《大全》曰∶产后中风，由产时伤动血气，劳损脏腑，未曾平复，起早劳动，致气虚而风邪乘之，冷气客
于皮肤经络，但疼痹羸乏不任，少气。大凡筋脉挟寒则挛急， 僻，挟温则纵缓虚弱。若入诸脏，恍惚惊悸，
随其所伤脏腑经络，而生病焉。
郭稽中曰∶产后中风者何？答曰∶产后五七日内，强力下床，或一月之内，伤于房室，或怀忧怒，扰荡冲
和，或因食生硬，伤动脏腑。得病之初，眼涩口噤，肌肉 搐，渐至腰脊，筋急强直者，不可治。此乃人作，
非偶尔中风所得也。
《大全》曰∶产后下血过多，虚极生风者何？答曰∶妇人以荣血为主，因产血下太多，气无所主，唇青肉冷，
汗出，目眩神昏，命在须臾，此虚极生风也。若以风药治之，则误矣。
朱丹溪曰∶产后中风，口眼 斜，必用大补气血，然后治痰。当以左右手脉，分气血多少以治，切不可作
中风治，用小续命汤，发表治风之药。
薛立斋曰∶产后中风，果外邪所属，形气不足，病气有余，当补元气为主，稍佐治病之药。若强力不休，月
内入房，形气俱不足，当纯补元气，多有复苏者。若误投风药，是促其危也。前证若心脾血气俱虚，十全汤，
不应，加附子、钩藤。若肝经血虚，逍遥散加钩藤。经云∶脾之荣在唇，心之液为汗。若心脾二脏虚极，急用
参附救之。
慎斋按∶以上六条，序产后有中风之证也。中风有真中、类中，有火有气有痰，中脏中腑中血脉之不一。若
产后中风，总属血虚而动伤脏腑所致。即有外邪，以大补为主。遵丹溪、立斋之法，为不易也。若舍此而以
中风为治，用愈风、续命之类，速之毙矣。戒之。
The *Daquan* (Compendium of Great Importance) states: Postpartum wind-stroke arises from the injury to blood and qi during childbirth, damaging the zang-fu organs. If one rises early and engages in labor before recovery is complete, qi deficiency allows wind-pathogens to take advantage. Cold qi lodges in the skin and meridians, causing only pain, bi-syndrome (obstruction syndrome), emaciation, weakness, inability to bear weight, and shortness of breath. Generally, when sinews and vessels are combined with cold, they become spasmodic and contracted; when combined with warmth, they become flaccid and weak. If the pathogen enters the various zang-fu organs, it causes mental confusion and palpitations. Diseases arise according to the specific zang-fu or meridians injured.
Guo Jizhong asks: What is postpartum wind-stroke? He answers: Within five to seven days after childbirth, if one forces oneself out of bed, or within a month engages in sexual intercourse, or harbors worry and anger which disturbs the harmony of the Chong and Ren vessels, or consumes raw and hard foods that damage the zang-fu organs. At the onset of illness, there is dryness in the eyes, lockjaw, muscle twitching, gradually progressing to stiffness and rigidity of the waist and spine. This condition is incurable. This is caused by human error, not by an accidental external wind-stroke.
The *Daquan* asks: What is the mechanism of internal wind generated by extreme deficiency due to excessive postpartum bleeding? It answers: Women rely on Ying-blood (Nutritive Blood) as their foundation. Due to excessive blood loss during childbirth, Qi loses its master anchor. Symptoms include cyanosis of the lips, cold flesh, sweating, dizziness, and coma, with life hanging in the balance. This is internal wind generated by extreme deficiency. Treating this with wind-dispelling herbs would be a mistake.
Zhu Danxi states: For postpartum wind-stroke presenting with deviation of the mouth and eye, one must first vigorously tonify Qi and Blood, and only then treat Phlegm. Treatment should be guided by assessing the abundance or scarcity of Qi and Blood through the pulse at the left and right wrists. One must absolutely not treat it as external wind-stroke using Xiao Xuming Tang (Minor Continuation of Life Decoction) or other diaphoretic wind-dispelling herbs.
Xue Lizhai states: Regarding postpartum wind-stroke, if it belongs to external pathogens and the patient has insufficient form and Qi but excess pathogenic factors, the primary treatment should be tonifying Yuan-Qi (Original Qi), with a slight adjuvant of herbs treating the disease. If the patient exerts themselves without rest or engages in intercourse within a month, resulting in insufficiency of both form and Qi, pure tonification of Yuan-Qi should be used, and many patients will recover. Misusing wind-dispelling herbs accelerates danger. If the aforementioned symptoms indicate dual deficiency of Heart and Spleen Qi and Blood, use Shiquan Tang (Ten Complete Decoction); if ineffective, add Fuzi (Aconite Lateral Root) and Gouteng (Uncaria Rhynchophylla). If Liver Meridian Blood is deficient, use Xiaoyao San (Free and Easy Wanderer Powder) with added Gouteng. The Classics state: The flourishing aspect of the Spleen manifests in the lips, and the fluid of the Heart is sweat. If the Heart and Spleen are extremely deficient, urgently use Renshen (Ginseng Root) and Fuzi for rescue.
Shenzhai’s Commentary: The above six passages describe the presentation of wind-stroke syndromes in the postpartum period. Wind-stroke includes true wind-stroke and stroke-like syndromes, with etiologies involving Fire, Qi, and Phlegm, and locations involving the Zang organs, Fu organs, and collaterals/vessels. However, postpartum wind-stroke is fundamentally caused by Blood deficiency leading to disturbance and injury of the zang-fu organs. Even if external pathogens are present, the primary approach must be vigorous tonification. Following the methods of Danxi and Lizhai is an unchangeable principle. Abandoning this approach to treat it as ordinary wind-stroke using formulas like Yufeng Dan (Wind-Dispelling Pill) or Xuming Tang would hasten death. Beware of this.