产后心痛，即胃脘痛，以胃脘在心之下，因伤寒气及冷物，故作痛，用生化汤佐以散寒
消食之品，无有不安。若腹内痛，定然血块未除，只服生化汤，佐以益母丸、鹿角灰治之，
则瘀消而痛止。若风冷乘虚入腹作痛，亦宜加味生化汤，以内有肉桂、茱萸，可以温散之也
。若真心痛则指甲青黑，或手足冷过腕节，朝发夕死，无药可治。
加味生化汤∶川芎二钱，当归四钱，炮姜、炙甘草各五分，桃仁十粒（痛止去之），肉
桂
肉
产后遍身痛，由产后百节开张，血脉凝滞，累日不散，则经脉经络不舒，故腰背不能转
侧，手足不能动履，或兼身热头痛，若误认太阳表邪而发散出汗，则手足逆冷，变成险症矣
。宜祛痛散治之。妇人肾位系胞，腰为肾府，至产劳伤肾气，损动胞络，或产未平复而风寒
乘之。二者皆致腰痛，宜养荣壮肾汤并加味大造丸。若小腹作痛，未曾服生化汤，问恶露如
何，若可按揉而稍止者属虚，并宜加味生化汤治之。
祛痛散∶当归二钱，人参、白术各一钱，黄 、川膝、独活各八分，肉桂五分，韭白一
撮，生姜三片，水煎。
养荣壮肾汤∶当归二钱，防风四分，独活、桂心、川芎、杜仲、寄生、川断各八分，生
姜三片，水煎。
加味生化汤∶川芎一钱，当归三钱，桃仁十粒，炮姜、炙甘草各四分，肉桂五分，元胡
五分。后二味痛止减去。若脐下无血块而仍痛不止者，加熟地三钱。
产后心痛，实际上就是胃脘痛，因为胃脘位于心脏下方，由于感受寒邪以及食用生冷食物，所以导致疼痛，使用生化汤配合具有散寒、消食作用的药物，没有不能治愈的。如果腹部内部疼痛，必然是因为有血块未消除，只服用生化汤，配合益母丸、鹿角灰来治疗，那么瘀血消散而疼痛停止。如果是风冷之邪乘虚侵入腹部导致疼痛，也适宜使用加味生化汤，因为方中含有肉桂、吴茱萸，可以温通发散寒邪。如果是真心痛，则指甲呈现青黑色，或者手足冰冷超过腕关节，早晨发病晚上死亡，无药可治。
加味生化汤：川芎二钱，当归四钱，炮姜、炙甘草各五分，桃仁十粒（疼痛停止后去掉），肉桂。
产后遍身疼痛，是由于产后全身关节开张，血脉凝滞，多日不散，导致经脉和经络不畅，所以腰背不能转动侧身，手足不能活动行走，或者兼有身体发热、头痛，如果误认为是太阳表邪而使用发汗解表的方法，会导致手足逆冷，变成危险的病症。适宜使用祛痛散治疗。妇人的肾脏部位连接胞宫，腰部是肾脏的外府，到了生产时劳累损伤肾气，损动胞络，或者产后尚未恢复而风寒侵袭。这两种情况都会导致腰痛，适宜使用养荣壮肾汤并配合加味大造丸。如果小腹疼痛，未曾服用过生化汤，询问恶露的情况，如果可以按揉且疼痛稍止的属于虚证，也适宜使用加味生化汤治疗。
祛痛散：当归二钱，人参、白术各一钱，黄芪、川牛膝、独活各八分，肉桂五分，韭白一撮，生姜三片，水煎服。
养荣壮肾汤：当归二钱，防风四分，独活、桂心、川芎、杜仲、桑寄生、川断各八分，生姜三片，水煎服。
加味生化汤：川芎一钱，当归三钱，桃仁十粒，炮姜、炙甘草各四分，肉桂五分，元胡五分。后两种药物在疼痛停止后减去。如果脐下没有血块但疼痛仍不止，加入熟地黄三钱。
Postpartum heart pain is actually epigastric pain, because the epigastrium is located below the heart. It causes pain due to invasion of cold pathogenic factors and consumption of cold foods. Using Shenghua Decoction (Blood-Generating Decoction) combined with herbs that dispel cold and promote digestion will ensure recovery. If there is pain inside the abdomen, it must be due to blood stasis clots not yet eliminated. Taking only Shenghua Decoction, assisted by Yimu Pill (Motherwort Pill) and Cervus Cornu Carbonis (Charred Deer Horn), will resolve the stasis and stop the pain. If wind-cold invades the abdomen due to deficiency causing pain, Jiawei Shenghua Decoction (Modified Blood-Generating Decoction) is also suitable, as it contains Rougui (Cinnamon Bark) and Zhuyu (Cornus Fruit), which can warm and disperse cold. If it is Zhenxintong (True Heart Pain), the fingernails turn cyanotic black, or the hands and feet become cold beyond the wrists; if onset occurs in the morning, death follows in the evening, and there is no cure.
Jiawei Shenghua Decoction: Chuanxiong Rhizoma (Ligusticum Chuanxiong) 2 qian, Danggui Radix (Angelica Sinensis) 4 qian, Pa Jiang (Prepared Ginger) and Zhi Gancao (Honey-fried Licorice Root) each 5 fen, Taoren Persicae Semen (Peach Kernel) 10 grains (remove when pain stops), Rougui Cinnamomi Cortex (Cinnamon Bark).
Postpartum generalized body pain occurs because after childbirth, all joints are open, blood vessels stagnate, and this stagnation persists for days, causing the meridians and collaterals to be unsmooth. Consequently, the waist and back cannot turn or bend, and the hands and feet cannot move or walk. This may be accompanied by fever and headache. If mistakenly diagnosed as Taiyang exterior syndrome and treated with diaphoresis (sweating methods), it will cause coldness in the hands and feet, turning into a critical condition. Qutong San (Pain-Dispelling Powder) is suitable for treatment. In women, the Kidney position connects to the Bao Palace (uterus), and the waist is the mansion of the Kidney. Childbirth labor injures Kidney Qi and damages the Bao Luo (uterine collaterals). Alternatively, wind-cold attacks before postpartum recovery is complete. Both conditions lead to lower back pain, and Yangrong Zhuangshen Tang (Nourishing Prosperity and Strengthening Kidney Decoction) combined with Jiawei Dazao Wan (Modified Great Creation Pill) is appropriate. If there is lower abdominal pain and Shenghua Decoction has not been taken, inquire about the lochia. If massage alleviates the pain slightly, it belongs to deficiency, and Jiawei Shenghua Decoction is suitable for treatment.
Qutong San: Danggui Radix 2 qian, Renshen Ginseng Radix et Rhizoma (Ginseng Root) and Baizhu Atractylodis Macrocephalae Rhizoma (Atractylodes Macrocephala Rhizome) each 1 qian, Huangqi Astragali Radix (Astragalus Root), Chuan Nixi Cyperi Rhizoma (Cyperi Rhizome - *Note: Context implies Chuan Niu Xi Achyranthis Bidentatae Radix*), Duhuo Angelicae Pubescentis Radix each 8 fen, Rougui Cinnamomi Cortex 5 fen, Jiu Bai Allii Tuberosi Bulbus (Garlic Chive White) one tuō, Shengjiang Zingiberis Rhizoma Recens (Fresh Ginger) 3 slices, decocted in water.
Yangrong Zhuangshen Tang: Danggui Radix 2 qian, Fangfeng Saposhnikoviae Radix 4 fen, Duhoge Angelicae Pubescentis Radix, Guixin Cinnamomi Cortex (Cinnamon Twig/Bark), Chuanxiong Rhizoma, Duzhong Eucommiae Cortex, Jisheng Taxilli Herba (Viscum Americanum), Chuan Duan Drynariae Rhizoma each 8 fen, Shengjiang Zingiberis Rhizoma Recens 3 slices, decocted in water.
Jiawei Shenghua Decoction: Chuanxiong Rhizoma 1 qian, Danggui Radix 3 qian, Taoren Persicae Semen 10 grains, Pa Jiang Prepared Ginger and Zhi Gancao Honey-fried Licorice Root each 4 fen, Rougui Cinnamomi Cortex 5 fen, Yuanhu Corydalis Rhizoma 5 fen. The last two ingredients are removed when pain stops. If there are no blood clots below the umbilicus but pain persists, add Shudi Rehmanniae Radix Preparata (Prepared Rehmannia Root) 3 qian.