妊娠中风，颈项强直，筋脉挛急，口噤语涩，痰盛者昏迷，癫痫发搐，不省人事，名曰子痫。轻则宜四
物汤加黄芩、黄连以降火；半夏、陈皮以化痰。更加白术以燥湿、强脾。名曰清痰四物汤。甚则角弓反张，宜
羚羊角散。
清痰四物汤
熟地黄（三钱） 白芍（酒炒） 黄芩（酒炒，各二钱半） 当归（二钱） 半夏（制、炒黄） 陈皮
白术（蜜炙，各一钱） 姜（三片）
水煎，温服。
羚羊角散
羚羊角（镑，一钱） 独活 酸枣仁（炒） 五加皮 防风 当归（酒洗） 川芎 茯神 杏仁（去皮尖、
炒、杵） 薏苡仁（各七分） 木香（不见火） 甘草（各五分） 姜（三片）
水煎，不拘时服。
妊娠四五月，君相二火以养胎。平素火盛，以至胎气不和，逆上心胸，胀满疼痛，名曰子悬。宜紫苏饮或
子悬汤。若肝脾气血虚而有火不安者，宜紫苏饮兼逍遥散（方见子气条中）。若脾虚而不安者，宜四君芎归汤。
若胃热而不安者，宜加味四君汤。若脾郁而不安者，宜加味归脾汤。若胎动困笃者，宜葱白汤。
紫苏饮
大腹皮（二钱） 川芎 陈皮（去白） 白芍（酒炒） 苏
叶（各一钱） 当归（二钱） 人参 甘草（各五分） 姜（四片） 葱白（三茎）
水煎服。（一方有香附，无人参）
如腹疼加木香、香附（制）各一钱。咳嗽加枳壳（麸炒），桑白皮各一钱。热加条芩、淡竹茹各一钱。呕
加砂仁、半夏（姜制、炒黄）各一钱。泻加茯苓、白术（蜜炙）各一钱。
子悬汤
人参（一钱） 当归身 白芍（各二钱） 黄芩 丹参 苏叶 陈皮 砂仁 香附（各八分，制） 姜（三片）
葱白（三茎）
水煎服。
四君芎归汤
人参 白术（蜜炙） 茯苓 当归 川芎 砂仁 炙甘草（各一钱） 姜（三片） 葱白（三茎）
水煎服。
加味四君汤
人参 白术（蜜炙） 茯苓 枳壳（麸炒） 柴胡 黄芩 山栀仁（炒，各一钱） 甘草（五分） 姜（三片）
葱白（三茎）
水煎服。
加味归脾汤
人参 黄 白术（蜜炙） 茯苓 枣仁（各二钱） 远志（制） 当归（各一钱） 柴胡 山栀仁 枳壳
（麸炒，各八分） 木香（不见火） 炙甘草（各五分） 圆眼肉（七枚）
水二钟，煎七分，食远服。
葱白汤
葱白二十七茎煮汁饮之。生胎即安，死胎即下。不效，
再服此方，神效之极。惟脉浮、滑胎者宜之。本草云∶通阳气安胎。
During pregnancy, if one contracts wind-pathogens, symptoms such as stiffness of the neck and nape, spasms and contractions of the sinews and vessels, locked jaw (trismus), and slurred speech may occur. If phlegm is abundant, coma may ensue; or it may manifest as epilepsy with convulsions and loss of consciousness. This condition is named Zi Xian (Subpreeclampsia/Eclampsia). For mild cases, Si Wu Tang (Four Substances Decoction) added with Huang Qin (Scutellariae Radix) and Huang Lian (Coptidis Rhizoma) to clear and descend fire; Ban Xia (Pinelliae Rhizoma) and Chen Pi (Citri Reticulatae Pericarpium) to transform phlegm. Additionally, Bai Zhu (Atractylodis Macrocephalae Rhizoma) is added to dry dampness and strengthen the Spleen. This formula is named Qing Tan Si Wu Tang (Phlegm-Clearing Four Substances Decoction). For severe cases presenting with opisthotonos (backward bending of the body like a bow), Ling Yang Jiao San (Antelope Horn Powder) is indicated.
Qing Tan Si Wu Tang (Phlegm-Clearing Four Substances Decoction)
Shu Di Huang (Prepared Rehmanniae Radix, 3 qian) Bai Shao (White Peony Root, stir-fried with wine) Huang Qin (Scutellariae Radix, stir-fried with wine, each 2.5 qian) Dang Gui (Angelicae Sinensis Radix, 2 qian) Ban Xia (Pinelliae Rhizoma, processed, stir-fried until yellow) Chen Pi (Citri Reticulatae Pericarpium) Bai Zhu (Atractylodis Macrocephalae Rhizoma, honey-roasted, each 1 qian) Sheng Jiang (Fresh Ginger, 3 slices)
Decoct in water and take warm.
Ling Yang Jiao San (Antelope Horn Powder)
Ling Yang Jiao (Saiga Tataricae Cornu, shaved, 1 qian) Du Huo (Angelicae Pubescentis Radix) Suan Zao Ren (Ziziphi Spinosae Semen, stir-fried) Wu Jia Pi (Acanthopanacis Cortex) Fang Feng (Saposhnikoviae Radix) Dang Gui (Angelicae Sinensis Radix, washed with wine) Chuan Xiong (Ligustici Chuanxiong Rhizoma) Fu Shen (Poria with Hostwood) Xing Ren (Armeniacae Semen Amarum, skin and tip removed, stir-fried, pounded) Yi Yi Ren (Coicis Semen, each 7 fen) Mu Xiang (Aucklandiae Radix, avoid fire) Gan Cao (Glycyrrhizae Radix et Rhizoma, each 5 fen) Sheng Jiang (Fresh Ginger, 3 slices)
Decoct in water and take at any time.
In the fourth or fifth month of pregnancy, the Ministerial Fire and Sovereign Fire nourish the fetus. If the patient has excessive internal heat normally, causing disharmony of fetal Qi, which rebels upward to the chest and heart, resulting in distension and pain, this condition is named Zi Xuan (Fetal Distension). Zi Su Yin (Perilla Drink) or Zi Xuan Tang (Fetal Distension Decoction) are indicated. If there is deficiency of Qi and Blood in the Liver and Spleen accompanied by heat causing fetal unrest, Zi Su Yin combined with Xiao Yao San (Free and Easy Wanderer Powder) (formula see under Zi Qi entry) is indicated. If there is Spleen deficiency causing fetal unrest, Si Jun Xiong Gui Tang (Four Gentlemen with Ligusticum and Angelica Decoction) is indicated. If there is Stomach heat causing fetal unrest, Jia Wei Si Jun Tang (Modified Four Gentlemen Decoction) is indicated. If there is Spleen depression causing fetal unrest, Jia Wei Gui Pi Tang (Modified Restore the Spleen Decoction) is indicated. If the fetal movement is critical and severe, Cong Bai Tang (Scallion Juice Decoction) is indicated.
Zi Su Yin (Perilla Drink)
Da Fu Pi (Arecae Pericarpium, 2 qian) Chuan Xiong (Ligustici Chuanxiong Rhizoma) Chen Pi (Citri Reticulatae Pericarpium, white pith removed) Bai Shao (White Peony Root, stir-fried with wine) Zi Su Ye (Perillae Folium, each 1 qian) Dang Gui (Angelicae Sinensis Radix, 2 qian) Ren Shen (Ginseng Radix et Rhizoma) Gan Cao (Glycyrrhizae Radix et Rhizoma, each 5 fen) Sheng Jiang (Fresh Ginger, 4 slices) Cong Bai (Allii Fistulosi Bulbus, 3 stems)
Decoct in water and take. (Another version contains Xiang Fu, without Ren Shen)
If abdominal pain, add Mu Xiang (Aucklandiae Radix) and Xiang Fu (Cyperi Rhizoma, processed) each 1 qian. If cough, add Zhi Ke (Aurantii Fructus, bran-fried) and Sang Bai Pi (Mori Cortex) each 1 qian. If heat, add Tiao Qin (Scutellariae Radix) and Dan Zhu Ru (Bambusae Caulis in Taeniae) each 1 qian. If vomiting, add Sha Ren (Amomi Fructus Rotundus) and Ban Xia (Pinelliae Rhizoma, ginger-processed, stir-fried until yellow) each 1 qian. If diarrhea, add Fu Ling (Poria) and Bai Zhu (Atractylodis Macrocephalae Rhizoma, honey-roasted) each 1 qian.
Zi Xuan Tang (Fetal Distension Decoction)
Ren Shen (Ginseng Radix et Rhizoma, 1 qian) Dang Gui Shen (Angelicae Sinensis Radix Body) Bai Shao (White Peony Root, each 2 qian) Huang Qin (Scutellariae Radix) Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma) Zi Su Ye (Perillae Folium) Chen Pi (Citri Reticulatae Pericarpium) Sha Ren (Amomi Fructus Rotundus) Xiang Fu (Cyperi Rhizoma, processed, each 8 fen) Sheng Jiang (Fresh Ginger, 3 slices) Cong Bai (Allii Fistulosi Bulbus, 3 stems)
Decoct in water and take.
Si Jun Xiong Gui Tang (Four Gentlemen with Ligusticum and Angelica Decoction)
Ren Shen (Ginseng Radix et Rhizoma) Bai Zhu (Atractylodis Macrocephalae Rhizoma, honey-roasted) Fu Ling (Poria) Dang Gui (Angelicae Sinensis Radix) Chuan Xiong (Ligustici Chuanxiong Rhizoma) Sha Ren (Amomi Fructus Rotundus) Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma, each 1 qian) Sheng Jiang (Fresh Ginger, 3 slices) Cong Bai (Allii Fistulosi Bulbus, 3 stems)
Decoct in water and take.
Jia Wei Si Jun Tang (Modified Four Gentlemen Decoction)
Ren Shen (Ginseng Radix et Rhizoma) Bai Zhu (Atractylodis Macrocephalae Rhizoma, honey-roasted) Fu Ling (Poria) Zhi Ke (Aurantii Fructus, bran-fried) Chai Hu (Bupleuri Radix) Huang Qin (Scutellariae Radix) Shan Zhi Ren (Gardeniae Semen, stir-fried, each 1 qian) Gan Cao (Glycyrrhizae Radix et Rhizoma, 5 fen) Sheng Jiang (Fresh Ginger, 3 slices) Cong Bai (Allii Fistulosi Bulbus, 3 stems)
Decoct in water and take.
Jia Wei Gui Pi Tang (Modified Restore the Spleen Decoction)
Ren Shen (Ginseng Radix et Rhizoma) Huang Qi (Astragali Radix) Bai Zhu (Atractylodis Macrocephalae Rhizoma, honey-roasted) Fu Ling (Poria) Zao Ren (Ziziphi Spinosae Semen, each 2 qian) Yuan Zhi (Polygalae Radix, processed) Dang Gui (Angelicae Sinensis Radix, each 1 qian) Chai Hu (Bupleuri Radix) Shan Zhi Ren (Gardeniae Semen) Zhi Ke (Aurantii Fructus, bran-fried, each 8 fen) Mu Xiang (Aucklandiae Radix, avoid fire) Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma, each 5 fen) Yuan Yan Rou (Longan Aril, 7 pieces)
Decoct two zhong of water until seven parts remain, take after meals.
Cong Bai Tang (Scallion Juice Decoction)
Boil twenty-seven stems of Cong Bai (Allii Fistulosi Bulbus) and drink the juice. If the fetus is alive, it will be calmed; if dead, it will be expelled. If ineffective, take this formula again for extreme efficacy. It is suitable only for those with floating pulse and habitual abortion (Hua Tai). The Materia Medica states: It unblocks Yang Qi to calm the fetus.