答曰。阳明者。经脉之海。起于鼻。交额中。入上齿。还出侠口。交人中左之右右之左。产
后气消血散。营卫不理。散乱入于诸经。却还不得。故令口鼻黑气起。及变鼻衄。此缘产后
虚热。变生此疾。其疾不可治。名曰胃绝肺败。详此一证。保庆府无方。可急服琥珀黑散。
视其病患鼻黑退。衄止者。活。(方见第八十二问中)
答曰。营者血也。卫者气也。营行脉中。卫行脉外。相随上下。谓之营卫。因产所下过多。
营血暴竭。卫气无主。独聚于肺中。故令喘也。此名孤阳绝阴。难治。若产后恶露不快。败
血停凝。上熏于肺。亦令喘急。如此但服夺命丹。血去。喘急自止。(夺命丹方见八十一问)
旋复花汤。治产后伤风。或风寒暑湿。咳嗽喘满。痰涎壅塞。如服夺命丹喘不定。可服此药
。
前胡 麻黄 杏仁 五味子 茯苓 甘草 赤芍 旋复花 半夏曲 人参 玄及(各等分)
上为饮子。每服四钱。水盏半。姜五片。枣一枚。煎七分。温服。食前。
答曰。产后五七日内。强力下床。或月内。伤于房室。或忧怒。扰荡冲和。或灼炙。伤动脏
腑。初眼涩口噤。肌肉 搐。以渐腰脊筋急强直者不治。此乃人作。非偶尔中风所得。本集
无方。三因方评之颇详。
八风汤。治迷惑如醉。狂言惊悸。恍惚见鬼。
天雄 当归 人参(各五两) 附子 防风 天门冬 蜀椒 独活(各四两) 乌头 秦艽 细
辛白术 干姜(各三钱) 山茱萸 五味子 桔梗 香白芷 柴胡 莽草(各半两)
上为末。每服二钱。温酒调下。日三服。以身中觉如针刺者。药行也。
独活散。治产后中风
口噤。肩项强直。四肢拘急。
独活 桂心 甘草(炙) 当归(炒一本作川芎) 麻黄 附子(炮) 细辛(半两) 防风(八味)
每服四钱。水酒各半盏。煎七分。拗开口灌之。
答：阳明经是十二经脉之海，起始于鼻旁，交会于额中，进入上齿龈，复出环绕口唇，在人中穴处左右交叉（左侧经脉走向右侧，右侧经脉走向左侧）。产后气血耗散，营卫运行失调，气血散乱侵入各条经脉，却无法回归本位。因此导致口鼻出现黑气，并变为鼻出血。这是由于产后虚热，衍生出此病证。此病难以治愈，名为“胃绝肺败”。详细考察这一证候，保庆府没有现成方剂，可紧急服用琥珀黑散。若见患者鼻部黑气消退、鼻血停止，则预后良好。（该方详见第八十二问）
答：营气即血，卫气即气。营行于脉管之中，卫行于脉管之外，二者相随上下运行，称为营卫。因分娩时失血过多，营血突然枯竭，卫气失去依附而成为无主之气，独自聚集在肺中，从而导致气喘。这名为“孤阳绝阴”，属于难治之症。如果是产后恶露排出不畅，败血停滞凝结，向上熏蒸于肺，也会引起气喘急促。对此情况只需服用夺命丹，待瘀血去除，气喘自然停止。（夺命丹方详见第八十一问）
旋复花汤，用于治疗产后伤风，或因风寒暑湿引起的咳嗽、气喘胸满、痰涎壅塞等症状。如果服用夺命丹后气喘仍未缓解，可服用此药。
前胡、麻黄、杏仁、五味子、茯苓、甘草、赤芍、旋复花、半夏曲、人参、玄及（以上药材各等分）。
将上述药材制成饮子剂型。每次服用四钱，加水一盏半，生姜五片，大枣一枚，煎至七分量，温服，饭前服用。
答：产后五到七天内，强力下床活动，或在一个月内房事不节，或情绪忧怒，扰乱冲和之气，或过度艾灸，损伤脏腑。初起表现为眼涩、口噤、肌肉抽搐，逐渐发展为腰脊筋脉拘急强直，此类情况属不治之症。这是人为因素所致，并非偶然感受中风邪气所得。本集未收录方剂，《三因方》对此评述颇为详细。
八风汤，用于治疗神志迷惑如醉酒状、狂言乱语、惊悸恍惚、幻视鬼神等症状。
天雄、当归、人参（各五两），附子、防风、天门冬、蜀椒、独活（各四两），乌头、秦艽、细辛、白术、干姜（各三钱），山茱萸、五味子、桔梗、香白芷、柴胡、莽草（各半两）。
将上述药材研为细末。每次服用二钱，用温酒调服，每日三次。以身体感觉如针刺般，说明药力已行。
独活散，用于治疗产后中风。
症状表现为口噤、肩项强直、四肢拘挛紧急。
处方：独活、桂心、炙甘草、炒当归（另一版本作川芎）、麻黄、炮附子、细辛（各半两）、防风（共八味药）。
每次服用四钱，用水和酒各半盏，煎至七分量，撬开患者嘴巴灌服。
Answer: The Yangming meridian is the sea of the twelve meridians. It originates at the side of the nose, intersects at the forehead, enters the upper teeth, emerges to surround the mouth, and crosses at the Renzhong (人中) point, with the left meridian crossing to the right and the right to the left. After childbirth, Qi and blood are depleted, and Ying-Wei (Nutritive and Defensive Qi) regulation is disrupted. Blood and Qi scatter into various meridians but cannot return to their proper positions. This causes black Qi to appear around the mouth and nose, leading to epistaxis (nosebleed). This condition arises from postpartum deficiency-heat generating this disease. It is difficult to treat and is named "Stomach Extinction and Lung Failure" (Wei Jue Fei Bai). Regarding this syndrome, Baoqing Prefecture has no specific formula; one should urgently administer Hupo Heisan (Amber Black Powder). If the patient's nasal blackness recedes and bleeding stops, the prognosis is favorable. (See Formula in Question 82)
Answer: Ying (Nutritive Qi) is blood, and Wei (Defensive Qi) is Qi. Ying circulates within the vessels, while Wei circulates outside the vessels. Moving up and down together, they are referred to as Ying-Wei. Due to excessive blood loss during childbirth, Ying-blood is suddenly exhausted, leaving Wei-Qi without a master. It gathers exclusively in the lungs, causing asthma (wheezing). This is named "Lone Yang and Extinct Yin," which is difficult to treat. If lochia (postpartum discharge) is not discharged smoothly, causing stagnant blood to coagulate and ascend to fumigate the lungs, it also leads to rapid breathing. In such cases, administering Duoming Dan (Life-Restoring Pill) will remove the blood stasis, and the rapid breathing will cease naturally. (See Duoming Dan in Question 81)
Xuanfuhua Tang (Inula Flower Decoction) treats wind-strike after childbirth or coughing, wheezing, chest fullness, and phlegm-saliva obstruction caused by wind-cold, summer-heat, or dampness. If wheezing does not stabilize after taking Duoming Dan, this medicine can be taken.
Qianhu (Peucedani Radix), Mahuang (Ephedrae Herba), Xingren (Armeniacae Semen Amarum), Wuweizi (Schisandrae Fructus), Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma), Chishao (Paeoniae Radix Rubra), Xuanfuhua (Inulae Flos), Banxiaqu (Pinelliae Fermentatum), Renshen (Ginseng Radix), Xuanji (Asari Radix et Rhizoma) [all in equal parts].
Prepare as a decoction (Yinzi). Take 4 qian per dose with 1.5 cups of water, 5 slices of ginger, and 1 jujube. Decoct until reduced to 0.7 volume. Take warm before meals.
Answer: Within five to seven days after childbirth, if one exerts oneself to get out of bed, or engages in sexual intercourse within a month, or suffers from sorrow and anger disturbing the harmonious Qi, or undergoes excessive moxibustion damaging the Zang-Fu organs, initial symptoms include dry eyes, trismus (lockjaw), and muscle twitching. Gradually, stiffness and rigidity of the waist and spine develop. Such cases are incurable. This is due to human error, not accidental contraction of wind-stroke. This collection provides no formula; San Yin Fang discusses it in detail.
Bafeng Tang (Eight Winds Decoction) treats confusion resembling drunkenness, delirious speech, palpitations with fright, mental confusion, and hallucinations of seeing ghosts.
Tianxiong (Aconiti Lateralis Radica Preparata), Danggui (Angelicae Sinensis Radix), Renshen (Ginseng Radix) [each 5 liang]; Fuzi (Aconiti Lateralis Radix Preparata), Fangfeng (Saposhnikoviae Radix), Tianmendong (Asparagi Radix), Shujiao (Zanthoxyli Pericarpium), Duhuo (Angelicae Pubescentis Radix) [each 4 liang]; Wutou (Aconiti Radix), Qinjiao (Gentianae Macrophyllae Radix), Xixin (Asari Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Ganjiang (Zingiberis Rhizoma) [each 3 qian]; Shanzhuyu (Corni Fructus), Wuweizi (Schisandrae Fructus), Jiegeng (Platycodonis Radix), Xiangbaizhi (Angelicae Dahuricae Radix), Chaihu (Bupleuri Radix), Mangcao (Matricariae Flos) [each 0.5 liang].
Grind into powder. Take 2 qian per dose, mixed with warm wine. Take three times daily. The medication is effective when the body feels like needle pricks.
Duhuo San (Angelicae Pubescentis Powder) treats wind-stroke after childbirth.
Symptoms include trismus, stiffness of the shoulders and neck, and spasticity of the four limbs.
Formula: Duhuo (Angelicae Pubescentis Radix), Guixin (Cinnamomi Cortex), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma), Chao Danggui (Fried Angelicae Sinensis Radix; another version uses Chuanxiong Ligustici Rhizoma), Mahuang (Ephedrae Herba), Paofuzi (Prepared Aconiti Lateralis Radix), Xixin (Asari Radix et Rhizoma) [each 0.5 liang], Fangfeng (Saposhnikoviae Radix) [total eight herbs].
Take 4 qian per dose with half a cup of water and half a cup of wine. Decoct until reduced to 0.7 volume. Pry open the mouth and administer.