陆肖愚治陈振宇女，年二十七，产后患间日疟，已月余，寒热虽不甚，而身体倦怠，饮食减少。脉之，左
手平和，右手弱而无力。与补中益气汤二剂，觉胸膈饱闷，遂归咎人参。更医仍用青皮饮、二陈汤等，寒热反
甚。用截药或止，数日复至。延至数月，肉削骨立，再诊之，其脉微弱已甚，曰∶前日人参两许可愈，今非至
斤，不能奏效矣。用十全大补汤二剂，仍觉闷，疑之。曰∶直服至不胀闷愈矣。更倍参投之，遂饮食日增，服
数十剂方起。
薛立斋治一产妇，食鸡子，腹中作痛，面色青黄。服平胃、二陈，更下痢腹胀。用流气饮子，又小腹一块
不时上攻，饮食愈少。此脾胃虚寒，肝木克侮所致。用补中益气加木香、吴茱萸，渐愈。又用八珍汤兼服调理
而安。（雄按∶块既上攻，无论虚实，岂可再服升、柴。）
龚子材治一产妇，血痢，小便不通，脐腹疼痛，以马齿苋捣烂取汁三大合，煎沸，下蜜一合，调匀顿服即
愈。
薛立斋治一产妇，屎后下血，诸药不应，饮食少思，肢体怠倦，此中气虚弱，用补中益气汤加吴茱萸，炒
黄连五分，四剂顿止。但怔忡少寐，盗汗，用归脾汤治之而愈。
孙文垣治族女，小产后二十日矣，患赤痢，一日十余次，怯寒恶食，小腹胀痛。诊之，右寸滑大，知其虚
中有热。盖缘恶露未尽，故小腹胀痛。专科泥丹溪产后大补气血之语，遂概施之，因而作痢。乃翁曰∶病尚怯
寒，何云有热？曰∶恶寒非寒，反是热症，盖火极似水也，（时师多昧此旨。）饮药后当知之。以白芍、当归、
滑石为君，桃仁、酒连、酒芩为臣，木香、桂枝、槟榔为佐，青皮为使。服下，果去黑瘀血甚多，小腹顿宽。
惟口干，小水少，恶心，怕饮食，体倦，仍里急后重，人参、川芎、白芍各一钱，当归一钱五分，酒连、陈
皮各六分，木香二分，外与清宁丸。服下热除，痢减十之八矣，但大便不实，恶心虚弱，以四君子汤加酒芍、
陈皮、木香、肉果、酒连、当归，养之而平。
陆养愚治李尚田乃正，产后患痢，延及年余，肢肌羸瘦，面色黧黑，咸以不可为矣。脉之，两手皆微小，
而右关尺之间，尚觉有力如珠，舌中常起黑苔，曰∶微小乃久痢生脉，脉滑胎黑，必沉积在肠，久而未去也，
若大下之，病当愈。李谓初病亦常服通利，今饮食不进者数月矣，安得所积乎？因检前方，大都纽于产后大补
气血为主，即用消导，多杂参、 、归、芍，补不成补，消不成消，致元气日衰，积滞日固，至收敛温涩，宜
其剧也。乃以润字丸一两，分三服，令一日夜服尽。下紫黑如膏数缶许，口渴甚，煎生脉散作茶饮之。胃渐开，
又以润字丸，日服一钱，每日下稠积缶许。十日后，方用补养，一月而痊。
张路玉诊大兵舡上一妇，胎前下痢，产后三日不止，恶露不行，发热喘胀，法在不救。服药一剂，反加呃
逆。诊之，其脉三至一代，欲辞不治。因前医被留，不与排解，必致大伤体面。乃曰∶此症虽危，尚有一线生
机，必从长计议，庶可图治。彼闻言，始放其医而求药。遂与盏一枚，钱数文，令买砂糖熬枯，白汤调服，既
可治痢，又能下瘀，且不伤元气。急与之服，彼欣然而去，医得脱而遁，至大兵去乃归。（雄按∶存心可敬。）
薛立斋治一产妇痢，未至盈月，因食冷物及酒，冷热与血攻击，滞下纯血，缠坠极痛，其脉大无力，口干，
用黄芩芍药汤，三服而安。
Lu Xiaoyu treated the daughter of Chen Zhenyu, aged twenty-seven. She suffered from intermittent malaria (malaria occurring every other day) postpartum for over a month. Although the chills and fever were not severe, she experienced physical fatigue and reduced appetite. Pulse diagnosis revealed a balanced pulse on the left hand, while the right hand showed a weak and powerless pulse. Two doses of Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) were prescribed. The patient felt fullness and oppression in the chest and diaphragm, attributing this to Ren Shen (Radix Ginseng). A subsequent physician continued using Qingpi Yin (Green Peel Infusion) and Erchen Tang (Two-Cured Decoction), but the chills and fever worsened. Antimalarial drugs were used intermittently or stopped, yet symptoms recurred after a few days. Months later, the patient became emaciated with prominent bones. Upon re-examination, the pulse was extremely faint. Lu stated, "A dose of one liang of Ren Shen would have sufficed previously; now, it must be increased to one jin to take effect." Ten Complete Great Tonifying Decoction (Shiquan Dabu Tang) was administered for two doses, but the patient still felt chesty oppression. Suspecting the treatment, Lu advised, "Continue taking it until the bloating and oppression cease." The dosage of Ren Shen was doubled, leading to improved appetite. After dozens of doses, the patient recovered.
Xue Lizhai treated a postpartum woman who developed abdominal pain and a bluish-yellow complexion after eating eggs. After taking Pingwei San (Calm the Stomach Powder) and Erchen Tang, she developed dysentery and abdominal distension. Using Liqi Yinzi (Flowing Qi Infusion) caused a mass in the lower abdomen to attack upwards periodically, further reducing her appetite. This was attributed to deficiency-cold of the Spleen and Stomach, with Liver Wood (the functional system of the Liver in Five Element theory) overacting upon them. Bu Zhong Yi Qi Tang was modified with Mu Xiang (Radix Aucklandiae) and Wu Zhu Yu (Fructus Evodiae), leading to gradual recovery. Subsequently, Bazhen Tang (Eight-Treasure Decoction) was used for conditioning, resulting in stability. (Note: Since the mass is attacking upwards, regardless of excess or deficiency,昇麻 (Rhizoma Cimicifugae) and 柴胡 (Radix Bupleuri) should certainly not be administered again.)
Gong Zicai treated a postpartum woman suffering from bloody dysentery, urinary retention, and umbilical-abdominal pain. He crushed fresh Machixian (Herba Portulacae), extracted three he of juice, boiled it, added one he of honey, mixed well, and administered it in one dose, resulting in immediate cure.
Xue Lizhai treated a postpartum woman who passed blood after defecation. Various medications failed. She had little desire for food and felt limb fatigue. This was diagnosed as deficiency of Middle Qi. Bu Zhong Yi Qi Tang was modified with Wu Zhu Yu and five fen of stir-fried Huang Lian (Rhizoma Coptidis). After four doses, bleeding stopped. However, she still suffered from palpitations, insomnia, and night sweats. Guipi Tang (Restore the Spleen Decoction) was prescribed, leading to recovery.
Sun Wen Yuan treated his clan's daughter, who had undergone an abortion twenty days prior. She suffered from red dysentery (dysentery with blood), occurring more than ten times a day, accompanied by aversion to cold, anorexia, and lower abdominal distending pain. Pulse diagnosis showed a slippery and large pulse at the Right Cun position, indicating heat within deficiency. This was due to incomplete expulsion of lochia (postpartum residual blood and fluid), causing lower abdominal pain. Specialists adhered rigidly to Danxi's (Zhu Zhenheng) principle of greatly tonifying Qi and Blood postpartum, applying tonification indiscriminately, which induced dysentery. Her father asked, "If she is averse to cold, how can there be heat?" Sun replied, "Aversion to cold does not necessarily mean cold syndrome; it can be a heat syndrome, as extreme heat mimics water (cold signs). (Most contemporary physicians fail to understand this principle.) You will know after taking the medicine." The prescription used Bai Shao (Radix Paeoniae Alba), Dang Gui (Radix Angelicae Sinensis), and Hua Shi (Talcum) as Sovereign herbs; Tao Ren (Semen Persicae), Jiu Huang Lian (Wine-processed Rhizoma Coptidis), and Jiu Huang Qin (Radix Scutellariae processed with wine) as Ministers; Mu Xiang (Radix Aucklandiae), Gui Zhi (Ramulus Cinnamomi), and Bing Lang (Areca Seed) as Assistants; and Qing Pi (Pericarpium Citri Reticulatae Viride) as Envoy. After administration, a large amount of dark stasis blood was expelled, and the lower abdomen relaxed immediately. Symptoms remaining included dry mouth, scanty urine, nausea, fear of food, fatigue, and tenesmus (straining during defecation). The next prescription contained one qian each of Ren Shen (Radix Ginseng), Chuan Xiong (Rhizoma Chuanxiong), and Bai Shao; one qian five fen of Dang Gui; six fen each of Jiu Huang Lian and Chen Pi (Pericarpium Citri Reticulatae); and two fen of Mu Xiang. Additionally, Qingning Wan (Clearing Peace Pill) was given externally/orally. After taking it, heat cleared, and dysentery decreased by eighty percent. However, stools remained loose, with nausea and weakness. Si Jun Zi Tang (Four Gentlemen Decoction) was modified with Jiu Bai Shao, Chen Pi, Mu Xiang, Rou Guo (Nucis Arecae Semen Preparatum), Jiu Huang Lian, and Dang Gui for nourishment, leading to stabilization.
Lu Yang Yu treated Li Zheng, son of Li Shangtian, who suffered from postpartum dysentery for over a year. His limbs and muscles were emaciated, and his complexion was dark black. Everyone considered it incurable. Pulse diagnosis showed minute pulses on both hands, but between the Right Guan and Chi positions, the pulse felt forceful like a bead. Black coating was often present in the center of the tongue. Lu stated, "The minute pulse is a result of chronic dysentery. A slippery pulse with black coating indicates accumulation in the intestines that has persisted for a long time. If vigorously purged, the disease should be cured." Li Zheng argued, "I frequently took purgatives when the illness began. I haven't eaten for months; how could there be accumulation?" Reviewing previous prescriptions, they mostly focused on greatly tonifying Qi and Blood postpartum. Even when using digestive/promoting agents, they were mixed with Ren Shen, Huang Qi (Radix Astragali), Dang Gui, and Bai Shao. Thus, tonification failed to work, and digestion failed to clear, leading to daily decline of Yuan Qi and solidification of stagnation. Reaching the stage of astringency and warming, worsening was inevitable. Run Zi Wan (Moisten Character Pill) was prescribed, one liang divided into three doses, to be taken within one day and night. Several jars of purple-black paste-like stool were discharged. Severe thirst ensued. Sheng Mai San (Generate the Pulse Powder) was decocted and drunk as tea. Stomach function gradually opened. Run Zi Wan, one qian daily, was continued, discharging about one jar of thick accumulation daily. After ten days, tonifying treatments were started, and recovery occurred within one month.
Zhang Lu Yu examined a woman on a military vessel. She had suffered from dysentery before pregnancy, which persisted for three days postpartum. Lochia did not flow, accompanied by fever, wheezing, and distension. By standard protocols, this was untreatable. After one dose of medication, hiccups worsened. Pulse diagnosis showed three beats per respiration with Dai pulse (intermittent pulse with regular pauses, indicating衰竭 of organ qi). Zhang intended to refuse treatment. However, since the previous physician was detained, refusing might cause significant loss of face. Zhang said, "Although critical, there is a sliver of hope. We must plan carefully to attempt treatment." Hearing this, the family released the doctor to seek medicine. Zhang gave a cup and a few coins, instructing them to buy sugar, roast it until charred, mix with plain water, and administer. This could treat dysentery, expel stasis, and not damage Yuan Qi. The medicine was administered urgently. The family left happily, and the doctor escaped, returning only after the troops departed. (Note: His conscientiousness is admirable.)
Xue Lizhai treated a postpartum woman with dysentery, less than a month postpartum. Due to consuming cold food and alcohol, cold and heat attacked the blood, resulting in pure bloody dysentery with severe dragging pain. The pulse was large and powerless, with dry mouth. Huang Qin Shao Yao Tang (Scutellaria and Peony Decoction) was prescribed. After three doses, she stabilized.