产后七日内，外感风寒咳嗽，鼻塞声重恶寒者，只服生化汤自愈。内有芎姜散其邪也。或于生化汤中，
加杏仁、桔梗。有痰，加天花粉。又有加味生化汤，并皆治之。总不用麻黄动汗，即嗽而胁痛，亦不用
柴胡伐肝，因其内虚耳。《医通》用桔
梗汤加葱白、香豉、生姜，或用小建中汤，且又能治风木乘脾而嗽。至于产后久嗽，宜加味甘桔汤主之。
《尊生》用桑贝芎归清肺汤，治产后咳嗽甚效。冯氏并《纲目》书云∶产后咳嗽，悉属胃气不足。胃为
五脏之本，胃气一虚，五脏失所，百病生焉。虽谓肺主皮毛，腠理不密所致，不知肺属辛金，生于己土，
亦因土虚不能生金，所以腠理不密，外邪易感。其阴火上炎者，宜壮土以生金，滋水以制火，若不补虚，
见证治标则误矣。按壮土生金，异功散也。滋水制火，地黄丸也。故《医通》治产后虚嗽，有用异功散
去术，加山药、细辛、桂枝之方。阴虚感客邪，六味丸去萸，加桂枝、细辛。阴虚水不制火而嗽，六味
丸加麦冬、五味等方也。然又有干嗽、内热，桔梗汤加葳蕤、麦冬、丹皮，蜜煎姜、橘之类。盖干嗽一
证，有小儿食乳易治，无则成劳。产后食盐醯太早者，难治。须待再产月内，切记迟用，更宜少用，方
可望愈。密斋云∶产后多因恶露上攻，流入肺经，乃成咳嗽。其证胸膈胀闷，宜服二母汤。按二母性
凉，岂能治恶露上攻？人参补气，又何能疗恶露流入肺经之嗽？
虽立斋将桃仁、杏仁加倍，以泻肺导瘀，然予终不敢妄于用也。若果瘀入肺经，即
冲肺证矣，当不止于发嗽、胸胀已耳。
加味生化汤 治产后感风寒咳嗽，鼻塞声重。
当归（二钱五分） 川芎（一钱） 杏仁（十粒，去皮尖） 炮姜 桔梗 炙草（各四分） 知母
（八分，酒炒）
姜一片，水煎服。有痰，加天花粉。虚弱有汗，嗽，加人参一钱。予谓此方，有知母、花粉并用，
须产久无块痛，方可用之。
桔梗汤（即甘桔汤） 治风热肺气不清嗽。
桔梗 甘草（各三钱）
水煎服。
加味甘桔汤 治产后嗽久不止，涕唾稠粘。
甘草 桔梗 款冬花 贝母（去心） 前胡 枳壳（麸炒） 白茯苓 五味子（碎） 麦冬（去心。各等分）
淡竹叶十五片，水煎服。
桑贝芎归清肺汤 治产后咳嗽。
前胡 紫菀 贝母（去心） 桑白皮 茯苓 当归 川芎 干葛 紫苏（各一钱）
水煎服。
异功散 治肺胃气虚，稀痰喘嗽。
人参 白术（土炒） 茯苓（各一钱） 陈皮（去白） 炙草（各六分）
为散，每服三四钱，生姜煎汤调服。
二母汤 治产后恶露上攻，流入肺经咳嗽不已。
人参 贝母（去心） 茯苓 知母（各一钱） 桃仁（去皮尖） 杏仁（去皮尖。各二钱）
水煎，食后服。
生化汤（见本卷生化汤论后。） 小建中汤（见本卷脱汗亡阳门，附黄 建中汤下。）
六味地黄丸（见上卷诸痛门，附六味地黄汤下。）
产后七日内，若因外感风寒出现咳嗽、鼻塞、声音沉重且怕冷的症状，只需服用生化汤即可自愈。因为方中含有川芎和生姜，能驱散邪气。或者在生化汤中加入杏仁和桔梗。若有痰，加入天花粉。另有加味生化汤，也都用于治疗此症。总之不使用麻黄来发汗，即使咳嗽伴有胁痛，也不使用柴胡来疏肝，这是因为产妇体内正气虚弱所致。《医通》主张用桔梗汤加葱白、香豉、生姜，或者用小建中汤，并且还能治疗因风木乘脾引起的咳嗽。至于产后久咳不愈，宜用加味甘桔汤为主治方。《尊生》主张用桑贝芎归清肺汤，治疗产后咳嗽效果显著。冯氏及《纲目》记载说：产后咳嗽，都属于胃气不足。胃是五脏的根本，胃气一旦虚弱，五脏失去滋养，百病由此而生。虽然常说肺主皮毛，因腠理不密导致外邪入侵，但不知肺属辛金，生于己土，也是因为土虚不能生金，所以腠理不密，外邪容易侵袭。对于阴火上炎的情况，宜采用壮土以生金、滋水以制火的方法，如果不补益虚损，仅针对表象治疗则会导致误诊。按：壮土生金的方法是异功散。滋水制火的方法是地黄丸。所以《医通》治疗产后虚咳，有用异功散去掉白术，加入山药、细辛、桂枝的方子。阴虚感受外邪，用六味丸去掉山茱萸，加入桂枝、细辛。阴虚水不制火而咳嗽，用六味丸加入麦冬、五味子等方剂。然而又有干咳、内热的情况，可用桔梗汤加葳蕤、麦冬、丹皮，以及蜜煎姜、橘之类药物。大概干咳这一病症，小儿吃奶后容易治愈，若不哺乳则易成劳损。产后过早食用食盐和醋的，难以治愈。必须等到产褥期第二个月以后，切记要迟用，并且更要少用，才有望痊愈。密斋说：产后多因恶露上攻，流入肺经，从而形成咳嗽。其症状表现为胸膈胀闷，宜服用二母汤。按：二母性凉，怎么能治疗恶露上攻？人参补气，又怎么能治疗恶露流入肺经引起的咳嗽？虽然立斋将桃仁、杏仁加倍，用以泻肺导瘀，但我始终不敢妄加使用。如果确实是瘀血进入肺经，那就是冲肺证了，应当不仅仅只是咳嗽、胸胀而已。
加味生化汤：治疗产后感冒风寒引起的咳嗽，鼻塞声重。
当归（二钱五分） 川芎（一钱） 杏仁（十粒，去皮尖） 炮姜 桔梗 炙甘草（各四分） 知母（八分，酒炒）
一片生姜，水煎服。有痰者，加天花粉。虚弱且有汗者，咳嗽加人参一钱。我认为此方中知母、天花粉并用，必须产后日久无瘀块疼痛，方可使用。
桔梗汤（即甘桔汤）：治疗风热导致肺气不清引起的咳嗽。
桔梗 甘草（各三钱）
水煎服。
加味甘桔汤：治疗产后咳嗽久治不愈，鼻涕唾液稠粘。
甘草 桔梗 款冬花 贝母（去心） 前胡 枳壳（麸炒） 白茯苓 五味子（捣碎） 麦冬（去心。以上各等分）
淡竹叶十五片，水煎服。
桑贝芎归清肺汤：治疗产后咳嗽。
前胡 紫菀 贝母（去心） 桑白皮 茯苓 当归 川芎 干葛 紫苏（各一钱）
水煎服。
异功散：治疗肺胃气虚，稀痰喘咳。
人参 白术（土炒） 茯苓（各一钱） 陈皮（去白） 炙甘草（各六分）
研为散剂，每次服用三四钱，用生姜煎汤调服。
二母汤：治疗产后恶露上攻，流入肺经导致咳嗽不止。
人参 贝母（去心） 茯苓 知母（各一钱） 桃仁（去皮尖） 杏仁（去皮尖。各二钱）
水煎，饭后服用。
生化汤（见本卷生化汤论后。） 小建中汤（见本卷脱汗亡阳门，附黄芪建中汤下。）
六味地黄丸（见上卷诸痛门，附六味地黄汤下。）
Within seven days postpartum, if coughing, nasal congestion, heavy voice, and aversion to cold occur due to external contraction of wind-cold, simply taking Shenghua Tang (Biology Transformation Decoction) will lead to spontaneous recovery. This is because the formula contains Chuanxiong Rhizoma (Chuanxiong) and Zingiberis Rhizoma Praeparatum (Paojiang), which disperse pathogenic factors. Alternatively, add Prunus Armeniaca Semen (Xingren) and Platycodon Radix (Jiegeng) to Shenghua Tang. If there is phlegm, add Trichosanthis Radix (Tianhuafen). There is also Jiawei Shenghua Tang (Modified Biology Transformation Decoction), all of which treat this condition. Generally, do not use Ephedrae Herba (Mahuang) to induce sweating; even if coughing is accompanied by hypochondriac pain, do not use Bupleuri Radix (Chaihu) to soothe the Liver, because the interior is deficient. *Yitong* advocates using Jiegeng Tang (Platycodon Decoction) with Allii Fistulosi Bulbus (Congbai), Fermented Soybean (Xiangchi), and Zingiberis Rhizoma Recens (Shengjiang), or Xiaojianzhong Tang (Minor Construct the Middle Decoction), and it can also treat coughing caused by Wind-Wood overacting on the Spleen. As for prolonged coughing after childbirth, Jiawei Ganjie Tang (Modified Licorice and Platycodon Decoction) should be used as the primary treatment. *Zunsheng* advocates using Sangbei Xiongui Qingfei Tang (Mulberry Bark, Fritillaria, Chuanxiong, and Angelica Lung-Clearing Decoction), which is very effective in treating postpartum cough. Feng Shi and *Bencao Gangmu* state: Postpartum coughs all belong to deficiency of Stomach Qi. The Stomach is the root of the five Zang organs; once Stomach Qi is deficient, the five Zang organs lose their nourishment, and a hundred diseases arise. Although it is said that the Lung governs the skin and hair, and that loose interstices allow external pathogens to invade, one must not forget that the Lung belongs to Metal of Acridity, born from Earth of Yin. It is also because Earth deficiency fails to generate Metal, leading to loose interstices and susceptibility to external pathogens. For cases where Yin Fire flares upward, one should strengthen Earth to generate Metal and nourish Water to control Fire. If deficiency is not tonified and only symptoms are treated superficially, it will lead to error. Note: Strengthening Earth to generate Metal refers to Yigong San (Extra Efficacy Powder). Nourishing Water to control Fire refers to Dihuang Wan (Rehmannia Pill). Therefore, *Yitong* treats postpartum deficiency cough with a prescription of Yigong San removing Atractylodis Macrocephalae Rhizoma (Baizhu), adding Dioscoreae Rhizoma (Shanyao), Asari Radix et Rhizoma (Xixin), and Cinnamomi Ramulus (Guizhi). For Yin deficiency with external pathogen invasion, Liuwei Wan (Six-Ingredient Pill with Rehmannia) removes Corni Fructus (Shanzhuyu), adding Guizhi and Xixin. For Yin deficiency where Water fails to control Fire causing cough, Liuwei Wan adds Ophiopogonis Radix (Maidong) and Schisandrae Fructus (Wuweizi), among others. However, there are also cases of dry cough and internal heat, where Jiegeng Tang is combined with Anemarrhenae Rhizoma (Zherui/Muzhudanpi context implies Anemarrhena or similar, here likely referring to Polygonati Odorati Rhizoma Weiyu or Anemarrhena based on text "Weirui"), Ophiopogonis Radix, and Paeoniae Radix Rubra (Danpi), along with honey-fried Ginger and Citrus reticulata peel. Generally, for dry cough, it is easy to cure in infants who breastfeed; otherwise, it may develop into consumption (Lao). If salt and vinegar are consumed too early postpartum, it is difficult to cure. One must wait until the second month postpartum; remember to use them late and sparingly, so that recovery can be hoped for. Mizhai says: Postpartum conditions often involve lochia attacking upward, flowing into the Lung Meridian, thereby forming cough. The symptoms include chest and diaphragm distension and stuffiness, suitable for Ermu Tang (Two Mothers Decoction). Note: Ermu has a cool nature; how can it treat lochia attacking upward? Ginseng Tonifies Qi; how can it treat cough caused by lochia flowing into the Lung Meridian? Although Lizhai doubled the dosage of Persicae Semen (Taoren) and Prunus Armeniaca Semen (Xingren) to drain the Lung and guide out stasis, I ultimately dare not use it recklessly. If stasis indeed enters the Lung Meridian, it becomes a condition of Stomach/Lung clash (Chong Fei), which would manifest not merely as cough and chest distension.
Jiawei Shenghua Tang (Modified Biology Transformation Decoction): Treats coughing, nasal congestion, and heavy voice due to wind-cold contraction postpartum.
Angelicae Sinensis Radix (Danggui) (2.5 qian), Chuanxiong Rhizoma (Chuanxiong) (1 qian), Prunus Armeniaca Semen (Xingren) (10 grains, peeled and crushed), Zingiberis Rhizoma Praeparatum (Paojiang), Platycodon Radix (Jiegeng), Glycyrrhizae Radix et Rhizoma Preparata (Zhigancao) (each 4 fen), Anemarrhenae Rhizoma (Zhimu) (8 fen, wine-fried).
One slice of fresh ginger, decocted in water and taken orally. Add Trichosanthis Radix (Tianhuafen) if there is phlegm. Add Ginseng Radix et Rhizoma (Renshen) 1 qian if weak with sweating and cough. I believe that since this formula uses Zhimu and Tianhuafen together, it should only be used when postpartum bleeding has ceased and there is no abdominal pain from masses.
Jiegeng Tang (i.e., Ganjie Tang / Licorice and Platycodon Decoction): Treats cough due to unclear Lung Qi caused by wind-heat.
Platycodon Radix (Jiegeng), Glycyrrhizae Radix et Rhizoma (Gancao) (each 3 qian).
Decocted in water and taken orally.
Jiawei Ganjie Tang (Modified Licorice and Platycodon Decoction): Treats prolonged cough postpartum with thick, sticky sputum and nasal discharge.
Glycyrrhizae Radix et Rhizoma (Gancao), Platycodon Radix (Jiegeng), Farfarae Flos (Kuandonghua), Fritillariae Bulbus (Beimu, heart removed), Peucedani Radix (Qianhu), Aurantii Fructus (Zhike, bran-fried), Poria (Fuling), Schisandrae Fructus (Wuweizi, crushed), Ophiopogonis Radix (Maidong, heart removed). (All in equal parts).
Fifteen leaves of Lophatheri Herba (Danzhuye), decocted in water and taken orally.
Sangbei Xiongui Qingfei Tang (Mulberry Bark, Fritillaria, Chuanxiong, and Angelica Lung-Clearing Decoction): Treats postpartum cough.
Peucedani Radix (Qianhu), Asteris Radix et Rhizoma (Ziwan), Fritillariae Bulbus (Beimu, heart removed), Mori Cortex (Sangbaipi), Poria (Fuling), Angelicae Sinensis Radix (Danggui), Chuanxiong Rhizoma (Chuanxiong), Puerariae Radix (Gange), Perillae Folium (Zisu) (each 1 qian).
Decocted in water and taken orally.
Yigong San (Extra Efficacy Powder): Treats thin phlegm and wheezing cough due to Qi deficiency of the Lung and Stomach.
Ginseng Radix et Rhizoma (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu, earth-fried), Poria (Fuling) (each 1 qian), Citri Reticulatae Pericarpium (Chenpi, white part removed), Glycyrrhizae Radix et Rhizoma Preparata (Zhigancao) (each 6 fen).
Ground into powder, take 3-4 qian each time, mixed with decoction of fresh ginger.
Ermu Tang (Two Mothers Decoction): Treats incessant cough due to lochia attacking upward and flowing into the Lung Meridian postpartum.
Ginseng Radix et Rhizoma (Renshen), Fritillariae Bulbus (Beimu, heart removed), Poria (Fuling), Anemarrhenae Rhizoma (Zhimu) (each 1 qian), Persicae Semen (Taoren, peeled and crushed), Prunus Armeniaca Semen (Xingren, peeled and crushed) (each 2 qian).
Decocted in water, taken after meals.
Shenghua Tang (See discussion on Shenghua Tang at the end of this volume.) Xiaojianzhong Tang (See section on Sweating and Yang Collapse in this volume, attached under Huangqi Jianzhong Tang.) Liuwei Dihuang Wan (See section on Various Pains in the upper volume, attached under Liuwei Dihuang Tang.)