人心有孔，孔中有毛，产后虚弱，多致停积，败血闭于心窍，神志不能明了。又心气通于舌，心气闭塞，则舌亦强
矣，故会不语，宜服七珍散。因惊者属肝经风热，用加味逍遥散加防风、白芷、钩藤；因忧思郁结者，用加味归脾汤加
升麻。一产妇，不语，用七珍散而愈。后复不愈，内热脯热，肢体倦怠，饮食不进，用加味归脾汤为主，佐以七珍散而
愈。后因怒不语，口噤，腰背反张，手足发搐，或小便见血，面赤、或青、或黄。余曰∶面青肝之色也，黄者脾气虚也，
赤者心血虚也，用八珍汤加钩藤钩、茯苓、远志，渐愈，又用加味归脾汤而痊。
七珍散
治产后不语及发狂。
人参 石菖蒲 生地黄 川芎（各一两） 细辛（一钱） 防风 辰砂（飞过。各五钱）
上为极细末，每服一钱，薄荷汤调下无时。
三物汤
治产后不语。
人参 石莲肉（不去心） 石菖蒲（各等分）
上每服五钱，水煎服。
一方用白矾生为末，每服一钱，热水调下。
逐血补心汤
治产后失音。
红花 赤芍药 生地黄 桔梗 苏叶 前胡 茯苓 防风 黄连 胆星 粉葛（各二钱） 当归（三钱） 薄荷 人
参升麻（各一钱五分） 半夏（二钱五分） 甘草（一钱）
上为粗末，分二服，每服水一钟半，姜三片，煎七分，空心服，渣再煎。
人的心脏上有孔窍，孔窍中有细毛（指心窍之络脉），产后身体虚弱，容易导致气血停聚，败血闭塞心窍，致使神志不能清明。又因为心气通达于舌，若心气闭塞，则舌头也会僵硬，所以导致产后不语，适宜服用七珍散。因受惊而致者，属于肝经风热，使用加味逍遥散加入防风、白芷、钩藤；因忧思郁结而致者，使用加味归脾汤加入升麻。有一位产妇，出现不语症状，服用七珍散后痊愈。后来再次出现不语，伴有内热及午后潮热，肢体倦怠，饮食不进，以加味归脾汤为主方，佐以七珍散，最终痊愈。后来因发怒导致不语，口噤不开，腰背向后反张，手足抽搐，有时小便带血，面色或红、或青、或黄。我说：面色青是肝之色，黄是脾气虚的表现，红是心血虚的表现，使用八珍汤加入钩藤、茯苓、远志，病情逐渐好转，后又用加味归脾汤而痊愈。
七珍散
治疗产后不语及发狂。
人参、石菖蒲、生地黄、川芎（各一两）、细辛（一钱）、防风、辰砂（飞过。各五钱）
以上药物研成极细末，每次服用一钱，用薄荷汤调服，不拘时间。
三物汤
治疗产后不语。
人参、石莲肉（不去心）、石菖蒲（各等分）
以上每次服用五钱，水煎服。
另一方法是用白矾生研为末，每次服用一钱，热水调下。
逐血补心汤
治疗产后失音。
红花、赤芍药、生地黄、桔梗、苏叶、前胡、茯苓、防风、黄连、胆星、粉葛（各二钱）、当归（三钱）、薄荷、人参、升麻（各一钱五分）、半夏（二钱五分）、甘草（一钱）
以上药物制成粗末，分为两次服用，每次用水一钟半，生姜三片，煎至七分，空腹服用，药渣再煎。
The human heart possesses orifices, within which are fine filaments (referring to the collateral vessels of the Heart orifice). Postpartum weakness often leads to stagnation and accumulation; failing blood blocks the Heart orifice, preventing the spirit and consciousness from becoming clear. Furthermore, Heart Qi connects with the tongue; if Heart Qi is obstructed, the tongue becomes stiff, resulting in postpartum aphasia. It is appropriate to administer Qizhen San (Seven Treasures Powder). Cases caused by fright belong to Wind-Heat in the Liver Channel; use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) with added Fangfeng (Saposhnikovia Root), Baizhi (Angelicae Dahuricae Radix), and Gouteng (Uncaria Rhynchophylla). Cases caused by worry, thought, and emotional constraint should be treated with Jiawei Guipi Tang (Modified Restore the Spleen Decoction) with added Shengma (Cimicifugae Rhizoma). A postpartum woman presented with aphasia; after taking Qizhen San, she recovered. Later, aphasia recurred accompanied by internal heat and afternoon tidal fever, limb fatigue, and loss of appetite. The primary treatment was Jiawei Guipi Tang, supplemented with Qizhen San, leading to recovery. Subsequently, due to anger, she developed aphasia, locked jaw, opisthotonos (backward arching of the back), convulsions of the hands and feet, occasional hematuria, and facial complexion that was red, blue, or yellow. I stated: Blue complexion indicates the color of the Liver; yellow indicates deficiency of Spleen Qi; red indicates deficiency of Heart Blood. Treatment involved Bazhen Tang (Eight Treasures Decoction) with added Gouteng (Uncaria Rhynchophylla), Fuling (Poria), and Yuanzhi (Polygalae Radix), resulting in gradual improvement, followed by complete recovery using Jiawei Guipi Tang.
Qizhen San (Seven Treasures Powder)
Treats postpartum aphasia and manic delirium.
Renshen (Ginseng Radix), Shichangpu (Acori Tatarinowii Rhizoma), Shengdihuang (Rehmanniae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 1 liang); Xixin (Asari Radix et Rhizoma) (1 qian); Fangfeng (Saposhnikoviae Radix), Chen Sha (Cinnabar, processed) (each 5 qian).
Grind all ingredients into an extremely fine powder. Take 1 qian per dose, mixed with Bohe Tang (Mint Decoction), at any time.
Sanwu Tang (Three Ingredients Decoction)
Treats postpartum aphasia.
Renshen (Ginseng Radix), Shilianrou (Nelumbinis Semen, without heart), Shichangpu (Acori Tatarinowii Rhizoma) (equal parts).
Take 5 qian per dose, decoct in water and drink.
Another prescription uses Baifan (Alumen) ground raw into a powder; take 1 qian per dose, mixed with hot water.
Zhuxue Buxin Tang (Blood-Expelling Heart-Nourishing Decoction)
Treats postpartum loss of voice.
Honghua (Carthami Flos), Chishaoyao (Paeoniae Radix Rubra), Shengdihuang (Rehmanniae Radix), Jiegeng (Platycodonis Radix), Ziye (Perillae Folium), Qianhu (Peucedani Radix), Fuling (Poria), Fangfeng (Saposhnikoviae Radix), Huanglian (Coptidis Rhizoma), Danning (Arisaematis Cum Bile), Fengge (Puerariae Lobatae Radix) (each 2 qian); Danggui (Angelicae Sinensis Radix) (3 qian); Bohe (Menthae Haplocalycis Herba), Renshen (Ginseng Radix), Shengma (Cimicifugae Rhizoma) (each 1.5 qian); Banxia (Pinelliae Rhizoma) (2.5 qian); Gancao (Glycyrrhizae Radix et Rhizoma) (1 qian).
Grind into coarse powder. Divide into two doses. For each dose, add 1 zhong of water and 3 slices of ginger, decoct until one-seventh remains. Take on an empty stomach; decoct the dregs again.