大黄（浸过煨，各一两二钱）
为 咀，每服五钱，水一大盏半，同煎至一盏，去渣温服，不拘时候。更服地黄酒，
用地黄切一升，炒令黑，瓷瓶中下热酒三升，密封口煮令减半，任意服之。
防风当归散
防风 当归 川芎 地黄（各一两）
上锉，每服一两，水三盏，煎至二盏，温服。
娄氏云∶续命汤、大豆紫汤、举卿古拜散，太阳厥阴药也。邪实脉浮弦有力者固宜，
但产后血气太虚之人，不宜轻发其表，但用防风当归散治之为妙。
〔薛〕螈者，筋脉拘急也。 者筋脉张纵也。经云∶肝主筋而藏血。盖肝气为阳为
火，肝血为阴为水。前证因产后阴血去多，阳火炽盛，筋无所养而然耳。故痈疽脓水过多，
金疮出血过甚，则阳随阴散，亦多致此。治法当用八珍加丹皮、钓藤以生阴血，则阳火
自退，诸证自愈。如不应，当用四君、芎、归、丹皮、钓藤以补脾土。盖血生于至阴，至阴
者，脾土也。故小儿吐泻之后，脾胃亏损，亦多患之，乃虚象也，无风可逐，无痰可消。若
属阳气脱陷者，用补中益气加姜、桂。阳气虚败者，用十全大补加桂、附，亦有复生者。
此等证候，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，惟当
固本为善。若无力抽搐，戴眼反折，汗出如珠流者，皆不治。一产妇因劳，两臂不能
屈，服苏合香丸，肢体痿软，汗出如水。余谓前药辛香，耗散真气，腠理虚而津液妄泄
也。先用十全大补汤加五味子，补实腠理，收敛真气，汗顿止。又佐以四君子，调补元气
渐愈，用逍遥散、大补汤调理而痊。一产妇先胸胁乳内胀痛，后因怒，口噤吐痰，臂
不能伸，小便自遗，左三部脉弦。余谓此肝经血虚而风火所致，不能养筋，先用加味逍
遥散治之，臂能屈伸。又以补肝散、六味丸，诸证悉愈。一妇人发螈遗尿，自汗面赤，或
时面青，饮食如故，肝脉弦紧。余曰∶此肝经血燥风热，名螈也。肝主小便，其色青，人
心则赤，法当滋阴血，清肝火，遂用加味逍遥散，不数剂，诸证悉退而安。一妇人产
后血风患此，以小续命汤数服而安。
产后因虚伤风螈 ，同伤寒表证，未传入里，宜服防风汤。
防风汤 治风虚发热，项背拘挛，关节不随，恍惚狂言，来去无时，不自觉悟。亦
治香港脚缓弱甚效。此药温和不虚人。
秦艽（去苗土） 独活（去芦） 麻黄（去节） 半夏（汤洗七次，切片） 防风（去芦，各二两）
升麻 防己 白术 石膏（ ） 芍药（白者） 黄芩 甘草 当归（去芦） 远志（去骨）
人参（去芦，各一两）
上为粗末，入半夏片令匀，每服四钱，水二中盏，生姜七八片，煎至一盏，去滓取清
汁六分，入麝香末少许，食后临卧带热服。
海藏愈风汤（即华佗愈风散。） 交加散（即当归散。并见产后中风。）
增损柴胡汤 治产后感异证，手足牵搐，涎潮昏闷。
柴胡（三钱） 黄芩（一钱二分） 人参 甘草（炙） 半夏（各一钱半） 知母（一钱） 石膏（二钱）
黄（二钱半）
上 咀，分二服，水二盏，姜三片，枣二枚，煎八分，不拘时服。
秦艽汤 前证已去，次服此药，去其风邪。
秦艽 芍药 柴胡（各一钱七分） 甘草（炙，一钱三分） 黄芩 防风（各一钱二分）
人参 半夏（各一钱）
上为 咀，分二帖，每帖水二盏，姜三片，煎八分，食远服。
大黄（经浸泡后煨制，每味一两二钱）
研成粗颗粒，每次服用五钱，加水一大盏半，共同煎煮至一盏，滤去药渣，温服，不限时间。另外服用地黄酒，
取地黄切一升，炒至黑色，放入瓷瓶中，加入热酒三升，密封瓶口，煮至药酒减半，随意服用。
防风当归散
防风 当归 川芎 地黄（各一两）
以上药材切碎，每次服用一两，加水三盏，煎煮至两盏，温服。
娄氏说∶续命汤、大豆紫汤、举卿古拜散，是治疗太阳经和厥阴经疾病的方剂。邪气实盛且脉象浮弦有力的患者固然适宜使用，
但产后气血极度虚弱的人，不宜轻易发汗解表，只需用防风当归散来治疗才是妙法。
〔薛己〕螈（yuán），是指筋脉拘挛紧急。 者（chǒng），是指筋脉张弛失控。医经说∶肝主管筋脉并贮藏血液。肝气属于阳、属于
火，肝血属于阴、属于水。上述病症是因为产后阴血流失过多，导致阳火炽盛，筋脉得不到滋养而形成的。所以痈疽脓水过多，
金创出血过甚，会导致阳气随着阴血消散，也常导致此类病症。治疗方法应当使用八珍汤加牡丹皮、钩藤以滋生阴血，则阳火
自然消退，各种症状自然痊愈。如果无效，应当使用四君子汤、川芎、当归、牡丹皮、钩藤以补益脾土。因为血生于至阴之地，至阴
之地，就是脾土。所以小儿在呕吐腹泻之后，脾胃受损亏损，也常患此病，这是虚证的表现，没有风邪可驱散，没有痰浊可消除。如果属于阳气脱陷的，用补中益气汤加生姜、肉桂。阳气虚败的，用十全大补汤加肉桂、附子，也有恢复生机的。
这类证候，如果肢体恶寒，脉象微细的，这是真寒假热的表现。如果脉象浮大，发热烦渴，这是假象，只应当固护根本为善。如果无力抽搐，戴眼反折，出汗如珠流淌的，都是不治之症。一位产妇因劳累，双臂不能
弯曲，服用苏合香丸后，肢体痿软，出汗如水。我认为前面的药物辛香走窜，耗散真气，腠理空虚而津液妄泄
所致。先用十全大补汤加五味子，补实腠理，收敛真气，汗立刻停止。又配合四君子汤，调补元气逐渐痊愈，再用逍遥散、大补汤调理而康复。一位产妇先出现胸胁乳房内部胀痛，后来因愤怒，牙关紧闭吐痰，手臂
不能伸展，小便失禁，左三部脉象弦。我认为这是肝经血虚而生风火所致，不能滋养筋脉，先用加味逍遥散治疗，手臂能屈伸。又以补肝散、六味地黄丸，各种症状全部痊愈。一位妇人发作螈遗尿，自汗面赤，有时
面色发青，饮食正常，肝脉弦紧。我说∶这是肝经血燥风热，名叫螈。肝主管小便，其色青，入心则赤，治法应当滋阴血，清肝火，于是用加味逍遥散，不到几剂，各种症状全部消退而安宁。一位妇人产
后血风患此病，用小续命汤数服而安定。
产后因虚伤风引起的螈 ，如同伤寒表证，未传入里，适宜服用防风汤。
防风汤 治疗风虚发热，项背拘挛，关节活动不利，恍惚狂言，来去无常，自己不觉悟。也
治疗香港脚缓弱非常有效。此药温和而不伤正气。
秦艽（去除苗土） 独活（去除芦头） 麻黄（去除节） 半夏（热水洗七次，切片） 防风（去除芦头，各二两）
升麻 防己 白术 石膏（打碎） 芍药（白色者） 黄芩 甘草 当归（去除芦头） 远志（去除骨心）
人参（去除芦头，各一两）
以上制成粗末，加入半夏片令均匀，每次服用四钱，加水二盏，生姜七八片，煎煮至一盏，滤去药渣取清汁六分，加入少许麝香末，饭后临睡前带热服用。
海藏愈风汤（即华佗愈风散。） 交加散（即当归散。均见产后中风篇。）
增损柴胡汤 治疗产后感受异常症状，手足牵拉抽搐，涎潮昏闷。
柴胡（三钱） 黄芩（一钱二分） 人参 甘草（炙） 半夏（各一钱半） 知母（一钱） 石膏（二钱）
黄芪（二钱半）
以上研成粗颗粒，分两次服用，加水二盏，姜三片，枣二枚，煎至八分，不限时间服用。
秦艽汤 前证已去，接着服用此药，祛除风邪。
秦艽 芍药 柴胡（各一钱七分） 甘草（炙，一钱三分） 黄芩 防风（各一钱二分）
人参 半夏（各一钱）
以上研成粗颗粒，分两帖，每帖加水二盏，姜三片，煎至八分，饭后较长时间服用。
Da Huang (Polygoni Multiflori Radix Praeparata, soaked and roasted, 1 liang 2 qian each)
Crushed into coarse particles. For each dose, take 5 qian, add 1.5 large cups of water, decoct together until 1 cup remains, strain the dregs, and take warm at any time. Additionally, take Dihuang Jiu (Rehmannia Wine). Take 1 sheng of cut Rehmannia Root (Shu Di Huang), stir-fry until black, place in a porcelain bottle, add 3 sheng of hot wine, seal tightly, and boil until the volume is halved. Take as desired.
Fangfeng Danggui San (Saposhnikovia and Angelica Powder)
Fangfeng (Radix Saposhnikoviae), Danggui (Radix Angelicae Sinensis), Chuanxiong (Rhizoma Chuanxiong), Dihuang (Radix Rehmanniae Praeparata) (each 1 liang).
The above herbs are crushed. For each dose, take 1 liang, add 3 cups of water, decoct until 2 cups remain, and take warm.
Lou Shi said: Xuming Tang (Continuing Life Decoction), Dadouzi Tang (Black Soybean Decoction), and Juqing Gubai San (Juqing Ancient拜 Powder) are formulas for treating Taiyang (Sun Yang channel) and Jueyin (Jade Yin channel) diseases. They are indeed suitable for patients with excess pathogenic factors and floating, string-taut, and forceful pulses. However, for postpartum women with extreme deficiency of blood and qi, it is inappropriate to lightly induce sweating to release the exterior. It is best to treat them with Fangfeng Danggui San.
[Xue Ji] Yuan (convulsive twitching) refers to the spasm and tension of sinews and vessels. Chong (convulsion) refers to the loss of control over the extension and flexion of sinews and vessels. The Classics state: "The Liver governs the sinews and stores blood." Liver Qi belongs to Yang and Fire, while Liver Blood belongs to Yin and Water. The aforementioned conditions arise because excessive loss of Yin blood after childbirth leads to blazing Yang fire, causing the sinews to lack nourishment. Therefore, when sores and ulcers discharge excessive pus, or metal wounds bleed excessively, Yang dissipates along with Yin, often resulting in such conditions. The treatment method should use Bazhen Tang (Eight Treasures Decoction) plus Mudanpi (Cortex Moutan) and Gouteng (Uncaria Rhynchophylla) to generate Yin blood, so that Yang fire will naturally recede and all symptoms will heal spontaneously. If there is no response, one should use Sijunzi Tang (Four Gentlemen Decoction), Chuanxiong, Danggui, Mudanpi, and Gouteng to tonify Spleen Earth. Since blood is born from Supreme Yin, and Supreme Yin is Spleen Earth. Thus, after infants suffer from vomiting and diarrhea, if their Spleen and Stomach are damaged and deficient, they also often suffer from this; it is a manifestation of deficiency, with no wind to expel and no phlegm to eliminate. If it belongs to the sinking and collapse of Yang Qi, use Buzhong Yiqi Tang (Middle-Boosting Qi-Enhancing Decoction) plus Shengjiang (Zingiberis Rhizoma Recens) and Rougui (Cinnamomi Cortex). If Yang Qi is deficient and ruined, use Shiquan Dabu Tang (Ten Complete Great Tonifying Decoction) plus Rougui and Fuzi (Aconiti Lateralis Radix Praeparata); there are cases of recovery.
For these types of syndromes, if the limbs feel aversion to cold and the pulse is faint and fine, this is a true image of cold. If the pulse is floating and large, accompanied by fever, irritability, and thirst, this is a false image; only consolidating the root is advisable. If there is powerless convulsions, eyes rolling back, opisthotonos, and sweat flowing like pearls, these are untreatable.
One parturient, due to labor, could not bend her arms. After taking Suhexiang Wan (Styrax Pill), her limbs became flaccid and she sweated profusely like water. I stated that the previous medicine was pungent and aromatic, consuming true Qi, leaving the interstices (Couli) deficient and causing fluids to leak recklessly. First, use Shiquan Dabu Tang plus Wuweizi (Schisandrae Fructus) to solidify the Couli and consolidate true Qi, stopping the sweat immediately. Then assist with Sijunzi Tang to regulate and tonify Yuan Qi, leading to gradual improvement. Finally, use Xiaoyao San (Free and Easy Wanderer Powder) and Dabu Tang (Great Tonifying Decoction) for conditioning until recovery.
Another parturient first experienced distending pain in the chest, hypochondrium, and breasts. Later, due to anger, she developed lockjaw, expectorated phlegm, could not extend her arms, had urinary incontinence, and her left three positions (Cun, Guan, Chi) had string-taut pulses. I stated this was caused by Wind-Fire due to Liver Blood deficiency, failing to nourish the sinews. First, treat with Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder); her arms could then bend and extend. Then use Bugan San (Tonify Liver Powder) and Liuwei Wan (Six Ingredient Pill with Rehmannia); all symptoms completely resolved.
One woman suffered from convulsions and urinary incontinence, spontaneous sweating, red face, sometimes blue face, but normal diet and digestion. Her Liver pulse was string-taut and tight. I said: This is Dryness-Wind-Heat in the Liver channel, named Yuan. The Liver governs urination; its color is green; entering the Heart makes it red. The method should be to nourish Yin blood and clear Liver Fire. Thus, use Jiawei Xiaoyao San. In less than a few doses, all symptoms retreated and she became peaceful.
One woman suffered from this condition due to Postpartum Blood Wind; she stabilized after several doses of Xiao Xuming Tang (Minor Continuing Life Decoction).
Postpartum convulsions due to deficiency and wind invasion are similar to the exterior syndrome of Shanghan (Cold Damage). If the pathogen has not yet entered the interior, it is appropriate to take Fangfeng Tang (Saposhnikovia Decoction).
Fangfeng Tang treats Wind-Deficiency fever, stiffness and spasm of the neck and back, immobility of joints, delirium, erratic behavior without self-awareness. It is also very effective for treating Hongxiangjiao (Gout/Lower Limb Weakness). This medicine is mild and does not damage healthy Qi.
Qin Jiao (Radix Gentianae Macrophyllae, remove sprouts and soil), Duhuo (Radix Angelicae Pubescentis, remove rhizome), Mahuang (Herba Ephedrae, remove nodes), Banxia (Rhizoma Pinelliae Preparatum, washed seven times in hot water, sliced), Fangfeng (Radix Saposhnikoviae, remove rhizome, each 2 liang), Shengma (Rhizoma Cimicifugae), Fangji (Radix Stephaniae Tetrandrae), Baizhu (Rhizoma Atractylodis Macrocephalae), Shigao (Gypsum Fibrosum, crushed), Shaoyao (Radix Paeoniae Alba), Huangqin (Radix Scutellariae), Gancao (Radix Glycyrrhizae), Danggui (Radix Angelicae Sinensis, remove rhizome), Yuanzhi (Radix Polygalae, remove woody core), Renshen (Radix Ginseng, remove rhizome, each 1 liang).
Make into coarse powder. Mix evenly with Banxia slices. For each dose, take 4 qian, add 2 cups of water and 7-8 slices of fresh ginger, decoct until 1 cup remains. Strain to obtain 0.6 cup of clear liquid. Add a small amount of Moschus powder. Take warm after meals and before sleep.
Haizang Yufeng Tang (Hai Zang's Wind-Curing Decoction, i.e., Hua Tuo's Wind-Curing Powder). Jiaojia San (Addition-Decrease Powder, i.e., Danggui San. See Postpartum Stroke section).
Zengsun Chaihu Tang (Modified Bupleurum Decoction) treats abnormal symptoms after childbirth, such as pulling and twitching of hands and feet, flooding of saliva, dizziness, and stuffiness.
Chaihu (Radix Bupleuri, 3 qian), Huangqin (Radix Scutellariae, 1.2 qian), Renshen (Radix Ginseng), Gancao (Radix Glycyrrhizae, honey-fried), Banxia (Rhizoma Pinelliae Preparatum, each 1.5 qian), Zhimu (Rhizoma Anemarrhenae, 1 qian), Shigao (Gypsum Fibrosum, 2 qian), Huangqi (Radix Astragali Membranacei, 2.5 qian).
Crush into coarse particles. Divide into two doses. Add 2 cups of water, 3 slices of ginger, and 2 jujubes. Decoct until 0.8 cup remains. Take at any time.
Qinjiao Tang (Gentian Decoction) Use this medicine next to dispel wind pathogens after the previous symptoms have subsided.
Qinjiao (Radix Gentianae Macrophyllae), Shaoyao (Radix Paeoniae Alba), Chaihu (Radix Bupleuri, each 1.7 qian), Gancao (Radix Glycyrrhizae, honey-fried, 1.3 qian), Huangqin (Radix Scutellariae), Fangfeng (Radix Saposhnikoviae, each 1.2 qian), Renshen (Radix Ginseng), Banxia (Rhizoma Pinelliae Preparatum, each 1 qian).
Crush into coarse particles. Divide into two portions. For each portion, add 2 cups of water and 3 slices of ginger. Decoct until 0.8 cup remains. Take well after meals.