（附论）
夫妊娠苦烦闷者。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。若是肺脏虚而热乘于心。则令心烦也。若
热而烦者。但热而已。若有痰饮而烦者。呕吐涎沫。才闻食气。烦躁不安也。大抵妊娠之人。
既停痰积饮。又虚热相搏。气郁不舒。或烦躁。或呕吐涎沫。剧则胎动不安。均谓之子烦也。
方
升麻汤（一名麦门冬汤出圣惠方）治妊娠壅热。心神烦躁。口干吐逆。此证
与
子烦大同小异。通用知母丸亦可。
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
酸枣仁汤 治妊娠烦懊虚闷。四肢疼痛。不睡。
酸枣仁（炒二两） 芍药 防风（去叉） 柴胡（去苗） 赤茯苓（去黑皮） 犀角（镑）
五味
子甘草（炙） 人参 槟榔（锉各一两） 上捣筛。每服五钱。水一盏半。煎至一盏去滓。
不
拘时。温服。
赤茯苓散（出圣惠方）治妊娠心烦。头项疼痛。不思饮食。手足多热。
赤茯苓 桑寄生 知母 百合 麦门冬（去心） 川升麻 人参（去芦头） 柴胡（去
苗以上各一两） 甘草（半两炙微赤锉） 上捣筛。为散。每服四钱。以水一中盏。入甜竹
茹一分。生
退热汤 治妊娠虚烦懊热。夫妊娠虚烦懊热者。以阳气偏甚。热气独作。心下懊闷
。头痛面赤。小便黄涩。甚则淋痛是也。病源又谓之子烦。
人参 甘草（炙） 黄芩（去黑心各二两） 当归（切焙） 芍药 栀子仁 防风（去
叉） 柴胡（
柴胡饮 治妊娠虚烦懊热。胎气不宁。手足烦倦。
柴胡（去苗） 桑寄生 知母（切焙） 百合（洗） 麦门冬（去心焙） 升麻（各一
两） 甜竹茹（新竹茹用三两） 上捣筛。每服五钱。水一盏半。生姜三片。同煎至一盏去
滓。食后温服。
知母汤 治妊娠虚烦懊热。
知母（切焙） 防风（去叉） 黄芩（去黑心） 甘草（炙） 麦门冬（去心焙） 赤
茯苓（去黑皮锉） 升麻（各一两） 上捣筛。每服三钱。水一盏。生姜三片。同煎至七分。
入竹沥少许。
搅匀
茯苓汤 治妊娠虚烦懊热。心中闷乱。头晕重。呕逆。四肢倦怠。
赤茯苓（去黑皮一用白茯苓） 防风（去叉） 人参 白术（锉炒） 枳壳（去瓤麸炒）
甘草（炙各一两） 上捣筛。每服三钱。水一盏。生姜三片。煎至七分去滓。温服。不拘时
候。
竹沥汤 治妊娠心下烦热燠躁。
防风（去叉） 麦门冬（去心焙） 黄芩（去黑心） 升麻 石膏（锉碎） 栀子仁（各
一两） 上捣筛。每服三钱。水一盏。竹沥半合。煎至七分去滓。食后温服。日再。
知母饮（出大全良方）治妊娠心脾壅热。口干渴。苦烦闷。
赤茯苓 黄芩 黄 （各三两） 知母 麦门冬（去心） 甘草（各二两） 上为粗末。
桑白皮煎汤或入竹沥一合服。不拘时候。胎脏受热。最宜服之。一方去黄 、知母。加地骨
皮、犀角屑、嫩葛各三分。 咀。煎如前法。
犀角散（出圣惠方）治妊娠心烦热闷。
犀角屑 地骨皮 黄芩 麦门冬（去心） 赤茯苓（以上各一两） 甘草（半两炙微赤
锉） 上为散。每服四钱。以水一中盏。煎至六分去滓。入竹沥一合。更煎一两沸。不拘时
候。温服。
竹沥汤（一名竹叶汤出千金方）治妊娠常苦烦闷。此是子烦。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。多好烦闷。宜用此方。
竹沥（一升一作竹叶） 麦门冬 防风 黄芩（各三两） 茯苓（四两） 上以水四升。
合竹沥煮取二升。分三服。不瘥。再作。一方用知母。无黄芩。一方加人参半两。
麦门冬汤（一名竹叶汤出济生方）治妊娠四月、六月。多苦烦闷。心惊胆
怯。
名曰子烦。
白茯苓（去皮一两） 人参 麦门冬（去心） 防风（各一两） 上 咀。每服四钱。
水一盏
半。姜五片。入淡竹叶十片。煎至八分去滓。温服。不拘时候。
治妊娠恒苦烦闷。此名子烦。
茯苓（二两） 竹沥（一升） 上以水四升。合竹沥煎取二升。分三服。不瘥。重作亦
可。时合竹沥服之。
治孕妇七八个月。伤暑伤热。以致子烦。胎气迫上。咽喉窒碍。心腹胀满。下坠似
痢。每登厕。坐时一炊久。忽尔气下。方得大便一通。世俗率用痢药。不知病在胎热子
烦。
用小柴胡汤下黄连阿胶丸。或用炒阿胶净黄连各一分。枳壳比大黄半之。分作两剂。乌
梅姜蜜煎服。候其大便调导。却以川芎、茯苓、缩砂、甘草继之。若五苓散、感应丸、香连、
驻
治妊娠常苦烦闷。此是子烦。（出大全良方）
用竹沥随多少。时时服之自愈。
治妊娠子烦。口干不得卧。（出大全良方）
黄连去须为细末。每服一钱。粥饮调下。酒蒸黄连为丸。亦可。
一母丸（出大全良方）治妊娠因服药致胎不安。有似虚烦。不得卧者。
用知母一两。洗焙为细末。以枣肉为丸。如弹子大。每服一丸。细嚼。煎人参汤送下。
余每见医者不识此证。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。一方。用秦艽糯米汤化下。名万安丸。
治妊娠心中烦闷。见食即吐。非时恶心。饮食不进。非时闷绝。脉洪满。大小腑实
热。（出杨子建万全护命方）
麦门冬（去心） 防风 茯苓 山栀 前胡（去毛） 升麻 黄芩 石膏（各等分） 上
细杵罗为末。每服三钱。水一盏半。葱三枝。煎至六七沸。食后临卧吃。
(Attached Discussion)
When a pregnant woman suffers from vexation and oppression, during the fourth month of pregnancy, she receives the Qi of Shaoyin Junhuo (Ministerial Fire of the Hand-Shaoyin Heart Meridian) to nourish the fetus's essence. During the sixth month, she receives the Qi of Shaoyang Xianghuo (Ministerial Fire of the Foot-Shaoyang Gallbladder Meridian) to nourish the fetus's Qi. If the mother experiences heart palpitations and gallbladder fear,
vexation and oppression often occur. This is named "Zifan" (Fetal Vexation). *Chanbao* states: When Zifan occurs during pregnancy, if the Lung organ is deficient and heat invades the Heart, it causes mental vexation. If the vexation is caused by heat alone, there is merely a sensation of heat. If the vexation is caused by phlegm-fluid retention, there is vomiting of saliva and froth; upon smelling food odor, one becomes irritable and uneasy. Generally speaking, pregnant women have retained phlegm and accumulated fluids, which combine with deficiency-heat. The Qi stagnates and fails to flow smoothly, resulting in either irritability or vomiting of saliva and froth. In severe cases, fetal movement becomes restless. All these are collectively referred to as "Zifan".
Formulas
Shengma Tang (Cinnamon Twig Decoction, also known as Maidong Tang, from *Shenghui Fang*). Treats congestion-heat during pregnancy, mental restlessness, dry mouth, and vomiting/nausea. This condition is largely similar to minorly different from Zifan. Zhimu Wan can also be used universally.
Chuan Shengma (Rhizoma Cimicifugae), Huangqin (Radix Scutellariae), Renshen (Radix Ginseng), Maidong (Radix Ophiopogonis), Zhizi Ren (Semen Gardeniae), Chaihu (Radix Bupleuri), Fushen (Poria with Hostwood), Gualou Gen (Radix Trichosanthis), Xijiao Xie (Hornis Rhinocerotis, sliced), (each 1 liang); Zhi Mu (Rhizoma Anemarrhenae); Gancao (Radix Glycyrrhizae).
Suanzaoren Tang (Sour Jujube Seed Decoction). Treats vexation, depression, and deficiency-related oppression during pregnancy, pain in the four limbs, and insomnia.
Suanzaoren (Fried, 2 liang), Shaoyao (Radix Paeoniae Alba), Fangfeng (Radix Saposhnikoviae, remove forked roots), Chaihu (Radix Bupleuri, remove seedlings), Chi Fuling (Poria, remove black skin), Xijiao (Hornis Rhinocerotis, shaved), Wuweizi (Fructus Schisandrae), Gancao (Radix Glycyrrhizae, honey-fried), Renshen (Radix Ginseng), Binglang (Arecae Semen, crushed, each 1 liang). Pound and sieve the above ingredients. Take 5 qian per dose. Add 1.5 zhan of water, decoct until 1 zhan remains, strain.
Take at any time, warm.
Chi Fuling San (Red Poria Powder, from *Shenghui Fang*). Treats mental vexation during pregnancy, headache and neck pain, loss of appetite, and heat in the hands and feet.
Chi Fuling (Poria), Sangjisheng (Ramulus Taxilli), Zhi Mu (Rhizoma Anemarrhenae), Baihe (Bulbus Lilii), Maidong (Radix Ophiopogonis, remove heart), Chuan Shengma (Rhizoma Cimicifugae), Renshen (Radix Ginseng, remove rhizome), Chaihu (Radix Bupleuri, remove seedlings, each 1 liang above); Gancao (Radix Glycyrrhizae, half liang, honey-fried until slightly red, then crushed). Pound and sieve the above ingredients to make a powder. Take 4 qian per dose. Add 1 zhan of water and 1 fen of Tian Zhuru (Sweet Bamboo Shavings).
Retui Tang (Heat-Removing Decoction). Treats deficiency-vexation and depressive heat during pregnancy. Deficiency-vexation and depressive heat during pregnancy occur because Yang Qi is excessively predominant, and Heat Qi acts alone, causing depressive oppression in the epigastrium, headache, flushed face, yellow and scanty urine, and in severe cases, painful dysuria. *Bingyuan* also refers to this as Zifan.
Renshen (Radix Ginseng), Gancao (Radix Glycyrrhizae, honey-fried), Huangqin (Radix Scutellariae, remove black heart, each 2 liang), Danggui (Radix Angelicae Sinensis, sliced and baked), Shaoyao (Radix Paeoniae Alba), Zhizi Ren (Semen Gardeniae), Fangfeng (Radix Saposhnikoviae, remove forked roots), Chaihu (Radix Bupleuri,
Chaihu Yin (Bupleuri Decoction). Treats deficiency-vexation and depressive heat during pregnancy, restless fetal Qi, and fatigue/vexation in the hands and feet.
Chaihu (Radix Bupleuri, remove seedlings), Sangjisheng (Ramulus Taxilli), Zhi Mu (Rhizoma Anemarrhenae, sliced and baked), Baihe (Bulbus Lilii, washed), Maidong (Radix Ophiopogonis, remove heart and bake), Shengma (Rhizoma Cimicifugae, each 1
liang), Tian Zhuru (Sweet Bamboo Shavings, fresh bamboo shavings use 3 liang). Pound and sieve the above ingredients. Take 5 qian per dose. Add 1.5 zhan of water and 3 slices of Shengjiang (Rhizoma Zingiberis Recens). Decoct together until 1 zhan remains, strain. Take warm after meals.
Zhimu Tang (Anemarrhena Decoction). Treats deficiency-vexation and depressive heat during pregnancy.
Zhi Mu (Rhizoma Anemarrhenae, sliced and baked), Fangfeng (Radix Saposhnikoviae, remove forked roots), Huangqin (Radix Scutellariae, remove black heart), Gancao (Radix Glycyrrhizae, honey-fried), Maidong (Radix Ophiopogonis, remove heart and bake), Chi Fuling (Poria, remove black skin and crush), Shengma (Rhizoma Cimicifugae, each 1 liang). Pound and sieve the above ingredients. Take 3 qian per dose. Add 1 zhan of water and 3 slices of Shengjiang (Rhizoma Zingiberis Recens). Decoct together until 70% remains.
Add a small amount of Zhuli (Bamboo Sap).
Stir evenly.
Fuling Tang (Poria Decoction). Treats deficiency-vexation and depressive heat during pregnancy, mental oppression and confusion, dizziness with heaviness, vomiting/nausea, and fatigue in the four limbs.
Chi Fuling (Poria, remove black skin; alternatively use Bai Fuling/Poria Alba), Fangfeng (Radix Saposhnikoviae, remove forked roots), Renshen (Radix Ginseng), Baizhu (Rhizoma Atractylodis Macrocephalae, crush and stir-fry), Zhike (Fructus Aurantii, remove pulp and bran-fry), Gancao (Radix Glycyrrhizae, honey-fried, each 1 liang). Pound and sieve the above ingredients. Take 3 qian per dose. Add 1 zhan of water and 3 slices of Shengjiang (Rhizoma Zingiberis Recens). Decoct until 70% remains, strain. Take warm. At any time.
Zhuli Tang (Bamboo Sap Decoction). Treats heat and agitation in the epigastrium during pregnancy.
Fangfeng (Radix Saposhnikoviae, remove forked roots), Maidong (Radix Ophiopogonis, remove heart and bake), Huangqin (Radix Scutellariae, remove black heart), Shengma (Rhizoma Cimicifugae), Shigao (Gypsum Fibrosum, crush), Zhizi Ren (Semen Gardeniae, each
1 liang). Pound and sieve the above ingredients. Take 3 qian per dose. Add 1 zhan of water and half he of Zhuli (Bamboo Sap). Decoct until 70% remains, strain. Take warm after meals. Twice daily.
Zhimu Yin (Anemarrhena Drink, from *Dquan Liangfang*). Treats congestion-heat in the Heart and Spleen during pregnancy, dry mouth and thirst, and bitter vexation.
Chi Fuling (Poria), Huangqin (Radix Scutellariae), Huangqi (Radix Astragali, each 3 liang), Zhi Mu (Rhizoma Anemarrhenae), Maidong (Radix Ophiopogonis, remove heart), Gancao (Radix Glycyrrhizae, each 2 liang). Make into coarse particles above.
Decoct Sangbaipi (Cortex Moriperadicis) in water to take, or add half he of Zhuli (Bamboo Sap) to take. At any time. For heat in the fetal organ, this is most suitable. Another formula removes Huangqi (Radix Astragali) and Zhi Mu (Rhizoma Anemarrhenae), adding Digupi (Cortex Lycii), Xijiao Xie (Hornis Rhinocerotis, sliced), and Nenge (Cortex Puerariae, tender, each 3 fen). Crush. Decoct as before.
Xijiao San (Rhinoceros Horn Powder, from *Shenghui Fang*). Treats mental vexation, heat, and oppression during pregnancy.
Xijiao Xie (Hornis Rhinocerotis, sliced), Digupi (Cortex Lycii), Huangqin (Radix Scutellariae), Maidong (Radix Ophiopogonis, remove heart), Chi Fuling (Poria, each 1 liang above); Gancao (Radix Glycyrrhizae, half liang, honey-fried until slightly red, then crushed). Make into a powder above. Take 4 qian per dose. Add 1 zhan of water, decoct until 60% remains, strain. Add half he of Zhuli (Bamboo Sap). Boil for one more boil. At any time. Take warm.
Zhuli Tang (Bamboo Sap Decoction, also known as Zhuye Tang, from *Qianjin Fang*). Treats chronic suffering from vexation and oppression during pregnancy. This is Zifan. Because in the fourth month, the body receives the Qi of Shaoyin Junhuo (Ministerial Fire of the Hand-Shaoyin Heart Meridian) to nourish essence. In the sixth month, it receives the Qi of Shaoyang Xianghuo (Ministerial Fire of the Foot-Shaoyang Gallbladder Meridian) to nourish Qi. If the mother has heart palpitations and gallbladder fear, she often suffers from vexation. It is appropriate to use this formula.
Zhuli (Bamboo Sap, 1 sheng, alternatively Zhuye/Leaf of Bambusa), Maidong (Radix Ophiopogonis), Fangfeng (Radix Saposhnikoviae), Huangqin (Radix Scutellariae, each 3 liang), Fuling (Poria, 4 liang). Add 4 sheng of water above.
Combine with Zhuli (Bamboo Sap) and boil to obtain 2 sheng. Divide into three doses. If not cured, prepare again. Another formula uses Zhi Mu (Rhizoma Anemarrhenae), without Huangqin (Radix Scutellariae). Another formula adds Renshen (Radix Ginseng) half liang.
Maidong Tang (Ophiopogon Decoction, also known as Zhuye Tang, from *Jisheng Fang*). Treats chronic suffering from vexation and oppression during the fourth and sixth months of pregnancy, with heart palpitations and gallbladder fear.
Named Zifan.
Bai Fuling (Poria Alba, peel removed, 1 liang), Renshen (Radix Ginseng), Maidong (Radix Ophiopogonis, remove heart), Fangfeng (Radix Saposhnikoviae, each 1 liang). Crush above. Take 4 qian per dose.
Add 1.5 zhan of water.
Add 5 slices of Jiang (Zingiberis Rhizoma). Add 10 pieces of Dan Zhuye (Leaf of Bambusa Densa). Decoct until 80% remains, strain. Take warm. At any time.
Treats chronic suffering from vexation and oppression during pregnancy. This is named Zifan.
Fuling (Poria, 2 liang), Zhuli (Bamboo Sap, 1 sheng). Add 4 sheng of water above. Combine with Zhuli (Bamboo Sap) and decoct to obtain 2 sheng. Divide into three doses. If not cured, re-preparation is also acceptable. Take Zhuli (Bamboo Sap) frequently.
Treats pregnant women in their seventh or eighth month who suffer from summerheat and heat injury, leading to Zifan. The fetal Qi presses upward, causing obstruction in the throat, abdominal distension and fullness, a feeling of bearing down resembling dysentery. Each time using the toilet, sitting for the duration of a meal, suddenly the Qi descends, allowing only then for a bowel movement. Laypeople usually use dysentery medicines, not knowing the disease lies in fetal heat and Zifan.
Use Xiao Chaihu Tang (Minor Bupleuri Decoction) to administer Huanglian Ejiao Wan (Coptis and Donkey-Hide Gelatin Pill). Or use fried Ejiao (Colla Corii Asini) and purified Huanglian (Rhizoma Coptidis), each 1 fen. Zhike (Fructus Aurantii) dosage is half that of Dahuang (Radix et Rhizoma Rhei). Divide into two doses. Decoct Wumei (Fructus Mume), Jiang (Zingiberis Rhizoma), and Mi (Mel) to take. Wait for the stool to regulate, then continue with Chuanxiong (Rhizoma Chuanxiong), Fuling (Poria), Suosha (Fructus Amomi Rotundus), and Gancao (Radix Glycyrrhizae). If using Wuling San (Five-Poria Powder), Yinggan Wan, Xianglian, or Zhu
Treats chronic suffering from vexation and oppression during pregnancy. This is Zifan. (From *Dquan Liangfang*)
Use Zhuli (Bamboo Sap) in whatever quantity. Take frequently, and it will heal itself.
Treats Zifan during pregnancy, dry mouth, inability to lie down. (From *Dquan Liangfang*)
Remove the whiskers from Huanglian (Rhizoma Coptidis) and grind into fine powder. Take 1 qian per dose, mixed with congee water. Wine-steamed Huanglian (Rhizoma Coptidis) made into pills is also acceptable.
Yimu Wan (Mother Pill, from *Dquan Liangfang*). Treats fetal unrest caused by medication during pregnancy, presenting as deficiency-vexation, unable to lie down.
Use 1 liang of Zhi Mu (Rhizoma Anemarrhenae), wash and bake into fine powder. Use date flesh to make pills, size of a bullet. Take one pill per dose, chew thoroughly, and swallow with Ginseng decoction.
I often see physicians who do not recognize this syndrome, treating it as deficiency-vexation, thereby damaging the fetal Qi. Those with insight have seen this medicine. Obstetrician Zheng Zongwen obtained it from Chen Cangqi's *Bencao Shiyi*. It is effective. Another method uses Qinjiao (Radix Gentianae Macrophyllae) and Nuomifen (Semen Oryzae Glutinis) decoction to dissolve it, named Wan'an Wan.
Treats mental vexation and oppression during pregnancy, vomiting upon seeing food, nausea at irregular times, inability to eat, sudden fainting at irregular times, surging and full pulse, excess heat in the large and small bowels. (From Yang Zijian's *Wanquan Huming Fang*)
Maidong (Radix Ophiopogonis, remove heart), Fangfeng (Radix Saposhnikoviae), Fuling (Poria), Shanzhi (Fructus Gardeniae), Qianhu (Radix Peucedani, remove hairs), Shengma (Rhizoma Cimicifugae), Huangqin (Radix Scutellariae), Shigao (Gypsum Fibrosum, equal parts). Pound and sieve finely above into powder. Take 3 qian per dose. Add 1.5 zhan of water and 3 stalks of Congbai (Bulbus Allii Cepae). Boil for six or seven boils. Take after meals and before sleep.