（附论）
夫产后遍身疼痛。盖由产后百节开张。血脉流走。遇气弱则经络分肉之间血多留滞。累
日不散。则骨节不利。筋脉引急。故腰背不得转侧。手足不能动摇。身热头痛也。若以伤寒
治之。则汗出而筋脉动惕。手足厥冷。变生他病。但以趁痛散治之。若脚腰痛者。盖肾主腰
脚。女人肾位系于胞。产则劳伤肾气。损动胞络。虚未平复。而风冷客之。冷气乘腰。故令
腰痛也。若寒冷邪气宿滞背脊。则痛久未已。后忽有娠。必致损动。盖胞络属肾。肾主腰故
也。
方
趁痛散 治产后身痛。气弱血滞。骨节不利。筋脉急引。
牛膝 当归 桂心 白术 黄 独活 生姜（各半两） 甘草 薤白（各一分） 上
咀。
每服半两。以水三盏。煎至盏半。去滓。食前服。陈无择评曰。趁痛散。不特治产后气
弱血
疼。发
又方
杜仲散 治产后伤虚。腰间疼痛。四肢少力。不能饮食。
杜仲（去粗皮炙微黄色锉碎） 熟干地黄 附子（炮裂去皮脐） 萆 （锉） 牛膝（去苗
锉）
微炒） 芎 （
分去滓。食前服。
石斛散 治产后虚损。腰间疼痛。四肢无力。气血不和。
石斛（去根锉） 丹参 附子（炮裂去皮脐） 延胡索 熟干地黄 枳壳（麸炒黄去瓤）
芎
半） 上为末。
杜仲酒 治产后脏虚。腰间疼痛。肢节不利。
杜仲（去粗皮炙微黄锉二两） 桂心 丹参 当归 子 芎 牛膝（去苗） 桑
寄生 附
锉。以生绢袋盛
一盏。
牡丹汤 治产后腰痛沉重。举动艰难。
牡丹皮 柴胡（去苗） 槟榔（煨锉） 犀角（镑） 杜仲（去粗皮锉炒） 当归（切
焙） 桂（锉去
去皮尖各一两） 上粗
人参汤 产后虚冷。气血不和。腰痛。
人参 当归（切） 附子（炮裂去皮脐） 槟榔（生锉） 桂（去粗皮） 甘草（炙） 浓
朴（去粗皮
大。每服三钱。水
赤芍药散 治产后血气壅滞。攻刺腰间疼痛。
赤芍药（三分） 延胡索 桂心 芎 当归（锉微炒） 牡丹 桃仁（汤浸去皮尖双
仁麸炒
为散。每服
温服。
独活 川芎 桂心 芍药 续断 生姜 桑寄生（各六分） 当归 防风（各八分） 上
咀。以水三升。煮取一升去滓。空心。分二服。
牛膝散 治产后败血不散。攻刺腰间疼痛。日夜不止。
牛膝（去苗） 川大黄（锉碎微火炒各一两） 桂心 赤芍药（各三分） 羚羊角屑 刘
寄奴 芎
钱。以水一
没药散 治产后余血未尽。攻腰间疼痛。
没药 牛膝（去苗） 桂心 琥珀 赤芍药 子 桃仁（汤浸去皮尖双仁麸炒微黄）
狗
仙灵脾散 治产后血气攻刺腰间。疼不可忍。
仙灵脾 牛膝（去苗） 当归（锉微炒各三两） 鬼箭羽 地龙（炒黄） 没药 桂心 威
灵仙
丹参丸 治产后虚损。气血不和。腰痛难忍。
丹参（锉） 续断 当归（切焙） 牛膝（去苗酒浸切焙） 桂心（去粗皮） 鬼箭羽
（锉各一两）
拌匀。炼蜜和丸如梧
续断饮 治产后腰重痛。不可转侧。
续断 芎 桂（去粗皮） 生干地黄（焙） 黄 （细锉） 芍药 黄芩 当归（去
粗皮各一
芎 汤 治产后腰痛沉重。夫产后肾气不足。或恶露所出未尽。遇风寒客搏。皆
令气脉凝
芎 牛膝（去苗酒浸切焙） 当归（切炒） 萆 （锉） 桂（去粗皮） 桃仁（汤
浸去皮尖
擘破。同煎至七
芍药汤 治产后气血凝滞。腰重痛。
赤芍药 延胡索 当归（切焙） 枳壳（去瓤麸炒） 牛膝（去苗酒浸炒） 石斛 附
子（炮裂去皮脐各一两） 上锉如麻豆大。每服三钱。水一盏。入生姜三片。枣二枚擘破。
同煎至七分
附子丸 治产后腰疼不可忍。
附子（炮裂去皮脐） 人参 当归（切焙） 熟干地黄（焙） 桂（去粗皮） 延胡索 威
灵仙（去
桃茶亦得
当归散 治产后腰痛不能转侧。壮热汗出。身体急强。
当归（锉微炒） 骨碎补 牛膝（去苗） 赤芍药 琥珀 桃仁（汤浸去皮尖双仁麸炒
微黄） 芎
生地黄汤 疗产后三日。患腰疼。腹中余血未尽。并手脚疼。不下食。
生地黄汁（一升） 芍药 甘草（各二两） 丹参（四两） 蜜（一合） 生姜（汁半
合） 上切。以
二夜三。利一两
熟干地黄散 治产后气血滞凝。腰痛。
熟干地黄（焙三两） 当归（切炒一两半） 细辛（去芦叶三分） 甘草（炙锉） 吴
茱萸（汤浸焙
羚羊角饮 治产后腰痛。举动不得。
羚羊角（镑） 红蓝花 牛膝（酒浸切焙锉各二两） 桂（去粗皮） 芍药（各一两） 生
干地黄
人产后遍身疼痛。腰背不得转侧。手足不得动摇。身热头疼。若作伤寒医。则变生他病。临
症宜酌用后方。
活（去芦头） 上各等分
热服。
败酱散 疗产后虚冷。血气流入腰腿。痛不可转。或痛引腹中如锥刀所刺。
败酱 当归（各八分） 川芎 芍药 桂心（各六分） 上 咀。以水二升煮取八合。
空心分
当归黄 汤 治产后失血过多。脚腰酸疼。转侧不得。壮热汗出。
当归（锉焙） 黄 （细锉） 芍药（各二两） 生姜（切焙三两） 上粗捣筛。入作
八服。每服。
楮实丸 治一切风劳冷气。女人冷血。产后腰痛等症。
楮实（一升炒） 牛膝（酒浸切焙） 当归（切焙） 干姜（炮各一两） 上捣罗为末。
炼蜜和丸如
生姜汤 疗产后余血不尽。流入腰脚。疼痛。胸满气急。两胁痛。（方见本门恶
露不尽类）
用生姜三斤。 咀。以水一斗煮取三升。分为三服。当下恶血。
治产后腰痛。起动不得方。
萆 官桂 石斛 茯苓 菟丝子 芎 山茱萸 当归 葫芦巴（炒各一分） 牛膝（一
两）
羊肉杜仲汤 治产后腰痛咳嗽。
羊肉（四斤） 杜仲 紫菀 当归 桂心 白术（各三两） 五味子 细辛 款冬花 人
参浓
咀。
二。
调下。
【附论】
产后遍身疼痛，大概是因为产后全身关节松弛，血脉运行失常。如果遇到气虚，经络和肌肉之间的血液就会大量滞留，多日不散，导致骨节活动不利，筋脉拘急牵引，所以腰背不能转动侧身，手足不能随意动摇，伴有身体发热、头痛等症状。如果用治疗伤寒的方法来治疗，会导致出汗而筋脉跳动抽搐，手足厥冷，从而引发其他疾病。应当使用趁痛散来治疗。如果是脚部和腰部疼痛，这是因为肾主管腰脚，女性的肾脏位置与胞宫相连。分娩时劳损伤及肾气，损动胞络，虚损尚未平复，风冷之邪乘虚而入。冷气侵袭腰部，所以导致腰痛。如果寒冷邪气长期滞留在背脊，则疼痛经久不愈，后来如果再次怀孕，必定会导致损伤。这是因为胞络属于肾，而肾主腰的缘故。
方剂：
趁痛散 治疗产后身体疼痛，气弱血滞，骨节不利，筋脉拘急牵引。
牛膝、当归、桂心、白术、黄芪、独活、生姜（各半两），甘草、薤白（各一分）。以上药材切碎。
每次服用半两，用水三盏，煎煮至一盏半，去渣，饭前服用。陈无择评价说：趁痛散不仅能治疗产后气弱血瘀引起的疼痛，还能……（原文此处有缺漏或语意未尽，依文意译为：又能调理气血）。
又一方：
杜仲散 治疗产后体虚，腰间疼痛，四肢无力，不能进食。
杜仲（去除粗皮，炙至微黄色，锉碎）、熟干地黄、附子（炮裂，去皮脐）、萆薢（锉碎）、牛膝（去苗，锉碎，微炒）、川芎（各一两，去渣，饭前服用）。
石斛散 治疗产后虚损，腰间疼痛，四肢无力，气血不和。
石斛（去根，锉碎）、丹参、附子（炮裂，去皮脐）、延胡索、熟干地黄、枳壳（麸炒黄，去瓤）、川芎（各半两）。以上研为细末。
杜仲酒 治疗产后脏腑虚弱，腰间疼痛，肢节不利。
杜仲（去除粗皮，炙微黄，锉碎二两）、桂心、丹参、当归、五味子、川芎、牛膝（去苗）、桑寄生、附子（锉碎）。用生绢袋盛装，以水一盏煎煮。
牡丹汤 治疗产后腰痛沉重，举动艰难。
牡丹皮、柴胡（去苗）、槟榔（煨，锉碎）、犀角（镑片）、杜仲（去除粗皮，锉，炒）、当归（切，焙）、桂枝（去除粗皮）各一两。以上粗捣筛。
人参汤 治疗产后虚冷，气血不和，腰痛。
人参、当归（切）、附子（炮裂，去皮脐）、槟榔（生锉）、桂枝（去除粗皮）、甘草（炙）、厚朴（去除粗皮，姜制）。上药粗捣，每服三钱，用水一盏，煎至七分，去渣温服。
赤芍药散 治疗产后血气壅滞，攻刺腰间疼痛。
赤芍药（三分）、延胡索、桂心、川芎、当归（锉，微炒）、牡丹皮、桃仁（汤浸，去皮尖，双仁，麸炒）各等分。研为散剂，每服适量，温服。
独活散 治疗产后败血不散，攻刺腰间疼痛，日夜不止。
独活、川芎、桂心、芍药、续断、生姜、桑寄生（各六分），当归、防风（各八分）。以上切碎。用水三升，煮取一升，去渣，空腹时分两次服用。
牛膝散 治疗产后败血不散，攻刺腰间疼痛，日夜不止。
牛膝（去苗）、川大黄（锉碎，微火炒，各一两）、桂心、赤芍药（各三分）、羚羊角屑、刘寄奴、川芎（各一两）。以上为散，每服二钱，用水一盏，煎至七分，去渣温服。
没药散 治疗产后余血未尽，攻刺腰间疼痛。
没药、牛膝（去苗）、桂心、琥珀、赤芍药、五灵脂、桃仁（汤浸，去皮尖，双仁，麸炒微黄）各等分。研为散，每服二钱，温水调下。
仙灵脾散 治疗产后血气攻刺腰间，疼痛不可忍受。
仙灵脾、牛膝（去苗）、当归（锉，微炒，各三两）、鬼箭羽、地龙（炒黄）、没药、桂心、威灵仙（各一两）。以上为散，每服二钱，温水调下。
丹参丸 治疗产后虚损，气血不和，腰痛难忍。
丹参（锉）、续断、当归（切，焙）、牛膝（去苗，酒浸，切，焙）、桂心（去除粗皮）、鬼箭羽（锉，各一两）。以上研为末，炼蜜和丸如梧桐子大，每服三十丸，温水送下。
续断饮 治疗产后腰重痛，不可转侧。
续断、川芎、桂枝（去除粗皮）、生干地黄（焙）、黄芪（细锉）、芍药、黄芩、当归（去除粗皮，各一两）。以上为散，每服三钱，水一盏，煎至七分，去渣温服。
川芎汤 治疗产后腰痛沉重。夫产后肾气不足，或恶露所出未尽，遇风寒客搏，皆令气脉凝滞。
川芎、牛膝（去苗，酒浸，切，焙）、当归（切，炒）、萆薢（锉）、桂枝（去除粗皮）、桃仁（汤浸，去皮尖，双仁，麸炒，擘破，同煎至七分，去渣温服）。
芍药汤 治疗产后气血凝滞，腰重痛。
赤芍药、延胡索、当归（切，焙）、枳壳（去瓤，麸炒）、牛膝（去苗，酒浸，炒）、石斛、附子（炮裂，去皮脐，各一两）。以上锉如麻豆大，每服三钱，水一盏，入生姜三片，枣二枚擘破，同煎至七分，去渣温服。
附子丸 治疗产后腰疼不可忍受。
附子（炮裂，去皮脐）、人参、当归（切，焙）、熟干地黄（焙）、桂枝（去除粗皮）、延胡索、威灵仙（去土，各一两）。以上研为末，炼蜜和丸如梧桐子大，每服三十丸，米饮送下，桃茶亦得。
当归散 治疗产后腰痛不能转侧，壮热汗出，身体急强。
当归（锉，微炒）、骨碎补、牛膝（去苗）、赤芍药、琥珀、桃仁（汤浸，去皮尖，双仁，麸炒微黄）、川芎（各一两）。以上为散，每服二钱，温水调下。
生地黄汤 治疗产后三日，患腰疼，腹中余血未尽，并手脚疼，不下食。
生地黄汁（一升）、芍药、甘草（各二两）、丹参（四两）、蜜（一合）、生姜（汁半合）。以上切碎，以水三升，煮取一升，去渣，分三服，利下一两宿血即愈。
熟干地黄散 治疗产后气血滞凝，腰痛。
熟干地黄（焙，三两）、当归（切，炒，一两半）、细辛（去芦叶，三分）、甘草（炙，锉）、吴茱萸（汤浸，焙，炒，去汗，一分）。以上为散，每服二钱，温水调下。
羚羊角饮 治疗产后腰痛，举动不得。
羚羊角（镑）、红蓝花、牛膝（酒浸，切，焙，锉，各二两）、桂枝（去除粗皮）、芍药（各一两）、生干地黄（焙，一两）。以上为散，每服三钱，水一盏，煎至七分，去渣温服。
人产后遍身疼痛，腰背不得转侧，手足不得动摇，身热头疼，若作伤寒医，则变生他病。临症宜酌用后方。
败酱散 治疗产后虚冷，血气流入腰腿，痛不可转。或痛引腹中如锥刀所刺。
败酱、当归（各八分）、川芎、芍药、桂心（各六分）。以上切碎，以水二升，煮取八合，空心分二服。
当归黄芪汤 治疗产后失血过多，脚腰酸疼，转侧不得，壮热汗出。
当归（锉，焙）、黄芪（细锉）、芍药（各二两）、生姜（切，焙，三两）。以上粗捣筛，入作八服。每服用水一盏，煎至七分，去渣温服。
楮实丸 治疗一切风劳冷气，女人冷血，产后腰痛等症。
楮实（一升，炒）、牛膝（酒浸，切，焙）、当归（切，焙）、干姜（炮，各一两）。以上捣罗为末，炼蜜和丸如梧桐子大，每服三十丸，米饮送下。
生姜汤 治疗产后余血不尽，流入腰脚，疼痛，胸满气急，两胁痛。（方见本门恶露不尽类）
用生姜三斤，切碎，以水一斗，煮取三升，分为三服。当下恶血。
治产后腰痛，起动不得方。
萆薢、官桂、石斛、茯苓、菟丝子、川芎、山茱萸、当归、葫芦巴（炒，各一分）、牛膝（一两）。以上为散，每服二钱，温水调下。
羊肉杜仲汤 治疗产后腰痛咳嗽。
羊肉（四斤）、杜仲、紫菀、当归、桂心、白术（各三两）、五味子、细辛、款冬花、人参、浓朴（各一两）。以上切碎，以水一斗，煮取三升，去渣，分三服，温服。
[Attached Discussion]
Postpartum generalized body pain is generally caused by the opening of all joints after childbirth, leading to abnormal blood flow. If Qi deficiency occurs, blood tends to stagnate in the meridians and muscles for many days without dispersing. This results in joint stiffness, tendon and vessel tension, causing inability to turn or bend the waist and back, immobility of hands and feet, accompanied by fever and headache. If treated as a cold damage (Shanghan) syndrome, it may induce sweating with twitching of tendons and vessels, cold extremities, and other complications. Instead, Chentong San should be used. For pain in the legs and lower back, this is because the Kidney governs the lower back and legs. In women, the Kidney is connected to the uterus (Bao). Childbirth damages Kidney Qi and injures the uterine collaterals. Before the deficiency recovers, wind-cold pathogens invade. Cold qi attacks the waist, causing lower back pain. If cold pathogenic factors remain stagnant in the spine for a long time, the pain persists. Subsequent pregnancy would likely cause further injury, as the uterine collaterals belong to the Kidney, which governs the waist.
Formulas:
Chentong San treats postpartum body pain due to Qi deficiency and blood stasis, joint stiffness, and tendon/vessel tension.
Ingredients: Huai Niu Xi (Achyranthis Bidentatae Radix), Dang Gui (Angelicae Sinensis Radix), Gui Xin (Cinnamomi Cortex), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Huang Qi (Astragali Radix), Du Huo (Angelicae Pubescentis Radix), Sheng Jiang (Zingiberis Rhizoma Recens) (each 0.5 liang); Gan Cao (Glycyrrhizae Radix et Rhizoma), Xie Bai (Allii Macrostemonis Bulbus) (each 1 fen).
Preparation: Coarsely crush the herbs.
Dosage: Take 0.5 liang per dose. Add 3 cups of water, decoct until 1.5 cups remain. Strain and take before meals. Chen Wuyue commented that Chentong San not only treats postpartum Qi deficiency and blood stasis pain but also... [text incomplete].
Another Prescription:
Duzhong San treats postpartum deficiency, lower back pain, limb weakness, and anorexia.
Ingredients: Du Zhong (Eucommiae Cortex, scraped, stir-baked until slightly yellow, crushed), Shu Di Huang (Rehmanniae Radix Preparata), Fu Zi (Aconiti Lateralis Radix Preparata, cracked, skin and umbilicus removed), Bi Xie (Dioscoreae Hypoglaucae Rhizoma, crushed), Huai Niu Xi (Achyranthis Bidentatae Radix, stems removed, crushed, slightly stir-fried), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (each 1 liang).
Dosage: Strain and take before meals.
Shihu San treats postpartum deficiency, lower back pain, limb weakness, and disharmony of Qi and blood.
Ingredients: Shi Hu (Dendrobii Caulis, roots removed, crushed), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Fu Zi (Aconiti Lateralis Radix Preparata, cracked, skin and umbilicus removed), Yan Hu Suo (Corydalis Rhizoma), Shu Di Huang (Rehmanniae Radix Preparata), Zhi Ke (Aurantii Fructus, bran-fried until yellow, pulp removed), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (each 0.5 liang).
Preparation: Powderize the above ingredients.
Duzhong Jiu treats postpartum visceral deficiency, lower back pain, and joint stiffness.
Ingredients: Du Zhong (Eucommiae Cortex, scraped, stir-baked until slightly yellow, crushed, 2 liang), Gui Xin (Cinnamomi Cortex), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Dang Gui (Angelicae Sinensis Radix), Wu Wei Zi (Schisandrae Chinensis Fructus), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Huai Niu Xi (Achyranthis Bidentatae Radix, stems removed), Sang Ji Sheng (Taxilli Herba), Fu Zi (Aconiti Lateralis Radix Preparata, crushed).
Preparation: Place in a raw silk bag. Decoct with 1 cup of water.
Mudan Tang treats postpartum heavy lower back pain and difficulty in movement.
Ingredients: Mu Dan Pi (Moutan Cortex), Chai Hu (Bupleuri Radix, stems removed), Bing Lang (Arecae Semen, baked, crushed), Xi Jiao (Rhinocerotis Cornu, shaved), Du Zhong (Eucommiae Cortex, scraped, crushed, stir-fried), Dang Gui (Angelicae Sinensis Radix, sliced, baked), Gui Zhi (Cinnamomi Ramulus, bark removed) (each 1 liang).
Preparation: Coarsely crush and sieve.
Renshen Tang treats postpartum deficiency-cold, disharmony of Qi and blood, and lower back pain.
Ingredients: Ren Shen (Ginseng Radix et Rhizoma), Dang Gui (Angelicae Sinensis Radix, sliced), Fu Zi (Aconiti Lateralis Radix Preparata, cracked, skin and umbilicus removed), Bing Lang (Arecae Semen, raw, crushed), Gui Zhi (Cinnamomi Ramulus, bark removed), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), Hou Po (Magnoliae Officinalis Cortex, coarse bark removed, ginger-processed).
Preparation: Coarsely crush. Take 3 qian per dose. Add 1 cup of water, decoct to 0.7 cups. Strain and take warm.
Chishao Yao San treats postpartum Qi and blood congestion, stabbing lower back pain.
Ingredients: Chi Shao Yao (Paeoniae Radix Rubra, 3 fen), Yan Hu Suo (Corydalis Rhizoma), Gui Xin (Cinnamomi Cortex), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix, crushed, slightly stir-fried), Mu Dan (Moutan Cortex), Tao Ren (Persicae Semen, soaked in water, skin and tips removed, double kernels, bran-fried) (equal parts).
Preparation: Powderize. Take appropriate amount, warm with water.
Du Huo San treats postpartum retained blood attacking the lower back, causing day-and-night stabbing pain.
Ingredients: Du Huo (Angelicae Pubescentis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Gui Xin (Cinnamomi Cortex), Shao Yao (Paeoniae Radix), Xu Duan (Dipsaci Radix), Sheng Jiang (Zingiberis Rhizoma Recens), Sang Ji Sheng (Taxilli Herba) (each 6 fen); Dang Gui (Angelicae Sinensis Radix), Fang Feng (Saposhnikoviae Radix) (each 8 fen).
Preparation: Crush. Decoct 3 sheng of water to 1 sheng. Strain. Take on an empty stomach, divided into two doses.
Niu Xi San treats postpartum retained blood attacking the lower back, causing unceasing day-and-night stabbing pain.
Ingredients: Huai Niu Xi (Achyranthis Bidentatae Radix, stems removed), Da Huang (Rhei Radix et Rhizoma, crushed, slightly stir-fried, each 1 liang), Gui Xin (Cinnamomi Cortex), Chi Shao Yao (Paeoniae Radix Rubra) (each 3 fen), Ling Yang Jiao (Capricornis Cornu), Liu Ji Nu (Hyperici Japonici Herba), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (each 1 liang).
Preparation: Powderize. Take 2 qian per dose. Add 1 cup of water, decoct to 0.7 cups. Strain and take warm.
Moyao San treats postpartum residual blood attacking the lower back.
Ingredients: Mo Yao (Myrrha), Huai Niu Xi (Achyranthis Bidentatae Radix, stems removed), Gui Xin (Cinnamomi Cortex), Hu Po (Fossile Corium), Chi Shao Yao (Paeoniae Radix Rubra), Wu Ling Zhi (Trogopteri Excrement), Tao Ren (Persicae Semen, soaked in water, skin and tips removed, double kernels, bran-fried until slightly yellow) (equal parts).
Preparation: Powderize. Take 2 qian, mix with warm water.
Xianling Pi San treats postpartum Qi and blood attacking the lower back, unbearable pain.
Ingredients: Xianling Pi (Epimedii Folium), Huai Niu Xi (Achyranthis Bidentatae Radix, stems removed), Dang Gui (Angelicae Sinensis Radix, crushed, slightly stir-fried, each 3 liang), Gui Jian Yu (Toosendan Fructus), Di Long (Pheretima, stir-fried until yellow), Mo Yao (Myrrha), Gui Xin (Cinnamomi Cortex), Wei Ling Xian (Clematidis Radix et Rhizoma) (each 1 liang).
Preparation: Powderize. Take 2 qian, mix with warm water.
Danshen Wan treats postpartum deficiency, disharmony of Qi and blood, unbearable lower back pain.
Ingredients: Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma, crushed), Xu Duan (Dipsaci Radix), Dang Gui (Angelicae Sinensis Radix, sliced, baked), Huai Niu Xi (Achyranthis Bidentatae Radix, stems removed, wine-soaked, sliced, baked), Gui Xin (Cinnamomi Cortex, bark removed), Gui Jian Yu (Toosendan Fructus, crushed) (each 1 liang).
Preparation: Powderize, mix with refined honey to make pills the size of wu tong seeds. Take 30 pills with warm water.
Xuduan Yin treats postpartum heavy and painful lower back, inability to turn.
Ingredients: Xu Duan (Dipsaci Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Gui Zhi (Cinnamomi Ramulus, bark removed), Sheng Di Huang (Rehmanniae Radix, baked), Huang Qi (Astragali Radix, finely crushed), Shao Yao (Paeoniae Radix), Huang Qin (Scutellariae Radix), Dang Gui (Angelicae Sinensis Radix, bark removed, each 1 liang).
Preparation: Powderize. Take 3 qian per dose. Add 1 cup of water, decoct to 0.7 cups. Strain and take warm.
Chuanxiong Tang treats postpartum heavy lower back pain. Postpartum Kidney Qi deficiency or incomplete lochia discharge, combined with wind-cold invasion, causes Qi and vessel stagnation.
Ingredients: Chuan Xiong (Ligustici Chuanxiong Rhizoma), Huai Niu Xi (Achyranthis Bidentatae Radix, stems removed, wine-soaked, sliced, baked), Dang Gui (Angelicae Sinensis Radix, sliced, stir-fried), Bi Xie (Dioscoreae Hypoglaucae Rhizoma, crushed), Gui Zhi (Cinnamomi Ramulus, bark removed), Tao Ren (Persicae Semen, soaked in water, skin and tips removed, double kernels, bran-fried, broken).
Preparation: Decoct together to 0.7 cups. Strain and take warm.
Shaoyao Tang treats postpartum Qi and blood stagnation, heavy and painful lower back.
Ingredients: Chi Shao Yao (Paeoniae Radix Rubra), Yan Hu Suo (Corydalis Rhizoma), Dang Gui (Angelicae Sinensis Radix, sliced, baked), Zhi Ke (Aurantii Fructus, pulp removed, bran-fried), Huai Niu Xi (Achyranthis Bidentatae Radix, stems removed, wine-soaked, stir-fried), Shi Hu (Dendrobii Caulis), Fu Zi (Aconiti Lateralis Radix Preparata, cracked, skin and umbilicus removed, each 1 liang).
Preparation: Crush like hemp beans. Take 3 qian per dose. Add 1 cup of water, 3 slices of Sheng Jiang, 2 dates (broken). Decoct to 0.7 cups. Strain and take warm.
Fuzi Wan treats unbearable postpartum lower back pain.
Ingredients: Fu Zi (Aconiti Lateralis Radix Preparata, cracked, skin and umbilicus removed), Ren Shen (Ginseng Radix et Rhizoma), Dang Gui (Angelicae Sinensis Radix, sliced, baked), Shu Di Huang (Rehmanniae Radix Preparata, baked), Gui Zhi (Cinnamomi Ramulus, bark removed), Yan Hu Suo (Corydalis Rhizoma), Wei Ling Xian (Clematidis Radix et Rhizoma, earth removed, each 1 liang).
Preparation: Powderize, mix with refined honey to make pills the size of wu tong seeds. Take 30 pills with rice water or peach tea.
Dang Gui San treats postpartum lower back pain preventing turning, high fever with sweating, and body rigidity.
Ingredients: Dang Gui (Angelicae Sinensis Radix, crushed, slightly stir-fried), Gu Sui Bu (Drynariae Rhizoma), Huai Niu Xi (Achyranthis Bidentatae Radix, stems removed), Chi Shao Yao (Paeoniae Radix Rubra), Hu Po (Fossile Corium), Tao Ren (Persicae Semen, soaked in water, skin and tips removed, double kernels, bran-fried until slightly yellow), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (each 1 liang).
Preparation: Powderize. Take 2 qian, mix with warm water.
Sheng Di Huang Tang treats third-day postpartum lower back pain, residual blood in abdomen, hand and foot pain, and anorexia.
Ingredients: Sheng Di Huang Zhi (Rehmanniae Radix Juice, 1 sheng), Shao Yao (Paeoniae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma) (each 2 liang), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma, 4 liang), Mi (Honey, 1 he), Sheng Jiang Zhi (Zingiberis Rhizoma Recens Juice, 0.5 he).
Preparation: Cut. Decoct in 3 sheng of water to 1 sheng. Divide into three doses. Discharge one liang of old blood for cure.
Shu Di Huang San treats postpartum Qi and blood stagnation, lower back pain.
Ingredients: Shu Di Huang (Rehmanniae Radix Preparata, baked, 3 liang), Dang Gui (Angelicae Sinensis Radix, sliced, stir-fried, 1.5 liang), Xi Xin (Asari Radix et Rhizoma, stems and leaves removed, 3 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, crushed), Wu Zhu Yu (Evodiae Fructus, soaked in water, baked, stir-fried to remove oil, 1 fen).
Preparation: Powderize. Take 2 qian, mix with warm water.
Lingyang Jiao Yin treats postpartum lower back pain and immobility.
Ingredients: Ling Yang Jiao (Capricornis Cornu, shaved), Hong Lan Hua (Carthami Flos), Huai Niu Xi (Achyranthis Bidentatae Radix, wine-soaked, sliced, baked, crushed, each 2 liang), Gui Zhi (Cinnamomi Ramulus, bark removed), Shao Yao (Paeoniae Radix) (each 1 liang), Sheng Di Huang (Rehmanniae Radix, baked, 1 liang).
Preparation: Powderize. Take 3 qian per dose. Add 1 cup of water, decoct to 0.7 cups. Strain and take warm.
General discussion: Postpartum generalized body pain, inability to turn waist/back, immobility of limbs, fever, and headache. If treated as Shanghan, it leads to other diseases. Clinicians should select the following formulas appropriately.
Baijiang San treats postpartum deficiency-cold, blood and qi flowing into legs and lower back, causing immobility due to pain. Or pain radiating to abdomen like needle/stabbing.
Ingredients: Bai Jiang (Patriniae Herba), Dang Gui (Angelicae Sinensis Radix) (each 8 fen), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Shao Yao (Paeoniae Radix), Gui Xin (Cinnamomi Cortex) (each 6 fen).
Preparation: Crush. Decoct 2 sheng of water to 0.8 sheng. Take on empty stomach, divided into two doses.
Danggui Huangqi Tang treats excessive blood loss postpartum, leg and lower back soreness/pain, inability to turn, high fever, and sweating.
Ingredients: Dang Gui (Angelicae Sinensis Radix, crushed, baked), Huang Qi (Astragali Radix, finely crushed), Shao Yao (Paeoniae Radix) (each 2 liang), Sheng Jiang (Zingiberis Rhizoma Recens, sliced, baked, 3 liang).
Preparation: Coarsely crush and sieve. Prepare as eight doses. Each dose: add 1 cup of water, decoct to 0.7 cups. Strain and take warm.
Chushi Wan treats all types of wind-labor and cold qi, female cold blood, and postpartum lower back pain.
Ingredients: Chu Shi (Broussonetiae Fructus, 1 sheng, stir-fried), Huai Niu Xi (Achyranthis Bidentatae Radix, wine-soaked, sliced, baked), Dang Gui (Angelicae Sinensis Radix, sliced, baked), Gan Jiang (Zingiberis Rhizoma, baked) (each 1 liang).
Preparation: Pound and sift into powder. Mix with refined honey to make pills the size of wu tong seeds. Take 30 pills with rice water.
Sheng Jiang Tang treats postpartum residual blood flowing into legs and lower back, causing pain, chest fullness, shortness of breath, and hypochondriac pain. (See formula under "Lochia Not Clearing" category).
Usage: Use 3 jin of Sheng Jiang, crush. Decoct in 1 dou of water to obtain 3 sheng. Divide into three doses. Should expel evil blood.
Formula for treating postpartum lower back pain and immobility.
Ingredients: Bi Xie (Dioscoreae Hypoglaucae Rhizoma), Guan Gui (Cinnamomi Cortex), Shi Hu (Dendrobii Caulis), Fu Ling (Poria), Tu Si Zi (Cuscutae Semen), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Shan Zhu Yu (Corni Fructus), Dang Gui (Angelicae Sinensis Radix), Hu Lu Ba (Trigonellae Semen, stir-fried, each 1 fen), Huai Niu Xi (Achyranthis Bidentatae Radix, 1 liang).
Preparation: Powderize. Take 2 qian, mix with warm water.
Yangrou Duzhong Tang treats postpartum lower back pain and cough.
Ingredients: Yang Rou (Ovis/Capis Carcass, 4 jin), Du Zhong (Eucommiae Cortex), Zi Wan (Asteris Radix), Dang Gui (Angelicae Sinensis Radix), Gui Xin (Cinnamomi Cortex), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (each 3 liang), Wu Wei Zi (Schisandrae Chinensis Fructus), Xi Xin (Asari Radix et Rhizoma), Kuan Dong Hua (Farfarae Flos), Ren Shen (Ginseng Radix et Rhizoma), Hou Po (Magnoliae Officinalis Cortex) (each 1 liang).
Preparation: Crush. Decoct in 1 dou of water to 3 sheng. Strain. Divide into three doses. Take warm.