（附咽痛。）
博陵医之神者曰郝翁，有妊娠喑不能言。郝曰∶儿大经壅，故不能言，儿生经通，自能言矣。（《叶杏林女科》。）
萧赓六曰∶《内经·大奇论》以胞精不足为死，不言为生，此可验。九月而喑，非胞精不足，故当十月而复言也。
黄锦芳治石蕙文室，素禀水衰火微，水衰则火时游于上，而见咽痛气逆，火衰则食不甚化，常与虚火内结。
稍用地黄以滋之，则食益壅滞。稍用当归以补血，则火随辛性上窜而热起。稍用沙参、元参以清咽，则气觉顿
下，而眼昏不见。稍用人参、白术以补气，则眼虽光明，而气又觉急迫，胸满而痛。稍用疏气抑肝之品，则腰
肾重坠，腹痛欲解。至于偶感风寒，稍用表药，则热势蒸蒸，而气随火逆。时兼有孕，愈难调摄。黄诊之，六
脉俱弦而兼微数，两关尤觉高突，胸满气喘，喉痛脚肿眼昏，食后胸满愈甚，孕已九月将足，乃用自制和气安
胎饮，茯苓、广皮、炒白芍、丹皮、大腹毛，炒麦冬、人参、白术、苏叶，浓煎温服，随药渐愈。
孙文垣治程玉吾内人，妊已七月，乳忽红肿而痛，洒淅恶寒发热，将成内吹。以大栝蒌四钱为君，当归
尾二钱为臣，甘草节、蒲公英、贝母、连翘各一钱二分为佐，青皮、柴胡各八分，橘叶五片为使，二剂而瘳。
此方治验不可胜数。妇女怒郁，肝经为多，栝蒌、甘草为缓肝之剂，贝母开郁，连翘、蒲公英解毒，柴胡、青
皮调气，橘叶引经，当归活血，血活气调，毒解热散，而肿痛消释也。若将成脓，可加白芷。
《医学纲目》治妇人吹乳皂角散，歌曰∶妇人吹乳治如何？皂角烧灰蛤粉和，热酒一杯调一字，顷间揉散笑呵呵。
（附：咽痛。）
博陵有一位被称为神医的郝翁，遇到一位怀孕后失音不能说话的孕妇。郝翁说：“胎儿长大压迫经络导致阻滞，所以不能说话；等孩子出生后经络通畅，自然就能说话了。”（出自《叶杏林女科》。）
萧赓六说：“《内经·大奇论》将胞精不足导致的失音列为死证，而没有列为生证，这可以验证。怀孕九月出现失音，并非胞精不足，所以等到十月分娩后自然会恢复说话。”
黄锦芳治疗石蕙文的妻子，她素来体质表现为水衰火微。水衰则虚火时常游移于上部，从而出现咽痛、气逆的症状；火衰则食物消化不完全，常伴有虚火内结的情况。
稍微用地黄来滋阴，则饮食更加壅滞；稍微用当归来补血，则火随辛温之性上窜而引发热象；稍微用沙参、玄参来清咽，则感觉气机顿时下降，但眼睛昏花看不清；稍微用人参、白术来补气，则眼睛虽然明亮，但气机又觉急迫，胸部胀满且疼痛；稍微用疏理气机、抑制肝气的药物，则腰肾沉重下坠，腹痛想解大便。至于偶尔感受风寒，稍微使用解表药，则热势蒸腾，气机随火势上逆。当时兼有身孕，更难调理摄护。黄锦芳诊察发现，六脉都弦细且兼有微数之象，两关部尤其显得高突，症状包括胸满气喘、喉痛、脚肿、眼昏，进食后胸满加重，此时已怀孕九个月即将足月。于是使用自制的和气安胎饮，方药组成包括茯苓、广陈皮、炒白芍、丹皮、大腹毛、炒麦冬、人参、白术、苏叶，浓煎后温服，服药后病情逐渐痊愈。
孙文垣治疗程玉吾的妻子，怀孕七个月时，乳房突然红肿疼痛，伴有忽冷忽热的恶寒发热症状，即将发展成“内吹”（乳痈的一种）。以四钱大栝蒌为君药，二钱当归尾为臣药，甘草节、蒲公英、贝母、连翘各一钱二分作为佐药，青皮、柴胡各八分，橘叶五片作为使药，服用两剂后病愈。此方治疗验证的案例不可胜数。妇女因愤怒抑郁致病，多涉及肝经。栝蒌、甘草是缓和肝气的药剂，贝母开郁结，连翘、蒲公英解毒，柴胡、青皮调畅气机，橘叶引药入经，当归活血。血液流通、气机调畅，毒解热散，肿痛也就消除了。如果即将化脓，可以加入白芷。
《医学纲目》记载治疗妇人吹乳（乳汁淤积引起的乳房肿痛）的皂角散，歌诀说道：“妇人吹乳治如何？皂角烧灰蛤粉和，热酒一杯调一字，顷间揉散笑呵呵。”
(Attached: Sore throat.)
Hao Weng, a physician in Boling renowned for his divine skills, treated a pregnant woman who had lost her voice and could not speak. Hao said, "As the fetus grows, it obstructs the meridians, causing aphonia; once the child is born and the meridians clear, speech will naturally return." (From *Ye Xinglin's Gynecology*.)
Xiao Gengliu stated: "*Neijing·Daqi Lun* classifies aphonia caused by insufficiency of uterine essence as a fatal condition, not a survivable one, which serves as verification. Aphonia at nine months of pregnancy is not due to insufficiency of uterine essence; therefore, speech will resume after ten months (at term)."
Huang Jinfang treated the wife of Shi Huiwen, whose constitution was characterized by Yin deficiency and weak Fire. Yin deficiency allows deficient Fire to wander upward, resulting in sore throat and rebellious Qi; weak Fire leads to incomplete digestion of food, often accompanied by internal binding of deficient Fire.
Slightly using *Dihuang* (Rehmanniae Radix) to nourish Yin causes further stagnation of food; slightly using *Danggui* (Angelicae Sinensis Radix) to tonify Blood causes Fire to ascend with its acrid nature, generating heat; slightly using *Shashen* (Glehniae Radix) and *Yuanshen* (Scrophulariae Radix) to clear the throat makes Qi feel suddenly descend, but causes blurred vision; slightly using *Renshen* (Ginseng Radix) and *Baizhu* (Atractylodis Macrocephalae Rhizoma) to tonify Qi brightens the eyes but makes Qi feel urgent, causing chest fullness and pain; slightly using herbs that regulate Qi and suppress Liver causes heaviness and bearing-down sensation in the waist and kidneys, and abdominal pain with urge to defecate. When occasionally contracting wind-cold, slight use of exterior-releasing herbs causes steaming heat and rebellious Qi following the Fire. At this time, she was also pregnant, making regulation difficult. Huang's pulse diagnosis revealed all six pulses were wiry and slightly rapid, especially prominent at the Guan positions. Symptoms included chest fullness, panting, sore throat, swollen feet, blurred vision, and worsened chest fullness after eating. She was nine months pregnant, nearing term. Thus, he used his self-formulated *Heqi Antai Yin* (Harmonizing Qi and Calming Fetus Decoction), composed of *Fuling* (Poria), *Guangpi* (Citri Reticulatae Pericarpium), stir-fried *Baishao* (Paeoniae Radix Alba), *Danpi* (Moutan Cortex), *Dafumao* (Arecae Pericarpium), stir-fried *Maidong* (Ophiopogonis Tuber), *Renshen* (Ginseng Radix), *Baizhu* (Atractylodis Macrocephalae Rhizoma), and *Suye* (Perillae Folium). It was decocted strongly and taken warm. The condition gradually improved with the medication.
Sun Wen Yuan treated the wife of Cheng Yuwu, who was seven months pregnant when her breasts suddenly became red, swollen, and painful, accompanied by alternating chills and fever, indicating impending development of *Neichui* (Internal Blowing, a type of mastitis). He used four qian of *Gualu* (Trichosanthis Fructus) as the sovereign herb, two qian of *Dangguiwei* (Angelicae Sinensis Radix Tail) as the minister herb, one qian and two fen each of *Gancao Jie* (Glycyrrhizae Radix et Rhizoma cum Nodo), *Pugongying* (Taraxaci Herba), *Beimu* (Fritillariae Bulbus), and *Lianqiao* (Forsythiae Fructus) as the assistant herbs, eight fen each of *Qingpi* (Aurantii Fructus Immaturus) and *Chaihu* (Bupleuri Radix), and five slices of *Juye* (Citri Reticulatae Folium) as the guide herb. After two doses, the illness was cured. This formula has countless verified cases. Women suffering from anger and depression often have liver meridian involvement. *Gualu* and *Gancao* are agents that soothe the Liver; *Beimu* opens stagnation; *Lianqiao* and *Pugongying* resolve toxicity; *Chaihu* and *Qingpi* regulate Qi; *Juye* guides the medicine into the meridian; *Danggui* invigorates blood. With blood circulation restored and Qi regulated, toxicity resolved and heat dispersed, swelling and pain dissipate. If suppuration is imminent, *Baizhi* (Angelicae Dahuricae Radix) can be added.
*Yixue Gangmu* records the *Zaojiao San* (Gleditsia Sinensis Powder) for treating women's *Chuilu* (Blown Milk/Mastitis), with a rhyme stating: "How to treat blown milk in women? Burn *Zaojiao* to ash and mix with clam powder; mix with a cup of hot wine for a dose of one character, rub away quickly and laugh happily."