〔郭〕问产后口干痞闷者何？答∶产后荣卫大虚，血气未定，食面太早，胃不能消
化，面毒结聚于胃脘，上熏胸中，是以口干燥渴，心下痞闷，医者不识，认为胸膈壅滞，
以药下之，万不得一，但服见 丸则愈。
陈无择评曰∶产后口干痞闷，未必只因食面，或产母内积忧烦，外伤燥热，饮食甘
肥，使口干痞闷。当随其所因，调之可也。心烦宜四物汤去地黄加人参、乌梅煎。若外伤
燥热，看属何经，当随经为治，难以备举。饮食所伤，见 丸却能作效。
〔薛〕前证若宿食停滞，用六君、枳实、神曲。若因肉食所致，更加山楂。若因鱼
之类，再加陈皮。其物既消而仍痞，或反作痛作呕，此脾胃受伤，用六君子汤。或咽酸
嗳腐，加炮姜。作泻，更加升麻。如不应，佐以四神丸，或间用补中益气汤。一妇人食
角黍烦渴，痞闷腹痛，大便欲去不去，服消
导之药不应，饮食日减，肌体日瘦，半年矣。余谓此食积为患，用大酒曲炒为末，温酒调
服二钱。俄而腹鸣，良久仍下粽而愈。一妇人食鱼 ，腹痛患痢，诸药不应，用陈皮、
白术等分为末，以陈皮汤送下，数剂而愈。
见 丸
姜黄（炒） 三棱（醋炒） 毕澄茄 陈皮（去白） 良姜 人参 蓬莪术（酒炒，各等分）
上为细末，用萝卜捣烂，绞取汁，煮面糊丸如梧子大。每服三十丸，萝卜汤下，白
汤亦可。
【郭】问：产后出现口干、胸脘痞闷的症状，是什么原因？答：产后营卫之气极度虚弱，血气尚未稳定，如果过早食用面食，胃无法消化，面毒结聚在胃脘部，向上熏蒸胸中，因此导致口干燥渴、心下（胃脘部）痞闷。医生如果不了解此病机，误认为是胸膈部的壅滞实证，使用泻下药治疗，十次中难得一次成功；只要服用见晛丸即可痊愈。
陈无择评论说：产后口干痞闷，未必仅仅因为吃面食。或者是产母体内积聚了忧思烦闷，外部感受了燥热之邪，加上饮食甘腻肥厚，从而导致口干痞闷。应当根据具体的病因进行调理即可。如果是心烦症状，宜用四物汤去掉地黄，加入人参、乌梅煎服。如果是外感燥热，需辨别属于哪一经的病证，应当随经论治，难以一一列举。如果是饮食所伤，服用见晛丸能够见效。
【薛】上述病症如果是宿食停滞，使用六君子汤加枳实、神曲。如果是因肉食引起，再加山楂。如果是因鱼类等食物引起，再加陈皮。如果食物已经消化但痞闷仍不缓解，或者反而出现疼痛、呕吐，这是脾胃受伤，使用六君子汤。如果伴有咽酸、嗳出腐臭气味，加炮姜。如果出现腹泻，再加升麻。如果无效，辅助使用四神丸，或交替使用补中益气汤。有一位妇人吃了角黍（粽子）后感到烦渴、痞闷腹痛，大便想排却排不出，服用消导药物无效，饮食日渐减少，身体日渐消瘦，持续了半年。我认为这是食积为患，用大酒曲炒成粉末，温酒调服二钱。不久腹中鸣响，过了很久排出粽子样粪便而痊愈。另一位妇人吃鱼后腹痛并患痢疾，各种药物无效，用陈皮、白术等分为末，用陈皮汤送服，数剂后痊愈。
见晛丸
配方：姜黄（炒）三棱（醋炒）毕澄茄 陈皮（去白）良姜 人参 蓬莪术（酒炒，各等分）
制法：以上药材研为细末，用萝卜捣烂，绞取汁液，煮面糊制成梧桐子大小的丸药。每次服用三十丸，用萝卜汤送下，白开水也可以。
[Guo] Question: What is the cause of dry mouth and chest/epigastric stuffiness after childbirth? Answer: After childbirth, Ying (Nutritive) and Wei (Defensive) Qi are severely deficient, and Blood and Qi have not yet stabilized. If noodles are consumed too early, the Stomach cannot digest them. The "noodle toxin" accumulates in the epigastrium and steams upward into the chest. This results in dry mouth with thirst and epigastric stuffiness. If physicians do not recognize this pathology and mistakenly diagnose it as chest and diaphragm obstruction/stagnation, using purgative drugs will rarely succeed (one out of ten). However, taking Jianxian Wan will lead to recovery.
Chen Wuyue commented: Dry mouth and epigastric stuffiness after childbirth are not necessarily caused solely by eating noodles. It may be due to internal accumulation of worry and vexation, external contraction of dryness-heat pathogens, or consumption of sweet, greasy, and rich foods, leading to dry mouth and stuffiness. Treatment should follow the specific etiology. For heart vexation, Siwu Tang (Four Substances Decoction) without Rehmanniae Radix (Shu Di Huang), added with Ginseng Radix (Renshen) and Mume Fructus (Wumei), is appropriate. If externally contracted dryness-heat, one must determine which meridian is involved and treat accordingly; it is difficult to list all cases. For injuries from diet, Jianxian Wan can be effective.
[Xue] For the above symptoms, if caused by retained food stagnation, use Liujunzi Tang (Six Gentlemen Decoction) with Zhi Shi (Immature Bitter Orange) and Shenqu (Medicated Leaven). If caused by meat consumption, add Hawthorn Fruit (Shanzha). If caused by fish or similar foods, add Tangerine Peel (Chenpi). If the food has digested but stuffiness persists, or if pain and vomiting occur instead, this indicates injury to the Spleen and Stomach; use Liujunzi Tang (Six Gentlemen Decoction). If accompanied by acid regurgitation and belching of rotten smells, add Roasted Ginger (Paojiang). If diarrhea occurs, add Cimicifugae Rhizoma (Shengma). If there is no response, assist with Sishen Wan (Four Spirits Pill), or alternatively use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). A woman ate zongzi (sticky rice dumplings wrapped in bamboo leaves) and experienced vexation, thirst, epigastric/chest stuffiness, abdominal pain, and a sensation of needing to defecate but being unable to do so. After consuming digestive-promoting herbs without effect, her diet decreased daily, and her body emaciated over half a year. I diagnosed this as food retention disorder. I used Da Jiuqu (Large Yeast) stir-fried into powder, taken at 2 qian with warm wine. Soon after, borborygmus occurred, and after some time, undigested zongzi was passed, leading to recovery. Another woman developed abdominal pain and dysentery after eating fish. Various medicines failed. Using Chenpi (Tangerine Peel) and Baizhu (Atractylodis Macrocephalae Rhizoma) in equal parts, powdered and taken with Chenpi decoction, she recovered after several doses.
Jianxian Wan (See-Bright Pill)
Ingredients: Jianghuang (Curcumae Longae Rhizoma, stir-fried), Sanleng (Sparganii Rhizoma, vinegar-fried), Bichengqie (Galanga Fruit), Chenpi (Citri Reticulatae Pericarpium, white pith removed), Liangjiang (Alpiniae Officinarum Rhizome), Renshen (Ginseng Radix), Peng'ezhu (Curcumae Phaeocaulis Rhizoma, wine-fried). All in equal proportions.
Preparation: Grind the above ingredients into fine powder. Mash fresh radish, squeeze out the juice, and use it to cook a wheat starch paste to form pills the size of mulberry seeds. Take 30 pills per dose, washed down with radish decoction; plain water is also acceptable.