大黄（浸过煨，各一两二钱）
为 咀，每服五钱，水一大盏半，同煎至一盏，去渣温服，不拘时候。更服地黄酒，
用地黄切一升，炒令黑，瓷瓶中下热酒三升，密封口煮令减半，任意服之。
防风当归散
防风 当归 川芎 地黄（各一两）
上锉，每服一两，水三盏，煎至二盏，温服。
娄氏云∶续命汤、大豆紫汤、举卿古拜散，太阳厥阴药也。邪实脉浮弦有力者固宜，
但产后血气太虚之人，不宜轻发其表，但用防风当归散治之为妙。
〔薛〕螈者，筋脉拘急也。 者筋脉张纵也。经云∶肝主筋而藏血。盖肝气为阳为
火，肝血为阴为水。前证因产后阴血去多，阳火炽盛，筋无所养而然耳。故痈疽脓水过多，
金疮出血过甚，则阳随阴散，亦多致此。治法当用八珍加丹皮、钓藤以生阴血，则阳火
自退，诸证自愈。如不应，当用四君、芎、归、丹皮、钓藤以补脾土。盖血生于至阴，至阴
者，脾土也。故小儿吐泻之后，脾胃亏损，亦多患之，乃虚象也，无风可逐，无痰可消。若
属阳气脱陷者，用补中益气加姜、桂。阳气虚败者，用十全大补加桂、附，亦有复生者。
此等证候，若肢体恶寒，脉微细者，此为真状。若脉浮大，发热烦渴，此为假象，惟当
固本为善。若无力抽搐，戴眼反折，汗出如珠流者，皆不治。一产妇因劳，两臂不能
屈，服苏合香丸，肢体痿软，汗出如水。余谓前药辛香，耗散真气，腠理虚而津液妄泄
也。先用十全大补汤加五味子，补实腠理，收敛真气，汗顿止。又佐以四君子，调补元气
渐愈，用逍遥散、大补汤调理而痊。一产妇先胸胁乳内胀痛，后因怒，口噤吐痰，臂
不能伸，小便自遗，左三部脉弦。余谓此肝经血虚而风火所致，不能养筋，先用加味逍
遥散治之，臂能屈伸。又以补肝散、六味丸，诸证悉愈。一妇人发螈遗尿，自汗面赤，或
时面青，饮食如故，肝脉弦紧。余曰∶此肝经血燥风热，名螈也。肝主小便，其色青，人
心则赤，法当滋阴血，清肝火，遂用加味逍遥散，不数剂，诸证悉退而安。一妇人产
后血风患此，以小续命汤数服而安。
产后因虚伤风螈 ，同伤寒表证，未传入里，宜服防风汤。
防风汤 治风虚发热，项背拘挛，关节不随，恍惚狂言，来去无时，不自觉悟。亦
治香港脚缓弱甚效。此药温和不虚人。
秦艽（去苗土） 独活（去芦） 麻黄（去节） 半夏（汤洗七次，切片） 防风（去芦，各二两）
升麻 防己 白术 石膏（ ） 芍药（白者） 黄芩 甘草 当归（去芦） 远志（去骨）
人参（去芦，各一两）
上为粗末，入半夏片令匀，每服四钱，水二中盏，生姜七八片，煎至一盏，去滓取清
汁六分，入麝香末少许，食后临卧带热服。
海藏愈风汤（即华佗愈风散。） 交加散（即当归散。并见产后中风。）
增损柴胡汤 治产后感异证，手足牵搐，涎潮昏闷。
柴胡（三钱） 黄芩（一钱二分） 人参 甘草（炙） 半夏（各一钱半） 知母（一钱） 石膏（二钱）
黄（二钱半）
上 咀，分二服，水二盏，姜三片，枣二枚，煎八分，不拘时服。
秦艽汤 前证已去，次服此药，去其风邪。
秦艽 芍药 柴胡（各一钱七分） 甘草（炙，一钱三分） 黄芩 防风（各一钱二分）
人参 半夏（各一钱）
上为 咀，分二帖，每帖水二盏，姜三片，煎八分，食远服。
大黄（浸泡后煨制，各一两二钱）
研成粗末，每次服用五钱，用水一大盏半，共同煎煮至一盏，滤去药渣，温服，不限时间。再服用地黄酒，用地黄切一升，炒至黑色，放入瓷瓶中，加入热酒三升，密封瓶口煮至减半，随意服用。
防风当归散
防风、当归、川芎、地黄（各一两）
以上药材切碎，每次服用一两，用水三盏，煎煮至二盏，温服。
娄氏说：续命汤、大豆紫汤、举卿古拜散，是治疗太阳经和厥阴经疾病的药物。邪气实盛且脉象浮弦有力的固然适宜使用，但产后气血过于虚弱的人，不宜轻易发散表邪，只用防风当归散治疗最为巧妙。
〔薛己〕抽搐（指筋脉拘急痉挛），是指筋脉拘急；瘛疭（指筋脉张弛交替），是指筋脉张纵。医经说：肝主筋而藏血。肝气属阳属火，肝血属阴属水。上述病症是因为产后阴血流失过多，导致阳火炽盛，筋脉失去滋养所致。所以痈疽脓水过多，金创出血过甚，导致阳气随阴血消散，也常导致这种情况。治疗方法应当使用八珍汤加牡丹皮、钩藤以滋生阴血，则阳火自然消退，各种症状自愈。如果无效，应当使用四君子汤、川芎、当归、牡丹皮、钩藤以补益脾土。因为血生于至阴，至阴指的是脾土。所以小儿吐泻之后，脾胃亏损，也多患此病，这是虚象，没有风邪可驱散，没有痰浊可消除。如果属于阳气脱陷的，用补中益气汤加生姜、肉桂。阳气虚败的，用十全大补汤加肉桂、附子，也有复生的。这类证候，如果肢体恶寒，脉微细的，这是真寒假热的表现。如果脉浮大，发热烦渴，这是假象，只应当固护根本为善。如果无力抽搐，戴眼反折，汗出如珠流滴的，都是不治之症。一位产妇因劳累，双臂不能弯曲，服用苏合香丸后，肢体痿软，汗出如水。我认为前药辛香，耗散真气，腠理空虚而津液妄泄。先用十全大补汤加五味子，补实腠理，收敛真气，汗立刻停止。又佐以四君子汤，调补元气逐渐痊愈，再用逍遥散、大补汤调理而康复。一位产妇先胸胁乳内胀痛，后因发怒，口噤吐痰，手臂不能伸展，小便自遗，左三部脉弦。我认为这是肝经血虚而风火所致，不能养筋，先用加味逍遥散治疗，手臂能屈伸。又以补肝散、六味丸，各种症状全部痊愈。一位妇人发作抽搐遗尿，自汗面赤，有时面青，饮食如故，肝脉弦紧。我说：这是肝经血燥风热，名为抽搐。肝主小便，其色青，入心则赤，法当滋阴血，清肝火，于是用加味逍遥散，不到几剂，各种症状全部退去而安。一位妇人产后血风患此病，用小续命汤数服而安。
产后因虚伤风引起的抽搐，同伤寒表证一样，未传入里，宜服用防风汤。
防风汤 治疗风虚发热，项背拘挛，关节活动不利，恍惚狂言，来去无时，不自觉悟。也治疗香港脚缓弱非常有效。此药温和而不伤正气。
秦艽（去苗土）、独活（去芦）、麻黄（去节）、半夏（汤洗七次，切片）、防风（去芦，各二两）
升麻、防己、白术、石膏（打碎）、芍药（白色）、黄芩、甘草、当归（去芦）、远志（去骨）
人参（去芦，各一两）
以上研成粗末，加入半夏片令均匀，每次服用四钱，用水二盏，生姜七八片，煎煮至一盏，滤去药渣取清汁六分，加入少许麝香末，食后临睡前带热服用。
海藏愈风汤（即华佗愈风散）。交加散（即当归散。均见产后中风章节）。
增损柴胡汤 治疗产后感异证，手足牵搐，涎潮昏闷。
柴胡（三钱）、黄芩（一钱二分）、人参、甘草（炙）、半夏（各一钱半）、知母（一钱）、石膏（二钱）、黄芪（二钱半）
以上研成粗末，分两次服用，用水二盏，姜三片，枣二枚，煎煮至八分，不限时间服用。
秦艽汤 前证已去，次服此药，去除风邪。
秦艽、芍药、柴胡（各一钱七分）、甘草（炙，一钱三分）、黄芩、防风（各一钱二分）
人参、半夏（各一钱）
以上研成粗末，分两帖，每帖用水二盏，姜三片，煎煮至八分，饭后服用。
Da Huang (Cortex Rhei Radicis et Rhizomatis, soaked and roasted, 1 liang 2 qian each)
Pulverized into coarse powder. Each dose is 5 qian, decocted with 1.5 da zhan of water until reduced to 1 da zhan. Strain and take warm, at any time. Additionally, consume Di Huang Jiu (Rehmannia Wine): Cut 1 sheng of Di Huang (Radix Rehmanniae Preparata), stir-fry until black, place in a porcelain bottle, add 3 sheng of hot wine, seal tightly, and boil until reduced by half. Take as desired.
Fang Feng Dang Gui San (Saposhnikoviae and Angelica Powder)
Fang Feng (Radix Saposhnikoviae), Dang Gui (Radix Angelicae Sinensis), Chuan Xiong (Rhizoma Chuanxiong), Di Huang (Radix Rehmanniae Preparata) (each 1 liang).
Crush the herbs. Each dose is 1 liang, decocted with 3 zhan of water until reduced to 2 zhan. Take warm.
Lou Shi stated: Xu Ming Tang (Preserve Life Decoction), Da Dou Zi Tang (Black Soybean Decoction), and Ju Qing Gu Bai San are formulas for Tai Yang (Sun-Yang) and Jue Yin (Jade-Yin) meridians. They are suitable for cases where pathogenic factors are excess and the pulse is floating, wiry, and forceful. However, for postpartum women with severe deficiency of blood and qi, it is inappropriate to lightly disperse the exterior. Using Fang Feng Dang Gui San is the best approach.
[Xue Ji] Chi (convulsion/spasm) refers to the tightening and cramping of sinews and vessels. Zong (clonic movement) refers to the stretching and relaxing of sinews and vessels. The Classics state: "The Liver governs the sinews and stores blood." Liver Qi belongs to Yang and Fire, while Liver Blood belongs to Yin and Water. The aforementioned condition occurs because excessive loss of Yin blood after childbirth leads to blazing Yang fire, causing the sinews to lose nourishment. Similarly, when sores and ulcers discharge excessive pus, or traumatic wounds bleed excessively, Yang dissipates along with Yin, often leading to this condition. The treatment method should employ Ba Zhen Tang (Eight Treasures Decoction) plus Mu Dan Pi (Cortex Moutan) and Gou Teng (Uncariae Ramulus cum Uncis) to generate Yin blood, thereby naturally retreating Yang fire and resolving all symptoms. If there is no response, use Si Jun Zi Tang (Four Gentlemen Decoction), Chuan Xiong, Dang Gui, Mu Dan Pi, and Gou Teng to tonify Spleen Earth. Since blood is generated from Supreme Yin, and Supreme Yin refers to Spleen Earth, children who suffer from vomiting and diarrhea often develop this condition due to Spleen-Stomach deficiency. This is a deficiency pattern; there is no wind to expel and no phlegm to resolve. If it belongs to sinking and collapse of Yang Qi, use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) plus Sheng Jiang (Zingiberis Rhizoma Recens) and Rou Gui (Cinnamomi Cortex). For failure of Yang Qi, use Shi Quan Da Bu Tang (Complete Great Tonifying Decoction) plus Rou Gui and Fu Zi (Radix Aconiti Lateralis Preparata); recovery is possible. In such patterns, if limbs feel aversion to cold and the pulse is faint and fine, this indicates true cold (with false heat). If the pulse is floating and large, accompanied by fever, irritability, and thirst, this is a false image; one should focus on consolidating the root. If there is weak convulsion, opisthotonos (reversed bending), and sweating like beads flowing, these are untreatable. One parturient woman, due to overwork, could not flex her arms. After taking Su He Xiang Wan (Styrax Pill), her limbs became flaccid and she sweated profusely like water. I reasoned that the previous medicine was pungent and aromatic, consuming True Qi, leaving the Cou Li (pores/skin texture) deficient and allowing fluids to leak recklessly. First, use Shi Quan Da Bu Tang plus Wu Wei Zi (Schisandrae Fructus) to consolidate the Cou Li and astringe True Qi, stopping the sweat immediately. Then assist with Si Jun Zi Tang to regulate and tonify Yuan Qi, leading to gradual improvement. Finally, use Xiao Yao San (Free and Easy Wanderer Powder) and Da Bu Tang (Great Tonifying Decoction) for conditioning until recovery. Another parturient woman first experienced distending pain in the chest, hypochondrium, and breasts, then after anger, developed trismus (lockjaw), expectoration of phlegm, inability to extend arms, and urinary incontinence, with a wiry pulse in the left three positions. I reasoned this was caused by Wind-Fire due to Liver Blood deficiency failing to nourish the sinews. First treat with Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder), restoring arm flexion and extension. Then use Bu Gan San (Liver Tonifying Powder) and Liu Wei Wan (Six-Ingredient Pill with Rehmannia) to resolve all symptoms. Another woman suffered from convulsions, urinary incontinence, spontaneous sweating, red face, sometimes blue face, with normal diet and a wiry-tight Liver pulse. I said: This is Dryness-Heat and Wind in the Liver channel, named convulsion. The Liver governs urination; its color is green, entering the Heart it becomes red. The method should be to nourish Yin blood and clear Liver fire. Thus, use Jia Wei Xiao Yao San. Within a few doses, all symptoms retreated and she was peaceful. Another woman suffered from this due to Postpartum Blood-Wind, and recovered after several doses of Xiao Xu Ming Tang (Minor Preserve Life Decoction).
Convulsions due to Wind invasion from deficiency after childbirth are similar to Exterior Syndromes of Shang Han (Cold Damage). If the pathogen has not transmitted inward, Fang Feng Tang (Saposhnikoviae Decoction) is appropriate.
Fang Feng Tang treats Wind-Deficiency Fever, stiffness and spasm of the neck and back, immobility of joints, delirium, erratic behavior without awareness. It is also very effective for Podagra (Gout) with weakness. This medicine is mild and does not damage healthy Qi.
Qin Jiao (Radix Gentianae Macrophyllae, remove sprouts and soil), Du Huo (Radix Angelicae Pubescentis, remove rhizome), Ma Huang (Herba Ephedrae, remove joints), Ban Xia (Rhizoma Pinelliae Preparata, wash seven times in boiling water, slice), Fang Feng (each 2 liang)
Sheng Ma (Cimicifugae Rhizoma), Fang Ji (Radix Stephaniae Tetrandrae), Bai Zhu (Rhizoma Atractylodis Macrocephalae), Shi Gao (Gypsum Fibrosum, crushed), Shao Yao (Radix Paeoniae Alba), Huang Qin (Scutellariae Radix), Gan Cao (Radix Glycyrrhizae Preparata), Dang Gui (Radix Angelicae Sinensis, remove rhizome), Yuan Zhi (Radix Polygalae, remove bone)
Ren Shen (Radix Ginseng, remove rhizome, each 1 liang)
Grind into coarse powder, mix evenly with Ban Xia slices. Each dose is 4 qian, decocted with 2 zhan of water and 7-8 slices of Sheng Jiang until reduced to 1 zhan. Strain to obtain 6 fen of clear liquid, add a small amount of Mo Xiang (Moschus) powder, and take warm after meals and before sleep.
Hai Zang Yu Feng Tang (Sea Storehouse Wind-Healing Decoction, i.e., Hua Tuo's Wind-Healing Powder). Jiao Jia San (Add-and-Mix Powder, i.e., Dang Gui San. See Postpartum Stroke chapter).
Zeng Sun Chai Hu Tang (Modified Bupleurum Decoction) treats strange symptoms after childbirth, such as pulling and twitching of hands and feet, flooding of saliva, dizziness, and stuffiness.
Chai Hu (Radix Bupleuri, 3 qian), Huang Qin (1.2 qian), Ren Shen, Zhi Gan Cao (Honey-fried Licorice Root, each 1.5 qian), Ban Xia (1.5 qian), Zhi Mu (Radix Anemarrhenae, 1 qian), Shi Gao (2 qian), Huang Qi (Radix Astragali Membranacei, 2.5 qian)
Grind into coarse powder. Divide into two doses. Decoct with 2 zhan of water, 3 slices of Sheng Jiang, and 2 dates until reduced to 8 fen. Take at any time.
Qin Jiao Tang (Gentian Decoction) Use this next after the previous symptoms have resolved to eliminate Wind pathogens.
Qin Jiao, Shao Yao, Chai Hu (each 1.7 qian), Zhi Gan Cao (1.3 qian), Huang Qin, Fang Feng (each 1.2 qian)
Ren Shen, Ban Xia (each 1 qian)
Grind into coarse powder. Divide into two portions. Each portion decocted with 2 zhan of water and 3 slices of Sheng Jiang until reduced to 8 fen. Take well after meals.