郭稽中云∶产后口鼻黑气起及鼻衄者，不治。盖阳明为经脉之海，口鼻乃阳明所见之部。黑气鼻衄，是
营卫散乱，营气先绝，故不治。薛立斋云∶急用二味参苏饮加附子，亦有得生者。
去血过多者，宜重用阿胶，水化，略加童便服；去
血不多者，宜夺命散。没药去油二钱，血竭一钱，共研末，分两服，糖调酒下。
沈尧封曰∶此条宜与前恶露过多二条参看。
尧封又曰∶钱姓妇产后发晕，两目不醒。产时恶露甚少，晕时恶露已断。根据夫向邻家讨琥珀散一服，约
重二钱许，酒调灌下，即醒。其药之色与香俱似没药，大约即是血竭、没药之方。
尧封又曰∶庚辰春，吕姓妇分娩。次日患血晕，略醒一刻，又目闭头倾，一日数十发，其恶露产时不少，
但亦不断，脉大左关弦硬。用酒化阿胶一两，冲童便服。是夜晕虽少减，而头汗出，少腹痛有形，寒战如
疟，战已发热更甚。投没药血竭夺命散二钱，酒调服。寒热、腹痛、发晕顿除。惟嫌通身汗出，此是气血已
通，而现虚象。用黄 五钱，炒归身二钱，甘草一钱，炒枣仁三钱，炒小麦五钱，大枣三个，煎服，汗止而安。
王孟英按∶恶露虽少，而胸腹无苦者，不可乱投破瘀之药。今秋周鹤庭室人，新产而眩晕自汗，懒言，
目不能开。乃父何新之视脉虚弦浮大，因拉余商治。询其恶露虽无，而脘腹无患。乃用牡蛎、石英、龟板、鳖
甲、琥珀、丹参、甘草、小麦、大枣为剂。复杯即减，数日霍然。此由血虚有素，既娩则营阴下夺，阳越不
潜。设泥新产瘀冲之常例，而不细参脉证，则杀人之事矣。
郭稽中说：产后口鼻出现黑气并伴有鼻出血的，属于不治之症。因为阳明经是十二经脉的海汇，口鼻是阳明经所主视的部位。口鼻现黑气且鼻衄，说明营卫之气散乱，营气先已断绝，所以无法救治。薛立斋说：紧急时使用二味参苏饮加入附子，也有救活的案例。
失血过多的，应当重用阿胶，用水烊化（溶化），稍微加入童便服用；失血不多的，应当使用夺命散。没药去油二钱，血竭一钱，共同研成细末，分两次服用，用糖调和酒送下。
沈尧封说：这一条内容应当与前文关于恶露过多的两条内容参照阅读。
沈尧封又说：钱姓产妇在产后发生晕厥，双眼不能睁开。生产时恶露很少，晕厥时恶露已经停止。家属向邻居讨来一服琥珀散，大约重两钱左右，用酒调匀灌服，产妇随即苏醒。这药的颜色和香气都类似没药，大概也就是由血竭、没药组成的方剂。
沈尧封还说：庚辰年春季，吕姓妇女分娩。第二天患上血晕，刚清醒一刻钟，又闭目头倾，一天发作数十次，她的恶露在生产时并不少，但也未完全排净，脉象大，左关部弦硬。使用酒烊化阿胶一两，冲入童便服用。当晚晕厥虽稍减轻，但头部出汗，小腹部疼痛且有形块感，寒战如疟疾一般，寒战后发热更加严重。投予没药血竭组成的夺命散二钱，用酒调服。寒热、腹痛、晕厥顿时消除。只是担心全身出汗，这是气血已经通畅，而显现出虚象。使用黄芪五钱，炒当归身二钱，甘草一钱，炒酸枣仁三钱，炒小麦五钱，大枣三个，煎汤服用，汗止后病情安定。
王孟英按语：虽然恶露量少，但胸腹部没有痛苦不适的，不可胡乱投用破瘀的药物。今年秋天周鹤庭的妻子，新近分娩后出现眩晕、自汗、懒言、眼睛不能睁开。她的父亲何新之诊察脉象为虚、弦、浮、大，于是拉我商量治疗方案。询问得知她虽然恶露无多，但脘腹没有病患。于是使用牡蛎、石英、龟板、鳖甲、琥珀、丹参、甘草、小麦、大枣组成方剂。服药不久症状即减轻，数日后痊愈。这是由于素体血虚，分娩后营阴下夺，阳气外越而不能潜藏。如果拘泥于新产必有瘀血上冲的常规例子，而不仔细参详脉证，那就是杀人的行为了。
Guo Jizhong stated: The appearance of black qi around the mouth and nose accompanied by epistaxis (nosebleed) after childbirth is considered incurable. This is because the Yangming channel serves as the sea of the twelve channels, and the mouth and nose are the areas governed by the Yangming channel. Black qi appearing at the mouth and nose with epistaxis indicates that the Ying (Nutrient) and Wei (Defensive) Qi are scattered and disordered, with the Ying Qi being exhausted first; hence, it is incurable. Xue Lizhai stated: Urgently using Erwei Rensu Yin (Two-Ingredient Ginseng and Perilla Decoction) added with Fuzi (Prepared Aconite Root) has resulted in survival.
For those who have lost excessive blood, Ejiao (Donkey-hide Gelatin) should be used in heavy doses, melted in water, and taken with a small amount of Tongbian (Child's Urine). For those with moderate blood loss, Xueming San (Life-Restoring Powder) is appropriate. Mox Yao (Myrrh), with oil removed, 2 qian, combined with Xue Jie (Dragon's Blood), 1 qian, ground into powder, divided into two doses, taken with sugar and wine.
Shen Yaofeng stated: This section should be read in conjunction with the previous two sections regarding excessive lochia discharge.
Shen Yaofeng further stated: A surnamed Qian patient experienced postpartum dizziness and unconsciousness with eyes closed. During delivery, lochia was scant, and during the episode of dizziness, lochia had ceased. Her husband obtained one dose of Hupo San (Amber Powder) from a neighbor, weighing approximately 2 qian, which was mixed with wine and administered orally, resulting in immediate recovery. The color and aroma of this medicine resembled Myrrha (Mox Yao); it was likely a formula containing Xue Jie (Dragon's Blood) and Myrrha (Mox Yao).
Shen Yaofeng also recorded: In the spring of the Gengchen year, a surnamed Lü woman delivered a baby. The next day, she suffered from blood syncope (Xue Yun). She regained consciousness briefly for a moment, then closed her eyes and tilted her head. This occurred dozens of times a day. Her lochia was not scant during delivery but did not completely cease. The pulse was large, with the left Guan position being wiry and hard. One liang of Ejiao (Donkey-hide Gelatin) was melted in wine and taken with Tongbian (Child's Urine). That night, the syncope decreased slightly, but sweating appeared on the head, and there was painful palpability in the lower abdomen. She experienced chills resembling malaria, followed by high fever. Two qian of Xueming San (Life-Restoring Powder) composed of Myrrha (Mox Yao) and Xue Jie (Dragon's Blood) were administered with wine. The chills, fever, abdominal pain, and syncope were instantly relieved. However, profuse sweating over the whole body was noted, indicating that Qi and Blood had circulated but deficiency signs were manifesting. Huangqi (Astragalus Root), 5 qian; Chao Danggui Shen (Stir-fried Angelica Sinensis Root Body), 2 qian; Gancao (Licorice Root), 1 qian; Chao Zaoren (Stir-fried Ziziphus Seed), 3 qian; Chao Xiaomai (Stir-fried Wheat Grain), 5 qian; and Dazao (Jujube), three pieces, were decocted and taken. Sweating ceased, and the condition stabilized.
Wang Mengying commented: Although lochia is scant, if there is no discomfort in the chest and abdomen, one must not recklessly administer drugs that break up stasis. This autumn, the wife of Zhou Heting recently gave birth and presented with dizziness, spontaneous sweating, reluctance to speak, and inability to open her eyes. Her father, He Xinzi, examined her pulse as deficient, wiry, floating, and large, and invited me to discuss treatment. Upon inquiry, it was found that although lochia was minimal, there were no issues in the epigastrium or abdomen. Therefore, a formula consisting of Muli (Oyster Shell), Shiyin (Quartz), Guiban (Tortoise Shell), Biejia (Softshell Turtle Shell), Hupo (Amber), Danshen (Salvia Root), Gancao (Licorice Root), Xiaomai (Wheat Grain), and Dazao (Jujube) was prescribed. Symptoms reduced significantly after just one cup of medicine, and she recovered fully within a few days. This case arose from pre-existing Blood deficiency; after parturition, Ying Yin (Nutrient Yin) descended and was depleted, causing Yang to float outward without anchoring. If one rigidly adheres to the common rule that postpartum conditions always involve stasis rushing upward, without carefully analyzing the pulse and symptoms, it would constitute a lethal error.