参麦饮 加味四物汤 竹叶归耆汤
4.气虚津短参麦饮, 血虚四物粉麦煎, 渴甚竹叶归耆效, 参术归耆
竹叶甘.
【注】产后气虚津液不足而渴者, 宜参麦饮, 即人参, 麦冬, 五味子
也.血虚而渴者, 宜四物汤加花粉, 麦冬; 若渴甚不解者, 用竹叶归
耆汤, 其方乃人参, 白术, 当归, 黄耆, 竹叶, 甘草, 煎服也.
四物汤 方见首卷
旋覆花汤 麦味地黄汤 加味佛手散
5.产后咳嗽感风寒, 旋覆花汤荆穗前, 麻杏半苓赤芍药, 五味甘草
枣姜煎. 虚火上炎冲肺嗽, 麦味六黄滋化源, 瘀血入肺佛手散, 加入
桃红杏贝延.
【注】产后咳嗽, 若因起动太早, 感冒风寒者, 用旋覆花汤, 即荆芥
穗,前胡, 麻黄, 杏仁, 半夏, 茯苓, 赤芍药, 五味子, 甘草, 旋覆
,枣, 姜也. 若因阴虚火炎, 上烁肺金而嗽者, 宜六味地黄加麦冬 ,
五味子, 名麦味地黄汤, 滋其化源. 若因瘀血上冲入肺而嗽者, 宜佛
手散, 加桃仁, 红花, 杏仁, 川贝母, 延胡索, 以破其瘀, 其嗽自愈
.
六味地黄汤 佛手散 方俱见首卷
人参泽兰叶汤
6.产后口鼻黑而衄, 胃绝肺败药难医, 参兰丹膝生熟地, 童便多冲
冀万一.
【注】产后恶露不下, 虚火载血上行, 溢出鼻窍, 不循经脉, 变黑色
见于口鼻, 为热极反兼水化, 故曰胃绝肺败, 药难医也. 或用人参泽
兰叶汤, 即人参, 泽兰叶, 丹皮, 牛膝, 生地, 熟地煎汤, 多冲童便
饮之, 间有得生者, 然亦希冀于万一者耳.
4. 气虚导致津液短少引起的口渴，宜用参麦饮；血虚导致的口渴，宜用四物汤加天花粉、麦冬煎服；若口渴严重且久治不愈者，使用竹叶归耆汤疗效显著，该方由人参、白术、当归、黄芪、竹叶、甘草组成。
【注】产后因气虚、津液不足而出现口渴症状的，适宜服用参麦饮，即人参、麦冬、五味子组成的方剂。因血虚而口渴的，适宜在四物汤基础上加入天花粉、麦冬；如果口渴严重且无法缓解的，使用竹叶归耆汤，其方剂成分为人参、白术、当归、黄芪、竹叶、甘草，煎煮后服用。
四物汤 方剂见本书首卷
5. 产后咳嗽因感受风寒所致，可用旋覆花汤，方含荆芥穗、前胡、麻黄、杏仁、半夏、茯苓、赤芍药、五味子、甘草，加红枣、生姜煎服。若因阴虚火旺上炎冲击肺部引起咳嗽，宜用麦味地黄汤（六味地黄丸加麦冬、五味子）以滋养化源；若因瘀血进入肺部引起咳嗽，宜用佛手散，加入桃仁、红花、杏仁、川贝母、延胡索，以破除瘀血，咳嗽自然痊愈。
【注】产后咳嗽，如果是因过早活动，感冒风寒引起的，使用旋覆花汤，即荆芥穗、前胡、麻黄、杏仁、半夏、茯苓、赤芍药、五味子、甘草、旋覆花、大枣、生姜组成。若是因阴虚火炎，向上灼伤肺金而引起的咳嗽，适宜使用六味地黄汤加麦冬、五味子，名为麦味地黄汤，以滋养其化源。若是因瘀血上冲入肺而引起的咳嗽，适宜使用佛手散，加入桃仁、红花、杏仁、川贝母、延胡索，以破除瘀血，咳嗽自会痊愈。
六味地黄汤、佛手散 方剂均见本书首卷
6. 产后口鼻发黑并伴有鼻衄（鼻出血），此为胃气绝、肺气败，药物难以医治，可用参兰丹膝生熟地汤（即人参泽兰叶汤），由人参、泽兰叶、丹皮、牛膝、生地、熟地组成，多用童便冲服，希望能有万分之一的生机。
【注】产后恶露不下，虚火挟带血液上行，溢出鼻窍，不循经脉运行，表现为口鼻处出现黑色，这是热极反兼水化的表现，故称为胃绝肺败，药物难医。或者使用人参泽兰叶汤，即人参、泽兰叶、丹皮、牛膝、生地、熟地煎汤，多兑入童便饮用，偶尔有获救的，但这也是希冀于万一的情况罢了。
Shenmai Yin (Ginseng and Ophiopogon Decoction), Jiawei Siwu Tang (Modified Four Substances Decoction), Zhuye Guiqi Tang (Bamboo Leaf and Astragalus Decoction)
4. For thirst caused by Qi deficiency leading to shortness of body fluids, Shenmai Yin is indicated; for thirst caused by Blood deficiency, Siwu Tang (Four Substances Decoction) added with Tianhuafen (Trichosanthes Root) and Maidong (Ophiopogon Tuber) is indicated; if the thirst is severe and persistent, Zhuye Guiqi Tang (Bamboo Leaf and Astragalus Decoction) is effective. This formula consists of Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome), Danggui (Angelica Sinensis Root), Huangqi (Astragalus Root), Zhuye (Bamboo Leaf), and Gancao (Licorice Root).
[Note] When postpartum thirst is due to Qi deficiency and insufficient body fluids, Shenmai Yin is appropriate, which consists of Renshen (Ginseng Root), Maidong (Ophiopogon Tuber), and Wuweizi (Schisandra Fruit). For thirst due to Blood deficiency, Siwu Tang (Four Substances Decoction) added with Tianhuafen (Trichosanthes Root) and Maidong (Ophiopogon Tuber) is appropriate. If the thirst is severe and unrelieved, Zhuye Guiqi Tang (Bamboo Leaf and Astragalus Decoction) should be used, comprising Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome), Danggui (Angelica Sinensis Root), Huangqi (Astragalus Root), Zhuye (Bamboo Leaf), and Gancao (Licorice Root), decocted and taken orally.
Siwu Tang (Four Substances Decoction) See first volume of this book.
Xuanfuhua Tang (Inula Flower Decoction), Maiwei Dihuang Tang (Lonicera and Schisandra Rehmannia Decoction), Jiawei Foshou San (Modified Buddha's Hand Powder)
5. For postpartum cough caused by wind-cold invasion, Xuanfuhua Tang (Inula Flower Decoction) containing Jingjie Sui (Perilla Twig), Qianhu (Peucedanum Root), Mahuang (Ephedra Herb), Xingren (Apricot Seed), Banxia (Pinellia Tuber), Fuling (Poria), Chishao (Red Peony Root), Wuweizi (Schisandra Fruit), Gancao (Licorice Root), Jujube (Chinese Date), and Shengjiang (Fresh Ginger) is indicated. For cough caused by deficiency fire flaming upward and attacking the Lung, Maiwei Dihuang Tang (Lonicera and Schisandra Rehmannia Decoction) should be used to nourish the source of transformation. For cough caused by blood stasis entering the Lung, Foshou San (Buddha's Hand Powder) added with Taoren (Peach Kernel), Honghua (Carthamus Flower), Xingren (Apricot Seed), Chuanbeimu (Fritillaria Cirrhosa Bulb), and Yanhusuo (Corydalis Rhizome) is indicated to break up the stasis, after which the cough will heal spontaneously.
[Note] Postpartum cough, if caused by moving too early and contracting wind-cold, can be treated with Xuanfuhua Tang (Inula Flower Decoction), consisting of Jingjie Sui (Perilla Twig), Qianhu (Peucedanum Root), Mahuang (Ephedra Herb), Xingren (Apricot Seed), Banxia (Pinellia Tuber), Fuling (Poria), Chishao (Red Peony Root), Wuweizi (Schisandra Fruit), Gancao (Licorice Root), Xuanfuhua (Inula Flower), Dazao (Jujube), and Shengjiang (Fresh Ginger). If the cough is due to Yin deficiency with fire flaming upward, scorching the Metal of the Lung, Liuwei Dihuang Tang (Six-Ingredient Rehmannia Decoction) added with Maidong (Ophiopogon Tuber) and Wuweizi (Schisandra Fruit), named Maiwei Dihuang Tang (Lonicera and Schisandra Rehmannia Decoction), should be used to nourish its source of transformation. If the cough is due to blood stasis rushing upward into the Lung, Foshou San (Buddha's Hand Powder) added with Taoren (Peach Kernel), Honghua (Carthamus Flower), Xingren (Apricot Seed), Chuanbeimu (Fritillaria Cirrhosa Bulb), and Yanhusuo (Corydalis Rhizome) should be used to break the stasis, and the cough will heal itself.
Liuwei Dihuang Tang (Six-Ingredient Rehmannia Decoction) and Foshou San (Buddha's Hand Powder) See first volume of this book.
Renshen Zelan Ye Tang (Ginseng and Lycopodium Decoction)
6. Postpartum blackening of the mouth and nose accompanied by epistaxis indicates exhaustion of Stomach Qi and failure of Lung Qi, making it difficult to treat with medicine. Renshen Lan Danshen Shudi Tang (Ginseng, Lycopodium, Moutan, Achyranthes, and Raw and Cooked Rehmannia Decoction), also known as Renshen Zelan Ye Tang (Ginseng and Lycopodium Decoction), consisting of Renshen (Ginseng Root), Zelan Ye (Lycopodium Herb), Danpi (Moutan Cortex), Niuxi (Achyranthes Root), Shengdi (Raw Rehmannia Root), and Shudi (Cooked Rehmannia Root), decocted and taken with a large amount of Tongbian (Child Urine), may offer a slim chance of survival.
[Note] When lochia does not discharge postpartum, deficient fire carries blood upward, overflowing from the nasal orifice without following the meridians, resulting in black discoloration visible at the mouth and nose. This represents extreme heat manifesting with water-like characteristics, hence termed "exhaustion of Stomach Qi and failure of Lung Qi," indicating that medicinal treatment is difficult. Alternatively, Renshen Zelan Ye Tang (Ginseng and Lycopodium Decoction), consisting of Renshen (Ginseng Root), Zelan Ye (Lycopodium Herb), Danpi (Moutan Cortex), Niuxi (Achyranthes Root), Shengdi (Raw Rehmannia Root), and Shudi (Cooked Rehmannia Root), can be decocted and taken with a generous amount of Tongbian (Child Urine). Occasionally, patients may survive, but this is merely hoping for a miracle in one out of ten thousand cases.