Summary of case history, The patient was 40 years old, G2P0A1, who had one abortion due to social factors. She first visited the clinic with "11+ weeks of menopause and recurrent vaginal bleeding for more than 1 month". Symptoms include: temporary absence of vaginal bleeding, occasional lower abdominal pain and nausea and vomiting, breast tenderness, 1-2 days/time stools with loose texture, and no other discomfort. The tongue was light red with tooth marks on the sides, white tongue coating, and a smooth and frequent pulse. Auxiliary examination: ultrasound before 9 weeks of pregnancy suggested small intermyometrial fibroids and no abnormal embryonic development. Ultrasound at 11 weeks of pregnancy showed a large liquid dark area (81 mm×52 mm) next to the gestational sac in the uterine cavity, and the fetus was developing normally.,TCM diagnosis ,Fetal irritability, Insufficiency of the spleen and kidney, with blood stasis.,Western medicine diagnosis, Threatened abortion, subchorionic hematoma.Therapeutic methods Chinese herbal soup was to tonify the kidney, strengthen the spleen, resolve blood stasis and calm the fetus. The formula was based on Shoutaiwan, and was combined with Chinese herbs to resolve blood stasis and stop bleeding as appropriate, so that the fetus would be settled when the blood stasis was removed. At the same time, the formula was combined with ointment and stewed formula to calm the fetus and nourish the blood. The patient was also advised to rest in bed and to review the ultrasound regularly to assess the changes of the liquid dark area in the uterine cavity.,Clinical outcomes ,The patient's symptoms such as vaginal bleeding and lower abdominal pain were relieved by TCM treatment, and the area of intrauterine fluid dark area decreased progressively and disappeared completely in the middle of pregnancy as indicated by follow-up ultrasound.