雷公真君曰∶水气凌心包之络，呃逆不止，死症也。而吾以为可救者，心包为水气所凌，惟恐
犯心，所以呃逆不止者，欲号召五脏之气共救水气之犯心也。水气凌心包，以成呃逆之症，亦止须分消
其水湿之气，而呃逆自除也。方用止呃汤∶茯神一两，苍术三钱，白术三钱，薏仁一两，芡实五钱，
半夏一钱，人参三钱，陈皮一钱，丁香五分，吴茱萸三分，水煎服。一剂而呃即止，二剂而呃即愈。
此方健胃固脾，虽利湿分水，而不消真气，故能补心包而壮心君之位，不必治呃而呃有定矣。
水湿结在膀胱，点滴不能出，以致目突口张，足肿气喘者，不治之症也。而吾以为可治者，膀
胱与肾为表里，膀胱之开合，肾司权也，水湿结在膀胱者，肾气不能行于膀胱耳。吾通其肾气而膀胱
自通，诸症自愈矣。方用通肾消水汤∶熟地一两，山茱萸五钱，车前子三钱，茯神五钱，肉桂一钱，
牛膝一钱，山药一两，薏仁一两，水煎服。此方专治肾以通膀胱之气，膀胱得肾气而水自难藏，水不能
藏而下行，则气亦自顺而不逆，又何至有目突气喘之病哉。上病渐消，而下病寻愈，足肿之水不觉尽归
于膀胱，从溺而尽出也。
黄瘅之症，一身尽黄，两目亦黄，却是死症。倘初起即
治之，亦未必即死也，我有奇方，名为消黄去瘅汤。茵陈三钱，薏仁三两，茯苓二两，车前子
三两，肉桂三分，水煎服。
一连四剂，黄去瘅消矣。黄瘅虽成于湿热，毕竟脾虚不能分消水湿，以致郁而成黄。吾用茯
苓、薏仁、车前大剂为君，分消水湿，仍是健脾固气之药，少用茵陈以解湿热，用肉桂引入膀胱，尽
从小便而出。无事张皇，而暗解其湿热之横，此方之澹而妙。简而神也。四剂之后减半。加白术
一两，煎汤饮之，再用四剂，则全愈而无后患矣。
黄瘅之症，原不宜死，然治之不得法，往往生变为死。盖黄瘅外感之湿易治，内伤之湿难医，外感
单治湿而瘅随愈，内伤单治湿而瘅难痊。泻水则气愈消，发汗则精愈泄，又何能黄瘅之速愈哉。我有方
单治内伤而得黄瘅者，名治内消瘅汤，白术一两，茯苓一两，薏仁一两，茵陈二钱，炒栀子二钱，陈皮
五分，水煎服。此方妙在用白术、茯苓、薏仁之多，使健脾又复利水，助茵陈、栀子以消湿热，尽从
膀胱内消，不必又去退皮肤之湿，而皮肤之湿自消。大约此方用至十剂，无不消者，不必十剂之外。
服十剂减半，去栀子再服五剂，则全愈，人亦健旺矣。至妙至神之方，有益无损，可为治内伤而成湿
者之法。
产妇感水肿，以致面浮手足浮，心胀者，不治之症也。然而此浮非水气也，乃虚气作浮耳，若作水
湿治之，必死矣。吾今不治水湿，单去健脾，反有生意。方用助气分水汤∶白术二两，人参三两，茯苓
五钱，薏仁一两，陈皮五分，萝卜子三分，水煎服。此方参，苓、薏、术皆健脾之圣药，陈皮。萝卜子些
微以消其胀，脾气健而水湿自行，水湿行而胀自去，胀去而浮亦渐消矣。但此方须多食见效，不可一剂而
即责其近功也。
产妇痢疾，而加之呕逆者，必死之症也。盖痢疾亡阴，平人尚非所宜，何况产妇气血之大虚
乎。今又加呕逆，则胃中有火，遏抑拂乱，而气血更虚，势必至胃气之绝，不死何待乎。然而胃气有
一线未绝，即可救援。吾有一方，不必服药。止须将田螺一个捣碎，入麝香一厘，吴茱萸一分，为细
末，掩在脐上，即不呕吐，便庆再生。盖田螺最利水去火，痢疾本是热症，而又加湿也。产妇痢疾，因气
血之虚，不可竟用去热散火之药，以虚其虚，今用田螺外治，法至巧也。呕逆一回，速以当归一两，
白芍三钱，甘草一钱，枳壳三分，槟榔三分，水煎服。二剂而痢自除，后用独参汤调理可也。
产妇一身发黄者，湿热壅滞而不散，欲治黄而气血更消，欲补虚而湿黄更甚，此方法之穷，而医人
束手，亦听其死亡而已矣。虽然湿热之成原本于虚，补虚以治黄病，未有不可，但宜兼治之得法耳。吾
有一方，治因虚而发黄者神效，不独治产妇也，方名补虚散黄汤。白术一两，薏仁二两，车前子五钱，
茯苓五钱，荆芥一钱，茵陈五分，水煎服。常人非产妇者，茵陈用三钱。此方之妙，健脾以利水，而不
耗气，既补虚又去湿、湿去而黄不退者，未之有也。
产妇湿气感中胞络，下阴肿胀，小水点滴不出，死症也，盖水入腹中，必趋膀胱而出之小便，今不
由膀胱，而尽入于胎胞之络，是相反不相顺也，如何不死乎。然则予将何法以救之？亦仍利膀胱而已。夫
膀胱之能化水者。得肾气以化之也。产妇气血大虚，则肾气亦虚，肾气虚则膀胱之气亦虚，膀胱气虚；故
不化水，而水乃入于胎胞而不散，故初急而后肿，肿极而水点滴不出也。吾今不独治膀胱，而先治肾，肾
气足而膀胱之气自行，水道自顺也。方用通水散，白术一两，熟地一两，茯苓三钱，山茱萸五钱，薏仁一
两，肉桂五分，车前
子三钱，人参一两，水煎服。此方补肾而兼补心。盖胎胞上连心，下连肾，吾补其心肾，则胎胞
之气通，自不受水，而转输于膀胱矣。况膀胱又因肾气之通，自能化水而分消于大小肠，下趋于便门
而出，此实有妙用，非泛然以立方也。
产妇水气凌肺，作喘不已者，亦是死症。然治之得法，正不死也。产妇因虚以受水气，原不可全
治夫水也。虽作喘不已，似为水气所犯，然徒治其水，则喘且益甚，而治之之法将若何？亦助其脾气之
旺，使之无畏乎水。则水自不能凌脾，脾不受凌，喘将何生乎。方用补土宁喘丹∶人参一两，白术一
两，麦冬一两，茯苓三钱，苏子一钱，水煎服。此方人参补气以健脾，白术利腰以健脾，麦冬养肺以健
脾，茯苓、苏子不过借其佐使，以行水止喘而已，然而治喘实有神功也。脾健则土旺，土旺则水不敢泛
滥，何至有胀喘之生哉。
雷公真君说：水气侵犯心包络，导致呃逆不止，这是死症。但我认为可以救治，是因为心包被水气所犯，唯恐邪气进一步侵犯心脏，所以出现呃逆不止的症状，这其实是身体在号召五脏之气共同救助心脏，抵御水气的侵犯。水气凌犯心包导致呃逆，只需分消其水湿之气，呃逆自然就会消除。方用止呃汤：茯神一两，苍术三钱，白术三钱，薏仁一两，芡实五钱，半夏一钱，人参三钱，陈皮一钱，丁香五分，吴茱萸三分，水煎服。服用一剂呃逆即止，两剂呃逆痊愈。此方健胃固脾，虽然有利湿分水的作用，但不会耗损真气，因此能补益心包并稳固心脏的地位，不必专门治疗呃逆，呃逆自定。
水湿结聚在膀胱，导致小便点滴不出，进而出现眼球突出、口张不开、足部肿胀、气喘等症状，这也是不治之症。但我认为可以治疗，因为膀胱与肾互为表里，膀胱的开合功能由肾气主宰。水湿结在膀胱，是因为肾气不能通达于膀胱所致。我通过通利肾气，使膀胱自然通畅，各种症状即可自愈。方用通肾消水汤：熟地黄一两，山茱萸五钱，车前子三钱，茯神五钱，肉桂一钱，牛膝一钱，山药一两，薏仁一两，水煎服。此方专治肾脏以通利膀胱之气，膀胱得到肾气的资助，水液便难以滞留；水液无法滞留而向下运行，气机也就自然顺降而不逆乱，又怎会有眼球突出和气喘的病症呢？上部的症状逐渐消退，下部的症状也随之痊愈，足部肿胀的水液不知不觉全部归入膀胱，从小便排出。
黄瘅（黄疸）的症状，全身发黄，双眼也发黄，这通常是死症。但如果初起时就进行治疗，也未必会死亡。我有奇方，名为消黄去瘅汤：茵陈三钱，薏仁三两，茯苓二两，车前子三两，肉桂三分，水煎服。连续服用四剂，黄色退去，瘅疾消除。黄瘅虽然由湿热形成，但根本原因是脾虚不能分消水湿，导致湿气郁结而成黄。我用大剂量的茯苓、薏仁、车前子作为主药，分消水湿，这些仍是健脾固气的药物；少用茵陈来解除湿热，用肉桂引导药力进入膀胱，使湿热尽从小便排出。无需惊慌失措，暗中化解横溢的湿热，此方平淡而奇妙，简单而神奇。服用四剂后减半剂量，加入白术一两，煎汤饮用，再服用四剂，则完全痊愈且无后患。
黄瘅之症，原本不宜致死，但如果治疗不得法，往往由生变死。大概外感引起的湿邪容易治疗，内伤引起的湿邪难医。外感之湿，单治湿邪，瘅疾随之痊愈；内伤之湿，单治湿邪，瘅疾难以痊愈。泻下利水会使正气更消减，发汗会使精气更泄失，又怎能迅速治愈黄瘅呢？我有方子专门治疗因内伤而得黄瘅者，名为治内消瘅汤：白术一两，茯苓一两，薏仁一两，茵陈二钱，炒栀子二钱，陈皮五分，水煎服。此方的妙处在于大量使用白术、茯苓、薏仁，既健脾又利水，辅助茵陈、栀子消除湿热，使湿热尽从膀胱内部消除，不必再去退散皮肤表面的湿邪，而皮肤之湿自然消退。大约此方服用十剂，没有不消退的，不需要超过十剂。服用十剂后减半剂量，去掉栀子再服用五剂，则完全痊愈，人也变得健壮。这是极其精妙神奇的方子，有益无损，可作为治疗因内伤而成湿邪的方法。
产妇感受水肿，导致面部浮肿、手足浮肿、心胸胀满，这是不治之症。然而这种浮肿并非水气所致，而是虚气上浮罢了。如果当作水湿来治疗，必定致死。我现在不治疗水湿，只专注于健脾，反而有生机。方用助气分水汤：白术二两，人参三两，茯苓五钱，薏仁一两，陈皮五分，萝卜子三分，水煎服。此方中的人参、茯苓、薏仁、白术都是健脾的圣药，陈皮、萝卜子微量用以消除胀满。脾气健运则水湿自行，水湿运行则胀满自去，胀满去除则浮肿也逐渐消退。但是此方需要多服药才能见效，不可指望一剂就立即取得近效。
产妇患痢疾，再加上呕吐呃逆，这是必死的症状。因为痢疾耗伤阴液，普通人尚且不宜，何况是气血大虚的产妇呢？现在又加上呕吐呃逆，说明胃中有火，气机遏抑拂乱，气血更加虚弱，势必导致胃气断绝，不死还等什么？然而只要胃气还有一线未绝，就可以救援。我有一个方子，不必内服药物。只需将一个田螺捣碎，加入麝香一厘，吴茱萸一分，研成细末，敷在肚脐上，呕吐即可停止，便可庆幸获得新生。因为田螺最善于利水去火，痢疾本是热症，又夹杂湿邪。产妇患痢疾，由于气血虚弱，不可直接用清热散火的药物，以免使虚者更虚。如今用田螺外治，方法极为巧妙。呕吐呃逆缓解后，迅速服用当归一两，白芍三钱，甘草一钱，枳壳三分，槟榔三分，水煎服。两剂后痢疾自然消除，之后可用独参汤调理即可。
产妇全身发黄，是湿热壅滞不散所致。想治疗黄疸，气血会更消耗；想补益虚损，湿黄会更严重，这是治法的穷途末路，医生束手无策，只能听任其死亡而已。虽然如此，湿热的形成原本源于虚证，补虚以治疗黄病，没有不可以的，只是应当兼治且方法得当。我有一个方子，治疗因虚而发黄者神效，不仅适用于产妇，方名补虚散黄汤：白术一两，薏仁二两，车前子五钱，茯苓五钱，荆芥一钱，茵陈五分，水煎服。非产妇的常人，茵陈用量为三钱。此方的妙处在于健脾以利水，而不耗气，既补虚又祛湿，湿去而黄不退的情况，从未有过。
产妇湿气侵入胞络，导致外阴肿胀，小便点滴不出，这是死症。因为水进入腹中，必然趋向膀胱从小便排出，现在不由膀胱，而全部进入胎胞的络脉，这是相反不相顺应的，怎么能不死呢？那么我将用什么方法来救治它？仍然是利膀胱罢了。膀胱之所以能化水，是依靠肾气来气化它。产妇气血大虚，则肾气也虚，肾气虚则膀胱之气也虚，膀胱气虚，所以不能化水，水液乃流入胎胞而不消散，所以起初急迫而后肿胀，肿极而水点滴不出。我现在不只治疗膀胱，而是先治疗肾，肾气充足则膀胱之气自行通畅，水道自然顺行。方用通水散：白术一两，熟地黄一两，茯苓三钱，山茱萸五钱，薏仁一两，肉桂五分，车前子三钱，人参一两，水煎服。此方补肾而兼补心。因为胎胞上连心，下连肾，我补益其心肾，则胎胞之气通畅，自然不受水邪侵扰，而将水液转输于膀胱。况且膀胱又因肾气的通畅，自能化水分消于大小肠，向下趋于尿道而出，这确实有妙用，不是泛泛地立方。
产妇水气凌犯肺脏，导致喘息不止，这也是死症。然而治疗得当，正不会死。产妇因虚而受水气，原本不可完全治水。虽然喘息不止，看似为水气所犯，但如果单纯治水，喘息将会更加严重，那么治疗方法将如何？也是助长脾气的旺盛，使其无所畏惧水邪。这样水气自然不能凌犯脾土，脾土不受凌犯，喘息从何而生呢？方用补土宁喘丹：人参一两，白术一两，麦冬一两，茯苓三钱，苏子一钱，水煎服。此方中人参补气以健脾，白术利腰以健脾，麦冬养肺以健脾，茯苓、苏子不过是借其佐使之功，以行水止喘而已，然而治疗喘息确有神效。脾健则土旺，土旺则水不敢泛滥，怎会有胀喘的产生呢？
Lei Gong Zhen Jun said: When water qi invades the collateral of the Pericardium (Xin Bao), causing incessant hiccups, it is a fatal syndrome. However, I believe it can be saved. The reason the Pericardium is invaded by water qi and fears further invasion of the Heart is that the incessant hiccups represent an attempt to summon the qi of the five zang organs to jointly rescue the Heart from the invasion of water qi. For the syndrome of water qi invading the Pericardium resulting in hiccups, one only needs to separate and dissipate the water-dampness qi, and the hiccups will naturally cease. Use the Formula for Stopping Hiccups (Zhi E Tang): Fu Shen (Poria with Hostwood) 1 liang, Cang Zhu (Atractylodis Rhizoma) 3 qian, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 3 qian, Yi Yi Ren (Coicis Semen) 1 liang, Qian Shi (Euryales Semen) 5 qian, Ban Xia (Pinelliae Rhizoma) 1 qian, Ren Shen (Ginseng Radix et Rhizoma) 3 qian, Chen Pi (Citri Reticulatae Pericarpium) 1 qian, Ding Xiang (Caryophylli Flos) 5 fen, Wu Zhu Yu (Evodiae Fructus) 3 fen. Decoct in water and take orally. After one dose, hiccups stop; after two doses, hiccups are cured. This formula strengthens the stomach and consolidates the spleen. Although it promotes diuresis and separates dampness, it does not consume true qi. Therefore, it can tonify the Pericardium and strengthen the position of the Heart Monarch. There is no need to specifically treat hiccups, as they will settle on their own.
When water-dampness knots in the Bladder, causing urine to be excreted drop by drop or not at all, leading to protruding eyes, gaping mouth, swollen feet, and panting, this is also considered incurable. However, I believe it is treatable because the Bladder and Kidney are exterior-interiorly related. The opening and closing of the Bladder are governed by the Kidney qi. Water-dampness knotting in the Bladder occurs because Kidney qi cannot flow into the Bladder. By unblocking the Kidney qi, the Bladder will naturally become unblocked, and all symptoms will heal themselves. Use the Formula for Unblocking the Kidney and Dissolving Water (Tong Shen Xiao Shui Tang): Shu Di Huang (Rehmanniae Radix Praeparata) 1 liang, Shan Zhu Yu (Corni Fructus) 5 qian, Che Qian Zi (Plantaginis Semen) 3 qian, Fu Shen (Poria with Hostwood) 5 qian, Rou Gui (Cinnamomi Cortex) 1 qian, Niu Xi (Achyranthis Bidentatae Radix) 1 qian, Shan Yao (Dioscoreae Rhizoma) 1 liang, Yi Yi Ren (Coicis Semen) 1 liang. Decoct in water and take orally. This formula specifically treats the Kidney to unblock the qi of the Bladder. When the Bladder receives Kidney qi, water becomes difficult to retain. Since water cannot be retained, it flows downward, and the qi follows smoothly without rebelling. How could there be symptoms like protruding eyes and panting? As upper symptoms gradually subside, lower symptoms follow suit. The water swelling in the feet unknowingly returns entirely to the Bladder and is completely excreted through urination.
The syndrome of Huang Dan (Jaundice/Damp-Heat Jaundice), where the whole body and both eyes turn yellow, is typically a fatal condition. However, if treated at the onset, death is not inevitable. I have a miraculous formula named the Formula for Eliminating Yellow and Removing Dan (Xiao Huang Qu Dan Tang): Yin Chen (Artemisiae Scopariae Herba) 3 qian, Yi Yi Ren (Coicis Semen) 3 liang, Fu Ling (Poria) 2 liang, Che Qian Zi (Plantaginis Semen) 3 liang, Rou Gui (Cinnamomi Cortex) 3 fen. Decoct in water and take orally. After four consecutive doses, the yellow color disappears and Dan resolves. Although Huang Dan arises from damp-heat, the root cause is ultimately Spleen deficiency failing to separate and dissipate water-dampness, leading to stagnation and yellowing. I use large doses of Fu Ling (Poria), Yi Yi Ren (Coicis Semen), and Che Qian Zi (Plantaginis Semen) as the sovereign herbs to separate and dissipate water-dampness; these are still herbs that strengthen the Spleen and consolidate qi. A small amount of Yin Chen (Artemisiae Scopariae Herba) is used to resolve damp-heat, and Rou Gui (Cinnamomi Cortex) is used to guide the action into the Bladder, so that damp-heat is entirely excreted via urination. Without panic, the rampant damp-heat is secretly resolved. This formula is plain yet subtle, simple yet divine. After four doses, reduce the dosage by half, add Bai Zhu (Atractylodis Macrocephalae Rhizoma) 1 liang, decoct in water, and drink. After another four doses, full recovery will occur without sequelae.
The syndrome of Huang Dan was originally not meant to be fatal, but improper treatment often turns life into death. Generally, dampness from external contraction is easy to treat, while dampness from internal injury is difficult to cure. In cases of external dampness, treating dampness alone leads to the resolution of Dan. In cases of internal dampness, treating dampness alone makes Dan hard to cure. Purgation depletes qi further, and sweating depletes essence further; how can such methods rapidly cure Huang Dan? I have a formula specifically for treating Huang Dan caused by internal injury, named the Formula for Treating Internal Injury and Eliminating Dan (Zhi Nei Xiao Dan Tang): Bai Zhu (Atractylodis Macrocephalae Rhizoma) 1 liang, Fu Ling (Poria) 1 liang, Yi Yi Ren (Coicis Semen) 1 liang, Yin Chen (Artemisiae Scopariae Herba) 2 qian, Chao Zhi Zi (Gardeniae Fructus Praefritus) 2 qian, Chen Pi (Citri Reticulatae Pericarpium) 5 fen. Decoct in water and take orally. The brilliance of this formula lies in the heavy use of Bai Zhu, Fu Ling, and Yi Yi Ren, which strengthen the Spleen and promote diuresis simultaneously, assisting Yin Chen and Zhi Zi to eliminate damp-heat, which is then eliminated internally from the Bladder. There is no need to disperse dampness from the skin, yet skin dampness naturally dissipates. Approximately ten doses of this formula will ensure resolution; more than ten doses are unnecessary. After ten doses, reduce the dosage by half, remove Zhi Zi, and continue for five more doses for full recovery, leaving the patient robust. This is an extremely exquisite and divine formula, beneficial without harm, serving as a method for treating dampness arising from internal injury.
When a postpartum woman contracts edema, resulting in facial edema, edema of hands and feet, and chest distension, it is considered incurable. However, this edema is not due to water qi but rather floating qi due to deficiency. If treated as water-dampness, it will certainly lead to death. I now do not treat water-dampness but focus solely on strengthening the Spleen, which offers a chance of survival. Use the Formula for Assisting Qi and Separating Water (Zhu Qi Fen Shui Tang): Bai Zhu (Atractylodis Macrocephalae Rhizoma) 2 liang, Ren Shen (Ginseng Radix et Rhizoma) 3 liang, Fu Ling (Poria) 5 qian, Yi Yi Ren (Coicis Semen) 1 liang, Chen Pi (Citri Reticulatae Pericarpium) 5 fen, Luo Bo Zi (Raphani Semen) 3 fen. Decoct in water and take orally. Ren Shen, Fu Ling, Yi Yi Ren, and Bai Zhu in this formula are sacred herbs for strengthening the Spleen. Small amounts of Chen Pi and Luo Bo Zi are used to reduce distension. When Spleen qi is strong, water-dampness moves freely; when water-dampness moves, distension disappears; when distension disappears, edema gradually subsides. However, this formula requires multiple doses to show effect and cannot be expected to achieve immediate results in just one dose.
If a postpartum woman suffers from dysentery accompanied by vomiting and hiccups, it is a fatal syndrome. Dysentery consumes yin fluid; even for a healthy person, it is inadvisable, let alone for a postpartum woman with severe deficiency of qi and blood. With the addition of vomiting and hiccups, there is fire in the Stomach, obstructing and disrupting the qi mechanism, making qi and blood even more deficient. This inevitably leads to the exhaustion of Stomach qi; why would she not die? However, as long as there is a thread of Stomach qi remaining, rescue is possible. I have a formula that does not require oral medication. Simply crush one field snail, add 1 li of She Xiang (Moschus) and 1 fen of Wu Zhu Yu (Evodiae Fructus), grind into fine powder, and apply to the umbilicus. Vomiting will cease, and new life can be celebrated. Field snails are excellent for promoting diuresis and clearing heat. Dysentery is essentially a heat syndrome complicated by dampness. Because postpartum women suffer from qi and blood deficiency, one must not use cold herbs to clear heat and drain fire, which would further weaken the deficiency. Using field snails for external treatment is a highly ingenious method. Once vomiting and hiccups subside, quickly administer Dang Gui (Angelicae Sinensis Radix) 1 liang, Bai Shao (Paeoniae Radix Alba) 3 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 1 qian, Zhi Ke (Aurantii Fructus Immaturus) 3 fen, Bing Lang (Arecae Semen) 3 fen. Decoct in water and take orally. After two doses, dysentery will naturally cease. Subsequently, Duzhen Tang (Single Ginseng Decoction) can be used for regulation.
When a postpartum woman's entire body turns yellow due to stagnant and unresolved damp-heat, treating the yellowing consumes more qi and blood, while tonifying deficiency exacerbates the damp-yellow. This is a dead end for treatment, leaving doctors helpless, forced to watch her die. Nevertheless, since the formation of damp-heat originates from deficiency, tonifying deficiency to treat jaundice is feasible, provided the combined treatment is appropriate. I have a formula that is miraculously effective for yellowing caused by deficiency, applicable not only to postpartum women. It is named the Formula for Tonifying Deficiency and Dispelling Yellow (Bu Xu San Huang Tang): Bai Zhu (Atractylodis Macrocephalae Rhizoma) 1 liang, Yi Yi Ren (Coicis Semen) 2 liang, Che Qian Zi (Plantaginis Semen) 5 qian, Fu Ling (Poria) 5 qian, Jing Jie (Schizonepetae Spica) 1 qian, Yin Chen (Artemisiae Scopariae Herba) 5 fen. Decoct in water and take orally. For non-postpartum adults, use Yin Chen 3 qian. The brilliance of this formula lies in strengthening the Spleen to promote diuresis without consuming qi. It tonifies deficiency and removes dampness; there has never been a case where dampness is removed but yellowing persists.
When postpartum dampness invades the uterine collaterals, causing vulvar swelling and inability to pass urine drop by drop, it is a fatal syndrome. Water entering the abdomen should naturally flow to the Bladder and exit via urination. Now, instead of going through the Bladder, it enters the collaterals of the uterus, which is contrary and unsmooth; how can this not be fatal? So, what method shall I use to save her? It is still to promote diuresis via the Bladder. The Bladder's ability to transform water relies on Kidney qi for vaporization. Postpartum women have severe deficiency of qi and blood, leading to weak Kidney qi. Weak Kidney qi causes weak Bladder qi. Due to Bladder qi deficiency, water is not transformed, and water enters the uterus and does not dissipate. Thus, there is initial urgency followed by swelling, and extreme swelling leads to the inability to pass urine. I now do not merely treat the Bladder but first treat the Kidney. When Kidney qi is sufficient, Bladder qi flows naturally, and the water passages become smooth. Use the Formula for Unblocking Water (Tong Shui San): Bai Zhu (Atractylodis Macrocephalae Rhizoma) 1 liang, Shu Di Huang (Rehmanniae Radix Praeparata) 1 liang, Fu Ling (Poria) 3 qian, Shan Zhu Yu (Corni Fructus) 5 qian, Yi Yi Ren (Coicis Semen) 1 liang, Rou Gui (Cinnamomi Cortex) 5 fen, Che Qian Zi (Plantaginis Semen) 3 qian, Ren Shen (Ginseng Radix et Rhizoma) 1 liang. Decoct in water and take orally. This formula tonifies the Kidney and supplements the Heart. The uterus connects upward to the Heart and downward to the Kidney. By tonifying the Heart and Kidney, the qi of the uterus becomes unblocked, naturally rejecting water and transferring it to the Bladder. Moreover, due to the unblocking of Kidney qi, the Bladder can naturally transform water and separate it into the Large and Small Intestines, flowing downward to the urethra for excretion. This truly has profound utility and is not a casual prescription.
When postpartum water qi invades the Lung, causing incessant panting, it is also a fatal syndrome. However, with proper treatment, death can be avoided. Postpartum women contract water qi due to deficiency; originally, one should not fully treat the water. Although incessant panting seems caused by water qi invasion, treating water alone will worsen the panting. So, what is the method? It is to boost the prosperity of Spleen qi, making it fearless of water. Then water cannot invade the Spleen. If the Spleen is not invaded, where will the panting come from? Use the Formula for Strengthening Earth and Calming Panting (Bu Tu Ning Chuan Dan): Ren Shen (Ginseng Radix et Rhizoma) 1 liang, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 1 liang, Mai Dong (Ophiopogonis Tuber) 1 liang, Fu Ling (Poria) 3 qian, Su Zi (Perillae Fructus) 1 qian. Decoct in water and take orally. In this formula, Ren Shen tonifies qi to strengthen the Spleen, Bai Zhu benefits the waist to strengthen the Spleen, and Mai Dong nourishes the Lung to strengthen the Spleen. Fu Ling and Su Zi serve merely as assistants to move water and stop panting. Yet, treating panting with this formula yields miraculous results. When the Spleen is strong, Earth is prosperous. When Earth is prosperous, water dares not overflow. How could distension and panting arise?