娠妊胎不长者，多因产母有宿疾，或不慎起居，不善调摄，以致脾胃亏损，气血衰弱，
而胎不长也。法当祛其宿疾，补其脾胃，培其气血，更加调摄得宜，而胎自长矣。补脾胃，
五味异功散主之。培气血，八珍汤主之。祛宿疾，随症治之。
五味异功散 八珍汤（俱见虚劳。
半产者，小产也。或至三、五月而胎堕；或未足月而欲生，均谓之小产。小产重于大产
盖大产如瓜熟自落，小产如生断其根蒂，岂不重哉？其将产未产之时，当以安胎为急，安
胎饮主之。既产而腹痛拒按者，此瘀血也，法当祛瘀生新，当归泽兰汤主之。若小产后血不
止，或烦渴、面赤，脉虚微者，此气血大虚也，八珍汤加炮姜以补之。若腹痛呕泻，此脾胃
虚也，香砂六君子汤加姜、桂以温之。其在产母，更宜慎风寒，节饮食，多服补药，以坚固
气血，毋使轻车熟路，每一受孕，即至期损动，而养育维艰也。戒之，慎之。
安胎饮（见前胎动不安。
当归 泽兰 白芍（酒炒） 川芎 大熟地（九制，各一钱五分） 延胡索（酒炒） 红花 香
附丹皮（各五分） 桃仁（去皮尖及双仁者，炒、研，七粒
水煎，入童便、热酒各半盏，热服。
八珍汤（见虚劳。
六君子汤（见类中。
娠妊子烦者，烦心闷乱也。书云∶孕四月，受少阴君火以养精；六月，受少阳相火以养
气。子烦之症，大率由此。窃谓妇人有孕，则君相二火，皆翕聚以养胎，不独四、六两月而
已。大法，火盛内热而烦者，淡竹叶汤。若气滞痰凝而闷乱者，二陈汤，加白术、黄芩、苏
梗、枳壳。若脾胃虚弱，呕恶食少而烦者，用六君子汤。子烦之候，不善调摄，则胎动不安
妊娠期间胎儿发育不良，多因孕妇原有旧疾，或起居不慎，调养不当，导致脾胃受损，气血虚弱，从而使胎儿无法正常生长。治疗原则应当祛除旧疾，补益脾胃，培补气血，再加上恰当的调摄，胎儿自然就能健康成长。补益脾胃，以五味异功散为主方。培补气血，以八珍汤为主方。祛除旧疾，则根据具体症状进行治疗。
半产即小产。有的怀孕三、五个月时胎堕；有的未满月就临产，都称为小产。小产比足月生产更严重，因为足月生产如同瓜熟蒂落，而小产如同强行折断植物的根茎，难道不更严重吗？在即将生产或尚未生产之时，当务之急是安胎，以安胎饮为主方。生产后如果腹痛且拒绝按压，这是瘀血阻滞，治疗原则应当祛瘀生新，以当归泽兰汤为主方。如果小产后出血不止，或者出现烦渴、面红、脉象虚微等症状，这是气血大虚，用八珍汤加炮姜来补益。如果出现腹痛、呕吐、腹泻，这是脾胃虚寒，用香砂六君子汤加生姜、肉桂来温补。对于产妇本人，更应谨慎防范风寒，节制饮食，多服用补药，以巩固气血，避免像走熟路一样，每次受孕都到预产期时损伤胎元，导致养育艰难。务必戒慎小心。
妊娠期间出现心中烦闷、躁扰不宁的症状，称为子烦。古籍记载：怀孕四个月时，受少阴君火滋养精气；六个月时，受少阳相火滋养元气。子烦这一病症，大多由此引起。我认为妇女怀孕后，君火和相火都会聚集在一起以滋养胎儿，不仅仅是在四、六两个月。一般治疗原则是：若火热旺盛导致内热而心烦的，用淡竹叶汤。若气机阻滞、痰湿凝结导致胸闷烦躁的，用二陈汤，加入白术、黄芩、苏梗、枳壳。若脾胃虚弱，伴有恶心呕吐、食欲不振而心烦的，用六君子汤。子烦这一证候，如果调养不当，就会导致胎动不安。
When a fetus fails to grow properly during pregnancy, it is often due to the mother's pre-existing diseases, improper daily life habits, or inadequate care, resulting in damage to the Spleen and Stomach and weakness of Qi and Blood, thereby preventing normal fetal development. The treatment principle should be to eliminate pre-existing diseases, tonify the Spleen and Stomach, cultivate Qi and Blood, combined with appropriate care, so that the fetus will naturally grow. To tonify the Spleen and Stomach, Wuwei Yigong San (Five-Flavor Extraordinary Power Powder) is the primary formula. To cultivate Qi and Blood, Bazhen Tang (Eight-Treasure Decoction) is the primary formula. To eliminate pre-existing diseases, treatment should follow the specific symptoms.
Half-abortion refers to minor abortion. It occurs when the fetus falls out at three or five months of gestation, or when labor begins before full term; both are termed minor abortion. Minor abortion is more severe than full-term delivery because full-term delivery is like a ripe melon falling naturally, whereas minor abortion is like forcibly breaking the root and stem, which is indeed more severe. During the period before or approaching delivery, the priority is to calm the fetus, using Antai Yin (Calming Fetus Drink) as the primary formula. After delivery, if there is abdominal pain that refuses pressure, this indicates Blood stasis; the treatment principle is to remove stasis and generate new tissue, using Danggui Zelan Tang (Angelica and Lanceleaf Sedum Decoction) as the primary formula. If bleeding persists after minor abortion, accompanied by irritability, thirst, red face, and a deficient and minute pulse, this indicates severe deficiency of Qi and Blood; Bazhen Tang (Eight-Treasure Decoction) with Paojiang (Prepared Ginger) should be used to tonify. If abdominal pain, vomiting, and diarrhea occur, this indicates Spleen and Stomach deficiency and cold; Xiangsha Liujunzi Tang (Aucklandia and Amomum Six-Gentlemen Decoction) with Shengjiang (Fresh Ginger) and Rongui (Cinnamon Bark) should be used to warm. For the mother herself, it is essential to carefully avoid wind and cold, regulate diet, and take more tonifying medicines to consolidate Qi and Blood, preventing the recurrence of habitual miscarriages where each pregnancy ends in damage and difficulty in nurturing. One must beware and be cautious.
"Zifan" (Fetal Irritability) refers to mental irritability and restlessness during pregnancy. Ancient texts state: At four months of pregnancy, the embryo receives the Ministerial Fire of Shaoyin to nourish Essence; at six months, it receives the Ministerial Fire of Shaoyang to nourish Qi. The syndrome of Zifan generally arises from this. I believe that when a woman is pregnant, both the Sovereign Fire and Ministerial Fire gather to nourish the fetus, not only during the fourth and sixth months. The general treatment principle is: for cases where excessive fire causes internal heat and irritability, Danzhuye Tang (Lophatherum Decoction) is used. For cases where Qi stagnation and Phlegm condensation cause chest tightness and restlessness, Erchen Tang (Two-Aged Decoction) is used, added with Baizhu (Atractylodes Macrocephala Rhizome), Huangqin (Scutellaria Root), Sugen (Perilla Stem), and Zhike (Aurantium Fruit). For cases of Spleen and Stomach weakness with nausea, vomiting, poor appetite, and irritability, Liujunzi Tang (Six-Gentlemen Decoction) is used. If Zifan is not properly managed, it may lead to restless fetus.