分娩之后，眼见黑花，头眩昏晕，不省人事者∶一因劳倦甚而气竭神昏；二因大脱血而气欲绝；三因痰火乘虚
泛上而神不守。当急服生化汤二、三帖，外用韭菜细切，纳有嘴瓶中，用滚醋二钟冲入瓶内，急冲产母鼻中，即
醒。若偏信古方，认为恶血抢心，而轻用散血之剂；认为疫火，而用无补消降之方，误甚矣。
如晕厥牙关紧闭，速煎生化汤，挖开口，将鹅毛探喉，酒盏盛而灌之。如灌下腹中渐温暖，不可拘帖数，外用热手
在单衣上，从心揉按至腹，常热火暖之，一两时，服生化汤四帖完，即神清。始少缓药，方进粥，服至十服而安。故犯
此者，速灌药火暖，不可弃而不救。若在冬月，妇人身欠暖，亦有大寒，临产时必预煎生化汤，预烧秤锤硬石子，候儿
下地，连服二、三贴。又产妇枕边，行醋韭投醋瓶之法，决无晕症。又儿生时，合家不可喜子而慢母，产母不可顾子忘
倦，又不可产讫即卧，或忿怒逆气，皆致血晕，慎之，慎之！
加味生化汤 治产后三等血晕症。
川芎（三钱） 当归（六钱） 黑姜（四分） 桃仁（十粒） 炙草（五分） 荆芥（四分，炒黑）
大枣，水煎服。
歌括∶产后血晕不识人，劳倦气竭神志昏。
或因脱血气欲绝，痰火泛上不守神。
血晕加味生化汤，归芎荆草桃仁姜。
韭叶纳入有嘴瓶，滚醋冲入熏鼻腔。
劳倦甚而晕，及血崩气脱而晕，并宜速灌两服。如形色脱，或汗出而脱，皆急服一帖，即加人参三、四钱（一
加肉桂四分），决不可疑参为补而缓服。痰火乘虚泛上而晕，方内加橘红四分。虚甚加人参二钱。肥人多痰，再加
竹沥七分，姜汁少许，总不可用棱术破血等方。其血块痛甚，兼送益母丸，或鹿角灰、或元胡散、或独胜散、上消
血块方，服一服即效，不必易方，从权救急。
加参生化汤 治产后形色脱晕，或汗多脱晕。
人参（三钱，有倍加至五钱者） 川芎（二钱） 当归（五钱） 炙草（四分） 桃仁（十粒） 炮姜（四分）
大枣，水煎服。
脉脱形脱，将绝之症，必服此方，加参四、五钱，频频灌之。产后血崩、血晕，兼汗多，宜服此方。无汗不脱，只
服本方，不必加参。左尺脉脱，亦加参。此方治产后危急诸症，可通用，一昼一夜，必须服三、四剂，若照常症服，岂
能接将绝之气血，扶危急之变症耶！产后一、二日，血块痛虽未止，产妇气血虚脱，或晕或厥、或汗多，或形脱，口气
渐凉，烦渴不止，或气喘急，无论块痛，从权用加参生化汤。病势稍退，又当减参，且服生化汤。
加减法∶血块痛甚加肉桂七分；渴加麦冬一钱，五味十粒；汗多加麻黄根一钱。如血块不痛，加炙黄 一钱以止汗；
伤饭食面食，加炒神曲一钱，麦芽五分炒；伤肉食，加山楂五个，砂仁四钱炒。
歌括∶脉脱形脱症将绝，血崩血晕兼汗多。
产后诸般危急症，加参生化最稳妥。
气血虚脱生化汤，加入人参服之良。
血块痛甚加肉桂，渴加麦味汗麻黄（根）。
血块不痛炙黄 ，神曲麦芽医食伤。
若伤肉食加查砂，随症加减效更彰。
分娩之后，眼前出现黑花，头晕目眩甚至昏厥，不省人事的：一是因为过度劳累导致气竭神昏；二是因为大量失血导致气欲绝；三是因痰火乘虚上泛导致神志不守。应当立即服用生化汤二至三帖，外用韭菜切碎，放入有嘴的瓶中，用两钟滚醋冲入瓶内，迅速熏蒸产妇鼻孔，即可苏醒。如果偏信古方，认为是恶血抢心，而轻率使用散血药物；或认为是疫火，而使用无补益、消散、降逆作用的方剂，这是极大的错误。
如果出现晕厥且牙关紧闭，应迅速煎煮生化汤，撬开嘴巴，用鹅毛探喉催吐，盛在酒盏中灌服。如果药液灌下后腹部逐渐温暖，不要拘泥于服药帖数，可用热手隔着单衣，从心口揉按至腹部，经常保持火热温暖，约一个时辰后，服完四帖生化汤，神志即可清醒。此时再稍微减缓药量，开始进食粥食，服用十帖后即可安稳。因此，凡犯此病者，必须迅速灌药并保暖，不可放弃而不救治。如果在冬季，产妇身体不够温暖，也有大寒的情况，临产时务必预先煎好生化汤，预先烧秤锤和硬石子备用，等到婴儿落地，连续服用二至三帖。另外，在产妇枕边，实行醋韭投醋瓶的方法，绝不会发生晕症。还有，婴儿出生时，全家不可只顾喜悦孩子而怠慢母亲，产妇不可顾念孩子而忘记疲劳，也不可产后立即躺卧，或发怒导致气机逆乱，这些都会导致血晕，务必谨慎，务必谨慎！
加味生化汤：治疗产后三等血晕症。
川芎（三钱） 当归（六钱） 黑姜（四分） 桃仁（十粒） 炙甘草（五分） 荆芥（四分，炒黑） 大枣，水煎服。
歌诀：产后血晕不识人，劳倦气竭神志昏。
或因脱血气欲绝，痰火泛上不守神。
血晕加味生化汤，归芎荆草桃仁姜。
韭叶纳入有嘴瓶，滚醋冲入熏鼻腔。
如果是因过度劳累导致的晕厥，以及血崩气脱导致的晕厥，都适宜迅速灌服两帖。如果面色苍白脱形，或者出汗多导致脱证，都应立即服用一帖，随即加入人参三至四钱（另加肉桂四分），绝对不可以怀疑人参是补药而延缓服用。如果是痰火乘虚上泛导致的晕厥，方中加入橘红四分。虚损严重加人参二钱。肥胖人多痰，再加竹沥七分，少许姜汁，总之不可使用三棱、莪术等破血方剂。如果血块疼痛剧烈，兼送服益母丸，或鹿角灰，或元胡散，或独胜散，以上消血块方，服用一服即见效，不必更换方剂，权宜救急。
加参生化汤：治疗产后形色脱晕，或汗多脱晕。
人参（三钱，有的加倍至五钱） 川芎（二钱） 当归（五钱） 炙甘草（四分） 桃仁（十粒） 炮姜（四分） 大枣，水煎服。
脉象微弱、形体脱失，是将绝的症状，必须服用此方，加入人参四至五钱，频频灌服。产后血崩、血晕，兼有汗多，适宜服用此方。如果没有汗且不脱，只服用本方，不必加人参。左尺脉微弱，也加人参。此方治疗产后危急诸症，可以通用，一昼夜必须服用三至四剂，如果像常规病症那样服药，怎么能接续将绝的气血，扶持危急的变症呢！产后一两天，虽然血块疼痛未止，但产妇气血虚脱，或晕厥或昏厥、或汗多、或形脱，口气渐凉，烦渴不止，或气喘急促，无论是否有血块疼痛，权宜使用加参生化汤。病势稍退，又应当减少人参用量，且继续服用生化汤。
加减法：血块疼痛剧烈加肉桂七分；口渴加麦冬一钱，五味子十粒；汗多加麻黄根一钱。如果血块不痛，加炙黄芪一钱以止汗；伤于米饭面食，加炒神曲一钱，麦芽五分炒；伤于肉食，加山楂五个，砂仁四钱炒。
歌诀：脉脱形脱症将绝，血崩血晕兼汗多。
产后诸般危急症，加参生化最稳妥。
气血虚脱生化汤，加入人参服之良。
血块痛甚加肉桂，渴加麦味汗麻黄（根）。
血块不痛炙黄芪，神曲麦芽医食伤。
若伤肉食加查砂，随症加减效更彰。
After delivery, if the patient sees black spots before her eyes, experiences dizziness and fainting, and loses consciousness: this is due to one of three causes: first, extreme fatigue leading to exhaustion of Qi and clouding of the spirit; second, massive blood loss leading to impending collapse of Qi; third, phlegm-fire rising due to deficiency, causing the spirit to lose its residence. One should immediately administer Er Sheng Tang (Two-Postpartum Decoction) for two or three doses. Externally, finely chop Chinese chive leaves, place them in a bottle with a spout, pour two cups of boiling vinegar into the bottle, and quickly fumigate the mother's nostrils to restore consciousness. If one blindly follows ancient prescriptions, attributing the condition to "evil blood snatching the heart" and lightly using blood-dispersing agents; or attributing it to epidemic fire and using formulas lacking tonifying, dissipating, or descending properties, this is a grave error.
If fainting occurs accompanied by clenched jaw, rapidly decoct Er Sheng Tang, pry open the mouth, probe the throat with a goose feather to induce vomiting, and administer the liquid from a wine cup. If the abdomen gradually warms after ingestion, do not rigidly adhere to the number of doses. Use warm hands to massage from the heart region down to the abdomen over single-layer clothing, keeping the area frequently hot and warm. After about one shichen (two hours), complete four doses of Er Sheng Tang, and the spirit will clear. Then, slightly reduce the medication dosage and begin consuming congee. After ten doses, the patient will be stable. Therefore, those suffering from this condition must be rapidly medicated and kept warm; do not abandon them without rescue. In winter, if the mother's body lacks warmth, indicating severe cold, one must pre-decoct Er Sheng Tang and pre-heat iron weights or hard stones before delivery. Once the child is born, administer two to three doses consecutively. Furthermore, placing the vinegar-chive fumigation method near the mother's pillow ensures no fainting will occur. Additionally, upon the birth of the child, the family must not focus solely on the joy of the child while neglecting the mother; the mother must not forget her fatigue due to concern for the child; nor should she lie down immediately after delivery, or become angry causing Qi rebellion. All these lead to blood-fainting. Be cautious, be cautious!
Jiawei Er Sheng Tang (Modified Two-Postpartum Decoction): Treats three types of postpartum blood-fainting.
Chuanxiong Rhizome (Sanqian / 3 qian), Danggui Radix (Liuqian / 6 qian), Heijiao Charred Ginger (Sifen / 4 fen), Taoren Peach Seed (Shili / 10 seeds), Zhi Gancao Prepared Licorice Root (Wufen / 5 fen), Jingjie Schizonepeta Spike (Sifen / 4 fen, stir-baked until black), Dazao Jujube Fruit. Decoct in water and take orally.
Rhyme: Postpartum blood-fainting renders one unaware,
Fatigue exhausts Qi, spirit clouds and sways.
Or due to blood loss, Qi nearly departs,
Phlegm-fire rises, spirit abandons its parts.
Blood-fainting Jiawei Er Sheng Tang,
Danggui, Chuanxiong, Jingjie, Gancao, Taoren, Jiang.
Chive leaves placed in a spouted bottle,
Boiling vinegar poured in to fumigate the nose.
For fainting due to extreme fatigue, as well as fainting due to blood flooding and Qi collapse, it is suitable to rapidly administer two doses. If the complexion is pale and form is depleted, or sweating leads to collapse, immediately take one dose, then add Renshen Ginseng Root (San-Siqian / 3-4 qian) (add Rougui Cinnamon Bark Sifen / 4 fen). Do not doubt that Renshen is tonifying and delay administration. For fainting caused by phlegm-fire rising due to deficiency, add Juhong Tangerinae Pericarpium Rubrum Sifen / 4 fen. For severe deficiency, add Renshen Ginseng Root Liang / 2 liang. Obese people often have phlegm; add Zhuli Bamboo Sap Qifen / 7 fen and a little Jiangzhi Ginger Juice. Overall, avoid formulas with Sanleng Sparganii Rhizoma and E Zhu Curcumae Rhizoma for breaking blood. If pain from blood clots is severe, concurrently administer Yimuwan Motherwort Pill, or Lujiaohui Deer Antler Ash, or Yuanhusan Corydalis Powder, or Dushengsan Single Victory Powder, above-mentioned blood-clot resolving formulas. One dose brings immediate effect; there is no need to change the formula; use this as an emergency measure.
Jia Shen Er Sheng Tang (Ginseng-Added Two-Postpartum Decoction): Treats postpartum fainting due to depletion of complexion and form, or fainting due to excessive sweating.
Renshen Ginseng Root (Sanqian / 3 qian, sometimes doubled to Wuqian / 5 qian), Chuanxiong Rhizome (Erqian / 2 qian), Danggui Radix (Wuqian / 5 qian), Zhi Gancao Prepared Licorice Root (Sifen / 4 fen), Taoren Peach Seed (Shili / 10 seeds), Paojiang Prepared Ginger (Sifen / 4 fen), Dazao Jujube Fruit. Decoct in water and take orally.
When pulse and form are depleted, indicating impending collapse, this formula must be taken. Add Renshen Ginseng Root Si-Wuqian / 4-5 qian and administer frequently. For postpartum blood flooding, blood-fainting, combined with excessive sweating, this formula is suitable. If there is no sweating and no collapse, only take the base formula without adding Renshen. If the Chi position on the left wrist shows depletion, also add Renshen Ginseng Root. This formula can be generally used for various critical postpartum conditions. Within one day and night, three to four doses must be taken. If taken like routine cases, how can it reconnect collapsing Qi and Blood, and support critical changes? During the first one or two days postpartum, even if pain from blood clots persists, if the mother's Qi and Blood are deficient and collapsing, presenting with fainting, syncope, excessive sweating, depletion of form, cooling breath, incessant irritability and thirst, or rapid breathing, regardless of clot pain, use Jia Shen Er Sheng Tang as an emergency measure. As the disease trend recedes, reduce the amount of Renshen and continue taking Er Sheng Tang.
Modifications: For severe pain from blood clots, add Rougui Cinnamon Bark Qifen / 7 fen; for thirst, add Maidong Ophiopogonis Radix Qian / 1 qian and Wuweizi Schisandrae Fructus Ten grains; for excessive sweating, add Mahuanggen Ephedrae Cauliculus Radix Qian / 1 qian. If blood clots do not hurt, add Zhi Huangqi Astragali Radix Qian / 1 qian to stop sweating; for injury from rice or wheat foods, add Chao Shenqu Fermented Wheat Mass Qian / 1 qian and Maiya Hordei Fructus Germinatus Wufen / 5 fen stir-fried; for injury from meat, add Shanzha Crataegi Fructus Five fruits and Sharen Amomi Fructus Qian / 4 qian stir-fried.
Rhyme: Pulse and form depleted, symptoms nearing end,
Blood flooding and fainting, with sweat profuse.
Various critical postpartum conditions,
Jia Shen Er Sheng Tang is safest.
Qi and Blood depletion, Er Sheng Tang,
Adding Renshen makes it excellent.
Severe clot pain adds Rougui,
Thirst adds Maidong and Wuweizi, sweat Mahuanggen.
Clots not painful, Zhi Huangqi,
Shenqu and Maiya treat food injury.
If meat injury, add Shanzha and Sharen,
Symptom-based modifications show greater efficacy.