产后去血劳伤，再加之调养失宜，所生者少。脾肺气弱，不能运其精微，致令骨蒸劳热。若富贵
之家，虽有美食及药力以调养，必有他事不如意，而怒动肝火，
耗伤其方生之血，亦能致饮食减少，虚羸体倦。况新产之妇，原属血虚，所生之血无几，一经伤耗，则
阴血更虚，焉得不成内热骨蒸也。即藜藿之人，不特无美食药力滋生气血，更兼自乳其子，则方生之血岂
能骤足？倘本质瘦弱，又焉得而不阴虚内热以成骨蒸也。即或本体壮盛，常见生育数胎，自为乳哺，
则面颜多有老过年岁者，即此而验，概可知矣。是以产后易成蓐劳之证。故治产后虚弱，用参归汤。作
寒热，白茯苓散。虚证杂见成蓐劳者，鳖甲汤。无疾觉虚，十全大补汤，又当归羊肉汤。有治产后骨蒸，
先服清骨散，后服保真汤。又有加味大造丸，亦能治骨蒸劳热。《医通》云∶产后蓐劳，因产不顺，疲极
筋力，忧心劳虑，或产后将养失宜，致令虚羸喘乏，寒热如疟，百节烦痛，头疼自汗，肢体倦怠，咳嗽痰
逆，腹中绞刺，当扶正为主，六君子加当归。若脾肺气虚，咳嗽口干，异功散加麦冬五味。气虚头
晕，补中益气倍用归、 。肝经血虚，肢体作痛，四物加参、苓、术、桂。肝肾虚弱，自汗盗汗，往来寒
热，六味丸加五味子。脾虚血弱腹痛，月经不调，归脾汤倍木香。血虚有热，增损柴胡汤。骨蒸劳热，咳
嗽有红者，异功散去术，加山药、丹皮、五味、阿胶、童便。热而无痰干咳，逍遥散用蜜煎姜、橘，蜜
蒸白术。产后虚
损，不时寒热，或经一二载元神不复，月事不转，先与千金当归芍药汤，后与乌骨鸡丸调补。大抵此证，
多因脾胃虚弱，饮食减少，以致疲惫而成，当补脾胃，进饮食，则诸脏有所倚赖，病自愈矣。
参归汤 治产后虚弱。
人参 当归（酒浸。各二钱） 猪肾（一个） 糯米 葱白
水煎服。
白茯苓散 治产后蓐劳，头目肢体疼痛，寒热如疟。
人参 当归 熟地 川芎 白芍（炒） 黄 （蜜炙） 桂心（各五分） 茯苓（一钱） 猪肾（一个）
姜、枣引，水煎服。
鳖甲汤 治产后虚证杂见成蓐劳。
黄 （蜜炙） 鳖甲（炙。各一钱） 牛膝（七分，酒蒸） 人参 茯苓 当归 白芍（炒） 桑寄
生麦冬（去心） 熟地 桃仁（去皮尖） 桂心 炙草（各五分） 续断（三钱，酒制，取净肉）
猪肾煮汁作水，加姜、枣引，煎服。
当归羊肉汤 治产后无疾觉虚。
当归（五两） 黄 （四两，蜜炙） 生姜（六两）
肥羊肉一斤，煮取汁煎药，分四服。
清骨散 治骨蒸劳热，男女皆可用。
柴胡 前胡 胡黄连 乌梅（各八分） 猪骨髓（一段） 韭白（十根）
水煎成，入猪胆汁少许服。一方，将药为末，猪髓一钱，猪胆汁一个，韭白同捣为丸，绿豆大。每
服三四十丸，开水食后送下。
保真汤
人参 茯苓 白术（土炒，如咳嗽用蜜蒸） 麦冬（去心） 白芍（炒） 枸杞 生地 熟地 知母
（炒。各一钱） 黄 （蜜炙） 川芎 地骨皮（各八分） 当归 天冬（去心。各二钱） 五味子（十
粒） 黄柏（六分，炒） 炙草（四分）
枣二枚，水煎服。亦可作丸服。一方，天冬只用一钱，无麦冬。
加味大造丸 治骨蒸劳热。如服保真汤，不须服此。
人参 当归（酒浸） 山药 黄柏（炒） 枸杞子（各一两） 麦冬（去心） 石斛（各八钱）
生地（二两） 柴
胡（六钱） 胡黄连（五钱） 紫河车（一具，水洗净，白酒蒸）
另将麦冬、地黄先捣如泥，紫河车蒸熟，亦另捣，后入诸药于河车、麦冬、地黄内，同捣为丸。
如焙干河车为末，则炼蜜为丸亦可。
增损柴胡汤 治少阳血虚，寒热不止。
人参 川芎 芍药 炙草（各一钱） 柴胡 制半夏（各二钱） 陈皮（八分）
姜五片，大枣四枚，水煎服。
千金当归芍药汤 治产后烦满不安。
人参 芍药（炒） 麦冬（去心） 干地黄（各一钱） 当归（一钱五分） 桂心（四分）
粳米（一撮） 生姜（三片）
去核大枣三枚，水煎服。
乌骨鸡丸 治妇人郁结不舒，蒸热咳嗽，月事不调，或久闭不行，或倒经血溢于上，或产后蓐劳，
或崩淋不止，及带下赤白、白淫诸证。兼疗男子斫丧太早，劳嗽吐红，或虚损者。
乌骨鸡（一只，取白丝毛者方可用。男用雌，女用雄，拣嫩长者，溺倒，泡去毛，竹刀剖胁出肫肝，
去秽，留内金。并去肠垢，仍入腹内） 熟地（四两。如血热加生地黄二两） 北五味（一两，碎）
上二味，入鸡腹内，用陈酒或酒酿、童便各二碗，水数碗，于砂锅内旋煮旋添，糜烂汁尽。
绵黄 （三两，去皮，蜜酒拌炙） 于术（三两，饭上蒸九次） 白茯苓（去皮净） 归身（酒洗）
白芍（酒炒。各二两）
上五味，预为粗末，同鸡肉捣烂，焙干。骨用酥炙，共为细末，入下项药∶人参（三两，虚甚，加
至六两） 川芎（一两，童便浸，切晒） 牡丹皮（二两，酒浸，勿炒）
上三味，各为细末，和前药中。另用干山药末六两，打糊，众手丸。或晒干，勿令馊，瓷罐收贮。
清晨，人参汤或沸汤送下三钱；卧时，醇酒再服二钱。大便实者，炼白蜜为丸亦可。骨蒸，加炙九肋鳖
甲三两，银柴胡、地骨皮各一两五钱。经闭，加肉桂一两。崩漏下血，倍熟地，加真阿胶二两。倒经
血溢，加去心麦冬二两。郁结痞闷，加童便制香附二两，沉香五钱。赤白带下，加真川萆 二两，
四制香附二两，蕲艾一两。白淫，倍用参、 、苓、术。按乌骨鸡丸，诸药皆寻常而无奇处，治调经最验。
盖鸡属巽补肝，犹妙在乌骨益肾，变巽归坎，甲癸同源，兼滋冲任也。
十全大补汤（见上卷胎不长养门。） 异功散（见本卷咳嗽门。） 六君子汤补中益气汤
（俱见上卷诸痛门。） 六味地黄丸（见上卷诸痛门，附六味地黄汤下。） 四物汤（见上卷安胎
门。） 归脾汤（见上卷胞漏小产门。） 逍遥散（见上卷胎逆上逼门。）
Postpartum blood loss leads to labor injury, and combined with improper nursing care, the generation of Qi and Blood is insufficient. The Qi of the Spleen and Lung is weak and cannot transport and distribute the essence from food and water, leading to bone-steaming consumption fever (a type of deficiency heat feeling as if emanating from the deep marrow). If it is a wealthy family, although there are fine foods and medicines for nourishment, often due to dissatisfaction with other matters, anger stirs up Liver Fire, consuming the newly generated Blood, which also leads to reduced appetite, emaciation, weakness, and fatigue. Moreover, women who have just given birth originally belong to a state of Blood deficiency; the newly generated Blood is scarce. Once damaged and consumed, Yin Blood becomes even more deficient. How can it not form internal heat and bone steaming? Even among poor people, not only are there no fine foods and medicines to nourish Qi and Blood, but they must also breastfeed their children themselves. How can the newly generated Blood become sufficient suddenly? If the constitution is originally thin and weak, how can one avoid Yin deficiency with internal heat forming bone steaming? Even if the original constitution is strong, having given birth several times and breastfeeding personally, the facial appearance often looks older than the actual age. From this, it can be inferred that generally, postpartum conditions easily develop into *Ru Lao* (chronic consumptive disease after childbirth due to deficiency).
Therefore, to treat postpartum weakness, use *Shen Gui Tang*; for symptoms manifesting as alternating chills and fever like malaria, use *Bai Fuling San*; for complex deficiency syndromes presenting as *Ru Lao*, use *Bie Jia Tang*; for those without obvious disease but feeling weak, use *Shiquan Dabu Tang* or *Danggui Yangrou Tang*. For treatments targeting postpartum bone steaming, first take *Qinggu San*, then take *Baozhen Tang*. There is also *Jiawei Dizao Wan*, which can also treat bone-steaming consumption fever. *YiTong* states: Postpartum *Ru Lao* is caused by difficult delivery, extreme physical exhaustion, worry and mental labor, or improper postpartum care, leading to emaciation, shortness of breath, chills and fever like malaria, joint pain, headache with spontaneous sweating, limb fatigue, cough with reverse flow of phlegm, abdominal cramping and stabbing pain. One should primarily support the Righteous Qi, using *Liujunzi Tang* added with *Danggui*. If there is Spleen and Lung Qi deficiency with cough and dry mouth, use *Yigong San* added with *Maidong* and *Wuweizi*. For Qi deficiency causing dizziness, use *Buzhong Yiqi Tang* doubling the dosage of *Danggui* and *Huangqi*. For Liver Channel Blood deficiency causing limb pain, use *Siwu Tang* added with *Renshen*, *Fuling*, *Baizhu*, and *Guizhi*. For Kidney and Liver deficiency with spontaneous and night sweats, and alternating chills and fever, use *Liuwei Dihuang Wan* added with *Wuweizi*. For Spleen deficiency and Blood weakness causing abdominal pain and irregular menstruation, use *Guipi Tang* doubling *Muxiang*. For Blood deficiency with heat, use *Zengsun Chaihu Tang*. For bone-steaming consumption fever with bloody cough, use *Yigong San* removing *Baizhu*, adding *Shanyao*, *Danpi*, *Wuweizi*, *Ejiao*, and *Tongbian*. For fever without phlegm and dry cough, use *Xiaoyao San*, frying *Jiang* and *Ju Pi* in honey, and steaming *Baizhu* in honey. For postpartum deficiency damage, frequent chills and fever, or inability to recover Yuan Shen after one or two years, with amenorrhea, first give *Qianjin Danggui Shaoyao Tang*, then regulate and tonify with *Wuji Ji Wan*. Generally, this syndrome is mostly due to Spleen and Stomach weakness, reduced diet, leading to fatigue. One should tonify the Spleen and Stomach and promote appetite, so that all Zang-Fu organs have reliance, and the disease will heal itself.
*Shen Gui Tang* treats postpartum weakness.
*Renshen*, *Danggui* (soaked in wine), Pig Kidney (one), Glutinous Rice, Scallion White. Decoct in water and take orally.
*Bai Fuling San* treats postpartum *Ru Lao*, pain in the head, eyes, and limbs, and chills/fever like malaria.
*Renshen*, *Danggui*, Shu Di Huang, *Chuanxiong*, *Shaoyao* (stir-fried), *Huangqi* (honey-roasted), *Guixin* (5 fen each), *Fuling* (1 qian), Pig Kidney (one). Use Ginger and Jujube as guides, decoct in water and take orally.
*Bie Jia Tang* treats complex deficiency syndromes postpartum forming *Ru Lao*.
*Huangqi* (honey-roasted), Bie Jia (roasted, 1 qian each), Niuxi (7 fen, steamed in wine), *Renshen*, *Fuling*, *Danggui*, *Shaoyao* (stir-fried), Sangjisheng, Maidong (heart removed), Shu Di Huang, Taoren (skin and tip removed), *Guixin*, Zhi Cao (5 fen each), Xuduan (3 qian, prepared in wine, taking clean meat). Use juice boiled from Pig Kidney as water for decoction, add Ginger and Jujube as guides, decoct and take orally.
*Danggui Yangrou Tang* treats postpartum feeling weak without obvious disease.
*Danggui* (5 liang), *Huangqi* (4 liang, honey-roasted), Shengjiang (6 liang). Boil 1 jin of fat mutton to extract juice, use this juice to decoct the herbs, divide into four doses.
*Qinggu San* treats bone-steaming consumption fever, usable for both men and women.
Chaihu, Qianhu, Huhuanglian, Wumei (8 fen each), Pig Marrow (one segment), Jiu Bai (10 roots). Decoct in water, add a little Pig Gallbladder Juice before taking. Another method: grind herbs into powder, mix with 1 qian Pig Marrow, one Pig Gallbladder, and Jiu Bai, pound into pills the size of mung beans. Take 30-40 pills per dose with warm water after meals.
*Baozhen Tang*
*Renshen*, *Fuling*, Baizhu (earth-stir-fried; if coughing, honey-steamed), Maidong (heart removed), *Shaoyao* (stir-fried), Gouqi, Sheng Di Huang, Shu Di Huang, Zhimu (stir-fried, 1 qian each), *Huangqi* (honey-roasted), *Chuanxiong*, Digupi (8 fen each), *Danggui*, Tiandong (heart removed, 2 qian each), Wuweizi (10 grains), Huangbai (6 fen, stir-fried), Zhi Cao (4 fen). Decoct with two Jujubes in water and take orally. Can also be made into pills. Another formula uses only 1 qian Tiandong and no Maidong.
*Jiawei Dizao Wan* treats bone-steaming consumption fever. If *Baozhen Tang* is taken, this does not need to be taken.
*Renshen*, *Danggui* (wine-soaked), Shanyao, Huangbai (stir-fried), Gouqizi (1 liang each), Maidong (heart removed), Shihu (8 qian each), Sheng Di Huang (2 liang), Chaihu (6 qian), Huhuanglian (5 qian), Ziheche (one unit, washed clean, steamed in white wine). Separately, pound Maidong and Dihuang into paste. Steam Ziheche until cooked, pound separately. Then mix all other herbs into the Ziheche, Maidong, and Dihuang paste, pound together into pills. If Ziheche is dried and powdered, pills can be made with refined honey.
*Zengsun Chaihu Tang* treats Shaoyang Blood deficiency with unceasing chills and fever.
*Renshen*, *Chuanxiong*, Shaoyao, Zhi Cao (1 qian each), Chaihu, Zhi Banxia (2 qian each), Chenpi (8 fen). Decoct with five slices of Ginger and four Jujubes in water and take orally.
*Qianjin Danggui Shaoyao Tang* treats postpartum irritability, fullness, and restlessness.
*Renshen*, Shaoyao (stir-fried), Maidong (heart removed), Gan Dihuang (1 qian each), *Danggui* (1.5 qian), *Guixin* (4 fen), Jingmi (a pinch), Shengjiang (three slices). Decoct with three pitted Jujubes in water and take orally.
*Wuji Ji Wan* treats women with depression and stagnation, steaming heat and cough, irregular menstruation, long-term amenorrhea, retrograde menstruation (blood flowing upward), postpartum *Ru Lao*, metrorrhagia/metrostaxis, red and white leukorrhea, Baiyin, etc. Also treats men with early sexual depletion, consumptive cough with hemoptysis, or deficiency damage.
Black-boned Chicken (one, must select white silk-feathered type. For male patients, use female chicken; for female patients, use male chicken. Select tender and long ones, suffocate by inversion, soak to remove feathers, cut open flank with bamboo knife to remove gizzard and liver, remove filth, keep Ji Neijin. Remove intestinal dirt, put back inside abdomen), Shu Di Huang (4 liang; if blood heat, add Sheng Di Huang 2 liang), Bei Wuweizi (1 liang, crushed). Put these two ingredients into the chicken abdomen. Use aged wine or fermented rice wine, Tongbian (child's urine), 2 bowls each, plus several bowls of water. Simmer in a clay pot, adding liquid as needed, until tender and juices are exhausted. Huangqi (3 liang, skin removed, mixed with honey and wine and roasted), Yuzhu (3 liang, steamed over rice nine times), Bai Fuling (peeled clean), Danggui Shen (washed in wine), Shaoyao (stir-fried in wine, 2 liang each). These five ingredients are pre-ground into coarse powder, pounded together with chicken meat, and dried. Bones are roasted with butter, then ground into fine powder. Add the following: Renshen (3 liang; if very deficient, increase to 6 liang), Chuanxiong (1 liang, soaked in Tongbian, sliced and dried), Mudanpi (2 liang, soaked in wine, do not stir-fry). These three ingredients are each ground into fine powder and mixed with the previous powder. Use 6 liang of dried Shanyao powder to make paste, and everyone rolls the pills. Or dry them, ensuring they do not spoil, and store in porcelain jars. In the morning, take 3 qian with Ginseng soup or boiling water; at bedtime, take 2 qian with pure wine. For those with solid stools, pills made with refined white honey are also acceptable. For bone steaming, add 3 liang of roasted nine-rib Bie Jia, 1.5 liang each of Yin Chaihu and Digupi. For amenorrhea, add 1 liang Rougui. For metrorrhagia/metrostaxis, double Shu Di Huang and add 2 liang of genuine Ejiao. For retrograde menstruation, add 2 liang of heart-removed Maidong. For depression and stuffiness, add 2 liang of Tongbian-processed Xiangfu and 5 qian Chenxiang. For red and white leukorrhea, add 2 liang of genuine Chuan Biexie, 2 liang of Si Zhi Xiangfu, and 1 liang Qi Ai. For Baiyin, double the use of Renshen, Huangqi, Fuling, and Baizhu. Regarding *Wuji Ji Wan*, the herbs are ordinary without anything extraordinary, but it is most effective for regulating menstruation. This is because the chicken belongs to Xun (Wind/Wood) and tonifies the Liver; the wonder lies in the black bone benefiting the Kidney, transforming Xun back to Kan, where Jia and Gui share the same source (Liver and Kidney share the same origin), simultaneously nourishing the Chong and Ren vessels.
*Shiquan Dabu Tang* (see Upper Volume, Section on Failure of Fetal Nourishment.) *Yigong San* (see this Volume, Section on Cough.) *Liujunzi Tang*, *Buzhong Yiqi Tang* (both see Upper Volume, Section on Various Pains.) *Liuwei Dihuang Wan* (see Upper Volume, Section on Various Pains, attached under Liuwei Dihuang Tang.) *Siwu Tang* (see Upper Volume, Section on Stabilizing Fetus.) *Guipi Tang* (see Upper Volume, Section on Uterine Bleeding and Miscarriage.) *Xiaoyao San* (see Upper Volume, Section on Reverse Flow of Fetal Qi.)