《脉经》云∶怀妊六七月,脉实大牢强弦紧者生,沉细者死。脉匀细生易产,大浮缓气
散难
产。《脉诀》云∶欲产之妇脉离经,沉细而滑也同云。夜半觉痛应分诞,来朝日午定知生。
身重体热寒又频,舌下之脉黑复青。反舌上冷子当死,腹中须遣母归冥。面赤舌青细寻看,
母
活子死定应难。唇口俱青沫又出,子母俱死总教KT 。面青舌赤沫出频,母死子活定知真。
《大全》云∶饮食过度,触风冷,阴阳不和,清浊相干,谓之霍乱。其间或先吐,或腹
痛吐
利,是因于热也。若头痛体疼发热,是挟风邪也。若风折皮肤,则气不宣通,而风热上冲为
头痛。若风入肠胃则泄利呕吐,甚则手足逆冷,此阳气暴竭,谓之四逆。妊娠患之,多致伤
胎也。万密斋曰∶霍乱者,阳明胃经之病名也。盖因平日五味肥酿,腐积成痰,七情郁结,
气
盛为火,停蓄胃中,乍因寒热之感,邪正交争,阴阳相混,故令心腹绞痛,吐利并作,挥霍
变乱,故名霍乱。如邪在上脘,则当心而痛,其吐多。邪在下脘,则当脐而痛,其利多。邪
在中脘,则当腹而痛,吐利俱多。吐多则伤气,利多则伤血,血气受伤不能护养其胎,况邪
气鼓击胎元,母寿未有不殒者矣。此危恶之症,不可不亟治也,宜香苏散加藿香主之。
The *Mai Jing* (Pulse Classic) states: During the sixth or seventh month of pregnancy, if the pulse is solid and large (*Shi Da*), firm and strong (*Lao Qiang*), wiry and tight (*Xian Jin*), it indicates vitality and the fetus will survive; if the pulse is deep and fine (*Chen Xi*), it indicates death. A uniform and fine pulse suggests easy delivery; a large, floating, and slow pulse with scattered qi indicates difficult delivery.
The *Mai Jue* (Pulse Rhymes) states: For women in labor, the pulse deviates from the normal pattern (*Li Jing*), appearing deep, fine, and slippery. Pain felt at midnight predicts birth by noon the next day. If the body feels heavy, there is fever, and frequent chills occur, along with blackish-green sublingual veins, these are ominous signs. If the tongue becomes cold and curled up, the fetus will die; severe abdominal pain portends the mother's demise. If the face is red but the tongue is cyanotic, careful examination reveals that while the mother may survive, the fetus likely will not. If both lips and mouth turn cyanotic and froth is expelled, both mother and fetus are likely to die. If the face is cyanotic but the tongue is red, with frequent frothing, it definitively indicates maternal death with fetal survival.
The *Da Quan* (Great Compendium) states: Overeating combined with exposure to wind and cold causes disharmony between yin and yang, leading to the interference of clear and turbid qi, a condition termed Huoluan (Cholera-like disorder). Some cases present with vomiting first, or abdominal pain with vomiting and diarrhea, indicating heat pathogenesis. If accompanied by headache, body ache, and fever, it involves wind pathogens. If wind-cold constricts the skin, qi fails to circulate freely, and wind-heat rushes upward causing headache. If wind enters the stomach and intestines, it causes diarrhea and vomiting; in severe cases, cold extremities appear due to sudden exhaustion of yang qi, known as "Si Ni" (Four Coldness). In pregnant women, this condition often damages the fetus.
Wan Mizhai stated: Huoluan is a disease name of the Foot-Yangming Stomach Meridian. It arises because daily consumption of rich flavors and fatty foods leads to rotting accumulation and phlegm formation, compounded by emotional stagnation transforming qi into fire, which stagnates in the stomach. Suddenly triggered by external cold or heat, evil and righteous qi contend, and yin and yang mix chaotically, causing severe colic in the heart and abdomen, simultaneous vomiting and diarrhea, and chaotic disruption, hence named Huoluan. If the pathogen is in the Upper Wan, pain centers on the epigastrium with predominant vomiting; if in the Lower Wan, pain centers on the umbilicus with predominant diarrhea; if in the Middle Wan, abdominal pain occurs with both severe vomiting and diarrhea. Excessive vomiting injures qi, excessive diarrhea injures blood. Once qi and blood are injured, they cannot nourish the fetus. Furthermore, the pathogenic factor agitates the fetal origin, making it unlikely for the mother to survive. This is a critical and malignant syndrome requiring urgent treatment, preferably managed with Xiangsu San (Fragrant Perilla Powder) added with Huoxiang (Agastache Herba).