〔大〕夫产后中风者，由产时伤动血气，劳损腑脏，未曾平复，起早劳动，致使气虚
而风邪乘虚入之，故中风。风邪冷气，客于皮肤经络，但疼痹羸乏不任，少气。大凡筋
脉挟寒，则挛急 僻，挟温则纵缓虚弱。若入诸脏，恍惚惊悸。随其所伤腑脏经络而生
病焉。
郭稽中论曰∶产后中风者何？答曰∶产后五七日内，强力下床，或一月之内，伤于
房室，或怀忧怒，扰荡冲和，或因食生硬，伤动脏腑。得病之初，眼涩口噤，肌肉 搐，渐
至腰脊，筋急强直者不可治。此乃人作，非偶尔中风所得也。
〔薛〕前证果外邪所属，形气不足，病气有余，当补元气为主，稍佐以治病之药。若
强力不休，月内入房，属形气俱不足，当纯补元气，多有复苏者。若误投风药，乃促其
危也。
〔丹〕产后中风，口眼 斜，必用大补气血，然后治痰。当以左右手脉，分其气血
多少以治，切不可作中风治，用小续命汤及发表治风之药。
防风汤 治产后中风，背项强急，胸满短气。
防风 独活（各去芦） 葛根（各五两） 当归 人参（各去芦） 白芍药 甘草（炙，各二两）
上为 咀，每服八钱，水一盏半，枣子二枚，掰破，同煎至一盏，去滓温服，不拘时。
川芎散 治产后中风，身背拘急，有如绳束。
川芎 羌活（去芦） 酸枣仁 羚羊角屑 芍药（各四两） 桑白皮（一两半） 防风（去芦，一两二钱）
为 咀，每服一两，水二大盏，煎至一盏半，去滓不拘时服，日进三服。
经效茯苓汤 治产后风虚头痛，语言謇涩。
茯苓（去皮） 防风（去芦） 干葛（各八钱） 麦门冬（去心，一两） 芍药 黄芩（各六钱）
犀角屑（四钱） 甘草（炙，二两）
上 咀，每服一两，水一大盏半，煎至一盏，去滓温服，不拘时。
鹿肉汤 治产后中风，头痛壮热，言语謇涩。
鹿肉（三斤） 阿胶（炒胀） 黄芩 茯神（去木） 黄 （蜜炙） 甘草（炙） 白芍药
人参 独活（各去芦，各三两） 桂心 干地黄 川芎（各二两） 半夏（汤洗，一两）
上为 咀，每服五钱，水四盏，鹿肉五钱，姜五片，同煎至二盏，去鹿肉，再煎至
盏半，入阿胶消化，去 温服，不拘时，日进二服。
〔云岐〕治产后中风，半身手足不遂，言语謇涩，恍忽多忘，精神不定。
独活 当归 芍药 防风 川芎 玄参 天麻（各五钱） 桂心（三钱）
上 咀，以水八升，煮取二升半，分为三服，觉效更作一剂。又作丸，每服二十丸。
如有热，加葛根五钱。有冷，加白术五钱。若有气证，加生姜一两半。若手足不遂，加牛
膝一钱半，萆 三钱，黄 四钱。若腹痛，加当归、芍药各七钱半。若不食，加人参五钱，
玄参一两。若寒中三阴，所患必冷，小续命汤加生姜煎。若暑中三阳，所患必热，小续
命汤去附子、减桂心一半，加薄荷煎。
保命血气汤 治产后诸风，痿挛无力。
秦艽 羌活 防风 白芷 川芎 芍药 当归 白术 茯苓 熟地黄（各等分）
上为末，一半蜜丸，一半散，酒调下五七十丸，妙。
治产后风虚，五缓六急，手足顽痹，气血不调。
大豆一升，炒令熟，热投三升酒中，蜜封，饮之。
《短剧》治产后中风语涩，四肢拘急。
羌活三两为末，每服五钱，水酒各半盏，煎去滓，温服。
华佗愈风散 治妇人产后中风口噤，手足螈 如角弓，或产后血晕不省人事，四肢
强直，或心眼倒筑，吐泻欲死。
用荆芥穗（微焙为末。）每服三钱，豆淋酒调服，或童子小便服之。口噤则挑齿灌之，龈
噤则灌入鼻中，其效如神。大抵产后大眩，则汗出而腠理疏，则易于中风也。
时珍曰∶此方诸书盛称其妙，姚僧坦《集验方》以酒服名如圣散，云药下可立待应
效。陈氏方名举卿古拜散，萧存敬方，用古老钱煎汤服，名一捻金。王贶《指迷方》加
当归等分水煎服。许叔微《本事方》云∶此药委有奇效神圣之功。一妇人产后睡久，及
醒则昏昏如醉，不省人事，医用此药及交加散，云服后当睡，必以左手搔头，用之果然。
昝殷《产宝》方云∶此病多因怒气伤肝，或忧气内郁，或坐草受风而成，急宜服此药也。
戴氏《证治要诀》名独行散。贾似道《悦生随抄》呼为再生丹。
上产后中风，用续命汤及羌活等发散之药，必详气血，以四物、四君子相与各半，停
对，分两服之可也。
〔虚极生风〕
〔大〕产后下血过多，虚极生风者何？答曰∶妇人以荣血为主，因产血下太多，气
无所主，唇青肉冷，汗出目眩神昏，命在须臾者，此但虚极生风也。如此则急服济危上
丹，若以风药治之，则误矣。
〔薛〕前证若心脾血气俱虚，用十全大补汤；如不应，加附子、钓藤钩。若肝经血
虚，用逍遥散加钓藤钩。经云∶脾之荣在唇，心之液为汗。若心脾二脏虚极，急用参附汤
救之。一妇人患前证，或用诸补剂，四肢逆冷，自汗泄泻，肠鸣腹痛。余以阳气虚寒，
用六君子、姜、附各加至五钱，不应，以参、附各一两，始应。良久不服，仍肠鸣腹痛，复
灸关元穴百余壮，及服十全大补汤方效。
济危上丹
乳香 五灵脂 硫黄 玄精石（同研极细） 阿胶（炒胀） 卷柏（生用）
桑寄生 陈皮（去白，各等分）
上将上四味同研停，于银石器内微火炒，勿焦了，再研极细，后入余药为末拌匀，生
地黄汁和丸如梧子大。每服二十丸，温酒或当归酒送下，食前。
当归建中汤（见产后腹痛。）
〔口噤〕
〔大〕夫产后中风口噤者，是血气虚而风入于颔颊夹口之筋也。手三阳之筋结入于
颔，产则劳损腑脏，伤于筋脉，风若乘之，其三阳之筋脉则偏持之，筋得风冷则急，故令
口噤也。
葛根汤 治产后中风，口噤仆地，头目眩晕，痰盛气急，及治产后诸疾。
葛根 生姜（各六两） 独活（四两） 当归（三两，各去芦） 甘草（炙） 桂心 白茯苓（去皮）
石膏 人参（去芦） 白术 防风（各去芦） 川芎（各二两）
上为 咀，每服五钱，水二盏，煎至一盏半，去滓温服，无时，日进二服。
干葛汤 （深师） 疗产后中风，口噤不能言。
独活（去芦，二两） 干葛（一两半） 甘草（半两，炙） 生姜（一两二钱半）
上为 咀，每服一两，水二大盏，煎至一大盏，去滓，温服无时。
天麻散 治产后中风口噤。
天麻（七钱半） 白附子（炮） 天南星（炮） 半夏（汤洗七遍，去滑，姜制） 干蝎（炒，各半两）
上为细末，每服一钱，生姜、薄荷、酒调下。斡开口灌之，不拘时。
当归散 治妇人产后中风，牙关紧急，不省人事，口吐涎沫，手足螈 。
当归（去芦） 荆芥穗（各等分）
上为细末，每服二钱，水一盏，酒半盏，煎至一盏，灌之。如牙关紧急，斡开微微灌
之，但下咽即生。屡用救人，大有神效。
伏龙肝散 治产后中风口噤，不能语言，腰背疼痛。
伏龙肝（一两半） 干姜（半两，炮）
为细末，每服二钱，温酒调下，不拘时，日进二服。
交加散 治产前后百病，兼治妇人荣卫不通，经脉不调，腹中撮痛，气多血少，结
聚为瘕，产后中风，并宜服之。
生地黄（一升，研取自然汁） 生姜（十二两，研取自然汁）
上先将地黄汁炒生姜滓，生姜汁炒地黄滓，各稍干，焙为细末。每服三钱，温酒调
下。寻常腹痛亦宜服，产后尤不可离。
〔角弓反张〕
〔大〕夫产后角弓反张者，是体虚受风，风入诸阳之经也。入阴阳经络，周环于身，风
邪乘虚入于诸阳之经，则腰背反折，挛急如角弓之状也。
〔薛〕前证因气血耗损，腠理不密，汗出过多而患之者，乃虚象也。宜固气血为主，
佐以本方。丹溪云∶产后当大补气血为先，虽有他证，以末治之。如恶寒发热等证乃气血
虚甚之极也，宜大剂参、 、归、术、肉桂以培养之。如不应，急用炮附子。再不应，用
人参一两，炮附子二三钱，名参附汤。若犹未应，乃药力未能及也，宜多用之。
愈风散 当归汤 羌活酒（并见前。）
羚羊角散 治产后中风，身体反张。
羚羊角屑 当归（各七钱半） 独活 防风（各去芦） 麻黄（去节，各一两） 人参（去芦）
赤芍药细辛（去苗） 桂心（各半两）
上为 咀，每服八钱，水一大盏半，生姜五片，煎至一大盏，去滓温服，不拘时。
《短剧》疗产后中风，虚人不可服他药者，一物独活汤主之，及一物白鲜汤主之，亦可
与独活合煮之。
川独活（三两，细切）
上水三升，煮取一升，分服。耐酒者，亦可酒水煮。
一物白鲜汤 用白鲜皮，亦根据独活法。
产后中风痉，口噤面青，手足急强者。
以竹沥二升，分为五服，温温频服，大效。
治产后中风，角弓反张，口噤不语方。
川乌（五两，锉如豆大）
上取黑豆半升，同炒半黑，以酒三升，倾放铛内，急搅，以绢滤取酒，微温，服一小
盏取汗。若口不开者，斡开口灌之，未效加乌鸡粪一合，炒熟入酒中服之，以瘥为度。
千金鸡矢醴 疗产后中风，及男子诸风，并产后百疾神效方。又治产后中风口噤拘，困
笃，腰背强直，时时反折。
乌鸡屎（三升） 大豆（二升）
上先炒豆令声绝，次炒鸡屎令黄，以酒一升，先淋鸡屎，取汁淋大豆，每服一升。重
者凡四五服，极妙。
张文仲疗产后中风风痉，遍身冷直，口噤不识人方。
白术（四两，细切） 以酒三升，煮取一升，顿服效。
〔汗出多而变痉〕
〔大〕产后血虚，腠理不密，故多汗，因遇风邪搏之则变痉，痉者口噤不开，背强
而直，如发间状，摇头马鸣，身反折，须臾十发，气息如绝，宜速斡口灌小续命汤，稍
缓即汗止，如两手摸控者，不可治也；
〔薛〕产后发痉，因去血过多，元气亏极，或外邪相搏，以致牙关紧急，四肢痉强，
或腰背反张，肢体抽搐。若有汗而不恶寒者，曰柔痉；若无汗而恶寒，曰刚痉。然产后患
之，实由亡血过多，筋无所养而致。故伤寒汗下过多，溃疡脓血大泄多患之，乃败证也。
若大补血气，多保无虞，若攻风邪，死无疑矣。一产妇牙关紧急，腰背反张，四肢抽
搐，两目连札余以为去血过多，元气亏损，阴火炽盛，用十全大补加炮姜，一剂而苏，又
数剂而安。余在吴江史万湖第，入更时，闻喧嚷云∶某家人妇忽仆，牙关紧急，已死矣。
询云∶是新产妇出直厨。余意其劳伤血气而发痉也，急用十全大补加附子，煎滚，令人
推正其身，一人以手夹正其面，却挖开其口，将药灌之不咽，药已冷，令侧其面出之，仍
正其面，复灌以热药，又冷，又灌，如此五次方咽下，随灌以熟药遂苏。
《夷坚志》云∶杜壬治郝质子妇，产四日，螈 戴眼，弓背反张。壬以为痉病，与大豆
紫汤、独活汤而愈。政和间，余妻方分娩，犹在蓐中，忽作此证，头足反接，相去几二尺，
家人惊骇，以数婢强拗之不直，适记所云，而药草有独活，乃急为之，召医未至，连进三
剂，遂能直，医至即愈矣。更不须用大豆紫汤，古人处方，神验屡矣。
小续命汤 治产后中风，及刚痉柔痉。
陈临川云虽然。陈无择评曰∶产后汗出多变痉，亦令服续命汤，此又难信。既汗多，
如何更服麻黄、官桂、防己、黄芩辈，不若大豆紫汤为佳。《局方》大圣散亦良药也。愚
观朱奉议云∶凡刚柔二痉，小续命汤并可加减与之。若柔痉自汗者，去麻黄加葛根之说，
朱奉议必有所据。虽大豆紫汤、大圣散良，亦不可偏见曲说，有妨古人之意。
大豆紫汤 治中风头眩，恶风自汗，吐冷水，及产后百病。或中风痱痉，背强口噤，
直视烦热。脉紧大者不治。《短剧方》主产后中风、困笃，背强口噤，或但烦躁或头身皆
重，或身重痒，发呕吐、直视，并宜服之。
川独活（去芦，一两半） 大豆（半升） 酒（三升）
上先用酒浸独活，煎一两沸，别炒大豆极焦烟出，急投酒中，密封候冷，去豆，每
服一二合许，得少汗则愈，日进十服。此药能去风消血结，如妊娠折伤，胎死腹中，服
此得瘥。
陈临川云∶凡产后口噤，腰背强直，角弓反张，皆名曰痉，又名曰 。古人察有汗
无汗，以分刚柔阴阳而治。今《产宝》诸书有中风口噤一门，又有角弓反张一门，其实
一也。如憎寒发热，有类伤寒，皆不论及，岂可只以一二药治之。
大豆汤 治产后中风，发则仆地，不省人事，及妊娠挟风，兼治蓐草之间，诸般病
证。
大豆（五升，炒黄） 独活（去芦） 葛根（各八两） 防己（去皮，六两）
上 咀，每服五钱，酒二盏，煎至一盏半，去渣温服，不拘时，日三服。
羚羊角饮子 治产后气实，腹中坚硬，两胁胀满，心中烦热，渴欲饮水，欲成刚 、中
风之疾。
羚羊角（半两，镑） 防风 羌活 桔梗（并去芦） 败酱（各八钱） 桂心 柴胡（去芦）
[General Treatise] Postpartum wind-stroke arises from the injury to Qi and Blood during childbirth, damaging the Zang-Fu organs. If one rises and labors too early before recovery, Qi deficiency occurs, allowing Wind pathogen to enter through the deficiency, thus causing wind-stroke. The Cold-Wind pathogen lodges in the skin and collaterals, manifesting as pain, bi-syndrome (obstruction syndrome), emaciation, weakness, inability to bear labor, and shortness of breath. Generally, if tendons and vessels are combined with Cold, they become spasmodic and deviated; if combined with Warmth, they become flaccid and weak. If the pathogen enters the Zang-Fu organs, it causes mental confusion, fright, and palpitations. Diseases arise according to the specific Zang-Fu or collaterals injured.
Guo Jizhong stated: What is postpartum wind-stroke? The answer is: Within five to seven days after childbirth, forcing oneself out of bed, or within a month engaging in sexual intercourse, or harboring sorrow and anger which disturbs the Chong and Ren harmonious Qi, or eating raw and hard foods that damage the Zang-Fu organs. At the onset, there is dry eyes, trismus (lockjaw), muscle twitching, gradually progressing to stiffness and rigidity of the waist and spine. This condition is incurable. It is caused by human error, not accidental wind-stroke.
[Xue Ji] If the aforementioned symptoms are due to external pathogens, it indicates insufficient Zheng Qi (Upright Qi) and excess Pathogenic Qi. Treatment should primarily tonify Yuan Qi (Source Qi), with slight adjuvants to treat the disease. If one labors excessively or engages in intercourse within a month, both Xing Qi (Form Qi) and Yuan Qi are insufficient; pure tonification of Yuan Qi is required, and revival is often achieved. Misusing Wind-dispelling drugs will accelerate death.
[Zhu Danxi] For postpartum wind-stroke with deviation of the mouth and eye, one must first greatly tonify Qi and Blood, then treat Phlegm. Treatment should be guided by distinguishing the abundance or scarcity of Qi and Blood via the pulses on the left and right hands. One must not treat it as ordinary wind-stroke using Xiao Xuming Tang (Minor Continue Life Decoction) or other exterior-releasing Wind-dispelling drugs.
Fangfeng Tang (Saposhnikovia Decoction): Treats postpartum wind-stroke with stiffness in the back and neck, chest fullness, and shortness of breath.
Ingredients: Fangfeng, Duhuo (each de-gorged), Gegen (5 liang); Danggui, Renshen (each de-gorged); Baishao, Zhigancao (roasted, each 2 liang).
Preparation: Coarsely crush the herbs. Take 8 qian per dose, add 1.5 sheng water and 2 broken jujubes. Decoct until 1 sheng remains, strain, and take warm at any time.
Chuanxiong San (Ligusticum Powder): Treats postpartum wind-stroke with stiffness in the body and back, feeling like being bound by a rope.
Ingredients: Chuanxiong, Qianghuo (de-gorged), Suanzaoren, Lingyangjiaoxie, Shaoyao (each 4 liang); Sangbaipi (1.5 liang); Fangfeng (de-gorged, 1.2 qian).
Preparation: Coarsely crush. Take 1 liang per dose, add 2 large sheng water. Decoct until 1.5 sheng remains, strain, and take at any time, three times daily.
Jingxiao Fuling Tang (Effective Poria Decoction): Treats postpartum wind-deficiency headache and slurred speech.
Ingredients: Fuling (peeled), Fangfeng (de-gorged), Gange (each 8 qian); Maidong (de-heart, 1 liang); Shaoyao, Huangqin (each 6 qian); Xijiaoxie (4 qian); Zhigancao (roasted, 2 liang).
Preparation: Coarsely crush. Take 1 liang per dose, add 1.5 sheng water. Decoct until 1 sheng remains, strain, and take warm at any time.
Lurou Tang (Deer Meat Decoction): Treats postpartum wind-stroke with severe headache, high fever, and slurred speech.
Ingredients: Deer meat (3 jin); Ejiao (fried until puffed); Huangqin, Fushen (de-wood), Huangqi (honey-roasted), Zhigancao (roasted), Baishao, Renshen, Duhuo (de-gorged, each 3 liang); Guixin, Shengdihuang, Chuanxiong (each 2 liang); Banxia (washed in hot water, 1 liang).
Preparation: Coarsely crush. Take 5 qian per dose, add 4 sheng water, 5 qian deer meat, and 5 slices of ginger. Decoct until 2 sheng remains, remove deer meat, decoct again until 1.5 sheng remains, dissolve Ejiao, strain, and take warm at any time, twice daily.
[Yun Qizi] Treats postpartum wind-stroke with hemiplegia, slurred speech, mental confusion, forgetfulness, and unsettled spirit.
Ingredients: Duhuo, Danggui, Shaoyao, Fangfeng, Chuanxiong, Xuanshen, Tianma (each 5 qian); Guixin (3 qian).
Preparation: Coarsely crush. Add 8 sheng water, boil down to 2.5 sheng, divide into three doses. Make another dose if effective. Can also be made into pills, 20 pills per dose. Add Gegen (5 qian) for heat; add Baizhu (5 qian) for cold. Add Shengjiang (1.5 liang) for Qi stagnation. Add Niuxi (1.5 qian), Biba (3 qian), Huangqi (4 qian) for limb paralysis. Add Danggui and Shaoyao (each 7.5 qian) for abdominal pain. Add Renshen (5 qian), Xuanshen (1 liang) for anorexia. If Cold invades the Three Yin meridians, use Xiao Xuming Tang with Shengjiang. If Summer-heat invades the Three Yang meridians, remove Fuzi from Xiao Xuming Tang, halve Guixin, and add Bohe.
Baoming Xueqi Tang (Life-Preserving Blood and Qi Decoction): Treats various postpartum wind syndromes, flaccidity, spasms, and weakness.
Ingredients: Qinjiao, Qianghuo, Fangfeng, Baizhi, Chuanxiong, Shaoyao, Danggui, Baizhu, Fuling, Shudihuang (equal parts).
Preparation: Grind into powder. Half make honey pills, half keep as powder. Take 50-70 pills with wine.
For postpartum wind-deficiency, Five Slacks and Six Urgencies, numbness and bi-syndrome in limbs, and disharmony of Qi and Blood:
Take 1 sheng soybeans, fry until cooked, throw into 3 sheng wine while hot, seal with honey, and drink.
Duanju Fang treats postpartum wind-stroke with slurred speech and limb spasms.
Qianghuo (3 liang) ground to powder. Take 5 qian per dose with half water and half wine (0.5 sheng each). Decoct, strain, and take warm.
Huatuo Yufeng San (Huatuo's Wind-Curing Powder): Treats postpartum wind-stroke with trismus, limb convulsions resembling opisthotonos, postpartum blood syncope with unconsciousness, limb rigidity, or vomiting/diarrhea nearing death.
Use Jingjie sui (lightly roasted and powdered). Take 3 qian with Doulinjiu (soybean-leavened wine) or child's urine. If trismus, pry teeth open to administer; if gum lock, insufflate into nose. Effect is miraculous. Generally, postpartum severe vertigo leads to sweating and loose pores, making one susceptible to wind-stroke.
Li Shizhen said: This formula is highly praised. Yaoengtang's Jiyian Fang calls it Rusheng San when taken with wine, claiming immediate effect. Chen's formula is Juqing Gubai San. Xiao Cunjing's formula uses ancient coins decocted in water, called Yinnianjin. Wang Kuang's Zhimi Fang adds Danggui etc., decocted in equal water. Xu Shumi's Benshi Fang states it has miraculous divine efficacy. A woman postpartum slept long, woke confused and unconscious. Doctors used this formula plus Jiaojiao San, advising sleep and scratching head with left hand afterwards, which proved true. Zan Yin's Chanbao states this disease often results from anger injuring Liver, sorrow depressing internally, or catching wind during delivery; urgent administration is needed. Dai Shi's Zhengzhi Yaojue calls it Duxing San. Jia Sidao's Yuesheng Suichao calls it Zaisheng Dan.
For postpartum wind-stroke, using Xuming Tang and Qianghuo dispersing drugs requires careful differentiation of Qi and Blood. Combining Siwu Tang and Sijunzi Tang in halves, adjusting dosage, and taking in divided doses is appropriate.
[Extreme Deficiency Generating Wind]
[General Treatise] What is extreme deficiency generating wind after excessive postpartum bleeding? Answer: Women rely on Ying Blood. Excessive blood loss leaves Qi without mastery, causing cyanotic lips, cold flesh, sweating, vertigo, and coma, with life hanging in the balance. This is extreme deficiency generating wind. Urgently administer Jiwei Shangdan. Using Wind-dispelling drugs here is a mistake.
[Xue Ji] If Heart and Spleen Qi and Blood are deficient, use Shiquan Dabu Tang. If ineffective, add Fuzi and Gouteng. If Liver channel Blood is deficient, use Xiaoyao San plus Gouteng. Classics state: Spleen's luster is in the lips; Heart's fluid is sweat. If Heart and Spleen are extremely deficient, urgently use Shenfu Tang. A woman with these symptoms took various tonics but developed cold limbs, spontaneous sweating, diarrhea, borborygmus, and abdominal pain. I diagnosed Yang Qi deficiency and Cold, using Liujunzi Tang with Jiang and Fuzi increased to 5 qian each. Ineffective, I used Renshen and Fuzi at 1 liang each, which worked. Later, borborygmus and pain returned. I moxaed Guanyuan point over 100 moxibustions and administered Shiquan Dabu Tang, finally effective.
Jiwei Shangdan
Ingredients: Ruxiang, Wulingzhi, Liuhuang, Xuanjingshi (ground together extremely fine); Ejiao (fried puffed); Juanbai (raw); Sangjisheng, Chenpi (de-white, equal parts).
Preparation: Grind the first four ingredients finely. Stir-fry lightly in a silver/copper vessel without burning. Grind fine again. Mix with remaining powders. Form pills with Shengdihuang juice, size of wutong seeds. Take 20 pills with warm wine or Danggui wine before meals.
Danggui Jianzhong Tang (See Postpartum Abdominal Pain).
[Trismus]
[General Treatise] Postpartum wind-stroke with trismus is due to Qi and Blood deficiency allowing Wind to invade the tendons connecting the jaw and cheeks. Hand Triple Energizer tendons knot at the jaw. Childbirth damages Zang-Fu and tendons. Wind exploits this, pulling the Yang tendons asymmetrically. Tendons contracting from Cold-Wind cause trismus.
Gegen Tang: Treats postpartum wind-stroke with trismus, falling, vertigo, profuse phlegm, and急促 breathing, as well as various postpartum diseases.
Ingredients: Gegen, Shengjiang (each 6 liang); Duhuo (4 liang); Danggui (3 liang, de-gorged); Zhigancao (roasted); Guixin; Baifuling (peeled); Shigao; Renshen (de-gorged); Baizhu; Fangfeng (de-gorged); Chuanxiong (each 2 liang).
Preparation: Coarsely crush. Take 5 qian per dose, add 2 sheng water. Decoct to 1.5 sheng, strain, take warm at any time, twice daily.
Gan Ge Tang (from Shenshi Fang): Treats postpartum wind-stroke with trismus and inability to speak.
Ingredients: Duhuo (de-gorged, 2 liang); Gan Ge (1.5 liang); Zhigancao (0.5 liang, roasted); Shengjiang (1.25 liang).
Preparation: Coarsely crush. Take 1 liang per dose, add 2 large sheng water. Decoct to 1 sheng, strain, take warm at any time.
Tianma San: Treats postpartum wind-stroke with trismus.
Ingredients: Tianma (7.5 qian); Baifuzi (processed); Tiannanxing (processed); Banxia (washed 7 times in hot water, removed slipperiness, processed with ginger); Ganzhe (fried, each 0.5 liang).
Preparation: Fine powder. Take 1 qian with Shengjiang, Bohe, and wine. Pry mouth open and administer at any time.
Danggui San: Treats postpartum wind-stroke with tight jaw, unconsciousness, foaming at mouth, and limb convulsions.
Ingredients: Danggui (de-gorged), Jingjie sui (equal parts).
Preparation: Fine powder. Take 2 qian with 1 sheng water and 0.5 sheng wine. Decoct to 1 sheng and administer. If jaw is tight, pry slightly and drip. Swallowing brings life. Repeatedly saved lives with great effect.
Fulonggan San: Treats postpartum wind-stroke with trismus, inability to speak, and back pain.
Ingredients: Fulonggan (1.5 liang); Ganjiang (0.5 liang, processed).
Preparation: Fine powder. Take 2 qian with warm wine at any time, twice daily.
Jiaojiao San: Treats hundreds of diseases before and after childbirth, including disharmony of Ying and Wei, irregular menstruation, cramping pain, Qi excess/Blood deficiency, mass formation, and postpartum wind-stroke.
Ingredients: Shengdihuang (1 sheng, pressed for juice); Shengjiang (12 liang, pressed for juice).
Preparation: Stir-fry Shengjiang dregs in Shengdihuang juice, and Shengdihuang dregs in Shengjiang juice until slightly dry. Roast to fine powder. Take 3 qian with warm wine. Suitable for ordinary abdominal pain, especially indispensable postpartum.
[Opisthotonos]
[General Treatise] Postpartum opisthotonos is due to body deficiency catching Wind, which enters the Yang meridians. Wind circulates through Yin-Yang collaterals. Entering Yang meridians causes back arching and spasm resembling a bowstring.
[Xue Ji] This syndrome results from Qi and Blood depletion, loose pores, and excessive sweating, indicating a deficiency pattern. Secure Qi and Blood primarily, assisting with the base formula. Danxi said: Postpartum, tonifying Qi and Blood is paramount; other symptoms are secondary. Chills and fever indicate extreme Qi/Blood deficiency. Use large doses of Renshen, Huangqi, Danggui, Baizhu, Rougui to nourish. If ineffective, urgently use Paofuzi. If still ineffective, use Renshen 1 liang, Paofuzi 2-3 qian, named Shenfu Tang. If no response, increase dosage as medicine may not have reached the site.
Yufeng San, Danggui Tang, Qianghuo Jiu (See above).
Lingyangjiao San: Treats postpartum wind-stroke with body arching.
Ingredients: Lingyangjiaoxie, Danggui (each 7.5 qian); Duhuo, Fangfeng (de-gorged); Mahuang (de-joint, 1 liang); Renshen (de-gorged); Chishaoyao, Xixin (de-tips); Guixin (each 0.5 liang).
Preparation: Coarsely crush. Take 8 qian per dose, add 1.5 sheng water and 5 slices Shengjiang. Decoct to 1 sheng, strain, take warm at any time.
Duanju Fang: For postpartum wind-stroke where patients cannot take other drugs, use Yi Wu Duhuo Tang or Yi Wu Baixian Tang, or decoct them together.
Chuan Duhuo (3 liang, finely cut).
Add 3 sheng water, boil to 1 sheng, divide doses. Those tolerating wine can use wine/water mix.
Yi Wu Baixian Tang: Use Baixianpi, following Duhuo method.
Postpartum wind-spasm with trismus, blue face, and rigid limbs:
Use Zhuli (bamboo sap) 2 sheng, divide into 5 doses, take warm frequently. Great effect.
Formula for postpartum wind-stroke, opisthotonos, trismus, and muteness:
Chuanwu (5 liang, chopped bean-sized).
Stir-fry with 0.5 sheng black beans until half-black. Add 3 sheng wine to pan, stir quickly, filter through silk. Take small cup warm to induce sweat. If mouth won't open, pry and administer. If ineffective, add 1 he chicken manure (fried), mix with wine. Continue until cured.
Qianjin Jishi Li: Treats postpartum wind-stroke, men's various winds, and postpartum hundred diseases. Also treats postpartum wind-trismus, severe illness, back rigidity, and frequent arching.
Wuji shi (3 sheng), Da dou (2 sheng).
Fry beans until sound stops, fry chicken manure until yellow. Pour 1 sheng wine over manure, collect juice, pour over beans. Take 1 sheng per dose. Severe cases 4-5 doses. Excellent.
Zhang Wenzhong treats postpartum wind-spasm, whole body cold/stiff, trismus, unconsciousness:
Baizhu (4 liang, finely cut). Decoct in 3 sheng wine to 1 sheng, take in one dose. Effective.
[Sweating Leading to Spasm]
[General Treatise] Postpartum Blood deficiency leads to loose pores and sweating. Meeting Wind pathogen transforms this into Spasm. Spasm features locked jaw, stiff straight back, head shaking, horse-like neighing, body arching, frequent attacks, near cessation of breath. Urgently pry mouth and administer Xiao Xuming Tang. If delayed, sweating stops. If hands feel around blindly, it is incurable.
[Xue Ji] Postpartum spasm results from excessive blood loss, extreme Yuan Qi deficiency, or external pathogen interaction, causing tight jaw, limb rigidity, back arching, and convulsions. With sweat but no aversion to cold is Rou Jing (Soft Spasm); without sweat and with aversion to cold is Gang Jing (Hard Spasm). Postpartum occurrence is truly due to excessive blood loss leaving tendons un-nourished. Thus, excessive sweating/purging in Shanghan or pus/blood loss in ulcers often causes this, a failing sign. Tonifying Qi and Blood largely ensures safety; attacking Wind guarantees death. A patient with tight jaw, back arching, limb convulsions, and eye twitching was diagnosed by me as excessive blood loss, Yuan Qi deficiency, and blazing Yin Fire. One dose of Shiquan Dabu Tang plus Paojiang revived her; several doses stabilized her. At Shi Wanhu's residence in Wujiang, hearing noise, a new mother collapsed with trismus, declared dead. I suspected labor-induced Qi/Blood injury causing spasm. Urgently prepared Shiquan Dabu Tang plus Fuzi. Had assistants straighten body and face, pry mouth, and administer hot decoction. She refused to swallow initially. Cooled, tilted head, expelled, re-straightened, reheated, repeated five times until swallowed. Revived immediately.
Yijian Zhi records: Du Ren treated Hao family's daughter-in-law, day 4 postpartum, convulsions, upward staring, back arching. Diagnosed Spasm, gave Da Dou Zi Tang and Duhuo Tang, cured. During Zhenghe era, my wife delivered, still in bed, suddenly developed this, head and feet touching, nearly two chi apart. Family panicked, tried forcing straight unsuccessfully. Remembered this text, had Duhuo ready. Before doctor arrived, gave three doses, straightened. Doctor arrived, she was cured. No need for Da Dou Zi Tang. Ancient prescriptions are often miraculous.
Xiao Xuming Tang: Treats postpartum wind-stroke, Gang Jing, and Rou Jing.
Chen Linchuan says so. Chen Wuyue comments: Postpartum sweating often changes to spasm, yet prescribing Xuming Tang is hard to believe. With heavy sweating, how can one take Mahuang, Guigui, Fangji, Huangqin? Da Dou Zi Tang is better. Ju Fang's Dasheng San is also good. Zhu Fengyi says both Hard and Soft Spasms can use modified Xiao Xuming Tang. For Soft Spasm with sweating, removing Mahuang and adding Gegen has basis. Though Da Dou Zi Tang and Dasheng San are good, do not allow biased views to hinder ancient wisdom.
Da Dou Zi Tang: Treats wind-stroke vertigo, aversion to wind/sweating, vomiting cold water, and postpartum hundred diseases. Or wind-stroke aphasia/spasm, back stiffness/trismus, staring, irritability. Pulse tight/large is untreatable. Duanju Fang treats postpartum wind-stroke, severe illness, back stiffness/trismus, restlessness, heaviness, itching, vomiting, staring. All suitable.
Chuan Duhuo (de-gorged, 1.5 liang), Da Dou (0.5 sheng), Wine (3 sheng).
Soak Duhuo in wine, boil briefly. Fry beans until smoking. Throw into wine, seal, cool, remove beans. Take 1-2 he per dose. Mild sweating indicates cure. Ten doses daily. Removes wind and resolves blood stasis. Useful for pregnancy trauma or retained fetus.
Chen Linchuan says: Postpartum trismus, back stiffness, opisthotonos are all named Spasm. Ancients distinguished Hard/Soft/Yin/Yang by presence of sweat. Chanbao books list Trismus and Opisthotonos separately, but they are one. Chills/fever resemble Shanghan, yet are ignored. How can one treat with only one or two drugs?
Da Dou Tang: Treats postpartum wind-stroke causing collapse and unconsciousness, and pregnancy wind-complications, and various puerperal diseases.
Da Dou (5 sheng, fried yellow), Duhuo (de-gorged), Gegen (each 8 liang), Fangji (peeled, 6 liang).
Coarsely crush. Take 5 qian with 2 sheng wine. Decoct to 1.5 sheng, strain, take warm at any time, three times daily.
Lingyangjiao Yinzi: Treats postpartum Qi excess, hard abdomen, distended hypochondrium, heart irritability, thirst, impending Gang Jing or wind-stroke.
Lingyangjiao (0.5 liang, shaved), Fangfeng, Qianghuo, Jiegeng (de-gorged), Baijiang (each 8 qian), Guixin, Chaihu (de-gorged)...