〔郭〕产后腹胀满闷，呕吐不定者何？答曰∶败血散于脾胃，脾受之则不能运化精
微，而成腹胀。胃受之则不能受纳水谷，而生吐逆。医者不识，若以寻常治胀止吐药治
之，病与药不相干，转更伤动正气，疾愈难治，但服抵圣汤则愈。
〔薛〕前证若败血伤于脾胃，宜用前方。若饮食停于脾，宜用六君、浓朴。若饮食伤
于胃，宜用六君子汤，大凡损其脾者，当节其饮食为善。一产妇患前证，或用抵当汤，
败血已下，前证益甚，小腹重坠，似欲去后。余谓此脾气虚而下陷，用补中益气汤加炮姜，
温补脾气，重坠如失。又用六君子汤而安。
抵圣汤入生姜半两，焙干水煎。（方见胎前腹胀。薛氏云∶此方最宜用之。）
《局方》平胃散加人参亦可。
〔郭〕产后四肢浮肿者，败血乘虚停积，循经流入四肢，留淫日深，却还不得，腐坏
如水故令面黄，四肢浮肿，医人不识，便作水气治之。凡治水多用导水药，极虚人。夫
产后既虚，又以药虚之，是谓重虚，往往多致夭枉。但服小调经散，血行肿消则愈。
陈无择曰∶产后浮肿多端，有自怀妊肿至产后不退者，亦有产后失于将理，外感寒
暑风湿，内则喜怒忧惊，血与气搏，留滞经络，气分血分不可不辨，要当随所因脉证治
之，宜得其情。小调经散治血分固效，但力浅难凭，不若吴茱萸汤、枳术汤、夺魂散、大
调经散，皆要药也。
又论曰∶夫产后劳伤血气，腠理虚则为风邪所乘，邪搏于气，不得宣越，故令虚肿、
轻浮，是邪搏于气，气肿也。若皮肤如熟李状，则变为水肿，气肿者发汗即愈，水肿者，
利小便瘥也。
〔洁古〕如产后风寒在表，面目四肢浮肿，宜局方七圣丸，白汤下，日加，以利为
度。如浮肿至膝，喘嗽，加木香、槟榔倍之，谓气多也。如浮肿又头痛昏冒，加羌活、川
芎，谓风多也。如只浮肿，止七圣丸本方服。
〔东垣〕中满分消丸（杂病胀满）。用四物汤吞之。
〔丹〕产后肿，必用大补气血为主，少佐以苍术、茯苓，使水自利。
〔薛〕前证若寒水侮土，宜养脾肺。若气虚浮肿，宜益脾胃。若水气浮肿，宜补中
气。当参杂证本门主治。一产妇饮食少思，服消导之剂，四肢浮肿。余谓中气不足，朝
用补中益气汤，夕用六君子汤而愈。后因怒腹胀，误服沉香化气丸，吐泻不止，饮食不
进，小便不利，肚腹四肢浮肿，用金匮加减肾气丸而愈。一产妇泄泻，四肢面目浮肿，
喘促恶寒。余谓脾肺虚寒，用六君加姜、桂而泄泻愈，用补中益气而脾胃健。
〔杜〕张宣徽侍宠产后半月，忽患浮肿，急召产科医治，经半月不瘥，病势转剧。召
杜治之，杜至曰∶诸医作何病？张曰∶皆云水气浮肿。杜曰∶非也，且水气发咳嗽，小
便涩是也。今爱宠小便不涩，不作咳嗽，惟手足寒，乃血脏虚，气塞不通，流面生浮肿。
遂用益血和气药治之。旬日病去七八，经半月全愈。所用之药，乃《灵苑方》牡丹散也。
其方云∶治血脏风虚冷，今产科家多用此药，治产后诸病如神，更名损金汤者是也。（牡丹散
见血晕。）一妇产后四肢浮肿，寒热往来，盖因败血流入经络，渗入四肢，气喘咳嗽，胸
膈不利，口吐酸水，两胁疼痛，遂用旋复花汤，微汗渐解；频服小调经，用泽兰梗煎汤
调下，肿气渐消。
大调经散 治产后肿满，喘急烦渴，小便不利。（方见产后寒热。）
小调经散
没药 琥珀 桂心 芍药 当归（各一钱） 细辛 麝香（各半钱）
上为细末，每服半钱，姜汁、温酒各少许调停服。
治产后遍身青肿疼痛，及产后血水疾。（出《妇人经验方》。）
干漆 大麦 （等分）
上各为细末，以新瓦罐子中铺一重麦 ，一重干漆，如此填满，用盐泥固济，火 通
赤，放冷，研为散。但是产后诸疾，热酒调下二钱。
经云∶产后肌浮，柑皮酒服。（橘皮为末，每服二钱，酒调。）
白术汤 治心腹坚大如盘，边如旋盘，水饮所作，名曰气分。
枳实（一两半） 白术（三两）
上 咀，每服四钱，水一盏半，煎至七分，去滓温服。腹中 ，即当散也。
〔丹〕妇人产后浮肿，小便少，口渴恶寒，无力，脉皆沉，此体虚而有湿热之积，必
上焦满闷，宜补中导水行气可也。
白术（二两半） 陈皮（一两） 川芎（半两） 木通（六钱） 茯苓（三钱）
上用水煎，下与点丸二十五丸。（黄芩为末，粥丸，名与点丸，亦名清金丸。）
夺魂散 治产后虚肿喘促，利小便则愈。
生姜（三两，取汁） 白面（三两） 大半夏（七枚）
上以生姜汁搜面裹半夏，为七饼子，煨焦熟为末，水调一盏，小便利为效。
张氏方 治产后血虚，风肿水肿。
泽兰叶 防己（等分）
上为末，每服二钱，温酒调下。不饮者，醋汤调亦可。
汉防己散 （此药虚人戒服。）
汉防己 猪苓 枳壳 桑白皮（各一两） 商陆 甘草（各七钱半）
上为粗末，每服四钱，水一盏半，姜三片，煎至七分，去滓空心温服。
七圣丸（杂病大便不通。）
加减吴茱萸汤 治妇人脏气本虚，宿挟风冷，胸膈满痛，腹胁绞刺，呕吐恶心，饮
食减少，身面虚浮，恶寒战栗，或泄泻不止，少气羸困，及因生产，脏气暴虚，邪冷内胜，
宿疾转增。
吴茱萸（一两半） 苦梗 干姜 甘草 麦门冬 防风 半夏 细辛 当归 赤茯苓
牡丹皮 桂心（各半两）
上为粗末，每服四钱，水一盏半，煎至七分，去滓食前热服。
金匮加减肾气丸（方见杂病水肿。）
加味八物汤 治产后遍身浮肿，气急潮热。
人参 白茯苓 熟地黄 小 香（各三钱） 白术 川芎（各四钱） 当归 白芍药
香附子（各五钱） 甘草 黄芩 柴胡（各一钱）
上锉散，分作六七服，每服水一盅半，姜三片，煎至七分，空心热服，尽此药，方服
调经丸。若肚痛加延胡索、干漆、枳壳（各三钱）。若呕吐恶心，加良姜、砂仁（各二钱。）若手足麻
痹，加肉桂（一钱半。）若咳嗽，加五味子、款冬花、杏仁。
【郭稽中】产后出现腹部胀满、胸闷，且呕吐不定的原因是什么？回答说：这是败血（产后残留的瘀血）散乱于脾胃所致。脾脏受到败血影响，则不能运化水谷精微，从而形成腹胀；胃脏受到败血影响，则不能受纳饮食水谷，从而产生呕吐逆气。医生如果不明此理，若用通常治疗腹胀和止吐的药物来治疗，药不对症，反而会损伤正气，使疾病更难治愈。只要服用抵圣汤即可痊愈。
【薛己】上述证候如果是败血损伤了脾胃，适宜使用前面的方剂（指抵圣汤）。如果是饮食停滞在脾，适宜使用六君子汤加浓朴。如果是饮食损伤了胃，适宜使用六君子汤。大凡损伤脾气的情况，应当节制饮食为好。有一位产妇患上述证候，有人使用了抵当汤，虽然败血已下，但之前的症状反而加重，小腹沉重下坠，感觉想要解大便。我认为这是脾气虚弱而下陷，于是使用补中益气汤加炮姜，以温补脾气，沉重下坠感随即消失。随后又服用六君子汤而安定康复。
抵圣汤加入生姜半两，焙干后用水煎服。（该方见胎前腹胀章节。薛氏说：此方最适宜使用。）《局方》中的平胃散加入人参也可以使用。
【郭稽中】产后四肢浮肿的原因，是败血乘虚停积，顺着经络流入四肢，停留浸淫日久，却无法回流消散，腐败变质如同水液，所以导致面色发黄，四肢浮肿。医生不认识这是瘀血所致，便当作水气病来治疗。凡是治疗水气多用导水利尿的药物，这对极度虚弱的人非常有害。既然产后身体已经虚弱，再用药物使其更虚，这叫做“重虚”，往往会导致早逝。只要服用小调经散，血液运行通畅，肿胀消退即可痊愈。
陈无择说：产后浮肿原因多样，有的从怀孕时开始肿直到产后不退；也有的是产后调理不当，外感寒暑风湿，内因喜怒忧惊，导致血与气相互搏结，留滞于经络，气分和血分的病机不可不辨别，一定要根据病因脉证进行治疗，要探求其真情实状。小调经散治疗血分浮肿固然有效，但药力较浅难以完全依赖，不如吴茱萸汤、枳术汤、夺魂散、大调经散，这些都是关键药物。
又有论述说：产后劳伤气血，腠理（皮肤毛孔及肌肉间隙）空虚则被风邪侵袭，邪气与气相搏，不得宣发透越，所以导致虚肿、轻浮，这是邪气搏结于气，属于气肿。如果皮肤像熟李子那样光亮紧绷，则转变为水肿。气肿者发汗即可痊愈，水肿者利小便即可好转。
【张洁古】如果是产后风寒在表，导致面目四肢浮肿，适宜使用《局方》七圣丸，用白开水送服，每日逐渐增加剂量，以利下为度。如果浮肿延伸至膝盖，伴有喘咳，加倍使用木香、槟榔，这是因为气滞较多。如果浮肿又伴有头痛昏沉，加倍使用羌活、川芎，这是因为风邪较多。如果只是单纯浮肿，只服用七圣丸原方即可。
【朱丹溪】产后浮肿，必须以大补气血为主，稍加苍术、茯苓，使水湿自然排出。
【薛己】上述证候如果是寒水侮土（肾水反克脾土），适宜养脾肺。如果是气虚浮肿，适宜益脾胃。如果是水气浮肿，适宜补中气。应当参考杂病各门类的主治方法。一位产妇饮食减少思食，服用消导药剂后，出现四肢浮肿。我认为这是中气不足，早晨服用补中益气汤，晚上服用六君子汤而痊愈。后来因为生气导致腹胀，误服沉香化气丸，导致吐泻不止，饮食不进，小便不利，肚腹四肢浮肿，使用金匮加减肾气丸而痊愈。一位产妇泄泻，四肢面目浮肿，气喘恶寒。我认为这是脾肺虚寒，使用六君子汤加生姜、肉桂而泄泻愈，使用补中益气汤而脾胃健运。
【杜自斋】张宣徽侍奉宠妾产后半个月，忽然患浮肿，急忙召产科医生医治，经过半个月未愈，病情转剧。召杜自斋诊治，杜到后问：其他医生诊断为什么病？张说：都说是水气浮肿。杜说：不对，水气发作通常会咳嗽，小便涩滞才是。现在您的宠妾小便不涩，也不咳嗽，只有手足寒冷，这是血脏（肝心等藏血之脏）虚弱，气机堵塞不通，流溢面部而生浮肿。于是使用益血和气的药物治疗。十天病去七八，半个月完全痊愈。所用的药，是《灵苑方》中的牡丹散。该方说：治疗血脏风虚冷，现在产科多用此药，治疗产后诸病如神，改名为损金汤的就是这个。（牡丹散见血晕章节。）一位产妇产后四肢浮肿，寒热往来，这是因为败血流入经络，渗入四肢，气喘咳嗽，胸膈不利，口吐酸水，两胁疼痛，于是使用旋复花汤，微微出汗后逐渐缓解；频繁服用小调经散，用泽兰梗煎汤调下，肿气逐渐消退。
大调经散 治疗产后肿满，喘急烦渴，小便不利。（该方见产后寒热章节。）
小调经散
没药 琥珀 桂心 芍药 当归（各一钱） 细辛 麝香（各半钱）
以上研为细末，每次服用半钱，用姜汁、温酒各少许调和服用。
治疗产后遍身青肿疼痛，以及产后血水疾。（出自《妇人经验方》。）
干漆 大麦 （等分）
以上分别研为细末，在新瓦罐中铺一层麦，一层干漆，如此填满，用盐泥密封固济，用火煨至通红，放冷后，研为散剂。凡是产后诸疾，用热酒调下二钱。
经云：产后肌浮，柑皮酒服。（橘皮为末，每次服用二钱，酒调服。）
白术汤 治疗心腹坚大如盘，边缘如旋盘，由水饮所作，名叫气分。
枳实（一两半） 白术（三两）
以上切碎，每次服用四钱，水一盏半，煎至七分，去渣温服。腹中如有雷鸣声，即当消散。
【朱丹溪】妇人产后浮肿，小便少，口渴恶寒，无力，脉象皆沉，这是体质虚弱而有湿热积聚，必然上焦满闷，适宜补中兼导水行气即可。
白术（二两半） 陈皮（一两） 川芎（半两） 木通（六钱） 茯苓（三钱）
以上用水煎，送服点丸二十五丸。（黄芩为末，粥糊为丸，名叫与点丸，也叫清金丸。）
夺魂散 治疗产后虚肿喘促，利小便则愈。
生姜（三两，取汁） 白面（三两） 大半夏（七枚）
以上用生姜汁和面裹半夏，做成七个饼子，煨至焦熟后研为末，水调一盏，小便利为有效。
张氏方 治疗产后血虚，风肿水肿。
泽兰叶 防己（等分）
以上研为末，每次服用二钱，温酒调下。不饮酒者，醋汤调服亦可。
汉防己散 （此药体虚之人忌服。）
汉防己 猪苓 枳壳 桑白皮（各一两） 商陆 甘草（各七钱半）
以上研为粗末，每次服用四钱，水一盏半，姜三片，煎至七分，去渣空腹温服。
加减吴茱萸汤 治疗妇人脏气本虚，宿挟风冷，胸膈满痛，腹胁绞刺，呕吐恶心，饮食减少，身面虚浮，恶寒战栗，或泄泻不止，少气羸困，以及因生产，脏气暴虚，邪冷内胜，宿疾转增。
吴茱萸（一两半） 苦梗 干姜 甘草 麦门冬 防风 半夏 细辛 当归 赤茯苓 牡丹皮 桂心（各半两）
以上研为粗末，每次服用四钱，水一盏半，煎至七分，去渣食前热服。
加味八物汤 治疗产后遍身浮肿，气急潮热。
人参 白茯苓 熟地黄 小 香（各三钱） 白术 川芎（各四钱） 当归 白芍药 香附子（各五钱） 甘草 黄芩 柴胡（各一钱）
以上锉散，分作六七服，每服用水一盅半，姜三片，煎至七分，空腹热服，服完此药后，再服用调经丸。如果肚痛加延胡索、干漆、枳壳（各三钱）。如果呕吐恶心，加良姜、砂仁（各二钱。）如果手足麻痹，加肉桂（一钱半。）如果咳嗽，加五味子、款冬花、杏仁。
[Guo Jizhong] What is the cause of abdominal distension, chest fullness, and irregular vomiting after childbirth? The answer is: This is caused by lochial stasis (residual blood after delivery) scattering into the Spleen and Stomach. When the Spleen is affected, it cannot transport and transform essence and turbidity, leading to abdominal distension. When the Stomach is affected, it cannot receive and digest food and fluids, leading to vomiting and regurgitation. If physicians do not understand this, and treat it with ordinary medicines for distension and vomiting, the medicine will be irrelevant to the disease, further damaging the healthy Qi, making the illness harder to cure. Simply administering Disheng Tang (Cinnamon Twig and Angelica Decoction) will result in recovery.
[Xue Ji] For the aforementioned syndrome caused by lochial stasis injuring the Spleen and Stomach, the previous formula (referring to Disheng Tang) should be used. If food stagnation is in the Spleen, Liujunzi Tang (Six Gentlemen Decoction) plus Houpo (Magnolia Bark) should be used. If food injury is in the Stomach, Liujunzi Tang should be used. Generally, when the Spleen is damaged, regulating diet is beneficial. A postpartum patient suffered from the aforementioned syndrome; someone administered Didang Tang (Ephedra and Rhubarb Decoction). Although the lochial stasis was discharged, the previous symptoms worsened, with a heavy bearing sensation in the lower abdomen, as if defecation were imminent. I considered this to be deficiency of Spleen Qi with sinking. I used Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) plus Paojiang (Prepared Ginger) to warm and tonify Spleen Qi, and the heavy bearing sensation disappeared. Subsequently, she took Liujunzi Tang and recovered.
Disheng Tang includes half taels of fresh ginger, baked dry and decocted in water. (The formula is found under "Abdominal Distension during Pregnancy." Xue stated: This formula is most suitable.) Pingwei San (Stomach-Pacifying Powder) from *Ju Fang* added with Renshen (Ginseng) can also be used.
[Guo Jizhong] The cause of edema in the four limbs after childbirth is that lochial stasis accumulates due to deficiency, flows along the meridians into the four limbs, stays and infiltrates deeply over time, yet fails to return and dissipate. It rots and transforms like water, causing yellow complexion and edema in the four limbs. Physicians who do not recognize this may mistakenly treat it as fluid retention disease. Treatments for fluid retention often use diuretic drugs, which are extremely harmful to those who are severely deficient. Since the body is already deficient postpartum, using drugs to further deplete it is called "double deficiency," often leading to premature death. Simply administering Xiaotiaojing San (Minor Regulating the Menses Powder) will allow blood circulation to resume and swelling to subside, resulting in recovery.
Chen Wuyue said: Postpartum edema has various causes. Some swell during pregnancy and do not resolve after delivery. Others result from improper postpartum care, where external pathogenic factors like cold, heat, dampness, and wind invade, or internal emotional disturbances like anger, joy, worry, and fright occur. Blood and Qi contend and stagnate in the meridians. One must distinguish between disorders of the Qi level and the Blood level. Treatment must follow the specific etiology, pulse, and symptoms to ascertain the true nature of the condition. Xiaotiaojing San is effective for blood-level edema, but its action is mild and insufficient alone. Wuzyuyu Tang (Evodia Decoction), Zhizhu Tang (Immature Bitter Orange and Atractylodes Macrocephala Decoction), Duohun San (Soul-Rescuing Powder), and Datiaojing San (Major Regulating the Menses Powder) are all essential formulas.
Another discussion states: Postpartum labor injures Qi and Blood. When the Couli (pores and interstices) are deficient, Wind pathogens invade. Pathogens contend with Qi, preventing its dissemination and transcendence, leading to empty swelling and light floating, which is Qi swelling caused by pathogen-Qi contention. If the skin resembles a ripe plum, it transforms into Water Edema. Qi swelling resolves with sweating; Water Edema resolves with promoting urination.
[Zhang Congzheng] If Wind-Cold is on the exterior after childbirth, causing facial and limb edema, Qisheng Wan (Seven Sages Pill) from *Ju Fang* should be used, taken with plain water, increasing the dose daily until bowel movement occurs. If edema extends to the knees with wheezing and coughing, double the dosage of Muxiang (Aucklandia Root) and Binglang (Areca Seed), indicating excessive Qi stagnation. If edema is accompanied by headache and dizziness, double the dosage of Qianghuo (Notopterygium Rhizome) and Chuanxiong (Ligusticum Rhizome), indicating excessive Wind. If there is only simple edema, take the original Qisheng Wan formula alone.
[Li Dongyuan] Zhongman Fenxiao Wan (Middle Fullness Dispersing and Differentiating Pill) (for miscellaneous diseases with distension and fullness). Swallow with Siwu Tang (Four Substances Decoction).
[Zhu Danxi] For postpartum edema, the primary treatment must be greatly tonifying Qi and Blood, with minor additions of Cangzhu (Atractylodes Lancea Rhizome) and Fuling (Poria), allowing water to drain naturally.
[Xue Ji] For the aforementioned syndrome, if Cold-Water insults Earth (Kidney Water counter-acting Spleen Earth), nourish the Spleen and Lungs. If it is Qi-deficiency edema, benefit the Spleen and Stomach. If it is Water-Qi edema, tonify Middle Qi. Refer to the main treatments in the respective chapters of miscellaneous diseases. A postpartum patient had poor appetite and took digestive aids, resulting in limb edema. I diagnosed insufficient Middle Qi. She took Buzhong Yiqi Tang in the morning and Liujunzi Tang in the evening, recovering fully. Later, anger caused abdominal distension; she mistakenly took Chenxiang Huaqi Wan (Agarwood Promoting Qi Circulation Pill), leading to continuous vomiting and diarrhea, inability to eat, difficult urination, and abdominal and limb edema. She recovered after taking Jin Gui Jiashen Shenqi Wan (Modified Kidney Qi Pill from the Golden Cabinet). Another postpartum patient had diarrhea, facial and limb edema, wheezing, and aversion to cold. I diagnosed Spleen-Lung Deficiency-Cold. She took Liujunzi Tang plus Shengjiang (Fresh Ginger) and Rougui (Cinnamon Bark) to stop diarrhea, and Buzhong Yiqi Tang to strengthen the Spleen and Stomach.
[Du Zizhai] Zhang Xuanhui’s favored concubine developed sudden edema half a month after childbirth. Obstetricians were summoned but failed to cure her after half a month; the condition worsened. Du was summoned. Upon arrival, Du asked: What did other doctors diagnose? Zhang replied: They all said it was Water-Qi Edema. Du said: Incorrect. Water-Qi typically presents with cough and scanty, painful urination. Now your concubine has no urinary difficulty nor cough, only cold hands and feet. This is deficiency of the Blood Zang organs, with Qi blockage preventing flow, overflowing to the face causing edema. He treated her with herbs to nourish blood and harmonize Qi. After ten days, seven or eight parts of the illness had passed; after half a month, she was fully recovered. The medicine used was Mudan San (Peony Powder) from *Ling Yuan Fang*. The formula states: It treats Wind-Cold-Deficiency of the Blood Zang. Currently, obstetricians use this frequently for postpartum conditions with miraculous results, renamed Sunjin Tang (Damaging Metal Decoction). (Mudan San is seen under Syncope due to Lochial Stasis.) A postpartum patient had limb edema, alternating chills and fever, because lochial stasis flowed into the meridians, infiltrating the limbs. She had wheezing, cough, chest oppression, sour regurgitation, and hypochondriac pain. She was given Xuanfuhua Tang (Inula Flower Decoction); slight sweating led to gradual relief. Frequent administration of Xiaotiaojing San, taken with Ze Lan Geng (Leonurus Stem) decoction, gradually reduced the swelling.
Datiaojing San (Major Regulating the Menses Powder) treats postpartum swelling and fullness, wheezing, urgency, thirst, and difficult urination. (Formula seen under Postpartum Alternating Chills and Fever.)
Xiaotiaojing San (Minor Regulating the Menses Powder)
Moyao (Myrrh), Hupo (Amber), Guixin (Cinnamon Heart), Shaoyao (White Peony Root), Danggui (Angelica Sinensis) (each 1 qian), Xixin (Asarum), Shexiang (Musk) (each 0.5 qian).
Grind into fine powder. Take 0.5 qian per dose, mixed with a little Ginger Juice and Warm Wine.
Treats generalized cyanotic swelling and pain after childbirth, and postpartum blood-water disorders. (From *Furen Jingyan Fang*.)
Ganqi (Dry Resin of Toxicodendron), Damai (Barley) (equal parts).
Grind each into fine powder. Layer barley and Ganqi in a new clay pot, filling it completely. Seal with salt mud, fire-roast until red hot, cool, and grind into powder. For any postpartum disorder, take 2 qian mixed with Hot Wine.
The Classics state: For postpartum superficial swelling, take Tangerine Peel with wine. (Orange peel ground to powder, 2 qian per dose, taken with wine.)
Baizhu Tang (Atractylodes Macrocephala Decoction) treats firm and large epigastric distension like a plate, with edges like a rotating plate, caused by fluid retention, named Qi Fen (Qi Level).
Zhishi (Immature Bitter Orange) (1.5 liang), Baizhu (Atractylodes Macrocephala Rhizome) (3 liang).
Cut into pieces. Take 4 qian per dose, decoct in 1.5 cups of water until 0.7 cup remains, strain, and take warm. If rumbling sounds are heard in the abdomen, the accumulation will dissipate.
[Zhu Danxi] In women with postpartum edema, scanty urine, thirst, aversion to cold, weakness, and deep pulses, this indicates constitutional deficiency with accumulation of Damp-Heat. There is必然 (necessarily) upper Jiao fullness. Tonifying the middle while guiding out water and moving Qi is appropriate.
Baizhu (2.5 liang), Chenpi (Tangerine Peel) (1 liang), Chuanxiong (0.5 liang), Mutong (Akebia Caulis) (6 qian), Fuling (Poria) (3 qian).
Decoct in water. Take with 25 pills of Dian Dian Wan (Point-Dot Pill). (Huangqin (Scutellaria Root) ground to powder, pillified with rice porridge paste, named Dian Dian Wan, also called Qingjin Wan (Clear Metal Pill).)
Duohun San (Soul-Rescuing Powder) treats postpartum empty swelling and wheezing; recovery follows promotion of urination.
Shengjiang (Fresh Ginger, 3 liang, juice extracted), Baifan (Wheat Flour) (3 liang), Dabanxia (Large Pinellia Tuber) (7 pieces).
Knead flour with Ginger Juice, wrap Banxia, form into seven cakes. Roast until charred and cooked, grind to powder. Mix with water, one cup per dose. Effectiveness is indicated by free urination.
Zhang Shi Formula (Zhang's Formula) treats postpartum Blood Deficiency, Wind Swelling, and Water Edema.
Zelan Ye (Herba Leonuri Capillaris), Fangji (Stephania Tetrandra Root) (equal parts).
Grind to powder. Take 2 qian per dose, mixed with Warm Wine. If alcohol is not consumed, Vinegar Water may be used.
Hanfangji San (Stephania Tetrandra Powder) (Contraindicated for deficient patients.)
Hanfangji (Stephania Tetrandra), Zhuling (Polyporus), Zhiqiao (Bitter Orange), Sangbaipi (Mulberry Root Bark) (each 1 liang), Shanglu (Phytolacca Root), Gancao (Licorice Root) (each 0.75 liang).
Grind to coarse powder. Take 4 qian per dose, decoct in 1.5 cups of water with 3 slices of Ginger until 0.7 cup remains, strain, and take warm on an empty stomach.
Qisheng Wan (Seven Sages Pill) (For miscellaneous diseases with constipation.)
Jiajian Wuzhuyu Tang (Modified Evodia Decoction) treats women with inherent visceral deficiency, chronic Wind-Cold retention, chest and diaphragm fullness/pain, cramping/stabbing pain in abdomen and flanks, vomiting/nausea, decreased appetite, empty swelling of body and face, aversion to cold and shivering, or continuous diarrhea, shortness of breath and emaciation. Also treats acute visceral deficiency due to childbirth, with internal excess of Cold pathogens exacerbating old diseases.
Wuzhuyu (Evodia Fruit) (1.5 liang), Kugeng (Platycodon Root), Ganjiang (Dried Ginger), Gancao (Licorice Root), Maimendong (Ophiopogon Tuber), Fangfeng (Saposhnikovia Root), Banxia (Pinellia Tuber), Xixin (Asarum), Danggui (Angelica Sinensis), Chifuling (Red Poria), Mudanpi (Tree Peony Bark), Guixin (Cinnamon Heart) (each 0.5 liang).
Grind to coarse powder. Take 4 qian per dose, decoct in 1.5 cups of water until 0.7 cup remains, strain, and take hot before meals.
Jin Gui Jiashen Shenqi Wan (Modified Kidney Qi Pill from the Golden Cabinet) (Formula seen under Miscellaneous Diseases: Edema.)
Jiawei Bawu Tang (Augmented Eight-Ingredient Decoction) treats generalized postpartum edema, rapid breathing, and tidal fever.
Renshen (Ginseng), Baifuling (White Poria), Shudihuang (Prepared Rehmannia Root), Xiao Huixiang (Small Fennel) (each 3 qian), Baizhu (Atractylodes Macrocephala Rhizome), Chuanxiong (Ligusticum Rhizome) (each 4 qian), Danggui (Angelica Sinensis), Baishaoyao (White Peony Root), Xiangfuzi (Cyperus Rhizome) (each 5 qian), Gancao (Licorice Root), Huangqin (Scutellaria Root), Chaihu (Bupleurum Root) (each 1 qian).
Cut into fragments. Divide into six or seven doses. Each dose decocted in 1.5 cups of water with 3 slices of Ginger until 0.7 cup remains. Take hot on an empty stomach. After finishing this medicine, take Tiaojing Wan (Regulating Menses Pill). If abdominal pain, add Yanhusuo (Corydalis Rhizome), Ganqi (Dry Resin of Toxicodendron), Zhiqiao (Bitter Orange) (each 3 qian). If vomiting/nausea, add Liangjiang (Alpinia Katsumadai Rhizome), Sharen (Amomum Fruit) (each 2 qian). If numbness of hands and feet, add Rougui (Cinnamon Bark) (1.5 qian). If cough, add Wuweizi (Schisandra Berry), Kuandonghua (Farfola Flower), Xingren (Apricot Seed).