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This is *Tai Feng* (Fetal Convulsion), also known as *Er Yun* (Fetal Dizziness) or *Jing* (Spasm). There are five types of epilepsy in children, each associated with a specific Zang organ: the sound of Heart Epilepsy resembles that of a sheep; Liver Epilepsy resembles that of a dog; Spleen Epilepsy resembles that of an ox; Lung Epilepsy resembles that of a chicken; and Kidney Epilepsy resembles that of a pig.

When a pregnant woman presents with clenched jaws, stiff neck, convulsions of the hands and feet, slurred speech, excessive phlegm and saliva, and unconsciousness, it is termed *Zi Xian* (Eclampsia). It must not be treated as Stroke (*Zhong Feng*). The appropriate prescription is Jia Wei Ling Yang Jiao San (Modified Antelope Horn Decoction). If there is no excessive phlegm and speech remains normal, but stroke-like symptoms appear, this is due to blood deficiency mimicking wind patterns. Using general wind-dispelling drugs indiscriminately will cause significant harm to the fetus.

**Jia Wei Ling Yang Jiao San (Modified Antelope Horn Decoction):** Ling Yang Jiao (Antelope Horn), Dang Gui (Angelica Sinensis), Fang Feng (Saposhnikovia Root), Du Huo (Angelica Pubescens), Fu Ling (Poria), Suan Zao Ren (Ziziphus Seed), Wu Jia Pi (Acanthopanax Bark) each 1 qian; Yi Yi Ren (Coix Seed) 0.5 qian; Xing Ren (Apricot Seed) 0.8 qian; Gan Cao (Licorice Root) and Mu Xiang (Aucklandia Root) each 0.3 qian; Cong Bai (Scallion White) 5 cun; Sheng Jiang (Fresh Ginger) 5 slices. Decoct and take orally. For deficiency, add Ren Shen (Ginseng); for phlegm, add Zhu Li (Bamboo Sap) and Jiang Zhi (Ginger Juice); for Spleen deficiency, add Chao Bai Zhu (Stir-fried Atractylodes Macrocephala Rhizome).

"Yin" (pronounced "yin") means mute. As stated in the *Records of the Grand Historian: Biography of the Marquis of Huaiyin*, even possessing the wisdom of Shun and Yu, if one cannot speak, it is inferior to the gestures of a mute person.

If a pregnant woman suddenly loses her voice and cannot speak between the third and fifth months of pregnancy, it is caused by the obstruction of the Mai Jing (Meridian Vessels) connecting to the Bao Luo (Uterine Collaterals), termed *Zi Yin* (Pregnancy-related Aphonia). Since the uterus is connected to the Kidney, and the Kidney meridian passes through the tongue, this leads to aphonia. This condition is not treatable with medicine; the voice will return naturally after delivery, so medication is unnecessary.

Mr. Tang Jianzhong stated: All the aforementioned conditions arise from the failure of Spleen Earth to transport during pregnancy, leading to dampness; dampness condenses into phlegm; phlegm generates heat; and heat generates wind. Thus, Zi Zhong (Pregnancy Edema) is related to dampness; E Zu (Morning Sickness) is related to phlegm; Zi Fan (Pregnancy Irritability) and Zi Lin (Pregnancy Dysuria) are related to heat; Zi Xian (Eclampsia) is related to wind; Zi Xuan (Pregnancy Distension) is related to Qi stagnation; and Zhuan Pao (Urinary Retention in Pregnancy) is related to deficiency. Although treatment methods vary—such as clearing heat and resolving phlegm, leaching out dampness and smoothing Qi, or dispelling wind and tonifying deficiency—they all adhere to the general principle of "Expelling Pathogens while Protecting the Fetus."

When a pregnant woman contracts external Wind-Cold, presenting with high fever, visual disturbances, and dizziness, it is because Wind-Cold pathogens are blocked at the muscle surface, invading the Spleen and Stomach, damaging Ying (Nutritive) and Wei (Defensive) Qi. Consequently, chills and fever, headache, eye pain, and even chest/abdominal irritability occur. One should not recklessly administer harsh medications; instead, Xiong Su San (Ligusticum and Perilla Powder) should be used to release the exterior cold pathogen.

Note: When menstruation has not yet begun, the constitution belongs to Shaoyin; when menstruation has begun, it belongs to Jueyin; and when menstruation has ceased, it belongs to Taiyin. Treatments for pregnancy and childbirth diseases often trace back to the source by addressing the Jueyin channel. Therefore, *Ji Yao* states: Pregnancy and childbirth diseases should be discussed according to the Jueyin channel, without violating Stomach Qi and the Upper and Middle Jiao. This is called the "Three Prohibitions": Do not induce sweating, do not purge downward, and do not promote urination. Inducing sweating leads to fullness and palpitations; purging damages the Spleen; promoting urination causes internal loss of body fluids and dryness of the Middle Jiao. Therefore, during the first three to five months of conception, absolutely no acrid-dispersing or slippery-draining agents should be used. Only after the seventh or eighth month, if constipation occurs, may slight use of slippery-draining agents be permitted. Hence, it was previously stated that harsh medicines should not be administered recklessly.

**Jia Wei Xiong Su San (Modified Ligusticum and Perilla Powder):** Zi Su (Perilla Leaf), Qiang Huo (Notopterygium Rhizome), Chen Pi (Tangerine Peel), Mai Dong (Ophiopogon Tuber) each 1 qian; Chuan Xiong (Ligusticum Rhizome) and Bai Shao (White Peony Root) each 0.8 qian; Gan Jiang (Dried Ginger) and Sheng Gan Cao (Raw Licorice Root) each 0.5 qian; add 3 slices of Sheng Jiang (Fresh Ginger). Decoct in water and take orally. Prenatal treatment favors cooling properties; Gan Jiang (Dried Ginger) should be avoided.