【产后血虚发热歌】产下婴儿血气空，丝毫触犯便伤营，倏然致疾如山重，不与寻常一样同
。去血过多因发热，炮姜参术与川芎。阴伤作热心烦闷，自汗黄 可奏功。恶心呕逆伤脾胃
，抵圣汤医腹胁膨。归 止汗除身热。不愈当归取效崇。风中愈风汤立验，茯神散子治怔忡
。诸风痿痹筋搐搦，时世名医认血风。乍见
鬼神由血耗，调经散服起疲癃。中风口噤牙关闭，拘挛身张似角弓。此是血虚筋螈 ，举轻
古拜配归芎。产后经来因适断，感于异症在
其中。手牵足搐牙关紧，昏胃柴胡视听聪。阴虚发热增寒证，昼日清明夜觉凶，加增四物神
功大，一服能令病脱躬。胞中误损成淋症，参
术煎膏溲自通。浮肿必须分水道，忧思郁结在宽胸。痢初化滞香连芍，积久须当用胃风。初
感寒邪微发表，热邪不解用黄龙。燥烦实热芩连理，渴甚人参白虎从。热泄柴苓除半夏，便
难议与大柴攻。汗多表弱宜行桂，里弱中虚用理中。发表内攻须带补。勿行猛浪内伤营。小
便淋漓行时痛，但用茅根可治癃。泄泻胃苓汤可用，寒加肉果桂姜同。若因热泻并肠垢，
姜炒黄连佐木通。
夫产后气血大损，即易产力壮者，尚有感疾为终身之患，产母不可恃健，不行保重，劳碌以
损其营，多食以伤其胃。外感六淫之邪，内受七情之气，为患莫测。古云∶产后勿犯丝毫，
感病重于山岳。信夫。或恶露未净而发热作疼，真元不复而痿顿为劳，比比皆然也。故产后
诸疾，先以大补气血，纵有他疾，以末治之。或欲祛邪，必兼补剂，殊为切当。若以峻剂攻
之，再损气血，危可立待。或恶露当去者，亦须急去，故生新温养为主，斯得其正也。
举轻古拜散 治产后中风。
荆芥（炒燥）
为末，每服二钱，豆淋汤调服。
【产后血虚发热歌】分娩后婴儿产出，产妇气血空虚，稍有触犯就会损伤营气，突然致病如同山岳般沉重，这与普通的疾病不一样。因失血过多导致发热，可用炮姜、人参、白术与川芎治疗。阴液受伤导致心中烦闷发热，自汗症状可用黄芪奏效。恶心呕吐损伤脾胃，可用抵圣汤治疗腹部和胁肋胀满。当归可止汗并去除身体发热，若病不愈，服用当归能取得显著疗效。风中愈风汤对此立竿见影，茯神散子可治疗心悸怔忡。各种风邪导致的痿痹、筋脉抽搐痉挛，当时的名医将其认定为“血风”。突然看见鬼神是由于血液耗损，服用调经散可以起死回生（治疗疲癃）。中风导致口噤、牙关紧闭、拘挛、身体强直如角弓反张，这是血虚导致的筋脉抽搐，举轻古拜散配合当归、川芎使用。产后月经来潮却突然中断，异常病症夹杂其中。手脚牵引抽搐、牙关紧闭，昏沉中用柴胡可使视听恢复清明。阴虚发热伴有恶寒症状，白天清醒夜间感觉凶险，增加四物汤功效巨大，一服药就能让病人脱离病痛。胞宫误损导致淋症，用人参、白术煎膏，小便自然通畅。浮肿必须区分水道，忧思郁结需宽胸理气。痢疾初起化滞用香连芍药汤，积久需用胃风汤。初感寒邪轻微解表，热邪不解用黄龙汤。燥热烦渴实热证用黄芩、黄连汤，口渴严重用人参白虎汤。热性泄泻用柴胡桂枝干姜汤去半夏，大便困难建议用大柴胡汤攻下。汗多表虚宜用桂枝汤调和，里虚中焦虚弱用理中汤。解表与内攻都必须兼顾补益，不要行猛浪之剂损伤营气。小便淋漓且排尿时疼痛，只用茅根即可治疗癃闭。泄泻可用胃苓汤，寒证加肉豆蔻、桂枝、生姜同用。若是热泻并伴有肠垢，用姜炒黄连佐以木通。
产后气血大损，即使是产力强壮的产妇，也容易被疾病感染成为终身隐患，产妇不可倚仗健康，不注意保重，劳累会损伤营气，饮食不当会伤害胃气。外感六淫邪气，内受七情之气，为患难以预测。古人说：产后切勿触犯丝毫，感病重于山岳。确实如此。或者恶露未净而发热疼痛，真元不复而痿顿成劳，这种情况比比皆是。所以产后各种疾病，先用大补气血的方法，即使有其他疾病，也以次要处理。或者想要祛除邪气，必须兼用补剂，这非常恰当。如果用峻猛药剂攻伐，再次损伤气血，危险立刻到来。或者恶露应当排出的，也必须急去，所以以生新温养为主，这才符合正道。
举轻古拜散 治疗产后中风。
荆芥（炒至干燥）研为细末，每次服用二钱，用豆淋汤调服。
[Song on Blood Deficiency and Fever After Childbirth] After the delivery of the infant, the mother's Qi and Blood are empty; even a slight violation will damage the Ying (Nutritive) level. The sudden onset of illness is as heavy as a mountain, differing from ordinary diseases. Fever caused by excessive blood loss can be treated with Pao Jiang (Processed Zingiberis Rhizoma), Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), and Chuanxiong (Ligustici Chuanxiong Rhizoma). Heat and irritability due to Yin injury, along with spontaneous sweating, can be resolved using Huangqi (Astragali Membranacei Radix). Nausea and vomiting damaging the Spleen and Stomach are treated with Disheng Tang (Di Sheng Decoction) for abdominal and hypochondriac distension. Danggui (Angelicae Sinensis Radix) stops sweating and removes body heat; if ineffective, continued use of Danggui yields significant results. Fengzhong Yufeng Tang (Feng Zhong Yu Feng Decoction) acts immediately, while Fushen Sanzi (Fu Shen Powder) treats palpitations (Zhengchong). Various wind-induced flaccidity, bi-syndrome, and tendon spasms are recognized by contemporary physicians as "Blood Wind" (Xuefeng). Hallucinations of ghosts and spirits result from blood depletion; Tiaojing San (Tiao Jing Powder) cures fatigue and strangury. Stroke with locked jaw, clenching teeth, contracture, and opisthotonos-like stiffness is due to blood deficiency causing tendon twitching (Jingyong); Juqing Gubai San (Ju Qing Gu Bai Powder) combined with Danggui and Chuanxiong is effective. If postpartum menstruation starts and then abruptly stops, abnormal conditions may intervene. Hand and foot traction with spasms, tight jaw, and confusion can be clarified using Chaihu (Bupleuri Radix) to restore hearing and vision. Yin deficiency fever with chills, clarity during the day but worsening at night, responds greatly to Siwu Tang (Four Substances Decoction) added to; one dose can relieve the patient. Misdamage in the uterus causing strangury is treated with Renshen and Baizhu paste, allowing normal urination. Edema requires distinguishing water pathways; worry and depression need chest-opening methods. Early dysentery uses Xianglian Shaoyao Tang (Xiang Lian Shao Yao Decoction) to resolve stagnation; long-standing cases require Weifeng Tang (Wei Feng Decoction). Initial cold pathogen invasion requires mild release of the exterior; unresolved heat uses Huanglong Tang (Huang Long Decoction). Dryness, irritability, excess heat uses Huangqin and Huanglian Tang (Huang Qin Huang Lian Decoction); severe thirst uses Renshen and Baitu Tang (Ren Shen Bai Hu Decoction). Hot diarrhea uses Chai Ling Tang (Chai Ling Decoction) removing Banxia (Pinelliae Rhizoma); difficult defecation suggests Daxie Tang (Da Xie Decoction) for purging. Profuse sweating with weak exterior suits Guizhi Tang (Guizhi Decoction); interior weakness and middle jiao deficiency suit Lizhong Tang (Li Zhong Decoction). Releasing the exterior and attacking internally must include tonification; do not use reckless agents that damage the Ying level. Dribbling urine with pain during voiding is treated with Maogen (Imperatae Rhizoma) for strangury. Diarrhea can use Weiling Tang (Wei Ling Decoction); add Rouguou (Myristicae Semen), Guizhi (Cinnamomi Ramulus), and Shengjiang (Zingiberis Rhizoma Recens) for cold. For hot diarrhea with intestinal mucus, stir-fried Huanglian (Coptidis Rhizoma) assists Mutong (Akebiae Caulis).
Postpartum Qi and Blood are severely depleted. Even those with strong labor power are susceptible to diseases becoming lifelong burdens. Mothers must not rely on their health or neglect self-care; overwork damages Ying, and improper diet harms the Stomach. External invasion of the Six Excesses (Liuyin) and internal disturbance of the Seven Emotions (Qiqing) lead to unpredictable harm. As the ancients said: "Do not violate anything after childbirth; illness contracted is heavier than a mountain." This is true. Cases where lochia is not cleared cause fever and pain; failure of True Yuan to recover leads to flaccidity and chronic fatigue, which are common. Therefore, for all postpartum ailments, first massively tonify Qi and Blood. Even if other diseases exist, treat them secondarily. To expel pathogens, one must combine with tonifying agents, which is highly appropriate. Using harsh purgatives would further deplete Qi and Blood, leading to imminent danger. If lochia should be expelled, it must be removed urgently; thus, generating new tissue and warming/nourishing is the primary approach, which aligns with the correct principle.
Juqing Gubai San (Ju Qing Gu Bai Powder) treats postpartum wind-stroke.
Jingjie (Schizonepetae Spica) (stir-fried until dry) is ground into powder. Take two qian per dose, mixed with Doulin Tang (Bean Pouring Decoction).