治产后受风发搐。
当归（一两） 生黄 （六钱） 真阿胶（四钱，不炒） 防风（三钱） 荆芥（三钱） 川芎（三钱）
生杭芍（二钱） 红花（一钱） 生桃仁（钱半，带皮尖捣）
此方虽治产后受风，而实以补助气血为主。盖补正气，即所以逐邪气，而血活者，风又自去也（血活风
自去方书成语）。若产时下血过多或发汗过多，以致发搐者，此方仍不可用，为其犹有发表之药也，当滋阴养
血，以荣其筋，熄其内风，其搐自止。若血虚而气亦虚者，又当以补气之药辅之。而补气之药以黄 为最，因
黄不但补气，实兼能治大风也（《神农本草经》谓黄 主大风）。
一妇人，产后七八日发搐，服发汗之药数剂不效。询方于愚，因思其屡次发汗不效，似不宜再发其汗，
以伤其津液。遂单用阿胶一两，水融化，服之而愈。
一妇人，产后十余日，周身汗出不止，且发搐。治以山萸肉（去净核）、生山药各一两，煎服两剂，汗
止而搐亦愈。
东海渔家妇，产后三日，身冷无汗，发搐甚剧。时愚游海滨，其家人造寓求方。其地隔药局甚远，而海滨
多产麻黄，可以采取。遂俾取麻黄一握，同鱼鳔胶一具，煎汤一大碗，乘热饮之，得汗而愈。用鱼鳔胶者，亦
防其下血过多，因阴虚而发搐，且以其物为渔家所固有也。
一妇人，产后发汗过多，复被三层皆湿透，因致心中怔忡，精神恍惚，时觉身飘飘上至屋顶，此虚极将脱，
而神魂飞越也。延愚诊视，见其汗出犹不止，六脉皆虚浮，按之即无。急用生山药、净萸肉各一两，生杭芍四
钱，煎服。汗止精神亦定。翌日药力歇，又病而反复。时愚已旋里，病家复持方来询，为添龙骨、牡蛎（皆不
用）各八钱，且嘱其服药数剂，其病必愈。孰意药坊中，竟谓方中药性过凉，产后断不宜用，且言此证系产
后风，彼有治产后风成方，屡试屡验，怂恿病家用之。病家竟误用其方，汗出不止而脱。夫其证原属过汗所致，
而再以治产后风发表之药，何异鸩毒。斯可为发汗不审虚实者之炯戒矣。
《傅青主女科》曰∶产后气血暴虚，百骸少血濡养，忽然口紧牙紧，手足筋脉拘搐，类中风痫痉，虽虚
火泛上有痰，皆当以末治之。勿执偏门，而用治风消痰方，以重虚产妇也。当用生化汤，加参、 以益其气。
又曰，产后妇人，恶寒恶心，身体颤动，发热作渴，人以为产后伤寒也，谁知其气血两虚，正不敌邪而然乎？
大抵人之气不虚，则邪断难入。产妇失血过多，其气必大虚，气虚则皮毛无卫，邪原易入。不必户外之风来袭
体也，即一举一动，风可乘虚而入。然产后之风，易入亦易出，凡有外感之邪，俱不必祛风。况产后之恶寒者，
寒由内生也。发热者，热由内弱也。身颤者，颤由气虚也。治其内寒，外寒自散。治其内弱，外热自解。壮其
元气，而身颤自除也。
按∶傅氏之论甚超。特其虽有外感，不必祛风二句，不无可
议。夫产后果有外感，原当治以外感之药，惟宜兼用补气生血之药，以辅翼之耳。若其风热已入阳明之府，表
里俱热，脉象洪实者，虽生石膏亦可用。故《金匮》有竹皮大丸，治妇人乳中虚，烦乱呕逆，方中原有石膏。
《神农本草经》石膏治产乳，原有明文。特不宜与知母并用，又宜仿白虎加人参汤之意，重用人参，以大补元
气，更以玄参代知母，始能托邪外出，则石膏之寒凉，得人参之温补，能逗留胃中，以化燥热，不至直趋下焦，
而与产妇有碍也（石膏解下曾详论之）。
【附方】《医林改错》治产后风，有黄 桃红汤，方用生黄 半斤，带皮尖生桃仁三钱捣碎，红花二钱，
水煎服。按产后风项背反张者，此方最效。
【附方】俗传治产后风方，当归五钱，麻黄、红花、白术各三钱，大黄、川芎、肉桂、紫菀各二钱，煎
服。按此方效验异常，即至牙关紧闭，不能用药者，将齿拗开灌之，亦多愈者。人多畏其有大黄而不敢用，不
知西人治产后风，亦多用破血之药。盖以产后有瘀血者多，此证用大黄以破之，所谓血活风自去也。况犹有麻、
桂之辛热，归、术之补益以调燮之乎。
治疗产后感受风邪引发的抽搐。
当归（一两） 生黄芪（六钱） 真阿胶（四钱，不炒制） 防风（三钱） 荆芥（三钱） 川芎（三钱）
生白芍（二钱） 红花（一钱） 生桃仁（钱半，带皮尖捣碎）
此方虽然用于治疗产后受风，但实际上以补益气血为主。因为补益正气，就是驱逐邪气的方法，而血液运行通畅后，风邪自然离去（“血活风自去”是医书中的成语）。如果在分娩时出血过多，或者发汗过多，导致出现抽搐症状的，这个方子仍然不能使用，因为它含有发表（发散表邪）的药物。这种情况应当滋阴养血，以濡养筋脉，平息内风，抽搐自然会停止。如果是血虚且气也虚的情况，又应当用补气药物来辅助。而在补气药物中，黄芪最为适宜，因为黄芪不仅补气，实际上还能治疗大风（《神农本草经》记载黄芪主治大风）。
有一位妇人，产后七八天发生抽搐，服用发汗药物几剂无效。向我咨询药方，我想到她多次发汗都无效，似乎不宜再发汗，以免损伤津液。于是单用阿胶一两，用水融化后服用，病就好了。
另一位妇人，产后十多天，全身出汗不止，并且发生抽搐。我用山茱萸（去净核）、生山药各一两，煎服两剂，汗止住了，抽搐也痊愈了。
东海一位渔家妇女，产后三天，身体寒冷无汗，抽搐非常剧烈。当时我正在海滨游历，她的家人到寓所求方。当地距离药店很远，但海滨多产麻黄，可以采集到。于是让他们取麻黄一把，同鱼鳔胶一块，煎成一大碗汤，趁热喝下，出汗后病愈。使用鱼鳔胶的原因，也是防止其因失血过多，阴虚而引发抽搐，况且这是渔家固有的物品。
还有一位妇人，产后发汗过多，又连穿三层衣服都被汗水湿透，因此导致心中惊悸怔忡，精神恍惚，时常觉得身体飘飘然上升到屋顶，这是极度虚弱即将脱证，神魂飞越的表现。请我诊治，见其汗出仍不止，六脉皆虚浮，重按即无。急忙用生山药、净山茱萸各一两，生白芍四钱，煎服。汗止住了，精神也安定下来。第二天药效过后，病情反复。当时我已经回到家乡，病家拿着方子又来询问，我为原方添加了龙骨、牡蛎（均不用煅）各八钱，并嘱咐他们服药几剂，病一定会好。没想到药房中的人竟说方中药性过凉，产后断然不宜使用，并且说此证属于产后风，他们有治疗产后风的成方，屡试屡验，怂恿病家使用那个方子。病家竟然误用了那个方子，导致汗出不止而死。这个证候原本是由过汗导致的，再用治疗产后风的发表药物，这与毒药有什么区别呢？这可以作为不审察虚实就发汗者的深刻警戒。
《傅青主女科》说：产后气血突然虚弱，周身骨骼肌肉缺少血液濡养，忽然口紧牙关紧闭，手足筋脉拘挛抽搐，类似中风、痫证、痉证，虽然有虚火泛上有痰，都应当以治本为主。不要固执于旁门左道，而使用治风消痰的方剂，从而加重产妇的虚弱。应当使用生化汤，加入人参、[缺字，推测为芪或类似的补气药]以益气。
又说，产后妇人，恶寒恶心，身体颤动，发热口渴，人们以为是产后伤寒，谁知道这是因为气血两虚，正气不能抵御邪气所致呢？
大抵人的气不虚，那么邪气很难侵入。产妇失血过多，其气必然大虚，气虚则皮毛没有卫外功能，邪气容易侵入。不一定非要户外的风袭击身体，就是一举一动，风也可以乘虚而入。然而产后之风，易入也易出，凡是有外感邪气的，都不必特意祛风。况且产后恶寒，寒是从内部产生的。发热，是因为内部虚弱。身体颤抖，是因为气虚。治疗内部的寒，外部的寒自然消散。治疗内部的虚弱，外部的热自然解除。壮大元气，身体颤抖自然消除。
按语：傅氏的论述非常高明。特别是他说的“虽有外感，不必祛风”这两句，并非无可争议。如果产后果真有外感，原本应当用治疗外感的药物，只是应当兼用补气生血的药物来辅助罢了。如果风热已经传入阳明腑，表里俱热，脉象洪实，即使是生石膏也可以使用。所以《金匮要略》中有竹皮大丸，治疗妇女哺乳期虚损，烦乱呕逆，方中原有石膏。《神农本草经》记载石膏治疗产乳，原有明确文字。只是不宜与知母并用，又应当仿照白虎加人参汤的意思，重用人参，以大补元气，更以玄参代替知母，才能托举邪气外出，这样石膏的寒凉，得到人参的温补，能逗留于胃中，以化解燥热，不至于直接趋向下焦，从而对产妇造成损害（石膏的药解在下文曾详细论述过）。
【附方】《医林改错》治疗产后风，有黄芪桃红汤，方用生黄芪半斤，带皮尖生桃仁三钱捣碎，红花二钱，水煎服。按：产后风出现项背强直反张的，此方最有效。
【附方】民间流传的治疗产后风方，当归五钱，麻黄、红花、白术各三钱，大黄、川芎、肉桂、紫菀各二钱，煎服。按：此方疗效异常显著，即使到了牙关紧闭，不能用药的情况，将牙齿撬开灌服，也多能治愈。人们大多畏惧其中有大黄而不敢使用，不知道西方人治疗产后风，也多使用破血药物。大概因为产后有瘀血的情况很多，此证用大黄来破除瘀血，这就是所谓的“血活风自去”。况且还有麻黄、桂枝的辛热，当归、白术的补益来调和呢。
Treatment for convulsions caused by wind invasion after childbirth.
Danggui (Radix Angelicae Sinensis) (1 liang), Sheng Huangqi (Astragali Radix, raw) (6 qian), Zhen Ejiao (Colla Corii Asini, authentic) (4 qian, not stir-fried), Fangfeng (Saposhnikoviae Radix) (3 qian), Jingjie (Schizonepetae Spica) (3 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma) (3 qian).
Sheng Baishao (Paeoniae Radix Alba, raw) (2 qian), Honghua (Carthami Flos) (1 qian), Sheng Taoren (Persicae Semen, raw, with skin and tip, crushed) (1.5 qian).
Although this formula is used to treat wind invasion after childbirth, its primary function is actually to tonify Qi and Blood. Tonifying the righteous Qi is the method to expel pathogenic factors; once the blood circulation is unobstructed, the wind naturally disperses ("When blood moves freely, wind self-disperses" is a common saying in medical texts). If convulsions occur due to excessive bleeding during delivery or excessive sweating, this formula should still not be used because it contains herbs that release the exterior. In such cases, one should nourish Yin and Blood to moisten the sinews and extinguish internal wind, so that the convulsions will stop spontaneously. If there is both Blood deficiency and Qi deficiency, Qi-tonifying herbs should be added as assistance. Among Qi-tonifying herbs, Huangqi is the best, because Huangqi not only tonifies Qi but also treats severe wind pathogens (The *Shennong Bencao Jing* states that Huangqi governs "great wind").
One woman suffered from convulsions seven or eight days postpartum. After taking several doses of diaphoretic (sweat-inducing) medicines without effect, she consulted me. Considering that her repeated sweating had been ineffective, I reasoned that further sweating would be inappropriate as it would damage body fluids. Therefore, I prescribed only Ejiao (1 liang), dissolved in water, which cured her.
Another woman, more than ten days postpartum, suffered from continuous whole-body sweating and convulsions. I treated her with Shanzhuyu (Corni Fructus, seeds removed completely) and Sheng Shanyao (Dioscoreae Rhizoma, raw), each 1 liang, decocted and taken for two doses. The sweating stopped, and the convulsions resolved.
A fisherman's wife in the East Sea area suffered from cold body, absence of sweat, and severe convulsions three days postpartum. At that time, I was traveling along the coast. Her family came to my residence to seek a prescription. Since the nearest pharmacy was far away, but Ephedra (Mahuang) grew abundantly on the coast, I instructed them to gather a handful of Mahuang and boil it together with one piece of Yubiao Jiao (Fish Bladder Gelatin) in a large bowl of water. She drank it while hot, sweated, and recovered. Yubiao Jiao was used to prevent convulsions caused by Yin deficiency due to excessive blood loss, and also because it was a product readily available to fishermen.
Another woman, having sweated excessively postpartum and then wearing three layers of clothing soaked through with sweat, developed palpitations (Zhengdong), mental confusion, and a sensation of floating up to the roof. This indicated extreme deficiency approaching collapse, with the Shen (Spirit) flying away. Upon examination, her sweating continued, and all six pulses were deficient and floating, vanishing upon pressure. I urgently prescribed Sheng Shanyao (1 liang), Jing Yurou (Corni Fructus, cleaned) (1 liang), and Sheng Baishao (4 qian), decocted and administered. The sweating stopped, and her spirit settled. However, when the medicinal effect wore off the next day, the condition recurred. By then, I had returned home. The family brought the prescription to consult again. I added Longgu (Fossilia Ossis Mastodi) and Muli (Concha Ostreae), neither calcined, each 8 qian, and advised them to take several doses for a cure. Unexpectedly, the pharmacy staff claimed the herbs were too cooling for postpartum use and insisted the condition was "postpartum wind," recommending their own proven formula. Persuaded by them, the family mistakenly used that formula, leading to uncontrollable sweating and collapse. Since the original condition was caused by excessive sweating, using exterior-releasing drugs for "postpartum wind" is akin to poison. This serves as a stern warning against inducing sweat without assessing deficiency or excess.
*Fu Qingzhu Nu Ke* states: Postpartum sudden deficiency of Qi and Blood leaves the bones and muscles lacking blood nourishment. Suddenly, the mouth becomes tight, teeth are clenched, and hand/foot sinews contract and convulse, resembling stroke, epilepsy, or tetanus. Although there may be phlegm due to floating deficient fire, treatment should focus on the root. Do not adhere to heterodox methods using wind-expelling and phlegm-resolving formulas, which would further weaken the puerpera. Instead, use Shenghua Tang, adding Renshen (Ginseng Radix et Rhizoma) [text missing, likely Qishi or similar] to benefit Qi.
It also states: Postpartum women with aversion to cold, nausea, body tremors, fever, and thirst are often mistaken as having postpartum Taiyang syndrome. Who knows it is actually due to dual deficiency of Qi and Blood, where righteous Qi cannot resist the pathogen? Generally, if Qi is not deficient, pathogens rarely invade. Excessive blood loss postpartum causes significant Qi deficiency. Qi deficiency means the skin and hair lack Wei (Defensive) protection, making invasion easy. Wind can enter through mere movement, not just external attacks. However, wind invading postpartum is easy to enter and easy to exit. For any external pathogenic factors, specific wind-expelling measures are unnecessary. Moreover, postpartum aversion to cold stems from internal cold. Fever stems from internal weakness. Tremors stem from Qi deficiency. Treating internal cold dissipates external cold. Treating internal weakness resolves external heat. Strengthening Yuan Qi eliminates tremors.
Commentary: Fu's discussion is profound. However, his statement "even with external contraction, wind-expelling is unnecessary" is debatable. If there is indeed an external contraction postpartum, treating it with external-contraction remedies is appropriate, provided they are supplemented with Qi-tonifying and Blood-nourishing herbs. If wind-heat has entered the Yangming Fu organs, presenting with heat in both interior and exterior and a surging, solid pulse, even Shigypsum (Gypsum Fibrosum) can be used. Thus, *Jin Gui Yao Lue* contains Zhupi Da Wan for treating deficiency during lactation with irritability, vomiting, and regurgitation, which originally includes Shigypsum. The *Shennong Bencao Jing* explicitly states Shigypsum treats postpartum conditions. However, it should not be combined with Zhimu (Anemarrhenae Rhizoma). One should follow the principle of Baihu Jia Renshen Tang, heavily using Renshen to greatly tonify Yuan Qi, and substituting Xuanshen (Scrophulariae Radix) for Zhimu. This allows the expulsion of pathogens. The cooling nature of Shigypsum, aided by the warming-tonic nature of Renshen, remains in the stomach to resolve dryness-heat without rushing to the lower jiao, thus avoiding harm to the puerpera (The properties of Shigypsum are discussed in detail below).
[Attached Formula] *Yi Lin Gai Cuo* treats postpartum wind with Huangqi Taohong Tang, using Sheng Huangqi (8 liang), Sheng Taoren with skin and tip (3 qian, crushed), and Honghua (2 qian), decocted in water. Note: For postpartum wind presenting with opisthotonos (stiff neck and back), this formula is most effective.
[Attached Formula] A folk remedy for postpartum wind uses Danggui (5 qian), Mahuang (Ephedrae Herba), Honghua, and Baizhu (Atractylodis Macrocephalae Rhizoma) each 3 qian, Dahuang (Rhei Radix et Rhizoma), Chuanxiong, Rougui (Cinnamomi Cortex), and Ziwan (Adenophorae Radix) each 2 qian, decocted and taken. Note: This formula is exceptionally effective. Even in cases of trismus (locked jaw) where oral medication is difficult, prying the teeth open for administration often results in recovery. People fear Dahuang and dare not use it, unaware that Western medicine also frequently uses blood-breaking herbs for postpartum wind. This is because blood stasis is common postpartum; using Dahuang to break stasis aligns with the principle "when blood moves freely, wind self-disperses." Furthermore, the acrid-warm nature of Mahuang and Rougui, combined with the tonic effects of Danggui and Baizhu, provides modulation.