产后中风者，由产时伤动血气，劳损脏腑，未曾平复，起早劳动，致使气虚而风邪乘虚入之，客于皮肤经络，致令
痛痹，羸乏不任，少气。大凡筋脉挟寒则挛急 僻，挟湿则纵缓虚弱，若入诸脏，恍惚惊悸，随其所伤脏腑经络而生病
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，扰荡中和，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。
薛立斋曰∶前证果外邪所伤，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。
丹溪先生曰∶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，
用发表治风之药。
当归散
治产后中风，牙关紧闭，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，如牙关紧闭，拗开微微灌之，但下咽即生，屡用救人，
大有神效。
干葛汤
治产后中风，口噤不能言。
独活（去芦，二两） 干葛（一两半） 甘草（炙，半两） 生姜（一两二钱半）
上 咀，每服一两，用水二盏，煎至一盏，去滓，温服无时。
防风汤
治产后中风，背项强急，胸满短气。
防风 独活 葛根（各五两） 当归 人参 白芍药 甘草（各二两）
上 咀，每服八钱，水一盏半，枣二枚，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 酸枣仁 羚羊角 芍药（各四两） 桑白皮（一两半） 防风（一两二钱）
上 咀，每服一两，水二大盏，煎至一盏，不拘时，日二服。
千金鸡矢醴
治产后中风，口噤困笃，腰背强直，时时反折。
乌鸡矢（三升） 大豆（二升）
上先炒豆声绝，次炒鸡矢令黄，以酒一升，先淋鸡矢，取汁淋豆，每服一盏，凡四五服极妙。
竹沥一物饮
治产后风痉，口噤面青，手足急强反张。
竹沥（用火自取者）
上用二升，微点姜汁，分五服，频频温服，神效。
大乌豆
治中风，背强口噤，或烦燥，或头面手足重，或身痒直视，皆是虚冷中风。
上豆用三升，炒令熟，乘热以清酒三升浸之，密封良久，去豆，分三服，覆衣取汗，身润即愈，一则防御风邪，一
则消散瘀血。
华佗愈风散
治产后中风、口噤、手足螈 、角弓反张，或血晕不省、四肢强直，或心中倒筑、吐泻欲死。
荆芥穗（微焙为末）
每服三钱，豆淋酒调服，或童子小便服之亦妙。口噤则 齿灌之，龈噤，灌入鼻中，其效如神，此方古书盛称其妙，
一名如圣散、一名一捻金，悦生随抄，呼为再生丹。一妇人，产后睡久，及醒则昏昏如醉，不省人事，医以此药及交加
散，云服后当睡，必以左手搔头，用之果然。
交加散
治产后中风百病，兼治妇人荣卫不通，经脉不调，腹中撮痛；气多血少，结聚为瘕，并宜服之。
生地黄（一升，研取自然汁，如无鲜者，以水泡透，研烂取之） 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
可少。
济危上丹
治产后虚极生风。
乳香 五灵脂 硫黄 玄精石（同研极细） 阿胶（炒珠） 卷柏（生用） 桑寄生 陈皮（各等分）
上将四味同研停于银、石器内，微炒勿焦，再研极细，复入余药为末，拌匀，生地黄汁和丸，如梧桐子大，每服二
十丸，煎当归汤服下。
产后虚极生风者，妇人以荣血为主，因下血太多，气无所主，唇青，肉冷，汗出，目眩，神昏，命在须臾者，虚极
生风也，应急服济危上丹，若以风药治之则误也。
薛立斋曰∶前证属血气俱虚者，用十全大补汤；如不应，加附子、钩藤钩。若肝经血虚，用逍遥散加钩藤钩。经云∶
脾之荣在唇，心之液为汗，若心脾两脏虚极，急用参附汤救之。一妇人，患前证，或用补剂，四肢逆冷、自汗、泻泄、
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，复炙关
无穴百壮，及服十全大补汤方效。
产后中风，是由于分娩时损伤了气血，劳损了脏腑，身体尚未恢复平复，就过早起床劳作，导致气虚，风邪趁机侵入，停留在皮肤和经络中，从而引起疼痛、痹症、身体消瘦乏力无法支撑、气息短少。一般来说，筋脉夹带寒邪就会痉挛拘急、歪斜；夹带湿邪就会松弛缓弱、虚弱无力；如果风邪进入各个脏腑，就会出现神志恍惚、惊悸不安等症状，根据所伤害的脏腑经络不同而表现出相应的病症。郭稽中说：产后中风是怎么回事？回答说：产后五到七天内，勉强下床活动，或者一个月内，因房事受伤，或者怀着忧愁愤怒的情绪，扰乱了体内的中和之气，或者因为吃了生冷坚硬的食物，伤动了脏腑。在发病初期，眼睛干涩、牙关紧闭、肌肉抽搐，逐渐发展到腰脊筋脉拘急强直，这就难以治愈了，这是人为造成的，不是偶然的中风所得。薛立斋说：前面的证候如果是外邪所伤，形体元气不足，但病邪之气有余，应当以补益元气为主，稍微佐以治疗疾病的药物。如果勉强劳作不停止，一个月内行房事，属于形体和元气都不足，应当纯粹补益元气，大多能苏醒过来，如果误用祛风药，反而会加速其危重。丹溪先生说：产后中风，出现口眼歪斜，必须先用大剂量的药物补益气血，然后再治疗痰浊，应当通过左手和右手的脉象，分辨气血的多少来治疗，切不可当作普通中风，使用发表祛风的药物。
当归散
治疗产后中风，牙关紧闭，不省人事，口吐涎沫，手足抽搐。
当归（去除芦头） 荆芥穗（各等分）
将上述药材研成细末，每次服用二钱，用水一盏，酒半盏，煎煮至一盏的量，灌服。如果牙关紧闭，撬开嘴巴微微灌入，只要药液咽下就能生还，多次使用救人，大有神效。
干葛汤
治疗产后中风，牙关紧闭不能说话。
独活（去除芦头，二两） 干葛（一两半） 甘草（炙，半两） 生姜（一两二钱半）
将药材切碎，每次服用一两，用水二盏，煎煮至一盏，去掉药渣，随时温服。
防风汤
治疗产后中风，背部和颈部强急，胸满短气。
防风 独活 葛根（各五两） 当归 人参 白芍药 甘草（各二两）
将药材切碎，每次服用八钱，用水一盏半，大枣二枚，一同煎煮至一盏，去掉药渣，不拘时间温服。
川芎散
治疗产后中风，身体和背部拘急，好像被绳子捆绑一样。
川芎 羌活 酸枣仁 羚羊角 芍药（各四两） 桑白皮（一两半） 防风（一两二钱）
将药材切碎，每次服用一两，用水两大盏，煎煮至一盏，不拘时间，每天两次服用。
千金鸡矢醴
治疗产后中风，牙关紧闭病情严重，腰背强直，经常发生角弓反张。
乌鸡矢（三升） 大豆（二升）
先将大豆炒至爆裂声停止，再炒鸡矢至黄色，用酒一升，先淋洗鸡矢取汁，再用此汁淋洗大豆。每次服用一盏，总共服用四五次极好。
竹沥一物饮
治疗产后风痉，牙关紧闭面色青紫，手足急强反张。
竹沥（用火自取的）
取用二升，微加姜汁，分五次服用，频频温服，效果神奇。
大乌豆
治疗中风，背部强直牙关紧闭，或者烦躁，或者头面手足沉重，或者身痒直视，这些都是虚冷型中风。
黑豆用三升，炒熟，趁热用清酒三升浸泡，密封很久，去掉豆子，分三次服用，盖好衣服取汗，身体湿润即愈，一方面防御风邪，一方面消散瘀血。
华佗愈风散
治疗产后中风、牙关紧闭、手足抽搐、角弓反张，或者血晕不省人事、四肢强直，或者心中悸动不安、呕吐腹泻欲死。
荆芥穗（微焙后研为末）
每次服用三钱，用豆淋酒调服，或者用童子小便服用也很好。牙关紧闭则撬开牙齿灌入，牙龈紧闭则灌入鼻中，效果如神。此方古书盛赞其妙，一名如圣散，一名一捻金，《悦生随抄》称之为再生丹。有一个妇人，产后睡久，醒来后昏昏沉沉像喝醉了一样，不省人事，医生用此药及交加散，说服药后会睡觉，一定要用左手搔头，用了果然如此。
交加散
治疗产后中风各种疾病，兼治妇人营卫不通，经脉不调，腹中撮痛；气多血少，结聚形成瘕块，都适宜服用。
生地黄（一升，研取自然汁，如果没有新鲜的，用水泡透，研烂取汁） 生姜（十二两，研取自然汁）
先将地黄汁炒生姜渣，生姜汁炒地黄渣，各自稍干，焙干研为细末，每次服用三钱，温酒调下，寻常腹痛也适宜服用，产后更不可少。
济危上丹
治疗产后极度虚弱而生风。
乳香 五灵脂 硫黄 玄精石（同研极细） 阿胶（炒成珠状） 卷柏（生用） 桑寄生 陈皮（各等分）
先将前四味药同研均匀放入银器或石器内，微炒不要焦糊，再研极细，然后加入其余药物研为末，拌匀，用生地黄汁和丸，如梧桐子大小，每次服用二十丸，煎当归汤送服。
产后极度虚弱而生风的，妇女以荣血为主，因为失血太多，气无所依附，嘴唇发青，肌肉寒冷，出汗，头晕眼花，神志昏迷，生命垂危的时刻，就是极度虚弱而生风，应当紧急服用济危上丹，如果用祛风药治疗就错了。
薛立斋说：前面的证候属于气血都虚的，用十全大补汤；如果无效，加附子、钩藤钩。如果是肝经血虚，用逍遥散加钩藤钩。经书说：脾的荣华表现在嘴唇，心的液体是汗，如果心脾两脏极度虚弱，紧急用人参附子汤抢救。有一个妇人，患前面的证候，有人用补剂，出现四肢逆冷、自汗、腹泻、肠鸣、腹痛。我认为这是阳气虚寒，用六君子汤、姜附各加至五钱；无效，用参附各一两才见效。过了一段时间不服药，仍然肠鸣腹痛，又灸关元穴一百壮，并服用十全大补汤才有效。
Postpartum wind-stroke arises from the injury to blood and qi during childbirth, damaging the zang-fu organs. If the body has not yet recovered and one rises early to labor, qi deficiency occurs, allowing wind-pathogen to invade through the deficiency. The pathogen lodges in the skin and meridians, causing pain, bi-syndrome (painful obstruction), emaciation, weakness, inability to bear weight, and shortness of breath. Generally, if tendons and vessels are combined with cold, they become spasmodic and deviated; if combined with dampness, they become flaccid, weak, and deficient. If the pathogen enters the various zang-fu organs, it causes mental confusion, fright, and palpitations, manifesting as diseases corresponding to the injured zang-fu and meridians.
Guo Jizhong discussed: "What is postpartum wind-stroke?" He answered: "Within five to seven days after childbirth, forcing oneself out of bed, or within a month engaging in sexual intercourse, or harboring worry and anger which disturbs the harmonious middle, or eating raw and hard foods that damage the zang-fu organs. At the onset of illness, there is dryness in the eyes, trismus (lockjaw), muscle twitching, gradually progressing to stiffness and rigidity of the waist and spine. This is incurable; it is man-made, not accidental wind-stroke."
Xue Lizhai stated: "If the aforementioned syndrome is caused by external pathogens, with insufficient form and qi but excess pathogenic qi, the primary treatment should be tonifying primordial qi, assisted slightly by herbs treating the disease. If one labors without rest or engages in intercourse within a month, both form and qi are insufficient; pure tonification of primordial qi is required, and many will recover. Misusing wind-dispelling herbs will hasten danger."
Mr. Danxi said: "For postpartum wind-stroke presenting with deviation of the mouth and eye, one must first vigorously tonify blood and qi, then treat phlegm. Treatment should differentiate the abundance or scarcity of blood and qi based on the pulse at the left and right hands. One must not treat it as ordinary wind-stroke using diaphoretic wind-dispelling herbs."
Danggui San (Angelica Decoction)
Treats postpartum wind-stroke with trismus, unconsciousness, foaming at the mouth, and convulsions of the hands and feet.
Dang Gui (Radix Angelicae Sinensis, remove rhizome) Jing Jie Sui (Herba Schizonepetae, equal parts)
Grind into fine powder. Take 2 qian per dose, decoct with 1 sheng of water and 0.5 sheng of wine until 1 sheng remains, and administer. If trismus prevents opening, pry open gently and administer slowly. Once swallowed, life is saved. Repeated use saves lives with miraculous effect.
Gan Ge Tang (Pueraria Decoction)
Treats postpartum wind-stroke with trismus and inability to speak.
Du Huo (Radix Angelicae Pubescentis, remove rhizome, 2 liang) Gan Ge (Radix Puerariae Lobatae, 1.5 liang) Gan Cao (Radix Glycyrrhizae Uralensis, honey-fried, 0.5 liang) Sheng Jiang (Rhizoma Zingiberis Recens, 1.25 liang)
Cut into pieces. Take 1 liang per dose, decoct with 2 sheng of water until 1 sheng remains, strain, and take warm at any time.
Fang Feng Tang (Saposhnikovia Decoction)
Treats postpartum wind-stroke with stiffness and tension of the back and neck, chest fullness, and shortness of breath.
Fang Feng (Radix Saposhnikoviae) Du Huo (Radix Angelicae Pubescentis) Ge Gen (Radix Puerariae Lobatae, each 5 liang) Dang Gui (Radix Angelicae Sinensis) Ren Shen (Radix Ginseng) Bai Shao Yao (Radix Paeoniae Alba) Gan Cao (Radix Glycyrrhizae Uralensis, each 2 liang)
Cut into pieces. Take 8 qian per dose, decoct with 1.5 sheng of water and 2 jujubes until 1 sheng remains, strain, and take warm at any time.
Chuanxiong San (Ligusticum Powder)
Treats postpartum wind-stroke with stiffness and tension of the body and back, feeling like being bound by a rope.
Chuan Xiong (Rhizoma Chuanxiong) Qiang Huo (Rhizoma Notopterygii) Suan Zao Ren (Semen Ziziphi Spinosae) Ling Yang Jiao (Cornu Saigae Tataricae) Shao Yao (Radix Paeoniae Alba, each 4 liang) Sang Bai Pi (Cortex Mori Radicis, 1.5 liang) Fang Feng (Radix Saposhnikoviae, 1.2 qian)
Cut into pieces. Take 1 liang per dose, decoct with 2 large shengs of water until 1 sheng remains, take at any time, twice daily.
Qianjin Jishi Li (Thousand-Gold Chicken Dropping Wine)
Treats postpartum wind-stroke with severe trismus, stiff back and waist, and frequent opisthotonos.
Wu Ji Shi (Chicken Droppings, 3 sheng) Da Dou (Sojae Semen, 2 sheng)
First stir-fry soybeans until popping stops, then stir-fry chicken droppings until yellow. Pour 1 sheng of wine over the chicken droppings to extract juice, then pour this juice over the soybeans. Take 1 sheng per dose; taking 4-5 doses is excellent.
Zhuli Yi Wu Yin (Bamboo Juice Single Herb Drink)
Treats postpartum wind-spasm with trismus, cyanotic face, and stiff, extended limbs.
Zhu Li (Bamboo Juice, obtained by heating)
Use 2 sheng, add a few drops of Jiang Zhi (Ginger Juice), divide into 5 doses, and take warm frequently. Miraculous effect.
Da Wu Dou (Large Black Beans)
Treats wind-stroke with stiff back and trismus, or irritability, heaviness of head/face/extremities, itching, and fixed gaze. These are all wind-stroke due to deficiency-cold.
Use 3 sheng of black beans, stir-fry until cooked. While hot, soak in 3 sheng of clear wine. Seal tightly for a long time, remove beans, divide into 3 doses. Cover with clothes to induce sweating; recovery occurs when the body becomes moist. This defends against wind-pathogen and dissipates blood stasis.
Hua Tuo Yu Feng San (Master Hua's Wind-Healing Powder)
Treats postpartum wind-stroke, trismus, convulsions, opisthotonos, syncope due to blood loss, limb stiffness, palpitations, vomiting, and diarrhea.
Jing Jie Sui (Herba Schizonepetae, lightly roasted and powdered)
Take 3 qian per dose, mixed with Dou Lin Jiu (Soybean-Dripping Wine) or Tong Zi Xiao Bian (Child's Urine). For trismus, pry teeth and administer; for gum-lock, instill into nose. Effect is divine. Ancient texts praise this formula highly; also known as Ru Sheng San (Like-Sage Powder), Yi Nian Jin (One-Touch Gold), or Zai Sheng Dan (Rebirth Pill). A woman slept long after childbirth; upon waking, she was dizzy as if drunk and unconscious. Physicians used this medicine plus Jiao Jia San, advising sleep after ingestion and scratching the head with the left hand. It worked exactly as predicted.
Jiao Jia San (Interlaced Decoction)
Treats various postpartum wind-stroke diseases, also treating women with unregulated Ying and Wei, irregular menstruation, abdominal cramping; Qi excess and Blood deficiency forming masses (Jia); suitable for all.
Sheng Di Huang (Radix Rehmanniae Preparata, 1 sheng, crushed for fresh juice; if unavailable, soak in water, crush, and extract) Sheng Jiang (Rhizoma Zingiberis Recens, 12 liang, crushed for fresh juice)
First, stir-fry Sheng Jiang residue with Sheng Di Huang juice; then stir-fry Sheng Di Huang residue with Sheng Jiang juice. Dry slightly, roast, and grind into fine powder. Take 3 qian per dose, taken down with warm wine. Suitable for ordinary abdominal pain; indispensable postpartum.
Ji Wei Shang Dan (Supreme Rescue Pill)
Treats wind generated from extreme postpartum deficiency.
Ru Xiang (Resina Acaciae Cathartae) Wu Ling Zhi (Faeces Trogopterori) Liu Huang (Sulfur) Xuan Jing Shi (Nephritus, ground extremely fine together) E Jiao (Colla Corii Asini, fried into beads) Juan Bai (Ramulus Serissae) Sang Ji Sheng (Taxilli Caulis et Folium) Chen Pi (Pericarpium Citri Reticulatae, equal parts)
Grind the first four ingredients evenly in silver or ceramic vessel, stir-fry lightly without burning, grind extremely fine again. Add remaining herbs, mix well. Form pills with Sheng Di Huang juice, size of Sophora seeds. Take 20 pills per dose, washed down with Dang Gui Tang (Angelica Decoction).
Wind generated from extreme postpartum deficiency: Women rely primarily on Ying-blood. Excessive bleeding leaves Qi unsupported, causing cyanotic lips, cold flesh, sweating, dizziness, coma, and imminent death. This is wind from extreme deficiency. Emergency administration of Ji Wei Shang Dan is required; using wind-dispelling herbs is an error.
Xue Lizhai stated: "For the aforementioned syndrome belonging to dual deficiency of blood and qi, use Shi Quan Da Bu Tang (Ten Significant Tonifying Decoction); if ineffective, add Fu Zi (Radix Aconiti Lateralis Preparata) and Gou Teng (Uncariae Ramulus cum Uncis). If Liver channel blood deficiency, use Xiao Yao San (Free and Easy Wanderer Powder) plus Gou Teng. The Classics state: The splendor of the Spleen manifests in the lips; the fluid of the Heart is sweat. If Heart and Spleen are extremely deficient, urgently use Shen Fu Tang (Ginseng and Aconite Decoction) to rescue. A woman suffered the aforementioned syndrome; others used tonics, resulting in cold extremities, spontaneous sweating, diarrhea, borborygmus, and abdominal pain. I diagnosed Yang-Qi deficiency-cold, used Liu Jun Zi Tang (Six Gentlemen Decoction) with Jiang (Ginger) and Fu Zi (Prepared Aconite Root) increased to 5 qian each; ineffective. Then used Shen (Ginseng) and Fu Zi (Aconite) at 1 liang each, which was effective. After a while without medication, borborygmus and pain returned. I moxa Guan Yuan (CV4) 100 moxa-cones and administered Shi Quan Da Bu Tang, only then did it work."