产后血气失升降常度，留滞关节，筋脉引急，是以遍身疼痛，甚则腰脊强硬，手足拘挛，身热头痛，切勿作伤寒治
之。若认作伤寒，误发其汗，则筋脉动惕，手足厥冷，变生他症矣。趁痛散加桑寄生。（和三十一）
按之而痛缓，血虚也。四物汤加炮姜、人参、白术。（补七）
遍身青肿，麦芽一重，牛膝一重，填入瓦罐，盐泥封固， 赤研末，酒下二钱。治血流诸经极效。
虚劳而指节疼痛，汗出不止。猪肾煮汁，煎当归、人参、黄 、生姜、韭白、淡豆豉少许，温服。
产妇素弱，临产劳伤，中气多不足，胃虽纳谷，脾不健运。先服生化汤（和二十四）三、四剂。七日后，即服加参
生化汤（补五十八）。以助其脾气，自无虚满之患。或因便秘而误服大黄；或因多食而过服消导；或因忿怒而误服耗气等
药；又或恣饮寒冷，凝滞恶露以致胀者，或补气、或健脾、或暖胃行血，当察其所因以治之。
因恶露未尽所致。或产后气血虚弱，风冷乘之，搏于脏腑，与血气相结，因而成块。切勿轻用散气行血药。
风冷搏血，生化汤加木香三分，磨冲服。（和二十四）
冷湿乘虚而致，生化汤加肉桂、白芷、炒姜。
半月外不散，或如肿毒高寸许，身热食减，生化汤加肉桂、蓬术炭，攻补并治。（和二十四）
肢节肉里结成小核，此血虚筋燥而挛结也。由多用行血破血药以消块，致血不养筋，而筋不舒耳。宜补水以滋肝血，
养脾以运中气，八珍汤（补五）。归脾汤（补十九）加减治之。
产后气血运行失去正常的升降规律，停滞在关节处，导致筋脉牵引拘急，因此出现全身疼痛，严重时腰脊僵硬，手足拘挛，伴有身热头痛，千万不要当作伤寒来治疗。如果误认为是伤寒，错误地发汗，就会导致筋脉跳动震颤，手足厥冷，从而变生其他病症。此时应使用趁痛散（Cuntong San）加桑寄生。（参考第31节）
按压后疼痛缓解的，属于血虚证。使用四物汤（Siwu Tang）加炮姜、人参、白术。（参考补七）
全身出现青紫色肿胀，取一层麦芽、一层牛膝，填入瓦罐中，用盐泥封固，煅烧成炭研成细末，用酒送服二钱。治疗血流窜入各经脉的效果极佳。
因虚劳导致指节疼痛，出汗不止。用猪肾煮汁，加入当归、人参、黄芪、生姜、韭白、淡豆豉少许煎煮，温服。
这是败血流入经脉所致，使用生化汤（Shenghua Tang）加荆芥、肉桂、淮牛膝。（参考和二十四）
产妇平时体质虚弱，临产时劳累损伤，中气大多不足，虽然胃能受纳食物，但脾运化功能不强。先服用生化汤（和二十四）三到四剂。七日后，再服用加参生化汤（补五十八）。以此来助益脾气，自然就不会有虚胀的祸患。或者因为便秘而误服大黄；或者因为多吃而过服消食导滞药；或者因为愤怒而误服耗气等药物；又或者恣意饮用寒冷之物，导致恶露凝滞从而引起腹胀，应当根据病因，分别采用补气、健脾或暖胃行血的方法进行治疗。
这是由于恶露未尽所导致的。或者是产后气血虚弱，风冷之邪乘虚侵袭，搏结于脏腑，与血气相互凝结，因而形成肿块。千万不要轻易使用破气行血的药物。
若是风冷搏结血液所致，使用生化汤（和二十四）加木香三分，磨汁冲服。
若半月后肿块不散，或者像肿毒一样高出一寸左右，伴有身热食欲减退，使用生化汤加肉桂、蓬术炭，采取攻补兼治的方法。（参考和二十四）
肢节肌肉内结成小硬块，这是血虚筋脉干燥而拘挛结聚所致。由于过多使用行血破血的药物来消除肿块，导致血液不能滋养筋脉，从而使筋脉不得舒展。适宜通过补水以滋肝血，养脾以运化中气，使用八珍汤（补五）、归脾汤（补十九）加减进行治疗。
After childbirth, the ascending and descending of Qi and Blood lose their normal rhythm, stagnating in the joints. This causes the sinews and vessels to be pulled tight, resulting in pain throughout the body. In severe cases, there is stiffness of the waist and spine, spasms of the hands and feet, fever, and headache. Do not treat this as Taiyang disease (Taiyang Bing, a syndrome caused by pathogenic factors affecting the Taiyang meridian). If mistaken for Taiyang disease and treated with incorrect sweating methods, it will cause trembling of the sinews and vessels, coldness of the hands and feet, and generate other complications. At this time, use Cuntong San (Cuntong Powder) added with Sangjisheng (Taxilli Herba). (Refer to Section 31)
If pressure relieves the pain, it is due to Blood deficiency. Use Siwu Tang (Four Substances Decoction) added with Paojiang (Prepared Ginger Rhizome), Renshen (Ginseng Radix), and Baizhu (Atractylodis Macrocephalae Rhizoma). (Refer to Supplement 7)
For bluish-purple swelling throughout the body, take one layer of Maiya (Hordei Fructus Germinatus) and one layer of Niuxi (Achyranthis Bidentatae Radix), place them in a clay pot, seal tightly with salt mud, calcine until carbonized, grind into powder, and take two qian with wine. It is extremely effective for treating blood flowing into various meridians.
For finger joint pain due to consumptive disease (Xu Lao) and incessant sweating, boil pig kidneys in water, then decoct Danggui (Angelicae Sinensis Radix), Renshen (Ginseng Radix), Huangqi (Astragali Membranacei Radix), Shengjiang (Zingiberis Rhizoma Recens), Jiubai (Allii Tuberosi Bulbus), and Danchidou (Fermented Soybean) in small amounts. Take warm.
This is caused by residual blood entering the meridians. Use Shenghua Tang (Transforming Stasis Decoction) added with Jingjie (Schizonepetae Spica), Rougui (Cinnamomi Cortex), and Huainiuxi (Achyranthis Bidentatae Radix). (Refer to Harmonize 24)
The parturient was originally weak, and labor injuries depleted her Zhong Qi (Middle Jiao Qi). Although the Stomach accepts food, the Spleen's transportation function is weak. First, administer three to four doses of Shenghua Tang (Harmonize 24). After seven days, administer Jiashen Shenghua Tang (Supplement 58) to assist Spleen Qi, thereby preventing deficiency-related fullness. Alternatively, if constipation leads to the mistaken use of Dahuang (Rhei Radix et Rhizoma); or excessive eating leads to overuse of Xiaodao (Digestion-promoting) herbs; or anger leads to the mistaken use of Qi-consuming drugs; or indulgence in cold drinks causes Eluo (Lochia) to coagulate and stagnate, leading to distension, one must examine the cause and treat accordingly with tonifying Qi, strengthening the Spleen, or warming the Stomach and promoting Blood circulation.
This is caused by incomplete expulsion of Eluo (Lochia). Or, due to postpartum Qi and Blood deficiency, Wind-Cold invades, combats the Zang-Fu organs, and knots with Qi and Blood, forming masses. Do not lightly use Qi-dispersing and Blood-moving herbs.
If caused by Wind-Cold combing with Blood, use Shenghua Tang (Harmonize 24) added with Muxiang (Aucklandiae Radix), three fen, ground and taken as a suspension.
If caused by Cold-Damp invading due to deficiency, use Shenghua Tang added with Rougui (Cinnamomi Cortex), Baizhi (Angelicae Dahuricae Radix), and Chaojiang (Stir-fried Ginger Rhizome).
If after half a month the mass does not dissipate, or resembles a carbuncle protruding more than one cun, accompanied by fever and reduced appetite, use Shenghua Tang added with Rougui (Cinnamomi Cortex) and Pengzhu Tan (Carbonized Curcumae Radix), employing both attacking and tonifying treatments. (Refer to Harmonize 24)
Small nodules formed within the muscles and joints are due to Blood deficiency causing dry sinews and spasmodic knotting. This results from the excessive use of Blood-moving and Blood-breaking herbs to eliminate masses, leading to Blood failing to nourish the sinews and the sinews failing to relax. It is appropriate to nourish Water to moisten Liver Blood and nourish the Spleen to transport Middle Qi. Treat with modified Bazhen Tang (Eight Treasures Decoction) (Supplement 5) and Guipi Tang (Restore the Spleen Decoction) (Supplement 19).