茯神散 加味归脾汤
1.产后血虚心气弱, 惊悸恍惚不安宁, 养心须用茯神散, 参耆地芍
桂茯神, 琥珀龙齿归牛膝, 忧思归脾砂齿灵.
【注】产后血虚, 心气不守, 神志怯弱, 故令惊悸, 恍惚不宁也. 宜
用茯神散, 其方乃人参, 黄耆, 熟地, 白芍, 桂心, 茯神, 琥珀, 龙
齿,当归, 牛膝也. 若因忧愁思虑, 伤心脾者, 宜归脾汤加朱砂, 龙
齿治之.
归脾汤方 见首卷
妙香散
2.产后谵狂见鬼神, 败血冲心小调经, 心虚闷乱妙香散, 二茯参耆
远志辰, 甘桔木麝山药末, 归地煎调效若神.
【注】产后败血冲心, 狂乱见鬼, 谵言妄语者, 宜服小调经散. 若因
心血虚, 神不守舍而闷乱者, 则用妙香散, 即茯苓, 茯神, 人参, 黄
耆,远志, 辰砂, 甘草, 桔梗, 木香, 麝香, 山药为散, 以当归, 熟
地煎汤, 调服即愈, 其效如神.
人参当归汤
3.产后血虚烦短气, 人参当归汤最良, 参麦归芍熟地桂, 瘀血冲心
失笑方, 去血过多烦躁甚, 须用当归补血汤.
【注】产后血虚, 心烦短气者, 宜人参当归汤, 即人参, 麦冬, 当归
,白芍, 熟地, 肉桂也. 若因败血冲心者, 宜服失笑散. 若去血过多
,烦而躁者, 乃亡血证也, 宜当归补血汤.
当归补血汤 失笑散 方俱见首卷
1. 产后血虚导致心气虚弱，出现惊悸、恍惚、心神不宁的症状。治疗养心应当使用茯神散，该方由人参、黄芪、熟地黄、白芍、桂心、茯神、琥珀、龙齿、当归、牛膝组成。如果是因忧愁思虑损伤心脾所致，适宜使用加朱砂、龙齿的归脾汤进行治疗。
【注】产后血虚，心气不能固守，神志怯弱，因此导致惊悸、恍惚不安。适宜使用茯神散，其方剂由人参、黄芪、熟地黄、白芍、桂心、茯神、琥珀、龙齿、当归、牛膝组成。如果是因为忧愁思虑，损伤心脾，适宜用归脾汤加入朱砂、龙齿来治疗。
归脾汤方见本书首卷
2. 产后出现谵语、狂乱、看见鬼神症状，若是败血冲心所致，用小调经散；若是心血虚、神不守舍导致的烦闷扰乱，则用妙香散，该方由茯苓、茯神、人参、黄芪、远志、辰砂（朱砂）、甘草、桔梗、木香、麝香、山药研为散剂，用当归、熟地黄煎汤送服，疗效神奇。
【注】产后败血上冲于心，导致狂乱、看见鬼神、胡言乱语者，适宜服用小调经散。如果是因为心血虚，神志不能安守于内而导致的烦闷扰乱，则使用妙香散，即由茯苓、茯神、人参、黄芪、远志、辰砂、甘草、桔梗、木香、麝香、山药制成散剂，以当归、熟地黄煎煮的汤液调服即可痊愈，其效果如神一般灵验。
3. 产后血虚导致心烦、短气，人参当归汤最为良效，该方由人参、麦冬、当归、白芍、熟地黄、肉桂组成。若是瘀血冲心所致，使用失笑散；若是失血过多导致烦躁严重，乃亡血之证，必须使用当归补血汤。
【注】产后血虚，出现心烦、短气的症状，适宜用人参当归汤，即由人参、麦冬、当归、白芍、熟地黄、肉桂组成。如果是因为败血上冲于心，适宜服用失笑散。如果因为失血过多，出现烦闷且躁动不安，这是亡血的证候，适宜使用当归补血汤。
当归补血汤、失笑散的方剂均见本书首卷
Fushen San (Poria Spirit Powder), Jiawei Guipi Tang (Modified Spleen-Invigorating Decoction)
1. Postpartum blood deficiency leads to weak Heart Qi, manifesting as palpitations (Jingji), mental confusion and restlessness. To nourish the Heart, Fushen San should be used. The formula consists of Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix), Shudi (Rehmanniae Radix Praeparata), Baishao (Paeoniae Radix Alba), Guixin (Cinnamomi Ramulus), Fushen (Poria cum Radice), Hupo (Succinum), Longchi (Dent fossilis), Danggui (Angelicae Sinensis Radix), and Niuxi (Achyranthis Bidentatae Radix). If caused by worry and overthinking damaging the Heart and Spleen, it is appropriate to use Guipi Tang (Spleen-Invigorating Decoction) added with Zhusha (Cinnabaris) and Longchi (Dent fossilis).
[Note] Postpartum blood deficiency causes Heart Qi to fail in its guarding function, resulting in timidity of the spirit, thus leading to palpitations and mental confusion. It is appropriate to use Fushen San, whose ingredients are Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix), Shudi (Rehmanniae Radix Praeparata), Baishao (Paeoniae Radix Alba), Guixin (Cinnamomi Ramulus), Fushen (Poria cum Radice), Hupo (Succinum), Longchi (Dent fossilis), Danggui (Angelicae Sinensis Radix), and Niuxi (Achyranthis Bidentatae Radix). If due to worry and overthinking damaging the Heart and Spleen, it is appropriate to treat with Guipi Tang (Spleen-Invigorating Decoction) added with Zhusha (Cinnabaris) and Longchi (Dent fossilis).
The formula for Guipi Tang (Spleen-Invigorating Decoction) can be found in the first volume.
Miaoxiang San (Wonderful Fragrance Powder)
2. Postpartum delirium, mania, and hallucinations of spirits and ghosts: if caused by failed blood rushing to the Heart, use Xiaotiaojing San (Minor Regulating Menses Powder); if caused by Heart blood deficiency and the spirit failing to reside within, leading to stifled agitation, use Miaoxiang San (Wonderful Fragrance Powder). This powder consists of Fu Ling (Poria), Fushen (Poria cum Radice), Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix), Yuanzhi (Polygalae Radix), Chen Sha (Cinnabaris), Gancao (Glycyrrhizae Radix et Rhizoma), Jiegeng (Platycodonis Radix), Muxiang (Aucklandiae Radix), Shexiang (Moschus), and Shanyao (Dioscoreae Rhizoma), ground into powder. It is taken with decoction of Danggui (Angelicae Sinensis Radix) and Shudi (Rehmanniae Radix Praeparata), yielding miraculous efficacy.
[Note] When postpartum failed blood rushes to the Heart, causing mania, hallucinations of ghosts, and delirious speech, it is appropriate to take Xiaotiaojing San (Minor Regulating Menses Powder). If due to Heart blood deficiency and the spirit failing to reside within, causing stifled agitation, then Miaoxiang San (Wonderful Fragrance Powder) should be used. This consists of Fu Ling (Poria), Fushen (Poria cum Radice), Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix), Yuanzhi (Polygalae Radix), Chen Sha (Cinnabaris), Gancao (Glycyrrhizae Radix et Rhizoma), Jiegeng (Platycodonis Radix), Muxiang (Aucklandiae Radix), Shexiang (Moschus), and Shanyao (Dioscoreae Rhizoma) made into a powder, taken with decoction of Danggui (Angelicae Sinensis Radix) and Shudi (Rehmanniae Radix Praeparata), resulting in immediate cure, with efficacy like that of a deity.
Renshen Danggui Tang (Ginseng and Angelica Decoction)
3. Postpartum blood deficiency causing vexation and shortness of breath: Renshen Danggui Tang (Ginseng and Angelica Decoction) is most effective. The formula consists of Renshen (Ginseng Radix et Rhizoma), Maidong (Ophiopogonis Tuber), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Shudi (Rehmanniae Radix Praeparata), and Rougui (Cinnamomi Cortex). If caused by stasis rushing to the Heart, use Shixiao Fang (Smile Prescription). If excessive blood loss leads to severe vexation and restlessness, this is a syndrome of blood exhaustion, requiring Danggui Buxue Tang (Angelica Tonifying Blood Decoction).
[Note] Postpartum blood deficiency presenting with vexation and shortness of breath is suitable for treatment with Renshen Danggui Tang (Ginseng and Angelica Decoction), consisting of Renshen (Ginseng Radix et Rhizoma), Maidong (Ophiopogonis Tuber), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Shudi (Rehmanniae Radix Praeparata), and Rougui (Cinnamomi Cortex). If due to failed blood rushing to the Heart, it is appropriate to take Shixiao San (Smile Powder). If due to excessive blood loss, resulting in vexation and restlessness, this is a syndrome of blood exhaustion, and Danggui Buxue Tang (Angelica Tonifying Blood Decoction) should be used.
The formulas for Danggui Buxue Tang (Angelica Tonifying Blood Decoction) and Shixiao San (Smile Powder) are both found in the first volume.