大全云∶产后蓐劳者，此由生产日浅，血气虚弱，饮食未平复，不满日月，气血虚羸，将
养失所（蓐劳二说，总起于产蓐，然一挟外感，一由七情，其或兼内伤饮食泄泻，与夫瘀血未
净者皆有之，不可不别也），而风冷客之，风冷搏于气血，则不能温于肌肤，使人虚乏劳倦，
乍卧乍起，颜色憔悴，食饮不消，风冷邪气，两感于肺，肺受微寒，故咳嗽口干，遂觉头昏，百
节疼痛，荣卫受于风邪，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，此则蓐劳之候也。
又曰∶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，头疼自汗，肢
体倦怠，咳嗽痰逆，腹中绞刺，名曰蓐劳。
薛氏曰∶按前证当扶养正气为主，（大主意）用六君子汤加当归；若脾肺气虚而咳嗽口
干，用补中益气加麦门五味；若因中气虚而口干头晕，用补中益气加蔓荆子；若肝经血虚而
肢体作痛，用四物、参、术；若因肝肾虚弱而自汗盗汗，寒热往来者，用六味丸加五味子；若
因脾虚血弱，肚腹作痛，月经不调，用八珍汤倍加白术；若因脾虚血燥，皮肤瘙痒，用加味
逍遥散。大抵此证多因脾胃虚弱，饮食减少，以致诸经疲惫而作，当补脾胃（数语尽之）。饮
食一进，精气生化，诸脏有所倚赖，其病自愈矣。仍参虚损发热方论主治。
汪氏治一妇产未盈月，因怒气血流如水，三日方止，随又劳若，四肢无力，睡而汗出，日
晡潮热，口干，五心如炙，诸医皆用柴、芩、薄荷之类，其热愈炽。诊其脉弦大无力，此蓐劳
也，以四物汤一两，入胡黄连、秦艽、青蒿各半钱，数服热退身凉，后以黄连八珍丸一料而
安。（按弦大无力，则似于革矣，革属于虚，非胡连所治，如果胡连能治，必非无力也，请详之）
白茯苓散 治产后蓐劳，头目四肢疼痛，寒热如疟。
白茯苓（一两） 当归 川芎 熟地黄 白芍（炒） 黄 人参 桂心（各半两）
上先以水三盏入猪腰一双，姜三片，枣三枚，煎至二盏，去三物，入前药半两，煎一盏，
去滓，食前分温三服。（即十全大补之变，所少者白术甘草，然以茯苓为君，猪腰为佐者，心
肾交，寒热愈也）
黄 建中散 治产后诸虚不足，发热，或恶寒腹痛。
黄 （炒） 肉桂（各一两） 白芍（炒，二两） 甘草（炒，七钱）
上锉，每服五钱，用枣姜，水煎服，日二三次，虚甚加附子。（所谓建中者，建中土也，芍
药甘草，易老为有甲己化土之象，加肉桂，以治脉弦虚寒腹痛；加黄 ，益表气以助中气之虚。）
当归建中散 治产后劳伤，虚羸不足，腹中疼痛，呼吸少气，小腹拘急，痛连腰背，时自
汗出，不思饮食，产讫直至月满，一日三服，令人身壮强健。（此方专治气血虚寒所生诸症，
加之饴糖，乃建中之良法）
当归（四两） 白芍（六两） 桂心（三两） 黄 （一两半）
上锉，每服四钱，加姜枣，水煎，入饴糖一块，再煎，稍热服。如崩中衄血，加阿胶地黄。
加味佛手散 治产后血虚，劳倦盗汗，多困少力，咳嗽有痰。
当归 川芎 黄 （蜜炙，各一两） 柴胡 前胡（各一钱半）
上 咀，每服五钱，水一大盏，桃柳枝各三寸，枣子乌梅各一枚，生姜一片，煎服。（以
盗汗而用柴前川芎，似非宜矣；以咳嗽有痰而用黄 ，又似难用。然以之为君，而柴前仅用
钱许，何多寡之相悬也，要之产后当以气血为主，故用之耳，惟无邪者宜之）。如有痰，不用乌梅。
柴胡四物汤 治产后日久虚劳，而脉浮大者。
方见前往来寒热。
三合散 治产后日久虚劳，针灸服药俱无效者。（四物四君内去术加 ，合小柴胡汤
者是也，会三方之意，方得其理之真）
方见前发热。
云岐熟地黄散 治产后蓐劳，皆由体虚，气力未壮，劳复所起，四肢烦疼，时发寒热，不思饮食。
熟地黄 人参 白芍 白茯苓 白术 续断（各一两） 黄 当归 川芎 五味子 桂心（各七钱半）
上 咀，每服四钱，生姜三片，枣一枚，水煎服（蓐劳一症，总属气血两虚，故主于十全
大补为法，加续断，治诸不足，妇人内漏，五味生津敛神，加麦门更妙，所去三，所加三，又三
合也）。大全方有麦门冬七钱半。一方无桂心五味续断，有柴胡、黄芩、半夏各七钱半。
黄 丸 治产后蓐劳，寒热进退，头目眩痛，骨节酸疼，气力羸乏。
黄 鳖甲 当归（炒，各一两） 川芎 白芍 桂心 续断 牛膝 苁蓉 柏子仁 沉
香枳壳（各七钱半） 五味子 熟地黄（各半两）
上为细末，炼蜜丸如桐子大，每服四五十丸，食后粥饮下。（按此不离四物黄 续断桂
心五味，而鳖甲除骨节之劳热，柏子润心中之津液，牛膝除足膝之苦，沉香通天彻地，苁蓉
为司命，枳壳利胸膈。细阅前后诸方，总以补气血为主，或温或清，或敛或散，或破血，或行
气，各随兼症而佐使之妙，诸用者不必胶柱而调瑟）
石子汤 疗产后虚羸喘乏，乍寒乍热如疟，四肢疼痛，面色萎黄，名曰蓐劳。
猪石子（一双，去脂膜四破） 香豉（一方无此，有知母） 葱（切） 粳米 当归 白芍（各二两）
上 咀，分两剂，每剂用米三合，煮取一小碗，去滓，分三服（石子即猪肾，用以佐诸汤
者，得本来面目也，然观葱豉，似有外邪，易知母，又有内热，不可不辨）。《广济方》无白芍，
有人参，《许仁则方》无香豉，有生姜二两，桂心一两，葱白止一两。
人参鳖甲散 治蓐劳，皆由在产内未满百日，体中虚损，血气尚弱，失于将理，或劳动
作伤，致成蓐劳，其状虚羸，乍起乍卧，饮食不消，时有咳嗽，头中昏痛，发歇无常，夜有盗
汗，寒热如疟，背膊拘急，沉困在床，服此大效。
黄 鳖甲（各一两） 牛膝（七钱半） 人参（用人参更佳） 白茯苓 当归 白芍 桑寄
生麦门冬（去心） 熟地黄 桃仁 桂心 甘
草（各半两） 续断（二钱半）
上为细末，每服先以猪肾一对去筋膜，以水两大盏，生姜半分，枣三枚，煎至一盏，去猪
肾姜枣，然后入药末二钱，葱白三寸，乌梅一个，荆芥五穗，煎至七分，去滓，空心晚食前温
服，神效。（此十全大补汤去川芎、白术，加鳖甲、牛膝、寄生、续断、桃仁、麦冬六味，以治蓐
劳，有去旧生新之意，而寄生主产后余疾，用猪肾者，以胎系于腰，故皆借之以为补助耳）
胡氏牡丹散 治产后虚羸，发热自汗，欲变蓐劳，或血气所搏，经候不调，或寒热羸瘦。
当归 白芍 人参 五加皮（五加皮去贼风恶血腰脊痛） 地骨皮（各半两） 牡丹皮（三
钱） 桂心 没药（各二钱）
上为细末，每服二钱，水酒各半盏，如不饮酒，只用水一盏，开元钱一枚，麻油蘸之（开
元钱、麻油莫解），同煎七分，去滓，通口服，煎不得搅，吃不得吹。
黄 煮散 治产后蓐劳，肌肤黄瘦，面无颜色，或憎寒壮热，四肢酸疼，心烦头痛。
鳖甲（醋炙） 黄 （各一两） 牛膝（七钱半） 当归 白芍 熟地黄 人参 白茯苓 麦门冬
（去心） 桑寄生 桂心 甘草（炙，各半两）
上为细末，每服猪石子一对去脂膜，切破，先以水一盏入姜半分，枣三枚，煎至七分，
去石子姜枣，却下药五钱，更煎至四分，去滓，空心晚食前温服，二滓并煎。（此方较前人参
鳖甲散少桃仁、续断，于煎法又少葱白、乌梅、荆芥，要知有瘀则兼破瘀，有风则兼治风，寒
则兼寒，热则兼热，无定一也）
猪腰子粥 治产后蓐劳发热。（此不药之药，所谓谷肉果菜，食养尽之也）
猪腰子一个去白膜，切作柳叶片，用盐酒拌，先用粳米一合，入葱、椒煮粥，盐醋调和，
将腰子铺碗底，以热粥盖之，如作 状，空心服之。
《大全》说：产后蓐劳，是因为生产时间不久，血气虚弱，饮食尚未恢复，不满一个月，气血虚损瘦弱，调养不当（蓐劳有两种说法，都起因于产褥期，但一种夹杂外感，一种由七情引起，有的兼有内伤饮食泄泻，以及瘀血未净的情况，不可不加以辨别），风冷之邪侵袭人体，风冷与气血相搏结，就不能温暖肌肤，使人虚乏劳倦，时而躺下时而起身，面色憔悴，饮食不消化，风冷邪气同时侵犯肺脏，肺受轻微寒气，所以咳嗽口干，进而觉得头晕，全身关节疼痛，营卫受到风邪侵袭，流注到脏腑，短时间内频繁发作，有时出现盗汗，寒热往来像疟疾一样，背部和两胁烦闷，四肢无力抬起，身体沉重卧床不起，这就是蓐劳的症状。
又说：妇人因为分娩过程不顺，筋力极度疲劳，忧愁劳神思虑，导致身体虚损瘦弱、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。
薛氏说：按照前面的症状，应当以扶养正气为主（这是主要治疗原则），使用六君子汤加当归；如果是脾肺气虚导致咳嗽口干，用补中益气汤加麦门冬、五味子；如果因中气虚导致口干头晕，用补中益气汤加蔓荆子；如果肝经血虚导致肢体疼痛，用四物汤加人参、白术；如果因肝肾虚弱导致自汗盗汗、寒热往来，用六味丸加五味子；如果因脾虚血弱导致肚腹疼痛、月经不调，用八珍汤加倍白术；如果因脾虚血燥导致皮肤瘙痒，用加味逍遥散。大抵这个病证多因脾胃虚弱，饮食减少，导致各条经脉疲惫而发病，应当补益脾胃（这几句话概括了要点）。饮食一旦进入，精气生化，各脏腑有所依赖，病自然痊愈。仍参考虚损发热方论主治。
汪氏治疗一位产妇，生产未满月，因为发怒导致气血流失如水，三天才停止，随后又出现蓐劳症状，四肢无力，睡觉时出汗，下午定时潮热，口干，五心（两手心、两足心和心口）像被火烤一样烫，各位医生都用柴胡、黄芩、薄荷之类的药物，她的热势更加炽盛。诊察她的脉象弦大无力，这是蓐劳，用四物汤一两，加入胡黄连、秦艽、青蒿各半钱，服用几剂后热退身凉，后来服用一料黄连八珍丸而安定。（按：脉象弦大无力，似乎属于革脉，革脉属于虚证，不是胡黄连所治疗的，如果胡黄连能治，脉一定不是无力的，请详细考证）
白茯苓散：治疗产后蓐劳，头目四肢疼痛，寒热往来像疟疾。
白茯苓（一两）、当归、川芎、熟地黄、白芍（炒）、黄芪、人参、桂心（各半两）
以上药物先用水三盏，加入猪腰子一对、生姜三片、大枣三枚，煎至二盏，去掉这三样东西，加入前药半两，煎至一盏，去渣，饭前分三次温服。（这是十全大补汤的变方，缺少白术、甘草，但以茯苓为君药，猪腰子为佐药，使心肾相交，寒热得以治愈）
黄芪建中散：治疗产后各种虚损不足，发热，或恶寒腹痛。
黄芪（炒）、肉桂（各一两）、白芍（炒，二两）、甘草（炒，七钱）
以上切碎，每次服用五钱，用大枣、生姜，水煎服，每天二三次，虚损严重加附子。（所谓建中，就是建立中土之气，芍药甘草，易老认为有甲己化土的意象，加肉桂，用来治疗脉弦虚寒腹痛；加黄芪，补益表气以助中气之虚。）
当归建中散：治疗产后劳伤，虚损不足，腹中疼痛，呼吸短气，小腹拘急，疼痛牵连腰背，时常自汗出，不想饮食，从生产结束直到满月，每天服用三次，使人身体强壮强健。（此方专门治疗气血虚寒所产生的各种症状，加上饴糖，是建中的良法）
当归（四两）、白芍（六两）、桂心（三两）、黄芪（一两半）
以上切碎，每次服用四钱，加姜枣，水煎，加入饴糖一块，再煎，稍热时服用。如果有崩漏或鼻出血，加阿胶、地黄。
加味佛手散：治疗产后血虚，劳倦盗汗，困倦少力，咳嗽有痰。
当归、川芎、黄芪（蜜炙，各一两）、柴胡、前胡（各一钱半）
以上捣碎，每次服用五钱，水一大盏，桃柳枝各三寸，大枣、乌梅各一枚，生姜一片，煎服。（因为盗汗而用柴胡、前胡、川芎，似乎不太适宜；因为咳嗽有痰而用黄芪，又似乎难以使用。但把它们作为君药，而柴胡、前胡仅用许钱，为何多少相差如此悬殊呢？总之产后当以气血为主，所以这样用，只有没有外邪的人才适宜）。如果有痰，不用乌梅。
柴胡四物汤：治疗产后日久虚劳，而脉浮大的。
方剂见前面关于往来寒热的记载。
三合散：治疗产后日久虚劳，针灸服药都无效的情况。（是四物汤、四君子汤中去掉白术加入黄芪，合小柴胡汤，融会三方之意，才能得其真理）
方剂见前面发热的记载。
云岐熟地黄散：治疗产后蓐劳，都是由体质虚弱，气力未壮，劳累复发所致，四肢烦疼，时常发作寒热，不想饮食。
熟地黄、人参、白芍、白茯苓、白术、续断（各一两）、黄芪、当归、川芎、五味子、桂心（各七钱半）
以上捣碎，每次服用四钱，生姜三片，大枣一枚，水煎服（蓐劳这一病症，总属气血两虚，所以以十全大补汤为法，加续断，治疗各种不足，妇人内漏，五味子生津敛神，加麦门冬更妙，去掉三味，加入三味，又是三合的意思）。《大全》方中有麦门冬七钱半。一方没有桂心、五味子、续断，有柴胡、黄芩、半夏各七钱半。
黄芪丸：治疗产后蓐劳，寒热进退，头目眩晕疼痛，骨节酸痛，气力瘦弱乏力。
黄芪、鳖甲、当归（炒，各一两）、川芎、白芍、桂心、续断、牛膝、肉苁蓉、柏子仁、沉香、枳壳（各七钱半）、五味子、熟地黄（各半两）
以上研为细末，炼蜜制成梧桐子大小的丸药，每次服用四五十丸，饭后用粥饮送下。（按：此方不离四物汤、黄芪、续断、桂心、五味子，而鳖甲去除骨节的劳热，柏子仁滋润心中的津液，牛膝去除足膝的痛苦，沉香通天彻地，肉苁蓉为司命，枳壳利胸膈。仔细阅览前后诸方，总以补气血为主，或温或清，或敛或散，或破血，或行气，各自根据兼症辅助佐使的妙处，使用者不必拘泥固执）
石子汤：治疗产后虚损瘦弱气喘乏力，乍寒乍热像疟疾，四肢疼痛，面色萎黄，名叫蓐劳。
猪石子（即猪肾，一双，去掉脂膜切成四块）、香豉（一方没有此药，有用知母的）、葱（切）、粳米、当归、白芍（各二两）
以上捣碎，分两剂，每剂用米三合，煮取一小碗，去渣，分三次服用（石子即猪肾，用来辅助诸汤药，得到本来面目，然而观察葱豉，似乎有外邪，换成知母，又有内热，不可不辨别）。《广济方》没有白芍，有人参，《许仁则方》没有香豉，有生姜二两，桂心一两，葱白只有一两。
人参鳖甲散：治疗蓐劳，都是在生产内未满百日，体内虚损，血气尚弱，失于调理，或者劳动劳作受伤，导致成为蓐劳，其症状虚损瘦弱，时而起床时而躺下，饮食不消化，时有咳嗽，头脑昏痛，发作无常，夜间有盗汗，寒热像疟疾，背部和两胁拘急，沉重困倦在床，服用此方大有功效。
黄芪、鳖甲（各一两）、牛膝（七钱半）、人参（用人参更佳）、白茯苓、当归、白芍、桑寄生、麦门冬（去心）、熟地黄、桃仁、桂心、甘草（各半两）、续断（二钱半）
以上研为细末，每次服用前先取猪肾一对去掉筋膜，用水两大盏，生姜半分，大枣三枚，煎至一盏，去掉猪肾、姜、枣，然后加入药末二钱，葱白三寸，乌梅一个，荆芥五穗，煎至七分，去渣，空腹及晚饭前温服，神效。（此方是十全大补汤去掉川芎、白术，加入鳖甲、牛膝、寄生、续断、桃仁、麦冬六味，来治疗蓐劳，有去旧生新的意思，而桑寄生主治产后余疾，用猪肾者，因为胎系于腰，所以都借它们来作为补助罢了）
胡氏牡丹散：治疗产后虚损瘦弱，发热自汗，想要变成蓐劳，或者是血气相搏，月经不调，或者寒热瘦弱。
当归、白芍、人参、五加皮（五加皮去除贼风恶血腰脊痛）、地骨皮（各半两）、牡丹皮（三钱）、桂心、没药（各二钱）
以上研为细末，每次服用二钱，水和酒各半盏，如果不喝酒，只用清水一盏，开元钱一枚，用麻油蘸之（开元钱、麻油无法解释），同煎至七分，去渣，通口服，煎药不得搅拌，吃的时候不得吹气。
黄芪煮散：治疗产后蓐劳，肌肤黄瘦，面无血色，或者憎寒壮热，四肢酸痛，心烦头痛。
鳖甲（醋炙）、黄芪（各一两）、牛膝（七钱半）、当归、白芍、熟地黄、人参、白茯苓、麦门冬（去心）、桑寄生、桂心、甘草（炙，各半两）
以上研为细末，每次服用猪肾一对去掉脂膜，切开，先用水一盏加入姜半分，大枣三枚，煎至七分，去掉猪肾、姜、枣，然后下药五钱，再煎至四分，去渣，空腹及晚饭前温服，两次药渣一起煎。（此方较之前的人参鳖甲散少了桃仁、续断，在煎法上又少了葱白、乌梅、荆芥，要知道有瘀血则兼破瘀，有风邪则兼治风，寒则兼寒，热则兼热，没有固定的定式）
猪腰子粥：治疗产后蓐劳发热。（这不是药物的药物，所谓谷肉果菜，食养尽之也）
猪腰子一个去掉白膜，切成柳叶片，用盐酒拌，先用粳米一合，加入葱、椒煮粥，盐醋调和，将腰子铺在碗底，用热粥盖在上面，像做羹状，空腹服用。
Dàquán states: Postpartum chùláo (Puerperal Asthenia) occurs when, shortly after delivery, the blood and qi are deficient, and diet has not yet recovered. Before a full month has passed, if the blood and qi are depleted and emaciated due to improper nursing care (There are two theories regarding chùláo; both originate from the puerperium, but one involves external pathogens while the other arises from emotional disturbances. Some cases involve internal injury from diet and diarrhea, or residual blood stasis; these must be distinguished), wind-cold pathogens invade. Wind-cold clashes with blood and qi, failing to warm the skin and muscles, causing deficiency, exhaustion, and fatigue. The patient may lie down or rise intermittently, appear haggard in complexion, and fail to digest food. Wind-cold pathogenic factors affect both the exterior and the Lungs; the Lungs suffer slight cold, leading to cough, dry mouth, dizziness, and pain in all joints. Ying and Wei (Nutritive and Defensive Qi) are invaded by wind pathogens, which flow into the Zang-Fu organs, causing frequent attacks within moments, occasional night sweats, alternating chills and fever resembling malaria, oppression and irritability in the back and shoulders, inability to lift the limbs, heaviness in bed. These are the signs of chùláo.
It is also said: Women who experience difficult labor, exhausting their sinews and strength, and suffering from worry, labor, and overthinking, become deficient, emaciated, short of breath, with alternating chills and fever like malaria, headache, spontaneous sweating, limb fatigue, cough with rebellious phlegm, and cramping/stabbing pain in the abdomen. This is named chùláo.
Dr. Xue says: Regarding the aforementioned symptoms, the primary treatment should be to nourish and support healthy qi. Use Liujunzi Tang (Six Gentlemen Decoction) added with Danggui (Angelicae Sinensis Radix). If Spleen and Lung qi deficiency causes cough and dry mouth, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Maimendong (Ophiopogonis Radix) and Wuweizi (Schisandrae Fructus). If middle qi deficiency causes dry mouth and dizziness, use Buzhong Yiqi Tang added with Manjingzi (Vittatenii Fructus). If Liver channel blood deficiency causes limb pain, use Siwu Tang (Four Substances Decoction) added with Renshen (Ginseng Radix) and Baizhu (Atractylodis Macrocephalae Rhizoma). If Liver and Kidney deficiency causes spontaneous and night sweats with alternating chills and fever, use Liuwei Wan (Six-Ingredient Pill with Rehmannia) added with Wuweizi. If Spleen deficiency and weak blood cause abdominal pain and irregular menstruation, use Bazhen Tang (Eight Treasures Decoction) with doubled Baizhu. If Spleen deficiency and dry blood cause skin itching, use JiaWei Xiaoyao San (Modified Free and Easy Wanderer Powder). Generally, this condition often results from Spleen and Stomach weakness and reduced diet, leading to fatigue in all meridians; thus, tonifying the Spleen and Stomach is key. Once diet enters, essence and qi are transformed, and the Zang-Fu organs have reliance upon them, so the disease heals itself. Refer to the treatise on fevers due to deficiency and damage for further guidance.
Dr. Wang treated a woman whose delivery was less than a month prior. Due to anger, her blood and qi flowed out like water, stopping only after three days. She then developed chùláo, with weak limbs, sweating during sleep, tidal fever in the late afternoon, dry mouth, and burning sensations in the five centers (palms, soles, and chest). Physicians used Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), Bohe (Menthae Haplocalycis Herba), etc., but her heat intensified. Her pulse was wiry, large, and powerless. This is chùláo. He prescribed Siwu Tang (1 liang) added with Huhuanglian (Coptidis Rhizoma variant/Anemarrhenae Rhizoma? Note: Text says Hu Huang Lian, likely Coptis or similar bitter cold herb, but context suggests clearing deficiency heat), Qinjiao (Gentianae Macrophyllae Radix), and Qinghao (Artemisiae Annuae Herba) each 0.5 qian. After several doses, the fever subsided and body cooled. Later, she took one dose of Huanglian Bazhen Wan (Coptis Eight Treasures Pill) and stabilized. (Note: A wiry, large, powerless pulse resembles Ge Mai (Leather Pulse), which indicates deficiency. Huhuanglian is not typically indicated for pure deficiency without heat signs; if it were effective here, the pulse would likely not be powerless. Please investigate carefully.)
Baifuran San (White Poria Powder): Treats postpartum chùláo with pain in head, eyes, and limbs, and alternating chills and fever like malaria.
Baifuran (Poria) (1 liang), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shudihuang (Rehmanniae Radix Preparata), Baishao (Paeoniae Radix Alba, stir-fried), Huangqi (Astragali Radix), Renshen (Ginseng Radix), Guixin (Cinnamomi Cortex) (each 0.5 liang).
First, boil water (3 zhan) with one pig kidney, 3 slices of ginger, and 3 jujubes until reduced to 2 zhan. Remove these three items. Add 0.5 liang of the herbal powder, boil to 1 zhan, strain, and take warm in three divided doses before meals. (This is a variation of Shiquan Dabu Tang (Ten Significant Tonification Decoction), lacking Baizhu and Gancao, but using Baifuran as the sovereign herb and pig kidney as the assistant to harmonize Heart and Kidney, resolving chills and fever.)
Huangqi Jianzhong San (Astragalus Establishing the Middle Powder): Treats various postpartum deficiencies, fever, or aversion to cold with abdominal pain.
Huangqi (Astragali Radix, stir-fried), Rougui (Cinnamomi Cortex) (each 1 liang), Baishao (Paeoniae Radix Alba, stir-fried, 2 liang), Gancao (Licorice Root, stir-fried, 7 qian).
Chop. Take 5 qian per dose, decoct with jujubes and ginger in water, twice or thrice daily. For severe deficiency, add Fuzi (Aconiti Lateralis Radix Preparata). ("Establishing the Middle" refers to strengthening the Earth element. Baishao and Gancao resemble the transformation of Jia-Ji into Earth. Rougui treats wiry, deficient, cold pulses with abdominal pain. Huangqi supplements exterior qi to assist deficient middle qi.)
Danggui Jianzhong San (Angelica Establishing the Middle Powder): Treats postpartum labor injury, deficiency and insufficiency, abdominal pain, shortness of breath, lower abdominal tension, pain radiating to the lower back, spontaneous sweating, loss of appetite. From delivery until the end of the first month, take three times daily to strengthen the body. (This formula specifically treats conditions arising from blood and qi deficiency and cold. Adding Yitang (Maltose) is an excellent method for establishing the middle.)
Danggui (Angelicae Sinensis Radix) (4 liang), Baishao (Paeoniae Radix Alba) (6 liang), Guixin (Cinnamomi Cortex) (3 liang), Huangqi (Astragali Radix) (1.5 liang).
Chop. Take 4 qian per dose, add ginger and jujubes, decoct in water, add a piece of Yitang (Maltose), boil again, and take warm. If there is metrorrhagia or epistaxis, add Ejiao (Asini Corii Colla) and Dihuang (Rehmanniae Radix).
JiaWei Foshou San (Modified Buddha's Hand Powder): Treats postpartum blood deficiency, fatigue-induced night sweats, lethargy and weakness, cough with phlegm.
Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Huangqi (Astragali Radix, honey-fried) (each 1 liang), Chaihu (Bupleuri Radix), Qianhu (Peucedani Radix) (each 1.5 qian).
Coarsely crush. Take 5 qian per dose, decoct in 1 da zhan of water with 3 cun pieces of peach and willow branches, 1 jujube, 1 wumei (Mume Fructus), and 1 slice of ginger. (Using Chaihu, Qianhu, and Chuanxiong for night sweats seems inappropriate; using Huangqi for cough with phlegm also seems difficult. However, as the sovereign herbs, while Chaihu and Qianhu are used sparingly, the disparity in dosage is significant. Ultimately, postpartum conditions prioritize blood and qi, hence their use. Suitable only for those without exogenous pathogens.) If there is phlegm, do not use Wumei.
Chaihu Siwu Tang (Bupleurum Four Substances Decoction): Treats prolonged postpartum deficiency and asthenia with a floating and large pulse.
See the section on alternating chills and fever.
Sanhe San (Three Harmonies Powder): Treats prolonged postpartum deficiency and asthenia where acupuncture and medication have failed. (This combines Siwu Tang and Sijunzi Tang, removing Baizhu and adding Huangqi, merged with Xiao Chaihu Tang. Integrating the intent of these three formulas reveals the true principle.)
See the section on fever.
Yunqi Shudihuang San (Yunqi Prepared Rehmannia Powder): Treats postpartum chùláo caused by physical weakness and unconsolidated qi, relapse due to overexertion, resulting in painful limbs, intermittent chills and fever, and loss of appetite.
Shudihuang (Rehmanniae Radix Preparata), Renshen (Ginseng Radix), Baishao (Paeoniae Radix Alba), Baifuran (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), Xuduan (Dipsaci Radix) (each 1 liang), Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Wuweizi (Schisandrae Fructus), Guixin (Cinnamomi Cortex) (each 7.5 qian).
Coarsely crush. Take 4 qian per dose, decoct with 3 slices of ginger and 1 jujube in water. (Chùláo generally belongs to dual deficiency of blood and qi, so the method follows Shiquan Dabu Tang. Xuduan treats various deficiencies and uterine leakage in women. Wuweizi generates fluids and calms the spirit; adding Maimendong is even better. Removing three herbs and adding three makes it another "Three Harmonies".) Dàquán's formula includes Maimendong (7.5 qian). Another version lacks Guixin, Wuweizi, and Xuduan, but includes Chaihu, Huangqin, and Banxia (each 7.5 qian).
Huangqi Wan (Astragalus Pill): Treats postpartum chùláo with advancing and retreating chills and fever, dizziness and headache, soreness and pain in bone joints, and emaciation and weakness.
Huangqi (Astragali Radix), Biejia (Testudinis Carapax et Plastrum), Danggui (Angelicae Sinensis Radix, stir-fried) (each 1 liang), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba), Guixin (Cinnamomi Cortex), Xuduan (Dipsaci Radix), Niuxi (Achyranthis Bidentatae Radix), Rongrong (Cibotii Rhizoma), Baiziren (Platycladi Semen), Chenxiang (Aquilariae Lignum Resinatum), Zhike (Aurantii Fructus Immaturus) (each 7.5 qian), Wuweizi (Schisandrae Fructus), Shudihuang (Rehmanniae Radix Preparata) (each 0.5 liang).
Grind into fine powder, make pills with refined honey the size of paulownia seeds. Take 40-50 pills per dose after meals with gruel or drink. (Note: This formula relies on Siwu Tang, Huangqi, Xuduan, Guixin, and Wuweizi. Biejia clears bone-joint deficiency heat; Baiziren moistens heart fluids; Niuxi alleviates foot/knee pain; Chenxiang connects heaven and earth; Rongrong is vital; Zhike benefits the chest/diaphragm. Reviewing previous formulas, the main theme is tonifying blood and qi, with variations for warming, clearing, astringing, dispersing, breaking stasis, or moving qi according to accompanying symptoms. Practitioners should not be rigid.)
Shizi Tang (Kidney Stone Soup - referring to Pig Kidney): Treats postpartum emaciation, shortness of breath, alternating chills and fever like malaria, limb pain, and sallow complexion, named chùláo.
Zhu Shizi (Pig Kidneys, 1 pair, remove fat membrane, cut into four), Xiangchi (Fermented Soybean), Cong (Scallion, chopped), Jingmi (Oryza Sativa Glutinosa), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba) (each 2 liang).
Coarsely crush. Divide into two doses. Each dose uses 3 he of rice, cook to obtain a small bowl, strain, and take in three divided doses. (Shizi refers to pig kidneys, used to assist other soups, restoring their original nature. Observing Cong and Chi suggests external pathogens; substituting Zhimu suggests internal heat; this must be distinguished.) Guangji Fang lacks Baishao but has Renshen. Xu Renze Fang lacks Xiangchi but has 2 liang Ginger, 1 liang Guixin, and only 1 liang Congbai.
Renshen Biejia San (Ginseng and Turtle Shell Powder): Treats chùláo occurring within 100 days postpartum due to bodily deficiency, weak blood and qi, lack of proper care, or injury from labor. Symptoms include emaciation, intermittent rising/lying, indigestion, occasional cough, dizziness and headache, unpredictable onset, night sweats, alternating chills and fever like malaria, stiffness in back/shoulders, heaviness in bed. This formula is highly effective.
Huangqi (Astragali Radix), Biejia (Testudinis Carapax et Plastrum) (each 1 liang), Niuxi (Achyranthis Bidentatae Radix, 7.5 qian), Renshen (Ginseng Radix, preferably used), Baifuran (Poria), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Sangjisheng (Taxilli Caulis), Maimendong (Ophiopogonis Radix, remove heart), Shudihuang (Rehmanniae Radix Preparata), Taoren (Persicae Semen), Guixin (Cinnamomi Cortex), Gancao (Licorice Root) (each 0.5 liang), Xuduan (Dipsaci Radix, 2.5 qian).
Grind into fine powder. For each dose, first take one pig kidney, remove fascia, boil in 2 da zhan of water with 0.5 fen of ginger and 3 jujubes until reduced to 1 zhan. Remove kidney, ginger, and jujubes. Add 2 qian of herbal powder, 3 cun of Congbai (Scallion White), 1 Wumei (Mume Fructus), and 5 spikes of Jingjie (Schizonepetae Spica). Boil to 0.7 portion, strain, and take warm on an empty stomach and before evening meal. Divine effect. (This is Shiquan Dabu Tang minus Chuanxiong and Baizhu, plus Biejia, Niuxi, Sangjisheng, Xuduan, Taoren, and Maidong to treat chùláo, embodying the idea of eliminating the old and generating the new. Sangjisheng treats residual postpartum ailments. Pig kidneys are used because the fetus attaches to the waist, borrowing them for assistance.)
Hu Shi Mudan San (Dr. Hu's Peony Powder): Treats postpartum emaciation, fever with spontaneous sweating, impending chùláo, blood/qi clumping causing irregular menstruation, or chills/fever with emaciation.
Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Renshen (Ginseng Radix), Wujapi (Acanthopanacis Cortex - removes wind evil, bad blood, back pain), Digupi (Lycii Cortex) (each 0.5 liang), Mudanpi (Moutan Cortex, 3 qian), Guixin (Cinnamomi Cortex), Moyao (Myrrha) (each 2 qian).
Grind into fine powder. Take 2 qian per dose, decoct in half water and half wine (1 ban zhan each). If non-drinker, use 1 zhan water. Add 1 Kaiyuan Tongbao coin, dip in Sesame Oil, decoct together to 0.7 portion, strain, and take orally. Do not stir while boiling, do not blow while drinking. (Kaiyuan Tongbao coin and sesame oil meanings are unclear/unexplained).
Huangqi Zhu San (Astragalus Decoction Powder): Treats postpartum chùláo with yellow/sallow skin, pale face, aversion to cold with high fever, limb soreness, irritability, and headache.
Biejia (Testudinis Carapax et Plastrum, vinegar-processed), Huangqi (Astragali Radix) (each 1 liang), Niuxi (Achyranthis Bidentatae Radix, 7.5 qian), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Shudihuang (Rehmanniae Radix Preparata), Renshen (Ginseng Radix), Baifuran (Poria), Maimendong (Ophiopogonis Radix, remove heart), Sangjisheng (Taxilli Caulis), Guixin (Cinnamomi Cortex), Gancao (Licorice Root, processed) (each 0.5 liang).
Grind into fine powder. For each dose, take one pig kidney, remove fat membrane, cut open. First boil 1 zhan of water with 0.5 fen ginger and 3 jujubes to 0.7 portion. Remove kidney, ginger, jujubes. Add 5 qian of medicine, boil to 0.4 portion, strain, and take warm on empty stomach and before evening meal. Combine two residues for second decoction. (This formula lacks Taoren and Xuduan compared to Renshen Biejia San, and lacks Congbai, Wumei, Jingjie in decoction method. Know that if there is stasis, break it; if wind, treat wind; if cold, treat cold; if heat, treat heat. There is no fixed rule.)
Zhuyaozi Zhou (Pig Kidney Porridge): Treats postpartum chùláo with fever. (This is "medicine that is not medicine," meaning grain, meat, fruit, and vegetables complete dietary therapy.)
One pig kidney, remove white membrane, cut into willow-leaf slices. Mix with salt and wine. First, cook 1 he of Jingmi (Glutinous Rice) with scallion and pepper to make porridge. Season with salt and vinegar. Place kidney slices at the bottom of the bowl, cover with hot porridge like making soup/congee. Take on an empty stomach.