患者為三十歲已婚婦女，過去有B型肝炎、心律不整的病史，G2P2，在會診前19天，患者當時正懷孕33+4週，因下腹陣發性墜痛感，伴隨少量陰道流血，而被送來急診，胎兒監測器偵測到子宮收縮十分鐘約3~4次，於是在本院婦產科住院安胎，打Yutopar20ml/1hr，下腹痛的症狀已逐漸緩解。但是在會診前五天，也是35+4週的時候，患者感到下腹劇烈疼痛及伴隨陰道出血，子宮頸打開到2.5公分，西醫為她緊急剖腹引產下一名2510公克的男嬰，由於產後發燒，自覺身體很熱，體溫38.1度，兼有膝蓋以下自覺冰冷的情形，故於生產後第五日會診中醫中藥治療。本病例為一產婦因產後發熱流汗，腳冰冷，且乳汁不暢兼有硬塊的情況下，依中醫四診診斷為肝鬱氣滯，惡露排出不暢的瘀血發熱症型，急者以疏肝理氣、活血化瘀，緩者滋養腎氣為主，給予加味消遙散加減，加用生化湯煎藥，經治療的第三天，產婦發熱情形已消退，口不渴腳不冰冷，且用生化湯治療，其惡露血塊漸消，惡露量漸漸減少，乳汁分泌情形漸通暢，為一中醫治療產後發熱的有效臨床案例。希望可借由中醫治療，縮小病灶與增加病患的生活品質，減少西藥的使用量。

The patient is a 30-year-old Taiwanese woman, a teacher with past history of arrhythmia ; hepatitis B and without known adverse drug reaction, G2P1, has pregnancy at 33+4 weeks of gestation, who presented with increasing amount of vaginal bleeding. she complained increasing amount of vaginal bleeding, accompanied by lower abdominal pain.The patient was full ambulatory when admitted from the Emergency Department to department of obstetrics and gynecology service. Yutopar was perscribed for tocolysis but at 35+4 days, there were irregular uterine contraction and occasional vaginal bleeding noted. Regular uterine contraction w as noted on and cervical os was close at that time and Pervaginal exam reveale d os dilated about 2.5cm . Sh e was arranged Cesarean section and Her baby, a boy with a birth weight of 2510g, was well. However, she gradually became more unwell with fever up to 38.1 degree, sweating and cold foot. She also found milk-secretion clogging and soft mass withoutabscess formation( 乳汁不暢兼有硬塊). On the five day postpartum, while still an inpatient, she was unwell. Chinese Medicine doctors diagnosed the patient’s syndrome liver qi stagnation, blood stasis with heat( 肝鬱氣滯血瘀發熱). Jia-wei-xiao-yao-san（加 味逍遙散） with Wan Bu Liu Xin 王不留行、Lu Lu Ton 路路通、 Ton Cao 通草、shi hu 石斛、xu duan 續斷、niu xi 牛膝and “Siu hua Tan “( 生化湯)is applied to sooth the liver and regulating the circulation of qi( 疏肝理氣) and then invigorating kidney qi( 補養腎氣) . Three days after Chinese medicine treatment, no fever was noted with milk secreation well. The blood amount of lochia was also decreased. The patient was discharged after overall condition become stable.