【歌】妊娠胎动有多端，内热房劳或着寒，举重食伤皆致病，忧思恚怒总相干，保全散共安胎饮，佛手汤同
胶艾丸，只恐胎伤因下坠，离经脉见保婴难。
【论】胎动不安，有因酒色过度者，有举重触犯者，有误食毒物者，有劳役太过者，有喜怒不常，伤于心肝，
触动血脉者，有信服热药反为药害者，有血少不能养胎者，有胎元内热者。大法因母病而胎动者，但治母其胎自安。
若胎热血少不坚固者，但安胎母疾自愈。
胎动不安者欲知男女生死之法，令人摸之，如覆杯者，男也。如肘头参差起者，女也。温者为生，冷者为死。
【方】
保全散
当归（一两五钱） 阿胶（五钱） 甘草（三钱）
加连须葱白三茎水煎。
缩砂饮
缩砂仁（炒熟去衣为末）
酒调服二钱，或艾汤调下，服此觉胎动处热，是药力到也。
佛手散
当归 川芎（各一两）
水煎顿服，生胎自安，死胎自下也。
【歌】怒气伤肝血上冲，劳伤风热不相同，须知实火宜清理，虚火滋阴可奏功。
【论】妊娠吐血者，皆由脏腑有伤而致也。或用心太过，或思虑伤脾，或怒气伤肝，气逆于上，血随而溢，
心闷胸满，久而不已，多致坠胎。若心闷甚者不治。
薛立斋曰∶血症若肝火妄动，先用小柴胡去半夏加山栀、生地，次用四物加黑山栀，或加味逍遥散去丹皮。
若肝经风热，防风子芩丸。心经有热，朱砂安神丸。心气不足，补心汤。思虑伤心者，妙香散。胃经有火，犀角
地黄汤。膏粱积热，加味清胃散。郁结伤脾，加味归脾汤。肺经有火，黄芩清肺饮。气虚不能摄血，补中益气汤。
肾经虚火，地黄丸。但看虚实分治，实火可泻，法当清热以养血，虚火可补，法当滋阴以补水，则当自安。若执
寻常治血之法，而用行血消血之药，则胎自坠矣。
[Verse] There are many causes for fetal restlessness during pregnancy, including internal heat, excessive sexual activity, or exposure to cold. Lifting heavy objects, dietary injuries, worry, and anger are all related. Treatments may include Baoquan San (Preservation Powder), Antai Yin (Fetus-Calming Decoction), Foshou Tang (Buddha's Hand Decoction), and Jiao'ai Wan (Colla Corii Asini and Artemisia Pill). One must fear fetal injury due to downward prolapse; if the Li Mai pulse (Separation Pulse) appears, saving the infant is difficult.
[Discussion] Fetal restlessness can be caused by excessive alcohol and sexual indulgence, lifting heavy objects, accidental ingestion of toxic substances, overexertion, irregular emotions damaging the Heart and Liver and disturbing the blood vessels, adverse effects from taking hot-natured herbs, insufficient blood failing to nourish the fetus, or internal heat within the fetal origin. The general principle is: if the fetus moves because the mother is ill, treat the mother's illness, and the fetus will naturally settle. If the fetus is restless due to fetal heat and insufficient blood causing instability, calm the fetus, and the mother's illness will heal itself.
To determine the gender and viability of a fetus in cases of restlessness, one should palpate the abdomen. If it feels like an inverted cup, it is a male fetus. If it feels unevenly protruding like an elbow joint, it is a female fetus. A warm abdomen indicates life, while a cold abdomen indicates death.
[Formulas]
Baoquan San (Preservation Powder)
Danggui (Radix Angelicae Sinensis, 1 liang 5 qian), Ejiao (Colla Corii Asini, 5 qian), Gancao (Radix Glycyrrhizae, 3 qian).
Add three stalks of scallion white with roots, decoct in water and drink.
Suosha Yin (Amomum Decoction)
Suosharen (Fructus Amomi Rotundus, roasted, husked, and powdered).
Take 2 qian mixed with wine, or taken down with Mugwort Tea. After taking this, if the area of fetal restlessness feels hot, it indicates the medicinal power has arrived.
Foshou San (Buddha's Hand Powder)
Danggui (Radix Angelicae Sinensis), Chuanxiong (Rhizoma Chuanxiong) (each 1 liang).
Decoct in water and take in one dose. Living fetuses will naturally settle, and dead fetuses will naturally be expelled.
[Verse] Anger damages the Liver, causing blood to rush upward; injuries from fatigue involving wind-heat are different. One must know that excess fire is suitable for clearing and regulating, while deficiency fire can be resolved through nourishing yin.
[Discussion] Hemoptysis during pregnancy is caused by damage to the zang-fu organs. It may result from excessive mental exertion, worry damaging the Spleen, or anger damaging the Liver, causing qi to rebel upwards and blood to overflow, accompanied by chest oppression and fullness. If prolonged without resolution, it often leads to miscarriage. Severe chest oppression is difficult to treat.
Xue Lizhai stated: For hemoptysis caused by reckless Liver fire, first use Xiao Chai Hu Tang (Minor Bupleurum Decoction) removing Banxia (Rhizoma Pinelliae) and adding Zhizi (Fructus Gardeniae) and Shengdi (Radix Rehmanniae Preparata); subsequently use Siwu Tang (Four Substances Decoction) with blackened Zhizi, or Jiawei Xiaoyao San (Modified Free Wanderer Powder) removing Mudanpi (Cortex Moutan). For Wind-heat in the Liver channel, use Fangfeng Ziqin Wan (Saposhnikovia and Scutellaria Pill). For Heat in the Heart channel, use Zhusha Anshen Wan (Cinnabar Calming Spirit Pill). For insufficient Heart qi, use Buxin Tang (Heart-Nourishing Decoction). For heart damage due to worry, use Miaoxiang San (Wonderful Fragrance Powder). For Fire in the Stomach channel, use Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction). For accumulation of heat from rich foods, use Jiawei Qingwei San (Modified Stomach-Clearing Powder). For Spleen damage due to constraint, use Jiawei Guipi Tang (Modified Spleen-Restoring Decoction). For Fire in the Lung channel, use Huangqin Qingfei Yin (Scutellaria Lung-Clearing Decoction). For Qi deficiency failing to control blood, use Buzhong Yiqi Tang (Middle-Supplementing and Qi-Boosting Decoction). For deficiency fire in the Kidney channel, use Dihuang Wan (Rehmannia Pill). Treatment must distinguish between deficiency and excess: excess fire can be purged by clearing heat to nourish blood; deficiency fire can be tonified by nourishing yin to replenish water. Thus, peace will return. If one adheres to ordinary methods of treating blood and uses herbs that move or dissipate blood, the fetus will naturally miscarry.