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Postpartum women often exhibit emotional volatility, manifesting as excessive joy or irritability, and may occasionally suffer from mania (mania), characterized by incoherent speech and even behaviors disregarding their own physical well-being. These conditions arise from the transformation of the Five Emotions (joy, anger, worry, thought, fear) into heat. When Fire excess suppresses Metal (the Lung element), preventing its descending function, Liver Qi becomes excessive, leading to irritability.

Furthermore, internal fever often belongs to the Yangming channel disorder. The classics state: "Reversal of Yangming Qi leads to mania," and also note that consuming rich, fatty foods and aromatic spices generates fierce and rapid pathogenic heat, resulting in mania. Generally, this is due to phlegm accumulation in the chest; treatment should primarily focus on resolving phlegm and calming the Spirit (Shen).

If the Spirit fails to reside within its abode, causing wild speech and delirium that persists for a long time without cure, it indicates Heat accumulation in the Heart channel. In such cases, clearing Heart Heat should be the priority. If Phlegm confuses the Heart orifices, removing Phlegm to calm the Heart is required, and emetic or purgative methods can lead to recovery.

When postpartum fever is accompanied by wind invasion, causing general body numbness, twitching and convulsions of the limbs, profuse salivary phlegm, and incoherent speech, it is a syndrome of Phlegm binding in the chest and diaphragm combined with Heat accumulation in the Heart channel. Treatment should employ formulas such as Guipi Tang (Spleen-Restoring Decoction) combined with Shaxiang San.

[Guipi Tang]
Chenhpi (Tangerine Peel), Danxing (Arisaema cum Bile), Fushen (Poria with Hostwood), Xingren (Apricot Seed), Renshen (Ginseng), Danggui (Angelica Sinensis), Gancao (Licorice Root), Banxia (Pinellia Tuber), Zhishi (Immature Bitter Orange), Chuanxiong (Ligusticum Rhizome), Baiziren (Biota Seed), Wuweizi (Schisandra Fruit), Baizhu (Atractylodes Macrocephala Rhizome), Guiyuan (Longan Aril).

[Shaxiang San]
Renshen (Ginseng), Muxiang (Costus Root), Sharen (Amomum Fruit), Huangqi (Astragalus Root), Shanyao (Dioscorea Rhizome), Baiziren (Biota Seed), Fushen (Poria with Hostwood), Yuanzhi (Polygala Root), Suanzaoren (Ziziphus Seed).

Grind the above ingredients into fine powder and take with honey.

[Supplementary Twelve Postpartum Syndromes]
Including: Fever, headache, abdominal distension, cough, hiccups, lochia retention, lochia overflow, visual hallucinations (seeing black flowers), dizziness, hypochondriac pain, mutism, slurred speech, and mass accumulation (Jia).

Postpartum fever is not due to Excess Heat, but rather results from excessive blood loss leading to Yin deficiency and subsequent internal heat generation. Symptoms include vexation and fullness in the chest and heart, shortness of breath, headache with mental confusion, which worsen in the late afternoon. This is treated with Renshen Xiong Gui Tang (Ginseng, Ligusticum, and Angelica Decoction).

[Renshen Xiong Gui Tang]
Danggui (Angelica Sinensis Root) (1.5 qian), Chuanxiong (Ligusticum Rhizome) (1.5 qian), Baishao (White Peony Root, stir-fried with wine) (1.5 qian), Shudi (Prepared Rehmannia Root) (1.5 qian), Maidong (Ophiopogon Tuber) (1 qian), Ganjiang (Dried Ginger) (1 qian).

Take two cups of water. First, decoct a pinch of Jingmi (Rice Grain) and ten leaves of Danzhuye (Bamboo Leaf) until reduced to one cup. Remove the rice and leaves, add the medicinal herbs, and three dates. Decoct until 70% remains, then administer.

The reason for adding Ganjiang (Dried Ginger) is that ginger enters the Lung channel to harmonize Lung Qi and enters the Liver channel to guide blood-invigorating herbs to generate blood. However, it is not used alone; it must be combined with Yang-tonifying herbs to achieve this miraculous synergy. Only those with divine medical insight can fully appreciate this principle.