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*Daquan* states: Postpartum wind-stroke, characterized by spasms and cramping of the tendons, vessels, and limbs, arises from deficiency of Qi and Blood, and general weakness of the Zang-Fu organs. If one rises early and engages in labor before the first month postpartum is complete, it damages the Zang-Fu organs. The deficiency has not yet recovered, allowing Wind pathogen to take advantage. Initially, Cold-Wind pathogen lodges in the skin and meridians, causing numbness, insensitivity, emaciation, lassitude, and shortness of breath. When Wind Qi enters the tendons and vessels, combined with Cold, it leads to spasms and cramping.

Xue Ji stated: The Liver belongs to Wood and governs the tendons. If the aforementioned symptoms are due to Wind-Heat in the Liver channel causing dryness of the Blood, use *Jiawei Xiaoyao San* (Modified Free and Easy Wanderer Powder). If ineffective, use *Liuwei Dihuang Wan* (Six-Ingredient Rehmannia Pill) to tonify Kidney Water. The Classics state: "When Wind lodges and disturbs the Qi, Essence is lost; this is the pathogen damaging the Liver." Treatment should still refer to the discussions on various Wind and Blood patterns in previous miscellaneous disease sections.

A parturient presented with tendon spasms, weak arms, and muscle twitching. This was due to dual deficiency of Qi and Blood with internal heat. She recovered after taking *Shiquan Dabu Tang* (Ten-Agent Great Tonifying Decoction).

Another parturient experienced numbness in her hands. After taking *Yufeng Dan* (Wind-Dispelling Pill), she became numb all over her body and felt mentally fatigued. I reasoned that this was due to deficiency of Qi and Blood. I prescribed *Shiquan Dabu Tang* with processed Ginger (*Pao Jiang*) for several doses, leading to gradual improvement. After removing the ginger and administering a few more doses, followed by *Xiaoyao San* (Free and Easy Wanderer Powder), she fully recovered.

*Shujin Tang* (Relax Tendons Decoction): Treats all types of tendon and bone spasms and pain, caused by Wind-Damp injury leading to stagnation of Qi and Blood and obstruction of the meridians. Its efficacy is miraculous.
Ingredients: Qianghuo (Notopterygii Rhizoma et Radix), Pianzi Jianghuang (Curcumae Longae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 2 qian), Chishao (Paeoniae Radix Rubra), Danggui (Angelicae Sinensis Radix), Haitongpi (Tsoosakiae Cortex), Baizhu (Atractylodis Macrocephalae Rhizoma, each 1 qian).
Preparation: Cut into pieces for one dose. Add three slices of fresh ginger, decoct in water, strain, and mix in a small amount of ground Chenxiang (Aquilariae Lignum Resinatum) perfume. Take warm. For pain above the waist, take after meals; for pain below the waist, take before meals.

*Xiong San* (Szechwan Lovage Powder): Treats postpartum wind-stroke, characterized by pain and spasms of the tendons and vessels in the four limbs, and stiffness in the back and neck.
Ingredients: Chuanxiong (Ligusticum Chuanxiong Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Danggui (Angelicae Sinensis Radix), Suanzaoren (Ziziphi Spinosae Semen, stir-fried), Lingyangjiaoxie (Saigae Tataricae Cornu, each 7.5 qian), Fangfeng (Saposhnikoviae Radix), Niubangzi (Arctii Fructus, stir-fried, each 1 liang), Guixin (Cinnamomi Ramulus, half liang), Chishao (Paeoniae Radix Rubra, half liang).
Preparation: Coarsely crush. Take 8 qian per dose, decoct in water, and take warm at any time. (This is essentially *Fangfeng Lingyangjiao Tang*, but with slightly different dosages, particularly a larger amount of Niubangzi, because it can dispel Wind from the skin, unblock the twelve meridians, and benefit the waist and legs.)

Xue Ji stated: If the aforementioned formulas are ineffective, use *Bazhen Tang* (Eight-Treasure Decoction); if still ineffective, use *Shiquan Dabu Tang*. (From Xue Ji's remarks, we see the principle of treating Wind first, then considering tonification; grasping this key point is essential.)

*Fangji Gao* (Stephania Plaster): Treats postpartum wind-stroke, characterized by spasms of the tendons and vessels in the four limbs, and bodily numbness.
Ingredients: Hanfangji (Stephaniae Tetrandrae Radix, peeled, half jin), Yinyu (Ilicis Cornei Cortex, five liang).
Preparation: Coarsely crush. Soak the herbs in five sheng of wine overnight. Take one jin of pig lard and simmer over mild and strong fire. Boil through three cycles of rising and falling to form a plaster. Spread onto paper flowers. Apply to the affected area of the patient. Massage the plaster continuously downwards with warm hands for a thousand repetitions.