Postpartum paralysis, also known as postpartum body pain, postpartum body pain, postpartum joint pain, postpartum gout, postpartum wind, etc., that is, commonly known as “postpartum rheumatism”. Postpartum paralysis is a common disease of women after childbirth (or after a small childbirth), such as pain, numbness, heaviness, unfavorable joint movement, or even swollen joints. The key to the pathogenesis of postpartum palsy is blood deficiency and wind. When a woman’s vital energy is damaged during childbirth, either because of qi depletion or blood loss, it can lead to deficiency of both qi and blood, and lack of consolidation of the punching point; during childbirth, due to forceful delivery, sweating and birth trauma, it can kill blood and injure fluid, leading to the death of yin and blood, deficiency of yang and floating dispersion, and other diseases. Just as the Sui Dynasty? Chao Yuanfang, etc. compiled by the “source of diseases,” the forty-third volume mentioned that “the birth is wounded blood, strain and damage to the internal organs, after the recovery, early labor, gas deficiency and the wind evil take advantage of the injury, resulting in the onset of stroke, so said. If the wind and cold, the first guest skin meridians, pain and paralysis, bitter lack of less gas …”. .” . Because of the postpartum vital energy, blood and fluid are injured, the couples are loose, the so-called “postpartum hundred sections of the void”, so a little careless life or proper care, it is easy to feel the external evil and the onset of the disease. And women after childbirth “more deficiency and more stasis” characteristics of the pathogenesis is the basis and internal causes of postpartum paralysis. Therefore, for patients with postpartum rheumatoid arthritis, the initial stage of the disease is based on its onset after delivery, the short duration of the disease, and the clinical manifestations such as paralysis and obstruction of meridians by evil qi, and the identification of evidence is mostly mixed with deficiency and reality. Because blood deficiency and wind is the key to the onset of the disease, blood deficiency, the limbs and bones are empty, the meridians and joints are not moistened, resulting in limb soreness, pain, numbness; postpartum wind, the Ying and Wei is not regulated, wind, cold and damp evil take advantage of the deficiency and enter the joints and limbs, so that the flow of Qi and blood is not smooth, stasis blocking the meridians and pain, so in the early stage of treatment to nourish the blood to dispel the wind as the main method, supplemented by the elimination of evil to pass through the pain. In the middle and late stages, the basic principle of treatment is to dispel the evil and relieve pain, and according to the prevalence of evil, to dispel wind, dispel cold, spasm dampness, clear heat, dispel phlegm and eliminate blood stasis. We clinically found that rheumatoid arthritis is mostly seen in cold and heat, especially in the rheumatoid arthritis attack period, due to postpartum care is not appropriate, body weakness by cold, cold from heat or heat, easy to produce cold and heat mixed evidence. Therefore, the symptoms include aversion to cold and warmth, joint pain and swelling or deformation, localized heat when touched, but conscious heat; or no heat when touched, but conscious heat; red tongue with yellow coating or yellow-white combination, and thin or fine pulse. In the early stage, the formula uses Huangqi Gui Zhi Wu Wu Wu Tang combined with Gui Zhi Shao Yao Zhi Mu Tang (Jin Gui Yao) plus and minus. In the middle and late stages, Gui Zhi Shao Yao Zhi Mu Tang with addition and reduction is the main formula. Huang Qi Gui Zhi Wu Wu Wu Tang and Gui Zhi Shao Yao Zhi Mu Tang, both from “Jin Gui Yao Yao”, where the chapter “Blood Paralysis Void Labor Disease” says “Blood Paralysis Yin and Yang are both weak, inch mouth Guan Shang micro, ulnar small and medium tight, external evidence of the body is not benevolent, like wind paralysis, Huang Qi Gui Zhi Wu Wu Wu Wu Tang is the main.” Huangqi Gui Zhi Wu Wu Wu Tang is a common clinical formula for the treatment of postpartum paralysis, with astragalus sweet and warm to benefit the qi, ginger to help Gui Zhi pass the yang and move the paralysis, peony and ying to regulate the blood, jujube to harmonize the ying and guard, the five drugs together to benefit the qi and pass the yang, and ying to move the paralysis effect. When the patient has obvious symptoms of blood deficiency, white peony and rehmannia are added to nourish the blood and invigorate the blood; when the patient has obvious symptoms of kidney deficiency, rehmannia is added to nourish the kidney, fill the essence and nourish the blood; when the patient has obvious symptoms of blood stasis, Chuanxiong, peach kernel and safflower are added to invigorate the blood and remove blood stasis, promote the circulation and relieve pain. The chapter of “Stroke and Joint Diseases” says: “Pain in all the limbs and joints, the body is weak, the feet are swollen as off, the head is dizzy and short of breath, the temperature is warm and vomiting, Gui Zhi and Shao Yao Zhi Mu Tang is the mainstay.” It is used in the treatment of rheumatoid arthritis due to wind, cold, dampness and other external evil attacking the body and blocking the meridians, resulting in poor flow of qi and blood, manifesting as soreness, numbness, heaviness, flexion and extension of muscles, tendons and joints, or even swelling and burning of the joints. We mostly use this formula for treating cold and heat symptoms, but when the heat is not very obvious, we add and subtract the application: on the basis of the original formula, we add Qing Feng Vine, Dan Shen, Hai Tong Pi, Centipede, etc., to dredge the meridians and invigorate blood, and relieve pain. In this formula, Gui Zhi is the ruling herb to warm the meridians and harmonize the Ying and Wei. Effects. The combination of all the drugs, taking into account both the surface and the inside, and has a warming and dispersing without harming Yin, nourishing Yin without hindering Yang, and regulate both cold and heat.