郭稽中曰∶产后口鼻黑气起及鼻衄者何。答曰∶阳明者经脉之海，起于鼻交HT 中，还出
颊口，交人中，左之右，右之左。产后气虚血散，荣卫不理，散乱入于诸经，却还不得，故令
口鼻黑气起，及变鼻衄，此缘产后虚热，变生此症，胃绝脉败，不可治。经验方云∶急取绯线
一条，并产妇顶心发两条，紧系中指节上即止，无药可治，亦禳压之一端也。（真良法也，
当备之胸中，以待不时之用）
薛氏曰∶按胃脉挟口绕承浆，盖鼻准属脾土，鼻孔属肺金，谓胃虚肺损气脱血死之证，
急用二味参苏饮加附子五钱，亦有得生者。
汪石山治一妇人，产后血逆上行，鼻衄口干，心躁舌黑，盖因瘀血上升，遂用益母丸二
丸，童便化下，鼻衄渐止，血渐通。（益母童便妙，治虚热）
李氏曰∶此产后虚热所致，犀角地黄汤救之。
加味参苏饮
人参（二两） 苏木（二两） 附子（五钱）
上锉，水煎服。（此治虚热亦良，热加童便更妙）
郭稽中曰∶产后腹痛及泄利者何。答曰∶产后肠胃虚怯，寒邪易侵，若未盈月，饮冷当
风，乘虚袭留于肓膜，散于腹胁，故腹痛作阵，或如锥刀所刺，流入大肠，水谷不化，洞泻肠
鸣，或下赤白， 胁 胀，或痛走不定，急服调中汤立愈，若医者以为积滞取之，祸不旋踵，
谨之谨之。
陈无择评曰∶产后下利，非止一证，当随所因而调之。既云饮冷当风，何所不至，寒热
风湿，本属外因，喜怒忧思，还从内性，况劳役饥饱，皆能致病，若其洞泄，可服调中汤，赤白
带下，非此能愈，各随门类，别有三方。（此法中再审虚实乃当）
薛氏曰∶产后泻痢，或因饮食伤损脾土，或脾土虚不能消食，当审而治之。若米食所
伤，用六君加谷 ；若面食所伤，用六君子加麦 ；若肉食所伤，用六君加山楂神曲丸；兼
呕吐，皆加藿香；若兼咽酸或呕吐，用前药送越鞠丸；若肝木来侮脾土，用六君加柴胡、炮
姜；若寒水反来侮土，用钱氏益黄散；若久泻或元气下陷，兼补中益气汤，以升发阳气；若
泻痢色黄，乃脾土真气，宜加木香、肉果；若脾土虚寒，当用六君子加木香、姜、桂；若脾肾虚
寒，用补中益气及四神丸（此十一法须体酌纯熟，然只用八方加减，可谓要而约矣，而八方
之中，以六君子加味者五，补中益气者二，而益黄、四神、八味肾气等药，或兼或专，真切减
当，于此得心，其他亦可变通矣，又何患方之
不广，用之不神欤）；若属命门火衰而脾土虚寒，用八味丸以补土母；若小便涩滞，肢体渐
肿，或兼喘咳，用金匮肾气丸以补脾肾，利水道；若肾气虚弱而四肢浮肿，治须补胃为主，
若久而不愈，或非饮食所伤而致，乃属肾气亏损。盖胞胎主于任而系于肾，况九月十月乃肾
与膀胱所养，必用四神、六味、八味三药以补肾，若用分利导水之剂，是虚其虚也。
一产妇泻痢，发热作渴，吐痰甚多，肌体消瘦，饮食少思，或胸膈痞满，或小腹胀坠，年
余矣，余以为脾肾泻，朝用二神丸，夕用六君子，三月余而痊。
一妇产后泄泻，兼呕吐咽酸，面目浮肿，此脾气虚寒，先用六君加炮姜为主（按总方所
言脾土虚寒，用六君加木香姜桂，而此止加炮姜一味为主，是又不必拘于一定之法矣），佐
以越鞠丸，而咽酸愈，又用补中益气加茯苓半夏，而脾胃康。
一产妇泄泻年余，形体骨立，内热晡热，自汗盗汗，口舌糜烂，日吐痰三碗许，脉洪大，
重按全无，此命门火衰，脾土虚寒而假热也，吐痰者，乃脾虚不能统摄归源也，用八味丸补
火以生土，用补中益气汤，兼补肺金而脾胃健。（审证审脉，用药俱当，具法眼者能之）
一产妇腹痛后重，去痢无度，形体倦怠，饮食不进，与死为邻，此脾肾俱虚，用四神丸
十全大补汤而愈，但饮食难化，肢体倦怠，用补中益气而康。（此法据前条止用补中四神，
而此又加一十全大补，可见须因症用药，毋执泥也）
一妇人五月患痢，日夜无度，小腹坠痛，发热恶寒，用六君子汤送香连丸，二服渐愈，
仍以前汤送四神丸，四服痊愈，至七月终，怠
惰嗜卧，四肢不收，体重节痛，口舌干燥，饮食无味，大便不实，小便频数，洒栗恶寒，凄惨不
乐，此肺与脾胃俱虚，而阳气虚寒不伸也，用升阳益胃汤而痊。（知立言之中，有不言之妙，
所谓言不尽意也）
汪石山治一妇产后滑泄，勺水粒米弗容，时即泄下，如此半月余，众皆危之（丹溪云∶泄
泻症最恶一切汤饮。石山亦然，所谓理无二致也），或用五苓散平胃散，病益甚。汪诊之，脉
皆濡缓而弱，曰∶此产中劳力，以伤其胃也，若用汤药，愈滋胃湿，非所宜也。今以参苓白术
散，除砂仁，加陈皮肉豆蔻，煎姜枣调服，旬余而安。
调中汤 治产后肠胃虚怯，冷气乘之，腹胁刺痛，洞泄不止。
良姜 当归（酒浸） 肉桂（不见火） 白芍（炒） 川芎 附子（炮，去皮尖，各一两）
人参 甘草（炙，各半两）
上 咀，每服三钱，水煎服。
豆蔻理中丸 治产后元气虚弱，脐腹疼痛，泄泻不止，又治男子脾胃虚弱，久泄不止。
人参（一两） 白术（二两） 干姜（炮） 甘草（炙，各五钱） 肉豆蔻（面裹煨，七钱）
上为细末，炼蜜丸如桐子大，每服四五十丸，空心米饮下，酒煮面糊丸亦可。
神效参香散 治产后脾胃虚寒，泄泻洞下，及痢疾日久，秽积已尽，滑泻不止，此收涩如神。
人参 木香（各二钱） 肉豆蔻（煨） 白茯苓 白扁豆（各四钱） 陈皮 罂粟壳（去蒂穣，醋炙，各一两）
上为细末，每服一钱匕，清米饮调下，食远服。（此收涩之剂，陈皮与粟壳相等，得处方之妙）
万历已亥，余官金陵，内人十二月产难，经宿始娩，越旬日洞泻，点水入口即下，内人
恐惧大哭，自谓必死，余偶有此药，用一钱，以米饮调服，才下咽泻即止，真起死回生之药
也。
郭稽中说：产后口鼻出现黑气并伴有鼻出血是怎么回事？回答说：阳明经是十二经脉的海，起于鼻部交于额中，回出经过脸颊和口唇，交叉于人中穴，左侧向右，右侧向左。产后气血虚弱，血液散乱，营卫之气运行不畅，血液散乱进入各条经脉，却无法回归原位，所以导致口鼻出现黑气，进而变成鼻出血。这是由于产后虚热，衍生出这种症状，如果胃气断绝、脉象败坏，就无法治疗了。经验方说：急忙取一根红线，连同产妇头顶的两根头发，紧紧系在中指关节上即可止血，没有药物可以治疗，这也是一种禳解压制的方法。（这是真正良效的方法，应当记在心里，以备不时之需）
薛氏说：按胃脉环绕口唇并经过承浆穴，鼻尖属脾土，鼻孔属肺金。这被认为是胃虚、肺损、气脱、血死的证候，急忙使用二味参苏饮加入五钱附子，也有救活的案例。
汪石山治疗一位妇人，产后血逆上行，出现鼻出血、口干、心烦、舌苔发黑的症状，这是因为瘀血上升，于是服用益母丸两丸，用童子小便送服，鼻出血逐渐停止，血液逐渐通畅。（益母草和童子小便配合很妙，适用于治疗虚热）
加味参苏饮
人参（二两） 苏木（二两） 附子（五钱）
以上切碎，用水煎煮后服用。（此方治疗虚热也很有效，若热象重加入童子小便更妙）
郭稽中说：产后腹痛及腹泻是怎么回事？回答说：产后肠胃虚弱怯懦，寒邪容易侵袭，如果未满月，喝冷水或当风受寒，寒气乘虚侵入并停留在肓膜，散布在腹胁部，所以阵发性腹痛，或者像锥刀刺入一样疼痛，流入大肠，导致水谷不消化，发生洞泻（剧烈腹泻）、肠鸣，或者排出赤白粘液，胁肋胀满，或者疼痛游走不定，急忙服用调中汤立刻痊愈。如果医生误认为是积滞而采用攻下法，灾祸马上就会降临，务必谨慎，务必谨慎。
陈无择评论说：产后下利，不止一种证型，应当根据病因进行调理。既然说是喝冷水当风受寒，那么各种情况都可能发生，寒、热、风、湿属于外因，喜、怒、忧、思源于内性，况且劳累过度、饥饱失常，都能致病。如果是洞泄，可以服用调中汤；如果是赤白带下，此方不能治愈，应分别查阅各类门类，另有三方。（这种方法中必须再审视虚实才恰当）
薛氏说：产后泻痢，可能是因为饮食损伤脾土，或者是脾土虚弱不能消化食物，应当仔细审察后治疗。如果是米食所伤，用六君子汤加谷芽；如果是面食所伤，用六君子汤加麦芽；如果是肉食所伤，用六君子汤加山楂神曲丸；兼有呕吐的，都加藿香；如果兼有咽酸或呕吐，用前面的药送服越鞠丸；如果肝木来克制脾土，用六君子汤加柴胡、炮姜；如果寒水反来克制脾土，用钱氏益黄散；如果久泻或元气下陷，兼用补中益气汤，以升发阳气；如果泻痢颜色发黄，那是脾土的真气外露，宜加木香、肉豆蔻；如果脾土虚寒，应当用六君子汤加木香、干姜、肉桂；如果脾肾虚寒，用补中益气汤及四神丸（这十一法需要体会斟酌纯熟，然而只用八方加减，可谓简要扼要了，而在八方之中，以六君子汤加味的有五种，补中益气汤有两种，而益黄散、四神丸、八味肾气丸等药，或兼用或专用，真切得当，于此用心，其他也可变通了，又何必担心方剂不广、运用不灵呢）；如果属于命门火衰而脾土虚寒，用八味丸来补土之母（补肾）；如果小便涩滞，肢体逐渐浮肿，或者兼有喘咳，用金匮肾气丸来补脾肾，通利水道；如果肾气虚弱而四肢浮肿，治疗必须以补胃为主，如果久而不愈，或者不是饮食所伤导致的，那属于肾气亏损。因为胞胎主于任脉而系于肾，况且怀孕九月十月乃是由肾与膀胱滋养，必须用四神丸、六味丸、八味丸三种药来补肾，如果使用分利导水的药剂，就是使虚者更虚了。
一位产妇患泻痢，发热口渴，痰多，身体消瘦，食欲不振，有时胸膈痞满，有时小腹胀坠，病程一年多了，我认为这是脾肾泻，早晨服用二神丸，晚上服用六君子汤，三个多月后痊愈。
一位产妇产后泄泻，兼有呕吐咽酸，面目浮肿，这是脾气虚寒，先用六君子汤加炮姜为主（按总方所说脾土虚寒，用六君子汤加木香、姜、桂，而这里只加炮姜一味为主，说明不必拘泥于固定的方法），佐以越鞠丸，咽酸就好了，又用补中益气汤加茯苓、半夏，脾胃就康复了。
一位产妇泄泻一年多，形体枯瘦如柴，午后内热，自汗盗汗，口舌糜烂，每天吐痰约三碗，脉象洪大，重按完全无力，这是命门火衰，脾土虚寒而产生的假热。吐痰是因为脾虚不能统摄归源，用八味丸补火以生土，用补中益气汤，兼补肺金从而使脾胃强健。（审察证候和脉象，用药都恰当，具有法眼的人才能做到）
一位产妇腹痛后重，痢疾无度，形体倦怠，饮食不进，濒临死亡，这是脾肾俱虚，用四神丸和十全大补汤而痊愈，但饮食难化，肢体倦怠，用补中益气汤而康复。（此法依据前条只用补中益气汤和四神丸，而这里又加了十全大补汤，可见必须根据症状用药，不要固执拘泥）
一位妇人五月患痢疾，日夜无度，小腹坠痛，发热恶寒，用六君子汤送服香连丸，两服后逐渐好转，仍以前汤送服四神丸，四服后痊愈。到了七月末，怠惰嗜卧，四肢不收，体重节痛，口舌干燥，饮食无味，大便不成形，小便频数，洒淅恶寒，凄惨不乐，这是肺与脾胃俱虚，而阳气虚寒不能伸展，用升阳益胃汤而痊愈。（知晓立言的中道，有不言之妙，所谓言语不能完全表达心意）
汪石山治疗一位产妇产后滑泄，连勺水粒米都容不下，随即泄下，如此半月多，众人都认为危险（丹溪说：泄泻症最忌讳一切汤饮。石山也这样认为，道理没有两样），有人用五苓散和平胃散，病情更加严重。汪石山诊察，脉象皆濡缓而弱，说：这是产中劳力，损伤了胃气，如果用汤药，会更加滋长胃湿，不合适。现在用参苓白术散，去掉砂仁，加陈皮、肉豆蔻，煎煮时用姜枣调和服用，十几天后安稳。
调中汤 治疗产后肠胃虚弱怯懦，冷气乘虚而入，腹胁刺痛，洞泄不止。
良姜 当归（酒浸） 肉桂（不见火） 白芍（炒） 川芎 附子（炮制，去皮尖，各一两）
人参 甘草（炙，各半两）
以上切碎，每次服用三钱，用水煎煮后服用。
豆蔻理中丸 治疗产后元气虚弱，脐腹疼痛，泄泻不止，又治疗男子脾胃虚弱，久泄不止。
人参（一两） 白术（二两） 干姜（炮制） 甘草（炙，各五钱） 肉豆蔻（面粉包裹煨熟，七钱）
以上研为细末，炼蜜制成梧桐子大小的丸药，每次服用四五十丸，空腹用米汤送下，用酒煮面糊制丸也可以。
神效参香散 治疗产后脾胃虚寒，泄泻洞下，以及痢疾日久，秽积已尽，滑泻不止，此方收涩效果如神。
人参 木香（各二钱） 肉豆蔻（煨） 白茯苓 白扁豆（各四钱） 陈皮 罂粟壳（去蒂瓤，醋炙，各一两）
以上研为细末，每次服用一钱匕，用清米汤调下，饭后服用。（这是收涩的药剂，陈皮与粟壳用量相等，得出处方的奥妙）
万历己亥年，我在金陵做官，家眷十二月分娩困难，过了一夜才娩出，过了十天发生洞泄，一点水入口即泻下，家眷恐惧大哭，自认为必死无疑，我偶然有此药，用一钱，用米汤调服，刚咽下泻即止，真是起死回生的药啊。
Guo Jizhong said: What is the reason for the appearance of black qi around the mouth and nose accompanied by epistaxis (nosebleed) after childbirth? The answer is: The Yangming Meridian is the sea of the twelve meridians, originating at the nose, crossing at the forehead, emerging to pass through the cheeks and lips, crossing at the Renzhong point, with the left side connecting to the right and the right to the left. After childbirth, Qi and Blood are deficient, blood scatters, and Ying (Nutritive) and Wei (Defensive) Qi fail to circulate properly. Blood scatters into the various meridians but cannot return to its proper place, thus causing black qi to appear around the mouth and nose, which then transforms into epistaxis. This arises from postpartum deficiency-heat generating this syndrome. If Stomach Qi is exhausted and the pulse is ruined, it is incurable. An empirical prescription states: Quickly take a red thread and two hairs from the vertex of the parturient's head, tie them tightly around the middle joint of the middle finger to stop bleeding. There is no medicine for this; it is also a form of apotropaic suppression. (This is truly an effective method; one should keep it in mind for emergencies.)
Xue said: According to the Stomach Meridian, it surrounds the lips and passes through the Chengjiang point. The tip of the nose belongs to Spleen Earth, and the nostrils belong to Lung Metal. This is considered a syndrome of Stomach deficiency, Lung damage, Qi collapse, and Blood death. Urgently use Erwei Rensu Yin (Two-Ingredient Ginseng and Perilla Decoction) added with five qian of Fuzi (Prepared Aconite Root), and there have been cases of survival.
Wang Shishan treated a woman who, after childbirth, experienced upward reversal of blood, resulting in epistaxis, dry mouth, mental restlessness, and a black tongue coating. This was due to rising blood stasis. He administered two pills of Yimu Wan (Motherwort Pill), dissolved in child's urine (Tongbian). The epistaxis gradually stopped, and blood circulation gradually normalized. (The combination of Motherwort and Child's Urine is excellent for treating deficiency-heat.)
Li said: This is caused by postpartum deficiency-heat; it should be rescued with Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction).
Jiawei Rensu Yin (Modified Ginseng and Perilla Decoction)
Renshen (Ginseng Root) (2 liang)
Sumu (Sappan Wood) (2 liang)
Fuzi (Prepared Aconite Root) (5 qian)
Crush these ingredients, decoct in water, and take orally. (This formula is also effective for deficiency-heat; adding Tongbian if heat is prominent is even better.)
Guo Jizhong said: What is the reason for abdominal pain and diarrhea after childbirth? The answer is: Postpartum intestines and stomach are weak and timid, making them susceptible to invasion by Cold Evil. If within one month, one drinks cold water or exposes oneself to wind, the pathogenic factor invades due to deficiency and remains in the Huangmo (Tri-Jiao membrane), spreading to the abdomen and hypochondrium. Thus, paroxysmal abdominal pain occurs, feeling like stabbing with awls or knives. If it flows into the Large Intestine, water and grain are not digested, leading to profuse watery diarrhea (Dongxie), borborygmus, or passage of red and white mucus. There may be hypochondriac distension or wandering pain. Urgently take Tiaozhong Tang (Regulate the Middle Decoction) for immediate cure. If a physician mistakenly treats it as food stagnation and uses purgatives, disaster will follow immediately. Be extremely cautious.
Chen Wuze commented: Postpartum dysentery/diarrhea is not a single syndrome; treatment should be adjusted according to the cause. Since it mentions drinking cold water and exposure to wind, various conditions can arise. Cold, Heat, Wind, and Dampness belong to external causes; Joy, Anger, Worry, and Thought stem from internal nature. Moreover, overwork and irregular diet can all cause disease. If it is profuse watery diarrhea, Tiaozhong Tang can be taken; if it is red and white leukorrhea, this formula cannot cure it. Refer to respective categories for three other formulas. (In this method, one must re-examine deficiency and excess to be appropriate.)
Xue said: Postpartum diarrhea and dysentery may be due to dietary injury damaging Spleen Earth, or Spleen Earth deficiency failing to digest food. Treatment should be determined after careful examination. If injured by rice, use Liu Jun Zi Tang (Six Gentlemen Decoction) plus Gu Ya (Grain Sprout); if injured by wheat products, use Liu Jun Zi Tang plus Mai Ya (Malt); if injured by meat, use Liu Jun Zi Tang plus Shan Zha Shen Qu Wan (Hawthorn and Medicated Leaven Pill). If accompanied by vomiting, add Huo Xiang (Patchouli). If accompanied by acid regurgitation or vomiting, send down Yueju Wan (Yueju Pill) with the previous medicine. If Liver Wood insults Spleen Earth, use Liu Jun Zi Tang plus Chai Hu (Bupleurum Root) and Pao Jiang (Prepared Ginger). If Cold Water insults Earth, use Qian Shi Yihuang San (Qian's Yellow Soothing Powder). If chronic diarrhea or sinking of Yuan Qi occurs, combine with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) to raise Yang Qi. If diarrhea/dysentery stool is yellow, indicating Spleen Earth true Qi leaking out, add Mu Xiang (Aucklandia Root) and Rou Dou Kou (Nutmeg). If Spleen Earth is deficient and cold, use Liu Jun Zi Tang plus Mu Xiang, Gan Jiang (Dried Ginger), and Rou Gui (Cinnamon Bark). If Spleen and Kidney are deficient and cold, use Buzhong Yiqi Tang and Sishen Wan (Four Spirits Pill). (These eleven methods require thorough understanding; however, using only eight base formulas with modifications is concise. Among these eight, Liu Jun Zi Tang variants account for five, Buzhong Yiqi Tang for two, while Yihuang San, Sishen Wan, and Bawei Shengqi Wan are used singly or combined appropriately. Mastering this allows flexibility in other prescriptions.) If Mingmen Fire declines causing Spleen Earth deficiency-cold, use Bawei Wan (Eight-Ingredient Pill) to tonify the mother of Earth (Kidney). If urination is obstructed, limbs swell, or asthma/cough occurs, use Jin Gui Shenqi Wan (Golden Cabinet Kidney Qi Pill) to tonify Spleen and Kidney and promote water metabolism. If Kidney Qi is weak causing limb edema, treatment must focus on tonifying the Stomach. If prolonged and not due to dietary injury, it belongs to Kidney Qi depletion. The Bao Tai (Fetus) is governed by the Ren Mai and connected to the Kidney. In the ninth and tenth months of pregnancy, nourishment comes from the Kidney and Bladder. One must use Sishen Wan, Liuwei Wan (Six-Ingredient Pill), and Bawei Wan to tonify the Kidney. Using diuretic and draining agents would further deplete deficiency.
A parturient suffered diarrhea and dysentery with fever, thirst, excessive phlegm, emaciation, poor appetite, occasional chest fullness, and lower abdominal bearing-down sensation for over a year. I diagnosed it as Spleen-Kidney diarrhea, prescribingershen Wan (Two Spirits Pill) in the morning and Liu Jun Zi Tang in the evening. She recovered after more than three months.
A parturient had postpartum diarrhea with vomiting and acid regurgitation, facial swelling. This was Spleen Qi deficiency-cold. First, use Liu Jun Zi Tang plus Pao Jiang as the main treatment. (Note: The general text says for Spleen Earth deficiency-cold, use Liu Jun Zi Tang plus Mu Xiang, Ginger, and Cinnamon; here only Pao Jiang is used primarily, showing one need not rigidly adhere to fixed methods.) Assist with Yueju Wan to cure acid regurgitation, then use Buzhong Yiqi Tang plus Fu Ling (Poria) and Ban Xia (Pinellia) to restore Spleen and Stomach health.
A parturient had diarrhea for over a year, becoming emaciated, with afternoon internal heat, spontaneous and night sweats, oral ulcers, expectorating about three bowls of phlegm daily. The pulse was large and forceful on superficial pressure but empty on deep pressure. This indicated Mingmen Fire decline, Spleen Earth deficiency-cold, and false heat. The phlegm resulted from Spleen deficiency failing to control and return essence. Use Bawei Wan to tonify Fire to generate Earth, and Buzhong Yiqi Tang to tonify Lung Metal, thereby strengthening Spleen and Stomach. (Examining symptoms and pulse accurately, and prescribing accordingly, requires expert insight.)
A parturient had abdominal pain with tenesmus, profuse dysentery, fatigue, and inability to eat, nearing death. This was dual deficiency of Spleen and Kidney. She recovered using Sishen Wan and Shiquan Dabu Tang (Ten Great Tonification Decoction). However, due to difficulty digesting food and limb fatigue, she recovered fully with Buzhong Yiqi Tang. (This case shows that while previous guidelines suggested only Buzhong Yiqi Tang and Sishen Wan, adding Shiquan Dabu Tang here demonstrates the necessity of adapting to specific symptoms rather than rigid adherence.)
A woman contracted dysentery in May, with day and night frequency, lower abdominal bearing-down pain, fever, and aversion to cold. She took Liujunzi Tang sending Xianglian Wan (Costus and Coptis Pill), improving after two doses. Then, the same decoction sent Sishen Wan, curing her after four doses. By late July, she felt lethargic, desired sleep, had flaccid limbs, heavy body and joint pain, dry mouth and tongue, loss of taste, loose stools, frequent urination, chills, and depression. This indicated dual deficiency of Lung and Spleen-Stomach, with Yang Qi deficiency-cold unable to extend. She recovered using Shengyang Yiewei Tang (Raise Yang and Benefit Stomach Decoction). (There is profound meaning beyond words in stating principles.)
Wang Shishan treated a parturient with postpartum slippery diarrhea, unable to retain even a spoonful of water or grain, expelling it immediately. This persisted for over half a month, and others deemed it critical. (Danxi stated: Diarrhea is worst when all soups and drinks are prohibited. Shishan agreed, as the principle is the same.) Someone used Wuling San (Five-Ling Powder) and Pingwei San (Level the Middle Powder), worsening the condition. Wang diagnosed a soft, slow, and weak pulse, stating: This is stomach injury due to labor during childbirth. Using liquid medicines would increase Stomach Dampness, which is unsuitable. Now, use Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder), removing Sha Ren (Amomum Fruit), adding Chen Pi (Tangerine Peel) and Rou Dou Kou (Nutmeg), decocted with Ginger and Jujube, taken orally. She stabilized after ten days.
Tiaozhong Tang (Regulate the Middle Decoction) Treats postpartum weakness of intestines and stomach, invasion by Cold Qi, stabbing pain in abdomen and hypochondrium, and unceasing profuse diarrhea.
Liang Jiang (Galangal Rhizome)
Dang Gui (Angelica Sinensis Root) (soaked in wine)
Rou Gui (Cinnamon Bark) (avoid fire)
Bai Shao (White Peony Root) (stir-fried)
Chuan Xiong (Ligusticum Rhizome)
Fuzi (Prepared Aconite Root) (processed, skin and bud removed, each 1 liang)
Renshen (Ginseng Root)
Gan Cao (Licorice Root) (honey-fried, each 0.5 liang)
Crush these ingredients. Take 3 qian per dose, decoct in water, and take orally.
Doukou Lizhong Wan (Cardamom Regulate the Middle Pill) Treats postpartual Yuan Qi deficiency, umbilical and abdominal pain, unceasing diarrhea; also treats male Spleen-Stomach deficiency and chronic diarrhea.
Renshen (Ginseng Root) (1 liang)
Baizhu (Atractylodes Macrocephala Rhizome) (2 liang)
Gan Jiang (Dried Ginger) (processed)
Gan Cao (Licorice Root) (honey-fried, each 5 qian)
Rou Dou Kou (Nutmeg) (wrapped in flour and baked, 7 qian)
Grind into fine powder, make pills with refined honey the size of paulownia seeds. Take 40-50 pills per dose on an empty stomach with rice water. Pills made with wine-boiled wheat paste are also acceptable.
Shenxiao Shenxiang San (Miraculous Ginseng and Aucklandia Powder) Treats postpartum Spleen-Stomach deficiency-cold, profuse diarrhea, and long-term dysentery where foul accumulation is exhausted but slippery diarrhea persists. This astringent formula works miraculously.
Renshen (Ginseng Root)
Muxiang (Aucklandia Root) (each 2 qian)
Rou Dou Kou (Nutmeg) (baked)
Bai Ful Ling (Poria)
Bai Bian Dou (Hyacinth Bean) (each 4 qian)
Chen Pi (Tangerine Peel)
Yangsuke Ke (Poppy Shell) (remove stalk and pith, vinegar-fried, each 1 liang)
Grind into fine powder. Take 1 qian-bi per dose, mixed with clear rice water, taken well after meals. (In this astringent formula, the equal dosage of Tangerine Peel and Poppy Shell reflects the subtlety of prescription design.)
In the Ji Hai year of the Wanli era, I served in Jinling. My wife had difficult labor in December, delivering only after a night passed. Ten days later, she developed profuse diarrhea; any water entered, it was immediately expelled. She cried in fear, believing she would die. I happened to have this medicine, gave her 1 qian mixed with rice water. As soon as it swallowed, the diarrhea stopped. It was truly a life-saving drug.