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，如发痫状，宜速 开口，灌小
续命汤。稍缓即汗出如雨，手摸空者，不可治也。薛立斋云∶产后发痉，因去血过多，元气亏极，或外邪相搏，以致牙
关紧闭急，四肢痉强，或腰背反张，肢体抽搐。若有汗而不恶寒者，曰柔痊；若无汗而恶寒，曰刚痉。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，患之乃败证也，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，
一剂面苏，又数剂而安。吴江史万湖家人妇忽仆，牙关紧急，已死矣。询之是新产妇出直厨，知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，一人以手挟正其面。却掰开其口，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，随灌以热药，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，余妻方娩，犹在蓐中，忽作此证，头足反接，相去
二尺，家人惊骇，以数婢强拗之，以数婢强拗不直。适记所云，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。更不复药，乃知古人处方之神验。产妇四肢挛急者，因脏腑俱虚，月内未满，起早劳役，动伤脏腑。虚损
未复，为风所乘。风邪冷气客于皮肤经络，则令人顽痹不仁，羸乏，少气。筋脉挟寒则挛急也。薛立斋曰∶前证若肝经
风热血燥，用加味逍遥散。如不应，用六味地黄丸，以补肾水，仍参前杂证诸风血方论治之。
小续命汤
治产后中风及刚痉柔痉。
防风（一钱） 麻黄（去节） 黄芩（去朽） 白芍 人参（各八分） 川芎 防己 肉桂（各七分） 附子（炮，
去皮脐） 杏仁（去皮尖） 麸炒（各五分） 甘草（炙，四分）
上姜枣水煎服。春夏加石膏、知母、黄芩；秋冬加官桂、附子、芍药。柔痉自汗者，去麻黄，加葛根。
按上方朱奉议称刚柔二痉，并可加减与之。但产后血气大虚之人，恐不宜轻发其表。若邪气实，脉浮弦有力者，用
之固宜。其虚弱之人，不若用大豆紫汤及防风当归散。
大豆紫汤
治产后中风痱痉，背强口噤，直视烦热。若脉紧大者不治。
川独活（去芦，一两半） 大豆（半升） 酒（三斤）
上先用酒浸独活一两，沸。别炒大豆极焦烟出，急投酒中密封。候冷去豆，每服一二小钟许，得少汗则愈。日进十
服。此药能去风、消血结。如妊娠胎死腹中，服此得瘥。
大豆汤
治产后风痉，不省人事，及妊娠挟风，一切蓐草之间，诸般病证。
大豆（五合，炒黄） 独活（去芦） 葛根（各八分） 防己（去皮，六两）
上 咀，每服五钱，酒二盏，煎至一盏半，不拘时，日三服。
防风当归散
此方最稳妥。
防风 当归 川芎 地黄（各一两）
上每服一两，水煎温服。
芎 散
治产后四肢筋脉挛急疼痛，背项强直。
芎 羌活 当归（各去芦） 酸枣仁（炒） 羚羊角屑（各七钱半） 防风 牛蒡子（炒，各一两） 桂心 赤
芍药（各五钱）
上 咀，每服八钱，水煎去渣，温服，不拘时。如服不应，可用八珍汤。更不应，用十全大补汤。
产后手足厥冷，宜灸肩井穴。一妇人产后日食茶粥二十余碗，至一月后，遍身冰冷数块，以指按其冷处，即冷从指
下，上应至心，如是者二年，诸治不效。以八物汤去地黄，加橘红，入姜汁、竹沥一酒钟，十服乃温。
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，如发痫状，宜速 开口，灌小续命汤。稍缓即汗出如雨，手摸空者，不可治也。
产后血虚导致腠理（皮肤毛孔及皮下组织间隙）疏松不紧密，所以容易出汗。如果遭遇风邪侵袭并与体内正气相搏结，就会转变为痉病（以项背强直、四肢抽搐为主要表现的病证）。患痉病的患者牙关紧闭无法张开，背部僵硬挺直，症状类似癫痫发作，应当迅速撬开口腔，灌服小续命汤（一种治疗中风及痉病的方剂）。如果病情稍微拖延，出现大汗淋漓如雨下、双手无意识地空中摸索的症状，就属于不可治愈的危重症。
薛立斋云∶产后发痉，因去血过多，元气亏极，或外邪相搏，以致牙关紧闭急，四肢痉强，或腰背反张，肢体抽搐。若有汗而不恶寒者，曰柔痊；若无汗而恶寒，曰刚痉。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，患之乃败证也，大补血气，多保无虞。若攻风邪，死无疑矣。
薛立斋说：产后发生痉病，是因为失血过多，元气极度亏损，或者受到外邪侵袭，导致牙关紧急紧闭，四肢痉挛强硬，或者腰背向后反折（角弓反张），肢体抽搐。如果有汗出但不怕冷的，称为柔痉（注：原文“柔痊”应为“柔痉”之误，此处依医理修正为柔痉）；如果没有汗出且怕冷的，称为刚痉。产后患此病，实际上是由于失血过多，筋脉得不到血液滋养所致。因此，伤寒病中发汗或攻下太过，或者溃疡病中脓血大量流失后发生的痉病，属于正气衰败的危重证候，此时应当大力补益气血，大多可以保全性命。如果此时使用祛风攻邪的方法，死亡是毫无疑问的。
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，一剂面苏，又数剂而安。
有一位产妇牙关紧急，腰背反张，四肢抽搐，两眼向上凝视（连札指眼球转动或上视），我认为她是由于失血过多，元气亏损，导致阴虚火旺（阴火炽盛），于是使用十全大补汤加入炮姜，服用一剂后面色转红润苏醒，又服用几剂后病情安定。
吴江史万湖家人妇忽仆，牙关紧急，已死矣。询之是新产妇出直厨，知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，一人以手挟正其面。却掰开其口，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，随灌以热药，遂苏。
吴江人史万湖家的一位女仆突然昏倒，牙关紧闭，已经断气。询问得知她是新产后的妇女走出厨房（可能受风寒），知道这是劳累损伤气血而引发的痉病，急忙用十全大补汤加入附子，煮沸。让人扶正她的身体，一人用手固定住她的头部。强行掰开她的嘴灌药，但她不吞咽，药液变冷了，让她侧过头将药吐出，再扶正头部，重新灌入热药。药变冷就倒出，再灌热药，这样反复了五次，才终于咽下，随后继续灌入热药，病人便苏醒过来。
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，余妻方娩，犹在蓐中，忽作此证，头足反接，相去二尺，家人惊骇，以数婢强拗之，以数婢强拗不直。适记所云，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。更不复药，乃知古人处方之神验。
《夷坚志》记载：杜壬治疗郝质的儿媳妇，生产后第四天出现抽搐（螈通“瘛”，指抽搐），眼睛上翻（戴眼），背部像弓一样反张。杜壬认为是痉病，给予大豆紫汤和独活汤，病就好了。政和年间，我的妻子刚刚分娩，还在坐月子期间，突然患上这种病症，头和脚向后弯曲对接，相距二尺，家人惊恐害怕，让几个婢女强行扳直身体，但几个婢女怎么也扳不直。恰好记得书中说药草中有独活，于是急忙配制此药。请医生还没到，连续服用三剂后身体就能伸直了，医生赶到时病已经完全好了。之后不再用药，这才知道古人处方的神奇疗效。
产妇四肢挛急者，因脏腑俱虚，月内未满，起早劳役，动伤脏腑。虚损未复，为风所乘。风邪冷气客于皮肤经络，则令人顽痹不仁，羸乏，少气。筋脉挟寒则挛急也。
产妇出现四肢拘挛急迫的症状，是因为脏腑都虚弱，产后一个月内未满，过早起床劳作，损伤了脏腑。虚损尚未恢复，又被风邪趁虚而入。风邪寒气停留在皮肤经络中，就会导致肢体麻木不知痛痒（顽痹不仁），身体消瘦乏力，气短。筋脉夹杂寒气就会导致拘挛急迫。
薛立斋曰∶前证若肝经风热血燥，用加味逍遥散。如不应，用六味地黄丸，以补肾水，仍参前杂证诸风血方论治之。
薛立斋说：上述病症如果是肝经风热且血液干燥引起的，使用加味逍遥散。如果无效，使用六味地黄丸，来滋补肾阴（肾水），并参考前面杂病中关于风邪和血证的方论进行治疗。
小续命汤
治产后中风及刚痉柔痉。
防风（一钱） 麻黄（去节） 黄芩（去朽） 白芍 人参（各八分） 川芎 防己 肉桂（各七分） 附子（炮，去皮脐） 杏仁（去皮尖） 麸炒（各五分） 甘草（炙，四分）
上姜枣水煎服。春夏加石膏、知母、黄芩；秋冬加官桂、附子、芍药。柔痉自汗者，去麻黄，加葛根。
小续命汤
治疗产后中风以及刚痉和柔痉。
防风（一钱） 麻黄（去掉节） 黄芩（去掉朽坏部分） 白芍 人参（各八分） 川芎 防己 肉桂（各七分） 附子（炮制，去掉皮和脐） 杏仁（去掉皮和尖） 麦麸炒（各五分） 甘草（蜜炙，四分）
以上药物用生姜和大枣的水煎服。春夏季节加入石膏、知母、黄芩；秋冬季节加入官桂、附子、芍药。如果是柔痉且自汗出的，去掉麻黄，加入葛根。
按上方朱奉议称刚柔二痉，并可加减与之。但产后血气大虚之人，恐不宜轻发其表。若邪气实，脉浮弦有力者，用之固宜。其虚弱之人，不若用大豆紫汤及防风当归散。
按照上面的方子，朱奉议认为刚痉和柔痉都可以加减使用。但是产后气血极度虚弱的人，恐怕不适合轻易使用发汗解表的方法。如果邪气盛实，脉象浮弦有力的，使用这个方子固然适宜。对于体质虚弱的人，不如使用大豆紫汤和防风当归散。
大豆紫汤
治产后中风痱痉，背强口噤，直视烦热。若脉紧大者不治。
川独活（去芦，一两半） 大豆（半升） 酒（三斤）
上先用酒浸独活一两，沸。别炒大豆极焦烟出，急投酒中密封。候冷去豆，每服一二小钟许，得少汗则愈。日进十服。此药能去风、消血结。如妊娠胎死腹中，服此得瘥。
大豆紫汤
治疗产后中风引起的瘫痪性痉病，背部僵硬，牙关紧闭，眼睛直视，心烦发热。如果脉象紧大的，属于难治或不治之症。
川独活（去掉芦头，一两半） 大豆（半升） 酒（三斤）
先将独活一两用酒浸泡，煮沸。另外将大豆炒至极焦直到冒出烟，立即投入酒中并密封。等冷却后去掉豆子，每次服用一到两个小酒杯的量，如果能微微出汗就会痊愈。每天服用十次。此药能祛除风邪，消散血结。如果是妊娠期间胎死腹中，服用此药也能好转。
大豆汤
治产后风痉，不省人事，及妊娠挟风，一切蓐草之间，诸般病证。
大豆（五合，炒黄） 独活（去芦） 葛根（各八分） 防己（去皮，六两）
上 咀，每服五钱，酒二盏，煎至一盏半，不拘时，日三服。
大豆汤
治疗产后风痉，昏迷不省人事，以及妊娠期夹带风邪，所有坐月子期间的各种病证。
大豆（五合，炒黄） 独活（去掉芦头） 葛根（各八分） 防己（去掉皮，六两）
以上药物捣碎成粗末，每次服用五钱，用酒两盏，煎煮至一盏半，不限时间，每天服用三次。
防风当归散
此方最稳妥。
防风 当归 川芎 地黄（各一两）
上每服一两，水煎温服。
防风当归散
这个方子最为稳妥。
防风 当归 川芎 地黄（各一两）
以上药物每次服用一两，用水煎煮后温服。
芎 散
治产后四肢筋脉挛急疼痛，背项强直。
芎 羌活 当归（各去芦） 酸枣仁（炒） 羚羊角屑（各七钱半） 防风 牛蒡子（炒，各一两） 桂心 赤芍药（各五钱）
上 咀，每服八钱，水煎去渣，温服，不拘时。如服不应，可用八珍汤。更不应，用十全大补汤。
芎 散（注：原文缺首字，据方义推测可能为川芎散或类似名称，此处保留原文空缺或依常见名补全，鉴于要求忠实原文，此处译为“[缺失]散”或仅译内容，通常此类方名为川芎散，但严格按原文提取实体，方名留空或依上下文，此处译为“[缺字]散”）
治疗产后四肢筋脉拘挛急迫疼痛，背部和颈部僵硬挺直。
[缺字] 羌活 当归（各去掉芦头） 酸枣仁（炒） 羚羊角屑（各七钱半） 防风 牛蒡子（炒，各一两） 桂心 赤芍药（各五钱）
以上药物捣碎成粗末，每次服用八钱，用水煎煮去渣，温服，不限时间。如果服用无效，可以使用八珍汤。如果仍然无效，使用十全大补汤。
产后手足厥冷，宜灸肩井穴。一妇人产后日食茶粥二十余碗，至一月后，遍身冰冷数块，以指按其冷处，即冷从指下，上应至心，如是者二年，诸治不效。以八物汤去地黄，加橘红，入姜汁、竹沥一酒钟，十服乃温。
产后手脚冰凉，适宜艾灸肩井穴。有一位妇女产后每天喝二十多碗茶粥，到了一个月后，全身多处感到冰冷，用手指按压冰冷的地方，感觉寒气从手指下传导，向上直达心脏，这样的情况持续了两年，各种治疗都没有效果。使用八物汤去掉地黄，加入橘红，调入姜汁、竹沥一个酒杯的量，服用十剂后才变暖。
Postpartum blood deficiency leads to loose interstices (the spaces between skin pores and subcutaneous tissues), resulting in profuse sweating. If wind-pathogen invades and contends with the body's righteous qi, it transforms into Jing disease (a syndrome characterized by stiffness of the neck and back, and spasms of the limbs). Patients with Jing disease have their jaws tightly clenched and cannot open their mouths, their backs are stiff and straight, resembling an epileptic seizure. It is advisable to quickly pry open the mouth and administer Xiao Xuming Tang (Minor Cinnamon Twig Decoction). If treatment is delayed slightly and the patient sweats profusely like rain and performs aimless hand movements (grasping at air), the condition is incurable.
Xue Lizhai stated: Postpartum Jing disease occurs due to excessive blood loss leading to extreme depletion of Yuan Qi (Original Qi), or due to contention with external pathogens, resulting in tight jaw clenching, spasticity and rigidity of the four limbs, opisthotonos (backward arching of the back), and limb convulsions. If there is sweating without aversion to cold, it is called Rou Jing (Soft Spasm); if there is no sweating with aversion to cold, it is called Gang Jing (Hard Spasm). Contracting this postpartum is actually caused by excessive blood loss, leaving the sinews without nourishment. Therefore, when Jing disease occurs after excessive sweating or purgation in Shanghan (Cold Damage) diseases, or after massive discharge of pus and blood from ulcers, it is a sign of collapsing Zheng (deficiency syndrome). In such cases, vigorously tonifying Blood and Qi will mostly ensure safety. However, if one attacks the wind-pathogen, death is inevitable.
A parturient presented with tight jaw clenching, opisthotonos, limb convulsions, and upward deviation of the eyes. I attributed this to excessive blood loss, depletion of Yuan Qi, and flourishing Yin Fire (deficient fire). I used Shiquan Dabu Tang (Perfect Ten Great Tonifying Decoction) added with Pao Jiang (Prepared Ginger). After one dose, her complexion recovered and she revived; after several more doses, she was stable.
The wife of Shi Wanhu in Wujiang suddenly collapsed, with tight jaw clenching, appearing dead. Upon inquiry, it was learned that she was a new mother who had gone out to the kitchen, indicating that labor had injured Blood and Qi, triggering Jing disease. I urgently prepared Shiquan Dabu Tang added with Fuzi (Prepared Aconite Root) and boiled it. I had someone straighten her body while another held her head steady. We pried open her mouth to administer the medicine, but she did not swallow. The medicine had cooled, so we turned her head to let her spit it out, then straightened her head again and administered hot medicine. This cycle of cooling and re-administering hot medicine was repeated five times before she finally swallowed. Subsequent administration of hot medicine led to her revival.
Yijian Zhi records: Du Ren treated the daughter-in-law of Hao Zhi. On the fourth day postpartum, she experienced convulsions, upward deviation of the eyes, and opisthotonos. Du Ren diagnosed it as Jing disease and prescribed Doudaizi Tang (Soybean Purple Decoction) and Duhuo Tang (Angelica Pubescens Decoction), which cured her. During the Zhenghe era, my wife had just given birth and was still in confinement when she suddenly developed this syndrome, with her head and feet touching each other, separated by only two chi. Her family was terrified. Several maids tried forcibly to straighten her body but failed. Recalling the text mentioning Duhuo (Angelica Pubescens) as an herb, I hastily prepared it. Before the doctor arrived, three doses were administered, and her body could be straightened. By the time the doctor arrived, she was cured. No further medication was needed, confirming the miraculous efficacy of ancient prescriptions.
Parturients with spasmodic urgency in the four limbs suffer because all Zang-Fu organs are deficient. Rising early for labor within the first month after childbirth damages the Zang-Fu. When deficiency has not yet recovered, it is exploited by Wind. Cold-dampness pathogenic factors lodging in the skin and meridians cause numbness and insensitivity (Wan Bi), emaciation, fatigue, and shortness of breath. When sinews and vessels are combined with Cold, spasmodic urgency occurs.
Xue Lizhai said: For the aforementioned syndromes, if they are caused by Wind-Heat in the Liver Meridian and dry Blood, use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder). If ineffective, use Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) to tonify Kidney Water (Kidney Yin), and refer to the discussions on various Wind and Blood formulas for miscellaneous diseases mentioned earlier.
Xiao Xuming Tang (Minor Cinnamon Twig Decoction)
Treats postpartum Zhongfeng (Wind-Stroke) and both Gang Jing (Hard Spasm) and Rou Jing (Soft Spasm).
Fangfeng (1 qian) Mahuang (remove nodes) Huangqin (remove rotten parts) Baishao Renshen (each 8 fen) Chuanxiong Fangji Rougui (each 7 fen) Fuzi (prepared, remove skin and navel) Xingren (remove skin and tips) Mai Fu Chao (bran-fried, each 5 fen) Gancao (honey-fried, 4 fen)
Decoct with water containing Shengjiang (Fresh Ginger) and Dazao (Jujube). In spring and summer, add Shigao (Gypsum), Zhimu (Anemarrhena), and Huangqin (Scutellaria); in autumn and winter, add Guigui (Cassia Bark), Fuzi (Aconite), and Shaoyao (Peony). For Rou Jing with spontaneous sweating, remove Mahuang and add Gegen (Kudzu Root).
Regarding the above formula, Zhu Fengyi stated that both Gang Jing and Rou Jing can be treated with modifications. However, for those with severe postpartum Blood and Qi deficiency, it is feared that lightly inducing sweating to release the exterior is inappropriate. If the pathogenic factor is excess and the pulse is floating, wiry, and forceful, using this formula is indeed suitable. For weak individuals, it is better to use Doudaizi Tang (Soybean Purple Decoction) and Fangfeng Danggui San (Saposhnikovia and Angelica Powder).
Doudaizi Tang (Soybean Purple Decoction)
Treats postpartum Zhongfeng causing Fei Jing (paralytic spasm), stiff back, jaw clenching, fixed gaze, and irritability with heat. If the pulse is tight and large, it is untreatable.
Chuan Duhuo (remove rhizome, 1.5 liang) Doudou (Soybeans, half sheng) Jiu (Wine, 3 jin)
Soak 1 liang of Duhuo in wine and boil separately. Stir-fry soybeans until extremely charred and smoking, then immediately throw them into the boiling wine and seal tightly. After cooling, remove the beans. Take one or two small cups per dose. Recovery occurs with slight sweating. Administer ten doses daily. This medicine dispels Wind and resolves Blood stasis. It is also effective for retained dead fetus in pregnancy.
Dadou Tang (Soybean Decoction)
Treats postpartum Wind-Jing, unconsciousness, and Wind-complication during pregnancy, covering various conditions during confinement.
Dadou (Soybeans, 5 he, stir-fried yellow) Duhuo (remove rhizome) Gegen (Kudzu Root) (each 8 fen) Fangji (remove skin, 6 liang)
Crush the herbs. Take 5 qian per dose, decoct with 2 zhan of wine until 1.5 zhan remains. Take at any time, three times daily.
Fangfeng Danggui San (Saposhnikovia and Angelica Powder)
This formula is the most safe and reliable.
Fangfeng Danggui Chuanxiong Dihuang (each 1 liang)
Take 1 liang per dose, decoct with water and take warm.
[Xiong] San ([Missing Character] Powder)
Treats postpartive spasmodic pain in the sinews and vessels of the four limbs, and stiffness of the back and neck.
[Xiong] Qianghuo Danggui (each remove rhizome) Suanzaoren (stir-fried) Lingyangjiaoxie (Antelope Horn chips) (each 7.5 qian) Fangfeng Niubangzi (stir-fried) (each 1 liang) Guixin (Cinnamon Heart) Chishaoyao (Red Peony Root) (each 5 qian)
Crush the herbs. Take 8 qian per dose, decoct with water, strain, and take warm at any time. If ineffective, use Bazhen Tang (Eight-Treasure Decoction). If still ineffective, use Shiquan Dabu Tang (Perfect Ten Great Tonifying Decoction).
For postpartum cold extremities, moxibustion on Jianjing (GB21) is appropriate. A woman consumed over twenty bowls of tea porridge daily after childbirth. One month later, she had patches of ice-cold skin on her body. Pressing these cold spots with a finger made the cold sensation travel up from the finger to the heart. This persisted for two years despite various treatments. Using Bayi Tang (Eight-Ingredient Decoction) minus Dihuang (Rehmannia), plus Juhong (Tangerine Peel), mixed with Jiangzhi (Ginger Juice) and Zhuli (Bamboo Sap) equal to one wine cup, she warmed up after ten doses.