答曰。阳施阴化。则有胎也。若血气和调。胎气乃成。若血气虚损。子藏为风冷所乘。致亏
营卫。不能荫养其胎。故数堕也。假令妊娠三月。当手心主包络经养之。不善摄生伤经。则
胎堕。后虽再有妊。至其月日。仍前犯之。所以复堕也。又有因坠堕惊恐。或吐血下血者。
皆能损胎。若妊娠常腰疼者。喜堕胎也。盖腰为肾府。女子以系胎也。
地榆散。治妊娠损动胎胞。下血不止。
地榆(三钱) 干姜(三分) 当归(三钱) 龙骨(三钱) 芎 (三钱) 艾叶(半两) 阿胶(三
钱) 蒲黄(半两) 熟地(一两) 黄牛骨腮(一两烧灰) 乌 骨(二钱烧灰) 白术(半两)
上为细末。每服二钱。以粥饮调下。不拘时。
卷柏丸。治妊娠数堕胎。皆因血气虚损。子脏受风冷。致令胎不坚固。故频有伤。
卷柏 钟乳粉 鹿角胶(捣碎炒令黄燥) 紫石英(火 研细水飞过) 阳起石(火 研细) 桑
螵蛸(炒) 熟地 禹余粮(烧醋淬七次各一两) 杜仲 芎 当归(锉炒) 桂心 牛膝 桑
寄生 五味子 蛇床子 牡丹皮(各三分)玄及
上为细末。炼蜜丸桐子大。每服五十丸。空心温酒送下。
严氏第二问。胎动腹痛者。何也。曰。胎动腹痛。其理盖缘饮食冷热动风毒物。或因再交。
摇动骨节。伤犯胞胎。其候多呕。气不调匀。或服热药太过。血气相干。急服顺气药安胎。
不然变成漏胎。则难疗矣。
如圣汤。
鲤鱼皮 当归 熟地 阿胶 白芍叶 川芎 续断(酒浸) 甘草(炙各等分)
上 咀。每服四钱。水盏半。入苎根少许。姜五片。煎七分。去滓空心服。
回答说：阳施阴化，才能形成胎孕。如果血气调和，胎气才能成就。如果血气虚损，子宫（子藏）被风冷邪气侵袭，导致营卫亏损，不能荫养胎儿，所以会导致多次流产。假如妊娠三个月时，正是手心主包络经滋养胎儿的阶段，如果不善于调养而损伤了这条经脉，就会导致流产。之后虽然再次怀孕，到了同样的月份日期，仍然前次那样触犯禁忌，因此会再次流产。又有因为跌打坠落、惊恐，或者吐血、下血的情况，都能损伤胎儿。如果妊娠期间经常腰痛，容易流产。这是因为腰是肾的府邸，女子依靠肾气来系固胎儿。
地榆散，治疗妊娠受损动摇胎胞，下血不止。
地榆（三钱）、干姜（三分）、当归（三钱）、龙骨（三钱）、川芎（三钱）、艾叶（半两）、阿胶（三钱）、蒲黄（半两）、熟地黄（一两）、黄牛骨腮（一两，烧成灰）、乌鸡骨（二钱，烧成灰）、白术（半两）。
以上药物研为细末。每次服用二钱，用米粥汤调服，不限时间。
卷柏丸，治疗妊娠多次流产，都是因为血气虚损，子宫受风冷侵袭，致使胎元不坚固，所以频繁受伤。
卷柏、钟乳粉、鹿角胶（捣碎炒至黄燥）、紫石英（火煅后研细，水飞）、阳起石（火煅后研细）、桑螵蛸（炒）、熟地黄、禹余粮（烧后醋淬七次，各一两）、杜仲、川芎、当归（锉碎炒）、桂心、牛膝、桑寄生、五味子、蛇床子、牡丹皮（各三分）、玄参。
以上药物研为细末，用炼蜜制成梧桐子大小的丸药。每次服用五十丸，空腹时用温酒送服。
严氏第二问：胎动腹痛是怎么回事？回答说：胎动腹痛，其道理大概是因为饮食冷热不当，食用动风毒物，或者因再次行房事，摇动骨节，伤犯胞胎。其症状多见呕吐，气机不调匀，或者服用热药太过，导致血气相冲。此时应紧急服用顺气药以安胎，否则会变成漏胎（习惯性流产或胎漏），那就难以治疗了。
如圣汤。
鲤鱼皮、当归、熟地黄、阿胶、白芍、川芎、续断（酒浸）、甘草（炙，各等分）。
以上药物切碎。每次服用四钱，用水一盏半，加入少许苎麻根、五片生姜，煎至七分，去渣，空腹服用。
Answer: When Yang exerts and Yin transforms, a fetus is formed. If the blood and Qi are harmonious, the fetal Qi will be established. If the blood and Qi are deficient and damaged, and the Zi Zang (uterus) is invaded by wind-cold pathogens, causing a deficiency in Ying (Nutritive Qi) and Wei (Defensive Qi), it will fail to nourish the fetus, leading to frequent miscarriages. For instance, during the third month of pregnancy, the Pericardium Meridian of Hand-Jueyin nourishes the fetus. If one fails to take proper care and damages this meridian, a miscarriage may occur. Even if pregnancy is conceived again, if the same precautions are violated at the corresponding time, another miscarriage will happen. Additionally, falls, frights, hematemesis (vomiting blood), or hematochezia/melena can all damage the fetus. Frequent lower back pain during pregnancy predisposes one to miscarriage, as the waist is the mansion of the Kidney, and women rely on Kidney Qi to anchor the fetus.
Di Yu San (Groundsel Powder): Treats pregnancy with damaged and unstable placenta, accompanied by continuous bleeding.
Di Yu (Sanguisorbae Radix, 3 qian), Gan Jiang (Zingiberis Rhizoma Recens, 3 fen), Dang Gui (Angelicae Sinensis Radix, 3 qian), Long Gu (Fossilia Ossis Mastodi et Scapulae, 3 qian), Xiong Qiong (Ligustici Chuanxiong Rhizoma, 3 qian), Ai Ye (Artemisiae Argyi Folium, 0.5 liang), E Jiao (Colla Corii Asini, 3 qian), Pu Huang (Typhae Pollen, 0.5 liang), Shu Di Huang (Rehmanniae Radix Praeparata, 1 liang), Huang Niu Gu Sai (Ossis Bovinis Maxillaris Carbonized, 1 liang), Wu Gu (Ossis Galli Nigri Carbonized, 2 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 0.5 liang).
Grind all ingredients into a fine powder. Take 2 qian each time, mixed with congee water, at any time.
Juan Bai Wan (Selaginella Pill): Treats frequent miscarriages during pregnancy, caused by deficiency and damage of blood and Qi, invasion of wind-cold into the Zi Zang (uterus), resulting in an unstable fetus and frequent injuries.
Juan Bai (Selaginellae Herba), Zhong Ru Fen (Gypsum Fibrosum Pulveratum), Lu Jiao Jiao (Colla Cornus Cervi, crushed and stir-fried until yellow and dry), Zi Shi Ying (Hematitum, calcined, ground fine, and washed with water), Yang Qi Shi (Actinolite, calcined and ground fine), Sang Piao Xiao (Ovi Mantisidis, stir-fried), Shu Di Huang (Rehmanniae Radix Praeparata), Yu Yu Liang (Haematitum, calcined and quenched in vinegar seven times, 1 liang each), Du Zhong (Eucommiae Cortex), Xiong Qiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix, sliced and stir-fried), Gui Xin (Cinnamomi Cortex), Niu Xi (Achyranthis Bidentatae Radix), Sang Ji Sheng (Taxilli Herba), Wu Wei Zi (Schisandrae Chinensis Fructus), She Chuang Zi (Cnidii Fructus), Mu Dan Pi (Moutan Cortex, 3 fen each), Xuan Shen (Scrophulariae Radix).
Grind all ingredients into a fine powder, mix with refined honey, and form pills the size of tung tree seeds. Take 50 pills each time, swallowed with warm wine on an empty stomach.
Yan's Second Question: What causes fetal movement and abdominal pain? Answer: The reason for fetal movement and abdominal pain generally lies in improper diet (too hot or cold), consumption of wind-inducing or toxic foods, or sexual intercourse which shakes the bones and joints, injuring the fetal sac. Symptoms often include vomiting and uneven Qi flow. Overconsumption of hot medicines can also cause conflict between blood and Qi. In such cases, emergency administration of Qi-regulating herbs is needed to calm the fetus; otherwise, it may develop into Lou Tai (threatened abortion/bleeding), which becomes difficult to treat.
Ru Sheng Tang (Like-Sage Decoction).
Li Yu Pi (Pelamis Skin), Dang Gui (Angelicae Sinensis Radix), Shu Di Huang (Rehmanniae Radix Praeparata), E Jiao (Colla Corii Asini), Bai Shao (Paeoniae Radix Alba), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Xu Duan (Dipsaci Radix, soaked in wine), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, equal parts).
Cut the ingredients. Take 4 qian each time, decoct with 1.5 cups of water, add a small amount of Zhu Gen (Bambusae Caulis in Taenia) and 5 slices of Sheng Jiang (Zingiberis Rhizoma Recens), boil down to 0.7 portion, strain, and take on an empty stomach.