〔郭〕产后乍寒乍热者何？答曰∶阴阳不和，败血不散，能令乍寒乍热。产后血气
虚损，阴阳不和，阴胜则乍寒，阳胜则乍热，阴阳相乘则或寒或热。若因产劳伤脏腑，血
弱不得宣越，故令败血不散，入于肺则热，入于脾则寒，医人若误作疟疾治之则谬矣。阴
阳不和，宜增损四物汤。败血不散，宜夺命丹。又问∶二者何以别之？时有刺痛者，败
血也，但寒热无他证者，阴阳不和也。增损四物汤不一，皆随病加减。
〔薛〕产后寒热因气血虚弱或脾胃亏损，乃不足之证。经云∶阴虚则发热，阳虚
则恶寒。若兼大便不通，尤属气血虚弱，切不可用发表降火。若寸口脉微，名阳气不足，
阴气上入于阳中则恶寒，用补中益气汤。尺部脉弱，名阴气不足，阳气下陷于阴中则发
热，用六味地黄丸。大抵阴不足，阳往从之，则阳内陷而发热。阳不足，阴往从之，则阴
上入而恶寒。此阴阳不归其分，以致寒热交争，故恶寒而发热也，当用八珍汤。若病后
四肢发热，或形气倦怠，此元气未复，湿热乘之故耳，宜补中益气汤。若肌热大渴引饮，
目赤面红，此血虚发热，用当归补血汤。若认为实则误矣。一产妇恶寒发热，用十全
大补加炮姜治之而愈。但饮食不甘，肢体倦怠，用补中益气而安。又饮食后犯怒，恶寒
发热，抽搐切牙，难候其脉，视其面色青中隐黄，欲按其腹，以手护之，此肝木侮脾土，
饮食停滞而作，用六君加木香，一剂而安。一产妇恶寒发热，余欲用八珍加炮姜治之，其
家知医，以为风寒，用小柴胡汤。余曰∶寒热不时，乃气血虚也。不信，仍服一剂，汗
出不止，谵语不绝，烦热作渴，肢体抽搐。余用十全大补汤二剂益甚，脉洪大，重按如无，
仍以前汤加附子四剂稍缓，数剂而安。
吴茭山治一妇人产后去血过多，食后着恼头疼身痛，寒热如疟，左手弦大，微有寒
邪，右手弦滑不匀，食饮痰火也。二者因虚而得，宜养正祛邪。遂以茯苓补心汤去地黄
加羌活、青皮、葱、枣，三服汗出身凉，其患渐瘥，然后以八物汤调理半月后全愈。
一妇产后恶露未尽，瘀血入络，又感寒邪，身热如疟，即以生料五积散五帖，恶露自下而
寒热除。又一妇产后恶露未尽，因起抹身，寒气客于经络，乍寒乍热，脉紧而弦，以葱
白散二帖安。一少妇初产四日，冷物伤脾胃，但觉身分不快，呕逆，饮食少思，心腹
满闷，时或腹胁刺痛，晨恶寒，晚潮热，夜则恍惚谵语，昼则抽搐，颇类风状，变异多
端，诸医莫测，或作虚风，或云血凝实热，用甘温而行血，以寒凉退实热，如此半月不效。
汪至，见医满座，亦踞缩，诊其脉弦而紧，遂令按之小腹急痛，知瘀血未尽也。思患者大
势恶露已下，未必还有余血，偶因寒凉所伤，瘀血停滞下焦，日久客于经络，所以变生诸
证，须得大调经散倍入琥珀化诸恶血成水，其患方愈。遂合前药服之，五日后行恶水斗许，
臭不可近，患人觉倦，病势渐减，然后以人参养荣汤数十帖，月余如初。
〔云〕产后往来寒热，四物内加小柴胡汤。
〔保〕治日久虚劳，微有寒热，脉沉而数，宜柴胡四物汤。
川芎 当归 芍药 熟地黄（各一钱半） 柴胡（八钱） 人参 黄芩 甘草 半夏（各三钱）
上为末，水煎服。
〔云〕产后往来寒热，脉弦者少阳也，小柴胡加生地黄汤。
柴胡（二两） 黄芩（五钱） 人参（三钱） 半夏（一两半，汤洗） 大枣（三枚）
生地黄 栀子 枳壳（麸炒，各五钱）
上如前煎服。
增损柴胡汤 治产后虚，发寒热，饮食少，腹胀。
柴胡 人参 甘草 半夏 陈皮 川芎 白芍药（各等分为 咀）
上每服三钱，姜五片，枣二枚，水同煎，食后日二服。
增损四物汤（方见本卷腹痛。）
评曰∶乍寒乍热，荣卫不和，难以轻议。若其败血不散，岂止入脾肺二脏邪。大抵一
阴闭一阳即作寒热，阴胜故寒，阳胜故热，只可云败血循经流入，闭诸阴则寒，闭诸阳则
热，血气与卫气解则休，遇再会而复作。大调经散、五积散入醋煎佳。
云岐熟地黄散 治产后蓐劳，皆由体虚气力未壮，劳复所起，四肢烦疼，时发寒热，
不思饮食。
熟地黄 人参 白芍药 白茯苓 白术 续断（各一两） 黄 桂心 五味子 当归
川芎（各七钱半《大全》方有麦门冬七钱半）
上 咀，每服四钱，姜三片，枣一枚，水煎服。一方无桂心、五味、续断，有柴胡、
黄芩、半夏（各七钱半）作散。
黄 丸 治产后蓐劳，寒热进退，头目眩痛，骨节酸疼，气力羸乏。
黄 鳖甲 当归（炒，各一两） 桂心 白芍药 续断 川芎 牛膝 苁蓉 沉香 柏
子仁 枳壳（各七钱半） 五味子 熟地黄（各半两，共为细末）
上炼蜜和丸，梧子大。每服四、五十丸，食后粥饮下。
大调经散 治产后血虚，恶露未消，气为败浊凝滞，荣卫不调，阴阳相乘，憎寒发
热，或自汗，或肿满，皆气血未平之所为也。
大豆（一两半，炒去皮） 茯神（一两） 真琥珀（一钱）
上为细末，浓煎乌豆、紫苏汤调下。
加减乌金散 治产后寒热似疟。
浓朴 柴胡 黄芩 麻黄（各二钱） 陈皮 当归 川芎 桔梗 茯苓（各一钱五分）
桂枝 苍术 白芷 枳壳（各一钱） 羌活 草果 半夏（各二钱） 甘草（九分）
白芍药 熟地黄（各一钱五分）
上锉为散，分作两服，每服用水一盅半，姜三片，葱三茎，煎至一盅，不拘时服。有
汗，多当归、川芎、白芍药、熟地黄。有胀，多浓朴、陈皮。有热，多柴胡、黄芩。有寒，
多苍术、草果、桂枝。有痰，多半夏、桔梗、茯苓。有头痛，多川芎、白芷、羌活。有泻，
去枳壳、甘草不用。（如方用有余血块在腹，作潮热疼痛，加三棱、莪术，多用玄胡索、八角
香。遍身痛，加羌活、独活。寒热往来，加黄芩、柴胡。）
《产宝》疗产后恶寒壮热，一夜三五度，发恶语，口中生疮，时时干呕，困乏闷绝。
人参 独活 白鲜皮 葛根 防风 青竹茹 远志（各一两半） 茯神（二两） 白敛（二两半）
玄参（三两） 竹沥（二升半）
上取银一斤，水一斗五升，煮取七升，下诸药重煮，取三升分温三服。忌鱼、酒、湿
面等。
知母汤 治产后乍寒乍热，通身温壮，胸心烦闷。
知母（三两） 芍药 黄芩（各二两） 桂心 甘草（各一两，以上为 咀）
上水五升，煮取二升半，分三服。一方不用桂心，用生地黄。
【郭】产后出现忽冷忽热的症状，是什么原因？回答是：阴阳不和，败血（瘀滞之血）不散，会导致忽冷忽热。产后气血虚损，阴阳失调，阴气偏胜则突然发冷，阳气偏胜则突然发热，阴阳相互搏结则时而寒冷时而发热。如果是因为分娩劳累损伤脏腑，血气虚弱不能宣通发散，导致败血不散，若败血进入肺脏则发热，进入脾脏则发冷。医生若误当作疟疾治疗就错了。若是阴阳不和，适宜用增损四物汤；若是败血不散，适宜用夺命丹。又问：这两者如何区别？回答是：伴有刺痛感的，是败血作祟；仅有寒热而无其他症状的，是阴阳不和。增损四物汤有多种变方，都随病情加减变化。
【薛】产后寒热是由于气血虚弱或脾胃亏损，属于不足之证。经书说：阴虚则发热，阳虚则恶寒。如果兼有大便不通，更属于气血虚弱，切不可使用发表（发散表邪）和降火（清泻火热）的药物。如果寸口脉微，名为阳气不足，阴气侵入阳分则恶寒，用补中益气汤。尺部脉弱，名为阴气不足，阳气下陷于阴分则发热，用六味地黄丸。大抵阴气不足，阳气就会往从它，导致阳气内陷而发热；阳气不足，阴气就会往从它，导致阴气上入而恶寒。这是阴阳不能各守其位，以致寒热交争，所以既恶寒又发热，应当用八珍汤。如果在病后四肢发热，或者形体气息倦怠，这是元气尚未恢复，湿热乘虚侵袭所致，适宜用补中益气汤。如果肌表发热、大渴引饮、眼睛发红、面色红润，这是血虚发热，用当归补血汤。如果误认为是实证就错了。有一位产妇恶寒发热，我用十全大补汤加炮姜治疗而痊愈。但饮食无味，肢体倦怠，用补中益气汤而安定。又有一位产妇在饮食后发怒，出现恶寒发热、抽搐咬牙，难以诊察脉搏，观察其面色青中隐黄，想要按压腹部，患者用手护住腹部，这是肝木侮脾土，因饮食停滞而发作，用六君子汤加木香，一剂即安。还有一位产妇恶寒发热，我想用八珍汤加炮姜治疗，但其家属懂医，认为是风寒，用了小柴胡汤。我说：寒热不时发作，是气血虚弱所致。他们不信，仍服了一剂，结果汗出不止，胡言乱语，烦热口渴，肢体抽搐。我又用十全大补汤两剂，病情反而加重，脉象洪大，重按无力，仍然用前汤加入附子，连服四剂稍见缓解，数剂后安定。
吴茭山治疗一位妇人产后失血过多，进食后恼怒，头痛身痛，寒热如疟，左手脉弦大，微有寒邪，右手脉弦滑不匀，是食饮痰火所致。这两种情况都是因虚而得，宜养正祛邪。于是用茯苓补心汤去掉地黄，加羌活、青皮、葱、枣，服用三剂出汗后身凉，病情逐渐好转，然后用八物汤调理半月后痊愈。
另一位产妇产后恶露未尽，瘀血入络，又感受寒邪，身体发热如疟，即用生料五积散五帖，恶露自然下行而寒热消除。又一位产妇产后恶露未尽，因为起身擦拭身体，寒气客于经络，忽冷忽热，脉紧而弦，用葱白散两帖而安。
一位少妇初产四天，因生冷食物损伤脾胃，只觉身体不爽快，呕吐逆气，饮食减少，心腹满闷，有时腹胁刺痛，早晨恶寒，傍晚潮热，夜间恍惚胡言乱语，白天抽搐，颇像风状，变异多端，众医无法推测，有的认为是虚风，有的说是血凝实热，用甘温药行血，用寒凉药退实热，如此半月无效。汪至到来，见医生满座，也蹲缩在一旁，诊其脉弦而紧，于是令按压小腹急痛，知道瘀血未尽。思考患者大势恶露已下，未必还有余血，偶然因寒凉所伤，瘀血停滞下焦，日久客于经络，所以变生诸证，必须用大调经散加倍加入琥珀，化除各种恶血成水，病情才能痊愈。于是合前药服用，五日后排出恶水约一斗，臭不可近，病人感觉疲倦，病势渐减，然后用人参养荣汤数十帖，月余恢复如初。
【云】产后往来寒热，在四物汤内加小柴胡汤。
【保】治疗日久虚劳，微有寒热，脉沉而数，适宜用柴胡四物汤。
川芎、当归、芍药、熟地黄（各一钱半），柴胡（八钱），人参、黄芩、甘草、半夏（各三钱）。
以上为末，水煎服。
【云】产后往来寒热，脉弦者是少阳病，用小柴胡加生地黄汤。
柴胡（二两），黄芩（五钱），人参（三钱），半夏（一两半，汤洗），大枣（三枚），生地黄、栀子、枳壳（麸炒，各五钱）。
以上按前述方法煎服。
增损柴胡汤：治疗产后体虚，发寒热，饮食少，腹胀。
柴胡、人参、甘草、半夏、陈皮、川芎、白芍药（各等分为粗末）。
以上每次服用三钱，生姜五片，大枣二枚，水同煎，饭后每日两次服用。
增损四物汤（方见本卷腹痛部分）。
评曰：乍寒乍热，是营卫不和，难以轻易议论。如果是败血不散，岂止影响脾肺二脏。大抵是一阴闭阻一阳即发作寒热，阴胜故寒，阳胜故热，只能说败血循经流入，闭阻诸阴则寒，闭阻诸阳则热，血气与卫气和解则停止，遇到再次相会又发作。大调经散、五积散用醋煎效果佳。
云岐熟地黄散：治疗产后蓐劳，皆由体质虚弱气力未壮，劳复引起，四肢烦疼，时发寒热，不思饮食。
熟地黄、人参、白芍药、白茯苓、白术、续断（各一两），黄芪、桂心、五味子、当归、川芎（各七钱半，《大全》方中有麦门冬七钱半）。
以上为粗末，每次服用四钱，生姜三片，大枣一枚，水煎服。另一方无桂心、五味子、续断，有柴胡、黄芩、半夏（各七钱半）作散剂。
黄芪丸：治疗产后蓐劳，寒热进退，头目眩痛，骨节酸疼，气力羸乏。
黄芪、鳖甲、当归（炒，各一两），桂心、白芍药、续断、川芎、牛膝、肉苁蓉、沉香、柏子仁、枳壳（各七钱半），五味子、熟地黄（各半两，共为细末）。
以上炼蜜和丸，梧桐子大小。每次服用四五十丸，饭后粥饮送下。
大调经散：治疗产后血虚，恶露未消，气为败浊凝滞，营卫不调，阴阳相乘，憎寒发热，或自汗，或肿满，都是气血未平所为。
大豆（一两半，炒去皮），茯神（一两），真琥珀（一钱）。
以上为细末，浓煎乌豆、紫苏汤调下。
加减乌金散：治疗产后寒热似疟。
厚朴、柴胡、黄芩、麻黄（各二钱），陈皮、当归、川芎、桔梗、茯苓（各一钱五分），桂枝、苍术、白芷、枳壳（各一钱），羌活、草果、半夏（各二钱），甘草（九分），白芍药、熟地黄（各一钱五分）。
以上锉为散，分作两服，每服用一盅半水，生姜三片，葱三茎，煎至一盅，不拘时候服用。有汗症，多加当归、川芎、白芍药、熟地黄。有胀满，多加厚朴、陈皮。有热症，多加柴胡、黄芩。有寒症，多加苍术、草果、桂枝。有痰症，多加半夏、桔梗、茯苓。有头痛，多加川芎、白芷、羌活。有腹泻，去掉枳壳、甘草不用。（如方中用于有余血块在腹，作潮热疼痛，加三棱、莪术，多用玄胡索、八角香。遍身痛，加羌活、独活。寒热往来，加黄芩、柴胡。）
《产宝》疗产后恶寒壮热，一夜三五度，发恶语，口中生疮，时时干呕，困乏闷绝。
人参、独活、白鲜皮、葛根、防风、青竹茹、远志（各一两半），茯神（二两），白敛（二两半），玄参（三两），竹沥（二升半）。
以上取银一斤，水一斗五升，煮取七升，下诸药再煮，取三升分三次温服。忌鱼、酒、湿面等。
知母汤：治疗产后乍寒乍热，通身温壮，胸心烦闷。
知母（三两），芍药、黄芩（各二两），桂心、甘草（各一两，以上为粗末）。
以上用水五升，煮取二升半，分三次服。另一方不用桂心，用生地黄。
[Guo] What is the cause of alternating chills and fever after childbirth? The answer is: Disharmony of Yin and Yang, and failure of stagnant blood (stasis) to dissipate can cause alternating chills and fever. After childbirth, Qi and Blood are deficient, leading to disharmony of Yin and Yang. When Yin prevails, there is sudden cold; when Yang prevails, there is sudden heat; when Yin and Yang contend, there is alternating cold and heat. If this is due to labor damaging the Zang-Fu organs, causing Qi and Blood to be weak and unable to circulate freely, resulting in stagnant blood failing to dissipate: if the stagnant blood enters the Lung, it causes heat; if it enters the Spleen, it causes cold. If physicians mistakenly treat this as malaria, they will be erroneous. For disharmony of Yin and Yang, Zengsun Siwu Tang (Modified Four Substances Decoction) is appropriate. For stagnant blood failing to dissipate, Duoming Dan (Life-Restoring Pill) is appropriate. Another question arises: How to distinguish between the two? Answer: Cases accompanied by stabbing pain are due to stagnant blood; cases with only chills and fever without other symptoms are due to disharmony of Yin and Yang. Zengsun Siwu Tang has various modifications, all adjusted according to the specific condition.
[Xue] Postpartum chills and fever result from deficiency of Qi and Blood or damage to the Spleen and Stomach, representing a deficiency syndrome. The Classics state: Yin deficiency leads to fever, while Yang deficiency leads to aversion to cold. If accompanied by constipation, it particularly belongs to Qi and Blood deficiency. One must absolutely avoid using diaphoretic (surface-releasing) or fire-descending (heat-clearing) methods. If the Cun (inch) pulse is faint, it indicates insufficiency of Yang Qi; when Yin Qi invades the Yang aspect, there is aversion to cold, treated with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). If the Chi (cubit) pulse is weak, it indicates insufficiency of Yin Qi; when Yang Qi sinks into the Yin aspect, there is fever, treated with Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia). Generally, when Yin is insufficient, Yang follows it, causing Yang to sink internally and produce fever. When Yang is insufficient, Yin follows it, causing Yin to ascend and produce aversion to cold. This is because Yin and Yang fail to remain in their proper positions, leading to contention between cold and heat, resulting in both aversion to cold and fever; Bazhen Tang (Eight-Treasure Decoction) should be used. If there is heat in the four limbs after illness, or fatigue in form and Qi, this is due to Yuan Qi (Original Qi) not yet recovering, allowing damp-heat to invade; Buzhong Yiqi Tang is appropriate. If there is surface heat, excessive thirst with desire to drink, red eyes, and ruddy complexion, this is fever due to Blood deficiency; Danggui Buxue Tang (Angelica Tonifying Blood Decoction) should be used. Mistaking this for an excess syndrome would be an error. A postpartum patient with aversion to cold and fever was cured using Shiquan Dabu Tang (Ten Complete Great Tonifying Decoction) plus Paojiang (Prepared Ginger). However, with poor appetite and limb fatigue, she was stabilized using Buzhong Yiqi Tang. Another postpartum patient, after eating and becoming angry, experienced aversion to cold, fever, convulsions, and teeth grinding, making pulse diagnosis difficult. Her complexion showed blue hiding yellow. She guarded her abdomen against palpation. This indicated Liver Wood insulting Spleen Earth, caused by food stagnation. Liujunzi Tang (Six Gentlemen Decoction) plus Muxiang (Aucklandia Root) relieved her in one dose. Another postpartum patient had aversion to cold and fever. I intended to use Bazhen Tang plus Paojiang, but her family, knowing medicine, believed it was Wind-Cold and administered Xiaochaihu Tang (Minor Bupleurum Decoction). I stated that irregular chills and fever indicate Qi and Blood deficiency. They did not believe me and took one dose. Consequently, she had incessant sweating, delirious speech, irritability, heat, thirst, and limb convulsions. I then used Shiquan Dabu Tang for two doses, but the condition worsened. The pulse was large and flooding, but empty upon heavy pressure. I continued with the previous decoction plus Fuzi (Aconite Root) for four doses, which slightly alleviated the condition, and after several doses, she stabilized.
Wu Jiaoshan treated a woman who had lost excessive blood after childbirth. After eating and becoming annoyed, she suffered headache and body pain, with chills and fever resembling malaria. The left hand pulse was wiry and large, indicating slight Cold pathogen; the right hand pulse was wiry, slippery, and uneven, indicating food retention, phlegm, and Fire. Both conditions arose from deficiency, so the treatment should nourish righteousness and expel pathogens. He prescribed FulingBXixin Tang (Poria Nourishing Heart Decoction) minus Shudihuang (Prepared Rehmannia), adding Qianghuo (Notopterygium Rhizome), Qingpi (Green Tangerina Peel), Congbai (Scallion White), and Zao (Jujube). After three doses, she sweated and her body cooled, and the illness gradually improved. Then, Bayi Tang (Eight Ingredients Decoction) was used for regulation for half a month until full recovery.
Another postpartum patient had incomplete lochia discharge, with stasis entering the collaterals, compounded by Cold pathogen invasion. She had fever resembling malaria. Shengliao Wuji San (Raw Material Five Accumulations Powder) was given for five doses. Lochia discharged naturally, and chills/fever ceased. Another postpartum patient had incomplete lochia. Because she rose to wipe herself, Cold pathogen invaded the meridians, causing alternating chills and fever. The pulse was tight and wiry. Congbai San (Scallion White Powder) for two doses brought relief.
A young woman, four days postpartum, injured her Spleen and Stomach with cold foods. She felt general discomfort, retching, reduced appetite, chest and abdominal fullness, occasional stabbing pain in the abdomen and hypochondrium. Morning chills, evening tidal fever, night-time delirium, daytime convulsions. It resembled wind patterns with varied manifestations, baffling many physicians. Some considered it Deficient Wind, others Blood stasis with Excess Heat. Warm-natured blood-invigorating herbs and cool-natured heat-clearing herbs were used for half a month without effect. Wang Zhi arrived, saw many doctors present, and also squatted aside. He diagnosed a wiry and tight pulse. Pressing the lower abdomen revealed acute pain, indicating incomplete stasis. Although most lochia had passed, he reasoned that accidental injury by cold foods caused stasis to stagnate in the Lower Jiao, lingering in the meridians over time, thus generating various symptoms. He required Datiaojing San (Great Menstruation Regulating Powder) with doubled Hupo (Amber) to transform the evil blood into water. The combined medicine was taken. After five days, about one dou of foul-smelling dark fluid was discharged. The patient felt tired, and the disease trend decreased. Then, Renshen Yangrong Tang (Ginseng Nourishing Young Decoction) was taken for dozens of doses, and she recovered fully after more than a month.
[Yun] For postpartum alternating chills and fever, add Xiaochaihu Tang to Siwu Tang.
[Bao] For chronic deficiency consumption with mild chills and fever, and a deep, rapid pulse, Chaihu Siwu Tang is appropriate.
Chuanxiong, Danggui, Shaoyao, Shudihuang (each 1.5 qian), Chaihu (8 qian), Renshen, Huangqin, Gancao, Banxia (each 3 qian).
Grind into powder, decoct in water, and take orally.
[Yun] For postpartum alternating chills and fever with a wiry pulse, it is Shaoyang disease. Use Xiaochaihu Tang plus Shengdihuang.
Chaihu (2 liang), Huangqin (5 qian), Renshen (3 qian), Banxia (1.5 liang, washed with boiling water), Dazao (3 pieces), Shengdihuang, Zhizi, Zhike (bran-fried, each 5 qian).
Decoct and take as described above.
Zengsun Chaihu Tang: Treats postpartum deficiency, chills and fever, poor appetite, abdominal distension.
Chaihu, Renshen, Gancao, Banxia, Chenpi, Chuanxiong, Baishaoyao (equal parts, cut into coarse pieces).
Take 3 qian per dose, with 5 slices of ginger and 2 jujubes. Decoct in water. Take twice daily after meals.
Zengsun Siwu Tang (See formula for abdominal pain in this volume).
Commentary: Alternating chills and fever indicate disharmony of Ying (Nutrient) and Wei (Defensive) Qi, and cannot be lightly discussed. If stagnant blood fails to dissipate, it affects more than just the Spleen and Lungs. Generally, when one Yin obstructs one Yang, chills and fever occur. Yin prevalence causes cold; Yang prevalence causes heat. It can be said that stagnant blood flows along the meridians, obstructing various Yin channels causes cold, and obstructing various Yang channels causes heat. The condition ceases when Qi/Blood harmonizes with Wei Qi, but recurs upon re-contention. Datiaojing San and Wuji San are best decocted with vinegar.
Yunqi Shudihuang San: Treats postpartum rutao (childbed consumption), caused by physical weakness and lack of strength, relapse due to overexertion. Symptoms include painful limbs, intermittent chills and fever, and loss of appetite.
Shudihuang, Renshen, Baishaoyao, Baifuling, Baizhu, Xuduan (each 1 liang), Huangqi, Guixin, Wuweizi, Danggui, Chuanxiong (each 7.5 qian; *Daquan* formula includes Maidong 7.5 qian).
Cut into coarse pieces. Take 4 qian per dose, with 3 slices of ginger and 1 jujube. Decoct in water. Another version excludes Guixin, Wuweizi, Xuduan, and includes Chaihu, Huangqin, Banxia (each 7.5 qian) as powder.
Huangqi Wan: Treats postpartum rutao, alternating chills and fever, dizziness and headache, sore joints, and physical weakness.
Huangqi, Biejia, Danggui (fried, each 1 liang), Guixin, Baishaoyao, Xuduan, Chuanxiong, Niuxi, Rongrong, Chenxiang, Baiziren, Zhike (each 7.5 qian), Wuweizi, Shudihuang (each 0.5 liang, ground into fine powder).
Mix with refined honey to make pills the size of wutong seeds. Take 40-50 pills per dose after meals, washed down with porridge drink.
Datiaojing San: Treats postpartum Blood deficiency, uneliminated lochia, Qi stagnation due to turbid remnants, disharmony of Ying and Wei, mutual contention of Yin and Yang, aversion to cold with fever, spontaneous sweating, or swelling/fullness. All are due to unbalanced Qi and Blood.
Dadou (1.5 liang, fried and peeled), Fushen (1 liang), Zhenhupo (1 qian).
Grind into fine powder. Mix with strong decoction of black soybean and Perilla Leaf soup, and take orally.
Jiajian Wujin San: Treats postpartum chills and fever resembling malaria.
Houpo, Chaihu, Huangqin, Mahuang (each 2 qian), Chenpi, Danggui, Chuanxiong, Jiegeng, Fuling (each 1.5 qian), Guizhi, Cangzhu, Baizhi, Zhike (each 1 qian), Qianghuo, Caoguo, Banxia (each 2 qian), Gancao (0.9 qian), Baishaoyao, Shudihuang (each 1.5 qian).
Cut into coarse powder. Divide into two doses. Each dose uses 1.5 zhong of water, 3 slices of ginger, and 3 stalks of scallion. Decoct to 1 zhong. Take at any time. For sweating, increase Danggui, Chuanxiong, Baishaoyao, Shudihuang. For distension, increase Houpo, Chenpi. For heat, increase Chaihu, Huangqin. For cold, increase Cangzhu, Caoguo, Guizhi. For phlegm, increase Banxia, Jiegeng, Fuling. For headache, increase Chuanxiong, Baizhi, Qianghuo. For diarrhea, remove Zhike and Gancao. (If residual blood clots in the abdomen cause tidal fever and pain, add Sanleng, Ezhu, and more Xiyansu, Bajiaoxiang. For generalized body pain, add Qianghuo, Duhuo. For alternating chills and fever, add Huangqin, Chaihu.)
*Chanbao* treats postpartum severe aversion to cold and high fever, occurring 3-5 times a night, bad speech, mouth ulcers, frequent dry heaving, exhaustion, and suffocation.
Renshen, Duhuo, Baixianpi, Gegen, Fangfeng, Qingzhuru, Yuanzhi (each 1.5 liang), Fushen (2 liang), Bailian (2.5 liang), Xuanshen (3 liang), Zhuli (2.5 sheng).
Take 1 jin of silver and 1.5 dou of water. Boil to obtain 7 sheng. Add the herbs and boil again to obtain 3 sheng. Divide into three warm doses. Avoid fish, alcohol, and wet noodles.
Zhimu Tang: Treats postpartum alternating chills and fever, generalized warmth and heat, chest and heart vexation.
Zhimu (3 liang), Shaoyao, Huangqin (each 2 liang), Guixin, Gancao (each 1 liang, cut into coarse pieces).
Use 5 sheng of water. Boil to obtain 2.5 sheng. Divide into three doses. Another version excludes Guixin and uses Shengdihuang instead.