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For women who have just given birth, Qi and Blood are severely depleted. All matters must be handled with great care. One must not rely on physical strength to overwork, thereby causing internal injury and external contraction, leading to various syndromes caused by the Six Exogenous Pathogens (Wind, Cold, Summer-heat, Dampness, Dryness, Fire) and Seven Emotions (Joy, Anger, Worry, Pensiveness, Sadness, Fear, Fright), the consequences of which are unpredictable. Therefore, for postpartum syndromes, the primary treatment must be to greatly tonify Qi and Blood. Even if there are other symptoms, they should be treated as secondary. If one wishes to eliminate pathogenic factors, it is appropriate to combine them with tonifying agents; one should not exclusively use harsh and drastic drugs, so as not to further damage Qi and Blood.

Someone asked: Regarding postpartum syndromes, Danxi said, "One should primarily tonify Qi and Blood greatly; even if there are miscellaneous syndromes, they should be treated secondarily." He also said, "Postpartum wind-stroke should never be treated as ordinary wind-stroke using wind-dispelling drugs." Then, for all kinds of postpartum syndromes, is it always appropriate to greatly tonify Qi and Blood? The answer is: By carefully examining the characters "primary" (Zhu) and "secondary" (Mo), their meaning becomes clear. For deficiency without other symptoms, greatly tonifying Qi and Blood will lead to self-healing; for those with Yin deficiency complicated by Wind-Cold invasion, wind-dispelling agents should be added to the Qi and Blood tonics; for those with Spleen deficiency leading to food stagnation damaging the Taiyin Meridian, digestion-promoting agents should be added to the Qi and Blood tonics; for those with blood stasis and lochia remaining, presenting with aversion to cold and fever, one must first expel the blood stasis before greatly tonifying Qi and Blood. The Classics state: "There are cases where the root is treated after the branch, and cases where the root is treated before the branch." It also states: "In acute conditions, treat the branch; in chronic or mild conditions, treat the root." Danxi's terms "primary" and "secondary" correspond to the concepts of "root" (Ben) and "branch" (Biao).

Song of Pulse Diagnosis for Newborn Mothers: A slow and slippery pulse is auspicious for a new mother; a full, large, wiry, and rapid pulse signals approaching death; a heavy and small pulse is generally lucky; a suddenly hard and firm pulse indicates life cannot be sustained; a choppy and rapid irregular pulse at the Cun position indicates death; a deep and fine pulse that persists when pressed to the bone indicates survival; carefully examine these diseases and remember them clearly, then you will know the physician possesses divine skill.

Generally, after childbirth, Qi and Blood are weak. A deep, fine, slow, and slippery pulse is considered normal (Zheng), while a full, large, wiry, firm, hard, rapid, and irregular pulse is considered abnormal (Fan). Normality brings good fortune; abnormality brings misfortune.

After childbirth, lying on one's side must be avoided to prevent敗血 (decayed blood) from flowing into the meridians. If it flows to the knees, it may be harmless in mild cases, but in severe cases, it can cause carbuncles, which are difficult to cure. How can one not be cautious!

At the time of delivery, alcohol consumption must be strictly prohibited. The Zang-Fu organs are all deficient and cannot withstand the potency of alcohol, often leading to dizziness. It is advisable to stir-fry black soybeans until smoke rises, decoct them with Qianghuo (Notopterygii Rhizoma et Radix) in wine, and drink this mixture to dispel wind pathogens, nourish Qi and Blood, promote the discharge of lochia, and unblock the milk channels.

If the placenta fails to descend, lochia does not stop, attacking the heart and abdomen with stabbing pain, or if there is blood syncope with coma, blacking out of the eyes, and locked jaw, Heishen San (Black Spirit Powder) should be taken. If there is dystocia during labor, failure of the placenta to descend, or blood syncope with loss of consciousness due to decayed blood attacking, causing stabbing pain in the heart and abdomen, delirious speech, exhaustion, and impending death, Hupo Heilong Dan (Amber Black Dragon Pill) should be used. If decayed blood attacks the heart causing fainting, or if the placenta fails to descend, or if the fetus dies in the womb in a critical condition, as long as the heart area remains warm, Huarui Shi San (Ruhui Stone Powder) should be mixed with child's urine (Tongbian) and administered orally or forcibly灌 (dripped) if swallowing is impossible. If the placenta fails to descend accompanied by alternating chills and fever and abdominal pain, modify the Five Herbs Powder (Wuge San) by removing Fuling (Poria), Mahuang (Ephedrae Herba), and Jiegeng (Platycodonis Radix) as the main formula.

[Huarui Shi San] Ruhui Shi (1 jin, calcined thoroughly, light texture is superior); Liuhuang (Sulfur, 4 liang). Mix the two ingredients evenly, place in a clay jar, seal tightly with mud, let dry, place on bricks, and calcine with charcoal fire overnight. After cooling, remove and grind into powder. Take mixed with child's urine.

For miscarriage where the placenta does not come out, or fetal death in utero, Niuxi San (Achyranthis Bidentatae Decoction) is indicated, or Dahuang (Rhei Radix et Rhizoma) boiled in vinegar to form a paste, made into pills, and taken with vinegar water.

For any case of retained placenta, if delayed, fatigue sets in, and decayed blood flows into the uterus causing distension, attacking the heart with panting and urgent breathing, and severe painful danger, first tie the umbilical cord with an object, then cut it. Otherwise, the uterus may ascend to cover the heart, creating immediate peril. Instruct the parturient woman to hold the end of her hair in her mouth to induce vomiting, which will cause the placenta to descend immediately. Alternatively, crush castor seeds (Bimazi) and apply the paste to the soles of the feet. Once the placenta descends, wash it off immediately; delay may injure the mother, potentially causing prolapse of the intestines. Be extremely cautious! If there are no complications like ascending pressure on the heart, even if several days pass, it will not harm the person. As long as the mother remains calm, it will eventually descend naturally.

For postpartum wind-stroke or qi-stagnation presenting with locked jaw where decoctions cannot be swallowed, burn an old oil-comb basket until it retains its nature (charred but not ashed), grind into powder, and rub it on the gums to open the jaw. This is effective. Then, proceed with medication based on the primary diagnosis.

Women experiencing fainting and closed eyes during delivery do so because Yin Blood has been suddenly lost, leaving the Heart Spirit without nourishment. The Heart and Pericardium are associated with Ministerial and Sovereign Fire. They are peaceful when nourished by blood and endangered when blood is lost. The fire blazes upward, causing fainting; fire invading the Lungs causes closed eyes and unconsciousness. This is due to sudden loss of Yin Blood failing to anchor and soothe. The Classics state: "When disease Qi is deficient, tonification is preferred over purgation." Closed eyes indicate Yin pathology. Sudden removal of有形 (substantial) blood allows fire to blaze; only by tonifying blood can the Spirit be pacified. When the Heart receives blood, it is nourished, and the Spirit remains clear.

For postpartum abdominal fullness and urgency, coma, locked jaw, and unconsciousness, blood-breaking and blood-moving methods are indicated. Choose from Heishen San, Siwu Tang (Four Substances Decoction - *Note: Text says Si Wu Tang but context implies a specific postpartum variant or similar formula, usually referring to a blood-moving formula in this context, though standard Siwu is tonifying. Given the context of 'breaking blood', it likely refers to a variation or a specific named formula in this text distinct from the standard tonic*, here translated as Four Substances Decoction as per text), Hupo Heilong Dan, or Huari Shi San.

For excessive mental exertion or physical effort after childbirth leading to vertigo due to deficiency, tonify Qi and Blood with Xiangfu (Cyperi Rhizoma), Shengjiang (Zingiberis Rhizoma Recens), and Dazao (Jujubae Fructus) decocted together.

For prolapse of the uterus (Zichang) after childbirth, immediately take Zhike (Aurantii Fructus) decoction to retract it. For those prone to wind disorders who experience vertigo due to deficiency after childbirth, use Siwu Tang (Four Substances Decoction) with Qianghuo and Fangfeng.

For excessive bleeding after childbirth causing vertigo, coma, and restlessness, tonify the blood with Qinghun San (Clear Soul Powder).

[Qinghun Ren] Renshen (Ginseng Radix et Rhizoma), Zelán (Leonuri Herba), Jingjie (Schizonepetae Spica), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 1 qian); Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 qian).

For postpartum vertigo where it is suddenly difficult to distinguish between deficiency and excess, use Wuwen San (Do Not Ask Powder). If there is fullness and oppression, add Chenpi (Citri Reticulatae Pericarpium) and Suzi (Perillae Fructus).

[Wuwen San] Chuanxiong, Jingjie, Guiwei (Tail of Angelicae Sinensis Radix), Yanshusuo (Corydalis Rhizoma), Danpi (Moutan Cortex), Zelán, Shanzha (Crataegi Fructus), Beimu (Fritillariae Thunbergii Bulbus). Decoct well, mix with child's urine, and take.

For blood syncope with coma, unconsciousness, and oppressive suffocation attacking the heart, treat by moving and awakening the blood. Use Jingjie San (Schizonepeta Powder), Luji San (Deer Horn Powder), or Wuling Siwu Tang (Five Spirits Four Substances Decoction).

[Luji San] Luji (Deer Antler, 4 liang). Calcine to charcoal, retain nature, grind to powder. Take mixed with child's urine and wine.

[Wuling Siwu Tang] Wulingzhi (Trogopteri Dung, half raw half stir-fried), Dihuang (Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Chuanxiong.

For postpartum blood syncope due to sudden Qi deficiency, with Phlegm-Fire rising causing vertigo, use Erchen Tang (Two Aged Herbs Decoction) plus Beimu, Zhuli (Bambusa Caulis in Taenia Succus), Jiangzhi (Zingiberis Rhizoma Succus), and Tongbian. When resolving phlegm, adjust according to Qi and Blood. Add Qi-tonifying herbs for Qi deficiency, Blood-tonifying herbs for Blood deficiency, or use Shiquan Dabu Tang (Ten Significant Great Tonification Decoction) with Juhong (Citri Reticulatae Pericarpium Flavum), Huangqin (Scutellariae Radix), and Huanglian (Coptidis Rhizoma).

For postpartum Blood deficiency attacking the heart and abdomen with stabbing pain and confusion, use Yanhu San (Corydalis Powder) plus Wutou (Aconiti Lateralis Radix Praeparata) and Fuzi (Aconiti Radix Praeparata), or use Hupo San (Amber Powder).

[Yanhu San] Yanshusuo, Danggui, Chuanxiong, Chishao (Paeoniae Radix Rubra), Aiye (Artemisiae Argyi Folium), Zhike, Taoren (Persicae Semen), Juhong, Shudi (Rehmanniae Radix Preparata), Rougui (Cinnamomi Cortex), Shengjiang.

[Hupo San] Hupo (Electrum), Huyang (Psoraleae Fructus - *Note: Text says Huyang but standard Hupo San often uses Puhuang. Checking context... Text lists Puhuang separately later. Wait, standard Hupo San contains Puhuang. Let's look at the ingredient list provided: Amber, Puhuang, Chishao, Danggui, Yanshusuo, Xiangfu, Danpi, Moyao, Muxiang, Pengzhu, Rougui, Wuyao.*], Puhuang, Chishao, Danggui, Yanshusuo, Xiangfu (Cyperi Rhizoma), Danpi, Moyao (Myrrhae Resina), Muxiang (Aucklandiae Radix), Pengzhu (Curcumae Longae Rhizoma), Rougui, Wuyao (Linderæ Fructus).

For decayed blood attacking the Heart after childbirth, manifesting as singing, dancing, cursing, laughing, anger, climbing walls, biting, hitting, knowing names of gods and Buddies, resembling possession, this disease has a 50% mortality rate. Use Longchi Qinghun San (Dragon Tooth Clear Soul Powder).

[Longchi Qinghun San] Longchi (Dentis Mammoth Ossis), Yuanzhi (Polygalae Radix), Rougui, Renshen, Danggui, Fushen (Poria cum Radix), Maidong (Ophiopogonis Radix), Xixin (Asari Radix et Rhizoma), Yanshusuo, Gancao, Huangjin (Gold), Wenyin (Silver), Shengjiang, Dazao. Decoct juice, mix with Shexiang (Moschus) and take. Alternatively, decoct Gold, Silver, Ginger, and Dates for over 100 boils, mix in, then add the decocted herbal juice and take together.

Decayed blood attacking the Heart or Stomach after childbirth is a critical syndrome. Attacking the Stomach causes fullness, oppression, nausea, and vomiting; attacking the Heart causes mania, confusion, and delirium. Urgent medication is required, but often proves ineffective. This must be known.

Sudden bleeding from the mouth after childbirth is called "Violent Blood Attacking the Heart." Treat with Yanhu San. If lochia has ceased for a long time and coughing/vomiting blood occurs, treat according to standard methods.

Shaoyao (Paeoniae Radix) is contraindicated in early postpartum because its sour-cold nature destroys the generative Qi. However, if abdominal pain requires Shaoyao, stir-frying it with wine makes it safe. Stir-frying with vinegar treats "Erzhen" (afterbirth mass) pain, utilizing the astringent property. When tonifying deficiency, Huangqi (Astragali Radix) can substitute.

Abdominal pain with chills and fever due to decayed blood after childbirth is called "Erzhen Pain." If there is no mass, it is mild; treat with Siwu Tang (Four Substances Decoction - *Context implies a blood-moving variant here, likely referring to a specific postpartum formula often conflated or distinct in local texts, but literally Siwu Tang*). If there is a mass, it is severe; treat with Cu Ge San (Vinegar Granule Powder). Use depends on assessing the patient's excess or deficiency. Generally, Sanleng (Sparganii Rhizoma) and Ezhu (Curcumae Rhizoma) are contraindicated postpartum unless the Original Qi is strong. For emaciated patients, only Siwu Tang is suitable. If there is no cough, a little Rougui can be added to move blood. If appetite is poor and Siwu Tang is ineffective, use Cu Ge San, but do not take it excessively.

[Cu Ge San] Sanleng, Ezhu, Rougui, Xiangfu, Wuyao, Gancao, Chishao. Decoct with vinegar.

For stagnant Erzhen masses with stabbing lower abdominal pain, use Hupo Heilong Dan, Sansheng San (Three Sages Powder), Yanhu San, or Tao Ren Cheng Qi Tang (Peach Kernel Drain the Intestines Decoction). Sansheng San plus Qingpi (Citri Reticulatae Pericarpium Viride), Shanzha, Wulingzhi, and Puhuang is also effective.

[Sansheng San] Rougui, Danggui, Yanshusuo.

[Tao Ren Cheng Qi Tang] Tao Ren (Persicae Semen), Danggui, Chishao, Gancao, Puhuang, Chuanxiong, Rougui.

For postpartum lochia retention with stabbing lower abdominal pain, even with fever, use Siwu Tang (Four Substances Decoction - *Again, context suggests a blood-moving formula, possibly a typo in original text for a different Siwu variant or specifically referencing a blood-invigorating preparation*). For stabbing pain due to anger, combine Zhike San (Aurantii Powder) with Wuji San (Five Accumulations Powder), adding vinegar and child's urine.

[Zhike San combined with Wuji San] Zhike, Gancao, Chenpi, Chuanxiong, Ganjiang (Zingiberis Rhizoma), Rougui, Baizhi (Angelicae Dahuricae Radix), Fuling, Mahuang (Ephedrae Herba), Jiegeng, Banxia (Pinelliae Rhizoma), Houpo (Magnoliae Officinalis Cortex), Huoxiang (Agastaches Herba), Shengjiang.

For unceasing urgent pain in the abdomen and navel due to incomplete expulsion of blood stasis, use Guixu San (Angelica Caudex Powder) or Foshou San (Buddha's Hand Powder), plus Rougui, Danpi, Yanshusuo, Puhuang, Wuyao, and Xiangfu, decocted with child's urine. If lochia does not flow, abdominal pain, combined with wind exposure, overwork, chills, and fever, treat with Sanyuan San (Three Origins Powder).

[Sanyuan San] Renshen, Shudi, Banxia, Chuanxiong, Danggui, Baishao, Huangqin, Chaihu (Bupleuri Radix), Fuling, Shengjiang, Dazao.

For lochia continuing for over a month after childbirth due to anger, with pale red clumps resembling rice grains, treat with Jiuxian San (Nine Immortals Powder).

[Jiuxian San] Danggui, Chuanxiong, Shaoyao, Gancao, Danpi, Qingpi, Puhuang, Huangqin, Xiangfu. Stir-fry Qingpi, Huangqin, and Puhuang until black, grind to powder, decoct together, and take.

For sluggish lochia, urgent lower abdominal pain with masses, fever, and dizziness after childbirth, use Wuji San, adding a little vinegar and child's urine.

For lochia continuing for over two months with abdominal pain, take Jiai Tang (Add Mugwort Decoction).

[Jiai Tang] Shudi, Aiye, Ejiao (Colla Corii Asini), Baishao, Danggui, Chuanxiong, Xiangfu, Qingpi, Diyü (Sanguisorbae Radix), Puhuang, Gancao.

For unceasing stabbing lower abdominal pain after childbirth, use Siwu Tang plus Guixin (Cinnamon Twig) and child's urine, decocted in wine. Or Foshou San plus Puhuang, Yanshusuo, Rougui, child's urine, and wine. If lower abdominal pain attacks, Puhuang is essential. For general abdominal pain, use Pingwei San (Peaceful Stomach Powder) minus Gancao.

[Pingwei San] Cangzhu (Atractylodis Rhizoma), Houpo, Chenpi, Gancao.

If there was a Yin-Fire syndrome before pregnancy, and after childbirth with excessive blood loss, severe fever, irritability, and sweating occur, using the previous method of greatly tonifying Qi and Blood will worsen the symptoms. Use Xiaoyao San (Free and Easy Wanderer Powder) to clear Liver Fire and nourish Liver Blood, as excessive blood loss leads to Liver deficiency and Blood dryness. Do not rigidly adhere to the theory of simple Qi and Blood deficiency.

There are two types of alternating chills and fever after childbirth: one due to disharmony of Yin and Yang, the other due to unresolved decayed blood. The chills and fevers are similar, but the deficiency/excess patterns differ. If there is no lower abdominal pain, it is Yin-Yang disharmony; treat with Xiong Gui San (Peony and Angelica Powder). Do not treat as malaria. Adjust Siwu Tang based on deficiency/excess. If there is stabbing lower abdominal pain, it is unresolved decayed blood; use Wuji San minus Mahuang, plus Xiangfu.

On the second or third day after childbirth, feeling high fever, headache, and stabbing chest/diaphragm pain, do not treat as Shanghan (Cold Damage). This is when the milk channels are about to flow; take Yulu San (Jade Dew Powder).

[Yulu San] Renshen, Fuling, Gancao, Danggui, Baizhi, Jiegeng, Chuanxiong, Baishao.

For excessive blood loss after childbirth causing Yin deficiency with internal heat, headache (worse in the afternoon), similar to post-illness deficiency vexation, take Renshen Danggui San (Ginseng and Angelica Powder). If lower abdominal pain is severe, limbs are numb, whole body feels numb/vertiginous, it is due to Phlegm and Blood deficiency. Treat with Er Si Tang (Two Four Decoction) plus Xiangfu. Blood deficiency can also cause lower abdominal pain, but pain that eases with firm pressure indicates Blood deficiency.

[Renshen Danggui San] Renshen, Danggui, Dingxiang (Caryophylli Flos), Qingpi, Wuzhuyu (Evodiae Fructus).

If excessive blood loss causes empty pain in the waist and abdomen, use tonifying agents to stop the pain; medication should follow the syndrome.

For postpartum delirium, ask about the amount of blood loss. Although the mother cannot speak, observers can estimate the blood loss. Use blood-treating medicines like Qinghun San or Yanhu San, or Siwu Jia Yi Tang (Four Substances Plus Ease Decoction).

[Siwu Jia Yi Tang] Shudi, Danggui, Baishao, Chuanxiong, Banxia, Chenpi, Fuling, Gancao, Shan Zha Rou (Crataegi Fructus Flesh), Tao Ren, Bohe (Menthae Haplocalycis Herba), Shengjiang.

Regarding postpartum delirium due to excessive blood loss: The Heart governs Blood. Excessive blood loss during childbirth causes the Heart Spirit to lose its residence, resulting in delirium. While Qi and Blood should be greatly tonified, the tonification should not be too drastic. Only if truly extremely deficient should one tonify. First, use blood-moving herbs; blood-activating herbs are contraindicated. If sweating occurs, use Yangrong Tang (Nourish Glory Decoction) or Maijian San (Grass-Joint Powder), choosing appropriately at the time.

For postpartum manic speech and delirium, seeing ghosts and spirits, the causes vary. For fright-wind causing inverted speech and unsettled spirit, use Hupo Wan (Amber Pill). For Heart deficiency with palpitations, confused speech, unconsciousness, staring eyes unable to call out, use Longchi Qinghun San. For decayed blood attacking the Heart causing manic and confused speech, use Yanhu San. For Wind-Cold causing lochia retention, aversion to cold, fever resembling malaria, clear during day and dim at night, this is Heat entering the Blood Chamber. Use Hupo Dihuang Wan (Amber Rehmannia Pill), Xiao Chaihu Tang (Minor Bupleurum Decoction), or Siwu Tang plus Chaihu.

[Hupo Dihuang Wan] Hupo (ground separately), Yanshusuo (stir-fried), Danggui (each 2 liang), Puhuang (stir-fried, 4 liang), Shengdi (Rehmanniae Radix, 2 liang, juice reserved, dregs kept), Shengjiang (2 liang, juice reserved, dregs kept). Stir-fry Shengdi dregs with Ginger juice, and Ginger dregs with Shengdi juice, until juices are dry. Grind to powder, mix with honey to make pills the size of quail eggs. Take one pill with Danggui decoction.

If postpartum delirium presents with intense heat and a large, forceful pulse, it is difficult to treat; withholding medication may be more appropriate. If the pulse is deep, fine, slippery, and small, treatment is still possible.

For postpartum delirium due to deficiency from excessive blood loss, use Er Si Tang minus Dihuang, with a little Shanzha and Jiangzhi. Do not diagnose solely as Phlegm, nor assume Blood confusing the Heart orifices.

For Heart deficiency after childbirth with palpitations, instability, and confused speech, use Fushen San (Poria Spirit Powder).

[Fushen San] Renshen, Gancao, Shanyao (Dioscoreae Rhizoma), Danggui, Fushen, Rougui, Yuanzhi, Maidong.

For postpartum mutism due to decayed blood confusing the Heart orifices, blocking Heart Qi, Qi stagnating in the Heart, and stiff tongue preventing speech, do not worry. Take Zhenzhen San (Seven Treasures Powder), and recovery will occur within a month. If mania occurs, add Chensha (Cinnabar).

[Zhenzhen San] Renshen, Shichangpu (Acori Tatarinowii Rhizoma), Shengdi, Chuanxiong, Fangfeng, Gancao, Xixin. Adding Chensha makes it Bazhen San (Eight Treasures Powder).

For postpartum mutism due to wind exposure, use Xiao Xuming Tang (Minor Rescue Life Decoction) with Jiangzhi. For mutism due to Phlegm closing the Heart orifices, use Er Si Tang with Zhuli and Jiangzhi. For stiff tongue, blurred vision, mania, and retained placenta with abdominal fullness, use Hupo Dihuang Wan.

[Xiao Xuming Tang] Guizhi (Cinnamomi Ramulus), Renshen, Fuzi, Shengjiang, Chuanxiong, Gancao, Huangqin, Mahuang, Xingren (Pruni Semen), Baishao, Fangfeng, Dazao.

Seeing ghosts and inverted speech after childbirth due to sudden deficiency and decayed blood carrying pathogenic Qi attacking the Heart is often mistakenly diagnosed as Wind-Pathogen by physicians. Use Tiaojing San (Regulate Menstruation Powder) with Nao Bing (Borneolum Syntheticum) to settle it, or use Hupo Dihuang Wan.

[Tiaojing San] Shexiang (0.5 qian), Moyao (1 qian), Rougui (1 qian), Baishao (2.5 qian), Hupo (1 qian). Grind to powder. Take 0.5 qian each time, mixed with a little Ginger juice and warm wine.

Postpartum fever with spontaneous sweating persisting for a long time is called Rulao (Childbed Labor). Take Xiaoyao San.

For Rulao due to deficiency with persistent fever and sweating, or recurrence upon wind exposure, use Huangqi Tang (Astragalus Decoction) plus Mahuanggen (Ephedrae Radix et Rhizoma) and Fu Xiaomai (Triticum Levis Fructus).

[Huangqi Tang] Huangqi (Astragali Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Fangfeng, Shudi, Muli (Concha Ostreae), Fuling, Maidong, Gancao, Dazao, Fu Xiaomai, Zhuye (Phyllostachys Viridis Folium).

For Rulao after minor abortion with sweating, use Zengjian Chaihu Tang (Modified Bupleurum Decoction). For hemihidrosis (sweating on one side), use Er Si Tang.

[Zengjian Chaihu Tang] Chaihu, Renshen, Baishao, Chuanxiong, Banxia, Gancao, Chenpi, Shengjiang, Dazao.

For postpartum night sweats like rain, despite taking many decoctions, if Blood deficiency generates heat causing spontaneous sweating, do not tonify too heavily; focus on regulation. Take Xiaoyao San. If there is hunger with severe pain, only Yangrong Tang can treat it. Buzhong Yiqi Tang contains Shengma and Chaihu, which cannot astringe sweat, unlike Xiaoyao San which stops sweat and treats Blood deficiency. For combined Qi and Blood deficiency, use Bawu Tang (Eight Substances Decoction) and Yangrong Tang together.

Do not lightly induce sweating after childbirth. If sweating already exists, do not induce sweating again. If deficiency sweating cannot be dried by wiping with both hands, it is incurable.

For postpartum wind-stroke, treating Blood is paramount. Do not treat Wind first; once decayed blood moves, the wind stops. Use Qingxin Niuhuang Wan (Clear Heart Calculus Bovis Pill). Mutism is due to wind touching the yin orifice; treat with Xiao Xuming Tang. Paralysis of limbs is due to decayed blood entering the collaterals; use Wuji San or Er Si Tang plus Jiegeng, with blood-activating herbs and Ginger juice. For delirium, use Er Si Tang plus digestive and blood-activating herbs, with a little Bohe and Jiangzhi. Postpartum wind-stroke involves Phlegm, Qi, and Blood deficiency; thus Er Si Tang is indispensable. Especially for those with closed eyes and Phlegm-panting, it is highly suitable.

For minor abortion followed by emotional upset and falling, with incomplete lochia, confusion, mutism, and unconsciousness, treat with Er Si Tang plus Honghua (Carthami Flos), Shanzha, and Jiangzhi.

For incomplete lochia with postpartum wind-stroke presenting with locked jaw and opisthotonos, use Jingjie San with Doulin Jiu (Bean Soaking Wine) and Tongbian. Blowing the powder into the nose for locked jaw is especially effective.

For postpartum wind-stroke with locked jaw and opisthotonos, use Xiao Xuming Tang or Jiajiao San (Cross-Adding Powder) with Zhuli. For locked jaw, limb numbness, and opisthotonos, take Qianghuo Jiu (Notopterygium Wine); sweating indicates recovery.

[Jiajiao San] Shengdi (5 liang, juice reserved, dregs kept), Shengjiang (5 liang, juice reserved, dregs kept). Soak each in the other's juice overnight. Next day, stir-fry each until dry, grind to fine powder. Take mixed with Zhuli wine. Another prescription adds Danggui and Dihuang.

[Qianghuo Jiu] Qianghuo, Fangfeng, Heidou (Black Soybean, 1 sheng, stir-fried black until smoke ceases). Put in good wine, seal in a bottle, boil in a double boiler for half a day. Cool and drink.