【产后喘逆之症】喉中喘促，气急息粗，恶寒发热，头痛身疼，此产后外感喘逆症也。
【产后喘逆之因】产前、临产、产后，不慎起居，偶犯外邪，内气先亏，外邪难散，壅
而发热，则成喘逆之症矣。
【产后喘逆之脉】右脉浮数，肺胃热邪；右脉浮紧，肺胃寒邪；左脉浮数，太阳风热；
【产后喘逆之治】太阳冒风，芎归汤，加羌活、防风。太阳冒寒，芎归汤，量加麻黄、
杏仁。肺冒风热，泻白散，加防风、干葛。肺冒寒邪，芎归汤，加苏子、杏仁。
芎归汤
川芎 当归
泻白散
桑白皮 地骨皮 甘草
【产后内伤喘之症】喉中气急，喘促抬肩，目慢唇青，身无表邪，此产后内伤喘症也。
【产后内伤喘之因】临产去血过多，荣血暴竭，卫气无主，此名孤阳无阴，若恶露不行
，上冲肺胃，又名恶血攻心，二者皆令人喘也。
【产后内伤喘之脉】脉见芤涩，血虚之诊；脉见浮散，气虚之候；脉见沉数，气血热壅
【产后内伤喘之治】脉见浮散细微，芎归汤，兼用独参汤。若恶露不行，又宜行恶露为急
，桃仁红花汤、夺命散。热壅不行，牡丹皮散；寒凝不行，四神散；身热昏沉，苏醒汤。
芎归汤 见前条。
独参汤 即人参一味。
桃仁红花汤 产后行瘀通用方。
桃仁 红花 苍术 生玄胡 生蒲黄 泽兰 芍药 楂肉 枳壳
夺命散 逐恶露，定喘逆。
没药 血竭
牡丹皮散 治血分有热。
冬瓜子 当归 赤芍药 丹皮
酒煮大黄、桃仁。
四神散 治血分有寒。
当归 川芎 赤芍药 炮姜
苏醒汤 治产后血虚风热。
当归 川芎 荆芥 紫苏
[Symptoms of Postpartum Asthma and Reverse Qi]
Rapid breathing in the throat, shortness of breath with coarse respiration, aversion to cold, fever, headache, and body aches. This is the syndrome of postpartum asthma and reverse qi caused by external contraction.
[Etiology of Postpartum Asthma and Reverse Qi]
During the prenatal, intrapartum, or postpartum periods, if daily life is not managed carefully and one accidentally contracts external pathogens, the internal vital energy (Zheng Qi) is first depleted. Consequently, external pathogens are difficult to dissipate, leading to stagnation and fever, which results in the syndrome of asthma and reverse qi.
[Pulse Diagnosis of Postpartum Asthma and Reverse Qi]
A floating and rapid pulse on the right hand indicates heat pathogens in the Lung and Stomach; a floating and tight pulse on the right hand indicates cold pathogens in the Lung and Stomach; a floating and rapid pulse on the left hand indicates wind-heat affecting the Taiyang channel.
[Treatment of Postpartum Asthma and Reverse Qi]
If the Taiyang channel is invaded by wind, use Xiong Gui Tang (Chuanxiong and Angelica Decoction), adding Qiang Huo (Notopterygii Rhizoma et Radix) and Fang Feng (Saposhnikoviae Radix). If the Taiyang channel is invaded by cold, use Xiong Gui Tang, adding Ma Huang (Ephedrae Herba) and Xing Ren (Armeniacae Semen) according to dosage. If the Lung is invaded by wind-heat, use Xie Bai San (Drain the White Powder), adding Fang Feng and Gan Ge (Puerariae Radix). If the Lung is invaded by cold pathogens, use Xiong Gui Tang, adding Su Zi (Perillae Fructus) and Xing Ren.
Xiong Gui Tang (Chuanxiong and Angelica Decoction)
Herbs: Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix).
Xie Bai San (Drain the White Powder)
Herbs: Sangbaipi (Mori Cortex), Digupi (Lycii Cortex), Gancao (Glycyrrhizae Radix et Rhizoma).
[Symptoms of Postpartum Internal Injury Asthma]
Rapid breathing in the throat, panting with shoulder lifting, dull eyes, and cyanotic lips. The body has no exterior pathogen signs. This is the syndrome of postpartum internal injury asthma.
[Etiology of Postpartum Internal Injury Asthma]
Excessive blood loss during childbirth causes sudden depletion of Ying Blood (Nutritive Blood), leaving Wei Qi (Defensive Energy) without mastery. This condition is named "Lonely Yang without Yin." If lochia (postpartum discharge) fails to discharge and rushes upward to attack the Lung and Stomach, it is also called "Evil Blood Attacking the Heart." Both conditions cause asthma.
[Pulse Diagnosis of Postpartum Internal Injury Asthma]
A Kou (Hollow) and Se (Choppy) pulse indicates blood deficiency; a Fu (Floating) and San (Scattered) pulse indicates Qi deficiency; a Chen (Deep) and Shu (Rapid) pulse indicates stagnation of heat in Qi and Blood.
[Treatment of Postpartum Internal Injury Asthma]
If the pulse is floating, scattered, fine, and weak, use Xiong Gui Tang, combined with Du Shen Tang (Single Ginseng Decoction). If lochia fails to discharge, promoting the discharge of lochia should be the priority, using Tao Ren Hong Hua Tang (Peach Kernel and Safflower Decoction) or Duo Ming San (Life-Saving Powder). If stagnation is due to heat, use Mu Dan Pi San (Moutan Bark Powder); if stagnation is due to cold coagulation, use Si Shen San (Four Divine Powders); if there is body heat and lethargy/coma, use Su Xing Tang (Awakening Decoction).
Xiong Gui Tang See previous entry.
Du Shen Tang (Single Ginseng Decoction) Consists solely of Renshen (Ginseng Radix et Rhizoma).
Tao Ren Hong Hua Tang (Peach Kernel and Safflower Decoction) A general formula for promoting blood circulation and removing stasis after childbirth.
Herbs: Tao Ren (Persicae Semen), Honghua (Carthami Flos), Cangzhu (Atractylodis Rhizoma), Sheng Xuanhusu (Cyperi Rhizoma - raw), Sheng Puhuang (Typhae Pollen - raw), Zelan (Lysimachiae Herba), Shaoyao (Paeoniae Radix), Zharon (Ziziphi Spinosae Semen - flesh part, likely referring to Hawthorn fruit here given context of digestion/stasis, usually Shan Zha), Zhike (Aurantii Fructus). *Note: Text lists 'Zha Rou' which typically refers to Hawthorn (Shan Zha).*
Duo Ming San (Life-Saving Powder) Expels lochia and stabilizes asthma and reverse qi.
Herbs: Moyao (Myrrha), Xuexue (Dragon's Blood).
Mu Dan Pi San (Moutan Bark Powder) Treats heat in the Blood level.
Herbs: Dongguazi (Benincasae Semen), Danggui, Chi Shaoyao (Paeoniae Radix Rubra), Danpi (Moutan Cortex).
(Also includes) Jiu Zhu Dahuang (Rhei Radix et Rhizoma boiled in wine), Tao Ren.
Si Shen San (Four Divine Powders) Treats cold in the Blood level.
Herbs: Danggui, Chuanxiong, Chi Shaoyao, Pao Jiang (Zingiberis Rhizoma Preparatum).
Su Xing Tang (Awakening Decoction) Treats postpartum blood deficiency with wind-heat.
Herbs: Danggui, Chuanxiong, Jingjie (Schizonepetae Herba), Zisu (Perillae Folium).