黄胆有二，有肝热刑脾而疸，有湿极而疸，若肝脉洪大，胃脉濡弱而浊，肝脉加之浮，
肾脉搏而击，即发黄胆，若胃脉重浊而弦长，按之无骨力，肾脉搏而沉，心脉有动象，即湿
极而发疸，然疸之病，多先目黄，以众脉皆会于目系，所以肝热亦目黄而疸，胃热亦目黄而
疸，肝热即口干引饮，小府赤而涩，胃湿亦目黄，而口不干，小府赤而不涩，又有下部冒寒
履湿，湿气冲心，发为目黄，不必是疸，素问言太阳之胜，有面赤目黄者是也，只可缓行其
小府，湿热相郁而疸，即□脉洪而大，不弦，却带软而长，宜利其小府。
夫半产、正产，妇人之常事也，然其间多有产后染成大病。忽绝无月水行，忽宫藏亏损
不禁，忽积成症瘕，而岁久月深，倾损性命，此无他，轻之以为半产，而不甚将养之所致也
，不知半产之候，其将养当过如正产十倍，正产止血藏空虚，半产即肌骨腐烂，常切譬之，
正产有如果中之栗，夫栗之为物，俟其自熟，阴阳气足，则其壳自开，而栗子自堕，方是之
时，子之与壳，两无所损，如妇人怀孕，十月已满，阴阳气足，则其子宫自开，而儿子生下
，若月未满足，因误服药饵，忽寒邪热毒所伤，忽扶轻举重，忽倒地打伤，其胎藏伤损，胞
系腐烂，然后其胎坠下，即有如世人采折新栗，碎其皮壳，就壳中断其根蒂，然后取得栗子
，此其半产之喻也，以其胎藏伤损，胞系断去，而后胎坠下，则其半产之人，将养调治，得
不过如正产十倍者哉，正产之后，补其虚，生其好血，化其恶血，保其藏气，去其风邪，
人人无有不安也，半产之后，补其虚，生其肌肉，益血，穷其所因，解其病，去其风邪，养
其藏气，加之将养过如正产十倍，损伤之胎，无不平复也，吁！世之人多轻之，至于倾危，
不可胜数，得不惜哉。
正产、半产出血过多，不可禁止，忽气闷不识人，其脉洪大而浮以泛，如新沐，如破肚
之脉，若微细而涩绝，其候凶。
胎死腹中，其脉洪大而沉，尺泽当溢透下部，不涩不绝，即无畏，谓胎不下，当气满实
，所以洪大而沉，又溢寸过，若涩而短，即死。
妇人欲产。浆破血下，浑身疼，诊其脉，当洪大而有骨力，尺泽透而长，方是正产，谓
孕则尺脉不来，欲产而浆下，则尺泽透，若浑身疼甚，而浆未破，血不肯下，即难产，凡浑
身痛甚，须是腰痛，连谷道疼迸痛，方是正候，以少阴犯胞络脉，连腰过脊及肛门，若只是
腹痛，不可用作正产候。
产后，脉结而涩，尺脉短而动，肺脉浮而急，即是衣未下，产后血风，虚热搏之，洪大
而数，数与疾不同，数则兼动与短，主血晕，面色深赤，身体如醉，见屋宇如悬倒，忽头痛
重不安。
产后血风，虚热搏之，洪大而疾，心脉实而有骨力，肺脉洪而浮，主血逆头痛，面赤如
醉，身体如在虚空，大腑秘涩，语声微细。
产后，六脉得洪大，如血晕脉，胃脉实而弦，肺脉浮而洪，主大腑秘热，头痛面赤，恶
心呕逆，产后，如骨蒸脉，六脉弦而微紧，有骨力，主血行少，未经数日，身下干净，腹中
余血，恶血未下，非时气痛，攻心刺肋。
产后，六脉轻浮，微有骨力而来迟，肝脉细而虚弦，多因小遗登后早，忽乱吃食物早，
宫藏伤风，饮食减可，近以十日，远经半月，粥食不进，才吃一口汤水，即闻汤水巡历胸中
，方下入胃，既入胃，仍下出，面色并肉色黄，形体困重，此候留风邪在中，血热而感寒，
成寒热隔气，风不用事，食不化，此病须是吃得酒一两盏，方可调理，每日宜服酒一两盏，
如治风咽调理，故予特制此方。
细辛 官桂 芎 当归（各半两）
分）
上为细末，每服三钱，空心，煎防风汤调下，吃了，浑身手足暖，忽头疼，即连吃酒一
两盏，候通身发热，忽行下恶物，即便安乐也，若人得此病，须是依上件题目，方可服此方
产后，六脉皆沉伏而迟，主浑身厥冷，非时噤不识人。
产后，六脉动而疾，胃脉滑而溢于尺泽，肾脉软而虚弦，此缘产迟，忽衣迟，既产后，
早起伤风，吐泄不定之脉，宜温其胃。
产后，六脉沉细而伏，此寒气在下，腰痛，起动不得。
产后，六脉沉细，肾脉伏而沉，肺脉虚而大，产后乳汁多，故流出，其乳汁冷而口干，
此肾冷肺虚寒，不可以口干为上热，误服凉药，此肾少阴之脉，从肺出，络心注胸中，其直
行者，从肾上贯肝鬲，入肺中，循喉咙，夹舌本，故如此。
产后，六脉洪大而结，肝脉涩，肺脉浮，忽然乳疼，坚硬成块，将欲成痈肿。
产后，未经百日，腹疼气疼，转泻不止，六脉沉细而虚，此余寒在中。
产后，心脉一指偏小而动，又芤陷，若肺脉重而洪大，却无骨力，则主乳多，肺脉如常
，惟心脉如此，加之肾脉微细，则小便虚惫。
产后，恶血行，少腹中块刺痛，须六脉大而紧，肺脉紧而虚弦为寒肺，主少腹中有块，
产后血热，肝脏风搏生涎，发为疼痛，即急心痛，六脉当得二阳一阴，二阳实大，一阴者，
沉也。
产后，尺泽虚软而代，至数不及，白涕不止，血崩下带。
产后，尺泽虚软而代，至数不及，加之胃脉濡湿而散，即水土俱寒，多下白涕，产后六
脉浮而虚，肾脉微而小，至数迟，来处无力，绵绵若代，中风，肌肉麻痹，肢节牵抽，非时
增寒，大府虚冷。
产后，六脉浮而数，来疾而去迟，中风，四肢躁，身体疼，精神昏闷，大府秘涩，产后
乱吃物早，伤损脾气，非时腹胁胀满，饮食不快，诊其脉，胃脉迟而肝脉弱。
产后，乱吃物早，伤损血气，身体虚弱，饮食减少，眼如猫儿眼，诊其脉，肺脉横格而
肝脉芤伤微弱，肾脉泛泛欲动而无力，此血气俱病，当调其血，益其气，暖其胃，使进食。
因坐草多时，地之寒气所冲，腹中成块，忽冲心背，脐腹疼痛，呕逆恶心，不思饮食。
产后，血气微弱，六脉沉细，重手取之，细细乃得脉气，别无阳脉，唯肺脉差浮而弱，
主头冷重，项颈蕤，非时间头面上肌肉麻痹，大肠虚冷，频出后又多虚往，或时泄泻，两足
沉重，少精神，行步无力，面黄瘦，或未经百日，经候通行，或误吃凉药，有此疾候，忽自
怀孕时间，通身寒冷，至产后，却有此疾，但极以补肾补肝药，补益其血气，而祛风邪药助
之。
产后，心虚中风，心中战栗，惊动不安，如人将捕，大府伤冷，六脉微而肝心脉偏细沉
，又产后只缘肾气之虚寒，风邪所中，肾脉细而搏以沉，肾既受病传其所胜，心感肾邪非时
惊悸，如人将捕，初以益心气去风邪药治之，次当补其肾，又次当益其肝，足其血，缘心受
肾邪，而又肝气微弱，不能生其心气，故以三方药治之。
产后肝肾虚冷受邪，六脉虚微，肾脉搏沉，心脉轻带滑，主产后肝虚中风，产后血晕之
疾有二，风搏血热而晕，即六脉洪大，有骨力，又有一般大府虚冷，却因使性激怒，伤损肝
心，其气上逆，因而血晕，其状，头觉重痛，昏昏如醉，语声低小，但多思睡，诊其候，六
脉轻，有骨力，不至洪大，肺脉轻浮而不毛，心脉促而朝上，此最为用药之难，故作此一方
麻黄（去根，一分） 延胡索 芎 防风（各一分） 官桂（去皮，半两） 甘草（炙）
细辛（各二铢） 羌活
上为细末，每服一钱半，水一盏，煎取九分，非时，去滓服，不要多服，病止即住药，
若气体虚微吃煎药未效，却加壮热头痛，面赤如醉，宜服此方。
牡丹皮 荆芥穗 羌活 麻黄（去根） 防风（各一分） 甘草（二铢，炙）
上为细末，每服二钱，水八分一盏，煎一两沸，急泻出，食后，徐徐去滓，热服（病已
即止。）
产后，余恶血未下，因感风邪，与热血相搏，壮热头痛，面赤如醉人，眼涩KT 急，
昏闷不醒，身如在虚空，见食即吐，食不住腹，脉气结而不匀，逐位间绝，然各有骨力而微，
此
麻黄（去根，三钱） 麦门冬 黄芩 羌活 大黄 荆芥穗 山栀子 芍药 射干（各
半两） 官桂 当归（各一分） 甘草（炙，三铢）
上为细末，不要KT ，只生捣，每服二钱，浓煎，薄荷汤调下，若脉气极有骨力，应
指
夏末一字，和滓服，大府不热，不用牵牛。
载之治病、用药，初不求异，炮炙制度，自依本法，以铢计者，盖其审证精切，不过三
四服立愈，逾是而不效，乃察病按方之不审，盒饭改辙，不可泥也，此皆亲试而得之，非敢
夸大其说，六铢为分，四分为两。
黄疸有两种：一种是肝热克制脾土而致的黄疸，另一种是湿邪极盛而致的黄疸。如果肝脉表现为洪大，胃脉表现为濡弱且浑浊，肝脉兼见浮象，肾脉搏动有力且冲击指下，这就是发黄胆；如果胃脉重浊且弦长，按之缺乏骨力（即缺乏根基），肾脉搏动而沉，心脉有动象，这就是湿邪极盛而发为黄疸。
然而，黄疸病大多先出现目黄，因为各种经脉都汇聚于目系，所以无论是肝热还是胃热，都会导致目黄和黄疸。肝热引起的黄疸会伴有口干欲饮、小便赤涩；胃湿引起的黄疸虽然也目黄，但口不干，小便赤而不涩。此外，还有因下部受寒、涉水湿冷，湿气上冲于心，导致目黄，但这不一定就是黄疸，《素问》中提到的太阳之气偏胜，出现面赤目黄的情况就是这类，只需缓缓通利小便即可。若是湿热郁结而致的黄疸，脉象应当洪大而大，不弦，却带有软而长的特征，适宜通利小便。
半产（流产）和正产（足月分娩）是妇女的常事，但其中多有产后染成大病者。有的突然停经，有的子宫亏损不能固摄，有的积结成症瘕，年深日久，损害性命，这没有别的原因，是因为轻视半产，没有好好调养所致。不知道半产的调养应当超过正产十倍。正产时，血止后子宫空虚；半产则肌骨腐烂。打个比方，正产就像果实中的栗子，等待它自然成熟，阴阳之气充足，外壳自然裂开，栗子自然掉落。这个时候，子与壳两相无损。如同妇人怀孕十月期满，阴阳气足，子宫自开，婴儿生下。如果月份未满，因误服药物，忽被寒邪热毒所伤，或提举重物，或跌倒打伤，胎藏受损，胞系腐烂，然后胎儿坠下。这就好比世人采摘折断新栗，弄碎皮壳，在壳中断其根蒂，然后取得栗子，这就是半产的比喻。因为其胎藏受损，胞系断裂，而后胎儿坠下，所以对于半产之人，调养治疗怎能不超过正产十倍呢？正产之后，补其虚损，生其好血，化其恶血，保其脏气，去其风邪，人人无不平安。半产之后，补其虚损，生其肌肉，益其血液，穷究病因，解除病痛，去其风邪，养其脏气，加之调养超过正产十倍，损伤的胎元，没有不能平复的。唉！世人多轻视此病，以至于倾覆危殆，不可胜数，难道不值得珍惜吗？
正产、半产出血过多，无法禁止，忽然气闷不识人，脉象洪大而浮泛，如刚洗过澡后的脉象，或如破肚之脉（形容脉象散乱无根），若脉微细而涩绝，预后凶险。
胎死腹中，脉象洪大而沉，尺部脉溢透至下部，不涩不绝，就没有危险，这是因为胎不下行，气满实，所以脉洪大而沉，又溢出于寸部。若脉涩而短，则主死。
妇人临产，羊水破裂，血下行，浑身疼痛，诊其脉，应当洪大而有骨力，尺部脉透而长，这才是正产。所谓怀孕时尺脉不来，欲产时羊水下泄，则尺部脉透出。若浑身疼痛剧烈，而羊水未破，血不肯下，就是难产。凡是浑身疼痛剧烈，必须是腰痛，连肛门处迸痛，才是正产征候，因为少阴经犯及胞络脉，连腰过脊及肛门。如果只是腹痛，不可作为正产征候。
产后，脉结而涩，尺脉短而动，肺脉浮而急，这是胎盘未下。产后血风，虚热搏结，脉洪大而数。数与疾不同，数则兼见动与短，主血晕，面色深赤，身体如醉，看见房屋如悬挂倒置，忽然头痛沉重不安。
产后血风，虚热搏结，脉洪大而疾，心脉实而有骨力，肺脉洪而浮，主血逆头痛，面赤如醉，身体如在虚空，大便秘涩，语声微细。
产后，六脉得洪大，如血晕之脉，胃脉实而弦，肺脉浮而洪，主大肠秘热，头痛面赤，恶心呕逆。
产后，如骨蒸之脉，六脉弦而微紧，有骨力，主血行少，经过数日，下身干净，腹中余血、恶血未下，非时而痛，攻心刺肋。
产后，六脉轻浮，微有骨力而来迟，肝脉细而虚弦，多因小便后登厕过早，或乱吃食物过早，子宫受风，饮食减少。近者十日，远者半月，粥食不进，才吃一口汤水，就感觉汤水巡历胸中，方下入胃，既入胃，仍下出，面色和肉色黄，形体困重，这是风邪留滞在中，血热感寒，成寒热隔气，风不用事，食不化。此病须喝一两盏酒，方可调理，每日宜服酒一两盏，如治风咽调理，所以我特意制此方。
细辛、官桂、川芎、当归（各半两）。
上药为细末，每服三钱，空腹，煎防风汤调下。吃了后，浑身手足暖，若头疼，就连吃酒一两盏，候通身发热，忽行下恶物，便安乐了。若人得此病，须依上述题目，方可服此方。
产后，六脉皆沉伏而迟，主浑身厥冷，非时而噤不识人。
产后，六脉动而疾，胃脉滑而溢于尺部，肾脉软而虚弦，这是由于产程迟，衣胞迟下，既产后，早起伤风，吐泻不定之脉，宜温其胃。
产后，六脉沉细而伏，这是寒气在下，腰痛，起动不得。
产后，六脉沉细，肾脉伏而沉，肺脉虚而大，产后乳汁多，故流出，其乳汁冷而口干，这是肾冷肺虚寒，不可以口干为上热，误服凉药。此肾少阴之脉，从肺出，络心注胸中，其直行者，从肾上贯肝膈，入肺中，循喉咙，夹舌本，所以如此。
产后，六脉洪大而结，肝脉涩，肺脉浮，忽然乳疼，坚硬成块，将欲成痈肿。
产后，未经百日，腹疼气疼，转泻不止，六脉沉细而虚，这是余寒在中。
产后，心脉一指偏小而动，又芤陷，若肺脉重而洪大，却无骨力，则主乳多。肺脉如常，惟心脉如此，加之肾脉微细，则小便虚惫。
产后，恶血行，少腹中块刺痛，须六脉大而紧，肺脉紧而虚弦为寒肺，主少腹中有块。产后血热，肝脏风搏生涎，发为疼痛，即急心痛。六脉当得二阳一阴，二阳实大，一阴者，沉也。
产后，尺部脉虚软而代，至数不及，白涕不止，血崩下带。
产后，尺部脉虚软而代，至数不及，加之胃脉濡湿而散，即水土俱寒，多下白涕。产后六脉浮而虚，肾脉微而小，至数迟，来处无力，绵绵若代，中风，肌肉麻痹，肢节牵抽，非时增寒，大肠虚冷。
产后，六脉浮而数，来疾而去迟，中风，四肢躁，身体疼，精神昏闷，大肠秘涩。产后乱吃食物过早，伤损脾气，非时腹胁胀满，饮食不快，诊其脉，胃脉迟而肝脉弱。
产后，乱吃食物过早，伤损血气，身体虚弱，饮食减少，眼如猫儿眼，诊其脉，肺脉横格而肝脉芤伤微弱，肾脉泛泛欲动而无力，此血气俱病，当调其血，益其气，暖其胃，使进食。
因坐草（临产）多时，地之寒气所冲，腹中成块，忽冲心背，脐腹疼痛，呕逆恶心，不思饮食。
产后，血气微弱，六脉沉细，重手取之，细细乃得脉气，别无阳脉，唯肺脉差浮而弱，主头冷重，项颈萎软，非时间头面上肌肉麻痹，大肠虚冷，频出后又多虚往，或时泄泻，两足沉重，少精神，行步无力，面黄瘦。或未经百日，经候通行，或误吃凉药，有此疾候。忽自怀孕时间，通身寒冷，至产后，却有此疾，但极以补肾补肝药，补益其血气，而祛风邪药助之。
产后，心虚中风，心中战栗，惊动不安，如人将捕，大肠伤冷，六脉微而肝心脉偏细沉。又产后只缘肾气之虚寒，风邪所中，肾脉细而搏以沉，肾既受病传其所胜，心感肾邪非时惊悸，如人将捕。初以益心气去风邪药治之，次当补其肾，又次当益其肝，足其血，缘心受肾邪，而又肝气微弱，不能生其心气，故以三方药治之。
产后肝肾虚冷受邪，六脉虚微，肾脉搏沉，心脉轻带滑，主产后肝虚中风。产后血晕之疾有二：风搏血热而晕，即六脉洪大，有骨力；又有一般大肠虚冷，却因使性激怒，伤损肝心，其气上逆，因而血晕。其状，头觉重痛，昏昏如醉，语声低小，但多思睡。诊其候，六脉轻，有骨力，不至洪大，肺脉轻浮而不毛，心脉促而朝上，此最为用药之难，故作此一方。
麻黄（去根，一分）、延胡索、川芎、防风（各一分）、官桂（去皮，半两）、甘草（炙）、细辛（各二铢）、羌活。
上为细末，每服一钱半，水一盏，煎取九分，非时，去滓服，不要多服，病止即住药。若气体虚微吃煎药未效，却加壮热头痛，面赤如醉，宜服此方。
牡丹皮、荆芥穗、羌活、麻黄（去根）、防风（各一分）、甘草（二铢，炙）。
上为细末，每服二钱，水八分一盏，煎一两沸，急泻出，食后，徐徐去滓，热服（病已即止）。
产后，余恶血未下，因感风邪，与热血相搏，壮热头痛，面赤如醉人，眼涩急，昏闷不醒，身如在虚空，见食即吐，食不住腹，脉气结而不匀，逐位间绝，然各有骨力而微，此……
麻黄（去根，三钱）、麦门冬、黄芩、羌活、大黄、荆芥穗、山栀子、芍药、射干（各半两）、官桂、当归（各一分）、甘草（炙，三铢）。
上为细末，不要炒（KT），只生捣，每服二钱，浓煎，薄荷汤调下。若脉气极有骨力，应指……夏末一字，和滓服，大肠不热，不用牵牛。
载之治病、用药，初不求异，炮炙制度，自依本法，以铢计者，盖其审证精切，不过三四服立愈，逾是而不效，乃察病按方之不审，盒饭改辙（应为“合必改辙”之误，意为必须改变方法），不可泥也，此皆亲试而得之，非敢夸大其说，六铢为分，四分为两。
There are two types of jaundice: one is caused by liver heat suppressing the spleen, and the other by extreme dampness. If the liver pulse is surging and large (Hong Da), the stomach pulse is soft and weak (Ru Ruo) and turbid, the liver pulse is additionally floating, and the kidney pulse beats forcefully and strikes the fingers, this indicates yellow jaundice. If the stomach pulse is heavy and turbid yet string-like and long, lacking bone-force (root) upon pressure, the kidney pulse beats and is deep, and the heart pulse shows a moving image, this indicates jaundice due to extreme dampness.
However, jaundice disease often begins with yellowing of the eyes, as all meridians converge at the eye system. Thus, both liver heat and stomach heat can cause yellow eyes and jaundice. Liver heat causes dry mouth with desire to drink, and red, astringent urine. Stomach dampness also causes yellow eyes, but without dry mouth, and red but non-astringent urine. Additionally, there are cases where cold and dampness affect the lower body, dampness rushes to the heart, causing yellow eyes, which is not necessarily jaundice; as stated in the *Su Wen*, when Taiyang qi prevails, facial redness and yellow eyes occur. In such cases, only gently promote urination. For jaundice caused by damp-heat stagnation, the pulse should be surging and large, not string-like, but soft and long; promoting urination is appropriate.
Half-delivery (miscarriage/abortion) and full-term delivery are common events for women, yet many develop severe illnesses postpartum. Some suddenly stop menstruating, some suffer uterine deficiency and inability to retain, some accumulate into masses (Zheng Jia), and over years, damage their lives. This is due to underestimating half-delivery and failing to nurture oneself properly. One must know that nurturing after half-delivery should exceed that of full-term delivery by tenfold. Full-term delivery involves stopping bleeding and uterine emptiness; half-delivery involves rotting of muscles and bones. Consider this analogy: full-term delivery is like a chestnut in its fruit, waiting for natural ripeness when yin and yang qi are sufficient, the shell opens naturally, and the nut falls. At this time, the nut and shell are undamaged. Similarly, when a woman’s pregnancy reaches ten months, yin and yang qi are sufficient, the uterus opens naturally, and the child is born. If the month is not full, due to mistaken medication, sudden injury by cold or hot toxins, lifting heavy objects, or falling, the fetal store is damaged, the placental ties rot, and then the fetus falls. This is like picking a new chestnut, crushing the shell, breaking the stem within the shell, and taking the nut—this is the metaphor for half-delivery. Because the fetal store is damaged and placental ties severed before the fetus falls, nursing care for half-delivery must exceed full-term delivery by tenfold. After full-term delivery, tonify deficiency, generate good blood, transform bad blood, protect organ qi, and dispel wind evil; everyone recovers peacefully. After half-delivery, tonify deficiency, regenerate muscle, benefit blood, investigate the cause, resolve illness, dispel wind evil, nourish organ qi, and add nursing care exceeding full-term delivery by tenfold; damaged fetuses will recover. Alas! People often underestimate this, leading to countless crises; is it not worth cherishing?
Excessive bleeding from full-term or half-delivery cannot be stopped; sudden breathlessness and unconsciousness indicate a surging, floating, and diffuse pulse, like after bathing or a "burst belly" pulse. If the pulse is minute, fine, and cut off, the prognosis is ominous.
Fetus dead in the womb presents with a surging and deep pulse; the Chi position overflows to the lower part, neither astringent nor cut off, indicating no danger because the fetus has not descended and qi is full and solid, hence surging and deep, overflowing to the Cun position. If the pulse is astringent and short, death ensues.
For a woman about to deliver, with ruptured membranes and blood flow, whole-body pain: the pulse should be surging and large with bone-force, and the Chi position penetrating and long, indicating true labor. During pregnancy, the Chi pulse does not come; when about to deliver and fluids descend, the Chi position penetrates. If whole-body pain is severe but membranes have not ruptured and blood refuses to flow, it is difficult labor. Severe whole-body pain must include lower back pain radiating to the anus; this is the true sign, as the Shaoyin meridian invades the uterine collaterals, connecting the waist, spine, and anus. Mere abdominal pain is not a sign of true labor.
Postpartum, a knotted and astringent pulse, short and moving Chi pulse, and floating and urgent Lung pulse indicate retained placenta. Postpartum blood-wind, combated by deficient heat, presents with a surging, rapid pulse. "Rapid" differs from "fast"; rapid includes moving and short qualities, indicating blood vertigo: deep red face, body feeling intoxicated, seeing houses upside down, sudden heavy headache and restlessness.
Postpartum blood-wind, combated by deficient heat, presents with a surging and fast pulse; the Heart pulse is solid with bone-force, and the Lung pulse is surging and floating, indicating blood reversal headache: face red as if intoxicated, body feeling empty, constipation, and faint voice.
Postpartum, six pulses are surging and large, like blood vertigo; the Stomach pulse is solid and string-like, the Lung pulse is floating and surging, indicating large intestine constipation and heat: headache, red face, nausea, and vomiting.
Postpartum, resembling bone-steaming fever, six pulses are string-like and slightly tight with bone-force, indicating little blood flow. After several days, when the lower body is clean, residual blood and bad blood remain in the abdomen, causing non-time pain attacking the heart and ribs.
Postpartum, six pulses are light-floating, slightly firm but slow; the Liver pulse is fine and deficient-stringy. This is often due to straining too early after urination or eating too soon. Uterine wind invasion reduces appetite. Within ten days to half a month, porridge is not taken; even one sip of soup feels like it circulates in the chest before entering the stomach, and once in the stomach, it comes out again. Face and flesh are yellow, body feels heavy. This indicates wind evil lingering in the middle, blood heat combined with cold, forming cold-heat blocking qi, wind ineffective, food undigested. This illness requires drinking one or two cups of wine for regulation. Daily intake of one cup of wine is suitable, treating wind-throat conditions. Therefore, I specially formulated this prescription.
*Fine Xin (Asari Radix), Official Gui (Cinnamon Twig), Xiong (Ligusticum Chuanxiong), Dang Gui (Angelica Sinensis)* (each 0.5 liang).
Grind into fine powder. Take 3 qian per dose, on an empty stomach, mixed with Fangfeng decoction. After ingestion, hands and feet become warm. If headache occurs, drink one or two cups of wine until the whole body heats up and bad matter passes, bringing relief. Patients with this condition must follow the above indications to take this prescription.
Postpartum, all six pulses are sunken, hidden, and slow, indicating whole-body cold limbs and non-time rigidity/unconsciousness.
Postpartum, six pulses are moving and fast; the Stomach pulse is slippery and overflows to the Chi position; the Kidney pulse is soft and deficient-stringy. This is due to prolonged labor and delayed placenta expulsion. Rising early postpartum invites wind, causing indefinite vomiting and diarrhea; warming the stomach is indicated.
Postpartum, six pulses are sunken, fine, and hidden, indicating cold qi in the lower body, lower back pain, and immobility.
Postpartum, six pulses are sunken and fine; the Kidney pulse is hidden and deep; the Lung pulse is deficient and large. Excessive lactation flows out; the milk is cold and causes dry mouth. This is Kidney cold and Lung deficiency-cold. Do not mistake dry mouth for upper heat; mistakenly taking cooling herbs harms the Kidney. The Shaoyin Kidney meridian emerges from the Lung, connects to the Heart, and enters the chest. Its straight branch rises from the Kidney through the Liver and Diaphragm, enters the Lung, follows the throat, and flanks the root of the tongue, explaining these symptoms.
Postpartum, six pulses are surging, large, and knotted; the Liver pulse is astringent; the Lung pulse is floating. Sudden breast pain with hard lumps suggests impending abscess.
Within 100 days postpartum, abdominal and qi pain with continuous diarrhea, and six pulses sunken, fine, and deficient, indicate residual cold in the middle.
Postpartum, the Heart pulse is slightly small and moving on one finger, and hollow (Kou) and depressed. If the Lung pulse is heavy, surging, and large but lacks bone-force, it indicates excessive lactation. If the Lung pulse is normal, only the Heart pulse shows this, plus a minute and fine Kidney pulse, it indicates urinary exhaustion.
Postpartum, bad blood flows, stabbing pain in masses in the lower abdomen. Six pulses should be large and tight. A tight and deficient-stringy Lung pulse indicates cold Lung, ruling out masses in the lower abdomen. Postpartum blood heat, Liver wind combats phlegm, causing pain and acute heart pain. The six pulses should show two Yang and one Yin; two Yang are solid and large, one Yin is deep.
Postpartum, the Chi position is deficient, soft, and intermittent (Dai), with insufficient frequency, continuous white discharge, and bloody leukorrhea.
Postpartum, the Chi position is deficient, soft, and intermittent, with insufficient frequency. Plus a damp, wet, and scattered Stomach pulse indicates water and earth both cold, with much white discharge. Postpartum six pulses are floating and deficient; the Kidney pulse is minute and small, frequency slow, origin powerless, continuous like Dai pulse. Wind-stroke, muscle numbness, joint twitching, non-time chills, and large intestine deficiency-cold.
Postpartum, six pulses are floating and rapid, coming fast and leaving slow. Wind-stroke, restless limbs, body pain, mental confusion, constipation. Eating too soon postpartum damages Spleen qi, causing non-time abdominal/flank distension and poor digestion. Pulse diagnosis: Stomach pulse is slow, Liver pulse is weak.
Eating too soon postpartum damages blood and qi, causing weakness, reduced appetite, and cat-like eyes. Pulse: Lung pulse is horizontal and obstructed, Liver pulse is hollow, injured, weak, and minute. Kidney pulse is diffuse, wanting to move but powerless. Blood and qi are both diseased; regulate blood, benefit qi, warm the stomach, and promote eating.
Prolonged labor allows ground cold qi to rush in, forming masses in the abdomen, suddenly rushing to the heart and back, umbilical/abdominal pain, vomiting, nausea, and loss of appetite.
Postpartum, blood and qi are weak; six pulses are sunken and fine. Heavy pressure reveals fine pulse qi, with no other Yang pulses, except the Lung pulse being slightly floating and weak. This indicates cold and heaviness in the head, flaccid neck, non-time facial muscle numbness, large intestine deficiency-cold, frequent defecation with voiding sensation, occasional diarrhea, heavy legs, lack of spirit, weak gait, yellow and thin face. Or, menstruation resumes before 100 days, or mistaken cooling herbs cause these symptoms. From pregnancy onwards, whole-body coldness persists until postpartum. Treat with strong Kidney and Liver tonics, blood benefits, and wind-dispelling aids.
Postpartum, Heart deficiency with wind-stroke causes heart trembling, fright, and unrest, as if being chased. Large intestine cold, six pulses minute, Liver and Heart pulses slightly fine and deep. Postpartum, only due to Kidney qi deficiency-cold and wind invasion, the Kidney pulse is fine, beating, and deep. When the Kidney is diseased, it transmits to what it conquers; the Heart feels Kidney evil, causing non-time palpitations, as if being chased. Initially treat with Heart-qi benefiting and wind-dispelling herbs; next, tonify the Kidney; finally, benefit the Liver and fill blood. Since the Heart receives Kidney evil and Liver qi is weak, unable to generate Heart qi, use three prescriptions.
Postpartum Liver-Kidney deficiency-cold with pathogen invasion: six pulses deficient and minute, Kidney pulse beats deep, Heart pulse lightly slippery. Indicates postpartum Liver deficiency wind-stroke. There are two types of postpartum blood vertigo: wind combats blood heat causing vertigo (six pulses surging, large, with bone-force); or large intestine deficiency-cold, aggravated by anger damaging Liver-Heart, causing qi rebellion and blood vertigo. Symptoms: heavy headache, dizziness as if intoxicated, low voice, sleepiness. Pulse: six pulses light, with bone-force, not surging/large; Lung pulse light-floating and not rough; Heart pulse hurried and upward-facing. Medication is difficult, so this formula is made.
*Mahuang (Ephedrae Herba, root removed, 1 zhu), Yanshusuo (Corydalis Rhizoma), Xiong (Ligusticum Chuanxiong), Fangfeng (Saposhnikoviae Radix)* (each 1 zhu), *Guangui (Cinnamomi Ramulus, bark removed, 0.5 liang)*, *Gancao (Licorice Root, roasted)*, *Xixin (Asari Radix)* (each 2 zhu), *Qianghuo (Notopterygii Rhizoma et Radix)*.
Grind into fine powder. Take 1.5 qian per dose, boil 1 sheng water to 0.9 sheng, strain, and take at any time. Do not overdose; stop when cured. If Qi is weak and decoction fails, adding high fever, headache, and red face, use this next formula.
*Mudanpi (Moutan Cortex), Jingjie Sui (Schizonepeta Spike), Qianghuo (Notopterygii Rhizoma et Radix), Mahuang (Ephedrae Herba, root removed), Fangfeng (Saposhnikoviae Radix)* (each 1 zhu), *Gancao (Licorice Root, roasted, 2 zhu)*.
Grind into fine powder. Take 2 qian per dose, boil 0.8 sheng water for one boil, pour out immediately. After meal, slowly strain, take hot (stop when cured).
Postpartum, residual bad blood remains, invaded by wind evil, combated by hot blood: high fever, headache, red face as if intoxicated, gritty eyes, urgency, coma, body feeling empty, vomiting upon seeing food, food not staying in abdomen. Pulse qi is knotted and uneven, interrupted between positions, yet each has slight bone-force.
*Mahuang (Ephedrae Herba, root removed, 3 qian), Maidong (Ophiopogonis Tuber), Huangqin (Scutellariae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Dahuang (Rhei Radix et Rhizoma), Jingjie Sui (Schizonepeta Spike), Shanzhizi (Gardeniae Fructus), Shaoyao (Paeoniae Radix), Shegan (Belamcandae Rhizoma)* (each 0.5 liang), *Guangui (Cinnamomi Ramulus), Dang Gui (Angelica Sinensis)* (each 1 zhu), *Gancao (Licorice Root, roasted, 3 zhu)*.
Grind into fine powder, do not roast, only crush raw. Take 2 qian per dose, decoct strongly, mix with Bohe (Menthae Haplocalycis Herba) decoction. If pulse qi has strong bone-force... [Text incomplete]. Add Xia Mo (likely a typo or specific preparation term) one character, mix with dregs, take. If large intestine is not hot, do not use Qianniu (Pharbitidis Semen).
Zai Zhi’s treatment and medication initially seek no novelty; processing follows standard methods. Using Zhu (weight unit) indicates precise syndrome differentiation. Usually cures in 3-4 doses. If ineffective beyond this, re-examine disease and formula; change approach is necessary, do not be rigid. These are personally tested, not exaggerated claims. Six Zhu equal one Fen; four Fen equal one Liang.