产妇有子方下地，即昏晕不语，此气血两脱也，本在不救；然救之得法，亦有能生者。当斯之时，急用银针刺
其眉心，得血出则语矣。然后以人参一两煎汤灌之，无不生者；即用黄 二两，当归一两，名当归补血汤，煎汤一
碗灌之亦得生。万不可于二方之中，轻加附子。盖附子无经不达，反引气血之药，走而不守，不能专注于胞胎，不
若人参、归、 直救其气血之绝，聚而不散也。盖产妇昏晕，全是血室空虚，无以养心，以致昏晕。舌为心之苗，
心既无主，而舌又安能出声耶？夫眉心之穴，上通于脑，下通于舌，而其系则连于心，刺其眉心，则脑与舌俱通，
而心之清气上升，则瘀血自然下降矣，然后以参、 、当归之能补气生血者，煎汤灌之，则气与血接续，又何至于
死亡乎！虽单用参、 、当归亦有能生者，然终不若先刺眉心之为更妙。世人但知灸眉心之法，不知刺更胜于灸，
盖灸法缓而刺法急，缓则难于救绝，急则易于回生，所谓“急则治其标，缓则治其本”者，此也。
歌括∶婴儿已落香盆浴，产母忽晕不言语。
气血双脱危急候，针刺眉心可救急。
眉心出血不觉昏，人参一两速煎吞。
或服当归补血汤，接续气血命能存。
妇人有产后二、三日，发热，恶露不行，败血攻心，狂言呼叫，甚欲奔走，拿提不定，人以为邪热在胃之过，
谁知是血虚心不得养而然乎！夫产后之血，尽随胞胎而外越，则血室空虚，脏腑皆无血养，只有心中之血，尚存几
微，以护心君。而脏腑失其所养，皆欲取给于心；心包为心君之宰相，拦绝各脏腑之气，不许入心，始得心神安
静，是护心者全借心包之力也。使心包亦虚，不能障心，而各脏腑之气遂直入于心，以分取乎心血，心包情急，既
不能内顾其君，又不能外御乎众，于是大声疾呼，而其迹象反近于狂悖，有无可如何之势，故病状似热而实非热
也。治法须大补心中之血，使各脏腑分取以自养，不得再扰乎心，则心藏泰然，而心包亦安矣。
方用安心汤。
当归（二两） 川芎（一两） 生地（五钱，炒） 丹皮（五钱，炒） 生蒲黄（二钱） 干荷叶（一片，引）
水煎服。一剂而狂定，恶露亦下矣。此方用芎、归以养血，何以又用生地、丹皮之凉血，似非产后所宜？不知恶露
所以奔心，原因虚热相犯，于补中凉之，而凉不为害，况益之以荷叶，七窍相通，引邪外出，不惟内不害心，且佐蒲黄
以分解乎恶露也。但只可暂用以定狂，不可多用以取咎也。谨之慎之。
眉批∶服药后狂定，宜服加味生化汤∶当归（酒洗）一两一钱、川芎三钱、桃仁（研）钱半、荆芥穗（炒炭）
一钱、丹皮钱半，服四剂妙。
歌括∶产后二三日之中，恶露不行血上攻。
狂言呼叫甚奔走，血室空虚病由生。
安心汤中当归芎，生地丹皮蒲黄冲。
荷叶少许通七窍，少服取效多无功。
产妇在胎儿娩出落地后，立即出现昏晕且不能言语的症状，这是气血两脱的证候，原本属于不治之症；然而如果救治方法得当，也有能够救活的情况。在这个时候，应当紧急使用银针刺破其眉心（印堂穴），待有血液流出，患者就能恢复言语。随后用人参一两煎汤灌服，没有不能救活的；或者使用黄芪二两、当归一两，名为当归补血汤，煎取一碗药汤灌服也能救活。万万不可在这两个方剂中轻易加入附子。因为附子通行十二经而无往不达，其性走而不守，反而会引导补气养血的药物四处游走，不能专注于胞胎部位，不如人参、黄芪、当归能直接挽救气血的衰竭，使气聚而不散。产妇昏晕，完全是因为血室空虚，无法滋养心脏，从而导致昏晕。舌是心的苗窍，心既然失去了主宰，舌头又怎么能发出声音呢？眉心的穴位，上通于脑，下通于舌，而其经络联系则连接于心，刺破眉心，则脑与舌都能通畅，心的清气上升，瘀血自然下降，然后用人参、黄芪、当归这些能补气生血的药物煎汤灌服，那么气与血就能接续，又怎么会至于死亡呢！虽然单用人参、黄芪、当归也有能救活的情况，但终究不如先刺破眉心更为巧妙。世人只知道灸眉心的方法，不知道刺法比灸法更好，因为灸法缓慢而刺法急骤，缓慢则难以救治危绝之症，急骤则容易使生命复苏，这就是所谓的“急则治其标，缓则治其本”的道理。
歌诀：婴儿已落入香盆沐浴，产母忽然昏晕不言语。
气血双脱属于危急证候，针刺眉心可以急救。
眉心出血后不觉昏沉，人参一两迅速煎服吞下。
或者服用当归补血汤，接续气血性命得以保存。
妇女在产后二三天，出现发热，恶露排出不畅，败血攻心，胡言乱语大声呼叫，甚至想要奔跑，被人拉扯控制不定，人们以为是邪热在胃部的过错，谁知道这是因为血虚导致心神得不到滋养而产生的呢！产后之血，都随着胞胎而外泄，导致血室空虚，脏腑都没有血液滋养，只有心中尚存微弱的血液，来护卫心主。而脏腑失去所养，都想从心中索取营养；心包作为心主的宰相，拦截并拒绝各脏腑之气进入心脏，这才使得心神安静，保护心主全靠心包的力量。如果心包也虚弱，不能屏障心脏，那么各脏腑之气就直入心脏，分取心血，心包情势危急，既不能在内照顾心主，又不能在外抵御众脏之气，于是大声疾呼，其症状表现反而接近于狂悖，有一种无可奈何的情势，所以病状看似热证但实际上并非热证。治疗方法必须大补心中的血液，使各脏腑分取以自我滋养，不再扰乱心脏，那么心脏就会安宁，心包也会安定。
方剂用安心汤。
当归（二两） 川芎（一两） 生地（五钱，炒制） 丹皮（五钱，炒制） 生蒲黄（二钱） 干荷叶（一片，作为引经药）
水煎服。一剂后狂躁定止，恶露也随之排出。此方用川芎、当归来养血，为什么又用生地、丹皮的凉血作用，似乎不适合产后使用？不知道恶露之所以奔冲攻心，原因是虚热相犯，在补益之中加以凉血，凉血就不会造成伤害，何况加上荷叶，七窍相通，引导邪气外出，不仅内部不伤害心脏，而且辅助蒲黄来分解恶露。但只可暂时用来平定狂躁，不可多用以免招致祸患。务必谨慎。
眉批：服药后狂躁定止，宜服用加味生化汤：当归（酒洗）一两一钱、川芎三钱、桃仁（研碎）钱半、荆芥穗（炒炭）一钱、丹皮钱半，服用四剂效果奇妙。
歌诀：产后二三天之中，恶露不行血液上攻。
胡言乱语大声呼叫甚至奔走，血室空虚疾病由此产生。
安心汤中有当归和川芎，生地丹皮蒲黄冲服。
少许荷叶通达七窍，少量服用取得疗效，过多服用无功。
A parturient woman immediately experiences fainting and aphasia after the delivery of the infant. This is a syndrome of simultaneous depletion of Qi and Blood (Qi and Blood exhaustion), which is originally considered incurable; however, if treated with the correct method, survival is possible. At this moment, urgently puncture the center of the eyebrows (Yintang, EX-HN3) with a silver needle. Once blood flows out, speech will return. Subsequently, decoct one tael of Renshen (Ginseng Radix et Rhizoma) in water and administer it orally; there is no case that cannot be saved. Alternatively, use two taels of Huangqi (Astragali Radix) and one tael of Danggui (Angelicae Sinensis Radix), named Danggui Buxue Tang (Dong Quai Decoction for Tonifying Blood), decoct one bowl and administer it to save the life. Under no circumstances should Fuzi (Aconiti Lateralis Radix Praeparata) be lightly added to either of these two formulas. This is because Fuzi penetrates all meridians without restriction; its nature is moving and unconsolidating, which would instead guide the Qi- and Blood-tonifying drugs to wander everywhere rather than focusing on the uterus. It is inferior to Renshen, Huangqi, and Danggui, which can directly rescue the collapse of Qi and Blood, gathering them without dispersal. The fainting of parturient women is entirely due to the emptiness of the Blood Chamber (uterus), which fails to nourish the Heart, leading to fainting. The tongue is the sprout of the Heart; since the Heart has lost its mastery, how can the tongue produce sound? The acupoint at the center of the eyebrows connects upward to the brain and downward to the tongue, while its meridian connection links to the Heart. Puncturing the center of the eyebrows allows both the brain and tongue to become unobstructed, causing the clear Qi of the Heart to ascend, thereby naturally descending the stasis. Then, by administering decoctions of Renshen, Huangqi, and Danggui—which are capable of tonifying Qi and generating Blood—Qi and Blood will reconnect, preventing death. Although using Renshen, Huangqi, and Danggui alone can also save lives, it is ultimately not as effective as first puncturing the center of the eyebrows. People only know the method of moxibustion on the center of the eyebrows, not knowing that needling is superior to moxibustion. Moxibustion is slow, while needling is rapid; slowness makes it difficult to rescue critical conditions, whereas rapidity facilitates revival. This illustrates the principle: "In acute cases, treat the branch (symptoms); in chronic cases, treat the root (cause)."
Rhyme:
The infant has already been bathed in the fragrant basin,
Suddenly the mother faints and speaks no words.
Simultaneous depletion of Qi and Blood is a critical condition,
Puncturing the center of the eyebrows can provide emergency relief.
Blood flowing from the center of the eyebrows dispels dizziness,
One tael of Ginseng quickly decocted and swallowed.
Or take Danggui Buxue Tang (Dong Quai Decoction for Tonifying Blood),
To reconnect Qi and Blood, preserving life.
A woman, two or three days postpartum, experiences fever, retention of lochia, and attack of toxic blood on the Heart. She speaks deliriously, shouts loudly, desires to run about, and cannot be restrained. Others attribute this to pathogenic heat in the Stomach, but who knows it arises from Blood deficiency failing to nourish the Heart? Postpartum Blood has all exited with the placenta, leaving the Blood Chamber empty. All Zang-Fu organs lack Blood nourishment, except for a trace amount remaining in the Heart to protect the Heart Monarch. Since the Zang-Fu organs lose their nourishment, they all seek supply from the Heart. The Pericardium acts as the Prime Minister of the Heart Monarch, blocking the Qi of various Zang-Fu organs from entering the Heart, thus allowing the Spirit to remain calm. Protecting the Heart relies entirely on the strength of the Pericardium. If the Pericardium is also deficient and cannot shield the Heart, the Qi of various Zang-Fu organs enters the Heart directly to consume Heart Blood. The Pericardium becomes anxious, unable to care for the Monarch internally or defend against the organs externally. Consequently, it cries out loudly, and its manifestations resemble madness, creating a helpless situation. Thus, although the symptoms appear like Heat, it is not actually Heat. The treatment must greatly tonify the Blood in the Heart, allowing the various Zang-Fu organs to draw upon it for self-nourishment, so they no longer disturb the Heart. Then the Heart remains peaceful, and the Pericardium is also tranquil.
Prescribe Anxin Tang (Heart-Calming Decoction).
Danggui (Angelicae Sinensis Radix) (2 liang)
Chuanxiong (Ligustici Chuanxiong Rhizoma) (1 liang)
Shengdi (Rehmanniae Radix) (5 qian, stir-fried)
Danpi (Moutan Cortex) (5 qian, stir-fried)
Sheng Puhuang (Typhae Pollen) (2 qian)
Gan Heye (Nelumbinis Folium) (1 leaf, as a guiding herb)
Decoct in water and take orally. After one dose, the mania subsides, and lochia is discharged. This formula uses Chuanxiong and Danggui to nourish Blood; why also use Shengdi and Danpi to cool Blood, which seems unsuitable for postpartum? One must understand that the reason lochia rushes to the Heart is due to deficiency-Heat attacking. Cooling within tonification causes no harm. Moreover, adding Heye, which connects the seven orifices, guides pathogenic factors outward. Not only does it prevent internal damage to the Heart, but it also assists Puhuang in resolving lochia. However, it can only be used temporarily to settle mania; excessive use may cause adverse effects. Be cautious.
Marginal Note: After the mania subsides following medication, it is advisable to take Jiawei Shenghua Tang (Modified Decoction for Generating New Blood): Danggui (Washed with wine) 1 liang 1 qian, Chuanxiong 3 qian, Taoren (Prunus Persica Seed, crushed) 1.5 qian, Jingjie Sui (Schizonepetae Spica, charred) 1 qian, Danpi 1.5 qian. Take four doses for excellent results.
Rhyme:
Within two or three days postpartum,
Lochia fails to discharge, Blood attacks upward.
Delirious speech, shouting, even running about,
Illness arises from the emptiness of the Blood Chamber.
Anxin Tang contains Danggui and Chuanxiong,
Shengdi, Danpi, and Puhuang taken together.
A small amount of Heye opens the seven orifices,
Small doses yield efficacy; excessive doses are futile.