大全云∶产后遍身疼痛者何。答曰∶产后百节开张，血脉流散，遇气弱，则经络肉分之
间血多流滞，累日不散，则骨节不利。筋脉急引，故腰背不得转侧，手足不能动摇，身热头
痛也。若医以为伤寒治之，则汗出而筋脉动惕，手足厥冷，变生他症，但服趁痛散除之。
（气弱血滞之痛不可作伤寒治，是矣，而血虚风寒之痛乃不论及何耶，详后五积散方即是）
薛氏曰∶前证若以手按而痛甚，（按法甚妙）是血滞也，用四物炮姜红花桃仁泽兰补而
散之。若按而痛稍缓，是血虚也，用四物炮姜人参白术补而养之。
一产妇身腹作痛，发热不食，烦躁不寐，盗汗胁痛，服解散祛血之药，不时昏愦，六脉
洪大如无，用补中益气加炮姜半夏；一剂顿退，二三又剂，寝食甘美，但背强而痛，用八珍
散大补汤调理而安。
一产妇遍身头项作痛，恶寒拘急，脉浮紧，此风寒之证也，用五积散一剂，汗出而愈，
但倦怠发热，此邪风去而真气虚也，用八珍汤调补而痊。
一妇六月产后，多汗人倦，不敢袒被，故汗出被里，冷则浸渍，得风湿疼痛，遂以羌活
续断汤，数服而愈。
趁痛散 治产后气弱血滞，筋脉拘挛，腰背强直，遍身疼痛。
当归 官桂 白术 黄 独活 牛膝 生姜（各五钱） 甘草（炙） 韭白（各三钱半）
上 咀，每服五钱，水煎服。此方根气弱来，故用 术，若外感重者，不可轻用）加桑寄
生半两，尤佳。
五积散 治产后身痛，兼感寒伤食。
方见前腹痛条，与四物汤各半，服之稳当。
加味四物汤 治产后血虚身痛。
当归 川芎 人参 芍药 熟地 白术 干姜（炮，各一钱）
上锉作一服，水煎服。
大全方 治产后遍身青肿疼痛及众疾。（此专治血流诸经，青肿作痛）
牛膝 大麦 （各等分）
上为细末，以新瓦罐子中填一重麦 ，一重牛膝，如此填满，用盐泥固济，火 过赤，放
冷，研为散，但是产后诸疾，热酒调下二钱。（只此四方类集有法，目之令人心赏）
《大全》记载：产后全身疼痛的原因是什么？回答说：产后全身关节松弛，血脉运行散乱，如果遇到气虚，那么在经络和肌肉腠理之间的血液就会多处停滞，多日不散，导致骨节活动不利。筋脉拘急牵引，所以腰背不能翻身侧转，手足不能随意动摇，伴有身体发热、头痛等症状。如果医生误认为是伤寒来治疗，就会导致出汗而筋脉跳动抽搐，手足冰冷，从而变生其他病症。应当服用趁痛散来消除症状。（气弱血滞引起的疼痛不可当作伤寒治疗，这是正确的，但对于血虚兼风寒引起的疼痛为何没有提及呢？详见后文五积散的方义即可明白）
薛氏说：上述症状如果用手按压时疼痛加剧，（这种按诊方法非常精妙），属于血滞，使用四物汤加入炮姜、红花、桃仁、泽兰，以补益并消散瘀血。如果按压时疼痛稍减，属于血虚，使用四物汤加入炮姜、人参、白术，以补益并滋养气血。
有一位产妇身体和腹部疼痛，发热且食欲不振，烦躁不安无法入睡，夜间盗汗，胁肋疼痛，服用了发散解表及祛瘀血的药物后，不时出现神志昏沉迷糊的症状，六脉洪大但重按无力（如无），改用补中益气汤加入炮姜、半夏；服用一剂后症状立刻减退，再服两剂后，睡眠和饮食恢复正常，只是背部僵硬疼痛，再用八珍散和大补汤调理而痊愈。
另一位产妇全身、头部和颈部疼痛，恶寒且肢体拘急，脉象浮紧，这是风寒的证候，服用五积散一剂，出汗后痊愈，但随后出现倦怠和发热，这是邪风已去而真气虚弱所致，用八珍汤调补而康复。
一位妇女在六月产后，出汗多且人体疲倦，不敢掀开被子，导致汗水浸渍在被子里，受冷后浸渍肌肤，引发风湿疼痛，于是服用羌活续断汤，数服后痊愈。
趁痛散：治疗产后气弱血滞，筋脉拘挛，腰背强直，全身疼痛。
药材：当归、官桂、白术、黄芪、独活、牛膝、生姜（各五钱）、甘草（炙）、韭白（各三钱半）。
制法与用法：将药材切碎，每次服用五钱，加水煎服。此方因气弱而起，故用白术；若外感较重者，不可轻易使用。）可加桑寄生半两，效果更佳。
五积散：治疗产后身痛，兼有感受寒邪和伤食。
方剂见前文腹痛条下，与四物汤各取一半合用，服用稳妥得当。
加味四物汤：治疗产后血虚身痛。
药材：当归、川芎、人参、芍药、熟地黄、白术、干姜（炮制，各一钱）。
制法与用法：锉碎作为一剂，加水煎服。
大全方：治疗产后全身青肿疼痛及各种杂病。（此方专门治疗血流注于诸经，导致青肿作痛）
药材：牛膝、大麦（各等分）。
制法与用法：研为细末，在新瓦罐中一层铺大麦，一层铺牛膝，如此填满，用盐泥密封固定，用火煅烧至通红，放冷后研为散剂。凡是产后各种疾病，用热酒调服二钱。（仅这四个方子类集就有章法，让人看了心生赞赏）
The *Daquan* records: What is the cause of generalized body pain after childbirth? The answer states: After childbirth, all joints and apertures open up, and blood vessels become disordered. If Qi is weak, blood stagnates in many places between the meridians and muscle layers. If this stagnation persists for days without resolving, joint movement becomes impaired. The sinews and vessels become tense and pull, causing the waist and back to be unable to turn or side-bend, and the hands and feet to be unable to move freely, accompanied by fever, headache, etc. If a physician mistakenly treats this as Taiyang disease (Exterior Syndrome), it will lead to sweating with twitching of the sinews and vessels, coldness of the hands and feet, and the generation of other pathological changes. One should administer Chentong San (Urging Pain-Relieving Powder) to resolve these symptoms. (It is correct that pain due to Qi deficiency and blood stagnation should not be treated as an exterior syndrome; however, why is pain due to Blood deficiency combined with Wind-Cold not mentioned? See the discussion on Wuji San below for clarification.)
Xue stated: Regarding the aforementioned symptoms, if pressing with the hand causes severe pain (this palpation method is excellent), it indicates blood stagnation. Use Siwu Tang (Four Substances Decoction) added with Paojiang (Prepared Ginger), Honghua (Safflower), Taoren (Peach Kernel), and Zelan (Prunella Vulgaris Herb) to tonify and dissipate the stagnation. If pressing causes the pain to ease slightly, it indicates Blood deficiency. Use Siwu Tang (Four Substances Decoction) added with Paojiang (Prepared Ginger), Renshen (Ginseng Root), and Baizhu (Atractylodes Macrocephala Rhizome) to tonify and nourish.
One postpartum woman suffered from abdominal and bodily pain, fever, loss of appetite, restlessness, insomnia, night sweats, and hypochondriac pain. After taking herbs for releasing the exterior and removing blood stasis, she occasionally experienced confusion and fainting. Her six pulses were large and forceful but empty upon deep pressure. She was prescribed Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Paojiang (Prepared Ginger) and Banxia (Pinellia Tuber). After one dose, symptoms subsided abruptly; after two more doses, her sleep and appetite returned to normal. However, she still had a stiff and painful back, which was resolved using Bazhen San (Eight Treasures Powder) and Dabu Tang (Great Tonifying Decoction) for regulation.
Another postpartum woman suffered from generalized pain in the body, head, and neck, aversion to cold, and limb stiffness. Her pulse was floating and tight, indicating a Wind-Cold pattern. She took Wuji San (Five Accumulations Powder) for one dose and recovered after sweating. However, she subsequently felt fatigued and had a low-grade fever, indicating that the pathogenic Wind had departed but True Qi was deficient. She was treated with Bazhen Tang (Eight Treasures Decoction) for tonification and recovery.
A woman gave birth in the sixth lunar month. She sweated excessively and felt weak, so she dared not uncover herself. Consequently, sweat soaked into her bedding, and when cooled, it dampened her skin, leading to pain from Wind-Dampness. She was administered Qianghuo Xuduan Tang (Notopterygium and Dipsacus Decoction) and recovered after several doses.
Chentong San (Urging Pain-Relieving Powder): Treats postpartum Qi deficiency and blood stagnation, characterized by tendon spasms, rigidity of the waist and back, and generalized body pain.
Ingredients: Danggui (Angelica Sinensis Radix), Guangui (Cinnamon Twig), Baizhu (Atractylodes Macrocephala Rhizome), Huangqi (Astragalus Membranaceus Root), Duhuo (Angelica Pubescens Radix), Niuxi (Achyranthes Bidentata Root), Shengjiang (Fresh Ginger Rhizome) (each 5 qian); Gancao (Licorice Root, honey-fried), Jiubai (Leek White) (each 3.5 qian).
Preparation and Administration: Coarsely crush the herbs. Take 5 qian per dose, decoct in water and drink. This formula addresses Qi deficiency, hence the use of Baizhu (Atractylodes Macrocephala Rhizome); if external contraction is severe, do not use lightly. Adding Sangjisheng (Taxillus Chinensis Caulis, 0.5 liang) is even better.
Wuji San (Five Accumulations Powder): Treats postpartum body pain complicated by Cold invasion and food stagnation.
See the formula under the previous section on Abdominal Pain. Mix equal parts with Siwu Tang (Four Substances Decoction) for safe administration.
Jiawei Siwu Tang (Modified Four Substances Decoction): Treats postpartum body pain due to Blood deficiency.
Ingredients: Danggui (Angelica Sinensis Radix), Chuanxiong (Ligusticum Chuanxiong Rhizome), Renshen (Ginseng Root), Shaoyao (Peony Root), Shudi (Rehmannia Glutinosa Root, prepared), Baizhu (Atractylodes Macrocephala Rhizome), Jiangjiang (Dried Ginger Rhizome, prepared) (each 1 qian).
Preparation and Administration: Coarsely cut into one dose, decoct in water and drink.
Daquan Fang (Formula from Daquan): Treats postpartum generalized cyanotic swelling and pain, as well as various miscellaneous diseases. (This specifically treats blood flow obstructing the meridians, causing cyanosis and pain.)
Ingredients: Niuxi (Achyranthes Bidentata Root), Damai (Hordeum Vulgare Grain) (equal proportions).
Preparation and Administration: Grind into fine powder. Layer Hordeum Vulgare Grain and Achyranthes Bidentata Root alternately in a new clay jar until full. Seal with salt mud, calcine over fire until red-hot, allow to cool, and grind into powder. For any postpartum condition, take 2 qian mixed with warm wine. (These four formulas are collected here with clear methodology, worthy of appreciation.)