妊振子痫，乃为恶候，若不早治，必致坠胎。其症或口噤项强，手足挛缩，言语蹇涩，痰涎壅盛，
不省人事，或忽然眩晕卒倒，口不能言，状如中风，实非中风之证，不可作中风治。即或无痰，言语如
常，但似风状，多因血燥、血虚，亦不可概以风治而误也，羚羊角散主之。冯氏云∶孕妇忽然僵仆，痰
涎壅盛，不省人事，乃是血虚而阴火炎上，鼓动其痰，左脉微数，右脉滑大者，名曰子痫。宜四物养血，
酒芩清热，二陈化痰理气，治法仍以安胎为主，勿过用中风之药。此由血虚生热，热盛生风，皆内起之
风火，养血而风自灭。若心肝风热，用钩藤汤，肝脾血虚，加味逍遥散；肝脾郁怒，加味归脾汤；气郁
痰滞，紫苏饮；脾郁痰滞，二陈加竹沥、姜汁。密斋云∶孕妇气虚挟痰火症，状如中风，卒倒即醒，醒
而复发，清神汤主之。予谓∶妊娠子痫，至有目昏黑而厥者，胎前绝少。但一有此症，即是儿晕，属气
与痰，故目昏黑发厥，只服紫苏饮，慎不可服苏合丸，及乌药顺气散等药。至于破伤失血，或吐衄血，
忽患口噤，项强背直，类中风症，皆因失血所致，不可不知，用荆防安胎散治之。
羚羊角散 治孕妇口噤项强，手足挛缩，痰壅，不省人事。
羚羊角 苡仁米 枣仁（去壳炒各一钱） 当归（二钱酒洗） 独活 五加皮 茯神（各八分）
川芎（七分） 杏仁（十粒去皮尖） 防风（五分） 木香（三分） 甘草（四分） 姜引
钩藤汤 治孕妇手少阴、足厥阴，血虚风热。
人参 当归 茯神 桑寄生 钩藤（各一钱） 苦桔梗（一钱半）
水煎服。
清神汤 治孕妇忽然眩晕卒倒，口噤不能言，状如中风，须臾即醒，醒而复发，乃气
虚挟痰火子痫症。
人参 白术 茯苓 白芍 黄 （蜜炙）麦冬 归身 炙草（各等分）
食远服。
荆防安胎散
人参 当归（酒洗） 白术（土炒各三钱） 生地 天麻（各二钱） 麦冬（一钱）
条芩（八分） 荆芥 防风（各三分） 陈皮 甘草（各四分）
水煎服。
妊娠子痫，属于凶险的证候，如果不尽早治疗，必然导致流产。其症状表现为牙关紧闭、颈项强直、手足抽搐挛缩、言语不清、痰涎壅盛，甚至神志昏迷；或者突然眩晕跌倒，口不能言，症状类似中风，但实际上并非中风的病证，不可按照中风来治疗。即使没有痰涎，言语如常，但表现出类似风邪的症状，多因血燥、血虚所致，也不可一概以风邪论治而误诊。主方使用羚羊角散。冯氏说：孕妇突然僵仆倒地，痰涎壅盛，神志昏迷，这是血虚导致阴火炎上，鼓动痰浊所致，左脉微数，右脉滑大，称为子痫。适宜用四物汤养血，酒制黄芩清热，二陈汤化痰理气，治疗方法仍以安胎为主，不要过度使用治疗中风的药物。这是由于血虚生热，热盛生风，都是内生的风火，养血则风自灭。如果是心肝风热，使用钩藤汤；肝脾血虚，使用加味逍遥散；肝脾郁怒，使用加味归脾汤；气郁痰滞，使用紫苏饮；脾郁痰滞，使用二陈汤加竹沥、姜汁。密斋说：孕妇气虚挟带痰火证，症状类似中风，突然跌倒随即醒来，醒来后又复发，主方使用清神汤。我认为：妊娠子痫，发展到眼睛昏黑厥逆的情况，在产前极少见。但只要出现这种症状，就是儿晕，属于气和痰的问题，所以眼睛昏黑发厥，只需服用紫苏饮，千万不要服用苏合丸，以及乌药顺气散等药物。至于破伤失血，或者吐血、衄血，忽然患牙关紧闭、颈项强直、背部挺直，类似中风的症状，都是因为失血所致，不可不知道，使用荆防安胎散治疗。
羚羊角散 治疗孕妇牙关紧闭、颈项强直、手足抽搐挛缩、痰壅、神志昏迷。
羚羊角 薏苡仁米 酸枣仁（去壳炒各一钱） 当归（二钱酒洗） 独活 五加皮 茯神（各八分）
川芎（七分） 杏仁（十粒去皮尖） 防风（五分） 木香（三分） 甘草（四分） 生姜为引
钩藤汤 治疗孕妇手少阴心经、足厥阴肝经，血虚风热。
人参 当归 茯神 桑寄生 钩藤（各一钱） 苦桔梗（一钱半）
水煎服。
清神汤 治疗孕妇突然眩晕跌倒，牙关紧闭不能言语，症状类似中风，片刻即醒，醒来后又复发，这是气虚挟带痰火的子痫证。
人参 白术 茯苓 白芍 黄芪（蜜炙） 麦冬 当归身 炙甘草（各等分）
饭后远时服用。
荆防安胎散
人参 当归（酒洗） 白术（土炒各三钱） 生地 天麻（各二钱） 麦冬（一钱）
条芩（八分） 荆芥 防风（各三分） 陈皮 甘草（各四分）
水煎服。
Pregnancy eclampsia (Zixian) is a malignant syndrome. If not treated early, it will inevitably lead to miscarriage. Its symptoms include lockjaw (koujin), neck stiffness (xiangqiang), spasms and contracture of the hands and feet, dysarthria (yanyu jianshe), excessive phlegm-saliva (tanyan yongsheng), and loss of consciousness (buxing renshi); or sudden dizziness and collapse, inability to speak, resembling stroke (Zhongfeng), but actually it is not a stroke syndrome, and must not be treated as such. Even if there is no phlegm and speech is normal, but wind-like symptoms are present, it is mostly due to blood dryness (xue zao) or blood deficiency (xue xu), and should not be generally treated as wind pathogen to avoid misdiagnosis. The main formula is Lingyangjiao San (Antelope Horn Decoction). Feng Shi stated: When a pregnant woman suddenly collapses stiffly, with excessive phlegm-saliva and loss of consciousness, this is due to blood deficiency causing Yin fire to flare upward, stirring up phlegm. The left pulse is slightly rapid (wei shu), and the right pulse is slippery and large (hua da), named Pregnancy Eclampsia (Zixian). It is suitable to use Siwu Tang (Four Substances Decoction) to nourish blood, wine-processed Huangqin (Scutellariae Radix) to clear heat, Erchen Tang (Two Aged Ingredients Decoction) to resolve phlegm and regulate Qi. The treatment method should still focus on calming the fetus (antifetal agitation), and one should not overuse medicines for treating stroke. This arises from blood deficiency generating heat, and excessive heat generating wind; all are internally generated wind-fire. Nourishing blood extinguishes the wind naturally. If it is Heart-Liver wind-heat, use Gouteng Tang (Uncaria Decoction); if Liver-Spleen blood deficiency, use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder); if Liver-Spleen depression and anger, use Jiawei Guipi Tang (Modified Restore the Spleen Decoction); if Qi stagnation with phlegm obstruction, use Zisu Yin (Perilla Infusion); if Spleen depression with phlegm obstruction, use Erchen Tang plus Zhuli (Bamboo Sap) and Jiangzhi (Ginger Juice). Mizhai stated: For pregnant women with Qi deficiency complicated by phlegm-fire syndrome, resembling stroke, sudden collapse followed by immediate awakening, and recurrence after awakening, the main formula is Qingshen Tang (Spirit-Clearing Decoction). I believe: In pregnancy eclampsia, cases progressing to blurred vision, blackouts, and cold extremities (muhun hei er jue) are extremely rare in the prenatal period. However, whenever such symptoms occur, it is "Fetal Dizziness" (Eryun), belonging to Qi and Phlegm issues. Therefore, for blurred vision and fainting, only Zisu Yin (Perilla Infusion) should be taken. One must strictly avoid taking Suhewan (Amber Pill) and Wuyao Shunqi San (Tso-Yao Regulating Qi Powder) and similar medicines. As for trauma with blood loss, or hematemesis (tu xue) and epistaxis (nu xue), suddenly developing lockjaw, neck stiffness, and rigid back, resembling stroke symptoms, these are all caused by blood loss and must be known. Use Jingfang Antai San (Schizonepeta and Saposhnikovia Fetus-Calming Powder) to treat them.
Lingyangjiao San (Antelope Horn Decoction): Treats pregnant women with lockjaw, neck stiffness, hand and foot spasms, phlegm obstruction, and loss of consciousness.
Lingyangjiao (Hornis Saigae Tataricae Cornu), Yiyiren (Coicis Semen), Zaoren (Ziziphi Spinosomi Semen, shell removed and stir-fried, each 1 qian), Danggui (Angelicae Sinensis Radix, 2 qian, washed with wine), Duhuo (Angelicae Pubescentis Radix), Wujia Pi (Acanthopanacis Cortex), Fushen (Poria cum Radix Pini, each 8 fen), Chuanxiong (Ligustici Chuanxiong Rhizoma, 7 fen), Xingren (Armeniacae Semen Amarum, 10 grains, skin and tip removed), Fangfeng (Saposhnikoviae Radix, 5 fen), Muxiang (Aucklandiae Radix, 3 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 4 fen), Ginger as guide.
Gouteng Tang (Uncaria Decoction): Treats pregnant women with Hand-Shaoyin Heart meridian and Foot-Jueyin Liver meridian blood deficiency and wind-heat.
Renshen (Ginseng Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Fushen (Poria cum Radix Pini), Sangjisheng (Taxilli Caulis), Gouteng (Uncariae Ramulus cum Uncis, each 1 qian), Kujiegeng (Platycodonis Radix, 1.5 qian).
Decoct in water and take orally.
Qingshen Tang (Spirit-Clearing Decoction): Treats pregnant women with sudden dizziness and collapse, lockjaw and inability to speak, resembling stroke, awakening after a moment, and recurrence after awakening. This is a Qi deficiency complicated by phlegm-fire type of Pregnancy Eclampsia.
Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Baishao (Paeoniae Radix Alba), Huangqi (Astragali Radix, honey-fried), Maidong (Ophiopogonis Radix), Guishen (Angelicae Sinensis Radix head), Zhigancao (Glycyrrhizae Radix et Rhizoma, processed with honey, equal parts).
Take far from meals.
Jingfang Antai San (Schizonepeta and Saposhnikovia Fetus-Calming Powder)
Renshen (Ginseng Radix et Rhizoma), Danggui (Angelicae Sinensis Radix, washed with wine), Baizhu (Atractylodis Macrocephalae Rhizoma, soil-stir-fried, each 3 qian), Shengdi (Rehmanniae Radix), Tianma (Gastrodiae Rhizoma, each 2 qian), Maidong (Ophiopogonis Radix, 1 qian), Tiaoqin (Scutellariae Radix, 8 fen), Jingjie (Schizonepetae Herba), Fangfeng (Saposhnikoviae Radix, each 3 fen), Chenpi (Citri Reticulatae Pericarpium), Gancao (Glycyrrhizae Radix et Rhizoma, each 4 fen).
Decoct in water and take orally.