于火上暖令饴消。若去血过多，崩伤内衄不止，加地黄六两，阿胶二两，合八味。汤成，
内阿胶服之。
济生增损四物汤 治产后阴阳不和，乍寒乍热，恶露停滞，亦令寒热，但看小腹急
痛为异。
当归（酒浸） 白芍药 川芎 人参（各一两） 甘草（炙，半两） 干姜（一两）
上 咀，每服四钱，姜三片，水煎，无时热服。
《千金》治产后余疾，腹中绞痛，瘦乏不下食。
当归 黄 芍药（各六分） 干地黄 白术（各八分） 桂心 甘草（各四分） 大枣（十四枚）
上 咀，水二升，煮取八合，空心服，忌生葱。
丹溪云∶《局方》五积散治产后余血作痛，
以苍术为君，麻黄为臣，浓朴、枳实为使，虽有当归、芍药之补血，仅及苍术三分之一，不
思产后之妇，有何寒邪，血气未充，似难发汗，借曰药性温和，可以推陈致新，岂可用
麻黄之悍，附以苍术、枳、朴之散乎？虚而又虚，祸不旋踵矣。
附〔肠中痒〕
治妇人产后肠中痒不可忍，以针线袋安所卧褥下，勿令人知。又方，取箭 及 ，
安所卧席下，勿令妇知。
〔大〕产后两胁胀满气痛，由膀胱宿有停水，因产后恶露下不尽，水壅，痞与气相
搏，积在膀胱，故令胁肋胀满，气与水相激，故令痛也。
〔薛〕前证若肝经血瘀，用玄胡索散。若肝经气滞，用四君、青皮、柴胡。若肝经
血虚，用四物、参、术、柴胡。气血俱虚，用八珍、柴胡。若肾水不足，不能生肝，用六
味丸。若肺金势盛，克制肝木，用泻白散。仍参前各论主之。一产妇因怒，两胁胀痛，吐
血甚多，发热恶寒，胸腹胀痛。余以为气血俱虚，用八珍加柴胡、丹皮、炮姜而血顿止，
又用十全大补汤而寒热渐退。此证苟非用姜、桂辛温，助脾肺以行药势，不惟无以施其功，
而反助其胀耳。
《经效》疗产后血气，胁肋胀痛。
当归（十二分） 芍药 苦梗 槟榔 枳壳（各八分） 桂心 青木香 柴胡（各六分）
上 咀，以水二升，煎取八合，去滓，空心分温二服。
疗产后恶露不下，血气壅痞，胁胀痛，不下食。
苏木 紫葛（各十二分） 芍药 当归（各八分） 桂心 蒲黄（各六分） 生地黄汁（三合）
上 咀，以水二升，煎取七合，下蒲黄，分两服。
当归散 治产后腹痛，胁肋胀满。
当归 干姜（等分）
上为末，每服三钱，水一盏，煎八分，入盐醋少许，食前热服。（《选奇方》用酒煎。）
《经效》理血气烦闷，胁胁胀满及痛。
芍药（八分） 蒲黄 延胡索（各四分） 当归（六分） 荷叶蒂（炙，三枚）
上水二升，煎取七合，后入蒲黄，空心分作两服。
《广济》疗产后腹痛气胀，胁下闷，不下食，兼微利。
茯苓 人参 当归 甘草（各六分） 生姜 陈皮（各四分） 浓朴（八分）
上 咀，以水二升，煎取八合，去滓分温服。
抵圣汤 治产后腹胁闷满或呕吐者。
赤芍药 半夏 泽兰叶 陈皮 人参 甘草（等分）
上 咀，每四钱，姜五片，煎温服。
在火上加热使饴糖融化。如果失血过多，出现崩漏或内出血不止的情况，加入六两地黄、二两阿胶，共八味药。汤剂煎成后，将阿胶放入药汤中服用。
济生增损四物汤：治疗产后阴阳不和，忽冷忽热，恶露停滞，也引起寒热症状，但以小腹急痛为特征性区别。
处方：当归（酒浸）、白芍药、川芎、人参（各一两），甘草（炙，半两），干姜（一两）。
制法与用法：切碎药材，每次服用四钱，加生姜三片，水煎煮，不拘时间，趁热服用。
《千金方》治疗产后余疾，腹中绞痛，身体消瘦乏力，不能进食。
处方：当归、黄芪、芍药（各六分），干地黄、白术（各八分），桂心、甘草（各四分），大枣（十四枚）。
制法与用法：切碎药材，用水二升，煎取八合，空腹服用，忌食生葱。
丹溪说：《局方》中的五积散治疗产后余血作痛，以苍术为君药，麻黄为臣药，厚朴、枳实为使药，虽然含有当归、芍药等补血药物，但仅占苍术用量的三分之一。未曾思考产后妇女体内有何寒邪？此时血气未充，似乎难以使用发汗法。即便假设药性温和，可以推陈致新，岂可用麻黄的猛烈之性，配合苍术、枳实、厚朴的耗散之性呢？这会导致虚上加虚，灾祸立刻降临。
附〔肠中痒〕
治疗妇人产后肠中瘙痒难忍的方法：将装有针线的袋子放在卧褥下面，不要让人知道。又一方：取箭羽及某物（原文缺字，推测为某种动物羽毛或类似物），放在卧席下面，不要让产妇知道。
〔大论〕产后两胁胀满气痛，是由于膀胱素有停水，因产后恶露排不尽，导致水液壅滞，痞块与气相互搏结，积聚在膀胱，所以导致胁肋胀满；气与水相互激荡，所以导致疼痛。
〔薛己〕上述证候如果是肝经血瘀，使用玄胡索散。如果是肝经气滞，使用四君子汤加青皮、柴胡。如果是肝经血虚，使用四物汤加人参、白术、柴胡。气血俱虚，使用八珍汤加柴胡。如果是肾水不足，不能滋养肝木，使用六味丸。如果是肺金势盛，克制肝木，使用泻白散。仍参考前文各论述的主治原则。有一位产妇因愤怒导致两胁胀痛，吐血甚多，发热恶寒，胸腹胀痛。我认为这是气血俱虚，使用八珍汤加柴胡、牡丹皮、炮姜，结果血立即停止；又使用十全大补汤，寒热症状逐渐消退。此证如果不是用姜、桂辛温之品，辅助脾肺以推行药势，不仅无法发挥疗效，反而会增加胀满。
《经效方》治疗产后血气引起的胁肋胀痛。
处方：当归（十二分）、芍药、桔梗、槟榔、枳壳（各八分），桂心、青木香、柴胡（各六分）。
制法与用法：切碎药材，用水二升，煎取八合，去渣，空腹分两次温服。
治疗产后恶露不下，血气壅滞痞闷，胁肋胀痛，不能进食。
处方：苏木、紫葛（各十二分），芍药、当归（各八分），桂心、蒲黄（各六分），生地黄汁（三合）。
制法与用法：切碎药材，用水二升，煎取七合，下入蒲黄，分两次服用。
当归散：治疗产后腹痛，胁肋胀满。
处方：当归、干姜（等分）。
制法与用法：研为细末，每次服用三钱，用水一盏，煎至八分，加入少许盐和醋，饭前趁热服用。（《选奇方》用酒煎。）
《经效方》调理血气烦闷，胁肋胀满及疼痛。
处方：芍药（八分），蒲黄、延胡索（各四分），当归（六分），荷叶蒂（炙，三枚）。
制法与用法：用水二升，煎取七合，后下入蒲黄，空腹分两次服用。
《广济方》治疗产后腹痛气胀，胁下闷塞，不能进食，兼有轻微腹泻。
处方：茯苓、人参、当归、甘草（各六分），生姜、陈皮（各四分），厚朴（八分）。
制法与用法：切碎药材，用水二升，煎取八合，去渣，分次温服。
抵圣汤：治疗产后腹部胁部闷满或呕吐者。
处方：赤芍药、半夏、泽兰叶、陈皮、人参、甘草（等分）。
制法与用法：切碎药材，每次四钱，加生姜五片，煎煮后温服。
Warm the maltose over fire until melted. If excessive blood loss occurs, with metrorrhagia or internal hemorrhage that does not stop, add six liang of Shengdi Huang (Rehmanniae Radix Praeparata) and two liang of Ejiao (Donkey-hide Gelatin), totaling eight ingredients. Once the decoction is prepared, dissolve the Ejiao in the liquid and take it.
Jisheng Zengsun Siwu Decoction: Treats postpartum disharmony of Yin and Yang, alternating chills and fever, stagnation of lochia, which also causes chills and fever; the distinguishing feature is acute pain in the lower abdomen.
Ingredients: Dang Gui (Radix Angelicae Sinensis, soaked in wine), Baishao Yao (Radix Paeoniae Alba), Chuanxiong (Rhizoma Chuanxiong), Renshen (Radix Ginseng) (each one liang); Gancao (Radix Glycyrrhizae Preparata, honey-fried) (half liang); Ganjiang (Rhizoma Zingiberis Preparatum) (one liang).
Preparation and Administration: Coarsely crush the herbs. Take four qian per dose, with three slices of fresh ginger, decocted in water. Drink hot at any time.
Qianjin Fang treats residual diseases after childbirth, including colicky abdominal pain, emaciation, weakness, and anorexia.
Ingredients: Dang Gui (Radix Angelicae Sinensis), Huangqi (Radix Astragali Membranacei), Shaoyao (Radix Paeoniae Alba) (each six fen); Shengdihuang (Radix Rehmanniae Preparata), Baizhu (Rhizoma Atractylodis Macrocephalae) (each eight fen); Guixin (Cortex Cinnamomi), Gancao (Radix Glycyrrhizae Preparata) (each four fen); Dazao (Fructus Jujubae) (fourteen fruits).
Preparation and Administration: Coarsely crush the herbs. Decoct in two sheng of water to obtain eight he. Take on an empty stomach. Avoid raw green onions.
Danxi stated: The Wuji San (Five Accumulations Powder) from Ju Fang treats postpartum pain caused by residual blood. It uses Cangzhu (Rhizoma Atractylodis Lanceae) as the sovereign herb, Mahuang (Herba Ephedrae) as the minister herb, Houpo (Cortex Magnoliae Officinalis) and Zhishi (Fructus Aurantii Immaturus) as the assistant herbs. Although it contains blood-nourishing herbs like Dang Gui and Shaoyao, their quantity is only one-third of that of Cangzhu. One fails to consider what pathogenic cold exists in postpartum women? At this stage, Qi and Blood are not yet replenished, making sweating therapy seemingly inappropriate. Even if one argues that the drug properties are mild and can promote renewal, how can one use the fierce nature of Mahuang combined with the dispersing actions of Cangzhu, Zhishi, and Houpo? This leads to deficiency upon deficiency, bringing disaster swiftly.
Appendix [Itching in the Intestines]
To treat unbearable itching in the intestines after childbirth: Place a small bag containing needles and thread under the sleeping mat, without letting others know. Another prescription: Place arrow feathers and [missing character] under the sleeping mat, without letting the puerpera know.
[Da Lun] Postpartum distending and Qi-stagnation pain in both hypochondriac regions is due to retained fluid previously existing in the Bladder. Because lochia is not completely discharged after childbirth, fluid accumulates, causing obstruction where Qi and fluid clash and accumulate in the Bladder. Thus, distension and fullness occur in the hypochondriac region. The agitation between Qi and fluid causes pain.
[Xue Ji] For the aforementioned syndrome, if it is Blood stasis in the Liver channel, use Xiansu San (Corydalis Powder). If it is Qi stagnation in the Liver channel, use Sijun Zi Tang (Four Gentlemen Decoction) added with Qingpi (Pericarpium Citri Reticulatae Viride) and Chaihu (Radix Bupleuri). If it is Blood deficiency in the Liver channel, use Siwu Tang (Four Substances Decoction) added with Renshen (Radix Ginseng), Baizhu (Rhizoma Atractylodis Macrocephalae), and Chaihu (Radix Bupleuri). If both Qi and Blood are deficient, use Bazhen Tang (Eight Treasures Decoction) added with Chaihu (Radix Bupleuri). If Kidney Water is insufficient to nourish Liver Wood, use Liuwei Wan (Six-Ingredient Pill with Rehmannia). If Lung Metal is excessive and suppresses Liver Wood, use Xiebai San (Drain White Powder). Refer to the preceding discussions for primary treatments. A puerpera suffered from distending and painful hypochondriac regions due to anger, with severe hematemesis, fever, aversion to cold, and chest/abdominal distending pain. I considered this a case of dual deficiency of Qi and Blood. Using Bazhen Tang (Eight Treasures Decoction) added with Chaihu (Radix Bupleuri), Mudanpi (Cortex Moutan), and Paojiang (Rhizoma Zingiberis Preparatum), the bleeding stopped immediately. Subsequently, using Shiquan Dabu Tang (Complete Great Tonifying Decoction), the chills and fever gradually subsided. In this syndrome, unless warm and acrid herbs like Jiang (Zingiberis Rhizoma) and Gui (Cinnamomi Cortex) are used to assist the Spleen and Lung in promoting the action of the medicines, not only would efficacy be lost, but the distension would be exacerbated.
Jingxiao Fang treats postpartum Blood and Qi disorders causing distending and painful hypochondriac regions.
Ingredients: Dang Gui (Radix Angelicae Sinensis) (twelve fen), Shaoyao (Radix Paeoniae Alba), Jiegeng (Radix Platycodonis), Binglang (Semen Arecae), Zhike (Fructus Aurantii) (each eight fen); Guixin (Cortex Cinnamomi), Qingmuxiang (Radix Aucklandiae), Chaihu (Radix Bupleuri) (each six fen).
Preparation and Administration: Coarsely crush the herbs. Decoct in two sheng of water to obtain eight he. Strain. Take half warm on an empty stomach, divided into two doses.
Treats postpartum failure of lochia discharge, Blood and Qi stagnation and obstruction, distending and painful hypochondriac regions, and anorexia.
Ingredients: Sumu (Lignum Santali Rubrum), Zige (Radix Polygoni Cuspidati) (each twelve fen); Shaoyao (Radix Paeoniae Alba), Dang Gui (Radix Angelicae Sinensis) (each eight fen); Guixin (Cortex Cinnamomi), Puhuang (Pollen Typhae) (each six fen); Sheng Dihuang Zhi (Jus Rehmanniae Recens) (three he).
Preparation and Administration: Coarsely crush the herbs. Decoct in two sheng of water to obtain seven he. Add Puhuang (Pollen Typhae). Divide into two doses.
Danggui San: Treats postpartum abdominal pain and distending fullness of the hypochondriac regions.
Ingredients: Dang Gui (Radix Angelicae Sinensis), Ganjiang (Rhizoma Zingiberis Preparatum) (equal parts).
Preparation and Administration: Grind into powder. Take three qian per dose, decocted in one cup of water until reduced to eight-tenths. Add a little salt and vinegar. Take hot before meals. (Xuanqi Fang uses wine for decoction.)
Jingxiao Fang regulates Blood and Qi irritability, distending fullness, and pain in the hypochondriac regions.
Ingredients: Shaoyao (Radix Paeoniae Alba) (eight fen), Puhuang (Pollen Typhae), Yanshusuo (Rhizoma Corydalidis) (each four fen); Dang Gui (Radix Angelicae Sinensis) (six fen); Heti Di (Petiolus Nelumbinis, roasted) (three pieces).
Preparation and Administration: Decoct in two sheng of water to obtain seven he. Add Puhuang (Pollen Typhae) afterwards. Take on an empty stomach, divided into two doses.
Guangji Fang treats postpartum abdominal pain and Qi distension, oppression under the hypochondriac regions, anorexia, accompanied by slight diarrhea.
Ingredients: Fuling (Sclerotium Poriae cocos), Renshen (Radix Ginseng), Dang Gui (Radix Angelicae Sinensis), Gancao (Radix Glycyrrhizae Preparata) (each six fen); Shengjiang (Rhizoma Zingiberis Recens), Chenpi (Pericarpium Citri Reticulatae) (each four fen); Houpo (Cortex Magnoliae Officinalis) (eight fen).
Preparation and Administration: Coarsely crush the herbs. Decoct in two sheng of water to obtain eight he. Strain. Take warm in divided doses.
Diseng Tang: Treats postpartual oppression and fullness in the abdomen and hypochondriac regions, or vomiting.
Ingredients: Chishaoyao (Radix Paeoniae Rubra), Banxia (Rhizoma Pinelliae Preparatum), Zelan Ye (Folium Lycopi Japonici), Chenpi (Pericarpium Citri Reticulatae), Renshen (Radix Ginseng), Gancao (Radix Glycyrrhizae Preparata) (equal parts).
Preparation and Administration: Coarsely crush the herbs. Take four qian per dose, with five slices of fresh ginger. Decoct and take warm.