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Postpartum Qi and Blood are depleted, and the Zang-Fu organs are damaged. If the woman is young and vigorous, and can observe moderation in her care and nourishment, she will recover within a month. However, if multiple births have led to weakness of Qi and Blood, resulting in postpartum emaciation and debility, spleen and stomach deficiency, weakness of the four limbs, complete loss of appetite, and abdominal distension with Qi stagnation, Ren Shen San (Ginseng Powder) is indicated.

Ren Shen (Ginseng Radix et Rhizoma, 1 liang, remove the rhizome), Huang Qi (Astragali Radix, 1 liang, sliced), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 0.5 liang), Dang Gui (Angelicae Sinensis Radix, 0.5 liang, sliced and lightly stir-fried), Bai Fu Ling (Poria, Mu Xiang (Aucklandiae Radix), Xiong Duan (Ligustici Chuanxiong Rhizoma, 0.5 liang), Fu Zi (Aconiti Lateralis Radix Praeparata, 3 fen, sliced). The above herbs are coarsely ground into a powder. Take 4 qian per dose, add 1 zhong zhan of water, 0.5 fen of fresh ginger, and 2 jujubes. Decoct until reduced to 0.6 of the original volume, strain, and take warm at any time.

For postpartum emaciation and debility, shortness of breath, and inability to eat, Shu Gan Di Huang San (Prepared Rehmannia Root Powder) is indicated.

Shu Di Huang (Rehmanniae Radix Praeparata, 2 liang), Ren Shen (Ginseng Radix et Rhizoma, 1 liang, remove the rhizome), Xiong Duan (Ligustici Chuanxiong Rhizoma, 3 fen), Ze Lan (Leonuri Herba, 3 fen), Xu Duan (Dipsaci Radix, 3 fen), Huang Qi (Astragali Radix, 3 fen, stir-fried until yellow and dry), Bai Shao Yao (Paeoniae Radix Alba, dosage unspecified in text). The above herbs are coarsely ground into a powder. Take 3 qian per dose, add 1 zhong zhan of water, 0.5 fen of fresh ginger, and 3 jujubes. Decoct until reduced to 0.6 of the original volume, strain, and take warm at any time.

For postpartum physical weakness and fatigue, emaciation of the four limbs, and loss of appetite, Huang Qi San (Astragalus Powder) is indicated.

Huang Qi (Astragali Radix, 1 liang, sliced), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 0.5 liang), Xu Duan (Dipsaci Radix, 0.5 liang), Ren Shen (Ginseng Radix et Rhizoma, 0.5 liang, remove the rhizome), Shu Di Huang (Rehmanniae Radix Praeparata, 1 liang), Fu Shen (Poria with Hostwood, 0.5 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 liang, stir-baked until slightly red and sliced). The above herbs are coarsely ground into a powder. Take 3 qian per dose, add 1 zhong zhan of water, 0.5 fen of fresh ginger, and 3 jujubes. Decoct until reduced to 0.6 of the original volume, strain, and take warm at any time.

For postpartum emaciation and debility, weakness, shortness of breath, Yang Shen Tang (Sheep Kidney Decoction) is indicated.

Yang Shen (Sheep Kidney, one pair, cut and remove the fatty membrane), Ling Yang Jiao (Saiga Tataricae Cornu, 0.5 liang, shaved), Shu Di Huang (Rehmanniae Radix Praeparata, 1 liang), Ren Shen (Ginseng Radix et Rhizoma, 3 fen, remove the rhizome), Mai Men Dong (Ophiopogonis Radix, 0.5 liang, remove the heart), Wu Wei Zi (Schisandrae Fructus, 3 fen, remove skin and seeds), Xu Duan (Dipsaci Radix, dosage unspecified). The above herbs are sifted into a powder. For each dose, first decoct the kidney in 1.5 zhong zhan of water until reduced to 1 zhong zhan. Remove the kidney, add 5 qian of the herbal powder and 14 grains of Hua Jiao (Zanthoxyli Pericarpium). Decoct until reduced to 0.5 of the original volume, strain, and take warm on an empty stomach.

For postpartum physical weakness and emaciation, loss of appetite, difficulty in distant vision, and inability to rise or sit, Bai Zhu San (Atractylodes Macrocephala Powder) is indicated.

Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1 liang), Huang Qi (Astragali Radix, 1 liang, sliced), Wu Wei Zi (Schisandrae Fructus, 0.5 liang), Shi Hu (Dendrobii Caulis, 1 liang, remove roots and slice), Fang Feng (Saposhnikoviae Radix, 0.5 liang, remove the rhizome), Ren Shen (Ginseng Radix et Rhizoma, dosage unspecified), Dang Gui (Angelicae Sinensis Radix, 0.5 liang), Fu Zi (Aconiti Lateralis Radix Praeparata, 3 fen, processed). The above herbs are coarsely ground into a powder. Take 4 qian per dose, add 1 zhong zhan of water and 3 jujubes. Decoct until reduced to 0.6 of the original volume, strain, and take warm. Take three times daily.

For postpartum emaciation and debility, deficiency of Zang-Fu Qi, and inability to eat or drink, Ren Shen San (Ginseng Powder) is indicated.

Ren Shen (Ginseng Radix et Rhizoma, 1 liang, remove the rhizome), Dang Gui (Angelicae Sinensis Radix, 0.5 liang, sliced and lightly stir-fried), Wu Wei Zi (Schisandrae Fructus, 3 fen), Huang Qi (Astragali Radix, 3 fen, sliced), Xiong Duan (Ligustici Chuanxiong Rhizoma, 3 fen), Gui Xin (Cinnamomi Ramulus Cortex), Mai Men Dong (Ophiopogonis Radix, 0.5 liang, remove the heart). The above herbs are sifted into a powder. Take 4 qian per dose, add 1 zhong zhan of water, 0.5 fen of fresh ginger, and 3 jujubes. Decoct until reduced to 0.6 of the original volume, strain, and take warm. Take three times daily.

For postpartum emaciation and debility, loss of appetite, excessive lying down with little rising, and mental confusion, Xu Duan San (Dipsacus Powder) is indicated.

Xu Duan (Dipsaci Radix, 1 liang), Xiong Duan (Ligustici Chuanxiong Rhizoma, 0.5 liang), Fang Feng (Saposhnikoviae Radix, 0.5 liang, remove the rhizome), Ren Shen (Ginseng Radix et Rhizoma, 0.5 liang, remove the rhizome), Huang Qi (Astragali Radix, 0.5 liang, sliced), Qiang Huo (Notopterygii Rhizoma et Radix, dosage unspecified), Suan Zao Ren (Ziziphi Spinosae Semen, 0.5 liang). The above herbs are coarsely ground into a powder. Take 4 qian per dose, add 1 zhong zhan of water, 0.5 fen of fresh ginger, and 3 jujubes. Decoct until reduced to 0.6 of the original volume, strain, and take warm. Take three times daily.

For postpartum emaciation and debility with weakness, dizziness and vertigo, and loss of appetite, Ling Yang Jiao San (Saiga Tataricae Cornu Powder) is indicated.

Ling Yang Jiao (Saiga Tataricae Cornu, 3 fen, shaved), Fang Feng (Saposhnikoviae Radix, 0.5 liang, remove the rhizome), Fu Zi (Aconiti Lateralis Radix Praeparata, 3 fen, processed, remove skin and seeds), Ren Shen (Ginseng Radix et Rhizoma, 3 fen, remove the rhizome), Mai Men Dong (Ophiopogonis Radix, 3 fen, soaked in water, remove white pith and bake), Huang Qi (Astragali Radix, 3 fen, stir-baked until slightly red and sliced). The above herbs are coarsely ground into a powder. Take 4 qian per dose, add 1 zhong zhan of water, 0.5 fen of fresh ginger, and 3 jujubes. Decoct until reduced to 0.6 of the original volume, strain, and take warm. Take three times daily.

For postpartum emaciation and debility, weakness, panting and sweating, and abdominal pain, Rou Dang Gui Tang (Mutton and Angelica Decoction) is indicated.

Fei Yang Rou (Fat Mutton, 2 jin), Dang Gui (Angelicae Sinensis Radix, 0.5 liang, sliced and lightly stir-fried), Bai Shao Yao (Paeoniae Radix Alba, 0.5 liang), Long Gu (Fossilia Ossis Mastodi et Scapulae, 3 fen), Fu Zi (Aconiti Lateralis Radix Praeparata, 3 fen, processed, remove skin and seeds), Ren Shen (Ginseng Radix et Rhizoma, 3 fen, remove the rhizome). The above herbs are coarsely ground into a powder. First, decoct the mutton in 5 zhong zhan of water to obtain 2 zhong zhan of broth. For each dose, use 1 zhong zhan of broth, add 4 qian of the herbal powder. Decoct until reduced to 0.6 of the original volume, strain, and take warm. Take three times daily.

For postpartum emaciation and debility with abdominal pain, Huang Ci Ji Tang (Yellow Hen Decoction) is indicated.

Xiao Huang Ci Ji (Small Yellow Female Chicken, one whole, remove head, feet, wings, feathers, intestines, wash and cut), Dang Gui (Angelicae Sinensis Radix, 0.5 liang, sliced and lightly stir-fried), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 0.5 liang), Shu Di Huang (Rehmanniae Radix Praeparata, 0.5 liang). The above herbs are sifted into a powder. First, decoct the chicken in 7 sheng of water until reduced to 3 sheng. For each dose, take 4 qian of powder, add 1 zhong zhan of chicken broth. Decoct until reduced to 0.6 of the original volume, strain, and take warm.

For postpartum emaciation and debility, emaciation of the four limbs, and inability to eat, Yang Rou Huang Qi Tang (Mutton and Astragalus Decoction) is indicated.

Yang Rou (Mutton, 5 jin), Huang Qi (Astragali Radix, 1 liang, sliced), Bai Fu Ling (Poria, 1 liang), Bai Shao Yao (Paeoniae Radix Alba, 1 liang), Dang Gui (Angelicae Sinensis Radix, 1.5 liang, sliced and lightly stir-fried), Xu Duan (Dipsaci Radix, dosage unspecified), Mai Men Dong (Ophiopogonis Radix, 1.5 liang, remove the heart). The above herbs are coarsely ground into a powder. Use 1 dou of water to decoct the mutton, obtaining 5 sheng of broth. For each dose, use 1 zhong zhan of meat broth, 4 qian of herbal powder, and 3 jujubes. Decoct until reduced to 0.6 of the original volume, strain, and take warm. Take three times daily.

For postpartum emaciation and debility, weakness of the four limbs, and loss of appetite, Huang Ci Ji Tang (Yellow Hen Decoction) is indicated.

Fei Huang Ci Ji (Fat Yellow Female Chicken, one whole, remove head, feet, wings, feathers, and intestines, wash), Dang Gui (Angelicae Sinensis Radix, 1 liang, sliced and lightly stir-fried), Ren Shen (Ginseng Radix et Rhizoma, 3 fen, remove the rhizome), Gui Xin (Cinnamomi Ramulus Cortex, 0.5 liang), Mai Men Dong (Ophiopogonis Radix, 1.5 liang, remove the heart). The above herbs are coarsely ground into a powder. First, decoct the chicken in 7 sheng of water to obtain 3 sheng of broth. For each dose, use 1 zhong zhan of broth, add 4 qian of herbal powder. Decoct until reduced to 0.6 of the original volume, strain, and take warm.

Seven days after childbirth, Bu Xu Lei Qiang Qi Li Xiao Zhi Xue Yang Rou Di Huang Tang (Tonify Deficiency and Emaciation, Strengthen Qi and Strength, Eliminate Stagnant Blood, Mutton and Rehmannia Decoction) is indicated.

Bai Yang Rou (White Mutton, 3 jin), Shu Di Huang (Rehmanniae Radix Praeparata, 1 liang), Dang Gui (Angelicae Sinensis Radix, 1 liang, sliced and lightly stir-fried), Bai Shao Yao (Paeoniae Radix Alba, 1.5 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 liang, stir-baked until slightly red). The above herbs are coarsely ground into a powder. Decoct the mutton in 7 sheng of water to obtain 3 sheng of broth. For each dose, use 1 zhong zhan of meat broth, add 4 qian of herbal powder. Decoct until reduced to 0.6 of the original volume, strain, and take warm. Take three times daily.

For postpartum emaciation and debility, inability to eat, and wind-deficiency exhaustion, Juan Bai Wan (Selaginellae Herba Pill) is indicated.

Juan Bai (Selaginellae Herba, 1 liang), Mai Men Dong (Ophiopogonis Radix, 1.5 liang, remove the heart and bake), Ze Xie (Alismatis Rhizoma, 3 fen), Shu Di Huang (Rehmanniae Radix Praeparata, 1 liang), Niu Xi (Achyranthis Bidentatae Radix, 1 liang, remove sprouts), Ren Shen (Ginseng Radix et Rhizoma, dosage unspecified), Xiong Duan (Ligustici Chuanxiong Rhizoma, dosage unspecified), Xi Xin (Asari Radix et Rhizoma, dosage unspecified). The above herbs are ground into fine powder. Mix with refined honey and pound 500-700 times. Form pills the size of Sophora seeds. Take 30 pills per dose with gruel beverage, three times daily.

For postpartum emaciation and debility with alternating chills and fever, emaciation of the four limbs, loss of appetite, mental deficiency and vexation, and restless sleep at night, Wu Shi Wan (Five Minerals Pill) is indicated.

Zi Shi Ying (Psilomelani Mineral, 1.5 liang, finely ground and washed with water), Zhong Ru Fen (Gypsum Fleorum Pulvis, 1.5 liang), Bai Shi Ying (Quartzum Album, 1.5 liang, finely ground and washed with water), Chi Shi Zhi (Halloysit Rubrum, 1.5 liang), Shi Gao (Gypsum Fibrosum, 1.5 liang, remove the heart and bake), Han Shui Shi (Metasideritum, 1 liang, remove the rhizome). The above herbs are ground into fine powder. Add the already ground minerals and grind uniformly. Mix with refined honey and pound 300-200 times. Form pills the size of Sophora seeds. Take with scallion gruel beverage.

For postpartum emaciation and debility, as well as all residual diseases, Shu Di Huang Wan (Prepared Rehmannia Pill) is indicated.

Shu Di Huang (Rehmanniae Radix Praeparata, 1 liang), Dang Gui (Angelicae Sinensis Radix, 3 fen, sliced and lightly stir-fried), Fang Feng (Saposhnikoviae Radix, 0.5 liang, remove the rhizome), Bi Xie (Dioscoreae Hypoglaucae Rhizoma, 1 liang, sliced), Huang Qi (Astragali Radix, 1 liang, sliced), Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, stir-baked until slightly red and sliced), Ren Shen (Ginseng Radix et Rhizoma, 1 liang, remove the rhizome), Bai Zi Ren (Biota Orientalis Semen, dosage unspecified). The above herbs are ground into fine powder. Mix with refined honey and pound 500-700 times. Form pills the size of Sophora seeds. Take 30 pills per dose with warm wine, three times daily.

For postpartum emaciation and debility with weakness, Bu Yi Zi Shi Ying Wan (Tonify and Benefit Psilomelani Pill) is indicated.

Zi Shi Ying (Psilomelani Mineral, 1 liang, finely ground and washed with water), Bai Shi Ying (Quartzum Album, 1 liang, finely ground and washed with water), Ze Lan (Leonuri Herba, 3 fen), Mu Xiang (Aucklandiae Radix, 0.5 liang), Fu Zi (Aconiti Lateralis Radix Praeparata, 1 fen), Fang Feng (Saposhnikoviae Radix, 0.5 liang, remove the rhizome), Niu Xi (Achyranthis Bidentatae Radix, dosage unspecified), Qiang Huo (Notopterygii Rhizoma et Radix, 0.5 liang), Huang Qi (Astragali Radix, 3 fen, sliced), Du Zhong (Eucommiae Cortex, 3 fen, remove rough bark and stir-bake). The above herbs are ground into fine powder. Add the already ground minerals and grind uniformly. Mix with refined honey and pound 500-700 times. Form pills the size of Sophora seeds. Take on an empty stomach and before evening meal.

For postpartum emaciation and debility, irregular Qi and Blood, emaciation of the four limbs, sallow complexion, and inability to eat, Bu Yi Ze Lan Wan (Tonify and Benefit Leonurus Pill) is indicated.

Ze Lan (Leonuri Herba, 1 liang), Shu Di Huang (Rehmanniae Radix Praeparata, 1.5 liang), Bai Fu Ling (Poria, 3 fen), Mu Xiang (Aucklandiae Radix, 3 fen), Bi Xie (Dioscoreae Hypoglaucae Rhizoma, 3 fen, sliced), Fu Zi (Aconiti Lateralis Radix Praeparata, 3 fen), Ren Shen (Ginseng Radix et Rhizoma, 1 liang, remove the rhizome), Dang Gui (Angelicae Sinensis Radix, 0.5 liang, sliced and lightly stir-fried). The above herbs are ground into fine powder. Mix with refined honey and pound 500-700 times. Form pills the size of Sophora seeds. Take on an empty stomach and before evening meal with gruel beverage, 30 pills per dose.

For postpartum emaciation and debility, emaciation, and poor appetite, Shu Di Huang Wan (Prepared Rehmannia Pill) is indicated.

Shu Di Huang (Rehmanniae Radix Praeparata, 1 liang), Dang Gui (Angelicae Sinensis Radix, 0.5 liang, sliced and lightly stir-fried), Fu Zi (Aconiti Lateralis Radix Praeparata, 1 liang, processed, remove skin and seeds), Huang Qi (Astragali Radix, 1 liang, sliced), Xu Duan (Dipsaci Radix, 0.5 liang), Mai Men Dong (Ophiopogonis Radix, 1.5 liang, remove the heart and bake), Wu Wei Zi (Schisandrae Fructus, 3 fen, soaked in wine overnight, scrape off wrinkled skin). The above herbs are ground into fine powder. Mix with refined honey and pound 500-700 times. Form pills the size of Sophora seeds. Take on an empty stomach and before evening meal with warm wine, 30 pills per dose.