产后七日内外，发热头痛恶寒，毋专谓伤寒太阳症；发热头痛胁痛，毋专谓伤寒少阳症。二症皆由
气血两虚，阴阳不和而类外感，治者甚易轻执偏门而用麻黄汤以治类太阳症，又勿用柴胡汤以治类
少阳症。且产后脱血之余，而重发汗，则虚虚之祸，有不可胜言者矣。仲景云∶亡血家不可发汗。丹溪
云∶产后绝不可发表。二先生非谓产妇真元伤寒之兼症也，非谓麻黄汤、柴胡汤之不对症也，诚恐后
学业偏以而轻产，执成方而发表耳，须明知产后真感风冷，其生化汤内芎、姜亦能散之。又云∶西北之
气，散而寒之；东南之气，收而温之。所谓同病而异治也。其经意南方人柔弱，而西北人刚劲，故病
治当异耳，惟产后劳虚，治不可分南北，概当重产而用补，少佐散剂，虽有他症，以末治之，又不可
不明也。
木香生化汤 治产后血块痛未除，日受气服此方。
川芎（二钱） 川归（六钱） 干姜（四分，炙） 甘草（五分，炙） 木香（三分，磨） 陈皮（三分）
水煎服。
健脾化食散气汤 治产后受气伤食，问无块痛服。
白术（二钱） 川归（二钱） 川芎（一钱） 干姜（四分，炙） 甘草（四分，炙） 人参（一
钱） 麦芽（五分，炒） 神曲（五分）
伤饭食面，加二味∶陈皮三分，山楂四分；砂仁七分，伤肉加入；如寒食停胁下作痛，加桂枝八分。
大抵产后弱妇，受寒停食，愈消愈增满闷，必攻补并行，方化滞运谷。但时医所见，知耗气而疑
参补，误也。故善治者重产而轻怒食，必补气血为主，佐以顺气调气，则怒郁散而元不损；佐以健脾
消导，则停食行而胃思谷。此治产后怒伤食伤之正治也。若专理气消食，非惟气胀不散，停食不行，
抑损元神减食，甚致绝谷不救者多矣，惜哉！
产后七日内外，出现发热、头痛、恶寒的症状，不要简单地认为是伤寒的太阳病（太阳经受邪所致的病证）；出现发热、头痛、胁痛的症状，不要简单地认为是伤寒的少阳病（少阳经受邪所致的病证）。这两种症状都是由气血两虚、阴阳不和引起的类似外感病的表现。治疗者很容易轻率地偏执于旁门左道，使用麻黄汤（以麻黄为主的发汗解表方剂）来治疗类似太阳病的症状，或者使用柴胡汤（以柴胡为主的和解少阳方剂）来治疗类似少阳病的症状。况且产妇在失血之后，如果再次使用发汗法，那么导致正气更虚的危害，是说不尽的。张仲景说：亡血家（失血患者）不可发汗。朱丹溪说：产后绝不可使用发表（发散表邪）的药物。这两位先生并不是说产妇因真元受损而感受风寒的兼症不对，也不是说麻黄汤、柴胡汤不对症，而是担心后辈医生学业不精，轻视产后的特殊性，拘泥于成方而滥用发表药。必须明白，如果是产后真正感受了风冷，在生化汤（促进子宫复旧、化瘀生新的方剂）中的川芎、干姜也能起到散寒的作用。又说：西北地区的气候特点是疏散而寒冷，治疗应发散并兼以寒凉；东南地区的气候特点是收敛而温暖，治疗应收敛并兼以温补。这就是所谓的“同病异治”。其经意在于南方人体质柔弱，而西北人体质刚劲，所以疾病治疗应当有所不同。唯独产后劳损虚弱，治疗不能区分南北地域，一概应当重视产后特点而采用补益法，稍加佐使散剂。即使有其他症状，也应作为次要问题处理，这也是必须明白的道理。
木香生化汤：治疗产后血块疼痛未除，每日受气（情绪不畅或气机郁滞）时服用此方。
川芎（二钱） 当归（六钱） 干姜（四分，炙烤） 甘草（五分，炙烤） 木香（三分，磨粉） 陈皮（三分）
水煎服。
健脾化食散气汤：治疗产后受气伤食，询问确认没有血块疼痛时服用。
白术（二钱） 当归（二钱） 川芎（一钱） 干姜（四分，炙烤） 甘草（四分，炙烤） 人参（一钱） 麦芽（五分，炒制） 神曲（五分）
如果损伤的是米饭面食，加这两味药：陈皮三分，山楂四分；如果损伤的是肉类，加入砂仁七分；如果是寒食停滞在胁下引起疼痛，加桂枝八分。
大抵产后体弱的妇女，感受寒邪且食物停滞，越是用消导法，胀满闷塞反而越加重，必须攻邪与补益并行，才能化解积滞、运化谷食。但是当时的医生所见，只知道耗气而怀疑人参的补益作用，这是错误的。所以善于治疗的人重视产后体质而轻视怒气和饮食积滞，必须以补益气血为主，佐以顺气调气的药物，则怒气郁结消散而元气不损；佐以健脾消导的药物，则停食得以运行而胃气思食。这是治疗产后因怒气和饮食积滞所致疾病的正确治法。如果专门理气消食，不仅气胀不能消散，停食也不能消除，反而损害元神、减少食欲，甚至导致断绝谷食无法挽救的情况很多，可惜啊！
Within seven days before or after childbirth, if fever, headache, and aversion to cold occur, do not simply attribute them to Taiyang disease (disease syndrome of the Taiyang meridian caused by external pathogenic factors); if fever, headache, and hypochondriac pain occur, do not simply attribute them to Shaoyang disease (disease syndrome of the Shaoyang meridian caused by external pathogenic factors). Both conditions arise from deficiency of both Qi and Blood, and disharmony of Yin and Yang, presenting as symptoms resembling external contraction. Practitioners often rashly adhere to biased approaches, using Mahuang Tang (Ephedra Decoction) to treat symptoms resembling Taiyang disease, or Chaihu Tang (Bupleurum Decoction) to treat symptoms resembling Shaoyang disease. Moreover, following postpartum blood loss, if sweating methods are applied again, the disaster of further depleting the deficient state is beyond description. Zhang Zhongjing stated: "Patients who have lost blood should not be treated with sweating methods." Zhu Danxi stated: "Postpartum patients absolutely must not be treated with exterior-releasing methods." These two masters did not mean that the concurrent symptoms of true Yuan Qi damage and wind-cold contraction in parturient women were incorrect, nor did they imply that Mahuang Tang and Chaihu Tang were inappropriate for their respective indications; rather, they feared that later practitioners, due to incomplete learning, would underestimate the postpartum condition, rigidly stick to established formulas, and indiscriminately use exterior-releasing drugs. One must clearly understand that if a postpartum woman truly contracts wind-cold, the Xiong (Ligusticum) and Gan Jiang (Dried Ginger) within Shenghua Tang (Decoction for Generating New Blood) can also disperse it. It is also said: "In the Northwest, the climate is dispersing and cold; treatment should involve dispersing and cooling. In the Southeast, the climate is contracting and warm; treatment should involve contracting and warming." This is what is meant by "treating the same disease differently." The underlying principle is that people in the South have delicate constitutions, while those in the Northwest have robust constitutions; therefore, disease treatment should differ accordingly. However, for postpartum exhaustion and deficiency, treatment cannot be divided by North or South regions. Generally, one must prioritize the postpartum state and use tonification, adding minor amounts of dispersing agents as adjuvants. Even if other symptoms exist, they should be treated as secondary concerns. This is also a point that must be clearly understood.
Muxiang Shenghua Tang: Treats postpartum abdominal mass pain that has not yet resolved; take this formula daily when affected by emotional stagnation.
Xiong (Rhizoma Chuanxiong) (2 qian) Danggui (Radix Angelicae Sinensis) (6 qian) Gan Jiang (Rhizoma Zingiberis Preparatum, roasted) (4 fen) Gancao (Radix Glycyrrhizae Preparata, roasted) (5 fen) Muxiang (Radix Aucklandiae) (3 fen, ground) Chenpi (Pericarpium Citri Reticulatae) (3 fen)
Decoct in water and take orally.
Jianpi Huashi Sanqi Tang: Treats postpartum qi stagnation and food injury; take when there is no mass pain upon inquiry.
Baizhu (Rhizoma Atractylodis Macrocephalae) (2 qian) Danggui (Radix Angelicae Sinensis) (2 qian) Chuanxiong (Rhizoma Chuanxiong) (1 qian) Gan Jiang (Rhizoma Zingiberis Preparatum, roasted) (4 fen) Gancao (Radix Glycyrrhizae Preparata, roasted) (4 fen) Renshen (Radix Ginseng) (1 qian) Maiya (Frumentum Germinatum Hordeum, fried) (5 fen) Shenqu (Massa Medicata Fermentata) (5 fen)
If injured by rice or wheat products, add these two ingredients: Chenpi (Pericarpium Citri Reticulatae) 3 fen, Shanzha (Fructus Crataegi) 4 fen; if injured by meat, add Sandaren (Semen Amomi Rotundus) 7 fen; if cold food stagnates under the hypochondrium causing pain, add Guizhi (Cortex Cinnamomi) 8 fen.
Generally, weak women after childbirth who contract cold and retain food will find that the more they use digestive methods, the more bloated and stifled they become. It is necessary to combine attacking (draining) and tonifying simultaneously to resolve stagnation and transport grain. However, contemporary physicians, knowing that digestion consumes Qi, doubt the tonifying effects of Renshen (Ginseng), which is a mistake. Therefore, skilled practitioners prioritize the postpartum constitution over anger and food retention, focusing primarily on tonifying Qi and Blood, supplemented by herbs that smooth and regulate Qi, so that anger and depression dissipate without damaging Yuan Qi; supplemented by herbs that strengthen the Spleen and aid digestion, so that retained food moves and the Stomach desires grain. This is the correct treatment for diseases caused by anger and food retention after childbirth. If one specializes only in regulating Qi and digesting food, not only will Qi distension fail to dissipate and retained food fail to move, but it will also damage Yuan Qi and reduce appetite, leading to many cases of refusing food and becoming incurable. What a pity!