妊娠心惊胆怯，烦闷不安，名曰子烦，竹叶安胎饮主之。大抵皆由心肺虚热，
是以撩乱心烦，或积痰于胸，吐涎恶食，亦令心烦，剧则胎动不安。如心肺虚热，或积痰于中，千金
竹沥汤。若吐甚，胎动不安，烦闷口干，不得眠，又吐涎过多，以致外虽不热，而觉五心烦热，或日间
不觉，而夜觉热者，并宜加味竹叶汤。气虚倍人参，气滞紫苏饮，痰滞二陈加白术、黄芩、枳壳，胁满
寒热小柴胡，脾胃虚弱六君子加紫苏、山栀。至于妊娠烦躁口干者，缘足太阴脾其气通于口，手少阴
心其气通于舌，脏腑气虚，热乘心脾，津液枯燥，故心烦口干，与子烦大同小异，宜用加减参麦汤，又
有用知母丸而效者。如肝经火动，加味逍遥散。若肾经火动，宜地黄丸，随证加味用之。如孕妇口干不
卧，一味黄连散，或用尊生加味安胎饮。查方书有妇人暴渴，惟饮五味汁之证，盖血欲凝成胎，脉息调
和，非疾病也。因肺肾二经有火，火入肺则烦，入肾则躁。胎系于肾，肾水养其胎元，则不足以滋肾中
之火，火上烁肺，变为烦躁者，金亏水涸之候，法当滋化源，清金保肺，壮水滋肾为主。
竹叶安胎饮 治孕妇心惊胆怯，烦闷不安，名曰子烦证。
人参 生地 枣仁（去壳炒研） 远志（甘草水制，去骨。各一钱） 当归（酒洗） 白术（土炒。
各二钱） 麦
冬（去心） 条芩 川芎（各八分） 陈皮 炙草（各四分） 竹叶（十四片）
姜一片，大枣二枚，水煎服。渴加竹茹七分。
千金竹沥汤 治妊娠子烦。
竹沥（一盏） 茯苓（四钱） 麦冬（去心） 防风 黄芩（各三钱）
上药四味，以水四升，合竹沥煮取二升，分三服。不瘥，更作。此乃古方分两，宜易今法用之。
加味竹叶汤 治妊娠心烦不解，名曰子烦。并治五心烦热。原方竹叶汤无人参、粳米。
人参 黄芩（各一钱） 茯苓（一钱五分） 麦冬（二钱五分，去心） 竹叶（五片） 粳米（一撮）
水煎，空心热服。肥人，加制半夏、生姜为引。因血虚烦热，宜原方兼用四物汤。因中气
虚弱，宜原方兼用四君子汤。一方，照原方加当归、防风、炒栀仁，
亦名加味竹叶汤。
二陈汤 治痰积呕恶。
陈皮（一钱） 半夏（制） 茯苓（各一钱五分） 炙草（八分）
水煎服。
加减参麦汤 治孕妇心神烦躁，壅热口干。
人参 知母 麦冬（去心） 栀子（炒。各一钱） 栝蒌根 犀角（磨。各八分） 条芩 炙草（各五分）
枣一枚，水煎服。夏加竹沥八分，姜汁少许。
知母丸（又名一母丸。） 治妊娠因服药致胎气不安，有似虚烦不得眠，巢氏谓之子烦。医者
不知，作虚烦治之，损动胎气宜矣。
知母（二两，酒焙）
为细末，枣肉丸如弹子大。每服一丸，煎人参汤化服。
一味黄连散 治孕妇口干不卧。
黄连（一钱）
上为末，粥饮汤调下。或用丹溪安胎饮加麦冬、干葛，服之亦妙。
尊生加味安胎饮 治孕妇口干。
归身（酒浸） 白芍（炒） 熟地 生地 砂仁 阿胶（蛤粉炒成珠。各一钱） 条芩（一钱五分） 杜仲
（盐酒炒断丝） 白术（土炒。各二钱） 川芎 陈皮 苏梗（各五分） 续断（炒，取净肉） 麦冬（去心） 干
葛知母（酒焙） 栀子（炒黑） 花粉 犀角 竹沥（各八分）
水煎服。考尊生安胎饮本方，自归身起至续断止，共药十三味。今此方名加味，又自麦冬至竹沥，连
前共二十味。如嫌药味过多，临证酌而减之可耳。
紫苏饮 四物汤 丹溪安胎饮（俱见本卷安胎门。） 小柴胡汤 六君子汤（俱见本卷
诸痛门。） 加味逍遥散（见本卷子悬门。附逍遥散下。） 地黄丸（见本卷诸痛门，附六味地
黄汤下。） 四君子汤（见本卷胎逆上逼门。）
妊娠期间出现心惊胆怯、烦闷不安的症状，称为“子烦”，主要使用竹叶安胎饮治疗。这大多是由于心肺虚热所致，导致心神撩乱、心烦意乱；或者胸中积有痰浊，表现为吐涎沫、厌恶饮食，也会引起心烦，严重时会导致胎动不安。如果是心肺虚热，或者胸中积痰，可使用千金竹沥汤。如果呕吐严重，伴有胎动不安、烦闷口干、无法入睡，且吐涎过多，虽然体表感觉不到发热，但自觉五心（两手心、两足心及心胸）烦热，或者白天不觉热而夜间觉得发热的情况，都适宜使用加味竹叶汤。若属气虚，人参用量加倍；若属气滞，使用紫苏饮；若属痰滞，使用二陈汤加白术、黄芩、枳壳；若属胁肋胀满、寒热往来，使用小柴胡汤；若属脾胃虚弱，使用六君子汤加紫苏、山栀。至于妊娠期间出现烦躁、口干的情况，是因为足太阴脾经之气通于口，手少阴心经之气通于舌，脏腑之气虚弱，热邪乘袭心脾，导致津液枯燥，从而出现心烦、口干，这与子烦大同小异，适宜使用加减参麦汤，也有使用知母丸见效的。如果是肝经火动，使用加味逍遥散。如果是肾经火动，适宜使用地黄丸，根据症状随证加减使用。如果孕妇口干不能安卧，可使用一味黄连散，或者使用尊生加味安胎饮。查阅方书中有妇人突然口渴，只饮用五味汁的记载，这是因为血液欲凝结成胎，脉息调和，并非疾病。这是由于肺、肾二经有火，火入肺则烦，入肾则躁。胎元系于肾，肾水滋养胎元，则不足以制约肾中之火，火上灼烧肺金，变为烦躁，这是金亏水涸的征候，治法应当以滋生化之源、清金保肺、壮水滋肾为主。
竹叶安胎饮：治疗孕妇心惊胆怯、烦闷不安，名为子烦证。
组成：人参、生地、枣仁（去壳炒研）、远志（甘草水制，去骨，各一钱）、当归（酒洗）、白术（土炒，各二钱）、麦冬（去心）、条芩、川芎（各八分）、陈皮、炙甘草（各四分）、竹叶（十四片）。
用法：生姜一片，大枣二枚，水煎服。口渴者加竹茹七分。
千金竹沥汤：治疗妊娠子烦。
组成：竹沥（一盏）、茯苓（四钱）、麦冬（去心）、防风、黄芩（各三钱）。
用法：以上四味药，用水四升，加入竹沥煮取二升，分三次服用。未愈者，再制作服用。这是古方的分量，应当改用现代方法使用。
加味竹叶汤：治疗妊娠心烦不解，名为子烦。并治疗五心烦热。原方竹叶汤无人参、粳米。
组成：人参、黄芩（各一钱）、茯苓（一钱五分）、麦冬（二钱五分，去心）、竹叶（五片）、粳米（一撮）。
用法：水煎，空腹热服。体型肥胖者，加制半夏、生姜为引。因血虚烦热者，宜原方兼用四物汤。因中气虚弱者，宜原方兼用四君子汤。另一版本，照原方加当归、防风、炒栀子仁，也名为加味竹叶汤。
二陈汤：治疗痰积呕恶。
组成：陈皮（一钱）、半夏（制）、茯苓（各一钱五分）、炙甘草（八分）。
用法：水煎服。
加减参麦汤：治疗孕妇心神烦躁、壅热口干。
组成：人参、知母、麦冬（去心）、栀子（炒，各一钱）、栝蒌根、犀角（磨，各八分）、条芩、炙甘草（各五分）。
用法：大枣一枚，水煎服。夏季加竹沥八分，少许姜汁。
知母丸（又名一母丸）：治疗妊娠因服药导致胎气不安，有类似虚烦不得眠的症状，巢氏称之为子烦。医者不知此理，当作虚烦治疗，就会损伤胎气。
组成：知母（二两，酒焙）。
用法：研为细末，用枣肉制成如弹子大的丸剂。每次服用一丸，用人参汤化开服用。
一味黄连散：治疗孕妇口干不卧。
组成：黄连（一钱）。
用法：研为细末，用粥饮调下。或者使用丹溪安胎饮加麦冬、干葛，服用也很奇妙。
尊生加味安胎饮：治疗孕妇口干。
组成：归身（酒浸）、白芍（炒）、熟地、生地、砂仁、阿胶（蛤粉炒成珠，各一钱）、条芩（一钱五分）、杜仲（盐酒炒断丝）、白术（土炒，各二钱）、川芎、陈皮、苏梗（各五分）、续断（炒，取净肉）、麦冬（去心）、干葛、知母（酒焙）、栀子（炒黑）、花粉、犀角、竹沥（各八分）。
用法：水煎服。考证尊生安胎饮本方，自归身起至续断止，共药十三味。如今此方名为加味，又自麦冬至竹沥，连同前药共二十味。如果觉得药味过多，临证时酌情减少即可。
紫苏饮、四物汤、丹溪安胎饮（均见本卷安胎门）。小柴胡汤、六君子汤（均见本卷诸痛门）。加味逍遥散（见本卷子悬门，附逍遥散下）。地黄丸（见本卷诸痛门，附六味地黄汤下）。四君子汤（见本卷胎逆上逼门）。
During pregnancy, if one experiences a startled heart, timidity, restlessness, and discomfort, it is termed "Zi Fan" (Fetal Agitation). The primary treatment is Zhuye Antai Yin (Bamboo Leaf Fetus-Calming Decoction). Generally, this arises from deficiency-heat in the Heart and Lung meridians, causing mental disturbance and vexation. Alternatively, phlegm accumulation in the chest may lead to salivation, aversion to food, and vexation; in severe cases, it causes fetal movement insecurity. For deficiency-heat in the Heart and Lung, or phlegm accumulation in the middle jiao, Qianjin Zhuli Tang (Thousand-Gold Bamboo Sap Decoction) is indicated. If vomiting is severe, accompanied by fetal movement insecurity, vexation, dry mouth, insomnia, and excessive salivation, despite no external heat sensation but feeling five-center heat (heat in the palms, soles, and chest), or feeling heat at night but not during the day, Jiawei Zhuye Tang (Modified Bamboo Leaf Decoction) is suitable. In cases of Qi deficiency, double the dosage of Renshen (Ginseng Radix et Rhizoma); for Qi stagnation, Zisu Yin (Perilla Decoction); for Phlegm stagnation, Erchen Tang (Two-Aged Decoction) with Baizhu (Atractylodis Macrocephalae Rhizoma), Huangqin (Scutellariae Radix), and Zhike (Aurantii Fructus); for hypochondriac fullness and alternating chills and fever, Xiaochaihu Tang (Minor Bupleurum Decoction); for Spleen and Stomach weakness, Liujunzi Tang (Six-Gentlemen Decoction) with Zisu (Perillae Folium) and Shanzhi (Gardeniae Fructus). Regarding irritability and dry mouth during pregnancy, it occurs because the Qi of the Foot-Taiyin Spleen meridian connects to the mouth, and the Qi of the Hand-Shaoyin Heart meridian connects to the tongue. Visceral Qi deficiency allows Heat to invade the Heart and Spleen, drying up body fluids, resulting in vexation and dry mouth. This is largely similar to Zi Fan. Jiajian Shenmai Tang (Modified Ginseng and Ophiopogon Decoction) is appropriate, though Zhimu Wan (Anemarrhenae Pill) has also proven effective. If Liver Meridian Fire is active, Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) is used. If Kidney Meridian Fire is active, Dihuang Wan (Rehmanniae Pill) is indicated, modified according to symptoms. For pregnant women with dry mouth and inability to lie down, Yiwai Huanglian San (Single Coptis Powder) or Zunsheng Jiawei Antai Yin (Respect-Life Modified Fetus-Calming Decoction) may be used. Medical texts record cases of sudden thirst in women, cured only by drinking Wuwei Zhi (Five-Flavor Juice), which is due to blood condensing to form the fetus and harmonious pulse conditions, not a disease. However, Fire in the Lung and Kidney meridians causes vexation when entering the Lung and restlessness when entering the Kidney. Since the fetus is rooted in the Kidney, Kidney Water nourishes the fetal origin; if insufficient to control Kidney Fire, the Fire scorches Lung Metal, leading to irritability. This indicates a deficiency of Metal and exhaustion of Water. The treatment should focus on nourishing the source of transformation, clearing Metal to protect the Lung, and strengthening Water to nourish the Kidney.
Zhuye Antai Yin: Treats pregnant women with startled heart, timidity, restlessness, and discomfort, known as Zi Fan syndrome.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Shengdi (Rehmanniae Radix), Zaoren (Ziziphi Spinosae Semen, shell removed, stir-fried and crushed), Yuanzhi (Polygalae Radix, processed with Licorice water, bone removed, each 1 qian), Danggui (Angelicae Sinensis Radix, washed with wine), Baizhu (Atractylodis Macrocephalae Rhizoma, soil-stir-fried, each 2 qian), Maidong (Ophiopogonis Radix, heart removed), Tiaoqin (Scutellariae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma, each 8 fen), Chenpi (Citri Reticulatae Pericarpium), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata, each 4 fen), Zhuye (Bambusae Folium, 14 leaves).
Usage: One slice of Shengjiang (Zingiberis Rhizoma Recens), two dates, decocted in water and taken orally. Add Zhuru (Bambusae Caulis in Taenia) 7 fen if thirsty.
Qianjin Zhuli Tang: Treats Zi Fan during pregnancy.
Ingredients: Zhuli (Bambusae Sap, one sheng), Fuling (Poria, 4 qian), Maidong (Ophiopogonis Radix, heart removed), Fangfeng (Saposhnikoviae Radix), Huangqin (Scutellariae Radix, each 3 qian).
Usage: These four herbs are boiled with four sheng of water and Zhuli until two sheng remain. Divide into three doses. If not cured, prepare again. These are ancient measurements; modern methods should be applied.
Jiawei Zhuye Tang: Treats persistent vexation during pregnancy, termed Zi Fan. Also treats five-center heat. The original Zhuye Tang lacks Renshen and Jingmi.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Huangqin (Scutellariae Radix, each 1 qian), Fuling (Poria, 1.5 qian), Maidong (Ophiopogonis Radix, heart removed, 2.5 qian), Zhuye (Bambusae Folium, 5 leaves), Jingmi (Oryza Sativa Grain, a pinch).
Usage: Decoct in water and take hot on an empty stomach. For obese individuals, add Zhibanxia (Pinelliae Rhizoma Preparatum) and Shengjiang (Zingiberis Rhizoma Recens) as guides. For vexation and heat due to Blood deficiency, use the original formula combined with Siwu Tang (Four Substances Decoction). For deficiency of Middle Qi, use the original formula combined with Sijunzi Tang (Four Gentlemen Decoction). Another version adds Danggui (Angelicae Sinensis Radix), Fangfeng (Saposhnikoviae Radix), and Chao Zhiren (Gardeniae Fructus, stir-fried) to the original formula, also named Jiawei Zhuye Tang.
Erchen Tang: Treats phlegm accumulation and nausea/vomiting.
Ingredients: Chenpi (Citri Reticulatae Pericarpium, 1 qian), Banxia (Pinelliae Rhizoma, prepared), Fuling (Poria, each 1.5 qian), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata, 8 fen).
Usage: Decoct in water and take orally.
Jiajian Shenmai Tang: Treats maternal mental vexation, heat congestion, and dry mouth.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Zhimu (Anemarrhenae Rhizoma), Maidong (Ophiopogonis Radix, heart removed), Zhizi (Gardeniae Fructus, stir-fried, each 1 qian), Gualougen (Trichosanthis Radix), Xijiao (Rhinocerotis Cornu, ground, each 8 fen), Tiaoqin (Scutellariae Radix), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata, each 5 fen).
Usage: One date, decoct in water and take orally. In summer, add Zhuli (Bambusae Sap) 8 fen and a little Jiangzhi (Zingiberis Rhizoma Recens juice).
Zhimu Wan (also known as Yimu Wan): Treats fetal insecurity caused by medication during pregnancy, presenting with symptoms similar to deficiency-vexation and insomnia, referred to as Zi Fan by Chao Yuanfang. Physicians unaware of this may treat it as deficiency-vexation, thereby damaging the fetal Qi.
Ingredients: Zhimu (Anemarrhenae Rhizoma, 2 liang, baked with wine).
Usage: Grind into fine powder, form pills with Jiarou (Zizyphi Fructus pulp) the size of a bullet. Take one pill per dose, dissolved in Renshen Tang (Ginseng Decoction).
Yiwai Huanglian San: Treats maternal dry mouth and inability to lie down.
Ingredients: Huanglian (Coptidis Rhizoma, 1 qian).
Usage: Grind into powder, mix with porridge drink and take orally. Alternatively, use Danxi Antai Yin (Danxi's Fetus-Calming Decoction) with Maidong (Ophiopogonis Radix) and Gange (Puerariae Radix), which is also effective.
Zunsheng Jiawei Antai Yin: Treats maternal dry mouth.
Ingredients: Guishen (Angelicae Sinensis Radix, soaked in wine), Baishao (Paeoniae Radix Alba, stir-fried), Shudi (Rehmanniae Radix Preparata), Shengdi (Rehmanniae Radix), Sharen (Amomi Fructus), Ejiao (Asini Corii Colla, stir-fried with蛤粉 to pearls, each 1 qian), Tiaoqin (Scutellariae Radix, 1.5 qian), Duzhong (Eucommiae Cortex, stir-fried with salt-wine until fibers break), Baizhu (Atractylodis Macrocephalae Rhizoma, soil-stir-fried, each 2 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Sugeng (Perillae Caulis, each 5 fen), Xuduan (Dipsaci Radix, stir-fried, pure flesh taken), Maidong (Ophiopogonis Radix, heart removed), Gange (Puerariae Radix), Zhimu (Anemarrhenae Rhizoma, baked with wine), Zhizi (Gardeniae Fructus, stir-fried until black), Huafen (Trichosanthis Radix), Xijiao (Rhinocerotis Cornu), Zhuli (Bambusae Sap, each 8 fen).
Usage: Decoct in water and take orally. Examining the original Zunsheng Antai Yin formula, from Guishen to Xuduan, there are thirteen herbs. This modified formula adds from Maidong to Zhuli, totaling twenty herbs. If the number of herbs is considered excessive, reduce them according to clinical judgment.
Zisu Yin (Perilla Decoction), Siwu Tang (Four Substances Decoction), Danxi Antai Yin (Danxi's Fetus-Calming Decoction) (all see Anti-Men [Fetus-Calming Section] in this volume). Xiaochaihu Tang (Minor Bupleurum Decoction), Liujunzi Tang (Six-Gentlemen Decoction) (all see Zhu Tong Men [Various Pain Section] in this volume). Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) (see Zi Xuan Men [Fetal Hanging Section] in this volume, attached under Xiaoyao San). Dihuang Wan (Rehmanniae Pill) (see Zhu Tong Men [Various Pain Section] in this volume, attached under Liuwei Dihuang Tang). Sijunzi Tang (Four Gentlemen Decoction) (see Tai Ni Shang Bi Men [Fetal Reversal Upward Pressure Section] in this volume).