妊娠气喘不得卧，有因乍感风寒客邪为害者，宜发散自愈，参苏饮主之。若脾
虚四肢无力，肺虚不任风寒，肾虚腰酸短气，不能行步，猝然气喘不息，此脾肺素亏，母虚子亦虚，肾
气不归元而上乘于肺也，生脉散、补中益气汤去升、柴主之。
丹溪云∶火动作喘，此胎前最多。予谓嗽门苏桔汤可加减用之获效。至于毒药伤胎病喘，世俗往往有之，
不可不察。昔有一妇，胎死于腹，病喘不得卧，诊其脉，气口盛人迎一倍，左关弦动而疾，两尺俱短而离经，
因毒药动血，以致死胎不下，奔迫上冲，非风寒作喘也，大剂芎归汤加催生药服之，夜半果下死胎而喘止。
此妇乃为人外家，因正室所嫉，故用药去之，人所不知也。考《济阴纲目》内，有平安散一方，治孕妇喘急，
录后以备采用耳。
参苏饮
人参 紫苏 干葛 前胡 制半夏 茯苓 陈皮（各等分） 枳壳（麸炒） 桔梗 木香 甘草（各减半）
姜枣煎。
平安散 治孕妇上气喘急，大便不通，呕吐不食，腹胁胀满。
川芎 木香 熟地 陈皮 炮姜 浓朴（制） 甘草（各一钱）
水二钟，入烧盐一捻，煎至一钟，不拘时服。
生脉散（见下卷晕厥门，附参麦五味饮下。） 补中益气汤 芎归汤（俱见本卷诸痛门。）
妊娠期间出现气喘、无法平卧的症状，如果是因突然感受风寒外邪所致，适宜通过发散表邪的方法治疗，症状多能自愈，主方选用参苏饮。若是脾气虚弱导致四肢无力，肺气虚弱不能抵御风寒，肾气亏虚导致腰膝酸软、呼吸短促、行走困难，突然发生气喘不止，这是由于脾肺素来亏虚，母体虚弱则子脏亦弱，肾气不能归元而上逆犯肺所致，主方选用生脉散或补中益气汤（去除升麻、柴胡）。
丹溪曾说：火热内动引起的喘息，在胎前阶段最为多见。我认为嗽门苏桔汤可以加减使用，往往能取得疗效。至于因服用毒药损伤胎儿而引发的病喘，世俗间常有发生，不可不仔细辨别。过去有一位妇女，胎儿死于腹中，患病气喘无法平卧，诊察其脉象，气口脉比人迎脉大一倍，左关脉弦急而动且快，两尺脉均短促且呈现离经之象，这是因为服用毒药扰动血分，导致死胎不下，气血奔迫上冲，并非风寒引起的喘息，于是给予大剂量的芎归汤加入催生药物服用，半夜果然排出死胎，喘息随即停止。这位妇女是别人的岳母，因为正室嫉妒她，所以用药害死了胎儿，这是旁人不知道的内情。考证《济阴纲目》一书，其中有一方名为平安散，专门治疗孕妇气喘急促，现记录在后面以备采用。
参苏饮
人参、紫苏、干葛、前胡、制半夏、茯苓、陈皮（各等分），枳壳（麸炒）、桔梗、木香、甘草（各减半量）。用生姜、大枣煎服。
平安散 治疗孕妇上气喘急，大便不通，呕吐不能进食，腹部和胁肋胀满。
川芎、木香、熟地、陈皮、炮姜、浓朴（制）、甘草（各一钱）。
用水二钟，加入烧过的盐一捻，煎至一钟，不拘时候服用。
During pregnancy, if panting and inability to lie flat occur due to a sudden contraction of wind-cold pathogenic factors, it is appropriate to treat with dispersing methods for self-healing; Shen Su Yin (Ginseng and Perilla Decoction) is the primary formula. If spleen deficiency causes weakness in the four limbs, lung deficiency fails to resist wind-cold, kidney deficiency results in soreness and weakness of the lower back, shortness of breath, and difficulty walking, leading to sudden continuous panting, this indicates that the spleen and lungs have been chronically deficient. The mother's deficiency leads to the child's (fetus/organ) deficiency, and kidney qi fails to return to its origin, rising upward to invade the lungs. Sheng Mai San (Generate the Pulse Powder) or Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction, excluding Sheng Ma and Chai Hu) are the primary formulas.
Danxi stated: Panting caused by internal heat movement is most common during the antenatal period. I believe that Su Jie Tang (Perilla and Platycodon Decoction) from the cough section can be used with modifications to achieve efficacy. As for pathological panting caused by toxic drugs damaging the fetus, such cases often occur in secular practice and must not be overlooked. In the past, there was a woman whose fetus died in the womb, suffering from panting and inability to lie flat. Her pulse diagnosis showed the Qikou (Radial Artery at the Cunkou position) pulse being twice as strong as the Renying (Carotid Artery) pulse; the Left Guan (Cun) pulse was wiry, moving, and rapid; both Chi (Chi) pulses were short and deviated from the normal course (Li Jing). This was because toxic drugs disturbed the blood, causing the dead fetus to remain retained, with qi and blood rushing upward. This was not panting caused by wind-cold. Therefore, a large dose of Xiong Gui Tang (Ligusticum and Angelica Decoction) combined with parturition-inducing herbs was administered. At midnight, the dead fetus was indeed expelled, and the panting ceased. This woman was the mother-in-law of another person; jealous of her by the principal wife, she had used drugs to terminate the pregnancy, a fact unknown to others. Consulting the *Ji Yin Gang Mu* (Comprehensive Outline of Women's Diseases), there is a formula called Ping An San (Peaceful Safety Powder) for treating pregnant women with urgent panting. It is recorded below for reference.
Shen Su Yin (Ginseng and Perilla Decoction)
Ren Shen (Ginseng Radix), Zi Su (Perilla Leaf), Gan Ge (Kudzu Root), Qian Hu (Peucedani Radix), Zhi Ban Xia (Prepared Pinellia Tuber), Fu Ling (Poria), Chen Pi (Citrus Reticulatae Pericarpium) (equal parts); Zhi Ke (Bupleuri Fructus, bran-fried), Jie Geng (Platycodon Root), Mu Xiang (Aucklandiae Radix), Gan Cao (Licorice Root) (half the amount of the equal parts). Decoct with Sheng Jiang (Zingiberis Rhizoma Recens) and Da Zao (Jujubae Fructus).
Ping An San (Peaceful Safety Powder) Treats pregnant women with upper body urgent panting, constipation, vomiting, inability to eat, and abdominal and hypochondriac fullness.
Chuan Xiong (Ligustici Chuanxiong Rhizoma), Mu Xiang (Aucklandiae Radix), Shu Di (Rehmanniae Radix Preparata), Chen Pi (Citrus Reticulatae Pericarpium), Pao Jiang (Zingiberis Rhizoma Preparatum), Hou Po (Magnoliae Officinalis Cortex) (prepared), Gan Cao (Licorice Root) (each 1 qian).
Use two zhong of water, add a pinch of burnt salt, decoct until one zhong remains. Take at any time.
Sheng Mai San (See Volume Lower, Syncope Section, attached under Shen Mai Wu Wei Yin.) Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) Xiong Gui Tang (Ligusticum and Angelica Decoction) (All seen in this volume, Various Pain Section.)