（与痉病略同。）
薛立斋治一妇人，素口苦，月经不调，或寒热。妊娠五月，两臂或拘急，或缓纵，此肝火血虚所致也。用
四物加柴胡、山栀、丹皮、钩藤治之而愈。（雄按∶炎上作苦，口苦皆胆火上炎。）
一妊妇因怒，寒热，头项动掉，四肢抽搐。此肝火血虚风热，用加味逍遥加钩藤，数剂而痊。
一妊妇颈项强直，腰背作痛，此膀胱经风邪所致。用拔萃羌活汤一剂而愈。又用独活寄生汤及八珍汤，以
祛邪固本而痊。
一妊妇四肢不能伸，服祛风燥血之剂，遗尿痰甚，四肢抽搐。此肝火血燥，用八珍汤加炒黑黄芩为主，佐
以钩藤汤而安。后因怒前证复作，小便下血，寒热少寐，饮食少思，用钩藤散加山栀、柴胡而血止。用加味逍
遥散，寒热退而得寐。用六君子汤加白芍、钩藤，饮食进而渐安。
万密斋治一婢临月，病口眼 邪，腰背反张，手足挛曲，不省人事。用黄连解毒汤加朱砂，干开口灌之稍
定。其夜生一男，产后犹昏迷不省，以七珍汤与之即安。（据万云即子痫。）
薛立斋治一妊妇，出汗口噤，腰背反张，时作时止，此怒动肝火也。用加味逍遥散渐愈，又用钩藤散而止，
更以四君加钩藤、山栀、柴胡而安。
一妊妇因怒卧地，良久而苏，吐痰发搐，口噤项强。用羚羊角散渐愈，更用钩藤散始痊，又用归脾汤而安。
孙文垣治黄氏妇，青年初孕，已及弥月，忽午夜口中呶呶，因作上视，角弓反张，裸裎不知羞耻，口眼偏
斜，昏愦不知人事，问之不能言。此风痰为怒所动而成子痫，当从云歧子葛根汤加大腹皮，一两剂可愈也。用
葛根、贝母、丹皮、防风、川芎、当归、茯苓、桂心、泽泻、甘草各二钱，独活、人参各四钱，水煎饮之而苏。
（原注按∶贝母令人易产，未临月者，用升麻代之。）
陆肖愚治谢四府女，与夫俱在青年，妊将七月，日间因责婢大怒，又与夫反目，号哭半日，夜即不能寐，
至夜半忽口中谵语不已，目上视，竟于床褥中裸形而出，其夫力抱之，遂昏愦不知人事，问之不语。医不识何
病，咸以为祟，谢公夜起着红袍执剑压之，而号叫笑詈，千端万状。召诊，悉其证，乃令数妇执而脉之，六部
洪数有力，曰∶此子痫证，非祟也。证亦时见，但此殊甚耳。用真正霞天曲、贝母、黄连、山栀、天麻、青皮、
白芍、龙胆草、青黛，加灯心、竹沥，一剂而醒，二剂减半，四剂全瘳。问其病状，毫不知也。
吴桥治程钧妻，孕且四月矣，着屐而履桥版，偶失足卧地，扶起则目上视而瞑， 愦而为鬼言。逆桥视之，
寸口脉动而微，尺脉按之不绝，右差胜，曰∶非直病，易去也，胎且安，主生男。闻者愕然。乃以大剂参、
加安神宁志药，仅服过半，舒气一声而目微开。问之，则历述所遇皆亡者，言毕复瞑。仍进前药乃苏，日渐得
安，七日而痊。或问向者榆村程氏妇与此同，而彼七日死何也。桥曰∶往者吾不及见，无敢以口给臆之。今病
者故中气虚，妊子食母气且尽，母失所养而震惊，出其不虞，气下陷而火上炎，痰壅心络，故愦愦欲死，非真
死也。又谓见鬼物者何？经曰∶脱阳者见鬼，此无足怪。（雄按∶此必挟痰。如果脱阳，则为败证，安神宁志，岂能即愈？）
沈尧封曰∶妊妇病源有三大纲∶一曰阴亏，人身精血有限，聚以养胎，阴分必亏；二曰气滞，腹中增一障
碍，则升降之气必滞；三曰痰饮，人身脏腑接壤，腹中遂增一物，脏腑之机括，为之不灵，则津液聚为痰饮。
知此三者，庶不为邪说所惑。妊妇卒倒不语，或口眼歪斜，或手足螈 ，皆名中风。或背腰反张，时昏时醒，
名为风痉，又名子痫。古来皆作风治，不知卒倒不语，病名为厥，乃阴虚于下，孤阳逆上之谓也。口眼歪斜，
手足螈 ，或因痰滞经络，或因阴亏不吸肝阳，内风暴动。至若腰背反张一证，临危必见戴眼，其故何欤？盖
足膀胱经太阳之脉，起于目内 ，上额交巅，循肩膊内，夹脊，抵腰中。足太阳主津液，虚则经脉时缩，故腰
背反张。经曰∶瞳子高者，太阳不足，谓太阳之津液不足也。脉缩急则瞳子高，甚则戴眼。治此当用地黄、麦
冬各等药，滋养津液为主。胎前病阳虚者绝少，慎勿误用小续命汤。
沈尧封治钱鹄云室，饮食起居无恙，一夜连厥数十次，发则目上窜，形如尸，次日又厥数十次，至晚一厥
不醒，以火炭投醋中，近鼻熏之，不觉。切其脉，三部俱应，不数不迟，并无怪象。诊毕，其父问可治否？沈
曰∶可用青铅一斤，化烊，倾盆水内，捞起再烊，再倾三次，取水煎生地一两，天冬二钱，石斛三钱，甘草一
钱，石菖蒲一钱服之。是晚止厥六次，亦甚轻。照方再服，厥遂不发，后生一子。计其时乃受胎初月也，移治
中年，非受胎者亦甚效。
薛立斋治疗一位妇人，平时口苦，月经不规律，有时出现寒热交替。妊娠五个月时，双臂时而拘挛紧急，时而松弛无力，这是由肝火旺盛和血虚引起的。使用四物汤加入柴胡、山栀、丹皮、钩藤进行治疗而痊愈。（徐灵胎按语：炎上作苦，口苦都是胆火上炎所致。）
另一位孕妇因发怒，出现寒热，头项抖动，四肢抽搐。这是肝火血虚兼风热所致，使用加味逍遥散加入钩藤，服用数剂后康复。
又一位孕妇颈项强直，腰背疼痛，这是膀胱经受风邪侵袭所致。使用拔萃羌活汤一剂即愈。随后又用独活寄生汤及八珍汤，以祛除邪气、巩固根本而痊愈。
还有一位孕妇四肢不能伸展，服用了祛风燥血的药物后，出现遗尿、痰多，四肢抽搐。这是肝火血燥所致，以八珍汤加入炒黑黄芩为主药，佐以钩藤汤而安定病情。后来因发怒前症复发，小便下血，寒热少寐，饮食减少，使用钩藤散加入山栀、柴胡而止血。再用加味逍遥散，寒热退去而能入睡。后用六君子汤加入白芍、钩藤，饮食增加而逐渐安宁。
万密斋治疗一位婢女，临近分娩时，患口眼歪斜，腰背反张，手足挛曲，不省人事。使用黄连解毒汤加入朱砂，撬开嘴灌服后稍定。当晚生下一男婴，产后仍然昏迷不省人事，给予七珍汤服用后即安。（据万氏所言，这就是子痫。）
薛立斋治疗一位孕妇，出汗、牙关紧闭，腰背反张，时发时止，这是因愤怒触动肝火所致。使用加味逍遥散逐渐痊愈，又用钩藤散而停止发作，再用四君子汤加入钩藤、山栀、柴胡而安宁。
另一位孕妇因发怒卧倒在地，许久才苏醒，吐痰抽搐，牙关紧闭，颈项强直。使用羚羊角散逐渐痊愈，再用钩藤散始康复，最后用归脾汤而安宁。
孙文垣治疗黄氏妇，年轻初孕，已接近满月，忽然半夜口中喃喃自语，向上看，角弓反张，裸露身体不知羞耻，口眼歪斜，昏乱不知人事，问话不能回答。这是风痰被愤怒所动而形成的子痫，应当从云歧子的葛根汤加大腹皮治疗，一两剂即可痊愈。使用葛根、贝母、丹皮、防风、川芎、当归、茯苓、桂心、泽泻、甘草各二钱，独活、人参各四钱，水煎服后苏醒。（原注按语：贝母令人易产，未临月者，用升麻代替。）
陆肖愚治疗谢四府的女儿，与丈夫都正值青年，怀孕将满七月，白天因责打婢女大怒，又与丈夫反目，号哭半天，夜里即不能入睡，到半夜忽然口中谵语不停，眼睛上视，竟在床褥中裸体而出，其夫用力抱住她，于是昏乱不知人事，问话不语。医生不认识这是什么病，都认为是鬼祟，谢公夜里穿着红袍拿着剑镇压，而她号叫笑骂，千端万状。请陆肖愚诊治，了解她的证候后，让几位妇女按住并切脉，六部脉洪数有力，说：“这是子痫证，不是鬼祟。”这种证候也时常见到，但这特别严重罢了。使用真正的霞天曲、贝母、黄连、山栀、天麻、青皮、白芍、龙胆草、青黛，加入灯心草、竹沥，一剂后醒来，两剂减半，四剂全愈。问她病情，完全不知道。
吴桥治疗程钧的妻子，怀孕将近四个月，穿着木屐走在桥板上，偶然失足跌倒在地，扶起后则眼睛上视而闭目，昏乱如说鬼话。吴桥观察，寸口脉搏动而微，尺脉按之不绝，右脉稍胜，说：“这不是重病，容易治愈，胎儿平安，主生男孩。”听者愕然。于是用大剂量人参等安神宁志的药物，仅服了一半，舒气一声而眼睛微开。问话，则详细叙述遇到的都是死者，说完又闭目。仍进前药乃苏醒，日渐安宁，七日而痊愈。有人问以前榆村程氏妇与此同，为何七天死了？吴桥说：“以前我没赶上看见，不敢凭口猜测臆断。现在病人本来中气虚弱，怀孕生子消耗母气几乎耗尽，母亲失去滋养而受惊，出乎意料，气下陷而火上炎，痰壅塞心络，所以昏乱欲死，并非真死。”又说为什么见鬼物？经书说：“脱阳者见鬼”，这不足为怪。（徐灵胎按语：这必定挟带痰浊。如果是真正的脱阳，则是败证，安神宁志怎么能立即痊愈？）
沈尧封说：孕妇病的根源有三大纲领：一是阴亏，人身精血有限，聚集以养胎，阴分必然亏损；二是气滞，腹中增加一个障碍，升降之气必然停滞；三是痰饮，人身脏腑接壤，腹中遂增加一物，脏腑的机括，为之不灵，则津液聚为痰饮。知道这三点，才不会为邪说所迷惑。孕妇突然倒下不说话，或口眼歪斜，或手足抽搐，都名叫中风。或背腰反张，时昏时醒，名叫风痉，又名子痫。古来都用治风的方法，不知道突然倒下不说话，病名叫厥，是阴虚于下，孤阳逆上的意思。口眼歪斜，手足抽搐，或因痰滞经络，或因阴亏不能吸纳肝阳，内风暴动。至于腰背反张这一证，临危必见戴眼（眼球固定向上），原因是什么呢？因为足太阳膀胱经的经脉，起于目内眦，上额交巅，循肩膊内，夹脊，抵腰中。足太阳主管津液，虚则经脉时缩，所以腰背反张。经书说：“瞳子高者，太阳不足”，是说太阳的津液不足。脉缩急则瞳子高，甚则戴眼。治疗此证当用地黄、麦冬各等量药物，以滋养津液为主。产前病阳虚者极少，切勿误用小续命汤。
沈尧封治疗钱鹄云的妻子，饮食起居无恙，一夜连厥数十次，发作时眼睛上窜，形如尸体，第二天又厥数十次，到晚上一厥不醒，用烧红的炭投入醋中，靠近鼻子熏蒸，不觉知。切其脉，三部俱应，不数不迟，并无怪异现象。诊毕，其父问可治否？沈说：“可用青铅一斤，熔化，倾入盆水中，捞起再熔化，再倾入三次，取水煎生地一两，天冬二钱，石斛三钱，甘草一钱，石菖蒲一钱服用。当晚止厥六次，也很轻。照方再服，厥不再发作，后来生了一子。计算时间正是受孕初月，移治中年妇女，非孕妇也非常有效。”
(The symptoms of eclampsia are roughly similar to those of spasm.)
Xue Lizhai treated a woman who usually had a bitter taste in her mouth, irregular menstruation, and occasional alternating chills and fever. At five months of pregnancy, her arms were sometimes spasmodic and tight, sometimes flaccid and relaxed. This was caused by Liver fire and blood deficiency. She was treated with Siwu Tang (Four Substances Decoction) added with Chaihu (Bupleuri Radix), Shanzhi (Gardeniae Fructus), Danpi (Moutan Cortex), and Gouteng (Uncariae Ramulus cum Uncis), and she recovered. (Xu Lingtai's note: "Flame rises and makes things bitter"; a bitter taste in the mouth is due to Gallbladder fire flaming upward.)
Another pregnant woman, due to anger, experienced chills and fever, shaking of the head and neck, and convulsions of the four limbs. This was due to Liver fire, blood deficiency, and wind-heat. She was treated with Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) added with Gouteng (Uncariae Ramulus cum Uncis), and recovered after several doses.
Another pregnant woman had a stiff neck and pain in the lower back. This was caused by wind-pathogen invading the Bladder meridian. She was cured with one dose of Bacui Qianghuo Tang (Extraction Notopterygium Decoction). Subsequently, Duhuo Jisheng Tang (Angelica Pubescens Decoction for Preserving the Living) and Bazhen Tang (Eight Treasures Decoction) were used to dispel pathogenic factors and consolidate the root, leading to recovery.
Another pregnant woman could not extend her four limbs. After taking drugs that dispel wind and dry blood, she developed urinary incontinence, excessive phlegm, and limb convulsions. This was due to Liver fire and blood dryness. The main treatment was Bazhen Tang (Eight Treasures Decoction) added with stir-fried black Huangqin (Scutellariae Radix), assisted by Gouteng Tang (Uncariae Ramulus Decoction), which stabilized the condition. Later, due to anger, the previous symptoms recurred with hematuria, chills and fever, insomnia, and poor appetite. Gouteng San (Uncariae Ramulus Powder) added with Shanzhi (Gardeniae Fructus) and Chaihu (Bupleuri Radix) stopped the bleeding. Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) resolved the chills and fever and restored sleep. Liujunzi Tang (Six Gentlemen Decoction) added with Baishao (Paeoniae Radix Alba) and Gouteng (Uncariae Ramulus cum Uncis) improved appetite and gradually stabilized the patient.
Wan Mizhai treated a maid near term who suffered from facial deviation, opisthotonos, flexion of hands and feet, and unconsciousness. Huanglian Jiedu Tang (Coptis Decoction for Detoxification) added with Zhusha (Cinnabar) was pried open and administered orally, slightly stabilizing her. A male infant was born that night. Postpartum, she remained comatose. Seven Zhen Tang (Seven Treasures Decoction) was given, and she immediately calmed down. (According to Wan, this is eclampsia.)
Xue Lizhai treated a pregnant woman who sweated, had trismus, opisthotonos, and intermittent episodes. This was due to anger stirring Liver fire. Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) gradually improved the condition; Gouteng San (Uncariae Ramulus Powder) stopped the spasms; and Sijunzi Tang (Four Gentlemen Decoction) added with Gouteng (Uncariae Ramulus cum Uncis), Shanzhi (Gardeniae Fructus), and Chaihu (Bupleuri Radix) stabilized her.
Another pregnant woman fell to the ground due to anger, revived after a long time, vomited phlegm, had convulsions, trismus, and neck stiffness. Lingyangjiao San (Antelope Horn Powder) gradually improved the condition; Gouteng San (Uncariae Ramulus Powder) led to recovery; and Guipi Tang (Restore the Spleen Decoction) stabilized her.
Sun Wen Yuan treated Mrs. Huang, who was young and in her first pregnancy, nearing full term. Suddenly, in the middle of the night, she muttered, looked upward, exhibited opisthotonos, exposed herself without shame, had facial deviation, was confused and unconscious, and could not speak when asked. This was eclampsia formed by wind-phlegm stirred by anger. It should be treated according to Yun Qizi's Gegen Tang (Kudzu Root Decoction) with Dafupi (Arecae Pericarpium) added. One or two doses would cure it. Gegen (Puerariae Lobatae Radix), Beimu (Fritillariae Bulbus), Danpi (Moutan Cortex), Fangfeng (Saposhnikoviae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Fuling (Poria), Guixin (Cinnamomi Cortex), Zexie (Alismatis Rhizoma), and Gancao (Glycyrrhizae Radix et Rhizoma) each 2 qian, Duhuo (Angelicae Pubescentis Radix) and Renshen (Ginseng Radix) each 4 qian were decocted in water and administered, restoring consciousness. (Original note: Beimu (Fritillariae Bulbus) facilitates childbirth; for those not yet at term, Shengma (Cimicifugae Rhizoma) should be substituted.)
Lu Xiaoyu treated the daughter of Prefect Xie. Both she and her husband were young. At nearly seven months of pregnancy, she became furious after scolding a maid, then quarreled with her husband, crying loudly for half a day. That night, she could not sleep. By midnight, she spoke deliriously, looked upward, and emerged naked from the bed. Her husband held her tightly, but she became confused, unconscious, and unresponsive. Doctors did not recognize the disease and attributed it to demonic possession. Mr. Xie dressed in red robes and wielded a sword to suppress it, but she screamed, laughed, and cursed endlessly. Lu Xiaoyu was summoned. After examining the symptoms and having several women hold her pulse, he found all six pulses surging, rapid, and forceful. He said, "This is an eclampsia syndrome, not demonic possession." Such syndromes are seen occasionally, but this case is particularly severe. Zhenzheng Xiatic Qu (True Cloud Sky Fermented Dough), Beimu (Fritillariae Bulbus), Huanglian (Coptidis Rhizoma), Shanzhi (Gardeniae Fructus), Tianma (Gastrodiae Rhizoma), Qingpi (Citri Reticulatae Pericarpium Viride), Baishao (Paeoniae Radix Alba), Longdancao (Gentianae Radix), and Qingdai (Indigo Naturalis) were used, added with Dengxincao (Junci Medulla) and Zhuli (Bambusae Caulis in Taenia), resulting in awakening after one dose, halving of symptoms after two doses, and complete recovery after four doses. She had no memory of the illness.
Wu Qiao treated the wife of Cheng Jun, who was nearly four months pregnant. While wearing clogs on a bridge plank, she slipped and fell. Upon being helped up, she looked upward, closed her eyes, and spoke as if possessed. Wu Qiao observed that the Cun Kou (inch position) pulse was moving but faint, while the Chi position (cubit position) pulse was uninterrupted upon pressure, with the right side slightly stronger. He said, "This is not a serious illness; it will be easily resolved. The fetus is safe; a boy will be born." Listeners were astonished. Large doses of Renshen (Ginseng Radix) and other calming-spirit and stabilizing-mind medicines were administered. After taking only half, she sighed, opened her eyes slightly, and recounted encounters with the deceased before closing her eyes again. The same medicine was continued, she woke up, gradually stabilized, and recovered in seven days. Someone asked why a previous Cheng family woman from Yucun died in seven days despite similar symptoms. Wu Qiao replied, "I was not present then and dare not speculate. However, this patient has deficient Middle Qi. Pregnancy consumes maternal Qi almost entirely. The mother loses nourishment and is shocked unexpectedly. Qi sinks downward while Fire flares upward, Phlegm obstructs the Heart collaterals, causing confusion and a desire to die, but it is not true death." Regarding seeing ghosts, he cited the classics: "Those who lose Yang see ghosts," which is not strange. (Xu Lingtai's note: This must involve Phlegm. If it were true Yang collapse, it would be a critical failure; calming the spirit and stabilizing the mind could not lead to immediate recovery.)
Shen Yaofeng stated: There are three main origins for diseases in pregnant women: First, Yin deficiency. Human essence and blood are limited and gathered to nourish the fetus, inevitably depleting Yin. Second, Qi stagnation. An obstacle in the abdomen causes stagnation of ascending and descending Qi. Third, Phlegm-fluid retention. Organs and viscera are adjacent; the addition of a mass in the abdomen renders their mechanisms ineffective, causing body fluids to accumulate into Phlegm-fluid. Knowing these three points prevents confusion by false theories. Sudden collapse and silence in pregnant women, or facial deviation, or limb tremors, are all named Wind Stroke. Opisthotonos with intermittent consciousness is named Wind Spasm, also known as Eclampsia. Historically, it was treated as Wind, but sudden collapse and silence are actually Jue (Syncope/Reversal Cold), defined as Yin deficiency below and solitary Yang reversing upward. Facial deviation and limb tremors may be due to Phlegm obstructing collaterals or Yin deficiency failing to absorb Liver Yang, stirring internal wind. As for opisthotonos, terminal signs include fixed upward gaze (Daiyan). Why? The Foot-Taiyang Bladder meridian originates at the inner canthus, crosses the forehead, meets at the vertex, follows the shoulder-blade interior, runs along the spine, and reaches the waist. Foot-Taiyang governs body fluids. When deficient, meridians contract intermittently, causing opisthotonos. The classics state: "High pupils indicate Taiyang insufficiency," meaning insufficient Taiyang fluids. Constricted and urgent meridians cause high pupils, and severely, Daiyan. Treatment should focus on nourishing fluids using equal parts Dihuang (Rehmanniae Radix) and Maidong (Ophiopogonis Tuber). Yang deficiency in prenatal diseases is extremely rare; do not mistakenly use Xiao Xuming Tang (Minor Xu Ming Decoction).
Shen Yaofeng treated the wife of Qian Huyun. Her diet and起居 (daily life) were normal, but she experienced dozens of syncope episodes in one night. During attacks, her eyes rolled upward, and she resembled a corpse. The next day, dozens more episodes occurred. By evening, one episode did not resolve. Burning charcoal was thrown into vinegar and fumed near her nose, but she felt nothing. Her pulses in all three positions responded, neither rapid nor slow, showing no abnormalities. After diagnosis, her father asked if it was treatable. Shen said, "Use one jin of Qingqian (Galena) melted, poured into basin water, retrieved, remelted, and repeated three times. Use the water to decoct Shengdi (Rehmanniae Radix Preparata) 1 liang, Tiandong (Asparagi Tuber) 2 qian, Shihu (Dendrobii Caulis), Gancao (Glycyrrhizae Radix et Rhizoma) 1 qian, and Shichangpu (Acori Tatarinowii Rhizoma) 1 qian. Take orally." That night, syncope reduced to six times and was mild. Taking the prescription again stopped the syncope completely. She later gave birth to a son. Calculating the time, this was the first month of conception. Transferred to treating middle-aged women, it is also very effective for non-pregnant patients.