产时骨节开张，血脉流散，正气衰弱，则经络肉分之间血多凝滞，骨节不利，筋脉不和
，故腰背不能转侧，手足不能屈伸而痛也。勿用风寒发汗之剂，宜用趁痛散∶当归、肉桂、
白术、牛膝、黄 、独活、生姜各一钱，炙草、薤白各五分，水煎，热服。
又有因新产气虚，久坐多语，运动用力遂至头目昏眩，四肢疼痛，寒热如疟，自汗，名
曰蓐劳，勿作伤寒误投汗剂。用白茯苓散∶云苓、归身、川芎、肉桂、白芍（酒炒）、炙 、
党参、熟地各一钱， 猪腰子一对（阉割者为 猪），去油膜切片，煎汤一盏去腰，加姜三
片
按∶蓐劳之症，或因临产之时生理不顺，忧恐思虚，内伤其神，展转闪挫。外伤其形，
内外俱伤，形神皆瘁。或因新产之后，气血未复，饮食未充，起居无度，语言不止，调摄失
宜，情欲失禁，外感风寒，内伤饮食，渐成羸疲，百病并作，苟非良工妙剂，未有不成劳瘵
而毙者。必宜服十全大补汤，又早用地黄丸加归身、牛膝、肉苁蓉（酒炒，焙干）、五味，
柏
一
椒
此食黍粥过多所致。用八珍汤去地黄，加橘络（橘皮内白筋即是）入姜汁、竹沥各一钟，
煎服十剂即愈。
新产之后，败血未尽，乘虚流入经络，与气相杂，凝滞不行，腐化为水，故令四肢浮肿
，乍寒乍热，勿作水气治之。轻用渗利之剂，但服调经汤，使气血流行，其肿自消。调经汤
∶归身（酒洗）、丹皮、肉桂、赤苓、甘草、陈皮各二钱，细辛、干姜（炒）各五分，姜三
片，
又有产后虚弱，腠理不密，调理失宜，外受风湿，面目虚浮，四肢肿者，用加味五皮汤
∶桑白皮、陈皮、茯苓皮、大腹皮、汉防己、枳壳（炒）、猪苓、炙草各一钱，姜三片，水
煎
若四肢浮肿而气喘者，用茯苓丸（风痰疾门）最效。
产妇在分娩时骨节开张，血脉流散，正气衰弱，导致经络肌肉之间血液多凝滞，骨节活动不利，筋脉不和，因此出现腰背不能转动侧身，手足不能屈伸而疼痛的症状。不要使用针对风寒的发汗药剂，适宜使用趁痛散：当归、肉桂、白术、牛膝、黄芪、独活、生姜各一钱，炙甘草、薤白各五分，用水煎煮，热服。
又有因新产后气虚，久坐多语，运动用力遂至头目昏眩，四肢疼痛，寒热如疟疾发作，自汗出，名为蓐劳（产后虚劳），不要当作伤寒误投发汗药剂。使用白茯苓散：云茯苓、当归身、川芎、肉桂、白芍（酒炒）、炙黄芪、党参、熟地黄各一钱，猪腰子一对（阉割的公猪为优），去除油膜切片，煎取一盏汤液后去掉猪腰，加入生姜三片，煎服。
按语：蓐劳之症，或因临产之时生理不顺，忧恐思虑虚弱，内伤其神，辗转闪挫。外伤其形，内外俱伤，形体与精神皆疲惫。或因新产之后，气血未恢复，饮食未充足，起居无节制，言语不止，调摄失宜，情欲失控，外感风寒，内伤饮食，逐渐形成羸弱疲劳，百病并作，如果不是良医妙剂，没有不成为劳瘵（慢性消耗性疾病）而死亡的。必定适宜服用十全大补汤，又早用地黄丸加当归身、牛膝、肉苁蓉（酒炒，焙干）、五味子、柏子仁、花椒。
此症是因食用黍粥过多所致。使用八珍汤去掉地黄，加橘络（橘皮内白筋即是）入姜汁、竹沥各一钟，煎服十剂即愈。
新产之后，败血未尽，乘虚流入经络，与气相杂，凝滞不行，腐化为水，因此令四肢浮肿，乍寒乍热，不要当作水气病治疗。轻用渗利药剂，只服用调经汤，使气血流行，其肿自消。调经汤：当归身（酒洗）、丹皮、肉桂、赤茯苓、甘草、陈皮各二钱，细辛、干姜（炒）各五分，生姜三片，煎服。
又有产后虚弱，腠理不密，调理失宜，外受风湿，面目虚浮，四肢肿者，使用加味五皮汤：桑白皮、陈皮、茯苓皮、大腹皮、汉防己、枳壳（炒）、猪苓、炙甘草各一钱，生姜三片，水煎服。
During childbirth, the bone joints open, blood vessels disperse, and the healthy qi (vital energy) weakens. This causes blood to stagnate in the meridians and muscle layers, leading to joint dysfunction and disharmony of tendons and vessels. Consequently, there is pain with inability to turn or bend the waist and back, and inability to flex or extend the hands and feet. Do not use diaphoretic formulas for wind-cold; instead, it is appropriate to use Chentong San (Urging Pain-Relieving Powder): Danggui (Angelicae Sinensis Radix), Rougui (Cinnamomi Cortex), Baizhu (Atractylodis Macrocephalae Rhizoma), Niuxi (Achyranthis Bidentatae Radix), Huangqi (Astragali Membranacei Radix), Duhuo (Angelicae Pubescentis Radix), and Shengjiang (Zingiberis Recens Rhizoma) each 1 qian; Zhi Cao (Prepared Licorice Root) and Xiebai (Allii Macrostemonis Bulbus) each 0.5 qian. Decoct in water and take hot.
Another condition arises from qi deficiency after new childbirth, combined with prolonged sitting, excessive talking, and physical exertion, leading to dizziness of the head and eyes, pain in the four limbs, alternating chills and fever resembling malaria, and spontaneous sweating. This is named Rulao (Postpartum Deficiency Labor). Do not mistake it for Shanghan (Cold Damage) and erroneously administer diaphoretic formulas. Use Bai Fuling San (White Poria Powder): Yunling (Poria), Guishen (Danggui Radix Segment), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Rougui (Cinnamomi Cortex), Baishao (Paeoniae Radix Alba, stir-fried with wine), Zhi Huangqi (Prepared Astragali Membranacei Radix), Dangshen (Codonopsis Radix), and Shudi (Rehmanniae Radix Praeparata) each 1 qian; one pig kidney (preferably from a castrated male pig), remove the oily membrane and slice, decoct in one cup of water, remove the kidney slices, add three slices of ginger, and decoct further for administration.
Note: The syndrome of Rulao may result from physiological difficulties during delivery, causing worry, fear, and mental depletion, internally injuring the spirit, and causing physical strain through tossing and turning. External injury to the form leads to both internal and external damage, exhausting both body and spirit. Alternatively, after childbirth, when qi and blood have not yet recovered, diet is insufficient, daily routine is irregular, speech is incessant, care is improper, desires are unrestrained, external wind-cold invades, and internal food damage occurs, gradually leading to emaciation and fatigue, with myriad diseases arising. Unless treated by skilled physicians with excellent prescriptions, it invariably progresses to Laozai (Chronic Consumption Disease) resulting in death. It is essential to consume Shiquan Dabu Tang (Ten Substance Great Tonifying Decoction) and early on use Dihuang Wan (Rehmannia Pill) added with Guishen (Danggui Radix Segment), Niuxi (Achyranthis Bidentatae Radix), Roushurong (Cistanches Deserti Caulis, stir-fried with wine and dried), Wuweizi (Schisandrae Chinensis Fructus), Baiziren (Biota Orientalis Semen), and Huajiao (Zanthoxyli Pericarpium).
This condition is caused by excessive consumption of millet porridge. Use Bazhen Tang (Eight Treasure Decoction) without Dihuang, adding Juluo (orange peel white pith) mixed with Jiangzhi (Ginger Juice) and Zhuli (Bamboo Sap) each one zhong, decoct and take ten doses for recovery.
After new childbirth, if lochia (stagnant blood) is not fully expelled, it flows into the meridians due to deficiency, mixes with qi, stagnates, and transforms into fluid through putrefaction, causing edema of the four limbs and alternating chills and fever. Do not treat it as Shuiqi (Water Qi/Edema disease). Use mild diuretic formulas lightly; simply administer Tiaojing Tang (Regulate Menses Decoction) to promote qi and blood circulation, after which the edema will subside naturally. Tiaojing Tang: Guishen (Danggui Radix Segment, washed with wine), Danpi (Moutan Cortex), Rougui (Cinnamomi Cortex), Chiling (Red Poria), Gancao (Licorice Root), and Chenpi (Citri Reticulatae Pericarpium) each 2 qian; Xixin (Asari Radix et Rhizoma) and Ganjiang (Zingiberis Rhizoma, stir-fried) each 0.5 qian; three slices of ginger. Decoct and take.
In cases of postpartum weakness where the couli (pores/skin texture) are loose, care is improper, and external wind-dampness invades, causing facial puffiness and limb edema, use Jiawei Wupi Tang (Modified Five Peel Decoction): Sangbaipi (Morus Alba Cortex), Chenpi (Citri Reticulatae Pericarpium), Fulingpi (Poria Cum Sylpha), Dafupi (Arecae Causucis Pericarpium), Hanfangji (Stephaniae Tetrandrae Radix), Zhike (Aurantii Fructus Immaturus, stir-fried), Zhuling (Polyporus), and Zhi Cao (Prepared Licorice Root) each 1 qian; three slices of ginger. Decoct in water and take.
If limb edema is accompanied by asthma (wheezing/dyspnea), Fuling Wan (Poria Pill) (see Wind-Phlegm Disease Section) is most effective.