产后去血劳伤，再加之调养失宜，致令骨蒸劳热。若富贵之家，虽有美食及药力以调养
，必有他事不如意而怒动肝火，耗伤其方生之血，亦能致饮食减少，虚羸体倦。况新产之妇
，原属血虚，所生之血无几，一经伤耗，则阴血更虚，焉得不成内热骨蒸也，即藜藿之人，
不特无美食药力滋生气血，更兼自乳其子，则方生之血岂能骤足。倘本质瘦弱，又焉得而不
阴虚内热以成骨蒸也。故治产后虚弱，用参归汤。作寒热，白茯苓散。虚证杂见成蓐劳者，
鳖甲汤。无疾觉虚，十全大补汤，又当归羊肉汤。有治产后骨蒸，先服清骨散，后服保正汤
，又有加味大造丸亦能治骨蒸劳热。《医通》云∶产后蓐劳，疲极筋力，忧心劳虚。或产后
将养失宜，致令虚羸喘乏，寒热如疟，百节烦痛，头疼自汗，肢体倦怠，咳嗽痰逆，腹中绞
刺，当扶正为主，六君子加当归。若脾肺气虚，咳嗽口干，异功散加麦冬、五味。气虚头晕
，补中益气倍用归、 。肝经血虚，肢体作痛，四物加参、苓、术、桂。肝肾虚弱，自汗盗
汗，往来寒热，六味丸加五味子。脾虚血弱，腹痛，月经不调，归脾汤倍木香。血虚有热，
增损柴胡汤。骨蒸劳热，咳嗽有经者，异功散去术，加山药、丹皮、五味、阿胶、童便。热
而无痰、干咳、逍遥散，用蜜煎姜、橘，蜜蒸白术。产后虚损，不时寒热，或经一二载，元
神不复，月事不转，先与千金当归芍药汤，后与乌骨鸡丸调补。大抵此证多因脾胃虚弱，饮
食减少，以致疲惫而成。当补脾胃，进饮食，则诸脏有所倚赖，病自愈矣！
参归汤∶沼产后虚弱。人参、当归（酒浸）各二钱，猪肾一个，糯米、葱白水煎服。
白茯苓散∶治产后蓐劳，头目肢体疼痛，寒热如疟。人参、当归、熟地、川芎、白芍（
炒）、黄 （蜜炙）、桂心各五分，茯苓一钱，猪肾一个，姜、枣引，水煎服。
鳖甲汤∶治产后虚证杂见成蓐劳。黄 （蜜炙）、鳖甲各一钱，牛膝七分（酒蒸），人参、
茯苓、当归、白芍（炒）、桑寄生、麦冬（去心）、熟地、桃仁（去皮尖）、桂心、炙草各五
分，
当归羊肉汤∶治产后无疾觉虚。当归五两，黄 四两（蜜炙），生姜六两，肥羊肉一斤，
煮取汁煎药，分四服。
清骨散∶治骨蒸劳热，男女皆可用。柴胡、前胡、胡黄连、乌梅各八分，猪骨髓一段，
韭白十根，水煎成，入猪胆汁少许服。一方，将药为末，猪髓一钱，猪胆汁一个，韭白同捣
为丸绿豆大。每服三四十丸，开水食后送下。
保正汤∶人参、茯苓、白术（土炒，如咳嗽用蜜蒸）、麦冬（去心）、白芍（炒）、枸杞、
生
各二钱
天冬只用
增损柴胡汤∶治少阳血虚，寒热不止。人参、川芎、芍药、炙草各一钱，柴胡、制半夏
各一钱，陈皮八分，姜五片，大枣四枚，水煎服。
千金当归芍节约汤∶治产后烦满不安。人参、芍药（炒）、麦冬（去心）、干地黄各一钱，
当归一钱五分，桂心四分，粳米一撮，生姜三片，去核大枣三枚，水煎服。
乌骨鸡丸∶治妇人郁结不舒，蒸热咳嗽，月事不调，或久闭不行，或倒经血溢于上，或
产后蓐劳，或崩淋不止及带下赤白、血淫诸证，兼疗男子 丧太早，劳嗽吐红，或虚损者。
乌骨鸡一只（取白丝毛者方可用，男用雌，女用雄，拣嫩长者，搦倒，泡去毛，竹刀剖胁，
出肫肝，去秽，留内金，并去肠垢，仍入腹内），熟地四两（如血热加生地二两），北五味一
两（碎。上二味入鸡腹内，用陈酒或酒酿、童便各二碗，水数碗，于砂锅内，旋煮旋添、糜
烂汁尽），棉黄 三两（去皮，蜜酒拌炙），于术三两（饭上蒸九次），白茯苓（去皮净）、归
身（
上五味预为粗末，同鸡肉捣烂焙干，骨用酥炙，共为细末，入下项药∶
人参三两（虚甚加至六两），川芎一两（童便浸，切晒），牡丹皮二两（酒浸，勿炒），
上三
贮。
大便实者，炼白蜜为丸亦可。骨蒸加炙九肋鳖甲三两，银柴胡、地骨皮各一两五钱。经
闭加肉桂一两。崩漏下血，倍熟地，加真阿胶二两。倒经血溢，加去心麦冬二两。郁结痞闷
，加童便制香附二两，沉香五钱。赤白带下，加真川萆 二两，四制香附二两，蕲艾一两。
白淫，倍用参、 、苓、术。
按∶乌骨鸡丸，诸药皆寻常而无奇处，治调经最验。盖鸡属巽补肝，犹妙在乌骨益肾，
变巽归坎，甲癸同源，兼滋冲任也。
产后因失血导致劳伤，再加上调养不当，致使出现骨蒸劳热。如果是富贵人家，虽然有美食和药物来调养，但必然会有其他事情不如意而恼怒引发肝火，耗伤刚刚生成的血液，也会导致饮食减少，身体虚弱疲倦。何况刚生产完的妇女，原本就属于血虚，所生的血量很少，一旦受到损伤消耗，阴血更加虚弱，怎么能不形成内热骨蒸呢？即使是平民百姓，不仅没有美食和药物来滋养气血，还要亲自哺乳孩子，那么刚刚生成的血液怎么可能迅速充足。如果体质本来就瘦弱，又怎么能不发生阴虚内热而形成骨蒸呢。所以治疗产后虚弱，使用参归汤。出现寒热交替症状的，用白茯苓散。虚证混杂出现形成蓐劳的，用鳖甲汤。没有明显疾病但感觉虚弱的，用十全大补汤，或者当归羊肉汤。有的治疗产后骨蒸，先服用清骨散，后服用保正汤，还有加味大造丸也能治疗骨蒸劳热。《医通》说：产后蓐劳，是筋力极度疲劳，忧虑思虑导致虚损。或者是产后调养不当，导致身体虚弱消瘦、气喘乏力，像疟疾一样的寒热交替，全身关节烦痛，头痛自汗，肢体倦怠，咳嗽痰逆，腹中绞痛刺痛，应当以扶正为主，用六君子汤加入当归。如果是脾肺气虚，咳嗽口干，用异功散加入麦冬、五味子。气虚头晕，用补中益气汤加倍使用当归、黄芪。肝经血虚，肢体疼痛，用四物汤加入人参、茯苓、白术、桂枝。肝肾虚弱，自汗盗汗，往来寒热，用六味地黄丸加入五味子。脾虚血弱，腹痛，月经不调，用归脾汤加倍木香。血虚有热，用增损柴胡汤。骨蒸劳热，咳嗽有经期的（或指特定病程），用异功散去白术，加入山药、丹皮、五味子、阿胶、童便。热而无痰、干咳的，用逍遥散，用蜂蜜煎姜、橘，蜜蒸白术。产后虚损，不时出现寒热，或者经过一两年，元气神气不能恢复，月经不来潮，先用千金当归芍药汤，后用乌骨鸡丸调理补益。大抵这个病症多因为脾胃虚弱，饮食减少，以致疲惫而成。应当补益脾胃，增进饮食，那么各脏腑有所依赖，病自然就好了！
参归汤：治疗产后虚弱。人参、当归（酒浸）各二钱，猪肾一个，糯米、葱白水煎服。
白茯苓散：治疗产后蓐劳，头目肢体疼痛，寒热像疟疾一样。人参、当归、熟地、川芎、白芍（炒）、黄芪（蜜炙）、桂心各五分，茯苓一钱，猪肾一个，姜、枣做引子，水煎服。
鳖甲汤：治疗产后虚证混杂出现形成蓐劳。黄芪（蜜炙）、鳖甲各一钱，牛膝七分（酒蒸），人参、茯苓、当归、白芍（炒）、桑寄生、麦冬（去心）、熟地、桃仁（去皮尖）、桂心、炙甘草各五分。
当归羊肉汤：治疗产后没有疾病但感觉虚弱。当归五两，黄芪四两（蜜炙），生姜六两，肥羊肉一斤，煮取汁液煎药，分四次服用。
清骨散：治疗骨蒸劳热，男女都可以使用。柴胡、前胡、胡黄连、乌梅各八分，猪骨髓一段，韭白十根，水煎成，加入少许猪胆汁服用。另一方，将药研为末，猪髓一钱，猪胆汁一个，韭白一起捣碎做成绿豆大小的丸剂。每次服用三四十丸，开水饭后送下。
保正汤：人参、茯苓、白术（土炒，如咳嗽用蜜蒸）、麦冬（去心）、白芍（炒）、枸杞、生地黄各二钱。天冬只用……（原文此处似有缺漏或排版问题，依文意保留）。
增损柴胡汤：治疗少阳血虚，寒热不止。人参、川芎、芍药、炙甘草各一钱，柴胡、制半夏各一钱，陈皮八分，姜五片，大枣四枚，水煎服。
千金当归芍药汤：治疗产后烦闷胀满不安。人参、芍药（炒）、麦冬（去心）、干地黄各一钱，当归一钱五分，桂心四分，粳米一撮，生姜三片，去核大枣三枚，水煎服。
乌骨鸡丸：治疗妇人郁结不舒，蒸热咳嗽，月经不调，或者久闭不行，或者倒经血溢于上，或者产后蓐劳，或者崩漏不止以及带下赤白、白淫等各种证候，兼治男子房事太早，劳嗽吐红，或者虚损者。乌骨鸡一只（取白丝毛的才能用，男性用雌鸡，女性用雄鸡，挑选嫩且长的，弄倒，泡去毛，用竹刀剖开胁部，取出肫和肝，去除污秽，保留内金，并去除肠垢，仍放入腹内），熟地四两（如果血热加生地二两），北五味子一两（捣碎。以上两味放入鸡腹内，用陈酒或酒酿、童便各两碗，水几碗，在砂锅内，边煮边添加，煮至糜烂汁尽），棉黄芪三两（去皮，蜜酒拌着炙烤），白术三两（饭上蒸九次），白茯苓（去皮净）、当归身（原文此处似有缺漏，依文意保留）。以上五味预先制成粗末，同鸡肉捣烂焙干，骨头用酥油炙烤，共研为细末，加入以下药物：人参三两（虚甚加至六两），川芎一两（童便浸，切晒），牡丹皮二两（酒浸，不要炒）。以上三种……（原文此处似有缺漏，依文意保留）。大便干燥结实的人，炼白蜜为丸也可以。骨蒸加炙九肋鳖甲三两，银柴胡、地骨皮各一两五钱。经闭加肉桂一两。崩漏下血，加倍熟地，加真阿胶二两。倒经血溢，加去心麦冬二两。郁结痞闷，加童便制的香附二两，沉香五钱。赤白带下，加真川萆薢二两，四制香附二两，蕲艾一两。白淫，加倍使用人参、黄芪、茯苓、白术。
按语：乌骨鸡丸，各种药物都是寻常而没有奇特之处，治疗调经最灵验。大概鸡属巽卦补肝，妙处在于乌骨益肾，变巽卦归坎卦，甲癸同源，兼滋冲任二脉也。
Postpartum labor injury caused by blood loss, combined with improper nursing care, leads to bone-steaming consumption fever. If it is a wealthy family, although there are good food and medicinal power for nursing, there must be other matters that are not satisfactory, causing anger to stir up liver fire, consuming the newly generated blood, which can also lead to reduced diet, deficiency, emaciation, and body fatigue. Moreover, women who have just given birth originally belong to blood deficiency, with very little blood generated; once injured and consumed, yin-blood becomes even more deficient, how can it not become internal heat and bone-steaming? Even for common people, not only are there no good foods and medicines to nourish qi and blood, but they also breastfeed their children themselves, so how can the newly generated blood suddenly become sufficient? If the constitution is originally thin and weak, how can it not become yin-deficiency internal heat and form bone-steaming? Therefore, to treat postpartum weakness, Shen Gui Tang (Ginseng and Angelica Decoction) is used. For alternating chills and fever, Bai Fu Ling San (Poria Powder) is used. For mixed deficiency symptoms forming Ru Lao (postpartum consumption), Bie Jia Tang (Turtle Shell Decoction) is used. For feeling weak without obvious disease, Shi Quan Da Bu Tang (Ten Significant Tonifying Decoction) or Dang Gui Yang Rou Tang (Angelica and Mutton Decoction) is used. Some treatments for postpartum bone-steaming involve first taking Qing Gu San (Bone-Clearing Powder), then Bao Zheng Tang (Protect Uprightness Decoction); additionally, Jia Wei Da Zao Wan (Modified Great Creation Pill) can also treat bone-steaming consumption fever. *Yi Tong* states: Postpartum Ru Lao is extreme fatigue of sinews and muscles, worry and mental labor causing deficiency. Or due to improper postpartum care, leading to deficiency, emaciation, panting, and fatigue, chills and fever like malaria, vexation and pain in all joints, headache, spontaneous sweating, limb fatigue, cough with counterflow of phlegm, abdominal cramping and stabbing pain. One should primarily support the upright qi, using Liu Jun Zi Tang (Six Gentlemen Decoction) added with Dang Gui (Angelica Sinensis). If spleen and lung qi are deficient, with cough and dry mouth, Yi Gong San (Master Yi's Powder) is added with Mai Dong (Ophiopogon Tuber) and Wu Wei Zi (Schisandra Berry). For qi deficiency causing dizziness, Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) uses doubled Dang Gui (Angelica Sinensis) and Huang Qi (Astragalus Root). For liver meridian blood deficiency causing limb pain, Si Wu Tang (Four Substances Decoction) is added with Ren Shen (Ginseng), Fu Ling (Poria), Bai Zhu (Atractylodes Macrocephala Rhizome), and Gui Zhi (Cinnamon Twig). For liver and kidney deficiency, with spontaneous sweating, night sweats, and alternating chills and fever, Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) is added with Wu Zi Zi (Schisandra Berry). For spleen deficiency and weak blood, with abdominal pain and irregular menstruation, Gui Pi Tang (Restore the Spleen Decoction) uses doubled Mu Xiang (Costus Root). For blood deficiency with heat, Zeng Sun Chai Hu Tang (Modified Bupleurum Decoction) is used. For bone-steaming consumption fever with cough having a menstrual cycle context (or specific course), Yi Gong San (Master Yi's Powder) removes Bai Zhu (Atractylodes Macrocephala Rhizome) and adds Shan Yao (Dioscorea Rhizome), Dan Pi (Moutan Cortex), Wu Wei Zi (Schisandra Berry), E Jiao (Donkey-Hide Gelatin), and Tong Bian (Child's Urine). For heat without phlegm, dry cough, Xiao Yao San (Free and Easy Wanderer Powder) is used, with honey-fried ginger and orange, and honey-steamed Bai Zhu (Atractylodes Macrocephala Rhizome). For postpartum deficiency damage, intermittent chills and fever, or lasting one or two years with yuan shen (original spirit) not recovering and menstruation not returning, first give Qian Jin Dang Gui Shao Yao Tang (Thousand Gold Angelica and Peony Decoction), then use Wu Gu Ji Wan (Black-Bone Hen Pill) for regulation and tonification. Generally, this condition is mostly due to spleen and stomach weakness, reduced diet, leading to exhaustion. One should tonify spleen and stomach, advance diet, so that all zang-fu organs have reliance, and the illness will heal itself!
Shen Gui Tang (Ginseng and Angelica Decoction): Treats postpartum weakness. Ren Shen (Ginseng) and Dang Gui (Angelica Sinensis) (soaked in wine) each 2 qian, one pig kidney, glutinous rice, and scallion white water decocted and taken orally.
Bai Fu Ling San (Poria Powder): Treats postpartum Ru Lao (consumption), pain in head, eyes, and limbs, chills and fever like malaria. Ren Shen (Ginseng), Dang Gui (Angelica Sinensis), Shu Di (Prepared Rehmannia Root), Chuan Xiong (Sichuan Lovage Rhizome), Bai Shao (White Peony Root) (stir-fried), Huang Qi (Astragalus Root) (honey-roasted), Gui Xin (Cinnamon Heart) each 5 fen, Fu Ling (Poria) 1 qian, one pig kidney, ginger and jujube as guides, water decocted and taken orally.
Bie Jia Tang (Turtle Shell Decoction): Treats postpartum mixed deficiency symptoms forming Ru Lao (consumption). Huang Qi (Astragalus Root) (honey-roasted), Bie Jia (Turtle Shell) each 1 qian, Niu Xi (Achyranthes Root) 7 fen (wine-steamed), Ren Shen (Ginseng), Fu Ling (Poria), Dang Gui (Angelica Sinensis), Bai Shao (White Peony Root) (stir-fried), Sang Ji Sheng (Taxillus Branch), Mai Dong (Ophiopogon Tuber) (heart removed), Shu Di (Prepared Rehmannia Root), Tao Ren (Peach Seed) (skin and tip removed), Gui Xin (Cinnamon Heart), Zhi Cao (Honey-fried Licorice Root) each 5 fen.
Dang Gui Yang Rou Tang (Angelica and Mutton Decoction): Treats postpartum feeling weak without disease. Dang Gui (Angelica Sinensis) 5 liang, Huang Qi (Astragalus Root) 4 liang (honey-roasted), Sheng Jiang (Fresh Ginger) 6 liang, fat mutton 1 jin, boiled to extract juice to decoct medicine, divided into four doses.
Qing Gu San (Bone-Clearing Powder): Treats bone-steaming consumption fever, usable for both men and women. Chai Hu (Bupleurum Root), Qian Hu (Peucedani Radix), Hu Huang Lian (Picrorhiza Rhizome), Wu Mei (Mume Fruit) each 8 fen, one segment of pig bone marrow, ten roots of leek white, water decocted until ready, add a little pig bile and take orally. Another method: grind medicine into powder, mix with 1 qian pig bone marrow, one pig bile, and leek white, pound together into pills the size of mung beans. Take 30-40 pills each time, send down with boiling water after meals.
Bao Zheng Tang (Protect Uprightness Decoction): Ren Shen (Ginseng), Fu Ling (Poria), Bai Zhu (Atractylodes Macrocephala Rhizome) (earth-fried, if cough use honey-steamed), Mai Dong (Ophiopogon Tuber) (heart removed), Bai Shao (White Peony Root) (stir-fried), Gou Qi (Goji Berry), Sheng Di Huang (Rehmannia Root) each 2 qian. Tian Dong (Asparagus Tuber) only uses... (Original text here seems to have omissions or layout issues, retained as per meaning).
Zeng Sun Chai Hu Tang (Modified Bupleurum Decoction): Treats Shaoyang blood deficiency, unceasing chills and fever. Ren Shen (Ginseng), Chuan Xiong (Sichuan Lovage Rhizome), Shao Yao (Peony Root), Zhi Cao (Honey-fried Licorice Root) each 1 qian, Chai Hu (Bupleurum Root), Zhi Ban Xia (Prepared Pinellia Tuber) each 1 qian, Chen Pi (Citrus Reticulata Peel) 8 fen, 5 slices of ginger, 4 jujubes, water decocted and taken orally.
Qian Jin Dang Gui Shao Yao Tang (Thousand Gold Angelica and Peony Decoction): Treats postpartum vexation, fullness, and uneasiness. Ren Shen (Ginseng), Shao Yao (Peony Root) (stir-fried), Mai Dong (Ophiopogon Tuber) (heart removed), Gan Di Huang (Dried Rehmannia Root) each 1 qian, Dang Gui (Angelica Sinensis) 1.5 qian, Gui Xin (Cinnamon Heart) 4 fen, a pinch of Jing Mi (Glutinous Rice), 3 slices of ginger, 3 pitted jujubes, water decocted and taken orally.
Wu Gu Ji Wan (Black-Bone Hen Pill): Treats women with depression and discomfort, steaming heat and cough, irregular menstruation, or long-term amenorrhea, or retrograde menstruation with bleeding from above, or postpartum Ru Lao (consumption), or metrorrhagia and leukorrhea with red and white discharge, and various conditions of Bai Yin (white discharge); also treats men with premature seminal emission, consumption cough with hemoptysis, or deficiency damage. One black-bone hen (only white-silk-feathered ones can be used; males use female chickens, females use male chickens, select tender and long ones, restrain them, soak to remove feathers, cut open flanks with a bamboo knife, remove gizzard and liver, remove filth, keep inner gold lining, and remove intestinal dirt, still put back inside abdomen), Shu Di (Prepared Rehmannia Root) 4 liang (if blood heat add Sheng Di Huang/Rehmannia Root 2 liang), Bei Wu Wei Zi (Schisandra Berry) 1 liang (crushed. Put these two ingredients into the chicken abdomen, use aged wine or fermented rice wine, Tong Bian (Child's Urine) each 2 bowls, water several bowls, in a clay pot, boil while adding continuously, until mushy and juice is exhausted), Mian Huang Qi (Astragalus Root) 3 liang (skin removed, mixed with honey-wine and roasted), Bai Zhu (Atractylodes Macrocephala Rhizome) 3 liang (steamed on rice nine times), Bai Fu Ling (Poria) (skin removed, cleaned), Dang Gui Shen (Angelica Sinensis Root Head)... (Original text here seems to have omissions, retained as per meaning). The above five ingredients are pre-coarsely ground, pounded together with chicken meat, baked dry, bones roasted with butter, ground together into fine powder, add the following medicines: Ren Shen (Ginseng) 3 liang (if very deficient increase to 6 liang), Chuan Xiong (Sichuan Lovage Rhizome) 1 liang (soaked in child's urine, sliced and dried), Mu Dan Pi (Moutan Cortex) 2 liang (soaked in wine, do not fry). The above three... (Original text here seems to have omissions, retained as per meaning). For those with solid stools, refining white honey into pills is also acceptable. For bone-steaming, add Zhi Jiu Lei Bie Jia (Honey-roasted Nine-Ribbed Turtle Shell) 3 liang, Yin Chai Hu (Stellariae Radix), Gu Pi (Lycii Cortex) each 1.5 liang. For amenorrhea, add Rou Gui (Cinnamon Bark) 1 liang. For metrorrhagia and bleeding, double Shu Di (Prepared Rehmannia Root), add Zhen E Jiao (Authentic Donkey-Hide Gelatin) 2 liang. For retrograde menstruation with bleeding, add Qu Xin Mai Dong (Ophiopogon Tuber with heart removed) 2 liang. For depression and stuffiness, add Tong Bian Zhi Xiang Fu (Child's Urine-processed Cyperi Rhizoma) 2 liang, Chen Xiang (Aquilaria Wood) 5 qian. For red and white leukorrhea, add Zhen Chuan Bi Xie (Authentic Dioscoreae Hypoglaucae Rhizoma) 2 liang, Si Zhi Xiang Fu (Four-Processed Cyperi Rhizoma) 2 liang, Qi Ai (Artemisia Argyi Leaf) 1 liang. For Bai Yin (white discharge), double the use of Ren Shen (Ginseng), Huang Qi (Astragalus Root), Fu Ling (Poria), Bai Zhu (Atractylodes Macrocephala Rhizome).
Note: Wu Gu Ji Wan (Black-Bone Hen Pill), all medicines are ordinary without anything special, most effective for regulating menstruation. The chicken belongs to Xun trigram tonifying liver, the wonder lies in black bone benefiting kidney, changing Xun to Kan, Jia and Gui share the same source, simultaneously nourishing Chong and Ren meridians.