二母散（妇八六 血热喘嗽） 二物参苏饮（妇八四 瘀血入肺喘嗽）
产后恶露不止，若因血热者，宜保阴煎、清化饮。有伤冲任之络而不止者，宜固阴煎加
减用之。若肝脾气虚，不能收摄而血不止者，宜寿脾煎，或补中益气汤。若气血俱虚而淡血
津津不已者，宜大补丸煎，或十全大补汤。若怒火伤肝而血不藏者，宜加味四物汤。若风热
在肝而血下泄者，宜一味防风散。
一、止血方∶用蒲黄二两，水煎，顿服。
产后发痉，乃阴血大亏证也。其证则腰背反张，戴眼直视，或四肢强劲，身体抽搐。在
伤寒家虽有刚痉、柔痉之辨，然总之则无非血燥血枯之病，而实惟足太阳与少阴主之。盖膀
胱与肾为表里，肾主精血，而太阳之脉络于头目项背，所以为病若此。若其所致之由，则凡
如伤寒误为大汗以亡液，大下以亡阴，或溃疡、脓血、大泄之后，乃有此证。故在产后，亦
惟去血过多，或大汗大泻而然，其为元气亏极、血液枯败也可知。凡遇此证，速当察其阴阳
，大补气血，用大补丸煎，或理阴煎，及十全大补汤之类，庶保其生。若认为风痰，而用发
散消导等剂，则死无丸矣。
产后大便秘涩，以其失血亡阴，津液不足而然，宜济川煎加减主之，及后立斋法俱妙。
立斋曰∶前证若计其日期，饮食已多，即用药通之，祸在反掌之间矣。必待其腹满觉胀
，欲去不能者，此乃结在大肠，宜用猪胆汁润之。若服苦寒疏通，反伤中气，通而不止，或
成他证。若去血过多，用十全大补汤。血虚火燥，用加味四物汤。气血俱虚，用八珍汤。虽
数日不通，饮食如常，腹中如故，仍用八珍加桃仁、杏仁治之。若泥其日期饮食之多而通之，则误矣。
二母散（妇科八十六 血热喘嗽） 二物参苏饮（妇科八十四 瘀血入肺喘嗽）
产后恶露不止，如果是因为血热引起的，适宜使用保阴煎、清化饮。有损伤冲任之络脉而导致出血不止的，适宜在固阴煎基础上加减使用。如果是肝脾气虚，不能收摄血液而血不止的，适宜使用寿脾煎，或者补中益气汤。如果是气血两虚且淡红色的血水淋漓不尽的，适宜使用大补丸煎，或者十全大补汤。如果是怒火伤肝导致血液不能藏纳的，适宜使用加味四物汤。如果是风热在肝导致血液下泄的，适宜使用一味防风散。
一、止血方：用蒲黄二两，用水煎煮，一次性服完。
产后发生痉挛，这是阴血严重亏损的病证。其症状表现为腰背向后反张，眼球上翻直视，或者四肢强直强劲，身体抽搐。在伤寒学派中虽然有刚痉、柔痉的区别，但总而言之无非是血燥血枯的疾病，实际上主要由足太阳经和足少阴经所主。因为膀胱与肾互为表里，肾主管精血，而太阳经的脉络联系着头目项背，所以会出现这样的病症。至于导致这种病症的原因，凡是像伤寒误用大汗法导致津液亡失，误用大泻法导致阴液亡失，或者溃疡、脓血、大泄之后，才会出现这种证候。所以在产后，也仅仅是因为去血过多，或者大汗大泻所致，这显然是元气极度亏虚、血液枯竭败坏的表现。凡是遇到这种证候，应当迅速观察其阴阳状况，大补气血，使用大补丸煎，或者理阴煎，以及十全大补汤之类的方剂，或许能保住生命。如果误认为是风痰，而使用发散消导等药剂，那么患者就会死亡无疑。
产后大便干结涩滞，是因为失血亡阴，津液不足所造成的，适宜使用济川煎加减来主治，以及后面李立斋的方法都很巧妙。李立斋说：前面的证候如果计算日期，饮食已经很多，就用药通便，灾祸就在转念之间了。必须等到患者腹部胀满感觉憋胀，想排便却排不出的时候，这才是粪便结在大肠，适宜用猪胆汁来润肠。如果服用苦寒疏通的药物，反而损伤中气，导致通泄不止，或者变成其他证候。如果去血过多，使用十全大补汤。血虚火燥，使用加味四物汤。气血两虚，使用八珍汤。虽然几天不通便，饮食正常，腹中如常，仍然使用八珍汤加入桃仁、杏仁治疗。如果拘泥于日期和饮食多的情况而强行通便，那就错了。
Er Mu San (Two Mother Powder) [Gynecology 86: Asthma and cough due to blood heat] Er Wu Shen Su Yin (Two-Ingredient Ginseng and Perilla Decoction) [Gynecology 84: Asthma and cough due to blood stasis entering the lungs]
If postpartum lochia continues excessively due to blood heat, Bao Yin Jian (Preserve the Yin Decoction) or Qing Hua Yin (Clear and Transform Decoction) are appropriate. If bleeding persists due to damage to the collaterals of the Chong and Ren vessels, Gu Yin Jian (Secure the Yin Decoction) should be used with modifications. If liver and spleen qi deficiency fails to contain the blood, resulting in persistent bleeding, Shou Pi Jian (Longevity Spleen Decoction) or Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) are suitable. If both qi and blood are deficient, leading to a continuous dripping of pale blood, Da Bu Wan Jian (Great Tonification Pill Decoction) or Shi Quan Da Bu Tang (Decoction for Ten Complete Tonifications) are indicated. If anger injures the liver causing blood to fail to be stored, Jia Wei Si Wu Tang (Modified Four Substances Decoction) is appropriate. If wind-heat resides in the liver causing blood to leak downward, Yi Wei Fang Feng San (Single-Ingredient Saposhnikovia Powder) is recommended.
1. Hemostatic Formula: Use two liang of Puhuang (Polygoni Typhonii Pollen), decoct in water, and take in one dose.
Ren Shen Dang Gui Tang (Ginseng and Angelica Decoction) [Gynecology 114] Fo Shou San (Buddha's Hand Powder) [Gynecology 41: Restlessness and dizziness due to excessive blood loss]
Postpartum spasms constitute a syndrome of severe deficiency of yin-blood. The symptoms include opisthotonos (backward arching of the back), staring upward with fixed eyes, stiffness and rigidity of the four limbs, and convulsions of the body. Although the Shanghan school distinguishes between Gang Jing (Stiff Spasm) and Rou Jing (Flexible Spasm), essentially all such cases are diseases of blood dryness and blood exhaustion, primarily governed by the Foot-Taiyang and Foot-Shaoyin meridians. Since the Bladder and Kidney are exterior-interior pairs, and the Kidney governs essence and blood, while the Taiyang meridian connects to the head, eyes, neck, and back, these symptoms arise. Regarding the etiology, this condition occurs after errors in treating Shanghan, such as inducing excessive sweating leading to fluid loss, or aggressive purging leading to yin loss, or following ulcers, pus and blood discharge, or severe diarrhea. In the postpartum period, this condition arises solely from excessive blood loss or excessive sweating and purging, indicating extreme depletion of yuan qi and exhaustion of blood. Upon encountering this syndrome, one must promptly assess yin and yang, and greatly tonify qi and blood using Da Bu Wan Jian, Li Yin Jian (Regulate the Yin Decoction), or Shi Quan Da Tang, to preserve life. If mistakenly treated as wind-phlegm and administered dispersing or digesting agents, death is inevitable.
Postpartum constipation and dryness result from blood loss and yin depletion, leading to insufficient body fluids. Ji Chuan Jian (Ji Chuan Decoction) with modifications is appropriate, as are the methods proposed by Li Lizhai later. Li Lizhai stated: For the aforementioned syndrome, if one calculates the days and notes that dietary intake has increased, administering laxatives will bring disaster instantly. One must wait until the patient feels abdominal fullness and bloating, desiring to defecate but unable to do so; this indicates fecal impaction in the large intestine, which should be lubricated with pig bile. Using bitter-cold purgatives damages middle qi, leading to uncontrolled purging or other complications. If blood loss was excessive, use Shi Quan Da Bu Tang. For blood deficiency with fire dryness, use Jia Wei Si Wu Tang. For combined qi and blood deficiency, use Ba Zhen Tang. Even if there is no bowel movement for several days, provided diet is normal and the abdomen feels unchanged, treat with Ba Zhen Tang added with Tao Ren (Peach Kernel) and Xing Ren (Apricot Seed). Relying on the number of days and dietary intake to force purgation is an error.