（又名风痉，一名子冒，亦名类中风。附因破伤失血、吐血、衄血致类中风。）
妊娠子痫，乃为恶候，若不早治，必致堕胎。其证或口噤项强，手足挛缩，（与螈 同。）言
语蹇涩，痰涎壅盛，不省人事。或忽然眩晕卒倒，口不能言，状如中风，实非中风之证，不可作中
风治。即或无痰，言语如常，但似风状，多因血燥、血虚，亦不可概以风治而误也，羚羊角散主之。
冯氏云∶孕妇忽然僵仆，痰涎壅盛，不省人事，乃是血虚而阴火炎上，鼓动其痰，左脉微数，右脉滑
大者，名曰子痫，宜四物养血，酒芩清热，二陈化痰理气，治法仍以安胎为主，勿过用中风之药。此由血
虚生热，热盛生风，皆内起之风火，养血而风自灭。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，脾郁痰滞二陈加竹沥、姜汁。密斋云∶孕妇气虚挟痰火证，状如中
风，卒倒即醒，醒而复发，清神汤主之，兼服寿星丸。予谓妊妇子痫，至有目昏黑而厥者，胎前绝少，
但一有此证，即是儿晕，属气与痰，故目昏黑发厥只服紫苏饮，慎不可服苏合丸及乌药顺气散等药。至
于破伤失血或吐衄血，忽患口噤、项强、背直类中风证，皆因失血所致，不可不知，用荆防安胎散治之。
羚羊角散 治孕妇口噤项强，手足挛缩，痰壅，不省人事。
羚羊角 苡仁米 枣仁（去壳炒。各一钱） 当归（二钱，酒洗） 独活 五加皮 茯神（各八
分） 川芎（七分） 杏仁（十粒，去皮尖） 防风（五分） 木香（三分） 甘草（四分）
姜引，水煎服。虚加人参一钱。痰加竹沥五分。胃弱加白术一钱。
钩藤汤 治孕妇手少阴、足厥阴血虚风热。
人参 当归 茯神 桑寄生 钩藤（各一钱） 苦桔梗（一钱五分）
水煎服。
清神汤 治孕妇忽然眩晕卒倒，口噤不能言，状如中风，须臾即醒，醒而复发，乃气虚挟痰火子痫证。
人参 白术 茯苓 白芍 黄 （蜜炙） 麦冬（去心） 归身 炙草（各等分）
姜枣引，水煎食远服，兼服寿星丸。
琥珀寿星丸 宁神定志，去风化痰。
天南星（一斤）
掘地作坑，深二尺，用炭火二十斤将坑烧红，去炭扫净，用好酒五升浇之，将南星趁热放坑内，
用瓦盆急盖定，以黄泥封固，经一宿取出，焙干为末，入琥珀末一两，朱砂末五钱，和匀，以生姜自然汁煮面
糊熟，再入 猪心血三个，搅匀，和末为丸，朱砂为衣。每服五十丸，人参汤下，日三服，神效。
荆防安胎散 治孕妇或因破伤患类风证。
人参 当归（酒洗） 白术（土炒。各三钱） 生地 天麻（各二钱） 麦冬（一钱，去心） 条
芩（八分） 荆芥 防风（各三分） 陈皮 甘草（各四分）
水煎服。
二陈汤（见本卷子烦门。） 加味逍遥散（见本卷子悬门，附逍遥散下。） 加味归脾汤
（见本卷胎漏小产门，附归脾汤下。） 四物汤 紫苏饮（俱见本卷安胎门。）
（子痫又名风痉，一名子冒，也称作类中风。此处附带说明因破伤、失血、吐血、鼻衄导致的类中风情况。）
妊娠期间发生的子痫（妊娠期癫痫样发作），属于凶险的证候，若不及时治疗，必然导致流产。其症状表现为牙关紧闭、颈项强直、手足抽搐挛缩（“螈”同义）、言语蹇涩不利、痰涎壅盛、神志不清。或者突然眩晕跌倒，口不能言，状似中风，但实际上并非中风之证，不可按中风来治疗。即使没有痰湿，言语如常，但表现出类似风动的症状，多因血燥、血虚所致，也不可一概以治风的方法处理而误诊，应以羚羊角散为主方治疗。
冯氏说：孕妇突然僵仆倒地，痰涎壅盛，神志不清，这是血虚导致阴火炎上，鼓动痰浊所致，左脉微数，右脉滑大，名为子痫。适宜用四物汤养血，酒炒黄芩清热，二陈汤化痰理气，治疗方法仍以安胎为主，不要过度使用治疗中风的药物。这是由于血虚生热，热盛生风，都是内生的风火，养血则风自灭。若是心肝风热，用钩藤汤；肝脾血虚，用加味逍遥散；肝脾郁怒，用加味归脾汤；气逆痰滞，用紫苏饮；脾郁痰滞，用二陈汤加竹沥、姜汁。
密斋说：孕妇气虚挟带痰火证，状似中风，突然跌倒随即醒来，醒后复发，用清神汤主方治疗，兼服寿星丸。我认为孕妇患子痫，有的出现眼前发黑昏厥的情况，这在胎前绝少见到，但只要出现这种证候，就是儿晕（胎儿晕厥），属于气与痰的问题，所以眼前发黑昏厥只服用紫苏饮，千万不要服用苏合丸及乌药顺气散等药物。至于因破伤失血或吐衄血，忽然出现牙关紧闭、颈项强直、背部挺直等类中风症状，都是因为失血所致，这一点不可不知，用荆防安胎散治疗。
羚羊角散：治疗孕妇牙关紧闭、颈项强直、手足抽搐挛缩、痰壅、神志不清。
组成：羚羊角、薏苡仁米、枣仁（去壳炒，各一钱）、当归（二钱，酒洗）、独活、五加皮、茯神（各八分）、川芎（七分）、杏仁（十粒，去皮尖）、防风（五分）、木香（三分）、甘草（四分）。
用法：生姜为引，水煎服。体虚者加人参一钱。痰多者加竹沥五分。胃弱者加白术一钱。
钩藤汤：治疗孕妇手少阴心经、足厥阴肝经血虚风热。
组成：人参、当归、茯神、桑寄生、钩藤（各一钱）、苦桔梗（一钱五分）。
用法：水煎服。
清神汤：治疗孕妇突然眩晕跌倒，牙关紧闭不能言语，状似中风，片刻即醒，醒后复发，此为气虚挟痰火的子痫证。
组成：人参、白术、茯苓、白芍、黄芪（蜜炙）、麦冬（去心）、当归身、炙甘草（各等分）。
用法：生姜、大枣为引，水煎，饭后服用，兼服寿星丸。
琥珀寿星丸：宁神定志，祛风化痰。
组成：天南星（一斤）。
制法：挖地坑，深二尺，用二十斤炭火烧红坑底，去掉炭火扫净，用好酒五升浇在坑内，趁热将天南星放入坑内，用瓦盆迅速盖严，用黄泥封固，经过一夜取出，焙干研末，加入琥珀末一两、朱砂末五钱，混合均匀，用生姜自然汁煮面糊调熟，再加入猪心血三个，搅匀，和药末制成丸剂，以朱砂为衣。每次服用五十丸，用人参汤送下，每日三次，效果神奇。
荆防安胎散：治疗孕妇或因破伤患类中风证。
组成：人参、当归（酒洗）、白术（土炒，各三钱）、生地、天麻（各二钱）、麦冬（一钱，去心）、条芩（八分）、荆芥、防风（各三分）、陈皮、甘草（各四分）。
用法：水煎服。
二陈汤（见本卷烦闷门）。加味逍遥散（见本卷悬痈门，附逍遥散下）。加味归脾汤（见本卷胎漏小产门，附归脾汤下）。四物汤、紫苏饮（均见本卷安胎门）。
(Zi Xian, also known as Feng Jing [Wind Spasm], Yi Ming Zi Mao [Sub-mao], or Lei Zhong Feng [Stroke-like Syndrome]. This section also addresses stroke-like syndromes caused by traumatic wounds, blood loss, hematemesis, and epistaxis.)
Zi Xian (eclampsia/epileptic seizures during pregnancy) is a critical condition. If not treated early, it will inevitably lead to miscarriage. The symptoms include lockjaw (mouth closed tightly), stiffness of the neck, spasms and contractures of the limbs ("Yi" has the same meaning as "Chou"), slurred speech, excessive phlegm and saliva, and unconsciousness. Alternatively, there may be sudden dizziness and collapse, inability to speak, resembling stroke syndrome, but it is actually not stroke; therefore, it should not be treated as stroke. Even if there is no phlegm and speech is normal, but wind-like symptoms are present, it is mostly due to blood dryness or blood deficiency. It should not be generally treated with wind-dispelling methods to avoid error. The main formula is Lingyang Jiao San (Antelope Horn Decoction).
Feng Shi stated: When a pregnant woman suddenly collapses stiffly, with excessive phlegm and saliva and unconsciousness, this is due to blood deficiency causing Yin fire to flare upwards, stirring up phlegm. The left pulse is slightly rapid, and the right pulse is slippery and large. This is named Zi Xian. It is suitable to use Si Wu Tang (Four Substances Decoction) to nourish blood, wine-processed Huang Qin (Scutellaria Root) to clear heat, Er Chen Tang (Two-Cured Decoction) to resolve phlegm and regulate Qi. The treatment method should still focus on calming the fetus, and one should not overuse medicines for treating stroke. This arises from blood deficiency generating heat, and excessive heat generating wind; these are internal winds and fires. Nourishing the blood extinguishes the wind naturally. If there is wind-heat in the Heart and Liver, use Gouteng Tang (Uncaria Decoction); if there is blood deficiency in the Liver and Spleen, use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder); if there is liver-spleen depression and anger, use Jiawei Guipi Tang (Modified Restore the Spleen Decoction); if there is rebellious Qi and phlegm stagnation, use Zisu Yin (Perilla Infusion); if there is spleen depression and phlegm stagnation, use Er Chen Tang added with Zhuli (Bamboo Sap) and Jiangzhi (Ginger Juice).
Mi Zhai stated: For pregnant women with Qi deficiency complicated by phlegm-fire, presenting with symptoms resembling stroke, sudden collapse followed by immediate awakening, and recurrence after waking, treat primarily with Qingshen Tang (Spirit-Clearing Decoction), and concurrently administer Shouxing Wan (Longevity Pill). I believe that for pregnant women suffering from Zi Xian, some experience blurred vision, blackouts, and cold extremities. This is extremely rare before delivery. However, whenever this syndrome occurs, it is termed "Er Yun" (Fetal Fainting), belonging to issues of Qi and Phlegm. Therefore, for blurred vision and fainting, only Zisu Yin (Perilla Infusion) should be taken. One must be cautious and absolutely avoid taking Suhé Wan (Styrax Pill) and Wuyao Shunqi San (Tso-yao Regulating Qi Powder) and similar medicines. As for cases where traumatic wounds, blood loss, or hematemesis/epistaxis suddenly cause lockjaw, neck stiffness, and back rigidity resembling stroke, these are all caused by blood loss. This point must not be ignored; treat with Jingfang Antai San (Schizonepeta and Saposhnikovia Fetus-Calming Powder).
Lingyang Jiao San (Antelope Horn Decoction): Treats pregnant women with lockjaw, neck stiffness, limb spasms, phlegm obstruction, and unconsciousness.
Ingredients: Lingyang Jiao (Antelope Horn), Yiyi Ren Mi (Coix Seed Grain), Zaoren (Jujube Seed, husked and stir-fried, each 1 qian), Danggui (Angelica Sinensis, 2 qian, washed with wine), Duhuo (Angelica Pubescens), Wujia Pi (Acanthopanax Bark), Fushen (Poria with Hostwood, each 8 fen), Chuanxiong (Ligusticum Chuanxiong, 7 fen), Xingren (Apricot Seed, 10 grains, peeled and de-husked), Fangfeng (Saposhnikovia Root, 5 fen), Muxiang (Aucklandiae Radix, 3 fen), Gancao (Licorice Root, 4 fen).
Usage: Use fresh ginger as an guide, decoct in water and take orally. For deficiency, add Renshen (Ginseng) 1 qian. For excess phlegm, add Zhuli (Bamboo Sap) 5 fen. For weak stomach, add Baizhu (Atractylodes Macrocephala Rhizome) 1 qian.
Gouteng Tang (Uncaria Decoction): Treats blood deficiency and wind-heat in the Hand-Shaoyin Heart Meridian and Foot-Jueyin Liver Meridian of pregnant women.
Ingredients: Renshen (Ginseng), Danggui (Angelica Sinensis), Fushen (Poria with Hostwood), Sangjisheng (Taxillus Branch), Gouteng (Uncaria Ramulus cum Uncis, each 1 qian), Ku Jiegeng (Platycodon Root, 1.5 qian).
Usage: Decoct in water and take orally.
Qingshen Tang (Spirit-Clearing Decoction): Treats pregnant women with sudden dizziness and collapse, lockjaw with inability to speak, resembling stroke, awakening after a moment, and recurrence after waking. This is a Zi Xian syndrome of Qi deficiency complicated by phlegm-fire.
Ingredients: Renshen (Ginseng), Baizhu (Atractylodes Macrocephala Rhizome), Fuling (Poria), Baishao (White Peony Root), Huangqi (Astragalus Root, honey-fried), Maidong (Ophiopogon Tuber, heart removed), Guishen (Angelica Sinensis Root Body), Zhigancao (Prepared Licorice Root, equal parts).
Usage: Use fresh ginger and Jujube as guides, decoct in water, take well after meals, and concurrently administer Shouxing Wan (Longevity Pill).
Hupo Shouxing Wan (Amber Longevity Pill): Calms the spirit and stabilizes the will, dispels wind and resolves phlegm.
Ingredients: Tian Nanxing (Arisaema Rhizome, 1 jin).
Preparation: Dig a pit two chi deep. Burn twenty jin of charcoal to redden the bottom of the pit. Remove the charcoal and sweep clean. Pour five sheng of good wine into the pit. Place the Tian Nanxing in the pit while hot. Quickly cover with a clay pot and seal tightly with yellow mud. Leave overnight, then remove, dry by baking, and grind into powder. Add Hupo (Amber) powder 1 liang and Zhusha (Cinnabar) powder 5 qian, mix evenly. Cook wheat paste using natural juice of fresh ginger. Add three pig hearts' blood, stir well, mix with the powder to form pills, coated with Zhusha (Cinnabar). Take 50 pills per dose, washed down with Renshen (Ginseng) decoction, three times daily. Extremely effective.
Jingfang Antai San (Schizonepeta and Saposhnikovia Fetus-Calming Powder): Treats pregnant women who suffer from stroke-like syndromes due to traumatic wounds.
Ingredients: Renshen (Ginseng), Danggui (Angelica Sinensis, washed with wine), Baizhu (Atractylodes Macrocephala Rhizome, soil-stir-fried, each 3 qian), Shengdi (Rehmannia Root), Tianma (Gastrodia Rhizome, each 2 qian), Maidong (Ophiopogon Tuber, 1 qian, heart removed), Tiao Qin (Scutellaria Root, 8 fen), Jingjie (Schizonepeta Spike), Fangfeng (Saposhnikovia Root, each 3 fen), Chenpi (Citrus Reticulata Peel), Gancao (Licorice Root, each 4 fen).
Usage: Decoct in water and take orally.
Er Chen Tang (Two-Cured Decoction) (See Fan Men [Vomiting/Dysphoria Section] of this volume). Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) (See Xuan Men [Abscess Section] of this volume, attached under Xiaoyao San). Jiawei Guipi Tang (Modified Restore the Spleen Decoction) (See Tailou Xiaochan Men [Fetal Leakage and Miscarriage Section] of this volume, attached under Guipi Tang). Siwu Tang (Four Substances Decoction), Zisu Yin (Perilla Infusion) (Both see Antai Men [Fetus-Calming Section] of this volume).