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Zhimu Yin (Anemarrhena Decoction)

12. When a pregnant woman frequently experiences mental restlessness, it is termed "Zifan" (Pregnancy-related Mental Restlessness). This condition arises from fetal heat disturbing the Heart spirit and can be cured with Zhimu Yin. The formula consists of Huangqin (Scutellariae Radix), Zhi Mu (Anemarrhenae Rhizoma), Maidong (Ophiopogonis Tuber), Fuling (Poria), Huangqi (Astragali Radix), and Gancao (Glycyrrhizae Radix et Rhizoma). If the heat is severe, add Xijiao (Rhinocerotis Cornu); if there is Qi deficiency, add Renshen (Ginseng Radix et Rhizoma); if there is thirst, add Shigao (Gypsum Fibrosum) for decoction and administration.

[Note] If a pregnant woman has no other symptoms but experiences frequent mental restlessness, it is called "Zifan." This is caused by stagnant heat within the fetus ascending to disturb the Heart. It is appropriate to use Zhimu Yin, which comprises Huangqin, Zhi Mu, Maidong, Fuling, Huangqi, and Gancao. For severe heat, add Xijiao; for Qi deficiency, add Renshen; for thirst, add Shigao for decoction and administration.

Zisu Yin (Perilla Decoction)

13. Distension and fullness in the chest and diaphragm are termed "Zixuan" (Pregnancy-related Chest Distension); when accompanied by severe asthma, it is termed "Taishang Bixin" (Fetal Qi Ascending to Oppress the Heart). Zisu Yin consists of Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba), Chenpi (Citri Reticulatae Pericarpium), Dafupi (Arecae Pericarpium), Sugengye (Perillae Caulis et Folium), and Gancao. For deficiency patterns, add Renshen for decoction and administration.

[Note] When a pregnant woman experiences distension and fullness in the chest and diaphragm, it is called "Zixuan." If accompanied by severe asthma, it is called "Taishang Bixin." Both conditions are suitable for treatment with Zisu Yin, which includes Danggui, Chuanxiong, Baishao, Chenpi, Dafupi, Sugengye, and Gancao. For patients with deficiency, add Renshen for decoction and administration.

Lingyangjiao Yin (Antelope Horn Decoction) / Gouteng Tang (Uncaria Decoction)

14. Sudden collapse, convulsions, and loss of consciousness, followed by spontaneous awakening after a short period, are termed "Zixian" (Pregnancy-related Eclampsia). Lingyangjiao San (Antelope Horn Powder) consists of Fangfeng (Saposhnikoviae Radix), Duhuo (Angelicae Pubescentis Radix), Xingren (Armeniacae Semen Amarum), Suanzaoren (Ziziphi Spinosi Semen), Wujapi (Eucommiae Cortex), Gancao, Yiyiren (Coicis Semen), Fuling, Muxiang (Aucklandiae Radix), and Lingyangjiao (Saigae Tataricae Cornu). For severe convulsions, use Gouteng Tang, which consists of Gouteng (Uncariae Ramulus cum Uncis), Sangjisheng (Taxilli Herba), Renshen, Fushen (Poria cum Radix), Danggui, and Jiegeng (Platycodonis Radix). If facial paralysis (deviation of mouth and eyes) or hemiplegia occurs, it has progressed to a stroke with disability syndrome; treatment should refer to the Wind Gate section.

[Note] When a pregnant woman suddenly falls, experiences convulsions, and loses consciousness, then awakens spontaneously after a moment and returns to normal shortly thereafter, this is called "Zixian." It is caused by wind-heat affecting the Liver and Heart meridians. It is appropriate to use Lingyangjiao San, comprising Fangfeng, Duhuo, Xingren, Suanzaoren, Wujapi, Gancao, Yiyiren, Fuling, Muxiang, and Lingyangjiao. For severe convulsions, use Gouteng Tang, comprising Gouteng, Sangjisheng, Renshen, Fushen, Danggui, and Jiegeng. If deviation of the mouth and eyes or hemiplegia occurs, it has become a stroke with disability syndrome, and one should consult the treatments in the Wind Gate chapter.