（即大便不通）
产后潮热、有汗、大便不通，毋专论为阳明症。口燥、咽干，毋专论为少阴症。腹满、溢干、大便秘结，毋专
论为太阴症。又汗多、谵语，勿专论肠胃有燥粪。其诸症，多由劳倦伤脾，运化稍迟，气血枯竭所致。治宜养正
通幽汤。勿执偏门，妄用承气，致沾唇莫救。
按∶此论更当细玩，即书所谓产后以大补气血为主，虽有他症，以末治之之意。又即甘温能除大热之旨也。
养正通幽汤（一名助血润肠汤）
川芎（二钱五分） 炙草（五分） 桃仁（五粒） 苁蓉（五钱） 陈皮（四分） 麻仁（三钱）
水煎温服。诸症加减如前。惟汗出、谵语、便实，乃气血两亏，神衰，心主失守，急宜养荣安神。加茯苓、
枣仁、柏子、参、 、白术各一钱，水煎服。如大便至十日以上，燥结不通，肛门必有燥粪，用蜜煎，入皂角末
或猪胆汁及枯盐导之。慎勿误用下
药，泄泻不止，或致虚闭，以成膨胀，为害不浅。产讫，第一须服生化汤数帖，必无血燥肠枯之症。
产后七日内，发热、头疼、恶寒，勿专论为太阳症。发热、头痛、胁疼，勿专论为少阳症。二症皆由气血两
亏，阴阳不和，而类外感。切不可用麻黄汤以治太阳类症，用柴胡汤以治少阳类症。
盖脱血之余又发汗，以重亡其阳，是使阴阳两竭，祸不胜言。即或症中真感伤寒，而加味生化汤内芎姜亦能散寒，
且荣卫调和，诸病自退。
加味生化汤
川芎（二钱） 当归（二钱） 姜炭（五分） 炙草（五分） 桃仁（十粒） 陈皮（三分） 枣（二枚）
水煎温服，连进二帖。如明知感冒风邪，二帖不退，加羌活四分，葱白二寸。
（指大便不通）
产后出现潮热、有汗、大便不通的症状，不要专门将其诊断为阳明病。出现口燥、咽干的症状，不要专门将其诊断为少阴病。出现腹部胀满、口干舌燥、大便秘结的症状，不要专门将其诊断为太阴病。又有出汗多、说胡话（谵语）的症状，也不要专门认为是肠胃中有干燥的粪便积滞。这些症状，大多是由于劳累疲倦损伤了脾气，导致运化功能稍微迟缓，气血枯竭所引起。治疗适宜使用养正通幽汤。不要固执于旁门左道，妄用承气汤类方剂，以免导致嘴唇干枯无法救治的后果。
按语：这段论述更应当仔细研读，这正是书中所说的产后以大补气血为主，即使有其他症状，也作为次要问题来处理的意思。这也体现了“甘温能除大热”的宗旨。
养正通幽汤（又名助血润肠汤）
川芎（二钱五分） 炙甘草（五分） 桃仁（五粒） 肉苁蓉（五钱） 陈皮（四分） 火麻仁（三钱）
用水煎煮，温服。其他症状的加减方法如前所述。如果是出汗多、说胡话、大便实结，这是气血两亏，神气衰败，心主失守，急需使用养荣安神的方法。加入茯苓、酸枣仁、柏子仁、人参、[缺字]、白术各一钱，用水煎服。如果大便十天以上不通，燥结严重，肛门处必然有干燥的粪便，可以用蜜煎法，或者加入皂角末或猪胆汁及枯盐进行导便。千万不要误用泻下药，否则会导致腹泻不止，或者造成虚性闭结，进而形成腹胀，危害不小。生产结束后，第一要务是服用生化汤几帖，必定不会出现血燥肠枯的症状。
产后七日内，出现发热、头痛、恶寒的症状，不要专门将其诊断为太阳病。出现发热、头痛、胁痛的症状，不要专门将其诊断为少阳病。这两种情况都是由气血两亏，阴阳不和，而类似外感病引起的。切不可使用麻黄汤来治疗太阳类症，使用柴胡汤来治疗少阳类症。
因为失血之后又发汗，会进一步耗伤阳气，这会导致阴阳两竭，祸患不堪设想。即使确实是感染了伤寒，加味生化汤内的川芎和姜炭也能散寒，而且营卫调和，各种病症自然消退。
加味生化汤
川芎（二钱） 当归（二钱） 姜炭（五分） 炙甘草（五分） 桃仁（十粒） 陈皮（三分） 大枣（二枚）
用水煎煮，温服，连续服用两帖。如果明知是感冒风邪，服用两帖后不退，加入羌活四分，葱白二寸。
(Referring to constipation)
Postpartum tidal fever, sweating, and constipation should not be exclusively diagnosed as Yangming disease (Yangming syndrome). Dry mouth and dry throat should not be exclusively diagnosed as Shaoyin disease (Shaoyin syndrome). Abdominal fullness, dry mouth, and severe constipation should not be exclusively diagnosed as Taiyin disease (Taiyin syndrome). Furthermore, excessive sweating and delirium should not be exclusively attributed to dry feces in the intestines and stomach. These symptoms are mostly caused by fatigue and overwork damaging the Spleen Qi, leading to slightly delayed transformation and transportation functions, and depletion of Qi and Blood. The treatment should favor Yangzheng Tongyou Decoction (Nourish Righteousness and Unblock the Obstruction Decoction). Do not adhere to heterodox methods or recklessly use Chengqi Decoctions (Gut-Clearing Formulas), lest it leads to irreversible damage with dry lips.
Commentary: This discussion deserves careful study; it reflects the principle stated in the book that postpartum conditions should primarily be treated by greatly tonifying Qi and Blood, while other symptoms are treated secondarily. It also embodies the principle that "sweet-warm flavors can eliminate high fever."
Yangzheng Tongyou Decoction (also known as Zhuxue Runchang Tang / Blood-Assisting and Intestine-Moistening Decoction)
Chuanxiong Rhizoma (2.5 qian) Zhi Gancao (Prepared Licorice Root, 0.5 qian) Tao Ren (Peach Seed, 5 grains) Rongzhuang (Cistanche Stem, 5 qian) Chenpi (Aged Tangerine Peel, 0.4 qian) Huma Ren (Hemp Seed, 3 qian)
Decoct in water and take warm. Adjustments for other symptoms are as described previously. In cases of excessive sweating, delirium, and solid stool, this indicates a deficiency of both Qi and Blood, decline of Shen (Spirit), and loss of control by the Heart Master. Urgent treatment should focus on nourishing Ying (Nutritive) Qi and calming the Spirit. Add Fuling (Poria), Zaoren (Sour Jujube Seed), Baizi Ren (Biota Seed), Renshen (Ginseng), [missing character], and Baizhu (Atractylodes Macrocephala Rhizome), each 1 qian. Decoct in water and take. If constipation persists for more than ten days with severe dryness and obstruction, dry feces must be present at the anus. Use honey suppositories, or introduce powder of Gengjiao (Gleditsia Sinensis Fruit) or pig bile along with dried salt as a laxative enema. Be cautious not to mistakenly use purgatives, which may cause incessant diarrhea or lead to deficiency-type closure, resulting in abdominal distension, causing significant harm. Immediately after delivery, one must first take several doses of Huasheng Tang (Life-Restoring Decoction) to ensure that symptoms of blood dryness and intestinal withering do not occur.
Within seven days postpartum, fever, headache, and aversion to cold should not be exclusively diagnosed as Taiyang disease (Taiyang syndrome). Fever, headache, and hypochondriac pain should not be exclusively diagnosed as Shaoyang disease (Shaoyang syndrome). Both conditions arise from deficiency of both Qi and Blood and disharmony of Yin and Yang, mimicking exterior pathogens. One must absolutely avoid using Mahuang Decoction (Ephedra Decoction) to treat Taiyang-like syndromes, or Chaihu Decoction (Bupleurum Decoction) to treat Shaoyang-like syndromes.
Because sweating after blood loss further depletes Yang, it leads to exhaustion of both Yin and Yang, with disastrous consequences. Even if there is a genuine contraction of Cold Damage (Shanghan), the Chuanxiong and Jiangtan (Charred Ginger) in the Jiawei Huasheng Tang can disperse cold, and once Ying and Wei (Defensive) Qi are harmonized, various diseases will recede naturally.
Jiawei Huasheng Tang (Modified Life-Restoring Decoction)
Chuanxiong Rhizoma (2 qian) Danggui (Angelica Sinensis Root, 2 qian) Jiangtan (Charred Ginger, 0.5 qian) Zhi Gancao (Prepared Licorice Root, 0.5 qian) Tao Ren (Peach Seed, 10 grains) Chenpi (Aged Tangerine Peel, 0.3 qian) Dazao (Jujube Fruit, 2 pieces)
Decoct in water and take warm. Administer two doses consecutively. If it is known to be a wind-pathogen invasion and symptoms persist after two doses, add Qianghuo (Notopterygium Root, 0.4 qian) and Congbai (Scallion White, 2 cun).