四味白术散（妇十三 胃虚吐水） 茯苓丸（妇三九 养胃温胃，痞闷，恶食） 竹茹汤（
妇三三 清痰止呕） 乌附汤（妇三五 和气养胃）
妊娠将理失宜，或七情郁怒，以致气逆，多有上逼之证。若气逆气实而胀逼者，宜解肝
煎。若胃寒气实而逼者，宜和胃饮。若胃火兼滞者，宜枳壳汤。若脾虚兼滞者，宜紫苏饮。
如脾虚而气不行者，宜四君子汤，甚者八珍汤。若脾气虚而兼寒者，宜五君子煎。若脾肾虚
寒不行者，宜理阴煎。若脾肾气虚兼火者，宜逍遥散，或加黄芩、枳壳、砂仁。若胎死腹中
，冷气上逼，呕恶面青者，治如后胎动欲堕条。
一方治胎气上逼，热痛下血，或烦闷困笃，用葱二十茎，水浓煮饮之，胎未死即安，胎
已死即下。未效再服。若胎动烦躁，唇口青黑，手足厥冷，须用当归汤。
妊妇经血不固者，谓之胎漏。而胎漏之由，有因胎气者，有因病气者。而胎气之由，亦
有二焉。余尝诊一妇人，脉见滑数，而别无风热等病，问其经脉则如常不断，而但较前略少
耳。余曰∶此必受妊者也。因胎小血盛有余而然。后于三月之外，经脉方止，果产一男。故
胎妊之妇多有此类。今常见怀胎七八个月而生子者，人但以血止为度，谓之不足月，然其受
胎于未止之前，至此而足而实，人所不知也。第此等胎气，亦有阴阳盛衰之辨。如母气壮盛
，荫胎有余而血之溢者，其血虽漏而生子仍不弱，此阴之强也，不必治之；若父气薄弱，胎
有不能全受而血之漏者，乃以精血俱亏，而生子必萎小，此阳之衰也，而亦人所不知也。凡
此皆先天之由。若无可以为力者，然栽培根本，岂果无斡旋之道乎？第见有于无之目及转强
于弱之手，为不易得，是乌可以寻常语也。至若因病而漏者，亦不过因病治之而已耳。
妊娠血热而漏者，保阴煎、清化饮择而用之。怒动肝火漏血者，保阴煎，甚者化肝煎主
之。脾虚不能摄血者，寿脾煎、四君子之类主之。脾虚血热气滞者，四圣散主之。脾肾兼虚
者，五阴煎主之。三焦气血俱虚者，五福饮、七福饮之类主之。劳倦伤而动血者，寿脾煎、
归脾汤主之。偶因伤触动血者，五福饮、安胎散主之。冲任气虚，不能约制，血滑易动者，
固阴煎、秘元煎主之。
立斋曰∶前证若因气热，用防风黄芩丸。若因血热，用加味逍遥散。若因血虚，用二黄
散。若因血去太多，用八珍汤，未应，补中益气汤。若因肝火，用柴胡清肝散。若因脾火，
用加味归脾汤。若因事下血作痛，用八珍汤，加阿胶、熟艾。若因脾胃虚弱，用补中益气汤
加五味子。若因脾胃虚陷，用前汤，倍用升麻、柴胡。若晡热内热，宜用逍遥散。
四味白术散（用于妇人第十三类：胃虚吐水）茯苓丸（用于妇人第三十九类：养胃温胃，治疗痞闷、恶食）竹茹汤（用于妇人第三十三类：清痰止呕）乌附汤（用于妇人第三十五类：和气养胃）
妊娠期间调理失当，或由于七情郁结愤怒，导致气机逆乱，常出现气机上冲逼迫的证候。如果是气逆且气实引起胀满逼迫的，适宜使用解肝煎。如果是胃寒且气实引起逼迫的，适宜使用和胃饮。如果是胃火兼有气滞的，适宜使用枳壳汤。如果是脾虚兼有气滞的，适宜使用紫苏饮。如果是脾虚导致气机运行不畅的，适宜使用四君子汤，病情严重的用八珍汤。如果是脾气虚且兼有寒邪的，适宜使用五君子煎。如果是脾肾阳虚寒冷导致气机不行的，适宜使用理阴煎。如果是脾肾气虚兼有内火的，适宜使用逍遥散，或者加入黄芩、枳壳、砂仁。如果胎死腹中，冷气上冲逼迫，出现呕吐恶心、面色发青的症状，治疗方法参照后面“胎动欲堕”条目。
一方剂治疗胎气上冲，伴有热痛和下血，或者烦闷困顿危重，用葱二十根，用水浓煮后饮用，如果胎儿未死则安胎，如果胎儿已死则排出。如果无效再服用。如果是胎动不安伴烦躁，嘴唇口色青黑，手足厥冷，必须使用当归汤。
孕妇经血不固的，称为胎漏。而胎漏的原因，有的因胎气所致，有的因病气所致。而胎气所致的原因，也有两种。我曾经诊治一位妇人，脉象滑数，但没有其他风热等疾病，询问她的月经情况则是像往常一样没有中断，只是比以前略少而已。我说：“这一定是怀孕了吧。”这是因为胎儿较小而血液盛有余裕造成的。后来在三个月之后，月经才停止，果然生下一个男孩。所以怀孕的妇女多有这种情况。现在常见怀胎七八个月就分娩的情况，人们只以月经停止为期限，称之为不足月，然而其受孕是在月经停止之前，到此时胎儿足月且充实，这是人们所不知道的。只是这种胎气，也有阴阳盛衰的区别。如果母体气壮盛，荫庇胎儿有余而导致血液溢出的，虽然血液泄漏但生下孩子依然不虚弱，这是阴气强盛的表现，不必治疗；如果父体气薄弱，胎儿不能充分接受滋养而导致血液泄漏的，乃是精血俱亏，生下的孩子必然瘦小，这是阳气衰弱的表现，这也是人们所不知道的。凡是这些都属于先天因素。如果没有办法干预，然而培补根本，难道真的没有挽回之道吗？只是见到从无到有、转弱为强的案例，是不容易得到的，这怎么能用寻常的话来解释呢。至于因为疾病导致的漏血，也不过是因病治疗罢了。
妊娠期间血热导致漏血的，选用保阴煎或清化饮。因愤怒触动肝火导致漏血的，选用保阴煎，严重的用化肝煎主治。脾虚不能统摄血液的，选用寿脾煎、四君子汤之类主治。脾虚血热兼有气滞的，选用四圣散主治。脾肾两虚的，选用五阴煎主治。三焦气血都虚的，选用五福饮、七福饮之类主治。劳倦损伤而动血的，选用寿脾煎、归脾汤主治。偶然因伤触动出血的，选用五福饮、安胎散主治。冲任二脉气虚，不能约束控制，血液滑利易动的，选用固阴煎、秘元煎主治。
薛立斋说：上述证候如果因气热引起的，使用防风黄芩丸。如果因血热引起的，使用加味逍遥散。如果因血虚引起的，使用二黄散。如果因失血过多引起的，使用八珍汤，如果无效，使用补中益气汤。如果因肝火引起的，使用柴胡清肝散。如果因脾火引起的，使用加味归脾汤。如果因事下血作痛的，使用八珍汤，加入阿胶、熟艾。如果因脾胃虚弱引起的，使用补中益气汤加入五味子。如果因脾胃虚陷引起的，使用前面的方剂，加倍使用升麻、柴胡。如果出现傍晚发热和内热的症状，适宜使用逍遥散。
Siwei Baizhu San (Four-Ingredient Atractylodes Macrocephala Decoction) [used for women's category 13: stomach deficiency with vomiting of water] Fuling Wan (Poria Pill) [used for women's category 39: nourishing and warming the stomach, treating epigastric fullness and distension, aversion to food] Zhuru Tang (Bamboo Shavings Decoction) [used for women's category 33: clearing phlegm and stopping vomiting] Wufu Tang (Black Aconite and Ligusticum Decoction) [used for women's category 35: harmonizing qi and nourishing the stomach]
During pregnancy, improper management or emotional stagnation and anger may lead to rebellious Qi, often resulting in symptoms of Qi rushing upward and pressing. If the condition is characterized by rebellious Qi and excess causing distension and pressure, Jiegan Jian (Liver-Resolving Decoction) is indicated. If it is caused by cold in the stomach combined with excess, Hewei Yin (Stomach-Harmonizing Drink) is indicated. If there is stomach fire accompanied by stagnation, Zhike Tang (Immature Bitter Orange Decoction) is indicated. If there is spleen deficiency accompanied by stagnation, Zisu Yin (Perilla Leaf Drink) is indicated. If spleen deficiency leads to impaired Qi movement, Sijunzi Tang (Four Gentlemen Decoction) is indicated; for severe cases, Bazhen Tang (Eight Treasure Decoction) is used. If spleen Qi deficiency is accompanied by cold, Wu Junzi Jian (Five Gentlemen Decoction) is indicated. If spleen and kidney Yang deficiency causes failure of Qi movement, Liyin Jian (Yin-Nourishing Decoction) is indicated. If spleen and kidney Qi deficiency is accompanied by fire, Xiaoyao San (Free and Easy Wanderer Powder) is indicated, or Huangqin (Scutellaria Root), Zhike (Immature Bitter Orange), and Sharen (Amomum Fruit) can be added. If the fetus has died in the uterus, with cold Qi rushing upward causing nausea, vomiting, and a greenish complexion, the treatment should follow the guidelines under the section "Fetal Restlessness Threatening Miscarriage."
A formula for treating fetal Qi rushing upward, accompanied by hot pain and bleeding, or severe restlessness and distress, uses twenty stalks of scallion boiled strongly in water for drinking. If the fetus is alive, it will be secured; if dead, it will be expelled. If ineffective, it may be taken again. For fetal restlessness with irritability, cyanosis of the lips and mouth, and cold extremities, Danggui Tang (Angelica Sinensis Decoction) is required.
When a pregnant woman experiences unsecured menstrual blood, it is called Tai Lou (Fetal Leakage). The causes of Tai Lou include those due to fetal Qi and those due to pathological Qi. The causes related to fetal Qi are of two types. I once treated a woman whose pulse was slippery and rapid, without other signs of wind-heat or disease. Upon inquiry, her menstruation continued as usual but was slightly less than before. I said, "This must be pregnancy." This occurs because the fetus is small while the blood is abundant and surplus. Later, after three months, her menstruation stopped, and she indeed gave birth to a son. Thus, many pregnant women have such conditions. It is common now to see births at seven or eight months of gestation. People consider the cessation of menstruation as the limit, calling it premature, yet conception occurred before menstruation ceased, and by this time the fetus is full-term and robust, which people do not realize. However, such fetal Qi conditions also differ in the balance of Yin and Yang. If the mother's Qi is strong, providing ample nourishment to the fetus leading to blood overflow, although blood leaks, the newborn remains strong; this indicates strong Yin, requiring no treatment. If the father's Qi is weak, and the fetus cannot fully receive nourishment leading to blood leakage, it results from a deficiency of both essence and blood, causing the newborn to be small and withered; this indicates weak Yang, which is also unknown to many. All these stem from congenital factors. Although some cases seem beyond intervention, cultivating the root certainly offers ways to reverse the situation. Cases of turning nothing into something or weakness into strength are rare and cannot be explained by ordinary terms. As for leakage caused by disease, it is simply treated according to the underlying disease.
For pregnancy-related leakage due to blood heat, choose Bao Yin Jian (Kidney-Yin Preserving Decoction) or Qinghua Yin (Clearing Transformation Drink). For leakage caused by liver fire triggered by anger, use Bao Yin Jian; for severe cases, Huagan Jian (Liver-Transforming Decoction) is primary. For spleen deficiency failing to control blood, use Shoupi Jian (Spleen-Nourishing Decoction) or Sijunzi Tang (Four Gentlemen Decoction). For spleen deficiency with blood heat and Qi stagnation, use Sixian San (Four Saints Powder). For simultaneous spleen and kidney deficiency, use Wuyin Jian (Five Yins Decoction). For deficiency of Qi and Blood in the Triple Burner, use Wufu Yin (Five Blessings Drink) or Qifu Yin (Seven Blessings Drink). For bleeding caused by fatigue and overwork, use Shoupi Jian (Spleen-Nourishing Decoction) or Guipi Tang (Spleen-Restoring Decoction). For accidental injury causing bleeding, use Wufu Yin (Five Blessings Drink) or Antai San (Fetal-Securing Powder). For deficiency of Qi in the Chong and Ren vessels, failing to constrain blood leading to easy slipping and movement, use Guyin Jian (Kidney-Yin Consolidating Decoction) or Miyuan Jian (Source-Sealing Decoction).
Xue Lizhai stated: For the above conditions, if caused by Qi heat, use Fangfeng Huangqin Wan (Saposhnikovia and Scutellaria Pill); if caused by blood heat, use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder); if caused by blood deficiency, use Erhuang San (Two Huangs Powder); if caused by excessive blood loss, use Bazhen Tang (Eight Treasure Decoction), and if ineffective, Buyi Zhongqi Tang (Tonify the Middle and Augment the Qi Decoction); if caused by liver fire, use Chaihu Qinggan San (Bupleurum Liver-Clearing Powder); if caused by spleen fire, use Jiawei Guipi Tang (Modified Spleen-Restoring Decoction); if caused by stress-induced bleeding and pain, use Bazhen Tang (Eight Treasure Decoction) with Ejiao (Donkey-Hide Gelatin) and Shuai Ai (Prepared Mugwort Leaf); if caused by spleen and stomach weakness, use Buyi Zhongqi Tang (Tonify the Middle and Augment the Qi Decoction) with Wuweizi (Schisandra Berry); if caused by sinking of spleen and stomach Qi, use the previous decoction with increased doses of Shengma (Cimicifuga Rhizome) and Chaihu (Bupleurum Root); if evening fever and internal heat occur, Xiaoyao San (Free and Easy Wanderer Powder) is appropriate.