答曰。产后血虚。内理不腠密。故多汗。因遇风邪。搏变 风。 者。口噤不开。背强而直
。如风发痫状。摇头。马鸣。身反折。须臾十发。气息如绝。宜速斡口灌之小续命汤。稍缓
即汗出如雨。手拭不及者。不可治。三因方云。既汗多如何更服麻黄桂等。不若大局方大
圣散。亦良药。
小续命汤(方见九十八问)
防风汤。治产后中。如角弓时时反张。口噤。
防风(一两) 葛根(一两) 芎 生地 本 杏仁(去皮尖各一两) 独活(二两) 甘草 桂心 防己 蔓荆子
(各七钱半) 麻黄(
一两)
上为 咀。每服四钱。水盏半。煎六分。去滓温服。不拘时。
答曰。妇人以营血为主。因产血下太多。 气无所主唇青。肉冷。汗出。目瞑。神昏。命在
须臾。此但虚极生风也。如此急服济危上丹良。以风药治之。则误矣。
乳香 五灵脂 硫黄 太阴玄精石(研) 桑寄生 真阿胶 卷柏(生) 陈皮(各等分)
上将上四味同研。石器内微火炒动。勿令焦。炒了再研极细。后入余药末。用地黄汁和糊。
丸如桐子大。温酒下二十丸。当归酒下尤妙。
神授散。治产后一切疼痛。不论大小。以致危笃者皆可服。
百合(水浸洗) 干姜(炮) 甘草 当归 川芎(各二两) 青皮 桂心 牡丹皮 白芍 陈皮
(各五两) 神曲(炒) 麦肉(一本麦冬王
宇泰书作麦芽) 人参(各三两) 红花(一两半)
上为 咀。每服二钱。水一盏。姜三片。枣一枚。煎七分。空心去滓温服。妊妇不可服。虚者
去牡丹皮红花。加附子三两。
回答说：产后血虚，体内腠理（皮肤毛孔及肌肉间隙）不致密，所以容易多汗。如果因此遇到风邪侵袭，风邪与正气相搏结而转变为“风”证（指产后破伤风或类似痉挛性疾病）。所谓“风”证的表现是：口噤不开（牙关紧闭），背部僵硬且身体挺直，像发作癫痫的样子，摇头，发出马嘶般的叫声，身体向后反折（角弓反张），片刻之间可能发作十次，气息微弱好像要断绝一样。应当迅速撬开口腔灌服小续命汤。如果病情稍缓，患者就会汗出如雨，手擦拭都来不及，这种情况就无法治疗了。《三因方》说：既然已经汗出很多，怎么还能服用麻黄、桂枝等发汗药呢？不如使用大局方中的大圣散，这也是良药。
小续命汤（方剂见第九十八问）
防风汤。治疗产后中风口角歪斜，像角弓反张一样时时身体后仰，牙关紧闭。
防风（一两） 葛根（一两） 川芎 生地黄 藁本 杏仁（去皮尖各一两） 独活（二两） 甘草 桂心 防己 蔓荆子（各七钱半） 麻黄（一两）
以上药物捣碎成粗末。每次服用四钱，用水一盏半，煎至六分，去渣温服，不拘时间。
回答说：妇女以营血为主。因为生产时失血过多，气无所依附，出现嘴唇青紫，肌肉寒冷，出汗，眼睛闭合，神志昏迷，生命危在旦夕。这仅仅是因为极度虚弱而生内风。这种情况下紧急服用济危上丹效果很好。如果用治外风的风药来治疗，那就错了。
乳香 五灵脂 硫黄 太阴玄精石（研细） 桑寄生 真阿胶 卷柏（鲜品） 陈皮（各等分）
先将上面四种药材共同研磨，在石器中用微火炒动，不要让它们焦糊。炒好后再次研磨至极细，然后加入其余药物的粉末，用地黄汁调和做成糊状，制成梧桐子大小的丸药。用温酒送下二十丸，用当归酒送下尤其好。
神授散。治疗产后各种疼痛，无论轻重，导致病情危急者都可以服用。
百合（用水浸泡洗净） 干姜（炮制） 甘草 当归 川芎（各二两） 青皮 桂心 牡丹皮 白芍 陈皮（各五两） 神曲（炒制） 麦肉（另一版本王宇泰书中作麦芽） 人参（各三两） 红花（一两半）
以上药物捣碎成粗末。每次服用二钱，用水一盏，生姜三片，大枣一枚，煎至七分，空腹去渣温服。孕妇不可服用。体虚者去掉牡丹皮和红花，加入附子三两。
Answer: Postpartum blood deficiency leads to loose interstices (the spaces between skin pores and muscle tissues), resulting in profuse sweating. If exposed to wind pathogen, the wind pathogen contends with healthy qi and transforms into "Wind" syndrome (referring to postpartum tetanus or similar spastic diseases). The manifestations of this "Wind" syndrome include trismus (lockjaw), rigidity and straightening of the back, symptoms resembling epileptic seizures, head shaking, sounds like a horse neighing, opisthotonos (arching of the back), occurring up to ten times within a short period, with breath so faint it seems as if life has ceased. One should quickly pry open the mouth and administer Xiao Xuming Tang (Minor Continuation of Life Decoction). If the condition is slightly delayed, the patient will sweat profusely like rain, making it impossible to wipe with hands; such cases are incurable. *San Yin Fang* states: Since there is already excessive sweating, how can one administer diaphoretic herbs like Ephedrae Herba (Mahuang) and Cinnamomi Ramulus (Guizhi)? It is better to use Da Sheng San from the Ju Da Fang, which is also an effective medicine.
Xiao Xuming Tang (Formula see Question 98)
Fangfeng Tang. Treats postpartum wind-stroke with facial deviation, opisthotonos with frequent backward arching, and trismus.
Saposhnikoviae Radix (Fangfeng) (1 liang) Puerariae Radix (Gegen) (1 liang) Ligustici Chuanxiong Rhizoma (Chuanxiong) Rehmanniae Radix Preparata (Shengdihuang - *Note: Text says Shengdi, usually implies raw Rehmannia*) Leptodirii Rhizoma (Ben) Armeniacae Semen Amarum (Xingren) (de-skinned and de-seeded, each 1 liang) Angelicae Pubescentis Radix (Duhuo) (2 liang) Glycyrrhizae Radix et Rhizoma (Gancao) Cinnamomi Cortex (Guixin) Podagricae Radix (Fangji) Viticis Fructus (Manjingzi) (each 7 qian 5 fen) Ephedrae Herba (Mahuang) (1 liang)
The above ingredients are crushed into coarse powder. Each dose consists of 4 qian, decocted in 1.5 cups of water until reduced to 0.6 cup. Strain and take warm, without restriction on time.
Answer: Women rely primarily on Ying Blood (Nutritive Blood). Due to excessive blood loss during childbirth, Qi loses its anchor, leading to cyanosis of the lips, cold muscles, sweating, closed eyes, and coma, with life hanging by a thread. This is merely internal Wind generated by extreme deficiency. In such cases, administering Jiwei Shangdan (Jiwei Upper Elixir) urgently is beneficial. Treating it with Wind-dispelling herbs would be a mistake.
Boswelliae Resina (Ruxiang) Trogopteri Dung (Wulingzhi) Sulfur (Liuhuang) Taoyin Xuanshing Stone (Taiyin Xuanjingshi) (ground fine) Taxilli Herba (Sangjisheng) Donkey-Hide Gelatin (Ejiao) Serpylli Herba (Juanbai) (fresh) Citri Reticulatae Pericarpium (Chenpi) (equal parts)
First, grind the aforementioned four ingredients together. Stir-fry lightly over low heat in a stone mortar, ensuring they do not burn. After frying, grind them again until extremely fine. Then add the powders of the remaining herbs. Mix with juice of Rehmanniae Radix (Dihuang) to form a paste. Make pills the size of paulownia seeds. Take 20 pills with warm wine; taking them with Danggui wine is especially excellent.
Shenshou San. Treats all types of pain after childbirth, regardless of severity, even when critical.
Lilii Bulbus (Baihe) (soaked and washed in water) Zingiberis Rhizoma Preparatum (Ganjiang) Glycyrrhizae Radix et Rhizoma (Gancao) Angelicae Sinensis Radix (Danggui) Ligustici Chuanxiong Rhizoma (Chuanxiong) (each 2 liang) Aurantii Fructus Immaturus (Qingpi) Cinnamomi Cortex (Guixin) Moutan Cortex (Mudanpi) Paeoniae Radix Alba (Baishao) Citri Reticulatae Pericarpium (Chenpi) (each 5 liang) Saccharomyces (Shenqu) (fried) Mescae Endocarpium (Mairou) (*Note: Another version by Wang Yutai uses Maltae Fructus/Maiya*) Ginseng Radix (Renshen) (each 3 liang) Carthami Flos (Honghua) (1.5 liang)
The above ingredients are crushed into coarse powder. Each dose consists of 2 qian, decocted in 1 cup of water with 3 slices of fresh ginger and 1 jujube, until reduced to 0.7 cup. Strain and take warm on an empty stomach. Pregnant women must not take this. For those with deficiency, remove Moutan Cortex (Mudanpi) and Carthami Flos (Honghua), and add Aconiti Lateralis Radix Preparata (Fuzi) 3 liang.