产妇麻后乳汁干。心火 炼竭津泉。惟有养血为急务。莫施峻剂塞乳源。
乳汁乃津液化成。妇人产后。去血过多。兼之麻火 炼。血枯津涸。故乳汁干竭。宜养血以
滋生化之源。切不可妄用峻补之药。塞其涌泉之源也。宜以四物汤中（见二十五条）加花木通
主之。
遍身浮肿因何作。只因麻后气血弱。婴儿闺秀从无此。老翁妇人此候多。
麻后遍身浮肿。童孩罕有此候。惟老人妇人多有之。盖老人气血本亏。兼之麻火耗血。以致
出麻之后。遍身浮肿。宜以四物汤（见二十五条）合四君子汤（见七十二条）去白术。加薏苡仁、甜
葶苈治之。若女人麻后遍身浮肿。必系初热正出已出之间。适遇经行。阴血重耗。故麻后遍身浮
肿。如无余热便闭等候。则当以养荣汤或四物汤（见二十五条）。或四君子汤（见七十二条）。俱多
加甜葶苈以治之。
养荣汤 治脾肺气虚。营血不足。惊悸健忘。寝汗发热。食少无味。身倦肌瘦。
人参 白术（土炒） 黄 （蜜炒） 炙甘草 陈皮（去白） 桂心 当归（各一钱） 熟地
黄五味子（蜜炒、此味宜除） 白茯苓（各七分） 远志肉（五分） 白芍药 姜、枣引。水煎服。
麻后余邪最作殃。几经恶候甚郎当。时行疠气相传染。疫鬼勾魂赴北邙。
麻疹出尽得安宁。邪未尽时症未平。拂拂烦热邪尚炽。频频呕吐毒犹蒸。
麻疹于欲出未出之时。宜早发散。以解其毒。则无余邪之为后灾也。若不知解毒于初。使麻
尽出。以致毒停蓄于中。未有不为殃者。或为壮热。日久枯瘁。或为惊痫。或为泄泻。或咳促咳血
喘急。或呕浓脓、而成肺痈。或作疳 而死。此虽一时疠气之染。彼此相传所致。而未有不由于人
事之未尽者也。业斯道者。但见先出疹者。有为余邪之发。死而不治。则后之初发者。即早为之
预解。使无余邪为害。而不致于夭札。方称良工。但凡麻疹。只要出得尽。则毒便解。而正气和平
矣。若麻正收之际。而犹拂拂烦热不宁。如蛇在灰。如蚓在尘之状。或呕吐。或泄泻者。此乃毒邪
壅遏。尚未尽出故也。烦热者。以古方黄连解毒汤（见三十五条）加麦冬、生地黄、地骨皮、牛
蒡子、赤茯苓治之。呕吐者。以柴胡橘皮汤去人参、半夏。加枇杷叶、木通治之。倘果麻未出尽。以
苎麻蘸酒。或蘸胡荽酒戛之。待麻出尽。则烦热自除。呕泻自止矣。如麻收后。只发热而无他症
者。以加减清肌汤加黄连治之。如麻后有余毒未尽。而发壮热者。以古方黄连解毒汤（见三十五
条）加生地黄、鲜地骨皮、木通、枳壳主之。如麻后身热不除者。以柴胡四物汤（见三十条）去人
参、白芍、川芎。加酒炒黄连。或生地骨皮汤（见三十条）加黄连治之。如麻后余毒未清。余热未
尽者。以十仙汤加骨皮。或连翘清毒饮去赤芍、桔梗、甘草。加黄连、黄芩、地骨皮、生地黄治之。
如麻后余毒未清。留滞肺经。致吐痰如黄脓者。乃成肺痈之候。以桑连散治之。如不愈。以百部
汤治之。倘不全愈。以花蕊石丸治之。并以白芨为末。用猪肺切薄片蒸熟。蘸白芨末食之。若用此
数方不愈。则成肺痿。宜以紫菀汤治之。
柴胡橘皮汤
柴胡 橘皮 黄芩 白茯苓 人参 半夏 甘草 竹茹一团。生姜一片引。水煎服。
加灭清肌汤
柴胡 黄芩 生地黄 当归 地骨皮 茯苓 知母 淡竹叶七片引。水煎服。
十仙汤
柴胡 葛根 元参 黄芩 黄连 栀子 赤茯苓 枳壳 生地黄 陈皮 生姜引。水
煎服。
连翘清毒饮
连翘 防风 荆芥 牛蒡子 石膏 赤芍 桔梗 甘草 水煎服。
桑连散
绿豆粉 桑白皮（蜜蒸） 苦参（各五钱） 黄连 天花粉（各二钱） 为末。白汤送下三四茶匙。
百部汤
地骨皮 麦冬 天冬 知母 元参 栝蒌仁 百部根 百合 地茄根 水煎服。
花蕊石丸
地骨皮 百部 百合 天冬 麦冬（各五钱） 薏苡仁 花蕊石（各一两） 寒水石 胡黄连（各三钱）
真熊胆（三钱） 为末。绿豆粉合丸。白汤下。
紫菀汤
人参（三钱） 桔梗 茯苓（各一两） 知母 贝母（各一钱五分） 阿胶 紫菀 甘草（各五分） 水煎服。
产妇在患麻疹后出现乳汁枯竭。这是由于心火炽盛，煎熬耗竭了津液之泉。此时唯有将养血作为紧急任务，切勿使用峻猛的药物来堵塞乳源。
乳汁是由津液转化而成。妇女产后，因失血过多，再加上麻疹火热之邪的煎熬，导致血液枯涸、津液干竭，所以乳汁枯竭。应当通过养血来滋养生化之源，切不可妄用峻补的药物，以免堵塞涌泉般的源头。适宜使用四物汤（见二十五条）加入木通为主进行治疗。
遍身浮肿是什么原因造成的？只因为麻疹之后气血虚弱。婴儿和闺秀中从未有过这种情况，而老人和妇人这种症状较多。
麻疹后遍身浮肿，儿童很少有此症状，只有老人和妇人多有此候。大概是因为老人气血本来亏损，加上麻疹火热耗伤血液，导致出疹之后，遍身浮肿。适宜使用四物汤（见二十五条）合四君子汤（见七十二条），去掉白术，加入薏苡仁、甜葶苈来治疗。如果妇人在麻疹后遍身浮肿，必定是因为在初热期、正出或已出疹之间，恰好遇到月经来潮，阴血再次大量耗损，所以在麻疹后遍身浮肿。如果没有余热和大便闭结等症状，则应当使用养荣汤或四物汤（见二十五条），或者四君子汤（见七十二条），都多加甜葶苈来治疗。
养荣汤：治疗脾肺气虚，营血不足，惊悸健忘，盗汗发热，食欲不振无味，身体疲倦肌肉消瘦。
人参、白术（土炒）、黄芪（蜜炒）、炙甘草、陈皮（去白）、桂心、当归（各一钱）、熟地黄、五味子（蜜炒，此味宜去除）、白茯苓（各七分）、远志肉（五分）、白芍药，以生姜、大枣为引，水煎服。
麻疹后的余邪最容易造成祸殃，多次出现危重证候非常糟糕。时行疠气相互传染，如同疫鬼勾魂前往北邙山。
麻疹出尽才能得安宁，邪气未尽时症未平复。微微烦热说明邪气尚且炽盛，频频呕吐说明毒邪仍在蒸腾。
麻疹在欲出未出之时，宜尽早发散，以解除其毒邪，就不会有余邪成为后患。如果不知道在初期解毒，致使麻疹出尽，导致毒邪停蓄于体内，没有不造成祸殃的。有的表现为壮热，日久身体枯瘦憔悴；有的表现为惊痫；有的表现为泄泻；有的咳嗽急促、咳血、气喘急迫；有的呕吐浓脓，从而形成肺痈；有的发展为疳积而死。这虽然是一时疠气感染，彼此相传所致，但没有不是由于人事处理不当造成的。从事这一行业的人，只要见到先出疹子的，有为余邪引发的，死而不治，那么后来刚发病的，就应早早为之预先解毒，使无余邪为害，而不致于夭折，这才称得上良医。但凡麻疹，只要出得尽，毒邪就能解除，正气就能平和。如果在麻疹正在收敛之际，仍然微微烦热不宁，像蛇在灰中、像蚯蚓在尘土中的状态，或者呕吐、或者泄泻，这是毒邪壅遏，尚未完全透发出来的缘故。对于烦热的，使用古方黄连解毒汤（见三十五条）加麦冬、生地黄、地骨皮、牛蒡子、赤茯苓治疗。对于呕吐的，使用柴胡橘皮汤去掉人参、半夏，加入枇杷叶、木通治疗。倘若确实麻疹未出尽，用苎麻蘸酒，或蘸胡荽酒擦拭皮肤，待麻疹出尽，则烦热自然消除，呕吐泄泻自然停止。如麻疹收没后，只发热而无其他症状的，使用加减清肌汤加黄连治疗。如麻疹后有余毒未尽，而发壮热的，使用古方黄连解毒汤（见三十五条）加生地黄、鲜地骨皮、木通、枳壳主治。如麻疹后身热不退的，使用柴胡四物汤（见三十条）去掉人参、白芍、川芎，加入酒炒黄连，或者使用生地骨皮汤（见三十条）加黄连治疗。如麻疹后余毒未清，余热未尽的，使用十仙汤加地骨皮，或者连翘清毒饮去掉赤芍、桔梗、甘草，加入黄连、黄芩、地骨皮、生地黄治疗。如麻疹后余毒未清，留滞肺经，导致吐痰如黄脓的，乃成肺痈的症状，使用桑连散治疗。如果不愈，使用百部汤治疗。倘若仍不完全痊愈，使用花蕊石丸治疗，并配合白芨研末，用猪肺切薄片蒸熟，蘸白芨末食用。如果使用这几方不愈，则形成肺痿，适宜使用紫菀汤治疗。
柴胡橘皮汤：
柴胡、橘皮、黄芩、白茯苓、人参、半夏、甘草，竹茹一团，生姜一片为引，水煎服。
加减清肌汤：
柴胡、黄芩、生地黄、当归、地骨皮、茯苓、知母，淡竹叶七片为引，水煎服。
十仙汤：
柴胡、葛根、元参、黄芩、黄连、栀子、赤茯苓、枳壳、生地黄、陈皮，生姜为引，水煎服。
连翘清毒饮：
连翘、防风、荆芥、牛蒡子、石膏、赤芍、桔梗、甘草，水煎服。
桑连散：
绿豆粉、桑白皮（蜜蒸）、苦参（各五钱）、黄连、天花粉（各二钱），研为细末，用白开水送下三四茶匙。
百部汤：
地骨皮、麦冬、天冬、知母、元参、栝蒌仁、百部根、百合、地茄根，水煎服。
花蕊石丸：
地骨皮、百部、百合、天冬、麦冬（各五钱）、薏苡仁、花蕊石（各一两）、寒水石、胡黄连（各三钱）、真熊胆（三钱），研为细末，用绿豆粉调和做成丸剂，白开水送下。
Postpartum women may experience dryness of breast milk after suffering from measles. This is due to excessive Heart Fire (Heart Fire) scorching and depleting the source of body fluids (Jin Ye). The urgent task at this time is solely to nourish the blood; one must not administer harsh medications that would obstruct the source of lactation.
Breast milk is formed from body fluids. After childbirth, women have lost a significant amount of blood. Coupled with the scorching effect of measles fire, the blood becomes depleted and body fluids dry up, resulting in the exhaustion of breast milk. It is appropriate to nourish the blood to nourish the source of generation and transformation. One must absolutely avoid recklessly using harsh tonifying medicines, which would block the source like a surging spring. It is suitable to use Siwu Tang (Four Substance Decoction) [see Article 25] added with Mutong (Akebia Caulis) as the main treatment.
What causes generalized edema? It is solely because Qi and Blood are weak after measles. This condition is never seen in infants or young noblewomen, but is common among the elderly and women.
Generalized edema after measles is rare in children, occurring mostly in the elderly and women. This is likely because the elderly inherently suffer from Qi and Blood deficiency. Combined with the consumption of blood by measles fire, generalized edema occurs after the eruption of the rash. It is suitable to treat with Siwu Tang (Four Substance Decoction) [see Article 25] combined with Sijunzi Tang (Four Gentlemen Decoction) [see Article 72], removing Baizhu (Atractylodis Rhizoma), and adding Yiyiren (Coicis Semen) and Tiantingli (Semen Lepidii). If a woman suffers from generalized edema after measles, it is certainly because during the initial fever stage, while the rash was emerging or had just emerged, her menstruation occurred simultaneously, causing a heavy loss of Yin Blood. Thus, generalized edema appears after measles. If there are no signs of residual heat or constipation, one should use Yangrong Tang (Nourishing the Vigor Decoction) or Siwu Tang (Four Substance Decoction) [see Article 25], or Sijunzi Tang (Four Gentlemen Decoction) [see Article 72], all with a large addition of Tiantingli for treatment.
Yangrong Tang: Treats Spleen and Lung Qi Deficiency, insufficient Ying and Blood, palpitations, forgetfulness, night sweats, fever, poor appetite, lack of taste, physical fatigue, and emaciation.
Renshen (Ginseng Radix), Baizhu (Atractylodis Rhizoma, stir-fried with soil), Huangqi (Astragali Radix, honey-fried), Zhigancao (Prepared Licorice Root), Chenpi (Citri Reticulatae Pericarpium, white part removed), Guixin (Cinnamomi Cortex), Danggui (Angelicae Sinensis Radix) (each 1 qian), Shudihuang (Rehmanniae Radix Preparata), Wuweizi (Schisandrae Fructus, honey-fried, this ingredient should be removed), Bai Fuling (Poria, each 0.7 qian), Yuanzhi (Polygalae Radix, 0.5 qian), Baishaoyao (Paeoniae Radix Alba), with Jiang (Zingiberis Rhizoma) and Zao (Jujubae Fructus) as guides. Decoct in water and take orally.
Residual pathogens after measles are most prone to cause disaster, presenting repeatedly with severe conditions, which is very dire. Seasonal pestilential Qi spreads through infection, like epidemic ghosts taking souls to Beimang Mountain.
Only when measles are fully erupted does peace arrive; if pathogens are not exhausted, symptoms remain unresolved. Slight irritability and heat indicate pathogens are still vigorous; frequent vomiting indicates toxins are still steaming.
When measles are about to erupt but have not yet done so, it is advisable to disperse them early to resolve their toxicity, preventing residual pathogens from becoming future disasters. If one fails to resolve toxicity in the initial stage, allowing measles to fully erupt, toxins will accumulate internally, inevitably causing harm. This may manifest as high fever leading to chronic wasting, convulsions and epilepsy, diarrhea, rapid coughing with hemoptysis and asthma, vomiting of thick pus leading to Lung Abscess (Fei Yong), or death from infantile malnutrition (Gan Syndrome). Although this is caused by the transmission of seasonal pestilential Qi between individuals, it invariably results from inadequate human management. Practitioners of this field should note: if they see an earlier case die from residual pathogen manifestation without treatment, they must proactively resolve toxicity for subsequent new cases early on, preventing residual pathogens from causing harm and premature death. Only then can they be called skilled physicians. Generally, for measles, if they are fully erupted, toxicity is resolved, and Zheng Qi (Upright Qi) becomes harmonious. However, if during the resolution phase of measles, slight irritability and restlessness persist, resembling a snake in ashes or an earthworm in dust, accompanied by vomiting or diarrhea, this indicates toxin pathogens are stagnant and have not fully exteriorized. For irritability and heat, use the ancient formula Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxins) [see Article 35] added with Maidong (Ophiopogonis Radix), Shengdihuang (Rehmanniae Radix), Digupi (Lycii Cortex), Niubangzi (Arctii Fructus), and Chifuling (Poria with Red Coir). For vomiting, use Chaihu Jupi Tang (Bupleurum and Tangerine Peel Decoction) removing Renshen (Ginseng Radix) and Banxia (Pinelliae Rhizoma), added with Pipaye (Eriobotryae Folium) and Mutong (Akebia Caulis). If indeed measles have not fully erupted, rub the skin with Ramie stem dipped in wine, or Huisu (Coriandri Herba) wine. Once measles are fully erupted, irritability will naturally cease, and vomiting/diarrhea will stop. If after measles resolution there is only fever without other symptoms, use Jiajian Qingji Tang (Modified Clearing Muscle Decoction) added with Huanglian (Coptidis Rhizoma). If residual toxins remain after measles causing high fever, use the ancient formula Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxins) [see Article 35] added with Shengdihuang (Rehmanniae Radix), Xian Digupi (Fresh Lycii Cortex), Mutong (Akebia Caulis), and Zhike (Aurantii Fructus). If fever persists after measles, use Chaihu Siwu Tang (Bupleurum Four Substance Decoction) [see Article 30] removing Renshen (Ginseng Radix), Baishaoyao (Paeoniae Radix Alba), and Chuanxiong (Chuanxiong Rhizoma), added with Jiuhuanglian (Honey-fried Coptidis Rhizoma), or Shengdi Gupi Tang (Rehmannia and Lycii Cortex Decoction) [see Article 30] added with Huanglian (Coptidis Rhizoma). If residual toxins are not cleared and residual heat remains after measles, use Shixian Tang (Ten Immortals Decoction) added with Digupi (Lycii Cortex), or Lianqiao Qingdu Yin (Forsythia Toxin-Clearing Drink) removing Chishao (Paeoniae Radix Rubra), Jiegeng (Platycodonis Radix), and Gancao (Licorice Root), added with Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Digupi (Lycii Cortex), and Shengdihuang (Rehmanniae Radix). If residual toxins after measles remain unclear and stagnate in the Lung Meridian, causing expectoration of yellow purulent sputum, it constitutes Lung Abscess (Fei Yong). Treat with Sanglian San (Mulberry Bark and Coptis Powder). If ineffective, use Baibu Tang (Stemona Decoction). If still not fully cured, use Huaruishi Wan (Flower Manganese Stone Pills), and additionally use Baiji (Bletillae Rhizoma) powder. Steam sliced pig lung until cooked, dip in Baiji powder, and eat. If these formulas fail, it becomes Lung Flaccidity (Fei Wei). Treat with Ziwan Tang (Asterae Decoction).
Chaihu Jupi Tang:
Chaihu (Bupleuri Radix), Jupi (Citri Reticulatae Pericarpium), Huangqin (Scutellariae Radix), Bai Fuling (Poria), Renshen (Ginseng Radix), Banxia (Pinelliae Rhizoma), Gancao (Licorice Root), a ball of Zhuru (Bambusae Caulis in Taeniam), one slice of Shengjiang (Zingiberis Rhizoma) as guide. Decoct in water and take orally.
Jiajian Qingji Tang:
Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), Shengdihuang (Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), Digupi (Lycii Cortex), Fuling (Poria), Zhimu (Anemarrhenae Rhizoma), seven slices of Danzhuye (Lophatheri Herba) as guide. Decoct in water and take orally.
Shixian Tang:
Chaihu (Bupleuri Radix), Gegen (Puerariae Lobatae Radix), Yuanshen (Scrophulariae Radix), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Zhizi (Geniposide/ Gardeniae Fructus), Chifuling (Poria with Red Coir), Zhike (Aurantii Fructus), Shengdihuang (Rehmanniae Radix), Chenpi (Citri Reticulatae Pericarpium), Shengjiang (Zingiberis Rhizoma) as guide. Decoct in water and take orally.
Lianqiao Qingdu Yin:
Lianqiao (Forsythiae Fructus), Fangfeng (Saposhnikoviae Radix), Jingjie (Schizonepetae Spica), Niubangzi (Arctii Fructus), Shigao (Gypsum Fibrosum), Chishao (Paeoniae Radix Rubra), Jiegeng (Platycodonis Radix), Gancao (Licorice Root). Decoct in water and take orally.
Sanglian San:
Lv dou fen (Vigna Radiatae Semen Pulvis), Sangbaipi (Mori Cortex, steamed with honey), Kushen (Sophorae Flavescentis Radix) (each 5 qian), Huanglian (Coptidis Rhizoma), Tianhuafen (Trichosanthis Radix) (each 2 qian). Grind into powder. Take three to four tea spoons with warm boiled water.
Baibu Tang:
Digupi (Lycii Cortex), Maidong (Ophiopogonis Radix), Tiandong (Asparagi Radix), Zhimu (Anemarrhenae Rhizoma), Yuanshen (Scrophulariae Radix), Gualouren (Trichosanthis Semen), Baibugen (Stemonae Radix), Baihe (Lilii Bulbus), Diqiegen (Solanum Lyperici Radix). Decoct in water and take orally.
Huaruishi Wan:
Digupi (Lycii Cortex), Baibu (Stemonae Radix), Baihe (Lilii Bulbus), Tiandong (Asparagi Radix), Maidong (Ophiopogonis Radix) (each 5 qian), Yiyiren (Coicis Semen), Huaruishi (Flower Manganese Stone) (each 1 liang), Hanshui Shi (Halloysitum Rubrum), Huhuanglian (Coptidis Rhizoma) (each 3 qian), Zhen Xiongdan (Ursi Fel). Grind into powder. Mix with Lv dou fen (Vigna Radiatae Semen Pulvis) to form pills. Take with warm boiled water.
Ziwan Tang:
Renshen (Ginseng Radix) (3 qian), Jiegeng (Platycodonis Radix), Fuling (Poria) (each 1 liang), Zhimu (Anemarrhenae Rhizoma), Beimu (Fritillariae Cirrhosae Bulbus) (each 1.5 qian), Ejiao (Colla Corii Asini), Ziwan (Asterae Radix), Gancao (Licorice Root) (each 0.5 qian). Decoct in water and take orally.