《大全》云∶妊娠若烦闷者，以四月受少阴君火气以养精，六月受少阳相火气以
养气
。若母心惊胆寒，多有烦闷，名曰子烦。《产宝》云∶夫妊娠而子烦者，是肺脏虚而热乘于
心，则令心烦也(肺虚热乘于心，于理似背，当作虚字上看)。停痰积饮在心胸之间，或冲于
心，亦令烦也。若热而烦者，但热而已。若有痰饮而烦者，呕吐涎沫，恶闻食气，烦躁不安
也。大凡娠孕之人，既停痰积饮，又寒热相搏，气郁不舒，或烦躁，或呕吐涎沫，剧则胎动
不安，均为子烦也。
按薛氏云∶前症若因内热用竹叶汤，气滞用紫苏饮，痰滞用二陈、白术、黄芩、枳壳。
气郁用分气饮加川芎。脾胃虚弱用六君子加紫苏、山栀。
烦躁口干属心脾二经，与子烦大同小异，宜用知母丸。
《大全》云∶妊娠心腹胀满者，由腹内素有寒气，致令停饮，重因触冷冻饮料发动，与气
相争，故令心腹胀满也。
按薛氏曰∶前症若外感风寒，内伤饮食，用藿香正气散。若食伤脾胃，用六君子汤。若
阳气
壅滞，胎上逼心，用紫苏饮。李氏曰∶子悬者，心腹胀满也。娠孕四五月以来，相火养胎，
以致胎热气逆凑心，心腹胀满疼痛，宜紫苏饮。有郁心胀满甚者，加莪术及丁香少许。不
食者，芩术汤倍白术加芍药。若火盛极一时，心气闷绝而死，连进紫苏饮救之。此症两尺脉
绝者，有误服动胎药，子死腹中则憎寒，手指唇爪俱青，全以舌为证验，芎归汤救之。仲景
云∶妇人怀孕六七月，脉弦，发热，其胎愈胀，腹痛恶寒者，少腹如扇，所以然，子脏寒故
也。当以附子汤温其脏。妇人伤胎怀身，腹满不得小便，从腰以上重如水气状，怀身七月，
太阴当养不养，此心气实，当刺泻劳宫及关元，小便微利则愈。
《妇人大全良方》说：妊娠期间如果出现烦闷，是因为在怀孕第四个月时受到少阴君火之气的影响来滋养胎儿的精气，第六个月时受到少阳相火之气的影响来滋养胎儿的气血。如果孕妇内心惊恐、胆气虚寒，常常会出现烦闷的症状，这叫做“子烦”。《产宝》说：妊娠出现子烦的原因，是肺脏虚弱而热邪乘袭于心，从而导致心烦（肺虚热乘于心，从医理上看似乎违背常理，应当将“乘”字理解为因虚而受邪）。痰饮停滞在心胸之间，或者上冲于心，也会导致烦闷。如果是因热邪引起的烦闷，主要表现为发热；如果是因痰饮引起的烦闷，则伴有呕吐涎沫、厌恶食物气味、烦躁不安等症状。大凡怀孕的妇女，如果体内既有停痰积饮，又有寒热邪气相互搏结，导致气机郁滞不畅，就会出现烦躁或呕吐涎沫，严重时会导致胎动不安，这些情况都属于“子烦”。
按薛己的说法：上述症状如果是由于内热引起，使用竹叶汤；如果是气机阻滞，使用紫苏饮；如果是痰湿阻滞，使用二陈汤加白术、黄芩、枳壳；如果是气郁，使用分气饮加川芎；如果是脾胃虚弱，使用六君子汤加紫苏、山栀。
烦躁且口干属于心和脾两经的病证，与子烦大同小异，适宜使用知母丸。
《妇人大全良方》说：妊娠期间出现心腹胀满，是由于腹内素有寒气，导致水饮停滞，再加上食用生冷饮料诱发，水饮与正气相争，从而导致心腹胀满。
按薛己的说法：上述症状如果是外感风寒、内伤饮食所致，使用藿香正气散；如果是饮食损伤脾胃，使用六君子汤；如果是阳气壅滞、胎气上逆逼心，使用紫苏饮。李氏说：所谓“子悬”，就是指心腹胀满。怀孕四五月以来，相火用来养胎，导致胎热气逆上冲于心，引起心腹胀满疼痛，适宜使用紫苏饮。如果有郁结导致心胀满严重的，加入少量莪术和丁香。如果不思饮食，使用芩术汤并加倍白术的量，再加芍药。如果火热极盛一时，导致心气闭塞窒息甚至死亡，连续服用紫苏饮来急救。此症如果两尺脉绝，可能是误服了动胎的药物，导致胎死腹中，此时会憎恶寒冷，手指、嘴唇和指甲都发青，完全以舌象作为诊断依据，使用芎归汤来救治。张仲景说：妇女怀孕六七月，脉象弦，发热，胎儿胀大更甚，腹痛且怕冷，感觉小腹像被扇子扇风一样冷，之所以这样，是因为子宫寒冷的缘故。应当用附子汤温暖子宫。妇女损伤胎元怀孕，腹部胀满不能小便，腰部以上沉重得像有水气的样子，怀孕七个月时，太阴脾经本该养胎却未能正常养胎，这是心气实盛，应当针刺泻劳宫穴和关元穴，小便稍微通畅就好了。
*Daquan* states: If a pregnant woman experiences irritability and oppression, it is because in the fourth month of pregnancy, she receives the Qi of Shaoyin Junhuo (Ministerial Fire of the Hand-Shaoyin) to nourish the fetus's essence, and in the sixth month, she receives the Qi of Shaoyang Xianghuo (Ministerial Fire of the Foot-Shaoyang) to nourish the fetus's Qi. If the mother is frightened with a timid gallbladder, she often suffers from irritability, which is named "Zifan" (Pregnancy Irritability). *Chanbao* states: The cause of Zifan during pregnancy is that the Lung organ is deficient, allowing Heat to invade the Heart, causing mental restlessness (Lung deficiency allowing Heat to invade the Heart seems contrary to medical theory; the character "invade" should be interpreted as being affected due to deficiency). Phlegm-fluid retention stagnating between the heart and chest, or rushing up to the Heart, also causes irritability. If irritability is caused by Heat, there is merely fever. If irritability is caused by phlegm-fluids, there are symptoms such as vomiting saliva and froth, aversion to the smell of food, and restless agitation. Generally, pregnant women who have both phlegm-fluid retention and the struggle between Cold and Heat, leading to stagnant and unsmooth Qi mechanism, may experience irritability or vomiting of saliva and froth. In severe cases, this leads to fetal movement and insecurity. All these conditions belong to "Zifan".
According to Xue Ji: For the aforementioned symptoms, if caused by internal Heat, use Zhuye Tang (Bamboo Leaf Decoction); if caused by Qi stagnation, use Zisu Yin (Perilla Infusion); if caused by phlegm stagnation, use Erchen Tang (Two-Cured Decoction) added with Baizhu (Atractylodis Macrocephalae Rhizoma), Huangqin (Scutellariae Radix), and Zhike (Aurantii Fructus Immaturus); if caused by Qi depression, use Fenqi Yin (Qi-Dispersing Infusion) added with Chuanxiong (Chuanxiong Rhizoma); if caused by Spleen-Stomach deficiency, use Liujunzi Tang (Six-Gentlemen Decoction) added with Zisu (Perillae Folium) and Shanzhi (Gardeniae Fructus).
Irritability accompanied by dry mouth belongs to the Heart and Spleen meridians, which is largely similar but slightly different from Zifan; Zhimu Wan (Anemarrhenae Pill) is suitable.
*Daquan* states: Pregnancy-induced epigastric and abdominal fullness is due to pre-existing Cold Qi in the abdomen causing fluid retention, which is then triggered by consuming cold drinks, causing the fluids to contend with the body's Qi, resulting in epigastric and abdominal fullness.
According to Xue Ji: For the aforementioned symptoms, if caused by external contraction of Wind-Cold and internal injury from diet, use Huoxiang Zhengqi San (Agastache Powder for Rectifying Qi); if caused by dietary injury to the Spleen and Stomach, use Liujunzi Tang (Six-Gentlemen Decoction); if caused by Yang Qi obstruction and fetal Qi rushing up to press against the Heart, use Zisu Yin (Perilla Infusion). Mr. Li states: "Zixuan" (Fetal Suspension) refers to epigastric and abdominal fullness. Since the fourth or fifth month of pregnancy, when Xianghuo (Ministerial Fire) nourishes the fetus, fetal Heat and rebellious Qi rush up to the Heart, causing epigastric and abdominal fullness and pain; Zisu Yin (Perilla Infusion) is suitable. If depression causes severe epigastric fullness, add a small amount of Ezhu (Curcumae Rhizoma) and Dingxiang (Caryophylli Flos). If there is loss of appetite, use Qinshu Tang (Scutellaria and Atractylodes Decoction) with doubled Baizhu (Atractylodis Macrocephalae Rhizoma) and added Shaoyao (Paeoniae Radix). If Fire becomes extremely excessive at one time, causing Heart Qi blockage, suffocation, and even death, continuously administer Zisu Yin (Perilla Infusion) for rescue. If the two Chi pulses (Kidney pulses) are absent in this condition, it may be due to the mistaken ingestion of abortifacient drugs, leading to fetal death in the uterus. The patient will shiver with cold, and the fingers, lips, and nails will turn blue. Diagnosis relies entirely on tongue examination; Xionggui Tang (Ligusticum and Angelica Decoction) is used for rescue. Zhang Zhongjing states: When a woman is six or seven months pregnant, if the pulse is Wiry, accompanied by fever, increased fetal distension, abdominal pain, and aversion to cold, feeling as if the lower abdomen is fanned by wind, this is due to Cold in the Zi Zang (Uterus). It should be treated with Fuzi Tang (Aconite Decoction) to warm the Zang. If a woman injures her fetus while pregnant, experiencing abdominal fullness and inability to urinate, with heaviness above the waist resembling edema, and at seven months of pregnancy, when the Taiyin (Spleen) should be nourishing the fetus but fails to do so, this indicates Excess of Heart Qi. One should needle Laogong (PC 8) and Guanyuan (CV 4) using the reducing method; slight improvement in urination indicates recovery.