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Chuanxiong (Rhizoma Chuanxiong), Fushen (Poria with Hostwood), Baiziren (Semen Platycladi) (each 1 qian), Danggui (Radix Angelicae Sinensis) (3 qian), Jiangtan (Carbonized Rhizoma Zingiberis), Zhigancao (Prepared Radix Glycyrrhizae) (each 4 fen), Taoren (Semen Persicae) (12 grains), Renshen (Radix Ginseng) (2 qian), Yizhi (Fructus Alpiniae Oxyphyllae, stir-fried) (8 fen), Chenpi (Pericarpium Citri Reticulatae) (3 fen), Zao (Fructus Jujubae) (2 pieces).

After childbirth, the pain from blood stasis masses has ceased, but the patient presents with delirious speech and visual hallucinations.

Huangqi (Radix Astragali), Baizhu (Rhizoma Atractylodis Macrocephalae), Renshen (Radix Ginseng), Maidong (Radix Ophiopogonis), Chuanxiong (Rhizoma Chuanxiong), Zaoren (Semen Ziziphi Spinosae), Fushen (Poria with Hostwood), Baiziren (Semen Platycladi), Yizhi (Fructus Alpiniae Oxyphyllae, stir-fried), Danggui (Radix Angelicae Sinensis), Shudi (Prepared Radix Rehmanniae) (each 2 qian), Zhigancao (Prepared Radix Glycyrrhizae), Chenpi (Pericarpium Citri Reticulatae) (3 fen), Lianzi (Semen Nelumbinis) (8 grains), Wuweizi (Fructus Schisandrae) (7 grains), Yuanyanrou (Arillus Longan) (8 pieces), Zao (Fructus Jujubae) (2 pieces).

Generally, postpartum patients suffering from metrorrhagia leading to Qi and Blood collapse, shortness of breath resembling asthma leading to Qi collapse, or delirious speech and hallucinations leading to Spirit collapse, although these three conditions differ in involving Yin/Blood or Yang/Qi depletion, their pathogenesis of scattered essence and departing spirit is identical. Compared to previous vertigo symptoms, treatment may be slightly delayed, yet this remains a critical condition. If thick decoctions and appropriate formulas are not administered frequently, many will fail. If physicians erroneously diagnose it as Excess Qi and Phlegm-Fire, they mislead people. For example, if there are three symptoms of blood stasis mass pain immediately after childbirth, Jia Shen Shenghua Tang (Shenghua Decoction with Ginseng) should be used together. This method includes tonification within blood-moving actions, thereby avoiding the error of deficiency-induced vertigo due to stagnant blood. Once the pain from blood stasis masses ceases, it is suitable to use lifting and major tonifying medicines, with a small addition of Huanglian (Rhizoma Coptidis) to clear fire, to treat metrorrhagia and collapse, and to guide Qi back to its source. It is suitable to use Zirong Yangqi Fushen Tang (Nourishing Glory, Tonifying Qi, and Restoring Spirit Decoction), with a small addition of phlegm-resolving medicines, to clear Heart Fire and calm the Monarch Organ (Heart). One often sees people rashly discussing symptoms of Qi collapse and delirious speech, mistakenly using formulas for Excess Qi and Phlegm-Fire, repeatedly causing premature death. Therefore, I repeat this record for warning. If one stubbornly adheres to the theory of Phlegm-Qi causing disease and the condition worsens, attempting tonifying agents might still save the life. Do not harm the patient. ([Wu's Note]: In treating diseases, one must first differentiate Deficiency and Excess, relying especially on the pulse. The Classics state: When Blood collapses, there is a mechanism for generating new Blood; thus, tonifying Qi is essential. Conversely, when Qi collapses, Blood-tonifying medicines should also be added. This is because Yin and Yang are mutually rooted; one cannot favor one over the other.)

Whenever childbirth causes physical fatigue, both the Spleen and Stomach are injured. Therefore, immediately after childbirth, one must prohibit the consumption of rich, greasy, and strong-flavored foods, avoid heavy flavors, and eat porridge and vegetables; this is an urgent necessity. Families unskilled in care, only worrying about the mother's weakness, consider eating more beneficial and rich flavors as foundational tonification. They force-feed the mother when she has no appetite, leading to injury from overeating. Although the Stomach can receive food, the Spleen struggles to transport and transform. Food stagnates causing fullness and obstruction, acid belching, and aversion to food. Treatment should primarily focus on Baoyuan Tang (Preserve the Origin Decoction) to warm and tonify Qi and Blood, strengthen the Spleen, and assist the Stomach. Determine what was ingested, and assist with digestive aids, so that Spleen Qi recovers its transport function, accumulated stagnation disperses, retained matter moves, and the Stomach begins to desire food. Diet serves as assistance for Spleen Deficiency, which is indeed helpful postpartum. However, due to fatigue and food injury, the body cannot tolerate sweet and cloying richness. Gradual intake of light flavors allows for easier and faster digestion and transformation. Obstetricians who do not understand this meaning cause further injury. It is known that after taking Shenghua Tang, one should add Shenqu (Massa Medicata Fermentata) and Maiya (Frumentum Germinatum Hordei) to digest wheat products; Shanzha (Fructus Crataegi) and Sharen (Fructus Amomi Rotundus) to digest meat; Wuzhuyu (Fructus Evodiae) and Rougui (Cortex Cinnamomi) to digest cold items. Thus, tonification and digestion are balanced, ensuring stability. I have often seen practitioners neglect the inherent weakness of postpartum women, focusing only on rapidly eliminating food stagnation, which反而 damages Qi and increases fullness. If one dose is ineffective, stronger drugs are added. If one physician fails, another is consulted. The prescriptions are similar; mild conditions become severe, causing those who already eat little to become even weaker, while those who completely lose appetite constitute eight or nine out of ten cases. The family blames fate, and the physician claims to have exhausted their skills. What a pity.

If postpartum blood stasis pain has not subsided, take the following formula to digest food.