典藏书目

The *Mai Jing* (Pulse Classic) states: In women who have just given birth, if the pulse is deep, slippery, and small, it indicates survival; if the pulse is full, large, wiry, and rapid/tight, it indicates death. It further states: After childbirth, if the cunkou (radial artery at the wrist) pulse is wiry, rapid, and irregular, it indicates death; if the pulse is deep and fine but remains rooted when pressed to the bone, it indicates survival. If a woman develops illness after childbirth due to contraction of wind or cold pathogens, presenting with wheezing and shoulder breathing, if the pulse is full, floating, and slow/relaxed, it indicates survival; if the pulse is small and tight, it indicates death.

Zhu Danxi stated: A fine and small pulse before pregnancy, and a flooding and large pulse after childbirth, are both signs of fatal conditions. He further stated: Before delivery, the pulse should be flooding and rapid; since delivery has occurred, if the pulse remains flooding and rapid as before, how can death be avoided? The *Mai Jing* states: For postpartum pulses, slow, slippery, deep, and fine qualities are appropriate; full, large, firm, solid, choppy, and rapid qualities are all critical/dangerous.

When a woman experiences spontaneous sweating, soreness and pain in the limbs, dizziness, and weakness shortly after giving birth, this condition is named "Rulao" (Childbed Exhaustion). It is treated with Danggui Yangrou Tang (Danggui and Mutton Decoction). When postpartum qi and blood are severely depleted, and proper care is neglected, leading to spontaneous sweating, fever, emaciation, indigestion, frequent coughing, and thirst, it is treated with Renshen Biejia San (Ginseng and Turtle Shell Powder). For symptoms of alternating chills and fever, Shizi Tang (Stone Seed Decoction) is used.

Zheng Liangdong stated: For postpartum Rulao causing deficiency and damage, accompanied by headache, shortness of breath, lower abdominal distension and pain, and alternating chills and fever, Zengsun Chaihu Tang (Modified Chaihu Decoction) is the primary treatment.

Ye Shenggong stated: Postpartum Rulao often results from prolonged sitting and excessive talking during labor, or physical exertion, leading to pain in the head, eyes, and limbs, and alternating chills and fever resembling malaria. Bai Fuling San (White Poria Powder) is suitable for this.

**Renshen Biejia San**: Treats postpartum Rulao with alternating chills and fever resembling malaria.
Ingredients: Biejia (Turtle Shell, prepared by roasting, 1 liang), Renshen (Ginseng, 5 qian), Rougui (Cinnamon Twig, 5 qian), Sangjisheng (Mulberry Mistletoe, 5 qian), Danggui (Angelica Sinensis, 5 qian), Fuling (Poria, 5 qian), Baizhu (Atractylodes Macrocephala, 5 qian), Dashudi (Prepared Rehmannia Root, 5 qian), Taoren (Peach Kernel, 5 qian), Maidong (Ophiopogon Tuber, 5 qian), Xuduan (Dipsacus Root, 5 qian), Niuxi (Achyranthes Root, 1.5 liang), Huangqi (Astragalus Root, prepared by roasting, 1 liang).
Preparation and Administration: Grind the above ingredients into powder. Take one pair of pig kidneys, remove the membrane, add one slice of fresh ginger, two cups of water, and three jujubes. Decoct until one cup of liquid remains. Add two qian of the aforementioned powder, three cun of scallion white, half a smoked plum, and five sprigs of Schizonepeta. Boil briefly, strain, and take on an empty stomach.

**Shizi Tang**: Treats postpartum emaciation, alternating chills and fever, spontaneous sweating, and shortness of breath.
Ingredients: Zhu Yaozi (Pig Kidney, one pair, membrane removed, chopped with a bamboo knife), Xiangxun (Edible Mushroom, 2 liang), Congbai (Scallion White, 1 liang), Baishao (White Peony Root, 2 liang).
Preparation and Administration: Divide the ingredients into two doses. For each dose, use three and a half sheng of water, and divide evenly into three servings.

**Bai Fuling San**
Ingredients: Fuling (Poria, 1 liang), Danggui (Angelica Sinensis), Chuanxiong (Ligusticum Chuanxiong), Baishao (White Peony Root), Rougui (Cinnamon Twig), Huangqi (Astragalus Root), Renshen (Ginseng) (each 5 qian), Shudi (Prepared Rehmannia Root, 1 liang).
Preparation and Administration: First, decoct pig kidneys in two cups of water. Add two slices of ginger and three jujubes. Add five qian of the medicinal powder. Strain, and take warm, divided into three servings.

**Zengsun Chaihu Tang**
Ingredients: Chaihu (Bupleurum Root), Banxia (Pinellia Tuber), Renshen (Ginseng), Chuanxiong (Ligusticum Chuanxiong), Juhong (Citrus Peel, aged), Gancao (Licorice Root).
Preparation and Administration: Decoct in water and take orally.

**Diseng Tang**: Treats postpartum lochia retention where stagnant blood enters the spleen and stomach.
Ingredients: Chishao (Red Peony Root, 1 qian), Banxia (Pinellia Tuber, 1 qian), Zelan (Leonurus Japonicus, 1 qian), Chenpi (Citrus Peel, aged, 1 qian), Renshen (Ginseng, 1 qian), Gancao (Licorice Root, 0.7 qian).
Preparation and Administration: Add three slices of ginger, decoct in water, and take orally.