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Medicines for postpartum conditions should be warm in nature, whereas medicines for Sha Zhang (a condition characterized by distension and pain due to the stagnation of Qi and blood caused by epidemic toxins or turbid pathogens) must be cooling. Since their properties are opposite, prescriptions should not adhere to a single rigid rule. The following principles are established for clinical application: To disperse Sha toxins, use *Radix Angelicae Pubescentis* (Duhuo) and *Radix Asari* (Xixin); to break blood stasis, use *Semen Persicae* (Taoren) and *Flos Carthami Tinctorii* (Honghua); to regulate Qi, use *Rhizoma Cyperi Rotundi* (Xiangfu), *Fructus Linderae* (Wuyao), and *Pericarpium Citri Reticulatae* (Chenpi); to clear heat and detoxify, use *Flos Lonicerae Japonicae* (Jinyinhua) and *Herba Violae* (Zididing); to digest food, use *Fructus Crataegi* (Shanzha), *Semen Raphani* (Bolabzi), *Massa Medicata Fermentata* (Shenqu), and *Fructus Hordei Germinatus* (Maiya). If ginger charcoal and Cinnamon Twig (Rougui) are used to warm the blood after childbirth, this is contraindicated for Sha syndrome; if Schizonepeta (Jingjie) and Saposhnikovia Root (Fangfeng) are used to disperse Sha, and Forsythia (Lianqiao) and Mint (Bohe) to clear heat, these are unsuitable for postpartum conditions. Moreover, when Sha syndrome causes severe distension, it is crucial to use Rhubarb (Dahuang), Immature Bitter Orange (Zhishi), and Areca Seed (Binglang) to unblock accumulation, which are even more contraindicated in postpartum cases. Generally, applying warming herbs to Sha syndrome will exacerbate distension, while applying cold herbs to postpartum conditions will aggravate blood stasis. Only by employing herbs with a mildly warm nature can both conditions be managed without interference. Adding human urine (Tongbian, considered to have effects of clearing heat, nourishing Yin, and dissipating stasis) to clear heat and resolve stasis is indeed an excellent method (referencing chapters "Ge 7" and "Ge 8").

A woman experienced severe abdominal cramping three days after childbirth, with her abdomen distended like a drum and lochia (postpartum discharge) obstructed. Typically, postpartum pain is located in the lower abdomen; however, the abnormal severe cramping in the large abdomen indicates this is not a typical postpartum disease. The pulse was surging, rapid, and forceful, confirming the presence of Sha syndrome. She was first given a cup of human urine to drink, after which she slightly recovered. Poisonous blood was released via acupuncture, and the pain subsided slightly. The formula "Si Liu Fang" was administered, resulting in the resolution of Sha and the patency of lochia.

Another woman, several days postpartum, had suffered excessive blood loss. Suddenly, she presented with severe alternating chills and fever, extreme distension, and oppression, appearing critically ill. Her pulse was excessively surging and large. Considering that the evil blood had been exhausted, such a pulse was inappropriate. Examination revealed two red and purple Sha veins. After releasing blood from these veins, the pulse ceased to be surging and large. Additionally, over ten acupuncture points on her fingers and arms were needled. Four doses of "Ge Qi Fang" cured her.

A puerpera on the sixth day postpartum suffered from generalized body pain, alternating chills and fever resembling malaria, and extreme lethargy and oppression. Her pulses in all six positions showed intermittent stops, and her fingernails appeared black. Seven needles were inserted into her fingers, and one needle at the sublingual area released dark purple-black blood. Her symptoms alleviated slightly. Four doses of "Ge Ba Fang" resulted in complete recovery.

In infants, sudden phlegm obstruction causing急促 breathing (Qi Ji), inability to speak, upward rolling of the eyes, convulsions, and distension are often mistakenly treated as infantile convulsion (Jing Feng) without success. One must quickly check for Sha veins and release blood. If Sha spots appear on the forehead, fire cupping (Huo Ba) should be applied urgently to first resolve the Sha. Only then should infantile convulsion be treated using "Tu Wu Fang". Adhering strictly to the treatment of infantile convulsion will inevitably lead to death.