妇人甫产后，忽眼目昏晕，恶心欲吐，额上、鼻尖有微汗，鼻出冷气，神魂外
越，人以为恶血冲心之患也，谁知气虚欲脱而血晕乎。盖新产之后，血已尽倾，血
舍空虚，止存微气，倘其人阳气素虚，则气祛原不能生血，及胎破而心血随胎而堕，
则心无血养，所望者气以固之也。今气又虚脱，心君无护，所剩残血非正血，不可
归经，内庭变乱，反成血晕之症矣。治法必须大补气血，不宜单治血晕也。补血以
生新血，正活血以逐旧血也。然血乃有形之物，难以速生，气乃无形之物，易于迅
长。补气以生血，不更易于补血以生血乎。方用解晕汤∶
荆芥（三钱） 人参（一两） 当归（一两） 炮姜（一钱） 黄 （一两） 水煎服。一
剂晕止，二剂心定，三剂气旺，四剂血生，不再晕也。
此方实解血晕之圣方。凡产后能服此方，断无退母之症，或人参力不能用，
减去大半，或少用一、二钱，余如分两，多服数剂，无不奏功也。
用参归荆芥汤亦效甚。
人参（一两） 荆芥（三钱） 当归（一两） 水煎服。
妇人子方下地，即昏晕不语，此气血双脱也，本在不救。我受岐天师秘传，以
救万世产亡之妇，当急用缝衣针刺其眉心之穴，得血出即出语矣。然后以独参汤∶
人参一两，急煎灌之，无不生者。倘贫家之妇，无力买参，用当归补血汤∶黄 二
两，当归一两，煎汤一碗灌之亦生。万不可于二方之中轻加附子。盖附子无经不达，
反引气血之药走而不守，不能专注于胞胎，不若人参、归、 直救其气血之绝，聚
而不散也。盖产妇昏晕，全是血舍空虚，无血养心，以致血晕。舌为心之苗，心既
无主，舌又安能出声。眉心者，上通于脑，而下通舌系，则连于心，刺眉心则脑与
舌俱通，心中清气上升，则瘀血自然下降。然后以参、 、当归补之，则气血接续，
何能死亡乎。虽单用参、 、当归亦能生者，然终是刺眉心则万无一失。瘀血冲心，
所以昏晕不语，解其瘀血之冲，真所谓扼要争奇也。世人但知灸眉之法，谁知刺胜
于灸乎。盖灸缓而刺急，缓则难以救绝，急则易于回生耳。
亦可用参附益母汤治之。
人参（一两） 附子（一钱） 益母草（二钱） 水煎。遇此等症，急用一人抱住产母，
头顶心解开，以艾火急灸之，必然出声。然后以参附益母汤救之，多有生者。
妇人有产后三日，发热恶露不行，败血攻心，狂言呼叫，甚欲奔走，拿捉不定，
人以为邪热之在胃也，谁知血虚而心无以养乎。产后之血尽随胎胞外越，则血室空
虚，五脏皆无血养，当是之时，止心中之血尚存些微，以护心也。而各脏腑皆欲取
给于心，心包为心君之相，拦绝各脏腑之气，不许入心，故心安神定，是护心者，
全藉心包也。然心包亦虚，倘不能障心，各脏腑之气遂直入心中，以分取心血。而
心包情极，既不能顾心，又不能御众，于是大声疾呼，本欲召脏腑以救心，而迹反
近于狂悖，有无可如何之象，故病似热而非实热也。治法大补其心中之血，使各脏
腑分取之以自养，不必再求于心君，则心安而心包亦安。方用安心汤∶
干荷叶（一片） 生地黄（五钱） 丹皮（五钱） 当归（二两） 川芎（一两） 生蒲黄（二钱）
水煎调服。
一剂即定，而恶露亦下矣。
此方用归、芎以补血，何又用生地、丹皮之凉血，似非产后所宜，不知恶血奔
心，未免因虚热而相犯，吾于补中凉之，则凉不为害，况益之干荷叶，则七窍相通，
能引邪外出，不内害于心，转生蒲黄以分解恶露也。但此方止可暂用一剂以定狂，
不可多用数剂以取胜，不可不慎也。
用参归荆枣益母汤亦效。
人参 当归 炒枣仁（各一两） 荆芥 益母草（各三钱） 水煎服。
妇人刚生产后，突然眼睛昏花眩晕，恶心想要呕吐，额头、鼻尖有微汗，鼻孔呼出冷气，神魂向外飘散，人们以为是恶血冲心的祸患，谁知道是气虚欲脱导致的血晕呢。大概新产之后，血液已经大量流失，血舍（指心，心主血脉）空虚，只残留微弱的气息，如果这个人阳气素来虚弱，那么气原本就不能生血，等到胎膜破裂而心血随着胎盘堕下，心脏就没有血液滋养，所指望的是气来固摄它。现在气又虚脱，心君（心脏）没有护卫，剩下的残血不是正常的血，不能回归经脉，体内脏腑发生变乱，反而形成了血晕的病症了。治疗方法必须大补气血，不应该只治疗血晕。补血是为了产生新血，正活血（正常地活血）是为了驱逐旧血。然而血是有形的物质，难以快速生成；气是无形的物质，易于迅速生长。补气以生血，不更比补血以生血更容易吗？方剂用解晕汤：荆芥（三钱）、人参（一两）、当归（一两）、炮姜（一钱）、黄芪（一两），水煎服。一剂后晕止，二剂后心神安定，三剂后气旺，四剂后血生，不再晕厥。
这个方子实在是解除血晕的神效方。凡是产后能服用此方，断不会有退母症（产后因失血过多导致的精神恍惚或死亡等严重后果），或者人参力量不足无法使用，减去大半分量，或者少用一、二钱，其余药物按原分量，多服几剂，没有不奏效的。
用参归荆芥汤也效果很好。人参（一两）、荆芥（三钱）、当归（一两），水煎服。
妇人胎儿刚刚落地，就昏晕不语，这是气血双脱的证候，本来属于不治之症。我受岐天师秘传，用来拯救万世难产的妇女，应当紧急用缝衣针刺其眉心穴，得到出血就会苏醒说话。然后用独参汤：人参一两，急火煎煮灌服，没有不救活的。如果是贫苦人家的妇女，无力购买人参，用当归补血汤：黄芪二两，当归一两，煎汤一碗灌服也能救活。千万不可在这两个方子中轻易加入附子。因为附子无处不到，反而会引导气血药走而不守，不能专注于胞胎，不如人参、当归直接救助其气血的断绝，聚而不散。大概产妇昏晕，完全是因为血舍空虚，没有血液滋养心脏，以致血晕。舌是心的苗窍，心既然没有主宰，舌头又怎么能出声。眉心处，上通于脑，下通舌系，则连于心，刺眉心则脑与舌都通畅，心中清气上升，则瘀血自然下降。然后用参、芪、当归补益，则气血接续，怎么能死亡呢。虽然单用人参、黄芪、当归也能救活，但终究是刺眉心则万无一失。瘀血冲心，所以昏晕不语，解除瘀血的冲逆，真所谓扼要争奇。世人只知道灸眉的方法，谁知道刺法胜于灸法呢。因为灸法缓慢而刺法紧急，缓慢则难以救治绝症，紧急则易于回生罢了。
也可以用参附益母汤治疗。人参（一两）、附子（一钱）、益母草（二钱），水煎。遇到这种病症，紧急用一人抱住产母，解开头顶心的头发，用艾火急灸，必然出声。然后用参附益母汤救治，多有救活的。
妇人有产后三天，发热且恶露不行，败血攻心，胡言乱语呼叫，甚至想奔走，拿捉不定，人们以为是邪热在胃，谁知道是血虚而心无所养呢。产后之血全部随着胎胞外越，则血室空虚，五脏都没有血液滋养，在这个时候，只有心中的血还存留些微，用来护心。而各脏腑都想从心中索取供给，心包作为心君的宰相，拦截拒绝各脏腑之气，不许进入心中，所以心安神定，这护心的作用，全赖心包。然而心包也虚，如果不能屏障心脏，各脏腑之气就直入心中，来分取心血。而心包情势危急，既不能顾护心脏，又不能抵御众脏，于是大声疾呼，本想召唤脏腑来救心，但行为反而接近于狂悖，有无可奈何的样子，所以病象似热而非实热。治疗方法大补心中的血，使各脏腑分取它来自养，不必再向心君索取，则心安而心包也安。方剂用安心汤：干荷叶（一片）、生地黄（五钱）、丹皮（五钱）、当归（二两）、川芎（一两）、生蒲黄（二钱），水煎调服。
一剂即安定，而且恶露也排下了。
这个方子用归、芎来补血，为什么又用生地、丹皮的凉血药，似乎不适合产后，不知道恶血奔心，未免因为虚热而相犯，我在补益中加以凉血，则凉性不为害，何况加上干荷叶，则七窍相通，能引邪外出，不内害于心，再加上生蒲黄来分解恶露。但这个方子只可暂用一剂来定狂，不可多用数剂以求取胜，不可不慎啊。
After a woman has just given birth, she suddenly experiences blurred vision and dizziness, nausea with the urge to vomit, slight sweating on the forehead and nose tip, cold air exhaled from the nostrils, and a sensation of the spirit and soul drifting outward. People consider this to be the affliction of "evil blood rushing to the heart," but who would know it is actually blood vertigo caused by Qi deficiency and impending collapse? Generally, after new childbirth, blood has been largely exhausted, leaving the Blood Residence (referring to the Heart, which governs blood vessels) empty, retaining only faint Qi. If the person's Yang Qi has always been deficient, then Qi originally cannot generate Blood. When the placenta ruptures and Heart Blood falls with the placenta, the Heart lacks Blood nourishment, relying solely on Qi to consolidate it. Now that Qi is also deficient and collapsing, the Heart Monarch (Heart) has no protection; the remaining residual blood is not normal blood and cannot return to the meridians, causing internal chaos in the Zang-Fu organs, thus forming the syndrome of blood vertigo. The treatment method must strongly tonify both Qi and Blood, rather than treating blood vertigo alone. Tonifying Blood generates new Blood, while properly activating Blood expels old Blood. However, Blood is a tangible substance, difficult to generate quickly; Qi is an intangible substance, easy to grow rapidly. Tonifying Qi to generate Blood is more efficient than tonifying Blood to generate Blood. Use the Formula for Resolving Vertigo (Jie Yun Tang): Schizonepetae Spica (San Qian), Ginseng Radix et Rhizoma (Yi Liang), Angelicae Sinensis Radix (Yi Liang), Prepared Zingiberis Rhizoma (Yi Qian), Astragali Membranacei Radix (Yi Liang). Decoct in water and take orally. After one dose, vertigo stops; after two doses, the mind settles; after three doses, Qi becomes robust; after four doses, Blood is generated, and vertigo does not recur.
This formula is truly a sacred prescription for resolving blood vertigo. Any postpartum woman who can take this formula will certainly not suffer from maternal decline syndromes. If Ginseng Radix et Rhizoma is too potent or unavailable, reduce the dosage by half, or use only one or two qian, keeping other dosages as specified. Taking several more doses will invariably yield results.
The Formula of Ginseng, Angelica, and Schizonepeta (Shen Gui Jing Jie Tang) is also very effective: Ginseng Radix et Rhizoma (Yi Liang), Schizonepetae Spica (San Qian), Angelicae Sinensis Radix (Yi Liang). Decoct in water and take orally.
When a woman's fetus has just landed on the ground, she immediately becomes unconscious and mute. This is a syndrome of simultaneous depletion of Qi and Blood, originally considered incurable. I received secret transmission from Master Qi to save women dying from childbirth for ten thousand generations. One should urgently prick the acupoint at the glabella (Yintang) with a sewing needle. Once blood flows out, speech and consciousness will return. Then, administer Single-herb Ginseng Decoction (Du Shen Tang): Ginseng Radix et Rhizoma (Liang), decoct urgently and灌 (force-feed). There will be none who do not survive. For poor women unable to afford Ginseng, use Dang Gui Bu Xue Tang: Astragali Membranacei Radix (Liang Er), Angelicae Sinensis Radix (Liang Yi), decoct into one bowl of soup and灌. It will also save them. Under no circumstances should Aconiti Lateralis Radix Praeparata (Fuzi) be lightly added to these two formulas. Because Fuzi travels everywhere without staying put, it may guide Qi and Blood herbs to move rather than stabilize, preventing them from focusing on the uterus. It is inferior to Ginseng Radix et Rhizoma and Angelicae Sinensis Radix, which directly rescue the exhaustion of Qi and Blood, gathering rather than scattering. Postpartum unconsciousness is entirely due to the emptiness of the Blood Residence, lack of Blood to nourish the Heart, resulting in blood vertigo. The tongue is the sprout of the Heart; if the Heart has no master, how can the tongue produce sound? The glabella connects upward to the brain and downward to the tongue root, linking to the Heart. Pricking the glabella opens both the brain and tongue, allowing clear Qi in the Heart to ascend, causing stasis to naturally descend. Then, tonifying with Ginseng Radix et Rhizoma, Astragali Membranacei Radix, and Angelicae Sinensis Radix reconnects Qi and Blood, making death impossible. Although using only Ginseng Radix et Rhizoma, Astragali Membranacei Radix, and Angelicae Sinensis Radix can also save lives, pricking the glabella ensures absolute safety. Stasis rushing to the Heart causes unconsciousness and muteness; resolving the rush of stasis is indeed grasping the key point. People only know the method of moxibustion on the eyebrows, but who knows that needling surpasses moxibustion? Moxibustion is slow, while needling is urgent. Slowness makes it hard to save critical cases, while urgency facilitates revival.
One may also use the Formula of Ginseng, Aconite, and Motherwort (Shen Fu Yi Mu Tang): Ginseng Radix et Rhizoma (Yi Liang), Aconiti Lateralis Radix Praeparata (Yi Qian), Leonuri Herba (Er Qian). Decoct in water. In such cases, urgently have someone hold the mother, untie the hair at the vertex of the head, and apply urgent moxibustion with mugwort fire. She will surely speak. Then rescue her with Shen Fu Yi Mu Tang; many will survive.
A woman three days postpartum presents with fever and retention of lochia. Defective blood attacks the Heart, causing delirious speech and shouting, even running about uncontrollably. People believe this is pathogenic heat in the Stomach, but who knows it is Blood deficiency failing to nourish the Heart? Postpartum blood all escapes with the placenta, leaving the Blood Chamber empty, so the Five Zang Organs lack Blood nourishment. At this time, only a trace of Heart Blood remains to protect the Heart. Each Zang-Fu organ seeks supply from the Heart. The Pericardium, as the minister of the Heart Monarch, blocks and refuses Qi from other organs, preventing entry into the Heart, thus keeping the Heart calm and the spirit settled. This protection relies entirely on the Pericardium. However, the Pericardium is also deficient. If it cannot shield the Heart, Qi from other organs enters directly to share the Heart Blood. The Pericardium is in extreme distress, unable to protect the Heart or defend against the others, so it cries out loudly. Intending to summon organs to save the Heart, its behavior resembles madness, appearing helpless. Thus, the disease appears like heat but is not excess heat. The treatment method is to strongly tonify the Blood in the Heart, allowing other organs to draw from it for self-nourishment, so they no longer demand from the Heart Monarch. Then the Heart calms, and the Pericardium is at ease. Use the Formula for Calming the Heart (An Xin Tang): Dried Lotus Leaf (Yi Pian), Rehmanniae Radix Recens (Wu Qian), Moutan Cortex (Wu Qian), Angelicae Sinensis Radix (Liang Er), Chuanxiong Rhizoma (Yi Liang), Sanguisorbae Radix Raw (Er Qian). Decoct in water and take orally.
After one dose, symptoms stabilize, and lochia is discharged.
This formula uses Angelicae Sinensis Radix and Chuanxiong Rhizoma to tonify Blood, yet why use cooling herbs like Rehmanniae Radix Recens and Moutan Cortex, which seem unsuitable for postpartum? It is unknown that when defective blood rushes to the Heart, it is inevitably due to deficiency-heat invasion. By adding cooling herbs within the tonification, the cooling nature does no harm. Moreover, adding dried lotus leaf allows communication through the seven orifices, guiding pathogenic factors outward without harming the Heart internally, while raw Sanguisorbae Radix resolves defective lochia. However, this formula should only be used temporarily for one dose to settle madness, not for multiple doses to seek victory. Caution is essential.
The Formula of Ginseng, Angelica, Schizonepeta, Jujube Seed, and Motherwort (Shen Gui Jing Zao Yi Mu Tang) is also effective: Ginseng Radix et Rhizoma, Angelicae Sinensis Radix, Processed Ziziphi Spinosae Semen (each Yi Liang), Schizonepetae Spica, Leonuri Herba (each San Qian). Decoct in water and take orally.