产后中风，口噤，不省人事，牙关口闭，手足螈 者，举轻古拜散。产后血大亏损，经络空
虚，劳碌太早，风邪乘虚而入者，小续命汤，或愈风汤。中风角弓反张，涎潮涌出，大豆子
汤。
小续命汤
麻黄（一钱） 人参（一钱） 黄芩（一钱） 白芍（一钱，炒） 川芎（一钱） 甘草（八分） 杏仁
（十四粒） 防己（一钱） 肉桂（七分） 附子（一钱，制）
水煎服。
大豆子汤
大黑豆（一升，炒令焦黑，候烟起，以好酒三升沃之，入瓶内水贮听用）
每用此酒半升，入独活五钱，同煎十沸温服。
产后血晕与气脱，宜分别治之。
血晕是实证，逐瘀为主，此因恶露不行，恶血冲心，而心下满急，神昏口噤，不省人事者，
切勿放倒，急与生化汤、失笑丹，或佛手散。
气脱是虚证，补正为主，此因平素虚弱，临产用力劳伤，去血过多，亦致昏晕不醒。微虚者
，少烦即苏。大虚者，血竭即死。但察其面白口开自汗，手足冷厥，六脉微极，是气脱症也
。生死判于顷刻，勿令散倒，令旁人挽住头发，急与大剂参归附子等回其阳，或增损四物汤
，煎浓，徐徐灌之，但能下咽即可得生。若误认血晕，而以行血药投之，益速其毙也，治宜
细心详究。
产后阴虚血耗，四物汤加炮姜，产后去血过多，阴虚而致内热烦懑，呼吸气短，头痛闷乱，
骨节烦疼，人参当归散，阴虚发热者，小柴胡汤，去半夏，加花粉。
人参当归散
人参（一两） 当归（一两） 肉桂（一两） 熟地（一两）
每服五钱，加竹叶、生姜煎服。
小柴胡汤
人参 半夏 黄芩 柴胡 甘草
加姜水煎。
Postpartum wind-stroke, characterized by lockjaw (trismus), loss of consciousness, closure of the mouth and teeth, and convulsions of the limbs, should be treated with Juqing Guye San. When postpartum blood is severely depleted and meridians are empty, if labor is undertaken too early, allowing wind-pathogen to enter through the deficiency, Xiaoxuming Tang or Yufeng Tang may be used. For wind-stroke presenting with opisthotonos (back arching like a bow) and surging phlegm-saliva, Da Dou Zi Tang is indicated.
Xiaoxuming Tang (Minor Continuation Life Decoction)
Ephedrae Herba (Mahuang, 麻黄) - 1 qian
Ginseng Radix et Rhizoma (Renshen, 人参) - 1 qian
Scutellariae Radix (Huangqin, 黄芩) - 1 qian
Paeoniae Radix Alba (Baishao, 白芍) - 1 qian, stir-fried
Ligusticum Chuanxiong Rhizoma (Chuanxiong, 川芎) - 1 qian
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) - 8 fen
Prunus Armeniaca Semen (Xingren, 杏仁) - 14 grains
Podagriciae Herba (Fangji, 防己) - 1 qian
Cinnamomi Cortex (Rougui, 肉桂) - 7 fen
Aconiti Lateralis Radix Praeparata (Fuzi, 附子) - 1 qian, processed
Decoct in water and take orally.
Da Dou Zi Tang (Soybean Seed Decoction)
Glycine Max Seed (Da Heidou, 大黑豆) - 1 sheng, stir-fried until scorched black; when smoke rises, pour over with 3 sheng of good wine, store in a bottle with added water for later use.
Take half a sheng of this medicinal wine each time, add Angelicae Pubescentis Radix (Duhuo, 独活) - 5 qian, decoct together for ten boils, and take warm.
Postpartum blood syncope (xue yun) and qi collapse (qi tuo) should be treated separately.
Blood syncope is an excess syndrome, primarily treated by expelling blood stasis. This occurs because lochia fails to discharge, causing evil blood to rush upward to the heart, resulting in fullness and urgency below the heart, coma, lockjaw, and loss of consciousness. Do not lay the patient flat; immediately administer Shenghua Tang, Shixiao Dan, or Foshou San.
Qi collapse is a deficiency syndrome, primarily treated by tonifying upright qi. This results from inherent weakness, excessive exertion during delivery, and excessive blood loss, leading to fainting and unconsciousness. In mild deficiency, slight restlessness resolves quickly; in severe deficiency, exhaustion of blood leads to death. If one observes pale complexion, open mouth, spontaneous sweating, cold and cold extremities, and extremely faint pulse in all six positions, this is qi collapse. Life and death are decided in an instant. Do not let the patient lie down; have an assistant hold the patient's hair, and immediately administer large doses of Ginseng Radix et Rhizoma (Renshen), Angelicae Sinensis Radix (Danggui), and Aconiti Lateralis Radix Praeparata (Fuzi) to restore yang, or use Zengsun Siwu Tang. Decoct until thick, and slowly instill into the mouth. As long as it can be swallowed, life can be saved. If mistakenly identified as blood syncope and blood-moving herbs are administered, death will be hastened. Therefore, treatment requires careful and detailed investigation.
Postpartum yin deficiency and blood depletion: Siwu Tang plus Paojiang (Charred Ginger). Due to excessive blood loss postpartum, yin deficiency leads to internal heat and vexation, shortness of breath, headache, mental confusion, and painful joints. Ren Shen Dang Gui San is indicated. For yin deficiency with fever, Xiao Chaihu Tang is used, removing Pinelliae Rhizoma (Banxia) and adding Trichosanthis Radix (Huafen).
Ren Shen Dang Gui San (Ginseng and Angelica Powder)
Ginseng Radix et Rhizoma (Renshen, 人参) - 1 liang
Angelicae Sinensis Radix (Danggui, 当归) - 1 liang
Cinnamomi Cortex (Rougui, 肉桂) - 1 liang
Rehmanniae Radix Praeparata (Shudi, 熟地) - 1 liang
Take 5 qian per dose, add Phyllostachys Viridis Folium (Zhuyexie, 竹叶) and Zingiberis Rhizoma Recens (Shengjiang, 生姜), decoct and take.
Xiao Chaihu Tang (Minor Bupleurum Decoction)
Ginseng Radix et Rhizoma (Renshen, 人参)
Pinelliae Rhizoma (Banxia, 半夏)
Scutellariae Radix (Huangqin, 黄芩)
Bupleuri Radix (Chaihu, 柴胡)
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草)
Add ginger and water, decoct.