（附论）
夫妊娠头旋目晕。视物不见。腮项肿核者。盖因胎气有伤肝脏。热毒上攻。太阳穴痛。
呕逆。背项拘急。致令眼晕生花。若加涎壅。危在片时。急煎消风散服之。
方
消风散 治妊娠肝脏热毒上攻太阳穴。胸膈涎壅。头旋目晕。视物不见。腮项肿核。
石膏 甘菊花 防风 荆芥穗 川羌活 羚羊角 川芎 大豆黄卷 当归 白芷（各一
两） 甘草（炙半两） 上 咀。每服四钱。水一盏半。入好茶半钱。煎至八分去滓。通口
服。
食后。昔有一妊妇将卧月。两眼忽然失明。灯火不见。头疼目眩。项腮肿满。不能转颈。请
医治不瘥。转加危困。服此方获安分娩。其眼带吊起。人物不辨。服四物汤加荆芥防风。更
服天门冬饮子以此二药间服。目渐稍明。大忌酒面、煎炙烧爆。鸡羊鹅鸭。豆腐辛辣。一切
毒食。并房劳。及稍温服。
天门冬饮子 治妊娠肝经风热。上攻眼目。带吊失明。
天门冬 知母 茺蔚子（各一两） 防风（半两） 五味子 茯苓 川羌活 人参（各
七钱
半） 上 咀。每服四钱。水一盏半。姜三片。煎至八分去滓。食后温服。忌烧爆辛辣毒食
及稍温药。如其不然。眼不复明也。虽服三五个月至半年周岁。目不复。终为盲人矣。盖此
证为怀身多居密室火阁。衣着被褥浓盖。伏热在里。或服补药。因食热物太过。致令胎热肝
脏壅极。风冲入脑所致。
泻肝散 治妊妇将临月。两眼忽然失明。灯火不见。头痛目晕。项腮肿满。不能转
颈。
麦门冬（一两） 大黄 黄芩 细辛 芒硝（四味各半两） 玄参 桔梗（二味各五钱
半）
上为末。每服抄四钱。水一盏半。煎八分。食后温服。此方虽非治产难。乃虑后人得此证。
不谙此理。误服补药并毒食。冒犯禁忌。失一身之宝。可不惜哉。故附之耳。
消风散 治妊娠头旋目晕。视物不明。腮项肿核者何。答曰盖因胎气有伤肝脏。毒
气上攻。太阳穴痛。呕逆。背项拘急。致令眼晕生花。若加涎壅。危在旦夕。急煎此
服。
石膏 山茵陈 菊花 防风 荆芥 螺粉（六味各二钱） 白芷 川芎 阿胶 甘草（四
味各二钱） 木香 白术（各半钱） 计一两五钱。锉作六服。水一盏入好茶半钱。煎八分。
通口服。头微汗得瘥。
（附论）
妊娠期间出现头晕、眼花，视物不清，腮部和颈部肿胀且有硬结的，大概是因为胎气损伤了肝脏，热毒向上攻冲。表现为太阳穴疼痛，呕吐逆气，背部和颈部拘挛僵硬，导致眼睛眩晕并看到闪光。如果再加上痰涎壅盛，病情危急，片刻之间就有生命危险。应当紧急煎服消风散。
方剂：
消风散：治疗妊娠期间肝脏热毒上攻至太阳穴，胸膈部痰涎壅盛，头晕眼花，视物不见，腮部和颈部肿胀有硬结。
药物组成：石膏、甘菊花、防风、荆芥穗、川羌活、羚羊角、川芎、大豆黄卷、当归、白芷（各一两），甘草（炙用半两）。
用法：将药材切碎。每次服用四钱，加水一盏半，放入好茶半钱，煎煮至八分满，去渣滓，温通口服。
食后（案例）：
过去有一位孕妇即将临产，两眼突然失明，连灯火都看不见，头痛目眩，颈部和腮部肿胀饱满，不能转动脖子。请医生医治无效，病情反而加重，陷入危困状态。服用此方后得以安宁并顺利分娩。后来她的眼睑下垂，无法辨认人物，服用四物汤加入荆芥、防风，再交替服用天门冬饮子，眼睛逐渐稍微恢复视力。饮食上要严格忌口酒类、面食、油炸烧烤食物，以及鸡肉、羊肉、鹅肉、鸭肉、豆腐和辛辣食物，一切有毒的食物都要禁止，同时禁止房事。药液要稍加温热后服用。
天门冬饮子：治疗妊娠肝经风热，上攻眼目，导致眼睑下垂失明。
药物组成：天门冬、知母、茺蔚子（各一两），防风（半两），五味子、茯苓、川羌活、人参（各七钱半）。
用法：将药材切碎。每次服用四钱，加水一盏半，生姜三片，煎煮至八分满，去渣滓，饭后温服。忌食油炸烧烤、辛辣有毒食物及稍温的药液。如果不这样做，眼睛将无法恢复光明。即使服药三五个月甚至半年到一年，眼睛也无法恢复，最终将成为盲人。大概因为这种证候是怀孕时多居住在密闭房间或火阁中，穿着厚衣、盖着厚被，导致热气伏藏在体内；或者服用补药，因食用热性食物过多，导致胎热和肝脏壅塞至极，风气冲入脑部所致。
泻肝散：治疗孕妇临近预产期时，两眼突然失明，连灯火都看不见，头痛目眩，颈部和腮部肿胀饱满，不能转动脖子。
药物组成：麦门冬（一两），大黄、黄芩、细辛、芒硝（这四味各半两），玄参、桔梗（这两味各五钱半）。
用法：将药材研为末。每次取四钱，加水一盏半，煎煮至八分满，饭后温服。这个方子虽然不是治疗难产的，但是考虑到后人遇到这种证候，如果不明白其中的道理，误服补药和有毒食物，冒犯禁忌，失去一身宝贵的健康，难道不可惜吗？所以附录在这里。
消风散：治疗妊娠头晕眼花，视物不明，腮部和颈部肿胀有硬结的原因是什么？回答说：大概是因为胎气损伤了肝脏，毒气向上攻冲，太阳穴疼痛，呕吐逆气，背部和颈部拘挛僵硬，导致眼睛眩晕并看到闪光。如果加上痰涎壅盛，危急在旦夕之间。应当紧急煎服此方。
药物组成：石膏、山茵陈、菊花、防风、荆芥、螺粉（这六味各二钱），白芷、川芎、阿胶、甘草（这四味各二钱），木香、白术（各半钱）。共计一两五钱。锉碎分为六服。每服用水一盏，放入好茶半钱，煎煮至八分满，温通口服。头部微微出汗即可痊愈。
(Attached Discussion)
When a pregnant woman experiences dizziness, blurred vision, inability to see clearly, and swelling with nodules in the cheeks and neck, it is generally due to fetal qi injuring the Liver, with heat-toxin attacking upwards. Symptoms include pain in the temporal region (Taiyang acupoint area), vomiting and regurgitation, stiffness and tension in the back and neck, leading to visual vertigo and photopsia (seeing spots). If accompanied by phlegm-fluid retention, the condition is critical and life-threatening within moments. One should urgently decoct and administer Xiaofeng San (Wind-Expelling Powder).
Formula:
Xiaofeng San (Wind-Expelling Powder): Treats pregnancy complicated by Liver heat-toxin attacking the temporal region, phlegm-fluid retention in the chest and diaphragm, dizziness, blurred vision, inability to see, and swelling with nodules in the cheeks and neck.
Ingredients: Shigao (Gypsum Fibrosum), Gan Juhua (Chrysanthemi Flos), Fangfeng (Saposhnikoviae Radix), Jingjie Sui (Schizonepetae Spica), Chuan Qianghuo (Notopterygii Rhizoma et Radix), Lingyangjiao (Saigae Tataricae Cornu), Chuanxiong (Ligustici Chuanxiong Rhizoma), Dadou Huangjuan (Sojae Semen Praeparatum), Danggui (Angelicae Sinensis Radix), Baizhi (Angelicae Dahuricae Radix) (each 1 liang); Gancao (Licorice Root), roasted (half 1 liang).
Usage: Coarsely crush the herbs. Take 4 qian per dose, add 1.5 sheng of water and half a qian of good tea, decoct until reduced to 0.8 sheng, strain, and take orally while warm.
Postprandial Case:
Previously, a pregnant woman nearing delivery suddenly lost sight in both eyes, unable to even see lamp light. She suffered from headache, vertigo, and fullness/swelling in the neck and cheeks, rendering her unable to turn her neck. Medical treatment failed, and her condition worsened to a critical state. After taking this formula, she stabilized and delivered safely. Later, her eyelids drooped, and she could not recognize people. She took Siwu Tang (Four Substances Decoction) added with Jingjie (Schizonepetae Spica) and Fangfeng (Saposhnikoviae Radix), alternating with Tianmendong Yinzi (Asparagi Decoction). Her vision gradually improved slightly. Strict dietary taboos are required: avoid alcohol, wheat products, fried/roasted foods, chicken, mutton, goose, duck, tofu, and spicy foods; avoid all toxic foods. Sexual intercourse must be avoided. The medicine should be taken slightly warm.
Tianmendong Yinzi (Asparagi Decoction): Treats pregnancy complicated by wind-heat in the Liver meridian attacking the eyes, causing ptosis and blindness.
Ingredients: Tianmendong (Asparagi Radix), Zhimu (Anemarrhenae Rhizoma), Chongweizi (Ecliptae Fructus) (each 1 liang); Fangfeng (Saposhnikoviae Radix) (half 1 liang); Wuweizi (Schisandrae Chinensis Fructus), Fuling (Poria), Chuan Qianghuo (Notopterygii Rhizoma et Radix), Renshen (Ginseng Radix et Rhizoma) (each 7.5 qian).
Usage: Coarsely crush the herbs. Take 4 qian per dose, add 1.5 sheng of water and three slices of fresh ginger, decoct until reduced to 0.8 sheng, strain, and take warm after meals. Avoid fried/roasted, spicy, and toxic foods, as well as medicines that are too warm. If this is not followed, vision will not recover. Even if taken for three to five months, or up to half a year or a year, if vision does not return, the patient will ultimately become blind. This condition arises because during pregnancy, women often stay in closed rooms or attics with fire stoves, wearing thick clothes and heavy blankets, trapping heat inside; or they take tonifying medicines and consume excessive hot-natured foods, causing extreme stagnation of fetal heat and Liver heat, allowing wind to rush into the brain.
Xiegan San (Liver-Purging Powder): Treats pregnant women near term who suddenly lose sight in both eyes, cannot see lamp light, suffer from headache and vertigo, and have swelling/fullness in the neck and cheeks, making neck movement impossible.
Ingredients: Maimendong (Ophiopogonis Radix) (1 liang); Dahuang (Rhei Radix et Rhizoma), Huangqin (Scutellariae Radix), Xixin (Asari Radix et Rhizoma), Mangxiao (Natrii Sulfas) (these four each half 1 liang); Xuanshen (Scrophulariae Radix), Jiegeng (Platycodonis Radix) (these two each 5.5 qian).
Usage: Grind into powder. Take 4 qian per dose, add 1.5 sheng of water, decoct until reduced to 0.8 sheng, and take warm after meals. Although this formula is not intended for treating difficult labor, it is included because later generations encountering this condition may not understand the pathology, mistakenly taking tonics and toxic foods, violating taboos, and losing their precious health. Is this not regrettable? Hence, it is appended here.
Xiaofeng San (Wind-Expelling Powder): What is the cause of dizziness, blurred vision, and swelling with nodules in the cheeks and neck during pregnancy? The answer is: It is generally due to fetal qi injuring the Liver, with toxic qi attacking upwards, causing pain in the temporal region, vomiting, and stiffness/tension in the back and neck, leading to visual vertigo and photopsia. If accompanied by phlegm-fluid retention, the condition is critical within moments. One should urgently decoct and take this formula.
Ingredients: Shigao (Gypsum Fibrosum), Shan Yinchén (Artemisiae Scopariae Herba), Juhua (Chrysanthemi Flos), Fangfeng (Saposhnikoviae Radix), Jingjie (Schizonepetae Spica), Luofen (Concha Ostreae) (these six each 2 qian); Baizhi (Angelicae Dahuricae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Ejiao (Colla Corii Asini), Gancao (Licorice Root) (these four each 2 qian); Muxiang (Aucklandiae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma) (each half 1 qian). Total weight 1.5 liang. Cut into six doses. For each dose, use 1 sheng of water and half a qian of good tea, decoct until reduced to 0.8 sheng, and take orally while warm. Recovery occurs when slight sweating appears on the head.