凡病起于血气之衰，脾胃之虚。而产后尤甚。是以丹溪先生论产后，必大补气血为先，虽有他症，以末治之，
斯言尽治产之大旨。若能扩充立方，则治产可无过矣。夫产后忧、惊、劳、倦，气血暴虚，诸症乘虚易入，如有气
毋专耗散，有食毋专消导；热不可用芩、连，寒不可用桂、附；寒则血块停滞，热则新血崩流。至若中虚外感，见三
阳表症之多，似可汗也，在产后而用麻黄，则重竭其阳；见三阴里症之多，似可下也，在产后而用承气，则重亡阴
血。耳聋胁痛，乃肾虚恶露之停，休用柴胡。谵语出汗，乃元弱似邪之症，非同胃实。厥由阳气之衰，无分寒热，
非大补不能回阳而起弱。痉因阴血之亏，不论刚柔，非滋荣不能舒筋而活终。乍寒乍热，发作无期，症似疟也，若
以疟治，迁延难愈。言论无伦，神不守舍，病似邪也，若以邪治，危亡可待。去血过多而大便燥结，肉苁蓉加于生
化，非润肠承气之能通。去汗过多而小便短涩，六君子倍加参、 ，必生津助液之可利。加参生化汤频服，救产后
之危；长生活命丹屡用，苏绝谷之人。 疝脱肛，多是气虚下陷，补中益气之方，口噤拳挛，乃因血燥类风，加参
生化之剂。产户入风而痛甚，服宜羌活养荣汤。玉门伤凉而不闭，洗宜 儿黄硫散。怔忡惊悸，生化汤加以定志。似邪恍
惚，安神丸助以归脾。因气而闷满虚烦，生化汤加木香为佐。因食而嗳酸恶食，六君子加神曲、麦芽为良。苏木、莪术 大
能破血；青皮、枳壳，最消满胀。一应耗气破血之剂，汗吐宣下之法，只可施诸壮实，岂宜用于胎产。大抵新产后，先
问恶露如何，块痛未除，不可遽加参术；腹中痛止，补中益气无疑。至若亡阳脱汗，气虚喘促，频服加参生化汤，是从
权也。又如亡阴火热，血崩厥晕，速煎生化原方，是救急也。王太仆云∶“治下补下，治以急缓，缓则道路达而力微，急
则气味浓而力重。”故治产当遵丹溪而固本，服法宜效太仆以频加。凡付生死之重寄，须着意于极危；欲求俯仰之无亏，
用存心于爱物。此虽未尽产症之详，然所闻一症，皆援近乡治验为据，亦未必无小补云。
凡是疾病，都起因于血气的衰弱和脾胃的虚弱。而产后这一状况尤为严重。因此，朱丹溪先生在论述产后病时，必定以大补气血为首要任务，即使有其他病症，也将其作为次要问题来处理。这句话概括了治疗产后病的根本宗旨。如果能够在此基础上灵活扩充、制定方剂，那么治疗产后病就不会有过错了。
产后因忧虑、惊恐、劳累、疲倦，导致气血突然极度虚弱，各种病症容易趁虚而入。此时，如果有气滞，不要专门使用耗散气机的药物；如果有食积，不要专门使用消导食积的药物。有热象不可滥用黄芩、黄连等苦寒药，有寒象不可滥用桂枝、附子等辛热药；因为寒凉会导致血块停滞，温热则可能导致新血崩漏流出。
至于中焦虚弱又外感邪气，出现太阳、阳明、少阳三阳经表证较多的情况，看似可以使用发汗法，但在产后如果使用麻黄，则会再次耗竭阳气；出现太阴、少阴、厥阴三阴经里证较多的情况，看似可以使用攻下法，但在产后如果使用承气汤类方剂，则会再次亡失阴血。
耳聋、胁痛，是由于肾虚且恶露停滞所致，不要使用柴胡。说胡话、出汗，是由于元气虚弱似有邪气干扰的症状，不同于胃家实热证。四肢厥冷是由阳气衰微引起的，不分寒热属性，不通过大补元气无法回阳并挽救虚弱的身体。痉挛抽搐是因为阴血亏虚引起的，不论刚痉还是柔痉，不通过滋养荣血无法舒缓筋脉并使身体恢复生机。
忽冷忽热，发作没有固定时间，症状类似疟疾，如果按照疟疾来治疗，病情会拖延难以痊愈。言语错乱无章，神志不守舍，症状类似邪祟作怪，如果按照邪祟来治疗，危亡就在眼前。
失血过多导致大便干燥结硬，在生化汤中加入肉苁蓉，这并非润肠承气汤所能通下的。出汗过多导致小便短少涩痛，在六君子汤中加倍加入人参、（此处原文缺字，通常指茯苓或白术，结合语境及后文“生津助液”，暂译为加入参等补气生津之品），必须依靠生津助液的方法才能利尿。频繁服用加参生化汤，可以挽救产后的危急重症；多次使用长生活命丹，可以唤醒绝食垂死之人。
疝气和脱肛，多是气虚下陷所致，适用补中益气汤。牙关紧闭、手足拳挛，是因为血燥类似风症，适用加参生化汤。产户受风侵袭而疼痛剧烈，适宜服用羌活养荣汤。玉门（阴道口）受寒凉刺激而不能闭合，适宜用儿茶、黄柏、硫磺散清洗。怔忡惊悸，在生化汤中加入定志丸以安神。神志恍惚似有邪祟，用安神丸辅助归脾汤。因气滞导致的胸闷虚烦，在生化汤中加入木香作为佐药。因食积导致的嗳酸、厌恶食物，在六君子汤中加入神曲、麦芽为良方。
苏木、莪术能大力破血；青皮、枳壳最能消除胀满。所有耗气破血的药剂，以及汗、吐、宣、下等治法，只适用于身体壮实的人，岂能用于胎产期间？
大体上，新产之后，先询问恶露的情况，如果瘀块疼痛未除，不可立即加入人参、白术等补益药；如果腹中疼痛已止，使用补中益气汤无疑是对的。至于亡阳导致的脱汗、气虚喘促，频繁服用加参生化汤，这是权宜之计。又如亡阴导致的火热、血崩、厥晕，迅速煎煮生化汤原方，这是急救措施。
王冰（王太仆）说：“治疗下部疾病，用药要根据急缓来决定，缓则药力微弱如远行难达，急则药味浓郁如重兵压境。”所以治疗产后病应当遵循朱丹溪的观点以固护根本，服药方法应当效法王冰的观点以频服加量。凡是交付生死重任的医生，必须在极危重的情况下用心诊治；想要做到问心无愧，必须存有爱惜生命之心。这些内容虽然未能详尽列举所有产后病症，但所提到的每一种症状，都是依据近乡的治疗经验为依据，或许也能起到一定的补充作用。
Any disease originates from the decline of blood and qi, and the deficiency of the spleen and stomach. This condition is particularly severe postpartum. Therefore, when Master Zhu Danxi discussed postpartum conditions, he emphasized that tonifying blood and qi must be the primary priority; even if other symptoms exist, they should be treated as secondary concerns. This statement encapsulates the fundamental principle of treating postpartum disorders. If one can expand upon this to formulate prescriptions accordingly, there will be no errors in treating postpartum conditions.
Postpartum anxiety, fright, fatigue, and overwork lead to a sudden and severe depletion of blood and qi, making various pathological factors prone to invading due to this deficiency. In such cases, if there is qi stagnation, one should not exclusively use dispersing agents; if there is food retention, one should not exclusively use digestive aids. For heat patterns, one must not indiscriminately use Scutellariae Radix (Huangqin) and Coptidis Rhizoma (Huanglian); for cold patterns, one must not indiscriminately use Cinnamomi Ramulus (Guizhi) and Aconiti Lateralis Radix Praeparata (Fuzi). Cold causes blood stasis to stagnate, while heat may cause fresh blood to hemorrhage.
Regarding exterior deficiency with external pathogenic invasion, if there are many Taiyang, Yangming, and Shaoyang exterior symptoms, sweating might seem appropriate; however, using Ephedrae Herba (Mahuang) postpartum would severely deplete yang qi. If there are many Taiyin, Shaoyin, and Jueyin interior symptoms, purging might seem appropriate; however, using Chengqi Decoction variants postpartum would severely damage yin blood.
Deafness and hypochondriac pain result from kidney deficiency and lochia retention; do not use Bupleuri Radix (Chaihu). Delirium and sweating indicate a pattern of yuan qi weakness resembling pathogenic interference, which is different from Stomach excess heat syndrome. Limb coldness (Jue) is caused by the decline of yang qi; regardless of cold or heat patterns, only major tonification can restore yang and revive the weak body. Spasms (Jing) are due to yin blood deficiency; whether rigid or flaccid spasms, only nourishing the nutritive level can relax the sinews and restore vitality.
Alternating chills and fever without a fixed schedule resemble malaria; if treated as malaria, the condition will linger and be difficult to cure. Disordered speech and loss of mental possession resemble demonic influence; if treated as such, death may ensue quickly. Excessive blood loss leading to dry, hard stools requires adding Cistanche Herba (Roucongrou) to Shenghua Decoction; this cannot be achieved by Run Chang Chengqi Decoction alone. Excessive sweating leading to scanty, dysuric urine requires doubling the dosage of Ginseng Radix et Rhizoma (Renshen) and Poria (Fuling/Baizhu - *text missing specific herb but implies tonification*) in Liu Junzi Decoction; only generating fluids and assisting yin can promote urination. Frequent administration of Renshen-added Shenghua Decoction saves critical postpartum emergencies; repeated use of Changsheng Huoming Pill revives those on the verge of death from starvation/collapse.
Hernia and rectal prolapse are mostly due to qi deficiency with sinking; Buy Zhong Yi Qi Tang is indicated. Trismus and clenched fists resemble wind patterns due to blood dryness; Renshen-added Shenghua Decoction is indicated. Severe pain in the vaginal introitus due to wind invasion requires Qianghuo Yangrong Decoction. Cold injury to the vulva causing failure to close requires washing with Erhuangliu San. Palpitations and fright require adding Dingzhi Wan to Shenghua Decoction. Mental confusion resembling demonic influence requires Anshen Wan assisted by Guipi Decoction. Chest fullness and empty irritability due to qi stagnation require adding Aucklandiae Radix (Muxiang) as an assistant to Shenghua Decoction. Belching of sour taste and aversion to food due to food retention require adding Medicated Leaven (Shenqu) and Hordeum Fructus Germinatus (Maiya) to Liu Junzi Decoction.
Lignum Sappan Wood (Sumu) and Curcumae Rhizoma (Ezhu) strongly break blood stasis; Citri Reticulatae Pericarpium (Qingpi) and Aurantii Fructus (Zhike) best eliminate distension. All formulas that consume qi and break blood, as well as methods of sweating, vomiting, promoting circulation, and purging, are only suitable for robust individuals and certainly not for pregnancy or postpartum states.
Generally, immediately after childbirth, first inquire about the lochia. If blood clots and pain persist, do not hastily add Codonopsis Radix (Dangshen/Renshen) and Atractylodis Macrocephalae Rhizoma (Baizhu). If abdominal pain has ceased, using Buy Zhong Yi Qi Tang is undoubtedly correct. For yang collapse with sweating and qi deficiency with panting, frequent administration of Renshen-added Shenghua Decoction is a provisional measure. For yin collapse with fire heat, hemorrhage, syncope, and dizziness, rapidly decocting the original Shenghua Decoction is an emergency rescue.
Wang Bing (Wang Taipu) stated: "When treating lower jiao diseases, the urgency determines the method. If slow, the medicinal power is weak like a distant journey; if urgent, the flavor is strong and the power heavy." Therefore, treating postpartum conditions should follow Danxi's principle of consolidating the root, and the method of administration should emulate Taipu's principle of frequent dosing. Physicians entrusted with life-and-death responsibilities must pay special attention to critical cases; to achieve peace of mind, one must harbor compassion for all living beings. Although this does not exhaustively detail all postpartum syndromes, every symptom mentioned is based on clinical experiences from nearby regions, offering perhaps some minor benefit.