一方 五灵脂为细末，温酒调下二钱。
一方 取小麦合小豆煮浓汁，饮之立出。
一方 皂角刺烧为末，温酒调下一钱。
一方 蛇蜕烧为细末，酒下二钱。
一方 黑豆一合炒熟，入醋一盏，煎三五沸，去豆分三服，酒煮亦可。
一方 取灶内黄土一寸，研细，醋调匀，
纳于脐中，续煎甘草汤三四合服之出。
一方 墨三寸，为末，酒服。
一方 生地黄汁一升，苦酒三合，暖服之。
一方 灶突墨三指撮许，以水苦酒调服，立出。
一方 鸡子一枚，苦酒一合，和饮之。
一方 生男吞小豆七枚，生女吞十四枚即出。
一方 浸苎水浓煮，饮三碗立下。
一方 取产母鞋底炙热，熨大小腹上下二七次。
一方 取初洗儿汤，服下一盏，勿令产母知。
一方 栝蒌实一个，取子研细，用酒童便各半盏相和，煎至七分，去滓温服。（如无实，根亦
得。）
一方 红花一两，酒煮浓汁服。
一方 以鹿角镑为屑，研细三分，煮葱白汤调下。
一方 凡欲产时，必先脱常所着衣以笼灶，胞衣自下，仍易产。
一方 取夫单衣盖井上，立出。
（厥逆附）
大全云∶产后血晕者，由败血流入肝经，以致眼黑头旋，不能起坐，甚至昏闷，不省人
事，谓之血晕，以细酒调黑神散最佳。若作暗风中风治之，误矣。血热乘虚逆上凑心，以致
昏迷不省，气闭欲绝者，服童便最妙。然其由有三，有用心使力过多而晕者；有下血过多而
晕者；有下血少而晕者，其晕虽同，治之则异，当审详之。下血多而晕者，昏而烦乱而已，当
以补血清心药；下血少而晕者，乃恶露不下，上抢于心，心下满急，神昏口噤，绝不知人，当
以破血行血药（一条缺用心使力过多作晕治法，大都以清心、凉血、补益为主，如后保命集
方。用童便或麦门、乌梅之类皆可。而薛氏用
补中益气者，为劳力也，若用心则朱砂安神丸亦妙，或疑内有黄连于产后不宜，则存乎用
者）。古法云∶产妇分娩讫，预将秤锤或黄石子，硬炭烧令通赤，置器中，急于床前以醋沃
之，得醋气可除血晕，产后一月内，时作为妙。
崔氏云∶凡晕者，皆是虚热，血气奔迸，腹中空虚所致。欲分娩者，第一须先取酽醋，以
涂口鼻，仍置醋于旁，使闻其气，兼细细饮之，此为上法。如觉晕，即以醋 面，苏来即饮醋，
仍少与解之。（一云仍少与水解之。）一法烧干漆，令烟浓熏产母面，即醒。（如无干漆，取旧
漆器火烧烟熏，亦妙。）（醋解法收其神，水解法清其热，烧干漆者散其血迷于上也，俱妙）
郭稽中曰∶产后血晕者何？答曰∶产后气血暴虚，未得安静，血随气上，迷乱心神，故眼
前生花，极甚者，令人闷绝不知人，口噤神昏气冷。医者不识呼为暗风，若作此治，证必难
愈，但服清魂散即省。
薛氏曰∶产后元气亏损，恶露乘虚上攻，眼花头晕，或心下满闷，神昏口噤，或痰壅盛
者，急用失笑散主之。若血下多而晕，或神昏烦乱者，大剂芎归汤补之，或芸薹子散，或童
子小便，有痰加二陈汤；若因劳心力而致者，宜补中益气汤加香附；若因气血虚极，不省人
事，用清魂散，惟以芎归汤，及大补气血之剂。凡产可用醋、漆器熏，或用半夏末，冷水和丸，
入鼻孔中，并无前患。丹溪先生云∶血晕因气血俱虚，痰火泛上，宜以二陈导痰，或加减朱
砂安神丸，以麦门冬汤下亦可。大凡产后口眼 斜等证，当大补气血为主，而兼以治痰。若
脾胃虚而不能固者，用六君子汤，至五个月，当服安胎饮，至八九个月，再加大腹皮、黄杨
脑，如临产时，更宜服保生无忧散（保生无忧散，见前临月束胎方上），自无前患。
家人妇产后，小腹作痛，忽牙关紧急，灌以失笑散，良久而生，又用四物加炮姜、白术、
陈皮而愈。
一产妇因产饮酒（产妇不宜饮酒），恶露
甚多，患血晕，口出酒气，此血得酒热而妄行，虚而作晕也。以佛手散加干葛二钱，一剂而
痊。酒性剽悍，入月及产后不宜饮，恐致前证。产室人众喧嚷气热，亦致此证。
奉化陆严治新昌徐氏妇病，产后暴死，但胸膈微热。陆诊之曰∶此血闷也，用红花数十
斤，以大锅煮之，候汤沸，以木桶盛之。将病者寝其上熏之，汤气微，复加之，有顷，妇人指
动，关日遂苏。此与许胤宗治王太后之意同。
仲景云∶产妇郁冒，其脉微弱，呕不能食，大便反坚，但头汗出。所以然者，血虚而厥，厥
而必冒，冒家欲解，必大汗出，以血虚下厥，孤阳上出，故头汗出。所以产妇喜汗出者，亡阴
血虚，阳气独盛，故当汗出，阴阳乃复。所以大便坚，呕不能食也，小柴胡汤主之，病解能食。
七八日更发热者，此为胃实，大承气汤主之。
今按郁冒，即晕也。观此，则产后血晕，有汗、下、和解三法，当分表里虚实，精而别之。
清魂散 产后血晕者，气血暴虚，未得安静，血随气上，迷乱心神，故眼前生花，极甚
者，令人闷绝，不知人，口噤，神昏，气冷，宜先取干漆，或漆器烧烟，鼻中熏之，频置醋炭房
内，次进此药即醒。
泽兰叶 人参（各二钱半） 川芎（半两） 荆芥穗（一两） 甘草（二钱）
上为细末，每服二钱，用温酒热汤各半盏，或入童便调急灌之，下咽，眼即开，气定即醒。
芎归汤 治产后去血过多，昏晕不醒。
川芎 当归（去芦，酒洗焙，各等分）
上 咀，每服四钱，水煎热服，不拘时。如腹中刺痛，加酒炒白芍药，甚者加桂心。
口干烦渴，加乌梅、麦门冬。发寒热，加干姜、白芍药。水停心下，微有呕逆，加茯苓、
生姜。虚烦不得眠，加人参、竹叶。
保命集方 治产后血晕危困，此下多血虚也，补之。
当归（炒） 赤芍药（炒，各钱半） 生地黄汁（一大
盏）
上锉，水煎三五沸，温服，如觉烦热，去当归，（当归辛温，烦热者恐不投，故去之）入童
便半盏，服之。
以上治去血过多，昏晕之疾。
醋墨 才产便服，免致昏晕。
松烟墨或京墨，不拘多少，用炭火 红，以米醋淬之，再 再淬，如此七次，研极细，才
产毕即用一二钱，以童子小便调下，淡醋汤温酒亦可。（酒不如醋，醋不如童便）
独行散 治产后血晕，昏迷不省，冲心闷绝。
五灵脂半生半炒为末，每服二钱，温酒调灌，入喉即愈。不愈更加蒲黄炒等分，名失笑
散。一方加荆芥等分，童便调下。
夺命散 治产后血晕，血入心经，言语颠倒，健忘失志，及产后百病。
血竭 没药（各等分）
上为末，才产下便用童便与细酒各半盏，煎一二沸，调下二钱，良久再服。其恶血自下
行，更不冲上，或只用白汤调下。
四味散 治产后一切诸疾，才方分娩，一服尤妙。
当归 玄胡索 血竭 没药（各等分）
上为细末，每服二钱，用童子小便一盏，煎六分，通口服。如心膈寒，倍当归。气
闷喘急，倍玄胡索。恶露不快，倍血竭。心腹撮痛，倍没药。
黑神散 治产后恶露不尽，或胎衣不下，血气攻冲，心腹痞满，或脐腹坚胀撮痛，及血
晕神昏，眼黑口噤，产后瘀血诸疾。
当归 芍药 熟地黄 干姜（炮） 桂心 蒲黄 甘草（炙，各四两） 黑豆（炒去皮，半升）
上为细末，每服二钱，酒童便各半盏，同煎调服。楼氏曰∶黑神散，寒多及秋冬者宜
之，若性急形瘦及夏月宜审之。
红花散 治产后血昏、血晕、血崩，及月事不匀，远年干血气。
干荷叶（干荷叶善破血） 牡丹皮 川归 红花 蒲黄（炒，各等分）
上为细末，每服半两，酒煎和渣温服。如胎衣不下，榆白皮汤调半两，立效。
鹿角散 治产后血晕，此乃虚火载血，渐渐晕将上来。用鹿角烧灰出火毒，研极细，用
好酒、童便调灌下，一呷即醒，此物行血。（补方也，尤妙在服法）
郁金散 治产后血上冲心已死，并下胎。
郁金烧存性为末，每二钱，酽醋一合，调灌之，立活。
一方：将五灵脂研磨成细末，用温酒调服二钱。
一方：将皂角刺烧成灰研末，用温酒调服一钱。
一方：将蛇蜕烧成细末，用酒送服二钱。
一方：取黑豆一合炒熟，加入一盏醋，煎煮三至五次沸腾，去掉豆渣分三次服用，也可以用酒煮（服用）。
一方：取灶内的黄土一寸，研细，用醋调匀，敷在肚脐中，随后煎服甘草汤三四合，胞衣即可排出。
一方：取墨三寸长，研成末，用酒送服。
一方：取灶膛里的烟煤三指撮许，用水和苦酒调服，胞衣立即排出。
一方：若是男婴，吞服七粒小豆；若是女婴，吞服十四粒小豆，胞衣即出。
一方：将苎麻浸泡的水浓煮，饮用三碗，胞衣立刻落下。
一方：取产母穿过的鞋底烤热，熨烫大小腹部上下各十四次。
一方：取第一次洗婴儿的水，让产妇喝下一盏，不要让产妇知道。
一方：取栝蒌果实一个，取出种子研细，用酒和童子小便各半盏混合，煎至七分量，去渣温服。（如果没有果实，用根也可以。）
一方：红花一两，用酒煮成浓汁服用。
一方：凡是临产时，必须先脱下平时穿的衣服盖住灶口，胞衣自然就会下来，分娩也更容易。
一方：取丈夫的单衣盖在井口上，胞衣立即排出。
（附厥逆证）
《大全》说：产后血晕，是由于败血流入肝经，导致眼前发黑、头晕目眩，不能起身坐立，甚至昏闷不省人事，称为血晕，用细酒调服黑神散效果最佳。如果当作暗风或中风来治疗，就错了。血热乘虚逆上冲心，导致昏迷不省人事，气闭欲绝的，服用童子小便最妙。然而其成因有三：有用心用力过多而晕的；有下血过多而晕的；有下血少而晕的。虽然晕的症状相同，但治疗方法不同，应当仔细审察。下血多而晕的，表现为昏沉且烦乱，应当用补血清心的药物；下血少而晕的，是恶露不下，上冲于心，心下胀满急迫，神志昏迷牙关紧闭，完全不知人事，应当用破血行血的药物。（这一条缺少用心用力过多导致晕的治疗方法，大抵以清心、凉血、补益为主，如后面的保命集方。使用童子便或麦门冬、乌梅之类都可以。而薛氏使用补中益气汤，是因为劳力所致，如果是用心过度，朱砂安神丸也很妙，有人怀疑方中有黄连在产后不宜，则取决于使用者的判断。）古法说：产妇分娩完毕后，预先准备秤锤或黄石子、硬炭烧得通红，放入容器中，急忙放在床前用醋浇在上面，利用醋气可以消除血晕，产后一个月内，时常这样做很好。
崔氏说：凡是晕厥，都是虚热，血气奔涌，腹部空虚所致。想要分娩的人，第一必须先用浓醋，涂在口鼻处，并将醋放在旁边，让产妇闻其气味，同时细细饮用，这是上策。如果觉得要晕，就用醋擦脸，苏醒后立即饮醋，并稍给一些水解渴。（一说仍稍给水解渴。）另一方法是将干漆烧焦，让浓烟熏产妇的脸，即可苏醒。（如果没有干漆，取旧漆器火烧冒烟熏，也很好。）（醋解法收敛神气，水解法清除热邪，烧干漆法是消散上部的血迷，都很好。）
郭稽中说：什么是产后血晕？回答说：产后气血突然虚弱，未能安静，血随气上，迷乱心神，所以眼前生花，极严重的，使人闷绝不知人事，牙关紧闭神志昏迷气息冷。医生不认识，称之为暗风，如果按此治疗，病症必定难愈，只要服用清魂散就能清醒。
薛氏说：产后元气亏损，恶露乘虚上攻，眼花头晕，或者心下满闷，神志昏迷牙关紧闭，或者痰壅盛的，急用失笑散主治。如果下血多而晕，或者神志昏迷烦乱的，用大剂量的芎归汤补益，或者芸薹子散，或者童子小便，有痰加二陈汤；如果因劳心力导致的，宜用补中益气汤加香附；如果因气血极度虚弱，不省人事，用清魂散，只用芎归汤及大补气血的药剂。凡是可以生产的，可用醋、漆器熏，或者用半夏末，冷水和丸，纳入鼻孔中，都没有前面的病患。丹溪先生说：血晕因为气血俱虚，痰火上泛，宜用二陈汤导痰，或者加减朱砂安神丸，用麦门冬汤送下也可以。大凡产后口眼歪斜等证，应当以大补气血为主，兼治痰。如果脾胃虚弱不能固摄的，用六君子汤，到五个月时，应当服安胎饮，到八九个月时，再加加大腹皮、黄杨脑，像临产时，更宜服用保生无忧散（保生无忧散，见前面临月束胎方上），自然没有前面的病患。
家人妇产后，小腹疼痛，忽然牙关紧急，灌服失笑散，很久之后生下，又用四物汤加炮姜、白术、陈皮而痊愈。
一位产妇因生产饮酒（产妇不宜饮酒），恶露非常多，患血晕，口出酒气，这是血得酒热而妄行，因虚而晕。用佛手散加干葛二钱，一剂而痊愈。酒性剽悍，怀孕月份及产后不宜饮，恐怕导致前面的病症。产室人多喧嚷气热，也会导致此证。
奉化陆严治疗新昌徐氏妇的病，产后暴死，只有胸膈微热。陆严诊察说：这是血闷，用红花数十斤，用大锅煮，等汤沸，用木桶盛装。让病人睡在上面熏蒸，汤气微了，再添加，过了一会儿，妇人手指动，第二天就苏醒了。这与许胤宗治疗王太后的意思相同。
仲景说：产妇郁冒，脉象微弱，呕吐不能进食，大便反而坚硬，只有头部出汗。之所以这样，是因为血虚而厥逆，厥逆必然导致郁冒，郁冒患者想要解除症状，必须大汗出，因为血虚下厥，孤阳上出，所以头汗出。所以产妇喜欢出汗的，是因为亡阴血虚，阳气独盛，所以应当汗出，阴阳才能恢复。所以大便坚，呕吐不能食，用小柴胡汤主治，病解能食。七八天又发热的，这是胃实，大承气汤主治。
现在按语：郁冒，就是晕。看这个，那么产后血晕，有汗、下、和解三种方法，应当分辨表里虚实，精细辨别。
清魂散：产后血晕，气血突然虚弱，未能安静，血随气上，迷乱心神，所以眼前生花，极严重的，使人闷绝，不知人事，牙关紧闭，神志昏迷，气息冷，宜先取干漆，或漆器烧烟，从鼻子熏入，频繁放置在醋炭房内，然后进此药即醒。
泽兰叶 人参（各二钱半） 川芎（半两） 荆芥穗（一两） 甘草（二钱）
以上为细末，每次服二钱，用温酒热汤各半盏，或者加入童子便调急灌之，咽下，眼睛即睁开，气定即醒。
芎归汤：治疗产后失血过多，昏晕不醒。
以上切碎，每次服四钱，水煎热服，不拘时间。如果腹中刺痛，加酒炒白芍药，严重的加桂心。口干烦渴，加乌梅、麦门冬。发寒热，加干姜、白芍药。水停心下，微有呕逆，加茯苓、生姜。虚烦不得眠，加人参、竹叶。
以上锉碎，水煎三五沸，温服，如果觉得烦热，去掉当归，（当归辛温，烦热者恐怕不适合，所以去掉）加入童子便半盏，服用。
以上是治疗去血过多，昏晕的疾病。
松烟墨或京墨，不拘多少，用炭火烧红，用米醋淬之，再淬，如此七次，研极细，刚生产完即用一二钱，用童子小便调下，淡醋汤温酒也可以。（酒不如醋，醋不如童便）
五灵脂半生半炒为末，每次服二钱，温酒调灌，入喉即愈。不愈再加蒲黄炒等分，名为失笑散。一方加荆芥等分，童便调下。
夺命散：治疗产后血晕，血入心经，言语颠倒，健忘失志，以及产后百病。
以上为末，刚产下便用童便与细酒各半盏，煎一二沸，调下二钱，良久再服。其恶血自行下行，不再上冲，或者只用白汤调下。
四味散：治疗产后一切诸疾，刚分娩，一服尤其好。
以上为细末，每次服二钱，用童子小便一盏，煎六分，通口服。如果心膈寒，倍加当归。气闷喘急，倍加玄胡索。恶露不快，倍加血竭。心腹撮痛，倍加没药。
黑神散：治疗产后恶露不尽，或胎衣不下，血气攻冲，心腹痞满，或脐腹坚胀撮痛，以及血晕神昏，眼黑口噤，产后瘀血诸疾。
当归 芍药 熟地黄 干姜（炮） 桂心 蒲黄 甘草（炙，各四两） 黑豆（炒去皮，半升）
以上为细末，每次服二钱，酒童便各半盏，同煎调服。楼氏说：黑神散，寒多及秋冬者适宜，如果性急形瘦及夏月宜审慎。
红花散：治疗产后血昏、血晕、血崩，以及月事不匀，远年干血气。
干荷叶（干荷叶善破血） 牡丹皮 川归 红花 蒲黄（炒，各等分）
以上为细末，每次服半两，酒煎和渣温服。如果胎衣不下，榆白皮汤调半两，立效。
鹿角散：治疗产后血晕，这是虚火载血，渐渐晕将上来。用鹿角烧灰出火毒，研极细，用好酒、童便调灌下，一呷即醒，此物行血。（补方也，尤妙在服法）
One prescription: Grind Trogopterus Dung (Wulingzhi, 五灵脂) into a fine powder, mix with warm wine, and take two qian.
One prescription: Boil Wheat (Xiaomai, 小麦) and Adzuki Bean (Xiaodou, 小豆) to make a thick decoction; drink it, and the retained placenta will be expelled immediately.
One prescription: Burn Spicewood Thorn (Zaogelaci, 皂角刺) to ash, grind into powder, mix with warm wine, and take one qian.
One prescription: Burn Snake Slough (Shetui, 蛇蜕) into a fine powder, take with wine, two qian.
One prescription: Take one he of Black Soybean (Heidou, 黑豆), stir-fry until cooked, add one zhan of vinegar (Ku Jiu, 苦酒), boil for three to five boils, remove the beans, divide into three doses, can also be boiled in wine.
One prescription: Take one cun of yellow earth from the stove, grind finely, mix evenly with vinegar, apply to the umbilicus, then decoct and drink San Gan Cao Tang (Licorice Decoction, 甘草汤) three to four he; the placenta will be expelled.
One prescription: Take three cun of Ink (Mo, 墨), grind into powder, take with wine.
One prescription: Take one sheng of Fresh Rehmannia Root Juice (Sheng Dihuang Zhi, 生地黄汁), mix with three he of vinegar (Ku Jiu, 苦酒), warm and drink.
One prescription: Take a pinch of soot from the stove chimney (about three fingers' width), mix with water and vinegar, take orally, the placenta will be expelled immediately.
One prescription: Take one egg, mix with one he of vinegar (Ku Jiu, 苦酒), and drink.
One prescription: If male, swallow seven Adzuki Beans (Xiaodou, 小豆); if female, swallow fourteen Adzuki Beans; the placenta will be expelled.
One prescription: Boil the water used to soak Ramie Root (Zhushui, 浸苎水) strongly, drink three bowls, the placenta will fall immediately.
One prescription: Take the shoe sole worn by the mother, heat it by roasting, and moxa/iron the upper and lower abdomen fourteen times.
One prescription: Take the first water used to wash the newborn, drink one zhan, do not let the mother know.
One prescription: Take one Trichosanthes Fruit (Gualou Shi, 栝蒌实), extract the seeds, grind finely, mix with half a zhan of wine and half a zhan of Child's Urine (Tong Bian, 童便), decoct to seven parts, remove dregs, take warm. (If fruit is unavailable, root is acceptable.)
One prescription: Take one liang of Safflower Hong Hua (Honghua, 红花), decoct in wine to make a thick juice, take.
One prescription: Shave Deer Horn (Lujiao, 鹿角) into shavings, grind finely to three fen, mix with Scallion White Decoction (Congbai Tang, 葱白汤) and take.
One prescription: Whenever delivery is imminent, first remove the clothes usually worn and cover the stove opening; the placenta will descend naturally, and delivery will be easier.
One prescription: Take the husband's single garment and cover the well mouth; the placenta will be expelled immediately.
(Attached: Jue Ni Syndrome)
Da Quan states: Postpartum blood syncope (Xue Yun, 血晕) occurs due to failed blood flowing into the Liver Meridian, causing blacking out of eyes and dizziness, inability to sit or stand, and even coma and unconsciousness. This is called blood syncope. Mixing Hei Shen San (Black Divine Powder, 黑神散) with fine wine is best. Treating it as An Feng (Dark Wind) or Zhong Feng (Wind Stroke) is a mistake. When blood-heat rises counterflow due to deficiency and attacks the Heart, causing coma and unconsciousness, and Qi closure approaching extinction, drinking Child's Urine (Tong Bian, 童便) is most excellent. However, there are three causes: fainting due to excessive mental or physical exertion; fainting due to excessive bleeding; and fainting due to insufficient bleeding. Although the symptoms of fainting are the same, the treatments differ, and careful examination is required. For fainting due to excessive bleeding, characterized by stupor and restlessness, use tonifying blood and clearing Heart medicines. For fainting due to insufficient bleeding, where lochia does not descend and rushes up to attack the Heart, causing fullness and urgency below the heart, coma, clenched jaw, and complete unconsciousness, use blood-breaking and blood-moving medicines. (This section lacks the treatment method for fainting caused by excessive mental/physical exertion; generally, the focus is on clearing the Heart, cooling blood, and tonifying, such as in the Bao Ming Ji Fang. Using Child's Urine or Ophiopogon (Maimen Dong, 麦门冬), Smoked Plum (Wumei, 乌梅) etc. is acceptable. Xue uses Bu Zhong Yi Qi Tang because it is due to labor; if due to mental exertion, Zhu Sha An Shen Wan is also excellent. Some doubt that Coptis (Huang Lian, 黄连) in the formula is unsuitable postpartum, which depends on the practitioner's judgment.) Ancient methods state: After delivery, prepare a weight stone, yellow stone, or hard charcoal, burn until red-hot, place in a vessel, and urgently pour vinegar over it near the bed; the vinegar vapor can eliminate blood syncope. Doing this occasionally within one month postpartum is beneficial.
Cui states: All fainting cases are due to deficiency-heat, surging blood and Qi, and emptiness in the abdomen. For those about to deliver, first apply strong vinegar to the mouth and nose, keep vinegar nearby for inhalation, and drink it slowly; this is the superior method. If feeling faint, wipe the face with vinegar; once recovered, drink vinegar, and give a little water to quench thirst. (Another version says give a little water to quench thirst.) Another method: Burn Dry Lacquer (Gan Qi, 干漆) to produce thick smoke and fumigate the mother's face to awaken her. (If dry lacquer is unavailable, burn an old lacquerware vessel to produce smoke, which is also excellent.) (Vinegar method consolidates spirit, water method clears heat, burning dry lacquer disperses blood confusion in the upper body; all are excellent.)
Guo Jizhong asks: What is postpartum blood syncope? Answer: Postpartum sudden deficiency of Qi and Blood, failure to settle, blood follows Qi upward, confusing the Heart Spirit, causing visual disturbances. In extreme cases, it causes suffocation, unconsciousness, clenched jaw, coma, and cold breath. Physicians who do not recognize this call it An Feng; treating it as such makes recovery difficult. Simply administering Qing Hun San (Clear Soul Powder, 清魂散) will restore consciousness.
Xue states: Postparture depletion of Yuan Qi, lochia attacking upward due to deficiency, causing blurred vision and dizziness, or chest fullness, coma, and clenched jaw, or phlegm obstruction, should be urgently treated with Shi Xiao San (Pain-Stopping Powder, 失笑散). If fainting due to excessive bleeding, or coma and restlessness, use a large dose of Xiong Gui Tang (Cyathula and Angelica Decoction, 芎归汤) to tonify, or Yun Tai Zi San, or Child's Urine. Add Er Chen Tang (Two-Cured Decoction, 二陈汤) if there is phlegm. If caused by mental/physical labor, use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction, 补中益气汤) with Cyperus (Xiang Fu, 香附). If due to extreme Qi and Blood deficiency leading to unconsciousness, use Qing Hun San, or only Xiong Gui Tang and other major Qi and Blood tonics. For any delivery, fumigation with vinegar or lacquerware, or inserting pills made of Pinellia (Ban Xia, 半夏) powder mixed with cold water into the nostrils, prevents these ailments. Danxi states: Blood syncope is due to dual deficiency of Qi and Blood, with Phlegm-Fire rising. Use Er Chen Tang to guide out phlegm, or Modified Zhu Sha An Shen Wan (Cinnabar Calming the Spirit Pill, 朱砂安神丸), taken with Ophiopogon Decoction (Maimen Dong Tang, 麦门冬汤). Generally, postpartum facial paralysis involves major tonification of Qi and Blood, combined with phlegm treatment. If Spleen and Stomach deficiency fails to consolidate, use Liu Jun Zi Tang (Six-Gentlemen Decoction, 六君子汤). At five months, take An Tai Yin (Fetus-Calming Drink, 安胎饮). At eight to nine months, add Belamcanda Rhizome (Da Fu Pi, 大腹皮) and Buxus Seed (Huang Yang Nao, 黄杨脑). Near delivery, take Bao Sheng Wu You San (Protect Life and Ensure Safety Powder, 保生无忧散) (see previous Lin Yue Shu Tai Fang); prior ailments will not occur.
A family member's wife had postpartum lower abdominal pain, suddenly developed clenched jaw, was灌ed with Shi Xiao San, gave birth after a long time, and healed with Si Wu Tang (Four Substances Decoction, 四物汤) plus Pao Jiang (Roasted Ginger, 炮姜), Bai Zhu (Atractylodes Macrocephala, 白术), and Chen Pi (Tangerine Peel, 陈皮).
A parturient drank alcohol during childbirth (alcohol is not suitable for parturients), had excessive lochia, suffered from blood syncope, and exhaled alcohol odor. This is blood moving recklessly due to alcohol-heat, causing fainting due to deficiency. Use Fo Shou San (Buddha's Hand Powder, 佛手散) plus Ge Gen (Kudzu Root, 干葛) two qian; cured in one dose. Alcohol is fierce; it is unsuitable during pregnancy and postpartum, lest it cause the aforementioned syndrome. A crowded, noisy, and hot delivery room can also cause this syndrome.
Lu Yan from Fenghua treated Mrs. Xu from Xinchang who died suddenly postpartum, with only slight warmth in the chest and diaphragm. Lu diagnosed: This is blood stagnation/muffling. Use dozens of jin of Hong Hua (Safflower, 红花), boil in a large pot. When boiling, fill a wooden barrel. Place the patient on top to fumigate. When the vapor diminishes, replenish. After a while, the woman's fingers moved, and she revived the next day. This aligns with Xu Yinzong's treatment of Empress Dowager Wang.
Jingyue (Zhongjing) states: Postpartum Yu Mao (Depression and Vertigo), pulse is weak, vomiting, inability to eat, stool is hard, but only head sweats. The reason is Blood deficiency leading to Jue (Cold Extremities/Reversal), Jue leads to Mao (Vertigo/Clouding). To resolve Mao, profuse sweating must occur. Because Blood deficiency causes lower Jue, solitary Yang rises outward, hence head sweat. Therefore, postpartum women favor sweating; loss of Yin Blood leads to excess Yang, so sweating restores Yin-Yang balance. Due to hard stool and vomiting/inability to eat, Xiao Chai Hu Tang (Minor Bupleurum Decoction, 小柴胡汤) is primary; upon resolution, appetite returns. If fever recurs after seven to eight days, this is Stomach Excess, Da Cheng Qi Tang (Major Order the Qi Decoction, 大承气汤) is primary.
Current commentary: Yu Mao is synonymous with Yun (Syncope). From this, postpartum blood syncope has three methods: Sweating, Purging, and Harmonizing. One must distinguish between Exterior/Interior and Deficiency/Excess precisely.
Qing Hun San (Clear Soul Powder): Postpartum blood syncope, sudden Qi and Blood deficiency, unrest, blood follows Qi upward, confusing Heart Spirit, causing visual disturbances. In extreme cases, suffocation, unconsciousness, clenched jaw, coma, cold breath. First, fumigate with Dry Lacquer (Gan Qi, 干漆) or lacquerware smoke via the nose, frequently stay in a room with vinegar and hot coals, then administer this medicine to awaken.
Ze Lan Ye (Eupatorium Leaf), Ren Shen (Ginseng) (each 2.5 qian), Chuan Xiong (Ligusticum) (0.5 liang), Jing Jie Sui (Schizonepeta Spike) (1 liang), Gan Cao (Licorice) (2 qian).
Grind to fine powder. Take 2 qian per dose, mix with half a zhan of warm wine and half a zhan of hot water, or mix with Child's Urine and force-feed rapidly. Upon swallowing, eyes open, Qi settles, and consciousness returns.
Xiong Gui Tang (Cyathula and Angelica Decoction): Treats postpartum excessive blood loss, coma/unconsciousness.
Chuan Xiong, Dang Gui (Angelica Sinensis, 当归) (remove radicle, wash in wine, dry, equal parts).
Chop, take 4 qian per dose, decoct in water, take warm, anytime. If stabbing pain in abdomen, add wine-fried Bai Shao (White Peony Root, 白芍药); severe cases add Gui Xin (Cinnamon Heart, 桂心). If dry mouth and irritability/thirst, add Wu Mei (Smoked Plum, 乌梅), Mai Men Dong (Ophiopogon, 麦门冬). If chills and fever, add Gan Jiang (Dried Ginger, 干姜), Bai Shao. If fluid retention below heart with slight nausea, add Fu Ling (Poria, 茯苓), Sheng Jiang (Fresh Ginger, 生姜). If deficiency-irritability and insomnia, add Ren Shen, Zhu Ye (Bamboo Leaf, 竹叶).
Bao Ming Ji Fang: Treats critical postpartum blood syncope due to excessive bleeding and Blood deficiency; tonify.
Dang Gui (Stir-fried), Chi Shao Yao (Red Peony Root, 赤芍药) (stir-fried, each 1.5 qian), Sheng Di Huang Zhi (Fresh Rehmannia Juice, 生地黄汁) (one large zhan).
Cut, decoct in water for three to five boils, take warm. If feeling irritability/heat, remove Dang Gui (Dang Gui is acrid-warm, unsuitable for heat/irritability), add half a zhan of Child's Urine, take.
The above treat diseases of fainting due to excessive blood loss.
Cu Mo (Vinegar-Quenched Ink): Take immediately after birth to prevent fainting.
Song Yan Mo (Pine Soot Ink) or Jing Mo (Capital Ink), amount unspecified, burn red with charcoal, quench in Rice Vinegar (Mi Cu, 米醋), repeat quenching seven times, grind extremely fine. Immediately after birth, take 1-2 qian, mix with Child's Urine. Light vinegar soup or warm wine is also acceptable. (Wine is inferior to vinegar, vinegar is inferior to Child's Urine).
Du Xing San (Single Traveler Powder): Treats postpartum blood syncope, coma/unconsciousness, rushing to heart causing suffocation.
Wu Ling Zhi (Trogopterus Dung, 五灵脂) half raw half stir-fried, grind to powder. Take 2 qian per dose, mix with warm wine and force-feed. Cures upon entering throat. If not cured, add equal parts of stir-fried Pu Huang (Lygodium Spore, 蒲黄), named Shi Xiao San (Pain-Stopping Powder, 失笑散). One prescription adds equal parts Jing Jie, mix with Child's Urine.
Duo Ming San (Life-Seizing Powder): Treats postpartum blood syncope, blood entering Heart Meridian, incoherent speech, forgetfulness, loss of will, and hundred diseases postpartum.
Xue Jie (Dragon's Blood, 血竭), Mo Yao (Myrrh, 没药) (equal parts).
Grind to powder. Immediately after birth, mix half a zhan of Child's Urine and half a zhan of fine wine, boil for one or two boils, mix and take 2 qian. Wait a while, then take again. The failed blood descends naturally, no longer rushing upward. Or simply mix with plain water.
Si Wei San (Four-Ingredient Powder): Treats all postpartum diseases, especially effective if taken immediately after delivery.
Dang Gui, Yan Hu Suo (Corydalis, 玄胡索), Xue Jie, Mo Yao (equal parts).
Grind to fine powder. Take 2 qian per dose, decoct one zhan of Child's Urine to six parts, take orally. If Cold in Heart/Diaphragm, double Dang Gui. If Qi oppression and panting, double Yan Hu Suo. If lochia is slow, double Xue Jie. If cramping pain in Heart/Abdomen, double Mo Yao.
Hei Shen San (Black Divine Powder): Treats incomplete lochia expulsion, retained placenta, Qi/Blood attacking upward, chest/abdominal fullness, or firm/swollen/cramping pain in navel/abdomen, as well as blood syncoma with coma, blacking out, clenched jaw, and various postpartum blood stasis diseases.
Dang Gui, Shao Yao (Peony), Shu Di Huang (Prepared Rehmannia, 熟地黄), Gan Jiang (Roasted Dried Ginger, 干姜), Gui Xin, Pu Huang, Gan Cao (Roasted, each 4 liang), Hei Dou (Stir-fried, peeled, half sheng).
Grind to fine powder. Take 2 qian per dose, mix with half a zhan of wine and half a zhan of Child's Urine, decoct together and take. Lou states: Hei Shen San is suitable for Cold patterns and Autumn/Winter seasons. For impatient, thin constitutions and Summer months, use with caution.
Hong Hua San (Safflower Powder): Treats postpartum blood clouding, blood syncope, blood flooding, irregular menstruation, and old dry blood Qi.
Gan He Ye (Dried Lotus Leaf, 干荷叶 - good at breaking blood), Mu Dan Pi (Moutan Cortex, 牡丹皮), Chuan Gui (Angelica), Hong Hua, Pu Huang (Stir-fried, equal parts).
Grind to fine powder. Take half liang per dose, decoct in wine with dregs, take warm. If retained placenta, mix half liang with Yu Bai Pi (Mulberry Root Bark, 榆白皮) soup; immediate effect.
Lu Jiao San (Deer Horn Powder): Treats postpartum blood syncope, caused by deficiency-fire carrying blood upward gradually. Burn Deer Horn (Lu Jiao, 鹿角) to ash to remove fire toxicity, grind extremely fine. Mix with good wine and Child's Urine, force-feed. One sip awakens. This herb moves blood. (Tonifying formula, excellence lies in administration method).
Yu Jin San (Curcuma Powder): Treats postpartum blood rushing to heart causing death, and expels fetus.
Yu Jin (Curcuma Longa, 郁金) burned to retain nature, grind to powder. Take 2 qian, mix with strong vinegar one he, force-feed; immediate revival.