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The pregnant woman’s pulse is slippery and rapid. Her symptoms include obstruction of urination and defecation, a pulling and distending sensation in the anterior and posterior orifices, and edema of the feet and knees. Previous physicians employed methods such as nourishing Yin, promoting drainage, and raising Qi, but these treatments were repeatedly ineffective.

Commentary: The Lung and Large Intestine are exteriorly-interiorly related, and the Lung communicates with the Bladder regarding Qi transformation. Therefore, the patency or obstruction of urine and stool is closely related to the Lung. If Lung Metal is dry and fails to generate Kidney Water, its clear and descending function cannot descend, resulting in obstruction of the intestinal Qi. Yu Jia Yan (Yu Chang) stated that the Qi of the human body depends entirely on the Lung; when Lung Qi is clear, Qi moves freely, and when Lung Qi is turbid, Qi becomes stagnant. Clearing Lung Heat and rescuing Lung Dryness treats the source. When Qi moves, stagnation resolves naturally; when the source is clarified, the flow becomes clear. Among birds and animals, those with Lungs have urine, and those without Lungs do not. Thus, for various conditions where water passages are obstructed leading to swelling and fullness, treating the Lung is urgent. Previously, it was discussed to use Qingzao Jiufei Tang (Clea-Heat-and-Moisture-Rescuing Decoction). Although urination has resumed, defecation remains unsmooth, foot edema has not subsided, the anterior and posterior orifices still feel pulling and distended, sleep at night is uncomfortable, there is bitter taste in the mouth, and the tongue coating is yellow. To the original prescription, add Chao Kuqin (Stir-baked Scutellariae Radix) and Pear Juice.

An Bo commented: The discussion is profound and subtle, causing the reader to salivate abundantly.

The *Classic of Internal Medicine* states: "Lung Qi connects to the nose." It also states: "When Gallbladder Heat transfers to the Brain, it causes Biyuan (Nasal Sinusitis)." This indicates that although the etiology of Biyuan is attributed to the Lung, it is actually caused by Gallbladder Heat transferring to the Brain. This condition has persisted for several years, with profuse discharge of foul-smelling nasal mucus. The Lung and Kidney are mother-son organs. Lung Metal has been scorched by Fire, injuring Yin fluids. Furthermore, the right side of the nasal cavity had perforated and ulcerated last summer; just as it healed, a new hole ulcerated on the left side, and redness and swelling have not yet subsided. The Classic states: "Excess heat leads to swelling." Although this is due to Gallbladder Heat fermenting and causing pathology, treatment must distinguish between new and chronic diseases. The pulse is rapid, large, and forceless, indicating a chronic condition with Yin deficiency and floating Yang, which cannot be compared to acute excess-heat patterns. Bitter-cold herbs damage Stomach Qi and are indeed inappropriate. The strategy should be to strengthen Water (nourish Yin) to protect Metal (Lung), hoping to achieve the rising of Water and descending of Fire, so that redness and swelling may subside and the ulcerated wound may heal.

An Bo commented: Prescribing the method of Qingzao Jiufei Tang assists Metal to suppress Wood, which is how one treats Gallbladder Heat and clears the Lung; clarifying the source is how one treats the Kidney.