论曰产蓐之后，食饮起居，失于常度，使血气不得其养，若血虚则发热。气虚则发寒，
血气俱虚，则寒热更作。日渐羸瘦，故为蓐劳，又产后恶露不尽，亦令致此，则时寒时热，
腰腹刺痛。甚者不能食。亦不作肌肤。
治产后蓐劳，日渐枯瘁，寒热往来。头疼体痛，口苦舌燥。桂心散方
桂（去粗皮） 浓朴（去粗皮涂生姜汁炙） 柴胡（去苗） 桔梗（锉炒） 紫菀（去
土焙干）
甲（去裙 醋浸炙
上一十二味，捣罗为散，每服二钱匕，用 猪肝十片炙熟，乘热拌和药末，旋嚼温酒
下。日三。
治产后失于将理，血气虚损，日渐因瘁，少寒多热，烦渴嗽逆，痰壅减食。柴胡人参汤
方
柴胡（去苗） 人参 生干地黄（焙各三分） 桔梗（锉炒） 知母 紫菀（去苗土） 桑
根
者一枚炮裂去
上一十二味，锉如麻豆，每服三钱匕，水一盏，生姜三片，枣一枚擘破，同煎七分。
去滓温服，不拘时。
治产后蓐劳，寒热羸瘦，骨节酸痛。茯苓丸方
白茯苓（去黑皮） 肉苁蓉（酒浸切焙） 熟干地黄（焙各一两半） 羚羊角（屑） 当
归（切
上八味，捣罗为末，炼蜜为丸，梧桐子大，每服二十丸，温酒或米饮下，不拘时服。
治产后蓐劳，寒热体痛。力乏瘦黑。猪肾汤方
猪肾（一只切） 黄 （锉碎） 人参 芍药（锉碎炒各一两半） 桂（去粗皮三分） 芎
上八味，除肾外，捣为粗末，每服二钱匕，水二盏，先煮猪肾，取一盏，去肾入药末，
生姜三片，枣一枚擘，同煎七分，去滓温服，不拘时。
治产后蓐劳寒热，日渐瘦损。柴胡汤方
柴胡（去苗锉一两） 甘草（炙锉） 人参 白茯苓（去黑皮） 当归（切炒） 赤芍
药（锉
上九味，粗捣筛，每服三钱匕，水一盏半，先煮猪肾一只。取汁一盏，去肾入药。并生
姜三片，葱白三寸，同煎七分，去滓温服，不拘时。
治产后蓐劳，寒热瘦瘁。熟干地黄汤方
熟干地黄（焙一两半） 桂（去粗皮） 白茯苓（去黑皮） 甘草（炙锉） 鳖甲（去
裙涂醋
一两） 淡竹叶（一
上一十一味，粗捣筛，每服三钱匕，水一盏，煎七分，去滓温服。不拘时。
治产后蓐劳，肌瘦，烦闷，喘急多汗，倦怠少力。黄 汤方
黄 （锉碎） 芍药（锉碎） 枳壳（去瓤麸炒） 牡蛎粉（各一两） 羚羊角屑（半
两）
上五味，粗捣筛，每服三钱匕，水一盏半，猪肾一枚，切去筋膜，生姜五片，同煎七分
，去滓温服。不拘时。
治产后蓐劳虚衰，寒热羸瘦。紫石英汤方
紫石英（别研如粉） 钟乳粉 白石英（研） 熟干地黄（焙） 当归（切炒） 半夏
（生姜自
分）
上一十味，粗捣筛，每服三钱匕，水一盏，生姜三片，枣一枚擘，同煎七分，去滓温服
，不拘时。
治产后蓐劳，肌肉枯瘦，面无颜色，或寒或热，四肢酸疼，头痛心烦。黄 煮散方
黄 （锉） 鳖甲（去裙 醋炙黄各一两） 当归（锉微炒） 桑寄生 桂（去粗皮） 白
茯苓
焙） 甘草（
上一十二味，捣为细散，每服用猪肾一具，切去脂膜，先以水一盏半，生姜三片，枣二
枚擘，煎至一盏，去滓并肾，却下药末三钱匕，再煎至七分，温服。
治产后蓐劳，疼痛寒热，头旋眼运。精神恍惚，睡多惊恐，盗汗腹痛，大便不利。芍药
汤方 赤芍药 芎 牡丹皮 玄参 当归（切焙） 人参 五味子 麦门冬（去心焙） 白
茯
上一十二味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓不拘时温服。
治产后蓐劳似疟，寒热不能食。猪肾汤方
猪肾（一枚去脂膜切） 粳米（淘二合） 知母（焙三分） 当归（锉焙一分半） 葱
白（五
上六味，除肾并米外，锉如麻豆大，以水六盏，先煎猪肾七八沸，纳诸药，煎取四盏
，去滓下粳米。煮熟去米，空腹分温三服，如人行五六里一服，服讫卧良久。
治产后蓐劳寒热，体虚羸瘦，不思饮食。干地黄丸方
熟干地黄（焙） 人参 鳖甲（醋炙去裙 ） 肉苁蓉（酒浸切焙各一两） 白术（炒）
续
分） 羌活
上一十四味，捣罗为末，研匀，炼蜜和丸，如梧桐子大，每服十五丸，温酒下，不拘时
治产后蓐劳，寒热时作，肢体羸弱，饮食无味。白薇丸方
白薇 柏子仁（研） 附子（炮裂去皮脐） 鳖甲（醋炙去裙 ） 当归（切焙） 黄
（锉各
头各三分） 熟干
半两）
上一十六味，捣罗为末研细，炼蜜和丸，如梧桐子大，每服二十丸，温米饮下，不拘时
治产后蓐劳。补虚损，益血气。泽兰丸方
泽兰（一两半） 防风（去叉） 附子（炮裂去皮脐） 当归（切焙） 白术 桂（去
粗皮） 芎
甘草（炙锉）
浸切焙） 白芷 黄
上二十一味，捣罗为末研匀，炼蜜和丸，如梧桐子大，每服三十丸，空心温酒下。
Discussion states: After childbirth, during the postpartum period, if diet and daily life deviate from regular patterns, causing blood and qi to fail in receiving nourishment, deficiency of blood leads to fever; deficiency of qi leads to chills; when both blood and qi are deficient, chills and fever alternate. The body becomes increasingly emaciated, hence termed "Rulao" (postpartum chronic deficiency syndrome due to improper care). Additionally, incomplete expulsion of lochia after childbirth can also cause this condition, manifesting as alternating chills and fever, and stabbing pain in the waist and abdomen. In severe cases, appetite is lost, and skin and muscles fail to thrive.
For treating postpartum Rulao, with the body becoming increasingly withered and emaciated, alternating chills and fever, headache, body aches, bitter taste in the mouth, and dry tongue, use Guixin San (Cinnamon Heart Powder):
Guixin (Cinnamomi Cortex, remove coarse bark) Houpo (Magnoliae Officinalis Cortex, remove coarse bark, coat with fresh ginger juice and roast) Chaihu (Bupleuri Radix, remove sprouts) Jiegeng (Platycodonis Radix, cut and stir-fry) Ziwan (Astagi Herba, remove soil and bake dry)
The above twelve ingredients are crushed, sifted into powder. Each dose is two qianbi (approx. 6g), mixed with ten slices of roasted pig liver while hot, chewed thoroughly, and washed down with warm wine. Taken three times daily.
For treating postpartum neglect of care, resulting in blood and qi deficiency, increasing emaciation, less chills and more fever, irritability, thirst, cough with counterflow of qi, phlegm obstruction, and reduced appetite, use Chaihu Renshen Tang (Bupleurum and Ginseng Decoction):
Chaihu (Bupleuri Radix, remove sprouts) Renshen (Ginseng Radix) Sheng Gan Dihuang (Rehmanniae Radix, dried, each 3 fen) Jiegeng (Platycodonis Radix, cut and stir-fry) Zhi Mu (Anemarrhenae Rhizoma) Ziwan (Astagi Herba, remove sprouts and soil) Sanggen (Mori Cortex, one piece, processed until cracked, remove coarse bark)
The above twelve ingredients are cut like hemp seeds. Each dose is three qianbi, boiled with one sheng (approx. 200ml) of water, three slices of fresh ginger, and one broken jujube, until reduced to 70%. Strain and take warm, at any time.
For treating postpartum Rulao, alternating chills and fever, emaciation, and bone/joint soreness, use Fuling Wan (Poria Pill):
Baifuling (Poria, remove black skin) Roucongrong (Cynomorii Folium, soaked in wine, cut and baked) Shu Gan Dihuang (Prepared Rehmanniae Radix, baked, each 1 liang 5 qian) Lingyangjiao (Saigae Tataricae Cornu, powdered) Danggui (Angelicae Sinensis Radix, sliced)
The above eight ingredients are crushed, sifted into powder, and formed into pills with refined honey, sized like paulownia seeds. Each dose is twenty pills, taken with warm wine or rice drink, at any time.
For treating postpartum Rulao, alternating chills and fever, body pain, fatigue, emaciation, and dark complexion, use Zhushen Tang (Pig Kidney Decoction):
Zhushen (Pig Kidney, one, sliced) Huangqi (Astragali Radix, cut finely) Renshen (Ginseng Radix) Shaoyao (Paeoniae Radix, cut finely and stir-fried, each 1 liang 5 qian) Guizhi (Cinnamomi Ramulus, remove coarse bark, 3 qian) Xiong (Ligustici Chuanxiong Rhizoma)
The above eight ingredients, excluding the kidney, are crushed into coarse powder. Each dose is two qianbi, boiled with two sheng of water. First boil the pig kidney, reduce to one sheng, remove the kidney, add the herbal powder, three slices of fresh ginger, and one broken jujube. Boil until reduced to 70%, strain, and take warm, at any time.
For treating postpartum Rulao with chills/fever and progressive wasting, use Chaihu Tang (Bupleurum Decoction):
Chaihu (Bupleuri Radix, remove sprouts and cut, 1 liang) Gancao (Licorice Root, roasted and cut) Renshen (Ginseng Radix) Baifuling (Poria, remove black skin) Danggui (Angelicae Sinensis Radix, sliced and stir-fried) Chishao (Red Peony Root, cut)
The above nine ingredients are coarsely crushed and sieved. Each dose is three qianbi, boiled with one and a half sheng of water. First boil one pig kidney, reduce to one sheng of juice, remove the kidney, add the herbs, three slices of fresh ginger, and three cun of scallion white. Boil until reduced to 70%, strain, and take warm, at any time.
For treating postpartum Rulao, chills/fever, emaciation, and withering, use Shu Gan Dihuang Tang (Prepared Rehmannia Decoction):
Shu Gan Dihuang (Prepared Rehmanniae Radix, baked, 1 liang 5 qian) Guizhi (Cinnamomi Ramulus, remove coarse bark) Baifuling (Poria, remove black skin) Gancao (Licorice Root, roasted and cut) Biejia (Testudinis Carapax et Plastrum, remove skirt, coat with vinegar and roast, 1 liang) Danzhuye (Lophatheri Herba, one handful)
The above eleven ingredients are coarsely crushed and sieved. Each dose is three qianbi, boiled with one sheng of water until reduced to 70%. Strain and take warm, at any time.
For treating postpartum Rulao, muscle wasting, irritability, panting with excessive sweating, and fatigue/weakness, use Huangqi Tang (Astragalus Decoction):
Huangqi (Astragali Radix, cut finely) Shaoyao (Paeoniae Radix, cut finely) Zhike (Aurantii Fructus, remove pulp and stir-fried with bran) Moli Fen (Ostreae Concha, each 1 liang) Lingyangjiao Xie (Saigae Tataricae Cornu, powdered, 0.5 liang)
The above five ingredients are coarsely crushed and sieved. Each dose is three qianbi, boiled with one and a half sheng of water, one pig kidney (sliced, removing fascia), and five slices of fresh ginger, until reduced to 70%. Strain and take warm, at any time.
For treating postpartum Rulao with deficiency and decline, chills/fever, and emaciation, use Zhi Shiyang Tang (Purple Fluorspar Decoction):
Zhi Shiyang (Fluoritum, separately ground to powder) Zhongru Fen (Gypsi Fibrosum, powdered) Bai Shiyang (Fluoritum, ground) Shu Gan Dihuang (Prepared Rehmanniae Radix, baked) Danggui (Angelicae Sinensis Radix, sliced and stir-fried) Banxia (Pinelliae Rhizoma, soaked in fresh ginger juice)
The above ten ingredients are coarsely crushed and sieved. Each dose is three qianbi, boiled with one sheng of water, three slices of fresh ginger, and one broken jujube, until reduced to 70%. Strain and take warm, at any time.
For treating postpartum Rulao, withered muscles, lack of facial luster, alternating chills/fever, limb soreness, headache, and irritability, use Huangqi Zhu San (Astragalus Decoction Powder):
Huangqi (Astragali Radix, cut) Biejia (Testudinis Carapax et Plastrum, remove skirt, vinegar-roasted yellow, each 1 liang) Danggui (Angelicae Sinensis Radix, cut and slightly stir-fried) Sangjisheng (Taxilli Herba) Guizhi (Cinnamomi Ramulus, remove coarse bark) Baifuling (Poria, baked) Gancao (Licorice Root, roasted)
The above twelve ingredients are crushed into fine powder. For each dose, use one pig kidney, sliced, removing fat membrane. First boil with one and a half sheng of water, three slices of fresh ginger, and two broken jujubes until reduced to one sheng. Strain and add the kidney, then add three qianbi of powder. Re-boil until reduced to 70%, and take warm.
For treating postpartum Rulao, pain with chills/fever, dizziness, and blurred vision. Mental confusion, excessive sleepiness with fright, night sweats, abdominal pain, and difficult defecation, use Shaoyao Tang (Peony Decoction):
Chishao (Red Peony Root) Xiong (Ligustici Chuanxiong Rhizoma) Mudanpi (Moutan Cortex) Xuanshen (Scrophulariae Radix) Danggui (Angelicae Sinensis Radix, sliced and baked) Renshen (Ginseng Radix) Wuweizi (Schisandrae Fructus) Maidong (Ophiopogonis Radix, remove heart and baked) Baifuling (Poria)
The above twelve ingredients are coarsely crushed and sieved. Each dose is five qianbi, boiled with one and a half sheng of water until reduced to 80%. Strain and take warm, at any time.
For treating postpartum Rulao resembling malaria, with chills/fever and inability to eat, use Zhushen Tang (Pig Kidney Decoction):
Zhushen (Pig Kidney, one, remove fat membrane and slice) Jingmi (Oryza Sativa, rinsed, 2 he) Zhi Mu (Anemarrhenae Rhizoma, baked, 3 fen) Danggui (Angelicae Sinensis Radix, cut and baked, 1.5 fen) Congbai (Scallion White, 5 cun)
The above six ingredients, excluding the kidney and rice, are cut like hemp seeds. Boil with six sheng of water. First boil the pig kidney for seven or eight boils, add the herbs, and boil until four sheng remain. Strain, add the rice, and cook until done. Remove the rice. Take warm in three doses on an empty stomach. One dose every five to six li of walking. Lie down for a long time after taking.
For treating postpartum Rulao with chills/fever, physical weakness and emaciation, and loss of appetite, use Gan Dihuang Wan (Dry Rehmannia Pill):
Shu Gan Dihuang (Prepared Rehmanniae Radix, baked) Renshen (Ginseng Radix) Biejia (Testudinis Carapax et Plastrum, vinegar-roasted, remove skirt) Roucongrong (Cynomorii Folium, soaked in wine, cut and baked, each 1 liang) Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried) Xuduan (Dipsaci Radix) Qianghuo (Notopterygii Rhizoma et Radix)
The above fourteen ingredients are crushed, sifted into powder, mixed evenly, and formed into pills with refined honey, sized like paulownia seeds. Each dose is fifteen pills, taken with warm wine, at any time.
For treating postpartum Rulao, intermittent chills/fever, weak limbs, and tasteless food, use Baiwei Wan (Cynanchi Atrati Radix Pill):
Baiwei (Cynanchi Atrati Radix) Baiziren (Biota Semen, ground) Fuzi (Aconiti Lateralis Radix Praeparata, processed until cracked, remove skin and umbilicus) Biejia (Testudinis Carapax et Plastrum, vinegar-roasted, remove skirt) Danggui (Angelicae Sinensis Radix, sliced and baked) Huangqi (Astragali Radix, cut, each...) Touge (Head tips, each 3 fen) Shu Gan Dihuang (Prepared Rehmanniae Radix, 0.5 liang)
The above sixteen ingredients are crushed, sifted into powder, and mixed finely. Formed into pills with refined honey, sized like paulownia seeds. Each dose is twenty pills, taken with warm rice drink, at any time.
For treating postpartum Rulao. Tonifying deficiency and injury, benefiting blood and qi, use Zelan Wan (Lycopersici Herba Pill):
Zelan (Lycopi Herba, 1.5 liang) Fangfeng (Saposhnikoviae Radix, remove forked root) Fuzi (Aconiti Lateralis Radix Praeparata, processed until cracked, remove skin and umbilicus) Danggui (Angelicae Sinensis Radix, sliced and baked) Baizhu (Atractylodis Macrocephalae Rhizoma) Guizhi (Cinnamomi Ramulus, remove coarse bark) Xiong (Ligustici Chuanxiong Rhizoma) Gancao (Licorice Root, roasted and cut)... Jinqiancao (Lysimachiae Herba, soak and cut, baked) Baizhi (Angelicae Dahuricae Radix) Huangqi (Astragali Radix)
The above twenty-one ingredients are crushed, sifted into powder, and mixed evenly. Formed into pills with refined honey, sized like paulownia seeds. Each dose is thirty pills, taken on an empty stomach with warm wine.