《大全》曰∶产后脏虚，心神惊悸者，体虚心气不足，心经为风邪所乘。或恐惧忧迫，令心气受于风邪，
邪抟于心，则惊不自安，惊不已，则悸动不定。其状目睛不转，不能动，诊其脉动而弱者，惊悸也。
薛立斋曰∶人所主者心，心所主者血，心血虚，神气不守，惊悸所由来也，当补血气为主。
《大全》曰∶产后中风恍惚者，由心主血，血气通于荣卫脏腑，遍循经络。产则血气俱伤，五脏俱虚，荣
卫不足，即为风邪所乘，令心神恍惚不定。
薛立斋曰∶产后恍惚证，当大补血气为主，佐后方为善。盖风为虚极之假象，固其本元，诸病自退，若专
治其风，则速其危矣。
慎斋按∶以上四条，序产后有惊悸恍惚之证也。《济阴纲目》云∶不语至惊悸恍惚诸证，有谓气虚血虚，
有谓败血入心，有谓风邪所乘，一皆名为心风。然此风从何来，当从何治，前人亦未之悉，但言治痰治风。丹
溪、立斋，则以大补气血为主，各有所见，在临证酌用之。愚谓产后不语一证，有败血、有湿、有热痰、有风
热，一主实邪外感为病，而不及于虚，此亦前人立论之失。若惊悸恍惚，自是血虚，心气不足所致。《大全》
必言风邪抟心，致有斯证，其言甚戾。立斋以为但固本原，毋专治风，有功来学不小。
《大全》曰∶产后因惊，败血冲心，昏闷发狂，如见鬼祟，宜《局方》大圣泽兰散，加
辰砂、枣仁汤下之。
立斋按∶此乃血虚，神不守舍，非补养元气不可。
《产育宝庆集》（简称《大全》）说：产后脏腑虚弱，心神受惊而悸动不安，是因为身体虚弱、心气不足，心经被风邪侵袭。或者因为恐惧、忧虑和逼迫，导致心气受到风邪侵害，邪气聚结在心，就会惊恐不安；惊恐不止，就会出现悸动不定的症状。其表现为眼睛呆滞不转动，不能活动，诊察其脉搏跳动而微弱，这是惊悸证。
薛立斋说：人体由心主宰，心所主管的是血，心血虚亏，神气不能守舍，这就是惊悸产生的原因，治疗应当以补益气血为主。
《产育宝庆集》说：产后中风出现神情恍惚的症状，是因为心主血，血气通达于营卫及脏腑，遍行于经络。分娩时血气俱伤，五脏都虚弱，营卫之气不足，因此被风邪侵袭，导致心神恍惚不定。
薛立斋说：产后出现的恍惚证候，应当以大补气血为主，配合后面的方剂治疗才是良策。因为风邪是极度虚弱表现出的假象，巩固人体的根本元气，各种疾病自然消退；如果专门治疗风邪，反而会加速病情的危重。
慎斋按语：以上四条，叙述了产后出现惊悸、恍惚等证候的情况。《济阴纲目》说：从不语到惊悸、恍惚等各种证候，有的说是气虚血虚，有的说是败血入心，有的说是风邪侵袭，这些都统称为“心风”。然而这种风邪从何而来，应当如何治疗，前人也没有完全阐明，只是说要治痰治风。朱丹溪、薛立斋则以大补气血为主，各有见解，临证时需酌情选用。我认为产后不语这一证候，有因败血、湿邪、热痰、风热引起的，主要都是实邪外感致病，而没有涉及到虚证，这也是前人立论的失误。至于惊悸、恍惚，自然是血虚、心气不足所致。《产育宝庆集》一定说是风邪聚结于心导致这些证候，这种说法非常错误。薛立斋认为只要固护本源，不要专门治风，这对后学者的功劳不小。
《产育宝庆集》说：产后因受惊吓，败血冲心，导致昏闷发狂，如见鬼怪祟扰，适宜使用《太平惠民和剂局方》中的大圣泽兰散，加辰砂、酸枣仁煎汤送服。
*Daquan* (Complete Collection) states: After childbirth, the zang organs are deficient, and the heart spirit is startled and palpitates. This occurs because the body is weak and heart qi is insufficient, allowing wind-pathogen to invade the Heart meridian. Alternatively, due to fear, worry, or distress, the heart qi becomes affected by wind-pathogen. When the pathogen gathers in the heart, it causes fright and unease; if the fright persists, palpitations become unstable. The manifestations include eyes that do not move or turn, inability to move, and a pulse that is beating but weak, which indicates a condition of fright and palpitations.
Xue Lizhai states: The heart governs the human body, and the heart governs blood. When heart blood is deficient, the spirit fails to remain in its residence, leading to fright and palpitations. Treatment should primarily focus on tonifying blood and qi.
*Daquan* states: Postpartum wind-stroke presenting with mental confusion arises because the heart governs blood, and blood qi connects with Ying-Wei and the zang-fu organs, circulating through the meridians. Childbirth injures both blood and qi, causing deficiency in all five zang organs and insufficiency of Ying-Wei. Consequently, wind-pathogen invades, causing the heart spirit to become confused and unstable.
Xue Lizhai states: For postpartum confusion, treatment should primarily focus on greatly tonifying blood and qi, supplemented by subsequent formulas. Wind is merely a false manifestation of extreme deficiency; consolidating the primordial root will cause various diseases to recede spontaneously. If one treats only the wind, it will hasten the danger.
Shenzhen notes: The above four points describe postpartum conditions of fright, palpitations, and confusion. *Jiyin Gangmu* states: Conditions ranging from muteness to fright, palpitations, and confusion are attributed by some to qi and blood deficiency, by others to foul blood entering the heart, and by still others to wind-pathogen invasion; all are termed "Heart Wind." However, where this wind comes from and how it should be treated was not fully elucidated by predecessors, who merely spoke of treating phlegm and wind. Zhu Danxi and Xue Lizhai advocated primarily great tonification of blood and qi, each having their own insights, to be applied according to clinical judgment. I believe that for postpartum muteness, causes include foul blood, dampness, hot-phlegm, and wind-heat; these are primarily caused by excess pathogens and external infections, neglecting deficiency. This is also a flaw in previous theoretical formulations. As for fright, palpitations, and confusion, they naturally result from blood deficiency and insufficient heart qi. *Daquan* insists that wind-pathogen gathering in the heart causes these syndromes, a statement that is highly erroneous. Xue Lizhai’s view that one should only consolidate the root and not specifically treat wind has contributed significantly to future scholars.
*Daquan* states: Postpartum fright caused by foul blood rushing to the heart leads to drowsiness, mania, and hallucinations of seeing ghosts or spirits. It is appropriate to use Da Sheng Ze Lan San (Great Sage Lavender Decoction) from *Ju Fang* (The Bureau Formulary), administered with Chen Sha (Cinnabar) and Zao Ren (Suanzaoren, Semen Ziziphi Spinosae) decoction.
Xue Lizhai notes: This is due to blood deficiency, where the spirit does not reside in its house; it cannot be treated without nourishing primordial qi.