雄按∶此证最多，何以仅采温补数案？
薛立斋治大尹俞君之内，产后发热晡热，吐血便血，兼盗汗小便频，胸胁胀痛，肚腹痞闷，此诸脏虚损也，
症当固本为善。自恃知医，用降火之剂，更加泻利肠鸣，呕吐不食，腹痛足冷，始信薛言。诊其脉，或浮洪，
或沉细，或如无。（大虚之脉类多如此。）其面或青黄，或赤白，此虚寒假热之状。时虽仲夏，当舍时从症，先用六君子
加炮姜、肉桂，数剂胃气渐复，诸症渐退。更佐以十全大补汤，半载全愈。
儒者杨敬之内人，患症同前，但唾痰涎，或用温补化痰之剂不应，面色黧黑，两尺浮大，按之微细。此因
命门火衰，不能生脾土，脾土不能生诸脏而为患也，用八味丸补土之母而痊。
一妇人产后血竭，朝寒暮热，肚腹作胀而痛，按之不痛。以为血气俱虚，用八珍之类治，更加发热烦躁。
仍用当归补血汤，热躁渐止。用八珍、麦冬、五味子，气血渐复。
一产妇朝寒多热，或不时寒热，久不愈，用六君、补中益气兼服，百余帖而安。
沈尧封治邹氏妇，产后便泄，用参附温补未效。新城吴敬一诊云∶虚寒而兼下陷，用补中益气加熟地、茯
苓、桂、附，应手取效。以是观之，方论内言下虚而不可升提，不尽然也。
陆氏妇产后发疹，细而成粒，不稀不密，用荆芥、蝉蜕、鼠粘等药，一剂头面俱透。越一日，渐有回意，
忽大便溏泄数次，觉神气不宁。问其所苦，曰热曰渴，语言皆如抖出，脉虚细数，有七至。沈师金大文诊之曰∶
此阳脱症也，属少阴。用生附子三钱，水洗略浸，切片焙，水炒米色，炮干姜八分，炒甘草一钱，炒白芍一钱
五分，水煎冲童便一调羹，青鱼胆汁四小茶匙，（因无猪胆，故以此代之。）服毕即睡，觉来热渴俱除。续
用黄 建中汤加丹参、苏木，二剂而安。
产后恶血不行，余血渗入大肠，洞泄不禁，或下青黑物，的奇散极验。荆芥大者四五穗，于盏内燃火，烧
成灰，不得犯油火，入麝香少许，研匀，沸汤一两，呷调下。此药虽微，能愈大病，慎勿忽视。又《千金》胶
蜡汤，治产后利，黄蜡二棋子大，阿胶二钱，当归二钱半，黄连三钱，黄柏一钱，陈米半升煎汤，煎药服。
裴兆期治一妇，产后发热不止，汗多语错，六脉洪大而虚，六昼夜不合眼，一合眼则飘飘如入云中，投以
参、 、归、术、丹皮、童便及炒黑干姜之类不验，反增头眩耳鸣，恶心嘈杂，欲呕不呕。裴翻然曰∶此非气
血大亏，乃痰涎壅盛也。更方用半夏三钱，天麻二钱，茯苓、橘红、白蔻仁、浓朴、黄连、枳实各一钱，竹茹
三钱，铁锈水煎服，二剂气爽神清，身凉脉静。继以人参大补丸，日进二服，以培胃中元气，月余全愈。
产后虚弱，豆腐浆一碗，冲入打散鸡子一枚，再加豆腐皮一张，龙眼肉十四枚，白沙糖一两，同滚透，五
更空心服。产后失调，往往延成劳损，而贫户医药无赀，富家又每为药误，此方甘平和缓，补血滋阴，贫富皆
宜，允为妙剂。
徐大椿按语：这种证候最为常见，为什么只收录了温补的几则医案？
薛立斋治疗大尹俞君的妻子，产后出现发热、傍晚潮热、吐血、便血，兼有盗汗、小便频数、胸胁胀痛、腹部痞闷的症状，这是多个脏腑虚损的表现。病症应当以固护根本为善策。患者自恃懂医，使用了降火的药剂，导致更加腹泻、肠鸣、呕吐、无法进食、腹痛且双脚冰冷，这才相信薛立斋的话。诊察其脉象，有的浮洪，有的沉细，有的好像没有脉搏。（极度虚弱的脉象大多如此。）她的面色有的发青黄，有的发赤白，这是虚寒而表面呈现假热的征象。虽然时值仲夏，但应当舍弃季节因素而从症状出发，先用六君子汤加入炮姜、肉桂，服用数剂后胃气逐渐恢复，各种症状逐渐消退。随后辅以十全大补汤，半年后完全痊愈。
儒生杨敬之的妻子，患的病症与前述相同，只是咳唾痰涎，使用温补化痰的药剂无效，面色黧黑，两尺脉浮大，重按微细。这是因为命门火衰，不能生助脾土，脾土不能生养其他脏腑从而引发疾患，使用八味丸补益脾土之母（肾）而痊愈。
一位妇人产后血竭（阴血枯竭），早晨恶寒傍晚发热，腹部胀满疼痛，但按压不痛。认为是气血俱虚，使用八珍汤之类的方剂治疗，反而加重发热烦躁。仍然使用当归补血汤，热躁逐渐停止。再用八珍汤加麦冬、五味子，气血逐渐恢复。
一位产妇早晨恶寒多发热，或不时寒热交替，久治不愈，使用六君子汤、补中益气汤兼服，服用百余帖后安定。
沈尧封治疗邹姓妇人，产后大便泄泻，用人参、附子温补未见效。新城吴敬一诊察认为：属虚寒兼有中气下陷，使用补中益气汤加熟地黄、茯苓、桂枝、附子，应手取效。由此看来，方论中说下焦虚弱不可升提，并不完全正确。
陆氏妇人产后发疹，细小如米粒，不稀疏也不密集，使用荆芥、蝉蜕、牛蒡子等药，一剂后头面部皮疹全部透出。过了一天，病情渐有回退之意，忽然大便溏泄数次，感觉神气不安。询问其痛苦所在，说发热口渴，说话都像是颤抖着吐出来，脉象虚细数，一息七至。沈师金大文诊察说：这是阳脱症，属于少阴经。使用生附子三钱，水洗略浸，切片焙干，炒米色，炮干姜八分，炒甘草一钱，炒白芍一钱五分，水煎后冲入童便一调羹，青鱼胆汁四小茶匙（因为没有猪胆，所以用此代替）。服药后即入睡，醒来后热渴均除。随后使用黄芪建中汤加丹参、苏木，两剂后安定。
产后恶血不行，余血渗入大肠，导致洞泄不禁，或排出青黑色物质，的奇散极有效验。选取大的荆芥四五穗，在盏内燃火，烧成灰，不得沾染油火，加入少许麝香，研匀，用一两沸汤调服。此药虽轻微，能治愈大病，切勿忽视。另外《千金》胶蜡汤，治疗产后痢疾，黄蜡两块棋子大小，阿胶二钱，当归二钱半，黄连三钱，黄柏一钱，陈米半升煎汤，再煎药服用。
裴兆期治疗一位妇人，产后发热不止，汗多胡言乱语，六脉洪大而虚，六昼夜不合眼，一合眼则飘飘忽忽如入云中，投以人参、白术、当归、白术、牡丹皮、童便及炒黑干姜之类无效，反而增加头眩耳鸣、恶心嘈杂、欲呕不呕的症状。裴兆期恍然大悟说：这不是气血大亏，而是痰涎壅盛。更换方剂使用半夏三钱，天麻二钱，茯苓、橘红、白蔻仁、厚朴、黄连、枳实各一钱，竹茹三钱，铁锈水煎服，两剂后气顺神清，身凉脉静。继以人参大补丸，每日进服两次，以培补胃中元气，月余后完全痊愈。
产后虚弱，豆腐浆一碗，冲入打散的鸡蛋一枚，再加豆腐皮一张，龙眼肉十四枚，白沙糖一两，同煮滚透，五更时分空腹服用。产后调理不当，往往拖延成为劳损，而贫苦人家医药无资，富贵人家又常被药物误治，此方甘平和缓，补血滋阴，贫富皆适宜，确为妙剂。
Xu Dacun’s Note: This type of syndrome is most common; why are only a few cases of warm tonification collected?
Xue Lizhai treated the wife of Grand Steward Yu, who presented with postpartum fever, afternoon tidal fever, hematemesis (vomiting blood), hematochezia (blood in stool), accompanied by night sweats, frequent urination, distending pain in the chest and hypochondrium, and abdominal fullness. This indicates deficiency and damage of multiple zang-organs. The treatment should prioritize securing the root. Relying on her own medical knowledge, she used heat-clearing and fire-draining agents, which exacerbated diarrhea, borborygmus (intestinal rumbling), vomiting, anorexia, abdominal pain, and cold feet. Only then did she believe Xue’s words. Her pulse was examined as floating and surging in some instances, deep and fine in others, or seemingly absent. (Pulses of extreme deficiency often appear thus.) Her complexion was either greenish-yellow or reddish-white, presenting the appearance of deficiency-cold with false-heat. Although it was midsummer, one should disregard the season and follow the symptoms. Initially, Liu Jun Zi Tang (Six Gentlemen Decoction) was administered with processed Sheng Jiang (Baked Ginger) and Rou Gui (Cinnamon Bark). After several doses, stomach qi gradually recovered, and various symptoms subsided. Subsequently, Shi Quan Da Bu Tang (Ten Significant Tonifying Decoction) was added, resulting in complete recovery after half a year.
The wife of Scholar Yang Jingzhi suffered from the same syndrome as described above, but also expectorated phlegm-saliva. Warm-tonifying and phlegm-resolving agents were ineffective. Her complexion was dark, and the chi pulses at both wrists were floating and large but fine upon deep pressure. This was due to the decline of Mingmen Fire (Gate of Life Fire), which failed to generate Pi Tu (Spleen Earth); consequently, Spleen Earth could not nourish the other zang-organs, leading to pathology. Ba Wei Wan (Eight-Ingredient Pill) was used to tonify the mother of Spleen Earth (i.e., Kidney), resulting in recovery.
A woman presented with postpartum blood exhaustion (exhaustion of Yin-blood), morning chills, evening fevers, abdominal distension and pain that was non-tender upon palpation. It was considered a deficiency of both Qi and Blood, and Ba Zhen Tang (Eight Treasures Decoction) was used, but this aggravated fever and irritability. Dang Gui Bu Xue Tang (Dong Quai Decoction for Tonifying Blood) was then employed, and the fever and irritability gradually ceased. Ba Zhen Tang was combined with Mai Dong (Ophiopogon Root) and Wu Wei Zi (Schisandra Fruit), leading to the gradual restoration of Qi and Blood.
A parturient presented with morning chills and predominant evening fevers, or intermittent chills and fevers, persisting for a long time without cure. Liu Jun Zi Tang (Six Gentlemen Decoction) and Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) were administered concurrently. After more than a hundred doses, she stabilized.
Shen Yaofeng treated a woman surnamed Zou who had postpartum diarrhea. Treatment with Ren Shen (Ginseng) and Fu Zi (Aconite Root) for warming and tonifying was ineffective. Wu Jingyi from Xincheng diagnosed it as deficiency-cold accompanied by sinking of Qi. Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) was modified with Shu Di Huang (Prepared Rehmannia Root), Fu Ling (Poria), Gui Zhi (Cinnamon Twig), and Fu Zi (Aconite Root), yielding immediate results. This demonstrates that statements in formula literature claiming that lower deficiency precludes lifting and raising therapies are not entirely accurate.
Madam Lu developed a rash postpartum, consisting of fine, grain-like papules, neither sparse nor dense. Jing Jie (Schizonepeta Spike), Chan Tui (Cicada Slough), and Niu Bang Zi (Arctium Fruit) were used. After one dose, the rash fully erupted on the head and face. The next day, signs of resolution appeared, but suddenly she experienced loose stools several times and felt spiritual unrest. Upon inquiry regarding her distress, she reported fever and thirst, and her speech seemed tremulous. Her pulse was deficient, fine, rapid, with seven beats per respiration. Master Shen Jin Dawen diagnosed this as Yang Collapse Syndrome, belonging to the Shaoyin (Lesser Yin) channel. Sheng Fu Zi (Raw Aconite Root), three qian, was washed, briefly soaked, sliced, and baked until resembling fried rice color; Pao Gan Jiang (Baked Dried Ginger), eight fen; Chao Gan Cao (Stir-fried Licorice Root), one qian; and Chao Bai Shao (Stir-fried White Peony Root), one qian five fen, were decocted in water. One spoonful of Tong Bian (Child’s Urine) and four small teaspoons of Qing Yu Dan Chi (Green Fish Gallbladder Bile) [used because pig gallbladder bile was unavailable] were added. After ingestion, she slept immediately. Upon waking, fever and thirst were eliminated. Huang Qi Jian Zhong Tang (Astragalus Decoction for Establishing the Middle) was subsequently administered with Dan Shen (Salvia Root) and Su Mu (Sappan Wood), resulting in stability after two doses.
When postpartum lochia fails to discharge, residual blood infiltrates the Large Intestine, causing profuse uncontrollable diarrhea or passage of dark green-black matter. De Qi San (De Qi Powder) is extremely effective. Select four or five spikes of large Jing Jie (Schizonepeta Spike), ignite them in a cup, burn to ash, ensuring no oil or open fire touches them. Add a small amount of She Xiang (Musk), grind uniformly, and mix with one liang of boiling water to swallow. Although this medicine is mild, it can cure serious illnesses; do not neglect it. Additionally, Jiao La Tang (Gelatin and Beeswax Decoction) from *Qian Jin Fang* treats postpartum dysentery: Huang La (Yellow Beeswax), size of two chess pieces; E Jiao (Donkey-Hide Gelatin), two qian; Dang Gui (Angelica Sinensis Root), two qian half; Huang Lian (Coptis Rhizome), three qian; Huang Bo (Phellodendron Bark), one qian; and Chen Mi (Old Rice), half sheng, are decocted in water to make a soup, in which the medicine is prepared and taken.
Pei Zhaoqi treated a woman with persistent postpartum fever, excessive sweating, and delirious speech. Her six pulses were surging and large yet deficient. She had not closed her eyes for six days and nights; whenever she tried to sleep, she felt as if floating in clouds. Treatment with Ren Shen (Ginseng), Bai Zhu (Atractylodes Macrocephala Rhizome), Dang Gui (Angelica Sinensis Root), Bai Zhu (Atractylodes Macrocephala Rhizome), Mu Dan Pi (Moutan Cortex), Tong Bian (Child’s Urine), and Chao Hei Gan Jiang (Charred Black Dried Ginger) was ineffective and instead worsened dizziness, tinnitus, nausea, epigastric discomfort, and retching without vomiting. Pei suddenly realized: "This is not a great deficiency of Qi and Blood, but rather an abundance of Phlegm-Saliva." The prescription was changed to Ban Xia (Pinellia Tuber), three qian; Tian Ma (Gastrodia Rhizome), two qian; Fu Ling (Poria), Ju Hong (Tangerine Peel), Bai Kou Ren (White Cardamom Seed), Hou Po (Magnolia Bark), Huang Lian (Coptis Rhizome), and Zhi Shi (Immature Bitter Orange), each one qian; Zhu Ru (Bamboo Shavings), three qian. These were decocted in Tie Xiu Shui (Iron Rust Water). After two doses, her Qi smoothed, spirit cleared, body cooled, and pulse quieted. Ren Shen Da Bu Wan (Ginseng Great Tonifying Pill) was then administered, twice daily, to cultivate Yuan Qi (Primal Qi) in the Stomach, resulting in complete recovery after a month.
For postpartum weakness, one bowl of Tofu Milk is mixed with one beaten egg, plus one sheet of Tofu Skin, fourteen Long Yan Rou (Longan Aril), and one liang of Bai Sha Tang (White Rock Sugar). Boil thoroughly together. Take on an empty stomach at Wugeng (3–5 AM). Improper regulation postpartum often prolongs into consumptive disease. Poor families lack funds for medicine, while wealthy families are often harmed by incorrect medication. This formula is sweet, neutral, gentle, tonifies Blood, and nourishes Yin, suitable for both rich and poor, truly being an excellent remedy.