〔仲〕妇人怀胎，腹中 痛，当归芍药散主之。（见前。）
〔洁〕地黄当归汤 治妇人有孕胎痛。
当归（一两） 熟地黄（二两）
上为末，作一服，水三升，煎至一升半，去滓顿服。
〔仲〕妇人腹中痛，小建中汤主之。（方见伤寒腹痛。）
〔云〕芎归汤 治妊娠先患冷气，忽心腹痛如刀刺。（见前心腹痛。）
〔丹〕孙院君因近丧冒恶气伤胎，肚痛手不可近，发热，口中不思食，须安胎，散
滞气。
青皮（三钱） 黄芩 芍药（各二钱） 归尾（一钱半） 川芎（一钱） 木香（五分）
甘草（炙，少许）
分二帖，水三盏，先煮苎根两大片至二盏，去苎根，入前药同煎至一盏，热服。
治妊娠腹痛，用生地黄三斤，捣取汁，酒一升合煎减半，顿服愈。
〔脉〕师曰∶妇人有胎腹痛，其人不安，若胎病不动，欲知生死，令人摸之，如覆杯
者则男，如肘颈参差起者女也。冷在何面，冷者为死，温者为生。
〔大〕妊娠小腹痛者，由胞络虚，风寒相搏，痛甚亦令胎动也。
〔薛〕前证若风寒所搏，用紫苏饮加生姜。气血虚，用八珍汤。脾气虚，用六君子
汤。中气虚，用补中益气汤。若腹胀痛，用安胎饮加升麻、白术；不应，兼补中益气汤。
一妊妇小腹作痛，其胎不安，气攻左右，或时逆上，小便不利，用小柴胡汤加青皮、山
栀，清肝火而愈，后因怒小腹胀满，小便小利，水道重坠，胎仍不安，此亦肝木炽盛所
致，用龙胆泻肝汤一剂，诸证顿愈。乃以四君子加柴胡、升麻，以培脾土而安。
疗妊娠被惊恼，胎向下不安，小腹痛连腰，下血。
当归 川芎（各八分） 阿胶（炙） 人参 艾叶（各四分） 大枣（二十个） 茯苓（十分）
上细切，以水四升，煮取二升，温分三服。
《补遗》治妊妇小腹痛，胎动不安。
川芎为细末，酒调下。
又方 川芎 当归（各等分） 水煎温服。
[Zhang Zhongjing] When a pregnant woman suffers from abdominal pain, Danggui Shaoyao San (Angelica and Peony Powder) is the primary treatment. (See previous section.)
[Li Dongyuan] Dihuang Danggui Tang (Rehmannia and Angelica Decoction) treats fetal pain in pregnant women.
Danggui (Radix Angelicae Sinensis, 1 liang) Shudihuang (Prepared Rhizoma Rehmanniae, 2 liang)
Grind the above into powder, take as one dose, add three sheng of water, decoct to one and a half sheng, remove dregs, and take in one go.
[Zhang Zhongjing] When a woman suffers from abdominal pain, Xiao Jianzhong Tang (Minor Construct the Middle Decoction) is the primary treatment. (Formula see Cold Damage Abdominal Pain.)
[Anonymous/Cited Source] Xionggui Tang (Ligusticum and Angelica Decoction) treats pregnancy complicated by pre-existing cold qi, suddenly causing heart and abdominal pain like knife stabbing. (See previous Heart and Abdominal Pain section.)
[Zhu Danxi] Sun Yuanjun injured her fetus by being exposed to foul miasma near a funeral, resulting in abdominal pain so severe that it could not be touched, fever, and loss of appetite. The treatment requires calming the fetus and dispersing stagnant qi.
Qingpi (Pericarpium Citri Reticulatae Viride, 3 qian) Huangqin (Radix Scutellariae, 2 qian) Shaoyao (Radix Paeoniae Alba, 2 qian) Guiwei (Cauda Radicis Angelicae Sinensis, 1.5 qian) Chuanxiong (Rhizoma Chuanxiong, 1 qian) Muxiang (Radix Aucklandiae, 5 fen) Gancao (Radix Glycyrrhizae Preparata, a little)
Divide into two doses, add three zhan of water, first decoct two large slices of Zhugen (Radix Boehmeriae/Nephrolepidis, depending on context, usually Boehmeria nivea root for pregnancy) until reduced to two zhan, remove Zhugen, add the aforementioned herbs, decoct to one zhan, and take hot.
To treat abdominal pain during pregnancy, use three jin of Shengdihuang (Raw Rhizoma Rehmanniae), crush to extract juice, mix with one sheng of wine, decoct until halved, and take in one go to cure.
[Master/Pulse Classic] The Master said: If a pregnant woman has fetal abdominal pain and feels uneasy, if the fetus is not moving, to determine life or death, have someone palpate the abdomen. If it feels like an inverted cup, it is a male; if it feels uneven like elbows and necks protruding, it is a female. Cold areas indicate death, warm areas indicate life.
[Xue Ji citing ancient text] Fetal lower abdominal pain is caused by deficiency of the uterine collaterals, where wind and cold fight each other; severe pain can also cause fetal movement.
[Xue Ji] For the above syndromes caused by wind-cold attack, use Zisu Yin (Perilla Infusion) with added Shengjiang (Fresh Rhizoma Zingiberis). For Qi and Blood deficiency, use Bazhen Tang (Eight Treasures Decoction). For Spleen Qi deficiency, use Liujunzi Tang (Six Gentlemen Decoction). for Middle Qi deficiency, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). If there is abdominal distension and pain, use Antai Yin (Fetus-Calming Infusion) with added Shengma (Rhizoma Cimicifugae) and Baizhu (Rhizoma Atractylodis Macrocephalae); if ineffective, combine with Buzhong Yiqi Tang.
A pregnant woman suffered lower abdominal pain with fetal instability, Qi attacking left and right, sometimes counterflow upward, and difficult urination. She was treated with Xiaochaihu Tang (Minor Bupleurum Decoction) plus Qingpi (Pericarpium Citri Reticulatae Viride) and Shanzhi (Fructus Gardeniae), clearing Liver Fire, which led to recovery. Later, due to anger, she experienced lower abdominal distension and fullness, difficult urination, heavy bearing sensation in the urinary tract, and continued fetal instability. This was also caused by excessive Liver Wood fire. One dose of Longdan Xiegan Tang (Gentiana Decoction to Drain the Liver) cured all symptoms immediately. Subsequently, Sijunzi Tang (Four Gentlemen Decoction) with Chaihu (Radix Bupleuri) and Shengma (Rhizoma Cimicifugae) was used to nourish Spleen Earth and calm the fetus.
To treat pregnancy complicated by fright and annoyance, with downward fetal instability, lower abdominal pain radiating to the waist, and bleeding:
Danggui (Radix Angelicae Sinensis) Chuanxiong (Rhizoma Chuanxiong) (each 8 fen) Ejiao (Colla Corii Asini Prepared) Renshen (Radix Ginseng) Aiye (Folium Artemisiae Argyi) (each 4 fen) Dazao (Fructus Jujubae, 20 pieces) Fuling (Sclerotium Poriae, 10 fen)
Finely chop, add four sheng of water, decoct to obtain two sheng, take warm, divided into three doses.
"Supplement to Lost Texts" treats pregnant women's lower abdominal pain and fetal restlessness.
Chuanxiong (Rhizoma Chuanxiong) ground into fine powder, taken with wine.
Another prescription: Chuanxiong (Rhizoma Chuanxiong) Danggui (Radix Angelicae Sinensis) (equal parts) decocted in water and taken warm.