心中烦满不宁者，是也。责之心虚有火，简易方以竹叶汤主之。
竹叶汤
白茯苓（二钱） 防风（八分） 麦冬 黄芩（各一钱） 竹叶（九片）
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。眉批∶（痫者俗名羊癫风，皆痰水凝聚心胞，男女皆有，最难除根。孕妇子痫又当别论。）唯剂稍小
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，药味偏于辛散，治者当因时制宜可以。
孕妇高举，儿口所含血管脱出，故啼。令母曲腰就地，如拾物状，仍令入儿口，既止。
凡孕妇至七八个月，其胎长大，腹大胀满，逼迫子户，坐卧不安。宜服束胎饮二三剂。
束胎饮
白术 黄芩 紫苏 枳壳 大腹皮（各一钱五分） 炙草（三分） 带壳砂仁（五分炒姜引）。
妇人受孕之后，仍复行经者，名曰激经。为血有余。若孕妇无故下血，或下黄汁、豆汁，而腰腹不痛
者，谓之胎漏。若其胎已伤，而下血者，其腰腹必疼。孕妇又有尿血一证，腹亦不痛然
与胎漏之证又不同，盖尿血出于溺孔，漏血出于人门，三者俱下血，而各有不同，治者不可不详辨也。
激经无他症相兼者，不须用药。其胎壮，子大能食其血，而经自停。若胎漏下血，多属血热，宜阿胶汤
清之。或漏下黄汁，或如豆汁甚多，其胎干枯，必倚而坠，宜用黄 汤煎服，或银苎酒
煎服。若尿血，则是膀胱血热，宜生地四物加血余，白茅根以凉之。
心中烦闷胀满、心神不宁的，就是子烦。其病机责之于心气虚弱而有内火，治疗以《简易方》中的竹叶汤为主。
竹叶汤
白茯苓（二钱） 防风（八分） 麦冬 黄芩（各一钱） 竹叶（九片）
孕妇若痰涎壅盛阻塞气道，时而发生抽搐、神志不清，名为子痫。治疗应以清气化痰为主。因为此症多由气机失调引起，治法与痫症相同。眉批：（痫症俗称羊癫风，皆因痰水凝聚在心包络，男女皆可患病，最难除根。孕妇患子痫则另当别论。）只是用药剂量稍小而已。如果恶心严重，可用二陈汤煎服以催吐。呕吐停止后，再调理气机、化解痰浊。同时配合使用黄芩、白术以安胎。古方羚羊角散，药性偏于辛温发散，医者应当根据时令气候灵活变通使用。
孕妇高举手臂，胎儿口中所含的血管脱出，导致啼哭。让母亲弯腰贴近地面，如同捡拾物品的姿势，使胎儿头部复位进入产道，啼哭即可停止。
凡是孕妇到了七八个月时，胎儿长大，腹部胀大饱满，压迫子宫，导致坐卧不安。适宜服用束胎饮二三剂。
束胎饮
白术 黄芩 紫苏 枳壳 大腹皮（各一钱五分） 炙甘草（三分） 带壳砂仁（五分，用生姜引经）。
妇人受孕之后，仍然每月有少量月经来潮的，称为激经。这是因为血气有余。如果孕妇无故阴道出血，或者流出黄色汁液、豆汁样的液体，但腰腹部不疼痛的，称为胎漏。如果胎儿已经受损而下血，那么腰腹部必然疼痛。孕妇还有一种尿血的证候，腹部也不疼痛，但这与胎漏不同。因为尿血是从尿道排出，漏血是从阴道排出，虽然三者都有下血表现，但来源不同，医者不可不详细辨别。
激经如果没有其他症状兼夹，不需要用药。因为胎儿强壮，胎儿长大能消耗母体的血液，月经自然会停止。如果是胎漏下血，多属于血热，适宜用阿胶汤清热止血。如果漏下黄色汁液，或像豆汁样且量很多，说明胎儿干枯，必定会随之坠落，适宜用黄芩汤煎服，或者银花苎麻酒煎服。如果是尿血，则是膀胱血热，适宜用生地黄四物汤加入血余炭、白茅根以凉血止血。
Those with a sensation of vexation, fullness, and restlessness in the heart are suffering from *Zi Fan* (Fetal Vexation). This is attributed to Heart Qi deficiency with internal fire. The treatment should primarily use *Zhuye Tang* (Bamboo Leaf Decoction) from *Jian Yi Fang*.
**Zhuye Tang (Bamboo Leaf Decoction)**
*Bai Fuling* (Poria, 2 qian), *Fangfeng* (Saposhnikovia Root, 8 fen), *Maidong* (Ophiopogon Tuber), *Huangqin* (Scutellaria Root, 1 qian each), *Zhuye* (Bamboo Leaf, 9 slices).
If a pregnant woman suffers from excessive phlegm-fluid obstructing the airways, accompanied by occasional convulsions and loss of consciousness, it is named *Zi Xian* (Eclampsia of Pregnancy). The treatment should focus on clearing heat and transforming phlegm. This condition is mostly caused by Qi dysfunction, so the therapeutic method is similar to that for general epilepsy. [Marginal Note: Epilepsy, commonly known as "sheep epilepsy," is caused by the accumulation of phlegm and water in the Pericardium; it can affect both men and women and is difficult to eradicate completely. However, eclampsia in pregnancy is a different matter.] The dosage of herbs should be slightly smaller. If nausea is severe, *Erchen Tang* (Two-Aged Decoction) should be decocted to induce vomiting. After vomiting subsides, regulate Qi and transform phlegm. Simultaneously, use *Huangqin* (Scutellaria Root) and *Baizhu* (Atractylodes Macrocephala Rhizome) to stabilize the fetus. The ancient formula *Lingyangjiao San* (Antelope Horn Powder) has properties that are too pungent and dispersing; physicians should adapt its use according to the season and circumstances.
If a pregnant woman raises her arms high, causing the umbilical cord or vessels held in the fetal mouth to prolapse, resulting in crying, instruct the mother to bend her waist and touch the ground, as if picking up an object, to help the fetus re-enter the birth canal, which will stop the crying.
When a pregnant woman reaches seven or eight months, the fetus grows large, causing abdominal distension and fullness that compresses the uterus, leading to discomfort in sitting and lying down. It is appropriate to take *Shutai Yin* (Fetus-Binding Drink) for two or three doses.
**Shutai Yin (Fetus-Binding Drink)**
*Baizhu* (Atractylodes Macrocephala Rhizome), *Huangqin* (Scutellaria Root), *Zisu* (Perilla Leaf), *Zhiqiao* (Aurantium Fructus), *Dafupi* (Areca Peel, 1.5 qian each), *Zhigancao* (Prepared Licorice Root, 3 fen), *Daikesharen* (Cardamom Seed with Shell, 5 fen, guided by ginger).
After conception, if a woman continues to have menstrual bleeding monthly, it is called *Jijing* (Provoked Menses). This occurs due to excess blood. If a pregnant woman bleeds from the vagina without cause, or discharges yellow fluid or bean-soup-like fluid, but without pain in the lower back and abdomen, it is called *Tailou* (Fetal Leakage). If the fetus is injured and bleeding occurs, there must be pain in the lower back and abdomen. Pregnant women may also present with hematuria (blood in urine), where the abdomen is not painful. This differs from *Tailou*. Hematuria originates from the urethra, while leakage originates from the vagina. Although all three involve bleeding, their sources differ, and physicians must distinguish them carefully.
If *Jijing* presents without other accompanying symptoms, no medication is required. A strong fetus will consume the maternal blood as it grows, and menstruation will naturally cease. If *Tailou* involves bleeding, it is mostly due to Blood Heat; *Ejiao Tang* (Donkey-Hide Gelatin Decoction) should be used to clear heat and stop bleeding. If yellow fluid or bean-soup-like discharge is profuse, indicating a dried-up fetus that will inevitably abort, *Huangqi Tang* (likely referring to a Huangqin-based formula given context, or specifically *Huanglian*/*Huangbai* variants, but text says "Huang Tang") should be decocted and taken, or *Yinzhu Jiu* (Silver Flower and Ramie Wine) should be used. If hematuria occurs, it indicates Bladder Blood Heat; *Shengdi Siwu Tang* (Rehmannia Four Substances Decoction) added with *Xuyuren* (Carbonized Human Hair) and *Baimaogen* (Imperata Rhizome) should be used to cool the blood and stop bleeding.