典藏书目

In cases where excessive effort during childbirth leads to fatigue and injury to the Spleen Qi, the Spleen (referred to as the "Lone Zang") fails to distribute essence to the four extremities. Consequently, coldness in the feet occurs, and Jue Qi (Rebellious Qi) ascends. The Classics state: "When Yang Qi is deficient below, it results in Cold Jue." This is precisely such a case. Without an urgent prescription, one cannot elevate Qi to return it to its source; without substantial tonification, one cannot restore Yang and revive the Shen (Spirit). How could merely a few qian of Renshen (Ginseng Root) and Danggui (Angelicae Sinensis Radix), administered at the standard rate of one decoction per day for ordinary ailments, support and rescue Qi and Blood that are on the verge of exhaustion? One must use Jiashen Shenghua Tang (Ginseng-Enhanced Decoction for Generating New Blood), doubling the dosage of Renshen (Ginseng Root) and administering two consecutive doses. Only then will Qi and Blood flourish, Shen (Spirit) recover, and Jue (Fainting/Cold Extremities) cease. If thirst arises after taking the medicine, separately administer Shengmai San (Generating Pulse Powder), increasing the amount of Renshen (Ginseng Root) to replace tea, thereby assisting Jin Ye (Body Fluids) to rescue the dryness of the Zang organs. This is a verified empirical principle; let there be no dissent.

Although there are cases with cold extremities, diarrhea, and dysentery, resembling Yin syndromes of Shanghan (Cold Damage), Si Ni Tang (Decoction for Reversing Cold) may be difficult to apply. In such instances, one must still use Shenghua Tang (Decoction for Generating New Blood) with doubled Renshen (Ginseng Root), assisted by Zhijiang (Honey-fried Ginger) or one slice of Fuzi (Aconiti Lateralis Radix Praeparata). This can restore Yang, reverse rebellion, and simultaneously facilitate the efficacy of Renshen (Ginseng Root) and Danggui (Angelicae Sinensis Radix). The Classics state: "The Spleen is the Lone Zang; the four directions refer to the Heart, Liver, Lung, and Kidney." It also states: "Physical toil injures the Spleen." And again: "Jue Qi ascends, filling the vessels and causing the form to disperse." Two prescriptions are established to distinguish their sequence of application:

**Jiashen Shenghua Tang (Ginseng-Enhanced Decoction for Generating New Blood)**
Indications: Postpartum Jue (fainting/cold extremities) with persistent lochia clots and pain. Bai Zhu (Atractylodis Macrocephalae Rhizoma) should not be added.
Chuanxiong (Ligustici Chuanxiong Rhizoma) 2 qian, Danggui (Angelicae Sinensis Radix) 4 qian, Ganjiang (Zingiberis Rhizoma) 4 fen, Gancao (Glycyrrhizae Radix et Rhizoma) 4 fen, Renshen (Ginseng Root) 2 qian, Taoren (Persicae Semen) 12 grains. Decoct in water and take two consecutive doses.

**Zirong Yiqi Fushen Tang (Nourishing Glory, Tonifying Qi, and Reviving Spirit Decoction)**
Indications: Postpartum Jue (fainting/cold extremities) without lochia clots or pain.
Chuanxiong (Ligustici Chuanxiong Rhizoma) 1 qian, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 1 qian, Huangqi (Astragali Radix) 1 qian, Renshen (Ginseng Root) 3 qian, Danggui (Angelicae Sinensis Radix) 3 qian, Huaishudi (Rehmanniae Radix Preparata) 2 qian, Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) 4 fen, Maidong (Ophiopogonis Tuber) 1 qian, Wuweizi (Schisandrae Chinensis Fructus) 10 grains, Chenpi (Citri Reticulatae Pericarpium) 4 fen, Fuzi (Aconiti Lateralis Radix Praeparata) 5 fen. Decoct in water.

If sweating is excessive, add Mahuanggen (Ephedrae Herba Cum Caulibus - *Note: Text says Mahuanggen, usually Ephedrae Herba is Mahuang, Mahuanggen is Ephedrae Herba Cum Caulibus or specific root, here translated as Mahuanggen*) 1 qian and Zaoren (Ziziphi Spinosae Semen) 1 qian. If bowel movement is obstructed, add Rongzhu (Cistanches Herba) 2 qian.

Generally speaking, postpartum fainting (Yun) and Jue (extremity coldness/fainting) are similar syndromes, both involving the simultaneous exhaustion of Qi and Blood, with Shen (Spirit) about to depart and vital functions nearly ceasing, leaving only a thread of life. Unless urgent prescriptions are taken urgently, how can the nearly exhausted Yuan Qi (Original Qi) be rescued? However, fainting occurring during labor is particularly acute. For Zi Jue (subtypes of eclampsia/fainting related to pregnancy/childbirth), one should administer several doses of Shenghua Tang (Decoction for Generating New Blood) immediately to first replenish the deficiency of Qi and Blood. Subsequently, clots dissolve, blood flourishes, Shen (Spirit) clears, fainting stops, and the parturient regains vitality. If symptoms of sweat collapse, form collapse, or rapid breathing are absent, Renshen (Ginseng Root) need not be added. Jue syndrome occurring after delivery involves dual exhaustion of Qi and Blood; thus, Shenghua Tang (Decoction for Generating New Blood) with doubled Renshen (Ginseng Root) should be used to replenish Qi and Blood, stop Jue, and revive Shen. This condition cannot be cured by merely tonifying the Blood aspect. One must recognize that if fainting is accompanied by lochia clots and pain, Bai Zhu (Atractylodis Macrocephalae Rhizoma) should not be added immediately. Conversely, if Jue syndrome presents without lochia clots or pain, the combined use of Renshen (Ginseng Root), Bai Zhu (Atractylodis Macrocephalae Rhizoma), and Dihuang (Rehmanniae Radix) is unquestionable.