产后气血暴竭，百骸少血濡养，率而口噤牙紧，手足筋脉挛缩，类中风，又类 痫。虽
虚火
泛上有痰，皆当以末治之，毋执偏门而用治风消痰之方，以重虚产也。盖经脉任血流利，自
筋骨强健，而关节清利，今产后无血濡注，致牙紧口噤，手足牵搐，症类 痫中风也。治当
先服生化汤，以生旺新血。如见危症，三帖后即用人参益气，以救血脱也。如有痰有火，少
佐橘红、炒芩之剂，竹沥、姜汁亦可加之，黄连黄柏，不可并用，慎之，附方于后。
滋荣活络汤 治产后少血，口噤项强，抽搐类中风症。（此方如有血块，不可用
地、 、术。）
川芎（一钱五分） 当归（三钱） 怀熟地（二钱） 草果（四分） 黄 （一钱） 茯神（一钱）
天
麻（一钱） 人参（二钱） 麦冬（一钱） 陈皮（四分） 荆芥（四分） 防风（四分） 羌活（四分）
黄连（二分，姜炒）
有痰，加半夏曲二钱，竹沥一小酒杯，姜汁少许。有食，加山楂、砂仁以消肉物，神曲
、麦
芽以消面饭。大便秘，加肉苁蓉一钱五分。渴，加麦冬、葛根。汗，加麻黄根一钱。惊悸，
加枣仁一钱。
天麻丸 治产后中风，恍惚语涩，四肢不利。
天麻（五钱） 防风（五钱） 茯神（一两） 川芎（七钱） 枣仁（一两） 羌活（七钱） 人参
（一
两） 远志（一两） 柏子仁（一两） 山药（一两） 麦冬（一两） 细辛（四钱） 南星曲（九钱）
半夏曲（九钱） 当归（六两） 石菖蒲（八钱）
蜜丸，朱砂为衣。
Postpartum sudden depletion of Qi and Blood leads to a lack of nourishment for the entire body's sinews and bones. Consequently, symptoms such as locked jaws (mouth closed tightly) and clenched teeth often occur, along with spasms and contractures of the sinews and vessels in the hands and feet. This presents as a condition resembling Stroke (Zhong Feng), yet also resembles Epilepsy (Xian). Although there may be deficient fire floating upward accompanied by Phlegm, treatment should prioritize addressing the root deficiency. One must not stubbornly adhere to heterodox approaches using wind-dispelling and phlegm-resolving formulas, which would further damage the postpartum woman's already depleted state. When the Ren Mai (Conception Vessel) blood flow is smooth, the sinews and bones naturally become strong, and joints move freely. However, due to the lack of blood nourishment and infusion after childbirth, the patient suffers from locked jaws, inability to open the mouth, and pulling/twitching of the hands and feet; these symptoms mimic Epilepsy and Stroke. Treatment should first involve administering Shenghua Tang (Life-Generating Decoction) to generate and invigorate new Blood. If critical symptoms appear, add Renshen (Ginseng Root) to tonify Qi after three doses to rescue from Blood collapse. If Phlegm and Fire are present, small amounts of Juhong (Tangerine Peel) and Chao Huangqin (Scutellaria Root, stir-fried) may be added; Zhuli (Bamboo Sap) and Jiangzhi (Ginger Juice) can also be included. However, Huanglian (Coptis Rhizome) and Huangbai (Phellodendron Bark) must not be used together; caution is advised. Supplementary formulas follow below.
Zirong Huoluo Tang (Nourishing Glory and Unblocking Collaterals Decoction): Treats postpartum Blood deficiency presenting with locked jaws, neck stiffness, and convulsions resembling Stroke. (If blood stasis masses are present, this formula should not be used with Dihuang [Rehmannia Root] and Baizhu [Atractylodes Macrocephala Rhizome].)
Chuanxiong (1.5 qian) Danggui (3 qian) Huaishudi (2 qian) Caoguo (0.4 qian) Huangqi (1 qian) Fushen (1 qian) Tianma (1 qian) Renshen (2 qian) Maidong (1 qian) Chenpi (0.4 qian) Jingjie (0.4 qian) Fangfeng (0.4 qian) Qianghuo (0.4 qian) Huanglian (0.2 qian, stir-fried with ginger juice)
For Phlegm, add Banxiaqu (Pinellia Fermented Paste) 2 qian, Zhuli (Bamboo Sap) one small wine cup, and a little Jiangzhi (Ginger Juice). For food stagnation, add Shanzha (Hawthorn Fruit) and Sharen (Amomum Fruit) to digest meat, and Shenqu (Medicated Leaven) and Maiya (Sprouted Barley Grain) to digest wheat and rice products. For constipation, add Roucongrong (Cistanche Stem) 1.5 qian. For thirst, add Maidong (Ophiopogon Tuber) and Gegen (Kudzu Root). For sweating, add Mahuanggen (Ephedra Root) 1 qian. For palpitations and fright, add Zaoren (Ziziphus Seed) 1 qian.
Tianma Wan (Gastrodia Pill): Treats postpartum Stroke presenting with mental confusion, slurred speech, and impaired movement of the four limbs.
Tianma (5 qian) Fangfeng (5 qian) Fushen (1 liang) Chuanxiong (7 qian) Zaoren (1 liang) Qianghuo (7 qian) Renshen (1 liang) Yuanzhi (1 liang) Baiziren (1 liang) Shanyao (1 liang) Maidong (1 liang) Xixin (4 qian) Nanxingqu (9 qian) Banxiaqu (9 qian) Danggui (6 liang) Shichangpu (8 qian)
Made into honey pills, coated with Zhusha (Cinnabar).