郭稽中曰∶产后汗出多而变痉者，因产后血虚，腠理不密，故多汗出。遇风邪搏之则变
痉也
。痉者，口噤不开，背强而直，如发痫状，摇头马鸣，身反折，须臾又发，气息如绝，宜速
灌小续命汤。稍缓即汗出如雨，两手摸空者，不可治也。
薛氏曰∶产后发痉，因去血过多，元气亏极，或外邪相搏，以致牙关紧急，四肢痉强，
或腰
背反张，肢体抽搐。若有汗而不恶寒者，曰柔痉，无汗而恶寒者，曰刚痉。由下血过多，
筋无所养而致。故伤寒汗下过多，溃疡脓血大泄多患之，乃败症也。急以十全大补汤补气血
，如不应，急加附子，或保无虞。若攻邪风，死无疑矣。
《大全》云∶产后中风，筋脉四肢挛急，是气血不足，脏腑俱虚，早起劳役，为风邪冷
气客
于皮肤经络则令人顽痹不仁，羸乏少气。风邪入于筋脉，挟寒则挛急也。薛氏曰∶肝属木而
主筋，前症若肝经风热血燥，用加味逍遥散，如不应，当以六味地黄丸以补肾水。经云∶风
客淫气，精乃亡，邪伤肝也。
经云∶大肠之脉散舌下。又云∶脾之脉，是动则病舌本强直不能言。又云∶肾之别脉上
入于
心，系舌本，虚则不能言。窃为前症因产后虚弱，多致停积败血闭于心窍，神志不能明了
，故令不语。大抵心肾气虚用七珍散，肾虚风热地黄饮，大肠风热加味逍遥加防风、白芷
，脾经风热秦艽升麻汤，肝经风热柴胡清肝散加防风、白芷，脾气郁加味归脾汤加升麻、肝
木太过小柴胡加钩藤，脾受木侮六君子加升麻，白芷、钩藤，肝脾血虚佛手散，脾气虚四君
子汤，气血俱虚八珍汤，如不应，用独参汤，更不应，急加附子补其气而生其血。若止用血
药则误矣。《大全》云∶产后语言颠倒，或狂言谵语，如见鬼神者，其源不一。一则因产后
心虚，败血停积，上干于心而狂言独语(当在乍见鬼神条求之)。
二则产后脏虚，心神惊
悸，志意不安，言语错乱，不自知觉，神思不安(当在惊悸条求之)。三则宿有风毒，因产心
虚气弱，腰背强直，或歌哭嗔笑，言语乱道，当作风痉治疗(当在心惊中风条求之)。四则产
后心虚中风，心神恍惚，言语错乱(当在中风恍惚条求之)。五则产后多因败血迷乱心经而癫
狂，言语错乱无常，或晕闷(当于血晕类求之)。六则因产后感冒风寒(诸条俱不言痰)，恶露
斩然不行，恶寒发热如疟，昼日明了，暮则谵语，如见鬼状(当作热入血室治之)，宜琥珀地
黄丸及四物汤(不用伤寒治法)，只用生地、北柴胡等分煎服，如不退，用小柴胡汤加生地煎
服。虽然以上诸症大抵胎前产后自有专门一定之法，毫发不同，如产后首当逐败生新，然后
仔细详辨疾证，不可妄立名色。加减方药，大宜对症，根据方施治，未有不安者也。
薛氏曰∶前症当固胃气为主，而佐以见症之药，若一于攻痰则误矣。
郭稽中说：产后出汗多而转变为痉病的，是因为产后血虚，腠理（皮肤毛孔）不紧密，所以容易出汗。遇到风邪侵袭搏结就会变成痉病。所谓痉病，是指牙关紧闭不能张开，背部僵硬挺直，像发作癫痫的样子，摇头发出马鸣般的声音，身体向后反折，一会儿又发作，气息微弱好像要断绝一样，应当迅速灌服小续命汤。如果治疗稍慢，出现汗出如雨、两手在空中摸索的症状，就无法治愈了。
薛氏说：产后发生痉病，是因为失血过多，元气极度亏损，或者外邪相搏结，导致牙关紧急，四肢痉挛强直，或者腰背向后反张，肢体抽搐。如果有汗但不怕冷的，称为柔痉；无汗且怕冷的，称为刚痉。这是由于下血过多，筋脉得不到滋养所致。因此伤寒病中发汗或攻下过多，以及溃疡脓血大量流失的患者容易患此病，属于危重败症。应当紧急使用十全大补汤来补益气血，如果不见效，紧急加入附子，或许就能保证安全。如果用祛除外邪风邪的方法治疗，必定死亡无疑。
《大全》说：产后中风，筋脉和四肢拘挛急迫，是气血不足，脏腑都虚弱，早起从事体力劳动，被风邪冷气客居于皮肤经络，就会导致肌肤麻木不知痛痒，身体消瘦乏力，气短。风邪侵入筋脉，挟带寒气就会导致拘挛急迫。薛氏说：肝属木而主管筋脉，前面的症状如果是肝经风热血燥，使用加味逍遥散，如果不见效，应当用六味地黄丸来补肾水。经文说：风邪客居体内淫乱正气，精气就会耗亡，这是邪气伤害肝脏的缘故。
经文说：大肠的经脉散布在舌下。又说：脾的经脉，发生变动就会病见舌根强硬不能说话。又说：肾的别行经脉向上进入心脏，系连舌根，虚损时就不能说话。我推测前面的症状因为产后虚弱，多导致停积的败血闭塞心窍，神志不能清明，所以导致不语。大体上心肾气虚用七珍散，肾虚风热用地黄饮，大肠风热用加味逍遥散加防风、白芷，脾经风热用秦艽升麻汤，肝经风热用柴胡清肝散加防风、白芷，脾气郁结用加味归脾汤加升麻，肝木太过用小柴胡汤加钩藤，脾受肝木克制用六君子汤加升麻、白芷、钩藤，肝脾血虚用佛手散，脾气虚用四君子汤，气血俱虚用八珍汤，如果不见效，用独参汤，更不见效，紧急加入附子以补气并生血。如果只用补血药就错了。《大全》说：产后语言颠倒，或者狂言谵语，像看见鬼神的人，其根源不一。一是因为产后心虚，败血停积，上扰于心而狂言独语（应当在“乍见鬼神”条中寻求治法）。二是产后脏腑虚弱，心神惊悸，意志不安，言语错乱，自己不知道，神思不安（应当在“惊悸”条中寻求治法）。三是宿有风毒，因为产中心虚气弱，腰背强直，或者歌哭嗔笑，言语乱道，应当当作风痉治疗（应当在“心惊中风”条中寻求治法）。四是产后心虚中风，心神恍惚，言语错乱（应当在中风恍惚条中寻求治法）。五是产后多因败血迷乱心经而导致癫狂，言语错乱无常，或者晕闷（应当在“血晕”类中寻求治法）。六是产后因感受风寒（上述各条都不提及痰），恶露突然停止不行，恶寒发热像疟疾一样，白天清醒，晚上则谵语，像看见鬼怪的样子（应当当作热入血室治疗），适宜琥珀地黄丸及四物汤（不要用治疗伤寒的方法），只用生地、北柴胡等量煎服，如果不退，用小柴胡汤加生地煎服。虽然以上各种症状大体上胎前产后自有专门一定的方法，毫发不同，如产后首先应当驱逐败血生成新血，然后仔细详细辨别疾病证候，不可妄自立名色。加减方药，非常适宜对症，根据方剂施治，没有不安稳的。
Guo Jizhong stated: When excessive sweating occurs postpartum and transforms into Jing disease (spasm), it is due to blood deficiency after childbirth, causing the Couli (skin pores) to be loose, leading to profuse sweating. Upon encountering wind pathogen invasion and binding, Jing disease develops. Jing disease refers to lockjaw where the mouth cannot open, stiffness and straightness of the back, resembling an epileptic seizure, with head shaking, sounds like a horse neighing, opisthotonos (body bending backward), recurring in moments, with breath appearing as if cut off. One should rapidly administer Xiao Xuming Tang (Minor Continue Life Decoction). If treatment is delayed slightly, resulting in sweat pouring like rain and hands groping in the air, it becomes incurable.
Xue stated: Postpartum Jing disease arises from excessive blood loss, extreme depletion of Yuan Qi (primordial qi), or interaction with external pathogens, leading to tightness of the jaw, spasticity and rigidity of the four limbs, or opisthotonos of the waist and back, and limb convulsions. If there is sweating but no aversion to cold, it is called Rou Jing (Soft Spasm); if there is no sweating and aversion to cold, it is called Gang Jing (Hard Spasm). This is caused by excessive blood loss, leaving the sinews without nourishment. Therefore, patients with Taiyang disease who have sweated or purged excessively, or those with ulcers suffering massive discharge of pus and blood, are prone to this condition, which is a critical failure syndrome. One must urgently use Shiquan Dabu Tang (Ten Complete Great Tonifying Decoction) to tonify Qi and Blood. If ineffective, add Fuzi (Aconite Lateral Root) urgently, and safety may be ensured. If one attacks the wind pathogen, death is inevitable.
Daquan states: Postpartum wind-stroke, with spasms and urgency of the sinews and four limbs, indicates insufficiency of Qi and Blood, and deficiency of all Zang-Fu organs. Rising early for labor, wind-cold pathogen lodges in the skin and meridians, causing numbness and insensitivity, emaciation, fatigue, and shortness of breath. When wind pathogen enters the sinews and binds with cold, it causes spasms and urgency. Xue stated: The Liver belongs to Wood and governs the sinews. If the aforementioned symptoms are due to Wind-Heat and Blood Dryness in the Liver Meridian, use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder). If ineffective, employ Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) to tonify Kidney Water. The Classic states: "When wind lodges and disrupts Qi, Essence is lost; evil harms the Liver."
The Classic states: The meridian of the Large Intestine spreads under the tongue. It also states: "When the meridian of the Spleen moves, disease manifests as a stiff tongue base and inability to speak." It further states: "The divergent meridian of the Kidney enters upward into the Heart and ties to the root of the tongue; when deficient, one cannot speak." I surmise that the aforementioned symptoms, due to postpartum weakness, often result from retained stasis blocking the Heart orifices, preventing clear consciousness, thus causing muteness. Generally, for Heart and Kidney Qi deficiency, use Shizhen San (Seven Treasures Powder); for Kidney deficiency with Wind-Heat, use Dihuang Yinzi (Rehmannia Decoction); for Large Intestine Wind-Heat, use Jiawei Xiaoyao San plus Fangfeng (Saposhnikovia Root) and Baizhi (Angelica Dahurica); for Spleen Meridian Wind-Heat, use Qinjiao Shengma Tang (Gentian and Cimicifuga Decoction); for Liver Meridian Wind-Heat, use Chaihu Qinggan San (Bupleurum Clearing Liver Powder) plus Fangfeng and Baizhi; for Spleen Qi stagnation, use Jiawei Guipi Tang (Modified Restore the Spleen Decoction) plus Shengma; for excessive Liver Wood, use Xiaochaihu Tang (Minor Bupleurum Decoction) plus Gouteng (Uncaria Rhynchophylla); for Spleen oppressed by Liver Wood, use Liujunzi Tang (Six Gentlemen Decoction) plus Shengma, Baizhi, and Gouteng; for Liver and Spleen Blood deficiency, use Foshou San (Finger Citron Powder); for Spleen Qi deficiency, use Sijunzi Tang (Four Gentlemen Decoction); for combined Qi and Blood deficiency, use Bazhen Tang (Eight Treasure Decoction). If ineffective, use Dan Shen Tang (Single Ginseng Decoction); if still ineffective, urgently add Fuzi to tonify Qi and generate Blood. Using only blood-tonifying herbs would be an error. Daquan states: Postpartum inverted speech, or manic talking and delirium, seeing ghosts and spirits, has various origins. First, due to postpartum Heart deficiency, retained stasis accumulates and harasses the Heart, causing manic solitary speech (seek treatment in the 'Seeing Ghosts Suddenly' section). Second, postpartum organ deficiency leads to Heart Spirit fright and palpitations, unstable will, confused speech, unawareness, and unsettled spirit (seek treatment in the 'Palpitations' section). Third, pre-existing wind-toxin, combined with postpartum Heart deficiency and weak Qi, causes stiff waist and back, singing, crying, anger, laughter, and chaotic speech; treat as Wind-Jing (seek treatment in the 'Heart Fright Wind-Stroke' section). Fourth, postpartum Heart deficiency with wind-stroke causes vague Heart Spirit and confused speech (seek treatment in the 'Wind-Stroke Vagueness' section). Fifth, postpartum conditions often involve stasis confusing the Heart Meridian leading to mania, erratic speech, or fainting (seek treatment in the 'Blood Syncope' category). Sixth, postpartum contraction of wind-cold (none of the above sections mention phlegm), sudden cessation of lochia, aversion to cold and fever resembling malaria, clarity during the day but delirium at night resembling seeing ghosts (treat as Heat Entering the Blood Chamber), suitable for Hupo Dihuang Wan (Amber Rehmannia Pill) and Siwu Tang (Four Substance Decoction) (do not use Taiyang disease treatment methods); decoct equal parts of Shengdi (Rehmannia Root) and Beichaihu (Bupleurum Root); if unresolved, use Xiaochaihu Tang plus Shengdi. Although these symptoms generally have specific methods for pregnancy and postpartum, differing by a hair, postpartum treatment first requires expelling stasis and generating new blood, then carefully distinguishing the disease pattern. Arbitrary naming and modification of formulas should be symptom-specific. Following the formula for treatment ensures stability.
Xue stated: For the aforementioned symptoms, the primary approach should be consolidating Stomach Qi, assisted by herbs addressing the presenting symptoms. Attacking phlegm exclusively would be an error.