庄氏妇怀妊三年不产，有医者诊之曰∶脉象颇异，疑必异物，当以药下之。服毕觉腹中奇痛，产一胞堕地
而裂，中有小蛇蜿蜒盘屈，以次而出，急扑之。沈布衣麟亲见其事。（《三冈识略》。）
张路玉治一妇，怀孕六月，因丧子，悲哭动胎。医用黄芩、白术等二服不应。改用香附、紫苏、枳壳、砂
仁，一服胎遂上逼，心膈下胀闷喘急，口鼻出血。第三日薄暮往诊，其脉急疾如狂风骤雨，十余至则不至，顷
之复至如前，因喻之曰∶此孕本非好胎，安之无益，不若去之，以存母命。因思此胎必感震气所结，震属木，
惟金可制，令以铁斧烧红醋淬，乘热调芒硝一两灌之，夜半果下异胎。下后脉息微和，神思恍惚，所去恶露甚
多，又与安神调血之剂，数服而安。
孙文垣治张氏妇，年二十一。诊之，左寸关短弱尺滑，右寸亦滑，关濡弱，尺沉微。诊毕，其夫问曰∶脉
何如？（不告原病。）曰∶心神脾志，皆大不足，（囫囵得妙。）肺经有痰，（孙君平生多以一痰揣病。）
左寸短弱如此，安得有孕？曰∶已七十日矣。问曾经孕育否？曰∶已二次，此其三也。问二产皆足月否？男耶女
耶？曰∶始产仅九月，手足面目俱全，第无啼声，抱起已身冷矣。细检之，乃知其无水火也。（水火，前后阴也。）
次亦九月而产，亦无啼声，验之口中无舌。二胎之异如此，乃为制方，以补心脾为主，令多服以百帖为率。
枣仁、茯神、远志各一钱，白术二钱，白芍、当归、枸杞各一钱五分，甘草五分，生地八分，艾絮二分，龙眼
肉五个，水煎服，足月产一子。次年又有身，不以前事为意，至九月产下，形体俱备，外有脂膜一片包其面不能
去，即殒。因思上年所产获全，药之力也，乃以前方粘壁间，才见有身，即照方服之，后生子女皆无恙。（凡小
儿有不足之症，皆缘父母有虚损处，观此当举一三反。）
郭茂恂嫂金华君，产七日，不食，始言头痛，头痛已，又作心痛，既而目睛痛如割如刺，更作更止，相去
无瞬息间。每头痛，欲取大石压，良久渐定。心痛作，则以十指抓壁，血流满掌。痛定，目复痛，又以两手自
剜取之。如是十日不已，众医无计。进黑龙丹半粒，疾少间。中夜再服，乃瞑目寝如平时。至清晨，下一行，
约三升许，如蝗虫子，三疾减半。巳刻又行如前，则顿愈矣。（《济阴纲目》。）
河南开封府有丹客之妇，怀妊甚巨，动跃间似双胎也。丹客语妇曰∶若生二男，当名虎四儿、虎五儿。一
日欲出而天若雨状，谓妻曰∶晴履可耶？抑雨具去可耶？妻未答，则腹中朗应曰∶无雨。丹客惊惧曰∶汝何
人？则曰∶虎四儿也。言未竟，又闻声曰∶虽不落也有几点。丹客曰∶汝又何人？曰∶虎五儿。一日，丹客欲
炼丹，其妻腹中又曰∶汝所为，竟炼不成。必须炉如何置，火如何候，药如何辨。又应曰∶如何如何乃皮毛也。
如何如何小点化，如何如何大点化，待吾母为之可也。丹客遂如言行之，火然硫黄。偶客至门，室既不深广，
而客又不行，其妇与二儿俱曰∶黄气迫人，奈何奈何？至夜熏蒸而死。（ 按∶后世有小点化之说，谓
其传也。予则以为岂非天怒其泄，故欲灭其口乎。然亦不知何妖也。）
钱国宾云∶山西大同军人朱刘禄，娶妻孔氏，七年始孕，其腹极大，七月不能行，八月不能动，仰卧于床。
延诊，右寸及两尺脉加别部一倍。经断，当生双女。其怀胎之状主难产，令服易产汤剂以救其母。至十月期足
而产，产下一女，其腹不减。至三日，腹阵痛再产一女，其腹仍大，咸谓怪异，必伤其母矣。次日腹又阵痛，
又产一女，腹始如故。初生二女存，三生之女毙。（雄按∶此不为异也。余里中故老张氏兄弟三人同产皆寿，
而母亦无恙。又见王成衣之妻，一产三子，并育，而母产毕即晕脱。《随园诗话》载有一乳而生四子者，异事也。）
庄姓妇女怀孕三年未能分娩，有医生诊断后说：“脉象颇为奇异，怀疑必定是异常之物，应当用药将其排出。”服药完毕后，患者感到腹部剧烈疼痛，排出一个胞衣落地破裂，其中有一条小蛇蜿蜒盘曲，依次滑出，急忙将其扑灭。沈布衣麟亲眼目睹了此事。（出自《三冈识略》。）
张路玉治疗一位妇人，怀孕六个月，因丧子之痛，悲伤哭泣导致胎动不安。医生使用黄芩、白术等药物服用两剂后未见成效。改用香附、紫苏、枳壳、砂仁，服用一剂后胎儿反而上逼心膈，导致胸腹胀闷、喘息急促，口鼻出血。第三日傍晚前往诊治，其脉搏急疾如狂风骤雨，跳动十余次后停顿片刻，随即又恢复如初。于是劝告她说：“这胎本就不是正常的胎儿，安胎无益，不如去除它，以保全母亲性命。”考虑到此胎必是感受震气（雷气/阳气）所结，震在五行中属木，只有金能克制它，便让人将铁斧烧红后用醋淬炼，趁热调入芒硝一两灌服，半夜果然排下异胎。排下后脉息微微平和，神思恍惚，排出的恶露极多，随后给予安神调血的药剂，服用数剂后病情安定。
孙文垣治疗张姓妇女，年龄二十一岁。诊察发现：左寸关脉短弱，尺脉滑；右寸脉亦滑，关脉濡弱，尺脉沉微。诊毕，其丈夫问道：“脉象如何？”（孙文垣不告知原发病症。）回答说：“心神与脾志都严重不足，肺经有痰饮。左寸脉如此短弱，怎么可能怀孕？”丈夫说：“已经七十天了。”询问是否曾经孕育过？回答说：“已有两次，这是第三次。”问前两次生产是否足月？是男是女？回答说：“第一次生产仅九个月，手足面目俱全，只是没有啼哭声，抱起时身体已冷。仔细检查，才知道是因为缺乏水火（指前后阴的功能或精气）。第二次也是九个月生产，同样没有啼哭声，检查发现口中无舌。这两个胎儿的异常情况就是这样。”于是为其制定方剂，以补益心脾为主，令其多服用，以一百帖为限度。酸枣仁、茯神、远志各一钱，白术二钱，白芍、当归、枸杞各一钱五分，甘草五分，生地八分，艾绒二分，龙眼肉五个，水煎服，足月产下一子。次年再次怀孕，未在意之前的事情，到第九个月生下孩子，形体具备，但外面有一层脂膜包裹面部无法去除，随即死亡。考虑到上年所产的婴儿得以存活，是药物的力量，便将前方抄录贴在墙壁间，刚发现有孕，就照方服用，后来生育的子女都平安无恙。（按语：凡小儿有先天不足的病症，都是由于父母有虚损之处，看这个案例可以举一反三。）
郭茂恂的嫂子金华君，产后七天，不进食，起初说头痛，头痛好后，又出现心痛，接着眼睛疼痛如切割如针刺，疼痛反复发作，间隔时间极短。每次头痛时，想要取大石头压住头部，许久才逐渐平静。心痛发作时，就用十指抓挠墙壁，血流满掌。疼痛停止后，眼睛又痛，便用双手自行挖取眼球。这样持续十天不止，众医无计可施。服用黑龙丹半粒，疾病稍缓解。半夜再服一次，便闭目入睡如平时一样。到了清晨，排泄一行，约三升左右，像蝗虫幼虫一样的东西，病痛减半。巳时（上午9-11点）又排泄如前，则顿时痊愈了。（出自《济阴纲目》。）
河南开封府有一位炼丹术士的妻子，怀孕腹部极大，行动跳跃间像是怀有双胎。炼丹术士对妻子说：“如果生两个男孩，应当取名虎四儿、虎五儿。”一天，天欲雨似雨非雨，他对妻子说：“晴天出门可以吗？还是带雨具去好？”妻子还没回答，腹中清晰回应说：“不用雨具。”炼丹术士惊恐地说：“你是什么人？”回答说：“我是虎四儿。”话没说完，又听到声音说：“虽然不下雨，也有几点雨滴。”炼丹术士问：“你又是什么人？”回答说：“我是虎五儿。”一天，炼丹术士想炼丹，其妻腹中又说：“你所做的，终究炼不成。必须炉子怎么放置，火怎么守候，药怎么辨别。”又回应说：“那些都是皮毛功夫。如何进行小点化，如何进行大点化，等待我母亲来做就可以了。”炼丹术士便照言执行，点燃硫磺。偶然有客人来到门口，屋子既不深广，客人也不进门，其妻与两个儿子都说：“黄气逼人，怎么办怎么办？”到了晚上被熏蒸而死。（按语：后世有小点化的说法，谓其传承。我认为这难道不是上天愤怒于泄露天机，所以想要灭口吗？然而也不知道是什么妖怪。）
钱国宾说：山西大同军人朱刘禄，娶妻孔氏，七年才怀孕，其腹部极大，七月不能行走，八月不能动弹，仰卧在床上。延请医生诊治，右寸脉及两尺脉比正常部位大一倍。月经停止，应当生双女。其怀胎的状态主难产，令其服用易产汤剂以救母亲。到十月期满分娩，产下一女，腹部仍未减小。到第三天，腹部阵痛再次产下一女，腹部仍然很大，大家都认为是怪异之事，必定会伤害母亲。第二天腹部又阵痛，又产下一女，腹部才恢复正常。初生的两个女儿存活，第三个出生的女儿死亡。（雄按：这并不算怪异。我家乡故老张氏兄弟三人同母所生都长寿，而母亲也无恙。又见王成衣的妻子，一胎产三子，共同抚养长大，而母亲分娩后即晕厥脱力。《随园诗话》记载有一乳而生四子者，这是奇异之事。）
Ms. Zhuang was pregnant for three years without delivery. A physician diagnosed her, stating: "The pulse is quite unusual; I suspect it must be an abnormal entity. Medication should be used to expel it." After taking the medicine, she felt severe abdominal pain and expelled a placenta that cracked upon hitting the ground. Inside was a small snake coiling and twisting, emerging sequentially, which was quickly extinguished. Shen Buyi Lin witnessed this incident personally. (From *Sangang Shilue*.)
Zhang Luyu treated a woman who was six months pregnant. Due to the grief of losing a child, her weeping agitated the fetus. The physician prescribed Huangqin (Scutellariae Radix) and Baizhu (Atractylodis Macrocephalae Rhizoma), but two doses were ineffective. The prescription was changed to Xiangfu (Cyperus Rhizome), Zisu (Perilla Leaf), Zhike (Aurantii Fructus Immaturus), and Sharen (Amomi Fructus). After one dose, the fetus pressed upward against the heart and diaphragm, causing chest and epigastric distension, fullness, panting, and bleeding from the mouth and nose. On the third day at dusk, he examined her. Her pulse was rapid and turbulent like a storm, beating more than ten times before pausing, then resuming as before. He advised her: "This pregnancy is inherently not a viable fetus. Tonic therapy will be useless; it is better to remove it to preserve the mother's life." Considering this fetus must have formed by absorbing Zhen Qi (Thunder/Qi of Movement), and Zhen corresponds to Wood in the Five Elements, only Metal can control it. He ordered an iron axe to be heated red and quenched in vinegar. While hot, Mangxiao (Natrii Sulfas) was mixed in and administered orally. At midnight, the abnormal fetus was indeed expelled. Afterwards, her pulse became slightly harmonious, her spirit was confused, and lochia discharge was profuse. Subsequently, formulas for calming the spirit and regulating blood were given. After several doses, she stabilized.
Sun Wenyuan treated Ms. Zhang, aged twenty-one. Upon examination: the Left Cun and Guan pulses were short and weak, while the Chi pulse was slippery; the Right Cun pulse was also slippery, the Guan pulse was soggy and weak, and the Chi pulse was deep and faint. After diagnosis, her husband asked: "How is the pulse?" (Sun did not disclose the original disease.) He replied: "Both Heart Spirit and Spleen Will are severely deficient. There is phlegm in the Lung Meridian. With the Left Cun pulse being so short and weak, how could there be a pregnancy?" The husband said: "It has been seventy days." Asked if she had ever conceived before, he answered: "Twice already; this is the third time." Asked if both previous births were full-term and whether they were male or female, he answered: "The first birth was only nine months; hands, feet, face, and eyes were complete, but there was no cry. When picked up, the body was cold. Upon detailed inspection, it was known that it lacked Water and Fire (referring to the anterior and posterior orifices or their vital essence). The second birth was also at nine months, with no cry either; inspection revealed no tongue in the mouth. Such were the abnormalities of these two fetuses." Therefore, he formulated a prescription focusing on tonifying the Heart and Spleen, advising frequent intake, aiming for one hundred doses. Suanzaoren (Ziziphi Spinosae Semen), Fushen (Poria with Hostwood), Yuanzhi (Polygalae Radix) each 1 qian; Baizhu (Atractylodis Macrocephalae Rhizoma) 2 qian; Baishao (Paeoniae Radix Alba), Danggui (Angelicae Sinensis Radix), Gouqi (Lycii Fructus) each 1.5 qian; Gancao (Glycyrrhizae Radix et Rhizoma) 0.5 qian; Shengdi (Rehmanniae Radix) 0.8 qian; Aixu (Artemisiae Argyi Folium) 0.2 fen; Longyanrou (Longan Arillus) five pieces. Decocted in water and taken orally. She delivered a son at full term. The following year, she conceived again, disregarding past events. At nine months, she gave birth; the infant's form was complete, but a membrane covered its face, which could not be removed, leading to death. Reflecting that the survival of the previous year's infant was due to the medication, he copied the formula and posted it on the wall. From the moment pregnancy was detected, she took the formula according to instructions, and subsequent children were born healthy. (Note: Any congenital deficiencies in infants stem from parental deficiency. This case illustrates the principle of inferring the whole from a part.)
Guo Maoxun's sister-in-law, Lady Jinhua, seven days postpartum, refused food. Initially complaining of headache, after which came heart pain, followed by eye pain described as cutting and stabbing. The pain recurred frequently with very short intervals. During headaches, she desired a large stone to press on her head, calming only after a long time. During heart pain, she scratched walls with ten fingers until blood filled her palms. When pain subsided, eye pain returned, and she dug out her eyes with her hands. This continued for ten days without relief; physicians were helpless. Administering half a pill of Heilong Dan (Black Dragon Pill), the illness alleviated slightly. Taking another dose at midnight, she slept peacefully as usual. At dawn, she passed stool once, approximately three sheng, resembling locust nymphs; symptoms reduced by half. At Si hour (9-11 AM), she passed stool again as before, and was instantly cured. (From *Jiyin Gangmu*.)
In Kaifeng Prefecture, Henan, the wife of an alchemist had a greatly distended abdomen, moving and jumping as if carrying twins. The alchemist told his wife: "If you bear two sons, name them Hu Si'er and Hu Wu'er." One day, when the sky looked like it would rain but didn't, he asked his wife: "Should we go out in clear weather or take rain gear?" Before his wife could answer, a clear voice from the womb responded: "No rain needed." The alchemist, terrified, asked: "Who are you?" The voice replied: "I am Hu Si'er." Before finishing speaking, another voice was heard: "Although no rain falls, there are a few drops." The alchemist asked: "And who are you?" The reply: "I am Hu Wu'er." One day, the alchemist intended to refine elixirs. The wife's womb said: "What you do will ultimately fail. You must know how to place the furnace, how to tend the fire, and how to identify the medicines." Another voice responded: "Those methods are superficial. How to perform minor transmutation, how to perform major transmutation—wait for my mother to do it." The alchemist followed these instructions and ignited sulfur. Suddenly, a guest arrived at the door. The room was neither deep nor wide, and the guest did not enter. The wife and two unborn sons said: "The yellow qi is oppressive, what shall we do?" By nightfall, they died from fumes. (Note: Later generations speak of 'minor transmutation' as a transmission. I believe this might be Heaven's anger at leaking secrets, seeking to silence them. However, it is unknown what demon this was.)
Qian Guobin stated: Zhu Liulu, a soldier from Datong, Shanxi, married Kong Shi. After seven years, she finally conceived. Her abdomen became extremely large; at seven months she could not walk, and at eight months she could not move, lying supine in bed. A physician was summoned. The Right Cun and both Chi pulses were double the normal size. Menstruation had ceased, indicating twin girls. Given the risk of difficult labor, Yi Chan Tang (Easy Delivery Decoction) was prescribed to save the mother. At ten months, she delivered one daughter, but the abdomen remained large. On the third day, abdominal cramps led to the birth of a second daughter, yet the abdomen remained large. Everyone considered this bizarre and feared it would harm the mother. The next day, further cramps resulted in a third daughter, after which the abdomen returned to normal. The first two daughters survived; the third died. (Xiong's Note: This is not truly abnormal. In my hometown, brothers Zhang shared the same mother and all lived long lives, and the mother remained healthy. I also saw Wang Chengyi's wife, who bore triplets who all grew up, though the mother fainted immediately after delivery. *Suiyuan Shihua* records a case of quadruplets born from one lactation, which is indeed strange.)