延胡索（一钱） 肉桂（六分）
上药用生化汤调服。
儿已产下。烧铁秤锤。令红投醋盆中。使产妇闻醋气。可免血晕之患。
产时用力过多。劳倦伤脾。孤脏不能自主。故手足逆冷而厥气上行。经云。阳气衰于下。则为寒厥是也。非大补不
能回阳。岂是芎归数钱。照常一日一服。而能扶将绝之气血耶。必于生化汤中倍加人参。一昼夜服二三剂。使药气接续
不断。则气血旺而精神复。厥症自止矣。若服药而口渴。另用生脉散以代茶助津。以救脏燥也。或四肢逆冷泻痢。有类
伤寒阴症。仍服生化汤倍加人参。酌加附子四五分。生黄 二钱。则可回阳止逆。经云。厥气上行。满脉去形。谓逆气
上行满于经络。则神气渐散矣。大抵手足厥冷。由于气血并竭。神将离而机欲息。仅此呼吸一线之留。设非大剂参 。
断难倚仗。此数十年经验之论。非敢凭虚臆造。以误人也。
人参（一钱） 麦冬（一钱） 五味子（十粒）
上药用水七分盏。煎四分热服。
产后发热。恶寒头痛。勿误为太阳症。寒热往来。胸满胁痛。勿误为少阳症。凡此皆因气血两虚。阴阳不和。有类
外感而实非外感也。即或偶冒风寒。亦当以末治之。夫以脱血之后。而有发热恶寒。头疼胁痛等症。设投以散剂。重发
其汗。则病未消。而元气已消。其害可胜言哉。仲景云。亡血家慎勿发汗。丹溪云。产后万不可表。斯言尽之矣。况生
化汤有芎姜二味。亦寓发散之义。就本方照后量加之法。速服数剂。诸症自除。
Yanhusuo (Corydalis Rhizoma, 1 qian) Rougui (Cinnamomi Cortex, 6 fen)
The above herbs are taken with Shenghua Tang (Decoction for Postpartum Transformation), a foundational formula for postpartum regulation that promotes blood circulation, removes stasis, warms the meridians, and relieves pain.
After the infant has been delivered, heat an iron scale weight until red-hot and throw it into a basin of vinegar. Let the puerpera smell the vinegar vapor to prevent the danger of Xueyun (syncope due to excessive blood loss or blood stasis attacking upward).
Excessive effort during delivery damages the Spleen through fatigue and overwork. The isolated Zang organ cannot control itself, resulting in cold extremities and Jue syndrome (cold limbs or fainting), with Jue Qi (rebellious cold qi) moving upward. The Classics state: "When Yang Qi declines at the lower part, it becomes Cold Jue." This is exactly such a case. Without major tonification, Yang Qi cannot be restored. How could mere amounts of Xiong Gui (Chuanxiong and Danggui) taken once daily as usual support the nearly exhausted Qi and Blood? It is necessary to double the dosage of Renshen (Ginseng Radix et Rhizoma) in Shenghua Tang, administering two to three doses within twenty-four hours, so that the medicinal effect remains continuous. Then, when Qi and Blood become abundant and spirit recovers, the Jue symptoms will stop naturally. If thirst occurs after taking the medicine, use Shaomai San (Pulse-Generating Powder) instead of tea to assist fluid production and rescue dryness of the Zang organs. Or, if there are cold extremities accompanied by diarrhea and dysentery, resembling Yin syndrome of Shanghan (Cold Damage presenting with aversion to cold, cold limbs, and fine/deep pulse), continue using Shenghua Tang with doubled Renshen, adding Fuzi (Aconiti Lateralis Radix Praeparata, 4-5 fen) and Sheng Huangqi (Astragali Radix, 2 qian) according to discretion, to restore Yang and reverse rebellion. The Classics say: "Jue Qi moves upward, filling the vessels and departing from the form," meaning rebellious Qi moves upward and fills the meridians, causing Shen Qi (spiritual energy) to gradually dissipate. Generally, cold extremities result from the simultaneous exhaustion of Qi and Blood; the Spirit is about to depart and vital functions are about to cease, leaving only a thread of respiration. Without large doses of Renshen, one can hardly rely on recovery. This is a conclusion drawn from decades of experience, not fabricated arbitrarily to mislead people.
Renshen (Ginseng Radix et Rhizoma, 1 qian) Maidong (Ophiopogonis Radix, 1 qian) Wuweizi (Schisandrae Fructus, 10 grains)
Take the above herbs with water measured at seven-tenths of a cup, decoct until four-tenths remain, and take warm.
Postpartile fever, aversion to cold, and headache should not be mistaken for Taiyang syndrome (initial stage of external contraction of wind-cold, characterized by aversion to cold, fever, stiff neck, and floating pulse). Alternating chills and fever, chest fullness, and hypochondriac pain should not be mistaken for Shaoyang syndrome (pathogen between exterior and interior, characterized by alternating chills and fever, bitter taste, and hypochondriac fullness). All these conditions arise from dual deficiency of Qi and Blood and disharmony of Yin and Yang; they resemble external contraction but are essentially not caused by external pathogens. Even if wind-cold is occasionally contracted, internal treatment should be employed. After severe blood loss, if symptoms such as fever, aversion to cold, headache, and hypochondriac pain occur, administering dispersing agents to induce heavy sweating would mean that before the disease is eliminated, the Yuan Qi (original Qi) is already depleted. How could the harm be negligible? Zhang Zhongjing said: "Those who have lost blood must be cautious about inducing sweating." Zhu Danxi said: "In the postpartum period, surface-releasing methods are absolutely contraindicated." These statements cover the matter comprehensively. Moreover, Shenghua Tang contains Chuanxiong and Shengjiang (Fresh Zingiberis Rhizoma), which also imply a dispersing function. By following the dosage addition method described below and administering several doses of this base formula quickly, all symptoms will naturally resolve.