论曰∶产后中风者何？答曰∶产后五、七日内强力下床；或一月之内伤于房室；或怀
忧怒，扰荡冲和；或因着艾，伤动脏腑。得病之初，眼涩口噤，肌肉 搐，渐至腰脊筋急强
直者，不可治。此乃人作，非偶尔中风所得也。
陈无择评曰∶问产后中风，风是外邪，血虚则或有中之者，直答以人作，不可治，问答
不相顾解，如何开示后人？立论之难有如此者。若是中风，当以脉辨，看在何脏，根据经调之
。强力下床、月内房室，忧怒，着灸，非中风类；蓐劳，性气，火邪，治各有法。非产后病
，不暇繁引，学人识之。
疗产后风虚，头目痛，语言时僻。
防风 干葛 茯苓（各八分） 麦门冬（去心，八分） 芍药 黄芩（各六分） 犀角
（四分） 甘草（三分）
上 咀，以水二升，煎取七合，分为二服。
疗产后中风，心忪悸，志意不定，恍惚，语言错乱方。
人参（六分） 羚羊角（屑） 麦门冬 茯神（各八分） 黄芩 白藓皮 甘草（各四
两） 石膏（十二分） 淡竹沥（两大合）
上 咀，水二大升，煎至七合，下竹沥，分三服。
疗产后中风，身背拘急如束，并渴。
川芎 羌活 羚羊角（屑） 酸枣仁 芍药（各四两） 桑白皮（六分） 防风（五分）
上 咀，水四升，煎取二升，分温三服。
疗产后中风，四肢拘束，筋节掣痛，不得转侧，如角弓反张。
麻黄（八分，去根节） 生姜 桂心 白术（各四分） 防风 芍药（各六分） 川芎
（五分） 竹沥（二合）
上细锉，以水三升，先煮麻黄掠去沫，下诸药煎取七合，下竹沥再煎三沸，分三服，取
微汗为度。
治产后纳凉太过中风者，或成喘急，唇青鼻黑。（男六德续添）
以《局方》小续命汤连进三服，即愈。
疗产后中风烦渴。
红花子（五合，炒微热，研碎）
上以水一升，煎取七合，每一匙头，徐徐呷。
治产后中风，半身、手足不遂，言语謇涩，恍惚多忘，精神不定。
川独活 当归 芍药 防风 川芎 玄参（各二分） 桂心（分半）
上细锉，以水八升，煮取二升半，分为三服。觉效又更作一剂，渐瘥，须适寒温将息。
如不瘥，即以此方作丸，每服二十丸。有热加干葛五两；有冷加白术五两；有气加生姜六分；
手足不稳加牛膝五分、萆 三两、黄 四两；腹痛加当归、芍药各三分；不食加人参二分、
玄参四分。
论述说：产后中风是怎么回事？回答说：产后五到七天内勉强下床活动；或者一个月内因房事受损；或者怀着忧愁愤怒的情绪，扰乱了冲脉与任脉的和谐；或者因为施灸，损伤了脏腑。在发病初期，出现眼睛干涩、口噤不开、肌肉抽搐，逐渐发展到腰脊部筋脉拘急、僵硬直挺的，属于不可治愈的情况。这是人为造成的伤害，并非偶然感受风邪所致。
陈无择评论说：询问产后中风，风是外来的邪气，血虚时或许会被风邪侵袭，但直接回答说是人为造成且不可治愈，问答之间互不呼应，这样如何向后人开示教导呢？立论之难竟有如此之处。如果是真正的中风，应当通过脉象来辨别，看在哪一脏受病，根据经典理论进行调理。勉强下床、一月内行房、忧怒情绪、施灸，这些都不属于中风的范畴；蓐劳（产后虚损）、性气（情志失调）、火邪，治疗各有其法。这里不详细列举非产后特有的病症，学习者需明白这一点。
治疗产后风虚证，表现为头痛目痛，言语歪斜不正的方剂：
防风、干葛、茯苓（各八分），麦门冬（去心，八分），芍药、黄芩（各六分），犀角（四分），甘草（三分）。
将药材切碎，用水二升，煎煮至七合，分为两次服用。
治疗产后中风，表现为心慌心悸，意志不定，神志恍惚，言语错乱的方剂：
人参（六分），羚羊角（锉碎），麦门冬、茯神（各八分），黄芩、白藓皮、甘草（各四两），石膏（十二分），淡竹沥（两大合）。
将药材切碎，用水两大升，煎煮至七合，加入竹沥，再稍煮片刻，分为三次服用。
治疗产后中风，表现为身体背部拘急紧绷如被束缚，并伴有口渴的方剂：
川芎、羌活、羚羊角（锉碎）、酸枣仁、芍药（各四两），桑白皮（六分），防风（五分）。
将药材切碎，用水四升，煎煮至二升，分三次温服。
治疗产后中风，表现为四肢拘紧束缚，筋节牵拉疼痛，不能翻身侧卧，状如角弓反张的方剂：
麻黄（八分，去根节），生姜、桂心、白术（各四分），防风、芍药（各六分），川芎（五分），竹沥（二合）。
将药材细切，用水三升，先煮麻黄，撇去浮沫，再加入其他药物煎煮至七合，最后加入竹沥再煮沸三次，分为三次服用，以微微出汗为限度。
治疗产后因贪凉过度导致中风者，或已发展为气喘急促，嘴唇发青，鼻子发黑。（由男德续添）
连续服用《局方》中的小续命汤三剂，即可痊愈。
治疗产后中风烦渴的方剂：
红花子（五合，炒至微热，研碎）。
用水一升，煎煮至七合，每次取一匙头，慢慢呷服。
治疗产后中风，表现为半身及手足瘫痪无力，言语不清，神志恍惚多忘，精神不安的方剂：
川独活、当归、芍药、防风、川芎、玄参（各二分），桂心（半分）。
将药材细切，用水八升，煎煮至二升半，分为三次服用。若见效，可再制作一剂，病情逐渐好转后，需注意寒温适宜，调养身体。如果无效，可将此方制成丸药，每次服用二十丸。若有热象加干葛五两；若有寒象加白术五两；若有气滞加生姜六分；手足不稳加牛膝五分、萆薢三两、黄芪四两；腹痛加当归、芍药各三分；食欲不振加人参二分、玄参四分。
Commentary states: What is postpartum wind-stroke? The answer is: forcing oneself out of bed within five to seven days after childbirth; or injuring the body through sexual intercourse within one month; or harboring sorrow and anger, disturbing the harmony of the Chong and Ren vessels; or due to moxibustion, damaging the Zang-Fu organs. At the onset of the disease, with symptoms such as dry eyes, locked jaw, muscle twitching, gradually progressing to stiffness and rigidity of the tendons in the waist and spine, it is incurable. This is caused by human error, not by an accidental contraction of Wind pathogen.
Chen Wuyue commented: Regarding the inquiry on postpartum wind-stroke, Wind is an external pathogen, and deficiency of Blood may indeed make one susceptible to it. However, directly answering that it is self-inflicted and incurable makes the question and answer disjointed. How can this guide future generations? The difficulty in establishing theories is thus. If it were true wind-stroke, differentiation should be based on pulse diagnosis to determine which Zang organ is affected, and treatment should follow the classics. Forcing out of bed, sexual intercourse within a month, emotional turmoil, and moxibustion do not belong to the category of wind-stroke; Ru-lao (postpartum consumptive disease), Xing-qi (emotional dysfunction), and Fire pathogen each have their specific treatments. I do not elaborate on non-postpartum diseases here; students should understand this.
Formula for treating postpartum Wind-deficiency syndrome, manifesting as headache and eye pain, and slurred speech:
Fangfeng (Saposhnikoviae Radix), Gange (Puerariae Lobatae Radix), Fuling (Poria) (each 8 fen); Maimendong (Ophiopogonis Tuber, heart removed, 8 fen); Shaoyao (Paeoniae Radix), Huangqin (Scutellariae Radix) (each 6 fen); Xijiao (Rhinocerotis Cornu, 4 fen); Gancao (Glycyrrhizae Radix et Rhizoma, 3 fen).
Crush the herbs, add two sheng of water, decoct to obtain seven he, and divide into two doses.
Formula for treating postpartum wind-stroke, manifesting as palpitations, restlessness, mental confusion, and disordered speech:
Renshen (Ginseng Radix et Rhizoma, 6 fen); Lingyangjiao (Saigae Tataricae Cornu, crushed); Maimendong (Ophiopogonis Tuber), Fushen (Poria with Hostwood, each 8 fen); Huangqin (Scutellariae Radix), Baixianpi (Dictamni Cortex), Gancao (Glycyrrhizae Radix et Rhizoma) (each 4 liang); Shigao (Gypsum Fibrosum, 12 fen); Danzhuli (Bambusae Caulis in Taenia Juice, two large he).
Crush the herbs, add two large sheng of water, decoct to seven he, add Bamboo Juice, and divide into three doses.
Formula for treating postpartum wind-stroke, manifesting as tightness and binding sensation in the back, accompanied by thirst:
Chuanxiong (Ligusticum Chuanxiong Rhizome), Qianghuo (Notopterygii Rhizoma et Radix), Lingyangjiao (Saigae Tataricae Cornu, crushed), Suanzaoren (Ziziphi Spinosae Semen), Shaoyao (Paeoniae Radix) (each 4 liang); Sangbaipi (Mori Cortex, 6 fen); Fangfeng (Saposhnikoviae Radix, 5 fen).
Crush the herbs, add four sheng of water, decoct to two sheng, and divide into three warm doses.
Formula for treating postpartum wind-stroke, manifesting as stiffness and binding of the four limbs, pulling pain in joints, inability to turn over, resembling opisthotonos:
Mahuang (Ephedrae Herba, 8 fen, root nodes removed), Shengjiang (Zingiberis Rhizoma Recens), Guixin (Cinnamomi Ramulus), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 4 fen); Fangfeng (Saposhnikoviae Radix), Shaoyao (Paeoniae Radix) (each 6 fen); Chuanxiong (Ligusticum Chuanxiong Rhizome, 5 fen); Zhuli (Bambusae Caulis in Taenia Juice, 2 he).
Finely chop the herbs, add three sheng of water, first boil Mahuang and skim off the foam, then add the remaining herbs and decoct to seven he. Add Zhuli and boil for three more boils. Divide into three doses. Aim for slight sweating.
Treatment for postpartum wind-stroke caused by excessive exposure to coolness, or progressing to panting, cyanotic lips, and black nose (Added by Nan De):
Administer Xiao Xuming Tang (Minor Continuation Life Decoction) from *Ju Fang* continuously for three doses, and recovery will occur.
Formula for treating postpartum wind-stroke with irritability and thirst:
Honghuazi (Carthami Flos, 5 he, stir-fried until slightly hot and crushed).
Add one sheng of water, decoct to seven he. Take one spoonful slowly and sip.
Formula for treating postpartum wind-stroke, manifesting as hemiplegia or paralysis of half the body and extremities, dysarthria, mental confusion, forgetfulness, and instability of spirit:
Chuduohuo (Angelicae Pubescentis Radix), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Fangfeng (Saposhnikoviae Radix), Chuanxiong (Ligusticum Chuanxiong Rhizome), Xuanshen (Scrophulariae Radix) (each 2 fen); Guixin (Cinnamomi Ramulus, 0.5 fen).
Finely chop the herbs, add eight sheng of water, decoct to two and a half sheng, and divide into three doses. If effective, prepare another dose. As the condition gradually improves, ensure appropriate temperature regulation and rest. If ineffective, process this formula into pills, taking twenty pills per dose. If heat signs are present, add Gange (Puerariae Lobatae Radix) 5 liang; if cold signs are present, add Baizhu (Atractylodis Macrocephalae Rhizoma) 5 liang; if Qi stagnation is present, add Shengjiang (Zingiberis Rhizoma Recens) 6 fen; if extremities are unstable, add Niuxi (Achyranthis Bidentatae Radix) 5 fen, Biexie (Dioscoreae Hypoglaucae Rhizoma) 3 liang, Huangqi (Astragali Radix) 4 liang; if abdominal pain is present, add Danggui (Angelicae Sinensis Radix) and Shaoyao (Paeoniae Radix) 3 fen each; if poor appetite is present, add Renshen (Ginseng Radix et Rhizoma) 2 fen, Xuanshen (Scrophulariae Radix) 4 fen.