张子和治一妇，产后第六日，血迷，用凉膈散二两，四物汤三两，朴硝一两，都作一服，大下紫黑水，其
人至今肥健。（即末句推之，则其人素常肥健可知，故可用如此药。）
柴屿青治侍御李符千大令媳，半产，大汗发晕，昏不知人。（即血迷也。）他医立方，俱不敢服，符千乃徒步邀
视，先令其以韭叶斤许捣烂，用好醋炒之，乘热熏鼻。少苏，用清魂散，加童便黄酒服之，调理旬日而安。
薛立斋治一妇，因产后饮酒，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
加煨干葛二钱，二剂而痊。酒性 悍，入月及产后不宜饮，恐致前症。产室人众，气热喧嚷，亦致此症。（雄按∶
此证宜清血导下，芎、归宜慎，葛根虽解酒，亦嫌升散，一剂而痊，殊难尽信。）
梅师治产后余血不尽，上冲，心胸闷，腹痛，以藕汁二升饮之，愈。
薛立斋治一产妇，患恶露上攻，昏愦口噤，冷汗不止，手足厥逆，用六君子加附子一钱，以回其阳，二剂
顿苏。又以十全大补汤，养其气血而安。
一产妇患前症，手不敢近腹，用失笑散一服，下瘀血而愈。次日，腹痛下利，用十全大补而安。
一产妇患前症，用大黄等药，其血虽下，复患头痛，发热恶寒。次日昏愦，自以两手坚护其腹，不得诊脉。
视其面色青白，此脾虚寒而痛也。用六君子加姜、桂而痛止，又用八珍加姜、桂，调理而安。
王执中曰∶产后血晕，寒热往来，或血抢心，恶疾也。予阅《食物本草》，见有用鹿角烧为末，酒调服，
日夜数服验者。偶家有妇人患此，令服此，神效。因教他人妇服，皆验。但以产后未可饮酒，以童子小便调服
耳。忌服利药。（《资生经》。）
沈尧封曰∶产后去血过多，眩晕昏冒者，宜重用阿胶，水化略加童便服之。血去不多者，宜夺命散，没药
去油二钱，血竭一钱，共研末，分两服，糖酒调下一钱。某姓妇，产后发晕，两日不醒，产后恶露甚少，晕时
恶露已断，其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，大约即是此方也。
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，今亦不断。脉大，左
关弦硬，用酒化阿胶一两，冲童便服。是夜晕少减，而头汗少出，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。惟通身汗出，此气血已通，而现虚象也。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。
雄按∶恶露虽少，而胸腹无苦者，不可乱投破瘀之药。今秋，周鹤亭室，新产眩晕，自汗懒言，目不能
开，脉虚弦浮大，询其恶露虽无，而脘腹无患，投以牡蛎、石英、鳖甲、琥珀、丹参、甘草、红枣、小麦
之剂，复杯即减，数日霍然。此盖血虚有素，即娩则荣阴下夺，阳气不潜。设泥新产瘀冲之常例，而不细
参脉证，则杀人之事矣。
张子和治疗一位妇人，在产后第六天出现血迷（因瘀血阻滞心神导致的昏迷），给予凉膈散二两、四物汤三两、朴硝一两，混合后作为一剂服用，患者排出大量紫黑色的瘀血水，此人至今身体肥壮健康。（从文末推断，可知该人平时体质就肥壮健康，所以可以使用如此峻猛的药物。）
柴屿青治疗侍御李符千大令的儿媳，发生半产（小产），大汗淋漓并头晕，昏厥不省人事。（这就是血迷。）其他医生开的方子，家属都不敢服用，李符千于是徒步邀请柴屿青诊治。先让人取一斤韭菜叶捣烂，用好醋炒热，趁热气熏蒸鼻孔。病人稍苏醒后，用清魂散，加入童便和黄酒送服，调理十天后痊愈。
薛立斋治疗一位妇人，因为产后饮酒，恶露非常多，患血晕，口中呼出酒气，这是血液遇到酒的热性而妄行，因虚而致晕。用佛手散加煨干葛二钱，服用两剂后痊愈。酒性猛烈，怀孕月份及产后不宜饮用，恐怕导致上述病症。产房内人员众多，空气闷热喧闹，也会导致此症。（吴雄按：此证应当清热凉血导下，川芎、当归宜谨慎使用，葛根虽然能解酒毒，但也嫌其升散，服用一剂即愈，实在难以完全相信。）
梅师治疗产后余血未尽，上冲心胸，心胸闷痛，腹痛，给患者喝两升藕汁，病愈。
薛立斋治疗一位产妇，患恶露上攻，神志昏愦，牙关紧闭，冷汗不止，手足冰冷，用六君子汤加附子一钱，以回阳救逆，服用两剂后顿时苏醒。又用十全大补汤，调养气血而安。
另一位产妇患前述病症，手不敢靠近腹部，服用失笑散一剂，排出瘀血后痊愈。次日，腹痛且腹泻，用十全大补汤调理而安。
又一位产妇患前述病症，使用大黄等药物，虽然瘀血排下，但随后又患头痛，发热恶寒。次日昏愦，自己用双手紧紧护住腹部，无法诊脉。观察其面色青白，这是脾虚寒所致疼痛。用六君子汤加生姜、肉桂，疼痛停止，又用八珍汤加生姜、肉桂，调理后安。
王执中说：产后血晕，寒热往来，或血抢心（瘀血上冲心胸），是恶疾。我阅读《食物本草》，见有用鹿角烧成末，用酒调服，每日数次，验证有效的案例。偶然家中有妇人患此病，让她服用此药，效果神奇。因此教他人之妻服用，都有效。但因产后不宜饮酒，故改用童子小便调服罢了。忌服泻利药物。（出自《资生经》。）
沈尧封说：产后失血过多，眩晕昏冒者，宜重用阿胶，用水化开略加童便服用。失血不多者，宜用夺命散，没药去油二钱，血竭一钱，共研为末，分两次服用，每次一钱，用糖酒调下。某姓妇人，产后发晕，两天不醒，产后恶露很少，晕倒时恶露已断绝，其丈夫向邻居家讨来琥珀散一服，约重二钱左右，用酒调灌下即醒。那药的颜色和香气，都像没药，大约就是此方。
吕姓妇人分娩次日，患血晕，刚清醒一刻，又闭目头倾，一天发作数十次，其恶露在分娩时并不少，现在也未断绝。脉象大，左关部弦硬，用酒化开阿胶一两，冲入童便服用。当晚晕眩稍减，但头部出汗少许，腹痛且有形结块，寒战如疟疾，战栗后发热更甚，投予没药血竭夺命散二钱，酒调服，寒热、腹痛、发晕顿时消除。只有全身出汗，这是气血已通，而显现虚象。用黄芪五钱，炒当归身二钱，甘草一钱，炒枣仁三钱，炒小麦五钱，大枣三个，煎服，汗止而安。
吴雄按：恶露虽然少，但胸腹没有痛苦者，不可乱投破瘀之药。今年秋天，周鹤亭的妻子，新产眩晕，自汗懒言，眼睛不能睁开，脉象虚弦浮大，询问她恶露虽无，但脘腹无病痛，投以牡蛎、石英、鳖甲、琥珀、丹参、甘草、红枣、小麦的药剂，喝完一杯即减轻，数日霍然痊愈。这大概是素体血虚，分娩则营阴下夺，阳气不潜。如果拘泥于新产必有瘀血上冲的常例，而不细细参详脉证，那就是杀人的事情了。
Zi Hezi treated a woman who, on the sixth day postpartum, suffered from Blood Confusion (coma caused by blood stasis obstructing the mind). He administered Liangge San (Cooling the Chest Powder) 2 liang, Siwu Tang (Four Substances Decoction) 3 liang, and Puxiao (Mirabilite) 1 liang, mixed as a single dose. The patient passed large amounts of dark purple-black bloody fluid, and remains robust and healthy to this day. (Inferring from the end note, it is known that she was naturally robust, hence such potent medicine could be used.)
Chai Yuqing treated the daughter-in-law of Official Li Fukian, who had suffered a miscarriage (partial abortion), with profuse sweating, dizziness, and coma (this is Blood Confusion). Other physicians' prescriptions were deemed too risky to take. Li walked to invite Chai for consultation. First, he instructed someone to pound one jin of leek leaves into a paste, stir-fry them with good vinegar, and use the hot fumes to fumigate the nose. After slight recovery, Qinghun San (Clear the Soul Powder) was given, taken with child's urine and yellow wine. She recovered after ten days of conditioning.
Xue Lizhai treated a woman who, due to drinking alcohol postpartum, experienced excessive lochia and suffered from Blood Fainting. Her breath smelled of alcohol; this indicated that the heat from alcohol caused the blood to move recklessly, leading to faintness due to deficiency. He prescribed Foshou San (Buddha's Hand Powder) with two qian of baked Kudzu Root (Gegen), and she recovered after two doses. Alcohol has a fierce nature; it should not be consumed during pregnancy or postpartum, lest it cause such symptoms. A crowded, hot, and noisy delivery room can also induce this condition. (Wu Xiong notes: This condition requires clearing blood and guiding out stasis; Chuanxiong and Danggui should be used cautiously. Although Ge Gen resolves alcohol toxicity, its ascending and dispersing nature is questionable. Claiming recovery in one dose is hard to fully believe.)
Master Mei treated residual blood remaining postpartum that rushed upward, causing chest oppression, abdominal pain. He gave her two sheng of lotus root juice, which cured her.
Xue Lizhai treated a parturient suffering from lochia attacking upward, resulting in stupor, locked jaw, incessant cold sweat, and cold extremities. He used Liujunzi Tang (Six Gentlemen Decoction) with one qian of Prepared Aconite Root (Fuzi) to restore Yang. She revived instantly after two doses. Then, Shiquan Dabu Tang (Ten Significant Tonifying Decoction) was used to nourish Qi and Blood, ensuring stability.
Another parturient with similar symptoms dared not touch her abdomen. One dose of Shixiao San (Pain-Dispersing Powder) expelled blood stasis, curing her. The next day, she had abdominal pain and diarrhea, which settled after treatment with Shiquan Dabu Tang.
Yet another parturient took Rhubarb (Dahuang) and other drugs. Although blood was discharged, she subsequently developed headache, fever, and aversion to cold. The next day, she fell into stupor, guarding her abdomen tightly with both hands, making pulse diagnosis impossible. Her complexion was greenish-white, indicating Spleen deficiency-cold causing pain. Liujunzi Tang with Ginger (Shengjiang) and Cinnamon Twig (Guizhi) stopped the pain. Bazen San (Eight Treasures Powder) with Ginger and Cinnamon Twig then conditioned her to stability.
Wang Zhizhong stated: Postpartum Blood Fainting, alternating chills and fever, or Blood Snatching Heart (blood rushing to the heart), are malignant diseases. I read *Shipin Bencao* (Compendium of Food Materials) and saw cases where deer horn powder mixed with wine, taken several times daily, proved effective. When a woman in my household suffered this, I had her take it with miraculous effect. I taught others to do the same, all verified. However, since alcohol is unsuitable postpartum, I advised using child's urine instead. Avoid purgative medicines. (From *Zisheng Jing*.)
Shen Yaofeng said: For postpartum excessive blood loss causing dizziness and fainting, heavy doses of Donkey-hide Gelatin (Ejiao) dissolved in water with a little child's urine are suitable. If blood loss is not significant, Duoming San (Life-Restoring Powder) is appropriate: De-oiled Myrrh (Moyao) 2 qian, Dragon's Blood (Xuexie) 1 qian, ground together, divided into two doses, taken with sugar-water and wine. A certain surnamed woman fainted postpartum and remained unconscious for two days. Lochia was scanty and ceased during the fainting spell. Her husband obtained Hupo San (Amber Powder) from neighbors, about 2 qian, mixed with wine and forced down, waking her immediately. The drug's color and aroma resembled Myrrh, likely being this formula.
A surnamed Lü woman suffered Blood Fainting the day after delivery. She woke briefly, then closed her eyes and tilted her head, relapsing dozens of times daily. Lochia was abundant at birth and continued. Her pulse was large, with a wiry and stiff left Guan position. One liang of Ejiao melted in wine, mixed with child's urine, was administered. That night, fainting decreased slightly, but head sweating occurred, and abdominal pain with a palpable mass appeared, followed by chills like malaria. After shaking, fever intensified. Duoming San with Myrrh and Dragon's Blood, 2 qian, mixed with wine, was given. Chills, fever, abdominal pain, and fainting vanished instantly. Only generalized sweating remained, indicating Qi and Blood circulation restored but revealing deficiency. Huangqi (Astragalus Root) 5 qian, fried Danggui Shen (Angelica Sinensis Root Heart) 2 qian, Gancao (Licorice Root) 1 qian, fried Suanzaoren (Ziziphus Seed) 3 qian, fried Xiaomai (Wheat Grain) 5 qian, and three Dazao (Jujube) were decocted and taken. Sweating stopped, and she stabilized.
Wu Xiong notes: Even if lochia is scanty, if there is no distress in the chest or abdomen, one must not indiscriminately administer blood-breaking herbs. This autumn, Mrs. Zhou Heting, newly delivered, suffered dizziness, spontaneous sweating, reluctance to speak, and inability to open her eyes. Her pulse was deficient, wiry, floating, and large. Inquiry revealed no lochia, yet no abdominal discomfort. Prescribing Ouli (Oyster Shell), Yingshi (Quartz), Biejia (Turtle Shell), Hupo (Amber), Danshen (Salvia Root), Gancao, Hongzao (Red Jujube), and Xiaomai reduced symptoms after one cup, and she recovered in days. This was likely inherent Blood deficiency; delivery drained Ying-Yin, leaving Yang unanchored. Adhering rigidly to the common rule of postpartum blood stasis rushing upward, without careful pulse-symptom analysis, would have been fatal.