凡产血脱劳倦之甚。气无倚恃而呼吸止息。违其常度。世有妄论痰火。反用散气化痰之方。
误人夭折多矣。夫肺受脾禀。运气生脉。通水道。顺呼吸。清肃上下。调和荣卫。而为平人之常
候也。值产血气脱。呼吸短。言语不相接续。似喘危症。当大补气血为主。如有块痛。不可
加术。若无块痛。可用生化汤。加熟地(二钱) 附子(一片) 去桃仁。如足冷加熟附子(
一钱) 黄 。白术(各一钱五分) 陈皮(四分)
分娩后即患气短。有块痛。
川芎(二钱) 当归(四钱) 炙甘草(五分) 姜炭(四分) 桃仁(十粒) 人参(一钱) 枣(二
枚) 服二三帖后。加减。
产后气短促。无块痛。
黄 白术 川芎(各一钱) 当归(四钱) 人参(三钱) 陈皮 炙甘草 姜炭(各四分) 熟
地(二钱) 如足冷加熟附子(五分)
产后妄言妄见。由气血两虚。而神魂无根据也。夫心藏神主血。而言乃心之声也。心有血而神
存则言不妄发。又肝藏血。而目乃肝之窍也。目得血而司视。则瞳 而视正。若夫产后血气
暴竭。则心神失守。故言语无伦。肝魂无根据。则瞳 无见。况心为一身之主。目乃百脉之形
。虚症见于心目。则十二官失其职可知矣。是以视听言动。皆有虚妄。专治法当论块痛有无
。症候缓急。若块痛未除。连服生化汤二三帖。化块定痛。继服加参生化汤。或补中益气汤
。加以安神定志之药调治之。若产日久。形气血气俱虚。即当大补为主。使生养气血。宁神
定志。服至药力充足。其症可愈。病家毋求速效。医者毋论邪祟。若喷以法水。惊以法尺。
多致不救。屡治此症。服药至十余帖方见效。朱丹溪云。病虚有似邪祟是也。又云。欲泄其
邪。先补其虚。调其气。次论诸疾。此古人治产后虚症。及年老虚喘。弱人妄言妄见症之用
产后块痛未除。患妄言妄见。
凡是产后因失血过多、过度劳累，导致元气无所依附而呼吸微弱甚至暂停，违背了正常的生理节律。世间有人错误地将其论述为痰火作祟，反而使用行气化痰的方剂治疗，致使许多人误治致死。肺脏受脾土滋养，通过运行气机以生成脉气，疏通水道，调节呼吸，清肃上下焦，调和营卫之气，这是健康人的正常状态。到了产后气血大量脱失之时，出现呼吸短促、言语不能接续，类似喘息的危重症状，应当以大补气血为主要治疗原则。如果伴有瘀块疼痛，不可加入白术；如果没有瘀块疼痛，可以使用生化汤，加入熟地黄（二钱）、附子（一片），去掉桃仁。如果足部发冷，可加入熟附子（一钱）、黄芪、白术（各一钱五分）、陈皮（四分）。
分娩后立即出现气短，且伴有瘀块疼痛：
川芎（二钱）、当归（四钱）、炙甘草（五分）、姜炭（四分）、桃仁（十粒）、人参（一钱）、大枣（两枚）。服用二三帖后，根据病情加减。
产后气短急促，没有瘀块疼痛：
黄芪、白术、川芎（各一钱）、当归（四钱）、人参（三钱）、陈皮、炙甘草、姜炭（各四分）、熟地黄（二钱）。如果足部发冷，加入熟附子（五分）。
产后胡言乱语、产生幻觉，是由于气血两虚，导致神魂失去依托。心藏神并主宰血液，言语是心的声音表现。心脏有血液充盈则神志存留，言语就不会胡乱发出。肝藏血，眼睛是肝的外窍。眼睛得到血液滋养才能正常视物，瞳孔功能正常则视线端正。如果产后气血突然枯竭，心神就会失守，所以言语混乱无序；肝魂失去依托，就会出现视觉异常。况且心是一身的主宰，眼睛是全身血脉形态的反映。虚证表现在心和目上，那么十二脏腑的功能失调就可以推知了。因此，视、听、言、动都会出现虚妄的表现。专门的治疗法则应当辨析是否有瘀块疼痛，以及病情的缓急。如果瘀块疼痛尚未消除，连续服用生化汤二三帖，以化瘀定痛；随后服用加参生化汤，或者补中益气汤，配合安神定志的药物进行调理。如果生产时间已久，形体、气、血都虚弱，就应当以大补为主，使气血得以生养，宁心安神，安定意志。服药直到药力充足，症状即可痊愈。家属不要追求速效，医生不要归咎于邪祟。如果用符水喷人，用法尺惊吓病人，大多会导致无法救治。多次治疗此类病症，服药十余帖后才见效。朱丹溪说：“病势虚弱时，症状看起来像被邪祟附体。”又说：“想要祛除邪气，必须先补益其虚损，调顺其气机，然后再讨论其他疾病。”这是古人治疗产后虚证，以及年老体弱导致的虚喘、身体虚弱者出现的胡言乱语等症状的方法。
产后瘀块疼痛未除，却出现胡言乱语、产生幻觉的症状。
In cases where postpartum hemorrhage and excessive fatigue are severe, Qi lacks support, leading to respiratory arrest or cessation that deviates from normal physiological standards. Some erroneously attribute this condition to Phlegm-Fire (Tan Huo) and mistakenly administer formulas for dispersing Qi and resolving Phlegm, resulting in numerous fatalities due to misdiagnosis. The Lung receives nourishment from the Spleen, regulates Qi generation and pulse formation, unblocks water passages, facilitates respiration, clears and descends turbidity in the upper and lower Jiao, and harmonizes Ying (Nutritive) and Wei (Defensive) Qi; this constitutes the normal state of a healthy individual. However, following childbirth, when Blood and Qi are severely depleted, symptoms such as shortness of breath, inability to speak continuously, and a condition resembling asthma may appear as critical signs. The primary treatment should focus on massively tonifying Qi and Blood. If abdominal masses with pain are present, Bai Zhu (Atractylodis Rhizoma) should not be added. If there are no masses or pain, Shenghua Tang (Life-Restoring Decoction) can be used, supplemented with Shu Di Huang (Prepared Rehmanniae Radix, 2 qian), Fu Zi (Prepared Aconiti Lateralis Radix, 1 slice), while removing Tao Ren (Persicae Semen). If cold feet are present, add Shu Fu Zi (Prepared Aconiti Lateralis Radix, 1 qian), Huang Qi (Astragali Radix), Bai Zhu (Atractylodis Rhizoma, each 1.5 qian), and Chen Pi (Citri Reticulatae Pericarpium, 0.4 qian).
Shortness of breath occurring immediately after delivery accompanied by mass-related pain:
Chuan Xiong (Ligustici Chuanxiong Rhizoma, 2 qian), Dang Gui (Angelicae Sinensis Radix, 4 qian), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma, 0.5 fen), Jiang Tan (Charred Zingiberis Rhizoma, 0.4 fen), Tao Ren (Persicae Semen, 10 grains), Ren Shen (Ginseng Radix, 1 qian), Da Zao (Jujubae Fructus, 2 pieces). After taking two or three doses, adjust the prescription according to changes in symptoms.
Shortness of breath and rapid breathing after childbirth without mass-related pain:
Huang Qi (Astragali Radix), Bai Zhu (Atractylodis Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma, each 1 qian), Dang Gui (Angelicae Sinensis Radix, 4 qian), Ren Shen (Ginseng Radix, 3 qian), Chen Pi (Citri Reticulatae Pericarpium), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma), Jiang Tan (Charred Zingiberis Rhizoma, each 0.4 fen), Shu Di Huang (Prepared Rehmanniae Radix, 2 qian). If cold feet are present, add Shu Fu Zi (Prepared Aconiti Lateralis Radix, 0.5 fen).
Postpartum delirium and hallucinations arise from dual deficiency of Qi and Blood, causing the Hun (Ethereal Soul) and Shen (Spirit) to lack foundation. The Heart stores the Shen and governs Blood; speech is the voice of the Heart. When the Heart has sufficient Blood, the Shen remains intact, and speech does not become erratic. The Liver stores Blood, and the eyes are its external orifice. When the eyes receive adequate Blood, vision functions correctly, and the pupils maintain proper visual alignment. If Blood and Qi are suddenly exhausted after childbirth, the Heart Shen loses its residence, leading incoherent speech; if the Liver Hun lacks foundation, visual disturbances occur. Since the Heart is the master of the entire body and the eyes reflect the state of all meridians, deficiencies manifesting in the Heart and Eyes indicate dysfunction of the Twelve Organs. Consequently, vision, hearing, speech, and movement may all exhibit false or erratic behaviors. The specific treatment method must first determine the presence or absence of abdominal masses and pain, and assess the urgency of the syndrome. If masses and pain persist, administer Shenghua Tang (Life-Restoring Decoction) consecutively for two or three doses to resolve masses and alleviate pain, followed by Jia Shen Shenghua Tang (Shenghua Tang with Ginseng) or Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), combined with herbs that calm the Spirit and stabilize the will. If delivery occurred long ago and both physical form and Qi-Blood are deficient, massive tonification is required to generate and nourish Qi and Blood, calming the Spirit and stabilizing the will. Continue medication until therapeutic potency is sufficient, at which point symptoms will resolve. Families should not seek rapid effects, and physicians should not attribute symptoms to evil influences. Sprinkling talisman water or frightening patients with ritual rulers often leads to untreatable conditions. In multiple treatments of this syndrome, efficacy was observed only after more than ten doses. Zhu Danxi stated, "When disease causes severe deficiency, symptoms may resemble possession by evil spirits." He also said, "To drain evil, one must first tonify deficiency, regulate Qi, and then address other diseases." This reflects the ancient approach to treating postpartum deficiency syndromes, elderly deficiency-induced asthma, and delirium in weak individuals.
Delirium and hallucinations occurring when postpartum abdominal masses and pain have not yet resolved.