产后妄言妄见，由气血两虚而神魂无所根据也。夫心藏神主血，而言乃心之神也，心有血而神存，则
言不妄发。又肝藏魂藏血而目乃肝之窍也，目得血而能视，则瞳子了然而正，若夫产后血气暴竭，
则心神失守，故言语无伦，肝魂无根据，故瞳 妄见。况心为一身之主，目乃百脉之宗。虚症见于心目，则
十二官各失其职可知矣。是以视听言，动皆有虚妄焉。治法当论产期块痛有无缓急。若分娩儿下之
后，块痛未除，先服生化汤两三帖，以化块定痛，痛止即继服加参生化汤，或补中益气汤，如安神定志
汤丸调治也，若产日久，形气血气俱不足，即当大补为主，生养气血，安神定
志，服至药力充足，其病全愈。病家毋求速效，医家毋论邪祟。若喷以法水，惊以法尺，多致不救。治
此病者，服药至十帖方效。丹溪云∶病虚犹似邪祟也。又云∶欲泄其邪，先补其虚。先调其药，次论
诸疾。此古人治虚弱人有挟外因之确论。但人不能体认其义，用药反言攻补难同方，御必攻邪尽，方可
用补，欲病家不信难矣。此治产后虚症及年老人虚喘、弱人妄言三症，所当用心也。
宁神生化汤 治产后血块痛未止，患妄言症，未可用 、术。
川芎（一钱） 川归（二钱） 干姜（四分，炙） 茯神（一钱） 人参（二钱） 柏子仁（一钱）
陈皮（三分） 益智仁（八分，炒） 桃仁（十二粒，去皮尖） 枣（二枚）
水煎。
滋荣益气复神汤 治产后块痛止，可服此药。
川芎（一钱） 川归 淮地（各二钱，自制） 甘草（四分，炙） 人参（二钱） 黄 白术
（各一钱） 枣仁（一钱） 柏子仁（一钱） 茯神（一钱） 益智仁（一钱，炒） 圆眼肉（八分）
陈皮（三分） 麦冬（一钱） 五味子（十粒） 莲子（八分） 枣（二枚）
水煎。以上三等，大便燥结症，并宜大料芎、归以补血，若参可少，非芎、归至数斤，难取效。
大抵产后虚中伤寒，口伤寒食，外症虽见，头痛发热，或胁痛腰痛，是外感宜汗，犹当重产亡血禁
汗，惟宜生化汤中，量为加减调治无失。又如大便秘结，犹当重产亡血禁下，惟宜养正汤助血通滞，
极稳当也。
又方，润肠粥∶治产后大便日久不通，用芝麻一升，研末，和米一合，煮粥食，润肠即通。
产后出现胡言乱语、幻视幻听的症状，是由于气血两虚，导致神魂失去了依附的基础。心主藏神并主管血液，言语是心神的外在表现；心中血液充足则神志安定，言语就不会胡乱发作。肝主藏魂并贮藏血液，眼睛是肝的窍道；眼睛得到血液滋养才能视物清晰，瞳孔就能明亮且视线端正。如果产后血气突然枯竭，心神就会失守，所以言语没有条理；肝魂失去依托，所以会出现妄见。况且心是一身的主宰，目是百脉的宗汇。虚证表现在心和目上，那么十二脏腑各自失职的情况就可以推知了。因此，视听言行都会有虚妄的表现。治疗方法应当根据产期是否有瘀块疼痛及其缓急程度来讨论。如果在分娩胎儿娩出后，瘀块疼痛仍未消除，应先服用生化汤两三帖，以化瘀定痛；疼痛停止后，接着服用加参生化汤，或者补中益气汤，再用安神定志汤丸进行调理。如果生产时间已久，形体和气血都极度不足，就应当以大补为主，生养气血，安神定志，服药直到药力充足，疾病才能痊愈。病人家属不要追求速效，医生不要谈论邪祟作怪。如果用喷法水、惊吓法尺等迷信手段，大多会导致无法救治。治疗这种病，服药到十帖左右才会见效。朱丹溪说：“病势虚弱时，症状看起来就像邪祟作怪。”又说：“想要祛除邪气，必须先补益虚弱。”先调理好药物，再讨论其他疾病。这是古人治疗虚弱之人兼夹外感病因的确切论述。只是人们不能体悟其中的深意，用药反而说攻邪与补虚难以同方使用，认为必须将邪气攻尽，然后才能用补法，想让病人相信这一点很难。这是针对产后虚证、老年人虚喘、体弱者胡言乱语这三种病症，所应当用心诊治的。
宁神生化汤：治疗产后血块疼痛未止，出现胡言乱语症状，此时不可使用附子、白术。
川芎（一钱） 当归（二钱） 干姜（四分，炙烤） 茯神（一钱） 人参（二钱） 柏子仁（一钱）
陈皮（三分） 益智仁（八分，炒制） 桃仁（十二粒，去皮尖） 大枣（二枚）
加水煎煮。
滋荣益气复神汤：治疗产后瘀块疼痛已止，可以服用此药。
川芎（一钱） 当归 熟地黄（各二钱，自制） 甘草（四分，炙烤） 人参（二钱） 黄芪 白术（各一钱） 酸枣仁（一钱） 柏子仁（一钱） 茯神（一钱） 益智仁（一钱，炒制） 桂圆肉（八分）
陈皮（三分） 麦冬（一钱） 五味子（十粒） 莲子（八分） 大枣（二枚）
加水煎煮。以上三种情况，若伴有大便燥结症状，都宜用大剂量的川芎、当归来补血，人参用量可稍减；如果不是川芎、当归用到几斤的量，很难取得疗效。
大抵产后在虚损基础上感受寒邪，或伤于饮食，虽然外表症状显现，如头痛发热，或胁痛腰痛，这属于外感症适宜发汗，但仍需重视产后亡血禁汗的原则，只宜在生化汤中酌情加减调治，以免失误。又如大便秘结，仍应重视产后亡血禁下的原则，只宜用养正汤辅助养血通滞，极为稳妥。
Postpartum delirium and hallucinations arise from deficiency of both Qi and Blood, causing the Shen (Spirit) and Hun (Ethereal Soul) to lose their foundation. The Heart stores the Shen and governs Blood; speech is the manifestation of the Heart's Shen. When the Heart has sufficient Blood, the Shen remains stable, and speech does not occur recklessly. The Liver stores the Hun and Blood, and the eyes are the orifices of the Liver. When the eyes receive nourishment from Blood, vision becomes clear, and the pupils remain bright and focused. However, if postpartum Blood and Qi are suddenly depleted, the Heart-Shen loses its control, resulting in incoherent speech; the Liver-Hun lacks a foundation, leading to visual hallucinations. Moreover, the Heart is the master of the whole body, and the eyes are the gathering point of all meridians. If deficiency syndromes manifest in the Heart and Eyes, it can be inferred that the Twelve Organs each fail in their respective functions. Therefore, vision, hearing, speech, and movement may all exhibit false or delusional qualities. The treatment method should be determined by discussing whether there is abdominal mass pain during the postpartum period and its urgency. If, after the delivery of the fetus, the abdominal mass pain persists, one should first administer Shenghua Tang (Life-Restoring Decoction) for two or three doses to resolve stasis and alleviate pain. Once the pain ceases, continue with Ginseng-Enhanced Shenghua Tang or Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), followed by regulation using Anshen Dingzhi Wan/Tang (Calming the Spirit and Stabilizing Will Pills/Decoction). If a considerable time has passed since childbirth and both physical form and Qi-Blood are severely deficient, the primary approach should be strong tonification to generate and nourish Qi and Blood, calm the Spirit, and stabilize the Will. Continue medication until the therapeutic force is sufficient, at which point the disease will be completely cured. Patients' families should not seek rapid effects, and physicians should not attribute symptoms to evil spirits. Using superstitious methods such as spraying holy water or startling with ritual rulers often leads to untreatable conditions. Treating this illness requires taking effect after approximately ten doses of medication. Zhu Danxi stated: "When a disease presents with severe deficiency, the symptoms may resemble those caused by evil spirits." He also said: "To drain away the pathogenic factor, one must first tonify the deficiency." First regulate the medication, then discuss other ailments. This is a definitive theory from ancient masters regarding the treatment of deficient individuals complicated by external factors. However, people fail to comprehend its meaning, arguing that attacking pathogens and tonifying deficiency cannot be combined in the same formula, believing that only after all pathogens are eliminated can tonification be used. It is difficult to make patients believe this. This applies to the careful management of three conditions: postpartum deficiency syndromes, deficiency wheezing in the elderly, and delirium in frail individuals.
Ningshen Shenghua Tang (Calm-Spirit Life-Restoring Decoction): Treats postpartum persistent abdominal mass pain accompanied by delirium. Aconite (Fuzi) and Atractylodes (Baizhu) should not be used at this stage.
* Chuanxiong Rhizome (Chuanxiong) - 1 qian
* Chinese Angelica Root (Danggui) - 2 qian
* Dried Ginger (Ganjiang) - 4 fen, roasted
* Poria Cocos with Hostwood (Fushen) - 1 qian
* American Ginseng (Renshen) - 2 qian
* Biota Seed (Bai Ziren) - 1 qian
* Tangerine Peel (Chenpi) - 3 fen
* Alpinia Oxyphylla Fruit (Yizhiren) - 8 fen, stir-fried
* Peach Kernel (Taoren) - 12 grains, skin and tip removed
* Jujube (Dazao) - 2 pieces
Decoct in water.
Zirong Yiqi Fushen Tang (Nourish Glory, Augment Qi, and Restore Spirit Decoction): To be taken after postpartum abdominal mass pain has ceased.
* Chuanxiong Rhizome (Chuanxiong) - 1 qian
* Chinese Angelica Root (Danggui) - 2 qian
* Prepared Rehmannia Root (Shu Dihuang) - 2 qian, self-made
* Licorice Root (Gancao) - 4 fen, roasted
* American Ginseng (Renshen) - 2 qian
* Astragalus Root (Huangqi) - 1 qian
* White Atractylodes Rhizome (Baizhu) - 1 qian
* Sour Jujube Seed (Suanzaoren) - 1 qian
* Biota Seed (Bai Ziren) - 1 qian
* Poria Cocos with Hostwood (Fushen) - 1 qian
* Alpinia Oxyphylla Fruit (Yizhiren) - 1 qian, stir-fried
* Longan Aril (Yuanyanrou) - 8 fen
* Tangerine Peel (Chenpi) - 3 fen
* Ophiopogon Tuber (Maidong) - 1 qian
* Schisandra Berry (Wuweizi) - 10 grains
* Lotus Seed (Lianzi) - 8 fen
* Jujube (Dazao) - 2 pieces
Decoct in water. For the above three scenarios, if accompanied by dry and constipated stool, large doses of Chuanxiong and Danggui should be used to nourish Blood; the dose of Renshen may be reduced. Without several jin of Chuanxiong and Danggui, efficacy is difficult to achieve.
Generally speaking, postpartum deficiency complicated by Cold invasion, or injury from food, although external symptoms appear such as headache, fever, hypochondriac pain, or lower back pain, indicating an exterior syndrome suitable for sweating, one must still strictly adhere to the prohibition of sweating due to postpartum blood loss. Treatment should only involve modifying Shenghua Tang (Life-Restoring Decoction) appropriately to avoid error. Similarly, for severe constipation, one must strictly adhere to the prohibition of purgation due to postpartum blood loss. Only Yangzheng Tang (Support Righteousness Decoction) should be used to assist Blood generation and unblock stagnation, which is extremely safe.
Another prescription, Runchang Zhou (Moisten Intestines Porridge): Treats prolonged postpartum constipation. Use one sheng of Sesame Seeds (Zhimazi), grind into powder, mix with one he of rice, cook into porridge, and eat to moisten the intestines and relieve constipation.