产后轻咳者，肺虚也。用生化汤加北沙参，或酒炒黄 ，如声重咳不止者，风也，或虚火上冲也。风则于生
化汤中加黑荆芥穗，火则生化汤中除黑姜加炒麦冬。又有冬月寒气冲肺致咳，用黑姜，更加生姜自止。但肺为
娇脏，不可久延，而致瘀血吊起。或久嗽伤肺，而致吐血入损。总之肺经之药，勿用刚燥，宜从滋润阴则无误矣。
凡肺经之药，补用沙参、黄 ，清用贝母、杏仁，散用荆芥、桔杏梗，凉用桑皮、白芍，皆一定不易。更有用参、
术、苓、草补脾者，为虚则补其母也。有用熟地、阿胶者补肾，是补其子也。使之金水相生之理，此嗽久防损，必以
补土补水，子母相生，亦一定也。不但治产为然，平人咳嗽，皆以此法为准绳，学人当明此理。
产后咳嗽，多因腠理不固，易招外邪，当随虚实寒热表里论治，若生化汤，非治咳之方，奈何不论风、火，但
以此方加减，诚不知其义何居也？（徐评）
产后肠胀，惟胞未下者有之，生儿后自
收。予族弟媳产下时，腹已收，至次曰忽然腹大如鼓，较之产前更甚，胀闷难安，气急促，诸医无措，命在旦夕。
予适远出而归，急请视之。腹大且坚，二便不通。病家谓未产日食物多停滞耳，予曰∶非也。脉软而涩，知
无食也。必产时被冷风入于子宫，致瘀血凝于内。用生化汤加肉桂（一钱），煎好，即以煎药吞失笑丸（三钱），
又调花蕊散（三钱），进二剂而腹减半，再用生化汤倍黑姜服数剂而安。此症若不凭脉详察，根据其言而用消食者，
则误矣。因存是案，以记之。又族侄媳产后发疹，遂延医治，乃痘科也。曰∶此出 麻。竟用桔梗、荆、防发
之，两日忽作喘汗热闷，几乎欲绝，乃请予视脉，见寸大尺空，按之且迟。予曰∶此非 麻也。缘下部虚寒，
其无根失守之火，浮游于上，发虚疹加蚊迹，隐隐于皮肤之内。且新产才七朝，岂堪任此凉散？以其痘科不知
产症耳。急进十全大补汤加附子，而汗止喘定，二剂后易八珍汤，半月后与六味而痊。此症设被坏事，只云中
麻发不出而死，亦无怨其错者，是以医家宁可推出以让知者治，不可贪而误人性命也。海宁俞妇腹孕三子，俱
不育。临产时稳婆见衣胞出其半，而以手拖之下，伤其带脉，致腹痛。缩一足不能伸，已经一月，痛楚难卧。
予视之曰∶此吊脚肠痈也。脉已数，知毒熟矣。乃用黄 、皂角、甲片、陈皮、当归，加葵根酒水煎服。次日
下脓数碗而安。武林有本家，其妇人产后腹痛，诸药罔效。延予诊视，知生肠痈，本家不信，复请他医。又半月
而痛愈甚，食亦不进，二便不利。予见尺部脉已数，曰此痈已成脓矣。前者与消而不服我药，今既已熟当出脓
矣。如再迟延，恐伤脏而莫及也。遂如案之药加葵根与服，下脓，腹痛渐减，随服参、 、地、归补之，续用
四物汤、八珍补月余而起。有陈姓妻住小粉墙，产后小便不通，胀痛难安。予曰∶瘀阻膀胱，气不化也。与生化
汤加肉桂、泽兰服之，夜半得小便但未畅，次日复用六味汤吞失笑丸，小便大通而痊。有吴姓在席曰∶何未服
利剂而通？前医用车前、木通、四苓而反愈闭何也？予曰∶
见病，治病未知源头，何益之有？许姓妇，吾族侄女也。昔产后发寒热，医者始进钩藤、荆芥不效，继用柴胡汤
热愈甚，面赤而鼻出血矣。乃延予。视曰∶此血虚症，用柴胡致血上冲，误矣，若再剂必死，急用四物汤加牛
膝、茯神而鼻血止，转用八珍汤加黑姜而热退，后以 归地术补之而愈。又后产蓐劳，肩生一毒，亦予治愈。
今生产已无病矣。然产前皆予调补得宜，是以产俱平安而不觉也。
又伊芳侄媳，亦予侄女，产后惊风，时癸巳岁，适予在浙，请治。予曰∶肝风内动，又感外邪而然也。今热
不退而汗多，手足搐抽，已成痉厥。此外解而内虚为重，随用归芎加黑荆芥少许，外用醋炭熏之，汗渐少，即进
姜桂四物汤而热退，次日转用八珍汤加肉桂数剂而愈。吴大文夫人产后腹胀，小便不流利。予诊脉迟软，知寒结
冲任，二脉气滞不宣，用五味异功散加附子（一钱），数剂而安。常山许思载翁孙媳，孕五月，医者谓经阻，而
用红花、桃仁、香附、益母行血药，夜半血崩。予适在西街，扣门请治，随往视之，形脉俱脱，不知人事，即用
人参（二钱），炙 （一两），阿胶（二钱），熟地（八钱），附子（一钱），煎好灌入，至五更脉出人苏， 内见
胞胎，方知服药错误而小产，斯时若迟延不敢峻补，安能有命？杭城项理问夫人小产崩脱，诸医不敢举方，乃请予
视诊之。已无脉，胸膈满闷，气促汗出，危急之际。予制加味两仪汤，人参（二钱），熟地（一两），阿胶（三钱），
艾叶（一钱），附子（一钱），炙 （一两），当归（三钱）。速令煎服，本家畏补，服半帖，气仍闷促，复问
于予。予曰∶急与服之。随复再进，胸闷顿舒，呼吸调匀，脉亦续至。次早又进原方，适前医至，仍不敢用药。及
见予方，沉吟良久，乃曰∶脉脱气促，度其必死。先生胆大，用此大补，吾不敢也。予曰∶此即《内经》所谓塞
因塞用也。缘气不归原，下不纳气，致浮于上。又即下虚上实，血既亡矣。阳无所附，若非大补，少顷脱去，无
可救矣。焉得回生？诸医不胜佩服。
产后出现轻微咳嗽，是由于肺气虚弱所致。治疗应使用生化汤加入北沙参，或者酒炒的黄芩；如果声音沉重、咳嗽不止，则是感受风邪，或者是虚火上冲所致。若是风邪所致，应在生化汤中加入黑荆芥穗；若是火邪所致，则在生化汤中去除黑姜，加入炒麦冬。又有在冬季因寒气冲击肺部导致咳嗽的，使用黑姜，再加生姜即可自止。但是肺为娇脏，不可拖延过久，否则会导致瘀血上逆。或者久咳损伤肺气，进而导致吐血，演变为虚损重症。总之，治疗肺经疾病的药物，不要用刚烈燥热的药，宜选用滋润的药物，这样就不会出错。
凡是治疗肺经疾病的药物，补益用沙参、黄芩，清热用贝母、杏仁，疏散用荆芥、桔梗，凉血用桑白皮、白芍，这些都是固定不变的原则。更有用党参、白术、茯苓、甘草来补脾气的，这是遵循“虚则补其母”的原理。有用熟地黄、阿胶来补肾精的，这是遵循“补其子”的原理。使之符合金水相生的道理。这种咳嗽日久防止发展为虚损，必须通过补脾土和补肾水，利用子母相生的关系，这也是固定的法则。不仅产后咳嗽如此，普通人咳嗽，也都以此法为准绳，学医的人应当明白这个道理。
（徐评：产后咳嗽，多因为腠理不固，容易招致外邪，应当根据虚实、寒热、表里来辨证论治。像生化汤，并不是专门治疗咳嗽的方剂，怎么能不分风邪还是火邪，只是在这个方子上加减呢？这实在是不知其中深意何在？）
产后腹部胀大，只有胎盘未排出的情况才会有，生下胎儿后自然会收缩恢复。我的族弟媳分娩时，腹部已经收缩，到了第二天忽然腹部胀大如鼓，比产前更严重，胀闷难受，气短急促，众医生没有办法，病情危在旦夕。我正好远行归来，急忙请我去诊治。腹部胀大且坚硬，大小便不通畅。病人家属说是生产前食物多停滞所致，我说：“不对。”脉象软而涩，知道没有食积。一定是生产时被冷风吹入子宫，导致瘀血凝结在内。使用生化汤加入肉桂（一钱），煎好后，即用煎好的药液吞服失笑丸（三钱），又调服花蕊散（三钱），服用两剂后腹胀减半，再用生化汤加倍黑姜服用数剂而痊愈。这个病症如果不凭脉象详细诊察，只听信病人的话而用消食药，那就错了。因此记录此案，以作纪念。
还有族侄媳产后发疹，于是延请医生医治，那是痘科医生。医生说：“这是出麻疹。”竟然用桔梗、荆芥、防风来发散，两天后忽然出现喘促、出汗、发热闷乱，几乎要断气，于是请我去诊脉，见寸口脉大，尺部脉空，按之且迟。我说：“这不是麻疹。”是因为下部虚寒，无根失守的虚火浮游于上，发出虚疹，加上蚊迹般的红点，隐隐出现在皮肤之内。而且新产才七天，哪里能承受这种清凉发散的药物？这是因为痘科医生不懂产科病症的缘故。急忙进服十全大补汤加入附子，汗止喘定，两剂后改用八珍汤，半个月后服用六味地黄丸而痊愈。这个病症如果被庸医误治致死，只说麻疹发不出来而死，也没有人怨恨他错治，所以医家宁可推辞让懂行的人治疗，不可贪功而误人性命。
海宁俞姓妇女怀有三胞胎，都不育。临产时稳婆看见衣胞出来一半，用手向下拖拽，损伤了带脉，导致腹痛。一只脚蜷缩不能伸直，已经一个月，疼痛痛苦难以卧床。我去看她说：“这是吊脚肠痈。”脉象已数，知道毒气已成熟。于是用黄芪、皂角刺、穿山甲片、陈皮、当归，加葵根酒水煎服。第二天排出脓液数碗而安。
武林有一本家妇人，产后腹痛，各种药物无效。延请我去诊视，知道是生肠痈，本家不信，又请其他医生。又过了半个月，疼痛更加厉害，饮食不进，大小便不利。我看她尺部脉已数，说：“这个痈已经成脓了。之前给的是消散的药而不肯服用我的药，现在既然已经成熟，应当排脓了。如果再拖延，恐怕伤及内脏就来不及了。”于是照原案药物加入葵根给她服用，排出脓液，腹痛逐渐减轻，随后服用人参、黄芪、地黄、当归补益，继续服用四物汤、八珍汤补养一个多月而康复。
有陈姓妻子住在小粉墙，产后小便不通，胀痛难安。我说：“瘀血阻滞膀胱，气化不行。”给予生化汤加入肉桂、泽兰服用，半夜解出小便但未通畅，第二天又服用六味地黄丸吞服失笑丸，小便大通而痊愈。
吴姓人在席间问：“为什么没服利水通淋剂而通？前医用车前子、木通、四苓散反而加重闭塞是怎么回事？”我说：“只见病状治病，不知道源头，有什么益处呢？”
许姓妇女，是我的族侄女。以前产后发寒热，医生起初用钩藤、荆芥无效，继而又用柴胡汤，热势更甚，面赤并且鼻出血。于是延请我去。我看后说：“这是血虚症，用柴胡导致血上冲，是错误的，如果再服药必死无疑。”急忙用四物汤加入牛膝、茯神而鼻血止住，转用八珍汤加入黑姜而热退，后来用当归、地黄、白术补益而痊愈。后来又患产蓐劳，肩上生一毒疮，也是我治愈的。如今生产后已无病。然而产前都是我调理补益得当，所以生产都平安而不觉察异常。
还有她的侄媳，也是我的侄女，产后惊风，当时是癸巳年，恰逢我在浙江，请我医治。我说：“肝风内动，又感受外邪所致。现在热不退且汗多，手足抽搐，已成痉厥。这是外邪已解而内虚为重，随即用归芎汤加入少许黑荆芥，外用醋炭熏蒸，汗渐少，接着进服姜桂四物汤而热退，次日转用八珍汤加入肉桂数剂而痊愈。
吴大文夫人产后腹胀，小便不流利。我诊脉迟软，知道是寒邪凝结冲任二脉，二脉气滞不宣，用五味异功散加入附子（一钱），数剂而安。
常山许思载翁的孙媳，怀孕五月，医生说是经阻（闭经或胎停等），而用红花、桃仁、香附、益母草等行血药，半夜血崩。我正好在西街，敲门请我去治，随即前往诊视，形体脉象都脱失，不知人事，立即用人参（二钱）、炙黄芪（一两）、阿胶（二钱）、熟地黄（八钱）、附子（一钱），煎好灌入，到五更时分脉出人苏醒，呕吐物内见到胞胎，才知道服药错误导致小产，此时如果迟延不敢峻补，怎么能有性命？
杭城项理问夫人小产崩漏脱证，各位医生不敢开方，于是请我去诊视。已经无脉，胸膈满闷，气促汗出，危急之际。我配制加味两仪汤，人参（二钱）、熟地黄（一两）、阿胶（三钱）、艾叶（一钱）、附子（一钱）、炙黄芪（一两）、当归（三钱）。速令煎服，家属害怕补药，只服半帖，气仍闷促，又向我询问。我说：“急与服用。”随即再进服，胸闷顿舒，呼吸调匀，脉也续至。次早又进原方，恰好前医到来，仍不敢用药。等到看见我的方子，沉吟良久，乃说：“脉脱气促，推测必定死亡。先生胆大，用此大补之法，我不敢也。”我说：“这就是《内经》所谓‘塞因塞用’的道理。因为气不归元，下不纳气，导致浮于上。也就是下虚上实，血既已亡，阳无所依附，若非大补，稍顷就会脱绝，无可救矣。怎么能回生呢？”各位医生不胜佩服。
Mild cough after childbirth is due to Lung Qi deficiency. Treatment should use Shenghua Decoction (Decoction for Generating Blood) added with Bei Sha Shen (Radix Glehniae), or wine-fried Huang Qin (Radix Scutellariae); if the voice is heavy and cough persists, it is due to Wind pathogen invasion or deflection of deficient fire upward. If caused by Wind, add Hei Jing Jie Sui (Flos Schizonepetae Preparatus) to Shenghua Decoction; if caused by Fire, remove Hei Jiang (Rhizoma Zingiberis Preparatus) from Shenghua Decoction and add Chao Mai Dong (Tuber Ophiopogonis Preparatus). There are also cases in winter where cold air strikes the Lung causing cough, treated with Hei Jiang plus fresh Ginger, which stops spontaneously. However, the Lung is a delicate organ and cannot be delayed, otherwise blood stasis may rise. Or prolonged cough damages the Lung, leading to hemoptysis and evolving into consumptive disease. In summary, drugs for the Lung meridian should not be harsh and drying; moistening agents should be used to avoid errors.
For drugs treating the Lung meridian, tonification uses Sha Shen (Radix Glehniae) and Huang Qin (Radix Scutellariae); clearing heat uses Bei Mu (Bulbus Fritillariae Cirrhosae) and Xing Ren (Semen Armeniacae Amarum); dispersing uses Jing Jie (Herba Schizonepetae) and Jie Geng (Radix Platycodonis); cooling uses Sang Bai Pi (Cortex Mori Radicis) and Bai Shao (Radix Paeoniae Alba); these principles are fixed. Furthermore, using Dang Shen (Radix Codonopsis), Bai Zhu (Rhizoma Atractylodis Macrocephalae), Fu Ling (Poria), and Gan Cao (Radix Glycyrrhizae) to tonify the Spleen follows the principle of "tonifying the mother when deficient." Using Shu Di Huang (Radix Rehmanniae Preparata) and E Jiao (Colla Corii Asini) to tonify the Kidney follows the principle of "tonifying the child," facilitating the mutual generation of Metal and Water. To prevent prolonged cough from becoming consumptive, one must tonify Earth (Spleen) and Water (Kidney), utilizing the mutual generation of child and mother; this is also a fixed rule. This applies not only to postpartum cough but also to ordinary coughs; students of medicine must understand this principle.
(Commentary by Xu: Postpartum cough is often due to insecure interstices easily attracting external pathogens. Treatment should be based on differentiation of deficiency/excess, cold/heat, and exterior/interior. Shenghua Decoction is not a formula specifically for coughing. How can one indiscriminately modify this formula without distinguishing between Wind and Fire? This shows a lack of understanding of its true meaning.)
Abdominal distension after childbirth occurs only when the placenta has not been expelled; it resolves naturally after delivery. My cousin's wife had her abdomen contracted after giving birth, but the next day suddenly became distended like a drum, worse than before pregnancy, with unbearable fullness and shortness of breath. Physicians were at a loss, and her life was in danger. I had just returned from a long journey and was urgently summoned. Her abdomen was large and hard, with obstruction of urination and defecation. The family claimed food stagnation from pre-delivery diet. I said, "Incorrect." The pulse was soft and choppy, indicating no food retention. It must be that cold wind entered the uterus during delivery, causing blood stasis to coagulate internally. Use Shenghua Decoction with Rou Gui (Cortex Cinnamomi) (1 qian), decocted well, then swallow Shixiao Wan (Elixir of Instant Success) (3 qian) with the decoction, and mix Huarui San (Powder of Flower Stamen) (3 qian). After two doses, abdominal distension halved. Then use Shenghua Decoction with doubled Hei Jiang, taken for several doses until recovery. Without detailed pulse diagnosis and relying solely on patient statements to use digestive aids would be an error. This case is recorded for reference.
Another cousin's wife developed a rash postpartum. A smallpox specialist was consulted, stating, "This is measles." He used Jie Geng (Radix Platycodonis), Jing Jie (Herba Schizonepetae), and Fang Feng (Radix Saposhnikoviae) to disperse. Two days later, she suddenly developed wheezing, sweating, fever, and oppression, nearly dying. I examined her pulse: Cun (inch) was large, Chi (cubit) was empty, and pressing felt slow. I said, "This is not measles." Due to deficiency-cold in the lower body, rootless floating fire drifted upward, causing a false rash with mosquito-bite-like marks hidden under the skin. Moreover, having given birth only seven days ago, she could not withstand such cooling and dispersing herbs. This error arose because the smallpox doctor did not understand obstetric conditions. Urgently administer Shiquan Dabu Tang (Decoction for Ten Thousand Complete Tonification) with Fu Zi (Radix Aconiti Lateralis Preparata). Sweating and wheezing stopped. After two doses, switch to Bazhen Tang (Eight Treasures Decoction). After half a month, Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) cured her. If misdiagnosed as failed measles eruption leading to death, no one would blame the physician. Thus, physicians should rather decline treatment to let experts handle it than greedily attempt treatment and risk lives.
A woman surnamed Yu in Haining carried triplets, all failing to thrive. At labor, the midwife saw the placenta partially expelled and pulled it down by hand, damaging the Dai Mai (Girdle Vessel), causing abdominal pain. One leg curled and could not extend for a month, with severe pain preventing lying down. I diagnosed this as "Diao Jiao Chang Yong" (Hanging Foot Intestinal Abscess). The pulse was rapid, indicating matured toxin. Prescribed Huang Qi (Radix Astragali), Zao Jiao Ci (Gleditsiae Sinensis Spina), Jia Pian (Placenta Testudinis/Cutis Cornus Tigris - note: historically Shan Ban Jia Pian), Chen Pi (Pericarpium Citri Reticulatae), Dang Gui (Radix Angelicae Sinensis), plus Kui Gen (Radix Malvae) decocted in wine and water. The next day, several bowls of pus were discharged, and she stabilized.
A woman from a local family in Wulin suffered postpartum abdominal pain unresponsive to various medicines. Upon my examination, intestinal abscess was diagnosed, but the family doubted it and sought another doctor. Half a month later, pain worsened, appetite ceased, and bowel/bladder functions obstructed. Her Chi pulse was rapid. I stated, "The abscess has formed pus. Previous prescriptions were for dissolving toxins, which you refused. Now that it is ripe, pus must be drained. Delay further risks organ damage." I prescribed the previous formula with added Kui Gen. Pus was discharged, pain decreased. Subsequently, Ren Shen (Radix Ginseng), Huang Qi (Radix Astragali), Di Huang (Radix Rehmanniae), and Dang Gui (Radix Angelicae Sinensis) were used for tonification, followed by Siwu Tang (Four Substance Decoction) and Bazhen Tang (Eight Treasures Decoction) for over a month until recovery.
A wife of a man surnamed Chen living at Xiaofenqiang suffered postpartum urinary retention with painful distension. I diagnosed "Blood stasis blocking the Bladder, Qi transformation failure." Prescribed Shenghua Decoction with Rou Gui (Cortex Cinnamomi) and Ze Lan (Herba Lycopi). By midnight, urine passed but was not smooth. The next day, Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) swallowed with Shixiao Wan (Elixir of Instant Success) resulted in free urination and recovery.
Mr. Wu asked at a banquet, "Why did it resolve without diuretics? Why did Qian Zheng Zi (Semen Plantaginis), Mu Tong (Caulis Akebiae), and Siling San (Four-Powder Decoction) worsen the blockage?" I replied, "Treating symptoms without addressing the root source is of no benefit."
Ms. Xu, my cousin's daughter, previously suffered chills and fever postpartum. Doctors first used Gou Teng (Ramulus Uncariae cum Uncis) and Jing Jie (Herba Schizonepetae) without effect, then Chai Hu Tang (Bupleurum Decoction), worsening fever, facial redness, and epistaxis. I diagnosed "Blood deficiency syndrome; Chai Hu caused blood to rush upward, which was erroneous. Another dose would be fatal." Urgently prescribed Siwu Tang (Four Substance Decoction) with Niu Xi (Radix Achyranthis Bidentatae) and Fu Shen (Sclerotium Poriae Cum Radix Pini) to stop bleeding. Switched to Bazhen Tang (Eight Treasures Decoction) with Hei Jiang (Rhizoma Zingiberis Preparatus) to reduce fever. Later tonified with Dang Gui (Radix Angelicae Sinensis), Di Huang (Radix Rehmanniae), and Bai Zhu (Rhizoma Atractylodis Macrocephalae) for recovery. She later suffered postpartum consumption with a boil on the shoulder, which I also cured. She is now healthy. Proper prenatal tonification ensured safe deliveries unnoticed.
His niece, also my nephew's wife, suffered postpartum convulsions in the year Guisi while I was in Zhejiang. I diagnosed "Internal Liver Wind stirring, compounded by external pathogen invasion." With persistent fever, excessive sweating, and limb twitching, she had developed spasm and coma. Exterior pathogens resolved, but internal deficiency was severe. Prescribed Gui Xiong Tang (Angelica and Chuanxiong Decoction) with a little Hei Jing Jie (Flos Schizonepetae Preparatus), externally fumigated with vinegar-soaked charcoal. Sweating decreased. Then administered Jiang Gui Siwu Tang (Ginger and Cinnamon Four Substance Decoction) to reduce fever. Next day, switched to Bazhen Tang (Eight Treasures Decoction) with Rou Gui (Cortex Cinnamomi) for several doses until cure.
Madam of Wu Dawen suffered postpartum abdominal distension and irregular urination. Pulse was slow and soft, indicating Cold congealing in the Chong and Ren vessels, with Qi stagnation. Prescribed Wuwei Yigong San (Five-Ingredient Extraordinary Skill Powder) with Fu Zi (Radix Aconiti Lateralis Preparata) (1 qian) for several doses until stable.
Granddaughter-in-law of Mr. Xu Sizai from Changshan, at five months pregnancy, was diagnosed with menstrual obstruction by a doctor who prescribed Hong Hua (Flos Carthami), Tao Ren (Semen Persicae), Xiang Fu (Rhizoma Cyperi), and Yi Mu Cao (Herba Leonuri) to move blood. Midnight brought hemorrhage. I was summoned from West Street. She was unconscious with depleted form and pulse. Immediately administered Ren Shen (Radix Ginseng) (2 qian), Zhi Huang Qi (Radix Astragali Preparata) (1 liang), E Jiao (Colla Corii Asini) (2 qian), Shu Di Huang (Radix Rehmanniae Preparata) (8 qian), Fu Zi (Radix Aconiti Lateralis Preparata) (1 qian). Decocted and灌ed. By dawn, pulse returned, consciousness recovered. Vomitus contained fetal membranes, revealing the error of blood-moving herbs causing miscarriage. Had we delayed and dared not tonify severely, survival would have been impossible.
Madam of Magistrate Xiang in Hangzhou suffered miscarriage with hemorrhagic collapse. Physicians hesitated to prescribe. Upon examination, pulse was absent, chest/oppression full, shortness of breath, sweating—critical condition. I formulated Jiawei Liangyi Tang (Modified Two Principles Decoction): Ren Shen (Radix Ginseng) (2 qian), Shu Di Huang (Radix Rehmanniae Preparata) (1 liang), E Jiao (Colla Corii Asini) (3 qian), Ai Ye (Folium Artemisiae Argyi) (1 qian), Fu Zi (Radix Aconiti Lateralis Preparata) (1 qian), Zhi Huang Qi (Radix Astragali Preparata) (1 liang), Dang Gui (Radix Angelicae Sinensis) (3 qian). Urged immediate decoction. Family feared tonification, took half a dose, oppression persisted. I insisted on full dose. Chest relief, breathing normalized, pulse resumed. Next morning, original formula repeated. Previous doctor arrived, hesitant. Seeing my prescription, pondered, then said, "Absent pulse and shortness of breath indicate certain death. Your courage to use strong tonification is admirable; I dare not." I explained, "This is the *Neijing* principle of 'treating obstruction with tonification.' Qi fails to root, lower body fails to grasp Qi, causing floating upward. Lower deficiency, upper excess. Blood lost, Yang unattached. Without strong tonification, collapse is imminent. How else to revive?" Physicians were deeply impressed.