论曰∶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；或因着艾，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。
陈无择评曰∶问产后中风，风是外邪，血虚则或有中之者，直答以人作，不可治，问答
不相顾解，如何开示后人？立论之难有如此者。若是中风，当以脉辨，看在何脏，根据经调之
。强力下床、月内房室，忧怒，着灸，非中风类；蓐劳，性气，火邪，治各有法。非产后病
，不暇繁引，学人识之。
疗产后风虚，头目痛，语言时僻。
防风 干葛 茯苓（各八分） 麦门冬（去心，八分） 芍药 黄芩（各六分） 犀角
（四分） 甘草（三分）
上 咀，以水二升，煎取七合，分为二服。
疗产后中风，心忪悸，志意不定，恍惚，语言错乱方。
人参（六分） 羚羊角（屑） 麦门冬 茯神（各八分） 黄芩 白藓皮 甘草（各四
两） 石膏（十二分） 淡竹沥（两大合）
上 咀，水二大升，煎至七合，下竹沥，分三服。
疗产后中风，身背拘急如束，并渴。
川芎 羌活 羚羊角（屑） 酸枣仁 芍药（各四两） 桑白皮（六分） 防风（五分）
上 咀，水四升，煎取二升，分温三服。
疗产后中风，四肢拘束，筋节掣痛，不得转侧，如角弓反张。
麻黄（八分，去根节） 生姜 桂心 白术（各四分） 防风 芍药（各六分） 川芎
（五分） 竹沥（二合）
上细锉，以水三升，先煮麻黄掠去沫，下诸药煎取七合，下竹沥再煎三沸，分三服，取
微汗为度。
治产后纳凉太过中风者，或成喘急，唇青鼻黑。（男六德续添）
以《局方》小续命汤连进三服，即愈。
疗产后中风烦渴。
红花子（五合，炒微热，研碎）
上以水一升，煎取七合，每一匙头，徐徐呷。
治产后中风，半身、手足不遂，言语謇涩，恍惚多忘，精神不定。
川独活 当归 芍药 防风 川芎 玄参（各二分） 桂心（分半）
上细锉，以水八升，煮取二升半，分为三服。觉效又更作一剂，渐瘥，须适寒温将息。
如不瘥，即以此方作丸，每服二十丸。有热加干葛五两；有冷加白术五两；有气加生姜六分；
手足不稳加牛膝五分、萆 三两、黄 四两；腹痛加当归、芍药各三分；不食加人参二分、
玄参四分。
Commentary states: What is postpartum wind-stroke? The answer is: forcing oneself out of bed within five to seven days after childbirth; or injuring the body through sexual intercourse within one month; or harboring sorrow and anger, disturbing the harmony of the Chong and Ren vessels; or due to moxibustion, damaging the Zang-Fu organs. At the onset of the disease, with symptoms such as dry eyes, locked jaw, muscle twitching, gradually progressing to stiffness and rigidity of the tendons in the waist and spine, it is incurable. This is caused by human error, not by an accidental contraction of Wind pathogen.
Chen Wuyue commented: Regarding the inquiry on postpartum wind-stroke, Wind is an external pathogen, and deficiency of Blood may indeed make one susceptible to it. However, directly answering that it is self-inflicted and incurable makes the question and answer disjointed. How can this guide future generations? The difficulty in establishing theories is thus. If it were true wind-stroke, differentiation should be based on pulse diagnosis to determine which Zang organ is affected, and treatment should follow the classics. Forcing out of bed, sexual intercourse within a month, emotional turmoil, and moxibustion do not belong to the category of wind-stroke; Ru-lao (postpartum consumptive disease), Xing-qi (emotional dysfunction), and Fire pathogen each have their specific treatments. I do not elaborate on non-postpartum diseases here; students should understand this.
Formula for treating postpartum Wind-deficiency syndrome, manifesting as headache and eye pain, and slurred speech:
Fangfeng (Saposhnikoviae Radix), Gange (Puerariae Lobatae Radix), Fuling (Poria) (each 8 fen); Maimendong (Ophiopogonis Tuber, heart removed, 8 fen); Shaoyao (Paeoniae Radix), Huangqin (Scutellariae Radix) (each 6 fen); Xijiao (Rhinocerotis Cornu, 4 fen); Gancao (Glycyrrhizae Radix et Rhizoma, 3 fen).
Crush the herbs, add two sheng of water, decoct to obtain seven he, and divide into two doses.
Formula for treating postpartum wind-stroke, manifesting as palpitations, restlessness, mental confusion, and disordered speech:
Renshen (Ginseng Radix et Rhizoma, 6 fen); Lingyangjiao (Saigae Tataricae Cornu, crushed); Maimendong (Ophiopogonis Tuber), Fushen (Poria with Hostwood, each 8 fen); Huangqin (Scutellariae Radix), Baixianpi (Dictamni Cortex), Gancao (Glycyrrhizae Radix et Rhizoma) (each 4 liang); Shigao (Gypsum Fibrosum, 12 fen); Danzhuli (Bambusae Caulis in Taenia Juice, two large he).
Crush the herbs, add two large sheng of water, decoct to seven he, add Bamboo Juice, and divide into three doses.
Formula for treating postpartum wind-stroke, manifesting as tightness and binding sensation in the back, accompanied by thirst:
Chuanxiong (Ligusticum Chuanxiong Rhizome), Qianghuo (Notopterygii Rhizoma et Radix), Lingyangjiao (Saigae Tataricae Cornu, crushed), Suanzaoren (Ziziphi Spinosae Semen), Shaoyao (Paeoniae Radix) (each 4 liang); Sangbaipi (Mori Cortex, 6 fen); Fangfeng (Saposhnikoviae Radix, 5 fen).
Crush the herbs, add four sheng of water, decoct to two sheng, and divide into three warm doses.
Formula for treating postpartum wind-stroke, manifesting as stiffness and binding of the four limbs, pulling pain in joints, inability to turn over, resembling opisthotonos:
Mahuang (Ephedrae Herba, 8 fen, root nodes removed), Shengjiang (Zingiberis Rhizoma Recens), Guixin (Cinnamomi Ramulus), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 4 fen); Fangfeng (Saposhnikoviae Radix), Shaoyao (Paeoniae Radix) (each 6 fen); Chuanxiong (Ligusticum Chuanxiong Rhizome, 5 fen); Zhuli (Bambusae Caulis in Taenia Juice, 2 he).
Finely chop the herbs, add three sheng of water, first boil Mahuang and skim off the foam, then add the remaining herbs and decoct to seven he. Add Zhuli and boil for three more boils. Divide into three doses. Aim for slight sweating.
Treatment for postpartum wind-stroke caused by excessive exposure to coolness, or progressing to panting, cyanotic lips, and black nose (Added by Nan De):
Administer Xiao Xuming Tang (Minor Continuation Life Decoction) from *Ju Fang* continuously for three doses, and recovery will occur.
Formula for treating postpartum wind-stroke with irritability and thirst:
Honghuazi (Carthami Flos, 5 he, stir-fried until slightly hot and crushed).
Add one sheng of water, decoct to seven he. Take one spoonful slowly and sip.
Formula for treating postpartum wind-stroke, manifesting as hemiplegia or paralysis of half the body and extremities, dysarthria, mental confusion, forgetfulness, and instability of spirit:
Chuduohuo (Angelicae Pubescentis Radix), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Fangfeng (Saposhnikoviae Radix), Chuanxiong (Ligusticum Chuanxiong Rhizome), Xuanshen (Scrophulariae Radix) (each 2 fen); Guixin (Cinnamomi Ramulus, 0.5 fen).
Finely chop the herbs, add eight sheng of water, decoct to two and a half sheng, and divide into three doses. If effective, prepare another dose. As the condition gradually improves, ensure appropriate temperature regulation and rest. If ineffective, process this formula into pills, taking twenty pills per dose. If heat signs are present, add Gange (Puerariae Lobatae Radix) 5 liang; if cold signs are present, add Baizhu (Atractylodis Macrocephalae Rhizoma) 5 liang; if Qi stagnation is present, add Shengjiang (Zingiberis Rhizoma Recens) 6 fen; if extremities are unstable, add Niuxi (Achyranthis Bidentatae Radix) 5 fen, Biexie (Dioscoreae Hypoglaucae Rhizoma) 3 liang, Huangqi (Astragali Radix) 4 liang; if abdominal pain is present, add Danggui (Angelicae Sinensis Radix) and Shaoyao (Paeoniae Radix) 3 fen each; if poor appetite is present, add Renshen (Ginseng Radix et Rhizoma) 2 fen, Xuanshen (Scrophulariae Radix) 4 fen.