妊娠少腹作疼，胎动不安，如有下堕之状，人只知带脉无力也，准知是脾肾之亏乎！夫胞胎虽系于带脉，而带
脉实关于脾肾。脾肾亏损，则带脉无力，胞胎即无以胜任矣。况人之脾肾亏损者，非饮食之过伤，即色欲之太甚。
脾肾亏则带脉急，胞胎所以有下坠之状也。然则胞胎之系，通于心与肾，而不通于脾，补肾可也，何故补脾？然
脾为后天，肾为先天，脾非先天之气不能化，肾非后天之气不能生，补肾而不补脾，则肾之精何以遽生也，是补后
天之脾，正所以补先天之肾也；补先后二天之脾与肾，正所以固胞胎之气与血，脾肾可不均补乎！
方用安奠二天汤
人参（一两，去芦） 熟地（一两，九蒸） 白术（一两，土炒） 山药（五钱，炒） 炙草（一钱） 山萸（五
钱，蒸，去核） 杜仲（三钱，炒黑） 枸杞（二钱） 扁豆（五钱，炒，去皮）
水煎。服一剂而疼止，二剂而胎安矣。夫胎动乃脾肾双亏之症，非大用参、术、熟地补阴补阳之品，断不能挽回于
顷刻。世人往往畏用参术或少用，以翼建功，所以寡效。此方正妙在多用也。
眉批∶人参一两，无力者以党参代之。无上党参者，以嫩黄 代之，古之人参，即今之上党参也。得真台党
即是，不必以黄 代之，亦不必拘泥谓人参即是辽参、丽参则误矣。杏初识。
歌括∶娠妊少腹痛非常，胎动不安食色伤。
脾肾亏损身无力，急补脾肾法最良。
安奠二天参地黄，白术山药扁豆襄。
山萸杜仲枸杞草，脾肾健固若金汤。
妊娠期间少腹部疼痛，胎动不安，有要流产的感觉，人们只知道是带脉无力，哪里知道这是脾肾亏损呢！虽然胞胎系于带脉，但带脉实际上与脾肾密切相关。脾肾亏损，就会导致带脉无力，胞胎也就无法胜任其功能了。况且人的脾肾亏损，如果不是饮食过度损伤，就是房事太过频繁。脾肾亏虚则带脉拘急，胞胎因此出现下坠的感觉。那么，胞胎的系连，通达于心与肾，而不通达于脾，补肾就可以了，为什么还要补脾呢？然而脾为后天之本，肾为先天之本，脾没有先天之气就不能运化，肾没有后天之气就不能生长，补肾如果不补脾，那么肾的精气怎么能迅速生成呢？所以补后天的脾，正是为了补先天的肾；同时补先后天二脏的脾与肾，正是为了巩固胞胎的气与血，脾肾怎能不均衡地同补呢！
方用安奠二天汤：人参（一两，去芦头）、熟地黄（一两，九次蒸制）、白术（一两，土炒）、山药（五钱，炒制）、炙甘草（一钱）、山茱萸（五钱，蒸制，去核）、杜仲（三钱，炒黑）、枸杞子（二钱）、扁豆（五钱，炒制，去皮）。水煎服。服用一剂疼痛停止，两剂胎元安定。胎动不安是脾肾双重的亏损病症，不用大量的人参、白术、熟地黄等补阴补阳的药物，绝对不能在短时间内挽回局面。世人往往害怕使用人参、白术或者用量很少，希望以此侥幸建功，所以疗效稀少。这个方子的精妙之处就在于重用药物。
眉批：人参一两，对于体质虚弱者可以用党参代替。如果没有上党参，可以用嫩黄芪代替，古代所说的人参，就是现在的上党参。得到真正的台党参即可，不必用黄芪代替，也不必拘泥认为人参就是辽参、丽参，那样就错了。杏初识。
歌诀：妊娠期间少腹疼痛不同寻常，胎动不安是由于饮食和房事损伤。脾肾亏损导致身体无力，紧急补益脾肾的方法最好。安奠二天汤用人参和地黄，白术、山药、扁豆来辅助。山茱萸、杜仲、枸杞、甘草，使脾肾健固如同坚固的城池。
During pregnancy, if there is pain in the lower abdomen, fetal restlessness (fetal movement instability), and a sensation of impending miscarriage, people only know that it is due to weakness of the Dai Mai (Girdle Vessel). How could they know that it is actually due to deficiency of the Spleen and Kidney? Although the Bao Tai (Uterus) is connected to the Dai Mai, the Dai Mai is essentially related to the Spleen and Kidney. When the Spleen and Kidney are deficient, the Dai Mai becomes weak, and the Bao Tai loses its capacity to function properly. Moreover, deficiency of the Spleen and Kidney in humans is either caused by excessive dietary injury or excessive sexual activity. When the Spleen and Kidney are deficient, the Dai Mai becomes tense, causing the Bao Tai to have a sensation of sinking. Then, the connection of the Bao Tai extends to the Heart and Kidney, but not to the Spleen; tonifying the Kidney should suffice, why also tonify the Spleen? However, the Spleen is the Post-Heaven (Acquired) Foundation, and the Kidney is the Pre-Heaven (Constitutional) Foundation. The Spleen cannot transform without Qi from the Pre-Heaven, and the Kidney cannot generate without Qi from the Post-Heaven. If one tonifies the Kidney without tonifying the Spleen, how can the essence of the Kidney be rapidly generated? Therefore, tonifying the Post-Heaven Spleen is precisely to tonify the Pre-Heaven Kidney; simultaneously tonifying both the Pre-Heaven and Post-Heaven Spleen and Kidney is precisely to consolidate the Qi and Blood of the Bao Tai. Can the Spleen and Kidney fail to be tonified equally?
The formula used is Andian Er Tian Tang (Stabilize and Secure Two Heavens Decoction): Ren Shen (Ginseng Radix et Rhizoma, 1 liang, remove rhizome), Shu Di Huang (Prepared Rehmanniae Radix, 1 liang, steamed nine times), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1 liang, stir-fried with soil), Shan Yao (Dioscoreae Rhizoma, 5 qian, stir-fried), Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma, 1 qian), Shan Yu Rou (Corni Fructus, 5 qian, steamed, remove seeds), Du Zhong (Eucommiae Cortex, 3 qian, stir-fried until black), Gou Qi Zi (Lycii Fructus, 2 qian), Bian Dou (Dolichoris Semen, 5 qian, stir-fried, remove skin). Decoct in water and drink. After taking one dose, the pain stops; after two doses, the fetus is stabilized. Fetal restlessness is a syndrome of double deficiency of the Spleen and Kidney. Without using large doses of Yin- and Yang-tonifying herbs such as Ren Shen, Bai Zhu, and Shu Di Huang, it is impossible to reverse the condition in an instant. People often fear using Ren Shen and Bai Zhu or use them in small amounts, hoping to achieve success easily, which results in few effective cases. The brilliance of this formula lies in the heavy dosage.
Marginal Note: For one liang of Ren Shen, if the patient is weak, Dang Shen (Codonopsis Radix) can be substituted. If Shangdang Dang Shen is unavailable, tender Huang Qi (Astragali Radix) can be used. The Ren Shen mentioned in ancient texts refers to the current Shangdang Dang Shen. Obtaining genuine Taibai Dang Shen is sufficient; there is no need to substitute with Huang Qi, nor is it correct to rigidly insist that Ren Shen must be Liaoshen or Lishen. Identified by Xingchu.
Rhyme Formula:
Pain in the lower abdomen during pregnancy is unusual;
Fetal restlessness is injured by diet and sexual activity.
Spleen and Kidney deficiency causes bodily weakness;
Urgently tonifying Spleen and Kidney is the best method.
Andian Er Tian Tang uses Ren Shen and Di Huang;
Bai Zhu, Shan Yao, and Bian Dou assist.
Shan Yu Rou, Du Zhong, Gou Qi, and Gan Cao;
Strengthening Spleen and Kidney makes it solid as a golden fortress.