潮热有汗，大便不通，毋专论为阳明症；口燥咽干而渴，毋专论为少阴症；腹满液干，大便实，毋专论为太阳症；
又汗出谵语便闭，毋专论为肠胃中燥粪宜下症。数症多由劳倦伤脾，运化稽迟，气血枯槁，肠腑燥涸，乃虚症类实，当
补之症，治者勿执偏门轻产，而妄议三承气汤，以治类三阴之症也。间有少壮产后妄下，幸而无妨；虚弱产妇亦复妄下，
多致不救。屡见妄下成膨，误导反结。又有血少，数日不通，而即下致泻不止者，危哉！《妇人良方》云∶产后大便秘，
若计其日期，饭食数多，即用药通之，祸在反掌。必待腹满觉胀，欲去不能者，反结在直肠，宜用猪胆汁润之。若日期
虽久，饮食如常，腹中如故，只用补剂而已。若服苦寒疏通，反伤中气、通而不止，或成痞满，误矣！
养正通幽汤 治产后大便秘结类伤寒三阴症。
川芎（二钱半） 当归（六钱） 炙草（五分） 桃仁（十五粒） 麻仁（二钱，炒） 肉苁蓉（酒洗去甲，一钱）
汗多便实，加黄 一钱，麻黄根一钱，人参二钱；口燥渴，加人参、麦冬各一钱；腹满溢便实，加麦冬一钱，枳壳
六分，人参二钱，苁蓉一钱；汗出谵语便实，乃气血虚竭，精神失守，宜养荣安神，加茯神、远志、苁蓉各一钱，人参、
白术各二钱，黄 、白芷各一钱，柏子仁一钱。
以上数等大便燥结症，非用当归、人参至斤数，难取功效。大抵产后虚中伤寒，口伤食物，外症虽见头痛发热，或
胁痛腰痛，是外感宜汗，犹当重产亡血禁汗。惟宜生化汤，量为加减，调理无失。又如大便秘结，犹当重产亡血禁下，
宜养正助血通滞，则稳当矣。
又润肠粥 治产后日久大便不通。
芝麻一升研末，和米二合，煮粥食，肠润即通。
歌括∶劳倦伤脾运化慢，气血枯槁肠腑干。
虚症类实宜用补，治者处方勿执偏。
养正通幽肠可润，川芎当归麻桃仁。
苁蓉炙草同煎服，汗多参 麻黄根。
产后大便久不通，润肠粥服最灵应。
芝麻一升研成末，和米煮粥树奇功。
潮热伴有汗出，大便不通畅，不要专门将其诊断为阳明病；口燥咽干且口渴，不要专门将其诊断为少阴病；腹部胀满、津液干枯、大便干结，不要专门将其诊断为太阴病（注：原文“太阳症”在此语境下结合“腹满液干”及后文“三阴症”标题，实指太阴脾虚寒湿或津亏之证，此处依原文字面翻译为太阳病，但需注意中医理论中此多为太阴或阳明腑实之误辨，傅青主意在强调勿按常规六经辨证机械套用，故保留原文“太阳症”字样，但在理解上应知其为误判）；又有汗出、说胡话（谵语）、大便闭塞，不要专门将其诊断为肠胃中有干燥粪便而适宜用攻下法的证候。上述多种症状多因劳累疲倦损伤脾气，运化功能迟缓，气血枯竭，肠道脏腑干燥涸竭，属于虚证表现为类似实证的情况，应当采用补益法治疗。医生不要固执于旁门左道而轻率处置，从而妄议使用三承气汤来治疗这类类似三阴病的证候。偶尔有年轻力壮的产妇被错误攻下，幸好没有造成妨碍；体弱的产妇如果被错误攻下，大多导致无法救治。多次见到因错误攻下导致腹部膨隆，误导之后反而形成结滞。又有因血虚，数日不大便，随即使用攻下法导致腹泻不止的，非常危险！《妇人良方》说：产后大便秘结，如果计算日期，饭食吃得较多，就用药通利它，祸患就在反掌之间。必须等到腹部胀满感觉憋胀，想排便却排不出的情况，这是燥屎结在直肠，适宜用猪胆汁润肠通便。如果日期虽然很久，饮食如常，腹部没有异常，只使用补剂即可。如果服用苦寒疏通的药物，反而损伤中气，通利不止，或者形成痞满，这是错误的！
养正通幽汤 治疗产后大便秘结类似伤寒三阴病。
川芎（二钱半） 当归（六钱） 炙甘草（五分） 桃仁（十五粒） 火麻仁（二钱，炒制） 肉苁蓉（酒洗去鳞甲，一钱）
汗多且大便干实，加黄芪一钱，麻黄根一钱，人参二钱；口燥渴，加人参、麦冬各一钱；腹部胀满且大便干实，加麦冬一钱，枳壳六分，人参二钱，肉苁蓉一钱；汗出、谵语、大便干实，这是气血虚竭，精神失守，适宜养血荣神安神，加茯神、远志、肉苁蓉各一钱，人参、白术各二钱，黄芪、白芷各一钱，柏子仁一钱。
以上几种大便燥结的证候，如果不使用至斤两重的当归、人参，难以取得功效。大抵产后虚中受寒，口中受伤食物（指饮食不当），外症虽然出现头痛发热，或者胁痛腰痛，这是外感适宜发汗，但仍应当重视产后亡血禁止发汗的原则。只适宜使用生化汤，根据情况进行加减，调理没有失误。又如大便秘结，仍应当重视产后亡血禁止攻下的原则，适宜扶助正气、助血通滞，这样才稳妥。
又推荐润肠粥 治疗产后日久大便不通。
芝麻一升研成粉末，和米二合，煮粥食用，肠道润滑即能通畅。
歌诀：劳累疲倦损伤脾胃运化缓慢，气血枯竭肠道脏腑干燥。
虚证表现像实证适宜用补法，医生处方不要固执偏颇。
养正通幽汤可使肠道滋润，川芎当归配合麻仁桃仁。
肉苁蓉炙甘草一同煎服，汗多者加人参黄芪麻黄根。
产后大便长久不通，服用润肠粥最为灵验有效。
芝麻一升研成粉末，和米煮粥树立奇功。
Tidal fever with sweating and unsmooth defecation should not be exclusively diagnosed as Yangming disease; dry mouth and throat with thirst should not be exclusively diagnosed as Shaoyin disease; abdominal fullness, dried fluids, and solid stool should not be exclusively diagnosed as Taiyang disease (Note: In the context of "Three Yin diseases" and symptoms like abdominal fullness, this often refers to a misdiagnosis of Taoyin or Yangming excess, but here translated literally as Taiyang per source); sweating, delirium, and constipation should not be exclusively diagnosed as a syndrome of dry feces in the stomach and intestines suitable for purgation. These numerous symptoms mostly arise from fatigue damaging the Spleen Qi, leading to sluggish transformation and transportation, exhaustion of Qi and Blood, and drying up of the Intestines and Bowels. This is a deficiency syndrome presenting as an excess syndrome, requiring tonification. Physicians must not adhere to biased approaches and rashly prescribe San Chengqi Tang (Three Decoctions for Receiving Qi) to treat such conditions resembling Three Yin diseases. Occasionally, young and robust postpartum women subjected to erroneous purgation may escape harm; however, weak postpartum women subjected to erroneous purgation often become incurable. It is frequently seen that erroneous purgation leads to abdominal distension, and misleading treatments result in stagnation. Furthermore, due to blood deficiency, if one does not defecate for several days and immediately uses purgatives, it can cause incessant diarrhea, which is critical! *Furen Liangfang* states: For postpartum severe constipation, if one calculates the days and notes increased food intake, using medicine to promote bowel movement brings disaster in the blink of an eye. One must wait until there is abdominal fullness and a sensation of bloating, wanting to pass stool but unable to do so, indicating dry stool stuck in the rectum, in which case pig bile should be used to moisten the intestines. If the duration is long but diet is normal and the abdomen feels unchanged, only tonifying agents are needed. Using bitter-cold purgatives damages Middle Qi, causing unceasing discharge or forming epigastric fullness, which is an error!
Yangzheng Tongyou Tang (Nourish Righteousness and Unblock the Deep Decoction) treats postpartum severe constipation resembling Three Yin diseases of Cold Damage.
Chuanxiong Rhizome (2.5 qian) Angelicae Sinensis Radix (6 qian) Prepared Licorice Root (0.5 qian) Peach Kernel (15 grains) Hemp Seed (2 qian, stir-fried) Cistanche Stem (washed in wine to remove scales, 1 qian).
For excessive sweating and solid stool, add Astragali Radix (1 qian), Ephedrae Herba Root (1 qian), Ginseng Radix et Rhizoma (2 qian); for dry mouth and thirst, add Ginseng Radix et Rhizoma and Ophiopogonis Tuber (1 qian each); for abdominal fullness and solid stool, add Ophiopogonis Tuber (1 qian), Aurantii Fructus (0.6 fen), Ginseng Radix et Rhizoma (2 qian), Cistanche Stem (1 qian); for sweating, delirium, and solid stool, indicating exhaustion of Qi and Blood and loss of Spirit, nourish Blood, enrich Ying, and calm the Spirit by adding Poria (1 qian), Polygalae Radix (1 qian), Cistanche Stem (1 qian), Ginseng Radix et Rhizoma (2 qian), Atractylodis Macrocephalae Rhizoma (2 qian), Astragali Radix (1 qian), Angelicae Dahuricae Radix (1 qian), and Biota Seed (1 qian).
For the aforementioned types of dry stool constipation, it is difficult to achieve efficacy without using large doses (up to jin/liang) of Angelicae Sinensis Radix and Ginseng Radix et Rhizoma. Generally, postpartum weakness combined with cold invasion, or dietary injury, may present external symptoms such as headache, fever, hypochondriac pain, or lower back pain. Although these suggest exterior syndromes suitable for diaphoresis, one must strictly observe the contraindication of diaphoresis in postpartum blood loss. Only Shenghua Tang (Generate New Decoction) should be used with appropriate modifications for regulation without error. Similarly, for severe constipation, one must strictly observe the contraindication of purgation in postpartum blood loss. It is advisable to support Righteousness, assist Blood, and resolve stagnation, which ensures safety.
Also, Runchang Porridge (Moisten Intestines Porridge) treats postpartum prolonged constipation.
Sesame seed (1 sheng, ground into powder), mixed with Rice (2 he), cooked into porridge and eaten; when the intestines are moistened, passage becomes smooth.
Rhyme: Fatigue damages Spleen, transformation slows down; Qi and Blood exhaust, Intestines dry out.
Deficiency mimicking Excess requires tonification; physicians' prescriptions must not be biased.
Yangzheng Tongyou moistens the intestines; Chuanxiong, Danggui, Hemp Seed, and Peach Kernel join.
Cistanche and Prepared Licorice decoct together; for sweating, add Ginseng, Astragalus, and Ephedra Root.
Postpartum constipation lasting long; Runchang Porridge is most effective.
One sheng of sesame ground fine; mixed with rice, it performs miraculous work.