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Xue Lizhai stated: The aforementioned syndrome belongs to the ominous prognosis of deficiency-cold in Stomach Qi (Stomach Qi). If Dingxiang San (Clove Powder) yields no effect, Shenfu Tang (Ginseng and Aconite Decoction) should be administered urgently; there are cases of survival. Regarding postpartum hiccups (epigastric reflux), there are differences between cold, heat, deficiency, and excess patterns. For cold patterns, Dingxiang (Clove), Shengjiang (Fresh Ginger), and Guizhi (Cinnamon Twig) are indicated. For heat patterns, Qianshi (Dried Persimmon) and Zhuru (Bamboo Shavings) are indicated. For deficiency patterns, Renshen (Ginseng Root) and Fuzi (Prepared Aconite Lateral Root) are indicated. For excess patterns, Xiangfu (Cyperi Rhizome) and Jupi (Tangerine Peel) are indicated. Misapplication of treatment will lead to regret that cannot be remedied.

Shenzhen's commentary: The above two passages describe the syndrome of postpartum hiccups (epigastric reflux). The Classic states: "In severe diseases, the sound is yue (hiccups/epigastric reflux)." Yue refers to hiccups (epigastric reflux). Its appearance in various diseases is an ominous sign, let alone occurring after childbirth. Postpartum conditions involve only deficiency, not excess; only cold, not heat. Xue Lizhai's insistence on discussing heat and excess patterns is fundamentally erroneous. As for ancient formulas treating postpartum hiccups (epigastric reflux) complicated by stagnant blood obstructing the Stomach causing rebellious Qi, Dingxiang Doukou San (Clove and Cardamom Powder) is used, decocted with Taoren (Peach Seed) and Wuzhuyu (Evodia Fruit) soup for administration. The pathogenesis must also be understood.

Guo Jizhong stated: When lochia discharge is unsmooth after childbirth, and敗血 (dead blood/stagnant blood) stagnates and coagulates, ascending to fumigate the Lung, it causes panting and urgency. Simply administering Duoming Dan (Life-Snatching Pill) will remove the blood, and the panting will settle naturally. Furthermore, if postpartum stagnant blood rushes to the Heart, causing chest fullness and upward panting, with life hanging in the balance, Xuexie San (Dragon's Blood Powder) or Sushen Yin (Perilla and Ginseng Infusion) should be taken. To treat postpartum blood entering the Lung, presenting with black complexion and fatal panting, use one liang of Renshen (Ginseng Root) and two liang of Sumu (Sappan Wood).

Lou Quanshan stated: Most cases of postpartum panting result in death. There was a case of a woman who, two months after delivery, developed panting immediately after bathing, unable to sit or lie down. In the fifth month, she feared wind, but felt slightly relieved by warmth. She was treated with a decoction of Danpi (Moutan Bark), Taoren (Peach Seed), Guizhi (Cinnamon Twig), Fuling (Poria), Ganjiang (Dried Ginger), Zhishi (Immature Bitter Orange), Houpo (Magnolia Bark), Sangbai Pi (Mulberry Root Bark), Zisu (Perilla Leaf), Wuweizi (Schisandra Berry), and Gualou (Trichosanthes Fruit). After taking it, she could lie down, and her phlegm seemed to vanish. This was treated as stagnant blood affected by cold.

Guo Jizhong asked: What is the cause of urgent breathing and panting from the throat after childbirth? The answer is: Ying (Nutritive Qi) is blood; Wei (Defensive Qi) is Qi. Ying circulates within the vessels, while Wei circulates outside the vessels, moving up and down together, referred to as Ying-Wei. Because excessive blood loss occurs during childbirth, Ying blood suddenly exhausts, leaving Wei Qi without a master. It gathers exclusively in the Lung, thus causing panting. This is named Gu Yang Jue Yin (Solitary Yang and Absolute Yin), which is difficult to treat.