〔大〕夫妊娠忽然心腹刺痛，闷绝欲死者，谓之中恶。邪恶之气中胎，伤于人也。所
以然者，血气自养而为精神之主。若血气不和，则精神衰弱，故邪毒之气得以中之，妊
娠之病，亦致损胎也。
〔薛〕前证当调补正气为善，用金银藤一味煎汤饮之。
当归散 治妊娠中恶，心腹 痛。
当归 丁香 川芎（各三两） 青橘皮（二两） 吴茱萸（半两，去梗汤泡三次，炒黑）
上为细末，无时，温酒调一钱。
又方 生干地黄（一两） 枳壳 木香（各七钱半） 为细末，每服一钱，酒调下。
又方 苦梗（二两，细锉略炒） 生姜（半两） 水煎服之。
《补遗》治妊娠中恶，心腹绞急切痛，如鬼击之状，不可按摩，或吐血，或衄血者，用
熟艾（如拳大。）煮汁频服。
又方 用盐一盏，水二盏，调和服，以冷水 之，吐出即安。
又方 灶心土为末，每二钱，井水调服，白汤调亦可。
又法 取汗衣，用男子贴体久染汗者佳。烧灰存性，百沸汤调服。
〔大〕论曰∶夫四时八方之气为风也，常以冬至之日候之，若从其乡来者，长养万
物。若不从其乡来者，名为虚邪，贼害万物，人体虚则中之。若风邪客于皮肤，入于经络，
即顽痹不仁。若入于筋脉，挟寒则挛急 僻，挟温客弛纵。若入脏腑，则恍惚惊悸。凡五
脏俞皆在背，脏腑虚寒，邪皆从俞而入，随所伤脏腑经络而为诸病，妊娠中风，若不早
治，则令堕胎也。
〔薛〕按《病机机要》云∶风本为热，热胜则风动，宜以静胜其躁，是亦养血也。治
法须少汗，亦宜少下，多汗则虚其卫，多下则损其荣，虽有汗下之戒，而有中脏、中腑
之分。中腑者多着四肢，则脉浮恶寒，拘急不仁。中脏者多着九窍，则唇缓失音，耳聋
鼻塞，目瞀便秘。中腑者宜汗之，中脏者宜下之，表里已和，宜治在经，当以大药养之，
此中风要法。妊妇患之，亦当以此施治，而佐以安胎之药。
防风散 治妊娠中风卒倒，心神闷乱，口噤不能言，四肢急强。
防风（去芦） 葛根 桑寄生（各一两） 羚羊角屑 细辛（去苗） 当归（去芦）
甘菊花 汉防己（去皮） 秦艽（去芦） 桂心 茯神（去木） 甘草（炙，各半两）
上为 咀，每服八钱，水一中盏半，生姜五片，煎至一大盏，去滓入竹沥半合，搅
匀，温服无时。
生犀角散 治妊娠卒中风不语，四肢强直，心神 愦。
牛犀角屑 麻黄（去节，各一两） 防风（去芦） 赤箭 羌活 当归 人参（各去芦）
葛根 赤芍药（各七钱半） 甘草（炙） 秦艽（各半两） 石膏（一两半）
上为 咀，每服八钱，煎服法如前。
防己散 治妊娠中风，口眼 斜，手足顽痹。
防己（去皮） 羌活 防风（各去芦） 麻黄（去节） 黄松木节 羚羊角（屑，各一两）
桂心 荆芥穗 薏苡仁 桑寄生 甘草（炙，各半两）
上 咀，每服五钱，水一中盏半，生姜五片，煎至一大盏，去滓温服，不拘时候。
独活散 治妊娠因洗头中风，身体强硬，牙关紧急，失音不语，并皆治之。
独活（去芦） 赤箭 麻黄（去节） 阿胶（各一两，炒） 乌犀角屑 羌活（去芦） 防风（去芦）
天蓼木 白附子（炮，各七钱半） 汉防己（去皮） 桂心 芎 白僵蚕（微炒，各半两）
龙脑（二钱半，细研）
上为细末，入研药令匀，每服二钱，薄荷汤调下，不拘时。
白僵蚕散 治妊娠中风口噤，心膈痰涎壅滞，言语不得，四肢强直。
白僵蚕（炒） 天麻 独活（去芦，各一两） 麻黄（去节，一两半） 乌犀角屑（七钱半）
白附子（炮） 半夏（汤洗七次，姜制） 天南星（炮） 藿香（各半两） 龙脑（二钱半，研）
上为细末，入研药令匀，每服一钱，生姜、薄荷汤调下，不拘时日，三服。
赤箭丸 治妊娠中风，手足不随，筋脉缓急，言语謇涩，皮肤不仁。
赤箭 萆 （酒浸） 麻黄（去节） 独活（去芦） 鼠粘子 熟干地黄 羚羊角（屑，各一两）
阿胶（炒） 防风（去芦） 芎 当归（炒，去芦） 薏苡仁 五加皮 秦艽（去芦） 汉防己（去皮）
柏子仁 酸枣仁（炒） 丹参（去芦，各七钱半）
上为细末，炼蜜和捣三五百下，丸如梧子大。每服三十丸，豆淋酒送下，食前。
白术酒 治妊娠中风口噤，语言不得。
白术（一两半） 独活（一两） 黑豆（一合，炒）
上细锉，以酒三升，煎取一升半，去滓温，分四服。口噤者拗口灌之，得汗即愈。
治妊娠因感外风如中风状，不省人事。
熟艾（三两） 陈米醋炒令极热，以绢帛裹熨脐下，良久即省。
[Da] If a pregnant woman suddenly experiences severe stabbing pain in the heart and abdomen, suffocation, and fainting to the point of death, it is termed Zhong'e (Sudden Evil Invasion). This occurs when evil qi invades the fetus and harms the body. The reason for this is that blood and qi naturally nourish the mother and serve as the master of spirit. If blood and qi are disharmonious, spirit becomes weak, allowing toxic evil qi to invade. Such diseases during pregnancy can also damage the fetus.
[Xue] For the aforementioned symptoms, it is best to regulate and tonify healthy qi. Use a decoction of Lonicerae Japonicae Herba (Jinyinhua, 金银花) alone for drinking.
Danggui San (Angelica Decoction): Treats Zhong'e during pregnancy with heart and abdominal pain.
Ingredients: Radix Angelicae Sinensis (Danggui, 当归), Rhizoma Tingitae (Dingxiang, 丁香), Radix Chuanxiong (Chuanxiong, 川芎) (each 3 liang), Pericarpium Citri Reticulatae Viride (Qingjupi, 青橘皮) (2 liang), Fructus Evodiae (Wuzhuyu, 吴茱萸) (0.5 liang, remove stalks, soak in water three times, stir-fry until black).
Preparation and Administration: Grind into fine powder. Take 1 qian at any time, mixed with warm wine.
Another prescription: Radix Rehmanniae Preparata (Shengshengdihuang, 生干地黄) (1 liang), Fructus Aurantii (Zhiqiao, 枳壳), Radix Aucklandiae (Muxiang, 木香) (each 7.5 qian).
Preparation and Administration: Grind into fine powder. Take 1 qian each time, mixed with wine.
Another prescription: Radix Platycodi (Kujie, 桔梗) (2 liang, finely cut and slightly stir-fried), Rhizoma Zingiberis Recens (Shengjiang, 生姜) (0.5 liang).
Preparation and Administration: Decoct in water and take.
Supplement records: Treats Zhong'e during pregnancy with twisting and urgent pain in the heart and abdomen, resembling a ghost strike, where massage is contraindicated, or accompanied by hematemesis or epistaxis. Use Folium Artemisiae Argyi (Shuai'ai, 熟艾) (size of a fist), boil to make juice, and take frequently.
Another prescription: Use 1 chalice of salt and 2 chalices of water, mix and take. Spray with cold water; vomiting will bring relief.
Another prescription: Powdered Caudex Caulis Fossiliae (Zaoxintu, 灶心土). Take 2 qian each time, mixed well water. White boiled water may also be used.
Another method: Take sweat-stained clothing, preferably from a man worn close to the body for a long time. Burn to ash but preserve its nature. Mix with boiling water and take.
[Da] Discussion states: The qi from the eight directions across four seasons constitutes wind. It is usually observed on the day of Winter Solstice. If it comes from its native direction, it nurtures all things. If not from its native direction, it is called Empty Evil, which harms all things. When the human body is deficient, it is invaded. If wind evil lodges in the skin and enters the meridians, it causes stubborn bi-syndrome with numbness and insensitivity. If it enters sinews and vessels, accompanying cold causes spasms and deviation; accompanying warmth causes flaccidity. If it enters zang-fu organs, it leads to trance and palpitations. All five zang-shu points are located on the back. When zang-fu organs are deficient and cold, evil enters via these shu points, causing various diseases according to the affected zang-fu and meridians. Wind stroke during pregnancy, if not treated early, will cause miscarriage.
[Xue] According to "Jingji Yao" (Essentials of Pathogenesis): Wind is essentially heat; when heat prevails, wind moves. One should use stillness to overcome restlessness, which is also a method of nourishing blood. Treatment methods must involve mild sweating and mild purging. Excessive sweating depletes Wei Qi (Defensive Qi); excessive purging damages Ying Blood (Nutritive Blood). Although there are taboos against sweating and purging, there is a distinction between Zhong Zang (Invading Zang) and Zhong Fu (Invading Fu). Zhong Fu often affects the four limbs, presenting with floating pulse, aversion to cold, stiffness, and numbness. Zhong Zang often affects the nine orifices, presenting with relaxed lips and loss of speech, deafness, nasal congestion, blurred vision, and constipation. Zhong Fu is suitable for sweating; Zhong Zang is suitable for purging. Once exterior and interior are harmonized, treatment should focus on the meridians, using major medicines to nourish. This is the key method for treating wind stroke. Pregnant women suffering from this should be treated accordingly, assisted by fetal-anchoring medicines.
Fangfeng San (Saposhnikovia Decoction): Treats sudden collapse due to wind stroke during pregnancy, mental confusion, locked jaw unable to speak, and stiff limbs.
Ingredients: Radix Saposhnikoviae (Fangfeng, 防风) (remove rhizome), Radix Puerariae Lobatae (Gegen, 葛根), Ramulus Taxilli (Sangjisheng, 桑寄生) (each 1 liang), Cornu Saigae Tataricae (Lingyangjiao, 羚羊角), Radix Asari (Xixin, 细辛) (remove seedlings), Radix Angelicae Sinensis (Danggui, 当归) (remove rhizome), Flos Chrysanthemi Indici (Ganjuhua, 甘菊花), Radix Stephaniae Tetrandrae (Hanfangji, 汉防己) (remove bark), Radix Gentianae Macrophyllae (Qinjiao, 秦艽) (remove rhizome), Cortex Cinnamomi (Guixin, 桂心), Radix Polygalae (Fushen, 茯神) (remove wood), Radix Glycyrrhizae Preparata (Gancao, 甘草) (stir-fried, each 0.5 liang).
Preparation and Administration: Cut into pieces. Take 8 qian each time, with 1.5 chalices of water and 5 slices of fresh ginger. Decoct to 1 chalice, strain, add 0.5 he of Bamboo Juice (Zhuli, 竹沥), mix well, and take warm at any time.
Sheng Xijiao San (Fresh Rhinoceros Horn Decoction): Treats sudden inability to speak due to wind stroke during pregnancy, limb rigidity, and mental confusion.
Ingredients: Cornu Bubali (Niuxijiao, 牛犀角 - note: modern substitute likely Buffalo Horn), Radix Ephedrae (Mahuang, 麻黄) (remove joints, each 1 liang), Radix Saposhnikoviae (Fangfeng, 防风) (remove rhizome), Radix Cicuta (Chijian, 赤箭), Radix Notopterygii (Qianghuo, 羌活), Radix Angelicae Sinensis (Danggui, 当归), Radix Ginseng (Renshen, 人参) (remove rhizome), Radix Puerariae Lobatae (Gegen, 葛根), Radix Paeoniae Rubra (Chishaoyao, 赤芍药) (each 7.5 qian), Radix Glycyrrhizae Preparata (Gancao, 甘草) (stir-fried), Radix Gentianae Macrophyllae (Qinjiao, 秦艽) (each 0.5 liang), Gypsum Fibrosum (Shigao, 石膏) (1.5 liang).
Preparation and Administration: Cut into pieces. Take 8 qian each time. Decoct as above.
Fangji San (Stephania Decoction): Treats wind stroke during pregnancy with facial paralysis and numbness/stiffness of hands and feet.
Ingredients: Radix Stephaniae Tetrandrae (Fangji, 防己) (remove bark), Radix Notopterygii (Qianghuo, 羌活), Radix Saposhnikoviae (Fangfeng, 防风) (remove rhizome), Radix Ephedrae (Mahuang, 麻黄) (remove joints), Node of Pinus Massoniana (Huangsongmujie, 黄松木节), Cornu Saigae Tataricae (Lingyangjiao, 羚羊角) (powder, each 1 liang), Cortex Cinnamomi (Guixin, 桂心), Herba Schizonepetae (Jingsheisui, 荆芥穗), Semen Coicis (Yiyiren, 薏苡仁), Ramulus Taxilli (Sangjisheng, 桑寄生), Radix Glycyrrhizae Preparata (Gancao, 甘草) (stir-fried, each 0.5 liang).
Preparation and Administration: Cut into pieces. Take 5 qian each time, with 1.5 chalices of water and 5 slices of fresh ginger. Decoct to 1 chalice, strain, and take warm. Do not restrict time.
Duhuo San (Angelica Pubescens Decoction): Treats wind stroke during pregnancy caused by washing hair, resulting in body stiffness, locked jaw, loss of voice, and muteness.
Ingredients: Radix Angelicae Pubescentis (Duhuo, 独活) (remove rhizome), Radix Cicuta (Chijian, 赤箭), Radix Ephedrae (Mahuang, 麻黄) (remove joints), Colla Corii Asini (Ejiao, 阿胶) (each 1 liang, stir-fried), Cornu Rhinocerotis (Wuxijiao, 乌犀角), Radix Notopterygii (Qianghuo, 羌活) (remove rhizome), Radix Saposhnikoviae (Fangfeng, 防风) (remove rhizome), Rhizoma Polygoni Multiflori (Tianliaomu, 天蓼木), Rhizoma Typhonii (Baifuzi, 白附子) (processed, each 7.5 qian), Radix Stephaniae Tetrandrae (Hanfangji, 汉防己) (remove bark), Cortex Cinnamomi (Guixin, 桂心), Radix Chuanxiong (Chuanxiong, 川芎), Bombyx Batryticatus (Baijiangcan, 白僵蚕) (lightly stir-fried, each 0.5 liang), Borneolum Syntheticum (Longnao, 龙脑) (2.5 qian, finely ground).
Preparation and Administration: Grind into fine powder, mix with ground ingredients evenly. Take 2 qian each time, mixed with Mint Decoction (Bohe Tang, 薄荷汤). Do not restrict time.
Baijiangcan San (Bombyx Decoction): Treats locked jaw due to wind stroke during pregnancy, phlegm-fluid retention in heart and diaphragm, inability to speak, and limb rigidity.
Ingredients: Bombyx Batryticatus (Baijiangcan, 白僵蚕) (stir-fried), Rhizoma Gastrodiae (Tianma, 天麻), Radix Angelicae Pubescentis (Duhuo, 独活) (remove rhizome, each 1 liang), Radix Ephedrae (Mahuang, 麻黄) (remove joints, 1.5 liang), Cornu Rhinocerotis (Wuxijiao, 乌犀角) (7.5 qian), Rhizoma Typhonii (Baifuzi, 白附子) (processed), Rhizoma Pinelliae (Banxia, 半夏) (washed in water seven times, prepared with ginger), Rhizoma Arisaematis (Tiannanxing, 天南星) (processed), Herba Agastaches (Huoxiang, 藿香) (each 0.5 liang), Borneolum Syntheticum (Longnao, 龙脑) (2.5 qian, ground).
Preparation and Administration: Grind into fine powder, mix with ground ingredients evenly. Take 1 qian each time, mixed with Ginger and Mint Decoction. Do not restrict time. Take three doses.
Chijian Wan (Cicuta Pill): Treats wind stroke during pregnancy with involuntary limb movement, varying tension in sinews and vessels, slurred speech, and skin numbness.
Ingredients: Radix Cicuta (Chijian, 赤箭), Rhizoma Dioscoreae Hypoglaucae (Bixie, 萆薢) (soaked in wine), Radix Ephedrae (Mahuang, 麻黄) (remove joints), Radix Angelicae Pubescentis (Duhuo, 独活) (remove rhizome), Semen Arctii (Shuniuzi, 鼠粘子), Radix Rehmanniae Preparata (Shudihuang, 熟干地黄), Cornu Saigae Tataricae (Lingyangjiao, 羚羊角) (powder, each 1 liang), Colla Corii Asini (Ejiao, 阿胶) (stir-fried), Radix Saposhnikoviae (Fangfeng, 防风) (remove rhizome), Radix Chuanxiong (Chuanxiong, 川芎), Radix Angelicae Sinensis (Danggui, 当归) (stir-fried, remove rhizome), Semen Coicis (Yiyiren, 薏苡仁), Cortex Acanthopanacis Senticosi (Wujiaopi, 五加皮), Radix Gentianae Macrophyllae (Qinjiao, 秦艽) (remove rhizome), Radix Stephaniae Tetrandrae (Hanfangji, 汉防己) (remove bark), Semen Platycladi (Baiziren, 柏子仁), Semen Ziziphi Spinosae (Suanzaoren, 酸枣仁) (stir-fried), Radix Salviae Miltiorrhizae (Danshen, 丹参) (remove rhizome, each 7.5 qian).
Preparation and Administration: Grind into fine powder, mix with refined honey and pound 300-500 times. Form pills the size of mulberry seeds. Take 30 pills each time before meals, delivered with Bean-Lee Wine (Doulin Jiu, 豆淋酒).
Baizhu Jiu (Atractylodes Wine): Treats locked jaw and inability to speak due to wind stroke during pregnancy.
Ingredients: Rhizoma Atractylodis Macrocephalae (Baizhu, 白术) (1.5 liang), Radix Angelicae Pubescentis (Duhuo, 独活) (1 liang), Semen Sojae Preparatum (Heidou, 黑豆) (1 he, stir-fried).
Preparation and Administration: Finely cut. Decoct in 3 sheng of wine to obtain 1.5 sheng. Strain and take warm, divided into four doses. For locked jaw, pry open mouth and pour in. Recovery occurs with sweating.
Treats pregnancy complicated by external wind resembling wind stroke, with loss of consciousness.
Ingredients: Folium Artemisiae Argyi (Shuai'ai, 熟艾) (3 liang).
Preparation and Administration: Stir-fry with aged rice vinegar until extremely hot. Wrap in silk and apply as a compress to below the navel. Consciousness returns after some time.