人参 熟地(各二钱) 黄 白术 川芎 麦冬 麻黄根(各一钱) 当归(三钱) 陈皮(四
分) 炙甘草(五分) 日间煎服。夜间兼服六味地黄丸。清汤下。
(〔吴按〕麻黄根虽散中有收。又能止汗。究系猛药。不宜重用。以他药代之便妥。)
产后寒热往来。头痛无汗。类疟。
冬白术 甘草 藿香(各四分) 白茯苓 川芎 陈皮(各一钱) 半夏(八分) 当归(三钱)
人参(一钱五分) 姜(一片) 如有痰加竹沥。姜汁。半夏曲。如质弱兼服河车丸。若久疟无
汗不愈。兼服参术膏。
产后七日内。发热。头痛。恶寒。毋专论为伤寒太阳症。发热头疼。胁痛。毋专论为伤寒少
阳症。二者皆由气血两虚。阴阳不和而类外感。治者慎勿轻产后。执偏门。而用麻黄汤以治
类太阳症。又勿用柴胡汤以治类少阳症。且产妇血脱之后。而重发汗。则虚虚之祸。有不可
胜言者。昔仲景云。亡血家不可发汗。丹溪云。产后切不可发表。二先生非谓产妇真无伤寒
之病也。非谓麻黄。柴胡。方之不对症也。诚恐后学业偏门而轻产后。执成方以发表耳。虽
明知产后真感风寒。其生化汤内芎姜亦能散之。又内经云。西北之气散而发之。东南之
气收而温之。所谓病同而治异也。其经意谓东南人柔弱。而西北之人强盛，患病有异也。惟
产后虚劳。治法不分南北。概用甘温以大补。少佐散剂。虽有他症。以末治之。又不可拘执
以误人。
(〔吴按〕经云二阳之病发心脾。乃指内伤。亦有发热恶寒。不可混入外感。况产后耶学人当
细心讲究。)
人参、熟地黄（各二钱）、黄芪、白术、川芎、麦冬、麻黄根（各一钱）、当归（三钱）、陈皮（四分）、炙甘草（五分），日间煎汤服用。夜间兼服六味地黄丸，用清汤送下。
（〔吴氏按〕麻黄根虽然具有散中有收的特性，又能止汗，但终究属于猛药，不宜重用，用其他药物替代即可。）
炒白术、甘草、藿香（各四分）、白茯苓、川芎、陈皮（各一钱）、半夏（八分）、当归（三钱）、人参（一钱五分）、生姜（一片）。如果有痰，加入竹沥、姜汁、半夏曲。如果体质虚弱，兼服河车丸。如果是久疟导致无汗且不愈，兼服参术膏。
产后七日内，出现发热、头痛、恶寒，不要专门将其诊断为伤寒太阳病（太阳经受邪所致的病证）。出现发热、头痛、胁痛，不要专门将其诊断为伤寒少阳病（少阳经受邪所致的病证）。这两种情况都是由气血两虚、阴阳不和而类似于外感病。治疗者千万不要轻视产后这一特殊时期，固执于旁门左道，使用麻黄汤来治疗类太阳病；也不要使用柴胡汤来治疗类少阳病。况且产妇在血脱之后，如果再重发汗，那么导致虚上加虚的祸患，是不可胜言的。昔日张仲景说：亡血家不可发汗。朱丹溪说：产后切不可发表。这两位先生并非认为产妇真的没有伤寒的病，也并非认为麻黄汤、柴胡汤不对症。实在是担心后学者固执于旁门左道而轻视产后，拘执成方来发表罢了。虽然明知产后确实感受了风寒，但在生化汤内的川芎、生姜也能发散它。另外《内经》说：西北之气散而发之，东南之气收而温之。这就是所说的病相同而治疗方法不同。其经意是指东南人柔弱，而西北人强盛，患病情况有差异。只有产后虚劳，治疗方法不分南北，一概使用甘温药物以大补元气，稍加佐以散剂。即使有其他症状，也作为次要问题处理。又不可以拘泥固执以免误人。
（〔吴氏按〕《内经》说：二阳之病发心脾，这是指内伤，也有发热恶寒的症状，不可混入外感病中，何况是产后呢？学习者应当细心研究探讨。）
Ren Shen (Ginseng Radix), Shu Di Huang (Rehmanniae Radix Praeparata) (each 2 qian), Huang Qi (Astragali Radix), Bai Zhu (Atractylodis Rhizoma), Chuan Xiong (Chuanxiong Rhizoma), Mai Dong (Ophiopogonis Radix), Ma Huang Gen (Ephedrae Herbae Radix et Rhizoma, specifically the root) (each 1 qian), Dang Gui (Angelicae Sinensis Radix) (3 qian), Chen Pi (Citri Reticulatae Pericarpium) (4 fen), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) (5 fen). Decoct and take orally during the day. At night, additionally take Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia), swallowed with clear water.
(Wu's Note: Although Ma Huang Gen has the property of dispersing while retaining and can stop sweating, it is ultimately a potent herb and should not be used in heavy doses; substituting it with other herbs is appropriate.)
Postpartum chills alternating with fever, headache, absence of sweat, resembling malaria.
Dong Bai Zhu (Stir-fried Atractylodis Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Huo Xiang (Agastaches Herba) (each 4 fen), Bai Fu Ling (Poria), Chuan Xiong (Chuanxiong Rhizoma), Chen Pi (Citri Reticulatae Pericarpium) (each 1 qian), Ban Xia (Pinelliae Tuber) (8 fen), Dang Gui (Angelicae Sinensis Radix) (3 qian), Ren Shen (Ginseng Radix) (1.5 qian), Jiang (Zingiberis Rhizoma Recens, one slice). If there is phlegm, add Zhu Li (Bambusae Succus), Jiang Zhi (Zingiberis Rhizoma Recens Expressum), Ban Xia Qu (Pinelliae Fermentatum). If constitution is weak, additionally take He Che Wan (Placenta Hominis Pill). If prolonged malaria with absence of sweat persists, additionally take Shen Zhu Gao (Ginseng and Atractylodes Paste).
Within seven days postpartum, if fever, headache, and aversion to cold occur, do not exclusively diagnose it as Tai Yang disease (disease pattern of the Tai Yang channel). If fever, headache, and hypochondriac pain occur, do not exclusively diagnose it as Shao Yang disease (disease pattern of the Shao Yang channel). Both conditions arise from deficiency of both qi and blood, and disharmony of yin and yang, mimicking external contraction. Practitioners must not lightly dismiss the postpartum state, nor adhere to erroneous methods by using Ma Huang Tang (Ephedra Decoction) to treat Tai Yang-like patterns, nor use Chai Hu Tang (Bupleurum Decoction) to treat Shao Yang-like patterns. Moreover, after blood loss in parturient women, inducing heavy sweating would lead to the disaster of exacerbating deficiency, which is beyond description. Zhang Zhongjing once said: Those who have lost blood should not undergo sweating therapy. Zhu Danxi said: Postpartum women strictly should not undergo releasing-the-exterior therapy. These two masters did not mean that parturient women truly cannot suffer from Tai Yang disease, nor that Ma Huang Tang or Chai Hu Tang are inappropriate for their symptoms. They were genuinely concerned that later learners might adhere to erroneous paths, neglect the postpartum condition, and rigidly apply established formulas to release the exterior. Even if it is known that the postpartum woman has truly contracted wind-cold, the Chuan Xiong and Sheng Jiang (Fresh Ginger) within Sheng Hua Tang (Invigorate Blood Decoction) can also disperse it. Furthermore, the *Nei Jing* states: The qi of the northwest is dispersed and released; the qi of the southeast is gathered and warmed. This means that although the disease is the same, the treatment differs. The meaning of the classic implies that people in the southeast are frail, whereas those in the northwest are robust, leading to differences in illness presentation. For postpartum consumptive fatigue, treatment methods do not distinguish between north and south; generally, sweet-warm herbs are used to greatly tonify, with a slight addition of dispersing agents. Even if other symptoms exist, they are treated as secondary. One must not be rigidly dogmatic to avoid harming patients.
(Wu's Note: The Classic states: Diseases of the Two Yang channels originate from the Heart and Spleen, referring to internal injury. There may also be fever and aversion to cold, which should not be confused with external contraction, especially in the postpartum period. Learners should investigate this carefully.)