《大全》曰∶产后语言颠倒，或狂言谵语，如见鬼神，其源不一。辨证治之。一则因产后心虚，败血停积，
上干于心，而狂言独语者，当在乍见鬼神条求之。二则产后脏虚，心神惊悸，志意不安，言语锗乱，不自知觉，
神思不安者，当在惊悸条求之。三则有宿风毒，因产心虚气弱，腰背强直，或歌哭嗔笑，言语乱道，当作风痉治，
在心惊中风条求之。四则产后多因败血迷乱心经，言语颠狂，或晕闷，当于血晕中求之。五则产后感冒风寒，
恶露斩然不行，憎寒发热如疟，昼日明了，暮则谵语，如见鬼状，当作热入血室治之，宜琥珀地黄丸及四物汤。
以上诸证，大抵产后首当逐败生新，然后仔细详疾，不可妄立名色，自生新意。加减方药，大宜对证，根据古
法施治，未有不安者也。
薛立斋按∶前证当固胃气为主，佐以见证之药。若一于攻痰，则误矣。
《大全》曰∶产后余血奔心，以致虚烦。盖因分娩后，不与童便，并 心下，及卧太早，兼食不相宜之物
所致。
The *Daquan* (Great Compendium) states: Postpartum incoherent speech, or delirious and rambling talk, as if seeing ghosts and spirits, has various origins. It must be differentiated and treated accordingly.
First, due to postpartum heart deficiency, with stagnant blood accumulating and interfering upward with the heart, causing delirious and solitary speech, one should refer to the section on "Suddenly Seeing Ghosts and Spirits" for treatment.
Second, due to postpartum organ deficiency, with the heart-mind startled and palpitations, unstable will and intention, chaotic speech without self-awareness, and restless spirit, one should refer to the section on "Palpitations and Fright" for treatment.
Third, there is residual wind-toxin; due to postpartum heart deficiency and weak qi, leading to stiffness and rigidity of the waist and back, or singing, crying, anger, and laughter, with chaotic speech, it should be treated as Wind Spasm (Feng Jing), referring to the section on "Heart Palpitations and Stroke" for treatment.
Fourth, postpartum cases are often caused by stagnant blood confusing the Heart Meridian, leading to manic speech or fainting and dizziness; one should seek treatment within the context of Blood Syncope (Xue Yun).
Fifth, postpartum contraction of wind-cold, with lochia abruptly ceasing, aversion to cold and fever resembling malaria, clarity during the day but delirium at night as if seeing ghosts, should be treated as Heat Entering the Blood Chamber (Re Ru Xue Shi), suitable for Hupo Dihuang Wan (Amber and Rehmannia Pill) and Siwu Tang (Four Substances Decoction).
Regarding the above syndromes, generally, postpartum treatment should first expel stagnant blood and generate new blood, then carefully examine the disease. One must not arbitrarily create names or novel ideas. Adjusting formulas and herbs requires precise syndrome differentiation; following ancient methods ensures safety.
Xue Lizhai's commentary: For the aforementioned syndromes, the primary approach should be to consolidate Stomach Qi, assisted by herbs addressing specific symptoms. If one solely attacks phlegm, it would be a mistake.
The *Daquan* states: Postpartum residual blood rushing to the heart causes empty irritability. This is likely due to not drinking child's urine after delivery, failing to treat the area below the heart, lying down too early, and consuming incompatible foods.
Chen Wuyue states: Normally, various types of empty irritability and heat are treated with Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction) and Wendan Tang (Warm Gallbladder Decoction). However, postpartum conditions differ from ordinary ones; herbs like Shigao (Gypsum) should not be used lightly, as their use can lead to death.
The *Jiyan Fang* (Collected Proven Prescriptions) states: Postpartum blood-thirst, which refers to thirst caused by blood deficiency. The formula uses Renshen (Ginseng), Maidong (Ophiopogon Root), Shengdi (Rehmannia Root), Gancao (Licorice Root), and Gualou (Trichosanthes Fruit). Additionally, for postpartum mental restlessness and thirst, Qingxin Lianzi Yin (Clear Heart Lotus Seed Drink) is suitable.