凡病起于血气之衰，脾胃之虚。况产妇气血、脾胃之虚弱，殆有甚焉。是以丹溪论产后
，必当以大补气血为主，虽有他症，以末治之。此二语也，已括尽医产后大旨矣。若能扩充
之，则立方用药治法，可无大过。夫产后忧惊劳倦诸症，乘虚易袭。如有气毋专耗气，有食
毋专消食，热不可用芩连，寒不可用附、桂，寒则血块停滞，热则新血流通，至若中虚外感
，见三阳表证之多，似可汗也，在产后而用麻黄，则重竭其阳，见三阴里证之多，似宜下也
，在产后而用承气，则重亡其阴。耳聋胁痛，乃肾虚恶露之停，休用柴胡；谵语汗出，乃元
弱似邪之症，勿同胃实，其由阳之衰，虽分寒热，非大补不能回阳而起弱；痉因阴血之涸，
非滋荣不能舒经而活络。又如，乍寒乍热，发作有期，症类疟也，若以疟治，淹滞难痊。神
不守舍，言语无伦，病似邪也，若以邪治，危亡可待。去血而大便燥结，苁蓉加于生化，非
润肠，承气之能通；汗多而小便短涩，六君倍用参 ，必生津助液之可利。加参生化频服，
救产后之危；长生活命屡加，苏绝谷之症。肛脱、茄拖，俱是气虚下陷，补中益气，是良方
也；口噤拳挛，乃因血燥类风，加参生化，大有益焉。产户入风，服以养荣羌独；玉门伤冷
，洗须床免萸硫；怔忡惊悸，生化汤加远志；似邪恍惚，安神丸助归脾；因气喘而满闷虚烦
，生化汤加木香为佐；因过食而嗳酸恶食，六君子加神曲为良。苏木棱蓬，大能破血；青皮
枳实，最消膨胀。一应耗气破血之药，汗吐宣下之方，只可施于强壮，岂宜用于产？。大抵
新产之后，先问恶露如何？块痛如何？不可遽加参、术。腹中痛止，补中益气无疑。至若亡
阳
乃
故
济
凡是疾病，都起因于血气的衰弱和脾胃的虚弱。何况产妇的气血、脾胃之虚弱，更是严重得多。因此朱丹溪论述产后病时，认为必须以大补气血为主，即使有其他病症，也只作为次要问题来处理。这两句话，已经概括了治疗产后病的核心宗旨了。如果能够在此基础上加以扩充，那么制定方剂和用药治法，就不会有大的过失。
产后忧思、惊恐、劳累、疲倦等各种病症，容易趁虚侵袭人体。如果有气滞的情况，不要专门使用耗气的药物；如果有食积的情况，不要专门使用消食导滞的药物。发热不可使用黄芩、黄连等苦寒药，畏寒不可使用附子、肉桂等大热药，因为寒凉会导致血块停滞，温热则有助于新血流通。至于中气虚弱又外感邪气，出现太阳、阳明、少阳三阳经表证较多的情况，似乎可以使用发汗法，但在产后如果使用麻黄，则会严重耗竭阳气；出现太阴、少阴、厥阴三阴经里证较多的情况，似乎适宜使用攻下法，但在产后如果使用承气汤类方剂，则会严重亡失阴液。
耳聋、胁痛，是由于肾虚且恶露停滞所致，不要使用柴胡；说胡话、出汗，是由于元气虚弱类似邪气干扰的症状，不要当作胃实热证来治疗。由于阳气衰微，虽然症状分为寒热两类，但如果不进行大补，就不能挽回阳气并改善虚弱状态；痉挛是因为阴血枯竭所致，如果不滋养营血，就不能舒缓经络并活血通络。
又如，忽冷忽热，发作有定时，症状类似疟疾，如果按照疟疾治疗，病情会拖延难愈。神志不守舍，言语错乱无伦次，病状类似邪祟作怪，如果按照邪祟治疗，危险死亡就在眼前。
因失血而导致大便干燥结硬，在生化汤中加入肉苁蓉，并非依靠润肠通便，而是依靠承气汤般的通下之力（注：此处原文逻辑较特殊，意指通过补血活血达到通便效果，或指需配合通下，但结合上下文“非润肠”及“生化加苁蓉”，通常理解为养血润燥以通便，此处依字面直译并保留中医语境）；汗出过多导致小便短少涩滞，在六君子汤中加倍使用人参，必定能通过生津助液来达到利尿的效果。频繁服用加入人参的生化汤，可以挽救产后的危重病症；多次使用长生活命丹，可以苏醒绝食重症患者。
肛门脱垂、阴道壁膨出（茄拖），都是气虚下陷所致，补中益气汤是良方；牙关紧闭、手足拳挛，是因为血燥类似风证，加入人参的生化汤大有益处。产户受风，服用养荣汤加羌活、独活；玉门（外阴）受寒，需要用床石、白免脑、山茱萸、硫磺等煎水清洗（注：原文“洗须床免萸硫”为特定外用方，床石、免脑、萸、硫磺）；怔忡惊悸，用生化汤加远志；神志恍惚似邪，用安神丸辅助归脾汤；因气喘而胸闷虚烦，用生化汤加木香作为佐药；因饮食过量而嗳气吞酸、厌恶食物，用六君子汤加神曲为良。
苏木、莪术、蓬莪术，具有强大的破血作用；青皮、枳实，最能消除胀满。所有耗气破血的药物，以及发汗、催吐、宣散、攻下的方剂，只适用于身体强壮的人，岂能用于产妇？
大体上，新产之后，先要询问恶露排出情况如何？腹痛情况如何？不可以急于加入人参、白术。如果腹中疼痛停止，使用补中益气汤无疑是对的。至于亡阳……（原文未完）
Any disease arises from the decline of blood and qi, and the deficiency of the spleen and stomach. How much more so is the deficiency of blood, qi, spleen, and stomach in postpartum women. Therefore, when Zhu Danxi discussed postpartum diseases, he insisted that the primary treatment must be to greatly tonify blood and qi; even if there are other symptoms, they should be treated as secondary. These two statements have already summarized the main principles of treating postpartum conditions. If one can expand upon this, then the formulation of prescriptions and methods of medication will not deviate significantly from the correct path.
Various syndromes such as worry, fright, fatigue, and overwork easily invade the body due to its deficiency after childbirth. If there is qi stagnation, do not exclusively use herbs that consume qi; if there is food retention, do not exclusively use herbs that promote digestion. For heat, avoid using Huangqin (Scutellariae Radix) and Lianzi (Coptidis Rhizoma); for cold, avoid using Fuzi (Aconiti Lateralis Radix Praeparata) and Rougui (Cinnamomi Cortex), because cold causes blood stasis to stagnate, while warmth promotes the circulation of new blood. As for exterior contraction with middle jiao deficiency, where there are many taiyang, yangming, and shaoyang exterior syndromes, sweating might seem appropriate; however, using Mahuang (Ephedrae Herba) in postpartum women would severely deplete yang qi. Where there are many taiyin, shaoyin, and jueyin interior syndromes, purgation might seem suitable; however, using Chengqi Tang (Gastrointestinal Releasing Decoction) in postpartum women would severely damage yin fluids.
Deafness and hypochondriac pain are caused by kidney deficiency and the stagnation of lochia; do not use Chaihu (Bupleuri Radix). Delirium and sweating are symptoms of yuan qi (original qi) weakness resembling pathogenic invasion; do not treat them as excess heat in the stomach. Due to the decline of yang, although symptoms may present as either cold or heat, without great tonification, yang cannot be restored and weakness cannot be alleviated. Spasms are caused by the exhaustion of yin blood; without nourishing the nutritive level (ying), meridians cannot be relaxed and collaterals activated.
Furthermore, alternating chills and fever occurring at regular intervals resemble malaria; if treated as malaria, recovery will be delayed and difficult. When the spirit does not reside in its house, resulting in incoherent speech, the condition resembles possession by evil spirits; if treated as such, danger and death may ensue.
Constipation due to blood loss: adding Rongren (Cistanche Caulis) to Shenghua Tang (Decoction for Postpartum Transformation) relies not merely on moistening the intestines but on the unblocking power akin to Chengqi Tang. Profuse sweating leading to scanty and dysuric urine: doubling the dosage of Renshen (Ginseng Radix et Rhizoma) in Liujunzi Tang (Six Gentlemen Decoction) generates fluids and assists yin to promote urination. Frequently administering Shenghua Tang with added Renshen can save critical postpartum cases; repeatedly using Changsheng Huoming Wan (Longevity and Life-Sustaining Pill) can revive patients with anorexia and collapse.
Rectal prolapse and vaginal wall prolapse ("eggplant dragging") are both due to qi deficiency sinking; Buzhong Yiqi Tang (Decoction to Supplement the Middle and Augment the Qi) is an excellent prescription. Trismus and clenched fists resembling wind syndrome are due to dry blood; Shenghua Tang with added Renshen is highly beneficial. Wind entering the vaginal opening should be treated with Yangrong Qiangduo (Nourishing the Nutritive Level with Qianghuo and Duhuo); cold injuring the vulva requires washing with Chuangmian Yuliu (a preparation involving bed stone, rabbit brain, cornus, and sulfur). Palpitations and fright are treated with Shenghua Tang plus Yuanzhi (Polygalae Radix); delirious恍惚 resembling evil spirits is assisted by Anshen Wan (Spirit-Calming Pill) combined with Guipi Tang (Restore the Spleen Decoction). Shortness of breath with chest fullness and empty irritability is treated with Shenghua Tang plus Muxiang (Aucklandiae Radix) as an assistant; belching, sour regurgitation, and aversion to food due to overeating are treated with Liujunzi Tang plus Shenqu (Massa Medicata Fermentata).
Sumu (Sappanwood), E Zhu (Curcumae Zedoariae Rhizoma), and Peng Ze (Curcumae Phaeocaulis Rhizoma) strongly break blood stasis; Qingpi (Citri Reticulatae Pericarpium Viride) and Zhishi (Aurantii Fructus Immaturus) best eliminate distension. All herbs that consume qi and break blood, and all formulas that induce sweating, vomiting, dispersing, or purging, are only applicable to robust individuals, let alone postpartum women.
Generally, after recent delivery, first inquire about the status of lochia and abdominal pain. Do not hastily add Renshen and Baizhu (Atractylodis Macrocephalae Rhizoma). If abdominal pain ceases, using Buzhong Yiqi Tang is undoubtedly correct. As for yang collapse... [Text ends]