〔《脉》〕妇人经月下，但为微少，师脉之，反言有躯，其后审然，其脉何类？何以别之？师曰∶
寸口脉阴阳俱平，荣卫调和，按之滑，浮之则轻，阳明少阴各如经法，身反洒淅，不欲食饮，头痛心
乱，呕哕欲吐，呼则微数，吸则不惊，阳多气溢，阴滑气盛，滑则多实，六经养成，所以月见。阴
见阳精，汁凝胞散，散者损堕。设复阳盛，双妊二胎。今阳不足，故令激经也。（滑脉主血有余，今
经又少，故知孕也。）
〔丹〕胎漏因气虚，因血虚，因血热。
〔仲〕师曰∶妇人有漏下者，有半产后因续下血都不绝者，有妊娠下血者。假令妊娠腹中痛，为胞
阻，芎归胶艾汤主之。（方见血崩。）
〔梅〕治胎动下血，心腹疼，死生不知，服此汤活即安，死即下。此即催生佛手散，方见跌扑
伤胎。（即当归、川芎等分为散也。）妊娠无故，卒下血不止。取阿胶三两，炙，捣末，酒一升半，
煎令消，一服愈。
〔罗〕立圣散 治妊娠下血不止。
鸡肝三个，用酒一升，煮熟共食之。大效。
〔《保》〕治胎漏，二黄散。
生地、熟地等分，锉，水三盏，煎半干，去渣服。
〔梅〕治胎下血。阿胶二两，捣末，生地半斤，捣取汁，以清酒三升，绞汁，分三服。
〔《大》〕治胎漏下血不止，胞干即死，宜急治之。
生地汁（一升） 陈酒（五合）
上同煎三五沸，温三服，以止为度。
〔《保》〕治妇人胎漏下血，及因事下血，枳壳汤。
枳壳 黄芩（各半两） 白术（一两）
上粗末，每七钱，水一盏，煎七分，食前服。
〔丹〕妇人年二十余，三个月孕，发疟疾后淡血水下，腹满口渴。
白芍 白术 茯苓（一钱） 黄芩 归尾 川芎 陈皮（五分）
东阳妇人，三十五岁，孕八九个月，漏胎不止，胎比前时稍觉收小，血色微紫有块，食减平时
三之一，腹微疼，无情绪。
人参 白术（炒） 白芍（一钱） 陈皮 川芎 茯苓 缩砂 大腹皮（三分） 木连藤（七叶）
同煎，食前下三圣丸五十粒。
〔仲〕妇人宿有 病，经断来及三月，而得漏下不止，胎动在脐上者，为 痼害。妊娠六月动者，
前三月经水利时，胎。下血者，后断三月， 也。所以血不止者，其 不去故也。当下其 ，桂枝茯苓丸
主之。（凡胎动多在当脐，今动在脐上，故知是 也。）
桂枝 茯苓 牡丹（去心） 桃仁（去皮尖） 芍药（各等分）
上五味，末之，炼蜜丸如兔屎大。每日食前服一丸。不知，加至三丸。
〔《本》〕治胎下血不止。取桃树上干不落桃子，烧灰，和水服瘥。（本草云∶桃奴破血，又治伏梁积气。）
【《脉经》】妇女月经来潮，但量明显减少，医生诊脉后，反而说是有身孕，后来证实确实如此。这种脉象是什么样的？如何与正常月经相鉴别？老师回答说：寸口脉的阴部和阳部都平和，营气与卫气调和，重按感觉滑利，轻取则感觉轻浮，阳明经和少阴经的脉象符合常法。身体反而出现恶寒战栗的感觉，不想饮食，头痛且心中烦乱，干呕想吐，呼气稍快，吸气时不惊恐。阳气偏盛导致气机外溢，阴血滑利导致气血旺盛，脉滑主体内实邪或血有余，六经气血充养，所以表现为月经来潮（实为妊娠）。阴血见到阳精，津液凝聚于胞宫，若胞宫之气散失则会导致胎元损伤堕胎。如果阳气再次亢盛，可能怀有双胎。如今阳气不足，所以称为“激经”（即妊娠期间仍有少量阴道出血，俗称“垢胎”）。（滑脉主血有余，现在月经量少，所以知道是怀孕。）
【朱丹溪】胎漏（妊娠期阴道少量出血）是因为气虚、血虚或血热所致。
【张仲景】老师说：妇女有漏下（非经期持续出血）的，有半产后继续出血不止的，有妊娠期出血的。假如妊娠期腹部疼痛，称为“胞阻”，用芎归胶艾汤主治。（方剂见血崩篇。）
【梅师】治疗胎动不安伴下血，心腹疼痛，生死未卜，服用此汤若存活则安胎，若死亡则胎儿排出。这就是催生的佛手散，方剂见跌扑伤胎篇。（即当归、川芎等分为散剂。）妊娠期间无故突然下血不止。取阿胶三两，炙烤后捣成粉末，用酒一升半，煎至阿胶溶解，一次服完可愈。
【罗谦甫】立圣散，治疗妊娠下血不止。
鸡肝三个，用酒一升，煮熟后连肝带酒一起吃。效果显著。
【《保命集》】治疗胎漏，用二黄散。
生地黄、熟地黄等分，切碎，用水三盏，煎至半干，去渣服用。
【梅师】治疗胎下血。阿胶二两，捣成粉末；生地黄半斤，捣取汁液；用清酒三升，绞取药汁，分三次服用。
【《大医》】治疗胎漏下血不止，若胞宫干燥则胎儿死亡，应当紧急治疗。
生地黄汁（一升） 陈酒（五合）
以上一同煎煮三五沸，温服三次，以止血为度。
【《保命集》】治疗妇人胎漏下血，以及因事（如劳累、外伤等）引起的下血，用枳壳汤。
枳壳 黄芩（各半两） 白术（一两）
以上研成粗末，每次取七钱，用水一盏，煎至七分，饭前服用。
【朱丹溪】一位二十多岁的妇女，怀孕三个月，患疟疾后流出淡红色血水，腹部胀满，口渴。
处方：白芍、白术、茯苓（各一钱），黄芩、当归尾、川芎、陈皮（各五分）。
另一位东阳地区的妇女，三十五岁，怀孕八九个月，胎漏不止，感觉胎儿比之前稍小，血色微紫且有血块，食欲仅为平时的三分之一，腹部轻微疼痛，情绪低落。
处方：人参、炒白术、白芍（各一钱），陈皮、川芎、茯苓、缩砂仁、大腹皮（各三分），木通藤（七叶）。
同煎，饭前服用三圣丸五十粒。
【张仲景】妇女素有癥病（腹腔内有结块积滞的病证），月经停止三个月后，出现漏下不止，胎动在脐上的，这是癥病危害胎元。妊娠六个月时胎动的，前三个月月经通畅时，胎元正常；若后来停经三个月并出血，则是癥病所致。之所以出血不止，是因为癥块不去除的缘故。应当攻下癥块，用桂枝茯苓丸主治。（凡是胎动多在肚脐周围，现在胎动在脐上，所以知道是癥病。）
处方：桂枝、茯苓、牡丹（去心）、桃仁（去皮尖）、芍药（各等分）。
以上五味药，研成细末，炼蜜制成如兔屎大小的丸剂。每天饭前服一丸。若无效果，加至三丸。
【《本草》】治疗胎下血不止。取桃树上干枯不落下的桃子，烧成灰，和水冲服即可痊愈。（本草记载：桃奴能破血，又治疗伏梁积气。）
[From *Mai Jing* (Pulse Classic)] When a woman's menstruation occurs but is scanty, and the physician palpates the pulse, stating contrary to expectation that she is pregnant, which is later confirmed. What does this pulse resemble? How can it be distinguished? The Master replied: The yin and yang aspects of the cunkou (inch position) pulse are both balanced; Ying (Nutritive Qi) and Wei (Defensive Qi) are harmonious. Pressing deeply reveals a slippery quality, while light palpation feels floating. The Yangming and Shaoyin pulses conform to standard methods. The body experiences chills and shivering, there is a lack of appetite, headache, mental confusion, retching, and a desire to vomit. Exhalation is slightly rapid, while inhalation is not startled. Yang excess leads to qi overflow; Yin slipperiness indicates abundant qi and blood. A slippery pulse indicates excess or surplus blood; with the six meridians nourished, menstruation appears. Yin encountering Yang essence causes fluids to coagulate in the uterus; if uterine qi scatters, damage and abortion may result. If Yang becomes excessive again, twin pregnancy may occur. Now, due to insufficient Yang, this condition is termed "Ji Jing" (stimulated menstruation/bleeding during pregnancy). (A slippery pulse governs blood surplus; since menstruation is scanty, pregnancy is known.)
[Zhu Danxi] Fetal leakage (vaginal bleeding during pregnancy) is caused by Qi deficiency, Blood deficiency, or Blood heat.
[Zhang Zhongjing] The Master said: Women may suffer from continuous non-menstrual bleeding, persistent bleeding after spontaneous abortion, or bleeding during pregnancy. If abdominal pain accompanies pregnancy bleeding, it is called "Bao Zu" (uterine obstruction), treated with Xiong Gui Jiao Ai Tang (Cinnamon Twig, Angelica, Donkey-hide Gelatin, and Moutan Decoction). (Formula see section on Metrorrhagia.)
[Master Mei] To treat fetal restlessness with bleeding and heart/abdominal pain, where life or death is uncertain: taking this decoction will stabilize the fetus if alive, or expel it if dead. This is the Cui Sheng Fo Shou San (Hand-of-Buddha Powder for Inducing Labor), see section on Traumatic Injury to Pregnancy. (It consists of equal parts Dang Gui and Chuan Xiong powdered.) For sudden, incessant bleeding during pregnancy without cause: take three liang of Ejiao (Donkey-hide Gelatin), roasted and powdered, mixed with one and a half sheng of wine, boiled until dissolved. One dose cures.
[Luo Qianfu] Li Sheng San (Establishing Sage Powder) treats incessant bleeding during pregnancy.
Three chicken livers, cooked with one sheng of wine, eaten together. Highly effective.
[*Baoming Ji*] For fetal leakage, use Er Huang San (Two Yellow Powders).
Equal parts of Sheng Di Huang (Rehmanniae Radix Recens) and Shu Di Huang (Rehmanniae Radix Preparata), chopped. Boil in three zhen of water until reduced by half, strain, and drink.
[Master Mei] For fetal bleeding. Two liang of Ejiao (Donkey-hide Gelatin), powdered; half a jin of Sheng Di Huang (Rehmanniae Radix Recens), juiced. Mix with three sheng of clear wine, extract juice, and divide into three doses.
[*Da Yi*] For incessant fetal leakage bleeding, where dryness of the uterus leads to fetal death, urgent treatment is required.
Sheng Di Huang Zhi (Juice of Rehmanniae Radix Recens, one sheng); Chen Jiu (Aged Wine, five he).
Boil together for three to five boils, warm, and divide into three doses. Stop when bleeding ceases.
[*Baoming Ji*] For women with fetal leakage or bleeding due to external factors, use Zhi Ke Tang (Immature Bitter Orange Decoction).
Zhi Ke (Aurantii Fructus Immaturus), Huang Qin (Scutellariae Radix) (each half liang); Bai Zhu (Atractylodis Macrocephalae Rhizoma) (one liang).
Grind into coarse powder. Take seven qian each time, boil in one zhen of water until reduced to seven parts, take before meals.
[Zhu Danxi] A woman in her early twenties, three months pregnant, developed pale bloody discharge and abdominal fullness/thirst after malaria.
Bai Shao (Paeoniae Radix Alba), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria) (each one qian); Huang Qin (Scutellariae Radix), Gui Wei (Tail of Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Chen Pi (Citri Reticulatae Pericarpium) (each five fen).
A woman from Dongyang, aged thirty-five, eight to nine months pregnant, with incessant fetal leakage. The fetus felt smaller than before, blood was slightly purplish with clots, appetite was one-third of normal, mild abdominal pain, and low mood.
Ren Shen (Ginseng Radix et Rhizoma), Chao Bai Zhu (Stir-fried Atractylodis Macrocephalae Rhizoma), Bai Shao (Paeoniae Radix Alba) (each one qian); Chen Pi (Citri Reticulatae Pericarpium), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Fu Ling (Poria), Suo Sha Ren (Amomi Fructus), Da Fu Pi (Arecae Pericarpium) (each three fen); Mu Tong Teng (Vitis Stem, seven leaves).
Decoct together, take fifty pills of San Sheng Wan (Three Sage Pills) before meals.
[Zhang Zhongjing] A woman with an existing Zheng disease (masses/stagnation in the abdomen) has missed her period for three months and suffers from continuous leakage. If fetal movement is felt above the umbilicus, it is considered harm caused by the Zheng mass. If fetal movement occurs at six months of pregnancy, and menstruation was regular for the first three months, the fetus is normal. If bleeding occurs after stopping menstruation for three months, it is due to Zheng. The reason bleeding continues is that the Zheng mass remains. It should be expelled using Gui Zhi Fu Ling Wan (Cinnamon Twig and Poria Pill). (Fetal movement usually occurs around the umbilicus; since it is above, it indicates Zheng disease.)
Gui Zhi (Cinnamomi Ramulus), Fu Ling (Poria), Mu Dan Pi (Moutan Cortex), Tao Ren (Persicae Semen), Bai Shao (Paeoniae Radix Alba) (equal parts).
Powder these five ingredients, mix with refined honey to make pills the size of rabbit droppings. Take one pill before meals daily. If ineffective, increase to three pills.
[*Bencao*] For incessant fetal bleeding: Take dried peaches that have not fallen from peach trees, burn them to ash, mix with water, and ingest to cure. (Compendium notes: Tao Nu [Dried Peach] invigorates blood and treats Fuliang accumulation/qi stagnation.)