凡产时用力过多，劳倦伤脾，孤脏不能注于四旁，故足逆冷而厥气上行焉。《经》曰∶“阳气衰于
下，则为寒厥是也。非急方子能举气以归元，非大补不能回阳而复神，岂钱数归、参！照常症，一日
一帖而能起死扶危，拯将绝之气血耶？必用加参生化汤，倍参，连服二帖，斯气血旺而神气复，厥症自止
矣。若服药而又渴，另用生脉散多参以代茶，助津以救脏躁也。此经验之确沦，毋得有议焉。虽有四肢厥
冷，泄泻痢症，类伤寒阴症，又难用四逆汤方，亦必用倍参
生化汤，佐以炙姜，或加附子一片，则可以回阳止逆，又可以行参、 之功矣。《经》云∶脾，孤脏也。四
旁，心、肝、肺、肾也。又云∶摇体劳苦，则伤脾。又云∶厥气上行满。立二方分先后∶
加参生化汤 治新产发厥。
川芎（二钱） 川归（四钱） 甘草（四分，炙） 干姜（四分，制黑） 人参（二钱） 桃仁（十
粒，去皮尖）
上枣二枚，水煎连进二帖。发厥∶块痛未止，不可加 、术。
滋荣益气复神汤 治产后发厥，问无块痛，可服此方。
川芎（一钱） 白术（一钱） 黄 （一钱） 人参 当归（各三钱） 淮地黄（二钱，酒浸，蒸）
甘草（四分，炙） 麦冬（五钱） 五味子（十粒） 陈皮（四分） 附子（五分）
水煎。汗多加麻黄根、酸枣仁各一钱；大便不通，加肉苁蓉二钱。
大抵产后晕厥，二症相类，皆由气血并竭，神将去而机几息，仅有一丝之生意耳。若非急方急服，
岂能挽回将绝之元神耶？但晕在临盆，急症尤甚于厥，宜频灌生化汤几帖，先补血分之亏，实时块化血旺，
而神清晕止矣。若无汗脱，气促形脱症，参、 不须加也。厥症在分娩之后，气血两竭，宜用倍参生化
汤，并补气血之亏，止厥以复神焉。又非偏补血分可愈，治法要知晕有块痛， 、术、参未可遽加也。治
厥症问无块痛， 、术、地黄并用无疑矣。
凡是分娩时用力过多，导致劳倦损伤脾气，脾脏（孤脏）无法将精气输布到四肢百骸，因此出现足部逆冷，厥气向上冲逆的情况。《黄帝内经》说：“阳气在下部衰微，就会发生寒厥。”如果不是使用紧急的方剂来提升元气使其回归本源，不是用大补之法不能恢复阳气并神志，难道仅凭几钱当归、人参，按照常规病症每日一帖，就能起死回生、挽救即将断绝的气血吗？必须使用加参生化汤，加倍人参用量，连续服用两帖，这样气血旺盛而神气恢复，厥症自然停止。如果服药后仍然口渴，另外使用生脉散，重用参类以代茶饮，帮助津液以救治脏腑躁动不安。这是确切的经验之谈，不要有非议。虽然也有四肢厥冷、泄泻痢疾等症状，类似伤寒阴证，又难以使用四逆汤方，也必须使用加倍人参的生化汤，佐以炙干姜，或者加一片附子，这样就可以回阳止逆，又可以发挥人参、当归的功效。《黄帝内经》说：脾是孤脏。四旁指心、肝、肺、肾。又说：身体摇动劳累辛苦，就会损伤脾脏。又说：厥气上行充满胸中。确立两个方剂分先后使用：
加参生化汤 治疗新产发厥。
川芎（二钱） 当归（四钱） 甘草（四分，炙） 干姜（四分，制黑） 人参（二钱） 桃仁（十粒，去皮尖）
上药加红枣二枚，水煎服，连续进服两帖。若发厥且恶露块痛未止，不可加白芍、白术。
滋荣益气复神汤 治疗产后发厥，询问无恶露块痛，可服用此方。
川芎（一钱） 白术（一钱） 黄芪（一钱） 人参 当归（各三钱） 淮地黄（二钱，酒浸，蒸） 甘草（四分，炙） 麦冬（五钱） 五味子（十粒） 陈皮（四分） 附子（五分）
水煎服。汗多者加麻黄根、酸枣仁各一钱；大便不通者，加肉苁蓉二钱。
大抵产后晕厥，这两种症状相似，都是由气血同时枯竭，神气即将离去而生机几乎停止，仅存一丝生机罢了。如果不是紧急方剂紧急服用，怎么能挽回即将断绝的元神呢？但晕厥发生在临盆之时，急症比厥症更严重，宜频繁灌服生化汤几帖，先补血分之亏损，随即恶露化解、血液旺盛，而神志清醒、晕厥停止。如果没有汗出脱证、气促形脱的症状，就不必加用人参、黄芪。厥症发生在分娩之后，气血两竭，宜用加倍人参的生化汤，并补气血之亏损，止住厥症以恢复神气。这又不是单纯补血分可以治愈的，治疗方法要知道晕厥伴有块痛，白芍、白术、人参不可贸然加入。治疗厥症若无块痛，白芍、白术、地黄并用无疑了。
When excessive effort is exerted during childbirth, fatigue damages the Spleen Qi. The Spleen (the solitary organ) fails to distribute essence to the four extremities, resulting in cold feet and rebellious Jue Qi rising upward. As stated in the *Classic* (*Huangdi Neijing*): "When Yang Qi is deficient below, it manifests as Cold Jue." Without an urgent prescription to elevate Qi and return it to its origin, and without substantial tonification to restore Yang and spirit, how could a few qian of Dang Gui (Chinese Angelica Root) and Ren Shen (Ginseng), administered at the standard frequency of one decoction per day for ordinary conditions, revive the dying and rescue nearly exhausted Qi and Blood? One must use Jiashen Shenghua Tang (Ginseng-Enhanced Decoction for Generating New Blood), doubling the dosage of Ren Shen, and administer it continuously for two doses. Only then will Qi and Blood become robust, Spirit will recover, and the Jue syndrome will cease spontaneously. If thirst persists after taking the medicine, prepare Shengmai San (Generate Pulse Powder) with a heavy dose of Ginseng to replace tea, assisting Jin Ye (Body Fluids) to treat Zang Zao (Visceral Agitation). This is a verified empirical conclusion; do not raise objections. Although there may be cold limbs, diarrhea, or dysentery resembling Yin syndromes of Shanghan (Cold Damage), making Si Ni Tang (Frigid Extremities Decoction) difficult to apply, one must still use Shenghua Tang with doubled Ren Shen, assisted by Zhi Jiang (Honey-fried Dried Ginger), or add one slice of Fu Zi (Aconite Lateralis Radix Praeparata). This can restore Yang, stop rebellion, and enhance the efficacy of Ren Shen and Dang Gui. The *Classic* states: "The Spleen is the solitary organ. The four directions refer to the Heart, Liver, Lung, and Kidney." It also says: "Physical labor and hardship damage the Spleen." And again: "Rebellious Jue Qi rises and fills [the chest]." Two prescriptions are established for sequential use:
**Jiashen Shenghua Tang (Ginseng-Enhanced Decoction for Generating New Blood)**
Indications: Postpartum Jue syndrome (fainting/collapse).
Chuan Xiong (Ligusticum Chuanxiong Rhizoma) (2 qian)
Dang Gui (Angelica Sinensis Radix) (4 qian)
Gan Cao (Glycyrrhiza Uralensis Radix et Rhizoma) (4 fen, honey-fried)
Gan Jiang (Zingiberis Rhizoma) (4 fen, charred)
Ren Shen (Panax Ginseng Radix et Rhizoma) (2 qian)
Tao Ren (Prunus Persica Semen) (10 grains, skin and tip removed)
Add two red dates (Jujubae Fructus), decoct in water, and take continuously for two doses.
Note: If Jue syndrome occurs with persistent abdominal mass pain (lochia retention), Bai Shao (Paeoniae Radix Alba) and Bai Zhu (Atractylodis Macrocephalae Rhizoma) should not be added.
**Zirong Yiqi Fushen Tang (Nourishing Blood, Boosting Qi, and Restoring Spirit Decoction)**
Indications: Postpartum Jue syndrome without abdominal mass pain.
Chuan Xiong (Ligusticum Chuanxiong Rhizoma) (1 qian)
Bai Zhu (Atractylodis Macrocephalae Rhizoma) (1 qian)
Huang Qi (Astragali Membranacei Radix) (1 qian)
Ren Shen (Panax Ginseng Radix et Rhizoma)
Dang Gui (Angelica Sinensis Radix) (3 qian each)
Huai Di Huang (Rehmanniae Glutinosae Radix Praeparata) (2 qian, soaked in wine, steamed)
Gan Cao (Glycyrrhiza Uralensis Radix et Rhizoma) (4 fen, honey-fried)
Mai Dong (Ophiopogonis Japonici Rhizoma) (5 qian)
Wu Wei Zi (Schisandrae Chinensis Fructus) (10 grains)
Chen Pi (Citri Reticulatae Pericarpium) (4 fen)
Fu Zi (Aconiti Lateralis Radix Praeparata) (5 fen)
Decoct in water.
Modifications: If sweating is excessive, add Ma Huang Gen (Ephedrae Herbae Radix) and Suan Zao Ren (Ziziphi Spinosae Semen) (1 qian each); if constipation occurs, add Rou Cong Rong (Cistanches Herba) (2 qian).
Generally, postpartum fainting (Yun) and Jue syndrome are similar; both result from the simultaneous exhaustion of Qi and Blood, where the Spirit is about to depart and vital functions are nearly halted, leaving only a thread of life. Unless urgent prescriptions are taken urgently, how can the nearly extinct Yuan Shen (Original Spirit) be rescued? However, fainting occurring during delivery is more acute than Jue syndrome. It is advisable to frequently administer Jiashen Shenghua Tang for several doses to first replenish the deficiency in the Blood aspect. Subsequently, lochia will resolve, Blood will flourish, Spirit will clarify, and fainting will cease. If there are no signs of sweat-induced collapse, rapid breathing, or physical depletion, adding Ren Shen and Huang Qi is unnecessary. Jue syndrome occurs after delivery, characterized by dual exhaustion of Qi and Blood. One should use Shenghua Tang with doubled Ren Shen to tonify the deficiency of Qi and Blood, stop Jue, and restore Spirit. This cannot be cured merely by tonifying the Blood aspect alone. In treatment, one must recognize that if fainting is accompanied by mass pain, Bai Shao, Bai Zhu, and Ren Shen should not be rashly added. Conversely, for treating Jue syndrome without mass pain, the combined use of Bai Shao, Bai Zhu, and Di Huang is undoubtedly appropriate.