王显字世荣，文昭皇后之怀世宗也。梦为日所逐，化为龙而绕后，后寤而惊悸，遂成心疾。衣冠文物太后敕召
徐謇及王显等为后诊脉。徐謇言是微风入脏，宜进汤药及加针灸。显诊云∶按三部非有心疾，将是怀孕生男之
象。后果如言。
汪石山诊一妇，形长色紫，妊五月矣。求脉之以别男女，汪曰∶脉右大于左。《脉诀》云，左大为男，右
大为女。今脉右大，当是女耶。彼则喜曰∶我男胎矣。往岁有妊时，尊甫先生诊之，亦谓右脉浮大，当是女孕，
后生男。今妊又得是脉，可知为男矣。后果生男。汪曰∶脉书但道其常，莫能尽其变，此医所以贵乎望闻问切也。
张子和诊一妇人，年四十余得孕。自以为年衰多病，故病复作。医亦不察，加燔针于两脐旁，又以毒药攻
磨，转致腹痛食减形羸，已在床枕。张诊其脉曰∶六脉皆平，惟右尺洪大有力，此孕脉也。兼择食，为孕无疑。
左右皆笑之。不数月生一女，两目下各有燔针痕，几丧其明。凡治病妇，当先问孕，不可仓卒。
王胡之妻病脐下积块，择食，面黄肌瘦而不月。或谓之干血气，治之无效。张视之曰∶孕也。其人不信，
再三求治，乃与之平药，以应其意，（妙！否则别求人治，或致误事。）终不肯下毒药。（凡攻病之药，皆曰毒药。）
后月到，果胎也。问何以别之，曰∶尺脉洪大也。（亦有尺脉微弱而孕者，见求子门汪石山案。）《素问·阴阳
别论》所谓阴抟阳别之脉。
昆山周知县景星家一妇，病腹中块痛，专科诊之曰∶气积。投以流气破积之剂，又命人以汤饼轴戛之，
不效。闻有巫峰神庙颇灵，往问之云∶此胎气也，勿用药。信之，彼果生一男。
南京户都主事韩语光妻，病腹中作痛，按之若有物在脐左右者。适浙中一名医至京，请诊之云∶是 瘕。
服三棱、蓬术之剂旬余，觉愈长，亦以其不效乃止。后数月生二男。此皆有命而然，可不慎哉。（《客中间集》。）
程氏光治一有胎妇。儿啼腹中，皆不治。乃倾豆于地，令妇低头拾之，儿啼止。（《江西通志》。）
万密斋曰∶儿啼腹中，此症临月将产妇人有之。师母钱氏，嘉靖戊子，有娠九个月，儿在腹中哭，钱大惊。
令作男子拜而止之，过二十日，生师兄邦孝。（师母以下似万门人语，邦孝似万之子。）
李有怀外家高氏怀妊，二十七月举子，后亦长成。（《云间杂志》。）
朱丹溪曰∶怀孕受物，乃一脏之虚。假如肝脏虚，其肝气止能养胎，无余用也。不能荣肝，肝虚，
故爱酸物。（《治法》。）
邢氏亡其名，朱胜非妇偶小疾，命视之，曰∶小疾尔，不药亦愈。然不宜孕，孕必死。其家以为狂言。后一
一岁，朱妇得子，其家方有抱孙之喜。弥月妇疾作，急召之，坚不肯来，曰∶去岁已言之，无可疗之理。越宿而
妇卒，人共奇之。（《钱塘县志》。）
薛立斋治一妊妇，胎六月，体倦懒食，面黄晡热，而胎不长，因劳欲坠，此脾气不足也。用八珍汤倍参、
术、茯苓，三十余剂，胃渐健，胎安而长矣。
一妊妇因怒，寒热往来，内热晡热，胁痛呕吐，胎至八月而不长，此因肝脾郁怒所致。用六君加柴胡、山
栀、枳壳、紫苏、桔梗，病愈而胎亦长矣。
王显，字世荣，在文昭皇后怀上世宗（北魏宣武帝）时发生的事。皇后梦见被太阳追逐，化作一条龙环绕皇后身边，醒来后感到惊恐心悸，于是患上了心疾（心神不宁的病证）。太后下令召见徐謇和王显等人给皇后诊脉。徐謇说这是微风侵入脏腑，适宜服用汤药并配合针灸治疗。王显诊断后说：按察寸、关、尺三部脉象，并没有心疾的迹象，这将是怀孕生男孩的征象。后果然如他所说。
汪石山诊治一位妇人，身形修长面色紫暗，已怀孕五个月。她请求汪石山通过脉象辨别胎儿性别。汪石山说：右手脉象大于左手。《脉诀》中说，左脉大为男，右脉大为女。现在右脉大，应该是女孩吧。那妇人高兴地说：我怀的是男孩了。往年怀孕时，令尊先生诊断说，也是右脉浮大，说是女胎，后来生了男孩。这次怀孕又是这种脉象，可知是男孩了。后果然生了男孩。汪石山说：脉书只讲述了常理，不能穷尽所有变化，这就是医生之所以重视望、闻、问、切四诊合参的原因。
张子和诊治一位四十多岁的妇人，得了孕。她自认为年纪大了且多病，所以病情复发。医生也没有仔细检查，在两脐旁施以燔针（烧红的针），又用毒药攻伐磨削，导致腹痛、食欲减退、身体消瘦，几乎卧床不起。张子和诊察她的脉象说：六部脉象都平和，只有右尺脉洪大有力，这是孕脉。加上有偏嗜口味的症状，无疑是怀孕了。左右的人都嘲笑他。没过几个月生了一个女儿，两眼下方各有燔针留下的疤痕，差点丧失视力。凡是诊治妇女，应当先询问是否怀孕，不可仓促行事。
王胡之的妻子患有脐下积块，偏嗜食物，面色黄肌肉瘦且停经。有人说是干血气（瘀血阻滞引起的病症），治疗无效。张子和看后说：是怀孕。那人不相信，再三求治，张子和便给她平和的药，以顺应她的心意，（妙！否则她会另寻医生，可能导致误事。）最终不肯让她服用毒药。（凡攻伐疾病的药物，都称为毒药。）后来月经来潮，果然是胎儿。问她如何辨别，回答说：尺脉洪大。（也有尺脉微弱而怀孕的情况，参见求子门中汪石山的医案。）这正是《素问·阴阳别论》中所说的阴搏阳别之脉。
昆山周知县景星家中一位妇人，患腹中块状物疼痛，专科医生诊断为气积。投以行气破积的药剂，又让人用汤饼棍敲击腹部，均无效。听说巫峰神庙很灵验，就去祈求，神谕说：这是胎气，不要用药。相信了这个说法，果然生下一个男孩。
南京户部主事韩语光的妻子，患腹中作痛，按压时感觉脐左右有物体存在。恰逢浙江的一位名医来到京城，请他诊断说：这是瘕（腹内结块，聚散无常的疾病）。服用三棱、莪术等破血行气的药剂十几天，觉得肿块反而长大，也因为无效才停止。后来几个月生了两个男孩。这些都是命中注定如此，能不谨慎吗？（出自《客中间集》。）
程氏光治一位有身孕的妇人。胎儿在腹中啼哭，都被视为不治之症。于是他往地上倒豆子，让妇人低头去捡，胎儿的啼哭声就停止了。（出自《江西通志》。）
万密斋说：胎儿在腹中啼哭，这个症状在临月即将生产的产妇身上会出现。我的师母钱氏，嘉靖戊子年，怀孕九个月，胎儿在腹中哭，钱氏非常惊慌。让她做男子拜的动作来制止它，过了二十天，生下了师兄邦孝。（师母以下的叙述似乎是万密斋门人的话语，邦孝似乎是万密斋的儿子。）
李有怀的外家高氏怀孕，二十七个月生下孩子，后来也健康成长。（出自《云间杂志》。）
朱丹溪说：怀孕受胎，是因为某一脏虚弱。假如肝脏虚弱，其肝气只能用来养胎，没有余力了。不能滋养肝脏，肝虚，所以喜爱酸味食物。（出自《治法》。）
邢氏，名字失传，是朱胜非的妻子。偶然患小病，请朱丹溪诊治，朱丹溪说：只是小病罢了，不吃药也会好。然而不宜怀孕，如果怀孕必死无疑。家人认为是疯话。过了一年，朱妻生子，家里才有了抱孙子的喜悦。满月时妇人疾病发作，急忙召请朱丹溪，他坚决不肯来，说：去年已经说过了，没有可治疗的道理。过了一夜妇人去世，人们对此感到惊奇。（出自《钱塘县志》。）
薛立斋治疗一位怀孕六个月的孕妇，身体疲倦懒食，面色发黄午后发热，且胎儿不长，因劳累有流产迹象，这是脾气不足所致。使用八珍汤加倍人参、白术、茯苓，三十多剂后，胃气逐渐强健，胎儿安稳并生长起来。
另一位孕妇因发怒，出现寒热往来，体内发热及午后发热，胁痛呕吐，胎儿至八月仍不长，这是因为肝脾郁怒所致。使用六君子汤加柴胡、山栀、枳壳、紫苏、桔梗，病愈后胎儿也生长起来了。
Wang Xian, courtesy name Shirong, was involved in an incident during the pregnancy of Empress Wenzhao with Emperor Shizong (Xuanwu of Northern Wei). The Empress dreamed that she was chased by the sun and transformed into a dragon circling around her. Upon waking, she felt startled and palpitations, which subsequently developed into Xin Ji (Heart Disease, referring to mental restlessness or cardiac disorders). The Dowager Empress issued an edict summoning Xu Jian and Wang Xian, among others, to diagnose the Empress's pulse. Xu Jian stated that this was caused by mild wind invading the Zang organs, and recommended herbal decoctions combined with acupuncture. Wang Xian diagnosed and said: "Palpating the three positions (Cun, Guan, Chi) reveals no signs of Heart Disease; rather, this is a sign of pregnancy with a male child." The outcome indeed matched his prediction.
Wang Shishan diagnosed a woman who was tall, had a purplish complexion, and was five months pregnant. She requested him to determine the sex of the fetus through pulse diagnosis. Wang said, "The right pulse is larger than the left. The *Mai Jue* (Pulse Classic) states that a large left pulse indicates a boy, and a large right pulse indicates a girl. Since your right pulse is large, it should be a girl." The woman happily replied, "I am carrying a boy! In my previous pregnancy, your father diagnosed me, noting a floating and large right pulse, predicting a girl, but I gave birth to a boy. This time, having the same pulse, I know it is a boy." The outcome was indeed a boy. Wang remarked, "Pulse books only describe the general rules and cannot exhaust all variations. This is why physicians must value the four diagnostic methods: inspection, auscultation/olfaction, inquiry, and palpation."
Zihe Zheng diagnosed a woman in her forties who was pregnant. Believing herself to be old and prone to illness, she thought her condition had relapsed. The physician failed to examine carefully, applying burning needle therapy (Fan Zhen) on both sides of the umbilicus and using toxic drugs to attack the body. This resulted in abdominal pain, reduced appetite, emaciation, and bedridden state. Zihe Zheng palpated her pulse and said, "All six pulses are peaceful, except for the right Chi position, which is flooding, large, and forceful. This is a pregnancy pulse. Coupled with food cravings, it is undoubtedly pregnancy." Those around him laughed. Not long after, she gave birth to a daughter, who had burn marks from the needles under both eyes and nearly lost her sight. When treating women, one must first inquire about pregnancy; rash actions should be avoided.
Wang Huzhi's wife suffered from a mass below the umbilicus, food cravings, sallow complexion, emaciation, and amenorrhea. Some diagnosed it as Gan Xue Qi (Dry Blood Syndrome), but treatment was ineffective. Zihe Zheng observed and said, "It is pregnancy." The patient did not believe him. After repeated requests for treatment, he prescribed mild herbs to appease her intentions (a clever move; otherwise, she might have sought another doctor, leading to errors), refusing to use toxic drugs (all drugs that attack disease are called toxic drugs). Later, menstruation occurred, confirming the pregnancy. Asked how he distinguished it, he answered, "The Chi pulse is flooding." (Note: There are cases where the Chi pulse is weak yet pregnancy exists; see Wang Shishan's case in the Seeking Children section.) This corresponds to the "Yin Bo Yang Bie" pulse described in the *Suwen: Yin Yang Bie Lun*.
A woman in the household of Zhou Jingxing, Magistrate of Kunshan, suffered from abdominal mass pain. A specialist diagnosed it as Qi Accumulation and administered qi-moving and mass-breaking agents. Additionally, someone was ordered to strike her abdomen with a rolling pin, but these were ineffective. Hearing that the Wufeng Temple was efficacious, she prayed there and received an oracle stating, "This is fetal Qi; do not take medicine." Trusting this, she eventually gave birth to a son.
The wife of Han Yuguang, Director at the Ministry of Revenue in Nanjing, suffered from abdominal pain, feeling a mass on either side of the umbilicus upon pressure. A famous physician from Zhejiang happened to be in Beijing. Upon diagnosis, he identified it as Xia (a type of abdominal mass that moves and changes location). After taking herbs containing San Leng and E Zhu for over ten days, the mass seemed to grow larger, so they stopped due to ineffectiveness. Months later, she gave birth to twin boys. These events seem destined; can one not be cautious? (From *Ke Zhong Jian Ji*.)
Cheng Shiguang treated a pregnant woman whose fetus cried in the womb, a condition considered incurable. He poured beans on the ground and instructed the woman to bend down and pick them up, which stopped the fetal crying. (From *Jiangxi Tongzhi*.)
Wan Muzhai stated: Fetal crying in the womb occurs in some women near term. My master's wife, Lady Qian, in the year Jiazi of the Jiajing era, was nine months pregnant when the fetus cried in her womb. Lady Qian was greatly alarmed and instructed her to perform a bowing gesture like a man to stop it. Twenty days later, she gave birth to Senior Brother Bangxiao. (Note: The text following "Master's wife" seems to be written by Wan's disciple; Bangxiao appears to be Wan's son.)
Li Youhuai's maternal relative, Gao Shi, gave birth after twenty-seven months of pregnancy, and the child grew up healthy. (From *Yunjian Zazhi*.)
Zhu Danxi said: Conception results from the deficiency of one Zang organ. For example, if the Liver is deficient, its Qi is solely used to nourish the fetus and has no surplus. It cannot nourish the Liver itself; thus, Liver deficiency leads to cravings for sour foods. (From *Zhi Fa*.)
Xing Shi, whose name is lost, was the wife of Zhu Shengfei. She once had a minor illness and consulted Zhu Danxi. He said, "It is a minor illness; it will heal without medicine. However, you should not become pregnant; if you do, you will die." Her family thought he was speaking madly. A year later, Zhu's wife gave birth to a son, bringing joy to the family for having a grandson. At one month postpartum, Zhu's wife fell ill again. They urgently summoned Zhu Danxi, but he firmly refused to come, saying, "I told you last year; there is no cure." The next day, the woman died, and people found this astonishing. (From *Qiantang Xianzhi*.)
Xue Lizhai treated a pregnant woman at six months gestation who presented with fatigue, poor appetite, sallow complexion, afternoon fever, and failure of the fetus to grow, with a risk of miscarriage due to exertion. This was diagnosed as Spleen Qi deficiency. He prescribed Bazhen Tang with doubled amounts of Renshen, Baizhu, and Fuling. After more than thirty doses, her stomach function improved, the fetus stabilized, and growth resumed.
Another pregnant woman, due to anger, experienced alternating chills and fever, internal heat, afternoon fever, hypochondriac pain, and vomiting. The fetus failed to grow by the eighth month. This was caused by Liver-Spleen depression and anger. He used Liujun Zi Tang added with Chaihu, Shanzhi, Zhike, Zisu, and Jiegeng. The illness resolved, and the fetus grew.