薛立斋治一产妇，腹中似有一块，或时作痛而转动，按之不痛，（便非实积。）面色萎黄，痛则 白，脉浮而涩，
此肝气虚而血弱也。不信，乃服破血行气，痛益盛，转动无常。又认为血鳖，专用破血祛逐之药，痛攻两胁，
肚腹尤甚，益信为鳖，确服下虫等药，去血甚多，形气愈虚，肢节间各结小核，隐于肉里，以为鳖子畏药而走
于外。薛云∶肝脏血而养诸筋，此因肝血复损，筋涸而挛结耳。盖肢节胸项，皆属肝胆部分，养其脾土，补金
水以滋肝血，则筋自舒。遂用八珍汤、逍遥散、归脾汤，加减调治而愈。
一产妇小腹作痛，有块，脉芤而涩，以四物加元胡索、红花、桃仁、牛膝、木香，治之而愈。
薛立斋治一产妇，血崩，小腹胀痛，用破气行血之剂，其血崩如涌，四肢不收，恶寒呕吐，大便频泻。用
六君、炮姜，四剂稍愈。又十全大补，三十余剂全安。
一产妇血崩，因怒，其血如涌，仆地，口噤目斜，手足抽搐，此肝经血耗生风。用六味丸料一剂，诸症悉
退。但食少晡热，佐以四君、柴胡、丹皮而愈。
孙文垣治黄氏妇，产未弥月，醉犯房事，血来如崩，发热头晕，大小便俱热，六脉洪大，以竹茹、蒲黄、
白芍各一钱，香附、茯苓、侧柏叶各七分，甘草、炮姜、艾叶各三分，血止大半。腰犹胀痛，下午，胸膈饱闷，
改以川芎五分，当归、茯苓、补骨脂、蒲黄、香附各八分，姜炭、甘草各一分，陈皮七分，人参一钱而愈。
吕东庄治从子在公妇半产，恶露稀少，胸腹胀甚，脉之濡数，当重用参、 ，不然必崩。因力艰未服，已
而果崩溃不止，下血块如掌如碗者无数，神气昏愦，两足厥冷至小腹，两手厥冷至肩，额鼻俱如冰，头上汗如油，
旋拭旋出。按其脉，至骨不得见，乃投大剂补中益气汤，加人参一两，未效。（如无一两之参，单服补中益气汤
则立脱矣，不可不知。）急用人参一两，附子一两，炮姜二钱，浓煎灌之，至暮渐减。戒曰∶俟其手足温即停药。
至三鼓手足尽温，崩亦止，家人忘戒，又煎前药进之。比晓视之，脉已出而无伦，痰忽上涌，点水不能饮，入口
即呕吐，并独参汤不能下。曰∶过剂所致也。即投生地黄五钱，熟地黄一两，当归、白芍、枸杞各三钱，甘草一
钱，浓煎与饮。病者意参饮尚吐，况药乎，不肯服，乃强之曰∶试少饮，必不吐。进半瓯，殊安，遂全与之，尽药而
痰无半点，神气顿清矣。午后，体发热，曰∶此血虚热，恒理也。后用十全大补，调理而痊。（雄按∶人参虽重，
幸不即脱。而治法大谬，能掉头设法，其聪明有过人处也。）
张飞畴治陈子浓媳，八月间因产不顺，去血过多，产后恶露稀少，服益母汤不行，身热汗血。产科用发散
行血更剧。自用蕉糖酒一碗，遂周身络脉棰楚难堪，恶露大下，面赤，戴眼，出汗如浴，但言心痛不可名状。
（即杀血心痛也。）此去血过多，心失其养故痛；肝主筋，为藏血之地，肝失其荣，故脉络棰楚不堪。且汗为产
后之大禁，非急用人参，恐难挽也。用四君合保元汤加白芍、五味，一剂汗止。因其谵语如祟，疑为瘀血未尽，
更欲通利。曰∶音怯无神，此属郑声，且腹不瘀痛，瘀从何有？此神气散乱不收之故，前方入枣仁、龙齿，诸症悉
平。后服独参汤，至弥月而安。
薛立斋治一产妇，月经不调，内热燥渴，服寒凉之剂，其血如崩，腹肿痛，寒热，作呕少食。用六君子，
二十余剂，诸症悉愈。以加味逍遥散，调理而安。
一产妇月经年余不通，内热晡热，服分气丸，经行不止，恶寒作渴，食少倦怠，胸满气塞。朝用加味逍遥
散，夕用四君子汤，月许，诸症悉愈。佐以八珍汤，兼服两月而愈。
马元仪治金氏妇，产后一月，血来不已，厥逆，自汗不止，或与养血补阴不效。诊之，两尺空大无神，曰∶
褚氏有云，血虽阴类，运之其阳和乎？今厥逆自汗，脉大无根，为脾肾之真阳内弱，故血无所附而溢，所谓阳
虚阴必走也，法当大补真阳，以摄虚阴。若养血补阴，恐血未必生，而转伤阳气，则阴血愈不守矣。以人参三
两，白术一两，附子三钱，茯苓、炙甘草各一钱，一剂知，二剂已，数剂精神胜常矣。
缪仲淳治贺函伯乃正，小产后，阴血暴崩，作晕恶心，牙龈浮肿，喉咙作痛，日夜叫号不绝。曰∶此因失
血过多，阴气暴亏，阳无所附，火空则发，故炎上，胸中觉烦热，所谓上盛下虚之候也。法当降气，气降则火
自降矣。火降则气归元，而上焦不烦热，齿龈肿消，喉咙痛止，阳交于阴，而诸病自已耳。用苏子研、青蒿子
各二钱半，麦冬、白芍、鳖甲、牛膝、生地、枸杞各四钱，五味五分，枣仁五钱，续断、橘红各二钱，枇杷叶
三片，河水煎，加童便一大杯，郁金汁十二匙，空心服，时进童便一杯。
魏玉横曰∶竹溪夫人，年三十余，产后自巳至酉，血暴下如注，呵欠连连，遂目闭口张，面色青惨白悴，
汗出不止，发根尽湿，六脉全无，势欲脱矣。其初亦以童便灌之，韭醋熏之，殊不应。乃用熟地二两，杞子、
枣仁各一两，令煎汤，候药至投入，不待稠浓，即徐徐灌之，才尽一钟，汗止目开口闭，渐知人事。再与之，
血止而睡，醒后进粥。次日，仍以前方，令日服一剂，四日全瘳。当其亟予诊也，时方与人会饮，掷杯而往，
疏方而返。坐有业医者数人，询其症，咸曰∶犹与药乎，用何方？曰∶与某某。咸诧笑曰∶吾真买干鱼放生也，
咎将谁任，余笑而不言。
宋申甫室人，妊数月，时长夏，归宁母家，召医诊之，以为经阻也，投破瘀辛热之剂四帖，遂半产，血行
如泻。亟余诊，至则大汗淋漓，脉将脱矣，伏几上，去床数步，不能就寝，以血行之猛也。时惟亲戚之朱某在，
乃嘱其母，煮水待药，煎百余沸即与服，再煎再与，不及稠浓也。急偕朱，就近铺买熟地四两，杞子、枣仁各
二两，如法服立瘥。
张建东室人，年三十余，妊娠五月，素有肝病，偶不快，邻医与荆、防、广、半、香、砂、郁金、元胡之
类五剂，遂见红，腰腹酸坠，气促面红。诊之，脉不接续，曰∶胎已难保，第与滋养三阴，以防其崩耳。其产
必在子夜，若待崩而延诊服药，恐缓不及事，先疏方与之∶熟地二两，杞子一两，枣仁一两。令察其面若加赤，
气若加喘，血必暴下，宜急饮之。至时，一一如言，果获无事。次日就前方减半，入人参一钱，二剂而痊。后
数年，复孕，因肝虚发厥，余用生地、杞子之剂，不敢服，遂致变症百出，产后上咳下利。余与杞子、生地、
沙参、麦冬，病少退。次日，仍前方，告以必用蒌仁乃可，以服参、术、姜、附既多，热郁甚，非此莫能解也，
遂不复邀。后闻其日进参、 、术、附，卒致不起，人之生死岂皆命乎。
薛立斋治疗一位产妇，腹部感觉似有一块肿块，有时疼痛且位置移动，按压时不痛，（这就不是实性积滞。）面色萎黄，疼痛时流出白物，脉象浮而涩，这是肝气虚而血弱。患者不信，于是服用破血行气的药物，疼痛更加剧烈，肿块转动无常。又认为是“血鳖”，专门使用破血祛逐的药物，疼痛攻冲两胁，肚腹尤其严重，更确信是“鳖”，确实服用了下虫等药，导致失血很多，形体和气更加虚弱，四肢关节间各结成小核，隐藏在肉里，认为这是“鳖子”害怕药物而跑到外面去了。薛立斋说：肝脏藏血以滋养诸筋，这是因为肝血再次受损，筋脉干枯而痉挛结聚。大概四肢、关节、胸部和项部，都属于肝胆的部分，通过养护脾土，补益肺金和水液以滋助肝血，那么筋脉自然舒展。于是使用八珍汤、逍遥散、归脾汤，加减调治而痊愈。
另一位产妇小腹作痛，有肿块，脉象芤而涩，用四物汤加延胡索、红花、桃仁、牛膝、木香，治疗而痊愈。
薛立斋治疗一位产妇，发生血崩，小腹胀痛，使用破气行血的药剂，结果血崩如涌出，四肢无力不能收持，恶寒呕吐，大便频繁腹泻。使用六君子汤、炮姜，四剂后稍有好转。后又用十全大补汤，三十多剂后完全康复。
另一位产妇血崩，因为愤怒，血流如涌，跌倒在地，牙关紧闭，眼睛斜视，手足抽搐，这是肝经血耗生风。使用六味地黄丸料一剂，各种症状全部消退。但进食少，下午发热，佐以四君子汤、柴胡、丹皮而痊愈。
孙文垣治疗黄氏妇人，生产未满一个月，醉酒犯房事，出血如崩漏，发热头晕，大小便都热，六脉洪大，用竹茹、蒲黄、白芍各一钱，香附、茯苓、侧柏叶各七分，甘草、炮姜、艾叶各三分，血止住大半。腰部仍然胀痛，下午胸膈饱闷，改为川芎五分，当归、茯苓、补骨脂、蒲黄、香附各八分，姜炭、甘草各一分，陈皮七分，人参一钱而痊愈。
吕东庄治疗从子在公妇半产，恶露稀少，胸腹胀满严重，诊脉濡数，应当重用参、术，不然必然崩漏。因为力量艰难未能服药，不久果然崩溃不止，下血块如手掌如碗的无数，神气昏愦，两脚冰冷至小腹，两手冰冷至肩，额头鼻子都像冰一样，头上汗如油，刚擦完又出来。按她的脉，重按至骨都看不见，于是投以大剂量的补中益气汤，加人参一两，没有效果。（如果没有一两的人参，单服补中益气汤就会立即脱证，不可不知道。）急忙用人参一两，附子一两，炮姜二钱，浓煎灌服，到傍晚逐渐减轻。告诫说：等到手脚温暖就停药。到了三更天手脚完全温暖，崩漏也停止，家人忘了告诫，又煎前药进服。等到天亮查看，脉象已经出现但没有条理，痰突然上涌，一点水都不能喝，入口即呕吐，连独参汤也不能下。说：这是用药过量导致的。随即投生地黄五钱，熟地黄一两，当归、白芍、枸杞各三钱，甘草一钱，浓煎给病人喝。病人心想喝参汤还吐，何况是药呢，不肯服，于是强迫她说：试着少喝点，一定不会吐。喝了半瓯，非常安适，于是全给她喝，喝完药后痰没有半点，神气顿时清醒了。午后，身体发热，说：这是血虚热，是常理。后来用十全大补汤调理而痊愈。（雄按：人参虽然用量重，幸好没有立即脱证。而治疗方法大错，能掉头设法，其聪明有过人之处。）
张飞畴治疗陈子浓的儿媳，八月间因生产不顺，失血过多，产后恶露稀少，服用益母汤不行，身热汗血。产科医生用发散行血的方法使病情更严重。自己用蕉糖酒一碗，于是周身络脉像被捶打一样难受，恶露大下，面赤，戴眼（眼球上翻），出汗如浴，只说心痛无法形容。（这就是杀血心痛。）这是失血过多，心失去滋养所以痛；肝主筋，是藏血的地方，肝失去荣养，所以脉络像被捶打一样不堪忍受。而且汗是产后的大禁忌，如果不急用人参，恐怕难以挽回。用四君子汤合保元汤加白芍、五味子，一剂后汗止。因为她谵语像中邪，怀疑是瘀血未尽，更想通利。说：声音怯懦无神，这属于郑声（虚证时的呓语），而且腹部没有瘀痛，瘀血从何而来？这是神气散乱不收的缘故，前方加入枣仁、龙齿，各种症状全部平息。后来服独参汤，直到满月才安稳。
薛立斋治疗一位产妇，月经不调，内热燥渴，服用寒凉药剂，其血如崩漏，腹肿痛，寒热，作呕少食。用六君子汤，二十多剂，各种症状全部痊愈。用加味逍遥散，调理而安。
一位产妇月经年余不通，内热下午发热，服用分气丸，经行不止，恶寒作渴，食少倦怠，胸满气塞。早上用加味逍遥散，晚上用四君子汤，一个月左右，各种症状全部痊愈。佐以八珍汤，兼服两个月而痊愈。
马元仪治疗金氏妇人，产后一个月，血来不停，厥逆，自汗不止，或者给予养血补阴无效。诊察，两尺脉空大无神，说：褚氏有云，血虽然是阴类，运化它靠的是阳气调和吗？现在厥逆自汗，脉大无根，是脾肾的真阳内部虚弱，所以血无所依附而溢出，所谓阳虚阴必走也，法当大补真阳，以摄纳虚阴。如果养血补阴，恐怕血未必生，反而损伤阳气，那么阴血更加不守了。用人参三两，白术一两，附子三钱，茯苓、炙甘草各一钱，一剂见效，二剂病愈，几剂后精神胜过平常。
缪仲淳治疗贺函伯的儿子正，小产后，阴血暴崩，头晕恶心，牙龈浮肿，喉咙作痛，日夜叫号不绝。说：这是因为失血过多，阴气突然亏损，阳气无所依附，火在空虚处则发，所以上炎，胸中觉得烦热，所谓上盛下虚的候象。法当降气，气降则火自降。火降则气归元，而上焦不烦热，齿龈肿消，喉咙痛止，阳交于阴，而各种病自然痊愈。用苏子研、青蒿子各二钱半，麦冬、白芍、鳖甲、牛膝、生地、枸杞各四钱，五味子五分，枣仁五钱，续断、橘红各二钱，枇杷叶三片，河水煎，加童便一大杯，郁金汁十二匙，空腹服，时时进童便一杯。
魏玉横说：竹溪夫人，年三十多岁，产后从巳时至酉时，血暴下如注，呵欠连连，于是目闭口张，面色青惨白悴，汗出不止，发根尽湿，六脉全无，势欲脱证。起初也用童便灌之，韭醋熏之，殊不应验。于是用熟地二两，杞子、枣仁各一两，令煎汤，等药到了投入，不待稠浓，就徐徐灌之，才喝完一钟，汗止目开口闭，渐渐知道人事。再给她喝，血止而睡，醒后进粥。第二天，仍用前方，令日服一剂，四天全愈。当他紧急去诊治时，当时正在与人会饮，扔下杯子就去，开方回来。座中有几位业医者，询问他的症，都说：还要给药吗？用什么方？说：与某某。大家都诧异笑着说：我真是买干鱼放生啊，责任归谁？我笑着不说话。
宋申甫的妻子，怀孕数月，正值长夏，回娘家，请医生诊治，以为是经阻（月经停闭），投破瘀辛热药剂四帖，于是半产，血行如泻。急忙请我诊治，到了则大汗淋漓，脉将脱，趴在几案上，离床几步，不能躺下，因为血行之猛。当时只有亲戚朱某在，于是嘱咐她母亲，煮水待药，煎百余沸就给服，再煎再给，不及稠浓。急忙偕同朱某，就近铺买熟地四两，杞子、枣仁各二两，依法服用立刻痊愈。
张建东的妻子，年三十多岁，妊娠五月，素有肝病，偶尔不舒服，邻医给荆芥、防风、广藿香、半夏、香附、砂仁、郁金、元胡之类五剂，于是见红，腰腹酸坠，气促面红。诊察，脉不接续，说：胎已难保，只给滋养三阴，以防其崩漏。分娩必在子夜，如果等崩漏再延请诊治服药，恐怕缓不及事，先开方给她：熟地二两，杞子一两，枣仁一两。让她观察如果面色更红，气喘加重，血必暴下，宜急饮之。到时，一一如言，果然获无事。次日就前方减半，入人参一钱，二剂而痊愈。后数年，复孕，因肝虚发厥，我用生地、杞子的药剂，不敢服，遂致变症百出，产后上咳下利。我给杞子、生地、沙参、麦冬，病少退。第二天，仍用前方，告以必须用蒌仁才可以，因为服参、术、姜、附既多，热郁甚，非此莫能解也，遂不再邀请。后听说她日进参、术、附，最终致死，人的生死难道都是命吗。
Xue Lizhai treated a postpartum woman who felt a mass in her abdomen, which sometimes caused pain and moved around. It was not painful upon pressure (indicating it was not an excess accumulation). Her complexion was sallow, she discharged leukorrhea when in pain, and her pulse was floating and choppy. This indicated deficiency of Liver Qi and weakness of Blood. The patient did not believe this and took blood-breaking and Qi-moving herbs, causing the pain to intensify and the mass to move irregularly. She then believed it was "blood leech" (a folk pathology concept) and specifically used blood-breaking and expelling drugs. The pain attacked both hypochondria, with the abdomen being particularly severe, further convincing her it was a leech. She indeed took vermifuge-like medicines, losing a large amount of Blood, becoming increasingly deficient in form and Qi. Small nodules formed in her joints, hidden within the flesh, which she thought were "leech offspring" fleeing the medicine. Xue said: "The Liver stores Blood to nourish the sinews. Here, Liver Blood has been damaged again, causing the sinews to dry up and spasm. The limbs, joints, chest, and neck all belong to the Gallbladder and Liver regions. By nurturing Spleen Earth, tonifying Lung Metal and Kidney Water to nourish Liver Blood, the sinews will naturally relax." He subsequently used Bazhen Tang (Eight-Treasure Decoction), Xiaoyao San (Free and Easy Wanderer Powder), and Guipi Tang (Restore the Spleen Decoction), modified as appropriate, leading to recovery.
Another postpartum woman suffered from lower abdominal pain and a mass, with a knotted and choppy pulse. She was treated with Siwu Tang (Four-Substance Decoction) plus Yanhusuo (Corydalis Rhizome), Honghua (Carthamus Flower), Taoren (Peach Seed), Niuxi (Achyranthes Root), and Muxiang (Aucklandia Root), resulting in recovery.
Xue Lizhai treated a postpartum woman with metrorrhagia (uterine bleeding), distending pain in the lower abdomen. After using Qi-breaking and Blood-moving agents, the bleeding became like a gush, accompanied by flaccidity of the four limbs, aversion to cold, vomiting, and frequent loose stools. Six Junzi Tang (Six-Gentleman Decoction) and Paojiang (Charred Ginger) were administered for four doses, bringing slight improvement. Subsequently, Shiquan Dabu Tang (Ten-Ingredient Great Tonifying Decoction) was given for over thirty doses, leading to full recovery.
Another postpartum woman experienced metrorrhagia due to anger. The blood gushed out, she collapsed, her jaw clenched, eyes deviated, and limbs convulsed. This was Wind generated from Blood exhaustion in the Liver Channel. One dose of Liuwei Wan (Six-Ingredient Pill) material eliminated all symptoms. However, due to poor appetite and afternoon fever, Sizijunzi Tang (Four-Gentleman Decoction) was supplemented with Chaihu (Bupleurum Root) and Danpi (Moutan Bark), leading to recovery.
Sun Wen Yuan treated Mrs. Huang, who had intercourse while drunk less than a month after childbirth. She suffered from flooding bleeding, fever, dizziness, and heat in urination and defecation. Her six pulses were surging and large. Zhuru (Bamboo Shavings), Puhuang (Typha Pollen), and Baishao (White Peony Root) at 1 qian each; Xiangfu (Cyperus Rhizome), Fuling (Poria), and Ce Bai Ye (Biota Tops) at 0.7 fen each; Gancao (Licorice Root), Paojiang (Charred Ginger), and Aye (Mugwort Leaf) at 0.3 fen each were prescribed. The bleeding stopped by more than half. Due to persistent waist pain and afternoon chest/epigastric fullness, the formula was changed to Chuanxiong (Ligusticum Rhizome) 0.5 fen, Danggui (Angelica Sinensis Root), Fuling (Poria), Buguzhi (Psoralea Fruit), Puhuang (Typha Pollen), and Xiangfu (Cyperus Rhizome) at 0.8 fen each; Jiangtan (Charred Ginger) and Gancao (Licorice Root) at 0.1 fen each; Chenpi (Tangerine Peel) 0.7 fen; and Renshen (Ginseng Root) 1 qian. This led to recovery.
Lu Dongzhuang treated his nephew's daughter-in-law who had a miscarriage. Lochia was scanty, with severe chest and abdominal distension. Her pulse was soft and rapid. Heavy use of Renshen (Ginseng Root) and Baizhu (Atractylodes Macrocephala Rhizome) was indicated; otherwise, collapse would occur. Due to financial hardship, she did not take them. Soon, she suffered uncontrollable hemorrhage, passing countless blood clumps the size of palms or bowls. Her spirit was confused, feet cold up to the lower abdomen, hands cold up to the shoulders, forehead and nose ice-cold, and head sweating profusely like oil. Her pulse was imperceptible even at the bone level. A large dose of Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with 1 liang of Renshen (Ginseng Root) was given but failed. (Note: Without 1 liang of Ginseng, Buzhong Yiqi Tang alone would cause immediate collapse.) Urgently, 1 liang of Renshen (Ginseng Root), 1 liang of Fuzi (Prepared Aconite Root), and 2 qian of Paojiang (Charred Ginger) were decocted thickly and administered. By evening, symptoms gradually subsided. He warned: "Stop the medicine once hands and feet are warm." By midnight, her limbs were fully warm, and bleeding stopped. The family forgot the warning and gave another dose. At dawn, her pulse was erratic, phlegm surged upward, preventing even water intake, causing vomiting, making even Dushen Tang (Single Ginseng Decoction) impossible to retain. He stated: "This is due to overdosing." He immediately prescribed Shengdi Huang (Rehmannia Root) 5 qian, Shudi Huang (Prepared Rehmannia Root) 1 liang, Danggui (Angelica Sinensis Root), Baishao (White Peony Root), and Gouqi (Goji Berry) at 3 qian each, and Gancao (Licorice Root) 1 qian, decocted thickly. The patient doubted taking medicine due to previous vomiting but was persuaded to try a small sip. After half a bowl, she felt comfortable, so the rest was given. Phlegm disappeared completely, and her spirit cleared instantly. In the afternoon, she developed body heat, which he attributed to Blood deficiency heat. She later recovered after conditioning with Shiquan Dabu Tang (Ten-Ingredient Great Tonifying Decoction). (Commentary: Although the Ginseng dose was heavy, collapse was avoided. The treatment method was largely flawed, yet his ability to adapt showed exceptional intelligence.)
Zhang Feichou treated the daughter-in-law of Chen Zinong. In August, difficult labor caused excessive blood loss. Postpartum lochia was scanty. Yi Mu Tang (Motherwort Decoction) failed to promote flow. She developed fever and bloody sweat. Obstetricians used dispersing and Blood-moving methods, worsening the condition. Self-administered banana sugar wine caused unbearable pain in meridians, massive loxia discharge, red face, upward deviation of eyes, bathing sweat, and indescribable heart pain (Sha Xue Xin Tong - Heart Pain from Blood Killing). This pain resulted from Heart malnourishment due to excessive blood loss. The Liver governs sinews and stores Blood; Liver malnourishment caused meridian pain. Sweating is a major taboo postpartum. Urgent Renshen (Ginseng Root) was needed to save her. Sizijunzi Tang (Four-Gentleman Decoction) combined with Baoyuan Tang (Preserve the Origin Decoction) plus Baishao (White Peony Root) and Wuweizi (Schisandra Fruit) stopped sweating in one dose. Due to delirium resembling possession, stasis was suspected, prompting desire for purgation. He noted: "Voice is weak and spiritless, indicating Zheng Sheng (deficiency muttering). Abdomen lacks stasis pain, so where is the stasis? This is scattered Spirit. Add Suanzaoren (Ziziphus Seed) and Longchi (Dragon Bone) to the previous formula." All symptoms calmed. Later, Dushen Tang (Single Ginseng Decoction) was taken until one month postpartum, ensuring stability.
Xue Lizhai treated a postpartum woman with irregular menstruation, internal heat, and dry thirst. Cold-natured herbs caused flooding bleeding, abdominal swelling/pain, alternating chills/fever, and vomiting with poor appetite. Liujunzi Tang (Six-Gentleman Decoction) for over twenty doses cured all symptoms. Jia Wei Xiaoyao San (Modified Free and Easy Wanderer Powder) conditioned her to health.
Another postpartum woman had amenorrhea for over a year, internal heat, and afternoon fever. Fenqi Wan (Qi-Separating Pill) caused continuous menstruation, aversion to cold, thirst, poor appetite, fatigue, chest fullness, and Qi obstruction. Morning: Jia Wei Xiaoyao San (Modified Free and Easy Wanderer Powder); Evening: Sizijunzi Tang (Four-Gentleman Decoction). After one month, symptoms resolved. Bazhen Tang (Eight-Treasure Decoction) was added for two months for complete recovery.
Ma Yuanyi treated Mrs. Jin, one month postpartum, with continuous bleeding, cold extremities, and incessant spontaneous sweating. Blood-nourishing and Yin-tonifying herbs failed. Pulse at both Chi positions was empty, large, and spiritless. He cited Chu Shi: "Blood is Yin, but its movement relies on Yang harmony." Current symptoms indicate weak True Yang in Spleen and Kidney, causing Blood to overflow without attachment ("Yang deficiency leads to Yin leakage"). Method: Greatly tonify True Yang to secure deficient Yin. Nourishing Blood/Yin might fail to generate Blood and damage Yang further. Renshen (Ginseng Root) 3 liang, Baizhu (Atractylodes Macrocephala Rhizome) 1 liang, Fuzi (Prepared Aconite Root) 3 qian, Fuling (Poria), and Zhi Gancao (Honey-fried Licorice Root) 1 qian each. Improvement in one dose, cure in two, several doses restored normal spirit.
Miu Zhong Chun treated He Fanbo's son Zheng. After minor abortion, sudden violent Yin Blood hemorrhage caused dizziness, nausea, swollen gums, and sore throat with ceaseless crying day and night. He stated: "Excessive blood loss causes sudden Yin deficiency. Yang has no anchor, Fire rises in emptiness, flaming upward causing chest heat. This is Upper Excess and Lower Deficiency." Method: Descend Qi; descending Qi descends Fire. Fire descends, Qi returns to origin, upper jiao heat clears, gums swell less, throat pain stops, Yang joins Yin, diseases resolve. Su Zi (Perilla Seed) and Qing Hao Zi (Artemisia Seed) ground, 2.5 qian each; Maidong (Ophiopogon Tuber), Baishao (White Peony Root), Biejia (Turtle Shell), Niuxi (Achyranthes Root), Shengdi Huang (Rehmannia Root), Gouqi (Goji Berry) at 4 qian each; Wuweizi (Schisandra Fruit) 0.5 fen; Suanzaoren (Ziziphus Seed) 5 qian; Xuduan (Dipsacus Root), Juhong (Aged Tangerine Peel) 2 qian each; Pipaye (Loquat Leaf) 3 slices. Decocted in river water, add 1 large cup of Tongbian (Child Urine), 12 spoons of Yujin Zhi (Curcuma Juice). Take on empty stomach, occasionally sip Tongbian.
Wei Yuheng said: Lady Zhuxi, over 30 years old, suffered violent postpartum hemorrhage from Si to You hours, frequent yawning, closed eyes, open mouth, pale/grey complexion, incessant sweating soaking hair roots, six pulses vanished, impending collapse. Initial Tongbian (Child Urine) enemas and Leek/Vinegar fumigation failed. Shudi Huang (Prepared Rehmannia Root) 2 liang, Gouqi (Goji Berry), Suanzaoren (Ziziphus Seed) 1 liang each were decocted. Given slowly before thick concentration. One bell glass consumed, sweating stopped, eyes opened/closed, consciousness returned. Repeated dosing stopped bleeding, induced sleep, resumed porridge next morning. Next day, same formula, one dose daily, cured in four days. When urgently called, he left a drinking gathering, wrote prescription, and returned. Colleagues mocked: "Buying dried fish to release life? Who bears responsibility?" He smiled silently.
Song Shenfu's wife, pregnant several months, during midsummer, visited parents. Doctor diagnosed menstrual obstruction, gave four doses of Blood-breaking, acrid-hot herbs, causing miscarriage and profuse bleeding. Urgent consultation found profuse sweating, impending pulse collapse. She lay on desk, unable to reach bed due to violent bleeding. Only relative Zhu was present. Ordered mother to boil water, decoct herb quickly (over 100 boils), administer immediately, repeat. Urgently bought Shudi Huang (Prepared Rehmannia Root) 4 liang, Gouqi (Goji Berry), Suanzaoren (Ziziphus Seed) 2 liang each. Taken according to method, cured immediately.
Zhang Jiandong's wife, over 30, five months pregnant, chronic Liver disease. Minor discomfort treated by neighbor doctor with Jingjie (Schizonepeta), Fangfeng (Saposhnikovia), Guang Huo Xiang (Patchouli), Banxia (Pinellia), Xiangfu (Cyperus), Sharen (Amomum), Yujin (Curcuma), Yuanhu (Corydalis) for five doses. Resulted in spotting, sore/dragging waist/abdomen, shortness of breath, red face. Pulse discontinuous. He said: "Fetus hard to save. Nurture Three Yin to prevent collapse." Delivery expected at midnight. If waiting for collapse, too late. Prescribed in advance: Shudi Huang (Prepared Rehmannia Root) 2 liang, Gouqi (Goji Berry), Suanzaoren (Ziziphus Seed) 1 liang each. Advised: If face reddens or breathing worsens, blood will surge, drink immediately. Events unfolded as predicted, safely. Next day, halved dose, added Renshen (Ginseng Root) 1 qian, cured in two doses. Years later, pregnant again, fainted due to Liver deficiency. Used Shengdi Huang (Rehmannia Root) and Gouqi (Goji Berry), but she refused, leading to myriad complications, postpartum cough and diarrhea. Given Gouqi (Goji Berry), Shengdi Huang (Rehmannia Root), Shashen (Glehnia Root), Maidong (Ophiopogon Tuber), symptoms slightly improved. Next day, same formula, advised adding Lou Ren (Trichosanthes Seed) because prior excessive use of Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome), Paojiang (Charred Ginger), Fuzi (Prepared Aconite Root) caused severe Heat stagnation, requiring this to resolve. She refused further visits. Later heard she continued taking Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome), Fuzi (Prepared Aconite Root), ultimately dying. Are life and death merely fate?