临产用力逼送阴门突出者，四物汤加龙骨少许，连进两服。外用如圣膏贴顶，少收即拭
去。
产后乳汁不通，其故有二∶一由气血两虚，乳来稀少；一由气闭血滞，壅塞不行。盖妇
人多忧思忿怒，忧思则气结而血亦结，忿怒则气逆而血亦逆，甚至乳硬管塞，胁痛烦热，故
古方于通乳药中，多用香附、木香、青皮者，以行气故也。用王不留行者，通乳而兼行血也
。若但由气血虚弱，则不必用行气药等味，须服猪蹄或乳饮。
猪蹄汤∶猪蹄一只，通草五钱，煎汁服之。
钟乳饮∶钟乳粉二钱，漏芦三钱，煎汁服。一方，鲫鱼、木通，煮汁食之。
产母无子饮乳，有乳而欲消者，用麦芽二两，炒为末，四物汤调服即消。
又方∶用神曲二钱为末，酒吞，日服一次。
下物如茄。产后阴中坠下一物如茄，盖儿袋也，名曰茄症。由产时用力过多，元气下陷
之故。治须补中益气汤以升提之，自然渐退，补中益气汤方入胎前子满条内。
下物如钵。产后阴中下一物如钵状，有二歧者，子宫也。用补中益气汤去柴胡，连进二
三大剂，一响而收。后以四物汤加人参调理。
按∶四物汤内有芍药，终须少为妙，至七日外另斟酌。
产后阴中下精肉一块如菌，或如鸡冠，约长寸许，甚至有满尺者，名阴挺下脱。即平常
妇人亦有之，总因元气下陷而然。治法与茄症相似，用补中益气汤。如产后则本方去柴胡，
以有升麻提脾气而自愈也。
临产时因用力过猛导致阴门突出的，服用四物汤（由当归、川芎、白芍、熟地黄组成的补血基础方）并加入少量龙骨，连续服用两剂。外用如圣膏贴敷于头顶，待症状稍缓解后立即擦去药膏。
产后乳汁不通，原因有二：一是气血两虚，导致乳汁稀少；二是气机闭塞、血液瘀滞，导致乳汁壅塞不行。因为妇女多忧思愤怒，忧思则气结而血亦结，愤怒则气逆而血亦逆，甚至出现乳房硬胀、乳管堵塞、胁肋疼痛、烦热等症状。所以古方在通乳药物中，多用香附、木香、青皮，是为了行气的作用。使用王不留行，是因为它能通乳兼能行血。如果仅仅是由于气血虚弱所致，则不必使用行气类药物，应当服用猪蹄或乳饮。
猪蹄汤：一只猪蹄，五钱通草，煎汁服用。
钟乳饮：二钱钟乳粉，三钱漏芦，煎汁服用。另一偏方：鲫鱼、木通，煮汁食用。
产妇无子可喂，有乳汁但希望回奶的，用麦芽二两，炒后研为粉末，用四物汤调服即可消除乳汁。
又一方：用神曲二钱研为粉末，酒送服，每日一次。
下物如茄子状。产后阴道内坠下一物如茄子状，这是儿袋（胎衣），名为茄症。这是由于分娩时用力过多，元气下陷的缘故。治疗需用补中益气汤（具有补中益气、升阳举陷功效的方剂）来升提，自然会逐渐消退，补中益气汤的方剂组成见“胎前子满”条内。
下物如钵状。产后阴道内下一物如钵状，有两个分叉的是子宫。用补中益气汤去掉柴胡，连续服用二三剂，一会儿就能收回。之后用四物汤加人参进行调理。
按语：四物汤内有芍药，终究以少用为佳，七天之后再另行斟酌。
产后阴道内脱出一块精肉如菌状，或如鸡冠状，长约一寸左右，甚至有长达一尺的，名为阴挺下脱。平常妇女也有此病，总归是因为元气下陷所致。治疗方法与茄症相似，使用补中益气汤。如果是产后，则本方去掉柴胡，因为有升麻提升脾气，身体自然会痊愈。
When the vulva protrudes due to excessive pushing during labor, administer Siwu Tang (Four Substances Decoction) with a small amount of Longgu (Fossilized Bones), taken for two doses. Externally, apply Rusheng Gao (Rusheng Paste) to the vertex; wipe it off immediately after slight retraction occurs.
Postpartum lactation failure has two causes: one is deficiency of both Qi and Blood, resulting in scanty milk; the other is Qi stagnation and Blood stasis, causing obstruction and non-flow. Women often suffer from worry, thought, anger, and indignation. Worry and thought cause Qi to knot and Blood to congeal; anger and indignation cause Qi to rebel and Blood to flow counter-currently. This may even lead to breast hardness, duct blockage, hypochondriac pain, and irritability with heat. Therefore, ancient formulas for promoting lactation often use Xiangfu (Cyperus Rhizome), Muxiang (Aucklandiae Radix), and Qingpi (Green Tangerine Peel) to move Qi. Wangbulexing (Vaccariae Semen) is used because it promotes lactation while also moving Blood. If the cause is solely Qi and Blood deficiency, there is no need to use Qi-moving herbs; instead, one should consume Pig Trotter Soup or Milk Drink.
Pig Trotter Soup: One pig trotter, five qian of Tongcao (Tetrapanacis Medulla), decocted in water and taken orally.
Zhongru Yin (Calcitriol Drink): Two qian of Zhongru (Ostreae Concha processed with calcium compounds), three qian of Loulu (Euphorbiae Humifusae Herba), decocted in water and taken orally. Another prescription: Crucian carp and Mutong (Akebiae Caulis), boiled into juice and consumed.
For a nursing mother who has no child to nurse and wishes to suppress lactation, use two liang of Maiya (Hordei Fructus Germinatus), stir-fried and ground into powder, mixed with Siwu Tang (Four Substances Decoction) and taken orally to eliminate milk.
Another prescription: Use two qian of Shenqu (Massa Medicata Fermentata), ground into powder, swallowed with wine, taken once daily.
A mass resembling an eggplant protrudes from the vagina postpartum. This is the amniotic sac (fetal membrane), known as "Qie Zheng" (Eggplant Syndrome). It is caused by excessive exertion during delivery leading to the sinking of Yuan Qi (Original Qi). Treatment requires Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) to lift and raise, allowing gradual retraction. The formula for Buzhong Yiqi Tang is listed under the section "Ziman" (Excessive Fullness During Pregnancy).
A mass resembling a bowl protrudes from the vagina postpartum. If it has two lobes, it is the uterus. Administer Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) without Chaihu (Bupleuri Radix), taken continuously for two to three doses, and it will retract quickly. Afterwards, regulate with Siwu Tang (Four Substances Decoction) plus Renshen (Ginseng Radix et Rhizoma).
Note: Since Shaoyao (Paeoniae Radix) is contained in Siwu Tang (Four Substances Decoction), it is ultimately better to use it sparingly; reconsider after seven days.
A piece of flesh resembling a mushroom or a rooster's comb, approximately one cun long, or even up to one chi long, protrudes from the vagina postpartum. This is called "Yinting Xiaduo" (Prolapse of the Vulva). It can also occur in ordinary women, generally due to the sinking of Yuan Qi (Original Qi). The treatment method is similar to that for Qie Zheng (Eggplant Syndrome); use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). In the case of postpartum conditions, remove Chaihu (Bupleuri Radix) from this formula, as Shengma (Cimicifugae Rhizoma) lifts Spleen Qi, leading to natural recovery.