孕妇口噤项强。手足缩挛。言语謇涩。痰涎壅盛，不省人事。可作中风治。用羚羊角散。若
无痰言语如常。但见似中风症。多是血燥类风。切不可以风治。误人性命。
有毒药伤胎。状类中风。牙关紧闭。口不能言。两手强直握拳。头低自汗。身微热。其脉浮
而软。若作中风治。必死。宜用白扁豆二两。生去皮为末。取新汲水调下。立愈。
中风症中腑者。多着四肢。脉浮恶寒。拘急不仁。宜汗之。中脏者多着七窍。唇缓失音。耳
聋鼻塞。宜下之。表里皆和。宜治在经。以大药养之。而佐以安胎。
(〔吴按〕中风有真类之分。中脏者多不治。若中腑血脉经络为真中。而中皮毛偏枯。为类
中。肥人居多。又有瘦人血虚火燥。木旺生风。为内风。虚风。尤难调理。更有遍身关节走
痛。为历节风。盖风为百病之长。变态最多。当寻源施治。况胎产遇此危症。尤当立方周到
。庶可保全母子性命也。)
孕妇中风。
防风 葛根(各二钱) 桑寄生 羚羊角(各三钱) 细辛(四分) 当归(三钱) 菊花(一钱五
分) 汉防己(钱半) 秦艽(钱半) 桂心(六分) 茯神(三钱) 甘草(一钱) 和匀。每服八
钱。加姜五片煎好。入竹沥半合温服。
(〔吴按〕以朱砂雄黄末酒冲服。外以艾灸手足大指尖上。)
A pregnant woman presents with lockjaw (trismus) and stiff neck. Contraction and spasms of the hands and feet. Slurred and hesitant speech. Profuse phlegm and saliva, unconsciousness. This can be treated as Stroke (sudden collapse, loss of consciousness, accompanied by facial paralysis or hemiplegia). Use Lingyangjiao San (Antelope Horn Powder). If there is no phlegm and speech is normal, but symptoms resembling stroke are observed, this is mostly a wind-like syndrome caused by blood dryness (internal wind generated by Yin-blood deficiency), not external wind pathogen. It must not be treated as wind; doing so will prove fatal.
There are toxic drugs that damage the fetus. The condition resembles stroke: tight jaw. Inability to speak. Hands rigidly clenched into fists. Head drooping with spontaneous sweating. Slight fever. The pulse is floating and soft. If treated as stroke, death is inevitable. It is appropriate to use two liang of White Kidney Bean (Dolichos Lablab Semen), raw, peeled, and ground into powder. Mix with fresh well water and take orally; recovery will be immediate.
In stroke affecting the Fu organs, it often involves the four limbs. The pulse is floating with aversion to cold. Limbs are cramped, stiff, and insensible. Sweating method should be used. In stroke affecting the Zang organs, it often involves the seven orifices. Flaccid lips and aphonia. Deafness and nasal congestion. Purging method should be used. When both exterior and interior are harmonious, treatment should focus on the meridians, nourishing the body with major herbs, assisted by fetal-calming methods.
(Wu's Commentary: There is a distinction between true stroke and stroke-like syndromes. Stroke affecting the Zang organs is mostly incurable. If affecting the Fu organs, involving blood vessels and meridians, it is true stroke; whereas affecting skin and hair with hemiplegia, it is stroke-like syndrome, common in obese individuals. Thin individuals may suffer from internal wind due to blood deficiency and fire dryness, where hyperactive Liver Wood generates wind, known as internal wind or deficient wind, which is particularly difficult to regulate. Furthermore, wandering pain throughout all joints is called Li Jie Feng (Periarthritis/Arthralgia). Wind is the chief of all diseases, with numerous variations; one must trace the source to treat accordingly. Especially when pregnant women encounter such critical conditions during childbirth, prescriptions must be comprehensive to ensure the safety of both mother and child.)
Stroke in pregnant women.
Fangfeng (Saposhnikoviae Radix), Gegen (Puerariae Lobatae Radix) (each 2 qian); Sangjisheng (Taxilli Caulis), Lingyangjiao (Saigae Tataricae Cornu) (each 3 qian); Xixin (Asari Radix et Rhizoma) (4 fen); Danggui (Angelicae Sinensis Radix) (3 qian); Juhua (Chrysanthemi Flos) (1.5 qian); Hanfangji (Stephaniae Tetrandrae Radix) (1.5 qian); Qinjiao (Gentianae Macrophyllae Radix) (1.5 qian); Guixin (Cinnamomi Cortex) (6 fen); Fushen (Poria cum Radix Pini) (3 qian); Gancao (Glycyrrhizae Radix et Rhizoma) (1 qian). Mix evenly. Take 8 qian per dose, add five slices of ginger, decoct, add Zhuli (Bambusae Succus) half he, and take warm.
(Wu's Commentary: Administer Cinnabaris (Zhusha) and Realgar (Xionghuang) powder mixed with wine externally apply moxibustion to the tips of the great toes and fingers.)