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Postpartum women suffering from worry, fright, fatigue, and exhaustion, combined with excessive blood loss during delivery, may experience restless agitation in the heart, a condition known as Zhengchong (Palpitations with severe, continuous sensation). If the manifestation involves sudden fear and timidity, with a feeling of apprehension as if someone were about to capture them, it is called Jingji (Palpitations caused by fright). The treatment for these two conditions lies primarily in harmonizing the Spleen and Stomach, and nourishing Heart Blood, thereby calming the Will and stabilizing the Spirit, allowing Qi to flow smoothly and the Heart Mind to be at peace, leading to recovery.

If blood stasis clots remain unresolved after delivery, Shenghua Tang (Life-restoring Decoction) should be administered to nourish blood and promote the expulsion of stasis. After several doses, once blood volume is restored and stasis dissipates, Zhengchong and Jingji will naturally subside; there is no need to additionally add herbs for calming the Will and Spirit. If the pain caused by the clots has ceased, Jiajian Guipi Tang (Modified Gui Pi Decoction) is indicated.

If the patient experiences severe palpitations accompanied by immobility of the eyeballs and inability to move the body, and the pulse is found to be beating but weak, the treatment should focus on nourishing blood assisted by spirit-calming herbs, with Yangxin Tang (Nourish Heart Decoction) as the primary formula. For those who constitutionally have excessive internal heat, Anshen Wan (Calm Spirit Pill) should be taken concurrently. If insomnia is caused by deficiency-related vexation, which also stems from Heart Qi deficiency, Jiajian Guipi Tang can be used to treat both conditions. Sun Simiao (Master Sun) used Renshen Wan (Ginseng Pill) to treat palpitations and insomnia with good efficacy.

Regarding irritability and restlessness, one must distinguish whether abdominal pain from clots is present. If the pain from clots persists, indicating blood stasis, Shenghua Tang should be combined with Shixiao San (Pain-Dispersing Powder). If the pain has ceased, indicating a deficiency pattern, or deficiency with heat, Renshen Danggui Tang (Ginseng and Angelica Decoction) is prescribed.

Jiajian Guipi Tang: Treats postpartum Zhengchong and Jingji after the cessation of clot-related pain.
Ingredients: Renshen (Ginseng), Fuling (Poria), Chao Zao Ren (Fried Semen Ziziphi Spinosae), Maidong (Ophiopogonis Radix, core removed), Huangqi (Astragali Radix, honey-fried), Baizhu (Atractylodis Macrocephalae Rhizoma, earth-fried), each 1 qian; Danggui (Angelicae Sinensis Radix) 2 qian (soaked in wine); Chuanxiong (Ligustici Chuanxiong Rhizoma) 8 fen; Yuanzhi Rou (Polygalae Radix flesh, processed) 6 fen; Chenpi (Citri Reticulatae Pericarpium) and Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) each 4 fen; Longyan Rou (Longan Aril) 8 pieces. Add one slice of Shengjiang (Zingiberis Rhizoma Recens), decoct in water and take orally. For deficiency vexation, add a ball of Zhuru (Bambusae Caulis in Taeniam). For phlegm, add Zhuli (Bambusae Caulis in Taeniam Juice) and Jiangzhi (Zingiberis Rhizoma Juice). Alternatively, add Baiziren (Semen Platycladi).
Alternative prescription: Replace Fuling with Fushen (Poria with Hostwood), remove Chuanxiong and Chenpi, and add Muxiang (Aucklandiae Radix) 2 fen.

Yangxin Tang: Treats postpartum unrest of Heart Blood, causing palpitations and anxiety.
Ingredients: Renshen (Ginseng) 1.5 qian; Danggui Shen (Body of Angelicae Sinensis Radix) 2 qian (soaked in wine); Huangqi (Astragali Radix, honey-fried); Maidong (Ophiopogonis Radix, core removed); Chao Zao Ren (Fried Semen Ziziphi Spinosae); Baiziren (Semen Platycladi), each 1 qian; Fushen (Poria with Hostwood); Chuanxiong (Ligustici Chuanxiong Rhizoma); Yuanzhi Rou (Polygalae Radix flesh, processed), each 8 fen; Wuweizi (Schisandrae Chinensis Fructus) 10 grains; Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) 4 fen. Decoct in water and take orally.

Anshen Wan: Treats postpartum Zhengchong and Jingji in patients with constitutionally excessive internal heat.
Ingredients: Jiujin Danggui Shen (Wine-soaked Body of Angelicae Sinensis Radix) and Shengdi Huang (Rehmanniae Radix) each 3 qian; Huanglian (Coptidis Rhizoma) 2 qian (stir-fried); Gancao (Glycyrrhizae Radix et Rhizoma) 5 fen (prepared or raw is acceptable).
Grind the above four ingredients into fine powder, mix with steamed cake paste to form pills the size of mung beans, coat with Zhusha (Cinnabaris), and take 40 pills per dose.

Renshen Wan: Treats postpartum severe deficiency-induced palpitations, mental instability,恍惚 (mental confusion/fugacity), fearfulness, deficiency vexation, insomnia, and shortness of breath.
Ingredients: Renshen (Ginseng), Fuling (Poria), Maidong (Ophiopogonis Radix, core removed), Shanyao (Dioscoreae Rhizoma) each 2 liang; Zexie (Alismatis Rhizoma), Changpu (Acori Tatarinowii Rhizoma), Ganjiang (Zingiberis Rhizoma), Guixin (Cinnamomi Cortex), Gancao (Glycyrrhizae Radix et Rhizoma) each 1 liang.
Grind into fine powder, mix with white honey and jujube paste to form pills the size of wutong seeds. Take 20-30 pills with wine on an empty stomach, morning and evening.

Renshen Danggui Tang: Treats postpartum cases where clot pain has ceased, due to deficiency, or deficiency with heat, resulting in irritability and restlessness.
Ingredients: Renshen (Ginseng); Jiujin Danggui (Wine-soaked Angelicae Sinensis Radix), Shudi Huang (Prepared Rehmanniae Radix), Maidong (Ophiopogonis Radix, core removed) each 2 qian; Rougui (Cinnamomi Cortex) 4 fen; Jiuchao Baishao (Wine-stir-fried Paeoniae Radix Alba) 1 qian; Shengdi Huang (Rehmanniae Radix) 8 fen; Zhuye (Phyllostachys Viridis Folium) 10 leaves. Decoct in water and take orally.

Shenghua Tang (See discussion on Shenghua Tang later in this volume).
Shixiao San (See section on Retained Placenta in Volume II).