产妇有子方下地，即昏晕不语，此气血两脱也，本在不救；然救之得法，亦有能生者。当斯之时，急用银针刺
其眉心，得血出则语矣。然后以人参一两煎汤灌之，无不生者；即用黄 二两，当归一两，名当归补血汤，煎汤一
碗灌之亦得生。万不可于二方之中，轻加附子。盖附子无经不达，反引气血之药，走而不守，不能专注于胞胎，不
若人参、归、 直救其气血之绝，聚而不散也。盖产妇昏晕，全是血室空虚，无以养心，以致昏晕。舌为心之苗，
心既无主，而舌又安能出声耶？夫眉心之穴，上通于脑，下通于舌，而其系则连于心，刺其眉心，则脑与舌俱通，
而心之清气上升，则瘀血自然下降矣，然后以参、 、当归之能补气生血者，煎汤灌之，则气与血接续，又何至于
死亡乎！虽单用参、 、当归亦有能生者，然终不若先刺眉心之为更妙。世人但知灸眉心之法，不知刺更胜于灸，
盖灸法缓而刺法急，缓则难于救绝，急则易于回生，所谓“急则治其标，缓则治其本”者，此也。
歌括∶婴儿已落香盆浴，产母忽晕不言语。
气血双脱危急候，针刺眉心可救急。
眉心出血不觉昏，人参一两速煎吞。
或服当归补血汤，接续气血命能存。
妇人有产后二、三日，发热，恶露不行，败血攻心，狂言呼叫，甚欲奔走，拿提不定，人以为邪热在胃之过，
谁知是血虚心不得养而然乎！夫产后之血，尽随胞胎而外越，则血室空虚，脏腑皆无血养，只有心中之血，尚存几
微，以护心君。而脏腑失其所养，皆欲取给于心；心包为心君之宰相，拦绝各脏腑之气，不许入心，始得心神安
静，是护心者全借心包之力也。使心包亦虚，不能障心，而各脏腑之气遂直入于心，以分取乎心血，心包情急，既
不能内顾其君，又不能外御乎众，于是大声疾呼，而其迹象反近于狂悖，有无可如何之势，故病状似热而实非热
也。治法须大补心中之血，使各脏腑分取以自养，不得再扰乎心，则心藏泰然，而心包亦安矣。
方用安心汤。
当归（二两） 川芎（一两） 生地（五钱，炒） 丹皮（五钱，炒） 生蒲黄（二钱） 干荷叶（一片，引）
水煎服。一剂而狂定，恶露亦下矣。此方用芎、归以养血，何以又用生地、丹皮之凉血，似非产后所宜？不知恶露
所以奔心，原因虚热相犯，于补中凉之，而凉不为害，况益之以荷叶，七窍相通，引邪外出，不惟内不害心，且佐蒲黄
以分解乎恶露也。但只可暂用以定狂，不可多用以取咎也。谨之慎之。
眉批∶服药后狂定，宜服加味生化汤∶当归（酒洗）一两一钱、川芎三钱、桃仁（研）钱半、荆芥穗（炒炭）
一钱、丹皮钱半，服四剂妙。
歌括∶产后二三日之中，恶露不行血上攻。
狂言呼叫甚奔走，血室空虚病由生。
安心汤中当归芎，生地丹皮蒲黄冲。
荷叶少许通七窍，少服取效多无功。
A parturient woman immediately experiences fainting and aphasia after the delivery of the infant. This is a syndrome of simultaneous depletion of Qi and Blood (Qi and Blood exhaustion), which is originally considered incurable; however, if treated with the correct method, survival is possible. At this moment, urgently puncture the center of the eyebrows (Yintang, EX-HN3) with a silver needle. Once blood flows out, speech will return. Subsequently, decoct one tael of Renshen (Ginseng Radix et Rhizoma) in water and administer it orally; there is no case that cannot be saved. Alternatively, use two taels of Huangqi (Astragali Radix) and one tael of Danggui (Angelicae Sinensis Radix), named Danggui Buxue Tang (Dong Quai Decoction for Tonifying Blood), decoct one bowl and administer it to save the life. Under no circumstances should Fuzi (Aconiti Lateralis Radix Praeparata) be lightly added to either of these two formulas. This is because Fuzi penetrates all meridians without restriction; its nature is moving and unconsolidating, which would instead guide the Qi- and Blood-tonifying drugs to wander everywhere rather than focusing on the uterus. It is inferior to Renshen, Huangqi, and Danggui, which can directly rescue the collapse of Qi and Blood, gathering them without dispersal. The fainting of parturient women is entirely due to the emptiness of the Blood Chamber (uterus), which fails to nourish the Heart, leading to fainting. The tongue is the sprout of the Heart; since the Heart has lost its mastery, how can the tongue produce sound? The acupoint at the center of the eyebrows connects upward to the brain and downward to the tongue, while its meridian connection links to the Heart. Puncturing the center of the eyebrows allows both the brain and tongue to become unobstructed, causing the clear Qi of the Heart to ascend, thereby naturally descending the stasis. Then, by administering decoctions of Renshen, Huangqi, and Danggui—which are capable of tonifying Qi and generating Blood—Qi and Blood will reconnect, preventing death. Although using Renshen, Huangqi, and Danggui alone can also save lives, it is ultimately not as effective as first puncturing the center of the eyebrows. People only know the method of moxibustion on the center of the eyebrows, not knowing that needling is superior to moxibustion. Moxibustion is slow, while needling is rapid; slowness makes it difficult to rescue critical conditions, whereas rapidity facilitates revival. This illustrates the principle: "In acute cases, treat the branch (symptoms); in chronic cases, treat the root (cause)."
Rhyme:
The infant has already been bathed in the fragrant basin,
Suddenly the mother faints and speaks no words.
Simultaneous depletion of Qi and Blood is a critical condition,
Puncturing the center of the eyebrows can provide emergency relief.
Blood flowing from the center of the eyebrows dispels dizziness,
One tael of Ginseng quickly decocted and swallowed.
Or take Danggui Buxue Tang (Dong Quai Decoction for Tonifying Blood),
To reconnect Qi and Blood, preserving life.
A woman, two or three days postpartum, experiences fever, retention of lochia, and attack of toxic blood on the Heart. She speaks deliriously, shouts loudly, desires to run about, and cannot be restrained. Others attribute this to pathogenic heat in the Stomach, but who knows it arises from Blood deficiency failing to nourish the Heart? Postpartum Blood has all exited with the placenta, leaving the Blood Chamber empty. All Zang-Fu organs lack Blood nourishment, except for a trace amount remaining in the Heart to protect the Heart Monarch. Since the Zang-Fu organs lose their nourishment, they all seek supply from the Heart. The Pericardium acts as the Prime Minister of the Heart Monarch, blocking the Qi of various Zang-Fu organs from entering the Heart, thus allowing the Spirit to remain calm. Protecting the Heart relies entirely on the strength of the Pericardium. If the Pericardium is also deficient and cannot shield the Heart, the Qi of various Zang-Fu organs enters the Heart directly to consume Heart Blood. The Pericardium becomes anxious, unable to care for the Monarch internally or defend against the organs externally. Consequently, it cries out loudly, and its manifestations resemble madness, creating a helpless situation. Thus, although the symptoms appear like Heat, it is not actually Heat. The treatment must greatly tonify the Blood in the Heart, allowing the various Zang-Fu organs to draw upon it for self-nourishment, so they no longer disturb the Heart. Then the Heart remains peaceful, and the Pericardium is also tranquil.
Prescribe Anxin Tang (Heart-Calming Decoction).
Danggui (Angelicae Sinensis Radix) (2 liang)
Chuanxiong (Ligustici Chuanxiong Rhizoma) (1 liang)
Shengdi (Rehmanniae Radix) (5 qian, stir-fried)
Danpi (Moutan Cortex) (5 qian, stir-fried)
Sheng Puhuang (Typhae Pollen) (2 qian)
Gan Heye (Nelumbinis Folium) (1 leaf, as a guiding herb)
Decoct in water and take orally. After one dose, the mania subsides, and lochia is discharged. This formula uses Chuanxiong and Danggui to nourish Blood; why also use Shengdi and Danpi to cool Blood, which seems unsuitable for postpartum? One must understand that the reason lochia rushes to the Heart is due to deficiency-Heat attacking. Cooling within tonification causes no harm. Moreover, adding Heye, which connects the seven orifices, guides pathogenic factors outward. Not only does it prevent internal damage to the Heart, but it also assists Puhuang in resolving lochia. However, it can only be used temporarily to settle mania; excessive use may cause adverse effects. Be cautious.
Marginal Note: After the mania subsides following medication, it is advisable to take Jiawei Shenghua Tang (Modified Decoction for Generating New Blood): Danggui (Washed with wine) 1 liang 1 qian, Chuanxiong 3 qian, Taoren (Prunus Persica Seed, crushed) 1.5 qian, Jingjie Sui (Schizonepetae Spica, charred) 1 qian, Danpi 1.5 qian. Take four doses for excellent results.
Rhyme:
Within two or three days postpartum,
Lochia fails to discharge, Blood attacks upward.
Delirious speech, shouting, even running about,
Illness arises from the emptiness of the Blood Chamber.
Anxin Tang contains Danggui and Chuanxiong,
Shengdi, Danpi, and Puhuang taken together.
A small amount of Heye opens the seven orifices,
Small doses yield efficacy; excessive doses are futile.