高鼓峰治吴餐霞室人妊娠，患胸腹 胀，不思饮食，口渴下痢。医以消导寒凉与之，病转甚，而胎不安。
高曰∶此得于饮食后，服凉水所致耳。（脉必沉而迟濡。）投以大剂理中汤，数剂乃全愈。
一妇人患内伤证，孕已八月，身体壮热口渴，舌苔焦黑，医以寒凉治之。高曰∶无论内伤，即麻黄、桂枝
证也，须安胎后攻邪。今两手脉数大无伦，虚热盛极，乃复用寒凉，阳受阴逼，其能久乎？投以滋肾生肝饮，
一剂热退，继用补中益气汤而愈。
薛立斋治一妊妇，因停食，服枳术丸，胸腹不利，饮食益少。少服消导宽中之剂，其胎欲坠，此脾气虚而
不能承载也。用补中益气及六君子汤，中气渐健，其胎渐安。又用八珍汤加柴胡、升麻调理而痊。
一妊妇饮食停滞，心腹痛胀。或用人参养荣汤加青皮、山楂、枳壳，其胀益甚，其胎上攻，恶心不食，右
关脉浮大，按之则弦。此脾土不足，为肝木所侮。用六君子加柴胡、升麻而愈。后小腹痞闷，用补中益气汤升
举脾气乃痊。
魏玉横曰∶姚葭田室人，年三十余，颀而肥白，前二子皆殒，后孕而胎堕，今又恶阻甚逆。脉之，虚软
而大，与杞子、地黄、沙参、麦冬、川连等，渐向安。又腰腹腿足时痛，或加当归、白芍，或加山药、枣仁、
熟地，用至两许。或下坠，则以补中益气一二剂，以熟地、山药代参、术。或时胸腹胀痛，稍用香、砂、橘、
术，则中气便觉冲惕，良由久虚荣弱，香燥毫不相宜。彼执方治病者，可与言治法乎哉！后服药几百帖，足月生男。
胡干若室人，年二十余，婚数年无生育，因诊翁，便求诊。曰∶孕也，然三阴俱不足。曰∶孕或未然，今
所患夜热咳嗽，腹痛便溏，左足不良于步。询其腹痛必内外牵引，腰亦必痛，足之筋则短而不舒。又下午则肿
否？曰∶皆如所言。然则，三阴虚损无疑矣，与杞、地、归、芍、沙参、麦冬等，令服五十剂，临月再服二十
剂，乃无后患。又服十余剂病已痊，遂不药。后临产晕厥，产后复厥，专科以其寒热往来，则投柴胡、桂枝，
腹痛便溏则与炮姜、白术，致身发白痱，细者如芝麻，粗者如绿豆，腹痛甚则偃卧，以蒲团着腹，左右旋转稍
可。脉之，弦急而数，舌黑而燥，此肝火乘三阴大伤为患也。令以前方加熟地、川连、白芍、甘草，数剂而愈。
次年患痢，医以痢药愈之。又明年腹痛便溏，与前年初孕证同。召前医，则仍以为痢也，恪与攻伐，遂胎堕而
死。又张氏姊妹三人，每胎皆腹痛泄利，产后乃止。此虽胎气，亦由肝木乘脾所致。
高鼓峰诊治吴餐霞的妻子，妊娠期间出现胸腹部胀满、不思饮食、口渴且下痢的症状。医生使用消食导滞和寒凉性质的药物治疗，病情反而加重，导致胎气不安。
高鼓峰说：“这是由于饮食之后饮用凉水所致。（脉象必定沉而迟且濡软。）”于是投以大剂量的理中汤，服用数剂后完全痊愈。
另一位妇人患有内伤证，怀孕已八个月，身体高热、口渴，舌苔焦黑，医生用寒凉药治疗。高鼓峰说：“无论是否为内伤，即使是麻黄汤或桂枝汤证（外感风寒表实证或表虚证），也必须先安胎再祛邪。如今两手脉象数大无比，虚热极盛，却再用寒凉药，阳气受阴邪逼迫，怎么能长久呢？”于是投以滋肾生肝饮，一剂后热退，继用补中益气汤而痊愈。
薛立斋诊治一位孕妇，因停食（食物停滞不化），服用了枳术丸，导致胸腹不适，饮食更加减少。又少量服用消导宽中的药物，致使胎元欲坠，这是脾气虚弱而不能承载胎元所致。于是使用补中益气汤及六君子汤，中气逐渐强健，胎元逐渐安定。后又用八珍汤加柴胡、升麻调理而痊愈。
另一位孕妇饮食停滞，心腹痛胀。有人用人参养荣汤加青皮、山楂、枳壳，结果胀满更甚，胎气上攻，恶心不食，右关脉浮大，重按则弦。这是脾土不足，被肝木所克制（相侮）。于是用六君子汤加柴胡、升麻而痊愈。后来小腹痞闷，用补中益气汤升举脾气才痊愈。
魏玉横说：姚葭田的妻子，三十多岁，身材修长、皮肤白皙，前两个儿子都夭折了，后来怀孕又流产，现在又严重恶阻（妊娠呕吐）。诊其脉，虚软而大，给予枸杞子、地黄、沙参、麦冬、川连等药，逐渐安稳。又有腰腹腿足时常疼痛，有时加当归、白芍，有时加山药、枣仁、熟地，用到一两许的量。如果有下坠感，则用一二剂补中益气汤，用熟地、山药代替人参、白术。如果有时胸腹胀痛，稍用香附、砂仁、橘皮、白术，就觉得中气冲逆惊惕，这主要是由于久病导致营血虚弱，香燥药物完全不适宜。那些拘泥于成方治病的人，可以跟他们谈论治法吗？后来服药几百帖，足月生下男孩。
胡干若的妻子，二十多岁，结婚数年无生育，因为探望公公，顺便求诊。我说：“是怀孕了，但三阴经（足少阴肾、足太阴脾、足厥阴肝）都不足。”她说：“怀孕或许尚未确定，现在所患的是夜间发热咳嗽、腹痛便溏，左足行走不便。”询问她腹痛是否内外牵引，腰部也一定痛，足部筋脉短缩而不舒展。又问下午是否肿胀？回答说：“都像您说的那样。”既然如此，三阴虚损无疑了，给予枸杞、地黄、当归、白芍、沙参、麦冬等药，令其服用五十剂，临产时再服二十剂，才没有后患。又服用十余剂病已痊愈，于是停药。后来临产时晕厥，产后又晕厥，专科医生认为她是寒热往来，就投用柴胡、桂枝；腹痛便溏就给予炮姜、白术，导致身上发出白色痱子，细的如芝麻，粗的如绿豆，腹痛严重时只能俯卧，用蒲团垫着腹部，左右旋转稍微舒服些。诊其脉，弦急而数，舌黑而干燥，这是肝火乘袭三阴经大伤所致。令其以前方加熟地、川连、白芍、甘草，数剂后痊愈。
次年患痢疾，医生用治痢药治愈。又第二年腹痛便溏，与第一年初孕时的症状相同。召请之前的医生，他却仍然认为是痢疾，严格地使用攻伐药物，最终导致胎堕而死。还有张氏姐妹三人，每胎都出现腹痛泄利，产后才停止。这虽然是胎气问题，也是由肝木乘克脾土所致。
Gao Gufeng treated the wife of Wu Canxia, who was pregnant and suffered from chest and abdominal distension, loss of appetite, thirst, and dysentery. The physician administered digestive aids and cold-natured medicines, which worsened the condition and endangered the fetus.
Gao said, "This resulted from drinking cold water after meals." (The pulse must be deep, slow, and soggy.) He prescribed a large dose of Lizhong Tang (Cinnamon Twig and Dried Ginger Decoction), and she recovered completely after several doses.
Another woman suffering from internal injury (deficiency-type illness) was eight months pregnant. She had high fever, thirst, and a scorched black tongue coating. The physician treated her with cold-natured medicines. Gao said, "Regardless of whether it is internal injury, even if it were a Mahuang Tang (Ephedra Decoction) or Guizhi Tang (Cinnamon Twig Decoction) pattern, one must first secure the fetus before attacking the pathogen. Now, both hands show a rapid and excessively large pulse, indicating extreme deficiency-heat. Using cold medicines again forces Yang to be constrained by Yin; how can this last?" He prescribed Zishen Shenggan Yin (Nourish Kidney and Generate Liver Infusion). After one dose, the fever subsided, and she recovered after continuing with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction).
Xue Lizhai treated a pregnant woman who, due to food stagnation, took Zhizhu Wan (Immortelle and Atractylodes Macrocephala Pill), resulting in chest and abdominal discomfort and reduced food intake. Taking small amounts of digestive and qi-regulating medicines caused the fetus to feel as though it would fall. This was because Spleen Qi was deficient and unable to support the fetus. He used Buzhong Yiqi Tang and Liujunzi Tang (Six Gentlemen Decoction). As Middle Qi gradually strengthened, the fetus stabilized. She was then regulated with Bazhen Tang (Eight Treasures Decoction) plus Chaihu (Bupleuri Radix) and Shengma (Cimicifugae Rhizoma) until cured.
Another pregnant woman had food stagnation causing heart and abdominal pain and distension. Someone prescribed Renyang Rong Tang (Ren Shen Nourishing the Vigor Decoction) with Qingpi (Aurantii Fructus Perforatus), Shanzha (Crataegi Fructus), and Zhike (Aurantii Fructus Immaturus). The distension worsened, the fetus pressed upward, nausea prevented eating, and the right Guan position pulse was floating and large but wiry upon pressure. This indicated insufficient Spleen Earth being overacted upon by Liver Wood. She was cured using Liujunzi Tang plus Chaihu and Shengma. Later, when she experienced lower abdominal fullness, she recovered after using Buzhong Yiqi Tang to raise the Spleen Qi.
Wei Yuheng stated: Yao Jiatian's wife, in her thirties, tall and fair-skinned, had lost her first two sons. Subsequent pregnancies ended in miscarriage, and now she suffered severely from morning sickness (emesis gravidarum). Her pulse was deficient, soft, and large. I gave her Gouqi (Lycii Fructus), Dihuang (Rehmanniae Radix), Shashen (Glehniae Radix), Maidong (Ophiopogonis Tuber), and Chuanlian (Coptidis Rhizoma), and she gradually stabilized. She also experienced intermittent pain in the waist, abdomen, legs, and feet. Sometimes I added Danggui (Angelicae Sinensis Radix) and Baishao (Paeoniae Radix Alba); sometimes Shan Yao (Dioscoreae Rhizoma), Zaoren (Ziziphi Spinosae Semen), and Shudi (Rehmanniae Radix Preparata), up to an ounce. If there was a bearing-down sensation, I used one or two doses of Buzhong Yiqi Tang, substituting Shudi and Shan Yao for Renshen (Ginseng Radix) and Baizhu (Atractylodis Macrocephalae Rhizoma). If she occasionally had chest and abdominal pain, slight use of Xiangfu (Cyperi Rhizoma), Sharen (Amomi Fructus), Jupi (Citri Reticulatae Pericarpium), and Baizhu would cause the Middle Qi to feel surging and agitated. This was primarily due to long-term deficiency of Ying and Blood, making aromatic-dry herbs entirely unsuitable. How could one discuss treatment methods with those who rigidly adhere to formulas? After taking hundreds of doses, she delivered a healthy boy at term.
Hu Ganruo's wife, in her twenties, had been married for years without conception. While visiting her father-in-law, she sought consultation. I said, "You are pregnant, but the Three Yin meridians (Foot-Shaoyin Kidney, Foot-Taiyin Spleen, Foot-Jueyin Liver) are all deficient." She replied, "It may not yet be confirmed pregnancy; currently, I suffer from night fever, cough, abdominal pain, loose stools, and difficulty walking with my left foot." I asked if the abdominal pain radiated internally and externally, if her waist always hurt, and if the tendons in her leg felt short and unrelaxed. I also asked if she swelled in the afternoon. She answered, "All as you described." Thus, deficiency of the Three Yin was undeniable. I prescribed Gouqi, Dihuang, Danggui, Baishao, Shashen, and Maidong, instructing her to take fifty doses, and another twenty doses near term, to prevent future complications. After taking more than ten additional doses, the illness resolved, and she stopped medication. Later, during labor, she fainted, and fainted again postpartum. Specialists attributed her alternating chills and fever to Shaoyang disorder and prescribed Chaihu and Guizhi (Cinnamomi Ramulus); for abdominal pain and loose stools, they gave Paojiang (Zingiberis Rhizoma Preparatum) and Baizhu. This caused her body to break out in white miliaria (prickly heat), fine as sesame seeds and coarse as mung beans. Severe abdominal pain forced her to lie prone with a rush mat on her abdomen, finding slight relief only by rotating left and right. Her pulse was wiry, urgent, and rapid; her tongue was black and dry. This was Liver Fire attacking the severely damaged Three Yin meridians. I instructed her to take the previous formula supplemented with Shudi, Chuanlian, Baishao, and Gancao (Glycyrrhizae Radix et Rhizoma). She recovered after several doses.
The following year, she suffered from dysentery, which was cured by physicians using dysentery-specific medicines. The year after that, she had abdominal pain and loose stools, identical to her symptoms during the initial pregnancy of the previous year. The former physician was summoned but still diagnosed dysentery, strictly employing purgative and attacking methods, resulting in fetal expulsion and death. There were also three sisters surnamed Zhang, who each experienced abdominal pain and diarrhea during every pregnancy, which ceased only after delivery. Although this involved fetal Qi, it was also caused by Liver Wood overacting on Spleen Earth.