（附论）
夫妇人妊娠常胎动不安者。有冲任经虚。胞门子户受胎不实故也。并有饮酒房室过度。
有所损动不安者。巢氏云。妇人冲任二经。挟风寒而有胎。故不以日月多寡。因误有击触而
胎动者。有喜怒不常。气宇不舒。伤于心肝。触动血脉。冲任经虚。乃致胞门不固。或因登
高上厕。风攻阴户。入于子宫。如此皆令胎动不安也。或妊妇月信不绝。而胎不损者何。盖
妇人血盛气衰。其人必肥。既娠之后。乃信常来。而胎不动。若误以漏胎治之。则胎必堕。
诚有此也。又云妇人经闭不利。别有所苦者。是谓有子。以其经血蓄之以养胎。拥之为乳汁
也。有子之后。畜以养胎矣。岂可复能散动耶。所以然者。盖有娠而月信复至。是亦未必因
血盛也。谓妇人营经有风。则经血喜动。以其风胜则可也。既营经为风所胜。则所来者非养
胎之血。以此辨之。亦作漏胎治之。必宜用保养补胎之药。且胎不损。强以药滋之。乃所谓
实实虚虚也。其胎终堕宜矣。若医者知营经有风之理。专以一药治风。经信可止。或不服药。
胎亦无恙。然而有胎本不固或因房室不能节。先漏而后堕者。须作漏胎治之。此又不可不审
也。亦有妇人年方壮岁。致服补暖之药。而使胞门子户反为药所燥搏。使新血不滋。旧血不
下。设或有子。不以迟晚则必堕。中年之后。气宇渐衰。必有崩中带下之疾。或月信愆期。
渐觉黄瘦。腰背不伸。五心烦热。五劳七伤之疾。从此而生。不独胞门子户风寒而生也。故
千金翼方有朴硝荡胞汤。止为此疾。今之医者。未见有用。又论妊娠胎动。其由有二。一因
母病而胎动。但疗母疾。其胎自安。若胎不坚固。致动以病母者。唯当安胎。其母自愈。一
因劳役气力。或触冒冷热。或饮食不节。或居处失宜。轻者转动不安。重者便致伤堕。当以
母形色察之。母面色赤舌青者。儿死母活。唇口青。两边沫出者。母子俱死。面青舌赤。口
中沫出者。母死子活也。
人云孕妇不语非病也。间有如此者。不须服药。临产月但服保生丸、四物汤之类。产下
便语。得亦自然之理。非药之功也。医家不说与人。临月则与寻常之药。产后能语。则以为
功。岂其功哉。按素问黄帝问曰。人有重身九月而喑此为何也。岐伯对曰。胞之络脉绝也。
帝曰何以言之。岐伯曰。胞络者。系于肾。少阴之脉贯肾。系舌本。故不能言。帝曰治之奈
何。岐伯曰。无治也。当十月复。
又云。妊娠将养得所。则血气调和。故儿在胎则安。当产亦易。若节适失宜。则血气乖
理。儿在胎则亟动。至产育亦难。而子上逼于心者。由产难用气力。胎动气逆。胎上冲逼于
心者。凡胎上逼于心则闷绝。胎下乃苏。甚者至死也。
又曰妊娠之人有宿挟 疾而后有娠。或有妊时节适乖理。致生疾病。并令脏腑衰损。气
力虚羸。令胎不长。故须服药去其疾病。益其气血以扶养胎也。夫妊娠羸瘦。或挟疾病。脏
腑虚损。气血枯竭。既不能养胎。致胎动而不坚固。终不能安者。则可下之。免害妊妇也。
又云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。母病则先治其母。
胎自安矣。胎病则先治其胎。母自安矣。间有误食毒物起居不慎。气疾为梗。寒热更作。胎
漏血下。皆致胎动。又宜随所因以调护之。
方
通灵散（出医学类证）治妊娠三两月。胎动不安者何。男女阴阳会通。血气
调
匀。乃成其娠。设若下血腹痛。盖缘子宫久冷。血海虚羸。致令胎堕。其危甚于正产。
若妊娠曾受此苦。可预服通灵散养胎。
人参 附子（炮） 熟地黄 木香（煨） 白术 干姜 牡丹皮 白芍药 陈皮（去白）
薯蓣 黄 （蜜炙） 甘草（炙） 芎 上各等分为细末。每服二钱。水一盏。糯米四十
九粒。煎八分去米。温服。日二服。忌一切毒物。一方无人参。
保生丸（出危氏方）治妊娠将理失宜。或劳役胎动不安。腰腹痛。胞阻漏
胎。
恶露时下。或子脏挟疾。久不成胎。或受妊不能固养。痿燥不长。过年不产。日月虽满。
转动无力。或致损堕。及临产节适乖宜。惊动太早。产时未至。恶露先下。胎胞枯燥。
致令产难。或横或逆。痛极闷乱。连日不产。子死腹中。腹上冰冷。口唇青黑。吐出冰
冷沫。新产恶血上充。运闷不省。喘促汗出。及瘀血未尽。脐腹 痛。寒热往来。或因
产劳损。虚羸未复。面黄体瘦。心怔盗汗。饮食不进。渐成蓐劳。八月常服。壮气养胎。
正顺产理。润胎易产。产后常服。滋养血气。和调阴阳。密腠理。实腑脏。治风虚。除
痼冷一切疾。
麻仁（去壳一两） 当归（半两微炒） 干姜（炮） 肉桂（去皮） 石斛（去根） 秦
椒（去目闭口者炒出汗） 石膏（研如粉） 黄芩 糯米 贝母 甘草（炙赤） 大豆黄卷
（各一钱） 上
为末。炼蜜丸弹子大。每一丸温酒枣汤化下。空心嚼下亦可。方内用黄芩、麻仁性寒之药。
人疑不服。殊不知娠中有风。风中有热。风热既静。其胎必固。黄芩能去子热。麻仁能去子
风。亦可服参苓白术散。一方用蒲黄一两。（参苓白术散方见大方科胃腑门胃虚冷类）
安胎饮
大腹皮（洗） 人参（去芦） 陈皮（去白） 白芍药 当归（中截） 川芎（炒） 香
附子（炒） 缩砂（炒） 紫苏（茎叶） 赤茯苓（去皮） 甘草（炙各等分） 上锉。灯
心七茎。糯米半撮。同煎服。仍以猪肉橹圣功散食之。仍服神功散解热毒。如治漏胎。加阿
胶、百草霜。
桑寄生汤 治妊娠胎动不安。
桑上寄生（锉） 当归（切焙） 赤茯苓（去黑皮） 木通（锉） 生干地黄（焙） 陈
橘皮（去白炒各一两） 白术 芎 （各一两半） 诃黎勒（炮取皮一两） 莎草根（去毛
炒半两） 木香
（一钱） 上粗捣筛。每服三钱。以水一盏。入生姜二片。同煎至六分去滓。温服。日三。
加减安胎饮（出危氏方）凡妇人昼眠不起。倦于梳饰。干恶心择食。怕闻饭气
。但嗜咸酸。止经候明矣。气血弱者。宜服此。兼进脾药安胎温养。令母脏气平和。阴
阳全备。免有损堕之患。盛者受胎。母无疾耳。温胎保养之剂。恐非所宜。此方兼治胎
动不安。腹痛漏下。或
条参（去芦） 嫩黄 （去芦） 芍药 大川芎 熟地黄（酒洗切焙） 粉草 川续断
（去芦）
侧柏叶（炒） 阿胶（麸炒） 当归（去尾各等分） 上每服四钱。水一盏半。生姜三片。
金银煎
之。如漏下不止。加熟艾一握。如胎动口噤。唇青。下利不止。用熟艾一两。酒三盏煮至二
盏去滓。灌之即安。
桑寄生散（出澹寮方）治妊娠胎动不安。下血不止。胎漏。经血妄行者何。
答
曰妊娠成形。胎息未实。或因房室惊触。劳力过度。从高坠下。重物所压。伤动胞胎。
或食毒物。致令子宫虚滑。经血淋沥。若不急治。败血凑心。子母难保。日渐胎干。危
亡不久。
桑寄生 当归（去芦酒浸） 川续断 芎 香附子（炒） 阿胶（锉蛤粉炒成珠） 茯
神（去木） 白术（以上各一两） 人参 甘草（炙各半两） 上 咀。每服四钱。水一盏
半。姜五片。煎至七分去滓。温服。不拘时候。
旋复花汤（出千金方）治妊娠六七月。胎不安。常服之。
旋复花（一两） 半夏 芍药 生姜（各二两） 枳实 浓朴（去皮） 白术 黄芩 茯
苓
（各三两） 上 咀。以水一斗。煮取二升半。分五服。日三夜二。先食服。忌羊肉、饧、
醋、
桃
浓朴橘皮丸 治胎动不安。心腹痛。
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
胶（炙燥半两） 当归（锉焙） 干姜（炮） 诃黎勒皮（各半两） 吴茱萸（洗焙干炒一
钱） 上捣
罗
安胎饮 治妊娠胎气不安。腹痛烦闷。
芎 阿胶（炙燥） 艾叶 当归（切焙） 人参 甘草（炙锉） 白茯苓（去黑皮） 黄
（锉） 麦门冬（去心焙各一两） 上粗捣筛。每服五钱。以水一盏半。煎八分去滓。空心
温服。
不拘
紫苏饮（出简易方）治妊娠胎气不和。怀胎近上。腹满疼痛。谓之子悬。兼
治
临产惊恐。气结。连日不下。
当归（三钱） 甘草（一钱） 大腹皮（制） 人参（一两） 陈橘皮（去白） 白芍
药川芎
（各半两） 紫苏（一两） 上 咀。每服半两。水一盏半。姜四片。葱白七寸。煎至七分
去滓。
空心温服。一方加木香。一方无川芎。名七宝散。昔日曾有一妇人。累日产不下。服遍催生
药不验。予曰。此必平日心怀恐虑气结而然。故胎不顺也。素问云。恐则气下。盖恐则精却。
却则上气闭。闭则气还。还则下焦气乃不行矣。得此药服便产。及妇人六七月子悬者。予用
此药。数数有验。不十服。胎便近下。注云。恐则阳精却。上而不下流。故却则上焦闭也。
上焦既闭。气不行流下焦。阴气亦还回不散而聚为胀也。然上焦固禁。下焦各气守一处。故
气不行也。方出本事。丁未六月间。罗新息孺人黄氏有孕七个月。远去而归。忽然胎上冲心
而痛。坐卧不安。两医治之。无效。遂说胎已死矣。已用蓖麻子皮研烂加麝香调贴脐中。以
下之。命在垂危。召仆诊视。两尺脉沉绝。他脉平和。仆问二医者曰。契兄作何证治之。答
曰死胎也。何以知之。答曰两尺脉绝以此知之。仆问之曰。此说出在何经。二医无答。遂问
仆曰。阁下作何证治之。答曰此子悬也。若是胎死。却有辨处。面赤舌青者。子死母活。面
青舌赤吐沫者。母死子活。唇舌俱青者。母子俱死。是其验也。今面色不赤。舌色不青。其
子未死。其证不安。冲心而痛。是胎上逼心。谓之子悬。宜紫苏饮子。治药十服而胎近下矣。
若两足肿满及身肿。不必治。产后自平。亦有产后肿不退。煮绿豆汁并豆任意食之。自退。
安胎饮（出仁存方）治胎动不安。非时转动。无故下血。腰腹疼痛。四肢沉
重
。懈怠不欲执作。及妊娠一切疾病。并治之。盖安胎之法。必须以药顺气和胃。自然无
害。
川芎 当归 熟地黄 砂仁 陈皮 白芍药（炒） 白茯苓 阿胶（各一两） 上 咀。
每
服四钱。水一盏半。葱白一根。煎至七分去滓。温服不拘时候。
阿胶散（出圣惠方）治妊娠胎动不安。心神虚烦。腹内疼痛。
阿胶（一两捣碎炒令黄燥） 白茯苓 麦门冬（去心） 柴胡（去苗各三钱） 甘草（炙
微赤
锉） 黄芩 当归（锉微炒各半两） 芎 （一两） 上捣筛为散。每服四钱。以水一钟。
入生
姜半分。枣三枚。煎至六分去滓。不计时候。稍热服。
芎 饮子（出圣惠方）治胎动不安。心神虚烦。
芎 （三钱） 艾叶（半两微炒） 阿胶（三钱捣碎炒令黄燥） 糯米（半合） 熟地
黄（一两）
枣（五枚） 青淡竹茹 生姜（各半两） 上细锉和匀。以水二大盏煎至一盏五分。去滓。
不计
时候。分温三服。
如圣汤（出济生方）治胎动腹痛。胎动腹痛若何。答曰。胎动腹痛。其理不
一
。或缘饮食冷热。动风毒物。或因房室过度。摇动骨节。伤犯胞胎。其候多呕。气不调
和。或服热药太过。气血相搏。急服顺气药安胎。不然变成漏胎。则难安矣。
鲤鱼皮 当归（去芦酒浸） 熟地黄（酒蒸） 白芍药 川芎 阿胶（锉蛤粉炒成珠） 川
续
断（酒浸） 甘草（炙各等分） 上 咀。每服四钱。水一盏半。入苎根少许。生姜五片。
煎至
七
缩砂汤（出直指方）治胎动腹胁腰痛。或急痛失气。胎又不动。血水间下。
缩砂 桑寄生（各半两） 当归 川芎 艾叶（炒） 阿胶（酥炒各三钱） 南木香 甘
草
（炙各二钱） 上锉散。每服三钱。姜五片。枣二枚。煎服。下血水者。更以真料理中汤加
缩
砂佐
续断汤 治妊娠胎动。腹痛腰痛。
续断 当归（焙） 芎 桑上寄生（锉各一两） 糯米（一两） 阿胶（炒燥） 艾
叶（炒）
竹茹（各半两） 上 咀。每服三钱。水一盏。煎至七分去滓。温服。不拘时候。
大安散 治妊娠胎动腹痛。
香子（三两炒） 白茯苓（去黑皮一两） 阿胶（炒燥半两） 芎 当归 桑上寄
生（锉）
甘草（炙） 陈橘皮（汤浸去白焙各二钱） 上为细散。每服二钱。温酒调下。食前服。
如圣散（出医学类证）治证同前如圣汤。
鲤鱼皮 阿胶（麸炒） 芎 当归（去头尾） 青竹茹 生姜 干地黄（各二钱） 上
咀。用水二盏。煎至一盏。去滓。温服。一方有干姜。
白术散（出十便良方）治妊娠腹中冷。胎动不安。
白术（三钱） 草豆蔻（去皮） 当归（锉微炒各一两） 甘草（炙煨赤锉） 干姜（炮
裂锉）
芎（各半两） 浓朴（一两去粗皮生姜汁炙令香熟） 上捣筛为散。每服三钱。以水一中
(Attached Discussion)
If a woman frequently experiences restless fetus during pregnancy, it is due to the deficiency of the Chong and Ren meridians, resulting in an unstable conception in the Baomen Zihu (uterus). There are also cases caused by excessive alcohol consumption or sexual intercourse, leading to damage and fetal restlessness. Chao Yuanfang stated: When the Chong and Ren meridians of a woman carry wind-cold during conception, regardless of the number of months pregnant, if the fetus becomes restless due to accidental blows or touches, this may be accompanied by irregular emotions, stagnation of Qi mechanism, injury to the Heart and Liver, disturbance of blood vessels, deficiency of the Chong and Ren meridians, causing the Baomen to be insecure. Or, when climbing high or using the toilet, wind pathogen invades the Yin aperture and enters the uterus. All such conditions cause fetal restlessness. In some cases, a pregnant woman's menstruation continues without stopping, yet the fetus remains undamaged. What is the reason? Generally, women with abundant blood and deficient Qi tend to be obese. After conception, menstruation may continue normally while the fetus remains stable. If mistakenly treated as threatened abortion (Lou Tai), the fetus will inevitably miscarry. Such cases do exist. It is also said that if a woman has amenorrhea but suffers from other discomforts, this indicates pregnancy. This is because menstrual blood accumulates to nourish the fetus and transforms into milk. Once pregnant, the blood is stored to nourish the fetus; how can it scatter and move freely? The reason is that menstruation returning after conception is not necessarily due to abundant blood. It is believed that if there is wind in the Ying (Nutrient) meridian, menstrual blood tends to flow recklessly due to the dominance of wind. Since the Ying meridian is overcome by wind, what flows out is not the blood meant for nourishing the fetus. Based on this differentiation, it should also be treated as threatened abortion, requiring herbs to preserve and tonify the fetus. However, if the fetus is undamaged but strong tonification is forced upon it, this constitutes "reinforcing excess and depleting deficiency" (Shi Shi Xu Xu). The eventual miscarriage would be justified. If a physician understands the principle of wind in the Ying meridian and uses a specific herb to treat the wind, menstruation may stop, or even without medication, the fetus remains safe. Nevertheless, if the fetus was originally unstable due to unregulated sexual activity, presenting first with spotting and then miscarriage, it must be treated as threatened abortion. This requires careful examination. Some women in their prime take warming and tonifying herbs, causing the Baomen Zihu to become dry and constrained by the heat of the medicine, preventing new blood from generating and old blood from descending. If pregnancy occurs, it will either be delayed or result in inevitable miscarriage. After middle age, Qi mechanism gradually declines, leading to disorders such as metrorrhagia, leukorrhea, irregular menstruation, sallow complexion, stiffness of the waist and back, five-palm heat, and diseases of Five Exhaustions and Seven Injuries. These arise not only from wind-cold in the Baomen Zihu. Therefore, *Piao Xiao Dang Bao Tang* (Plumbum Polytmetallatum Uterus-Cleansing Decoction) in *Qianjin Yi Fang* is specifically for such ailments, though modern physicians rarely use it. Regarding fetal restlessness, there are two causes: one is maternal illness causing fetal restlessness; treating the mother's illness will naturally stabilize the fetus. The other is an unstable fetus causing harm to the mother; stabilizing the fetus will naturally heal the mother. The second type includes restlessness due to overexertion, exposure to cold or heat, irregular diet, or improper living environment. Mild cases involve slight movement and discomfort, while severe cases lead to injury or miscarriage. One should observe the mother's complexion and tongue: red face and blue tongue indicate dead fetus and living mother; blue lips and mouth with foam at the corners indicate death of both mother and fetus; blue face and red tongue with foam in the mouth indicate dead mother and living fetus.
Some say that a pregnant woman's silence is not a disease. Occasionally, this occurs and requires no medication; simply taking *Bao Sheng Wan* (Preserve Life Pill) or *Si Wu Tang* (Four Substances Decoction) near delivery allows speech to resume postpartum, which is natural law, not the merit of medicine. Physicians often claim credit for this, administering ordinary herbs near term and attributing postpartum speech recovery to their skill, which is unjustified. According to *Su Wen*, the Yellow Emperor asked: Why does a woman carrying twins lose her voice in the ninth month? Qibo replied: The collaterals of the uterus are obstructed. The Emperor asked why. Qibo explained: The uterine collaterals connect to the Kidney; the Shaoyin meridian passes through the Kidney and connects to the root of the tongue, hence the inability to speak. The Emperor asked how to treat it. Qibo said: No treatment is needed; it will recover after ten months.
It is also stated that proper care during pregnancy harmonizes Qi and Blood, ensuring fetal stability and easy delivery. Improper regulation disrupts Qi and Blood, causing frequent fetal movement and difficult labor. Fetal pressure on the Heart results from excessive effort during delivery, causing Qi rebellion and upward thrust of the fetus against the Heart. This leads to fainting and suffocation until the fetus descends; severe cases may result in death.
Furthermore, if a pregnant woman has pre-existing chronic diseases or fails to regulate her lifestyle during pregnancy, leading to illness and organ depletion, causing weak Qi and emaciation, thereby hindering fetal growth, medication is required to remove the disease and tonify Qi and Blood to support the fetus. If a pregnant woman is emaciated, complicated by illness, with depleted organs and exhausted Qi and Blood, unable to nourish the fetus, resulting in persistent fetal restlessness and instability that cannot be stabilized, purgatives may be used to prevent harm to the mother.
Regarding fetal restlessness, it can be caused by maternal illness affecting the fetus, or by fetal issues affecting the mother; neither situation allows for peace. If the mother is ill, treat the mother first, and the fetus will stabilize. If the fetus is diseased, treat the fetus first, and the mother will recover. Occasionally, mistaken ingestion of toxic substances, careless daily life, Qi obstruction, alternating chills and fever, or vaginal bleeding (Lou Tai) cause fetal restlessness. Treatment should follow the cause.
Formulas
**Tong Ling San** (Source: *Yi Xue Lei Zheng*) treats fetal restlessness around three months of pregnancy. Male and female Yin and Yang intersect, and Qi and Blood harmonize to form pregnancy. If vaginal bleeding and abdominal pain occur, it is likely due to long-term coldness of the uterus and deficiency of the Blood Sea, leading to miscarriage, which is more dangerous than normal delivery. Women who have suffered this can take *Tong Ling San* prophylactically to nourish the fetus.
*Ren Shen* (Ginseng Root), *Fu Zi* (Prepared Aconite Lateral Root), *Shu Di Huang* (Prepared Rehmannia Root), *Mu Xiang* (Aucklandiae Radix, baked), *Bai Zhu* (Atractylodis Macrocephalae Rhizoma), *Gan Jiang* (Dried Ginger), *Mu Dan Pi* (Moutan Cortex), *Bai Shao Yao* (White Peony Root), *Chen Pi* (Citri Reticulatae Pericarpium, white part removed), *Shu Yu* (Dioscoreae Rhizoma), *Huang Qi* (Astragali Radix, honey-fried), *Gan Cao* (Licorice Root, fried), *Xiong* (Ligustici Chuanxiong Rhizoma). All ingredients in equal parts, ground into fine powder. Take 2 qian per dose with one cup of water and 49 grains of glutinous rice, decoct to 80%, remove rice, and take warm. Twice daily. Avoid all toxic foods. Another version excludes *Ren Shen*.
**Bao Sheng Wan** (Source: *Wei Shi Fang*) treats improper care during pregnancy, labor-induced fetal restlessness, lower back and abdominal pain, placental obstruction, threatened abortion, intermittent lochia, uterine diseases preventing conception, failure to maintain pregnancy, emaciation and dryness preventing gestation, overdue pregnancy with weak movement, risk of miscarriage, premature rupture of membranes due to early惊吓, difficult labor due to dry placenta, malposition, extreme pain and confusion, prolonged labor with intrauterine fetal death, cold abdomen, blue-black lips, vomiting cold foam, postpartum blood stasis causing syncope, panting and sweating, incomplete expulsion of lochia, umbilical and abdominal pain, alternating chills and fever, or postpartum weakness, sallow complexion, thin body, palpitations, night sweats, poor appetite, progressing to puerperal fever. Take regularly in the eighth month to strengthen Qi, nourish fetus, facilitate smooth delivery, and moisten the womb for easier birth. Postpartum use nourishes Qi and Blood, harmonizes Yin and Yang, secures the exterior, strengthens organs, treats wind-deficiency, and eliminates chronic cold.
*Ma Ren* (Cannabis Seed, shelled, 1 liang), *Dang Gui* (Angelicae Sinensis Radix, half liang, slightly stir-fried), *Gan Jiang* (Dried Ginger, prepared), *Rou Gui* (Cinnamomi Cortex, bark removed), *Shi Hu* (Dendrobii Caulis, roots removed), *Qin Jiao* (Gentianae Macrophyllae Radix, remove eyes and closed-mouth ones, stir-fry until sweat appears), *Shi Gao* (Gypsum Fibrosum, ground to powder), *Huang Qin* (Scutellariae Radix), *Nuo Mi* (Glutinous Rice), *Bei Mu* (Fritillariae Bulbus), *Gan Cao* (Licorice Root, fried red), *Da Dou Huang Juan* (Sojae Semen Preparatum, each 1 qian). Grind into powder, make pills the size of quail eggs with refined honey. Dissolve one pill in warm wine and jujube soup before meals, or chew on an empty stomach. Although *Huang Qin* and *Ma Ren* are cold, they clear fetal heat and wind respectively, stabilizing the fetus. *Shen Ling Bai Zhu San* (Ginseng, Poria, and Atractylodes Macrocephala Powder) is also suitable. Another version adds *Pu Huang* (Typhae Pollen, 1 liang). (*Shen Ling Bai Zhu San* formula is found in the Stomach Cold category of the Great Formula Section).
**An Tai Yin**
*Da Fu Pi* (Arecae Pericarpium, washed), *Ren Shen* (Ginseng Root, rhizome removed), *Chen Pi* (Citri Reticulatae Pericarpium, white part removed), *Bai Shao Yao* (White Peony Root), *Dang Gui* (Angelicae Sinensis Radix, middle section), *Chuan Xiong* (Ligustici Chuanxiong Rhizoma, stir-fried), *Xiang Fu* (Cyperi Rhizoma, stir-fried), *Suo Sha* (Amomi Fructus Rotundus, stir-fried), *Zi Su* (Perillae Folium, stems and leaves), *Chi Fu Ling* (Poria with Red Hosta, black skin removed), *Gan Cao* (Licorice Root, fried, equal parts). Chop, decoct with 7 stalks of Juncus effusus and a pinch of glutinous rice. Drink. Also consume with pork and *Lu Sheng Gong San*. Take *Shen Gong San* to clear heat toxins. For threatened abortion, add *E Jiao* (Donkey-hide Gelatin) and *Bai Cao Shuang* (Ash of Hundred Herbs).
**Sang Ji Sheng Tang** (Mulberry Mistletoe Decoction) treats fetal restlessness during pregnancy.
*Sang Shang Ji Sheng* (Mulberry Mistletoe, chopped), *Dang Gui* (Angelicae Sinensis Radix, sliced and baked), *Chi Fu Ling* (Poria with Red Hosta, black skin removed), *Mu Tong* (Akebiae Caulis, chopped), *Sheng Gan Di Huang* (Rehmanniae Radix, dried and baked), *Chen Ju Pi* (Citri Reticulatae Pericarpium, white part removed and fried, 1 liang each), *Bai Zhu* (Atractylodis Macrocephalae Rhizoma), *Xiong* (Ligustici Chuanxiong Rhizoma, 1.5 liang each), *He Li Le* (Terminalia Chebulae Fructus, prepared, peel 1 liang), *Sha Cao Gen* (Cyperi Rotundi Rhizoma, hair removed, stir-fried, half liang), *Mu Xiang* (Aucklandiae Radix, 1 qian). Coarsely grind and sieve. Take 3 qian per dose with one cup of water and 2 slices of ginger, decoct to 60%, strain, and take warm. Three times daily.
**Jian An Tai Yin** (Modified Fetus-Stabilizing Decoction, Source: *Wei Shi Fang*) is for women who sleep during the day, feel tired of grooming, experience dry heaving, food aversion, and crave salty/sour tastes, indicating confirmed menstruation. Suitable for those with weak Qi and Blood. It strengthens the Spleen, stabilizes the fetus, warms and nourishes, balancing organ Qi and Yin-Yang to prevent miscarriage. For robust women conceiving without illness, warming formulas are inappropriate. This formula treats fetal restlessness, abdominal pain, and bleeding.
*Tiao Shen* (Codonopsis Radix, rhizome removed), *Nen Huang Qi* (Young Astragali Radix, rhizome removed), *Shao Yao* (Peony Root), *Da Chuan Xiong* (Large Ligustici Chuanxiong Rhizoma), *Shu Di Huang* (Prepared Rehmanniae Radix, wine-washed, sliced, baked), *Fen Cao* (Licorice Root), *Chuan Xu Duan* (Dipsaci Radix, rhizome removed), *Ce Bai Ye* (Biota Tops, stir-fried), *E Jiao* (Donkey-hide Gelatin, bran-fried), *Dang Gui* (Angelicae Sinensis Radix, tail removed, equal parts). Take 4 qian per dose with 1.5 cups of water and 3 slices of ginger, decoct with gold and silver. If bleeding persists, add a handful of *Shu Ai* (Mugwort Leaf, prepared). If fetal restlessness causes jaw locking, blue lips, and diarrhea, use 1 liang of *Shu Ai* boiled in 3 cups of wine down to 2 cups, strain, and administer.
**Sang Ji Sheng San** (Mulberry Mistletoe Powder, Source: *Dan Liao Fang*) treats fetal restlessness, continuous vaginal bleeding, threatened abortion, and abnormal uterine bleeding.
Answer: When the fetus forms but respiration is not solid, trauma from sex, shock, overexertion, falling from heights, or heavy pressure can injure the fetus. Ingestion of toxins can cause uterine laxity and dripping blood. Untreated, stagnant blood affects the Heart, endangering mother and fetus, leading to fetal drying and imminent death.
*Sang Ji Sheng* (Mulberry Mistletoe), *Dang Gui* (Angelicae Sinensis Radix, rhizome removed, wine-soaked), *Chuan Xu Duan* (Dipsaci Radix), *Xiong* (Ligustici Chuanxiong Rhizoma), *Xiang Fu Zi* (Cyperi Rhizoma, stir-fried), *E Jiao* (Donkey-hide Gelatin, chopped and fried with clam powder into pearls), *Fu Shen* (Poria with Pine Root, wood removed), *Bai Zhu* (Atractylodis Macrocephalae Rhizoma, 1 liang each), *Ren Shen* (Ginseng Root), *Gan Cao* (Licorice Root, fried, half liang each). Chop. Take 4 qian per dose with 1.5 cups of water and 5 slices of ginger, decoct to 70%, strain, and take warm. Anytime.
**Xuan Fu Hua Tang** (Inula Flower Decoction, Source: *Qian Jin Fang*) treats fetal instability in the 6th-7th month; take regularly.
*Xuan Fu Hua* (Inulae Flos, 1 liang), *Ban Xia* (Pinelliae Rhizoma), *Shao Yao* (Peony Root), *Sheng Jiang* (Fresh Ginger, 2 liang each), *Zhi Shi* (Immature Bitter Orange Fruit), *Nong Po* (Magnoliae Officinalis Cortex, bark removed), *Bai Zhu* (Atractylodis Macrocephalae Rhizoma), *Huang Qin* (Scutellariae Radix), *Fu Ling* (Poria, 3 liang each). Chop. Boil in 10 dou of water to obtain 2.5 sheng. Divide into 5 doses. Take 3 times day, 2 times night. Before meals. Avoid mutton, maltose, vinegar, peaches.
**Nong Po Ju Pi Wan** (Magnolia Bark and Tangerine Peel Pill) treats fetal restlessness, heart and abdominal pain.
*Nong Po* (Magnoliae Officinalis Cortex, coarse bark removed, ginger juice-fried, 1 liang), *Chen Ju Pi* (Citri Reticulatae Pericarpium, hot water peeled, white part removed, baked, 1 liang), *Mu Xiang* (Aucklandiae Radix, 1 liang), *Bai Zhu* (Atractylodis Macrocephalae Rhizoma, 1.5 liang), *E Jiao* (Donkey-hide Gelatin, fried dry, half liang), *Dang Gui* (Angelicae Sinensis Radix, chopped and baked), *Gan Jiang* (Dried Ginger, prepared), *He Li Le Pi* (Peel of Terminalia Chebulae Fructus, half liang each), *Wu Zhu Yu* (Evodiae Fructus, washed, baked, dried, stir-fried, 1 qian). Grind and sieve.
**An Tai Yin** (Fetus-Stabilizing Decoction) treats uneasy fetal Qi, abdominal pain, and oppression.
*Xiong* (Ligustici Chuanxiong Rhizoma), *E Jiao* (Donkey-hide Gelatin, fried dry), *Ai Ye* (Artemisiae Argyi Folium), *Dang Gui* (Angelicae Sinensis Radix, sliced and baked), *Ren Shen* (Ginseng Root), *Gan Cao* (Licorice Root, fried and chopped), *Bai Fu Ling* (Poria, black skin removed), *Huang Qi* (Astragali Radix, chopped), *Mai Men Dong* (Ophiopogonis Tuber, heart removed, baked, 1 liang each). Coarsely grind and sieve. Take 5 qian per dose with 1.5 cups of water, decoct to 80%, strain, and take warm on an empty stomach. Anytime.
**Zi Su Yin** (Perilla Decoction, Source: *Jian Yi Fang*) treats disharmonious fetal Qi, fetus positioned high, abdominal fullness and pain, known as *Zi Xuan* (Fetal Suspension). Also treats prenatal fright, Qi stagnation, and prolonged labor.
*Dang Gui* (Angelicae Sinensis Radix, 3 qian), *Gan Cao* (Licorice Root, 1 qian), *Da Fu Pi* (Arecae Pericarpium, processed), *Ren Shen* (Ginseng Root, 1 liang), *Chen Ju Pi* (Citri Reticulatae Pericarpium, white part removed), *Bai Shao Yao* (White Peony Root), *Chuan Xiong* (Ligustici Chuanxiong Rhizoma, half liang each), *Zi Su* (Perillae Folium, 1 liang). Chop. Take half liang per dose with 1.5 cups of water, 4 slices of ginger, and 7 cun of scallion white, decoct to 70%, strain, and take warm on an empty stomach. One version adds *Mu Xiang*; another excludes *Chuan Xiong*, named *Qi Bao San*. Once, a woman failed to deliver despite various催产 drugs. I diagnosed fear-induced Qi stagnation. *Su Wen* states: Fear causes Qi to sink. Fear retreats essence, blocking upper Qi, causing return and lower Qi stagnation. This formula worked. For *Zi Xuan* at 6-7 months, it is effective within 10 doses. Note: Fear retreats Yang essence, blocking upper Jiao, causing Qi stagnation and distension in lower Jiao. Case: In Dingwei June, Lady Huang, 7 months pregnant, returned from travel, suddenly experienced fetal thrust to heart, pain, restlessness. Two doctors failed, diagnosing dead fetus, applied castor bean paste with musk to navel to induce expulsion, patient critical. Pulse at both Chi positions was deep and absent; others normal. Doctors claimed dead fetus based on absent Chi pulse. I diagnosed *Zi Xuan*. Signs of dead fetus: red face/blue tongue (fetus dead, mother alive); blue face/red tongue/foam (mother dead, fetus alive); blue lips/tongue (both dead). Her face was not red, tongue not blue, so fetus alive. Pain thrusting to heart is *Zi Xuan*. Prescribed *Zi Su Yin*. Ten doses moved fetus down. Leg/body edema resolves postpartum naturally; if persistent, eat mung beans.
**An Tai Yin** (Source: *Ren Cun Fang*) treats fetal restlessness, non-time movement, spontaneous bleeding, lower back/abdominal pain, heavy limbs, fatigue, and all pregnancy diseases. Stabilizing fetus requires harmonizing Qi and Stomach.
*Chuan Xiong* (Ligustici Chuanxiong Rhizoma), *Dang Gui* (Angelicae Sinensis Radix), *Shu Di Huang* (Prepared Rehmanniae Radix), *Sha Ren* (Amomi Fructus Rotundus), *Chen Pi* (Citri Reticulatae Pericarpium), *Bai Shao Yao* (White Peony Root, stir-fried), *Bai Fu Ling* (Poria), *E Jiao* (Donkey-hide Gelatin, 1 liang each). Chop. Take 4 qian per dose with 1.5 cups of water and one scallion white, decoct to 70%, strain, and take warm. Anytime.
**E Jiao San** (Donkey-hide Gelatin Powder, Source: *Sheng Hui Fang*) treats fetal restlessness, mental vexation, and abdominal pain.
*E Jiao* (Donkey-hide Gelatin, 1 liang, crushed and fried yellow-dry), *Bai Fu Ling* (Poria), *Mai Men Dong* (Ophiopogonis Tuber, heart removed), *Chai Hu* (Bupleuri Radix, sprouts removed, 3 qian each), *Gan Cao* (Licorice Root, fried light red and chopped), *Huang Qin* (Scutellariae Radix), *Dang Gui* (Angelicae Sinensis Radix, chopped and slightly fried, half liang each), *Xiong* (Ligustici Chuanxiong Rhizoma, 1 liang). Grind and sieve. Take 4 qian per dose with one cup of water, half slice of fresh ginger, and 3 jujubes, decoct to 60%, strain, and take warm anytime.
**Xiong Yin Zi** (Ligustici Chuanxiong Beverage, Source: *Sheng Hui Fang*) treats fetal restlessness and mental vexation.
*Xiong* (Ligustici Chuanxiong Rhizoma, 3 qian), *Ai Ye* (Artemisiae Argyi Folium, half liang, slightly fried), *E Jiao* (Donkey-hide Gelatin, 3 qian, crushed and fried yellow-dry), *Nuo Mi* (Glutinous Rice, half he), *Shu Di Huang* (Prepared Rehmanniae Radix, 1 liang), *Zao* (Jujube, 5 pieces), *Qing Dan Zhu Ru* (Green Light Bamboo Shavings), *Sheng Jiang* (Fresh Ginger, half liang each). Finely chop and mix. Boil in 2 large cups of water to 1.5 cups, strain, and divide into 3 warm doses. Anytime.
**Ru Sheng Tang** (Like-Sage Decoction, Source: *Ji Sheng Fang*) treats fetal restlessness and abdominal pain. Causes vary: diet temperature, toxic foods, excessive sex shaking bones/injuring fetus. Symptoms include vomiting, Qi imbalance, or excessive hot herbs causing Qi-Blood conflict. Urgently use Qi-regulating herbs to stabilize fetus, otherwise it becomes threatened abortion.
*Li Yu Pi* (Carp Skin), *Dang Gui* (Angelicae Sinensis Radix, rhizome removed, wine-soaked), *Shu Di Huang* (Prepared Rehmanniae Radix, wine-steamed), *Bai Shao Yao* (White Peony Root), *Chuan Xiong* (Ligustici Chuanxiong Rhizoma), *E Jiao* (Donkey-hide Gelatin, chopped and fried with clam powder into pearls), *Chuan Xu Duan* (Dipsaci Radix, wine-soaked), *Gan Cao* (Licorice Root, fried, equal parts). Chop. Take 4 qian per dose with 1.5 cups of water, a little *Zhu Gen* (Bambusa Textilis Root), and 5 slices of ginger, decoct to 70%.
**Suo Sha Tang** (Amomi Fructus Rotundus Decoction, Source: *Zhi Zhi Fang*) treats fetal restlessness, flank/lower back pain, sudden pain with flatus, immobile fetus, and intermittent bloody water discharge.
*Suo Sha* (Amomi Fructus Rotundus), *Sang Ji Sheng* (Mulberry Mistletoe, half liang each), *Dang Gui* (Angelicae Sinensis Radix), *Chuan Xiong* (Ligustici Chuanxiong Rhizoma), *Ai Ye* (Artemisiae Argyi Folium, stir-fried), *E Jiao* (Donkey-hide Gelatin, butter-fried, 3 qian each), *Nan Mu Xiang* (Southern Aucklandiae Radix), *Gan Cao* (Licorice Root, fried, 2 qian each). Chop. Take 3 qian per dose with 5 slices of ginger and 2 jujubes. For bloody water discharge, add *Suo Sha* to *Li Zhong Tang* (Regulate the Middle Decoction).
**Xu Duan Tang** (Dipsacus Decoction) treats fetal restlessness, abdominal and lower back pain.
*Xu Duan* (Dipsaci Radix), *Dang Gui* (Angelicae Sinensis Radix, baked), *Xiong* (Ligustici Chuanxiong Rhizoma), *Sang Shang Ji Sheng* (Mulberry Mistletoe, chopped, 1 liang each), *Nuo Mi* (Glutinous Rice, 1 liang), *E Jiao* (Donkey-hide Gelatin, fried dry), *Ai Ye* (Artemisiae Argyi Folium, stir-fried), *Zhu Ru* (Bamboo Shavings, half liang each). Chop. Take 3 qian per dose with one cup of water, decoct to 70%, strain, and take warm. Anytime.
**Da An San** (Great Peace Powder) treats fetal restlessness and abdominal pain.
*Xiang Zi* (Costi Fructus, 3 liang, stir-fried), *Bai Fu Ling* (Poria, black skin removed, 1 liang), *E Jiao* (Donkey-hide Gelatin, fried dry, half liang), *Xiong* (Ligustici Chuanxiong Rhizoma), *Dang Gui* (Angelicae Sinensis Radix), *Sang Shang Ji Sheng* (Mulberry Mistletoe, chopped), *Gan Cao* (Licorice Root, fried), *Chen Ju Pi* (Citri Reticulatae Pericarpium, hot water soaked, white part removed, baked, 2 qian each). Fine powder. Take 2 qian with warm wine before meals.
**Ru Sheng San** (Like-Sage Powder, Source: *Yi Xue Lei Zheng*) treats same indications as *Ru Sheng Tang*.
*Li Yu Pi* (Carp Skin), *E Jiao* (Donkey-hide Gelatin, bran-fried), *Xiong* (Ligustici Chuanxiong Rhizoma), *Dang Gui* (Angelicae Sinensis Radix, head and tail removed), *Qing Zhu Ru* (Green Bamboo Shavings), *Sheng Jiang* (Fresh Ginger), *Gan Di Huang* (Raw Rehmanniae Radix, 2 qian each). Chop. Boil in 2 cups of water to 1 cup, strain, and take warm. One version adds *Gan Jiang* (Dried Ginger).
**Bai Zhu San** (Atractylodis Macrocephalae Powder, Source: *Shi Bian Liang Fang*) treats cold in the abdomen and fetal restlessness during pregnancy.
*Bai Zhu* (Atractylodis Macrocephalae Rhizoma, 3 qian), *Cao Dou Kou* (Cardamomi Fructus, peel removed), *Dang Gui* (Angelicae Sinensis Radix, chopped and slightly fried, 1 liang each), *Gan Cao* (Licorice Root, fried, roasted red, chopped), *Gan Jiang* (Dried Ginger, roasted cracked, chopped), *Xiong* (Ligustici Chuanxiong Rhizoma, half liang each), *Nong Po* (Magnoliae Officinalis Cortex, 1 liang, coarse bark removed, ginger juice-fried until fragrant). Grind and sieve. Take 3 qian per dose with one cup of water...