见其未死而不救，毋宁备一方救之而不生。吾令酌定一方，名开青散黑汤，人参四两，白术四两，附子一
钱，当归一两。肉桂三钱，水煎服。此方服下，手足之青少退，身不黑，便有生机，否则仍死也。盖毒深
而不可解，寒结而不可开耳。
产后足纯青，心下痛，虽较上症少轻，而寒毒之攻心则一，故亦主死。以前方投之，往往多效，不
比一身尽黑者之难救也。盖此症由下而上，一散其下寒，而上寒即解，所以易于奏效。
产后少阴感邪，肾水上泛，呕吐下利，真阳飞越者，亦死症也。盖产妇肾水原枯，如何上泛而至
呕吐。不知肾水
之泛滥，因肾火之衰微也。火为寒所祛，水亦随寒而趋。此症犯在平人，尚然难救，况产妇
乎。而吾以为可救者，有肾水之存耳。急用补阳之药，入于补阴之中，引火归原，水自然下行而
不致上泛。方用补火引水汤∶人参五钱，白术一两，熟地一两，山茱萸五钱，茯苓一两，附子
一钱，肉桂三钱，车前子一钱，水煎服。一剂而肾水不泛滥矣。此方火补命门之火，仍于水中补之，故
水得火而有归途，火得水而有生气，两相合而两相成也。
产后四五日，忽感风邪发厥者，死症也。厥症多是热，而产后发厥，岂有热之理，是热亦虚热也。
欲治厥而身虚不可散邪，欲清热而身虚不可用凉，所以往往难治。谓是死症，而实非尽是死症也。我
定一方，名转厥安产方。当归一两，人参一两，附子一钱，水煎服。一剂即厥定而人生矣。盖产
后发厥，乃阳气既虚而阴血文耗，复感寒邪以成之者也。我用人参以回元气于无何有之乡，用当归以
生血于败瘀未复之后，用附子以祛除外来之邪；故正回而邪散，血生而厥除也。
产后吐蛔虫者，不治之症也；以胃气将绝，虫不能安身耳。夫蛔虫在人之胃中，大寒不居，太热亦
不居。今产后吐蛔，必在发厥之后，其吐蛔也，必然尽情吐出，非偶然吐一条也，更有成团逐块而吐
出者，真是恶症，吾欲生之何也？正因其吐蛔之尚可生也。盖人脏既绝，虫亦寂然，今纷然上吐，是胃
中尚有气以逼迫之，吾安其胃气，则虫自定而人可生。方用安蛔救产汤∶人参一两，白术一两，榧子仁
一两，白薇三钱，肉桂一钱，神曲五分，水煎服。二剂而蛔定矣。此方参、术以生胃气，榧子，白薇、肉
桂以杀虫，所以奏功独神耳。
产后口吐血脓，又复发斑，此千人中偶一有之。本是不
救，然治之得法，亦有不死者。此症盖因夏月感受暑热之气，未及发出，一至生产，而火毒大彰；又
因身虚，而火势犹不能一时尽发，故口吐脓血以妄行，而身生斑点以拂乱也。论理产后不宜用凉药化斑，
然此等症又不得不用凉药，为权宜之计，吾今酌定一方，名为化火救产汤。人参五钱，当归一两，川芎
五钱，麦冬五钱，荆芥三钱，元参一两，升麻一钱，水煎服，一剂而血脓止，再剂而斑稀，三剂而斑
化矣，不可用四剂也。三剂后当改用佛手散，大剂多饮，自然无后患，否则恐有变寒之患。吾方原不
大寒。即变寒而可救，倘从前一见斑，即用黄连解毒之药，以救一时之急，及至热退寒生，往往有寒战而
死者，凉药可轻用乎？故宁可服吾方，以渐退斑而缓降血，不可用霸药以取快于一时也。
产后患厥阴症，呕吐，两胁胀满者。必便血，不治之症也。盖伤肝而血乃下行，本无血而又伤
血，岂有不死之理。而吾必欲救之，将恃何法乎？正因其便血耳。倘肝受风邪，而不下行。则邪留两
胁，反是腹心之病，今血尽趋大便而出，是肝中之邪散，吾清其大肠之火，似可奏功矣。但产妇宜温
补不宜清理，用凉药以消其火，非所以救产后之妇也。不知火之有余，乃水之不足，大补其水。则火自
消归无有矣。方用平肝救血汤∶当归一两，川芎五钱，麦冬一两，三七根末一钱，水煎服。一剂而血
止，两胁之胀满亦除矣，又何至上呕食而下便血哉。
产后下利厥逆，躁不得卧，或厥不得止，俱是死症。盖下利则亡阴，厥逆则亡阳，已是难救，况躁
不得卧，是血无以养心矣，而厥更不止，则汗出又无已也，欲不死得乎。我欲于死中求生，舍人参、当归
无别药也。方名参归汤。人参二两，当归二两，荆芥一钱，水煎服。用参，归补气血以生
新，则旧血可止，旧血止而新血益生，自然有血以养心，厥可定而心可安，躁可释也。
看见病人尚未死亡而不施救，倒不如准备一方剂来救治他，即使最终未能挽回生命。我制定了一方，名为开青散黑汤，用人参四两，白术四两，附子一钱，当归一两，肉桂三钱，加水煎煮后服用。此方服下后，若手足的青色稍退，身体不再发黑，便有了生机，否则仍然会死亡。这是因为毒邪深重而无法化解，寒邪凝结而无法开通的缘故。
产后足部纯青色，心下部疼痛，虽然比上述症状稍轻，但寒毒攻心的病机是一样的，所以也主死证。用前方投治，往往多有疗效，不像全身尽黑那样难以救治。因为此症是由下向上发展的，一旦疏散了下部的寒邪，上部的寒邪自然解除，所以容易见效。
产后少阴经受邪，肾水泛滥上行，出现呕吐和下利，真阳飞越的，也是死证。产妇的肾水原本枯竭，怎么会泛滥上行导致呕吐呢？不知道肾水的泛滥，是因为肾火的衰微所致。火被寒邪驱逐，水也随着寒邪而趋向下行。此症发生在普通人身上，尚且难以救治，何况是产妇呢？但我认为可以救治的原因，在于还有肾水存在。急需使用补阳的药物，融入补阴的药物之中，引导浮火回归本源，水自然下行而不会上泛。方剂用补火引水汤：人参五钱，白术一两，熟地黄一两，山茱萸五钱，茯苓一两，附子一钱，肉桂三钱，车前子一钱，加水煎煮后服用。一剂药后肾水就不再泛滥了。此方在补益命门之火的同时，仍在水中加以补益，所以水得到火就有归途，火得到水就有生气，两者结合而相互成就。
产后四五日，忽然感受风邪而发生厥逆的，是死证。厥逆症多属热证，而产后发生厥逆，哪里有热证的道理，这热也是虚热。想要治疗厥逆，但身体虚弱不能发散邪气；想要清热，但身体虚弱不能用凉药，所以往往难以治疗。说是死证，但实际上并不全是死证。我定下一方，名为转厥安产方。当归一两，人参一两，附子一钱，加水煎煮后服用。一剂药后厥逆即止，人就能活过来了。因为产后发厥，是阳气已经虚弱而阴血又耗损，再感受寒邪所形成的。我用回元气于无何有之乡的人参，用当归在败瘀未复之后生血，用附子祛除外来的邪气；所以正气恢复而邪气消散，血液生成而厥逆消除。
产后吐出蛔虫的，是不治之症；因为胃气即将断绝，虫子无法安身。蛔虫在人的胃中，大寒的环境不居住，太热的环境也不居住。现在产后吐蛔，必然是在发生厥逆之后，它吐蛔，必然是尽情吐出，不是偶然吐出一条，更有成团成块地吐出来的，真是恶症，我想让它活下来有什么办法呢？正因为它还能吐蛔，说明尚可生存。因为人的脏腑既然断绝，虫子也会寂静无声，现在纷纷向上吐出，说明胃中还有气在逼迫它，我安定它的胃气，那么虫子自然安定，人就可以存活。方剂用安蛔救产汤：人参一两，白术一两，榧子仁一两，白薇三钱，肉桂一钱，神曲五分，加水煎煮后服用。两剂药后蛔虫就安定了。此方用人参、白术来生养胃气，用榧子、白薇、肉桂来杀虫，所以功效独特神奇。
产后口吐血脓，又复发斑疹，这是千人中偶尔才有的。本来是不治之症，然而治疗得当，也有不死的情况。此症大概是因为夏季感受暑热之气，未能及时发出，一到生产之时，火毒大大显露；又因为身体虚弱，火势还不能一时全部发出，所以口吐脓血妄行，身体生出斑疹以扰乱气血。按理说产后不宜用凉药化斑，但此类病症又不得不使用凉药，作为权宜之计，我现在斟酌定下一方，名为化火救产汤。人参五钱，当归一两，川芎五钱，麦冬五钱，荆芥三钱，玄参一两，升麻一钱，加水煎煮后服用，一剂后血脓停止，再服一剂斑疹变稀疏，三剂后斑疹化解，不可用第四剂。三剂后应当改用佛手散，大剂量多饮，自然没有后患，否则恐怕有转变为寒证的隐患。我的方子原本不大寒。即使转变为寒证也可以救治，倘若从前一见斑疹，就用黄连解毒之类的药物来救一时的急，等到热退寒生时，往往会有因寒战而死亡的，凉药可以轻易使用吗？所以宁可服用我的方子，逐渐消退斑疹并缓慢降低出血，不可用猛药以求一时之快。
产后患厥阴经病症，呕吐，两胁胀满的。必然伴有便血，是不治之症。因为损伤肝脏而血液下行，本无血而又伤血，哪有不死之理。但我一定要救治它，将依靠什么方法呢？正是因为有便血这一现象。倘若肝受风邪，而不向下行，则邪气留在两胁，反而成为腹心之病，现在血液全部趋向大便而出，说明肝中的邪气已散，我清其大肠之火，似乎可以奏效。但产妇适宜温补而不适宜清理，用凉药来消其火，不是救治产后妇女的方法。不知道火有余，乃是水不足，大补其水，那么火自然消归于无有。方剂用平肝救血汤：当归一两，川芎五钱，麦冬一两，三七根末一钱，加水煎煮后服用。一剂后血止，两胁的胀满也消除了，又何至上呕食而下便血呢。
产后下利厥逆，烦躁不得卧，或者厥逆不能停止，都是死证。因为下利则亡阴，厥逆则亡阳，已经是难救，何况烦躁不得卧，是血无以养心，而厥逆更不止，则汗出又不停止，想不死可能吗。我想在死中求生，除了人参、当归没有其他药了。方名参归汤。人参二两，当归二两，荆芥一钱，加水煎煮后服用。用人参、当归补气血以生新血，则旧血可止，旧血止而新血益生，自然有血以养心，厥逆可定而心可安，烦躁可解。
Seeing that the patient has not yet died and choosing not to treat them is worse than preparing a prescription to save them, even if life cannot ultimately be restored. I have formulated a prescription named Kaiqing Sanhei Tang (Open Cyanosis and Dispel Blackness Decoction), consisting of Ren Shen (Ginseng Radix et Rhizoma) 4 liang, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 4 liang, Fu Zi (Aconiti Lateralis Radix Praeparata) 1 qian, Dang Gui (Angelicae Sinensis Radix) 1 liang, Rou Gui (Cinnamomi Cortex) 3 qian. Decoct in water and take orally. After taking this prescription, if the cyanosis on the hands and feet recedes slightly and the body ceases to turn black, there will be signs of vitality; otherwise, death remains inevitable. This is because the pathogenic toxins are deep and unresolvable, and the cold pathogens are knotted and unopenable.
In postpartum cases where the feet are purely cyanotic and there is pain below the heart, although the condition is slightly milder than the aforementioned symptoms, the mechanism of cold-toxin attacking the heart is the same, thus it is also considered a fatal syndrome. Administering the aforementioned prescription often yields good results, unlike cases where the entire body turns black which are difficult to rescue. This is because this syndrome develops from the lower part upwards; once the cold in the lower part is dispersed, the cold in the upper part resolves naturally, making it easier to achieve efficacy.
In postpartum Shaoyin disease (disease of the Kidney meridian) caused by external pathogens, with kidney water flooding upward, presenting with vomiting and diarrhea, and true yang flying away, it is also a fatal syndrome. The kidney water of a postpartum woman is originally dry; how can it flood upward causing vomiting? It is unknown that the flooding of kidney water is due to the decline of kidney fire. When fire is driven away by cold, water follows the cold and tends downward. Even if this syndrome occurs in a healthy person, it is still difficult to rescue, let alone in a postpartum woman. However, I believe it can be rescued because some kidney water remains. Urgently use yang-tonifying herbs within yin-nourishing herbs to guide fire back to its source, so that water naturally flows downward without flooding upward. Use Buhuo Yinshui Tang (Tonify Fire and Guide Water Decoction): Ren Shen (Ginseng Radix et Rhizoma) 5 qian, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 1 liang, Shu Di Huang (Rehmanniae Radix Praeparata) 1 liang, Shan Zhu Yu (Corni Fructus) 5 qian, Fu Ling (Poria) 1 liang, Fu Zi (Aconiti Lateralis Radix Praeparata) 1 qian, Rou Gui (Cinnamomi Cortex) 3 qian, Che Qian Zi (Plantaginis Semen) 1 qian. Decoct in water and take orally. After one dose, the kidney water will no longer flood. This prescription tonifies the fire of the Mingmen (Gate of Life) while simultaneously nourishing the water; thus, water finds its way with fire, and fire gains vitality with water. They combine and mutually complete each other.
If a postpartum woman suddenly contracts wind-pathogen and experiences jue syndrome (cold extremities/convulsions) four or five days after delivery, it is a fatal syndrome. Jue syndrome is mostly heat-related, but why would there be heat in postpartum jue? This heat is also deficient heat. To treat jue, one cannot disperse pathogens due to bodily deficiency; to clear heat, one cannot use cooling herbs due to bodily deficiency. Thus, it is often difficult to treat. Although called a fatal syndrome, it is not entirely hopeless. I have fixed a prescription named Zhuanjue Anchang Fang (Turn Jue and Stabilize Childbirth Formula), consisting of Dang Gui (Angelicae Sinensis Radix) 1 liang, Ren Shen (Ginseng Radix et Rhizoma) 1 liang, Fu Zi (Aconiti Lateralis Radix Praeparata) 1 qian. Decoct in water and take orally. After one dose, the jue resolves and life is restored. Postpartum jue arises from both deficient yang and depleted yin-blood, compounded by external cold-pathogen. I use Ren Shen to restore primordial qi to the realm of nothingness, Dang Gui to generate blood after the resolution of stagnant blood, and Fu Zi to expel external pathogens. Thus, righteous qi returns and pathogens scatter, blood generates and jue is eliminated.
Postpartum vomiting of roundworms is an untreatable syndrome; this is because stomach qi is about to perish, and the worms cannot find shelter. Roundworms do not reside in extreme cold nor in extreme heat within the human stomach. Now, postpartum vomiting of roundworms must occur after jue syndrome; the vomiting is thorough, not just one occasional worm, but sometimes clumps are vomited out. This is truly a malignant syndrome. How can I wish for survival? Precisely because the presence of vomiting roundworms indicates potential for life. If internal organs were completely severed, the worms would be silent. Now they are actively vomiting upward, indicating that there is still qi in the stomach forcing them out. By stabilizing the stomach qi, the worms will settle and the patient can survive. Use Anqi Jiuchang Tang (Stabilize Worms and Rescue Childbirth Decoction): Ren Shen (Ginseng Radix et Rhizoma) 1 liang, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 1 liang, Fei Zi Ren (Torreya Seed) 1 liang, Bai Wei (Cynanchi Atrati Radix) 3 qian, Rou Gui (Cinnamomi Cortex) 1 qian, Shen Qu (Medicated Leaven) 5 fen. Decoct in water and take orally. After two doses, the roundworms settle. This prescription uses Ren Shen and Bai Zhu to generate stomach qi, and Fei Zi, Bai Wei, and Rou Gui to kill parasites, hence its unique efficacy.
Postpartum vomiting of blood and pus, accompanied by the eruption of macules/rashes, occurs rarely among thousands. Originally untreatable, yet with proper treatment, survival is possible. This syndrome is likely due to contracting summer-heat and toxic qi in summer, which failed to erupt timely. Upon childbirth, the fire-toxin becomes prominent. Due to bodily deficiency, the fire cannot erupt all at once, causing blood and pus to vomit chaotically and macules to appear, disrupting the body. Theoretically, cooling herbs should not be used postpartum to resolve macules, but in such cases, cooling herbs must be used as a temporary measure. I have formulated Huohuo Jiuchang Tang (Resolve Fire and Rescue Childbirth Decoction): Ren Shen (Ginseng Radix et Rhizoma) 5 qian, Dang Gui (Angelicae Sinensis Radix) 1 liang, Chuan Xiong (Ligustici Chuanxiong Rhizoma) 5 qian, Mai Dong (Ophiopogonis Tuber) 5 qian, Jing Jie (Schizonepetae Spica) 3 qian, Yuan Shen (Scrophulariae Radix) 1 liang, Sheng Ma (Cimicifugae Rhizoma) 1 qian. Decoct in water and take orally. After one dose, blood and pus stop; after two doses, macules thin; after three doses, macules resolve. Do not use a fourth dose. After three doses, switch to Foshou San (Buddha's Hand Powder), taken in large quantities, to prevent future complications; otherwise, there is a risk of transformation into cold syndrome. My prescription is not overly cold. Even if it transforms into cold, it can be rescued. However, if one had used bitter-cold herbs like Huanglian Jiedu Tang (Coptis Decoction to Relieve Toxicity) upon seeing macules to relieve immediate urgency, when heat subsides and cold arises, death from cold shivering often ensues. Can cooling herbs be used lightly? Therefore, it is better to take my prescription to gradually dissipate macules and slowly reduce bleeding, rather than using霸道 (domineering/heavy) herbs for momentary relief.
Postpartum Jueyin disease (disease of the Liver meridian) presenting with vomiting and distension/fullness in both hypochondria must involve bloody stool, which is an untreatable syndrome. Injury to the liver causes blood to flow downward; injuring blood when blood is already scarce leads inevitably to death. Yet I insist on rescuing it. What method shall I rely on? Precisely because of the bloody stool. If the liver were affected by wind-pathogen without downward flow, the pathogen would remain in the hypochondria, becoming a disease of the abdomen and heart. Now, since blood flows entirely through the large intestine, the evil in the liver is scattered. Clearing the fire of the large intestine might work. But postpartum women require warming and tonification, not clearing. Using cooling herbs to extinguish fire is not the way to rescue postpartum women. One must understand that excess fire is due to insufficient water. Greatly tonifying the water will cause the fire to naturally subside into nothingness. Use Pinggan Jiuxue Tang (Level Liver and Rescue Blood Decoction): Dang Gui (Angelicae Sinensis Radix) 1 liang, Chuan Xiong (Ligustici Chuanxiong Rhizoma) 5 qian, Mai Dong (Ophiopogonis Tuber) 1 liang, San Qi Gen Mo (Notoginseng Radix et Rhizoma Powder) 1 qian. Decoct in water and take orally. After one dose, bleeding stops and hypochondrial distension resolves. Why would there be vomiting food and bloody stool then?
Postpartum diarrhea with jue syndrome (cold extremities), restlessness preventing sleep, or unremitting jue, are all fatal syndromes. Diarrhea leads to loss of yin, jue leads to loss of yang; already difficult to rescue, what more of restlessness preventing sleep, indicating blood fails to nourish the heart? And if jue does not cease, sweating continues endlessly. How can one hope not to die? I seek life amidst death; there is no herb other than Ren Shen (Ginseng Radix et Rhizoma) and Dang Gui (Angelicae Sinensis Radix). The prescription is named Shengui Tang (Ginseng and Angelica Decoction): Ren Shen (Ginseng Radix et Rhizoma) 2 liang, Dang Gui (Angelicae Sinensis Radix) 2 liang, Jing Jie (Schizonepetae Spica) 1 qian. Decoct in water and take orally. Using Ren Shen and Dang Gui to tonify qi and blood to generate new blood allows old blood to stop. Once old blood stops, new blood grows more, naturally providing blood to nourish the heart, allowing jue to stabilize, the heart to be calm, and restlessness to release.