产后麻瞀，皆因气虚血少不能充溢乎周身也，即如人曲肱而枕，稍久即麻木不为我用，其非气血
不周遍之明征欤？目得血而能视，得清气之升而能用。血虚气弱不能升清，故浊不降而瞀。宜生血
补气，十全大补汤主之。至于去血过多，手足发麻，小腹大痛，则遍体麻晕欲死。此非恶露凝滞，乃虚中挟痰，
六君子加炮姜、香附、当归。曾治一妇，产后右半身麻瞀，而昏晕不省人事，发即胸膈痞闷，下体重着，
或时心神荡摇若无心肺之状，顷则周身冷汗如漉，大吐痰涎而苏。此产后经脉空虚，痰饮乘虚袭入之故。
因与六君子加归、 、肉桂，随手而效。复有一妇，产后
左半身麻瞀，昏晕不省人事，发则周身大痛，筋脉螈 ，肌肉 动，或时头面赤热，或时腿上振振动摇，
顷则蒸蒸汗出而苏。此产后营血大亏，虚风袭入之故。用十全大补汤治之，诸证悉平，但麻瞀不止，后
与地黄饮子而安。
地黄饮子 治肾气上交于心，舌喑足痱。
熟地（三两） 巴戟天（酒浸，去骨） 附子（炮） 山茱萸（去核） 肉苁蓉（酒浸去腐，切
焙） 石斛 白茯苓 石菖蒲 远志（甘草汤泡，去骨，取肉） 甜肉桂 麦冬（去心。各一两）
五味子（五钱）
共为粗末，每服五钱。生姜五片，大枣一枚，薄荷七叶，水煎，日二服，服无时。方中桂、附、巴
戟，原为驱逐浊阴痰涎而设，不可执己见而轻去之。
十全大补汤（见上卷胎不长养门。） 六君子汤（见上卷诸痛门。）
产后出现肢体麻木、视物昏花，都是因为气虚血少，不能充盈濡养周身所致。这就好比人弯曲手臂当枕头睡，时间稍长就会感到麻木而不能随意使用，这难道不是气血不能周遍全身的明显证据吗？眼睛得到血的滋养才能看见，得到清阳之气的上升才能发挥作用。如果血虚气弱，导致清气不能上升，那么浊气就不能下降，从而引起视物昏花。治疗应当采用生血补气的方法，以十全大补汤为主方。
如果是因失血过多，导致手足发麻，小腹剧烈疼痛，进而全身麻木眩晕，痛苦欲死。这种情况并非恶露凝滞，而是虚证中夹杂痰湿，可用六君子汤加炮姜、香附、当归治疗。
我曾治疗一位妇女，产后右半身麻木昏花，且昏迷晕厥不省人事。发作时胸膈部痞塞闷胀，下肢沉重着感，有时心神动荡摇晃，感觉好像没有心肺一样，片刻之后全身冷汗淋漓，大口吐出痰涎后才苏醒。这是产后经脉空虚，痰饮乘虚袭入的缘故。因此给予六君子汤加当归、（此处原文缺字，推测为某药，但依规则不推测，故保留空缺或忽略，根据上下文及常见配伍，此处可能指代前文提到的药物或特定药材，但在提取实体时需忠实原文，原文此处有空白或符号，暂按原文处理，若为OCR错误导致的缺失，在翻译中体现为“加当归、[缺失]、肉桂”），肉桂，随手见效。
又有一位妇女，产后左半身麻木昏花，昏迷晕厥不省人事。发作时全身剧烈疼痛，筋脉抽搐，肌肉跳动，有时头面部赤热，有时腿部震颤动摇，片刻之后蒸蒸汗出才苏醒。这是产后营血大亏，虚风袭入的缘故。用十全大补汤治疗，各种症状都平息了，但麻木昏花不止，后来改用地黄饮子才安稳。
配方：熟地黄（三两）、巴戟天（酒浸，去骨心）、附子（炮制）、山茱萸（去核）、肉苁蓉（酒浸去腐，切片焙干）、石斛、白茯苓、石菖蒲、远志（甘草汤泡，去骨心，取肉）、甜肉桂、麦冬（去心，以上各一两）、五味子（五钱）。
共研为粗末，每次服用五钱。加生姜五片，大枣一枚，薄荷七叶，水煎服，每日两次，不拘时候。方中的桂枝、附子、巴戟天，原本是为了驱逐浊阴痰涎而设的，不可固执己见而轻易去掉它们。
Postpartum numbness and visual confusion (Mao, dizziness/blurred vision) are all caused by Qi deficiency and Blood insufficiency, which fail to fill and nourish the whole body. It is just like when a person bends their arm to use as a pillow; after a short while, it becomes numb and unusable. Is this not clear evidence that Qi and Blood are not circulating throughout the body? The eyes can see when they receive Blood, and can function when they receive the ascending Clear Qi. If Blood is deficient and Qi is weak, Clear Qi cannot ascend, thus Turbid Qi cannot descend, leading to Mao (visual confusion/dizziness). Treatment should focus on generating Blood and tonifying Qi, with Shiquan Dabu Tang (Ten Complete Tonifying Decoction) as the primary formula.
In cases where excessive blood loss leads to numbness in the hands and feet, severe lower abdominal pain, and subsequently generalized numbness, dizziness, and extreme suffering, this is not due to stagnation of lochia, but rather deficiency complicated by Phlegm-Dampness. Liu Junzi Tang (Six Gentlemen Decoction) added with Pao Jiang (Roasted Ginger), Xiang Fu (Cyperus Rhizome), and Dang Gui (Angelica Sinensis) should be used.
I once treated a woman who, postpartum, suffered from numbness and confusion in the right half of her body, accompanied by coma and unconsciousness. Upon onset, she experienced chest and diaphragm fullness and oppression, heaviness in the lower body, and sometimes mental agitation as if lacking heart and lung functions. Shortly after, profuse cold sweat poured from her entire body, and she only recovered after vomiting large amounts of phlegm-saliva. This was due to the emptiness of the meridians postpartum, allowing Phlegm-Fluids to invade vacuity. Therefore, I administered Liu Junzi Tang added with Dang Gui (Angelica Sinensis), [missing text], and Rou Gui (Cinnamon Bark), achieving immediate effect.
Another woman, postpartum, suffered from numbness and confusion in the left half of her body, accompanied by coma and unconsciousness. Upon onset, she experienced severe pain throughout the body, spasms of the sinews and vessels, and twitching of muscles. Sometimes her head and face were red and hot, and sometimes her legs trembled and shook. She recovered shortly after profuse sweating. This was due to severe depletion of Ying-Blood postpartum, allowing Deficient Wind to invade. I treated her with Shiquan Dabu Tang (Ten Complete Tonifying Decoction), which resolved all symptoms except for the persistent numbness and confusion. Later, Dihuang Yinzi (Rehmannia Infusion) was used, and she stabilized.
Dihuang Yinzi (Rehmannia Infusion): Treats conditions where Kidney Qi fails to ascend to connect with the Heart, resulting in aphasia (Yin, inability to speak) and flaccidity of the legs (Fei, inability to walk).
Ingredients: Shu Di Huang (Prepared Rehmannia Root, 3 liang), Ba Ji Tian (Morinda Officinalis Root, soaked in wine, medulla removed), Fu Zi (Aconite Root, processed), Shan Zhu Yu (Cornus Fruit, pips removed), Rou Cong Rong (Cistanche Stem, soaked in wine, decayed parts removed, sliced and baked), Shi Hu (Dendrobium Stem), Bai Fu Ling (Poria Cocos, white part), Shi Chang Pu (Acorus Rhizome), Yuan Zhi (Polygala Root, soaked in Licorice decoction, medulla removed, flesh taken), Tian Rou Gui (Sweet Cinnamon Bark), Mai Dong (Ophiopogon Tuber, heart removed; each 1 liang), Wu Wei Zi (Schisandra Berry, 5 qian).
Grind into coarse powder. Each dose consists of 5 qian. Add 5 slices of fresh ginger, 1 jujube, and 7 leaves of mint. Decoct in water. Take twice daily, at any time. The Gui (Cinnamon), Fu Zi (Aconite), and Ba Ji Tian (Morinda) in the formula are originally intended to expel turbid Yin and phlegm-saliva; do not arbitrarily omit them based on personal prejudice.
Shiquan Dabu Tang (Ten Complete Tonifying Decoction) (See Volume 1, Section on Failure of Fetal Nourishment).
Liu Junzi Tang (Six Gentlemen Decoction) (See Volume 1, Section on Various Pains).