大全云∶人心有七孔三毛，产后虚弱，多致停积败血，闭于心窍，神志不能明了。又心
气通于舌。心气闭塞则舌亦强矣，故令不语，但服七珍散。（本论所重在败血，而七珍散不
用破血之味，为其本于虚也）
薛氏曰∶经云∶大肠之脉散舌下。又云∶脾之脉，是动则病舌本强，不能言。又云∶肾之别
脉，上入于心，系舌本，虚则不能言。窃谓前证若心肾气虚，用七珍散；肾虚风热，地黄饮∶大
肠风热，加味逍遥散加防风白芷；脾经风热。秦艽升麻汤；肝经风热，柴胡清肝散加防风白
芷；脾气郁结，加味归脾汤加升麻；肝木太过，小柴胡加钩藤钩；脾受土侮，六君加升麻白芷
钩藤钩；肝脾血虚。用佛手散；脾气虚，用四君子；气血俱虚，八珍汤，如不应，用独参汤，更
不应。急加附子，补其气而生其血，若竟用血药则误矣。
一产妇不语，用七珍散而愈，后复不语，内热晡热，肢体倦怠，饮食不进，用加味归脾
汤为主，佐以七珍散而愈。后因怒不语（凡新
产怒不可有），口噤，腰背反张，手足发搐，或小便见血，面赤，或青或黄，或时兼赤。余曰∶
面青，肝之本色也；黄者，脾气虚也；赤者，心血虚也。用八珍汤加钩藤钩、茯苓、远志，渐
愈，又用加味归脾汤而痊。
李氏曰∶有临产服汤药过多，胃湿使然者，熟料五积散六君子汤；痰热迷心不语者
（不语由于胃湿，谓生痰也，而谓汤药过多何欤，五积散之用又难解），导痰汤；或痰气郁
滞，闭目不语者，用孤凤散。
七珍散 治产后虚弱，多致停积败血，闭于心窍，神志不明，又心气通于舌，心气闭塞
则舌亦强，故令不语。
人参 石菖蒲 生地黄 川芎（各一两） 细辛（一钱） 防风 辰砂（另研，各五钱）
上为细末，每服一钱，薄荷煎汤调服。
胡氏孤凤散 治产后闭目不语。
生白矾为末，每服一钱，热水调下。
一方 冶产后不语。
人参 石莲肉（不去心） 石菖蒲（各等分）
上锉，每服五钱，水煎服。
逐血补心汤 产后失音不语者，心肺二窍为血所侵，又感伤风故也。
当归（一钱半） 赤芍 生地 桔梗 苏叶 前胡 茯苓 防风 胆星 黄连 粉葛
红花（各一钱） 人参 薄荷 升麻（各七分） 甘草（五分） 半夏（一钱二分）
上锉，加生姜三片，水煎，空心服。
《大全》记载：人心脏有七孔三毛，产后身体虚弱，容易导致败血停滞积聚，闭塞心窍，使神志不能清明。另外，心气通达于舌。若心气闭塞，舌头也会僵硬，从而导致不语，只需服用七珍散。（本段论述的重点在于败血，但七珍散中不使用破血药物，是因为病根在于虚损）
薛己认为：经书说：大肠的经脉散布在舌下。又说：脾的经脉发生变动时，病症表现为舌根僵硬，不能说话。又说：肾的别行经脉，上行进入心脏，联系舌根，肾虚则不能说话。我认为前述证候若因心肾气虚，使用七珍散；若为肾虚兼风热，使用地黄饮子；若为大肠风热，使用加味逍遥散加防风、白芷；若为脾经风热，使用秦艽升麻汤；若为肝经风热，使用柴胡清肝散加防风、白芷；若为脾气郁结，使用加味归脾汤加升麻；若为肝木过旺，使用小柴胡汤加钩藤；若为脾受肝木克制（土侮），使用六君子汤加升麻、白芷、钩藤；若为肝脾血虚，使用佛手散；若为脾气虚，使用四君子汤；若气血俱虚，使用八珍汤，如果无效，使用独参汤，如果仍无效，紧急加入附子，以补气生血，如果竟只用补血药则是错误的。
有一位产妇出现不语，服用七珍散后痊愈，后来再次出现不语，伴有内热和傍晚发热，肢体倦怠，饮食不进，以加味归脾汤为主方，佐以七珍散而痊愈。后来因为发怒导致不语（凡新产之后不可发怒），口噤，腰背反张，手足抽搐，有时小便带血，面色赤，或青或黄，或时常兼见赤色。我说：面色青，是肝的本色；黄色，是脾气虚的表现；赤色，是心血虚的表现。使用八珍汤加钩藤、茯苓、远志，逐渐好转，后又用加味归脾汤而痊愈。
李氏说：有临产时服用汤药过多，由胃湿导致的，可用熟料五积散或六君子汤；痰热迷心导致不语的（不语由于胃湿，即生痰所致，为何说是汤药过多呢？对五积散的使用又难以理解），可用导痰汤；或是痰气郁滞，闭目不语的，可用孤凤散。
七珍散 治疗产后虚弱，多导致败血停滞积聚，闭塞心窍，神志不明，另外心气通达于舌，心气闭塞则舌头僵硬，因此导致不语。
人参、石菖蒲、生地黄、川芎（各一两）、细辛（一钱）、防风、辰砂（另研，各五钱）。
以上药物研为细末，每次服用一钱，用薄荷煎汤调服。
胡氏孤凤散 治疗产后闭目不语。
生白矾研为末，每次服用一钱，用热水调下。
一方 治疗产后不语。
人参、石莲肉（不去心）、石菖蒲（各等分）。
以上切碎，每次服用五钱，水煎服。
逐血补心汤 产后失音不语者，是心肺二窍被血所侵，又感受风邪所致。
当归（一钱半）、赤芍、生地、桔梗、苏叶、前胡、茯苓、防风、胆星、黄连、粉葛、红花（各一钱）、人参、薄荷、升麻（各七分）、甘草（五分）、半夏（一钱二分）。
以上切碎，加生姜三片，水煎，空腹服用。
The *Daquan* records: The human heart has seven apertures and three hairs. Postpartum weakness often leads to the stagnation and accumulation of discarded blood, which blocks the heart orifices, preventing mental clarity. Furthermore, Heart Qi connects to the tongue. If Heart Qi is blocked, the tongue becomes stiff, resulting in aphasia; one should simply administer Qizhen San (Seven Treasures Powder). (The focus of this discussion is on discarded blood, but Qizhen San does not use blood-breaking ingredients because the root cause is deficiency.)
Xue Ji stated: The classics say: The meridians of the Large Intestine scatter under the tongue. It also says: When the meridians of the Spleen are disturbed, the disease manifests as stiffness of the tongue base and inability to speak. It further states: The divergent meridian of the Kidney enters the Heart from above and connects to the tongue base; when deficient, it results in inability to speak. I believe that for the aforementioned conditions, if caused by deficiency of Heart and Kidney Qi, use Qizhen San; if due to Kidney deficiency with Wind-Heat, use Dihuang Yinzi (Rehmannia Decoction); if due to Wind-Heat in the Large Intestine, use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) added with Fangfeng (Saposhnikovia Root) and Baizhi (Angelica Dahurica); if due to Wind-Heat in the Spleen Meridian, use Qinjiao Shengma Tang (Gentian and Cimicifuga Decoction); if due to Wind-Heat in the Liver Meridian, use Chaihu Qinggan San (Bupleurum Liver-Clearing Powder) added with Fangfeng and Baizhi; if due to Qi stagnation in the Spleen, use Jiawei Guipi Tang (Modified Restore the Spleen Decoction) added with Shengma (Cimicifuga Rhizome); if due to excessive Liver Wood, use Xiao Chaihu Tang (Minor Bupleurum Decoction) added with Gouteng (Uncaria Ramulus cum Uncis); if due to Spleen being overacted upon by Liver Wood (Earth insulted), use Liujun Zi Tang (Six Gentlemen Decoction) added with Shengma, Baizhi, and Gouteng; if due to Blood deficiency in the Liver and Spleen, use Foshou San (Buddha's Hand Powder); if due to Spleen Qi deficiency, use Sijun Zi Tang (Four Gentlemen Decoction); if both Qi and Blood are deficient, use Bazhen Tang (Eight Treasures Decoction). If there is no response, use Dushen Tang (Single Ginseng Decoction); if still no response, urgently add Fuzi (Aconite Lateral Root) to tonify Qi and generate Blood. Using only blood-nourishing herbs would be a mistake.
A postpartum woman presented with aphasia, which was cured after administering Qizhen San. Later, she again presented with aphasia, accompanied by internal heat, afternoon tidal fever, limb fatigue, and loss of appetite. She was treated primarily with Jiawei Guipi Tang, supplemented with Qizhen San, and recovered. Subsequently, due to anger, she developed aphasia (anger must be avoided immediately after childbirth), lockjaw, opisthotonos (hyperextension of the back), convulsions of the hands and feet, occasional hematuria, red complexion, or bluish/yellowish hues, sometimes mixed with red. I said: A bluish complexion indicates the true color of the Liver; yellow indicates Spleen Qi deficiency; red indicates Heart Blood deficiency. She was treated with Bazhen Tang added with Gouteng, Fuling (Poria), and Yuanzhi (Polygala Root), gradually improving, and finally cured with Jiawei Guipi Tang.
Li Shi stated: In cases where excessive medicinal decoctions were taken during labor, leading to Stomach dampness, Shuliao Wuji San (Prepared Five Accumulations Powder) or Liujun Zi Tang may be used. For aphasia caused by Phlegm-Heat confusing the Heart (aphasia arises from Stomach dampness generating phlegm; the reason given for excessive decoctions is unclear, and the use of Wuji San is difficult to explain), Daotan Tang (Phlegm-Expelling Decoction) can be used. For cases where Phlegm-Qi stagnation causes closed eyes and aphasia, Gufeng San (Lone Phoenix Powder) may be administered.
Qizhen San (Seven Treasures Powder): Treats postpartum weakness leading to stagnation of discarded blood blocking the heart orifices and mental confusion. Since Heart Qi connects to the tongue, blockage of Heart Qi causes tongue stiffness, resulting in aphasia.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Shichangpu (Acori Tatarinowii Rhizoma), Shengdihuang (Rehmanniae Radix), Chuanxiong (Chuanxiong Rhizoma) (each 1 liang); Xixin (Asari Radix et Rhizoma) (1 qian); Fangfeng (Saposhnikoviae Radix), Chencha (Cinnabaris) (separately ground, each 5 qian).
Process into fine powder. Take 1 qian per dose, mixed with mint decoction.
Hu’s Gufeng San (Lone Phoenix Powder): Treats postpartum aphasia with closed eyes.
Alumen (Sheng Bai Fan) ground into powder. Take 1 qian per dose, mixed with hot water.
Another Prescription: Treats postpartum aphasia.
Renshen (Ginseng Radix et Rhizoma), Shilianrou (Nelumbinis Semen), Shichangpu (Acori Tatarinowii Rhizoma) (equal parts).
Cut into pieces. Take 5 qian per dose, decocted in water.
Zhuxue Buxin Tang (Blood-Purifying Heart-Tonifying Decoction): For postpartum loss of voice and aphasia, caused by blood invading the orifices of the Heart and Lung, combined with wind injury.
Danggui (Angelicae Sinensis Radix) (1.5 qian), Chishao (Paeoniae Radix Rubra), Shengdi (Rehmanniae Radix), Jiegeng (Platycodonis Radix), Ziyeh (Perillae Folium), Qianhu (Peucedani Radix), Fuling (Poria), Fangfeng (Saposhnikoviae Radix), Dansheng (Arisaematis Cum Bile), Huanglian (Coptidis Rhizoma), Fenge (Puerariae Lobatae Radix), Honghua (Carthami Flos) (each 1 qian); Renshen (Ginseng Radix et Rhizoma), Bohe (Menthae Haplocalycis Herba), Shengma (Cimicifugae Rhizoma) (each 0.7 qian); Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 qian); Banxia (Pinelliae Rhizoma) (1.2 qian).
Cut into pieces, add three slices of Shengjiang (Zingiberis Rhizoma Recens), decoct in water, and take on an empty stomach.