《产乳集》∶用盐填脐中令平，葱白捣，铺一指浓，安盐上，以艾炷饼上灸之。觉热气入腹内，即通，最
灵。
沈尧封曰∶此法不效，必是气虚不能升举。黄 补气之中，已寓上升之性，用以为君五钱；麦冬能清
上源，用以为臣一钱五分；白通草达下，用以为佐八分。水煎眼一剂，可效。
《大全》曰∶产妇尿血，面黄，胁胀少食，此肝木乘脾土也。用加味逍遥散、补中汤，煎服，可愈。
丹溪曰∶尝见收生者不谨，损破产妇尿脬，致病淋漓，遂成废疾。有一妇，年壮难产得此。因思肌肉
破伤在外者，皆可补完；脬虽在里，谅亦可治。遂诊其脉，虚甚。予曰∶难产之由，多是气虚，产后血气
尤虚，试与峻补。因以参、 为君；芎、归为臣；桃仁、陈皮、茯苓为佐；以猪羊脬煎汤，极饥时饮之。但
剂小，率用一两，至一月而安。盖令气血骤长，其脬自完，恐少缓亦难成功矣。
又产时尿胞被伤，小便淋沥，用二蚕茧，烧存性为末，服一月可愈。（此缪德仁治验）
薛立斋云∶是肝经虚热，加味逍遥散主之。
坐草过早，产户伤坏，红肿溃烂，痛不可忍。用蒸包子笼内荷叶，煎汤洗，日三次，两日可愈。（此缪
德仁治验）
陈无择云∶产后阴脱，如脱肛状，及阴下挺出，逼迫肿痛，举动、房劳即发，清水续续，小便淋沥。硫
黄、乌贼骨各二两，五味子二钱半，为末掺之，日三次。
丹溪云∶一妇产子后，阴户下一物，如合钵状，有二歧。其夫来求治。予思之∶此子宫也，必气血弱而
下坠。遂用升麻、当归、黄 几帖与之。半日后，其夫复来云∶服二次后，觉响一声，视之已收入阴户。但
因经宿，干着席上，破一片如掌心大者在席。某妻在家哭泣，恐伤破不复能生。予思此非肠胃，乃脂膜也。
肌肉破尚可复完，若气血充盛，必可生满。遂用四物汤加人参，与百帖。三年后，复有子。
黄 一钱半，人参一钱，当归七分，升麻三分，甘草二分，作一帖，水煎食前服。治子宫下坠。外用五
倍子末泡汤洗，又用末敷之，如此数次。宜多服药。永不下。
《产乳集》记载：用盐填满肚脐使其平整，将葱白捣烂，铺成约一指厚的厚度，放在盐上面，然后在葱上放置艾炷进行艾灸。感觉到热气进入腹部内，小便即可通畅，此法非常灵验。
沈尧封说：如果这种方法无效，必定是气虚导致无法升举。黄芪在补气之中，已经蕴含了上升的特性，将其作为君药使用五钱；麦冬能清肃上焦水源，将其作为臣药使用一钱五分；白通草通达下焦，将其作为佐药使用八分。用水煎服一剂，可以见效。
《大全》说：产妇尿血，面色发黄，胁肋胀满，食欲减少，这是肝木克制脾土的表现。使用加味逍遥散、补中益气汤，煎服，可以痊愈。
朱丹溪说：我曾经看到接生人员不谨慎，损伤了产妇的膀胱，导致疾病淋漓不尽，最终成为废疾。有一位妇女，因年轻难产而得了这个病。我思考道：肌肉在外部的破损都可以修补完整；膀胱虽然在体内，想来也可以治疗。于是诊察她的脉象，发现非常虚弱。我说：难产的原因，多是气虚，产后气血尤其虚弱，尝试给予峻猛的补益。因此以人参、黄芪为君药；川芎、当归为臣药；桃仁、陈皮、茯苓为佐药；用猪或羊的膀胱煎汤，在极度饥饿时饮用。但是剂量较小，通常只用一两，经过一个月后病情安定。这是因为让气血迅速增长，膀胱自然修复，恐怕稍微迟缓也难以成功。
又有一次，生产时尿胞被损伤，小便淋漓不尽，使用两个蚕茧，烧至存性后研成粉末，服用一个月可以痊愈。（这是缪德仁的治疗验证）
坐草过早（过早用力分娩），产道受伤损坏，红肿溃烂，疼痛难以忍受。用蒸包子笼内的荷叶，煎汤清洗，每天三次，两天可以痊愈。（这是缪德仁的治疗验证）
陈无择说：产后阴户脱出，像脱肛一样，以及阴户向下挺出，逼迫肿痛，活动、房事劳累即发作，清水不断流出，小便淋漓不尽。硫黄、乌贼骨各二两，五味子二钱半，研成粉末掺敷患处，每天三次。
朱丹溪说：一位妇女生子后，阴户下方有一物突出，像倒扣的钵状，有两个分支。她的丈夫来求治。我思考道：这是子宫，必定是气血虚弱而下坠。于是用升麻、当归、黄芪等几帖药给她服用。半天后，她的丈夫再次前来说：服药两次后，听到响了一声，查看发现已经收入阴户内。但是因为隔了一夜，干粘在席子上，破了一片像手掌心大小的部分留在席子上。妻子在家哭泣，担心破损后不能再生育。我思考这并非肠胃，而是脂膜。肌肉破损尚可修复完整，如果气血充盛，必定可以生长丰满。于是用四物汤加入人参，给了一百帖药。三年后，又有了孩子。
黄芪一钱半，人参一钱，当归七分，升麻三分，甘草二分，作一帖，用水煎煮，饭前服用。治疗子宫下坠。外用五倍子末泡汤清洗，再用粉末敷贴，如此数次。应当多服药。永不复发。
*Chanru Ji* (Collection on Childbirth and Lactation) records: Fill the umbilicus with salt until level. Pound white parts of scallions (*Congbai*, Allii Fistulosi Bulbus), spread them to a thickness of about one finger, place them over the salt, and moxibustion is performed on top of the scallions using moxa cones. When heat sensation enters the abdomen, urination will immediately become unobstructed; this method is most effective.
Shen Yaofeng stated: If this method fails, it must be due to Qi deficiency failing to lift and support. Huangqi (Astragali Radix) possesses an ascending nature within its Qi-tonifying properties; use it as the Sovereign herb (Jun Yao) at 5 qian. Maidong (Ophiopogonis Radix) can clear the upper source (Lung); use it as the Minister herb (Chen Yao) at 1.5 qian. Baotongcao (Tetrapanacis Medulla) reaches the lower jiao; use it as the Assistant herb (Zuo Yao) at 0.8 fen. Decoct in water and take one dose for efficacy.
*Daquan* states: Postpartum hematuria, sallow complexion, hypochondriac distension, and poor appetite indicate Liver Wood overacting on Spleen Earth. Use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) and Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), decocted and taken orally, for cure.
Zhu Danxi said: I have observed that careless midwives may damage the postpartum woman's bladder, causing dribbling symptoms that eventually become a chronic disability. There was a young woman who suffered this after difficult labor. I reasoned that external muscle injuries can be repaired; although the bladder is internal, it should also be treatable. Upon examining her pulse, it was extremely deficient. I said: The cause of difficult labor is often Qi deficiency, and postpartum Qi and Blood are especially deficient; let us try vigorous tonification. Therefore, Renshen (Ginseng Radix) and Huangqi (Astragali Radix) were used as Sovereign herbs; Chuanxiong (Ligustici Rhizoma et Radix) and Danggui (Angelicae Sinensis Radix) as Minister herbs; Taoren (Persicae Semen), Chenpi (Citri Reticulatae Pericarpium), and Fuling (Poria) as Assistant herbs. Pig or sheep bladders were decocted in water, and the patient drank this when extremely hungry. However, the dosage was small, typically only 1 liang, and she stabilized after one month. This allowed Qi and Blood to increase rapidly, so the bladder healed itself; delay might have hindered success.
In another case where the urinary bladder was injured during delivery, causing dribbling urine, two silkworm cocoons were burned to retain their carbonized nature, ground into powder, and taken for one month for cure. (This is a verified treatment by Miao Deren).
Xue Lizhai stated: For Qi and Blood deficiency, Shiquan Dabu Tang (Ten Substance Great Tonifying Decoction) is indicated.
Xue Lizhai stated: For deficiency-heat in the Liver channel, Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) is indicated.
If bearing down too early causes injury to the birth canal, resulting in redness, swelling, ulceration, and unbearable pain, wash with decoction made from lotus leaves inside a steamer basket three times daily; healing occurs in two days. (This is a verified treatment by Miao Deren).
Chen Wuyue stated: Postpartum vaginal prolapse, resembling rectal prolapse, with downward protrusion of the vagina, oppressive swelling and pain, triggered by movement or sexual fatigue, continuous discharge of clear fluid, and dribbling urine. Treat with Liu Huang (Sulfur) and Hai Zhe Ke (Sepiae Endoconcha), each 2 liang, and Wuweizi (Schisandrae Chinensis Fructus), 2.5 qian, ground into powder and applied locally three times daily.
Zhu Danxi said: A woman presented with a mass protruding from below the vulva after childbirth, shaped like an inverted bowl with two branches. Her husband sought treatment. I reasoned: This is the uterus, likely prolapsed due to weak Qi and Blood. I prescribed several doses containing Shengma (Cimicifugae Rhizoma), Danggui (Angelicae Sinensis Radix), and Huangqi (Astragali Radix). Half a day later, the husband returned saying that after two doses, there was a popping sound, and examination showed the organ had retracted into the vagina. However, having been exposed overnight, it adhered dryly to the mat, tearing off a piece the size of a palm. The wife wept at home, fearing infertility due to the rupture. I reasoned this was not intestine but fatty membrane. Muscle tears can heal; if Qi and Blood are abundant, regeneration is certain. I prescribed Siwu Tang (Four Substances Decoction) with added Renshen (Ginseng Radix) for 100 doses. Three years later, she gave birth again.
Formula for Uterine Prolapse: Huangqi (Astragali Radix) 1.5 qian, Renshen (Ginseng Radix) 1 qian, Danggui (Angelicae Sinensis Radix) 7 fen, Shengma (Cimicifugae Rhizoma) 3 fen, Gancao (Glycyrrhizae Radix et Rhizoma) 2 fen. Prepare as one dose, decoct in water, and take before meals. Externally, wash with infusion of Wubeizi (Galla Chinensis) powder and apply the powder. Repeat several times. Oral medication should be continued extensively to prevent recurrence.