论曰妊娠经血暴下，少腹或痛者，由冷热之气。内击于胞络，或举重烦劳，暴伤冲任之
经，其血忽下，随其经养而补之。所下不已。腰腹痛者，其胎多堕。
治妊娠猝下血，胎动腹痛，保血安胎。胶艾汤方
阿胶（炙令燥） 芎 甘草（炙各二两） 艾叶（炒） 当归（切焙各三两） 芍药 生
干地黄（焙各四两）
上七味，捣罗为粗散，每服五钱匕。水一盏半，煎至一盏，去滓稍热服。
治妊娠猝下血不止，胎上逼心，手足逆冷欲死。艾叶汤方
生艾叶（捣绞取汁一盏） 阿胶（炙令燥半两） 蜜（一合）
上三味，取艾叶汁一盏，入阿胶及蜜一合，煎取一盏，去滓分为二服，温温服之。
治妊娠猝下血，令胎不安，脐腹撮痛。蒲黄散方
蒲黄（微炒） 当归（焙令香锉） 龙骨 阿胶（炙令燥） 生干地黄（焙各半两） 牛
角（
上七味，捣罗为散，研匀细，每服二钱匕，用煎艾煮米饮调下。食前服之。
治妊娠猝然下血，令胎不安，小腹疼痛。杜仲汤方
杜仲（去粗皮锉炒二两） 人参（一两） 阿胶（炙令燥一两） 芎 （一两） 当归
（微炙二
上六味，粗捣筛，每服三钱匕，酒一盏，入枣三枚擘。同煎至七分，去滓温服。相次三
服。腹中当暖，即血止。
治妊娠八九个月，或胎动不安，因用力劳乏，心腹痛，猝然下血，面目清，冷汗出。气
息欲绝。钩藤汤方
钩藤 茯神（去木） 人参 当归（微炙各一两） 桔梗（二两炒） 桑上寄生（一两）
上六味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服。
治妊娠惊胎劳伤，心腹急痛，猝下血。胎动不安。桔梗汤方
桔梗（一两炒） 茯神（去木一两） 人参（半两） 当归（炙锉半两） 钩藤皮（一
分） 桂（去粗皮半两） 独活（去芦头半两） 芍药（锉炒半两） 生干地黄（焙一两） 桑
上寄生（微炒锉半
上一十二味，粗捣筛，每服三钱匕，水一盏，煎至七分。去滓空心温服，日三。
治妊娠八九月。或临月，因用力劳乏，便即胎动，忽然下血。心腹急痛，面目青黑。冷
汗出，气息欲绝。茯神汤方
茯神（去木一两） 熟干地黄（焙一两） 甘草（炙半两） 钩藤（一两） 桔梗（炒）
人参
上八味，捣为粗散，每服三钱匕，以水一盏，煎至七分，去滓温服。
治妊娠猝下血不止。腹痛手足寒热，腰背酸疼。半夏汤方
半夏（汤洗七遍二两） 麦门冬（去心焙二两） 甘草（炙锉） 当归（微炙） 黄
（锉各一
两）
上九味，粗捣筛，每服三钱匕，水一盏，入葱白二寸，生姜半分切，同煎至七分。去滓
空心温服。
治妊娠胎动不安，忽然下血，寒热往来。腹痛如欲产，手足烦闷。麦门冬汤方
麦门冬（去心焙二两） 甘草（炙锉） 人参 生干地黄（焙） 黄芩（去黑心） 阿
胶（炙令
上六味，捣为粗散，每服三钱匕，水酒各半盏，入生姜半分切。枣三枚擘。同煎至七分
，去滓食前温服。
治妊娠猝下血。致胎不安，少腹疼痛。人参汤方
人参 当归（切微炒） 阿胶（炙令燥各二两） 甘草（炙令赤） 芎 黄芩（去黑
心） 艾
上九味，粗捣筛。每服三钱匕，水一盏，入生姜一枣大切，同煎至七分，去滓空心温服
，日三。
治妊娠猝下血，胎动不安，或连腰 痛。甘草汤方
甘草（炙令赤） 阿胶（炙令燥各一两） 生干地黄（焙半两）
上三味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服。
治妊娠卒下血，胎不安，少腹痛连腰，人参汤方
人参 阿胶（炙令燥） 芎 （各一两） 当归（微炙切） 杜仲（去粗皮锉炒各二两）
上五味。粗捣筛，每服三钱匕，以水酒共一盏，煎至七分，去滓食前温服。
治妊娠已数月。猝然下血不定。芎 汤方
芎 当归（焙各二两） 艾叶（焙一两） 甘草（炙半两） 阿胶（炙令燥一两）
上五味，粗捣筛，每服三钱匕，以水一盏，煎至七分，去滓温服。
治妊娠猝下血不止。方
艾叶如鸡子大，以酒三升，煮取二升，去滓分为两服，不拘时温服。
治妊娠无故猝下血不绝。方
阿胶（二两）
上一味，以酒一升半。煮胶令消。分三服，连并服之。
治妊娠猝下血不止，四肢厥冷，闷绝欲死。方
青竹茹（拳大二枚） 艾叶 阿胶（炙令燥各二两） 白蜜（二合）
上四味，以水六升。煮三味，取二升，去滓纳蜜。又煎一沸。分二服，立瘥。
治妊娠猝下血不止，腰腹疼痛。地黄艾叶汤方
熟干地黄（焙） 艾叶（炒各二两） 人参 地榆 干姜（炮裂） 阿胶（炒燥） 当
归（切焙
上七味，粗捣筛，每服五钱匕，水一盏半。煎至八分，去滓温服。不拘时。
治妊娠卒下血，腰腹疼痛。当归散方
当归（切焙） 桑寄生 续断（各半两） 赤芍药（一分）
上四味，捣罗为散，每服三钱匕，空心食前、温酒调下。有冷加干姜一两。腹痛加芎
一两。
Discussion states: When a pregnant woman experiences sudden profuse vaginal bleeding, accompanied by occasional lower abdominal pain, it is caused by cold and heat pathogens striking the uterine collaterals internally, or by heavy lifting and excessive labor that suddenly injures the Chong and Ren meridians. Consequently, blood flows down unexpectedly. Treatment should involve tonifying according to the nourishment of the affected meridians. If the bleeding persists and is accompanied by lumbar and abdominal pain, the fetus will likely be miscarried.
To treat sudden vaginal bleeding during pregnancy, fetal movement with abdominal pain, aiming to preserve blood and calm the fetus: Jiao Ai Tang (Cinnamon Twig and Melted Gelatin Decoction).
Ingredients: Ejiao (Donkey-hide gelatin) (roasted until dry) 2 liang, Xiong (Ligusticum chuanxiong Rhizome) 2 liang, Gancao (Licorice Root) (roasted) 2 liang, Aiye (Artemisia argyi Folium) (stir-fried), Danggui (Angelica sinensis Radix) (sliced and dried) 3 liang, Shaoyao (Paeonia lactiflora Radix) 4 liang, Sheng Di Huang (Rehmannia glutinosa Radix) (dried) 4 liang.
The above seven herbs are crushed and sifted into a coarse powder. Each dose consists of 5 qianbi (approx. 10-15g depending on era/measure). Add 1.5 sheng of water, decoct until reduced to 1 sheng, strain, and take slightly warm.
To treat persistent sudden vaginal bleeding during pregnancy, where fetal qi rushes upward pressing on the heart, causing cold extremities and near-death state: Ai Ye Tang (Mugwort Leaf Decoction).
Ingredients: Sheng Ai Ye (Fresh Artemisia argyi Folium) (crushed and juiced to obtain 1 sheng), Ejiao (Donkey-hide gelatin) (roasted until dry) 0.5 liang, Mi (Honey) 1 he.
Take 1 sheng of fresh mugwort juice, add Ejiao and 1 he of honey, decoct until reduced to 1 sheng, strain, and divide into two doses for warm consumption.
To treat sudden vaginal bleeding during pregnancy causing fetal unrest and cramping pain in the umbilical and abdominal region: Pu Huang San (Cattail Pollen Powder).
Ingredients: Pu Huang (Typhae Pollen) (lightly stir-fried), Danggui (Angelica sinensis Radix) (dried until fragrant and sliced), Longgu (Fossilized Mammoth Bones), Ejiao (Donkey-hide gelatin) (roasted until dry), Sheng Di Huang (Rehmannia glutinosa Radix) (dried), Niujiao (Bovis Cornu) (each 0.5 liang).
The above seven herbs are crushed, sifted into a powder, and ground finely. Each dose is 2 qianbi, taken mixed with rice drink prepared from boiled mugwort. Take before meals.
To treat sudden vaginal bleeding during pregnancy causing fetal unrest and lower abdominal pain: Du Zhong Tang (Eucommia Bark Decoction).
Ingredients: Du Zhong (Eucommia Ulmoides Cortex) (deprived of rough bark, sliced and stir-fried) 2 liang, Renshen (Ginseng Radix et Rhizoma) 1 liang, Ejiao (Donkey-hide gelatin) (roasted until dry) 1 liang, Xiong (Ligusticum chuanxiong Rhizome) 1 liang, Danggui (Angelica sinensis Radix) (lightly roasted).
The above six herbs are coarsely crushed and sifted. Each dose is 3 qianbi, taken with 1 sheng of wine and three cracked red dates. Decoct together until reduced to 70%, strain, and take warm. Repeat three times. The abdomen should feel warm, and bleeding will stop.
To treat pregnancy at eight or nine months, or fetal unrest due to exertion and fatigue, causing heart and abdominal pain, sudden vaginal bleeding, blue-black complexion, cold sweat, and breathlessness approaching death: Gou Teng Tang (Uncaria Decoction).
Ingredients: Gouteng (Uncaria rhynchophylla Caulis cum Uncis), Fushen (Poria with Hostwood) (woody part removed), Renshen (Ginseng Radix et Rhizoma), Danggui (Angelica sinensis Radix) (lightly roasted) each 1 liang, Jiegeng (Platycodon Grandiflorus Radix) (stir-fried) 2 liang, Sangshang Jisheng (Taxillus Chinensis Herba growing on mulberry) 1 liang.
The above six herbs are coarsely crushed and sifted. Each dose is 3 qianbi, taken with 1 sheng of water, decocted until reduced to 70%, strained, and taken warm.
To treat pregnancy complicated by fright damaging the fetus, causing urgent heart and abdominal pain, sudden vaginal bleeding, and fetal unrest: Jie Geng Tang (Platycodon Decoction).
Ingredients: Jiegeng (Platycodon Grandiflorus Radix) (stir-fried) 1 liang, Fushen (Poria with Hostwood) (woody part removed) 1 liang, Renshen (Ginseng Radix et Rhizoma) 0.5 liang, Danggui (Angelica sinensis Radix) (roasted and sliced) 0.5 liang, Goutengpi (Uncaria rhynchophylla Caulis cum Uncis Cortex) 1 fen, Gui (Cinnamomum cassia Ramulus) (bark removed) 0.5 liang, Duhuo (Angelica pubescens Radix) (rhizome removed) 0.5 liang, Shaoyao (Paeonia lactiflora Radix) (sliced and stir-fried) 0.5 liang, Sheng Di Huang (Rehmannia glutinosa Radix) (dried) 1 liang, Sangshang Jisheng (Taxillus Chinensis Herba growing on mulberry) (lightly stir-fried and sliced) 0.5 liang.
The above twelve herbs are coarsely crushed and sifted. Each dose is 3 qianbi, taken with 1 sheng of water, decocted until reduced to 70%. Strain and take warm on an empty stomach, three times daily.
To treat pregnancy at eight or nine months, or near term, where exertion causes immediate fetal unrest and sudden vaginal bleeding. Accompanied by urgent heart and abdominal pain, blue-black complexion, cold sweat, and breathlessness approaching death: Fu Shen Tang (Poria Decoction).
Ingredients: Fushen (Poria with Hostwood) (woody part removed) 1 liang, Shu Di Huang (Prepared Rehmannia glutinosa Radix) (dried) 1 liang, Gancao (Licorice Root) (roasted) 0.5 liang, Gouteng (Uncaria rhynchophylla Caulis cum Uncis) 1 liang, Jiegeng (Platycodon Grandiflorus Radix) (stir-fried), Renshen (Ginseng Radix et Rhizoma).
The above eight herbs are crushed into a coarse powder. Each dose is 3 qianbi, taken with 1 sheng of water, decocted until reduced to 70%, strained, and taken warm.
To treat persistent sudden vaginal bleeding during pregnancy, with abdominal pain, alternating cold and hot sensations in hands and feet, and soreness and pain in the waist and back: Ban Xia Tang (Pinellia Decoction).
Ingredients: Ban Xia (Pinellia ternata Tuber) (washed in hot water seven times) 2 liang, Maidong (Ophiopogon japonicus Tuber) (heart removed and dried) 2 liang, Gancao (Licorice Root) (roasted and sliced), Danggui (Angelica sinensis Radix) (lightly roasted), Huangqi (Astragalus membranaceus Radix) (sliced) each 1 liang.
The above nine herbs are coarsely crushed and sifted. Each dose is 3 qianbi, taken with 1 sheng of water, adding two cun of scallion white and half a piece of ginger. Decoct together until reduced to 70%, strain, and take warm on an empty stomach.
To treat fetal unrest during pregnancy with sudden vaginal bleeding, alternating chills and fever, abdominal pain resembling labor, and restlessness in hands and feet: Maidong Tang (Ophiopogon Decoction).
Ingredients: Maidong (Ophiopogon japonicus Tuber) (heart removed and dried) 2 liang, Gancao (Licorice Root) (roasted and sliced), Renshen (Ginseng Radix et Rhizoma), Sheng Di Huang (Rehmannia glutinosa Radix) (dried), Huangqin (Scutellaria baicalensis Radix) (black heart removed), Ejiao (Donkey-hide gelatin) (roasted until dry).
The above six herbs are crushed into a coarse powder. Each dose is 3 qianbi, taken with half a sheng of water and half a sheng of wine, adding half a piece of sliced ginger and three cracked red dates. Decoct together until reduced to 70%, strain, and take warm before meals.
To treat sudden vaginal bleeding during pregnancy causing fetal unrest and lower abdominal pain: Renshen Tang (Ginseng Decoction).
Ingredients: Renshen (Ginseng Radix et Rhizoma), Danggui (Angelica sinensis Radix) (sliced and lightly stir-fried), Ejiao (Donkey-hide gelatin) (roasted until dry) each 2 liang, Gancao (Licorice Root) (roasted until reddish-brown), Xiong (Ligusticum chuanxiong Rhizome), Huangqin (Scutellaria baicalensis Radix) (black heart removed), Aiye (Artemisia argyi Folium).
The above nine herbs are coarsely crushed and sifted. Each dose is 3 qianbi, taken with 1 sheng of water and one large slice of ginger (size of a date). Decoct together until reduced to 70%, strain, and take warm on an empty stomach, three times daily.
To treat sudden vaginal bleeding during pregnancy, fetal unrest, or pain extending to the waist: Gancao Tang (Licorice Decoction).
Ingredients: Gancao (Licorice Root) (roasted until reddish-brown), Ejiao (Donkey-hide gelatin) (roasted until dry) each 1 liang, Sheng Di Huang (Rehmannia glutinosa Radix) (dried) 0.5 liang.
The above three herbs are coarsely crushed and sifted. Each dose is 3 qianbi, taken with 1 sheng of water, decocted until reduced to 70%, strained, and taken warm.
To treat sudden vaginal bleeding during pregnancy, fetal unrest, and lower abdominal pain radiating to the waist: Renshen Tang (Ginseng Decoction).
Ingredients: Renshen (Ginseng Radix et Rhizoma), Ejiao (Donkey-hide gelatin) (roasted until dry), Xiong (Ligusticum chuanxiong Rhizome) each 1 liang, Danggui (Angelica sinensis Radix) (lightly roasted and sliced), Du Zhong (Eucommia Ulmoides Cortex) (deprived of rough bark, sliced and stir-fried) each 2 liang.
The above five herbs are coarsely crushed and sifted. Each dose is 3 qianbi, taken with a mixture of water and wine totaling 1 sheng, decocted until reduced to 70%, strained, and taken warm before meals.
To treat pregnancy after several months with sudden indefinite vaginal bleeding: Xiong Tang (Ligusticum Decoction).
Ingredients: Xiong (Ligusticum chuanxiong Rhizome), Danggui (Angelica sinensis Radix) (dried) each 2 liang, Aiye (Artemisia argyi Folium) (dried) 1 liang, Gancao (Licorice Root) (roasted) 0.5 liang, Ejiao (Donkey-hide gelatin) (roasted until dry) 1 liang.
The above five herbs are coarsely crushed and sifted. Each dose is 3 qianbi, taken with 1 sheng of water, decocted until reduced to 70%, strained, and taken warm.
To treat persistent sudden vaginal bleeding during pregnancy: Formula.
Ai Ye (Artemisia argyi Folium) the size of a chicken egg, boiled in 3 sheng of wine to yield 2 sheng. Strain and divide into two doses, taken warm at any time.
To treat inexplicable continuous sudden vaginal bleeding during pregnancy: Formula.
Ejiao (Donkey-hide gelatin) 2 liang.
Boil the gelatin in 1.5 sheng of wine until dissolved. Divide into three doses and take consecutively.
To treat persistent sudden vaginal bleeding during pregnancy, cold extremities, fainting, and near-death state: Formula.
Qing Zhu Ru (Green Bamboo Shavings) (two fist-sized pieces), Ai Ye (Artemisia argyi Folium), Ejiao (Donkey-hide gelatin) (roasted until dry) each 2 liang, Bai Mi (White Honey) 2 he.
Boil the first three ingredients in 6 sheng of water to yield 2 sheng. Strain, add honey, and boil once more. Divide into two doses; recovery will be immediate.
To treat persistent sudden vaginal bleeding during pregnancy with waist and abdominal pain: Di Huang Ai Ye Tang (Rehmannia and Mugwort Decoction).
Ingredients: Shu Di Huang (Prepared Rehmannia glutinosa Radix) (dried), Ai Ye (Artemisia argyi Folium) (stir-fried) each 2 liang, Renshen (Ginseng Radix et Rhizoma), Di Yu (Sanguisorba officinalis Radix), Gan Jiang (Zingiberis Rhizoma Recens) (pounded and cracked), Ejiao (Donkey-hide gelatin) (stir-fried until dry), Danggui (Angelica sinensis Radix) (sliced and dried).
The above seven herbs are coarsely crushed and sifted. Each dose is 5 qianbi, taken with 1.5 sheng of water, decocted until reduced to 80%, strained, and taken warm at any time.
To treat sudden vaginal bleeding during pregnancy with waist and abdominal pain: Dang Gui San (Angelica Powder).
Ingredients: Danggui (Angelica sinensis Radix) (sliced and dried), Sang Ji Sheng (Taxillus Chinensis Herba), Xu Duan (Dipsacus asper Seedling) each 0.5 liang, Chi Shao Yao (Red Paeonia lactiflora Radix) 1 fen.
The above four herbs are crushed and sifted into a powder. Each dose is 3 qianbi, taken on an empty stomach before meals, mixed with warm wine. Add Gan Jiang (Dried Ginger) 1 liang if there is cold; add Xiong (Ligusticum chuanxiong Rhizome) 1 liang if there is abdominal pain.