产后气急喘促者，因产所下过多，荣血暴竭，卫气无主，不能百达营运，独聚肺
中，故令喘也，此名孤阳绝阴，为难治，惟大进参附，或可得生。
产后发喘气促，此第一危症也。若作痰火实症治之必死，当以人参生化汤加减。人
疑参能助喘不用，致不救者多矣。况同穹归黑姜，万无有失，要知人生于气，气壮则根
本固。而藏源者敛纳于下，营运者强健于中，何有为喘为胀之虞！只有虚弱而致死。
未有强壮而成病也。有用人参加陈皮监制，则盗泄元气，反致耗散，只可消导药中兼。
产后四肢浮肿，由败血乘虚停积，而循经流入四肢，留淫日深，腐坏如水，故令面
黄，四肢浮肿。医人不识，便作水气治之。多用导水。凡治水药极能虚人，产后既虚。
药又虚之，是谓重虚，多致夭枉，服小调经
散，血行肿消即愈。
产后浮肿，若寒水侮土，宜养脾肺，若气虚浮肿，宜益脾胃。若水气浮肿。宜补中
汤，若兼喘咳而脉沉细无力，此命问火衰。脾土虚寒也，八味丸主之，腹满者。虚气而
非血也，补中汤送八味丸，一以升补清阳，一以敛纳浊气，升降既得，而胀满自消矣。
产后身痛者，是血虚而不能荣也。手足走痛者，是气血不能养荣四末，而浊气流于
四肢则肿，阴火游行四旁则痛也，不出荣养，如黑姜主之。
产后出现气急、呼吸急促的症状，是因为分娩时失血过多，导致营血突然枯竭，卫气失去依附的主宰，无法在全身正常营运，唯独聚集在肺中，从而引起喘息。这种情况被称为“孤阳绝阴”，属于难治之症，只有大剂量使用人参和附子，才可能挽救生命。
产后发喘、呼吸急促，这是第一危险的病症。如果将其当作痰火实证来治疗，病人必定死亡，应当用人参生化汤加减治疗。有人怀疑人参会助长气喘而不敢使用，导致许多病人未能得到救治。况且方中的川芎、当归、黑姜，万无一失。要知道人依靠气生存，气壮则根本稳固。藏纳之源在下稳固，营运之力在中强健，哪里有因喘促或胀满而担忧的道理！只会因为虚弱而死，没有因为强壮而生病的。如果使用人参并加入陈皮进行监制，反而会盗泄元气，导致耗散，这只能在消导药中兼用。
产后四肢浮肿，是由于败血乘虚停滞积聚，顺着经络流入四肢，停留日久深入，腐败化为水液，所以导致面色发黄，四肢浮肿。医生不认识此病机，便当作水气病治疗。多用利水渗湿的药物。凡是治疗水气的药物极容易使人虚弱，产后本已虚弱，再用药使其虚弱，这叫重虚，大多导致早亡。服用小调经散，血液运行通畅，肿胀消退即可痊愈。
产后浮肿，如果是寒水侮土（肾寒犯脾），适宜调养脾肺；如果是气虚引起的浮肿，适宜补益脾胃；如果是水气引起的浮肿，适宜使用补中汤；如果兼有喘咳且脉象沉细无力，这是命门火衰、脾土虚寒的表现，主用八味丸。腹部胀满者，是虚气而非瘀血，可用补中汤送服八味丸，一方升补清阳，一方敛纳浊气，升降功能恢复正常，胀满自然消除。
产后身体疼痛，是血虚不能濡养筋脉所致。手足游走性疼痛，是气血不能濡养四肢末端，浊气流注于四肢则导致肿胀，阴火游行于四周则导致疼痛，其根本不出于荣养不足，如用黑姜为主药治疗。
In the postpartum period, if there is shortness of breath and rapid panting, it is due to excessive blood loss during delivery. The Ying Blood (nutritive blood) suddenly exhausts, causing the Wei Qi (defensive qi) to lose its master and fail to circulate throughout the body. It gathers exclusively in the Lungs, thus causing panting. This condition is named "Lone Yang and Absent Yin" and is difficult to treat; only by administering large doses of Renshen (Ginseng Root) and Fuzi (Prepared Aconite Root) can life possibly be saved.
Postpartum panting with rapid breathing is the most critical symptom. If treated as a Phlegm-Fire Excess syndrome, death is inevitable. One should use Ren Shen Sheng Hua Tang (Ginseng and Birth-Expelling Decoction) with modifications. Some doubt that Renshen might aggravate panting and therefore do not use it, leading to many cases of non-rescue. Moreover, the combination of Xiongqiong (Angelica Sinensis Root), Guizhi (Cinnamon Twig), and Heijiang (Charred Ginger) carries no risk. One must understand that humans are sustained by Qi; when Qi is strong, the root is solid. The source of storage is consolidated below, and the power of circulation is strengthened in the middle. Why worry about panting or distension? Death occurs only from deficiency, never from strength. Using Renshen combined with Chenpi (Aged Tangerine Peel) for control will steal and dissipate Yuan Qi (Original Qi); this method is only suitable for inclusion in digestion-promoting formulas.
Postpartum edema of the four limbs results from stagnant blood taking advantage of deficiency to accumulate, flowing along the meridians into the limbs. As it remains deep over time, it rots and transforms into water, causing yellowish complexion and edema of the limbs. Physicians who do not recognize this pathology treat it as Water-Qi disease, often using diuretic drugs. Diuretics severely weaken the body. Since the postpartum state is already deficient, using such drugs causes further deficiency, termed "double deficiency," which often leads to premature death. Administering Xiao Tiao Jing San (Minor Regulating Menses Powder) allows blood circulation to resume and swelling to subside, resulting in recovery.
For postpartum edema: if caused by Cold-Water insulting Earth (Kidney Cold invading Spleen), nourishing the Spleen and Lungs is appropriate; if caused by Qi deficiency, tonifying the Spleen and Stomach is appropriate; if caused by Water-Qi, Bu Zhong Tang (Tonify the Middle Decoction) is appropriate; if accompanied by panting, coughing, and a deep, thin, and weak pulse, this indicates Mingmen Fire Decline and Spleen-Earth Deficiency-Cold, primarily treated with Ba Wei Wan (Eight-Ingredient Pill). Abdominal fullness here is due to deficient Qi, not blood stasis; one may send Ba Wei Wan with Bu Zhong Tang. One formula raises and tonifies Clear Yang, while the other gathers and accepts turbid Qi. Once ascending and descending functions are restored, distension naturally resolves.
Postpartum body pain is due to Blood deficiency failing to nourish the tissues. Wandering pain in the hands and feet indicates that Qi and Blood fail to nourish the extremities, while turbid Qi flows into the limbs causing swelling, and Yin Fire roaming around causing pain. This stems from a lack of nourishment; treating with Heijiang (Charred Ginger) as the main herb is indicated.