孕妇吐血，或因感风热者，必咳嗽。嗽久见血，用香苏饮加黄芩、象贝，以清散风，去咳止血，必不吐也。
或胎热胃火上冲而吐者，但用安胎饮加黄芩、麦冬，其生地只用小者，胎凉血自归原。或因食煎炒炙 之物，
致胃火上逆而吐血者，用清胃散去丹皮加麦冬、黄芩主之。若本体虚弱，素有血症者，用六味地黄汤加地骨皮、
钗石斛、麦冬、牛膝，其虚火自安。
安胎饮（见胎动）六味地黄汤（见前）
（加味）香苏饮
苏叶（一钱） 香附（八分） 陈皮（七分） 甘草（五分） 荆芥（八分） 蔓荆子（一钱五分） 秦艽
（一钱二分） 川芎（三分） 防风（五分）
水煎服。
清胃散加减
生地（三钱） 连翘（一钱二分） 黄连（三分） 麦冬（二钱） 黄芩（五分） 象贝（一钱）
煎服。
孕妇大便见血，亦是血热妄行。大凡血症，上行为逆，下行为顺，宜服生地四物汤加麦冬、槐米、赤芍、
甘草主之。如系脏毒，加金银花必自愈。
孕在腹中，总有胎热。大便燥者多，切勿临圊用力努挣，多有因此而小产者，为用力努伤胎气，致儿随下，
亦有挣伤胞衣而坠下者。盖胎被气迫下，气愈迫而大便愈难出，只宜服生地四物汤加松子、黑芝麻，或麦冬、
栝蒌，并以菜油或生麻油冲汤饮之，皆以润肠之意。而大黄滑利之药，皆忌服。
If a pregnant woman experiences hematemesis (vomiting blood) due to contracting wind-heat pathogenic factors, she will inevitably have coughing. If prolonged coughing leads to expectoration of blood, Xiangsu Yin (Fragrant Perilla Decoction) with added Huangqin (Scutellariae Radix, 黄芩) and Xiangbei (Fritillariae Thunbergii Bulbus, 象贝) should be used to clear and disperse wind-heat, stop the cough and bleeding, thereby resolving the hematemesis.
Alternatively, if hematemesis is caused by fetal heat and stomach fire rushing upward, An Tai Yin (Fetus-Calming Decoction) with added Huangqin (Scutellariae Radix, 黄芩) and Maidong (Ophiopogonis Radix, 麦冬) should be used exclusively. Shengdihuang (Rehmanniae Radix, 生地黄) should be small-sized only, so that fetal heat is cooled and blood returns to its normal course. If hematemesis results from consuming fried, roasted, or grilled foods, causing stomach fire to rebel upward, Qingwei San (Stomach-Clearing Powder) without Mudanpi (Moutan Cortex, 牡丹皮), but with added Maidong (Ophiopogonis Radix, 麦冬) and Huangqin (Scutellariae Radix, 黄芩), is the primary treatment. For those with inherent weakness and a history of hemorrhagic disorders, Liuwei Dihuang Tang (Six-Ingredient Rehmannia Pill) with added Digupi (Lycii Cortex, 地骨皮), Chai Shihu (Dendrobii Caulis, 钗石斛), Maidong (Ophiopogonis Radix, 麦冬), and Niuxi (Achyranthis Bidentatae Radix, 牛膝) should be used to settle the deficient fire naturally.
An Tai Yin (see "Restless Fetus"); Liuwei Dihuang Tang (see previous section).
(Modified) Xiangsu Yin
Suye (Perillae Folium, 苏叶, 1 qian) Xiangfu (Cyperi Rhizoma, 香附, 8 fen) Chenpi (Citri Reticulatae Pericarpium, 陈皮, 7 fen) Gancao (Glycyrrhizae Radix et Rhizoma, 甘草, 5 fen) Jingjie (Schizonepetae Herba, 荆芥, 8 fen) Manjingzi (Vittaginis Fructus, 蔓荆子, 1.5 qian) Qinjiao (Gentianae Macrophyllae Radix, 秦艽, 1.2 qian) Chuanxiong (Ligustici Chuanxiong Rhizoma, 川芎, 3 fen) Fangfeng (Saposhnikoviae Radix, 防风, 5 fen)
Decoct in water and take orally.
Qingwei San Modified
Shengdi (Rehmanniae Radix Preparata, 生地, 3 qian) Lianqiao (Forsythiae Fructum, 连翘, 1.2 qian) Huanglian (Coptidis Rhizoma, 黄连, 3 fen) Maidong (Ophiopogonis Radix, 麦冬, 2 qian) Huangqin (Scutellariae Radix, 黄芩, 5 fen) Xiangbei (Fritillariae Thunbergii Bulbus, 象贝, 1 qian)
Decoct and take orally.
Hematochezia (blood in stool) in pregnant women is also caused by reckless movement of blood due to blood heat. Generally speaking, for hemorrhagic diseases, upward flow is considered adverse (ni), while downward flow is considered favorable (shun). It is appropriate to administer Shengdi Siwu Tang (Rehmannia Four Substances Decoction) with added Maidong (Ophiopogonis Radix, 麦冬), Huaimi (Sophorae Flavescentis Semen, 槐米), Chi Shao (Paeoniae Radix Rubra, 赤芍), and Gancao (Glycyrrhizae Radix et Rhizoma, 甘草). If it is Zangdu (visceral toxin/colonic dysentery with heat-toxin), adding Jinyinhua (Lonicerae Japonicae Flos, 金银花) will lead to self-healing.
While the fetus is in the womb, there is always fetal heat. Dryness of the stool is common. One must absolutely avoid straining during defecation; many miscarriages occur due to this, as excessive straining damages the fetal qi, causing the fetus to descend. There are also cases where straining injures the amniotic sac, leading to abortion. This occurs because the fetus is pressured downward by qi; the more urgent the pressure, the harder it is to pass stool. In such cases, one should only take Shengdi Siwu Tang (Rehmannia Four Substances Decoction) with added Songzi (Pinus Seed, 松子) and Hei Zhima (Sesami Nigris Semen, 黑芝麻), or Maidong (Ophiopogonis Radix, 麦冬) and Gualou (Trichosanthis Fructus, 栝蒌), mixed with vegetable oil or raw sesame oil and taken with the decoction. These methods aim to moisten the intestines. Medications with slippery and purgative properties, such as Dahuang (Rhei Radix et Rhizoma, 大黄), are strictly contraindicated.