凡分娩时出汗，由劳伤脾，惊伤心，恐伤肾也。《内经》云∶身体劳苦，汗出于脾；惊
而夺
精，汗出于心；胃所恐惧，汗出于肾。产妇多兼三者而汗出，不须即加敛汗之剂，神宁汗自
止息。其血块作痛， 、术未可遽加。宜服生化汤二三帖后块痛消，即继服加参生化汤，以
止虚汗。若分娩后倦甚， 然汗出，形色有脱，乃亡阳脱汗也，又当从权连灌加参生化汤
，倍参以救危急，毋据块痛。夫汗乃心之液，荣于内为血，发于外为汗，产妇值亡血之后
多汗，由惊劳心伤神虚，不能镇守其液也，治当健脾胃而救水谷之精归脾，益荣卫而引血归
源，灌溉四旁，不使妄行，为外汗也。难症虽有自汗盗汗之分，其当归大黄汤，不可治产后
之盗汗也。并宜服加参生化汤及加味补中益气二方。若服参 重剂，而汗多不止，及出头汗
而不及腰足，乃危症也。
麻黄根汤 治产后虚汗不止，三日内血块未净，不可加 、术。
黄 （一钱五分） 当归（二钱） 麻黄根（一钱） 粉甘草（五分） 人参（二钱） 牡蛎（五
分） 桂枝（五分） 浮小麦（一撮） 白术（一钱）
血块痛不加者，以 、术补而不行也。虚脱汗多手足冷，加熟附一片，干姜四分。渴，
加麦
冬一钱，五味子十粒。血块不痛，加熟地三钱。恶风寒，加防风五分，桂枝五分。肥白人产
后多汗，加竹沥一酒杯，姜汁半匙，以清痰火。
晚服八味地黄丸
山萸肉 山药 茯苓 泽泻 牡丹皮 五味子 黄 怀生地
各等分为末，蜜丸。
凡产后虚汗不止，由产亡阴血，而阳气偏盛故也，《内经》云∶阳加于阴则发汗，因而
遇风变为 者有之。
凡是在分娩过程中出现出汗的情况，是由于劳累损伤了脾脏，惊恐损伤了心脏，恐惧损伤了肾脏所致。《黄帝内经》中说：身体过度劳累，汗液出于脾；因惊恐而耗夺精气，汗液出于心；因胃气受恐惧影响，汗液出于肾。产妇往往同时兼有这三种情况而导致出汗，不需要立即使用收敛止汗的药物，只要心神安宁，汗液自然停止。如果是因为血块引起的疼痛，此时不宜急于加入白芍、白术等药物。适宜服用生化汤两三帖，待血块疼痛消除后，紧接着服用加参生化汤，以治疗虚性汗出。如果在分娩后极度疲倦，濈然（持续不断）地出汗，面色和形体出现脱失之象，这是亡阳导致的脱汗，应当权变处理，连续灌服加参生化汤，加倍人参用量以抢救危急重症，不要拘泥于血块疼痛的问题。汗是心的津液，在体内运行称为血，发散到体外称为汗，产妇在大量失血之后出现多汗，是由于惊恐劳累导致心伤神虚，不能固守津液所致，治疗应当健运脾胃，救助水谷精微回归脾脏，补益营卫之气，引导血液归源，灌溉四肢百骸，防止津液妄行外泄成为汗液。难产病症虽然分为自汗和盗汗，但当归大黄汤不可用于治疗产后之盗汗。都适宜服用加参生化汤及加味补中益气汤两方。如果服用重剂量的参类药材，而汗出仍然不止，或者只有头部出汗而不到腰足，这是危重病症。
麻黄根汤 治疗产后虚汗不止，三日内恶露血块未净，不可加入白芍、白术。
黄芪（一钱五分） 当归（二钱） 麻黄根（一钱） 粉甘草（五分） 人参（二钱） 牡蛎（五分） 桂枝（五分） 浮小麦（一撮） 白术（一钱）
如果是血块疼痛不加重的情况，是因为白芍、白术具有补益作用但缺乏通行之力。如果是虚脱汗多且手足冰冷，加入熟附子一片，干姜四分。口渴，加入麦冬一钱，五味子十粒。如果没有血块疼痛，加入熟地黄三钱。怕风怕冷，加入防风五分，桂枝五分。肥胖白嫩的产妇产后多汗，加入竹沥一杯，姜汁半匙，以清除痰火。
晚上服用八味地黄丸
山茱萸肉 山药 茯苓 泽泻 牡丹皮 五味子 黄芪 怀生地
各等分研为细末，用蜂蜜制成丸剂。
凡是产后虚汗不止，是由于生产时阴血亡失，导致阳气偏盛所致，《黄帝内经》说：阳气作用于阴分就会发汗，因此如果遇到风邪转变为其他病症的情况也是有的。
Any sweating occurring during childbirth is caused by labor damaging the Spleen, fright injuring the Heart, and fear damaging the Kidney. The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: When the body suffers from excessive toil, sweat originates from the Spleen; when essence is depleted due to fright, sweat originates from the Heart; when the Stomach Qi is affected by fear, sweat originates from the Kidney. Parturient women often suffer from sweating due to a combination of these three factors. There is no need to immediately administer astringent herbs to stop sweating; once the Spirit (Shen) is calm, the sweating will cease naturally. If pain is caused by blood stasis (blood clots), it is not advisable to abruptly add Bai Shao (White Peony Root) or Bai Zhu (Atractylodes Macrocephala Rhizome). It is appropriate to take Shenghua Tang (Life Return Decoction) for two or three doses until the pain from blood stasis subsides, followed immediately by Jia Shen Shenghua Tang (Shenghua Tang with Ginseng) to treat deficiency-type sweating. If the woman is extremely fatigued after delivery and experiences continuous sweating (Ji Ran Han Chu), accompanied by signs of collapse in complexion and form, this is "Wang Yang Tuo Han" (Collapse of Yang leading to profuse sweating). In such cases, one should adapt the treatment by continuously administering Jia Shen Shenghua Tang with doubled dosage of Ren Shen (Ginseng) to rescue the critical condition, without being constrained by concerns over blood stasis pain. Sweat is the fluid of the Heart; within the body it becomes Blood, and outside the body it manifests as Sweat. After significant blood loss during childbirth, excessive sweating occurs because fright and labor have injured the Heart and depleted Shen, failing to secure the fluids. Treatment should focus on strengthening the Spleen and Stomach to assist in transforming grain essence back to the Spleen, tonifying Ying (Nutritive) and Wei (Defensive) Qi to guide Blood back to its source, irrigating the four extremities, and preventing fluids from leaking out abnormally as sweat. Although difficult conditions may be divided into spontaneous sweating and night sweats, Dang Gui Da Huang Tang (Angelica Sinensis and Rhubarb Decoction) cannot be used to treat night sweats postpartum. Both conditions are suitable for treatment with Jia Shen Shenghua Tang and Jia Wei Bu Zhong Yi Qi Tang (Modified Tonify the Middle and Augment the Qi Decoction). If heavy doses of Ginseng are administered but sweating persists, or if sweating is limited only to the head and does not extend to the waist and feet, this indicates a critical condition.
Mahuang Gen Tang (Ephedra Root Decoction) treats persistent postpartum deficiency sweating. Within three days, if blood stasis has not cleared, do not add Bai Shao or Bai Zhu.
Huang Qi (Astragali Radix, 1.5 qian) Dang Gui (Angelicae Sinensis Radix, 2 qian) Mahuang Gen (Ephedrae Radix et Rhizoma, 1 qian) Fen Gan Cao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, 0.5 qian) Ren Shen (Ginseng Radix, 2 qian) Mu Li (Ostreae Concha, 0.5 qian) Gui Zhi (Cinnamomi Ramulus, 0.5 qian) Fu Xiao Mai (Tritici Levis Fructus, a pinch) Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1 qian).
If blood stasis pain does not worsen, it is because Bai Shao and Bai Zhu are tonifying but lack moving properties. For deficiency collapse with profuse sweating and cold hands and feet, add one piece of Shu Fu Zi (Prepared Aconiti Lateralis Radix) and 0.4 qian of Gan Jiang (Zingiberis Rhizoma). For thirst, add 1 qian of Mai Dong (Ophiopogonis Radix) and ten grains of Wu Wei Zi (Schisandrae Chinensis Fructus). If there is no blood stasis pain, add 3 qian of Shu Di Huang (Rehmanniae Radix Praeparata). For aversion to wind and cold, add 0.5 qian of Fang Feng (Saposhnikoviae Radix) and 0.5 qian of Gui Zhi. For obese, fair-skinned women with postpartum sweating, add one wine-cup of Zhu Li (Bambusae Caulis in Taenia Succus) and half a spoonful of Jiang Zhi (Zingiberis Recens Juice) to clear Phlegm-Heat.
Take at night: Ba Wei Di Huang Wan (Eight-Ingredient Rehmannia Pill).
Shan Yu Rou (Corni Fructus), Shan Yao (Dioscoreae Rhizoma), Fu Ling (Poria), Ze Xie (Alismatis Rhizoma), Mu Dan Pi (Moutan Cortex), Wu Wei Zi (Schisandrae Chinensis Fructus), Huang Qi (Astragali Radix), Huai Sheng Di (Rehmanniae Radix).
Grind equal parts into fine powder, and make pills with honey.
Persistent postpartum deficiency sweating is caused by the loss of Yin Blood during childbirth, leading to an excess of Yang Qi. The *Huangdi Neijing* states: When Yang acts upon Yin, sweating occurs. Consequently, encountering Wind pathogen may transform the condition into other diseases.