恶露不来者是血瘀，宜无极丸；恶露仍通者是痰迷，宜六神汤∶半夏曲一钱，橘红一钱，胆星一钱，石
菖蒲一钱，茯神一钱，旋复花一钱，水煎滤清服。
沈尧封曰∶一成衣妇，产后半月余，发狂打骂不休，其夫锁之磨上。余付无极丸六钱，分两服，酒下。
服毕即愈，越四五日复发，又与六服，后不复发。
尧封又曰∶丁姓妇产后神昏，谵语如狂，恶露仍通，亦不过多。医者议攻议补不一。金尚陶前辈后至，
诊毕曰∶待我用一平淡方吃下去看。用杜橘红、石菖蒲等六味。一剂神气清，四剂霍然。此方想是屡验，故
当此危证，绝不矜持。归语舍弟赓虞，答曰∶此名六神汤。余未考其所自。
尧封又曰∶甲戌孟春，钱香树先生如君，产后微热痞闷，时时谵语，恶露不断。余用理血药不应，改
用六神汤四剂，病去如失。
武叔卿曰∶热痰迷心使然。
胆星（一钱） 橘红（一钱） 半夏（一钱五分） 石菖蒲（一钱） 郁金（一钱）
水煎，入竹沥一调羹，生姜汁三小茶匙服。
沈尧封曰∶神昏不语，有虚有实，当参旁证及脉。
此属肾虚。补肾之中，宜兼温通。
元生地（四钱） 茯苓（二钱） 山药（一钱五分炒） 归身（二钱） 肉桂（五分） 远志肉（五分炒）
水煎服。
虚脱恶候，人参送黑锡丹，十全一二。
徐蔼辉曰∶姜用川采萃一册，载黑铅乃水之精，入北方壬癸。凡遇阴火冲逆，真阳暴脱，气喘痰鸣之急
证，同桂、附回阳等药用之，立见奇功。即经云重剂是也。
又曰∶姜又载何惟丹先生呃逆治验方云∶伤寒呃逆，声闻数家者，用刀豆子数粒，瓦上 存性为末，白
汤调下二钱，立止。又《本草纲目》云∶病后呃逆，刀豆连壳烧服。姜云∶此方宜入旋复代赭石汤。
恶露（产后排出的余血浊液）不来的，属于血瘀证，适宜使用无极丸；恶露仍然通畅的，属于痰迷心窍证，适宜使用六神汤：半夏曲一钱，橘红一钱，胆星一钱，石菖蒲一钱，茯神一钱，旋复花一钱，加水煎煮后滤去药渣服用。
沈尧封说：有一位做裁缝的妇女，产后半个多月，发狂打骂不停，她的丈夫把她锁在磨盘上。我给她开了无极丸六钱，分两次服用，用酒送服。服完后立即痊愈，过了四五天后又复发，又给了她六钱的剂量，之后不再复发。
尧封又说：丁姓妇女产后神志昏迷，胡言乱语像发狂一样，恶露仍然通畅，也不过量。医生们有的主张攻下，有的主张补益，意见不一。金尚陶前辈后来到了，诊脉结束后说：“等我用一个平淡的方子吃下去看看。”用了杜橘红、石菖蒲等六味药。一剂后神气清醒，四剂后病愈。这个方子想必是屡试不爽，所以面对这种危重证候，绝不故作高深。回去告诉我的弟弟赓虞，他回答说：“这名叫六神汤。”我没有考证它的来源。
尧封又说：甲戌年早春，钱香树先生的夫人，产后微热且胸脘痞闷，时常胡言乱语，恶露淋漓不断。我用理血药没有效果，改用六神汤四剂，病去得无影无踪。
武叔卿说：这是热痰迷蔽心窍所致。
胆星（一钱） 橘红（一钱） 半夏（一钱五分） 石菖蒲（一钱） 郁金（一钱）
加水煎煮，加入竹沥一调羹，生姜汁三小茶匙，混合后服用。
沈尧封说：神志昏迷不说话，有虚证也有实证，应当参考其他伴随症状及脉象。
此属肾虚。在补肾的同时，适宜兼用温通之法。
元生地（四钱） 茯苓（二钱） 山药（一钱五分，炒） 归身（二钱） 肉桂（五分） 远志肉（五分，炒）
加水煎煮服用。
徐蔼辉说：姜用川采集编纂的一册书中，记载黑铅乃是水的精华，归属于北方的壬癸水。凡是遇到阴火冲逆，真阳暴脱，气喘痰鸣的急症，配合桂枝、附子等回阳药物使用，立刻见到奇效。这就是《内经》所说的“重剂”用法。
又说：姜氏又记载何惟丹先生治疗呃逆（打嗝）的有效方子说：伤寒引起的呃逆，声音能传到好几家住户那里的，用刀豆子几粒，在瓦片上烧存性（烧至焦黑但保留药性）研成粉末，用白开水调服二钱，立刻停止。另外《本草纲目》说：病后呃逆，刀豆连壳烧熟服用。姜氏说：这个方子适宜加入旋复代赭石汤中。
When lochia (postpartum discharge of blood and mucus) does not come, it is due to Blood Stasis; Wuji Wan is indicated. When lochia remains patent, it is due to Phlegm Confounding the Mind; Liushen Tang is indicated: Banxia Qu (Prepared Pinellia Tuber with Fermented Wheat) 1 qian, Juhong (Exocarpium Citri Reticulatae Viride) 1 qian, Dansheng (Arisaema Cum Bile) 1 qian, Shichangpu (Rhizoma Acori Tatarinowii) 1 qian, Fushen (Poria with Hostwood) 1 qian, Xuanfuhua (Flores Inulae) 1 qian. Decoct in water, strain, and take the clear liquid.
Shen Yaofeng said: A female tailor, more than half a month postpartum, went mad and beat and cursed incessantly. Her husband locked her on a millstone. I prescribed Wuji Wan, 6 qian, divided into two doses, taken with wine. After finishing the dose, she recovered immediately. Four or five days later, it recurred. I gave another 6 qian, and it did not recur again.
Yaofeng also said: A woman surnamed Ding suffered from postpartum coma and delirious speech resembling madness. Her lochia was still patent, though not excessive. Physicians debated whether to use purgatives or tonics. Senior practitioner Jin Shangtao arrived later. After diagnosis, he said, "Let me try a mild prescription to see." He used Dujuhong, Shichangpu, and four other herbs. After one dose, her spirit cleared; after four doses, she recovered completely. This prescription must have been frequently effective, so in this critical condition, he did not hesitate or show off. I told my younger brother Gengyu about it. He replied, "This is called Liushen Tang." I did not research its origin.
Yaofeng also said: In early spring of the Jiaxu year, Mrs. Qian Xiangshu suffered from slight fever and chest/epigastric stuffiness, with occasional delirious speech and continuous lochia. My blood-regulating medicines were ineffective. I changed to Liushen Tang for four doses, and the illness disappeared as if lost.
Wu Shuqing said: This is caused by Heat-Phlegm confusing the Heart.
Dansheng (1 qian), Juhong (1 qian), Banxia (1.5 qian), Shichangpu (1 qian), Yujin (1 qian).
Decoct in water, add Zhuli (Bamboo Sap) one tablespoon, and Shengjiangzhi (Ginger Juice) three small teaspoons. Take mixed.
Shen Yaofeng said: Coma with muteness can be either Deficiency or Excess. One must refer to accompanying symptoms and pulse.
This belongs to Kidney Deficiency. In tonifying the Kidney, one should simultaneously employ Warming and Unblocking methods.
Yuanshengdi (Raw Rehmanniae Radix, 4 qian), Fuling (Poria, 2 qian), Shanyao (Dioscoreae Rhizoma, 1.5 qian, stir-fried), Guishen (Angelicae Sinensis Radix, 2 qian), Rougui (Cinnamomi Cortex, 0.5 qian), Yuanzhi Rou (Polygalae Radix, 0.5 qian, stir-fried).
Decoct in water and take.
For critical collapse due to Deficiency, sending Ren Shen (Ginseng Radix et Rhizoma) with Heixi Dan yields only a 10-20% success rate.
Xu Aihui said: In a volume compiled by Jiang Yongchuan, it is recorded that Black Lead (Heiqian) is the essence of Water, belonging to the North (Ren-Gui/Water element). Whenever Yin Fire rebels upward, True Yang suddenly collapses, causing urgent conditions like panting and phlegmonous rattling, using it together with Gui Zhi (Cinnamon Twig) and Fu Zi (Aconiti Lateralis Radix Praeparata) for Yang-returning therapy produces immediate miraculous results. This is what the Classic refers to as "Heavy Dosage."
He also said: Jiang also recorded a verified prescription for treating hiccup (E Ni) by Mr. He Weidan: For hiccups caused by Cold Damage, where the sound can be heard by several households, take a few Douzi Dou (Faba Semen), roast them on a tile until carbonized but retaining efficacy, grind into powder, and mix with warm water to take 2 qian. The hiccups stop immediately. Additionally, *Bencao Gangmu* states: For post-illness hiccups, roast Douzi Dou with the shell and take it. Jiang says: This prescription is suitable for adding to Xuafu Daizhe Shi Tang.