（见痉病） 治病解能食。七八日更发热者。此为胃实。宜此汤主之。
（见寒疝。） 治产后腹中 痛者。
主产后腹痛。烦满不得卧者。
枳实（烧令黑。勿太过。） 芍药（等分。）
上二味杵为散。服方寸匕。日三服。并主痈脓。大麦粥下之。
歌曰 满烦不卧腹疼频。枳实微烧芍等平。羊肉汤方应反看。（彼治虚痛。北治实痛。）
散调
男蔚按。枳实通气滞。芍药通血滞。通则不痛。人所共知也。妙在枳实烧黑。得火化而
善攻
治产妇腹痛。法当以枳实芍药散。假令不愈者。此为腹中有瘀血着脐下。宜此
经水不利。
大黄（三两。） 桃仁（二十个。） 虫（二十枚。去足。熬。）
上三味末之。炼蜜和为四丸。以酒一升煮一丸。取八合。顿服之。新血下如豚肝。（各
本略
歌曰 脐中着痛瘀为殃。廿粒桃仁三两黄。更有 虫二十个。酒煎大下亦何伤。
男元犀按。服枳实芍药而不愈者。非积停不通。是瘀结不散。用此方攻之。方中大黄、
桃仁
而成
味苦
（见痉病） 治产后七八日。无太阳症。少腹坚痛。此恶露不尽。不大便。烦躁发热。
切脉微实。再倍发热。日晡时烦躁者。不食。食则谵语。至夜即愈。宜此汤主之。热在里。
结在膀胱也。
孙男心典按。无太阳症者。外无病也。脉微实。烦躁发热。食则谵语者。胃热也。恶露
不尽
瘀除
（参见痉病篇）治疗能够进食，经过七八天后又出现发热的症状。这是胃中有实热，适宜用此汤来主治。
（参见寒疝篇）治疗产后腹部疼痛的症状。
主治产后腹痛，伴有烦闷、无法平卧的症状。
枳实（烧至变黑，但不要烧过头。） 芍药（与枳实等量。）
将以上两味药捣碎成散剂。每次服用一方寸匕，每日服用三次。同时也主治痈脓（化脓性感染）。用大麦粥送服。
歌诀说：烦满不卧腹疼频，枳实微烧芍药等分平。羊肉汤方应反向看待。（羊肉汤治疗虚痛，本方治疗实痛。）
用法为散剂调服。
男陈蔚按：枳实能疏通气机阻滞，芍药能疏通血行阻滞。通则不痛，这是人所共知的道理。妙处在于将枳实烧成黑色，借助火化的作用而善于攻逐邪气。
治疗产妇腹痛，按照法则应当使用枳实芍药散。假如服药后病情没有好转，这是因为腹部有瘀血凝结在脐下部位，适宜用此方。
月经排出不畅。
大黄（三两。） 桃仁（二十个。） 䗪虫（二十枚，去掉足，炒制。）
将以上三味药研成细末，用炼蜜调和制成四丸。用酒一升煮其中一丸，取八合药液，一次性服用。排出新血如猪肝色。（各版本略有差异）
歌诀说：脐中着痛瘀为殃，廿粒桃仁三两黄。更有䗪虫二十个，酒煎大下亦何伤。
男陈元犀按：服用枳实芍药散后如果不愈，说明不是气积停滞不通，而是瘀血结聚不散。使用此方进行攻逐。方中的大黄、桃仁……（原文此处似有缺漏或排版问题，依文意补全逻辑）……味道苦。
（参见痉病篇）治疗产后七八天，没有太阳病的症状，少腹部坚硬疼痛。这是恶露未尽。大便不通，烦躁发热。
切脉象微实，发热加倍，日晡时（下午3-5点）烦躁加重。不能进食，进食则说胡话（谵语），到了夜间症状就会缓解。适宜用此汤来主治。热邪在体内，结聚在膀胱部位。
孙男心典按：没有太阳病症状，说明体表无病。脉象微实，烦躁发热，进食则谵语，这是胃热。恶露不尽……瘀血去除……
(See the chapter on Spasm) Treats cases where the patient can eat, but after seven or eight days, fever recurs. This indicates excess heat in the stomach; this decoction is appropriate for treatment.
(See the chapter on Cold Cramp) Treats abdominal pain occurring postpartum.
Primarily treats postpartum abdominal pain accompanied by irritability, fullness, and inability to lie down.
Zhi Shi (Immature Bitter Orange), roasted until blackened but not overdone. Shao Yao (White Peony Root), equal parts.
Crush these two herbs into a powder. Administer one "fang cun bi" (a measure roughly equivalent to a teaspoon) per dose, three times daily. It also primarily treats abscesses and pus formation. Take with Barley Porridge.
The verse states: Irritability, fullness, insomnia, frequent abdominal pain; Zhi Shi lightly roasted, Shao Yao in equal balance. The Lamb Meat Decoction should be viewed inversely (That treats deficiency pain; this treats excess pain).
Usage: Mix as a powder and take with water.
Commentary by Chen Wei: Zhi Shi regulates Qi stagnation, Shao Yao regulates Blood stagnation. When there is free flow, there is no pain, which is common knowledge. The subtlety lies in roasting Zhi Shi until black, utilizing the fire transformation to enhance its ability to attack and expel pathogens.
Treats postpartum abdominal pain; according to the method, one should first use Zhi Shi Shao Yao San. If it does not heal, this indicates blood stasis adhering below the umbilicus; this formula is appropriate.
Menstrual flow is obstructed/unsmooth.
Da Huang (Rhubarb Root and Rhizome), 3 liang. Tao Ren (Peach Seed), 20 pieces. E Chong (Ground Beetle), 20 pieces, remove feet and roast.
Grind these three herbs into powder. Mix with refined honey to form four pills. Boil one pill in one sheng of wine, reduce to eight ge, and administer at once. Fresh blood resembling pig liver will be discharged. (Versions vary slightly).
The verse states: Pain fixed at the umbilicus is due to stasis; 20 peach seeds and 3 liang rhubarb. Plus 20 ground beetles; boiling in wine and purging heavily causes no harm.
Commentary by Chen Yuanxi: If taking Zhi Shi Shao Yao San fails to resolve the condition, it is not due to Qi accumulation and stagnation, but rather consolidated blood stasis that has not dispersed. Use this formula to attack it. In this formula, Da Huang and Tao Ren... [text fragment] ... taste bitter.
(See the chapter on Spasm) Treats postpartum cases of seven or eight days duration, presenting without Taiyang syndrome symptoms, but with hardness and pain in the lower abdomen. This is due to incomplete expulsion of lochia. Constipation, irritability, and fever are present.
Palpation reveals a pulse that is slightly firm/excess. Fever doubles in intensity. Irritability worsens during the Shen hour (15:00-17:00). The patient cannot eat; eating leads to delirious speech. Symptoms improve at night. This decoction is appropriate for treatment. The heat is internal, and the constraint is in the Bladder.
Commentary by Sun Xin Dian: Absence of Taiyang symptoms means no exterior disease. A slightly firm pulse, irritability, fever, and delirium upon eating indicate Stomach heat. Incomplete expulsion of lochia... stasis removed...