心慌惊悸或目不转睛，语言健忘，此由心血空虚，神不守舍，当补心神为主。安神定志丸、归脾汤并进，
或佐以 庵养心汤，其诸症自愈。
安神定志丸
茯神 茯苓 远志 人参（各一两） 石菖蒲 龙齿（ 各五钱）
为末，蜜丸桐子大，辰砂为衣，每服二钱，开水下。
归脾汤（见前血崩）。
养心汤
人参 炙黄 茯神 茯苓 夏曲（各一钱） 当归（二钱） 川芎 远志 柏子仁（去油，各五分） 肉桂
炙甘草（各三分） 五味子（二分）
水煎服。
产妇汗多发痉，俗谓产后惊风，实非风也。乃肝血空虚，不能荣筋，以至手足抽搐，有似中风之状。更有口
噤切牙，角弓反张，此气血大虚之恶候。若非十全大补加附子，将何以救之？或先用古拜散配归芎服之，再服
大补汤，自可成功。《薛氏案》与《女科指掌》俱云小续命汤，此必刻书之人补入者，不然二公亦何荒唐至此耶？
不思小续命汤是仲景《伤寒论》中风症也，用之以疏风，岂可用医产后之人乎？无论医者错，而书亦有错，所以
谓之得诀，回来好看书。且中风一症，气血虚者多得之。
经谓治风先治血，张景岳有非风之论，尚宜补血以驱风，而况产妇血虚明矣。叶天士治中风医案内，唯一人用
桂枝、羌活尚配黄 、附子温补而行，其余悉皆用补，何曾以风治？乃曰肝虚动内风，正是明理高论，合乎经
旨者也。
古拜散（见前身痛）十全汤（见前玉门不闭）。
心慌、惊悸，或者眼睛直瞪不转、说话健忘，这是由于心血空虚，心神不能安守于内所致，治疗应当以补益心神为主。可以同时服用安神定志丸和归脾汤，或者辅以养心汤，各种症状自然就会痊愈。
安神定志丸
药物组成：茯神、茯苓、远志、人参（各一两），石菖蒲、龙齿（各五钱）。
制法与用法：研成细末，用蜂蜜制成如梧桐子大小的丸药，用朱砂作为外衣包裹。每次服用二钱，用开水送服。
归脾汤（参见前文血崩章节）。
养心汤
药物组成：人参、炙黄芪、茯神、茯苓、神曲（各一钱），当归（二钱），川芎、远志、柏子仁（去油，各五分），肉桂、炙甘草（各三分），五味子（二分）。
用法：加水煎煮后服用。
产妇出汗多导致身体抽搐痉挛，俗称“产后惊风”，但实际上并非外感风邪所致。这是因为肝血空虚，无法濡养筋脉，从而导致手足抽搐，症状类似中风。更有甚者出现牙关紧闭、磨牙，甚至角弓反张（身体向后弯曲如弓状），这是气血极度虚弱的危重征象。如果不是使用十全大补汤加入附子，还有什么办法来挽救呢？或者先服用古拜散配合当归、川芎服用，然后再服用大补汤，自然能够治愈。《薛氏案》与《女科指掌》中都记载使用小续命汤，这一定是刻书的人擅自添加进去的，否则薛己和张景岳两位名医怎么会荒唐到这种地步呢？他们不曾想到，小续命汤是张仲景《伤寒论》中用于治疗中风症的方剂，其作用是疏风解表，怎么能用来治疗产后体虚之人呢？无论医生是否误诊，书籍本身也有错误，所以常说“得到诀窍后，回来再看书才能看懂”。况且中风这一病症，气血虚弱的人最容易得。
经典医籍说治疗风病要先治血，张景岳有“非风”的理论，主张应当通过补血来驱除风邪，何况产妇血虚是显而易见的。叶天士在治疗中风的医案中，只有一例使用了桂枝、羌活，但也配伍了黄芪、附子进行温补，其余病例全部采用补法，何曾有过单纯以祛风为治法的？叶天士认为这是肝虚引动内风，这正是明理的高论，符合经典旨意。
Palpitations, fright, or staring fixedly with memory loss and forgetfulness are caused by the emptiness of Heart Blood, resulting in the Shen (Spirit) failing to reside within its dwelling. Treatment should primarily focus on tonifying the Heart Shen. Anshen Dingzhi Wan (Calming the Spirit and Stabilizing Will Pill) and Guipi Tang (Restore the Spleen Decoction) may be administered concurrently, or supplemented with Yangxin Tang (Nourish the Heart Decoction), whereby all symptoms will resolve spontaneously.
Anshen Dingzhi Wan (Calming the Spirit and Stabilizing Will Pill)
Ingredients: Fushen (Poria with Hostwood), Fuling (Poria), Yuanzhi (Polygala Root), Renshen (Ginseng Root) (each 1 liang); Shichangpu (Acorus Rhizome), Longchi (Dragon Teeth/Fossilized Bones) (each 5 qian).
Preparation and Administration: Grind into powder, form pills the size of tung tree seeds using honey, coat with Zhusha (Cinnabar). Take 2 qian per dose, washed down with warm water.
Guipi Tang (Restore the Spleen Decoction) (See preceding section on Metrorrhagia).
Yangxin Tang (Nourish the Heart Decoction)
Ingredients: Renshen (Ginseng Root), Zhi Huangqi (Honey-fried Astragalus Root), Fushen (Poria with Hostwood), Fuling (Poria), Xiaqu (Medicated Leaven) (each 1 qian); Danggui (Angelica Sinensis Root) (2 qian); Chuanxiong (Ligusticum Rhizome), Yuanzhi (Polygala Root), Baiziren (Biota Seed, oil removed) (each 5 fen); Rougui (Cinnamon Bark), Zhi Gancao (Honey-fried Licorice Root) (each 3 fen); Wuweizi (Schisandra Berry) (2 fen).
Administration: Decoct in water and take orally.
Postpartum spasms and convulsions resulting from excessive sweating are commonly referred to as "postpartum wind-stroke," but this is not actually due to external Wind pathogen. It arises from the emptiness of Liver Blood, which fails to nourish the sinews, leading to twitching and convulsions of the hands and feet, resembling stroke. In more severe cases, there may be lockjaw, grinding of teeth, and opisthotonos (arching of the back like a bow), which are ominous signs of severe deficiency of Qi and Blood. If one does not use Shiquan Dabu Tang (Perfect Ten Great Tonifying Decoction) added with Fuzi (Aconite Lateral Root), how can life be saved? Alternatively, one may first administer Guyai San (Ancient拜 Powder) combined with Danggui (Angelica Sinensis Root) and Chuanxiong (Ligusticum Rhizome), followed by Da Bu Tang (Great Tonifying Decoction), which will naturally succeed. Both *Xue Shi An* (Cases of Master Xue) and *Nu Ke Zhi Zhang* (Guide to Gynecology) record the use of Xiao Xuming Tang (Minor Continuation of Life Decoction); this must have been added by later book engravers, for otherwise how could Masters Xue Ji and Zhang Jingyue have been so absurd? They failed to consider that Xiao Xuming Tang is a formula from Zhang Zhongjing’s *Shanghan Lun* (Treatise on Cold Damage) used to treat Wind-stroke by dispersing Wind; it certainly cannot be applied to postpartum women who are deficient. Whether the physician erred or the text contains errors, this illustrates why it is said, "Once you grasp the principle, returning to read the books reveals their true meaning." Moreover, Wind-stroke is most commonly contracted by those with deficient Qi and Blood.
The Classics state that when treating Wind, one must first treat the Blood. Zhang Jingyue proposed the theory of "Non-Wind," advocating that one should tonify Blood to dispel Wind. How much more so for postpartum women whose Blood deficiency is evident! In Ye Tianshi’s medical cases on treating Wind-stroke, only one case utilized Guizhi (Cinnamon Twig) and Qianghuo (Notopterygium Rhizome), yet even these were paired with Huangqi (Astragalus Root) and Fuzi (Aconite Lateral Root) for warming and tonifying; all other cases employed purely tonifying methods. When was Wind ever treated merely by dispersing Wind? Ye Tianshi stated that "Liver deficiency stirs internal Wind," which is indeed a profound and rational argument consistent with the Classic principles.
Guyai San (Ancient拜 Powder) (See preceding section on Body Pain).
Shiquan Dabu Tang (Perfect Ten Great Tonifying Decoction) (See preceding section on Uterine Orifice Incompetence).