大全云∶产后中风，筋脉四肢挛急者，是气血不足，脏腑俱虚，月内未满，起早劳役，动
伤脏腑，虚损未复，为风所乘，风邪冷气初客于皮肤经络，则令人顽痹不仁，羸乏少气，风
气入于筋脉，挟寒则挛急也。
薛氏曰∶肝属木而主筋，前证若肝经风热血燥，用加味逍遥散，如不应，当用六味地黄
丸以补肾水。经云∶风客淫气，精乃亡，邪伤肝也。仍参前杂症诸风血方论治之。
一产妇筋挛臂软，肌肉掣动，此气血俱虚而自热也，用十全大补汤而安。
一产妇手麻，服愈风丹，遍身皆麻，神思倦怠。余谓气血虚弱，用十全大补加炮姜数剂
渐愈，去姜又数剂，及逍遥散而痊。
舒筋汤 治一切筋骨拘挛疼痛，盖因风湿所伤，气血凝滞，经络不行所致，其效如神。
羌活 片子姜黄 甘草（炙，各二钱） 赤芍 当归 海桐皮（去粗皮） 白术（各一钱）
上切作一服，加生姜三片，水煎去滓，磨沉香水少许入内，温服，上痛食后，腰以下痛食前。
芎 散 治产后中风，四肢筋脉疼痛挛
急，背项强急。
川芎 羌活 当归 酸枣仁（炒） 羚羊角屑（各七钱半） 防风 牛蒡子（炒，各一两） 桂心
赤芍（各半两）
上 咀，每服八钱，水煎温服，不拘时。（此即防风羚羊角汤，但分两少异，而牛蒡独
多者，以其能去皮肤风，通十二经，利腰脚也）
薛氏曰∶前方如不应，当用八珍汤，更不应，用十全大补汤。（观薛氏所言，则亦先治
风，后议补，要得此窍）
防己膏 治产后中风，四肢筋脉挛急，身体麻痹。
汉防己（去皮，半斤） 茵芋（五两）
上 咀，用酒五升浸药一宿，取猪肪脂一斤，文武火熬。三上三下成膏，摊在纸花上。贴
病患患处，以热手不住下摩膏上千遍。
《产宝百问》记载：产后患中风，出现筋脉和四肢拘挛抽搐的症状，这是因为气血不足，脏腑功能虚弱。如果在产后一个月内未满时，过早起床劳作，损伤了脏腑，导致虚损尚未恢复，风邪便趁机侵袭。风邪冷气最初客居在皮肤经络中，会导致人体麻木不仁、消瘦乏力、气短；风气侵入筋脉，夹杂寒气，就会引起筋脉拘挛抽搐。
薛己（薛氏）说：肝属木，主司筋脉。上述病症如果是肝经风热导致血液干燥，应使用加味逍遥散治疗；如果无效，应当使用六味地黄丸来补肾水。医经云：“风邪客居体内扰乱气机，精气就会耗亡，这是邪气伤害肝脏。”仍需参考前文杂病中关于诸风血证的方论进行治疗。
有一位产妇出现筋脉拘挛、手臂软弱、肌肉跳动，这是气血俱虚且产生内热的表现，服用十全大补汤后痊愈。
另一位产妇手部发麻，服用愈风丹后，全身都感到麻木，精神倦怠。我认为这是气血虚弱所致，于是用十全大补汤加入炮姜，服用数剂后逐渐好转；去掉姜后再服数剂，最后服用逍遥散而痊愈。
舒筋汤：治疗各种筋骨拘挛疼痛，这通常是因为风湿所伤，导致气血凝滞，经络运行不畅所致，疗效神奇。
药材组成：羌活、片子姜黄、甘草（炙，各二钱）、赤芍、当归、海桐皮（去除粗皮）、白术（各一钱）。
用法：将药材切碎作为一剂，加入生姜三片，加水煎煮去渣，磨入少许沉香香水混合，温服。上肢疼痛者在饭后服用，腰部以下疼痛者在饭前服用。
芎藭散（此处原文为“芎 散”，结合方义及下文注释推测为川芎相关方剂，依原文译作芎散）：治疗产后中风，四肢筋脉疼痛拘挛，背部和颈部僵硬紧张。
药材组成：川芎、羌活、当归、酸枣仁（炒）、羚羊角屑（各七钱半）、防风、牛蒡子（炒，各一两）、桂心、赤芍（各半两）。
用法：将药材捣碎，每次服用八钱，加水煎煮温服，不限时间。（这就是防风羚羊角汤，只是分量略有不同，其中牛蒡子用量独多，因为它能祛除皮肤风邪，疏通十二经脉，利于腰脚。）
薛己说：前面的方剂如果无效，应当使用八珍汤；如果仍然无效，使用十全大补汤。（从薛己的论述来看，也是先治风邪，后议补益，关键在于掌握这个要领。）
防己膏：治疗产后中风，四肢筋脉拘挛，身体麻痹。
药材组成：汉防己（去皮，半斤）、茵芋（五两）。
用法：将药材捣碎，用酒五升浸泡药材一夜，取猪脂肪一斤，用文武火熬制。经过三次上升三次下降的反复熬炼制成膏药，摊在纸花上。贴敷于患者患处，用手不断向下按摩膏药上千遍。
*Daquan* states: Postpartum wind-stroke, characterized by spasms and cramping of the tendons, vessels, and limbs, arises from deficiency of Qi and Blood, and general weakness of the Zang-Fu organs. If one rises early and engages in labor before the first month postpartum is complete, it damages the Zang-Fu organs. The deficiency has not yet recovered, allowing Wind pathogen to take advantage. Initially, Cold-Wind pathogen lodges in the skin and meridians, causing numbness, insensitivity, emaciation, lassitude, and shortness of breath. When Wind Qi enters the tendons and vessels, combined with Cold, it leads to spasms and cramping.
Xue Ji stated: The Liver belongs to Wood and governs the tendons. If the aforementioned symptoms are due to Wind-Heat in the Liver channel causing dryness of the Blood, use *Jiawei Xiaoyao San* (Modified Free and Easy Wanderer Powder). If ineffective, use *Liuwei Dihuang Wan* (Six-Ingredient Rehmannia Pill) to tonify Kidney Water. The Classics state: "When Wind lodges and disturbs the Qi, Essence is lost; this is the pathogen damaging the Liver." Treatment should still refer to the discussions on various Wind and Blood patterns in previous miscellaneous disease sections.
A parturient presented with tendon spasms, weak arms, and muscle twitching. This was due to dual deficiency of Qi and Blood with internal heat. She recovered after taking *Shiquan Dabu Tang* (Ten-Agent Great Tonifying Decoction).
Another parturient experienced numbness in her hands. After taking *Yufeng Dan* (Wind-Dispelling Pill), she became numb all over her body and felt mentally fatigued. I reasoned that this was due to deficiency of Qi and Blood. I prescribed *Shiquan Dabu Tang* with processed Ginger (*Pao Jiang*) for several doses, leading to gradual improvement. After removing the ginger and administering a few more doses, followed by *Xiaoyao San* (Free and Easy Wanderer Powder), she fully recovered.
*Shujin Tang* (Relax Tendons Decoction): Treats all types of tendon and bone spasms and pain, caused by Wind-Damp injury leading to stagnation of Qi and Blood and obstruction of the meridians. Its efficacy is miraculous.
Ingredients: Qianghuo (Notopterygii Rhizoma et Radix), Pianzi Jianghuang (Curcumae Longae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 2 qian), Chishao (Paeoniae Radix Rubra), Danggui (Angelicae Sinensis Radix), Haitongpi (Tsoosakiae Cortex), Baizhu (Atractylodis Macrocephalae Rhizoma, each 1 qian).
Preparation: Cut into pieces for one dose. Add three slices of fresh ginger, decoct in water, strain, and mix in a small amount of ground Chenxiang (Aquilariae Lignum Resinatum) perfume. Take warm. For pain above the waist, take after meals; for pain below the waist, take before meals.
*Xiong San* (Szechwan Lovage Powder): Treats postpartum wind-stroke, characterized by pain and spasms of the tendons and vessels in the four limbs, and stiffness in the back and neck.
Ingredients: Chuanxiong (Ligusticum Chuanxiong Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Danggui (Angelicae Sinensis Radix), Suanzaoren (Ziziphi Spinosae Semen, stir-fried), Lingyangjiaoxie (Saigae Tataricae Cornu, each 7.5 qian), Fangfeng (Saposhnikoviae Radix), Niubangzi (Arctii Fructus, stir-fried, each 1 liang), Guixin (Cinnamomi Ramulus, half liang), Chishao (Paeoniae Radix Rubra, half liang).
Preparation: Coarsely crush. Take 8 qian per dose, decoct in water, and take warm at any time. (This is essentially *Fangfeng Lingyangjiao Tang*, but with slightly different dosages, particularly a larger amount of Niubangzi, because it can dispel Wind from the skin, unblock the twelve meridians, and benefit the waist and legs.)
Xue Ji stated: If the aforementioned formulas are ineffective, use *Bazhen Tang* (Eight-Treasure Decoction); if still ineffective, use *Shiquan Dabu Tang*. (From Xue Ji's remarks, we see the principle of treating Wind first, then considering tonification; grasping this key point is essential.)
*Fangji Gao* (Stephania Plaster): Treats postpartum wind-stroke, characterized by spasms of the tendons and vessels in the four limbs, and bodily numbness.
Ingredients: Hanfangji (Stephaniae Tetrandrae Radix, peeled, half jin), Yinyu (Ilicis Cornei Cortex, five liang).
Preparation: Coarsely crush. Soak the herbs in five sheng of wine overnight. Take one jin of pig lard and simmer over mild and strong fire. Boil through three cycles of rising and falling to form a plaster. Spread onto paper flowers. Apply to the affected area of the patient. Massage the plaster continuously downwards with warm hands for a thousand repetitions.