产后虚中感寒，及饮食冷物，下攻小腹作痛，前已论之矣。又有因血虚痛及小腹者，亦服生化
汤妙。至血块作痛，俗名儿枕痛者，亦用生化汤；不应，用延胡生化汤均可。冯氏用芎、归、益母、山
楂、香附、陈皮煎服。甚者，加炒五灵脂。密斋云∶脐下胞胎所系之处，血之所聚也。产后血去不尽，
即成小腹痛证，刺痛无时，痛则有形，须臾痛止，又不见形，血证黑神散主之。然有产妇小腹作痛，
服行气破血药不效，其脉洪数，此瘀血内溃为脓也。是因营卫不调，瘀血停滞，宜急治之，
缓则腐化为脓，最难治疗。若流注关节，则患骨疽，失治多为败证。脉数而洪，已
有脓；迟紧乃瘀血也，下之愈。若腹胀大，转侧作水声，或脓从脐出，或从大便出，用蜡矾丸、太乙膏下脓而愈。
延胡生化汤 治小腹儿枕块痛。
川芎（二钱） 当归（四钱，酒洗） 桃仁（十粒，去皮尖） 炮姜 炙草（各四分） 延胡（一钱）
水煎服。或用生化汤送延胡索一钱，治同。亦能治寒气痛。如无块，但小腹痛，可按而止者，属虚，
以生化汤加入延胡索散，再加入熟地二钱。
延胡索散
肉桂 延胡
各等分，合为细末听用。
蜡矾丸 治一切疮痈恶毒。先服此丸，护膜托里，使毒不攻心。或为毒虫蛇犬所伤，并宜服之。
黄蜡（二两） 白矾（一两）
先将蜡溶化，候少冷入矾和匀为丸，如小绿豆大。每服十丸，或二十丸。渐加至百丸，则有力。疮
愈后，服之亦佳。一方加雄黄，名雄矾丸，治蛊毒、蛇犬虫
咬毒。黄蜡甘温，白矾酸涩，并能固膜护心，解毒定痛，托里排脓，使毒瓦斯不致内攻，故外科诸证之所必用也。
太乙膏 治内外一切痈疡。
黑参 白芷 归身 肉桂 大黄 赤芍 生地（各二两）
上切为片，麻油二斤浸，春五、夏三、秋七、冬十日。煎熬去滓，滤净，再熬。
徐下黄丹，不住手搅，滴水不散为度。内痈可丸服之。
生化汤（见本卷生化汤论后。） 血证黑神散（见上卷谵语门。）
产后因正气虚弱感受寒邪，以及食用生冷食物，寒气下攻小腹导致疼痛，此前已经论述过。又有因血虚导致疼痛波及小腹的，服用生化汤（促进子宫复旧、化瘀生新的方剂）效果很好。至于因血块引起的疼痛，俗称“儿枕痛”的，也使用生化汤；如果无效，可以使用延胡生化汤，两者均可。冯氏主张用川芎、当归、益母草、山楂、香附、陈皮煎服。病情严重的，加入炒五灵脂。密斋说：脐下是胞胎系连之处，也是血液汇聚的地方。产后恶露排出不尽，就会形成小腹痛证，表现为无固定时间的刺痛，痛时感觉有形肿块，片刻后疼痛停止，肿块又消失不见，这是血证，以黑神散为主治方。然而，有的产妇小腹作痛，服用行气破血的药物无效，脉象洪大且数，这是瘀血在体内溃烂化脓所致。这是因为营卫不调，瘀血停滞，应当紧急治疗，如果拖延则瘀血腐化为脓，最难治疗。如果脓毒流注到关节，则会患骨疽，失治多成为败证。脉象数而洪大，说明已有脓液；脉象迟紧则是瘀血，用泻下法可以治愈。如果腹部胀大，转动身体时有水声，或者脓液从脐部流出，或从大便排出，使用蜡矾丸、太乙膏排出脓液即可痊愈。
延胡生化汤 治疗小腹儿枕块状疼痛。
川芎（二钱） 当归（四钱，酒洗） 桃仁（十粒，去皮尖） 炮姜 炙甘草（各四分） 延胡索（一钱）
用水煎服。或者用生化汤送服延胡索一钱，疗效相同。也能治疗寒气引起的疼痛。如果没有肿块，只是小腹痛，按压后可以缓解的，属于虚证，用生化汤加入延胡索散，再加入熟地黄二钱。
蜡矾丸 治疗一切疮疡痈肿恶毒。先服用此丸，保护内膜、托毒外出，使毒邪不攻心。或者是被毒虫、蛇、狗咬伤，都适宜服用。
黄蜡（二两） 白矾（一两）
先将黄蜡熔化，待稍凉后加入白矾搅拌均匀制成丸药，大小如绿豆。每次服用十丸，或二十丸。逐渐增加至一百丸，则药效更强。疮愈后，继续服用也很好。另一配方加入雄黄，名为雄矾丸，治疗蛊毒、蛇犬虫咬之毒。黄蜡味甘性温，白矾味酸涩，都能固护膜理、保护心脏、解毒定痛、托里排脓，使毒气不至于内攻，所以是外科各种病症必须使用的药物。
太乙膏 治疗内外各种痈疡。
玄参 白芷 当归身 肉桂 大黄 赤芍 生地黄（各二两）
以上药材切成片，用麻油二斤浸泡，春季五天、夏季三天、秋季七天、冬季十天。煎熬去渣，过滤干净，再熬。
慢慢加入黄丹，不停搅拌，直到滴水不散的程度为止。内痈也可以做成丸药服用。
Postpartum deficiency with cold invasion, as well as consumption of cold foods, causes cold to attack the lower abdomen leading to pain, which has been discussed previously. There are also cases where pain extends to the lower abdomen due to blood deficiency; taking Shenghua Tang (Decoction for Generating New Blood) is effective. For pain caused by blood clots, commonly known as "Ezhen Pain" (Placental Retention Pain), Shenghua Tang is also used; if ineffective, Yanhu Shenghua Tang can be used, both are suitable. Feng's method uses Xiong (Ligusticum Chuanxiong Rhizome), Gui (Angelica Sinensis Radix), Yimucao (Leonurus Japonicus Herba), Shan Zha (Crataegus Pinnatifida Seed), Xiang Fu (Cyperus Rotundus Rhizome), and Chen Pi (Citrus Reticulata Pericarpium) decocted and taken orally. In severe cases, Chao Wulingzhi (Trogopterus Dung) is added. Mizhai stated: The area below the navel is where the fetus was attached and where blood gathers. After childbirth, if lochia is not completely expelled, it forms a lower abdominal pain syndrome, characterized by stabbing pain at any time; when painful, there is a palpable mass, but after a moment the pain stops and the mass disappears. This is a blood syndrome, primarily treated with Heishen San (Black Divine Powder). However, some postpartum women experience lower abdominal pain that does not respond to Qi-moving and blood-breaking medications, with a surging and rapid pulse; this indicates that stagnant blood has ulcerated and turned into pus internally. This is due to disharmony of Ying and Wei (Nutritive and Defensive levels), with stagnant blood; urgent treatment is required. If delayed, the stagnation will rot and turn into pus, making it extremely difficult to treat. If the toxin flows into the joints, osteomyelitis (bone abscess) occurs; failure to treat often leads to a critical condition. A rapid and surging pulse indicates pus formation; a slow and tight pulse indicates blood stasis, which can be cured by purgation. If the abdomen is distended and large, with splashing sounds upon turning, or if pus discharges from the umbilicus or through the stool, using Lafan Wan (Beeswax and Alum Pill) or Taiyi Gao (Taiyi Plaster) to discharge the pus will lead to recovery.
Yanhu Shenghua Tang treats lower abdominal Ezhen block pain.
Xiong (2 qian) Gui (4 qian, wine-washed) Tao Ren (10 kernels, skin and tip removed) Pao Jiang (Prepared Ginger) Zhi Cao (each 4 fen) Yan Hu (1 qian)
Decoct in water and take orally. Alternatively, administer 1 qian of Yanhusuo powder with Shenghua Tang; the effect is the same. It can also treat pain caused by cold qi. If there is no mass, but only lower abdominal pain that can be relieved by pressure, it belongs to deficiency; use Shenghua Tang added with Yanhusuo San, plus Shu Di (2 qian).
Yanhusuo San
Rou Gui Yanhusuo
Equal parts, ground into fine powder for use.
Lafan Wan treats all sores, carbuncles, and malignant toxins. Take this pill first to protect the interior membranes and expel toxins outward, preventing the toxin from attacking the heart. It is also suitable for injuries caused by venomous insects, snakes, or dogs.
Huang La (2 liang) Bai Fan (1 liang)
First melt the beeswax, wait until slightly cool, then add alum and mix evenly to form pills the size of small mung beans. Take 10 or 20 pills per dose. Gradually increase to 100 pills for stronger efficacy. Taking it after the sore heals is also beneficial. Another formula adds Xiong Huang (Realgar), named Xiongfan Wan, treating gu poison and snake/dog/insect bites. Beeswax is sweet and warm; alum is sour and astringent. Both can solidify membranes, protect the heart, detoxify, relieve pain, promote pus discharge, and prevent internal attack of toxic gases; thus, they are essential for various surgical conditions.
Taiyi Gao treats all internal and external carbuncles and ulcers.
Hei Shen (Scrophularia Ningpoensis Root) Bai Zhi (Angelica Dahurica Root) Gui Shen (Angelica Sinensis Radix) Rou Gui (Cinnamon Bark) Da Huang (Rhubarb Root) Chi Shao (Red Peony Root) Sheng Di (Rehmannia Glutinosa Root) (each 2 liang)
Cut the above herbs into slices, soak in 2 jin of sesame oil. Soak for 5 days in spring, 3 days in summer, 7 days in autumn, and 10 days in winter. Boil to remove dregs, filter cleanly, and boil again.
Slowly add Huang Dan (Lead Monoxide), stirring constantly until a drop does not scatter in water. Internal carbuncles can also be taken as pills.
Shenghua Tang (See discussion on Shenghua Tang at the end of this volume.) Xuezheng Heishen San (See Delirium Section in the previous volume.)