产后治法，前人颇多，非如温病混入伤寒论
中，毫无尺度者也。奈前人亦不无间有偏见，且散见于诸书之中，今人读书不能搜求拣择，以致因陋
就简，相习成风。兹特指出路头，学人随其所指而进步焉，当不岐于路矣。本论不及备录，古法之阙
略者补之，偏胜者论之，流俗之坏乱者正之，治验之可者表之。
产后惊风之说，由来已久，方中行先生驳之最详，兹不复议。《金匮》谓新产妇人有三病∶一者病
痉，二者病郁冒，三者大便难。新产血虚，多汗出，喜中风，故令人病痉；亡血复汗，故令郁冒，亡津液
胃燥，故大便难。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。大便坚，呕不能食，小柴胡汤主之。病解能食，七、八日复发热者，此为胃
实，大承气汤主之。按此论乃产后大势之全体也，而方则为汗出中风一偏之证而设。故沈目南谓仲
景本意，发明产后气血虽虚，然有实证，即当治实，不可顾虑其虚，反致病剧也。
按产后亦有不因中风，而本脏自病郁冒、痉厥、大便难三大证者。盖血虚则厥，阳孤则冒，液
短则大便难。冒者汗者，脉多洪大而芤；痉者厥者，脉则弦数，叶氏谓之肝风内动，余每用三甲复
脉，大小定风珠及专翕大生膏而愈（方法注论悉载下焦篇），浅深次第，临时斟酌。
产后病的治疗法则，前人论述很多，不像温病被混入《伤寒论》中那样毫无章法。然而前人的观点也不免偶有偏见，且散见于各种书籍之中，现代人读书不能广泛搜集、仔细甄别，导致因循守旧、图省事，形成风气。现在特别指出正确的方向，学习者跟随所指的方向进步，就不会走错路了。本论未能全部收录，对古法中缺失的内容进行补充，对偏颇之处进行论述，纠正世俗混乱的错误，表彰有效的治疗经验。
关于产后惊风的说法，由来已久，方中行先生驳斥得最为详尽，这里不再赘述。《金匮要略》说新产妇人有三种病：一种是痉病（以项背强直、角弓反张为特征的病证），一种是郁冒（头晕目眩、意识模糊的病证），一种是大便难。新产之后血虚，多汗出，容易感受风邪，所以使人患痉病；失血后又出汗，所以导致郁冒；津液枯竭、胃中干燥，所以大便困难。产妇出现郁冒，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，是因为血虚导致气逆上厥，气逆上厥必然导致头昏目眩，郁冒患者想要缓解，必须全身大汗出。因为血虚导致下部阳气厥逆，孤阳上浮外越，所以只有头部出汗。所以说产妇喜欢出汗的，是因为阴血亡失、血虚，阳气独盛，所以应当出汗，阴阳才能恢复平衡。大便坚硬，呕吐不能进食，用小柴胡汤（和解少阳的代表方剂）主治。病解后能进食，七八天后又发热的，这是胃中有实热，用大承气汤（峻下热结的代表方剂）主治。按此论述涵盖了产后疾病的大势全貌，而方剂则是针对汗出中风这一偏侧证候而设。所以沈目南认为张仲景的本意是阐明产后虽然气血虚弱，但如果有实证，就应当治疗实证，不可顾虑其虚，反而导致病情加重。
按产后也有不因中风，而是本脏自病出现的郁冒、痉厥、大便难这三大证候的情况。大概是因为血虚则气逆上厥，阳气孤立无援则头昏目眩，津液短少则大便困难。出现郁冒和汗出的，脉象多洪大而中空（芤脉）；出现痉病和厥逆的，脉象则弦数，叶天士称之为肝风内动，我常用三甲复脉汤（滋阴熄风的方剂）、大小定风珠（滋阴潜阳熄风的方剂）以及专翕大生膏（滋补精血的方剂）治愈（具体方法注释详见下焦篇），根据病情的深浅次第，临时斟酌处理。
The treatment principles for postpartum diseases have been discussed extensively by predecessors, unlike warm diseases which are mixed into the *Treatise on Cold Damage* (*Shanghan Lun*) without clear standards. However, predecessors' views also occasionally contained biases, and they were scattered among various books. Modern readers fail to collect and select carefully from their studies, resulting in adhering to outdated practices and taking shortcuts, which has become a custom. Here, I specifically point out the correct path; learners who follow this guidance will progress and not deviate from the right way. This treatise does not record everything; it supplements missing ancient methods, discusses biased ones, rectifies chaotic folk practices, and highlights effective clinical experiences.
The theory of "postpartum convulsions" (Jingfeng) has existed for a long time. Mr. Fang Zhongxing refuted it most thoroughly, so I will not discuss it further here. The *Jin Gui Yao Lue* states that new mothers suffer from three diseases: one is Jing disease (Spasm), characterized by stiffness of the neck and back and opisthotonos; two is Yumao (Depressed Dizziness/Vertigo), characterized by dizziness and blurred consciousness; and three is difficulty in defecation. After childbirth, blood deficiency leads to excessive sweating and susceptibility to wind pathogens, thus causing Spasm; loss of blood followed by sweating leads to Depressed Dizziness; depletion of body fluids and dryness of the stomach lead to difficulty in defecation. When a postpartum woman suffers from Depressed Dizziness, her pulse is weak and faint, she vomits and cannot eat, her stool becomes hard, and only her head sweats. The reason for this is that blood deficiency causes Qi rebellion upward (Jue), and Qi rebellion necessarily causes dizziness. For a patient with Depressed Dizziness to recover, there must be profuse sweating throughout the body. Because blood deficiency causes Yin collapse at the lower jiao, solitary Yang floats upward and outward, hence only the head sweats. Therefore, it is said that postpartum women tend to sweat because Yin blood is depleted and deficient, while Yang qi is relatively excessive; thus, sweating should occur to restore the balance of Yin and Yang. If the stool is hard, vomiting prevents eating, Xiao Chai Hu Tang (Minor Bupleurum Decoction) is the primary formula. If the illness resolves and appetite returns, but fever recurs after seven or eight days, this indicates excess heat in the stomach, and Da Cheng Qi Tang (Major Order the Qi Decoction) is the primary formula. According to this discussion, the general trend of postpartum diseases is comprehensively covered, while the formulas mentioned are designed for the specific syndrome of wind-strike following sweating. Therefore, Shen Munan stated that Zhang Zhongjing's original intent was to clarify that although postpartum Qi and Blood are deficient, if excess syndromes exist, they should be treated as excess; one should not hesitate due to deficiency, lest the condition worsen.
However, there are cases where postpartum women do not contract wind but suffer from the three major syndromes of Depressed Dizziness, Spasm/Jue, and difficulty in defecation due to internal organ dysfunction. Generally, blood deficiency leads to Qi rebellion (Jue), isolated Yang leads to dizziness (Yumao), and shortness of body fluids leads to difficulty in defecation. In cases of Depressed Dizziness and sweating, the pulse is often surging and hollow (Kou pulse); in cases of Spasm and Jue, the pulse is wiry and rapid. Ye Tianshi referred to this as "internal stirring of Liver Wind" (Ganfeng Neidong). I frequently cure these conditions using Sanjia Fumai Tang (Three-Shells Pulse-Restoring Decoction), Da Ding Feng Zhu (Great Wind-Calming Pearl) and Xiao Ding Feng Zhu (Small Wind-Calming Pearl), as well as Zhuanxi Dasheng Gao (Special Absorption Life-Nourishing Paste) (specific methods and notes are recorded in the Lower Jiao Chapter). The depth and sequence of treatment are adjusted according to the situation.