薛立斋曰∶按《机要》云，风本为热，热胜则风动，宜静胜其躁，是养血也。治法宜少汗，亦宜少下。多
汗则虚卫，多下则损荣。虽有汗下之戒，而有中腑中脏之分。中腑者，多着四肢，则脉浮恶寒，拘急不仁。中
脏者，多着九窍，则唇缓失音，耳聋鼻塞，目瞀便秘。中腑者宜汗，中脏者宜下，表里已和，宜治在经，当以
大药养之。妊娠患之，亦当以此施治，佐安胎之药为主，勿过用治中风药。
陈良甫曰∶妊娠体虚受风，伤足太阳经络，复遇风寒相抟，则口噤背强，甚则腰反张，名曰痉。其候冒闷
不识人，须臾自醒，良久复作，谓之风痉，一名子痫。
薛立斋曰∶前证若心肝风热，用钩藤汤。肝脾血虚，加味逍遥散。肝脾郁怒，加味归脾汤。气逆痰滞，紫
苏饮。肝火风热，钩藤汤。脾郁痰滞，二陈加竹沥、姜汁。
薛立斋曰∶ 者，筋脉急而缩。 者，筋脉缓而伸。一伸一缩，手足相引搐搦，此证多属风。盖风主摇动。
骆龙吉云∶心主脉，肝主筋。心属火，肝属木。火主热，木主风。风火相炽，则为 。治法，若因风热，钩藤
汤加栀、柴、芩、术，以平肝木，降心火，养气血；若风痰上涌，加半夏、南星、竹沥；若风邪急搐，加全蝎、
天虫；若气血亏损，八
珍汤加钩藤、山栀；若无力抽搐，戴眼反折，汗出如油者，肝绝也，不治。
慎斋按∶以上四条，序胎前有中风证，而风痉、子痫、 ，其类及也。中风证多因，治法亦不一。立斋以
洁古一论，为妊娠中风，治法唯静胜其躁，养血为主，斯为疗胎前中风之要。夫胎之赖以养者血也，血虚则易
于感邪，血行风自灭。丹溪于胎前，唯清热养血为主，立斋祖之，引《机要》一条为证论，诚有本矣。
慎斋再按∶胎前中风，此正河间所谓将息失宜。肾水衰而心火旺，肝无所养，是非外中风邪，急当滋其化
源，泻南补北，壮水制火，则肝木自平，胎气可安。恐养血犹属第二义也。
薛立斋说：按照《医学机要》中的观点，风的本性是热，热盛则导致风动，应当用静（养血）来克制躁动，这就是养血的作用。治疗方法宜少用发汗法，也宜少用泻下法。多汗会损伤卫气，多下会损伤营血。虽然有发汗和泻下的禁忌，但仍有中腑和中脏的区别。中腑的病证，多表现在四肢，出现脉浮、恶寒、肢体拘急麻木不仁等症状。中脏的病证，多影响九窍，出现口唇松弛失音、耳聋鼻塞、视物模糊、便秘等症状。中腑者适宜用发汗法，中脏者适宜用泻下法，待表里症状调和后，适宜治疗在经脉的病证，应当用大药来滋养身体。妊娠期间患此病，也应当以此方法施治，以辅助安胎的药物为主，不要过度使用治疗中风的药物。
陈良甫说：妊娠期间体质虚弱感受风邪，损伤足太阳经络，又遇到风寒相互搏结，就会出现牙关紧闭、背部强直，严重时腰部反折向后，名为痉病。其症状表现为神志昏闷不识人，片刻后自行清醒，过很久再次发作，称为风痉，又名子痫。
薛立斋说：上述病症如果是心肝风热所致，使用钩藤汤。如果是肝脾血虚，使用加味逍遥散。如果是肝脾郁怒，使用加味归脾汤。如果是气逆痰滞，使用紫苏饮。如果是肝火风热，使用钩藤汤。如果是脾郁痰滞，使用二陈汤加竹沥、姜汁。
薛立斋说：瘛（chi，筋脉收缩），是筋脉紧急而缩短；瘲（zhang，筋脉弛缓），是筋脉舒缓而伸长。一伸一缩，手足互相牵引抽搐，这个病症多属于风。因为风主摇动。骆龙吉说：心主血脉，肝主筋脉。心属火，肝属木。火主热，木主风。风火相炽盛，就会发生瘛疭。治疗方法，如果是因为风热，钩藤汤加栀子、柴胡、黄芩、白术，以平抑肝木，清降心火，滋养气血；如果风痰上涌，加半夏、天南星、竹沥；如果风邪引起急骤抽搐，加全蝎、僵蚕；如果气血亏损，使用八珍汤加钩藤、山栀；如果无力抽搐，眼球上翻，角弓反张，出汗如油，这是肝气绝的表现，无法治愈。
慎斋按语：以上四条，叙述了胎前有中风证，而风痉、子痫、瘛疭，都属于这一类。中风证多因内风引起，治疗方法也不一致。立斋依据洁古的一番论述，认为妊娠中风的治法唯有以静胜躁、养血为主，这才是治疗胎前中风的要领。胎儿赖以滋养的是血，血虚则容易感受邪气，血行则风自灭。丹溪对于胎前疾病，唯以清热养血为主，立斋继承了他的观点，引用《医学机要》的一条作为论证依据，确实是有本源的。
慎斋再按语：胎前中风，这正是河间所说的将息失宜。肾水衰微而心火旺盛，肝无所养，这并不是外感中风邪气，应当急切地滋生化之源，泻南方心火补北方肾水，壮水制火，则肝木自然平和，胎气可以安定。恐怕单纯养血还属于次要的意义。
Xue Lizhai stated: According to *Yixue Jiyao* (Essentials of Medical Practice), wind is fundamentally heat; when heat prevails, wind moves. One should use stillness (nourishing blood) to overcome restlessness; this is the function of nourishing blood. The treatment method should involve mild diaphoresis (inducing sweating) and mild purgation (draining downward). Excessive sweating will weaken Wei Qi (Defensive Qi), while excessive purgation will damage Ying Blood (Nutritive Blood). Although there are prohibitions against diaphoresis and purgation, there is a distinction between involvement of the Fu organs and the Zang organs. Involvement of the Fu organs often manifests in the four limbs, presenting with floating pulse, aversion to cold, stiffness, and numbness. Involvement of the Zang organs often affects the nine orifices, presenting with flaccid lips and loss of speech, deafness, nasal congestion, blurred vision, and constipation. Cases involving the Fu organs are suitable for diaphoresis, while those involving the Zang organs are suitable for purgation. Once the exterior and interior are harmonized, treatment should focus on the meridians, using major tonifying herbs to nourish the body. If pregnant women suffer from this condition, treatment should follow these principles, prioritizing herbs that stabilize the fetus, and avoiding excessive use of herbs specifically for treating stroke.
Chen Liangfu stated: During pregnancy, if the constitution is deficient and susceptible to wind pathogenic factors, damaging the Foot-Taiyang meridian, and further encountering a struggle between wind and cold pathogens, symptoms such as locked jaw and back rigidity may occur. In severe cases, the waist may arch backward, a condition named Jing disease (Spasm). The presentation involves dizziness, confusion, and loss of consciousness, followed by spontaneous recovery after a moment, only to recur after a long interval. This is called Wind-Jing, also known as Zi Xian (Eclampsia).
Xue Lizhai stated: For the aforementioned conditions, if caused by Heart-Liver Wind-Heat, use Gouteng Tang (Uncaria Decoction). If due to Liver-Spleen Blood Deficiency, use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder). If due to Liver-Spleen Stagnation and Anger, use Jiawei Guipi Tang (Modified Restore the Spleen Decoction). If due to Qi Reversal and Phlegm Stagnation, use Zisu Yin (Perilla Infusion). If due to Liver Fire and Wind-Heat, use Gouteng Tang. If due to Spleen Stagnation and Phlegm Stagnation, use Erchen Tang (Two-Aged Phlegm Decoction) added with Zhuli (Bamboo Sap) and Jiangzhi (Ginger Juice).
Xue Lizhai stated: Chi (muscle contraction) refers to tendons and vessels becoming tight and shortening. Zhang (muscle relaxation) refers to tendons and vessels becoming loose and extending. Alternating extension and contraction, causing the hands and feet to pull and twitch, this syndrome mostly belongs to Wind, as Wind governs tremors. Luo Longji said: The Heart governs the vessels, and the Liver governs the tendons. The Heart belongs to Fire, and the Liver belongs to Wood. Fire governs Heat, and Wood governs Wind. When Wind and Fire blaze together, Chi-Zhang (twitching and spasms) occurs. Treatment methods: If due to Wind-Heat, add Gardenia, Bupleurum, Scutellaria, and Atractylodes to Gouteng Tang to calm Liver Wood, descend Heart Fire, and nourish Qi and Blood; if Wind-Phlegm surges upward, add Pinellia and Arisaema with Bamboo Sap; if Wind Pathogen causes acute twitching, add Scorpio and Bombyx Batryticatus; if Qi and Blood are deficient, use Bazhen Tang (Eight Treasures Decoction) added with Uncaria and Gardenia; if there is weakness with twitching, eyes rolling up, opisthotonos, and sweat like oil, this indicates Liver Qi exhaustion and is incurable.
Shen Zhai commented: The above four sections describe Stroke syndromes before pregnancy, including Wind-Jing, Zi Xian, and Chi-Zhang, which fall into this category. Stroke syndromes are mostly caused by internal Wind, and treatment methods vary. Lizhai, based on Jiegu's theory, argues that the treatment for pre-pregnancy stroke should prioritize stillness overcoming restlessness and nourishing blood; this is the key to treating pre-pregnancy stroke. The fetus relies on Blood for nourishment; when Blood is deficient, it is prone to pathogenic invasion; when Blood flows, Wind extinguishes itself. Danxi focused on clearing Heat and nourishing Blood for pre-pregnancy conditions. Lizhai inherited this view, citing a passage from *Yixue Jiyao* as evidence, which indeed has a solid theoretical foundation.
Shen Zhai further commented: Pre-pregnancy stroke is precisely what Hejian described as improper lifestyle management. Kidney Water declines while Heart Fire flares, leaving the Liver without nourishment. This is not an external Wind Pathogen attack; rather, one must urgently nourish the source of transformation, drain the South (Heart/Fire) and tonify the North (Kidney/Water), strengthen Water to control Fire, so that Liver Wood naturally calms and fetal Qi stabilizes. Merely nourishing Blood might be considered secondary.