产后伤脬，此缘稳婆之故。以白芨散治之。
白芨散∶白芨、凤凰衣、桑螵蛸，等分入猪脬内。煮烂食之。
产后四肢浮肿，皮肤光莹，脾虚不能制水，肾虚不能行水故也。当大补气血为主，佐以
苍术、白术、茯苓等药，虚加人参、木通，热加麦冬、条芩。若因风冷湿气伤表，无汗而肿
，宜加姜皮、半夏、苏叶及五皮散以微表之，使水气从皮毛而出。然后以补剂调理。
利水益气汤∶人参、白术各三钱，白芍、茯苓各一钱，陈皮六分，木瓜八分，苍术、浓
朴、苏叶、木通、腹皮各一钱。
五加皮散∶加皮、腹皮、苓皮、骨皮、姜皮。
产后劳瘵症，皆由嗜欲无节，起居不时，以致真阴耗竭，虚火上炎。或蒸而热，或往来
寒热、似疟非疟，或咳血咯血、自汗盗汗，或心神恍惚，梦与鬼交，或经水闭塞，日渐羸瘦
，皆缘阴虚生热所致，热郁积久，变成虚怯。宜清热止嗽，润肺泻火，滋补真阴，以复其元
。患此者必须寡欲内养，方能有效，否则不治。
保真汤∶川芎一钱，当归、生地、白术各二钱，麦冬一钱，天冬一钱五分，川贝、茯苓
各五分，桔梗八分，五味十粒，骨皮一钱，炙甘草四分，枣二枚，水煎。虚加人参一钱，黄
六分。胃弱加茯苓、山药各二钱，砂仁三粒。
加味大造丸∶生地一钱，人参、当归、山药、杞子各一两，知母一钱五分，石斛（酒蒸）
、麦冬各八钱，银胡六钱，龟板五钱，共为末，炼蜜为丸如桐子大，早晚服。
以上两方，但举其概，至辨症施治，全在临时取裁。如补中益气汤、六味、肾气丸、八
珍汤、十全大补汤、还少丹、逍遥散加芎、归，此数方俱可治劳瘵，因症选用可也。
Postpartum bladder injury is caused by the mishandling of midwives. It is treated with Baiji San (White Rhizoma Bletillae Powder).
Baiji San: Consists of equal parts of Baiji (Rhizoma Bletillae), Fenghuangyi (Ootheca Mantidis), and Sangpiaoxiao (Spermium Cataplexidis), placed inside a pig bladder. Boil until soft and consume.
Postpartum edema of the four limbs with shiny skin is due to Spleen deficiency failing to control water and Kidney deficiency failing to transform water. The treatment should primarily focus on greatly tonifying Qi and Blood, supplemented with herbs such as Cangzhu (Rhizoma Atractylodis Chinensis), Baizhu (Rhizoma Atractylodis Macrocephalae), and Fuling (Poria). For deficiency, add Renshen (Radix Ginseng) and Mutong (Caulis Akebiae); for heat, add Maidong (Radix Ophiopogonis) and Huangqin (Radix Scutellariae). If caused by wind-cold-dampness invading the exterior, presenting with anhidrosis and edema, it is appropriate to add Jiangpi (Pericarpium Zingiberis Recens), Banxia (Rhizoma Pinelliae), Ziye (Folium Perillae), and Wupi San (Five Peel Powder) to induce mild diaphoresis, allowing water qi to exit through the skin and hair. Subsequently, regulate with tonic formulas.
Lishui Yiqi Tang (Water-Draining Qi-Boosting Decoction): Renshen (Radix Ginseng) and Baizhu (Rhizoma Atractylodis Macrocephalae) 3 qian each; Shaoyao (Radix Paeoniae Alba) and Fuling (Poria) 1 qian each; Chenpi (Pericarpium Citri Reticulatae) 6 fen; Mugua (Fructus Chaenomelis) 8 fen; Cangzhu (Rhizoma Atractylodis Chinensis), Houpo (Cortex Magnoliae Officinalis), Ziye (Folium Perillae), Mutong (Caulis Akebiae), and Fupi (Pericarpium Citri Reticulatae Viride) 1 qian each.
Wujiapi San (Eleven-Cortex Powder): Wujiapi (Cortex Acanthopanacis Senticosi), Fupi (Pericarpium Citri Reticulatae Viride), Lingpi (Poria with Hostwood), Gupi (Cortex Lycii), Jiangpi (Pericarpium Zingiberis Recens).
Postpartum Laozai (Consumption Syndrome) results from unrestrained sexual desires and irregular daily routines, leading to exhaustion of True Yin and flaming up of Deficient Fire. Symptoms may include steaming fever, alternating chills and fever resembling malaria but not quite so, hemoptysis or spitting blood, spontaneous sweating and night sweats, mental confusion, dreams of intercourse with spirits, amenorrhea, and progressive emaciation. All these are caused by Yin deficiency generating heat; prolonged stagnation of heat transforms into a condition of deficiency and weakness. Treatment should clear heat and stop coughing, moisten the lungs and drain fire, tonify True Yin, and restore vitality. Patients must practice sexual restraint and internal nourishment for efficacy; otherwise, the condition is incurable.
Baozhen Tang (Preserve Truth Decoction): Chuanxiong (Rhizoma Chuanxiong) 1 qian; Danggui (Radix Angelicae Sinensis), Shengdi (Radix Rehmanniae Preparata), and Baizhu (Rhizoma Atractylodis Macrocephalae) 2 qian each; Maidong (Radix Ophiopogonis) 1 qian; Tiantong (Radix Asparagi) 1.5 qian; Chuanbei (Bulbus Fritillariae Cirrhosae) and Fuling (Poria) 0.5 qian each; Jiegeng (Radix Platycodonis) 0.8 qian; Wuweizi (Fructus Schisandrae Chinensis) 10 grains; Gupi (Cortex Lycii) 1 qian; Zhigancao (Radix Glycyrrhizae Preparata) 0.4 qian; Dazao (Fructus Jujubae) 2 pieces. Decoct in water. Add Renshen (Radix Ginseng) 1 qian and Huangqi (Radix Astragali) 0.6 qian for deficiency. Add Fuling (Poria) and Shanyao (Rhizoma Dioscoreae) 2 qian each, and Sharen (Fructus Amomi Rotundus) 3 grains for weak stomach.
Jiawei Dazao Wan (Modified Great Creation Pill): Shengdi (Radix Rehmanniae Preparata) 1 qian; Renshen (Radix Ginseng), Danggui (Radix Angelicae Sinensis), Shanyao (Rhizoma Dioscoreae), and Gouqi (Fructus Lycii) 1 liang each; Zhimu (Cortex Phellodendri) 1.5 qian; Shihu (Caulis Dendrobii) (steamed with wine) and Maidong (Radix Ophiopogonis) 8 qian each; Yinhu (Radix Bupleuri) 6 qian; Guiban (Carapax et Plastrum Testudinis) 5 qian. Grind into fine powder, mix with refined honey, and form pills the size of paulownia seeds. Take morning and evening.
The above two formulas are merely general examples. Differentiation and treatment depend entirely on clinical judgment. Formulas such as Buzhong Yiqi Tang (Tonify the Middle and Boost Qi Decoction), Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill), Shenqi Wan (Kidney Qi Pill), Bazhen Tang (Eight-Treasure Decoction), Shiquan Dabu Tang (Ten-Ingredient Great Tonifying Decoction), Huanshao Dan (Restore Youth Pellet), and Xiaoyao San (Free and Easy Wanderer Powder) plus Chuanxiong and Danggui can all be used to treat Laozai, selected according to specific symptoms.