〔大〕夫虚汗不止者，由阴气虚而阳气加之，里虚表实，阳气独发于外，故汗出也。
血为阴，产则伤血，是为阴气虚也。气为阳，其气实者阳加于阴，故令汗出。而阴气虚弱
不复者，则汗出不止也。凡产后血气皆虚，故多汗，因之遇风则变成痉，纵不成痉，亦虚
乏短气，身体柴瘦，唇口干燥，久则经水断绝，由津液竭故也。
〔薛〕按前证属血气俱虚，急用十全大补汤；如不应，用参附、 附等汤。若汗多
亡阳发痉，尤当用前药。王海藏先生云∶头汗出至颈而还，额上偏多，盖额为六阳之所
会也，由虚热熏蒸而出。窃谓前证当以部位分之，额左属肝，额右属肺，鼻属脾，颐属
肾，额属心，治者审之。一产妇略闻音响，其汗如水而昏愦，诸药到口即呕。余以为脾
气虚败，用参、附末为细丸，时含三五粒，随液咽下，乃渐加之，至钱许，却服参附汤而
痊。一产妇盗汗不止，遂致废寐，神思疲甚，口干引饮。余谓血虚有热，用当归补血
汤以代茶；又以当归六黄汤，纳黄芩、连、柏炒黑，倍加人参、五味子，二剂而愈。
〔大〕凡产后忽冒闷汗出不识人，治用鸡子及竹沥二法，见前血晕。
〔薛〕前证属大虚，宜固元气为主。其汗不止，必变柔痉。东垣先生云∶妇人分娩，
及半产漏下，昏冒目瞑，盖因血暴亡而火上炽，但补其血则神自昌。若常时血下，当补
而升举其气。阳得血而神安，则目明矣。今立一方，以补手足厥阴之血，兼益阳气，名
曰全生活血汤。
全生活血汤 治发热，自汗盗汗，目KT KT ，四肢无力，口干头晕，行步欹侧。
升麻 芍药（炒，各三钱） 柴胡 当归 防风 羌活 独活 葛根 甘草（炒，各二钱）
川芎 本（各一钱五分） 生地黄 熟地黄（各一钱） 细辛 蔓荆子（各五分） 红花（三分）
上每服五钱，水煎热服。
麻黄根散 （二方） 治产后虚汗不止。
当归 黄 麻黄根 牡蛎（ 为粉） 人参 粉草（各等分）
上 咀，每服四钱，水一盏，煎至七分，去渣温服。
又方
当归 黄 （各一两） 麻黄根（二两）
上 咀，每服三钱，水一盏，煎七分，去渣服。
《千金》疗产后风虚，汗出不止，小便难，四肢拘急，难以屈伸。
甘草（炙，一两） 附子（半个，炮去皮尖） 桂心 芍药（各一两半）
上 咀，每服三钱，水一盏，生姜四片，枣一枚，煎七分，去渣空心温服。（忌猪肉、冷
水、生葱等物。）
《经效》疗产后汗出不止。
黄 （十二分） 白术 牡蛎（ ） 茯苓 防风 麦门冬（去心） 生地黄（各八分）
大枣（七枚）
上 咀，水二升，煮取七合，去渣，空心分温两服。
疗产后血气暴虚汗出。
淡竹叶煎汤三合，微温服之，须臾再服。
又方 马齿苋研取汁三大合，煮一沸，投蜜匙许，冷停顿服。（无新者，用干者煮汁入蜜服。）
止汗散 治产后盗汗不止，一应汗多者，皆可服。
牡蛎（ ，研粉） 小麦面（炒令黄色，碾为粉）
上等分和匀，煮生猪肉汁调下二钱，无时。
人参汤 治产后诸虚不足，发热盗汗。
人参 当归（各等分）
上为末，以猪腰子一只，去脂膜，切小片子，以水三升，糯米半合，葱白两条，煮
米熟，取清汁一盏，入药二钱，煎至八分，温服不拘时。
当归六黄汤 治气血虚热，盗汗不止；不应，加人参、白术。心血不足，加酸枣仁（炒。）
当归 熟地黄（自制） 黄 （炒，各二钱） 生地黄 黄柏（炒黑） 黄芩（炒黑）
黄连（炒黑，各一钱）
上水煎服。
参附汤 治阳气虚寒，自汗恶寒，或手足逆冷，大便自利，或脐腹疼痛，吃逆不食，
或汗多发痉等证。
人参（一两） 附子（炮，五钱）
上作一服，姜、枣水煎徐徐服。去人参加黄 ，名 附汤。
附汤 治阳气虚脱，恶寒自汗，或口噤痰涌，四肢逆冷，或吐泻腹痛，饮食不入，
及一切虚寒等证。
黄 （一两） 附子（炮，五钱）
上作一剂，姜、枣水煎服。如不应，倍加附子，方得全济。
当归补血汤（见前。） 十全大补汤（见下虚羸。）
[Da Lun] For those with persistent sweating due to deficiency, it is caused by the deficiency of Yin Qi allowing Yang Qi to invade. This results in interior deficiency and exterior excess, where Yang Qi alone radiates outward, causing sweating. Blood belongs to Yin; childbirth damages blood, which constitutes a deficiency of Yin Qi. Qi belongs to Yang; if Qi is substantial, Yang adds to Yin, thus causing sweating. If Yin Qi is weak and fails to recover, sweating will persist indefinitely. Generally, after childbirth, both Blood and Qi are deficient, leading to profuse sweating. If exposed to wind pathogen, this may transform into Jing disease (spasm); even if spasm does not occur, there will be deficiency, fatigue, shortness of breath, emaciation, dry lips and mouth. Over time, menstruation may cease due to the exhaustion of Jin Ye (body fluids).
[Xue Ji] Regarding the aforementioned syndrome, it belongs to deficiency of both Blood and Qi. One should urgently use Shiquan Dabu Tang (Complete and Great Tonifying Decoction). If ineffective, use Shenfu Tang (Ginseng and Aconite Decoction) or similar formulas. If excessive sweating leads to Yang collapse and triggers spasms, the aforementioned medicines are especially indicated. Mr. Wang Haicang stated: Sweating on the head that stops at the neck, with more sweat on the forehead, occurs because the forehead is the convergence point of the Six Yang meridians, steamed out by deficient heat. I personally believe that for the aforementioned syndrome, treatment should be differentiated by location: the left forehead corresponds to the Liver, the right forehead to the Lung, the nose to the Spleen, the chin to the Kidney, and the center of the forehead to the Heart. Practitioners should examine this carefully. One postpartum patient sweated profusely like water and fell into coma upon hearing any sound, vomiting all medicines taken orally. I considered this to be failure of Spleen Qi. I prepared fine pills from Ginseng and Aconite powder, having her hold three to five pills in her mouth at a time, swallowing them with saliva, gradually increasing the dose until about one qian, after which she took Shenfu Tang and recovered. Another postpartum patient suffered from persistent night sweats, leading to insomnia and extreme mental fatigue, with a dry mouth and desire to drink. I diagnosed this as Blood deficiency with Heat. I used Danggui Buxue Tang (Dong Quai Tonifying Blood Decoction) as a tea substitute; additionally, I used Danggui Liu Huang Tang (Dong Quai and Six Yellow Decoction), stir-frying Huang Qin (Scutellariae Radix), Lian Zi (Coptidis Rhizoma), and Huang Bai (Phellodendri Cortex) until black, doubling the dosage of Ren Shen (Ginseng Radix) and Wu Wei Zi (Schisandrae Fructus). Two doses resulted in recovery.
[Da Lun] For sudden fainting, confusion, and sweating with loss of consciousness after childbirth, treat using the methods of chicken egg white and Zhu Li (Bamboo Sap), as described in the preceding section on Xue Yun (Blood Fainting).
[Xue Ji] The aforementioned syndrome belongs to severe deficiency. The primary approach should be to consolidate Yuan Qi (Original Qi). Persistent sweating will inevitably transform into Rou Jing (Soft Spasm). Mr. Dongyuan stated: Women undergoing delivery or suffering from spontaneous abortion with continuous bleeding may experience fainting and closed eyes because Blood is suddenly lost while Fire flares up. Supplementing the Blood will naturally restore the Spirit. If there is chronic bleeding, one should tonify and lift the Qi. When Yang obtains Blood, the Spirit becomes tranquil and the eyes become clear. I have now established a formula to tonify the Blood of the Hand and Foot Jueyin meridians and simultaneously benefit Yang Qi, named Quan Sheng Huo Xue Tang (Life-Preserving Invigorating Blood Decoction).
Quan Sheng Huo Xue Tang treats fever, spontaneous and night sweats, visual disturbances, weakness in the four limbs, dry mouth, dizziness, and unsteady gait.
Sheng Ma (Cimicifugae Rhizoma), Shao Yao (Paeoniae Radix Alba) (stir-fried, each 3 qian), Chai Hu (Bupleuri Radix), Dang Gui (Angelicae Sinensis Radix), Fang Feng (Saposhnikoviae Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Du Huo (Angelicae Pubescentis Radix), Ge Gen (Puerariae Lobatae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma) (stir-fried, each 2 qian).
Chuan Xiong (Ligustici Chuanxiong Rhizoma), Ben Cao (Ligustici Wallichii Rhizoma) (each 1.5 qian), Sheng Di Huang (Rehmanniae Radix), Shu Di Huang (Rehmanniae Radix Preparata) (each 1 qian), Xi Xin (Asari Radix et Rhizoma), Man Jing Zi (Viticis Fructus) (each 0.5 qian), Hong Hua (Carthami Flos) (0.3 qian).
For each dose, take 5 qian, decoct in water, and take hot.
Mahuang Gen San (Ephedrae Caulis Radix Powder) (Two formulas) treats persistent postpartum sweating due to deficiency.
Dang Gui, Huang Qi (Astragali Radix), Mahuang Gen (Ephedrae Caulis Radix), Mu Li (Ostreae Concha) (calcined to powder), Ren Shen, Fen Cao (Licorice Root Powder) (equal parts).
Crush the herbs. For each dose, take 4 qian, decoct in one cup of water until reduced to 70%, remove dregs, and take warm.
Another Formula
Dang Gui, Huang Qi (each 1 liang), Mahuang Gen (2 liang).
Crush the herbs. For each dose, take 3 qian, decoct in one cup of water until reduced to 70%, remove dregs, and take.
Qianjin Fang treats postpartum wind-deficiency, persistent sweating, difficult urination, and limb rigidity making flexion and extension difficult.
Gan Cao (Honey-fried, 1 liang), Fu Zi (Aconiti Lateralis Radix Preparata) (half piece, processed, skin and bud removed), Gui Xin (Cinnamomi Cortex), Shao Yao (each 1.5 liang).
Crush the herbs. For each dose, take 3 qian, decoct in one cup of water with four slices of fresh ginger and one jujube until reduced to 70%, remove dregs, and take warm on an empty stomach. (Avoid pork, cold water, raw green onion, etc.)
Jingxiao Fang treats postpartum persistent sweating.
Huang Qi (12 fen), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Mu Li (calcined), Fu Ling (Poria), Fang Feng, Mai Men Dong (Ophiopogonis Tuber) (heart removed), Sheng Di Huang (each 8 fen), Da Zao (Ziziphi Jujubae Fructus) (seven pieces).
Crush the herbs. Decoct in two sheng of water until reduced to seven he, remove dregs, and divide into two warm doses to take on an empty stomach.
Treats postpartum sudden deficiency of Blood and Qi with sweating.
Decoct Dan Zhu Ye (Lophatheri Herba) in water to obtain three he, take when slightly warm, and repeat after a short while.
Another Formula: Crush Machixian (Portulacae Herba) to extract juice (three large he), boil once, add a spoonful of honey, cool, and take in intervals. (If fresh herb is unavailable, use dried herb, decoct, add honey, and take.)
Zhi Han San (Stop Sweat Powder) treats persistent postpartum night sweats; applicable to all cases of excessive sweating.
Mu Li (calcined, ground to powder), Xiao Mai Mian (Wheat Flour) (stir-fried until yellow, ground to powder).
Mix equal parts. Take 2 qian mixed with juice from raw pork meat, at any time.
Renshen Tang treats various postpartum deficiencies, fever, and night sweats.
Ren Shen, Dang Gui (equal parts).
Grind to powder. Take one pig kidney, remove fat membrane, slice thinly. Decoct with three sheng of water, half he of glutinous rice, and two stalks of scallion white until rice is cooked. Strain to obtain one cup of clear liquid. Add 2 qian of medicine powder, decoct until reduced to 80%, and take warm at any time.
Danggui Liu Huang Tang treats deficiency-heat of Qi and Blood with persistent night sweats; if ineffective, add Ren Shen and Bai Zhu. For insufficient Heart Blood, add Suan Zao Ren (Ziziphi Spinosae Semen) (stir-fried).
Dang Gui, Shu Di Huang (self-made), Huang Qi (stir-fried, each 2 qian), Sheng Di Huang, Huang Bai (stir-fried black), Huang Qin (stir-fried black), Huang Lian (Coptidis Rhizoma) (stir-fried black, each 1 qian).
Decoct in water and take.
Shenfu Tang treats Yang Qi deficiency-cold, spontaneous sweating with aversion to cold, or cold extremities, loose stools, or umbilical/abdominal pain, hiccups and anorexia, or excessive sweating leading to spasms.
Ren Shen (1 liang), Fu Zi (processed, 5 qian).
Prepare as one dose. Decoct with ginger and jujube water, and take slowly. Removing Ren Shen and adding Huang Qi creates the name Qifu Tang.
Qifu Tang treats Yang Qi collapse, aversion to cold with spontaneous sweating, or locked jaw with phlegm surging, cold extremities, or vomiting/diarrhea with abdominal pain, inability to eat, and all types of deficiency-cold syndromes.
Huang Qi (1 liang), Fu Zi (processed, 5 qian).
Prepare as one dose. Decoct with ginger and jujube water and take. If ineffective, double the amount of Fu Zi to ensure complete rescue.
Danggui Buxue Tang (see preceding text). Shiquan Dabu Tang (see following text on Emaciation).