此亦血去阴虚生内热症也。盖肾为至阴，主行水道，去血过多，真阴亏损，一水不足，
二火更甚，故生内热，小便成淋而涩痛也。用加味导赤散∶生地、赤芍、木通（去皮）、甘
草
二
尿血而小腹痛，乃败血流入膀胱；小腹不痛，但尿时虚痛者，乃内热也。并用小蓟汤∶
小蓟根、生地、赤芍、木通、蒲黄、甘草梢、竹叶各一钱，滑石二钱，灯心四十九寸，水煎
服。败血加归尾、红花各一钱，兼内热加黄芩、麦冬各一钱。
产后气血经络俱虚，若生阴疽最为险症，宜大补扶助根本，兼以活瘀生新为要，其余以
末治之，药宜纯善和平，最忌汗下峻剂。重者惟降痈活命饮（见痈毒诸方）最为神效。轻者
照
何集庵曰∶回生丹保产之仙方也。数年前，有修合施人，诸临产服一丸，坦然快便，不
觉其功。但闻制药时，必先斋戒虔心，发愿普济，然后择一净室，如法遵行，同学马禹
KT，
方书，惟《万病回春》有之，记云∶长葛孙奎台经验，较余所传之方，尚有所缺，治法汤引
回生丹∶专治产后百病，其效如神。锦纹大黄一斤为末，苏木三两（锉研用河水五碗，
煎汁三碗听用）、大黑豆三升（水浸取壳，用绢袋盛壳，同豆煮熟，去豆不用，将壳晒干，
其
先将大黄末一斤入净锅，下米醋三斤，文火熬之，以长木筷不住手搅之成膏，再加醋三斤熬
之，又加醋三斤，次第加完，然后下黑豆汁三碗再熬，次下苏木汁再熬，又次下红花汁，熬
成大黄膏，取入瓦盆盛之（锅底焦枯大黄亦刮下，入后药同磨）。
又用熟地、台党各二两，当归（酒洗）、川芎（酒洗）、香附（醋炒）、元胡索（醋炒）、
苍术
羌活、橘
火内煨）、
炒）、白术
二两五钱。
共捣千杵为
重二钱有零
一子死腹中，因产母染热病所致。用车前子一钱煎汤调服一丸或二丸，若服至三丸无不
下者。若因血下太早，以致子死，用台党三钱（或用人参一钱更好），车前子一钱，煎汤服。
或用陈酒少许，和车前煎汤亦可。
一胎衣不下，用炒盐少许泡汤调服一丸，或二、三丸，立下。
一产毕血晕，用薄荷汤调服一丸即醒。
以上乃临产紧要关头，一时即有名医、措手不及，起死回生，此丹必须预备。按∶此丹
原本有临产服之易生一条，据名医云∶胎前断不可用，临产更忌服此，故删之。
一产后三日，血气未定，还走五脏，奔充于肝，血晕起止不得，眼见黑花，以滚水服此
丹即愈。
一产后七日，气血未定，因食物与血结聚胸中，口干，心闷，烦渴，以滚水服此丹即愈
一产后虚弱，血入于心肺，热入于脾胃，寒热似疟，实非疟也，以滚水服此丹愈。
一产后败血走注五脏，转满四肢，停留化为浮肿，渴而四肢觉寒，乃血肿，非虚肿也。
服此丹愈。
一产后败血热极，中心烦燥，言语癫狂，如见鬼神，非风邪也。以滚水服此丹即愈。
一产后败血流入心孔闭塞，失音不语，用甘菊花三分，桔梗三分，煎汤调服。
一产后未盈月，误食酸寒坚硬之物，与物相搏，流入大肠不得克化，泻痢脓血，用山楂
煎汤调服。
一生产时百节开张，血入经络，停留日久，虚胀酸痛，非湿症也。用苏梗三分，煎汤调
服此丹即愈。
一产后月中饮食不得应时，兼致怒气，余血流入小肠，闭塞水道，小便涩结，溺血如鸡
肝者，用木通四分，煎汤调服此丹。又或流入大肠，闭却肛门，大便涩结，有瘀成块如鸡肝
者，用广皮三分、煎汤调服此丹。
一产后恶露未尽，饮食寒热不得调和，以致崩漏形如肝色，潮热往来，臂膊拘急，用白
术三分，广皮二分，煎汤调服此丹。
一产后败血入五脏六腑，并走肌肤四肢，面黄口干，鼻中流血，遍身斑点，危症也。陈
酒化服此丹可愈。
一产后小便涩，大便闭，乍寒乍热，如醉如痴，滚水调服此丹。
以上各条，皆产后败血为害也，此丹最有奇功。至产后一切异症，医所不论，人所未经
，但服此丹无不立安，一丸未应，二丸三丸必效无疑。凡经水不通，行经腹痛，及室女经闭
等症，俱效。
这也是因失血过多导致阴虚而生内热的证候。肾为至阴之脏，主管水液代谢通道，若分娩时失血过多，真阴亏损，肾水不足，则相火（体内偏盛的阳气）更加亢盛，从而产生内热，导致小便淋漓不尽且涩痛。使用加味导赤散：生地、赤芍、木通（去皮）、甘草各二钱。
尿血且小腹部疼痛，是败血流入膀胱所致；小腹部不痛，仅在排尿时感到虚痛，则是内热所致。这两种情况均使用小蓟汤：小蓟根、生地、赤芍、木通、蒲黄、甘草梢、竹叶各一钱，滑石二钱，灯心草四十九寸，加水煎服。若有败血阻滞，加当归尾、红花各一钱；兼有内热者，加黄芩、麦冬各一钱。
产后气血及经络皆虚弱，若发生阴疽（一种漫肿无头、皮色不变的疮疡），是最危险的病症，应当大补元气以扶助根本，同时兼顾活血化瘀、生新去旧是关键，其余症状以末药治疗为宜，药物性质宜纯良平和，最忌讳使用发汗或攻下的峻猛药剂。重症者唯有降痈活命饮（见痈毒诸方章节）最为神效。轻症者照……
何集庵说：回生丹是保产的仙方。数年前，有人配制此药施舍给人，各位临产妇女服用一丸后，坦然顺畅地产子，当时并未察觉其功效。但听说制药时，必须先斋戒诚心，发愿普救众生，然后选择一间洁净的房间，按照法度遵行。同学马禹KT研读医书，发现只有《万病回春》中有记载，记录称：这是长葛孙奎台的经验方，比我所传的方子还有所欠缺，治疗方法需配合汤剂引经。回生丹：专门治疗产后各种疾病，效果如神。锦纹大黄一斤研成粉末，苏木三两（锉碎研磨，用河水五碗，煎取汁液三碗备用）、大黑豆三升（用水浸泡取壳，用绢袋盛装豆壳，与豆子一起煮熟，去掉豆子不用，将豆壳晒干）。
先将大黄末一斤放入干净的锅中，加入米醋三斤，用文火熬制，用长木筷不停地搅拌直至成为膏状，再加醋三斤继续熬，又加醋三斤，依次加完，然后下入黑豆汁三碗再熬，接着下入苏木汁再熬，再次下入红花汁，熬成大黄膏，取出放入瓦盆中盛放（锅底焦枯的大黄也要刮下来，加入后面的药一同研磨）。
另外用熟地黄、台参（党参）各二两，当归（酒洗）、川芎（酒洗）、香附（醋炒）、元胡索（醋炒）、苍术（姜汁浸后火内煨）、羌活、橘红（麸炒）、白术（土炒）各二两五钱。
共捣千杵制成蜜丸，每丸重二钱有余。
一个案例：胎儿死于腹中，因产母感染热病所致。用车前子一钱煎汤调服一丸或二丸，如果服用至三丸没有不下来的。若是因出血太早导致胎儿死亡，用台参三钱（或用人参一钱更好），车前子一钱，煎汤服用。或者用少许陈年黄酒，和车前子一起煎汤也可以。
一个案例：胎衣不下，用炒盐少许泡汤调服一丸，或二、三丸，立刻落下。
以上乃是临产紧要关头，一时即使有名医在场也措手不及，此丹能起死回生，必须提前预备。按语：此丹原本有“临产服用易生”一条，据名医所说：胎前断不可用，临产更忌服此，故删除。
一个案例：产后三日，气血未定，血气还走五脏，奔冲于肝，导致血晕起止不得，眼前看见黑花，用滚开水送服此丹即愈。
一个案例：产后七日，气血未定，因食物与血结聚胸中，口干，心闷，烦渴，用滚开水送服此丹即愈。
一个案例：产后虚弱，血入于心肺，热入于脾胃，寒热往来似疟疾，其实并非疟疾，用滚开水送服此丹即愈。
一个案例：产后败血走注五脏，转满四肢，停留化为浮肿，口渴而四肢觉寒，这是血肿，不是虚肿。服用此丹即愈。
一个案例：产后败血热极，心中烦躁，言语癫狂，如见鬼神，并非风邪所致。用滚开水送服此丹即愈。
一个案例：产后败血流入心孔闭塞，失音不语，用甘菊花三分，桔梗三分，煎汤调服。
一个案例：产后未满月，误食酸寒坚硬之物，与物相搏，流入大肠不得消化，泻痢脓血，用山楂煎汤调服。
一个案例：生产时百节开张，血入经络，停留日久，虚胀酸痛，并非湿症。用苏梗三分，煎汤调服此丹即愈。
一个案例：产后月中饮食不能按时，兼致怒气，余血流入小肠，闭塞水道，小便涩结，溺血如鸡肝颜色者，用木通四分，煎汤调服此丹。又或者流入大肠，闭却肛门，大便涩结，有瘀块如鸡肝颜色者，用广皮三分，煎汤调服此丹。
一个案例：产后恶露未尽，饮食寒热不得调和，以致崩漏形如肝色，潮热往来，臂膊拘急，用白术三分，广皮二分，煎汤调服此丹。
一个案例：产后败血入五脏六腑，并走肌肤四肢，面黄口干，鼻中流血，遍身斑点，属危症。用陈年黄酒化开此丹服用可愈。
一个案例：产后小便涩，大便闭，乍寒乍热，如醉如痴，用滚开水调服此丹。
以上各条，皆是产后败血为害所致，此丹最有奇功。至于产后一切异常病症，医生未曾论述，人们未曾经历过的，只要服用此丹无不立即安定，一丸无效，二丸三丸必有效无疑。凡是经水不通，行经腹痛，以及室女经闭等症，都有效。
This is also a syndrome of internal heat generated due to Yin deficiency caused by excessive blood loss. The Kidney (Shen) is the organ of extreme Yin, governing the water pathways. Excessive blood loss during childbirth depletes the True Yin; when Kidney Water is insufficient, Ministerial Fire (Xiang Huo, hyperactive Yang fire within the body) becomes more severe, thus generating internal heat. This leads to strangury (Lin Zheng, painful and difficult urination) with astringency and pain. Use Modified Dao Chi San: Sheng Di Huang (Rehmanniae Radix), Chi Shao Yao (Paeoniae Radix Rubra), Mu Tong (Akebiae Caulis, peeled), Gan Cao (Glycyrrhizae Radix et Rhizoma), each 2 qian.
Hematuria accompanied by lower abdominal pain indicates that retained blood (Bai Xue, necrotic blood) has flowed into the Bladder; if there is no lower abdominal pain but only a sense of emptiness and pain during urination, it is due to internal heat. Both conditions are treated with Xiao Ji Tang: Xiao Ji Gen (Cirsii Herba), Sheng Di Huang, Chi Shao Yao, Mu Tong, Pu Huang (Typhonii Pollen), Gan Cao Gao (Glycyrrhizae Radix et Rhizoma, tip), Zhu Ye (Bambusae Folium), each 1 qian; Hua Shi (Talcum) 2 qian; Deng Xin Cao (Junci Medulla) 49 cun. Decoct in water and take orally. If retained blood is present, add Dang Gui Wei (Angelicae Sinensis Radix, tail) and Hong Hua (Carthami Flos), each 1 qian. If accompanied by internal heat, add Huang Qin (Scutellariae Radix) and Mai Dong (Ophiopogonis Radix), each 1 qian.
After childbirth, Qi and Blood, as well as the meridians and collaterals, are all deficient. If Yin Ju (Yin Abscess, a type of ulcer with diffuse swelling, no head, and unchanged skin color) occurs, it is a most dangerous condition. It is essential to greatly tonify and support the root, while simultaneously promoting blood circulation to remove stasis and generate new tissue. For other symptoms, powder medicines should be used; the properties of the drugs should be pure, benign, and mild. Harsh diaphoretic or purgative agents are strictly contraindicated. For severe cases, Jiang Yong Huo Ming Yin (see formulas for carbuncles and toxins) is the most miraculous. For mild cases, follow...
He Ji'an said: Hui Sheng Dan is an immortal formula for protecting childbirth. A few years ago, someone prepared this medicine to distribute to others. Every woman who took one pill before delivery delivered smoothly and comfortably, though they did not realize its efficacy at the time. However, it is heard that when preparing the medicine, one must first observe fasting and purity of heart, make a vow to save all beings universally, then choose a clean room and proceed according to the method. My fellow student Ma Yu KT studied medical texts and found that only *Wan Bing Hui Chun* contains it. The record states: "This is the empirical formula of Sun Kuitai from Changge, which still lacks some aspects compared to the formula I transmitted." The treatment method requires using decoctions as guides. Hui Sheng Dan: Specifically treats various diseases after childbirth, with effects as if divine. Jin Wen Da Huang (Rhei Radix et Rhizoma) 1 jin is ground into powder; Su Mu (Sappan Lignum) 3 liang (crushed and ground, use five bowls of river water, decoct to obtain three bowls of juice for later use); Da Hei Dou (Sojae Semen Nigrum) 3 sheng (soak in water, remove the husks, place the husks in a silk bag, cook together with the beans, discard the beans, dry the husks).
First, put one jin of Da Huang powder into a clean pot, add three jin of rice vinegar, simmer over a gentle fire, stirring constantly with a long wooden chopstick until it becomes a paste. Then add another three jin of vinegar and continue simmering, followed by another three jin of vinegar, adding them sequentially. After all vinegar is added, pour in three bowls of Hei Dou juice and simmer again, then add Su Mu juice and simmer, followed by Hong Hua juice, until Da Huang paste is formed. Take out and store in a earthenware basin (scrape off any Da Huang burnt to the bottom of the pot and mix it with the subsequent herbs for grinding).
Additionally, use Shu Di Huang (Rehmanniae Radix Preparata), Tai Shen (Codonopsis Radix, equivalent to Dang Shen) each 2 liang; Dang Gui (Angelicae Sinensis Radix, washed with wine), Chuan Xiong (Ligustici Chuanxiong Rhizoma, washed with wine), Xiang Fu (Cyperi Rhizoma, stir-fried with vinegar), Yuan Hu Suo (Corydalis Rhizoma, stir-fried with vinegar), Cang Zhu (Atractylodis Rhizoma, soaked in ginger juice and roasted in fire), Qiang Huo (Notopterygii Rhizoma et Radix), Ju Hong (Citri Reticulatae Pericarpium, bran-fried), Bai Zhu (Atractylodis Macrocephalae Rhizoma, earth-fried) each 2 liang 5 qian.
Grind together a thousand times with a mortar to form honey pills, each weighing slightly over 2 qian.
Case 1: Fetus died in the womb, caused by the mother contracting a febrile disease. Use Che Qian Zi (Plantaginis Semen) 1 qian decocted in water to dissolve and administer one or two pills. If taken up to three pills, the fetus will inevitably be expelled. If the fetus died due to premature bleeding, use Tai Shen 3 qian (or Ren Shen 1 qian is better), Che Qian Zi 1 qian, decoct in water and take orally. Alternatively, use a small amount of aged yellow wine mixed with Che Qian Zi decoction.
Case 2: Retained placenta. Use a small amount of fried salt dissolved in water to dissolve and administer one, or two to three pills. The placenta will fall immediately.
Case 3: Syncope due to blood loss after delivery. Use Bo He Tang (Menthae Haplocalycis Herba decoction) to dissolve and administer one pill. The patient will wake up immediately.
The above situations occur at critical moments during labor. Even if famous doctors are present, they may be caught off guard. This pill can revive the dying and must be prepared in advance. Note: The original version of this pill included a line stating "taking it during labor facilitates birth," but according to famous doctors, it must absolutely not be used during pregnancy, and taking it during labor is also contraindicated; therefore, it was deleted.
Case 4: Three days postpartum, Qi and Blood are unstable. Blood qi returns to the Five Zang organs, rushing to the Liver. Syncope occurs with inability to start or stop, seeing black spots before the eyes. Administer this pill with boiling water, and the patient will recover.
Case 5: Seven days postpartum, Qi and Blood are unstable. Food and blood accumulate in the chest due to dietary issues, causing dry mouth, chest oppression, irritability, and thirst. Administer this pill with boiling water, and the patient will recover.
Case 6: Postpartum weakness. Blood enters the Heart and Lung; Heat enters the Spleen and Stomach. Chills and fever alternate resembling malaria, but it is not actually malaria. Administer this pill with boiling water, and the patient will recover.
Case 7: Postpartum retained blood flows through the Five Zang organs, filling the four limbs, stagnating and transforming into edema. Thirst is present, and the four limbs feel cold. This is blood edema, not deficiency edema. Administer this pill, and the patient will recover.
Case 8: Postpartum retained blood reaches extreme heat. The center is irritable, speech is manic and delirious, seeing ghosts and spirits. This is not wind pathogen. Administer this pill with boiling water, and the patient will recover.
Case 9: Postpartum retained blood flows into the heart orifice, causing blockage, loss of voice, and inability to speak. Use Gan Ju Hua (Chrysanthemi Flos) 3 fen, Jie Geng (Platycodonis Radix) 3 fen, decoct in water to dissolve and administer.
Case 10: Less than one month postpartum, mistakenly consumed sour, cold, and hard foods. These interact with the food, enter the Large Intestine, cannot be digested, leading to dysentery with pus and blood. Use Shan Zha (Crataegi Fructus) decocted in water to dissolve and administer.
Case 11: During delivery, the joints open wide, blood enters the meridians, and after staying for a long time, causes distension and soreness/aching. This is not a dampness syndrome. Use Su Geng (Perillae Caulis) 3 fen, decoct in water to dissolve and administer this pill, and the patient will recover.
Case 12: Within the first month postpartum, irregular diet combined with anger causes residual blood to flow into the Small Intestine, blocking the water pathways. Urination is astringent and constricted, urine contains blood resembling chicken liver. Use Mu Tong 4 fen, decoct in water to dissolve and administer this pill. Alternatively, if the blood flows into the Large Intestine, blocking the anus, causing constipation with clots resembling chicken liver, use Guang Pi (Citri Reticulatae Pericarpium) 3 fen, decoct in water to dissolve and administer this pill.
Case 13: Lochia has not finished, diet is not harmonized regarding cold and heat, leading to metrorrhagia resembling liver color, tidal fever, and spasms in the arms. Use Bai Zhu 3 fen, Guang Pi 2 fen, decoct in water to dissolve and administer this pill.
Case 14: Postpartum retained blood enters the Five Zang and Six Fu organs, spreading to the skin, muscles, and four limbs. Yellow complexion, dry mouth, epistaxis, and macules all over the body constitute a critical condition. Dissolve this pill in aged yellow wine and take orally to recover.
Case 15: Postpartum astringent urination, fecal impaction, alternating chills and fever, appearing drunk or dazed. Administer this pill dissolved in boiling water.
All the above cases are caused by the harm of postpartum retained blood. This pill has miraculous efficacy. As for all other abnormal conditions after childbirth, whether unmentioned by doctors or unprecedented by people, administering this pill will bring immediate stability. If one pill is ineffective, two or three pills will certainly be effective without doubt. It is also effective for amenorrhea, dysmenorrhea, and primary amenorrhea in unmarried women.