（厥逆附）
〔金匮〕问曰∶新产妇人有三病，一者病痉，二者病郁冒，三者大便难，何谓也？师
曰∶新产血虚，多汗出，喜中风，故令病痉。亡血复汗，寒多，故令郁冒。亡津液，胃燥，
故大便难。按产妇郁冒，即今世所谓血晕也。
〔大全〕产后血晕者，由败血流入肝经，眼黑花，头目旋晕，不能起坐，甚致昏闷不
省人事，谓之血晕，细酒调黑神散最佳。庸医或作暗风、中风治之。凡晕，血热乘虚逆
上凑心，故昏迷不省，气闭欲绝是也。然其由有三∶有用心使力过多而晕，有下血多而
晕，有下血少而晕。其晕虽同，治之则异，当详番之。下血多而晕者，但昏闷烦乳而已，当
以补血清心药，下血少而晕者，乃恶露不下，上抢于心，心下满急，神昏口噤，绝不知人，
当以破血行血药。古法有云∶产妇才分娩讫，预烧秤锤或黄石子，硬炭烧令通赤，置器中，
急于床前以醋沃之，得醋气可除血晕，产后一月，时作为妙。崔氏云∶凡晕者皆是虚热，
血气奔送腹中空所致，欲分娩者，第一须先取酽醋以涂口鼻，仍置醋于傍，使闻其气，兼
细细饮之，此为上法。如觉晕，即以醋 面，苏来即饮醋，仍少与解之。（一云，仍少与水解之。）
一法烧干漆令烟浓熏产母面即醒。（如无干漆，取旧漆器火烧烟熏亦妙。）
郭稽中论曰∶产后血晕者何？答曰∶产后气血暴虚，未得安静，血随气上，迷乱心
神，故眼前生花，极甚者令人闷绝不知人，口噤神昏气冷，医者不识，呼为暗风，若作此
治之，病必难愈，但服清魂散即省。
〔薛〕产后元气亏损，恶露乘虚上攻，眼花头晕，或心下满闷，神昏口噤，或痰壅
盛者，急用失笑散主之。若血下多而晕，或神昏烦乱者，大剂芎归汤补之，或芸苔子散，
或童子小便，有痰加二陈汤。若因劳心力而致者，宜补中益气汤加香附。若因气血虚极
不省人事，用清魂散，继以芎归汤及大补气血之剂。凡产可用醋、漆器熏，或用半夏末
冷水和丸入鼻孔中，并无前患。丹溪先生云∶血晕因气血俱虚，痰火泛上，宜以二陈导痰，
或加减朱砂安神丸，以麦门冬汤下亦可。大凡产后口眼 斜等证，当大补气血为主，而
兼以治痰。若脾胃虚而不能固者，用六君子汤。至五七个月，当服安胎饮。至八九个月
再加大腹皮、黄杨脑。如临产时，更宜服保生无忧散，庶无前患。 家人妇产后小腹作
痛，忽牙关紧急，灌以失笑散，良久而苏，又用四物加炮姜、白术、陈皮而愈。一产妇
两手麻木，服愈风丹，天麻丸，遍身皆麻，神思倦怠，晡热作渴，自汗盗汗，此气血俱虚
也。用十全大补加炮姜数剂，诸证悉退，却去炮姜，又数剂而愈。但内热，此血虚也，用
逍遥散而痊。一妇八月胎下坠或动，面黄体倦，饮食少思，此脾气虚弱，用补中益气
汤倍白术，加苏梗，三十余剂而安。产后眩晕胸满，咳嗽，用四物加茯苓、半夏、桔梗
而愈。一产妇因产饮酒，恶露甚多，患血晕，口出酒气，此血得酒热而妄行，虚而作
晕也。以佛手散加干葛二钱，一剂而痊。酒性 悍，入月及产后不宜饮，恐致前证。产
室人众，喧嚷气热，亦致此证。
丹溪治一妇面白形长，心郁，半夜生产，侵晨晕厥，急灸气海十五壮而苏。后以参、术
等药，服两月而安。此阳虚也。
奉化陆严，治新昌徐氏妇病产后暴死，但胸膈微热。陆诊之曰∶此血 也。用红花数
十斤，以大锅煮之，候汤沸，以木桶盛之，将病者寝其上熏之，汤气微复加之。有顷，妇
人指动，半日遂苏。此与许胤宗治王太后之意同。
清魂散
泽兰叶 人参（各二钱半） 川芎（半两） 荆芥（一两） 一方有甘草（二钱）
上为末，用温酒热汤各半盏，调一钱，急灌之，下咽眼即开，气定即醒。
保命荆芥散 治产后风虚血晕，精神昏昧。
荆芥（一两三钱） 桃仁（炒五钱）
上细末，熟水下三钱。微喘加杏仁、（炒）甘草各三钱。
《衍羲》治产后血晕，用荆芥穗为末，童便调下二三钱，极妙。产后血晕，身痉直
戴眼，口角与目外眵向上牵急，不知人。取鸡子一枚，去壳取清，以荆芥末二钱调服，遂
仍根据次调治，若无他疾，则不须治，甚为敏捷。
上荆芥例，气虚人不可服。
来苏散 治临产用力太过，气血晕闷，不省人事。
木香（不见火） 神曲（炒） 陈皮（去白） 白芍药 阿胶（蛤粉炒） 麦 （炒）
黄（去芦） 生姜（炒黑，各一钱） 糯米（一撮） 苎根（洗净，一钱半） 甘草（炙，半钱）
上作一服，水二盅，煎至一盅，斡开口灌下，连进为愈。
芎归汤 治产后去血过多，血晕不省。
川芎 当归（各等分）
上作一服，水二盅，煎至一盅，食前服。腹中刺痛，加白芍药，口干烦渴加乌梅、麦
门冬，发寒热加白芍药，水停心下加茯苓、生姜，虚烦不得眠，加人参、竹叶。
芎归加芍药汤，治产后去血过多而晕。（方见产后血不止。）
《保命集》治产后血晕危困。
生地黄汁（一大盏） 当归 赤芍药（各二钱半，锉）
上水煎三五沸、温服。如觉烦热，去当归，入童子小便半盏服之。
《广济》治产后血晕，心闷不识人，或神言鬼语，气急欲绝。
芍药 甘草（各一两） 丹参（七钱半，并为 咀） 生地黄汁（一升） 生姜汁
白蜜（各三合）
上水二升，先煎前药取八合，下二汁及蜜和匀，分两服。
梅师治产后余血攻心，或下血不止，心闷面青身冷，气欲绝。
新羊血一盏饮之妙，日三服。
产后忽冒闷，汗出不识人者，暴虚故也。
破鸡子三枚，吞之便醒。若未醒，可与童便一升，甚验。若产后去血多者，又增
此疾，与鸡子不醒者，可急作竹沥汁一服五合，须臾不定。再与五合，频与三五服，瘥。
又方 松烟墨二钱，烧通红，窨灭为末，温酒或醋汤调服半匕。
〔丹〕妇人产后血晕，此乃虚火载血，渐渐晕将上来，用鹿角烧灰，出火毒，研极
细，用好酒、童便调灌下，一呷即醒。此物行血极效。
独行散 治产后血晕，昏迷不省，冲心闷绝。
五灵脂（二两，半生半炒）
上为细末，每服二钱，温酒调下。口噤者拗开口灌之，入喉即愈。一方加荆芥为末，
童便调服，如血崩不止，加当归，酒、童便煎，不拘时服。
治下胎或产后血上冲心已死。
用郁金烧存性为末，二钱，酽醋一合调灌之，立活。
产后血晕、心闷气绝。
红花（一两） 捣为末，分作二服，酒二盅，煎取一盅，并服，如口噤，斡开灌之，效。
一方用红花三两新者，无灰酒、童便各半升，煮取一盏服。
《肘后》治血晕。
苏木（三两，细锉，）水五升，煮取二升，分再服瘥。无苏木，取绯衣煮汁饮之亦得。
《圣惠》治产后血晕不知人，及狂语。
麒麟竭（一两，细研为末，） 非时以温酒调下二钱匕。
夺命散 治产后血晕，血入心经，语言颠倒，健忘失志，及产后百病。
没药 血竭（各等分）
上研细为末，才产下便用童便、细酒各半盏，煎一两沸，调下二钱，良久再服，其
恶血自循下行，更不冲上，免生百疾，专治妇人方只用白汤调。五羊洪运使子舍孺人，
产后语言颠倒，谵语不已，如有神灵，服诸药无效，召陈诊之，六脉和平，陈以此药两
服愈。
红花散 （《保命》）治产后血昏血晕血崩，及月事不匀，远年干血气。
干荷叶 牡丹皮 川当归 红花 蒲黄（炒，各等分）
上细末，每半酒煎和渣温服。如胎衣不下，榆白皮汤调半两。
上破血轻剂。
牡丹散 （《三因》）治产后血晕闷绝，口噤，则斡开口灌之。
牡丹皮 大黄（煨） 芒硝（各一两） 冬瓜子（半合） 桃仁（三十粒，去皮尖）
上锉，每服五钱，水三盅，煎一盅半，去滓，入硝又煎，分二服。
《产书》治产后心烦，手脚烦热，气力欲尽，血晕连心，头硬，及寒热不禁。
接骨木破之如 子一握，以水一升，煎取半升，分温二服。或小便数，恶血不止，服
之即瘥。此水煎三遍，其力一般，此是起死之方。
上重剂，血点滴不出者宜用。
花蕊石散 治产后气欲绝，恶血奔心欲死者，但以童便调一钱服之，取下恶物为妙。
（胞衣不下。）
黑神散 治产后血晕，用细酒调服佳。（产后通用方。）
上方寒多者用之。
治产后血晕心闷乱，恍惚如见鬼。
生益母草汁（三合，如无，根亦可） 生地黄汁（二合） 童便（一合） 鸡子清（三枚）
上以前三味煎三四沸，后入鸡子清搅停，作一服。
治产后血晕，狂语不识人，狂乱。
童便（二合） 生地黄汁（一合） 赤马通（七枚） 红雪（八分）
上以上二味浸赤马通，绞去滓下红雪，温为两服。
上方热多者用之。
仲景云∶产妇郁冒，其脉微弱，不能食，大便反坚，但头汗出，所以然者，血虚而厥，
厥而必冒，冒家欲解，必大汗出，以血虚下厥，孤阳上出，故头汗出。所以产妇喜汗出
者，亡阴血虚，阳气独盛，故当汗出，阴阳乃复，大便坚，呕不能食，小柴胡汤主之。病
解能食，七八日更发热者，此为胃实，大承气汤主之。今按∶郁冒即晕也，观此则产
后血晕，有汗、下、和解三法，当分表里虚实，精而别之。
张氏方治产后血晕，全不省人事，极危殆者。
上切韭菜入有嘴瓷瓶内煎热，醋沃之，便密扎瓶口，以瓶嘴向产妇鼻孔，令醋气透入，
须先扶病患起坐，恶血冲心，故有此证。韭能去心之滞血，加以醋气运达之，用无不效。
又方，半夏洗，不以多少，为末，丸如大豆，纳鼻中即苏，亦疗五绝。
治胎后血上冲心，生姜五片切，以水八升，煮取三升，分三服。
崔氏疗产乳晕绝方，以洗儿水饮三合良。或恶血服少许良。
醋墨（产后通用方。）
〔针灸〕
〔摘〕产后血晕不省人事。三里 支沟 三阴交（《心术》无此一穴。）
〔标幽〕又法 阴交 阳别
〔世〕又法 神门 内关（不应，取后穴） 关元（灸）
〔厥逆〕
产后手足厥逆，肩井主之。 一妇人产后日食茶粥二十余碗，至一月后遍身冰冷数
块，人以指按其冷处，即冷从指下上应至心，如是者二年，诸治不效，以八物汤去地黄，加
橘红入姜汁、竹沥一酒盅，十服乃温。
（厥逆附）
〔《金匮要略》〕问：新近分娩的产妇有三种病，一是痉病，二是郁冒，三是大便难，这是什么意思呢？医生说：产后血虚，出汗多，容易感受风邪，所以导致痉病。失血后又出汗，寒气重，所以导致郁冒。津液耗伤，胃中干燥，所以导致大便难。按：产妇的郁冒，就是当今所说的血晕。
〔《妇人大全良方》〕产后血晕，是由于败血流入肝经，出现眼前发黑、视物模糊，头晕目眩，不能坐起，甚至昏迷不省人事，称为血晕，用细酒调服黑神散效果最佳。庸医有时将其当作暗风、中风来治疗。凡是晕厥，都是血热乘虚逆上冲心，所以昏迷不省，气机闭塞欲绝。然而其病因有三：有用心用力过度而晕的，有下血过多而晕的，有下血过少而晕的。虽然晕的症状相同，但治疗方法不同，应当详细辨别。下血过多而晕的，只是昏闷烦躁乳胀而已，应当用补血清心的药物；下血过少而晕的，则是恶露不下，瘀血上冲于心，心下胀满急迫，神志昏迷牙关紧闭，完全不知人事，应当用破血行血的药物。古法说：产妇刚分娩完毕，预先烧红秤锤或黄石子、硬炭，放入容器中，急忙在床前浇醋，利用醋气可以消除血晕，产后一个月内，时常使用为好。崔氏说：凡是晕厥都是虚热，气血奔涌至腹中空虚之处所致，想要分娩的人，第一必须先取浓醋涂于口鼻，并将醋放在旁边，让产妇闻其气味，同时细细饮用，这是上策。如果感觉晕，就用醋敷面，苏醒后再饮醋，并稍给水以解之。（另一种说法是，稍给水以解之。）另一方法是将干漆烧出浓烟熏产妇面部即可苏醒。（如果没有干漆，取旧漆器火烧烟熏也很好。）
郭稽中说：产后血晕是怎么回事？回答说：产后气血突然虚弱，未能安静，血随气上，迷乱心神，所以眼前生花，极严重的令人闷绝不知人事，牙关紧闭神志昏迷气息冷，医生不认识，称之为暗风，如果按照此法治疗，病必定难愈，只要服用清魂散就会清醒。
〔薛己〕产后元气亏损，恶露乘虚上攻，眼花头晕，或者心下胀闷，神志昏迷牙关紧闭，或者痰涎壅盛的，急用失笑散主治。如果下血多而晕，或者神志昏迷烦躁混乱的，用大剂量的芎归汤补益，或者芸苔子散，或者童子小便，有痰加二陈汤。如果是因劳心力导致的，宜用补中益气汤加香附。如果是因气血极度虚弱不省人事的，用清魂散，继以芎归汤及大补气血的药剂。凡是生产都可以用醋、漆器熏，或者用半夏末冷水和丸纳入鼻孔中，都没有前面的病患。丹溪先生说：血晕是因为气血俱虚，痰火上泛，宜用二陈汤导痰，或者加减朱砂安神丸，用麦门冬汤送服也可以。大凡产后口眼歪斜等证，应当以大补气血为主，兼治痰。如果脾胃虚弱不能固摄的，用六君子汤。到了五七个月，当服用安胎饮。到了八九个月再加加大腹皮、黄杨脑。如临产时，更宜服用保生无忧散，才没有前面的病患。家人妇产后小腹作痛，忽然牙关紧急，灌服失笑散，很久才苏醒，又用四物汤加炮姜、白术、陈皮而痊愈。一产妇两手麻木，服用愈风丹、天麻丸，遍身皆麻，神思倦怠，午后发热作渴，自汗盗汗，这是气血俱虚。用十全大补汤加炮姜数剂，诸证悉退，去掉炮姜，又数剂而痊愈。只有内热，这是血虚，用逍遥散而痊愈。一妇八月胎下坠或动，面黄体倦，饮食少思，这是脾气虚弱，用补中益气汤倍加白术，加苏梗，三十余剂而安。产后眩晕胸满，咳嗽，用四物汤加茯苓、半夏、桔梗而痊愈。一产妇因产饮酒，恶露甚多，患血晕，口出酒气，这是血得酒热而妄行，虚而作晕。用佛手散加干葛二钱，一剂而痊愈。酒性猛烈，入月及产后不宜饮，恐怕导致前面的证候。产室人众，喧嚷气热，也导致此证。
丹溪治疗一妇面白形长，心郁，半夜生产，清晨晕厥，急灸气海穴十五壮而苏醒。后以参、术等药，服两月而安。这是阳虚。
奉化陆严，治疗新昌徐氏妇病产后暴死，只有胸膈微热。陆诊察说：这是血瘀。用红花数十斤，以大锅煮之，等汤沸，用木桶盛之，将病人睡在上面熏之，汤气微复加之。过了一会儿，妇人手指动，半天遂苏醒。这与许胤宗治疗王太后的用意相同。
清魂散
泽兰叶 人参（各二钱半） 川芎（半两） 荆芥（一两） 一方有甘草（二钱）
以上为末，用温酒热汤各半盏，调一钱，急灌之，下咽眼即开，气定即醒。
保命荆芥散 治产后风虚血晕，精神昏昧。
荆芥（一两三钱） 桃仁（炒五钱）
以上细末，熟水下三钱。微喘加杏仁、（炒）甘草各三钱。
《衍羲》治产后血晕，用荆芥穗为末，童便调下二三钱，极妙。产后血晕，身体痉挛直戴眼，口角与目外眵向上牵急，不知人事。取鸡蛋一枚，去壳取清，以荆芥末二钱调服，遂仍根据次调治，若无他疾，则不须治，甚为敏捷。
以上荆芥例，气虚人不可服。
来苏散 治临产用力太过，气血晕闷，不省人事。
木香（不见火） 神曲（炒） 陈皮（去白） 白芍药 阿胶（蛤粉炒） 麦 （炒） 黄（去芦） 生姜（炒黑，各一钱） 糯米（一撮） 苎根（洗净，一钱半） 甘草（炙，半钱）
以上作一服，水二盅，煎至一盅，撬开口灌下，连进为愈。
芎归汤 治产后去血过多，血晕不省。
川芎 当归（各等分）
以上作一服，水二盅，煎至一盅，食前服。腹中刺痛，加白芍药，口干烦渴加乌梅、麦门冬，发寒热加白芍药，水停心下加茯苓、生姜，虚烦不得眠，加人参、竹叶。
芎归加芍药汤，治产后去血过多而晕。（方见产后血不止。）
《保命集》治产后血晕危困。
生地黄汁（一大盏） 当归 赤芍药（各二钱半，锉）
以上水煎三五沸、温服。如觉烦热，去当归，入童子小便半盏服之。
《广济》治产后血晕，心闷不识人，或神言鬼语，气急欲绝。
芍药 甘草（各一两） 丹参（七钱半，并为咀） 生地黄汁（一升） 生姜汁 白蜜（各三合）
以上水二升，先煎前药取八合，下二汁及蜜和匀，分两服。
梅师治产后余血攻心，或下血不止，心闷面青身冷，气欲绝。
新羊血一盏饮之妙，日三服。
产后忽冒闷，汗出不识人者，暴虚故也。
破鸡子三枚，吞之便醒。若未醒，可与童便一升，甚验。若产后去血多者，又增此疾，与鸡子不醒者，可急作竹沥汁一服五合，须臾不定。再与五合，频与三五服，瘥。
又方 松烟墨二钱，烧通红，窨灭为末，温酒或醋汤调服半匕。
〔丹〕妇人产后血晕，此乃虚火载血，渐渐晕将上来，用鹿角烧灰，出火毒，研极细，用好酒、童便调灌下，一呷即醒。此物行血极效。
独行散 治产后血晕，昏迷不省，冲心闷绝。
五灵脂（二两，半生半炒）
以上为细末，每服二钱，温酒调下。口噤者拗开口灌之，入喉即愈。一方加荆芥为末，童便调服，如血崩不止，加当归，酒、童便煎，不拘时服。
治下胎或产后血上冲心已死。
用郁金烧存性为末，二钱，酽醋一合调灌之，立活。
产后血晕、心闷气绝。
红花（一两） 捣为末，分作二服，酒二盅，煎取一盅，并服，如口噤，斡开灌之，效。
一方用红花三两新者，无灰酒、童便各半升，煮取一盏服。
《肘后方》治血晕。
苏木（三两，细锉，）水五升，煮取二升，分再服瘥。无苏木，取绯衣煮汁饮之亦得。
《圣惠方》治产后血晕不知人，及狂语。
麒麟竭（一两，细研为末，） 非时以温酒调下二钱匕。
夺命散 治产后血晕，血入心经，语言颠倒，健忘失志，及产后百病。
没药 血竭（各等分）
以上研细为末，才产下便用童便、细酒各半盏，煎一两沸，调下二钱，良久再服，其恶血自循下行，更不冲上，免生百疾，专治妇人方只用白汤调。五羊洪运使子舍孺人，产后语言颠倒，谵语不已，如有神灵，服诸药无效，召陈诊之，六脉和平，陈以此药两服愈。
红花散 （《保命集》）治产后血昏血晕血崩，及月事不匀，远年干血气。
干荷叶 牡丹皮 川当归 红花 蒲黄（炒，各等分）
以上细末，每半酒煎和渣温服。如胎衣不下，榆白皮汤调半两。
以上破血轻剂。
牡丹散 （《三因方》）治产后血晕闷绝，口噤，则撬开口灌之。
牡丹皮 大黄（煨） 芒硝（各一两） 冬瓜子（半合） 桃仁（三十粒，去皮尖）
以上锉，每服五钱，水三盅，煎一盅半，去滓，入硝又煎，分二服。
《产书》治产后心烦，手脚烦热，气力欲尽，血晕连心，头硬，及寒热不禁。
接骨木破之如豆子一握，以水一升，煎取半升，分温二服。或小便数，恶血不止，服之即瘥。此水煎三遍，其力一般，此是起死之方。
以上重剂，血点滴不出者宜用。
花蕊石散 治产后气欲绝，恶血奔心欲死者，但以童便调一钱服之，取下恶物为妙。
（胞衣不下。）
黑神散 治产后血晕，用细酒调服佳。（产后通用方。）
上方寒多者用之。
治产后血晕心闷乱，恍惚如见鬼。
生益母草汁（三合，如无，根亦可） 生地黄汁（二合） 童便（一合） 鸡子清（三枚）
以上以前三味煎三四沸，后入鸡子清搅停，作一服。
治产后血晕，狂语不识人，狂乱。
童便（二合） 生地黄汁（一合） 赤马通（七枚） 红雪（八分）
以上以上二味浸赤马通，绞去滓下红雪，温为两服。
上方热多者用之。
仲景说：产妇郁冒，其脉微弱，不能食，大便反坚，但头汗出，所以然者，血虚而厥，厥而必冒，冒家欲解，必大汗出，以血虚下厥，孤阳上出，故头汗出。所以产妇喜汗出者，亡阴血虚，阳气独盛，故当汗出，阴阳乃复，大便坚，呕不能食，小柴胡汤主之。病解能食，七八日更发热者，此为胃实，大承气汤主之。今按：郁冒即晕也，观此则产后血晕，有汗、下、和解三法，当分表里虚实，精而别之。
张氏方治产后血晕，全不省人事，极危殆者。
以上切韭菜入有嘴瓷瓶内煎热，醋沃之，便密扎瓶口，以瓶嘴向产妇鼻孔，令醋气透入，须先扶病患起坐，恶血冲心，故有此证。韭能去心之滞血，加以醋气运达之，用无不效。
又方，半夏洗，不以多少，为末，丸如大豆，纳鼻中即苏，亦疗五绝。
治胎后血上冲心，生姜五片切，以水八升，煮取三升，分三服。
崔氏疗产乳晕绝方，以洗儿水饮三合良。或恶血服少许良。
醋墨（产后通用方。）
〔针灸〕
〔《针灸摘英》〕产后血晕不省人事。三里 支沟 三阴交（《心术》无此一穴。）
〔《标幽赋》〕又法 阴交 阳别
〔《世医得效方》〕又法 神门 内关（不应，取后穴） 关元（灸）
〔厥逆〕
产后手足厥逆，肩井主之。 一妇人产后日食茶粥二十余碗，至一月后遍身冰冷数块，人以指按其冷处，即冷从指下上应至心，如是者二年，诸治不效，以八物汤去地黄，加橘红入姜汁、竹沥一酒盅，十服乃温。
(Applied to Jue-Ni / Cold Extremities)
[From *Jin Gui Yao Lue*] Question: There are three diseases in women shortly after childbirth: one is Jing disease (spasm), the second is Yu Mao (depression and dizziness), and the third is difficult defecation. What does this mean? The Master said: After childbirth, blood deficiency occurs, with profuse sweating and a tendency to contract wind pathogens, thus causing Jing disease (spasm). Loss of blood followed by sweating leads to excessive cold, thus causing Yu Mao (depression and dizziness). Depletion of body fluids results in dryness of the Stomach, thus causing difficult defecation. Note: Yu Mao in postpartum women is what is currently referred to as Xue Yun (blood syncope).
[From *Da Quan Liang Fang*] Postpartum Xue Yun (blood syncope) is caused by敗血 (stagnant blood) flowing into the Liver Meridian, presenting with blacking out of vision, visual floaters, vertigo, inability to sit up, and even coma with loss of consciousness, termed Xue Yun (blood syncope). It is best treated with Hei Shen San (Black Divine Powder) mixed with fine wine. Quack doctors sometimes treat it as An Feng (dark wind) or Zhong Feng (stroke). In all cases of fainting, heat of blood rises counterflow due to deficiency, attacking the Heart, causing coma and loss of consciousness, with Qi blockage nearing extinction. However, there are three causes: fainting due to excessive mental or physical exertion; fainting due to excessive bleeding; and fainting due to insufficient bleeding. Although the symptom of fainting is the same, the treatment differs, so careful differentiation is required. For fainting due to excessive bleeding, characterized only by coma, oppression, and irritability, use herbs that tonify blood and clear the Heart. For fainting due to insufficient bleeding, where lochia fails to discharge and rushes upward to attack the Heart, causing epigastric fullness and urgency, coma, clenched jaw, and complete loss of consciousness, use herbs that break stasis and promote blood circulation. Ancient methods state: Immediately after delivery, pre-heat a weight stone, yellow stone, or hard charcoal until red-hot, place it in a vessel, and urgently pour vinegar over it near the bed; the vinegar fumes can eliminate Xue Yun (blood syncope). Doing this occasionally within one month postpartum is excellent. Cui Shi said: All fainting is due to deficient heat, where Qi and Blood rush to the emptiness in the abdomen. For those about to deliver, first apply strong vinegar to the mouth and nose, keep vinegar nearby for inhalation, and drink it slowly; this is the superior method. If feeling faint, apply vinegar to the face; once recovered, drink vinegar diluted slightly. (Another version says dilute with water.) Another method is to burn dried lacquer to produce thick smoke and fumigate the mother's face to awaken her. (If dried lacquer is unavailable, burning an old lacquerware vessel to produce smoke is also effective.)
Guo Jizhong discussed: What is postpartum Xue Yun (blood syncope)? Answer: After childbirth, Qi and Blood suddenly become deficient. Without rest, Blood follows Qi rising counterflow, confusing the Spirit of the Heart, causing visual floaters. In severe cases, it causes suffocation, loss of consciousness, clenched jaw, coma, and cold breath. If physicians do not recognize this and call it An Feng (dark wind), treating it as such will make recovery difficult. Simply taking Qing Hun San (Clear Soul Powder) will restore consciousness.
[Xue Ji] When Yuan Qi (Original Qi) is depleted postpartum, lochia attacks upward due to deficiency, causing blurred vision, dizziness, epigastric fullness, coma, clenched jaw, or phlegm obstruction. Urgently use Shi Xiao San (Pain Relieving Powder). If fainting occurs due to excessive bleeding, or if there is coma with irritability, use a large dose of Xiong Gui Tang (Ligusticum and Angelica Decoction) to tonify, or Yun Tai Zi San (Rapeseed Seed Powder), or Tong Zi Xiao Bian (Child's Urine). Add Er Chen Tang (Two-Cured Decoction) if there is phlegm. If caused by labor and mental exertion, use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) with Xiang Fu (Cyperus Rhizome). If unconsciousness is due to extreme deficiency of Qi and Blood, use Qing Hun San (Clear Soul Powder), followed by Xiong Gui Tang (Ligusticum and Angelica Decoction) and other formulas to strongly tonify Qi and Blood. Vinegar or lacquerware fumigation can be used postpartum, or Ban Xia (Pinellia Rhizome) powder mixed with cold water into pills inserted into the nostrils, preventing these ailments. Dan Xi stated: Xue Yun (blood syncope) is due to joint deficiency of Qi and Blood, with Phlegm-Fire floating upward. Use Er Chen Tang (Two-Cured Decoction) to guide out phlegm, or Jia Jian Zhu Sha An Shen Wan (Modified Cinnabar Calming the Spirit Pill), taken with Mai Men Dong Tang (Ophiopogon Decoction). Generally, postpartum conditions like facial paralysis should primarily be treated by strongly tonifying Qi and Blood, while addressing phlegm. If Spleen and Stomach deficiency fails to secure, use Liu Jun Zi Tang (Six-Gentlemen Decoction). At five to seven months, take An Tai Yin (Fetus-Calming Infusion). At eight to nine months, add Da Fu Pi (Areca Peel) and Huang Yang Nao (Buxus Brain). Near delivery, take Bao Sheng Wu You San (Protect Life Without Worry Powder) to prevent these issues. A family member had postpartum lower abdominal pain and sudden clenched jaw; administered Shi Xiao San (Pain Relieving Powder), revived after a long time, then cured with Si Wu Tang (Four Substances Decoction) plus Pao Jiang (Roasted Ginger), Bai Zhu (Atractylodes Rhizome), and Chen Pi (Tangerine Peel). One patient had numbness in both hands; after taking Yu Feng Dan (Wind-Dispelling Pill) and Tian Ma Wan (Gastrodia Pill), whole-body numbness, mental fatigue, afternoon fever with thirst, spontaneous and night sweats occurred, indicating joint Qi and Blood deficiency. Used Shi Quan Da Bu Tang (Ten Complete Great Tonifying Decoction) plus Pao Jiang (Roasted Ginger) for several doses, symptoms subsided; removing Pao Jiang (Roasted Ginger) and continuing for several doses led to recovery. Only internal heat remained, indicating Blood deficiency; cured with Xiao Yao San (Free and Easy Wanderer Powder). A woman at eight months felt fetal descent or movement, with sallow complexion, fatigue, and poor appetite, indicating Spleen Qi deficiency. Used Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) with doubled Bai Zhu (Atractylodes Rhizome) plus Su Geng (Perilla Stem) for over thirty doses, resulting in stability. Postpartum vertigo, chest fullness, and cough were cured with Si Wu Tang (Four Substances Decoction) plus Fu Ling (Poria), Ban Xia (Pinellia Rhizome), and Jie Geng (Platycodon Root). A patient drank alcohol during labor, had excessive lochia, suffered from Xue Yun (blood syncope), and exhaled alcohol odor; this was Blood moving recklessly due to alcohol heat, causing faintness from deficiency. Used Fo Shou San (Hand Buddha Powder) plus Gan Ge (Kudzu Root) 2 qian, cured in one dose. Alcohol is fierce; it should not be consumed during pregnancy or postpartum to avoid such conditions. Crowded, noisy, and hot delivery rooms can also cause this condition.
Dan Xi treated a pale, tall woman who was emotionally depressed and gave birth at midnight, fainting at dawn. Urgently moxa Qihai (CV6) 15 cones to revive. Later, she took Ren Shen (Ginseng) and Bai Zhu (Atractylodes Rhizome) etc. for two months to stabilize. This was Yang deficiency.
Lu Yan from Fenghua treated a woman from Xinchang who died suddenly postpartum, with only slight warmth in the chest and diaphragm. Lu diagnosed: This is Blood stasis. Used dozens of jin of Hong Hua (Safflower), boiled in a large pot. When boiling, placed the patient on a wooden barrel filled with the decoction to fumigate, adding more as needed. Soon, the woman's fingers moved, and she revived after half a day. This aligns with Xu Yinzong's treatment of Empress Dowager Wang.
Qing Hun San (Clear Soul Powder)
Ze Lan Ye (Lycopus Herb) and Ren Shen (Ginseng Root) (each 2.5 qian); Chuan Xiong (Ligusticum Rhizome) (0.5 liang); Jing Jie (Schizonepeta Spike) (1 liang); one formula includes Gan Cao (Licorice Root) (2 qian).
Grind into powder. Mix 1 qian with half a cup of warm wine and half a cup of hot water. Administer urgently. Eyes open immediately upon swallowing; consciousness returns when Qi settles.
Bao Ming Jing Jie San (Life-Preserving Schizonepeta Powder) Treats postpartum wind-deficiency Xue Yun (blood syncope) and mental confusion.
Jing Jie (Schizonepeta Spike) (1 liang 3 qian); Tao Ren (Peach Seed) (roasted 5 qian).
Grind finely. Take 3 qian with cooked water. Add Xing Ren (Apricot Seed) and roasted Gan Cao (Licorice Root) (each 3 qian) if mild wheezing.
*Yan Xi* treats postpartum Xue Yun (blood syncope) using Jing Jie Sui (Schizonepeta Spike Tip) powder mixed with Tong Zi Xiao Bian (Child's Urine) 2-3 qian; very effective. For postpartum Xue Yun (blood syncope) with body spasms, staring eyes, upward pulling of mouth corners and outer eye corners, and unconsciousness: Take one egg white, mix with 2 qian Jing Jie (Schizonepeta Spike) powder and administer. Then treat according to subsequent patterns. If no other illness, no further treatment is needed; it is very rapid.
Above Jing Jie (Schizonepeta Spike) examples are not suitable for people with Qi deficiency.
Lai Su San (Revival Powder) Treats fainting and coma due to excessive effort during labor causing Qi and Blood disturbance.
Mu Xiang (Aucklandia Root) (not exposed to fire); Shen Qu (Medicated Leaven) (roasted); Chen Pi (Tangerine Peel) (white part removed); Bai Shao Yao (White Peony Root); E Jiao (Donkey-Hide Gelatin) (fried with clam powder); Mai Ya (Barley Sprout) (roasted); Huang Qin (Scutellaria Root) (radicle removed); Sheng Jiang (Fresh Ginger) (charred, each 1 qian); Nuomi (Glutinous Rice) (a pinch); Zhu Gen (Artemisia Indica Root) (washed, 1.5 qian); Gan Cao (Licorice Root) (honey-fried, 0.5 qian).
Take as one dose. Boil in 2 cups of water until reduced to 1 cup. Pry open mouth and administer. Continue until cured.
Xiong Gui Tang (Ligusticum and Angelica Decoction) Treats Xue Yun (blood syncope) and unconsciousness due to excessive blood loss postpartum.
Chuan Xiong (Ligusticum Rhizome) and Dang Gui (Angelica Sinensis Root) (equal parts).
Take as one dose. Boil in 2 cups of water until reduced to 1 cup. Take before meals. Add Bai Shao Yao (White Peony Root) for stabbing abdominal pain; add Mei Zi (Mume Fruit) and Mai Men Dong (Ophiopogon Tuber) for dry mouth and irritability; add Bai Shao Yao (White Peony Root) for chills and fever; add Fu Ling (Poria) and Sheng Jiang (Fresh Ginger) for fluid retention under the Heart; add Ren Shen (Ginseng Root) and Zhu Ye (Bamboo Leaf) for deficiency irritability and insomnia.
Xiong Gui Jia Shao Yao Tang (Ligusticum and Angelica Decoction with Added White Peony) Treats fainting due to excessive blood loss postpartum. (Formula see Postpartum Unceasing Bleeding.)
*Bao Ming Ji* treats critical postpartum Xue Yun (blood syncope).
Sheng Di Huang Zhi (Fresh Rehmannia Juice) (1 large cup); Dang Gui (Angelica Sinensis Root) and Chi Shao Yao (Red Peony Root) (each 2.5 qian, chopped).
Boil in water for 3-5 boils. Take warm. If feeling irritable heat, remove Dang Gui (Angelica Sinensis Root) and add half a cup of Tong Zi Xiao Bian (Child's Urine).
*Guang Ji* treats postpartum Xue Yun (blood syncope) with chest oppression, inability to recognize people, delirious speech, or急促 breathing nearing extinction.
Shao Yao (Peony Root) and Gan Cao (Licorice Root) (each 1 liang); Dan Shen (Salvia Root) (7.5 qian, coarsely crushed); Sheng Di Huang Zhi (Fresh Rehmannia Juice) (1 sheng); Sheng Jiang Zhi (Fresh Ginger Juice) and Bai Mi (White Honey) (each 3 he).
Boil in 2 sheng of water. First decoct the herbs to obtain 8 he. Add the two juices and honey, mix well. Divide into two doses.
Mei Shi treats postpartum residual blood attacking the Heart, or unceasing bleeding, with chest oppression, cyanotic face, cold body, and breath nearing extinction.
Drinking 1 cup of fresh sheep blood is excellent; take three times daily.
Sudden postpartum dizziness/coma with sweating and loss of recognition is due to sudden deficiency.
Break and swallow 3 eggs to wake up. If not awake, give 1 sheng of Tong Zi Xiao Bian (Child's Urine); very effective. If postpartum blood loss is heavy and this ailment increases, and eggs do not wake the patient, urgently prepare Zhu Li Zhi (Bamboo Sap) 5 he per dose. If unstable after a moment, give another 5 he. Frequent administration of 3-5 doses leads to recovery.
Another Formula: Song Yan Mo (Pine Soot Ink) 2 qian, heated red-hot, extinguished, ground to powder. Take half a spoonful mixed with warm wine or vinegar water.
[Dan] Postpartum Xue Yun (blood syncope) in women is caused by deficient fire carrying blood upward gradually. Burn Lu Jiao (Deer Horn) to ash, remove fire toxicity, grind extremely fine. Mix with good wine and Tong Zi Xiao Bian (Child's Urine) and administer. One sip restores consciousness. This herb is extremely effective in promoting blood circulation.
Du Xing San (Single-Acting Powder) Treats postpartum Xue Yun (blood syncope), coma, and suffocating distress rushing to the Heart.
Wu Ling Zhi (Trogopterus Feces) (2 liang, half raw, half fried).
Grind to fine powder. Take 2 qian mixed with warm wine. If jaw is clenched, pry open and administer; cures upon entering the throat. Another formula adds Jing Jie (Schizonepeta Spike) powder, mixed with Tong Zi Xiao Bian (Child's Urine). If metrorrhagia persists, add Dang Gui (Angelica Sinensis Root), decoct with wine and child's urine, take anytime.
Treats death from blood rushing to the Heart after expulsion of fetus or postpartum.
Use Yu Jin (Curcuma Radix) burnt to retain nature, ground to powder. Take 2 qian mixed with 1 he of strong vinegar and administer; immediate revival.
Postpartum Xue Yun (blood syncope), chest oppression, Qi extinction.
Hong Hua (Carthamus Flower) (1 liang), ground to powder. Divide into two doses. Decoct in 2 cups of wine to obtain 1 cup. Take together. If jaw is clenched, pry open and administer; effective.
Another formula uses 3 liang of fresh Hong Hua (Carthamus Flower), decocted in 0.5 sheng of non-ash wine and 0.5 sheng of child's urine to obtain 1 cup.
*Zhou Hou* treats Xue Yun (blood syncope).
Su Mu (Sappan Wood) (3 liang, finely chopped). Boil in 5 sheng of water to obtain 2 sheng. Divide into two doses for recovery. If Su Mu (Sappan Wood) is unavailable, boil crimson cloth juice and drink; also effective.
*Sheng Hui* treats postpartum Xue Yun (blood syncope) with unconsciousness and delirious speech.
Qi Lin Xie (Dragon's Blood) (1 liang, finely ground to powder). Take 2 qian mixed with warm wine at any time.
Ming San (Life-Seizing Powder) Treats postpartum Xue Yun (blood syncope), blood entering the Heart Meridian, inverted speech, forgetfulness, loss of will, and hundred diseases postpartum.
Mo Yao (Myrrh) and Xue Jie (Dragon's Blood) (equal parts).
Grind finely. Immediately after birth, mix 0.5 cup of Tong Zi Xiao Bian (Child's Urine) and 0.5 cup of fine wine, boil for one boil, mix with 2 qian powder, and administer. Wait a while, then administer again. The evil blood descends naturally without rushing upward, preventing hundred diseases. For exclusive gynecological use, mix with plain water. Hong Yunshi's wife in Wuyang had inverted speech and continuous delirium postpartum, appearing possessed, ineffective with other medicines. Chen diagnosed, pulse was peaceful. Two doses of this medicine cured her.
Hong Hua San (Safflower Powder) (*Bao Ming*) Treats postpartum blood昏 (dizziness), Xue Yun (blood syncope), metrorrhagia, irregular menstruation, and old dry blood qi.
Gan He Ye (Dried Lotus Leaf), Mu Dan Pi (Moutan Cortex), Chuan Dang Gui (Ligusticum Angelica), Hong Hua (Carthamus Flower), Pu Huang (Typha Pollen) (roasted, equal parts).
Grind finely. Take half, decoct with wine, including dregs, and take warm. If placenta fails to descend, mix with Yu Bai Pi (Mulberry Root Bark) decoction 0.5 liang.
Above are light agents for breaking blood.
Mu Dan San (Moutan Powder) (*San Yin*) Treats postpartum Xue Yun (blood syncope) with suffocation and coma, clenched jaw; pry open mouth and administer.
Mu Dan Pi (Moutan Cortex), Da Huang (Rhubarb Root) (baked), Mang Xiao (Mirabilite) (each 1 liang), Dong Gua Zi (Winter Melon Seed) (0.5 he), Tao Ren (Peach Seed) (30 grains, skin and tip removed).
Chop. Take 5 qian, decoct in 3 cups of water to obtain 1.5 cups. Strain, add Mang Xiao (Mirabilite), boil again. Divide into two doses.
*Chan Shu* treats postpartum irritability, hot hands and feet, exhaustion, Xue Yun (blood syncope) connecting to Heart, stiff head, and uncontrollable chills and fever.
Break Jie Gu Mu (Elder Tree Wood) like bean-sized pieces, one handful. Decoct in 1 sheng of water to obtain 0.5 sheng. Take warm in two doses. Also effective for frequent urination and unceasing evil blood. Decocting water three times yields similar strength; this is a life-saving formula.
Above is a heavy agent, suitable when blood drops do not come out.
Hua Rui Shi San (Flower Ochre Stone Powder) Treats postpartum breath nearing extinction and evil blood rushing to Heart nearing death. Mix 1 qian with Tong Zi Xiao Bian (Child's Urine) and administer; expelling evil matter is ideal.
(Placenta not descending.)
Hei Shen San (Black Divine Powder) Treats postpartum Xue Yun (blood syncope); best taken mixed with fine wine. (General postpartum formula.)
Use above formula for cases with excess cold.
Treats postpartum Xue Yun (blood syncope) with chest oppression and confusion, hallucinations seeing ghosts.
Sheng Yi Mu Cao Zhi (Fresh Motherwort Juice) (3 he; if unavailable, root is okay); Sheng Di Huang Zhi (Fresh Rehmannia Juice) (2 he); Tong Zi Xiao Bian (Child's Urine) (1 he); Ji Zi Qing (Egg White) (3 units).
Decoct the first three ingredients for 3-4 boils. Then add Ji Zi Qing (Egg White), stir, and take as one dose.
Treats postpartum Xue Yun (blood syncope) with delirious speech, inability to recognize people, and mania.
Tong Zi Xiao Bian (Child's Urine) (2 he); Sheng Di Huang Zhi (Fresh Rehmannia Juice) (1 he); Chi Ma Tong (Red Horse Manure) (7 units); Hong Xue (Red Snow) (8 fen).
Soak Chi Ma Tong (Red Horse Manure) in the two liquids, squeeze out residue, add Hong Xue (Red Snow). Take warm in two doses.
Use above formula for cases with excess heat.
Zhong Jing said: Postpartum Yu Mao (depression and dizziness), pulse is weak and thin, unable to eat, stool is hard, but only head sweats. This is because Blood deficiency leads to Jue (cold extremities/reversal), and Jue leads to Mao (dizziness). For Mao to resolve, profuse sweating must occur. Due to Blood deficiency and lower reversal, solitary Yang emerges upward, hence head sweat. Therefore, postpartum women welcome sweating; loss of Yin Blood leads to excess Yang, so sweating occurs to restore Yin-Yang balance. For hard stool, vomiting, and inability to eat, Xiao Chai Hu Tang (Minor Bupleurum Decoction) governs. If illness resolves and appetite returns, but fever recurs after 7-8 days, this is Stomach excess, governed by Da Cheng Qi Tang (Major Order the Qi Decoction). Now note: Yu Mao (depression and dizziness) is synonymous with Yun (fainting/dizziness). Observing this, postpartum Xue Yun (blood syncope) has three methods: sweating, purging, and harmonizing. Differentiate exterior-interior and deficiency-excess precisely.
Zhang's Formula treats postpartum Xue Yun (blood syncope) with complete unconsciousness, extremely critical.
Cut Chive (Jiu Cai) into a porcelain bottle with a spout, heat it, pour vinegar in, seal tightly. Point spout toward mother's nostrils to let vinegar fumes enter. Must first help patient sit up. Evil blood rushing to Heart causes this. Chive removes stagnant blood in Heart; combined with vinegar fumes to circulate Qi, always effective.
Another Formula: Wash Ban Xia (Pinellia Rhizome), grind to powder, form pills like soybeans, insert into nostrils to revive; also treats Five Extinctions.
Treats blood rushing to Heart after delivery. Slice 5 pieces of Sheng Jiang (Fresh Ginger), boil in 8 sheng of water to obtain 3 sheng. Divide into three doses.
Cui Shi's Formula for postpartum fainting/death: Drink 3 he of water used for bathing the infant; good. Or take a small amount of evil blood; good.
Cu Mo (Vinegar Ink) (General postpartum formula.)
[Acupuncture]
*[Zhai]* Postpartum Xue Yun (blood syncope) with unconsciousness. Sanli (LI10), Zhigou (SJ6), Sanyinjiao (SP6). (*Xin Shu* lacks this point.)
*[Biao You]* Another method: Yinjiao (CV7), Yangbie (GB34).
*[Shi]* Another method: Shenmen (HT7), Neiguan (PC6) (if ineffective, take following points); Guanyuan (CV4) (moxa).
[Jue Ni / Cold Extremities]
Postpartum cold extremities, Jianjing (GB21) governs. A woman ate over twenty bowls of tea porridge daily postpartum. After one month, several patches of her body became ice-cold. Pressing these cold spots with a finger caused coldness to rise from the finger to the Heart. This lasted two years; various treatments failed. Used Ba Wu Tang (Eight Substances Decoction) removing Di Huang (Rehmannia Root), adding Ju Hong (Tangerine Red Pith), Jiang Zhi (Ginger Juice), and Zhu Li (Bamboo Sap) equivalent to one wine cup. Ten doses resulted in warmth.