产后积瘀，每生内痈，人所罕识。其流腿股而生者，外出毒也。此外科可治，然无大害。积于内而生大小肠
痈者，内科产科之事也，不可不知。往往穿脐而出，或内烂断肠而死者，人只知为腹痛而死，而不知肠痈之为
害。予治愈者多人，因着于编以补发前人之所未发，并使后之产科知之以救人耳。其症当按其腹内痛处，有硬块
在脐边，按之愈痛者是也。若硬块坚，未成脓也。尺脉必不数。日夜痛无休歇，方用牡丹皮散，服数剂必散。如
尺脉已数，按之块稍软，内必肠鸣，二便不甚流利，间或痛一止，少顷又痛，此痈已成，脓毒无出路。小肠痈必
穿脐而出，势已危矣。以大剂人参补之，或可十中救一。然性命虽保，而终身亦不能生育矣。倘不知治法，则
尿从脐出，必死无救。其大肠痈者，便难出，治不如法，或不与出毒，毒必烂肠，肠伤必泻，上不饮食而呕恶，
口中有一股浊秽之气，此肠烂穿必死。予治验有案，附于卷尾。
若瘀流腿股或腰臀，则痛如锥刺，手不可
近，亦防生疽，宜服桃仁汤早散之。肠痈初起，小腹痛，小便不利，六脉微缓，不作寒热者轻。若已成，小腹坚
硬而肿，六脉洪数者险。或尺部独数，可治。溃后腥臭，不进食不受补者，不治也。初服丹皮散，不消，再进
桃仁汤或薏苡仁汤。如不消去，以排脓汤。如未穿，与陈皮葵根汤即穿。脓出后，仍在微痛，予制海浮汤三服，
毒未尽者则去，已尽者易于收口。三服后，即宜服四物、八珍、十全大补等汤补之。不然，毒虽去内尚虚，防有
食少、面黄、盗汗、无力、神倦、不寐一派虚象出矣。并忌房事年余，食物、气恼俱宜谨慎。
千金牡丹皮散
丹皮 苡仁 茯苓 生黄 生甘草 桃仁 白芷（以上各一钱） 当归（三钱） 川芎（一钱） 官桂
（五分） 木香（三分） 人参（一钱，无力者以党参五六钱代之）
水二碗，食前煎服。
苡仁汤
苡仁 栝蒌仁（各三钱） 丹皮 白芍（各一钱） 桃仁（二钱去皮尖研）
水煎，空心服。
排脓汤
生黄 （三钱） 当归（三钱） 银花 川芎 甲片（炒敲碎） 栝蒌仁 白芷（各一钱） 甘草（五分）
水煎空心服。
陈皮葵根汤
广皮（二钱） 生黄 （五钱） 当归（二钱） 皂角（二钱） 蜀葵花根（一两，切片）
水三碗，酒一杯煎，分二次服。
海浮汤
明乳香（二钱） 没药 浙贝 茯苓（各一钱五分） 生黄 （三钱酒炒） 炙草（五分）
水煎服。
四物汤（见前）八珍汤（见前，加黄 、肉桂即十全大补汤）。
产后瘀血积滞，常常导致体内形成痈肿，这是人们很少认识到的。如果瘀毒流注到腿股部位而形成的，是从外部排出的毒邪。这种情况属于外科范畴，可以治疗，但危害不大。如果瘀毒积聚在内部，形成大肠或小肠痈，则属于内科和产科诊治的范围，不可不了解。这种病往往会导致脐部穿孔流出脓液，或者内部肠道腐烂断裂而导致死亡，人们只知道患者是因腹痛而死，却不知道是大肠痈造成的危害。我治愈过许多人，因此将其编写入书中，以补充前人未曾阐发的内容，并使后来的产科医生了解此病，从而挽救生命。
其症状应当通过按压腹部疼痛处来诊断，如果在脐边有硬块，按压时疼痛加剧，这就是肠痈。如果硬块坚硬，说明脓液尚未形成，此时尺脉必然不数（脉搏不快）。如果日夜疼痛无休止，应使用牡丹皮散，服用几剂后硬块必能消散。如果尺脉已经变数（快），按压肿块感觉稍软，内部必定有肠鸣音，大小便不太通畅，偶尔疼痛暂时停止，一会儿又痛，这说明痈肿已成，脓毒没有出路。小肠痈必然会从脐部穿出，病情已经非常危险。此时需用大剂量人参进行补益，或许能在十人中救活一人。然而，即使性命保住，终身也将无法生育。倘若不知道治疗方法，尿液会从脐部流出，必定死亡且无法救治。
如果是大肠痈，大便困难排出，如果治疗不得法，或者不能排出毒邪，毒邪必定会腐蚀肠道，肠道受损必然导致腹泻，上部出现饮食不进、呕吐恶心，口中有一股浊秽之气，这是肠道腐烂穿孔的征兆，必死无疑。我有治疗的验案，附在卷末。
如果瘀血流注到腿股或腰臀部，则疼痛如锥刺一般，手不能靠近，也要防止发生疽疮，适宜服用桃仁汤尽早消散。肠痈初起时，小腹部疼痛，小便不利，六脉微缓，没有寒热症状的较轻。如果已经形成，小腹坚硬肿胀，六脉洪数的病情险恶。如果只有尺部脉独数，尚可治疗。溃破后如果有腥臭味，不能进食且不耐受补药的，属于不治之症。初服丹皮散如果不消退，再服用桃仁汤或薏苡仁汤。如果仍然不消退，改用排脓汤。如果未穿孔，服用陈皮葵根汤即可促使穿孔。脓液排出后，如果仍有轻微疼痛，我制作的方剂海浮汤服用三剂，如果毒邪未尽则会排出，如果毒邪已尽则伤口容易愈合。三剂之后，就应当服用四物汤、八珍汤、十全大补汤等来补益身体。否则，虽然毒邪已去，但体内依然虚弱，要防止出现食欲减退、面色萎黄、盗汗、无力、神疲乏力、失眠等一系列虚象出现。并且禁止房事一年多，饮食和情绪都要谨慎。
千金牡丹皮散
丹皮、苡仁、茯苓、生黄芪、生甘草、桃仁、白芷（以上各一钱），当归（三钱），川芎（一钱），官桂（五分），木香（三分），人参（一钱，体弱者可用党参五六钱代替）。
用水二碗，饭前煎服。
薏苡仁汤
薏苡仁、栝蒌仁（各三钱），丹皮、白芍（各一钱），桃仁（二钱，去皮尖研碎）。
水煎，空腹服用。
排脓汤
生黄芪（三钱），当归（三钱），银花、川芎、穿山甲片（炒后敲碎）、栝蒌仁、白芷（各一钱），甘草（五分）。
水煎，空腹服用。
陈皮葵根汤
广陈皮（二钱），生黄芪（五钱），当归（二钱），皂角（二钱），蜀葵花根（一两，切片）。
用水三碗，加酒一杯煎煮，分两次服用。
Postpartum accumulation of blood stasis often leads to the formation of internal abscesses, a condition rarely recognized by people. When the pathogenic toxin flows into the thighs and legs and manifests externally, it is an external discharge of toxins. This falls under surgical treatment and, although treatable, poses little danger. However, when accumulation occurs internally leading to Large Intestine Abscess (Chang Yong) or Small Intestine Abscess (Xiao Chang Yong), it becomes a matter for Internal Medicine and Obstetrics/Gynecology, which must not be ignored. Often, the abscess may perforate through the umbilicus, or cause internal rotting and rupture of the intestines leading to death. People only know that the patient died from abdominal pain, unaware of the harm caused by intestinal abscess. Having cured many such cases, I have recorded them in this book to supplement what predecessors had not fully expounded, and to enable future practitioners in obstetrics and gynecology to understand this condition and save lives.
The symptoms can be diagnosed by pressing on the painful areas within the abdomen; if there is a hard mass near the umbilicus that causes increased pain upon pressure, this indicates an intestinal abscess. If the hard mass is firm, pus has not yet formed, and the Chi pulse (尺脉) will definitely not be rapid (Shu). If there is ceaseless day and night pain, use Mudanpi San (Cortex Moutan Powder). After taking several doses, the mass will surely dissipate. If the Chi pulse has become rapid, and the mass feels slightly soft upon pressure, with borborygmus (intestinal rumbling) inside, and urination and defecation not flowing smoothly, with intermittent cessation of pain followed by recurrence shortly after, this indicates that the abscess has matured and pus/toxin has no outlet. A Small Intestine Abscess will inevitably perforate through the umbilicus, indicating a critical condition. At this stage, a large dose of Renshen (Ginseng Root) should be used to tonify Qi; perhaps one out of ten patients can be saved. Even if life is preserved, fertility will be lost for life. If the treatment method is unknown, urine will flow from the umbilicus, leading to certain death with no rescue possible.
In the case of a Large Intestine Abscess, defecation is difficult. If treated improperly, or if the toxin is not expelled, the toxin will rot the intestines. Once the intestines are damaged, diarrhea will occur. The upper body will exhibit inability to eat, vomiting, and nausea, accompanied by a foul odor from the mouth. This indicates intestinal rotting and perforation, which is fatal. I have recorded verified cases, attached at the end of the volume.
If blood stasis flows to the thighs, buttocks, or waist, the pain is like needle pricks, and the area is too tender to touch. One must also guard against the development of carbuncles (Ju). It is advisable to take Tao Ren Tang (Peach Kernel Decoction) early to dissipate the stasis. In the initial stage of an intestinal abscess, there is lower abdominal pain, difficulty in urination, a slight and moderate pulse in all six positions, without chills or fever; this is mild. If the abscess has already formed, the lower abdomen is hard, swollen, and the six pulses are surging and rapid; this is dangerous. If only the Chi position pulse is rapid, it is still treatable. After ulceration, if there is a fishy/foul odor, inability to eat, and intolerance to tonification, it is incurable. Initially, administer Mudanpi San. If it does not subside, proceed with Tao Ren Tang or Yiyiren Tang (Coix Seed Decoction). If it still does not resolve, use Painong Tang (Drain Pus Decoction). If it has not perforated, Chenpi Kuigen Tang (Tangerine Peel and Hibiscus Root Decoction) will induce perforation. After pus drainage, if slight pain persists, my formulated Haifu Tang (Sea Floating Decoction) taken for three doses will expel remaining toxins or facilitate wound closure if toxins are exhausted. After three doses, one should take Siwu Tang (Four Substance Decoction), Bazhen Tang (Eight Treasures Decoction), or Shiquan Dabu Tang (Ten Complete Tonifying Decoction) to tonify. Otherwise, although the toxin is gone, the interior remains deficient, risking the emergence of deficiency signs such as poor appetite, sallow complexion, night sweats, weakness, mental fatigue, and insomnia. Sexual intercourse should be avoided for over a year, and both diet and emotional agitation must be handled with caution.
Qianjin Mudanpi San (Thousand Gold Cortex Moutan Powder)
Mudanpi (Cortex Moutan Radicis), Yiyiren (Semen Coicis), Fuling (Poria), Sheng Huangqi (Radix Astragali Preparata), Sheng Gancao (Radix Glycyrrhizae Preparata), Tao Ren (Semen Persicae), Baizhi (Radix Angelicae Dahuricae) (1 qian each); Danggui (Radix Angelicae Sinensis) (3 qian); Chuanxiong (Rhizoma Chuanxiong) (1 qian); Guanzi Gui (Cortex Cinnamomi) (5 fen); Muxiang (Radix Aucklandiae) (3 fen); Renshen (Radix Ginseng) (1 qian; replace with 5-6 qian of Dangshen [Radix Codonopsis] for those with weak constitution).
Decoct in two bowls of water, take before meals.
Yiyiren Tang (Coix Seed Decoction)
Yiyiren (Semen Coicis), Gualouren (Semen Trichosanthis) (3 qian each); Mudanpi (Cortex Moutan Radicis), Baishao (Radix Paeoniae Alba) (1 qian each); Tao Ren (Semen Persicae) (2 qian, peeled, core removed, and crushed).
Decoct in water, take on an empty stomach.
Paionong Tang (Drain Pus Decoction)
Sheng Huangqi (Radix Astragali Preparata) (3 qian); Danggui (Radix Angelicae Sinensis) (3 qian); Yinhua (Flos Lonicerae Japonicae), Chuanxiong (Rhizoma Chuanxiong), Jiapian (Scuta Testudinis et Carapax Trionycis - Pangolin scales/Turtle shell, stir-fried and crushed), Gualouren (Semen Trichosanthis), Baizhi (Radix Angelicae Dahuricae) (1 qian each); Gancao (Radix Glycyrrhizae) (5 fen).
Decoct in water, take on an empty stomach.
Chenpi Kuigen Tang (Tangerine Peel and Hibiscus Root Decoction)
Guangpi (Pericarpium Citri Reticulatae) (2 qian); Sheng Huangqi (Radix Astragali Preparata) (5 qian); Danggui (Radix Angelicae Sinensis) (2 qian); Zaojiao (Fructus Gleditsiae Sinensis) (2 qian); Shuhui Hua Gen (Radix Hibisci Mutabilis Flower Root) (1 liang, sliced).
Decoct in three bowls of water with one cup of wine, divide into two doses.
Haifu Tang (Sea Floating Decoction)
Ming Ruxiang (Resina Olibani) (2 qian); Moyao (Resina Myrrhae), Zhebei (Bulbus Fritillariae Thunbergii), Fuling (Poria) (1.5 qian each); Sheng Huangqi (Radix Astragali Preparata) (3 qian, stir-fried with wine); Zhigancao (Radix Glycyrrhizae Preparata) (5 fen).
Decoct in water and take.
Siwu Tang (Four Substance Decoction) (see previous section).
Bazhen Tang (Eight Treasures Decoction) (see previous section; add Huangqi [Radix Astragali] and Rougui [Cortex Cinnamomi] to obtain Shiquan Dabu Tang [Ten Complete Tonifying Decoction]).