论曰背为阳，腹为阴，阴阳之脉，交相维持，产后血气不足，风邪中于阳经，使阳脉拘
急，反引腰背，如弓反张，故以角弓反张为名焉。
治产后中风，角弓反张，不得俯仰，筋脉急痛。大黄汤方
大黄（锉碎醋少许炒） 当归（切焙） 熟干地黄（焙） 桂（去粗皮） 芍药（各半
两） 吴
上七味，粗捣筛，每服三钱匕，水一盏，入羊脂一枣大。同煎七分，去滓温服，不拘时
治产后中风，角弓反张，及贼风入腹，腹中拘痛烦乱，惚恍忘误，迷惑不知人事，口噤
不开，手足缓纵，产后余病。体虚受风，烦愦欲死。竹沥汤方
秦艽（去苗土） 甘草（炙） 防风（去叉） 当归（切焙各一两） 茵芋（去粗茎） 乌
头（炮
雄（炮裂去皮脐） 防己 白茯苓（
上一十五味，锉如麻豆，每服三钱匕，竹沥并水合一盏，煎取六分，去滓温服，不拘
时。
治产后中风，角弓反张，筋急疼痛。当归汤方
当归（切焙二两） 大黄（锉微炒） 干姜（炮各一两） 吴茱萸（炒） 雄黄（研各
半两）
上一十味，粗捣筛，每服五钱匕，水一盏半，羊脂一枣大，同煎七分，去滓温服，不拘
时。
治产后中风，腰背反折，强急疼痛。麻黄汤方
麻黄（去根节煎掠去沫焙） 防风（去叉） 桂（去粗皮） 白术（锉炒） 人参 芎
当
干姜（炮各
上一十一味，锉如麻豆，每服五钱匕，水二盏，煎至一盏，去滓温服，不拘时。
治产后中风，角弓反张，口噤发痉。独活汤方
独活（去芦头一两半） 当归（锉炒） 防风（去叉各三分） 麻黄（去根节煎掠去沫
焙一
上六味，锉如麻豆，每服五钱匕，水酒共一盏半，同煎一盏，去滓温服，不拘时。
治产后中风，身如角弓反张，口噤。茯苓汤方
白茯苓（去黑皮） 芎 （锉） 当归（锉炒） 甘草（炙） 栀子仁（各半两） 桂
（去粗
上一十味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓温服，不拘时。
治产后中风，身体强直，如弓反张。芎 汤方
芎 防风（去叉） 桂（去粗皮） 人参（各一两） 麻黄（去根节煎掠去沫焙一两
半） 附
八十枚）
上九味，锉如麻豆，每服五钱匕，水二盏，入生姜半分切，煎取一盏，去滓温服，不
时。
治产后中风，角弓反张，筋急口噤。犀角散方
犀角（屑） 乌蛇（酒浸去皮骨炙） 细辛（去苗叶） 芎 独活（去芦头） 黄
（锉）
一两） 龙骨（火烧） 酸枣仁（炒）
上一十五味，捣罗为散，每服三钱匕，温酒调下，或二三服后，于温暖浴室内，澡浴一
次，令身内外和暖，浴后再服，每日一次，佳，不可太汗出，慎风冷。
治产后中风，角弓反张，筋脉强急。天麻丸方
天麻（酒炙） 白附子（炮） 天南星（炮） 桂（去粗皮） 乌蛇（酒浸去皮骨炙） 麻
黄（去
各一两） 丹砂（别研半两） 麝香
上一十二味，除丹麝外，捣罗为末，共和匀，炼蜜为丸，如梧桐子大，每服二十丸，温
酒下，不拘时服。
治产后中风，腰背反折，筋急口噤。黑豆酒方
黑豆（二升小者打碎） 酒（四升）
上将黑豆，铛中慢火炒令香熟，即以酒投之，取出以绢滤去豆，将酒瓷器盛，每服一盏
，温服不拘时。
治产后服豆酒已，再服。地黄酒方
生地黄汁（二升） 清酒（三升） 生姜汁（二合）
上三味，煮地黄四五沸，入姜酒更煎三沸，任性细细饮。冷多加桂末二两，热多加生藕
汁二合。
治产后腰背反折，四肢不遂。黑豆酒方
酒（五升） 鸡屎白（半盏） 黑豆（一升打碎）
上先将黑豆，铛中炒令香熟，即入鸡屎白，同炒良久，以酒投之，取出以绢滤去滓，将
酒瓷器盛，每服一盏，温服不拘时。
治产后中风，四肢拘急，筋节掣痛，不得转侧，角弓反张。麻黄汤方
麻黄（去根节三分） 桂（去粗皮） 白术 防己（各半两） 防风（去叉） 芎 芍
药（各
上七味，锉如豆大，每服五钱匕，水二盏，入生姜半分切，煎至一盏，下竹沥半合和
，煎三两沸去滓，食后良久温服，服讫衣覆，取汗为度。
治产后中风，口噤四肢 痹不仁，或角弓反张。排风酒方
羌活（去芦头） 防风（去叉各一两） 大豆（拭去土熬令皮拆声出半升）
上三味，以醇酒三升，浸羌活防风经一宿，即炒大豆令有声。乘热投于酒中，搅匀封盖
，经
半日，于铛中重汤文火煮一时，即乘热尽量顿服，被衣覆盖，当有微汗，如不能饮，即量性
服之，使令微似醉状。若要急用即以酒煎羌活防风汁淋豆服之、亦得。服不尽一剂、即瘥。
治产后中风，角弓反张，口不能言。大蒜汤方
大蒜
上一味，每取两瓣拍碎，水一盏半，煎至七分，去滓灌之。
又方
上顿服竹沥一升，即愈。
Commentary states: The back belongs to Yang, and the abdomen belongs to Yin. The meridians of Yin and Yang maintain each other mutually. After childbirth, Qi and Blood are insufficient; Wind pathogen invades the Yang meridians, causing the Yang meridians to become spasmodic and tense, pulling backwards on the waist and back, resulting in a body arched like a bow. Hence it is named "Jiaogong Fanzhang" (Opisthotonos).
Treatment for postpartum wind-stroke with opisthotonos, inability to bend or extend, and spasmodic pain in sinews and vessels. Da Huang Tang (Rhubarb Decoction):
Da Huang (Rhei Radix et Rhizoma, crushed and stir-fried with a little vinegar) Dang Gui (Angelicae Sinensis Radix, sliced and dried) Shu Gan Di Huang (Prepared Rehmanniae Radix, dried) Gui (Cinnamomi Ramulus, coarse bark removed) Shao Yao (Paeoniae Radix, half tael each) Wu Zhu Yu (Evodiae Fructus) [Note: Text implies seven ingredients]. These seven herbs are coarsely pounded and sieved. Each dose consists of three qian bi (approx. 9g), boiled in one zhan (approx. 200ml) of water with a piece of sheep fat the size of a jujube core. Simmer until reduced to 70%, remove dregs, and take warm at any time.
Treatment for postpartum wind-stroke with opisthotonos, as well as thief-wind entering the abdomen causing abdominal spasmodic pain, restlessness, confusion, forgetfulness, bewilderment, loss of consciousness, locked jaw, flaccid limbs, and other postpartum ailments. Due to deficiency receiving wind, causing severe irritability and distress. Zhu Li Tang (Bamboo Sap Decoction):
Qin Jiao (Gentianae Macrophyllae Radix, cleaned of sprouts and soil) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) Fang Feng (Saposhnikoviae Radix, cleaned of forked branches) Dang Gui (Angelicae Sinensis Radix, sliced and dried, one tael each) Yin Yu (Cosmea frutescens stem, coarse stems removed) Wu Tou (Aconiti Lateralis Radix Praeparata, processed) Xiong Huang (Realgar, processed and cracked, skin and navel removed) Fang Ji (Stephaniae Tetrandrae Radix) Bai Fu Ling (Poria, [text incomplete]). These fifteen ingredients are chopped like hemp seeds. Each dose is three qian bi, mixed with one zhan of bamboo sap and water, simmered to 60%, dregs removed, taken warm at any time.
Treatment for postpartum wind-stroke with opisthotonos and spasmodic pain in sinews and vessels. Dang Gui Tang (Angelica Decoction):
Dang Gui (Angelicae Sinensis Radix, sliced and dried, two taels) Da Huang (Rhei Radix et Rhizoma, crushed and lightly fried) Gan Jiang (Zingiberis Rhizoma, processed, one tael each) Wu Zhu Yu (Evodiae Fructus, stir-fried) Xiong Huang (Realgar, powdered, half tael each) [Text implies ten ingredients]. Coarsely pounded and sieved. Each dose is five qian bi, boiled in one and a half zhan of water with a piece of sheep fat the size of a jujube core. Simmer to 70%, remove dregs, take warm at any time.
Treatment for postpartum wind-stroke with backward bending of the waist and back, stiffness, tension, and pain. Ma Huang Tang (Ephedra Decoction):
Ma Huang (Ephedrae Herba, roots and joints removed, boiled to remove foam, dried) Fang Feng (Saposhnikoviae Radix, cleaned) Gui (Cinnamomi Ramulus, coarse bark removed) Bai Zhu (Atractylodis Macrocephalae Rhizoma, chopped and fried) Ren Shen (Ginseng Radix) Xiong (Chuanxiong Rhizoma) Gan Jiang (Zingiberis Rhizoma, processed, [amounts missing]). These eleven ingredients are chopped like hemp seeds. Each dose is five qian bi, boiled in two zhan of water until reduced to one zhan, dregs removed, taken warm at any time.
Treatment for postpartum wind-stroke with opisthotonos, locked jaw, and spasms. Du Huo Tang (Angelicae Pubescentis Radix Decoction):
Du Huo (Angelicae Pubescentis Radix, rhizome removed, one tael and a half) Dang Gui (Angelicae Sinensis Radix, chopped and fried) Fang Feng (Saposhnikoviae Radix, cleaned, three fen each) Ma Huang (Ephedrae Herba, roots and joints removed, foam removed by boiling, dried [amount missing]). These six ingredients are chopped like hemp seeds. Each dose is five qian bi, boiled in one and a half zhan of water and wine together until reduced to one zhan, dregs removed, taken warm at any time.
Treatment for postpartum wind-stroke with body resembling opisthotonos and locked jaw. Fu Ling Tang (Poria Decoction):
Bai Fu Ling (Poria, black skin removed) Xiong (Chuanxiong Rhizoma, chopped) Dang Gui (Angelicae Sinensis Radix, chopped and fried) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) Zhi Zi Ren (Gardeniae Semen, half tael each) Gui (Cinnamomi Ramulus, coarse bark [removed]). These ten ingredients are coarsely pounded and sieved. Each dose is five qian bi, boiled in one and a half zhan of water until reduced to 80%, dregs removed, taken warm at any time.
Treatment for postpartum wind-stroke with body stiffness and backward bending like a bow. Xiong Tang (Chuanxiong Decoction):
Xiong (Chuanxiong Rhizoma) Fang Feng (Saposhnikoviae Radix, cleaned) Gui (Cinnamomi Ramulus, coarse bark removed) Ren Shen (Ginseng Radix, one tael each) Ma Huang (Ephedrae Herba, roots and joints removed, foam removed, dried, one tael and a half) Fu Zi (Aconiti Lateralis Radix Praeparata, eighty pieces [Note: Dosage likely erroneous in original text]). These nine ingredients are chopped like hemp seeds. Each dose is five qian bi, boiled in two zhan of water with half a portion of sliced fresh ginger until reduced to one zhan, dregs removed, taken warm at any time.
Treatment for postpartum wind-stroke with opisthotonos, spasmodic sinews, and locked jaw. Xi Jiao San (Rhinoceros Horn Powder):
Xi Jiao (Rhinocerotis Cornu, shaved) Wu She (Wagleri's Pit Viper, soaked in wine, skin and bones removed, roasted) Xi Xin (Asari Radix et Rhizoma, sprouts and leaves removed) Xiong (Chuanxiong Rhizoma) Du Huo (Angelicae Pubescentis Radix, rhizome removed) Huang Qi (Astragali Radix, chopped) Long Gu (Fossilized Mammoth Bones, fire-roasted) Suan Zao Ren (Ziziphi Spinosae Semen, stir-fried) [Total fifteen ingredients]. Pounded and sieved into powder. Each dose is three qian bi, taken with warm wine. Alternatively, after two or three doses, bathe once in a warm room to warm the body inside and out, then take medicine again. Once daily is optimal. Do not induce excessive sweating; avoid wind and cold.
Treatment for postpartum wind-stroke with opisthotonos and stiff sinews. Tian Ma Wan (Gastrodia Pill):
Tian Ma (Gastrodiae Rhizoma, wine-roasted) Bai Fu Zi (Typhonii Rhizoma, processed) Tian Nan Xing (Arisaematis Rhizoma, processed) Gui (Cinnamomi Ramulus, coarse bark removed) Wu She (Wagleri's Pit Viper, soaked in wine, skin and bones removed, roasted) Ma Huang (Ephedrae Herba, [missing details]) Dan Sha (Cinnabar, separately ground, half tael) She Xiang (Moschus). These twelve ingredients, except Cinnabar and Moschus, are pounded into fine powder, mixed evenly, and formed into pills with refined honey, sized like paulownia seeds. Each dose is twenty pills, taken with warm wine at any time.
Treatment for postpartum wind-stroke with backward bending of waist and back, spasmodic sinews, and locked jaw. Hei Dou Jiu (Black Soybean Wine):
Hei Dou (Glycines Soja Seed, two sheng of small beans, crushed) Jiu (Alcohol, four sheng). Stir-fry the black soybeans in a pan over low heat until fragrant and cooked. Pour in the wine, remove, filter through silk cloth to remove bean residue, and store the wine in porcelain. Each dose is one zhan, taken warm at any time.
After taking Black Soybean Wine, take Di Huang Jiu (Rehmannia Wine):
Sheng Di Huang Zhi (Fresh Rehmanniae Radix Juice, two sheng) Qing Jiu (Clear Alcohol, three sheng) Sheng Jiang Zhi (Fresh Ginger Juice, two he). Boil the Rehmannia juice four or five times, add ginger and wine, and boil three more times. Drink slowly according to preference. If feeling cold, add two taels of cinnamon powder; if feeling hot, add two he of fresh lotus root juice.
Treatment for postpartum backward bending of waist and back and paralysis of limbs. Hei Dou Jiu (Black Soybean Wine):
Jiu (Alcohol, five sheng) Ji Shi Bai (White excrement of chicken, half zhan) Hei Dou (Glycines Soja Seed, one sheng, crushed). Stir-fry the black soybeans in a pan until fragrant and cooked. Add chicken excrement and stir-fry for a long time. Pour in the wine, remove, filter through silk cloth to remove dregs, and store in porcelain. Each dose is one zhan, taken warm at any time.
Treatment for postpartum wind-stroke with spasmodic limbs, pulling pain in joints, inability to turn, and opisthotonos. Ma Huang Tang (Ephedra Decoction):
Ma Huang (Ephedrae Herba, roots and joints removed, three qian) Gui (Cinnamomi Ramulus, coarse bark removed) Bai Zhu (Atractylodis Macrocephalae Rhizoma) Fang Ji (Stephaniae Tetrandrae Radix, half tael each) Fang Feng (Saposhnikoviae Radix, cleaned) Xiong (Chuanxiong Rhizoma) Shao Yao (Paeoniae Radix, [amounts missing]). These seven ingredients are chopped like beans. Each dose is five qian bi, boiled in two zhan of water with half a portion of sliced fresh ginger until reduced to one zhan. Add half a he of bamboo sap, boil for two or three boils, remove dregs, and take warm long after meals. Cover with clothing after taking to induce sweating as the goal.
Treatment for postpartum wind-stroke with locked jaw, numbness and insensitivity of limbs, or opisthotonos. Pai Feng Jiu (Expelling Wind Wine):
Qiang Huo (Notopterygii Rhizoma et Radix, rhizome removed) Fang Feng (Saposhnikoviae Radix, cleaned, one tael each) Da Dou (Sojae Semen Album, wiped clean, roasted until skins crack and sound is produced, half sheng). Soak Qiang Huo and Fang Feng in three sheng of strong wine overnight. Roast soybeans until they make noise. Throw them into the wine while hot, stir well, seal, and let stand for half a day. Then boil in a double boiler over gentle heat for one shichen (two hours). Take as much as possible while hot, cover with clothes; slight sweating should occur. If unable to drink alcohol, take appropriate amount to achieve a slightly intoxicated state. For urgent use, decoct Qiang Huo and Fang Feng in wine, pour over the beans, and take. One dose may cure.
Treatment for postpartum wind-stroke with opisthotonos and inability to speak. Da Suan Tang (Garlic Decoction):
Da Suan (Allium Sativum Bulbus). Two cloves per dose, crushed. Boil in one and a half zhan of water until reduced to 70%. Remove dregs and administer.
Another prescription:
Take one sheng of Bamboo Sap in one dose; recovery will follow.