加味生化汤 加味二陈汤 藿香正气汤
产后疟多因瘀血，荣卫不和热又寒，生化汤中加柴甲；痰食二陈楂朴添；外感不正正气散，陈
半苓术苏朴甘，腹皮桔梗藿香枳，引加姜枣一同煎。
【注】产后患疟，多因瘀血停留，荣卫不和，故寒热往来也。宜用生化汤加柴胡、鳖
甲服之。若因痰饮食积者，宜二陈汤加山楂、浓朴。若果外感风寒，方可用藿香正气散治
之，其方即陈皮、半夏、茯苓、白术、苏叶、浓朴、甘草、大腹皮、桔梗、藿香、白芷也。
二陈汤（方见三卷）
产后失调气血弱，风寒外客内停瘀，饮食过伤兼劳怒，不足之中挟有余。寒热往来脐腹痛，懒食多眠
头晕迷，骨蒸盗汗痰嗽喘，面黄肌瘦力难支。蓐劳先须调脾胃，后调荣卫补其虚。
【注】产后气血两虚，起居不慎，风寒外袭，瘀血内停，更或饮食浓味过伤，忧劳忿
怒，乃不足之中挟有余之证。致生寒热往来，脐腹胀痛，懒进饮食，喜眠卧，起则头晕昏
迷，骨蒸潮热，盗汗自汗，痰喘咳嗽，面色萎黄，肌肉削瘦，气力难支，名为蓐劳，医
治甚难。凡欲疗斯疾者，必当先调理其脾胃，使饮食强健，能胜药力，然后调其荣卫，补
其虚损，始能痊愈。
三合散
扶脾益胃六君子，谷化精微气血强，能食渐觉精神爽；调卫和荣三合良，八珍去术小柴共，随证
加减效非常。病退虚羸补气血，八珍十补养荣方。
【注】产后蓐劳治法，当先扶脾益胃，宜六君子汤加减用之。使脾胃强壮，能食能消，
则后天水谷之气，化生精微，气血自然壮盛，精神自然渐爽。然后调其卫气，和其荣血，宜
三合散，即八珍汤去白术加小柴胡汤，乃人参、柴胡、黄芩、半夏、甘草也，随证加减
治之。如寒热往来，脐腹胀痛，则去人参、黄芩、生地，加延胡、桃仁；如懒食、喜睡、头
眩，则去柴胡，加黄 、缩砂、陈皮；如骨蒸、盗汗、自汗，则去川芎、柴胡，加鳖甲、
地骨皮、牡蛎；如痰喘、咳嗽，则去人参、柴胡，加麦冬、川贝母、百合；如面黄肌瘦，乏
力，则去柴胡、川芎，加黄 ，倍用人参，临证消息之。服后如诸证已痊，惟觉虚羸者，则
以八珍、十全、养荣等方培补之。
六君子汤 八珍汤 十全大补汤 益气养荣汤（方俱见首卷）
产后疟疾多因瘀血阻滞，导致营卫不和，表现为先热后寒（或寒热往来）。治疗应在生化汤中加入柴胡和鳖甲；若因痰湿与食积所致，则在二陈汤中加入山楂和厚朴；若因外感风寒邪气所致，则使用藿香正气散，其方由陈皮、半夏、茯苓、白术、紫苏叶、厚朴、甘草、大腹皮、桔梗、藿香、枳壳组成，煎煮时加入生姜和大枣作为药引。
【注】产后患疟疾，多因瘀血停留体内，导致营卫不和，因此出现寒热往来的症状。适宜服用加入柴胡、鳖甲的生化汤。如果是由于痰湿和饮食积滞引起的，适宜服用加入山楂、厚朴的二陈汤。如果确实是外感风寒，才可以使用藿香正气散进行治疗，该方的药物组成即陈皮、半夏、茯苓、白术、紫苏叶、厚朴、甘草、大腹皮、桔梗、藿香、白芷。二陈汤（方剂见第三卷）
产后调理不当导致气血虚弱，风寒之邪外袭，体内又有瘀血停滞，加上饮食过度损伤以及劳累愤怒，使得身体在正气不足的同时夹杂有实邪。症状表现为寒热往来、脐腹部疼痛、食欲不振、嗜睡、头晕目眩、骨蒸潮热、盗汗、咳嗽气喘、面色萎黄、肌肉消瘦、体力难以支撑。治疗蓐劳（产后虚损劳伤），必须先调理脾胃，随后调和营卫以补益虚损。
【注】产后气血两虚，起居不慎导致风寒外袭，瘀血内停，再加上饮食肥甘厚味过度损伤，以及忧思劳累、愤怒情绪，形成了本虚标实（不足之中挟有余）的证候。从而产生寒热往来、脐腹胀痛、懒于进食、喜欢躺卧、起身时头晕昏迷、骨蒸潮热、盗汗自汗、痰喘咳嗽、面色萎黄、肌肉削瘦、气力难支等症状，这被称为蓐劳，医治非常困难。凡想要治疗此病的人，必须首先调理脾胃，使饮食强健，能够承受药力，然后才能调和营卫，补益虚损，这样才能痊愈。
三合散。
扶脾益胃可用六君子汤，谷物转化为精微物质，气血得以增强，食欲增加并逐渐感到精神清爽；调和卫气和营血宜用三合散，由八珍汤去掉白术与小柴胡汤组合而成，随证加减疗效非凡。病退后若仍有虚羸，需补益气血，可使用八珍汤或十全大补汤等养荣方剂。
【注】产后蓐劳的治疗方法，应当先扶助脾气、益养胃气，适宜使用六君子汤加减应用。使脾胃强壮，能食能消，那么后天水谷之气就能化生精微，气血自然壮盛，精神自然逐渐清爽。然后调和卫气、滋养营血，适宜使用三合散，即八珍汤去掉白术加上小柴胡汤，包含人参、柴胡、黄芩、半夏、甘草等药，根据症状加减治疗。如出现寒热往来、脐腹胀痛，则去掉人参、黄芩、生地，加入延胡索、桃仁；如出现懒食、喜睡、头晕，则去掉柴胡，加入黄芪、缩砂仁、陈皮；如出现骨蒸、盗汗、自汗，则去掉川芎、柴胡，加入鳖甲、地骨皮、牡蛎；如出现痰喘、咳嗽，则去掉人参、柴胡，加入麦冬、川贝母、百合；如出现面黄肌瘦、乏力，则去掉柴胡、川芎，加入黄芪，加倍使用人参，临证时斟酌处理。服药后如果各种症状已痊愈，只感觉身体虚羸，则以八珍汤、十全大补汤、养荣汤等方剂培补。
六君子汤、八珍汤、十全大补汤、益气养荣汤（方剂均见首卷）
Jiawei Shenghua Decoction (Modified Birth-Invigorating Decoction), Jiawei Erchen Decoction (Modified Two-Chen Decoction), Huoxiang Zhengqi Decoction (Agarwood and Magnolia Bark Decoction).
Malaria after childbirth is often caused by blood stasis, leading to disharmony of Ying (Nutritive) and Wei (Defensive) Qi, manifesting as alternating chills and fever. Treatment should involve adding Chaihu (Bupleuri Radix) and Biejia (Trionycis Carapax) to Shenghua Tang; if caused by phlegm and food stagnation, add Shanzha (Crataegi Fructus) and Houpo (Magnoliae Officinalis Cortex) to Erchen Tang; if caused by external contraction of wind-cold, use Huoxiang Zhengqi San, which consists of Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma), Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), Ziye (Perillae Folium), Houpo (Magnoliae Officinalis Cortex), Gancao (Glycyrrhizae Radix et Rhizoma), Dafupi (Arecae Pericarpium), Jiegeng (Platycodonis Radix), Huoxiang (Agastaches Herba), Zhishi (Aurantii Fructus Immaturus), with Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Jujubae Fructus) added as guides for decoction.
[Note] Malaria occurring postpartum is mostly due to retained blood stasis causing disharmony between Ying and Wei Qi, hence the alternating chills and fever. It is appropriate to administer Shenghua Tang with added Chaihu and Biejia. If caused by phlegm and dietary accumulation, Erchen Tang with added Shanzha and Houpo is suitable. If it is indeed an external contraction of wind-cold, Huoxiang Zhengqi San can be used for treatment; its composition includes Chenpi, Banxia, Fuling, Baizhu, Ziye, Houpo, Gancao, Dafupi, Jiegeng, Huoxiang, and Baizhi. Erchen Tang (Formula see Volume 3).
Postpartum maladjustment leads to Qi and Blood deficiency; wind-cold attacks externally while blood stasis remains internally. Overindulgence in diet combined with labor and anger results in a condition where deficiency coexists with excess. Symptoms include alternating chills and fever, abdominal pain around the umbilicus, loss of appetite, excessive sleepiness, dizziness, bone-steaming tidal fever, night sweats, cough with expectoration, sallow complexion, emaciation, and inability to support physical strength. For treating Rulao (postpartum consumptive disease), one must first regulate the Spleen and Stomach, then harmonize Ying and Wei to tonify the deficiency.
[Note] Postpartum Qi and Blood are both deficient. Careless daily life leads to external wind-cold invasion and internal retention of blood stasis. Furthermore, excessive consumption of rich foods and emotional stress from worry, fatigue, or anger create a syndrome of underlying deficiency with superimposed excess. This manifests as alternating chills and fever, distending pain in the navel and abdomen, reluctance to eat, preference for lying down, dizziness and confusion upon rising, bone-steaming tidal fever, spontaneous and night sweats, cough with phlegm and wheezing, sallow complexion, muscle wasting, and exhaustion, known as Rulao. Medical treatment is very difficult. To treat this disease, one must first regulate the Spleen and Stomach so that digestion strengthens and the body can tolerate medicinal power. Only then can one harmonize Ying and Wei and tonify the deficiency to achieve recovery.
Sanhe San (Three-Harmony Powder).
To strengthen the Spleen and benefit the Stomach, use Liujunzi Tang (Six-Gentlemen Decoction); grain transforms into essence, strengthening Qi and Blood, increasing appetite and gradually refreshing the spirit. To harmonize Wei and nourish Ying, Sanhe San is excellent; it combines Bazhen Tang (Eight-Treasure Decoction) minus Baizhu with Xiaochaihu Tang (Minor Bupleurum Decoction), showing extraordinary efficacy when modified according to symptoms. After the illness recedes, if debility persists, tonify Qi and Blood using Bazhen Tang or Shiquan Dabu Yangrong Fang (Ten-Complete Nourishing-Nutrient Formula).
[Note] The treatment method for postpartum Rulao should first focus on supporting the Spleen and benefiting the Stomach, preferably using Liujunzi Tang with modifications. Strengthening the Spleen and Stomach allows for proper digestion and absorption, transforming postnatal water and grain qi into essence, thereby naturally strengthening Qi and Blood and refreshing the spirit. Subsequently, harmonize Wei Qi and nourish Ying Blood using Sanhe San, which is Bazhen Tang minus Baizhu combined with Xiaochaihu Tang, containing Ren Shen (Ginseng Radix et Rhizoma), Chaihu (Bupleuri Radix), Huang Qin (Scutellariae Radix), Banxia (Pinelliae Rhizoma), and Gancao (Glycyrrhizae Radix et Rhizoma), modified according to symptoms. If there are alternating chills and fever with abdominal distension and pain, remove Ren Shen, Huang Qin, and Shengdi, and add Yahu (Corydalis Rhizoma) and Taoren (Persicae Semen); if there is poor appetite, somnolence, and vertigo, remove Chaihu and add Huang Qi (Astragali Radix), Suansha (Amomi Fructus Rotundus), and Chenpi; if there is bone-steaming, night sweats, and spontaneous sweating, remove Chuanxiong (Ligustici Chuanxiong Rhizoma) and Chaihu, and add Biejia, Digupi (Bark of Ground Tree Betula), and Muli (Ostreae Concha); if there is phlegm-wheezing and cough, remove Ren Shen and Chaihu, and add Maidong (Ophiopogonis Radix), Chuanbeimu (Fritillariae Cirrhosae Bulbus), and Baihe (Lilii Bulbus); if there is sallow complexion, emaciation, and fatigue, remove Chaihu and Chuanxiong, add Huang Qi, and double the dosage of Ren Shen, adjusting clinically as needed. After taking the medicine, if all symptoms have resolved but only debility remains, use Bazhen Tang, Shiquan Dabu Tang (Ten-Complete Great Tonifying Decoction), or Yangrong Tang to nourish and tonify.
Liujunzi Tang, Bazhen Tang, Shiquan Dabu Tang, Yiqi Yangrong Tang (Formulas all see Volume 1)