治产后蓐劳，肌肤黄瘦，面无颜色；或憎寒壮热，四肢酸疼，心烦头痛。黄 煮散。
黄 鳖甲（醋炙，各一两） 桂心 当归（炒） 桑寄生 白茯苓 白芍药 人参 熟
地黄 麦门冬（去心） 甘草（炙，各半两） 牛膝（三分）
上为细末，每服用猪石子一对，去脂膜，先以水一盏，入姜半分，枣三枚，煎至七分，
去滓、并石子，却下药五钱，更煎至四分；去滓，空心晚食前温服。二滓并煎。
《产宝》论曰∶产后虚羸者，因产伤损脏腑，劳侵气血。轻者，将养满日即瘥；重者，
日月虽满，气血犹不调和，故患虚羸也。夫产后气血虚竭，脏腑劳伤，若人年齿少盛，能节
慎将养，盈月便得平复。如产后多因血气虚弱，虽逾日月，犹常疲乏。或因饮食不节，调适
失宜，为风冷邪气所侵，搏于气血，流注于五脏六腑，则令肌肤不荣，颜容萎悴，故曰虚羸。
治产后虚羸，脾胃乏弱，四肢无力，全不思饮食，心腹胀满。人参散。
黄 人参 草果仁 浓朴 附子（各一两） 白术 当归 白茯苓 木香 川芎 桂
心甘草（各半两） 陈皮 良姜 诃梨勒皮（各三分）
上 咀，每服四钱。水一盏，姜三片，枣一枚，煎至六分，去滓，无时温服。
治产后虚羸，短气不能食。熟干地黄汤。
熟干地黄（二两） 人参 北五味子 石斛 白茯苓 白术 鹿角胶 附子（各一两） 桂
心当归 川芎 泽兰叶 黄 续断（各三分）
上 咀，每服四钱。姜、枣根据前煎服。
Treats postpartum *rulao* (chronic deficiency syndrome after childbirth due to improper care), manifesting as sallow and emaciated skin, lack of luster in the face; or aversion to cold with high fever, soreness and pain in the four limbs, irritability, and headache. Use Huang Bie Jia Zhu San (Yellow Turtle Shell Decoction).
Huang Bie Jia (Carapax et Plastrum Testudinis, prepared with vinegar, each 1 liang) Guixin (Cortex Cinnamomi) Danggui (Radix Angelicae Sinensis, stir-fried) Sangjisheng (Ramulus Taxilli) Baifuling (Poria) Baishaoyao (Radix Paeoniae Alba) Renshen (Radix Ginseng) Shudihuang (Radix Rehmanniae Preparata) Maimendong (Rhizoma Ophiopogonis, heart removed) Gancao (Radix Glycyrrhizae Preparata, each 0.5 liang) Niuxi (Radix Achyranthis Bidentatae, 3 qian)
Grind the above herbs into a fine powder. For each dose, take 5 qian of the powder, paired with one pair of pig kidneys (*zhushizi*), removing the fatty membrane. First, add one *zhan* of water, half a *fen* of ginger, and three jujubes, decoct until the liquid reduces to seven-tenths. Strain out the dregs, retain the liquid and the kidneys, then add 5 qian of the herbal powder, and continue decocting until the liquid reduces to four-tenths. Strain out the dregs. Take warm on an empty stomach and before evening meal. The two sets of dregs are combined for decoction.
The *Chanbao* (Precious Prescriptions for Childbirth) states: Postpartum weakness and emaciation result from damage to the zang-fu organs during childbirth and depletion of qi and blood. In mild cases, adequate recuperation for a full month leads to recovery; in severe cases, even after a full month, qi and blood remain unharmonized, resulting in weakness and emaciation. When qi and blood are exhausted postpartum and the zang-fu are overtaxed, if the woman is young and vigorous and can observe dietary and lifestyle restrictions during recuperation, she will recover by the end of the first month. However, postpartum qi and blood are often weak; even after passing the customary period, fatigue persists. This may be due to irregular diet and improper care, allowing wind-cold pathogenic factors to invade, contend with qi and blood, and flow into the five zang and six fu organs. This causes the skin and muscles to lose nourishment and the complexion to become withered, hence termed "xu lei" (deficiency emaciation).
Treats postpartum deficiency emaciation, weakness of the spleen and stomach, powerless four limbs, complete loss of appetite, and abdominal distension and fullness. Use Renshen San (Ginseng Powder).
Huangqi (Radix Astragali) Renshen (Radix Ginseng) Caoguoren (Semen Tsaoko) Houpo (Cortex Magnoliae Officinalis) Fuzi (Radix Aconiti Lateralis Preparata, each 1 liang) Baizhu (Rhizoma Atractylodis Macrocephalae) Danggui (Radix Angelicae Sinensis) Baifuling (Poria) Muxiang (Radix Aucklandiae) Chuanxiong (Rhizoma Chuanxiong) Guixin (Cortex Cinnamomi) Gancao (Radix Glycyrrhizae Preparata, each 0.5 liang) Chenpi (Pericarpium Citri Reticulatae) Liangjiang (Rhizoma Alpiniae Officinarum) Helilepi (Endocarpus Terminaliae Chebulae, each 3 qian)
Cut the herbs into small pieces. For each dose, take 4 qian. Add one *zhan* of water, three slices of ginger, and one jujube, decoct until the liquid reduces to six-tenths. Strain out the dregs. Take warm at any time.
Treats postpartum deficiency emaciation, shortness of breath, and inability to eat. Use Shu Gan Dihuang Tang (Prepared Rehmannia Root Decoction).
Shu Gan Dihuang (Radix Rehmanniae Preparata, 2 liang) Renshen (Radix Ginseng) Bei Wuweizi (Fructus Schisandrae Chinensis) Shihu (Caulis Dendrobii) Baifuling (Poria) Baizhu (Rhizoma Atractylodis Macrocephalae) Luanjiao (Colla Cornus Cervi) Fuzi (Radix Aconiti Lateralis Preparata, each 1 liang) Guixin (Cortex Cinnamomi) Danggui (Radix Angelicae Sinensis) Chuanxiong (Rhizoma Chuanxiong) Zelan Ye (Herba Lycopi) Huangqi (Radix Astragali) Xuduan (Radix Dipsaci, each 3 qian)
Cut the herbs into small pieces. For each dose, take 4 qian. Decoct with ginger and jujube according to the previous method.