人之胃脘，居于心下，产后或伤寒气及冷物而作痛，因痛近于心，俗呼为心痛。殊不知心为君
主之官，主血行气，统驭脏腑。血气盛则泰然安宁，血不足则怔忡惊悸不安耳，岂可痛乎？若寒伤心
经，为真心痛，与真头痛证同，皆无药可救。手足甲见青黑色，旦发夕死，诸书论之详矣。凡胃口痛，
当散胃中之冷物，生化立效方治之，无有不安。若独用热药攻寒，其痛虽止而血妄行，反虚产母。
况寒者必挟虚，而燥热者，必佐阴药，方能制其僭越也。至于绵绵而痛，当问血块尽，又可揉按而
少止是虚，当用补剂。大抵产后寒食，上攻于心则心痛，下攻于腹则腹痛，治心腹之痛，大约相同。
冯氏云∶产后阴血亏损，随火上冲心络，名曰心包络痛，宜归脾汤主之。《医通》用理中加当归治之。
生化立效方 治产后因伤冷物，胃脘作痛。
川芎（二钱） 当归（四钱） 桃仁（十粒，去皮尖） 干姜（炙黑） 炙草（各五分） 肉桂
吴茱萸（各四分）
水煎服。一方无桃仁。伤肉食，加山楂、砂仁。伤面食，加炒神曲、炒麦芽。大便秘，加酒洗苁
蓉。《尊生》云∶如不止，蒲黄二钱五分，五灵脂一钱四分，木通一钱，赤芍一钱，没药一钱，延胡
一钱五分，姜黄一钱五分，盐卤一滴。此盖因瘀作痛，服前药痛仍不止而用也。
归脾汤（见上卷胞漏小产门。） 理中汤（见上卷疟门，附枳实理中汤下。）
人的胃脘部位，位于心脏下方。产后如果因感受寒邪或食用生冷食物而导致疼痛，因为疼痛位置靠近心脏，民间俗称“心痛”。殊不知，心是君主之官，主管血液运行和气的流通，统率驾驭各个脏腑。气血充盛时，身体就会安宁平和；气血不足时，才会出现心悸、惊悸不安等症状，怎么可能会发生剧烈疼痛呢？如果是寒邪直接损伤了心经，导致“真心痛”，这与“真头痛”的证候相同，都是无药可救的危重症。此时手足指甲会出现青黑色，早晨发病晚上就会死亡，各种医书对此论述得非常详细。凡是胃口的疼痛，应当消散胃中的冷积物，使用生化立效方治疗，没有不痊愈的。如果单独使用热药来攻逐寒邪，虽然疼痛可以停止，但会导致血液妄行，反而使产妇更加虚弱。况且寒邪往往夹杂虚证，而燥热的药物，必须配合滋阴的药物，才能制约其过于亢盛的药性。至于那种绵绵不断的隐痛，应当询问是否血块已经排尽，如果可以通过揉按而稍微缓解，说明是虚证，应当使用补益剂。大抵来说，产后因寒食上攻于心则表现为心痛，下攻于腹则表现为腹痛，治疗心腹部的疼痛，方法大致相同。冯氏说：产后阴血亏损，虚火随气上冲心包络，称为“心包络痛”，适宜用归脾汤主治。《医宗金鉴·医通》使用理中汤加入当归来治疗。
生化立效方：治疗产后因伤食生冷之物，导致胃脘疼痛。
川芎（二钱） 当归（四钱） 桃仁（十粒，去皮尖） 干姜（炙黑） 炙甘草（各五分） 肉桂、吴茱萸（各四分）
用水煎服。另一版本方中没有桃仁。如果是伤食肉类，加山楂、砂仁。如果是伤食面食，加炒神曲、炒麦芽。大便干燥秘结，加酒洗肉苁蓉。《尊生全书》说：如果疼痛不止，可用蒲黄二钱五分，五灵脂一钱四分，木通一钱，赤芍一钱，没药一钱，延胡索一钱五分，姜黄一钱五分，盐卤一滴。这大概是因瘀血阻滞引起的疼痛，服用前面的药物后疼痛仍不止时才使用的方子。
The epigastrium (upper abdomen) is located below the heart. Postpartum, pain may occur due to invasion of cold pathogens or consumption of cold foods. Because this pain is near the heart, it is colloquially referred to as "heart pain." However, one must not forget that the Heart is the official of the Sovereign, governing the circulation of blood and Qi, and commanding all zang-fu organs. When blood and Qi are abundant, the body remains peaceful and tranquil; when blood and Qi are deficient, palpitations and fright with restlessness occur, but severe pain should not happen. If cold directly damages the Heart Meridian, resulting in "True Heart Pain," it presents similarly to "True Headache," both being critical conditions with no curative treatment available. In such cases, the fingernails and toenails turn bluish-black, and death occurs from morning to evening or vice versa; this has been discussed in detail in various medical texts. For pain at the stomach opening, one should dissipate cold accumulations in the stomach using Shenghua Li Xiao Fang (Life-Generating Immediate Efficacy Decoction), which yields excellent results without fail. If only hot medicines are used to attack cold, although the pain may cease, it will cause reckless bleeding, further weakening the postpartum mother. Moreover, cold pathogenic factors often accompany deficiency, and drying-hot medicines must be assisted by yin-nourishing herbs to restrain their excessive hyperactivity. As for lingering, dull pain, one should inquire whether blood stasis clots have been completely expelled. If the pain can be slightly relieved by rubbing and pressing, it indicates a deficiency pattern, requiring tonifying formulas. Generally speaking, postpartum cold food attacking upward to the heart causes heart pain, while attacking downward to the abdomen causes abdominal pain; the treatment for pain in the heart and abdomen is roughly similar. Feng Shi stated: Postpartum loss of yin-blood allows defying fire to rush upward along the pericardium meridians, named "Pericardium Meridian Pain," which is appropriately treated with Guipi Tang (Restore the Spleen Decoction). *Yi Tong* (General Treatise on Medicine) uses Lizhong Tang (Regulate the Middle Decoction) added with Danggui (Angelica Sinensis Root).
Shenghua Li Xiao Fang (Life-Generating Immediate Efficacy Decoction): Treats epigastric pain caused by consuming cold foods postpartum.
Chuanxiong Rhizome (2 qian)
Danggui Radix Angelicae Sinensis (4 qian)
Peach Kernel (10 grains, skin and tip removed)
Gingeris Rhizoma Preparatum (charred black)
Glycyrrhizae Radix et Rhizoma Praeparata (5 fen each)
Cinnamomi Cortex (4 fen each)
Evodiae Fructus
Decoct in water and take orally. Another version excludes Peach Kernel. If injured by meat consumption, add Crataegi Fructus (Hawthorn Fruit) and Amomi Fructus Rotundus (Cardamom). If injured by flour-based food consumption, add Shenqu Fermentatum (Medicated Leaven) and Maiya Germinatus Hordei (Barley Sprout). For constipation, add Congrong Herba (Cistanche Herb) washed with wine. *Zunsheng Quan Shu* states: If pain persists, use Puhuang Pollen Typhae (2.5 qian), Tulingzhi Faex Lingzhi (1.4 qian), Mutong Akebiae Caulis (1 qian), Chishao Radix Paeoniae Rubra (1 qian), Moyho Resina (1 qian), Yanhusuo Rhizoma Corydalis (1.5 qian), Jianghuang Rhizoma Curcumae Longae (1.5 qian), and a drop of salt brine. This formula is intended for pain caused by blood stasis, used when previous medications fail to relieve the pain.
Guipi Tang (Restore the Spleen Decoction) (See Volume Upper, Section on Metrorrhagia and Miscarriage).
Lizhong Tang (Regulate the Middle Decoction) (See Volume Upper, Section on Malaria, attached under Zhishi Lizhong Tang).