加味生化汤 加味二陈汤 藿香正气汤
10.产后疟多因瘀血, 荣卫不和热寒兼, 生化汤中加柴甲, 痰食二陈
查朴添. 外感不正正气散, 陈半苓术苏朴甘, 腹皮桔梗藿香芷, 引加
姜枣一同煎.
【注】产后患疟, 多因瘀血停留, 荣卫不和, 故寒热往来也. 宜用生
化汤加柴胡, 鳖甲服之. 若因痰饮食积者, 宜二陈汤加山查厚朴. 若
果外感风寒, 方可用霍香正气散治之, 其方即陈皮, 半夏, 茯苓, 白
术,苏叶, 厚朴, 甘草, 大腹皮, 桔梗, 霍香, 白芷也.
二陈汤方 见三卷
11.产后失调气血弱, 风寒外客内停瘀, 饮食过伤兼劳怒, 不足之中
挟有余. 寒热往来脐腹痛, 懒食多眠头晕迷, 骨蒸盗汗痰嗽喘, 面黄
肌瘦力难支, 蓐劳先须调脾胃, 后调荣卫补其虚.
【注】产后气血两虚, 起居不慎, 风寒外袭, 瘀血内停, 更或饮食厚
味过伤, 忧劳忿怒, 乃不足之中挟有余之证. 致生寒热往来, 脐腹胀
痛,懒进饮食, 喜眠卧, 起则头晕昏迷, 骨蒸潮热, 盗汗, 自汗, 痰
喘, 咳嗽, 面色萎黄, 肌肉削瘦, 气力难支, 名为蓐劳, 医治甚难.
凡欲疗斯疾者, 必当先调理其脾胃, 使饮食强健, 能胜药力, 然后调
其荣卫, 补其虚损, 始能痊愈.
10. 产后疟疾多因瘀血阻滞，导致营卫不和，表现为寒热交替。应在生化汤中加入柴胡和鳖甲；若是痰食积滞，则在二陈汤中加入山楂、厚朴和陈皮。若为外感不正之气（风寒湿邪），则使用正气散治疗，其方剂组成包括陈皮、半夏、茯苓、白术、苏叶、厚朴、甘草、大腹皮、桔梗、藿香和白芷，煎煮时加入生姜和大枣作为药引一同煎服。
【注】产后患疟疾，多因瘀血停留体内，致使营卫不和，因此出现寒热往来的症状。适宜使用生化汤加入柴胡、鳖甲服用。如果是由于痰饮或饮食积滞引起的，适宜使用二陈汤加入山楂、厚朴。如果确实是外感风寒，才可以使用霍香正气散进行治疗，该方剂由陈皮、半夏、茯苓、白术、苏叶、厚朴、甘草、大腹皮、桔梗、霍香、白芷组成。
二陈汤方详见第三卷
11. 产后气血失调且虚弱，风寒外邪侵袭而瘀血内停，加上饮食过度损伤以及劳累愤怒，使得在正气不足之中夹杂着邪气有余的症状。表现为寒热往来、脐腹部疼痛、食欲不振、嗜睡、头晕目眩、骨蒸潮热、盗汗、咳嗽气喘、面色萎黄、肌肉消瘦、体力难以支撑。蓐劳病首先必须调理脾胃，随后调和营卫并补益虚损。
【注】产后气血两虚，起居不慎，风寒从外部侵袭，瘀血在内部停滞，再加上饮食厚味过度损伤，忧劳忿怒，这是正气不足中夹杂邪气有余的证候。导致产生寒热往来、脐腹胀痛、懒于进食、喜欢睡眠躺卧、起身时头晕昏迷、骨蒸潮热、盗汗、自汗、痰喘、咳嗽、面色萎黄、肌肉削瘦、气力难支，这被称为蓐劳，医治非常困难。凡是想要治疗这种疾病的，必定应当先调理其脾胃，使饮食强健，能够承受药力，然后调和其营卫，补益其虚损，才能痊愈。
Jiawei Shenghua Decoction (Modified Birth-Generating Decoction), Jiawei Erchen Decoction (Modified Two-Aged Decoction), Huoxiang Zhengqi Decoction (Patchouli Decoction to Rectify the Qi)
10. Postpartum malaria is often caused by blood stasis, leading to disharmony of Ying and Wei (Nutritive and Defensive Qi), manifesting as alternating chills and fever. Chaihu (Bupleuri Radix) and Biejia (Trionycis Carapax) should be added to Shenghua Tang (Birth-Generating Decoction). If caused by phlegm and food retention, Shan Zha (Crataegi Fructus), Houpo (Magnoliae Officinalis Cortex), and Chenpi (Citri Reticulatae Pericarpium) should be added to Erchen Tang (Two-Aged Decoction). If due to external pathogenic factors (wind-cold-dampness), Zhengqi San (Powder to Rectify the Qi) is used. The formula consists of Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma), Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), Suye (Perillae Folium), Houpo (Magnoliae Officinalis Cortex), Gancao (Glycyrrhizae Radix et Rhizoma), Dafupi (Arecae Pericarpium), Jiegeng (Platycodonis Radix), Huoxiang (Agastaches Herba), and Baizhi (Angelicae Dahuricae Radix). When decocting, add Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Jujubae Fructus) as guides and decoct together.
[Note] Malaria occurring postpartum is mostly due to retained blood stasis causing disharmony of Ying and Wei, hence the alternating chills and fever. It is suitable to use Shenghua Tang (Birth-Generating Decoction) with added Chaihu (Bupleuri Radix) and Biejia (Trionycis Carapax). If caused by phlegm or food accumulation, it is suitable to use Erchen Tang (Two-Aged Decoction) with added Shan Zha (Crataegi Fructus) and Houpo (Magnoliae Officinalis Cortex). If indeed caused by external wind-cold, Huoxiang Zhengqi San (Patchouli Powder to Rectify the Qi) can be used for treatment. This formula comprises Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma), Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), Suye (Perillae Folium), Houpo (Magnoliae Officinalis Cortex), Gancao (Glycyrrhizae Radix et Rhizoma), Dafupi (Arecae Pericarpium), Jiegeng (Platycodonis Radix), Huoxiang (Agastaches Herba), and Baizhi (Angelicae Dahuricae Radix).
See Volume 3 for the formula of Erchen Tang (Two-Aged Decoction).
11. Postpartum imbalance leads to weak Qi and Blood; external wind-cold invades while blood stasis remains internally. Excessive dietary injury combined with fatigue and anger results in a condition where deficiency coexists with excess. Symptoms include alternating chills and fever, umbilical and abdominal pain, poor appetite, lethargy, dizziness, bone-steaming tidal fever, night sweats, cough with phlegm and wheezing, sallow complexion, emaciation, and inability to sustain physical strength. For Rutu Laolao (Postpartum Consumption), one must first regulate the Spleen and Stomach, then harmonize Ying and Wei (Nutritive and Defensive Qi) and tonify the deficiency.
[Note] Postpartum Qi and Blood are both deficient. Carelessness in daily life allows external wind-cold to attack, while blood stasis stays inside. Furthermore, excessive consumption of rich foods causes damage, and worry, labor, or anger exacerbate the condition. This is a syndrome of excess pathogens amidst underlying deficiency. It leads to alternating chills and fever, distending pain in the umbilical and abdominal regions, reluctance to eat, preference for lying down, dizziness and confusion upon rising, bone-steaming tidal fever, night sweats, spontaneous sweating, phlegm-wheezing, cough, sallow complexion, muscle wasting, and inability to support physical effort. This is named Rutu Laolao (Postpartum Consumption), which is difficult to treat. To cure this disease, one must first regulate the Spleen and Stomach so that diet strengthens and the body can withstand the medicinal power. Then, harmonize Ying and Wei (Nutritive and Defensive Qi) and tonify the deficiency, only then can full recovery be achieved.