陆肖愚治陈振宇女，年二十七，产后患间日疟，已月余，寒热虽不甚，而身体倦怠，饮食减少。脉之，左
手平和，右手弱而无力。与补中益气汤二剂，觉胸膈饱闷，遂归咎人参。更医仍用青皮饮、二陈汤等，寒热反
甚。用截药或止，数日复至。延至数月，肉削骨立，再诊之，其脉微弱已甚，曰∶前日人参两许可愈，今非至
斤，不能奏效矣。用十全大补汤二剂，仍觉闷，疑之。曰∶直服至不胀闷愈矣。更倍参投之，遂饮食日增，服
数十剂方起。
薛立斋治一产妇，食鸡子，腹中作痛，面色青黄。服平胃、二陈，更下痢腹胀。用流气饮子，又小腹一块
不时上攻，饮食愈少。此脾胃虚寒，肝木克侮所致。用补中益气加木香、吴茱萸，渐愈。又用八珍汤兼服调理
而安。（雄按∶块既上攻，无论虚实，岂可再服升、柴。）
龚子材治一产妇，血痢，小便不通，脐腹疼痛，以马齿苋捣烂取汁三大合，煎沸，下蜜一合，调匀顿服即
愈。
薛立斋治一产妇，屎后下血，诸药不应，饮食少思，肢体怠倦，此中气虚弱，用补中益气汤加吴茱萸，炒
黄连五分，四剂顿止。但怔忡少寐，盗汗，用归脾汤治之而愈。
孙文垣治族女，小产后二十日矣，患赤痢，一日十余次，怯寒恶食，小腹胀痛。诊之，右寸滑大，知其虚
中有热。盖缘恶露未尽，故小腹胀痛。专科泥丹溪产后大补气血之语，遂概施之，因而作痢。乃翁曰∶病尚怯
寒，何云有热？曰∶恶寒非寒，反是热症，盖火极似水也，（时师多昧此旨。）饮药后当知之。以白芍、当归、
滑石为君，桃仁、酒连、酒芩为臣，木香、桂枝、槟榔为佐，青皮为使。服下，果去黑瘀血甚多，小腹顿宽。
惟口干，小水少，恶心，怕饮食，体倦，仍里急后重，人参、川芎、白芍各一钱，当归一钱五分，酒连、陈
皮各六分，木香二分，外与清宁丸。服下热除，痢减十之八矣，但大便不实，恶心虚弱，以四君子汤加酒芍、
陈皮、木香、肉果、酒连、当归，养之而平。
陆养愚治李尚田乃正，产后患痢，延及年余，肢肌羸瘦，面色黧黑，咸以不可为矣。脉之，两手皆微小，
而右关尺之间，尚觉有力如珠，舌中常起黑苔，曰∶微小乃久痢生脉，脉滑胎黑，必沉积在肠，久而未去也，
若大下之，病当愈。李谓初病亦常服通利，今饮食不进者数月矣，安得所积乎？因检前方，大都纽于产后大补
气血为主，即用消导，多杂参、 、归、芍，补不成补，消不成消，致元气日衰，积滞日固，至收敛温涩，宜
其剧也。乃以润字丸一两，分三服，令一日夜服尽。下紫黑如膏数缶许，口渴甚，煎生脉散作茶饮之。胃渐开，
又以润字丸，日服一钱，每日下稠积缶许。十日后，方用补养，一月而痊。
张路玉诊大兵舡上一妇，胎前下痢，产后三日不止，恶露不行，发热喘胀，法在不救。服药一剂，反加呃
逆。诊之，其脉三至一代，欲辞不治。因前医被留，不与排解，必致大伤体面。乃曰∶此症虽危，尚有一线生
机，必从长计议，庶可图治。彼闻言，始放其医而求药。遂与盏一枚，钱数文，令买砂糖熬枯，白汤调服，既
可治痢，又能下瘀，且不伤元气。急与之服，彼欣然而去，医得脱而遁，至大兵去乃归。（雄按∶存心可敬。）
薛立斋治一产妇痢，未至盈月，因食冷物及酒，冷热与血攻击，滞下纯血，缠坠极痛，其脉大无力，口干，
用黄芩芍药汤，三服而安。
陆肖愚治疗陈振宇的女儿，年龄二十七岁，产后患间日疟（每隔一天发作一次的疟疾），已经一个多月了。虽然寒热症状不是很严重，但身体倦怠乏力，饮食减少。诊脉时，左手脉象平和，右手脉象弱而无力。给予补中益气汤（具有补中益气、升阳举陷功效的方剂）两剂，患者感觉胸膈部饱闷，于是归咎于人参（一种补气药材）。换医生后仍然使用青皮饮、二陈汤（具有燥湿化痰、理气和中功效的方剂）等药物，寒热症状反而加重。使用截疟药（用于控制疟疾发作的药物）或暂时停止用药，几天后症状又复发。拖延到几个月后，患者肌肉消瘦，骨立如柴，再次诊脉，脉象微弱到了极点。医生说：“前几天用一两人参就可以治愈，现在非用到一斤，不能见效。”使用十全大补汤（具有温补气血功效的方剂）两剂，患者仍然感觉胸闷，对此表示怀疑。医生说：“直接服用直到不再感到胀闷为止。”随后加倍人参用量投服，于是饮食逐渐增加，服用几十剂后才痊愈。
薛立斋治疗一位产妇，吃了鸡蛋后，腹部疼痛，面色青黄。服用平胃散（具有燥湿运脾、行气和胃功效的方剂）、二陈汤后，反而出现下痢和腹胀。使用流气饮子（具有行气止痛功效的方剂）后，小腹又有一块状物不时向上攻冲，饮食更加减少。这是脾胃虚寒，肝木（中医五行中指肝脏及其功能系统）克制侮犯所致。使用补中益气汤加木香（一种行气止痛药材）、吴茱萸（一种温中散寒药材），逐渐痊愈。后来又用八珍汤（具有益气补血功效的方剂）兼服调理而安定。（按语：肿块既然向上攻冲，无论虚实，岂可再服用升麻、柴胡等升提药物。）
龚子材治疗一位产妇，患血痢（痢疾便中带血），小便不通，脐腹疼痛，将马齿苋捣烂取汁三大合，煎沸后，加入蜂蜜一合，调匀一次服下即愈。
薛立斋治疗一位产妇，排便后下血，各种药物无效，饮食少想，肢体怠倦，这是中气虚弱，使用补中益气汤加吴茱萸，炒黄连五分，四剂后立刻止住。但仍有怔忡（心跳剧烈或不规则的感觉）、少寐（睡眠少）、盗汗（夜间睡着后出汗），使用归脾汤（具有益气补血、健脾养心功效的方剂）治疗而痊愈。
孙文垣治疗族中女儿，小产（流产）后二十天了，患赤痢（痢疾大便呈红色或带血），一天十多次，怯寒恶食，小腹胀痛。诊脉时，右寸脉滑大，知道是虚中有热。这是因为恶露（产后余血浊液）未尽，所以小腹胀痛。专科医生拘泥于丹溪（朱震亨，金元四大家之一）关于产后大补气血的说法，于是一概施用补法，因而导致痢疾。父亲说：“病尚且怯寒，怎么说有热？”回答说：“恶寒并非寒证，反而是热症，因为火极似水（热极生寒象），（当时的医生大多不明白这个道理。）服药后会知道的。以白芍、当归、滑石为君药（主要药物），桃仁、酒黄连、酒黄芩为臣药（辅助君药加强疗效的药物），木香、桂枝、槟榔为佐药（协助君臣药治疗兼证或制约毒性/烈性的药物），青皮为使药（引导药物直达病所或调和诸药的）。服下后，果然排出很多黑瘀血，小腹顿时宽松。只是口干，小便少，恶心，怕饮食，体倦，仍里急后重（腹痛窘迫，时时欲泻，肛门重坠，便出不爽），用人参、川芎、白芍各一钱，当归一钱五分，酒黄连、陈皮各六分，木香二分，另外给予清宁丸。服下后热除，痢疾减少了十分之八，但大便不成形，恶心虚弱，用四君子汤（具有益气健脾功效的方剂）加酒白芍、陈皮、木香、肉果（肉豆蔻）、酒黄连、当归，调养而平稳。
陆养愚治疗李尚田的儿子李正，产后患痢，拖延了一年多，肢肌羸瘦，面色黧黑，大家都认为不可治了。诊脉，两手脉都微小，但在右关尺之间，还觉得有力如珠，舌中常起黑苔，说：“微小是久痢产生的脉象，脉滑胎黑，必定沉积在肠，久而未去也，如果大力攻下，病应当痊愈。”李正说：“初病时也常服用通利药，现在几个月不进饮食了，哪里有什么积滞呢？”于是检查前面的处方，大都纠结于产后大补气血为主，即使使用消导药，也多夹杂人参、黄芪、当归、白芍，补不成补，消不成消，导致元气日渐衰败，积滞日渐坚固，到了收敛温涩的地步，病情加剧是必然的。于是用润字丸一两，分三次服用，令一天一夜服完。排出紫黑色如膏状物数罐许，口渴很厉害，煎生脉散（具有益气生津、敛阴止汗功效的方剂）作茶饮之。胃气渐开，又以润字丸，每天服一钱，每天排出稠厚积滞一罐许。十日后，才用补养药，一个月痊愈。
张路玉诊治大兵船上一位妇女，胎前下痢，产后三日不止，恶露不行，发热喘胀，按照常规法是不救的。服药一剂，反而加重呃逆。诊脉，其脉三至一代（代脉指脉来一止，止有定数，良久方来的脉象，主脏气衰微），想要推辞不治疗。因为前医被留下，如果不排解，必致大伤体面。于是说：“此症虽然危重，尚有一线生机，必须从长计议，或许可以图谋治疗。”那人听后，才放走医生去求药。于是给一个杯子，几文钱，让买砂糖熬枯，白开水调服，既可以治痢，又能下瘀血，且不伤元气。急忙给他服用，他高兴地离开，医生得以脱身逃跑，直到大兵离去才回来。（按语：心存善意值得尊敬。）
薛立斋治疗一位产妇痢疾，未满一个月，因吃冷物及酒，冷热与血攻击，滞下纯血，缠坠极痛，其脉大无力，口干，用黄芩芍药汤（具有清热燥湿、和营止痛功效的方剂），三服而安。
Lu Xiaoyu treated the daughter of Chen Zhenyu, aged twenty-seven. She suffered from intermittent malaria (malaria occurring every other day) postpartum for over a month. Although the chills and fever were not severe, she experienced physical fatigue and reduced appetite. Pulse diagnosis revealed a balanced pulse on the left hand, while the right hand showed a weak and powerless pulse. Two doses of Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) were prescribed. The patient felt fullness and oppression in the chest and diaphragm, attributing this to Ren Shen (Radix Ginseng). A subsequent physician continued using Qingpi Yin (Green Peel Infusion) and Erchen Tang (Two-Cured Decoction), but the chills and fever worsened. Antimalarial drugs were used intermittently or stopped, yet symptoms recurred after a few days. Months later, the patient became emaciated with prominent bones. Upon re-examination, the pulse was extremely faint. Lu stated, "A dose of one liang of Ren Shen would have sufficed previously; now, it must be increased to one jin to take effect." Ten Complete Great Tonifying Decoction (Shiquan Dabu Tang) was administered for two doses, but the patient still felt chesty oppression. Suspecting the treatment, Lu advised, "Continue taking it until the bloating and oppression cease." The dosage of Ren Shen was doubled, leading to improved appetite. After dozens of doses, the patient recovered.
Xue Lizhai treated a postpartum woman who developed abdominal pain and a bluish-yellow complexion after eating eggs. After taking Pingwei San (Calm the Stomach Powder) and Erchen Tang, she developed dysentery and abdominal distension. Using Liqi Yinzi (Flowing Qi Infusion) caused a mass in the lower abdomen to attack upwards periodically, further reducing her appetite. This was attributed to deficiency-cold of the Spleen and Stomach, with Liver Wood (the functional system of the Liver in Five Element theory) overacting upon them. Bu Zhong Yi Qi Tang was modified with Mu Xiang (Radix Aucklandiae) and Wu Zhu Yu (Fructus Evodiae), leading to gradual recovery. Subsequently, Bazhen Tang (Eight-Treasure Decoction) was used for conditioning, resulting in stability. (Note: Since the mass is attacking upwards, regardless of excess or deficiency,昇麻 (Rhizoma Cimicifugae) and 柴胡 (Radix Bupleuri) should certainly not be administered again.)
Gong Zicai treated a postpartum woman suffering from bloody dysentery, urinary retention, and umbilical-abdominal pain. He crushed fresh Machixian (Herba Portulacae), extracted three he of juice, boiled it, added one he of honey, mixed well, and administered it in one dose, resulting in immediate cure.
Xue Lizhai treated a postpartum woman who passed blood after defecation. Various medications failed. She had little desire for food and felt limb fatigue. This was diagnosed as deficiency of Middle Qi. Bu Zhong Yi Qi Tang was modified with Wu Zhu Yu and five fen of stir-fried Huang Lian (Rhizoma Coptidis). After four doses, bleeding stopped. However, she still suffered from palpitations, insomnia, and night sweats. Guipi Tang (Restore the Spleen Decoction) was prescribed, leading to recovery.
Sun Wen Yuan treated his clan's daughter, who had undergone an abortion twenty days prior. She suffered from red dysentery (dysentery with blood), occurring more than ten times a day, accompanied by aversion to cold, anorexia, and lower abdominal distending pain. Pulse diagnosis showed a slippery and large pulse at the Right Cun position, indicating heat within deficiency. This was due to incomplete expulsion of lochia (postpartum residual blood and fluid), causing lower abdominal pain. Specialists adhered rigidly to Danxi's (Zhu Zhenheng) principle of greatly tonifying Qi and Blood postpartum, applying tonification indiscriminately, which induced dysentery. Her father asked, "If she is averse to cold, how can there be heat?" Sun replied, "Aversion to cold does not necessarily mean cold syndrome; it can be a heat syndrome, as extreme heat mimics water (cold signs). (Most contemporary physicians fail to understand this principle.) You will know after taking the medicine." The prescription used Bai Shao (Radix Paeoniae Alba), Dang Gui (Radix Angelicae Sinensis), and Hua Shi (Talcum) as Sovereign herbs; Tao Ren (Semen Persicae), Jiu Huang Lian (Wine-processed Rhizoma Coptidis), and Jiu Huang Qin (Radix Scutellariae processed with wine) as Ministers; Mu Xiang (Radix Aucklandiae), Gui Zhi (Ramulus Cinnamomi), and Bing Lang (Areca Seed) as Assistants; and Qing Pi (Pericarpium Citri Reticulatae Viride) as Envoy. After administration, a large amount of dark stasis blood was expelled, and the lower abdomen relaxed immediately. Symptoms remaining included dry mouth, scanty urine, nausea, fear of food, fatigue, and tenesmus (straining during defecation). The next prescription contained one qian each of Ren Shen (Radix Ginseng), Chuan Xiong (Rhizoma Chuanxiong), and Bai Shao; one qian five fen of Dang Gui; six fen each of Jiu Huang Lian and Chen Pi (Pericarpium Citri Reticulatae); and two fen of Mu Xiang. Additionally, Qingning Wan (Clearing Peace Pill) was given externally/orally. After taking it, heat cleared, and dysentery decreased by eighty percent. However, stools remained loose, with nausea and weakness. Si Jun Zi Tang (Four Gentlemen Decoction) was modified with Jiu Bai Shao, Chen Pi, Mu Xiang, Rou Guo (Nucis Arecae Semen Preparatum), Jiu Huang Lian, and Dang Gui for nourishment, leading to stabilization.
Lu Yang Yu treated Li Zheng, son of Li Shangtian, who suffered from postpartum dysentery for over a year. His limbs and muscles were emaciated, and his complexion was dark black. Everyone considered it incurable. Pulse diagnosis showed minute pulses on both hands, but between the Right Guan and Chi positions, the pulse felt forceful like a bead. Black coating was often present in the center of the tongue. Lu stated, "The minute pulse is a result of chronic dysentery. A slippery pulse with black coating indicates accumulation in the intestines that has persisted for a long time. If vigorously purged, the disease should be cured." Li Zheng argued, "I frequently took purgatives when the illness began. I haven't eaten for months; how could there be accumulation?" Reviewing previous prescriptions, they mostly focused on greatly tonifying Qi and Blood postpartum. Even when using digestive/promoting agents, they were mixed with Ren Shen, Huang Qi (Radix Astragali), Dang Gui, and Bai Shao. Thus, tonification failed to work, and digestion failed to clear, leading to daily decline of Yuan Qi and solidification of stagnation. Reaching the stage of astringency and warming, worsening was inevitable. Run Zi Wan (Moisten Character Pill) was prescribed, one liang divided into three doses, to be taken within one day and night. Several jars of purple-black paste-like stool were discharged. Severe thirst ensued. Sheng Mai San (Generate the Pulse Powder) was decocted and drunk as tea. Stomach function gradually opened. Run Zi Wan, one qian daily, was continued, discharging about one jar of thick accumulation daily. After ten days, tonifying treatments were started, and recovery occurred within one month.
Zhang Lu Yu examined a woman on a military vessel. She had suffered from dysentery before pregnancy, which persisted for three days postpartum. Lochia did not flow, accompanied by fever, wheezing, and distension. By standard protocols, this was untreatable. After one dose of medication, hiccups worsened. Pulse diagnosis showed three beats per respiration with Dai pulse (intermittent pulse with regular pauses, indicating衰竭 of organ qi). Zhang intended to refuse treatment. However, since the previous physician was detained, refusing might cause significant loss of face. Zhang said, "Although critical, there is a sliver of hope. We must plan carefully to attempt treatment." Hearing this, the family released the doctor to seek medicine. Zhang gave a cup and a few coins, instructing them to buy sugar, roast it until charred, mix with plain water, and administer. This could treat dysentery, expel stasis, and not damage Yuan Qi. The medicine was administered urgently. The family left happily, and the doctor escaped, returning only after the troops departed. (Note: His conscientiousness is admirable.)
Xue Lizhai treated a postpartum woman with dysentery, less than a month postpartum. Due to consuming cold food and alcohol, cold and heat attacked the blood, resulting in pure bloody dysentery with severe dragging pain. The pulse was large and powerless, with dry mouth. Huang Qin Shao Yao Tang (Scutellaria and Peony Decoction) was prescribed. After three doses, she stabilized.