产后气暴竭。虚汗 然出。形色俱脱。此危急症。难拘常法。先定块痛。从权速服调卫参
妇少有精神。如块痛未除减去参 。
黄 (一钱五分) 人参(三四钱) 麻黄根 当归(各一钱) 甘草(炙五分) 防风(二分) 桂
枝。多加人参。如块不痛。加枣(二枚)
口渴禁用半夏。生姜。寒热往来。毋用柴胡等药。头痛发热。毋用麻黄。黄芩、黄连。黄柏等
作亡阴论。阴亡则阳随而亡。急服上方。或可保全。
产后气短似喘。气血犹未竭。补剂可少缓。速服生化汤一二帖。以行血定痛。然后加参。若
形色又脱。而喘急。不特急服加参生化汤。并且于一时速服两帖。如
迟而照常一帖。死亡立至。若医者作痰火症治。而误用枳壳。青皮。贝母。香附。黄柏。黄
连等药。不知误死多少矣。
川芎(一钱) 当归(三钱) 干姜(四分) 炙草(五分) 人参(三钱) 桃仁(十二粒) 茯苓(
苓。加黄 (一钱) 五味子(十粒)若日久食少。闻药即吐。及误用寒
药。食寒物以致呕不纳谷者。急用人参(二三钱) 姜(三片) 仓米一大撮。用新罐煎服。如
汗多气短。气喘不受补者。此虚甚之极。不治。
产后汗多。项强。口噤。牙紧。筋搐。类伤寒症。慎勿作伤寒治。难经云。汗多亡阴。阴亡
多无阳。产后血脱。多汗亡阴阳。此危症也。
产后气血突然枯竭，虚汗淋漓而出，面色和形体均出现脱失之象。这是危急重症，不能拘泥于常规治法。应先消除瘀血块引起的疼痛，权宜之计迅速服用调和营卫、益气固表的方剂。
妇女产后本已精神不足，如果瘀血块疼痛未除，应减去人参。
药材：黄耆（一钱五分）、人参（三至四钱）、麻黄根、当归（各一钱）、甘草（炙用五分）、防风（二分）、桂枝。若气虚明显多加人参；如果瘀血块不痛，加红枣（二枚）。
口渴者禁用半夏、生姜。寒热往来者，不用柴胡等药。头痛发热者，不用麻黄、黄芩、黄连、黄柏等药。若将这些药误作亡阴证论治，阴液亡失则阳气随之而亡。急需服用上述方剂，或许可以保全性命。
产后气短似喘，说明气血尚未完全枯竭，补益药剂可稍缓使用。应速服生化汤一至两帖，以活血化瘀、定痛止痛，然后再加入人参。如果面色和形体再次脱失，且气喘急促，不仅需急服加参生化汤，而且要在一个时辰内连服两帖。如果拖延时间照常只服一帖，死亡立刻到来。如果医生将其当作痰火证治疗，而误用枳壳、青皮、贝母、香附、黄柏、黄连等药，不知会误死多少人。
生化汤组成：川芎（一钱）、当归（三钱）、干姜（四分）、炙甘草（五分）、人参（三钱）、桃仁（十二粒）、茯苓。若日久食欲减退，闻到药味就呕吐，以及误用寒凉药物或食用寒凉食物导致呕吐、无法进食者，紧急用人参（二三钱）、生姜（三片）、仓米（一大撮），用新罐煎服。如果汗多气短，气喘且不耐受补益，这是极度虚弱的表现，属于不治之症。
产后汗多，项背强直，口噤不开，牙关紧闭，筋脉抽搐，症状类似伤寒。切勿当作伤寒治疗。《难经》说：汗多导致亡阴，阴亡则阳无所依。产后血脱，多汗导致阴阳俱亡，这是危重病症。
After childbirth, Qi and Blood suddenly collapse. Profuse spontaneous sweating occurs, with both complexion and physical form showing signs of depletion. This is a critical condition; one must not adhere to routine methods. First, alleviate the pain caused by uterine lochia retention (blood stasis masses). As an expedient measure, quickly administer a formula to harmonize Ying and Wei (Defensive and Nutritive levels) and tonify Qi while securing the exterior.
Postpartum women naturally lack spirit and vitality. If the pain from blood stasis masses has not subsided, Ginseng should be reduced or omitted.
Herbs: Huangqi (Radix Astragali Membranacei, 1.5 qian), Renshen (Radix et Rhizoma Ginseng, 3-4 qian), Mahuanggen (Radix Ephedrae, 1 qian each), Danggui (Radix Angelicae Sinensis, 1 qian each), Gancao (Radix Glycyrrhizae Preparata, 0.5 qian), Fangfeng (Radix Saposhnikoviae, 0.2 qian), Guizhi (Ramulus Cinnamomi Cassiae). Increase the dosage of Renshen if Qi deficiency is prominent. If there is no pain from the masses, add Jujubae Fructus (two dates).
Banxia (Rhizoma Pinelliae Preparata) and Shengjiang (Rhizoma Zingiberis Recens) are contraindicated for those with thirst. Chaihu (Radix Bupleuri) and similar herbs should not be used for alternating chills and fever. Mahuang (Herba Ephedrae), Huangqin (Radix Scutellariae), Huanglian (Rhizoma Coptidis), and Huangbai (Cortex Phellodendri) should not be used for headache and fever. Misinterpreting these symptoms as Yin exhaustion (Wang Yin syndrome) leads to the loss of Yin, which in turn causes the loss of Yang. Urgently administering the aforementioned formula may preserve life.
Shortness of breath resembling asthma after childbirth indicates that Qi and Blood have not completely collapsed; tonifying agents can be administered slightly later. Quickly administer Shenghua Tang (Life-Restoring Decoction) for one to two doses to promote blood circulation and relieve pain, then add Renshen. If the complexion and physical form show further depletion accompanied by rapid breathing, not only must the modified Shenghua Tang with Renshen be administered urgently, but two doses must be taken within one shichen (two hours). Delaying treatment to the standard single dose will lead to immediate death. If physicians treat this as Phlegm-Fire syndrome and mistakenly use Zhike (Fructus Aurantii), Qingpi (Cortex Citri Reticulatae Viridis), Beimu (Bulbus Fritillariae Cirrhosae), Xiangfu (Rhizoma Cyperi), Huangbai, and Huanglian, countless deaths would result from such errors.
Shenghua Tang Composition: Chuanxiong (Rhizoma Chuanxiong, 1 qian), Danggui (Radix Angelicae Sinensis, 3 qian), Ganjiang (Radix Zingiberis Preparata, 0.4 qian), Zhigancao (Radix Glycyrrhizae Preparata, 0.5 qian), Renshen (Radix et Rhizoma Ginseng, 3 qian), Taoren (Semen Persicae, 12 kernels), Fuling (Sclerotium Poriae). For cases lasting long periods with poor appetite, vomiting upon smelling medicine, or vomiting and inability to eat due to mistaken use of cold medicines or consumption of cold foods, urgently administer Renshen (2-3 qian), Jiang (Zingiberis Rhizoma, 3 slices), and Cangmi (Oryza Sativa, a large pinch). Decoct and take using a new pot. If there is profuse sweating, shortness of breath, asthma, and intolerance to tonification, this represents extreme deficiency and is incurable.
Profuse sweating, neck stiffness, trismus (lockjaw), clenched teeth, and muscle spasms after childbirth resemble Shaoyang/Taiyang syndromes (Shanghan). Do not treat it as Shanghan. The Nan Jing states: "Excessive sweating leads to Yin exhaustion; when Yin is exhausted, Yang follows." Postpartum blood loss combined with excessive sweating leads to the exhaustion of both Yin and Yang. This is a critical condition.