产后失音不语，因败血上干心肺，心肺二窍为血所侵，又感风寒，故舌强不语，宜逐血补心汤。亦或痰气壅
滞，目闭不语，宜用生白矾一钱，研末，热水调下探吐之。亦或恶血攻心，欲死不语，宜用郁金三钱，烧存性，
醋调服之。若身体素虚，临产劳伤，以致气血扰乱上壅心窍，而不能通津于舌，则舌强而不语，宜芎归汤加石菖蒲。
逐血补心汤
当归（一钱五分） 生地黄 桔梗 紫苏叶 前胡 茯苓 防风 黄连 胆星 红花 葛根（各一钱）
人参 薄荷 升麻（各七分） 半夏（姜制，一钱二分） 甘草（五分） 姜（三片）
水煎服。
芎归汤
当归 川芎（各五钱）
水煎服。
产后乍见鬼神，由血虚之极，败血攻冲，邪淫于心，胡言乱语如见鬼神，非风邪也。宜妙香散、调经汤。
若产后五六日狂乱胡言，持刀欲杀人，乃阴血暴崩，肝火虚炎也。宜泽兰汤。
妙香散
山药（姜汁炒） 茯苓 茯神 黄 远志（制，各一两） 人参 甘草 桔梗（各五钱） 朱砂（水飞，三钱）
木香（二钱五分） 麝香（一钱，另研）
上为末，每服二钱，酒调服。
调经汤
生地黄 当归（各等分）
水煎服。
泽兰汤
龙齿（ ） 茯神 生地黄 当归 牛膝 远志肉 酸枣仁 泽兰叶（各一钱）
水煎服。
Postpartum aphasia (loss of voice) is caused by retained blood (stagnant blood) ascending to interfere with the Heart and Lungs. The orifices of these two organs are invaded by blood, and combined with contraction of Wind-Cold, it leads to a stiff tongue and inability to speak. Zhu Xue Bu Xin Tang (Blood-Expelling Heart-Nourishing Decoction) is indicated. Alternatively, if phlegm and Qi are obstructed, causing closed eyes and silence, use one qian of raw Bai Fan (Alumen, 白矾), ground into powder, mixed with hot water to induce vomiting. Or, if malignant blood attacks the Heart, leading to near-death silence, use three qian of Yu Jin (Curcuma Radix, 郁金), calcined to retain its properties, mixed with vinegar for oral administration. If the body was originally deficient, and labor injuries during delivery cause chaotic Qi and Blood to ascend and block the Heart orifice, preventing fluids from reaching the tongue, resulting in a stiff tongue and aphasia, Xiong Gui Tang (Ligusticum and Angelica Decoction) plus Shi Chang Pu (Acorus Rhizome, 石菖蒲) is indicated.
Zhu Xue Bu Xin Tang: Dang Gui (Angelicae Sinensis Radix, 当归, 1.5 qian), Sheng Di Huang (Rehmanniae Radix, 生地黄), Jie Geng (Platycodonis Radix, 桔梗), Zi Su Ye (Perillae Folium, 紫苏叶), Qian Hu (Peucedani Radix, 前胡), Fu Ling (Poria, 茯苓), Fang Feng (Saposhnikoviae Radix, 防风), Huang Lian (Coptidis Rhizoma, 黄连), Dan Xing (Armeniacae Amarum Semen Preparatum, 胆星), Hong Hua (Carthami Flos, 红花), Ge Gen (Puerariae Lobatae Radix, 葛根) (each 1 qian); Ren Shen (Ginseng Radix et Rhizoma, 人参), Bo He (Menthae Haplocalycis Herba, 薄荷), Sheng Ma (Cimicifugae Rhizoma, 升麻) (each 0.7 qian); Ban Xia (Pinelliae Rhizoma Praeparatum cum Zingibere et Alumine, 半夏, prepared with ginger, 1.2 qian); Gan Cao (Glycyrrhizae Radix et Rhizoma, 甘草, 0.5 qian); Sheng Jiang (Zingiberis Rhizoma Recens, 姜, 3 slices). Decoct in water and take orally.
Xiong Gui Tang: Dang Gui (Angelicae Sinensis Radix, 当归), Chuan Xiong (Chuanxiong Rhizoma, 川芎) (each 5 qian). Decoct in water and take orally.
Postpartum sudden visions of ghosts and spirits result from extreme Blood deficiency, where retained blood rushes upward, pathogenic factors invade the Heart, causing rambling speech as if seeing ghosts and spirits; this is not due to Wind pathogen. Miao Xiang San (Miraculous Fragrance Powder) and Tiao Jing Tang (Regulating Menses Decoction) are indicated. If postpartum madness and rambling speech occur five to six days after delivery, accompanied by holding a knife intending to kill, it is due to sudden violent collapse of Yin Blood and deficient flaming of Liver Fire. Ze Lan Tang (Dewberry Leaf Decoction) is indicated.
Miao Xiang San: Shan Yao (Dioscoreae Rhizoma, 山药, stir-fried with ginger juice), Fu Ling (Poria, 茯苓), Fu Shen (Poria with Hostwood, 茯神), Huang Qi (Astragali Radix, 黄芪), Yuan Zhi (Polygalae Radix, 远志, processed) (each 1 liang); Ren Shen (Ginseng Radix et Rhizoma, 人参), Gan Cao (Glycyrrhizae Radix et Rhizoma, 甘草), Jie Geng (Platycodonis Radix, 桔梗) (each 5 qian); Zhu Sha (Cinnabar, 朱砂, water-ground, 3 qian); Mu Xiang (Aucklandiae Radix, 木香, 2.5 qian); She Xiang (Moschus, 麝香, 1 qian, separately ground). Grind all into powder. Take 2 qian per dose, mixed with wine.
Tiao Jing Tang: Sheng Di Huang (Rehmanniae Radix, 生地黄), Dang Gui (Angelicae Sinensis Radix, 当归) (equal parts). Decoct in water and take orally.
Ze Lan Tang: Long Chi (Dent Draconis, 龙齿 [dosage missing]), Fu Shen (Poria with Hostwood, 茯神), Sheng Di Huang (Rehmanniae Radix, 生地黄), Dang Gui (Angelicae Sinensis Radix, 当归), Niu Xi (Achyranthis Bidentatae Radix, 牛膝), Yuan Zhi Rou (Polygalae Radix Cortex, 远志肉), Suan Zao Ren (Ziziphi Spinosae Semen, 酸枣仁), Ze Lan Ye (Lycii Chinensis Herba, 泽兰叶) (each 1 qian). Decoct in water and take orally.