6.妊娠腹痛名胞阻, 须审心腹少腹间. 伤食心胃胎腰腹, 少腹胞寒
水尿难.
【注】孕妇腹痛, 名为胞阻. 须审其痛, 或上在心腹之间者, 多属食
滞作痛; 或下在腰腹之间者, 多属胎气不安作痛; 若在少腹之间者,
则必因胞血受寒, 或停水尿难作痛也.
加味平胃散 延胡四物汤
7.心胃痛多伤食滞, 苍朴陈甘果枳麴, 便秘加军倍甘草, 胎动延胡
四物宜.
【注】孕妇心胃作痛者, 多因伤食停滞, 宜平胃散, 即陈皮, 厚朴,
苍术, 甘草也. 加草果, 枳壳, 神麴以消之. 若更大便秘结, 日久则
加硝, 黄以攻之, 然必倍甘草以缓其峻性, 庶不伤胎. 若腰腹作痛,
胎动下血, 则当用四物汤, 君以延胡, 以定痛而保胎也.
四物汤 方见首卷
加味胶艾四物汤 蜜消汤
8.腹腰痛甚防胎堕, 胶艾四物杜酒葱, 外邪宜加羌独活, 内热便秘
蜜硝攻.
【注】胞蒂系于腰. 凡腹腰痛者, 须防堕胎. 宜用胶艾四物汤, 加杜
仲,大豆, 淋酒, 葱白以定痛而保胎. 若因外感风寒之邪, 则加羌活
,独活以散之; 若内热大, 小便闭者, 则用蜂蜜, 芒硝煎汤以攻之.
经曰: 有故无陨是也.
胶艾四物汤 方见首卷
加味芎归饮 导赤散 五苓散
9.胞血受寒少腹疼, 参吴胶艾草归芎. 尿涩热甚导赤散, 木通生地
甘草灵. 水盛阳虚五苓效, 术泽肉桂茯猪苓.
【注】少腹作痛者, 乃胞中之血受寒也, 宜加味芎归饮温之. 其方即
人参, 吴茱萸, 阿胶, 蕲艾, 炙甘草, 当归, 川芎也. 若因尿涩而痛
,则是膀胱水病热甚, 则以导赤散清利之, 其方即生地, 木通, 甘草
也.若水盛阳虚不化, 则以五苓散渗利之, 其方即茯苓, 白术, 泽泻
,猪苓, 肉桂也.
6. 妊娠期间出现的腹痛称为“胞阻”（妊娠期因冲任失调引起的腹痛），必须仔细辨别疼痛是在心腹部位还是少腹部位。如果疼痛位于心、胃及腰部、腹部，多属于饮食停滞导致的疼痛；如果疼痛位于少腹，则多是因为胞宫受寒，或者水湿停聚导致排尿困难而引起的疼痛。
7. 心和胃部的疼痛大多是由于饮食停滞所致，可使用苍术、厚朴、陈皮、甘草、草果、枳壳、神曲组成的方剂来治疗；如果伴有便秘，应加倍使用大黄和甘草以攻下积滞；如果是胎动不安，适宜使用延胡索和四物汤。
8. 腹部和腰部剧烈疼痛要防止流产，可使用胶艾四物汤，并加入杜仲、大豆、黄酒、葱白以止痛安胎。如果是由外感风寒邪气引起，应加入羌活、独活以疏散邪气；如果体内热盛且大便秘结，可用蜂蜜、芒硝煎汤以攻下泄热。医经说：“有病则病受之，不会伤害胎儿”，指的就是这种情况。
9. 胞宫血液受寒导致少腹疼痛，可使用加味芎归饮，该方由人参、吴茱萸、阿胶、蕲艾、炙甘草、当归、川芎组成。如果因为小便涩痛而引发疼痛，这是膀胱水液代谢异常且热势严重，应使用导赤散进行清热利湿，该方由生地黄、木通、甘草组成。如果水湿内盛且阳气虚弱无法运化，则五苓散疗效显著，该方由白术、泽泻、肉桂、茯苓、猪苓组成。
6. Abdominal pain during pregnancy is named "Bao Zu" (abdominal pain during pregnancy caused by disharmony of the Chong and Ren meridians). One must carefully examine whether the pain is located in the epigastric/abdominal region or the hypogastric region. Pain in the heart, stomach, waist, and abdomen often belongs to pain caused by food stagnation; pain in the hypogastric region is necessarily due to cold invading the uterus (Bao) or water retention causing difficult urination.
7. Pain in the heart and stomach is mostly due to food stagnation; Ping Wei San (Calm the Stomach Powder) consisting of Chen Pi (Tangerine Peel), Hou Po (Magnolia Bark), Cang Zhu (Atractylodes Rhizome), and Gan Cao (Licorice Root) is suitable. Add Cao Guo (Tsaoko Fruit), Zhi Qiao (Immature Bitter Orange), and Shen Qu (Medicated Leaven) to resolve it. If accompanied by severe constipation, add Xiao Shi (Niter) and Da Huang (Rhubarb) to purge, but double the dose of Gan Cao (Licorice Root) to moderate its harsh nature so as not to harm the fetus. If there is abdominal pain with threatened miscarriage, Yan Hu Suo (Corydalis Rhizome) combined with Si Wu Tang (Four Substances Decoction) is appropriate.
8. Severe pain in the abdomen and waist requires vigilance against miscarriage. Jiao Ai Si Wu Tang (Collage and Mugwort Four Substances Decoction) should be used, adding Du Zhong (Eucommia Bark), Da Dou (Soybean), wine, and Cong Bai (Scallion White) to alleviate pain and secure the fetus. If caused by external wind-cold pathogens, add Qiang Huo (Notopterygium Rhizome) and Du Huo (Angelica Pubescens Root) to disperse them; if internal heat is severe with constipation, use Mi (Honey) and Mang Xiao (Mirabilite) decocted in water to purge. As stated in the classics: "When there is a pathogen, the pathogen bears the brunt," meaning the treatment will not harm the fetus.
9. Cold invading the blood of the uterus causes hypogastric pain; Jia Wei Xiong Gui Yin (Modified Ligusticum and Angelica Decoction) should be used to warm it. This formula consists of Ren Shen (Ginseng Root), Wu Zhu Yu (Evodia Fruit), E Jiao (Donkey-hide Gelatin), Qi Ai (Mugwort Leaf), Zhi Gan Cao (Prepared Licorice Root), Dang Gui (Angelica Sinensis Root), and Chuan Xiong (Ligusticum Rhizome). If pain arises from dysuria, it indicates bladder water disease with severe heat; Dao Chi San (Direct Out the Red Powder) should be used to clear and drain damp-heat. This formula consists of Sheng Di Huang (Rehmannia Root), Mu Tong (Akebia Stem), and Gan Cao (Licorice Root). If water abundance with yang deficiency fails to transform, Wu Ling San (Five-Ingredient Powder with Poria) is effective. This formula consists of Bai Zhu (Atractylodes Macrocephala Rhizome), Ze Xie (Alisma Rhizome), Rou Gui (Cinnamon Bark), Fu Ling (Poria), and Zhu Ling (Polyporus).