吴丞妻孕而惊，遂病悸。医以为病在中，神越焉，无可为。沈宗常以为胆伤耳，俾服
抱胆丸而愈。
大圣散 治妊娠怔悸，睡里多惊，腹胁膨胀，坐卧不宁。
白茯苓（去皮） 麦门冬（去心） 黄 （去芦，蜜炙） 当归（去芦，酒浸） 川芎（各一钱半）
木香（不见火） 人参 甘草（炙，各一钱）
上作一服，水二盅，生姜五片，煎至一盅，服无时。
抱胆丸（杂病癫。）
〔大全〕孕妇不语，非病也。间有如此者，不须服药，临产月但服保生丸、四物汤
之类，产下便语得，亦自然之理，非药之功也。医家不说与人，临月则与寻常之药，产
后能语，则以为医之功，岂其功也哉。黄帝问曰∶人有重身九月而喑，此为何也？岐伯
对曰∶胞之络脉绝也。帝曰∶何以言之？岐伯曰∶胞络者，系于肾少阴之脉，贯肾系舌
本，故不能言。帝曰∶治之奈何？岐伯曰∶无治也，当十月复。
郝翁治验，见前候胎条。
（口干附）
〔大全〕妊娠苦烦闷者，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，多有烦闷，名曰子烦也。《产宝》云∶夫妊娠而子烦者，是肺脏虚而热乘
于心，则令心烦也。停痰积饮在心胸之间，或冲于心，亦令烦也。若热而烦者，但热而已。
若有痰饮而烦者，呕吐涎沫，恶闻食气，烦躁不安也。大凡妊娠之人，既停痰积饮，又
寒热相搏，气郁不舒，或烦躁，或呕吐涎沫，剧则胎动不安，均谓子烦也。
〔薛〕前证若因内热，用竹叶汤。气滞，用紫苏饮。痰滞，用二陈、白术、黄芩、枳
壳。气郁用分气饮加川芎。脾胃虚弱，用六君、紫苏、山栀。一妊妇烦热，吐痰恶食，
恶心头晕。此脾虚风痰为患，用半夏白术天麻汤（杂眩晕。）以补元气，祛风邪渐愈，惟头晕
未痊，乃用补中益气汤加蔓荆子，以升补阳气而愈。
竹叶汤 治妊娠心惊胆怯，终日烦闷，名曰子烦。
白茯苓（三钱） 防风 麦门冬（去心） 黄芩（各二钱）
上作一服，水二盅，竹叶五片，煎至一盅，无时服。
竹沥汤 出《外台秘要》，与前竹叶汤同，内有竹沥一合，无竹叶。又方有知母，无黄芩。
竹茹汤 疗妊娠烦躁，或胎不安。
用淡青竹刮茹（一两） 以水一大升，煮取四合，徐徐服尽为度。
知母饮 治妊娠心脾壅热，咽膈渴苦，烦闷多惊。
知母 麦门冬（去心 赤茯苓（各一钱半） 黄芩 黄 （各二钱） 甘草（一钱）
上作一服，水二盅，入桑白皮半钱，煎至一盏，再入竹沥些少，同煎二三沸服，无时。
麦门冬汤 治妊娠心惊胆怯，烦闷，名曰子烦。
麦门冬（去心） 白茯苓 防风（各三钱） 人参（一钱半）
上作一服，水二盅，生姜五片，淡竹叶十叶，煎至一盅，去滓，不拘时服。
麦门冬散 （二方） 治妊娠心烦愦闷，虚躁吐逆，恶闻食气，头眩，四肢沉重，百节疼
痛，多卧少起。
麦门冬（去心） 子芩 赤茯苓（各一两） 茯神 赤芍药 陈皮 人参 苦梗 桑寄生
甘草 旋复花（各半两） 生地黄（七钱半）
上为粗末，每服四钱，水一盏，姜一钱，煎至七分，不拘时温服。
又方
麦门冬 苎根（各三两） 黄芩 茯神（各一两） 甘草（炙） 犀角屑（各半两）
上 咀，每服四钱，水一盏，生地黄一分，淡竹叶五片，煎至六分，去滓温服效。
柴胡散 治妊娠心烦，头目昏重，心胸烦闷，不思饮食。
柴胡（一两半） 赤茯苓 麦门冬（各一两） 枇杷叶（去毛） 人参 橘红 甘草（各半两）
咀，每服四钱，水一盏，姜三片，煎至七分服。
人参散 治妊娠热气乘于心脾，津液枯少，烦躁壅热干渴。
人参 麦门冬 赤获苓 地骨皮 家干葛 黄芩 犀角屑（各七钱半） 甘草（半两）
上 咀，每服三钱，水一盏，煎至六分，去滓温服。
治妊娠心烦热不止。
葱白（一握） 豉（二合）
上以水二大盏，煎至一盏半，去滓温，分三服。
一母丸 治妊娠因服药致胎气不安，有似虚烦不得卧，巢氏谓之子烦也。（出产乳。）
知母（二两，洗焙）
上为细末，以枣肉为丸，如弹子大。每服一丸，煎人参汤送下。
医者不识此证，作虚烦治之，损动胎气宜矣。
〔烦躁口干〕
夫足太阴脾之经也，其气通于口，手少阴心之经，其气通于舌。若妊娠之人，脏腑
气虚，荣卫不理，阴阳隔绝，热乘于心脾，津液枯少，故令心烦而口干也。
〔薛〕前证若胃经实火，用竹叶石膏汤。若胃经虚热，用人参黄 散。若胃经气虚，用
补中益气汤。若肺经虚热，用紫苏饮。若肝经火动，用加味逍遥散。若脾气郁结，用加
味归脾汤。若肾经火动，加味地黄丸。一妊妇烦热兼咽间作痛，用知母散加山栀以清
肺经而愈。后内热咳嗽，小便自遗，用补中益气加麦门、山栀，以补肺气、滋肾水而痊。
升麻散 治妊娠壅热，心神烦躁，口干渴逆。
川升麻 栝蒌根 黄芩 人参 麦门冬 柴胡 栀子仁 犀角屑 茯神（各一钱）
知母 甘草（各半钱）
上作一服，水二盅，煎至一盅，不拘时服。
知母散 治妊娠烦躁，闷乱口干，及胎脏热。
知母 麦门冬 甘草（各半两） 黄 子苓 赤茯苓（各七钱半）
上 咀，每服四钱，水一盏，煎至七分，去滓入竹沥一合，更煎三二沸温服。
葛根散 治妇人妊娠数月，胸膈烦躁，唇口干渴，身热少食。
家葛根（野者不用） 黄芩 人参 葳蕤 黄 麦门冬 甘草（等分， 咀）
上每服四钱，水一盏，竹茹一团如钱大，煎七分，温服无时。
人参黄 散 治妊娠身热烦躁，口干食少。
人参 黄 家葛根 麦门冬 赤茯苓 秦艽（各一两） 知母（七钱半）
甘草（半两）
每服四钱，姜、水、竹叶煎服。
《补遗》人参白术散、黄 六一汤皆良。
治子烦口干不得卧。用黄连（去须，细末，每服一钱，）粥饮调下。
Wu Cheng's wife, while pregnant, was startled and subsequently suffered from palpitations (Ji, 悸). Physicians believed the pathology was internal with the spirit (Shen, 神) wandering outward, rendering it incurable. Shen Zongchang attributed it to injury of the Gallbladder (Dan, 胆) and prescribed Bao Dan Wan (Gallbladder-Protecting Pill), resulting in a cure.
Da Sheng San (Great Sage Powder): Treats palpitations and fright during pregnancy, frequent startling during sleep, abdominal and hypochondriac distension, and restlessness in sitting or lying.
Ingredients: Bai Fu Ling (Poria Cocos, dried sclerotium; peeled), Mai Men Dong (Ophiopogonis Radix; heart removed), Huang Qi (Astragali Radix; radix removed, honey-fried), Dang Gui (Angelicae Sinensis Radix; radix removed, wine-soaked), Chuan Xiong (Ligustici Chuanxiong Rhizoma; each 1.5 qian), Mu Xiang (Aucklandiae Radix; not roasted over fire), Ren Shen (Ginseng Radix et Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma; honey-roasted, each 1 qian).
Preparation and Administration: Combine as one dose. Add two zhong of water and five slices of fresh ginger. Decoct until one zhong remains. Take at any time.
Bao Dan Wan: Used for manic-depressive disorders (Dian, 癫) in miscellaneous diseases. [Note: Formula composition not listed in this excerpt.]
[Da Quan] A pregnant woman who does not speak is not necessarily ill. In rare cases where this occurs, medication is unnecessary. One need only administer Bao Sheng Wan (Life-Preserving Pill) or Si Wu Tang (Four Substances Decoction) in the month preceding delivery; speech will naturally return after childbirth. This is a natural physiological process, not a result of medicinal efficacy. Physicians fail to inform patients of this. They administer ordinary medicines near term, and when speech returns postpartum, they claim credit for their medical skill. How can this be considered their merit?
The Yellow Emperor asked: "Why do some women lose their voice in the ninth month of pregnancy?"
Qibo replied: "This is due to the obstruction of the collateral vessels of the uterus (Bao, 胞)."
The Emperor asked: "How so?"
Qibo answered: "The collateral vessels of the uterus connect to the Shaoyin Kidney meridian, which passes through the kidney and connects to the root of the tongue. Hence, speech is impaired."
The Emperor asked: "How should it be treated?"
Qibo replied: "No treatment is required. It will resolve spontaneously by the tenth month."
Case study of Hao Weng: Refer to the section on Fetal Observation (Hou Tai, 候胎) above.
(Attachment regarding Dry Mouth)
[Da Quan] Pregnancy complicated by vexation and stuffiness arises because, at four months gestation, the body receives the Qi of Shaoyin Jun Huo (Ministerial Fire of the Hand-Shaoyin) to nourish essence, and at six months, it receives the Qi of Shaoyang Xiang Huo (Ministerial Fire of the Foot-Shaoyang) to nourish Qi. If the mother experiences fear and coldness of the heart and gallbladder, she often suffers from vexation, termed "Zi Fan" (Fetal Vexation).
*Chan Bao* states: "Fetal vexation occurs when Lung deficiency allows heat to invade the Heart, causing mental distress. Accumulated phlegm-fluids between the heart and chest, or rising to disturb the heart, also cause vexation. If caused by heat alone, there is merely fever. If caused by phlegm-fluids, symptoms include vomiting saliva and froth, aversion to food odors, and restless anxiety. Generally, pregnant women with accumulated phlegm-fluids experience clashing of cold and heat, leading to Qi stagnation. Symptoms range from vexation and vomiting of saliva to severe cases involving fetal unrest. All are classified as Zi Fan."
[Xue Ji] For the aforementioned conditions:
If due to internal heat, use Zhu Ye Tang (Bamboo Leaf Decoction).
If due to Qi stagnation, use Zi Su Yin (Perilla Infusion).
If due to phlegm obstruction, use Er Chen Tang (Two-Aged Decoction) modified with Bai Zhu (Atractylodis Macrocephalae Rhizoma), Huang Qin (Scutellariae Radix), and Zhi Ke (Aurantii Fructus).
If due to Qi depression, use Fen Qi Yin (Qi-Separating Infusion) modified with Chuan Xiong.
If due to Spleen-Stomach deficiency, use Liu Jun Zi Tang (Six Gentlemen Decoction) modified with Zi Su (Perillae Folium) and Shan Zhi (Gardeniae Fructus).
Case: A pregnant woman suffered from vexatious heat, expectoration of phlegm, anorexia, nausea, and dizziness. This was caused by Spleen deficiency with wind-phlegm. She was treated with Ban Xia Bai Zhu Tian Ma Tang (Pinellia, Atractylodes, and Gastrodia Decoction) to tonify Yuan Qi and dispel wind pathogenic factors, gradually recovering, though dizziness persisted. Subsequently, Bu Zhong Yi Qi Tang (Supplement the Middle and Augment the Qi Decoction) modified with Man Jing Zi (Vittate Fructus) was used to raise and tonify Yang Qi, resulting in a cure.
Zhu Ye Tang: Treats fetal vexation characterized by a frightened heart and timid gallbladder, with constant mental stuffiness.
Ingredients: Bai Fu Ling (3 qian), Fang Feng (Saposhnikoviae Radix), Mai Men Dong (heart removed), Huang Qin (each 2 qian).
Preparation and Administration: Combine as one dose. Add two zhong of water and five leaves of bamboo leaf. Decoct until one zhong remains. Take at any time.
Zhu Li Tang: From *Waitai Miyao*, identical to the preceding Zhu Ye Tang but contains one he of Bamboo Sap (Zhu Li, 竹沥) instead of bamboo leaves. Another variation includes Zhi Mu (Anemarrhenae Rhizoma) and excludes Huang Qin.
Zhu Ru Tang: Treats pregnancy complicated by vexation or fetal unrest.
Usage: Use one liang of scraped bamboo internode shavings (Zhu Ru, 竹茹). Boil in one da sheng of water until four he remain. Drink slowly until finished.
Zhi Mu Yin: Treats pregnancy complicated by heat accumulation in the Heart and Spleen, painful thirst in the throat and diaphragm, vexation, and frequent fright.
Ingredients: Zhi Mu, Mai Men Dong (heart removed), Chi Fu Ling (Red Poria; each 1.5 qian), Huang Qin, Huang Qi (each 2 qian), Gan Cao (1 qian).
Preparation and Administration: Combine as one dose. Add two zhong of water and half a qian of Sang Bai Pi (Morus Alba Root Bark). Decoct until one zhan remains. Add a small amount of Zhu Li. Boil for two or three boils. Take at any time.
Mai Men Dong Tang: Treats fetal vexation characterized by a frightened heart and timid gallbladder, with mental stuffiness.
Ingredients: Mai Men Dong (heart removed), Bai Fu Ling, Fang Feng (each 3 qian), Ren Shen (1.5 qian).
Preparation and Administration: Combine as one dose. Add two zhong of water, five slices of fresh ginger, and ten leaves of light green bamboo leaf. Decoct until one zhong remains. Strain. Take without restriction of time.
Mai Men Dong San (Two Formulas): Treats pregnancy complicated by mental confusion and stuffiness, empty irritability with vomiting and regurgitation, aversion to food odors, dizziness, heaviness of the limbs, pain in all joints, excessive sleeping, and reluctance to rise.
Formula 1 Ingredients: Mai Men Dong (heart removed), Zi Qin (Scutellariae Radix), Chi Fu Ling (each 1 liang), Fu Shen (Poria Cocos with Hostwood), Chi Shao Yao (Red Peony Root), Chen Pi (Tangerine Peel), Ren Shen, Ku Jing (Platycodonis Radix), Sang Ji Sheng (Taxilli Caulis), Gan Cao, Xuan Fu Hua (Inulae Flos), Sheng Di Huang (Rehmanniae Radix; 7.5 qian).
Preparation and Administration: Grind into coarse powder. Take 4 qian per dose. Add one zhan of water and 1 qian of ginger. Decoct until seven parts remain. Take warm without restriction of time.
Formula 2 Ingredients: Mai Men Dong, Zhu Gen (Arundinoris Radix; each 3 liang), Huang Qin, Fu Shen (each 1 liang), Gan Cao (roasted), Xi Jiao Xie (Rhinocerotis Cornu; each 0.5 liang).
Preparation and Administration: Cut into pieces. Take 4 qian per dose. Add one zhan of water, one fen of Sheng Di Huang, and five slices of light green bamboo leaf. Decoct until six parts remain. Strain and take warm. Effective.
Chai Hu San: Treats pregnancy complicated by vexation, heavy and blurry head/eyes, mental chest stuffiness, and loss of appetite.
Ingredients: Chai Hu (Bupleuri Radix; 1.5 liang), Chi Fu Ling, Mai Men Dong (each 1 liang), Pi Pa Ye (Loquat Leaf; de-hairy), Ren Shen, Ju Hong (Tangerine Red Peel), Gan Cao (each 0.5 liang).
Preparation and Administration: Cut into pieces. Take 4 qian per dose. Add one zhan of water and three slices of ginger. Decoct until seven parts remain. Take.
Ren Shen San: Treats pregnancy complicated by heat invading the Heart and Spleen, depletion of body fluids, irritability, heat accumulation, and dry thirst.
Ingredients: Ren Shen, Mai Men Dong, Chi Fu Ling, Di Gu Pi (Lycii Cortex), Jia Ge Gen (Puerariae Radix Cultivar), Huang Qin, Xi Jiao Xie (each 7.5 qian), Gan Cao (0.5 liang).
Preparation and Administration: Cut into pieces. Take 3 qian per dose. Add one zhan of water. Decoct until six parts remain. Strain and take warm.
Treatment for unceasing vexatious heat in pregnancy.
Ingredients: Cong Bai (Scallion White; one handful), Chi Dou (Fermented Soybean; two he).
Preparation and Administration: Add two large zhan of water. Decoct until one and a half zhan remain. Strain. Take warm, divided into three doses.
Yi Mu Wan: Treats fetal unrest caused by medication during pregnancy, presenting with symptoms similar to empty vexation and inability to lie down, termed "Zi Fan" by Chao Shi. [Category: Obstetrics and Lactation].
Ingredients: Zhi Mu (2 liang, washed and dried).
Preparation and Administration: Grind into fine powder. Bind with jujube paste to form pills the size of a bullet. Take one pill per dose, delivered with Ginseng decoction.
Physicians who fail to recognize this condition treat it as empty vexation, inevitably damaging fetal Qi.
[Regarding Vexation and Dry Mouth]
The Foot-Taiyin Spleen meridian opens into the mouth; the Hand-Shaoyin Heart meridian opens into the tongue. In pregnancy, if Zang-Fu Qi is deficient, Ying and Wei (Nutritive and Defensive Qi) are disordered, and Yin and Yang are severed, heat invades the Heart and Spleen, depleting body fluids. This causes mental vexation and dry mouth.
[Xue Ji] For the aforementioned conditions:
If Stomach meridian excess fire, use Zhu Ye Shi Gao Tang (Bamboo Leaf and Gypsum Decoction).
If Stomach meridian deficiency heat, use Ren Shen Huang Qi San (Ginseng and Astragalus Powder).
If Stomach meridian Qi deficiency, use Bu Zhong Yi Qi Tang.
If Lung meridian deficiency heat, use Zi Su Yin.
If Liver meridian fire stirring, use Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder).
If Spleen Qi depression, use Jia Wei Gui Pi Tang (Modified Restore the Spleen Decoction).
If Kidney meridian fire stirring, use Jia Wei Di Huang Wan (Modified Rehmannia Pill).
Case: A pregnant woman suffered from vexatious heat accompanied by throat pain. She was treated with Zhi Mu San modified with Shan Zhi to clear the Lung meridian, resulting in a cure. Later, she developed internal heat with coughing and urinary incontinence. She was treated with Bu Zhong Yi Qi Tang modified with Mai Men Dong and Shan Zhi to tonify Lung Qi and nourish Kidney Water, resulting in recovery.
Sheng Ma San: Treats pregnancy complicated by heat accumulation, mental irritability, dry mouth, and thirst with rebellious Qi.
Ingredients: Chuan Sheng Ma (Cimicifugae Rhizoma), Gua Lou Gen (Trichosanthis Radix), Huang Qin, Ren Shen, Mai Men Dong, Chai Hu, Zhi Zi Ren (Gardeniae Semen), Xi Jiao Xie, Fu Shen (each 1 qian), Zhi Mu, Gan Cao (each 0.5 qian).
Preparation and Administration: Combine as one dose. Add two zhong of water. Decoct until one zhong remains. Take without restriction of time.
Zhi Mu San: Treats pregnancy complicated by vexation, chaotic mental state with dry mouth, and heat in the fetal organ.
Ingredients: Zhi Mu, Mai Men Dong, Gan Cao (each 0.5 liang), Huang Qi, Zi Qin, Chi Fu Ling (each 7.5 qian).
Preparation and Administration: Cut into pieces. Take 4 qian per dose. Add one zhan of water. Decoct until seven parts remain. Strain and add one he of Zhu Li. Boil for two or three boils. Take warm.
Ge Gen San: Treats women in several months of pregnancy suffering from chest and diaphragm vexation, dry lips and mouth, thirst, body heat, and poor appetite.
Ingredients: Jia Ge Gen (Puerariae Radix Cultivar; wild varieties excluded), Huang Qin, Ren Shen, Wei Rui (Polygonati Odorati Rhizoma), Huang Qi, Mai Men Dong, Gan Cao (equal parts, cut into pieces).
Preparation and Administration: Take 4 qian per dose. Add one zhan of water and a ball of Zhu Ru (size of a coin). Decoct until seven parts remain. Take warm at any time.
Ren Shen Huang Qi San: Treats pregnancy complicated by body heat, vexation, dry mouth, and poor appetite.
Ingredients: Ren Shen, Huang Qi, Jia Ge Gen, Mai Men Dong, Chi Fu Ling, Qin Jiao (Gentianae Macrophyllae Radix; each 1 liang), Zhi Mu (7.5 qian), Gan Cao (0.5 liang).
Preparation and Administration: Take 4 qian per dose. Decoct with ginger, water, and bamboo leaves.
*Bu Yi* mentions that Ren Shen Bai Zhu San (Ginseng and Atractylodes Powder) and Huang Qi Liu Yi Tang (Astragalus Six-to-One Decoction) are both excellent formulas.
Treatment for Zi Fan with dry mouth and inability to lie down. Use Huang Lian (Coptidis Rhizoma; remove stamens, grind to fine powder, 1 qian per dose). Mix with rice gruel liquid and ingest.