《大全》云∶产后蓐劳者，此由生产日浅，气血虚弱，将养失所而风冷客之。风冷搏于
气血
则不能温于肌肤，使人虚乏劳倦，乍卧乍起，颜色憔悴，饮食不消，风冷邪气而感于肺，肺
受微寒，故咳嗽口干，遂觉头昏，百节疼痛。荣卫受于风邪，流注脏腑，须臾频发，时有盗
汗
，寒热如疟，背膊烦闷，四肢不举，沉重着床，此则蓐劳之候也(蓐劳有二，然总起于产蓐
。一则挟外感，一则由七情。其或兼内伤饮食泄泻与夫瘀血未尽者皆有之，不可不别也)。
按薛氏曰∶前症当扶养正气为主，用六君子汤加当归。若脾肺气虚而咳喘口干，用补中
益气
加麦冬、五味。若因中气虚而口干头晕，用补中益气加蔓荆。若肝经血虚而肢体作痛用四物
参术。若肝肾虚热而自汗、盗汗、寒热往来者，用六味丸加五味。若因脾虚血弱，肚腹作痛
，月经不调，用八珍汤倍白术。若因脾虚血燥，皮肤瘙痒，用加味逍遥散。大抵此症多因脾
胃虚弱，饮食减少，以致诸经疲惫而作(数语尽之)。当补脾，饮食一进，精气生化，诸脏有
所倚赖，其病自愈矣。仍参虚损发热方论主治。
《产宝》云∶产后虚羸者，由产后亏损血气所致。若中年及难产者，毋论期日，必须调
养平
复方可涉喧，否则气血复伤，虚羸之症作矣。当用八珍汤补其气血。若饮食伤胃，用四君子
汤。停食伤脾，用六君子汤。劳伤元气者，补中益气汤。若嗳气觉有药味者，药复伤胃也，
但用四君子汤徐徐少饮，以调脾胃，胃气一健，血气自生，诸症顿除矣。
《产宝全书》中说：产后蓐劳，是由于分娩时间尚短，气血虚弱，调养不当，导致风冷邪气侵袭。风冷与气血相搏结，不能温煦肌肤，使人感到虚弱乏力、疲倦困倦，时而躺卧时而起身，面色憔悴，饮食不消化；风冷邪气感伤于肺，肺受轻微寒邪，所以出现咳嗽、口干，进而感觉头晕，全身关节疼痛。营卫之气受到风邪侵袭，流注于脏腑，短时间内频繁发作，时常有盗汗，寒热往来如同疟疾，背部和肩部烦闷不适，四肢无力抬举，身体沉重难以离开床铺，这就是蓐劳的症状表现（蓐劳有两种情况，但总归起源于产后。一种是兼夹外感，一种是由七情内伤引起。或者兼有内伤饮食导致的泄泻以及瘀血未尽的情况，都可能出现，不可不加以辨别）。
薛己按语说：上述症状应当以扶持正气为主，使用六君子汤加当归。如果是脾肺气虚导致咳嗽、气喘、口干，使用补中益气汤加麦冬、五味子。如果是因中气虚弱导致口干、头晕，使用补中益气汤加蔓荆子。如果是肝经血虚导致肢体疼痛，使用四物汤加人参、白术。如果是肝肾阴虚发热导致自汗、盗汗、寒热往来，使用六味地黄丸加五味子。如果是因脾虚血弱导致腹部疼痛、月经不调，使用八珍汤加倍白术用量。如果是因脾虚血燥导致皮肤瘙痒，使用加味逍遥散。大抵这类病症多因脾胃虚弱，饮食减少，致使各条经脉疲惫而发病（这几句话概括了要点）。应当补益脾胃，饮食一旦进入，精气得以生化，各脏腑有所依赖，疾病自然痊愈。同时参考虚损发热的方论进行主治。
《产宝》说：产后身体极度瘦弱的症状，是由于产后气血亏损所致。如果是中年产妇或难产者，不论产后多少天，必须等到身体调养平复后才可以接触喧闹环境，否则气血再次受伤，虚羸的症状就会发作。应当使用八珍汤来补益气血。如果是饮食损伤胃气，使用四君子汤。如果是停食损伤脾气，使用六君子汤。如果是劳累损伤元气，使用补中益气汤。如果出现嗳气且觉得有药味的情况，说明药物再次损伤了胃气，只需使用四君子汤慢慢少量饮用，以调理脾胃，胃气一旦强健，气血自然生成，各种症状顿时消除。
*Daquan Quan Shu* states: Postpartum *rulao* (postpartum debility due to exhaustion) arises because the postpartum period is short, qi and blood are deficient, and improper nursing allows wind-cold pathogens to invade. When wind-cold clashes with qi and blood, it fails to warm the skin and muscles, causing the patient to feel weak, fatigued, and exhausted; they may lie down or rise up intermittently, their complexion becomes haggard, and food is not digested properly. Wind-cold pathogenic factors affect the lungs; as the lungs suffer slight cold, coughing and dry mouth occur, followed by dizziness and pain in all joints. Ying and Wei (nutritive and defensive qi) are affected by wind pathogens and flow into the zang-fu organs, causing frequent attacks within moments, occasional night sweats, alternating chills and fever resembling malaria, irritability and oppression in the back and shoulders, inability to lift the four limbs, and a heavy sensation making it difficult to leave the bed. These are the manifestations of *rulao*. (*Rulao* has two types, but both originate from the postpartum state. One involves concurrent external contraction, while the other stems from emotional disturbances. Additionally, cases involving internal injury from diet leading to diarrhea, or incomplete expulsion of lochia, may also present these symptoms and must be distinguished.)
Xue Ji commented: For the aforementioned symptoms, the primary treatment should be to support healthy qi, using Liujunzi Tang (Six Gentlemen Decoction) added with Danggui (Angelicae Sinensis Radix). If spleen and lung qi deficiency causes cough, asthma, and dry mouth, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Maidong (Ophiopogonis Radix) and Wuweizi (Schisandrae Fructus). If middle qi deficiency causes dry mouth and dizziness, use Buzhong Yiqi Tang added with Manjingzi (Vittadiniae Fructus). If liver channel blood deficiency causes limb pain, use Siwu Tang (Four Substances Decoction) added with Renshen (Ginseng Radix) and Baizhu (Atractylodis Macrocephalae Rhizoma). If liver and kidney yin deficiency with heat causes spontaneous sweating, night sweats, and alternating chills and fever, use Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) added with Wuweizi. If spleen deficiency and blood weakness cause abdominal pain and irregular menstruation, use Bazhen Tang (Eight Treasures Decoction) with doubled Baizhu. If spleen deficiency and blood dryness cause skin itching, use JiaWei Xiaoyao San (Modified Free and Easy Wanderer Powder). Generally, this condition often results from spleen and stomach weakness and reduced food intake, leading to fatigue in all meridians (These few words summarize the essence). The treatment should focus on tonifying the spleen; once food intake resumes, essence and qi are generated, and the zang-fu organs find reliance upon them, allowing the disease to heal spontaneously. This should also be managed in reference to the theories and formulas for deficiency-fever conditions.
*Chanbao* states: Postpartum extreme emaciation is caused by the loss of qi and blood after childbirth. For women in middle age or those who experienced difficult labor, regardless of the number of days postpartum, one must wait until the body has recovered through proper nursing before exposing oneself to noisy environments; otherwise, qi and blood will be further injured, and symptoms of emaciation will arise. One should use Bazhen Tang to tonify qi and blood. If dietary injury damages the stomach, use Sijunzi Tang (Four Gentlemen Decoction). If retained food injures the spleen, use Liujunzi Tang. If labor exhausts original qi, use Buzhong Yiqi Tang. If belching occurs with a medicinal taste, it indicates that the medicine has re-injured the stomach; in this case, simply use Sijunzi Tang, drinking slowly and in small amounts to regulate the spleen and stomach. Once stomach qi strengthens, qi and blood will naturally generate, and all symptoms will be instantly eliminated.