（附论）
夫产后血晕者。由败血流入肝经。眼见黑花。头目旋晕。不能起坐。甚至昏闷不省人事。
谓
逆上凑心。故昏迷不省。气迷欲绝是也。然其由有三。有用心使力过多而晕者。有下血多而
晕者。有下血少而晕者。其晕虽同。其治特异。当详审之。下血多而晕者。但昏闷烦乱而已
。当以补血清心药治之。下血少而晕者。乃恶血不下。上抢于心。心下满急。神昏口噤。绝
不知人。当以破血行血药治之。古法有云。产妇才分娩了。预烧秤锤或江中黄石子。硬炭烧
令通赤。置器中。急于床前以醋沃之。得醋可除血晕。产后一月。不妨时作为妙。凡晕者皆
是虚热。血气奔逆。腹中空所致。欲分娩者。第一须先取酸醋。以涂口鼻。仍置醋于旁。使
闻其气。兼细细饮之。此为上法。如觉晕。即以醋 面。醒来即饮醋。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。以旧破漆器猛火烧熏之亦妙。经
行后。迷闷者。有去血多而闷。去血多者。是为血虚。则心虚。心虚则手足颤。神魂乱。则
坐卧不安。眼见黑花。甚者迷闷。去血少者。是为血迷。血迷则随气上流。停留于心窍。心
下急满。无所归。神魂如醉。不能言语。产后迷闷者。是为血晕。血晕则虚而无所归。气无
所主。气血妄行。掩触心肺。遂使眼花目眩。神昏不知人事。唇青肉冷。口中绝气。虽数日
有此证。凡觉神昏闷绝。宜服八宝丸治之。产后血晕者。是产母下血或少或多。皆令五脏动
运。气血未定。败血奔迸。攻冲心肝。若产去血过多。则血虚气极。若下血气逆。则血随气
上逼心也。二者皆令人晕闷。心烦满急。若血晕不止则毙矣。若败血攻于肝。肝脏气虚。所
以眼花心烦。而欲绝也。又云。夫血晕烦闷。气欲绝者。由产后出血过多。血气虚极。因此
而晕绝也。又有下血少而气逆极。则血随气上冲于心。亦令烦闷而满急。然亦当审其产妇血
下多少。则知其产后应晕与不晕也。然晕不止则毙。人凡产时。当向坐卧之处。须顺四时。
若触犯禁忌。多令晕闷。故血下或少或多。是以产处若有触犯。多致灾祸耳。血晕眩晕。须
量虚实。若宿有积饮。阻病不除。产后多致眩晕。及血气虚弱。而使血逆上攻。此又非清魂
可疗。崔氏云。凡晕者。皆是虚热血气奔迸。腹中空所致。欲分娩者。先取酸醋以涂口鼻。
仍以醋火淬于旁。使闻其气。兼细细饮之。此为上法。可以免其晕也。治血晕之证有三。宜
仔细辨证用药。若血少而晕者。乃恶露不下。上抢于心。心下满急。神昏口噤。不知人事。
宜破血行血之药。黑神散神妙。若血多而晕者。但神昏烦乱而已。宜补血清心之药。芎归汤
神妙。若下血少虚极。羊肉汤、当归建中汤。若身体素多风疾。因产伤积。气血乘虚而晕。
四物汤加防风、羌活。若晕闷而热多者。独活柴胡汤。并治风痰。若下多气虚极。晕昏不知
人。息欲绝。晕不止。则杀人。
方
陈橘皮汤 治产后恶血下多气虚。头目旋晕。沉沉默默。不省人事。调气益血。
陈橘皮（去白炒） 白术（切炒） 人参 甘草（炙锉） 黄 （锉） 酸石榴皮（洗
切） 熟干
地黄（各半两） 上粗筛。分作三剂。每剂用水五盏。加生姜五片。枣五枚擘。同煎至三盏。
去滓。时服一盏。稍热服。
未沤麻汤（圣惠方）治产后预防百病。吃醋墨了便服此神效。
未沤麻（一握去土一尺以上取枝及时阴干） 赤芍药（三两） 芎 （三分） 当归（三
分锉
微炒） 甘草（三分炙微赤锉） 茯神（三分） 陈橘皮（一两浸去白炒） 乱发（一两半）
上捣
罗为散。每服四钱。以水一钟。入生姜半分。约煎至五分。次入酒二合。更煎三五沸。去滓
温服。
治血晕至急。宜服白瓷药散。（圣惠方）
用白瓷药烧令通赤。乘热捣碎令细。不计时候。以温酒调下一钱。
当归汤 治产后败血不尽。冲心迷闷。旋晕不语。
当归（切焙） 芎 芍药 肉桂（去粗皮） 生干地黄（微炒一分） 牛膝（去苗酒
浸切焙）
独活（去芦头） 刘寄奴（各半两） 上粗筛。每服三钱。水一盏。入生姜五片。煎至七分。
去
滓温服。不拘时候。
玳瑁散 治产后败血不下。上冲心腹疼痛。
玳瑁（镑三分） 蒲黄 琥珀（另研如粉） 好墨 丹皮（去心各半两） 赤龙鳞（烧
灰即鲤
鱼皮） 延胡索 当归（微炙） 芎 （各二两） 上为散。每服二钱。用暖生姜酒调下。
淡醋
汤亦得。不拘时候服之。
荷叶蒂汤 治产后血晕闷绝。唇口青色。不省觉者。宜先用生鸡子清一枚打匀。灌
入即定。
荷叶蒂（七枚） 苏枋木（锉碎三分） 牛膝（去苗切焙干） 延胡索（各半两） 芍
药（半两）
上
败酱汤 治产后恶血结聚。血气冲心。晕垂死者。
败酱 羌活（去芦头） 当归（微炙切） 芍药 芎 苗 瞿麦（用穗子各一两） 枳
壳（去
瓤麸炒黄） 桂（去粗皮各三分） 桃仁（汤浸去皮尖双仁麸炒黄色三十粒） 上粗捣筛。
每服
三钱。水一盏。煎至六分。去滓下马牙硝半钱。更煎数沸。温服。空心相次再服。利三二行。
恶
延胡索汤 治产后血晕。
延胡索 芎 （各一两） 牛膝（去苗） 当归（切焙） 人参（各二两半） 生干地
黄（二两）
上粗捣筛。每服三钱。水一盏。煎至七分。去滓入白蜜一匙。更煎令沸。温服。相次再服。
琥珀煎 治产后血晕。无问冷热悉主之。
琥珀（一两另研末） 生地黄汁（一盏） 生姜汁（一盏） 上先取地黄、生姜汁二味
相和。
缓火煎去一半。别下无灰酒一盏。又煎候如稀饧。方取琥珀末入煎中。熟搅置于瓷器中。空
心取半匙。温酒调服。
红蓝花汤 治产后血下少。晕闷呕逆。
红蓝花 苏枋木（各半两锉） 上粗捣筛。每服三钱。水一盏。煎取七分。去滓温服。
相
次再服。
芍药汤（出大全良方）治产后血晕闷。不识人。言语错乱。少气者。
芍药（一分） 生干地黄（焙） 甘草（炙令赤各一两） 丹参（半两） 上粗捣筛。
每服三
钱。水一盏。生姜一分切碎。同煎至七分。去滓。下白蜜少许。再煎令沸。温服。相次更服。
当归饮 治产后血晕欲绝。
当归（微炙一两） 鬼箭羽（二两） 上粗捣筛。每服三钱。酒一盏。煎至六分。去滓
温服。
相次再服。
延胡索散 治产后血晕不识人。
延胡索 刘寄奴 当归（微炙各一两） 上为散。以温酒二钱服之。须臾便下。
芍药汤 治产后血晕绝。不识人。
芍药（半两末） 乱发（一两烧灰） 上相和研令匀。每服二钱。以热酒调服之。须臾
再服
之。立效也。
地黄汤 治产后血晕心闷。不识人。神言鬼语。气急欲绝。
又方（出大全良方）
荷叶（三枝炙） 真蒲黄（二两） 甘草（二两） 生地黄汁（半升） 白蜜（一匙） 上
细切。
以水三升。煮取一升。去滓。入蒲黄、蜜、地黄汁暖服。立愈妙。
赤马通饮子（出圣惠方）治产后血晕狂语。不识人狂乱。
童子小便（五合） 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。一方无红雪。用当归末半两分三服。
独行散（出拔粹方）治产后血晕。昏迷不省。闷绝冲心。
用五灵脂二两半。生半炒为末。调温酒冲下二钱。口噤者拗开口灌之即愈。一方用熟水
调服。若血崩不止。用炒熟当归酒同煎。或水酒童便各半盏同煎。又方水煎为膏加神曲末和
丸桐子大。空心温酒下。一方加荆芥等分为末。童便调下。
又方（出肘后方）治产后血晕。
用神曲为末。熟水调二钱。亦治产难。不瘥再服。
疗产后血晕狂言。烦渴不止。（出大全良方）
用生香附去毛为末。每服二钱。水一盏。姜三片。枣一个。煎至七分温服。一方治用力
过多血晕者。宜服此调气。
治产后血晕危困。
生地黄汁（一大盏） 当归（一分锉） 赤芍药（一分锉） 上水三五六沸温服。如觉
烦热。
去当归入童子小便半盏妙。
治产后血晕。全不省人事。极危殆者。（出大全良方）
用韭菜切断。盛在有嘴瓷瓶内。煎热醋沃之。便密缚瓶口。以瓶嘴向产妇鼻孔。令醋气
透入。须先扶病患起。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。
红蓝花酒（出大全良方）疗血晕绝。不识人。烦闷。言语错乱。恶血不尽。
腹
中绞痛。及治
用红蓝花二两为末。分二服。每服温酒二盏。童子小便二盏。煮取一盏半。候冷。分为
二服。留滓再并煎。一方无童便。一方搀新水服。如口噤斡开灌之。如子死腹中。服之立下。
疗产乳晕绝方。（出大全良方）
用洗儿水饮三合良。或以恶血服少许良。
半夏散（出经验良方）疗产后血晕。
用半夏不拘多少为末。如豆大。内鼻中即省。亦疗五绝。作末搐鼻亦可。
又方（出千金方）
用生赤小豆捣为末。取东流水和服方寸匙。不瘥再服。救急同。
治产后血晕腹疼头旋。及脐腹痛。（一名没药散出圣惠方）
用没药为末。每服一钱。温酒调下。
牡丹散（出圣惠方）治产后血晕闷绝野狼狈。若口噤则拗开灌之必妙。
牡丹皮 大黄（蒸） 芒硝（各一两） 冬瓜子（半合） 桃仁（三七粒去皮尖） 上
锉为散。
每服五钱。水三盏。煎至盏半。去滓。入芒硝后又煎。分二服。欲产先煎下。以备缓急。（金
匮以此治肠痈但分两稍异）
益母草散（出仁存方）治产后血晕心闷乱。恍惚如见鬼。
生益母草汁（三合根亦可） 生地黄汁（三合） 童子小便（一合） 鸡子清（一个） 上
煎药
汁令热。入鸡子清搅匀。作一服。
芸薹散 治妇人产后血晕、及九窍内血出。烦渴不止欲死者。此方可救。
血晕药（出百一选方）产后。便须准备。
用松烟墨二钱。用火 通红。窨灭火气。研为细末。作一服。温酒调下。京墨亦可。
治魂散（一名芎 汤出仁存方）产后血晕者何。答曰产后血晕。因产血下过
多。血气虚极。是致晕闷。甚则昏塞不知人。气息欲绝。晕闷不止。则能毙人。若作暗
风治之。诚为谬矣。且服清魂散自瘥。如芎 汤、黑龙丹。皆要药也。或以漆烧烟熏其
鼻。更于产妇房室中。须用醋炭为佳。
泽兰孙（一作泽兰叶） 人参（去芦各一两） 川芎（二两） 甘草（八钱一方无） 荆
芥穗
（四两） 上为末。每服三钱。热汤调下。痰盛加姜制半夏一钱。生姜五片。水一盏热服。
口
不开灌服。一方热汤温酒各小半盏。调匀急灌之。下咽喉。即眼开气定。自省人事。一方无
甘草。评曰。血晕当量虚实。若因去血过多而晕。宜芎 汤。若因痰阻未除。宜茯苓半夏汤。
茯苓半夏汤 治证同前。
半夏（三两） 茯苓 熟地黄（一两八钱） 陈皮 细辛 人参 芍药 川芎 紫苏 桔
梗
甘
散。
方内用大黄、芒硝。恐非产后可轻服者。更不出方。或曰。夺命丹用大黄。奚为而可。答曰
。夺命丹兼用附子。仍酒下五七小丸。可以一时制胜。牡丹散大剂煎服。无择翁且令先煎。
以备缓急。谓之无扰可乎。此方无择亲用之则可。他人则不可。
乌金丸（出杨氏家藏方）治产后血晕及恶露未尽。脐腹刺痛。或胞衣不下。
腹
胀喘满。
斑蝥（四十九枚） 血竭（一分如无更加没药半两代之） 没药（半两另研） 五灵脂
（半两）
砂（三钱） 上为细末。用酒醋各一升。慢火熬成膏。搜没药丸如梧桐子大。每服十丸至
十
五丸。麝香熟酒送下。不拘时候。
虎杖散（出杨氏家藏方）治产后血晕。及儿枕疼痛。恶露不行。脐腹疼痛。
牡丹皮 当归（洗焙） 白芍药 延胡索 干漆（炒令烟尽） 羌活（去芦头） 独活 香
附
（炒） 红花 杖（一名虎杖） 干姜 蒲黄 肉桂（去粗皮） 川芎 甘草（炙） 鬼箭
（以上各
等分） 上为细末。每服三钱。水酒各半盏。煎至七分。于食前温服。
治产后血晕。
用红花或苏枋木。酒水浓煮汁饮。
治产后去血多。眩晕须臾心闷气绝。（出如宜方）
用旧漆器烧微烟。逼面熏之。却不可太甚。恐虚怯人不禁。
治产后血气上冲心。成血晕。（出圣惠方）
用穿山甲一两。童子小便浸一宿。取出慢火炙令黄。为散。每服一钱。狗胆少许热酒调
下。随时服之。
治产后血晕。
以苎麻与产妇枕之。
治产后血晕筑心。眩倒风缩欲死者。（出仁存方）
以荆芥穗捣筛。每服用末二钱。童子小便一盏。酒调热服立效。如口噤者。拗齿。闭者
灌鼻中皆效。
治产后血晕心气绝。
以益母草研汁服一盏妙。
治产后血晕心闷气绝。（出肘后方）
以童子小便浓研墨服一升。一方用丈夫小便。
（附论）
产后血晕，是由于败血流入肝经所致。患者眼前出现黑花，头目旋转眩晕，无法起身坐立，甚至昏闷不省人事。
这是因为逆气上冲心胸，导致昏迷不知人事，气息迷乱几近断绝。
然而其成因有三种：有用力过度而致晕的，有下血过多而致晕的，有下血过少而致晕的。虽然症状都是晕厥，但治疗方法截然不同，应当详细审察。
下血过多而致晕的，只是感到昏闷烦乱而已。应当用补血清心的药物治疗。
下血过少而致晕的，是因为恶血不下行，上冲于心，导致心下胀满急迫，神志昏迷牙关紧闭，完全不知人事。应当用破血行血的药物治疗。
古法记载：产妇刚分娩完，预先烧红秤锤或江中的黄石子、硬炭，使其通体赤红，放入容器中，立即在床前用醋浇淋。产生的醋气可以消除血晕。产后一个月内，随时使用效果更佳。
凡是晕厥，都是因为虚热，气血奔逆，腹部空虚所致。准备分娩时，第一要务是先取酸醋，涂抹于口鼻，并将醋放在旁边，让产妇闻其气味，同时细细饮用。这是上策。
如果感觉要晕，就用醋敷面，醒来后立即饮用醋，并稍加稀释。另一种说法是稍加水稀释饮用。还有一种方法是烧干漆使烟浓烈，熏产妇面部即可苏醒。如果没有干漆，用旧的破损漆器猛火烧熏也有效。
月经结束后，如果出现迷闷，有的是因为去血多而闷。去血多属于血虚，则心亦虚。心虚则手足颤抖，神魂紊乱，坐卧不安，眼前见黑花，严重时会迷闷。
去血少的，属于血迷。血迷则随气上流，停留于心窍，心下急满，无所归依，神魂如醉，不能言语。
产后迷闷，属于血晕。血晕则因虚而无所归依，气无所主，气血妄行，掩触心肺，致使眼花目眩，神志昏迷不知人事，嘴唇发青肌肉冰冷，口中气息断绝。即使过了数日仍有此证，凡觉得神昏闷绝，宜服用八宝丸治疗。
产后血晕，是因为产母下血或少或多，都令五脏动荡，气血未定，败血奔涌，攻冲心肝。如果产时去血过多，则血虚气极；如果下血且气逆，则血随气上逼心。这两种情况都会令人晕闷，心烦满急。如果血晕不止则会死亡。
如果败血攻于肝，肝脏气虚，所以眼花心烦，几近断绝。
又说：产后血晕烦闷，气欲断绝，是因为产后出血过多，血气虚极，因此导致晕绝。
又有下血少而气逆极，则血随气上冲于心，也会令人烦闷而满急。然而也应当审察产妇下血多少，从而知道产后是否会晕。
如果晕厥不止则会死亡。人分娩时，应当面向坐卧之处，必须顺应四时气候。如果触犯禁忌，多会导致晕闷。所以无论下血少或多，如果在产处有所触犯，多会导致灾祸。
血晕眩晕，必须衡量虚实。如果宿有积饮，阻碍病邪未除，产后多导致眩晕，以及血气虚弱，使血逆上攻。这又不是清魂散所能治疗的。
崔氏说：凡是晕厥，都是因为虚热血气奔迸，腹部空虚所致。准备分娩者，先取酸醋涂抹口鼻，仍将醋火淬在旁边，让闻其气味，兼细细饮用。这是上策，可以避免晕厥。
治疗血晕的证候有三种，应仔细辨证用药。
如果血少而晕的，是恶露不下，上抢于心，心下满急，神昏口噤，不知人事。宜用破血行血的药物，黑神散非常神妙。
如果血多而晕的，只是神昏烦乱而已。宜用补血清心的药物，芎归汤非常神妙。
如果下血少且虚极，可用羊肉汤、当归建中汤。
如果身体素来多有风疾，因生产损伤积滞，气血乘虚而晕，可用四物汤加防风、羌活。
如果晕闷而热多者，用独活柴胡汤，并治风痰。
如果下血多且气虚极，晕昏不知人，呼吸微弱欲绝，晕厥不止，则会致死。
方剂：
陈橘皮汤：治疗产后恶血下多气虚，头目旋转眩晕，神情沉默，不省人事。具有调气益血的功效。
组成：陈皮（去白炒）、白术（切炒）、人参、甘草（炙锉）、黄芪（锉）、酸石榴皮（洗切）、熟干地黄（各半两）。
制法：粗筛混合，分作三剂。每剂用水五盏，加生姜五片，枣五枚掰开，同煎至三盏。去渣，每次服一盏，稍热服。
未沤麻汤（出自《圣惠方》）：治疗产后预防百病，吃醋墨后服用此方神效。
组成：未沤麻（一握，去土一尺以上取枝，及时阴干）、赤芍药（三两）、川芎（三分）、当归（三分锉微炒）、甘草（三分炙微赤锉）、茯神（三分）、陈皮（一两浸去白炒）、乱发（一两半）。
制法：捣罗为散。每服四钱，以水一钟，入生姜半分，约煎至五分，次入酒二合，再煎三五沸，去渣温服。
治血晕至急，宜服白瓷药散（出自《圣惠方》）。
用法：用白瓷药烧令通赤，乘热捣碎令细。不计时候，以温酒调下一钱。
当归汤：治疗产后败血不尽，冲心迷闷，旋晕不语。
组成：当归（切焙）、川芎、芍药、肉桂（去粗皮）、生干地黄（微炒一分）、牛膝（去苗酒浸切焙）、独活（去芦头）、刘寄奴（各半两）。
制法：粗筛。每服三钱，水一盏，入生姜五片，煎至七分，去渣温服。不拘时候。
玳瑁散：治疗产后败血不下，上冲心腹疼痛。
组成：玳瑁（镑三分）、蒲黄、琥珀（另研如粉）、好墨、丹皮（去心各半两）、赤龙鳞（烧灰即鲤鱼皮）、延胡索、当归（微炙）、川芎（各二两）。
制法：为散。每服二钱，用暖生姜酒调下。淡醋汤亦可。不拘时候服之。
荷叶蒂汤：治疗产后血晕闷绝，唇口青色，不省觉者。宜先用生鸡子清一枚打匀，灌入即定。
组成：荷叶蒂（七枚）、苏枋木（锉碎三分）、牛膝（去苗切焙干）、延胡索（各半两）、芍药（半两）。
败酱汤：治疗产后恶血结聚，血气冲心，晕垂死者。
组成：败酱、羌活（去芦头）、当归（微炙切）、芍药、川芎、苗瞿麦（用穗子各一两）、枳壳（去瓤麸炒黄）、桂（去粗皮各三分）、桃仁（汤浸去皮尖双仁麸炒黄色三十粒）。
制法：粗捣筛。每服三钱，水一盏，煎至六分，去滓下马牙硝半钱，更煎数沸，温服。空心相次再服。利三二行，恶血下则愈。
延胡索汤：治疗产后血晕。
组成：延胡索、川芎（各一两）、牛膝（去苗）、当归（切焙）、人参（各二两半）、生干地黄（二两）。
制法：粗捣筛。每服三钱，水一盏，煎至七分，去滓入白蜜一匙，更煎令沸，温服。相次再服。
琥珀煎：治疗产后血晕，无问冷热悉主之。
组成：琥珀（一两另研末）、生地黄汁（一盏）、生姜汁（一盏）。
制法：先取地黄、生姜汁二味相和，缓火煎去一半，别下无灰酒一盏，又煎候如稀饧，方取琥珀末入煎中，熟搅置于瓷器中。空心取半匙，温酒调服。
红蓝花汤：治疗产后血下少，晕闷呕逆。
组成：红蓝花、苏枋木（各半两锉）。
制法：粗捣筛。每服三钱，水一盏，煎取七分，去滓温服。相次再服。
芍药汤（出《大全良方》）：治疗产后血晕闷，不识人，言语错乱，少气者。
组成：芍药（一分）、生干地黄（焙）、甘草（炙令赤各一两）、丹参（半两）。
制法：粗捣筛。每服三钱，水一盏，生姜一分切碎，同煎至七分，去滓，下白蜜少许，再煎令沸，温服。相次更服。
当归饮：治疗产后血晕欲绝。
组成：当归（微炙一两）、鬼箭羽（二两）。
制法：粗捣筛。每服三钱，酒一盏，煎至六分，去渣温服。相次再服。
延胡索散：治疗产后血晕不识人。
组成：延胡索、刘寄奴、当归（微炙各一两）。
制法：为散。以温酒二钱服之。须臾便下。
芍药汤：治疗产后血晕绝，不识人。
组成：芍药（半两末）、乱发（一两烧灰）。
制法：相和研令匀。每服二钱，以热酒调服之。须臾再服之，立效也。
地黄汤：治疗产后血晕心闷，不识人，神言鬼语，气急欲绝。
又方（出《大全良方》）：
组成：荷叶（三枝炙）、真蒲黄（二两）、甘草（二两）、生地黄汁（半升）、白蜜（一匙）。
制法：细切。以水三升，煮取一升，去滓，入蒲黄、蜜、地黄汁暖服。立愈妙。
赤马通饮子（出《圣惠方》）：治疗产后血晕狂语，不识人狂乱。
组成：童子小便（五合）、生地黄汁（一合）、赤马通（七枚）、红雪（八分）。
制法：以上二味浸赤马通，绞去滓，下红雪温为两服。一方无红雪，用当归末半两分三服。
独行散（出《拔粹方》）：治疗产后血晕，昏迷不省，闷绝冲心。
用法：用五灵脂二两半，生半炒为末，调温酒冲下二钱。口噤者拗开口灌之即愈。一方用熟水调服。若血崩不止，用炒熟当归酒同煎，或水酒童便各半盏同煎。又方水煎为膏加神曲末和丸桐子大，空心温酒下。一方加荆芥等分为末，童便调下。
又方（出《肘后方》）：治疗产后血晕。
用法：用神曲为末，熟水调二钱。亦治产难，不瘥再服。
疗产后血晕狂言，烦渴不止。（出《大全良方》）
用法：用生香附去毛为末，每服二钱，水一盏，姜三片，枣一个，煎至七分温服。一方治用力过多血晕者，宜服此调气。
治产后血晕危困。
组成：生地黄汁（一大盏）、当归（一分锉）、赤芍药（一分锉）。
制法：水三升，五六沸温服。如觉烦热，去当归入童子小便半盏妙。
治产后血晕，全不省人事，极危殆者。（出《大全良方》）
用法：用韭菜切断，盛在有嘴瓷瓶内，煎热醋沃之，便密缚瓶口，以瓶嘴向产妇鼻孔，令醋气透入。须先扶病患起。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。
红蓝花酒（出《大全良方》）：疗血晕绝，不识人，烦闷，言语错乱，恶血不尽，腹中绞痛。及治……
用法：用红蓝花二两为末，分二服。每服温酒二盏，童子小便二盏，煮取一盏半，候冷，分为二服。留滓再并煎。一方无童便，一方搀新水服。如口噤斡开灌之。如子死腹中，服之立下。
疗产乳晕绝方。（出《大全良方》）
用法：用洗儿水饮三合良。或以恶血服少许良。
半夏散（出《经验良方》）：疗产后血晕。
用法：用半夏不拘多少为末，如豆大，内鼻中即省。亦疗五绝，作末搐鼻亦可。
又方（出《千金方》）
用法：用生赤小豆捣为末，取东流水和服方寸匙。不瘥再服。救急同。
治产后血晕腹疼头旋，及脐腹痛。（一名没药散出《圣惠方》）
用法：用没药为末，每服一钱，温酒调下。
牡丹散（出《圣惠方》）：治疗产后血晕闷绝野狼狈。若口噤则拗开灌之必妙。
组成：牡丹皮、大黄（蒸）、芒硝（各一两）、冬瓜子（半合）、桃仁（三七粒去皮尖）。
制法：锉为散。每服五钱，水三盏，煎至盏半，去滓，入芒硝后又煎，分二服。欲产先煎下，以备缓急。（金匮以此治肠痈但分两稍异）
益母草散（出《仁存方》）：治疗产后血晕心闷乱，恍惚如见鬼。
组成：生益母草汁（三合根亦可）、生地黄汁（三合）、童子小便（一合）、鸡子清（一个）。
制法：煎药汁令热，入鸡子清搅匀，作一服。
芸薹散：治疗妇人产后血晕、及九窍内血出，烦渴不止欲死者。此方可救。
血晕药（出《百一选方》）：产后，便须准备。
用法：用松烟墨二钱，用火通红，窨灭火气，研为细末，作一服，温酒调下。京墨亦可。
治魂散（一名芎 汤出《仁存方》）：产后血晕者何？答曰：产后血晕，因产血下过多，血气虚极，是致晕闷，甚则昏塞不知人，气息欲绝。晕闷不止，则能毙人。若作暗风治之，诚为谬矣。且服清魂散自瘥。如芎 汤、黑龙丹，皆要药也。或以漆烧烟熏其鼻，更于产妇房室中，须用醋炭为佳。
组成：泽兰孙（一作泽兰叶）、人参（去芦各一两）、川芎（二两）、甘草（八钱一方无）、荆芥穗（四两）。
制法：为末。每服三钱，热汤调下。痰盛加姜制半夏一钱，生姜五片，水一盏热服。口不开灌服。一方热汤温酒各小半盏，调匀急灌之。下咽喉，即眼开气定，自省人事。一方无甘草。评曰：血晕当量虚实。若因去血过多而晕，宜芎 汤。若因痰阻未除，宜茯苓半夏汤。
茯苓半夏汤：治证同前。
组成：半夏（三两）、茯苓、熟地黄（一两八钱）、陈皮、细辛、人参、芍药、川芎、紫苏、桔梗、甘草。
制法：为散。
方内用大黄、芒硝，恐非产后可轻服者，更不出方。或曰：夺命丹用大黄，奚为而可？答曰：夺命丹兼用附子，仍酒下五七小丸，可以一时制胜。牡丹散大剂煎服，无择翁且令先煎，以备缓急。谓之无扰可乎？此方无择亲用之则可，他人则不可。
乌金丸（出《杨氏家藏方》）：治疗产后血晕及恶露未尽，脐腹刺痛，或胞衣不下，腹胀喘满。
组成：斑蝥（四十九枚）、血竭（一分如无更加没药半两代之）、没药（半两另研）、五灵脂（半两）、砂（三钱）。
制法：为细末。用酒醋各一升，慢火熬成膏，搜没药丸如梧桐子大。每服十丸至十五丸，麝香熟酒送下。不拘时候。
虎杖散（出《杨氏家藏方》）：治疗产后血晕，及儿枕疼痛，恶露不行，脐腹疼痛。
组成：牡丹皮、当归（洗焙）、白芍药、延胡索、干漆（炒令烟尽）、羌活（去芦头）、独活、香附（炒）、红花、杖（一名虎杖）、干姜、蒲黄、肉桂（去粗皮）、川芎、甘草（炙）、鬼箭（以上各等分）。
制法：为细末。每服三钱，水酒各半盏，煎至七分，于食前温服。
治产后去血多，眩晕须臾心闷气绝。（出《如宜方》）
用法：用旧漆器烧微烟，逼面熏之。却不可太甚，恐虚怯人不禁。
治产后血气上冲心，成血晕。（出《圣惠方》）
用法：用穿山甲一两，童子小便浸一宿，取出慢火炙令黄，为散。每服一钱，狗胆少许热酒调下，随时服之。
治产后血晕筑心，眩倒风缩欲死者。（出《仁存方》）
用法：以荆芥穗捣筛，每服用末二钱，童子小便一盏，酒调热服立效。如口噤者，拗齿。闭者灌鼻中皆效。
(Attached Discussion)
Postpartum blood syncope is caused by failed blood flowing into the Liver meridian. The patient sees black flowers before their eyes, experiences rotational vertigo of the head and eyes, cannot rise or sit up, and may even become comatose and unconscious.
This is because rebellious Qi rushes upward to the heart and chest, leading to coma and loss of consciousness, with chaotic breath nearly ceasing.
However, there are three causes: fainting due to excessive physical exertion, fainting due to excessive postpartum bleeding, and fainting due to insufficient postpartum bleeding. Although the symptom is syncope in all cases, the treatment methods differ significantly, requiring detailed examination.
For fainting due to excessive bleeding, characterized only by drowsiness and irritability, one should use herbs that tonify blood and clear the Heart.
For fainting due to insufficient bleeding, caused by lochia failing to descend and rushing upward to the Heart, resulting in fullness and urgency below the heart, coma, locked jaw, and complete unconsciousness, one should use herbs that break stasis and promote blood circulation.
Ancient methods record: Immediately after delivery, preheat a scale weight, yellow stones from rivers, or hard charcoal until red-hot, place them in a vessel, and immediately pour vinegar over them near the bed. The resulting vinegar vapor can eliminate blood syncope. It is beneficial to use this method anytime within one month postpartum.
All syncope cases are due to deficiency-heat, with Qi and Blood rushing recklessly and abdominal emptiness. Before delivery, the first priority is to take sour vinegar, apply it 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 awake, drink vinegar diluted slightly with water. Another method suggests diluting vinegar with water. Another method involves burning dry lacquer to produce thick smoke and fumigating the mother's face to restore consciousness. If dry lacquer is unavailable, burning old broken lacquerware also works well.
After menstruation, if confusion occurs, it may be due to excessive blood loss causing stagnation. Excessive blood loss leads to Blood deficiency, which causes Heart deficiency. Heart deficiency results in trembling limbs, chaotic spirit, restlessness, seeing black flowers, and severe confusion.
Insufficient blood loss leads to Blood confusion. Confused Blood flows upward with Qi, lodging in the Heart orifices, causing subcardiac fullness and urgency, with nowhere to settle. The spirit becomes intoxicated, and speech is impaired.
Postpartum confusion belongs to blood syncope. In blood syncope, due to deficiency, there is no proper residence for Qi and Blood, leading to reckless movement, obstructing the Heart and Lungs, causing visual disturbances, vertigo, coma, cyanotic lips, cold flesh, and cessation of breath. Even if these symptoms persist for days, upon feeling coma and suffocation, Ba Bao Wan (Eight Treasures Pill) should be taken.
Postpartum blood syncope occurs because varying amounts of postpartum bleeding disturb the Five Zang organs, leaving Qi and Blood unsettled. Failed blood surges, attacking the Liver and Heart. Excessive bleeding leads to extreme Blood and Qi deficiency. If bleeding is accompanied by rebellious Qi, Blood follows Qi upward to oppress the Heart. Both conditions cause syncope, irritability, and fullness. If syncope persists, death ensues.
If failed blood attacks the Liver, causing Liver Qi deficiency, symptoms include visual disturbances, irritability, and near-death states.
It is also stated that postpartum blood syncope with irritability and impending Qi cessation is due to excessive postpartum hemorrhage leading to extreme Blood and Qi deficiency, causing syncope.
Alternatively, insufficient bleeding with extreme Qi rebellion causes Blood to rush upward to the Heart, leading to irritability and fullness. One must examine the amount of postpartum bleeding to predict syncope.
Persistent syncope leads to death. During delivery, one should face the sitting/lying area and adhere to seasonal regulations. Violating taboos often causes syncope. Thus, regardless of bleeding volume, violations during childbirth often lead to disaster.
Blood syncope vertigo requires assessing deficiency and excess. Pre-existing fluid retention, if not resolved, often causes postpartum vertigo, along with Blood and Qi weakness leading to rebellious Blood attacking upward. Qing Hun San (Clear Soul Powder) is ineffective here.
Cui Shi stated: All syncope is due to deficient heat, reckless Qi and Blood, and abdominal emptiness. Before delivery, apply sour vinegar to the mouth and nose, keep vinegar fire nearby for inhalation, and drink it slowly. This is the superior method to prevent syncope.
There are three types of blood syncope syndromes; medication should be chosen based on careful differentiation.
For syncope due to low blood volume (lochia not descending, rushing to Heart, subcardiac fullness, coma, locked jaw), use blood-breaking and circulating herbs. Hei Shen San (Black Divine Powder) is highly effective.
For syncope due to high blood volume (only coma and irritability), use blood-tonifying and Heart-clearing herbs. Xiong Gui Tang (Ligusticum and Angelica Decoction) is highly effective.
For insufficient bleeding with extreme deficiency, Yang Rou Tang (Mutton Decoction) or Dang Gui Jian Zhong Tang (Angelica Decoction to Construct the Middle) may be used.
For those with chronic wind diseases, where production injury exacerbates stagnation, and Qi/Blood attack due to deficiency, Si Wu Tang (Four Substances Decoction) added with Fang Feng (Saposhnikovia Root) and Qiang Huo (Notopterygium Rhizome) is suitable.
For syncope with significant heat, Du Huo Chai Hu Tang (Angelicae Pubescentis and Bupleuri Decoction) treats wind-phlegm.
For excessive bleeding with extreme Qi deficiency, coma, weak respiration, and persistent syncope, death is inevitable.
Formulas:
Chen Ju Pi Tang (Tangerine Peel Decoction): Treats postpartum excessive lochia discharge with Qi deficiency, rotational vertigo, lethargy, and unconsciousness. Regulates Qi and tonifies Blood.
Ingredients: Chen Pi (Tangerine Peel, peeled and stir-fried), Bai Zhu (Atractylodes Macrocephala Rhizome, sliced and stir-fried), Ren Shen (Ginseng Root), Gan Cao (Licorice Root, honey-fried and crushed), Huang Qi (Astragalus Root, crushed), Suan Shi Liu Pi (Pomegranate Peel, washed and sliced), Shu Di Huang (Prepared Rehmannia Root) (each 0.5 liang).
Preparation: Coarsely sifted, divided into three doses. Each dose boiled with 5 cups of water, 5 slices of fresh ginger, and 5 halved jujubes until reduced to 3 cups. Strain, take 1 cup warm.
Wei Ou Ma Tang (Un-combed Hemp Decoction, from *Sheng Hui Fang*): Prevents various postpartum illnesses; highly effective when taken after consuming vinegar and ink.
Ingredients: Wei Ou Ma (Un-combed Hemp branches, cleaned and dried), Chi Shao Yao (Red Peony Root), Xiong (Ligusticum Rhizome), Dang Gui (Angelica Sinensis Root, sliced and lightly stir-fried), Gan Cao (Licorice Root, honey-fried), Fu Shen (Poria with Hostwood), Chen Pi (Tangerine Peel, soaked, peeled, and stir-fried), Luan Fa (Human Hair) (each specified amounts).
Preparation: Pounded and sieved into powder. Take 4 qian with 1 cup of water, half a slice of ginger, decoct to half a cup, add 2 he of wine, boil briefly, strain, and take warm.
Bai Ci Yao San (White Porcelain Powder, from *Sheng Hui Fang*): For urgent postpartum blood syncope.
Usage: Heat white porcelain until red-hot, crush finely while hot. Take 1 qian mixed with warm wine at any time.
Dang Gui Tang (Angelica Decoction): Treats incomplete expulsion of failed blood postpartum, rushing to Heart causing confusion, vertigo, and muteness.
Ingredients: Dang Gui (Angelica Sinensis Root, sliced and baked), Xiong (Ligusticum Rhizome), Shao Yao (Peony Root), Rou Gui (Cinnamon Bark, bark removed), Sheng Gan Di Huang (Raw Dried Rehmannia Root, lightly stir-fried), Niu Xi (Achyranthes Root, sprouts removed, wine-soaked, sliced, and baked), Du Huo (Angelica Pubescens Root, rhizome removed), Liu Ji Nu (Artemisia anomala Herb) (each 0.5 liang).
Preparation: Coarsely sifted. Take 3 qian with 1 cup of water, 5 slices of ginger, decoct to 0.7 cup, strain, and take warm. Anytime.
Dai Mao San (Horned Turtle Shell Powder): Treats postpartum failed blood not descending, rushing to Heart and abdomen causing pain.
Ingredients: Dai Mao (Horned Turtle Shell, shaved), Pu Huang (Typha Pollen), Hu Po (Amber, ground separately to powder), Hao Mo (Good Quality Ink), Dan Pi (Moutan Cortex, hearts removed), Chi Long Lin (Red Dragon Scales/Carp Skin, burned to ash), Yan Hu Suo (Corydalis Rhizome), Dang Gui (Angelica Sinensis Root, lightly roasted), Xiong (Ligusticum Rhizome) (specified amounts).
Preparation: Made into powder. Take 2 qian mixed with warm ginger wine or light vinegar soup. Anytime.
He Ye Di Tang (Lotus Leaf Stalk Decoction): Treats postpartum blood syncope with suffocation, cyanotic lips/mouth, and unconsciousness. First, mix one raw egg white and administer to stabilize.
Ingredients: He Ye Di (Lotus Leaf Stalks), Su Fang Mu (Sappan Wood, crushed), Niu Xi (Achyranthes Root, sprouts removed, sliced, baked, and dried), Yan Hu Suo (Corydalis Rhizome), Shao Yao (Peony Root) (specified amounts).
Bai Jiang Tang (Patrinia Decoction): Treats postpartum coagulation of evil blood, Qi and Blood rushing to Heart, near-death syncope.
Ingredients: Bai Jiang (Patrinia Herb), Qiang Huo (Notopterygium Rhizome, rhizome removed), Dang Gui (Angelica Sinensis Root, lightly roasted and sliced), Shao Yao (Peony Root), Xiong (Ligusticum Rhizome), Miao Qu Mai (Polygonum Aviculare Flower spikes), Zhi Ke (Aurantii Fructus, pulp removed, bran-roasted), Gui (Cinnamon Twig, bark removed), Tao Ren (Peach Seed, soaked, skin/spouts removed, double-kernel, bran-roasted) (specified amounts).
Preparation: Coarsely pounded and sifted. Take 3 qian with 1 cup of water, decoct to 0.6 cup, remove dregs, add 0.5 qian of Ma Ya Xiao (Halloysitum Rubrum), boil briefly, take warm. Take on an empty stomach, repeat. Aim for 2-3 bowel movements to expel evil blood.
Yan Hu Suo Tang (Corydalis Decoction): Treats postpartum blood syncope.
Ingredients: Yan Hu Suo (Corydalis Rhizome), Xiong (Ligusticum Rhizome), Niu Xi (Achyranthes Root, sprouts removed), Dang Gui (Angelica Sinensis Root, sliced and baked), Ren Shen (Ginseng Root), Sheng Gan Di Huang (Raw Dried Rehmannia Root) (specified amounts).
Preparation: Coarsely pounded and sifted. Take 3 qian with 1 cup of water, decoct to 0.7 cup, remove dregs, add one spoonful of white honey, boil again, take warm. Repeat.
Hu Po Jian (Amber Paste): Treats postpartum blood syncope, effective for both cold and heat patterns.
Ingredients: Hu Po (Amber, ground to powder separately), Sheng Di Huang Zhi (Juice of Raw Rehmannia Root), Sheng Jiang Zhi (Fresh Ginger Juice).
Preparation: Mix Rehmannia and ginger juices, simmer slowly until reduced by half. Add 1 cup of non-ash wine, simmer until thick like syrup. Add Amber powder, stir well, store in ceramic jar. Take half a spoonful on an empty stomach with warm wine.
Hong Lan Hua Tang (Safflower Decoction): Treats postpartum scant bleeding, syncope, nausea, and vomiting.
Ingredients: Hong Lan Hua (Carthamus Tinctorius Flower), Su Fang Mu (Sappan Wood) (each 0.5 liang, crushed).
Preparation: Coarsely sifted. Take 3 qian with 1 cup of water, decoct to 0.7 cup, strain, take warm. Repeat.
Shao Yao Tang (from *Da Quan Liang Fang*): Treats postpartum blood syncope with confusion, unrecognizability, disordered speech, and shortness of breath.
Ingredients: Shao Yao (Peony Root), Sheng Gan Di Huang (Raw Dried Rehmannia Root, baked), Gan Cao (Licorice Root, honey-fried until red), Dan Shen (Salvia Miltiorrhiza Root) (specified amounts).
Preparation: Coarsely sifted. Take 3 qian with 1 cup of water, 1 fen of chopped ginger, decoct to 0.7 cup, strain, add a little white honey, boil again, take warm. Repeat.
Dang Gui Yin (Angelica Drink): Treats postpartum blood syncope nearing death.
Ingredients: Dang Gui (Angelica Sinensis Root, lightly roasted), Gui Jian Yu (Arrowwood Branch).
Preparation: Coarsely sifted. Take 3 qian with 1 cup of wine, decoct to 0.6 cup, strain, take warm. Repeat.
Yan Hu Suo San (Corydalis Powder): Treats postpartum blood syncope with unrecognizability.
Ingredients: Yan Hu Suo (Corydalis Rhizome), Liu Ji Nu (Artemisia anomala Herb), Dang Gui (Angelica Sinensis Root, lightly roasted) (each 1 liang).
Preparation: Made into powder. Take 2 qian with warm wine. Bowel movement expected shortly.
Shao Yao Tang (Peony Powder): Treats postpartum blood syncope with coma and unrecognizability.
Ingredients: Shao Yao (Peony Root, ground to powder), Luan Fa (Human Hair, burned to ash).
Preparation: Mix and grind evenly. Take 2 qian with hot wine. Repeat shortly for immediate effect.
Di Huang Tang (Rehmannia Decoction): Treats postpartum blood syncope with chest oppression, unrecognizability, delirium, and急促 breathing.
Another Formula (from *Da Quan Liang Fang*):
Ingredients: He Ye (Lotus Leaf, roasted), Zhen Pu Huang (True Typha Pollen), Gan Cao (Licorice Root), Sheng Di Huang Zhi (Juice of Raw Rehmannia Root), Bai Mi (White Honey).
Preparation: Finely chop. Boil in 3 sheng of water until 1 sheng remains, strain, add pollen, honey, and Rehmannia juice, take warm. Immediate cure.
Chi Ma Tong Yin Zi (Red Horse Dung Drink, from *Sheng Hui Fang*): Treats postpartum blood syncope with manic speech and unrecognizability.
Ingredients: Tong Zi Xiao Bian (Boy's Urine), Sheng Di Huang Zhi (Juice of Raw Rehmannia Root), Chi Ma Tong (Red Horse Dung), Hong Xue (Red Snow/Sugar Candy).
Preparation: Soak horse dung in urine, squeeze out dregs, add sugar candy, divide into two warm doses. Alternative: Use Dang Gui powder instead of sugar candy.
Du Xing San (Single Traveler Powder, from *Ba Cui Fang*): Treats postpartum blood syncope, coma, suffocation, and Heart attack.
Usage: Use Wu Ling Zhi (Trogopterus Feces), half raw half roasted, ground to powder. Take 2 qian with warm wine. If jaw is locked, pry open and administer. Alternative: Use cooked water. For continuous bleeding, use roasted Dang Gui with wine/water/urine. Alternative: Decoct into paste, mix with Shen Qu powder, make pills, take with warm wine on empty stomach. Alternative: Mix with Jing Jie powder, take with boy's urine.
Another Formula (from *Zhou Hou Fang*): Treats postpartum blood syncope.
Usage: Shen Qu (Medicated Leaven) powder, 2 qian with cooked water. Also treats difficult labor; repeat if ineffective.
Treating Postpartum Blood Syncope with Manic Speech and Thirst (from *Da Quan Liang Fang*):
Usage: Sheng Xiang Fu (Cyperi Rhizome, de-haired) powder, 2 qian with 1 cup of water, 3 slices of ginger, 1 jujube, decoct to 0.7 cup, take warm. Also regulates Qi for syncope due to excessive effort.
Treating Critical Postpartum Blood Syncope:
Ingredients: Sheng Di Huang Zhi (Juice of Raw Rehmannia Root), Dang Gui (Angelica Sinensis Root, sliced), Chi Shao Yao (Red Peony Root, sliced).
Preparation: Boil in 3-5 cups of water, take warm. If feeling hot, remove Dang Gui and add half a cup of boy's urine.
Treating Severe Postpartum Blood Syncope with Total Unconsciousness (from *Da Quan Liang Fang*):
Usage: Cut chives, place in a spouted ceramic bottle, pour hot vinegar over, seal tightly, direct vapor into nostrils. Support patient upright. Chives remove stagnant blood from Heart; vinegar aids distribution. Highly effective.
Hong Lan Hua Jiu (Safflower Wine, from *Da Quan Liang Fang*): Treats blood syncope coma, unrecognizability, irritability, disordered speech, incomplete lochia, and colic.
Usage: Hong Lan Hua (Safflower) powder, 2 liang, divided into two doses. Each dose: 2 cups warm wine, 2 cups boy's urine, boil to 1.5 cups, cool, divide into two doses. Simmer dregs again. Alternative: New water instead of urine. Pry open mouth if locked. Effective for retained fetus.
Treating Childbirth Syncope Coma (from *Da Quan Liang Fang*):
Usage: Drink 3 he of baby-washing water. Or consume a small amount of lochia.
Ban Xia San (Pinellia Powder, from *Jing Yan Liang Fang*): Treats postpartum blood syncope.
Usage: Ban Xia (Pinellia Tuber) powder, bean-sized, insufflated into nose to restore consciousness. Also treats five types of death-like states; insufflation works.
Another Formula (from *Qian Jin Fang*):
Usage: Sheng Chi Xiao Dou (Raw Red Bean) powder, mix with running water, take 1 cun spoonful. Repeat if ineffective. Same for emergencies.
Treating Postpartum Blood Syncope with Abdominal Pain and Vertigo (Also known as Moyao San, from *Sheng Hui Fang*):
Usage: Moyao (Myrrh) powder, 1 qian with warm wine.
Mu Dan San (Moutan Powder, from *Sheng Hui Fang*): Treats severe postpartum blood syncope. If jaw is locked, pry open and administer.
Ingredients: Mu Dan Pi (Moutan Cortex), Da Huang (Rhubarb Radix, steamed), Mang Xiao (Halloysitum Rubrum), Dong Gua Zi (Winter Melon Seed), Tao Ren (Peach Seed) (specified amounts).
Preparation: Crushed into powder. Take 5 qian with 3 cups of water, decoct to 1.5 cups, strain, add Mang Xiao, boil again, divide into two doses. Decoct beforehand for emergencies. (Jin Gui uses this for intestinal abscess with different dosages).
Yi Mu Cao San (Motherwort Powder, from *Ren Cun Fang*): Treats postpartum blood syncope with chest confusion and hallucinations.
Ingredients: Sheng Yi Mu Cao Zhi (Juice of Fresh Motherwort), Sheng Di Huang Zhi (Juice of Raw Rehmannia Root), Tong Zi Xiao Bian (Boy's Urine), Ji Zi Qing (Egg White).
Preparation: Heat herbal juices, mix with egg white, take as one dose.
Yun Tai San (Rapeseed Powder): Treats postpartum blood syncope and bleeding from nine orifices with unbearable thirst. Life-saving.
Xue Yun Yao (Blood Syncope Medicine, from *Bai Yi Xuan Fang*): Prepare immediately postpartum.
Usage: Song Yan Mo (Pine Soot Ink), 2 qian, heated red, extinguished, ground to powder. Take 1 dose with warm wine. Beijing ink also works.
Zhi Hun San (Soul-Calming Powder, also Xiong Tang, from *Ren Cun Fang*): Explains postpartum blood syncope as due to excessive bleeding causing extreme Qi/Blood deficiency, leading to syncope, coma, and impending Qi cessation. Persistent syncope is fatal. Misdiagnosing as hidden wind is erroneous. Qing Hun San self-cures. Xiong Tang and Hei Long Dan are key medicines. Lacquer smoke fumigation and vinegar charcoal in the room are recommended.
Ingredients: Ze Lan (Lycopus Herb), Ren Shen (Ginseng Root), Chuan Xiong (Ligusticum Chuanxiong Rhizome), Gan Cao (Licorice Root), Jing Jie Sui (Schizonepeta Spike) (specified amounts).
Preparation: Powder. Take 3 qian with hot water. Add prepared Ban Xia and ginger for phlegm. Pour into mouth if closed. Hot water and warm wine mixture also works. Once swallowed, eyes open, breath stabilizes, consciousness returns. Commentary: Assess deficiency/excess. Excessive bleeding: Xiong Tang. Phlegm obstruction: Fu Ling Ban Xia Tang.
Fu Ling Ban Xia Tang (Poria and Pinellia Decoction): Same indications.
Ingredients: Ban Xia (Pinellia Tuber), Fu Ling (Poria), Shu Di Huang (Prepared Rehmannia Root), Chen Pi (Tangerine Peel), Xi Xin (Asarum Root), Ren Shen (Ginseng Root), Shao Yao (Peony Root), Chuan Xiong (Ligusticum Chuanxiong Rhizome), Zi Su (Perilla Leaf), Jie Geng (Platycodon Root), Gan Cao (Licorice Root).
Preparation: Powder.
Note: Da Huang and Mang Xiao are likely too harsh for postpartum use and are excluded. Some ask why Duo Ming Dan uses Da Huang? Answer: Duo Ming Dan also uses Fu Zi and is taken with wine in small pills for rapid action. Mu Dan San is decocted in large doses; Wuzhe ordered it decocted beforehand for emergencies. This formula was personally used by Wuzhe; others should exercise caution.
Wu Jin Wan (Black Gold Pill, from *Yang Shi Jia Cang Fang*): Treats postpartum blood syncope, incomplete lochia, stabbing umbilical/abdominal pain, retained placenta, abdominal distension, and wheezing.
Ingredients: Ban Mao (Mylabris Beetle), Xue Jie (Dragon's Blood), Moyao (Myrrh), Wu Ling Zhi (Trogopterus Feces), Sha (Borneol) (specified amounts).
Preparation: Fine powder. Simmer in wine and vinegar to paste, mix with Myrrh, make pills sized like paulownia seeds. Take 10-15 pills with musk-infused warm wine. Anytime.
Hu Zhang San (Persicaria Powder, from *Yang Shi Jia Cang Fang*): Treats postpartum blood syncope, "child pillow" pain, stopped lochia, and abdominal pain.
Ingredients: Mu Dan Pi (Moutan Cortex), Dang Gui (Angelica Sinensis Root), Bai Shao Yao (White Peony Root), Yan Hu Suo (Corydalis Rhizome), Gan Xi (Dry Lacquer, smoked until smoke ceases), Qiang Huo (Notopterygium Rhizome), Du Huo (Angelica Pubescens Root), Xiang Fu (Cyperus Rhizome, roasted), Hong Hua (Carthamus Tinctorius Flower), Hu Zhang (Persicaria Gigantea Stem), Gan Jiang (Dried Ginger), Pu Huang (Typha Pollen), Rou Gui (Cinnamon Bark), Chuan Xiong (Ligusticum Chuanxiong Rhizome), Gan Cao (Licorice Root), Gui Jian Yu (Arrowwood Branch) (equal parts).
Preparation: Fine powder. Take 3 qian with half cup water and half cup wine, decoct to 0.7 cup, take warm before meals.
Treating Postpartum Blood Syncope:
Usage: Hong Hua (Safflower) or Su Fang Mu (Sappan Wood), decoct strongly in wine and water, drink juice.
Treating Postpartum Excessive Bleeding with Sudden Vertigo and Chest Suffocation (from *Ru Yi Fang*):
Usage: Burn old lacquerware until slight smoke, fumigate face. Do not overdo to avoid weakening patients.
Treating Postpartum Qi/Blood Rushing to Heart Causing Syncope (from *Sheng Hui Fang*):
Usage: Shan Zha Jia (Pangolin Scales), soak in boy's urine overnight, roast slowly until yellow, powder. Take 1 qian with dog bile and warm wine. Anytime.
Treating Postpartum Blood Syncope:
Usage: Place Zhu Ma (Ramie) under the mother's pillow.
Treating Postpartum Blood Syncope with Heart Piercing Pain, Vertigo, and Wind Contraction (from *Ren Cun Fang*):
Usage: Jing Jie Sui (Schizonepeta Spike) powder, 2 qian, with 1 cup boy's wine, take hot. Immediate effect. If jaw locked, pry teeth; if nose blocked, insufflate.
Treating Postpartum Blood Syncope with Heart Qi Cessation:
Usage: Yi Mu Cao (Motherwort) juice, 1 cup. Excellent.
Treating Postpartum Blood Syncope with Chest Suffocation and Qi Cessation (from *Zhou Hou Fang*):
Usage: Boy's urine mixed with strong ink, 1 sheng. Alternative: Husband's urine.