《大全》曰∶产后语言颠倒，或狂言谵语，如见鬼神，其源不一。辨证治之。一则因产后心虚，败血停积，
上干于心，而狂言独语者，当在乍见鬼神条求之。二则产后脏虚，心神惊悸，志意不安，言语锗乱，不自知觉，
神思不安者，当在惊悸条求之。三则有宿风毒，因产心虚气弱，腰背强直，或歌哭嗔笑，言语乱道，当作风痉治，
在心惊中风条求之。四则产后多因败血迷乱心经，言语颠狂，或晕闷，当于血晕中求之。五则产后感冒风寒，
恶露斩然不行，憎寒发热如疟，昼日明了，暮则谵语，如见鬼状，当作热入血室治之，宜琥珀地黄丸及四物汤。
以上诸证，大抵产后首当逐败生新，然后仔细详疾，不可妄立名色，自生新意。加减方药，大宜对证，根据古
法施治，未有不安者也。
薛立斋按∶前证当固胃气为主，佐以见证之药。若一于攻痰，则误矣。
《大全》曰∶产后余血奔心，以致虚烦。盖因分娩后，不与童便，并 心下，及卧太早，兼食不相宜之物
所致。
《妇人大全良方》说：产后出现言语错乱，或者胡言乱语、神志不清，仿佛看见鬼神，其病因并不单一。需要辨证施治。
第一种情况是因为产后心脏虚弱，败血（产后残留的瘀血）停滞积聚，向上干扰心脏，导致胡言乱语、自言自语的情况，应当在“乍见鬼神”这一条文中寻找治疗方法。
第二种情况是产后脏腑虚弱，心神受惊悸动，意志不安定，言语错误混乱，自己不能察觉，神思不宁的情况，应当在“惊悸”这一条文中寻找治疗方法。
第三种情况是有宿存的風毒，因为生产时心脏虚弱、气力衰弱，导致腰背强直僵硬，或者唱歌哭泣、发怒大笑，言语杂乱无章，应当作为“风痉”（因风邪引起的痉挛性疾病）来治疗，在“心惊中风”这一条文中寻找治疗方法。
第四种情况是产后多因败血迷乱心经，导致言语颠狂，或者头晕昏闷，应当在“血晕”中寻求治疗方法。
第五种情况是产后感受风寒，恶露突然停止不行，憎恨寒冷、发热像疟疾一样，白天神志清醒，到了晚上就胡言乱语，如同看见鬼怪的样子，应当作为“热入血室”（热邪侵入子宫/血室）来治疗，适宜使用琥珀地黄丸及四物汤。
以上各种证候，大抵产后首先应当祛除败血、生成新血，然后仔细详查疾病，不可随意创立名目，自创新意。加减方药，非常需要对证，根据古法施治，没有不平安的。
薛立斋按语：上述证候应当以固护胃气为主，辅以针对症状的药物。如果一味地攻伐痰浊，那就错了。
《妇人大全良方》说：产后余血奔冲于心，导致虚烦。大概是因为分娩后，没有饮用童便（男童的小便），以及心下部位未做相应处理，并且卧床过早，兼吃不相宜的食物所致。
陈无择说：平常治疗各种虚烦热，使用竹叶石膏汤、温胆汤。不知道产后与平常不同，如石膏等药物，不宜轻易使用，使用了必然致死。
《集验方》说：产后血渴，所谓血渴，就是血虚导致的口渴。方剂用人参、麦冬、生地、甘草、栝蒌。另外，产后心烦发渴，适宜使用清心莲子饮。
The *Daquan* (Great Compendium) states: Postpartum incoherent speech, or delirious and rambling talk, as if seeing ghosts and spirits, has various origins. It must be differentiated and treated accordingly.
First, due to postpartum heart deficiency, with stagnant blood accumulating and interfering upward with the heart, causing delirious and solitary speech, one should refer to the section on "Suddenly Seeing Ghosts and Spirits" for treatment.
Second, due to postpartum organ deficiency, with the heart-mind startled and palpitations, unstable will and intention, chaotic speech without self-awareness, and restless spirit, one should refer to the section on "Palpitations and Fright" for treatment.
Third, there is residual wind-toxin; due to postpartum heart deficiency and weak qi, leading to stiffness and rigidity of the waist and back, or singing, crying, anger, and laughter, with chaotic speech, it should be treated as Wind Spasm (Feng Jing), referring to the section on "Heart Palpitations and Stroke" for treatment.
Fourth, postpartum cases are often caused by stagnant blood confusing the Heart Meridian, leading to manic speech or fainting and dizziness; one should seek treatment within the context of Blood Syncope (Xue Yun).
Fifth, postpartum contraction of wind-cold, with lochia abruptly ceasing, aversion to cold and fever resembling malaria, clarity during the day but delirium at night as if seeing ghosts, should be treated as Heat Entering the Blood Chamber (Re Ru Xue Shi), suitable for Hupo Dihuang Wan (Amber and Rehmannia Pill) and Siwu Tang (Four Substances Decoction).
Regarding the above syndromes, generally, postpartum treatment should first expel stagnant blood and generate new blood, then carefully examine the disease. One must not arbitrarily create names or novel ideas. Adjusting formulas and herbs requires precise syndrome differentiation; following ancient methods ensures safety.
Xue Lizhai's commentary: For the aforementioned syndromes, the primary approach should be to consolidate Stomach Qi, assisted by herbs addressing specific symptoms. If one solely attacks phlegm, it would be a mistake.
The *Daquan* states: Postpartum residual blood rushing to the heart causes empty irritability. This is likely due to not drinking child's urine after delivery, failing to treat the area below the heart, lying down too early, and consuming incompatible foods.
Chen Wuyue states: Normally, various types of empty irritability and heat are treated with Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction) and Wendan Tang (Warm Gallbladder Decoction). However, postpartum conditions differ from ordinary ones; herbs like Shigao (Gypsum) should not be used lightly, as their use can lead to death.
The *Jiyan Fang* (Collected Proven Prescriptions) states: Postpartum blood-thirst, which refers to thirst caused by blood deficiency. The formula uses Renshen (Ginseng), Maidong (Ophiopogon Root), Shengdi (Rehmannia Root), Gancao (Licorice Root), and Gualou (Trichosanthes Fruit). Additionally, for postpartum mental restlessness and thirst, Qingxin Lianzi Yin (Clear Heart Lotus Seed Drink) is suitable.