胎有不安，而腰腹痛，甚则至于下坠者，未必不由气血虚，无所荣养而使之然也。夫胎之
在腹，如果之在枝，枝枯则果落，固理之自然。妇人性偏恣欲，火动于中，亦能致胎不安而坠
者也。大抵不外乎属虚、属火二者之间，清热养血之治尽之矣。此外二因而动胎者，又不
可不知也∶有因母病动胎，但疗母病则胎自稳；有因触伤而动，当以安胎药二三剂，而胎自安。
一、胎痛乃少血，四物汤加童便制过香附子共为末，每服三钱，紫苏汤调下。
一、有所伤触动而痛者，用芎归汤、独圣散，神效。
一、无事胎动，因火盛逼之故也。四物汤加条芩之类；若逆上作喘，加香附同煎。
一、胎动不安，及腹痛下血，宜服集验方，寄生散、牡蛎之属。
一、胎动曰胎肿，多是属湿。用山栀为末，米汤调服，或
丸服，白术散俱妙。
一、凡妊娠不论月日多少，但觉胎气不安，腰腹微痛，饮食无味，可服安胎饮、保胎丸之属。
一、胎至七八九月内，儿在腹中啼哭者，因妊妇登高取物，或伸手梳头，脱出儿口脐带上
疙瘩，因此有声。令妊妇曲腰在地拾物，使儿仍得含吞入口，即止。一方用多年空屋下鼠穴土一
块，含母口中即止。又以黄连煎哈之，亦止。
安胎饮 治妊娠胎气不安，腰腹微痛，饮食少进。
白术 白芍药 熟地黄 当归（各一钱） 人参 川芎 条芩 陈皮（各五分） 甘草
砂仁 紫苏（各三分）
上水盏半，煎八分，不拘时服。
下血者，加阿胶，甚者加艾叶；腹痛甚者，倍加芍药。
固胎饮 治妊娠气血俱虚，三个月内惯要坠胎，先用此方以固之不坠。
人参 黄 白术 条芩（各二钱） 当归（一钱） 川芎 芍药（各七分） 熟地黄
陈皮（各五分） 黄连 升麻 柴胡 糯米（八十一粒
上为细末，晚米粥为丸，如梧桐子大。每服五十丸，清米饮送下。
探胎饮妇人经水不来三月，疑似，用此验胎有无。
川芎（不见火，不拘多少，为细末。）
空心煎艾汤调下方寸匕。觉腹中动则有胎也；脐之下动者，乃血瘕也；不动者，血凝也，
病也。
芎归汤 治一切胎气不安。
川芎 当归（酒洗）
上咀等分，每服五钱，以好酒一盏，煎至将干，入水一盏，再煎五七沸，去渣温服。
独圣散 治妊娠有所伤触，激动胎元，腹痛下血，极效。
砂仁（不拘多少，带皮同炒，勿令焦黑，去皮取仁为末。熟酒调服。不饮酒者，米汤调下
亦可）
上此一味，实妊妇之要也，以其有安胎易产导滞之功。
四圣散 治漏胎下血。
条芩 白术 砂仁 阿胶（各等分）
上为细末，每服二钱，艾汤调下，
金银煎 治胎无故而动，作痛欲下者。
金银（各一两） 煎汤调砂仁末一钱，服之即安。
集验方 治胎动不安，下血。
阿胶（炒成珠） 艾叶 川芎 当归（各一钱）
上水二钟，煎一钟，分二服。
寄生散 治同前。
桑寄生 当归 川续断 白术（土炒） 川芎 阿胶珠 茯神 香附子（制） 人参（各一钱）
甘草（五分）
上水二钟，煎一钟，温服。
罩胎饮 治妊娠身发痘疹，服此不致损胎。如胎不安，宜独圣散、安胎饮。
赤茯苓 白术 当归 白芍药 赤芍药 条芩 干葛 人参 桔梗 柴胡 防风 陈皮
荆芥 枳壳 紫草 阿胶 糯米 白芷 甘草 川芎 缩砂仁（各三分）
上作一服，水二钟煎，加干柿蒂七个，野茅根七寸，煎八分服。
参橘散 治妊娠恶心，饮食少进，益胃和中。
人参 橘皮 白术 浓朴（姜炒） 白茯苓（各一钱） 麦门冬 炙甘草（各五分）
上水二钟，加竹茹一丸，弹子大，生姜三片，煎八分温服。
白术枳壳汤 治同煎。
白术（土炒，二钱） 枳壳 条芩（各一钱）
水钟半，煎服。
胎儿出现不安稳的情况，并伴有腰部和腹部疼痛，严重时甚至感觉下坠，这未必不是由于气血虚弱，无法滋养胎元所致。胎儿在腹中，就像果实挂在树枝上一样，树枝干枯则果实坠落，这是自然的道理。妇女如果性格放纵欲望，导致体内火气妄动，也能引起胎气不安而坠落。大抵原因不外乎属于虚证或火证这两类，采用清热养血的治疗方法就能涵盖其中。此外还有两种原因导致胎动不安，也不可不知：有一种是因为母亲患病而动胎，只需治疗母亲的疾病，胎儿自然安稳；另一种是因为受到外力触动而动胎，应当服用两到三剂安胎药，胎儿自然安定。
一、胎痛是由于血少引起的，使用四物汤加入用童便炮制过的香附子，共同研为细末，每次服用三钱，用紫苏汤调服。
一、因有所损伤触动而引起疼痛的，使用芎归汤、独圣散，效果神妙。
一、无端胎动，是因为火气旺盛逼迫所致。使用四物汤加入条芩之类药材；如果出现气逆上冲导致喘息的症状，加入香附子同煎。
一、胎动不安，以及腹痛下血，适宜服用集验方中的寄生散、牡蛎之类的药物。
一、胎动称为胎肿，大多属于湿邪所致。使用山栀研为细末，用米汤调服，或者制成丸药服用，白术散也非常好。
一、凡是妊娠不论月份多少，只要觉得胎气不安，腰腹轻微疼痛，饮食无味，可以服用安胎饮、保胎丸之类的药物。
一、怀孕至七八九个月内，胎儿在腹中啼哭，这是因为孕妇登高取物，或伸手梳头时，导致胎儿口鼻处的脐带疙瘩脱出，因此发出声音。让孕妇弯腰在地上拾物，使胎儿重新含吞入口，哭声即止。另一方法是用多年空屋下的鼠穴土一块，含在孕妇口中即可停止。又可用黄连煎汤让孕妇闻其气味（哈之），也能停止。
安胎饮 治疗妊娠胎气不安，腰腹微痛，饮食减少。
白术、白芍药、熟地黄、当归（各一钱）、人参、川芎、条芩、陈皮（各五分）、甘草、砂仁、紫苏（各三分）。
以上药材加水一盏半，煎至八分，不拘时候服用。
如果有下血症状，加阿胶；严重的加艾叶；腹痛严重的，加倍增加芍药用量。
固胎饮 治疗妊娠气血俱虚，三个月内习惯性流产，先用此方以巩固胎元防止坠落。
人参、黄芪、白术、条芩（各二钱）、当归（一钱）、川芎、芍药（各七分）、熟地黄、陈皮（各五分）、黄连、升麻、柴胡、糯米（八十一粒）。
以上药材研为细末，用晚米粥做成丸药，如梧桐子大小。每次服用五十丸，用清米饮送下。
探胎饮 妇人月经不来三个月，疑似怀孕，用此方验证有无胎儿。
川芎（不经过火炒，数量不限，研为细末）。
空腹时用艾叶汤调服一方寸匕的药量。如果感觉到腹中有动静，说明有胎；如果脐下跳动，那是血瘕（瘀血积聚）；如果不跳动，是血凝滞，属于病态。
芎归汤 治疗一切胎气不安。
川芎、当归（酒洗）。
以上药材切碎等分，每次服用五钱，用好酒一盏，煎至将干，加入水一盏，再煎五六沸，去渣温服。
独圣散 治疗妊娠因有所伤触，激动胎元，腹痛下血，极有效。
砂仁（数量不限，带皮同炒，不要炒焦黑，去皮取仁研为细末。用熟酒调服。不饮酒者，用米汤调服也可以）。
以上这一味药，确实是孕妇的要药，因为它具有安胎、易产、导滞的功效。
四圣散 治疗漏胎下血。
条芩、白术、砂仁、阿胶（各等分）。
以上研为细末，每次服用二钱，用艾汤调下。
金银煎 治疗胎无故而动，作痛欲流产者。
金银花（各一两），煎汤调服砂仁末一钱，服用后即安。
集验方 治疗胎动不安，下血。
阿胶（炒成珠状）、艾叶、川芎、当归（各一钱）。
以上加水二钟，煎至一钟，分两次服用。
寄生散 治疗同上。
桑寄生、当归、川续断、白术（土炒）、川芎、阿胶珠、茯神、香附子（制）、人参（各一钱）、甘草（五分）。
以上加水二钟，煎至一钟，温服。
罩胎饮 治疗妊娠身体发出痘疹，服用此方不会损伤胎儿。如果胎气不安，宜用独圣散、安胎饮。
赤茯苓、白术、当归、白芍药、赤芍药、条芩、干葛、人参、桔梗、柴胡、防风、陈皮、荆芥、枳壳、紫草、阿胶、糯米、白芷、甘草、川芎、缩砂仁（各三分）。
以上作为一服，加水二钟煎煮，加入干柿蒂七个，野茅根七寸，煎至八分服用。
参橘散 治疗妊娠恶心，饮食减少，有益胃和中作用。
人参、橘皮、白术、浓朴（姜炒）、白茯苓（各一钱）、麦门冬、炙甘草（各五分）。
以上加水二钟，加入竹茹一丸（弹子大小），生姜三片，煎至八分温服。
When the fetus is unstable, accompanied by pain in the lower back and abdomen, and even a sensation of bearing down at its worst, this may not necessarily be due to deficiency of Qi and Blood, failing to nourish the fetus. The fetus in the womb is like fruit on a branch; if the branch withers, the fruit falls, which is a natural principle. If women indulge their desires excessively, causing internal Fire to flare up, it can also lead to fetal instability and miscarriage. Generally, the causes fall into two categories: deficiency or Fire. Treatment involving clearing Heat and nourishing Blood covers these aspects. Additionally, there are two other causes for disturbing the fetus that must be known: one is when the mother's illness disturbs the fetus; treating the mother's illness will stabilize the fetus naturally. The other is when external trauma disturbs the fetus; taking two or three doses of fetal-calming herbs will naturally stabilize the fetus.
1. Fetal pain caused by insufficient Blood: Use Siwu Tang (Four Substances Decoction) added with Cyperi Rhizoma (Xiangfu) processed with child's urine, ground into powder. Take 3 qian each time, taken down with Perillae Folium (Zisu) decoction.
2. For pain caused by injury or disturbance: Use Xionggui Tang (Ligusticum and Angelica Decoction) and Dusheng San (Single Sage Powder), which are highly effective.
3. Spontaneous fetal movement caused by excessive Fire: Use Siwu Tang (Four Substances Decoction) added with Scutellariae Radix (Tiaoqin). If there is rebellious Qi rising causing asthma/panting, add Cyperi Rhizoma (Xiangfu) and decoct together.
4. For fetal instability and abdominal pain with bleeding: It is suitable to take Jiyan Fang (Collected Effective Formula), specifically Sangjisheng San (Mulberry Mistletoe Powder) or Oyster Shell (Muli) preparations.
5. Fetal movement termed "fetal swelling" is mostly due to Dampness. Use Gardeniae Fructus (Shanzhi) ground into powder, taken down with rice soup, or made into pills. Baizhu San (Atractylodes Macrocephala Powder) is also excellent.
6. For any stage of pregnancy, if one feels fetal instability, slight lower back and abdominal pain, and loss of appetite, one can take Antai Yin (Fetal-Calming Drink) or Baotai Wan (Fetal-Protecting Pills).
7. During the seventh, eighth, or ninth month of pregnancy, if the fetus cries in the womb, it is because the pregnant woman reached high to fetch objects or stretched her arms to comb her hair, causing the umbilical cord knot near the fetus's mouth/nose to slip out, producing sound. Have the pregnant woman bend over to pick up an object from the ground, allowing the fetus to re-swallow the cord, which stops the crying. Another method is to hold a piece of soil from a rat hole in an old empty house in the pregnant woman's mouth to stop it. Alternatively, decoct Coptidis Rhizoma (Huanglian) and let the pregnant woman inhale the fumes, which also stops it.
Antai Yin (Fetal-Calming Drink): Treats fetal instability during pregnancy, slight lower back and abdominal pain, and reduced intake of food.
Baizhu (Atractylodis Macrocephalae Rhizoma), Baishaoyao (Paeoniae Radix Alba), Shudihuang (Rehmanniae Radix Praeparata), Danggui (Angelicae Sinensis Radix) (each 1 qian); Renshen (Ginseng Radix et Rhizoma), Chuanxiong (Chuanxiong Rhizoma), Tiaoqin (Scutellariae Radix), Chenpi (Citri Reticulatae Pericarpium) (each 0.5 qian); Gancao (Glycyrrhizae Radix et Rhizoma), Sharen (Amomi Fructus), Zisu (Perillae Folium) (each 0.3 qian).
Add 1.5 cups of water, decoct to 0.8 cup, take at any time.
For bleeding, add Ejiao (Colla Corii Asini); for severe cases, add Aye (Folium Artemisiae Argyi); for severe abdominal pain, double the dosage of Shaoyao (Paeoniae Radix).
Gutai Yin (Fetal-Securing Drink): Treats deficiency of both Qi and Blood during pregnancy, habitual miscarriage within three months. Use this formula first to secure the fetus and prevent miscarriage.
Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Tiaoqin (Scutellariae Radix) (each 2 qian); Danggui (Angelicae Sinensis Radix) (1 qian); Chuanxiong (Chuanxiong Rhizoma), Shaoyao (Paeoniae Radix) (each 0.7 qian); Shudihuang (Rehmanniae Radix Praeparata), Chenpi (Citri Reticulatae Pericarpium) (each 0.5 qian); Huanglian (Coptidis Rhizoma), Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix), Nuomi (Oryza Sativa Glutinosa) (81 grains).
Grind into fine powder, make pills with late rice porridge, size of Sophora japonica seeds. Take 50 pills each time, sent down with clear rice drink.
Tan Tai Yin (Fetal-Detecting Drink): For women whose menstruation has stopped for three months, suspected pregnancy, use this to verify the presence of a fetus.
Chuanxiong (Chuanxiong Rhizoma) (not roasted, amount unrestricted, ground into fine powder).
Take one cun bi (square-inch spoonful) mixed with Mugwort (Ai Ye) decoction on an empty stomach. If movement is felt in the abdomen, there is a fetus; if movement is below the navel, it is a blood mass (Xue Jia); if no movement, it is blood stagnation, indicating disease.
Xionggui Tang (Ligusticum and Angelica Decoction): Treats all types of fetal instability.
Chuanxiong (Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix) (washed with wine).
Cut into equal parts, take 5 qian each time. Add one cup of good wine, decoct until nearly dry, add one cup of water, boil for five to seven boils, strain, and take warm.
Dusheng San (Single Sage Powder): Treats pregnancy disturbed by injury/trauma, agitating the fetal origin, causing abdominal pain and bleeding. Highly effective.
Sharen (Amomi Fructus) (amount unrestricted, stir-fry with peel, do not burn black, remove peel, take the kernel, grind into powder). Mix with ripe wine to take. For those who do not drink alcohol, mix with rice soup.
This single herb is indeed essential for pregnant women, as it has the functions of calming the fetus, facilitating childbirth, and guiding stagnation.
Sisheng San (Four Sages Powder): Treats leaking fetus with bleeding.
Tiaoqin (Scutellariae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Sharen (Amomi Fructus), Ejiao (Colla Corii Asini) (equal parts).
Grind into powder, take 2 qian each time, taken down with Ai Ye (Mugwort) decoction.
Jinyin Jian (Honeysuckle Decoction): Treats spontaneous fetal movement, pain, and threatened miscarriage.
Jinyinhua (Lonicerae Japonicae Flos) (each 1 liang). Decoct and mix with 1 qian of Sharen (Amomi Fructus) powder. Taking it brings immediate relief.
Jiyan Fang (Collected Effective Formula): Treats fetal instability and bleeding.
Ejiao (Colla Corii Asini) (stir-fried until bubbling like pearls), Aye (Folium Artemisiae Argyi), Chuanxiong (Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix) (each 1 qian).
Add 2 zhong of water, decoct to 1 zhong, divide into two doses.
Sangjisheng San (Mulberry Mistletoe Powder): Treats the same as above.
Sangjisheng (Taxilli Herba), Danggui (Angelicae Sinensis Radix), Chuanxuduan (Dipsaci Radix), Baizhu (Atractylodis Macrocephalae Rhizoma) (soil-fried), Chuanxiong (Chuanxiong Rhizoma), Ejiao Zhu (Colla Corii Asini Pearl), Fushen (Poria Cum Radix), Xiangfu (Cyperi Rhizoma) (processed), Renshen (Ginseng Radix et Rhizoma) (each 1 qian); Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 qian).
Add 2 zhong of water, decoct to 1 zhong, take warm.
Zetai Yin (Fetal-Covering Drink): Treats pregnancy complicated by acne/rash; taking this prevents damage to the fetus. If fetal instability occurs, use Dusheng San (Single Sage Powder) or Antai Yin (Fetal-Calming Drink).
Chifuling (Poria Cum Ligno Rubrum), Baizhu (Atractylodis Macrocephalae Rhizoma), Danggui (Angelicae Sinensis Radix), Baishaoyao (Paeoniae Radix Alba), Chishaoyao (Paeoniae Radix Rubra), Tiaoqin (Scutellariae Radix), Gange (Puerariae Lobatae Radix), Renshen (Ginseng Radix et Rhizoma), Jiegeng (Platycodonis Radix), Chaihu (Bupleuri Radix), Fangfeng (Saposhnikoviae Radix), Chenpi (Citri Reticulatae Pericarpium), Jingjie (Schizonepetae Spica), Zhike (Aurantii Fructus Immaturus), Zicao (Arnebiae Radix seu Lithospermi Radix), Ejiao (Colla Corii Asini), Nuomi (Oryza Sativa Glutinosa), Baizhi (Angelicae Dahuricae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Chuanxiong (Chuanxiong Rhizoma), Suosharen (Amomi Fructus) (each 0.3 qian).
As one dose, add 2 zhong of water, decoct, add 7 dried persimmon calyces (Gan Shidi) and 7 cun of wild mugwort root (Ye Maogen), decoct to 0.8 cup and take.
Shanju San (Ginseng and Tangerine Peel Powder): Treats pregnancy nausea, reduced food intake, benefiting the Stomach and harmonizing the Middle Jiao.
Renshen (Ginseng Radix et Rhizoma), Jupi (Citri Reticulatae Pericarpium), Baizhu (Atractylodis Macrocephalae Rhizoma), Houpo (Magnoliae Officinalis Cortex) (stir-fried with ginger), Baifuling (Poria) (each 1 qian); Maidong (Ophiopogonis Radix), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma) (each 0.5 qian).
Add 2 zhong of water, add one pill-sized piece of Zhuru (Bambusae Caulis in Taenia), 3 slices of Shengjiang (Zingiberis Rhizoma Recens), decoct to 0.8 cup and take warm.
Baizhu Zhike Tang (Atractylodes and Aurantium Decoction): Treats the same as above (pregnancy nausea etc.).
Baizhu (Atractylodis Macrocephalae Rhizoma) (soil-fried, 2 qian), Zhike (Aurantii Fructus Immaturus), Tiaoqin (Scutellariae Radix) (each 1 qian).
Add 1.5 zhong of water, decoct and take.