景岳曰∶小产有远近，其在二三月者，谓之近。五六月者，谓之远。新受而产者，势轻。怀久而产者，势
重。此皆人之所知也。至若尤有近者，则随孕随产矣。盖胎元始肇，一月如露珠，二月如桃花，三四月而后，
血脉形体具，五六月而后，筋骨毛发生。其初发不过一滴之玄津耳，此其囊龠，正无根据根 ，尚无地巩之势，
决之则流。故凡受胎之后，极宜节欲以防泛溢。而少年纵情罔知忌惮，或恃强而不败，或既败而复战，当此时
也，主方欲静，客不肯休，狂徒敲门撞户，顾彼水性热肠，有不启扉而从，随流而逝者乎斯时也。落花与粉蝶
齐飞火里，其交梨并逸，合污同流，已莫知其昨日孕，而今日产矣。朔日孕，而望日产矣。随孕随产本
无形迹，在明产者，胎已成形小产必觉。暗产者，胎仍似水直流，何知故，凡今之狂妄家多无大产，以暗产
而不觉也。娶娼妓者，多无子。以其子宫滑而惯于随孕随产也。此外如受胎、三五月而每有坠者，虽衰薄之
妇，因脏气偏胜而有之。然由纵欲不节，致伤母气而坠者，为尤多也。故凡恃强纵欲者，多无子。以强弱之日
相残也。纵肆不节者，多不育。以伤损胎元之气也，岂悉由妇人之罪哉。
复正曰此景岳见道之言，古人每日寡欲多男，此即其谈脚也。世人每恨不孕，孰知既受而暗损之，屡受
而屡损之，终身无子不亦宜乎。弟有妇人衰弱，阴阳偏胜，坠胎至于数次，而医者竟无
一策保固之，亦可衰矣。今有至圣至神保孕不坠之，三合保胎丸
方，屡经效验，望照方合服，断不相误。
集成三合保胎丸
此为素惯坠胎者，设也。盖胎孕之屡坠，虽由于冲任亏，脾肾弱，若得性幽闲，五内无火者，决不坠也。
凡屡坠者，偏热之性，暴怒之人，肝气有余，肝血不足，血虚生热，火烁子宫。又或恣纵不节，其胎必漏而坠
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。今以古之内补丸，杜仲丸、白术散三方合凑，名三合保胎丸。以熟地滋阴补肾，当归养血宁心，白术
扶中气以健脾，条芩清肝火而凉血，杜仲益腰膝而暖子宫，续断填损伤而坚胞，系至怯者，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，凡屡坠者，服之无不保全，实亦妇科保
孕安胎之圣药也。凡屡坠者，受娠一月，即制此丸服之。盖坠胎
必在三五七月之间，此三月切忌房事，恼怒犯之必坠。七月一过，万无一失。
大淮熟地（十二两，用砂仁一两，老姜一两，同地黄入砂锅内净水煮，俟地黄
将烂，始入黄酒煮之，总以地黄靡烂为度，酒干取起。拣去砂仁、老姜。将地黄
捣膏听用）。大归身片（十二两，酒洗晒干），土炒冬白术片（十二两，如孕妇肥白者，气必虚，加二两）。
实条芩片（六两酒炒，如孕妇黑瘦者，加一两，性躁者加二两），棉杜仲（十二两，盐水炒断丝），川续肉（
十二两，酒炒）
上将后五味和为一处，焙燥磨细末筛过，以前地黄膏和匀，少加炼蜜，捣千余下为丸绿豆大，每早盐汤
送三钱，晚临卧酒送三钱，每日不可间断。孕妇素怯者，须两料方可，服过七月方保无
虞。此方至神至圣，幸勿轻视。
张景岳说：小产有发生得早和发生得晚的区别，在怀孕两三个月时发生的，称为“近”；在五个月左右发生的，称为“远”。刚受孕不久就流产的，病情较轻；怀孕很久才流产的，病情较重。这些都是人们所知道的。至于还有更早发生的，那就是随孕随产了。大概胎儿初成，一个月时像露珠，两个月时像桃花，三四个月后，血脉形体具备，五六个月后，筋骨毛发生长。起初不过是一滴精液而已，此时胎囊尚且没有根基，还没有稳固之势，一旦决堤就会流失。所以凡是受孕之后，极应该节制性欲以防精气泛溢。而年轻人放纵情欲不知忌惮，有的倚仗身体强壮而不泄精，有的已经泄精后又行房事，在这个时候，主人想要安静，客人不肯停止，狂徒敲门撞户，顾念那水性热肠（指欲望），有不打开门扉顺从、随着水流逝去的吗？这个时候，落花与粉蝶齐飞，交梨并逸，合污同流，已经不知道昨天受孕，今天就已经流产了。初一受孕，到了十五就流产了。随孕随产本来没有明显的痕迹，对于明产者，胎儿已经成形，小产时必定会有感觉；暗产者，胎儿仍像水一样直接流出，怎么知道呢？所以如今狂妄之家大多没有大的孩子，因为暗产而没有察觉。娶妓女的人，大多没有儿子。因为他们的子宫滑利，习惯于随孕随产。此外如受孕后，在三五月时常有堕胎的，即使是衰弱之妇，因脏气偏胜也会有这种情况。然而由于纵欲不节，导致损伤母气而堕胎的，尤其多。所以凡是倚仗强壮放纵欲望的人，大多没有儿子。因为强弱之日相互残害。放纵不节制的人，大多不能养育子女。因为损伤了胎元之气，这难道全都是妇女的罪过吗？
复正说：这是张景岳见道之言，古人说每日寡欲则多子，这就是其中的道理。世人常常怨恨不孕，谁知道既然受孕后又暗中损伤它，多次受孕又多次损伤它，终身无子不也是应该的吗？我有个妇人身体衰弱，阴阳偏胜，堕胎达到数次，而医生竟然没有一策能保固胎元的，也可以说是衰微了。现在有至圣至神能保孕不坠的三合保胎丸方，屡经验证有效，希望照方配制服用，绝不会出错。
集成三合保胎丸：这是为素来习惯堕胎的人设立的。大概胎孕屡次坠落，虽然是由于冲任亏虚，脾肾虚弱，但如果性情幽闲，五内无火的人，绝对不会坠落。凡是屡次坠落者，多是偏热的性格，暴怒之人，肝气有余，肝血不足，血虚生热，火热灼烧子宫。又或者恣意放纵不节制，其胎必漏而坠落。而世上的安胎方法，无非拘泥于古法，以香砂芎艾作为保孕良方，不知道用热药安胎，犹如抱薪救火，不仅无济于事反而加速死亡。现在将古之内补丸、杜仲丸、白术散三方合并凑集，命名为三合保胎丸。用熟地黄滋阴补肾，当归养血宁心，白术扶助中气以健脾，条黄芩清肝火而凉血，杜仲益腰膝而暖子宫，续断填损伤而坚固胞宫，体质极度虚弱者，加入人参，体力不能承受者，不用也可以。药物虽然平易，功效胜过神丹，诚所谓钺斧相投，快捷如影随形，凡是屡次坠落者，服用此药无不保全，实也是妇科保孕安胎的圣药。凡是屡次坠落者，受孕一月，即制作此丸服用。大概坠胎必发生在三五七月之间，这三个月切忌房事，恼怒触犯必致坠落。七月过后，万无一失。
大淮熟地（十二两，用砂仁一两，老姜一两，同地黄放入砂锅内净水煮，等到地黄将烂时，再放入黄酒煮，总以地黄糜烂为度，酒干取起。拣去砂仁、老姜。将地黄捣成膏备用）。大归身片（十二两，酒洗晒干），土炒冬白术片（十二两，如果孕妇肥白者，气必虚，加二两）。实条芩片（六两酒炒，如果孕妇黑瘦者，加一两，性躁者加二两），棉杜仲（十二两，盐水炒断丝），川续肉（十二两，酒炒）
上将后五味混合一处，焙燥磨细末筛过，以前地黄膏和匀，少加炼蜜，捣千余下制成绿豆大小的丸药，每早盐汤送服三钱，晚临卧酒送服三钱，每日不可间断。孕妇素来怯弱者，须两料方可，服过七月方保无虞。此方至神至圣，幸勿轻视。
Zhang Jingyue stated: Spontaneous abortion (miscarriage) occurs at different stages of pregnancy. Those occurring in the second or third month are called "near" miscarriage, while those around the fifth or sixth month are called "distant" miscarriage. Abortion shortly after conception is mild in severity, whereas abortion after a long gestation is severe. This is common knowledge. However, there is an even earlier occurrence known as "conception and abortion simultaneously." Generally, when the fetal origin begins, in the first month it resembles a dewdrop, and in the second month like a peach blossom. After the third and fourth months, blood vessels and physical form are established; after the fifth and sixth months, bones, sinews, hair, and nails grow. Initially, it is merely a drop of essence. At this stage, the uterine sac lacks foundation and stability, so if the barrier breaks, it flows away. Therefore, after conception, one must strictly abstain from sexual activity to prevent seminal overflow. Young people, however, indulge their desires without fear, some relying on strength to retain semen, others engaging in intercourse again after ejaculation. At such times, while the host wishes for rest, the guest refuses to stop. Like a madman banging on doors, driven by watery nature and hot temperament, who would not open the door and follow the flow? In such moments, falling flowers fly with butterflies, fruits escape together, mixing with filth and flowing alike, one may not realize that conception occurred yesterday and abortion today. Conceived on the first day of the lunar month, aborted by the fifteenth. Conception and simultaneous abortion leave no obvious traces. For visible miscarriages, where the fetus has formed, the patient feels it. For hidden miscarriages, where the fetus flows out like water, how does one know? Thus, many reckless individuals have no surviving children because they are unaware of hidden miscarriages. Men who marry prostitutes often have no sons because their uteri are slippery and accustomed to conceiving and aborting simultaneously. Additionally, some women miscarry repeatedly in the third or fifth months due to organ qi imbalance, even if weak. However, most cases result from unregulated sexual desire damaging maternal qi. Thus, those who rely on strength and indulge in lust often have no children, as strong and weak days destroy each other. Those who indulge without restraint often fail to raise children, as they damage the fetal origin qi. Is this entirely the woman's fault?
Fu Zheng commented: These are Zhang Jingyue's profound insights. The ancients said that regulating desire leads to many sons; this is the principle. People often lament infertility, not knowing that conceiving and then secretly damaging the fetus, repeatedly conceiving and repeatedly damaging, naturally results in lifelong childlessness. I knew a woman who was weak, with yin-yang imbalance, miscarrying several times, yet doctors had no strategy to secure the pregnancy, which is indeed despicable. Now, there is a miraculous formula, Sanhe Baotai Wan (Three-Combined Fetus-Securing Pill), proven effective repeatedly. Follow the prescription to prepare and take it; it will not fail.
Integrated Sanhe Baotai Wan (Three-Combined Fetus-Securing Pill): This is designed for those prone to habitual miscarriage. Frequent miscarriages, though caused by deficiency of Chong and Ren meridians and weakness of Spleen and Kidney, will not occur if the person has a calm temperament and no internal heat. Those prone to miscarriage often have a hot disposition, anger issues, excess Liver Qi, and deficient Liver Blood. Blood deficiency generates heat, scorching the uterus. Or, indulgence without restraint causes leakage and miscarriage. Current methods for securing pregnancy stick to ancient formulas using aromatic and warming herbs like Xiang Sha Xiong Ai, believing them safe. Using hot herbs to secure the fetus is like carrying firewood to save a fire; it not only fails but accelerates death. Now, combining three ancient formulas—Neibu Wan (Internal Tonification Pill), Duzhong Wan (Eucommia Pill), and Baizhu San (Atractylodes Powder)—we name it Sanhe Baotai Wan. Shu Di Huang (Prepared Rehmanniae Radix) nourishes yin and tonifies Kidney; Dang Gui (Angelicae Sinensis Radix) nourishes blood and calms the mind; Bai Zhu (Atractodis Rhizoma) supports middle Qi and strengthens Spleen; Huang Qin (Scutellariae Radix) clears Liver fire and cools blood; Du Zhong (Eucommiae Cortex) benefits waist and knees and warms the uterus; Xu Duan (Dipsaci Radix) repairs damage and strengthens the womb. For extremely weak patients, add Ren Shen (Ginseng Radix); for those unable to tolerate strong tonics, it can be omitted. Though the ingredients are common, the effect is miraculous. It fits perfectly, working swiftly. All prone to miscarriage will be preserved by taking it. It is truly a sacred medicine for gynecological pregnancy security. For those prone to miscarriage, start taking this pill in the first month of pregnancy. Miscarriage usually occurs in the third, fifth, or seventh months. During these months, avoid sexual intercourse and anger, as provoking them causes miscarriage. After the seventh month, there is no risk.
Da Huai Shu Di Huang (Prepared Rehmanniae Radix from Huaiqing, 12 liang): Cook with Sha Ren (Amomi Fructus, 1 liang) and Lao Jiang (Zingiberis Rhizoma Recens, 1 liang) in clean water in a clay pot. When the Rehmannia is nearly soft, add Huang Jiu (Vinum, wine) and cook until the wine dries and the Rehmannia is mushy. Remove Sha Ren and Lao Jiang. Mash into a paste for use. Da Gui Shen Pian (Angelicae Sinensis Radix slices, 12 liang): Wash with wine and dry. Tu Chao Dong Bai Zhu Pian (Earth-fried Atractodis Rhizoma slices, 12 liang): If the pregnant woman is fat and pale, add 2 liang due to Qi deficiency. Shi Tiao Qin Pian (Solid Scutellariae Radix slices, 6 liang): Stir-fry with wine. If the pregnant woman is dark and thin, add 1 liang; if irritable, add 2 liang. Mian Du Zhong (Cotton Eucommiae Cortex, 12 liang): Stir-fry with salt water until fibers break. Chuan Xu Duan (Sichuan Dipsaci Radix, 12 liang): Stir-fry with wine.
Mix the latter five herbs, dry-roast, grind into fine powder, and sieve. Mix with the Shu Di Huang paste, add a little refined honey, and pound over a thousand times to form pills the size of mung beans. Take 3 qian with salt water in the morning and 3 qian with wine before bed. Do not miss any dose. Pregnant women who are inherently weak need two doses' worth of ingredients, continuing until the seventh month to ensure safety. This formula is miraculous and sacred; do not underestimate it.