（附论）
夫中风筋脉挛急者。由产后气血不足。脏腑俱虚。日月未满而起早劳役。动伤脏腑。虚
损未复。为风邪冷气初客于肌肤经络。则令人顽痹不仁。羸乏少气。风气入于筋脉。挟寒则
挛急也。
方
羌活散 治产后中风。四肢筋脉挛急疼痛。
羌活 天麻 防风（各一两） 桂心（半两） 当归 酸枣仁 川牛膝 薏苡仁 柏子
仁鹿角
一分） 上为细末。以豆淋酒调下二钱。无时服。
白花蛇散 治产后中风。四肢筋脉挛急。皮肤麻痹。
白花蛇肉（一两酒拌炒令黄） 天南星（一两炮裂） 土蜂儿（微炒） 干蝎（微炒） 麻
黄（去根
螵蛸（微炒） 羚羊角屑 牛膝（去苗各半两） 麝香（一分研入） 上为细散。研入药令
匀。每服不计时候
羚羊角丸 治产后中风。四肢筋脉挛急疼痛。心神烦闷。背项强直。
羚羊角屑 羌活 防风 附子（炮裂去皮脐） 麻黄（去根节各一两） 地黄（生干者）
桂心（
炼蜜为丸
独活酒 治产后中风。筋脉四肢挛急或强直。睡卧不宁。
独活 防风 天麻（各一两） 桂心 当归 荆芥 川芎 蔓荆子（各半两） 麻黄（去
节） 附
煎至六分
细辛散 治产后中风。手脚不遂。筋脉挛急。不能言。
细辛 肉桂（去粗皮） 独活 秦艽（去苗） 麻黄（去根节） 菖蒲 红蓝花 薏苡
仁附子（
为散。每服
赤箭散 治产后中风。四肢筋脉挛急。腰背强直。
赤箭 防风（去芦头） 羌活 酸枣仁（炒） 附子（炮制去皮脐） 牛膝（去苗） 薏
苡仁（各一
三分） 上为散。
芎 散 治产后中风。四肢筋脉挛急疼痛。背项强直。
防风（一两） 赤芍药 桂心（各半两） 羚羊角屑 川芎 羌活 当归 酸枣仁 牛
蒡子（炒
侧子散 治产后中风。四肢筋脉拘急疼痛。心中闷乱。言语謇涩。
侧子（一两半炮裂去皮脐锉） 赤芍药（半两） 当归（锉炒） 芎 生干地黄 桂
心薏苡仁（各三两） 酸枣仁（微炒） 羚羊角屑 防风（去芦头） 牛膝（去苗） 海
桐皮（锉各一两）上为粗散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。入
竹沥半合。同和令匀。不计
独活散 治产后中风。苦背项强。四肢拘急。不得转动。
独活（一两半） 麻黄（二两去根节） 甘草（半两炙微赤锉） 芎 桂心 天麻 当
归（锉
为粗散。每服
血风汤 疗产后诸风。痿挛无力。四肢不利。\x
秦艽 羌活 防风 白芷 川芎 芎 芍药 当归 地黄 茯苓 白术（各等分） 上
为
（附论）
所谓中风导致筋脉拘挛紧急的病症，是由于产后气血亏虚，脏腑功能均处于虚弱状态。如果在未满月的时间内过早从事体力劳动，就会损伤脏腑，使虚损未能恢复。此时风邪冷气初次侵袭肌肤经络，就会导致肢体麻木不仁、身体消瘦乏力、气短等症状。风气侵入筋脉，若夹杂寒邪，则会引起筋脉拘挛紧急。
方剂
羌活散：治疗产后中风引起的四肢筋脉拘挛紧急、疼痛。
药材：羌活、天麻、防风（各一两），桂心（半两），当归、酸枣仁、川牛膝、薏苡仁、柏子仁、鹿角（各一分）。
制法与用法：将上述药材研成细末。用豆淋酒调服二钱，不拘时候服用。
白花蛇散：治疗产后中风引起的四肢筋脉拘挛紧急、皮肤麻痹。
药材：白花蛇肉（一两，用酒拌炒至黄色）、天南星（一两，炮裂）、土蜂儿（微炒）、干蝎（微炒）、麻黄（去根节）、桑螵蛸（微炒）、羚羊角屑、牛膝（去苗，各半两）、麝香（一分，研入）。
制法与用法：将上述药材研成细散，混合均匀。每次服用不计时间。
羚羊角丸：治疗产后中风引起的四肢筋脉拘挛紧急、疼痛，心神烦闷，背项强直。
药材：羚羊角屑、羌活、防风、附子（炮裂去皮脐）、麻黄（去根节，各一两）、地黄（生干者）、桂心（适量）。
制法与用法：炼蜜为丸。
独活酒：治疗产后中风引起的筋脉四肢拘挛紧急或强直，睡眠不安。
药材：独活、防风、天麻（各一两），桂心、当归、荆芥、川芎、蔓荆子（各半两），麻黄（去节）、附子（适量）。
制法与用法：煎煮至药液剩余六分。
细辛散：治疗产后中风引起的手脚活动不利，筋脉拘挛紧急，不能言语。
药材：细辛、肉桂（去粗皮）、独活、秦艽（去苗）、麻黄（去根节）、菖蒲、红蓝花、薏苡仁、附子（适量）。
制法与用法：研为散剂，每次服用适量。
赤箭散：治疗产后中风引起的四肢筋脉拘挛紧急，腰背强直。
药材：赤箭、防风（去芦头）、羌活、酸枣仁（炒）、附子（炮制去皮脐）、牛膝（去苗）、薏苡仁（各一两），其他药材三分。
制法与用法：研为散剂。
芎藭散：治疗产后中风引起的四肢筋脉拘挛紧急、疼痛，背项强直。
药材：防风（一两）、赤芍药、桂心（各半两）、羚羊角屑、川芎、羌活、当归、酸枣仁、牛膝、牛蒡子（炒）。
制法与用法：研为散剂。
侧子散：治疗产后中风引起的四肢拘急疼痛，心中闷乱，言语謇涩。
药材：侧子（一两半，炮裂去皮脐锉碎）、赤芍药（半两）、当归（锉炒）、川芎、生干地黄、桂心、薏苡仁（各三两）、酸枣仁（微炒）、羚羊角屑、防风（去芦头）、牛膝（去苗）、海桐皮（锉，各一两）。
制法与用法：研为粗散。每次服用四钱，用水一中盏，加入生姜半分，煎煮至六分，去渣，加入竹沥半合，混合均匀，不拘时候服用。
独活散：治疗产后中风，苦于背项强直，四肢拘急，无法转动。
药材：独活（一两半）、麻黄（二两，去根节）、甘草（半两，炙微赤锉）、川芎、桂心、天麻、当归（锉）。
制法与用法：研为粗散，每次服用适量。
血风汤：治疗产后各种风邪引起的痿软拘挛无力，四肢不利。
药材：秦艽、羌活、防风、白芷、川芎、芍药、当归、地黄、茯苓、白术（各等分）。
制法与用法：研为散剂。
(Attached Discussion)
The condition of wind-stroke with tendon and vessel spasm and tension is caused by the deficiency of Qi and Blood after childbirth, resulting in the deficiency of all Zang-Fu organs. If one engages in labor too early before the postpartum period (one month) is over, it damages the Zang-Fu organs, and the deficiency fails to recover. When Wind pathogenic factors and Cold qi initially invade the skin, muscles, and meridians, it leads to numbness and insensitivity, emaciation, fatigue, and shortness of breath. When Wind enters the tendons and vessels, if it combines with Cold, it causes spasm and tension of the tendons and vessels.
Formulas
Qianghuo San (Notopterygium Powder): Treats wind-stroke after childbirth characterized by spasm, tension, and pain in the tendons and vessels of the four limbs.
Ingredients: Qianghuo (Rhizoma et Radix Notopterygii), Tianma (Rhizoma Gastrodiae), Fangfeng (Radix Saposhnikoviae) (each 1 liang), Guixin (Cortex Cinnamomi) (0.5 liang), Danggui (Radix Angelicae Sinensis), Suanzaoren (Semen Ziziphi Spinosae), Chuan Niuxi (Radix Achyranthis Bidentatae), Yiyiren (Semen Coicis), Baiziren (Semen Platycladi), Lujiao (Cornu Cervi Pantotrichum) (each 1 fen).
Preparation and Administration: Grind the above ingredients into a fine powder. Mix with Doulin Jiu (wine soaked with soybeans) and take 2 qian orally. Take at any time.
Baihuashe San (White Flower Snake Powder): Treats wind-stroke after childbirth characterized by spasm and tension of the tendons and vessels in the four limbs and skin numbness.
Ingredients: Baihuashe Rou (Meat of Bungarus multicinctus) (1 liang, stir-fried with wine until yellow), Tiannanxing (Rhizoma Arisaematis) (1 liang, processed until cracked), Tufeng'er (Nidus Vespae) (lightly stir-fried), Ganxie (Scorpio) (lightly stir-fried), Mahuang (Herba Ephedrae) (remove root nodes), Sangpiaoxiao (Ovum Mantidis) (lightly stir-fried), Lingyangjiao Xie (Cornu Saigae Tataricae) (shavings), Niuxi (Radix Achyranthis Bidentatae) (remove seedlings, each 0.5 liang), Shexiang (Moschus) (1 fen, ground and added).
Preparation and Administration: Grind the above ingredients into a fine powder and mix evenly. Take an appropriate amount at any time.
Lingyangjiao Wan (Saiga Antelope Horn Pill): Treats wind-stroke after childbirth characterized by spasm, tension, and pain in the tendons and vessels of the four limbs, mental restlessness, and stiffness of the back and neck.
Ingredients: Lingyangjiao Xie (Cornu Saigae Tataricae) (shavings), Qianghuo (Rhizoma et Radix Notopterygii), Fangfeng (Radix Saposhnikoviae), Fuzi (Radix Aconiti Lateralis Preparata) (processed, remove skin and navel), Mahuang (Herba Ephedrae) (remove root nodes, each 1 liang), Dihuang (Radix Rehmanniae) (dried raw), Guixin (Cortex Cinnamomi) (appropriate amount).
Preparation and Administration: Form pills using refined honey.
Duhuo Jiu (Angelica Pubescens Wine): Treats wind-stroke after childbirth characterized by spasm, tension, or stiffness of the tendons and vessels in the limbs, and restless sleep.
Ingredients: Duhuo (Radix Angelicae Pubescentis), Fangfeng (Radix Saposhnikoviae), Tianma (Rhizoma Gastrodiae) (each 1 liang), Guixin (Cortex Cinnamomi), Danggui (Radix Angelicae Sinensis), Jingjie (Herba Schizonepetae), Chuanxiong (Rhizoma Chuanxiong), Manjingzi (Fructus Viticis) (each 0.5 liang), Mahuang (Herba Ephedrae) (remove nodes), Fuzi (Radix Aconiti Lateralis Preparata) (appropriate amount).
Preparation and Administration: Decoct until six parts of the liquid remain.
Xixin San (Asarum Powder): Treats wind-stroke after childbirth characterized by inability to move hands and feet, spasm and tension of the tendons and vessels, and aphasia.
Ingredients: Xixin (Herba Asari), Rougui (Cortex Cinnamomi) (remove coarse bark), Duhuo (Radix Angelicae Pubescentis), Qinjiao (Radix Gentianae Macrophyllae) (remove seedlings), Mahuang (Herba Ephedrae) (remove root nodes), Changpu (Rhizoma Acori Tatarinowii), Honglanhua (Flos Carthami), Yiyiren (Semen Coicis), Fuzi (Radix Aconiti Lateralis Preparata) (appropriate amount).
Preparation and Administration: Grind into powder. Take an appropriate amount per dose.
Chijian San (Gastrodia Powder): Treats wind-stroke after childbirth characterized by spasm and tension of the tendons and vessels in the four limbs and stiffness of the waist and back.
Ingredients: Chijian (Rhizoma Gastrodiae), Fangfeng (Radix Saposhnikoviae) (remove rhizome head), Qianghuo (Rhizoma et Radix Notopterygii), Suanzaoren (Semen Ziziphi Spinosae) (stir-fried), Fuzi (Radix Aconiti Lateralis Preparata) (processed, remove skin and navel), Niuxi (Radix Achyranthis Bidentatae) (remove seedlings), Yiyiren (Semen Coicis) (each 1 liang), other ingredients (3 fen).
Preparation and Administration: Grind into powder.
Xiongqiong San (Ligusticum Powder): Treats wind-stroke after childbirth characterized by spasm, tension, and pain in the tendons and vessels of the four limbs and stiffness of the back and neck.
Ingredients: Fangfeng (Radix Saposhnikoviae) (1 liang), Chishaoyao (Radix Paeoniae Rubra), Guixin (Cortex Cinnamomi) (each 0.5 liang), Lingyangjiao Xie (Cornu Saigae Tataricae) (shavings), Chuanxiong (Rhizoma Chuanxiong), Qianghuo (Rhizoma et Radix Notopterygii), Danggui (Radix Angelicae Sinensis), Suanzaoren (Semen Ziziphi Spinosae), Niuxi (Radix Achyranthis Bidentatae), Niubangzi (Fructus Arctii) (stir-fried).
Preparation and Administration: Grind into powder.
Cizi San (Aconitum Laterale Powder): Treats wind-stroke after childbirth characterized by spasm, tension, and pain in the four limbs, mental oppression and confusion, and dysarthria.
Ingredients: Cizi (Radix Aconiti Lateralis Preparata) (1.5 liang, processed, remove skin and navel, crushed), Chishaoyao (Radix Paeoniae Rubra) (0.5 liang), Danggui (Radix Angelicae Sinensis) (crushed and stir-fried), Chuanxiong (Rhizoma Chuanxiong), Shenggan Dihuang (Radix Rehmanniae Dried Raw), Guixin (Cortex Cinnamomi), Yiyiren (Semen Coicis) (each 3 liang), Suanzaoren (Semen Ziziphi Spinosae) (lightly stir-fried), Lingyangjiao Xie (Cornu Saigae Tataricae) (shavings), Fangfeng (Radix Saposhnikoviae) (remove rhizome head), Niuxi (Radix Achyranthis Bidentatae) (remove seedlings), Haitongpi (Cortex Erythrinae) (crushed, each 1 liang).
Preparation and Administration: Grind into coarse powder. Take 4 qian per dose. Add one zhong of water and half a fen of fresh ginger, decoct until six parts remain. Strain, add half he of Zhuli (Bambusae Caulis in Taedia), mix evenly, and take at any time.
Duhuo San (Angelica Pubescens Powder): Treats wind-stroke after childbirth, suffering from stiffness of the back and neck, spasm and tension of the four limbs, and inability to turn or move.
Ingredients: Duhuo (Radix Angelicae Pubescentis) (1.5 liang), Mahuang (Herba Ephedrae) (2 liang, remove root nodes), Gancao (Radix et Rhizoma Glycyrrhizae) (0.5 liang, stir-fried with honey until slightly red and crushed), Chuanxiong (Rhizoma Chuanxiong), Guixin (Cortex Cinnamomi), Tianma (Rhizoma Gastrodiae), Danggui (Radix Angelicae Sinensis) (crushed).
Preparation and Administration: Grind into coarse powder. Take an appropriate amount per dose.
Xuefeng Tang (Blood Wind Decoction): Treats various wind conditions after childbirth characterized by flaccidity, spasm, weakness, and dysfunction of the four limbs.
Ingredients: Qinjiao (Radix Gentianae Macrophyllae), Qianghuo (Rhizoma et Radix Notopterygii), Fangfeng (Radix Saposhnikoviae), Baizhi (Radix Angelicae Dahuricae), Chuanxiong (Rhizoma Chuanxiong), Shaoyao (Radix Paeoniae), Danggui (Radix Angelicae Sinensis), Dihuang (Radix Rehmanniae), Fuling (Poria), Baizhu (Rhizoma Atractylodis Macrocephalae) (equal parts).
Preparation and Administration: Grind into powder.