产门不闭乃气血大虚也。先用生化汤一二剂，随进八珍汤补之。如不应，用十全大补汤温补之，自闭无恙。
间或难产者，被稳婆手指撑伤，致产门破损疼痛，即可用花蕊石散少许，掺于伤处，自然渐愈。 生化汤
当归（四钱） 川芎（一钱五分） 黑姜（一钱，夏天用五分） 桃仁（十粒，去尖研，双仁者不用）
益母草（二钱）
水煎温服，或加茯神、甘草（看人用）。此仙方也。以生物化育之义，产后必用之方。凡新产，次日则当
服二三剂，自然去瘀生新，产后无病。或有他故，再按各症治之。世俗每谓山楂去痛，不知是消胃之物，切不
可用。
生化汤者，化瘀生新之义也。盖此五味相合，各有生新化瘀之能，不独当归能生血，桃仁、益母能攻瘀也。
若谓产后必用之方，我则不敢深信。何则？盖此方一派辛温，假使阳盛热盛之体，亦用此方，岂非如火上之沃
油乎？（徐评）
八珍汤（见前临产加黄 肉桂即十全大补汤）
产后心慌自汗，宜用归姜枣汤，并醋炭熏法。
归姜枣汤
当归（四钱） 黑炮姜（一钱） 炒枣仁（二钱）
加黑枣水煎服。若服后自汗不止，心慌无主，恐防晕脱，可加人参（一钱），熟附子（五分），顾其根本，
仍用醋炭熏之，以收神气，汗自止。此内外并治之妙法。其人参，在初产原不便用，然虚脱之象，不得不用，
只要重用当归，则瘀血不得停留，不碍事也。人皆狐疑不敢用，是不知制法，用之不得当，自然误事。若遇气
虚脾弱，汗出泄泻，呕吐不食等候，非人参、附子将何以救之。经谓血脱益气，虚极生寒，必以十全大补，
方可成功。
产门不闭是由于气血严重亏虚所致。首先服用生化汤一到两剂，随后接着服用八珍汤进行补益。如果效果不明显，则使用十全大补汤进行温补，产门自然会闭合且无异常。
偶尔有难产的情况，被接生婆的手指撑伤，导致产门破损疼痛，此时可取少量花蕊石散，撒在伤口处，自然会逐渐痊愈。
【方剂：生化汤】
当归（四钱） 川芎（一钱五分） 黑姜（一钱，夏季用五分） 桃仁（十粒，去掉尖端研碎，双仁者不用）
益母草（二钱）
加水煎煮后温服，也可以根据情况加入茯神、甘草（视患者具体情况而定）。这是仙传秘方。取其生物化育之意，是产后必用的方剂。凡是刚生产完，第二天就应当服用二三剂，自然能祛除瘀血、生成新血，产后就不会生病。如果有其他原因，再根据各种症状进行治疗。世俗人常说山楂能去痛，却不知道它是消食导滞的药物，千万不要使用。
所谓生化汤，蕴含化瘀生新的意义。大概这五味药配合，各有生新化瘀的功效，不仅仅是当归能生血，桃仁、益母草也能攻逐瘀血。
如果说这是产后必用的方剂，我则不敢深信。为什么呢？因为这个方剂全是辛温之品，假如遇到阳气旺盛、热盛体质的人，也使用这个方子，岂不是如同火上浇油吗？（徐评注）
产后出现心慌、自汗的症状，适宜使用归姜枣汤，并配合醋炭熏法。
【方剂：归姜枣汤】
当归（四钱） 黑炮姜（一钱） 炒枣仁（二钱）
加入黑枣加水煎煮服用。如果服药后自汗仍不止，心慌无主，恐怕防止晕厥脱证，可以加入人参（一钱），熟附子（五分），以固护根本，同时仍然使用醋炭熏法，以收敛神气，汗液自然停止。这是内外同治的妙法。人参在初产时原本不便使用，但面对虚脱的征象，不得不使用，只要重用当归，那么瘀血就不会停留，也就不会碍事。人们都狐疑不敢使用，是因为不懂配伍法则，使用不得当，自然会误事。如果遇到气虚脾弱，出汗泄泻，呕吐不食等情况，除了人参、附子还有什么能救治呢？经书说“血脱益气”，极度虚弱会产生寒象，必须用十全大补汤，才能成功治愈。
The failure of the vulva to close is due to severe deficiency of Qi and Blood. First, administer Shenghua Tang (Transforming Stasis Decoction) for one or two doses, followed by Bazen Tang (Eight-Treasure Decoction) for tonification. If there is no response, use Shiquan Dabu Tang (Ten-Agent Great Tonifying Decoction) for warming and tonifying, after which the vulva will naturally close without abnormality.
In cases of difficult labor where the midwife's fingers cause trauma, resulting in damage and pain to the vulva, a small amount of Huarui Shi San (Flower Rhyolite Powder) can be applied to the wound, leading to gradual natural healing.
[Formula: Shenghua Tang]
Danggui (Radix Angelicae Sinensis, 4 qian) Chuanxiong (Rhizoma Chuanxiong, 1.5 qian) Heijiang (Prepared Zingiberis Rhizoma, 1 qian; use 0.5 qian in summer) Taoren (Semen Persicae, 10 grains, remove tips and crush; avoid double kernels) Yimucacao (Herba Leonuri, 2 qian)
Decoct with water and take warm. Fushen (Poria with Hostwood) and Gancao (Radix Glycyrrhizae) may be added according to the patient's condition. This is a celestial prescription. Based on the principle of generating and transforming life, it is a formula that must be used postpartum. For all new mothers, it should be taken for two or three doses starting the next day, naturally eliminating stasis and generating new blood, ensuring no illness postpartum. If other causes exist, treat according to specific symptoms. Secular people often claim that Shanzha (Fructus Crataegi) relieves pain, not knowing it is a digestive agent; it must absolutely not be used.
Shenghua Tang embodies the meaning of resolving stasis and generating newness. The combination of these five herbs each possesses the ability to generate newness and resolve stasis; it is not only Danggui that generates blood, but also Taoren and Yimucacao that attack stasis.
However, if one claims this is a mandatory formula for all postpartum cases, I dare not believe it firmly. Why? Because this formula consists entirely of acrid-warm substances. If applied to individuals with excessive Yang or heat constitution, would it not be like pouring oil on fire? (Comment by Xu)
Bazen Tang (See previous section on Pre-labor; adding Rougui [Cortex Cinnamomi] makes it Shiquan Dabu Tang)
Palpitations and spontaneous sweating postpartum are suitable for treatment with Guijiangzao Tang (Angelica, Ginger, and Jujube Decoction), combined with Vinegar Charcoal Fumigation.
[Formula: Guijiangzao Tang]
Danggui (Radix Angelicae Sinensis, 4 qian) Heipaogjiang (Prepared Blackened Zingiberis Rhizoma, 1 qian) Chao Zaoren (Fried Semen Ziziphi Spinosae, 2 qian)
Add Heizao (Blackened Jujubes) and decoct with water to take. If spontaneous sweating continues after administration, accompanied by palpitations and lack of mental control, fearing syncope or collapse, add Ren Shen (Radix Ginseng, 1 qian) and Shu Fuzi (Prepared Aconiti Lateralis Radix, 0.5 qian) to secure the root. Continue using vinegar charcoal fumigation to gather the spirit and stop sweating. This is an excellent method of simultaneous internal and external treatment. Although Ren Shen is generally inconvenient to use immediately after birth, it is indispensable when signs of collapse appear. As long as Danggui is heavily used, blood stasis will not remain, causing no harm. People hesitate to use it due to ignorance of preparation methods; improper use naturally leads to errors. In cases of Qi deficiency and weak Spleen, presenting with sweating, diarrhea, vomiting, and loss of appetite, what else could save them besides Ren Shen and Fuzi? The Classics state "in case of blood loss, tonify Qi"; extreme deficiency generates cold, requiring Shiquan Dabu Tang (Ten-Agent Great Tonifying Decoction) for success.