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Guo Jizhong stated: The appearance of black qi around the mouth and nose accompanied by epistaxis (nosebleed) after childbirth is considered incurable. This is because the Yangming channel serves as the sea of the twelve channels, and the mouth and nose are the areas governed by the Yangming channel. Black qi appearing at the mouth and nose with epistaxis indicates that the Ying (Nutrient) and Wei (Defensive) Qi are scattered and disordered, with the Ying Qi being exhausted first; hence, it is incurable. Xue Lizhai stated: Urgently using Erwei Rensu Yin (Two-Ingredient Ginseng and Perilla Decoction) added with Fuzi (Prepared Aconite Root) has resulted in survival.

For those who have lost excessive blood, Ejiao (Donkey-hide Gelatin) should be used in heavy doses, melted in water, and taken with a small amount of Tongbian (Child's Urine). For those with moderate blood loss, Xueming San (Life-Restoring Powder) is appropriate. Mox Yao (Myrrh), with oil removed, 2 qian, combined with Xue Jie (Dragon's Blood), 1 qian, ground into powder, divided into two doses, taken with sugar and wine.

Shen Yaofeng stated: This section should be read in conjunction with the previous two sections regarding excessive lochia discharge.

Shen Yaofeng further stated: A surnamed Qian patient experienced postpartum dizziness and unconsciousness with eyes closed. During delivery, lochia was scant, and during the episode of dizziness, lochia had ceased. Her husband obtained one dose of Hupo San (Amber Powder) from a neighbor, weighing approximately 2 qian, which was mixed with wine and administered orally, resulting in immediate recovery. The color and aroma of this medicine resembled Myrrha (Mox Yao); it was likely a formula containing Xue Jie (Dragon's Blood) and Myrrha (Mox Yao).

Shen Yaofeng also recorded: In the spring of the Gengchen year, a surnamed Lü woman delivered a baby. The next day, she suffered from blood syncope (Xue Yun). She regained consciousness briefly for a moment, then closed her eyes and tilted her head. This occurred dozens of times a day. Her lochia was not scant during delivery but did not completely cease. The pulse was large, with the left Guan position being wiry and hard. One liang of Ejiao (Donkey-hide Gelatin) was melted in wine and taken with Tongbian (Child's Urine). That night, the syncope decreased slightly, but sweating appeared on the head, and there was painful palpability in the lower abdomen. She experienced chills resembling malaria, followed by high fever. Two qian of Xueming San (Life-Restoring Powder) composed of Myrrha (Mox Yao) and Xue Jie (Dragon's Blood) were administered with wine. The chills, fever, abdominal pain, and syncope were instantly relieved. However, profuse sweating over the whole body was noted, indicating that Qi and Blood had circulated but deficiency signs were manifesting. Huangqi (Astragalus Root), 5 qian; Chao Danggui Shen (Stir-fried Angelica Sinensis Root Body), 2 qian; Gancao (Licorice Root), 1 qian; Chao Zaoren (Stir-fried Ziziphus Seed), 3 qian; Chao Xiaomai (Stir-fried Wheat Grain), 5 qian; and Dazao (Jujube), three pieces, were decocted and taken. Sweating ceased, and the condition stabilized.

Wang Mengying commented: Although lochia is scant, if there is no discomfort in the chest and abdomen, one must not recklessly administer drugs that break up stasis. This autumn, the wife of Zhou Heting recently gave birth and presented with dizziness, spontaneous sweating, reluctance to speak, and inability to open her eyes. Her father, He Xinzi, examined her pulse as deficient, wiry, floating, and large, and invited me to discuss treatment. Upon inquiry, it was found that although lochia was minimal, there were no issues in the epigastrium or abdomen. Therefore, a formula consisting of Muli (Oyster Shell), Shiyin (Quartz), Guiban (Tortoise Shell), Biejia (Softshell Turtle Shell), Hupo (Amber), Danshen (Salvia Root), Gancao (Licorice Root), Xiaomai (Wheat Grain), and Dazao (Jujube) was prescribed. Symptoms reduced significantly after just one cup of medicine, and she recovered fully within a few days. This case arose from pre-existing Blood deficiency; after parturition, Ying Yin (Nutrient Yin) descended and was depleted, causing Yang to float outward without anchoring. If one rigidly adheres to the common rule that postpartum conditions always involve stasis rushing upward, without carefully analyzing the pulse and symptoms, it would constitute a lethal error.