（附论）
夫胎冷腹胀虚痛。两胁虚鸣。脐下冷疼。欲泄。小便频数。大便虚滑者何。答曰。胎气
既全子形成质。或食瓜果甘甜。饮冷。不时之物。当风取凉。受不时之气。则令胎冷子身不
能安处。皮毛疼痛。筋骨拘急。手足挛拳。致使母有此危证。急服安胎和气散。
方
安胎和气散（出医方集成）治胎冷腹胀虚痛。两胁虚鸣。脐下冷疼欲泄。小
便
频数。大便虚滑。
诃子（面裹煨去核） 白术（各一两） 陈皮（半两去白） 高良姜（炒锉） 木香（不
见火）
白芍药 甘草（炙各半两） 上 咀。每服四钱。水一盏半。姜五片。煎七分去滓。不拘时
服。
忌
木香散（一名安胎和气散出医学类证）治胎冷甚效。
生姜 熟地黄 良姜 南木香 芍药 陈皮 陈大米（各等分） 上为细末。每服二钱。
水一盏。生姜三片。煎八分。通口服。
当归饮 治妊娠腹中冷。胎不安。
当归（切焙） 人参 生姜（切各七钱） 浓朴（去粗皮生姜汁炙） 陈皮（汤浸去白
焙各两
半） 大枣（擘破五枚） 上锉如麻豆大。分为二服。以水四盏。煎取一盏半。去滓。食前
分
二服。如人行三五里再服也。
（附论）
夫妊娠漏胎者。谓妊娠数月而经水时下也。此由冲任脉虚。不能约制。手太阳少阴之经
血也。冲任之脉为经络之海。起于胞内。手太阳小肠脉也。手少阴心脉也。是二经为表里。
上为乳汁。下为月水。有妊之人。经水所以断者。壅之养胎。蓄之以为乳汁也。冲任气虚。
则胞内泄不能制其经血。故月水时下。亦名胞漏。血尽则人毙矣。又有因劳役。喜怒哀乐。
不节饮食生冷。触冒风寒。遂致胎动。若母有宿疾。子脏为风冷所乘。气血失度。使胎不安。
故令下血也。妊娠卒然有损动。或冷热不调和。致伤于胎。故卒痛而下血。若不止之。则堕
胎也。
方
阿胶汤 治妊娠胎漏。下血不止。
阿胶（炒燥） 刘寄奴 赤石脂 黄连（去须） 白龙骨（各一两半） 乌梅（五枚碎
焙） 桑
寄生 甘菊花 当归（切焙） 旋复花（炒） 地榆 白术（各一两） 枳壳（去瓤麸炒一
两二钱）
艾
八分。
续断丸 治妊娠漏胎。下血不止。腹内疼痛。夫妊娠将理失宜。经血时下。谓之漏
胎。由冲任虚弱。不能固养胞胎。故经血时下。如器之漏也。久漏不已。则胎气无所禀
养。必致萎燥矣。
续断 附子（炮制去皮脐） 蒲黄 干姜（炮） 芍药 芎 山茱萸 菟丝子（酒浸
焙别杵） 黄 （炙锉） 山芋 熟地黄（焙各二两） 上为末。炼蜜和丸如桐子大。每服
二十丸。空心日晚温酒送下。
截诃散（一名人参散出医学类证）治胎未实。或房室惊触。劳力过度。伤动
胞
胎。或食毒物。致子宫虚滑。经血沥淋。若不急治。败血凑心。子母难保。日渐胎干危
亡。
人参（去芦） 黄 （蜜炙） 阿胶（炒） 甘草（炙） 苎根 木香（不见火） 青
竹茹 芎 陈皮（去白） 附子（炮） 生姜 糯米（各等分） 上为末。每服二钱。水
一盏。煎至八分。通口服。忌生冷、鸡鸭、鱼面。
艾叶汤 治妊娠胎漏下血。
艾叶（炒） 黄芩（去黑心各半两） 黄连（去须） 茯神（去木） 桑耳 代赭石 浓
朴（去粗皮生姜汁炙锉） 白茅根（切） 白芷 阿胶（炒各一两） 白术（二钱） 上粗
捣筛。每服五钱以水一盏半。生姜五片。煎至八分去滓。温服。不拘时。
阿胶散（一名地榆散）治漏胎下血不止。
续断饮（出大全良方）治妊娠漏胎下血不止。脐腹疼痛。
续断（锉二两） 艾叶（去梗焙干） 熟地黄（焙） 当归（切焙各一两） 竹茹（新
者） 阿胶（炙燥） 鸡苏（去根茎各半两） 上为粗末。每服三钱。用水一盏。煎七分去
滓。空心温服。
早
黄 饮 治妊娠胎漏。月水时下。此由冲任脉虚。不能制约太阳少阴之经。故令血
下。盖冲任之脉为经络之海。皆起于胞内。今不能制其经血。故为漏胎。血干则死。
黄 （锉） 地榆 桑寄生（各一两半） 艾叶（半两） 白龙骨（锉三两） 生地黄
（二两） 生姜（半两） 上锉如麻豆大。每服五钱。以水一盏半。煎取八分去滓。食前服。
如人行三五里再服。
熟干地黄散（出圣惠方）治妊娠胎漏。腹痛不止。心神虚烦。
熟地黄 人参（去芦头） 芎 （各二两） 阿胶（三两捣碎炒令黄） 白龙骨（一两）
当归（三钱锉微炒） 麦冬（三钱去心） 上捣为散。每服四钱。以水一中盏。入枣三枚。
煎六分去滓
榆白皮散（出和剂方）滑胎易产。治妊娠漏胎去血。及临产惊动太早。产时
未
至。秽露先下。致使胞胎干燥。临产艰难。并宜治服之。
白榆皮 葵根（一方用子） 瞿麦（各一两） 大麻仁（去壳） 木通（半两） 川牛
膝（三钱去苗酒浸切焙） 上锉散。每服三钱。水一盏半。煎。温服不拘时。
竹茹寄生汤（出圣惠方）治妊娠漏胎。心腹 痛。或时下血。
竹茹 桑寄生 阿胶（炙燥） 艾叶 芍药 白术（各等分） 上锉如麻豆大。拌匀。
每服
三钱。以水一盏。煎至七分去滓。温服。
姜黄汤（出圣惠方）治妊娠胎漏。下血不止。腹痛。
姜黄 当归（切焙） 熟地黄（焙） 艾叶（焙干） 鹿角胶（炒燥各一两） 上粗捣
筛。每服
五钱。以水一盏半。入生姜半钱切。枣三枚擘破。煎至八分去滓。食前温服。
治妊娠胎漏。腹痛不止。心神虚烦。（出圣惠方）
熟地黄（二两半） 鹿茸（一两半去毛涂酥炙微黄） 鹿角胶（二两捣碎炒令黄燥） 艾
叶
（一两微炒） 苎麻根（一两半锉） 上为细末。每于食前。以米饮调下二钱。
艾叶饮 治妊娠漏胎。淋沥不止。
艾叶（陈者半两） 干姜（炮） 当归（炙锉各三钱） 芎 （一两） 上粗末。每服
三钱。以
水一盏。入生姜一枣大。拍碎。煎七分去滓。空心日午晚后各一。一方治冷热腹内不调。致
胎不安。姜枣止用水煮。
芎 饮 治妊娠漏胎下血过多。腹中刺痛。止血安胎。
桑寄生汤 治妊娠漏胎。淋沥下血。脐腹疼痛。
胶艾汤（出大全良方）治妊娠漏胎下血过多。亦治漏胎不安。
阿胶（炙燥半两） 艾叶（焙干一两） 上粗捣筛。每服三钱。以水一盏。煎七分去滓。
温服。早晨午时晚间各一。一方醋糊为丸如梧子大。每服三十丸。空心米饮汤下。名二气丸。
地黄散（出圣惠方）治妊娠胎漏。下血不止。腹痛。又云治妊娠下血。如月
信
者。若胞干。非特损子。亦损母矣。
熟地黄（焙） 干姜（炮各三钱） 上为散。每服二钱。食前温酒调下。一方有赤石脂
等分
同。
油蜜煎（出便产须知）治胎气因漏血干涩难产者。
清油（半两） 好蜜（一两） 上同煎数十沸。温服。滑胎即下。盖缘无血胎干。所以
难产。
他药无益。以此助血即效。
二黄散（出保命集）治妇人有孕胎漏。
生地黄 熟地黄（各等分） 上为细末。煎白术枳壳汤调下二两。日二服。
治妊娠血下如注。名曰漏胞。胞干便死。（出千金方）
用生地黄半斤。 咀。以清酒三升煮三沸绞去滓。服。一方加黄雌鸡一头。治如食法。
一方取鸡血和药中。服无时。多服亦佳。一方熟地黄为末。以三指撮许。酒服。不过三服瘥。
疗妊娠数月日。犹经水时时来者。名曰漏胞。若因房室劳有所去名曰伤胎。
用赤小豆五升。湿地种之。令生牙。干之。下筛。怀身数月日。经水尚来。以温酒服方
寸匕。日三。得效便停。
治妊娠血下不止。名曰漏胞。血尽子死。
用鸡子十四枚。取黄以好酒二升煮。使如饧。一服之未瘥。更作服之。以瘥为度。
治妊娠胎漏。非时下血方。（出大全良方）
熟地黄 桑寄生 续断 人参（各半两） 艾叶（炙锉细） 川芎 当归 白术（各一
钱）
上为细末。每服三钱。水一盏五分。煎取一盏。空心连滓服两盏不妨。
苎麻汤 治漏胎。无故下血。腹痛不可忍。或下黄汁。稠如漆。如小豆汁。
野苎麻根（二两锉炒） 上以酒一碗。水一碗。加金银花。无则休用。煎一碗服。家种
亦
可用。
郑氏人参汤（出永类钤方）治漏胎败血凑心。日渐胎干。子母危困。忌生
冷、
鸡鸭、鱼面。
人参 黄 （炙） 阿胶（炒） 竹茹 甘草（炙） 木香（不见火） 附子（炮各半
两） 川芎
（一钱） 陈皮（一钱） 苎根（一钱） 生姜（三钱炮黑） 上 咀。每服四钱。糯米三
七粒。水
煎
克效散（出朱氏集验方）治漏胎。
用五倍子一味。为末。酒调下。
又方（出朱氏集验方）用莲子房烧化。以面糊丸。汤酒任下。
治妊娠下血不止。名曰漏胎。
取鸡肝细锉。以酒一升和服。
（附论）
胎儿寒冷导致腹部胀满、虚性疼痛。两侧胁肋部出现虚性鸣响。脐下冷痛，有便意欲排便，小便频数，大便虚滑不禁，这是什么原因呢？回答是：胎气已经完备，胎儿形体和体质已具，如果食用瓜果甘甜之物，饮用冷水，或不合时宜的食物，在风中纳凉，感受非时之气，就会导致胎冷，胎儿无法安处。表现为皮毛疼痛，筋骨拘急挛缩，手足蜷曲，致使母亲出现这些危重证候。此时应紧急服用安胎和气散。
方剂
安胎和气散（出自《医方集成》）治疗胎冷引起的腹部胀满、虚性疼痛，两胁虚鸣，脐下冷痛且有便意，小便频数，大便虚滑。
诃子（用面粉包裹煨制后去核）一两，白术一两，陈皮半两（去白），高良姜（炒后锉碎），木香（不经过火烤），白芍药，甘草（炙）各半两。以上药材切碎。每次服用四钱，加水一盏半，生姜五片，煎至七分，去渣滓，不拘时候服用。
禁忌事项略。
木香散（又名安胎和气散，出自《医学类证》）治疗胎冷效果显著。
生姜，熟地黄，良姜，南木香，芍药，陈皮，陈大米（各等分）。以上药材研为细末。每次服用二钱，加水一盏，生姜三片，煎至八分，通口服下。
当归饮 治疗妊娠期间腹中寒冷，胎动不安。
当归（切后焙干），人参，生姜（切）各七钱，浓朴（去粗皮，用生姜汁炙），陈皮（汤浸后去白焙干）各一两半，大枣（掰破）五枚。以上药材锉如麻豆大小。分为两次服用。加水四盏，煎取一盏半，去渣滓。饭前分两次服用。如果人行走三五里路后再服一次。
（附论）
所谓妊娠漏胎，是指妊娠数月而阴道仍有经血时下。这是由于冲任脉虚弱，不能制约手太阳小肠经和手少阴心经的血液。冲任二脉是经络之海，起于胞宫内部。手太阳经是小肠经，手少阴经是心经，这两条经脉互为表里，上行化为乳汁，下行化为月经。怀孕的人，月经之所以停止，是因为气血壅滞以滋养胎儿，蓄积以为乳汁。如果冲任气虚，则胞宫内泄，不能制约经血，所以月经时下。这也称为胞漏。如果血液流尽，人就会死亡。又有因劳累过度，喜怒忧思等情绪不节制，饮食生冷不调，触犯风寒，导致胎动不安。如果母亲有宿疾，子宫被风冷所乘，气血失调，使胎不安稳，所以导致下血。妊娠突然受到损伤动摇，或者冷热不调和，伤害到胎儿，所以突然腹痛并下血。如果不及时制止，就会导致堕胎。
方剂
阿胶汤 治疗妊娠胎漏，下血不止。
阿胶（炒燥），刘寄奴，赤石脂，黄连（去须），白龙骨（各一两半），乌梅（五枚，捣碎焙干），桑寄生，甘菊花，当归（切后焙干），旋复花（炒），地榆，白术（各一两），枳壳（去瓤麸炒一两二钱），艾叶八分。
续断丸 治疗妊娠漏胎，下血不止，腹内疼痛。妊娠调护失宜，经血时下，称为漏胎。由于冲任虚弱，不能固养胞胎，所以经血时下，就像器皿漏水一样。久漏不止，则胎气无所禀受滋养，必然导致枯萎干燥。
续断，附子（炮制去皮脐），蒲黄，干姜（炮），芍药，川芎，山茱萸，菟丝子（酒浸焙干后单独捣碎），黄芪（炙锉），山芋，熟地黄（焙干）各二两。以上研为末，炼蜜和丸如梧桐子大。每次服用二十丸，空腹及晚间用温酒送下。
截诃散（又名人参散，出自《医学类证》）治疗胎未稳固，或因房事惊恐触动，劳力过度，伤动胞胎，或食用毒物，导致子宫虚滑，经血沥淋不尽。如果不紧急治疗，败血上凑于心，母子难保，日渐胎干危及生命。
人参（去芦头），黄芪（蜜炙），阿胶（炒），甘草（炙），苎根，木香（不经过火），青竹茹，川芎，陈皮（去白），附子（炮），生姜，糯米（各等分）。以上研为末。每次服用二钱，加水一盏，煎至八分，通口服下。忌食生冷、鸡鸭、鱼面。
艾叶汤 治疗妊娠胎漏下血。
艾叶（炒），黄芩（去黑心）各半两，黄连（去须），茯神（去木），桑耳，代赭石，浓朴（去粗皮，用生姜汁炙锉），白茅根（切），白芷，阿胶（炒）各一两，白术二钱。以上粗捣筛。每次服用五钱，加水一盏半，生姜五片，煎至八分，去渣滓，温服，不拘时候。
续断饮（出自《大全良方》）治疗妊娠漏胎下血不止，脐腹疼痛。
续断（锉碎二两），艾叶（去梗焙干），熟地黄（焙干），当归（切焙）各一两，竹茹（新鲜的），阿胶（炙燥），鸡苏（去根茎）各半两。以上为粗末。每次服用三钱，用水一盏，煎七分，去渣滓，空腹温服。
黄芪饮 治疗妊娠胎漏，月水时下。这是由于冲任脉虚，不能制约太阳少阴之经，所以令血下。盖冲任之脉为经络之海，皆起于胞内。现在不能制约其经血，所以成为漏胎。血液枯竭则死。
黄芪（锉碎），地榆，桑寄生（各一两半），艾叶（半两），白龙骨（锉碎三两），生地黄（二两），生姜（半两）。以上锉如麻豆大。每次服用五钱，加水一盏半，煎取八分，去渣滓，饭前服用。如果人行走三五里路再服一次。
熟干地黄散（出自《圣惠方》）治疗妊娠胎漏，腹痛不止，心神虚烦。
熟地黄，人参（去芦头），川芎（各二两），阿胶（三两，捣碎炒令黄色），白龙骨（一两），当归（三钱，锉微炒），麦冬（三钱，去心）。以上捣为散。每次服用四钱，加水一中盏，入枣三枚，煎六分，去渣滓。
榆白皮散（出自《和剂方》）滑胎易产。治疗妊娠漏胎去血，以及临产惊动太早，产时未到，秽露先下，致使胞胎干燥，临产艰难。都适宜治服。
白榆皮，葵根（一方用葵子），瞿麦（各一两），大麻仁（去壳），木通（半两），川牛膝（三钱，去苗酒浸切焙）。以上锉散。每次服用三钱，水一盏半，煎，温服，不拘时候。
竹茹寄生汤（出自《圣惠方》）治疗妊娠漏胎，心腹疼痛，或时下血。
竹茹，桑寄生，阿胶（炙燥），艾叶，芍药，白术（各等分）。以上锉如麻豆大，拌匀。每次服用三钱，以水一盏，煎至七分，去渣滓，温服。
姜黄汤（出自《圣惠方》）治疗妊娠胎漏，下血不止，腹痛。
姜黄，当归（切焙），熟地黄（焙），艾叶（焙干），鹿角胶（炒燥）各一两。以上粗捣筛。每次服用五钱，以水一盏半，入生姜半钱切，枣三枚掰破，煎至八分，去渣滓，食前温服。
治疗妊娠胎漏，腹痛不止，心神虚烦。（出自《圣惠方》）
熟地黄（二两半），鹿茸（一两半，去毛涂酥炙微黄），鹿角胶（二两，捣碎炒令黄燥），艾叶（一两，微炒），苎麻根（一两半，锉）。以上为细末。每次于食前，以米饮调下二钱。
艾叶饮 治疗妊娠漏胎，淋沥不止。
艾叶（陈者半两），干姜（炮），当归（炙锉）各三钱，川芎（一两）。以上为粗末。每次服用三钱，以水一盏，入生姜一枣大块拍碎，煎七分，去渣滓。空腹、日午、晚后各服一次。另一方治疗冷热腹内不调，致胎不安，姜枣止用水煮。
胶艾汤（出自《大全良方》）治疗妊娠漏胎下血过多，亦治漏胎不安。
阿胶（炙燥半两），艾叶（焙干一两）。以上粗捣筛。每次服用三钱，以水一盏，煎七分，去渣滓，温服。早晨、午时、晚间各服一次。一方用醋糊为丸如梧桐子大，每次服用三十丸，空腹米饮汤下，名为二气丸。
地黄散（出自《圣惠方》）治疗妊娠胎漏，下血不止，腹痛。又说治疗妊娠下血，像月经一样。如果胞宫干燥，不仅损伤胎儿，也损伤母亲。
熟地黄（焙干），干姜（炮）各三钱。以上为散。每次服用二钱，食前温酒调下。一方加赤石脂等分同用。
油蜜煎（出自《便产须知》）治疗胎气因漏血干涩难产者。
清油（半两），好蜜（一两）。以上同煎数十沸，温服。滑胎即下。这是因为无血胎干，所以难产。其他药物无益，以此助血即有效。
二黄散（出自《保命集》）治疗妇人有孕胎漏。
生地黄，熟地黄（各等分）。以上为细末，煎白术枳壳汤调下二两，日二服。
治疗妊娠血下如注，名曰漏胞。胞干便死。（出自《千金方》）
用生地黄半斤，切碎，以清酒三升煮三沸，绞去渣滓，服。一方加黄雌鸡一头，治如食法。一方取鸡血和药中，服无时，多服亦佳。一方熟地黄为末，以三指撮许，酒服，不过三服瘥。
疗妊娠数月日，犹经水时时来者，名曰漏胞。若因房室劳有所去名曰伤胎。
用赤小豆五升，湿地种之，令生牙，干之，下筛。怀身数月日，经水尚来，以温酒服方寸匕，日三，得效便停。
治疗妊娠血下不止，名曰漏胞。血尽子死。
用鸡子十四枚，取黄以好酒二升煮，使如饧。一服之未瘥，更作服之，以瘥为度。
治疗妊娠胎漏，非时下血方。（出自《大全良方》）
熟地黄，桑寄生，续断，人参（各半两），艾叶（炙锉细），川芎，当归，白术（各一钱）。以上为细末。每次服用三钱，水一盏五分，煎取一盏，空心连滓服两盏不妨。
苎麻汤 治疗漏胎，无故下血，腹痛不可忍，或下黄汁，稠如漆，如小豆汁。
野苎麻根（二两，锉炒）。以上以酒一碗，水一碗，加金银花，无则休用，煎一碗服。家种亦可用。
郑氏人参汤（出自《永类钤方》）治疗漏胎败血凑心，日渐胎干，子母危困。忌生冷、鸡鸭、鱼面。
人参，黄芪（炙），阿胶（炒），竹茹，甘草（炙），木香（不见火），附子（炮）各半两，川芎（一钱），陈皮（一钱），苎根（一钱），生姜（三钱，炮黑）。以上切碎。每次服用四钱，糯米三七粒，水煎克效。
克效散（出自《朱氏集验方》）治疗漏胎。
用五倍子一味，为末，酒调下。
又方（出自《朱氏集验方》）用莲子房烧化，以面糊丸，汤酒任下。
(Attached Discussion)
When the fetus is cold, abdominal distension and deficiency-type pain occur. There is deficiency-type tinnitus in both hypochondriac regions, cold pain below the umbilicus, a sensation of needing to defecate, frequent urination, and loose stools due to deficiency. What causes this? The answer is: When the fetal qi is complete and the fetus has formed its structure and constitution, if one consumes sweet fruits or melons, drinks cold water, eats food at inappropriate times, cools off in the wind, or contracts pathogenic qi that does not accord with the season, it leads to fetal coldness. The fetus cannot remain secure. This manifests as pain in the skin and hair, stiffness and spasm of sinews and bones, and curling of the hands and feet, causing the mother to present with these critical symptoms. One should urgently administer An Tai He Qi San (Fetus-Anchoring and Qi-Harmonizing Powder).
Formula
An Tai He Qi San (from *Yi Fang Ji Cheng*) treats fetal coldness causing abdominal distension, deficiency-type pain, deficiency-type tinnitus in the hypochondria, cold pain below the umbilicus with urge to defecate, frequent urination, and loose stools due to deficiency.
He Zi (Chebulae Fructus, wrapped in flour and baked, pitted) 1 liang, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 1 liang, Chen Pi (Citri Reticulatae Pericarpium, white part removed) 0.5 liang, Gao Liang Jiang (Galangal Rhizoma, stir-fried and crushed), Mu Xiang (Aucklandiae Radix, not exposed to fire), Bai Shao Yao (Paeoniae Radix Alba), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) each 0.5 liang. The above herbs are cut into small pieces. Take 4 qian per dose, add 1.5 zhan of water and 5 slices of fresh ginger, decoct until 0.7 portion remains, remove dregs, and take at any time.
Dietary restrictions omitted.
Mu Xiang San (also known as An Tai He Qi San, from *Yi Xue Lei Zheng*) is highly effective for treating fetal coldness.
Sheng Jiang (Fresh Ginger Rhizome), Shu Di Huang (Rehmanniae Radix Preparata), Liang Jiang (Galangal Rhizoma), Nan Mu Xiang (Aucklandiae Radix), Shao Yao (Paeoniae Radix), Chen Pi (Citri Reticulatae Pericarpium), Chen Da Mi (Aged Rice Grain) in equal proportions. The above herbs are ground into fine powder. Take 2 qian per dose, add 1 zhan of water and 3 slices of fresh ginger, decoct until 0.8 portion remains, and take orally.
Dang Gui Yin (Angelica Decoction) treats coldness in the abdomen during pregnancy and fetal restlessness.
Dang Gui (Angelicae Sinensis Radix, sliced and dried), Ren Shen (Ginseng Radix), Sheng Jiang (Fresh Ginger Rhizome, sliced) each 7 qian, Hou Po (Magnoliae Officinalis Cortex, coarse bark removed, stir-fried with fresh ginger juice), Chen Pi (Citri Reticulatae Pericarpium, soaked in water, white part removed, dried) each 1.5 liang, Da Zao (Jujubae Fructus, broken) 5 pieces. The above herbs are cut like hemp seeds. Divide into two doses. Add 4 zhan of water, decoct until 1.5 zhan remains, remove dregs, and take divided into two doses before meals. If the patient walks for three to five *li*, take another dose.
(Attached Discussion)
"Pregnancy leakage" (Lou Tai) refers to vaginal bleeding occurring monthly during pregnancy. This is caused by deficiency of the Chong and Ren meridians, which fail to restrain the blood of the Hand-Taiyang Small Intestine meridian and the Hand-Shaoyin Heart meridian. The Chong and Ren meridians are the sea of the meridians, originating from inside the uterus. The Hand-Taiyang meridian belongs to the Small Intestine, and the Hand-Shaoyin meridian belongs to the Heart; these two meridians are exterior-interior pairs. Upward they transform into milk, downward into menstruation. In pregnant women, menstruation stops because blood and qi are congested to nourish the fetus and stored to form milk. If the Chong and Ren qi are deficient, the interior of the uterus leaks and cannot restrain menstrual blood, hence monthly bleeding occurs. This is also called "Bao Lou" (Uterine Leakage). If the blood is exhausted, death ensues. Additionally, excessive labor, unregulated emotions (joy, anger, sorrow, fear), irregular diet including raw and cold foods, and exposure to wind-cold can cause fetal movement. If the mother has chronic diseases, the uterus is invaded by wind-cold, leading to imbalance of blood and qi, making the fetus insecure, thus causing bleeding. Sudden injury or agitation during pregnancy, or imbalance of cold and heat damaging the fetus, causes sudden abdominal pain and bleeding. If not stopped promptly, miscarriage will occur.
Formula
E Jiao Tang (Donkey-Hide Gelatin Decoction) treats pregnancy leakage with continuous bleeding.
E Jiao (Colla Corii Asini, stir-fried until dry), Liu Ji Nu (Artemisiae Annuae Herba), Chi Shi Zhi (Halloysit Rubrum), Huang Lian (Coptidis Rhizoma, mustards removed) each 1.5 liang, Wu Mei (Mume Fructus, 5 pieces, crushed and baked), Sang Ji Sheng (Taxilli Caulis), Gan Ju Hua (Chrysanthemi Flos), Dang Gui (Angelicae Sinensis Radix, sliced and dried), Xuan Fu Hua (Inulae Flos, stir-fried), Di Yu (Sanguisorbae Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma) each 1 liang, Zhi Qiao (Aurantii Fructus, pulp and bran removed, stir-bran fried) 1 liang 2 qian, Ai Ye (Artemisiae Argyi Folium) 0.8 fen.
Xu Duan Wan (Dipsacus Pill) treats pregnancy leakage with continuous bleeding and intra-abdominal pain. Improper care during pregnancy leads to monthly bleeding, termed "leakage." Due to deficiency of the Chong and Ren meridians, the fetus is not secured and nourished, so blood flows down like a leaking vessel. Prolonged leakage deprives the fetus of nourishment, leading to withering and dryness.
Xu Duan (Dipsaci Radix), Fu Zi (Aconiti Lateralis Radix Praeparata, processed, peel and navel removed), Pu Huang (Typhae Pollen), Gan Jiang (Zingiberis Rhizoma, processed), Shao Yao (Paeoniae Radix), Xiong (Ligustici Chuanxiong Rhizoma), Shan Zhu Yu (Corni Fructus), Tu Si Zi (Cuscutae Semen, soaked in wine, baked, pounded separately), Huang Qi (Astragali Radix, honey-fried and crushed), Shan Yu (Dioscoreae Rhizoma), Shu Di Huang (Rehmanniae Radix Preparata, baked) each 2 liang. The above are ground into powder, mixed with refined honey to form pills the size of tung tree seeds. Take 20 pills per dose, swallowed with warm wine on an empty stomach and in the evening.
Jie He San (also known as Ren Shen San, from *Yi Xue Lei Zheng*) treats unstable fetus, or injury to the uterus and fetus due to sexual activity, fright, overexertion, or ingestion of toxic substances, leading to uterine deficiency and slipping, with dripping menstrual blood. If not treated urgently,敗血 (stagnant blood) may rush to the heart, endangering both mother and child, leading to fetal dryness and critical condition.
Ren Shen (Ginseng Radix, rhizome removed), Huang Qi (Astragali Radix, honey-fried), E Jiao (Colla Corii Asini, stir-fried), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), Zhu Gen (Imperatae Rhizoma), Mu Xiang (Aucklandiae Radix, not exposed to fire), Qing Zhu Ru (Bambusae Caulis in Taeniam, green), Xiong (Ligustici Chuanxiong Rhizoma), Chen Pi (Citri Reticulatae Pericarpium, white part removed), Fu Zi (Aconiti Lateralis Radix Praeparata, processed), Sheng Jiang (Fresh Ginger Rhizome), Nuo Mi (Glutinous Oryzae Semen) in equal proportions. The above are ground into powder. Take 2 qian per dose, add 1 zhan of water, decoct until 0.8 portion remains, and take orally. Avoid raw/cold foods, chicken, duck, fish, and wheat/noodle products.
Ai Ye Tang (Mugwort Leaf Decoction) treats pregnancy leakage with bleeding.
Ai Ye (Artemisiae Argyi Folium, stir-fried), Huang Qin (Scutellariae Radix, black heart removed) each 0.5 liang, Huang Lian (Coptidis Rhizoma, mustards removed), Fu Shen (Poria Cum Radix Xylodi, wood removed), Sang Er (Fomes Officinalis), Dai Zhe Shi (Haematitum), Hou Po (Magnoliae Officinalis Cortex, coarse bark removed, stir-fried with fresh ginger juice and crushed), Bai Mao Gen (Imperatae Rhizoma, sliced), Bai Zhi (Angelicae Dahuricae Radix), E Jiao (Colla Corii Asini, stir-fried) each 1 liang, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 2 qian. The above are coarsely crushed and sieved. Take 5 qian per dose, add 1.5 zhan of water and 5 slices of fresh ginger, decoct until 0.8 portion remains, remove dregs, and take warm at any time.
E Jiao San (also known as Di Yu San) treats continuous bleeding from uterine leakage.
Xu Duan Yin (Dipsacus Decoction, from *Da Quan Liang Fang*) treats pregnancy leakage with continuous bleeding and umbilical/abdominal pain.
Xu Duan (Dipsaci Radix, crushed 2 liang), Ai Ye (Artemisiae Argyi Folium, stems removed, baked dry), Shu Di Huang (Rehmanniae Radix Preparata, baked), Dang Gui (Angelicae Sinensis Radix, sliced and dried) each 1 liang, Zhu Ru (Bambusae Caulis in Taeniam, fresh), E Jiao (Colla Corii Asini, stir-fried dry), Ji Su (Elsholtziae Herba, roots and stems removed) each 0.5 liang. The above are made into coarse powder. Take 3 qian per dose, add 1 zhan of water, decoct until 0.7 portion remains, remove dregs, and take warm on an empty stomach.
Huang Qi Yin (Astragalus Decoction) treats pregnancy leakage with monthly bleeding. This is due to deficiency of the Chong and Ren meridians, failing to restrain the Hand-Taiyang and Hand-Shaoyin meridians, causing blood to flow down. The Chong and Ren meridians are the sea of the meridians, originating from the uterus. Now unable to restrain the meridian blood, it becomes leakage. Blood exhaustion leads to death.
Huang Qi (Astragali Radix, crushed), Di Yu (Sanguisorbae Radix), Sang Ji Sheng (Taxilli Caulis) each 1.5 liang, Ai Ye (Artemisiae Argyi Folium) 0.5 liang, Bai Long Gu (Os Draconis, crushed) 3 liang, Sheng Di Huang (Rehmanniae Radix) 2 liang, Sheng Jiang (Fresh Ginger Rhizome) 0.5 liang. The above are cut like hemp seeds. Take 5 qian per dose, add 1.5 zhan of water, decoct until 0.8 portion remains, remove dregs, and take before meals. If the patient walks for three to five *li*, take another dose.
Shu Gan Di Huang San (Prepared Rehmannia Powder, from *Sheng Hui Fang*) treats pregnancy leakage with continuous abdominal pain and mental restlessness due to deficiency.
Shu Di Huang (Rehmanniae Radix Preparata), Ren Shen (Ginseng Radix, rhizome removed), Xiong (Ligustici Chuanxiong Rhizoma) each 2 liang, E Jiao (Colla Corii Asini, 3 liang, crushed and stir-fried until yellow), Bai Long Gu (Os Draconis) 1 liang, Dang Gui (Angelicae Sinensis Radix, 3 qian, crushed and lightly stir-fried), Mai Dong (Ophiopogonis Tuber, 3 qian, heart removed). The above are ground into powder. Take 4 qian per dose, add 1 zhong zhan of water and 3 dates, decoct until 0.6 portion remains, remove dregs.
Yu Bai Pi San (Zelkova Bark Powder, from *He Ji Fang*) facilitates smooth delivery. It treats pregnancy leakage with blood loss, premature excitement before labor, discharge of lochia before labor begins, causing uterine dryness and difficult labor. It is suitable for all such cases.
Bai Yu Pi (Zelkovae Cortex), Kui Gen (Malvae Root), Qu Mai (Dianthi Herba) each 1 liang, Da Ma Ren (Cannabis Semen, shell removed), Mu Tong (Akebiae Caulis) 0.5 liang, Chuan Niu Xi (Cyathulae Radix, 3 qian, sprouts removed, wine-soaked, sliced, and dried). The above are cut into pieces. Take 3 qian per dose, add 1.5 zhan of water, decoct, and take warm at any time.
Zhu Ru Ji Sheng Tang (Bamboo Shavings and Taxillus Decoction, from *Sheng Hui Fang*) treats pregnancy leakage with heart/abdominal pain or intermittent bleeding.
Zhu Ru (Bambusae Caulis in Taeniam), Sang Ji Sheng (Taxilli Caulis), E Jiao (Colla Corii Asini, stir-fried dry), Ai Ye (Artemisiae Argyi Folium), Shao Yao (Paeoniae Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma) in equal proportions. The above are cut like hemp seeds, mixed well. Take 3 qian per dose, add 1 zhan of water, decoct until 0.7 portion remains, remove dregs, and take warm.
Jiang Huang Tang (Curcuma Decoction, from *Sheng Hui Fang*) treats pregnancy leakage with continuous bleeding and abdominal pain.
Jiang Huang (Curcumae Longae Rhizoma), Dang Gui (Angelicae Sinensis Radix, sliced and dried), Shu Di Huang (Rehmanniae Radix Preparata, baked), Ai Ye (Artemisiae Argyi Folium, baked dry), Lu Jiao Jiao (Corpi Cervi Pantotrichum, stir-fried dry) each 1 liang. The above are coarsely crushed and sieved. Take 5 qian per dose, add 1.5 zhan of water, 0.5 qian of sliced fresh ginger, and 3 broken dates, decoct until 0.8 portion remains, remove dregs, and take warm before meals.
Treats pregnancy leakage with continuous abdominal pain and mental restlessness. (From *Sheng Hui Fang*)
Shu Di Huang (Rehmanniae Radix Preparata) 2.5 liang, Lu Rong (Cornu Cervi Pantotrichum, 1.5 liang, hairs removed, coated with butter, roasted until slightly yellow), Lu Jiao Jiao (Corpi Cervi Pantotrichum, 2 liang, crushed and stir-fried until yellow and dry), Ai Ye (Artemisiae Argyi Folium, 1 liang, lightly stir-fried), Zhu Ma Gen (Imperatae Rhizoma, 1.5 liang, crushed). The above are ground into fine powder. Take 2 qian before meals, mixed with rice drink.
Ai Ye Yin (Mugwort Leaf Decoction) treats pregnancy leakage with continuous dripping.
Ai Ye (Artemisiae Argyi Folium, aged) 0.5 liang, Gan Jiang (Zingiberis Rhizoma, processed), Dang Gui (Angelicae Sinensis Radix, honey-fried and crushed) each 3 qian, Xiong (Ligustici Chuanxiong Rhizoma) 1 liang. The above are made into coarse powder. Take 3 qian per dose, add 1 zhan of water and a piece of fresh ginger the size of a date (crushed), decoct until 0.7 portion remains, remove dregs. Take on an empty stomach, at noon, and in the evening. Another formula treats internal imbalance of cold and heat causing fetal insecurity; use only water to decoct with ginger and dates.
Xiong Yin (Ligusticum Decoction) treats excessive bleeding from pregnancy leakage, stabbing abdominal pain, stopping bleeding and anchoring the fetus.
Sang Ji Sheng Tang (Taxillus Decoction) treats pregnancy leakage with dripping blood and umbilical/abdominal pain.
Jiao Ai Tang (Gelatin and Mugwort Decoction, from *Da Quan Liang Fang*) treats excessive bleeding from pregnancy leakage and also treats insecure leakage.
E Jiao (Colla Corii Asini, stir-fried dry) 0.5 liang, Ai Ye (Artemisiae Argyi Folium, baked dry) 1 liang. The above are coarsely crushed and sieved. Take 3 qian per dose, add 1 zhan of water, decoct until 0.7 portion remains, remove dregs, and take warm. Take once in the morning, at noon, and in the evening. Another formula uses vinegar paste to make pills the size of tung tree seeds; take 30 pills per dose with rice soup on an empty stomach, named Er Qi Wan (Two-Qi Pill).
Di Huang San (Rehmannia Powder, from *Sheng Hui Fang*) treats pregnancy leakage with continuous bleeding and abdominal pain. It also states it treats pregnancy bleeding resembling menstruation. If the uterus becomes dry, it damages not only the fetus but also the mother.
Shu Di Huang (Rehmanniae Radix Preparata, baked), Gan Jiang (Zingiberis Rhizoma, processed) each 3 qian. The above are made into powder. Take 2 qian per dose, mixed with warm wine before meals. Another formula adds Chi Shi Zhi (Halloysit Rubrum) in equal proportions.
You Mi Jian (Oil and Honey Decoction, from *Bian Chan Xu Zhi*) treats difficult labor due to fetal qi being dry and slippery from blood loss.
Qing You (Clear Oil) 0.5 liang, Hao Mi (Good Honey) 1 liang. The above are boiled together for dozens of boils, then taken warm. It lubricates the fetus for easy delivery. This is because lack of blood causes uterine dryness, leading to difficult labor. Other medicines are ineffective; this helps generate blood and is effective.
Er Huang San (Two-Yellow Powder, from *Bao Ming Ji*) treats uterine leakage in pregnant women.
Sheng Di Huang (Rehmanniae Radix), Shu Di Huang (Rehmanniae Radix Preparata) in equal proportions. The above are ground into fine powder, taken with decoction of Bai Zhu (Atractylodis Macrocephalae Rhizoma) and Zhi Qiao (Aurantii Fructus), 2 liang per dose, twice daily.
Treats pregnancy bleeding gushing forth, named "Lou Bao" (Uterine Leakage). If the uterus dries, death ensues. (From *Qian Jin Fang*)
Use 0.5 jin of Sheng Di Huang (Rehmanniae Radix), cut into pieces, boil in 3 sheng of clear wine for three boils, squeeze out dregs, and take. Another formula adds one yellow hen, prepared as food. Another formula mixes chicken blood with the medicine, take at any time; more is good. Another formula uses Shu Di Huang (Rehmanniae Radix Preparata) powder, take a pinch with wine; recovery within three doses.
Treating pregnancy where menstruation comes periodically for months, named "Lou Bao". If caused by sexual exertion, it is named "Shang Tai" (Injured Fetus).
Use 5 sheng of Chi Xiao Dou (Vigna Angularis Seed), plant in wet soil, let sprout, dry, and sieve. For pregnant women whose menstruation continues, take one fang cun bi (square-inch spoonful) with warm wine, three times daily. Stop when effective.
Treating continuous bleeding in pregnancy, named "Lou Bao". If blood is exhausted, the fetus dies.
Use 14 chicken eggs, take the yolks, boil in 2 sheng of good wine until thick like syrup. Take one dose; if not recovered, prepare and take again. Continue until recovered.
Treatment for pregnancy leakage with non-periodic bleeding. (From *Da Quan Liang Fang*)
Shu Di Huang (Rehmanniae Radix Preparata), Sang Ji Sheng (Taxilli Caulis), Xu Duan (Dipsaci Radix), Ren Shen (Ginseng Radix) each 0.5 liang, Ai Ye (Artemisiae Argyi Folium, stir-fried and finely crushed), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma) each 1 qian. The above are ground into fine powder. Take 3 qian per dose, add 1.5 zhan of water, decoct until 1 zhan remains. Take with dregs on an empty stomach; taking two zhan is acceptable.
Zhu Ma Tang (Ramie Root Decoction) treats leakage with spontaneous bleeding, unbearable abdominal pain, or discharge of yellow fluid thick like lacquer or mung bean juice.
Ye Zhu Ma Gen (Wild Ramie Root, 2 liang, crushed and stir-fried). Add 1 bowl of wine and 1 bowl of water, add Jin Yin Hua (Lonicerae Japonicae Flos); if unavailable, omit. Decoct until 1 bowl remains and take. Cultivated ramie root is also usable.
Zheng Shi Ren Shen Tang (Dr. Zheng's Ginseng Decoction, from *Yong Lei Qian Fang*) treats leakage where stagnant blood rushes to the heart, causing gradual fetal dryness and critical condition for mother and child. Avoid raw/cold foods, chicken, duck, fish, and wheat/noodle products.
Ren Shen (Ginseng Radix), Huang Qi (Astragali Radix, honey-fried), E Jiao (Colla Corii Asini, stir-fried), Zhu Ru (Bambusae Caulis in Taeniam), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), Mu Xiang (Aucklandiae Radix, not exposed to fire), Fu Zi (Aconiti Lateralis Radix Praeparata, processed) each 0.5 liang, Chuan Xiong (Ligustici Chuanxiong Rhizoma) 1 qian, Chen Pi (Citri Reticulatae Pericarpium) 1 qian, Zhu Gen (Imperatae Rhizoma) 1 qian, Sheng Jiang (Fresh Ginger Rhizome, roasted black) 3 qian. The above are cut into pieces. Take 4 qian per dose with 21-27 grains of Nuo Mi (Glutinous Oryzae Semen), decocted in water for efficacy.
Ke Xiao San (Efficacy-Achieving Powder, from *Zhu Shi Ji Yan Fang*) treats leakage.
Use Wu Bei Zi (Galla Chinensis) alone, ground into powder, taken with wine.
Another Formula (from *Zhu Shi Ji Yan Fang*) uses Lian Zi Fang (Lotus Receptacle) burned to ash, mixed with flour paste to make pills, taken with water or wine.
Treats continuous bleeding in pregnancy, named "Lou Tai".
Take Ji Gan (Chicken Liver), finely chopped, mixed with 1 sheng of wine and taken.