【叔和心腹急痛歌】心腹急痛面目青，冷汗气促命必倾∶下血不止胎冲上，心腹冷闷定伤身
妊娠腹痛而见血者，名曰胎漏，至产即愈，生子不实也。紫苏饮加陈皮、砂仁。若胃口痛甚
，用指迷汤或养胃汤。亦有孕痈者，何以辨之?服安胎饮，消食理气之药，俱不效，但脐近
下处肿痛发光者，即腹痈也。因孕妇生之，名之曰孕痈，宜十补托里散，此药补而不碍胎
，其次千金托里散亦可。有脐下冷痛腹胀，小便频数，大便滑泄，缘正气虚弱，过吞生冷所
致，宜安胎饮加枳壳，及和气之药。如小腹痛，须察其脉，若可安，紫苏饮安之，不能安，
则用活血行气之药。其内伤甚者下之。若血结不下，必腹中 痛，服金屑散。或宿食炫癖，
气血瘀痛，葱白散主之。一切血痛，肉炙散、白术煎。腰痛甚者，肾虚也，其胎多堕，宜急
服安胎饮以固其胎。复不寒，紫苏饮可加黄芩。若胎不时转动，如腰腹痛者，亦宜安胎饮。
孕妇胁痛甚者，其说有三∶或因哭泣，或因忿痛，或因内伤。如内伤者，现有胎。不可用行
伤药，只宜童便酒，或紫苏饮加白芍、当归、砂仁，人参童便煎服，亦足以固胎。或曰，胁
痛非芥子不能达，柴胡、枳壳亦可用。如背痛者，气滞而不运也，宜紫苏饮。妊娠口干烦闷
，不得卧者，名曰子烦，紫苏饮主之。又有口舌生疮，咽喉肿痛者，切不可用防风通圣散，
有孕妇未产而乳汁先下者，名曰乳泣，生子多不育。有儿在母腹中啼哭，不须服药，用黄豆
打番，招孕妇细细拾之，其哭自止。
[Shu He's Song on Sudden Abdominal and Epigastric Pain] Sudden severe pain in the heart (epigastrium) and abdomen, with a bluish complexion, cold sweat, and shortness of breath indicates imminent peril to life: If bleeding from the lower orifice continues unceasingly, with fetal Qi rushing upward and cold oppression in the heart and abdomen, the body will surely be damaged.
When abdominal pain during pregnancy is accompanied by bleeding, it is called Tai Lou (Fetal Leakage). It resolves upon delivery, but the born child will be physically weak and deficient. Zi Su Yin (Perilla Decoction) added with Chen Pi (Tangerine Peel) and Sha Ren (Amomum Fruit) may be used. If stomach pain is severe, Zhi Mi Tang (Finger-Enchanting Decoction) or Yang Wei Tang (Stomach-Nourishing Decoction) should be used. There are also cases of Pregnancy Carbuncle; how can they be distinguished? If An Tai Yin (Fetus-Securing Decoction) and herbs for digesting food and regulating Qi are ineffective, but there is swelling, pain, and shining skin near the lower umbilicus, it is an abdominal carbuncle. Because it occurs in pregnant women, it is named Pregnancy Carbuncle. Shi Bu Tuo Li San (Ten-Ingredient Supporting Interior Powder) is appropriate; this formula tonifies without hindering the fetus. Secondly, Qian Jin Tuo Li San (Thousand-Gold Supporting Interior Powder) is also acceptable. Cases of cold pain in the lower umbilical region, abdominal distension, frequent urination, and loose stools are caused by deficiency of Zheng Qi (Upright Qi) and excessive consumption of raw and cold foods. An Tai Yin (Fetus-Securing Decoction) added with Zhi Ke (Aurantium Fruit) and Qi-regulating herbs is suitable. For lower abdominal pain, the pulse must be examined. If the condition allows for securing the fetus, Zi Su Yin (Perilla Decoction) should be used to secure it; if not, blood-invigorating and Qi-moving herbs should be employed. Severe internal injuries may require purgation. If blood stasis accumulates and does not descend, it inevitably causes abdominal pain; Jin Xie San (Gold-Powder Powder) should be taken. Or, if retained food forms masses causing Qi and Blood stasis and pain, Cong Bai San (Scallion White Powder) is the primary treatment. For all types of blood-stasis pain, Rou Zhi San (Meat-Roasted Powder) and Bai Zhu Jian (Atractylodes Decoction) are used. Severe lower back pain indicates Kidney Deficiency, where the fetus is prone to miscarriage; An Tai Yin (Fetus-Securing Decoction) should be taken urgently to stabilize the fetus. If there is no aversion to cold, Huang Qin (Scutellaria Root) can be added to Zi Su Yin (Perilla Decoction). If fetal movement is frequent, accompanied by waist and abdominal pain, An Tai Yin (Fetus-Securing Decoction) is also appropriate.
For pregnant women with severe hypochondriac pain, there are three explanations: either due to weeping, anger/pain, or internal injury. In cases of internal injury with an existing fetus, blood-breaking and damaging herbs must not be used. Only Tong Bian Jiu (Child Urine Wine), or Zi Su Yin (Perilla Decoction) added with Bai Shao (White Peony Root), Dang Gui (Angelica Sinensis), and Sha Ren (Amomum Fruit), decocted with Ren Shen (Ginseng) and Tong Bian (Child Urine), is suitable, which is sufficient to secure the fetus. Some say that for hypochondriac pain, only Jie Zi (Mustard Seed) can penetrate, while Chai Hu (Bupleurum Root) and Zhi Ke (Aurantium Fruit) can also be used. For back pain, it is due to Qi stagnation and failure to circulate; Zi Su Yin (Perilla Decoction) is suitable. Dry mouth, irritability, and inability to lie down during pregnancy are named Zi Fan (Fetal Irritability); Zi Su Yin (Perilla Decoction) is the main treatment. For sores on the mouth and tongue, and swelling and pain in the throat, Fang Feng Tong Sheng San (Saposhnikovia Unblocking Hero Powder) must absolutely not be used. Milk secretion before delivery in pregnant women is named Ru Qi (Breast Weeping); children born under these conditions are often infertile. If a fetus cries in the womb, medication is unnecessary. Throw soybeans on the ground and ask the pregnant woman to pick them up carefully; the crying will stop naturally.