〔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。
〔张仲景〕妇女怀孕，腹中疼痛，用当归芍药散主治。（见前文。）
〔李东垣〕地黄当归汤治疗孕妇胎痛。
当归（一两） 熟地黄（二两）
以上药物研为细末，作为一服剂量，加水三升，煎煮至一升半，滤去药渣，一次性服用。
〔张仲景〕妇女腹中疼痛，用小建中汤主治。（方剂见伤寒腹痛篇。）
〔朱丹溪/或指前人，此处“云”通常指引用前人言论，结合上下文可能指陈自明等，但原文仅署“云”，故译为“有人指出”或保留泛指〕芎归汤治疗妊娠期间先患有冷气，突然心腹部疼痛如刀刺一般。（见前文心腹痛篇。）
〔朱丹溪〕孙院君因为临近丧事冒犯恶气而伤胎，肚痛得手不能触碰，发热，口中不想进食，需要安胎，并消散滞气。
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）
分为两帖，加水三盏，先煮苎麻根两大片至二盏，去掉苎麻根，加入前面的药物同煎至一盏，热服。
治疗妊娠腹痛，使用生地黄三斤，捣取汁液，加酒一升合煎减半，一次性服用即愈。
〔脉诀/师承〕老师说：妇女有胎腹痛，其人不安稳，如果胎病不动，想知道胎儿生死，让人触摸腹部，形状像倒扣的杯子则是男孩，像肘颈参差不齐突起则是女孩。冷处为死，温处为生。
〔薛己引《大》论，可能指《妇人大全良方》或其他古籍〕妊娠小腹痛，是由于胞络虚弱，风寒相互搏结，疼痛严重也会导致胎动。
〔薛己〕上述证候如果是风寒所搏结，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。如果腹胀痛，用安胎饮加升麻、白术；无效，兼用补中益气汤。
一位孕妇小腹作痛，其胎不安，气攻冲左右，有时逆上，小便不利，用小柴胡汤加青皮、山栀，清肝火而痊愈，后来因发怒导致小腹胀满，小便不利，尿道重坠感，胎仍不安，这也是肝木炽盛所致，用龙胆泻肝汤一剂，诸证顿时痊愈。于是用四君子汤加柴胡、升麻，以培补脾土而安胎。
治疗妊娠被惊扰恼怒，胎向下不安，小腹痛连腰部，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）
以上细切，用水四升，煮取二升，温服，分三次服用。
《补遗》治疗妊妇小腹痛，胎动不安。
川芎研为细末，用酒调服。
又一方 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.