吴洋治汪伯玉婶杜，冬举仲子，会病喑且痿，四肢汗溢而甚恶寒，历春夏滋深，挟纩拥絮犹栗栗。
曰∶物极则反，吾且极之，病由递产而虚，势重不可亟反，激而后反，其易为力哉。于是，补以参、 ，敛以
桂枝，固以龙骨、牡蛎，经年寒犹故也。汪以为言，洋曰∶毋谓徐徐，及瓜而后可治。又明年夏，先期一月，
而诊之曰∶药力告盈，其可以已。则以盘水沃青巾者二，以石水浮瓜者三。谓汪曰∶洋无戏言，通言语，撤衣
衾，其在今日。乃命女仆奉盘水进。杜难之，手语曰∶吾病产后，宜不可水。洋曰∶无害。第以两手，按青巾
试之。病者曰宜，然后乃沃两巾，寻漱以盂水，已复饮之，既削瓜而使啖其半，于是汗止声出，单衣如常。先
是溪南吴千妇，病与杜同，洋治以向法效。（《太涵集》。雄按∶此先救其表，而后清其里也。然及瓜而后可
治，虽医者有此眼力，恐病者无此耐性何。）
沈尧封曰∶产后喘，有闭、脱二症。下血过多者是脱症，喉中气促，命在须臾，方书虽有参苏饮一方，恐
不及待。恶露不快者，是闭症，投夺命丹可定。如不应，当作痰治。此皆急症，更有一种缓者。楼全善所云∶
产后喘者多死。有产二月，洗浴即气喘，坐不得卧者。五月，恶露得暖稍下，用丹皮、桃仁、桂枝、茯苓、干
姜、枳实、浓朴、桑皮、紫苏、五味、栝蒌，煎服即卧，其疾如失，作污血感寒治也。按此亦是痰症，所以能
持久，痰滞阳经，所以恶寒。方中着力在栝蒌、浓朴、枳实、桂枝、茯苓、干姜、五味数味，余皆多赘。
楼全善治一妇，产后，洗浴即气喘，但坐而不得卧，已五日，恶风，得暖稍宽，两关脉动，尺寸俱虚，百
药不效。用牡丹皮、桃仁、桂枝、茯苓、干姜、枳壳、桑白皮、紫苏、五味子、蒌仁服之即宽，二三服即卧，
其疾如失，盖作汗出感寒治之也。（《治法汇》。雄按∶寸脉既虚，何以用枳、朴？尺脉既虚，何以用丹皮、桃
仁？若谓恶露不行，案中胡不叙及？）
薛立斋治一产妇，喘促自汗，手足俱冷，常以手护腹，此阳气虚脱也，用人参附子汤四剂愈。
缪仲淳曰∶己丑，予妇产后五日，食冷物，怒伤脾作泻，乃微嗽。又三日，泄不止，手足冷，发喘，床亦
动摇，神飞扬不守，一医投以人参五钱，附子五钱，疗之如故。渐加参至三两，附子三钱，一剂霍然起。（《广笔记》。）
缪仲淳治于中甫夫人，产后气喘，投以人参五钱，苏木、麦冬各三钱，一剂愈。
吴洋治疗汪伯玉的婶母杜氏，她在冬季刚生下第二个孩子时，恰逢患病，出现失音且肢体痿软的症状，四肢汗出淋漓且极度怕冷，历经春夏两季病情加重，即使裹着丝绵、拥着棉絮仍然瑟瑟发抖。
吴洋说：“事物发展到极端就会向反面转化，我打算先将其推向极致。她的病是由于连续分娩导致气血亏虚，病情沉重不可能立刻逆转；如果强行激发正气而后使其恢复，那反而容易见效。”于是，用参（人参）和 （白术）来补益，用桂枝汤来收敛止汗，用龙骨、牡蛎来固涩收敛。经过一年，怕冷的症状依然如故。汪伯玉对此表示担忧，吴洋说：“不要认为进展缓慢，等到瓜熟蒂落之时才可以治疗。”又过了一年夏天，提前一个月诊脉时说：“药力已经充足，可以治愈了。”于是让人将盘中的水浇在两条青毛巾上两次，将石头上的冰水浮着的瓜切三次。他对汪伯玉说：“我没有开玩笑，现在要让病人恢复言语能力，脱下衣被，就在今天。”于是命令女仆端着冷水盆进来。杜氏对此感到为难，用手势示意说：“我是产后病，应该不能用水。”吴洋说：“没有害处。只是让你用双手按在青毛巾上试试。”病人说“可以”，然后才把两条毛巾浸湿，接着用盆里的水漱口，随后喝下去，再削好瓜让她吃了一半，于是汗止住了，声音也出来了，像平常一样穿着单衣。在此之前，溪南吴千的妻子，病症与杜氏相同，吴洋用同样的方法治疗并取得了疗效。（出自《太涵集》。余震雄按：这是先解表救急，后清里热的治法。然而要等到瓜熟才能治疗，虽然医生有这样的眼力，恐怕病人没有这样的耐心吧。）
沈尧封说：“产后气喘，有闭症和脱症两种情况。下血过多的是脱症，喉中气促，性命垂危，医书中虽然有参苏饮一方，恐怕来不及服用。恶露排出不畅的是闭症，投用夺命丹可以定喘。如果无效，应当当作痰证治疗。这些都是急症，还有一种是缓症。楼全善所说的：产后气喘的多死亡。有的产妇在产后两个月，洗澡后就气喘，只能坐着不能躺卧。到了五月，恶露得暖稍能下行，使用丹皮、桃仁、桂枝、茯苓、干姜、枳实、厚朴、桑白皮、紫苏、五味子、栝蒌，煎服后即能躺卧，疾病消失，这是作为瘀血感寒来治疗的。按此也是痰证，所以能持久，痰滞留在阳经，所以怕冷。方中着力点在栝蒌、厚朴、枳实、桂枝、茯苓、干姜、五味子这几味药，其余大多多余。
楼全善治疗一位妇人，产后洗澡后即气喘，只能坐卧不得安，已持续五天，怕风，得暖稍宽舒，两手关脉动，寸尺脉俱虚，百药无效。使用牡丹皮、桃仁、桂枝、茯苓、干姜、枳壳、桑白皮、紫苏、五味子、蒌仁，服用后即觉宽舒，二三剂后即能躺卧，疾病消失，这是作为汗出感寒来治疗的。（出自《治法汇》。余震雄按：寸脉既已虚弱，为何用枳实、厚朴？尺脉既已虚弱，为何用丹皮、桃仁？如果说恶露不行，案中为何不叙述？）
薛立斋治疗一位产妇，气喘急促自汗，手足俱冷，常以手护腹，这是阳气虚脱，用人参附子汤四剂痊愈。
缪仲淳说：“己丑年，我的妻子产后五天，吃了冷物，因怒伤脾导致腹泻，继而轻微咳嗽。又过了三天，腹泻不止，手足冷，发喘，床铺也随之动摇，神志飞扬不守，一位医生投入人参五钱、附子五钱，治疗如故。逐渐增加人参至三两，附子三钱，一剂后霍然起效。（出自《广笔记》。）
Wu Yang treated the aunt of Wang Boyu, surnamed Du. In winter, shortly after giving birth to her second son, she fell ill with aphonia (loss of voice) and flaccidity syndrome (weakness and atrophy of limbs), profuse sweating on the four limbs, and severe aversion to cold. The condition worsened through spring and summer; even wrapped in silk wadding and huddled in cotton quilts, she shivered uncontrollably.
Wu Yang said: "When things reach an extreme, they reverse. I intend to push this to the extreme first. Her illness stems from deficiency due to consecutive deliveries. The condition is severe and cannot be reversed quickly. By stimulating the body's response before reversal, it will be easier to treat." Consequently, he used Ginseng Radix et Rhizoma (Renshen) and Atractylodis Macrocephalae Rhizoma (Baizhu) for tonification, Cinnamon Twig Decoction (Guizhi Tang) for astringing sweat, and Dragon Bone (Longgu) and Oyster Shell (Muli) for securing and consolidating. After a year, the aversion to cold remained unchanged. Wang expressed concern, but Wu Yang replied: "Do not think progress is slow; treatment can only proceed when the melon is ripe." Another year passed into summer. One month in advance, upon pulse diagnosis, he said: "The medicinal efficacy has accumulated sufficiently; cure is now possible." He then instructed that water from a basin be poured over two green towels twice, and a melon floating on stone-cold water be cut three times. He told Wang: "I am not joking. Today, we will restore her speech and remove her clothes and bedding." He ordered a female servant to bring the basin of cold water. Du hesitated, signaling with her hands that as a postpartum patient, she should not use water. Wu Yang said: "No harm. Just press your hands on the green towel to test it." The patient agreed, whereupon the two towels were soaked. She then rinsed her mouth with water from the basin, drank some, ate half a peeled melon, and subsequently, her sweating stopped, her voice returned, and she dressed in single garments as usual. Previously, the wife of Wu Qian from Xinan suffered from identical symptoms, and Wu Yang cured her using the same method. (From *Taihan Ji*. Note by Yu Zhenxiong: This is a method of first rescuing the exterior, then clearing the interior. However, waiting until the melon is ripe requires patience that patients may lack, despite the physician's insight.)
Shen Yaofeng stated: "Postpartum asthma presents as either obstruction syndrome or collapse syndrome. Excessive blood loss indicates collapse syndrome, characterized by rapid breathing from the throat and imminent death. Although medical texts mention Shen Su Yin (Ginseng and Perilla Decoction), it may be too late to administer. Poor expulsion of lochia indicates obstruction syndrome, which can be settled with Duoming Dan (Life-Restoring Pill). If ineffective, it should be treated as phlegm. These are all acute conditions. There is also a chronic type. Lou Quanshan stated: 'Most postpartum asthmatics die.' For example, a woman who bathed two months postpartum developed asthma, unable to lie down. Five months later, with warmth aiding lochia discharge, she was treated with Moutan Cortex (Danpi), Peach Kernel (Taoren), Cinnamon Twig (Guizhi), Poria (Fuling), Dried Ginger (Ganjiang), Immature Bitter Orange (Zhishi), Magnolia Bark (Houpo), Mulberry Bark (Sangbai Pi), Perilla Leaf (Zisuye), Schisandra Fruit (Wuweizi), and Trichosanthes Fruit (Gualou). After decoction and ingestion, she could lie down, and the disease vanished. This was treated as blood stasis complicated by cold invasion. Analysis shows this is also a phlegm syndrome, hence its persistence; phlegm obstructing the yang meridians causes aversion to cold. The key herbs in the formula are Gualou, Houpo, Zhishi, Guizhi, Fuling, Ganjiang, and Wuweizi; the others are largely superfluous.
Lou Quanshan treated a woman who developed asthma immediately after bathing postpartum, able only to sit, not lie down, for five days. She had aversion to wind, slight relief with warmth, pulsating pulses at both Guan positions, and deficient pulses at Cun and Chi positions. All medicines failed. Using Moutan Cortex, Peach Kernel, Cinnamon Twig, Poria, Dried Ginger, Immature Bitter Orange Peel (Zhike), Mulberry Bark, Perilla Leaf, Schisandra Fruit, and Trichosanthes Seed, she felt relieved after one dose and could lie down after two or three doses, with the disease disappearing. This was treated as cold invasion following sweating. (From *Zhi Fa Hui*. Note by Yu Zhenxiong: If the Cun pulse is deficient, why use Zhishi and Houpo? If the Chi pulse is deficient, why use Danpi and Taoren? If lochia retention is the cause, why is it not mentioned in the case record?)
Xue Lizhai treated a postpartum woman with rapid asthma, spontaneous sweating, cold extremities, and a habit of protecting her abdomen with her hands. This indicated deficiency and collapse of yang qi. She was cured with four doses of Renshen Fuzi Tang (Ginseng and Prepared Aconite Decoction).
Miao Zhongchun stated: "In the Jichou year, my wife, five days postpartum, consumed cold food. Anger injured the spleen, causing diarrhea, followed by mild cough. Three days later, diarrhea persisted, extremities became cold, asthma developed, the bed shook, and her spirit was scattered. A physician administered five qian of Ginseng Radix et Rhizoma and five qian of Prepared Aconite Root (Fuzi), with no effect. Gradually increasing Ginseng to three liang and Fuzi to three qian, one dose resulted in a dramatic recovery. (From *Guang Biji*.)
Miao Zhongchun treated the wife of Yu Zhongfu for postpartum asthma. He administered five qian of Ginseng Radix et Rhizoma, three qian each of Sappan Wood (Sumu) and Ophiopogon Tuber (Maidong). She recovered after one dose."