〔大〕夫妊娠不长者，因有宿疾，或因失调，以致脏腑衰损，气血虚弱而胎不长也。
当治其疾疚，益其气血，则胎自长矣。
〔薛〕前证更当察其经络，审其所因而治之。一妊妇胎六月，体倦懒食，面黄晡
热而胎不长，因劳欲坠。此脾气不足也，用八珍汤倍加参、术、茯苓，三十余剂，脾胃
渐健，胎安而长矣。一妊妇因怒寒热往来，内热晡热，胁痛呕吐，胎至八月而不长。此
因肝脾郁怒所致，用六君加柴胡、山栀、枳壳、紫苏、桔梗，病愈而胎亦长矣。
安胎白术散 治妊娠宿有冷，胎痿不长，或失于将理，伤胎多堕。此药补荣卫，养胎
气。
白术 川芎（各一两） 吴茱萸（汤泡，半两） 甘草（炙，一两半）
为细末，每服二钱，食前温酒调下，忌生冷果实。
白术散（见前胎动不安。）
黄 散 主妊娠胎不长。安胎和气思食，利四肢。
黄 白术 陈皮 麦门冬 白茯苓 前胡 人参（各七钱半） 川芎 甘草（各半两）
上 咀，每服三钱，水一盏，姜三片，枣一枚，煎至七分，去滓温服。
人参丸 主妊娠胎不长宜服，养胎。
人参 白茯苓 当归 柴胡 刺苏 浓朴 桑寄生（各一两） 枳壳（七钱半）
甘草（半两）
上为细末，炼蜜为丸，如梧子大。每服二十丸，食前温水吞下。
《集验》治妇人怀胎不长方。
鲤鱼（长一尺者，去肠肚鳞）
以水渍没，纳盐及枣煮熟，取汁稍稍饮之，当胎所腹上当汗出如牛鼻状，虽有所见，
胎虽不安者，十余日辄一作此，令胎长大，甚平安。
〔附〕枳实槟榔丸 安养胎气，调和经候， 瘕癖块有似孕妇，可以久服，血气通和。
枳实（生用） 槟榔 黄连 黄柏 黄芩 当归 木香 阿胶（灰炒、研。各半两）
上为细末。水和丸如小豆大。每服三十丸，不拘时，用温米饮送下。
[Da] If the fetus fails to grow during pregnancy, it is due to pre-existing chronic diseases or improper regulation, leading to the decline and damage of Zang-Fu organs, and deficiency of Qi and Blood, thereby preventing normal fetal growth.
The treatment should focus on curing the underlying disease and tonifying Qi and Blood, after which the fetus will naturally grow.
[Xue] In the aforementioned conditions, one must further examine the meridians and investigate the etiology to guide treatment. One pregnant woman at six months gestation presented with fatigue, poor appetite, sallow complexion, afternoon fever, and fetal growth retardation, caused by overexertion and sexual indulgence leading to sinking of fetal Qi. This indicated Spleen Qi deficiency; she was treated with Bazhen Tang (Eight-Treasure Decoction) with increased doses of Renshen (Ginseng), Baizhu (Atractylodes Macrocephala Rhizome), and Fuling (Poria), administered for over thirty doses. Her Spleen and Stomach function gradually strengthened, fetal stability was restored, and the fetus grew normally. Another pregnant woman presented with alternating chills and fever, internal heat, afternoon fever, hypochondriac pain, and vomiting due to anger, with no fetal growth by the eighth month. This was caused by Liver and Spleen Qi stagnation due to anger; she was treated with Liujunzi Tang (Six-Gentlemen Decoction) added with Chaihu (Bupleurum Root), Zhizi (Gardenia Fruit), Zhike (Aurantium Fructus), Zisu (Perilla Leaf), and Jiegeng (Platycodon Root). Upon recovery from illness, the fetus also grew.
Ante-Natal Bai Zhu Powder: Treats cases where a pregnant woman has pre-existing cold pathogens, resulting in fetal atrophy and failure to grow, or where improper care damages the fetal Qi causing multiple miscarriages. This formula tonifies Ying and Wei (Nutritive and Defensive Qi) and nourishes fetal Qi.
Baizhu (Atractylodes Macrocephala Rhizome), Chuanxiong (Ligusticum Chuanxiong Rhizome) (1 liang each); Wuzhuyu (Evodia Fruit) (soaked in hot water, 0.5 liang); Gancao (Licorice Root), roasted (1.5 liang).
Grind into fine powder. Take 2 qian per dose, mixed with warm wine before meals. Avoid raw/cold foods and fruits.
Bai Zhu San (See entry "Fetal Restlessness" above.)
Huangqi San: Mainly treats fetal growth retardation during pregnancy. It stabilizes the fetus, harmonizes Qi, stimulates appetite, and benefits the four limbs.
Huangqi (Astragalus Membranaceus Root), Baizhu (Atractylodes Macrocephala Rhizome), Chenpi (Citrus Reticulata Pericarp), Maidong (Ophiopogon Japonicus Tuber), Fuling (Poria), Qianhu (Peucedani Radix), Renshen (Ginseng) (7.5 qian each); Chuanxiong (Ligusticum Chuanxiong Rhizome), Gancao (Licorice Root) (0.5 liang each).
Cut the herbs into small pieces. Take 3 qian per dose, add one cup of water, three slices of Shengjiang (Fresh Ginger), and one Dazao (Jujube). Decoct until reduced to 70%, strain, and take warm.
Renshen Wan: Mainly indicated for fetal growth retardation during pregnancy; nourishes the fetus.
Renshen (Ginseng), Fuling (Poria), Danggui (Angelica Sinensis Root), Chaihu (Bupleurum Root), Zisu (Perilla Leaf), Houpo (Magnolia Bark), Sangjisheng (Taxillus Chinensis Stem) (1 liang each); Zhike (Aurantium Fructus) (7.5 qian); Gancao (Licorice Root) (0.5 liang).
Grind into fine powder, mix with refined honey to make pills the size of wutong seeds. Take 20 pills per dose, swallowed with warm water before meals.
From *Ji Yan* (Collected Proven Experiences): A prescription for treating fetal growth retardation in women.
Carp (one chi long, cleaned of intestines and scales).
Soak in water until submerged, cook with salt and jujubes until done. Take the broth and drink it slowly. Sweat will appear on the abdomen corresponding to the fetus's location, resembling sweat on an ox's nose. Even if there are signs of threatened abortion or fetal instability, performing this method every ten days or so will promote fetal growth and ensure safety.
[Appendix] Zhishi Binglang Wan: Stabilizes and nourishes fetal Qi, regulates menstruation. For abdominal masses resembling pregnancy (zheng jia pi ku), it can be taken long-term to harmonize Blood and Qi.
Zhishi (Immature Bitter Orange), Binglang (Areca Seed), Huanglian (Coptis Rhizome), Huangbai (Phellodendron Bark), Huangqin (Scutellaria Root), Danggui (Angelica Sinensis Root), Muxiang (Aucklandiae Radix), Ejiao (Donkey-Hide Gelatin), processed with ash and ground (0.5 liang each).
Grind into fine powder. Form pills with water, size of small beans. Take 30 pills per dose, at any time, washed down with warm rice beverage.