败血冲遏于心，转入于肺，气与血并结成块，入喉作声，竟似蝉鸣，此症十不救一。
败血乘虚，流入经络，日久化水，故令面黄，四肢浮肿。若作水气治之，便致夭枉。宜小、大调经汤（和三十八、
三十九）。血流为水者，下午肿甚，肿处必有血痕，或胁胀刺痛。
咳嗽小便涩，寒水侮土也。宜补脾肺。补中益气汤。（补六）
气虚，六君子汤（补一）。四君子汤去甘草，加米仁、炒陈卜子。（补四）
六脉沉细无力，或咳嗽，或泄泻不止。脾土虚寒，命门火衰也。《金匮》肾气汤（补四十七）。
口渴恶寒，脉沉无力，体虚而有湿热之积也，必上焦满闷，宜补中行气，兼用导水之剂，白术、茯苓、陈皮、木通。
外感风寒，气血滞于经络；或胁腹绞刺。呕吐恶心，宜加味吴茱萸汤。（散二十九）
气郁作胀，枳实、炒白术。
产后发热，有伤力，有血虚，有停瘀，有蒸乳，有风寒，有多食，其病不一，状类伤寒。切勿发汗，致成肉 筋惕，
亡阳谵语，郁冒昏迷等症。
血虚，川芎、当归、人参、姜炭。
气虚，补中益气汤加炒姜。（补六）
吞酸嗳腐，饱闷恶食，此饮食停滞也。宜四君子汤加砂仁、山楂、神曲。（补四）
肝虚血燥，阴火内发，宜逍遥散，以清肝火。若用大补，热燥更甚。（和五）
阴虚阳无所根据，浮散于外而为热，四物汤，加炙干姜。（补七。）加茯苓，使天气降而生阴，亦妙。
失血多汗出，不卧，怔忡惊悸，妄言妄见，加味归脾汤。（补三）
血虚感风，生化汤加荆芥穗。（和二十四）
误服寒凉之剂，以致寒气隔阳于外，四君子汤加干姜、肉桂。不应，加附子。（补四）
肌肤发热，面赤大渴，血脱发燥也。当归补血汤。（补四十八）
败血攻心，狂言奔走，干荷叶、生地、丹皮、生蒲黄。
胸胁胀痛，腹中痞闷，吐血盗汗，或便血不止，此诸脏虚损也，故有虚寒假热之状。十全大补汤。（补三十九）
产后潮热有汗，大便不通，毋专论为阳明症；头痛恶寒，毋专论为太阳症；头疼胁痛，毋专论为少阳症。总由血气
两虚，阴阳不和而类外感也。加味生化汤，调和荣卫，诸症自退矣。（和四十）
口燥咽干而渴，毋专论为少阴症；腹满咽干大便实，毋专论为太阴症；烦满四肢冷，毋专论为厥阴症；谵语便秘，
毋专论为胃中有燥屎。多因劳倦伤脾，运化稽迟，血枯肠燥，虚症类实病也。加味通幽散。（和四十一）
败血冲逆并阻滞于心，进而转入肺脏，气与血相互搏结形成肿块，进入咽喉发出声音，竟然像蝉鸣一样，这种病症十例中救不活一例。
败血趁着正气虚弱，流入经络，日久化为水湿，所以导致面色发黄，四肢浮肿。如果当作水气病来治疗，就会致人死亡。适宜使用小调经汤、大调经汤（参考方剂三十八、三十九）。血液转化为水湿的，下午肿胀加重，肿胀处必有血痕，或者胁肋胀满刺痛。
咳嗽且小便涩滞，这是寒水反侮脾土所致。适宜补益脾肺。使用补中益气汤（参考方剂补六）。气虚者，使用六君子汤（参考方剂补一）。四君子汤去掉甘草，加入薏苡仁、炒莱菔子（参考方剂补四）。
六脉沉细无力，或者咳嗽，或者泄泻不止。这是脾土虚寒，命门火衰所致。使用《金匮要略》中的肾气汤（参考方剂补四十七）。
口渴且恶寒，脉象沉而无力，这是身体虚弱且有湿热积滞，必然出现上焦满闷，适宜补中行气，兼用利水导滞的药物，如白术、茯苓、陈皮、木通。
外感风寒，气血在经络中停滞；或者胁腹绞痛刺痒。呕吐恶心，适宜使用加味吴茱萸汤（参考方剂散二十九）。
产后发热，有因劳累过度所致，有因血虚所致，有因瘀血停滞所致，有因乳汁蒸腾所致，有因风寒所致，有因饮食过多所致，病因不一，症状类似伤寒。千万不要发汗，以免导致肌肉跳动、亡阳谵语、郁冒昏迷等病症。
吞酸嗳腐，饱闷厌恶食物，这是饮食停滞所致。适宜使用四君子汤加入砂仁、山楂、神曲（参考方剂补四）。
肝虚血燥，阴火内发，适宜使用逍遥散以清肝火。如果使用大补之法，热燥会更严重（参考方剂和五）。
阴虚则阳气无所依附，浮散于体表而表现为发热，使用四物汤，加入炙干姜（参考方剂补七）。加入茯苓，使天气下降而生阴，也是妙法。
失血多且汗出，不能安卧，怔忡惊悸，胡言乱语或幻视，使用加味归脾汤（参考方剂补三）。
误服寒凉药物，导致寒气阻隔阳气于外，使用四君子汤加入干姜、肉桂。若无效，加入附子（参考方剂补四）。
肌肤发热，面红大渴，这是血脱发燥所致。使用当归补血汤（参考方剂补四十八）。
胸胁胀痛，腹中痞闷，吐血盗汗，或者便血不止，这是各脏腑虚损所致，所以有虚寒假热的表现。使用十全大补汤（参考方剂补三十九）。
产后潮热有汗，大便不通，不要专门论述为阳明症；头痛恶寒，不要专门论述为太阳症；头疼胁痛，不要专门论述为少阳症。总归是由于气血两虚，阴阳不和而类似外感病。使用加味生化汤，调和营卫，各种症状自然消退（参考方剂和四十）。
口燥咽干而渴，不要专门论述为少阴症；腹满咽干大便实，不要专门论述为太阴症；烦满四肢冷，不要专门论述为厥阴症；谵语便秘，不要专门论述为胃中有燥屎。多因劳倦损伤脾脏，运化迟缓，血枯肠燥，虚证类似实证。使用加味通幽散（参考方剂和四十一）。
Stagnant blood rushes and obstructs the Heart, then transfers to the Lung. Qi and Blood combine to form a mass; entering the throat, it produces sound, resembling the chirping of a cicada. This condition is fatal in ten out of ten cases.
Stagnant blood, taking advantage of deficiency, flows into the meridians. Over time, it transforms into water-dampness, causing yellowish complexion and edema of the four limbs. If treated as Water-Qi disease (Shuiqi Bing), it will lead to premature death. It is appropriate to use Xiao Tiaojing Tang (Regulating Menses Decoction Minor) or Da Tiaojing Tang (Regulating Menses Decoction Major). When blood transforms into water, swelling worsens in the afternoon, and the swollen areas must show blood marks, or there is distending pain and stabbing pain in the hypochondrium.
Cough with difficult urination indicates Cold-Water insulting Spleen-Earth. It is appropriate to tonify the Spleen and Lung. Use Buzhong Yiqi Tang (Decoction for Supplementing the Middle and Augmenting Qi). For Qi deficiency, use Liujunzi Tang (Six Gentlemen Decoction). Remove Gancao (Licorice Root) from Sijunzi Tang (Four Gentlemen Decoction), add Yiren (Coix Seed) and Chao Chenbuzi (Fried Radish Seed).
If the six pulses are deep, fine, and powerless, accompanied by cough or incessant diarrhea, this is due to Spleen-Earth deficiency-cold and decline of Mingmen Fire (Gate of Life Fire). Use Shenqi Tang (Kidney Qi Decoction) from *Jinkui Yaolue* (Essential Prescriptions from the Golden Cabinet).
Thirst with aversion to cold, and a deep, powerless pulse indicate body deficiency with accumulation of damp-heat. There must be fullness and oppression in the Upper Jiao. It is appropriate to tonify the Middle and move Qi, combined with diuretic agents such as Baizhu (Atractylodes Macrocephala Rhizome), Fuling (Poria), Chenpi (Tangerine Peel), and Mutong (Akebia Stem).
Exogenous Wind-Cold causes stagnation of Qi and Blood in the meridians, or cramping/stabbing pain in the hypochondrium and abdomen. Vomiting and nausea require Jiawei Wuzhuyu Tang (Modified Evodia Decoction).
Qi stagnation causing distension is treated with Zhishi (Immature Bitter Orange) and Chao Baizhu (Fried Atractylodes Macrocephala Rhizome).
Postpartum fever may result from overexertion, Blood deficiency, retained stasis, milk engorgement, Wind-Cold invasion, or excessive eating. The etiologies vary, and symptoms resemble Shanghan (Cold Damage). Do not induce sweating, lest it lead to muscle twitching, Yang collapse with delirium, Yu Mao coma, and other conditions.
For Blood deficiency, use Chuanxiong (Szechwan Lovage Rhizome), Danggui (Angelica Sinensis Root), Renshen (Ginseng Root), and Jiangtan (Charred Ginger).
For Qi deficiency, use Buzhong Yiqi Tang (Decoction for Supplementing the Middle and Augmenting Qi) with fried Shengjiang (Fresh Ginger).
Acid regurgitation and belching of rotten food, with fullness and anorexia, indicate food stagnation. Use Sijunzi Tang (Four Gentlemen Decoction) with Sharen (Amomum Fruit), Shanzha (Hawthorn Fruit), and Shenqu (Medicated Leaven).
Liver deficiency with dry Blood and internal flare-up of Yin fire requires Xiaoyao San (Free and Easy Wanderer Powder) to clear Liver fire. Using heavy tonification will exacerbate heat and dryness.
Yin deficiency leaves Yang without foundation, causing it to float and scatter externally, manifesting as fever. Use Siwu Tang (Four Substances Decoction) with Zhi Ganjiang (Prepared Dried Ginger). Adding Fuling (Poria) allows Heavenly Qi to descend and generate Yin, which is also excellent.
Profuse blood loss with sweating, inability to lie down, palpitations, fright, delirious speech, and visual hallucinations require Jiawei Guipi Tang (Modified Restore the Spleen Decoction).
Blood deficiency with Wind invasion requires Shenghua Tang (Generate the New Decoction) with Jingjie Sui (Schizonepeta Spike).
Erroneous use of cold-cooling agents causes Cold Qi to block Yang on the exterior. Use Sijunzi Tang (Four Gentlemen Decoction) with Ganjiang (Dried Ginger) and Rougui (Cinnamon Bark). If ineffective, add Fuzi (Prepared Aconite Root).
Skin fever, red face, and extreme thirst indicate Hair-Blood depletion and dryness. Use Danggui Buxue Tang (Angelica Tonifying Blood Decoction).
Stagnant blood attacking the Heart, causing manic speech and running about, is treated with Gan Heye (Dried Lotus Leaf), Shengdi (Rehmannia Root), Danpi (Moutan Cortex), and Sheng Puhuang (Fresh Pollen Typhae).
Distending pain in the chest and hypochondrium, epigastric fullness, hematemesis, night sweats, or incessant hematochezia indicate deficiency and damage of various Zang organs, presenting as false heat due to deficiency. Use Shiquan Dabu Tang (Perfect Ten Great Tonifying Decoction).
Postpartum tidal fever with sweating and constipation should not be exclusively diagnosed as Yangming syndrome; headache with aversion to cold should not be exclusively diagnosed as Taiyang syndrome; headache with hypochondriac pain should not be exclusively diagnosed as Shaoyang syndrome. All stem from dual deficiency of Qi and Blood, and disharmony of Yin and Yang, mimicking exogenous diseases. Use Jiawei Shenghua Tang (Modified Generate the New Decoction) to harmonize Ying and Wei (Nutritive and Defensive levels); all symptoms will recede.
Dry mouth and throat with thirst should not be exclusively diagnosed as Shaoyin syndrome; abdominal fullness, dry throat, and solid stool should not be exclusively diagnosed as Taiyin syndrome; irritability, fullness, and cold limbs should not be exclusively diagnosed as Jueyin syndrome; delirium with constipation should not be exclusively diagnosed as dry feces in the Stomach. These often result from fatigue damaging the Spleen, delayed transformation and transportation, dry Blood, and dry intestines—deficiency patterns mimicking excess diseases. Use Jiawei Tongyou San (Modified Unblock You Powder).