乳香 太阴玄精 五灵脂 硫黄 陈皮 桑上寄生 阿胶(炙) 卷柏(生，各等分)
上将前四味同研匀，石器内微火炒，勿令焦了，又研极细，复入余药为末，用生地黄汁
和丸，梧子大。温洒或当归酒下二十丸，食前服。
评曰∶所下过多伤损，虚竭少气，唇青肉冷，汗出神昏，此皆虚脱证，何以谓之生风?
风是外淫，必因感冒中伤经络，然后发动，脏腑岂能自生风也?虚之说，盖因《脉经》云∶
浮为风为虚。此乃两病合说，在人迎则为风，在气口则为虚。后学无识，便谓风虚是一病，
谬滥之甚，学人当知。
《保庆集》二十一论，人用既多，因评其说，仍将得效方附行。外有产科诸证，并序于后。
妇人因产理不顺，疲极筋力，忧劳心虑，致虚羸喘乏，寒热如疟，头痛自汗，肢体倦怠
，咳嗽痰逆，腹中绞刺，名曰蓐劳。
治蓐劳。
猪肾（一对，去脂膜，四破；无则以羊肾代之) 香豉 葱白 粳米 当归 芍药（各二两）
上为锉散，分两剂。每一剂用水三升，煮取一小碗，去滓，分三服，任意服。
Frankincense (Resina Olibanum), Taiyin Xuanjing (Mineral drug, likely Gypsum Fibrosum or similar), Tailingzhi (Trogopterori Faeces), Realgar (Realgar), Chenpi (Citri Reticulatae Pericarpium), Sangshang Jisheng (Taxillus chinensis parasitizing on mulberry), Ejiao (Donkey-hide gelatin, roasted), Juanbai (Selaginella tamariscina), all in equal parts.
First, grind the aforementioned four ingredients together until uniform, stir-fry them slightly over a low fire in a stone mortar, ensuring they do not burn, then grind them extremely fine. Subsequently, add the remaining herbs and process into powder. Mix with juice of fresh Rehmanniae Radix (Shengdihuang) to form pills, sized like wu-tong seeds. Take twenty pills with warm wine or Danggui wine before meals.
Commentary: Excessive discharge postpartum causes damage, leading to extreme deficiency of Qi and blood, shortness of breath, cyanosis of the lips, cold flesh, sweating, and confusion of spirit. These are all signs of collapse (Xu Tuo). How can this be called "generating wind"? Wind is an external pathogenic factor (one of the Six Excesses); it must arise from contracting external pathogens that injure the meridians before manifesting. How can the Zang-Fu organs generate wind internally? The notion of "deficiency" likely stems from the *Mai Jing* (Pulse Classic), which states: "Floating pulse indicates both wind and deficiency." This refers to two conditions discussed together: floating at the Renying pulse (carotid) indicates wind, while floating at the Qikou pulse (radial) indicates deficiency. Later scholars lacking insight mistakenly believed wind and deficiency are the same disease, which is a grave error; students should be aware of this.
In the 21st discussion of *Baoqing Ji*, this prescription has been widely used. Therefore, its theory is commented upon, and effective formulas are appended. Additionally, various obstetric conditions are described subsequently.
Women may suffer from difficult labor, exhausting their sinews and strength, coupled with worry and mental fatigue, resulting in emaciation, panting, and weakness, alternating chills and fever resembling malaria, headache, spontaneous sweating, limb lassitude, cough with rebellious phlegm, and cramping/stabbing pain in the abdomen. This condition is named "Rulao" (Postpartum Consumption).
Treatment for Rulao:
One pair of pig kidneys (remove fatty membrane, cut into four pieces; if unavailable, use sheep kidneys as substitute), Xiangchi (Prepared Soybean, Dan Dou Chi), Congbai (Scallion white), Jingmi (Japonica Rice), Danggui (Angelica sinensis), Shaoyao (White Peony Root), each two liang.
Grind the above into coarse powder, divide into two doses. For each dose, add three sheng of water, decoct until one small bowl remains, strain, and divide into three doses. Take at any time.
If a woman exerts herself excessively during urgent delivery, the vagina may prolapse, resembling rectal prolapse, or protrude externally, accompanied by tightness, swelling, and pain. Heavy lifting or sexual fatigue can also trigger these symptoms, along with continuous clear discharge and dribbling urination.
Treatment for postpartum exhaustion and vaginal prolapse:
Sulfur (Liu Huang), Cuttlebone (Hai Piao Xiao / Sepiae Endoconcha), each half liang; Wuweizi (Schisandra chinensis), one fen.
Grind into powder. Apply topically to the affected area.