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The *Daquan* records: The human heart has seven apertures and three hairs. Postpartum weakness often leads to the stagnation and accumulation of discarded blood, which blocks the heart orifices, preventing mental clarity. Furthermore, Heart Qi connects to the tongue. If Heart Qi is blocked, the tongue becomes stiff, resulting in aphasia; one should simply administer Qizhen San (Seven Treasures Powder). (The focus of this discussion is on discarded blood, but Qizhen San does not use blood-breaking ingredients because the root cause is deficiency.)

Xue Ji stated: The classics say: The meridians of the Large Intestine scatter under the tongue. It also says: When the meridians of the Spleen are disturbed, the disease manifests as stiffness of the tongue base and inability to speak. It further states: The divergent meridian of the Kidney enters the Heart from above and connects to the tongue base; when deficient, it results in inability to speak. I believe that for the aforementioned conditions, if caused by deficiency of Heart and Kidney Qi, use Qizhen San; if due to Kidney deficiency with Wind-Heat, use Dihuang Yinzi (Rehmannia Decoction); if due to Wind-Heat in the Large Intestine, use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) added with Fangfeng (Saposhnikovia Root) and Baizhi (Angelica Dahurica); if due to Wind-Heat in the Spleen Meridian, use Qinjiao Shengma Tang (Gentian and Cimicifuga Decoction); if due to Wind-Heat in the Liver Meridian, use Chaihu Qinggan San (Bupleurum Liver-Clearing Powder) added with Fangfeng and Baizhi; if due to Qi stagnation in the Spleen, use Jiawei Guipi Tang (Modified Restore the Spleen Decoction) added with Shengma (Cimicifuga Rhizome); if due to excessive Liver Wood, use Xiao Chaihu Tang (Minor Bupleurum Decoction) added with Gouteng (Uncaria Ramulus cum Uncis); if due to Spleen being overacted upon by Liver Wood (Earth insulted), use Liujun Zi Tang (Six Gentlemen Decoction) added with Shengma, Baizhi, and Gouteng; if due to Blood deficiency in the Liver and Spleen, use Foshou San (Buddha's Hand Powder); if due to Spleen Qi deficiency, use Sijun Zi Tang (Four Gentlemen Decoction); if both Qi and Blood are deficient, use Bazhen Tang (Eight Treasures Decoction). If there is no response, use Dushen Tang (Single Ginseng Decoction); if still no response, urgently add Fuzi (Aconite Lateral Root) to tonify Qi and generate Blood. Using only blood-nourishing herbs would be a mistake.

A postpartum woman presented with aphasia, which was cured after administering Qizhen San. Later, she again presented with aphasia, accompanied by internal heat, afternoon tidal fever, limb fatigue, and loss of appetite. She was treated primarily with Jiawei Guipi Tang, supplemented with Qizhen San, and recovered. Subsequently, due to anger, she developed aphasia (anger must be avoided immediately after childbirth), lockjaw, opisthotonos (hyperextension of the back), convulsions of the hands and feet, occasional hematuria, red complexion, or bluish/yellowish hues, sometimes mixed with red. I said: A bluish complexion indicates the true color of the Liver; yellow indicates Spleen Qi deficiency; red indicates Heart Blood deficiency. She was treated with Bazhen Tang added with Gouteng, Fuling (Poria), and Yuanzhi (Polygala Root), gradually improving, and finally cured with Jiawei Guipi Tang.

Li Shi stated: In cases where excessive medicinal decoctions were taken during labor, leading to Stomach dampness, Shuliao Wuji San (Prepared Five Accumulations Powder) or Liujun Zi Tang may be used. For aphasia caused by Phlegm-Heat confusing the Heart (aphasia arises from Stomach dampness generating phlegm; the reason given for excessive decoctions is unclear, and the use of Wuji San is difficult to explain), Daotan Tang (Phlegm-Expelling Decoction) can be used. For cases where Phlegm-Qi stagnation causes closed eyes and aphasia, Gufeng San (Lone Phoenix Powder) may be administered.

Qizhen San (Seven Treasures Powder): Treats postpartum weakness leading to stagnation of discarded blood blocking the heart orifices and mental confusion. Since Heart Qi connects to the tongue, blockage of Heart Qi causes tongue stiffness, resulting in aphasia.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Shichangpu (Acori Tatarinowii Rhizoma), Shengdihuang (Rehmanniae Radix), Chuanxiong (Chuanxiong Rhizoma) (each 1 liang); Xixin (Asari Radix et Rhizoma) (1 qian); Fangfeng (Saposhnikoviae Radix), Chencha (Cinnabaris) (separately ground, each 5 qian).
Process into fine powder. Take 1 qian per dose, mixed with mint decoction.

Hu’s Gufeng San (Lone Phoenix Powder): Treats postpartum aphasia with closed eyes.
Alumen (Sheng Bai Fan) ground into powder. Take 1 qian per dose, mixed with hot water.

Another Prescription: Treats postpartum aphasia.
Renshen (Ginseng Radix et Rhizoma), Shilianrou (Nelumbinis Semen), Shichangpu (Acori Tatarinowii Rhizoma) (equal parts).
Cut into pieces. Take 5 qian per dose, decocted in water.

Zhuxue Buxin Tang (Blood-Purifying Heart-Tonifying Decoction): For postpartum loss of voice and aphasia, caused by blood invading the orifices of the Heart and Lung, combined with wind injury.
Danggui (Angelicae Sinensis Radix) (1.5 qian), Chishao (Paeoniae Radix Rubra), Shengdi (Rehmanniae Radix), Jiegeng (Platycodonis Radix), Ziyeh (Perillae Folium), Qianhu (Peucedani Radix), Fuling (Poria), Fangfeng (Saposhnikoviae Radix), Dansheng (Arisaematis Cum Bile), Huanglian (Coptidis Rhizoma), Fenge (Puerariae Lobatae Radix), Honghua (Carthami Flos) (each 1 qian); Renshen (Ginseng Radix et Rhizoma), Bohe (Menthae Haplocalycis Herba), Shengma (Cimicifugae Rhizoma) (each 0.7 qian); Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 qian); Banxia (Pinelliae Rhizoma) (1.2 qian).
Cut into pieces, add three slices of Shengjiang (Zingiberis Rhizoma Recens), decoct in water, and take on an empty stomach.