即胎疯，一名儿晕，又名痉。小儿有五痫，每脏各有所属∶心痫其声如羊，肝痫其声如
犬，脾痫其声如牛，肺痫其声如鸡，肾痫其声如猪。
凡妊娠口噤项强，手足挛搐，言语謇涩，痰涎壅盛，不省人事，名曰子痫，切不可作中
风治，宜服加味羚羊角散。如无痰涎，言语如常，但见中风形状，此缘血少类风，概以风药
服之，胎害不少。
加味羚羊角散∶羚羊、当归、防风、独活、茯苓、枣仁、五加皮各一钱，米仁五分，杏
仁八分，甘草、木香各三分，葱白五寸，姜五片，煎服。虚加人参，痰加竹沥，姜汁，脾虚
加炒白术。
喑音因，哑也。《史·淮阴侯传》虽有舜、禹之智，吟而不言，不如喑聋之指摩也。
凡妊娠三五个月，忽失音不语者，胞络脉绝也，名曰子喑。盖胞系于肾，肾脉贯舌，故
失音。此非药可治，分娩即自出声，无须服药。
汤建中先生云∶前症俱由妊娠脾土不运而生湿，湿生痰，痰生热，热生风，如子肿湿也
，恶阻痰也，子烦、子淋热也，子痫风也，子悬气也，转脬虚也。治法虽有清热消痰、渗湿
顺气、疏风补虚之不同，总不外“去邪保胎”四字为总诀。
凡妊娠外感风寒，浑身壮热，眼花头旋，此因风寒格于肌表，侵入脾胃，伤损荣卫，是
以憎寒发热，头疼眼痛，甚至心腹烦闷，不可妄投峻剂，只宜芎苏散表其寒邪。
按∶妇人天癸未行属少阴，天癸已行属厥阴，天癸已绝属太阴。胎产之病治厥阴者，溯
化之源者也。故《机要》曰∶胎产病当从厥阴经论，毋犯胃气及上二焦，谓之“三禁”∶不
可汗、不可下、不可利小便是也。汗则痞满，下则伤脾，利小便则内亡津液，中州枯燥。故
受孕三、五个月时，一毫辛散滑利不得，惟七八月后倘有闭结，乃敢稍施以滑利之剂，故上
云不可妄投峻剂。
加味芎苏散∶紫苏、羌活、陈皮、麦冬各一钱，川芎、白芍各八分，干姜、生草各五分
，加生姜三片，水煎服，胎前宜清凉，干姜还须忌用。
这就是胎疯，又名儿晕，又叫做痉。小儿有五种痫病，分别归属于五脏：心痫的声音像羊叫，肝痫的声音像狗叫，脾痫的声音像牛叫，肺痫的声音像鸡叫，肾痫的声音像猪叫。
凡是妊娠期间出现牙关紧闭、颈项强直、手足抽搐痉挛、言语不清、痰涎壅盛、神志昏迷不省人事的，称为子痫，切不可当作中风来治疗，适宜服用加味羚羊角散。如果没有痰涎，言语如常，只是表现出中风的形态，这是因为血少导致的类似风证的病状，如果一概使用祛风药物治疗，对胎儿伤害很大。
加味羚羊角散：羚羊角、当归、防风、独活、茯苓、酸枣仁、五加皮各一钱，薏苡仁五分，杏仁八分，甘草、木香各三分，葱白五寸，生姜五片，煎汤服用。体质虚弱者加人参，有痰者加竹沥和姜汁，脾气虚弱者加炒白术。
“喑”音同“因”，意为哑巴。《史记·淮阴侯列传》中说，即使有舜、禹那样的智慧，若不能言语，还不如哑巴用手势比划来得有效。
凡是妊娠三到五个月时，突然失音不能说话的，是因为胞络脉气阻滞不通所致，称为子喑。因为胞宫系于肾，肾经脉络贯连舌根，所以导致失音。这种情况不是药物可以治疗的，分娩后自然就会发声，不需要服药。
汤建中先生说：上述病症都是由妊娠期间脾土运化功能失常而生湿，湿聚成痰，痰郁化热，热极生风所致。例如子肿属于湿证，恶阻属于痰证，子烦、子淋属于热证，子痫属于风证，子悬属于气滞证，转脬属于虚证。治疗方法虽然有清热化痰、渗湿顺气、疏风补虚的不同，但总归离不开“去邪保胎”这四个字作为总原则。
凡是妊娠期间外感风寒，全身高热，眼花头晕，这是因为风寒之邪格拒于肌表，侵入脾胃，损伤营卫之气，因此出现怕冷发热、头痛眼痛，甚至心胸腹部烦闷不适。不可妄用峻猛的药物，只适宜用芎苏散来发散其寒邪。
按语：妇女月经未行时属少阴经，月经已行时属厥阴经，月经绝经后属太阴经。胎产疾病的治疗多从厥阴经入手，这是追溯化源的根本方法。所以《机要》说：胎产病应当从厥阴经论治，不要损伤胃气及上、中二焦，这被称为“三禁”：即不可发汗、不可攻下、不可利小便。发汗会导致痞满，攻下会损伤脾脏，利小便会导致体内津液亡失，中焦脾胃干燥枯涸。所以在受孕三、五个月时，丝毫不能使用辛散滑利的药物，只有到了七八个月后如果有便秘情况，才敢稍微施用一些滑利的药剂，所以上面说不可以妄投峻剂。
加味芎苏散：紫苏、羌活、陈皮、麦冬各一钱，川芎、白芍各八分，干姜、生甘草各五分，加生姜三片，水煎服用。产前宜用清凉药，干姜还应当忌用。
This is *Tai Feng* (Fetal Convulsion), also known as *Er Yun* (Fetal Dizziness) or *Jing* (Spasm). There are five types of epilepsy in children, each associated with a specific Zang organ: the sound of Heart Epilepsy resembles that of a sheep; Liver Epilepsy resembles that of a dog; Spleen Epilepsy resembles that of an ox; Lung Epilepsy resembles that of a chicken; and Kidney Epilepsy resembles that of a pig.
When a pregnant woman presents with clenched jaws, stiff neck, convulsions of the hands and feet, slurred speech, excessive phlegm and saliva, and unconsciousness, it is termed *Zi Xian* (Eclampsia). It must not be treated as Stroke (*Zhong Feng*). The appropriate prescription is Jia Wei Ling Yang Jiao San (Modified Antelope Horn Decoction). If there is no excessive phlegm and speech remains normal, but stroke-like symptoms appear, this is due to blood deficiency mimicking wind patterns. Using general wind-dispelling drugs indiscriminately will cause significant harm to the fetus.
**Jia Wei Ling Yang Jiao San (Modified Antelope Horn Decoction):** Ling Yang Jiao (Antelope Horn), Dang Gui (Angelica Sinensis), Fang Feng (Saposhnikovia Root), Du Huo (Angelica Pubescens), Fu Ling (Poria), Suan Zao Ren (Ziziphus Seed), Wu Jia Pi (Acanthopanax Bark) each 1 qian; Yi Yi Ren (Coix Seed) 0.5 qian; Xing Ren (Apricot Seed) 0.8 qian; Gan Cao (Licorice Root) and Mu Xiang (Aucklandia Root) each 0.3 qian; Cong Bai (Scallion White) 5 cun; Sheng Jiang (Fresh Ginger) 5 slices. Decoct and take orally. For deficiency, add Ren Shen (Ginseng); for phlegm, add Zhu Li (Bamboo Sap) and Jiang Zhi (Ginger Juice); for Spleen deficiency, add Chao Bai Zhu (Stir-fried Atractylodes Macrocephala Rhizome).
"Yin" (pronounced "yin") means mute. As stated in the *Records of the Grand Historian: Biography of the Marquis of Huaiyin*, even possessing the wisdom of Shun and Yu, if one cannot speak, it is inferior to the gestures of a mute person.
If a pregnant woman suddenly loses her voice and cannot speak between the third and fifth months of pregnancy, it is caused by the obstruction of the Mai Jing (Meridian Vessels) connecting to the Bao Luo (Uterine Collaterals), termed *Zi Yin* (Pregnancy-related Aphonia). Since the uterus is connected to the Kidney, and the Kidney meridian passes through the tongue, this leads to aphonia. This condition is not treatable with medicine; the voice will return naturally after delivery, so medication is unnecessary.
Mr. Tang Jianzhong stated: All the aforementioned conditions arise from the failure of Spleen Earth to transport during pregnancy, leading to dampness; dampness condenses into phlegm; phlegm generates heat; and heat generates wind. Thus, Zi Zhong (Pregnancy Edema) is related to dampness; E Zu (Morning Sickness) is related to phlegm; Zi Fan (Pregnancy Irritability) and Zi Lin (Pregnancy Dysuria) are related to heat; Zi Xian (Eclampsia) is related to wind; Zi Xuan (Pregnancy Distension) is related to Qi stagnation; and Zhuan Pao (Urinary Retention in Pregnancy) is related to deficiency. Although treatment methods vary—such as clearing heat and resolving phlegm, leaching out dampness and smoothing Qi, or dispelling wind and tonifying deficiency—they all adhere to the general principle of "Expelling Pathogens while Protecting the Fetus."
When a pregnant woman contracts external Wind-Cold, presenting with high fever, visual disturbances, and dizziness, it is because Wind-Cold pathogens are blocked at the muscle surface, invading the Spleen and Stomach, damaging Ying (Nutritive) and Wei (Defensive) Qi. Consequently, chills and fever, headache, eye pain, and even chest/abdominal irritability occur. One should not recklessly administer harsh medications; instead, Xiong Su San (Ligusticum and Perilla Powder) should be used to release the exterior cold pathogen.
Note: When menstruation has not yet begun, the constitution belongs to Shaoyin; when menstruation has begun, it belongs to Jueyin; and when menstruation has ceased, it belongs to Taiyin. Treatments for pregnancy and childbirth diseases often trace back to the source by addressing the Jueyin channel. Therefore, *Ji Yao* states: Pregnancy and childbirth diseases should be discussed according to the Jueyin channel, without violating Stomach Qi and the Upper and Middle Jiao. This is called the "Three Prohibitions": Do not induce sweating, do not purge downward, and do not promote urination. Inducing sweating leads to fullness and palpitations; purging damages the Spleen; promoting urination causes internal loss of body fluids and dryness of the Middle Jiao. Therefore, during the first three to five months of conception, absolutely no acrid-dispersing or slippery-draining agents should be used. Only after the seventh or eighth month, if constipation occurs, may slight use of slippery-draining agents be permitted. Hence, it was previously stated that harsh medicines should not be administered recklessly.
**Jia Wei Xiong Su San (Modified Ligusticum and Perilla Powder):** Zi Su (Perilla Leaf), Qiang Huo (Notopterygium Rhizome), Chen Pi (Tangerine Peel), Mai Dong (Ophiopogon Tuber) each 1 qian; Chuan Xiong (Ligusticum Rhizome) and Bai Shao (White Peony Root) each 0.8 qian; Gan Jiang (Dried Ginger) and Sheng Gan Cao (Raw Licorice Root) each 0.5 qian; add 3 slices of Sheng Jiang (Fresh Ginger). Decoct in water and take orally. Prenatal treatment favors cooling properties; Gan Jiang (Dried Ginger) should be avoided.