治产后血虚，恶露未消，气为败浊凝滞，荣卫不调，阴阳相乘，憎寒发热，或自汗，或
肿满，皆气血未平之所为也。
大豆（一两半，炒，去皮） 茯神（一两） 真琥珀（一钱重）
上为细末，浓煎乌豆紫苏汤调下。
五积散（方见《局方》）
疗产后恶寒壮热，一夜三、五度，发恶语，口中生疮，时时干呕，困乏闷绝。
人参 独活 白藓皮 葛根 防风 青竹茹 远志（各六分） 茯神（八分） 白蔹（十
分） 玄参（十二分） 竹沥（二升半）
上银一斤，水一斗五升，煎取七升，下诸药重煎，取三升，分温三服。忌鱼、酒、面等
物。
产后乍寒乍热，心痛，月候不来如何？答曰∶败血冲心，痛绕脐腹，面色无采，纵然得
效，临时安痊，不过三、二日又发。服《局方》黑神散大效。
治产后乍寒乍热，通身温壮，胸心烦闷方。
知母（三两） 芍药 黄芩（各二两） 桂心 甘草（各一两）
上五味 咀，以水五升，煮取二升半，分三服。一方不用桂心，加生地黄。
评曰∶郭稽中云∶产后乍寒乍热者，多是败血为害，或阴阳不和所作。若作疟疾治之误
矣。如陈无择评曰∶只可云败血循经流入，闭诸阳则热，闭诸阴则寒。血气与卫气解则休。
亦未尽善，亦有产后病疟而作寒热。有一日一发，或一日二、三发；或间日一发，或三、二
日一发。或先寒后热，或先热后寒；或寒多热少，或热多寒少；或但寒但热者。亦有产前病
疟，而产后未愈者，最难用药。如柴胡、常山、信砒等，断不可用。今有《经效》草果饮子
、生熟饮子，用之有效，谩备检阅。如《易简方》四兽饮亦可用。（男六德补遗）
Treats postpartum blood deficiency, with lochia not yet cleared. Qi is stagnant due to turbid residues, leading to disharmony of Ying and Wei (Nutritive and Defensive Qi), and mutual assault between Yin and Yang. Symptoms include aversion to cold and fever, spontaneous sweating, or swelling and fullness. All these are caused by the imbalance of Qi and Blood.
Soybean (1.5 liang, stir-fried, skin removed)
Fushen (Poria with Hostwood, 1 liang)
Zhen Hupo (Genuine Amber, weighing 1 qian)
Grind the above into a fine powder. Take with thick decoction of black soybean and Perilla leaf soup.
Wuji San (Five Accumulations Powder; formula see *Tai Ping Hui Min He Ji Ju Fang*)
Treats postpartum severe aversion to cold and high fever, occurring three to five times in one night, delirious speech, oral ulcers, frequent dry heaving, exhaustion, and fainting.
Renshen (Ginseng Radix et Rhizoma)
Duhuo (Angelicae Pubescentis Radix)
Baixianpi (Dictamni Cortex)
Gegen (Puerariae Lobatae Radix)
Fangfeng (Saposhnikoviae Radix)
Qing Zhuru (Green Bamboo Shavings)
Yuanzhi (Polygalae Radix) [each 6 fen]
Fushen (Poria with Hostwood, 8 fen)
Bailian (Ampelopsis Radix, 10 fen)
Xuanshen (Scrophulariae Radix, 12 fen)
Zhuli (Bamboo Sap, 2.5 sheng)
Take 1 jin of silver and 1.5 dou of water. Decoct until 7 sheng remain. Add the aforementioned herbs and decoct again until 3 sheng remain. Divide into three warm doses. Avoid fish, alcohol, and wheat products.
Postpartum alternating chills and fever, heart pain, and amenorrhea. How to treat? Answer: This is caused by retained blood rushing to the Heart, causing pain circling the umbilicus and abdomen, with a sallow complexion. Even if temporary relief is achieved, symptoms will recur within two or three days. Taking *Hei Shen San* (Black Divine Powder) from *Ju Fang* yields significant results.
Formula for treating postpartum alternating chills and fever, whole-body warmth and heat, and chest/heart vexation and stifling sensation.
Zhimu (Anemarrhenae Rhizoma, 3 liang)
Shaoyao (Paeoniae Radix)
Huangqin (Scutellariae Radix) [each 2 liang]
Guixin (Cinnamomi Cortex)
Gancao (Glycyrrhizae Radix et Rhizoma) [each 1 liang]
Chop the above five herbs. Decoct in 5 sheng of water until 2.5 sheng remain. Divide into three doses. Another version excludes Guixin and adds Sheng Dihuang (Rehmanniae Radix).
Commentary: Guo Qizhong stated that postpartum alternating chills and fever are mostly caused by retained blood or disharmony of Yin and Yang. Treating it as malaria would be a mistake. Chen Wuyue commented that it can only be said that retained blood flows along the meridians; blocking the Yang channels causes heat, while blocking the Yin channels causes cold. The disease subsides when Qi/Blood harmonizes with Wei Qi. However, this explanation is not entirely sufficient. There are also cases of malaria contracted before childbirth that persist after childbirth, which are difficult to treat. Herbs such as Chaihu (Bupleuri Radix), Changshan (Dichroae Radix), and Xin Pi (Realgar) must absolutely not be used. Currently, *Caoguo Yinzi* (Tsaoko Drink) and *Sheng Shu Yinzi* (Raw and Cooked Drink) from *Jing Xiao Fang* are effective and available for reference. Also, *Si Shou Yin* (Four Beasts Drink) from *Yi Jian Fang* can be used. (Supplemented by Nan De)