加参生化汤 照后诸症加减法治之。
川芎（一钱五分） 当归（三钱） 干姜（五分） 甘草（五分） 桃仁（五分） 加人参（二三
钱）
一、产后劳倦伤脾，不理谷食。
加参生化汤加白术三钱。血块未清，不可妄用。陈皮四分，升麻四分，枣引，水煎。
二、产后头痛身热，自汗倦怠。
加参生化汤加黄 一钱，麻黄根一钱，地骨皮一钱，白芷四分，防风四分，羌活四分
三、产后感寒，身热头痛，嗽声重，有痰有汗。
加参生化汤，兼杂症照后开加减治之。嗽，加麦冬一钱，杏仁一钱，花粉一钱，桔梗三
分∶汗，加麻黄根一钱，地骨皮一钱∶如头痛甚，加连须葱头三个。
四、产后先寒后热，或潮热夜热，每日夜时而发，类疟疾有汗。
加参生化汤加软柴胡八分，青皮三分，乌梅二个。汗多，加麻黄根一钱；汗多不至足，加熟
地二钱；食少，加黄 一钱五分，白术一钱五分，陈皮四分。慎不可用常山饮、四兽饮、青
皮饮、万安甲子饮。
五、产后妄言妄见。
加参生化汤加枣仁一钱，茯苓一钱，柏子仁一钱，橘红四分， 远志肉一钱，麦冬五分
。
六、产后足冷发厥，一日三四次。
加参生化汤加白术二钱，熟地一钱，熟附四分。
七、产后身热有汗，大便不通。
加参生化汤加麻黄根一钱，麻仁二钱，地骨皮二钱，肉苁蓉二钱。慎不可用大黄方。
八、产后身热有汗，胁痛，或潮热。
加参生化汤加麻黄根一钱，桂枝七分，黄 一钱，柴胡七分。脐下痛可按止，加熟地二
钱。慎勿用小柴胡汤。
九、产后有汗，大便不通，潮热，睡中妄言。
加参生化汤加麻黄根一钱，枣仁八分，地骨皮八分。
十、产后有汗，小便多。
加参生化汤加麻黄根、麦冬、五味、葛根、黄 。
十一、产后有汗，泄泻。
加参生化汤加麻黄根，肉果一个，面裹去油，石莲子十个。
十二、产后有汗，泄泻危困。
宜服丹溪医案大补方
人参（三钱） 白术（五钱） 川芎（一钱） 当归（三钱） 芍药（一钱） 茯苓（一钱） 泽泻
（八
分） 浓朴（五分） 陈皮（四分） 紫苏（五分） 腹皮（六分） 萝卜子（六分） 木香（七分）
十三、产后大便不通，误食大黄方，成膨胀，宜服丹溪医案补方。
十四、产后伤寒，误食耗药，成膨胀，宜服丹溪医案补方。
十五、产后忿怒，误食耗气方，宜服丹溪医案补方。
治产后误下、误消、误耗三症∶
人参（三钱） 白术（三钱） 川芎（一钱） 芍药（一钱） 茯苓（一钱） 当归（三钱） 泽泻
（八
分） 浓朴（五分） 紫苏（五分） 陈皮（五分） 木香（三分） 腹皮（六分） 萝卜子（六分，炒
）
伤饭面，加神曲、麦芽；伤肉，加砂仁、山楂；伤怒气，加磨木香。
大抵产后虚弱误下、误消、误耗，犯虚虚之戒，丹溪大补气血方，屡试屡验。胎前臌胀
亦可奇效。
十六、产后伤食痛，或胁痛，误服消导药方，多绝谷食。
独参（三钱） 姜（一片）
水煎，调饭锅焦，渐渐引开胃气。（此名长生活命饮）
十七、产后血崩，日久不止。
宜升举大补汤
白术（二钱） 当归（二钱） 怀生地（二钱，蒸） 人参（二钱） 荆芥（五分） 陈皮（四分）
甘
草（四分） 黄柏（三钱） 川芎（一钱） 黄 （一钱） 麦冬（一钱） 黄连（三钱） 防风（五分）
羌活（五分） 升麻（五分） 白芷（五分）
水煎。
十八、产后子宫不收，产户不闭，脱症。
并宜服倍参生化汤。
十九、产后神昏形脱有汗。
宜服倍参生化汤，内减干姜。忌葱、姜。
以上十九危症，并补气血为主。问无血块痛、恶血清楚，方可服。若恶血块痛，切不可
用地
、、术等补味，慎之!慎之!其骨皮、柴胡、芍药、黄柏、黄连、生地，皆寒凉凝血之物，
必须去产日久，问无块痛，方可服。
Jiashen Shenghua Decoction (Ginseng-Added Decoction for Generating New Blood) should be used with modifications according to the various syndromes listed below.
Chuanxiong Rhizome (1 qian 5 fen), Danggui Radix (3 qian), Ganjiang Dried Ginger (5 fen), Gancao Licorice Root (5 fen), Taoren Peach Seed (5 fen), plus Renshen Ginseng Root (2-3 qian).
1. Postpartum fatigue and overwork damaging Spleen Qi, leading to failure of digestion and inability to consume grain foods.
Add Baizhu Atractylodis Macrocephalae Rhizoma (3 qian) to Jiashen Shenghua Decoction. If blood stasis clots have not cleared, do not use this prescription arbitrarily. Add Chenpi Tangerine Peel (4 fen), Shengma Cimicifugae Rhizoma (4 fen), using Jujube as a guide, decoct in water.
2. Postpartum headache, body heat, spontaneous sweating, and fatigue.
Add Huangqi Astragalus Membranaceus Root (1 qian), Mahuanggen Ephedrae Herba (1 qian), Digut皮的 Cortex Lycii Radicis (1 qian), Baizhi Angelicae Dahuricae Radix (4 fen), Fangfeng Saposhnikoviae Radix (4 fen), Qianghuo Notopterygii Rhizoma et Radix (4 fen) to Jiashen Shenghua Decoction.
3. Postpartum cold invasion, body heat with headache, heavy coughing, presence of phlegm and sweating.
Use Jiashen Shenghua Decoction; for mixed symptoms, refer to the modifications below. For cough, add Maidong Ophiopogonis Tuber (1 qian), Xingren Apricot Seed (1 qian), Huafen Trichosanthis Radix (1 qian), Jiegeng Platycodon Root (3 fen); for excessive sweating, add Mahuanggen Ephedrae Herba (1 qian), Digut皮的 Cortex Lycii Radicis (1 qian); if headache is severe, add three scallion heads with roots intact.
4. Postpartum alternating chills and fever, or tidal fever and night fever occurring at fixed times daily, resembling malaria but with sweating.
Add Ruan Chaihu Bupleuri Radix (8 fen), Qingpi Aurii Fructus Immaturus (3 fen), Wumei Mume Fructus (2 pieces) to Jiashen Shenghua Decoction. If sweating is excessive, add Mahuanggen Ephedrae Herba (1 qian); if sweating is excessive but does not reach the feet, add Shudi Rehmanniae Radix Praeparata (2 qian); if appetite is poor, add Huangqi Astragalus Membranaceus Root (1 qian 5 fen), Baizhu Atractylodis Macrocephalae Rhizoma (1 qian 5 fen), Chenpi Tangerine Peel (4 fen). Strictly avoid Changshan Yin (Dichroa Decoction), Si Shou Yin (Four Beasts Decoction), Qingpi Yin (Green Peel Decoction), and Wan An Jia Zi Yin (Ten Thousand Peaceful Jiazi Decoction).
5. Postpartum delirium and visual hallucinations.
Add Zaoren Sour Jujube Seed (1 qian), Fuling Poria (1 qian), Baiziren Biota Seed (1 qian), Juhong Exocarpium Citri Reticulatae Rubrum (4 fen), Yuanzhi Polygalae Radix (1 qian), Maidong Ophiopogonis Tuber (5 fen) to Jiashen Shenghua Decoction.
6. Postpartum cold feet and厥逆 (reversal cold/extremities coldness), occurring three to four times a day.
Add Baizhu Atractylodis Macrocephalae Rhizoma (2 qian), Shudi Rehmanniae Radix Praeparata (1 qian), Shu Fu Aconiti Lateralis Radix Praeparata (4 fen) to Jiashen Shenghua Decoction.
7. Postpartum body heat with sweating, and constipation.
Add Mahuanggen Ephedrae Herba (1 qian), Mahuren Hemp Seed (2 qian), Digut皮的 Cortex Lycii Radicis (2 qian), Rongcongrou Cistanche Stem (2 qian) to Jiashen Shenghua Decoction. Strictly avoid Da Huang Rheum Palmatum Root Decoctions.
8. Postpartum body heat with sweating, hypochondriac pain, or tidal fever.
Add Mahuanggen Ephedrae Herba (1 qian), Guizhi Cinnamomi Ramulus (7 fen), Huangqi Astragalus Membranaceus Root (1 qian), Chaihu Bupleuri Radix (7 fen) to Jiashen Shenghua Decoction. If lower abdominal pain can be relieved by pressure, add Shudi Rehmanniae Radix Praeparata (2 qian). Do not use Xiao Chaihu Tang (Minor Bupleurum Decoction).
9. Postpartum sweating, constipation, tidal fever, and delirium during sleep.
Add Mahuanggen Ephedrae Herba (1 qian), Zaoren Sour Jujube Seed (8 fen), Digut皮的 Cortex Lycii Radicis (8 fen) to Jiashen Shenghua Decoction.
10. Postpartum sweating and frequent urination.
Add Mahuanggen Ephedrae Herba, Maidong Ophiopogonis Tuber, Wuweizi Schisandrae Fructus, Gegen Puerariae Lobatae Radix, Huangqi Astragalus Membranaceus Root to Jiashen Shenghua Decoction.
11. Postpartum sweating and diarrhea.
Add Mahuanggen Ephedrae Herba, Rougu Doung Bean Seed (one piece, wrapped in flour and baked to remove oil), Shilianzi Nelumbinis Semen (ten pieces) to Jiashen Shenghua Decoction.
12. Postpartum sweating and critical diarrhea with exhaustion.
Suitable to take Danxi's Major Tonifying Formula from Medical Cases:
Renshen Ginseng Root (3 qian), Baizhu Atractylodis Macrocephalae Rhizoma (5 qian), Chuanxiong Rhizome (1 qian), Danggui Radix (3 qian), Shaoyao Peony Root (1 qian), Fuling Poria (1 qian), Zexia Alisma Rhizome (8 fen), Houpin Magnolia Bark (5 fen), Chenpi Tangerine Peel (4 fen), Zisu Perilla Leaf (5 fen), Fupi Tangerine Peel (6 fen), Luobozii Radish Seed (6 fen), Muxiang Aucklandiae Radix (7 fen).
13. Postpartum constipation, mistakenly taking Da Huang Rheum Palmatum Root Decoction, resulting in abdominal distension and bloating. Suitable to take Danxi's Tonifying Formula from Medical Cases.
14. Postpartum Cold Damage (Shanghan), mistakenly taking Qi-consuming medicines, resulting in abdominal distension and bloating. Suitable to take Danxi's Tonifying Formula from Medical Cases.
15. Postpartum anger, mistakenly taking Qi-consuming formulas. Suitable to take Danxi's Tonifying Formula from Medical Cases.
Treating three conditions caused by postpartum mistaken purging, mistaken digestion-promoting, and mistaken Qi-consuming methods:
Renshen Ginseng Root (3 qian), Baizhu Atractylodis Macrocephalae Rhizoma (3 qian), Chuanxiong Rhizome (1 qian), Shaoyao Peony Root (1 qian), Fuling Poria (1 qian), Danggui Radix (3 qian), Zexia Alisma Rhizome (8 fen), Houpin Magnolia Bark (5 fen), Zisu Perilla Leaf (5 fen), Chenpi Tangerine Peel (5 fen), Muxiang Aucklandiae Radix (3 fen), Fupi Tangerine Peel (6 fen), Luobozii Radish Seed (6 fen, stir-fried).
For accumulation from rice/noodles, add Shenqu Mass Medicinal Saccharomyces and Maiya Hordegermin Sprouted Grain; for meat accumulation, add Sharen Amomum Fruit and Shanzhao Hawthorn Fruit; for anger-induced injury, add ground Muxiang Aucklandiae Radix.
Generally, postpartum weakness combined with mistaken purging, digestion-promoting, or Qi-consuming methods violates the prohibition against "making deficiency more deficient." Danxi's Major Tonifying Qi and Blood Formula has proven effective repeatedly. It can also produce miraculous effects for ascites/bloating occurring before childbirth.
16. Postpartum pain due to food stagnation, or hypochondriac pain, mistakenly taking digestion-promoting medicines, leading to prolonged anorexia/refusal of food.
Single Ginseng Decoction: Renshen Ginseng Root (3 qian), Jiang Fresh Ginger (one slice).
Decoct in water, mix with Fan Guojiao (rice pot crust), gradually to stimulate stomach Qi. (This is named Changsheng Huoming Yin - Long Life and Life-Saving Drink).
17. Postpartum metrorrhagia (blood flooding), persisting for a long time without stopping.
Suitable to take Shengju Dubu Tang (Lifting and Great Tonifying Decoction):
Baizhu Atractylodis Macrocephalae Rhizoma (2 qian), Danggui Radix (2 qian), Huaishengdi Prepared Rehmanniae Radix (2 qian, steamed), Renshen Ginseng Root (2 qian), Jingjie Schizonepeta Spike (5 fen), Chenpi Tangerine Peel (4 fen), Gancao Licorice Root (4 fen), Huangbai Phellodendron Bark (3 qian), Chuanxiong Rhizome (1 qian), Huangqi Astragalus Membranaceus Root (1 qian), Maidong Ophiopogonis Tuber (1 qian), Huanglian Coptis Rhizome (3 qian), Fangfeng Saposhnikoviae Radix (5 fen), Qianghuo Notopterygii Rhizoma et Radix (5 fen), Shengma Cimicifugae Rhizoma (5 fen), Baizhi Angelicae Dahuricae Radix (5 fen).
Decoct in water.
18. Postpartum uterine prolapse (failure of uterus to retract), vaginal opening not closing, organ prolapse syndrome.
Suitable to take Beishen Shenghua Tang (Double Ginseng Decoction for Generating New Blood).
19. Postpartum coma, physical collapse, and sweating.
Suitable to take Beishen Shenghua Tang (Double Ginseng Decoction for Generating New Blood), removing Ganjiang Dried Ginger from the formula. Avoid Scallion and Ginger.
The above nineteen critical conditions are primarily treated by tonifying Qi and Blood. One must inquire whether there is no blood clot pain and whether lochia is clear before administering. If there is lochia clot pain, strictly avoid using Diyu (Rehmanniae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), etc., which are tonifying substances. Caution! Caution! The following herbs—Digut皮 (Cortex Lycii Radicis), Chaihu (Bupleuri Radix), Shaoyao (Peony Root), Huangbai (Phellodendron Bark), Huanglian (Coptis Rhizome), Shengdi (Prepared Rehmanniae Radix)—are all cold-natured and coagulate blood. They must only be used after a considerable period postpartum, once it is confirmed that there are no clot pains.