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Zhu Danxi stated: Postpartum treatment should primarily focus on greatly tonifying Qi and Blood. Even if there are other miscellaneous symptoms, they should be treated as secondary (Although postpartum requires great tonification, one must also examine whether lochia is retained, and assess the nature of external or internal pathogens, as well as deficiency or excess conditions, to ensure rational treatment). For postpartum deficiency, use Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Huang Qi (Astragali Radix), Chen Pi (Citri Reticulatae Pericarpium), Dang Gui Shen (Angelicae Sinensis Radix - root body), Chuan Xiong (Chuanxiong Rhizoma), and Zhi Gan Cao (Prepared Licorice Root). If fever is mild, add Fu Ling (Poria) to promote diuresis and leach out dampness, and the heat will naturally subside; if fever is severe, add Gan Jiang (Zingiberis Rhizoma).

Generally, when illness occurs postpartum, one must first secure Qi and Blood. Most postpartum diseases are due to Blood deficiency, and thus, methods that induce sweating to release the exterior should not be used. In the immediate postpartum period, Shao Yao (Paeoniae Radix Alba/Rubra) should not be used because its sour and cold nature damages the body's generating and ascending Qi. Generally speaking, during pregnancy, avoid stagnation; postpartum, avoid deficiency (This is a principle from medical classics).

Zhang Zhongjing said: Regarding new mothers, there are three common illnesses: one is Jing disease (spasm/tetanus), the second is Yu Mao (depression and dizziness), and the third is difficult defecation. What does this mean? The Master said: After childbirth, Blood is deficient and sweating is profuse, making the patient prone to Wind invasion, which leads to Jing disease (Reading this reveals that Jing disease can also be caused by external pathogens; it cannot be assumed solely to be due to Qi and Blood deficiency with hasty use of tonics, which could lead to fatal consequences). Loss of Blood combined with sweating and excessive Cold leads to Yu Mao. Loss of Body Fluids and dryness in the Stomach lead to difficult defecation (Yu Mao in postpartum women is equivalent to Xue Yun/Blood Syncope).

The Mai Jing (Pulse Classic) states: When examining women after childbirth, if the Cun Kou (radial artery at the wrist) pulse is Hong Da (surging and large) and rapid but irregular, the prognosis is poor (If irregular and lacking pulse sensation even when pressed deeply to the bone, the condition is critical; however, if a Wei Qi [Stomach Qi] is felt within the surging and rapid pulse, survival is possible; a rigid and unyielding pulse indicates death. One must also consider the patient's constitutional pulse pattern to make a definitive judgment). If the pulse is Chen Wei (deep and faint) but persists when pressed to the bone, the prognosis is good. For women who have just given birth, if the pulse during lactation is Chen Xiao Hua (deep, small, and slippery), the prognosis is good; if it is Shi Da Jian Xian Ji (full, large, firm, wiry, and rapid), the prognosis is poor. Zhu Danxi said: If the pulse is Xi Xiao (fine and small) before delivery but becomes Hong Da (surging and large) after delivery, mortality is high. He also said: Before delivery, the pulse should be Hong Shuo (surging and rapid); if it remains surging and rapid after delivery, death is likely (This is a general rule; nowadays, many postpartum women with surging and rapid pulses survive).

Guo Jizhong discussed: What causes Bao Yi Bu Xia (retained placenta)? The answer is: After the mother delivers the baby, blood flows into the placenta. The placenta becomes distended by the blood, preventing its expulsion. If treatment is delayed, the distension accumulates in the abdomen and rises sequentially to the chest and heart, causing pain, panting, and urgency, which is difficult to treat. One should administer Duo Ming Dan (Life-Extending Pill: Hei Fu Zi [Aconiti Lateralis Radix Praeparata], 5 qian; Mu Dan Pi [Moutan Cortex], 1 liang; Gan Xi [Caulis Kadsurae], stir-fried until smoke ceases, 2.5 qian; cooked with 1 jin of rice vinegar and Da Huang [Rhei Radix et Rhizoma] powder, 1 liang, into a paste for pills) to expel the stasis from the placenta. Once the blood disperses and distension subsides, the placenta will naturally descend. If external Cold invades, the blood vessels become obstructed, making placental expulsion difficult; this must be noted (Dou Lin Jiu [Bean-Dripping Wine]: Stir-fry 2 he of black beans, heat an iron scale weight until red-hot, and quench it in the wine with the beans).

Xue Yue stated: Some cases of retained placenta occur because lochia enters the placenta, causing distension that prevents expulsion. Others occur because Yuan Qi (Primordial Qi) is deficient and unable to push the placenta out. In cases where lochia enters the placenta, there is abdominal distension and pain; Duo Ming Dan and Shi Xiao San (Sorrow-Dispelling Powder) should be used to eliminate blood stasis without delay. In cases where Yuan Qi is insufficient to expel it, there is no abdominal distension or pain; Bao Sheng Wu You San (Life-Preserving Worry-Free Powder) should be used to tonify and secure Yuan Qi (One treatment method involves placing the mother's hair in her mouth to induce vomiting, which causes the placenta to expel spontaneously; if it does not expel, death is inevitable).