〔大〕产后中风恍惚者，由心主血，血气通于荣卫脏腑，遍循经络，产则血气俱伤，
五脏皆虚，荣卫不足，即为风邪所乘，则令心神恍惚不定也。
〔薛〕前证当大补血气为主，而佐以后方为善。盖风为虚极之假象也，固其本源，诸
病自退。若专治风，则速其危矣。一产妇患前证，盗汗自汗，发热晡热，面色黄白，四
肢畏冷，此气血俱虚，用八珍汤不应，更用十全大补、加味归脾二汤始应。后因劳怒，发
厥昏愦，左目牵紧，两唇抽动，小便自遗。余谓肝火炽盛，用十全大补加钓藤、山栀而安，
再用十全大补汤、辰砂远志丸而愈。
《千金》疗产后暴苦，心悸不定，言语错乱恍惚，皆因心虚所致。
茯苓（三两） 芍药（二两） 甘草 桂心 当归（各一两） 生姜（一两半） 麦门冬（去心，一升）
大枣（三十枚）
上为散，水三升，煎取一升，去渣分作两服。
《经效》疗产后心虚忪悸，志意不定，烦躁恍惚。
茯神 当归 黄芩 麦门冬（去心） 甘草 人参 芍药 酸枣仁 白鲜皮（各三两） 大
枣（七枚）
上为粗末，水二升，煮取七合，去渣温服。
琥珀散 治产后中风，恍惚语涩，心神烦闷，四肢不随。
琥珀（另研） 茯神（去木，各一两） 远志（去心） 石菖蒲 黄 防风 独活
人参（各去芦） 麦门冬（去心） 芎 桑寄生 赤芍药 羚羊角屑（各半两） 甘草（二钱半，炙）
上为 咀，每服五钱，水一中盏半，煎至一大盏，去渣温服，不拘时。
远志散 治产后中风，心神恍惚，言语错乱，烦闷，睡卧不安。
远志（去心） 防风（去芦，各一两） 麦门冬（去心） 酸枣仁（炒） 桑寄生 独活（去芦）
桂心 当归（去芦，炒） 茯神（去木） 羚羊角屑（各七钱半） 甘草（炙，半两）
上为 咀，每服五钱，煎服法同前。
天麻丸 疗产后中风，恍惚语涩，四肢不随。
天麻 朱砂（水飞） 防风 羌活（去芦，各一两） 僵蚕（炒，七钱半） 干蝎（炒） 白附子（炮）
五灵脂（炒，各半两） 雄雀粪（炒） 牛黄（另研，各二钱半）
上为细末，糯米饭为丸，如梧子大。每服二三十丸，薄荷酒送下，日进二服。
辰砂远志丸 主产后中风，消风化痰，安神镇心。
石菖蒲 远志肉（甘草煮） 人参 茯神（去木） 辰砂（各五钱） 川芎 山药 铁粉 麦门
冬（去心） 细辛 天麻 半夏（汤泡） 南星 白附子（各一两）
上为末，姜汁煮，糊丸如绿豆大。别以朱砂为衣。每服三十丸，夜卧生姜汤吞下。
[Da Lun] Postpartum wind-stroke accompanied by mental confusion arises because the Heart governs blood vessels, and Qi and Blood circulate through Ying and Wei (Defensive and Nutritive Qi) to the Zang-Fu organs, traversing all meridians. Childbirth injures both Qi and Blood, leading to deficiency in all five Zang organs and insufficiency of Ying and Wei. Consequently, Wind pathogen takes advantage of this deficiency, causing the Heart Spirit to lose its residence, resulting in unstable mental confusion.
[Xue Ji's Commentary] For the aforementioned syndrome, the primary treatment should be greatly tonifying Qi and Blood, assisted by the following prescriptions. This is because the manifestation of "Wind" is a false image caused by extreme deficiency; securing the root source ensures that various diseases recede spontaneously. If one treats only the Wind, it will hasten danger. A certain puerpera suffered from the aforementioned syndrome, presenting with night sweats, spontaneous sweating, fever, afternoon tidal fever, yellowish-white complexion, and coldness in the four limbs. This indicated deficiency of both Qi and Blood. Ba Zhen Tang was ineffective; subsequently, Shi Quan Da Bu Tang and Jia Wei Gui Pi Tang were used, which proved effective. Later, due to labor and anger, she experienced syncope and unconsciousness, left eye traction and tightness, twitching of both lips, and urinary incontinence. I reasoned that Liver Fire was blazing. Using Shi Quan Da Bu Tang added with Gouteng (Uncaria Rhynchophylla) and Shanzhi (Gardeniae Fructus) stabilized the condition. Subsequently, using Shi Quan Da Bu Tang and Chen Sha Yuan Zhi Wan led to recovery.
*Qian Jin Fang* treats sudden sorrow and crying after childbirth, palpitations with instability, disordered speech, and mental confusion, all caused by Heart deficiency.
Fuling (Poria), Liang liang; Shaoyao (Peony Root), Er liang; Gancao (Licorice Root); Guixin (Cinnamon Twig); Danggui (Angelicae Sinensis Radix), each Yi liang; Shengjiang (Fresh Ginger), Yi liang ban; Maimendong (Ophiopogonis Radix, heart removed), Yi sheng; Dazao (Jujubae Fructus), thirty pieces.
Grind the above into powder. Use three sheng of water, decoct to obtain one sheng, remove dregs, and divide into two doses for administration.
*Jing Xiao Fang* treats postpartum Heart deficiency causing palpitations and fright, indecisiveness, irritability, and mental confusion.
Fushen (Poria with Hostwood), Danggui, Huangqin (Scutellariae Radix), Maimendong (heart removed), Gancao, Renshen (Ginseng Radix), Shaoyao, Suanzaoren (Ziziphi Spinosae Semen), Baixianpi (Acanthopanacis Cortex), each San liang; Dazao (seven pieces).
Grind the above into coarse powder. Use two sheng of water, boil to obtain seven ge, remove dregs, and take warm.
Hupo San: Treats postpartum wind-stroke, mental confusion, slurred speech, mental restlessness, and inability to move the four limbs freely.
Hupo (Amber, ground separately), Fushen (without wood, each Yi liang), Yuanzhi (Polygalae Radix, heart removed), Shichangpu (Acori Tatarinowii Rhizoma), Huangqi (Astragali Radix), Fangfeng (Saposhnikoviae Radix), Duhuo (Angelicae Pubescentis Radix); Renshen (each without rhizome), Maimendong (heart removed), Xiong (Ligustici Chuanxiong Rhizoma), Sangjisheng (Taxilli Caulis), Chi Shaoyao (Red Peony Root), Lingyangjiao xie (Saiga Antelope Horn chips), each Ban liang; Gancao (two qian ban, roasted).
Cut the above into small pieces. Each dose is Wu qian. Use one zhong zhan ban of water, decoct to one zhong zhan, remove dregs, and take warm at any time.
Yuanzhi San: Treats postpartum wind-stroke, mental confusion, disordered speech, restlessness, and restless sleep.
Yuanzhi (heart removed), Fangfeng (without rhizome, each Yi liang), Maimendong (heart removed), Suanzaoren (stir-fried), Sangjisheng, Duhuo (without rhizome); Guixin, Danggui (without rhizome, stir-fried), Fushen (without wood), Lingyangjiao xie, each Qi qian ban; Gancao (roasted, Ban liang).
Cut the above into small pieces. Each dose is Wu qian. Decoct and administer as described previously.
Tianma Wan: Treats postpartum wind-stroke, mental confusion, slurred speech, and inability to move the four limbs freely.
Tianma (Gastrodiae Rhizoma), Zhusha (Cinnabar, water-ground), Fangfeng, Qianghuo (Notopterygii Rhizoma et Radix, without rhizome, each Yi liang), Jiangcan (Bombyx Batryticatus, stir-fried, Qi qian ban), Ganxie (Dry Scorpion, stir-fried), Baifuzi (Typhonii Rhizoma Praeparatum); Wulingzhi (Trogopterori Faeces, stir-fried, each Ban liang), Xiongquefen (Male Sparrow Excrement, stir-fried), Niuhuang (Calculus Bovis, ground separately, each Er qian ban).
Grind the above into fine powder. Form pills with glutinous rice paste, sized like wutong seeds. Each dose is twenty to thirty pills, taken down with Bohe wine (Menthae Haplocalycis Herba wine). Take twice daily.
Chensha Yuanzhi Wan: Mainly treats postpartum wind-stroke, dispels wind and transforms phlegm, calms the spirit and anchors the Heart.
Shichangpu, Yuanzhi rou (Yuanzhi meat boiled with Gancao), Renshen, Fushen (without wood), Chensha (each Wu qian), Chuanxiong, Shanyao (Dioscoreae Rhizoma), Tiefen (Iron Powder), Maimendong (heart removed), Xixin (Asari Radix et Rhizoma), Tianma, Banxia (Pinelliae Rhizoma, soaked in boiling water), Nanxing (Arisaematis Rhizoma Praeparatum), Baifuzi (each Yi liang).
Grind the above into powder. Cook with Jiangzhi (Ginger Juice) and paste to form pills sized like mung beans. Coat separately with Zhusha (Cinnabar). Each dose is thirty pills, swallowed with Jiangsheng Tang (Fresh Ginger Decoction) before lying down at night.