赵右 新产五日，陡然痉厥不语，神识时明时昧，脉弦滑，舌薄腻。良由气血亏耗，腠理不固，外风引动
内风，入于经络。风性上升，宿瘀随之，蒙蔽清窍，神明不能自主，所以痉厥迭发，神糊不语，症势重险！勉拟清
魂散加减，和营祛风，清神化痰。
吉林参须（五分） 炙甘草（五分） 琥珀屑（冲，六分） 嫩钩钩（后入，三钱） 紫丹参（二钱）
朱茯神（三钱） 鲜石菖蒲（八分） 泽兰叶（一钱五分） 炒黑荆芥炭（八分） 炙远志（一钱） 童便（炖
冲服，一酒盅）
严右 血藏于肝，赖脾元以统之，冲任之气以摄之。肝肾两亏，气不固摄，脉细小，当宜培养肝脾，调摄
冲任，八珍汤加减。
潞党参（二钱） 炙甘草（四分） 白归身（二钱） 大白芍（一钱五分） 抱茯神（三钱） 阿胶珠（二钱）
血余炭（二钱） 川断肉（二钱） 炒于术（一钱五分） 生地炭（四钱） 葛氏十灰丸（包煎，二钱）
沈右 新产后去血过多，头眩眼花，神昏气喘，自汗肢冷，脉细如丝。此乃血去阴伤，阴不抱阳，阳不摄
阴，正气难以接续，浮阳易于上越，气血有涣散之虑，阴阳有脱离之险，血脱重症，危在顷刻！勉仿经旨血脱益
气之义，以冀万一之幸。
吉林参须（一钱） 全当归（三钱） 养正丹（包煎，二钱）
邹右 产后腹痛，小溲淋漓，脉弦紧右濡细，此营血已亏，宿瘀未楚，挟湿下注膀胱，宣化失司。拟和营
祛瘀，通利州都。
全当归（二钱） 朱茯神（三钱） 泽兰叶（一钱五分） 荸荠梗（一钱五分） 紫丹参（二钱） 生草梢（八分）
益母草（三钱） 大川芎（八分） 绛通草（八分） 琥珀屑（冲，六分）
金右 产后寒热，汗多不解，大便溏泄，卫气不能外护，营虚失于内守，营卫不和，邪不易达，健运无权。
当拟调和营卫，扶土和中。
川桂枝（三分） 云茯苓（三钱） 炙甘草（五分） 炒白芍（一钱五分） 扁豆衣（三钱） 炒苡仁（三钱）
生白术（一钱五分） 广陈皮（一钱） 谷麦芽（各三钱） 红枣（二枚） 生姜（二片） 干荷叶（一角）
虞右 产后肺脾两亏，肃运无权，遍体浮肿，咳嗽气逆，难以平卧，脉象濡软而滑。经云∶诸湿肿满，皆属
于脾。脾虚生湿，湿郁生水，水湿泛滥，无所不到。肺
为水之上源，不能通调水道，下输膀胱，聚水而为肿也。肺病及肾，肾气不纳，肺虚不降，喘不得卧，职是故也，
喘肿重症。拟五苓、五皮合苏子降气汤，肃运分消，顺气化痰，以望转机。
生白芍（一钱五分） 肉桂心（三分） 炙白苏子（二钱） 淡姜皮（六分） 连皮苓（四钱） 化橘红（八分）
炙桑皮（三钱） 川椒目（十粒） 粉猪苓（二钱） 光杏仁（三钱） 象贝母（三钱） 济生肾气丸（包煎，三钱）
张右 新产后气血已亏，恶露未楚，感受时气氤氲之邪，引动先天蕴毒，由内达外，天痘已布，尚未灌浆，
身热骨楚，苔薄腻，脉濡数。经云∶邪之所凑，其气必虚。拟益气托浆，和营祛瘀。
生黄 （三钱） 全当归（二钱） 杜红花（八分） 生甘草（四分） 京赤芍（一钱五分） 益母草（三钱）
桃仁泥（包，一钱五分） 紫丹参（二钱） 净蝉衣（八分） 鲜笋尖（二钱） 生姜（一片） 红束（二枚）
庄右 未产之前，发热咳嗽，风温伏邪，蕴蒸气分，肺胃两经受病。今产后发热不退，更甚于前，恶露未
楚，苔黄脉数。良由气血已亏，宿瘀留恋，伏邪不达，邪与虚热相搏，所以身热更甚也。投解肌药不效者，因正
虚不能托邪外出也。今宗傅青主先生加参生化汤，养正达邪，去瘀生新，助入宣肺化痰之品。
吉林参须（八分） 大川芎（八分） 荆芥炭（八分） 炙桑叶（三钱） 炙甘草（五分） 炮姜炭（四分）
光杏仁（三钱） 全当归（二钱） 桃仁泥（包，一钱五分） 象贝母（三钱） 童便（炖温冲服，一酒盅）
于右 人身之经络，全赖血液以滋养。产后阴血已亏，不能营养经脉，邪风入络，络有宿瘀，不通则痛，
以致手不能举，足不能履，肢节痹痛，脉细涩。当宜养血祛风，去瘀通络。
全当归（二钱） 大川芎（八分） 青防风（八分） 大白芍（一钱五分） 木防己（二钱） 西秦艽（二钱）
陈木瓜（二钱） 茺蔚子（三钱） 紫丹参（二钱） 怀牛膝（二钱） 嫩桑枝（酒炒，四钱）
陈右 产后五朝，腹痛阵作，拒按，甚则泛恶，脉弦细而紧。新产营血已伤，宿瘀交阻，上冲于胃，胃失降
和，凝滞于中，气机窒塞，所谓不通则痛也。产后以去瘀为第一要义，当宜和营去瘀，盖瘀血去则新血可生，
不治痛而痛自止。
全当归（二钱） 五灵脂（三钱） 延胡索（一钱） 杜红花（八分）
大川芎（八分） 陈广皮（一钱） 台乌药（八分） 桃仁泥（一钱五分） 益母草（三钱） 紫丹参（二钱）
炙没药（一钱） 制香附（一钱五分） 炮姜炭（四分）
俞右 鼻鸣鼻干，干呕，咳嗽不爽，肺有燥邪也。胸闷不舒，口甜时苦，胃有湿热也。胸前板痛，按之更甚，
痰滞阻于贲门也。自汗甚多，内热不清，遍体骨楚，正虚阴不足也。病起胎前，延及产后，诸药备尝，时轻时剧，
良以体虚邪实，肺燥痰湿，攻既不得，补又不可，清则助湿，燥则伤阴，每有顾此失彼之忧，尤多投鼠忌器之虑。
同拟两法并进，先投苦温合化，开其中隔之痰湿，继进甘凉生津，润其上焦之烦躁，是否有当，尚希高明裁政。
（先服）水炒川雅连（四分） 竹沥半夏（二钱） 枳实炭（一钱） 淡干姜（三分） 橘白络（各八分）
生蛤壳（六钱） 薤白头（酒炒，一钱五分） 川贝母（三钱） 白残花（五分，后服） 鳖血炒银柴胡（一钱）
天花粉（三钱） 鲜竹叶茹（各一钱五分） 炒地骨皮（一钱五分） 冬桑叶（三钱） 活芦根（去节，一尺）
鲜枇杷叶（去毛、包，五张）
张右 新产后营阴亏耗，恶露未楚，旧患便溏，脾土薄弱，胃呆纳少，舌苔薄腻，脉象濡缓，新邪旧恙，治
宜兼顾。姑拟和营生新，扶土和中。
全当归（二钱） 云茯苓（三钱） 生白术（一钱五分） 益母草
（三钱） 紫丹参（三钱） 杜红花（五分） 焦楂炭（二钱） 大川芎（五分） 炮姜炭（四分） 炒谷芽（三钱）
炒赤砂糖（三钱） 干荷叶（一角）
二诊 新产三朝，咋起寒热，至今未退，头痛骨楚，胸闷不思饮食，舌苔薄腻，脉象弦滑带数，此营血已
亏，恶露未楚，氤氲之邪乘隙而入，营卫循序失常。姑拟清魂散合生化汤加味，一以疏邪外达，一以祛瘀生新。
紫丹参（二钱） 大川芎（四分） 炮姜炭（三分） 炒黑荆芥炭（一钱五分） 益母草（二钱）
杜红花（六分） 清水豆卷（三钱） 炒赤砂糖（三钱） 全当归（二钱） 焦楂炭（三钱） 炒谷芽（四钱）
炒白薇（一钱） 干荷叶（一角）
三诊 新产五朝，寒热轻而复重，头痛骨楚，胸闷不思饮食，舌苔腻布，恶露未止，脉象弦滑带数，宿瘀留
恋，氤氲之邪挟痰滞交阻阳明为病。再拟清魂散合生化汤，复入疏散消滞之品。
紫丹参（二钱） 杜红花（八分） 枳实炭（一钱） 炒白薇（一钱五分） 炒黑荆芥（一钱五分）
全当归（一钱五分） 焦楂炭（三钱） 益母草（二钱） 淡豆豉（三钱） 大川芎（五分） 炒谷芽（四钱）
保和丸（包煎，三钱）
四诊 新产八朝，形寒身热，有汗不解，胸闷，饥不
思纳，渴不多饮，舌苔薄腻而黄，脉象弦滑带数。客邪移于少阳，宿瘀未楚，营卫失常，有转疟之机括，还虑缠
绵增剧。再拟小柴胡汤合清魂散、生化汤复方图治。
吉林参须（五分） 杜红花（八分） 清水豆卷（四钱） 嫩白薇（一钱五分） 软柴胡（五分） 全当归（二钱）
紫丹参（二钱） 大川芎（四分） 炒黑荆芥（一钱） 全栝蒌（切，三钱） 炒谷芽（三钱） 益母草（二钱）
通草（八分）
五诊 新产十二朝，寒热得退，胸闷不纳如故，小溲短赤，舌苔薄腻，阴血己亏，蕴湿未楚，脾胃运化无
权。再拟养正祛瘀，和胃化湿。
吉林参须（五分） 赤茯苓（朱砂拌，三钱） 全当归（二钱） 清水豆卷（三钱） 炒黑荆芥（五分）
福泽泻（一钱五分） 谷麦芽（各三钱） 益母草（二钱） 陈广皮（一钱） 紫丹参（二钱） 通草（八分）
佩兰梗（一钱五分） 大砂仁（研，五分） 干荷叶（一角）
张右 产后两月，营阴未复，重感新邪，内停宿滞，肺胃为病，形寒身热，有汗不解，脘痞作痛，纳少泛恶，
且又咳嗽，经行色紫，舌苔白腻，脉象左弦右濡。标邪正在鸱张，不能见虚投补，姑拟疏邪消滞，和中祛瘀，病
去则虚自复。
炒黑荆芥（一钱五分） 清水豆卷（四钱） 赤茯苓（三钱） 金
铃子（二钱） 光杏仁（三钱） 仙半夏（一钱五分） 延胡索（一钱） 嫩前胡（一钱五分） 象贝母（三钱）
枳实炭（一钱） 茺蔚子（二钱） 带壳砂仁（八分） 炒谷麦芽（各三钱） 佛手（八分）
二诊 形寒身热渐解，脘痞作痛，咳嗽则痛辄剧，纳少泛恶，小溲短赤，经行色紫，舌质红，苔薄腻，脉左
弦右濡。产后营阴未复，外邪宿滞，挟肝气横逆，肺胃肃降失司。投剂合度，仍拟宣肺化痰，理气畅中。
嫩前胡（一钱五分） 赤茯苓（三钱） 川楝子（二钱） 象贝母（三钱） 仙半夏（二钱） 炒枳壳（一钱）
延胡索（一钱） 茺蔚子（三钱） 川郁金（一钱五分） 光杏仁（三钱） 春砂壳（八分） 绛通草（八分）
台乌药（八分） 炒谷麦芽（各三钱）
马右 未产之前，已有痛风，产后二十一天，肢节痹痛，痛处浮肿，痛甚于夜，不能举动，形寒内热，咳嗽
痰多，风湿痰瘀，羁留络道，营卫痹塞不通，肺失清肃，胃失降和，病情夹杂，非易图治。姑拟和营祛风，化痰通络。
紫丹参（二钱） 朱茯神（三钱） 光杏仁（三钱） 木防己（二钱） 炒黑荆芥（一钱） 远志肉（一钱）
象贝母（三钱） 夜交藤（四钱） 炒白薇（二钱） 西秦艽（二钱） 藏红花（八分） 甜瓜子（三钱）
嫩桑枝（四钱） 泽兰叶（二钱）
李右 产后二十四天，营血已虚，恶露未楚，腹痛
隐隐，纳谷减少，畏风怯冷，有汗不解，旬日未更衣，舌无苔，脉象濡细。卫虚失于外护，营虚失于内守，肠中
津液枯槁，腑垢不得下达也。仿傅青主加参生化汤意，养营祛瘀，和胃润肠。
吉林参须（一钱） 紫丹参（三钱） 春砂壳（八分） 生熟谷芽（各三钱） 全当归（三钱） 藏红花（四分）
全栝蒌（切，四钱） 益母草（一钱五分） 大川芎（四分） 炮姜炭（三分） 大麻仁（研，四钱）
朱右 产后八旬，寒热匝月，痰多纳减，脉象虚弦而数。气虚则寒，营虚则热，胃虚纳减，脾弱痰多，势成
蓐痨。姑拟八珍汤加减，以望转机。
炒潞党参（三钱） 全当归（二钱） 银州柴胡（八分） 云茯苓（三钱） 大白芍（二钱） 嫩白薇（一钱五分）
米炒于术（一钱五分） 广橘白（一钱） 大熟地（三钱） 炮姜炭（三分） 生熟谷芽（各三钱）
张右 新产十一天，恶露不止，少腹作痛，咳嗽声音不扬，风寒包热于肺，宿瘀留恋下焦，脉象浮濡带滑。
姑拟祛瘀生新，开胃化痰。
全当归（二钱） 抱茯神（三钱） 光杏仁（三钱） 嫩射干（五分） 紫丹参（二钱） 金铃子（二钱）
象贝母（三钱） 春砂壳（八分） 净蝉衣（八分） 延胡索（一钱） 藏红花（八分） 冬瓜子（三钱）
Ms. Zhao, five days postpartum, suddenly experienced spasms, syncope, and aphasia. Her consciousness fluctuated between clarity and confusion. The pulse was wiry and slippery, and the tongue coating was thin and greasy. This is primarily due to the depletion of Qi and Blood, leading to insecure Cou Li (skin texture and pores), where external Wind agitated internal Wind, invading the meridians. Wind tends to ascend; old blood stasis followed suit, clouding the clear orifices (Heart orifices), causing the Shen (Spirit) to lose autonomy. Thus, spasms and syncope recurred, accompanied by coma and aphasia. The condition is critical and dangerous! A modified Qing Hun San (Clear Soul Powder) is tentatively prescribed to harmonize Ying (Nutritive) level, dispel Wind, clear Shen, and resolve phlegm.
Jilin Ginseng Radicula (5 fen) Zhi Gan Cao (Prepared Licorice Root, 5 fen) Hu Po Xie (Amber Fragments, taken with decoction, 6 fen) Nen Gou Tou (Uncaria Rhynchophylla, added later, 3 qian) Zi Dan Shen (Salvia Miltiorrhiza, 2 qian)
Zhu Fu Shen (Poria with Cinnabar, 3 qian) Xian Shi Chang Pu (Fresh Acorus Tatarinowii, 8 fen) Ze Lan Ye (Lycopus Lucidus, 1.5 qian) Chao Hei Jing Jie Tan (Charred Schizonepeta, 8 fen) Zhi Yuan Zhi (Polygala Root, 1 qian) Tong Bian (Child's Urine, stewed and taken with decoction, one wine cup)
Ms. Yan, Blood is stored in the Liver and relies on Spleen Yuan to control it, and on the Qi of the Chong and Ren vessels to retain it. Deficiency of both Liver and Kidney leads to an inability of Qi to secure and retain. The pulse is fine and small. Treatment should focus on nourishing Liver and Spleen, regulating Chong and Ren vessels, using a modified Ba Zhen Tang (Eight Treasures Decoction).
Lu Dang Shen (Codonopsis Pilosula, 2 qian) Zhi Gan Cao (Prepared Licorice Root, 4 fen) Bai Gui Shen (Angelica Sinensis Root, 2 qian) Da Bai Shao (White Peony Root, 1.5 qian) Bao Fu Shen (Poria, 3 qian) E Jiao Zhu (Donkey-hide Gelatin Pellets, 2 qian)
Xue Yu Tan (Burnt Hair Charcoal, 2 qian) Chuan Duan Rou (Dipsacus Asper, 2 qian) Chao Yu Zhu (Atractylodes Macrocephala, 1.5 qian) Sheng Di Tan (Rehmannia Glutinosa Charcoal, 4 qian) Ge Shi Shi Hui Wan (Ge's Ten Ashes Pill, wrapped and decocted, 2 qian)
Ms. Shen, excessive blood loss immediately after childbirth led to dizziness, blurred vision, coma, panting, spontaneous sweating, and cold limbs. The pulse is thread-like and fine. This indicates that blood loss has injured Yin; Yin cannot embrace Yang, and Yang cannot secure Yin. Zheng Qi (Upright Qi) struggles to connect, floating Yang tends to rise upward. There is a risk of Qi and Blood dispersal and a danger of Yin-Yang separation. This is a severe case of Blood Collapse, critical at any moment! Following the classic principle of "Tonifying Qi for Blood Collapse," a slight hope remains.
Jilin Ginseng Radicula (1 qian) Quan Dang Gui (Complete Angelica Sinensis, 3 qian) Yang Zheng Dan (Nourish Righteousness Pill, wrapped and decocted, 2 qian)
Ms. Zou, postpartum abdominal pain with dribbling urination. The pulse is wiry and tight on the left, and soggy-fine on the right. Ying Blood is depleted, old blood stasis remains unresolved, dampness descends to the Bladder, impairing dissemination and transformation. The prescription aims to harmonize Ying, remove stasis, and promote the free flow of the Zhou Du (Bladder).
Quan Dang Gui (Complete Angelica Sinensis, 2 qian) Zhu Fu Shen (Poria with Cinnabar, 3 qian) Ze Lan Ye (Lycopus Lucidus, 1.5 qian) Bi Qi Geng (Water Chestnut Stem, 1.5 qian) Zi Dan Shen (Salvia Miltiorrhiza, 2 qian) Sheng Cao Shao (Licorice Root Tip, 8 fen)
Yi Mu Cao (Leonurus Japonicus, 3 qian) Da Chuan Xiong (Ligusticum Chuanxiong, 8 fen) Jiang Tong Cao (Tetrapanax Papyrifer, 8 fen) Hu Po Xie (Amber Fragments, taken with decoction, 6 fen)
Ms. Jin, postpartum alternating chills and fever, profuse sweating unrelieved by perspiration, loose stools. Wei Qi (Defensive Qi) fails to protect externally, Ying deficiency fails to guard internally. Ying and Wei are disharmonious, pathogens are difficult to expel, and transportation/transformation lacks power. The strategy is to harmonize Ying and Wei, support Earth (Spleen), and harmonize the Middle Jiao.
Chuan Gui Zhi (Cinnamon Twig, 3 fen) Yun Fu Ling (Poria, 3 qian) Zhi Gan Cao (Prepared Licorice Root, 5 fen) Chao Bai Shao (Fried White Peony Root, 1.5 qian) Bian Dou Yi (Lablab Bean Integument, 3 qian) Chao Yi Ren (Fried Coix Seed, 3 qian)
Sheng Bai Zhu (Raw Atractylodes Macrocephala, 1.5 qian) Guang Chen Pi (Tangerine Peel, 1 qian) Gu Mai Ya (Grain and Malt Sprouts, 3 qian each) Hong Zao (Red Dates, 2 pieces) Sheng Jiang (Fresh Ginger, 2 slices) Gan He Ye (Dried Lotus Leaf, one corner)
Ms. Yu, postpartum deficiency of both Lung and Spleen impairs descending and transporting functions, resulting in generalized edema, cough, air reflux, and orthopnea. The pulse is soggy-soft and slippery. The Classics state: "All dampness, swelling, and fullness belong to the Spleen." Spleen deficiency generates dampness; dampness stagnation produces water. Water-dampness overflows everywhere. The Lung is the upper source of water; unable to regulate water passages and transport water downward to the Bladder, water accumulates causing edema. Lung disease affects the Kidney; Kidney Qi fails to grasp, Lung deficiency fails to descend, leading to panting and inability to lie flat. This is a severe case of panting and edema. A combination of Wu Ling San (Five-Ingredient Powder with Poria), Wu Pi Yin (Five-Peel Decoction), and Su Zi Jiang Qi Tang (Perilla Fruit Descending Qi Decoction) is prescribed to descend Lung Qi, transform fluids, dissipate dampness, smooth Qi, and resolve phlegm, hoping for a turnaround.
Sheng Bai Shao (Raw White Peony Root, 1.5 qian) Rou Gui Xin (Cinnamon Bark Heart, 3 fen) Zhi Bai Su Zi (Fried Perilla Fruit, 2 qian) Dan Jiang Pi (Ginger Peel, 6 fen) Lian Pi Ling (Poria with Skin, 4 qian) Hua Ju Hong (Exocarpium Citri Grandis, 8 fen)
Zhi Sang Pi (Fried Mulberry Root Bark, 3 qian) Chuan Jiao Mu (Sichuan Pepper Seeds, 10 grains) Fen Zhu Ling (Polyporus Umbellatus, 2 qian) Guang Xing Ren (Apricot Kernel, 3 qian) Xiang Bei Mu (Fritillaria Thunbergii, 3 qian) Ji Sheng Shen Qi Wan (Ji Sheng Kidney Qi Pill, wrapped and decocted, 3 qian)
Ms. Zhang, immediately postpartum, Qi and Blood are depleted, lochia remains unresolved. Exposure to miasmic pathogens of the season agitates latent congenital toxins, manifesting externally. Smallpox (Tian Dou) has erupted but not yet filled with pus. Fever, bone ache, thin-greasy coating, soggy-rapid pulse. The Classics state: "Where pathogenic factors gather, Qi must be deficient." The strategy is to tonify Qi to support pus formation, harmonize Ying, and remove stasis.
Sheng Huang Qi (Raw Astragalus Membranaceus, 3 qian) Quan Dang Gui (Complete Angelica Sinensis, 2 qian) Du Hong Hua (Safflower, 8 fen) Sheng Gan Cao (Raw Licorice Root, 4 fen) Jing Chi Shao (Red Peony Root, 1.5 qian) Yi Mu Cao (Leonurus Japonicus, 3 qian)
Tao Ren Ni (Peach Kernel Paste, wrapped, 1.5 qian) Zi Dan Shen (Salvia Miltiorrhiza, 2 qian) Jing Chan Yi (Cicada Slough, 8 fen) Xian Sun Jian (Fresh Bamboo Shoot Tip, 2 qian) Sheng Jiang (Fresh Ginger, 1 slice) Hong Shu (Red Dates, 2 pieces)
Ms. Zhuang, before childbirth, she had fever and cough due to latent Wind-Warmth pathogens accumulating in the Qi Level, affecting Lung and Stomach channels. Postpartum fever persists, worse than before, with unresolved lochia, yellow coating, and rapid pulse. This is due to Qi-Blood depletion, lingering old stasis, and unexpelled latent pathogens combing with deficiency heat, causing intensified fever. Muscle-releasing herbs failed because deficiency prevents expelling pathogens. Following Master Fu Qingzhu's Jia Shen Sheng Hua Tang (Ginseng-Added Life-Birth-Decoction), the aim is to nourish righteousness, reach out pathogens, remove stasis, generate new blood, and assist in diffusing Lung Qi and resolving phlegm.
Jilin Ginseng Radicula (8 fen) Da Chuan Xiong (Ligusticum Chuanxiong, 8 fen) Jing Jie Tan (Schizonepeta Charcoal, 8 fen) Zhi Sang Ye (Fried Mulberry Leaf, 3 qian) Zhi Gan Cao (Prepared Licorice Root, 5 fen) Pao Jiang Tan (Roasted Ginger Charcoal, 4 fen)
Guang Xing Ren (Apricot Kernel, 3 qian) Quan Dang Gui (Complete Angelica Sinensis, 2 qian) Tao Ren Ni (Peach Kernel Paste, wrapped, 1.5 qian) Xiang Bei Mu (Fritillaria Thunbergii, 3 qian) Tong Bian (Child's Urine, warmed and taken with decoction, one wine cup)
Ms. Yu, meridians rely entirely on Blood for nourishment. Postpartum Yin-Blood is depleted, failing to nourish meridians. Pathogenic Wind enters collaterals; old stasis exists in collaterals. Blockage causes pain, rendering arms unable to lift and legs unable to walk, with joint bi-pain and fine-choppy pulse. Treatment should nourish Blood, dispel Wind, remove stasis, and unblock collaterals.
Quan Dang Gui (Complete Angelica Sinensis, 2 qian) Da Chuan Xiong (Ligusticum Chuanxiong, 8 fen) Qing Fang Feng (Saposhnikovia Divaricata, 8 fen) Da Bai Shao (White Peony Root, 1.5 qian) Mu Fang Ji (Stephania Tetrandra, 2 qian) Xi Qin Jiao (Gentiana Macrophylla, 2 qian)
Chen Mu Gua (Chaenomeles Speciosa, 2 qian) Chong Wei Zi (Leonurus Japonicus Seed, 3 qian) Zi Dan Shen (Salvia Miltiorrhiza, 2 qian) Huai Niu Xi (Achyranthes Bidentata, 2 qian) Nen Sang Zhi (Young Mulberry Twig, wine-fried, 4 qian)
Ms. Chen, five days postpartum, paroxysmal abdominal pain, tenderness on pressure, nausea. Pulse is wiry-fine and tight. Ying Blood is injured postpartum; old stasis obstructs, rushing upward to the Stomach, causing Stomach to lose descending harmony. Stagnation in the middle blocks Qi mechanism, causing pain ("Blockage causes pain"). Removing stasis is paramount postpartum. Harmonizing Ying and removing stasis allows new blood to generate; pain stops without direct treatment.
Quan Dang Gui (Complete Angelica Sinensis, 2 qian) Wu Ling Zhi (Trogopterus Dung, 3 qian) Yan Hu Suo (Corydalis Rhizome, 1 qian) Du Hong Hua (Safflower, 8 fen)
Da Chuan Xiong (Ligusticum Chuanxiong, 8 fen) Chen Guang Pi (Tangerine Peel, 1 qian) Tai Wu Yao (Lindera Aggregate, 8 fen) Tao Ren Ni (Peach Kernel Paste, 1.5 qian) Yi Mu Cao (Leonurus Japonicus, 3 qian) Zi Dan Shen (Salvia Miltiorrhiza, 2 qian)
Zhi Mo Yao (Prepared Myrrh, 1 qian) Zhi Xiang Fu (Cyperi Rhizoma, 1.5 qian) Pao Jiang Tan (Roasted Ginger Charcoal, 4 fen)
Ms. Yu, nasal congestion and dryness, dry retching, unsatisfactory cough indicate Dryness Pathogen in Lung. Chest oppression, sweet/bitter taste indicates Damp-Heat in Stomach. Chest wall pain, worse on pressure, indicates Phlegm obstruction at the贲门 (Cardia). Profuse sweating, internal heat, body ache indicate Zheng deficiency and Yin insufficiency. Disease started prenatally, extending postpartum. Various medicines tried, symptoms fluctuate. Due to deficiency with excess pathogens, Lung dryness with Phlegm-Damp, attack is contraindicated, tonification is unsuitable, clearing aids dampness, drying injures Yin. Difficult to balance. Two methods combined: first, bitter-warm to transform and open Phlegm-Damp in the middle; second, sweet-cool to generate fluids and moisten Upper Jiao irritability.
(Water-fried) Chuan Ya Lian (Coptis Chinensis, 4 fen) Zhu Li Ban Xia (Pinellia Ternata in Bamboo Juice, 2 qian) Zhi Shi Tan (Immature Bitter Orange Charcoal, 1 qian) Dan Gan Jiang (Mild Dried Ginger, 3 fen) Ju Bai Luo (Tangerine White and Reticulum, 8 fen each)
Sheng Ge Ke (Tridacna Gigas Shell, 6 qian) Xie Bai Tou (Allium Macrostemon, wine-fried, 1.5 qian) Chuan Bei Mu (Fritillaria Cirrhosa, 3 qian) Bai Can Hua (Broussonetia Papyrifera Flower, 5 fen, taken later) Die Xue Chao Yin Chai Hu (Silverroot Stir-fried with Turtle Blood, 1 qian)
Tian Hua Fen (Trichosanthes Root, 3 qian) Xian Zhu Ye Ru (Fresh Bamboo Sap, 1.5 qian each) Chao Di Gu Pi (Groundcherry Root Bark, 1.5 qian) Dong Sang Ye (Winter Mulberry Leaf, 3 qian) Huo Lu Gen (Live Reed Rhizome, de-jointed, 1 chi)
Xian Pi Pa Ye (Fresh Loquat Leaf, de-hair, wrapped, 5 leaves)
Ms. Zhang, immediately postpartum, Ying-Yin is depleted, lochia unresolved. History of loose stools indicates weak Spleen Earth, poor Stomach appetite. Thin-greasy coating, soggy-slow pulse. New pathogens and old ailments require simultaneous treatment. Tentatively harmonize Ying, generate new blood, support Earth, and harmonize Middle Jiao.
Quan Dang Gui (Complete Angelica Sinensis, 2 qian) Yun Fu Ling (Poria, 3 qian) Sheng Bai Zhu (Raw Atractylodes Macrocephala, 1.5 qian) Yi Mu Cao (Leonurus Japonicus, 3 qian) Zi Dan Shen (Salvia Miltiorrhiza, 3 qian) Du Hong Hua (Safflower, 5 fen) Jiao Zha Tan (Charred Hawthorn, 2 qian) Da Chuan Xiong (Ligusticum Chuanxiong, 5 fen) Pao Jiang Tan (Roasted Ginger Charcoal, 4 fen) Chao Gu Ya (Fried Grain Sprout, 3 qian) Chao Chi Sha Tang (Fried Brown Sugar, 3 qian) Gan He Ye (Dried Lotus Leaf, one corner)
Second Visit: Three days postpartum, sudden chills and fever persist. Headache, body ache, chest oppression, anorexia. Thin-greasy coating, wiry-slippery-rapid pulse. Ying Blood depleted, lochia unresolved, miasmic pathogens enter gaps, disrupting Ying-Wei rhythm. Tentatively Qing Hun San combined with Sheng Hua Tang plus modifications to disperse pathogens outward and remove stasis/generate new blood.
Zi Dan Shen (Salvia Miltiorrhiza, 2 qian) Da Chuan Xiong (Ligusticum Chuanxiong, 4 fen) Pao Jiang Tan (Roasted Ginger Charcoal, 3 fen) Chao Hei Jing Jie Tan (Charred Schizonepeta, 1.5 qian) Yi Mu Cao (Leonurus Japonicus, 2 qian)
Du Hong Hua (Safflower, 6 fen) Qing Shui Dou Juan (Soaked Soybean Sprouts, 3 qian) Chao Chi Sha Tang (Fried Brown Sugar, 3 qian) Quan Dang Gui (Complete Angelica Sinensis, 2 qian) Jiao Zha Tan (Charred Hawthorn, 3 qian) Chao Gu Ya (Fried Grain Sprout, 4 qian)
Chao Bai Wei (Fried Vitex Root, 1 qian) Gan He Ye (Dried Lotus Leaf, one corner)
Third Visit: Five days postpartum, chills/fever worsened after lightening. Headache, body ache, chest oppression, anorexia. Greasy coating, lochia continues, wiry-slippery-rapid pulse. Old stasis lingers, miasmic pathogens combine with phlegm-stasis blocking Yangming. Re-prescribe Qing Hun San combined with Sheng Hua Tang, adding dispersing and digesting agents.
Zi Dan Shen (Salvia Miltiorrhiza, 2 qian) Du Hong Hua (Safflower, 8 fen) Zhi Shi Tan (Immature Bitter Orange Charcoal, 1 qian) Chao Bai Wei (Fried Vitex Root, 1.5 qian) Chao Hei Jing Jie (Charred Schizonepeta, 1.5 qian)
Quan Dang Gui (Complete Angelica Sinensis, 1.5 qian) Jiao Zha Tan (Charred Hawthorn, 3 qian) Yi Mu Cao (Leonurus Japonicus, 2 qian) Dan Dou Chi (Fermented Soybean, 3 qian) Da Chuan Xiong (Ligusticum Chuanxiong, 5 fen) Chao Gu Ya (Fried Grain Sprout, 4 qian)
Bao He Wan (Preserve Harmony Pill, wrapped and decocted, 3 qian)
Fourth Visit: Eight days postpartum, aversion to cold with fever, sweating unrelieved, chest oppression, hunger without desire to eat, thirst without desire to drink. Thin-greasy-yellow coating, wiry-slippery-rapid pulse. External pathogens shift to Shaoyang, old stasis unresolved, Ying-Wei disordered, potential for malaria. Fear lingering exacerbation. Prescribe Xiao Chai Hu Tang combined with Qing Hun San and Sheng Hua Tang as a compound formula.
Jilin Ginseng Radicula (5 fen) Du Hong Hua (Safflower, 8 fen) Qing Shui Dou Juan (Soaked Soybean Sprouts, 4 qian) Nen Bai Wei (Young Vitex Root, 1.5 qian) Ruan Chai Hu (Bupleurum Root, 5 fen) Quan Dang Gui (Complete Angelica Sinensis, 2 qian)
Zi Dan Shen (Salvia Miltiorrhiza, 2 qian) Da Chuan Xiong (Ligusticum Chuanxiong, 4 fen) Chao Hei Jing Jie (Charred Schizonepeta, 1 qian) Quan Gua Lou (Whole Trichosanthes Fruit, sliced, 3 qian) Chao Gu Ya (Fried Grain Sprout, 3 qian) Yi Mu Cao (Leonurus Japonicus, 2 qian)
Tong Cao (Tetrapanax Papyrifer, 8 fen)
Fifth Visit: Twelve days postpartum, chills/fever resolved, chest oppression/anorexia persist, scanty dark urine, thin-greasy coating. Yin-Blood depleted, dampness retained, Spleen-Stomach transportation powerless. Re-prescribe tonify righteousness/remove stasis, harmonize Stomach/dissolve dampness.
Jilin Ginseng Radicula (5 fen) Chi Fu Ling (Red Poria mixed with Cinnabar, 3 qian) Quan Dang Gui (Complete Angelica Sinensis, 2 qian) Qing Shui Dou Juan (Soaked Soybean Sprouts, 3 qian) Chao Hei Jing Jie (Charred Schizonepeta, 5 fen)
Fu Ze Xie (Alisma Orientale, 1.5 qian) Gu Mai Ya (Grain and Malt Sprouts, 3 qian each) Yi Mu Cao (Leonurus Japonicus, 2 qian) Chen Guang Pi (Tangerine Peel, 1 qian) Zi Dan Shen (Salvia Miltiorrhiza, 2 qian) Tong Cao (Tetrapanax Papyrifer, 8 fen)
Pei Lan Geng (Patchouli Stem, 1.5 qian) Da Sha Ren (Amomum Villosum, ground, 5 fen) Gan He Ye (Dried Lotus Leaf, one corner)
Ms. Zhang, two months postpartum, Ying-Yin not recovered, re-infected with new pathogens, internal retention of old stagnation. Lung-Stomach disease: aversion to cold, fever, sweating unrelieved, epigastric fullness/pain, poor appetite, nausea, cough. Menstrual blood is purple. White-greasy coating, wiry-left/soggy-right pulse. Excess pathogens are rampant; do not tonify deficiency directly. Tentatively disperse pathogens, digest stagnation, harmonize middle, remove stasis. Once pathogens leave, deficiency will recover naturally.
Chao Hei Jing Jie (Charred Schizonepeta, 1.5 qian) Qing Shui Dou Juan (Soaked Soybean Sprouts, 4 qian) Chi Fu Ling (Red Poria, 3 qian) Jin Ling Zi (Melia Toosendan, 2 qian) Guang Xing Ren (Apricot Kernel, 3 qian) Xian Ban Xia (Pinellia Ternata, 1.5 qian) Yan Hu Suo (Corydalis Rhizome, 1 qian) Nen Qian Hu (Peucedanum Root, 1.5 qian) Xiang Bei Mu (Fritillaria Thunbergii, 3 qian) Zhi Shi Tan (Immature Bitter Orange Charcoal, 1 qian) Chong Wei Zi (Leonurus Japonicus Seed, 2 qian) Dai Ke Sha Ren (Amomum Villosum in Shell, 8 fen) Chao Gu Mai Ya (Fried Grain/Malt Sprouts, 3 qian each) Fo Shou (Citrus Sarcodactylis, 8 fen)
Second Visit: Chills/fever gradually resolving, epigastric fullness/pain worsening with cough, poor appetite, nausea, scanty dark urine, purple menstrual blood. Red tongue body, thin-greasy coating, wiry-left/soggy-right pulse. Postpartum Ying-Yin unrecovered, external pathogens/stagnation combined with Liver Qi rebellion, Lung-Stomach descending dysfunction. Prescription fits the pattern. Continue diffusing Lung, resolving phlegm, regulating Qi, smoothing middle.
Nen Qian Hu (Peucedanum Root, 1.5 qian) Chi Fu Ling (Red Poria, 3 qian) Chuan Liu Zi (Melia Toosendan, 2 qian) Xiang Bei Mu (Fritillaria Thunbergii, 3 qian) Xian Ban Xia (Pinellia Ternata, 2 qian) Chao Zhi Ke (Fried Aurantium, 1 qian)
Yan Hu Suo (Corydalis Rhizome, 1 qian) Chong Wei Zi (Leonurus Japonicus Seed, 3 qian) Chuan Yu Jin (Curcuma Longa, 1.5 qian) Guang Xing Ren (Apricot Kernel, 3 qian) Chun Sha Ke (Amomum Villosum Shell, 8 fen) Jiang Tong Cao (Tetrapanax Papyrifer, 8 fen)
Tai Wu Yao (Lindera Aggregate, 8 fen) Chao Gu Mai Ya (Fried Grain/Malt Sprouts, 3 qian each)
Ms. Ma, history of gout before childbirth. Twenty-one days postpartum, joint bi-pain, swelling at painful sites, worse at night, immobility, aversion to cold/internal heat, cough with profuse sputum. Wind-Damp-Phlegm-Stasis linger in collaterals, Ying-Wei blocked. Lung loses clarity, Stomach loses harmony. Complex condition, difficult to treat. Tentatively harmonize Ying, dispel Wind, resolve phlegm, unblock collaterals.
Zi Dan Shen (Salvia Miltiorrhiza, 2 qian) Zhu Fu Shen (Poria with Cinnabar, 3 qian) Guang Xing Ren (Apricot Kernel, 3 qian) Mu Fang Ji (Stephania Tetrandra, 2 qian) Chao Hei Jing Jie (Charred Schizonepeta, 1 qian) Yuan Zhi Rou (Polygala Root Flesh, 1 qian)
Xiang Bei Mu (Fritillaria Thunbergii, 3 qian) Ye Jiao Teng (Polygonum Multiflorum Vine, 4 qian) Chao Bai Wei (Fried Vitex Root, 2 qian) Xi Qin Jiao (Gentiana Macrophylla, 2 qian) Zang Hong Hua (Saffron, 8 fen) Tian Gua Zi (Benincasa hispida Seed, 3 qian)
Nen Sang Zhi (Young Mulberry Twig, 4 qian) Ze Lan Ye (Lycopus Lucidus, 2 qian)
Ms. Li, twenty-four days postpartum, Ying-Blood deficient, lochia unresolved, dull abdominal pain, reduced appetite, aversion to wind/cold, sweating unrelieved, no bowel movement for ten days, tongue coatingless, soggy-fine pulse. Wei deficiency fails to protect externally, Ying deficiency fails to guard internally. Intestinal fluids dried, fecal matter cannot descend. Following Fu Qingzhu's Jia Shen Sheng Hua Tang concept: nourish Ying, remove stasis, harmonize Stomach, moisten intestines.
Jilin Ginseng Radicula (1 qian) Zi Dan Shen (Salvia Miltiorrhiza, 3 qian) Chun Sha Ke (Amomum Villosum Shell, 8 fen) Sheng Shu Gu Ya (Raw/Cooked Grain Sprouts, 3 qian each) Quan Dang Gui (Complete Angelica Sinensis, 3 qian) Zang Hong Hua (Saffron, 4 fen)
Quan Gua Lou (Whole Trichosanthes Fruit, sliced, 4 qian) Yi Mu Cao (Leonurus Japonicus, 1.5 qian) Da Chuan Xiong (Ligusticum Chuanxiong, 4 fen) Pao Jiang Tan (Roasted Ginger Charcoal, 3 fen) Da Ma Ren (Hemp Seed, ground, 4 qian)
Ms. Zhu, eighty days postpartum, chills/fever for a month, profuse phlegm, reduced appetite. Deficient Qi causes chills, deficient Ying causes fever, deficient Stomach reduces appetite, weak Spleen generates phlegm. Progressing towards Chu Lao (Postpartum Consumption). Tentatively Ba Zhen Tang modified to hope for improvement.
Chao Lu Dang Shen (Stir-fried Codonopsis Pilosula, 3 qian) Quan Dang Gui (Complete Angelica Sinensis, 2 qian) Yin Zhou Chai Hu (Bupleurum Root from Yinzhou, 8 fen) Yun Fu Ling (Poria, 3 qian) Da Bai Shao (White Peony Root, 2 qian) Nen Bai Wei (Young Vitex Root, 1.5 qian)
Mi Chao Yu Zhu (Rice-fried Atractylodes Macrocephala, 1.5 qian) Guang Ju Bai (Tangerine White, 1 qian) Da Shu Di (Prepared Rehmannia Glutinosa, 3 qian) Pao Jiang Tan (Roasted Ginger Charcoal, 3 fen) Sheng Shu Gu Ya (Raw/Cooked Grain Sprouts, 3 qian each)
Ms. Zhang, eleven days postpartum, lochia continues, lower abdominal pain, hoarse cough. Wind-Cold envelops Heat in Lung, old stasis lingers in Lower Jiao. Floating-soggy-slippery pulse. Tentatively remove stasis/generate new blood, open Stomach/resolve phlegm.
Quan Dang Gui (Complete Angelica Sinensis, 2 qian) Bao Fu Shen (Poria, 3 qian) Guang Xing Ren (Apricot Kernel, 3 qian) Nen She Gan (Belamcanda Rhizome, 5 fen) Zi Dan Shen (Salvia Miltiorrhiza, 2 qian) Jin Ling Zi (Melia Toosendan, 2 qian)
Xiang Bei Mu (Fritillaria Thunbergii, 3 qian) Chun Sha Ke (Amomum Villosum Shell, 8 fen) Jing Chan Yi (Cicada Slough, 8 fen) Yan Hu Suo (Corydalis Rhizome, 1 qian) Zang Hong Hua (Saffron, 8 fen) Dong Gua Zi (Winter Melon Seed, 3 qian)