【歌】妇人无故忽悲伤，不是神灵不是狂，脏躁欠伸谁识得，长沙传下麦甘汤。
【论】妇人脏躁悲伤欲哭，像如鬼神所作，数欠身，甘草小麦大枣汤主之。盖心虚则悲伤，悲伤则心动，心
动则宗脉感而液道开，令人欲哭，过甚则宗气消而荣卫不利，阴阳相引而作欠伸也。《产宝》曰∶喜属阳心主之，
怒属阴肝主之，妇人禀性阴柔，故喜常少而怒常多，或悲泣不止，皆阴类也。有似神灵所凭，皆因所欲不遂，思
极伤心故也。
【脉】精气并于肺则悲，脉必浮涩而短，设或洪大，肺被火克也。
【方】
甘麦大枣汤
甘草（三两） 小麦（一升） 大枣（十枚） 水（六升）
煮三升，去渣分三次服。
立斋曰∶前症有寒水攻心者，有肺受风邪者，治当审察，无执一方。
【歌】只因经络着风寒，痰结咽中吞吐难，久久不除成噎隔，早宜四七破棺丹。
【论】仲景曰∶妇人咽中炙 ，半夏浓朴汤主之。孙真人曰∶咽中帖帖如有炙肉，吐之不出，吞之不下，含生
姜片五十日愈，以意逆之，当是寒伤经络，气血不和，浮于咽中，妇人血分受寒多，积冷气，故有此症。予用破
棺丹噙化频咽之，曾治数人多效。盖喉侯也，喉出天气，咽者咽也，咽出地气，故喉为呼吸之门，咽乃水谷之路，
其或忧思内结，风冷外侵，痰气隔塞，逆于喉咙，妨碍饮食，久之而成翻胃、噎隔者有矣。
【脉】浮滑风痰，沉涩气郁，弦数紧涩，终为不吉。
【方】
半夏浓朴汤
半夏（一升） 浓朴（三两） 茯苓（四两） 生姜（五两） 紫苏（二两）
水七升煮四升，分四服每日一服。
四七汤即前方而分两不同。
二气散
山栀（炒） 干姜（炮）
等分为末，砂仁汤下二钱。
[Verse]
Women suddenly feel sorrowful without cause; this is not possession by spirits nor madness. Who can recognize the symptoms of Zangzao (Visceral Agitation), such as yawning and stretching? This is the Maigan Tang (Wheat and Licorice Decoction) passed down from Changsha (Zhang Zhongjing).
[Discussion]
Women suffering from Zangzao (Visceral Agitation) experience sorrow and a desire to cry, appearing as if possessed by spirits, with frequent yawning and stretching. They should be treated with Gancao Xiaomai Dazao Tang (Licorice, Wheat, and Jujube Decoction). This occurs because Heart Qi deficiency leads to sorrow; sorrow agitates the Heart Qi; when Heart Qi is agitated, the Zong Mai (Master Vessels) are affected, opening the fluid pathways, causing the urge to cry. If severe, it consumes Zong Qi (Gathering Qi), leading to poor circulation of Ying Wei (Nutritive and Defensive Qi), and the mutual attraction of Yin and Yang results in yawning and stretching. The *Chanbao* states: Joy belongs to Yang and is governed by the Heart; Anger belongs to Yin and is governed by the Liver. Women have a Yin-soft constitution, so they experience joy less often and anger more often. Unremitting sorrow or weeping all belong to the Yin category. These symptoms may seem like spiritual possession, but they are actually caused by unfulfilled desires and excessive thinking that damages the Heart.
[Pulse Diagnosis]
When Essence and Qi congregate in the Lung, sorrow arises. The pulse must be Floating, Choppy, and Short. If it is Surging and Large, it indicates the Lung is being overcome by Fire.
[Formula]
Gancao Xiaomai Dazao Tang (Licorice, Wheat, and Jujube Decoction)
Gancao (Licorice Root, 3 liang)
Xiaomai (Wheat, 1 sheng)
Dazao (Jujube, 10 pieces)
Water (6 sheng)
Boil until reduced to 3 sheng, remove the dregs, and divide into three doses.
Xue Lizhai said: For the aforementioned conditions, some are caused by Cold Water attacking the Heart, while others are due to Wind-Evil affecting the Lung. Treatment requires careful examination; do not rigidly adhere to a single formula.
[Verse]
It is merely because the meridians are affected by Wind-Cold, phlegm knots in the throat making swallowing difficult. If not removed for a long time, it becomes Yige (Dysphagia/Obstruction). Early use of Siqi Po Guan Dan (Four-Seven Coffin-Breaking Pill) is advisable.
[Discussion]
Zhang Zhongjing said: When women feel a foreign body sensation in the throat (like a roasted meat piece), Banxia Houpo Tang (Pinellia and Magnolia Bark Decoction) should be used. Sun Simiao said: A feeling of tightness in the throat, as if there were a piece of roasted meat stuck there, which cannot be spat out or swallowed down, can be cured by holding fresh ginger slices in the mouth for fifty days. Inferring from this, it is likely that Cold has injured the meridians, causing Qi and Blood disharmony, floating stagnation in the throat. Women's Blood aspect is prone to Cold, accumulating Cold Qi, thus presenting this syndrome. I used Po Guan Dan (Coffin-Breaking Pill), frequently dissolving and swallowing it, and successfully treated several cases. The Hou (Throat) is the gate of respiration, emitting Heaven Qi; the Yan (Pharynx) is the passage for swallowing, emitting Earth Qi. Thus, the Hou is the door of breath, and the Yan is the path for food and drink. If internal knotting of worry and thought combines with external invasion of Wind-Cold, Phlegm and Qi obstruct and reverse in the throat, hindering eating and drinking. Over time, this can lead to Fanwei (Regurgitation) or Yige (Dysphagia/Obstruction).
[Pulse Diagnosis]
Floating and Slippery indicates Wind-Phlegm; Deep and Choppy indicates Qi Stagnation; Wiry, Rapid, Tight, and Choppy pulses are ultimately inauspicious.
[Formula]
Banxia Houpo Tang (Pinellia and Magnolia Bark Decoction)
Banxia (Pinellia Tuber, 1 sheng)
Houpo (Magnolia Bark, 3 liang)
Fuling (Poria, 4 liang)
Shengjiang (Fresh Ginger, 5 liang)
Zisu (Perilla Leaf, 2 liang)
Boil in 7 sheng of water to obtain 4 sheng, divide into four doses, one dose per day.
Siqi Tang (Four-Seven Decoction) is the same as the above formula but with different dosages.
Erqi San (Two-Qi Powder)
Zhizi (Gardenia Fruit, stir-fried)
Ganjiang (Dried Ginger, processed)
Grind into equal parts powder, take 2 qian with Shaoren (Amomum) decoction.