陶（右） 产后血虚气坠，肛前结痔，大便妨碍。宜育阴润肠。
炙龟甲 丹皮炭 白蒺藜 火麻仁 紫丹参 光杏仁 当归 秦艽 泽泻 白芍
吴（右） 半产之后，恰经二月，即食瓜果，脾阳损伤，致健运无权，大便泄泻，泻则脘腹稍舒。寒湿伤阳，治宜
温化。
焦白术（一钱五分） 川朴（一钱） 草果仁（四分） 连皮苓（四钱） 泽泻（一钱五分） 熟附片（三分）
广皮（一钱） 炮姜（五分） 猪苓（二钱） 煨木香（五分）
某（右） 温通气机，运旋脾土，胀势仍然不退，少腹滞坠不舒，小溲不利。脾虚不运，营血虚微，水中之火，
不能生土。产后当此，图治为难。
云茯苓 丹参 猪苓 泽泻 泽兰 上广皮 砂仁（六粒） 金匮肾气丸（六钱分二次服）
某（右） 产后旬余，偏左头痛，恶露通行，频有带下。脉形弦细。此血虚生风，而阳气上升。姑养血熄肝。
白蒺藜 阿胶珠 赤芍 丹皮 蜜水炒川芎 全当归 石决明 菊花 川断 益母草（煎汤代水）
某（右） 新产九朝，甫产之后，血从上冒，幸半时之久，即得安定。而肝阳由此上逆，冲胃则为呕吐，乘脾
则为泄泻，扰神则为不寐。今胃逆之极，甚而作呃。脉左倍于右，按之鼓指。深恐阳升太过，而致发厥。急
为镇逆，参以宁神。
半夏曲（二钱） 旋复花（一钱五分） 炒枣仁（二钱） 丹参（二钱） 上广皮（一钱） 赭石（三钱）
朱茯神（三钱） 磨刀豆子（四分） 泽兰（二钱） 龙齿（四钱） 煨生姜（二片） 姜汁炒竹茹（一钱）
益母草（煎汤代水）
改方 呃止，加砂仁四分。
储（右） 产后恶露淋沥，偏右肢体络隧不舒。人身左半主血，右半主气。右半不舒，似属气病，殊不知左
半虽血为主，非气以统之则不流，右半虽气为主，非血以丽之前，易散。今脉象坚细，重取带弦，系陈者
不除，新者不布之象。拟和营调气，俟淋沥止后再商。
当归炭（二钱） 炙乌贼骨（四钱） 生熟蒲黄（各四分） 茯苓神（各二钱） 橘络（红花汤拌炒一钱） 郁
金（一钱五分） 左秦艽（一钱五分） 炒赤芍（一钱五分） 紫丹参（二钱） 制香附（炒黑成炭研二钱） 降香（
二钱）
右 新产之后，恣食冷物，以致恶露不行，腹中结块作痛。姑拟宣通，以觇造化。
延胡索（酒炒一钱五分） 当归须（二钱） 五灵脂（酒炒三钱） 炒赤芍（一钱五分） 干漆（炒令烟尽一钱
五分） 炒蓬莪术（一钱五分） 南楂炭（三钱） 乌药（一钱五分） 山甲片（一钱五分）
又 结块已化，腿足作痛，是必瘀流络隧。寒热交作，阴阳争战。再为宣通。
延胡索（一钱五分） 制半夏（二钱） 郁金（一钱五分） 青蒿（二钱） 南楂炭（三钱） 大豆卷（三钱）
酒炒当归（二钱） 乌药（一钱五分） 红花汤炒橘络（一钱）
徐（右） 小溲畅利，腹胀满不舒，心背掣痛。阳气不能流畅，致阴气凝聚，五内外 皆阻。产后当此，险如朝
露也。
大熟地（四钱） 老生姜（二钱与熟地同炒） 制川乌（四分） 延胡索（酒炒二钱） 炒蜀椒（二分） 川郁金
（一钱五分） 全当归（酒炒二钱） 单桃仁（去皮尖打三钱） 熟附片（四分） 制香附（二钱研） 人参回生丹（
一丸分二次服）
二诊 心胸作痛已止，恶露亦得稍通，是分娩至今未有之事也。但腹胀如前，虽得稍稍宣通，还是车
薪杯水，尚难恃为稳当。
炮乌头（四分） 酒炒蜀椒（三分） 大熟地（四钱） 老生姜（二钱与熟地同炒） 炒全归（二钱） 川郁金（三
钱） 熟附片（四分） 延胡索（酒炒二钱） 川芎（一钱） 五灵脂（酒炒四钱） 泽兰叶（三钱） 炒茺蔚子（四
钱） 人参回生丹（半丸药汁送下）
黄（右） 向有肝阳，营阴虚亏，而以多食桂圆，辛甘温热，血热内迫，胎息不固，遂致四月而坠。胎下之前，
与胎下之后，血来如涌，营血暴亏，风阳上逆，一时头晕耳鸣，神识昏乱，幸即平定。然神情倦怠，言语有
时错乱，目从上窜，手足搐动，频渴引饮，二便皆热，阴户碎痛。脉象虚弦，舌苔浮糙。皆由血虚之极，不能
荣养肝木，木燥生风，有厥脱之虞，不可泛视也。拟滋肾养肝。
大生地（六钱） 生牡蛎（一两） 大麦冬（三钱） 块辰砂（三钱） 鳖甲（五钱） 清阿胶（四钱）
炒白薇（三钱） 丹参（二钱） 茯神（三钱） 炙龟板（五钱） 杭白芍（一钱五分） 淡菜（一只）
热童便（半茶杯）
Tao (Right pulse) After childbirth, blood deficiency and Qi sinking have led to hemorrhoids forming in front of the anus, obstructing defecation. The treatment should focus on nourishing Yin and moistening the intestines.
Zhi Guijia (Prepared Tortoise Shell), Danpi Tan (Charred Moutan Cortex), Bai Jili (White Tribulus Terrestris), Huomaren (Hemp Seed), Zidan Shen (Red Salvia Miltiorrhiza), Guang Xingren (Light Apricot Kernel), Danggui (Angelica Sinensis), Qinjiao (Gentiana Macrophylla), Zexie (Alisma Orientale), Baishao (White Peony Root).
Wu (Right pulse) Two months after a miscarriage, consumption of fruits and melons damaged Spleen Yang, resulting in the loss of transportation and transformation functions, leading to diarrhea, with slight relief in the epigastrium and abdomen after defecation. This is caused by Cold-Dampness injuring Yang; the treatment should employ warming and transforming methods.
Jiao Baizhu (Scorched Atractylodes Macrocephala Rhizome, 1.5 qian), Chuan Po (Magnolia Officinalis Bark, 1 qian), Caoguoren (Grass-of-Parnassus Seed, 0.4 qian), Lianpi Ling (Poria Cocos with Skin, 4 qian), Zexie (Alisma Orientale, 1.5 qian), Shu Fupian (Prepared Aconite Carleil Side Root, 0.3 qian).
Guangpi (Citrus Reticulata Peel, 1 qian), Paojiang (Roasted Ginger, 0.5 qian), Zhuling (Polyporus Umbellatus, 2 qian), Wei Muxiang (Calcined Aucklandia Root, 0.5 qian).
Certain patient (Right pulse) Despite using methods to warm and unblock the Qi mechanism and rotate Spleen Earth, the distension persists. There is a sensation of stagnation and heaviness in the lower abdomen, and urination is difficult. This indicates Spleen deficiency failing to transport, with slight deficiency of Ying-Blood, and the Fire within Water (Mingmen Fire) failing to generate Earth. Treatment is difficult in this postpartum condition.
Yun Fuling (Cloud Poria Cocos, Yun variant), Danshen (Salvia Miltiorrhiza), Zhuling (Polyporus Umbellatus), Zexie (Alisma Orientale), Zelan (Lycopus Lucidus), Shang Guangpi (Premium Citrus Reticulata Peel), Sha Ren (Amomum Villosum Fruit, 6 grains), Jin Kui Shenqi Wan (Golden Cabinet Kidney-Energy Pill, 6 qian taken in two doses).
Certain patient (Right pulse) More than ten days postpartum, there is left-sided headache. Lochia is passing normally, but leukorrhea occurs frequently. The pulse is wiry and fine. This is Wind generated from Blood deficiency, with ascending Yang. The temporary strategy is to nourish Blood and extinguish Liver Wind.
Bai Jili (White Tribulus Terrestris), Ejiao Zhu (Ajinolatum Bead), Chishao (Red Peony Root), Danpi (Moutan Cortex), Mi Shui Chao Chuanxiong (Chuanxiong Rhizome stir-fried with honey water), Quan Danggui (Complete Angelica Sinensis), Shijueming (Plankton Oyster Shell), Juhua (Chrysanthemum Morifolium Flower), Chuanduan (Dipsacus Asper Head), Yimucao (Leonurus Japonicus Herb, decocted to replace water for brewing other herbs).
Certain patient (Right pulse) Nine days after new birth, immediately postpartum, Blood rushed upwards to the head. Fortunately, stability was regained after half an hour. However, Liver Yang subsequently rebelled upwards: attacking the Stomach causing vomiting, invading the Spleen causing diarrhea, and disturbing the Spirit causing insomnia. Now, Stomach Qi rebellion has reached its extreme, manifesting as hiccups. The Left pulse is significantly stronger than the Right, beating forcefully upon deep pressure. There is deep fear that excessive Yang rising may lead to syncope. Urgent measures are needed to suppress rebellion, combined with calming the Spirit.
Banxia Qu (Pinellia Ternata Fermented Paste, 2 qian), Xuanfuhua (Inula Flower, 1.5 qian), Chao Zaoren (Ziziphus Jujuba Seed stir-fried, 2 qian), Danshen (Salvia Miltiorrhiza, 2 qian), Shang Guangpi (Premium Citrus Reticulata Peel, 1 qian), Zhe Shi (Haematitum, 3 qian).
Zhu Fushen (Talc-coated Poria Cocos with Hostwood, 3 qian), Modouzi (Knife-Whetstone Bean, 0.4 qian), Zelan (Lycopus Lucidus, 2 qian), Longchi (Dragon's Tooth/Fossilized Bones, 4 qian), Wei Shengjiang (Roasted Ginger, 2 slices), Jiangzhi Chao Zhuru (Bamboo Shavings stir-fried with Ginger Juice, 1 qian).
Yimucao (Leonurus Japonicus Herb, decocted to replace water for brewing other herbs).
Modified Prescription: Add Sha Ren (Amomum Villosum Fruit, 0.4 qian) once hiccups cease.
Chu (Right pulse) Postpartum lochia dribbles continuously, and the meridians and collaterals on the right side of the body feel uncomfortable. The left half of the human body governs Blood, while the right half governs Qi. Discomfort on the right side seems to belong to Qi pathology. However, it must be understood that although the left half is primarily governed by Blood, without Qi to control it, Blood does not flow; although the right half is primarily governed by Qi, without Blood to attach to it, Qi easily scatters. The current pulse is firm and fine, becoming wiry upon heavy pressure, indicating that old pathogenic factors remain, preventing the generation of new Blood. The proposed method is to harmonize Ying-Blood and regulate Qi, waiting until the dribbling stops before further discussion.
Danggui Tan (Angelica Sinensis Rhizome Charcoal, 2 qian), Zhi Wuzhigu (Cuttlefish Bone Calcined, 4 qian), Sheng Shu Puhuang (Raw and Prepared Lygodii Spora, 0.4 qian each), Fuling Shen (Poria Cocos with Hostwood, 2 qian each), Juluo (Tangerine Medullary Filaments stir-fried with Honghua Decoction, 1 qian), Yujin (Curcuma Longa Rhizome, 1.5 qian), Zuo Qinjiao (Left-side Gentiana Macrophylla Root, 1.5 qian), Chao Chishao (Red Peony Root stir-fried, 1.5 qian), Zidan Shen (Red Salvia Miltiorrhiza, 2 qian), Zhi Xiangfu (Prepared Cyperi Rhizome stir-fried black into charcoal and ground, 2 qian), Jiangxiang (Dalbergia Odorifera Heartwood, 2 qian).
Right (pulse) After new birth, excessive consumption of cold foods resulted in lochia stagnation, with abdominal masses and pain. A preliminary prescription for promoting circulation is proposed to observe the outcome.
Yanhusuo (Corydalis Rhizome stir-fried with wine, 1.5 qian), Danggui Xu (Angelica Sinensis Tail, 2 qian), Wulingzhi (Trogopterus Dung stir-fried with wine, 3 qian), Chao Chishao (Red Peony Root stir-fried, 1.5 qian), Ganqi (Drynaria Rhizome stir-fried until smoke ceases, 1.5 qian), Chao Peng'e Zhu (Curcuma Phaeocaulis Rhizome stir-fried, 1.5 qian), Nanzha Tan (Crataegus Pinnatifida Fruit Charcoal, 3 qian), Wuyao (Lindera Aggregate Root, 1.5 qian), Shanjiapian (Tarsius Pangolin Scale, 1.5 qian).
Second visit: The mass has dissolved, but leg and foot pain occur, indicating blood stasis flowing into the collaterals. Alternating chills and fever indicate a struggle between Yin and Yang. Further promotion of circulation is required.
Yanhusuo (Corydalis Rhizome, 1.5 qian), Zhi Banxia (Prepared Pinellia Ternata Tuber, 2 qian), Yujin (Curcuma Longa Rhizome, 1.5 qian), Qinghao (Artemisia Annua Herba, 2 qian), Nanzha Tan (Crataegus Pinnatifida Fruit Charcoal, 3 qian), Dadoujuan (Sojae Semen Praeparatum, 3 qian).
Jiu Chao Danggui (Angelica Sinensis Rhizome stir-fried with wine, 2 qian), Wuyao (Lindera Aggregate Root, 1.5 qian), Honghua Tang Chao Juluo (Tangerine Medullary Filaments stir-fried with Honghua Decoction, 1 qian).
Xu (Right pulse) Urination is smooth, but abdominal distension and discomfort persist, along with pulling pain in the heart and back. Yang Qi cannot flow smoothly, leading to the condensation of Yin Qi, blocking both internal and external aspects of the five Zang organs. In this postpartum state, the situation is as precarious as morning dew.
Da Shudi (Large Rehmannia Glutinosa Root Preparata, 4 qian), Lao Shengjiang (Old Ginger, 2 qian stir-fried with Shudi), Zhi Chuanwu (Prepared Aconitum Carleil Root, 0.4 qian), Yanhusuo (Corydalis Rhizome stir-fried with wine, 2 qian), Chao Shujiao (Sichuan Pepper stir-fried, 0.2 qian), Chuan Yujin (Curcuma Longa Rhizome, 1.5 qian), Quan Danggui (Complete Angelica Sinensis Rhizome stir-fried with wine, 2 qian), Dan Taoren (Single Peach Kernel peeled and crushed, 3 qian), Shu Fupian (Prepared Aconite Carleil Side Root, 0.4 qian), Zhi Xiangfu (Prepared Cyperi Rhizome ground, 2 qian), Rensheng Huisheng Dan (Ginseng Revitalizing Pill, one pill taken in two doses).
Second diagnosis: Chest and heart pain has ceased, and lochia has become slightly patent, which is unprecedented since delivery. However, abdominal distension remains as before. Although slight promotion of circulation has occurred, it is like pouring a cup of water on a burning cartload of firewood; it is not yet reliable as a stable solution.
Pao Wutou (Roasted Aconitum Carleil Lateral Root, 0.4 qian), Jiu Chao Shujiao (Sichuan Pepper stir-fried with wine, 0.3 qian), Da Shudi (Large Rehmannia Glutinosa Root Preparata, 4 qian), Lao Shengjiang (Old Ginger, 2 qian stir-fried with Shudi), Chao Quan Gui (Complete Angelica Sinensis Rhizome stir-fried, 2 qian), Chuan Yujin (Curcuma Longa Rhizome, 3 qian), Shu Fupian (Prepared Aconite Carleil Side Root, 0.4 qian), Yanhusuo (Corydalis Rhizome stir-fried with wine, 2 qian), Chuanxiong (Chuanxiong Rhizome, 1 qian), Wulingzhi (Trogopterus Dung stir-fried with wine, 4 qian), Zelan Ye (Lycopus Lucidus Leaf, 3 qian), Chao Chongweizi (Leonurus Japonicus Fruit stir-fried, 4 qian), Rensheng Huisheng Dan (Ginseng Revitalizing Pill, half pill taken with herbal juice).
Huang (Right pulse) Previously suffering from Liver Yang hyperactivity and Ying-Yin deficiency, excessive consumption of Longan Aril (sweet, pungent, warm, and hot) forced Heat into the Blood, destabilizing the fetus, leading to miscarriage at four months. Before and after the expulsion of the fetus, bleeding was profuse like a gush, causing sudden severe deficiency of Ying-Blood. Wind-Yang rebelled upwards, causing dizziness, tinnitus, and confusion of consciousness, fortunately settling quickly. However, mental fatigue, occasional disordered speech, upward rolling of eyes, and convulsions of hands and feet persist. Frequent thirst with desire to drink, heat in urination and defecation, and tearing pain in the vaginal orifice are present. The pulse is deficient and wiry; the tongue coating is floating and rough. All these stem from extreme Blood deficiency failing to nourish Liver Wood, leading to dryness and Wind generation, with risk of collapse. This must not be viewed lightly. The proposed treatment is to nourish Kidney and nurture Liver.
Da Shengdi (Large Rehmannia Glutinosa Root Recens, 6 qian), Sheng Muli (Ostrea Gigas Shell Raw, 1 liang), Da Maidong (Ophiopogon Japonicus Tuber, 3 qian), Kuai Chensha (Cinnabar Bar, 3 qian), Biejia (Trionyx Sinensis Carapace, 5 qian), Qing Ejiao (Clear Donkey-Hide Gelatin, 4 qian).
Chao Baiwei (Anemone Radix stir-fried, 3 qian), Danshen (Salvia Miltiorrhiza, 2 qian), Fushen (Poria Cocos with Hostwood, 3 qian), Zhi Guiban (Tortoise Shell Calcined, 5 qian), Hang Baishao (Hangzhou White Peony Root, 1.5 qian), Dancai (Mytilus Edulis Mussel, one piece).
Re Tongbian (Hot Child's Urine, half teacup).