凡妊娠经水，壅之以养胎，蓄之以为乳。其冲任气虚不能约制，故月水时下，名曰胞漏，血尽子死。
然亦有妊妇血盛，月信常来而胎不动，俗呼狗儿胎也。若以漏胎治之，则胎必堕。若不以漏胎治之，其
胎未必堕。亦有脉见滑数，而别无风热病，经脉如常，但较前略少，此因胎小血盛有余而然，俟迟至三
四月外，儿大能饮，经脉自止。今常见怀胎七八月而生子者，人但以血止为度，谓之不足月，然其受胎
于未止之前，至此而足月，人实不知也。又有壮盛孕妇，按月去血点滴，若无腰酸
胎动，不须服药。此血气强盛，孕至四五月后自然经止。如孕妇虚羸，腰常酸痛并胎动，而按月下
血点滴，或下血不止，此非血有余，乃胎漏也，宜服加味补中安胎饮。又云胎漏多因于血热，然亦有气
虚血少，服凉药而下血益甚、食少体倦者，此脾气虚而不能摄血也，宜归脾等方加减，当以脉候察之。
凡堕胎之病多在三五七月，如前次三月曾堕，后必如期乘其所虚而亦堕，必预服尊生安胎饮，或胎元
饮加减用之，或泰山磐石散、安胎万全神应散等方，对证择用以预防之。须常服，过七月可无患矣。更
宜戒房欲、气恼、劳役、爆炙诸食。又有受孕一月即堕者，人皆不觉，止知其为按月经行，不知暗堕于
中矣。凡人经尽，初交得孕后，最宜将息绝欲。若再交接以扰子宫，其胎或一月、三五月必堕。试思驴
马有孕，牡者近则踢之，名曰护胎，所以绝无小产之患，人可不慎欤。至若劳、怒、举重亦堕，洗下体
则窍开亦堕。今之无子者，大半一月堕胎，非尽不受孕也。至于顿仆伤动胎气，宜服胶艾安胎散。三四
月前胎未成形，名曰堕胎。至五六月后胎已成形，名曰半产。俗人均曰小产，总属妊妇气血虚弱，胎元
不固。盖气虚则提摄不固，血弱则灌溉不周，多致小产。况妇人肾以系胞，而腰为肾之府，腰痛则堕，
不可不防。凡治胎漏者，当预
培其根，宜用千金保孕丸。又有止漏绝神丹，治漏胎甚效。大凡孕妇暴下水者，其胎必堕。若徐徐下水，
可用补气安胎药治之。有胎漏黄浆，或如豆汁，胎动腹痛，乃肝脾湿热，用升阳除湿汤。《大全》治用黄
一两，川芎一钱，糯米一合煎服。要知小产与大产不同，大产如果熟自脱，小产如生采之，破其皮壳，断
其根蒂，忽略成病者不少，因而致死者恒多。然此证始因敛血以成胎，继因精血以长养，终因精血不足
而萎堕，故瘀血甚少。倘有腹痛成块有形，多属血虚气逆，惟有先用生化汤去瘀生新为妙，后须大加温补。
若但知消瘀破滞，则逆气愈攻而愈升，多致不救，戒之戒之。妊妇三月后，尺脉或涩或微弱，胎必不固，
惟脉洪盛者，胎不堕耳。所以《脉诀》内云∶胎脉弦牢滑利安，沉细而微归泉路。正此之谓也。虽半产
皆气血不足，然有禀质偏阴偏阳、或寒或热之异，自当凭脉调治。如阴虚内热，而用艾、附、白术、砂
仁温暖之剂，则阴道愈消，如草木之无雨露，自然枯萎。如阳虚内寒，而用芩、芍凉血之剂，则脾胃虚
寒，气血亦弱，犹果实春夏易生，秋冬少结也。总
之，三月以前宜养脾胃，四月以后宜壮腰肾，补血顺气，佐以清热，此大法也。
加味补中安胎饮 凡孕妇元气壮盛，受胎后尚有经来几点，乃血气盛故耳。若不腰痛腿酸，不
必服药。如虚羸孕妇，下血不止，或按月去血点滴，名曰胎漏，多因劳而气血两虚，或喜食爆炙热物过
多而致，宜谨房事，并服补药以保全也。
人参（一钱） 白术（土炒） 当归（酒洗。各二钱） 川芎 黄芩（各八分） 紫苏 陈皮
砂仁（碎） 炙草（各四分）
姜一片，水煎服，渣再煎。
归脾汤（附加味归脾汤，济生归脾汤） 治心脾郁结，经闭发热。并治脾虚不能摄血，致血妄行，
及经带胎漏等证。由于劳伤心脾，发热体倦，食少不眠，怔忡惊悸等证。
人参 白术（土炒） 茯神 枣仁（炒） 龙眼肉（各二钱） 黄 （一钱五分，炙） 归身（酒洗）
远志肉（甘草水制。各一钱） 木香 炙草（各五分）
姜枣引，水煎服。加柴胡、栀子，名加味归脾汤。柴胡易丹皮，名济生归脾汤。
尊生安胎饮 治血虚有火，曾三个月堕胎，宜服此方。并预防五月、七月之堕，亦治胎动胎漏。
归身（酒洗） 白芍（酒炒） 熟地 生地 砂仁 阿胶（炒珠。各一钱） 杜仲（盐水炒去丝）
白术（土炒。各二钱） 条芩（一钱五分） 续断肉（八分，酒制） 川芎 陈皮 苏梗（各五分）
水煎服。见血，加炒地榆、炒薄黄各一钱。腹痛或下坠，砂仁、白芍、熟地倍加分两服之。用枣肉
为丸服亦可。
景岳胎元饮 治妇人冲任失守，胎元不安、不固，随证加减，或间日、或二三日服一二剂。
人参（随宜） 当归（酒洗） 杜仲（盐水炒断丝） 白芍（酒炒。各二钱） 熟地（二三钱）
白术（一钱五分，土炒） 陈皮（七分，无滞者不必用） 炙草（一钱）
水二钟，煎七分，食远服。如下元不固而多遗浊者，加炒山药、炒补骨脂、五味之类。如气分虚甚
者，倍白术，加炙黄 ，但 、术气浮，能滞胃口，倘胸膈有饱闷不快者，须甚用之。如虚而兼寒多呕
者，加炮姜七八分或一二钱。如虚而兼热者，加酒炒黄芩一钱五分，或加生地二钱，去杜仲。如阴虚小
腹作痛，加枸杞二钱。如多怒气逆者，加制香附无妨，或砂仁亦妙。如有所触而动血者，加制
续断肉、炒阿胶各一二钱。如呕吐不止，加制半夏一二钱，生姜三五片。
泰山磐石散 治妇人血气两虚，或肥而不实，或瘦而血热，或肝脾素虚，倦怠少食，屡有堕胎之
患。此方平和，兼养脾胃气血。觉有热者，倍黄芩，少用砂仁。觉胃弱者，多用砂仁，少加黄芩。更宜
戒欲事、恼怒，远酒、醋、辛热之物，可永保无堕。
人参 黄 （蜜炙） 当归（酒洗） 川续断（制） 黄芩（各一钱） 白术（二钱，土炒）
川芎 白芍（酒炒） 熟地（各八分） 砂仁 炙草（各五分） 糯米（一撮）
水一钟半，煎七分，食远服。但觉有孕，三五日常用一服，四月之后方无虞也。如伤五七月胎，
即服过七月之后方妙。徐东皋曰∶妇人凡怀胎二三个月，惯要堕落，名曰小产。此由体虚，气血两弱，
脏腑火多，血分受热而然。医家又谓安胎宜用艾、附、砂仁热补，犹增祸患而速其堕矣。殊不知血气清
和，无火煎烁，则胎自安而固。气虚则提不住，血热则溢妄行，欲其不堕得乎？香附虽云快气开郁，
多用则损正气；砂仁快脾气，多用亦耗正气。况香燥之品，性伤气血，求以安胎，适又损胎而反堕也。
今惟泰山磐石散、千金保孕丸二方能夺化工之妙，百发百效，万无一失，故表出以为好生君子共知也。
安胎万全神应散 治孕妇三月前后，或经恼怒，或行走失足跌损伤胎，腹痛腰胀，一服即
安。虽见血，一二日未离宫者，加一剂自安。倘先三四五月内已经半产过者，将及前月份略觉腰骨酸胀，
忙服一剂即安。万全秘传，验过多人。
当归（酒洗） 白术（土炒） 条芩（酒炒。各一钱） 熟地（八分，姜汁再浸） 白芍（炒）
杜仲（盐水炒去丝） 阿胶（蛤粉炒成珠） 茯苓 嫩黄 （蜜炙。各七分） 川芎（六分） 砂仁（五
分，连壳碎） 炙草（三分）
酒水各一碗，煎八分，空心服。如急痛，将铜锅煎一钟，即服立止。胸前作胀，加紫苏、陈皮各
六分。白带或红多，加蒲黄、炒阿胶、炒地榆各一钱，艾叶七分。
见红，加制续断肉一钱，糯米一百粒。
凤衣散 治三五七月小产。
用头生鸡子抱出小鸡之蛋壳，阴阳瓦焙黄，研末。如前次小产在何月份，至时预先以无灰酒冲
服，可免小产。
苎根汤 治孕妇受胎数月后胎动、漏胎及子悬证。
野苎麻根，孕一月用一寸，加金银煎汤，服之立安。
胶艾安胎散 治孕妇顿扑动胎，下血不止。
人参 条芩 阿胶（蛤粉炒成珠。各一钱） 白术（一钱五分，土炒） 当归（酒洗） 熟地（
各二钱） 川芎 艾叶（各八分） 陈皮 紫苏 炙草（各四分）
姜一片，大枣二枚，水煎服。
增损八物汤 治妊娠漏胎，气血两虚，胎中有热，下元不固者。
人参 白术（土炒） 归身（酒洗） 白芍 熟地 艾叶 条芩 黄柏 知母 阿胶（蒲黄炒
成珠，去蒲黄不用） 炙草（各等分）
姜枣引，水煎食远服。兼用杜仲丸。
止漏绝神丹 治胎漏下血，安胎更妙。
白术（五钱，土炒） 熟地（一两） 三七根末（三钱）
水煎服。此方妙在三七末，乃止血神品，故用之奏效。
千金保孕丸（见本卷安胎门，附杜仲丸下。） 生化汤（见下卷生化汤论后。）
凡是妊娠期间的经血，原本是用来蓄积以滋养胎儿、蓄积以化生乳汁的。如果冲脉和任脉气虚，不能约束控制经血，导致月经每月按时来潮，这被称为“胞漏”，若血液耗尽，胎儿就会死亡。
然而，也有孕妇气血旺盛，月经照常来潮而胎儿安稳不动，俗称为“狗儿胎”。如果用治疗漏胎的方法去治它，胎儿必定会流产。如果不按漏胎治疗，胎儿未必会流产。也有脉象表现为滑数，但没有风热病症，经脉流量如常，只是比平时略少，这是因为胎儿较小而母体气血有余所致，等到怀孕三四个月以后，胎儿长大需要更多营养，经脉自然就会停止。现在常见怀孕七八个月才分娩的情况，人们只把月经停止作为足月的标准，称之为不足月，但实际上受孕是在月经停止之前，到此时才算是足月，人们其实并不了解这一点。又有身体强壮的孕妇，每个月只有点滴出血，如果没有腰酸、胎动等症状，不需要服药。这是因为气血强盛，怀孕到四五月后月经自然会停止。如果孕妇身体虚弱消瘦，腰部经常酸痛并伴有胎动，且每月有少量出血或出血不止，这不是血有余，而是胎漏，适宜服用加味补中安胎饮。又说胎漏多因血热引起，但也有气虚血少的情况，服用凉药后出血更严重、食欲减退身体疲倦的，这是脾气虚不能统摄血液，适宜用归脾汤等方剂加减治疗，应当通过脉诊来辨别。
凡是堕胎的病大多发生在怀孕第三、五、七个月，如果前一次在三个月时曾流产，后一次必然会在相同月份因为正气虚弱而再次流产，必须预先服用尊生安胎饮，或者胎元饮加减使用，或者泰山磐石散、安胎万全神应散等方剂，对症选择使用以进行预防。需要长期服用，过了七个月就可以没有忧患了。更应该戒除房事、生气恼怒、过度劳累以及油炸炙烤的食物。又有受孕一个月就流产的，人们都不觉得异常，只知道是像月经一样来潮，不知道暗中已经流产了。凡人在月经结束后，初次同房受孕后，最应该注意休养并禁欲。如果再次行房扰动子宫，胎儿或在一个月、三五月时必定流产。试想驴马怀孕，公畜靠近就会踢它，名叫护胎，所以绝无小产之患，人难道可以不谨慎吗？至于劳累、愤怒、举重物也会造成流产，清洗下身则阴窍张开也会导致流产。现在没有子女的人，大半是因为一个月就流产，并非完全不受孕。至于跌倒损伤导致胎气受损，适宜服用胶艾安胎散。怀孕三四个月前胎儿未成形，称为堕胎。到了五六月后胎儿已成形，称为半产。俗人都叫小产，总属于孕妇气血虚弱，胎元不稳固。因为气虚则提摄不固，血弱则灌溉不周，多导致小产。况且妇人肾脏系连胞宫，而腰是肾的府邸，腰痛则易流产，不可不防备。凡是治疗胎漏的，应当预先培补根本，适宜用千金保孕丸。又有止漏绝神丹，治疗胎漏非常有效。大凡孕妇突然大量流下水液的，胎儿必定流产。如果是慢慢流下水液，可以用补气安胎药治疗。有胎漏流出黄浆，或像豆汁样，伴有胎动腹痛的，这是肝脾湿热，用升阳除湿汤。《大全》治疗用黄芩一两，川芎一钱，糯米一合煎服。要知道小产与大产不同，大产如同果实成熟自然脱落，小产如同生采，破其皮壳，断其根蒂，忽略大意酿成疾病的不少，因而致死的也很多。然而此证开始是因为收敛血液以成胎，接着因为精血以长养，最终因为精血不足而萎落流产，所以瘀血很少。如果有腹痛形成块状有形之物，多属于血虚气逆，唯有先用生化汤去除瘀血、生成新血为妙，之后必须大力温补。如果只知道消瘀破滞，那么逆气越攻越上升，多导致无法挽救，切记切记。孕妇三个月后，尺脉或涩或微弱，胎儿必定不稳固，只有脉象洪盛的，胎儿才不会流产。所以《脉诀》内说：胎脉弦牢滑利则安，沉细而微则归泉路（指死亡）。正是这个意思。虽然半产都是气血不足，但有禀赋偏阴偏阳、或寒或热的差异，自然应当凭脉调治。如阴虚内热，而用艾叶、附子、白术、砂仁等温暖药剂，则阴血愈消耗，如同草木没有雨露滋润，自然枯萎。如阳虚内寒，而用黄芩、芍药等凉血药剂，则脾胃虚寒，气血也弱，如同果实春夏容易生长，秋冬结果少。总之，三个月以前宜保养脾胃，四个月以后宜壮腰肾，补血顺气，佐以清热，这是大法。
加味补中安胎饮：凡是孕妇元气壮盛，受胎后还有少量经血来潮，这是气血旺盛的缘故。如果不腰痛腿酸，不必服药。如果身体虚弱消瘦的孕妇，下血不止，或每月点滴出血，名为胎漏，多因劳累导致气血两虚，或喜好食用油炸炙烤热物过多而导致，应当谨守房事，并服用补药以保全胎儿。
人参（一钱） 白术（土炒） 当归（酒洗。各二钱） 川芎 黄芩（各八分） 紫苏 陈皮 砂仁（碎） 炙甘草（各四分）
姜一片，水煎服，药渣再煎。
归脾汤（附加味归脾汤，济生归脾汤）：治疗心脾郁结，闭经发热。并治疗脾虚不能统摄血液，导致血液妄行，以及月经不调、带下、胎漏等证。由于劳伤心脾，出现发热体倦，食少失眠，心悸惊悸等证。
人参 白术（土炒） 茯神 枣仁（炒） 龙眼肉（各二钱） 黄芪（一钱五分，炙） 当归身（酒洗） 远志肉（甘草水制。各一钱） 木香 炙甘草（各五分）
姜枣引，水煎服。加柴胡、栀子，名为加味归脾汤。柴胡换丹皮，名为济生归脾汤。
尊生安胎饮：治疗血虚有火，曾经三个月流产，适宜服用此方。并预防五月、七月流产，也治疗胎动胎漏。
当归身（酒洗） 白芍（酒炒） 熟地黄 生地黄 砂仁 阿胶（炒珠。各一钱） 杜仲（盐水炒去丝） 白术（土炒。各二钱） 条芩（一钱五分） 续断肉（八分，酒制） 川芎 陈皮 苏梗（各五分）
水煎服。见血，加炒地榆、炒薄黄各一钱。腹痛或下坠感，砂仁、白芍、熟地黄加倍分量服用。用枣肉做成丸服用也可以。
景岳胎元饮：治疗妇人冲任失守，胎元不安、不固，随证加减，或隔日、或二三日服一二剂。
人参（随宜） 当归（酒洗） 杜仲（盐水炒断丝） 白芍（酒炒。各二钱） 熟地黄（二三钱） 白术（一钱五分，土炒） 陈皮（七分，无滞者不必用） 炙甘草（一钱）
水二钟，煎至七分，饭后服用。如下元不固而多遗浊者，加炒山药、炒补骨脂、五味子之类。如气分虚甚者，倍用白术，加炙黄芪，但芪、术气浮，能阻滞胃口，倘胸膈有饱闷不快者，须慎用之。如虚而兼寒多呕吐者，加炮姜七八分或一二钱。如虚而兼热者，加酒炒黄芩一钱五分，或加生地黄二钱，去掉杜仲。如阴虚小腹作痛，加枸杞二钱。如多怒气逆者，加制香附无妨，或砂仁亦妙。如有所触而动血者，加制续断肉、炒阿胶各一二钱。如呕吐不止，加制半夏一二钱，生姜三五片。
泰山磐石散：治疗妇人气血两虚，或肥胖而不结实，或瘦而血热，或肝脾素虚，倦怠少食，屡有流产之患。此方平和，兼养脾胃气血。觉有热者，倍用黄芩，少用砂仁。觉胃弱者，多用砂仁，少加黄芩。更宜戒除性欲、恼怒，远离酒、醋、辛辣热物，可永远保证不流产。
人参 黄芪（蜜炙） 当归（酒洗） 川续断（制） 黄芩（各一钱） 白术（二钱，土炒） 川芎 白芍（酒炒） 熟地黄（各八分） 砂仁 炙甘草（各五分） 糯米（一撮）
水一钟半，煎至七分，饭后服用。只要觉得有孕，三五日常用一服，四月之后才无虞。如伤及五七月胎，即服用过七月之后才妙。徐东皋说：妇人凡怀孕二三个月，惯于堕落，名为小产。这是由于体质虚弱，气血两弱，脏腑火多，血分受热所致。医家又说安胎宜用艾叶、附子、砂仁热补，犹增加祸患而加速流产。殊不知血气清和，无火煎熬，则胎儿自然安定稳固。气虚则提不住，血热则溢妄行，想要不流产怎么可能呢？香附虽云快气开郁，多用则损正气；砂仁快脾气，多用亦耗正气。何况香燥之品，性质损伤气血，求以安胎，反而损伤胎儿而致流产。现今只有泰山磐石散、千金保孕丸二方能夺化工之妙，百发百效，万无一失，故表出以为好生君子共知也。
安胎万全神应散：治疗孕妇三月前后，或因恼怒，或因行走失足跌损伤胎，腹痛腰胀，一服即安。即使见血，一二日未离宫者，加一剂自安。倘若先前三四五月内已经半产过者，将及前月份略觉腰骨酸胀，忙服一剂即安。万全秘传，验过多人。
当归（酒洗） 白术（土炒） 条芩（酒炒。各一钱） 熟地黄（八分，姜汁再浸） 白芍（炒） 杜仲（盐水炒去丝） 阿胶（蛤粉炒成珠） 茯苓 嫩黄芪（蜜炙。各七分） 川芎（六分） 砂仁（五分，连壳碎） 炙甘草（三分）
酒水各一碗，煎至八分，空腹服用。如急痛，将铜锅煎一钟，即服立止。胸前作胀，加紫苏、陈皮各六分。白带或红多，加蒲黄、炒阿胶、炒地榆各一钱，艾叶七分。
见红，加制续断肉一钱，糯米一百粒。
凤衣散：治疗三、五、七月小产。
用头生鸡蛋抱出小鸡的蛋壳，在阴阳瓦上焙黄，研末。如前次小产在何月份，到时预先用无灰酒冲服，可免小产。
苎根汤：治疗孕妇受胎数月后胎动、漏胎及子悬证。
野苎麻根，孕一月用一寸，加金银花煎汤，服之立即安宁。
胶艾安胎散：治疗孕妇跌倒动胎，下血不止。
人参 条芩 阿胶（蛤粉炒成珠。各一钱） 白术（一钱五分，土炒） 当归（酒洗） 熟地黄（各二钱） 川芎 艾叶（各八分） 陈皮 紫苏 炙甘草（各四分）
姜一片，大枣二枚，水煎服。
增损八物汤：治疗妊娠漏胎，气血两虚，胎中有热，下元不固者。
人参 白术（土炒） 当归身（酒洗） 白芍 熟地黄 艾叶 条芩 黄柏 知母 阿胶（蒲黄炒成珠，去蒲黄不用） 炙甘草（各等分）
姜枣引，水煎饭后服用。兼用杜仲丸。
止漏绝神丹：治疗胎漏下血，安胎更妙。
白术（五钱，土炒） 熟地黄（一两） 三七根末（三钱）
水煎服。此方妙在三七末，乃止血神品，故用之奏效。
Whenever pregnancy occurs, the menstrual blood is originally retained to nourish the fetus and stored to transform into milk. If the Qi of the Chong (Penetrating Vessel) and Ren (Conception Vessel) is deficient and cannot constrain the blood, causing menstruation to occur monthly, this is named "Bao Lou" (Uterine Leakage). If the blood is exhausted, the fetus will die.
However, there are pregnant women with abundant blood whose menstruation continues normally while the fetus remains stable; this is colloquially called "Gou'er Tai" (Dog Fetus). Treating this as uterine leakage will inevitably cause miscarriage. If not treated as such, the fetus may not miscarry. There are also cases where the pulse is slippery and rapid, without wind-heat symptoms, and the menstrual flow is normal but slightly less than before; this is due to a small fetus and excess maternal blood-Qi. By the third or fourth month, when the fetus grows larger and requires more nourishment, the menstruation will naturally stop. It is common now to see women giving birth at seven or eight months; people consider the cessation of menstruation as the standard for full term, calling it premature, but conception actually occurred before menstruation stopped, making it full term by then, though people do not realize this. There are also robust pregnant women who have only spotting monthly; if there are no symptoms of lower back soreness or fetal movement, medication is unnecessary. This is because their blood-Qi is strong, and menstruation will naturally cease after the fourth or fifth month. If a pregnant woman is weak and emaciated, with frequent lower back soreness and fetal movement, accompanied by monthly spotting or continuous bleeding, this is not excess blood but "Tai Lou" (Fetal Leakage), and "Jiawei Buzhong Antai Yin" (Modified Decoction to Tonify the Middle and Calm the Fetus) should be taken. It is said that fetal leakage is mostly caused by blood-heat, but there are also cases of Qi deficiency and blood insufficiency where taking cooling herbs worsens the bleeding and leads to poor appetite and fatigue; this is Spleen Qi deficiency failing to control the blood, and "Guipi Tang" (Restore the Spleen Decoction) or similar formulas should be modified and used, determined by pulse diagnosis.
Miscarriage diseases often occur in the third, fifth, and seventh months. If a previous miscarriage occurred at three months, the next one will likely happen at the same time due to deficiency, so "Zunsheng Antai Yin" (Decoction for Preserving Life and Calming the Fetus) should be taken in advance, or "Taiyuan Yin" (Fetal Origin Decoction) modified, or formulas like "Taishan Panshi San" (Mount Tai Porphyry Powder) and "Antai Wanquan Shenyingsan" (Perfect and Divine Efficacy Powder for Calming the Fetus) chosen according to symptoms for prevention. They must be taken regularly; after the seventh month, there will be no worries. One must also abstain from sexual intercourse, anger, overwork, and fried/roasted foods. Some miscarry within one month of conception; people are unaware, thinking it is just a period, not realizing a silent miscarriage has occurred. After menstruation ends and conception happens through initial intercourse, rest and abstinence are most important. Subsequent intercourse disturbs the uterus, leading to miscarriage at one, three, or five months. Consider that donkeys and horses protect their fetuses; the male kicks away intruders, hence no miscarriage. Should humans not be cautious? Labor, anger, lifting heavy objects, and washing the lower body (opening the orifices) can also cause miscarriage. Many childless people suffer from one-month miscarriages, not because they cannot conceive. For trauma causing fetal disturbance, "Jiao'ai Antai San" (Gelatin and Mugwort Powder for Calming the Fetus) is suitable. Before three or four months, when the fetus is unformed, it is called "Duotai" (Fallen Fetus). After five or six months, when formed, it is called "Banchan" (Half-birth). Colloquially all are called "Xiaochan" (Minor Birth), generally belonging to maternal Qi and Blood deficiency and unstable fetal origin. Qi deficiency fails to hold, Blood weakness fails to irrigate, often leading to minor birth. The Kidney connects to the uterus, and the waist is the residence of the Kidney; lower back pain indicates risk of miscarriage, which must be prevented. To treat fetal leakage, one should pre-nourish the root using "Qianjin Baoyun Wan" (Thousand Gold Pregnancy Preservation Pill). "Zhilou Jueshen Dan" (Divine Medicine to Stop Leakage and Cut Off [Bleeding]) is also very effective. If a pregnant woman suddenly flows large amounts of water, the fetus will definitely miscarry. If the flow is gradual, Qi-tonifying and fetal-calming medicines can be used. Yellow discharge like bean juice with fetal movement and abdominal pain indicates Liver and Spleen Damp-Heat; "Shengyang Chushi Tang" (Raise Yang and Remove Dampness Decoction) is used. *Daquan* treats this with one tael of Huangqin (Scutellariae Radix), one qian of Chuanxiong, and one he of glutinous rice decocted. Note that minor birth differs from major birth: major birth is like a ripe fruit falling naturally; minor birth is like picking it raw, breaking the shell and cutting the root. Negligence causes many diseases and deaths. This condition starts with condensing blood to form the fetus, continues with Jing-Blood nourishing it, and ends with Jing-Blood insufficiency causing withering and miscarriage, so stasis is minimal. If there is abdominal pain forming hard masses, it belongs to Blood deficiency and Qi rebellion; first use "Shenghua Tang" (Generate the New Decoction) to remove stasis and generate new blood, followed by strong warming tonification. Knowing only to resolve stasis and break stagnation makes rebellious Qi rise further, often leading to death. Beware! After three months of pregnancy, if the Chi (Cun-Cord) pulse is choppy or weak/faint, the fetus is unstable; only a surging pulse ensures the fetus does not miscarry. Thus, *Maijue* says: "Pulse string-taut, firm, slippery, and smooth indicates safety; deep, fine, and faint leads to the spring of death." This is exactly what is meant. Although half-births are due to Qi and Blood insufficiency, constitutions vary (Yin/Yang bias, Cold/Heat), so treatment must rely on pulse differentiation. For Yin deficiency with internal heat, using warming agents like Aijie (Moxa Leaf), Fuzi (Aconite Root), Baizhu (Atractylodis Macrocephalae Rhizoma), and Sharen (Amomi Fructus) consumes Yin further, like plants lacking rain, naturally withering. For Yang deficiency with internal cold, using cooling agents like Huangqin (Scutellariae Radix) and Shaoyao (Paeoniae Radix) damages Spleen-Stomach Yang, weakening Qi and Blood, like fruits failing to set in autumn/winter. In general, before three months, nourish Spleen and Stomach; after four months, strengthen Waist and Kidneys, tonify Blood, smooth Qi, and assist with clearing Heat. This is the general principle.
**Jiawei Buzhong Antai Yin**: For pregnant women with robust Yuan Qi who still have slight bleeding after conception due to abundant blood-Qi. If no lower back pain or leg soreness, no medicine is needed. For weak/emaciated women with continuous bleeding or monthly spotting named "Tai Lou", mostly caused by labor-induced Qi/Blood deficiency or excessive intake of fried/roasted hot foods, observe sexual abstinence and take tonics to preserve the fetus.
Ren Shen (Panax Ginseng Radix et Rhizoma) (1 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (soil-fried), Danggui (Angelicae Sinensis Radix) (wine-washed, each 2 qian), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Huangqin (Scutellariae Radix) (each 8 fen), Zisu (Perillae Folium), Chenpi (Citri Reticulatae Pericarpium), Sharen (Amomi Fructus) (crushed), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (each 4 fen).
One slice of Shengjiang (Zingiberis Rhizoma Recens), decoct in water, take residue again.
**Guipi Tang** (Plus Jiawei Guipi Tang, Jisheng Guipi Tang): Treats Heart-Spleen constraint, amenorrhea with fever. Also treats Spleen deficiency failing to control blood, causing reckless bleeding, and irregular menstruation, leukorrhea, fetal leakage. Due to labor damaging Heart-Spleen, causing fever, fatigue, poor appetite, insomnia, palpitations, and fright.
Ren Shen (Panax Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma) (soil-fried), Fushen (Poria with Hostwood), Zaoren (Ziziphi Spinosomi Semen) (fried), Longyanrou (Longan Arillus) (each 2 qian), Huangqi (Astragali Membranacei Radix) (1.5 qian, roasted), Guishen (Angelicae Sinensis Radix) (wine-washed), Yuanzhi (Polygalae Radix) (processed with Licorice water, each 1 qian), Muxiang (Aucklandiae Radix), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (each 5 fen).
Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Zizyphi Fructus) as guides, decoct in water. Add Chaihu (Bupleuri Radix) and Zhizi (Gardeniae Fructus), named Jiawei Guipi Tang. Replace Chaihu with Danpi (Moutan Cortex), named Jisheng Guipi Tang.
**Zunsheng Antai Yin**: Treats Blood deficiency with Fire, recurrent miscarriage at three months. Suitable for preventing miscarriage at five and seven months, and treating fetal movement/leakage.
Guishen (Angelicae Sinensis Radix) (wine-washed), Baishao (Paeoniae Radix Alba) (wine-fried), Shudi (Rehmanniae Radix Preparata), Shengdi (Rehmanniae Radix), Sharen (Amomi Fructus), Ejiao (Asini Corii Colla) (fried pearls, each 1 qian), Duzhong (Eucommiae Cortex) (salt-water fried, fibers removed), Baizhu (Atractylodis Macrocephalae Rhizoma) (soil-fried, each 2 qian), Tiaoqin (Scutellariae Radix) (1.5 qian), Xuduan (Dipsaci Radix) (8 fen, wine-processed), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Sugeng (Perillae Caulis) (each 5 fen).
Decoct in water. If bleeding occurs, add Chao Diyü (Sanguisorbae Radix Preparata) and Chao Bohuang (Polygoni Multiflori Caulis Preparata) each 1 qian. If abdominal pain or bearing-down sensation, double the dosage of Sharen, Baishao, and Shudi. Can also be made into pills with Jujube paste.
**Jingyue Taiyuan Yin**: Treats loss of Chong/Ren control, unstable/unsecure fetal origin. Modify according to symptoms, take every other day or every two-three days.
Ren Shen (Panax Ginseng Radix et Rhizoma) (as appropriate), Danggui (Angelicae Sinensis Radix) (wine-washed), Duzhong (Eucommiae Cortex) (salt-water fried, fibers broken), Baishao (Paeoniae Radix Alba) (wine-fried, each 2 qian), Shudi (Rehmanniae Radix Preparata) (2-3 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (1.5 qian, soil-fried), Chenpi (Citri Reticulatae Pericarpium) (7 fen, omit if no stagnation), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (1 qian).
Two zhong of water, decoct to seven parts, take far from meals. If Lower Yuan insecurity with frequent turbid discharge, add Chao Shanyao (Dioscoreae Rhizoma Preparata), Chao Buguzhi (Psoraleae Fructus Preparata), Wuweizi (Schisandrae Fructus). If severe Qi deficiency, double Baizhu, add Zhi Huangqi (Astragali Membranacei Radix Preparata); but Huangqi and Baizhu are floating in nature and can block the stomach; use cautiously if chest/diaphragm feels full/uncomfortable. If deficiency with Cold and vomiting, add Paojiang (Zingiberis Rhizoma Preparatum) 7-8 fen or 1-2 qian. If deficiency with Heat, add Jiuhuangqin (Scutellariae Radix Wine-processed) 1.5 qian, or add Shengdi (Rehmanniae Radix) 2 qian, remove Duzhong. If Yin deficiency with lower abdominal pain, add Gouqi (Lycii Fructus) 2 qian. If anger/Qi rebellion, add Zhi Xiangfu (Cyperi Rhizoma Preparatum) or Sharen. If triggered movement of blood, add Zhi Xuduan (Dipsaci Radix Preparatum) and Chao Ejiao (Asini Corii Colla Preparatum) each 1-2 qian. If persistent vomiting, add Zhi Banxia (Pinelliae Rhizoma Preparatum) 1-2 qian, Shengjiang (Zingiberis Rhizoma Recens) 3-5 slices.
**Taishan Panshi San**: Treats female Qi and Blood dual deficiency, obesity without solidity, thinness with Blood Heat, or inherent Liver/Spleen deficiency with fatigue and poor appetite, prone to miscarriage. This formula is mild, nourishing Spleen/Stomach Qi and Blood. If feeling heat, double Huangqin, use less Sharen. If feeling weak stomach, use more Sharen, less Huangqin. Abstain from desire, anger, alcohol, vinegar, spicy/hot foods to ensure no miscarriage.
Ren Shen (Panax Ginseng Radix et Rhizoma), Huangqi (Astragali Membranacei Radix) (honey-roasted), Danggui (Angelicae Sinensis Radix) (wine-washed), Chuanxuduan (Dipsaci Radix) (processed), Huangqin (Scutellariae Radix) (each 1 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (2 qian, soil-fried), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba) (wine-fried), Shudi (Rehmanniae Radix Preparata) (each 8 fen), Sharen (Amomi Fructus), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (each 5 fen), Nuomici (Oryza Glutinosa Semen) (a pinch).
One and a half zhong of water, decoct to seven parts, take far from meals. Once pregnancy is suspected, take one dose every three-five days; after four months, safety is assured. If injury to five-seven month fetus, take after passing seven months for best effect. Xu Donggao said: Miscarriage in two-three months is called Xiaochan. Caused by weak constitution, dual Qi/Blood deficiency, excess organ fire, and Heat in Blood branch. Doctors say calming fetus requires warming agents like Aijie, Fuzi, Sharen, which increases disaster and accelerates miscarriage. Unknowingly, clear and harmonious Qi/Blood without Fire frying ensures fetal stability. Qi deficiency cannot hold, Blood Heat causes reckless overflow; how can miscarriage be avoided? Xiangfu moves Qi and opens depression, but overuse damages Righteous Qi; Sharen moves Spleen Qi, but overuse consumes Righteous Qi. Moreover, aromatic-dry substances damage Qi/Blood; seeking to calm fetus, they instead damage it and cause miscarriage. Only Taishan Panshi San and Qianjin Baoyun Wan possess the wonder of creation, 100% effective, foolproof, thus presented for benevolent gentlemen to know.
**Antai Wanquan Shenyingsan**: Treats pregnancy around three months, or miscarriage due to anger or falls, with abdominal pain and waist distension; one dose brings peace. Even if bleeding occurs, if fetus hasn't left uterus in one-two days, adding one dose brings peace. If previously had half-birth in three-four-five months, and near that month feels slight waist bone soreness/distension, take one dose immediately for peace. Secret transmission, verified on many.
Danggui (Angelicae Sinensis Radix) (wine-washed), Baizhu (Atractylodis Macrocephalae Rhizoma) (soil-fried), Tiaoqin (Scutellariae Radix) (wine-fried, each 1 qian), Shudi (Rehmanniae Radix Preparata) (8 fen, soaked in Ginger juice again), Baishao (Paeoniae Radix Alba) (fried), Duzhong (Eucommiae Cortex) (salt-water fried, fibers removed), Ejiao (Asini Corii Colla) (fried with Clam powder into pearls), Fuling (Poria), Nenu Huangqi (Astragali Membranacei Radix) (honey-roasted, each 7 fen), Chuanxiong (Ligusticum Chuanxiong Rhizoma) (6 fen), Sharen (Amomi Fructus) (5 fen, crushed with shell), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (3 fen).
One bowl of Water and one bowl of Wine, decoct to eight parts, take on empty stomach. If urgent pain, decoct in copper pot to one zhong, take immediately to stop. If chest distension, add Zisu (Perillae Folium) and Chenpi (Citri Reticulatae Pericarpium) each 6 fen. If leukorrhea or excessive red discharge, add Puhuang (Typhae Pollen), Chao Ejiao (Asini Corii Colla Preparatum), Chao Diyü (Sanguisorbae Radix Preparata) each 1 qian, Aiye (Artemisiae Argyi Folium) 7 fen.
If red discharge appears, add Zhi Xuduan (Dipsaci Radix Preparatum) 1 qian, Nuomici (Oryza Glutinosa Semen) 100 grains.
**Fengyi San**: Treats minor birth in third, fifth, seventh months.
Use eggshell of first-born chicken embryo, roast yellow on Yin-Yang tile, grind to powder. If previous minor birth was in a specific month, take in advance with non-alcoholic wine at that time to prevent minor birth.
**Zhugen Tang**: Treats fetal movement, leakage, and Zixuan (Fetal Suspension) after several months of pregnancy.
Ye Zhuma Gen (Boehmeriae Caudatae Radix), 1 cun for first month of pregnancy, add Jinyinhua (Lonicerae Japonicae Flos), decoct in water, take for immediate peace.
**Jiaoai Antai San**: Treats pregnant women traumatized by falls disturbing fetus, continuous bleeding.
Ren Shen (Panax Ginseng Radix et Rhizoma), Tiaoqin (Scutellariae Radix), Ejiao (Asini Corii Colla) (fried with Clam powder into pearls, each 1 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (1.5 qian, soil-fried), Danggui (Angelicae Sinensis Radix) (wine-washed), Shudi (Rehmanniae Radix Preparata) (each 2 qian), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Aiye (Artemisiae Argyi Folium) (each 8 fen), Chenpi (Citri Reticulatae Pericarpium), Zisu (Perillae Folium), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (each 4 fen).
One slice of Shengjiang (Zingiberis Rhizoma Recens), two Dazao (Zizyphi Fructus), decoct in water.
**Zengsun Bawu Tang**: Treats pregnancy leakage, dual Qi/Blood deficiency, Heat in fetus, Lower Yuan insecurity.
Ren Shen (Panax Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma) (soil-fried), Guishen (Angelicae Sinensis Radix) (wine-washed), Baishao (Paeoniae Radix Alba), Shudi (Rehmanniae Radix Preparata), Aiye (Artemisiae Argyi Folium), Tiaoqin (Scutellariae Radix), Huangbai (Phellodendri Cortex), Zhimu (Anemarrhenae Rhizoma), Ejiao (Asini Corii Colla) (fried with Puhuang into pearls, discard Puhuang), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (equal parts).
Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Zizyphi Fructus) as guides, decoct in water, take far from meals. Use Duzhong Wan concurrently.
**Zhilou Jueshen Dan**: Treats fetal leakage bleeding, excellent for calming fetus.
Baizhu (Atractylodis Macrocephalae Rhizoma) (5 qian, soil-fried), Shudi (Rehmanniae Radix Preparata) (1 liang), Sanqi Gen Mo (Notoginseng Radix et Rhizoma Powder) (3 qian).
Decoct in water. The miracle lies in Sanqi powder, a divine hemostatic agent, hence effective.
**Qianjin Baoyun Wan** (See this volume, Calming Fetus Section, attached under Duzhong Wan.) **Shenghua Tang** (See next volume, Shenghua Tang Discussion.)