产后伤脬，此缘稳婆之故，以白芨散治之。
白芨散
白芨 凤凰衣 桑螵蛸（等分）
入猪脬内，煮烂食之。
产后四肢浮肿，皮肤光莹，脾虚不能制水，肾虚不能行水故也。当大补气血为主，佐以苍术、白术、茯苓等
药。虚，加人参、木通。热，加麦冬、条芩。若因风冷湿气伤表无汗而肿，宜五皮散加姜皮、半夏、苏叶以微表
之，使水气从皮毛而出，然后以补剂调理。
利水益气汤
人参 白术（各三钱） 白芍 茯苓（各一钱） 陈皮（六分） 木瓜（八分） 苍术 浓朴 苏叶
木通 腹皮（各一钱）
五加皮散
加皮 腹皮 茯皮 骨皮 姜皮（各等分）
产后痨瘵症，皆由嗜欲无节，起居不时，以致真阴耗竭，虚火上炎，或蒸而热，或往来寒热，似疟非疟，或咳
血、咯血、自汗、盗汗，或心神恍惚，梦与鬼交，或经水闭塞，日渐羸瘦，皆缘阴虚生内热所致。热郁积久，变
成虚怯，宜清热止嗽，润肺泻火，滋补真阴，以复其元。患此者，必须寡欲内养，方能有效，否则不治。
保真汤
川芎（一钱） 当归 生地 白芍（各二钱） 麦冬（一钱） 天冬（一钱五分） 川贝 茯苓（各五分）
桔梗（八分） 五味（十粒） 骨皮（一钱） 炙草（四分） 枣（二枚）
水煎。虚，加人参一钱，黄 六分。胃弱，加茯苓、山药各二钱，砂仁三粒。
加味大造丸
紫河车（一具） 生地（一两） 人参 当归 山药 杞子（各一两） 知母（一钱五分） 石斛（酒蒸）
麦冬（各八钱） 银胡（六钱） 龟板（五钱）
共为末，炼为丸，如梧子大，早晚服。
以上二方，但举其概，至辨症施治，全在临时取裁。如补中益气、六味肾气丸、八珍汤、十全大补汤、还少
丹、逍遥散加芎归，此数方俱可治痨瘵，因症选用可也。
按∶产后气血已亏，阴阳两竭，应得大温大补，助真阳
以生真阴，引火归原，法当用真阿胶、上肉桂为主，将虚火假热下降丹田。加以茯、术、参、 ，健脾补气。略
以龟胶、石斛、炒熟地、沙苑、蒺藜，补阴以佐助之。服至四五剂，必见效矣。切不可用滋阴清肺等药，以重危之
也。俟其胃开脾运，火降阳回，然后再于温补之中加入治嗽等味，自可活人。如服清凉药过多，必至真阳上越。
如症现两颧紫红，气虚上喘，眼白淡红，须用制附，迟则阳脱矣。
产后膀胱受损，这是由于接生婆操作不当所致，用白芨散来治疗。
白芨散
白芨、凤凰衣（鸟卵壳内膜）、桑螵蛸（螳螂卵鞘）（各等分）
放入猪膀胱内，煮烂后食用。
产后四肢浮肿，皮肤光亮晶莹，这是因为脾虚不能制约水湿，肾虚不能运化水液造成的。应当以大补气血为主，辅以苍术、白术、茯苓等药物。若偏虚，加人参、木通；若偏热，加麦冬、黄芩。如果是因风冷湿气侵袭体表导致无汗而浮肿，适宜用五皮散加生姜皮、半夏、紫苏叶以轻微发汗，使水气从皮毛排出，然后再用补益剂调理。
利水益气汤
人参、白术（各三钱）、白芍、茯苓（各一钱）、陈皮（六分）、木瓜（八分）、苍术、厚朴、紫苏叶、木通、大腹皮（各一钱）
五加皮散
五加皮、大腹皮、茯苓皮、地骨皮、生姜皮（各等分）
产后劳瘵症，都是由于纵欲无度、起居不规律，导致真阴耗竭，虚火上炎，或者蒸蒸发热，或者寒热往来，像疟疾又不是疟疾，或者咳血、咯血、自汗、盗汗，或者心神恍惚，梦中与鬼交合，或者月经闭止，日渐消瘦，都是因为阴虚产生内热所致。热邪郁积日久，变成虚怯之证，适宜清热止咳，润肺泻火，滋补真阴，以恢复元气。患此病的人，必须节制欲望、内在修养，才能见效，否则无法治愈。
保真汤
川芎（一钱）、当归、生地、白芍（各二钱）、麦冬（一钱）、天冬（一钱五分）、川贝母、茯苓（各五分）、桔梗（八分）、五味子（十粒）、地骨皮（一钱）、炙甘草（四分）、大枣（两枚）
用水煎服。体虚者，加人参一钱，黄芪六分。胃弱者，加茯苓、山药各二钱，砂仁三粒。
加味大造丸
紫河车（一个）、生地（一两）、人参、当归、山药、枸杞子（各一两）、知母（一钱五分）、石斛（酒蒸）、麦冬（各八钱）、银柴胡（六钱）、龟板（五钱）
共研为细末，炼蜜为丸，如梧桐子大小，早晚服用。
以上两个方子，只是列举大概，至于辨证施治，全凭医生临时裁量。如补中益气汤、六味肾气丸、八珍汤、十全大补汤、还少丹、逍遥散加川芎当归，这几个方子都可以治疗劳瘵，根据症状选用即可。
按语：产后气血已经亏损，阴阳两竭，应当使用大温大补的方法，助真阳以生真阴，引火归原，法当以真阿胶、上肉桂为主，将虚火假热下降至丹田。加上茯苓、白术、人参、黄芪，健脾补气。略微加入龟胶、石斛、炒熟地黄、沙苑子、蒺藜，补阴以佐助之。服用四五剂后，必定见效。切不可使用滋阴清肺等药物，以免加重病情危及生命。等到胃口打开、脾胃运化正常，火降阳回之后，再在温补之中加入治疗咳嗽的药物，自然可以救人。如果服用清凉药过多，必然导致真阳上越。如果症状出现两颧紫红，气虚上喘，眼白淡红，必须使用制附子，迟则阳气脱绝了。
Postpartum bladder injury, this is due to the midwife's fault, treat it with Baiji San (White Rhizoma Bletillae Powder).
Baiji San (White Rhizoma Bletillae Powder)
White Rhizoma Bletillae (Baiji), Phoenix Eggshell Membrane (Fenghuangyi), Mantis Ootheca (Sangpiaoxiao) (equal parts)
Place inside a pig's urinary bladder, boil until soft and eat.
Postpartum edema of the four limbs, with skin appearing smooth and lustrous, is caused by Spleen deficiency failing to control water and Kidney deficiency failing to circulate water. Treatment should primarily focus on greatly tonifying Qi and Blood, assisted by herbs such as Atractylodes Macrocephala Rhizome (Cangzhu), Atractylodes Rhizome (Baizhu), and Poria (Fuling). For deficiency, add Ginseng Radix (Renshen) and Thunberg Fritillary Bulb (Mutong). For heat, add Ophiopogon Tuber (Maidong) and Scutellaria Root (Huangqin). If swelling is due to wind-cold-dampness invading the exterior causing anhidrosis, Wupi San (Five Peel Powder) with Ginger Peel (Jiangpi), Pinellia Tuber (Banxia), and Perilla Leaf (Suye) should be used to induce mild sweating, allowing water qi to exit through the skin and hair follicles, followed by conditioning with tonic formulas.
Lishui Yiqi Tang (Water-Draining Qi-Nourishing Decoction)
Ginseng Radix (Renshen), Atractylodes Rhizome (Baizhu) (each 3 qian), White Peony Root (Baishao), Poria (Fuling) (each 1 qian), Tangerine Peel (Chenpi) (6 fen), Papaya Fruit (Mugua), Atractylodes Rhizome (Cangzhu), Magnolia Bark (N Houpo), Perilla Leaf (Suye), Thunberg Fritillary Bulb (Mutong), Areca Seed (Fupi) (each 1 qian)
Wujiapi San (Five Adder Skin Powder)
Acanthopanacis Cortex (Wujiapi), Areca Seed (Fupi), Poria (Fupi), Phellodendri Cortex (Gupi), Ginger Peel (Jiangpi) (equal parts)
Postpartum consumption disease (Laozhai), all result from unrestrained desires and irregular daily routines, leading to exhaustion of True Yin, rising of deficient fire, or steaming heat, or alternating chills and fever resembling malaria but not malaria, or hemoptysis, expectoration of blood, spontaneous sweating, night sweats, mental restlessness, dreams of sexual intercourse with spirits, amenorrhea, and progressive emaciation. All are caused by Yin deficiency generating internal heat. Heat stagnating for a long time transforms into deficiency and weakness; treatment should clear heat and stop coughing, moisten the Lung and purge fire, nourish True Yin, and restore vitality. Patients must practice sexual restraint and internal cultivation to be effective; otherwise, it is incurable.
Baozhen Tang (Preserve Truth Decoction)
Sichuan Lovage Rhizome (Chuanxiong), Angelica Sinensis Radix (Danggui), Rehmannia Root (Shengdi), White Peony Root (Baishao) (each 2 qian), Ophiopogon Tuber (Maidong) (1 qian), Asparagus Tuber (Tiantong), Fritillaria Cirrhosa Bulb (Chuanbei), Poria (Fuling) (each 5 fen), Platycodon Root (Jiegeng) (8 fen), Schisandra Berry (Wuweizi) (10 grains), Phellodendri Cortex (Gupi), Honey-fried Licorice Root (Zhigancao) (4 fen), Jujube (Zao) (2 pieces)
Decoct in water. For deficiency, add Ginseng Radix (Renshen) 1 qian, Astragalus Root (Huangqi) 6 fen. For weak stomach, add Poria (Fuling) and Chinese Yam (Shanyao) each 2 qian, Amomum Fruit (Sharen) 3 grains.
Jiawei Dazao Wan (Modified Great Creation Pill)
Human Placenta (Ziheche), Rehmannia Root (Shengdi) (1 liang), Ginseng Radix (Renshen), Angelica Sinensis Radix (Danggui), Chinese Yam (Shanyao), Lycium Fruit (Qizi) (each 1 liang), Anemarrhena Rhizome (Zhimu) (1.5 qian), Dendrobium Stem (Shihu) (wine-steamed), Ophiopogon Tuber (Maidong) (each 8 qian), Silver Bupleurum Root (Yin Hu), Tortoise Carapace (Guiban) (5 qian)
Grind into powder, refine with honey to make pills the size of wutong seeds, take morning and evening.
The above two formulas only outline the general principles; syndrome differentiation and treatment depend entirely on the physician's judgment at the time. Formulas such as Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), Liuwei Shenqi Wan (Six-Ingredient Rehmannia Pill with Cinnamon and Aconite), Bazhen Tang (Eight-Treasure Decoction), Shiquan Dabu Tang (Ten-Ingredient Great Tonifying Decoction), Hushao Dan (Rejuvenation Pellet), Xiaoyao San (Free and Easy Wanderer Powder) plus Chuanxiong and Danggui can all treat consumption diseases; select according to symptoms.
Note: Postpartum Qi and Blood are already depleted, and both Yin and Yang are exhausted. One should employ great warming and great tonification methods to assist True Yang to generate True Yin, guiding fire back to its source. The method should prioritize genuine Donkey-hide Gel (Ejiao) and Cassia Twig (Rougui) to descend deficient fire and false heat to the Lower Burner (Dantian). Add Poria (Fu), Atractylodes Rhizome (Zhu), Ginseng Radix (Shen), and Astragalus Root (Qi) to strengthen the Spleen and tonify Qi. Slightly add Tortoise Carapace (Guijiao), Dendrobium Stem (Shihu), Stir-fried Prepared Rehmannia Root (Shudi), Astragalus Complanatus Seed (Shayuan), and Tribulus Fruit (Jili) to nourish Yin and assist. After taking four or five doses, improvement will surely be seen. Do not use Yin-nourishing and Lung-clearing drugs, as this will worsen the condition and endanger life. Wait until the stomach opens and Spleen transport functions recover, and fire descends while Yang returns, then add herbs for treating cough within the warming and tonifying regimen, which can save lives. Taking too many cooling drugs will cause True Yang to float upward. If symptoms show purplish-red malar flush, shortness of breath due to Qi deficiency, and pale red sclera, Prepared Aconite Root (Zhi Fu) must be used; delay leads to Yang collapse.