夫产后忧惊倦劳，血气暴虚，诸症乘虚易袭。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，热则新血流崩。至若中虚外感，见三阳表症之多，似可汗也，在产后而用麻黄剂，
则重竭其阳，见三阴里症之多，似宜下也，在产后而用承气，则重亡其阴血。耳聋胁痛，乃肾虚恶露之停
，休用柴胡。谵语汗出，乃元弱似邪之症，毋同胃实。厥由阳气之衰难分寒热，非大补不能回阳而起弱。
痉因阴血之亏，非滋荣不能舒筋而活络。又如乍寒乍热，发作有期，症类疟也，若将疟治，迁
延难愈。神不守舍、言语无伦，病似邪也，若以邪论，危凶可待。去血多而大便燥结，苁蓉加于生化汤，
非润肠承气能通。汗多而小便短涩，六君倍用参 ，生津助液之可利。加参生化，频服救产后之厄，长
生活命、屡用苏绝谷之人。 疝脱肛，多是气虚下陷，须补中益气之方。口噤拳挛，乃因血燥类风，用
加参生化汤。
若产户入风而痛甚，服用羌独养荣之方。玉门伤冷而不闭，洗须床菟萸硫黄。怔忡惊悸，生化汤加远志。
似邪恍惚，安神丸助归脾。因气而满闷虚烦、生化汤加木香为佐。因食而嗳酸恶食，六君子加神麦为良。
苏木，棱，蓬大能破血，青皮、枳实最消满胀。一应耗气破血之剂，汗吐宜下之策，只可施于少壮，岂宜
用于胎产。大抵新产之后，先问恶露何如，块痛未除之人，可适加 术，腹中痛止，补中益气无疑。至
若阳亡大热，血崩厥晕，速煎生化原方，乃急救也。王太仆云∶治下补下，制以急缓，则滋道路而
又力微，制急方而气味薄，则力与微同，故治产当道丹溪先生固本，服药法宜效太仆以加频，凡负生死
之奇术，须着意以救急，欲免俯仰之无愧，用存心于爱物。此虽未尽产症之详，然所开一症，
皆缘近乡治验为据，亦未必无小补云耳。
产后妇女因忧虑、惊恐和过度劳累，导致气血突然虚弱，各种病邪容易趁虚侵袭。如果有气机耗散的情况，不要专门使用耗散的药物；如果有食积的情况，不要专门使用消导的药物。有热象时不可使用黄芩、黄连等寒凉药，有寒象时不可使用肉桂、附子等温热药。若误用寒药，会导致血块停滞；若误用热药，会导致新产生的血液崩漏不止。至于中焦虚弱又外感邪气，出现多种三阳经表证的症状，似乎可以用发汗法治疗，但在产后如果使用麻黄汤类方剂，会严重耗竭阳气；出现多种三阴经里证的症状，似乎可以用攻下法治疗，但在产后如果使用承气汤类方剂，会严重亡失阴血。耳聋胁痛，是由于肾虚且恶露停滞所致，不要用柴胡剂。说胡话出汗，是由于元气虚弱类似邪气的症状，不要当作胃实热证来治。四肢厥冷是由阳气衰微引起的，难以分辨寒热属性，不是大补元气就不能回阳救逆并改善虚弱状态。痉挛抽搐是因为阴血亏虚，不是滋养荣血就不能舒缓筋脉并通利经络。又如忽冷忽热，发作有定时，症状类似疟疾，如果按照疟疾治疗，病情会拖延难愈。神志不守舍、言语错乱，病症类似邪祟作怪，如果按照邪祟论治，危险凶险就在眼前。失血过多导致大便干燥结滞，应在生化汤中加入肉苁蓉，而不是用润肠或承气汤来通便。出汗多导致小便短少涩滞，应加倍使用人参的六君子汤，通过生津助液来达到利尿的效果。加参生化汤频繁服用，可以挽救产后的危厄，多次使用能让断绝谷气的人恢复生机。疝气和脱肛，多是气虚下陷所致，必须使用补中益气汤。牙关紧闭、手足拳挛，是因为血燥类似风证，使用加参生化汤。如果产道受风而疼痛剧烈，服用羌活独活养荣汤。阴道受冷而不能闭合，清洗需用床菟丝子、山茱萸、硫黄。心悸怔忡、惊悸不安，用生化汤加远志。神情恍惚似有邪祟，用安神丸辅助归脾汤。因气滞导致的胸闷虚烦，用生化汤加木香作为佐药。因饮食导致的嗳气酸腐、厌恶食物，用六君子汤加神曲、麦芽为良。苏木、莪术、蓬莪术大力破血，青皮、枳实最能消除胀满。所有耗气破血的药剂，以及发汗、催吐、攻下的策略，只适用于年轻力壮之人，岂能用于胎产之后？大抵在刚生产之后，先询问恶露情况如何，对于瘀块疼痛未除的人，可以适当加入白术，腹中疼痛停止后，再使用补中益气汤无疑。至于阳气亡失、高热、血崩晕厥，迅速煎煮生化汤原方，这是急救之法。王太仆说：治疗下部疾病，用药制方讲究急缓，如果滋补助益的道路太长而药力微弱，或者制方虽急但药气味淡薄，那么药力与微弱无异，所以治疗产后病应当遵循丹溪先生固本的原则，服药方法宜效法太仆以增加频次，凡是承担生死重任的高超医术，必须用心于急救，想要免除内心的愧疚，就要存心爱护生命。这虽然未能详尽列举所有产后病症，但所列出的一症一候，都是依据近乡的治疗经验验证为依据，也未必没有小小的补益吧。
Postpartum women, due to worry, fright, and fatigue, experience a sudden deficiency of Qi and Blood, making them susceptible to various pathogenic factors invading the deficiency. If there is Qi dispersion, do not exclusively use dispersing agents; if there is food stagnation, do not exclusively use digestive agents. In cases of heat, avoid using Scutellariae Radix (Huangqin) and Coptidis Rhizoma (Huanglian); in cases of cold, avoid using Cinnamomi Ramulus (Guizhi) and Aconiti Lateralis Radix Praeparata (Fuzi). Using cold herbs leads to blood stasis and clots; using hot herbs leads to hemorrhage of fresh blood. Regarding deficiency in the middle jiao with external contraction, presenting with many symptoms of the Three Yang exterior syndromes, sweating might seem appropriate; however, using Ephedra Decoction (Mahuang Tang) postpartum would severely deplete Yang Qi. Presenting with many symptoms of the Three Yin interior syndromes, purgation might seem appropriate; however, using Chengqi Decoction postpartum would severely lose Yin and Blood. Deafness and hypochondriac pain are due to Kidney deficiency and lochia retention; do not use Bupleuri Radix (Chaihu) formulas. Delirium and sweating are symptoms of Yuan Qi weakness resembling pathogenic invasion; do not treat as Stomach excess heat. Cold extremities result from the decline of Yang Qi, where cold and heat are hard to distinguish; only major tonification can restore Yang Qi and revive weakness. Spasms are due to Yin and Blood deficiency; only nourishing Ying Blood can relax tendons and activate collaterals. Again, alternating chills and fever with periodic onset resembles malaria; treating it as malaria will lead to prolonged difficulty in cure. Spirit failing to reside in its house and incoherent speech resemble demonic possession; treating it as such portends danger and凶险. Excessive blood loss leading to dry and constipated stool requires adding Cistanche Herba (Rongsheng) to Shenghua Decoction, rather than using intestinal moistening or Chengqi Decoctions for unblocking. Excessive sweating leading to short and scanty urine requires doubling Ginseng Radix et Rhizoma (Renshen) in Six Gentlemen Decoction (Liujunzi Tang); generating fluids and assisting liquids can promote diuresis. Frequent administration of Ginseng-added Shenghua Decoction saves postpartum crises; repeated use has revived those who had ceased eating grain. Hernia and rectal prolapse are mostly due to Qi deficiency sinking; formulas like Tonifying the Middle and Augmenting Qi Decoction (Buzhong Yiqi Tang) are required. Lockjaw and clenched fists are due to Blood dryness resembling wind; use Ginseng-added Shenghua Decoction. If the vaginal opening is invaded by wind causing severe pain, use Angelicae Sinensis and Saposhnikoviae Root Nourishing Ying Decoction (Qiangduo Yangrong Fang). If the vulva is injured by cold and fails to close, wash with Bedstraw (Chuangu), Cornus Fruit (Shanzhuyu), and Sulfur (Liuhuang). Palpitations and fright should be treated with Shenghua Decoction adding Polygalae Radix (Yuanzhi). Apparent delirium and trance-like states are assisted by Anshen Wan helping Guipi Decoction. Fullness and empty irritability due to Qi stagnation: Shenghua Decoction with Aucklandiae Radix (Muxiang) as an assistant. Belching sourness and food aversion due to diet: Six Gentlemen Decoction adding Massae Medicamentae Fermentatae Shenqu (Shenqu) and Fructus Hordei Germinatus Maiya (Maiya) is good. Lithospermum Radix et Rhizoma (Sumu), Curcumae Zedoariae Rhizoma (Ezhu), and Curcumae Phaeocaulis Rhizoma (Pengling) strongly break blood; Citri Reticulatae Pericarpium Viride (Qingpi) and Aurantii Fructus Immaturus (Zhishi) best eliminate fullness and distension. All agents that consume Qi and break blood, as well as strategies of sweating, vomiting, and purging, are only applicable to the young and strong, how can they be used for pregnancy and childbirth? Generally, after delivery, first ask about the lochia. For those with residual clots and pain, Atractylodis Rhizoma (Baizhu) can be appropriately added; once abdominal pain stops, Tonifying the Middle and Augmenting Qi Decoction is undoubtedly indicated. As for Yang collapse with high fever, uterine bleeding, and fainting, rapidly decocting the original Shenghua Decoction is emergency rescue. Wang Taipu said: Treating lower body diseases requires careful regulation of urgency and slowness; if the nourishing path is too long and power weak, or if the urgent formula has thin flavor and qi, the power is equivalent to being weak. Therefore, treating postpartum conditions should follow Master Danxi's principle of consolidating the root; the method of taking medicine should imitate Taipu by increasing frequency. Any extraordinary art bearing life and death must focus on emergency rescue; to avoid shame in looking up and down, one must preserve a heart of loving all beings. Although this does not detail all postpartum syndromes, every syndrome listed is based on verified experiences from nearby villages, which may certainly provide some minor benefit.