答曰。烦有四证。有心中烦。有胸中烦。有虚烦。有子烦。诸如此者。皆热也。若脏虚而热
气乘心。则令心烦。但烦热而已。别无他证者。名曰虚烦。若积痰饮而呕吐涎沫者。谓之胸
中烦。或血饮停积。虚热相搏。以其妊娠而烦。故谓之子烦也。
犀角散。治妊娠心烦热闷。
犀角屑 地骨皮 黄芩 麦门冬 赤茯苓(各一两) 甘草(炙半两)
上为饮子。每服四钱。水盏半。煎八分。去滓。入竹沥一合。更煎数沸。温服不拘时。
当归饮子。治妊娠胎动。心烦热闷。
当归 芎 阿胶 豆豉 桑寄生(各半两) 葱白(七茎)
上为饮子。每服三钱。水二盏。煎八分。去滓温服。不拘时。
竹沥汤。疗妊娠常苦烦闷。此子烦也。
竹沥(二合) 防风(三两) 黄芩(三两) 茯苓(四两) 麦门冬(三两)
上为饮子。水四升。合竹沥煮取二升半。分三服。不瘥重作。
答曰。肺主气。外合皮毛。风寒外感入射于肺。故为咳也。有涎者谓之嗽。无痰者名曰咳。
夫五脏六腑。俱受气于肺。各以其时。感于寒而为病也。秋则肺受之。冬则肾受之。春则肝
受之。夏则心受之。长夏则脾受之。长夏者。夏末秋初也。诸藏不已。各传于腑也。妊娠
而嗽者。谓之子嗽。久而不已。则伤胎。
天门冬汤。治恶热咽燥。脉数咳嗽。甚则咯血。
天门冬(半两) 紫菀 知母(各一两) 桑白皮 五味子 桔梗
上为饮子。每服五钱。水二盏。煎一盏。去滓温服。有血者。加阿胶半两。大便涩而喘者。
加葶苈半两。
百合散。治妊娠咳嗽。心胸不利。烦闷不欲饮食。
百合 紫菀 麦门冬 桔梗 桑白皮(各一两) 甘草(炙半两)
上为 咀。每服四钱。水盏半。入竹茹一分。煎八分。去滓。入蜜半匙。更煎三四沸方可。
不拘时候温服。
缓息丹。治肺气不调。痰壅咳嗽。上气喘满。咳嗽唾痰沫。日夕不安止。
半夏曲(二两半夏汤洗七次研成末姜汁和候干再为末姜汁再和共七八次取吃之不辣为度) 橘
红(五钱) 天门冬(半两) 杏仁(一两去皮尖别研成霜)
上三味为末。次拌研细杏仁霜。炼蜜和。每两分十五丸。每服一丸。随津调之。食后服。
Answer: There are four types of "fan" (restlessness/irritability). There is heart fan, chest fan, deficiency fan, and zi fan (pregnancy-related restlessness). All such conditions belong to heat syndromes. If the zang organs are deficient and heat qi attacks the heart, it causes heart fan; if it presents only with restlessness and heat without other symptoms, it is called deficiency fan. If there is accumulated phlegm-fluid causing vomiting of saliva, it is called chest fan. If blood-fluid stagnates and combats with deficiency heat, causing restlessness during pregnancy, it is called zi fan.
Xijiao San (Rhinoceros Horn Powder). Treats pregnancy-related heart restlessness, heat, and oppression.
Xi Jiao Xiao (Rhinoceros Cornu Fragment), Digupi (Lycium Bark), Huangqin (Scutellaria Root), Maimendong (Ophiopogon Tuber), Chifuling (Red Poria) (each 1 liang), Gancao Zhi (Honey-fried Licorice Root) (0.5 liang).
Grind the above into a decoction powder. Take 4 qian per dose, with 1.5 cups of water, boil to 0.8 cup, strain, add Zhuli (Bamboo Sap) 1 he, boil for a few more boils, take warm at any time.
Danggui Yinzi (Angelica Decoction). Treats pregnancy-related fetal movement, heart restlessness, heat, and oppression.
Danggui (Angelica Sinensis Root), Xiong (Ligusticum Rhizome), Ejiao (Donkey-hide Gelatin), Douchi (Fermented Soybean), Sangjisheng (Taxillus Branch) (each 0.5 liang), Congbai (Green Onion White) (7 stalks).
Grind the above into a decoction powder. Take 3 qian per dose, with 2 cups of water, boil to 0.8 cup, strain, take warm at any time.
Zhuli Tang (Bamboo Sap Decoction). Treats chronic restlessness and oppression in pregnancy, which is zi fan.
Zhuli (Bamboo Sap) (2 he), Fangfeng (Saposhnikovia Root) (3 liang), Huangqin (Scutellaria Root) (3 liang), Fuling (Poria) (4 liang), Maimendong (Ophiopogon Tuber) (3 liang).
Grind the above into a decoction powder. Use 4 sheng of water, combine with bamboo sap, boil to obtain 2.5 sheng, divide into three doses. If not cured, prepare again.
Answer: The Lung governs qi and connects externally with the skin and hair. Wind-cold invading from outside penetrates the Lung, thus causing cough. Cough with saliva is called sou (phlegm-cough); cough without phlegm is called ke (dry cough). The qi of the five zang and six fu organs is derived from the Lung. Each organ contracts cold pathogens at its respective season to become diseased. In autumn, the Lung is affected; in winter, the Kidney; in spring, the Liver; in summer, the Heart; in late summer (the period between summer and autumn), the Spleen. If the disease persists in one zang, it transmits to the fu organs. Cough occurring during pregnancy is called zi ke (pregnancy-related cough). If prolonged and unresolved, it will damage the fetus.
Tianmendong Tang (Asparagus Root Decoction). Treats aversion to heat, dry throat, rapid pulse, cough, and severe cases involving hemoptysis.
Tianmendong (Asparagus Tuber) (0.5 liang), Ziwan (Aster Root), Zhimu (Anemarrhena Rhizome) (each 1 liang), Sangbaipi (Mulberry Root Bark), Wuweizi (Schisandra Fruit), Jiegeng (Platycodon Root).
Grind the above into a decoction powder. Take 5 qian per dose, with 2 cups of water, boil to 1 cup, strain, take warm. If there is bleeding, add Ejiao (Donkey-hide Gelatin) 0.5 liang; if there is constipation and wheezing, add Tinglizi (Descurainia Seed) 0.5 liang.
Baihe San (Lily Powder). Treats pregnancy-related cough, chest discomfort, restlessness, and loss of appetite.
Baihe (Lily Bulb), Ziwan (Aster Root), Maimendong (Ophiopogon Tuber), Jiegeng (Platycodon Root), Sangbaipi (Mulberry Root Bark) (each 1 liang), Gancao Zhi (Honey-fried Licorice Root) (0.5 liang).
Cut the above into small pieces. Take 4 qian per dose, with 1.5 cups of water, add Zhuru (Bamboo Shavings) 1 fen, boil to 0.8 cup, strain, add half a spoonful of honey, boil for three or four more boils. Take warm at any time.
Huanshi Dan (Calming Breath Pill). Treats disharmony of Lung qi, phlegm obstruction causing cough, upper body wheezing and fullness, coughing up frothy sputum, and restlessness day and night.
Banxia Qu (Pinellia Fermented Dough) (2 liang, prepared by washing Banxia seven times in decoction, grinding into powder, mixing with Ginger Juice, drying, repeating grinding and mixing until no longer pungent), Juhong (Citrus Reticulata Peel) (5 qian), Tianmendong (Asparagus Tuber) (0.5 liang), Xingren (Apricot Seed) (1 liang, peeled, de-veined, ground separately into paste).
Grind the above three ingredients into fine powder, mix with the finely ground Apricot Seed paste, and bind with refined honey to form pills. Each liang of powder makes 15 pills. Take one pill per dose, mixed with saliva, taken after meals.