孕妇痰涎壅盛阻塞。或时发搐。不省人事。名曰子痫。治宜清气化痰为主。盖此症因于气者
多。治法与痫症同。惟剂稍小耳。若恶心甚者。煎二陈汤探吐。吐定则理气化痰。兼用黄芩
。白术。保胎。古方羚羊角散。葛根汤。药味偏于辛散。治者当因时制宜可也。
(〔吴按〕痫者。俗名羊颠疯。皆痰火凝聚心胞男女皆有。最难除根。孕妇子痫。又当别论
。)
羚羊角(一钱) 当归(二钱) 独活 五加皮 茯神(各八分) 枣仁 米仁(各一钱) 防风(
五分) 川芎 杏仁(各七分) 木香(二分) 甘草(四分) 如虚加人参。若痰气盛缓。而人
参姜引。如痰多。加竹沥。姜汁。脾胃弱。加白术(二钱五分) 研末服。
治临月因发风疹。闷愤不识人。吐逆眩倒。
(〔吴按〕疹必兼咳。以咳止为毒尽。总当辛凉托散。使其外达。而免内陷。不可轻忽。)
葛根 贝母 丹皮(各一钱) 木防己(六分) 防风(八分) 当归 川芎 茯苓(各二钱) 桂
枝(五分) 泽泻 甘草 独活 石膏(各四分) 人参(八分) 水煎服。忌海藻。粉菜。酢物
孕妇无故忽然僵扑。左脉微数。而右脉滑大者。是血虚。阴火炎上。鼓动其痰。四物汤养血
。加芩连降火。兼用二陈汤化痰下气。或加竹沥姜汁。
孕妇体内痰涎壅盛，阻塞气机。时而出现抽搐，神志不清，不省人事，这种病症称为子痫（妊娠期间发生的以抽搐、昏迷为主要特征的疾病）。治疗应以清气化痰为主。因为此症多由气机失调引起，治疗方法与痫症（癫痫）相同，只是药剂量稍小而已。如果恶心症状严重，可煎煮二陈汤（燥湿化痰、理气和中的方剂）进行探吐。待呕吐停止后，再调理气机、化解痰浊，并兼用黄芩、白术来安胎。古代方剂如羚羊角散、葛根汤，其药性偏于辛温发散，医者应当根据时令气候制宜使用。
（〔吴氏按语〕痫症，俗称羊癫疯，都是由于痰火凝聚在心包络所致，男女皆可患病，最难彻底根治。孕妇患的子痫，则应当另当别论。）
羚羊角（一钱）、当归（二钱）、独活、五加皮、茯神（各八分）、枣仁、米仁（即薏苡仁，各一钱）、防风（五分）、川芎、杏仁（各七分）、木香（二分）、甘草（四分）。若属虚证，加入人参；若痰气旺盛且病情较缓，用人参配合生姜汁引经；若痰多，加入竹沥、姜汁；若脾胃虚弱，加入白术（二钱五分），研成细末服用。
本方用于治疗临产月份因感受风邪引发风疹，导致胸闷愤懑、神志不清、呕吐眩晕倒仆的症状。
（〔吴氏按语〕风疹必然兼有咳嗽，以咳嗽停止为毒邪排尽的标志。总体应当采用辛凉透散的方法，使邪气向外透达，从而避免内陷入里。不可轻视忽视。）
葛根、贝母、丹皮（各一钱）、木防己（六分）、防风（八分）、当归、川芎、茯苓（各二钱）、桂枝（五分）、泽泻、甘草、独活、石膏（各四分）、人参（八分）。水煎服。忌食海藻、粉菜（紫云英等）、醋制食物。
孕妇无故忽然僵硬跌倒，左脉微数，右脉滑大，这是血虚，阴火炎上，鼓动痰浊上涌所致。宜用四物汤（补血调血的基础方剂）养血，加入黄芩、黄连以降火，同时兼用二陈汤化痰下气。或者加入竹沥、姜汁。
When a pregnant woman experiences profuse phlegm and saliva obstructing the airways, or occasionally has convulsions and loses consciousness, it is called Zi Xian (pregnancy epilepsy). The treatment should primarily focus on clearing Qi and resolving phlegm. This condition is mostly caused by Qi stagnation. The treatment method is the same as for epilepsy, only the dosage is slightly smaller. If nausea is severe, decoct Er Chen Tang (Two Matured Substances Decoction) to induce vomiting. After vomiting stops, regulate Qi and resolve phlegm, while also using Huangqin (Scutellariae Radix, Scutellaria root) and Baizhu (Atractylodis Macrocephalae Rhizoma, White Atractylodes rhizome) to protect the fetus. The ancient formulas, Ling Yang Jiao San (Antelope Horn Powder) and Ge Gen Tang (Kudzu Root Decoction), have ingredients that are biased towards being acrid and dispersing. The practitioner should adapt the treatment according to the specific circumstances.
([Wu's note] Xian (epilepsy), commonly known as Yang Dian Feng (sheep epilepsy), is all due to phlegm-fire accumulating in the pericardium. Both men and women can have it, and it is most difficult to eradicate. Zi Xian in pregnant women should be discussed separately.)
Ling Yang Jiao (Antelope Horn, 1 qian), Danggui (Angelicae Sinensis Radix, Chinese Angelica root, 2 qian), Duhuo (Angelicae Pubescentis Radix, Double-teeth Pubescent Angelica root), Wujiapi (Acanthopanacis Cortex, Acanthopanax bark), Fushen (Poria cum Radix Pini, Poria with Pine Root, each 8 fen), Suanzaoren (Ziziphi Spinosae Semen, Spine Date Seed), Yiyiren (Coicis Semen, Coix Seed, each 1 qian), Fangfeng (Saposhnikoviae Radix, Saposhnikovia root, 5 fen), Chuanxiong (Chuanxiong Rhizoma, Sichuan Lovage rhizome), Xingren (Armeniaceae Semen Amarum, Bitter Apricot Seed, each 7 fen), Muxiang (Aucklandiae Radix, Costusroot, 2 fen), Gancao (Glycyrrhizae Radix et Rhizoma, Liquorice root and rhizome, 4 fen). If there is deficiency, add Renshen (Ginseng Radix et Rhizoma, Ginseng). If phlegm-Qi exuberance has eased, use Renshen and ginger as guiding herbs. If there is profuse phlegm, add Zhuli (Bamboo Sap) and Jiangzhi (Ginger Juice). If the spleen and stomach are weak, add Baizhu (Atractylodis Macrocephalae Rhizoma, White Atractylodes rhizome, 2.5 qian). Grind into powder for administration.
Treats wind rash occurring in the month approaching delivery, causing chest oppression, irritability, failure to recognize people, vomiting, dizziness, and collapse.
([Wu's note] Rash is always accompanied by cough. The cessation of cough indicates the complete expulsion of the toxin. The general principle is to use acrid-cool herbs to expel and disperse, allowing the rash toxin to vent outward and avoid inward sinking. This should not be taken lightly.)
Gegen (Puerariae Lobatae Radix, Kudzu root), Beimu (Fritillariae Bulbus, Fritillaria bulb), Danpi (Moutan Cortex, Tree Peony Bark, each 1 qian), Mu Fangji (Stephaniae Tetrandrae Radix, Stephania root, 6 fen), Fangfeng (Saposhnikoviae Radix, Saposhnikovia root, 8 fen), Danggui (Angelicae Sinensis Radix, Chinese Angelica root), Chuanxiong (Chuanxiong Rhizoma, Sichuan Lovage rhizome), Fuling (Poria, Poria, each 2 qian), Guizhi (Cinnamomi Ramulus, Cinnamon Twig, 5 fen), Zexie (Alismatis Rhizoma, Water Plantain rhizome), Gancao (Glycyrrhizae Radix et Rhizoma, Liquorice root and rhizome), Duhuo (Angelicae Pubescentis Radix, Double-teeth Pubescent Angelica root), Shigao (Gypsum Fibrosum, Gypsum, each 4 fen), Renshen (Ginseng Radix et Rhizoma, Ginseng, 8 fen). Decoct in water for oral administration. Avoid seaweed, fen cai (a type of vegetable), and vinegar.
If a pregnant woman suddenly becomes rigid and collapses for no apparent reason, with the left pulse slightly rapid and the right pulse slippery and large, this indicates blood deficiency. Yin-fire flares upward, stirring up phlegm. Use Si Wu Tang (Four Substances Decoction) to nourish blood, add Huangqin (Scutellariae Radix, Scutellaria root) and Huanglian (Coptidis Rhizoma, Coptis rhizome) to downbear fire, and concurrently use Er Chen Tang (Two Matured Substances Decoction) to resolve phlegm and downbear Qi. Alternatively, add Zhuli (Bamboo Sap) and Jiangzhi (Ginger Juice).