〔大〕人心有七孔三毛，产后虚弱，多致停积败血，闭于心窍，神志不能明了。又
心气通于舌，心气闭塞，则舌亦强矣，故令不语，但服七珍散。
〔薛〕经云∶大肠之脉，散舌下。又云∶脾之脉，是动则病舌本强，不能言，又云∶肾
之别脉，上入于心，系舌本，虚则不能言。窃谓前证，若心肾气虚，用七珍散。肾虚风热，
地黄饮。大肠风热，加味逍遥散加防风、白芷。脾经风热，秦艽升麻汤。肝经风热，柴
胡清肝散加防风、白芷。脾气郁结，加味归脾汤加升麻。肝木太过，小柴胡加钓藤钩。脾
受土侮，六君加升麻、白芷、钓藤钩。肝脾血虚，用佛手散。脾气虚，用四君子。气血
俱虚，八珍汤；如不应，用独参汤；更不应，急加附子补其气而生其血。若竟用血药，则
误矣。一产妇不语，用七珍散而愈。后复不语，内热晡热，肢体倦怠，饮食不进，用
加味归脾汤为主，佐以七珍散而愈。后因怒，不语口噤，腰背反张，手足发搐，或小便见
血，面赤或青或黄，或时兼赤。余曰∶面青肝之本色也，黄者脾气虚也，赤者心血虚也。
用八珍汤加钓藤钩、茯苓、远志渐愈，又用加味归脾汤而痊。
七珍散
人参 石菖蒲 生地黄 川芎（各一两） 细辛（一钱） 防风 辰砂（别研，各半两）
上为极细末，每服一钱，薄荷汤调下，无时。
胡氏孤凤散 治产后闭目不语。
用生白矾末，每服一钱，热水调下。
治产后不语
人参 石莲肉（不去心） 石菖蒲（各等分）
上每服五钱，水煎。
逐血补心汤 治产后失音不语。
红花 赤芍药 生地黄 桔梗 苏叶 前胡 茯苓 防风 牛胆南星 黄连 粉葛（各二钱）
当归（三钱） 薄荷 人参 升麻（各一钱五分） 半夏（二钱五分） 甘草（一钱）
上锉为散，分作二服，每服水一盅半，姜
三片，煎至七分，空心服，滓再煎服。
[Da Lun] The human heart has seven apertures and three hairs. After childbirth, when the body is weak, it often leads to the stagnation and accumulation of foul blood, which blocks the orifices of the heart, preventing the spirit and consciousness from being clear. Furthermore, the Heart Qi connects with the tongue; if Heart Qi is blocked, the tongue becomes stiff, resulting in aphasia. One should simply administer Qizhen San (Seven Treasures Powder).
[Xue Ji's Commentary] The Classics state: "The meridian of the Large Intestine scatters below the tongue." It also states: "When the meridian of the Spleen undergoes change, the disease manifests as stiffness of the root of the tongue and inability to speak." It further states: "The divergent meridian of the Kidney enters upward into the Heart and connects with the root of the tongue; deficiency results in the inability to speak." I believe that for the aforementioned conditions, if there is Qi deficiency of the Heart and Kidney, use Qizhen San (Seven Treasures Powder). If there is Kidney deficiency with Wind-Heat, use Dihuang Yinzi (Rehmannia Decoction). If there is Wind-Heat in the Large Intestine, use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) added with Fangfeng (Saposhnikovia Root) and Baizhi (Angelica Dahurica). If there is Wind-Heat in the Spleen Meridian, use Qinjiao Shengma Tang (Gentian and Cimicifuga Decoction). If there is Wind-Heat in the Liver Meridian, use Chaihu Qinggan San (Bupleurum Liver-Clearing Powder) added with Fangfeng (Saposhnikovia Root) and Baizhi (Angelica Dahurica). If there is Qi stagnation and knotting in the Spleen, use Jiawei Guipi Tang (Modified Restore the Spleen Decoction) added with Shengma (Cimicifuga Rhizome). If Liver Wood is excessive, use Xiao Chaihu Tang (Minor Bupleurum Decoction) added with Gouteng (Uncaria Ramulus cum Uncis). If the Spleen is affected by Wood overacting on Earth (Earth insulted by Wood), use Liujun Zi Tang (Six Gentlemen Decoction) added with Shengma (Cimicifuga Rhizome), Baizhi (Angelica Dahurica), and Gouteng (Uncaria Ramulus cum Uncis). If there is Blood deficiency of the Liver and Spleen, use Foshou San (Buddha's Hand Powder). If there is Spleen Qi deficiency, use Sijun Zi Tang (Four Gentlemen Decoction). If there is joint deficiency of Qi and Blood, use Bazhen Tang (Eight Treasures Decoction); if ineffective, use Dushen Tang (Single Ginseng Decoction); if still ineffective, urgently add Fuzi (Aconite Lateralis Radix Preparata) to tonify Qi and generate Blood. If one merely uses Blood-tonifying herbs, it would be a mistake. A postpartum woman suffering from aphasia was cured by taking Qizhen San (Seven Treasures Powder). Later, she suffered from aphasia again, accompanied by internal heat and afternoon tidal fever, limb fatigue, and loss of appetite. She was treated primarily with Jiawei Guipi Tang (Modified Restore the Spleen Decoction) supplemented with Qizhen San (Seven Treasures Powder) and recovered. Subsequently, due to anger, she developed aphasia, lockjaw, opisthotonos (hyperextension of the back), convulsions of the hands and feet, occasional hematuria, and facial color changes ranging from red, blue-green, or yellow, sometimes mixed with red. I said: A blue-green complexion indicates the true color of the Liver; yellow indicates Spleen Qi deficiency; red indicates Heart Blood deficiency. She was treated with Bazhen Tang (Eight Treasures Decoction) added with Gouteng (Uncaria Ramulus cum Uncis), Fuling (Poria), and Yuanzhi (Polygala Root), gradually improving, and subsequently cured with Jiawei Guipi Tang (Modified Restore the Spleen Decoction).
Qizhen San (Seven Treasures Powder)
Renshen (Ginseng Radix et Rhizoma), Shichangpu (Acori Tatarinowii Rhizoma), Shengdihuang (Rehmanniae Radix), Chuanxiong (Chuanxiong Rhizoma) (each 1 liang), Xixin (Asari Radix et Rhizoma) (1 qian), Fangfeng (Saposhnikoviae Radix), Chen Sha (Cinnabar) (separately ground, each 0.5 liang).
Grind all ingredients into an extremely fine powder. Take 1 qian per dose, mixed with Bohe Tang (Mint Decoction), at any time.
Hu Shi Gufeng San (Hu's Lone Phoenix Powder) treats postpartum aphasia with closed eyes.
Use raw Bai Fan (Alumen) powder, take 1 qian per dose, mixed with hot water.
Treatment for Postpartum Aphasia
Renshen (Ginseng Radix et Rhizoma), Shilian Rou (Nelumbinis Semen), Shichangpu (Acori Tatarinowii Rhizoma) (equal parts).
Take 5 qian per dose, decoct in water.
Zhuxue Buxin Tang (Blood-Expelling Heart-Tonifying Decoction) treats postpartum aphonia and aphasia.
Honghua (Carthami Flos), Chi Shaoyao (Paeoniae Radix Rubra), Shengdihuang (Rehmanniae Radix), Jiegeng (Platycodonis Radix), Ziyeh (Perillae Folium), Qianhu (Peucedani Radix), Fuling (Poria), Fangfeng (Saposhnikoviae Radix), Niudan Nanting (Arisaematis Cum Bile), Huanglian (Coptidis Rhizoma), Fenge (Puerariae Radix) (each 2 qian), Danggui (Angelicae Sinensis Radix) (3 qian), Bohe (Menthae Haplocalycis Herba), Renshen (Ginseng Radix et Rhizoma), Shengma (Cimicifugae Rhizoma) (each 1.5 qian), Banxia (Pinelliae Rhizoma) (2.5 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (1 qian).
Cut into pieces to make a granular powder. Divide into two doses. For each dose, decoct with 1.5 zhong of water and 3 slices of fresh ginger until reduced to 0.7 zhong. Take on an empty stomach. Decoct the dregs again and take.