新产气急喘促，因荣血暴竭，卫气无根据，名曰孤阳，极险危之症，急用六味地黄汤加人参以益其阴。若脾肺
虚者，用四君子汤加当归、黑姜以益其阳。如见自汗厥冷，再加附子。又有假热喘促而多汗者，用十全大补汤
加附子，大剂重用，方可救耳。最怕喘急，吊引瘀血上来，一入于肺，则鼻衄出，乃肺欲绝矣。入于心则昏愦
无知，心欲绝矣。如外感嗽喘，或素有痰哮症者，则无妨，用四君子汤加苏梗、陈皮、炮姜、归、芎治愈。
六味汤（见前不语）四君子汤（见前血晕，即六君子除半夏、陈皮）十全大补汤（见前）。
产后有病，或汗多，或急喘发热，俱要留意。看鼻尖黄明者生。若鼻尖青，环口黑色，鼻内起烟煤者，皆是
绝败之候。如喘急，用二味参苏饮，或可速救败绝。张景岳云∶气不能升降，乃元海无根，亏损肺肾而喘，及
至鼻煤唇黑，气将脱也。急服真元饮救之，此大法也。
鼻起烟煤，乃真阴涸竭，金水两脏将绝之征，十难救一。
参苏饮
人参（一两） 苏木（三钱，杵细）
水煎服。如厥冷自汗，加熟附子（二三钱）。
贞元饮
大熟地（三两） 当归（三钱） 炙草（一钱）
阴寒足冷，加肉桂（一钱），或加炮姜、人参（各三钱），水煎频服。
凡产妇妄投冷散，致舌黑而枯，或光红无底，皆危症也。有汗出多，或童便用多，而未顾其心肾者均有之。
盖舌乃心之苗，肾之本也。如黑而带润色，尚可挽回。六味汤重用熟地，
加人参、炮姜主之。若舌干黑而枯且渴者，为血液已亡，不可为也。斯时惟有独参汤两许，频频灌之，或可十
中救一。若无力用参，亦无益。此症肾气已竭，不便用桂附刚烈之物以熬煎，惟人参能救气于无何有之乡。且阳
能生阴，又生津液，庶望回春。此症初产十日内见者多，不然必是汗多亡阳，下虚亡阴。譬如痢疾见舌枯，或光如
红缎而干渴者，皆在不治，即下虚亡阴也。
独参汤
用好熟人参（一两），炖成一碗，或加五味子（一钱），频频灌入，或人参（五钱），大熟地（二两），
名为两仪膏，煎服亦妙。
六味汤（见前不语）。
新产后出现气急喘促，是因为营血突然枯竭，卫气失去了依附的基础，这种情况被称为“孤阳”，是极其危险的重症，应立即使用六味地黄汤加入人参来滋补阴液。如果是脾肺虚弱导致的，则使用四君子汤加入当归、黑姜来温补阳气。如果见到自汗、四肢厥冷，再加用附子。又有假热引起的喘促且多汗的情况，使用十全大补汤加入附子，必须大剂量重用，才能挽救生命。最害怕的是喘急导致瘀血上冲，一旦进入肺部，就会引起鼻出血，这是肺气即将衰竭的表现；如果进入心脏，就会导致神志昏迷无知，这是心气即将衰竭的表现。如果是外感引起的咳嗽气喘，或者素有痰哮病症的，则无妨，使用四君子汤加入苏梗、陈皮、炮姜、当归、川芎治愈。六味汤（见前文不语条）四君子汤（见前文血晕条，即六君子汤去掉半夏、陈皮）十全大补汤（见前文）。
产后患病，或者出汗多，或者急喘发热，都要特别注意观察。看鼻尖黄亮有光泽的预后良好。如果鼻尖发青，口唇周围黑色，鼻腔内出现像烟煤一样的黑点，这些都是脏腑败绝的死证征兆。如果出现喘急，可以使用二味参苏饮，或许能迅速挽救败绝之气。张景岳说：气不能升降，是由于元气之海无根，亏损肺肾所致的气喘，等到出现鼻部黑煤、嘴唇发黑，说明气即将脱散。此时应紧急服用真元饮来抢救，这是治疗的大法。
鼻腔出现烟煤状黑点，是真阴枯竭，肺肾两脏即将衰竭的征象，十个人中难得救活一个。
参苏饮
人参（一两） 苏木（三钱，捣碎成细末）
用水煎服。如果出现四肢厥冷、自汗，加熟附子（二三钱）。
贞元饮
大熟地黄（三两） 当归（三钱） 炙甘草（一钱）
如果阴寒足冷，加肉桂（一钱），或者加炮姜、人参（各三钱），用水煎煮后频繁服用。
凡是产妇误服寒凉药物，导致舌头黑而干枯，或者光亮红嫩没有舌苔底质，都是危重病症。这通常是因为出汗过多，或者滥用童便，而没有顾护心肾所致。因为舌是心的苗窍，也是肾的本源。如果舌色黑但带有润泽感，还可以挽回。使用六味汤重用熟地黄，加入人参、炮姜主治。如果舌干黑且干枯并且口渴，说明血液已经亡失，无法救治了。这个时候只有独参汤一两左右，频频灌服，或许能在十人中救活一人。如果无力用人参，也没有益处。此症肾气已竭，不适宜使用桂枝、附子等刚烈燥热的药物去煎熬身体，只有人参能在虚无缥缈之处挽救元气。而且阳能生阴，又能生津液，才有望恢复生机。此症多在产后十日内出现，否则必然是汗多亡阳，下焦虚损亡阴。譬如痢疾患者出现舌体干枯，或者光亮如红缎且干燥口渴的，都属于不治之症，也就是下虚亡阴。
独参汤
选用优质的熟人参（一两），炖成一碗，或者加入五味子（一钱），频频灌入，或者用人参（五钱），大熟地黄（二两），名为两仪膏，煎服也很妙。
六味汤（见前文不语条）。
Newly postpartum patients presenting with rapid breathing and panting (asthma) due to the sudden depletion of Ying Blood (Nutritive Blood), leaving Wei Qi (Defensive Qi) without a foundation, is termed "Lone Yang" (Gu Yang). This is an extremely critical condition. Immediate treatment should employ Liuwei Dihuang Tang (Six-Ingredient Rehmannia Decoction) added with Renshen (Ginseng) to tonify Yin. If caused by Spleen and Lung deficiency, use Sijunzi Tang (Four Gentlemen Decoction) added with Danggui (Angelica Sinensis) and Heijiang (Charred Ginger) to tonify Yang. If spontaneous sweating and cold extremities are observed, add Fuzi (Aconite Root). In cases of false heat causing panting with profuse sweating, Shiquan Dabu Tang (Ten Significant Tonifying Decoction) added with Fuzi (Aconite Root) must be used in large doses to save the patient. The most dangerous scenario is rapid panting inducing Stasis Blood to rush upward; if it enters the Lung, epistaxis (nosebleed) occurs, indicating impending Lung Qi exhaustion; if it enters the Heart, confusion and loss of consciousness occur, indicating impending Heart Qi exhaustion. For cough and asthma due to external contraction, or for those with chronic Phlegm-Wheezing syndrome, there is no danger; treat with Sijunzi Tang (Four Gentlemen Decoction) added with Sugen (Perilla Stem), Chenpi (Tangerine Peel), Paojiang (Prepared Ginger), Danggui (Angelica Sinensis), and Xiong (Ligusticum Chuanxiong). *Liuwei Tang* (see section on Aphasia); *Sijunzi Tang* (see section on Blood Syncope, i.e., Liujunzi Tang minus Banxia and Chenpi); *Shiquan Dabu Tang* (see previous sections).
For diseases occurring postpartum, whether accompanied by profuse sweating, rapid panting, or fever, close observation is required. A yellow and bright nose tip indicates survival. A blue-green nose tip, blackness around the mouth, and coal-like black spots inside the nose are all signs of organ failure and death. If rapid panting occurs, Erwei Rensu Yin (Two-Ingredient Ginseng and Perilla Decoction) may rapidly rescue failing Qi. Zhang Jingyue stated: Inability of Qi to ascend and descend results from rootless Yuan Qi (Primordial Qi), with Lung and Kidney deficiency causing panting. When coal-like blackness appears on the nose and lips, Qi is about to collapse. Immediately administer Zhenyuan Yin (True Origin Decoction) to rescue this condition; this is the general principle. Coal-like blackness appearing in the nose signifies the exhaustion of True Yin and the impending failure of the Metal (Lung) and Water (Kidney) organs; fewer than one in ten can be saved.
**Rensu Yin (Ginseng and Perilla Decoction)**
Renshen (Ginseng Root) (1 liang)
Sumu (Sappan Wood) (3 qian, pounded into fine powder)
Decoct in water and take orally. Add Shufu (Prepared Aconite Root) (2-3 qian) if cold extremities and spontaneous sweating occur.
**Zhenyuan Yin (True Origin Decoction)**
Dushudi (Prepared Rehmannia Root) (3 liang)
Danggui (Angelica Sinensis Root) (3 qian)
Zhigancao (Honey-fried Licorice Root) (1 qian)
Add Rougui (Cinnamon Bark) (1 qian) for Yin-cold and cold feet, or add Paojiang (Prepared Ginger) and Renshen (Ginseng Root) (each 3 qian). Decoct in water and take frequently.
If parturient women mistakenly administer cold-purgative powders, resulting in a black and dry tongue, or a smooth red tongue without coating, these are critical conditions. These arise from excessive sweating or overuse of Child's Urine without protecting the Heart and Kidney. The tongue is the sprout of the Heart and the root of the Kidney. If the tongue is black but moist, recovery is possible. Treat with Liuwei Tang (Six-Ingredient Decoction) using heavy doses of Shudi (Prepared Rehmannia Root), added with Renshen (Ginseng Root) and Paojiang (Prepared Ginger). If the tongue is dry, black, withered, and accompanied by thirst, Blood has been exhausted, and the condition is incurable. At this time, only Dushen Tang (Single Ginseng Decoction) of approximately 1 liang, administered frequently, might save one in ten. Without Ginseng, there is no benefit. Since Kidney Qi is exhausted, harsh and hot herbs like Guizhi (Cinnamon Twig) and Fuzi (Aconite Root) should not be used to further deplete the body; only Renshen (Ginseng Root) can rescue Qi from nothingness. Furthermore, Yang generates Yin and produces fluids, offering hope for recovery. This condition often appears within ten days postpartum; otherwise, it is due to sweating causing Yang collapse or lower deficiency causing Yin collapse. For example, in dysentery, a withered tongue or a smooth red silk-like dry tongue with thirst indicates an untreatable condition, specifically lower deficiency and Yin collapse.
**Dushen Tang (Single Ginseng Decoction)**
Use high-quality Shuren (Mature/Prepared Ginseng Root) (1 liang), stew into one bowl. Alternatively, add Wuweizi (Schisandra Berry) (1 qian) and administer frequently. Or use Renshen (Ginseng Root) (5 qian) and Dushudi (Prepared Rehmannia Root) (2 liang), named Liangyi Gao (Two-Polymer Paste), decocted and taken orally, which is also effective.
*Liuwei Tang* (see section on Aphasia).