（附论）
夫产后两胁胀满者。由膀胱宿有停水。因产恶露下不尽。水血壅痞与气相搏在膀胱。故
令胁肋胀满。气与血水相击。故令痛也。
方
陈橘皮散 治产后两胁胀满。心腹壅闷。不思饮食。
陈橘皮（三分汤浸去皮白瓤焙干） 赤茯苓 枳实（麸炒微黄） 前胡（去芦头） 白
术浓朴（
（各半两） 甘草（一分炙微赤锉碎） 上捣粗罗为散。每服三钱。以水一中盏。入生姜
半分。枣三枚。煎
浓朴丸 治产后两胁下及心腹胀满。宿有冷气攻注膀胱。致使胀痛。
浓朴（去粗皮涂生姜汁炙令香熟） 京三棱（微炒） 木香（各一两） 赤茯苓 干姜
（炮裂锉） 赤芍药 当归（锉微炒） 陈橘皮（汤浸去白瓤焙干） 吴茱萸（汤浸七次焙
干微炒） 白术（各
面糊和丸如梧桐子大。
木香丸 治产后两胁胀满。小腹疼痛。
木香 当归（锉微炒） 白术 芎 （各一两） 白芷 干姜（炮裂锉） 槟榔 芫花
（醋拌炒
浸去皮尖双仁炒令
二十丸。
当归散 治产后血气攻胁肋胀满。疼痛。
当归（锉微炒） 赤芍药 桔梗（去芦头） 干漆（捣碎炒令烟出） 牛膝（去苗） 白
术桂心
桔梗散 治产后两胁胀满。小腹疼痛。不思饮食。
桔梗（去芦头） 当归（锉微炒） 芎 （各半两） 大腹皮（三分） 桂心 陈橘皮
（汤浸去白
水一盏煎。入生
当归汤 疗产后血气。胁肋胀满疼。
当归（十分） 芍药 桔梗 槟榔 枳壳（各八分） 桂心 青木香 柴胡（各六分） 上
咀。以水二升。煎取八合去滓。空心分温二服。
干地黄汤 治产后两胁满痛兼百病。
干地黄 芍药（各三两） 当归 蒲黄（各一两） 生姜（三两） 桂心（六两） 甘
草（一两） 大
枳实散 治产后两胁胀满。气壅烦闷。
枳实（麸炒微黄） 木香 当归（锉微炒） 牡丹（各三分） 桂心 白术 益母草（各
半两） 槟
每于食前温服
白豆蔻散 治产后脏腑气虚。两胁胀满。不思饮食。四肢无力。
白豆蔻（去皮） 人参（去芦头） 桂心（各半两） 半夏（汤浸七次去滑半两） 白
术陈橘皮（
捣粗罗。每服
浓朴散 治产后两胁胀满。胸腹妨闷。不下饮食。
浓朴（一两去粗皮涂生姜汁炙令香熟） 赤茯苓 人参（去芦头） 当归（锉微炒） 诃
黎勒皮
以水一中盏。
白圣散 治产后腹大坚满。喘不能卧。
樟柳根（三两） 大戟（一两半） 甘遂（一两半） 上为细末。每服二三钱。热汤调
下。取大便
桂心散
桂心 当归（锉微炒各一两） 干姜（炮裂锉） 芫花（醋拌炒令干） 木香（各半两）
上捣细
治产后妇腹胀肿不可忍。
用黍粘根煮为饮。一服即愈。
治产后膨胀。气不通转。
用麦 为末。酒调二三钱。服之渐通。
巨胜汤 治产后腹胀满闷。呕吐不定者何。答曰。败血散于脾胃。脾受之。不能
运化精微而成腹胀。胃受之。则不得受纳水谷而生吐逆。医者不识。误以寻常治胀止
吐药疗之。病与
赤芍药 半夏（汤洗切碎） 泽兰叶 人参（去芦头） 陈皮（去白各一钱） 甘草（炙
一钱） 生
治产后乱吃物早。非时腹胀胁满。饮食不快。
当归 鳖甲（以醋少许化 砂少许用炙黄色各一两） 桔梗 细辛 桂心 浓朴 羌活
木香
末。每服三钱
治产后虽甚通利。但心腹满闷。胁胀。咳嗽。不食。大便不通。眼涩。行坐心腹
时痛。\x
白术 当归 桑白皮 大黄（各一两） 细辛 桂心（各二两） 生姜（四两） 上
咀。以水
（附论）
产后出现两胁胀满的症状，是因为膀胱内原本就有停聚的水饮。由于分娩后恶露排出不尽，水湿与瘀血壅滞痞塞，并与气机相互搏结于膀胱部位，从而导致胁肋部胀满。气、血、水三者相互冲击，因此产生疼痛。
方剂：
陈橘皮散：治疗产后两胁胀满，心腹部壅闷不适，不想进食。
配方：陈橘皮（三分，用汤浸泡后去皮及白色内瓤，焙干）、赤茯苓、枳实（麸炒至微黄）、前胡（去芦头）、白术、浓朴（各半两）、甘草（一分，炙至微红并锉碎）。以上药物捣碎过粗筛制成散剂。每次服用三钱，加水一中盏，放入生姜半分、大枣三枚，煎煮至药液浓缩。
浓朴丸：治疗产后两胁下及心腹胀满，素有冷气攻注膀胱，导致胀痛。
配方：浓朴（去粗皮，涂生姜汁炙至香熟）、京三棱（微炒）、木香（各一两）、赤茯苓、干姜（炮裂后锉碎）、赤芍药、当归（锉碎后微炒）、陈橘皮（汤浸去白瓤焙干）、吴茱萸（汤浸七次焙干微炒）、白术（各...[原文此处缺失具体剂量]）。以面糊和丸，如梧桐子大小。
木香丸：治疗产后两胁胀满，小腹疼痛。
配方：木香、当归（锉碎后微炒）、白术、芎䓖（各一两）、白芷、干姜（炮裂锉碎）、槟榔、芫花（醋拌炒...[原文此处有缺漏]）、浸去皮尖双仁炒令...[原文此处有缺漏]。每次服用二十丸。
当归散：治疗产后血气攻冲胁肋，导致胀满、疼痛。
配方：当归（锉碎后微炒）、赤芍药、桔梗（去芦头）、干漆（捣碎炒至烟出）、牛膝（去苗）、白术、桂心...[原文此处有缺漏]。
桔梗散：治疗产后两胁胀满，小腹疼痛，不想进食。
配方：桔梗（去芦头）、当归（锉碎后微炒）、芎䓖（各半两）、大腹皮（三分）、桂心、陈橘皮（汤浸去白...[原文此处有缺漏]）。用水一盏煎煮，加入生...[原文此处有缺漏]。
当归汤：治疗产后血气问题，胁肋胀满疼痛。
配方：当归（十分）、芍药、桔梗、槟榔、枳壳（各八分）、桂心、青木香、柴胡（各六分）。以上药物切碎，加水二升，煎取八合，去渣。空腹时分两次温服。
干地黄汤：治疗产后两胁满痛兼治多种疾病。
配方：干地黄、芍药（各三两）、当归、蒲黄（各一两）、生姜（三两）、桂心（六两）、甘草（一两）、大...[原文此处有缺漏]。
枳实散：治疗产后两胁胀满，气机壅滞烦闷。
配方：枳实（麸炒微黄）、木香、当归（锉碎后微炒）、牡丹（各三分）、桂心、白术、益母草（各半两）、槟...[原文此处有缺漏]。每于食前温服。
白豆蔻散：治疗产后脏腑气虚，两胁胀满，不想进食，四肢无力。
配方：白豆蔻（去皮）、人参（去芦头）、桂心（各半两）、半夏（汤浸七次去滑，半两）、白术、陈橘皮（...[原文此处有缺漏]）。捣碎过粗筛。每次服用...[原文此处有缺漏]。
浓朴散：治疗产后两胁胀满，胸腹妨闷，不能进食。
配方：浓朴（一两，去粗皮涂生姜汁炙至香熟）、赤茯苓、人参（去芦头）、当归（锉碎后微炒）、诃黎勒皮...[原文此处有缺漏]。以水一中盏...[原文此处有缺漏]。
白圣散：治疗产后腹部大而坚硬胀满，气喘不能平卧。
配方：樟柳根（三两）、大戟（一两半）、甘遂（一两半）。以上研为细末。每次服用二三钱，用热汤调下。取大便...[原文此处有缺漏]。
桂心散：
配方：桂心、当归（锉碎后微炒，各一两）、干姜（炮裂锉碎）、芫花（醋拌炒令干）、木香（各半两）。以上捣细...[原文此处有缺漏]。
主治：治疗产后妇女腹胀肿胀不可忍受。
另法：用黍粘根煮水饮用，一服即愈。
另法：治疗产后膨胀，气机不通转。用麦...[原文此处有缺漏]研为末，酒调服二三钱，服用后逐渐通畅。
巨胜汤：治疗产后腹胀满闷，呕吐不定。问：这是什么原因？答曰：败血散乱于脾胃，脾受之则不能运化精微而成腹胀；胃受之则不得受纳水谷而生吐逆。医者不识此理，误用寻常治胀止吐药治疗，病...[原文此处有缺漏]。
配方：赤芍药、半夏（汤洗切碎）、泽兰叶、人参（去芦头）、陈皮（去白，各一钱）、甘草（炙，一钱）、生...[原文此处有缺漏]。
治疗产后乱吃东西过早，非时腹胀胁满，饮食不快。
配方：当归、鳖甲（以醋少许化...砂少许用炙黄色，各一两）、桔梗、细辛、桂心、浓朴、羌活、木香...[原文此处有缺漏]。研为末，每次服用三钱。
治疗产后虽大便甚通利，但心腹满闷，胁胀，咳嗽，不食，大便不通（此处原文逻辑似有矛盾或指其他症状），眼涩，行坐时心腹时痛。
配方：白术、当归、桑白皮、大黄（各一两）、细辛、桂心（各二两）、生姜（四两）。以上切碎，加水...[原文此处截断]
(Attached Discussion)
Postpartum distension and fullness in the hypochondriac region is caused by retained water previously stagnating in the Bladder. Due to incomplete expulsion of lochia after childbirth, water and blood become obstructed and stagnant, clashing with Qi in the Bladder region. This causes distension and fullness in the hypochondriac area. The striking interaction among Qi, Blood, and Water results in pain.
Prescriptions:
Chenju Pi San (Tangerine Peel Powder): Treats postpartum distension and fullness in both hypochondria, oppression and stuffiness in the heart and abdomen, and loss of appetite.
Ingredients: Chenju Pi (Aged Tangerine Peel, 3 fen, soaked in decoction, peel removed including white pith, dried), Chi Fuling (Red Poria), Zhishi (Immature Bitter Orange, bran-fried until slightly yellow), Qianhu (Peucedani Radix, radix head removed), Baizhu (Atractylodis Macrocephalae Rhizoma), Nongpu (Magnoliae Officinalis Cortex, each 0.5 liang), Gancao (Licorice Root, 1 fen, honey-fried until slightly red and chopped). The above ingredients are coarsely ground into a powder. Take 3 qian per dose, add 1 zhong zhan of water, 0.5 fen of fresh ginger, and 3 jujubes. Decoct until concentrated.
Nongpu Wan (Magnolia Bark Pill): Treats postpartum distension and fullness below both hypochondria and in the heart/abdomen, where chronic cold qi attacks the Bladder causing distension and pain.
Ingredients: Nongpu (Magnoliae Officinalis Cortex, coarse bark removed, coated with fresh ginger juice and fried until fragrant), Jingsanleng (Sparganii Rhizoma, slightly fried), Muxiang (Aucklandiae Radix, each 1 liang), Chi Fuling (Red Poria), Ganjiang (Dried Ginger, roasted and cracked), Chishaoyao (Red Peony Root), Danggui (Angelicae Sinensis Radix, chopped and slightly fried), Chenju Pi (Aged Tangerine Peel, soaked in water, white pith removed, dried), Wuzhuyu (Evodiae Fructus, soaked in water seven times, dried and slightly fried), Baizhu (Atractylodis Macrocephalae Rhizoma, each [dose missing]). Mix with flour paste to form pills the size of paulownia seeds.
Muxiang Wan (Aucklandia Pill): Treats postpartum distension and fullness in both hypochondria and lower abdominal pain.
Ingredients: Muxiang (Aucklandiae Radix), Danggui (Angelicae Sinensis Radix, chopped and slightly fried), Baizhu (Atractylodis Macrocephalae Rhizoma), Xiongqiong (Ligusticum Wallichii Rhizome, each 1 liang), Baizhi (Angelicae Dahuricae Radix), Ganjiang (Dried Ginger, roasted and cracked), Binglang (Arecae Semen), Yuanhua (Genkwa Flos, stir-fried with vinegar [text incomplete]), soaked [text incomplete], remove skin and tips, double kernels, fried until [text incomplete]. Take 20 pills per dose.
Danggui San (Angelica Powder): Treats postpartum Blood and Qi attacking the hypochondriac region causing distension and pain.
Ingredients: Danggui (Angelicae Sinensis Radix, chopped and slightly fried), Chishaoyao (Red Peony Root), Jiegeng (Platycodonis Radix, radix head removed), Ganqi (Drynariae Rhizoma? Note: Text says Ganqi but context implies Drynaria or similar, literally "Dry Lacquer" usually refers to Toxicodendron vernicifluum resin processed, here likely processed resin), Niuxi (Achyranthis Bidentatae Radix, seedlings removed), Baizhu (Atractylodis Macrocephalae Rhizoma), Guixin (Cinnamomi Cortex [text incomplete]).
Jiegeng San (Platycodon Powder): Treats postpartum distension and fullness in both hypochondria, lower abdominal pain, and loss of appetite.
Ingredients: Jiegeng (Platycodonis Radix, radix head removed), Danggui (Angelicae Sinensis Radix, chopped and slightly fried), Xiongqiong (Ligusticum Wallichii Rhizome, each 0.5 liang), Dafupi (Arecae Pericarpium, 3 fen), Guixin (Cinnamomi Cortex), Chenju Pi (Aged Tangerine Peel, soaked in water, white pith removed [text incomplete]). Decoct with one zhan of water, add raw [text incomplete].
Danggui Tang (Angelica Decoction): Treats postpartum Blood and Qi issues, distension and pain in the hypochondria.
Ingredients: Danggui (Angelicae Sinensis Radix, 10 fen), Shaoyao (Paeoniae Radix), Jiegeng (Platycodonis Radix), Binglang (Arecae Semen), Zhike (Aurantii Fructus Immaturus, each 8 fen), Guixin (Cinnamomi Cortex), Qingmuxiang (Aquilariae Lignum Resinatum), Chaihu (Bupleuri Radix, each 6 fen). The above ingredients are cut. Add 2 sheng of water, decoct to obtain 8 ge, strain. Take warm in two doses on an empty stomach.
Gan Dihuang Tang (Rehmannia Decoction): Treats postpartum fullness and pain in both hypochondria and various other diseases.
Ingredients: Gan Dihuang (Rehmanniae Radix Preparata), Shaoyao (Paeoniae Radix, each 3 liang), Danggui (Angelicae Sinensis Radix), Puhuang (Pollinis Typhae, each 1 liang), Shengjiang (Fresh Ginger, 3 liang), Guixin (Cinnamomi Cortex, 6 liang), Gancao (Licorice Root, 1 liang), Da [text incomplete].
Zhishi San (Immature Bitter Orange Powder): Treats postpartum distension and fullness in both hypochondria, Qi obstruction and irritability.
Ingredients: Zhishi (Immature Bitter Orange, bran-fried until slightly yellow), Muxiang (Aucklandiae Radix), Danggui (Angelicae Sinensis Radix, chopped and slightly fried), Mudan (Moutan Cortex, each 3 fen), Guixin (Cinnamomi Cortex), Baizhu (Atractylodis Macrocephalae Rhizoma), Yimucao (Leonuri Herba, each 0.5 liang), Binglang [text incomplete]. Take warm before meals.
Baidoukou San (Cardamom Powder): Treats postpartum deficiency of Zang-Fu Qi, distension and fullness in both hypochondria, loss of appetite, and weakness in the four limbs.
Ingredients: Baidoukou (Amomi Fructus Rotundus, peeled), Renshen (Ginseng Radix et Rhizoma, radix head removed), Guixin (Cinnamomi Cortex, each 0.5 liang), Banxia (Pinelliae Tuber, soaked in water seven times to remove slipperiness, 0.5 liang), Baizhu (Atractylodis Macrocephalae Rhizoma), Chenju Pi (Aged Tangerine Peel [text incomplete]). Coarsely grind. Take [text incomplete] per dose.
Nongpu San (Magnolia Bark Powder): Treats postpartum distension and fullness in both hypochondria, chest and abdominal oppression, and inability to eat.
Ingredients: Nongpu (Magnoliae Officinalis Cortex, 1 liang, coarse bark removed, coated with fresh ginger juice and fried until fragrant), Chi Fuling (Red Poria), Renshen (Ginseng Radix et Rhizoma, radix head removed), Danggui (Angelicae Sinensis Radix, chopped and slightly fried), Helilepi (Terminalia Chebula Pericarpium [text incomplete]). With one zhong zhan of water [text incomplete].
Baisheng San (White Saint Powder): Treats postpartum large and hard abdominal distension, wheezing unable to lie flat.
Ingredients: Zhangliugen (Syringa Root, 3 liang), Daji (Euphorbiae Pekinensis Radix, 1.5 liang), Gansui (Kansui Radix, 1.5 liang). Grind into fine powder. Take 2-3 qian per dose, mixed with hot water. Induce bowel movement [text incomplete].
Guixin San (Cinnamon Bark Powder):
Ingredients: Guixin (Cinnamomi Cortex), Danggui (Angelicae Sinensis Radix, chopped and slightly fried, each 1 liang), Ganjiang (Dried Ginger, roasted and cracked), Yuanhua (Genkwa Flos, stir-fried with vinegar until dry), Muxiang (Aucklandiae Radix, each 0.5 liang). Grind finely [text incomplete].
Indication: Treats unbearable abdominal distension and swelling in postpartum women.
Alternative method: Boil Shuniugen (Arctii Lappa Root) as a drink; cured after one dose.
Alternative method: Treats postpartum distension with blocked Qi flow. Grind Mai [text incomplete] into powder, mix with wine, take 2-3 qian. Gradual relief occurs after ingestion.
Jusheng Tang (Sesame Decoction): Treats postpartum abdominal distension, fullness, and irregular vomiting. Question: What is the cause? Answer: Defeated Blood scatters in the Spleen and Stomach. When the Spleen is affected, it cannot transport and transform refined essence, leading to abdominal distension. When the Stomach is affected, it cannot receive and digest food and fluids, leading to vomiting and reflux. Physicians who do not understand this mistakenly treat it with ordinary anti-distension and anti-emetic drugs, and the disease [text incomplete].
Ingredients: Chishaoyao (Red Peony Root), Banxia (Pinelliae Tuber, washed in water and chopped), Zelan Ye (Lysimachiae Herba), Renshen (Ginseng Radix et Rhizoma, radix head removed), Chenpi (Aged Tangerine Peel, white pith removed, each 1 qian), Gancao (Licorice Root, honey-fried, 1 qian), Sheng [text incomplete].
Treats postpartum eating too early or at improper times, causing non-time-related abdominal distension, hypochondriac fullness, and indigestion.
Ingredients: Danggui (Angelicae Sinensis Radix), Biejia (Testudinis Carapax et Plastrum, dissolved with a little vinegar, mixed with a little sand, fried until yellow, each 1 liang), Jiegeng (Platycodonis Radix), Xixin (Asari Radix et Rhizoma), Guixin (Cinnamomi Cortex), Nongpu (Magnoliae Officinalis Cortex), Qianghuo (Notopterygii Rhizoma et Radix), Muxiang (Aucklandiae Radix [text incomplete]). Grind into powder, take 3 qian per dose.
Treats postpartum cases where although bowel movements are very frequent, there is still heart/abdominal fullness, hypochondriac distension, cough, anorexia, constipation (contradictory text), dry eyes, and intermittent heart/abdominal pain during walking or sitting.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma), Danggui (Angelicae Sinensis Radix), Sangbaipi (Mori Cortex), Dahuang (Rhei Radix et Rhizoma, each 1 liang), Xixin (Asari Radix et Rhizoma), Guixin (Cinnamomi Cortex, each 2 liang), Shengjiang (Fresh Ginger, 4 liang). Cut the above ingredients [text cuts off].