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There are two types of jaundice: one is caused by liver heat suppressing the spleen, and the other by extreme dampness. If the liver pulse is surging and large (Hong Da), the stomach pulse is soft and weak (Ru Ruo) and turbid, the liver pulse is additionally floating, and the kidney pulse beats forcefully and strikes the fingers, this indicates yellow jaundice. If the stomach pulse is heavy and turbid yet string-like and long, lacking bone-force (root) upon pressure, the kidney pulse beats and is deep, and the heart pulse shows a moving image, this indicates jaundice due to extreme dampness.

However, jaundice disease often begins with yellowing of the eyes, as all meridians converge at the eye system. Thus, both liver heat and stomach heat can cause yellow eyes and jaundice. Liver heat causes dry mouth with desire to drink, and red, astringent urine. Stomach dampness also causes yellow eyes, but without dry mouth, and red but non-astringent urine. Additionally, there are cases where cold and dampness affect the lower body, dampness rushes to the heart, causing yellow eyes, which is not necessarily jaundice; as stated in the *Su Wen*, when Taiyang qi prevails, facial redness and yellow eyes occur. In such cases, only gently promote urination. For jaundice caused by damp-heat stagnation, the pulse should be surging and large, not string-like, but soft and long; promoting urination is appropriate.

Half-delivery (miscarriage/abortion) and full-term delivery are common events for women, yet many develop severe illnesses postpartum. Some suddenly stop menstruating, some suffer uterine deficiency and inability to retain, some accumulate into masses (Zheng Jia), and over years, damage their lives. This is due to underestimating half-delivery and failing to nurture oneself properly. One must know that nurturing after half-delivery should exceed that of full-term delivery by tenfold. Full-term delivery involves stopping bleeding and uterine emptiness; half-delivery involves rotting of muscles and bones. Consider this analogy: full-term delivery is like a chestnut in its fruit, waiting for natural ripeness when yin and yang qi are sufficient, the shell opens naturally, and the nut falls. At this time, the nut and shell are undamaged. Similarly, when a woman’s pregnancy reaches ten months, yin and yang qi are sufficient, the uterus opens naturally, and the child is born. If the month is not full, due to mistaken medication, sudden injury by cold or hot toxins, lifting heavy objects, or falling, the fetal store is damaged, the placental ties rot, and then the fetus falls. This is like picking a new chestnut, crushing the shell, breaking the stem within the shell, and taking the nut—this is the metaphor for half-delivery. Because the fetal store is damaged and placental ties severed before the fetus falls, nursing care for half-delivery must exceed full-term delivery by tenfold. After full-term delivery, tonify deficiency, generate good blood, transform bad blood, protect organ qi, and dispel wind evil; everyone recovers peacefully. After half-delivery, tonify deficiency, regenerate muscle, benefit blood, investigate the cause, resolve illness, dispel wind evil, nourish organ qi, and add nursing care exceeding full-term delivery by tenfold; damaged fetuses will recover. Alas! People often underestimate this, leading to countless crises; is it not worth cherishing?

Excessive bleeding from full-term or half-delivery cannot be stopped; sudden breathlessness and unconsciousness indicate a surging, floating, and diffuse pulse, like after bathing or a "burst belly" pulse. If the pulse is minute, fine, and cut off, the prognosis is ominous.

Fetus dead in the womb presents with a surging and deep pulse; the Chi position overflows to the lower part, neither astringent nor cut off, indicating no danger because the fetus has not descended and qi is full and solid, hence surging and deep, overflowing to the Cun position. If the pulse is astringent and short, death ensues.

For a woman about to deliver, with ruptured membranes and blood flow, whole-body pain: the pulse should be surging and large with bone-force, and the Chi position penetrating and long, indicating true labor. During pregnancy, the Chi pulse does not come; when about to deliver and fluids descend, the Chi position penetrates. If whole-body pain is severe but membranes have not ruptured and blood refuses to flow, it is difficult labor. Severe whole-body pain must include lower back pain radiating to the anus; this is the true sign, as the Shaoyin meridian invades the uterine collaterals, connecting the waist, spine, and anus. Mere abdominal pain is not a sign of true labor.

Postpartum, a knotted and astringent pulse, short and moving Chi pulse, and floating and urgent Lung pulse indicate retained placenta. Postpartum blood-wind, combated by deficient heat, presents with a surging, rapid pulse. "Rapid" differs from "fast"; rapid includes moving and short qualities, indicating blood vertigo: deep red face, body feeling intoxicated, seeing houses upside down, sudden heavy headache and restlessness.

Postpartum blood-wind, combated by deficient heat, presents with a surging and fast pulse; the Heart pulse is solid with bone-force, and the Lung pulse is surging and floating, indicating blood reversal headache: face red as if intoxicated, body feeling empty, constipation, and faint voice.

Postpartum, six pulses are surging and large, like blood vertigo; the Stomach pulse is solid and string-like, the Lung pulse is floating and surging, indicating large intestine constipation and heat: headache, red face, nausea, and vomiting.

Postpartum, resembling bone-steaming fever, six pulses are string-like and slightly tight with bone-force, indicating little blood flow. After several days, when the lower body is clean, residual blood and bad blood remain in the abdomen, causing non-time pain attacking the heart and ribs.

Postpartum, six pulses are light-floating, slightly firm but slow; the Liver pulse is fine and deficient-stringy. This is often due to straining too early after urination or eating too soon. Uterine wind invasion reduces appetite. Within ten days to half a month, porridge is not taken; even one sip of soup feels like it circulates in the chest before entering the stomach, and once in the stomach, it comes out again. Face and flesh are yellow, body feels heavy. This indicates wind evil lingering in the middle, blood heat combined with cold, forming cold-heat blocking qi, wind ineffective, food undigested. This illness requires drinking one or two cups of wine for regulation. Daily intake of one cup of wine is suitable, treating wind-throat conditions. Therefore, I specially formulated this prescription.

*Fine Xin (Asari Radix), Official Gui (Cinnamon Twig), Xiong (Ligusticum Chuanxiong), Dang Gui (Angelica Sinensis)* (each 0.5 liang).
Grind into fine powder. Take 3 qian per dose, on an empty stomach, mixed with Fangfeng decoction. After ingestion, hands and feet become warm. If headache occurs, drink one or two cups of wine until the whole body heats up and bad matter passes, bringing relief. Patients with this condition must follow the above indications to take this prescription.

Postpartum, all six pulses are sunken, hidden, and slow, indicating whole-body cold limbs and non-time rigidity/unconsciousness.

Postpartum, six pulses are moving and fast; the Stomach pulse is slippery and overflows to the Chi position; the Kidney pulse is soft and deficient-stringy. This is due to prolonged labor and delayed placenta expulsion. Rising early postpartum invites wind, causing indefinite vomiting and diarrhea; warming the stomach is indicated.

Postpartum, six pulses are sunken, fine, and hidden, indicating cold qi in the lower body, lower back pain, and immobility.

Postpartum, six pulses are sunken and fine; the Kidney pulse is hidden and deep; the Lung pulse is deficient and large. Excessive lactation flows out; the milk is cold and causes dry mouth. This is Kidney cold and Lung deficiency-cold. Do not mistake dry mouth for upper heat; mistakenly taking cooling herbs harms the Kidney. The Shaoyin Kidney meridian emerges from the Lung, connects to the Heart, and enters the chest. Its straight branch rises from the Kidney through the Liver and Diaphragm, enters the Lung, follows the throat, and flanks the root of the tongue, explaining these symptoms.

Postpartum, six pulses are surging, large, and knotted; the Liver pulse is astringent; the Lung pulse is floating. Sudden breast pain with hard lumps suggests impending abscess.

Within 100 days postpartum, abdominal and qi pain with continuous diarrhea, and six pulses sunken, fine, and deficient, indicate residual cold in the middle.

Postpartum, the Heart pulse is slightly small and moving on one finger, and hollow (Kou) and depressed. If the Lung pulse is heavy, surging, and large but lacks bone-force, it indicates excessive lactation. If the Lung pulse is normal, only the Heart pulse shows this, plus a minute and fine Kidney pulse, it indicates urinary exhaustion.

Postpartum, bad blood flows, stabbing pain in masses in the lower abdomen. Six pulses should be large and tight. A tight and deficient-stringy Lung pulse indicates cold Lung, ruling out masses in the lower abdomen. Postpartum blood heat, Liver wind combats phlegm, causing pain and acute heart pain. The six pulses should show two Yang and one Yin; two Yang are solid and large, one Yin is deep.

Postpartum, the Chi position is deficient, soft, and intermittent (Dai), with insufficient frequency, continuous white discharge, and bloody leukorrhea.

Postpartum, the Chi position is deficient, soft, and intermittent, with insufficient frequency. Plus a damp, wet, and scattered Stomach pulse indicates water and earth both cold, with much white discharge. Postpartum six pulses are floating and deficient; the Kidney pulse is minute and small, frequency slow, origin powerless, continuous like Dai pulse. Wind-stroke, muscle numbness, joint twitching, non-time chills, and large intestine deficiency-cold.

Postpartum, six pulses are floating and rapid, coming fast and leaving slow. Wind-stroke, restless limbs, body pain, mental confusion, constipation. Eating too soon postpartum damages Spleen qi, causing non-time abdominal/flank distension and poor digestion. Pulse diagnosis: Stomach pulse is slow, Liver pulse is weak.

Eating too soon postpartum damages blood and qi, causing weakness, reduced appetite, and cat-like eyes. Pulse: Lung pulse is horizontal and obstructed, Liver pulse is hollow, injured, weak, and minute. Kidney pulse is diffuse, wanting to move but powerless. Blood and qi are both diseased; regulate blood, benefit qi, warm the stomach, and promote eating.

Prolonged labor allows ground cold qi to rush in, forming masses in the abdomen, suddenly rushing to the heart and back, umbilical/abdominal pain, vomiting, nausea, and loss of appetite.

Postpartum, blood and qi are weak; six pulses are sunken and fine. Heavy pressure reveals fine pulse qi, with no other Yang pulses, except the Lung pulse being slightly floating and weak. This indicates cold and heaviness in the head, flaccid neck, non-time facial muscle numbness, large intestine deficiency-cold, frequent defecation with voiding sensation, occasional diarrhea, heavy legs, lack of spirit, weak gait, yellow and thin face. Or, menstruation resumes before 100 days, or mistaken cooling herbs cause these symptoms. From pregnancy onwards, whole-body coldness persists until postpartum. Treat with strong Kidney and Liver tonics, blood benefits, and wind-dispelling aids.

Postpartum, Heart deficiency with wind-stroke causes heart trembling, fright, and unrest, as if being chased. Large intestine cold, six pulses minute, Liver and Heart pulses slightly fine and deep. Postpartum, only due to Kidney qi deficiency-cold and wind invasion, the Kidney pulse is fine, beating, and deep. When the Kidney is diseased, it transmits to what it conquers; the Heart feels Kidney evil, causing non-time palpitations, as if being chased. Initially treat with Heart-qi benefiting and wind-dispelling herbs; next, tonify the Kidney; finally, benefit the Liver and fill blood. Since the Heart receives Kidney evil and Liver qi is weak, unable to generate Heart qi, use three prescriptions.

Postpartum Liver-Kidney deficiency-cold with pathogen invasion: six pulses deficient and minute, Kidney pulse beats deep, Heart pulse lightly slippery. Indicates postpartum Liver deficiency wind-stroke. There are two types of postpartum blood vertigo: wind combats blood heat causing vertigo (six pulses surging, large, with bone-force); or large intestine deficiency-cold, aggravated by anger damaging Liver-Heart, causing qi rebellion and blood vertigo. Symptoms: heavy headache, dizziness as if intoxicated, low voice, sleepiness. Pulse: six pulses light, with bone-force, not surging/large; Lung pulse light-floating and not rough; Heart pulse hurried and upward-facing. Medication is difficult, so this formula is made.

*Mahuang (Ephedrae Herba, root removed, 1 zhu), Yanshusuo (Corydalis Rhizoma), Xiong (Ligusticum Chuanxiong), Fangfeng (Saposhnikoviae Radix)* (each 1 zhu), *Guangui (Cinnamomi Ramulus, bark removed, 0.5 liang)*, *Gancao (Licorice Root, roasted)*, *Xixin (Asari Radix)* (each 2 zhu), *Qianghuo (Notopterygii Rhizoma et Radix)*.
Grind into fine powder. Take 1.5 qian per dose, boil 1 sheng water to 0.9 sheng, strain, and take at any time. Do not overdose; stop when cured. If Qi is weak and decoction fails, adding high fever, headache, and red face, use this next formula.

*Mudanpi (Moutan Cortex), Jingjie Sui (Schizonepeta Spike), Qianghuo (Notopterygii Rhizoma et Radix), Mahuang (Ephedrae Herba, root removed), Fangfeng (Saposhnikoviae Radix)* (each 1 zhu), *Gancao (Licorice Root, roasted, 2 zhu)*.
Grind into fine powder. Take 2 qian per dose, boil 0.8 sheng water for one boil, pour out immediately. After meal, slowly strain, take hot (stop when cured).

Postpartum, residual bad blood remains, invaded by wind evil, combated by hot blood: high fever, headache, red face as if intoxicated, gritty eyes, urgency, coma, body feeling empty, vomiting upon seeing food, food not staying in abdomen. Pulse qi is knotted and uneven, interrupted between positions, yet each has slight bone-force.

*Mahuang (Ephedrae Herba, root removed, 3 qian), Maidong (Ophiopogonis Tuber), Huangqin (Scutellariae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Dahuang (Rhei Radix et Rhizoma), Jingjie Sui (Schizonepeta Spike), Shanzhizi (Gardeniae Fructus), Shaoyao (Paeoniae Radix), Shegan (Belamcandae Rhizoma)* (each 0.5 liang), *Guangui (Cinnamomi Ramulus), Dang Gui (Angelica Sinensis)* (each 1 zhu), *Gancao (Licorice Root, roasted, 3 zhu)*.
Grind into fine powder, do not roast, only crush raw. Take 2 qian per dose, decoct strongly, mix with Bohe (Menthae Haplocalycis Herba) decoction. If pulse qi has strong bone-force... [Text incomplete]. Add Xia Mo (likely a typo or specific preparation term) one character, mix with dregs, take. If large intestine is not hot, do not use Qianniu (Pharbitidis Semen).

Zai Zhi’s treatment and medication initially seek no novelty; processing follows standard methods. Using Zhu (weight unit) indicates precise syndrome differentiation. Usually cures in 3-4 doses. If ineffective beyond this, re-examine disease and formula; change approach is necessary, do not be rigid. These are personally tested, not exaggerated claims. Six Zhu equal one Fen; four Fen equal one Liang.