孕妇忽然心腹刺急绞痛。如鬼击之状。不可按摩。闷绝欲死。或衄或吐血。以调补正气为主
。治用金银藤煎汤饮神效。或用熟艾拳大一丸。煮汁频服。
中恶心腹疼痛。
当归 川芎(各二两) 丁香(六钱) 青皮(一两) 吴茱萸(五钱用桔梗汤泡炒黑) 共和匀为
末。温酒调。每服五钱。
生地(二钱) 枳壳 木香(各七钱五分) 和匀为末。温酒下三钱。
苦梗(一两炒) 生姜(五钱) 水煎服。
又方 男子汗衣(烧灰存性) 百沸汤调服。
一法 用盐水探吐。或用灶心土为末。井水调服。(二钱)
心主脉属火。肝主筋属气。气火相炽。则为 。治法平脉降火。兼养气血。用钩藤汤加柴胡
。山栀。黄芩。白术。若风痰上涌。加竹沥。南星。半夏。如风邪急搐。加全蝎。僵蚕。若
亏损气血。宜八珍汤。加钩藤。山栀若无力抽搐。角弓反张。汗出如珠等症。此肝经绝也不
治。
(〔吴按〕 者即刚柔二痉。如类中风。乃伤寒之变症也。)
钩藤 当归 茯苓 人参(各一钱) 桔梗 桑寄生(各五分) 水煎服。忌猪肉。炒。煎。若
烦热加石膏一钱五分。临产加桂心(四发)
肝热上攻太阳穴。胸膈涎壅。头旋。目眩晕。或腮项肿核。
(〔吴按〕两腮肿核为 腮。以靛花。柿油。调涂。即消。柿油乃补伞人所用。)
孕妇突然感到心腹部像针刺一样紧急绞痛，症状如同被鬼物攻击一般。此时不可进行按摩，患者会因气闷窒息而濒临死亡，或者出现鼻出血或吐血的症状。治疗应以调补正气为主。
治疗方法：使用金银藤煎汤饮用，效果极佳。或者取拳头大小的一块熟艾绒，煮汁后频繁服用。这是针对中恶引起的心腹疼痛。
处方一：当归、川芎（各二两）、丁香（六钱）、青皮（一两）、吴茱萸（五钱，需用桔梗汤浸泡并炒至黑色）。将上述药材混合均匀研成细末。每次服用五钱，用温酒调服。
处方二：生地（二钱）、枳壳、木香（各七钱五分）。将上述药材混合均匀研成细末。每次服用三钱，用温酒送下。
又一方：取男子穿过的汗衣，烧成灰但保留药性（存性），用滚开的沸水调匀后服用。
另一种方法：用盐水催吐。或者取灶心土研成细末，用井水调匀后服用（用量为二钱）。
中医理论认为，心主血脉，属性为火；肝主筋脉，属性为气。当气与火相互炽盛时，就会引发痉挛抽搐（指痉病）。治疗原则是平抑脉象中的亢盛之气，降泄火热，同时滋养气血。方剂选用钩藤汤，并加入柴胡、山栀、黄芩、白术。如果风痰向上涌逆，加入竹沥、南星、半夏。如果是风邪引起的紧急抽搐，加入全蝎、僵蚕。如果是气血亏损所致，适宜使用八珍汤，加入钩藤、山栀。如果出现无力抽搐、角弓反张、出汗如珠等症状，这属于肝经真气绝灭的危重症候，无法治愈。
（〔吴氏按语〕：痉病即刚痉和柔痉两种类型，类似于类中风，是伤寒病的变证。）
钩藤汤组成：钩藤、当归、茯苓、人参（各一钱）、桔梗、桑寄生（各五分）。加水煎煮后服用。忌食猪肉。注意不要将药物炒焦或煎糊。如果伴有烦热症状，加石膏一钱五分。如果是临产时出现此症，加桂心四发。
Pregnant women suddenly experience stabbing, urgent, and severe colic pain in the heart and abdomen, resembling the sensation of being struck by a ghost. Massage is contraindicated at this time; the patient may suffer from suffocation and feel as if dying, or present with epistaxis (nosebleed) or hematemesis (vomiting blood). The treatment should primarily focus on regulating and tonifying Zheng Qi (Upright Qi / Vital Energy).
Treatment method: Decoct Jin Yin Teng (Lonicerae Japonicae Caulis) and drink the soup; it is highly effective. Alternatively, take a piece of cooked Ai Ye (Artemisiae Argyi Folium) the size of a fist, decoct it in water, and take the juice frequently. This addresses abdominal pain caused by Zhong E (Sudden Evil Attack / Acute Abdominal Crisis).
Formula 1: Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (each 2 liang), Ding Xiang (Caryophylli Flos) (6 qian), Qing Pi (Citri Reticulatae Pericarpium Viride) (1 liang), Wu Zhu Yu (Evodiae Fructus) (5 qian, soaked in Jie Geng Tang and stir-fried until black). Mix evenly and grind into powder. Take 5 qian per dose, mixed with warm wine.
Formula 2: Sheng Di Huang (Rehmanniae Radix) (2 qian), Zhi Ke (Aurantii Fructus Immaturus), Mu Xiang (Aucklandiae Radix) (each 7.5 qian). Mix evenly and grind into powder. Take 3 qian per dose, washed down with warm wine.
Formula 3: Ku Jie (Platycodonis Radix, stir-fried) (1 liang), Sheng Jiang (Zingiberis Rhizoma Recens) (5 qian). Decoct in water and take orally.
Another formula: Burn the sweat-stained clothes of a man to ash while preserving its medicinal properties (Cun Xing), mix with boiling water, and take orally.
Another method: Induce vomiting using salt water. Or, grind Zao Xin Tu (Furnacis Argilla) into powder, mix with well water, and take orally (2 qian).
In Traditional Chinese Medicine theory, the Heart governs the vessels and belongs to Fire; the Liver governs the sinews and belongs to Qi. When Qi and Fire blaze mutually, Jing Spasm (Jing Bing) occurs. The treatment principle is to calm the pulse, descend fire, and simultaneously nourish Qi and Blood. Use Gou Teng Tang (Uncaria Decoction) added with Chai Hu (Bupleuri Radix), Shan Zhi (Gardeniae Fructus), Huang Qin (Scutellariae Radix), and Bai Zhu (Atractylodis Macrocephalae Rhizoma). If Wind-Phlegm surges upward, add Zhu Li (Bambusae Succus), Nan Xing (Arisaematis Cum Bile Rhizoma), and Ban Xia (Pinelliae Rhizoma). If there are urgent convulsions due to Wind pathogen, add Quan Xie (Scorpio) and Jiang Can (Bombyx Batryticatus). If caused by Qi and Blood deficiency, Ba Zhen Tang (Eight Treasure Decoction) is suitable, added with Gou Teng (Uncariae Ramulus cum Uncis) and Shan Zhi (Gardeniae Fructus). If symptoms such as weak convulsions, opisthotonos (body arched backward like a bow), and sweating like pearls occur, this indicates the extinction of the Liver channel's true Qi, which is incurable.
([Wu’s Commentary]: Jing Spasm refers to Gang Jing (Stiff Spasm) and Rou Jing (Flaccid Spasm). It resembles Lei Zhong Feng (Stroke-like Syndrome) and is a variant syndrome of Shang Han (Cold Damage).)
Gou Teng Tang Composition: Gou Teng (Uncariae Ramulus cum Uncis), Dang Gui (Angelicae Sinensis Radix), Fu Ling (Poria), Ren Shen (Ginseng Radix et Rhizoma) (each 1 qian), Jie Geng (Platycodonis Radix), Sang Ji Sheng (Taxilli Herba) (each 0.5 qian). Decoct in water and take orally. Avoid pork. Do not over-roast or over-decoct. If accompanied by irritability and heat, add Shi Gao (Gypsum Fibrosum) 1.5 qian. If occurring during labor, add Gui Xin (Cinnamomi Cortex) 4 pieces.
Liver Heat attacks upward to the Taiyang acupoint region, causing phlegm-saliva congestion in the chest and diaphragm, leading to dizziness and vertigo. Or, swelling and nodules appear in the cheeks and neck.
([Wu’s Commentary]: Swelling and nodules in both cheeks are called Ma Sai (Mumps). They can be resolved by applying a mixture of Dian Hua (Indigo Naturalis) and Shi You (Persimmon Oil). Shi Oil is used by umbrella makers.)