治妇人乳中虚。烦乱呕逆。安中益气。
生竹茹 石膏（各二分。） 桂枝 白薇（各一分。） 甘草（七分。）
上五味末之。枣肉和丸弹子大。饮服一丸。日三夜二服。有热。倍白薇。烦喘者。加柏
实一
歌曰 呕而烦乱乳中虚。（谓乳子之时气虚火胜。内乱而上逆也。）二分石膏与竹茹。攻
薇桂一（分）兮草七分。枣丸饮服效徐徐。
加减歌曰 白薇退热绝神异。有热倍加君须记。柏得金气浓且深。叶叶西向归本位。实
中之仁又宁心。烦喘可加一分饵。
男元犀按。血者中之所生也。乳者血之所变也。血虽生于中焦。尤藉厥少之气传变而为
乳。乳中虚者。谓乳子去汁过多而致虚也。中虚无血奉心则烦。心神不安则乱。阳气上升则
呕。逆者呕之甚也。用竹皮大丸者。以竹茹降逆止呕。白薇除热退烦。石膏通乳定乱。重用
甘草。定安中焦以生津液。血无阳气不运。妙以桂枝一味。运气血奉心通乳。则呕逆止而中
即自安。烦乱退而气即自益矣。复申明其立方之本意曰安中益气。竹皮大丸神哉。
治产后下利虚极者。此汤主之。
白头翁 阿胶 甘草（各二两。） 黄连 黄柏 秦皮（各三两。）
上五味。以水七升。煮取三升。去滓。入阿胶。更上微火煎胶烊消。取二升。温服一升。
不愈。更服一升。
歌曰 白头方见伤寒歌。二两阿胶甘草和。产后利成虚已极。滋（阿胶教其阴。）而且
缓（甘
男元犀按。产后去血过多。又兼下利亡其津液。其为阴虚无疑。兹云虚极。理宜大补。
然归
字指阴虚而言。与少阴证阴气欲绝同义。少阴证与大承气汤急下以救阴。与此证与白头翁大
苦以救阴同义。此法非薛立斋、张景岳、李士材辈。以甘温为主苦寒为戒者。所可窥测。尤
妙在加甘草之甘。合四味之苦。为苦甘化阴法。且久利膏脂尽脱。脉络空虚。得阿胶之滋润。
合
治疗妇女在哺乳期间因中气虚弱，出现心烦意乱、恶心呕吐的症状。此方具有安定中焦、补益正气的作用。
将以上五味药研成细末，用枣肉调和制成如弹子大小的丸剂。每次服用一丸，用温水送服。白天服三次，夜间服两次。如果体内有热象，增加白薇的用量；如果出现心烦且气喘，增加柏实一分。
歌诀曰：呕吐伴随心烦意乱，是因为哺乳期间气虚火旺，内扰而上逆所致。使用二分石膏和二分竹茹。白薇和桂枝各用一分，甘草用七分。用枣肉制成丸剂，温水送服，疗效逐渐显现。
加减歌诀曰：白薇退热效果神奇非凡，若有热象需加倍使用，务必牢记。柏实得金气之浓郁深沉，其叶叶叶向西生长，回归本位。柏实中的仁又能宁心安神，若有心烦气喘可加一分服用。
男元犀按语：血液是由中焦所化生的。乳汁是血液转化而成的。血液虽然生于中焦，但尤其依赖厥阴和少阴之气传变而化为乳汁。所谓“乳中虚”，是指哺乳时排出的乳汁过多而导致身体虚弱。中焦虚弱，没有血液上奉于心，就会感到心烦；心神不安就会感到慌乱；阳气上升就会引起呕吐，“逆”是指呕吐严重的情况。使用竹皮大丸的原因在于：竹茹能降逆止呕，白薇能除热退烦，石膏能通利乳汁并安定神志，重用甘草是为了安定中焦以生津液。血液没有阳气的推动就无法运行，妙在用桂枝一味药，推动气血上奉于心并通达乳汁，这样呕吐逆气停止，中焦自然安宁；心烦慌乱消退，正气自然得到补益。再次阐明立方的本意是“安中益气”，竹皮大丸真是神妙啊。
治疗产后腹泻且极度虚弱的患者，此汤剂主治。
将以上五味药，用水七升，煮取三升，滤去药渣。加入阿胶，再用微火煎煮至阿胶溶化。取药液二升，温服一升。如果病未愈，再服一升。
歌诀曰：白头翁散在《伤寒论》歌诀中已有记载，此处配伍二两阿胶和二两甘草。产后腹泻导致阴虚已至极点，阿胶滋阴，甘草缓急。
男元犀按语：产后失血过多，又兼腹泻耗伤津液，这无疑是阴虚。这里所说的“虚极”，按理应该大补。然而……（原文此处中断，推测为批评单纯滋补或强调辨证）。这里的“虚”字指阴虚而言，与少阴证中阴气欲绝的意义相同。少阴证用大承气汤急下以救阴，与此证用白头翁汤大苦寒之品以救阴意义相同。这种方法不是薛立斋、张景岳、李士材等人那种以甘温为主、忌讳苦寒的方法所能窥测到的。尤为巧妙之处在于加入甘草的甘味，合四味药的苦味，构成“苦甘化阴”之法。而且久泻导致膏脂脱尽，脉络空虚，得到阿胶的滋润……（原文此处中断）
Treats women during the nursing period who suffer from deficiency of the Middle Jiao (Middle Burner), presenting with symptoms of mental restlessness, nausea, and vomiting. This formula stabilizes the Middle Jiao and supplements the healthy Qi.
Sheng Zhuru (Raw Bamboo Shavings) [Bambusae Caulis in Taeniam]
Shigao (Gypsum Fibrosum) [Gypsum Fibrosum] - each 2 fen
Guizhi (Cinnamon Twig) [Cinnamomi Ramulus]
Baiwei (Anemarrhenae Rhizoma) [Anemarrhenae Rhizoma] - each 1 fen
Gancao (Licorice Root) [Glycyrrhizae Radix et Rhizoma] - 7 fen
Grind the above five herbs into fine powder. Mix with jujube flesh to form pills the size of a bullet. Take one pill at a time, administered with warm water. Take three times during the day and twice at night. If there is heat, increase the dosage of Baiwei. If there is mental restlessness and panting, add Baishi (Platycladi Semen) by 1 fen.
Song says: Vomiting accompanied by mental restlessness occurs due to Qi deficiency and excessive Fire during nursing, causing internal disturbance and upward rebellion. Use 2 fen of Shigao and 2 fen of Sheng Zhuru. Use 1 fen of Baiwei and 1 fen of Guizhi, along with 7 fen of Gancao. Form pills with jujube flesh and take with water; the effect will gradually manifest.
Addition and Subtraction Song says: Baiwei has miraculous effects in clearing heat; if heat is present, double the dose, remember this well. Baishi possesses dense and deep Metal Qi, with leaves facing west, returning to its original position. The kernel within Baishi calms the mind; for mental restlessness and panting, add 1 fen to take.
Note by Nan Yuanxi: Blood is generated in the Middle Jiao. Milk is transformed from blood. Although blood originates in the Middle Jiao, it particularly relies on the Qi of the Jueyin and Shaoyin meridians to transform into milk. "Deficiency in nursing" refers to weakness caused by excessive loss of milk during breastfeeding. When the Middle Jiao is deficient and lacks blood to nourish the Heart, vexation arises. When the Heart Spirit is unsettled, chaos ensues. When Yang Qi rises, vomiting occurs; "rebellion" refers to severe vomiting. The reason for using Zhupi Da Wan (Large Pill of Bamboo Peel) is that Sheng Zhuru descends rebellious Qi and stops vomiting; Baiwei clears heat and relieves vexation; Shigao unblocks milk flow and stabilizes mental chaos; heavy use of Gancao stabilizes the Middle Jiao to generate body fluids. Blood cannot circulate without the movement of Yang Qi. It is ingenious to use Guizhi alone to promote the circulation of Qi and Blood to nourish the Heart and unblock milk flow. Thus, vomiting and rebellion cease, and the Middle Jiao becomes tranquil; mental restlessness recedes, and Qi is replenished. It reiterates the original intent of the prescription: "Stabilize the Middle and Benefit Qi." Zhupi Da Wan is truly divine.
For postpartum diarrhea with extreme deficiency, this decoction is the primary treatment.
Baitouweng (Pulsatillae Radix) [Pulsatillae Radix]
Ejiao (Donkey-Hide Gelatin) [Colla Corii Asini]
Gancao (Licorice Root) [Glycyrrhizae Radix et Rhizoma] - each 2 liang
Huanglian (Coptis Rhizome) [Coptidis Rhizoma]
Huangbai (Phellodendri Cortex) [Phellodendri Cortex]
Qinpi (Fraxini Cortex) [Fraxini Cortex] - each 3 liang
Take the above five herbs. Add seven sheng of water, boil to obtain three sheng. Strain the dregs. Add Ejiao, and simmer gently over low heat until the gelatin melts. Obtain two sheng of liquid. Take one sheng warm. If not cured, take another sheng.
Song says: Baitouweng San is mentioned in the Shanghan Lun songs. Here, 2 liang of Ejiao and 2 liang of Gancao are harmonized. Postpartum diarrhea leads to extreme Yin deficiency. Ejiao nourishes Yin, and Gancao moderates urgency.
Note by Nan Yuanxi: After childbirth, excessive blood loss combined with diarrhea leading to fluid loss undoubtedly results in Yin deficiency. The term "extreme deficiency" here implies a need for substantial tonification. However... [Text cuts off]. The term "deficiency" here refers to Yin deficiency, synonymous with the condition where Yin Qi is about to perish in Shaoyin syndrome. In Shaoyin syndrome, Dachengqi Tang is used urgently to purge and save Yin; similarly, this condition uses Baitouweng Tang, characterized by great bitterness and coldness, to save Yin. This method cannot be understood by practitioners like Xue Lizhai, Zhang Jingyue, and Li Shicai, who prioritize sweet-warm methods and caution against bitter-cold ones. What is particularly ingenious is adding the sweetness of Gancao to combine with the bitterness of the other four herbs, forming the method of "bitter-sweet transforming into Yin." Moreover, prolonged diarrhea depletes essence and marrow, leaving collaterals empty; the moisturizing properties of Ejiao... [Text cuts off]