红花 桃仁 玄胡 香附（各二钱） 小茴 枳壳 牛膝（各一钱） 山楂（三十粒） 莪术（八分）
官桂（三分）
如月水先期而至、加黄芩二钱；如后期而至，加酒炮姜五分。先期而至，血若紫色，黑色成块者、
血热故也，加黄芩、黄连、荆芥，必不可少；后期而至，血色淡红者，痰多血少故也，又兼寒，生地二
陈汤加黑姜煎服妙。
妇人胎气不固，常要小产∶
人参（五分） 加条芩 壳砂 杜仲 川断 糯米（一撮炒）
孕妇因跌撞、压触、腹痛、血下、胎动∶
川芎 黄芩 芍药（各三钱） 当归 熟地 杜仲（各一钱） 壳砂 川断（各二钱） 阿胶（一钱）
胎动下血，其腹绞痛，不知儿身死活∶
川芎（六钱） 当归（三钱）
水酒煎，作三次服。胎活即安，胎死即下。
妇人下血不止，胎上冲心，四肢逆冷几死∶
阿胶 杜仲（各三钱） 条芩（三钱） 川芎（三钱） 熟艾 桔梗（各二钱） 陈皮 竹叶（各二钱）
妊妇小腹沉重，痛不可忍，二便闭塞不通，名胎压膀胱∶
升麻 川芎 条芩 杜仲 山药 川断（各二钱） 人参（五分） 黄连 茯苓（各一钱） 白术
（土炒二钱）
孕妇胎孕上冲，痛不可忍，此为子悬血虚故也。大宜补血为主∶
四物汤加条芩、壳砂、桔梗、陈皮。
胎孕不安，因气血不足。血虚则随气上升，大宜补血为主；气虚随血下坠，大宜补气为主，次宜安胎。
若云“诸症不宜补”者，此医家大误事也。
孕妇厌食呕吐，此因气虚不得流通，便化为痰涎，多聚于胃，故有此症。宜补气祛痰为主。
白术 川贝（各三钱） 茯苓 前胡（各二钱） 旋复花 香附 壳砂 陈皮（各一钱）
妊妇漏胎下血，竟如月水，若待血干，非但损子，亦损其母∶
熟地 白术 姜炭 茯苓（各二钱） 条芩（二钱） 归身 壳砂 阿胶（各一钱）
妊妇腹中烦闷者，气血两虚故也。心肺两经火动，名为
子烦∶
条芩 麦冬 白术 茯苓 芍药（各二钱） 知母 防风 前胡（各一钱）
孕妇尿涩，小便小道热痛者，名子淋∶
冬葵子 木通 粉草（各一钱） 条芩 芍药 赤茯苓（各二钱）
孕妇腹中胎鸣，因悬高而胎失气管，故有此症，名子鸣∶
川芎（三钱） 川连（二钱）
妊妇小便频鸣，名为转胞，气虚血热也∶
人参 茯苓 条芩（各二钱） 归身 川芎 芍药 粉草（各一钱）
妊妇遍身浮肿，脾胃气虚∶
茯苓 泽泻 白术（各二钱） 木通 猪苓 浓朴（各一钱）
妊妇二、三月期，心腹腰痛难忍，气热肾虚故也∶
六味加条芩三钱，当归、阿胶、甘草各一钱。
妊妇遍身疼痛，气血两虚，痰涎作痛∶
人参加柴胡、前胡、川贝、生姜。
妊妇寒热不快者，亦气血两虚故也∶
逍遥散加条芩、壳砂、生姜。
妊妇伤寒，恐热极损胎，必先安胎，后随症治之。先用条芩、壳砂，后用本症之药，切忌姜、
桂、麻黄辛热之物。
妊妇痢疾，必先用条芩、壳砂以安胎，次随症治之。须忌槟榔、枳壳，恐其下胎，则病难治，须用仔细。
妊妇泄泻虚寒，因久痢之后故有此症∶
五苓散加良姜。
凡妊妇服药，虽有诸症，条芩、壳砂必不可少。
黄芩安胎，清三焦之火，能降血下行；壳砂安胎，乃血中之要药，又能止痛行气；阿胶安胎，乃止
血养血之药，治血虚胎动。
妊妇小产与小产不同。小产损伤胎气，不比大产瓜熟蒂圆，出于自然。以补中益气为主。小产之
后，虽有诸症，必因气血虚寒而起。宜补气血，以十全大补汤为主，或人参汤加阿胶、艾叶好。
冬葵子（五钱） 枳壳 木通 蝉蜕（各二钱） 车前子（五钱） 归尾（三钱）
Safflower (Honghua), Peach Kernel (Taoren), Corydalis Rhizome (Yanhusuo), Cyperus Rhizome (Xiangfu) (each 2 qian); Fennel Fruit (Xiaohui), Bitter Orange (Zhiqiao), Achyranthes Root (Niuxi) (each 1 qian); Hawthorn Fruit (Shanzha) (30 grains); Curcuma Zedoaria Rhizome (Ezhu) (8 fen); Cinnamon Twig (Guangui) (3 fen).
If menstruation arrives early, add Scutellaria Root (Huangqin) 2 qian; if menstruation arrives late, add Wine-fried Ginger (Jiupaojiang) 5 fen. If menstruation arrives early and the blood is purple or black with clots, this is due to Blood Heat, so Scutellaria Root (Huangqin), Coptis Rhizome (Huanglian), and Schizonepeta Spike (Jingjie) must be added; if menstruation arrives late and the blood is pale red, this is due to excessive Phlegm and deficient Blood accompanied by Cold, so Rehmannia Root (Shengdi) combined with Erchen Decoction (Two-Chen Decoction) plus Black Ginger (Heijiang) decocted for oral administration yields excellent results.
For women with unstable fetal Qi prone to habitual miscarriage:
Ginseng Root (Renshen) (5 fen), add Scutellaria Root (Tiaoqin), Amomum Fruit (Keshad), Eucommia Bark (Duzhong), Dipsacus Root (Chuanduan), Rice (Nuomi) (a pinch, stir-fried).
For pregnant women experiencing abdominal pain, vaginal bleeding, and restless fetus due to falls, collisions, or pressure:
Ligusticum Rhizome (Chuanxiong), Scutellaria Root (Huangqin), Peony Root (Shaoyao) (each 3 qian); Angelica Sinensis Root (Danggui), Prepared Rehmannia Root (Shudi), Eucommia Bark (Duzhong) (each 1 qian); Amomum Fruit (Keshad), Dipsacus Root (Chuanduan) (each 2 qian); Donkey-hide Gelatin (Ejiao) (1 qian).
For restless fetus with vaginal bleeding, severe abdominal colic, and uncertainty of fetal viability:
Ligusticum Rhizome (Chuanxiong) (6 qian), Angelica Sinensis Root (Danggui) (3 qian).
Decoct with water and wine, divide into three doses. If the fetus is alive, it will be stabilized; if dead, it will be expelled.
For women with continuous vaginal bleeding, fetal Qi rushing to the heart, cold limbs approaching death:
Donkey-hide Gelatin (Ejiao), Eucommia Bark (Duzhong) (each 3 qian); Scutellaria Root (Tiaoqin) (3 qian); Ligusticum Rhizome (Chuanxiong) (3 qian); Prepared Mugwort Leaf (Shuai), Platycodon Root (Jiegeng) (each 2 qian); Tangerine Peel (Chenpi), Bamboo Leaves (Zhuye) (each 2 qian).
For pregnant women with heavy lower abdomen, unbearable pain, and blockage of urination and defecation, named "Fetal Pressure on Bladder":
Cimicifuga Rhizome (Shengma), Ligusticum Rhizome (Chuanxiong), Scutellaria Root (Tiaoqin), Eucommia Bark (Duzhong), Chinese Yam (Shanyao), Dipsacus Root (Chuanduan) (each 2 qian); Ginseng Root (Renshen) (5 fen); Coptis Rhizome (Huanglian), Poria (Fuling) (each 1 qian); Atractylodes Macrocephala Rhizome (Baizhu) (stir-fried with soil, 2 qian).
For pregnant women with fetal Qi rushing upward causing unbearable pain, due to Empty-Fetal Syndrome caused by Blood Deficiency: Primarily benefit from nourishing Blood:
Siwu Decoction (Four-Substance Decoction) plus Scutellaria Root (Tiaoqin), Amomum Fruit (Keshad), Platycodon Root (Jiegeng), Tangerine Peel (Chenpi).
Unstable pregnancy due to insufficiency of Qi and Blood. When Blood is deficient, it follows Qi rising upward; primarily benefit from nourishing Blood. When Qi is deficient, it sinks downward with Blood; primarily benefit from tonifying Qi, followed by stabilizing the fetus.
Those who claim "various symptoms should not be treated with tonification" are committing a major medical error.
Pregnant women with anorexia and vomiting, due to Qi deficiency failing to circulate freely, transforming into Phlegm-Saliva accumulating in the Stomach: Primarily benefit from tonifying Qi and dispelling Phlegm.
Atractylodes Macrocephala Rhizome (Baizhu), Fritillaria Bulb (Chuanbei) (each 3 qian); Poria (Fuling), Peucedanum Root (Qianhu) (each 2 qen); Inula Flower (Xuanfuhua), Cyperus Rhizome (Xiangfu), Amomum Fruit (Keshad), Tangerine Peel (Chenpi) (each 1 qian).
Pregnant women with leaking fetal bleeding resembling menstruation; waiting until the blood dries up damages both the child and the mother:
Prepared Rehmannia Root (Shudi), Atractylodes Macrocephala Rhizome (Baizhu), Charred Ginger (Jiantan), Poria (Fuling) (each 2 qian); Scutellaria Root (Tiaoqin) (2 qian); Angelica Sinensis Root Body (Guishen), Amomum Fruit (Keshad), Donkey-hide Gelatin (Ejiao) (each 1 qian).
Pregnant women with abdominal restlessness and oppression, due to dual deficiency of Qi and Blood. Fire stirring in the Heart and Lung meridians is named Subdistress (Zifan):
Scutellaria Root (Tiaoqin), Ophiopogon Tuber (Maidong), Atractylodes Macrocephala Rhizome (Baizhu), Poria (Fuling), Peony Root (Shaoyao) (each 2 qian); Anemarrhena Rhizome (Zhimu), Saposhnikovia Root (Fangfeng), Peucedanum Root (Qianhu) (each 1 qian).
Pregnant women with difficult urination, hot and painful urethra, named Sub-strangury (Zilin):
Malva Seed (Dongkuizi), Akebia Stem (Mutong), Licorice Root (Fengcao) (each 1 qian); Scutellaria Root (Tiaoqin), Peony Root (Shaoyao), Red Poria (Chifuling) (each 2 qian).
Pregnant women with fetal sounds in the abdomen, due to high suspension of the fetus obstructing the airway, named Sub-sound (Ziming):
Ligusticum Rhizome (Chuanxiong) (3 qian), Coptis Rhizome (Chuanlian) (2 qian).
Pregnant women with frequent urination and sound, named Reversed Urinary Bladder (Zhuanbao), due to Qi deficiency and Blood heat:
Ginseng Root (Renshen), Poria (Fuling), Scutellaria Root (Tiaoqin) (each 2 qian); Angelica Sinensis Root Body (Guishen), Ligusticum Rhizome (Chuanxiong), Peony Root (Shaoyao), Licorice Root (Fengcao) (each 1 qian).
Pregnant women with generalized edema, due to Spleen-Stomach Qi deficiency:
Poria (Fuling), Alisma Rhizome (Zexie), Atractylodes Macrocephala Rhizome (Baizhu) (each 2 qian); Akebia Stem (Mutong), Polyporus (Zhuling), Magnolia Bark (Nongpu) (each 1 qian).
Pregnant women in their second or third month suffering unbearable heart, abdomen, and lower back pain, due to Qi Heat and Kidney Deficiency:
Liujunzi Wan (Six-Ingredient Pill with Rehmannia) plus Scutellaria Root (Tiaoqin) 3 qian, Angelica Sinensis Root (Danggui), Donkey-hide Gelatin (Ejiao), Licorice Root (Gancao) each 1 qian.
Pregnant women with generalized body pain, due to dual deficiency of Qi and Blood and pain caused by Phlegm-Saliva:
Ginseng Root (Renshen) plus Bupleurum Root (Chaihu), Peucedanum Root (Qianhu), Fritillaria Bulb (Chuanbei), Fresh Ginger (Shengjiang).
Pregnant women with alternating chills and fever, also due to dual deficiency of Qi and Blood:
Xiaoyao Powder (Free and Easy Wanderer Powder) plus Scutellaria Root (Tiaoqin), Amomum Fruit (Keshad), Fresh Ginger (Shengjiang).
Pregnant women with Cold Damage (Shanghan), fearing extreme heat may damage the fetus, must first stabilize the fetus, then treat according to symptoms. First use Scutellaria Root (Tiaoqin) and Amomum Fruit (Keshad), then use herbs for the specific condition. Strictly avoid pungent-hot substances like Ginger (Jiang), Cinnamon (Gui), and Ephedra Herb (Mahuang).
Pregnant women with dysentery must first use Scutellaria Root (Tiaoqin) and Amomum Fruit (Keshad) to stabilize the fetus, then treat according to symptoms. Must avoid Areca Seed (Binglang) and Bitter Orange (Zhiqiao), lest they cause abortion making the disease difficult to treat; medication requires care.
Pregnant women with diarrhea and deficiency-cold, occurring after prolonged dysentery:
Wuling San (Five-Ling Powder) plus Galangal Rhizome (Liangjiang).
For all pregnant women taking medicine, regardless of various symptoms, Scutellaria Root (Tiaoqin) and Amomum Fruit (Keshad) are indispensable.
Scutellaria Root (Huangqin) stabilizes the fetus, clears Fire of the Triple Burner, and directs Blood downward; Amomum Fruit (Keshad) stabilizes the fetus, is a key herb for Blood, and can stop pain and move Qi; Donkey-hide Gelatin (Ejiao) stabilizes the fetus, is a hemostatic and blood-nourishing herb, treating restless fetus due to Blood Deficiency.
Spontaneous abortion (Xiaochan) differs from full-term delivery. Spontaneous abortion damages Fetal Qi and does not occur naturally like a ripe melon falling from the vine. It should primarily focus on tonifying Middle Jiao and boosting Qi. After spontaneous abortion, although various symptoms may arise, they inevitably stem from Qi and Blood deficiency and Cold. Benefit from tonifying Qi and Blood, primarily using Shiquan Dabu Tang (Ten Great Tonics Decoction), or Renshen Tang (Ginseng Decoction) plus Donkey-hide Gelatin (Ejiao) and Mugwort Leaf (Aiye).
Malva Seed (Dongkuizi) (5 qian); Bitter Orange (Zhiqiao), Akebia Stem (Mutong), Cicada Slough (Chantui) (each 2 qian); Plantago Seed (Cheqianzi) (5 qian); Angelica Sinensis Tail (Guiwei) (3 qian).