治产后七日内，外感风寒，咳嗽鼻塞，声重恶寒，勿用麻黄以动汗；嗽而胁痛，勿用柴胡汤；嗽而有声，痰少
面赤，勿用凉药。凡产有火嗽，有痰嗽，必须调理半月后，方可用凉药，半月前不当用。
加味生化汤 治产后外感风寒咳嗽及鼻塞声重。
川芎（一钱） 当归（二钱） 杏仁（十粒） 桔梗（四分） 知母（八分）
有痰，加半夏曲；虚弱有汗咳嗽，加人参。总之产后不可发汗。
眉批∶知母一本作四分。
歌括∶产后七日感风寒，咳嗽鼻塞亦恶寒。
勿用麻黄柴胡汤，尚须厘清火与痰。
风寒咳嗽鼻声重，加味生化用最灵。
归芍知母桔梗杏，痰加半夏虚参增。
加参安肺生化汤 治产后虚弱，旬日内外感风寒，咳嗽声重有痰，或身热头痛及汗多者。
川芎（一钱） 人参（一钱） 知母（一钱） 桑白皮（一钱） 当归（二钱） 杏仁（十粒，去皮尖） 甘
草（四分） 桔梗（四分） 半夏（七分） 橘红（三分）
虚人多痰，加竹沥一杯，姜汁半匙。
眉批∶按《咳嗽论》中，明示纵有火嗽，在半月前，犹不得轻用凉药，垂戒綦严，而第一与第二方中，均有
知母；小注均有“外感风寒”云云。此必于既感之后，将蕴而为燥热，不得已而用之，小注未及申明。如谓不然，苟初
感即用此凉品，岂不与前论显为枘凿，读者须会前人微意，庶不致用古方而自少权衡耳。
歌括∶产后旬日感风寒，咳嗽声重亦有痰。
身体虚弱难御邪，身热头痛多出汗。
加参安肺生化汤，归芍人参杏仁桑。
知母甘草桔梗配，半夏橘红共煎尝。
加味四物汤 治半月后干嗽有声痰少者。
川芎 白芍 知母 栝蒌仁（各一钱） 生地 当归（各二钱） 诃子（二钱） 冬花（六分） 桔梗（四分） 甘
草（四分） 葱铃（四分） 生姜（一大片）
歌括∶加味四物归芍芎，生地知母苦桔梗。
子冬花栝蒌仁，甘草生姜与兜铃。
To treat cough, nasal congestion, heavy voice, and aversion to cold caused by external contraction of wind-cold within seven days postpartum, do not use Ephedrae Herba (Mahuang, 麻黄) to induce sweating; if cough is accompanied by hypochondriac pain, do not use Chaihu Tang (Bupleurum Decoction); if cough produces sound but with scanty sputum and a red face, do not use cooling medicines. In cases of postpartum fire-cough or phlegm-cough, regulation must be maintained for half a month before cooling medicines can be used; they should not be used within the first half month.
Jiawei Shenghua Tang (Modified Birth-Expelling Decoction): Treats postpartum cough and nasal congestion with heavy voice due to external contraction of wind-cold.
Chuanxiong Rhizoma (Chuanxiong, 川芎) (1 qian), Danggui Radix (Danggui, 当归) (2 qian), Prunus Armeniaca Seed (Xingren, 杏仁) (10 grains), Platycodon Root (Jiegeng, 桔梗) (4 fen), Anemarrhena Rhizome (Zhimu, 知母) (8 fen).
If there is phlegm, add Fermented Pinellia Tuber (Banxiaqu, 半夏曲); if weak with sweating and cough, add Ginseng Radix (Renshen, 人参). In general, diaphoresis (inducing sweating) is contraindicated postpartum.
Commentary: Some editions list Zhimu (Anemarrhena Rhizome, 知母) as 4 fen.
Song: Postpartum seven days after contracting wind-cold, cough, nasal congestion, and aversion to cold occur.
Do not use Mahuang (Ephedrae Herba, 麻黄) or Chaihu Tang (Bupleurum Decoction, 柴胡汤); one must distinguish between fire-cough and phlegm-cough.
Wind-cold cough with heavy nasal voice responds best to Jiawei Shenghua Tang (Modified Birth-Expelling Decoction, 加味生化汤).
The formula contains Danggui Radix (Danggui, 当归), Paeonia Lactiflora Root (Baishao, 白芍), Anemarrhena Rhizome (Zhimu, 知母), Platycodon Root (Jiegeng, 桔梗), and Prunus Armeniaca Seed (Xingren, 杏仁); add Banxiaqu (Fermented Pinellia Tuber, 半夏曲) for phlegm, and Renshen (Ginseng Radix, 人参) for deficiency.
Jiaren Shen Anfei Shenghua Tang (Ginseng-Added Lung-Anchoring Birth-Expelling Decoction): Treats postpartum weakness where, within ten days, external contraction of wind-cold leads to cough, heavy voice, phlegm, fever, headache, or excessive sweating.
Chuanxiong Rhizoma (Chuanxiong, 川芎) (1 qian), Ginseng Radix (Renshen, 人参) (1 qian), Anemarrhena Rhizome (Zhimu, 知母) (1 qian), Morus Alba Root Bark (Sangbaipi, 桑白皮) (1 qian), Danggui Radix (Danggui, 当归) (2 qian), Prunus Armeniaca Seed (Xingren, 杏仁) (10 grains, skin and tip removed), Glycyrrhiza Uralensis Root (Gancao, 甘草) (4 fen), Platycodon Root (Jiegeng, 桔梗) (4 fen), Pinellia Ternata Tuber (Banxia, 半夏) (7 fen), Citrus Reticulata Pericarpium (Juhong, 橘红) (3 fen).
For those with deficiency and abundant phlegm, add Bamboo Sap (Zhuli, 竹沥) one cup and Ginger Juice (Jiangzhi, 姜汁) half a spoon.
Commentary: According to "Lun Cough" (Treatise on Cough), it is explicitly stated that even in fire-cough, cooling medicines should not be lightly used within the first half month, with strict warnings. However, both the first and second formulas contain Zhimu (Anemarrhena Rhizome, 知母); the notes mention "external contraction of wind-cold." This implies that after contracting wind-cold, pathogenic factors may transform into dryness-heat, necessitating the use of Zhimu (Anemarrhena Rhizome, 知母), though this was not clarified in the notes. If one assumes that such cooling substances are used immediately upon initial contraction, it would contradict previous discussions. Readers must grasp the subtle intent of predecessors to exercise judgment when applying ancient prescriptions.
Song: Ten days postpartum, contracting wind-cold, cough with heavy voice and phlegm occurs.
Body is weak and unable to resist pathogens, accompanied by fever, headache, and excessive sweating.
Use Jiaren Shen Anfei Shenghua Tang (Ginseng-Added Lung-Anchoring Birth-Expelling Decoction, 加参安肺生化汤), containing Danggui Radix (Danggui, 当归), Paeonia Lactiflora Root (Baishao, 白芍), Ginseng Radix (Renshen, 人参), Prunus Armeniaca Seed (Xingren, 杏仁), and Morus Alba Root Bark (Sangbaipi, 桑白皮).
Combine Anemarrhena Rhizome (Zhimu, 知母), Glycyrrhiza Uralensis Root (Gancao, 甘草), and Platycodon Root (Jiegeng, 桔梗); decoct together with Pinellia Ternata Tuber (Banxia, 半夏) and Citrus Reticulata Pericarpium (Juhong, 橘红).
Jiawei Siwu Tang (Modified Four Substances Decoction): Treats dry cough with sound but scanty sputum occurring after half a month.
Chuanxiong Rhizoma (Chuanxiong, 川芎), Paeonia Lactiflora Root (Baishao, 白芍), Anemarrhena Rhizome (Zhimu, 知母), Trichosanthes Semen (Gualouren, 栝蒌仁) (each 1 qian), Rehmannia Glutinosa Root (Shengdi, 生地), Danggui Radix (Danggui, 当归) (each 2 qian), Terminalia Chebula Fruit (Hezi, 诃子) (2 qian), Adenophora Root (Donghua, 冬花) (6 fen), Platycodon Root (Jiegeng, 桔梗) (4 fen), Glycyrrhiza Uralensis Root (Gancao, 甘草) (4 fen), Fritillaria Thunbergii Bulb (Dongling, 葱铃/兜铃) (4 fen), Zingiber Officinale Rhizome (Shengjiang, 生姜) (one large slice).
Song: Jiawei Siwu Tang (Modified Four Substances Decoction, 加味四物汤) consists of Danggui Radix (Danggui, 当归), Paeonia Lactiflora Root (Baishao, 白芍), and Chuanxiong Rhizoma (Chuanxiong, 川芎), plus Rehmannia Glutinosa Root (Shengdi, 生地), Anemarrhena Rhizome (Zhimu, 知母), and Platycodon Root (Jiegeng, 桔梗).
Also include Terminalia Chebula Fruit (Hezi, 诃子), Adenophora Root (Donghua, 冬花), Trichosanthes Semen (Gualouren, 栝蒌仁), Glycyrrhiza Uralensis Root (Gancao, 甘草), Zingiber Officinale Rhizome (Shengjiang, 生姜), and Fritillaria Thunbergii Bulb (Dongling, 兜铃).