妊娠心腹俱痛，多由冷积，或新触风寒，邪正相击，而并于气，随气上下冲心，则心痛；下攻于腹，则
腹痛；上下混攻，则心腹俱痛。若不早治，则冲击胞络，必致胎动，宜当归芍药汤。若先患冷气，忽中心腹痛
如刀割，宜芎归汤。
当归芍药汤
当归 白芍（炒） 白术（蜜炙） 茯苓 泽泻（各一钱） 川芎（二钱）
水煎服。
芎归汤
川芎 人参 吴茱萸 茯苓 桔梗 当归（各一钱五分）
浓朴（姜汁炒） 白芍（各一钱）
水煎服。
妊娠小腹痛，大抵由胞络虚，风寒相搏之故，宜紫苏饮。虽其致病多端，要皆宜以川芎为末，酒调服。
或川芎、当归等分，水煎服。
紫苏饮
人参 甘草（各五分） 大腹皮 川芎 紫苏叶 白芍 陈皮 当归（各一钱） 姜（三片）
水煎服。
妊娠腹内有血块如盘，有难服峻药者，宜海粉丸。
海粉丸
香附（醋制，四两） 桃仁（去皮尖） 海粉（醋炒） 白术（蜜炙，各一两）
上为末，面糊丸，白汤下。
妊娠腹内患痈，宜用乌药五钱，水一钟煎七分，入牛皮胶一两化服。如未应，宜牡丹皮散、薏苡仁汤。
牡丹皮散
牡丹皮 人参 黄 （蜜炙） 茯苓 天麻 白芷 桃仁（去皮尖） 薏苡仁 当归 川芎（各一钱）
官桂 甘草（各五分） 木香（三分）
水煎服。
薏苡仁汤
薏苡仁（炒，五钱） 栝蒌仁（三钱） 牡丹皮 桃仁（去皮尖，各二钱）
水煎，空心服。
During pregnancy, simultaneous pain in the heart and abdomen is mostly caused by cold accumulation or recent exposure to wind-cold. The pathogenic factor fights with the healthy qi, merging with the qi mechanism and rushing up and down. If it rushes upward to affect the heart region, it causes heart pain; if it attacks downward to the abdomen, it causes abdominal pain; if it attacks both up and down simultaneously, it results in simultaneous heart and abdominal pain. If not treated early, the pathogenic factor will impact the uterine collaterals (Baoluo), inevitably leading to fetal movement. Guizhi Shaoyao Tang (Cinnamon Twig and White Peony Decoction) is indicated. If the patient previously suffered from cold qi and suddenly experiences heart and abdominal pain as severe as knife-cutting, Xiong Gui Tang (Ligusticum and Angelica Decoction) is indicated.
Guizhi Shaoyao Tang (Cinnamon Twig and White Peony Decoction)
Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba, stir-fried), Baizhu (Atractylodis Macrocephalae Rhizoma, honey-roasted), Fuling (Poria), Zexie (Alismatis Rhizoma) (each 1 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma) (2 qian).
Decoct in water and take orally.
Xiong Gui Tang (Ligusticum and Angelica Decoction)
Chuanxiong (Ligustici Chuanxiong Rhizoma), Renshen (Ginseng Radix et Rhizoma), Wuzhuyu (Evodiae Fructus), Fuling (Poria), Jiegeng (Platycodonis Radix), Danggui (Angelicae Sinensis Radix) (each 1.5 qian), Houpo (Magnoliae Officinalis Cortex, stir-fried with ginger juice), Baishao (Paeoniae Radix Alba) (each 1 qian).
Decoct in water and take orally.
Small abdominal pain during pregnancy is generally due to deficiency of the uterine collaterals (Baoluo) and the struggle between wind-cold. Zisu Yin (Perilla Leaf Decoction) is indicated. Although the causes of disease are diverse, it is generally advisable to powder Chuanxiong (Ligustici Chuanxiong Rhizoma) and take it mixed with wine. Alternatively, equal parts of Chuanxiong (Ligustici Chuanxiong Rhizoma) and Danggui (Angelicae Sinensis Radix) can be decocted in water and taken orally.
Zisu Yin (Perilla Leaf Decoction)
Renshen (Ginseng Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma) (each 0.5 qian), Dafupi (Arecae Pericarpium), Chuanxiong (Ligustici Chuanxiong Rhizoma), Zisuye (Perillae Folium), Baishao (Paeoniae Radix Alba), Chenpi (Citri Reticulatae Pericarpium), Danggui (Angelicae Sinensis Radix) (each 1 qian), Shengjiang (Zingiberis Rhizoma Recens) (3 slices).
Decoct in water and take orally.
If there is a blood stasis mass in the abdomen during pregnancy resembling a plate, and the patient cannot tolerate harsh medicines, Haifen Wan (Sea Powder Pill) is indicated.
Haifen Wan (Sea Powder Pill)
Xiangfu (Cyperi Rhizoma, vinegar-processed, 4 liang), Taoren (Persicae Semen, skin and tip removed), Haifen (Calcariae Concha, vinegar-stir-fried), Baizhu (Atractylodis Macrocephalae Rhizoma, honey-roasted) (each 1 liang).
Grind the above into powder, make pills with wheat paste, and swallow with warm water.
If an abscess (Yong) occurs inside the abdomen during pregnancy, use Wuyao (Linderac Fructus) 5 qian, decoct in one zhong of water until reduced to 0.7 zhong, then dissolve Niujiaojiao (Asini Corii Colla) 1 liang and take orally. If there is no response, Mudan Pi San (Moutan Bark Powder) or Yiyiren Tang (Coix Seed Decoction) is indicated.
Mudan Pi San (Moutan Bark Powder)
Mudanpi (Moutan Cortex), Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix, honey-roasted), Fuling (Poria), Tianma (Gastrodiae Rhizoma), Baizhi (Angelicae Dahuricae Radix), Taoren (Persicae Semen, skin and tip removed), Yiyiren (Coicis Semen), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 1 qian), Guigui (Cinnamomi Ramulus), Gancao (Glycyrrhizae Radix et Rhizoma) (each 0.5 qian), Muxiang (Aucklandiae Radix) (0.3 qian).
Decoct in water and take orally.
Yiyiren Tang (Coix Seed Decoction)
Yiyiren (Coicis Semen, stir-fried, 5 qian), Gualouren (Trichosanthis Semen, 3 qian), Mudanpi (Moutan Cortex), Taoren (Persicae Semen, skin and tip removed) (each 2 qian).
Decoct in water and take on an empty stomach.