问曰∶新产妇人有三病∶一者病 ，二者病郁冒，三者大便秘结。何谓也?
师曰∶新产血虚，多汗出喜风，故令病 。亡血复汗寒多，故令郁冒。亡津液则胃燥，故大
便难。
产后血晕者，气血暴虚，未得安静，血随气上，迷乱心神，故眼前生花，甚者令人闷绝，不
知人事，口噤神昏气冷，宜服清魂散即苏。
荆芥散 治产后血晕，精神昏昧。
荆芥（一两三钱） 桃仁（五钱，炒）
为末，滚汤下三钱，如喘，加杏仁、甘草各三钱。
娄氏曰∶产后下血多而晕者，但昏闷烦乱而已，当补血。下血少而晕者，乃恶露不下，上抢
于心，则心下满急，神昏口噤，绝不知人，当破血行血。
丹溪曰∶妇人产后血晕，此乃虚火载血妄行，渐觉昏迷，以鹿角 灰出火毒，研极细末，用
童便煮酒灌下即醒，此物行血极妙。
独行散 治产后血晕，昏迷不醒，冲心闷绝，五灵脂四钱，一半炒，一半生，共研极
细末，温酒调下二钱，即苏。
仲景曰∶产后郁冒，其脉微弱，不能食，大便反坚，但头汗出。所以然者，血虚而厥，厥而
必冒，冒家欲解，必大汗出，以血处下厥，孤阳上出，故但头汗出。所以产妇汗出者，亡阴
血虚，阳气独盛，故当汗出，阴阳乃复。大便坚，呕而不食者，小柴胡汤和之。
问：刚生产完的妇女有三种病：一种是产后痉病（指产后出现四肢抽搐、项背强直，甚至角弓反张的病证），第二种是郁冒（指产后头晕目眩、郁闷不舒，甚则昏厥的病证），第三种是大便秘结。这是什么原因呢？
老师说：新产后的妇女气血亏虚，容易出汗且怕风，所以导致产后痉病。失血之后又出汗，感受寒邪较多，所以导致郁冒。津液耗伤导致胃中干燥，所以大便秘结难解。
产后血晕（指产妇分娩后突然头晕眼花，不能起坐，或心下满闷，恶心呕吐，直至口噤神昏，不省人事的病证），是因为气血突然极度虚弱，身体尚未安定，血液随着气机上逆，迷乱心神，所以眼前发花，严重的会导致人闷绝昏迷，不知人事，牙关紧闭，神志昏迷，气息冷，适宜服用清魂散即可苏醒。
荆芥散治疗产后血晕，精神昏沉模糊。
荆芥（一两三钱） 桃仁（五钱，炒制）
研为细末，用滚开的热水送服三钱，如果伴有气喘，加杏仁、甘草各三钱。
娄氏说：产后恶露出血多而晕倒的，只是感到昏闷烦乱而已，应当补血。恶露出血少而晕倒的，乃是恶露不下，上冲于心，则心下胀满急迫，神志昏迷，牙关紧闭，完全不知人事，应当破血行血。
丹溪说：妇人产后血晕，这是虚火载着血液妄行，逐渐觉得昏迷，用鹿角霜（鹿角熬胶后剩余的渣滓）灰去除火毒，研磨成极细的粉末，用童子小便煮酒灌下即可醒来，这药活血效果极好。
独行散治疗产后血晕，昏迷不醒，瘀血冲心闷绝，取五灵脂四钱，一半炒制，一半生用，共同研磨成极细的粉末，用温酒调服二钱，即可苏醒。
仲景说：产后郁冒，脉象微弱，不能进食，大便反而坚硬，只有头部出汗。之所以这样，是因为血虚导致厥逆，厥逆必然导致郁冒，郁冒患者想要解除病症，必定会全身大汗出，因为血虚于下导致厥逆，孤阳上浮外越，所以只有头部出汗。所以产妇出汗，是因为亡失阴血导致血虚，阳气独盛，所以应当出汗，阴阳才能恢复平衡。大便坚硬，呕吐不能进食的，用小柴胡汤调和之。
Question: There are three diseases in women shortly after childbirth: one is postpartum spasm (a syndrome characterized by convulsions of the four limbs, stiffness of the neck and back, and even opisthotonos), the second is yu mao (postpartum dizziness, depression, and discomfort, or even syncope), and the third is constipation. What does this mean?
The Master said: Women who have just given birth have deficient blood and qi, sweat easily, and dislike wind; therefore, they suffer from postpartum spasm. After losing blood, sweating again, and being exposed to much cold, they suffer from yu mao. When body fluids are depleted, the stomach becomes dry; therefore, defecation is difficult.
Postpartum blood fainting (a syndrome where a puerpera suddenly experiences dizziness and blurred vision, inability to sit up, chest fullness, nausea, vomiting, jaw clenching, coma, and loss of consciousness) occurs because blood and qi are suddenly extremely deficient, and the body has not yet settled. Blood follows the upward movement of qi, confusing the heart-mind (Shen). Thus, flowers appear before the eyes. In severe cases, it causes suffocation and unconsciousness, with no awareness of surroundings, jaw clenching, mental confusion, and cold breath. It is appropriate to administer Qinghun San (Clear Soul Powder) to restore consciousness.
Jingjie San treats postpartum blood fainting with mental dullness and confusion.
Jingjie (Schizonepetae Herba, 1 liang 3 qian) Taoren (Peach Kernel, 5 qian, stir-fried)
Grind into powder. Take 3 qian with boiling water. If wheezing occurs, add Xingren (Apricot Seed) and Gancao (Licorice Root), each 3 qian.
Lou stated: For those who faint due to excessive bleeding after childbirth, there is only dizziness, stuffiness, and restlessness; tonifying blood is indicated. For those who faint with little bleeding, it is due to lochia failing to descend and rushing upward to the heart, causing fullness and urgency below the heart, mental confusion, jaw clenching, and complete loss of consciousness; breaking blood and promoting blood circulation is indicated.
Danxi stated: Postpartum blood fainting in women is caused by deficient fire carrying blood to move recklessly. As confusion gradually sets in, using Lu Jiao Shuang (Cornu Cervi Degelatinatum, ash from deer horn after gelatin extraction) that has been processed to remove fire toxicity, ground into an extremely fine powder, and administered with wine boiled in child's urine will restore consciousness. This herb is excellent for moving blood.
Duxing San treats postpartum blood fainting with coma, unresponsiveness, and blood rushing to the heart causing suffocation and fainting. Use Wulingzhi (Trogopteri Dung, 4 qian), half stir-fried and half raw, ground together into an extremely fine powder. Mix with warm wine and take 2 qian to restore consciousness.
Zhongjing stated: In postpartum yu mao, the pulse is weak, appetite is absent, stool is hard, and only the head sweats. The reason is blood deficiency leading to jue (reversal/cold extremities), and jue inevitably leads to yu mao. For a patient with yu mao to recover, profuse sweating must occur throughout the body. Because blood is deficient at the lower jiao causing jue, isolated yang floats upward and outward, resulting in sweating only on the head. Therefore, when a puerpera sweats, it is due to the loss of yin blood and blood deficiency, leaving yang qi in excess. Sweating is necessary for yin and yang to restore balance. If there is hardness of the stool, vomiting, and inability to eat, Xiaochaihu Tang (Minor Bupleurum Decoction) should be used to harmonize.