论曰妊娠日月未足，胎气未全而产者，谓之半产，盖由妊妇冲任气虚，不能滋养于胎，
胎气不固，或颠扑闪坠，致气血损动，或因热病温疟之类，皆致半产，仲景谓寒虚相搏，
此名为革，妇人则半产漏下是也。
治妊娠胎气损动，气血不调，或颠扑闪坠。因致堕胎，谓之半产，及产后气血不和。
恶滞不尽，腹中 痛，生地黄汤方
生干地黄（焙一两） 大黄（略煨） 芍药 白茯苓（去黑皮） 当归（切炒） 细辛
（去苗叶）
上九味，粗捣筛，每服五钱匕，水一盏半，入生姜一枣大拍碎，同煎至一盏，去滓不拘
时候温服。
治半产后，胸中气短，腹胁 痛，余血不尽，烦满闷乱，蒲黄汤方
蒲黄（一两） 芒硝（半两） 芎 （一两） 桂（去粗皮三分） 桃仁（半两去皮尖
双仁炒）
上七味，粗捣筛，每服三钱匕，水一盏半，煎至八分，去滓不拘时候温服。
治半产后，血下过多，心惊体颤，头目运转，或寒或热，脐腹虚胀疼痛。人参汤方
人参 麦门冬（去心焙） 生干地黄（焙） 当归（切炒） 芍药 黄 （锉） 白茯
苓（去黑
上八味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓食前温服。
治妊娠胎月未足，气血未充，辄堕胎者，其血伤动下而不止，虚烦困倦。茯苓散方
白茯苓（去黑皮） 人参 黄 （薄切） 酸石榴皮（切炒） 陈橘皮（去白炒） 甘
草（炙各
上六味，捣为细散。每服二钱匕，热酒调，放温服，米饮亦得，不拘时候。
治半产后，心烦闷倦。羚羊角饮方
羚羊角屑（半两） 芍药（一两） 枳实（去瓤麸炒三分） 人参（一两） 麦门冬（去
心焙半
上五味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓不拘时候温服。
治半产后，气血不快，恶露断续。延胡索汤方
延胡索 当归（切炒） 芍药 芎 桂（去粗皮） 甘草（炙各一两）
上六味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓不拘时候温服。
治半产后，恶露不尽，气攻疼痛，血下成块，结筑脐腹。芒硝散方
芒硝 蒲黄 芎 桂（去粗皮） 鬼箭羽（各半两） 生干地黄（焙一两） 桃仁（去
皮尖
上七味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓不拘时候温服。
治半产后，恶露不断，心闷气短，艾叶饮方
艾叶 当归（切焙） 人参 生干地黄（焙） 地榆 干姜（炮） 阿胶（炙令燥）
上七味等分。粗捣筛，每服三钱匕，水一盏。煎至七分，去滓不拘时候温服。
论述说：妊娠月份未满，胎气尚未完全形成而分娩的，称为半产。这通常是因为孕妇冲任二脉气虚，不能滋养胎儿，导致胎气不固；或者因跌倒、撞击、闪挫、坠落等原因，致使气血受损动荡；又或者因为热病、温疟等疾病，都会导致半产。张仲景曾说：“寒邪与虚损相互搏结，这种脉象称为革脉，妇女出现这种情况则表现为半产和漏下。”
治疗妊娠期间胎气受损动荡，气血不调，或因跌倒、撞击、闪挫、坠落导致堕胎，称为半产，以及产后气血不和、恶露滞留不尽、腹部疼痛，使用生地黄汤方。
生干地黄（焙干一两） 大黄（略加煨制） 芍药 白茯苓（去除黑皮） 当归（切片炒制） 细辛（去除苗叶）
以上九味药，粗捣筛碎，每次服用五钱匕，加水一盏半，放入一块生姜（大小如枣，拍碎），一同煎煮至一盏量，去渣滓，不拘时候温服。
治疗半产后，胸中气短，腹胁部疼痛，余血未尽，心烦胀闷混乱，使用蒲黄汤方。
蒲黄（一两） 芒硝（半两） 川芎（一两） 桂枝（去除粗皮三分） 桃仁（半两，去皮尖，双仁者炒制）
以上七味药，粗捣筛碎，每次服用三钱匕，加水一盏半，煎煮至八分量，去渣滓，不拘时候温服。
治疗半产后，阴道出血过多，心惊肉跳，身体颤抖，头晕目眩，或发冷或发热，脐腹部虚胀疼痛，使用人参汤方。
人参 麦门冬（去除心，焙干） 生干地黄（焙干） 当归（切片炒制） 芍药 黄芪（锉碎） 白茯苓（去除黑皮）
以上八味药，粗捣筛碎，每次服用三钱匕，加水一盏，煎煮至七分量，去渣滓，饭前温服。
治疗妊娠月份未满，气血未充盈，经常堕胎者，其血液受伤动荡下行不止，伴有虚烦困倦，使用茯苓散方。
白茯苓（去除黑皮） 人参 黄芪（薄切） 酸石榴皮（切片炒制） 陈橘皮（去除白瓤炒制） 甘草（炙制，各等分）
以上六味药，捣成细粉。每次服用二钱匕，用热酒调服，放温后服用，米饮送服也可以，不拘时候。
羚羊角屑（半两） 芍药（一两） 枳实（去除瓤麸炒三分） 人参（一两） 麦门冬（去除心，焙干，半两）
以上五味药，粗捣筛碎，每次服用三钱匕，加水一盏，煎煮至七分量，去渣滓，不拘时候温服。
延胡索 当归（切片炒制） 芍药 川芎 桂枝（去除粗皮） 甘草（炙制，各一两）
以上六味药，粗捣筛碎，每次服用三钱匕，加水一盏，煎煮至七分量，去渣滓，不拘时候温服。
治疗半产后，恶露不尽，气机攻冲疼痛，血液下行结成块状，凝结筑实于脐腹部，使用芒硝散方。
芒硝 蒲黄 川芎 桂枝（去除粗皮） 鬼箭羽（各半两） 生干地黄（焙干一两） 桃仁（去皮尖）
以上七味药，粗捣筛碎，每次服用三钱匕，加水一盏，煎煮至七分量，去渣滓，不拘时候温服。
Discourse states: When delivery occurs before the gestational months are complete and the fetal qi (vital energy) is not yet fully formed, it is called spontaneous abortion (half-production). This is generally due to deficiency of qi in the Chong and Ren vessels in the pregnant woman, which fails to nourish the fetus, leading to instability of fetal qi. Alternatively, it may result from falls, blows, sprains, or drops that damage and disturb the blood and qi, or from febrile diseases such as warm malaria. All these can lead to spontaneous abortion. Zhang Zhongjing stated: "When cold pathogen and deficiency interact, this pulse pattern is named Ge (leather pulse); in women, it manifests as spontaneous abortion and metrorrhagia."
For treating damaged and disturbed fetal qi during pregnancy, irregular blood and qi, or miscarriage caused by falls, blows, sprains, or drops—termed spontaneous abortion—as well as postpartum disharmony of blood and qi, lingering lochia, and abdominal pain, use Shengdi Huang Tang (Rehmannia Root Decoction).
Prepared Rehmanniae Radix (Sheng Gan Di Huang) [1 liang, roasted], Rhubarb (Da Huang) [lightly roasted], White Peony Root (Bai Shao), Poria (Bai Fu Ling) [black skin removed], Angelicae Sinensis Radix (Dang Gui) [sliced and stir-fried], Asarum (Xi Xin) [seedlings and leaves removed].
The above nine ingredients are coarsely crushed and sifted. Each dose consists of 5 qian bi, boiled with 1.5 zhan of water and one date-sized piece of fresh ginger (crushed). Simmer until reduced to 1 zhan, strain, and take warm at any time.
For treating shortness of breath in the chest, hypochondriac and abdominal pain, residual blood not expelled, and mental restlessness after spontaneous abortion, use Puhuang Tang (Cattail Pollen Decoction).
Cattail Pollen (Pu Huang) [1 liang], Mirabilite (Mang Xiao) [0.5 liang], Szechuan Lovage Rhizome (Chuan Xiong) [1 liang], Cinnamon Twig (Gui Zhi) [3 fen, bark removed], Peach Kernel (Tao Ren) [0.5 liang, skin and tip removed, double-kernel ones stir-fried].
The above seven ingredients are coarsely crushed and sifted. Each dose consists of 3 qian bi, boiled with 1.5 zhan of water until reduced to 0.8 zhan, strained, and taken warm at any time.
For treating excessive vaginal bleeding after spontaneous abortion, palpitations, tremors, dizziness, alternating chills and fever, and distending pain in the umbilical and abdominal regions due to deficiency, use Renshen Tang (Ginseng Decoction).
Ginseng (Ren Shen), Ophiopogon Tuber (Mai Men Dong) [heart removed, roasted], Prepared Rehmanniae Radix (Sheng Gan Di Huang) [roasted], Angelicae Sinensis Radix (Dang Gui) [sliced and stir-fried], White Peony Root (Bai Shao), Astragalus Root (Huang Qi) [cut into pieces], Poria (Bai Fu Ling) [black skin removed].
The above eight ingredients are coarsely crushed and sifted. Each dose consists of 3 qian bi, boiled with 1 zhan of water until reduced to 0.7 zhan, strained, and taken warm before meals.
For treating habitual miscarriage before full term due to insufficient blood and qi, where bleeding continues downward without stopping accompanied by empty heat, vexation, and fatigue, use Fuling San (Poria Powder).
Poria (Bai Fu Ling) [black skin removed], Ginseng (Ren Shen), Astragalus Root (Huang Qi) [thinly sliced], Acid Pomegranate Peel (Suan Shi Liu Pi) [sliced and stir-fried], Aged Tangerine Peel (Chen Ju Pi) [white pith removed, stir-fried], Licorice Root (Gan Cao) [honey-roasted, equal parts].
The above six ingredients are ground into a fine powder. Each dose consists of 2 qian bi, mixed with hot wine and taken warm; rice decoction may also be used. Take at any time.
For treating mental restlessness and fatigue after spontaneous abortion, use Ling Yang Jiao Yin (Antelope Horn Drink).
Antelope Horn Chips (Ling Yang Jiao Xie) [0.5 liang], White Peony Root (Bai Shao) [1 liang], Immature Bitter Orange (Zhi Shi) [3 fen, pulp and bran removed, stir-fried], Ginseng (Ren Shen) [1 liang], Ophiopogon Tuber (Mai Men Dong) [heart removed, roasted, 0.5 liang].
The above five ingredients are coarsely crushed and sifted. Each dose consists of 3 qian bi, boiled with 1 zhan of water until reduced to 0.7 zhan, strained, and taken warm at any time.
For treating sluggish blood and qi flow and intermittent lochia after spontaneous abortion, use Yan Hu Suo Tang (Corydalis Decoction).
Corydalis Rhizome (Yan Hu Suo), Angelicae Sinensis Radix (Dang Gui) [sliced and stir-fried], White Peony Root (Bai Shao), Szechuan Lovage Rhizome (Chuan Xiong), Cinnamon Twig (Gui Zhi) [bark removed], Licorice Root (Gan Cao) [honey-roasted, each 1 liang].
The above six ingredients are coarsely crushed and sifted. Each dose consists of 3 qian bi, boiled with 1 zhan of water until reduced to 0.7 zhan, strained, and taken warm at any time.
For treating lingering lochia, qi-attack pain, clotted blood discharge, and hard masses in the umbilical and abdominal regions after spontaneous abortion, use Mang Xiao San (Mirabilite Powder).
Mirabilite (Mang Xiao), Cattail Pollen (Pu Huang), Szechuan Lovage Rhizome (Chuan Xiong), Cinnamon Twig (Gui Zhi) [bark removed], Swallowtail Branch (Gui Jian Yu) [each 0.5 liang], Prepared Rehmanniae Radix (Sheng Gan Di Huang) [1 liang, roasted], Peach Kernel (Tao Ren) [skin and tip removed].
The above seven ingredients are coarsely crushed and sifted. Each dose consists of 3 qian bi, boiled with 1 zhan of water until reduced to 0.7 zhan, strained, and taken warm at any time.
For treating continuous lochia, chest stuffiness, and shortness of breath after spontaneous abortion, use Ai Ye Yin (Mugwort Leaf Drink).
Mugwort Leaf (Ai Ye), Angelicae Sinensis Radix (Dang Gui) [sliced and roasted], Ginseng (Ren Shen), Prepared Rehmanniae Radix (Sheng Gan Di Huang) [roasted], Sanguisorba Root (Di Yu), Dried Ginger (Gan Jiang) [processed], Donkey-hide Gelatin (E Jiao) [roasted until dry].
The above seven ingredients are used in equal parts. Coarsely crush and sift. Each dose consists of 3 qian bi, boiled with 1 zhan of water until reduced to 0.7 zhan, strained, and taken warm at any time.