《大全》曰∶产后中风口噤，是血气虚而风入颔颊口之筋也。手三阳之筋结于颔，产则劳损脏腑，伤于筋
脉，风乘之，则三阳之筋脉偏虚，得风冷则急，故令口噤。
《大全》曰∶产后角弓反张，是体虚受风，风入诸阳之经也。人之阴阳经络，周环于身，风邪乘虚，入诸阳
之经，则腰背反折，挛急如角弓状。
薛立斋曰∶前证因气血耗损，腠理不密，汗出过多，患此乃虚象也，宜固气血为主。此证乃气血虚极，宜
大剂参、 、归、术、肉桂培养之，不应，加附子，倍人参，名参附汤。犹未应，乃药力未能及，宜多用之。
薛立斋曰∶ 者，筋脉拘急也。 者，筋脉弛纵也。经云∶肝主筋藏血。肝气为阳为火，肝血为阴为水。产
后阴血去多，阳火炽盛，筋无所养而然。治法以八珍汤加丹皮、钩藤，以生阴血，则阳火退而诸证愈。不应，
用四君子、芎、归、丹皮、钩藤补脾土。盖血生于至阴，至阴者，脾土也。此证若肢体恶寒，脉微细者，此为
真状。若脉浮大，发热烦渴，此为假象，唯当固本为善。若无力抽搐，戴眼反折，汗出如珠者，不治。
《大全》曰∶产后中风，筋脉四肢挛急者，气血不足，脏腑俱虚。月内未满，起早劳动，动伤脏腑，虚损未
复，为风所乘，风邪冷气，客于皮肤经络，令人顽痹不仁，羸乏少气，风气入于筋脉，挟寒则挛急也。
《大全》说：产后出现中风导致的口噤（牙关紧闭），是因为气血虚弱，风邪侵入下颌颊部及口部的筋脉。手三阳经的筋脉结聚于下颌，分娩时劳损脏腑，损伤筋脉，风邪趁机侵袭，导致三阳经的筋脉偏于虚弱，遇到风冷之气则筋脉拘急收缩，因此造成口噤。
《大全》说：产后出现角弓反张（身体向后弯曲如弓状），是因为体质虚弱受风，风邪侵入诸阳经。人体的阴阳经络环绕全身，风邪乘虚而入，侵入诸阳经，导致腰背部肌肉痉挛反转，身体拘急僵硬如同角弓的形状。
薛立斋说：上述病症是由于气血耗损，腠理（皮肤毛孔及其纹理）不紧密，出汗过多所致，患此病属于虚证表现，治疗应以固护气血为主。此证属于气血极度虚弱，宜用大剂量的人参、白术、当归、白术、肉桂来培补元气，如果服药后未见效果，加入附子，加倍使用人参，命名为参附汤。如果仍然没有见效，是因为药力尚未到达病所，应当增加用药剂量和次数。
薛立斋说：“ ”是指筋脉拘急，“ ”是指筋脉弛缓松弛。医经云：肝主司筋脉并贮藏血液。肝气属阳属火，肝血属阴属水。产后阴血流失过多，导致阳气之火炽盛，筋脉得不到滋养因而出现上述症状。治疗方法是用八珍汤加入牡丹皮、钩藤，以滋生阴血，从而使阳火消退，各种症状痊愈。如果无效，使用四君子汤加上川芎、当归、牡丹皮、钩藤来补益脾土。因为血液生于至阴之地，所谓“至阴”指的是脾土。此证如果出现肢体恶寒、脉象微细，这是真寒假热的征象。如果脉象浮大、发热、烦躁口渴，这是假热之象，唯有固护根本才是上策。如果出现无力抽搐、戴眼（眼球固定向上翻）、角弓反张、汗出如油珠般粘腻的情况，属于不治之症。
《大全》说：产后中风导致筋脉四肢挛急，是因为气血不足，脏腑全部虚弱。在产后一个月内未满之时，过早起床劳动，动作损伤脏腑，虚损状态尚未恢复，被风邪所乘，风邪冷气客居于皮肤经络之中，使人出现顽固性的麻木不仁、形体消瘦乏力、少气懒言等症状。风气侵入筋脉，挟带寒气则导致筋脉拘急。
The *Daquan* states: Postpartum stroke manifesting as trismus (lockjaw) occurs because the qi and blood are deficient, allowing wind pathogen to invade the tendons of the mandible, cheeks, and mouth. The tendons of the three hand-yang meridians knot at the mandible. Childbirth damages the zang-fu organs and injures the tendons and vessels. When wind takes advantage of this deficiency, the tendons and vessels of the three yang meridians become relatively weak; upon exposure to wind-cold, they contract and spasm, thus causing trismus.
The *Daquan* states: Postpartum opisthotonos (arching of the back like a bow) occurs because the body is deficient and susceptible to wind, with the wind pathogen invading the various yang meridians. The human yin and yang meridians circulate around the body. When wind pathogen enters these various yang meridians taking advantage of the deficiency, it causes the waist and back to reverse and spasm, making the body rigid and contracted like an anglebow.
Xue Lizhai stated: The aforementioned conditions result from the depletion of qi and blood, loose couli (skin pores and interstices), and excessive sweating. Suffering from these symptoms indicates a deficiency pattern; treatment should primarily focus on consolidating qi and blood. This condition represents extreme deficiency of qi and blood. It is appropriate to use large doses of Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Danggui (Angelicae Sinensis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), and Rougui (Cinnamomi Cortex) to nourish and tonify. If there is no response, add Fuzi (Aconiti Lateralis Radix Praeparata) and double the dose of Renshen, naming the formula Shenfu Tang (Ginseng and Aconite Decoction). If there is still no response, it is because the medicinal power has not yet reached the disease site; one should administer more frequently or in larger quantities.
Xue Lizhai stated: "Jing" refers to tendon and vessel contraction/spasm. "Song" refers to tendon and vessel flaccidity/relaxation. The classics state: The Liver governs the tendons and stores blood. Liver qi is yang and fire; liver blood is yin and water. After childbirth, when yin blood is lost excessively, yang fire becomes blazing, and the tendons fail to receive nourishment, leading to these symptoms. The treatment method involves using Bazhen Tang (Eight Treasures Decoction) added with Mudanpi (Moutan Cortex) and Gouteng (Uncariae Ramulus cum Uncis) to generate yin blood, thereby retreating yang fire and resolving all symptoms. If there is no response, use Six Junzi Tang (Six Gentlemen Decoction) plus Xiong (Chuanxiong Rhizome), Danggui (Angelicae Sinensis Radix), Mudanpi (Moutan Cortex), and Gouteng (Uncariae Ramulus cum Uncis) to tonify spleen earth. Blood is born from the supreme yin, and the supreme yin refers to spleen earth. If this condition presents with aversion to cold in the limbs and a faint, thin pulse, it indicates a true cold pattern. If the pulse is floating and large, accompanied by fever, irritability, and thirst, it indicates a false heat pattern; only by consolidating the root is it advisable to proceed. If there is powerless convulsion, eyes fixed upward staring (daiyan), opisthotonos, and sweat beading like pearls, it is incurable.
The *Daquan* states: Postpartum wind-stroke manifesting as spasms and contractions of the tendons and vessels in the four limbs is due to insufficiency of qi and blood and total deficiency of the zang-fu organs. Within the first month postpartum, rising early and engaging in labor damages the zang-fu organs. The deficiency has not yet recovered, leaving the body vulnerable to wind pathogen. Wind-cold pathogen lodges in the skin and meridians, causing stubborn numbness and insensitivity, emaciation, fatigue, and shortness of breath. When wind pathogen enters the tendons and vessels and combines with cold, it leads to tendon contraction and spasm.