徐仲光曰∶一孕妇，正痘养浆时坠胎，血去多，昏愦，乃伏陷而死。
一孕妇，症同前，以黄 二两五钱，人参、当归各一两，阿胶五钱，甘草、艾、黑姜各三钱，附子一钱，
治之而愈。
一孕妇，浆期正产，痘顺，以保元汤加川芎、当归、荆芥、山楂、益母草而愈。
一孕妇，痘浆足，不易痂，面赤晡热，此脾虚血少也，以安胎饮加参而愈。
一孕妇，痘匀朗灰白，热甚坠胎，昏愦冷呕，此胃气虚寒也，以保元汤加炮姜、白术、肉桂而愈。
一产妇，痘不易透，疲倦，血去不止，此气血两亏也，治以芎、归、参、姜、益母、升麻，血止痘起。又
以补中益气而愈。
一孕妇出痘，以安胎饮调理而愈。又有胎痛甚者，以砂仁炒黑，研末酒下一钱即愈。
一产妇出痘，浆不足，灰白，身热肢冷，寒战切牙，烦躁溏泄，此脾胃虚也，以异功散治之而愈。亦有去
血不止，药不效者，倒靥而死。
一妇产后，痘顺痰盛，清解之益甚，此阴虚不能制阳也，以六味地黄丸料加当归、麦冬而愈。
一妇痘甫愈，而强以房事，疤变色，成劳而死。
一产妇痘不易发，烦躁谵狂，此毒重壅遏，以芎、归、连、紫、升、蒡、甘、芍、蝉蜕，治之而愈。
万密斋治程氏女，年二十，出痘，时娠五月矣。诊其脉，男胎也，惟以清热解毒，和中安胎为主。用黄
芩、白术为君，人参、生甘草、当归、生地、白芍、紫苏为佐，自初出至成浆，无他苦。乃闻家中被盗，遄归，
医与药一服，胎堕，果男也。再延诊，痘变灰白平塌，成倒陷矣，乃里虚故也。询所用方，乃独圣散。曰∶山
甲、麝香皆堕胎药，胎虚，气血益虚，疮毒内陷，不可为矣。三日卒。
朱应我治一赵姓宦家孕妇，二十五岁，胎已五月。忽痘，朱视之，点尚未盛。至四五日，背上痘如蛇皮，
略无空地，乳以下至小腹，亦如蛇皮，其翁与夫，皆决不治。朱细察之，正额面部并颈至胸堂，皆粒粒圆绽，
红白分明，启手臂脚腿视之，喜其如面与身，许以可治。至七八日，忽牙忧不已，神昏不知人事，但被其羞，
余皆赤露，每日任其饮水一小桶，如黄连解毒汤，浩饮亦不计其数。时届五月天气，谵妄不安，朱令以土填地
板上，铺席在土上置之卧，而两边仍以桶盛水，逼之以凉气，夜则舁之于床。如此调理，至十八日而愈。此症
治至九日，觉浆滞不行，知用凉剂多，更以独味麻黄一两加入，其浆倏至。妙哉此法，屡用而屡奏神功者也。
十八日别，嘱其夫曰∶欲保胎，当服养气血药数剂。不信，后四十余日，胎堕，妇亦无恙。遇此等症，后补断
不可少也。
一汪姓孕妇，方三月而痘。朱至，已四日，不知他医所用何药。主人问曰∶妇人何为来桃红血水？朱以主
人坚信他医，默言不对。越一日，血饼大至，主人始忙，急叩朱，朱以痘点细而朗，可以收功，与以安胎散，
用阿胶珠三钱，黄芩三钱，砂仁、白术、归身、芍药等药，又因腹胀，加木香三分，以行滞气，一服而血止胎
安。主人叹以为神。朱曰∶必三四剂，胎始无恙。主人懈，越三日血又来，腹又胀，而胎堕矣，母痘则安全无
恙。可见药力之多少，所系不小也。
一少妇孕三月而痘，医见面部稀少，而口许轻。朱视之，标虽少，而血气尚混，顶不见起水珠，视舌则又
紫赤色。曰∶此痘必添，难保无虞。主人与医皆不解。朱曰∶舌乃心苗，胎络上系手少阴，舌紫黑，则血分有
毒，安得不堕？果三四日，痘添而布满，六日血来而胎堕矣，急以黄芩、白芍、术、阿胶等药养血。痘微长，
稍有浆色，毕竟血气受亏，虽服补血剂，四肢胸背尚起水泡，又急以补脾渗湿药，山药、榴皮、薏苡等进三五
剂，至十四五日，方长脓水而收功。可见孕妇之痘，稍有疑难，极难保胎不堕，慎之。
徐仲光说：有一位孕妇，在痘疹灌浆阶段发生流产，因失血过多，出现神志昏乱，最终因毒邪内陷而死亡。
另一位孕妇症状与前例相同，使用黄芪二两五钱，人参、当归各一两，阿胶五钱，甘草、艾叶、炮姜各三钱，附子一钱，治疗后痊愈。
还有一位孕妇，在痘浆成熟期正常分娩，痘疹顺症，使用保元汤加川芎、当归、荆芥、山楂、益母草，治疗后痊愈。
又一位孕妇，痘浆已足但难以结痂，面部发红，午后发热，这是脾虚血少的表现，使用安胎饮加人参，治疗后痊愈。
还有一位孕妇，痘疹分布均匀明亮但呈灰白色，高热导致流产，神志昏乱且呕吐清冷之物，这是胃气虚寒的表现，使用保元汤加炮姜、白术、肉桂，治疗后痊愈。
还有一位产妇，痘疹不易透发，疲倦乏力，出血不止，这是气血两亏的表现，治疗使用川芎、当归、人参、干姜、益母草、升麻，血止后痘疹起发。随后使用补中益气汤，治愈。
还有一位孕妇出痘，使用安胎饮调理而愈。另有胎痛严重的，将砂仁炒黑研末，用酒送服一钱即愈。
还有一位产妇出痘，痘浆不足，颜色灰白，身体发热四肢冰冷，寒战咬牙，烦躁腹泻，这是脾胃虚弱的表现，使用异功散治疗而愈。也有出血不止、药物无效的，痘疹倒靥而死。
还有一位妇女产后，痘疹顺症但痰多，使用清热解表药反而加重，这是阴虚不能制约阳气的表现，使用六味地黄丸原方加当归、麦冬，治疗后痊愈。
还有一位妇女痘疹刚愈，就强行进行房事，痘疤变色，最终形成劳损而死。
还有一位产妇痘疹不易发出，烦躁谵语狂乱，这是毒邪深重壅遏所致，使用川芎、当归、黄连、紫草、升麻、牛蒡子、甘草、白芍、蝉蜕，治疗后痊愈。
万密斋诊治程氏女子，二十岁，出痘，当时怀孕五个月。诊脉为男胎，主要以清热解毒、和中安胎为主。用黄芩、白术为君药，人参、生甘草、当归、生地、白芍、紫苏为佐药，从初发到成浆，没有其他痛苦。后来听说家中被盗，匆忙回家，医生给了一服药，导致胎堕，果然是男胎。再次延请诊治，发现痘疹变为灰白平塌，形成倒陷，这是因为里虚的缘故。询问所用方剂，是独圣散。万密斋说：穿山甲、麝香都是堕胎药，胎气虚弱，气血更加亏损，疮毒内陷，无法救治了。三天后去世。
朱应我诊治一位赵姓官宦人家的孕妇，二十五岁，怀孕五个月。突然出痘，朱医生查看时，痘点尚未茂盛。到了第四五天，背上痘疹如蛇皮般密集，几乎没有空地，乳房以下至小腹也是如此。其公公和丈夫都断定无法医治。朱医生仔细察看，发现正额面部并颈部至胸膛，痘粒粒圆润绽开，红白分明。查看手臂腿脚，庆幸其与面部身体相似，承诺可以治疗。到了第七八天，忽然极度忧愁，神志昏迷不知人事，只因为害羞，其余部位皆赤露，每天任其饮水一小桶，像黄连解毒汤这样的凉药，豪饮不计其数。当时正值五月天气，患者谵妄不安，朱医生让人用土填铺地板，席子铺在土上让她躺卧，两边仍以桶盛水，以逼退热气，夜间则抬到床上。如此调理，十八天后痊愈。此症治疗到第九天，觉得痘浆停滞不行，知道是用凉药过多，改用单味麻黄一两加入，痘浆随即涌至。此法奇妙，屡用屡效。十八日告别时，嘱咐其丈夫说：想要保胎，应当服用补养气血的药物几剂。家属不信，四十多天后，胎堕，妇女也无恙。遇到此类病症，后期补益断不可少。
还有一位汪姓孕妇，刚怀孕三个月而出痘。朱医生到达时，已是第四天，不知其他医生用了什么药。主人问：妇人为什么排出桃红色血水？朱医生因主人坚信其他医生，沉默未答。过了一天，血块大至，主人才惊慌，急忙叩求朱医生，朱医生见痘点细密明亮，认为可以收功，给予安胎散，使用阿胶珠三钱，黄芩三钱，砂仁、白术、归身、芍药等药，又因腹胀，加木香三分，以行滞气，一服药后血止胎安。主人感叹其为神医。朱医生说：必须服用三四剂，胎才能无恙。主人懈怠，过了三天血又来，腹又胀，胎堕了，母亲痘疹则安全无恙。可见药力多少，关系重大。
还有一位少妇怀孕三个月而出痘，医生见面部痘疹稀少，便口头许诺病情轻。朱医生查看，标虽少，但血气尚混浊，顶部不见起水珠，看舌头则是紫赤色。说：这痘疹必定增多，难保无虞。主人与医生都不理解。朱医生说：舌乃心之苗窍，胎络上行连接手少阴心经，舌紫黑，说明血分有毒，怎能不流产？果然三四天后，痘疹增多布满全身，第六天出血而胎堕，急忙使用黄芩、白芍、白术、阿胶等药养血。痘疹微长，稍有浆色，毕竟血气受损，虽然服用补血剂，四肢胸背仍起水泡，又急忙使用补脾渗湿药，山药、石榴皮、薏苡等进服三五剂，到十四五天，才长出脓水而收功。可见孕妇出痘，稍有疑难，极难保胎不坠，务必谨慎。
Xu Zhongguang stated: A pregnant woman, during the stage of pock filling with pus (Yang Jiang), suffered a miscarriage. Due to excessive blood loss and mental confusion, she died from toxic pathogens sinking inward (Fu Xian).
Another pregnant woman presented with identical symptoms. She was treated with Huangqi (Astragali Radix) 2 liang 5 qian, Renshen (Ginseng Radix) and Danggui (Angelicae Sinensis Radix) each 1 liang, Ejiao (Donkey-hide Gelatin) 5 qian, Gancao (Licorice Radix), Aiye (Artemisiae Argyi Folium), and Paojiang (Prepared Zingiberis Rhizoma) each 3 qian, and Fuzi (Aconiti Lateralis Radix Praeparata) 1 qian. She recovered.
Another pregnant woman delivered normally during the pock-filling stage; the eruption followed a favorable course (Shun Zheng). She was treated with Baoyuan Tang (Preserve Origin Decoction) modified with Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui, Jingjie (Schizonepetae Herba), Shanzha (Crataegi Fructus), and Yimucao (Leonuri Herba), and recovered.
Another pregnant woman had sufficient pock pus but difficulty forming scabs, with facial redness and afternoon fever. This indicated Spleen deficiency and Blood insufficiency. She was treated with Antai Yin (Fetus-Securing Drink) added with Renshen, and recovered.
Another pregnant woman had evenly distributed, bright but grayish-white pocks, high fever leading to miscarriage, mental confusion, and cold vomiting. This indicated Stomach Qi deficiency and Cold. She was treated with Baoyuan Tang added with Paojiang, Baizhu (Atractylodis Macrocephalae Rhizoma), and Rougui (Cinnamomi Cortex), and recovered.
Another postpartum woman had difficulty in pock emergence, fatigue, and continuous bleeding. This indicated dual deficiency of Qi and Blood. She was treated with Chuanxiong, Danggui, Renshen, Jiang (Zingiberis Rhizoma), Yimucao, and Shengma (Cimicifugae Rhizoma); bleeding stopped and pocks emerged. Subsequently, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) was used for recovery.
Another pregnant woman with smallpox recovered after regulation with Antai Yin. In cases of severe fetal pain, Shaoren (Amomi Fructus) stir-fried until black, ground into powder, and taken with wine (1 qian) resulted in immediate recovery.
Another postpartum woman with smallpox had insufficient pus, grayish-white color, body heat, cold limbs, chills with teeth grinding, irritability, and loose stools. This indicated Spleen and Stomach deficiency. She was treated with Yigong San (Benefit the Work Powder) and recovered. There were also cases of unceasing bleeding where medication failed, resulting in death due to inverted pocks (Dao Ye).
A woman postpartum had a favorable eruption but abundant phlegm; clearing heat and resolving exterior symptoms worsened the condition. This indicated Yin deficiency failing to control Yang. She was treated with Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) formula added with Danggui and Maidong (Ophiopogonis Radix), and recovered.
A woman whose smallpox had just healed engaged in sexual intercourse forcibly; the scars changed color, leading to consumption (Lao) and death.
Another postpartum woman had difficulty in pock emergence, irritability, delirium, and madness. This indicated heavy toxicity obstructing and stagnating. She was treated with Chuanxiong, Danggui, Lian (Coptidis Rhizoma), Zi (Saussureae Radix), Shengma, Bang (Arctii Fructus), Gan (Licorice), Shao (Paeoniae Radix Alba), and Chantui (Cicadae Periostracum), and recovered.
Wan Mizhai treated Ms. Cheng, aged twenty, who had smallpox and was five months pregnant. Pulse diagnosis indicated a male fetus. The primary treatment focused on clearing heat and detoxifying, harmonizing the middle, and securing the fetus. Huangqin (Scutellariae Radix) and Baizhu served as the sovereign drugs, while Renshen, Sheng Gancao (Raw Licorice Radix), Danggui, Shengdi (Rehmanniae Radix), Baishao (Paeoniae Radix Alba), and Zisu (Perillae Folium) served as assistant drugs. From initial emergence to pus formation, she suffered no other distress. Upon hearing of a home burglary, she hurried back home. A physician administered one dose of medicine, causing miscarriage; it was indeed a male fetus. Re-evaluating, the pocks turned grayish-white and flat, forming inverted collapse (Dao Xian), due to interior deficiency. Inquiry revealed the prescribed formula was Dusheng San (Single Holy Powder). Wan said: Shan Jia (Manis Squama) and Shexiang (Moschus) are abortifacient drugs. With weak fetal qi and further depleted Qi and Blood, the toxin sank inward; this was incurable. She died three days later.
Zhu Yingwo treated a pregnant woman from an official Zhao family, aged twenty-five, five months pregnant. Smallpox appeared suddenly. Zhu observed that the spots were not yet vigorous. By the fourth or fifth day, pocks on the back were dense like snake skin, leaving no empty space; similarly from below the breasts to the lower abdomen. Her father-in-law and husband deemed her untreatable. Zhu examined carefully and found that the forehead, face, neck to chest, all had distinct, round, open pocks with clear red and white colors. Checking arms and legs, he noted they resembled the face and body, and promised treatability. By the seventh or eighth day, she became extremely distressed, unconscious, ashamed to be covered, naked, drinking a bucket of water daily, including copious amounts of cooling herbs like Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxicity). It was May weather; she was delirious and restless. Zhu ordered soil to fill the floorboards, place mats on the soil for her to lie on, and keep buckets of water on both sides to cool the air, moving her to a bed at night. Such care led to recovery on the eighteenth day. On the ninth day of treatment, noticing stagnant pus, knowing excessive cooling agents were used, Zhu added single-ingredient Mahuang (Ephedrae Herba) 1 liang. Pus surged immediately. This method is miraculous and effective. On the eighteenth day, departing, he instructed the husband: To secure the fetus, administer several doses of Qi and Blood tonics. They did not believe him. Over forty days later, the fetus aborted, but the woman remained well. For such cases, posterior supplementation is indispensable.
Another pregnant woman surnamed Wang, three months pregnant, developed smallpox. Zhu arrived on the fourth day, unaware of previous treatments. The host asked: Why does the woman pass peach-red bloody fluid? Zhu, noting the host's faith in other doctors, remained silent. The next day, large blood clots appeared. The host panicked and sought Zhu urgently. Zhu saw fine, bright pocks, indicating recoverability, and prescribed Antai San (Fetus-Securing Powder): Ejiao Zhu (Processed Donkey-hide Gelatin) 3 qian, Huangqin 3 qian, Shaoren, Baizhu, Danggui Shen (Danggui Root Tip), Shaoyao, etc. Due to abdominal distension, Muxiang (Aucklandiae Radix) 3 fen was added to move stagnant Qi. One dose stopped bleeding and secured the fetus. The host marveled at his divine skill. Zhu said: Three to four doses are needed for the fetus to be safe. The host neglected this. Three days later, bleeding recurred, abdomen distended, and the fetus aborted. The mother's smallpox remained safe. This shows the significance of dosage.
A young woman, three months pregnant, developed smallpox. The doctor saw sparse facial spots and verbally assured mild illness. Zhu observed that although superficially sparse, the Qi and Blood were turbid, tops lacked water droplets, and the tongue was purple-red. He said: The pocks will increase; safety cannot be guaranteed. The host and doctor did not understand. Zhu said: The tongue is the sprout of the Heart; fetal vessels connect to the Hand-Shaoyin Heart Meridian. Purple-black tongue indicates toxicity in the Blood level; how can abortion be avoided? Indeed, after three to four days, pocks spread fully. On the sixth day, bleeding occurred and the fetus aborted. Urgently, Huangqin, Baishao, Baizhu, and Ejiao were used to nourish Blood. Pocks grew slightly with some pus color, but Qi and Blood were still deficient. Despite blood-nourishing agents, blisters appeared on limbs, chest, and back. Urgently, Spleen-tonifying and damp-draining herbs, including Shanyao (Dioscoreae Rhizoma), Liupi (Punicae Pericarpium), and Yiyi (Coicis Semen), were administered for three to five doses. By the fourteenth or fifteenth day, pus formed and recovery ensued. This shows that for pregnant women with smallpox, even slight difficulties make securing the fetus hard; caution is essential.