陈三农治一妇，有孕常作泻。久泻属肾，用白术四两，煮熟山药二两，炒甘草一两，炙杜仲姜汁炒、松花
炒各七钱，米糊为丸，服愈。（雄按∶仍是治脾。）
薛立斋治边太常侧室，妊娠泄泻。自用枳、术、黄连之类，腹闷吐痰，发热恶寒，饮食到口即欲作呕，强
进匙许，即吞酸不快。欲用祛痰理气。此因脾胃伤而痰滞中脘，若治痰气，复伤脾胃矣。遂以参、术、炮姜为
末，丸如黍米，不时含咽三五丸，渐加至三百丸，后日进六君子汤寻愈。
进士王缴征之内，怀妊泄泻，恶食作呕，此脾气伤也。其姑忧之，强进米饮。薛曰∶饮亦能伤脾胃，且不
必强。别用人参养胃汤饮之，吐水酸苦，又欲投降火寒药。曰∶若然，则胃气益伤也。经云∶损其脾胃者，调
其饮食，适其寒温。后不药果愈。
一妇人因怒，胸膈不利，饮食少思。服消导顺气之剂，脾胃愈弱，饮食少，大便不实，且无度，久而便黄
水，或带白。视其面色黄中隐白，曰∶黄色脾虚也，白色肺虚也。朝以补中益气汤，升补胃气，夕以六君子汤，
培补脾气而愈。
易思兰治石城福王歉之妃，癸酉六月受孕，偶患泄泻，府中医用淡渗药止之，自后每月泄三五日。有作脾
泄者，用参苓白术散之类，二三服亦止，然每月必泄五七次。至次年三月，生产后连泄半月，日夜八九次，诸
药不效。易诊之，两寸尺俱平和，惟两关洪大有力，易曰∶此暑病也。以黄连香薷饮治之，一剂减半，再剂全
愈。惟肝脉未退，又用通元二八丹，调理半月后平复。王曰∶妃患泄近一载，医未有言暑者，公独言暑，何见
也？易曰∶见之于脉，两关浮而洪大有力，故知为暑泄也。王曰∶《脉经》云，风脉浮，暑脉虚。今洪大有力，
非虚也。何以断暑？易曰∶暑伤气，初感即发，其邪在肺，皮肤卫气受病，故脉虚。自去年六月至今，将十月
矣，其邪自表入里，蕴蓄日久，而暑热日深，故其脉洪大而有力。王曰∶暑病固矣。公断非产后之病，又何见
也？易曰∶产脉见于尺寸，尺寸既平，于产何干？况病患于未产前，非产病明矣。王曰∶诸医用药，止效一时，
而不能除根，何也？易曰∶诸医有分利者，有补养者，各执己见，未得其源也。其源在暑，若用暑药，岂有不
除根者哉！
（雄按∶此症尚非全由伏暑。）
薛立斋治一妊妇，遗尿内热，肝脉洪数，按之微弱，或两太阳作痛，胁肋作胀。此肝火血虚，用加味逍遥
散、六味地黄丸寻愈。后又寒热，或发热，或恚怒，前证仍作，用八珍散、逍遥散兼服，以清肝火，养肝血而痊。
陈三农治疗一位孕妇，经常发生泄泻。久泻多归属于肾经病变，于是使用白术四两，煮熟的山药二两，炒甘草一两，姜汁炒炙杜仲、松花炒各七钱，用米糊制作成丸药，服用后痊愈。（徐大椿按：这实际上是在治疗脾脏。）
薛立斋治疗边太常的侧室（妾），妊娠期间出现泄泻。患者自行服用枳实、白术、黄连等药物，导致腹部闷胀、吐痰，伴有发热和恶寒，饮食入口即想呕吐，勉强吃下一勺，随即吞酸不适。有人想用祛痰理气的方法治疗。这是因为脾胃受损，导致痰湿停滞在中脘，如果此时治疗痰气和阻滞，反而会进一步损伤脾胃。于是薛立斋用人参、白术、炮姜研成粉末，制成如黍米大小的丸药，随时含化吞咽，每次三五丸，逐渐增加至三百丸，随后每日服用六君子汤，渐渐痊愈。
进士王缴征的妻子，怀孕后出现泄泻，厌恶食物并呕吐，这是脾气受伤的表现。她的婆婆为此担忧，强行让她喝米汤。薛立斋说：“米饮也会损伤脾胃，不必强迫。”另外选用养胃汤给她服用，患者吐出酸苦的清水，又想要服用降火寒凉的药物。薛立斋说：“如果是这样，胃气会更加受损。”《内经》说：“对于损伤脾胃的疾病，要调理饮食，适应寒温。”后来没有用药，果然痊愈。
一位妇人因为发怒，导致胸膈不畅，食欲减退。服用消食导滞、顺气的药剂后，脾胃更加虚弱，饮食减少，大便不成形且次数无度，时间久了大便呈黄水状，有时带有白色黏液。观察她的面色，黄色中隐现白色，薛立斋说：“黄色代表脾虚，白色代表肺虚。”早晨服用补中益气汤，以升提补充胃气；晚上服用六君子汤，以培补脾气，从而痊愈。
易思兰治疗石城福王谦之妃，癸酉年六月受孕，偶然患泄泻，王府医生用淡渗利湿的药物止泻，从此之后每月泄泻三到五天。有医生认为是脾泄，使用参苓白术散之类的药物，服二三剂也停止了，然而每月必然泄泻五到七次。到了次年三月，生产后连续泄泻半个月，日夜八九次，各种药物都无效。易思兰诊察发现，两手寸脉和尺脉都平和，只有两手关脉洪大有力。易思兰说：“这是暑病。”用黄连香薷饮治疗，一剂后症状减半，两剂后完全痊愈。只有肝脉尚未消退，又用通元二八丹调理半月后恢复平静。福王问：“妃子患泄泻将近一年，医生中没有提到暑邪的，唯独您说是暑邪，依据是什么？”易思兰说：“从脉象上看出来的，两手关脉浮而洪大有力，所以知道是暑邪引起的泄泻。”福王说：“《脉经》说，风邪致脉浮，暑邪致脉虚。现在脉象洪大有力，不是虚脉。怎么能判断为暑邪呢？”易思兰说：“暑邪伤气，初感时立即发病，邪气在肺，皮肤卫气受病，所以脉象虚。从去年六月到现在，将近十个月了，邪气由表入里，蕴蓄日久，暑热日益加深，所以脉象洪大有力。”福王说：“暑病确实确定了。您判断这不是产后疾病，又是依据什么？”易思兰说：“产后病的脉象表现在寸尺部位，现在寸尺脉既已平和，与产后有什么关系？况且病患是在产前就患病，显然不是产后病。”福王说：“其他医生用药，只能暂时见效，不能除根，为什么呢？”易思兰说：“其他医生有的用分利小便的药，有的用补养的药，各执己见，没有找到病源。病源在于暑邪，如果用治暑的药物，哪有不能除根的道理！”
薛立斋治疗一位孕妇，出现遗尿和内热，肝脉洪数，重按则微弱，有时两侧太阳穴疼痛，胁肋胀满。这是肝火旺盛兼血虚，使用加味逍遥散、六味地黄丸，很快痊愈。后来又出现寒热往来，或发热，或愤怒，之前的症状再次发作，使用八珍散、逍遥散兼服，以清肝火、养肝血而痊愈。
Chen Sansan treated a pregnant woman who frequently suffered from diarrhea. Chronic diarrhea is often attributed to the Kidney channel, so he used Baizhu (Atractylodis Macrocephalae Rhizoma) four liang, cooked Shanyao (Dioscoreae Rhizoma) two liang, fried Gancao (Glycyrrhizae Radix et Rhizoma) one liang, Jiangzhi chao Zhidu (Eucommiae Cortex processed with ginger juice) and Songhua (Pinus pollen) fried each seven qian. These were made into pills using rice paste, and the patient was cured after taking them. (Xu Dacun notes: This is essentially treating the Spleen.)
Xue Lizhai treated the concubine of Bian Taichang, who suffered from diarrhea during pregnancy. She had self-medicated with drugs such as Zhishi (Aurantii Fructus), Baizhu (Atractylodis Macrocephalae Rhizoma), and Huanglian (Coptidis Rhizoma), resulting in abdominal distension and fullness, phlegm expectoration, fever, aversion to cold, and nausea upon eating. Even when forced to swallow a spoonful, she experienced acid regurgitation and discomfort. There was a proposal to use phlegm-resolving and qi-regulating methods. However, this condition arose from Spleen and Stomach injury leading to phlegm stagnation in the Middle Jiao; treating the phlegm and qi at this stage would further damage the Spleen and Stomach. Therefore, Xue Lizhai used Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), and Paojiang (Zingiberis Rhizoma Preparatum) ground into powder, formed into pills the size of millet seeds. The patient held three to five pills in her mouth to swallow slowly at any time, gradually increasing to three hundred pills daily. Subsequently, Liu Junzi Tang (Six Gentlemen Decoction) was administered daily, and she gradually recovered.
The wife of Jinshi Wang Zhengzhengng suffered from diarrhea, food aversion, and vomiting during pregnancy, indicating Spleen Qi injury. Her mother-in-law, worried about this, forced her to drink rice water. Xue Lizhai said, "Rice water can also damage the Spleen and Stomach; there is no need to force it." Instead, Yangwei Tang (Stomach-Nourishing Decoction) was given. The patient vomited sour and bitter fluids and desired to take cooling and fire-draining herbs. Xue said, "If so, the Stomach Qi will be further damaged." The Classics state: "For diseases damaging the Spleen and Stomach, regulate the diet and adapt to temperature changes." Eventually, without medication, she recovered naturally.
A woman, due to anger, suffered from chest and diaphragm oppression and poor appetite. After taking herbs for digestion promotion and qi regulation, her Spleen and Stomach became weaker, appetite decreased, stools were loose and uncontrolled, and over time, yellow watery stools or those with white mucus appeared. Observing her sallow complexion with hidden whiteness, Xue said, "Yellow indicates Spleen deficiency, and white indicates Lung deficiency." In the morning, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) was used to raise and tonify Stomach Qi; in the evening, Liu Junzi Tang (Six Gentlemen Decoction) was used to cultivate and tonify Spleen Qi, leading to recovery.
Yi Silan treated the Consort of Prince Qian of Shicheng, who conceived in the sixth month of the Guiyou year and accidentally suffered from diarrhea. The palace physicians used diuretic and leaching agents to stop the diarrhea, after which she suffered from diarrhea for three to five days every month. Some doctors diagnosed it as Spleen diarrhea and used Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder), which stopped the symptoms after two or three doses, but she still suffered from diarrhea five to seven times monthly. By the third month of the following year, after giving birth, she suffered from continuous diarrhea for half a month, eight to nine times day and night, with all medicines failing. Yi Silan's pulse diagnosis revealed that the Cun (Inch) and Chi (Cubit) pulses on both hands were peaceful, but the Guan (Bar) pulses were surging, large, and forceful. Yi said, "This is a Summerheat disease." He treated her with Huanglian Xiangru Yin (Coptis and Elsholtzia Decoction). After one dose, symptoms halved; after two doses, she was completely cured. Only the Liver pulse remained unsubsided, so Tongyuan Erba Dan (Unblocking Origin Two-Eight Pill) was used for another half month until she recovered. The Prince asked, "The Consort suffered from diarrhea for nearly a year, and no doctor mentioned Summerheat. Why do you say it is Summerheat?" Yi replied, "It is seen in the pulse. The Guan pulses are floating, surging, large, and forceful, thus I know it is Summerheat diarrhea." The Prince said, "The Mai Jing states that Wind causes a floating pulse, and Summerheat causes a deficient pulse. Now the pulse is surging, large, and forceful, not deficient. How can you diagnose Summerheat?" Yi explained, "Summerheat damages Qi; upon initial contraction, it manifests immediately, the pathogen is in the Lung, and the Wei Qi of the skin is affected, hence the pulse is deficient. From last June to now, nearly ten months have passed. The pathogen has moved from the exterior to the interior, accumulating for a long time, and Summerheat heat has deepened daily, hence the pulse is surging, large, and forceful." The Prince said, "The Summerheat disease is confirmed. You judge it is not a postpartum disease; what is your basis?" Yi said, "Postpartum pulse changes appear in the Cun and Chi positions. Since these are now peaceful, how does it relate to childbirth? Moreover, the illness began before delivery, clearly not a postpartum disease." The Prince asked, "Why did other doctors' medications only provide temporary relief and fail to cure the root?" Yi said, "Other doctors used diuretics or tonics, each adhering to their own views, missing the source. The source is Summerheat. If Summerheat-specific herbs are used, how could the root not be eliminated?"
(Xu Dacun notes: This condition is not entirely caused by latent Summerheat.)
Xue Lizhai treated a pregnant woman who suffered from urinary incontinence and internal heat. Her Liver pulse was surging and rapid, but weak upon deep pressure. She sometimes experienced pain in both temples and distension in the hypochondrium. This was Liver Fire with Blood deficiency. He used Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) and Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill), and she recovered quickly. Later, she experienced alternating chills and fever, or fever alone, or anger, causing previous symptoms to recur. He used Bazhen San (Eight-Treasure Powder) and Xiaoyao San (Free and Easy Wanderer Powder) concurrently to clear Liver Fire and nourish Liver Blood, leading to complete recovery.