血虚火盛，其妇必形瘦色黑。其胎常上逼者，宜条芩、阿胶。
徐蔼辉曰∶前张飞畴说，谓形瘦血热宜条芩，血虚火旺宜归、芍，此似将上二条并为一治，想须在胎
上逼与腹急痛上分别，未知是否！存参。
气虚妇体肥白，胎常下坠，宜人参。
徐蔼辉曰∶体肥白是气虚证据，宜与张说参看。又思体肥白者，未必皆气虚，必肥白而胎下坠，方是形
盛气衰也。须辨。存参。
王孟英按∶审属气虚欲堕者，补中益气法甚妙。
形气盛，胎常不运者，宜香、砂。
痰气阻滞，体肥，呕逆眩晕者，宜二陈。
怒气伤肝，加味逍遥散。
毒药动胎，白扁豆二两，生去皮末，新汲水下。
沈尧封曰∶已见“厥逆门”，须合参以辨其证。
交接动胎，其证多呕。《产宝百问方》饮竹沥一升有验。人参尤妙。
筑磕着胎，恶露已下，疼痛不止，口噤欲绝，用神妙佛手散探之。若不损则痛止，子母俱安；若损胎
立便逐下。即芎归汤治伤胎，多神效。
胎动下血不绝欲死，《本草纲目》用蜜蜂蜡，如鸡子大，煎三五沸，投美酒半升服，立瘥。冯云∶神
效。蜡淡而性涩，入阳明故也。
王孟英按∶怀妊临月，并无伤动，骤然血下不止，腹无痛苦者，名海底漏。亟投大剂参、 ，十不能救
其一二。此由元气大虚，冲脉不摄，而营脱于下也。
王叔和曰∶胎病不动，欲知生死，令人摸之∶如覆盆者则男；如肘颈参差起者女也。冷者为死；温者为生。
血虚而火旺，孕妇必定形体消瘦、面色发黑。胎气常向上冲逼的，适宜用条芩（黄芩的一种）、阿胶。
徐蔼辉说：前张飞畴认为，形体消瘦且血热者宜用条芩，血虚火旺者宜用当归、白芍，这似乎是将上述两条合并为一种治法，我想必须在“胎气上逼”与“腹部急痛”之间加以区分，不知是否正确？供参考。
徐蔼辉说：身体肥胖白皙是气虚的证据，应当与前文张氏的说法参照查看。又想到身体肥胖白皙的人，未必都是气虚，必须是既肥胖白皙又有胎气下坠，才是形盛气衰的表现。需要仔细辨别。供参考。
王孟英按语：如果确属气虚导致胎元欲堕者，采用补中益气法非常巧妙。
痰湿之气阻滞，身体肥胖，伴有呕吐逆气、头晕目眩的，适宜用二陈汤。
药物毒性扰动胎元，用白扁豆二两，生去皮研成粉末，用刚打来的冷水送服。
房事扰动胎元，症状多伴有呕吐。《产宝百问方》中饮用竹沥一升有疗效。人参尤为妙用。
撞击或磕碰伤及胎元，恶露已经下行，疼痛不止，牙关紧闭似要断气，用神妙佛手散探查。如果不损伤胎儿则疼痛停止，母子均安；如果损伤了胎儿，胎儿便会立即排出。这就是芎归汤治疗伤胎，多有神效。
胎动不安导致下血不止，濒临死亡，《本草纲目》记载用蜜蜂蜡，如鸡蛋大小，煎煮三五沸后，投入半升美酒中服用，立刻痊愈。冯云说：神效。蜂蜡性淡而涩，入阳明经的缘故。
王孟英按语：怀孕临产月数，并无外伤触动，突然出血不止，腹部没有痛苦感的，名叫海底漏。急需投以大剂量人参、黄芪，十个人中也救不活一两个。这是由于元气大虚，冲脉不能固摄，营血脱失于下所致。
王叔和说：判断胎病是否不动以知生死，让人触摸腹部：如果像倒扣的盆那样圆润则是男孩；如果像手肘颈部那样高低不平起落则是女孩。摸起来冷的是死胎；温的是活胎。
Deficiency of blood with flourishing fire, the woman must present with emaciation and dark complexion. When the fetus frequently presses upward, Tiaohuang (a variety of Scutellariae Radix) and Ejiao (Donkey-hide Gelatin) are indicated.
Xu Aihui stated: Fei Chouqian previously said that for those with emaciation and blood-heat, Tiaohuang is suitable; for blood deficiency with fire hyperactivity, Danggui (Angelicae Sinensis Radix) and Shaoyao (Paeoniae Radix) are suitable. This seems to combine the aforementioned two conditions into one treatment. I suppose it is necessary to distinguish between "fetal pressure upward" and "abdominal urgency and pain." It is unknown whether this is correct. For reference.
For women with qi deficiency, the body is fat and white, and the fetus frequently sinks downward. Ren Shen (Ginseng Radix et Rhizoma) is indicated.
Xu Aihui stated: Fat and white body constitution is evidence of qi deficiency, which should be consulted with Zhang's theory. Furthermore, considering that those who are fat and white are not necessarily all qi-deficient, only when they are fat and white accompanied by fetal sinking downward can it be considered as excessive form with deficient qi. Careful differentiation is required. For reference.
Wang Mengying noted: If it is confirmed as qi deficiency leading to threatened abortion, the method of tonifying the middle and augmenting qi is very effective.
When the physical constitution is robust but the fetus fails to move normally, Xiang (Costi Corymbosae Fructus Immaturus) and Sha (Amomi Fructus) are indicated.
When phlegm and qi obstruction occur, characterized by obesity, vomiting, retching, dizziness, and vertigo, Erchen Tang (Two-Cured Decoction) is indicated.
Anger injuring the liver, Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) is indicated.
Toxic drugs disturbing the fetus: Bai Biandou (Dolichos Lablab Seed), 2 liang, raw, peeled, powdered, taken with fresh cold water.
Shen Yaofeng stated: This has been seen in the "Jue Ni Gate," and must be cross-referenced to differentiate the syndrome.
Intercourse disturbing the fetus, the symptoms often include vomiting. The *Chanbao Baiwen Fang* (Hundred Questions on Obstetrics Formula) records that drinking one sheng of Zhuli (Bamboo Sap) is effective. Ren Shen (Ginseng Radix et Rhizoma) is particularly excellent.
Trauma from bumping or knocking against the fetus, lochia has already flowed, pain persists without cessation, jaw locked as if dying. Use Shenmiao Foshou San (Divine Miracle Buddha's Hand Powder) to probe. If the fetus is not damaged, the pain stops, and both mother and child are safe; if the fetus is damaged, it will be expelled immediately. This is Xiong Gui Tang (Ligusticum and Angelica Decoction) treating injured fetus, often with miraculous effects.
Fetal movement causing continuous bleeding until death-like state: *Bencao Gangmu* (Compendium of Materia Medica) uses Beehive Wax (Apis Ceranae Cera), size of a chicken egg, boiled for three to five boils, mixed with half a sheng of fine wine and taken, resulting in immediate recovery. Feng Yun stated: Miraculous effect. The wax is bland and astringent, entering the Yangming channel.
Wang Mengying noted: During the final month of pregnancy, without any trauma or disturbance, sudden continuous bleeding occurs without abdominal pain, named "Sea Bottom Leak" (Haidi Lou). Urgently administer large doses of Ren Shen (Ginseng Radix et Rhizoma) and Huangqi (Astragali Radix); ten cases may not save one or two. This is due to severe depletion of primordial qi, failure of the Chong vessel to secure, and collapse of Ying blood below.
Wang Shuhe stated: Regarding fetal disease where the fetus does not move, to know life or death, let someone palpate it: if it feels like an inverted basin, it is male; if it feels uneven like elbows and neck joints, it is female. Cold indicates death; warm indicates life.