治妊娠子烦,口干不得卧。黄连汤。
黄连(去须)
上为细末,每服一钱,粥饮调下。酒蒸黄连丸亦妙。
治妊娠心烦热不止。
葱白(一握) 豉(二合)
上以水二大盏,煎取一盏半,去滓,温分三服。
治妊娠因服药致胎气不安,有似虚烦不得卧者,巢氏谓之子烦也。
知母(一两,洗,焙)
上为细末,以枣肉为丸如弹子大。每服一丸,细嚼,煎人参汤送下。
次见医者,不识此证,作虚烦治之,损动胎气宜矣。有识者,亦见有药也。产科郑宗文
得于陈藏器《本草拾遗》中也。用之良验。(方见《产乳》)
夫足太阴,脾之经也,其气通于口。手少阴,心之经也,其气通于舌。若妊娠之人,脏
腑气虚,荣卫不理,阴阳隔绝,热气乘于心脾,津液枯少,故令心烦而口干也。愚考此证,
与子烦大同小异,其方亦可就子烦中通用。益母丸亦妙。
治妊娠壅热,心神烦躁,口干渴逆。
川升麻 黄芩 人参 麦门冬 栀子仁 柴胡 茯神 栝蒌根 犀角屑(各一两) 知
母甘草(各半两)
上 咀,每服四钱。水一盏,煎至六分,去滓温服。
治妊娠烦躁闷乱,口干及胎脏热。
知母 麦门冬 甘草(各半两) 黄 子芩 赤茯苓(各三分)
上 咀,每服四钱。水一盏,煎至七分,去滓,入竹沥一合,更煎二沸,温服。
Treats restlessness (Zi Fan) during pregnancy, characterized by dry mouth and inability to sleep. Use Huanglian Tang (Coptis Decoction).
Huanglian (Rhizoma Coptidis) (remove rootlets)
Grind into fine powder. Take one qian per dose, mixed with thin porridge water. Jiuzheng Huanglian Wan (Wine-steamed Coptis Pills) is also effective.
Treats persistent mental restlessness and heat sensation during pregnancy.
Congbai (Scallion White) (one handful)
Chishi (Fermented Soybean) (two he)
Boil the above two ingredients in two large zhan of water until reduced to one and a half zhan. Strain the dregs. Divide into three doses and take warm.
Treats fetal instability caused by medication, presenting as symptoms similar to deficiency-type restlessness and insomnia, which Chao Yuanfang termed Zi Fan (Fetal Restlessness).
Zhimu (Rhizoma Anemarrhenae) (one liang, wash, bake-dry)
Grind into fine powder. Form pills using jujube flesh, sized like quail eggs. Take one pill per dose, chew thoroughly, and swallow with Ginseng decoction.
Later physicians who failed to recognize this condition treated it as general deficiency restlessness, inevitably damaging the fetal qi. Even knowledgeable physicians often merely observed the presence of herbs without understanding the pathology. This view comes from Zheng Zongwen, an obstetrician, citing Chen Cangqi's *Bencao Shiyi* (Supplement to Materia Medica). It yields excellent results. (See formula in *Chanru* chapter).
The Foot-Taiyin channel belongs to the Spleen, and its qi connects to the mouth. The Hand-Shaoyin channel belongs to the Heart, and its qi connects to the tongue. In pregnant women, if the qi of the zang-fu organs is deficient, and Ying (Nutritive) and Wei (Defensive) qi are disordered, with Yin and Yang separated, pathogenic heat attacks the Heart and Spleen. This causes a scarcity of body fluids, leading to mental restlessness and dry mouth. I examine this condition; it is largely similar to Zi Fan, so the formulas used for Zi Fan can be generally applied here. Yimu Wan (Motherwort Pills) is also effective.
Treats excessive internal heat during pregnancy causing mental restlessness, irritability, dry mouth, and thirst with counterflow.
Chuanshengma (Radix Bupleuri)
Huangqin (Radix Scutellariae)
Renshen (Radix Ginseng)
Mendong (Tuber Ophiopogonis)
Zhizi Ren (Semen Gardeniae)
Chaihu (Radix Bupleuri)
Fushen (Poria with Hostwood)
Gualougen (Radix Trichosanthis)
Xijiaoxie (Cornu Rhinocerotis) (each one liang)
Zhimu (Rhizoma Anemarrhenae)
Gancao (Radix Glycyrrhizae) (each half liang)
Cut into small pieces. Take four qian per dose. Boil in one zhan of water until reduced to six-tenths. Strain and take warm.
Treats irritability and confusion during pregnancy, dry mouth, and heat in the fetal organ.
Zhimu (Rhizoma Anemarrhenae)
Mendong (Tuber Ophiopogonis)
Gancao (Radix Glycyrrhizae) (each half liang)
Huangqin (Radix Scutellariae)
Chifuling (Poria Cocos with Red Skin) (each three fen)
Cut into small pieces. Take four qian per dose. Boil in one zhan of water until reduced to seven-tenths. Strain, add one he of Bamboo sap (Zhuli), boil twice more, and take warm.