张子和治一妇人，病大便燥结，小便淋涩，半生不孕。常服疏导之药，则大便通利，暂止则结滞。忽得孕，
至四月间，医者禁疏导之药，大便仍难，临圊则力努为之胎堕，凡如此胎坠者三。又孕已经三四月，前后结涩，
自分胎陨。张诊之，两手脉虽滑，不敢陡攻，遂以食疗之，用花减煮菠 、葵菜，以车前苗作蔬，杂猪羊血作
羹食之。半载居然生子，燥病亦愈。屡见孕妇利脓血，下迫极努损胎，但用前法治之愈者，莫知其数。（减字疑误，
然《儒门事亲》亦是减字，故仍之。）
薛立斋治李蒲汀侧室，妊娠，大小便不利。或用降火理气之剂，元气反虚，肝脉弦急，脾脉迟滞。视其面
色青黄不泽，薛曰∶此郁怒所致也。用加味归脾汤为主，佐以加味逍遥散而安。
主政王天成之内，妊娠痢病，愈后二便不通。其家世医，自用清热之剂未效。诊其脉浮大而涩，此气血虚。
朝用八珍汤加桃仁、杏仁，夕用加味逍遥散加车前子而瘥。
陆养愚治一妇，孕九月，大小便不通，已三日，忽胎上冲心，昏晕数次。诊之，脉洪大而实，谓当下之，
与服大承气汤一剂，少加木香、豆仁。村医见用大黄两许，摇头伸舌，其良人有难色。乃谓之曰∶余坐汝家，
待其得生始去。始安心煎服。一二时许，二便俱行，去黑矢极多，胎亦无恙。乃留调气养荣汤二剂而不服，数
日后小水不利，乃煎服之而愈，月余产一男。
陈三农治一妇，妊娠五月，大小便不通，胸腹痞满，腿足及心腹刺痛难忍，用芎、归、赤芍、枳壳、槟榔、
木通、滑石、杏仁、葱白，童便、水各一钟，煎八分，入大黄末二钱，车前子末二钱，再沸入蜜四五匙，温服，
大小便皆利而安。
聂久吾曰∶一医来问云，我治一妇孕八九月，忽然大小便不通，腹胀甚，用承气汤下之仍不通，今危矣。
此非煎药所能下，教用牵牛大黄丸下之，服至一两许而大小便俱通。次日其夫来谢，因云∶诸病皆除，惟小便
时，要人将手紧按小腹方可便，否则不能便。因思此是气尚闭，与青皮、香附等行气药，一剂而愈。逾月生男，
母子毋恙。（方见呕门。）
沈尧封曰∶昔丹溪治一妊妇，小便不通，令一妇以香油涂手，自产门入托起其胎，溺出如注，即用人参、
黄、升麻，大剂煮服。又治一妇转胞，用参归煎服，探吐得愈。汪 庵载其方名参术饮，盖当归、熟地、川
芎、芍药、人参、白术、留白陈皮、半夏、炙甘草，加姜煎，空心服。丹溪论曰∶窘胞之病，妇人之禀受弱者，
忧闷多者，性躁急者，食味浓者多有之，古方用滑药鲜效。因思胞不自转，为胎被压，若举起胞，则水道自通
矣。近吴宅宠人患此，脉似涩，重则弦。予曰∶此得之忧患。涩为血少气多，弦为有饮。血少则胎弱不能举，
气多有饮，中焦不固而溢，则胎避而就下。乃以上药与饮，随以指探吐，候气定，又与之而安。此恐偶中，后
治数人皆效。
Zi Hezi treated a woman suffering from dry and constipated stool, dysuric and astringent urine, and infertility for half her life. She frequently took purgative herbs to promote bowel movement; when she did so, her stool was unobstructed, but upon cessation, constipation returned. She suddenly became pregnant. By the fourth month, physicians prohibited the use of purgatives, yet her stool remained difficult. During defecation, excessive straining caused miscarriage; this occurred three times. In another instance, at three or four months of pregnancy, preceded by previous episodes of constipation and astringency, she assumed the fetus would be lost. Zi Hezi palpated her pulse, finding it slippery in both hands, but dared not abruptly apply purgative methods. Instead, he employed dietary therapy: boiling spinach and okra (with "Jian" likely being an error, retained as per *Rumen Shiqin*), using shepherd's purse seedlings as vegetables, and mixing pig and sheep blood into a soup. Half a year later, she successfully delivered a child, and the dryness disease also healed. He frequently observed pregnant women passing pus and blood with severe tenesmus damaging the fetus; those cured by the aforementioned method were countless.
Xue Lizhai treated the concubine of Li Puting, who during pregnancy suffered from difficulty in urination and defecation. Others used formulas to clear heat and regulate qi, which instead depleted her primordial qi. Her liver pulse was wiry and urgent, and her spleen pulse was slow and sluggish. Observing her face was greenish-yellow and lusterless, Xue said, "This is caused by depression and anger." He used Jiawei Guipi Tang (Modified Spleen-Restoring Decoction) as the main formula, assisted by Jiawei Xiaoyao San (Modified Free Wanderer Powder), and the condition stabilized.
The wife of Wang Tiancheng, a Chief Magistrate, suffered from gestational dysentery. After recovery, she experienced obstruction of both urination and defecation. Her family, consisting of generations of physicians, self-administered heat-clearing agents without effect. Palpating her pulse, it was floating, large, and choppy, indicating deficiency of qi and blood. In the morning, he prescribed Bazhen Tang (Eight-Treasure Decoction) with added Tao Ren (Peach Seed) and Xing Ren (Apricot Seed); in the evening, Jiawei Xiaoyao San with Che Qian Zi (Plantago Seed). She recovered.
Lu Yangyu treated a woman at nine months of pregnancy who had no passage of stool or urine for three days. Suddenly, fetal gas rushed upward to the heart, causing several fainting spells. Palpation revealed a flooding and full pulse. Lu stated that purgation was necessary and administered Dachengqi Tang (Major Order the Qi Decoction) for one dose, with slight additions of Mu Xiang (Aucklandia Root) and Dou Ren (Cardamom Seed). A village physician, seeing the use of approximately one liang of Da Huang (Rhubarb Root and Rhizome), shook his head and stuck out his tongue in astonishment. The husband looked troubled. Lu said, "I will sit in your house until she survives before I leave." They then安心ly decocted and administered the medicine. After about one to two hours, both urination and defecation occurred, expelling a large amount of black feces, and the fetus remained unharmed. Lu left two doses of Tiaoqi Yangrong Tang (Regulate Qi and Nourish Blood Decoction), which were not taken. Several days later, due to difficulty in urination, they decocted and took it, leading to recovery. Over a month later, she delivered a male infant.
Chen Sansan treated a woman at five months of pregnancy with obstruction of stool and urine, chest and abdominal distension, and unbearable stabbing pain in the legs, feet, and abdomen. He used Xiong (Ligusticum Chuanxiong Rhizome), Gui (Angelica Sinensis Root), Chi Shao (Red Peony Root), Zhi Ke (Bitter Orange Fruit), Bing Lang (Areca Seed), Mu Tong (Akebia Stem), Hua Shi (Talcum), Xing Ren (Apricot Seed), Cong Bai (Scallion White), along with one zhong of Tongbian (Child's Urine) and water, decocted to eight-tenths volume. Two qian of Da Huang powder and two qian of Che Qian Zi powder were added, boiled again, mixed with four or five spoons of honey, and taken warm. Both urination and defecation became smooth, and she was relieved.
Nie Jiuwu said: A physician came asking, "I treated a woman at eight or nine months of pregnancy who suddenly had no passage of stool or urine and severe abdominal distension. I used Chengqi Tang to purge, but there was still no passage. The situation is now critical." This cannot be resolved by ordinary decoctions. I instructed him to use Qianni Dahuang Wan (Pharbitis and Rhubarb Pill). After taking approximately one liang, both urination and defecation resumed. The next day, her husband came to thank me and mentioned, "All ailments are removed, but during urination, someone must press the lower abdomen tightly with their hand; otherwise, urination is impossible." I reasoned that qi was still obstructed and prescribed Qingpi (Green Tangerine Peel) and Xiangfu (Cyperus Rhizome) among other qi-regulating herbs. One dose led to recovery. Over a month later, a boy was born, and mother and child were safe. (Formula see Vomiting Section.)
Shen Yaofeng said: Previously, Zhu Danxi treated a pregnant woman with urinary retention. He instructed a woman to apply sesame oil to her hands, insert them into the birth canal, and lift the fetus. Urine flowed out like a stream. Subsequently, he administered a large dose of Ginseng, Astragalus, and Cimicifuga decoction. He also treated a woman with cystoptosis (retroverted bladder causing urinary retention) using Ginseng and Angelica decoction, curing her through induced vomiting. Wang Ren'an recorded this formula as Shen Zhu Yin (Ginseng and Atractylodes Drink), consisting of Dang Gui (Angelica Sinensis Root), Shu Di (Prepared Rehmannia Root), Chuan Xiong (Ligusticum Chuanxiong Rhizome), Shao Yao (Peony Root), Ren Shen (Ginseng Root), Bai Zhu (Atractylodes Macrocephala Rhizome), Chen Pi (Citrus Reticulata Peel), Ban Xia (Pinellia Tuber), Zhi Gan Cao (Honey-fried Licorice Root), added with fresh ginger, decocted and taken on an empty stomach. Zhu Danxi discussed that cystoptosis occurs frequently in women with weak constitution, those prone to worry and depression, those with irritable temperaments, and those consuming rich flavors. Ancient formulas using slippery/lubricating herbs rarely showed efficacy. He reasoned that the bladder does not rotate on its own but is compressed by the fetus; if the bladder is lifted, the water pathway opens naturally. Recently, a favored concubine in the Wu household suffered from this. Her pulse was slightly choppy, becoming wiry under heavy pressure. I said, "This is caused by anxiety and worry." Choppy indicates blood deficiency and excess qi; wiry indicates fluid retention. Blood deficiency makes the fetus weak and unable to be supported; excess qi with fluid retention causes instability in the middle jiao and overflow, leading the fetus to descend. Thus, I gave the aforementioned medicine and decoction, followed by induced vomiting. After the qi settled, I administered more medicine, and she stabilized. This may have been accidental success, but subsequent treatments of several patients were all effective.