（附论）
夫足太阴脾之经也。其气通于口。手少阴心之经也。其气通于舌。若妊娠之人。脏腑气
虚。营卫不理。阴阳隔绝。热气乘于心脾。津液枯少。故令心烦而口干也。妊娠面赤口苦。
舌干心烦。腹胀者何。盖缘恣情饮酒。因食桃、梨、李、羊、鸡面鱼 腥毒物。至令百节酸
痛。大小便结涩。可服归凉节命散。
方
羚羊角散 治妊娠烦躁。体热口干。肢节疼痛。少思饮食。
羚羊角犀 黄芩 麦门冬 人参 赤芍药 木通（以上各三分） 柴胡（一两） 黄 甘
草（各半两） 上捣筛为散。每服四钱。以水一盏。煎至六分去滓。不拘时。温服。
升麻散 治妊娠烦躁。体热口干。四肢疼痛。吃食减少。
川升麻 柴胡（各一两） 知母（三分） 栀子仁 黄 甘草 黄芩 麦门冬 枳壳
（各
半两） 上捣筛为散。每服三钱。水一盏。入竹茹一分。煎至六分去滓。不计时候。温服。
赤茯苓散 治妊娠心膈气壅滞。烦躁。口干食少。
赤茯苓 黄 柴胡（各一两） 紫苏叶 人参 陈橘皮 大腹皮 甘草（各半两） 前
胡
（三分） 上捣为散。每服四钱。以水一盏煎至六分去滓。不计时候。温服。
地骨皮散 治妊娠烦躁。体热疼痛。口干食少。
地骨皮 黄芩 人参 黄 葳蕤 麦门冬 甘草 赤芍药（各半两） 柴胡（一两） 上
捣筛为散。每服四钱。水一盏。入生姜半分。淡竹叶二七片。煎至六分去滓。不计时候。温
服。
归凉节命散 治妊娠恣情饮酒。因食桃、李、果、鱼、羊、鸡、面腥膻、毒物。致
令百节酸疼。大小便结涩。面赤口苦。舌干心烦。腹胀。
川芎 苎根 白芍药 麦门冬 当归 白术（各一两） 糯米（半合） 甘草（半两） 上
咀。每服四钱。水一盏半煎至一盏去滓。温服。不拘时候。一方有荆芥。无麦门冬。
黄连散 治妊娠心热烦躁。口干舌涩。多渴。
黄连 栝蒌根 地骨皮 葳蕤 犀角屑 黄芩 川升麻 甘草（各一两） 上捣筛为散。
每服三钱。水一盏煎至六分去滓。不拘时候。温服。
治妊娠体热烦躁。口干。吃食减少。宜服此方。
人参 葛根 黄 秦艽 麦门冬 赤茯苓（以上各一两） 知母（三分） 甘草（半
两）
上捣筛为散。每服四钱。水一盏。入生姜半分。淡竹叶二七片。煎至六分去滓。不计时候。
温服。
知母散 治妊娠口干烦渴。上焦壅热。
赤茯苓 黄芩 黄 （各一两半） 麦门冬（一两） 知母（一两） 甘草（一分） 桑
白皮（半两） 上 咀。每服四钱。用水一盏半。竹沥一协议煎。不以时候服。
治妊娠心热烦躁。口干舌涩。多渴。
栀子仁 麦门冬 黄 生干地黄（各三分） 秦艽（一两） 甘草（一分） 上捣筛
为末。每服三钱。以水一盏。煎至六分去滓。不计时候。温服。
栝蒌子散 治妊娠心烦躁热。口干。头目不利。
栝蒌子 黄 枳壳（各一两） 人参 甘草（各半两） 石膏（二两） 上捣筛为散。
每服三钱。水一盏。入竹叶二七片。同煎至六分去滓。不计时候温服。
治妊娠口干烦渴。上焦壅热。
黄 知母 地骨皮 犀角屑 嫩葛（各二分） 上 咀。每服四钱。水一盏半。竹沥
一合。同煎。不以时候服之。
治妊娠心热烦躁。口干舌涩。多渴。
青竹茹（一两） 麦门冬（半两） 甘草（一钱炙） 上以水一大盏煎至七分去滓。不
计时候。分温二服。
（附论）
足太阴脾经，其气通于口。手少阴心经，其气通于舌。如果孕妇脏腑之气虚弱，营卫之气运行不畅，阴阳之气隔绝，热气侵袭心和脾，导致津液枯少，所以出现心烦和口干的症状。孕妇出现面红、口苦、舌干、心烦、腹胀是怎么回事？这大概是因为放纵情欲饮酒，又食用了桃、梨、李、羊、鸡、面食及鱼类等腥毒之物，致使全身关节酸痛，大小便结滞涩痛。可以服用归凉节命散。
方剂：
羚羊角散：治疗妊娠期间烦躁不安，身体发热，口干，四肢关节疼痛，食欲减退。
处方组成：羚羊角、犀角、黄芩、麦门冬、人参、赤芍药、木通（以上各三分），柴胡（一两），黄连、甘草（各半两）。将上述药材捣碎过筛制成散剂。每次服用四钱，用水一盏，煎煮至六分，去渣滓。不拘时间，温服。
升麻散：治疗妊娠期间烦躁不安，身体发热，口干，四肢疼痛，进食减少。
处方组成：川升麻、柴胡（各一两），知母（三分），栀子仁、黄连、甘草、黄芩、麦门冬、枳壳（各半两）。将上述药材捣碎过筛制成散剂。每次服用三钱，用水一盏，加入竹茹一分，煎煮至六分，去渣滓。不拘时间，温服。
赤茯苓散：治疗妊娠期间心膈部位气机壅滞，烦躁，口干，饮食减少。
处方组成：赤茯苓、黄连、柴胡（各一两），紫苏叶、人参、陈橘皮、大腹皮、甘草（各半两），前胡（三分）。将上述药材捣碎制成散剂。每次服用四钱，用水一盏，煎煮至六分，去渣滓。不拘时间，温服。
地骨皮散：治疗妊娠期间烦躁不安，身体发热疼痛，口干，饮食减少。
处方组成：地骨皮、黄芩、人参、黄连、葳蕤（即玉竹）、麦门冬、甘草、赤芍药（各半两），柴胡（一两）。将上述药材捣碎过筛制成散剂。每次服用四钱，用水一盏，加入生姜半分、淡竹叶十四片，煎煮至六分，去渣滓。不拘时间，温服。
归凉节命散：治疗妊娠期间因放纵饮酒，食用桃、李、果类、鱼、羊、鸡、面食及腥膻、有毒之物，导致全身关节酸痛，大小便结滞涩痛，面红口苦，舌干心烦，腹胀。
处方组成：川芎、苎根、白芍药、麦门冬、当归、白术（各一两），糯米（半合），甘草（半两）。将上述药材切碎。每次服用四钱，用水一盏半，煎煮至一盏，去渣滓，温服。不拘时间。另一版本含有荆芥，不含麦门冬。
黄连散：治疗妊娠期间心热烦躁，口干舌涩，口渴多饮。
处方组成：黄连、栝蒌根、地骨皮、葳蕤、犀角屑、黄芩、川升麻、甘草（各一两）。将上述药材捣碎过筛制成散剂。每次服用三钱，用水一盏，煎煮至六分，去渣滓。不拘时间，温服。
治疗妊娠期间身体发热烦躁，口干，进食减少，适宜服用此方。
处方组成：人参、葛根、黄连、秦艽、麦门冬、赤茯苓（以上各一两），知母（三分），甘草（半两）。将上述药材捣碎过筛制成散剂。每次服用四钱，用水一盏，加入生姜半分、淡竹叶十四片，煎煮至六分，去渣滓。不拘时间，温服。
知母散：治疗妊娠期间口干烦渴，上焦壅热。
处方组成：赤茯苓、黄芩、黄连（各一两半），麦门冬（一两），知母（一两），甘草（一分），桑白皮（半两）。将上述药材切碎。每次服用四钱，用水一盏半，加入竹沥一协议煎。不拘时间服用。
治疗妊娠期间心热烦躁，口干舌涩，口渴多饮。
处方组成：栀子仁、麦门冬、黄连、生干地黄（各三分），秦艽（一两），甘草（一分）。将上述药材捣碎过筛制成末。每次服用三钱，用水一盏，煎煮至六分，去渣滓。不拘时间，温服。
栝蒌子散：治疗妊娠期间心烦躁热，口干，头目昏沉不利。
处方组成：栝蒌子、黄连、枳壳（各一两），人参、甘草（各半两），石膏（二两）。将上述药材捣碎过筛制成散剂。每次服用三钱，用水一盏，加入竹叶十四片，同煎至六分，去渣滓。不拘时间温服。
治疗妊娠期间口干烦渴，上焦壅热。
处方组成：黄连、知母、地骨皮、犀角屑、嫩葛（各二分）。将上述药材切碎。每次服用四钱，用水一盏半，加入竹沥一合，同煎。不拘时间服用。
治疗妊娠期间心热烦躁，口干舌涩，口渴多饮。
处方组成：青竹茹（一两），麦门冬（半两），甘草（一钱，炙）。用一大盏水，煎煮至七分，去渣滓。不拘时间，分两次温服。
(Attached Discussion)
The Foot-Taiyin Spleen Meridian (Zu Taiyin Pi Jing, Foot-Yin of the Spleen Channel) has its qi connecting to the mouth. The Hand-Shaoyin Heart Meridian (Shou Shaoyin Xin Jing, Hand-Yin of the Heart Channel) has its qi connecting to the tongue. If a pregnant woman suffers from deficiency of Qi in the Zang-Fu organs, disordered Ying and Wei (Nutritive and Defensive Qi), and separation of Yin and Yang, heat pathogenic factors may invade the Heart and Spleen. This leads to withered and scanty body fluids, resulting in mental restlessness (Xin Fan) and dry mouth. What causes facial redness, bitter taste in the mouth, dry tongue, mental restlessness, and abdominal distension during pregnancy? This is likely due to indulging in alcohol consumption and eating peaches, pears, plums, mutton, chicken, wheat products, fish, and other fishy or toxic foods. This results in soreness and pain throughout all joints, and constipation or difficult urination and defecation. One may take Gui Liang Jie Ming San (Return-Cooling Life-Preserving Powder).
Formulas:
Lingyang Jiao San (Antelope Horn Powder): Treats irritability during pregnancy, body heat, dry mouth, pain in limbs and joints, and poor appetite.
Ingredients: Lingyang Jiao (Antelope Horn), Xijiao (Rhinoceros Horn - *Note: Use substitutes in modern practice*), Huangqin (Scutellariae Radix), Maidong (Ophiopogonis Radix), Renshen (Ginseng Radix), Chishao Yao (Red Peony Root), Mutong (Akebiae Caulis) (each 3 fen); Chaihu (Bupleuri Radix) (1 liang); Huanglian (Coptidis Rhizoma), Gancao (Licorice Radix) (each 0.5 liang).
Preparation: Crush and sieve into a powder.
Administration: Take 4 qian per dose. Add 1 zhan of water, decoct until reduced to 6 fen, remove dregs. Take warm at any time.
Shengma San (Cimicifugae Powder): Treats irritability during pregnancy, body heat, dry mouth, pain in four limbs, and reduced food intake.
Ingredients: Chuan Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix) (each 1 liang); Zhimu (Anemarrhenae Rhizoma) (3 fen); Zhizi Ren (Gardeniae Semen), Huanglian (Coptidis Rhizoma), Gancao (Licorice Radix), Huangqin (Scutellariae Radix), Maidong (Ophiopogonis Radix), Zhike (Aurantii Fructus) (each 0.5 liang).
Preparation: Crush and sieve into a powder.
Administration: Take 3 qian per dose. Add 1 zhan of water and 1 fen of Zhuru (Bambusa Textilis Caulis Retinaculum), decoct until reduced to 6 fen, remove dregs. Take warm at any time.
Chi Fuling San (Red Poria Powder): Treats Qi stagnation and obstruction in the heart and diaphragm during pregnancy, irritability, dry mouth, and reduced food intake.
Ingredients: Chi Fuling (Poria with Red Host), Huanglian (Coptidis Rhizoma), Chaihu (Bupleuri Radix) (each 1 liang); Zi Su Ye (Perillae Folium), Renshen (Ginseng Radix), Chen Ju Pi (Citri Reticulatae Pericarpium), Dafupi (Arecae Pericarpium), Gancao (Licorice Radix) (each 0.5 liang); Qianhu (Peucedani Radix) (3 fen).
Preparation: Crush into a powder.
Administration: Take 4 qian per dose. Add 1 zhan of water, decoct until reduced to 6 fen, remove dregs. Take warm at any time.
Digupi San (Cortex Lycii Powder): Treats irritability during pregnancy, body heat and pain, dry mouth, and reduced food intake.
Ingredients: Digupi (Cortex Lycii), Huangqin (Scutellariae Radix), Renshen (Ginseng Radix), Huanglian (Coptidis Rhizoma), Weirui (Polygonati Odorati Rhizoma), Maidong (Ophiopogonis Radix), Gancao (Licorice Radix), Chishao Yao (Red Peony Root) (each 0.5 liang); Chaihu (Bupleuri Radix) (1 liang).
Preparation: Crush and sieve into a powder.
Administration: Take 4 qian per dose. Add 1 zhan of water, 0.5 fen of Shengjiang (Zingiberis Rhizoma), and 14 pian of Danzhuye (Lophatheri Folium), decoct until reduced to 6 fen, remove dregs. Take warm at any time.
Gui Liang Jie Ming San (Return-Cooling Life-Preserving Powder): Treats conditions caused by indulging in alcohol and eating peaches, plums, fruits, fish, mutton, chicken, wheat products, and fishy, rank-smelling, or toxic foods during pregnancy. Symptoms include soreness and pain throughout all joints, constipation or difficult urination and defecation, facial redness, bitter taste in the mouth, dry tongue, mental restlessness, and abdominal distension.
Ingredients: Chuanxiong (Ligustici Chuanxiong Rhizoma), Zhu Gen (Stemonae Radix), Baishao Yao (White Peony Root), Maidong (Ophiopogonis Radix), Danggui (Angelicae Sinensis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 1 liang); Nuomi (Glutinose Oryzae Sativi Grain) (0.5 he); Gancao (Licorice Radix) (0.5 liang).
Preparation: Cut into small pieces.
Administration: Take 4 qian per dose. Add 1.5 zhan of water, decoct until reduced to 1 zhan, remove dregs. Take warm at any time. Another version contains Jingjie (Schizonepetae Spica) and excludes Maidong.
Huanglian San (Coptidis Powder): Treats heart-heat and irritability during pregnancy, dry mouth, astringent tongue, and excessive thirst.
Ingredients: Huanglian (Coptidis Rhizoma), Gualougen (Trichosanthis Radix), Digupi (Cortex Lycii), Weirui (Polygonati Odorati Rhizoma), Xijiao Xie (Rhinoceros Cornu Fragmentum - *Note: Use substitutes in modern practice*), Huangqin (Scutellariae Radix), Chuan Shengma (Cimicifugae Rhizoma), Gancao (Licorice Radix) (each 1 liang).
Preparation: Crush and sieve into a powder.
Administration: Take 3 qian per dose. Add 1 zhan of water, decoct until reduced to 6 fen, remove dregs. Take warm at any time.
Treats body heat and irritability during pregnancy, dry mouth, and reduced food intake. It is suitable to take this formula.
Ingredients: Renshen (Ginseng Radix), Gegen (Puerariae Lobatae Radix), Huanglian (Coptidis Rhizoma), Qinjiao (Gentianae Macrophyllae Radix), Maidong (Ophiopogonis Radix), Chi Fuling (Poria with Red Host) (each 1 liang); Zhimu (Anemarrhenae Rhizoma) (3 fen); Gancao (Licorice Radix) (0.5 liang).
Preparation: Crush and sieve into a powder.
Administration: Take 4 qian per dose. Add 1 zhan of water, 0.5 fen of Shengjiang (Zingiberis Rhizoma), and 14 pian of Danzhuye (Lophatheri Folium), decoct until reduced to 6 fen, remove dregs. Take warm at any time.
Zhimu San (Anemarrhenae Powder): Treats dry mouth and vexatious thirst during pregnancy, and heat congestion in the Upper Jiao.
Ingredients: Chi Fuling (Poria with Red Host), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma) (each 1.5 liang); Maidong (Ophiopogonis Radix) (1 liang); Zhimu (Anemarrhenae Rhizoma) (1 liang); Gancao (Licorice Radix) (1 fen); Sangbaipi (Mori Cortex) (0.5 liang).
Preparation: Cut into small pieces.
Administration: Take 4 qian per dose. Add 1.5 zhan of water and 1 yi of Zhuli (Bambusa Textilis Caulis Succus), decoct together. Take at any time.
Treats heart-heat and irritability during pregnancy, dry mouth, astringent tongue, and excessive thirst.
Ingredients: Zhizi Ren (Gardeniae Semen), Maidong (Ophiopogonis Radix), Huanglian (Coptidis Rhizoma), Sheng Gan Dihuang (Rehmanniae Radix Preparata) (each 3 fen); Qinjiao (Gentianae Macrophyllae Radix) (1 liang); Gancao (Licorice Radix) (1 fen).
Preparation: Crush and sieve into fine powder.
Administration: Take 3 qian per dose. Add 1 zhan of water, decoct until reduced to 6 fen, remove dregs. Take warm at any time.
Gualouzi San (Trichosanthes Seed Powder): Treats heart-heat and irritability during pregnancy, dry mouth, and discomfort in the head and eyes.
Ingredients: Gualouzi (Trichosanthis Semen), Huanglian (Coptidis Rhizoma), Zhike (Aurantii Fructus) (each 1 liang); Renshen (Ginseng Radix), Gancao (Licorice Radix) (each 0.5 liang); Shigao (Gypsum Fibrosum) (2 liang).
Preparation: Crush and sieve into a powder.
Administration: Take 3 qian per dose. Add 1 zhan of water and 14 pian of Zhuye (Bambusa Textilis Folium), decoct together until reduced to 6 fen, remove dregs. Take warm at any time.
Treats dry mouth and vexatious thirst during pregnancy, and heat congestion in the Upper Jiao.
Ingredients: Huanglian (Coptidis Rhizoma), Zhimu (Anemarrhenae Rhizoma), Digupi (Cortex Lycii), Xijiao Xie (Rhinoceros Cornu Fragmentum - *Note: Use substitutes in modern practice*), Nen Ge (Puerariae Lobatae Radix Tender) (each 2 fen).
Preparation: Cut into small pieces.
Administration: Take 4 qian per dose. Add 1.5 zhan of water and 1 he of Zhuli (Bambusa Textilis Caulis Succus), decoct together. Take at any time.
Treats heart-heat and irritability during pregnancy, dry mouth, astringent tongue, and excessive thirst.
Ingredients: Qing Zhuru (Bambusa Textilis Caulis Retinaculum) (1 liang); Maidong (Ophiopogonis Radix) (0.5 liang); Gancao (Licorice Radix) (1 qian, prepared with honey).
Preparation: Add 1 large zhan of water, decoct until reduced to 7 fen, remove dregs.
Administration: Divide into two warm doses. Take at any time.