（与痉病略同。）
薛立斋治一妇人，素口苦，月经不调，或寒热。妊娠五月，两臂或拘急，或缓纵，此肝火血虚所致也。用
四物加柴胡、山栀、丹皮、钩藤治之而愈。（雄按∶炎上作苦，口苦皆胆火上炎。）
一妊妇因怒，寒热，头项动掉，四肢抽搐。此肝火血虚风热，用加味逍遥加钩藤，数剂而痊。
一妊妇颈项强直，腰背作痛，此膀胱经风邪所致。用拔萃羌活汤一剂而愈。又用独活寄生汤及八珍汤，以
祛邪固本而痊。
一妊妇四肢不能伸，服祛风燥血之剂，遗尿痰甚，四肢抽搐。此肝火血燥，用八珍汤加炒黑黄芩为主，佐
以钩藤汤而安。后因怒前证复作，小便下血，寒热少寐，饮食少思，用钩藤散加山栀、柴胡而血止。用加味逍
遥散，寒热退而得寐。用六君子汤加白芍、钩藤，饮食进而渐安。
万密斋治一婢临月，病口眼 邪，腰背反张，手足挛曲，不省人事。用黄连解毒汤加朱砂，干开口灌之稍
定。其夜生一男，产后犹昏迷不省，以七珍汤与之即安。（据万云即子痫。）
薛立斋治一妊妇，出汗口噤，腰背反张，时作时止，此怒动肝火也。用加味逍遥散渐愈，又用钩藤散而止，
更以四君加钩藤、山栀、柴胡而安。
一妊妇因怒卧地，良久而苏，吐痰发搐，口噤项强。用羚羊角散渐愈，更用钩藤散始痊，又用归脾汤而安。
孙文垣治黄氏妇，青年初孕，已及弥月，忽午夜口中呶呶，因作上视，角弓反张，裸裎不知羞耻，口眼偏
斜，昏愦不知人事，问之不能言。此风痰为怒所动而成子痫，当从云歧子葛根汤加大腹皮，一两剂可愈也。用
葛根、贝母、丹皮、防风、川芎、当归、茯苓、桂心、泽泻、甘草各二钱，独活、人参各四钱，水煎饮之而苏。
（原注按∶贝母令人易产，未临月者，用升麻代之。）
陆肖愚治谢四府女，与夫俱在青年，妊将七月，日间因责婢大怒，又与夫反目，号哭半日，夜即不能寐，
至夜半忽口中谵语不已，目上视，竟于床褥中裸形而出，其夫力抱之，遂昏愦不知人事，问之不语。医不识何
病，咸以为祟，谢公夜起着红袍执剑压之，而号叫笑詈，千端万状。召诊，悉其证，乃令数妇执而脉之，六部
洪数有力，曰∶此子痫证，非祟也。证亦时见，但此殊甚耳。用真正霞天曲、贝母、黄连、山栀、天麻、青皮、
白芍、龙胆草、青黛，加灯心、竹沥，一剂而醒，二剂减半，四剂全瘳。问其病状，毫不知也。
吴桥治程钧妻，孕且四月矣，着屐而履桥版，偶失足卧地，扶起则目上视而瞑， 愦而为鬼言。逆桥视之，
寸口脉动而微，尺脉按之不绝，右差胜，曰∶非直病，易去也，胎且安，主生男。闻者愕然。乃以大剂参、
加安神宁志药，仅服过半，舒气一声而目微开。问之，则历述所遇皆亡者，言毕复瞑。仍进前药乃苏，日渐得
安，七日而痊。或问向者榆村程氏妇与此同，而彼七日死何也。桥曰∶往者吾不及见，无敢以口给臆之。今病
者故中气虚，妊子食母气且尽，母失所养而震惊，出其不虞，气下陷而火上炎，痰壅心络，故愦愦欲死，非真
死也。又谓见鬼物者何？经曰∶脱阳者见鬼，此无足怪。（雄按∶此必挟痰。如果脱阳，则为败证，安神宁志，岂能即愈？）
沈尧封曰∶妊妇病源有三大纲∶一曰阴亏，人身精血有限，聚以养胎，阴分必亏；二曰气滞，腹中增一障
碍，则升降之气必滞；三曰痰饮，人身脏腑接壤，腹中遂增一物，脏腑之机括，为之不灵，则津液聚为痰饮。
知此三者，庶不为邪说所惑。妊妇卒倒不语，或口眼歪斜，或手足螈 ，皆名中风。或背腰反张，时昏时醒，
名为风痉，又名子痫。古来皆作风治，不知卒倒不语，病名为厥，乃阴虚于下，孤阳逆上之谓也。口眼歪斜，
手足螈 ，或因痰滞经络，或因阴亏不吸肝阳，内风暴动。至若腰背反张一证，临危必见戴眼，其故何欤？盖
足膀胱经太阳之脉，起于目内 ，上额交巅，循肩膊内，夹脊，抵腰中。足太阳主津液，虚则经脉时缩，故腰
背反张。经曰∶瞳子高者，太阳不足，谓太阳之津液不足也。脉缩急则瞳子高，甚则戴眼。治此当用地黄、麦
冬各等药，滋养津液为主。胎前病阳虚者绝少，慎勿误用小续命汤。
沈尧封治钱鹄云室，饮食起居无恙，一夜连厥数十次，发则目上窜，形如尸，次日又厥数十次，至晚一厥
不醒，以火炭投醋中，近鼻熏之，不觉。切其脉，三部俱应，不数不迟，并无怪象。诊毕，其父问可治否？沈
曰∶可用青铅一斤，化烊，倾盆水内，捞起再烊，再倾三次，取水煎生地一两，天冬二钱，石斛三钱，甘草一
钱，石菖蒲一钱服之。是晚止厥六次，亦甚轻。照方再服，厥遂不发，后生一子。计其时乃受胎初月也，移治
中年，非受胎者亦甚效。
(The symptoms of eclampsia are roughly similar to those of spasm.)
Xue Lizhai treated a woman who usually had a bitter taste in her mouth, irregular menstruation, and occasional alternating chills and fever. At five months of pregnancy, her arms were sometimes spasmodic and tight, sometimes flaccid and relaxed. This was caused by Liver fire and blood deficiency. She was treated with Siwu Tang (Four Substances Decoction) added with Chaihu (Bupleuri Radix), Shanzhi (Gardeniae Fructus), Danpi (Moutan Cortex), and Gouteng (Uncariae Ramulus cum Uncis), and she recovered. (Xu Lingtai's note: "Flame rises and makes things bitter"; a bitter taste in the mouth is due to Gallbladder fire flaming upward.)
Another pregnant woman, due to anger, experienced chills and fever, shaking of the head and neck, and convulsions of the four limbs. This was due to Liver fire, blood deficiency, and wind-heat. She was treated with Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) added with Gouteng (Uncariae Ramulus cum Uncis), and recovered after several doses.
Another pregnant woman had a stiff neck and pain in the lower back. This was caused by wind-pathogen invading the Bladder meridian. She was cured with one dose of Bacui Qianghuo Tang (Extraction Notopterygium Decoction). Subsequently, Duhuo Jisheng Tang (Angelica Pubescens Decoction for Preserving the Living) and Bazhen Tang (Eight Treasures Decoction) were used to dispel pathogenic factors and consolidate the root, leading to recovery.
Another pregnant woman could not extend her four limbs. After taking drugs that dispel wind and dry blood, she developed urinary incontinence, excessive phlegm, and limb convulsions. This was due to Liver fire and blood dryness. The main treatment was Bazhen Tang (Eight Treasures Decoction) added with stir-fried black Huangqin (Scutellariae Radix), assisted by Gouteng Tang (Uncariae Ramulus Decoction), which stabilized the condition. Later, due to anger, the previous symptoms recurred with hematuria, chills and fever, insomnia, and poor appetite. Gouteng San (Uncariae Ramulus Powder) added with Shanzhi (Gardeniae Fructus) and Chaihu (Bupleuri Radix) stopped the bleeding. Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) resolved the chills and fever and restored sleep. Liujunzi Tang (Six Gentlemen Decoction) added with Baishao (Paeoniae Radix Alba) and Gouteng (Uncariae Ramulus cum Uncis) improved appetite and gradually stabilized the patient.
Wan Mizhai treated a maid near term who suffered from facial deviation, opisthotonos, flexion of hands and feet, and unconsciousness. Huanglian Jiedu Tang (Coptis Decoction for Detoxification) added with Zhusha (Cinnabar) was pried open and administered orally, slightly stabilizing her. A male infant was born that night. Postpartum, she remained comatose. Seven Zhen Tang (Seven Treasures Decoction) was given, and she immediately calmed down. (According to Wan, this is eclampsia.)
Xue Lizhai treated a pregnant woman who sweated, had trismus, opisthotonos, and intermittent episodes. This was due to anger stirring Liver fire. Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) gradually improved the condition; Gouteng San (Uncariae Ramulus Powder) stopped the spasms; and Sijunzi Tang (Four Gentlemen Decoction) added with Gouteng (Uncariae Ramulus cum Uncis), Shanzhi (Gardeniae Fructus), and Chaihu (Bupleuri Radix) stabilized her.
Another pregnant woman fell to the ground due to anger, revived after a long time, vomited phlegm, had convulsions, trismus, and neck stiffness. Lingyangjiao San (Antelope Horn Powder) gradually improved the condition; Gouteng San (Uncariae Ramulus Powder) led to recovery; and Guipi Tang (Restore the Spleen Decoction) stabilized her.
Sun Wen Yuan treated Mrs. Huang, who was young and in her first pregnancy, nearing full term. Suddenly, in the middle of the night, she muttered, looked upward, exhibited opisthotonos, exposed herself without shame, had facial deviation, was confused and unconscious, and could not speak when asked. This was eclampsia formed by wind-phlegm stirred by anger. It should be treated according to Yun Qizi's Gegen Tang (Kudzu Root Decoction) with Dafupi (Arecae Pericarpium) added. One or two doses would cure it. Gegen (Puerariae Lobatae Radix), Beimu (Fritillariae Bulbus), Danpi (Moutan Cortex), Fangfeng (Saposhnikoviae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Fuling (Poria), Guixin (Cinnamomi Cortex), Zexie (Alismatis Rhizoma), and Gancao (Glycyrrhizae Radix et Rhizoma) each 2 qian, Duhuo (Angelicae Pubescentis Radix) and Renshen (Ginseng Radix) each 4 qian were decocted in water and administered, restoring consciousness. (Original note: Beimu (Fritillariae Bulbus) facilitates childbirth; for those not yet at term, Shengma (Cimicifugae Rhizoma) should be substituted.)
Lu Xiaoyu treated the daughter of Prefect Xie. Both she and her husband were young. At nearly seven months of pregnancy, she became furious after scolding a maid, then quarreled with her husband, crying loudly for half a day. That night, she could not sleep. By midnight, she spoke deliriously, looked upward, and emerged naked from the bed. Her husband held her tightly, but she became confused, unconscious, and unresponsive. Doctors did not recognize the disease and attributed it to demonic possession. Mr. Xie dressed in red robes and wielded a sword to suppress it, but she screamed, laughed, and cursed endlessly. Lu Xiaoyu was summoned. After examining the symptoms and having several women hold her pulse, he found all six pulses surging, rapid, and forceful. He said, "This is an eclampsia syndrome, not demonic possession." Such syndromes are seen occasionally, but this case is particularly severe. Zhenzheng Xiatic Qu (True Cloud Sky Fermented Dough), Beimu (Fritillariae Bulbus), Huanglian (Coptidis Rhizoma), Shanzhi (Gardeniae Fructus), Tianma (Gastrodiae Rhizoma), Qingpi (Citri Reticulatae Pericarpium Viride), Baishao (Paeoniae Radix Alba), Longdancao (Gentianae Radix), and Qingdai (Indigo Naturalis) were used, added with Dengxincao (Junci Medulla) and Zhuli (Bambusae Caulis in Taenia), resulting in awakening after one dose, halving of symptoms after two doses, and complete recovery after four doses. She had no memory of the illness.
Wu Qiao treated the wife of Cheng Jun, who was nearly four months pregnant. While wearing clogs on a bridge plank, she slipped and fell. Upon being helped up, she looked upward, closed her eyes, and spoke as if possessed. Wu Qiao observed that the Cun Kou (inch position) pulse was moving but faint, while the Chi position (cubit position) pulse was uninterrupted upon pressure, with the right side slightly stronger. He said, "This is not a serious illness; it will be easily resolved. The fetus is safe; a boy will be born." Listeners were astonished. Large doses of Renshen (Ginseng Radix) and other calming-spirit and stabilizing-mind medicines were administered. After taking only half, she sighed, opened her eyes slightly, and recounted encounters with the deceased before closing her eyes again. The same medicine was continued, she woke up, gradually stabilized, and recovered in seven days. Someone asked why a previous Cheng family woman from Yucun died in seven days despite similar symptoms. Wu Qiao replied, "I was not present then and dare not speculate. However, this patient has deficient Middle Qi. Pregnancy consumes maternal Qi almost entirely. The mother loses nourishment and is shocked unexpectedly. Qi sinks downward while Fire flares upward, Phlegm obstructs the Heart collaterals, causing confusion and a desire to die, but it is not true death." Regarding seeing ghosts, he cited the classics: "Those who lose Yang see ghosts," which is not strange. (Xu Lingtai's note: This must involve Phlegm. If it were true Yang collapse, it would be a critical failure; calming the spirit and stabilizing the mind could not lead to immediate recovery.)
Shen Yaofeng stated: There are three main origins for diseases in pregnant women: First, Yin deficiency. Human essence and blood are limited and gathered to nourish the fetus, inevitably depleting Yin. Second, Qi stagnation. An obstacle in the abdomen causes stagnation of ascending and descending Qi. Third, Phlegm-fluid retention. Organs and viscera are adjacent; the addition of a mass in the abdomen renders their mechanisms ineffective, causing body fluids to accumulate into Phlegm-fluid. Knowing these three points prevents confusion by false theories. Sudden collapse and silence in pregnant women, or facial deviation, or limb tremors, are all named Wind Stroke. Opisthotonos with intermittent consciousness is named Wind Spasm, also known as Eclampsia. Historically, it was treated as Wind, but sudden collapse and silence are actually Jue (Syncope/Reversal Cold), defined as Yin deficiency below and solitary Yang reversing upward. Facial deviation and limb tremors may be due to Phlegm obstructing collaterals or Yin deficiency failing to absorb Liver Yang, stirring internal wind. As for opisthotonos, terminal signs include fixed upward gaze (Daiyan). Why? The Foot-Taiyang Bladder meridian originates at the inner canthus, crosses the forehead, meets at the vertex, follows the shoulder-blade interior, runs along the spine, and reaches the waist. Foot-Taiyang governs body fluids. When deficient, meridians contract intermittently, causing opisthotonos. The classics state: "High pupils indicate Taiyang insufficiency," meaning insufficient Taiyang fluids. Constricted and urgent meridians cause high pupils, and severely, Daiyan. Treatment should focus on nourishing fluids using equal parts Dihuang (Rehmanniae Radix) and Maidong (Ophiopogonis Tuber). Yang deficiency in prenatal diseases is extremely rare; do not mistakenly use Xiao Xuming Tang (Minor Xu Ming Decoction).
Shen Yaofeng treated the wife of Qian Huyun. Her diet and起居 (daily life) were normal, but she experienced dozens of syncope episodes in one night. During attacks, her eyes rolled upward, and she resembled a corpse. The next day, dozens more episodes occurred. By evening, one episode did not resolve. Burning charcoal was thrown into vinegar and fumed near her nose, but she felt nothing. Her pulses in all three positions responded, neither rapid nor slow, showing no abnormalities. After diagnosis, her father asked if it was treatable. Shen said, "Use one jin of Qingqian (Galena) melted, poured into basin water, retrieved, remelted, and repeated three times. Use the water to decoct Shengdi (Rehmanniae Radix Preparata) 1 liang, Tiandong (Asparagi Tuber) 2 qian, Shihu (Dendrobii Caulis), Gancao (Glycyrrhizae Radix et Rhizoma) 1 qian, and Shichangpu (Acori Tatarinowii Rhizoma) 1 qian. Take orally." That night, syncope reduced to six times and was mild. Taking the prescription again stopped the syncope completely. She later gave birth to a son. Calculating the time, this was the first month of conception. Transferred to treating middle-aged women, it is also very effective for non-pregnant patients.