川芎(一钱五分) 当归(三钱) 甘草 姜炭 羌活 防风(各四分) 桃仁(十粒) 服二帖。
如无块痛。去桃仁。若二帖后。头疼。身热不除。加白芷(八分) 细辛(二分) 若发热不止
。头疼如破。加莲须。葱头(五个) 若虚甚加人参(二三钱)
产后潮热。有汗。大便不通。毋专论为伤寒阳明症。口燥咽干而渴。毋专论为伤寒少阴症。
腹满。咽干。大便实。毋专论为伤寒太阴症。又汗出。谵语。便闭。毋专论为胃中燥屎宜下
。此数症多由劳倦伤脾。运化稽迟。气血枯竭。肠腑燥涸。乃虚症类实。当补之症。治者毋
执偏门。轻产后妄议三承气汤。以治类三阴症。间有少壮产妇。患此症而误下。幸而无妨。
若虚弱产妇。亦复误下。多致不救者。或因气血虚胀。误下反结。又有血少数日。大便不通
。误服攻下。而泄不止者。危哉。
(〔吴按〕六经病症当查究伤寒论。则表里分明。所以学人博览群书。一以贯之。)
人参(二钱五分) 当归(六钱) 炙草(五分) 桃仁(十五粒) 苁蓉(酒洗去甲) 麻仁(炒各
一钱) 陈皮(四分)
如汗多便实。加黄 。麻黄根。人参。(各一钱) 口燥渴。加麦冬。人参(各一钱) 腹满。
嗌干。便实。加麦冬(一钱) 枳壳(六分) 人参(二钱) 汗出。谵语。便实。乃气血并竭。
精神失守。宜养荣安神。加茯苓。枣仁。远志(各一钱) 人参。白术。(各二钱) 黄 。柏
子仁。(各一钱) 以上大便燥结症。非用芎、归、人参至数斤。难见全效。
大抵产后。虚中伤寒。口伤寒物。外症虽见。头痛。发热。或胁痛。腰疼。是外感。宜汗。
犹宜重产。亡血。禁汗。仲景伤寒论。亡血家禁汗。禁下。岂产后而可汗下乎。惟宜生化汤
量为加减。调理方谓无失。又如大便秘结。犹当重产亡血。禁下。长沙论伤寒之不可汗。不
可下者。非谓不当汗不当下。无奈脱血后。万万不敢耳。
川芎（一钱五分）、当归（三钱）、甘草、姜炭、羌活、防风（各四分）、桃仁（十粒）。服用两帖。
如果没有瘀块疼痛，去掉桃仁。如果服用两帖后，头痛、身热不退，加白芷（八分）、细辛（二分）。如果发热不止，头痛剧烈如破裂感，加莲须、葱头（五个）。如果虚损严重，加人参（二三钱）。
产后出现潮热，有汗，大便不通，不要专门将其诊断为伤寒阳明症（阳明经受邪所致的病证）。口燥咽干且口渴，不要专门将其诊断为伤寒少阴症（少阴经受邪所致的病证）。腹部胀满，咽干，大便结实，不要专门将其诊断为伤寒太阴症（太阴经受邪所致的病证）。又有出汗、谵语（神志不清，胡言乱语）、便秘，不要专门诊断为胃中燥屎适宜用攻下法。这些症状多由劳累疲倦损伤脾气，运化功能迟缓，气血枯竭，肠道干燥涸竭所致，属于虚证表现为实证的症状，应当采用补益法治疗。医者不要固执于偏门之见，轻视产后体质而妄议使用三承气汤（调胃承气汤、小承气汤、大承气汤的合称）来治疗类似三阴症的情况。偶尔有年轻力壮的产妇，患此症而被误用攻下法，幸好没有造成妨碍。如果是虚弱的产妇，也误用攻下法，大多导致无法救治。有的因为气血虚弱导致腹胀，误用攻下法反而导致结滞加重；又有因血少数日，大便不通，误服攻下药而导致泄泻不止的，非常危险。
（〔吴氏按〕六经病症应当查究《伤寒论》，这样表里关系就分明。所以学习者博览群书，应能融会贯通。）
人参（二钱五分）、当归（六钱）、炙甘草（五分）、桃仁（十五粒）、肉苁蓉（酒洗去鳞甲）、火麻仁（炒，各一钱）、陈皮（四分）。
如果汗多且大便实，加黄芪、麻黄根、人参（各一钱）。口燥渴，加麦冬、人参（各一钱）。腹部胀满，咽喉干燥，大便实，加麦冬（一钱）、枳壳（六分）、人参（二钱）。出汗、谵语、大便实，这是气血同时枯竭，精神失守，应当养荣安神，加茯苓、酸枣仁、远志（各一钱）、人参、白术（各二钱）、黄芪、柏子仁（各一钱）。以上大便燥结的症状，如果不使用川芎、当归、人参达到几斤的量，很难见到完全的效果。
大抵产后，是虚中夹感伤寒，口中厌恶寒凉药物。外症虽然出现头痛、发热，或者胁痛、腰痛，这是外感，适宜发汗。但依然要重视产后亡血，禁止发汗。张仲景在《伤寒论》中说，亡血家禁止发汗，禁止攻下，难道产后就可以发汗攻下吗？只适宜用生化汤（Cinnamon Twig and Motherwort Decoction）根据情况加减，调理才算是没有失误。又如大便秘结，更应当重视产后亡血，禁止攻下。长沙太守张仲景论述伤寒不可发汗、不可攻下的道理，并非指不应当发汗或不应当攻下，而是无奈于脱血之后，万万不敢轻易使用罢了。
Chuanxiong Rhizoma (1.5 qian), Danggui Radix (3 qian), Gancao Radix et Rhizoma, Jiangtan Charred Zingiberis Rhizoma, Qianghuo Notopterygii Rhizoma, Fangfeng Saposhnikoviae Radix (each 0.4 qian), Taoren Persicae Semen (10 grains). Take two doses.
If there is no pain from blood stasis masses, remove Taoren Persicae Semen. If after two doses, headache and body heat persist, add Baizhi Angelicae Dahuricae Radix (0.8 fen) and Xixin Asari Radix et Rhizoma (0.2 fen). If fever does not cease and headache is severe as if breaking, add Lianxu Nelumbinis Stamen and Congtou Allii Cepae Bulbus (five pieces). If deficiency is severe, add Renshen Ginseng Radix et Rhizoma (2-3 qian).
Postpartum tidal fever with sweating and constipation should not be exclusively diagnosed as Yangming disease (a syndrome caused by pathogenic factors affecting the Yangming meridians). Dry mouth, dry throat, and thirst should not be exclusively diagnosed as Shaoyin disease (a syndrome caused by pathogenic factors affecting the Shaoyin meridians). Abdominal fullness, dry throat, and solid stool should not be exclusively diagnosed as Taiyin disease (a syndrome caused by pathogenic factors affecting the Taiyin meridians). Sweating, delirium, and constipation should not be exclusively diagnosed as dry feces in the stomach requiring purgation. These symptoms are mostly caused by fatigue damaging the Spleen Qi, leading to sluggish transformation and transportation, depletion of Qi and Blood, and dryness of the Intestines. This is a deficiency syndrome presenting as excess, and treatment should employ tonification. Physicians must not adhere to biased approaches or lightly prescribe the Three Chengqi Decoctions (Tiaowei Chengqi Tang, Xiao Chengqi Tang, Da Chengqi Tang) for conditions resembling the Three Yin diseases. Occasionally, young and strong postpartum women who suffer from these symptoms and are mistakenly treated with purgatives may escape harm. However, if weak postpartum women are mistakenly treated with purgatives, it often leads to untreatable conditions. Some cases involve abdominal distension due to Qi and Blood deficiency, where mistaken purgation causes further stagnation; others involve scant blood and constipation over several days, where mistaken use of purgatives leads to unceasing diarrhea, which is critical.
([Wu's Note] The Six Meridian syndromes should be investigated through the Shanghan Lun so that exterior and interior distinctions are clear. Therefore, students who read extensively should be able to integrate knowledge comprehensively.)
Renshen Ginseng Radix et Rhizoma (2.5 qian), Danggui Radix (6 qian), Zhigancao Honey-fried Glycyrrhizae Radix et Rhizoma (0.5 fen), Taoren Persicae Semen (15 grains), Rongcong Cistanche Stem, Haren Hemp Seed (fried, each 1 qian), Chenpi Citri Reticulatae Pericarpium (0.4 qian).
If sweating is excessive and stool is solid, add Huangqi Astragali Radix, Mahuanggen Ephedrae Herba Caulis, and Renshen Ginseng Radix et Rhizoma (each 1 qian). Dry mouth and thirst, add Maidong Ophiopogonis Tuber and Renshen Ginseng Radix et Rhizoma (each 1 qian). Abdominal fullness, dry throat, and solid stool, add Maidong Ophiopogonis Tuber (1 qian), Zhike Aurantii Fructus (0.6 fen), and Renshen Ginseng Radix et Rhizoma (2 qian). Sweating, delirium, and solid stool indicate simultaneous depletion of Qi and Blood and loss of spiritual control; nourish Ying and calm the Spirit, add Fuling Poria, Zaoren Ziziphi Spinosae Semen, Yuanzhi Polygalae Radix (each 1 qian), Renshen Ginseng Radix et Rhizoma, Baizhu Atractylodis Macrocephalae Rhizoma (each 2 qian), Huangqi Astragali Radix, and Bairen Platycladi Semen (each 1 qian). For the above symptoms of dry and hard stool, unless Chuanxiong Rhizoma, Danggui Radix, and Renshen Ginseng Radix et Rhizoma are used in quantities reaching several jin, complete efficacy is difficult to achieve.
Generally, postpartum conditions involve deficiency complicated by cold damage. Patients dislike cold substances. Although external symptoms such as headache, fever, hypochondriac pain, or lower back pain appear indicating external contraction suitable for diaphoresis, one must still prioritize the postpartum state of blood loss and prohibit diaphoresis. Zhang Zhongjing stated in the Shanghan Lun that those with blood loss should not undergo diaphoresis or purgation; how much less should this apply to postpartum women? One should only adjust Shenghua Tang (Cinnamon Twig and Motherwort Decoction) according to circumstances for regulation to ensure no errors. Similarly, for severe constipation, one must emphasize postpartum blood loss and prohibit purgation. Zhang Zhongjing’s discussion on the prohibition of diaphoresis and purgation in cold damage does not mean that diaphoresis and purgation are never appropriate, but rather that after massive blood loss, they are absolutely contraindicated.