（附咽痛。）
博陵医之神者曰郝翁，有妊娠喑不能言。郝曰∶儿大经壅，故不能言，儿生经通，自能言矣。（《叶杏林女科》。）
萧赓六曰∶《内经·大奇论》以胞精不足为死，不言为生，此可验。九月而喑，非胞精不足，故当十月而复言也。
黄锦芳治石蕙文室，素禀水衰火微，水衰则火时游于上，而见咽痛气逆，火衰则食不甚化，常与虚火内结。
稍用地黄以滋之，则食益壅滞。稍用当归以补血，则火随辛性上窜而热起。稍用沙参、元参以清咽，则气觉顿
下，而眼昏不见。稍用人参、白术以补气，则眼虽光明，而气又觉急迫，胸满而痛。稍用疏气抑肝之品，则腰
肾重坠，腹痛欲解。至于偶感风寒，稍用表药，则热势蒸蒸，而气随火逆。时兼有孕，愈难调摄。黄诊之，六
脉俱弦而兼微数，两关尤觉高突，胸满气喘，喉痛脚肿眼昏，食后胸满愈甚，孕已九月将足，乃用自制和气安
胎饮，茯苓、广皮、炒白芍、丹皮、大腹毛，炒麦冬、人参、白术、苏叶，浓煎温服，随药渐愈。
孙文垣治程玉吾内人，妊已七月，乳忽红肿而痛，洒淅恶寒发热，将成内吹。以大栝蒌四钱为君，当归
尾二钱为臣，甘草节、蒲公英、贝母、连翘各一钱二分为佐，青皮、柴胡各八分，橘叶五片为使，二剂而瘳。
此方治验不可胜数。妇女怒郁，肝经为多，栝蒌、甘草为缓肝之剂，贝母开郁，连翘、蒲公英解毒，柴胡、青
皮调气，橘叶引经，当归活血，血活气调，毒解热散，而肿痛消释也。若将成脓，可加白芷。
《医学纲目》治妇人吹乳皂角散，歌曰∶妇人吹乳治如何？皂角烧灰蛤粉和，热酒一杯调一字，顷间揉散笑呵呵。
(Attached: Sore throat.)
Hao Weng, a physician in Boling renowned for his divine skills, treated a pregnant woman who had lost her voice and could not speak. Hao said, "As the fetus grows, it obstructs the meridians, causing aphonia; once the child is born and the meridians clear, speech will naturally return." (From *Ye Xinglin's Gynecology*.)
Xiao Gengliu stated: "*Neijing·Daqi Lun* classifies aphonia caused by insufficiency of uterine essence as a fatal condition, not a survivable one, which serves as verification. Aphonia at nine months of pregnancy is not due to insufficiency of uterine essence; therefore, speech will resume after ten months (at term)."
Huang Jinfang treated the wife of Shi Huiwen, whose constitution was characterized by Yin deficiency and weak Fire. Yin deficiency allows deficient Fire to wander upward, resulting in sore throat and rebellious Qi; weak Fire leads to incomplete digestion of food, often accompanied by internal binding of deficient Fire.
Slightly using *Dihuang* (Rehmanniae Radix) to nourish Yin causes further stagnation of food; slightly using *Danggui* (Angelicae Sinensis Radix) to tonify Blood causes Fire to ascend with its acrid nature, generating heat; slightly using *Shashen* (Glehniae Radix) and *Yuanshen* (Scrophulariae Radix) to clear the throat makes Qi feel suddenly descend, but causes blurred vision; slightly using *Renshen* (Ginseng Radix) and *Baizhu* (Atractylodis Macrocephalae Rhizoma) to tonify Qi brightens the eyes but makes Qi feel urgent, causing chest fullness and pain; slightly using herbs that regulate Qi and suppress Liver causes heaviness and bearing-down sensation in the waist and kidneys, and abdominal pain with urge to defecate. When occasionally contracting wind-cold, slight use of exterior-releasing herbs causes steaming heat and rebellious Qi following the Fire. At this time, she was also pregnant, making regulation difficult. Huang's pulse diagnosis revealed all six pulses were wiry and slightly rapid, especially prominent at the Guan positions. Symptoms included chest fullness, panting, sore throat, swollen feet, blurred vision, and worsened chest fullness after eating. She was nine months pregnant, nearing term. Thus, he used his self-formulated *Heqi Antai Yin* (Harmonizing Qi and Calming Fetus Decoction), composed of *Fuling* (Poria), *Guangpi* (Citri Reticulatae Pericarpium), stir-fried *Baishao* (Paeoniae Radix Alba), *Danpi* (Moutan Cortex), *Dafumao* (Arecae Pericarpium), stir-fried *Maidong* (Ophiopogonis Tuber), *Renshen* (Ginseng Radix), *Baizhu* (Atractylodis Macrocephalae Rhizoma), and *Suye* (Perillae Folium). It was decocted strongly and taken warm. The condition gradually improved with the medication.
Sun Wen Yuan treated the wife of Cheng Yuwu, who was seven months pregnant when her breasts suddenly became red, swollen, and painful, accompanied by alternating chills and fever, indicating impending development of *Neichui* (Internal Blowing, a type of mastitis). He used four qian of *Gualu* (Trichosanthis Fructus) as the sovereign herb, two qian of *Dangguiwei* (Angelicae Sinensis Radix Tail) as the minister herb, one qian and two fen each of *Gancao Jie* (Glycyrrhizae Radix et Rhizoma cum Nodo), *Pugongying* (Taraxaci Herba), *Beimu* (Fritillariae Bulbus), and *Lianqiao* (Forsythiae Fructus) as the assistant herbs, eight fen each of *Qingpi* (Aurantii Fructus Immaturus) and *Chaihu* (Bupleuri Radix), and five slices of *Juye* (Citri Reticulatae Folium) as the guide herb. After two doses, the illness was cured. This formula has countless verified cases. Women suffering from anger and depression often have liver meridian involvement. *Gualu* and *Gancao* are agents that soothe the Liver; *Beimu* opens stagnation; *Lianqiao* and *Pugongying* resolve toxicity; *Chaihu* and *Qingpi* regulate Qi; *Juye* guides the medicine into the meridian; *Danggui* invigorates blood. With blood circulation restored and Qi regulated, toxicity resolved and heat dispersed, swelling and pain dissipate. If suppuration is imminent, *Baizhi* (Angelicae Dahuricae Radix) can be added.
*Yixue Gangmu* records the *Zaojiao San* (Gleditsia Sinensis Powder) for treating women's *Chuilu* (Blown Milk/Mastitis), with a rhyme stating: "How to treat blown milk in women? Burn *Zaojiao* to ash and mix with clam powder; mix with a cup of hot wine for a dose of one character, rub away quickly and laugh happily."