论曰妊娠胎动，有因母病以动胎，有因胎动以病母，二者皆不得安也，或因母病，则先
治其母，胎自安矣，或因胎病，则先治其胎，母自安矣，间有误食毒物，或起居不慎，气疾
为梗，寒热更作，胎漏血下，皆致胎动，又宜随其所因以调护之。
治妊娠胎动不安，腰腹疼痛，止痛安胎。阿胶汤方
阿胶（炒令燥半两） 当归（锉碎半两） 桑上寄生（锉碎半两）
上三味，粗捣筛，每服三钱匕，以水一盏，煎至六分，去滓空心热服。
治妊娠胎动，内结疼痛，血下运闷。当归汤方
当归（锉炒） 芎 侧柏（焙） 阿胶（炒令燥） 桑上寄生（锉碎） 艾叶（炒） 淡
竹茹
上八味，粗捣筛，每服三钱匕，水一盏，生姜三片，枣二枚擘，同煎至七分，去滓温服
、日三。
治妊娠二三月，至七八月，胎动不安，腰腹 痛，及胎奔上抢心短气。胶艾汤方
阿胶（炒令燥） 当归（切焙） 艾叶（炒） 芎 甘草（炙锉） 芍药（锉炒） 生
干地黄（
上七味，粗捣筛，每服三钱匕，水半盏，酒半盏，同煎至七分，去滓温服日三。
治妊娠胎动不安。桑寄生汤方
桑寄生（锉） 当归（切焙） 赤茯苓（去黑皮） 木通（锉） 生干地黄（焙） 诃
黎勒（炮
两） 木香（一分
上一十一味，粗捣筛，每服三钱匕，水一盏，入生姜二片，同煎至六分，去滓温服、日
三。
治妊娠胎动，腹痛腰痛。续断汤方
续断 当归（切焙） 芎 桑上寄生（锉） 糯米（各一两） 阿胶（炒令燥） 艾
叶（炒） 竹
上八味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服，不拘时。
治妊娠胎动不安、腹痛。阿胶汤方
阿胶（一两炒令燥） 芎 （一两半） 当归（切焙二两） 甘草（一两炙）
上四味，粗捣筛，每服三钱匕，水一盏，煎至六分去滓，空心日午临卧服。
治妊娠胎动腹痛。大安散方
香子（三两炒） 白茯苓（去黑皮一两） 阿胶（炒令燥半两） 芎 当归（切焙）
桑上寄
上八味，捣罗为散，每服二钱匕，温酒调下，食前服。
治妊娠胎动不安，腰腹疼痛。安胎饮方
当归（半两锉） 葱白（一分细切）
上二味，先以水三盏，煎至二盏，入好酒一盏，更煎数沸，去滓分作三服。
治妇人妊娠，偶有所触，或坠高伤打，致胎动不安，腹中痛，不可忍者，方
缩砂（和皮不以多少慢火炒令热透去皮）
上一味，捣罗为散，每服二钱匕，温酒调下，须臾觉腹中胎动处热，即胎已安矣。
治妊娠胎动不安，腰腹 痛。小艾叶汤方
艾叶（炒一两） 当归（切焙） 阿胶（炒燥各一两半） 芎 甘草（炙锉各三分）
上五味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓温服，空心食前。
治妇人胞胎不安。安胎汤方
槐花（炒香熟） 贝母（去心焙） 当归（锉焙） 芎
上四味各等分，粗捣筛，每服三钱匕，酒水各半盏，童子小便二合，同煎至七分，去滓
温服。
治妊娠胎动，烦热满闷。安胎当归饮方
当归（切焙） 桑寄生（各半两） 芎 （一分半） 阿胶（炒燥三分）
上四味，粗捣筛，每服五钱匕，水一盏半，入葱日三寸切，豉三十粒，同煎至八分，去
滓食前温服。
治妊娠胎气不安，腹痛烦闷。安胎饮方
芎 阿胶（炙燥） 艾叶 当归（切焙） 人参 甘草（炙锉） 白茯苓（去黑皮） 黄
（
上九味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓空心温服，不拘时。
治胎动不安，腰腹疼痛。大腹汤方
连皮大腹（锉微炒二两） 草豆蔻（去皮煨） 陈橘皮（浸去白炙各一两）
上三味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服，不拘时。
治妊娠因坠损胎不转，腹痛腰重。芎 散方
芎 （二两）
上一味，捣罗为散，每服二钱匕，温酒调下。
治妊娠胎动欲堕，腹痛不可忍。苎根饮方
苎麻根（去皮切一升） 银（五两）
上二味，以清酒一升，水一升，同煎取一升，分温五服。
治妇人胞胎不安。杜仲丸方
上以杜仲不计多少，去粗皮细锉，瓦上 干，捣罗为末，煮枣肉和丸，如弹子大，每服
一丸烂嚼，以糯米汤下。
治妊娠胎动，腰痛下血，安胎。当归汤方
当归（切焙） 芎 （各半两） 艾叶（炒一分） 苎麻根 鹿角胶（炒燥各三分）
上五味，粗捣筛，每服四钱匕，水一盏半，入葱白三寸切，同煎八分，去滓温服。空心
食前。
治妊娠腹中冷，胎不安。当归饮方
当归（切焙） 人参 生姜（切各七钱） 浓朴（去粗皮生姜汁炙） 陈橘皮（汤浸去
白焙各
上六味，锉如麻豆大，分为二剂，每剂以水四盏，煎取一盏半，去滓食前分温二服。如
人行三五里再服。
治胎动不安，心腹痛。浓朴橘皮丸方
浓朴（去粗皮生姜汁炙一两） 陈橘皮（汤去白焙一两） 木香（一两） 白术（一两
半） 阿
萸（洗焙干炒一分）
上九味，捣罗为末，炼蜜丸如梧桐子大，每服二十丸，食前米饮下。
治妊娠五六月，胎动不安，寒热往来，身体惊战，猝有所下，腹痛如欲产。麦门冬饮方
（焙） 乌
上七味，粗捣筛，每服五钱匕，水一盏半，生姜三片，枣二枚擘，煎至八分去滓。不拘
时温服。
治胎动不安。艾胶汤方
熟艾（炒） 阿胶（炙燥） 葱（各一两）
上三味 咀，分作三服，每服水三盏，煎至一盏，去滓温服。
Discussion states: Fetal movement during pregnancy may be caused by the mother's illness affecting the fetus, or by fetal issues affecting the mother; in both cases, neither can remain stable. If the cause is maternal illness, treating the mother first will naturally stabilize the fetus; if the cause is fetal pathology, treating the fetus first will naturally stabilize the mother. Occasionally, ingestion of toxic substances, imprudent daily living habits, qi stagnation, alternating chills and fever, threatened abortion with vaginal bleeding, etc., can all lead to fetal movement. In such cases, care should be adjusted according to the specific etiology.
**Ejiao Decoction (Cinnamon Twig and Donkey-Hide Gelatin Decoction)** for treating fetal movement with insecurity, lower back and abdominal pain, aiming to stop pain and calm the fetus.
*Ingredients:* Ejiao (Donkey-Hide Gelatin) (stir-fried until dry, 0.5 liang), Danggui (Angelicae Sinensis Radix) (chopped, 0.5 liang), Sangshang Jisheng (Taxilli Herba) (chopped, 0.5 liang).
*Preparation:* Coarsely crush and sieve the above three ingredients. Take 3 qianbi per dose, decoct with one zhan of water until reduced to six parts. Remove dregs and take hot on an empty stomach.
**Danggui Decoction** for treating fetal movement with internal binding pain and vaginal bleeding accompanied by dizziness and oppression.
*Ingredients:* Danggui (Angelicae Sinensis Radix) (chopped and stir-fried), Xiong (Ligustici Chuanxiong Rhizoma), Cebai (Platycladi Cacumen) (roasted), Ejiao (Donkey-Hide Gelatin) (stir-fried until dry), Sangshang Jisheng (Taxilli Herba) (chopped), Aye (Artemisiae Argyi Folium) (stir-fried), Danzhuru (Bambusae Caulis in Taeniam).
*Preparation:* Coarsely crush and sieve the above eight ingredients. Take 3 qianbi per dose, decoct with one zhan of water, three slices of Shengjiang (Zingiberis Rhizoma Recens), and two fractured Zao (Jujubae Fructus) until reduced to seven parts. Remove dregs and take warm, three times daily.
**Jiao'ai Decoction (Gelatin and Mugwort Decoction)** for treating fetal movement with insecurity from the second or third month up to the seventh or eighth month, lower back and abdominal pain, as well as fetal qi rushing upward to the heart causing shortness of breath.
*Ingredients:* Ejiao (Donkey-Hide Gelatin) (stir-fried until dry), Danggui (Angelicae Sinensis Radix) (cut and roasted), Aye (Artemisiae Argyi Folium) (stir-fried), Xiong (Ligustici Chuanxiong Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma) (roasted and chopped), Shaoyao (Paeoniae Radix Alba) (chopped and stir-fried), Sheng Ganshengdi Huang (Rehmanniae Radix Preparata).
*Preparation:* Coarsely crush and sieve the above seven ingredients. Take 3 qianbi per dose, decoct with half a zhan of water and half a zhan of wine until reduced to seven parts. Remove dregs and take warm, three times daily.
**Sangjisheng Decoction** for treating fetal movement with insecurity.
*Ingredients:* Sangjisheng (Taxilli Herba) (chopped), Danggui (Angelicae Sinensis Radix) (cut and roasted), Chi Fuling (Poria cum Risus) (black skin removed), Mutong (Akebiae Caulis), Sheng Ganshengdi Huang (Rehmanniae Radix Preparata) (roasted), Helile (Terminalia Chebulae Fructus) (processed), Muxiang (Aucklandiae Radix) (1 fen).
*Preparation:* Coarsely crush and sieve the above eleven ingredients. Take 3 qianbi per dose, decoct with one zhan of water and two slices of Shengjiang (Zingiberis Rhizoma Recens) until reduced to six parts. Remove dregs and take warm, three times daily.
**Xuduan Decoction** for treating fetal movement with abdominal and lower back pain.
*Ingredients:* Xuduan (Dipsaci Radix), Danggui (Angelicae Sinensis Radix) (cut and roasted), Xiong (Ligustici Chuanxiong Rhizoma), Sangshang Jisheng (Taxilli Herba) (chopped), Nuomi (Oryza Sativa Glutinosa), Ejiao (Donkey-Hide Gelatin) (stir-fried until dry), Aye (Artemisiae Argyi Folium) (stir-fried), Zhuru (Bambusae Caulis in Taeniam).
*Preparation:* Coarsely crush and sieve the above eight ingredients. Take 3 qianbi per dose, decoct with one zhan of water until reduced to seven parts. Remove dregs and take warm at any time.
**Ejiao Decoction** for treating fetal movement with insecurity and abdominal pain.
*Ingredients:* Ejiao (Donkey-Hide Gelatin) (1 liang, stir-fried until dry), Xiong (Ligustici Chuanxiong Rhizoma) (1.5 liang), Danggui (Angelicae Sinensis Radix) (2 liang, cut and roasted), Gancao (Glycyrrhizae Radix et Rhizoma) (1 liang, roasted).
*Preparation:* Coarsely crush and sieve the above four ingredients. Take 3 qianbi per dose, decoct with one zhan of water until reduced to six parts. Remove dregs and take on an empty stomach, at noon, and before bed.
**Da'an Powder** for treating fetal movement with abdominal pain.
*Ingredients:* Xiangzi (Amomi Fructus Rotundus), Baifuling (Poria Cum Risus) (black skin removed, 1 liang), Ejiao (Donkey-Hide Gelatin) (0.5 liang, stir-fried until dry), Xiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix) (cut and roasted), Sangshang Jisheng (Taxilli Herba).
*Preparation:* Crush and grind the above eight ingredients into powder. Take 2 qianbi per dose, mix with warm wine, and take before meals.
**Antafetal Drink** for treating fetal movement with insecurity, lower back and abdominal pain.
*Ingredients:* Danggui (Angelicae Sinensis Radix) (0.5 liang, chopped), Congbai (Allii Fistulosi Bulbus) (1 fen, finely chopped).
*Preparation:* Decoct the above two ingredients in three zhan of water until reduced to two zhan. Add one zhan of good wine, boil briefly, remove dregs, and divide into three doses.
**Formula for Traumatic Fetal Movement** for women in pregnancy who suffer accidental trauma, falls from height, or blows, resulting in insecure fetal movement and unbearable abdominal pain.
*Ingredients:* Suosha (Amomi Fructus) (with skin, appropriate amount, slow-fire roasted until thoroughly hot, then skin removed).
*Preparation:* Crush and grind the above single ingredient into powder. Take 2 qianbi per dose, mix with warm wine. After a short while, heat felt at the site of fetal movement indicates the fetus has stabilized.
**Small Aye Decoction** for treating fetal movement with insecurity, lower back and abdominal pain.
*Ingredients:* Aye (Artemisiae Argyi Folium) (1 liang, stir-fried), Danggui (Angelicae Sinensis Radix) (cut and roasted), Ejiao (Donkey-Hide Gelatin) (1.5 liang each, stir-fried until dry), Xiong (Ligustici Chuanxiong Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma) (3 fen each, roasted and chopped).
*Preparation:* Coarsely crush and sieve the above five ingredients. Take 5 qianbi per dose, decoct with one and a half zhan of water until reduced to eight parts. Remove dregs and take warm on an empty stomach before meals.
**Antafetal Decoction** for treating insecure fetal sac in women.
*Ingredients:* Huaihua (Sophorae Flos) (roasted until fragrant), Beimu (Fritillariae Thunbergii Bulbus) (heart removed, roasted), Danggui (Angelicae Sinensis Radix) (chopped and roasted), Xiong (Ligustici Chuanxiong Rhizoma).
*Preparation:* Use equal parts of the above four ingredients, coarsely crush and sieve. Take 3 qianbi per dose, decoct with half a zhan of wine, half a zhan of water, and two he of tongzi xiaobian (urine of a healthy boy) until reduced to seven parts. Remove dregs and take warm.
**Antafetal Danggui Drink** for treating fetal movement with irritability, heat, fullness, and oppression.
*Ingredients:* Danggui (Angelicae Sinensis Radix) (0.5 liang, cut and roasted), Sangjisheng (Taxilli Herba) (0.5 liang), Xiong (Ligustici Chuanxiong Rhizoma) (1.5 fen), Ejiao (Donkey-Hide Gelatin) (3 fen, stir-fried until dry).
*Preparation:* Coarsely crush and sieve the above four ingredients. Take 5 qianbi per dose, decoct with one and a half zhan of water, three-inch segments of scallion, and thirty grains of Chishi (Sojae Semen Praeparatum) until reduced to eight parts. Remove dregs and take warm before meals.
**Antafetal Drink** for treating insecure fetal qi with abdominal pain and irritability.
*Ingredients:* Xiong (Ligustici Chuanxiong Rhizoma), Ejiao (Donkey-Hide Gelatin) (roasted until dry), Aye (Artemisiae Argyi Folium), Danggui (Angelicae Sinensis Radix) (cut and roasted), Renshen (Ginseng Radix), Gancao (Glycyrrhizae Radix et Rhizoma) (roasted and chopped), Baifuling (Poria Cum Risus) (black skin removed), Huangqin (Scutellariae Radix).
*Preparation:* Coarsely crush and sieve the above nine ingredients. Take 5 qianbi per dose, decoct with one and a half zhan of water until reduced to eight parts. Remove dregs and take warm on an empty stomach at any time.
**Dafu Decoction** for treating fetal movement with insecurity, lower back and abdominal pain.
*Ingredients:* Lianpi Dafu (Arecae Pericarpium cum Cortice) (coarsely chopped, slightly roasted, 2 liang), Caodoukou (Cardamomi Fructus) (skin removed, baked), Chenju pi (Citri Reticulatae Pericarpium) (soaked, white pith removed, roasted, 1 liang each).
*Preparation:* Coarsely crush and sieve the above three ingredients. Take 3 qianbi per dose, decoct with one zhan of water until reduced to seven parts. Remove dregs and take warm at any time.
**Chuanxiong Powder** for treating fetal immobility due to fall injury, with abdominal pain and heavy lower back.
*Ingredients:* Xiong (Ligustici Chuanxiong Rhizoma) (2 liang).
*Preparation:* Crush and grind the above single ingredient into powder. Take 2 qianbi per dose, mix with warm wine.
**Zhugen Drink** for treating impending miscarriage with unbearable abdominal pain.
*Ingredients:* Zhuma gen (Morus Radicis Cortex / Boehmeriae Niveae Radix - *Note: Text says Zhuma Gen, usually Boehmeria*) (peeled, cut, 1 sheng), Yin (Silver) (5 liang).
*Preparation:* Decoct the above two ingredients in one sheng of clear wine and one sheng of water until reduced to one sheng. Divide into five warm doses.
**Duzhong Pills** for treating insecure fetal sac in women.
*Ingredients:* Duzhong (Eucommiae Cortex) (appropriate amount, coarse bark removed, finely chopped, dried on tile, ground into powder).
*Preparation:* Mix powder with paste made from boiled jujube flesh to form pills the size of quail eggs. Chew one pill thoroughly per dose and swallow with glutinous rice soup.
**Danggui Decoction** for treating fetal movement with lower back pain and vaginal bleeding, aiming to calm the fetus.
*Ingredients:* Danggui (Angelicae Sinensis Radix) (cut and roasted), Xiong (Ligustici Chuanxiong Rhizoma) (0.5 liang each), Aye (Artemisiae Argyi Folium) (1 fen, stir-fried), Zhuma gen (Boehmeriae Niveae Radix), Lu jiao jiao (Cervi Cornus Colla) (1.5 liang each, stir-fried until dry).
*Preparation:* Coarsely crush and sieve the above five ingredients. Take 4 qianbi per dose, decoct with one and a half zhan of water and three-inch segments of Congbai (Allii Fistulosi Bulbus) until reduced to eight parts. Remove dregs and take warm on an empty stomach before meals.
**Danggui Drink** for treating cold in the abdomen and insecure fetus during pregnancy.
*Ingredients:* Danggui (Angelicae Sinensis Radix) (cut and roasted), Renshen (Ginseng Radix), Shengjiang (Zingiberis Rhizoma Recens) (cut, 7 qian each), Nongpo (Magnoliae Officinalis Cortex) (coarse bark removed, roasted with ginger juice), Chenju pi (Citri Reticulatae Pericarpium) (water-soaked, white pith removed, roasted).
*Preparation:* Cut into sizes similar to hemp seeds. Divide into two doses. For each dose, decoct in four zhan of water until reduced to one and a half zhan. Remove dregs and divide into two warm doses to be taken before meals. Re-administer after walking for three to five li.
**Nongpo Ju pi Pills** for treating fetal movement with insecurity, heart and abdominal pain.
*Ingredients:* Nongpo (Magnoliae Officinalis Cortex) (1 liang, coarse bark removed, roasted with ginger juice), Chenju pi (Citri Reticulatae Pericarpium) (1 liang, white pith removed, roasted), Muxiang (Aucklandiae Radix) (1 liang), Baizhu (Atractylodis Macrocephalae Rhizoma) (1.5 liang), Ejiao (Donkey-Hide Gelatin), Shanyuzhu (Corni Fructus) (washed, roasted, dried, 1 fen).
*Preparation:* Crush and grind the above nine ingredients into powder. Mix with refined honey to form pills the size of sophora seeds. Take twenty pills per dose with rice drink before meals.
**Mendong Drink** for treating fetal movement with insecurity in the fifth or sixth month, alternating chills and fever, body tremors, sudden vaginal discharge, and abdominal pain resembling labor.
*Ingredients:* Mendong (Ophiopogonis Radix) (roasted), Wumei (Mume Fructus).
*Preparation:* Coarsely crush and sieve the above seven ingredients. Take 5 qianbi per dose, decoct with one and a half zhan of water, three slices of Shengjiang (Zingiberis Rhizoma Recens), and two fractured Zao (Jujubae Fructus) until reduced to eight parts. Remove dregs and take warm at any time.
**Ai Jiao Decoction** for treating fetal movement with insecurity.
*Ingredients:* Shuai (Artemisiae Argyi Folium Preparata) (stir-fried), Ejiao (Donkey-Hide Gelatin) (roasted until dry), Cong (Allii Fistulosi Bulbus) (1 liang each).
*Preparation:* Coarsely chop the above three ingredients. Divide into three doses. For each dose, decoct in three zhan of water until reduced to one zhan. Remove dregs and take warm.