知母饮
12.孕妇时烦名子烦, 胎热乘心知母痊, 子芩知麦苓耆草, 犀热参虚
膏渴煎.
【注】孕妇别无他证, 惟时时心烦者, 名曰子烦. 由胎中郁热上乘于
心也. 宜用知母饮, 即子芩, 知母, 麦冬, 茯苓, 黄耆, 甘草. 热甚
者加犀角, 气虚加人参, 口渴加石膏煎服.
紫苏饮
13.胸膈胀满子悬名, 喘甚由胎上逼心, 紫苏饮用归芎芍, 陈腹苏甘
虚人参.
【注】孕妇胸膈胀满, 名曰子悬. 更加喘甚者, 名曰胎上逼心. 俱宜
紫苏饮, 即当归, 川芎, 白芍, 陈皮, 大腹皮, 苏梗叶, 甘草. 虚者
加人参煎服.
羚羊角饮 钩藤汤
14.暴仆抽搐不识人, 须臾自醒子痫名. 羚羊角散防独杏, 五加枣草
薏苡仁, 茯苓木香羚羊角, 抽搐钩藤汤寄生, 人参茯神归桔梗, 口喎
肢废中风成.
【注】孕妇忽然颠仆, 抽搐不省人事, 须臾自醒, 少顷复如好人, 谓
之子痫. 乃肝, 心二经风热所致, 宜用羚羊角散, 即防风, 独活, 杏
仁,酸枣仁, 五加皮, 甘草, 薏苡仁, 茯苓, 木香, 羚羊角也. 抽搐
甚者, 用钩藤汤, 乃钩藤, 桑寄生, 人参, 茯神, 当归, 桔梗也. 若
口眼喎斜, 半身不遂, 则已成中风废证, 当参风门治之.
12. 孕妇时常感到心烦,称为“子烦”;因胎热上扰心神所致,可用知母饮治愈。方剂组成包括:黄芩(子芩)、知母、麦冬、茯苓、黄芪、甘草。若热象严重,加用犀角;若气虚,加用人参;若口渴,加用石膏煎服。
【注释】孕妇若无其他病症,仅表现为时时心烦,称为“子烦”。这是由于胎中郁热上乘于心所致。适宜使用知母饮,即由黄芩、知母、麦冬、茯苓、黄芪、甘草组成。热甚者加犀角,气虚者加人参,口渴者加石膏煎服。
13. 胸膈胀满称为“子悬”;气喘严重者,称为“胎上逼心”。紫苏饮由当归、川芎、白芍、陈皮、大腹皮、苏梗叶、甘草组成。体虚者加人参煎服。
【注释】孕妇出现胸膈胀满,称为“子悬”。如果伴有严重气喘,称为“胎上逼心”。这两种情况均适宜使用紫苏饮,该方由当归、川芎、白芍、陈皮、大腹皮、苏梗叶、甘草组成。体质虚弱者加人参煎服。
14. 突然昏倒、抽搐且意识丧失,片刻后自行苏醒,称为“子痫”。羚羊角散由防风、独活、杏仁、酸枣仁、五加皮、甘草、薏苡仁、茯苓、木香、羚羊角组成。若抽搐严重,使用钩藤汤,由钩藤、桑寄生、人参、茯神、当归、桔梗组成。若出现口眼歪斜、半身不遂,则已发展为中风废证,应当参照风门章节进行治疗。
【注释】孕妇突然跌倒、抽搐且不省人事,片刻后自行清醒,过一会儿又恢复正常人状态,这称为“子痫”。这是由肝、心两经的风热所致,适宜使用羚羊角散,即由防风、独活、杏仁、酸枣仁、五加皮、甘草、薏苡仁、茯苓、木香、羚羊角组成。抽搐严重者,使用钩藤汤,即由钩藤、桑寄生、人参、茯神、当归、桔梗组成。如果出现口眼歪斜、半身不遂,则已经形成中风废证,应当参考风门的治疗方法进行处理。
Zhimu Yin (Anemarrhena Decoction)
12. When a pregnant woman frequently experiences mental restlessness, it is termed "Zifan" (Pregnancy-related Mental Restlessness). This condition arises from fetal heat disturbing the Heart spirit and can be cured with Zhimu Yin. The formula consists of Huangqin (Scutellariae Radix), Zhi Mu (Anemarrhenae Rhizoma), Maidong (Ophiopogonis Tuber), Fuling (Poria), Huangqi (Astragali Radix), and Gancao (Glycyrrhizae Radix et Rhizoma). If the heat is severe, add Xijiao (Rhinocerotis Cornu); if there is Qi deficiency, add Renshen (Ginseng Radix et Rhizoma); if there is thirst, add Shigao (Gypsum Fibrosum) for decoction and administration.
[Note] If a pregnant woman has no other symptoms but experiences frequent mental restlessness, it is called "Zifan." This is caused by stagnant heat within the fetus ascending to disturb the Heart. It is appropriate to use Zhimu Yin, which comprises Huangqin, Zhi Mu, Maidong, Fuling, Huangqi, and Gancao. For severe heat, add Xijiao; for Qi deficiency, add Renshen; for thirst, add Shigao for decoction and administration.
Zisu Yin (Perilla Decoction)
13. Distension and fullness in the chest and diaphragm are termed "Zixuan" (Pregnancy-related Chest Distension); when accompanied by severe asthma, it is termed "Taishang Bixin" (Fetal Qi Ascending to Oppress the Heart). Zisu Yin consists of Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba), Chenpi (Citri Reticulatae Pericarpium), Dafupi (Arecae Pericarpium), Sugengye (Perillae Caulis et Folium), and Gancao. For deficiency patterns, add Renshen for decoction and administration.
[Note] When a pregnant woman experiences distension and fullness in the chest and diaphragm, it is called "Zixuan." If accompanied by severe asthma, it is called "Taishang Bixin." Both conditions are suitable for treatment with Zisu Yin, which includes Danggui, Chuanxiong, Baishao, Chenpi, Dafupi, Sugengye, and Gancao. For patients with deficiency, add Renshen for decoction and administration.
Lingyangjiao Yin (Antelope Horn Decoction) / Gouteng Tang (Uncaria Decoction)
14. Sudden collapse, convulsions, and loss of consciousness, followed by spontaneous awakening after a short period, are termed "Zixian" (Pregnancy-related Eclampsia). Lingyangjiao San (Antelope Horn Powder) consists of Fangfeng (Saposhnikoviae Radix), Duhuo (Angelicae Pubescentis Radix), Xingren (Armeniacae Semen Amarum), Suanzaoren (Ziziphi Spinosi Semen), Wujapi (Eucommiae Cortex), Gancao, Yiyiren (Coicis Semen), Fuling, Muxiang (Aucklandiae Radix), and Lingyangjiao (Saigae Tataricae Cornu). For severe convulsions, use Gouteng Tang, which consists of Gouteng (Uncariae Ramulus cum Uncis), Sangjisheng (Taxilli Herba), Renshen, Fushen (Poria cum Radix), Danggui, and Jiegeng (Platycodonis Radix). If facial paralysis (deviation of mouth and eyes) or hemiplegia occurs, it has progressed to a stroke with disability syndrome; treatment should refer to the Wind Gate section.
[Note] When a pregnant woman suddenly falls, experiences convulsions, and loses consciousness, then awakens spontaneously after a moment and returns to normal shortly thereafter, this is called "Zixian." It is caused by wind-heat affecting the Liver and Heart meridians. It is appropriate to use Lingyangjiao San, comprising Fangfeng, Duhuo, Xingren, Suanzaoren, Wujapi, Gancao, Yiyiren, Fuling, Muxiang, and Lingyangjiao. For severe convulsions, use Gouteng Tang, comprising Gouteng, Sangjisheng, Renshen, Fushen, Danggui, and Jiegeng. If deviation of the mouth and eyes or hemiplegia occurs, it has become a stroke with disability syndrome, and one should consult the treatments in the Wind Gate chapter.