少司空凌绎老夫人蒋，适绎老无几，腹胀痛，发热，经过期不行者五日。诸医皆以经期作痛
，为调经不效。而绎老召予诊。左寸洪滑，两尺皆滑数，左尺之外，更有神气。予喜而语绎
老曰∶经闭非病，孕也，产必男。绎老雅信予，因究其说。予曰∶滑非经闭之脉，左尺尤有
神气，是以知产必男也，绎老谓∶果孕矣，奈发热腹痛何？予曰∶何伤，气虚血热耳。以安
胎
饮加减调理即安也。用人参、白术、白芍药为君，川芎、当归为臣，香附、柴胡、苏梗、条
芩、甘草为佐，四帖，腹痛减，热除。至期果生子。绎老德余，而多推毂云。
金文学元岩之眷，产后两日，腹痛，下痢纯红，肠鸣三越月，时当孟秋，两脉皆软弱，
用佛
手散加减以治，川芎三钱，当归五钱，艾叶、炮姜各一钱，桂心五分，酒炒白芍药二钱，连
进三帖，而疾减半。后因食新菱、新栗，又连为怒气所激，日晡晕厥，以生姜汤灌苏，腹胁
大痛，手不可近，用二陈汤加香附、砂仁、桂皮、炮姜与之，痛亦不减，且胸膈胀甚。自以
手探喉中，吐出菱栗，痛稍定。少顷复痛，又用手探吐，吐后泻三四次，而元气脱矣。脉皆
散乱如解索状，神气惫而恍惚，循衣摸床，病势危急。用人参、白术各五钱，酒炒白芍药二
钱，砂仁、炮姜、肉桂、甘草各一钱，急煎进之，痛乃稍定，精神清，仍泻二次，次日复进
药，痛减泻止。加白术又四帖，而饮食进，精神勃勃兴起矣。此因初痢时，医者不以产后为
重，徒以治痢苦寒之剂伤其中气，又为菱栗生冷所损，中气益坏然也，治可不慎哉。
少司空凌绎的老母亲蒋氏，结婚不久后，出现腹胀痛、发热，月经停止超过五天。各位医生都认为是经期疼痛，用调经药治疗无效。于是凌绎请我诊治。诊得左寸脉洪滑，两尺脉皆滑数，左尺脉之外，更有神气（指脉象有神，预示生机旺盛）。我高兴地对凌绎说：“经闭不是病，是怀孕，分娩必生男孩。”凌绎一向信任我，因此探究其中的道理。我说：“滑脉不是经闭的脉象，左尺脉尤其有神气，所以知道分娩必生男孩。”凌绎说：“确实怀孕了，但发热腹痛怎么办？”我说：“无妨，这是气虚血热罢了。”用安胎饮加减调理即可平安。用人参、白术、白芍药作为君药，川芎、当归作为臣药，香附、柴胡、苏梗、条芩、甘草作为佐药，服用四帖后，腹痛减轻，热退。到了预产期果然生下孩子。凌绎感激我，并多方推崇称赞。
金文学元岩的妻子，产后两天，腹痛，下痢纯红（便下纯血），肠鸣持续三个月，当时正值初秋，两脉皆软弱，用佛手散加减来治疗，川芎三钱，当归五钱，艾叶、炮姜各一钱，桂心五分，酒炒白芍药二钱，连续服用三帖，病情减半。后来因为吃了新菱角、新栗子，又连受怒气刺激，傍晚时晕厥，用生姜汤灌服使其苏醒，腹胁部剧烈疼痛，手不能触碰，用二陈汤加香附、砂仁、桂皮、炮姜给她服用，疼痛也不见减轻，且胸膈胀满严重。自己用手探喉催吐，吐出菱角和栗子，疼痛稍定。片刻后又痛，又用手探吐，吐后腹泻三四次，元气脱失。脉象散乱如解索状（脉来散乱无根，如解绳索之状，为死脉），神气疲惫而恍惚，循衣摸床（意识不清，手在衣物和床沿上摸索），病势危急。用人参、白术各五钱，酒炒白芍药二钱，砂仁、炮姜、肉桂、甘草各一钱，急煎服用，疼痛才稍定，精神清醒，仍腹泻两次，第二天再次服药，疼痛减轻，腹泻停止。加白术再服四帖，饮食进补，精神勃勃兴起。这是因为起初下痢时，医生不重视产后体质，只用治痢的苦寒药物损伤其中气，又被菱角、栗子生冷所损害，中气更加败坏啊，治疗能不谨慎吗？
The elderly mother of Ling Yi, the Vice Minister of Works (Sha Sikong), surnamed Jiang, had been married for a short time when she developed abdominal distension and pain, fever, and her menstrual period had been absent for five days. All physicians attributed the pain to menstruation and prescribed regimens to regulate the menses without effect. Consequently, Ling Yi summoned me to examine her. The pulse at the left Cun position was surging and slippery; both Chi positions were slippery and rapid. Beyond the left Chi, there was an additional sense of "Shen Qi" (Spiritual Energy/Vitality). I rejoiced and said to Ling Yi: "Menstrual cessation is not a disease; it is pregnancy. The delivery will surely be of a male child." Ling Yi generally trusted me, so he inquired about my reasoning. I said: "A slippery pulse is not indicative of menstrual obstruction. The left Chi position especially exhibits vitality, hence I know the delivery will be of a male child." Ling Yi replied: "It is indeed pregnancy, but what of the fever and abdominal pain?" I said: "No harm. It is merely Qi deficiency with Blood heat. Regulation with An Tai Yin (Fetus-Securing Decoction) modified will ensure safety." We used Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), and Bai Shao Yao (Paeoniae Radix Alba) as Sovereign herbs; Chuan Xiong (Ligustici Chuanxiong Rhizoma) and Dang Gui (Angelicae Sinensis Radix) as Ministers; Xiang Fu (Cyperi Rhizoma), Chai Hu (Bupleuri Radix), Su Geng (Perillae Caudatae Caulis), Tiao Qin (Scutellariae Radix), and Gan Cao (Glycyrrhizae Radix et Rhizoma) as Assistants. After four doses, the abdominal pain decreased, and the fever subsided. At the expected time, a son was indeed born. Ling Yi was grateful to me and widely praised me.
The wife of Jin Yuexuan, a Literary Scholar, two days postpartum, suffered from abdominal pain and dysentery consisting purely of blood (pure red stool). Borborygmus persisted for over three months. It was then early autumn, and both pulses were weak and soft. She was treated with Fo Shou San (Buddha's Hand Powder) modified: Chuan Xiong 3 qian, Dang Gui 5 qian, Ai Ye (Artemisiae Argyi Folium) and Pao Jiang (Zingiberis Rhizoma Preparatum) each 1 qian, Gui Xin (Cinnamomi Cortex) 0.5 qian, and Jiu Chao Bai Shao Yao (Alcohol-fried Paeoniae Radix Alba) 2 qian. After three consecutive doses, the illness reduced by half. Later, due to consuming new water chestnuts and new chestnuts, combined with repeated provocation by anger, she fainted in the late afternoon. She was revived by administering fresh ginger soup. Her abdomen and hypochondrium suffered severe pain, intolerable to touch. She was given Er Chen Tang (Two-Cured Decoction) added with Xiang Fu, Sha Ren (Amomi Fructus), Gui Pi (Cinnamomi Cortex), and Pao Jiang. The pain did not subside, and chest and diaphragm distension became severe. She probed her throat with her hand to induce vomiting, expelling the water chestnuts and chestnuts, after which the pain slightly stabilized. Shortly after, pain returned. She vomited again by probing her throat. After vomiting, she had three or four episodes of diarrhea, leading to the collapse of Yuan Qi (Primary Vital Energy). The pulses were scattered and chaotic like untying ropes (Jie Suo Mai, a sign of impending death). Her spiritual energy was exhausted and erratic; she exhibited "Xun Yi Mo Chuang" (groping clothes and bedrails), indicating critical condition. We urgently decocted and administered Ren Shen and Bai Zhu each 5 qian, Jiu Chao Bai Shao Yao 2 qian, Sha Ren, Pao Jiang, Rou Gui (Cinnamomi Cortex), and Gan Cao each 1 qian. Only then did the pain slightly stabilize, and her spirit clear. She still had two episodes of diarrhea. On the next day, the medicine was administered again; pain decreased, and diarrhea stopped. With the addition of more Bai Zhu for four further doses, her diet improved, and her spirit became vigorous. This occurred because initially, during dysentery, the physicians did not prioritize the postpartum state, blindly using bitter-cold agents for dysentery that damaged her Middle Qi (Spleen/Stomach Qi). Furthermore, damage from the cold/raw nature of water chestnuts and chestnuts further ruined the Middle Qi. Can treatment not be cautious?