新产营血大损，阴倏亏于下，阳易冒于上。其甚者，气脱血晕，迟则不救，稍轻则头汗目眩为郁冒。
风入筋急为发痉，阴虚阳浮为发热，火炎灼金为喘嗽气促，为虚烦不眠，为惊悸盗汗，而蓐劳成焉，皆阴虚阳
亢之咎征也。《金匮》论新产三症，一血虚多汗出，善中风，故病痉；二亡血复汗，寒多，故病郁冒；三亡津
液，胃燥，故大便难。《心典》云∶血虚汗出，筋脉失养，风入而益其痉，此筋病也。亡阴血虚，阳气遂厥，
而寒复郁之，则头眩
而目瞀，此神病也。胃藏津液，以渗灌诸阳，亡津液胃燥，则大肠失润而大便难，此液病也。三症不同，其
亡血伤津则一，故用药忌辛热再劫其阴。即有外因，亦忌风药升举其阳，致汗脱血晕而毙。
产后阴伤，下焦必损，而奇经多丽于下，冲任督带，皆失所司，最多厥逆上攻，腰脊腹痛，红白自下等症。
香岩先生案中，于冲脉为病，每用紫石英镇逆。任脉为病，用龟板静摄。督脉为病，用鹿角胶、鹿茸温煦。
带脉为病，用当归宣补。阳维为病，苦寒热，用当归桂枝汤和营。阴维为病，苦心痛，用生化汤加肉桂温寒。
此产后症所当审而用之者。
诊新产先问腹之痛否，以验恶露有无。如小腹胀痛者，恶露未净也，郁金、桃仁、牛膝、延胡之属行之。手
摸脐腹成块者，儿枕未消也，失笑散，或楂肉、砂糖之属消导之。腹痛喜热手按者，虚寒气滞也，砂仁、木香、
香附、小茴、当归、姜、枣温而通之。再询头身痛否，及曾否寒热，有汗无汗，以辨外因内因。如外感头痛，
脉必浮，芎、芷、防、芥、甘菊、蔓荆辛散之。血虚头痛，脉近数，四物汤、白芍用酒炒主之。产后感冒，
不可轻汗，如头痛发热脉浮，伤风也，香苏饮加芎、归、姜、葱轻解之。身痛拘急，恶寒脉紧，寒邪也，芎
苏饮加生姜温散之。初起头晕发热，即烦渴，脉右大，温热症也，葱豉汤微汗之。若脉迟身痛，营分虚也，
当归建中汤和之。汗出身痛者，营卫俱虚也，归 建中汤两和之。自汗属阳虚，汗多亡阳，轻则参、 地
芍、五味、小麦之属补而敛之。重则 附汤固其阳。盗汗属阴虚，汗本阴液，六味汤加麦冬、五味、牡蛎固其
阴。产后头汗晕厥，阳上冒也，生地、阿胶、龙骨、牡蛎、茯神、枣仁、乌梅、白芍、小麦养阴以镇阳。产后
恶寒，阳不足也，寸脉微，补中益气汤加姜、枣发越之。产后发热，阴不足也，尺部弦，六味汤加肉桂收摄之。
阴阳相乘，憎寒发热，八珍十全诸汤调补之。其恶露未净者，大调经散消补之。若血去多，不时发热，孤阳无
所根据附也，四物汤益其阴。必以炮姜苦温，收其浮越。其肌灼面赤，渴饮脉虚大者，当归补血汤。以无形
之气，生有形之血也。寒热咳嗽，肌羸色悴
者，蓐劳也，母鸡汤、猪腰汤，或用参、 、苓、草、五味、山药、枣仁、当归、白芍、莲子以扶脾。其脏寒腹
痛者，下焦虚也，归姜羊肉汤温养之。白带多，腰脊痛者，督脉空也，鹿角胶、杞子、杜仲、沙苑子、菟丝饼、
芡实等填补之。蓐劳寒热，食减泄泻者，损及脾阳也，异功散加砂仁、莲子、山药、益智、肉果、诃子温摄之。
吐逆泄泻，肢寒者，胃阳虚也，附子理中汤、温胃饮急温之。呕痞痰多者，脾气滞也，香砂六君子汤健运之。
外感咳嗽，声重鼻塞者，腠理疏也，杏、桔、苏、前、生姜先散之，再用异功散去白术，加生黄 以实之。
内伤嗽，脾肺气虚有痰者，六君子汤加蜜炙桑皮主之。火炎灼金呛嗽者，六味去萸、泽，加麦冬、五味主之。
干咳无痰，火郁于肺也，甘桔汤加玉竹、贝母、杏仁、百合开润之。产后血脱气喘，为孤阳绝阴，危候也，
贞元饮主之。吸气促，自汗肢冷，虚阳欲脱也，参附汤急救之。若风寒外邪入肺，而喘急者，必气粗嗽痰，与
吸促气短不侔，以金水六君煎主之。或去熟地，加杏、桔、苏，疏痰利气。若败血冲肺致喘者，人参苏木煎、
夺命散主之。产后腹满闷，呕吐，脘间有败血者，抵圣汤宜之。伤饮食者，和中饮消导之。脾气虚寒者，六
君子汤加炮姜、木香温补之。胃虚气逆者，橘红半夏汤加蒌、杏苦降之。肝木侮土者，六君子汤加升、柴疏
畅之。胃虚呃逆，危症也，理中汤加丁香。古法用丁香散，如不应，急加参、附。迟则难救。其因寒者，丁香
柿蒂散。因痰者，橘皮竹茹汤。产后身面浮肿者，气虚水湿不行也，须辨表里。如因浴早，水渍入窍，身重肌
浮者，湿肿也，羌、防、芎、苏、当归、防己汗之。因水谷聚湿，小便不爽者，水肿也，苓、夏、泽兰、车前、
木通利之。如四肢浮胁腿刺痛者，败血流入经络也，小调经散，或牛膝、山甲、归尾、琥珀、红花、苏木等消
其瘀。如气不化水，肿胀溺涩者，肾阳虚也，肾气汤去丹、萸，以化气而利水。产后因惊发狂者，血虚神不守
舍也，加味八珍汤主之。败血干心，狂言见鬼者，心包受邪也，茯苓散、琥珀散加菖蒲汁镇理之。惊悸恍惚
者心神不安也，归脾汤补之。产后不语者，或因败血，上闭心胞，以清魂散加牛黄、丹参、苏木理之。因痰
涎上干心窍，用温胆汤加菖
蒲汁豁之。因心肾气虚，不能上通于舌，用七珍散补而开之。产后汗多必发痉，牙关紧急，口噤肢搐者，血虚
风劲也，十全大补汤加制附子峻补之。若攻风则死，然古法用小续命汤，及大豆紫汤、独活汤最效。朱奉议云∶
无汗恶寒为刚痉，小续命汤主之。有汗不恶寒为柔痉，上汤去麻黄，加葛根。产后汗出头晕，欲成痉厥者，
肝阴虚，风阳动也，阿胶、生地黄、茯神、小麦、牡蛎粉，枣仁以生液。产后类中风，口眼 斜，腰背反折者，
血虚兼风火痰也，芎归汤加荆芥穗，炒黑豆淋酒煎服，以行血祛风，或川芎散清理痰火。凡筋脉夹寒则急，夹
湿则纵。血虚风火入络，则状类中风，产后若作真中风用小续命等汤治，则误矣。类中痿废不起，气血亏，
筋缓弛也，宜滋阴大补丸以壮养肝肾。螈 者，筋脉拘急为螈，弛纵为 。产后脱血，风火炽而筋失荣养也，
八珍汤加丹皮、钩藤以生阴而退阳。如不应，用四君、芎、归，加丹皮，钩藤以补脾土。如左脉弦，血虚火灼
也，加味逍遥散，六味丸以清肝火，滋阴血。古法用愈风汤、交加散效。产后麻瞀，气血虚而夹痰也，右半身
麻而晕，经脉空而痰饮袭入也，六君子汤加归、 、肉桂。左半身麻而晕，营血亏而风火袭入也，十全大补汤。
产后颤振，气血虚而生风也，急用十全大补汤。手足拘挛制动者，风客经络也，舒筋汤主之。夹风热，加味逍
遥散。如虚寒，十全大补汤。产后鼻衄及口鼻黑气，胃绝肺败也。如血虚滞，用参苏煎加制附子。如虚火上炎
舌黑，犀角地黄汤。瘀血逆升鼻衄，益母丸，童便化服。经验方用绯线一条，并产妇预心发二条，紧系中指节，
即止。产后泄泻，脾上虚寒也，六君子汤加炮姜温摄之。脾肾虚寒，补中汤合四神丸升摄之。命门火弱，以八味
丸补其母。若伤食泻，六君子汤加楂肉、神曲、谷芽消运之。完谷不化，阳火虚也，理中合四神丸。泻白沫如
肠垢，元气陷也，补中汤加桂、苓、炮姜升举之。滑泄不止，参香散收涩之。产后痢疾，青白属寒，紫赤属热，
寒热相搏，赤白杂下。寒热生冷，伤肠胃也，虚寒腹痛，理中汤加木香、白芍主之。胃虚呕痢，六君子汤调补
之。热痢后重，白头翁汤加甘草、阿胶清理之。赤白杂下，腹绞痛，救急散去熟地调之。久痢后重，补中益气
汤升举
之。泻痢脉濡缓，胃湿也，汤药愈滋其湿。宜参苓白术散加肉豆蔻、煎姜枣汤，调服。久泻久痢，肉蔻理中丸
温摄之。疟邪由感犯风暑，一日发间日发者，小柴胡汤减黄芩，补中益气汤去黄 选用。风加紫苏、薄荷，
暑加香薷、浓朴。若产前阴疟，延及产后，归 建中汤加参、术、首乌和其阴阳。寒多加黄 。热重加鳖甲。
产后暑热伤阴，状如疟发，治法忌表散劫液，以鳖甲、乌梅、枣仁、麦冬、地黄、石斛等，甘酸生津以退热。
且产后吸受时邪，尤宜审治。如暑伤肺气，必呕闷，以川贝母、杏仁、通草、栝蒌、郁金肃降之。燥伤肺津，
必咳渴，以花粉、天冬、杏仁、玉竹、百合、贝母、蜜润之。热陷心营，必昏谵少寐，以竹叶、麦冬、犀角、
生地、连翘、菖蒲汁凉沁之。湿阻三焦，必头胀舌白不渴，胸满身痛，溺少便溏，以茯苓皮、半夏、桂枝、
浓朴、栝蒌、滑石上下厘清之。风温犯上焦，必灼热头蒙，脘痞昏睡，以山栀、豆豉、栝蒌、桑叶、贝母、
羚羊角辛凉以宣通，微苦以清降。湿温化热阻气，必头重身热痛，咽痛胫冷，以元参、银花、杏仁、栝蒌、
石斛、薏苡、滑石甘淡微苦轻解之。寒暄失正，痰饮上干，必胁痛背冷，咳逆不得卧，或肠中漉漉有声，兼
溺短足肿，以桂枝、半夏、干姜、薏苡、五味子、茯苓、白芍、甘草辛酸淡渗泄之。产后霍乱吐泻停食者，
藿香正气散主之。虚寒者，理中汤温之。吐泻逆冷者，附子散，来复丹温通之。产后虚烦气短者，竹叶汤清
补之。产后积聚风冷，与气血相搏而成也。积为阴在脏，聚为阳在腑，痛有常处，四神散；痛无定处，芍药
汤选用。血瘕气血壅结，因气病而成血病也，痛无定处，失笑散加行气药，后必扶正。归脾汤。大便闭结，津
液涸也，四物加桃杏仁润之，或五仁丸、苏麻粥皆效。小便淋涩，膀胱虚热也，六味汤，或四物加茯苓、甘草
梢补而分利之。溃溺频数者，气虚不能约制也，补中汤加益智仁、覆盆子、萸肉，佐以桑螵蛸散升而摄之。
小水不禁，脬损也，桑螵蛸龙骨散摄之。手伤脬破者，归 汤加黄丝绢、猪羊脬固补之。气虚，补中汤加益
智仁。肾虚，六味丸去丹、泻。小便血，热乘血虚，渗入脬中也，发灰、滑石、甘草止之。大便血，郁结伤脾
也。加味归脾汤。若因思虑伤心者，炒香散。膏粱
积热者，加味清胃散。醇酒湿毒者，葛花解酲汤。怒动肝火者，加味小柴胡汤。大肠风热者，四物汤加侧柏、
槐花。大肠血热者，四物汤加芩、连、槐花。肠胃虚弱者，六君子汤加升麻、柴胡。元气下陷者，补中汤加茯
苓、半夏。气血虚者，八珍汤加升、柴。产后诸淋，虚则频数，肺虚，补中益气汤。肾虚，六味丸。热则涩痛，
滑石散。血淋，加味四物汤。产后带下，下元虚滑也，金锁匙丹，或苓术菟丝丸。产后经行太早者，乳必少。
年壮不自乳者，不在此例。脾虚不能摄血，补中益气汤。心脾不能统血，加味归脾汤。肝火迫血妄行，
加味逍遥散。气血兼虚，八珍汤。小便出粪，大小肠交也。先用六君子汤，再用五苓散。产后阴脱，努力所伤
也，以当归人参汤升之，外用五倍子末固之。生肠不收，虚而滑也，内服芎、归、参、 、升麻等。外用香
油润肠，绢托之。或以灯草搐鼻取嚏，立上。产门不闭，阴气失敛也，十全大补汤峻补之。肿热 痛，肝经虚
热注也，加味逍遥散。若因忧怒，肝脾郁伤也，加味归脾汤。因暴怒，肝火血伤也，龙胆泻肝汤。有产后产户
下一物如手帕，丹溪云∶是肝痿，以参、 、归、术、升麻升举之。有产后水道中出肉线一条，长三四尺，
动之则痛绝。先服失笑散，次以带皮姜二斤研烂，入清油二斤，煎油干为度。用绢兜起肉线，屈曲于水道边，
以姜渣熏，冷则熨之，乃缩上。再服失笑散，芎归汤，如肉线断者，不治。诸凡产后症不一端，而危莫危于血
晕、气喘、呃逆、风痉。难莫难于蓐劳、虚嗽、泄泻、积聚。所尤要者，产后下焦阴虚，为伤其肝肾也。而
冲任督带，多隶肝肾，用药宜温养固摄，切勿重虚其虚，致成下损，不能复元。前所条列，大约根据《良方》
薛按，粗举梗概，其治法不尽于此云。
新近分娩后，营血大量耗损，阴液骤然亏虚于下焦，阳气容易浮越于上。病情严重的，会出现气脱血晕，若不及时救治则难以挽救；症状稍轻的，则表现为头部出汗、头晕目眩，称为郁冒。
风邪侵入筋脉导致筋脉拘急，称为发痉；阴虚导致阳气浮越引起发热；虚火上炎灼伤肺金，导致喘促咳嗽、气短；或表现为虚烦不眠、惊悸盗汗，进而形成蓐劳（产后虚损性疾病），这些都是阴虚阳亢的征象。《金匮要略》论述产后三种病症：一是血虚多汗，容易感受风邪，所以发生痉病；二是失血后又出汗，寒气较多，所以发生郁冒；三是津液枯竭，胃中干燥，所以大便困难。《医宗必读》说：血虚汗出，筋脉失去滋养，风邪侵入加重痉挛，这是筋的病变。亡阴血虚，阳气于是厥逆，寒邪又郁结其中，导致头晕眼花，这是神的病变。胃藏津液，用来渗灌滋养各阳经，津液枯竭胃燥，大肠失去滋润而导致大便困难，这是津液的病变。这三种病症不同，但都是亡血伤津的结果，所以用药忌讳辛热之品再次劫夺阴液。即使有外感病因，也忌讳使用升散的风药提升阳气，以免导致汗出过多、血晕而死亡。
产后阴液受损，下焦必然损伤，而奇经八脉多分布于下焦，冲脉、任脉、督脉、带脉都失去了正常的统摄功能，最常出现厥逆之气上攻、腰脊腹痛、阴道出血（红白恶露）等症状。香岩先生（叶天士）的医案中，对于冲脉为病，常用紫石英来镇降逆气。任脉为病，用龟板来静摄收敛。督脉为病，用鹿角胶、鹿茸来温煦补益。带脉为病，用当归来宣通补养。阳维脉为病，苦于寒热往来，用当归桂枝汤调和营卫。阴维脉为病，苦于心痛，用生化汤加肉桂来温散寒邪。这些是治疗产后病症应当仔细辨证后使用的方药。
诊断新产后的病人，先询问腹部是否疼痛，以验证恶露是否有残留。如果小腹胀痛，说明恶露未净，可用郁金、桃仁、牛膝、延胡索等药物行气活血。用手触摸脐腹部有成块硬物者，是儿枕（产后子宫复旧不良形成的瘀块）未消，可用失笑散，或山楂肉、砂糖等药物消导化瘀。腹痛喜欢热手按压的，是虚寒气滞，可用砂仁、木香、香附、小茴香、当归、生姜、大枣等药物温通散寒。再询问头身是否疼痛，以及是否有寒热、有汗无汗，以辨别是外感还是内伤。如果是外感引起的头痛，脉象必定浮，可用川芎、白芷、防风、芥穗、甘菊、蔓荆子等辛散解表。血虚引起的头痛，脉象偏数，主用四物汤，白芍用酒炒。产后感冒，不可轻易发汗，如头痛发热脉浮，属于伤风，可用香苏饮加川芎、当归、生姜、葱白轻微解表。身体疼痛拘急，恶寒脉紧，属于寒邪，可用芎苏饮加生姜温散。初起头晕发热，随即烦躁口渴，脉象右部大，属于温热症，可用葱豉汤轻微发汗。如果脉迟身痛，是营分虚弱，用当归建中汤调和。出汗后身体疼痛，是营卫俱虚，用归芪建中汤双向调和。自汗属于阳虚，汗多导致亡阳，轻症用人参、熟地、白芍、五味子、小麦等药物补益收敛。重症用参附汤固护阳气。盗汗属于阴虚，汗本是阴液，用六味地黄汤加麦冬、五味子、牡蛎固护阴液。产后头部出汗甚至晕厥，是阳气上冒，用地黄、阿胶、龙骨、牡蛎、茯神、枣仁、乌梅、白芍、小麦滋养阴液以镇潜阳气。产后恶寒，是阳气不足，寸脉微弱，用补中益气汤加生姜、大枣发散阳气。产后发热，是阴液不足，尺部脉弦，用六味地黄汤加肉桂收摄阴液。阴阳相互搏争，憎寒发热，用八珍汤、十全大补汤等调补。如果恶露未净，用大调经散消补兼施。如果失血过多，不时发热，是孤阳无所依附，用四物汤滋补阴血，必须配合炮姜的苦温之性，收敛浮越的阳气。如果肌肤灼热面赤，口渴饮水脉虚大，用当归补血汤，以无形之气生有形之血。寒热咳嗽，肌肉消瘦面色憔悴的，是蓐劳，用母鸡汤、猪腰汤，或用人参、黄芪、茯苓、甘草、五味子、山药、枣仁、当归、白芍、莲子扶助脾气。如果脏寒腹痛，是下焦虚寒，用归姜羊肉汤温养。白带多、腰脊痛的，是督脉空虚，用鹿角胶、枸杞子、杜仲、沙苑子、菟丝饼、芡实等填补。蓐劳伴有寒热、食欲减退腹泻的，是损伤了脾阳，用异功散加砂仁、莲子、山药、益智仁、肉豆蔻、诃子温涩固摄。呕吐泄泻、四肢寒冷的，是胃阳虚，用附子理中汤、温胃饮紧急温补。呕吐痞满痰多的，是脾气阻滞，用香砂六君子汤健运脾胃。外感咳嗽，声音重浊鼻塞的，是腠理疏松，用杏仁、桔梗、苏叶、前胡、生姜先疏散，再用异功散去白术，加生黄芪以固表。内伤咳嗽，脾肺气虚有痰的，用六君子汤加蜜炙桑白皮为主。火炎灼肺呛咳的，用六味地黄汤去掉山茱萸、泽泻，加麦冬、五味子为主。干咳无痰，是火郁于肺，用甘桔汤加玉竹、贝母、杏仁、百合开润肺部。产后血脱气喘，是孤阳绝阴，属于危重证候，主用贞元饮。吸气急促，自汗四肢冷，是虚阳欲脱，用参附汤急救。如果风寒外邪入肺导致喘急，必定气粗咳嗽有痰，与吸气急促气短不同，用金水六君煎为主。或者去掉熟地黄，加杏仁、桔梗、苏叶，疏痰利气。如果是败血冲肺导致气喘，用人参苏木煎、夺命散为主。产后腹部胀闷，呕吐，脘间有败血的，用抵圣汤适宜。饮食积滞的，用和中饮消导。脾气虚寒的，用六君子汤加炮姜、木香温补。胃虚气逆的，用橘红半夏汤加瓜蒌、杏仁苦降。肝木乘侮脾土的，用六君子汤加升麻、柴胡疏畅。胃虚呃逆，是危症，用理中汤加丁香。古法用丁香散，如果无效，紧急加入人参、附子。延误则难救。因寒致的，用丁香柿蒂散。因痰致的，用橘皮竹茹汤。产后身面浮肿，是气虚水湿不行，须辨别表里。如因洗澡过早，水渍入窍，身体沉重肌肉浮肿的，是湿肿，用羌活、防风、川芎、苏叶、当归、防己发汗。因水谷聚湿，小便不畅的，是水肿，用茯苓、半夏、泽兰、车前子、木通利水。如果四肢浮肿胁腿刺痛，是败血流入经络，用小调经散，或牛膝、穿山甲、当归尾、琥珀、红花、苏木等消散瘀血。如果气化不利，肿胀尿涩，是肾阳虚，用肾气汤去掉丹皮、山茱萸，以化气利水。产后因惊吓发狂，是血虚心神不守舍，用加味八珍汤为主。败血干犯心包，胡言乱语见鬼的，是心包受邪，用茯苓散、琥珀散加石菖蒲汁镇心安神。惊悸恍惚，是心神不安，用归脾汤补益。产后不语，可能是因为败血上闭心胞，用清魂散加牛黄、丹参、苏木调理。因为痰涎上扰心窍，用温胆汤加石菖蒲汁豁痰。因为心肾气虚，不能上通于舌，用七珍散补益开通。产后汗多必发痉，牙关紧急，口噤肢体抽搐的，是血虚风劲，用十全大补汤加制附子峻补。如果攻伐风邪则死，然而古法用小续命汤，及大豆紫汤、独活汤最有效。朱奉议说：无汗恶寒为刚痉，用小续命汤为主。有汗不恶寒为柔痉，上方去掉麻黄，加葛根。产后汗出头晕，欲成痉厥的，是肝阴虚，风阳动，用阿胶、生地黄、茯神、小麦、牡蛎粉、枣仁滋生阴液。产后类中风，口眼歪斜，腰背反折的，是血虚兼风火痰，用芎归汤加荆芥穗，炒黑豆淋酒煎服，以行血祛风，或用川芎散清理痰火。凡是筋脉夹寒则拘急，夹湿则弛纵。血虚风火入络，则状似中风，产后如果当作真中风用小续命汤等治疗，就错了。类中痿废不起，是气血亏虚，筋缓弛，宜用滋阴大补丸壮养肝肾。瘛疭者，筋脉拘急为瘛，弛纵为疭。产后脱血，风火炽盛而筋脉失去荣养，用八珍汤加牡丹皮、钩藤以生阴退阳。如果无效，用四君子汤、川芎、当归，加牡丹皮、钩藤以补脾土。如果左脉弦，是血虚火灼，用加味逍遥散、六味地黄丸清肝火，滋阴血。古法用愈风汤、交加散有效。产后麻木眩晕，是气血虚夹痰，右半身麻而晕，是经脉空虚痰饮袭入，用六君子汤加当归、黄芪、肉桂。左半身麻而晕，是营血亏虚风火袭入，用十全大补汤。产后颤振，是气血虚而生风，紧急用十全大补汤。手足拘挛制动，是风客经络，用舒筋汤为主。夹风热的，用加味逍遥散。如虚寒，用十全大补汤。产后鼻衄及口鼻黑气，是胃绝肺败。如果血虚滞，用参苏煎加制附子。如果虚火上炎舌黑，用犀角地黄汤。瘀血逆升鼻衄，用益母丸，童便化服。经验方用绯线一条，并产妇预留心发二条，紧系中指节，即止血。产后泄泻，是脾上虚寒，用六君子汤加炮姜温涩。脾肾虚寒，用补中益气汤合四神丸升提固摄。命门火弱，用八味丸补其母（肾）。如果伤食泻，用六君子汤加山楂肉、神曲、谷芽消运。完谷不化，是阳火虚，用理中汤合四神丸。泻白沫如肠垢，是元气下陷，用补中益气汤加桂枝、茯苓、炮姜升举。滑泄不止，用参香散收涩。产后痢疾，青白色属寒，紫红色属热，寒热相搏，赤白杂下。寒热生冷，损伤肠胃，虚寒腹痛，用理中汤加木香、白芍为主。胃虚呕痢，用六君子汤调补。热痢后重，用白头翁汤加甘草、阿胶清理。赤白杂下，腹绞痛，用救急散去熟地黄调理。久痢后重，用补中益气汤升举。泻痢脉濡缓，是胃湿，汤药愈滋其湿。宜用参苓白术散加肉豆蔻，煎姜枣汤调服。久泻久痢，用肉蔻理中丸温涩。疟邪由感犯风暑，一日一发或间日一发的，用小柴胡汤减黄芩，补中益气汤去黄芪选用。风多加紫苏、薄荷，暑多加香薷、厚朴。如果产前阴疟，延及产后，用归芪建中汤加人参、白术、何首乌调和阴阳。寒多加黄芪。热重加鳖甲。产后暑热伤阴，状如疟疾发作，治法忌讳表散劫液，用鳖甲、乌梅、枣仁、麦冬、地黄、石斛等，甘酸生津以退热。而且产后吸受时邪，尤其应当仔细辨证治疗。如暑伤肺气，必定呕吐胸闷，用川贝母、杏仁、通草、瓜蒌、郁金肃降。燥伤肺津，必定咳嗽口渴，用花粉、天冬、杏仁、玉竹、百合、贝母、蜂蜜润燥。热陷心营，必定昏谵少寐，用竹叶、麦冬、犀角、生地、连翘、石菖蒲汁凉沁。湿阻三焦，必定头胀舌白不渴，胸满身痛，尿少便溏，用茯苓皮、半夏、桂枝、厚朴、瓜蒌、滑石上下厘清。风温犯上焦，必定灼热头蒙，脘痞昏睡，用山栀、豆豉、瓜蒌、桑叶、贝母、羚羊角辛凉宣通，微苦清降。湿温化热阻气，必定头重身热痛，咽痛胫冷，用元参、银花、杏仁、瓜蒌、石斛、薏苡、滑石甘淡微苦轻解。寒暄失正，痰饮上干，必定胁痛背冷，咳逆不得卧，或肠中漉漉有声，兼尿短足肿，用桂枝、半夏、干姜、薏苡、五味子、茯苓、白芍、甘草辛酸淡渗泄之。产后霍乱吐泻停食，用藿香正气散为主。虚寒的，用理中汤温之。吐泻逆冷的，用附子散、来复丹温通。产后虚烦气短的，用竹叶汤清补。产后积聚风冷，与气血相搏而成。积为阴在脏，聚为阳在腑，痛有常处，用四神散；痛无定处，用芍药汤选用。血瘕气血壅结，因气病而成血病，痛无定处，用失笑散加行气药，之后必扶正，用归脾汤。大便闭结，津液枯竭，用四物汤加桃仁、杏仁润燥，或五仁丸、苏麻粥皆有效。小便淋涩，膀胱虚热，用六味地黄汤，或四物汤加茯苓、甘草梢补而分利。尿频溺频，是气虚不能约制，用补中益气汤加益智仁、覆盆子、山茱萸，佐以桑螵蛸散升提固摄。小便不禁，是膀胱损伤，用桑螵蛸龙骨散摄纳。手伤膀胱破裂，用归芪汤加黄丝绢、猪羊膀胱固补。气虚，用补中益气汤加益智仁。肾虚，用六味地黄丸去掉丹皮、泽泻。小便血，是热乘血虚渗入膀胱，用发灰、滑石、甘草止之。大便血，是郁结伤脾，用加味归脾汤。如果因思虑伤心，用炒香散。膏粱积热，用加味清胃散。醇酒湿毒，用葛花解酲汤。怒动肝火，用加味小柴胡汤。大肠风热，用四物汤加侧柏、槐花。大肠血热，用四物汤加黄芩、黄连、槐花。肠胃虚弱，用六君子汤加升麻、柴胡。元气下陷，用补中益气汤加茯苓、半夏。气血虚，用八珍汤加升麻、柴胡。产后诸淋，虚则频数，肺虚，用补中益气汤。肾虚，用六味地黄丸。热则涩痛，用滑石散。血淋，用加味四物汤。产后带下，是下元虚滑，用金锁匙丹，或苓术菟丝丸。产后月经太早，乳汁必少。年壮不自乳者，不在此例。脾虚不能摄血，用补中益气汤。心脾不能统血，用加味归脾汤。肝火迫血妄行，用加味逍遥散。气血兼虚，用八珍汤。小便出粪，是大小肠交，先用六君子汤，再用五苓散。产后阴脱，是努力所伤，用当归人参汤升提，外用五倍子末固涩。生肠不收，是虚而滑，内服川芎、当归、人参、黄芪、升麻等。外用香油润肠，绢托之。或以灯草搐鼻取嚏，立上。产门不闭，是阴气失敛，用十全大补汤峻补。肿热疼痛，是肝经虚热注，用加味逍遥散。如果因忧怒，肝脾郁伤，用加味归脾汤。因暴怒，肝火血伤，用龙胆泻肝汤。有产后产户下一物如手帕，丹溪说是肝痿，用人参、黄芪、当归、白术、升麻升举。有产后水道中出肉线一条，长三四尺，动之则痛绝。先服失笑散，次以带皮姜二斤研烂，入清油二斤，煎油干为度。用绢兜起肉线，屈曲于水道边，以姜渣熏，冷则熨之，乃缩上。再服失笑散、芎归汤，如肉线断者，不治。凡产后症不一端，而危莫危于血晕、气喘、呃逆、风痉。难莫难于蓐劳、虚嗽、泄泻、积聚。所尤要者，产后下焦阴虚，为伤其肝肾也。而冲任督带，多隶肝肾，用药宜温养固摄，切勿重虚其虚，致成下损，不能复元。前所条列，大约根据《良方》薛按，粗举梗概，其治法不尽于此云。
After recent childbirth, Ying blood (nutritive blood) is severely depleted. Yin fluids are suddenly deficient in the lower jiao, and Yang qi easily floats upward. In severe cases, Qi collapse and blood fainting occur; if not treated promptly, it is incurable. In milder cases, head sweating and dizziness occur, known as Yu Mao (depression and vertigo).
When wind pathogen invades the sinews causing stiffness, it is called Fa Jing (spasm). When Yin deficiency leads to floating Yang causing fever, or when deficient fire flares up and scorches Metal (Lung), it causes wheezing, coughing, and shortness of breath. It may also manifest as empty vexation with insomnia, palpitations, and night sweats, eventually forming Ru Lao (postpartum consumptive disease). These are all signs of Yin deficiency and Yang hyperactivity. *Jin Gui Yao Lue* discusses three postpartum syndromes: First, blood deficiency with excessive sweating makes one susceptible to wind, leading to spasm. Second, loss of blood followed by sweating with excess cold leads to Yu Mao. Third, depletion of body fluids causes dryness in the Stomach, leading to difficult defecation. *Yi Zong Bi Du* states: Blood deficiency and sweating cause sinews and vessels to lose nourishment; wind invasion exacerbates spasms, which is a disorder of the sinews. Loss of Yin and blood deficiency causes Yang to rebel, and cold pathogen stagnates within, causing dizziness and blurred vision, which is a disorder of the Shen (Spirit). The Stomach stores body fluids to moisten the Yang channels. Depletion of fluids and Stomach dryness causes the Large Intestine to lose moisture, resulting in difficult defecation, which is a disorder of fluids. Although these three syndromes differ, they all result from loss of blood and injury to fluids. Therefore, medications should avoid acrid-hot substances that further deplete Yin. Even if there are external pathogens, one must avoid acrid-wind herbs that raise Yang, which could lead to death from excessive sweating and blood fainting.
Postpartum Yin injury inevitably damages the lower jiao. The Eight Extraordinary Vessels are mostly located in the lower jiao; Chong, Ren, Du, and Dai vessels lose their control. The most common symptoms include rebellious Qi attacking upward, lower back and spine pain, abdominal pain, and vaginal bleeding (red and white lochia). Mr. Xiangyan (Ye Tianshi) used Zi Shi Ying (Hematite) to subdue rebellious Qi for Chong vessel disorders. For Ren vessel disorders, he used Gui Ban (Tortoise Shell) to calm and secure. For Du vessel disorders, he used Lu Jiao Jiao (Deer Antler Glue) and Lu Rong (Deer Antler Horn) to warm and nourish. For Dai vessel disorders, he used Dang Gui (Angelica Sinensis) to tonify and circulate. For Yang Wei vessel disorders characterized by alternating chills and fever, he used Dang Gui Gui Zhi Tang (Angelica Twig Decoction) to harmonize Ying and Wei. For Yin Wei vessel disorders characterized by heart pain, he used Sheng Hua Tang (Generate the New Decoction) plus Rou Gui (Cinnamon Bark) to warm and dispel cold. These are treatments to be carefully applied based on syndrome differentiation in postpartum conditions.
In diagnosing new postpartum patients, first ask about abdominal pain to verify the presence of lochia. If there is distending pain in the lower abdomen, lochia is not cleared; use Yu Jin (Turmeric Tuber), Tao Ren (Peach Seed), Niu Xi (Achyranthes Root), and Yan Hu Suo (Corydalis Rhizome) to promote circulation. If a mass can be felt in the umbilical and abdominal area, it is an unresloved Er Zhen (Child Pillow/uterine hematoma); use Shi Xiao San (Quick Relief Powder) or Shan Zha (Hawthorn Fruit) and brown sugar to resolve and guide out stagnation. Abdominal pain relieved by warm pressure indicates deficiency-cold and Qi stagnation; use Sha Ren (Cardamom Seed), Mu Xiang (Aucklandia Root), Xiang Fu (Cyperus Rhizome), Xiao Hui Xiang (Fennel Fruit), Dang Gui, Sheng Jiang (Fresh Ginger), and Da Zao (Jujube) to warm and unblock. Next, inquire about headache and body pain, and whether there are chills/fever or sweating/no sweating, to distinguish between external and internal causes. For external contraction headache, the pulse is typically floating; use Xiong (Ligusticum), Bai Zhi (Angelica Dahurica), Fang Feng (Saposhnikovia), Jie Geng (not specified, likely Jing Jie), Gan Ju (Chrysanthemum), and Man Jing Zi (Vernonia Fruit) to disperse with acrid flavors. For blood deficiency headache, the pulse is rapid; primarily use Si Wu Tang (Four Substance Decoction) with Jiu Chao Bai Shao (Wine-fried White Peony Root). Postpartum colds should not be treated with heavy diaphoresis. If there is headache, fever, and floating pulse indicating wind-cold, use Xiang Su Yin (Perilla Infusion) plus Xiong, Dang Gui, Sheng Jiang, and Cong Bai (Scallion White) for mild release. Body pain with stiffness, aversion to cold, and tight pulse indicates cold pathogen; use Xiong Su Yin (Ligusticum Perilla Infusion) plus Sheng Jiang to warm and disperse. Initial dizziness and fever followed by irritability and thirst with a large right-sided pulse indicate warm-heat syndrome; use Cong Chi Tang (Scallion and Fermented Soybean Decoction) for mild sweating. If the pulse is slow with body pain, it is Ying deficiency; use Dang Gui Jian Zhong Tang (Angelica Build the Middle Decoction) to harmonize. Body pain after sweating indicates both Ying and Wei deficiency; use Gui Huang Jian Zhong Tang (Angelica and Astragalus Build the Middle Decoction) to harmonize both. Spontaneous sweating belongs to Yang deficiency; excessive sweating leads to Yang collapse. Mild cases use Ren Shen (Ginseng), Shu Di (Rehmannia), Bai Shao, Wu Wei Zi (Schisandra), and Xiao Mai (Wheat) to tonify and astringe. Severe cases use Shen Fu Tang (Ginseng and Aconite Decoction) to secure Yang. Night sweats belong to Yin deficiency; sweat is Yin fluid. Use Liu Wei Di Huang Wan (Six Ingredient Pill with Rehmannia) plus Mai Dong (Ophiopogon), Wu Wei Zi, and Mu Li (Oyster Shell) to secure Yin. Postpartum head sweating and syncope indicate Yang floating upward; use Sheng Di (Rehmannia), E Jiao (Donkey-hide Gelatin), Long Gu (Dragon Bone), Mu Li, Fu Shen (Poria with Hostwood), Suan Zao Ren (Zizyphus Seed), Wu Mei (Mume Fruit), Bai Shao, and Xiao Mai to nourish Yin and anchor Yang. Postpartum aversion to cold indicates insufficient Yang; if the Cun pulse is faint, use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) plus Sheng Jiang and Da Zao to diffuse Yang. Postpartum fever indicates insufficient Yin; if the Chi pulse is wiry, use Liu Wei Di Huang Wan plus Rou Gui to gather Yin. Mutual contention of Yin and Yang causing aversion to cold and fever is treated with Ba Zhen Tang (Eight Treasure Decoction) or Shi Quan Da Bu Tang (Complete Great Tonifying Decoction) for regulation and tonification. If lochia is not cleared, use Da Tiao Jing San (Great Regulating Menses Powder) to reduce and tonify. If blood loss is excessive with intermittent fever, it is solitary Yang without attachment; use Si Wu Tang to benefit Yin, combined with Pao Jiang (Roasted Ginger) to gather floating Yang. If skin burns, face is red, thirst is present, and pulse is empty and large, use Dang Gui Bu Xue Tang (Angelica Tonify Qi Decoction) to generate有形 blood from formless Qi. Chills, fever, cough, emaciation, and sallow complexion indicate Ru Lao; treat with Mother Hen Soup, Pig Kidney Soup, or Ren Shen, Huang Qi, Fu Ling, Gan Cao, Wu Wei Zi, Shan Yao, Suan Zao Ren, Dang Gui, Bai Shao, and Lian Zi to support the Spleen. Cold abdomen and pain indicate lower jiao deficiency-cold; use Gui Jiang Yang Rou Tang (Angelica, Ginger, and Mutton Decoction) to warm and nourish. Excessive leukorrhea and lower back pain indicate Du vessel emptiness; fill with Lu Jiao Jiao, Gou Qi Zi (Goji Berry), Du Zhong (Eucommia), Sha Yuan Zi (Astragalus Complanatus), Tu Si Zi (Cuscuta), and Qian Shi (Euryale Seed). Ru Lao with chills/fever, poor appetite, and diarrhea indicates damage to Spleen Yang; use Yi Gong San (Extraordinary Skill Powder) plus Sha Ren, Lian Zi, Shan Yao, Yi Zhi Ren (Alpinia Oxyphylla), Rou Dou Kou (Nutmeg), and He Zi (Chebula) to warm and secure. Vomiting, diarrhea, and cold limbs indicate Stomach Yang deficiency; urgently warm with Fu Zi Li Zhong Tang (Aconite Regulate the Middle Decoction) or Wen Wei Yin (Warm Stomach Infusion). Vomiting, fullness, and excessive phlegm indicate Spleen Qi stagnation; use Xiang Sha Liu Jun Zi Tang (Aucklandia and Cardamom Six Gentlemen Decoction) to strengthen and transport. External contraction cough with heavy voice and nasal congestion indicates loose interstices; initially disperse with Xing Ren (Apricot Seed), Jie Geng (Platycodon), Su Ye (Perilla Leaf), Qian Hu (Peucedanum), and Sheng Jiang, then use Yi Gong San minus Bai Zhu plus Sheng Huang Qi (Raw Astragalus) to solidify. Internal injury cough with Spleen/Lung Qi deficiency and phlegm is treated primarily with Liu Jun Zi Tang plus Mi Zhi Sang Bai Pi (Honey-fried Mulberry Root Bark). Fire scorching Lung causing harsh cough is treated with Liu Wei Di Huang Wan minus Shan Zhu Yu and Ze Xie, plus Mai Dong and Wu Wei Zi. Dry cough without phlegm indicates fire郁 in the Lung; use Gan Jie Tang (Licorice and Platycodon Decoction) plus Yu Zhu (Polygonatum Odoratum), Bei Mu (Fritillaria), Xing Ren, and Bai He (Lily Bulb) to open and moisten. Postpartum blood loss with asthma is solitary Yang and absolute Yin, a critical condition; treat primarily with Zhen Yuan Yin (Source Securing Infusion). Rapid inhalation, spontaneous sweating, and cold limbs indicate vacuous Yang about to collapse; urgently rescue with Shen Fu Tang. If wind-cold external pathogen enters the Lung causing asthma, there will be coarse breathing and productive cough, differing from rapid shallow breathing; treat primarily with Jin Shui Liu Jun Jian (Metal-Water Six Gentlemen Decoction). Alternatively, remove Shu Di and add Xing Ren, Jie Geng, and Su Ye to disperse phlegm and regulate Qi. If retained blood rushing to the Lung causes asthma, use Ren Shen Su Mu Jian (Ginseng and Dalbergia Decoction) or Duo Ming San (Life-Saving Powder). Postpartum abdominal fullness, vomiting, and retained blood in the epigastrium are suitable for Di Sheng Tang (Rescue Sage Decoction). Food stagnation is resolved with He Zhong Yin (Harmonize Middle Infusion). Spleen Qi deficiency-cold is warmed and tonified with Liu Jun Zi Tang plus Pao Jiang and Mu Xiang. Stomach deficiency with rebellious Qi is bitter-descended with Ju Hong Ban Xia Tang (Tangerine Peel and Pinellia Decoction) plus Gua Lou (Trichosanthes) and Xing Ren. Liver Wood insulting Earth is smoothed with Liu Jun Zi Tang plus Sheng Ma (Cimicifuga) and Chai Hu (Bupleurum). Stomach deficiency hiccups is a critical symptom; use Li Zhong Tang plus Ding Xiang (Clove). Ancient method uses Ding Xiang San; if ineffective, urgently add Ren Shen and Fu Zi. Delay makes it hard to save. Due to cold: Ding Xiang Shi Di San (Clove and Persimmon Calyx Powder). Due to phlegm: Ju Pi Zhu Ru Tang (Tangerine Peel and Bamboo Shavings Decoction). Postpartum facial/body edema is due to Qi deficiency failing to move water-dampness; differentiate exterior and interior. If caused by early bathing, water entering apertures with heavy body and floating muscle is dampness edema; sweat with Qiang Huo (Notopterygium), Fang Feng, Xiong, Su Ye, Dang Gui, and Fang Ji (Aristolochia). If caused by food/water dampness accumulation with poor urination is water edema; drain with Fu Ling (Poria), Ban Xia (Pinellia), Ze Lan (Lycopus), Che Qian Zi (Plantago Seed), and Mu Tong (Akebia). If limbs swell with stabbing flank/leg pain, retained blood flows into collaterals; use Xiao Tiao Jing San or Niu Xi, Shan Jia (Pangolin Scale), Dang Gui Wei (Angelica Tail), Hu Po (Amber), Hong Hua (Safflower), and Su Mu (Sappan Wood) to dissolve stasis. If Qi fails to transform water causing swelling and dysuria, it is Kidney Yang deficiency; use Shen Qi Tang minus Dan Pi and Shan Zhu Yu to transform Qi and drain water. Postpartum mania due to fright is blood deficiency with Shen not residing; treat primarily with Jia Wei Ba Zhen Tang (Modified Eight Treasure Decoction). Retained blood harassing the Heart/Shield affecting speech and seeing ghosts indicates Heart Protector pathogen; calm and regulate with Fu Ling San, Hu Po San plus Shi Pu Zhu (Acorus Juice). Palpitations and trance indicate unsettled Shen; tonify with Gui Pi Tang (Restore the Spleen Decoction). Postpartum mutism may be due to retained blood closing the Heart Protector; regulate with Qing Hun San (Clear Soul Powder) plus Niu Huang (Calculus Bovis), Dan Shen (Salvia), and Su Mu. Due to phlegm turbidity harassing Heart orifices, use Wen Dan Tang (Warm Gallbladder Decoction) plus Shi Pu Zhu to resolve phlegm. Due to Heart/Kidney Qi deficiency failing to connect to the tongue, use Qi Zhen San (Seven Treasures Powder) to tonify and open. Postpartum excessive sweating leading to spasm, locked jaw, trismus, and limb convulsions is blood deficiency with fierce wind; urgently tonify with Shi Quan Da Bu Tang plus Zhi Fu Zi (Prepared Aconite). Attacking wind leads to death, but ancient methods using Xiao Xu Ming Tang (Minor Extinct Brightness Decoction), Da Dou Zi Tang (Soybean Black Decoction), and Du Huo Tang (Angelica Pubescens Decoction) are very effective. Zhu Fengyi stated: No sweat with aversion to cold is Gang Jing (Yang Spasm), treated with Xiao Xu Ming Tang. Sweat without aversion to cold is Rou Jing (Yin Spasm), Xiao Xu Ming Tang minus Ma Huang (Ephedra) plus Ge Gen (Kudzu Root). Postpartum sweating with dizziness, impending spasm/syncope, is Liver Yin deficiency with moving Wind-Yang; use E Jiao, Sheng Di, Fu Ling, Xiao Mai, Mu Li Fen, and Suan Zao Ren to generate fluids. Postpartum pseudo-stroke with facial deviation and opisthotonos is blood deficiency combined with wind-fire-phlegm; use Xiong Gui Tang (Ligusticum and Angelica Decoction) plus Jing Jie Sui (Schizonepeta Head) fried black soybeans steeped in wine to move blood and dispel wind, or Chuan Xiong San to clear phlegm-fire. Sinews clamped by cold are stiff; clamped by dampness are lax. Blood deficiency with wind-fire entering collaterals mimics stroke; treating postpartum cases as true stroke with Xiao Xu Ming Tang is erroneous. Pseudo-stroke wasting inability to rise is Qi/Blood deficiency with lax sinews; use Zi Yin Da Bu Wan (Nourish Yin Great Tonifying Pill) to strengthen Liver/Kidney. Chi Zong (clonic-clonic movements) involves stiff sinews (Chi) and lax sinews (Zong). Postpartum blood loss with fierce wind-fire and malnourished sinews: use Ba Zhen Tang plus Dan Pi and Gou Teng (Uncaria) to generate Yin and retreat Yang. If ineffective, use Si Jun Zi Tang, Chuan Xiong, Dang Gui, plus Dan Pi and Gou Teng to tonify Spleen Earth. Left wiry pulse indicates blood deficiency with fire burning; use Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) and Liu Wei Wan to clear Liver fire and nourish blood. Ancient methods using Yu Feng Tang and Jiao Jia San are effective. Postpartum numbness/dizziness is Qi/Blood deficiency with phlegm. Right side numbness/dizziness indicates empty meridians invaded by phlegm-fluid; use Liu Jun Zi Tang plus Dang Gui, Huang Qi, and Rou Gui. Left side numbness/dizziness indicates Ying/Blood deficiency invaded by wind-fire; use Shi Quan Da Bu Tang. Postpartum tremors are Qi/Blood deficiency generating wind; urgently use Shi Quan Da Bu Tang. Limb contracture and immobility is wind lodging in collaterals; use Shu Jin Tang (Relax Sinews Decoction). With wind-heat, use Jia Wei Xiao Yao San. With deficiency-cold, use Shi Quan Da Bu Tang. Postpartum epistaxis and black gas around mouth/nose indicate Stomach extinction and Lung failure. If blood deficiency with stasis, use Shen Su Jian plus Zhi Fu Zi. If deficient fire flaring causing black tongue, use Xi Jiao Di Huang Tang (Rhinoceros Horn and Rehmannia Decoction). Stagnant blood rising causing epistaxis: use Yi Mu Wan (Motherwort Pill) dissolved in child's urine. Empirical formula: tie a crimson thread and two strands of pre-delivery hair tightly around the middle finger joint to stop bleeding. Postpartum diarrhea is Spleen upper deficiency-cold; use Liu Jun Zi Tang plus Pao Jiang to warm and secure. Spleen/Kidney deficiency-cold: combine Bu Zhong Yi Qi Tang with Si Shen Wan to lift and secure. Ming Men fire weakness: tonify mother with Ba Wei Wan (Eight Flavor Pill). Food stagnation diarrhea: Liu Jun Zi Tang plus Shan Zha, Shen Qu, and Gu Ya to digest and transport. Undigested food indicates Yang/Fire deficiency; combine Li Zhong Tang with Si Shen Wan. White foam like intestinal mucus indicates Yuan Qi sinking; use Bu Zhong Yi Qi Tang plus Gui Zhi, Fu Ling, and Pao Jiang to lift. Slippery unceasing diarrhea: use Shen Xiang San to astringe. Postpartum dysentery: green/white indicates cold, purple/red indicates heat. Cold-heat struggle causes mixed red/white discharge. Cold-heat/raw/cold food damaging intestines/stomach with deficiency-cold abdominal pain: use Li Zhong Tang plus Mu Xiang and Bai Shao. Stomach deficiency with vomiting/dysentery: use Liu Jun Zi Tang to regulate and tonify. Heat dysentery with tenesmus: use Bai Tou Weng Tang plus Gan Cao and E Jiao to clear. Mixed red/white with cramping pain: adjust Jiu Ji San by removing Shu Di. Chronic dysentery with tenesmus: use Bu Zhong Yi Qi Tang to lift. Damp-slow pulse in diarrhea/dysentery indicates Stomach dampness; decoctions worsen dampness. Use Shen Ling Bai Zhu San plus Rou Dou Kou, taken with Ginger-Jujube decoction. Chronic diarrhea/dysentery: use Rou Dou Li Zhong Wan to warm and secure. Malaria pathogen from wind-summerheat, daily or every-other-day发作: use Xiao Chai Hu Tang minus Huang Qin, select Bu Zhong Yi Qi Tang minus Huang Qi. Add Zi Su and Bo He for wind; add Xiang Ru and Hou Po for summerheat. Pre-partum Yin malaria extending to postpartum: use Gui Huang Jian Zhong Tang plus Ren Shen, Bai Zhu, and He Shou Wu to harmonize Yin/Yang. Add more Huang Qi for cold; add Bie Jia (Turtle Shell) for heat. Postpartum summerheat injuring Yin mimicking malaria: treatment forbids diaphoresis depleting fluids. Use Bie Jia, Wu Mei, Suan Zao Ren, Mai Dong, Di Huang, and Shi Hu to generate fluids with sweet-sour flavors and reduce heat. Postpartum exposure to seasonal pathogens requires careful differentiation. Summerheat injuring Lung Qi causes vomiting/fullness; descend with Chuan Bei Mu, Xing Ren, Tong Cao, Gua Lou, and Yu Jin. Dryness injuring Lung fluids causes cough/thirst; moisten with Hua Fen, Tian Dong, Xing Ren, Yu Zhu, Bai He, Bei Mu, and honey. Heat sinking into Ying causing coma/delirium/insomnia: cool with Zhu Ye, Mai Dong, Xi Jiao, Sheng Di, Lian Qiao, and Shi Pu Zhu. Dampness obstructing San Jiao causing head distension/white tongue/no thirst/chest fullness/body pain/scanty urine/loose stool: clarify upper/lower with Fu Ling Pi, Ban Xia, Gui Zhi, Hou Po, Gua Lou, and Hua Shi. Wind-warm attacking Upper Jiao causing burning heat/head heaviness/epigastric fullness/sleepiness: disperse with Shan Zhi, Dou Chi, Gua Lou, Sang Ye, Bei Mu, and Ling Yang Jiao (Antelope Horn), slightly bitter to descend. Damp-warm transforming heat obstructing Qi causing heavy head/body pain/sore throat/cold calves: lightly resolve with Yuan Shen, Yin Hua, Xing Ren, Gua Lou, Shi Hu, Yi Yi Ren, and Hua Shi with sweet-bland-slightly bitter flavors. Improper cold/warmth causing phlegm-fluid harassing upward causing flank/back cold/pain/inverted cough/bed-bound/intestinal gurgling/scanty urine/foot edema: drain with Gui Zhi, Ban Xia, Gan Jiang, Yi Yi Ren, Wu Wei Zi, Fu Ling, Bai Shao, and Gan Cao using acrid-sour-bland-draining methods. Postpartum cholera with vomiting/diarrhea/food stagnation: use Huo Xiang Zheng Qi San. Deficiency-cold: warm with Li Zhong Tang. Vomiting/diarrhea with cold reversal: warm and unblock with Fu Zi San and Lai Fu Dan. Postpartum empty vexation/shortness of breath: clear and tonify with Zhu Ye Tang. Postpartum accumulations/gatherings from wind-cold contending with Qi/Blood: Accumulation is Yin in Zang organs, Gathering is Yang in Fu organs. Fixed pain: use Si Shen San. Migratory pain: select Shao Yao Tang. Blood Jia (mass) from Qi/Blood congestion, Qi disease becoming Blood disease, migratory pain: use Shi Xiao San plus Qi-moving herbs, then tonify with Gui Pi Tang. Constipation from fluid exhaustion: use Si Wu Tang plus Tao Ren and Xing Ren to moisten, or Wu Ren Wan or Su Ma Zhou. Dysuria from Bladder deficiency-heat: use Liu Wei Tang or Si Wu Tang plus Fu Ling and Gan Cao Gao to tonify and separate/drain. Frequent urination from Qi deficiency failing to restrain: use Bu Zhong Yi Qi Tang plus Yi Zhi Ren, Fu Pen Zi, and Shan Zhu Yu, assisted by Sang Piao Xiao San to lift and secure. Urinary incontinence from bladder damage: secure with Sang Piao Xiao Long Gu San. Hand-injured bladder rupture: solidify and tonify with Gui Huang Tang plus Huang Si Juan (Yellow Silk) and pig/sheep bladder. Qi deficiency: Bu Zhong Yi Qi Tang plus Yi Zhi Ren. Kidney deficiency: Liu Wei Wan minus Dan Pi and Ze Xie. Hematuria from heat invading blood deficiency penetrating bladder: stop with Fa Hui (Hair Ash), Hua Shi, and Gan Cao. Hematochezia from constraint injuring Spleen: use Jia Wei Gui Pi Tang. If caused by overthinking injuring Heart: use Chao Xiang San. Rich food heat accumulation: use Jia Wei Qing Wei San. Alcohol damp-toxin: use Ge Hua Jie Cheng Tang. Anger stirring Liver fire: use Jia Wei Xiao Chai Hu Tang. Large Intestine wind-heat: use Si Wu Tang plus Ce Bai Ye and Huai Hua. Large Intestine blood-heat: use Si Wu Tang plus Huang Qin, Huang Lian, and Huai Hua. Intestine/Stomach weakness: use Liu Jun Zi Tang plus Sheng Ma and Chai Hu. Yuan Qi sinking: use Bu Zhong Yi Qi Tang plus Fu Ling and Ban Xia. Qi/Blood deficiency: use Ba Zhen Tang plus Sheng Ma and Chai Hu. Postpartum various stranguries: deficiency causes frequency, Lung deficiency uses Bu Zhong Yi Qi Tang, Kidney deficiency uses Liu Wei Wan. Heat causes painful difficulty, use Hua Shi San. Blood strangury: use Jia Wei Si Wu Tang. Postpartum leukorrhea from lower origin deficiency/slippage: use Jin Suo Chi Dan or Ling Zhu Tu Si Wan. Postpartum menstruation too early implies less milk. Strong women not nursing are excluded. Spleen deficiency failing to control blood: use Bu Zhong Yi Qi Tang. Heart/Spleen failing to command blood: use Jia Wei Gui Pi Tang. Liver fire forcing reckless blood flow: use Jia Wei Xiao Yao San. Qi/Blood dual deficiency: use Ba Zhen Tang. Feces in urine indicates Large Intestine/Bladder connection; first use Liu Jun Zi Tang, then Wu Ling San. Postpartum uterine prolapse from exertion: lift with Dang Gui Ren Shen Tang, externally secure with Wu Bei Zi powder. Rectal prolapse from deficiency/slippage: internally take Chuan Xiong, Dang Gui, Ren Shen, Huang Qi, Sheng Ma. Externally use sesame oil to lubricate and silk to support. Or stimulate sneezing with rush pith for immediate reduction. Vaginal opening not closing from Yin Qi failing to converge: urgently tonify with Shi Quan Da Bu Tang. Swelling/heat/pain from Liver channel deficiency-heat: use Jia Wei Xiao Yao Tang. From sorrow/anger injuring Liver/Spleen depression: use Jia Wei Gui Pi Tang. From sudden anger injuring Liver fire/blood: use Long Dan Xie Gan Tang. One object like a handkerchief protruding from the vagina is Gan Wei (Liver Atrophy) per Danxi; lift with Ren Shen, Huang Qi, Dang Gui, Bai Zhu, and Sheng Ma. A meat strand 3-4 chi long from the urethra causing fainting when touched: first take Shi Xiao San, then grind 2 jin ginger peel, mix with 2 jin clear oil, boil until oil is dry. Lift the strand with silk, coil it beside the urethra, fumigate with ginger residue, and apply warmth when cool to retract. Then take Shi Xiao San and Xiong Gui Tang. If the strand breaks, it is incurable. Various postpartum syndromes exist, but none are more critical than blood fainting, asthma, hiccups, and wind spasm. None are more difficult than Ru Lao, deficiency cough, diarrhea, and accumulations. Most importantly, postpartum lower jiao Yin deficiency injures Liver/Kidney. Since Chong, Ren, Du, and Dai vessels belong to Liver/Kidney, medications should warm, nourish, and secure. Do not doubly injure deficiency, causing lower damage from which recovery is impossible. The preceding list roughly follows *Liang Fang* commentary by Xue, outlining general principles; treatments are not limited to this.