大全云∶妊娠体虚受风，而伤太阳之经络，后复遇风寒相搏，发则口噤背强，名之曰
痉。又云痉，其候冒闷不识人，须臾自醒，良久复作，谓之风痉，一名子痫，一名子冒，甚则反张。
薛氏曰∶前证若心肝风热，用钩藤汤；肝脾血虚，加味逍遥散；肝脾郁怒，加味归脾汤；
气逆痰滞，紫苏饮；肝火风热，钩藤散；脾郁痰滞，二陈、姜汁、竹沥。若兼证相杂，当参照子
烦门。
丹溪治一妇人，怀妊六月发痫，手足扬直，面紫黑色，合眼涎出，昏愦不省人事，半时
而醒，医与震灵丹五十余帖，其疾时作时止，无减证，直至临产方自愈，产一女，蓐中子母
皆安。次年其夫疑丹毒必作，求治之，诊其脉，浮取弦，重取涩，按至骨，则沉实带数，时正二
月，因未见其痫发症状，未敢与药，意其旧年痫发时乃五月，欲待其时，度此疾必作，当审
证施治。至五月半，其疾果作，皆是午巳两时，遂教以自制防风通圣散，用甘草，加桃仁多红
花少，或服或呕，至四五十剂，疾渐疏而轻，后发为疥而愈。（以防风通圣散、桃仁、红花治之
者，为浮为风，弦为饮，涩为瘀血，沉实为有余，数为热也，观发疥而愈，知此药之妙）
羚羊角散 治妊娠冒闷，角弓反张，名曰子痫风痉。
羚羊角（镑） 独活 酸枣仁（炒） 五加皮 薏苡仁（炒） 防风 当归（酒浸） 川芎
茯神（去木） 杏仁（各五分） 木香 甘草（各二分）
上 咀，加生姜五片，水煎服。
葛根汤 疗妊娠临月，因发风痉，忽闷愦不识人，吐逆眩倒，少醒复发，名曰子痫。
葛根 贝母（去心） 牡丹皮 防风 当归 川芎 官桂 白茯苓 泽泻 甘草（各二两）
独活 石膏（碎） 人参（各三两）
上 咀，每服八钱，水煎服。贝母令人易产，若未临月者，以升麻代之（升麻代贝母
人所未信）。忌海藻、菘菜、酢物。此方犯桂与牡丹，不如羚羊角散之安。
芎活汤 治子痫，兼用产后逐恶血，下胞衣。（以风为主）
川芎 羌活（各等分）
上锉，水煎，入酒少许，温服。
羌活酒 治妊娠中风痉，口噤，四肢强直，角弓反张。（此方甚佳，可通杂 ）
羌活（去芦，一两半） 防风（去芦，一两） 黑豆（一合，去皮）
上前二味 咀，好酒五升，浸一宿，每服用黑豆一合，炒令热，投入药酒一大盏，候沸
即住，去滓，分两服灌之。
《大全》记载：孕妇体质虚弱，感受风邪，损伤太阳经络，之后又遭遇风寒相互搏结，发作时出现牙关紧闭、背部强直的症状，称为“痉”。又说，“痉”的症状表现为头昏闷、不省人事，片刻后自行苏醒，过一段时间再次发作，这称为“风痉”，又名“子痫”，又名“子冒”，严重时身体向后反折。
薛氏（薛己）说：上述病症如果是心肝风热所致，使用钩藤汤；如果是肝脾血虚，使用加味逍遥散；如果是肝脾郁怒，使用加味归脾汤；如果是气逆痰滞，使用紫苏饮；如果是肝火风热，使用钩藤散；如果是脾郁痰滞，使用二陈汤，并加入姜汁和竹沥。如果兼杂症状复杂，应当参照“子烦”门的内容进行治疗。
丹溪治疗一位妇人，怀孕六个月时发作痫证，手足伸展挥舞，面色呈紫黑色，闭眼流涎，昏迷不省人事，半个时辰后苏醒。医生给予震灵丹五十多帖，病情时好时坏，没有减轻，直到临产才自愈，生下一个女儿，产后母子都平安。第二年，她的丈夫怀疑是丹毒复发，求治于丹溪。丹溪诊察其脉象，轻取弦脉，重取涩脉，按至骨部，则见沉实而带数脉。当时正值二月，因为未见其痫证发作的症状，不敢贸然用药，推测她去年发病是在五月，打算等到那时，估计此病一定会发作，再仔细审察证候施治。到了五月半，她的病果然发作，都是在午时和巳时这两个时间段。于是教给她自制的防风通圣散，方中用甘草，增加桃仁用量，减少红花用量，或者服用，或者催吐，服到四五十剂后，病情逐渐稀疏且减轻，后来身上长出疥疮而痊愈。（之所以用防风通圣散、桃仁、红花来治疗，是因为浮脉主风，弦脉主饮，涩脉主瘀血，沉实主邪气有余，数脉主热。看其通过发疥疮而痊愈，可知此药的妙处。）
羚羊角散：治疗妊娠期间头昏闷、角弓反张，名为子痫风痉。
组成：羚羊角（镑片）、独活、酸枣仁（炒）、五加皮、薏苡仁（炒）、防风、当归（酒浸）、川芎、茯神（去木心）、杏仁（以上各五分）、木香、甘草（以上各二分）。
用法：将药物捣碎，加生姜五片，水煎服。
葛根汤：治疗妊娠临近预产期时，因患风痉，突然昏闷不省人事，呕吐眩晕跌倒，稍醒后又复发，名为子痫。
组成：葛根、贝母（去心）、牡丹皮、防风、当归、川芎、官桂、白茯苓、泽泻、甘草（以上各二两）、独活、石膏（打碎）、人参（以上各三两）。
用法：将药物捣碎，每次服用八钱，水煎服。贝母有助于顺利分娩，如果未到预产期，可以用升麻代替贝母（人们对此用升麻代替贝母的做法往往不信）。忌食海藻、白菜（菘菜）、醋制品。此方含有桂枝和牡丹皮，不如羚羊角散稳妥。
芎活汤：治疗子痫，也可用于产后祛除恶露、排出胎盘。（以风邪为主因）
组成：川芎、羌活（以上等分）。
用法：将药物切碎，水煎，加入少许酒，温服。
羌活酒：治疗妊娠中风引起的风痉，牙关紧闭，四肢强直，角弓反张。（此方效果很好，可用于各种杂症）
组成：羌活（去芦头，一两半）、防风（去芦头，一两）、黑豆（一合，去皮）。
用法：将前两种药材捣碎，用好酒五升，浸泡一夜。每次服用时，取黑豆一合，炒热，投入一大盏药酒中，煮沸后立即停火，滤去药渣，分两次灌服。
The *Daquan* records: When a pregnant woman has a weak constitution and is affected by wind pathogen, damaging the meridians and collaterals of the Taiyang (Greater Yang) channel, and subsequently encounters a struggle between wind-cold pathogens, the onset presents with lockjaw and stiffness of the back, termed "Jing" (Spasm). It is further stated that the manifestation of "Jing" includes dizziness, stuffiness, and loss of consciousness, followed by spontaneous recovery after a moment, only to recur after a while. This is called "Feng Jing" (Wind Spasm), also known as "Zi Xian" (Eclampsia of Pregnancy), or "Zi Mao" (Pregnancy Dizziness). In severe cases, it manifests as opisthotonos (backward arching of the body).
Xue Shi (Xue Ji) stated: For the aforementioned conditions, if caused by Wind-Heat in the Heart and Liver, use Gouteng Tang (Uncaria Decoction); if due to Blood Deficiency in the Liver and Spleen, use Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder); if due to Depression and Anger in the Liver and Spleen, use Jia Wei Gui Pi Tang (Modified Restore the Spleen Decoction); if due to Rebellious Qi and Phlegm Stagnation, use Zisu Yin (Perilla Infusion); if due to Liver Fire and Wind-Heat, use Gouteng San (Uncaria Powder); if due to Spleen Depression and Phlegm Stagnation, use Er Chen Tang (Two-Cured Decoction) with added Ginger Juice and Bamboo Sap. If complicated symptoms are mixed, treatment should refer to the section on "Zi Fan" (Pregnancy Restlessness).
Danxi treated a woman who suffered from epilepsy at six months of pregnancy. Her limbs extended and waved, her face was purple-black, she closed her eyes and drooled, and fell into a coma without consciousness. She woke up after half an hour. The physician administered fifty-plus doses of Zhen Ling Dan (Vibrating Spirit Pill), but the disease came and went without reduction in severity, only resolving spontaneously upon delivery. A daughter was born, and both mother and child were safe postpartum. The following year, her husband suspected a recurrence of carbuncle-toxin and sought Danxi's treatment. Danxi palpated her pulse: superficially it was Wiry (Xian), deeply it was Choppy (Se), and pressing to the bone revealed a Deep (Chen), Excess (Shi) quality with a Rapid (Shu) rate. It was the second month of the year. Since no epileptic symptoms were observed at that time, he dared not administer medicine immediately. He reasoned that her previous episode occurred in the fifth month; he waited for that time, anticipating the disease would recur, so he could examine the syndrome and treat accordingly. By mid-fifth month, the disease indeed manifested, occurring specifically during the Wu (11 AM–1 PM) and Si (9 AM–11 AM) hours. He then instructed her to take his self-formulated Fangfeng Tongsheng San (Saposhnikovia Decoction for Unblocking and Resolving), using Licorice Root (Gancao), increasing the dosage of Peach Kernel (Taoren), and decreasing the dosage of Safflower (Honghua). Whether taken orally or inducing vomiting, after forty to fifty doses, the disease gradually became less frequent and milder. Eventually, she developed scabies (skin sores) and was cured. (The rationale for using Fangfeng Tongsheng San, Taoren, and Honghua is that a Floating pulse indicates Wind, a Wiry pulse indicates Fluid retention, a Choppy pulse indicates Blood stasis, a Deep and Excess pulse indicates Pathogenic excess, and a Rapid pulse indicates Heat. Observing her cure through the eruption of scabies reveals the efficacy of this formula.)
Lingyangjiao San (Antelope Horn Decoction): Treats pregnancy-related dizziness, stuffiness, and opisthotonos, named Zi Xian Feng Jing (Eclamptic Wind Spasm).
Ingredients: Antelope Horn (Lingyangjiao, sliced), Angelica Pubescens (Duhuo), Sour Jujube Seed (Suanzaoren, stir-fried), Acanthopanax Bark (Wujiapi), Coix Seed (Yiyiren, stir-fried), Saposhnikovia Root (Fangfeng), Chinese Angelica Root (Danggui, soaked in wine), Szechwan Lovage Rhizome (Chuanxiong), Spirit-calming Poria (Fushen, woody core removed), Apricot Seed (Xingren) [each 5 fen], Costus Root (Muxiang), Licorice Root (Gancao) [each 2 fen].
Preparation: Coarsely crush the herbs, add five slices of fresh ginger, decoct in water, and take orally.
Gegen Tang (Kudzu Decoction): Treats pregnancy near term where Wind Spasm occurs, causing sudden stupor, loss of consciousness, vomiting, dizziness, and falling, with brief recovery followed by recurrence, named Zi Xian (Eclampsia).
Ingredients: Kudzu Root (Gegen), Fritillaria Bulb (Beimu, heart removed), Moutan Bark (Mudanpi), Saposhnikovia Root (Fangfeng), Chinese Angelica Root (Danggui), Szechwan Lovage Rhizome (Chuanxiong), Cinnamon Twig (Guigui), White Poria (Baifuling), Alisma Tuber (Zexie), Licorice Root (Gancao) [each 2 liang], Angelica Pubescens (Duhuo), Gypsum (Shigao, crushed), Ginseng (Renshen) [each 3 liang].
Preparation: Coarsely crush the herbs. Take 8 qian per dose, decoct in water, and take orally. Beimu facilitates easy delivery; if not near term, substitute with Cimicifuga Rhizome (Shengma) [a substitution many do not believe in]. Avoid consuming Seaweed (Haizao), Chinese Cabbage (Songcai), and Vinegar products. This formula contains Guizhi (Cinnamon Twig) and Mudanpi, making it less safe than Lingyangjiao San.
Xionghuo Tang (Ligusticum and Notopterygium Decoction): Treats Zi Xian (Eclampsia); also applicable postpartum to expel lochia and placenta. (Primary cause is Wind).
Ingredients: Ligusticum Chuanxiong Rhizome (Xiongnu), Notopterygium Rhizome (Qianghuo) [equal parts].
Preparation: Coarsely chop, decoct in water, add a small amount of wine, and take warm.
Qianghuo Jiu (Notopterygium Wine): Treats Wind-Stroke Spasm in pregnancy, presenting with lockjaw, limb rigidity, and opisthotonos. (This formula is excellent and can be used for various miscellaneous conditions).
Ingredients: Notopterygium Rhizome (Qianghuo, rhizome removed, 1.5 liang), Saposhnikovia Root (Fangfeng, rhizome removed, 1 liang), Black Soybean (Heidou, 1 he, skin removed).
Preparation: Coarsely crush the first two ingredients. Soak in 5 sheng of good wine overnight. For each dose, take 1 he of black soybeans, stir-fry until hot, pour into one large cup of the medicinal wine, boil briefly, then remove from heat. Strain the dregs, divide into two doses, and administer forcibly.