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[Danxi] Treated a woman who delivered prematurely at four months of gestation, presenting with jaundice (yellowing of the skin and eyes), fatigue in the four limbs, poor appetite, amenorrhea, intermittent fever, and a wiry pulse.
Baizhu (Atractylodis Rhizoma, 1 liang) Renshen (Ginseng Radix et Rhizoma) Qinjiao (Gentianae Macrophyllae Radix) Mudanpi (Moutan Cortex) Shengdihuang (Rehmanniae Radix) Mutong (Akebiae Caulis) Chaihu (Bupleuri Radix) Shaoyao (Paeoniae Radix) [each half liang] Chuanxiong (Ligustici Chuanxiong Rhizoma) Huangqin (Scutellariae Radix)
Gegen (Puerariae Lobatae Radix) [each 1 qian] Gancao (Glycyrrhizae Radix et Rhizoma, 5 fen)
Divide into twelve doses, decoct in water, and take hot before meals.

[Xue Ji] Postpartum deficiency vexation and fever result from Yang following Yin dissipating outward, leading to deficiency of both Qi and Blood. If accompanied by aversion to cold and fever, restlessness, and thirst, immediately use Shiquan Dabu Tang (Decoction for Tenfold Great Tonification). If the heat is more severe, immediately add Guizhi (Cinnamomi Ramulus) and Fuzi (Aconiti Lateralis Radix Praeparata). If there is thirst and facial redness, use Danggui Buxue Tang (Decoction for Tonifying Blood with Angelica). If mistakenly diagnosed as a Fire syndrome and treated with cooling agents, disaster will ensue instantly. Wang Taipu stated: If there is extreme cold that does not respond to warming treatment, it indicates Deficiency of Fire (Kidney Yang Deficiency). If heat comes and goes, appearing during the day and hiding at night, or occurring at night and ceasing during the day, this also indicates Deficiency of Fire, and the Heart should be treated. If there is extreme heat that does not respond to cooling treatment, it indicates Deficiency of Water (Kidney Yin Deficiency). If heat moves and stops, coming and going suddenly, starting and stopping intermittently, this also indicates Deficiency of Water, and the Kidney should be assisted. Thus, excess in the Heart generates Heat, and excess in the Kidney generates Cold. Kidney deficiency causes Cold to move within; Heart deficiency causes Heat to collect internally. Furthermore, if Heat cannot overcome Cold, it is Deficiency of Fire; if Cold cannot overcome Heat, it is Deficiency of Water. Treatment methods: For the aforementioned syndromes indicating Deficiency of Water, use Liuwei Wan (Six-Ingredient Pill with Rehmannia); for Deficiency of Fire, use Bawei Wan (Eight-Ingredient Pill with Rehmannia). For deficiency of both Qi and Blood, use Bazhen Tang (Eight-Treasure Decoction) and Shiquan Dabu Tang. The wife of Grand Steward Yu suffered from postpartum fever and afternoon tidal fever, hematemesis and hematochezia, spontaneous night sweats, frequent urination, distending pain in the chest and hypochondrium, and fullness in the abdomen. I said: This is damage to the Zang organs; treatment should focus on securing the root. Relying on her medical knowledge, she used fire-descending agents, which worsened her condition with diarrhea, borborygmus, vomiting, anorexia, abdominal pain, and cold feet, until she finally accepted my advice. Her pulse was either floating and surging, or deep and fine, or barely perceptible. Her complexion was either greenish-yellow, or red and white, indicative of false heat due to deficiency. Although it was midsummer, one must disregard the season and follow the syndrome. Initially, use Liujunzi Tang (Six-Gentlemen Decoction) with Paojiang (Prepared Zingiberis Rhizoma) and Rougui (Cinnamomi Cortex) for several doses. As stomach Qi gradually recovered and symptoms subsided, supplement with Shiquan Dabu Tang, resulting in complete recovery after half a year. The wife of Scholar Yang Jingzhi suffered from similar symptoms but expectorated phlegm-saliva; warm-tonifying and phlegm-resolving agents were ineffective. Her complexion was dark black, and the Chi pulses on both wrists were floating and large but fine upon pressure. This was due to Deficiency of Mingmen Fire failing to generate Spleen Earth, and Spleen Earth failing to nourish the other Zang organs. She recovered using Bawei Wan to tonify the mother of Earth (Kidney). A woman rose early three days postpartum; since Qi and Blood were unsettled, she contracted body heat and blurred vision resembling wind-stroke. Two doses of Qinghun San (Clear Soul Powder) induced slight sweating and cured her. Hua Borren treated a parturient with retained lochia, umbilical and abdominal pain, headache, chills, and fever. Most attributed it to cold contraction and treated with warming agents like Jiang (Zingiberis Rhizoma) and Fu (Aconiti Radix), which exacerbated the heat, causing convulsions of hands and feet, delirious speech, staring eyes, and muttering unintelligibly. Her pulse was wiry, surging, rapid, and large; face red, eyes closed, tongue black like charcoal, dry without moisture, and chest/abdomen tender to touch. Likely, drying agents bound the blood, internal heat generated wind, and blood stasis caused pain. He stated: This is postpartum heat entering the Blood Chamber, generating wind. First, clear heat and descend fire, treat wind and cool blood; two doses brought relief. Then, use Hupo (Succinum) and Niuhuang (Calculus Bovis) to slightly restore consciousness, followed by Zhang Congzheng's Sanhe San (Three-Harmonies Powder) to move blood and break stasis. After three to four doses, lochia flowed profusely as initially. By the tenth day postpartum, all symptoms resolved. A woman delivered in midsummer heat, three days postpartum developed fever with a deficient, rapid, and large pulse, retained lochia, and敗血 (rotten blood) attacking the Heart, causing manic speech, shouting, running, and inability to restrain. Concentrated decoction of Ganheyeh (Lotus Leaf), Shengdihuang, and Mudanpi, mixed with 2 qian of Sheng Puhuang (Polygoni Cuspidati Rhizoma), settled her after one dose, and lochia flowed, bringing peace. Another woman experienced intermittent postpartum syncope, body heat, profuse sweating, vertigo, thirst, and occasional headache and nausea. Doctors used Siwu Tang (Four-Substance Decoction) to cool blood without effect, then Xiaochaihu Tang (Minor Bupleurum Decoction), worsening the condition. Shi Shanzhi diagnosed a floating, surging, and forceful pulse. Wang said: Obtaining such a pulse postpartum, especially with profuse sweating where the pulse does not weaken accordingly, indicates a hopeless prognosis. Fortunately, there is no panting or diarrhea. Such a pulse is likely provoked by cooling medicines. Use 3 qian Renshen, 2 qian Huangqi (Astragali Radix), 7 fen each of Gancao and Danggui (Angelicae Sinensis Radix), 1 qian each of Baizhu and Maidong (Ophiopogonis Radix), and 5 fen each of Ganjiang (Zingiberis Rhizoma), Chenpi (Citri Reticulatae Pericarpium), and Huangqin; decoct and take. After five doses, the pulse normalized and the illness gradually improved. The wife of Vice Commissioner Wang developed fever, vomiting, and nausea after bathing postpartum, desired cold water and fruits, spoke deliriously like a madman, refused food, and had a robust constitution unsuited to tonification. Doctors used cooling agents, increasing the heat. Six pulses were floating, large, surging, and rapid. Wang said: Postpartum sudden loss of Qi and Blood leads to solitary Yang floating externally, true cold internally and false heat externally; thus, greatly tonify Qi and Blood. Prescribe Bazhen Tang with 8 fen Paojiang. Heat decreased by more than half. The patient, accustomed to avoiding Renshen and Huangqi, refused further doses. One day later, high fever returned. The same prescription was given again, secretly adding Renshen, Huangqi, and Paojiang. After two or three doses, heat receded, body cooled, and she recovered.
Danggui Yangxue Wan (for postpartum abdominal pain.) Danggui Huangqi Tang (for lower back pain.) Danggui Buxue Tang Danggui San (see also section on spontaneous abortion and miscarriage.)
Daquan Renshen Tang (see above for spontaneous sweating.)
Luo's Xijiao Yinzi Treats postpartum fluid depletion and deficiency, spontaneous sweating, fever, fatigue, and dry lips and mouth.
Xijiao (Rhinocerotis Cornu) Maidong Baizhu [each half liang] Chaihu (1 liang) Zhike (Stir-fried with bran) Goubipi (Lycii Cortex) Shengdihuang Gancao (Stir-fried) Danggui Renshen Fuling Huangqin Huangqi [each 7 qian]
Crush into pieces. Take 4 qian per dose with 3 slices of ginger and 70 grains of Fumai (Floating Wheat), decoct in water and drink.
Sanzhiyi Tang Treats postpartum deficiency consumption with fever, lasting long without relief.
Chaihu Huangqin Renshen Banxia Chuanxiong Danggui Shaoyao Shudihuang Gancao [each 1.5 qian]
Make one dose, add 2 zhong of water, 3 slices of ginger, and 1 red date. Decoct to 1 zhong. Take at any time.
Sanfen San Treats prolonged postpartum deficiency consumption with fever.
Chuanxiong Danggui Shaoyao Shudihuang Baizhu BaiFuling Huangqi [each 1 qian] Chaihu Renshen [each 1.5 qian] Huangqin Banxia Gancao [each 0.5 qian]
Make one dose, add 2 zhong of water, 3 slices of fresh ginger, and 1 red date. Decoct to 1 zhong. Take before meals.
Jiawei Xiaoyao San Treats postpartum fever, dry mouth with thirst, cracked lips, and sores.
Danggui Baishaoyao Gegen [each 2 qian] Shengdihuang Chuanxiong Huangqin [each 1.5 qian] Renshen (9 fen) Maidong (9 fen) Chaihu (1 qian) Wumei (2 pieces) Gancao (6 fen)
Crush into powder, divide into two doses. Add 1 zhong of water, decoct to approximately 2 fen (a small amount), and take on an empty stomach.

[Lou Quanshan] Postpartum fever mostly belongs to deficiency-cold. Only when Ganjiang (Zingiberis Rhizoma) is added to tonifying medicines does it show miraculous efficacy; this is Danxi's method.
Renshen Danggui Tang Treats excessive blood loss postpartum. Blood deficiency leads to Yin deficiency, and Yin deficiency generates internal heat, causing vexation and fullness in the chest and heart, shortness of breath, headache, confusion, worsening in the evening (Bushi), similar to deficiency vexation after severe illness. (Formula see previous section on postpartum deficiency vexation.)