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。
孕妇出现吐血症状，如果是因感受风热邪气所致，必然伴有咳嗽。若久咳导致痰中带血，可使用香苏饮加入黄芩、象贝母，以清除并疏散风热，消除咳嗽并止血，吐血自然停止。
或者因胎热与胃火向上冲逆而导致吐血的，仅使用安胎饮加入黄芩、麦冬，其中生地黄只选用小株的，使胎热清凉，血液自然回归正常循行轨道。如果是因为食用了煎炸烤炙的食物，导致胃火上逆而引发吐血的，使用清胃散去掉牡丹皮，加入麦冬、黄芩来主治。若是孕妇体质原本虚弱，素有出血性疾病史的，使用六味地黄汤加入地骨皮、钗石斛、麦冬、牛膝，体内的虚火自然得以平息。
（加味）香苏饮
紫苏叶（一钱） 香附子（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）
加水煎煮后服用。
清胃散加减方
生地黄（三钱） 连翘（一钱二分） 黄连（三分） 麦冬（二钱） 黄芩（五分） 象贝母（一钱）
煎煮后服用。
孕妇大便带血，也是由于血热妄行所致。大凡出血性疾病，血液向上溢出为逆证，向下排出为顺证，适宜服用生地四物汤加入麦冬、槐米、赤芍、甘草来主治。如果属于脏毒（肠道湿热毒邪），加入金银花必定自愈。
胎儿在腹中时，总带有胎热。大便干燥的情况较多，千万不要在排便时用力努挣，多有因此导致小产的，这是因为用力努挣损伤了胎气，致使胎儿随之坠落，也有因用力过猛损伤胞衣而导致堕胎的。大概是因为胎儿受气机逼迫下行，气机越紧迫，大便就越难排出，此时只适宜服用生地四物汤加入松子、黑芝麻，或者麦冬、瓜蒌，并用菜油或生麻油冲入汤药中饮用，这些都是为了起到润肠通便的作用。而大黄等具有滑利泻下作用的药物，都应当禁忌服用。
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.