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Postpartum labor injury caused by blood loss, combined with improper nursing care, leads to bone-steaming consumption fever. If it is a wealthy family, although there are good food and medicinal power for nursing, there must be other matters that are not satisfactory, causing anger to stir up liver fire, consuming the newly generated blood, which can also lead to reduced diet, deficiency, emaciation, and body fatigue. Moreover, women who have just given birth originally belong to blood deficiency, with very little blood generated; once injured and consumed, yin-blood becomes even more deficient, how can it not become internal heat and bone-steaming? Even for common people, not only are there no good foods and medicines to nourish qi and blood, but they also breastfeed their children themselves, so how can the newly generated blood suddenly become sufficient? If the constitution is originally thin and weak, how can it not become yin-deficiency internal heat and form bone-steaming? Therefore, to treat postpartum weakness, Shen Gui Tang (Ginseng and Angelica Decoction) is used. For alternating chills and fever, Bai Fu Ling San (Poria Powder) is used. For mixed deficiency symptoms forming Ru Lao (postpartum consumption), Bie Jia Tang (Turtle Shell Decoction) is used. For feeling weak without obvious disease, Shi Quan Da Bu Tang (Ten Significant Tonifying Decoction) or Dang Gui Yang Rou Tang (Angelica and Mutton Decoction) is used. Some treatments for postpartum bone-steaming involve first taking Qing Gu San (Bone-Clearing Powder), then Bao Zheng Tang (Protect Uprightness Decoction); additionally, Jia Wei Da Zao Wan (Modified Great Creation Pill) can also treat bone-steaming consumption fever. *Yi Tong* states: Postpartum Ru Lao is extreme fatigue of sinews and muscles, worry and mental labor causing deficiency. Or due to improper postpartum care, leading to deficiency, emaciation, panting, and fatigue, chills and fever like malaria, vexation and pain in all joints, headache, spontaneous sweating, limb fatigue, cough with counterflow of phlegm, abdominal cramping and stabbing pain. One should primarily support the upright qi, using Liu Jun Zi Tang (Six Gentlemen Decoction) added with Dang Gui (Angelica Sinensis). If spleen and lung qi are deficient, with cough and dry mouth, Yi Gong San (Master Yi's Powder) is added with Mai Dong (Ophiopogon Tuber) and Wu Wei Zi (Schisandra Berry). For qi deficiency causing dizziness, Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) uses doubled Dang Gui (Angelica Sinensis) and Huang Qi (Astragalus Root). For liver meridian blood deficiency causing limb pain, Si Wu Tang (Four Substances Decoction) is added with Ren Shen (Ginseng), Fu Ling (Poria), Bai Zhu (Atractylodes Macrocephala Rhizome), and Gui Zhi (Cinnamon Twig). For liver and kidney deficiency, with spontaneous sweating, night sweats, and alternating chills and fever, Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) is added with Wu Zi Zi (Schisandra Berry). For spleen deficiency and weak blood, with abdominal pain and irregular menstruation, Gui Pi Tang (Restore the Spleen Decoction) uses doubled Mu Xiang (Costus Root). For blood deficiency with heat, Zeng Sun Chai Hu Tang (Modified Bupleurum Decoction) is used. For bone-steaming consumption fever with cough having a menstrual cycle context (or specific course), Yi Gong San (Master Yi's Powder) removes Bai Zhu (Atractylodes Macrocephala Rhizome) and adds Shan Yao (Dioscorea Rhizome), Dan Pi (Moutan Cortex), Wu Wei Zi (Schisandra Berry), E Jiao (Donkey-Hide Gelatin), and Tong Bian (Child's Urine). For heat without phlegm, dry cough, Xiao Yao San (Free and Easy Wanderer Powder) is used, with honey-fried ginger and orange, and honey-steamed Bai Zhu (Atractylodes Macrocephala Rhizome). For postpartum deficiency damage, intermittent chills and fever, or lasting one or two years with yuan shen (original spirit) not recovering and menstruation not returning, first give Qian Jin Dang Gui Shao Yao Tang (Thousand Gold Angelica and Peony Decoction), then use Wu Gu Ji Wan (Black-Bone Hen Pill) for regulation and tonification. Generally, this condition is mostly due to spleen and stomach weakness, reduced diet, leading to exhaustion. One should tonify spleen and stomach, advance diet, so that all zang-fu organs have reliance, and the illness will heal itself!

Shen Gui Tang (Ginseng and Angelica Decoction): Treats postpartum weakness. Ren Shen (Ginseng) and Dang Gui (Angelica Sinensis) (soaked in wine) each 2 qian, one pig kidney, glutinous rice, and scallion white water decocted and taken orally.

Bai Fu Ling San (Poria Powder): Treats postpartum Ru Lao (consumption), pain in head, eyes, and limbs, chills and fever like malaria. Ren Shen (Ginseng), Dang Gui (Angelica Sinensis), Shu Di (Prepared Rehmannia Root), Chuan Xiong (Sichuan Lovage Rhizome), Bai Shao (White Peony Root) (stir-fried), Huang Qi (Astragalus Root) (honey-roasted), Gui Xin (Cinnamon Heart) each 5 fen, Fu Ling (Poria) 1 qian, one pig kidney, ginger and jujube as guides, water decocted and taken orally.

Bie Jia Tang (Turtle Shell Decoction): Treats postpartum mixed deficiency symptoms forming Ru Lao (consumption). Huang Qi (Astragalus Root) (honey-roasted), Bie Jia (Turtle Shell) each 1 qian, Niu Xi (Achyranthes Root) 7 fen (wine-steamed), Ren Shen (Ginseng), Fu Ling (Poria), Dang Gui (Angelica Sinensis), Bai Shao (White Peony Root) (stir-fried), Sang Ji Sheng (Taxillus Branch), Mai Dong (Ophiopogon Tuber) (heart removed), Shu Di (Prepared Rehmannia Root), Tao Ren (Peach Seed) (skin and tip removed), Gui Xin (Cinnamon Heart), Zhi Cao (Honey-fried Licorice Root) each 5 fen.

Dang Gui Yang Rou Tang (Angelica and Mutton Decoction): Treats postpartum feeling weak without disease. Dang Gui (Angelica Sinensis) 5 liang, Huang Qi (Astragalus Root) 4 liang (honey-roasted), Sheng Jiang (Fresh Ginger) 6 liang, fat mutton 1 jin, boiled to extract juice to decoct medicine, divided into four doses.

Qing Gu San (Bone-Clearing Powder): Treats bone-steaming consumption fever, usable for both men and women. Chai Hu (Bupleurum Root), Qian Hu (Peucedani Radix), Hu Huang Lian (Picrorhiza Rhizome), Wu Mei (Mume Fruit) each 8 fen, one segment of pig bone marrow, ten roots of leek white, water decocted until ready, add a little pig bile and take orally. Another method: grind medicine into powder, mix with 1 qian pig bone marrow, one pig bile, and leek white, pound together into pills the size of mung beans. Take 30-40 pills each time, send down with boiling water after meals.

Bao Zheng Tang (Protect Uprightness Decoction): Ren Shen (Ginseng), Fu Ling (Poria), Bai Zhu (Atractylodes Macrocephala Rhizome) (earth-fried, if cough use honey-steamed), Mai Dong (Ophiopogon Tuber) (heart removed), Bai Shao (White Peony Root) (stir-fried), Gou Qi (Goji Berry), Sheng Di Huang (Rehmannia Root) each 2 qian. Tian Dong (Asparagus Tuber) only uses... (Original text here seems to have omissions or layout issues, retained as per meaning).

Zeng Sun Chai Hu Tang (Modified Bupleurum Decoction): Treats Shaoyang blood deficiency, unceasing chills and fever. Ren Shen (Ginseng), Chuan Xiong (Sichuan Lovage Rhizome), Shao Yao (Peony Root), Zhi Cao (Honey-fried Licorice Root) each 1 qian, Chai Hu (Bupleurum Root), Zhi Ban Xia (Prepared Pinellia Tuber) each 1 qian, Chen Pi (Citrus Reticulata Peel) 8 fen, 5 slices of ginger, 4 jujubes, water decocted and taken orally.

Qian Jin Dang Gui Shao Yao Tang (Thousand Gold Angelica and Peony Decoction): Treats postpartum vexation, fullness, and uneasiness. Ren Shen (Ginseng), Shao Yao (Peony Root) (stir-fried), Mai Dong (Ophiopogon Tuber) (heart removed), Gan Di Huang (Dried Rehmannia Root) each 1 qian, Dang Gui (Angelica Sinensis) 1.5 qian, Gui Xin (Cinnamon Heart) 4 fen, a pinch of Jing Mi (Glutinous Rice), 3 slices of ginger, 3 pitted jujubes, water decocted and taken orally.

Wu Gu Ji Wan (Black-Bone Hen Pill): Treats women with depression and discomfort, steaming heat and cough, irregular menstruation, or long-term amenorrhea, or retrograde menstruation with bleeding from above, or postpartum Ru Lao (consumption), or metrorrhagia and leukorrhea with red and white discharge, and various conditions of Bai Yin (white discharge); also treats men with premature seminal emission, consumption cough with hemoptysis, or deficiency damage. One black-bone hen (only white-silk-feathered ones can be used; males use female chickens, females use male chickens, select tender and long ones, restrain them, soak to remove feathers, cut open flanks with a bamboo knife, remove gizzard and liver, remove filth, keep inner gold lining, and remove intestinal dirt, still put back inside abdomen), Shu Di (Prepared Rehmannia Root) 4 liang (if blood heat add Sheng Di Huang/Rehmannia Root 2 liang), Bei Wu Wei Zi (Schisandra Berry) 1 liang (crushed. Put these two ingredients into the chicken abdomen, use aged wine or fermented rice wine, Tong Bian (Child's Urine) each 2 bowls, water several bowls, in a clay pot, boil while adding continuously, until mushy and juice is exhausted), Mian Huang Qi (Astragalus Root) 3 liang (skin removed, mixed with honey-wine and roasted), Bai Zhu (Atractylodes Macrocephala Rhizome) 3 liang (steamed on rice nine times), Bai Fu Ling (Poria) (skin removed, cleaned), Dang Gui Shen (Angelica Sinensis Root Head)... (Original text here seems to have omissions, retained as per meaning). The above five ingredients are pre-coarsely ground, pounded together with chicken meat, baked dry, bones roasted with butter, ground together into fine powder, add the following medicines: Ren Shen (Ginseng) 3 liang (if very deficient increase to 6 liang), Chuan Xiong (Sichuan Lovage Rhizome) 1 liang (soaked in child's urine, sliced and dried), Mu Dan Pi (Moutan Cortex) 2 liang (soaked in wine, do not fry). The above three... (Original text here seems to have omissions, retained as per meaning). For those with solid stools, refining white honey into pills is also acceptable. For bone-steaming, add Zhi Jiu Lei Bie Jia (Honey-roasted Nine-Ribbed Turtle Shell) 3 liang, Yin Chai Hu (Stellariae Radix), Gu Pi (Lycii Cortex) each 1.5 liang. For amenorrhea, add Rou Gui (Cinnamon Bark) 1 liang. For metrorrhagia and bleeding, double Shu Di (Prepared Rehmannia Root), add Zhen E Jiao (Authentic Donkey-Hide Gelatin) 2 liang. For retrograde menstruation with bleeding, add Qu Xin Mai Dong (Ophiopogon Tuber with heart removed) 2 liang. For depression and stuffiness, add Tong Bian Zhi Xiang Fu (Child's Urine-processed Cyperi Rhizoma) 2 liang, Chen Xiang (Aquilaria Wood) 5 qian. For red and white leukorrhea, add Zhen Chuan Bi Xie (Authentic Dioscoreae Hypoglaucae Rhizoma) 2 liang, Si Zhi Xiang Fu (Four-Processed Cyperi Rhizoma) 2 liang, Qi Ai (Artemisia Argyi Leaf) 1 liang. For Bai Yin (white discharge), double the use of Ren Shen (Ginseng), Huang Qi (Astragalus Root), Fu Ling (Poria), Bai Zhu (Atractylodes Macrocephala Rhizome).

Note: Wu Gu Ji Wan (Black-Bone Hen Pill), all medicines are ordinary without anything special, most effective for regulating menstruation. The chicken belongs to Xun trigram tonifying liver, the wonder lies in black bone benefiting kidney, changing Xun to Kan, Jia and Gui share the same source, simultaneously nourishing Chong and Ren meridians.