〔娄〕产后喘极危，多死也。
〔郭〕产后喉中气急喘促者何？答曰∶荣者血也。卫者气也。荣行脉中，卫行脉外，
相随上下，谓之荣卫。因产所下过多，荣血暴竭，卫气无主，独聚肺中，故令喘也。此
名孤阳绝阴，为难治。若恶露不快，败血停凝，上熏于肺，亦令喘急，但服夺命丹，（胞衣
不下。）血去喘自定。
陈无择评曰∶产后喘急固可畏，若是败血上熏于肺，犹可责效夺命丹。若感风寒，或
因忧怒饮食咸冷等，夺命丹未可均济，况孤阳绝阴乎。若荣血暴绝，宜大料煮芎 汤亦
可救。伤风寒，宜旋复花汤。性理郁发，宜小调经散，用桑白皮、杏仁煎汤调下。伤食，
宜服见 丸、五积散、芎 汤。
〔薛〕前证若脾肺气虚弱，用六君、桔梗。若兼外邪，更加紫苏。若中气虚寒，用
补中益气加炮姜、肉桂。若阳气虚脱，更加附子。若瘀血入肺，急用二味参苏饮。一
产妇喘促自汗，手足俱冷，常以手护脐腹。此阳气虚脱，用参附汤四剂而愈。浦江吴辉
妻，孕时足肿，七月初旬产后二月洗浴，即气喘，但坐不得卧者五个月，恶风得暖稍宽，
两关脉动，尺寸皆虚，百药不效。用牡丹皮、桃仁、桂枝、茯苓、干姜、枳实、浓朴、桑
白皮、紫苏、五味、栝蒌仁煎汤服之即宽，二三服得卧，其痰如失。盖作污血感寒治之也。
血竭散 治产后败血冲心，胸满上喘，命在须臾，宜服。
真血竭（如无，紫矿代） 没药
上等分，研细频节，再研取尽为度。每服二钱，用童便合好酒半大盏，煎一沸温调
下。方产下，一服上床，良久再服，其恶血自循经下行，更不冲上，免生百病。
云岐参苏饮 治产后血入于肺，面黑发喘欲死者。
人参（一两，为末） 苏木（二两）
上以水两碗，煮取苏木一碗以下，去渣调参末，随时加减服，神效。
旋复花汤 治产后伤风寒，喘、咳嗽，痰涎壅盛，坐卧不宁。
旋复花 赤芍药 荆芥穗 半夏曲 前胡 甘草（炙） 茯苓 五味子 杏仁（去皮尖，麸
炒） 麻黄（各等分） 一方，芍药、茯苓多一倍。
上 咀，每服四钱，水一盏半，生姜三片，枣一枚，煎至七分，去渣食前温服。（有汗
者，不宜服。）
若伤咸冷冻饮料食而喘者，宜见 丸。（见前痞闷。）
五味子汤 治产后喘促，脉伏而厥。
五味子（杵，炒） 人参 杏仁（各二钱） 麦门冬（去心） 陈皮（各一钱）
上姜三片，枣二枚，水煎服。
大补汤 治产后百日外，面青浮肿唇白，气急有汗，乃大虚之证，急宜服此。
当归头 大川芎 大白术 白芍药 白茯苓（多） 人参（多） 黄 （多） 五味子
熟地黄 干姜（上下） 甘草（少）
上锉散，水煎服。此二帖不退，即加川乌、木香，另磨入服。有泻，加诃子、肉豆
蔻、粟壳。
【郭稽中】产后喉咙里气息急促、喘息迫促的原因是什么？回答说：荣气就是血，卫气就是气。荣气在脉管中运行，卫气在脉管外运行，它们相随上下流动，这叫做荣卫。因为分娩时失血过多，导致荣血突然枯竭，卫气失去了主宰，独自聚集在肺中，所以引起喘息。这种情况名叫“孤阳绝阴”，属于难治之症。如果恶露排出不畅，败血停滞凝结，向上熏蒸于肺，也会引起喘息急促，只需服用夺命丹（治疗胞衣不下），待瘀血去除，喘息自然平息。
陈无择评论说：产后喘息急促固然可怕，如果是败血上熏于肺，还可以指望夺命丹见效。如果是感受风寒，或者因为忧怒、饮食过咸过冷等原因引起的，夺命丹就不一定能起作用了，更何况是“孤阳绝阴”的情况呢。如果是荣血突然暴绝，适宜用大剂量的芎䓖汤也可以救治。如果是伤风受寒，适宜用旋复花汤。如果是情志抑郁郁结而发，适宜用小调经散，用桑白皮、杏仁煎汤送服。如果是伤食，适宜服用见溼丸、五积散、芎䓖汤。
【薛己】上述证候如果是脾肺之气虚弱，使用六君子汤加桔梗。如果兼有外邪，再加紫苏。如果是中气虚寒，使用补中益气汤加炮姜、肉桂。如果是阳气虚脱，再加附子。如果是瘀血进入肺中，紧急使用二味参苏饮。有一位产妇喘息急促、自汗出，手脚都冰冷，经常用手护住脐腹部。这是阳气虚脱的表现，用了四剂参附汤而痊愈。浦江吴辉的妻子，怀孕期间脚肿，七月下旬产后两个月洗澡后，立即气喘，只能坐着不能躺卧长达五个月，怕风，得暖稍感舒缓，两手关脉跳动，寸尺脉皆虚，各种药物都不见效。用牡丹皮、桃仁、桂枝、茯苓、干姜、枳实、厚朴、桑白皮、紫苏、五味子、瓜蒌仁煎汤服用，随即感到舒缓，二三服药后能躺卧，痰液消失。这是作为污血感寒来治疗的。
血竭散 治疗产后败血冲心，胸满上喘，性命垂危，适宜服用。
真血竭（如果没有，可用紫矿代替） 没药
以上两味等分，研成细末，反复研磨直到完全细腻。每次服用二钱，用童子尿和好酒半大盏，煮沸一次，温调服用。刚生产完，服一剂后上床休息，很久后再服一剂，其恶血自然会顺着经脉下行，不再向上冲逆，从而避免产生各种疾病。
云岐参苏饮 治疗产后血入于肺，面色发黑，喘息欲死。
人参（一两，研为末） 苏木（二两）
以上用水两碗，煮取苏木汁一碗以下，去渣，调入人参末，根据情况加减服用，效果神奇。
旋复花汤 治疗产后伤风受寒，喘息、咳嗽，痰涎壅盛，坐卧不宁。
旋复花 赤芍药 荆芥穗 半夏曲 前胡 甘草（炙） 茯苓 五味子 杏仁（去皮尖，麸炒） 麻黄（各等分） 一方中，芍药、茯苓用量加倍。
以上切碎，每次服用四钱，水一盏半，生姜三片，枣一枚，煎至七分，去渣，饭前温服。（有汗者，不宜服用。）
如果是因食用咸冷冻饮料食物而导致喘息的，适宜服用见溼丸。（见前文痞闷章节。）
五味子汤 治疗产后喘息急促，脉象沉伏且四肢厥冷。
五味子（捣碎，炒） 人参 杏仁（各二钱） 麦门冬（去心） 陈皮（各一钱）
以上加生姜三片，枣二枚，水煎服。
大补汤 治疗产后一百天以外，面色青暗浮肿，嘴唇苍白，气急有汗，这是大虚的证候，紧急适宜服用此方。
当归头 大川芎 大白术 白芍药 白茯苓（多用） 人参（多用） 黄芪（多用） 五味子 熟地黄 干姜（适量） 甘草（少用）
以上锉散，水煎服。如果两帖药不退病，就加川乌、木香，另磨粉加入服用。如果有腹泻，加诃子、肉豆蔻、罂粟壳。
[Lou Quanshan] Postpartum extreme panting is critical and often fatal.
[Guo Jizhong] What is the cause of rapid breathing and panting in the throat after childbirth? The answer is: Ying (Nutritive) Qi is blood, and Wei (Defensive) Qi is air/qi. Ying circulates within the vessels, while Wei circulates outside the vessels; moving up and down together, they are called Ying and Wei. Due to excessive blood loss during delivery, Ying blood suddenly depletes, causing Wei qi to lose its master and gather exclusively in the lungs, thus inducing panting. This condition is named "Lone Yang and Absolute Yin" and is difficult to treat. If lochia (postpartum discharge) does not flow smoothly, and stagnant blood coagulates and steams upward to the lungs, it also causes urgent panting. Simply administering Duoming Dan (for retained placenta), once the blood stasis is removed, the panting will naturally subside.
Chen Wuyue commented: Postpartum urgent panting is indeed fearful. If it is caused by stagnant blood steaming upward to the lungs, one can still expect efficacy from Duoming Dan. However, if it is due to contracting wind-cold, or resulting from emotional distress/anger, or consuming salty/cold foods and drinks, Duoming Dan may not be effective, let alone for cases of "Lone Yang and Absolute Yin." If Ying blood suddenly collapses, a large dose of Xiongqi Tang can also save the patient. If injured by wind-cold, Xuanfuhua Tang is appropriate. If caused by emotional depression and stagnation, Xiaotiaojing San is appropriate, taken with a decoction of Sangbaipi and Xingren. If caused by food stagnation, Jian Shi Wan, Wuji San, or Xiongqi Tang are appropriate.
[Xue Ji] For the aforementioned conditions, if Spleen and Lung Qi are deficient, use Liu Jun Zi Tang with Jiegeng. If accompanied by external pathogens, add Zisu. If Middle Qi is deficient and cold, use Buzhong Yiqi Tang with Pao Jiang and Rougui. If Yang Qi is deficient and collapsing, add Fuzi. If blood stasis enters the Lungs, urgently use Erwei Rensu Yin. One postpartum patient suffered from urgent panting, spontaneous sweating, and cold hands and feet, frequently holding her hands over her umbilicus and abdomen. This indicated Yang Qi deficiency and collapse; she was cured after four doses of Shenfu Tang. The wife of Wu Hui from Pujiang had swollen feet during pregnancy. In early July, two months after childbirth, she took a bath and immediately developed panting, being able to sit but not lie down for five months. She feared wind but felt slightly relieved by warmth. Her Guan pulses were active, while Cun and Chi pulses were both deficient. Various medicines were ineffective. A decoction of Mudanpi, Taoren, Guizhi, Fuling, Ganjiang, Zhishi, Houpo, Sangbaipi, Zisu, Wuweizi, and Gualou Ren was administered, providing immediate relief. After two or three doses, she could lie down, and her phlegm disappeared. This was treated as blood stasis complicated by cold invasion.
Xuejie San treats postpartum stagnant blood rushing to the Heart, causing chest fullness and upward panting, with life hanging in the balance. It is suitable for administration.
Zhen Xuemei (if unavailable, substitute with Zijian) Moya
Equal parts of the above, ground into fine powder, repeatedly ground until completely fine. Take 2 qian per dose, mixed with half a large cup of good wine and child's urine, boiled once, and taken warm. Immediately after delivery, take one dose and go to bed; take another dose after a long interval. The evil blood will naturally descend along the meridians without rushing upward, preventing various diseases.
Yunqi Rensu Yin treats postpartum blood entering the Lungs, presenting with blackish complexion and panting approaching death.
Renshen (1 liang, ground into powder) Sumu (2 liang)
Boil Sumu in two bowls of water until reduced to less than one bowl. Remove the dregs and mix in the Renshen powder. Adjust dosage according to circumstances. The effect is miraculous.
Xuanfuhua Tang treats postpartum wind-cold injury, presenting with panting, cough, abundant phlegm-saliva, and restlessness in sitting or lying.
Xuanfuhua Chishao Yao Jingjiesui Banxiaqu Qianhu Gancao (roasted) Fuling Wuweizi Xingren (skin and tip removed, stir-fried with bran) Mahuang (equal parts). In another prescription, Chishao Yao and Fuling are doubled.
Cut into pieces. Take 4 qian per dose with 1.5 cups of water, 3 slices of Shengjiang, and one Zao. Decoct until 0.7 remains, remove dregs, and take warm before meals. (Not suitable for those with sweating.)
If panting is caused by consuming salty, frozen drinks or food, Jian Shi Wan is appropriate. (See previous section on Chest Fullness and Stagnation.)
Wuweizi Tang treats postpartum urgent panting with deep, hidden pulse and cold extremities.
Wuweizi (pounded, stir-fried) Renshen Xingren (each 2 qian) Maidong (heart removed) Chenpi (each 1 qian)
Add 3 slices of Shengjiang and two Zao. Decoct in water and take.
Dabu Tang treats postpartum cases beyond one hundred days, presenting with bluish-green facial swelling, pale lips, urgent breathing with sweating. This is a severe deficiency syndrome, and this formula should be taken urgently.
Danggui Tou Dachuanyuxiong Baizhu Baishao Bai Fuling (use more) Renshen (use more) Huangqi (use more) Wuweizi Shudihuang Ganjiang (appropriate amount) Gancao (small amount)
Cut into pieces, decoct in water, and take. If symptoms do not recede after two doses, add Chuanwu and Muxiang, grind separately, and mix into the medicine. If diarrhea occurs, add Hezi, Roudoukou, and Yingsuke.