产时胎胞既下，气血俱去，忽尔眼黑头眩，神昏口噤，昏不知人。古人多云恶露乘虚上攻，故致血晕。不
知此证有二∶曰血晕、曰气脱也。若以气脱作血晕，而用辛香逐血化痰等剂，则立刻毙矣，不可不慎也。
一气脱证，产时血既大行，则血去气亦去，多致昏晕不省。微虚者，少顷即苏，大虚者，脱竭即死。但察
其面白、眼闭、口开、手冷、六脉细微之甚，是即气脱证也。速用人参一二两，急煎浓汤，徐徐灌之，但得下
咽，即可救活。若少迟延，则无及矣。余尝救此数人，无不随手而愈，此最要法也。又尝见有禁参而毙者，云
新产后不可用参，用参则补住恶血，必致为害，即劝之亦不肯用，直待毙而后悔者，亦数人矣。又有云∶产后
必过七日方可用参。此等愚昧讹传，不知始自何人？误人不浅，万万不可信也！
一血晕之证，本由气虚，所以一时昏晕。然血壅痰盛者，亦或有之。如果形气脉气俱有余，胸腹胀痛上
冲，此血逆证也，宜失笑散。若痰盛气粗，宜二陈汤。如无胀痛气粗之类，悉属气虚，宜大剂芎归汤、八珍汤
之类主之。
失笑散（见经期腹痛）
二陈汤（见安胎）
芎归汤（见杀血心痛）
八珍汤（见经不调）
一猝时昏晕，药有未及，宜烧秤锤令赤，用器盛至床前，以醋沃之，或以醋涂口鼻，令酸气入鼻，收神
即醒。或以破旧漆器，或以干漆，烧烟熏之，使鼻受其气，皆可。但此法虽轻而暴晕者所宜。若气虚之甚而晕
厥者，非用大补之剂，终无益也。
Niu Xi San (Hornbeam Root Powder): Indicated for retained placenta accompanied by abdominal distension (see *Jing Tong Lun Wai Fang*).
After delivery, when the placenta has been expelled and Qi and Blood are simultaneously depleted, sudden blackouts, dizziness, unconsciousness, clenched jaws, and coma may occur. Ancients often attributed this to lochia attacking upward due to deficiency, thus causing "Blood Fainting." However, one must understand that this condition is divided into two types: Blood Fainting (*Xue Yun*) and Qi Collapse (*Qi Tuo*). If Qi Collapse is mistaken for Blood Fainting and treated with acrid-aromatic blood-invigorating or phlegm-resolving formulas, death will ensue instantly; caution is imperative.
First, Qi Collapse (*Qi Tuo*): During childbirth, if there is massive hemorrhage, the loss of Blood leads to the loss of Qi, often resulting in fainting and unresponsiveness. Those with slight deficiency may recover after a short while; those with severe deficiency who suffer from exhaustion and collapse will die. Observation reveals signs such as pale complexion, closed eyes, open mouth, cold hands, and extremely fine pulses in all six positions. This indicates Qi Collapse. Immediately administer 1–2 liang of Ren Shen (Ginseng Radix et Rhizoma), decocted rapidly into a concentrated soup, and administered slowly. As long as it enters the throat, life can be saved. Any delay renders treatment futile. I have rescued several such patients with immediate recovery; this is the most critical method. I have also witnessed cases where patients died because Ginseng was prohibited. They claimed that Ginseng should not be used immediately postpartum as it would "trap" residual lochia, causing harm. Even when advised otherwise, they refused, leading to regretful deaths. Another erroneous belief states that Ginseng should only be used seven days after delivery. These ignorant rumors, whose origin is unknown, mislead people deeply and must never be believed.
Second, Blood Fainting (*Xue Yun*): Originally caused by Qi deficiency, leading to transient fainting. However, cases involving Blood stasis and excessive Phlegm do occur. If the patient’s constitution, breath, and pulse indicate excess (Shi syndrome), with chest/abdominal distension, pain, and upward rushing sensation, this is Blood Reversal (*Xue Ni*), indicated for Shi Yao San (Wu Tao San). If Phlegm is excessive and breathing is rough, Er Chen Tang (Two-Cured Decoction) is indicated. In the absence of distension, pain, or rough breathing, all cases belong to Qi deficiency, and large doses of Xiong Gui Tang (Ligusticum and Angelica Decoction) or Ba Zhen Tang (Eight-Treasure Decoction) should be primarily used.
Shi Yao San (Wu Tao San) (see *Jing Qi Fu Tong*)
Er Chen Tang (Two-Cured Decoction) (see *An Tai*)
Xiong Gui Tang (Ligusticum and Angelica Decoction) (see *Sha Xin Tong Xin*)
Ba Zhen Tang (Eight-Treasure Decoction) (see *Jing Bu Diao*)
In cases of sudden fainting where medication cannot be administered in time, heat a lead weight until red-hot, place it in a vessel near the bed, and pour vinegar over it, or apply vinegar to the nose and mouth. The sour aroma entering the nasal cavity helps restore consciousness. Alternatively, burn broken lacquerware or dry lacquer and use the smoke to fumigate the nose. Both methods are effective but are mild and suitable only for acute, sudden fainting. For fainting caused by severe Qi deficiency, only major tonifying formulas will be beneficial.