妊娠五六个月。胎痿不长，由于妊母禀赋虚弱。若气血两虚，宜八珍汤（方见前，胎虚不安条中），参术、
茯苓宜加倍。若脾胃虚弱，宜六君子汤。但使饮食强壮，水谷运化，则气血日生，而胎自长矣。若素有风冷，
宜长胎白术丸。
六君子汤
人参 白术（蜜炙） 茯苓 炙甘草 陈皮 半夏（制、炒黄）
姜枣为引，水煎服。
若郁怒、胁痛、呕吐、寒热往来，加柴胡、山栀、枳壳、紫苏、桔梗。
长胎白术丸
白术（蜜炙） 川芎 阿胶（炒珠） 干地黄（各六钱） 牡蛎（ 研，二钱） 川椒（去目，一钱）
蜜丸，米饮下，每服三十丸。
妊娠将养如法，则气血调和，胎安，而产亦易。否则胎动气逆，临产亦难，且危矣。治宜芩术汤加阿胶。
芩术汤
子芩（三钱） 白术（蜜炙，一钱五分）
上加阿胶（炒珠）一钱，水煎服。
风邪加干姜、豆豉各一钱。寒加葱白三茎。热加天花粉一钱。寒热加柴胡一钱。项强加葱白三茎。温热、
腹痛加白芍一钱。腹胀加浓朴（姜制）一钱。下血加熟艾、地榆各一钱。腰痛加杜仲（盐水炒）。惊悸加黄连一
钱。烦渴加麦冬（去心）一钱、乌梅一个。思虑太过加茯神一钱。痰呕加旋复花、川贝母（去心）一钱，或酌
用半夏曲一钱。劳役加黄 一钱。气喘去白术加香附（制）一钱。便燥加麻仁一钱。素惯难产，加枳壳（麸炒）、
苏叶各一钱。素惯堕胎加杜仲（盐水炒）一钱。若素血虚加川芎、当归各二钱。
妊娠五至六个月时，胎儿发育迟缓、生长停滞，这是由于孕妇先天体质虚弱所致。如果气血两虚，适宜服用八珍汤（方剂见前文“胎虚不安”条目中），其中人参、白术、茯苓的用量应当加倍。如果脾胃虚弱，适宜服用六君子汤。只要保证饮食营养充足，水谷精微得以正常运化吸收，那么气血就会每日滋生，胎儿自然就能健康成长。如果患者素有风冷之邪侵袭，适宜服用长胎白术丸。
六君子汤
人参 白术（用蜂蜜炙烤） 茯苓 炙甘草 陈皮 半夏（经过炮制、炒至黄色）
以生姜和大枣为药引，加水煎煮后服用。
如果出现情绪抑郁易怒、胁肋疼痛、呕吐、寒热交替往来的症状，加入柴胡、山栀、枳壳、紫苏、桔梗。
长胎白术丸
白术（用蜂蜜炙烤） 川芎 阿胶（炒成珠状） 干地黄（以上各六钱） 牡蛎（研碎，二钱） 川椒（去除椒目，一钱）
制成蜜丸，用米汤送服，每次服用三十丸。
如果在妊娠期间调养得当，则气血调和，胎儿安稳，分娩也会顺利。否则会导致胎动不安、气机上逆，临产时也会困难，甚至危及生命。治疗适宜使用芩术汤加阿胶。
芩术汤
子芩（三钱） 白术（用蜂蜜炙烤，一钱五分）
上方中加入阿胶（炒成珠状）一钱，加水煎煮后服用。
若有风邪，加入干姜、豆豉各一钱。有寒象，加入葱白三根。有热象，加入天花粉一钱。寒热往来，加入柴胡一钱。项背强直，加入葱白三根。温热病伴腹痛，加入白芍一钱。腹胀，加入浓朴（姜制）一钱。下血，加入熟艾、地榆各一钱。腰痛，加入杜仲（盐水炒）。惊悸，加入黄连一钱。烦渴，加入麦冬（去心）一钱、乌梅一个。思虑过度，加入茯神一钱。痰多呕吐，加入旋复花、川贝母（去心）一钱，或者酌情使用半夏曲一钱。劳累过度，加入黄芪一钱。气喘，去掉白术，加入香附（制）一钱。大便干燥，加入麻仁一钱。既往有难产史，加入枳壳（麸炒）、苏叶各一钱。既往有习惯性流产史，加入杜仲（盐水炒）一钱。如果素来血虚，加入川芎、当归各二钱。
During the fifth to sixth month of pregnancy, if the fetus fails to grow properly (fetal atrophy), it is due to the mother's congenital weakness. If both Qi and Blood are deficient, Ba Zhen Tang (Eight Treasure Decoction) [see formula in the "Fetal Deficiency and Instability" section above] should be used, with increased dosages of Renshen (Ginseng Root), Baizhu (Atractylodis Rhizoma), and Fuling (Poria). If Spleen and Stomach are weak, Liu Jun Zi Tang (Six Gentlemen Decoction) is appropriate. As long as diet is nourishing and the transformation and transportation of food and fluids are normal, Qi and Blood will be generated daily, and the fetus will naturally grow. If there is a pre-existing condition of Wind-Cold, Chang Tai Bai Zhu Wan (Long-Fetus Atractylodes Pill) is suitable.
Liu Jun Zi Tang (Six Gentlemen Decoction)
Renshen (Ginseng Root), Baizhu (Atractylodis Rhizoma roasted with honey), Fuling (Poria), Zhigancao (Prepared Licorice Root), Chenpi (Tangerine Peel), Banxia (Pinellia Tuber prepared and fried until yellow).
Use Shengjiang (Fresh Ginger) and Dazao (Jujube) as guides, decoct in water, and take orally.
If symptoms include depression/irritability, hypochondriac pain, vomiting, and alternating chills and fever, add Chaihu (Bupleuri Radix), Zhizi (Gardeniae Fructus), Zhike (Aurantii Fructus), Zisu (Perillae Folium), and Jiegeng (Platycodonis Radix).
Chang Tai Bai Zhu Wan (Long-Fetus Atractylodes Pill)
Baizhu (Atractylodis Rhizoma roasted with honey), Chuanxiong (Ligustici Chuanxiong Rhizoma), Ejiao (Donkey-Hide Gelatin fried into beads), Gan Dihuang (Rehmanniae Radix Preparata) (each 6 qian), Muli (Ostreae Concha ground, 2 qian), Chuanjiao (Sichuan Pepper Pericarp removing seeds, 1 qian).
Make into honey pills, take with rice drink, 30 pills per dose.
If pregnancy is managed correctly, Qi and Blood will harmonize, the fetus will be secure, and delivery will be easy. Otherwise, fetal movement may become restless with rebellious Qi, making labor difficult and dangerous. Treatment should use Qin Zhu Tang (Scutellaria and Atractylodes Decoction) plus Ejiao (Donkey-Hide Gelatin).
Qin Zhu Tang (Scutellaria and Atractylodes Decoction)
Ziqin (Scutellariae Radix, 3 qian), Baizhu (Atractylodis Rhizoma roasted with honey, 1.5 qian).
Add Ejiao (Donkey-Hide Gelatin fried into beads, 1 qian) to the above, decoct in water, and take orally.
For Wind pathogen, add Ganjiang (Zingiberis Rhizoma) and Douchi (Fermented Soybean) each 1 qian. For Cold, add Congbai (Allii Fistulosum Bulbus) three stalks. For Heat, add Tianhuafen (Trichosanthis Radix) 1 qian. For alternating chills and fever, add Chaihu (Bupleuri Radix) 1 qian. For neck stiffness, add Congbai (Allii Fistulosum Bulbus) three stalks. For Warm-Heat with abdominal pain, add Baishao (Paeoniae Radix Alba) 1 qian. For abdominal distension, add Houpo (Magnoliae Officinalis Cortex processed with ginger) 1 qian. For bleeding, add Shuai (Prepared Mugwort Leaf) and Diyü (Sanguisorbae Radix) each 1 qian. For lower back pain, add Duzhong (Eucommiae Cortex salt-fried). For palpitations/fright, add Huanglian (Coptidis Rhizoma) 1 qian. For irritability and thirst, add Maidong (Ophiopogonis Radix dehearted) 1 qian and Wumei (Mume Fructus) one piece. For excessive worry, add Fushen (Poria with Hostwood) 1 qian. For phlegm and vomiting, add Xuanjinhua (Inulae Flos) and Chuanbeimu (Fritillariae Cirrhosae Bulbus dehearted) 1 qian, or alternatively use Banxiaqu (Pinellia Fermented Paste) 1 qian. For overexertion, add Huangqi (Astragali Radix) 1 qian. For panting, remove Baizhu and add Xiangfu (Cyperi Rhizoma processed) 1 qian. For dry stool, add Mahren (Cannabis Semen) 1 qian. For history of difficult labor, add Zhike (Aurantii Fructus bran-fried) and Zhusu Ye (Perillae Folium) each 1 qian. For history of habitual abortion, add Duzhong (Eucommiae Cortex salt-fried) 1 qian. If constitutionally Blood-deficient, add Chuanxiong (Ligustici Chuanxiong Rhizoma) and Danggui (Angelicae Sinensis Radix) each 2 qian.