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Zhu Danxi discussed: When blood is insufficient to nourish the fetus, leading to miscarriage, it is like a withered branch causing fruit to fall, or a shriveling vine causing flowers to drop. Miscarriages caused by labor and anger stirring up internal heat are like wind shaking trees or people breaking branches. These two theories are extremely correct, yet they fail to discuss in detail, which explains why pregnant women do not take precautions.

Generally, the Chong Mai (Penetrating Vessel) governs the Sea of Blood; when blood is abundant, the fetus forms. The Ren Mai (Conception Vessel) governs the uterus; quiet rest ensures fetal stability. If anger injures the Liver and labor injures the Kidney, causing these two organs to lose their proper function of Ministerial Fire (Xiang Huo), consuming blood and disturbing Qi, there will be no ability to maintain pregnancy without leakage or miscarriage. Moreover, after miscarriage, symptoms of metrorrhagia (blood flooding) often occur. Spontaneous abortions frequently happen in the third, fifth, and seventh months. Apart from falls and physical trauma, many cases are due to internal heat combined with deficiency. One must distinguish the severity of "heat" and "deficiency." If a miscarriage occurred at three months previously, it will likely recur at the same time next time, because injury was sustained then, making the body vulnerable at that period. Therefore, for those with spontaneous abortion, one must administer more medicine to tonify deficiencies and concurrently take Bai Feng Wan (White Phoenix Pill) for two months. If pregnancy occurs again, San He Bao Tai Wan (Three-Harmony Fetus-Securing Pill) should be taken immediately after two months of conception, along with Gu Tai Yin (Fetus-Firming Decoction) for over ten doses, to prevent miscarriage at three months. In cases of repeated miscarriages with severe fetal slipping, medication dosages must be doubled to ensure preservation. For future pregnancies, advise women who are weak or have a history of miscarriage to strictly follow prenatal education once pregnant. This prevents fire from moving recklessly, allowing abundant blood to nourish the yin fetus. Mental rest ensures complete Qi and Blood, securing the fetus. The child will be born with sound constitution, easy to raise, with proper form and posture. Furthermore, multiple miscarriages deplete blood far more than normal childbirth. Anger and labor leading to miscarriage invite the worry of having no descendants.

There is a distinction between Xiao Chan (premature delivery/miscarriage) and Zhui Tai (falling fetus). Delivery in the fifth or seventh month when the fetus has formed is called Xiao Chan. Occurrence in the second or third month is called Zhui Tai. Neither should be underestimated; convalescence requires ten times the care of normal childbirth. Normal delivery is like a ripe fruit falling naturally; Xiao Chan and Zhui Tai are like picking unripe fruit, damaging skin and flesh, and severing the root. Negligence leads to illness in many cases, and death is common. This condition begins with gathering blood to form the fetus, continues with nourishing via essence and blood, and ends with wilting and dropping due to insufficiency of essence and blood. An insecure root indicates obvious deficiency, requiring immediate differentiated treatment. Clear heat if present, tonify if deficient, fill if injured. Tonify form and Qi, restore Yin and Blood, but prioritizing the protection of the Spleen and Stomach is essential. The Stomach is the Sea of Water and Grain; the Spleen is the Mother of All Things. Just as all things rely on soil, humans rely on Spleen and Stomach. Nourishing Earth facilitates the mutual generation of the Five Phases; supporting Spleen and Stomach benefits the Five Zang organs sequentially. With such regulation, even though miscarriage damages blood, the mother's life can still be preserved. Unfortunately, when people learn of a wife or daughter-in-law's pregnancy, they are joyful. But upon encountering miscarriage, they not only neglect medical treatment but also sigh, glare, use cold words, and even curse incessantly. They ignore that women may have stubborn temperaments, leading to depression and anger, causing Qi stagnation and mass formation (Jia Ju) in the abdomen, eventually resulting in blood rebellion, amenorrhea, and consumptive disease (Lao Zhai). By this time, even if treatment is attempted, recovery is often impossible. Alas, this is due to late regulation and neglect leading to death.

Marginal note: Once the disease enters the viscera (Gao Huang), even heavenly doctors cannot save them. Valuing wealth over life is indeed foolish. Many families have gone bankrupt. Some remain deluded, blaming the deceased for short life. If the deceased had consciousness in the underworld, would they not feel profound grief? After Xiao Chan, if bleeding does not stop, accompanied by irritability, thirst, red face, and faint/weak pulse, it indicates severe Qi and Blood deficiency. Use Ba Zhen Tang (Eight-Treasure Decoction) with Pao Jiang (Roasted Ginger) to tonify. If abdominal pain, vomiting, and diarrhea occur, it indicates Spleen-Stomach deficiency. Use Xiang Sha Liu Jun Zi Tang (Aucklandia and Amomum Six-Gentlemen Decoction) with Sheng Jiang (Fresh Ginger) and Rou Gui (Cinnamon Bark). All taboos and precautions are the same as for normal childbirth.