〔娄〕产后喘极危，多死也。
〔郭〕产后喉中气急喘促者何？答曰∶荣者血也。卫者气也。荣行脉中，卫行脉外，
相随上下，谓之荣卫。因产所下过多，荣血暴竭，卫气无主，独聚肺中，故令喘也。此
名孤阳绝阴，为难治。若恶露不快，败血停凝，上熏于肺，亦令喘急，但服夺命丹，（胞衣
不下。）血去喘自定。
陈无择评曰∶产后喘急固可畏，若是败血上熏于肺，犹可责效夺命丹。若感风寒，或
因忧怒饮食咸冷等，夺命丹未可均济，况孤阳绝阴乎。若荣血暴绝，宜大料煮芎 汤亦
可救。伤风寒，宜旋复花汤。性理郁发，宜小调经散，用桑白皮、杏仁煎汤调下。伤食，
宜服见 丸、五积散、芎 汤。
〔薛〕前证若脾肺气虚弱，用六君、桔梗。若兼外邪，更加紫苏。若中气虚寒，用
补中益气加炮姜、肉桂。若阳气虚脱，更加附子。若瘀血入肺，急用二味参苏饮。一
产妇喘促自汗，手足俱冷，常以手护脐腹。此阳气虚脱，用参附汤四剂而愈。浦江吴辉
妻，孕时足肿，七月初旬产后二月洗浴，即气喘，但坐不得卧者五个月，恶风得暖稍宽，
两关脉动，尺寸皆虚，百药不效。用牡丹皮、桃仁、桂枝、茯苓、干姜、枳实、浓朴、桑
白皮、紫苏、五味、栝蒌仁煎汤服之即宽，二三服得卧，其痰如失。盖作污血感寒治之也。
血竭散 治产后败血冲心，胸满上喘，命在须臾，宜服。
真血竭（如无，紫矿代） 没药
上等分，研细频节，再研取尽为度。每服二钱，用童便合好酒半大盏，煎一沸温调
下。方产下，一服上床，良久再服，其恶血自循经下行，更不冲上，免生百病。
云岐参苏饮 治产后血入于肺，面黑发喘欲死者。
人参（一两，为末） 苏木（二两）
上以水两碗，煮取苏木一碗以下，去渣调参末，随时加减服，神效。
旋复花汤 治产后伤风寒，喘、咳嗽，痰涎壅盛，坐卧不宁。
旋复花 赤芍药 荆芥穗 半夏曲 前胡 甘草（炙） 茯苓 五味子 杏仁（去皮尖，麸
炒） 麻黄（各等分） 一方，芍药、茯苓多一倍。
上 咀，每服四钱，水一盏半，生姜三片，枣一枚，煎至七分，去渣食前温服。（有汗
者，不宜服。）
若伤咸冷冻饮料食而喘者，宜见 丸。（见前痞闷。）
五味子汤 治产后喘促，脉伏而厥。
五味子（杵，炒） 人参 杏仁（各二钱） 麦门冬（去心） 陈皮（各一钱）
上姜三片，枣二枚，水煎服。
大补汤 治产后百日外，面青浮肿唇白，气急有汗，乃大虚之证，急宜服此。
当归头 大川芎 大白术 白芍药 白茯苓（多） 人参（多） 黄 （多） 五味子
熟地黄 干姜（上下） 甘草（少）
上锉散，水煎服。此二帖不退，即加川乌、木香，另磨入服。有泻，加诃子、肉豆
蔻、粟壳。
【郭稽中】产后喉咙里气息急促、喘息迫促的原因是什么？回答说：荣气就是血，卫气就是气。荣气在脉管中运行，卫气在脉管外运行，它们相随上下流动，称为荣卫。因为分娩时失血过多，导致荣血突然枯竭，卫气失去主宰，独自聚集在肺中，所以引起喘息。这叫做“孤阳绝阴”，属于难治之症。如果恶露排出不畅，败血停滞凝结，向上熏蒸于肺，也会引起喘息急促，只需服用夺命丹（治疗胞衣不下），血去之后喘息自然平息。
陈无择评论说：产后喘息急促固然令人畏惧，如果是败血上熏于肺，还可以指望夺命丹见效。如果是感受风寒，或者因为忧怒、饮食过咸过冷等原因引起的，夺命丹就不能一概适用了，更何况是孤阳绝阴的情况呢？如果是荣血突然暴绝，适宜用大剂量的煮芎汤也可以救治。如果是伤风寒，适宜用旋复花汤。如果是情志抑郁郁结而发，适宜用小调经散，用桑白皮、杏仁煎汤送服。如果是伤食，适宜服用见溼丸、五积散、芎劳汤。
【薛己】上述病症如果是脾肺气虚弱，使用六君子汤加桔梗。如果兼有外邪，再加紫苏。如果是中气虚寒，使用补中益气汤加炮姜、肉桂。如果是阳气虚脱，再加附子。如果是瘀血入肺，紧急使用二味参苏饮。有一位产妇喘息急促、自汗出，手足都冰冷，经常用手护住脐腹部。这是阳气虚脱的表现，用了四剂参附汤而痊愈。浦江吴辉的妻子，怀孕时脚肿，七月下旬产后两个月洗澡后，立即气喘，只能坐着不能躺卧长达五个月，怕风但遇暖稍舒，两手关脉跳动，寸尺脉皆虚，百药无效。用牡丹皮、桃仁、桂枝、茯苓、干姜、枳实、厚朴、桑白皮、紫苏、五味子、瓜蒌仁煎汤服用后立即舒缓，二三服后能躺下睡觉，痰液消失。这是因为将其作为污血感寒来治疗的缘故。
血竭散 治疗产后败血冲心，胸满上喘，性命垂危，适宜服用。
真血竭（如果没有，可用紫矿代替） 没药
以上两味等分，研成细末，反复研磨直到完全细腻。每次服用二钱，用童便和好酒半大盏，煮沸一次，温服调下。刚生产完，一服后上床休息，很久后再服，败血自然会顺着经络下行，不再上冲，从而避免产生各种疾病。
云岐参苏饮 治疗产后血入于肺，面色发黑，喘息欲死。
人参（一两，研为末） 苏木（二两）
以上用水两碗，煮取苏木汁一碗以下，去掉药渣，调入人参粉末，根据情况加减服用，效果神奇。
旋复花汤 治疗产后伤风寒，喘息、咳嗽，痰涎壅盛，坐卧不宁。
旋复花 赤芍药 荆芥穗 半夏曲 前胡 甘草（炙） 茯苓 五味子 杏仁（去皮尖，麸炒） 麻黄（各等分） 一方中，芍药、茯苓用量加倍。
以上切碎，每次服用四钱，水一盏半，生姜三片，枣一枚，煎至七分，去掉药渣，饭前温服。（有汗者，不宜服用。）
如果是因食用过咸冷冻饮料食物而导致喘息的，适宜服用见溼丸。（见前文痞闷章节。）
五味子汤 治疗产后喘息急促，脉象沉伏且四肢厥冷。
五味子（捣碎，炒） 人参 杏仁（各二钱） 麦门冬（去心） 陈皮（各一钱）
以上加生姜三片，枣二枚，水煎服。
大补汤 治疗产后一百天以后，面色青暗浮肿，嘴唇苍白，气急有汗，这是大虚的证候，急需服用此方。
当归头 大川芎 大白术 白芍药 白茯苓（多用） 人参（多用） 黄芪（多用） 五味子 熟地黄 干姜（适量） 甘草（少用）
以上锉散，水煎服。如果两帖不退，就加川乌、木香，另外磨粉加入服用。如果有腹泻，加诃子、肉豆蔻、粟壳。
[Lou Quanshan] Postpartum extreme panting is critical and often fatal.
[Guo Jizhong] What is the cause of rapid breathing and panting in the throat after childbirth? The answer is: Ying (Nutritive) Qi is blood, Wei (Defensive) Qi is air. Ying Qi circulates within the vessels, while Wei Qi circulates outside the vessels. They move up and down together, referred to as Ying and Wei. Due to excessive blood loss during delivery, Ying blood suddenly exhausts, causing Wei Qi to lose its master and gather exclusively in the lungs, thus inducing panting. This is named "Lone Yang and Absolute Yin" and is difficult to treat. If lochia (postpartum discharge) does not flow smoothly, and stagnant blood coagulates, steaming upward to the lungs, it also causes urgent panting; simply administering Duoming Dan (for retained placenta) will stop the panting once the blood is expelled.
Chen Wuyue commented: Postpartum urgent panting is indeed fearsome. If caused by stagnant blood steaming upward to the lungs, one may still expect efficacy from Duoming Dan. However, if caused by contracting wind-cold, or due to emotional distress/anger, or consuming salty/cold foods and drinks, Duoming Dan is not universally applicable, let alone for cases of Lone Yang and Absolute Yin. If Ying blood is suddenly exhausted, a large dose of Zhuxiong Tang can also be life-saving. For wind-cold injury, Xuanfuhua Tang is suitable. For emotional depression stagnation manifesting outwardly, Xiaotiaojing San is suitable, taken with decoction of Sangbaipi (Morus Albae Cortex) and Xingren (Prunus Armeniacae Semen). For food injury, Jian Shi Wan, Wuji San, and Xionglao Tang are suitable.
[Xue Ji] For the aforementioned conditions, if Spleen and Lung Qi are deficient, use Liujunzi Tang (Six Gentlemen Decoction) with Jiegeng (Platycodonis Radix). If accompanied by external pathogens, add Zisu (Perilla Folium). If Middle Qi is deficient and cold, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with Paojiang (Prepared Zingiberis Rhizoma) and Rougui (Cinnamomi Cortex). If Yang Qi is deficient and collapsing, add Fuzi (Aconiti Lateralis Radix Praeparata). If stasis blood enters the lungs, urgently use Erwei Rensu Yin (Two-Ingredient Ginseng and Perilla Decoction). One parturient presented with urgent panting, spontaneous sweating, and cold hands and feet, frequently protecting her umbilical and abdominal area with her hands. This indicated Yang Qi deficiency and collapse; she was cured after four doses of Shenfu Tang (Ginseng and Aconite Decoction). The wife of Wu Hui from Pujiang had swollen feet during pregnancy. In early July, two months postpartum, after bathing, she immediately developed panting, being able only to sit and not lie down for five months. She feared wind but felt slightly relieved by warmth. Her Guan pulses were pulsating, while Cun and Chi pulses were both deficient; all medicines failed. Using Mudanpi (Moutan Cortex), Taoren (Persicae Semen), Guizhi (Cinnamomi Ramulus), Fuling (Poria), Ganjiang (Zingiberis Rhizoma), Zhishi (Aurantii Fructus Immaturus), Houpo (Magnoliae Officinalis Cortex), Sangbaipi (Morus Albae Cortex), Zisu (Perilla Folium), Wuweizi (Schisandrae Chinensis Fructus), and Gualouren (Trichosanthis Semen), decocted and taken, she felt immediate relief. After two or three doses, she could sleep, and her phlegm disappeared. This was treated as stasis blood combined with cold invasion.
Xuejie San (Dragon's Blood Powder) treats postpartum stagnant blood rushing to the heart, chest fullness, upper panting, and imminent death; it is suitable for administration.
True Xuejie (Dragon's Blood) (If unavailable, replace with Zikuang [Sappan Wood]) Moyao (Myrrha)
Equal parts of the above, ground into fine powder, repeatedly ground until completely fine. Take two qian per dose, mixed with child's urine and good wine (half a large cup), boiled once, and taken warm. Immediately after birth, take one dose then go to bed; take another dose after a long interval. The stagnant blood will naturally descend along the meridians without rushing upward, preventing various diseases.
Yunqi Rensu Yin (Yunqi's Ginseng and Perilla Decoction) treats postpartum blood entering the lungs, black complexion, and panting approaching death.
Renshen (Ginseng Radix et Rhizoma) (1 liang, ground to powder) Sumu (Sappan Wood)
Take two bowls of water, boil the Sumu to obtain less than one bowl of liquid, remove dregs, and mix in the Renshen powder. Adjust dosage as needed; the effect is miraculous.
Xuanfuhua Tang (Inula Flower Decoction) treats postpartum wind-cold injury, panting, cough, abundant phlegm-saliva, and restlessness in sitting or lying.
Xuanfuhua (Inulae Flos) Chishao (Paeoniae Radix Rubra) Jingjiesui (Schizonepetae Spica) Banxiaqu (Pinelliae Fermentatum) Qianhu (Peucedani Radix) Gancao (Licorice Root, honey-fried) Fuling (Poria) Wuweizi (Schisandrae Chinensis Fructus) Xingren (Prunus Armeniacae Semen, peeled and tip removed, bran-fried) Mahuang (Ephedrae Herba) (All equal parts). In another prescription, Shaoyao and Fuling are doubled.
Cut into pieces. Take 4 qian per dose, with 1.5 cups of water, 3 slices of Shengjiang (Fresh Ginger), and 1 jujube. Decoct to 0.7 portion, remove dregs, and take warm before meals. (Not suitable for those with sweating.)
For panting caused by consuming salty, frozen drinks or food, Jian Shi Wan is suitable. (See previous section on Chest Oppression.)
Wuweizi Tang (Schisandra Decoction) treats postpartum urgent panting, hidden pulse, and cold limbs.
Wuweizi (Schisandrae Chinensis Fructus, pounded and fried) Renshen (Ginseng Radix et Rhizoma) Xingren (Prunus Armeniacae Semen) (Each 2 qian) Maimendong (Ophiopogonis Radix, core removed) Chenpi (Citri Reticulatae Pericarpium) (Each 1 qian)
Add 3 slices of ginger and 2 jujubes, decoct in water, and take.
Dabu Tang (Great Tonifying Decoction) treats postpartum cases beyond 100 days, presenting with bluish-green facial swelling, pale lips, urgent breathing with sweating, indicating severe deficiency; this should be administered urgently.
Dangguiwei (Angelicae Sinensis Radix Head) Dachuanxiong (Ligustici Chuanxiong Rhizoma) Dabaizhu (Atractylodis Macrocephalae Rhizoma) Baishaoyao (Paeoniae Radix Alba) Bail茯苓 (Poria, use large amount) Renshen (Ginseng Radix et Rhizoma, use large amount) Huangqi (Astragali Membranacei Radix, use large amount) Wuweizi (Schisandrae Chinensis Fructus) Shudihuang (Rehmanniae Radix Preparata) Ganjiang (Zingiberis Rhizoma, moderate amount) Gancao (Licorice Root, small amount)
Cut into pieces, decoct in water, and take. If symptoms do not recede after two doses, add Chuanwu (Aconiti Radix) and Muxiang (Aucklandiae Radix), separately ground into powder and added to the decoction. If diarrhea occurs, add Hezi (Terminalia Chebulae Fructus), Roudoukou (Myristicae Semen), and Susuke (Papaveris Capsulum).