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Zhang Zhongjing stated: In women suffering from Zang Zao (Visceral Dryness), there are symptoms of sorrow and a desire to cry, presenting as if possessed by spiritual entities, accompanied by frequent yawning and stretching. It should be treated with Gancao Xiaomai Dazao Tang (Licorice, Wheat, and Jujube Decoction).

Xu Xueshi said: There was a woman who repeatedly wept uncontrollably without any apparent cause. Some suggested she was afflicted by malevolent spirits, so various prayers and exorcisms were performed extensively, but to no avail. I recalled that this syndrome was recorded in the *Jingui Yaolue* (Essential Prescriptions from the Golden Cabinet), so I urgently prescribed medicine. After completing one dose, she recovered. The ingenuity of ancient physicians in recognizing diseases and formulating prescriptions is truly remarkable.

Chen Liangfu said: I recall Mr. Guan treating a pregnant woman at four or five months gestation who suffered from Zang Zao with sorrowful crying. During the day, she appeared desolate and shed tears as if supported by something unseen. She was cured after being administered Zhang Zhongjing's Dazao Tang (Jujube Decoction, referring to Gancao Xiaomai Dazao Tang).

Xue Lizhai said: There was a pregnant woman who felt sorrowful and irritable. When her husband asked about it, she replied that she had no specific reason but simply wished to grieve alone. He used Zhang Zhongjing's formula, combined with Danzhuru Tang (Bamboo Shave Decoction), assisted by Bazhen Tang (Eight Treasures Decoction). However, regarding the aforementioned syndromes, some may be caused by Cold Water attacking the Heart, or Wind-Evil residing in the Lungs; these must be carefully examined before treatment.

Shenzhai commented: The above four cases describe the syndrome of Zang Zao with sorrowful crying. The entries by Zhang Zhongjing and Xu Xueshi generally discuss the pathogenesis. The entries by Liangfu and Lizhai focus on manifestations during pregnancy. Unprovoked sorrow belongs to Lung disease. "Zang Zao" refers to the dryness of the Lung organ. During pregnancy, Qi and Blood are abundant to nourish the fetal origin, which prevents body fluids from adequately moistening, causing the Lungs to become dry. When the Lungs are dry, one should tonify their mother organ (the Spleen); therefore, Gancao (Licorice) and Dazao (Jujube) are used to tonify the Spleen. If one uses Bazhen Tang (Eight Treasures Decoction) to tonify Qi and Blood as Lizhai did, it indeed supplements what previous scholars left incomplete.

The *Daquan* (Complete Works) states: For pregnant women whose abdomens emit rumbling sounds like insects, use soil from the front and back of mouse burrows, grind it into fine powder, mix with Moschus (Musk), and take with wine for immediate relief.

The *Chanbao* (Treasure of Obstetrics) states: Sometimes a knot on the umbilical cord slips into the fetus's mouth. This occurs because the pregnant woman climbs high and raises her arms, causing the cord to slip out of the fetus's mouth, creating noise. To resolve this, have the pregnant woman bend her waist to the ground, as if picking up an object, allowing the cord to re-enter the fetus's mouth, at which point the sound stops. It also states that for fetal crying within the womb, the same method using soil from mouse holes in empty houses, decocted thickly with Chuan Huanglian (Coptis Chinensis), can stop the crying.

Shenzhai commented: The rumbling sound in the pregnant woman's abdomen is of the same category as fetal crying; thus, the treatment in the *Daquan* is no different. Lizhai noted: Huanglian (Coptis Rhizome) is cold in nature, and Moschus (Musk) opens orifices. These should be used with discretion. Ultimately, what kind of syndrome is this? Diseases that are not recorded in the *Ling Shu* (Spiritual Pivot) and *Su Wen* (Basic Questions) of the *Huangdi Neijing* (Yellow Emperor's Inner Canon), yet are treated based on later physicians' subjective interpretations, cannot be deeply understood. Such cases are examples of this.