凡孕妇有通身肿者，有脚肿者，俗乎为胎肿，又名胎水。或脾虚不能制水者，血散四肢而肿，有胎
挟水，水血相搏者，有胃虚湿者，有乘风冷者，有痢疟后而肿者，有饮食太过者，有腹胀而肿者。
【主意】
胎肿皆因湿热多，山栀、卜子炒宜过，研末米调稠服下，管教虚肿渐消磨。
夫妊娠而子烦者，是肺脏虚热乘于心，则心烦。停痰积饮在
心胸之间，或中于心，亦烦也。若热烦者，但热而已。若有痰而烦者，恶闻食，气则烦燥。
【主意】
妊妇心惊闷子烦，病因二火君火四月，相火六月在其间。竹叶汤除虚燥病，门冬饮子似仙丹。
犀角散
生犀角（凉心，镑） 地骨皮（退热） 麦冬（清金，去心） 赤茯苓（导赤） 条芩（泻火） 甘草（生用和中）
水煎服。
竹叶汤
白茯（二钱） 防风（一钱） 麦冬（一钱五分） 黄芩（一钱五分） 竹叶（五片）
水煎服
门冬饮子
麦冬（去心） 人参 知母（各一钱） 生地（八分） 茯神（七分） 五味 栝
蒌仁 葛根（各五分） 甘草（三分） 竹叶（七片）
水煎服
孕妇忽然冒闷，不识人事，角弓反张，须臾则苏，状若中风，名曰子痫，亦谓之风症，又名子冒。
四物汤养血，加连、芩降火。四物汤方在前。
【主意】
孕妇筋强语塞痰，或时发搐故名痫，脉浮弦滑羚羊散，煎服祛风渐渐宽。
羚羊散
羚羊角（镑） 独活 酸枣仁（炒） 五加皮（各八分） 防风 川芎 苡
仁茯神 川归（酒洗） 杏仁（各四分去皮） 木香（忌火） 甘草（各三分） 姜（三片）
水煎服
For pregnant women presenting with generalized edema or edema limited to the feet, this condition is colloquially known as "Tai Zhong" (Fetal Swelling) or "Tai Shui" (Fetal Water). Etiologies include: spleen deficiency failing to control water metabolism, leading to blood dispersing into the four limbs causing swelling; fetal qi carrying water dampness where water and blood contend; stomach deficiency generating dampness; contraction of wind-cold pathogens; edema occurring after dysentery or malaria; excessive dietary intake; or abdominal distension triggering swelling.
[Main Treatment Principle]
Tai Zhong is mostly caused by damp-heat. Gardenia (Zhizi) and roasted radish seed (Buzi/Laifuzi), ground into powder and taken as a thick paste mixed with rice gruel, can gradually resolve deficiency-type edema.
Regarding "Zi Fan" (Pregnancy-related Vexation), it occurs when deficient heat in the Lung organ attacks the Heart, resulting in mental vexation. Accumulated phlegm and retained fluids in the chest and heart region, or pathogenic factors affecting the Heart directly, also cause vexation. If caused by excess heat, there is merely fever. If caused by phlegm, there is aversion to food and restless breathing.
[Main Treatment Principle]
The etiology of maternal palpitations, chest tightness, and Zi Fan lies in the "Two Fires": the Ministerial Fire (Jun Huo) manifests in the fourth month, and the Xiang Fire appears in the sixth month, intertwining between them. Zhuye Tang treats deficiency-dryness diseases, while Mendong Yinzi is as effective as an elixir.
Xijiao San (Rhinoceros Horn Decoction)
Sheng Xijiao (Raw Rhinoceros Horn - cools the Heart, shaved slices) Digupi (Cortex Lycii - reduces heat) Maidong (Ophiopogonis Radix - clears Metal/Lungs, heart removed) Chifuling (Red Poria - guides Heart fire downward) Huangqin (Scutellariae Radix - drains fire) Gancao (Licorice Root - raw, harmonizes the Middle Jiao)
Decoct in water and take orally.
Zhuye Tang (Bamboo Leaf Decoction)
Baifuling (White Poria - 2 qian) Fangfeng (Saposhnikoviae Radix - 1 qian) Maidong (Ophiopogonis Radix - 1.5 qian) Huangqin (Scutellariae Radix - 1.5 qian) Zhuye (Bamboo Leaves - 5 pieces)
Decoct in water and take orally.
Mendong Yinzi (Ophiopogonis Drink)
Maidong (Ophiopogonis Radix, heart removed) Renshen (Ginseng Radix) Zhimu (Anemarrhenae Rhizoma) [each 1 qian] Shengdi (Rehmanniae Radix - 8 fen) Fushen (Poria with Hostwood - 7 fen) Wuweizi (Schisandrae Fructus) Gualouren (Trichosanthis Semen) Gegen (Puerariae Lobatae Radix) [each 5 fen] Gancao (Licorice Root - 3 fen) Zhuye (Bamboo Leaves - 7 pieces)
Decoct in water and take orally.
When a pregnant woman suddenly faints, loses consciousness, exhibits opisthotonos (body arched backward like a bow), and recovers after a short period, resembling stroke, it is named "Zi Xian" (Eclampsia of Pregnancy), also referred to as Feng Zheng (Wind Syndrome) or Zi Mao.
Siwu Tang nourishes the Blood; add Lian (Coptidis Rhizoma) and Qin (Scutellariae Radix) to drain fire. The formula for Siwu Tang is listed earlier.
[Main Treatment Principle]
Maternal tendon stiffness, speech impediment, and phlegm, accompanied by intermittent convulsions, are named Xian (Epilepsy/Convulsion). If the pulse is floating, wiry, and slippery, Lingyang San should be decocted and taken to dispel wind, leading to gradual relief.
Lingyang San (Antelope Horn Powder)
Lingyangjiao (Saiga Antelope Horn - shaved slices) Duhuo (Angelicae Pubescentis Radix) Suanzaoren (Ziziphi Spinosae Semen, stir-fried) Wujia Pi (Acanthopanacis Cortex) [each 8 fen] Fangfeng (Saposhnikoviae Radix) Chuanxiong (Ligustici Chuanxiong Rhizoma) Yiren (Coicis Semen) Fushen (Poria with Hostwood) Danggui (Angelicae Sinensis Radix, wine-washed) Xingren (Armeniacae Semen Amarum, peeled) [each 4 fen] Muxiang (Aucklandiae Radix - avoid fire processing) Gancao (Licorice Root) [each 3 fen] Jiang (Fresh Ginger - 3 slices)
Decoct in water and take orally.