【歌】妇人无故忽悲伤，不是神灵不是狂，脏躁欠伸谁识得，长沙传下麦甘汤。
【论】妇人脏躁悲伤欲哭，像如鬼神所作，数欠身，甘草小麦大枣汤主之。盖心虚则悲伤，悲伤则心动，心
动则宗脉感而液道开，令人欲哭，过甚则宗气消而荣卫不利，阴阳相引而作欠伸也。《产宝》曰∶喜属阳心主之，
怒属阴肝主之，妇人禀性阴柔，故喜常少而怒常多，或悲泣不止，皆阴类也。有似神灵所凭，皆因所欲不遂，思
极伤心故也。
【脉】精气并于肺则悲，脉必浮涩而短，设或洪大，肺被火克也。
【方】
甘麦大枣汤
甘草（三两） 小麦（一升） 大枣（十枚） 水（六升）
煮三升，去渣分三次服。
立斋曰∶前症有寒水攻心者，有肺受风邪者，治当审察，无执一方。
【歌】只因经络着风寒，痰结咽中吞吐难，久久不除成噎隔，早宜四七破棺丹。
【论】仲景曰∶妇人咽中炙 ，半夏浓朴汤主之。孙真人曰∶咽中帖帖如有炙肉，吐之不出，吞之不下，含生
姜片五十日愈，以意逆之，当是寒伤经络，气血不和，浮于咽中，妇人血分受寒多，积冷气，故有此症。予用破
棺丹噙化频咽之，曾治数人多效。盖喉侯也，喉出天气，咽者咽也，咽出地气，故喉为呼吸之门，咽乃水谷之路，
其或忧思内结，风冷外侵，痰气隔塞，逆于喉咙，妨碍饮食，久之而成翻胃、噎隔者有矣。
【脉】浮滑风痰，沉涩气郁，弦数紧涩，终为不吉。
【方】
半夏浓朴汤
半夏（一升） 浓朴（三两） 茯苓（四两） 生姜（五两） 紫苏（二两）
水七升煮四升，分四服每日一服。
四七汤即前方而分两不同。
二气散
山栀（炒） 干姜（炮）
等分为末，砂仁汤下二钱。
【歌诀】
妇女无缘无故忽然悲伤，这不是神灵附体，也不是发狂。脏躁病出现的打哈欠、伸懒腰症状，谁能识别呢？这是长沙（张仲景）传承下来的麦甘汤（即甘草小麦大枣汤）。
【论述】
妇女患脏躁病，表现为悲伤想哭，神情恍惚好像有鬼神作祟一样，频繁地打哈欠、伸懒腰，应当用甘草小麦大枣汤治疗。这是因为心气虚弱导致悲伤，悲伤则使心气扰动，心气扰动则宗脉感应而液道开启，使人想要哭泣；如果病情严重，会导致宗气耗损，营卫运行不畅，阴阳相互牵引从而出现打哈欠、伸懒腰的现象。《产宝》说：喜悦属于阳，由心所主；愤怒属于阴，由肝所主。妇人禀赋性情阴柔，所以喜悦的时候少而愤怒的时候多，或者悲伤哭泣不止，这些都属阴类。这些症状看起来像是有神灵凭依，其实都是因为心愿不遂，思虑过度损伤了心脏的缘故。
【脉诊】
精气并聚于肺则产生悲忧情绪，脉象必定浮涩而短；如果脉象洪大，说明肺被火邪克制。
【方剂】
甘草小麦大枣汤
甘草（三两） 小麦（一升） 大枣（十枚） 水（六升）
煮至三升，去药渣，分三次服用。
薛立斋说：前面的病症如果有寒水攻心的，有肺受风邪的，治疗时应当仔细审察，不要固执于使用单一一方。
【歌诀】
只因为经络遭受风寒侵袭，痰浊结聚在咽喉，吞咽困难，久久不除会发展成噎膈病，早宜使用四七破棺丹。
【论述】
张仲景说：妇女感觉咽喉中有异物感（如炙肉阻塞），应当用半夏厚朴汤治疗。孙思邈说：咽喉中贴帖不适，好像有烤肉块堵在那里，吐不出来，咽不下去，含服生姜片五十天可愈。推究其意，这应该是寒邪损伤经络，气血不和，浮滞于咽喉所致。妇人血分容易受寒，积聚冷气，所以会有这种症状。我使用破棺丹频频含化咽下，曾治愈数人，效果显著。喉是发声和呼吸的门户，喉出天气；咽是吞咽的通道，咽出地气，所以喉是呼吸之门，咽是水谷之路。如果忧愁思虑内结，风寒外侵，痰气阻隔闭塞，逆乱于喉咙，妨碍饮食，久而久之就会形成翻胃、噎膈病。
【脉诊】
脉浮滑为风痰，脉沉涩为气郁，脉弦数紧涩，最终都不吉利。
【方剂】
半夏厚朴汤
半夏（一升） 厚朴（三两） 茯苓（四两） 生姜（五两） 紫苏叶（二两）
用水七升煮取四升，分四次服用，每日一服。
四七汤就是前面的方子，只是剂量不同。
二气散
山栀（炒） 干姜（炮制）
等分为末，用砂仁汤送服二钱。
[Verse]
Women suddenly feel sorrowful without cause; this is not possession by spirits nor madness. Who can recognize the symptoms of Zangzao (Visceral Agitation), such as yawning and stretching? This is the Maigan Tang (Wheat and Licorice Decoction) passed down from Changsha (Zhang Zhongjing).
[Discussion]
Women suffering from Zangzao (Visceral Agitation) experience sorrow and a desire to cry, appearing as if possessed by spirits, with frequent yawning and stretching. They should be treated with Gancao Xiaomai Dazao Tang (Licorice, Wheat, and Jujube Decoction). This occurs because Heart Qi deficiency leads to sorrow; sorrow agitates the Heart Qi; when Heart Qi is agitated, the Zong Mai (Master Vessels) are affected, opening the fluid pathways, causing the urge to cry. If severe, it consumes Zong Qi (Gathering Qi), leading to poor circulation of Ying Wei (Nutritive and Defensive Qi), and the mutual attraction of Yin and Yang results in yawning and stretching. The *Chanbao* states: Joy belongs to Yang and is governed by the Heart; Anger belongs to Yin and is governed by the Liver. Women have a Yin-soft constitution, so they experience joy less often and anger more often. Unremitting sorrow or weeping all belong to the Yin category. These symptoms may seem like spiritual possession, but they are actually caused by unfulfilled desires and excessive thinking that damages the Heart.
[Pulse Diagnosis]
When Essence and Qi congregate in the Lung, sorrow arises. The pulse must be Floating, Choppy, and Short. If it is Surging and Large, it indicates the Lung is being overcome by Fire.
[Formula]
Gancao Xiaomai Dazao Tang (Licorice, Wheat, and Jujube Decoction)
Gancao (Licorice Root, 3 liang)
Xiaomai (Wheat, 1 sheng)
Dazao (Jujube, 10 pieces)
Water (6 sheng)
Boil until reduced to 3 sheng, remove the dregs, and divide into three doses.
Xue Lizhai said: For the aforementioned conditions, some are caused by Cold Water attacking the Heart, while others are due to Wind-Evil affecting the Lung. Treatment requires careful examination; do not rigidly adhere to a single formula.
[Verse]
It is merely because the meridians are affected by Wind-Cold, phlegm knots in the throat making swallowing difficult. If not removed for a long time, it becomes Yige (Dysphagia/Obstruction). Early use of Siqi Po Guan Dan (Four-Seven Coffin-Breaking Pill) is advisable.
[Discussion]
Zhang Zhongjing said: When women feel a foreign body sensation in the throat (like a roasted meat piece), Banxia Houpo Tang (Pinellia and Magnolia Bark Decoction) should be used. Sun Simiao said: A feeling of tightness in the throat, as if there were a piece of roasted meat stuck there, which cannot be spat out or swallowed down, can be cured by holding fresh ginger slices in the mouth for fifty days. Inferring from this, it is likely that Cold has injured the meridians, causing Qi and Blood disharmony, floating stagnation in the throat. Women's Blood aspect is prone to Cold, accumulating Cold Qi, thus presenting this syndrome. I used Po Guan Dan (Coffin-Breaking Pill), frequently dissolving and swallowing it, and successfully treated several cases. The Hou (Throat) is the gate of respiration, emitting Heaven Qi; the Yan (Pharynx) is the passage for swallowing, emitting Earth Qi. Thus, the Hou is the door of breath, and the Yan is the path for food and drink. If internal knotting of worry and thought combines with external invasion of Wind-Cold, Phlegm and Qi obstruct and reverse in the throat, hindering eating and drinking. Over time, this can lead to Fanwei (Regurgitation) or Yige (Dysphagia/Obstruction).
[Pulse Diagnosis]
Floating and Slippery indicates Wind-Phlegm; Deep and Choppy indicates Qi Stagnation; Wiry, Rapid, Tight, and Choppy pulses are ultimately inauspicious.
[Formula]
Banxia Houpo Tang (Pinellia and Magnolia Bark Decoction)
Banxia (Pinellia Tuber, 1 sheng)
Houpo (Magnolia Bark, 3 liang)
Fuling (Poria, 4 liang)
Shengjiang (Fresh Ginger, 5 liang)
Zisu (Perilla Leaf, 2 liang)
Boil in 7 sheng of water to obtain 4 sheng, divide into four doses, one dose per day.
Siqi Tang (Four-Seven Decoction) is the same as the above formula but with different dosages.
Erqi San (Two-Qi Powder)
Zhizi (Gardenia Fruit, stir-fried)
Ganjiang (Dried Ginger, processed)
Grind into equal parts powder, take 2 qian with Shaoren (Amomum) decoction.