产后遍身痛，由产时百节开张，血脉凝滞，累日不散，则经脉经络不舒，故腰背不能转侧，手足不能动履，
或兼身热头疼。若误认太阳表邪而发散出汗，则手足逆冷变成险症矣，宜祛痛散治之。妇人肾位系胞，腰为肾府，
至产劳伤肾气，损动胞络，或产未平复而风寒乘之，二者皆致腰痛，宜养荣壮肾汤或加味大造丸。若小腹作痛未
曾服生化汤，问恶露如何。若可按揉而稍止者，属虚，并宜加味生化汤治之。
祛痛散
当归（二钱） 人参 白术（各一钱） 黄 川膝 独活（各八分） 肉桂（五分） 韭白（一撮）
生姜（一片）
水煎。
养荣壮肾汤
当归（二钱） 防风（四分） 独活 桂心 川芎 杜仲 寄生 川断（各八分） 生姜（三片）
水煎。
加味生化汤
川芎（一钱） 当归（三钱） 桃仁（十粒） 炮姜 炙草（各四分） 肉桂（五分） 元胡（五分）
后二味痛止减去。若脐下无血块，而仍痛不止者，加熟地三钱。
产后乳生痈疽，初发时寒热往来如疟，不可作疟治，亦不可全用败毒消疽等味，当大补气血，佐以金银花等
味以散邪毒。若脓未成，痛不可忍，宜栝蒌乳没散。已成脓，宜败毒大补汤，外用马蹄香捣烂敷之。若脓已出而
虚弱日甚者，宜服十全大补汤。
栝蒌乳香散
栝蒌（一个，连皮子捣烂） 当归 银花（各三钱） 白芷（一钱） 青皮（五分） 乳香（五分） 没药
（五分） 甘草（四分） 公英（五钱）
水煎，加酒温服。
排脓大补汤
人参 白术 生地 银花（各二钱） 当归（三钱） 茯苓（一钱） 连翘（五分） 黄 （一钱） 青皮
（三分） 乌梅（一枚） 元枣（一枚）
此方可加白芷八分，以能排脓内托也。
加减十全大补汤
人参 白术 当归 生地 黄 （各二钱） 茯苓 川芎（各八分） 甘草（五分） 远志（一钱） 净银花（三
钱）
水煎。泻，加莲子十四粒，肉果一枚。渴，加麦冬、五味。久不收口，加参末，膏药贴之。
按∶乳疽、乳痈，总以十全大补汤为主，或加银花、公英，复以远志肉煎烧酒，时时服之自效。十全大补汤
即四君、四物加桂 也。
产后全身疼痛，是因为分娩时全身关节开张，血脉凝滞，多日不散，导致经脉和经络不畅，所以腰背不能转动侧身，手足不能行走活动，或者兼有身体发热、头痛。如果误认为是太阳经表邪而使用发汗解表的方法，会导致手足逆冷，变成危险的病症，适宜用祛痛散治疗。妇女的肾脏位置连接胞宫，腰部是肾脏的外府，到了生产时劳损伤了肾气，损动了胞络，或者产后尚未恢复时风寒乘虚而入，这两种情况都会导致腰痛，适宜用养荣壮肾汤或加味大造丸治疗。如果小腹部疼痛且未曾服用过生化汤，需询问恶露排出情况。如果可以通过按揉使疼痛稍缓解的，属于虚证，并适宜用加味生化汤治疗。
祛痛散
当归（二钱） 人参 白术（各一钱） 黄芪 川牛膝 独活（各八分） 肉桂（五分） 韭菜白（一撮）
生姜（一片）
加水煎煮。
养荣壮肾汤
当归（二钱） 防风（四分） 独活 桂心 川芎 杜仲 桑寄生 川断（各八分） 生姜（三片）
加水煎煮。
加味生化汤
川芎（一钱） 当归（三钱） 桃仁（十粒） 炮姜 炙甘草（各四分） 肉桂（五分） 元胡索（五分）
后两味药在疼痛停止后减去。如果脐下没有血块，但疼痛仍不止，加入熟地黄三钱。
产后乳房发生痈疽，初发时寒热往来像疟疾一样，不可当作疟疾治疗，也不可完全使用败毒消疽等药物，应当大补气血，辅以金银花等药物来疏散邪毒。如果脓液未形成，疼痛难以忍受，适宜用栝蒌乳没散。如果脓液已形成，适宜用败毒大补汤，外用马蹄香捣烂敷贴。如果脓液已排出而虚弱日益加重，适宜服用十全大补汤。
栝蒌乳香散
栝蒌（一个，连皮籽捣烂） 当归 银花（各三钱） 白芷（一钱） 青皮（五分） 乳香（五分） 没药（五分） 甘草（四分） 公英（五钱）
加水煎煮，加酒温服。
排脓大补汤
人参 白术 生地 银花（各二钱） 当归（三钱） 茯苓（一钱） 连翘（五分） 黄芪（一钱） 青皮（三分） 乌梅（一枚） 元枣（一枚）
此方可以加入白芷八分，因为白芷能排脓内托。
加减十全大补汤
人参 白术 当归 生地 黄芪（各二钱） 茯苓 川芎（各八分） 甘草（五分） 远志（一钱） 净银花（三钱）
加水煎煮。腹泻，加入莲子十四粒，肉果一枚。口渴，加入麦冬、五味子。久不收口，加入参末，用膏药贴敷。
按语：乳疽、乳痈，总以十全大补汤为主，或者加入银花、公英，再用远志肉煎烧酒，时时服用自然有效。十全大补汤即四君子汤、四物汤加上肉桂、黄芪组成。
Postpartum generalized body pain is caused by the opening of all joints during childbirth, leading to stagnation of blood vessels that does not dissipate for days. This results in the discomfort of meridians and collaterals, causing the inability to turn or bend the waist and back, and the inability to move or walk with the hands and feet. It may also be accompanied by fever and headache. If mistakenly treated as an exterior pathogen of the Taiyang (Greater Yang) channel and treated with diaphoresis (sweating methods), it will lead to cold extremities and become a critical condition. It is appropriate to treat with Qutong San (Pain-Relieving Powder). The kidneys are located near the Bao Gong (uterus), and the waist is the mansion of the kidneys. Childbirth damages Kidney Qi and injures the Bao Luo (uterine collaterals). Alternatively, Wind-Cold may invade when the postpartum state has not yet recovered. Both conditions cause lower back pain and are appropriately treated with Yangrong Zhuangshen Tang (Nourishing Prosperity and Strengthening Kidney Decoction) or Jiawei Dazao Wan (Modified Great Creation Pill). If there is pain in the lower abdomen and Shenghua Tang (Life-Birth Decoction) has not been taken, one must inquire about the status of E Lu (lochia). If the pain can be slightly relieved by pressing and kneading, it belongs to Deficiency (Xu) and is appropriately treated with Jiawei Shenghua Tang (Modified Life-Birth Decoction).
Qutong San (Pain-Relieving Powder)
Dang Gui (Angelicae Sinensis Radix, 2 qian)
Renshen (Ginseng Radix, unspecified amount)
Baizhu (Atractylodis Macrocephalae Rhizoma, 1 qian each with Baizhu)
Huang Qi (Astragali Radix, unspecified amount)
Chuan Nixi (Achyranthis Bidentatae Radix, 8 fen each with Chuan Nixi)
Duhuo (Angelicae Pubescentis Radix, 8 fen each with Chuan Nixi)
Rou Gui (Cinnamomi Cortex, 5 fen)
Jiu Bai (Allii Tuberosi Bulbus, one tuō)
Sheng Jiang (Zingiberis Rhizoma Recens, one slice)
Decoct with water.
Yangrong Zhuangshen Tang (Nourishing Prosperity and Strengthening Kidney Decoction)
Dang Gui (Angelicae Sinensis Radix, 2 qian)
Fang Feng (Saposhnikoviae Radix, 4 fen)
Duhuo (Angelicae Pubescentis Radix, 8 fen each with Fang Feng)
Guixin (Cinnamomi Ramulus/Cortex, unspecified amount)
Chuanxiong (Ligustici Chuanxiong Rhizoma, unspecified amount)
Duzhong (Eucommiae Cortex, unspecified amount)
Jisheng (Taxilli Herba, unspecified amount)
Chuan Duan (Dipsaci Radix, 8 fen each with Guixin)
Sheng Jiang (Zingiberis Rhizoma Recens, three slices)
Decoct with water.
Jiawei Shenghua Tang (Modified Life-Birth Decoction)
Chuanxiong (Ligustici Chuanxiong Rhizoma, 1 qian)
Dang Gui (Angelicae Sinensis Radix, 3 qian)
Tao Ren (Persicae Semen, ten grains)
Pao Jiang (Zingiberis Rhizoma Preparatum, 4 fen each with Pao Jiang)
Zhi Cao (Glycyrrhizae Radix et Rhizoma Preparatum, 4 fen each with Pao Jiang)
Rou Gui (Cinnamomi Cortex, 5 fen)
Yuan Hu (Corydalis Rhizoma, 5 fen)
The last two herbs (Rou Gui and Yuan Hu) should be removed once the pain stops. If there are no blood clots below the umbilicus but pain persists, add Shu Di Huang (Rehmanniae Radix Preparata, 3 qian).
Postpartum breast carbuncles and abscesses initially present with alternating chills and fever resembling malaria. They should not be treated as malaria, nor should they be treated entirely with detoxifying and abscess-resolving herbs. Instead, one should greatly tonify Qi and Blood, assisted by herbs such as Yin Hua (Jasmine Flower/Honeysuckle) to disperse pathogenic toxins. If pus has not formed and pain is unbearable, Gualou Ruxiao San (Trichosanthes Root and Frankincense Powder) is appropriate. If pus has formed, Baidu Dabu Tang (Detoxifying and Great Tonification Decoction) is appropriate, with Matixiang (Callicarpa Leaf/Root) mashed externally applied. If pus has drained and weakness increases daily, Shiquan Dabu Tang (Perfect Ten Great Tonification Decoction) is appropriate.
Gualou Ruxiao San (Trichoganthes Root and Frankincense Powder)
Gualou (Trichosanthis Fructus, one whole, mashed with skin and seeds)
Dang Gui (Angelicae Sinensis Radix, 3 qian each with Dang Gui)
Yin Hua (Lonicerae Japonicae Flos, 3 qian each with Dang Gui)
Baizhi (Angelicae Dahuricae Radix, 1 qian)
Qingpi (Citri Reticulatae Pericarpium Viride, 5 fen)
Ruxiang (Boswelliae Resina, 5 fen)
Moyao (Commiphora Resina, 5 fen)
Gancao (Glycyrrhizae Radix et Rhizoma, 4 fen)
Gongying (Taraxaci Herba, 5 qian)
Decoct with water, take warm with added wine.
Paiong Dabu Tang (Pus-Draining Great Tonification Decoction)
Renshen (Ginseng Radix, 2 qian each with Renshen)
Baizhu (Atractylodis Macrocephalae Rhizoma, 2 qian each with Renshen)
Sheng Di Huang (Rehmanniae Radix, 2 qian each with Renshen)
Yin Hua (Lonicerae Japonicae Flos, 2 qian each with Renshen)
Dang Gui (Angelicae Sinensis Radix, 3 qian)
Fuling (Poria, 1 qian)
Lianqiao (Forsythiae Fructus, 5 fen)
Huang Qi (Astragali Radix, 1 qian)
Qingpi (Citri Reticulatae Pericarpium Viride, 3 fen)
Wumei (Mume Fructus, one piece)
Yuan Zao (Jujubae Fructus, one piece)
This formula can have Baizhi (Angelicae Dahuricae Radix, 8 fen) added, as it promotes pus drainage and internal support.
Jiajian Shiquan Dabu Tang (Modified Perfect Ten Great Tonification Decoction)
Renshen (Ginseng Radix, 2 qian each with Renshen)
Baizhu (Atractylodis Macrocephalae Rhizoma, 2 qian each with Renshen)
Dang Gui (Angelicae Sinensis Radix, 2 qian each with Renshen)
Sheng Di Huang (Rehmanniae Radix, 2 qian each with Renshen)
Huang Qi (Astragali Radix, 2 qian each with Renshen)
Fuling (Poria, 8 fen each with Fuling)
Chuanxiong (Ligustici Chuanxiong Rhizoma, 8 fen each with Fuling)
Gancao (Glycyrrhizae Radix et Rhizoma, 5 fen)
Yuanzhi (Polygalae Radix, 1 qian)
Jing Yin Hua (Lonicerae Japonicae Flos, Purified, 3 qian)
Decoct with water. For diarrhea, add Lianzi (Nelumbinis Semen, fourteen grains) and Rouguo (Myristicae Semen, one piece). For thirst, add Maidong (Ophiopogonis Radix) and Wuwei Zi (Schisandrae Fructus). For wounds that do not heal for a long time, add Renshen powder and apply plaster.
Note: Breast carbuncles and abscesses are primarily treated with Shiquan Dabu Tang (Perfect Ten Great Tonification Decoction), optionally adding Yin Hua (Lonicerae Japonicae Flos) and Gongying (Taraxaci Herba). Additionally, Yuanzhi Rou (Polygalae Radix flesh) decocted in rice wine, taken frequently, is effective. Shiquan Dabu Tang consists of Sijunzi Tang (Four Gentlemen Decoction), Siwu Tang (Four Substances Decoction), plus Rou Gui (Cinnamomi Cortex) and Huang Qi (Astragali Radix).