妊娠有病当攻下，衰其大半而止之，经云有故而无殒，与病适当又何疑。
【注】凡孕妇素有 瘕旧疾，或有新病应攻下者，但攻其大半，余俟其自消，不可尽
攻。经云∶有故无殒。言药虽峻，有病则病受之，不能伤胎也。攻其大半，与病相当，又
何疑于有妊必不可攻之说耶？
八珍汤 六君子汤
胎萎不长失滋养，气血不足宜八珍，脾虚胃弱六君子，谷化精微气血生。
【注】妊娠五六个月，胎萎不长，由于妊母禀赋虚弱。若属气血两虚者，宜用八珍汤；
若脾虚胃弱者，宜用六君子汤。但使饮食强壮，俾水谷运化精微，则气血日生而胎自长
矣！
八珍汤 六君子汤（方俱见首卷）
子喑声哑细无音，非谓绝然无语声。九月胎盛阻其脉，分娩之后自然通。
【注】妊娠九月，孕妇声音细哑不响，谓之子喑。非似子哑绝然无语也。盖少阴之脉
络于舌本，九月肾脉养胎，至其时盛阻遏其脉，不能上至舌本，故声音细哑。待分娩之
后，肾脉上通，其音自出矣。
黄连煎
腹中钟鸣与儿哭，子啼之证出偶然。空房鼠穴土能治，黄连煎汤亦可捐。
【注】孕妇腹内有钟声，或婴儿在内啼哭者，名曰子啼。古书虽载其证，然不经见，或
偶然有之。古方用空房中鼠穴土同川黄连煎汤，名黄连煎，饮之自愈。
妊娠期间患病应当使用攻下法治疗，但病情减轻大半时就应停止用药。《内经》曾说：“有病则病受药而不伤正”，既然药物与病邪相当，又何必怀疑呢？
【注】凡是孕妇素有癥瘕（腹内结块）旧疾，或有新病需要使用攻下法的，只攻除大半即可，其余的等待其自行消除，不可彻底攻伐。经文说：“有故无殒”。意思是虽然药性峻猛，但有病邪存在时，药力主要作用于病邪，不会伤害胎儿。攻除大半，使药力与病邪相当，这又何必拘泥于“怀孕后绝对不可攻下”的说法呢？
胎萎不长（胎儿发育迟缓）是由于缺乏滋养，气血不足适宜用八珍汤；脾虚胃弱适宜用六君子汤，通过促进水谷运化生成精微物质来化生气血。
【注】妊娠五六个月时，出现胎萎不长的情况，是因为孕妇先天禀赋虚弱。如果属于气血两虚的，适宜使用八珍汤；如果是脾虚胃弱的，适宜使用六君子汤。只要让饮食营养充足，使水谷能够运化出精微物质，那么气血就会每日滋生，胎儿自然就能生长了！
八珍汤、六君子汤（方剂均见首卷）
子喑（妊娠失音）表现为声音细哑微弱无声，并不是完全不能发出声音。这是因为怀孕九月时胎气旺盛阻碍了经脉，分娩之后自然会通畅。
【注】妊娠第九个月，孕妇声音细哑不响亮，称为子喑。这不像失语症那样完全说不出话。因为足少阴肾经脉络连系于舌根，九月时肾脉负责供养胎儿，到了这个时候肾脉之气盛极而阻遏了经脉，导致经气不能上达舌根，所以声音细哑。等到分娩之后，肾脉重新上通，声音自然就会恢复。
腹中发出钟声或婴儿啼哭的声音，这是子啼证，往往是偶然发生的。古代记载可用空房中的鼠穴土治疗，用黄连煎汤服用也可以治愈。
【注】孕妇腹内有像钟声一样的响动，或者感觉像婴儿在体内啼哭的，名叫子啼。古书虽然记载了这个病症，但并不常见，或者是偶然出现的。古方中使用空房间里的鼠洞土配合川黄连煎汤，名为黄连煎，服用后可以自愈。
When a pregnant woman is ill, purgative methods should be employed, but treatment should cease when the pathogenic factor has been reduced by more than half. The Classic states: "Where there is pathology, there will be no injury." Since the medication matches the disease, what doubt remains?
[Note] If a pregnant woman has a pre-existing zheng mass (abdominal mass) or a new illness requiring purgation, only attack more than half of it; allow the remainder to resolve spontaneously. Do not exhaustively purge. The Classic says: "You gu wu yun" (Pathology exists, thus no injury). This means that although the medicine is potent, if there is pathology, the pathology receives the effect of the drug, and the fetus will not be harmed. By attacking more than half, matching the drug's strength with the disease, why adhere to the theory that pregnancy absolutely prohibits purgation?
Bazhen Tang (Eight Treasure Decoction), Liujunzi Tang (Six Gentlemen Decoction)
Taiwei buzhang (Fetal atrophy due to lack of nourishment) results from insufficient Qi and Blood. Bazhen Tang is suitable for Qi and Blood deficiency; Liujunzi Tang is suitable for Spleen deficiency and Stomach weakness, promoting the transformation of grain essence into Qi and Blood.
[Note] In the fifth or sixth month of pregnancy, fetal atrophy occurs due to the mother's congenital weakness. If it belongs to Qi and Blood dual deficiency, Bazhen Tang should be used; if it involves Spleen deficiency and Stomach weakness, Liujunzi Tang should be used. As long as diet strengthens the body, allowing water and grain to transform into essence, Qi and Blood will generate daily, and the fetus will grow naturally!
Bazhen Tang (Eight Treasure Decoction), Liujunzi Tang (Six Gentlemen Decoction) (Formulas are found in Volume 1)
Ziyin (Pregnancy-induced aphonia) presents as a thin, hoarse, and faint voice, not implying a complete absence of sound. This is because in the ninth month of pregnancy, the fullness of the fetus obstructs the meridians; after delivery, patency returns naturally.
[Note] In the ninth month of pregnancy, if the pregnant woman's voice is thin, hoarse, and not resonant, it is called Ziyin. It is not like absolute aphonia where no sound can be produced. The Foot-Shaoyin Kidney Meridian connects to the root of the tongue. In the ninth month, the Kidney meridian nourishes the fetus; at this time, its qi becomes excessive and obstructs the meridian, preventing it from reaching the tongue root, hence the hoarse voice. After delivery, the Kidney meridian reconnects upwards, and the voice recovers naturally.
Huanglian Jian (Coptis Decoction)
Bell-like sounds in the abdomen or crying sounds of the infant indicate Zití (Fetal crying syndrome), which occurs occasionally. Ancient texts mention using soil from rat holes in empty rooms as a cure; Huanglian Jian (Coptis Decoction) can also be effective.
[Note] If a pregnant woman hears bell-like sounds in her abdomen or feels the infant crying inside, it is named Zití. Although recorded in ancient books, this condition is rare or occasional. Ancient prescriptions use soil from rat holes in empty rooms combined with Chuan Huanglian (Coptidis Rhizoma) decocted in water, named Huanglian Jian (Coptis Decoction); drinking it leads to self-healing.