此为素惯堕胎者设也。盖胎孕之屡堕，虽由于冲任亏、脾肾弱，若德性幽闲，五内无火者，决不堕也；能清
心节欲，起居有恒者，决不堕也。凡屡堕者，皆偏陂之性，暴怒之人，以致于肝气有余，肝血不足，血虚生热，
火烁子宫；又或恣纵不节，其胎必漏而堕矣。而世之安胎者，无非执泥古法，以香、砂、芎、艾为保孕良图，
不知热药安胎，犹抱薪救火，不惟无济，而反速之。予甚不慊，因以古之内补丸、杜仲丸、白术散三方合凑，
名三合保胎丸。以条芩清肝火而凉血，白术扶中气以健脾，当归养血宁心，熟地滋阴补肾，续断填损伤而坚胞
系，杜仲益腰膝而暖子宫。至怯者加以人参，力不能者，不用亦可。药虽平易，功胜神丹，诚所谓钺斧相投，
捷如影响，凡屡堕者服之，无不保全，实亦妇科保孕安胎之圣药也。再有叮咛，凡屡堕者，受娠一月，即制此
丸服之。盖堕胎必在三月五月七月之间，此三月内切忌房劳、恼怒，犯之必堕，七月已过，万无一失。
大怀地（一十二两，用砂仁三两、老姜三两，同地黄入砂锅内，先以清水煮两昼夜，俟地黄将烂，始入好酒
煮之，总以地黄糜烂为度，将酒煮干，取起，拣去砂仁、姜滓不用，将地黄捣膏听用）大当归（去头尾，取身切
片，一十二两，以好酒洗过，晒干听用） 漂白术（取净干片，一十二两，以黄土研碎，拌炒极黄，取起，筛
去土。孕妇肥白者气虚，加二两） 实条芩（枯飘者不用，取小实者，切片，六两，酒炒三次。孕妇黑瘦者
加一两，性躁者二两） 棉杜仲（切片，一十二两，盐水拌抄，以丝断为度） 川续断（切片，一十二两，酒炒）
上将后五味和为一处，火焙干燥，磨为细末，筛过，以前地黄膏和匀，少加炼蜜，入
石臼内捣千余忤，为丸绿豆大。每早盐汤送三钱，晚临卧酒送三钱，每日如此，不可间断。孕妇素怯者，须两料
方可，自一月服起，过七个月方保无虞。此方至神至圣，幸勿轻视。
凡临产时，亟斋有六字真言∶一曰睡，二曰忍痛，三曰慢临盆。予复有三字宝，曰未离经。较六字真言，
更为亲切。盖六字真言出于常人之口，产妇未能深信；三字宝为医者之言，不容不信，诚保产金丹，回生上药。
予以此法救人，莫可胜纪。凡临产家诊视，无论脉之滑涩，痛之紧缓，但曰未离经。仍嘱产妇曰，脉未离经，尚
非正产，且脉气舒徐，定然安吉，惟宜加食稳卧，俟其时至可也。此何意？盖产育全赖母气为主，产妇闻其脉
未离经，知时未到，不敢望其速下，惟安心耐之而已。产妇一安，举室皆安，庶无仓皇扰攘之患。天下原无难
产之事，凡难产而致死者，总由时候未至，仓皇逼迫害之也。始则家长惊张，不能镇定，继则产妇娇怯，不肯
忍痛，或弄产，或转胞，稍有腹痛，随即声扬，无知稳婆，便称是产，而试水坐草，一任胡为。岂知七候未临，
胎气未足，子在胞中，安然不动，欲令其产，焉可得乎？因其久而不下，产妇则惊惧忧疑，饮食不纳，渐至气
怯神昏，常有未产而毙者矣。予临是证，但曰未离经，惟以大剂甘温之药与之，如八珍、十全之类，助其产母
之元气。若为正产，则腹痛阵紧一阵，痛急自下；倘非正产，则腹痛渐减渐缓，胎元得暖而安矣。予之所经，
稳婆谓头已平门，予诊得脉未离经，用固胎暖药而安之，有迟至一月半月十日而产者，已经十数人矣。岂有头
已平门，而能倒悬一月半月之理？即此可知稳婆之不足信。不观亟斋言曰∶凡邪淫之妇，私胎并无难产，总因
胎起于私，怕人知觉，只得极力忍痛，痛到极熟之时，则脱然而出。此岂有稳婆分掐，妙药催生乎？凡产育能
耐心忍痛，听其自然，则万举万全；若谓药能催生，予则未敢许也。至
催生之法，谓产时胞浆以下，一二时辰不生，方可用之。盖浆乃养儿之物，浆干不产，必胎元无力，愈迟则愈
干，力必愈乏，不得不以大补气血之药助其母力。又惟人参为至圣，其次则脱花煎、芎归汤皆可。然亦须子已
出胞，交骨既开，门户已正，方为有益，若止凭产妇腹痛之言，稳婆头至之说，妄用催生方药，不惟无济，反
速其毙，慎之戒之！
这是为那些习惯性流产的人设立的方子。胎孕屡次流产，虽然是因为冲任二脉亏虚、脾肾虚弱所致，但如果德行幽静闲雅，体内没有虚火的人，绝不会流产；如果能清心寡欲、起居有常的人，也绝不会流产。凡是屡次流产的，都是性情偏颇乖张、容易暴怒的人，导致肝气有余而肝血不足，血虚生热，火热灼伤子宫；又或者纵欲无度、生活不节制，那么胎儿必然漏损而流产。
然而世间那些安胎的方法，无非是拘泥于古法，认为香附、砂仁、川芎、艾叶是保胎良方，却不知道用热药安胎，就像抱着柴草去救火，不仅没有帮助，反而加速了流产。我对此很不满意，因此将古代的内补丸、杜仲丸、白术散三方合凑在一起，命名为三合保胎丸。其中黄芩清肝火而凉血，白术扶助中气以健脾，当归养血宁心，熟地黄滋阴补肾，续断填补损伤并坚固胞系，杜仲益腰膝并温暖子宫。对于体质特别虚弱的人可以加入人参，如果力气足够（指脾胃功能尚可），不用也可以。药物虽然平常，功效却胜过神丹，这真是所谓“钺斧相投”（比喻用药精准对症），见效快如影随形，凡是屡次流产的人服用它，没有不能保全的，这确实是妇科保胎安胎的神圣药物。
另外还要叮嘱，凡是屡次流产的人，怀孕一个月时，就开始制作并服用此丸。因为流产多发生在怀孕第三个月、第五个月或第七个月之间，在这三个月内切忌房事劳累和恼怒，触犯这些必然导致流产；过了七个月后，就万无一失了。
【配方及制法】
大怀地黄（十二两，用砂仁三两、老姜三两，同地黄放入砂锅内，先用清水煮两个昼夜，等到地黄快要煮烂时，再加入好酒煮，总共以地黄煮至糜烂为度，将酒煮干后取出，拣去砂仁和姜渣不用，将地黄捣成膏备用）
大当归（去掉头尾，取中间部分切片，十二两，用好酒洗过，晒干备用）
漂白术（取干净干燥的片，十二两，用黄土研碎，拌炒至极黄，取出，筛去泥土。孕妇身体肥白者属气虚，加二两）
实条芩（枯浮飘白的不用，取坚实细小的，切片，六两，酒炒三次。孕妇黑瘦者加一两，性情急躁者加二两）
棉杜仲（切片，十二两，盐水拌炒，炒到丝断开为止）
川续断（切片，十二两，酒炒）
以上五味药混合在一起，用火焙干，磨成细末，筛过，以前面准备好的地黄膏调和均匀，稍加炼蜜，放入石臼内捣一千多下，做成绿豆大小的丸子。每天早上用盐汤送服三钱，晚上临睡前用酒送服三钱，每天如此，不可间断。孕妇平时体质虚弱者，需要两料药方可，从怀孕一个月开始服用，过了七个月才能确保无忧。此方极其神奇神圣，千万不要轻视。
凡是在临产时，亟斋先生有六个字的真言：一是睡，二是忍痛，三是慢临盆。我又补充了三个字的宝诀，叫“未离经”。比起那六个字真言，更为亲切有效。因为那六个字真言出自常人（稳婆/接生婆）之口，产妇往往不能完全深信；而这三个字宝诀是医者之言，不容不信，这确实是保产的金丹，回生的上药。我用这种方法救人，数不胜数。凡是临产家属请医生诊视，无论脉象是滑还是涩，疼痛是紧还是缓，我只说“未离经”。然后嘱咐产妇说：“脉象尚未离开经络（指产程未正式开始），还不是正产时刻，且脉气舒缓从容，定然平安吉利，只宜多吃食物安稳躺卧，等待时候到了再生产。”这是什么意思呢？因为生育全赖母体的元气为主，产妇听到医生说脉未离经，知道时候未到，不敢盼望快速分娩，只能安心忍耐而已。产妇一安心，全家都安心，从而避免仓皇扰乱的祸患。天下原本没有难产这回事，凡是难产致死的，总归是因为时候未到，因仓皇逼迫而害了她。起初家长惊慌失措，不能镇定，接着产妇娇弱胆怯，不肯忍痛，或者弄巧成拙，或者发生转胞等症，稍有腹痛，随即大声呼喊，无知的接生婆便声称是产程发动，于是试水坐草，任由胡作非为。哪里知道七种产兆未出现，胎气未足，胎儿在胞宫中安然不动，想要让她生产，怎么可能呢？因为时间久了胎儿不下来，产妇就会惊惧忧虑，饮食不进，渐渐导致气怯神昏，常有还没生产就死去的案例。
我面对这种情况，只说“未离经”，只用大剂量的甘温药物给她，如八珍汤、十全大补汤之类，来助长产妇的元气。如果是正产，则腹痛一阵紧过一阵，疼痛急迫自然生下；如果不是正产，则腹痛逐渐减轻变缓，胎元得到温暖而安定。我所经历的案例中，接生婆说胎头已经平入骨盆入口，但我诊得脉未离经，用固胎暖宫的药物使她安定下来，有的推迟了一个月、半个月甚至十天才生产的，已经有十几个人了。哪有胎头已经平入骨盆入口，却能倒悬一个月半月的道理？由此可知接生婆的话不可信。没看过亟斋先生说的话吗？他说：凡是行为不正的妇女，私生子并没有难产的，总是因为胎儿起于私情，怕被人发觉，只得极力忍痛，痛到极致的时候，自然就脱落出来了。这哪里有接生婆的分掐手法，妙药催生的情况呢？凡是生育能耐心忍痛，听其自然，则万事周全；如果说药物能催生，我不敢苟同。至于催生的方法，规定只有在产时羊水已破，一二个时辰不生，才可以采用。因为羊水是养育胎儿之物，羊水干了还不生，必然是胎元无力，越拖延羊水越干，力量必定越发匮乏，不得不以大补气血的药物帮助母亲的力量。其中只有人参是最神圣有效的，其次是脱花煎、芎归汤都可以。但也必须胎儿已经出胞，交骨（耻骨联合）已经打开，门户端正，这才有益，如果只是凭借产妇腹痛的说法，接生婆说胎头到达的说法，妄用催生方药，不仅没有帮助，反而加速死亡，务必谨慎戒除！
This prescription is designed for those who habitually suffer from miscarriage. Frequent miscarriages, although caused by deficiency in the Chong and Ren vessels (Chong and Ren meridians) and weakness of the Spleen and Kidney, will absolutely not occur if one possesses a tranquil and virtuous character with no internal heat; nor will they occur if one can keep the mind clear, restrain desires, and maintain regular daily routines. Those who frequently miscarry all have eccentric dispositions and are prone to violent anger, leading to excess Liver Qi and insufficient Liver Blood. Blood deficiency generates heat, and fire scorches the uterus. Alternatively, if one indulges without restraint, the fetus will inevitably leak and be lost.
However, the methods used by the world to secure pregnancy are nothing but rigid adherence to ancient formulas, believing that Xiangfu (Cyperus Rhizome), Sharen (Amomum Fruit), Xiong (Ligusticum Rhizome), and Aiye (Mugwort Leaf) are excellent for preserving pregnancy. They do not know that using hot-natured herbs to secure pregnancy is like carrying firewood to put out a fire; it not only fails to help but accelerates the miscarriage. I was deeply dissatisfied with this, so I combined three ancient formulas: Neibu Wan (Internal Tonification Pill), Duzhong Wan (Eucommia Pill), and Baizhu San (Atractylodes Powder), naming the new combination Sanhe Baotai Wan (Three-Combined Fetus-Securing Pill). Huangqin (Scutellaria Root) clears Liver fire and cools blood; Baizhu (Atractylodes Rhizome) supports Middle Qi to strengthen the Spleen; Danggui (Angelica Sinensis Root) nourishes blood and calms the heart; Shudi (Rehmannia Root) nourishes Yin and tonifies the Kidney; Xuduan (Dipsacus Root) fills injuries and strengthens the fetal attachment; Duzhong (Eucommia Bark) benefits the waist and knees and warms the uterus. For those with extreme weakness, Renshen (Ginseng Root) may be added; if strength is sufficient, it may be omitted. Although the herbs are common, their efficacy surpasses miraculous elixirs. This is truly what is meant by "precision in treatment," working as swiftly as an echo. Anyone who frequently miscararies and takes this will surely preserve the pregnancy; it is indeed a sacred medicine for gynecological fetal security.
Furthermore, I must admonish: anyone who frequently miscarries should prepare and take this pill starting from the first month of conception. Miscarriages typically occur between the third, fifth, and seventh months. During these three months, sexual intercourse and anger must be strictly avoided; violating this will certainly cause miscarriage. After the seventh month, there is no danger.
[Formula and Preparation]
Da Huai Dihuang (Rehmanniae Radix Preparata, 12 liang): Use 3 liang of Shenren (Amomum Fruit) and 3 liang of Laojiang (Old Ginger). Place them together with Dihuang in a clay pot. First, boil in clear water for two days and nights. When the Dihuang is nearly soft, add good wine. Continue until the Dihuang is thoroughly mushy and the wine has evaporated. Remove, discard the Shenren and ginger residue, and mash the Dihuang into a paste for use.
Da Danggui (Angelicae Sinensis Radix, 12 liang): Remove head and tail, slice the body. Wash with good wine, dry, and set aside.
Piao Baizhu (Atractylodis Macrocephalae Rhizoma, 12 liang): Take clean, dry slices. Mix with powdered yellow earth and stir-fry until very yellow. Remove, sift off the earth. (For pregnant women who are fat and pale, indicating Qi deficiency, add 2 liang.)
Shi Tiaoqin (Scutellariae Radix, 6 liang): Do not use floating or pithy pieces; select small, solid ones, slice, and stir-fry with wine three times. (Add 1 liang for dark and thin pregnant women; add 2 liang for those with irritable temperaments.)
Mian Duzhong (Eucommiae Cortex, 12 liang): Slice, mix with salt water, and stir-fry until the fibers break.
Chuan Xuduan (Dipsaci Radix, 12 liang): Slice, stir-fry with wine.
Mix the above five herbs together, bake dry over fire, grind into fine powder, and sieve. Blend evenly with the prepared Dihuang paste, add a little refined honey, and pound in a stone mortar for over a thousand strikes to form pills the size of mung beans. Take 3 qian sent down with salt water in the morning, and 3 qian sent down with wine before bed at night. Repeat daily without interruption. Pregnant women with inherent weakness require two doses' worth of ingredients. Start taking from the first month; after the seventh month, safety is assured. This formula is extremely divine and sacred; do not slight it.
Regarding labor, Ji Zhai (the author's pseudonym or reference) offers six true words: One is Sleep, Two is Endure Pain, Three is Slow Delivery. I add three treasure characters: "Wei Li Jing" (Not Yet Separated from the Meridian/Pulse). Compared to the six words, this is more intimate and effective. The six words come from laypeople (midwives), whom the parturient may not fully trust; the three words come from physicians, whose authority cannot be doubted. This is truly the golden pill for safe delivery and the supreme medicine for revival. I have saved countless lives with this method. Whenever families consult me during impending labor, regardless of whether the pulse is slippery or choppy, or the pain is tight or slow, I simply say "Wei Li Jing." I then instruct the woman: "The pulse has not yet separated from the meridian [indicating false labor]; this is not true labor. Since the pulse energy is relaxed and leisurely, it will surely be auspicious. You should eat well and lie still, waiting for the proper time." What does this mean? Childbirth relies entirely on the mother's Qi. Hearing that the pulse indicates the time has not arrived, she dares not rush delivery and instead安心的 endures. Once the woman is calm, the whole household is calm, avoiding panic and chaos. There is originally no such thing as difficult childbirth in the world. Those who die from difficult childbirth do so because the time has not arrived, and they are harmed by panic and coercion. Initially, family members panic and lose composure; subsequently, the woman becomes fragile and unwilling to endure pain, or mishandles the process, or experiences uterine inversion. With slight abdominal pain, she cries out immediately. Ignorant midwives claim labor has started, apply water tests, and let her sit on the grass [prepare for birth], acting recklessly. They do not realize that the seven signs of labor have not appeared, fetal Qi is not mature, and the fetus remains still in the womb. How can delivery be forced? Because the fetus does not come down for a long time, the woman becomes fearful and doubtful, refuses food, and gradually suffers from weak Qi and fainting spirit, often dying before delivery.
When I encounter such cases, I only say "Wei Li Jing" and administer large doses of sweet-warm medicines, such as Bazhen Tang (Eight-Treasure Decoction) or Shiquan Dabu Tang (Ten-Ingredient Great Tonifying Decoction), to assist the mother's primordial Qi. If it is true labor, abdominal pain will tighten progressively, and the baby will be born naturally due to urgent pain. If it is not true labor, abdominal pain will gradually decrease and slow down, and the fetal origin will become warm and stable. In my experience, midwives claimed the head had reached the pelvic inlet, but I diagnosed the pulse as "Wei Li Jing." Using fetal-stabilizing and warming medicines, I stabilized them. Some delivered a month, half a month, or ten days later. This has happened to over ten people. Is it possible for the head to reach the inlet and remain suspended upside down for a month? This proves midwives are unreliable. Have you not seen Ji Zhai say: Women of loose morals rarely have difficult deliveries with illegitimate fetuses. Because the pregnancy originated from secrecy, fearing discovery, they strive to endure pain. When pain reaches its peak, the baby is expelled effortlessly. Where is the need for midwifery manipulation or miraculous drugs to induce labor? As long as one patiently endures pain and lets nature take its course, everything will be perfect. I dare not endorse drugs for inducing labor.
As for methods to induce labor, they should only be used when amniotic fluid has broken, and the baby has not been born after one or two shichen (4 hours). Amniotic fluid nourishes the fetus; if it dries up without birth, it indicates the fetal origin lacks strength. The longer the delay, the drier it gets, and the weaker the strength becomes. It is necessary to use large doses of Qi and Blood tonics to assist the mother. Among these, Renshen (Ginseng Root) is the most sacred and effective, followed by Tuohua Jian (Decoction for Shedding Flowers) and Xiong Gui Tang (Ligusticum and Angelica Decoction). However, these are only beneficial if the fetus has already exited the sac, the pubic symphysis (Jiao Gu) has opened, and the passage is aligned. If one blindly uses inducing prescriptions based solely on the mother's report of pain or the midwife's claim about the head position, it will not help but accelerate death. Be cautious and beware!