《千金》疗产后虚渴，少气力。竹叶汤。
竹叶（三升） 甘草 人参 茯苓（各一两） 小麦（五合） 生姜 半夏（各三两） 麦
门冬（五两） 大枣（十五枚）
上 咀，以水九升，先煮竹叶、小麦、生姜、枣，取七升，去滓；内药再煎取二升，去
滓。一服五合，日三夜一。
《博济》疗产后血渴不止。延胡散。
延胡索 郁金 干葛 桂心 青皮 枳壳（制，等分）
上并以好醋浸一宿，焙干，杵为细末。每服一钱，冷橘皮汤调下，不过三服瘥。
（产后疟疾附）
论曰∶产后乍寒乍热者何？答曰∶阴阳不和，败血不散，能令乍寒乍热。产后血气虚损
，阴阳不和，阴胜则乍寒，阳胜则乍热，阴阳相乘，则或寒或热。若因产劳伤脏腑，血弱不
得宣越，故令败血不散。入于肺则热，入于脾则寒。医人若误作疟疾治之则谬矣。阴阳不和
，宜增损四物汤；败血不散，宜夺命丹。又问二者何以别之？时有刺痛者，败血也；但寒热
无他证者，阴阳不和也。增损四物汤不一，皆随病加减。
人参 当归 芍药 川芎 干姜（各一两） 甘草（四钱重）
上 咀，每服四钱。水一盏，姜钱三片，煎至七分，去滓热服，无时候。
评曰∶乍寒乍热，荣卫不和，难以轻议。若其败血不散，岂止入脾、肺二脏耶？大抵一
阴闭一阳，即作寒热。阴胜故寒，阳胜故热。只可云败血循经流入，闭诸阴则寒，闭诸阳则
热。血气与卫气解则休，遇再会而复作。大调经散、五积散入醋煎佳。
《千金方》治疗产后虚烦口渴，气短乏力。竹叶汤。
竹叶（三升） 甘草 人参 茯苓（各一两） 小麦（五合） 生姜 半夏（各三两） 麦门冬（五两） 大枣（十五枚）
以上药材切碎，用水九升，先煮竹叶、小麦、生姜、大枣，取汁七升，滤去药渣；加入剩余药物再煎至二升，滤去药渣。每次服用五合，每日三次，夜间一次。
《博济方》治疗产后血渴不止。延胡散。
延胡索 郁金 干葛 桂心 青皮 枳壳（炮制，等分）
以上药材用优质醋浸泡一夜，焙干，捣成细末。每次服用一钱，用冷橘皮汤送服，不超过三剂即可痊愈。
（附：产后疟疾）
论述说：产后忽冷忽热是什么原因？回答说：阴阳不和，败血不散，会导致忽冷忽热。产后气血虚弱受损，阴阳失调，阴偏胜则突然发冷，阳偏胜则突然发热，阴阳相互搏结，所以或寒或热。如果因为分娩劳损伤及脏腑，血弱不能宣通发散，导致败血不散。败血入肺则发热，入脾则发冷。医生如果误当作疟疾来治疗就错了。阴阳不和，适宜用增损四物汤；败血不散，适宜用夺命丹。又问这两者如何区别？回答是：时有刺痛感的，是败血作祟；只有寒热而无其他症状的，是阴阳不和。增损四物汤有多种变方，都随病情加减变化。
人参 当归 芍药 川芎 干姜（各一两） 甘草（四钱重）
以上药材切碎，每次服用四钱。用水一盏，生姜三片，煎至七分，滤去药渣，趁热服用，不拘时间。
评论说：忽冷忽热，是营卫不和，难以轻易论断。如果是败血不散，难道只影响脾、肺两脏吗？大抵是一阴闭阻一阳，就会发作寒热。阴偏胜故寒冷，阳偏胜故发热。只能说败血循经流入，闭阻诸阴则寒，闭阻诸阳则热。血气与卫气和解则停止发作，遇到再次相会又复发。大调经散、五积散用醋煎煮效果更佳。
The *Qianjin Fang* treats postpartum deficiency-thirst and shortness of breath with lack of strength. Zhuye Tang (Bamboo Leaf Decoction).
Zhuye (Bamboo Leaf, 3 sheng) Gancao (Licorice Root), Renshen (Ginseng Root), Fuling (Poria), each 1 liang; Xiaomai (Wheat Grain, 5 he); Shengjiang (Fresh Ginger Root), Banxia (Pinellia Tuber), each 3 liang; Maidong (Ophiopogon Tuber, 5 liang); Dazao (Jujube Fruit, 15 pieces).
Crush the herbs. Use 9 sheng of water. First decoct Zhuye, Xiaomai, Shengjiang, and Dazao to obtain 7 sheng of liquid, then remove the dregs. Add the remaining herbs and decoct again to obtain 2 sheng of liquid, then remove the dregs. Take 5 he per dose, three times a day and once at night.
The *Boji Fang* treats intractable postpartum blood-thirst. Yanhu San (Corydalis Powder).
Yanhusuo (Corydalis Rhizome), Yujin (Curcuma Tuber), Gange (Kudzu Root), Guixin (Cinnamon Twig), Qingpi (Aurantii Fructus Immaturus Pericarpium), Zhike (Aurantii Fructus Immaturus), all processed equally.
Soak all herbs in good-quality vinegar overnight, dry by baking, and pound into a fine powder. Take 1 qian per dose, administered with cold Jupi Tang (Tangerine Peel Decoction). It will heal within no more than three doses.
(Attached: Postpartum Malaria)
Discussion states: What is the cause of alternating chills and fever after childbirth? The answer is: Disharmony of Yin and Yang, and failure of stagnant blood to disperse can cause alternating chills and fever. After childbirth, Qi and Blood are deficient and damaged, leading to disharmony of Yin and Yang. If Yin prevails, there is sudden chills; if Yang prevails, there is sudden fever. When Yin and Yang contend with each other, chills or fever occur alternately. If this results from labor injuring the Zang-Fu organs during delivery, causing weak Blood that cannot circulate freely, it leads to stagnant blood failing to disperse. If stagnant blood enters the Lung, heat occurs; if it enters the Spleen, cold occurs. If physicians mistakenly treat this as malaria, it would be erroneous. For disharmony of Yin and Yang, Zengsun Siwu Tang (Modified Four Substances Decoction) is appropriate; for stagnant blood failing to disperse, Mingdan (Life-Restoring Pill) is appropriate. Another question asks how to distinguish between the two? The answer is: Intermittent stabbing pain indicates stagnant blood; chills and fever without other symptoms indicate disharmony of Yin and Yang. There are various variations of Zengsun Siwu Tang, all modified according to the specific condition.
Renshen (Ginseng Root), Danggui (Angelica Sinensis Root), Shaoyao (Peony Root), Chuanxiong (Ligusticum Rhizome), Ganjiang (Dried Ginger Rhizome), each 1 liang; Gancao (Licorice Root), 4 qian in weight.
Crush the herbs. Take 4 qian per dose. Use one zhan of water and three slices of ginger. Decoct until reduced to 70%, remove the dregs, and take hot. No specific time restriction.
Commentary states: Alternating chills and fever indicate disharmony of Ying and Wei (Nutritive and Defensive Qi), which is difficult to judge lightly. If it is due to stagnant blood failing to disperse, does it only affect the Spleen and Lung? Generally, when one Yin obstructs one Yang, chills and fever manifest. Prevailing Yin causes cold; prevailing Yang causes heat. It can only be said that stagnant blood flows along the meridians; obstructing the various Yins causes cold, while obstructing the various Yangs causes heat. The condition ceases when Blood/Qi harmonizes with Wei Qi, but recurs upon their next convergence. Dajiao Jing San (Great Menstrual Regulation Powder) and Wuji San (Five Accumulations Powder) are best decocted with vinegar.