Development of TCM Internal Medicine

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Tonifying Herbs
Qi deficient symptoms Sp. Qi Def. lethargy, weakness in the extremities, lack of appetite, abdominal distention or pain, and loose stools or diarrhea Lu. Qi Def. shortness of breath, shallow breathing, dyspnea on exertion, weak voice, pallid complexion, and spontaneous sweating. Blood deficient symptoms Pallid face lips, dizziness, vertigo, diminished vision, lethargy, palpitations, dry skin, menstrual irregularities, pale tongue, and a fine pulse Qi deficient symptoms Sp. Qi Def. lethargy, weakness in the extremities, lack of appetite, abdominal distention or pain, and loose stools or diarrhea Lu. Qi Def. shortness of breath, shallow breathing, dyspnea on exertion, weak voice, pallid complexion, and spontaneous sweating. Blood deficient symptoms Pallid face lips, dizziness, vertigo, diminished vision, lethargy, palpitations, dry skin, menstrual irregularities, pale tongue, and a fine pulse

Tonifying the Qi Ren Shen, Dang Shen, Huang Qi, Shan Yao, Bai Zhu, Da Zao, Gan Cao, Bai Bian Dou, Yi Tang, Tai Zi Shen, Huang Jing
Tonify the Blood Shu Di Huang Dang Gui Bai Shao E Jiao Gou Qi Zi Sang Shen Long Yan Rou He Shou Wu

Contraindications Contraindications


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Herbs that tonify the Qi
Ren Shen, ?? Dang Shen, ?? Huang Qi,
?? Shan Yao, ?? Bai Zhu, ?? Da Zao, ?? Gan Cao,
?? Bai Bian Dou, ??? Yi Tang, ??
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Ren Shen ??
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Ren Shen ?? ( slightly warm )
Pharmaceutical Name Ginseng Radix
Actions 1. Powerful tonifies the primal Qi
Actions 2. Strengthen the Spleen tonifies the Stomach
Actions 2. Tonifies the Lungs augments the Qi
Actions 3. Generates fluids stops thirst
Actions 3. Benefits the Heart Qi calms the spirit
Actions 4. Miscellaneous adjunctive effect
Indications ( Deficiency ) Sp. Lu Qi def.
Indications ( Deficiency ) Wheezing, shortness of breath
Indications ( Deficiency ) Wasting thirsting disorder
Indications ( Deficiency ) Papitations with anxiety, insomnia
Dosage 3 9 g
Cook
Toxic Sym. Maculopapular rashes, headache, vertigo, fever, and bleeding
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Ren Shen ?? ( slightly warm )
Contraindications retention of a pathogen
Contraindications Liver Yang rising up
Contraindications Damp Heat
Combinations Combinations Combinations
Indications Formular
Fu Zi ?? Collapsed qi devastated yang Shen Fu Tang
Mai Dong ?? WuWeiZi ??? Spontaneous sweating associated with Qi Yin def. Sheng Mai San ???
Shu Di Huang ??? Qi Blood def.
Bai Zhu ?? Fu Ling ?? Spleen St. def. Si Jun Zi Tang ????
Huang Qi ?? ChaiHu ?? Prolapse Bu Zhong Yi Qi Tang ?????
Dang Gui ?? LongYanRou Insomnia, palpitations Gui Pi Tang ???
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Dang Shen ??
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Dang Shen ?? ( Neutral )
Pharmaceutical Name Codonopsis Radix
Actions 1. Tonifies the middle burner augments the Qi
Actions 2. Tonifies the Lungs
Actions 3. Also used with herbs that release the exterior or drain downward when presentation includes significant qi def.
Actions
Indications ( def. ) Spleen Qi def. diarrrhea, fatigue
Indications ( def. ) Chronic cough
Indications ( def. ) Significant qi def.
Indications ( def. )
Dosage 6 9 g
Cook
Toxic Sym. Very low toxicity throat pain, vertigo, impaired vision, spasm of legs
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Dang Shen ?? ( Neutral )
Contraindications Excess pathogens
Combinations Combinations Combinations
Indications Formular
Fu Ling ?? Bai Zhu ?? Spleen St. def. Si Jun Zi Tang
Dang Gui ?? Sheng Di ?? Qi Blood def.
Huang Qi ?? Fatigue, shortness of breath
Zi Wan ?? Cough due to deficiency
Dang Gui ?? Da Huang ?? Interior excess accompanied by significant def.
Zi Su Ye ??? Exterior wind-cold contracted by one with underlying Qi def. Shen Su Yin ???
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Huang Qi ??
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Huang Qi ?? ( Warm )
Pharmaceutical Name Astragali Radix
Actions 1. Tonifies the qi blood
Actions 1. Tonifies the Spleen raises the yang
Actions 2. Augments the protective qi stabilizes the exterior
Actions 3. Promotes urination and reduces edema
Actions 3. Promotes the discharges of pus generates flesh
Indications ( def. ) Severe loss of blood
Indications ( def. ) Lack of appetite, fatigue, diarrhea
Indications ( def. ) Escessive sweating associated with qi def.
Indications ( def. ) Superficial edema reduced urination
Indications ( def. ) Chronic ulcerations sores due to def.
Dosage 9 15 g
Cook
Toxic Sym. Headache, insomnia, dizziness, flushing, high blood pressure
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Huang Qi ?? ( Warm )
Contraindications Significant heat toxin
Combinations Combinations Combinations
Indications Formular
Ren Shen ?? General debility
Long Yan Rou ??? Dang Gui ?? insomnia Gui Pi Tang ???
San Qi ?? E Jiao ?? Bleeding due to qi def.
Sheng Ma ?? Chai Hu ?? Uterine prolapse Bu Zhong Yi Qi Tang ?????
Fang Feng ?? Bai Zhu ?? Spontaneous sweating Yu Ping Feng San ????
Mai Dong ?? Wu Wei Zi ??? Night sweat
Fang Ji ?? Bai Zhu ?? Wind edema
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Shan Yao ??
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Shan Yao ?? ( neutral )
Pharmaceutical Name Dioscoreae Rhizoma
Actions 1. Tonifies and augments the spleen stomach
Actions 1. Tonifies the lung qi augments the lung yin
Actions 2. Tonifies the kidneys also stabilizes the binds
Indications ( def. ) Diarrhea fatigue
Indications ( def. ) Spontaneous sweating
Indications ( def. ) Chronic cough or wheezing
Indications ( def. ) Spermatorrhea,
Indications ( def. ) vaginal discharge
Dosage 9 30 g
Cook
Toxic Sym. Allergic reactions maculopapular rashes
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Shan Yao ?? ( neutral )
Contraindications Accumulation of dampness
Combinations Combinations Combinations
Indications Formular
Fu Ling ?? Bai Zhu ?? Loose, watery stools due to spleen def. Shen Ling Bai Zhu San ?????
MaiYa ?? Ji Nei Jin ??? Food stag. Due to spleen def.
Yu Zhu ?? Shi Hu ?? Stomach yin def.
Mai Dong ?? Wu Wei Zi ??? Cough due to lung def.
Shu Di Huang ??? Shan Zhu Yu ??? Spermatorrhea night sweats due to kid. Def.
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Bai Zhu ??
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Bai Zhu ?? ( warm)
Pharmaceutical Name Atractylodis macrocephalae Rhizoma
Actions 1. Tonifies the Spleen augments the qi
Actions 1. Dries dampness promotes water metabolism
Actions 2. Stabilizes the exterior stops sweating
Actions 3. Calms the fetus
Indications ( Excess def.) Diarrhea fatigue
Indications ( Excess def.) Accumulation of fluids edema
Indications ( Excess def.) Spontaneous sweating
Indications ( Excess def.) Restless fetus
Dosage 6 15 g
Cook
Toxic Sym. Vomiting of blood, epistaxis, bloody stools
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Bai Zhu ?? ( warm)
Contraindications Internal heat from yin def. or thirst from exhausted fluids
Combinations Combinations Combinations
Indications Formular
Dang Shen ?? Gan Jiang ?? Diarrhea due to cold from def. Li Zhong Wan ???
Fu Ling ?? Yi Yi Ren ??? Dampness due to sp. Def. Shen Ling Bai Zhu San
Cang Zhu ?? Damp cold
Fu Ling ?? Gui Zhi ?? Edema due to Sp. Def.
Huang Qi ?? Fu Xiao Mai ??? Spontaneous sweating Yu Ping Feng San ????
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Da Zao ??
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Da Zao ?? ( warm )
Pharmaceutical Name Jujubae Fructus
Actions 1. Tonifies the Spleen augments the qi
Actions 2. Nourish the blood calms the spirit
Actions 3. Moderates harmonizes the harsh properties of other herbs
Actions
Indications ( def. ) Lassitude, reduced appetite
Indications ( def. ) Irritability, and severe emotional lability
Indications ( def. )
Indications ( def. )
Dosage 3 12 dates or 10 -30 g
Cook
Toxic Sym. Allergic reactions Urticaria of the skin, edema of the eyelids and dyspnea
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Da Zao ?? ( warm )
Contraindications Heat from excess
Combinations Combinations Combinations
Indications Formular
Sheng Jiang ?? Harmonize the middle Jiao
Dang Shen ?? Bai Zhu ?? Spleen St. weakness
E Jiao ?? Dang Gui ?? Nourish blood
Gan Cao ?? Xiao Mai ?? Restless organ disorder Gan Mai Da Zhao Tang ?????

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Gan Cao ??
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Gan Cao ?? ( neutral )
Pharmaceutical Name Glycyrrhizae Radix
Actions 1. Tonifies the Spleen augments the qi
Actions 2. Moistens the lungs stops coughs
Actions 3. Moderates spasms alleviates pain
Actions 3. Clears heat resolves the toxicity
Indications ( Excess def. ) Commonly used for spleen def.
Indications ( Excess def. ) Cough wheezing
Indications ( Excess def. ) Painful spasms of the abdomen or legs
Indications ( Excess def. ) Sore throat due to fire toxin
Dosage 1.5 9 g
Cook
Toxic Sym. Salt retention, hypertention, spasms numbness, dizziness, and headache
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Gan Cao ?? ( neutral )
Contraindications dampness
Combinations Combinations Combinations
Indications Formular
Dang Shen ?? Fu Ling ?? Spleen def. Si Jun Zi Tang ????
Ma Huang ?? Xing Ren ?? Cough due to wind-cold invading
Sang Ye ?? Jie Geng ?? Cough due to Wind-heat invading
Chai Hu ?? Dang Gui ?? Hypochondriac pain due to liver qi constraint Xiao Yao San ???
Jie Geng ?? Sore throat due to heat

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Bai Bian Dou ???
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Bai Bian Dou ???( neutral )
Pharmaceutical Name Lablab Semen album
Actions 1. Strengthens the spleen, nourishes the stomach, transforms dampness, and harmonize the middle
Actions 1. Clears summer heat with dampness
Actions 2. Treats poisoning
Actions
Indications ( Excess def. ) Chronic diarrhea
Indications ( Excess def. ) Summerheat patterns
Indications ( Excess def. ) Variety of food related poisoning
Indications ( Excess def. )
Dosage 9 30 g
Cook
Toxic Sym. Toxin do not take without cook, Nausea, vomiting, abdominal pain, diarrhea
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Bai Bian Dou ???( neutral )
Contraindications
Combinations Combinations Combinations
Indications Formular
Cang Zhu ?? Qian Shi ?? Vaginal discharge due to spleen def.
Bai Zhu ?? Sha Ren ?? Lack of appetite
Lu Gen ?? Puffer fish toxin


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Yi Tang ??
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Yi Tang ?? (warm)
Pharmaceutical Name Maltosum
Actions 1. Tonifies the spleen augments the qi
Actions 1. Tonifies the middle burner qi slleviates pain
Actions 2. Moistens the lungs stops coughs
Indications ( Excess Def. ) Shortness of breath
Indications ( Excess Def. ) Redueced appetite
Indications ( Excess Def. ) Nonproductive cough
Indications ( Excess Def. ) Sudden on set of cough
Indications ( Excess Def. )
Dosage 15 60 g
Cook
Toxic sym.
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Yi Tang ?? (warm)
Contraindications Damp heat
Combinations Combinations Combinations
Indications Formular
Dang shen ?? Zhi GanCao ??? Insufficient of the middle qi
Huang Qi ?? Severe deficiency
Gan Jiang ?? Hua Jiao ?? Def. of the middle Yang

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Herbs that tonify the Blood
Shu Di Huang ??? Dang Gui ?? Bai Shao ?? E
Jiao ?? Gou Qi Zi ??? Sang Shen ?? Long Yan
Rou ???
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Shu Di Huang ???
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Shu Di Huang ???( slightly warm )
Pharmaceutical Name Rehamnniae Radix preparata
Actions 1. Tonifies the blood
Actions 1. Nourishes the yin
Actions 2. Strongly enriches the yin relieves wasting and thirsting disorder
Actions 2. Nourishes the blood tonifies the essence
Indications (Def.) Blood def. facial pallor, dizziness, palpitations insomnia
Indications (Def.) Yin def. weak lower back limbs, dizziness tinnitus, tidal fever
Indications (Def.) Ascendant fire due to exhaustion of kidney yin
Indications (Def.) Impotence memory loss
Dosage 9 30 g
Cook
Toxic Sym. One report of an allergic skin reaction
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Shu Di Huang ???( slightly warm )
Contraindications Qi Stag. profuse phlegm, or dampness
Indications Formular
Dang Gui ?? Blood def.
E jiao ?? Ai Ye ?? Excessive uterine bleeding Jiao Ai Tang ???
Sha Ren ?? For patient suffered both blood def. spleen qi def.
Fu Zi ?? Rou Gui ?? Kidney Yang def. Jin Gui Shen Qi Wan ?????
Zhi Mu ?? Huang Bai ?? Low fever due to Yin def. Zhi Bai Di Huang Wan ?????
Shan Yao ?? Ze Xie ?? Ascendant fire due to exhaustion of kidney yin
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Dang Gui ??
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Dang Gui ?? ( warm )
Pharmaceutical Name Angelicae sinensis Radix
Actions 1. Tonifies the blood regulates the menses
Actions 2. Invigorates harmonizes the blood disperses cold
Actions 3. Moistens the intestines unblocks the bowels
Actions 3. Reduces swelling, expels pus, generates flesh, and alleviates pain
Actions 4. Treats coughs
Indications (Def. excess) Blood def. especially when affecting the heart Liver
Indications (Def. excess) Stop pain due to blood stasis
Indications (Def. excess) Chronic constipation due to qi blood def.
Indications (Def. excess) Sores abscess
Dosage 4.5 15 g
Cook
Toxic Sym. Mild lassitude, drowsiness, and urticaria
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Dang Gui ??( warm )
Contraindications Diarrhea or dampness
Indications Formular
Shu Di Huang ?? Blood def.
Bai Shao ?? Chuan Xiong ?? Shu Di ?? Menstrual irregularity, amenorrhea, dysmenorrhea due to blood def. Si Wu Tang ???
Ru Xiang ?? Mo Yao ?? Strains fractures
Xiang Fu ?? Yan Hu Suo ??? Dysmenorrhea
Chai Hu ?? Bai Shao ?? Liver Qi stag. Xiao Yao San ???
Rou Cong Rong??? Niu Xi ?? Chronic constipation Ji Chuan Jian ???
Jin Yin Hua ??? Xuan Shen ?? Reduce the swelling of abscess
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Bai Shao ??
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Bai Shao ?? ( mildly cold )
Pharmaceutical Name Paeoniae Radix alba
Actions 1. Nourishes the blood regulates the menses
Actions 2. Calms curbs the liver yang alleviates pain
Actions 2. Preserves the yin adjusts the nutritive protectives levels
Actions
Indications (Def.) Blood def. menstrual dysfunction, vaginal discharge
Indications (Def.) Chest or abdominal pain due to liver qi stag.
Indications (Def.) Spontaneous sweating
Indications (Def.) .
Dosage 6 15g
Cook
Toxic Sym. Allegic reaction
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Bai Shao ??( mildly cold )
Contraindications None noted
Indications Formular
Shu Di Huang ?? Blood def.
Bai Shao ?? Chuan Xiong ?? Shu Di ?? Menstrual irregularity, amenorrhea, dysmenorrhea due to blood def. Si Wu Tang ???
Ru Xiang ?? Mo Yao ?? Strains fractures
Xiang Fu ?? Yan Hu Suo ??? Dysmenorrhea
Chai Hu ?? Bai Shao ?? Liver Qi stag. Xiao Yao San ???
Rou Cong Rong??? Niu Xi ?? Chronic constipation Ji Chuan Jian ???
Jin Yin Hua ??? Xuan Shen ?? Reduce the swelling of abscess
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E Jiao ??
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E jiao ??( Neutral)
Pharmaceutical Name Asini Corii Colla
Actions 1. Tonifies the blood
Actions 2. Nourishes the blood stops bleeding
Actions 2. Nourishes and moistens the yin
Actions
Indications (Def.) Blood def. dizziness, pale face color, palpitations
Indications (Def.) Any type of bleeding
Indications (Def.) Yin def. irritability insomnia
Indications (Def.)
Dosage 3 9 g
Cook
Toxic Sym. None noted
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E jiao ??( Neutral)
Contraindications Spleen st. def.
Indications Formular
Dang Shen ?? Dang Gui ?? Dizziness palpitations due to blood def.
Bai Shao ?? Ai Ye ?? Escessive menstrual bleeding Jiao Ai Tang ???
Bai Zhu ?? Fu Zi ?? Bleeding due to spleen def.
Mai Dong ?? Sha shen ?? Dry cough blood

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Gou Qi Zi ???
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Gou Qi Zi ???( Neutral)
Pharmaceutical Name Lycii Fructus
Actions 1. Nourishes and tonifies the liver kidney
Actions 2. Benefits the essence and brightens the eyes
Actions 2. Nourishes and moistens the lungs
Actions
Indications (Def.) Blood Yin def. sore back legs, impotence, noctrunal emissions, wasting thirsting disorder
Indications (Def.) Dizziness, blurred vision
Indications (Def.) Consumptive cough
Indications (Def.)
Dosage 6 12 g
Cook
Toxic Sym. Allergic reactions
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Gou Qi Zi ???( Neutral)
Contraindications Spleen def. dampness
Indications Formular
Gu Sui Bu ??? Xu Duan ?? Sore painful lower back
Shan Yao ?? Gui Ban ?? Severe yin def. with lower back pain
Rou Gui ?? Fu Zi ?? Kidney yang def. Jin Gui Shen Qi Wan ?????
Long Yan rou ??? Blood Def.
Ju Hua ?? Visual impairment
Di Gu Pi ??? YinChaiHu ??? Steaming bone disorders
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Sang Shen ??
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Sang Shen ??( cold )
Pharmaceutical Name Paeoniae Radix alba
Actions 1. Tonifies the blood enriches the Yin
Actions 2. Moistens the Intestine
Actions
Actions
Indications (Def.) Dizzziness, tinnitus, insomnia
Indications (Def.) Premature greying fo the hair
Indications (Def.) Constipation
Indications (Def.) .
Dosage 9 15 g
Cook
Toxic Sym. Hemorrhagic colitis, allergy skin reactions
48
Sang Shen ??( cold )
Contraindications Diarrhea due to cold from spleen def.
Indications Formular
Ji Xue Teng ??? Dizziness tinnitus
Han Lian Cao ??? Nu ZhenZi ??? Prematue greying hair .
Sheng Di Huang ?? Shi Hu ?? Dizziness blurred vision
Mai Dong ?? Tian Hua Feng ??? Dryness of the mouth
Hai Zhi Ma ??? Huo Ma ren ??? Constipation due to yin blood def.
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Long YanRou ???
50
Long Yan Rou???( warm )
Pharmaceutical Name Longan Arillus
Actions 1. Tonifies augments the Heart spleen
Actions 1. Nourishes the blood
Actions 2. Calms the spirit
Actions
Indications (Def.) Insomnia, heart palpitations, forgetfullness, or dizziness
Indications (Def.)
Indications (Def.)
Indications (Def.) .
Dosage 9 15g
Cook
Toxic Sym. One report of Allergic drug rash
51
Long Yan Rou???( warm )
Contraindications fire
Indications Formular
Dang Gui ?? Ren Shen ?? Suan Zao Ren ??? Palpitation insomnia resulting from heart blood def. Gui Pi Tang ???
Bai he ?? Mild case of insomnia .
Sheng Jiang ?? Da Zao ?? Postpartum exhaustion