论曰妊娠之人,将护为难,若触冒风寒,饮食生冷,及喜怒劳动之过,悉致胎动。胎动
则气血失度,故下血也。古方又云,母有宿疾,子脏为风冷所乘者,亦令胎动下血,皆失将
护所致。
治妊娠胎动腹痛,下血运闷。阿胶汤方
阿胶(炙燥一两) 生姜(切炒干三分) 芎 续断(各半两) 侧柏 当归(切焙)
桑寄
上九味,粗捣筛,每服三钱匕,水一盏,入枣二枚擘,煎至七分,去滓温服。
治妊娠胎动血下不止,或胎漏腹痛。桑寄生汤方
桑寄生(一两半) 阿胶(炙燥) 当归(切焙) 白茯苓(去黑皮) 芎 白术 熟
干地黄
上一十味,粗捣筛,每服三钱匕,水一盏,枣二枚擘,煎至七分,去滓不拘时温服。
治妊娠胎动漏血不止。鹿角胶汤方
鹿角胶(炙燥一两) 人参 白茯苓(去黑皮各半两)
上三味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服。
治妊娠忽胎动下恶血,腹痛不可忍,心神烦闷。芎 散方
芎 (一两) 当归(一两半锉微炒) 鹿角胶(一两半捣碎炒令黄燥) 桑寄生(一
两) 熟
上五味,捣筛为散,每服四钱匕,水一中盏,入生姜五片,枣三枚,煎至六分,去滓
不
治妊娠胎动时有所下血,腹胁疼痛,宜服。阿胶散方
阿胶(三分捣碎炒令黄燥) 艾叶(半两微炒) 当归(三分锉微炒) 赤石脂(半两)
龙骨
草(一分炙
上十味,捣筛为散,每服四钱匕,用水一中盏,入生姜五片,枣三枚,煎至六分,去滓
不计时候稍热服。
治妊娠损动胎气,腹内结痛,血下不止运闷。阿胶散方
阿胶(炙燥) 桑上寄生(各二两) 续断(一两半) 熟干地黄(焙) 芎 白芷 人
参(
上七味,捣罗为散,每服三钱匕,煎青竹茹糯米汤调下,不拘时。
治妊娠胎动,下血不止,脐腹疼痛。棕灰散方
棕榈皮(烧灰) 原蚕砂(炒各一两) 阿胶(炙燥三分)
上三味,捣罗为散,每服二钱匕,温酒调下,不拘时。
治妊娠胎动下血,身体烦热倦怠。秦艽汤方
秦艽(去苗土) 鹿角胶(炙燥) 地榆(锉) 甘草(炙锉) 白芷 人参 芎 (各
半两)
上七味,粗捣筛,每服五钱匕,水一盏半,糯米五十粒,煎至一盏,去滓不拘时温服。
治妊娠胎动下血不止,脐腹 痛,迷闷昏塞,芍药散方
白芍药(一两) 牡蛎( 半两) 熟干地黄(焙半两) 木贼(锉炒一两) 乌贼鱼
骨(去
上六味,捣罗为散,每服三钱匕,米饮或温酒调下,食前。
治妊娠胎动不安,下血不止,脐腹 痛。乌贼鱼骨散方
乌贼鱼骨(去甲一两) 白芍药 芎 龙骨 赤石脂(各半两)
上五味,捣罗为散,每服二钱匕,米饮或温酒调下,食前。
治妊娠胎动脐腹 痛,下血不止。侧柏丸方
侧柏 芍药(各一两) 代赭(研) 黄 (锉) 木贼(锉炒) 芎 禹余粮(
各半两)
上七味,捣罗为末,酒煮面糊和丸,如梧桐子大,每服二十丸,浓煎木贼酒下,食前服
治妊娠胎动腹痛,下血不止。禹余粮丸方
禹余粮( 醋淬七遍二两) 木贼(锉炒半两) 干姜(炮) 龙骨 附子(炮裂去皮
脐各一
上八味,捣罗为末,煮面糊和丸,如梧桐子大,每服三十丸,温酒下,食前服。
治妊娠胎动不安,腹内疼痛,下血不止。伏龙肝汤方
伏龙肝 桑上寄生 续断 芎 (各一两) 龙骨(三分) 当归(切焙) 阿胶(炙
燥各一两
上九味,粗捣筛,每服五钱匕,水一盏半,入生姜三片,枣二枚擘破,同煎至八分,去
滓空心食前温服。
治妊娠胎动,下血不止。当归散方
当归(切焙) 桑根白皮(锉) 续断 芍药 芎 (各一两) 干姜(炮半两)
上六味,捣罗为散,每服二钱匕,酒调下,不拘时。
治妊娠胎动,腹痛下血。蜡酒方
蜡(一钱)
上一味,以清酒二盏,煎三五沸,投蜡令稍顿服。
治妊娠胎动,腹痛下血。当归饮方
当归(切焙一两) 葱白(细切一握)
上二味拌匀,每服五钱匕,酒一盏半,煎至八分,去滓温服。
治妊娠卒胎动,下血不止。阿胶饮方
阿胶(炙燥) 熟干地黄(焙各二两)
上二味,粗捣筛,每服三钱匕,水酒共一盏,煎至七分,去滓温服,以效为度。
治妊娠胎动不安,腰腹痛,血下不止。人参饮方
人参 芎 当归(切焙) 阿胶(炙焙) 杜仲(去粗皮炙各二两) 艾叶(一握) 熟
干地
上八味,粗捣筛,每服五钱匕,水一盏半,枣一枚擘,煎至一盏,去滓温服,不拘时。
治妊娠胎不安,卒下血不止.当归散方
当归(切焙) 阿胶 蒲黄 熟干地黄(焙各三分) 龙骨 芎 牛角( 烧灰各半
两)
上七味,捣罗为散,每服二钱匕,煎艾汤调下,米饮亦得。
Commentary states: For pregnant women, proper care and nursing are difficult to maintain. If they are exposed to wind-cold, consume raw or cold foods, or suffer from excesses in emotions (joy or anger) and physical labor, all these factors can lead to fetal movement instability. When the fetus moves restlessly, the Qi and blood lose their normal regulation, resulting in vaginal bleeding. Ancient formulas also state that if the mother has a pre-existing condition, and the uterus (Zi Zang) is invaded by wind-cold pathogenic factors, it will also cause fetal movement instability and bleeding; all of these are caused by a lack of proper care.
Treatment for fetal movement instability with abdominal pain and vaginal bleeding accompanied by syncope or oppression during pregnancy. Ejiao Decoction Formula
Ejiao (Jiaojiao, Gelatinum Corii Asini, roasted until dry, 1 liang), Shengjiang (Zingiberis Rhizoma Recens, sliced and stir-fried until dry, 3 fen), Xiong (Chuanxiong Rhizoma), Xuduan (Dipsaci Radix) (each 0.5 liang), Cebaiye (Platycladi Cacumen), Danggui (Angelicae Sinensis Radix, sliced and baked), Sangjisheng (Taxilli Herba).
The above nine herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi, decocted with one zhan of water and two split jujubes (Da Zao) until reduced to 70%. Strain the dregs and take warm.
Treatment for fetal movement instability with continuous vaginal bleeding, or fetal leakage with abdominal pain during pregnancy. Sangjisheng Tang Formula
Sangjisheng (Taxilli Herba, 1.5 liang), Ejiao (Jiaojiao, Gelatinum Corii Asini, roasted until dry), Danggui (Angelicae Sinensis Radix, sliced and baked), Baifuling (Poria, black skin removed), Xiong (Chuanxiong Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Shu Dihuang (Rehmanniae Radix Praeparata).
The above ten herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi, decocted with one zhan of water and two split jujubes until reduced to 70%. Strain the dregs and take warm at any time.
Treatment for fetal movement instability with continuous leaking blood during pregnancy. Lujiaojiao Tang Formula
Lujiaojiao (Cervi Cornus Colla, roasted until dry, 1 liang), Renshen (Ginseng Radix et Rhizoma), Baifuling (Poria, black skin removed) (each 0.5 liang).
The above three herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi, decocted with one zhan of water until reduced to 70%. Strain the dregs and take warm.
Treatment for sudden fetal movement instability with discharge of foul blood, unbearable abdominal pain, and mental restlessness during pregnancy. Chuanxiong San Formula
Xiong (Chuanxiong Rhizoma, 1 liang), Danggui (Angelicae Sinensis Radix, 1.5 liang, cut into small pieces and slightly stir-fried), Lujiaojiao (Cervi Cornus Colla, 1.5 liang, crushed and stir-fried until yellow and dry), Sangjisheng (Taxilli Herba, 1 liang), Shu Dihuang (Rehmanniae Radix Praeparata).
The above five herbs are crushed, sifted, and made into a powder. Each dose consists of 4 qianbi, decocted with one zhongzhan of water, five slices of fresh ginger (Shengjiang), and three jujubes until reduced to 60%. Strain the dregs and take warm at any time.
Treatment for intermittent vaginal bleeding due to fetal movement instability, with abdominal and hypochondriac pain during pregnancy. Ejiao San Formula
Ejiao (Jiaojiao, Gelatinum Corii Asini, 3 fen, crushed and stir-fried until yellow and dry), Aiye (Artemisiae Argyi Folium, 0.5 liang, slightly stir-fried), Danggui (Angelicae Sinensis Radix, 3 fen, cut into small pieces and slightly stir-fried), Chishizhi (Halloysit Rubrum, 0.5 liang), Longgu (Fossilia Ossis Mastodi et Scapulae), Gancao (Glycyrrhizae Radix et Rhizoma, 1 fen, honey-roasted).
The above ten herbs are crushed, sifted, and made into a powder. Each dose consists of 4 qianbi, decocted with one zhongzhan of water, five slices of fresh ginger, and three jujubes until reduced to 60%. Strain the dregs and take slightly warm at any time.
Treatment for damage to fetal qi causing internal knotted pain, continuous vaginal bleeding, and syncope/oppression during pregnancy. Ejiao San Formula
Ejiao (Jiaojiao, Gelatinum Corii Asini, roasted until dry), Sangshang Jisheng (Taxillus growing on mulberry tree, each 2 liang), Xuduan (Dipsaci Radix, 1.5 liang), Shu Dihuang (Rehmanniae Radix Praeparata, baked), Xiong (Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix), Renshen (Ginseng Radix et Rhizoma).
The above seven herbs are pounded and sifted into a powder. Each dose consists of 3 qianbi, taken with a decoction of Qingzhuru (Bambusa Textilis Culmus) and Nuomijian (Glutinous Rice). Take at any time.
Treatment for fetal movement instability with continuous vaginal bleeding and umbilical/abdominal pain during pregnancy. Zonghui San Formula
Zonglupi (Livistonae Fructus Pericarpium, burnt to ash), Yuancansha (Bombycis Batryticatus, stir-fried, each 1 liang), Ejiao (Jiaojiao, Gelatinum Corii Asini, roasted until dry, 3 fen).
The above three herbs are pounded and sifted into a powder. Each dose consists of 2 qianbi, taken with warm wine. Take at any time.
Treatment for fetal movement instability with vaginal bleeding, bodily irritability, heat, and fatigue during pregnancy. Qinjiao Tang Formula
Qinjiao (Gentianae Macrophyllae Radix, remove seedlings and soil), Lujiaojiao (Cervi Cornus Colla, roasted until dry), Diyü (Sanguisorbae Radix, cut into small pieces), Gancao (Glycyrrhizae Radix et Rhizoma, honey-roasted and cut into small pieces), Baizhi (Angelicae Dahuricae Radix), Renshen (Ginseng Radix et Rhizoma), Xiong (Chuanxiong Rhizoma) (each 0.5 liang).
The above seven herbs are coarsely crushed and sifted. Each dose consists of 5 qianbi, decocted with one and a half zhan of water and 50 glutinous rice grains until reduced to one zhan. Strain the dregs and take warm at any time.
Treatment for continuous vaginal bleeding due to fetal movement instability, umbilical/abdominal pain, confusion, and coma during pregnancy. Shaoyao San Formula
Baishaoyao (Paeoniae Radix Alba, 1 liang), Moli (Ostrea Concha, 0.5 liang), Shu Dihuang (Rehmanniae Radix Praeparata, baked, 0.5 liang), Mozey (Equiseti Hiemalis Herba, cut into small pieces and stir-fried, 1 liang), Wouyu Gu (Sepiae Endoconcha, shell removed).
The above six herbs are pounded and sifted into a powder. Each dose consists of 3 qianbi, taken with rice drink or warm wine before meals.
Treatment for fetal movement instability with continuous vaginal bleeding and umbilical/abdominal pain during pregnancy. Wouyu Gu San Formula
Wouyu Gu (Sepiae Endoconcha, shell removed, 1 liang), Baishaoyao (Paeoniae Radix Alba), Xiong (Chuanxiong Rhizoma), Longgu (Fossilia Ossis Mastodi et Scapulae), Chishizhi (Halloysit Rubrum) (each 0.5 liang).
The above five herbs are pounded and sifted into a powder. Each dose consists of 2 qianbi, taken with rice drink or warm wine before meals.
Treatment for fetal movement instability with umbilical/abdominal pain and continuous vaginal bleeding during pregnancy. Cebai Wan Formula
Cebaiye (Platycladi Cacumen), Shaoyao (Paeoniae Radix) (each 1 liang), Daizhe (Haematitum, ground), Huangqi (Astragali Radix, cut into small pieces), Mozey (Equiseti Hiemalis Herba, cut into small pieces and stir-fried), Xiong (Chuanxiong Rhizoma), Yuyuliang (Hematitum, each 0.5 liang).
The above seven herbs are pounded into powder, mixed with flour paste boiled in wine into pills the size of paulownia seeds. Each dose consists of 20 pills, taken with strong decoction of Mozey in wine before meals.
Treatment for fetal movement instability with abdominal pain and continuous vaginal bleeding during pregnancy. Yuyuliang Wan Formula
Yuyuliang (Hematitum, quenched in vinegar seven times, 2 liang), Mozey (Equiseti Hiemalis Herba, cut into small pieces and stir-fried, 0.5 liang), Jiangtan (Zingiberis Rhizoma Praeparatum, processed), Longgu (Fossilia Ossis Mastodi et Scapulae), Fuzi (Aconiti Lateralis Radix Praeparata, processed, cracked, skin and navel removed, each [amount implied]).
The above eight herbs are pounded into powder, mixed with flour paste into pills the size of paulownia seeds. Each dose consists of 30 pills, taken with warm wine before meals.
Treatment for fetal movement instability with internal abdominal pain and continuous vaginal bleeding during pregnancy. Fulonggan Tang Formula
Fulonggan (Caulis Longan, i.e., dried mud from the bottom of a cooking clay pot), Sangshang Jisheng (Taxillus growing on mulberry tree), Xuduan (Dipsaci Radix), Xiong (Chuanxiong Rhizoma) (each 1 liang), Longgu (Fossilia Ossis Mastodi et Scapulae, 3 fen), Danggui (Angelicae Sinensis Radix, sliced and baked), Ejiao (Jiaojiao, Gelatinum Corii Asini, roasted until dry, each 1 liang).
The above nine herbs are coarsely crushed and sifted. Each dose consists of 5 qianbi, decocted with one and a half zhan of water, three slices of fresh ginger, and two split jujubes until reduced to 80%. Strain the dregs and take warm on an empty stomach before meals.
Treatment for fetal movement instability with continuous vaginal bleeding during pregnancy. Danggui San Formula
Danggui (Angelicae Sinensis Radix, sliced and baked), Sanggen Baipi (Mori Cortex, cut into small pieces), Xuduan (Dipsaci Radix), Shaoyao (Paeoniae Radix), Xiong (Chuanxiong Rhizoma) (each 1 liang), Jiangtan (Zingiberis Rhizoma Praeparatum, processed, 0.5 liang).
The above six herbs are pounded and sifted into a powder. Each dose consists of 2 qianbi, taken with wine. Take at any time.
Treatment for fetal movement instability with abdominal pain and vaginal bleeding during pregnancy. La Jiu Formula
Fengla (Beeswax, 1 qian).
The above single herb is decocted with two zhan of clear wine for three to five boils. Add the beeswax, let it settle slightly, and take.
Treatment for fetal movement instability with abdominal pain and vaginal bleeding during pregnancy. Danggui Yin Formula
Danggui (Angelicae Sinensis Radix, sliced and baked, 1 liang), Congbai (Allii Fistulosi Bulbus, finely cut, one handful).
The above two herbs are mixed well. Each dose consists of 5 qianbi, decocted with one and a half zhan of wine until reduced to 80%. Strain the dregs and take warm.
Treatment for sudden fetal movement instability with continuous vaginal bleeding during pregnancy. Ejiao Yin Formula
Ejiao (Jiaojiao, Gelatinum Corii Asini, roasted until dry), Shu Dihuang (Rehmanniae Radix Praeparata, baked, each 2 liang).
The above two herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi, decocted with one zhan of combined water and wine until reduced to 70%. Strain the dregs and take warm. Continue until effective.
Treatment for fetal movement instability with lower back and abdominal pain, and continuous vaginal bleeding during pregnancy. Renshen Yin Formula
Renshen (Ginseng Radix et Rhizoma), Xiong (Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix, sliced and baked), Ejiao (Jiaojiao, Gelatinum Corii Asini, honey-roasted and baked), Duzhong (Eucommiae Cortex, coarse skin removed, honey-roasted, each 2 liang), Aiye (Artemisiae Argyi Folium, one handful), Shu Dihuang (Rehmanniae Radix Praeparata).
The above eight herbs are coarsely crushed and sifted. Each dose consists of 5 qianbi, decocted with one and a half zhan of water and one split jujube until reduced to one zhan. Strain the dregs and take warm. Take at any time.
Treatment for fetal instability with sudden continuous vaginal bleeding during pregnancy. Danggui San Formula
Danggui (Angelicae Sinensis Radix, sliced and baked), Ejiao (Jiaojiao, Gelatinum Corii Asini), Puhuang (Typhae Pollen), Shu Dihuang (Rehmanniae Radix Praeparata, baked, each 3 fen), Longgu (Fossilia Ossis Mastodi et Scapulae), Xiong (Chuanxiong Rhizoma), Niujiao (Corvis Tauri Cornu, burnt to ash, each 0.5 liang).
The above seven herbs are pounded and sifted into a powder. Each dose consists of 2 qianbi, taken with Ai Ye Tang (decoction of Artemisiae Argyi Folium) or rice drink.