孙文垣治竹匠妇，孕五月，患心痛。究所由，为失足堕楼也。教饮韭菜汁一盏，痛随止。又服他医药二帖，
心复痛，吐鲜血盈盆，胸间冲冲上抵，痛不可言，危在顷刻。再诊，六脉皆洪大，汗出如雨，喘息不相续。亟
令移居楼下，与益元散五钱，紫苏调服。戒之曰∶今夜若睡，听其自醒，切勿惊动，汗止即苏也。服之果睡至
晓，汗敛，胸膈不痛，喘息亦定。再与固胎饮一帖全安。先是邻医诊之，谓吐血脉宜沉细，今反洪大，又汗出，
喘息不休，危在今夜。见病起来，询曰∶孕妇不得汗下及利小便，谓之三禁，昨剂悉犯之，而反获效，何也？
曰∶医贵审症。盖妇之汗，非由病，以楼居低小，当酷暑热逼故也。汗血去而胎失养，故上抵，喘息不续。移
楼下避暑气，益元散为解暑圣药，紫苏又为安胎妙品，气下则血归元，而病痊矣，法出《医垒元戎》中四血饮
是也。乃唯唯而退。（雄按∶紫苏虽安胎，大汗如雨者，不嫌太散乎？请酌之。）
张子和治吴产祥之妻，临月病喘，以凉膈散二两，四物汤二两，朴硝一两，作二服，煎令冷服，一服病减
大半，次又服之病痊。张曰∶孕妇有病，当十月九月内，朴硝无碍，八月者忌之，七月却无妨，十月者已成形
矣。（雄按∶朴硝究宜慎用。）
周仁斋治一孕妇痰喘，用生半夏一钱五分，肉桂、干姜各五分，五味子三分，麻黄二分。先以水煎，后下
药，勿令太热，热服其喘即止。（半夏、肉桂皆孕妇所忌，宜酌用。《证治大述》。）
薛立斋治吴江庠史万湖仲子室，二十余，疫疾堕胎，时咳。服清肺解表之药，喘急不寐，此脾土虚而不能
生肺金，药复损而益甚也。先与补中益气加茯苓、半夏、五味、炮姜，四剂渐愈。后往视之，用八珍汤加五味、
十全大补汤而愈。
孙文垣诊治一位竹匠的妻子，怀孕五个月时患有心痛。追问病因，是因为失足从楼上摔下所致。孙文垣让她喝下一盏韭菜汁，疼痛随即停止。之后她又服用了其他医生开的两剂药，心痛再次发作，吐出鲜血盈满盆子，胸中气冲上逆抵住咽喉，痛苦难以言表，生命危在旦夕。孙文垣再次诊脉，发现六脉皆洪大，汗出如雨，喘息断续不接。他急忙让人将病人移至楼下居住，给予益元散五钱，用紫苏汤调服。并告诫家属说：“今晚如果她睡着了，就让她自然醒来，千万不要惊动她，等汗止住了她就会苏醒。”服药后果然睡到第二天早晨，汗收敛了，胸膈不再疼痛，喘息也平复了。随后又给了一帖固胎饮，病情完全安定。起初邻医诊断时说，吐血之脉应当沉细，现在反而洪大，加上出汗、喘息不停，危险就在当晚。看到病人好转后，邻医询问原因说：“孕妇不得发汗、攻下及利小便，这称为‘三禁’，昨天的方子全都犯了这些禁忌，却反而获得了疗效，这是为什么呢？”孙文垣回答说：“医术贵在审察病症。这位妇女的出汗，并非由疾病引起，而是因为住在低矮的小楼里，遭受酷暑热邪逼迫所致。汗血流失导致胎元失去滋养，所以气机上逆，喘息断续。将其移至楼下避暑气，益元散是解暑的圣药，紫苏又是安胎的妙品，气机下降则血液回归本源，病也就痊愈了，此法出自《医垒元戎》中的四血饮。”邻医连连称是而退。（徐大椿按语：紫苏虽然能安胎，但大汗如雨的情况下，是否担心其发散太过？请斟酌。）
张子和诊治吴产祥的妻子，临产前患病气喘，使用凉膈散二两，四物汤二两，朴硝一两，分为两次服用，煎好后放冷服用。服一次后病势减轻大半，第二次服用后病愈。张子和说：“孕妇有病，在怀孕十月或九月时，使用朴硝没有妨碍；八月时应当忌用；七月时却无妨；到了十月胎儿已经成形了。”（徐大椿按语：朴硝终究应该谨慎使用。）
周仁斋诊治一位孕妇痰喘，使用生半夏一钱五分，肉桂、干姜各五分，五味子三分，麻黄二分。先用水煎煮，然后加入药物，不要让药液太热，温服后气喘立即停止。（注：半夏、肉桂均为孕妇禁忌药物，宜斟酌使用。引自《证治大述》。）
薛立斋诊治吴江庠生万湖的二儿子媳妇，二十多岁，因患疫病导致堕胎，时常咳嗽。服用清肺解表的药物后，出现喘急不能入睡的症状，这是因为脾土虚弱不能生养肺金，药物进一步损伤正气使得病情加重。先给予补中益气汤加茯苓、半夏、五味子、炮姜，服用四剂后逐渐好转。后来再去探望时，改用八珍汤加五味子，以及十全大补汤，最终痊愈。
Sun Wenyuan treated the wife of a bamboo craftsman who was five months pregnant and suffered from heart pain. Upon investigating the cause, it was found to be due to falling from a building after losing her footing. Sun instructed her to drink one cup of Chinese chive juice, after which the pain ceased. However, after taking two doses of medicine prescribed by another physician, the heart pain recurred, accompanied by vomiting blood filling a basin, a sensation of Qi rushing upward to the throat, unbearable pain, and imminent danger. Upon re-examination, all six pulses were surging and large (Hong Da), with profuse sweating like rain and intermittent panting. Sun urgently ordered that she be moved to a room on the ground floor and administered Yi Yuan San (Five Element Powder) 5 qian, mixed and taken with Perilla decoction. He warned the family: "If she falls asleep tonight, let her wake up naturally; do not disturb her. Once the sweating stops, she will recover." She indeed slept until dawn, the sweating subsided, the chest discomfort disappeared, and the panting stabilized. Subsequently, one dose of Gu Tai Yin (Fetus-Securing Decoction) was given, resulting in complete stability. Initially, a neighboring physician had diagnosed that the pulse for hematemesis should be deep and fine; since it was now surging and large, combined with sweating and continuous panting, he deemed the patient's life in danger that night. Seeing the patient recover, the neighbor asked: "For pregnant women, diaphoresis, purgation, and promoting urination are forbidden, known as the 'Three Prohibitions.' Yesterday's prescription violated all three, yet achieved efficacy. Why?" Sun replied: "Medicine values accurate syndrome differentiation. The woman's sweating was not caused by disease but by residing in a low, small house under the pressure of intense summer heat. The loss of sweat and blood deprived the fetus of nourishment, causing Qi to rush upward and breathing to become intermittent. Moving her downstairs avoided the summer heat; Yi Yuan San is a sacred remedy for resolving summerheat, and Perilla is an excellent herb for calming the fetus. As Qi descends, blood returns to its origin, and the illness resolves. This method originates from Si Xue Yin (Four Blood Decoction) in *Yi Lei Yuan Rong*." The neighbor agreed and withdrew. (Xu Dachun notes: Although Perilla calms the fetus, is it not too dispersing when there is profuse sweating like rain? Please consider this.)
Zhang Zihe treated the wife of Wu Chanxiang, who suffered from asthma near term. He prescribed Liang Ge San (Cooling the Chest Powder) 2 liang, Si Wu Tang (Four Substance Decoction) 2 liang, and Mirabilite 1 liang, divided into two doses. After decocting, they were taken cold. After one dose, the illness reduced by more than half; after the second dose, she recovered. Zhang stated: "When pregnant women are ill, Mirabilite is harmless during the tenth or ninth month; it is contraindicated in the eighth month; it is permissible in the seventh month; by the tenth month, the fetus has already formed." (Xu Dachun notes: Mirabilite should ultimately be used with caution.)
Zhou Renzhai treated a pregnant woman with phlegm-induced asthma. He used raw Pinellia Rhizome 1.5 qian, Cinnamon Bark 0.5 qian, Dried Ginger 0.5 qian, Schisandra Berry 0.3 qian, and Ephedra Stem 0.2 fen. These were first decocted in water, then the herbs were added. The mixture should not be too hot; taken warm, the asthma ceased immediately. (Note: Pinellia Rhizome and Cinnamon Bark are both contraindicated for pregnant women; use with discretion. From *Zheng Zhi Da Shu*.)
Xue Lizhai treated the wife of the second son of Wanhu, a student at the local academy in Wujiang, aged over twenty. She had suffered a miscarriage due to an epidemic disease and experienced frequent coughing. After taking herbs for clearing the lungs and releasing the exterior, she developed急促 panting and insomnia. This was because the Spleen Earth was deficient and unable to generate Lung Metal, and the medication further damaged the body, exacerbating the condition. Initially, Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) plus Poria, Pinellia, Schisandra, and Prepared Ginger was prescribed. After four doses, she gradually improved. Upon subsequent visits, Ba Zhen Tang (Eight Treasure Decoction) plus Schisandra, followed by Shi Quan Da Bu Tang (Ten Significant Tonifying Decoction), led to her full recovery.