丁酉夏，予寓雉城顾乡宦宅。其门下竹匠妇，怀妊五月而患心痛。究其所由起，谓由失
足坠楼也。始教饮韭菜汁一盏，而痛随止。其夫又从他医赎药二帖归，令煎服。服既，心复痛，
吐鲜血盈盆，胸间忡忡上抵，疼不可言，危在顷刻。竹匠告急予仆孙安，安怜之，恳予延医
。六脉皆洪大，汗出如雨，喘息不相续。其妇楼居低小，予令亟移居楼下，随与益元散五钱
，令用紫苏汤调服。又嘱之曰∶今夜若睡，听其自醒，切勿惊动，汗止即苏也。服后果睡至
晓，汗敛而胸膈不痛，喘息亦定。再与固胎饮一帖，煎服而安全矣。先是邻医诊其脉，谓吐
血之脉宜沉细，今反洪大，而汗出喘息不休，危在今夜。及病起来，询余曰∶妊妇不得汗、
不得下、不得利小便，是谓三禁。昨日之剂悉犯之，而反获效，何哉？予曰∶医贵审证，盖
妇之患，非由病汗，以楼居低小，当酷暑而热逼故也。汗血去而胎失养，故忡忡上抵，喘息
不续。移楼下以避暑气，益元散为解暑之圣药，而紫苏又安胎下气之妙品，气下则血归原而
病痊矣。此对症之药，法出王海藏《医垒元戎》中四血饮是也。特诸君检阅不遍，即检阅亦
不知为胎产之治。余何能，不过融会前人之法，用之不胶焉耳。邻医俯首，唯唯而退。
In the summer of Dingyou, I resided in the mansion of a gentry named Gu in Zhicheng. A bamboo craftsman's wife in his household, who was five months pregnant, suffered from heart pain. Investigating the cause, it was attributed to falling from a staircase due to a misstep. Initially, I instructed her to drink one cup of Chinese chive juice, after which the pain ceased. Her husband then purchased two doses of medicine from another physician for her to decoct and take. After ingestion, the heart pain recurred, accompanied by vomiting blood that filled a basin, palpitations rising up to the chest, and unbearable pain; the situation was critical, with life hanging in the balance. The craftsman urgently informed my servant, Sun An, who, out of pity, pleaded with me to attend to her. Examination revealed all six pulses were surging and large (Hong Da), profuse sweating like rain, and intermittent panting. Since she lived in a low, small upper-story room, I ordered her to be moved downstairs immediately, followed by administering five qian of Yiyuan San (Cooling Powder) mixed with Perilla Decoction (Zisu Tang). I further instructed: "If she falls asleep tonight, let her wake naturally; do not disturb her. Once the sweating stops, she will recover." Indeed, she slept until dawn, the sweating subsided, chest oppression and pain resolved, and breathing stabilized. Another dose of Gutai Yin (Fetus-Securing Decoction) was given, decocted and taken, resulting in the safety of both mother and fetus. Previously, a neighboring physician had examined her pulse and stated that the pulse for hematemesis should be deep and fine (Chen Xi); however, hers was surging and large, combined with incessant sweating and panting, indicating imminent danger that night. Upon her recovery, the neighbor asked me: "For pregnant women, diaphoresis (sweating), purgation, and promoting urination are prohibited, known as the 'Three Prohibitions.' Yesterday's prescription violated all three, yet achieved efficacy. Why?" I replied: "Medicine values accurate syndrome differentiation. This woman's condition was not caused by disease-induced sweating, but by heat forcing perspiration due to residing in a cramped, hot upper-story room during intense summer heat. The loss of sweat and blood deprived the fetus of nourishment, causing palpitations and interrupted breathing. Moving her downstairs avoided the summer heat; Yiyuan San is a supreme remedy for clearing summer-heat, and Perilla is an excellent herb for calming the fetus and directing qi downward. With qi descending, blood returns to its vessels, and the illness resolves. This corresponds to the Four Blood Decoction (Sixue Yin) from Wang Haizang's *Yilei Yuanrong*. It is merely that you gentlemen have not reviewed texts thoroughly enough, or even if you have, you did not recognize it as a treatment for pregnancy and childbirth. What ability do I possess? I merely integrated previous methods without being rigid in their application." The neighbor bowed in submission and withdrew respectfully.