Grand Tutor Lü Chan and Prime Minister Chen Ping said that Wuxin Marquis Lü Lu was the highest ranked marquis and requested to be made King of Zhao. The Queen Mother agreed and posthumously honored Lü Lu's father Kang Marquis as King Brightness of Zhao. In September, King Ling of Yan Jian died. He had a son by a beauty. The Queen Mother had him killed. There was no heir, so the kingdom was abolished. In October of the eighth year (180 BC), King Lü Su's son, Dongping Marquis Lü Tong, was made King of Yan, and Tong's brother Lü Zhuang was made Dongping Marquis.
In mid-March, Empress Lü held a purification ceremony. On her way back by Zhi Road Pavilion, she saw a black dog-like creature that bit her under the armpit and then suddenly disappeared. She asked someone to divine, who said it was the ghost of Liu Ruyi, the Prince of Zhao, who was haunting her. Empress Gao then fell ill because of the wound under her armpit.
Empress Gao's grandson, Prince Yan of Lu, was young and had lost his parents at an early age. He was alone and weak, so she appointed two sons of Zhang Ao's former concubine, Chi as Marquis of Xindu and Shou as Marquis of Lechang, to assist Prince Yan of Lu. She also appointed the great eunuch Zhang Shi as Marquis of Jianling and Lü Rong as Marquis of Zhuzi. All the eunuchs and ministers were made Marquis of Guannei, with fiefs of 500 households.
In the middle of July, Empress Dowager of Gaozu was seriously ill, so she ordered Lü Lu King of Zhao to be the general and command the northern army; Chan King of Lü was in charge of the southern army. Empress Dowager Lü warned Chan and Lu, saying, "Emperor Gao had already conquered the world, and he made an agreement with the ministers, saying, 'If anyone other than the Liu family is king, the whole world will attack him.' Now the Lü family has kings, and the ministers are not happy. If I die, the emperor is young, and the ministers may cause a change. You must guard the palace with soldiers, be careful not to send off the funeral, and don't be controlled by others." On the 30th day of July, Empress Dowager Gao died. In her will, she gave each prince a thousand gold coins, and all generals, ministers, marquises, and officials were given gold coins according to their ranks. She issued a general amnesty. Chan King of Lü was made the prime minister, and Lü Lu's daughter was made the empress.
Empress Dowager Gao was buried, and the left prime minister Shen Yiji was made the Emperor's Tutor.
太傅产、丞相平等言，武信侯吕禄上侯，位次第一，请立为赵王。太后许之，追尊禄父康侯为赵昭王。九月，燕灵王建薨，有美人子，太后使人杀之，无后，国除。八年十月，立吕肃王子东平侯吕通为燕王，封通弟吕庄为东平侯。
三月中，吕后祓，还过轵道，见物如苍犬，据高后掖，忽弗复见。卜之，云赵王如意为祟。高后遂病掖伤。
高后为外孙鲁元王偃年少，蚤失父母，孤弱，乃封张敖前姬两子，侈为新都侯，寿为乐昌侯，以辅鲁元王偃。及封中大谒者张释为建陵侯，吕荣为祝兹侯。诸中宦者令丞皆为关内侯，食邑五百户。
七月中，高后病甚，乃令赵王吕禄为上将军，军北军；吕王产居南军。吕太后诫产、禄曰：“高帝已定天下，与大臣约，曰‘非刘氏王者，天下共击之’。今吕氏王，大臣弗平。我即崩，帝年少，大臣恐为变。必据兵卫宫，慎毋送丧，毋为人所制。”辛巳，高后崩，遗诏赐诸侯王各千金，将相列侯郎吏皆以秩赐金。大赦天下。以吕王产为相国，以吕禄女为帝后。
高后已葬，以左丞相审食其为帝太傅。
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