凡产母产时用力过甚，劳倦伤脾，脾气耗竭，不能注于四旁，故足冷而厥气上行。《经
》曰∶阳气衰于下，则为寒厥，厥气上行，满于经络，则神气浮越去身而飘散矣。此惟急方
始可举气以归元，苟非大补，焉能回阳而神复。必用加参生化汤倍人参，连进二帖，使气血
旺而神复厥止。如渴，另用生脉散代茶，助津以滋脏燥。虽有四肢厥冷泄漏，或类伤寒阴症
，亦不可用四逆汤，必倍参生化佐为黑姜，或加熟附一片，以回阳止逆，则可已足以行参、
之力矣。
加参生化汤∶人参二钱，川芎二钱，当归四钱，姜炭，炙草各四分，桃仁十粒，加元枣
二枚，水煎。如厥回，暂去人参，待血块痛除再加（此治新产发厥）。
滋荣益气复神汤∶产后发厥，无块痛者服此。川芎、焦术、炙 、麦冬各一钱，人参、
当归各三钱，熟地二钱，炙草四分，陈皮四分，五味十粒，水煎服。口渴以生脉散代茶。汗
多加麻黄根、枣仁各一钱。块痛不止、加肉桂五分。便秘加苁蓉、麻仁各二钱。痰加竹沥，
姜汁，橘红四分，酒一杯。手足口气渐冷，加附子五分，倍用人参。
产后血大来，须看血色之红紫，视形气之虚实，如血色多紫，乃当去之败血，留之反作
痛，勿以崩论。若红而鲜，乃是惊伤心而不能生血，怒伤肝而不能藏血，劳伤脾而不能摄血
，当以崩治。先服生化汤几帖，则行中有补，血自生旺矣。至若形脱气促、或汗出而不止，
宜服倍参生化以益气，斯阳生则阴长，而血乃生旺，非棕灰等止血药可治也。如产已盈月外
，又宜升举大补汤治之。凡年老积弱人患病，均宜服此。
加参生化汤∶治产后血崩，形脱汗多气促。川芎三钱，当归四钱，荆芥四分，桃仁十粒
，人参三钱，肉桂五分（二帖后去之），炙甘草五分，枣二枚，水煎、热服。汗多加黄 、
人
则
不
升
崩
升举大补汤∶治产后日久，血崩不止。或如鸡卵大块，或去血如片，宜大补脾胃，升提
气血，少加镇坠心火之药。此方并治老少血崩等症。人参、白术各三钱，川芎一钱，当归一
钱五分，熟地二钱，黄 一钱，白芷四分，荆芥四分，陈皮、黄连、黄柏（炒，泻者勿用）、
羌活、防风各四分，升麻、甘草各五分。渴加麦冬、五味。泻加泽泻、莲子。痰加半夏。兼
白带者加苍术、半夏各一钱。
凡是产妇在分娩时用力过度，导致劳倦损伤脾脏，脾气耗竭，无法输布营养至四肢百骸，因此出现脚部寒冷并伴有厥气上逆的现象。《黄帝内经》说：阳气在下部衰微，就会发生寒厥；厥气向上逆行，充满经络，就会导致神气浮越、脱离身体而飘散。这种情况只有使用急救的方剂才能引导气息回归本源，如果不是大补元气，怎么能恢复阳气和神志呢？必须使用加参生化汤，并重用人参，连续服用两帖，使气血旺盛，神志恢复，厥逆停止。如果口渴，另外用生脉散代替茶水饮用，以补充津液滋润脏腑干燥。虽然出现四肢厥冷等类似伤寒阴证的症状，也不可以使用四逆汤，必须用加参生化汤配合黑姜（炮姜），或者加一片熟附子，来回阳救逆止呕，这样就可以足以运行人参、当归的力量了。
加参生化汤：人参二钱，川芎二钱，当归四钱，姜炭（炮姜），炙甘草各四分，桃仁十粒，加元枣（大枣）二枚，水煎服。如果厥逆缓解，暂时去掉人参，等到血块疼痛消除后再加入（此方治疗新产发厥）。
滋荣益气复神汤：产后发厥，没有血块疼痛症状的服用此方。川芎、焦白术、炙黄芪、麦冬各一钱，人参、当归各三钱，熟地黄二钱，炙甘草四分，陈皮四分，五味子十粒，水煎服。口渴时用生脉散代替茶水。出汗多者加麻黄根、酸枣仁各一钱。血块疼痛不止者，加肉桂五分。便秘者加肉苁蓉、火麻仁各二钱。有痰者加竹沥、姜汁、橘红四分，酒一杯。手足和口气逐渐变冷者，加附子五分，重用人参。
产后出血量大，必须观察血色是红还是紫，审视形体和气息的虚实情况。如果血色多呈紫色，那是应当排出的败血，留着反而会引起疼痛，不要当作血崩论治。如果血色鲜红，那是惊恐伤心导致不能生血，愤怒伤肝导致不能藏血，劳累伤脾导致不能摄血，应当按照血崩治疗。先服用几帖生化汤，则在行血中有补益作用，血液自然生长旺盛。至于形体脱失、气息急促、或者出汗不止的情况，适宜服用重用人参的生化汤以益气，这样阳气生发则阴血长养，血液才能生长旺盛，这不是棕灰等止血药所能治疗的。如果生产已满一个月以外，又适宜用升举大补汤治疗。凡是年老体弱积久的人患病，都适宜服用此方。
加参生化汤：治疗产后血崩，形体脱失、汗多、气息急促。川芎三钱，当归四钱，荆芥四分，桃仁十粒，人参三钱，肉桂五分（服用两帖后去掉），炙甘草五分，枣二枚，水煎，热服。出汗多加黄芪、人参（原文此处似有缺漏或排版错误，依语境推测为人参、黄芪，但严格按原文提取实体，此处仅列出可见药材名，翻译时保留原意结构）。
升举大补汤：治疗产后日久，血崩不止。或者排出如鸡卵大小的血块，或者去血如片状，适宜大补脾胃，升提气血，少加镇坠心火的药物。此方同时治疗老少血崩等症状。人参、白术各三钱，川芎一钱，当归一钱五分，熟地黄二钱，黄芪一钱，白芷四分，荆芥四分，陈皮、黄连、黄柏（炒制，腹泻者勿用）、羌活、防风各四分，升麻、甘草各五分。口渴加麦冬、五味子。腹泻加泽泻、莲子。有痰加半夏。兼有白带者加苍术、半夏各一钱。
Whenever a parturient exerts excessive effort during childbirth, labor fatigue damages the Spleen, causing Spleen Qi to be exhausted and unable to distribute nutrients to the four extremities, resulting in cold feet and upward reversal of Jue Qi (cold pathogenic qi). The *Classic of Internal Medicine* states: "When Yang Qi is deficient at the lower level, it manifests as Cold Jue; when Jue Qi reverses upward and fills the meridians, Shen Qi (Spirit) floats away from the body and dissipates." This condition requires emergency formulas to guide Qi back to its origin; without substantial tonification, how can Yang Qi be restored and Spirit revived? One must use Jiashen Shenghua Tang (Ginseng-Added Decoction for Generating New Blood) with an increased dose of Renshen (Ginseng), administered continuously for two doses, to make Qi and Blood abundant, thereby restoring Spirit and stopping Jue. If there is thirst, use Shaoyang San (Pulse-Nourishing Powder) as tea substitute to assist Jin Ye (Body Fluids) in moistening Zang organ dryness. Although symptoms such as cold limbs may resemble Yin syndromes of Shanghan (Cold Damage), Si Ni Tang (Decoction for Extremity Reversal) must not be used. Instead, Jiashen Shenghua Tang should be combined with Heijiang (Charred Ginger) or one piece of Shu Fuzi (Prepared Aconite Root) to restore Yang, stop reversal, and thus sufficiently facilitate the action of Renshen and Danggui (Angelica Sinensis).
Jiashen Shenghua Tang (Ginseng-Added Decoction for Generating New Blood): Renshen (Ginseng) 2 qian, Chuanxiong (Ligusticum Rhizome) 2 qian, Danggui (Angelica Sinensis) 4 qian, Jiangtan (Charred Ginger) and Zhigancao (Honey-fried Licorice Root) each 4 fen, Taoren (Peach Seed) 10 grains, plus Yuan Zao (Jujube) 2 pieces, decocted in water. If Jue resolves, temporarily remove Renshen; re-add it after blood clots and pain are eliminated (This treats postpartum Jue syndrome).
Zirong Yiqi Fushen Tang (Nourishing Glory, Tonifying Qi, and Restoring Spirit Decoction): For postpartum Jue without blood clot pain. Chuanxiong (Ligusticum Rhizome), Jiaozhu (Scorched Atractylodes Macrocephala Rhizome), Zhi Huangqi (Honey-fried Astragalus Root), Maidong (Ophiopogon Tuber) each 1 qian; Renshen (Ginseng), Danggui (Angelica Sinensis) each 3 qian; Shudi (Prepared Rehmannia Root) 2 qian; Zhigancao (Honey-fried Licorice Root) 4 fen; Chenpi (Aged Tangerine Peel) 4 fen; Wuweizi (Schisandra Berry) 10 grains. Decoct in water and take orally. For thirst, use Shaoyang San (Pulse-Nourishing Powder) as tea. For excessive sweating, add Mahuanggen (Ephedra Root) and Zaoren (Ziziphus Seed) each 1 qian. For persistent clot pain, add Rougui (Cinnamon Bark) 5 fen. For constipation, add Rongrong (Cistanche Stem) and Maren (Hemp Seed) each 2 qian. For phlegm, add Zhuli (Bamboo Sap), Jiangzhi (Ginger Juice), Ju Hong (Red Tangerine Peel) 4 fen, and one cup of wine. For gradually cold hands, feet, and breath, add Fuzi (Aconite Lateral Root) 5 fen and increase Renshen dosage.
If postpartum bleeding is heavy, observe whether the blood color is red or purple, and assess the deficiency or excess of Xing Qi (Physical Constitution and Qi). If the blood is mostly purple, it is stasis blood that should be expelled; retaining it will cause pain, so do not treat it as Beng Lou (Metrorrhagia/Metrostaxis). If the blood is bright red, it indicates that fright has injured the Heart preventing blood generation, anger has injured the Liver preventing blood storage, and labor has injured the Spleen preventing blood containment; this should be treated as Beng Lou. First, administer several doses of Shenghua Tang (Decoction for Generating New Blood); within the blood-invigorating action lies tonification, allowing blood to grow abundant. In cases of physical collapse, rapid breathing, or incessant sweating, administer Jiashen Shenghua Tang with increased Renshen to tonify Qi. When Yang generates, Yin grows, and blood becomes abundant; this cannot be treated with hemostatic drugs like Zonghui (Brown Ash). If more than a month has passed since delivery, Shengju Dabu Tang (Great Tonification and Ascending Decoction) is appropriate. This formula is suitable for elderly individuals with chronic weakness suffering from illness.
Jiashen Shenghua Tang (Ginseng-Added Decoction for Generating New Blood): Treats postpartum Beng Lou with physical collapse, profuse sweating, and rapid breathing. Chuanxiong (Ligusticum Rhizome) 3 qian, Danggui (Angelica Sinensis) 4 qian, Jingjie (Schizonepeta Spike) 4 fen, Taoren (Peach Seed) 10 grains, Renshen (Ginseng) 3 qian, Rougui (Cinnamon Bark) 5 fen (remove after two doses), Zhigancao (Honey-fried Licorice Root) 5 fen, Zao (Jujube) 2 pieces. Decoct in water and take hot. For excessive sweating, add Huangqi (Astragalus Root) and Renshen (Ginseng)... [Text fragment implies missing characters, translated based on context].
Shengju Dabu Tang (Great Tonification and Ascending Decoction): Treats prolonged postpartum Beng Lou that does not cease. Or expulsion of large clots like chicken eggs, or blood loss in sheets. It is suitable to greatly tonify the Spleen and Stomach, ascend and lift Qi and Blood, with a small addition of herbs that suppress and sink Heart Fire. This formula also treats Beng Lou in both young and old. Renshen (Ginseng), Baizhu (Atractylodes Macrocephala Rhizome) each 3 qian; Chuanxiong (Ligusticum Rhizome) 1 qian; Danggui (Angelica Sinensis) 1.5 qian; Shudi (Prepared Rehmannia Root) 2 qian; Huangqi (Astragalus Root) 1 qian; Baizhi (Angelica Dahurica Root) 4 fen; Jingjie (Schizonepeta Spike) 4 fen; Chenpi (Aged Tangerine Peel), Huanglian (Coptis Rhizome), Huangbai (Phellodendron Bark - stir-fried, avoid if diarrhea exists), Qianghuo (Notopterygium Rhizome), Fangfeng (Saposhnikovia Root) each 4 fen; Shengma (Cimicifuga Rhizome), Gancao (Licorice Root) each 5 fen. For thirst, add Maidong (Ophiopogon Tuber) and Wuweizi (Schisandra Berry). For diarrhea, add Zexie (Alisma Rhizome) and Lianzi (Lotus Seed). For phlegm, add Banxia (Pinellia Tuber). For concurrent leukorrhea, add Cangzhu (Atractylodes Lancea Rhizome) and Banxia (Pinellia Tuber) each 1 qian.