三合散
12.扶脾益胃六君子, 谷化精微气血强, 能食渐觉精神爽, 调卫和荣
三合良. 八珍去术小柴共, 随证加减效非常, 病退虚羸补气血, 八珍
十补养荣方.
【注】产后蓐劳治法, 当先扶脾益胃, 宜六君子汤加减用之. 使脾胃
强壮, 能食能消, 则后天水谷之气, 化生精微, 气血自然壮盛, 精神
自然渐爽. 然后调其卫气, 和其荣血, 宜三合散, 即八珍汤去白术加
小柴胡汤, 乃人参, 柴胡, 黄芩, 半夏, 甘草也, 随证加减治之. 如
寒热往来, 脐腹胀痛, 则去人参, 黄芩, 生地, 加延胡, 桃仁; 如懒
食,喜睡, 头眩, 则去柴胡, 加黄耆, 缩砂, 陈皮; 如骨蒸, 盗汗,
自汗, 则去川芎, 柴胡, 加鳖甲, 地骨皮, 牡蛎; 如痰喘, 咳嗽, 则
去人参, 柴胡, 加麦冬, 川贝母, 百合; 如面黄肌瘦, 乏力, 则去柴
胡,川芎, 加黄耆, 倍用人参, 临证消息之. 服后如诸证已痊, 惟觉
虚嬴者, 则以八珍, 十全, 养荣等方培补之.
六君子汤 八珍汤 十全大补汤 益气养荣汤方 俱首卷
加味十全大补汤 加味逍遥散
13.产后亡血更血崩, 血脱气陷并非轻, 十全大补胶升续, 枣仁山萸
姜炭寻. 若因暴怒伤肝气, 逍遥栀地白茅根, 瘀停少腹多胀痛, 佛手
失笑效如神.
【注】产后阴血已亡, 更患崩证, 则是血脱气陷, 其病非轻, 当峻补
之.宜用十全大补汤加阿胶, 升麻, 续断, 枣仁, 山萸, 炮姜炭, 以
升补其脱陷可也. 若因暴怒伤肝血妄行者, 宜逍遥散加黑栀, 生地,
白茅根, 以清之. 若因内有停瘀者, 必多小腹胀痛, 当用佛手散, 失
笑散, 以补而逐之.
十全大补汤 逍遥散 佛手散 失笑散 方俱见首卷
12. 扶助脾胃的六君子汤，能促进谷物转化为精微物质，使气血强盛，食欲增加并逐渐感到精神清爽，是调和卫气与营血的良方。八珍汤去除白术与小柴胡汤合并使用，根据症状加减变化，疗效非凡；病势退去后针对虚羸状态补益气血，可用八珍汤或十全大补汤等养荣方剂。
【注】产后蓐劳（产后因虚损导致的慢性消耗性疾病）的治疗法则，应当先扶助脾胃，适宜使用六君子汤进行加减应用。使脾胃功能强壮，能够进食且消化良好，那么后天水谷之气就能化生为精微物质，气血自然壮盛，精神自然逐渐清爽。然后调理其卫气，调和其营血，适宜使用三合散，即由八珍汤去除白术加上小柴胡汤组成，其中包含人参、柴胡、黄芩、半夏、甘草等药材，根据具体症状加减治疗。如果出现寒热往来（忽冷忽热）、脐部及腹部胀满疼痛，则去掉人参、黄芩、生地，加入延胡索、桃仁；如果食欲不振、嗜睡、头晕目眩，则去掉柴胡，加入黄芪、缩砂仁、陈皮；如果出现骨蒸潮热、盗汗、自汗，则去掉川芎、柴胡，加入鳖甲、地骨皮、牡蛎；如果出现痰喘、咳嗽，则去掉人参、柴胡，加入麦冬、川贝母、百合；如果面色萎黄、肌肉消瘦、乏力，则去掉柴胡、川芎，加入黄芪，加倍使用人参，临证时酌情斟酌处理。服药后如果各种症状已经痊愈，只感觉身体虚弱羸瘦，则以八珍汤、十全大补汤、养荣汤等方剂培补元气。
13. 产后失血后又发生崩漏（非经期阴道大量出血），血脱导致气陷，病情并非轻微，需使用十全大补汤加阿胶、升麻、续断、酸枣仁、山茱萸、炮姜炭来寻找治法。如果是因暴怒损伤肝气，可使用逍遥散加栀子、生地、白茅根；如果瘀血停滞于少腹导致多胀痛，使用佛手散、失笑散效果如神。
【注】产后阴血已经耗亡，又患崩漏证，这是血脱气陷，病情不轻，应当峻猛补益。适宜使用十全大补汤加入阿胶、升麻、续断、酸枣仁、山茱萸、炮姜炭，以升提补益其脱陷之气。如果是因暴怒损伤肝血导致妄行，适宜使用逍遥散加入黑栀子、生地、白茅根，以清热凉血。如果是因内有停瘀，必然多有下腹胀痛，当使用佛手散、失笑散，以补益兼逐瘀的方式治疗。
Sanhe San (Three-Combination Powder)
12. Liujunzi Tang (Six Gentlemen Decoction), which supports the spleen and benefits the stomach, promotes the transformation of food into essence and qi, strengthening blood and qi. It improves appetite and gradually refreshes the spirit, serving as an excellent formula to harmonize Wei Qi (Defensive Qi) and Ying Blood (Nutritive Blood). Combining Bazhen Tang (Eight-Treasure Decoction) with Xiaochaihu Tang (Minor Blue-Green Decoction) after removing Baizhu (Atractylodis Rhizoma), the efficacy is extraordinary when modified according to symptoms. After the pathogen recedes and deficiency emaciation remains, tonify blood and qi using Bazhen Tang or Shiquan Dabu Tang (Ten Significant Tonifying Decoction), etc., as Yangrong formulas.
[Note] The treatment principle for Chulao (postpartum consumptive disease) should first focus on supporting the spleen and benefiting the stomach, preferably using Liujunzi Tang with modifications. Strengthening the spleen and stomach enables proper digestion and intake, allowing postnatal water and grain qi to transform into essence, naturally making blood and qi robust and spirit refreshed. Subsequently, regulate Wei Qi and harmonize Ying Blood, preferably using Sanhe San, which consists of Bazi Tang minus Baizhu combined with Xiaochaihu Tang, containing Renshen (Ginseng Radix et Rhizoma), Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), Banxia (Pinelliae Rhizoma), and Gancao (Glycyrrhizae Radix et Rhizoma). Modify according to symptoms: if there are alternating chills and fever, and distending pain in the umbilical and abdominal regions, remove Renshen, Huangqin, and Dihuang; add Yanyu (Cyperi Rhizoma) and Taoren (Persicae Semen); if there is poor appetite, somnolence, and dizziness, remove Chaihu; add Huangqi (Astragali Radix), Suosha (Amomi Fructus Rotundus), and Chenpi (Citri Reticulatae Pericarpium); if there is steaming bone sensation, night sweats, or spontaneous sweating, remove Chuanxiong (Ligustici Chuanxiong Rhizoma) and Chaihu; add Biejia (Testudinis Carapax et Plastrum), Digupi (Bark of Ground Tree Bark), and Muli (Ostreae Concha); if there is phlegm-panting and coughing, remove Renshen and Chaihu; add Maidong (Ophiopogonis Radix), Chuanbeimu (Fritillariae Cirrhosae Bulbus), and Baihe (Lilii Bulbus); if there is sallow complexion, emaciation, and fatigue, remove Chaihu and Chuanxiong; add Huangqi and double the dosage of Renshen. Adjust clinically based on judgment. If all symptoms have resolved after taking the medicine but only deficiency emaciation remains, use Bazhen Tang, Shiquan Dabu Tang, or Yangrong Tang to nourish and tonify.
Liujunzi Tang, Bazi Tang, Shiquan Dabu Tang, and Yiqi Yangrong Tang formulas are all found in the first volume.
Jiawei Shiquan Dabu Tang (Modified Ten Significant Tonifying Decoction), Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder)
13. Postpartum blood loss followed by Binglou (uterine bleeding), where blood depletion leads to qi sinking, is a serious condition. Use Shiquan Dabu Tang plus Ejiao (Donkey-hide Gelatin), Shengma (Cimicifugae Rhizoma), Xuduan (Dipsaci Radix), Zaoren (Ziziphi Spinosae Semen), Shanyuzi (Corni Fructus), and Paojiangtan (Charred Ginger) to address it. If caused by sudden anger injuring liver qi, use Xiaoyao San plus Zhizi (Gardeniae Fructus), Dihuang (Rehmanniae Radix), and Baimaogen (Imperatae Rhizoma). If stasis stagnates in the lower abdomen causing frequent distending pain, Foshou San (Hand Buddha Powder) and Shixiao San (Laughing Off Powder) are effective as divine remedies.
[Note] After parturition, yin blood has already been depleted; contracting Binglou indicates blood depletion and qi sinking, which is not a mild condition. Severe tonification is required. Use Shiquan Dabu Tang added with Ejiao, Shengma, Xuduan, Zaoren, Shanyuzi, and Paojiangtan to lift and tonify the sinking qi. If caused by sudden anger injuring liver blood leading to reckless movement, use Xiaoyao San added with Heizhi (Charred Gardeniae Fructus), Dihuang, and Baimaogen to clear heat. If there is internal stagnant stasis, there will likely be lower abdominal distending pain; use Foshou San and Shixiao San to tonify while expelling stasis.
Shiquan Dabu Tang, Xiaoyao San, Foshou San, and Shixiao San formulas are all found in the first volume.