《大全》曰∶产后脏虚，心神惊悸者，体虚心气不足，心经为风邪所乘。或恐惧忧迫，令心气受于风邪，
邪抟于心，则惊不自安，惊不已，则悸动不定。其状目睛不转，不能动，诊其脉动而弱者，惊悸也。
薛立斋曰∶人所主者心，心所主者血，心血虚，神气不守，惊悸所由来也，当补血气为主。
《大全》曰∶产后中风恍惚者，由心主血，血气通于荣卫脏腑，遍循经络。产则血气俱伤，五脏俱虚，荣
卫不足，即为风邪所乘，令心神恍惚不定。
薛立斋曰∶产后恍惚证，当大补血气为主，佐后方为善。盖风为虚极之假象，固其本元，诸病自退，若专
治其风，则速其危矣。
慎斋按∶以上四条，序产后有惊悸恍惚之证也。《济阴纲目》云∶不语至惊悸恍惚诸证，有谓气虚血虚，
有谓败血入心，有谓风邪所乘，一皆名为心风。然此风从何来，当从何治，前人亦未之悉，但言治痰治风。丹
溪、立斋，则以大补气血为主，各有所见，在临证酌用之。愚谓产后不语一证，有败血、有湿、有热痰、有风
热，一主实邪外感为病，而不及于虚，此亦前人立论之失。若惊悸恍惚，自是血虚，心气不足所致。《大全》
必言风邪抟心，致有斯证，其言甚戾。立斋以为但固本原，毋专治风，有功来学不小。
《大全》曰∶产后因惊，败血冲心，昏闷发狂，如见鬼祟，宜《局方》大圣泽兰散，加
辰砂、枣仁汤下之。
立斋按∶此乃血虚，神不守舍，非补养元气不可。
*Daquan* (Complete Collection) states: After childbirth, the zang organs are deficient, and the heart spirit is startled and palpitates. This occurs because the body is weak and heart qi is insufficient, allowing wind-pathogen to invade the Heart meridian. Alternatively, due to fear, worry, or distress, the heart qi becomes affected by wind-pathogen. When the pathogen gathers in the heart, it causes fright and unease; if the fright persists, palpitations become unstable. The manifestations include eyes that do not move or turn, inability to move, and a pulse that is beating but weak, which indicates a condition of fright and palpitations.
Xue Lizhai states: The heart governs the human body, and the heart governs blood. When heart blood is deficient, the spirit fails to remain in its residence, leading to fright and palpitations. Treatment should primarily focus on tonifying blood and qi.
*Daquan* states: Postpartum wind-stroke presenting with mental confusion arises because the heart governs blood, and blood qi connects with Ying-Wei and the zang-fu organs, circulating through the meridians. Childbirth injures both blood and qi, causing deficiency in all five zang organs and insufficiency of Ying-Wei. Consequently, wind-pathogen invades, causing the heart spirit to become confused and unstable.
Xue Lizhai states: For postpartum confusion, treatment should primarily focus on greatly tonifying blood and qi, supplemented by subsequent formulas. Wind is merely a false manifestation of extreme deficiency; consolidating the primordial root will cause various diseases to recede spontaneously. If one treats only the wind, it will hasten the danger.
Shenzhen notes: The above four points describe postpartum conditions of fright, palpitations, and confusion. *Jiyin Gangmu* states: Conditions ranging from muteness to fright, palpitations, and confusion are attributed by some to qi and blood deficiency, by others to foul blood entering the heart, and by still others to wind-pathogen invasion; all are termed "Heart Wind." However, where this wind comes from and how it should be treated was not fully elucidated by predecessors, who merely spoke of treating phlegm and wind. Zhu Danxi and Xue Lizhai advocated primarily great tonification of blood and qi, each having their own insights, to be applied according to clinical judgment. I believe that for postpartum muteness, causes include foul blood, dampness, hot-phlegm, and wind-heat; these are primarily caused by excess pathogens and external infections, neglecting deficiency. This is also a flaw in previous theoretical formulations. As for fright, palpitations, and confusion, they naturally result from blood deficiency and insufficient heart qi. *Daquan* insists that wind-pathogen gathering in the heart causes these syndromes, a statement that is highly erroneous. Xue Lizhai’s view that one should only consolidate the root and not specifically treat wind has contributed significantly to future scholars.
*Daquan* states: Postpartum fright caused by foul blood rushing to the heart leads to drowsiness, mania, and hallucinations of seeing ghosts or spirits. It is appropriate to use Da Sheng Ze Lan San (Great Sage Lavender Decoction) from *Ju Fang* (The Bureau Formulary), administered with Chen Sha (Cinnabar) and Zao Ren (Suanzaoren, Semen Ziziphi Spinosae) decoction.
Xue Lizhai notes: This is due to blood deficiency, where the spirit does not reside in its house; it cannot be treated without nourishing primordial qi.