胶（一斤，炙） 艾叶（一莒）
上二味，以水五升，煮取二升半，分三服。《经心录》同。
夫妊娠漏胎者，谓妊娠数月，而经水时下也。此由冲任脉虚，不能约制手太阳、少阴之
经血故也。冲任之脉为经络之海，起于胞内。手太阳小肠脉也，手少阴心脉也，是二经为表
里，上为乳汁，下为月水。有娠之人，经水所以断者，壅之养胎，蓄之以为乳汁也。冲任气
虚则胞内泄，不能制其经血，故月水时下，亦名胞漏。血尽则人毙矣。又有因劳役、喜怒
哀乐不节，饮食生冷，触冒风寒，遂致胎动。若母有宿疾，子脏为风冷所乘，气血失度，使
胎不安，故令下血也。
夫妊娠卒然有损动，或冷热不调和，致伤于胎，故卒痛而下血。若不止之，则堕胎也。
疗妊妇三、四个月，腹痛时时下血。
续断（八分） 艾叶 当归 干地黄（各六两） 竹茹 阿胶 鸡苏（各四钱）
上以水一升，煎取六合，去滓，空心再服。隔日更服。
疗妊娠六、七个月，忽胎动下血，腹痛不可忍。
川芎（八分） 桑寄生（四分） 当归（十二分）
上以水一升，煎取八合，下清酒半升再煎，取八合，分三服。如人行五、六里再服。
《广济》主安胎，胎病、漏血、腹痛。
当归 川芎 阿胶（炙） 人参（各一两） 大枣（二十个）
上切，以水三升，酒四升，煮取二升半，分三服。五日一剂，频服三、四剂，无所忌。
又疗妊娠胎动，腰痛及下血，安胎。
当归 川芎 苎根（各三两） 鹿角胶 艾叶（各二两） 葱白（一升）
上细切，以水一斗，煮取五升，空心热服。正方用银煮水煎药。（又见腰痛门。）
疗妊娠忽下血，胎上冲心，手足逆冷。
用生艾汁二盏，入阿胶、生蜜各二钱，煎至一盏半，稍热服。如无生艾，浓煎熟艾汁。
治妊娠忽然下血，腰痛不可忍。（男六德续添）
鹿角（锉细） 当归（锉，各半两）
只作一服。以水三盏，煎至一半，空心，食前顿服，不过二服即安。
又方∶
阿胶（一两，炒） 艾叶灰（半两）
上为细末，空心，糯米饮调下二钱。
漏胎下血不止，胞干即死，宜急治之。
生地黄汁（一升） 酒（五合）
上同煎三、五沸，分温三服，以止为度。
崔氏疗妊娠下血不止，血尽子死。
生干地黄为末，酒服方寸匕，日三夜一即愈。不过三服良。
又疗妊娠漏胞方。（一方云及腹内冷者。又见《指迷方》）
生干地黄（五两） 干姜（二两半）
上为末，酒服方寸匕，日再。《集验》、文仲、《经心》同。
疗妊娠无故卒然下血不绝方。
阿胶（三两）用清酒一升半，煎取一升，顿服。
又方∶
治妊娠卒然下血，兼治胎衣不下方。
上以铁锤烧令通赤，内酒中，如此者三次，候温，饮一盏。
Jiao (one jin, roasted) Ai Ye (one ju)
The above two ingredients are boiled in five sheng of water until two and a half sheng remain. Divide into three doses. This is the same as the formula in *Jingxin Lu*.
"Leaking fetus during pregnancy" refers to the condition where menstrual blood flows periodically after several months of pregnancy. This occurs due to the deficiency of the Chong and Ren meridians, which fail to restrain the blood of the Hand-Taiyang Small Intestine meridian and the Hand-Shaoyin Heart meridian. The Chong and Ren meridians are the "Sea of Meridians," originating from within the uterus. The Hand-Taiyang meridian corresponds to the Small Intestine, and the Hand-Shaoyin meridian corresponds to the Heart; these two meridians are exterior-interior pairs. Upward, they transform into breast milk; downward, they become menstruation. In pregnant women, menstruation stops because the qi and blood are congested to nourish the fetus and stored to serve as breast milk. If the qi of the Chong and Ren meridians is deficient, leakage occurs within the uterus, and it cannot control the menstrual blood, causing periodic bleeding. This is also called "uterine leakage." If the blood is exhausted, death ensues. Additionally, excessive labor, emotional imbalance (joy, anger, sorrow, happiness), consumption of cold or raw foods, and exposure to wind-cold can lead to fetal movement instability. If the mother has pre-existing diseases, the uterus may be invaded by wind-cold pathogens, causing irregular qi and blood flow and making the fetus unstable, resulting in vaginal bleeding.
"Sudden damage and disturbance during pregnancy" refers to injury to the fetus caused by disharmony of cold and heat, leading to sudden abdominal pain and vaginal bleeding. If not treated promptly, miscarriage will occur.
Treatment for abdominal pain with intermittent vaginal bleeding in pregnant women at three or four months:
Xu Duan (8 fen) Ai Ye Dang Gui Gan Di Huang (each 6 liang) Zhu Ru E Jiao Ji Su (each 4 qian)
Boil the above ingredients in one sheng of water until six he remain. Strain the dregs. Take twice on an empty stomach. Repeat every other day.
Treatment for sudden fetal movement instability with vaginal bleeding and unbearable abdominal pain in pregnant women at six or seven months:
Chuan Xiong (8 fen) Sang Ji Sheng (4 fen) Dang Gui (12 fen)
Boil the above ingredients in one sheng of water until eight he remain. Add half a sheng of clear wine and boil again until eight he remain. Divide into three doses. Administer again after walking for five or six li.
*Guangji Fang* treats stabilizing the fetus, fetal disorders, leaking blood, and abdominal pain.
Dang Gui Chuan Xiong E Jiao (roasted) Ren Shen (each 1 liang) Da Zao (20 pieces)
Cut the above ingredients. Boil in three sheng of water and four sheng of wine until two and a half sheng remain. Divide into three doses. One dose lasts five days. Frequent administration of three or four doses is safe without contraindications.
Another treatment for fetal movement instability, lower back pain, and vaginal bleeding during pregnancy to stabilize the fetus:
Dang Gui Chuan Xiong Zhu Gen (each 3 liang) Lu Jiao Jiao Ai Ye (each 2 liang) Cong Bai (1 sheng)
Finely cut the above ingredients. Boil in ten dou of water until five sheng remain. Take hot on an empty stomach. The original prescription suggests using silver vessels for boiling water and decocting. (Also found in the Lower Back Pain section.)
Treatment for sudden vaginal bleeding during pregnancy, with the fetus pressing upward against the heart, and cold extremities:
Use two zhan of fresh Ai juice. Add two qian of E Jiao and two qian of raw honey. Boil until one and a half zhan remain. Take slightly warm. If fresh Ai is unavailable, use thickly decocted cooked Ai juice.
Treatment for sudden vaginal bleeding during pregnancy with unbearable lower back pain. (Added by Nan Liude)
Lu Jiao (finely crushed) Dang Gui (crushed, each ban liang)
Prepare as a single dose. Boil in three zhan of water until half remains. Take all at once on an empty stomach before meals. Two doses are sufficient to stabilize the condition.
Another formula:
E Jiao (1 liang, stir-fried) Ai Ye Hui (ban liang)
Grind the above ingredients into fine powder. Take two qian mixed with rice gruel on an empty stomach.
If leaking fetus causes continuous vaginal bleeding, the uterus becomes dry and the fetus dies. Urgent treatment is required.
Sheng Di Huang Zhi (one sheng) Jiu (five he)
Boil together for three to five boils. Divide into three warm doses. Continue until bleeding stops.
Cui Shi's treatment for continuous vaginal bleeding during pregnancy, where exhaustion of blood leads to fetal death:
Grind dried Sheng Di Huang into powder. Take one fang cun bi (square-inch spoonful) with wine, three times a day and once at night. It will heal. No more than three doses are needed for good results.
Another treatment for leaking uterus during pregnancy. (One version states it applies to cases with internal cold. Also found in *Zhi Mi Fang*.)
Sheng Gan Di Huang (5 liang) Gan Jiang (2.5 liang)
Grind into powder. Take one fang cun bi with wine, twice a day. *Ji Yan*, Wen Zhong, and *Jingxin* agree.
Treatment for sudden, unexplained continuous vaginal bleeding during pregnancy.
E Jiao (3 liang). Boil in one and a half sheng of clear wine until one sheng remains. Take in one dose.
Another formula:
Treatment for sudden vaginal bleeding during pregnancy, also treating retained placenta.
Heat an iron hammer until red-hot. Quench it in wine. Repeat this process three times. When warm, drink one zhan.