产后潮热有汗，大便不通，勿专论为阳明症；口燥咽干，勿专论为少阴症；腹满嗌干，
大便秘结，勿专论为太阴症。又，汗多谵语，勿专论肠胃有燥粪诸症，多由劳倦伤脾，运血
稍迟，气血枯竭，乃虚症类实，治宜养正通幽汤，勿执偏门妄论承气，致沾唇莫救。
养正通幽汤（一名助血润肠汤）∶川芎二钱半，炙甘草五分，桃仁五粒，苁蓉五钱，陈
皮
失
以
泄
产后七日内，发热、头痛、恶寒，勿专论为太阳症；发热、头痛、血疼，勿专论为少阳
症。二症皆由气血两虚、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，而虚虚之祸，不可胜言。即或
症中真感伤寒，加味生化汤内芎、姜能散寒。且荣卫调和，诸病自退。
加味生化汤∶川芎、当归各二钱，炭姜五分，炙草五分，桃仁十粒，陈皮三分，枣二枚
，水煎，温服，连进两帖。如明知感冒风邪，二帖不退，加羌活四分，葱白四寸。呕加藿香
三分，生姜一片。如汗多气促，如微喘，俱加人参二三钱。渴用生脉散。如乍寒乍热，发有
常期，加柴胡四分。有痰加橘红、花粉。
产后气血暴竭，少血养荣，忽然口噤牙紧，手足筋脉拘挛，症类中风。又或汗多而类症
，口噤不开，背强而直，身忽反张，气息如绝，虽虚火上泛有痰，皆当以末治之，勿用治风
消痰之药以重虚产母，但服生化汤以生旺新血，自能清利关节，所谓血旺风自灭。或用滋味
活络汤，兼服天麻丸。若见危症，即多用人参以救血脱。如有痰有火，少佐麦冬、橘红等味
，竹沥、姜汁，亦宜少加，芩、连、柏，断不宜用。
滋味活络汤∶当归、人参各三钱，川芎、熟地各二钱，黄 、茯神、天麻、麦冬各一钱
，陈皮、炙甘草各五分，荆芥、防风、羌活各四分。火盛产久，加炒连三分。有痰，加夏曲
七分。痰多，加竹沥、姜汁。大便闭秘加苁蓉二钱。渴，加葛根八分。汗多，加麻黄根一钱
。惊悸，加枣仁二钱。气息如结、手足渐冷，加桂子一钱，附子五分。
天麻丸∶天麻、防风、石菖蒲各五钱，人参、茯神、枣仁、远志、柏仁、山药、麦冬各
一两，川芎、羌活各七分，当归二两，南星、夏曲各二钱半，上为末，蜜丸如芡实大，辰砂
为衣，每服四五丸。
产后出现潮热且有汗出，大便不通畅，不要专门将其诊断为阳明病；口燥咽干，不要专门将其诊断为少阴病；腹部胀满、咽喉干燥，大便秘结，不要专门将其诊断为太阴病。另外，出汗多且胡言乱语，不要专门诊断为肠胃中有燥屎等实证，这大多是由于劳累疲倦损伤了脾脏，血液运行稍显迟缓，导致气血枯竭，属于虚证表现为类似实证的假象（类实证），治疗应当使用养正通幽汤，不要固执于偏门而妄用承气汤类方剂，否则会导致病情危重无法挽救。
养正通幽汤（又名助血润肠汤）：川芎二钱半，炙甘草五分，桃仁五粒，肉苁蓉五钱，陈皮……（原文此处有残缺/错乱字符“失 以 泄”，依文意推测为药材或排版错误，暂略去不明部分，保留明确药味）。
产后七日内，出现发热、头痛、恶寒，不要专门诊断为太阳病；发热、头痛、伴有身体疼痛，不要专门诊断为少阳病。这两种症状都是由气血两虚、阴阳不和而表现出类似外感病的症状，切不可使用麻黄汤来治疗太阳类病症，也不可使用柴胡汤来治疗少阳类病症。这是因为产妇在失血之后，如果再用发汗法，会进一步耗伤阳气，导致阴阳两竭，造成“虚其虚”的祸患，后果不堪设想。即使确实感染了伤寒邪气，在加味生化汤中，川芎和生姜也能发散寒邪。况且只要营卫调和，各种病症自然消退。
加味生化汤：川芎、当归各二钱，炮姜炭五分，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，服用两帖后症状未退，可加入羌活四分，葱白四寸。呕吐者加入藿香三分，生姜一片。如果出汗多且气短急促，甚至轻微喘息，均加入人参二三钱。口渴者使用生脉散。如果出现忽冷忽热，发作有固定时间，加入柴胡四分。有痰者加入橘红、天花粉。
产后气血突然枯竭，因血液不足难以滋养荣气，忽然出现牙关紧闭、牙齿紧咬，手足筋脉拘挛抽搐，症状类似中风。又或者出汗多而出现类似症状，牙关紧闭不能张开，背部僵硬挺直，身体突然向后反张，气息微弱如同断绝，虽然这是由于虚火上泛导致有痰，都应当以补益为主进行治疗，不要使用祛风消痰的药物来进一步损伤产母的元气，只需服用生化汤以生成旺盛的新血，自然能清利关节，这就是所谓的“血旺则风自灭”。或者使用滋味活络汤，兼服天麻丸。如果见到危急重症，即大量使用人参来救治血脱之症。如果有痰有火，少量佐以麦冬、橘红等药味，竹沥、姜汁也宜少量添加，黄芩、黄连、黄柏这类苦寒药物，绝对不宜使用。
滋味活络汤：当归、人参各三钱，川芎、熟地黄各二钱，黄芪、茯神、天麻、麦冬各一钱，陈皮、炙甘草各五分，荆芥、防风、羌活各四分。如果火盛且产后时间较长，加入炒黄连三分。有痰者，加入半夏曲七分。痰多者，加入竹沥、姜汁。大便秘结者，加入肉苁蓉二钱。口渴者，加入葛根八分。出汗多者，加入麻黄根一钱。惊悸不安者，加入酸枣仁二钱。气息阻滞、手足逐渐变冷者，加入桂子一钱，附子五分。
天麻丸：天麻、防风、石菖蒲各五钱，人参、茯神、酸枣仁、远志、柏子仁、山药、麦冬各一两，川芎、羌活各七分，当归二两，胆南星、半夏曲各二钱半，以上药物研为细末，用蜂蜜制成如芡实大小的丸药，以朱砂为衣，每次服用四五丸。
After childbirth, if there is tidal fever with sweating and constipation, do not exclusively diagnose it as Yangming disease (Yangming syndrome); if there is dry mouth and throat, do not exclusively diagnose it as Shaoyin disease (Shaoyin syndrome); if there is abdominal fullness, dry throat, and severe constipation, do not exclusively diagnose it as Taiyin disease (Taiyin syndrome). Furthermore, if there is profuse sweating accompanied by delirium, do not exclusively diagnose it as intestinal or stomachal conditions involving dry feces. This is mostly due to fatigue and overwork damaging the Spleen, causing slightly sluggish blood circulation, leading to exhaustion of Qi and Blood. It is a deficiency pattern presenting as an excess-like condition (pseudo-excess). Treatment should employ Yangzheng Tongyou Decoction (Nourish Righteousness and Unblock the Obscure Decoction). Do not stubbornly adhere to marginal approaches and recklessly prescribe Chengqi Decoctions (Gut-Purging Formulas), lest the patient's lips turn black and become incurable.
Yangzheng Tongyou Decoction (also known as Zhuxue Runchang Decoction): Chuanxiong Rhizome (Chuanxiong) 2.5 qian, Honey-fried Licorice Root (Zhi Gancao) 0.5 qian, Peach Kernel (Taoren) 5 grains, Cistanche Stem (Rongshu) 5 qian, Tangerine Peel (Chenpi)... [Note: Original text contains corrupted characters here].
Within seven days after childbirth, if there is fever, headache, and aversion to cold, do not exclusively diagnose it as Taiyang disease (Taiyang syndrome); if there is fever, headache, and body pain, do not exclusively diagnose it as Shaoyang disease (Shaoyang syndrome). Both conditions arise from dual deficiency of Qi and Blood and disharmony of Yin and Yang, manifesting as symptoms resembling external contraction. One must absolutely avoid using Mahuang Decoction (Ephedra Decoction) to treat Taiyang-like syndromes, nor use Chaihu Decoction (Bupleurum Decoction) to treat Shaoyang-like syndromes. This is because, following hemorrhage, inducing sweat further depletes Yang, leading to exhaustion of both Yin and Yang. The disaster of "deficiency compounding deficiency" is incalculable. Even if true Cold Damage (Shanghan) is contracted, the Chuanxiong and Ginger in Jiawei Shenghua Decoction can disperse cold. Moreover, once Ying and Wei (Nutritive and Defensive Qi) are harmonized, various diseases will recede naturally.
Jiawei Shenghua Decoction (Modified Birth-Generating Decoction): Chuanxiong Rhizome (Chuanxiong) and Angelica Sinensis Root (Danggui) each 2 qian, Charred Ginger (Tan Jiang) 0.5 qian, Honey-fried Licorice Root (Zhi Gancao) 0.5 qian, Peach Kernel (Taoren) 10 grains, Tangerine Peel (Chenpi) 0.3 qian, Jujube (Zao) 2 pieces. Decoct in water, take warm, administer two doses consecutively. If wind-pathogen invasion is confirmed and symptoms persist after two doses, add Notopterygium Root (Qianghuo) 0.4 qian and Scallion White (Congbai) 4 cun. For vomiting, add Agastache Herb (Huoxiang) 0.3 qian and Fresh Ginger (Shengjiang) 1 slice. If sweating is profuse with shortness of breath or slight panting, add Ginseng Root (Renshen) 2-3 qian. For thirst, use Shengmai San (Generate Pulse Powder). If there is alternating chills and fever with regular periodicity, add Bupleurum Root (Chaihu) 0.4 qian. For phlegm, add Exocarpium Citri Reticulatae (Juhong) and Trichosanthes Root (Huafen).
After childbirth, sudden exhaustion of Qi and Blood, with insufficient blood to nourish the Ying system, may suddenly present with locked jaw, clenched teeth, and spasms/torticollis of the tendons and vessels in the hands and feet, resembling stroke (Zhongfeng). Or, due to profuse sweating, similar symptoms may occur: inability to open the jaw, stiff and straight back, sudden opisthotonos (backward arching of the body), and breathlessness as if severed. Although this may be due to deficient fire floating upward generating phlegm, treatment should focus on tonification. Do not use wind-dispelling and phlegm-resolving drugs that would further weaken the postpartum mother. Simply administer Shenghua Decoction to generate robust new blood, which will naturally clear and lubricate the joints. This is what is meant by "when blood is abundant, wind extinguishes itself." Alternatively, use Ziwu Huoluo Decoction (Rich Flavor Meridian-Activating Decoction), taken concurrently with Tianma Wan (Gastrodia Pill). In critical conditions, administer large amounts of Ginseng Root (Renshen) to rescue from blood collapse. If there is phlegm and fire, add small amounts of Ophiopogon Tuber (Maidong) and Exocarpium Citri Reticulatae (Juhong); Bamboo Sap (Zhuli) and Ginger Juice (Jiangzhi) should also be added sparingly. Scutellaria Root (Huangqin), Coptis Rhizome (Huanglian), and Phellodendron Bark (Huangbo) are strictly contraindicated.
Ziwu Huoluo Decoction: Angelica Sinensis Root (Danggui) and Ginseng Root (Renshen) each 3 qian, Chuanxiong Rhizome (Chuanxiong) and Prepared Rehmannia Root (Shudi) each 2 qian, Astragalus Root (Huangqi), Poria (Fushen), Gastrodia Rhizome (Tianma), and Ophiopogon Tuber (Maidong) each 1 qian, Tangerine Peel (Chenpi) and Honey-fried Licorice Root (Zhi Gancao) each 0.5 qian, Schizonepeta Spike (Jingjie), Saposhnikovia Root (Fangfeng), and Notopterygium Root (Qianghuo) each 0.4 qian. If fire is excessive and postpartum period is long, add Stir-fried Coptis Rhizome (Lian) 0.3 qian. For phlegm, add Pinellia Fermented Dough (Xiaqu) 0.7 qian. For copious phlegm, add Bamboo Sap (Zhuli) and Ginger Juice (Jiangzhi). For constipation, add Cistanche Stem (Rongshu) 2 qian. For thirst, add Kudzu Root (Gegen) 0.8 qian. For profuse sweating, add Ephedra Root (Mahuanggen) 1 qian. For palpitations and fright, add Sour Jujube Seed (Zaoren) 2 qian. For qi stagnation and gradually cooling extremities, add Cassia Seed/Lignuim (Guizi) 1 qian and Prepared Aconite Root (Fuzi) 0.5 qian.
Tianma Wan (Gastrodia Pill): Gastrodia Rhizome (Tianma), Saposhnikovia Root (Fangfeng), and Acorus Rhizome (Shichangpu) each 5 qian; Ginseng Root (Renshen), Poria (Fushen), Sour Jujube Seed (Zaoren), Polygala Root (Yuanzhi), Biota Seed (Bairen), Chinese Yam (Shanyao), and Ophiopogon Tuber (Maidong) each 1 liang; Chuanxiong Rhizome (Chuanxiong) and Notopterygium Root (Qianghuo) each 0.7 qian; Angelica Sinensis Root (Danggui) 2 liang; Arisaema Rhizome (Nanxing) and Pinellia Fermented Dough (Xiaqu) each 2.5 qian. Grind all into fine powder, form pills with honey the size of Euryale Seed (Qianshi), coat with Cinnabar (Chensha). Take 4-5 pills per dose.