) and gradually add Ginseng Radix for treatment. Do not mistake it for excess Qi panting and mistakenly use descending or smoothing Qi medicines.
Another Jiawei Shenghua Tang Formula for Postpartum Headache, Fever,急促 Breathing, Panting, and Sweating
Chuanxiong Rhizome (2 qian), Dang Gui Root (3 qian), Ginseng Radix (3-4 qian), Honey-fried Licorice Root (5 fen), Tangerine Peel (3 fen), Apricot Kernel (7 grains, peeled and tip removed). Within seven days, use Astragalus Root (3 qian), Ziziphus Seed (1 qian), Ophiopogon Tuber (1 qian).
Panting and sweating postpartum are critical conditions. Many suspect Ginseng Radix promotes panting and dare not use it, leading to many untreatable cases. Now, added to the Xionggui Decoction, it is foolproof. Some ignorant people do not use Ginseng Radix; quack doctors hinder and mislead patients. Even if small amounts of Ginseng Radix are used, adding Tangerine Peel and Aurantium Fruit to control them causes dispersion; this must not be trusted. It is better to use Dushen Tang (Single Ginseng Decoction) which is foolproof. Postpartum Qi and Blood are extremely deficient; sweating occurs immediately after delivery. One must first take two or three doses of pre-prepared Shenghua Tang from before pregnancy. After finishing, when masses disappear and pain stops, then take Tingwei Zhihan Tang (Regulate Defense and Stop Sweat Decoction).
Tingwei Zhihan Tang Formula
Ephedra Root (Mahuang Gen) inside must not be mistaken. Using Mahuang Gen is good for stopping sweat; postpartum, inducing sweat is strictly forbidden.
Astragalus Root (1 qian), Dang Gui Root (2 qian), Ephedra Root (1 qian), Honey-fried Licorice Root (5 fen), Saposhnikovia Root (3 qian), Ginseng Radix (1.5 qian), for severe deficiency (2-3 qian), Cinnamon Twig (4 fen). After seven days, reduce Cinnamon Twig. Jujube (1 piece).
For excessive sweating with thirst, restore fluids and generate pulse. Add Ophiopogon Tuber (1 qian), Schisandra Berry (10 grains); for excessive sweating with difficult urination, due to insufficient Body Fluids, do not use diuretics. For Phlegm, do not use Pinellia Tuber or Fresh Ginger; only use Exocarpium Citri Reticulatae (4 fen).
Postpartum sudden exhaustion of Qi and Blood with profuse sweating, where complexion and form are depleted, is a critical condition. One cannot stick to routine methods. First, settle the painful mass, and pragmatically use Tingwei Zhihan Tang for two or three doses to save the crisis. Wait until the parturient has some spirit, then reduce Ginseng Radix and Astragalus Root to remove mass pain.
Tingwei Congquan Shenqi Formula (Pragmatic Ginseng-Astragalus Formula for Regulating Defense)
Astragalus Root (1.5 qian), Ginseng Radix (3-4 qian), Ephedra Root (1.5 qian), Dang Gui Root (1 qian), Honey-fried Licorice Root (5 fen), Saposhnikovia Root (2 fen), Cinnamon Twig (5 fen).
If sweating is little, remove [previous herbs], add Cinnamon and Ginseng; if mass is also not painful, use three Jujubes, decoct in water and take. Strictly forbid Pinellia Tuber and Ginger Juice; add Ophiopogon Tuber and Schisandra Berry.
For alternating chills and fever, do not use Bupleurum etc. For headache and fever, do not use Ephedra, Scutellaria, Coptis, or Phellodendron. Postpartum excessive sweating should be discussed as loss of Yin; if Yin is lost, Yang follows and is lost. Is this not dangerous! Urgently take the previous formula, and naturally peace will return.
Postpartum shortness of breath and spontaneous panting indicate Qi and Blood are not yet exhausted. Tonics can be slightly delayed; one must first take one or two doses of Shenghua Tang to move masses and settle pain, then add Ginseng Radix. If labor was severe, and there is massive bleeding, with depletion of form and color and急促 panting, this is indeed a critical condition. It is difficult to discuss mass pain; urgently add Ginseng Radix (3-4 qian) to Shenghua Tang to save the crisis. Take two doses continuously within a short time; delaying makes it hard to continue. If one dose per day, death will arrive immediately.
Jiawei Shenghua Buzhong Yiqi Tang (Modified Shenghua Tonify Middle and Augment Qi Decoction) Formula
Chuanxiong Rhizome (1 qian), Dang Gui Root (3 qian), Dried Ginger (4 fen), Honey-fried Licorice Root (5 fen), Ginseng Radix (3 qian), Peach Kernel (12 pieces), Poria (1 qian).
Do not use Poria for excessive sweating; add Astragalus Root (1 qian). For thirst, add Ophiopogon Tuber (1 qian), Schisandra Berry (10 grains). If for a long time eating little, vomiting upon smelling medicine, and mistakenly using cold substances, vomiting without accepting food, use Dushen Tang (Ginseng Radix 3-4 qian), Ginger (2 slices), and a pinch of rice, decoct in water. Decocting with scorched rice powder is also acceptable. Sweating, shortness of breath, and panting indicate severe deficiency without doubt; those who cannot accept tonification are difficult to treat.
Postpartum sweating, with stiff neck, clenched jaw, tight teeth, and muscle spasms, resembles Shanghan symptoms; strictly do not treat as Shanghan. The Nan Jing says: Excessive sweating leads to loss of Yin; if Yin is lost, Yang follows and is lost. Thus it is said: Excessive sweating leads to loss of Yang. Postpartum blood loss with excessive sweating is a critical condition of losing both Yin and Yang. Use Jiawei Shenghua Tang to treat postpartum excessive sweating.
Jinchu Fang (Formula for Muscle Spasms)
Chuanxiong Rhizome (6 fen), Dang Gui Root (3 qian), Ginseng Radix (2 qian), Astragalus Root (1 qian), Ephedra Root (1 qian), Gastrodia Tuber (1 qian), Licorice Root (4 fen), Saposhnikovia Root (3 fen), Ziziphus Seed (1 qian), Schizonepeta Spike (4 fen), Jujube (3 pieces).
Decoct in water and take. For Phlegm, add Bamboo Sap (most of a wine cup) and Ginger Juice (half tea spoon). For severe deficiency, add Ginseng Radix (3-4 qian); for thirst, add Ophiopogon Tuber (1 qian), Schisandra Berry (10 grains). For pulse depletion and spirit depletion, add Ginseng Radix (3-4 qian), Aconite Root (4 fen). For constipation, add Hemp Seed (2 qian, stir-fried); forbid Ginger, Scallion, fried, and raw/cold foods.
For body heat, do not use many wind-dispersing drugs, nor Scutellaria, Coptis, Gardenia, or Phellodendron. For urinary obstruction due to loss of Body Fluids from excessive sweating, do not use many diuretics like Poria, Polyporus, Alisma, or Akebia. Do not use Xiao Xuming Tang, Yufeng Tang; do not use much Pinellia Tuber or Arisaema Rhizoma; do not use evil arts or talismanic waters.
Postpartum metrorrhagia, Qi collapse with confusion about to vanish, or syncope, tight jaw, quickly decoct Fanhun Tang (Reviving Soul Decoction) and administer. If Qi is about to vanish and medicine cannot be swallowed, insert goose feather into the throat, hold three or four fen in a wine cup, and administer. If medicine enters and abdomen gradually warms, survival is possible regardless of the number of doses. Also, use warm hands to rub from the heart down to the abdomen through single clothing, and frequently change clothes to warm the abdomen.
Qingshen Fanhun Tang (Clear Spirit Reviving Soul Decoction) Formula for Critical Postpartum Syncope
Chuanxiong Rhizome (2 qian), Dang Gui Root (4 qian), Honey-fried Licorice Root (5 fen), Ginseng Radix (1 qian), Schizonepeta Spike (4 fen), Dried Ginger (4 fen), Peach Kernel (10 grains, peeled and tip removed), Cinnamon Bark (5 fen), Jujube (1 piece).
Decoct in water and take.
For excessive sweating, add Ginseng Radix (2 qian), Astragalus Root (1 qian). For hidden pulse in both hands, absent pulse in right hand, add Ophiopogon Tuber (1 qian), Schisandra Berry (10 grains).
If revived after administration, but blood mass pain still remains, reduce Ginseng Radix and Astragalus Root, still take Shenghua Tang to remove mass and settle pain. After mass pain stops, add Ginseng Radix and Astragalus Root. For thirst, add Ophiopogon Tuber (1 qian); for long-term non-eating, stomach Qi deficiency, vomiting upon smelling medicine, use Dushen Tang (1-2 qian), one cup of water, decoct to 40%, use scorched rice powder to gradually open the stomach. For Phlegm, add Bamboo Sap (7 fen), half cup of wine, one spoon of Ginger Juice. For diarrhea, add Poria. When blood stops, reduce Peach Kernel and Cinnamon Bark. This critical condition requires two or three doses per day to ensure ultimate safety; the parturient should not dislike frequent medication.
Long-standing postpartum, continuous metrorrhagia, or bleeding like egg-sized clots, or shedding blood sheets. One should greatly tonify Spleen and Stomach, raise and lift Qi and Blood, and slightly add herbs for Heart Fire. Use Shengju Dabu Tang (Raising and Great Tonification Decoction). Treats postpartum metrorrhagia, and metrorrhagia/menorrhagia in older or robust women.
Atractylodes Macrocephala Rhizome (3 qian), Ginseng Radix (2 qian), Dang Gui Root (2.5 qian), Top Prepared Rehmannia Root (2 qian), Astragalus Root (1 qian), Honey-fried Licorice Root (5 fen), Cimicifuga Rhizome (4 fen), Schizonepeta Spike (4 fen), Angelica Dahurica Root (4 fen), Tangerine Peel (4 fen), Stir-fried Coptis Rhizome (4 fen), Saposhnikovia Root (3 fen), Phellodendron Bark (stir-fried brown, 4 fen), Notopterygium Rhizome (4 fen).
For dry mouth, add Ophiopogon Tuber (1 qian), Schisandra Berry (10 grains). For diarrhea, remove Phellodendron Bark, add Alisma (5 fen), Lotus Seed (10 grains). For Phlegm, add Pinellia Tuber (1 qian). For excessive leukorrhea, add Pinellia Tuber and Atractylodes Lancea Rhizome (1 qian).
Shenling Lianzi Yin (Ginseng-Poria-Lotus Seed Drink) for Diarrhea
Treats persistent postpartum Spleen diarrhea, and chronic Spleen diarrhea lasting years.
Ginseng Radix (2 qian), Atractylodes Macrocephala Rhizome (2 qian), White Peony Root (8 fen), Dang Gui Root (1.5 qian), White Poria (1 qian), Honey-fried Licorice Root (4 fen), Cimicifuga Rhizome (3 fen), Tangerine Peel (3 fen), Chinese Yam (1 qian), Lotus Seed (12 grains, heart removed), Ginger (2 slices).
Decoct in two cups of water. Take the Lotus Seeds from the medicine to swallow the medicine. Strictly forbid sexual exertion and fire agitation. For chronic Spleen diarrhea, must take over a hundred doses. For severe abdominal pain, add Dried Ginger (stir-fried black, 5 fen); for severe deficiency, add Ginseng Radix (3-4 qian). But these two formulas have Heat; strictly forbid Gardenia, Phellodendron, Scutellaria, and Coptis.
Postpartum Diarrhea Formula
Postpartum Spleen and Stomach deficiency, diarrhea immediately after delivery. Must first take one decoction of pre-prepared Shenghua Tang from before pregnancy, then add Poria (1.5 qian), Peach Kernel (10 grains), Myristica Seed (one, wrapped in flour, baked, remove flour and oil), Terminalia Chebula Fruit Skin (1 qian), Lotus Seed (10 grains), decoct with Ginger. If not stopped after taking, add Ginseng Radix (1-2 qian). For urinary obstruction due to loss of Body Fluids from diarrhea, strictly do not use diuretics. For thirst, add Ophiopogon Tuber (1 qian), Schisandra Berry (10 grains).
Shenling Shenghua Tang (Ginseng-Poria Shenghua Decoction) Formula
Treats long-term diarrhea before pregnancy, continuing after delivery, parturient deficiency collapse. Pragmatically take this formula to support deficiency. If painful masses persist, reduce Ginseng Radix and Myristica Seed to remove pain.
Chuanxiong Rhizome (1 qian), Dang Gui Root (2 qian), Dried Ginger (5 fen), Licorice Root (5 fen), Poria (1.5 qian), Chinese Yam (1 qian), Myristica Seed (one, wrapped in wheat bran, baked), Terminalia Chebula Fruit Skin (1 qian), Lotus Seed (7 grains), Ginseng Radix (2 qian), Glutinous Rice (a large pinch).
For severe deficiency, add Ginseng Radix (3-4 qian). After seven days postpartum, if blood masses still hurt, also take this formula; if blood masses do not hurt, add Atractylodes Macrocephala Rhizome (2 qian), Tangerine Peel (3 fen). For diarrhea with Heat, do not use Scutellaria, Coptis, Gardenia, or Phellodendron; for Phlegm, do not use Pinellia Tuber or Ginger. For diarrhea with thirst, use Shenmai San (Ginseng-Ophiopogon Powder) to restore Body Fluids.