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Postpartum patients may experience delirium and hallucinations of ghosts due to fright disturbing the Heart Spirit, causing Stasis Blood (stagnant blood) to rush to the Heart, resulting in confusion and madness; or due to excessive blood loss failing to nourish the Heart, allowing Stasis Blood to harass the Heart. Zaoming Dan is effective.

Decoct dry lotus leaf, Sheng Dihuang (Rehmanniae Radix), and Mudanpi (Moutan Cortex) in equal parts, and take with raw Puhuang (Typhae Pollen). Symptoms will stabilize. Alternatively, use Xiong Gui Yi Mu Decoction taken with water-washed Zhusha (Cinnabar); or use Niuhuang Zaoming Dan from pediatric formulas for fright, which is particularly effective.

Speech originates from the Heart, which governs Blood. Loss of Blood leads to Heart Deficiency. It is suitable to use Chuanxiong (Ligusticum Rhizome), Danggui (Angelicae Sinensis Radix), Yimucao (Leonuri Herba), Maidong (Ophiopogonis Tuber), Yuanzhi (Polygalae Radix), Fushen (Poria with Hostwood), and Renshen (Ginseng Root), adding a small amount of Honghua (Carthami Flos). Decoct together with gold and silver vessels, and take with Zhusha (Cinnabar). Zaoming Dan can also be taken. Alternatively, take one qian of Baifan (Alumen) mixed with hot water.

To determine if there is residual Stasis Blood, check if the abdomen is painful. If the abdomen is soft and painless, the Stasis Blood has been expelled. The severity of pain indicates the amount of blood stasis. If there is severe lower abdominal pain, take the Main Formula and Heishen San, and externally wrap hands in cotton clothing, heat them, and massage the painful area. If treatment is delayed, sudden metrorrhagia, coma, syncope, and death may occur.

Metrorrhagia (non-menstrual heavy bleeding) in women is a critical condition. Young women often have vigorous Fire and Hot Blood. Indulgence in sexual activity within the curtains, or intercourse before menstruation has completely ceased; anger causing Qi rebellion while holding cold water; or consuming raw and cold foods, all lead to Stasis Blood stagnation. Labor overexertion causing Yang hyperactivity, or emotional disturbances generating internal Fire, cause Stasis Blood to flow recklessly, appearing red or purple; or forming purple-black clots, resulting in this disease. Generally, cooling Blood, astringing, lifting Qi, and nourishing Ying (Nutritive) Qi can cure it. Women past middle age and elderly women often suffer from excessive worry. Anger injures the Liver; when the Liver is injured, it cannot store Blood, leading to irregular and erratic menstruation. Pain may precede menstruation, followed by intermittent flow; or near the age of forty-nine (seven sevens), Tian Gui (menstruation) should cease but does not. These are caused by constrained Fire unable to disperse, attacking organs and forcing Blood to flow downward excessively or abnormally, constituting symptoms of "Mountain Collapse" (severe metrorrhagia) and leakage. This involves deficiency of both Qi and Blood, making rapid recovery difficult. One must cool Blood and stop bleeding, dissipate constrained Fire, harmonize Liver Qi, and simultaneously greatly tonify Qi and Blood to achieve success.

Main Formula: Danggui Tou (Danggui Head), Baishao (White Peony Root), Shengdi (Raw Rehmannia Root), Chuanxiong, Huangqin Tiao (Scutellaria Root strips), Diyü (Sanguisorba Root), Zhizi (Gardenia Fruit), Huanglian (Coptis Rhizome), Huangbai (Phellodendron Bark) (each 1.5 qian). Decoct in water and take. If bleeding does not stop, remove Danggui and add fried Jingjie (Schizonepeta Spike).

Liangxue Dihuang Tang (Cooling Blood and Rehmannia Decoction): For women with Yin Deficiency unable to control Fire, where Fire agitates Blood causing unremitting erratic flow.
Shengdi (Raw Rehmannia Root), Danggui Tou (Danggui Head), Tiao Huangqin (Scutellaria Root strips), Jingjie (Schizonepeta Spike, fried) (each 1 qian), Huangbai (Phellodendron Bark), Zhimu (Anemarrhenae Rhizome), Ben (likely Gaoben or similar, literal "Ben"), Chuanxiong, Huanglian (Coptis Rhizome), Gancao (Licorice Root) (each 0.5 qian), Shengma (Cimicifugae Rhizome), Chaihu (Bupleuri Root), Fangfeng (Saposhnikoviae Root), Manjing (Vernoniae Fructus) (each 0.3 qian).
Decoct in water and take. If bleeding does not stop, add Puhuang (Typhae Pollen, fried black), Xuanshen (Scrophulariae Radix), Ejiao (Donkey-hide Gelatin), and Cu Chao Xiangfu (Cyperi Rhizome stir-fried with vinegar).

Guyuan Tang (Source-Consolidating Decoction): For prolonged metrorrhagia that does not stop.
Tiao Huangqin (Scutellaria Root strips, 1.5 qian), Cougen Pi (Ailanthi Cortex, 2 qian), Zaoxin Tu (Stove Hearth Earth), Danggui Tou (Danggui Head), Shudihuang (Prepared Rehmannia Root), Baishaoyao (White Peony Root), Diyü (Sanguisorba Root), Chuanxiong (each 1 qian), Aiye (Artemisiae Argyi Folium), Jingjie (Schizonepeta Spike, fried) (each 0.5 qian). Add Wumei (Mume Fruit) and decoct.

Shen [Qi] Tang (Ginseng [and Astragalus] Decoction): For severe deficiency in metrorrhagia.
Renshen (Ginseng Root), Huang [qi] (Astragali Radix - character missing in original text, implied by context), Maidong (Ophiopogonis Tuber) (each 3 qian), Wuweizi (Schisandrae Fructus, 0.7 fen), Duzhong (Eucommiae Cortex), Shudihuang (Prepared Rehmannia Root), Shanzhuyu (Corni Fructus) (each 2 qian), Gouqizi (Lycii Fructus, 3 qian), Chuanxuduan (Dipsaci Radix, 1 qian), Jingjie (Schizonepeta Spike, fried, 0.8 fen), Ejiao (Donkey-hide Gelatin, 2 qian).
Decoct three times in river water, consume in one day.

Yi Chi Ba Wu Wan (One Red Eight Black Pill): For severe metrorrhagia.
Xuejie (Dragon's Blood), Jingmo (Beijing Ink, calcined), Fa Hui (Hair Ash), Baicaoshuang (Charcoal from Hundred Herbs), Lianpeng Ke (Lotus Pod Shell), Huangjuan (Yellow Silk), Baizong (Decayed Palm Fiber) (all burned to ash), Puhuang (Typhae Pollen), Zhizi (Gardenia Fruit) (all fried black).
Grind into powder, make pills with honey the size of mung beans. Take 100 pills per dose, delivered with rice soup, or mixed with rice soup.

Simple Formula (Stop Metrorrhagia): Mianhuazi Ren (Cottonseed Kernel, fried yellow), Tiao Huangqin (Scutellaria Root strips), Gancao (Licorice Root) (equal parts), grind into powder. Take 2 qian per dose with wine on an empty stomach.
Another method: Jingmo (Beijing Ink, smoke-free, ground into powder), 2 qian with wine.
Another method: Shibing (Persimmon Cake) burned to ash, 2 qian with plain boiled water.
Another method: Ganqi (Dried Resin of Toxicodendron, burned until smoke ceases, 3 qian), Wulingzhi (Trogopterori Faeces, 0.5 fen), grind into powder, take 2 qian with wine; or Guanzhong (Cyrtomii Rhizoma) burned to ash and taken.
Another method: Ganhei Lüshi (Dry black donkey dung) ground fine, placed in a jar and smoked, let the patient with metrorrhagia sit above to inhale the smoke to stop bleeding. Or Huai Zi (Sophora Seed) burned, ground, and taken.
Another method: Longgu (Fossilized Bones, ground), Danggui (Angelicae Sinensis Radix), Xiangfu (Cyperi Rhizoma, processed) (each 1 liang), Zonghui (Palm Ash, 5 qian), grind into powder. Take 4 qian per dose with rice soup on an empty stomach.
Another method: Wumei Rou (Mume Fruit Flesh, fried), ground into powder, take 2 qian with wine; or Zong burned to ash, added with Kufan (Burnt Alum) powder, taken with wine.
Another method: Cang'er Cao (Xanthii Herb) burned to ash, 3 qian with wine. Or Huaihua (Sophorae Flos), Diyü (Sanguisorba Root) (fried, ground) taken with wine or decocted. Or Jingjie Sui (Schizonepeta Spike tip) burned charred on an sesame oil lamp, ground into powder, taken with child's urine and wine. Or Wu Jin (Iron Pyrite?), Mu'er (Wood Ear Mushroom) stir-fried to retain nature, ground into powder (3 qian), Ejiao (Donkey-hide Gelatin, fried) ground into powder (2 qian), mixed with Wumei Soup.