〔丹〕产后中风,口眼 斜,必用大补气血,然后治痰。当以左右手脉,分其气血多
少以治,切不可作中风治,用小续命汤及发表治风之药。
〔云〕治产后中风,半身手足不遂,言语謇涩,恍惚多忘,精神不定。
独活 当归 芍药 防风 川芎 玄参 天麻(各五钱) 桂心(三钱)
上 咀。以水八升,煮取二升半,分为三服。觉效,更作一剂。又作丸,每服二十
丸。如有热,加葛根五钱;有冷,加白术五钱;若有气症,加生姜一两半;若手足不遂,加
牛膝一钱半,萆 三钱,黄 四钱;若腹痛,加当归、芍药七钱半;若不食,加人参五钱,
玄参一两;若寒中三阴,所患必冷,小续命汤加姜煎;若暑中三阳,所患必热,小续命汤去
附子,减桂心一半,加薄荷煎。
〔《保》〕血风汤 治产后诸风,痿挛无力。
秦艽 羌活 防风 白芷 川芎 芍药 当归 白术 茯苓 熟地(各等分)
上为末。一半蜜丸,一半散。酒调下五七十丸妙。
〔《食》〕治产后风虚,五缓六急,手足顽痹,气血不调,大豆一升,炒令熟,热投三升
酒中,密封饮之。
〔《短剧》〕治产后中风,语涩,四肢拘急。羌活三两,为末。每服五钱,水、酒各半盏
煎,去渣温服。
上产后中风,用续命汤及羌活发散之药,必详气血,以四物、四君子相与各半,停对分
两服之可也。
[Danxi] Postpartum wind-stroke, presenting with deviation of the mouth and eye (Kou Yan Xie), requires first a substantial tonification of Qi and Blood, followed by the treatment of Phlegm. One should differentiate the abundance or deficiency of Qi and Blood based on the pulses at the left and right wrists to guide treatment. It is strictly forbidden to treat it as ordinary wind-stroke, nor should Xiao Xuming Tang (Minor Decoction for Continuing Life) or herbs that release the exterior and dispel wind be used.
[Yunqizi] Treatment for postpartum wind-stroke, manifesting as hemiplegia and incontinence of the half-body and limbs (Ban Shen Shou Zu Bu Sui), slurred and difficult speech (Yan Yu Jian Se), mental confusion, forgetfulness, and unsettled spirit.
Prescription: Du Huo (Angelicae Pubescentis Radix), Dang Gui (Angelicae Sinensis Radix), Shao Yao (Paeoniae Radix Alba), Fang Feng (Saposhnikoviae Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Xuan Shen (Scrophulariae Radix), Tian Ma (Gastrodiae Rhizoma) (each 5 qian), Gui Xin (Cinnamomi Ramulus) (3 qian).
The above herbs are coarsely crushed. Boil in 8 sheng of water until reduced to 2.5 sheng, divided into three doses. If effective, prepare another dose. Alternatively, make pills, taking 20 pills per dose. If there is heat, add Ge Gen (Puerariae Lobatae Radix) 5 qian; if there is cold, add Bai Zhu (Atractylodis Macrocephalae Rhizoma) 5 qian; if there are Qi stagnation symptoms, add Sheng Jiang (Zingiberis Rhizoma Recens) 1.5 liang; if there is limb incontinence, add Niu Xi (Achyranthis Bidentatae Radix) 1.5 qian, Bi Xie (Dioscoreae Hypoglaucae Rhizoma) 3 qian, Huang Qi (Astragali Radix) 4 qian; if there is abdominal pain, add Dang Gui and Shao Yao 7.5 qian; if there is anorexia, add Ren Shen (Ginseng Radix et Rhizoma) 5 qian, Xuan Shen 1 liang; if Cold invades the Three Yin meridians, the condition will necessarily present with cold, use Xiao Xuming Tang decocted with Sheng Jiang; if Summer-heat invades the Three Yang meridians, the condition will necessarily present with heat, use Xiao Xuming Tang removing Fu Zi (Aconiti Lateralis Radix Praeparata), halving Gui Xin, and adding Bo He (Menthae Haplocalycis Herba) for decoction.
[Bao Ming Ji] Xue Feng Tang (Blood Wind Decoction) treats various wind syndromes after childbirth, including flaccidity, spasms, and weakness.
Prescription: Qin Jiao (Gentianae Macrophyllae Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Fang Feng, Bai Zhi (Angelicae Dahuricae Radix), Chuan Xiong, Shao Yao, Dang Gui, Bai Zhu, Fu Ling (Poria), Shu Di Huang (Rehmanniae Radix Praeparata) (equal parts).
Grind the above herbs into powder. Half is made into honey pills, half remains as powder. Take 50-70 pills mixed with wine for best results.
[Shi Yi Xin Jing] Treats postpartum wind-deficiency, Wu Huan Liu Ji (five slackness and six urgency syndromes), numbness and bi-syndrome in hands and feet, and irregular Qi and Blood. Take one sheng of soybeans (Da Dou), stir-fry until cooked, pour into three sheng of hot wine while still warm, seal tightly, and drink.
[Duan Ju Fang] Treats postpartum wind-stroke, slurred speech, and spasticity/tightness of the four limbs. Qiang Huo 3 liang, ground into powder. Take 5 qian per dose, decoct with half a zhan of water and half a zhan of wine, strain, and take warm.
Regarding the above treatments for postpartum wind-stroke using Xuming Tang and dispersing herbs like Qiang Huo, one must carefully examine Qi and Blood. It is advisable to combine Si Wu Tang (Four Substances Decoction) and Si Jun Zi Tang (Four Gentlemen Decoction), each taking half, and administer them according to proportional dosages.