〔大〕夫虚汗不止者，由阴气虚而阳气加之，里虚表实，阳气独发于外，故汗出也。
血为阴，产则伤血，是为阴气虚也。气为阳，其气实者阳加于阴，故令汗出。而阴气虚弱
不复者，则汗出不止也。凡产后血气皆虚，故多汗，因之遇风则变成痉，纵不成痉，亦虚
乏短气，身体柴瘦，唇口干燥，久则经水断绝，由津液竭故也。
〔薛〕按前证属血气俱虚，急用十全大补汤；如不应，用参附、 附等汤。若汗多
亡阳发痉，尤当用前药。王海藏先生云∶头汗出至颈而还，额上偏多，盖额为六阳之所
会也，由虚热熏蒸而出。窃谓前证当以部位分之，额左属肝，额右属肺，鼻属脾，颐属
肾，额属心，治者审之。一产妇略闻音响，其汗如水而昏愦，诸药到口即呕。余以为脾
气虚败，用参、附末为细丸，时含三五粒，随液咽下，乃渐加之，至钱许，却服参附汤而
痊。一产妇盗汗不止，遂致废寐，神思疲甚，口干引饮。余谓血虚有热，用当归补血
汤以代茶；又以当归六黄汤，纳黄芩、连、柏炒黑，倍加人参、五味子，二剂而愈。
〔大〕凡产后忽冒闷汗出不识人，治用鸡子及竹沥二法，见前血晕。
〔薛〕前证属大虚，宜固元气为主。其汗不止，必变柔痉。东垣先生云∶妇人分娩，
及半产漏下，昏冒目瞑，盖因血暴亡而火上炽，但补其血则神自昌。若常时血下，当补
而升举其气。阳得血而神安，则目明矣。今立一方，以补手足厥阴之血，兼益阳气，名
曰全生活血汤。
全生活血汤 治发热，自汗盗汗，目KT KT ，四肢无力，口干头晕，行步欹侧。
升麻 芍药（炒，各三钱） 柴胡 当归 防风 羌活 独活 葛根 甘草（炒，各二钱）
川芎 本（各一钱五分） 生地黄 熟地黄（各一钱） 细辛 蔓荆子（各五分） 红花（三分）
上每服五钱，水煎热服。
麻黄根散 （二方） 治产后虚汗不止。
当归 黄 麻黄根 牡蛎（ 为粉） 人参 粉草（各等分）
上 咀，每服四钱，水一盏，煎至七分，去渣温服。
又方
当归 黄 （各一两） 麻黄根（二两）
上 咀，每服三钱，水一盏，煎七分，去渣服。
《千金》疗产后风虚，汗出不止，小便难，四肢拘急，难以屈伸。
甘草（炙，一两） 附子（半个，炮去皮尖） 桂心 芍药（各一两半）
上 咀，每服三钱，水一盏，生姜四片，枣一枚，煎七分，去渣空心温服。（忌猪肉、冷
水、生葱等物。）
《经效》疗产后汗出不止。
黄 （十二分） 白术 牡蛎（ ） 茯苓 防风 麦门冬（去心） 生地黄（各八分）
大枣（七枚）
上 咀，水二升，煮取七合，去渣，空心分温两服。
疗产后血气暴虚汗出。
淡竹叶煎汤三合，微温服之，须臾再服。
又方 马齿苋研取汁三大合，煮一沸，投蜜匙许，冷停顿服。（无新者，用干者煮汁入蜜服。）
止汗散 治产后盗汗不止，一应汗多者，皆可服。
牡蛎（ ，研粉） 小麦面（炒令黄色，碾为粉）
上等分和匀，煮生猪肉汁调下二钱，无时。
人参汤 治产后诸虚不足，发热盗汗。
人参 当归（各等分）
上为末，以猪腰子一只，去脂膜，切小片子，以水三升，糯米半合，葱白两条，煮
米熟，取清汁一盏，入药二钱，煎至八分，温服不拘时。
当归六黄汤 治气血虚热，盗汗不止；不应，加人参、白术。心血不足，加酸枣仁（炒。）
当归 熟地黄（自制） 黄 （炒，各二钱） 生地黄 黄柏（炒黑） 黄芩（炒黑）
黄连（炒黑，各一钱）
上水煎服。
参附汤 治阳气虚寒，自汗恶寒，或手足逆冷，大便自利，或脐腹疼痛，吃逆不食，
或汗多发痉等证。
人参（一两） 附子（炮，五钱）
上作一服，姜、枣水煎徐徐服。去人参加黄 ，名 附汤。
附汤 治阳气虚脱，恶寒自汗，或口噤痰涌，四肢逆冷，或吐泻腹痛，饮食不入，
及一切虚寒等证。
黄 （一两） 附子（炮，五钱）
上作一剂，姜、枣水煎服。如不应，倍加附子，方得全济。
当归补血汤（见前。） 十全大补汤（见下虚羸。）
【大论】产后虚汗不止，是由于阴气虚弱而阳气乘袭，导致里虚表实，阳气独自发散于体表，因此出现汗出。血属于阴，分娩时耗伤血液，这就是阴气虚弱。气属于阳，若正气充实，阳气加于阴分之上，就会引起汗出。如果阴气虚弱不能恢复，就会导致汗出不止。凡是产后气血都虚弱，所以容易多汗，如果因此感受风邪，就会变成痉病；即使不形成痉病，也会出现身体虚弱、气短、形体枯瘦、嘴唇和口舌干燥等症状，时间久了会导致月经断绝，这是因为津液枯竭的缘故。
【薛己按语】上述证候属于气血俱虚，应当紧急使用十全大补汤；如果无效，使用参附汤等方剂。如果因汗出过多导致亡阳并引发痉病，更应当使用前药。王海藏先生曾说：头汗出到颈部就停止，额头部位出汗较多，因为额头是六条阳经汇聚的地方，这是由于虚热熏蒸所致。我认为上述证候应当根据出汗的部位来区分治疗：左侧额头属肝，右侧额头属肺，鼻子属脾，下巴（颐）属肾，正中额头属心，医生们请仔细审察。有一位产妇稍微听到声响，就大汗淋漓如水且神志昏沉，各种药物入口即呕吐。我认为是脾气虚败，用参末、附末制成细丸，每次含服三五粒，随唾液咽下，逐渐增加剂量，直到约一钱重，然后再服用参附汤而痊愈。另一位产妇盗汗不止，导致无法入睡，精神极度疲乏，口干想喝水。我认为是血虚有热，用当归补血汤代替茶饮；又用当归六黄汤，将黄芩、黄连、黄柏炒黑，加倍加入人参、五味子，两剂后痊愈。
【大论】凡是产后突然昏闷、汗出、不认识人，治疗方法采用鸡蛋清及竹沥两种方法，详见前文“血晕”章节。
【薛己按语】上述证候属于大虚，应当以固护元气为主。如果汗出不止，必定会转变为柔痉。东垣先生曾说：妇女分娩，以及小产漏下，出现昏冒、闭目等症状，是因为血液突然大量流失而火气炽盛，只要补充血液，神志自然就会清醒。如果是平时经常出血，应当补益并升举其气。阳气得到血液的滋养则神志安宁，眼睛就能明亮了。现在我制定一方，用来补益手足厥阴经的血液，兼益阳气，名叫全生活血汤。
全生活血汤 治疗发热，自汗盗汗，眼睛视物模糊不清，四肢无力，口干头晕，走路身体倾斜不稳。
升麻 芍药（炒，各三钱） 柴胡 当归 防风 羌活 独活 葛根 甘草（炒，各二钱）
川芎 藁本（各一钱五分） 生地黄 熟地黄（各一钱） 细辛 蔓荆子（各五分） 红花（三分）
以上药材，每服五钱，用水煎煮，热服。
麻黄根散 （两个方子） 治疗产后虚汗不止。
当归 黄芪 麻黄根 牡蛎（煅为粉） 人参 粉草（各等分）
以上药材切碎，每服四钱，用水一盏，煎至七分，去渣温服。
又一方
当归 黄芪（各一两） 麻黄根（二两）
以上药材切碎，每服三钱，用水一盏，煎至七分，去渣服用。
《千金方》治疗产后风虚，汗出不止，小便困难，四肢拘挛紧急，难以屈伸。
甘草（炙，一两） 附子（半个，炮制去皮尖） 桂心 芍药（各一两半）
以上药材切碎，每服三钱，用水一盏，生姜四片，大枣一枚，煎至七分，去渣空腹温服。（忌食猪肉、冷水、生葱等物。）
《经效方》治疗产后汗出不止。
黄芪（十二分） 白术 牡蛎（煅） 茯苓 防风 麦门冬（去心） 生地黄（各八分）
大枣（七枚）
以上药材切碎，用水二升，煮取七合，去渣，空腹分两次温服。
治疗产后血气暴虚汗出。
淡竹叶煎汤三合，微温服用，过了一会儿再服。
又一方 马齿苋研取汁三大合，煮沸一次，投入少许蜂蜜，冷却后停一会儿服用。（如果没有新鲜的，用干的煮汁加入蜂蜜服用。）
止汗散 治疗产后盗汗不止，所有汗多的情况都可以服用。
牡蛎（煅，研粉） 小麦面（炒至黄色，碾为粉）
以上等分和匀，用生猪肉汁调下二钱，不限时间服用。
人参汤 治疗产后诸虚不足，发热盗汗。
人参 当归（各等分）
以上研为末，用猪腰子一只，去掉脂膜，切成小片，用水三升，糯米半合，葱白两条，煮米熟，取清汁一盏，加入药末二钱，煎至八分，温服不限时间。
当归六黄汤 治疗气血虚热，盗汗不止；如果无效，加人参、白术。心血不足，加酸枣仁（炒）。
当归 熟地黄（自制） 黄芪（炒，各二钱） 生地黄 黄柏（炒黑） 黄芩（炒黑） 黄连（炒黑，各一钱）
以上用水煎服。
参附汤 治疗阳气虚寒，自汗恶寒，或者手足逆冷，大便自利，或者脐腹疼痛，呃逆不食，或者汗多发痉等证候。
人参（一两） 附子（炮制，五钱）
以上作一服，用姜、枣水煎煮，徐徐服用。去掉人参加上黄芪，名为芪附汤。
芪附汤 治疗阳气虚脱，恶寒自汗，或者牙关紧闭痰涌，四肢逆冷，或者吐泻腹痛，饮食不入，以及一切虚寒等证候。
黄芪（一两） 附子（炮制，五钱）
以上作一剂，用姜、枣水煎服。如果无效，加倍加入附子，方能完全治愈。
[Da] Profuse sweating due to deficiency that does not stop is caused by the deficiency of Yin Qi allowing Yang Qi to invade. This results in interior deficiency and exterior excess, where Yang Qi alone radiates outward, causing sweating. Blood belongs to Yin; childbirth injures blood, which constitutes a deficiency of Yin Qi. Qi belongs to Yang; when Qi is substantial, Yang adds to Yin, thereby inducing sweating. If Yin Qi is weak and fails to recover, sweating will persist indefinitely. Generally, after childbirth, both blood and Qi are deficient, leading to profuse sweating. If exposed to wind as a result, it may transform into Spasm (Jing). Even if spasm does not develop, there will be weakness, shortness of breath, emaciation, dry lips and mouth. Over time, menstruation may cease due to the exhaustion of Jin-Ye (body fluids).
[Xue's Commentary] The aforementioned syndrome belongs to deficiency of both blood and Qi. One should urgently use Shiquan Dabu Tang (Complete Great Tonifying Decoction); if ineffective, use Shenfu Tang (Ginseng and Aconite Decoction) or similar formulas. If excessive sweating leads to collapse of Yang and induces spasm, the aforementioned medicines are especially indicated. Mr. Wang Haizang stated: Sweating on the head stopping at the neck, with more sweat on the forehead, occurs because the forehead is the convergence point of the six Yang meridians, caused by steaming from deficiency-heat. I suggest that for the aforementioned syndrome, treatment should be differentiated by location: the left forehead corresponds to the Liver, the right forehead to the Lung, the nose to the Spleen, the chin (Yi) to the Kidney, and the central forehead to the Heart. Physicians should examine this carefully. A postpartum patient sweated profusely like water and became confused upon hearing any sound, vomiting all medicines taken orally. I attributed this to failure of Spleen Qi and prepared fine pills from Ginseng powder and Aconite powder. The patient held three to five pills in the mouth, swallowing them gradually with saliva, increasing the dose until reaching approximately one qian. Subsequently, Shenfu Tang was administered, resulting in recovery. Another postpartum patient suffered from persistent night sweats, leading to insomnia and extreme mental fatigue with dry mouth and thirst. I diagnosed this as blood deficiency with heat and prescribed Danggui Buxue Tang (Angelica Sinensis and Astragalus Decoction) to be taken as tea. Additionally, Danggui Liuhuang Tang (Angelica Sinensis and Six Huangs Decoction) was used, with Scutellariae Radix (Huangqin), Coptidis Rhizoma (Huanglian), and Phellodendri Cortex (Huangbai) stir-fried until black, plus doubled doses of Ginseng and Schisandrae Fructus (Wuweizi). Recovery occurred after two doses.
[Da] In cases of sudden fainting, confusion, sweating, and loss of recognition after childbirth, treat using egg white and Zhu Li (Bamboo Sap) methods, as detailed in the preceding section on Blood Stasis Fainting (Xue Yun).
[Xue's Commentary] The aforementioned syndrome indicates severe deficiency; the primary approach should be to consolidate Yuan Qi (Original Qi). Persistent sweating must inevitably transform into Rou Jing (Soft Spasm). Mr. Dongyuan stated: Women undergoing delivery or experiencing miscarriage with continuous bleeding may suffer from fainting and closed eyes because blood is suddenly lost while fire flares up. Supplementing the blood will naturally restore consciousness. For chronic bleeding, one should tonify and lift the Qi. When Yang Qi receives nourishment from blood, the spirit becomes tranquil and vision clears. I have now formulated a prescription to tonify the blood of the Hand and Foot Jueyin meridians while benefiting Yang Qi, named Quansheng Huoxue Tang (Life-Preserving Invigorating Blood Decoction).
Quansheng Huoxue Tang treats fever, spontaneous and night sweats, blurred vision, weakness in the four limbs, dry mouth, dizziness, and unsteady gait.
Shengma (Cimicifugae Rhizoma), Shaoyao (Paeoniae Radix, stir-fried, each 3 qian); Chaihu (Bupleuri Radix), Danggui (Angelicae Sinensis Radix), Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Gegen (Puerariae Lobatae Radix), Gancao (Glycyrrhizae Radix, stir-fried, each 2 qian); Chuanxiong (Ligusticum Chuanxiong Rhizoma), Bencao/Loben (Ligustici Wallichii Rhizoma, each 1.5 qian); Shengdihuang (Rehmanniae Radix), Shudihuang (Rehmanniae Radix Preparata, each 1 qian); Xixin (Asari Radix et Rhizoma), Manjingzi (Viticis Semen, each 0.5 qian); Honghua (Carthami Flos, 0.3 qian).
For each dose, take 5 qian of the herbs, decoct in water, and take hot.
Mahuanggen San (Two Formulas) treats persistent postpartum sweating due to deficiency.
Danggui, Huangqi (Astragali Radix), Mahuanggen (Ephedrae Radix et Rhizoma Matis), Mumian (Ostreae Concha, calcined to powder), Renshen (Ginseng Radix), Fencao (Glycyrrhizae Radix, equal parts).
Crush the herbs. For each dose, take 4 qian, decoct in one sheng of water until reduced to 0.7 sheng, remove dregs, and take warm.
Another Formula
Danggui, Huangqi (each 1 liang), Mahuanggen (2 liang).
Crush the herbs. For each dose, take 3 qian, decoct in one sheng of water until reduced to 0.7 sheng, remove dregs, and take.
Qianjin Fang treats postpartum wind-deficiency with persistent sweating, difficult urination, and spasmodic tightness of the four limbs making flexion and extension difficult.
Gancao (Zhi/Glazed, 1 liang), Fuzi (half, processed, skin and tip removed), Guixin (Cinnamomi Cortex), Shaoyao (each 1.5 liang).
Crush the herbs. For each dose, take 3 qian, decoct in one sheng of water with four slices of Shengjiang (Zingiberis Rhizoma) and one Zao (Jujubae Fructus) until reduced to 0.7 sheng, remove dregs, and take warm on an empty stomach. (Avoid pork, cold water, raw scallions, etc.)
Jingxiao Fang treats persistent postpartum sweating.
Huangqi (12 fen), Baizhu (Atractylodis Macrocephalae Rhizoma), Mumian (calcined), Fuling (Poria), Fangfeng, Maidong (Ophiopogonis Radix, heart removed), Shengdihuang (each 8 fen); Zao (seven fruits).
Crush the herbs. Decoct in two sheng of water until reduced to seven he, remove dregs, and divide into two warm doses taken on an empty stomach.
Treats postpartum sudden deficiency of blood and Qi with sweating.
Decoct Dansheye (Lophatheri Herba) in water to obtain three he, take while slightly warm, and repeat after a short interval.
Another Formula
Extract juice from Machixian (Portulacae Herba), three large he, boil once, add a spoonful of honey, cool, and take after resting. (If fresh herb is unavailable, use dried herb, decoct, add honey, and take.)
Zhihan San treats persistent postpartum night sweats and can be taken for any condition involving excessive sweating.
Mumian (calcined, ground to powder), Xiaomaimian (wheat flour, stir-fried until yellow, ground to powder).
Mix equally. Take 2 qian mixed with juice from raw pork flesh, at any time.
Renshen Tang treats various postpartum deficiencies, fever, and night sweats.
Renshen, Danggui (equal parts).
Grind to powder. Use one pig kidney, remove fat membrane, slice thinly. Decoct with three sheng of water, half he of Nuomi (Glutinous Oryzae Semen), and two stalks of Congbai (Allii Fistulosi Bulbus) until rice is cooked. Strain to obtain one sheng of clear liquid, add 2 qian of medicine powder, decoct until reduced to 0.8 sheng, and take warm at any time.
Danggui Liuhuang Tang treats deficiency-heat of Qi and Blood with persistent night sweats; if ineffective, add Renshen and Baizhu. For insufficiency of Heart Blood, add Zaoren (Ziziphi Spinosae Semen, stir-fried).
Danggui, Shudihuang (homemade), Huangqi (stir-fried, each 2 qian); Shengdihuang, Huangbai (Phellodendri Cortex, stir-fried until black), Huangqin (Scutellariae Radix, stir-fried until black), Huanglian (Coptidis Rhizoma, stir-fried until black, each 1 qian).
Decoct in water and take.
Shenfu Tang treats deficiency-cold of Yang Qi, spontaneous sweating with aversion to cold, cold extremities, loose stools, abdominal pain, hiccups with anorexia, or sweating leading to spasm.
Renshen (1 liang), Fuzi (processed, 5 qian).
Prepare as one dose. Decoct with Shengjiang and Zao in water, and take slowly. Removing Renshen and adding Huangqi creates Qifu Tang.
Qifu Tang treats collapse of Yang Qi, aversion to cold with spontaneous sweating, locked jaw with phlegm surging, cold extremities, vomiting/diarrhea with abdominal pain, inability to eat, and all deficiency-cold syndromes.
Huangqi (1 liang), Fuzi (processed, 5 qian).
Prepare as one dose. Decoct with Shengjiang and Zao in water. If ineffective, double the dose of Fuzi to ensure complete rescue.
Danggui Buxue Tang (see preceding text). Shiquan Dabu Tang (see subsequent text on Emaciation/Weakness).