〔大全〕凡生产毕，饮热童便一盏，不得便卧，且宜闭目而坐，须臾上床，宜仰卧
不宜侧卧，宜竖膝未可伸足，高倚床头，浓铺 褥，遮围四壁，使无孔隙，免致贼风。及
以醋涂鼻，或用醋炭及烧漆器，更以手从心 至脐下，使恶露不滞，如此三日，以防血
晕血逆。不问腹痛不痛，有病无病，以童便和酒半盏，温服五七服妙。酒虽行血，亦不
可多，恐引血入四肢，且能昏晕。宜频食白粥少许，一月之后，宜食羊肉、猪蹄少许，仍
慎言语，七情，寒暑，梳头、洗足，以百日为度。若气血素弱者，不计日月，否则患手
足腰腿酸痛等证，名曰蓐劳，最难治疗。初产时不可问是男女，恐因言语而泄气，或以
爱憎而动气，皆能致病。不可独宿，恐致虚惊，不可刮舌，恐伤心气，不可刷齿，恐致
血逆，须血气平复，方可治事。犯时微若秋毫，成病重如山岳，可不戒哉。（陈藏器云∶渍
苎汁与产妇服之，将苎麻与产妇枕之，止血晕。产妇腹痛，以苎安腹上则止。）产妇将息
如法，脏腑调和，庶无诸疾苦，须先服黑神散、四物汤、四顺理中丸、七宝散。若壮热头
痛，此乳脉将行，用玉露散。头目不清，是血晕，用清魂散。粥食不美，是胃气虚，用
四顺理中丸。
〔丹〕或曰∶初产之妇，好血已亏，污血或留，彼黑神散非要药乎？答曰∶至哉坤
元，万物资生，理之常也。初产之妇，好血未必亏，污血未必积，脏腑未必寒，何以药
为。饮食起居，勤加调护，何病之有。诚有污血，体怯而寒，与之数帖，亦自简便。或
有他病，当求病起何因，病在何经，气病治气，血病治血，何用拘执此方，例令服饵。设
有性急者，形瘦者，本有怒火者，夏月坐蓐者，时有火令，姜、桂皆为禁药。至于将护
之法，尤为悖理，肉汁发阴经之火，易成内伤之病也。先哲具有训戒，胡为以羊、鸡浓
汁作糜，而又常服。当归丸、当归建中汤、四顺理中丸，虽是补剂，并是偏热，脏腑无寒，
何处消受？若夫儿之初生，母腹顿宽，便啖鸡子，且吃伙盐，不思鸡子难化，伙盐发热，
展转生证，不知所因，率尔用药，宁不误人。予每见产妇之无疾者，必教之以却去黑神散，
与夫鸡子、伙盐，诸品肉食，且与白粥将理，间以些少鲞鱼，煮令淡食之，半月后方与
少肉；若鸡子亦须豁开淡煮，大能养胃却疾。彼富贵之家，骄恣之妇，卒有白带头风，气痛
膈满，痰逆口干，经事不调，发秃体倦，皆是阳盛阴虚之病。天生血气，本自和平，曰
盛曰虚，又乌知非此等缪迷有以兆之耶。
《千金》云∶凡产后满百日，乃可会合，不尔至死，虚羸百疾滋长，慎之。凡妇人
患风气脐下虚冷，莫不由此早行房故也。产后七日内，恶血未尽，不可服汤。候脐下
块散，乃进羊肉汤。有痛甚切者，不在此例。候两三日消息，可服泽兰丸，此至盈月丸药
尽为佳，不尔，虚损不可平复也，至极消瘦不可救者，服五石泽兰丸补之。服法必七日
之外，不得早服也。
凡妇人因暑月产乳，取凉太多，得风冷腹中积聚，百疾竞起，迄至于死，百方疗不
能瘥，桃仁煎主之。出蓐后服之。妇人总令无病，每至秋冬，须服一二剂，以至年内，当
将服之佳。
丹溪云∶产后以大补气血为先，虽有杂证，以末治之。 产后一切皆不可发表。产
后不可用芍药，以酸寒伐生发之气故也。
〔通用方〕
加味四君子汤 新产之后，虽无疾故，宜将息调理脾胃，美进饮食，则脏腑易平复，气
血自然和调，百疾不生也。
人参 茯苓 白术 甘草 陈皮 藿香 缩砂仁 黄 （各等分）
上锉散，每服四钱，姜三片，枣一枚，煎温服。
四顺理中丸 治新产血气俱伤，脾胃不调，百日内宜常服。
人参（去芦） 干姜（炮） 白术（各一两） 甘草（炙，半两。为细末）
上炼蜜丸如桐子大。每服五十丸，空心米饮送下。
地黄丸 治产后腹痛；眼见黑花，或发狂如见鬼状；或胎衣不下，失音不语，心胸
胀满，水谷不化，口干烦渴，寒热往来，口内生疮，咽喉肿毒，心中忪悸，夜不得睡，产
后中风，角弓反张，面赤，牙关紧急；或崩中如豚肝，脐腹 痛，烦躁恍惚，四肢肿满；
及受胎不稳，唇口指甲青黑。
生地黄（研取汁，留滓） 生姜（各二斤，研取汁，留滓） 蒲黄 当归（各四两）
上于银石器内，取生地黄汁炒生姜滓，以姜汁炒地黄滓，各令干，四味同焙，研为细
末，醋煮面糊为丸如弹子大。每服一丸，食前当归酒化下。一方只用地黄、生姜，根据
交加法制为末，每服三钱，酒下。
当归散（见前胎堕半产条。）
四味汤 治产后一切诸疾，才方分娩，一服尤妙。
当归（心膈烦，加半钱） 玄胡索（气闷喘，加半钱） 血竭（恶露不快，加半钱）
没药（心腹撮痛，加半钱）
上等分为细末，每服二钱，食前以童子小便一盅，煎至六分温服。
玉露散 治产后乳脉不行，身体壮热疼痛，头目昏眩，大便涩滞，此药凉膈压热下
乳。
人参 白茯苓 甘草（各半两） 川芎 苦梗（炒） 白芷（各一两） 当归（二钱半）
芍药（七钱半）
上为细末，每服二平钱，水一盏，煎至七分，温服。如烦热甚，大便秘者，加大黄
二钱半。
地黄煎 治产后诸疾。
生地黄汁 生姜汁（各一升） 藕汁（半升） 大麻仁（三两，去壳研）
上和匀，以银器内慢火熬成膏，温酒调服半匙，更以北术煎膏入半匙尤佳。《产宝》
方无麻仁，用白蜜，治产后虚惫、盗汗、呕吐。
地黄酒 治产后百病。未产一月先酿，产讫可服。
地黄汁 好曲 好净秫米（蒸，各二升）
上先以地黄汁渍曲令发，准家法酿之至熟，封七日，取清者服，常服令酒气相接，勿
令绝。忌蒜、生冷、 滑、鸡、猪肉，一切毒物。凡妇人皆可服，但夏三月不可酿，春
秋宜作，以地黄汁并滓，纳米中炊合用之。若作一石、十石，准此二升为则。先服当归汤，
后服此妙。
桃仁煎 疗产后百病诸气。
桃仁（一千二百枚，去皮尖及双仁，熬令黄色）
上捣令极细，以上等酒一斗五升，同研三四遍，如作麦粥法，以极细为佳，入小长
颈瓷瓶中密塞，以面封之，纳汤中煮一伏时，不停火，亦勿令火猛，使瓶口常出在汤上，勿
令没之，候熟取出，温酒服一合，日再服。
产后醋墨
松烟细墨（不拘多少，用炭火 通红，以米醋淬之，再 再淬，如此七度）
上研令极细，用绢罗过，才产了服二钱，以童便调下。
黑神散 治妇人产后恶露不尽，胞衣不下，攻冲心胸痞满，或脐腹坚胀撮痛，及血
晕神昏，眼黑口噤，产后瘀血诸疾，并皆治之。又名乌金散，治产后十八证∶一曰因热
病胎死腹中。二曰产难。三曰胞衣不下。四曰血晕，五曰口干心闷。六曰乍寒乍热。七
曰虚肿。八曰乍见鬼神。九曰月内不语。十曰腹痛泄泻。（兼服止泻调气药。）十一曰遍身疼
痛。十二曰血崩。十三曰血气不通，咳嗽。十四曰寒热心痛，月候不来。十五曰腹胀满，呕
逆不定。（次服朱砂丸三二日，炒生姜、醋汤下七丸。）十六曰口鼻黑气及鼻衄。（此
证不可治。）十七曰喉中气喘急。（死不治。）十八曰中风。
熟干地黄 蒲黄（炒） 当归 干姜（炮） 桂心 芍药 甘草（各四两） 黑豆（炒去皮，半升）
上为细末，每服二钱，酒、童便各半盏，同煎服。
琥珀散 治产后一切危急之疾。
琥珀 朱砂 麝香 香墨（醋炙） 僵蚕 当归（各二钱半） 鲤鱼鳞（炒焦） 桂心
百草霜 白附子 梁上尘（炒令烟出，筛净，各半两）
细末之，炒生姜、热酒调服二钱效。
千金增损泽兰丸 疗产后百病，理血气，补虚劳。
泽兰 甘草 当归 川芎（各一两七钱半） 附子（炮） 干姜 白术 白芷 桂心 北细辛
（各一两） 北防风 人参 牛膝（各一两二钱半） 柏子仁 熟地黄 石斛（各一两半）
浓朴 本 芜夷（各五钱） 麦门冬（去心，二两）
上共为细末，炼蜜丸如梧桐子大。温酒下二十丸。
黑龙丹 治产后一切血疾，产难，胎衣不下，危急恶疾垂死者，但灌药得下，无不
全活。
当归 五灵脂 川芎 良姜 熟地黄（各一两）
上细锉，以沙合盛，赤石脂泥缝，纸筋盐泥固济，炭火十斤， 令通赤，去火候冷，
开看成黑糟色，取出细研，却入后药。
百草霜（五两） 硫黄 乳香（各一钱半） 花蕊石 琥珀（各一钱）
上五味，并细研，与前五味再研，如法修制和匀，以米醋煮面糊，丸如弹子大。每
服一丸，炭火烧令通赤，投于生姜自然汁与童子小便，入酒漉出，控干研细，只用此酒
调下。
〔诊〕妇人生产之后，寸口脉洪疾不调者死。沉微附骨不绝者生。妇人新生乳子，脉
沉小滑者生，实大坚弦急者死。
【大全】凡是分娩结束后，饮用一盏热童子尿，不要立刻躺下，应当闭目静坐片刻，然后再上床。仰卧为宜，不宜侧卧；膝盖宜竖起，不可伸直双腿，头部高倚床头，褥子要铺得厚实，四周遮挡严密，不留缝隙，以防贼风（外邪之风）侵袭。接着用醋涂抹鼻孔，或者使用醋熏炭及烧焦的漆器气味，更用手从心口向下推至脐下，使恶露（产后排出的余血浊液）不致停滞。如此坚持三天，以预防血晕（因失血或瘀血导致的头晕昏厥）和血逆（气血上逆）。无论是否有腹痛，有病无病，都用童便调和半盏酒，温服五到七次，效果很好。酒虽然能行血，但也不可不加节制地多喝，恐怕会将血液引向四肢，且容易导致昏晕。适宜频繁少量食用白粥，一个月之后，适宜少量食用羊肉、猪蹄等食物。同时仍需谨慎言语，调节七情（喜、怒、忧、思、悲、恐、惊），注意寒暑变化，避免梳头、洗足等耗气行为，以一百天为期限。如果产妇原本气血虚弱，不论过了多少日子，若不调护，否则会出现手足腰腿酸痛等症状，这被称为“蓐劳”（产后虚损劳伤），是最难治疗的。刚生产时，不要询问是男是女，恐怕因为言语而泄气，或者因为喜爱或厌恶而动气，这些都能导致疾病。不可独自居住，恐怕导致虚惊；不可刮舌苔，恐怕损伤心气；不可刷牙，恐怕导致血逆，必须等到气血平复后，才可以处理事务。触犯禁忌时症状轻微如秋毫，一旦发病则沉重如山岳，怎能不警惕呢？（陈藏器说：将苎麻浸泡后的汁液给产妇服用，或将苎麻给产妇枕着，可以止血晕。产妇腹痛，将苎麻放在腹部上即可停止。）产妇按照上述方法调养，脏腑调和，才不会有各种疾苦，需要先服用黑神散、四物汤、四顺理中丸、七宝散。如果出现高热头痛，这是乳脉即将通行的表现，使用玉露散。头目不清爽，是血晕的表现，使用清魂散。饮食无味，是胃气虚弱的表现，使用四顺理中丸。
〔丹溪〕有人问：刚生产的妇女，好血（正常血液）已经亏损，污血（瘀血）或许滞留，黑神散不是必要的药物吗？回答说：坤元（大地生育万物之德）的道理是万物资生，这是常理。刚生产的妇女，好血未必亏损，污血未必积聚，脏腑未必寒冷，为什么要用药呢？饮食起居，勤加调护，会有什么病呢？确实有瘀血，身体怯弱且寒冷，给她服用几帖，也自然简便。如果有其他疾病，应当探究病因，病在哪个经络，气病治气，血病治血，何必拘泥执着于这个方子，一律让人服用。假设有性情急躁的人，形体消瘦的人，本来就有怒火的人，夏天坐月子的人，时常遇到火令（火热气候），姜、桂都是禁药。至于调养的方法，更是违背常理，肉汁会引发阴经之火，容易形成内伤疾病。先哲都有训诫，为什么还要用羊肉、鸡肉浓汁煮粥，并且经常服用。当归丸、当归建中汤、四顺理中丸，虽然是补剂，但都偏热，脏腑没有寒症，哪里承受得住？至于婴儿刚出生，母亲腹部突然变宽，就吃鸡蛋，还吃咸肉，不考虑鸡蛋难消化，咸肉发热，辗转产生病症，不知道原因，仓促用药，难道不误人吗？我每次见到没有疾病的产妇，一定教她们去掉黑神散，以及鸡蛋、咸肉等各种肉食，只给白粥调养，偶尔给少许咸鱼，煮淡了吃，半个月后才给少量肉；如果吃鸡蛋也必须敲开淡煮，大能养胃祛病。那些富贵人家，骄纵的妇女，突然患上白带头风（伴有白带的头痛）、气痛、胸膈胀满、痰逆口干、月经不调、脱发体倦，这些都是阳盛阴虚的病。天生血气，本自平和，说是盛、说是虚，又怎么知道不是这些谬误迷惑所致呢？
《千金方》说：凡是产后满一百天，才可以同房，不然直到死亡，身体虚弱消瘦，百病滋生，务必谨慎。凡是妇人患风气、脐下虚冷，没有不是因为过早行房造成的。产后七天内，恶血未尽，不可服用汤药。等到脐下肿块消散，再进服羊肉汤。如果有疼痛非常剧烈的，不在此例。等到两三天后感觉舒适，可服用泽兰丸，这药吃到满月吃完为佳，不然，虚损无法平复，到了极度消瘦无法救治的地步，服用五石泽兰丸来补益。服药必须在七天之后，不得早服。
凡是妇人因为在夏季生产，贪凉太多，感受风冷，导致腹中积聚，百病竞起，直至死亡，用各种方法治疗都不能痊愈，用桃仁煎主治。出月子后服用。妇人即使没有病，每到秋冬季节，必须服用一两剂，直到年底，当时常服用为好。
丹溪说：产后以大补气血为先，虽然有杂证，作为次要治疗。产后一切情况都不可发汗解表。产后不可用芍药，因为酸寒会伐伤生发之气。
〔通用方〕
加味四君子汤 新产之后，虽然没有疾病，也应调养调理脾胃，美味进食饮食，那么脏腑容易平复，气血自然和调，百病不生。
人参 茯苓 白术 甘草 陈皮 藿香 缩砂仁 黄芪 （各等分）
以上锉成散剂，每服四钱，生姜三片，大枣一枚，煎煮后温服。
四顺理中丸 治疗新产血气俱伤，脾胃不调，百日内宜常服。
人参（去芦头） 干姜（炮制） 白术（各一两） 甘草（炙，半两。研为细末）
以上炼蜜制成梧桐子大小的丸药。每服五十丸，空腹米汤送下。
地黄丸 治疗产后腹痛；眼前见黑花，或发狂如见鬼状；或胎衣不下，失音不语，心胸胀满，水谷不化，口干烦渴，寒热往来，口内生疮，咽喉肿毒，心中悸动，夜间不能入睡，产后中风，角弓反张，面赤，牙关紧急；或崩中出血如豚肝色，脐腹疼痛，烦躁恍惚，四肢肿满；以及受胎不稳，唇口指甲青黑。
生地黄（研取汁，留渣滓） 生姜（各二斤，研取汁，留渣滓） 蒲黄 当归（各四两）
以上在银石器内，取生地黄汁炒生姜渣滓，以姜汁炒地黄渣滓，各自炒干，四味同焙，研为细末，醋煮面糊制成弹子大小的丸药。每服一丸，饭前用当归酒化开送下。另一法只用生地黄、生姜，根据交加法制成粉末，每服三钱，酒送下。
当归散（见前胎堕半产条。）
四味汤 治疗产后一切诸疾，刚分娩完，服一剂尤其好。
当归（心膈烦闷，加半钱） 玄胡索（气闷气喘，加半钱） 血竭（恶露不畅，加半钱） 没药（心腹撮痛，加半钱）
以上等分为细末，每服二钱，饭前用童子小便一盅，煎至六分，温服。
玉露散 治疗产后乳脉不通，身体壮热疼痛，头目昏眩，大便涩滞，此药凉膈压热下乳。
人参 白茯苓 甘草（各半两） 川芎 桔梗（炒） 白芷（各一两） 当归（二钱半） 芍药（七钱半）
以上为细末，每服二平钱，水一盏，煎至七分，温服。如果烦热严重，大便秘结者，加大黄二钱半。
地黄煎 治疗产后诸疾。
生地黄汁 生姜汁（各一升） 藕汁（半升） 大麻仁（三两，去壳研碎）
以上混合均匀，在银器内慢火熬成膏，温酒调服半匙，再加入北术煎膏半匙尤佳。《产宝》方无麻仁，用白蜜，治疗产后虚惫、盗汗、呕吐。
地黄酒 治疗产后百病。未生产前一个月先酿造，生产完后可以服用。
地黄汁 好曲 好净秫米（蒸熟，各二升）
以上先用地黄汁浸泡曲使其发酵，按家法酿制成熟，密封七天，取清液服用，常服让酒气相接，不要间断。忌蒜、生冷、滑腻、鸡、猪肉，一切毒物。凡妇人都可服用，但夏三月不可酿造，春秋适宜制作，用地黄汁并渣滓，拌入米中蒸煮合用。如果做一石、十石，以此二升为标准。先服当归汤，后服此酒妙。
桃仁煎 治疗产后百病诸气。
桃仁（一千二百枚，去皮尖及双仁，炒至黄色）
以上捣至极细，用上等酒一斗五升，同研三四遍，像做麦粥的方法，以极细为佳，放入小长颈瓷瓶中密塞，用面粉封口，放入汤中煮一个时辰，不停火，也不要让火太猛，使瓶口常在汤面上，不要淹没它，煮熟取出，温酒服一合，每日两次。
产后醋墨
松烟细墨（不拘多少，用炭火烧红，用米醋淬之，再淬，如此七次）
以上研至极细，用绢罗过滤，刚生产完服二钱，用童便调下。
黑神散 治疗妇人产后恶露不尽，胞衣不下，攻冲心胸痞满，或脐腹坚胀撮痛，及血晕神昏，眼黑口噤，产后瘀血诸疾，都治疗。又名乌金散，治疗产后十八证：一曰因热病胎死腹中。二曰产难。三曰胞衣不下。四曰血晕。五曰口干心闷。六曰乍寒乍热。七曰虚肿。八曰乍见鬼神。九曰月内不语。十曰腹痛泄泻。（兼服止泻调气药。）十一曰遍身疼痛。十二曰血崩。十三曰血气不通，咳嗽。十四曰寒热心痛，月事不来。十五曰腹胀满，呕逆不定。（次服朱砂丸二三日，炒生姜、醋汤下七丸。）十六曰口鼻黑气及鼻衄。（此证不可治。）十七曰喉中气喘急。（死不治。）十八曰中风。
熟干地黄 蒲黄（炒） 当归 干姜（炮） 桂心 芍药 甘草（各四两） 黑豆（炒去皮，半升）
以上为细末，每服二钱，酒、童便各半盏，同煎服。
琥珀散 治疗产后一切危急之疾。
琥珀 朱砂 麝香 香墨（醋炙） 僵蚕 当归（各二钱半） 鲤鱼鳞（炒焦） 桂心 百草霜 白附子 梁上尘（炒令烟出，筛净，各半两）
研为细末，炒生姜、热酒调服二钱有效。
千金增损泽兰丸 治疗产后百病，理血气，补虚劳。
泽兰 甘草 当归 川芎（各一两七钱半） 附子（炮） 干姜 白术 白芷 桂心 北细辛（各一两） 北防风 人参 牛膝（各一两二钱半） 柏子仁 熟地黄 石斛（各一两半） 厚朴 藁本 芜夷（各五钱） 麦门冬（去心，二两）
以上共为细末，炼蜜制成梧桐子大小的丸药。温酒送下二十丸。
黑龙丹 治疗产后一切血疾，产难，胎衣不下，危急恶疾垂死者，只要灌药能下去，无不保全性命。
当归 五灵脂 川芎 良姜 熟地黄（各一两）
以上细锉，用沙盒盛装，赤石脂泥封缝，纸筋盐泥加固密封，用炭火十斤，煅烧至通红，去火冷却，打开看呈黑糟色，取出细研，再加入后药。
百草霜（五两） 硫黄 乳香（各一钱半） 花蕊石 琥珀（各一钱）
以上五味，并细研，与前五味再研，依法修制和匀，用米醋煮面糊，制成弹子大小的丸药。每服一丸，炭火烧至通红，投入生姜自然汁与童子小便中，加入酒滤出，控干研细，只用此酒调下。
[Daquan] Whenever childbirth is completed, drink a cup of hot child's urine. Do not lie down immediately; instead, sit with eyes closed for a moment, then go to bed. Supine position is preferred over lateral position. The knees should be kept upright and legs unextended, with the head propped high against the headboard. The mattress should be thick, and the four walls covered tightly without gaps to prevent invasion by "thief wind" (pathogenic wind). Apply vinegar to the nose, or use vinegar-smoked charcoal and burnt lacquerware fumes. Additionally, massage from the heart down to below the umbilicus to prevent stagnation of lochia (postpartum discharge of blood and mucus). Maintain this for three days to prevent blood vertigo (dizziness/syncope due to blood loss or stasis) and blood rebellion (rebellious qi and blood). Regardless of abdominal pain or illness, mix half a cup of wine with child's urine and take warm, five to seven times, which is excellent. Although wine promotes blood circulation, do not consume too much, as it may draw blood to the limbs and cause dizziness. It is advisable to frequently eat small amounts of white rice porridge. After one month, small amounts of mutton and pig trotters can be eaten. Still, one must be cautious with speech, regulate the Seven Emotions (joy, anger, worry, thought, sadness, fear, fright), avoid extreme cold and heat, and refrain from combing hair or washing feet, taking one hundred days as the duration. If the patient's qi and blood are inherently weak, regardless of the time elapsed, failure to care properly will result in symptoms such as soreness and pain in the hands, feet, waist, and legs, known as "Ru Lao" (postpartum consumptive disease), which is the most difficult to treat. At the time of initial delivery, do not ask about the gender of the baby, lest speech deplete qi, or love/hate stir qi, both of which can cause disease. Do not live alone, lest causing empty fright; do not scrape the tongue, lest damaging heart qi; do not brush teeth, lest causing blood rebellion. Only after qi and blood have stabilized can one attend to affairs. Violating taboos when symptoms are slight as an autumn feather results in illness heavy as a mountain; how can one not be vigilant? (Chen Cangqi said: Soak ramie fibers and give the juice to the parturient woman to stop bleeding and vertigo. For postpartum abdominal pain, placing ramie on the abdomen stops the pain.) If the parturient woman rests according to these methods, the zang-fu organs will harmonize, and various ailments will be avoided. One should first take Heishen San (Black Divine Powder), Siwu Tang (Four Substance Decoction), Sishun Lizhong Wan (Four-Obedience Regulate Middle Pill), and Qibao San (Seven Treasures Powder). If there is high fever and headache, this indicates the milk channels are about to flow; use Yulu San (Jade Dew Powder). If the head and eyes are unclear, it is blood vertigo; use Qinghun San (Clear Soul Powder). If food tastes bland, it is deficiency of stomach qi; use Sishun Lizhong Wan.
[Danxi] Someone asked: A woman who has just given birth has depleted her good blood (normal blood), and foul blood (stasis) may remain. Is Heishen San not an essential medicine? I replied: The principle of Kun Yuan (the generative power of Earth) is that all things are born; this is the constant law. A woman who has just given birth does not necessarily have depleted good blood, accumulated foul blood, or cold zang-fu organs. Why use medicine? Diligent care of diet and起居 (daily life) prevents disease. If there is indeed foul blood, and the body is weak and cold, giving a few doses is simple and effective. If there are other diseases, one must seek the cause and determine which meridian is affected. Treat qi disorders by regulating qi, and blood disorders by regulating blood. Why stick rigidly to this formula and force everyone to take it? Suppose there are those with irritable temperaments, emaciated bodies, pre-existing fire-heat, or those sitting confinement in summer encountering fire-climates; ginger and cinnamon are forbidden medicines. Furthermore, the nursing methods mentioned are contrary to reason. Meat broths stimulate fire in the yin meridians, easily leading to internal injury diseases. Ancient sages had warnings; why use rich mutton and chicken broths to make gruel and take them regularly? Danggui Wan (Angelica Pill), Danggui Jianzhong Tang (Angelica Decocting Middle Decoction), and Sishun Lizhong Wan are tonics but are biased towards heat. If the zang-fu are not cold, where can they bear it? When a baby is born, the mother's abdomen suddenly expands. Eating eggs and salty meat immediately—considering eggs are hard to digest and salty meat generates heat—leads to complications whose causes are unknown. Prescribing medicine rashly, does this not harm people? I often see healthy postpartum women; I teach them to discard Heishen San, eggs, salty meat, and other meats, relying only on white rice porridge for nourishment, occasionally adding a little dried fish boiled lightly. After half a month, give a little meat. Eggs must also be cracked and boiled lightly to greatly nourish the stomach and dispel disease. Those wealthy families and indulgent women suddenly suffer from white-head wind (headache with leukorrhea), qi pain, chest fullness, rebellious phlegm, dry mouth, irregular menstruation, hair loss, and fatigue. These are diseases of excess yang and deficiency yin. Innate qi and blood are naturally peaceful. To say they are excessive or deficient, how do we know if this is not caused by such confusion and error?
*Qianjin Fang* says: Only after one hundred days postpartum may intercourse occur; otherwise, until death, weakness and wasting increase, and myriad diseases grow. Be cautious. All women suffering from wind pathogens and cold deficiency below the navel usually do so because of early sexual activity. Within seven days postpartum, when foul blood is not yet exhausted, decoctions should not be taken. Wait until the mass below the navel dissipates before consuming mutton soup. This does not apply to cases of severe pain. After two or three days of feeling comfortable, Zelan Wan (Lycopus Pill) can be taken. It is best to finish this pill medication by the end of the month; otherwise, deficiency cannot be restored. In cases of extreme emaciation beyond rescue, Wushi Zelan Wan (Five Minerals Lycopus Pill) is used for supplementation. Medication must start after seven days; do not take it early.
For women who give birth in summer, cool themselves excessively, and contract wind-cold leading to abdominal accumulation and myriad diseases ending in death, which resist all treatments, Taoren Jian (Peach Kernel Paste) is the main treatment. Take this after leaving confinement. Even if women are healthy, they must take one or two doses every autumn and winter until the end of the year; regular consumption is ideal.
Danxi said: Postpartum, tonifying qi and blood is the priority. Even if there are miscellaneous syndromes, treat them as secondary. Postpartum, sweating-releasing methods are contraindicated. Postpartum, Shaoyao (Paeoniae Radix) should not be used, as its sour and cold nature damages the generating qi.
[General Formulas]
Jiawei Sijunzi Tang (Modified Four Gentlemen Decoction) After new delivery, even without disease, one should rest and regulate the spleen and stomach, eating well, so that zang-fu organs recover easily, qi and blood harmonize naturally, and myriad diseases do not arise.
Renshen (Ginseng Radix et Rhizoma), Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Licorice Root), Chenpi (Citri Reticulatae Pericarpium), Huoxiang (Agastaches Herba), Suosharen (Amomi Fructus), Huangqi (Astragali Radix) (equal parts).
Crush into powder. Take 4 qian per dose, with 3 slices of fresh ginger and 1 jujube. Decoct and take warm.
Sishun Lizhong Wan (Four-Obedience Regulate Middle Pill) Treats new delivery where both qi and blood are injured, spleen and stomach are imbalanced. Suitable for regular use within 100 days.
Renshen (Ginseng Radix et Rhizoma, remove rhizome), Ganjiang (Zingiberis Rhizoma, processed), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 1 liang); Gancao (Licorice Root, honey-fried, 0.5 liang, ground to fine powder).
Refined honey pills the size of paulownia seeds. Take 50 pills per dose, with rice water on an empty stomach.
Dihuang Wan (Rehmannia Pill) Treats postpartum abdominal pain; seeing black spots before eyes, or mania resembling ghost possession; retained placenta, aphonia, chest and epigastric fullness, indigestion, dry mouth and thirst, alternating chills and fever, oral ulcers, throat swelling and toxicity, palpitations, insomnia, postpartum wind-stroke, opisthotonos, red face, locked jaw; metrorrhagia like pig liver color, umbilical and abdominal pain, irritability and confusion, swollen limbs; unstable conception, blue-black lips and nails.
Sheng Dihuang (Fresh Rehmanniae Radix, pressed for juice, retain dregs), Shengjiang (Fresh Zingiberis Rhizoma, each 2 jin, pressed for juice, retain dregs), Puhuang (Typhae Pollen), Danggui (Angelicae Sinensis Radix) (each 4 liang).
In a silver or earthenware vessel, stir-fry the dregs of fresh ginger with the juice of fresh rehmannia, and stir-fry the dregs of fresh rehmannia with the juice of fresh ginger, drying each. Roast the four ingredients together, grind to fine powder, and form pills using vinegar-boiled wheat paste, sized like quail eggs. Take one pill before meals, dissolved in Danggui-infused wine. Another method uses only Sheng Dihuang and Sheng Jiang, prepared via the "cross-processing" method into powder. Take 3 qian per dose with wine.
Danggui San (Angelica Powder) (See section on spontaneous abortion and miscarriage above.)
Siwei Tang (Four-Ingredient Decoction) Treats all postpartum diseases; most effective taken immediately after delivery.
Danggui (Angelicae Sinensis Radix) (add 0.5 qian for chest/epigastric irritability), Yanhusuo (Corydalis Rhizoma) (add 0.5 qian for qi stagnation and asthma), Xuejie (Dragon's Blood) (add 0.5 qian for slow lochia), Moyao (Myrrha) (add 0.5 qian for cramping heart/abdominal pain).
Grind to fine powder. Take 2 qian per dose before meals, decocted in one cup of child's urine until reduced to 60%, then take warm.
Yulu San (Jade Dew Powder) Treats postpartum blocked milk channels, high fever and body pain, dizziness, constipation. This formula cools the diaphragm, suppresses heat, and promotes lactation.
Renshen (Ginseng Radix et Rhizoma), Baifuling (White Poria), Gancao (Licorice Root) (each 0.5 liang), Chuanxiong (Ligustici Chuanxiong Rhizoma), Kujie (Bupleuri Radix/Costiradix - *Note: Text says Ku Jie, likely referring to Chaihu or similar, but standard WHO term for Ku Jie is not common; assuming Bupleuri or similar based on context, but strictly translating text*), Baizhi (Angelicae Dahuricae Radix) (each 1 liang), Danggui (Angelicae Sinensis Radix) (2.5 qian), Shaoyao (Paeoniae Radix Alba/Rubra) (7.5 qian).
Grind to fine powder. Take 2 level qian per dose, with one cup of water, decocted to 70%, take warm. If severe irritability and constipation, add Dahuang (Rhei Radix et Rhizoma) 2.5 qian.
Dihuang Jian (Rehmannia Paste) Treats various postpartum diseases.
Sheng Dihuang Zhi (Juice of Fresh Rehmanniae Radix), Shengjiang Zhi (Juice of Fresh Zingiberis Rhizoma) (each 1 sheng), Ou Zhi (Lotus Rhizome Juice) (0.5 sheng), Dama Ren (Cannabis Seed) (3 liang, shell removed and ground).
Mix evenly. Slowly boil in a silver vessel into a paste. Take half a spoonful mixed with warm wine. Adding Bei Zhu paste (0.5 spoonful) is even better. *Chanbao* formula omits Hemp Seed and uses White Honey, treating postpartum exhaustion, night sweats, and vomiting.
Dihuang Jiu (Rehmannia Wine) Treats myriad postpartum diseases. Brew one month before delivery; consume after delivery.
Dihuang Zhi (Juice of Rehmanniae Radix), Hao Qu (Good Yeast), Hao Jing Shumi (Clean Sorghum Rice, steamed) (each 2 sheng).
First soak yeast in Dihuang juice to ferment. Follow family methods to brew until ripe. Seal for seven days. Take the clear liquid. Consume regularly to maintain continuous effect. Avoid garlic, raw/cold foods, slippery foods, chicken, pork, and all toxic substances. Suitable for all women, but do not brew in the three summer months; spring and autumn are suitable. Use Dihuang juice and dregs mixed with rice for steaming. Scale accordingly (e.g., 2 sheng per unit). Taking Danggui Tang first, then this wine, is excellent.
Taoren Jian (Peach Kernel Paste) Treats myriad postpartum diseases and qi disorders.
Taoren (Persicae Semen, 1200 kernels, remove skin, tips, and double-kernels, roast until yellow).
Grind extremely fine. Mix with 1 dou 5 sheng of premium wine. Grind/repeat three or four times, like making wheat gruel, aiming for extreme fineness. Place in a small long-necked porcelain bottle, seal tightly, and seal the lid with flour paste. Boil in water for one *fu shi* (approx. 2 hours), keeping the fire moderate so the bottle neck remains above the water surface. Remove when cooked. Take 1 he of warm wine, twice daily.
Chanhou Cu Mo (Postpartum Vinegar Ink)
Songyan Xi Mo (Fine Pine Soot Ink, any amount). Red-hot it over charcoal, quench in rice vinegar. Repeat quenching seven times.
Grind to extreme fineness. Sieve through silk gauze. Take 2 qian immediately after delivery, mixed with child's urine.
Heishen San (Black Divine Powder) Treats postpartum incomplete lochia expulsion, retained placenta, chest/epigastric fullness pressing upward, umbilical/abdominal hardness and cramping pain, blood vertigo with coma, blackened vision, locked jaw, and various postpartum blood stasis diseases. Also known as Wu Jin San (Black Gold Powder). Treats 18 postpartum conditions: 1. Fetal death in uterus due to febrile disease. 2. Dystocia. 3. Retained placenta. 4. Blood vertigo. 5. Dry mouth and chest oppression. 6. Alternating chills and fever. 7. Edema. 8. Hallucinations of ghosts/gods. 9. Aphonia within the month. 10. Abdominal pain and diarrhea (take anti-diarrheal and qi-regulating herbs concurrently). 11. Generalized body pain. 12. Metrorrhagia. 13. Qi/blood blockage with cough. 14. Chills/fever with heart pain and amenorrhea. 15. Abdominal distension and irregular vomiting (follow with Zhusha Wan for 2-3 days, taken with roasted ginger and vinegar broth, 7 pills). 16. Black gas around mouth/nose and epistaxis (this condition is incurable). 17. Rapid wheezing in throat (fatal). 18. Wind-stroke.
Shu Ganhui Di Huang (Prepared Rehmanniae Radix), Puhuang (Typhae Pollen, stir-fried), Danggui (Angelicae Sinensis Radix), Ganjiang (Zingiberis Rhizoma, processed), Guixin (Cinnamomi Cortex), Shaoyao (Paeoniae Radix), Gancao (Licorice Root) (each 4 liang), Heidou (Black Soybean, stir-fried and peeled, 0.5 sheng).
Grind to fine powder. Take 2 qian per dose, decocted with half a cup of wine and half a cup of child's urine.
Hupo San (Amber Powder) Treats all critical postpartum emergencies.
Hupo (Electrum), Zhusha (Cinnabar), Shexiang (Moschus), Xiang Mo (Ink, vinegar-fried), Jiangcan (Bombyx Batryticatus), Danggui (Angelicae Sinensis Radix) (each 2.5 qian), Liyu Lin (Cyprini Carpa Squama, stir-fried until charred), Guixin (Cinnamomi Cortex), Baicaoshuang (Fuliginis Cauda), Baifuzi (Aconiti Kusnezoffii Radix), Liangshang Chen (Dust from Ridge Beam, stir-fried until smoke appears, sifted) (each 0.5 liang).
Grind to fine powder. Take 2 qian mixed with stir-fried fresh ginger and hot wine. Effective.
Qianjin Zengsun Zelan Wan (Qianjin Modified Lycopus Pill) Treats myriad postpartum diseases, regulates qi and blood, tonifies deficiency and labor.
Zelan (Lycopi Herba), Gancao (Licorice Root), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 1 liang 7.5 qian), Fuzi (Aconiti Lateralis Radix Praeparata, processed), Ganjiang (Zingiberis Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Baizhi (Angelicae Dahuricae Radix), Guixin (Cinnamomi Cortex), Beixixin (Asari Radix et Rhizoma) (each 1 liang), Beifengcong (Saposhnikoviae Radix), Renshen (Ginseng Radix et Rhizoma), Niuxi (Achyranthis Bidentatae Radix) (each 1 liang 2.5 qian), Baizi Ren (Platycladi Semen), Shu Dihuang (Prepared Rehmanniae Radix), Shihu (Dendrobii Caulis) (each 1.5 liang), Houpo (Magnoliae Officinalis Cortex), Gaoben (Ligustici Wallichii Rhizoma et Radix), Wuyi (Peucedani Radix) (each 5 qian), Maimendong (Ophiopogonis Tuber, remove core, 2 liang).
Grind to fine powder. Form pills with refined honey, sized like paulownia seeds. Take 20 pills with warm wine.
Heilong Dan (Black Dragon Pill) Treats all postpartum blood diseases, dystocia, retained placenta, and critical terminal illnesses. As long as the medicine can be administered, survival is assured.
Danggui (Angelicae Sinensis Radix), Wulingzhi (Trogopterori Faeces), Chuanxiong (Ligustici Chuanxiong Rhizoma), Liangjiang (Alpiniae Officinarum Rhizoma), Shu Dihuang (Prepared Rehmanniae Radix) (each 1 liang).
Finely chop. Place in a clay pot. Seal seams with red stone powder mud and paper-salt mud. Calcine with 10 jin of charcoal fire until red-hot. Remove from fire, cool, open, and observe black residue. Grind finely. Add subsequent herbs.
Baicaoshuang (Fuliginis Cauda, 5 liang), Liuhuang (Sulfur), Ruxiang (Olibanum) (each 1.5 qian), Huaruishi (Flower Porphyry Stone), Hupo (Electrum) (each 1 qian).
Grind these five ingredients finely, then re-grind with the previous five. Mix uniformly. Form pills using rice vinegar and wheat paste, sized like quail eggs. Take one pill. Heat it in charcoal until red-hot. Drop into natural ginger juice and child's urine. Filter through wine, drain, and grind fine. Take mixed with this wine.
[Diagnosis] If the Cun Kou pulse (radial artery at the wrist) is surging, rapid, and irregular after childbirth, death ensues. If the pulse is deep, faint, and continuous upon pressing to the bone, life is preserved. For a woman who has just given birth and is nursing, if the pulse is deep, small, and slippery, life is preserved; if solid, large, firm, wiry, and rapid, death ensues.