（附论）
夫产后喉中气急喘促者何。答曰。荣者血也。卫者气也。荣行脉中。卫行脉外。相随上
下。
尤
若感风寒。或因忧怒饮食咸冷等。夺命丹未可均济。况孤阳绝阴乎。若荣血暴竭。宜
大料煮
下。伤
治肺热闷不止。胸中喘急。客热往来欲死。不堪服药者。此可以治。胸中喘气。用桃皮、
芫
产后虚喘者。由脏腑不足。气血虚伤。败血冲心。上搏于肺。肺主气。气与血并。故令
喘急也。
产后气虚血弱。腠理开疏。感冒寒邪。传流肺经。则气道不利。痞满胸中。乃有上气喘
急之证。
方
紫菀汤 治产后上气。咳逆烦闷。
紫菀（去土） 人参 陈皮（去白） 紫苏茎叶 诃黎勒（去核） 枳壳（去瓤） 细
辛（去苗）
郁
两）
大
治产后上气及妇人奔豚气。积劳。脏气不足。胸中烦躁。关元以下。如怀五千钱状
。
浓朴 桂心 当归 细辛 芍药 石膏 桔梗（各三两） 甘草 黄芩 泽泻（各三两）
吴茱
煮取三升。去滓。分三服。服三剂
住。
人参汤 治产后上气。喘急烦闷。
人参 陈皮（去白） 浓朴（姜汁制） 麻黄（去根） 白前 防己 桑皮 杏仁（汤
浸去皮
尖双
温
服。
大腹皮汤 治产后上气。喘急满闷。
大腹皮 前胡（去芦） 槟榔（煨） 百部根 陈皮（去白） 枳实（麸炒） 桑皮 杏
仁（去
皮尖
不拘
地黄散 治产后体虚。微喘汗出。乏力。腹内疼痛。
熟地黄（一两） 牡蛎粉（一两） 白术（三分） 黄 （三分） 当归 甘草 桂心 五
味子
芎
黄 散 治产后虚损。喘促。气力乏少。饮食不进。
黄 （一两） 人参（三分） 甘草 桂心 熟地黄 当归 白茯苓 麦门冬（去心） 白
术（各
五味子散 治产后血海气虚。上攻于肺。时或喘促。不欲饮食。四肢乏力。
五味子 诃黎勒皮（一两） 人参（一两） 熟地黄（一两） 桂心（半两） 菖蒲（半
两） 白
茯苓
三枚。
煎六
杏仁饮 治产后上气喘急。
杏仁（汤浸去皮尖双仁炒） 紫苏茎叶 麻黄 麦门冬（去心） 五味子 桑皮 甘草 陈
皮（
桑根白皮汤 治产后上气。虚喘咳逆。
桑皮 款冬花 五味子 杏仁（去皮尖双仁炒） 当归 人参 甜葶苈 防己（各一两）
上捣筛。每服三钱。水一盏。煎七分去滓。不计时服。x
紫苏子饮 治产后肺气上喘。烦闷。
紫苏子 人参 陈皮 大腹皮 桑皮 甜葶苈（纸上炒） 甘草（炙） 当归（各一两）
上
捣筛
赤茯苓饮 治产后上气喘急。
赤茯苓（去皮） 甜葶苈（纸上炒） 桑白皮 当归 枳壳（去白） 细辛（去土） 郁
李仁
（去皮
润气煎 治产后喘急。上气。咽噫不利。
陈皮 紫菀（去土） 人参 甘草 紫苏 杏仁（汤去皮尖） 五味子（各一两） 上为细
末。蜜
半盏。姜自然汁三分。同药和匀。置瓷器中。甑上炊熟。每服半匙许。热汤化下。不拘时。
五味子散 治产后虚喘。气少不足。四肢羸困。不欲饮食。
五味子 人参 当归 黄 芎 白茯苓（各一两） 上为散。每服三钱。水一盏。
煎
七分
桂心散 治产后血气上攻于肺。虚喘。
桂心 陈皮 人参 当归（各一两） 紫苏子（半两） 五味子（半两） 上为末。每
服一
钱。不
橘皮散 治产后上气。胸膈不利。
青橘子（去白） 诃黎勒（去核） 紫苏子 杏仁（汤去皮尖双仁研如膏） 甘草（各
半两） 上为散。每服二钱。煎桑皮
汤下。不拘时。
参苏饮 治妇人产后血入于肺。面黑发喘欲死。此为孤阳绝阴不治者。
人参（一两为末） 苏木（二两捶碎） 上为水两碗。煮取一碗以下。去滓。调参末。
随时
加减
治产后气喘。为孤阳绝阴不治者。
胡桃仁（不必去皮） 人参（各等分） 上 咀。每服五钱。水二盏。煎七分。频频呷
服。
(Attached Discussion)
What is the cause of urgent breathing and panting in the throat after childbirth? The answer is: Ying (nutritive qi, essential qi circulating within the vessels) is blood; Wei (defensive qi, yang qi circulating outside the vessels) is qi. Ying circulates within the vessels, while Wei circulates outside the vessels. They follow each other up and down.
If affected by wind-cold, or due to sorrow, anger, or consumption of cold food and drink, even the emergency formula Duoming Dan may not be sufficient. How much less so in cases of isolated Yang and exhausted Yin? If Ying blood suddenly depletes, a large dose should be decocted and taken.
For treating persistent lung heat with chest oppression, urgent panting in the chest, intermittent guest-heat causing extreme distress, and inability to tolerate medication, this formula can be used. For chest panting, use peach bark and Daphne genkwa flower.
Postpartum deficiency panting arises from insufficiency of the Zang-Fu organs and damage to Qi and Blood. Stagnant blood rushes to the Heart and attacks upward to the Lung. Since the Lung governs Qi, when Qi and Blood surge together upward, it causes urgent panting.
In postpartum conditions, Qi deficiency and Blood weakness lead to open and loose interstices (skin pores and textures). Contracting cold pathogens allows them to transmit into the Lung Meridian, causing obstruction of the airway, stagnation and fullness in the chest, resulting in symptoms of upper Qi rebellion and urgent panting.
Ziwan Tang (Aster Decoction): Treats postpartum upper Qi rebellion, coughing with counterflow, mental restlessness, and oppression.
Ingredients: Ziwan (Asteris Radix et Rhizoma, cleaned of soil), Renshen (Ginseng Radix), Chenpi (Citri Reticulatae Pericarpium, cleaned of white pith), Zisu Jingye (Perillae Caulis et Folium), Helile (Chebulae Fructus, pitted), Zhike (Aurantii Fructus Immaturus, cleaned of core), Xixin (Asari Radix et Rhizoma, cleaned of roots).
[Another Formula]: Treats postpartum upper Qi rebellion and women's Ben Tun Qi (a condition characterized by a sensation of gas rushing from the lower abdomen to the chest and throat), chronic fatigue, insufficiency of Zang Qi, chest irritability, and a sensation of heaviness below the Guanyuan point as if carrying five thousand coins.
Ingredients: Houpo (Magnoliae Officinalis Cortex), Guixin (Cinnamomi Ramulus), Danggui (Angelicae Sinensis Radix), Xixin (Asari Radix et Rhizoma), Shaoyao (Paeoniae Radix), Shigao (Gypsum Fibrosum), Jiegeng (Platycodonis Radix) (each 3 liang), Gancao (Glycyrrhizae Radix et Rhizoma), Huangqin (Scutellariae Radix), Zexie (Alismatis Rhizoma) (each 3 liang).
Usage: Decoct to obtain 3 sheng of liquid, remove dregs, divide into three doses. Symptoms cease after completing three courses.
Renshen Tang (Ginseng Decoction): Treats postpartum upper Qi rebellion, urgent panting, and mental restlessness.
Ingredients: Renshen (Ginseng Radix), Chenpi (Citri Reticulatae Pericarpium, cleaned of white pith), Houpo (Magnoliae Officinalis Cortex, processed with ginger juice), Mahuang (Ephedrae Herba, cleaned of roots), Baiqian (Cynanchi Stauntonii Rhizoma et Radix), Fangji (Stephaniae Tetrandrae Radix), Sangbai (Mori Cortex), Xingren (Armeniacae Semen Amarum, soaked in water, skin and tips removed, double kernels).
Usage: Take warm.
Dafupi Tang (Arecae Pericarpium Decoction): Treats postpartum upper Qi rebellion, urgent panting, and fullness/oppression.
Ingredients: Dafupi (Arecae Pericarpium), Qianhu (Peucedani Radix, cleaned of radicle), Binglang (Arecae Semen), Baibu (Stemonae Radix), Chenpi (Citri Reticulatae Pericarpium, cleaned of white pith), Zhishi (Aurantii Fructus Immaturus, bran-fried), Sangbai (Mori Cortex), Xingren (Armeniacae Semen Amarum, skin and tips removed).
Usage: Take at any time.
Dihuang San (Rehmannia Powder): Treats postpartum body weakness, slight panting with sweating, fatigue, and abdominal pain.
Ingredients: Shudihuang (Prepared Rehmanniae Radix, 1 liang), Moli Fen (Ostreae Concha powder, 1 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 3 fen), Huangqi (Astragali Radix, 3 fen), Danggui (Angelicae Sinensis Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Guixin (Cinnamomi Ramulus), Wuweizi (Schisandrae Chinensis Fructus), Chuanxiong (Ligustici Chuanxiong Rhizoma).
Huangqi San (Astragalus Powder): Treats postpartum deficiency and wasting, panting, lack of strength, and loss of appetite.
Ingredients: Huangqi (Astragali Radix, 1 liang), Renshen (Ginseng Radix, 3 fen), Gancao (Glycyrrhizae Radix et Rhizoma), Guixin (Cinnamomi Ramulus), Shudihuang (Prepared Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), Baifuling (Poria), Maidong (Ophiopogonis Tuber, heart removed), Baizhu (Atractylodis Macrocephalae Rhizoma) (each...).
Wuweizi San (Schisandra Powder): Treats postpartum Qi deficiency in the Blood Sea, Qi attacking upward to the Lung, occasional panting, loss of appetite, and limb fatigue.
Ingredients: Wuweizi (Schisandrae Chinensis Fructus), Helile Pi (Chebulae Fructus Pericarpium, 1 liang), Renshen (Ginseng Radix, 1 liang), Shudihuang (Prepared Rehmanniae Radix, 1 liang), Guixin (Cinnamomi Ramulus, half liang), Changpu (Acori Tatarinowii Rhizoma, half liang), Baifuling (Poria).
Usage: ...three pieces, decoct six...
Xingren Yin (Apricot Kernel Drink): Treats postpartum upper Qi rebellion and urgent panting.
Ingredients: Xingren (Armeniacae Semen Amarum, soaked in water, skin and tips removed, double kernels, fried), Zisu Jingye (Perillae Caulis et Folium), Mahuang (Ephedrae Herba), Maidong (Ophiopogonis Tuber, heart removed), Wuweizi (Schisandrae Chinensis Fructus), Sangbai (Mori Cortex), Gancao (Glycyrrhizae Radix et Rhizoma), Chenpi (Citri Reticulatae Pericarpium).
Sanggen Baidi Tang (Mulberry Root Bark Decoction): Treats postpartum upper Qi rebellion, deficiency panting, and coughing with counterflow.
Ingredients: Sangbai (Mori Cortex), Kuandonghua (Farfarae Flos), Wuweizi (Schisandrae Chinensis Fructus), Xingren (Armeniacae Semen Amarum, skin and tips removed, double kernels, fried), Danggui (Angelicae Sinensis Radix), Renshen (Ginseng Radix), Tiantingli (Descurainiae Semen seu Lepidii Semen), Fangji (Stephaniae Tetrandrae Radix) (each 1 liang).
Usage: Pound and sieve the above into a powder. Each dose is 3 qian, decocted in one zhan of water until reduced to seven-tenths, remove dregs, take at any time.
Zisuzi Yin (Perilla Seed Drink): Treats postpartum Lung Qi rebellion with panting and mental restlessness.
Ingredients: Zisuzi (Perillae Fructus), Renshen (Ginseng Radix), Chenpi (Citri Reticulatae Pericarpium), Dafupi (Arecae Pericarpium), Sangbai (Mori Cortex), Tiantingli (Descurainiae Semen seu Lepidii Semen, stir-fried on paper), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Danggui (Angelicae Sinensis Radix) (each 1 liang).
Usage: Pound and sieve the above...
Chifuling Yin (Red Poria Drink): Treats postpartum upper Qi rebellion and urgent panting.
Ingredients: Chifuling (Poria with Red Skin, peeled), Tiantingli (Descurainiae Semen seu Lepidii Semen, stir-fried on paper), Sangbaipi (Mori Cortex), Danggui (Angelicae Sinensis Radix), Zhike (Aurantii Fructus Immaturus, cleaned of white pith), Xixin (Asari Radix et Rhizoma, cleaned of soil), Yuliren (Pruni Semen, peeled).
Runqi Jian (Moistening Qi Decoction): Treats postpartum urgent panting, upper Qi rebellion, and difficulty in belching/throat obstruction.
Ingredients: Chenpi (Citri Reticulatae Pericarpium), Ziwan (Asteris Radix et Rhizoma, cleaned of soil), Renshen (Ginseng Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Zisu (Perillae Folium), Xingren (Armeniacae Semen Amarum, water-blanced, skin and tips removed), Wuweizi (Schisandrae Chinensis Fructus) (each 1 liang).
Usage: Grind the above into fine powder. Mix with half zhan of honey and three parts of fresh ginger juice. Blend evenly, place in a porcelain vessel, and steam until cooked. Each dose is about half a spoonful, dissolved in hot water, take at any time.
Wuweizi San (Schisandra Powder): Treats postpartum deficiency panting, shortness of breath, weak and tired limbs, and loss of appetite.
Ingredients: Wuweizi (Schisandrae Chinensis Fructus), Renshen (Ginseng Radix), Danggui (Angelicae Sinensis Radix), Huangqi (Astragali Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baifuling (Poria) (each 1 liang).
Usage: Grind the above into powder. Each dose is 3 qian, decocted in one zhan of water until reduced to seven-tenths.
Guixin San (Cinnamon Twig Powder): Treats postpartum Blood and Qi attacking upward to the Lung, causing deficiency panting.
Ingredients: Guixin (Cinnamomi Ramulus), Chenpi (Citri Reticulatae Pericarpium), Renshen (Ginseng Radix), Danggui (Angelicae Sinensis Radix) (each 1 liang), Zisuzi (Perillae Fructus, half liang), Wuweizi (Schisandrae Chinensis Fructus, half liang).
Usage: Grind the above into powder. Each dose is 1 qian, do not...
Jupi San (Tangerine Peel Powder): Treats postpartum upper Qi rebellion and discomfort in the chest and diaphragm.
Ingredients: Qingjuzi (Aurantii Fructus Viridis, cleaned of white pith), Helile (Chebulae Fructus, pitted), Zisuzi (Perillae Fructus), Xingren (Armeniacae Semen Amarum, water-blanced, skin and tips removed, double kernels ground into paste), Gancao (Glycyrrhizae Radix et Rhizoma) (each half liang).
Usage: Grind the above into powder. Each dose is 2 qian, taken with decoction of Sangbai, take at any time.
Shen Su Yin (Ginseng and Perilla Drink): Treats postpartum women where blood enters the Lung, causing dark complexion, panting to the point of death. This is considered isolated Yang and exhausted Yin, an untreatable condition.
Ingredients: Renshen (Ginseng Radix, 1 liang, ground to powder), Sumu (Sappan Lignum, 2 liang, crushed).
Usage: Add two bowls of water, boil to obtain less than one bowl, remove dregs, mix with Ginseng powder, adjust according to circumstances.
Treating postpartum panting, which belongs to isolated Yang and exhausted Yin, is untreatable.
Ingredients: Hutao Ren (Juglandis Semen, skin not necessarily removed), Renshen (Ginseng Radix) (equal parts).
Usage: Chop the above. Each dose is 5 qian, decocted in two zhan of water until reduced to seven-tenths, sip frequently.