单养贤曰∶凡产后服生化汤加人参，须血崩血晕，形色俱脱者加之。若无虚脱形证，不可加。若有血块痛甚
不移处，止加红花、肉桂，切不可用参、 、术补气，夭人命也。
慎斋按∶以上七条，序产后有用药之戒也。产后病，误治者多，用药之际，不可不详慎。
叶以潜曰∶《良方》云∶产后以去败血为先，血滞不快，乃成诸病。夫产后元气既亏，营运失度，不免瘀血
停留。治者必先逐瘀，瘀消然后方可行补，此第一义也。今人一见产后有内虚证，遽用参、 甘温之剂，以致瘀
血攻心而死，慎之。
慎斋按∶以上一条，序产后有先消瘀之治也。产后证虚者固多，而虚中见实，莫如瘀血停滞一证为吃紧，此
条最宜留意。
张子和曰∶产后慎不可作诸虚不足治之，必变作骨蒸寒热，饮食不入，肌肤瘦削，经水不行。经曰∶寒则衰
饮食，热则消肌肉。人病瘦削，皆粗工以药消烁之故也。呜呼！人之死者，岂为命乎。
慎斋按∶产后证，虚者多实者少，子和以为慎不可作诸虚不足治，是必以攻伐峻厉为法矣。产后而亦可任汗
吐下之三法乎。赵嗣真叹子和之书，其词直，其义明，顾其一，
罔顾其二，知言哉。
朱丹溪曰∶产后有病，先固气血，故产后以大补气血为主，虽有杂证，以末治之。
汪石山曰∶产后百日之内，纵有杂证，必遵丹溪之法，以末治之，当大补气血为主，不可攻击，此正论也。
单养贤说：凡是产后服用生化汤并加入人参的情况，必须是在出现血崩、血晕，且面色和形体都呈现虚脱症状时才加用。如果没有虚脱的征象，就不可以加入人参。如果体内有血块，疼痛剧烈且部位固定不移，只能加入红花、肉桂，切不可用人参、白术补气，否则会危及生命。
慎斋按语：以上七条，叙述了产后用药的禁忌。产后疾病中，误治的情况很多，在用药之际，不可不详细审慎。
叶以潜说：《良方》记载：产后应以去除败血（瘀血）为先，血液运行不畅停滞，才会形成各种疾病。既然产后元气已经亏损，气血运行失去常态，难免会有瘀血停留。治疗者必须先驱逐瘀血，瘀血消除之后才可以进行补益，这是首要原则。现在的人一见到产后有内虚的症状，就急于使用人参等甘温的药物，导致瘀血攻心而死，对此必须谨慎。
慎斋按语：以上一条，叙述了产后先消除瘀血的治疗方法。产后证候中，虚证固然多见，但在虚证中夹杂实证，没有比瘀血停滞这一证候更关键的，这一条最应当留意。
张子和说：产后千万不要当作诸虚不足来治疗，否则一定会演变成骨蒸潮热、寒热往来，饮食无法进入，肌肤消瘦，月经停止。医经说：寒冷则食欲减退，发热则消耗肌肉。人之所以变得消瘦，都是粗劣的医生用药过度消烁的缘故。唉！人的死亡，难道仅仅是因为命运吗？
慎斋按语：产后的证候，虚的多而实的少，张子和认为千万不要当作诸虚不足来治疗，这一定是主张以峻烈的攻伐为治疗方法。产后身体还能承受汗、吐、下这三种攻法吗？赵嗣真感叹张子和的著作，言辞直率，义理明晰，但他只顾及一方面，不顾及另一方面，真是知言啊。
朱丹溪说：产后如果有病，应先巩固气血，所以产后以大补气血为主，即使有其他杂证，也作为次要问题来处理。
汪石山说：产后百日之内，纵然有其他杂证，也必须遵循朱丹溪的方法，将其作为次要问题处理，当以大补气血为主，不可使用攻伐药物，这才是正确的论述。
Dan Yangxian stated: When administering Shenghua Decoction (Invigorating Blood Decoction) with the addition of Ginseng Radix et Rhizoma (Renshen, 人参) postpartum, it is indicated only when there is severe hemorrhage (blood flooding), syncope due to blood loss, and signs of collapse in both complexion and physical form. If there are no signs of deficiency-collapse, Ginseng should not be added. If there are blood stasis clumps causing severe pain that does not shift location, only Safflower (Honghua, 红花) and Cinnamon Twig (Guirui, 肉桂) should be added. One must absolutely avoid using Ginseng Radix et Rhizoma (Renshen, 人参) and Atractylodes Rhizome (Baizhu, 白术) to tonify qi, as doing so may cause death.
Shenzhai commented: The above seven items outline the taboos regarding medication during the postpartum period. Mismanagement is common in postpartum diseases; therefore, one must be extremely detailed and cautious when prescribing.
Ye Yiqian stated: *Liangfang* records that removing stale blood (blood stasis) should be the priority postpartum. If blood circulation is sluggish and stagnant, various diseases arise. Since postpartum vital energy (yuanqi, 元气) is already deficient and its transportation and transformation are disordered, blood stasis inevitably remains. The practitioner must first expel the stasis; only after the stasis is eliminated can tonification proceed. This is the primary principle. Nowadays, people see internal deficiency symptoms postpartum and hastily administer sweet-warm formulas containing Ginseng Radix et Rhizoma (Renshen, 人参), leading to death from blood stasis attacking the heart. One must be cautious.
Shenzhai commented: The above item outlines the treatment principle of eliminating stasis first during the postpartum period. Although deficiency patterns are indeed common postpartum, among patterns of deficiency mixed with excess, none is more critical than stagnation of blood stasis. This item deserves special attention.
Zhang Zihe stated: Postpartum conditions must never be treated merely as general deficiency and insufficiency. Doing so will inevitably lead to bone-steaming tidal fever, alternating chills and heat, inability to eat, emaciation of the skin and muscles, and amenorrhea. The Classics state: "Cold leads to decreased appetite; heat consumes muscle mass." People become emaciated because incompetent physicians use drugs to excessively consume their essence. Alas! Do people die simply due to fate?
Shenzhai commented: In postpartum conditions, deficiency is common while excess is rare. Zhang Zihe’s assertion that one must not treat them as general deficiency implies a method relying on harsh purgative or attacking therapies. Can the postpartum body withstand the three methods of sweating, vomiting, and purging? Zhao Sizhen sighed that Zhang Zihe’s writings have direct language and clear meaning, yet he attends to one aspect while neglecting another. Truly insightful words.
Zhu Danxi stated: When treating disease postpartum, one must first consolidate qi and blood. Therefore, the main approach postpartum is to greatly tonify qi and blood. Even if there are miscellaneous syndromes, they should be treated as secondary issues.
Wang Shishan stated: Within one hundred days postpartum, even if miscellaneous syndromes exist, one must follow Zhu Danxi’s method, treating them as secondary issues, and focus primarily on greatly tonifying qi and blood. One must not use attacking therapies. This is a correct exposition.