此由产中忧惊劳倦。去血过多。则心中躁动不宁。谓之怔忡。若惕惕然而惊。中心怯怯。如
人将捕之之状。谓之惊悸。治此二症。惟调和脾胃。补养心血。使志定气宁。气舒心安而病
愈矣。然在分娩后。血块未消。宜服生化汤。且大补以行血块。血旺则怔定惊平。不必加定
志安神之药。如块痛消止后。患此症。宜服下方。
川芎 当归(各二钱) 茯神 枣仁 人参 麦冬 远志肉 黄 白术(各一钱) 元眼肉(
八个) 陈皮 炙草(各四分) 如虚烦。加竹茹(一团) 痰加竹沥。姜汁。
产后心血不宁。惊悸不安。
黄 麦冬 枣仁 柏子仁(各一钱) 茯神 川芎 远志肉(各八分) 当归(二钱) 五味(
十粒) 人参(一钱五分) 炙草(四分) 姜(二片) 煎服。兼服安神丸。
黄连(酒炒) 生地 归身(各三钱) 炙草(五分) 为末。蒸饼糊丸。如绿豆大。朱砂(二钱)
为衣。每服四十丸。
柴胡 前胡 黄连 乌梅(去核各二钱) 猪脊髓(一条) 猪苦胆(一个) 韭菜白(十根各寸
上药四味为末。将髓胆韭同捣成泥。入童便一盏。熬稀糊入药末。捣为丸。如绿豆大。名清
骨丸。每服三四十丸。清汤下。如上膈热多食后服。凡男女骨蒸。俱可服。惟上症须作汤药服
。效更速耳。
这是由于在分娩过程中因忧虑、惊恐、劳累和疲倦，导致失血过多。心中躁动不安，这称为怔忡（心悸的一种，指无端自惊，悸动不止）。如果表现为恐惧惊慌，内心怯懦，好像被人追捕一样的状态，这称为惊悸（因受惊吓而心跳不安）。治疗这两种症状，只有调和脾胃，补养心血，使意志安定、气息宁静，气机舒畅、心神安宁，病就能痊愈了。
然而，在分娩之后，如果瘀血块尚未消除，应当服用生化汤（产后常用方剂，具有活血化瘀、温经止痛功效），通过大补气血来推动瘀血块的排出。血液充盈旺盛，则怔忡自定，惊悸自平，不必额外添加定志安神的药物。如果瘀血块疼痛停止后，仍然出现这些症状，适宜服用下面的方子：
川芎、当归（各二钱）、茯神、枣仁、人参、麦冬、远志肉、黄芪、白术（各一钱）、龙眼肉（八个）、陈皮、炙甘草（各四分）。如果有虚烦症状，加竹茹（一团）；如果有痰，加竹沥、姜汁。此方用于产后心血不宁，惊悸不安。
第二个方子：黄芪、麦冬、枣仁、柏子仁（各一钱）、茯神、川芎、远志肉（各八分）、当归（二钱）、五味子（十粒）、人参（一钱五分）、炙甘草（四分）、生姜（二片）。煎服。同时服用安神丸。
第三个方子（安神丸）：黄连（酒炒）、生地、归身（各三钱）、炙甘草（五分）。研为细末，用蒸饼糊制成丸药，如绿豆大小。用朱砂（二钱）作为衣层。每次服用四十丸。
产后骨蒸潮热（阴虚发热，感觉热自骨内向外透发），先用清骨散（清热凉血、退虚热方剂）做成汤药服用，随后以保真丸（益气养阴、清热除蒸方剂）做成汤药服用。
第四个方子（清骨丸）：柴胡、前胡、黄连、乌梅（去核，各二钱）、猪脊髓（一条）、猪苦胆（一个）、韭菜白（十根，每段一寸长）。以上四味药材（注：此处原文逻辑似有省略或特指，结合下文“上药四味”可能指代前面的主药或特定组合，但按字面提取实体）研为细末。将猪脊髓、猪苦胆、韭菜一同捣成泥状，加入童便（儿童尿液，中医用作引经或清热药）一盏，熬制成稀糊状，加入药末，捣匀制成丸药，如绿豆大小，名为清骨丸。每次服用三四十丸，用清汤送下。如果上焦热盛，则在饭后服用。凡是男女出现的骨蒸症状，都可以服用。只是上述病症必须做成汤药服用，疗效更快罢了。
This condition arises from worry, fright, fatigue, and overexertion during childbirth, leading to excessive blood loss. The heart feels restless and uneasy, which is called *Zhengchong* (Palpitations with a sense of constant inner agitation). If there is a state of fear and panic, with a timid heart as if being pursued by someone, it is called *Jingji* (Palpitations due to fright). To treat these two symptoms, one must only harmonize the Spleen and Stomach, nourish Heart Blood, so that the Spirit (*Shen*) becomes settled and Qi tranquilizes. When Qi flows smoothly and the Heart Mind is at peace, the disease will heal.
However, after delivery, if blood stasis clots have not yet dissipated, one should take *Shenghua Tang* (Life-Returning Decoction) to greatly tonify Qi and Blood while moving blood stasis. When Blood becomes abundant and vigorous, *Zhengchong* will settle and *Jingji* will calm; there is no need to add herbs for calming the Spirit and stabilizing the Mind. If these symptoms persist after the pain from blood stasis has ceased, the following prescription is suitable:
Chuanxiong Rhizome (Chuanxiong Radix), Danggui Root (Angelicae Sinensis Radix) (each 2 qian); Fushen (Poria with Hostwood), Zaoren (Ziziphi Spinosomi Semen), Renshen (Ginseng Radix), Maidong (Ophiopogonis Tuber), Yuanzhi Rou (Polygalae Radix flesh), Huangqi (Astragali Radix), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 1 qian); Yuanyanrou (Longan Aril) (8 pieces); Chenpi (Citri Reticulatae Pericarpium), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (each 4 fen). If there is deficiency heat causing vexation, add Zhuru (Bambusae Caulis in Taenia); if there is phlegm, add Zhuli (Bambusae Sap) and Jiangzhi (Zingiberis Recens Juice). This addresses postpartum Heart Blood unrest and palpitations with unease.
Second Prescription: Huangqi (Astragali Radix), Maidong (Ophiopogonis Tuber), Zaoren (Ziziphi Spinosomi Semen), Baizi Ren (Platycladi Semen) (each 1 qian); Fushen (Poria with Hostwood), Chuanxiong Rhizome (Chuanxiong Radix), Yuanzhi Rou (Polygalae Radix flesh) (each 8 fen); Danggui Root (Angelicae Sinensis Radix) (2 qian); Wuwei Zi (Schisandrae Chinensis Fructus) (10 grains); Renshen (Ginseng Radix) (1.5 qian); Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (4 fen); Shengjiang (Zingiberis Rhizoma Recens) (2 slices). Decoct and take orally. Concurrently take Anshen Wan (Calming the Spirit Pill).
Third Prescription (Anshen Wan): Huanglian (Coptidis Rhizoma prepared with wine), Shengdi (Rehmanniae Radix Preparata), Guishen (Angelicae Sinensis Radix flesh) (each 3 qian); Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (5 fen). Grind into powder, bind with paste from steamed wheat cake to form pills the size of mung beans. Coat with Zhusha (Cinnabaris, 2 qian). Take 40 pills per dose.
For postpartum bone-steaming fever (deficiency heat feeling as if emanating from the bones), first use Qinggu San (Bone-Clearing Powder) as a decoction. Afterwards, use Baozhen Wan (Truth-Preserving Pill) as a decoction.
Fourth Prescription (Qinggu Wan): Chaihu (Bupleuri Radix), Qianhu (Peucedani Radix), Huanglian (Coptidis Rhizoma), Wumei (Mume Fructus, pitted, each 2 qian); Pig Spinal Cord (one piece); Pig Gallbladder (one piece); Leek White (Ten roots, each one cun long). The above four medicinal ingredients are ground into powder. The spinal cord, gallbladder, and leeks are mashed together into a paste. Add one cup of Tongbian (Child's Urine), boil into a thick paste, mix with the herbal powder, and form pills the size of mung beans, named Qinggu Wan. Take 30–40 pills per dose, washed down with clear soup. If there is excess heat in the Upper Jiao, take after meals. Both men and women suffering from bone-steaming can take this. However, for the aforementioned symptoms, taking it as a decoction yields faster results.