妊娠心腹疼痛，手足抽掣，面目青冷，汗出如雨气欲绝，名曰螈 。此由劳动用力，有伤胎宫，肝风心火
相炽也。盖心主肺，属火。肝主筋，属风。治宜平脉舒筋兼养气血，宜钩藤汤。若亏损气血，宜八珍汤（方见前，
子晕条中）加钩藤、山栀仁（炒）各一钱。
钩藤汤
钩藤钩 当归 人参 茯神 桔梗（各一钱五分） 桑寄生（五分）
水煎服。
如风热加柴胡、黄芩、白术 山栀仁（炒）。风痰上涌加竹沥、胆星、半夏（制、炒黄）。风邪急搐加全
蝎、僵蚕。烦热加石膏一钱五分。临产加桂心五分。
妊娠忽然心腹疼痛，宜当归散、木香散、苦梗散，随证择用。若心腹绞痛如鬼击之状，不可按摩，闷绝欲
死，或衄血或吐血，治宜调补正气，宜用忍冬藤（即金银花藤）煎汤服之神效。或用熟艾煮汁频服俱效。
当归散
当归 川芎 丁香（各三两） 青皮（二两） 吴茱萸（五钱，桔梗汤泡、炒黑）
共研细末，每服一钱，温酒调下。
木香散
木香 枳壳（麸炒，各七钱半） 生地黄（二钱）
上为末，温酒调服一钱。
苦梗散
苦桔梗（一两，微炒） 生姜（五钱）
水煎服。
妊娠中暑，烦渴闷乱而胎不安，宜香薷饮。
香薷饮
香薷（二钱） 浓朴（姜制） 白扁豆（炒，各一钱）
水煎温服。若烦热甚而多饮加麦冬、黄芩、花粉、五味子、山栀仁（炒黑）各一钱。
During pregnancy, if there is pain in the heart and abdomen, spasmodic twitching of the hands and feet, a bluish-cold complexion, profuse sweating like rain, and breath so faint it seems about to cease, this condition is named *Chou* (convulsions/spasms during pregnancy). This arises from excessive labor or exertion that injures the fetal palace, causing Liver Wind and Heart Fire to blaze mutually. The Heart governs the blood vessels and belongs to Fire; the Liver governs the sinews and belongs to Wind. Treatment should aim to calm the pulse, relax the sinews, and nourish Qi and Blood simultaneously. The appropriate formula is Gouteng Tang (Uncaria Decoction). If caused by deficiency of Qi and Blood, Bazhen Tang (Eight-Treasure Decoction) [formula seen previously under the section on Fetal Dizziness] with added Gouteng (Uncariae Ramulus cum Uncis) and Shanzhiren (Gardeniae Semen, stir-fried), each one qian, is appropriate.
Gouteng Tang
Gouteng (Uncariae Ramulus cum Uncis), Danggui (Angelicae Sinensis Radix), Renshen (Panacis Ginseng Radix), Fushen (Poria Cum Radix Pini), Jiegeng (Platycodonis Radix) (each 1.5 qian); Sangjisheng (Taxilli Caulis) (0.5 qian).
Decoct in water and take orally.
If wind-heat is present, add Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), and Shanzhiren (Gardeniae Semen, stir-fried). If wind-phlegm surges upward, add Zhuli (Bambusae Sap), Dansheng (Arisaematis Cum Bile Rhizoma), and Banxia (Pinelliae Rhizoma, processed, stir-fried until yellow). If acute twitching due to wind-pathogen occurs, add Quanxie (Scorpio) and Jiangcan (Bombyx Batryticatus). If vexation and heat are severe, add Shigao (Gypsum Fibrosum) 1.5 qian. Near delivery, add Guixin (Cinnamomi Cortex) 0.5 qian.
If sudden pain in the heart and abdomen occurs during pregnancy, Danggui San (Angelica Powder), Muxiang San (Costus Powder), or Kujie San (Platycodon Powder) may be selected according to the syndrome. If the pain in the heart and abdomen is colicky and severe, resembling a ghostly strike, massage should not be performed. If the patient feels stifled and nearly dies, or suffers from epistaxis or hematemesis, treatment should focus on regulating and tonifying Zhengqi (Upright Qi). Using Rendongteng (Lonicerae Japonicae Caulis, i.e., Honeysuckle Vine) decocted in water for oral administration yields miraculous effects. Alternatively, boiling Shuai Ai (Artemisiae Argyi Folium, prepared) in water and taking it frequently is also effective.
Danggui San
Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Dingxiang (Caryophylli Flos) (each 3 liang); Qingpi (Citri Reticulatae Pericarpium Viride) (2 liang); Wuzhuyu (Evodiae Fructus) (5 qian, soaked in Jiegeng Tang, stir-fried until black).
Grind into fine powder. Take 1 qian per dose, mixed with warm wine.
Muxiang San
Muxiang (Aucklandiae Radix), Zhiqiao (Aurantii Fructus, bran-fried) (each 7.5 qian); Shengdihuang (Rehmanniae Radix) (2 qian).
Process the above into powder. Take 1 qian per dose, mixed with warm wine.
Kujie San
Kujiegeng (Platycodonis Radix, 1 liang, slightly stir-fried); Shengjiang (Zingiberis Rhizoma Recens) (5 qian).
Decoct in water and take orally.
For heatstroke during pregnancy, characterized by vexation, thirst, mental confusion, and fetal instability, Xiangru Yin (Elsholtzia Decoction) is appropriate.
Xiangru Yin
Xiangru (Elsholtziae Herba) (2 qian); Nongpo (Magnoliae Officinalis Cortex, ginger-processed); Bai Biandou (Phaseoli Semens Album, stir-fried) (each 1 qian).
Decoct in water and take warm. If vexation and heat are severe with excessive drinking, add Maidong (Ophiopogonis Radix), Huangqin (Scutellariae Radix), Huafen (Puerariae Radix), Wuweizi (Schisandrae Chinensis Fructus), and Shanzhiren (Gardeniae Semen, stir-fried until black), each 1 qian.