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Jiawei Shenghua Decoction (Modified Birth-Invigorating Decoction), Jiawei Erchen Decoction (Modified Two-Chen Decoction), Huoxiang Zhengqi Decoction (Agarwood and Magnolia Bark Decoction).

Malaria after childbirth is often caused by blood stasis, leading to disharmony of Ying (Nutritive) and Wei (Defensive) Qi, manifesting as alternating chills and fever. Treatment should involve adding Chaihu (Bupleuri Radix) and Biejia (Trionycis Carapax) to Shenghua Tang; if caused by phlegm and food stagnation, add Shanzha (Crataegi Fructus) and Houpo (Magnoliae Officinalis Cortex) to Erchen Tang; if caused by external contraction of wind-cold, use Huoxiang Zhengqi San, which consists of Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma), Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), Ziye (Perillae Folium), Houpo (Magnoliae Officinalis Cortex), Gancao (Glycyrrhizae Radix et Rhizoma), Dafupi (Arecae Pericarpium), Jiegeng (Platycodonis Radix), Huoxiang (Agastaches Herba), Zhishi (Aurantii Fructus Immaturus), with Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Jujubae Fructus) added as guides for decoction.

[Note] Malaria occurring postpartum is mostly due to retained blood stasis causing disharmony between Ying and Wei Qi, hence the alternating chills and fever. It is appropriate to administer Shenghua Tang with added Chaihu and Biejia. If caused by phlegm and dietary accumulation, Erchen Tang with added Shanzha and Houpo is suitable. If it is indeed an external contraction of wind-cold, Huoxiang Zhengqi San can be used for treatment; its composition includes Chenpi, Banxia, Fuling, Baizhu, Ziye, Houpo, Gancao, Dafupi, Jiegeng, Huoxiang, and Baizhi. Erchen Tang (Formula see Volume 3).

Postpartum maladjustment leads to Qi and Blood deficiency; wind-cold attacks externally while blood stasis remains internally. Overindulgence in diet combined with labor and anger results in a condition where deficiency coexists with excess. Symptoms include alternating chills and fever, abdominal pain around the umbilicus, loss of appetite, excessive sleepiness, dizziness, bone-steaming tidal fever, night sweats, cough with expectoration, sallow complexion, emaciation, and inability to support physical strength. For treating Rulao (postpartum consumptive disease), one must first regulate the Spleen and Stomach, then harmonize Ying and Wei to tonify the deficiency.

[Note] Postpartum Qi and Blood are both deficient. Careless daily life leads to external wind-cold invasion and internal retention of blood stasis. Furthermore, excessive consumption of rich foods and emotional stress from worry, fatigue, or anger create a syndrome of underlying deficiency with superimposed excess. This manifests as alternating chills and fever, distending pain in the navel and abdomen, reluctance to eat, preference for lying down, dizziness and confusion upon rising, bone-steaming tidal fever, spontaneous and night sweats, cough with phlegm and wheezing, sallow complexion, muscle wasting, and exhaustion, known as Rulao. Medical treatment is very difficult. To treat this disease, one must first regulate the Spleen and Stomach so that digestion strengthens and the body can tolerate medicinal power. Only then can one harmonize Ying and Wei and tonify the deficiency to achieve recovery.

Sanhe San (Three-Harmony Powder).

To strengthen the Spleen and benefit the Stomach, use Liujunzi Tang (Six-Gentlemen Decoction); grain transforms into essence, strengthening Qi and Blood, increasing appetite and gradually refreshing the spirit. To harmonize Wei and nourish Ying, Sanhe San is excellent; it combines Bazhen Tang (Eight-Treasure Decoction) minus Baizhu with Xiaochaihu Tang (Minor Bupleurum Decoction), showing extraordinary efficacy when modified according to symptoms. After the illness recedes, if debility persists, tonify Qi and Blood using Bazhen Tang or Shiquan Dabu Yangrong Fang (Ten-Complete Nourishing-Nutrient Formula).

[Note] The treatment method for postpartum Rulao should first focus on supporting the Spleen and benefiting the Stomach, preferably using Liujunzi Tang with modifications. Strengthening the Spleen and Stomach allows for proper digestion and absorption, transforming postnatal water and grain qi into essence, thereby naturally strengthening Qi and Blood and refreshing the spirit. Subsequently, harmonize Wei Qi and nourish Ying Blood using Sanhe San, which is Bazhen Tang minus Baizhu combined with Xiaochaihu Tang, containing Ren Shen (Ginseng Radix et Rhizoma), Chaihu (Bupleuri Radix), Huang Qin (Scutellariae Radix), Banxia (Pinelliae Rhizoma), and Gancao (Glycyrrhizae Radix et Rhizoma), modified according to symptoms. If there are alternating chills and fever with abdominal distension and pain, remove Ren Shen, Huang Qin, and Shengdi, and add Yahu (Corydalis Rhizoma) and Taoren (Persicae Semen); if there is poor appetite, somnolence, and vertigo, remove Chaihu and add Huang Qi (Astragali Radix), Suansha (Amomi Fructus Rotundus), and Chenpi; if there is bone-steaming, night sweats, and spontaneous sweating, remove Chuanxiong (Ligustici Chuanxiong Rhizoma) and Chaihu, and add Biejia, Digupi (Bark of Ground Tree Betula), and Muli (Ostreae Concha); if there is phlegm-wheezing and cough, remove Ren Shen and Chaihu, and add Maidong (Ophiopogonis Radix), Chuanbeimu (Fritillariae Cirrhosae Bulbus), and Baihe (Lilii Bulbus); if there is sallow complexion, emaciation, and fatigue, remove Chaihu and Chuanxiong, add Huang Qi, and double the dosage of Ren Shen, adjusting clinically as needed. After taking the medicine, if all symptoms have resolved but only debility remains, use Bazhen Tang, Shiquan Dabu Tang (Ten-Complete Great Tonifying Decoction), or Yangrong Tang to nourish and tonify.
Liujunzi Tang, Bazhen Tang, Shiquan Dabu Tang, Yiqi Yangrong Tang (Formulas all see Volume 1)