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。
张子和治疗一位妇人，患大便干燥秘结，小便淋沥涩痛，半生未能怀孕。她常服用疏导通便的药物，则大便通畅，一旦停药则再次结滞。忽然怀孕，到了四个月时，医生禁止使用疏导类药物，大便依然困难，临厕用力努挣导致胎堕，像这样因努责而流产的共有三次。又有一次怀孕已经三四月，前后两次都出现便秘涩滞，自己认为胎儿保不住了。张子和诊察后，发现两手脉象虽滑，但不敢贸然使用攻下法，于是采用食疗方法，用花减（疑为误字，但《儒门事亲》中亦作此字，故保留）煮菠菜、葵菜，用车前苗做蔬菜，混合猪羊血做成羹食用。半年后果然生下孩子，燥病也痊愈了。屡次见到孕妇利下脓血，里急后重极度努损导致伤胎，只用上述方法治疗的，不知有多少。
薛立斋治疗李蒲汀的侧室，妊娠期间大小便不利。有人使用降火理气的药剂，导致元气反而虚弱，肝脉弦急，脾脉迟滞。观察其面色青黄无光泽，薛立斋说：这是由郁怒所致。以加味归脾汤为主方，佐以加味逍遥散，病情得以安定。
主政王天成的妻子，患妊娠痢疾，痊愈后二便不通。其家族世代行医，自行使用清热药剂无效。诊其脉浮大而涩，这是气血虚的表现。早晨服用八珍汤加桃仁、杏仁，晚上服用加味逍遥散加车前子，病愈。
陆养愚治疗一位妇人，怀孕九个月，大小便不通，已持续三天，忽然感觉胎气上冲心胸，昏晕数次。诊察后，脉象洪大而实，认为应当使用攻下法，给予大承气汤一剂，稍加木香、豆仁（即白豆蔻或草豆仁）。村医见用了约一两大黄，摇头伸舌表示惊讶，其丈夫面露难色。陆养愚对他们说：我坐在你家，等病人活过来才离开。这才安心煎药服用。大约一二小时后，大小便都通了，排出大量黑色粪便，胎儿也无恙。于是留下调气养荣汤两剂未服，数日后小便不利，才煎服该药而痊愈，月余后产下一男婴。
陈三农治疗一位妇人，怀孕五个月，大小便不通，胸腹痞满，腿足及心腹部刺痛难忍。使用川芎、当归、赤芍、枳壳、槟榔、木通、滑石、杏仁、葱白，童便和水各一钟，煎至八分，加入大黄末二钱，车前子末二钱，再煮沸后加入蜂蜜四五匙，温服，大小便皆通利而安。
聂久吾说：有一位医生来询问说，我治疗一位怀孕八九个月的妇人，忽然大小便不通，腹胀严重，使用承气汤攻下仍然不通，现在情况危急了。这不是普通煎药能解决的，教他用牵牛大黄丸攻下，服用到一两左右，大小便就都通了。第二天其丈夫来道谢，顺便说：各种病都消除了，只是小便时，需要人用手紧紧按住小腹才能排尿，否则不能排。我想这是因为气机仍然闭塞，给予青皮、香附等行气药物，一剂而愈。逾月后生下男孩，母子平安。（方剂见呕吐门类。）
沈尧封说：过去朱丹溪治疗一位妊妇，小便不通，让一位妇女用香油涂手，从产门进入托起胎儿，尿液流出如注，随即用人参、黄芪、升麻，大剂量煮服。又治疗一位妇人转胞（膀胱扭转致尿闭），用人参、当归煎服，通过探吐治愈。汪讱庵记载其方名为参术饮，即当归、熟地、川芎、芍药、人参、白术、留白陈皮、半夏、炙甘草，加生姜煎煮，空腹服用。朱丹溪论述说：窘胞之病，禀赋弱、忧闷多、性情急躁、饮食口味浓重的人多有此病，古方用滑利药物治疗鲜有见效。因为膀胱不自行转动，是被胎儿压迫所致，如果举起膀胱，水道自然通畅。最近吴宅宠妾患此病，脉象似涩，重按则弦。我说：这是因忧患所致。涩脉代表血少气多，弦脉代表有水饮。血少则胎弱不能举升，气多且有水饮，中焦不固而溢出，则胎儿避让而下坠。于是用上述药物与汤剂，随即用手指探吐，待气定后，再给药而安。这恐怕是偶然中的，后来治疗数人都有效。
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.