《大全》云∶妊娠体虚受风而太阳之经络后间遇风寒相搏,发则口噤项强,名之曰痉。
又云
∶,其候冒闷不识人,须臾自省,良久复作,谓之风痉,一名子痫,又名子冒,甚则反张
。
立斋云∶前症若心肝风热,用钩藤汤。肝脾血虚,加味逍遥散。肝脾郁怒,加味归脾汤
。气
逆痰滞,紫苏饮。肝火风热,钩藤散。脾郁痰滞,二陈加竹沥、姜汁。若兼症相杂,当参照
子烦门。
《大全》云∶孕妇不语,非病也。间有如此者,不须服药,临产月但服资生丸、四物汤
之类
,产下便能言,亦自然之理,非药之功也。帝曰∶人有重身九而喑,此为何也?歧伯曰∶胞
之络脉绝也。曰∶何以言之?曰∶胞络者,系于肾少阴之脉,贯肾系舌本,故不能言。曰∶
治之奈何?曰∶无治也,当十月复。
《大全》云∶夫肺内主气,外司皮毛,皮毛不密,寒邪乘之则咳嗽(肺属金,为五脏华
盖,
又为娇脏,脏腑受邪则为火,火盛必烁金,故诸脏腑受邪未有不干肺者也)。秋则肺受之,
春则肝受之,夏则心受之,冬则肾受之。其咳不已则传于腑,嗽久不已则伤胎也。
薛氏曰∶前症若秋间风邪伤肺,用金沸草散(杂咳嗽)。夏间火克刑金,用人参平肺散(
杂喘)
。冬间寒邪伤肺,用人参败毒散(杂伤湿)。春间风邪伤肺,参苏饮(杂发热)。若脾肺气虚,
用六君、芎、归、桔梗。若血虚,四物加
桑皮、杏仁、桔梗。肾火上炎,六味丸加五味子煎服。脾胃气虚,风寒所伤,补中益气加桑
皮、杏仁、桔梗。盖肺属辛金,生于己土,咳久不愈者,多因脾土虚而不能生肺气,以致腠
理不密,外复感邪。或因肺气虚而不能生水,以致阴火上炎所致。治法当清肺金、生肾水为
善。
The *Daquan* states: During pregnancy, if the body is deficient and susceptible to wind pathogens, causing the Taiyang meridians to be affected by cold and wind from behind, where cold and wind contend with each other, it manifests as lockjaw (trismus) and stiffness of the neck. This condition is named "Jing" (Spasm).
It further states: The symptoms include dizziness, mental confusion, and loss of consciousness where the patient does not recognize people. After a short while, they regain awareness spontaneously, but the episode recurs after a long interval. This is called "Feng Jing" (Wind Spasm), also known as "Zi Xian" (Eclampsia of Pregnancy), or "Zi Mao". In severe cases, it may present with opisthotonos (arching of the back).
Li Zhai (Xue Ji) states: For the aforementioned symptoms, if caused by Wind-Heat in the Heart and Liver, use Gouteng Tang (Uncaria Decoction). If due to Blood Deficiency in the Liver and Spleen, use Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder). If due to Stagnation and Anger in the Liver and Spleen, use Jia Wei Gui Pi Tang (Modified Restore the Spleen Decoction). If due to Qi Rebellion and Phlegm Stagnation, use Zisu Yin (Perilla Infusion). If due to Liver Fire and Wind-Heat, use Gouteng San (Uncaria Powder). If due to Spleen Stagnation and Phlegm Stagnation, use Er Chen Tang (Two-Aged Powder) added with Zhuli (Bamboo Sap) and Jiangzhi (Ginger Juice). If there are mixed accompanying symptoms, one should refer to the section on "Zi Fan" (Pregnancy Restlessness).
The *Daquan* states: An孕妇's inability to speak is not necessarily a disease. Occasionally, this occurs; medication is not required. In the month preceding delivery, simply administering drugs such as Zisheng Wan (Nourishing Life Pills) or Siwu Tang (Four Substances Decoction) will allow speech to return naturally after childbirth. This is a natural principle, not a result of medicinal efficacy. The Yellow Emperor asked: Why do some women lose their voice during the ninth month of pregnancy? Qibo answered: It is because the collaterals of the uterus are obstructed. The Emperor asked: How do you explain this? Qibo said: The uterine collaterals connect to the Shaoyin meridian of the Kidney, which passes through the Kidney and connects to the root of the tongue; therefore, speech is impaired. The Emperor asked: How should it be treated? Qibo said: No treatment is needed; it will recover naturally in the tenth month.
The *Daquan* states: The Lung governs Qi internally and controls the skin and hair externally. If the skin and hair are not dense, Cold pathogens can invade, leading to Ke Sou (Cough). (The Lung belongs to Metal and is the canopy of the five Zang organs; it is also a delicate organ. When other Zang-Fu organs are invaded by pathogens, they transform into Fire. Excessive Fire inevitably scorches Metal; thus, pathogenic invasion of any Zang-Fu organ invariably affects the Lung.) In autumn, the Lung is affected; in spring, the Liver; in summer, the Heart; in winter, the Kidney. If coughing persists, the pathogen transmits to the Fu organs; if chronic coughing persists, it damages the fetus.
Shi (Xue) states: For the aforementioned symptoms, if Wind pathogens injure the Lung in autumn, use Jin Fei Cao San (Boiling Dust Grass Powder) for miscellaneous coughs. In summer, if Fire overacts on Metal, use Renshen Pingfei San (Ginseng Lung-Pacifying Powder) for miscellaneous wheezing. In winter, if Cold pathogens injure the Lung, use Renshen Baidu San (Ginseng Rescue the Toxicity Powder) for miscellaneous dampness injuries. In spring, if Wind pathogens injure the Lung, use Shen Su Yin (Ginseng and Perilla Infusion) for miscellaneous fevers. If there is Qi and Blood Deficiency in the Spleen and Lung, use Liu Jun Zi Tang (Six Gentlemen Decoction) plus Chuanxiong, Danggui, and Jiegeng. If there is Blood Deficiency, use Siwu Tang plus Sangbai pi, Xingren, and Jiegeng. If Kidney Fire flares upward, use Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) added with Wuweizi, decocted and taken orally. If there is Qi Deficiency in the Spleen and Stomach injured by Wind-Cold, use Buzhong Yiqi Tang (Middle-Boosting Qi-Invigorating Decoction) plus Sangbaipi, Xingren, and Jiegeng. Generally, the Lung belongs to Xin Metal, born from Ji Earth. Chronic coughs that do not heal are often due to Spleen Earth deficiency failing to generate Lung Qi, leading to loose interstices and secondary external pathogenic invasion. Or, it may be due to Lung Qi deficiency failing to generate Kidney Water, resulting in the flaming up of Yin Fire. The treatment method should prioritize clearing Lung Metal and generating Kidney Water.