凡孕至四五月，患吐血、衄血，及损伤血，蓦然口噤项强，手足难动履，背如角弓，症
类中
风，切不可认为真中风而降火化痰方治。宜服安胎饮，以补血为主，以风痰之药佐之，无失
。
补血安胎理风汤
川芎（二钱） 天麻（二钱） 黄芩（二钱） 羌活（五分） 防风（五分） 荆芥（五分） 白芍
（三分） 当归（三分） 人参（三分） 紫苏（四分） 甘草（四分）
附∶应验方案
有乐埠沈禹门室，妊六月，因禹病拜斗斋劳，割股失血，蓦然口噤项强及角弓。予用安
胎饮
加化痰治，稍安。又遇范东蓠极诋予补中风痰误，彼以豁痰降火方，病患服如刺心，弃渣。
予复用前方倍参二十帖，母安产儿。
一上虞赵方桥室，妊至五月，患衄血去两升，头晕、口噤、手掉。以安胎饮倍参、当，
加川芎、天麻、犀角、生地而愈。
书此以见妊妇杂症必须安胎补血为主也。
妊妇患虚损潮热，骨蒸少力，或崩漏，或少食，皆致孕妇气血不足胎。若月久不能鼓动
，或
胎不安上攻，或跌扑损胎不动，疑胎死活难辨；或患热病损胎；或因误食动胎药及食苋菜，
虽血行胎逼，切不可用落胎之方，妄议去胎救母也。必须补母之气血，力健则胎自然渐动
，即其胎死，助血自落，可保两全而无虞也。若攻弱母之胎，胎落而母继殒者多矣。慎之。
妊妇患伤寒，或患疫病，热久皆堕胎，堕后未免增热。因热消阴血，又继产血脱故也。
治者
慎勿妄论伤寒、疫症未除，误投栀子豉汤、芩、柏等药；或往来寒热，柴胡不可用也；或潮
热，大小便秘，承气、五苓等方不可投也。宜频服生化汤，时进两帖，不拘帖数，服至热退
停药。如虚脱，形色脱，汗多或渴，二帖后即加生脉散，人参、麦冬以防晕厥危症。且生化
汤有川芎性辛散邪，干姜助血药能除阴火大热。其结便秘灼热，多服生化汤，自然津液之累
生，二便通利矣。若热用寒剂，反愈虚中气，且血得寒则滞，变症百出，误之甚也。
凡是怀孕到四、五个月时，出现吐血、鼻出血，以及因外伤导致的失血，突然发生牙关紧闭、颈项强直，手足难以活动，背部像角弓一样反张，症状类似中风的病证，切不可误认为是真正的中风而使用降火化痰的方剂进行治疗。适宜服用安胎饮，以补血为主要治法，辅以祛风化痰的药物，就不会有误治。
补血安胎理风汤
川芎（二钱） 天麻（二钱） 黄芩（二钱） 羌活（五分） 防风（五分） 荆芥（五分） 白芍（三分） 当归（三分） 人参（三分） 紫苏（四分） 甘草（四分）
附：应验案例
有一位乐埠沈禹门的妻子，怀孕六个月，因为丈夫生病，她拜斗斋戒劳累，又割股疗亲导致失血，突然发生牙关紧闭、颈项强直及角弓反张。我使用安胎饮加入化痰药物，病情稍安。后来又遇到范东篱极力指责我治疗中风痰证用补药是错误的，他用豁痰降火的方剂，病人服用后感觉如针刺心，于是吐出药渣。我再次使用前方，将人参用量加倍，连服二十帖，母子平安。
另一位上虞赵方桥的妻子，怀孕到五个月，患鼻出血流失了两升血，出现头晕、牙关紧闭、手部颤抖的症状。我用安胎饮加倍人参、当归，加入川芎、天麻、犀角、生地黄而治愈。
记录这些案例是为了说明孕妇的各种杂症必须以安胎补血为主要原则。
孕妇患有虚损引起的潮热、骨蒸（阴虚发热）、乏力，或者崩漏（非经期大量出血）、食欲不振，都会导致孕妇气血不足，进而影响胎儿。如果时间久了不能鼓动胎儿，或者胎气不安向上冲逆，或者跌打损伤导致胎动停止，怀疑胎儿死活难以辨别；或者患热病损伤胎儿；或者因误食动胎药物及食用苋菜，虽然血液运行加速逼迫胎儿，但切不可使用落胎的方剂，妄议通过去除胎儿来拯救母亲。必须补充母亲的气血，体力强健则胎儿自然会逐渐活动，即使胎儿已死，助血也能使其自然排出，可以保全母子两全而无危险。如果攻伐虚弱母亲的胎儿，往往导致胎儿落下而母亲随后死亡的情况很多。务必谨慎。
孕妇患伤寒，或患疫病，发热日久都会导致堕胎，堕胎后难免增加热象。这是因为热邪消耗阴血，接着又因产后血脱的缘故。
治疗者千万不要妄论伤寒、疫症未除，而误投栀子豉汤、黄芩、黄柏等药物；或者有往来寒热的症状，也不可使用柴胡；或者有潮热，大小便便秘，也不可使用承气汤、五苓散等方剂。适宜频繁服用生化汤，每次进服两帖，不拘泥于帖数，直到热退停药。如果出现虚脱，形色脱失，汗多或口渴，在两帖之后加上生脉散，用人参、麦冬以防晕厥等危重病症。而且生化汤中有川芎，其性辛散以驱邪，干姜辅助血药能清除阴火大热。对于结滞便秘灼热的情况，多服生化汤，自然津液积累而生，二便就会通利了。如果用寒凉药物治疗热证，反而更加损伤中焦之气，且血液遇寒则会凝滞，变症百出，这是很大的错误。
Whenever a pregnancy reaches four or five months, and the patient suffers from hematemesis (vomiting blood), epistaxis (nosebleed), or hemorrhage due to trauma, suddenly presenting with trismus (lockjaw), nuchal rigidity (stiff neck), difficulty in moving limbs, and opisthotonos (arching of the back like a bow), symptoms resembling Zhong Feng (Wind Stroke), one must not mistakenly treat it as true Wind Stroke using formulas that clear fire and resolve phlegm. It is appropriate to administer An Tai Yin (Fetus-Calming Decoction), focusing primarily on nourishing blood, assisted by herbs that dispel wind and resolve phlegm, thereby avoiding mismanagement.
Bu Xue An Tai Li Feng Tang (Blood-Nourishing Fetus-Calming Wind-Regulating Decoction)
Chuanxiong Rhizome (Chuanxiong, 2 qian) Gastrodia Tuber (Tianma, 2 qian) Scutellaria Root (Huangqin, 2 qian) Notopterygium Rhizome (Qianghuo, 5 fen) Saposhnikovia Root (Fangfeng, 5 fen) Schizonepeta Spike (Jingjie, 5 fen) White Peony Root (Baishao, 3 fen) Angelica Sinensis Root (Danggui, 3 ginseng Radix et Rhizoma (Renshen, 3 fen) Perilla Leaf (Zisu, 4 fen) Licorice Root (Gancao, 4 fen)
Appendix: Verified Cases
The wife of Shen Yumen from Lebu was six months pregnant. Due to her husband's illness, she engaged in devout fasting and bowing rituals, and also suffered hemorrhage from cutting flesh for healing. She suddenly presented with trismus, nuchal rigidity, and opisthotonos. I used An Tai Yin (Fetus-Calming Decoction) added with phlegm-resolving agents, and her condition stabilized slightly. Later, Fan Dongli strongly criticized my use of tonics for Wind Stroke with phlegm as erroneous. He prescribed a formula to scatter phlegm and clear fire; the patient felt as if stabbed in the heart after taking it and vomited the dregs. I then re-administered the previous formula, doubling the dosage of Renshen (Ginseng), and after twenty doses, both mother and child were safe.
Another case involved the wife of Zhao Fangqiao from Shangyu, who at five months of pregnancy suffered epistaxis losing two sheng of blood, presenting with dizziness, trismus, and hand tremors. I treated her with An Tai Yin (Fetus-Calming Decoction), doubling the dosage of Renshen (Ginseng) and Danggui (Angelica Sinensis Root), and adding Chuanxiong Rhizome (Chuanxiong), Gastrodia Tuber (Tianma), Rhinoceros Horn (Xijiao - *note: modern substitutes often used*), and Rehmannia Root (Shengdi), resulting in recovery.
These records are provided to demonstrate that miscellaneous diseases in pregnant women must be treated primarily by calming the fetus and nourishing blood.
If a pregnant woman suffers from deficiency-induced tidal fever, bone-steaming sensation (bone-deep heat), weakness, metrorrhagia (Beng Lou), or poor appetite, these conditions lead to insufficient Qi and Blood in the mother, affecting the fetus. If prolonged without stimulating movement, or if fetal unrest attacks upward, or if trauma causes the fetus to cease moving, making it difficult to distinguish between a living and dead fetus; or if a febrile disease damages the fetus; or if accidental ingestion of abortifacient drugs or amaranth causes blood circulation acceleration forcing the fetus out, one must absolutely not use formulas intended to expel the fetus or recklessly discuss removing the fetus to save the mother. One must replenish the mother's Qi and Blood. Once physical strength is restored, the fetus will naturally begin to move. Even if the fetus has died, nourishing blood will facilitate its natural expulsion, ensuring safety for both. However, attacking the fetus in a weakened mother often results in the loss of the fetus followed by the death of the mother. Caution is essential.
If a pregnant woman contracts Shang Han (Cold Damage) or Yi Bing (Epidemic Disease), prolonged fever can cause miscarriage. Post-miscarriage, fever may increase because the heat consumes Yin Blood, followed by blood loss from delivery.
Practitioners must not rashly argue that Shang Han or epidemic pathogens remain and mistakenly prescribe Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction), Huangqin (Scutellaria Root), or Huangbai (Phellodendron Bark). If there are alternating chills and fever, Chai Hu (Bupleurum Root) should not be used. If there is tidal fever with constipation of stool and urine, Cheng Qi Tang (Order the Qi Decoction) or Wu Ling San (Five Ingredient Powder with Poria) should not be administered. It is suitable to frequently consume Sheng Hua Tang (Generate the New Decoction), taking two doses at a time, without limiting the number of doses, until the fever subsides and medication stops. If signs of collapse appear, such as pallor, excessive sweating, or thirst, add Sheng Mai San (Generate the Pulse Powder) after two doses, using Renshen (Ginseng) and Maidong (Ophiopogon Tuber) to prevent syncope and critical conditions. Furthermore, Sheng Hua Tang contains Chuanxiong Rhizome (Chuanxiong), whose pungent nature disperses pathogens, and Ganjiang (Dried Ginger), which assists blood-invigorating herbs to clear severe Yin-fire heat. For cases of constipation and burning heat, frequent consumption of Sheng Hua Tang naturally generates fluids through accumulation, leading to free passage of bowel and bladder movements. Using cold-natured medicines for heat syndromes further damages Middle Jiao Qi, and since blood stagnates when exposed to cold, myriad complications arise, which is a grave error.