陈良甫曰∶产后劳伤血气，腠理虚，为风邪所乘，邪搏于气，不得宣越，令虚肿轻浮，是邪搏于气，气肿
也。若皮肤如熟李状，则变水肿。气肿者，发汗即愈。水肿者，利小便即瘥。
慎斋按∶产后虚肿，多属气血虚而脾胃弱，荣卫不运所致。若云发汗利小便，是重竭津液，而益虚其虚矣。岂
产后肿，竟作外邪有余证治乎。
朱丹溪曰∶产后浮肿，小便少，口渴，恶寒，无力，脉沉，此体虚而有湿热之积，必上焦满闷，宜补中导
水行气可也。方用白术、陈皮、茯苓、川芎、木通。
朱丹溪曰∶产后肿，必用大补气血为主，少佐苍术、茯苓，使水自利。
薛立斋曰∶前证若寒水侮土，宜养脾肺。若气虚浮肿，宜益脾胃。若水气浮肿，宜补中气。又曰∶产后浮
肿，或兼喘咳，脉沉细无力，此命门火衰，脾土虚寒，八味丸主之。
慎斋按∶以上六条，序产后有浮肿之证也。浮肿虽有风寒湿热，外邪之感，若产后则属气血虚，而脾土不
运，肺气不输者多。故《产宝》以下四条，主客邪有余论；而丹溪、立斋，唯以补气血，扶脾土为要也。
李氏曰∶产后外感，离床太早，或换衣袭风，冷入下部，令人寒热似疟，头疼不止。血虚者，芎归汤加人
参、柴、葛。气虚者，补中汤加防风、干姜。切不可以伤寒法治之。
陈良甫说：产后因劳倦损伤了血气，腠理（皮肤纹理及汗孔）空虚，风邪乘虚而入，邪气与正气相搏结于气分，导致气机不能宣通发散，从而引起虚性浮肿、质地轻浮，这是邪气搏结于气分所致的气肿。如果皮肤出现像熟李子那样凹陷不起的肿胀，则转变为水肿。对于气肿，通过发汗治疗即可痊愈；对于水肿，通过利小便治疗即可康复。
慎斋按语：产后的虚性浮肿，大多属于气血虚弱且脾胃功能减弱，导致营卫之气运行不畅所致。如果说用发汗或利小便的方法治疗，会再次耗竭津液，从而使虚者更虚。难道产后的浮肿，竟然当作外邪有余的实证来治疗吗？
朱丹溪说：产后出现浮肿，小便量少，口渴，怕冷，无力，脉象沉，这是因为体质虚弱而有湿热积聚，必然伴有上焦满闷不适，适宜采用补益中气、引导水湿下行、行气的方法治疗。方药选用白术、陈皮、茯苓、川芎、木通。
朱丹溪又说：产后浮肿，必须以大补气血为主，稍加苍术、茯苓，使水湿自然排出。
薛立斋说：上述证候如果是寒水反侮脾土，应当滋养脾肺。如果是气虚引起的浮肿，应当补益脾胃。如果是水气引起的浮肿，应当补益中气。他又说：产后浮肿，如果兼有气喘咳嗽，脉象沉细无力，这是命门火衰，脾土虚寒，应用八味丸主治。
慎斋按语：以上六条，叙述了产后出现浮肿的证候。浮肿虽然可能有风寒湿热等外邪侵袭的因素，但产后多属于气血虚弱，脾土运化失职，肺气输布不利。所以《产宝》中的以下四条，主张针对客邪有余进行论治；而丹溪、立斋，则唯独以补益气血、扶持脾土为关键。
李氏说：产后感受外邪，因过早下床活动，或在更换衣物时受风，寒气侵入下部，导致人出现寒热往来似疟疾的症状，头痛不止。血虚者，用芎归汤加入人参、柴胡、葛根。气虚者，用补中益气汤加入防风、干姜。切不可按照伤寒病的方法来治疗。
Chen Liangfu stated: Postpartum labor and exhaustion damage the blood and qi, leaving the cou li (skin texture and pores) deficient. Wind pathogens take advantage of this deficiency to invade. The pathogen clashes with the qi, preventing its free diffusion and dispersion, resulting in a flaccid, light edema. This is Qi Edema caused by the pathogen clashing with the qi. If the skin exhibits pitting edema resembling a ripe plum, it transforms into Water Edema. Qi Edema is cured by inducing sweating; Water Edema is cured by promoting urination.
Shenzhai commented: Postpartum flaccid edema mostly belongs to deficiencies of blood and qi, coupled with weak spleen and stomach, leading to impaired circulation of Ying and Wei (nutritive and defensive qi). To advocate sweating or promoting urination would further deplete body fluids, thereby exacerbating the existing deficiency. How can postpartum edema be treated merely as an excess syndrome of external pathogens?
Zhu Danxi stated: Postpartum edema accompanied by scanty urine, thirst, aversion to cold, weakness, and a deep pulse indicates that the constitution is deficient while damp-heat accumulates. This inevitably causes fullness and oppression in the upper jiao. It is appropriate to tonify the middle, guide water downward, and move qi. The prescription uses Baizhu (Atractylodis Macrocephalae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Fuling (Poria), Chuanxiong (Ligustici Chuanxiong Rhizoma), and Mutong (Akebiae Caulis).
Zhu Danxi further stated: Postpartum edema must primarily be treated with substantial tonification of blood and qi, with minor additions of Cangzhu (Atractylodis Rhizoma) and Fuling (Poria), allowing water to drain naturally.
Xue Lizhai stated: In the aforementioned conditions, if Cold-Water insults Earth (Spleen), one should nourish the Spleen and Lungs. If edema is due to Qi deficiency, one should benefit the Spleen and Stomach. If edema is due to Water-Qi, one should tonify Middle Qi. He also stated: Postpartum edema, especially when accompanied by wheezing and coughing, with a deep, thin, and forceless pulse, indicates decline of Mingmen Fire (Gate of Life fire) and deficiency-cold of Spleen Earth. It should be treated with Bawei Wan (Eight-Ingredient Pill).
Shenzhai commented: The above six items describe the syndrome of edema occurring after childbirth. Although edema may arise from external pathogens such as wind, cold, damp, and heat, postpartum cases mostly belong to deficiencies of blood and qi, with failure of Spleen Earth to transport and Lung Qi to distribute. Therefore, the following four items from *Chanbao* (Precious Prescriptions for Women) advocate treating excess guest pathogens; whereas Danxi and Lizhai emphasize only tonifying blood and qi and supporting Spleen Earth as the key.
Li Shi stated: Postpartum external contraction, often due to getting out of bed too early or exposure to wind during clothing changes, allows cold to enter the lower part of the body, causing chills and fever resembling malaria and unceasing headache. For Blood deficiency, Xiongui Tang (Peony and Ligusticum Decoction) is used with added Renshen (Ginseng Radix et Rhizoma), Chaihu (Bupleuri Radix), and Gegen (Puerariae Lobatae Radix). For Qi deficiency, Buzhong Yiqi Tang (Decoction to Supplement the Middle and Enrich the Qi) is used with added Fangfeng (Saposhnikoviae Radix) and Ganjiang (Zingiberis Rhizoma). One must absolutely not treat this according to the methods for Shanghan (Cold Damage).