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Postpartum mania is characterized by incoherent speech, delirium, or suddenly seeing ghosts and spirits. In severe cases, patients may not distinguish between relatives and strangers or feel any sense of shame. Among these cases, some are due to blood deficiency causing the spirit to fail to reside within its abode; some result from residual foul blood (stasis) that was mistakenly treated with tonics; others arise from inherent deficiency of the Heart and Spleen, leading to restless thoughts and an unsettled Heart Spirit. The treatment method involves using Anshen Dingzhi Wan (Calming the Spirit and Stabilizing Will Pill) with doubled Ginseng Radix et Rhizoma (Renshen), added with Angelicae Sinensis Radix (Danggui) and Ligusticum Chuanxiong Rhizoma (Chuanxiong) as the main prescription, assisted by Guipi Tang (Restore the Spleen Decoction). I formulated Dingshen Tang (Stabilize the Spirit Decoction), which has been effective in every use, embodying the principles of calming the spirit and tonifying deficiency. Generally, if one recognizes early on that stasis has not cleared, and employs Shixiao Wan (Pain-Relieving Pill) and Huarui San (Flower Coral Powder) early to expel the foul stasis, new blood will generate naturally, preventing such manic transformations. These conditions arise only from negligent and incorrect treatments. When the disease persists for a long time, it is called Shixin Syndrome (Loss of Heart Mind), which may last for several years. The treatment is solely with Baijin Wan (White Gold Pill), which is truly miraculous.

Dingshen Tang
Ginseng Radix et Rhizoma (Renshen, 1 qian)
Prepared Rehmanniae Radix (Shudi, 3 qian)
Angelicae Sinensis Radix (Danggui, 2 qian)
Poria Cum Ramo Xylomi (Fushen, 2 qian)
Aconiti Lateralis Radix Praeparata (Fuzi, 5 fen)
Cinnamomi Cortex (Rougui, 3 fen)
Lycii Cortex (Zelan, 3 qian)
Curcumae Aromatae Rhizoma (Yujin, 1 qian)
Dragonis Os (Longchi, 8 fen)
Citri Reticulatae Pericarpium (Juhong, 8 fen)
Use a red-hot iron steelyard weight, quench it in water, and decoct this water for administration.

Shixiao San (See "Retained Placenta" above).

Huarui San (See "Retained Placenta" above).

Baijin Wan (Empirical Formula states: For women with Loss of Heart Mind, manic illness, fright, and anxiety, where phlegm and blood are knotted in the Heart collaterals and orifices, taking this yields divine efficacy and rare verification.)
True Sichuan Curcumae Aromatae Rhizoma (Chuan Yujin, 7 liang)
Alumen (Mingfan, 3 liang)
Grind both ingredients into powder, mix with thin paste, and form pills using the stacking method. Take 50 pills each time, washed down with boiled water. Another method uses Mint Decoction to form pills.

Anshen Dingzhi Wan (See above).
Guipi Tang (See above).

Hupo Dihuang Wan
This formula treats postpartum accidental pathogenic invasion where lochia stops abruptly, accompanied by aversion to cold and fever, resembling malaria. The patient is lucid during the day but delirious at night. This is identical to Heat Entering the Blood Chamber (Re Ru Xue Shi), both being diseases of the Blood aspect. Using this pill is extremely effective; attacking phlegm would be a mistake.
Succinum (Hupo, ground separately)
Cyperi Rhizoma (Yanhusuo, stir-fried with glutinous rice)
Angelicae Sinensis Radix (Danggui)
Both 1 liang
Pollen Typhae (Puhuang, 2 liang, stir-fried)
Rehmanniae Radix (Dihuang, 1 jin, pounded and juiced; soak ginger residue in the juice and dry)
Zingiberis Rhizoma Recens (Shengjiang, 1 jin, pounded and juiced; soak Rehmannia residue in the juice and dry)
Grind all into powder, refine honey to form pills the size of a bullet. Dissolve one pill in boiled water and take.

Another formula treats foul blood rushing upward, presenting with fever, incoherent speech, and a large, deficient pulse.
Rehmanniae Radix (Dihuang)
Moutan Cortex (Danpi)
Nelumbinis Folium (Heye)
Each 2 qian
Mix with true Pollen Typhae powder (Puhuang, 2 qian), used raw.