产时用力过多。劳倦伤脾。(经曰脾中脏也。) 脾乃中脏。不能注于四旁。(四旁心肝肺肾
也。) 故逆厥而气上行。(经曰。厥气上行。满脉去形。) 经云。阳气衰于上则为寒厥。
神气浮越。去身而将散。非大补不能回阳而复神。岂数钱芎归而能扶救将绝之气血耶。必用
加参生化汤。倍人参。连服二三帖。则气血旺而神气生。厥自止矣。若服药反渴。另用多参
。生脉散代茶。以助救脏燥。此经验之确论。毋得有议。如四肢逆冷。泄痢类伤寒阴症。又
难用四逆汤。则用人参生化汤。加附子一片。以回阳止逆。又可行参归之功。下立二方。分
新产后发厥。块痛未止。不用 术方。
川芎 人参(各二钱) 当归(四钱) 炙草(五分) 姜炭(四分) 桃仁(十二粒) 枣(二枚)
连服二帖。
产后发厥。块痛已除方。
人参 当归(各三钱) 黄 白术 麦冬 川芎(各一钱) 炙草 陈皮(各四分) 五味子(
十粒) 熟地(二钱) 附子(五分) 如汗多加麻黄根。枣仁(各一钱) 大便不通。加肉苁蓉(
大抵产后晕厥二症相类。皆由气血并竭。神将去而机运几息。仅有一丝之生意耳。若非重方
急服。岂能挽回将绝之元神耶。但晕在临盆症急。虽甚于厥。然能频灌生
化汤几帖。先补血分之亏。实时块化血旺。而神清晕止。产妇精神复矣。若夫汗多气促。形
脱症见。则参、 必须加也。至厥在分娩之后。气血两竭。宜用倍参生化汤。并补气血之亏
。止厥以复神。又非偏补血分之可愈也。要之晕有块痛。 、术未可遂加。厥无块痛。 、
术、地黄并用无疑也。
分娩时用力过度，导致劳倦损伤脾脏。（《内经》说：脾属于中脏。）脾作为中脏，不能将精气输布到四周。（四周指心、肝、肺、肾四脏。）因此出现气逆厥冷且气机上行的症状。（《内经》说：厥逆之气上行，会导致脉满而神气离形。）经文又说：阳气在上部衰微就会发生寒厥。此时神气浮越，即将脱离身体而消散。如果不是大剂量的补益药物，就不能回阳救逆并恢复神志。难道仅用几钱的川芎和当归就能扶持救助将绝的气血吗？必须使用加参生化汤，加倍人参用量，连续服用二三帖，那么气血旺盛，神气自然生成，厥逆症状自会停止。如果服药后反而口渴，另用多量人参，配合生脉散代茶饮用，以辅助救治脏腑干燥。这是经过验证的确切论述，不要有非议。如果是四肢逆冷、泄泻痢疾类似伤寒阴证的情况，又难以使用四逆汤，则用人参生化汤，加入一片附子，以回阳止逆。这样既能发挥人参、当归的功效，又能避免副作用。下面列出两个方子，分别针对新产后发厥且块痛未止（不用白术的方子），以及产后发厥但块痛已除的方子。
川芎、人参（各二钱）、当归（四钱）、炙甘草（五分）、姜炭（四分）、桃仁（十二粒）、大枣（二枚）。连服两帖。
产后发厥，块痛已除方：
人参、当归（各三钱）、黄芪、白术、麦冬、川芎（各一钱）、炙甘草、陈皮（各四分）、五味子（十粒）、熟地黄（二钱）、附子（五分）。如果汗多，加麻黄根、酸枣仁（各一钱）；如果大便不通，加肉苁蓉。
大致上，产后晕厥这两种症状相似，都是由气血同时枯竭，神气即将离去、生机几乎断绝，仅存一丝生气罢了。如果不是重剂急服，怎么能挽回将绝的元神呢？但是，晕厥发生在临盆之时，病情紧急，虽然比厥证更严重，然而如果能频繁灌服生化汤几帖，先补血分之亏损，随即瘀块化解、血液旺盛，神志清醒、晕厥停止，产妇精神即可恢复。至于汗多气促、形体脱失的症状出现，则人参、黄芪必须加入。而厥证发生在分娩之后，气血两竭，宜用倍参生化汤，同时补益气血的亏损，止住厥逆以恢复神志，这又不是单纯补血分所能治愈的。总之，晕厥伴有块痛，黄芪、白术不可立即加入；厥证没有块痛，黄芪、白术、熟地黄并用无疑。
During childbirth, excessive exertion leads to fatigue and injury to the Spleen. (The Classics state: The Spleen is a central Zang organ.) As the central Zang organ, the Spleen cannot distribute essence to the four peripheries. (The four peripheries refer to the Heart, Liver, Lungs, and Kidneys.) Consequently, there is Qi reversal with Jue (cold extremities) and upward movement of Qi. (The Classics state: Upward-moving rebellious Qi causes fullness in the vessels and separation of Shen from the form.) The Classics also say: When Yang Qi declines at the upper part, it results in Cold Jue. At this stage, Shen Qi floats and becomes disordered, about to leave the body and dissipate. Without major tonification, it is impossible to restore Yang and revive the Shen. How could merely a few qian of Chuanxiong and Danggui be able to support and rescue the nearly exhausted Qi and Blood? One must use Jiashen Shenghua Tang (Ginseng-Added Decoction for Generating New Blood), doubling the dosage of Renshen (Ginseng), and administering it continuously for two or three doses. Then, when Qi and Blood become robust, Shen Qi will generate, and Jue will cease naturally. If thirst occurs after taking the medicine, use a larger amount of Renshen alone, or prepare Shengmai San (Generate Pulse Powder) as tea to assist in rescuing dryness of the Zang organs. This is an empirically verified conclusion; do not dispute it. In cases where the four limbs are cold, accompanied by diarrhea or dysentery resembling Yin syndromes of Cold Damage, Si Ni Tang (Counterflow Decoction) may be difficult to apply. Instead, use Renshen Shenghua Tang (Ginseng-Decoction for Generating New Blood) with one slice of Fuzi (Aconite Root) to restore Yang and stop rebellion. This allows the benefits of Renshen and Danggui to take effect while avoiding adverse reactions. Below are two formulas provided separately: one for postpartum Jue with persistent abdominal masses/pain (excluding Baizhu), and one for postpartum Jue where abdominal masses/pain have ceased.
Chuanxiong (2 qian), Renshen (2 qian), Danggui (4 qian), Zhi Gancao (Roasted Licorice Root, 5 fen), Jiangtan (Charred Ginger, 4 fen), Taoren (Peach Kernel, 12 grains), Dazao (Jujube, 2 pieces). Take continuously for two doses.
Formula for Postpartum Jue where Abdominal Masses/Pain Have Ceased:
Renshen (3 qian), Danggui (3 qian), Huangqi (Astragalus Root), Baizhu (Atractylodes Macrocephala Rhizome), Maidong (Ophiopogon Tuber), Chuanxiong (1 qian each), Zhi Gancao (4 fen), Chenpi (Tangerine Peel, 4 fen), Wuweizi (Schisandra Berry, 10 grains), Shudihuang (Prepared Rehmannia Root, 2 qian), Fuzi (0.5 qian). If sweating is excessive, add Mahuanggen (Ephedra Root) and Suanzaoren (Ziziphus Seed, 1 qian each). If constipation occurs, add Rongzhu (Cistanche Stem).
Generally speaking, the two conditions of postpartum fainting (Yun) and Jue are similar, both resulting from the simultaneous exhaustion of Qi and Blood, where Shen is about to depart and vital functions are nearly suspended, leaving only a thread of life. Unless heavy doses are administered urgently, how can the nearly extinct Yuan Shen (Original Spirit) be recovered? However, fainting occurs during labor, making the condition urgent; although more severe than Jue, frequent administration of Shenghua Tang for several doses first replenishes the deficiency in the Blood aspect. Subsequently, the masses dissolve, blood becomes abundant, Shen clears, and fainting stops, restoring the mother's spirit. In cases of excessive sweating, shortness of breath, and signs of physical collapse, Renshen and Huangqi must be added. Conversely, Jue occurs after delivery, characterized by dual exhaustion of Qi and Blood. It is appropriate to use Jiashen Shenghua Tang with doubled Renshen to simultaneously tonify the deficiencies of Qi and Blood, stopping Jue to restore Shen. This cannot be cured by merely tonifying the Blood aspect. In summary, if fainting is accompanied by abdominal masses/pain, Huangqi and Baizhu should not be added immediately; if Jue occurs without abdominal masses/pain, the combined use of Huangqi, Baizhu, and Shudihuang is undoubtedly correct.