丹溪曰∶产后当大补血气为主，虽有杂证，以末治之（产后虽当大补，亦宜审恶露有
无，内伤外感虚实何如？庶为合理）。产后补虚，用参、术、黄 、陈皮、归身尾、川芎、炙草；
如发热，轻则加茯苓淡渗之（热轻用淡渗，人所易忽，却最妙），其热自除，重则加干姜。
凡产后有病，先固气血。产后一切病，多是血虚，皆不可发表。新产后不可用芍药，以
其酸寒能伐生发之气故也。大抵胎前毋滞，产后毋虚。（法言）
丹溪曰∶或问新产之妇，好血已亏，污血或留，彼黑神散非要药乎？答曰∶至哉坤元，万
物资，理之常也。初产之妇，好血未必亏，污血未必积，脏腑未必寒，何以药为？饮食起居，勤
加调护，何病之有？诚有污血，体怯而寒，与之数帖，亦自简便。或有他病，当求病起何因，病
在何经，气病治气，血病治血（此论出《局方发挥》，其血病治血以下，尚有寒者温之，热者清
之，凝者行之，虚者补之，血多者止之五句，似不可少，姑识之，以便采择），何用拘执此方，
例令服饵？设有性急者，形瘦者，本有怒火者。夏月坐蓐者，时在火令，姜桂皆为禁药。至于
将护之法，尤为悖理，肉汁发阴经之火，易成内伤之病，先哲具在训戒，胡为以羊鸡浓汁作
糜，而又常服当归建中汤、四顺理中丸，虽是补剂，并是偏热，脏腑无寒，何处消受？若夫儿
之初生，母腹顿宽，便啖鸡子，且吃火盐，不思鸡子难化，火盐发热，展转生证，不知所因？率
尔用药，宁不误人。予每见产妇之无疾者，必教之以却去黑神散，与夫鸡子、火盐、诸品肉
食，且与白粥将理，间以些少石首鲞，煮令甘澹食之，半月后方与少肉。若鸡子亦须豁开澹
煮，大能养胃却疾。彼当富之家，骄恣之妇，卒
有白带头风，气痛膈筑，痰逆口干，经事不调，发秃体热等证，皆是阳盛阴虚之病。天生血
气，本自和平，曰盛曰虚，又乌知非此等谬妄，有以兆之耶！
朱丹溪说：产后治疗应当以大补气血为主，即使有其他杂症，也应作为次要问题来处理（产后虽然需要大补，但也应该审视恶露是否有残留，以及内伤外感是虚证还是实证，这样才合理）。产后补虚，用人参、白术、黄芪、陈皮、当归身尾、川芎、炙甘草；如果发热，轻症加茯苓以淡渗利湿（热轻时用淡渗法，人们容易忽视，但这却是最妙的方法），热自除；重症则加干姜。凡是产后有病，先要固护气血。产后的一切疾病，多是血虚，都不可使用发汗解表的方法。新近生产后不可用芍药，因为它的酸寒之性会损伤生发之气。大致说来，孕期不要有瘀滞，产后不要虚弱。（这是医家法则之言）
朱丹溪说：有人问刚生产的妇女，好血已经亏损，污血或许滞留，黑神散不是必要的药物吗？回答说：坤元（大地生育万物之源）的道理非常深远，万物生长依赖它，这是常理。刚生产的妇女，好血未必亏损，污血未必积聚，脏腑未必寒冷，为什么要用药呢？饮食起居，多加调护，会有什么病呢？确实有污血，身体虚弱而寒，给她服几帖黑神散，也简便易行。如果有其他病，应当探究病因，病在哪个经络，气病治气，血病治血（此论出自《局方发挥》，其中“血病治血”之后，还有“寒者温之，热者清之，凝者行之，虚者补之，血多者止之”五句，似乎不可省略，暂且记下，以便采纳选择），何必拘泥执着于这个方子，一律让人服用？假设有性情急躁的人，形体消瘦的人，本来就有怒火的人。夏天坐月子的人，正值火令之时，干姜、肉桂都是禁药。至于护理方法，更是违背常理，肉汁会引发阴经之火，容易形成内伤疾病，先哲都有训诫，为什么还要用羊肉鸡肉浓汁煮粥，并且常服当归建中汤、四顺理中丸，虽然是补剂，但都是偏热的，脏腑没有寒证，哪里受得了这种滋补？至于婴儿刚出生，母亲腹部顿时宽松，就吃鸡蛋，还吃火盐，不考虑鸡蛋难消化，火盐发热，辗转产生病症，不知道原因是什么？贸然用药，难道不误人吗？我常见产妇没有疾病的，一定教她们去掉黑神散，以及鸡蛋、火盐、各种肉食，只给白粥调养，偶尔加点石首鱼鲞，煮得清淡食用，半个月后才给少量肉。如果鸡蛋也必须敲开清淡煮熟，大能养胃祛病。那些富贵人家，骄纵的妇女，突然有白带头风，气痛膈筑，痰逆口干，月经不调，脱发体热等症状，都是阳盛阴虚的病。天生血气，本自平和，说是盛、说是虚，又怎么知道不是这些谬妄之举导致的呢！
Zhu Danxi stated: Postpartum treatment should primarily focus on greatly tonifying Qi and Blood. Even if there are other miscellaneous syndromes, they should be treated as secondary (Although postpartum requires great tonification, one must also examine whether lochia is retained, and whether internal injury or external contraction presents as deficiency or excess; this approach is reasonable). For postpartum deficiency tonification, use Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Huang Qi (Astragali Radix), Chen Pi (Citri Reticulatae Pericarpium), Dang Gui Shen Wei (Angelicae Sinensis Radix, body and tail), Chuan Xiong (Ligustici Chuanxiong Rhizoma), and Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma); if fever occurs, for mild cases add Fu Ling (Poria) to promote diuresis and leach out dampness (using a bland-draining method for mild heat is easily overlooked by people, yet it is most excellent), the heat will naturally subside; for severe cases, add Gan Jiang (Zingiberis Rhizoma). Generally, when illness occurs postpartum, first secure Qi and Blood. All diseases postpartum are mostly due to Blood deficiency, and none should be treated with methods that induce sweating to release the exterior. Shao Yao (Paeoniae Radix Alba) should not be used immediately after childbirth because its sour and cold nature can damage the vitalizing and ascending energy. In general, during pregnancy, avoid stagnation; postpartum, avoid deficiency. (This is a principle of medical practice).
Zhu Danxi stated: Someone asked, "In women who have just given birth, good blood is already depleted, and foul blood may remain; is Hei Shen San (Black Divine Powder) not an essential medicine?" I replied: The principle of Kun Yuan (the generative power of Earth) is profound; all things rely on it, which is the constant law. In women who have just given birth, good blood is not necessarily depleted, foul blood is not necessarily accumulated, and the Zang-Fu organs are not necessarily cold; why use medicine? With careful attention to diet and daily life, what illness would arise? If there is indeed foul blood, and the constitution is weak and cold, administering a few doses of Hei Shen San is simple and effective. If there are other illnesses, one must seek the cause of the disease and determine which meridian it affects; treat Qi disorders by regulating Qi, and Blood disorders by regulating Blood (This argument comes from *Ju Fang Fa Hui* [Elucidations on the Formulas of the Imperial Pharmacy]; following 'treat Blood disorders by regulating Blood,' there are five additional sentences: 'warm the cold, clear the heat, move the stagnant, tonify the deficient, stop excessive bleeding.' These seem indispensable and should be noted for future reference). Why stick rigidly to this formula and order everyone to take it? Suppose there are those with irritable temperaments, emaciated bodies, or pre-existing fire-toxin. Women confinement in summer, when the Fire mandate prevails, must avoid Gan Jiang (Zingiberis Rhizoma) and Rou Gui (Cinnamomi Cortex). As for nursing care, some methods are particularly contrary to reason. Meat broths can ignite fire in the Yin meridians, easily leading to internal injury diseases. Ancient sages left warnings against this; why use rich mutton and chicken broths to make porridge, and frequently administer Dang Gui Jian Zhong Tang (Cinnamon Twig and Angelica Decoction to Establish the Middle) and Si Shun Li Zhong Wan (Four-Obedient Pill to Regulate the Middle)? Although these are tonifying formulas, they are predominantly hot in nature. If the Zang-Fu organs are not cold, how can they tolerate such heating tonics? Regarding the newborn, once the mother's abdomen suddenly relaxes after delivery, she eats eggs and consumes 'fire salt' (likely referring to roasted salt or similar heated substances). One fails to consider that eggs are hard to digest and fire salt generates heat, leading to various complications whose causes are unknown. Prescribing medication rashly, does this not harm people? I often see postpartum women without illness; I instruct them to discard Hei Shen San, as well as eggs, fire salt, and various meats. Instead, provide plain white rice gruel for nourishment, occasionally adding a small amount of dried hairtail fish (*Huangyu*), boiled until bland and sweet, to eat. After half a month, give a little meat. If eggs are consumed, they must be cracked open and boiled plainly, which greatly benefits the Stomach and dispels disease. Those wealthy families with indulgent wives suddenly present with symptoms like leukorrhea with headache (Bai Dai Tou Feng), Qi pain and chest oppression, rebellious Phlegm with dry mouth, irregular menstruation, hair loss, and body heat. These are all conditions of Excess Yang and Deficiency Yin. Naturally generated Qi and Blood are originally harmonious. To speak of 'excess' or 'deficiency,' how do we know these are not caused by such erroneous and absurd practices!