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Convulsion (Jingchou) refers to the spasm and tension of sinews and vessels, while Ji Zong (jiè zòng) refers to the relaxation and laxity of sinews and vessels. The *Classic* states: "The Liver governs the sinews and stores blood; Liver Qi is Yang and Fire, while Liver Blood is Yin and Water." When excessive blood loss occurs, Yang Fire becomes blazing, causing the sinews to lose nourishment, which leads to this condition. Use Bazhen Tang (Eight-Treasure Decoction) added with Mudanpi (Moutan Cortex) and Gouteng (Uncariae Ramulus cum Uncis) to generate Yin Blood; then Yang Fire will recede and all symptoms will resolve. If there is no response, use Sijunzi Tang (Four-Gentlemen Decoction) added with Chuanxiong (Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Mudanpi, and Gouteng to tonify Spleen Earth. This is because blood is generated from the Supreme Yin, and the Supreme Yin is Spleen Earth; furthermore, Qi has the function of generating blood. Therefore, after vomiting and diarrhea in infants, when the Spleen and Stomach are damaged and depleted, they often suffer from this condition, which is a manifestation of deficiency. If the limbs feel aversion to cold and the pulse is faint and thin, this is true convulsion. If the pulse is floating and large, accompanied by fever, irritability, and thirst, this is a false appearance; one should only focus on consolidating the root as the best approach. If there is weak convulsion, Dai Yan (eyes fixed upward), Fan Zhe (opisthotonos or body bent backward like a bow), and sweating like pearls, it is incurable.

Postpartum Jing Ji (palpitations and fright) arises from visceral deficiency and insufficient Heart Qi. Yin deficiency allows pathogenic heat to invade the Heart, resulting in uncontrolled fright, restless palpitations, inability to move the eyeballs, and immobility of the body. Palpation reveals a moving and weak pulse, indicating Jing Ji. Treatment should primarily nourish Blood and assist in calming the Spirit; once Blood is generated, the Spirit has a foundation.

Postpartum mania results from sudden massive hemorrhage of Yin Blood and extreme Liver deficiency with blazing Fire. The appropriate prescription includes Zelan (Lycopii Herba), Danggui, Dihuang (Rehmanniae Radix), Niuxi (Achyranthis Bidentatae Radix), Fushen (Poria cum Radice), Yuanzhi (Polygalae Radix), Suanzaoren (Ziziphi Spinosae Semen), and Tongbian (Human Urine). If caused by stagnant lochia, use Tiaojing San (Regulating Menstruation Powder). If caused by Heart Blood deficiency, use Baiziren San (Biota Seed Powder). If caused by Kidney deficiency with pressing Yin Fire leading to manic-like symptoms, use Bawei Wan (Eight-Ingredient Pill) with modifications. It must be understood that postpartum is a state of great deficiency; subsequent diseases should be treated by addressing the deficiency as the root and the disease as the branch.

Texts record that black qi appearing around the mouth and nose during the postpartum period, along with Bi Nu (epistaxis/nosebleed), are considered incurable. Why? The essence of the Five Zang organs flows upward to the face. Redness indicates vigorous Yang Heat. Cyan or black indicates the extinction of Yin Cold. Moreover, the mouth and nose are areas where the Yangming Meridian has abundant Qi and Blood. The presence of Yin Cold and desolate Qi indicates that the warm Yang Qi in the Stomach has declined and failed. With the addition of epistaxis, it signifies the loss of Yang and the escape of Yin. With the exhaustion of Stomach Qi and the failure of Lung Qi, both Yin and Yang perish; thus, it is incurable. As for a purple-black tongue after childbirth, it indicates that the Blood has died first, which is also incurable. This is because the Heart governs Blood; when the Qi of the Shaoyin Meridian is exhausted, Blood cannot ascend to nourish the upper regions.