节斋云∶产后阴血虚，阳无所根据而浮散于外，故多发热。丹溪用参、术、 、陈、芎、
归、
炙甘草补虚，轻则加茯苓淡渗，其热自除重则加干姜，(古人于血症中每每用干姜，而今人
率用炮姜，则孰是而孰非也?若谓入肺则宜干姜，入肝则宜生姜，入脾温中则宜炮姜，以其
有守有走有从之不同也。今用炮姜，须炮得十分极黑乃妙。寻常治诸虚烦热者，以竹叶石膏
汤、温胆汤，殊不知产后与寻常不同，如石膏等药不宜轻用，用之必死)。或云大热而用干
姜何也?曰∶此热非有余之邪热，则阴虚生内热耳。盖干姜能入肺，分利肺气，又能入肝，
分引众药生血。然不可独用，必与补阴血药同用，收其浮散，使归根据于阴。但产后胃脾虚多
有过食，饮食停滞而发热者，误作血虚则不效矣。若恶寒发烦躁，作渴，急用十全大补汤。
若热愈甚，急加附子。若作渴面赤，宜用当归补血汤。若误认为火症，投以凉剂，祸在反掌
。产后血虚，气无所根据，则逆而为火。火上逆而瘀血迫之，则心烦矣。治宜童便，盖其味苦
咸寒，其性就下，降火消瘀，故宜服之，所谓浊阴出下窍也。
《大全》云∶产后虚汗不止者，由阴气虚而阳气加之。里虚表实，阳气必发于外，故汗
出也
。血为阴，产后伤血，是为阴气虚也。气为阳，其气实者，阳加于阴，故令汗出，而阴气虚
弱不复者，则汗出不止也。凡产后血气皆虚，故多汗，因之遇风则变成痉。纵不成 ，亦虚
乏短气，身体柴瘦，唇口干燥，久则经水断绝，由津液竭故也(夫汗者，阳之气，阴尽不复
则阳无所归，以入于阳，故虚阳上浮于外而为汗耳。人多谓汗多成 而失言因而遇风变 之
理，又不成 ，而短气柴瘦者，此变热也。省之省之。亡阳发 用十全大补、参附、 附之
类，必审其所以而用，毋泛泛执一以为是也)。
按∶前症若气血俱虚，急用十全大补汤，如不应，用参附、 附等汤。若汗多亡阳发
，尤
当用前药。王海藏云∶头汗出，至颈而还，额上汗出偏多，盖额为六阳之会，由虚热熏蒸而
出也。
节斋说：产后阴血亏虚，阳气失去依附而浮散于体表，所以容易发生发热。丹溪（朱震亨）用人参、白术、陈皮、川芎、当归、炙甘草来补益虚损；病情轻的加茯苓以淡渗利湿，热自会消除；病情重的加干姜。（古人在治疗血症时常常使用干姜，而现在的人大多用炮姜，究竟谁对谁错呢？如果说入肺经适宜用干姜，入肝经适宜用生姜，入脾经温中适宜用炮姜，是因为它们有守中有走窜、有从有逆的不同。现在如果用炮姜，必须炮制得十分焦黑才妙。通常治疗各种虚烦发热的病证，用竹叶石膏汤、温胆汤，却不知道产后与寻常情况不同，像石膏等寒凉药物不宜轻易使用，使用了必然导致死亡）。有人说大热证为什么还用干姜呢？回答说：这种热不是有余的邪热，而是阴虚产生的内热罢了。大概干姜能入肺经，分利肺气，又能入肝经，分引其他药物生血。但是不可单独使用，必须与补益阴血的药物同用，收敛浮散的阳气，使阳气回归并依附于阴血。只是产后胃脾虚弱，多有因饮食过量，导致饮食停滞而发热的，如果误认为是血虚就会无效。如果出现恶寒、烦躁、口渴，应紧急使用十全大补汤。如果热势更甚，紧急加入附子。如果出现口渴、面赤，适宜使用当归补血汤。如果误认为是火症，投用凉剂，灾祸就在眨眼之间。产后血虚，气失去依附，就会逆乱化为火。火上逆且瘀血逼迫它，就会导致心烦。治疗适宜用童便，因为它的味道苦咸寒，性质下行，能降火消瘀，所以适宜服用，这就是所谓的“浊阴出下窍”。
《大全》说：产后虚汗不止的，是由于阴气虚弱而阳气乘虚加之。里虚表实，阳气必然发散于体表，所以出汗。血属于阴，产后损伤血液，就是阴气虚弱。气属于阳，气实的，阳加于阴，所以令汗出，而阴气虚弱不能恢复的，则汗出不止。凡是产后气血都虚弱，所以多汗，因此遇到风邪就会变成痉病（抽搐痉挛）。即使不变成痉病，也会虚乏短气，身体枯瘦，唇口干燥，久了就会导致经水断绝，这是因为津液枯竭的缘故。（汗是阳气的表现，阴气耗尽不能恢复，则阳气无所归依，进入阳分，所以虚阳上浮于体表而成为汗。人们常说汗多会导致痉病，这是失言，因而遇到风邪变成痉病的道理，又说不变成痉病，而出现短气、身体枯瘦的，这是变生热证。请深思啊。亡阳导致发斑疹的，用十全大补汤、参附汤、姜附汤之类，必须审慎考察其病因再使用，不要泛泛地固执一种说法认为是正确的）。
按语：前面的病症如果气血俱虚，紧急使用十全大补汤，如果不见效，使用参附汤、姜附汤等。如果汗多导致亡阳发斑疹，尤其应当使用前药。王海藏说：头汗出，到颈部就停止，额头汗出偏多，大概额头是六阳经交会之处，由虚热熏蒸而出。
Jiezhai stated: Postpartum deficiency of Yin blood causes Yang to lose its foundation and float/scatter outward, thus fever often occurs. Danxi (Zhu Zhenheng) used Renshen Tang (Ginseng Decoction), specifically Ren Shen (Radix Ginseng), Baizhu (Rhizoma Atractylodis Macrocephalae), Chenpi (Pericarpium Citri Reticulatae), Chuanxiong Rhizoma Ligustici Chuanxiong, Danggui (Radix Angelicae Sinensis), and Zhigancao (Radix Glycyrrhizae Preparata) to tonify deficiency. For mild cases, Fuling (Poria) is added for mild diuresis, and the heat will naturally subside; for severe cases, Ganjiang (Rhizoma Zingiberis Preparatum) is added. (Ancient physicians frequently used Ganjiang in treating blood disorders, whereas modern practitioners mostly use Paogjiang (Rhizoma Zingiberis Praeparatum). Which is correct? It is said that Ganjiang suits the Lung meridian, Shengjiang (Rhizoma Zingiberis Recens) suits the Liver meridian, and Paogjiang suits the Spleen for warming the middle; this is due to their differences in retaining vs. dispersing and following vs. rebelling. If using Paogjiang, it must be charred until completely black for best effect. Usually, for various deficiencies causing vexation and heat, Zhuyeshigu Tang (Bamboo Leaf and Gypsum Decoction) or Wendan Tang (Warming Gallbladder Decoction) are used, but one fails to realize that postpartum conditions differ from ordinary ones. Cold herbs like Shigao (Gypsum Fibrosum) should not be used lightly; doing so can be fatal.) Someone asks: Why use Ganjiang for high fever? The answer is: This heat is not excess pathogenic heat, but internal heat generated by Yin deficiency. Ganjiang enters the Lung meridian to distribute and diffuse Lung Qi, and enters the Liver meridian to guide other herbs to generate blood. However, it cannot be used alone; it must be combined with herbs that tonify Yin and blood to gather the floating Qi, allowing it to return and root in Yin. Nevertheless, postpartum Spleen and Stomach weakness often leads to overeating, causing food stagnation and fever. Misdiagnosing this as blood deficiency will result in ineffectiveness. If there is aversion to cold, restlessness, and thirst, Shiquan Dabu Tang (Comprehensive Great Tonifying Decoction) should be used urgently. If the heat worsens, Fuzi (Radix Aconiti Lateralis Preparata) should be added urgently. If there is thirst and a red face, Danggui Buxue Tang (Angelica Tonifying Blood Decoction) is appropriate. Misidentifying this as a Fire syndrome and administering cooling agents brings disaster instantly. Postpartum blood deficiency causes Qi to lose its foundation and rebel into Fire. Fire rebelling upward, pressured by stagnant blood, causes heart vexation. Treatment should utilize Tongbian (Urine of a healthy young boy); its flavor is bitter, salty, and cold, its nature descends, it reduces fire and resolves stasis, hence it is suitable, embodying the principle that "turbid Yin exits through the lower orifices."
The *Daquan* states: Unceasing spontaneous sweating after childbirth results from deficient Yin Qi being acted upon by Yang. Interior deficiency with exterior excess causes Yang to emit outward, resulting in sweating. Blood is Yin; postpartum blood loss constitutes Yin deficiency. Qi is Yang; when Qi is substantial, Yang adds to Yin, causing sweat. If Yin Qi is weak and fails to recover, sweating continues unceasingly. Generally, both Qi and Blood are deficient postpartum, leading to profuse sweating; encountering wind may transform this into Jing illness (spasm). Even if spasm does not occur, there will be deficiency, shortness of breath, emaciation, dry lips and mouth, and eventually amenorrhea due to exhaustion of Jin-Ye (body fluids). (Sweat is the manifestation of Yang Qi. When Yin is exhausted and cannot recover, Yang has no place to reside, enters the Yang aspect, and floats upward outward as sweat. People often claim excessive sweating leads to spasm, which is an error. The mechanism of encountering wind to cause spasm is misunderstood. Cases where spasm does not occur but present with shortness of breath and emaciation indicate transformation into Heat. Reflect deeply on this. For Yang collapse manifesting as macules/rash, use Shiquan Dabu Tang, Shenfu Tang (Ginseng and Aconite Decoction), or Jiangfu Tang (Ginger and Aconite Decoction). One must carefully examine the etiology before use, avoiding rigid adherence to a single dogma.)
Commentary: For the aforementioned symptoms, if both Qi and Blood are deficient, use Shiquan Dabu Tang urgently. If ineffective, use Shenfu Tang or Jiangfu Tang. If profuse sweating leads to Yang collapse and rash, these formulas are especially indicated. Wang Haicang stated: Sweating limited to the head, stopping at the neck, with excessive sweating on the forehead, occurs because the forehead is the convergence point of the Six Yang meridians, steamed by deficient heat.