产后血块，是孕成余血之所积也。夫妇人血旺气衰，二七而天癸至，三旬一见，以象月盈则亏，行之
有常则曰经。有孕则经水不行，其余血注于胞中以护胎元。一月名胎胚，二月名始膏，三月始成形而名
胎，方受母血之 庇。胎形尚小，虽食母血，而尚有余汁，并前两月之血，积于胞中，日久成块，至
产时当随儿下。或因产妇送儿、送胞，劳倦无力；或调护失宜，腹欠温暖；至血块日久不散，疼痛拒按，
并宜生化汤助血行血，外用热衣暖腹可也。慎勿轻服峻剂，至崩脱不救。
生化汤（见本卷生化汤论后。）
凡产后晕、厥二证，皆由气血并竭，苟非急补，何能挽其将绝之元神，无庸疑议者也。但晕
在临盆，证急犹甚于厥，用药不及，急救法救之。如其人微虚者，则
眼花头眩，或心下满闷，神昏口噤，不知人事，少顷即苏。或因亡血过多，以致虚火乘虚泛上，而神不
清，身无所主。其阴血暴亡，心神失养，心与胞络君相之火，得血则安，亡血则危。火上炽故令人昏冒，
火乘肺故瞑目不省人事，是阴血暴亡，不能镇抚也。经云∶病气不足，宜补不宜泻。瞑目合眼，病悉属
阴，暴去有形之血，则火上炽，均宜频灌生化汤。或从权急救生化汤二三帖，先补血分之亏，则块化血
旺，神清而晕止。大虚者，其证面白、眼闭、口开、手冷、多汗、神昏，六脉微细之甚，是气随血脱
而欲绝，当大剂人参方可回阳。恐势急而补阴不及，须以气药兼之，此阳生阴长之理也。从权急救加参
生化汤，或加参生化汤最效。如制药不及，速用独参汤两许，煎汤急救之，但得下咽即可望生，若少
迟延则无及矣。有人谓产后七日，方可用参，此愚昧讹传，不知始自何人，万不可信。但晕发顷刻，
而急救外治之法，又不可缓，速宜轻轻扶坐，勿令卧倒，或烧红炭沃之以醋，或烧旧漆器，令烟气透入口
鼻即苏。急捏人中，静以待之，元气渐复，不可乱动，致令神气散乱。或用菲菜一握，切碎，入有嘴
瓷瓶内，将醋煎滚，浇入瓶内，急盖瓶口，以瓶嘴向妇鼻孔，令气透入鼻中即苏。但凡大病大虚之人，
皆能作晕，产后之晕，因血去而
名之曰血晕，实非因血而致晕也。若偏信古方，认晕证为恶血抢心，而轻用苏木、牛膝、红花等类，以
及牡丹、夺命等方，或认为痰火，而用无补消痰之方，误之甚矣。俗治产妇，或因死胎，及胎衣恶血
上逆，搐呕昏晕，用小便乘热灌之，但得一口下咽即止。设遇胃气壮盛之妇，不畏臊气，获效者有之，
然童便非能止晕回元，盖取其下行旧路降火消瘀。考之方书内云，败血流入肝经，眼生黑花，头目昏晕，
不省人事。此血热乘虚逆上凑心，故昏迷不省，气闭欲绝也，服童便最好。此论但照管败血，全罔顾产
虚，且有气闭欲绝四字，岂童便可挽回元气欲绝乎？即有恶血上逆血滞等证，亦莫若生化汤温而行之，
去瘀止晕之妙也。予见江南产科，有用当归二钱，益母草一钱，人参二钱，红花六分，炮姜八分，煎热，
冲童便服之以治晕。此方兼得之义，庶几近之。如妇人有血晕之证者，不若于将产数日前，预前择服八
珍、归脾、十全等类调补气血。临产又用人参催生，补于未产未虚之前，产后无虚可乘，无晕可发矣。
至于厥证，在分娩之后，因产时用力过多，劳倦伤脾，孤脏不能注于四旁，故手足逆冷而发厥。经云∶
阳气衰于下，则为寒厥。厥气上行，满脉去形。盖逆气上满于经铬，则神气浮越，去身而散也。宜大
补回阳生化汤，连用二服，
俟气血旺而神复，厥证自止矣，又非偏补血分之可得而愈也。若服药而口渴，另用参麦散以代茶，助津以
救脏燥也。又有四肢逆冷泄痢，类伤寒阴证，不可用四逆汤，必生化汤倍参煎服，或加熟附子一片，
则可以止逆回阳，而见参归之功矣。若血块痛止而厥，滋荣益气汤最效。凡晕、厥，乃产后危急二证。
若新产块痛未除，又未可遽加 、术，故急加人参从权以救之。俟晕止厥回，再去参，以除块痛，此要诀也。
急救晕法 凡儿方生下，母即昏晕不醒者，此时即有药不能入口，迟则不救。其法∶
急以极软旧衣，紧闭产户，以知事妇女，用膝抵住，勿令下面气泄，又令一人一手挽住头发，一手扪住
鼻口，勿令上面气泄，俟稍转略有声息，方用热水接气，急服生化汤。
从权急救生化汤 治三等血晕，兼化瘀生新。
川芎（三钱） 当归（六钱，或八钱。酒洗） 干姜（四分，炙黑） 桃仁（十粒，去皮尖） 炙草（
五分） 荆芥穗
（四分，炒黑。汗多忌用）
枣二枚，水煎服。劳倦甚及血崩，或汗多形气脱而晕，加人参三钱，肉桂四分，急服一二帖，其效
如神。决不可疑参为补而缓之。痰火乘虚泛上而晕，加橘红四分；虚甚，亦加用人参八分。肥人，
加竹沥数匙，姜汁少许。
从权急救加参生化汤 治产后形色脱晕。人参（四钱，酒洗） 川芎（二钱） 当归（四钱，
酒洗） 干姜（四分，炙黑） 桃仁（十粒，去皮尖） 炙草（五分） 荆芥穗（四分，炒黑。汗多忌用）
枣二枚，水煎服。血块痛甚，加肉桂七分。渴，加去心麦冬一钱，五味子十粒。汗多加麻黄根一钱。
如无块痛，加蜜炙黄 一钱以止汗。伤面食，加炒神曲八分，炒麦芽五分。伤肉食，加山楂、砂仁各六分。
加参生化汤（附大补回阳生化汤。）
人参（二钱） 川芎（四钱） 当归（八钱，酒洗） 干姜（四分，炙黑） 炙草（五分） 桃仁
（十粒，去皮尖）
枣二枚，水煎服。此方产后诸危急证通用。一日夜须服三四帖，方能接将绝之气。如产后三日内，
块痛未除，俟元气稍复，已有生意，当去参，仍服生化原方。虚脱、厥逆、汗多，加人参三四钱。
脉与形俱脱将绝，必用此方频灌。厥而
兼汗，加去心麦冬一钱。汗多渴甚，加去心麦冬三钱。汗多痰喘，加竹沥、姜汁、去皮尖杏仁十粒。
汗多喘嗽声重，加桔梗、去皮尖杏仁各五分。无汗喘嗽气短，加制半夏一钱，去皮尖杏仁十粒，桔梗
五分。汗多身热气短，加人参。左尺脉弱，亦加人参。汗不止，三四剂后加蜜炙黄 一钱。一方，川芎、
当归减半，名大补回阳生化汤，治新产厥证。枣引，速煎二服即效。若厥证作渴，佐以生脉五味饮代
茶，以救津液，则渴减厥回。
参麦五味饮（去五味子，名参麦饮。又名生脉汤，又名生脉散。）
人参（二钱，一方三钱） 麦冬（二钱，去心） 五味子（七粒，捶碎）
煎汤作茶，时时饮之。煎汤，用银器或砂器为妙。
滋荣益气汤 治血块痛止而厥。
人参 当归（各三钱） 川芎 白术（土炒） 黄 （蜜炙。各一钱五分或一钱） 熟地（二
钱） 麦冬（八分或一钱，去心） 炙草（四分） 五味子（十粒） 川附子（五六分或一钱，制）
水煎服。汗多，加麻黄根、炒枣仁各一钱。大便难，加酒洗肉苁蓉一钱五分。
生化汤（见本卷生化汤论后。） 八珍汤（见上卷诸痛门。） 归脾汤（见上卷胞漏
小产门。） 十全大补汤（见上卷
胎不长养门。） 大补回阳生化汤（附本门加参生化汤下。）
产后血块，是怀孕后残留血液积聚而成的。因为妇女气血旺盛而气相对衰弱，十四岁天癸（促进生殖功能发育的物质）来潮，每三十天一次，象征月亮满则亏，运行有规律称为月经。怀孕后月经停止，剩余的血液注入胞宫以保护胎元。第一个月叫胎胚，第二个月叫始膏，第三个月开始成形才叫胎，此时才接受母血的庇护。胎儿形状还小，虽然摄取母血，但还有剩余汁液，加上前两个月的血液，积聚在胞宫中，日子久了结成血块，到分娩时应当随婴儿一起排出。如果因为产妇用力送儿、送胞，劳累疲倦而无力；或者调护不当，腹部不够温暖；导致血块日久不散，疼痛且拒按，都适宜用生化汤帮助行血活血，外用热衣服暖腹即可。千万不要轻易服用猛烈药物，以免导致大出血无法挽救。
凡是产后晕厥两种证候，都是由气血同时衰竭所致，如果不紧急进补，怎么能挽回即将断绝的元神，这是毫无疑问的。但是晕证发生在临盆时，病情比厥证更急，用药来不及，要用急救法救治。如果患者体质轻微虚弱，则出现眼花头晕，或者心下胀满闷塞，神志昏迷牙关紧闭，不知人事，过一会儿就苏醒。或者因为失血过多，导致虚火乘虚上泛，而神志不清，身体失去主宰。阴血突然大量亡失，心神失去滋养，心和胞络中君火与相火，得到血液则安宁，亡血则危险。火上炽盛所以使人昏冒，火邪侵犯肺脏所以闭目不省人事，这是阴血突然亡失，不能镇抚的缘故。经书说：病气不足，宜补不宜泻。闭目合眼，病证都属于阴，突然失去有形的血液，则火上炽盛，都适宜频繁灌服生化汤。或者权宜之计急救服用生化汤二三帖，先补血分的亏损，则血块化解血液旺盛，神志清醒而晕止。极度虚弱的，其症状为面色白、眼睛闭、口张开、手脚冷、多汗、神志昏迷，六脉微弱细小到了极点，这是气随血脱而将要断绝，应当用大剂量人参才可以回阳。恐怕形势紧急而补阴来不及，必须用补气药兼治，这是阳生阴长的道理。权宜急救用加参生化汤，或者加参生化汤最见效。如果制药来不及，迅速用独参汤一两许，煎汤急救，只要喝下去就有希望生存，如果稍微迟延就来不及了。有人说产后七日，才可以用人参，这是愚昧的错误传言，不知道始于何人，万万不可信。但是晕证发作在顷刻之间，而急救外治的方法，又不可以迟缓，迅速应当轻轻扶坐，不要让她躺倒，或者烧红木炭浇上醋，或者烧旧的漆器，让烟气透入口鼻就苏醒。急忙捏人中穴，安静等待，元气逐渐恢复，不可乱动，致使神气散乱。或者用韭菜一把，切碎，放入有嘴的瓷瓶内，将醋煮沸，倒入瓶内，急忙盖住瓶口，将瓶嘴对着妇女鼻孔，让气体透入鼻中就苏醒。但凡大病大虚的人，都能发生晕厥，产后的晕厥，因为血液流失而得名血晕，实际上并不是因为血而导致晕厥。如果偏信古方，认定晕证是恶血抢心，而轻率使用苏木、牛膝、红花等类药物，以及牡丹、夺命等方剂，或者认为是痰火，而使用无补消痰的方剂，误人非常严重。世俗治疗产妇，或者因为死胎，以及胎衣恶血上逆，抽搐呕吐昏晕，用小便趁热灌之，只要得一口咽下就停止。如果遇到胃气壮盛的妇女，不畏惧臊气，获得疗效的有，然而童便（儿童尿液）并不是能止晕回元，大概是取其下行旧路降火消瘀。考察方书内说，败血流入肝经，眼生黑花，头目昏晕，不省人事。这是血热乘虚逆上凑心，所以昏迷不省，气闭欲绝，服用童便最好。这种论述只照管败血，完全不顾产后虚弱，而且有气闭欲绝四个字，难道童便可挽回元气欲绝吗？即使有恶血上逆血滞等证候，也不如生化汤温而行之，去瘀止晕的妙处。我见到江南产科，有用当归二钱，益母草一钱，人参二钱，红花六分，炮姜八分，煎热，冲童便服用来治晕。此方兼得之义，庶几接近正确。如果妇人有血晕的证候者，不如在分娩前几天，预先选择服用八珍、归脾、十全等大补气血的方剂调理。临产又用人参催生，补于未产未虚之前，产后没有虚可乘，没有晕可发了。至于厥证，在分娩之后，因为产时用力过多，劳累疲倦伤脾，孤脏不能注于四旁，所以手足逆冷而发厥。经书说：阳气衰于下，则为寒厥。厥气上行，满脉去形。大概逆气上满于经络，则神气浮越，离开身体而散乱。适宜大补回阳生化汤，连用两服，等到气血旺盛而神复，厥证自然停止，又不是单纯补血分可以痊愈的。如果服药而口渴，另用参麦散代替茶，助津液以救脏腑干燥。又有四肢逆冷泄痢，类似伤寒阴证，不可用四逆汤，必须生化汤倍用人参煎服，或者加熟附子一片，就可以止逆回阳，而见到参归的功效了。如果血块痛止而厥，滋荣益气汤最见效。凡是晕、厥，乃是产后危急的两个证候。如果新产血块痛未除，又不可以立刻加入三棱、莪术，所以急加人参权宜以救之。等到晕止厥回，再去参，以除块痛，这是要诀。
急救晕法 凡是婴儿刚生下，母亲立即昏晕不醒的，此时即有药也不能入口，迟则不救。其方法：急忙用极软的旧衣服，紧闭产户，由懂事的妇女，用膝盖抵住，不要让下面气泄，又令一人一手挽住头发，一手捂住鼻口，不要让上面气泄，等到稍转略有声息，才用热水接气，急忙服用生化汤。
从权急救生化汤 治三等血晕，兼化瘀生新。川芎（三钱） 当归（六钱，或八钱。酒洗） 干姜（四分，炙黑） 桃仁（十粒，去皮尖） 炙甘草（五分） 荆芥穗（四分，炒黑。汗多忌用） 枣二枚，水煎服。劳倦甚及血崩，或汗多形气脱而晕，加人参三钱，肉桂四分，急服一二帖，其效如神。决不可疑人参为补而缓之。痰火乘虚泛上而晕，加橘红四分；虚甚，亦加用人参八分。肥人，加竹沥数匙，姜汁少许。
从权急救加参生化汤 治产后形色脱晕。人参（四钱，酒洗） 川芎（二钱） 当归（四钱，酒洗） 干姜（四分，炙黑） 桃仁（十粒，去皮尖） 炙甘草（五分） 荆芥穗（四分，炒黑。汗多忌用） 枣二枚，水煎服。血块痛甚，加肉桂七分。渴，加去心麦冬一钱，五味子十粒。汗多加麻黄根一钱。如无块痛，加蜜炙黄芪一钱以止汗。伤面食，加炒神曲八分，炒麦芽五分。伤肉食，加山楂、砂仁各六分。
加参生化汤（附大补回阳生化汤。） 人参（二钱） 川芎（四钱） 当归（八钱，酒洗） 干姜（四分，炙黑） 炙甘草（五分） 桃仁（十粒，去皮尖） 枣二枚，水煎服。此方产后诸危急证通用。一日夜须服三四帖，方能接将绝之气。如产后三日内，块痛未除，等到元气稍复，已有生意，当去参，仍服生化原方。虚脱、厥逆、汗多，加人参三四钱。脉与形俱脱将绝，必用此方频灌。厥而兼汗，加去心麦冬一钱。汗多渴甚，加去心麦冬三钱。汗多痰喘，加竹沥、姜汁、去皮尖杏仁十粒。汗多喘嗽声重，加桔梗、去皮尖杏仁各五分。无汗喘嗽气短，加制半夏一钱，去皮尖杏仁十粒，桔梗五分。汗多身热气短，加人参。左尺脉弱，亦加人参。汗不止，三四剂后加蜜炙黄芪一钱。一方，川芎、当归减半，名大补回阳生化汤，治新产厥证。枣引，速煎二服即效。若厥证作渴，佐以生脉五味饮代茶，以救津液，则渴减厥回。
参麦五味饮（去五味子，名参麦饮。又名生脉汤，又名生脉散。） 人参（二钱，一方三钱） 麦冬（二钱，去心） 五味子（七粒，捶碎） 煎汤作茶，时时饮之。煎汤，用银器或砂器为妙。
滋荣益气汤 治血块痛止而厥。人参 当归（各三钱） 川芎 白术（土炒） 黄芪（蜜炙。各一钱五分或一钱） 熟地（二钱） 麦冬（八分或一钱，去心） 炙甘草（四分） 五味子（十粒） 川附子（五六分或一钱，制） 水煎服。汗多，加麻黄根、炒枣仁各一钱。大便难，加酒洗肉苁蓉一钱五分。
生化汤（见本卷生化汤论后。） 八珍汤（见上卷诸痛门。） 归脾汤（见上卷胞漏小产门。） 十全大补汤（见上卷胎不长养门。） 大补回阳生化汤（附本门加参生化汤下。）
Postpartum blood masses are accumulations of residual blood from pregnancy. This is because women have abundant blood but relatively deficient Qi; at age fourteen, Tian Gui (substances promoting reproductive development) arrives, occurring every thirty days, symbolizing the moon's fullness leading to waning. When its flow is regular, it is called menstruation. During pregnancy, menstruation ceases, and residual blood enters the uterus to protect the fetal origin. The first month is called "Tai Pei" (fetal embryo), the second month "Shi Gao" (beginning paste), and only in the third month does it begin to take shape and be called a fetus, receiving maternal blood protection. Since the fetal form is still small, although it consumes maternal blood, there remains surplus fluid, which, combined with blood from the previous two months, accumulates in the uterus. Over time, it forms blood masses, which should be expelled along with the infant at delivery. If due to the mother exerting force to deliver the baby or placenta, leading to fatigue and weakness; or due to improper care and insufficient abdominal warmth; causing blood masses to persist for a long time without dissipating, resulting in pain and tenderness upon pressure, it is appropriate to use Shenghua Decoction to promote blood circulation. Externally, warming the abdomen with hot clothes is also suitable. One must not lightly administer harsh purgatives, lest they cause uncontrollable hemorrhage.
Shenghua Decoction (See discussion on Shenghua Decoction later in this volume.)
Both postpartum fainting (Yun) and coma (Jue) syndromes arise from the simultaneous exhaustion of Qi and Blood. Without urgent tonification, how can one salvage the nearly extinct Yuan Shen (Primordial Spirit)? This is beyond doubt. However, fainting occurring during labor is more acute than Jue. If medication cannot be administered in time, emergency rescue methods must be used. For those with slight deficiency, symptoms include blurred vision and dizziness, chest fullness and oppression, unconsciousness with clenched jaws, unawareness of surroundings, followed by spontaneous recovery after a short while. Or, due to excessive blood loss, deficient fire flares up vacuously, leading to unclear consciousness and loss of bodily control. Sudden massive loss of Yin Blood deprives the Heart Spirit of nourishment. The Ministerial Fire and Sovereign Fire within the Heart and Uterine Collaterals are calm when nourished by blood but endangered when blood is lost. Intense upward flaming causes昏冒 (dizziness/fainting); fire invading the Lung causes closed eyes and unconsciousness. This indicates that sudden Yin Blood loss fails to anchor and soothe. The Classics state: "When disease Qi is insufficient, tonification is preferred over purgation." Closed eyes indicate Yin syndromes. Sudden loss of有形 (formative) blood intensifies upward fire. In all such cases, frequent administration of Shenghua Decoction is suitable. Alternatively, as an emergency measure, administer 2-3 doses of Shenghua Decoction to first replenish Blood aspect deficiency. Once blood masses resolve and blood abundance returns, consciousness clears and fainting stops. For extreme deficiency, symptoms include pale complexion, closed eyes, open mouth, cold extremities, profuse sweating, unconsciousness, and extremely weak and fine pulses in all six positions. This signifies Qi escaping with Blood, nearing extinction. Large doses of Ginseng are required to restore Yang. Fearing that tonifying Yin is too slow for the urgency, Qi-tonifying herbs must be added, following the principle of "Yang generates Yin." Emergency use of Renshen-added Shenghua Decoction, or simply Renshen-added Shenghua Decoction, is most effective. If decoction preparation is delayed, rapidly prepare Dushen Decoction (Single Herb Ginseng Decoction) using approximately 30g of Ginseng, decoct and administer urgently. As long as it is swallowed, survival is possible; any delay renders it futile. Some claim Ginseng should only be used seven days postpartum; this is a foolish rumor of unknown origin and must not be believed. However, since fainting strikes instantly, external emergency treatments cannot be delayed. Quickly help the patient sit upright gently, preventing her from lying down. Alternatively, heat charcoal until red, pour vinegar on it, or burn old lacquerware, allowing the smoke to enter the nose and mouth to induce revival. Urgently press the Renzhong (GV26) acupoint and wait quietly. As Yuan Qi gradually recovers, avoid agitation to prevent dispersion of Shen Qi. Another method: take a handful of Chinese chives, chop finely, place in a spouted porcelain bottle, boil vinegar, pour into the bottle, immediately cover the mouth, and direct the spout towards the woman's nostrils so the vapor enters the nose to induce revival. Generally, patients with severe illness or extreme deficiency may experience fainting. Postpartum fainting is named "Blood Fainting" due to blood loss, but actually, fainting is not caused solely by blood. Blindly trusting ancient formulas and diagnosing fainting as "Evil Blood Snatching the Heart," one might recklessly use drugs like Suxmu (Sappan Wood), Niuxi (Achyranthes Root), Honghua (Safflower), or formulas like Mudan Tang and Duoming Tang. Or misdiagnosing it as Phlegm-Fire and using non-tonifying phlegm-resolving formulas causes great error. Folk remedies for postpartum patients, sometimes due to retained dead fetus or placenta with evil blood reversing upward, causing convulsions, vomiting, and fainting, involve pouring warm urine (Tongbian) down the throat. If one sip is swallowed, it stops. For women with strong Stomach Qi who do not fear the fishy odor, efficacy may be seen. However, Tongbian does not inherently stop fainting or restore Yuan Qi; its action is likely due to directing downward flow, reducing fire, and resolving stasis. Medical texts state: "If敗血 (decayed blood) flows into the Liver Meridian, black spots appear in the eyes, head and eyes become dizzy, and consciousness is lost. This is Blood-Heat rising vacuously to the Heart, causing coma and Qi closure nearing extinction. Taking Tongbian is best." This view focuses only on decayed blood, completely ignoring postpartum deficiency. Moreover, given "Qi closure nearing extinction," can Tongbian really restore nearly extinct Yuan Qi? Even in cases of evil blood reversal and stagnation, Shenghua Decoction, acting warmly to move blood, is superior for resolving stasis and stopping fainting. I have observed obstetricians in Jiangnan using Danggui (Angelica Sinensis) 6g, Yimucao (Motherwort) 3g, Renshen (Ginseng) 6g, Honghua (Safflower) 1.8g, Paojiang (Prepared Ginger) 2.4g, decocted hot, mixed with Tongbian to treat fainting. This formula combines benefits and is closer to correctness. For women prone to blood fainting, it is better to pre-select tonifying formulas like Bazhen Tang, Guipi Tang, or Shiquan Dabu Tang several days before delivery to regulate and tonify Qi and Blood. Using Renshen to facilitate delivery just before birth tonifies before depletion occurs. Thus, postpartum, there is no deficiency for pathogens to exploit, and no fainting will occur.
Regarding Jue syndrome, occurring after delivery, it results from excessive effort during labor, fatiguing and damaging the Spleen. The isolated Zang organ cannot distribute to the four limbs, causing cold extremities and Jue. The Classics state: "Yang Qi deficiency below leads to Cold Jue. Jue Qi ascends, filling the vessels and separating from the form." Roughly, rebellious Qi fills the meridians, causing Shen Qi to float and scatter away from the body. Da Bu Hui Yang Shenghua Decoction is suitable. Administer two consecutive doses. Wait until Qi and Blood are abundant and Shen recovers; Jue will naturally cease. It cannot be cured by merely tonifying the Blood aspect. If thirst occurs after taking medicine, use Shenmai San instead of tea to assist Jin Ye (Body Fluids) and rescue dry Zang organs. There are also cases of cold extremities with diarrhea resembling Cold Syndrome of Taiyang Shaoyin Cold Disease. Si Ni Tang should not be used. Instead, Shenghua Decoction with doubled Renshen should be decocted and taken, or add one slice of Shu Fuzi (Prepared Aconite). This can reverse rebellion, restore Yang, and demonstrate the efficacy of Renshen and Danggui. If blood mass pain subsides but Jue persists, Zirong Yiqi Tang is most effective. Both fainting and Jue are critical postpartum syndromes. If fresh postpartum blood mass pain remains, one should not abruptly add Sanleng (Sparganium Rhizome) and Ezhu (Curcuma Rhizome). Therefore, urgently add Renshen as an emergency measure. Once fainting stops and Jue reverses, remove Renshen to address blood mass pain. This is a key principle.
Emergency Rescue Method for Fainting: If the mother becomes unconscious immediately after the baby is born, medicines cannot be administered orally at this stage; delay means death. The method: Urgently use very soft old clothing to tightly close the vaginal opening. Have a sensible woman use her knee to hold it down, preventing Qi leakage from below. Another person should hold the hair with one hand and cover the nose and mouth with the other, preventing Qi leakage from above. Wait until there is slight movement and breath sounds, then use hot water to catch the breath/vapor, and urgently administer Shenghua Decoction.
Zhi Quan Ji Jiu Shenghua Tang (Emergency Shenghua Decoction for Weight): Treats three grades of blood fainting, simultaneously resolving stasis and generating new blood. Chuanxiong (9g), Danggui (18g or 24g, wine-washed), Ganjiang (1.2g, roasted black), Taoren (10 kernels, skin and tip removed), Zhigancao (1.5g), Jingjiesui (1.2g, roasted black. Contraindicated if sweating is profuse), Jujube (2 pieces). Decoct in water and take. For severe fatigue, metrorrhagia, or fainting due to profuse sweating and collapse of form/Qi, add Renshen (9g) and Rougui (1.2g). Take urgently 1-2 doses; efficacy is miraculous. Do not hesitate to use Renshen thinking tonification is too slow. For fainting due to Phlegm-Fire flaring up vacuously, add Juhong (1.2g); for extreme deficiency, also add Renshen (2.4g). For obese individuals, add Zhuli (Bamboo Sap) several spoons and Jiangzhi (Ginger Juice) a little.
Zhi Quan Ji Jiu Jiashen Shenghua Tang (Emergency Renshen-Added Shenghua Decoction for Weight): Treats postpartum collapse of form and color. Renshen (12g, wine-washed), Chuanxiong (6g), Danggui (12g, wine-washed), Ganjiang (1.2g, roasted black), Taoren (10 kernels, skin and tip removed), Zhigancao (1.5g), Jingjiesui (1.2g, roasted black. Contraindicated if sweating is profuse), Jujube (2 pieces). Decoct in water and take. For severe blood mass pain, add Rougui (2.1g). For thirst, add Maidong (Ophiopogon Tuber) (3g, heart removed) and Wuweizi (Schisandra Berry) (10 kernels). For profuse sweating, add Mahuanggen (Ephedra Root) (3g). If no blood mass pain, add Zhi Huangqi (Honey-fried Astragalus Root) (3g) to stop sweating. For food stagnation from flour, add Chao Shenqu (Fried Medicated Leaven) (2.4g) and Chao Maiya (Fried Hordeum Sprout) (1.5g). For food stagnation from meat, add Shanzha (Hawthorn Fruit) and Sharen (Amomum Fruit) (1.8g each).
Jiashen Shenghua Tang (Attached: Da Bu Hui Yang Shenghua Tang): Renshen (6g), Chuanxiong (12g), Danggui (24g, wine-washed), Ganjiang (1.2g, roasted black), Zhigancao (1.5g), Taoren (10 kernels, skin and tip removed), Jujube (2 pieces). Decoct in water and take. This formula is generally applicable to all critical postpartum syndromes. Must take 3-4 doses per day to reconnect nearly extinct Qi. If within three days postpartum, blood mass pain remains, wait until Yuan Qi slightly recovers and life signs return, then remove Renshen and continue with original Shenghua Decoction. For collapse, Jue reversal, and profuse sweating, add Renshen (9-12g). If pulse and form both show collapse nearing extinction, this formula must be frequently administered. For Jue accompanied by sweating, add Maidong (3g, heart removed). For profuse sweating and severe thirst, add Maidong (9g, heart removed). For profuse sweating, phlegm, and wheezing, add Zhuli (Bamboo Sap), Jiangzhi (Ginger Juice), and Xingren (Apricot Seed) (10 kernels, skin and tip removed). For profuse sweating, wheezing, coughing with heavy voice, add Jiegeng (Platycodon Root) and Xingren (1.5g each, skin and tip removed). For no sweating, wheezing, coughing, and shortness of breath, add Zhi Banxia (Prepared Pinellia Tuber) (3g), Xingren (10 kernels, skin and tip removed), and Jiegeng (1.5g). For profuse sweating, feverish sensation, and shortness of breath, add Renshen. For weak Left Chi pulse, also add Renshen. If sweating does not stop, after 3-4 doses, add Zhi Huangqi (Honey-fried Astragalus Root) (3g). Another variation: halve Chuanxiong and Danggui, named Da Bu Hui Yang Shenghua Tang, treating new postpartum Jue syndrome. Use Jujube as a guide, decoct quickly, two doses yield immediate effect. If Jue syndrome presents with thirst, accompany with Shengmai Wuwei Yin as tea to rescue Jin Ye, then thirst decreases and Jue reverses.
Shenmai Wuwei Yin (Removing Wuweizi, named Shenmai Yin. Also known as Shengmai Tang or Shengmai San): Renshen (6g, another version 9g), Maidong (6g, heart removed), Wuweizi (7 kernels, crushed). Decoct in water to make tea, drink frequently. For decoction, silver or clay vessels are preferable.
Zirong Yiqi Tang: Treats Jue persisting after blood mass pain subsides. Renshen, Danggui (each 9g), Chuanxiong, Baizhu (Earth-fried), Huangqi (Honey-fried, each 4.5g or 3g), Shudi (Rehmannia Root) (6g), Maidong (2.4g or 3g, heart removed), Zhigancao (1.2g), Wuweizi (10 kernels), Chuan Fuzi (Aconite Lateralis Radix Praeparata) (1.5-3g, prepared). Decoct in water and take. For profuse sweating, add Mahuanggen (Ephedra Root) and Chao Zaoren (Fried Ziziphus Seed) (3g each). For difficult defecation, add Jiuxi Rongrong (Wine-washed Cistanche Stem) (4.5g).
Shenghua Decoction (See discussion on Shenghua Decoction later in this volume.) Bazhen Tang (See Pain Section in Upper Volume.) Guipi Tang (See Uterine Bleeding and Miscarriage Section in Upper Volume.) Shiquan Dabu Tang (See Fetal Malnutrition Section in Upper Volume.) Da Bu Hui Yang Shenghua Tang (Attached under Jiashen Shenghua Tang in this section.)