(产后喘急，极危多死)
稽中曰∶荣者血也，卫者气也，荣行脉中，卫行脉外，相随上下，谓之荣卫。因产所下
过多
，荣血暴竭，卫气无主，独聚肺中，故令喘也。此名孤阳绝阴，为难治。若恶露不快，败血
停凝，上熏于肺，亦令喘急，但服夺命丹，血去喘自定。
陈无择曰∶前症若败血上熏于肺，宜夺命丹。若荣血暴绝，宜大料煎剂，芎 汤亦可。
救伤
风寒，宜旋复花汤，性理郁发，宜小调经散，用桑皮、杏仁煎汤调下。伤食宜见睨丸或五积
散。
产后泄泻者，由肠胃虚怯，寒邪易侵，或饮冷当风，乘袭留于腹胁，故腹痛作阵。或如
流入大肠，水谷不化，洞泄肠鸣。或下赤白， 胁 胀，或痛走不定。急服调中汤立愈。
按∶前症非止一端，当随所因而调之。若肝木来侮脾土，用六君加柴胡、炮姜。若寒及水来
侮土，用钱氏益黄散。若久泻或元气下陷，兼补中益气汤以升发阳气。若脾土虚寒，用六君
加木香、姜、桂。若脾肾虚寒，用补中益气及四神丸。若属命门火衰而脾土虚寒，用八味丸
以补土母。若小便涩滞或兼喘咳，用金匮肾气丸，以补脾肾、利水道。若肾气虚弱而四肢浮
肿，浮肿治须补脾胃为主。若久而不愈，或非饮食所伤而致，乃属肾气亏损，必用四神、六
味、八味三药以补肾。若用分利导水之剂，是虚其虚也，仍当参胎前泄泻调治之。
（产后出现气喘急促，病情极其危重，死亡率很高）
稽中认为：荣气就是血，卫气就是气，荣气运行在脉管之中，卫气运行在脉管之外，它们相随上下运行，这就叫做荣卫。因为分娩时失血过多，导致荣血突然枯竭，卫气失去了主宰，独自聚集在肺中，所以引起气喘。这种情况名叫“孤阳绝阴”，属于难治之症。如果恶露排出不畅，败血停滞凝结，向上熏蒸于肺，也会引起气喘急促，只需服用夺命丹，血液通畅后气喘自然平息。
陈无择说：上述症状如果是败血上熏于肺，适宜用夺命丹。如果是荣血突然枯竭，适宜用大剂量的煎剂，芎䓖汤也可以使用。如果是感受风寒导致的损伤，适宜用旋复花汤；如果是情志抑郁导致的气机郁结发散，适宜用小调经散，用桑白皮、杏仁煎汤送服。如果是饮食积滞引起的，适宜用见睨丸或五积散。
产后泄泻，是由于肠胃虚弱怯懦，寒邪容易侵袭，或者因喝冷饮、当风受凉，寒气乘虚侵入并停留在腹胁部位，所以腹部疼痛呈阵发性。或者寒气流入大肠，水谷无法消化，导致腹泻如水、肠鸣。或者大便带有红白黏液，胁肋部胀满，或者疼痛游走不定。此时应紧急服用调中汤，可立即痊愈。
按语：上述症状并非只有一种原因，应当根据具体的病因进行调理。如果是肝木克制脾土，使用六君子汤加柴胡、炮姜。如果是寒邪及水湿反侮脾土，使用钱氏益黄散。如果是久泻或者元气下陷，兼用补中益气汤以升发阳气。如果是脾土虚寒，使用六君子汤加木香、生姜、肉桂。如果是脾肾两脏虚寒，使用补中益气汤和四神丸。如果是命门火衰导致脾土虚寒，使用八味丸以补益脾土的母脏（肾）。如果小便涩滞或兼有气喘咳嗽，使用金匮肾气丸，以补益脾肾、通利水道。如果肾气虚弱导致四肢浮肿，治疗浮肿必须以补益脾胃为主。如果病程长久不愈，或者不是由饮食损伤引起，则属于肾气亏损，必须使用四神丸、六味地黄丸、八味丸这三种药物来补肾。如果使用分利导水的药物，是使虚者更虚，仍应当参考产前泄泻的方法进行调理。
(Postpartum wheezing and urgency, extremely critical with high mortality)
Ji Zhong stated: Ying (Nutritive Qi) is blood, Wei (Defensive Qi) is qi. Ying circulates within the vessels, while Wei circulates outside the vessels. They move up and down together, which is referred to as Ying-Wei harmony. Due to excessive blood loss during childbirth, Ying blood is suddenly depleted, causing Wei qi to lose its master. It gathers exclusively in the lungs, thus inducing wheezing. This condition is named "Lone Yang and Absolute Yin" and is difficult to treat. If lochia (postpartum discharge) does not flow smoothly, and stagnant blood coagulates, ascending to smolder in the lungs, it also causes wheezing and urgency. Simply administering Duoming Dan will allow the blood to clear, and the wheezing will naturally subside.
Chen Wuyue said: For the aforementioned symptoms, if they are caused by stagnant blood ascending to smolder in the lungs, Duoming Dan is appropriate. If Ying blood is suddenly exhausted, a large-dose decoction is appropriate; Xiong Tang (Szechwan Lovage Root Decoction) can also be used. For injuries caused by wind-cold, Xuanfuhua Tang (Inula Flower Decoction) is suitable. For emotional depression leading to qi stagnation and rebellion, Xiaotiaojing San (Minor Regulation of Menses Powder) is suitable, administered with a decoction of Sangbai Pi (Morus Alba Bark) and Xingren (Apricot Seed). For food retention, Jianni Wan (See-Naked Pill) or Wuji San (Five Accumulations Powder) is suitable.
Postpartum diarrhea arises from the deficiency and weakness of the intestines and stomach, making them susceptible to invasion by cold pathogens. This may result from drinking cold beverages or exposing oneself to wind, allowing cold to invade and remain in the abdomen and hypochondrium, causing paroxysmal abdominal pain. Or, cold may flow into the large intestine, failing to digest water and grain, resulting in watery diarrhea and borborygmus. Or, there may be passage of red and white mucus, distension in the hypochondrium, or wandering pain. In such cases, urgently administering Tiaozhong Tang will lead to immediate recovery.
Commentary: The aforementioned symptoms are not limited to a single cause; treatment should be adjusted according to the specific etiology. If Liver Wood insults Spleen Earth, Liu Jun Zi Tang (Six Gentlemen Decoction) combined with Chai Hu (Bupleurum Root) and Pao Jiang (Prepared Ginger) should be used. If cold and water insult Earth, Qian Shi Yihuang San (Dr. Qian's Yellow Fortifying Powder) should be used. For chronic diarrhea or sinking of Yuan Qi (Primal Qi), Buzhong Yiqi Tang (Middle-Boosting and Qi-Invigorating Decoction) should be added to raise and generate Yang Qi. For deficiency-cold of Spleen Earth, Liu Jun Zi Tang combined with Mu Xiang (Aucklandia Root), Sheng Jiang (Fresh Ginger), and Gui Zhi (Cinnamon Twig) should be used. For deficiency-cold of both Spleen and Kidney, Buzhong Yiqi Tang and Sishen Wan (Four Miracles Pill) should be used. If Mingmen Fire Decline leads to deficiency-cold of Spleen Earth, Ba Wei Wan (Eight-Ingredient Pill) should be used to tonify the mother of Spleen Earth (Kidney). If urine is scanty and difficult to pass, or accompanied by wheezing and cough, Jin Gui Shenqi Wan (Golden Cabinet Kidney Qi Pill) should be used to tonify Spleen and Kidney and promote water metabolism. If Kidney Qi deficiency leads to edema of the four limbs, treating the edema must primarily focus on tonifying Spleen and Stomach. If the condition persists for a long time without healing, or is not caused by dietary injury, it belongs to Kidney Qi depletion, requiring the use of Sishen Wan, Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia), and Ba Wei Wan to tonify the Kidney. Using diuretic and water-draining agents would further deplete the deficiency; therefore, treatment should still refer to the management of antepartum diarrhea.