产后语言颠倒，或狂言 语，如见鬼神者，其源不一，须仔细辩证用药。一则产后心虚，败血停积，上干于心，而
狂言独语者，当作乍见鬼神条求之。二则产后脏虚，心神惊悸，言语错乱，不自觉知，神思不安者，当在惊悸条求之。
三则宿有风毒，因产心虚气弱，腰背狂直，或歌哭嗔笑，言语错乱，当作风痉治。四则产后败血，迷乱心经而颠狂，言
语无常或晕闷者，当作血晕治。五则产后感冒风寒，恶露斩然不行， 寒发热如疟，昼日明了，暮则 语，如见鬼状，
当作热入血室治之。又有产后因惊，败血冲心，昏闷发狂，如有鬼祟，宜用大圣泽兰散，或好辰砂研细，酸枣仁汤调下
一钱，立效。薛立斋曰∶前证当固胃气为主，而佐以见证之药，若一于攻痰则误矣。
琥珀地黄汤
治产后恶露冲心，语言乱通，如见鬼神，惊悸不定，小便不利者。
琥珀 辰砂 没药（各研细） 当归（各一两）
上为细末，每服二钱，空心白汤调下，日三服，心腹痛者加延胡索，兼晕者加蒲黄。
牡丹饮
治败血冲心发热，狂言奔走，脉虚大者。
干荷叶 生地黄 牡丹皮（各等分）
上浓煎，调生蒲黄末二钱，一服即定。
乌金散
治产后狂言乱语，目见鬼神。
当归 远志肉 川芎 酸枣仁 白术 赤芍药 香附子 辰砂（研细） 熟地黄 茯神（各二钱） 半夏（三钱） 全
蝎麦冬 人参 牛膝 天麻（各一钱） 甘草（一钱） 陈皮 白芷（各一钱半）
上 细，作二服，水一钟半，姜三片，葱三根，入金银同煎一碗温服。
大圣泽兰散
治产后败血冲心，中风口噤，及坠胎腹中刺痛、横生逆产、胎衣不下，血昏、血滞、血崩、血入四肢、一切血证，
诸种风气，或伤寒吐逆、咳嗽、寒热往来、遍身生疮、头痛恶心、经脉不调、赤白带下、胎藏虚冷、数常坠胎、久无子
息、室女经脉不通、并宜服之，常服暖子宫，和血气，悦颜色，退风冷，消除百病。
泽兰叶 石膏（研。各二两） 卷柏（去根） 防风 白茯苓（去皮） 浓朴（姜制） 细辛 桔梗 柏子仁 五
味子 人参 本 吴茱萸（汤洗七次，焙） 干姜（炮） 白术 川椒（去子及闭口者，炒出汗） 川乌头（炮，去
皮脐） 白芷 黄 丹参（各七钱半） 芜荑（微炒） 甘草 川芎 白芍 当归（各一两七钱半） 白薇（炒燥，
五钱） 肉桂（一两） 阿胶（炒珠，五钱） 生地黄（一两半）
上为细末，每服二钱，临卧热酒调下，若急疾不拘时，日三服。
何氏方
治产后邪风入心，颠狂如见祟物。
大辰砂一二钱研极细，人乳三四茶匙许，调碗内，仍掘白项活地龙一条，入药内，候地龙滚三滚，取出地龙不用，
但欲得地龙身上涎耳，无令带药出，少入无灰酒与乳汁相和，重汤内温，作二三服。惊风入心，忡悸不止者，宜抱龙丸。
茯神散
治产后心神恍惚，言语失度，睡卧不安，如见鬼神。
茯神（一两，去皮木） 人参 龙齿（研） 琥珀（研） 赤芍药 黄 牛膝（各五钱） 桂心（五钱） 生地
（一两半）
上为末，每服三钱，水一盏，煎七分，去渣服。
调经散
治产后狂躁、昏闷、时见鬼神。
没药 琥珀（各另研细） 桂心（各一钱） 芍药 当归（各二钱半） 麝香（另研） 细辛（各五分）
上为末，每服五六分，姜汁温酒各少许调服。按右方挟寒者宜，挟热者宜四物汤加柴胡，倍生地。
薛文斋曰∶前证乃血虚，神不守舍，大端宜补元气，仍参各证互用。
产后出现言语错乱颠倒，或胡言乱语、狂躁自语，甚至看见鬼神幻象的情况，其病因复杂多样，必须仔细辨证后用药。第一种情况是产后心脏虚弱，败血（瘀血）停滞积聚，上扰心神，导致狂言独语，应当参照“乍见鬼神”的条文进行诊治。第二种情况是产后脏腑虚弱，心神受惊悸动，言语错乱，自己不能察觉，神思不安，应当在“惊悸”条文中寻找治法。第三种情况是患者原本体内有风毒，因分娩导致心虚气弱，出现腰背强直痉挛，或歌哭无常、嗔怒嬉笑，言语错乱，应当按照“风痉”来治疗。第四种情况是产后败血迷乱心经，导致癫痫或狂躁，言语无常或头晕昏闷，应当按照“血晕”来治疗。第五种情况是产后感受风寒邪气，恶露突然停止不行，出现怕冷发热如疟疾般交替发作，白天神志清醒，到了晚上则胡言乱语，如同看见鬼怪一样，应当按照“热入血室”来治疗。此外，还有产后因受惊吓，败血冲犯心脏，导致昏迷发狂，如有鬼祟附体，适宜使用大圣泽兰散，或者将优质辰砂研成细粉，用酸枣仁汤送服一钱，可立即见效。薛立斋说：上述病症应当以固护胃气为主，辅以针对具体症状的药物，如果一味地攻伐痰浊就会出错。
琥珀地黄汤
治疗产后恶露冲犯心脏，言语混乱不通，如同看见鬼神，惊悸不定，小便不利的症状。
药材包括：琥珀、辰砂、没药（各研成细末）、当归（各一两）。
将上述药物研成细末，每次服用二钱，空腹时用白开水调服，每日三次。若伴有心腹疼痛，加入延胡索；若伴有头晕，加入蒲黄。
牡丹饮
治疗败血冲犯心脏引起发热，狂言奔走，脉象虚大的症状。
药材包括：干荷叶、生地黄、牡丹皮（各等分）。
将上述药物浓煎，调入生蒲黄末二钱，服用一次即可安定。
乌金散
治疗产后狂言乱语，眼睛看见鬼神。
药材包括：当归、远志肉、川芎、酸枣仁、白术、赤芍药、香附子、辰砂（研细）、熟地黄、茯神（各二钱），半夏（三钱），全蝎、麦冬、人参、牛膝、天麻（各一钱），甘草（一钱），陈皮、白芷（各一钱半）。
将上述药物捣碎研细，分为两次服用，加水一钟半，生姜三片，葱三根，加入金银器同煎至一碗，温服。
大圣泽兰散
治疗产后败血冲犯心脏，中风牙关紧闭，以及坠胎后腹中刺痛、横生逆产、胎盘不下，血昏、血滞、血崩、血液流入四肢、一切血证，各种风气，或伤寒呕吐逆气、咳嗽、寒热往来、全身生疮、头痛恶心、经脉不调、赤白带下、子宫虚冷、经常堕胎、长期无子息、未婚女子经脉不通，都适宜服用。常服可温暖子宫，调和气血，美容悦色，驱除风冷，消除百病。
药材包括：泽兰叶、石膏（研细，各二两），卷柏（去根），防风，白茯苓（去皮），浓朴（姜制），细辛，桔梗，柏子仁，五味子，人参，藁本，吴茱萸（汤洗七次，焙干），干姜（炮制），白术，川椒（去籽及闭口者，炒出油），川乌头（炮制，去皮脐），白芷，黄芪，丹参（各七钱半），芜荑（微炒），甘草，川芎，白芍，当归（各一两七钱半），白薇（炒燥，五钱），肉桂（一两），阿胶（炒成珠状，五钱），生地黄（一两半）。
将上述药物研成细末，每次服用二钱，临睡前用热酒调服。若是急症则不拘时间，每日三次服用。
何氏方
治疗产后邪风进入心脏，癫狂如同看见鬼祟之物。
取大辰砂一二钱研至极细，加入人乳三四茶匙左右，调匀于碗内，再挖掘一条白色项部的活蚯蚓，放入药液中，等待蚯蚓翻滚三圈后，取出蚯蚓不再使用，只需获取蚯蚓身上的涎液即可，不要让带药的液体流出，稍加无灰酒与人乳混合，在隔水容器中温热，分为二三服服用。若是惊风入心，心悸不止者，适宜服用抱龙丸。
茯神散
治疗产后心神恍惚，言语失度，睡卧不安，如同看见鬼神。
药材包括：茯神（一两，去皮木），人参，龙齿（研细），琥珀（研细），赤芍药，黄芪，牛膝（各五钱），桂心（五钱），生地黄（一两半）。
将上述药物研成粉末，每次服用三钱，加水一盏，煎至七分，去渣服用。
调经散
治疗产后狂躁、昏闷、时常看见鬼神。
药材包括：没药、琥珀（各另研细），桂心（各一钱），芍药、当归（各二钱半），麝香（另研），细辛（各五分）。
将上述药物研成粉末，每次服用五六分，用少许姜汁和温酒调服。按右侧所述，若夹杂寒邪者适宜此方；若夹杂热邪者适宜四物汤加柴胡，加倍生地黄用量。
Postpartum speech may become inverted, or manifest as delirious speech and manic muttering, or even seeing spirits and ghosts. The etiology is diverse; careful differentiation of syndromes (Bian Zheng) is required before administering medication. First, postpartum Heart deficiency with stagnant blood (Blood Stasis) accumulating and disturbing the Heart leads to manic muttering; this should be treated according to the section on "Suddenly Seeing Spirits." Second, postpartum Zang-Fu deficiency causing Heart spirit fright palpitations, disordered speech without self-awareness, and mental unrest should be addressed under the section on "Fright Palpitations." Third, pre-existing wind-toxin combined with postpartum Heart Qi deficiency leading to rigid back and neck, erratic singing/crying/anger/laughter, and disordered speech should be treated as Wind Spasm. Fourth, postpartum stagnant blood confusing the Heart channel resulting in epilepsy or mania, irregular speech, or dizziness/fainting should be treated as Blood Syncope. Fifth, postpartum contraction of Wind-Cold causing sudden cessation of Lochia, alternating chills and fever resembling malaria, clear consciousness during the day but delirious speech resembling seeing ghosts at night, should be treated as Heat Entering the Blood Chamber. Additionally, postpartum fright causing stagnant blood rushing to the Heart, leading to coma and mania as if possessed by spirits, is suitable for Da Sheng Ze Lan San, or high-quality Cinnabar ground into fine powder, taken with Suan Zao Ren Tang, one Qian, which yields immediate results. Xue Lizhai stated: For the aforementioned conditions, the primary approach should be to consolidate Stomach Qi, supplemented by herbs targeting specific symptoms; attacking Phlegm exclusively would be a mistake.
Hupo Dihuang Tang (Amber and Rehmannia Decoction)
Treats postpartum Lochia rushing to the Heart, causing chaotic speech, hallucinations of spirits, restless palpitations, and difficult urination.
Ingredients: Hupo (Electroplacum), Chensha (Cinnabaris), Moyao (Myrrhae Resina) (each finely ground); Danggui (Angelicae Sinensis Radix) (each 1 Liang).
Grind all ingredients into a fine powder. Take 2 Qian each time, mixed with plain boiled water on an empty stomach, three times daily. If accompanied by heart and abdominal pain, add Yanhusuo (Corydalis Rhizoma); if accompanied by dizziness, add Puhuang (Typhae Pollen).
Mudan Yin (Peony Drink)
Treats heat caused by stagnant blood rushing to the Heart, manic running and talking, and a deficient-large pulse.
Ingredients: Gan Heye (Nelumbinis Folium), Sheng Dihuang (Rehmanniae Radix Recens), Mudanpi (Moutan Cortex) (equal parts).
Decoct strongly, mix with 2 Qian of raw Puhuang powder. One dose brings calmness.
Wujin San (Black Gold Powder)
Treats postpartum manic speech and visual hallucinations of spirits.
Ingredients: Danggui (Angelicae Sinensis Radix), Yuanzhi Rou (Polygalae Semen), Chuanxiong (Chuanxiong Rhizoma), Suanzaoren (Ziziphi Spinosae Semen), Baizhu (Atractylodis Macrocephalae Rhizoma), Chishao (Paeoniae Radix Rubra), Xiangfuzi (Cyperi Rhizoma), Chensha (Cinnabaris, finely ground), Shudihuang (Rehmanniae Radix Preparata), Fushen (Poria cum Radice) (each 2 Qian); Banxia (Pinelliae Rhizoma) (3 Qian); Quanxie (Buthus), Maidong (Ophiopogonis Radix), Renshen (Ginseng Radix et Rhizoma), Niuxi (Achyranthis Bidentatae Radix), Tianma (Gastrodiae Rhizoma) (each 1 Qian); Gancao (Glycyrrhizae Radix et Rhizoma) (1 Qian); Chenpi (Citri Reticulatae Pericarpium), Baizhi (Angelicae Dahuricae Radix) (each 1.5 Qian).
Crush and grind finely. Divide into two doses. Add 1.5 Zhong of water, 3 slices of fresh ginger, 3 stalks of green onion, and silver pieces. Decoct to one bowl, take warm.
Da Sheng Ze Lan San (Great Holy Laggerstroma Powder)
Treats postpartum stagnant blood rushing to the Heart, stroke with locked jaw, abdominal stabbing pain after miscarriage, malpresentation, retained placenta, blood syncope, blood stasis, metrorrhagia, blood entering limbs, all blood disorders, various wind pathogens, cold-damage with vomiting, cough, alternating chills and fever, generalized sores, headache, nausea, menstrual irregularities, leukorrhea (red and white), uterine cold, frequent miscarriages, infertility, amenorrhea in unmarried women. It is suitable for all these conditions. Regular use warms the uterus, harmonizes Qi and Blood, beautifies complexion, dispels wind-cold, and eliminates hundred diseases.
Ingredients: Zelan Ye (Laggerriae Herba), Shigao (Gypsum Fibrosum, ground) (each 2 Liang); Juanbai (Selaginellae Herba, roots removed), Fangfeng (Saposhnikoviae Radix), Baifuling (Poria, peeled), Houpo (Magnoliae Officinalis Cortex, ginger-processed), Xixin (Asari Radix et Rhizoma), Jiegeng (Platycodonis Radix), Baiziren (Biotae Semen), Wuweizi (Schisandrae Fructus), Renshen (Ginseng Radix et Rhizoma), Bencao (Ligustici Rhizoma et Radix), Wuzhuyu (Evodiae Fructus, washed seven times in hot water, dried), Ganjiang (Zingiberis Rhizoma, processed), Baizhu (Atractylodis Macrocephalae Rhizoma), Chuanjiao (Zanthoxyli Pericarpium, seeds and closed ones removed, stir-fried until oil appears), Chuanwutou (Aconiti Radix Lateralis Preparata, processed, skin and navel removed), Baizhi (Angelicae Dahuricae Radix), Huangqi (Astragali Membranacei Radix), Danshen (Salviae Miltiorrhizae Radix et Rhizoma) (each 7.5 Qian); Wuyi (Madhucae Fructus, lightly stir-fried), Gancao (Glycyrrhizae Radix et Rhizoma), Chuanxiong (Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba), Danggui (Angelicae Sinensis Radix) (each 1 Liang 7.5 Qian); Baiwei (Cynanchi Atrati Radix, stir-fried until dry, 5 Qian); Rougui (Cinnamomi Cortex, 1 Liang); Ejiao (Asini Corii Colla, fried into beads, 5 Qian); Shengdihuang (Rehmanniae Radix Recens, 1.5 Liang).
Grind into a fine powder. Take 2 Qian each time, mixed with hot wine before sleep. For acute conditions, do not restrict timing; take three times daily.
He Shi Fang (Mr. He's Formula)
Treats postpartum pathogenic wind entering the Heart, causing mania and hallucinations of evil spirits.
Take 1-2 Qian of large Chensha (Cinnabaris), ground extremely fine. Mix with 3-4 teaspoons of human milk in a bowl. Dig up one live earthworm with a white head, place it in the medicine. Wait for the worm to roll three times, then remove the worm. Only the saliva from the worm is needed; ensure no liquid containing the medicine leaks out. Add a little non-grain alcohol to mix with the milk. Warm in a double boiler. Divide into two or three doses. For fright-wind entering the Heart with incessant palpitations, Bao Long Wan is suitable.
Fushen San (Poria Powder)
Treats postpartum mental vagueness, inappropriate speech, restlessness in sleep, and hallucinations of spirits.
Ingredients: Fushen (Poria cum Radice, 1 Liang, peeled), Renshen (Ginseng Radix et Rhizoma), Longchi (Dentis Fosslis Mamuthi), Hupo (Electroplacum), Chishao (Paeoniae Radix Rubra), Huangqi (Astragali Membranacei Radix), Niuxi (Achyranthis Bidentatae Radix) (each 5 Qian); Guixin (Cinnamomi Ramulus, 5 Qian); Shengdi (Rehmanniae Radix Recens, 1.5 Liang).
Grind into powder. Take 3 Qian each time, with one Zhong of water, decoct to 0.7 portion, strain, and drink.
Tiaojing San (Regulating Menses Powder)
Treats postpartum mania, fainting, and frequent hallucinations of spirits.
Ingredients: Moyao (Myrrhae Resina), Hupo (Electroplacum) (each separately ground fine); Guixin (Cinnamomi Ramulus) (each 1 Qian); Shaoyao (Paeoniae Radix), Danggui (Angelicae Sinensis Radix) (each 2.5 Qian); Shexiang (Moschus, separately ground), Xixin (Asari Radix et Rhizoma) (each 5 Fen).
Grind into powder. Take 5-6 Fen each time, mixed with a small amount of ginger juice and warm wine. Note: The above formula is suitable for cases involving Cold. For cases involving Heat, Si Wu Tang plus Chai Hu, with doubled Sheng Di Huang, is appropriate.
Xue Wenzhai said: The aforementioned conditions are due to Blood deficiency, where the Spirit does not reside in its house. The general principle is to tonify Original Qi, while referring to other syndromes for combined usage.