天津李氏妇，年二十七岁，于中秋节后得温病。
病因 产后六日，更衣入厕，受风。
证候 自厕返后，觉周身发冷，更数小时，冷已又复发热，自用生姜，红糖煎汤乘热饮之，周
身得汗稍愈，至汗解而其热如故。迁延两日热益盛，心中烦躁作渴。急延愚为诊视，见其满面火
色，且微喘，诊其脉象洪实，右部尤甚，一分钟九十三至。舌苔满布白而微黄，大便自病后未行。
诊断 此乃产后阴虚生内热，略为外感拘束而即成温病也。其心中烦躁而渴者，因产后肾阴
虚损，不能上达舌本，且不能与心火相济也。其微喘者，因肾虚不能纳气也。其舌苔白而微
黄者，热已入阳明之府也。其脉洪实兼数者，此阳明府热已实，又有阴虚之象也。宜治以
白虎加人参汤更少为变通之，方于产后无碍。
处方 生石膏（三两捣细） 野台参（四钱） 玄参（一两） 生怀山药（八钱） 甘草（三钱）
共煎汤三盅，分三次温饮下。
方解 按此方即白虎加人参汤，以玄参代知母，生山药代粳米也。伤寒书中用白虎汤之定例，
汗吐下后加人参，以其虚也；渴者加人参，以其津液不上潮也，至产后则虚之尤虚，且又作渴，
其宜加人参明矣。至以玄参代知母者，因玄参《神农本草经》原谓其治产乳余疾也。以生山
药代粳米者，因山药之甘温既能代粳米和胃，而其所含多量之蛋白质，更能补益产后者之肾虚
也。如此变通，其方虽在产后用之，可毫无妨碍，况石膏《神农本草经》原谓其微寒，且明载其主产乳乎。
复诊 服药一剂，热退强半，渴喘皆愈。脉象已近和平，大便犹未通下。宜大滋真阴以退其
余热，而复少加补气之药佐之。诚以气旺则血易生，即真阴易复也。
处方 玄参（二钱） 野党参（五钱）
共煎汤两盅，分两次温饮下。
效果 将药煎服两剂，大便通下，病遂全愈。
天津李氏的妇女，年龄二十七岁，在中秋节后患了温病。
病因：产后第六天，上厕所时受了风邪。
证候：从厕所回来后，感觉全身发冷，过了几个小时，寒冷感消失后又重新发热。她自行用生姜、红糖煎汤，趁热喝下，全身出汗后症状稍有好转，但汗出后热度依旧。拖延两天后，热势更加旺盛，心中烦躁且口渴。急忙请我诊治，见她满面通红如火色，且有轻微气喘，诊其脉象洪大有力，右部尤为明显，一分钟跳动九十三次。舌苔满布白色且微黄，自患病后大便未行。
诊断：这是产后阴虚产生内热，稍微受到外感束缚而立即形成的温病。心中烦躁且口渴，是因为产后肾阴虚损，不能上达舌根，且不能与心火相互济助。轻微气喘，是因为肾虚不能纳气。舌苔白而微黄，说明热邪已传入阳明腑。脉象洪大有力兼数，这是阳明腑热已经结实，同时又有阴虚的表现。适宜用白虎加人参汤（Baihu Jia Renshen Tang, White Tiger Plus Ginseng Decoction）治疗，并稍作变通，这样方子对产后身体无碍。
处方：生石膏（Raw Gypsum Fibrosum, 三两，捣细） 野台参（Wild Taishen Root, 四钱） 玄参（Scrophulariae Radix, 一两） 生怀山药（Dioscoreae Rhizoma, 八钱） 甘草（Licorice Root, 三钱）
共煎煮成三碗汤，分三次温服。
方解：此方即是白虎加人参汤，以玄参代替知母，以生山药代替粳米。伤寒论中使用白虎汤的定例是，在汗、吐、下法之后加入人参，因为此时正气虚弱；口渴者加入人参，因为津液不能上潮。至于产后则虚上加虚，且又出现口渴，适宜加入人参是显而易见的。至于用玄参代替知母，是因为玄参在《神农本草经》中原本记载其能治疗产后的余疾。用生山药代替粳米，是因为山药的甘温性质既能代替粳米调和胃气，而且其所含的大量蛋白质，更能补益产后者的肾阴虚。如此变通，虽然此方用于产后，却毫无妨碍，况且石膏在《神农本草经》中原本记载其性微寒，且明确记载其主治产后病。
复诊：服药一剂后，热度退去大半，口渴和气喘都痊愈了。脉象已接近平和，但大便仍未通畅。应当大滋真阴以清除余热，并少量加入补气药作为辅助。确实，气旺则血易生，即真阴也易于恢复。
处方：玄参（Scrophulariae Radix, 二钱） 野党参（Codonopsis Radix, 五钱）
共煎煮成两碗汤，分两次温服。
效果：将药煎服两剂后，大便通畅，疾病完全痊愈。
A woman surnamed Li from Tianjin, aged twenty-seven, contracted a warm disease (Wenbing) after the Mid-Autumn Festival.
Etiology: On the sixth day postpartum, she caught wind while using the toilet.
Symptoms: Upon returning from the toilet, she felt cold all over her body. After several hours, as the cold sensation subsided, fever returned. She self-medicated by decocting fresh ginger and brown sugar, drinking it hot. Sweating provided slight relief, but the fever persisted after sweating. The condition dragged on for two days with increasing heat intensity, accompanied by irritability in the chest and thirst. I was urgently summoned to examine her. Her face appeared flushed like fire, and she had slight panting. Her pulse was surging and solid, particularly on the right side, beating ninety-three times per minute. The tongue coating was fully covered with white fur tinged slightly yellow. She had not had a bowel movement since the onset of illness.
Diagnosis: This is a warm disease formed due to internal heat generated by yin deficiency postpartum, exacerbated slightly by external constraint. The irritability and thirst are caused by damage to kidney yin postpartum, which fails to ascend to the root of the tongue and cannot harmonize with heart fire. The slight panting is due to kidney deficiency failing to grasp qi. The white tongue coating with slight yellow indicates that heat has entered the Yangming fu organs. The surging, solid, and rapid pulse indicates that yangming fu heat is excessive and solid, combined with signs of yin deficiency. Treatment should employ Baihu Jia Renshen Tang (White Tiger Plus Ginseng Decoction), with minor modifications to ensure safety for the postpartum state.
Prescription: Raw Gypsum Fibrosum (Sheng Shigao, 3 liang, crushed fine); Wild Taishen Root (Yetaishen, 4 qian); Scrophulariae Radix (Xuanshen, 1 liang); Dioscoreae Rhizoma (Sheng Huai Shanyao, 8 qian); Licorice Root (Gancao, 3 qian).
Decoct together to yield three bowls of liquid, taken warm in three divided doses.
Formula Analysis: This formula is essentially Baihu Jia Renshen Tang, substituting Xuanshen (Scrophulariae Radix) for Zhimu (Anemarrhenae Rhizoma) and Sheng Shanyao (Raw Dioscoreae Rhizoma) for Jingmi (Rice Grain). In Shanghan Lun, the standard rule for using Baihu Tang is to add Renshen after sweating, vomiting, or purgation methods because of deficiency; if there is thirst, Renshen is added because fluids fail to ascend. Postpartum represents extreme deficiency, compounded by thirst, making the addition of Renshen obvious. Xuanshen replaces Zhimu because Shen Nong Ben Cao Jing records Xuanshen as treating residual diseases after childbirth. Sheng Shanyao replaces Jingmi because its sweet and warm nature harmonizes the stomach like rice, and its high protein content further tonifies kidney deficiency in postpartum women. With such modifications, although used postpartum, the formula causes no harm. Moreover, Shen Nong Ben Cao Jing records Shigao as mildly cold and explicitly states it treats postpartum conditions.
Follow-up Visit: After one dose, the fever receded by more than half, and thirst and panting resolved. The pulse approached normalcy, but the bowels remained unopened. It is appropriate to greatly nourish true yin to clear residual heat, assisted by a small amount of qi-tonifying herbs. Indeed, when qi is robust, blood is easily generated, and true yin is easily restored.
Prescription: Scrophulariae Radix (Xuanshen, 2 qian); Codonopsis Radix (Yedangshen, 5 qian).
Decoct together to yield two bowls of liquid, taken warm in two divided doses.
Outcome: After taking two doses, bowel movements were restored, and the illness was completely cured.