紫苏饮
胸膈胀满子悬名，喘甚由胎上逼心，紫苏饮用归芎芍，陈腹苏甘虚入参。
【注】孕妇胸膈胀满，名曰子悬。更加喘甚者，名曰胎上逼心。俱宜紫苏饮，即当归、
川芎、白芍、陈皮、大腹皮、苏梗叶、甘草。虚者加人参煎服。
羚羊角散 钩藤汤
暴仆抽搐不识人，须臾自醒子痫名，羚羊角散防独杏，五加枣草薏苡仁，茯苓木香羚羊角；抽搐钩
藤汤寄生，人参茯神归桔梗，口 肢废中风成。
【注】孕妇忽然颠仆抽搐，不省人事，须臾自醒，少顷复如好人，谓之子痫。乃肝、心
二经风热所致，宜用羚羊角散，即防风、独活、杏仁、酸枣仁、五加皮、甘草、薏苡仁、
茯苓、木香、羚羊角也。抽搐甚者用钩藤汤，乃钩藤、桑寄生、人参、茯神、当归、桔梗
也。若口眼 斜，半身不遂，则已成中风废证，当参风门治之。
枳桔二陈汤 桔梗汤
妊娠咳嗽名子嗽，阴虚痰饮感风寒。痰饮二陈加枳桔；风寒桔梗汤可安，紫苏桔梗麻桑杏，赤苓
天冬合贝前。久嗽阴虚宜清润，麦味地黄汤自痊。
【注】妊娠咳嗽，谓之子嗽，嗽久每致伤胎。有阴虚火动痰饮上逆，有感冒风寒之不
同。因痰饮者，用二陈汤加枳壳、桔梗治之；因感冒风寒者，用桔梗汤，即紫苏叶、桔梗、
麻黄、桑白皮、杏仁、赤茯苓、天冬、百合、川贝母、前胡也。若久嗽，属阴虚，宜滋阴
润肺以清润之，用麦味地黄汤治之。
六味地黄汤（方见首卷）
Zisu Yin (Perilla Decoction)
Distension and fullness in the chest and diaphragm are named "Zixuan" (Fetal Suspension); severe asthma is caused by fetal Qi pressing upward against the Heart. Zisu Yin consists of Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba), Chenpi (Citri Reticulatae Pericarpium), Dafupi (Aurantii Fructus Immaturus), Sugengye (Perillae Caulis et Folium), and Gancao (Glycyrrhizae Radix et Rhizoma). For deficiency patterns, add Renshen (Ginseng Radix et Rhizoma) and decoct for administration.
[Note] When a pregnant woman experiences distension and fullness in the chest and diaphragm, it is called "Zixuan." If accompanied by severe asthma, it is called "Taishang Bixin" (Fetal Qi Pressing Against the Heart). Both conditions are suitable for treatment with Zisu Yin, which comprises Danggui, Chuanxiong, Baishao, Chenpi, Dafupi, Sugengye, and Gancao. In cases of deficiency, add Renshen and decoct for use.
Lingyangjiao San (Antelope Horn Powder) Gouteng Tang (Uncaria Decoction)
Sudden collapse with convulsions and loss of consciousness, followed by spontaneous awakening after a short while, is named "Zixian" (Eclampsia). Lingyangjiao San is indicated, containing Fangfeng (Saposhnikoviae Radix), Duhuo (Angelicae Pubescentis Radix), Xingren (Armeniacae Semen Amarum), Suanzaoren (Ziziphi Spinosae Semen), Wujapi (Acanthopanacis Cortex), Gancao, Yiyiren (Coicis Semen), Fuling (Poria), Muxiang (Aucklandiae Radix), and Lingyangjiao (Saigae Tataricae Cornu). For severe convulsions, Gouteng Tang is used, consisting of Gouteng (Uncariae Ramulus cum Uncis), Sangjisheng (Taxilli Herba), Renshen, Fushen (Poria cum Radix), Danggui, and Jiegeng (Platycodonis Radix). If deviation of the mouth and eye or hemiplegia occurs, it has progressed to a stroke paralysis syndrome; treatment should refer to the Wind Gate chapter.
[Note] When a pregnant woman suddenly falls into convulsions and loses consciousness, then awakens spontaneously after a moment, and shortly thereafter returns to normal, this is termed "Zixian." It is caused by wind-heat affecting the Liver and Heart meridians. Lingyangjiao San is appropriate, comprising Fangfeng, Duhuo, Xingren, Suanzaoren, Wujapi, Gancao, Yiyiren, Fuling, Muxiang, and Lingyangjiao. For severe convulsions, Gouteng Tang is employed, containing Gouteng, Sangjisheng, Renshen, Fushen, Danggui, and Jiegeng. If facial deviation and hemiplegia develop, it constitutes a stroke disability pattern; one should consult the Wind Gate section for management.
Zhijie Erchen Tang (Bitter Orange and Citrus Decoction Modified) Jiegeng Tang (Platycodon Decoction)
Cough during pregnancy is named "Zisou" (Pregnancy Cough), often due to Yin deficiency, phlegm-fluid retention, or contraction of wind-cold. For phlegm-fluid retention, modify Erchen Tang (Two-Cured Decoction) with Zhike (Aurantii Fructus) and Jiegeng. For wind-cold contraction, Jiegeng Tang can provide relief, containing Zisuye (Perillae Folium), Jiegeng, Mahuang (Ephedrae Herba), Sangbaipi (Morus Cortex), Xingren, Chi Fuling (Poria with Red Coating), Tiandong (Asparagi Radix), Baihe (Lilii Bulbus), Chuanbeimu (Fritillariae Cirrhosae Bulbus), and Qianhu (Peucedani Radix). For chronic cough due to Yin deficiency, nourishing Yin and moistening the Lung with clearing-moistening methods is suitable; Maiwei Dihuang Tang (Lycium, Schisandra, and Rehmannia Pill) will lead to recovery.
[Note] Cough during pregnancy is called "Zisou"; prolonged coughing may injure the fetus. Etiologies include hyperactive fire due to Yin deficiency with upward reversal of phlegm-fluid, or contraction of wind-cold. For those caused by phlegm-fluid, treat with Erchen Tang modified with Zhike and Jiegeng. For those caused by wind-cold, use Jiegeng Tang, composed of Zisuye, Jiegeng, Mahuang, Sangbaipi, Xingren, Chi Fuling, Tiandong, Baihe, Chuanbeimu, and Qianhu. If the cough persists and belongs to Yin deficiency, nourish Yin and moisten the Lung using clearing-moistening therapy with Maiwei Dihuang Tang.
Liujun Dihuang Tang (Six-Ingredient Pill with Rehmannia) (Formula seen in the first volume)