产后虚羸，喘促如疟，名曰褥劳。用猪腰一对，白糯米三合，豆豉五合，绵裹葱白一
升，人参、当归、水三升，煎八合，作二三服。
一方∶用当归羊肉汤，大补产后虚劳。
产后褥劳，虚汗出不止，用人参、黄 、白术、白茯苓、麻黄根、牡蛎各三钱，用
母鸡一双，去毛杂净，水六七碗，用药煮至三碗，任意服。
一方∶治产后血露未绝，腹痛，用玄胡索为末，热酒调服三钱，效。
一方∶用五灵脂末二钱，热酒调服。
一方∶用腌蟹壳烧灰为末，酒调一二钱。
一方∶治产后血奔心，用热酒加生地黄汁一杯，和匀服。
一方∶用郁金为末，酒调二钱。
产后二十余日，头大痛，不可忍，用∶补中益气汤（方见内伤）加川芎、细辛、 本、
蔓荆子，水煎服，立止。
产后血气虚弱，乳汁衰少用∶猪蹄汤
猪蹄一副，通草二两，川芎一两，甘草一钱、穿山甲十四片，炒，将猪蹄净洗，根据食疗
法切断，用水六碗同通草等药煎，再加葱姜约煮至三碗，取汁饮之。忌冷物，要吃羹汤，助
其气血，乳汁自多。要避风寒，夏月不可失盖，时用葱洗乳为佳。
产妇乳汁不来，其原有二∶
一、因气血不足，乳汁不来者，用猪蹄汤之类，是为虚者补之。
一、因肥胖妇人，痰气壅盛，乳脉滞塞而不来者，漏芦汤之类，是为盛者行之。
漏芦汤治肥盛妇人，脉滞，壅结不行，乳汁少。用漏芦二两、蛇蜕一条、土瓜根十根，
切片炒焦，共为末，酒调下二钱。
一方∶用钟乳粉二钱，漏芦汤调下。
一方∶用八物汤加黄 、漏芦、天花粉、木通、陈皮，先煮猪蹄汁煎药服。
一方∶用栝蒌根为末，酒调下二钱。
一方∶多服莴苣汤，并食其菜妙。又用莴苣子炒穿山甲， 为末，酒调。
一方∶用赤小豆煮汁，多服之，乳如泉流。
Postpartum weakness and emaciation, with panting and rapid breathing resembling malaria, is named "Rulao" (Puerperal Exhaustion). Use one pair of pig kidneys, three he of white glutinous rice, five he of fermented soybeans (Douchi), one sheng of green onion white bundles wrapped in cotton, Ren Shen (Ginseng Radix), Dang Gui (Angelicae Sinensis Radix), and three sheng of water. Decoct to obtain eight he, divided into two or three doses.
Another prescription: Use Dang Gui Lamb Soup (Danggui Yangrou Tang) to strongly tonify postpartum deficiency and exhaustion.
For postpartum Rulao with continuous profuse sweating due to deficiency, use Ren Shen (Ginseng Radix), Huang Qi (Astragali Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Bai Fu Ling (Poria), Mahuang Gen (Ephedrae Radix et Rhizoma), and Mu Li (Ostreae Concha), each three qian. Take one hen, remove feathers and clean thoroughly, add six or seven bowls of water, decoct with the herbs until three bowls remain, and take as desired.
Another prescription: For postpartum lochia not yet ceased accompanied by abdominal pain, use Yan Hu Suo (Corydalis Rhizoma) powdered, taken with hot wine, three qian per dose; effective.
Another prescription: Use Wu Ling Zhi (Trogopterori Faeces) powdered, two qian, taken with hot wine.
Another prescription: Use pickled crab shell burned to ash and powdered, taken with wine, one to two qian.
Another prescription: For postpartum blood rushing to the heart, mix a cup of fresh Sheng Di Huang juice (Rehmanniae Radix) with hot wine and take evenly.
Another prescription: Use Yu Jin (Curcumae Radix) powdered, two qian, taken with wine.
More than twenty days after delivery, severe headache intolerable to bear: Use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) (see Internal Injury chapter for formula), plus Chuan Xiong (Ligustici Chuanxiong Rhizoma), Xi Xin (Asari Radix et Rhizoma), Gao Ben (Ligustici Rhizoma et Radix), and Man Jing Zi (Vittariae Spora), decocted in water and taken orally; pain stops immediately.
Postpartum blood and qi deficiency leading to scanty lactation: Use Pig Trotter Soup (Zhuti Tang).
One pig trotter, two liang of Tong Cao (Tetrapanacis Medulla), one liang of Chuan Xiong (Ligustici Chuanxiong Rhizoma), one qian of Gan Cao (Glycyrrhizae Radix et Rhizoma), fourteen slices of Shan Zha Jia (Manis Squama) stir-fried. Clean the pig trotter thoroughly, cut according to dietary therapy methods, add six bowls of water, decoct together with Tong Cao and other herbs, then add green onion and ginger, simmer until about three bowls remain. Strain and drink the juice. Avoid cold foods; consume soups and stews to assist blood and qi, so that milk will naturally increase. Avoid wind and cold; do not neglect covering in summer months. Washing breasts with green onion water occasionally is beneficial.
There are two primary causes for failure of lactation in puerperae:
First, when lactation fails due to insufficiency of blood and qi, use formulas like Pig Trotter Soup; this is tonifying the deficient.
Second, when lactation fails in obese women due to excessive phlegm and qi stagnation blocking the milk channels, use formulas like Lou Lu Tang; this is promoting flow in the excess.
Lou Lu Tang treats obese women with stagnant pulses, obstructed qi mechanism, and scanty milk. Use Lou Lu (Rhynchotechti Herba) two liang, She Tui (Bombyx Batryticatus), and Tu Gua Gen (Trichosanthes Kirilowii Radix) ten roots. Slice and stir-fry until scorched, powder together, and take two qian mixed with wine.
Another prescription: Take Zhong Ru Fen (Stalactitum) two qian, mixed with Lou Lu Tang.
Another prescription: Use Ba Wu Tang (Eight-Ingredient Decoction) added with Huang Qi (Astragali Radix), Lou Lu (Rhynchotechti Herba), Tian Hua Fen (Trichosanthis Radix), Mu Tong (Akebiae Caulis), and Chen Pi (Citri Reticulatae Pericarpium). First decoct pig trotter juice, then use it to decoct the herbs before taking.
Another prescription: Take Gua Lou Gen (Trichosanthis Radix) powdered, two qian, mixed with wine.
Another prescription: Frequently take Wo Ju Tang (Lactuca Decoction) and eat the vegetable for excellent results. Also, stir-fry Wo Ju Zi (Lactuca Sativa Seed) with Shan Zha Jia (Manis Squama), powder them, and take mixed with wine.
Another prescription: Boil Chi Xiao Dou (Vigna umbellata Seed) in water and drink frequently; milk will flow like a spring.