（附论）
夫产后蓐劳者。此由生产日浅。血气虚弱。饮食未平复。不满日月。气血虚羸。将养失
所。而风冷客之。风冷搏于血气。则不能温于肌肤。使人虚乏劳倦。乍卧乍起。颜容憔悴。
饮食不消。风冷邪气而感于肺。肺感微寒。故咳嗽喘乏。头痛腹中绞刺。口干百节疼痛。荣
卫受于风邪。流注脏腑。须臾频发。时有盗汗。寒热入疟背膊烦闷。四肢不举。沉重着床。
此则蓐
则发寒。气血俱虚。则寒热更作。日渐羸瘦。故为蓐劳。至产后恶露不尽。亦令致此。则时
寒时热。腰腹刺痛。甚者不能食。亦不作肌肤。
方
蜀漆汤 治产后虚羸。往来心胸烦满。骨节疼痛。及头痛壮热。晡时辄甚。如微
疟。
蜀漆叶 桂心 甘草 黄芩（各一两半） 黄 （五两） 知母 芍药（各三两） 生
地黄（一斤）
石子汤 疗产后虚羸喘乏。乍寒乍热如疟。四肢疼痛。面色萎黄。自汗体倦。咳
嗽疾逆。腹
猪肾（一双去脂膜破羊亦可用） 香豉（一方无此味有知母） 葱白 粳米 当归 芍
药（各二
有人参。任意饮。屡用效。虽至十余年。亦愈。不复作。
疗产后日浅。久坐视听。言语多。或以用气力。遂绝觉起居劳动太过。头膊肢节
皮肉痛。乍寒乍热。此为蓐劳。
猪肾（一双去脂膜四枚破） 当归 芍药 生姜（各一两） 葱白（切） 桂心（各一
两） 上以水
人参鳖甲散 治妇人产后蓐劳。皆由在产内百日未满。体中虚损。血气尚弱。失
于将理。或劳动。作劳致成蓐劳。其状虚羸。乍起乍卧。饮食不消。时有咳嗽。头目
温痛。发歇无常。有盗汗。寒热如疟。背膊拘急。沉困在床。服此大效。
人参 桂心 当归 桑寄生 白茯苓（各半两） 白芍药（酒炒） 桃仁 熟地黄 甘
草麦门冬（各半两） 续断（一分） 牛膝（三分） 鳖甲（炙） 黄 （各一两） 上
为细末。每服先以猪
肾、姜、枣。然后再入药末二钱。葱三寸。乌梅一个。荆芥五穗。煎至七分。去滓。空心晚
食前温服。
熟地黄散 治产后蓐劳。皆由体虚气力未复。劳动所致。四肢烦痛。时发寒热。
不思饮食。
熟干地黄 人参 白芍药 白茯苓 白术（各一两半） 续断 黄 桂心 五味子 当
归麦门冬 川芎（各三分） 上 咀。每服四钱。水一盏。生姜三片。枣三个。同煎至七
分。去滓温服无时。
白茯苓散 治产后蓐劳。盖缘生产日浅。坐多端语。运动用力。遂致头目四肢疼痛
。寒热如
白茯苓（一两） 当归 川芎 桂心 白芍药 黄 人参（各半两） 熟地黄（半两）
上
姜、
黄 丸 治产后蓐劳。寒热进退。头目眩痛。百骨节疼酸。气力羸乏。
黄 鳖甲 当归（锉各一两） 桂心 续断 白芍药 川芎 牛膝 肉苁蓉 沉香 柏
子仁
食粥饮
牡丹皮散 治妇人产后虚羸。发热自汗。欲变蓐劳。或血气所搏。及经候不调。
及寒热自汗羸瘦。并宜服之。
白芍药 当归 五加皮 地骨皮 人参（各半两） 没药 桂心（各二钱） 牡丹皮
（三钱） 上为细末。每服二钱。水酒各半盏。不饮酒只用清水一盏。开通钱一钱。麻油蘸
之。同煎至七分。去滓。通口服下。煎不得搅。吃不得吹。
粱豉汤 治产后虚羸喘乏。寒热如疟。名曰蓐劳。
猪肾（一具切去筋） 淡豆豉（五合绵裹） 白粱米（三合） 葱白（切一升） 人参 当
归（各一
五积散 治感寒伤食。受恐惊怒。身发热。头疼。不宜峻剂。凡蓐劳者服之。
白芷 川芎 甘草（炙） 茯苓（去皮） 当归（去芦头） 肉桂（去粗皮） 芍药 半
夏（汤浸七
术（米泔浸去皮二
咀。白水煎。加醋同服妙。
猪腰子粥 治产后蓐劳发热。
用猪腰子一双。去白膜。切作柳叶片小。盐酒拌之。须先用粳米一合。入葱椒煮粥。盐
醋调
入血室。宜小柴胡汤。
猪肾汤 治产后虚羸喘乏。乍寒乍热。如疟状。名蓐劳。
猪肾（一具去脂四破如无羊肾代） 香豉（绵裹） 白粳 葱白（各一两） 上以水
三斗。煮取
桂心散 治产后蓐劳。日渐枯瘁。寒热往来。头疼体痛。口苦舌燥。
肉桂（去粗皮） 芍药（锉） 浓朴（去粗皮涂生姜汁炙） 柴胡（去苗） 桔梗（锉
炒） 紫菀（去
（去裙醋浸炙各半两） 草豆蔻（三枚去皮） 上捣罗为散。每服用 猪肝十片。炙熟乘
热拌和药。旋旋嚼。温酒下。日三。
柴胡人参汤 治产后失于将理。血虚损。日渐困瘁。少寒多热。烦渴嗽逆。痰壅
减食。
柴胡（去苗） 人参 生干地黄（焙各三分） 桔梗（锉炒） 知母 紫菀（去苗土） 桑
根白皮 枳壳（去瓤麸炒令黄） 赤芍药 肉桂（去粗皮） 当归（微炒各半两） 附子（大
者一枚炮制去
至七分。去滓温服。不拘时候。
茯苓丸 治产后蓐劳。寒热羸瘦。骨节酸痛。
白茯苓（去黑皮） 肉苁蓉（酒浸切焙） 熟干地黄（炒各一两半） 当归 枳壳（去
瓤麸炒） 桑
子大。每服二十丸。
温酒或米饮下。不拘时候服。
猪肾汤 治产后蓐劳寒热。体痛力乏瘦黑。
猪肾（一双切） 黄 （锉碎） 人参 芍药（锉碎炒各一两半） 桂（去粗皮三分） 芎
（一两）
每服二钱。水
分。去滓温服。不拘时候。
柴胡汤 治产后蓐劳寒热。日渐瘦损。
柴胡（去苗锉一两） 甘草（炙锉） 人参 白茯苓（去黑皮） 当归（切炒） 赤芍
药（锉） 枳壳
一中盏半。先煮猪肾
去滓温服。不拘时
熟干地黄汤 治产后蓐劳寒热瘦瘁。
熟干地黄（焙一两半） 麦门冬（去心炒） 当归（切碎炒） 人参 牛膝（去苗锉）
白术（锉炒
温服。不拘时
黄 汤 治产后蓐劳。肌瘦烦闷。喘急多汗。倦怠少力。
黄 （锉碎） 芍药（锉碎） 枳壳（去皮瓤麸炒） 牡蛎粉（各一两） 羚羊角（半
两） 上粗捣筛
服不拘时。
黄 炙散（出圣惠方） 治产后蓐劳。肌肉枯瘦。面无颜色。或寒或热。四肢
酸痛。心烦。
黄 （锉） 鳖甲（去裙醋炙黄各一两） 当归（锉微炒） 桑寄生 桂（去粗皮） 白
茯苓（去黑皮） 白芍药 人参 麦门冬（去心） 干熟地黄（焙） 牛膝（去苗酒浸切焙）
甘草（炙各半两） 上为细散。每服用猪肾一具。切去脂膜。先以水一盏半。将生姜三片。
枣三枚擘。煎至一盏。去滓并肾。却下药三钱。再煎至七分。候空心食前温服。二滓并煎服。
芍药汤 治产后蓐劳疼痛。寒热。头旋眼花。精神恍惚。睡多惊恐。盗汗腹痛。
大便不利。
赤芍药 芎 牡丹皮 玄参 当归（切焙） 人参 五味子 麦门冬（去心焙） 白
茯苓 白薇 甘草（炙锉各一两） 熟地黄（二两） 上粗筛。每服五钱。水一盏半。煎至
八分。去滓
猪肾汤 治产后蓐劳似疟。寒热。不能食。
猪肾（一枚切去脂膜） 粳米（淘二合） 知母（焙二分） 当归（锉焙一分半） 葱
白（五茎） 芍
沸。纳诸药。煎取
卧良久。
干地黄丸 治产后蓐劳寒热。体虚羸。不思饮食。
熟干地黄（焙） 人参 鳖甲（醋炙去裙） 肉苁蓉（酒浸焙各一两） 白术（炒） 续
断桂（
茯苓（去黑皮半两） 黄 （锉一两半） 上为末研匀。炼蜜和丸如梧桐子大。每服十五丸。
温酒化下。不拘时。
白薇丸 治产后蓐劳。寒热时作。四体羸弱。饮食无味。
白薇 柏子仁（研） 附子（炮制去皮脐） 鳖甲（醋炙去裙） 当归（切焙） 黄
（锉各一两）
芦头各三分） 熟干地黄
半两） 上为末。研细。炼蜜和
泽兰丸 治产后蓐劳。补虚损。益血气。
泽兰（一两半） 柏子仁 附子（炮制去皮脐） 当归（切焙） 白术 桂（去粗皮） 芎
熟
（去苗叶各半两）
续断（各三分） 桃仁（去尖皮双仁炒四两） 上为末研匀。炼蜜和丸如梧桐子大。每
服三十丸。空心温酒下
白术散 治产后蓐劳虚羸。发寒热。心腹疼痛。四肢无力。不思饮食。
白术（一两） 木香（半两） 熟干地黄（一两） 干姜（半两炮制锉） 白芍（三分）
芎 桃
（三分锉） 当归（
一中盏。入生姜半分。
猪肾汤 治产后体虚。乍寒乍热。其状如疟。名曰蓐劳。
猪肾（一对切去脂膜） 香豉（半两） 白粳米（半两） 葱白（七寸切） 薤白（七
寸切） 生姜（
心（半两） 黄 （三
盏。煎至一盏。去滓。温服
肾沥汤 治产后蓐劳。心神烦热。头痛口干。身体或寒或热。
猪肾（一对切去脂膜） 香豉（半两） 大枣（四枚擘破） 生姜（一两切） 葱白
（二茎切以
两） 白术（半两）
粗罗为散。每服半两。入前
地黄丸 治产后蓐劳。虚羸气短。胸胁满闷。不思饮食。
熟地黄 石斛（去根锉） 黄 （锉） 白茯苓 麦门冬（去心焙） 肉桂（去粗皮） 枸
杞子 肉
续断 桑
每于食前以粥
羊肉汤 治产后发热自汗。肢体疼痛。名蓐劳。
当归 人参（各七钱炙） 黄 （炙一两） 生姜（半两） 咀。用羊肉一斤。煮清
汁五大盏
又方
当归 人参（等分） 上为末。猪腰一只。薄切。挑药三钱。水二盏。粳米半合。同
煎至一
治蓐妇血妨。
以芭蕉根捣汁饮之。
治蓐中血晕。
取猪脂烧灰。酒服之。立验。已毙者。去板齿灌之。经一日。亦可治。
（附论）
所谓产后蓐劳，是因为生产时间尚短，血气虚弱，饮食尚未恢复平衡，未满一个月。气血虚损瘦弱，调养失当，导致风冷邪气侵袭。风冷与血气相搏结，不能温煦肌肤，使人感到虚乏劳倦，时而躺卧时而起身，面容憔悴，饮食不消化。风冷邪气侵犯肺部，肺受微寒，所以出现咳嗽、气喘乏力、头痛、腹中绞痛刺痛、口干、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，寒热往来如疟疾状，背部和两胁烦闷，四肢无法抬起，身体沉重卧床不起。这就是蓐劳。如果此时发作寒战，气血都虚弱，就会寒热交替出现，日渐消瘦羸弱，所以称为蓐劳。直到产后恶露不尽，也会导致这种情况，表现为时寒时热，腰腹部刺痛，严重的甚至不能进食，皮肤肌肉也无法长好。
方剂：
蜀漆汤：治疗产后虚损瘦弱，心胸烦闷胀满，骨节疼痛，以及头痛高热，傍晚时分加重，像轻微的疟疾。
组成：蜀漆叶、桂心、甘草、黄芩（各一两半）、黄芪（五两）、知母、芍药（各三两）、生地黄（一斤）。
石子汤：治疗产后虚损瘦弱、气喘乏力，忽冷忽热像疟疾，四肢疼痛，面色萎黄，自汗体倦，咳嗽气逆，腹痛。
组成：猪肾（一对，去除脂膜，破开；也可用羊肾代替）、香豉（一方无此味，可加知母）、葱白、粳米、当归、芍药（各二两，若有人参可任意加入，多次使用有效，即使患病十余年也能痊愈，不再复发）。
治疗产后时间尚短，久坐久视，言语过多，或者用力劳作，导致知觉迟钝，起居劳动过度，头部、背部、肢体关节、皮肉疼痛，忽冷忽热，这是蓐劳。
组成：猪肾（一对，去除脂膜，破成四块）、当归、芍药、生姜（各一两）、葱白（切段）、桂心（各一两）。以上用水煎煮。
人参鳖甲散：治疗妇人产后蓐劳，都是因为分娩后一百天内未满，体内虚损，血气尚弱，缺乏调理，或者劳累所致，从而形成蓐劳。症状为虚损瘦弱，时而站起时而躺卧，饮食不消化，时常咳嗽，头目胀痛，发作无常，有盗汗，寒热像疟疾，背部和两胁拘急，身体沉重困倦在床。服用此方效果显著。
组成：人参、桂心、当归、桑寄生、白茯苓（各半两）、白芍药（酒炒）、桃仁、熟地黄、甘草、麦门冬（各半两）、续断（一分）、牛膝（三分）、鳖甲（炙）、黄芪（各一两）。以上研为细末。每次服用先以猪肾、姜、枣煎汤，然后加入药末二钱，葱三寸，乌梅一个，荆芥五穗，煎至七分，去渣，空腹及晚饭前温服。
熟地黄散：治疗产后蓐劳，都是因为体质虚弱，气力未恢复，因劳累所致。症状为四肢烦痛，时常发寒热，不思饮食。
组成：熟干地黄、人参、白芍药、白茯苓、白术（各一两半）、续断、黄芪、桂心、五味子、当归、麦门冬、川芎（各三分）。以上切碎。每次服用四钱，水一盏，生姜三片，枣三个，同煎至七分，去渣温服，不拘时候。
白茯苓散：治疗产后蓐劳，大概因为生产时间尚短，坐得多说话多，运动用力，导致头目四肢疼痛，寒热像……
组成：白茯苓（一两）、当归、川芎、桂心、白芍药、黄芪、人参（各半两）、熟地黄（半两）。以上……姜、……
黄芪丸：治疗产后蓐劳，寒热进退，头目眩晕疼痛，全身关节酸痛，气力瘦弱乏力。
组成：黄芪、鳖甲、当归（锉碎各一两）、桂心、续断、白芍药、川芎、牛膝、肉苁蓉、沉香、柏子仁……食粥饮。
牡丹皮散：治疗妇人产后虚损瘦弱，发热自汗，想要转变为蓐劳，或者是血气相搏结，以及月经不调，以及寒热自汗瘦弱，都适宜服用。
组成：白芍药、当归、五加皮、地骨皮、人参（各半两）、没药、桂心（各二钱）、牡丹皮（三钱）。以上研为细末。每次服用二钱，水和酒各半盏，不饮酒的只用清水一盏，开通散一钱，用麻油蘸之，同煎至七分，去渣，通口服下，煎煮时不得搅拌，吃的时候不得吹气。
粱豉汤：治疗产后虚损瘦弱、气喘乏力，寒热像疟疾，名叫蓐劳。
组成：猪肾（一个，切开去除筋）、淡豆豉（五合，绵裹）、白粱米（三合）、葱白（切一升）、人参、当归（各……）。
五积散：治疗感受寒邪伤食，受惊恐愤怒，身体发热，头疼，不宜用峻猛药剂。凡是蓐劳患者服用。
组成：白芷、川芎、甘草（炙）、茯苓（去皮）、当归（去芦头）、肉桂（去粗皮）、芍药、半夏（汤浸七次）、苍术（米泔浸去皮……）。切碎，白水煎，加醋同服效果好。
猪腰子粥：治疗产后蓐劳发热。
用猪腰子一对，去除白膜，切成柳叶片大小，用盐酒拌之。须先用粳米一合，加入葱椒煮粥，用盐醋调味。
入血室，宜用小柴胡汤。
猪肾汤：治疗产后虚损瘦弱、气喘乏力，忽冷忽热，像疟疾状，名叫蓐劳。
组成：猪肾（一个，去除脂膜，破成四块，如无羊肾可代替）、香豉（绵裹）、白粳米、葱白（各一两）。以上用水三斗，煮取……
桂心散：治疗产后蓐劳，日渐枯槁憔悴，寒热往来，头疼体痛，口苦舌燥。
组成：肉桂（去粗皮）、芍药（锉）、浓朴（去粗皮涂生姜汁炙）、柴胡（去苗）、桔梗（锉炒）、紫菀（去……）、……（去裙醋浸炙各半两）、草豆蔻（三枚去皮）。以上捣罗为散。每次服用猪肝十片，炙熟趁热拌和药，慢慢咀嚼，温酒送下，每日三次。
柴胡人参汤：治疗产后失于调理，血虚损伤，日渐困顿憔悴，少寒多热，烦渴咳嗽气逆，痰壅减少食欲。
组成：柴胡（去苗）、人参、生干地黄（焙各三分）、桔梗（锉炒）、知母、紫菀（去苗土）、桑根白皮、枳壳（去瓤麸炒令黄）、赤芍药、肉桂（去粗皮）、当归（微炒各半两）、附子（大者一枚，炮制去……）。煎至七分，去渣温服，不拘时候。
茯苓丸：治疗产后蓐劳，寒热瘦弱，骨节酸痛。
组成：白茯苓（去黑皮）、肉苁蓉（酒浸切焙）、熟干地黄（炒各一两半）、当归、枳壳（去瓤麸炒）、桑……梧桐子大。每次服用二十丸。温酒或米饮送下，不拘时候服。
猪肾汤：治疗产后蓐劳寒热，身体疼痛，力气匮乏，瘦黑。
组成：猪肾（一双切）、黄芪（锉碎）、人参、芍药（锉碎炒各一两半）、桂（去粗皮三分）、川芎（一两）。每服二钱，水……分，去渣温服，不拘时候。
柴胡汤：治疗产后蓐劳寒热，日渐瘦损。
组成：柴胡（去苗锉一两）、甘草（炙锉）、人参、白茯苓（去黑皮）、当归（切炒）、赤芍药（锉）、枳壳……一中盏半，先煮猪肾……去渣温服，不拘时。
熟干地黄汤：治疗产后蓐劳寒热瘦瘁。
组成：熟干地黄（焙一两半）、麦门冬（去心炒）、当归（切碎炒）、人参、牛膝（去苗锉）、白术（锉炒……）温服，不拘时。
黄芪汤：治疗产后蓐劳，肌肉瘦弱烦闷，喘急多汗，倦怠少力。
组成：黄芪（锉碎）、芍药（锉碎）、枳壳（去皮瓤麸炒）、牡蛎粉（各一两）、羚羊角（半两）。以上粗捣筛……服不拘时。
黄芪炙散（出自《圣惠方》）：治疗产后蓐劳，肌肉枯瘦，面无血色，或寒或热，四肢酸痛，心烦。
组成：黄芪（锉）、鳖甲（去裙醋炙黄各一两）、当归（锉微炒）、桑寄生、桂（去粗皮）、白茯苓（去黑皮）、白芍药、人参、麦门冬（去心）、干熟地黄（焙）、牛膝（去苗酒浸切焙）、甘草（炙各半两）。以上研为细散。每次服用猪肾一具，切去脂膜，先用水一盏半，将生姜三片，枣三枚掰开，煎至一盏，去渣并加入肾，再下药三钱，再煎至七分，候空腹食前温服。二滓并煎服。
芍药汤：治疗产后蓐劳疼痛，寒热，头晕眼花，精神恍惚，睡多惊恐，盗汗腹痛，大便不利。
组成：赤芍药、川芎、牡丹皮、玄参、当归（切焙）、人参、五味子、麦门冬（去心焙）、白茯苓、白薇、甘草（炙锉各一两）、熟地黄（二两）。以上粗筛。每次服用五钱，水一盏半，煎至八分，去渣……
猪肾汤：治疗产后蓐劳似疟，寒热，不能食。
组成：猪肾（一枚切去脂膜）、粳米（淘二合）、知母（焙二分）、当归（锉焙一分半）、葱白（五茎）、芍……沸，纳诸药，煎取……卧良久。
干地黄丸：治疗产后蓐劳寒热，体虚瘦弱，不思饮食。
组成：熟干地黄（焙）、人参、鳖甲（醋炙去裙）、肉苁蓉（酒浸焙各一两）、白术（炒）、续断、桂……茯苓（去黑皮半两）、黄芪（锉一两半）。以上为末研匀，炼蜜和丸如梧桐子大。每次服用十五丸，温酒化下，不拘时。
白薇丸：治疗产后蓐劳，寒热时作，四肢瘦弱，饮食无味。
组成：白薇、柏子仁（研）、附子（炮制去皮脐）、鳖甲（醋炙去裙）、当归（切焙）、黄芪（锉各一两）……芦头各三分）、熟干地黄……半两）。以上为末，研细，炼蜜和……
泽兰丸：治疗产后蓐劳，补虚损，益血气。
组成：泽兰（一两半）、柏子仁、附子（炮制去皮脐）、当归（切焙）、白术、桂（去粗皮）、川芎……（去苗叶各半两）、续断（各三分）、桃仁（去尖皮双仁炒四两）。以上为末研匀，炼蜜和丸如梧桐子大。每次服用三十丸，空心温酒下。
白术散：治疗产后蓐劳虚损瘦弱，发寒热，心腹疼痛，四肢无力，不思饮食。
组成：白术（一两）、木香（半两）、熟干地黄（一两）、干姜（半两炮制锉）、白芍（三分）、川芎、桃仁（三分锉）、当归（……）一中盏，入生姜半分。
猪肾汤：治疗产后体虚，忽冷忽热，其状像疟疾，名叫蓐劳。
组成：猪肾（一对切去脂膜）、香豉（半两）、白粳米（半两）、葱白（七寸切）、薤白（七寸切）、生姜（……心（半两）、黄芪（三盏，煎至一盏，去渣，温服。
肾沥汤：治疗产后蓐劳，心神烦热，头痛口干，身体或寒或热。
组成：猪肾（一对切去脂膜）、香豉（半两）、大枣（四枚掰破）、生姜（一两切）、葱白（二茎切以……两）、白术（半两）。以上粗罗为散。每次服用半两，入前……
地黄丸：治疗产后蓐劳，虚损瘦弱气短，胸胁满闷，不思饮食。
组成：熟地黄、石斛（去根锉）、黄芪（锉）、白茯苓、麦门冬（去心焙）、肉桂（去粗皮）、枸杞子、肉……续断、桑……每于食前以粥……
羊肉汤：治疗产后发热自汗，肢体疼痛，名叫蓐劳。
组成：当归、人参（各七钱炙）、黄芪（炙一两）、生姜（半两）。切碎，用羊肉一斤，煮清汁五大盏。
(Attached Discussion)
The so-called postpartum Ru Lao (Postpartum Exhaustion Syndrome) arises because the time since childbirth is short, blood and Qi are weak, and dietary intake has not yet returned to balance, lasting less than a month. The blood and Qi are deficient and emaciated; improper nursing care allows Wind-Cold pathogenic factors to invade. Wind-Cold clashes with blood and Qi, failing to warm the skin and muscles, causing the person to feel exhausted and fatigued, alternating between lying down and rising, with a haggard appearance and indigestion. Wind-Cold pathogenic factors invade the Lung; the Lung suffers from slight Cold, resulting in coughing, asthma with fatigue, headache, cramping and stabbing pain in the abdomen, dry mouth, and pain in all joints. Ying and Wei (Nutritive and Defensive Qi) are affected by Wind pathogens, flowing into the Zang-Fu organs, occurring frequently within moments, often accompanied by night sweats, alternating chills and fever resembling malaria, irritability in the back and ribs, inability to lift the limbs, and heaviness making it difficult to leave the bed. This is Ru Lao. If chills occur at this time, both blood and Qi are deficient, leading to alternating chills and fever, with gradual emaciation and weakness, hence named Ru Lao. Even after lochia (postpartum discharge) fails to cease, this condition can also result, manifesting as intermittent chills and fever, stabbing pain in the waist and abdomen, severe cases unable to eat, and failure of skin and muscles to regenerate.
Formulas:
Shuqi Tang (Corktree Bark Decoction): Treats postpartum deficiency and emaciation, vexation and fullness in the chest and heart, bone and joint pain, as well as headache and high fever, worsening in the late afternoon, resembling mild malaria.
Ingredients: Shuqi Ye (Cortex Dictamni Folium), Guixin (Cinnamomi Ramulus), Gancao (Glycyrrhizae Radix et Rhizoma), Huangqin (Scutellariae Radix) (each 1.5 liang), Huangqi (Astragali Radix) (5 liang), Zhi Mu (Anemarrhenae Rhizoma), Shaoyao (Paeoniae Radix) (each 3 liang), Sheng Dihuang (Rehmanniae Radix) (1 jin).
Shizi Tang (Pig Kidney Decoction): Treats postpartum deficiency and emaciation, asthma and fatigue, alternating chills and fever like malaria, limb pain, sallow complexion, spontaneous sweating, body fatigue, coughing with rebellious Qi, and abdominal pain.
Ingredients: Zhu Shen (Suis Renes [Kidney Porci]) (one pair, remove fatty membrane, break open; sheep kidney may be used instead), Xiangchi (Fermented Soybean Seed) (this ingredient is absent in some versions, where Zhimu may be added), Congbai (Allii Fistulosi Bulbus), Jingsmi (Oryzae Fructus Glutinatus), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix) (each 2 liang; if Renshen is available, add as desired; repeatedly used effectively, even curing cases lasting over ten years without recurrence).
Treating postpartum period being short, sitting or viewing for long periods, excessive talking, or using physical strength, leading to dull perception, excessive labor in daily activities, pain in the head, back, limbs, joints, skin, and muscles, alternating chills and fever, this is Ru Lao.
Ingredients: Zhu Shen (Suis Renes [Kidney Porci]) (one pair, remove fatty membrane, break into four pieces), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Shengjiang (Zingiberis Rhizoma Recens) (each 1 liang), Congbai (Allii Fistulosi Bulbus) (cut), Guixin (Cinnamomi Ramulus) (each 1 liang). Boil the above with water.
Ren Shen Bie Jia San (Ginseng and Turtle Shell Powder): Treats female postpartum Ru Lao, all caused by being less than one hundred days postpartum, internal deficiency, weak blood and Qi, lack of proper care, or labor, leading to Ru Lao. Symptoms include deficiency and emaciation, alternating standing and lying, indigestion, occasional coughing, distending pain in head and eyes, irregular episodes, night sweats, alternating chills and fever like malaria, stiffness in the back and ribs, heaviness and lassitude in bed. Taking this formula yields great effect.
Ingredients: Ren Shen (Ginseng Radix et Rhizoma), Guixin (Cinnamomi Ramulus), Danggui (Angelicae Sinensis Radix), Sangjisheng (Taxilli Herba), Baifuling (Poria) (each half liang), Baishaoyao (Paeoniae Radix Alba) (stir-fried with wine), Taoren (Persicae Semen), Shu Dihuang (Rehmanniae Radix Praeparata), Gancao (Glycyrrhizae Radix et Rhizoma), Maimendong (Ophiopogonis Radix) (each half liang), Xuduan (Dipsaci Radix) (1 fen), Niuxi (Achyranthis Bidentatae Radix) (3 fen), Biejia (Testudinis Carapax et Plastrum) (roasted), Huangqi (Astragali Radix) (each 1 liang). Grind the above into fine powder. For each dose, first decoct pig kidney, ginger, and jujube, then add two qian of the medicine powder, three cun of scallion, one dark plum, and five sprigs of Jingjie (Schizonepetae Spica). Decoct until seven parts remain, strain, and take warm on an empty stomach and before evening meal.
Shu Dihuang San (Prepared Rehmannia Powder): Treats postpartum Ru Lao, all caused by weak constitution and unrestored physical strength due to labor. Symptoms include vexatious pain in limbs, occasional chills and fever, loss of appetite.
Ingredients: Shu Ganhuidi (Prepared Dried Rehmanniae Radix), Ren Shen (Ginseng Radix et Rhizoma), Baishaoyao (Paeoniae Radix Alba), Baifuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 1.5 liang), Xuduan (Dipsaci Radix), Huangqi (Astragali Radix), Guixin (Cinnamomi Ramulus), Wuweizi (Schisandrae Chinensis Fructus), Danggui (Angelicae Sinensis Radix), Maimendong (Ophiopogonis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 3 fen). Chop the above. Take four qian per dose with one sheng of water, three slices of fresh ginger, and three jujubes. Decoct until seven parts remain, strain, and take warm at any time.
Baifuling San (Poria Powder): Treats postpartum Ru Lao, likely caused by short time since delivery, excessive sitting and talking, and physical exertion, leading to pain in head, eyes, and limbs, and chills/fever like...
Ingredients: Baifuling (Poria) (1 liang), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Guixin (Cinnamomi Ramulus), Baishaoyao (Paeoniae Radix Alba), Huangqi (Astragali Radix), Ren Shen (Ginseng Radix et Rhizoma) (each half liang), Shu Dihuang (Rehmanniae Radix Praeparata) (half liang). The above... ginger...
Huangqi Wan (Astragalus Pill): Treats postpartum Ru Lao, advancing and retreating chills and fever, dizziness and pain in head and eyes, soreness and pain in all bones and joints, weakness and fatigue.
Ingredients: Huangqi (Astragali Radix), Biejia (Testudinis Carapax et Plastrum), Danggui (Angelicae Sinensis Radix) (chopped, each 1 liang), Guixin (Cinnamomi Ramulus), Xuduan (Dipsaci Radix), Baishaoyao (Paeoniae Radix Alba), Chuanxiong (Ligustici Chuanxiong Rhizoma), Niuxi (Achyranthis Bidentatae Radix), Rongshong (Cynomorii Herba), Chenxiang (Aquilariae Lignum Resinatum), Baiziren (Platycladi Semen)... consume with porridge drink.
Mudanpi San (Tree Peony Bark Powder): Treats female postpartum deficiency and emaciation, fever with spontaneous sweating, tendency to develop Ru Lao, or blood and Qi clashing, as well as irregular menstruation, and chills/fever with spontaneous sweating and emaciation; suitable for all these conditions.
Ingredients: Baishaoyao (Paeoniae Radix Alba), Danggui (Angelicae Sinensis Radix), Wujia Pi (Acanthopanacis Cortex), Digupi (Lycii Cortex), Ren Shen (Ginseng Radix et Rhizoma) (each half liang), Moyao (Myrrha), Guixin (Cinnamomi Ramulus) (each 2 qian), Mudanpi (Moutan Cortex) (3 qian). Grind the above into fine powder. Take two qian per dose with half a zhan of water and half a zhan of wine; if non-drinker, use one zhan of clear water. Add Kaitong San (Open Passage Powder) one qian, dip in sesame oil, decoct together until seven parts remain, strain, and take orally through the throat. Do not stir during decoction; do not blow while drinking.
Liangchi Tang (Grain and Fermented Bean Decoction): Treats postpartum deficiency and emaciation, asthma and fatigue, chills and fever like malaria, named Ru Lao.
Ingredients: Zhu Shen (Suis Renes [Kidney Porci]) (one piece, cut and remove tendons), Danshichi (Sojae Semen Preparatum) (five he, wrapped in silk), Bailiangmi (White Panicum Millii Fructus) (three he), Congbai (Allii Fistulosi Bulbus) (cut, one sheng), Ren Shen (Ginseng Radix et Rhizoma), Danggui (Angelicae Sinensis Radix) (each...).
Wuji San (Five Accumulations Powder): Treats cold invasion and food injury, fear/startle/anger, body fever, headache; harsh purgatives are unsuitable. Suitable for patients with Ru Lao.
Ingredients: Baizhi (Angelicae Dahuricae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma) (roasted), Fuling (Poria) (peeled), Danggui (Angelicae Sinensis Radix) (removed rhizome), Rougui (Cinnamomi Cortex) (removed coarse bark), Shaoyao (Paeoniae Radix), Banxia (Pinelliae Rhizoma) (soaked in boiling water seven times), Baizhu (Atractylodis Rhizoma) (soaked in rice wash water, peeled)... Chop, decoct in white water, adding vinegar improves efficacy.
Zhuyaozi Zhou (Pig Kidney Porridge): Treats postpartum Ru Lao with fever.
Use two pig kidneys, remove white membrane, cut into willow-leaf slices, mix with salt and wine. First, cook one he of glutinous rice with scallion and pepper to make porridge, season with salt and vinegar.
Entering the Blood Chamber, treat with Xiaochaihu Tang (Minor Bupleurum Decoction).
Zhushen Tang (Pig Kidney Decoction): Treats postpartum deficiency and emaciation, asthma and fatigue, alternating chills and fever like malaria, named Ru Lao.
Ingredients: Zhu Shen (Suis Renes [Kidney Porci]) (one piece, remove fatty membrane, break into four; substitute sheep kidney if unavailable), Xiangchi (Fermented Soybean Seed) (wrapped in silk), Baijingmi (White Glutinous Rice), Congbai (Allii Fistulosi Bulbus) (each 1 liang). Boil the above with three dou of water, extract...
Guixin San (Cinnamon Twig Powder): Treats postpartum Ru Lao, gradual withering and emaciation, alternating chills and fever, headache and body pain, bitter taste in mouth and dry tongue.
Ingredients: Rougui (Cinnamomi Cortex) (removed coarse bark), Shaoyao (Paeoniae Radix) (chopped), Houpo (Magnoliae Officinalis Cortex) (removed coarse bark, coated with ginger juice, roasted), Chaihu (Bupleuri Radix) (removed seedlings), Jiegeng (Platycodonis Radix) (chopped and roasted), Ziwan (Asternis Radix) (removed...), ... (removed skirt, soaked in vinegar, roasted, each half liang), Caodoukou (Cardamomi Fructus) (three pieces, peeled). Grind and sift into powder. For each dose, take ten slices of pig liver, roast until cooked, mix hot with the medicine, chew slowly, and swallow with warm wine, three times daily.
Chaihu Renshen Tang (Bupleurum and Ginseng Decoction): Treats postpartum neglect of care, blood deficiency and damage, gradual exhaustion, less chills more fever, vexation/thirst/cough/rebellious Qi, phlegm obstruction, reduced appetite.
Ingredients: Chaihu (Bupleuri Radix) (removed seedlings), Ren Shen (Ginseng Radix et Rhizoma), Sheng Gan Dihuang (Dried Raw Rehmanniae Radix) (baked, each 3 fen), Jiegeng (Platycodonis Radix) (chopped and roasted), Zhi Mu (Anemarrhenae Rhizoma), Ziwan (Asternis Radix) (removed seedlings and soil), Sangbaipi (Mori Cortex), Zhike (Citri Reticulatae Pericarpium Viride) (removed pulp, bran-roasted until yellow), Chi Shaoyao (Paeoniae Radix Rubra), Rougui (Cinnamomi Cortex) (removed coarse bark), Danggui (Angelicae Sinensis Radix) (lightly roasted, each half liang), Fuzi (Aconiti Lateralis Radix Praeparata) (large one, processed, removed... ). Decoct until seven parts remain, strain, take warm, no restriction on time.
Fuling Wan (Poria Pill): Treats postpartum Ru Lao, chills/fever/emaciation, bone/joint soreness.
Ingredients: Baifuling (Poria) (removed black skin), Rongshong (Cynomorii Herba) (soaked in wine, cut, baked), Shu Ganhuidi (Prepared Dried Rehmanniae Radix) (stir-fried, each 1.5 liang), Danggui (Angelicae Sinensis Radix), Zhike (Citri Reticulatae Pericarpium Viride) (removed pulp, bran-roasted), Sang... Size of wutong seeds. Take twenty pills per dose. Swallow with warm wine or rice drink, no restriction on time.
Zhushen Tang (Pig Kidney Decoction): Treats postpartum Ru Lao with chills/fever, body pain, lack of strength, emaciation and darkness.
Ingredients: Zhu Shen (Suis Renes [Kidney Porci]) (one pair, cut), Huangqi (Astragali Radix) (chopped), Ren Shen (Ginseng Radix et Rhizoma), Shaoyao (Paeoniae Radix) (chopped, stir-fried, each 1.5 liang), Gui (Cinnamomi Ramulus) (removed coarse bark, 3 fen), Xiong (Ligustici Chuanxiong Rhizoma) (1 liang). Take two qian per dose, water... parts, strain, take warm, no restriction on time.
Chaihu Tang (Bupleurum Decoction): Treats postpartum Ru Lao with chills/fever, gradual emaciation.
Ingredients: Chaihu (Bupleuri Radix) (removed seedlings, chopped, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (roasted, chopped), Ren Shen (Ginseng Radix et Rhizoma), Baifuling (Poria) (removed black skin), Danggui (Angelicae Sinensis Radix) (cut, roasted), Chi Shaoyao (Paeoniae Radix Rubra) (chopped), Zhike (Citri Reticulatae Pericarpium Viride)... One and a half zhan, first boil pig kidney... Strain, take warm, no restriction on time.
Shu Gan Dihuang Tang (Prepared Dried Rehmannia Decoction): Treats postpartum Ru Lao with chills/fever and emaciation.
Ingredients: Shu Gan Dihuang (Prepared Dried Rehmanniae Radix) (baked, 1.5 liang), Maimendong (Ophiopogonis Radix) (removed heart, roasted), Danggui (Angelicae Sinensis Radix) (chopped, roasted), Ren Shen (Ginseng Radix et Rhizoma), Niuxi (Achyranthis Bidentatae Radix) (removed seedlings, chopped), Baizhu (Atractylodis Macrocephalae Rhizoma) (chopped, roasted...) Take warm, no restriction on time.
Huangqi Tang (Astragalus Decoction): Treats postpartum Ru Lao, emaciated muscles with vexation, rapid breathing with sweating, fatigue and lack of strength.
Ingredients: Huangqi (Astragali Radix) (chopped), Shaoyao (Paeoniae Radix) (chopped), Zhike (Citri Reticulatae Pericarpium Viride) (removed peel and pulp, bran-roasted), Moli Fen (Ostreae Concha Pulvis) (each 1 liang), Lingyangjiao (Saigae Tataricae Cornu) (half liang). Coarsely chop and sieve... Take without restriction on time.
Huangqi Zhi San (Roasted Astragalus Powder) (from Shenghui Fang): Treats postpartum Ru Lao, withered muscles, pale face, alternating chills/fever, limb soreness, heart vexation.
Ingredients: Huangqi (Astragali Radix) (chopped), Biejia (Testudinis Carapax et Plastrum) (removed skirt, vinegar-roasted until yellow, each 1 liang), Danggui (Angelicae Sinensis Radix) (chopped, lightly roasted), Sangjisheng (Taxilli Herba), Gui (Cinnamomi Ramulus) (removed coarse bark), Baifuling (Poria) (removed black skin), Baishaoyao (Paeoniae Radix Alba), Ren Shen (Ginseng Radix et Rhizoma), Maimendong (Ophiopogonis Radix) (removed heart), Gan Shu Dihuang (Prepared Dried Rehmanniae Radix) (baked), Niuxi (Achyranthis Bidentatae Radix) (removed seedlings, wine-soaked, cut, baked), Gancao (Glycyrrhizae Radix et Rhizoma) (roasted, each half liang). Grind into fine powder. For each dose, use one pig kidney, remove fatty membrane. First, decoct one and a half sheng of water with three slices of ginger and three cracked jujubes until one sheng remains, strain, add kidney, then add three qian of medicine, decoct again until seven parts remain. Take warm before meals on an empty stomach. Decoct the residue twice and take together.
Shaoyao Tang (Peony Decoction): Treats postpartum Ru Lao with pain, chills/fever, dizziness/blurred vision, mental confusion, frequent sleep with fright, night sweats, abdominal pain, constipation.
Ingredients: Chi Shaoyao (Paeoniae Radix Rubra), Xiong (Ligustici Chuanxiong Rhizoma), Mudanpi (Moutan Cortex), Xuanshen (Scrophulariae Radix), Danggui (Angelicae Sinensis Radix) (cut, roasted), Ren Shen (Ginseng Radix et Rhizoma), Wuweizi (Schisandrae Chinensis Fructus), Maimendong (Ophiopogonis Radix) (removed heart, roasted), Baifuling (Poria), Baiwei (Clerodendri Cortex), Gancao (Glycyrrhizae Radix et Rhizoma) (roasted, chopped, each 1 liang), Shu Dihuang (Rehmanniae Radix Praeparata) (2 liang). Coarsely sieve. Take five qian per dose with one and a half sheng of water, decoct until eight parts remain, strain...
Zhushen Tang (Pig Kidney Decoction): Treats postpartum Ru Lao resembling malaria, chills/fever, inability to eat.
Ingredients: Zhu Shen (Suis Renes [Kidney Porci]) (one piece, cut, remove fatty membrane), Jingsmi (Oryzae Fructus Glutinatus) (washed, two he), Zhi Mu (Anemarrhenae Rhizoma) (baked, 2 fen), Danggui (Angelicae Sinensis Radix) (chopped, roasted, 1.5 fen), Congbai (Allii Fistulosi Bulbus) (five stalks), Shaoyao... Bring to boil, add all medicines, decoct... Lie down for a long time.
Gan Dihuang Wan (Raw Rehmannia Pill): Treats postpartum Ru Lao with chills/fever, body deficiency and emaciation, loss of appetite.
Ingredients: Shu Gan Dihuang (Prepared Dried Rehmanniae Radix) (baked), Ren Shen (Ginseng Radix et Rhizoma), Biejia (Testudinis Carapax et Plastrum) (vinegar-roasted, removed skirt), Rongshong (Cynomorii Herba) (wine-soaked, baked, each 1 liang), Baizhu (Atractylodis Macrocephalae Rhizoma) (roasted), Xuduan (Dipsaci Radix), Gui (Cinnamomi Ramulus)... Fuling (Poria) (removed black skin, half liang), Huangqi (Astragali Radix) (chopped, 1.5 liang). Grind into powder, mix evenly, bind with refined honey into pills the size of wutong seeds. Take fifteen pills per dose, dissolve in warm wine, no restriction on time.
Baiwei Wan (Clerodendrum Bark Pill): Treats postpartum Ru Lao, intermittent chills/fever, weak limbs, loss of taste.
Ingredients: Baiwei (Clerodendri Cortex), Baiziren (Platycladi Semen) (ground), Fuzi (Aconiti Lateralis Radix Praeparata) (processed, removed skin and umbilicus), Biejia (Testudinis Carapax et Plastrum) (vinegar-roasted, removed skirt), Danggui (Angelicae Sinensis Radix) (cut, roasted), Huangqi (Astragali Radix) (chopped, each 1 liang)... Luc tou (Radix Scutellariae? Context implies root part) each 3 fen), Shu Gan Dihuang... Half liang. Grind into powder, finely grind, bind with refined honey...
Zelan Wan (Eupatorium Pill): Treats postpartum Ru Lao, tonifies deficiency, benefits blood and Qi.
Ingredients: Zelan (Eupatorii Herba) (1.5 liang), Baiziren (Platycladi Semen), Fuzi (Aconiti Lateralis Radix Praeparata) (processed, removed skin and umbilicus), Danggui (Angelicae Sinensis Radix) (cut, roasted), Baizhu (Atractylodis Macrocephalae Rhizoma), Gui (Cinnamomi Ramulus) (removed coarse bark), Xiong (Ligustici Chuanxiong Rhizoma)... (removed seedlings and leaves, each half liang), Xuduan (Dipsaci Radix) (each 3 fen), Taoren (Persicae Semen) (removed tip, skin, double-kernel, roasted, 4 liang). Grind into powder, mix evenly, bind with refined honey into pills the size of wutong seeds. Take thirty pills per dose on an empty stomach with warm wine.
Baizhu San (Atractylodes Powder): Treats postpartum Ru Lao with deficiency/emaciation, chills/fever, heart/abdominal pain, limb weakness, loss of appetite.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma) (1 liang), Muxiang (Aucklandiae Radix) (half liang), Shu Gan Dihuang (Prepared Dried Rehmanniae Radix) (1 liang), Ganjiang (Zingiberis Rhizoma) (half liang, processed, chopped), Baishao (Paeoniae Radix Alba) (3 fen), Xiong (Ligustici Chuanxiong Rhizoma), Tao... (3 fen, chopped), Danggui (Angelicae Sinensis Radix)... One and a half zhan, add half fen of fresh ginger.
Zhushen Tang (Pig Kidney Decoction): Treats postpartum body deficiency, alternating chills and fever, resembling malaria, named Ru Lao.
Ingredients: Zhu Shen (Suis Renes [Kidney Porci]) (one pair, cut, remove fatty membrane), Xiangchi (Fermented Soybean Seed) (half liang), Baijingmi (White Glutinous Rice) (half liang), Congbai (Allii Fistulosi Bulbus) (seven cun, cut), Xiebai (Allii Macrostemonis Bulbus) (seven cun, cut), Shengjiang (Zingiberis Rhizoma Recens)... Xin (Perillae Folium) (half liang), Huangqi (Astragali Radix) (Three zhan, decoct until one zhan remains, strain, take warm.
Shenli Tang (Kidney Drip Decoction): Treats postpartum Ru Lao, heart/mind vexation and heat, headache, dry mouth, body alternating chills/fever.
Ingredients: Zhu Shen (Suis Renes [Kidney Porci]) (one pair, cut, remove fatty membrane), Xiangchi (Fermented Soybean Seed) (half liang), Dazao (Jujubae Fructus) (four pieces, cracked), Shengjiang (Zingiberis Rhizoma Recens) (1 liang, cut), Congbai (Allii Fistulosi Bulbus) (two stalks, cut... Two liang), Baizhu (Atractylodis Macrocephalae Rhizoma) (half liang). Coarsely sieve into powder. Take half liang per dose, add to previous...
Dihuang Wan (Rehmannia Pill): Treats postpartum Ru Lao, deficiency/emaciation, shortness of breath, chest/hypochondriac fullness, loss of appetite.
Ingredients: Shu Dihuang (Rehmanniae Radix Praeparata), Shihu (Dendrobii Caulis) (removed roots, chopped), Huangqi (Astragali Radix) (chopped), Baifuling (Poria), Maimendong (Ophiopogonis Radix) (removed heart, roasted), Rougui (Cinnamomi Cortex) (removed coarse bark), Gouqizi (Lycii Fructus), Rou... Xuduan (Dipsaci Radix), Sang... Take porridge before meals...
Yangrou Tang (Mutton Decoction): Treats postpartum fever with spontaneous sweating, limb pain, named Ru Lao.
Ingredients: Danggui (Angelicae Sinensis Radix), Ren Shen (Ginseng Radix et Rhizoma) (each 7 qian, roasted), Huangqi (Astragali Radix) (roasted, 1 liang), Shengjiang (Zingiberis Rhizoma Recens) (half liang). Chop, use one jin of mutton, decoct clear juice in five large zhan.
Another Formula:
Danggui (Angelicae Sinensis Radix), Ren Shen (Ginseng Radix et Rhizoma) (equal parts). Grind into powder. Take one pig kidney, slice thinly, insert three qian of medicine, add two zhan of water and half he of glutinous rice, decoct together to one...
Treat postpartum woman blood obstruction:
Crush banana root and drink the juice.
Treat postpartum blood fainting:
Burn pig fat to ash, take with wine, immediate effect. If already dead, remove incisors and pour in; after one day, can still be treated.