妊娠脏躁悲伤欲哭，象如神灵所凭，数欠伸。盖肺志为悲，胎热火炎，肺不自持，故悲，属肺病燥也。
胎前气血壅养胎元，则津液不能充润，而肺为之燥。当补母，仲景用甘草小麦大枣汤主之。因甘草、大枣补
脾，治以甘缓，佐以凉泻，无不愈矣。立斋用淡竹茹汤佐八珍汤，其用八珍补养气血，更发前人之所未
发，又治脏躁悲哭，及自笑自哭，用红枣烧存性，米饮调下。
甘麦大枣汤 治妇人脏躁悲伤不止。
甘草（三两） 小麦（一升） 大枣（十枚）
上以水六升，煮取三升，温分三服。盖此方甘能生湿，湿生又何燥焉。
淡竹茹汤 治妊妇心虚惊悸，脏躁悲伤不止。又治虚烦甚效。
麦冬（去心） 小麦 制半夏（各一钱） 人参 茯苓（各一钱） 甘草（五分）
上引加生姜三片，枣一枚，淡竹茹一团如指大，水煎服。
八珍汤（见本卷诸痛门。）
妊娠大便结燥。盖因血养胎元，大肠血少，燥结难出，虽无大害，然便时甚苦，润燥汤主之。
润燥汤
阿胶（一钱五分） 条芩 苏梗 防风（各一钱） 当归 麻仁 芝麻（各二钱）
水煎服。
经曰∶妇人重身，九月而喑者，胞之络脉绝也。无治，当十月复。盖因孕至九月，儿体已长，胞系于
肾，少阴之脉上系舌本，脉道阻绝不通，故不能言者间有之。十月分娩后而自能言，不必加治。若强以
通声开发治之，则误矣。夫喑者，有言无
声。经曰不能者，非绝然不语之谓。凡音出于喉咙，发于舌本。因胎气肥大，阻肾上行之经，肾脉入肺，循
喉咙，系舌本；喉者肺之部，肺主声音，其人切切私语，心虽有言而人不能听，故曰喑。肺肾子母之脏，
故云不必治。若《大全》解作不语则为心病，以心主发声也，与子喑了不相干。若张子和有降心火之说，
马元台有补心肾之言，如果肾之脉络绝，则其病不治，岂有产后自复之理乎？故经云胞之络脉绝，此绝字
当作阻字解。如富贵之家，及不明医理，必欲强治，惟有浓煎参麦五味饮，空心服地黄丸，助肺肾之气
以养胎可耳。切不可谓痰闭心窍，而用化痰开窍通声之药，致误母子之性命也。
参麦五味饮（见下卷晕厥门。） 六味地黄丸（见本卷诸痛门，附六味地黄汤下。）
妊娠期间出现脏躁，表现为悲伤想哭，神情恍惚如同被神灵附体，频繁打哈欠和伸懒腰。这是因为肺的情志为悲，胎热上炎导致肺气不能自主控制，所以出现悲伤症状，这属于肺燥的病证。
怀孕前及怀孕期间，气血汇聚以滋养胎元，津液无法充分滋润，从而导致肺部干燥。治疗应当补益母脏（脾），张仲景使用甘草小麦大枣汤作为主方。因为甘草和大枣能补益脾气，采用甘缓的方法治疗，辅以凉泻之法，没有不痊愈的。李中梓（立斋）使用淡竹茹汤配合八珍汤，其中八珍汤用于补养气血，这一观点发挥了前人未曾阐发的理论，同时也用于治疗脏躁引起的悲哭，以及不由自主地笑或哭，方法是将红枣烧至存性，用米汤送服。
甘麦大枣汤：治疗妇女脏躁、悲伤不止。
甘草（三两） 小麦（一升） 大枣（十枚）
以上药物用水六升，煮取三升药液，分三次温服。这个方剂味甘能生湿，湿气产生后，燥邪自然消除。
淡竹茹汤：治疗孕妇心虚惊悸、脏躁悲伤不止。对虚烦症状也有显著疗效。
麦冬（去心） 小麦 制半夏（各一钱） 人参 茯苓（各一钱） 甘草（五分）
煎药时加入生姜三片，大枣一枚，淡竹茹一团（如手指大小），加水煎服。
八珍汤（见本卷诸痛门）。
妊娠期间大便干结燥硬。这是因为血液用来滋养胎元，导致大肠血少，粪便干燥难以排出。虽然这对身体没有大害，但排便时非常痛苦，使用润燥汤主治。
润燥汤
阿胶（一钱五分） 条芩 苏梗 防风（各一钱） 当归 麻仁 芝麻（各二钱）
加水煎服。
医经记载：妇女怀孕到九月出现失音（喑），是因为胞宫的络脉暂时阻滞不通。不需要治疗，等到十月分娩后自然会恢复。这是因为怀孕到九月，胎儿体型已长，胞宫系于肾，足少阴肾脉上行联系舌根，脉道受阻不通，所以偶尔会出现不能说话的情况。十月分娩后自然能说话，不必加以治疗。如果强行使用通声开窍的方法治疗，那就是错误的。所谓“喑”，是有声音但微弱无声。经文所说的“不能言”，并不是完全不能说话的哑症。凡是声音出于喉咙，发于舌根。因为胎气肥大，阻断了肾气上行的经脉，肾脉入肺，循行经过喉咙，联系舌根；喉咙是肺所主的部位，肺主管声音，患者只能切切私语，心里虽然有话但别人听不见，所以称为“喑”。肺和肾是子母关系的脏腑，所以说无需治疗。如果像《妇人大全良方》那样解释为不语就是心病，认为心主发声，这与子喑毫无关系。如果像张子和那样主张降心火，马元台那样主张补心肾，假如真的是肾之脉络断绝，那病就无法治愈了，怎么会有产后自然恢复的道理呢？所以经文说“胞之络脉绝”，这里的“绝”字应当解释为“阻”字。如果是富贵人家，或者不懂医理的人，一定要强行治疗，只有浓煎参麦五味饮，空腹服用地黄丸，以助肺肾之气来养胎就可以了。切不可认为是痰闭心窍，而使用化痰开窍通声的药物，以致误伤母子性命。
参麦五味饮（见下卷晕厥门）。六味地黄丸（见本卷诸痛门，附在六味地黄汤下）。
During pregnancy, Zangzao (Visceral Agitation) manifests as sadness and a desire to cry, with mental states resembling possession by spirits, accompanied by frequent yawning and stretching. This is because the emotional expression of the Lung is grief; fetal heat flares upward, causing the Lung Qi to lose self-control, resulting in sadness. This belongs to the category of Lung Dryness disease.
Before and during pregnancy, Qi and Blood gather to nourish the Fetal Origin, preventing Body Fluids from adequately moistening, which leads to Dryness of the Lung. Treatment should tonify the Mother Organ (Spleen). Zhang Zhongjing used Gancao Xiaomai Dazao Tang (Licorice, Wheat, and Jujube Decoction) as the primary formula. Since Licorice and Jujube tonify Spleen Qi, treating with sweet and緩 (gentle/moderating) methods, assisted by cooling and purging methods, ensures recovery. Li Zhongzi (Zi Xian) used Danzhuru Tang (Bamboo Shavings Decoction) combined with Bazhen Tang (Eight Treasures Decoction). The Eight Treasures Decoction tonifies Qi and Blood, expanding upon theories not previously expounded by earlier scholars. It also treats Zangzao-induced weeping, as well as involuntary laughter or crying. The method involves burning red jujubes until carbonized (preserving their nature), and administering them with rice water.
Gancao Xiaomai Dazao Tang (Licorice, Wheat, and Jujube Decoction): Treats women suffering from persistent Zangzao and sadness.
Gancao (Licorice Root, 3 liang), Xiaomai (Wheat, 1 sheng), Dazao (Jujube, 10 pieces).
Boil the above ingredients in 6 sheng of water, reduce to 3 sheng, and take warm in three divided doses. This formula is sweet, which generates dampness; once dampness is generated, dryness is resolved.
Danzhuru Tang (Bamboo Shavings Decoction): Treats pregnant women with Heart deficiency palpitations and persistent Zangzao sadness. It is also highly effective for severe deficiency heat irritability.
Maidong (Ophiopogon Root, heart removed), Xiaomai (Wheat), Zhibanxia (Prepared Pinellia Tuber, each 1 qian), Renshen (Ginseng Root), Fuling (Poria, each 1 qian), Gancao (Licorice Root, 5 fen).
Add 3 slices of Shengjiang (Fresh Ginger) and 1 Jujube to the decoction, along with a ball-sized portion of Danshuzhu (Light Bamboo Shavings), boil in water, and take orally.
Bazhen Tang (Eight Treasures Decoction) (See Chapter on Various Pains in this volume).
Constipation and dry stools during pregnancy. This occurs because Blood is utilized to nourish the Fetal Origin, leading to Blood deficiency in the Large Intestine. The stool becomes dry and difficult to pass. Although it causes no major harm, defecation is very painful. Runzao Tang (Moistening Dryness Decoction) is the primary treatment.
Runzao Tang (Moistening Dryness Decoction)
Ejiao (Donkey-Hide Gelatin, 1.5 qian), Tiaoqin (Scutellaria Baicalensis Root), Sugeng (Perilla Stem), Fangfeng (Saposhnikovia Root, each 1 qian), Danggui (Angelica Sinensis Root), Mahren (Hemp Seed), Zhima (Sesame Seed, each 2 qian).
Boil in water and take orally.
The Classics state: "When a woman is heavily pregnant, she may become aphonic at nine months due to the obstruction of the collateral vessels of the Bao (Uterus)." No treatment is needed; speech will return naturally after ten months. This is because by the ninth month, the fetus has grown large, and the Bao is connected to the Kidney. The Shaoyin (Lesser Yin) Kidney meridian ascends to connect with the root of the tongue. If the meridian pathway is obstructed and blocked, speech impairment may occasionally occur. After delivery in the tenth month, speech returns naturally, requiring no intervention. Forcing treatment to restore voice would be erroneous. "Aphonia" (Yin) refers to having sound but lacking volume/clarity. The Classic's mention of "unable to speak" does not mean total muteness. Sound originates from the throat and emanates from the tongue root. Due to the bulkiness of fetal Qi, the ascent of Kidney Qi is blocked. The Kidney meridian enters the Lung, follows the throat, and connects to the tongue root; the throat is the domain of the Lung, which governs sound. The patient can only whisper; although the mind intends to speak, others cannot hear, hence it is called "Yin." The Lung and Kidney are mother-son organs; therefore, it is stated that no treatment is necessary. Interpreting this as Heart disease (as suggested in *Daquan* because the Heart governs vocalization) is unrelated to fetal aphonia. Suggestions by Zhang Zihe to descend Heart Fire or Ma Yuantai to tonify Heart and Kidney are flawed; if the Kidney collaterals were truly severed, the condition would be incurable, contradicting the natural recovery postpartum. Thus, the term "severed" (Jue) in "obstruction of Bao collateral vessels" should be interpreted as "blocked" (Zu). For wealthy families or those unfamiliar with medical principles who insist on forced treatment, one may decoct Shenmai Wuwei Yin (Ginseng, Ophiopogon, and Schisandra Decoction) thickly and administer it on an empty stomach, along with Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill), to assist Lung and Kidney Qi to nourish the fetus. One must absolutely avoid diagnosing it as Phlegm blocking the Heart Orifices and using phlegm-resolving, orifice-opening, or voice-restoring herbs, which could endanger both mother and child.
Shenmai Wuwei Yin (Ginseng, Ophiopogon, and Schisandra Decoction) (See Volume on Syncope below). Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) (See Chapter on Various Pains in this volume, appended under Liuwei Dihuang Tang).