夫产后蓐劳者。此盖缘生产日浅。血气虚弱。饮食未平复。不满日月。气血虚羸。将养
失所
食
风
则
治产后蓐劳。或增寒壮热。四肢酸疼。头痛心烦。黄 散方。
黄 （一两锉） 桂心（半两） 当归（半两锉微炒） 桑寄生（半两） 白茯苓（半
两） 白芍
药（
去心焙）
鳖
上件药。捣粗罗为散。每服。用 猪肾一对。切去脂膜。先以水一大盏。入生姜半分。
枣三
温服之。
治产后蓐劳。皆由体虚。气力未复。劳动所致。四肢烦疼。时有寒热。不思饮食。
熟干地黄
熟干地黄 人参（去芦头） 白术 白芍药 白茯苓（以上各一两） 续断 黄 （锉）
桂
心
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。枣三枚。
煎至六分。去滓。不计时候温服。
治产后蓐劳虚羸。发歇寒热。心腹疼痛。四肢无力。不思饮食。白术散方。
白术（一两） 木香（半两） 熟干地黄（一两） 干姜（半两炮裂锉） 白芍药（三
分） 芎
（半
（三
分锉
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。枣三枚。
煎至六分。去滓。稍热服。一日三四服。
治产后体虚。乍寒乍热。其状如疟。名曰蓐劳。宜服猪肾汤方。
猪肾（一对切去脂膜） 香豉（半两） 白粳米（半两） 葱白（七寸切） 薤白〔一
（三）茎
切〕
芍
药（
头） 白术
（三分
上件药。捣粗罗为散。每服半两。入前药汁中煎至七分。去滓食前。分温二服。
治产后蓐劳。心神烦热。头痛口干。身体或寒或热。肾沥汤方。
猪肾（一对切去脂膜） 豉（半两） 大枣（四枚劈破） 生姜（一两切） 葱白（三
小茎切
以上
两）
麦门
上件药。捣粗罗为散。每服半两。入前药汁中。
煎至七分。去滓。食前分温二服。
治产后蓐劳。盖缘生产日浅。久坐多语。运动用力。遂致头目四肢疼痛。寒热如疟
状。白茯
白茯苓（一两） 当归（锉微炒） 白芍药 芎 桂心 黄 （锉） 人参（去芦头）
熟干
地黄
上件药。捣筛为散。每服。先以水一大盏半。入猪肾一对。去脂膜细切。生姜半分。枣
三枚
治产后蓐劳。寒热进退。头痛目眩。百节酸疼。气力羸。黄 丸方。
黄 （一两锉） 白芍药〔二（三）分〕 当归（一两锉微炒） 桂心（三分） 柏子
仁（三分）
续
分去苗） 白
术（
两涂
醋炙
上件药。捣细罗为散。炼蜜和捣三五百杵。丸如梧桐子大。每服食前。以粥饮下三十丸。
治产后蓐劳。虚羸气短。胸胁满闷。不思饮食。熟干地黄丸方。
熟干地黄 石斛（去根锉） 黄 （锉） 白茯苓 麦门冬（去心焙） 肉桂（去皱皮）
枸杞
子
续
断
上件药。捣罗为末。炼蜜和捣五七百杵。丸如梧桐子大。每于食前。以粥饮下三十丸。
Postpartum "Rulao" (chronic debility after childbirth) is generally caused by the short time elapsed since delivery, resulting in deficiency of blood and qi, incomplete recovery of diet, and a duration of less than one month. The blood and qi are depleted, and improper nursing combined with wind-pathogen invasion leads to the condition. When treating postpartum Rulao, if symptoms such as aversion to cold, high fever, soreness and pain in the four limbs, headache, and irritability occur, use Huang San Formula.
Huangqi (Radix Astragali) (1 liang, crushed) Guixin (Cortex Cinnamomi) (0.5 liang) Danggui (Radix Angelicae Sinensis) (0.5 liang, crushed and lightly stir-fried) Sangjisheng (Ramulus Taxilli) (0.5 liang) Baifuling (Poria) (0.5 liang) Baishaoyao (Radix Paeoniae Alba) (decored, dried) Biejia (Carapax et Plastrum Testudinis) (3 liang, brushed with vinegar and roasted, remove skirt).
The above herbs are pounded into coarse powder. For each dose, take 4 qian, using one pair of pig kidneys, removing the fatty membrane. First, add one da zhan (approx. 200ml) of water, 0.5 fen of fresh ginger, and three jujubes. Decoct until reduced to 0.6 volume, strain, and take warm.
Treating postpartum Rulao is due to physical weakness and incomplete recovery of strength, exacerbated by labor. Symptoms include vexatious pain in the four limbs, intermittent chills and fever, and loss of appetite. Use Shugan Dihuang San Formula.
Shugan Dihuang (Prepared Rehmanniae Radix) Renshen (Radix Ginseng) (remove rhizome) Baizhu (Rhizoma Atractylodis Macrocephalae) Baishaoyao (Radix Paeoniae Alba) Baifuling (Poria) (each 1 liang) Xuduan (Radix Dipsaci) Huangqi (Radix Astragali) (crushed) Guixin (Cortex Cinnamomi).
The above herbs are pounded and sifted into a powder. For each dose, take 4 qian, using one zhong zhan (approx. 150ml) of water, 0.5 fen of fresh ginger, and three jujubes. Decoct until reduced to 0.6 volume, strain, and take warm at any time.
Treating postpartum Rulao with deficiency and emaciation, alternating chills and fever, pain in the heart and abdomen, weakness in the four limbs, and loss of appetite, use Baizhu San Formula.
Baizhu (Rhizoma Atractylodis Macrocephalae) (1 liang) Muxiang (Radix Aucklandiae) (0.5 liang) Shugan Dihuang (Prepared Rehmanniae Radix) (1 liang) Ganjiang (Rhizoma Zingiberis) (0.5 liang, processed until cracked, crushed) Baishaoyao (Radix Paeoniae Alba) (0.3 liang) Xiong (Radix Chuanxiong) (0.5 liang) Huangqi (Radix Astragali) (0.3 liang, crushed).
The above herbs are pounded into coarse powder. For each dose, take 4 qian, using one zhong zhan (approx. 150ml) of water, 0.5 fen of fresh ginger, and three jujubes. Decoct until reduced to 0.6 volume, strain, and take slightly warm. Take three to four times a day.
Treating postpartum physical weakness with alternating chills and fever, resembling malaria, named Rulao, use Zhushen Tang Formula.
Zhushen (Porcine Kidney) (one pair, remove fatty membrane) Xiangchi (Fermented Soybean) (0.5 liang) Baijingmi (Oryza Sativa) (0.5 liang) Congbai (Scallion White) (7 cun, cut) Xiebai (Bulbus Allii Macrostemonis) (three stems, cut) Shaoyao (Radix Paeoniae Alba) (0.3 liang) Baizhu (Rhizoma Atractylodis Macrocephalae) (0.3 liang).
The above herbs are pounded into coarse powder. For each dose, take 0.5 liang, add to the decoction of the previous ingredients, and decoct until reduced to 0.7 volume. Strain and take before meals, divided into two warm doses.
Treating postpartum Rulao with vexatious heat in the mind and spirit, headache, dry mouth, and alternating chills and fever in the body, use Shenli Tang Formula.
Zhushen (Porcine Kidney) (one pair, remove fatty membrane) Chi (Fermented Soybean) (0.5 liang) Dazao (Jujube) (four pieces, split) Shengjiang (Fresh Ginger) (1 liang, cut) Congbai (Scallion White) (three small stems, cut) Maimendong (Radix Ophiopogonis) (decored, dried).
The above herbs are pounded into coarse powder. For each dose, take 0.5 liang, add to the decoction of the previous ingredients, and decoct until reduced to 0.7 volume. Strain and take before meals, divided into two warm doses.
Treating postpartum Rulao, likely due to short time since delivery, prolonged sitting, excessive talking, and physical exertion, leading to pain in the head, eyes, and four limbs, and chills and fever resembling malaria, use Baifu San Formula.
Baifuling (Poria) (1 liang) Danggui (Radix Angelicae Sinensis) (crushed, lightly stir-fried) Baishaoyao (Radix Paeoniae Alba) Xiong (Radix Chuanxiong) Guixin (Cortex Cinnamomi) Huangqi (Radix Astragali) (crushed) Renshen (Radix Ginseng) (remove rhizome) Shugan Dihuang (Prepared Rehmanniae Radix).
The above herbs are pounded and sifted into a powder. For each dose, first use one and a half da zhan (approx. 300ml) of water, add one pair of pig kidneys, finely chopped after removing the fatty membrane, 0.5 fen of fresh ginger, and three jujubes. Decoct until reduced to 0.6 volume, strain, and take warm.
Treating postpartum Rulao with advancing and retreating chills and fever, headache, dizziness, soreness and pain in all joints, and weak strength, use Huang Wan Formula.
Huangqi (Radix Astragali) (1 liang, crushed) Baishaoyao (Radix Paeoniae Alba) (0.3 liang) Danggui (Radix Angelicae Sinensis) (1 liang, crushed, lightly stir-fried) Guixin (Cortex Cinnamomi) (0.3 liang) Baiziren (Semen Platycladi) (0.3 liang) Xuduan (Radix Dipsaci) (0.3 liang, remove seedlings) Baizhu (Rhizoma Atractylodis Macrocephalae) (0.3 liang).
The above herbs are pounded into fine powder, mixed with refined honey, and pounded for three to five hundred strokes. Form pills the size of paulownia seeds. Before meals, take thirty pills with gruel drink.
Treating postpartum Rulao with deficiency, emaciation, shortness of breath, fullness and oppression in the chest and hypochondrium, and loss of appetite, use Shugan Dihuang Wan Formula.
Shugan Dihuang (Prepared Rehmanniae Radix) Shihu (Caulis Dendrobii) (remove roots, crush) Huangqi (Radix Astragali) (crushed) Baifuling (Poria) Maimendong (Radix Ophiopogonis) (decored, dried) Rougui (Cortex Cinnamomi) (remove wrinkled bark) Gouqizi (Fructus Lycii) Xuduan (Radix Dipsaci).
The above herbs are pounded into powder, mixed with refined honey, and pounded for five to seven hundred strokes. Form pills the size of paulownia seeds. Before meals, take thirty pills with gruel drink.