妊娠数堕胎者，是气血不足。腰痛甚者，恐堕胎。宜用加减安胎饮。
加减安胎饮
黄 甘草 人参 白术 艾叶 当归 川芎 熟地 续断 茯苓 白芍 香附 陈皮 杜仲
上 作剂，空心，水煎服。
【附方】
四物汤（见“妊娠恶阻”）
异功散
人参 白术 茯苓 炙甘草 陈皮
妊娠羸瘦，或挟病，气血枯竭，既不能养，胎必不能安者，可下之。以用加减牛膝汤。
加减牛膝汤
桂心 栝蒌 牛膝 瞿麦 川芎 归梢 枳壳 甘草 童便 麦芽
上 作剂，水煎，空心服。
妊娠日月未足而痛如欲产者，因劳役怒气，调养不节，或房室所伤，或负重闪肭，或因宿有冷气，故有此症。可用
加减安胎饮。
加减安胎饮
知母 杜仲 木香 续断 香附 陈皮 乌药 紫苏 白芍 川芎 当归 白术 酒芩
见血加地榆、牡蛎、艾叶。
【附方】
当归散（《金匮要略》方）
当归 黄芩 芍药 川芎 白术
妊娠咳嗽，因感风寒，伤于肺而成，谓之子嗽。可服加减紫菀汤止咳安胎。
加减紫菀汤
贝母 前胡 紫菀 白术 白皮 甘草 黄芩 紫苏 陈皮 知母 杏仁 五味子 赤茯苓 当归 麻黄
喘加兜铃、腹皮、款冬花。
【附方】
陈自明紫菀汤
紫菀 天冬 桔梗 炙甘草 杏仁 桑白皮 淡竹茹 蜂蜜
王海藏紫菀汤
紫菀 阿胶 知母 贝母 桔梗 人参 茯苓 甘草 五味子
三拗汤
麻黄 杏仁 甘草
If a woman experiences recurrent miscarriages during pregnancy, it is due to deficiency of Qi and Blood. Severe lower back pain suggests the risk of miscarriage. It is appropriate to use Jiajian Antai Yin (Modified Fetus-Securing Decoction).
Jiajian Antai Yin (Modified Fetus-Securing Decoction)
Huangqin (Scutellariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Renshen (Panacis Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Aiye (Artemisiae Argyi Folium), Danggui (Angelicae Sinensis Radix), Chuanxiong (Chuanxiong Rhizoma), Shudi (Rehmanniae Radix Praeparata), Xuduan (Dipsaci Radix), Fuling (Poria), Baishao (Paeoniae Radix Alba), Xiangfu (Cyperi Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Duzhong (Eucommiae Cortex).
Take the above herbs as one dose, decoct in water, and take on an empty stomach.
[Supplementary Formulas]
Siwu Tang (Four Substance Decoction) (See "Morning Sickness in Pregnancy")
Yigong San (Extraordinary Efficacy Powder)
Renshen (Panacis Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma), Chenpi (Citri Reticulatae Pericarpium).
If a pregnant woman is emaciated or suffers from concurrent diseases, leading to exhaustion of Qi and Blood, which fails to nourish the fetus, causing the fetus to be insecure, purgative methods may be employed. Use Jiajian Niuxi Tang (Modified Achyranthes Root Decoction).
Jiajian Niuxi Tang (Modified Achyranthes Root Decoction)
Guixin (Cinnamomi Cortex), Gualou (Trichosanthis Fructus), Niuxi (Achyranthis Bidentatae Radix), Qumai (Dianthi Herba), Chuanxiong (Chuanxiong Rhizoma), Guishao (Cauda Angelicae Sinensis Radix), Zhiqiao (Aurantii Fructus Immaturus), Gancao (Glycyrrhizae Radix et Rhizoma), Tongbian (Child's Urine), Maiya (Hordei Fructus Germinatus).
Take the above herbs as one dose, decoct in water, and take on an empty stomach.
If labor pains resembling parturition occur before the full term of pregnancy, it is caused by overexertion, anger, improper regimen, sexual indiscretion, strain from carrying heavy loads, or pre-existing cold qi in the body. In such cases, Jiajian Antai Yin (Modified Fetus-Securing Decoction) can be used.
Jiajian Antai Yin (Modified Fetus-Securing Decoction)
Zhimu (Anemarrhenae Rhizoma), Duzhong (Eucommiae Cortex), Muxiang (Aucklandiae Radix), Xuduan (Dipsaci Radix), Xiangfu (Cyperi Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Wuyao (Linderae Radix), Zisu (Perillae Folium), Baishao (Paeoniae Radix Alba), Chuanxiong (Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Jiuqin (Scutellariae Radix prepared with wine).
If bleeding occurs, add Diyü (Sanguisorbae Radix), Muli (Ostreae Concha), and Aiye (Artemisiae Argyi Folium).
[Supplementary Formula]
Danggui San (Angelica Powder) (Formula from *Jingui Yaolue*)
Danggui (Angelicae Sinensis Radix), Huangqin (Scutellariae Radix), Shaoyao (Paeoniae Radix), Chuanxiong (Chuanxiong Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma).
Pregnancy cough, caused by contracting wind-cold and injuring the Lung, is referred to as "Zisu" (Fetal Cough). One may take Jiajian Ziwan Tang (Modified Aster Decoction) to stop coughing and secure the fetus.
Jiajian Ziwan Tang (Modified Aster Decoction)
Beimu (Fritillariae Bulbus), Qianhu (Peucedani Radix), Ziwan (Asteris Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Baipi (Morus Cortex / Sangbaipi - Note: Text says 'Baipi', context implies Mulberry Bark/Sangbaipi for lung heat), Gancao (Glycyrrhizae Radix et Rhizoma), Huangqin (Scutellariae Radix), Zisu (Perillae Folium), Chenpi (Citri Reticulatae Pericarpium), Zhimu (Anemarrhenae Rhizoma), Xingren (Armeniacae Semen Amarum), Wuweizi (Schisandrae Fructus), Chi Fuling (Red Poria), Danggui (Angelicae Sinensis Radix), Mahuang (Ephedrae Herba).
If wheezing worsens, add Dailing (Loquat Leaf), Fupi (Arecae Pericarpium), and Kuandonghua (Farfarae Flos).
[Supplementary Formulas]
Chen Ziming's Ziwan Tang (Chen Ziming's Aster Decoction)
Ziwan (Asteris Radix et Rhizoma), Tiandong (Asparagi Radix), Jiegeng (Platycodonis Radix), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma), Xingren (Armeniacae Semen Amarum), Sangbaipi (Mori Cortex), Danzhuru (Bambusae Folium Desiccatum), Fengmi (Mel).
Wang Haicang's Ziwan Tang (Wang Haicang's Aster Decoction)
Ziwan (Asteris Radix et Rhizoma), Ejiao (Colla Corii Asini), Zhimu (Anemarrhenae Rhizoma), Beimu (Fritillariae Bulbus), Jiegeng (Platycodonis Radix), Renshen (Panacis Ginseng Radix), Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma), Wuweizi (Schisandrae Fructus).
San'ao Tang (Three Unblocking Decoction)
Mahuang (Ephedrae Herba), Xingren (Armeniacae Semen Amarum), Gancao (Glycyrrhizae Radix et Rhizoma).