缪仲淳曰∶凡产后痢，积滞虽多，腹痛虽极，不可用大黄等药行之，致伤胃气，遂不可救。但用人参、归、
芍、红曲、醋炒升麻，倍加甘草与益母草、滑石足矣。若恶露未尽，兼用乳香、没药、砂仁、阿胶，自愈。
慎斋按∶以上五条，序产后有痢疾之证也。痢本于外感六淫，内伤饮食所致。若产后，当兼气血虚处治，
故不可用治痢常法，而以调补脾胃为要也。又按∶产后痢属气血大虚，不可治痢，唯补气血，以大剂人参、当
归主之。
《大全》曰∶产后蓐劳，由生产日浅，血气虚弱，饮食未平，不满百日，将养失所，风冷客之，抟于气血，
不能温于肌肤，使虚乏劳倦，乍卧乍起，颜容憔悴，食饮不消，风冷邪气感于肺，肺受微寒，故咳嗽口干，遂
觉头昏，百节疼痛，荣卫受风邪，流注脏腑，须臾频发，时有盗汗，寒热如疟，背膊烦闷，四肢不举，沉重着
床，此蓐劳之候也。
陈良甫曰∶妇人因产理不顺，疲极筋力，忧劳思虑，致令虚羸喘乏，寒热如疟，头痛自汗，肢体倦怠，咳
嗽痰逆，腹中绞刺，名曰蓐劳。
《产宝百问》曰∶产后虚羸，渐成蓐劳，皆由产下亏损血气所致。须慎起居，节饮食，调养百日，庶保无
疾。若中年及难产者，毋论日期，必须调养平复，方可动作，否则气
血复伤，虚羸之证作矣。
缪仲淳说：凡是产后痢疾，即使积滞很多，腹痛非常剧烈，也不可以使用大黄等泻下药来攻逐，以免损伤胃气，导致无法救治。只需用人参、当归、白芍、红曲、醋炒升麻，加倍使用甘草，并加入益母草、滑石即可。如果恶露未尽，兼用乳香、没药、砂仁、阿胶，自然痊愈。
慎斋按语：以上五条，叙述了产后患有痢疾的证候。痢疾本是由于外感六淫邪气，内伤饮食所致。若是产后，应当兼顾气血虚弱进行诊治，因此不可使用治疗痢疾的常规方法，而以调补脾胃为关键。又按语：产后痢疾属于气血大虚，不可单纯治痢，唯有补益气血，以大剂量人参、当归为主药。
《妇人大全良方》说：产后蓐劳（产后因调养不当导致的慢性虚损性疾病），是因为生产时间尚短，血气虚弱，饮食未恢复正常，不满一百天，调养失当，风冷邪气侵袭人体，搏结于气血之中，不能温煦肌肤，导致身体虚弱疲乏、倦怠，时而躺卧时而起身，面容憔悴，饮食不消化，风冷邪气侵犯肺脏，肺受轻微寒邪，所以咳嗽、口干，进而感到头晕，全身关节疼痛，营卫之气受到风邪侵袭，流注于脏腑，短时间内频繁发作，时常盗汗，寒热往来像疟疾一样，背部和两胁烦闷，四肢无力抬举，身体沉重卧床不起，这是蓐劳的征候。
陈良甫说：妇人因为产程不顺，筋力极度疲劳，忧虑劳累思虑，导致身体虚弱消瘦、气喘乏力，寒热往来像疟疾，头痛自汗，肢体倦怠，咳嗽痰逆，腹中绞痛刺痛，名叫蓐劳。
《产宝百问》说：产后身体虚弱消瘦，逐渐形成蓐劳，都是由于分娩后亏损血气所致。必须谨慎起居，节制饮食，调养一百天，才能确保没有疾病。如果是中年产妇及难产者，不论经过多少日期，必须调养至身体平复，才可以活动，否则气血再次受伤，虚弱消瘦的病证就会发作。
Miao Zhongchun stated: In cases of postpartum dysentery, even if there is abundant accumulation and stagnation and extreme abdominal pain, one must not use purgative herbs such as Rheum palmatum (Dahuang, 大黄) to attack the pathogen, as this would damage Stomach Qi, rendering the condition incurable. It suffices to use Ginseng Radix et Rhizoma (Renshen, 人参), Angelicae Sinensis Radix (Danggui, 当归), Paeoniae Radix Alba (Baishao, 白芍), Red Yeast Rice (Hongqu, 红曲), and Cimicifugae Rhizoma (Shengma, 升麻) processed with vinegar, along with a doubled dose of Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), supplemented with Motherwort Herba (Yimucao, 益母草) and Talcum (Huashi, 滑石). If lochia has not yet cleared, adding Frankincense (Ruxiang, 乳香), Myrrh (Moyao, 没药), Amomi Fructus (Sharen, 砂仁), and Donkey-hide Gelatin (Ejiao, 阿胶) will lead to spontaneous recovery.
Shen Zhai commented: The above five sections describe the syndrome of dysentery occurring after childbirth. Dysentery originates from external contraction of the Six Excesses (Liu Yin, 六淫) and internal injury from diet. In the postpartum period, treatment must account for the deficiency of Qi and Blood; therefore, the conventional methods for treating dysentery should not be used, but rather the regulation and tonification of the Spleen and Stomach should be prioritized. Furthermore, postpartum dysentery belongs to severe deficiency of Qi and Blood; it should not be treated by targeting the dysentery itself, but solely by tonifying Qi and Blood, primarily using large doses of Ginseng Radix et Rhizoma (Renshen, 人参) and Angelicae Sinensis Radix (Danggui, 当归).
The *Quan Shu* (Complete Works) states: Postpartum Ru Lao (Childbed Exhaustion) occurs when, shortly after delivery, due to weak Qi and Blood and unsettled diet, within less than a hundred days, improper nursing allows Wind-Cold pathogens to invade. These pathogens knot in the Qi and Blood, failing to warm the skin and muscles, resulting in weakness, fatigue, alternating lying down and rising, haggard appearance, indigestion, cough, dry mouth, dizziness, and pain in all joints. When Ying and Wei are affected by Wind pathogens, they flow into the Zang-Fu organs, causing frequent attacks in short intervals, occasional night sweats, chills and fever resembling malaria, oppression in the back and shoulders, inability to lift the limbs, heaviness in bed—these are the signs of Ru Lao.
Chen Liangfu stated: Women may suffer from difficult labor processes, exhausting their sinews and strength, combined with worry, fatigue, and overthinking, leading to emaciation, panting, and weakness, chills and fever resembling malaria, headache, spontaneous sweating, limb fatigue, cough with counterflow of phlegm, and cramping or stabbing pain in the abdomen. This is named Ru Lao.
The *Chan Bao Bai Wen* (Hundred Questions on Childbirth Treasures) states: Postpartum emaciation gradually developing into Ru Lao is caused by the depletion of Qi and Blood following childbirth. One must be cautious with daily activities and regulate diet, nursing for a hundred days to ensure freedom from disease. For women of middle age or those who experienced difficult labor, regardless of the time elapsed, one must wait until the body recovers balance before engaging in physical activity; otherwise, Qi and Blood will be injured again, and the syndrome of emaciation will manifest.