〔仲〕问曰∶新产妇人有三病，一者病 ，二者病郁冒，三者大便难，何谓也？师曰∶新产血虚，多
汗出，喜中风，故令病 。亡血复汗，寒多，故令郁冒。亡津液，胃燥，故大便难。（产妇郁冒，
即今世所谓血晕也。）
〔《大》〕产后血晕者，气血暴虚，未得安静，血随气上，迷乱心神，故眼前生花。极甚者，令
人闷绝不知人，口噤神昏气冷，但服清魂散即醒。
泽兰叶 人参（各二钱半） 荆芥（一两） 川芎（半两） 甘草（一两，先方无）
上为末，用温酒、热汤各半盏，调一钱，急灌之。下咽即开眼气定，省人事。
〔《保》〕治产后风虚血晕，精神昏昧，荆芥散。
荆芥（一两三钱） 桃仁（五钱，炒）
上细末，温水下三钱。微喘加杏仁、炒甘草各三钱。
〔《衍》〕治产后血晕。用荆芥穗为末，童便调下二三钱，极妙验。产后血晕，身 直，戴眼，口
角与目外眵，向上牵急，不知人。取鸡子一枚，去壳取清，以荆芥末二钱调服，遂仍根据次调治。若无他疾，
则不须治，甚敏捷。
上荆芥例，气虚人不宜服。
〔《大》〕下血多而晕者，但昏闷烦乱而已，当补血；下血少而晕者，乃恶露不下，上抢于心，心下满急，
神昏口噤，绝不知人，当破血行血。
〔丹〕妇人产后血晕，此乃虚火载血，渐渐晕将上来。用鹿角烧灰，出火毒，研极细，用好酒、童便调，
灌下，一呷即醒。此物行血极效。
〔云〕独行散 治产后血晕，昏迷不省，冲心闷绝。
五灵脂半生半炒，各二钱，为细末，温酒调下二钱。口噤者，斡开口灌之，入喉即愈。一方。加
荆芥，等分为末，童便调下。
〔世〕治下胎或产后血上冲心，已死。用郁金烧存性，为末二钱，酽醋一合，调灌之，立活。
〔《简》〕产后血晕，心闷气绝。红花一两，捣为末，分作二服，酒二钟，煎取一钟，并服。如口
噤，斡开灌之，速效。一方，用红花三两，新者，无灰酒、童便各半升，煮取一盏服之。
〔《肘》〕治血晕。苏木三两，细锉，水五升，煮取二升，分再服，瘥。无苏木，方取绯衣煮汁
服之，亦得。
〔《圣》〕产后血晕，不知人及狂语。麒麟竭一两，细研为末，非时温酒调下二钱匕。
〔《保》〕红花散 治产后血昏血晕血崩，及月事不匀，远年干血气。
干荷叶 牡丹皮 川归 红花 蒲黄（炒，等分）
上细末，每半两，酒煎和渣温服。如胎衣不下，榆白皮汤调半两，立效。
上破血轻剂。
〔无〕牡丹散 治产后血晕，闷绝。口噤，则斡开口灌之。
牡丹皮 大黄（煨） 芒硝（各一两） 冬瓜子（半合） 桃仁（三十粒，去皮尖）
上锉，每服五钱，水三钟，煎至一钟半，去渣，入硝又煎，分二服。
〔《产书》〕治产后心烦，手脚烦热，气力欲尽，血晕连心，头硬，及寒热不禁。接骨木破之如算子一
握，以水一升，煎取半升，分温二服。或小便数，恶血不止，服之即瘥。此木煎三遍，其力一般，
此是起死之方。
上重剂，血点滴不出者宜用。
〔《大》〕花蕊石散治产后气欲绝，恶血奔心至死者，但以童便调一钱，取下恶物极妙。（方见跌
扑伤损。）
黑神散治产后血晕，用细酒调服佳。（方见产通用。）
上二方寒多者用之。
芎归加芍药汤治产后去血过多而晕。（方见产后血不止。）
〔《保》〕又方 治产后血晕危困。
生地汁（一大盏） 当归（二钱半，炒） 赤芍药（二钱半，锉）
上水煎三五沸，温服。如觉烦热，去当归，入童便半盏服之。
〔梅〕治产后余血攻心，或下血不止，心闷，面青身冷，气欲绝。新羊血一盏饮之，日三服，妙。
〔《大》〕产后忽冒闷，汗出，不识人者，暴虚故也。破鸡子三枚，吞之便醒。若未醒，可与童便
一升，甚验。若产后去血多者，又增此疾，与鸡子不醒者，可急作竹沥汁，一服五合。须臾不定，
再与五合，频与三五服，瘥。
〔丹〕妇人年三十余，面白形长，心中长有不平事。忽半夜诞子，才分娩后，侵晨晕厥不知人，遂
急于气海灼艾十五壮而苏，后以参、术等药，两月方安。
〔仲〕一产妇郁冒，其脉微弱，不能食，大便反坚，但头汗出。所以然者，血虚而厥，厥而必冒。冒
家欲解，必大汗出，以血虚下厥，孤阳上出，故但头汗出。所以产妇喜汗出者，亡阴血虚，阳气独盛，
故当汗出，阴阳乃复，大便坚，呕不能食，小柴胡汤主之。（郁冒即晕也。）
〔《大》〕治产后血晕，全不省人事，极危殆者。用韭菜切入有嘴瓶内，煎热醋沃之，便密封瓶口。
以瓶嘴向产妇鼻孔，令醋气透入，须先扶病患起坐，即醒。又方，如觉晕，即以醋 面，醒来，即
与醋细细呷之，又以醋涂口鼻，并置醋于傍，使常闻其气。又法，治血晕去者。急取干漆烧取烟以
向鼻，即醒。如无干漆，旧漆器亦可。又方，治产后血晕，用生半夏末少许，吹入鼻中。
〔《本》〕治胎后血上冲心。生姜五片，切，以水八升，煮取三升，分三服。
〔丹〕醋墨防产时血晕。好墨半锭，火烧赤，投醋中，如此三遍，出火毒，研细，每服五分，淡
醋汤调下。
〔《摘》〕产后血晕，不省人事∶三里、支沟、三阴交（《心术》无此一穴。）
〔《标幽》〕又法∶阴交、阳别。
〔世〕又法∶神门 内关（不应，取后穴∶） 关元（灸。）
[Zhang Zhongjing] Asked: There are three diseases in women who have just given birth. One is Jing disease (a condition characterized by stiffness of the neck and back, and opisthotonos), one is Yumao (a condition characterized by dizziness, visual disturbances, and mental depression), and one is difficulty in defecation. What does this mean? The Master said: After childbirth, blood deficiency occurs, accompanied by excessive sweating, making the body susceptible to wind pathogens, thus causing Jing disease. Loss of blood followed by sweating leads to an excess of cold, thus causing Yumao. Depletion of body fluids results in dryness of the stomach, thus causing difficulty in defecation. (Yumao in postpartum women is what is currently known as Xueyun or blood syncope.)
[Da Ren Quan Sheng Fang] Postpartum Xueyun (blood syncope) occurs due to a sudden deficiency of Qi and Blood. When the body has not yet stabilized, blood follows the ascending Qi, confusing the Shen (Spirit), causing visual hallucinations such as seeing flowers before the eyes. In extreme cases, it causes severe suffocation, unconsciousness, clenched jaws, coma, and cold breath. Administering Qinghun San (Clear Soul Powder) will restore consciousness.
Zelan Ye (Lycopus Herba), Renshen (Ginseng Radix et Rhizoma) (each 2.5 qian), Jingjie (Schizonepetae Spica) (1 liang), Chuanxiong (Ligustici Chuanxiong Rhizoma) (0.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (1 liang, absent in the original formula).
Grind the above into fine powder. Mix with half a cup of warm wine and half a cup of hot water, take 1 qian, and administer urgently. Upon swallowing, the eyes open, breathing stabilizes, and consciousness returns.
[Bao Ming Ji] To treat postpartum wind-deficiency Xueyun (blood syncope) with mental confusion, use Jingjie San (Schizonepeta Powder).
Jingjie (Schizonepetae Spica) (1 liang 3 qian), Taoren (Persicae Semen) (5 qian, stir-fried).
Grind into fine powder. Take 3 qian with warm water. If there is slight panting, add Xingren (Armeniacae Semen Amarum) and stir-fried Gancao (Glycyrrhizae Radix et Rhizoma), each 3 qian.
[Yan Yi] To treat postpartum Xueyun (blood syncope). Use Jingjie Sui (Schizonepetae Spica) ground into powder, mixed with Tongbian (Child's Urine) for oral administration of 2-3 qian. This is extremely effective and verified. Symptoms of postpartum Xueyun include rigid straightening of the body, upward deviation of the eyes (Daiyan), upward traction and spasm of the mouth corners and outer canthi, and unconsciousness. Take one chicken egg, remove the shell, take the egg white, mix with 2 qian of Jingjie powder, and administer. Then treat according to subsequent conditions. If there are no other illnesses, no further treatment is needed; it acts very swiftly.
Note: The above methods using Jingjie should not be used for patients with Qi deficiency.
[Da Ren Quan Sheng Fang] For fainting due to heavy bleeding, there is only drowsiness, suffocation, and restlessness; tonify Blood. For fainting due to light bleeding, it is caused by retained lochia (Elu) failing to discharge, rushing up to the Heart, causing fullness and urgency in the epigastrium, coma, clenched jaws, and complete unconsciousness; break stasis and promote Blood circulation.
[Zhu Danxi] Postpartum Xueyun (blood syncope) in women is caused by deficient fire carrying Blood upwards gradually. Burn Lu Jiao (Cervi Cornu) to ash, eliminate fire toxicity, grind extremely fine, mix with good wine and Tongbian (Child's Urine), and administer. One sip restores consciousness. This substance is extremely effective in moving Blood.
[Yun Qizi] Duxing San (Single Herb Powder) treats postpartum Xueyun (blood syncope), coma, unconsciousness, and suffocation due to Blood rushing to the Heart.
Wulingzhi (Trogopteri Dung) (half raw, half stir-fried), 2 qian each, grind into fine powder. Mix with warm wine and take 2 qian. For clenched jaws, pry open the mouth and administer; it cures upon entering the throat. Another method: add Jingjie (Schizonepetae Spica), divide equally into powder, mix with Tongbian (Child's Urine) and take.
[Shi Yi De Xiao Fang] To treat death-like state due to placenta expulsion or postpartum Blood rushing to the Heart. Burn Yu Jin (Curcumae Radix) until carbonized (preserving its nature), grind into 2 qian of powder. Mix with 1 he of strong vinegar and administer; life is immediately restored.
[Jian Yi Fang Lun] Postpartum Xueyun (blood syncope) with chest oppression and cessation of Qi. Honghua (Carthami Flos) 1 liang, grind into powder. Divide into two doses. Decoct with 2 zhong of wine to obtain 1 zhong. Take together. If jaws are clenched, pry open and administer; effect is rapid. Another method: use 3 liang of fresh Honghua (Carthami Flos), Wu Hui Jiu (Rice Wine without Ash) and Tongbian (Child's Urine) each 0.5 sheng. Boil to obtain 1 zhen and take.
[Zhou Hou Bei Ji Fang] To treat Xueyun (blood syncope). Su Mu (Sappan Lignum) 3 liang, finely chopped. Decoct in 5 sheng of water to obtain 2 sheng. Take in two doses; cure. If Su Mu is unavailable, boil Fei Yi (Red Cloth/Garment) and drink the juice; this also works.
[Sheng Ji Zong Lu] Postpartum Xueyun (blood syncope) with unconsciousness and delirious speech. Qilin Jie (Dragon's Blood Resin) 1 liang, grind into fine powder. At any time, mix with warm wine and take 2 qian bi.
[Bao Ming Ji] Honghua San (Safflower Powder) treats postpartum blood dimness, Xueyun (blood syncope), metrorrhagia, irregular menstruation, and old dried Blood stagnation.
Gan He Ye (Dried Nelumbinis Folium), Mudan Pi (Moutan Cortex), Chuan Gui (Angelicae Sinensis Radix), Honghua (Carthami Flos), Puhuang (Typhae Pollen) (stir-fried, equal parts).
Grind into fine powder. Take 0.5 liang each time, decoct with wine, and take warm including the dregs. If the placenta fails to descend, mix with Yu Bai Pi (Ulmus Radix Cortex) decoction, 0.5 liang; immediate effect.
This is a mild formula for breaking Blood stasis.
[Anonymous] Mudan San (Peony Powder) treats postpartum Xueyun (blood syncope) with severe suffocation. For clenched jaws, pry open and administer.
Mudan Pi (Moutan Cortex), Da Huang (Rhei Radix et Rhizoma) (baked), Mangxiao (Natrii Sulfas) (each 1 liang), Donggua Zi (Benincasae Semen) (0.5 he), Taoren (Persicae Semen) (30 grains, skin and tip removed).
Chop coarsely. Take 5 qian each dose, decoct in 3 zhong of water until 1.5 zhong remains. Strain, add Mangxiao (Natrii Sulfas), decoct again. Divide into two doses.
[Chan Shu] To treat postpartum vexation, heat in hands and feet, exhaustion of strength, Xueyun (blood syncope) connecting to the Heart, hardness of the head, and uncontrollable chills and fever. Break Jiejiaomu (Araliae Chinensis Caulis) into pieces about the size of a handful of counting rods. Decoct in 1 sheng of water to obtain 0.5 sheng. Take warm in two doses. Or if urination is frequent and lochia does not stop, taking this will cure. Decoction of this wood three times retains its potency; this is a life-saving formula.
This is a heavy formula, suitable for cases where no blood drops out.
[Da Ren Quan Sheng Fang] Huarishi San (Orpiment Powder) treats postpartum Qi nearly exhausted, or death caused by malignant Blood rushing to the Heart. Mix 1 qian with Tongbian (Child's Urine); expelling malignant matter is extremely effective. (Formula see Trauma section.)
Heishen San (Black Divine Powder) treats postpartum Xueyun (blood syncope); best taken mixed with fine wine. (Formula see General Postpartum section.)
The above two formulas are for cases with much Cold.
Xiong Gui Jia Shaoyao Tang (Cyathula and Angelica Decoction plus Peony) treats fainting due to excessive blood loss postpartum. (Formula see Postpartum Hemorrhage section.)
[Bao Ming Ji] Another Formula to treat critical postpartum Xueyun (blood syncope).
Sheng Di Zhi (Rehmanniae Radix Juice) (1 large zhen), Dang Gui (Angelicae Sinensis Radix) (2.5 qian, stir-fried), Chi Shao Yao (Paeoniae Radix Rubra) (2.5 qian, sliced).
Decoct in water for 3-5 boils. Take warm. If feeling vexatious heat, remove Dang Gui (Angelicae Sinensis Radix), add 0.5 zhen of Tongbian (Child's Urine) and take.
[Mei Biao] To treat postpartum residual Blood attacking the Heart, or continuous bleeding, chest oppression, blue face, cold body, and near-death Qi. Drink 1 zhen of fresh Sheep Blood (Ovis Aries Blood), three times daily; excellent.
[Da Ren Quan Sheng Fang] Sudden postpartum fainting, sweating, and inability to recognize people is due to sudden deficiency. Break 3 chicken eggs and swallow them; consciousness returns. If not awake, give 1 sheng of Tongbian (Child's Urine); very effective. If postpartum blood loss was heavy and this ailment increases, and eggs do not restore consciousness, urgently prepare Zhu Li (Bamboo Sap). Take 5 he per dose. If still unsettled shortly after, give another 5 he. Administer frequently for 3-5 doses; cure.
[Zhu Danxi] A woman in her thirties, pale-faced and tall, often harbored unresolved grievances. She gave birth suddenly at midnight. Early next morning, she fainted and lost consciousness. Acupuncture moxa was urgently applied to Qihai (CV6) for 15 moxa cones, and she revived. Later, she took herbs like Renshen (Ginseng Radix et Rhizoma) and Baizhu (Atractylodis Macrocephalae Rhizoma), and stabilized after two months.
[Zhang Zhongjing] A postpartum patient with Yumao (dizziness/coma) has a weak pulse, cannot eat, stool is hard, but only the head sweats. The reason is Blood deficiency leading to Jue (reversal/cold extremities), which causes Yumao. For Yumao to resolve, there must be profuse whole-body sweating. Because Blood deficiency causes lower Jue, solitary Yang floats upward, hence only head sweating. Therefore, postpartum women tend to sweat because Yin Blood is depleted and Yang Qi is dominant; sweating allows Yin and Yang to restore balance. With hard stool, vomiting, and inability to eat, Xiaochaihu Tang (Minor Bupleurum Decoction) is the primary treatment. (Yumao is synonymous with syncope.)
[Da Ren Quan Sheng Fang] To treat postpartum Xueyun (blood syncope) with complete unconsciousness, extremely critical. Cut Chive (Allium tuberosum) into segments, place in a bottle with a spout. Pour hot Vinegar (Acetum) over it, seal the bottle mouth tightly. Hold the spout towards the patient's nostrils so the vinegar vapor enters. First, help the patient sit up; she will wake. Another method: if feeling dizzy, apply vinegar to the face. Once awake, sip vinegar slowly. Apply vinegar to mouth and nose, and keep vinegar nearby for constant inhalation. Another method for treating Xueyun (blood syncope) collapse. Quickly burn Ganqi (Dry Resin of Toxicodendron) and inhale the smoke; wake immediately. If Ganqi is unavailable, old lacquerware works too. Another method for postpartum Xueyun (blood syncope): blow a small amount of raw Banxia (Pinelliae Rhizoma) powder into the nose.
[Ben Cao Gang Mu] To treat Blood rushing to the Heart after delivery. Slice 5 pieces of Shengjiang (Zingiberis Rhizoma Recens). Decoct in 8 sheng of water to obtain 3 sheng. Take in three doses.
[Zhu Danxi] Vinegar-Ink prevents intrapartum Xueyun (blood syncope). Take half a stick of good Inkstone Ink. Burn red-hot, plunge into vinegar. Repeat three times. Eliminate fire toxicity, grind fine. Take 5 fen each time, mixed with dilute vinegar soup.
[Zhai Xuan Fang] Postpartum Xueyun (blood syncope), unconsciousness: Zusanli (ST36), Zhigou (SJ6), Sanyinjiao (SP6). (Xin Shu does not list this acupoint.)
[Biao You Fu] Another method: Yinjiao (RN7), Yangbie (extra point).
[Shi Yi De Xiao Fang] Another method: Shenmen (HT7), Neiguan (PC6). (If no response, take posterior points:) Guanyuan (CV4) (moxibustion).