娠妊至八、九月间，忽然不语，谓之子喑。但当饮食调养，不须服药。昔黄帝问于岐伯
曰∶人有重身，九月而喑，何也？岐伯对曰∶胞胎系于肾，肾脉贯系舌本，故不能言。十月
分娩后，自为之言也。愚按肾脉贯系舌本，因胎气壅闭，肾脉阻塞，致不能言，自应调摄以
需之，不必惊畏。或用四物汤加茯神、远志数剂，亦可。倘妄为投药，恐反误事，慎之！
四物汤（见虚劳。
孕痈，腹内生痈也。生于有妊之时，犹为可畏，宜用千金牡丹皮散，或神效栝蒌散
治之。但丹皮、苡仁、桃仁，皆动胎之药，因有病则病当之，故无损也。
治肠痈之圣药。
丹皮（三两） 苡仁（四两） 栝蒌仁（去壳去油） 桃仁（去皮尖，双仁者，各一两
上为末。每服五、七钱，水煎服。若肠痈大便闭结，小腹坚肿，加大黄一钱五分；但有孕时，大黄不宜轻用，须斟
酌投之
治肠痈，并乳痈，及一切痈疽初起，肿痛即消，脓成即溃，脓溃即愈。
栝蒌（烂研，一枚） 生粉草 当归（酒洗，各五钱） 明乳香 没药（各一钱
水煎，热酒冲服，如量，渣再煎服，即消。
凡人脏腑安和，血气充实，精神健旺，荣卫条畅，则妖魅之气，安得而乘之？惟夫体质
虚衰，精神惑乱，以致邪气交侵，经闭腹大，如怀子之状。其面色青黄不泽，脉涩细，或乍
大乍小，两手如出两人，或寒热往来，此乃肝脾 郁之气，非胎也。宜用雄黄丸攻之，
而以各经见症之药，辅助元气。大法，肝经郁火，佐以逍遥散。脾气郁结，佐以归脾汤。脾
虚挟痰，佐以六君子汤。此症乃元气不足，病气有余，或经事愆期，失于调补所致。不可浪行
攻击而忘根本，则鬼胎行而元气无伤矣。复有梦与鬼交者，亦由气血空虚，神志惑乱，宜用
安神定志丸主之。
During the eighth or ninth month of pregnancy, if a woman suddenly loses her voice, it is called "Zi Yin" (Fetal Aphonia). At this time, one should only adjust diet and nourish the body; medication is not required. In ancient times, the Yellow Emperor asked Qibo: "When a person is pregnant, why do they lose their voice in the ninth month?" Qibo replied: "The fetal sac is connected to the Kidney. The Kidney meridian passes through and connects to the root of the tongue; therefore, speech is impaired. After delivery in the tenth month, speech will naturally return." I observe that the Kidney meridian connects to the root of the tongue. Due to the congestion and obstruction of fetal Qi, the Kidney meridian becomes blocked, leading to aphonia. One should naturally rely on care and nursing to wait for recovery, without need for alarm or fear. Alternatively, Siwu Tang (Four Substance Decoction) (see Xu Lao) with Fushen (Poria with Hostwood) and Yuanzhi (Polygala Root) taken for several doses is also acceptable. If medicines are administered recklessly, it may cause further harm; caution is advised!
Yun Yong (Pregnancy Carbuncle) refers to carbuncles developing within the abdomen. Although occurring during pregnancy is frightening, it is suitable to treat with Qianjin Mudanpi San (Million Gold Moutan Cortex Powder) or Shenxiao Gualou San (Miraculous Efficacy Trichosanthes Fruit Powder). However, Mudanpi (Moutan Cortex), Yiren (Coix Seed), and Taoren (Persicae Semen) are all herbs that can disturb the fetus. Because there is an existing disease, the medicinal action targets the pathogen, thus causing no harm to the fetus.
This is the sacred medicine for treating Chang Yong (Intestinal Abscess).
Mudanpi (3 liang) Yiren (4 liang) Gualou Ren (Shelled and oil-free) Taoren (Skin and tip removed, double-kernel ones, each 1 liang)
Grind into powder. Take 5-7 qian per dose, decocted in water. If intestinal abscess presents with constipation and a hard, swollen lower abdomen, add Dahuang (Rhei Radix et Rhizoma) 1.5 qian; however, during pregnancy, Dahuang should not be used lightly and must be carefully considered before administration.
Treats Chang Yong (Intestinal Abscess), Ru Yong (Breast Abscess), and the initial stage of all sores and ulcers. Swelling and pain subside immediately; upon suppuration, it ruptures; after rupture, healing occurs.
Gualou (Mashed, 1 fruit) Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma) Danggui (Wine-washed, each 5 qian) Ming Ruxiang (Boswelliae Fructus) Moyao (Commiphora Myrrha Resina, each 1 qian)
Decoct in water, take with hot wine according to tolerance. The dregs should be decocted again and taken, which will resolve the condition.
Generally, when the Zang-Fu organs are harmonious, Blood and Qi are abundant, Spirit is vigorous, and Ying and Wei (Nutritive and Defensive Qi) flow smoothly, how can demonic influences take advantage? Only when constitution is weak and spirit is confused does evil Qi invade, leading to amenorrhea and abdominal distension resembling pregnancy. The complexion is dull yellow-green, the pulse is choppy and fine, or fluctuating between large and small; the pulses in both hands feel as if from two different people; or there is alternating chills and fever. This is due to Liver and Spleen Qi stagnation, not a fetus. It is appropriate to use Xionghuang Wan (Realgar Pill) to attack the pathogen, assisted by herbs corresponding to symptoms in the respective meridians to support Yuan Qi (Primary Qi). The general principle is: for Liver Meridian stagnant fire, assist with Xiaoyao San (Free and Easy Wanderer Powder); for Spleen Qi stagnation, assist with Guipi Tang (Restore the Spleen Decoction); for Spleen deficiency with phlegm, assist with Liujunzi Tang (Six Gentlemen Decoction). This condition results from insufficient Yuan Qi and excess pathogenic Qi, or missed menses due to lack of regulation and tonification. One must not blindly attack while forgetting the root; thus, the "Ghost Fetus" is expelled without injuring Yuan Qi. Furthermore, those who dream of intercourse with ghosts also suffer from empty Blood and Qi and confused spirit; Anshen Dingzhi Wan (Calming the Spirit and Stabilizing Will Pill) should be the primary treatment.