吴丞妻孕而惊，遂病悸。医以为病在中，神越焉，无可为。沈宗常以为胆伤耳，俾服
抱胆丸而愈。
大圣散 治妊娠怔悸，睡里多惊，腹胁膨胀，坐卧不宁。
白茯苓（去皮） 麦门冬（去心） 黄 （去芦，蜜炙） 当归（去芦，酒浸） 川芎（各一钱半）
木香（不见火） 人参 甘草（炙，各一钱）
上作一服，水二盅，生姜五片，煎至一盅，服无时。
抱胆丸（杂病癫。）
〔大全〕孕妇不语，非病也。间有如此者，不须服药，临产月但服保生丸、四物汤
之类，产下便语得，亦自然之理，非药之功也。医家不说与人，临月则与寻常之药，产
后能语，则以为医之功，岂其功也哉。黄帝问曰∶人有重身九月而喑，此为何也？岐伯
对曰∶胞之络脉绝也。帝曰∶何以言之？岐伯曰∶胞络者，系于肾少阴之脉，贯肾系舌
本，故不能言。帝曰∶治之奈何？岐伯曰∶无治也，当十月复。
郝翁治验，见前候胎条。
（口干附）
〔大全〕妊娠苦烦闷者，以四月受少阴君火气以养精，六月受少阳相火气以养气。若
母心惊胆寒，多有烦闷，名曰子烦也。《产宝》云∶夫妊娠而子烦者，是肺脏虚而热乘
于心，则令心烦也。停痰积饮在心胸之间，或冲于心，亦令烦也。若热而烦者，但热而已。
若有痰饮而烦者，呕吐涎沫，恶闻食气，烦躁不安也。大凡妊娠之人，既停痰积饮，又
寒热相搏，气郁不舒，或烦躁，或呕吐涎沫，剧则胎动不安，均谓子烦也。
〔薛〕前证若因内热，用竹叶汤。气滞，用紫苏饮。痰滞，用二陈、白术、黄芩、枳
壳。气郁用分气饮加川芎。脾胃虚弱，用六君、紫苏、山栀。一妊妇烦热，吐痰恶食，
恶心头晕。此脾虚风痰为患，用半夏白术天麻汤（杂眩晕。）以补元气，祛风邪渐愈，惟头晕
未痊，乃用补中益气汤加蔓荆子，以升补阳气而愈。
竹叶汤 治妊娠心惊胆怯，终日烦闷，名曰子烦。
白茯苓（三钱） 防风 麦门冬（去心） 黄芩（各二钱）
上作一服，水二盅，竹叶五片，煎至一盅，无时服。
竹沥汤 出《外台秘要》，与前竹叶汤同，内有竹沥一合，无竹叶。又方有知母，无黄芩。
竹茹汤 疗妊娠烦躁，或胎不安。
用淡青竹刮茹（一两） 以水一大升，煮取四合，徐徐服尽为度。
知母饮 治妊娠心脾壅热，咽膈渴苦，烦闷多惊。
知母 麦门冬（去心 赤茯苓（各一钱半） 黄芩 黄 （各二钱） 甘草（一钱）
上作一服，水二盅，入桑白皮半钱，煎至一盏，再入竹沥些少，同煎二三沸服，无时。
麦门冬汤 治妊娠心惊胆怯，烦闷，名曰子烦。
麦门冬（去心） 白茯苓 防风（各三钱） 人参（一钱半）
上作一服，水二盅，生姜五片，淡竹叶十叶，煎至一盅，去滓，不拘时服。
麦门冬散 （二方） 治妊娠心烦愦闷，虚躁吐逆，恶闻食气，头眩，四肢沉重，百节疼
痛，多卧少起。
麦门冬（去心） 子芩 赤茯苓（各一两） 茯神 赤芍药 陈皮 人参 苦梗 桑寄生
甘草 旋复花（各半两） 生地黄（七钱半）
上为粗末，每服四钱，水一盏，姜一钱，煎至七分，不拘时温服。
又方
麦门冬 苎根（各三两） 黄芩 茯神（各一两） 甘草（炙） 犀角屑（各半两）
上 咀，每服四钱，水一盏，生地黄一分，淡竹叶五片，煎至六分，去滓温服效。
柴胡散 治妊娠心烦，头目昏重，心胸烦闷，不思饮食。
柴胡（一两半） 赤茯苓 麦门冬（各一两） 枇杷叶（去毛） 人参 橘红 甘草（各半两）
咀，每服四钱，水一盏，姜三片，煎至七分服。
人参散 治妊娠热气乘于心脾，津液枯少，烦躁壅热干渴。
人参 麦门冬 赤获苓 地骨皮 家干葛 黄芩 犀角屑（各七钱半） 甘草（半两）
上 咀，每服三钱，水一盏，煎至六分，去滓温服。
治妊娠心烦热不止。
葱白（一握） 豉（二合）
上以水二大盏，煎至一盏半，去滓温，分三服。
一母丸 治妊娠因服药致胎气不安，有似虚烦不得卧，巢氏谓之子烦也。（出产乳。）
知母（二两，洗焙）
上为细末，以枣肉为丸，如弹子大。每服一丸，煎人参汤送下。
医者不识此证，作虚烦治之，损动胎气宜矣。
〔烦躁口干〕
夫足太阴脾之经也，其气通于口，手少阴心之经，其气通于舌。若妊娠之人，脏腑
气虚，荣卫不理，阴阳隔绝，热乘于心脾，津液枯少，故令心烦而口干也。
〔薛〕前证若胃经实火，用竹叶石膏汤。若胃经虚热，用人参黄 散。若胃经气虚，用
补中益气汤。若肺经虚热，用紫苏饮。若肝经火动，用加味逍遥散。若脾气郁结，用加
味归脾汤。若肾经火动，加味地黄丸。一妊妇烦热兼咽间作痛，用知母散加山栀以清
肺经而愈。后内热咳嗽，小便自遗，用补中益气加麦门、山栀，以补肺气、滋肾水而痊。
升麻散 治妊娠壅热，心神烦躁，口干渴逆。
川升麻 栝蒌根 黄芩 人参 麦门冬 柴胡 栀子仁 犀角屑 茯神（各一钱）
知母 甘草（各半钱）
上作一服，水二盅，煎至一盅，不拘时服。
知母散 治妊娠烦躁，闷乱口干，及胎脏热。
知母 麦门冬 甘草（各半两） 黄 子苓 赤茯苓（各七钱半）
上 咀，每服四钱，水一盏，煎至七分，去滓入竹沥一合，更煎三二沸温服。
葛根散 治妇人妊娠数月，胸膈烦躁，唇口干渴，身热少食。
家葛根（野者不用） 黄芩 人参 葳蕤 黄 麦门冬 甘草（等分， 咀）
上每服四钱，水一盏，竹茹一团如钱大，煎七分，温服无时。
人参黄 散 治妊娠身热烦躁，口干食少。
人参 黄 家葛根 麦门冬 赤茯苓 秦艽（各一两） 知母（七钱半）
甘草（半两）
每服四钱，姜、水、竹叶煎服。
《补遗》人参白术散、黄 六一汤皆良。
治子烦口干不得卧。用黄连（去须，细末，每服一钱，）粥饮调下。
Wu Cheng's wife, while pregnant, was frightened and subsequently developed palpitations (Ji, palpitations). The physician believed the pathology was internal, causing the Shen Spirit to scatter, and deemed it incurable. Shen Zongchang attributed it to damage of the Gallbladder, prescribed Bao Dan Wan (Gallbladder-Protecting Pill), and she recovered.
Da Sheng San (Great Sage Powder): Treats pregnancy with Zheng Ji (palpitations with anxiety), frequent fright during sleep, abdominal and hypochondriac distension, and restlessness in sitting or lying down.
Ingredients: Bai Fu Ling (Poria, peeled), Mai Men Dong (Ophiopogon Root, heart removed), Huang Qi (Astragalus Root, radicle removed, honey-fried), Dang Gui (Angelica Sinensis, radicle removed, wine-soaked), Chuan Xiong (Ligusticum Chuanxiong, each 1.5 qian), Mu Xiang (Aucklandia, not roasted over fire), Ren Shen (Ginseng), Gan Cao (Licorice, roasted, each 1 qian).
Preparation: Combine as one dose. Add two zhong of water and five slices of fresh ginger. Decoct until one zhong remains. Take at any time.
Bao Dan Wan: (For miscellaneous diseases involving Dian syndrome, epilepsy.)
*Da Quan* states: A pregnant woman who does not speak is not necessarily ill. In rare cases like this, medication is unnecessary. One month before delivery, simply administer Bao Sheng Wan (Life-Preserving Pill) or Si Wu Tang (Four Substances Decoction). Speech will return naturally after delivery; this is a natural physiological process, not due to medicinal efficacy. Physicians do not disclose this. They give ordinary medicine near term, and when speech returns postpartum, they claim credit. This is hardly their merit.
The Yellow Emperor asked: Why does a woman lose her voice in the ninth month of pregnancy? Qibo replied: The collaterals of the uterus are obstructed. The Emperor asked: How so? Qibo said: The uterine collaterals connect to the Kidney Shaoyin meridian, which passes through the Kidney and ties to the root of the tongue; thus, speech is impaired. The Emperor asked: How to treat it? Qibo said: No treatment is needed. It will recover by the tenth month.
Hao Weng's case record is found under the preceding "Observing Fetal Status" section.
(Attached: Dry Mouth)
*Da Quan* states: Pregnancy complicated by vexation and oppression occurs because in the fourth month, the body receives the Qi of Shaoyin Jun Fire to nourish Jing (Essence), and in the sixth month, it receives the Qi of Shaoyang Xiang Fire to nourish Qi. If the mother experiences fear and gallbladder cold, she often suffers from vexation, termed Zi Fan (Fetal Vexation). *Chan Bao* states: Fetal vexation arises from Lung deficiency allowing Heat to invade the Heart, causing mental distress. Accumulated phlegm-fluids between the heart and chest, or rushing upward to the heart, also cause vexation. If caused by Heat, there is merely fever. If caused by phlegm-fluids, there is vomiting of saliva/foam, aversion to food odors, and restless agitation. Generally, in pregnancy, if phlegm-fluids accumulate and cold/heat contend, causing Qi stagnation, symptoms may include vexation, vomiting of saliva/foam, and in severe cases, fetal restlessness. All are termed Zi Fan.
Xue Ji comments: For the above syndromes, if due to internal Heat, use Zhu Ye Tang (Bamboo Leaf Decoction). If due to Qi stagnation, use Zi Su Yin (Perilla Infusion). If due to Phlegm obstruction, use Er Chen Tang (Two-Aged Decoction) modified with Bai Zhu (Atractylodes Macrocephala), Huang Qin (Scutellaria), and Zhi Ke (Bitter Orange). If due to Qi depression, use Fen Qi Yin (Qi-Separating Infusion) modified with Chuan Xiong. If Spleen/Stomach deficiency, use Liu Jun Zi Tang (Six Gentlemen Decoction) modified with Zi Su (Perilla) and Shan Zhi (Gardenia).
Case: A pregnant woman suffered vexation-heat, expectorated phlegm, had anorexia, nausea, and dizziness. This was Spleen deficiency with Wind-Phlegm. She used Ban Xia Bai Zhu Tian Ma Tang (Pinellia, Atractylodes, and Gastrodia Decoction - for miscellaneous vertigo) to tonify Yuan Qi and expel Wind, gradually recovering, though dizziness persisted. Then, Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) modified with Man Jing Zi (Vernonia Fruit) was used to raise and tonify Yang Qi, resulting in cure.
Zhu Ye Tang: Treats pregnancy with heart fright and gallbladder timidity, constant vexation, termed Zi Fan.
Ingredients: Bai Fu Ling (3 qian), Fang Feng (Saposhnikovia), Mai Men Dong (heart removed), Huang Qin (each 2 qian).
Preparation: Combine as one dose. Add two zhong of water and five bamboo leaves. Decoct until one zhong remains. Take at any time.
Zhu Li Tang: From *Waitai Miyao*. Same as the preceding Zhu Ye Tang but contains Zhu Li (Bamboo Sap, 1 he) and no bamboo leaves. Another variation contains Zhi Mu (Anemarrhena) and no Huang Qin.
Zhu Ru Tang: Treats pregnancy with vexation or fetal restlessness.
Usage: Use Dan Qing Zhu Ru (Bamboo Shavings from light green bamboo, 1 liang). Boil in one sheng of water until four he remain. Drink slowly until finished.
Zhi Mu Yin: Treats pregnancy with Heart/Spleen heat congestion, painful thirst in throat/chest, vexation, and frequent fright.
Ingredients: Zhi Mu (Anemarrhena), Mai Men Dong (heart removed), Chi Fu Ling (Red Poria, each 1.5 qian), Huang Qin (Scutellaria), Huang Qi (Astragalus, each 2 qian), Gan Cao (Licorice, 1 qian).
Preparation: Combine as one dose. Add two zhong of water and half a qian of Sang Bai Pi (Mulberry Root Bark). Decoct until one zhan remains. Add a little Zhu Li (Bamboo Sap), boil for two or three boils, and take at any time.
Mai Men Dong Tang: Treats pregnancy with heart fright, gallbladder timidity, and vexation, termed Zi Fan.
Ingredients: Mai Men Dong (heart removed), Bai Fu Ling, Fang Feng (each 3 qian), Ren Shen (Ginseng, 1.5 qian).
Preparation: Combine as one dose. Add two zhong of water, five slices of fresh ginger, and ten pale bamboo leaves. Decoct until one zhong remains. Strain and take at any time.
Mai Men Dong San (Two Formulas): Treats pregnancy with mental confusion/vexation, empty irritability with retching, aversion to food odors, dizziness, heavy limbs, joint pain, excessive sleeping with little rising.
Formula 1 Ingredients: Mai Men Dong (heart removed), Zi Qin (Young Scutellaria), Chi Fu Ling (each 1 liang), Fu Shen (Poria with Hostwood), Chi Shao Yao (Red Peony Root), Chen Pi (Tangerine Peel), Ren Shen, Jie Geng (Platycodon), Sang Ji Sheng (Taxillus), Gan Cao, Xuan Fu Hua (Inula Flower, each 0.5 liang), Sheng Di Huang (Rehmannia, 7.5 qian).
Preparation: Grind into coarse powder. Each dose: 4 qian. Add one zhan of water and 1 qian of ginger. Decoct until 0.7 zhan remains. Take warm at any time.
Formula 2 Ingredients: Mai Men Dong, Zhu Gen (Artemisia Anomala Root, each 3 liang), Huang Qin, Fu Shen (each 1 liang), Gan Cao (roasted), Xi Jiao Xie (Rhinoceros Horn Shavings, each 0.5 liang).
Preparation: Cut into pieces. Each dose: 4 qian. Add one zhan of water, one fen of Sheng Di Huang, and five pale bamboo leaves. Decoct until 0.6 zhan remains. Strain and take warm. Effective.
Chai Hu San: Treats pregnancy with vexation, heavy/dizzy head and eyes, chest/heart oppression, and loss of appetite.
Ingredients: Chai Hu (Bupleurum, 1.5 liang), Chi Fu Ling, Mai Men Dong (each 1 liang), Pi Pa Ye (Loquat Leaf, hairs removed), Ren Shen, Ju Hong (Tangerine Red Peel), Gan Cao (each 0.5 liang).
Preparation: Cut into pieces. Each dose: 4 qian. Add one zhan of water and three slices of ginger. Decoct until 0.7 zhan remains. Take.
Ren Shen San: Treats pregnancy where Heat invades Heart/Spleen, fluids are depleted, causing vexation, heat congestion, dryness, and thirst.
Ingredients: Ren Shen, Mai Men Dong, Chi Fu Ling, Di Gu Pi (Cortex Lycii), Jia Ge Gen (Cultivated Kudzu Root), Huang Qin, Xi Jiao Xie (each 7.5 qian), Gan Cao (0.5 liang).
Preparation: Cut into pieces. Each dose: 3 qian. Add one zhan of water. Decoct until 0.6 zhan remains. Strain and take warm.
To treat unceasing pregnancy vexation-heat.
Ingredients: Cong Bai (Scallion White, one handful), Chi Xiao Dou Shi (Fermented Soybeans, 2 he).
Preparation: Add two large zhan of water. Decoct until 1.5 zhan remains. Strain, take warm, divided into three doses.
Yi Mu Wan: Treats pregnancy where prior medication caused fetal unrest, resembling empty vexation and inability to lie down. Chao Shi termed this Zi Fan. (Related to childbirth/lactation.)
Ingredients: Zhi Mu (2 liang, washed and dried).
Preparation: Grind into fine powder. Make pills with Jujube flesh, size of a bullet. Each dose: one pill. Swallow with Ren Shen Tang (Ginseng Decoction).
Physicians who fail to recognize this syndrome and treat it as empty vexation will inevitably damage the fetal Qi.
[Vexation and Dry Mouth]
The Foot Taiyin Spleen Meridian connects to the mouth; the Hand Shaoyin Heart Meridian connects to the tongue. In pregnancy, if Zang-Fu Qi is deficient, Ying and Wei (Nutritive and Defensive Qi) are disordered, and Yin/Yang are severed, Heat invades the Heart and Spleen, depleting fluids, causing vexation and dry mouth.
Xue Ji comments: For the above syndromes, if Stomach Meridian Excess Fire, use Zhu Ye Shi Gao Tang (Bamboo Leaf and Gypsum Decoction). If Stomach Meridian Deficiency Heat, use Ren Shen Huang Qi San (Ginseng and Astragalus Powder). If Stomach Meridian Qi Deficiency, use Bu Zhong Yi Qi Tang. If Lung Meridian Deficiency Heat, use Zi Su Yin. if Liver Meridian Fire Stirring, use Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder). if Spleen Qi Depression, use Jia Wei Gui Pi Tang (Modified Restore the Spleen Decoction). if Kidney Meridian Fire Stirring, use Jia Wei Di Huang Wan (Modified Rehmannia Pill).
Case: A pregnant woman with vexation-heat and throat pain used Zhi Mu San (Anemarrhena Powder) modified with Shan Zhi to clear the Lung Meridian and recovered. Later, internal heat cough and urinary incontinence occurred. She used Bu Zhong Yi Qi Tang modified with Mai Men Dong and Shan Zhi to tonify Lung Qi and nourish Kidney Water, resulting in recovery.
Sheng Ma San: Treats pregnancy with heat congestion, mental vexation, dry mouth, and thirst/reversal.
Ingredients: Chuan Sheng Ma (Cynanchum Atratum), Gua Lou Gen (Trichosanthes Root), Huang Qin, Ren Shen, Mai Men Dong, Chai Hu, Zhi Zi Ren (Gardenia Seed), Xi Jiao Xie, Fu Shen (each 1 qian), Zhi Mu, Gan Cao (each 0.5 qian).
Preparation: Combine as one dose. Add two zhong of water. Decoct until one zhong remains. Take at any time.
Zhi Mu San: Treats pregnancy with vexation, chaotic dry mouth, and uterine heat.
Ingredients: Zhi Mu, Mai Men Dong, Gan Cao (each 0.5 liang), Huang Qi, Zi Ling (Young Scutellaria), Chi Fu Ling (each 7.5 qian).
Preparation: Cut into pieces. Each dose: 4 qian. Add one zhan of water. Decoct until 0.7 zhan remains. Strain, add one he of Zhu Li (Bamboo Sap), boil for two or three boils, and take warm.
Ge Gen San: Treats women in several months of pregnancy with chest/diaphragm vexation, dry lips/mouth, body heat, and poor appetite.
Ingredients: Jia Ge Gen (Cultivated Kudzu Root, wild is not used), Huang Qin, Ren Shen, Wei Rui (Polygonatum Odoratum), Huang Qi, Mai Men Dong, Gan Cao (equal parts, cut into pieces).
Preparation: Each dose: 4 qian. Add one zhan of water and a ball of Zhu Ru (Bamboo Shavings) the size of a coin. Decoct until 0.7 zhan remains. Take warm at any time.
Ren Shen Huang Qi San: Treats pregnancy with body heat, vexation, dry mouth, and poor appetite.
Ingredients: Ren Shen, Huang Qi, Jia Ge Gen, Mai Men Dong, Chi Fu Ling, Qin Jiao (Gentiana Macrophylla, each 1 liang), Zhi Mu (7.5 qian), Gan Cao (0.5 liang).
Preparation: Each dose: 4 qian. Decoct with ginger, water, and bamboo leaves.
*Bu Yi* states: Ren Shen Bai Zhu San (Ginseng and Atractylodes Powder) and Huang Qi Liu Yi Tang (Astragalus Six-to-One Decoction) are both excellent.
To treat Zi Fan with dry mouth and inability to lie down. Use Huang Lian (Coptis, remove mustache, grind to fine powder, 1 qian per dose). Mix with rice gruel liquid and swallow.