大全云∶产后虚汗不止者，由阴气虚，而
阳气加之，里虚表实，阳气独发于外，故汗出也。血为阴，产则伤血，是为阴气虚也，气为
阳，其气实者，阳加于阴，故令汗出，而阴气虚弱不复者，则汗出不止也。凡产后血气皆虚，
故多汗，因之遇风则变成痉，纵不成痉，亦虚乏短气，身体柴瘦，唇口干燥，久则经水断绝，
由津液竭故也。（夫汗者，阳之气，阴气不复，则阳无所归以入于阴，故虚阳上浮于外而为
汗耳。世常谓汗多成痉，而失言因而遇风变痉之理，又不成痉而短气柴瘦者，此变热也，省之省之）
薛氏曰∶按前证属血气俱虚，急用十全大补汤，如不应，用参附 附等汤，若汗多亡阳
发痉，尤当用前药。王海藏先生云∶头汗出，至颈而还，额上偏多。盖额为六阳之所会也，由
虚热熏蒸而出。窃谓前证当以部位分之，额左属肝，额右属肺，鼻属脾，颐属肾，额属心，治
者审之。（亡阳发痉，用十全大补参附 附之类，必审其所以而用，毋泛泛执以为是也。而
额汗当分部位，似近于迂，临症尤宜详悉，盖肾液入心为汗，于理须究）
一产妇略闻音响，其汗如雨而昏愦，诸药到口即呕。余以为脾气虚败，用参附末为细
丸，时含三五粒，随液咽下，乃渐加至钱许，却服参附汤而痊。（其始也，妙在为丸少，其继
也，宜大剂汤煎服）
一产妇盗汗不止，遂致废寝，神思疲甚，口干引饮。余谓血虚有热，用当归补血汤以代
茶，又以当归六黄汤纳黄芩连柏炒黑，（代茶炒黑之理可法），倍加人参五味子，二剂而愈。
大全云∶凡产后忽冒闷汗出，不识人，治用鸡子及竹沥二法。（见前血晕）
薛氏曰∶前证属大虚，宜固元气为主，其汗不止，必变柔痉。（前论汗出因风变痉之说
居优，不然即谓之脱阳矣，此大补法所当施也）东垣先生云∶妇人分娩及半产漏下，昏冒
目瞑，盖因血暴亡，而火上炽，但补其血，则神自昌，若常时血下，当补而升举其气，阳得血
而神安，则目明矣。今立一方，以补手足厥阴之血，兼益阳气，名曰全生活血汤。
黄 汤 治产后虚汗不止。
黄 （二钱） 白术 防风 熟地黄 牡蛎（ 为粉） 白茯苓 麦门冬（去心） 甘草（炙，各五分）
上切作二服，加大枣一枚，水煎服。（黄 得防风，其功愈大，为易于固表也，而黄 二
钱，防风五分，大约足矣，牡蛎肾家药也，以肾液入心为汗，故止汗又宜固肾，其他可意解矣）
麻黄根散 治产后虚汗不止。
当归 黄 （炒） 麻黄根 牡蛎粉 人参 甘草（炙，各等分）
上锉，每服四钱，水煎服。（麻黄气悍而轻，阳药也，用其根，用其阳中之阴耳，非从阳
引阴归根之意乎，要知用药自有至理）
止汗散 治产后盗汗不止，一应汗多者，皆可服。
牡蛎（ 成粉） 小麦麸（炒令黄色，碾成粉，各等分）
上和匀，煮生猪肉汁调下二钱，无时。（小麦生于阳至，成于阴至，内阳而外阴也，今用
其麸，亦用其阳中阴耳，且汗为心液，而小麦养心，用其麸敛心液也。又肾之液入心为汗，
而猪水畜也，调以肉汁，能不又归之肾乎。服无时者，以此药力缓功迟，宜频服多服耳）
当归二黄汤 治产后自汗盗汗，胃气虚弱，服别药则呕吐不能入。
当归 黄 （各一两） 麻黄根（半两）
上 咀，每服三钱，水煎服。（麻黄根引阳归阴，因其性也，白芍药抑肝敛阴，用其酸也，
当归、黄 原有补血汤之变，据愚见从本方立法，以黄 为君者，得正也。阳加于阴谓之汗，
阴加于阳之药而反治之，则汗自止矣。立方大意如此，所谓逆者正治也）
一方无麻黄根，用白芍药。
当归六黄汤 治血气虚热，盗汗不止。
当归 黄 （炒） 熟地黄（各二钱） 生地黄 黄柏（炒黑） 黄芩（炒黑） 黄连（炒黑，各一钱）
上水煎服，不应加人参白术，心血不足加酸枣仁。
人参汤 治产后诸虚不足，发热盗汗。
人参 当归（各等分）
上为末，以猪腰子一只去脂膜，切小片子，以水三升，糯米半合，葱白两条，煮米熟，
取清汁一盏，入药二钱，煎至八分，温服不拘时。（此方以气血为主，而引经之妙在猪肾，然
糯米养阴，葱白发散，何为用之，然汗不以奇，下不以耦，故葱白不单用，而又熟之于米，又
非引阴意乎。噫，有深思焉）
参附汤 治阳气虚寒，自汗恶寒，或手足逆冷，大便自利，或脐腹疼痛，吃逆不食，或汗
多发痉等证。
人参（一两） 附子（炮，五钱）
上作一服，加姜枣水煎，徐徐服。（此无上救急神方，乃回阳返本之道，惟四肢厥冷，汗
出如雨者宜之）
附汤 治阳气虚脱，恶寒自汗，或口噤痰涌，四肢逆冷，或吐泻腹痛，饮食不入及一
切虚寒等证。
黄 （一两） 附子（炮，五钱）
上作一剂，加姜枣水煎服，如不应，倍加附子，方得全济。（二方一用参，一用 ，一固
表气，一补里气，自是不同。用药者当于此际审其内外有无而求责焉，庶近道矣。所谓有者
求之，无者求之也，至哉言乎）
千金方 疗产后风虚汗出、小便短少，四肢拘急，难以屈伸。
甘草（炙，一两） 附子（炮） 桂心 芍药（炒，各一两半）
上锉，每服三钱，加生姜四片，枣一枚，水煎服，忌猪肉、冷水、生葱等物。（用桂枝汤以
治风，加附子以治虚，即桂枝加附子汤也，乃仲景法，以四肢拘急，故用此方，不然胡为用此）
全生活血汤 治产后冒闷发热，自汗盗
汗，目 ，四肢无力，口干头晕，行步欹侧。
升麻 芍药（炒，各三钱） 当归 柴胡 防风 羌活 独活 葛根 甘草（炒，各一钱） 川
芎 本（各一钱五分） 生地黄 熟地黄（各一钱） 细辛 蔓荆子（各五分） 红花（三分）
上锉，每服五钱，水煎，热服，（此方以风升之剂而治自汗盗汗，谁其信之。然东垣主此
汤者，益阳焉。《素问》曰∶阴者从阳而亟起也。阴不从阳则阳外散，故多汗也。而升麻葛根升
阳明之气，柴胡、防风升厥阴之气，羌活、 本升太阳之气于背，细辛、独活升少阴之气于
前，蔓荆子凉诸经之血，甘草和诸阳之气，四物养血于诸阴之经，红花活血于诸阳之络。然
则升而不敛，非所以藏阴，故用白芍为君；升而太过，非所以益气，故用甘草为佐。言虽如
此，谁敢用也。观其曰冒闷发热，口干头晕，行步欹侧，皆邪客经络也，以邪客经络，两者不
和，故为自汗盗汗之症，以此方和之，则外者得入，内者得出，使经络通，邪气散，阴阳和，
筋骨用矣，而安有以上诸症也）
《产宝百问》说：产后虚汗不止，是由于阴气虚弱，而阳气相对亢盛，导致里虚表实，阳气独自发散于体表，所以出现汗出。血属于阴，生产时损伤了血液，这就是阴气虚弱；气属于阳，如果气机充实，阳气加于阴分，就会令汗出；若阴气虚弱无法恢复，就会导致汗出不止。大凡产后气血都虚弱，所以容易多汗，因此如果遇到风邪，就会变成痉病；即使不变成痉病，也会变得虚弱乏力、气短、身体枯瘦、嘴唇口舌干燥，时间久了会导致月经断绝，这是因为津液枯竭的缘故。（汗是阳气的表现，阴气不能恢复，阳气就无所依附而进入阴分，所以虚阳上浮于外而化为汗。世人常说汗多会成痉病，却忽略了因遇风邪才变生痉病的道理；另外，如果不形成痉病而出现气短、身体枯瘦的情况，这是化热的表现，对此要仔细审察。）
薛己说：按照上述证候属于气血俱虚，应当紧急使用十全大补汤；如果无效，使用参附汤等方剂；如果因为汗多导致亡阳并引发痉病，更应当使用前药。王海藏先生说：头汗出，只到颈部就停止，额头出汗较多。因为额头是六条阳经汇聚的地方，这是由于虚热熏蒸所致。我认为上述证候应当根据部位来区分治疗，额头左侧属肝，右侧属肺，鼻子属脾，下巴属肾，额头正中属心，治疗者需仔细审察。（亡阳发痉，使用十全大补汤、参附汤之类的药物，必须审察病因后使用，不要盲目固执地认为这些就是对的。至于按部位区分额汗，似乎有些迂腐，但在临症时尤其应该详细考察，因为肾液入心化为汗，从理论上讲必须探究其机理。）
有一位产妇稍微听到声响，就大汗如雨且神志昏沉，各种药物入口即呕吐。我认为这是脾气虚败，于是用参末和附子末制成小丸，每次含服三五粒，随唾液咽下，逐渐增加到一钱左右，然后再服用参附汤而痊愈。（起初妙在制成小丸少量含服，后来适宜用大剂量煎汤服用。）
另一位产妇盗汗不止，导致废寝忘食，精神极度疲乏，口干想喝水。我认为这是血虚有热，用当归补血汤代替茶饮，又用当归六黄汤加入炒黑的黄芩、黄连、黄柏（代茶炒黑的原理值得效法），倍加人参、五味子，两剂后痊愈。
《产宝百问》说：凡是产后突然昏闷、汗出、不认识人，治疗可用鸡蛋清及竹沥两种方法。（见前文血晕章节）
薛己说：上述证候属于大虚，应以固护元气为主，如果汗不止，必然变为柔痉。（前面关于汗出因风变痉的说法占主要地位，否则这就称为脱阳了，这是应当施以大补法的情况。）李东垣先生说：妇女分娩及半产漏下，出现昏冒、闭目，是因为血液突然大量流失，导致火气炽盛，只要补充血液，神志自然昌盛；如果是平时的阴道出血，应当补气并升举气机，阳气得到血液的滋养则神志安宁，眼睛就能明亮了。现在制定一方，以补手足厥阴经之血，兼益阳气，名叫全生活血汤。
黄芪汤：治疗产后虚汗不止。
黄芪（二钱）、白术、防风、熟地黄、牡蛎（研为粉）、白茯苓、麦门冬（去心）、甘草（炙，各五分）。
以上药材切碎分为两服，加大枣一枚，水煎服。（黄芪得防风配合，功效更大，因为易于固表，黄芪二钱、防风五分的比例大约足够了。牡蛎是补肾的药物，因为肾液入心化为汗，所以止汗也宜固肾，其他道理可意会。）
麻黄根散：治疗产后虚汗不止。
当归、黄芪（炒）、麻黄根、牡蛎粉、人参、甘草（炙，各等分）。
以上药材捣碎，每服四钱，水煎服。（麻黄气味猛烈而轻扬，属于阳药，这里用其根部，是用其“阳中之阴”的特性，这难道不是从阳引阴、使阳气归根的意思吗？要知道用药自有其深奥的道理。）
止汗散：治疗产后盗汗不止，所有汗多的情况都可以服用。
牡蛎（研成粉）、小麦麸（炒至黄色，碾成粉，各等分）。
以上混合均匀，用生猪肉汁调服二钱，不限时间。（小麦生于阳气旺盛之时，成于阴气旺盛之时，内阳而外阴。现在用其麸皮，也是取其“阳中阴”的特性。而且汗为心液，小麦养心，用其麸皮可以收敛心液。另外肾液入心化为汗，猪是水畜，用肉汁调服，能不使其归于肾吗？不限时间服用，是因为此药力缓功迟，宜频繁多服。）
当归二黄汤：治疗产后自汗盗汗，胃气虚弱，服用其他药物则呕吐不能进。
当归、黄芪（各一两）、麻黄根（半两）。
以上切碎，每服三钱，水煎服。（麻黄根能引阳归阴，顺应其药性；白芍药抑制肝气、收敛阴液，利用其酸味；当归、黄芪原本就有补血汤的变化，依我愚见，以此方立法，以黄芪为君药，符合正道。阳气加于阴分谓之汗，用阴加于阳的药物反而治疗它，汗自然就停止了。立方的大意如此，所谓逆治即是正治。）
当归六黄汤：治疗血气虚热，盗汗不止。
当归、黄芪（炒）、熟地黄（各二钱）、生地黄、黄柏（炒黑）、黄芩（炒黑）、黄连（炒黑，各一钱）。
以上水煎服，如果无效，加人参、白术；心血不足加酸枣仁。
人参汤：治疗产后诸虚不足，发热盗汗。
人参、当归（各等分）。
以上研为末，取猪腰子一只，去掉脂膜，切成小片，用水三升，糯米半合，葱白两条，煮米熟，取清汁一盏，加入药末二钱，煎至八分，温服，不拘时间。（此方以气血为主，而引经的妙处在于猪肾。然而糯米养阴，葱白发散，为何要用它们呢？然而汗不以奇数计，下药不以偶数为对，所以葱白不单用，而是与米同煮，这难道不是引阴的意思吗？唉，其中蕴含深思。）
参附汤：治疗阳气虚寒，自汗恶寒，或手足逆冷，大便自利，或脐腹疼痛，呃逆不食，或汗多发痉等证候。
人参（一两）、附子（炮制，五钱）。
以上作一服，加生姜、大枣，水煎，徐徐服用。（这是无上的救急神方，是回阳返本的方法，只有四肢厥冷、汗出如雨的情况才适宜使用。）
芪附汤：治疗阳气虚脱，恶寒自汗，或口噤痰涌，四肢逆冷，或吐泻腹痛，饮食不入及一切虚寒等证候。
黄芪（一两）、附子（炮制，五钱）。
以上作一剂，加生姜、大枣，水煎服。如果无效，加倍增加附子的用量，才能完全救治。（这两个方子一个用人参，一个用黄芪，一个固表气，一个补里气，自然是不同的。用药者应当在当时审察内外虚实而求其责，这样才接近医道。所谓“有者求之，无者求之”，真是至理名言啊。）
千金方：治疗产后风虚汗出、小便短少，四肢拘急，难以屈伸。
甘草（炙，一两）、附子（炮制）、桂心、芍药（炒，各一两半）。
以上捣碎，每服三钱，加生姜四片，大枣一枚，水煎服，忌食猪肉、冷水、生葱等物。（用桂枝汤治疗风邪，加附子治疗虚损，即桂枝加附子汤，这是张仲景的法度，因为四肢拘急，所以用此方，否则为何要用这个方子呢？）
全生活血汤：治疗产后昏闷发热，自汗盗汗，眼睛昏花，四肢无力，口干头晕，行走歪斜。
升麻、芍药（炒，各三钱）、当归、柴胡、防风、羌活、独活、葛根、甘草（炒，各一钱）、川芎、藁本（各一钱五分）、生地黄、熟地黄（各一钱）、细辛、蔓荆子（各五分）、红花（三分）。
以上捣碎，每服五钱，水煎，热服。（这个方子用升散的风药来治疗自汗盗汗，谁会相信呢？然而李东垣主张此汤，是为了益阳。《素问》说：阴气跟随阳气而迅速升起。阴不随阳，则阳气外散，所以多汗。升麻、葛根升发阳明之气，柴胡、防风升发厥阴之气，羌活、藁本升发背部太阳之气，细辛、独活升发身前少阴之气，蔓荆子凉诸经之血，甘草调和诸阳之气，四物汤养血于诸阴之经，红花活血于诸阳之络。既然这样，只升不敛，不足以藏阴，所以用白芍为君药；升发太过，不足以益气，所以用甘草为佐药。话虽如此，谁敢用呢？看它所说的昏闷发热、口干头晕、行走歪斜，都是邪气客居经络的表现，因为邪客经络，阴阳不和，所以出现自汗盗汗的症状，用此方调和，则外邪可入，内邪可出，使经络通畅，邪气消散，阴阳调和，筋骨得以运用，那么以上的各种症状还会有吗？）
According to *Chanbao Baiwen* (Comprehensive Questions on Postpartum Care): Persistent spontaneous sweating after childbirth is caused by deficiency of Yin Qi, while Yang Qi becomes relatively excessive. This results in interior deficiency and exterior excess, with Yang Qi independently dispersing to the exterior, thus causing sweating. Blood belongs to Yin; childbirth injures the blood, which constitutes a deficiency of Yin Qi. Qi belongs to Yang; if Qi is substantial, Yang adds to Yin, causing sweating. If Yin Qi is weak and fails to recover, sweating will persist indefinitely. Generally, both Qi and Blood are deficient after childbirth, leading to profuse sweating. Consequently, exposure to wind may transform into Jing disease (spasm). Even if spasm does not develop, the patient may become weak and fatigued, suffer from shortness of breath, emaciation, dry lips and mouth, and eventually amenorrhea due to the exhaustion of body fluids. (Sweat is the manifestation of Yang Qi. When Yin Qi fails to recover, Yang has no basis to enter Yin, so deficient Yang floats upward to the exterior and transforms into sweat. The world often states that excessive sweating leads to spasm, but overlooks the principle that it is the encounter with wind that triggers the transformation into spasm. Furthermore, cases presenting with shortness of breath and emaciation without spasm indicate the transformation into heat; this must be carefully examined.)
Xue Ji stated: Regarding the aforementioned syndrome, it belongs to dual deficiency of Blood and Qi. One should urgently use Shiquan Dabu Tang (Complete Great Tonifying Decoction). If ineffective, use Shenfu Tang (Ginseng and Aconite Decoction) or similar formulas. If profuse sweating leads to Yang collapse and induces spasm, the aforementioned medicines are even more indicated.
Wang Haicang stated: Head sweating that stops at the neck, with excessive sweating on the forehead, occurs because the forehead is the convergence point of the six Yang meridians. This is caused by steaming from deficient heat. I believe the aforementioned syndrome should be differentiated by location: the left forehead corresponds to the Liver, the right forehead to the Lung, the nose to the Spleen, the chin to the Kidney, and the center of the forehead to the Heart. Practitioners should examine this carefully. (For Yang collapse inducing spasm, using Shiquan Dabu Tang or Shenfu Tang requires careful examination of the etiology before application; one should not blindly adhere to these as standard treatments. Differentiating head sweating by location may seem pedantic, but in clinical practice, detailed investigation is essential because kidney fluids entering the heart transform into sweat; theoretically, this mechanism must be explored.)
A postpartum patient sweated profusely like rain and became unconscious upon hearing slight noises, vomiting any medicine taken orally. I diagnosed this as failure of Spleen Qi. I prepared fine pills from Ginseng powder and Prepared Aconite Root powder, instructing the patient to hold three to five pills in the mouth at a time and swallow them with saliva. The dose was gradually increased to approximately one qian (3 grams), followed by administration of Shenfu Tang, resulting in recovery. (Initially, the brilliance lay in making small pills for low-dose oral absorption; subsequently, large doses of decoction were appropriate.)
Another postpartum patient suffered from persistent night sweats, leading to neglect of sleep and food, extreme mental fatigue, and thirst with desire to drink. I diagnosed this as Blood deficiency with internal heat. I prescribed Danggui Buxue Tang (Angelica Sinensis and Astragalus Decoction) to be taken as tea, and Danggui Liuhuang Tang (Angelica Sinensis and Six Huang Decoction) modified with stir-fried black Scutellariae Radix (Huangqin), Coptidis Rhizoma (Huanglian), and Phellodendri Cortex (Huangbai). (The rationale for stir-frying black for tea substitution is worthy of emulation.) With doubled doses of Ginseng and Schisandrae Fructus (Wuweizi), the condition resolved in two doses.
*Chanbao Baiwen* states: For sudden postpartum fainting, sweating, and loss of recognition, treatment can utilize egg white and Bamboo Sap (Zhuli). (See previous section on Blood Stasis Fainting/Xueyun.)
Xue Ji stated: The aforementioned syndrome belongs to severe deficiency. The primary approach should be to consolidate Yuan Qi (Original Qi). If sweating persists, it will inevitably transform into Rou Jing (soft spasm). (The previous discussion regarding wind-induced spasm from sweating is predominant; otherwise, this would be termed Yang collapse, which necessitates major tonification methods.)
Li Dongyuan stated: In women undergoing delivery or miscarriage with continuous bleeding, symptoms of fainting and closed eyes occur because blood is suddenly lost, causing fire to blaze fiercely. By replenishing the blood, the Spirit (Shen) naturally flourishes. If there is chronic vaginal bleeding, one should tonify and raise Qi. When Yang receives nourishment from Blood, the Shen is peaceful, and vision is restored. I have now established a formula to tonify the Blood of the Hand and Foot Jueyin meridians and simultaneously benefit Yang Qi, named Quansheng Huoxue Tang (Life-Sustaining Blood-Invigorating Decoction).
**Huangqi Tang (Astragalus Decoction)**: Treats persistent postpartum spontaneous sweating.
Ingredients: Huangqi (Astragali Radix, 2 qian), Baizhu (Atractylodis Macrocephalae Rhizoma), Fangfeng (Saposhnikoviae Radix), Shudihuang (Prepared Rehmanniae Radix), Muli (Ostreae Concha, powdered), Baifuling (Poria), Maidong (Ophiopogonis Radix, heart removed), Gancao (Licorice Root, honey-fried, each 0.5 qian).
Preparation: Cut into pieces for two doses. Add one Jujube (Ziziphi Jujubae Fructus). Decoct in water and take orally. (When Huangqi is combined with Fangfeng, its efficacy increases significantly as it facilitates consolidating the Exterior. The ratio of 2 qian Huangqi to 0.5 qian Fangfeng is generally sufficient. Muli is a herb for the Kidney; since kidney fluids enter the heart to form sweat, stopping sweat also requires consolidating the Kidney. Other principles can be understood intuitively.)
**Mahuanggen San (Ephedra Root Powder)**: Treats persistent postpartum spontaneous sweating.
Ingredients: Danggui (Angelicae Sinensis Radix), Huangqi (Astragali Radix, stir-fried), Mahuanggen (Ephedrae Radix et Rhizoma), Muli Fen (Ostreae Concha powder), Renshen (Ginseng Radix et Rhizoma), Gancao (Licorice Root, honey-fried, equal parts).
Preparation: Coarsely crush. Take 4 qian per dose, decoct in water, and take orally. (Mahuang has a potent and light nature, belonging to Yang herbs. Using its root utilizes its "Yin within Yang" property, reflecting the intent of guiding Yang back to its root. One must know that herbal application possesses profound logic.)
**Zhihan San (Stop Sweating Powder)**: Treats persistent postpartum night sweats; applicable to all conditions of excessive sweating.
Ingredients: Muli (Ostreae Concha, powdered), Xiaomai Fu (Triticum aestivum bran, stir-fried until yellow and powdered, equal parts).
Preparation: Mix evenly. Take 2 qian mixed with juice from raw pork, at any time. (Wheat grows during peak Yang and matures during peak Yin, possessing internal Yang and external Yin. Using its bran utilizes its "Yin within Yang." Sweat is the fluid of the Heart, and wheat nourishes the Heart; the bran astringes Heart fluids. Additionally, kidney fluids entering the heart form sweat; pigs are aquatic animals, so using pork juice directs the remedy back to the Kidney. Taking it at any time is because this medicine acts slowly and requires frequent, prolonged administration.)
**Danggui Erhuang Tang (Angelica and Two Huang Decoction)**: Treats postpartum spontaneous and night sweats, weak Stomach Qi, and vomiting preventing intake of other medicines.
Ingredients: Danggui (Angelicae Sinensis Radix), Huangqi (Astragali Radix, each 1 liang), Mahuanggen (Ephedrae Radix et Rhizoma, 0.5 liang).
Preparation: Cut into pieces. Take 3 qian per dose, decoct in water, and take orally. (Mahuanggen guides Yang back to Yin, following its nature; Baishao (Paeoniae Radix Alba) suppresses Liver Qi and astringes Yin, utilizing its sour taste. Danggui and Huangqi are variants of the Blood-Tonifying Decoction. In my opinion, establishing this formula with Huangqi as the Sovereign herb aligns with orthodoxy. "Yang adding to Yin is called sweat." Using herbs that add Yin to Yang to treat this reverses the pathology, stopping the sweat. This is the general idea of the prescription, known as treating reversal with orthodox methods.)
An alternative formula replaces Mahuanggen with Baishao.
**Danggui Liuhuang Tang (Angelica and Six Huang Decoction)**: Treats Blood and Qi deficiency with heat, and persistent night sweats.
Ingredients: Danggui (Angelicae Sinensis Radix), Huangqi (Astragali Radix, stir-fried), Shudihuang (Prepared Rehmanniae Radix, each 2 qian), Shengdihuang (Rehmanniae Radix), Huangbai (Phellodendri Cortex, stir-fried black), Huangqin (Scutellariae Radix, stir-fried black), Huanglian (Coptidis Rhizoma, stir-fried black, each 1 qian).
Preparation: Decoct in water. If ineffective, add Renshen (Ginseng Radix et Rhizoma) and Baizhu (Atractylodis Macrocephalae Rhizoma). For insufficient Heart Blood, add Suanzaoren (Ziziphi Spinosae Semen).
**Renshen Tang (Ginseng Decoction)**: Treats various postpartum deficiencies, fever, and night sweats.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Danggui (Angelicae Sinensis Radix, equal parts).
Preparation: Powder the ingredients. Take one pig kidney, remove the fascia, and slice thinly. Decoct with 3 sheng of water, Banmi (Glutinosa Oryzae Semen, half he), and two stalks of Congbai (Allii Fistulosi Bulbus) until the rice is cooked. Strain to obtain one zhan of clear liquid. Add 2 qian of the powder, decoct until 0.8 zhan remains, and take warm at any time. (This formula focuses on Qi and Blood, with the meridian-guiding妙处 (wonder) lying in the pig kidney. However, Banmi nourishes Yin, and Congbai disperses. Why use them? Sweat is not counted by odd numbers, and downward-moving drugs are paired. Thus, Congbai is not used alone but cooked with rice, suggesting an intent to guide Yin. Ah, this contains deep thought.)
**Shenfu Tang (Ginseng and Aconite Decoction)**: Treats Yang Qi deficiency and cold, spontaneous sweating, aversion to cold, cold limbs, loose stools, umbilical/abdominal pain, hiccups/anorexia, or profuse sweating inducing spasm.
Ingredients: Renshen (Ginseng Radix et Rhizoma, 1 liang), Fuzi (Prepared Aconiti Lateralis Radix, processed, 5 qian).
Preparation: Prepare as one dose. Add Ginger (Shengjiang) and Jujube, decoct in water, and take slowly. (This is an supreme emergency rescue formula, the method of returning Yang and restoring the root. It is suitable only for cases of cold limbs and sweating like rain.)
**Qifu Tang (Astragalus and Aconite Decoction)**: Treats Yang Qi collapse, aversion to cold, spontaneous sweating, locked jaw with phlegm surging, cold limbs, vomiting/diarrhea with abdominal pain, inability to eat, and all deficiency-cold syndromes.
Ingredients: Huangqi (Astragali Radix, 1 liang), Fuzi (Prepared Aconiti Lateralis Radix, processed, 5 qian).
Preparation: Prepare as one dose. Add Ginger and Jujube, decoct in water, and take orally. If ineffective, double the dose of Fuzai to ensure complete relief. (One formula uses Renshen, the other Huangqi; one consolidates Exterior Qi, the other tonifies Interior Qi. They are distinct. Practitioners must examine the interior and exterior to determine the appropriate application, approaching the Dao of medicine. As the saying goes, "Seek what exists, seek what does not exist," which is a profound statement.)
**Qianjin Fang (Prescription from the Thousand Gold Formulas)**: Treats postpartum wind-deficiency sweating, scanty urination, limb contracture, and difficulty in flexion and extension.
Ingredients: Gancao (Licorice Root, honey-fried, 1 liang), Fuzi (Prepared Aconiti Lateralis Radix, processed), Guixin (Cinnamomi Cortex), Shaoyao (Paeoniae Radix, stir-fried, each 1.5 liang).
Preparation: Coarsely crush. Take 3 qian per dose. Add four slices of Ginger and one Jujube. Decoct in water. Avoid pork, cold water, and raw scallions. (Using Guizhi Tang to treat wind and adding Fuzi to treat deficiency creates Guizhi Jia Fuzi Tang (Guizhi Decoction plus Aconite), a method of Zhang Zhongjing. Because of limb contracture, this formula is used; otherwise, why would it be chosen?)
**Quansheng Huoxue Tang (Life-Sustaining Blood-Invigorating Decoction)**: Treats postpartum fainting, fever, spontaneous and night sweats, blurred vision, limb weakness, dry mouth, dizziness, and unsteady gait.
Ingredients: Shengma (Cimicifugae Rhizoma), Shaoyao (Paeoniae Radix, stir-fried, each 3 qian), Danggui (Angelicae Sinensis Radix), Chaihu (Bupleuri Radix), Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Gegen (Puerariae Lobatae Radix), Gancao (Licorice Root, stir-fried, each 1 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma), Gaoben (Ligustici Wallichii Rhizoma, each 1.5 qian), Shengdihuang (Rehmanniae Radix), Shudihuang (Prepared Rehmanniae Radix, each 1 qian), Xixin (Asari Radix et Rhizoma), Manjingzi (Viticis Semen, each 0.5 qian), Honghua (Carthami Flos, 0.3 qian).
Preparation: Coarsely crush. Take 5 qian per dose, decoct in water, and take hot. (Who would believe using ascending wind-dispelling herbs to treat spontaneous and night sweats? However, Li Dongyuan advocates this decoction to benefit Yang. The *Suwen* states: "Yin rises rapidly following Yang." If Yin does not follow Yang, Yang disperses externally, causing excessive sweating. Shengma and Gegen ascend Yangming Qi; Chaihu and Fangfeng ascend Jueyin Qi; Qianghuo and Gaoben ascend Taiyang Qi on the back; Xixin and Duhuo ascend Shaoyin Qi at the front; Manjingzi cools blood in various meridians; Gancao harmonizes Yang Qi; Siwu Tang nourishes Blood in Yin meridians; Honghua invigorates Blood in Yang collaterals. Since it ascends without astringing, it cannot store Yin, hence Baishao is used as Sovereign. Ascending too much fails to benefit Qi, hence Gancao is used as Assistant. Although stated thus, who dares to use it? Observing the symptoms of fainting, fever, dry mouth, dizziness, and unsteady gait, these are pathogens lodging in the meridians. Due to pathogenic lodging and disharmony between Yin and Yang, spontaneous and night sweats occur. This formula harmonizes, allowing external pathogens to enter and internal pathogens to exit, unblocking meridians, scattering pathogens, harmonizing Yin and Yang, and enabling the function of sinews and bones. Would the aforementioned symptoms remain?)