泽兰叶（一分） 人参（一分） 荆芥穗（一两） 川芎（半两）
上为末。温酒热汤各半盏，调一钱，急灌之，下咽即开眼气定，省人事。
评曰∶产后眩晕，顷刻害人，须量虚实为治。若胸中宿有痰饮阻病不除，产后多致眩晕
，又血盛气弱，气不使血，逆而上攻，此等皆非清魄可疗。瘀晕，仍用半夏茯苓汤；血壅，
须用牡丹散。但快药尤难辄用，当识轻重，所谓扰乎可扰，扰亦无扰。若气血平人，因去血
多致晕者，芎 汤尤佳。
半夏茯苓汤（方见恶阻门)
治产后血晕，闷绝野狼狈。若口噤，则拗开灌之必效。
牡丹皮 大黄(蒸) 芒硝（各一两） 冬瓜子（半合） 桃仁（三七粒，去皮尖)
上为锉散。每服五钱，水三盏，煎至盏半，去滓，入芒硝又煎，分二服。欲产，先煎下
以备缓急。《金匮》以此治肠痈，但分两少异。
芎 汤 方见眩晕门
第五论曰∶产后口干痞闷者何?答曰∶产后荣卫大虚，血气未定，食面太早，胃不能消
化，面毒结聚于胃脘，上熏胸中，是以口干燥渴，心下痞闷。医者不识，认为胸膈壅滞，以
药下之，万不得一，但服见 丸。
姜黄 京三棱(炮) 荜澄茄 陈皮 人参 高良姜 蓬术(炮，各一两)
上为末，用萝卜慢火煮烂，研细，将汁煮面糊丸，如梧子大。用萝卜汤下三十丸。
评曰∶产后口干痞闷，未必止因食面。或产母内积忧烦，外伤燥热，饮食甘辛，使口干
痞闷，当随其所因调之可也。烦心，宜四物汤去地黄，加人参、乌梅煎；若外伤燥热，看属
何经，当随经为治，难以备举。饮食所伤，见 丸却能作效。
增损四物汤 (方见下第六论)
第六论曰∶产后乍寒乍热者何?答曰∶阴阳不和，败血不散，能令乍寒乍热。产后血气
虚损，阴阳不和，阴胜则乍寒，阳胜则乍热，阴阳相乘，则或寒或热。若因产劳，脏腑血弱
，不得宣越，故令败血不散，入于肺则热，入于脾则寒，医人若误作疟疾治之，则谬矣。阴
阳不和，宜增损四物汤；败血不散，宜夺命丹。又问∶二者何以别之，答曰∶时有刺痛者，
败血；但寒热无他证者，阴阳不和，增损四物汤不一，皆随病加减。
Radix Agrimoniae (Zelan Ye, 泽兰叶) [1 fen], Radix Ginseng (Renshen, 人参) [1 fen], Flos Schizonepetae (Jingjie Sui, 荆芥穗) [1 liang], Rhizoma Chuanxiong (Chuanxiong, 川芎) [0.5 liang].
The above are ground into powder. Mix with half a cup of warm wine and half a cup of hot water, combine with one qian of the powder, and administer rapidly. Upon swallowing, the eyes will open, breathing will stabilize, and consciousness will return.
Comment: Postpartum vertigo can be fatal in an instant; treatment must be based on deficiency or excess. If phlegm-fluid retention has long obstructed the chest without being resolved, postpartum vertigo is often caused by this. Additionally, if blood is abundant but qi is weak, causing qi to fail to move blood, leading to rebellious upward attack, such cases cannot be treated with Qingpo San. For vertigo due to blood stasis, Banxia Fuling Tang should still be used; for blood congestion, Mudan San is required. However, harsh medicines are particularly difficult to use casually; one must discern the severity. As stated, "disturb what can be disturbed; even if disturbed, it is as if not disturbed." For individuals with balanced qi and blood who experience vertigo due to excessive blood loss, Xiongtang is especially suitable.
Banxia Fuling Tang (Formula seen in the section on Nausea during Pregnancy).
Treats postpartum blood syncope, characterized by coma and distress. If the jaw is clenched, pry it open and administer the medicine; it will surely be effective.
Cortex Moutan (Mudan Pi), Rhizoma Rhei (Dahuang, 大黄) (steamed), Natrii Sulfas (Mangxiao, 芒硝) (each 1 liang), Semen Benincasae (Dongguazi, 冬瓜子) (0.5 he), Semen Persicae (Taoren, 桃仁) (37 grains, skin and tip removed).
The above are cut into pieces and made into a powder. Each dose is five qian, boiled with three cups of water until reduced to one and a half cups. Strain the dregs, add Mangxiao, and boil again. Divide into two doses. Before delivery, decoct in advance for emergency use. The *Jinkui Yaolue* uses this formula to treat intestinal abscess, with slight differences in dosage.
Xiongtang (Formula seen in the section on Vertigo).
Discussion Five: What causes dry mouth and epigastric fullness after childbirth? The answer is: After childbirth, Ying and Wei qi are greatly deficient, and blood and qi are unsettled. Eating noodles too early prevents the stomach from digesting them. The toxicity of noodles accumulates in the epigastrium, steaming upwards into the chest, resulting in dry mouth, thirst, and subcardiac fullness. Physicians who do not recognize this condition mistake it for chest and diaphragm congestion and use purgatives; this succeeds in less than one out of ten cases. One should only feed Jian Wan.
Rhizoma Curcumae Longae (Jianghuang), Rhizoma Sparganii (Jingsanleng, 京三棱) (processed), Fructus Tetradii (Bichengqie, 荜澄茄), Pericarpium Citri Reticulatae (Chenpi, 陈皮), Radix Ginseng (Renshen, 人参), Rhizoma Zingiberis Officinalis Recens (Gaoliangjiang, 高良姜), Rhizoma Curcumae Phaeocaulis (Pengzhu, 蓬术) (processed, each 1 liang).
The above are ground into powder. Boil radish slowly until soft, grind finely, and use the radish juice to make a paste with flour to form pills the size of a wutong seed. Administer thirty pills with radish soup.
Comment: Dry mouth and epigastric fullness after childbirth are not necessarily solely due to eating noodles. It may also result from internal accumulation of worry and vexation, external invasion of dry-heat, or consumption of sweet and pungent foods, leading to dry mouth and fullness. Treatment should follow the specific cause. For mental vexation, Siwu Tang minus Rehmanniae Radix (Dihuang), plus Ginseng Radix (Renshen) and Fructus Mumei (Wumei, 乌梅) decocted is suitable; for external dry-heat invasion, treatment should follow the affected meridian, which is difficult to list exhaustively. For injury due to diet, Jian Wan can be effective.
Zengsun Siwu Tang (Formula seen in Discussion Six below).
Discussion Six: What causes alternating chills and fever after childbirth? The answer is: Disharmony of Yin and Yang, combined with un-dispersed failed blood, causes alternating chills and fever. After childbirth, blood and qi are deficient and damaged, leading to disharmony of Yin and Yang. If Yin prevails, there are sudden chills; if Yang prevails, there are sudden fevers. When Yin and Yang mutually invade, either chills or fever occur. If caused by labor during delivery, weakening the zang-fu organs and blood, preventing free circulation and diffusion, failed blood fails to disperse. Entering the Lung causes heat; entering the Spleen causes cold. If physicians mistakenly treat this as malaria, they are erroneous. For disharmony of Yin and Yang, Zengsun Siwu Tang is indicated; for un-dispersed failed blood, Mingdan is indicated. Another question asks: How to distinguish between the two? The answer is: Stabbing pain indicates failed blood; chills and fever without other symptoms indicate disharmony of Yin and Yang. There are various modifications of Zengsun Siwu Tang, all adjusted according to the disease.