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Xue Lizhai treated a postpartum woman suffering from headache. She had been taking Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) daily without interruption for three years. Whenever she exerted herself slightly, she experienced aversion to cold and fever, indicating deficiency of Yang Qi. Xue added one qian of Fuzi (Prepared Aconite Root) to the previous prescription. After several doses, the symptoms ceased to recur.

Another woman suffered from headache and a bluish complexion for two years after childbirth, taking Siwu Tang (Four Substance Decoction) and other medicines daily. Xue reasoned that Kidney Water failed to nourish Liver Wood, resulting in Blood deficiency. He prescribed Liuwei Wan (Six-Ingredient Pill with Rehmannia) with added Wuweizi (Schisandra Fruit). She recovered after two months.

Miao Zhongchun treated the wife of Huang Guifeng, who suffered from postpartum headache and constipation. Shengliao Wuji San (Raw Material Five Accumulations Powder) was ineffective after one dose. Miao instructed adding one liang of Dangshen (Radix Angelicae Sinensis) to the formula. After one dose, bowel movement became unobstructed, and the headache stopped immediately.

Xue Lizhai treated a well-fed woman who, after childbirth, suffered from irregular menstruation, cracked lips, and internal heat. Each time these symptoms occurred, she took cold-natured medicines, which later caused intermittent salivation. Xue cured her using Jiawei Qingwei San (Modified Stomach-Clearing Powder). Later, during spring, anger triggered swelling of the lips and mouth, alternating chills and fever, vomiting, excessive phlegm, and poor appetite. Xiao Chaihu Tang (Minor Bupleurum Decoction) with Shanzhi (Gardenia Fruit), Fuling (Poria), and Jiegeng (Platycodon Root) rapidly alleviated all symptoms. However, internal heat persisted, so Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) was used for regulation, leading to stability.

Shen Mingsheng treated the daughter of Yuan Lingmo, who had an innate constitutional deficiency. After delivery, she experienced fatigue and fever. The physician, noting her young age and emaciated physique, and following Danxi’s principle that postpartum cases require substantial tonification, administered Renshen (Ginseng Root) and Huangqi (Astragalus Root). The condition worsened. Pulse examination revealed floating and choppy qualities, indicating not only blood stasis but also internal Wind-Cold. Since blood stasis was unresolved and external pathogens were newly contracted, the use of Ginseng was contraindicated; hence, tonification failed. Shen prescribed a formula to release the exterior and dissipate stasis. After three or four doses, the fever subsided, and the chest felt clear. However, fatigue remained. Shen stated, "Now is the time to use Renshen and Huangqi." However, Yuan, traumatized by previous adverse reactions to tonics causing dysphagia and food refusal, delayed administration. Four or five days later, she suddenly lost her voice (aphonia). Treatments with Fushen (Poria with Hostwood), Zaoren (Ziziphus Seed), Banxia (Pinellia Tuber), Shengjiang (Fresh Ginger), Chenpi (Tangerine Peel), Huangqin (Scutellaria Root), and Lianzi (Lotus Plumule) proved ineffective. Upon re-examination, although she could not speak, she focused intently on food; eating improved her spirit slightly, while defecation exhausted it. Her pulse was empty and large. The *Classic of Acupuncture* states: "The Spleen meridian connects to the root of the tongue and spreads beneath it. The Heart's divergent meridian ties to the root of the tongue." Currently, both Fire (Heart) and Earth (Spleen) are deficient, and medical interventions have been chaotic. The *Classic* also states: "Speaking faintly, only speaking again after a whole day, indicates loss of Qi." How much more so when silence persists for a month? Not only should Ginseng be used, but Fuzi (Prepared Aconite Root) is also indicated. After five or six doses, all symptoms resolved. Pathogenesis changes leave no room for delay; what is suitable for attack yesterday may suit tonification today; what is hot in the morning may be cool in the evening. One must align treatment methods with the specific pathogenic mechanism. Thus, in this case, the harm of failing to tonify is equal to the harm of hasty tonification; both represent missing the critical moment. The difficulty of grasping the pathogenic mechanism is profound.