（金匮） 治妇人怀妊，腹中 痛。（音鸠，又音绞，急痛也。）
芍药（一斤） 泽泻（半斤） 茯苓 白术（四两） 当归 芎 （三两）六味杵为散，
取方寸匕酒
痛者，正气不足，使阴得乘阳，而水气胜土，脾郁不伸。郁而求伸，土气不调，则急
痛矣
痛
金匮云∶妇人宿有症病，经断未及三月，而得漏下不止，胎动在脐上者，此为
妊娠六月动者，前三月，经水利时，胎动也。下血者，后断三月， 也。所以血不
症不去故也。当下其症，桂枝茯苓丸主之。（徐忠可曰∶妇人行经时遇冷，则余血
症者，谓有形为征。然症病女人恒有之，或不在子宫，则仍行经而受孕，经断即
及三月，将三月也。既孕而仍见血，谓之漏下。今未三月，而漏下不止，则养胎
胎动也。假使胎在脐下，则真欲落矣。今在脐上，是每月凑集之新血，因症气相
实非胎病，故曰症痼害。宿疾难愈曰痼，无端而累之曰害。至六月胎动，此宜
较前三月，经水利时，胎动下血，则已断血三月不行，乃复血不止，是前之漏
症反坚牢不去，故须下之为安耳。）
桂枝 茯苓 牡丹皮 桃仁（去皮尖熬） 芍药 等分末之，炼蜜丸，如兔屎大，每日
食前服
桂枝芍药，一阳一阴，茯苓丹皮，一气一血，调其寒温，扶其正气。桃仁以之破恶血，
消症
症
所
症
（出自《金匮要略》）治疗妇女怀孕，腹中急痛。（“𦚿”音jiū，又音jiǎo，指腹部拘急剧痛。）
芍药（一斤）、泽泻（半斤）、茯苓、白术（四两）、当归、川芎（三两）。以上六味药捣碎过筛为散剂。每次取一方寸匕的药粉，用酒送服。
这种疼痛的原因是：正气不足，导致阴邪得以乘袭阳气，水气克制脾土，脾气郁结不得舒展。气机郁结而寻求舒展，但土气不调，从而产生急痛。
《金匮要略》说：妇女素有癥病（体内有形的瘀血积块），月经停止不到三个月，却出现阴道淋漓出血不止，且感觉胎动在肚脐上方。如果是怀孕六个月时的胎动，是因为前三个月月经通畅时受孕，此时胎动是正常的。如果出血发生在月经停止三个月之后，则是癥病所致。之所以出现这种情况，是因为癥病不除，新血不能归经养胎。应当攻下癥块，用桂枝茯苓丸主治。（徐忠可注释说：妇女在行经时感受寒邪，残留的血液凝结成癥块。所谓癥，是指有形的征象。然而妇女患有癥病是常有的事，如果癥块不在子宫内，仍可正常行经并受孕；一旦月经停止，说明已怀孕。若怀孕后仍见出血，称为漏下。现在未满三个月却漏下不止，说明并非正常的胎动。假如胎动在脐下，那才是胎儿真的要流产了。现在胎动在脐上，是因为每月汇聚的新血，因癥气阻滞而不能正常运行，这并非胎有病，所以说这是癥痼为害。宿疾难愈称为痼，无端牵连胎儿称为害。到了怀孕六个月胎动时，这与前三个月月经通畅时不同。若月经停止三个月后再次出血不止，说明之前的癥块反而变得坚硬牢固而不消散，所以必须攻下癥块才能平安。）
(From *Jin Gui Yao Lue*) Treats women during pregnancy who suffer from abdominal cramping pain. ("𦚿" pronounced jiū, also jiǎo, refers to acute, spasmodic abdominal pain.)
Shaoyao (Paeoniae Radix Alba) (one jin), Zexie (Alismatis Rhizoma) (half a jin), Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma) (four liang), Danggui (Angelicae Sinensis Radix), Xiong (Chuanxiong Rhizoma) (three liang). The above six herbs are pounded into a powder. Take one fangcun bi (a square-inch scoop) of the powder, taken with wine.
The cause of this pain is: deficiency of righteous qi (vital energy), allowing yin pathogens to invade yang, causing water qi to overcome spleen earth. The spleen qi becomes stagnant and fails to extend freely. When stagnant qi seeks release but the earth qi remains disordered, acute pain ensues.
*Jin Gui Yao Lue* states: A woman who has a pre-existing zheng disease (masses formed by blood stasis) in her uterus, whose menstruation has ceased for less than three months, yet experiences continuous spotting or bleeding, and feels fetal movement above the umbilicus. If this were fetal movement at six months of gestation, it would be because conception occurred when menstruation was regular in the first three months, and such movement is normal. Bleeding occurring after menstruation has ceased for three months is due to [the mass]. This happens because as long as the zheng mass remains, the new blood cannot nourish the fetus. One should purge the zheng mass; Guizhi Fuling Wan (Cinnamon Twig and Poria Pill) is the primary formula. (Xu Zhongke comments: When women encounter cold during menstruation, residual blood condenses into masses. "Zheng" refers to tangible signs. However, women often have zheng diseases; if the mass is not in the uterus, menstruation can still occur and conception can happen. Once menstruation stops, pregnancy is established. If bleeding continues after pregnancy, it is called lou xia (leaking down). Now, since it is less than three months and bleeding persists, it is not normal fetal movement. If fetal movement were below the umbilicus, the fetus would truly be about to fall. Since it is above the umbilicus, it is because the new blood gathered monthly is obstructed by the qi of the mass and cannot circulate properly. This is not a problem with the fetus, hence it is said that the entrenched zheng is the harm. A chronic disease that is difficult to cure is called gu (entrenched); affecting something without cause is called hai (harm). By the sixth month, fetal movement occurs. Compared to the first three months when menstruation was regular, if bleeding resumes after three months of amenorrhea, it indicates that the previous zheng mass has become hard and firm and does not dissipate. Therefore, purging it is necessary for safety.)
Guizhi (Cinnamomi Ramulus), Fuling (Poria), Mudanpi (Moutan Cortex), Taoren (Persicae Semen - remove skin and tips, stir-fried), Shaoyao (Paeoniae Radix). Use equal parts, grind into fine powder, mix with refined honey to make pills the size of rabbit feces. Take before meals daily.
Guizhi and Shaoyao represent one yang and one yin; Fuling and Danpi represent one qi and one blood. Together they regulate cold and heat and support righteous qi. Taoren is used to break down evil blood and eliminate zheng masses.