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Translation of the original text into academic English based on the white vernacular translation.

Any menstrual flow during pregnancy should be retained to nourish the fetus and stored to transform into milk. However, if Qi of Chong and Ren (Thrusting and Conception vessels) is deficient and unable to constrain the blood, causing monthly bleeding, it is named Bao Lou (Uterine Bleeding). If the blood is exhausted, the fetus will die. Yet, there are cases where pregnant women have abundant blood, menstruation continues regularly, but the fetus remains stable; this is colloquially called "Gou'er Tai" (Dog Fetus). Treating this as Bao Lou would cause miscarriage; not treating it as such may allow the pregnancy to continue. There are also cases with slippery and rapid pulse, without wind-heat pathology, with normal but slightly reduced menstrual flow, due to a small fetus and surplus blood; after three or four months, when the fetus grows larger and consumes more nutrients, the flow will naturally cease. In robust pregnant women who experience only drop-by-drop bleeding monthly, without lower back soreness or fetal movement, no medication is needed as Qi and Blood are strong, and menstruation will stop naturally by the fourth or fifth month. Conversely, if a pregnant woman is emaciated, suffers from frequent lower back soreness, has fetal movement, and experiences monthly spotting or continuous bleeding, this is not blood surplus but Tai Lou (Fetal Leakage). Jiawei Buzhong Antai Yin (Modified Decoction for Supplementing the Middle and Calming the Fetus) is appropriate. It is said that Tai Lou is often caused by Blood Heat, but can also result from Qi deficiency and Blood insufficiency. If cooling herbs worsen bleeding and lead to poor appetite and fatigue, it indicates Spleen Qi deficiency failing to control blood; Guipi Tang (Restore the Spleen Decoction) and similar formulas should be used with modifications. Pulse diagnosis is essential. Diseases leading to miscarriage often occur in the third, fifth, and seventh months. If a previous miscarriage occurred at three months, subsequent ones will likely happen at the same time due to periodic Qi deficiency; Zunsheng Antai Yin (Decoction for Nourishing Life and Calming the Fetus) or Taiyuan Yin (Decoction for the Fetal Origin) should be taken prophylactically. After passing the seventh month, danger usually subsides. One must abstain from sexual intercourse, anger, overwork, and spicy/fried foods. For trauma from falling that damages fetal Qi, Jiao'ai Antai San (Donkey-hide Gelatin and Mugwort Powder for Calming the Fetus) is suitable. These conditions generally stem from Qi and Blood deficiency during pregnancy, leading to unstable fetal origin. Qi deficiency fails to hold, and Blood weakness fails to nourish adequately, often resulting in spontaneous abortion. The Kidney connects to the uterus, and the waist is the exterior of the Kidney; lower back pain predicts fetal descent and must be prevented. Generally, after three months of pregnancy, if the Chi (Cun Cun) pulse is choppy or weak, the fetus is unstable; only a surging and full pulse indicates stability. As stated in Mai Jue (Pulse Classic): "Slippery, firm, and smooth pulses indicate safety; deep, fine, and minute pulses lead to death." This is precisely what is meant. In summary, before the third month, nourish the Spleen and Stomach; after the fourth month, strengthen the waist and Kidneys, tonify Blood, regulate Qi, and assist with clearing heat. This is the general principle.

Jiawei Buzhong Antai Yin: Renshen (Ginseng Radix et Rhizoma, 1 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, earth-fried), Danggui (Angelicae Sinensis Radix, 2 qian each, wine-washed), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Huangqin (Scutellariae Radix, 0.8 fen each), Zisu (Perillae Folium), Chenpi (Citri Reticulatae Pericarpium), Sharen (Amomi Fructus, crushed), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata, 0.4 fen each).

Zunsheng Antai Yin: Also treats Taidong (Fetal Movement) and Tailou. Guishen (Angelicae Sinensis Radix, wine-washed), Baishao (Paeoniae Radix Alba, wine-fried), Shudihuang (Rehmanniae Radix Preparata), Shengdihuang (Rehmanniae Radix), Sharen, Ejiao (Asini Corii Colla, 1 qian each, fried until pearl-like), Duzhong (Eucommiae Cortex, salt-water fried, fibers removed), Baizhu (2 qian each, earth-fried), Tiaohuangqin (Scutellariae Radix, 1.5 qian), Xuduan (Dipsaci Radix, 0.8 fen, wine-processed), Chuanxiong, Chenpi, Sugeng (Perillae Caulis, 0.5 fen each).

Jingyue Taiyuan Yin: Treats women with loss of Chong and Ren containment, unstable fetal origin. Take one or two doses every other day or every two to three days. Renshen (dosage varies), Danggui (wine-washed), Duzhong (salt-water fried, fibers broken), Baishao (2 qian each, wine-fried), Shudihuang (2-3 qian), Baizhu (1.5 qian, earth-fried), Chenpi (0.7 fen, omit if no stagnation), Zhigancao (1 qian). Decoct with two zhong of water to seven-tenths volume, take far from meals. If Lower Yuan is insecure with frequent seminal emission or turbid discharge, add Chao Shanyao (Dioscoreae Rhizoma, stir-fried), Chao Buguzhi (Psoraleae Fructus, stir-fried), Wuweizi (Schisandrae Chinensis Fructus). If Qi deficiency is severe, double Baizhu and add Jiu Huangqi (Astragali Radix, roasted); however, Huangqi and Baizhu have floating Qi and may obstruct the stomach; use cautiously if chest/epigastrium feels full or uncomfortable. If deficiency with cold causes vomiting, add Paojiang (Zingiberis Rhizoma Preparatum, 0.7-1 fen or 1-2 qian). If deficiency with heat, add Jiu Huangqin (Scutellariae Radix, wine-fried, 1.5 qian) or Shengdihuang (2 qian), remove Duzhong. If Yin deficiency causes lower abdominal pain, add Gouqi (Lycii Fructus, 2 qian). If agitation causes bleeding, add Zhi Xuduan (Dipsaci Radix, processed) and Chao Ejiao (Asini Corii Colla, stir-fried, 1-2 qian each).