妊娠过食辛热毒物，热积胎中，以致胎儿不安，手足乱动，上攻心胞，母多痛苦。宜调中和气饮、胜红丸。
调中和气饮
大黄 石膏（各一钱） 槟榔 枳壳（麸炒） 黄芩 知母（各八分） 黄连（六分） 黄柏（五分）
柴胡（三分）
水煎，空心服。
胜红丸
红花子（研、去油，十粒） 百草霜（一钱）
为末，粳米糊丸，葱汤下。
妊娠过食生冷，兼有风寒，客于胃肺。因而痰喘气紧，夜卧不安，宜紫苏安胎饮。
紫苏安胎饮
紫苏 枳壳（麸炒） 大腹皮 桔梗 贝母（去心） 知母 桑白皮 当归（各八分） 甘草 五味子
石膏（ ，各三分）
水煎服。
妇人受妊，则碍脾运化。迟则生湿，湿则生热，热则血易动，血动则胎不安。犹风撼其木，人折其枝也。
火能消物造化自然之理，故胎之堕也，属虚属热者常多，治宜清热养血。若素惯半产者，宜金匮当归散。脾虚
而血热者，宜四圣散。肝肾虚而血热者，宜凉胎饮（方见前胎热不安条中）。肝脾虚而血热者，宜固阴煎（见
前胎虚不安条中）。若素禀虚弱或值天行炎热，或患热证病，愈后而胎有不安者，宜芩术汤（黄芩、白术为
安胎之圣药，盖为血热胎不安者言也）。
金匮当归散
黄芩 白术（蜜炙） 当归 川芎 白芍（各一两）
为末，每服三钱，米饮调下。
四圣散
条芩 白术（蜜炙） 砂仁（炒） 阿胶（炒珠）
上各等分，研极细末，每服二钱，蕲艾煎汤调服。（一方有白芍、无阿胶）若改散为汤，则砂仁用当减半。
芩术汤
子芩（三钱） 白术（蜜炙，一钱五分）
水煎服。（急则一日服二剂，缓则五日服一剂）。
妊娠期间如果过食辛辣、燥热及有毒的食物，导致热邪积聚在胎中，致使胎儿不安，手足乱动，向上攻冲心包，母亲会感到十分痛苦。适宜使用调中和气饮或胜红丸进行治疗。
调中和气饮
大黄、石膏（各一钱），槟榔、枳壳（麸炒）、黄芩、知母（各八分），黄连（六分），黄柏（五分），柴胡（三分）。
加水煎煮，空腹服用。
胜红丸
红花子（研磨、去油，十粒），百草霜（一钱）。
研为细末，用粳米糊制作成丸剂，用葱汤送服。
妊娠期间如果过食生冷食物，又兼感风寒之邪，邪气客居于胃和肺。因而出现痰多气喘、呼吸急促，夜间睡眠不安稳的情况，适宜使用紫苏安胎饮。
紫苏安胎饮
紫苏、枳壳（麸炒）、大腹皮、桔梗、贝母（去心）、知母、桑白皮、当归（各八分），甘草、五味子、石膏（各三分）。
加水煎煮后服用。
妇女怀孕后，脾胃的运化功能会受到阻碍。时间一长会产生湿气，湿气久留则生热，热邪容易导致血行妄动，血行妄动则胎元不安。这就像风吹撼树木，人会折断树枝一样。
火具有消蚀万物的自然规律，所以胎堕（流产）的原因，属于虚证和热证的居多，治疗应当以清热养血为主。如果既往有习惯性半产（小产）病史者，适宜使用金匮当归散。如果是脾虚而伴有血热者，适宜使用四圣散。肝肾虚弱而伴有血热者，适宜使用凉胎饮（方剂见前文“胎热不安”条中）。肝脾虚弱而伴有血热者，适宜使用固阴煎（见前文“胎虚不安”条中）。如果素体虚弱，或者正值气候炎热流行之时，或者患有热性病，病愈之后胎元仍不安稳者，适宜使用芩术汤（黄芩和白术是安胎的圣药，这是针对血热导致胎不安的情况而言的）。
金匮当归散
黄芩、白术（蜜炙）、当归、川芎、白芍（各一两）。
研为细末，每次服用三钱，用米汤调下。
四圣散
条芩、白术（蜜炙）、砂仁（炒）、阿胶（炒至珠状）。
以上各等分，研成极细粉末，每次服用二钱，用蕲艾煎汤调服。（另一版本含有白芍，不含阿胶）。如果将散剂改为汤剂，则砂仁的用量应当减半。
If during pregnancy one consumes excessive amounts of pungent, hot, and toxic foods, heat accumulates within the fetus, causing fetal restlessness. The fetus moves its hands and feet chaotically, attacking upward to the Pericardium, causing great distress to the mother. It is appropriate to use Tiao Zhong He Qi Yin (Regulate the Middle and Harmonize Qi Decoction) or Sheng Hong Wan (Defeat Red Pill).
Tiao Zhong He Qi Yin (Regulate the Middle and Harmonize Qi Decoction):
Da Huang (Rhei Radix et Rhizoma), Shi Gao (Gypsum Fibrosum) (each 1 qian); Bing Lang (Arecae Semen), Zhi Qiao (Aurantii Fructus, stir-fried with bran), Huang Qin (Scutellariae Radix), Zhi Mu (Anemarrhenae Rhizoma) (each 8 fen); Huang Lian (Coptidis Rhizoma) (6 fen); Huang Bo (Phellodendri Cortex) (5 fen); Chai Hu (Bupleuri Radix) (3 fen).
Decoct in water and take on an empty stomach.
Sheng Hong Wan (Defeat Red Pill):
Hong Hua Zi (Carthami Flos, ground and oil removed, 10 grains); Bai Cao Shuang (Soot from Chimney) (1 qian).
Grind into fine powder, make pills using rice paste, and swallow with Scallion Decoction.
If during pregnancy one consumes excessive amounts of cold and raw foods, combined with invasion of Wind-Cold pathogens lodging in the Stomach and Lung, phlegm-induced wheezing and tightness of breath occur, leading to restless sleep at night. It is appropriate to use Zi Su An Tai Yin (Perilla Fetus-Calming Decoction).
Zi Su An Tai Yin (Perilla Fetus-Calming Decoction):
Zi Su (Perillae Folium), Zhi Qiao (Aurantii Fructus, stir-fried with bran), Da Fu Pi (Arecae Pericarpium), Jie Geng (Platycodonis Radix), Bei Mu (Fritillariae Bulbus, heart removed), Zhi Mu (Anemarrhenae Rhizoma), Sang Bai Pi (Mori Cortex), Dang Gui (Angelicae Sinensis Radix) (each 8 fen); Gan Cao (Glycyrrhizae Radix et Rhizoma), Wu Wei Zi (Schisandrae Fructus), Shi Gao (Gypsum Fibrosum) (each 3 fen).
Decoct in water and take.
When a woman becomes pregnant, the Spleen's transport and transformation functions are hindered. If delayed, dampness generates; if dampness persists, heat generates; if heat generates, blood becomes prone to reckless movement; if blood moves recklessly, the fetus becomes unstable. This is like wind shaking a tree, causing a person to break its branches.
Fire possesses the natural principle of consuming things; therefore, causes of spontaneous abortion (Tai Duo) are often due to Deficiency or Heat. Treatment should focus on clearing heat and nourishing blood. For those with a history of habitual miscarriage (Ban Chan), Jin Kui Dang Gui San (Jin Gui Danggui Powder) is appropriate. For those with Spleen Deficiency accompanied by Blood Heat, Si Sheng San (Four Saints Powder) is appropriate. For those with Liver and Kidney Deficiency accompanied by Blood Heat, Liang Tai Yin (Cool the Fetus Decoction) is appropriate (formula see previous section "Heat-Induced Fetal Restlessness"). For those with Liver and Spleen Deficiency accompanied by Blood Heat, Gu Yin Jian (Solidify Yin Decoction) is appropriate (see previous section "Deficiency-Induced Fetal Restlessness"). For those with innate weakness, or during periods of epidemic heat, or after recovering from a heat-pathogen disease where the fetus remains unstable, Qin Shu Tang (Scutellaria and Atractylodes Decoction) is appropriate. (Huang Qin and Bai Zhu are considered sacred herbs for calming the fetus, specifically referring to cases of fetal instability due to Blood Heat).
Jin Kui Dang Gui San (Jin Gui Danggui Powder):
Huang Qin (Scutellariae Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma, honey-fried), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Bai Shao (Paeoniae Radix Alba) (each 1 liang).
Grind into fine powder, take 3 qian per dose, mixed with rice drink.
Si Sheng San (Four Saints Powder):
Tiao Qin (Scutellariae Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma, honey-fried), Sha Ren (Amomi Fructus, stir-fried), E Jiao (Colla Corii Asini, stir-fried until bead-like).
Mix equal parts, grind into extremely fine powder, take 2 qian per dose, mixed with decoction of Qi Ai (Artemisia argyi). (Another version contains Bai Shao but no E Jiao). If changing the powder to a decoction, the dosage of Sha Ren should be halved.
Qin Shu Tang (Scutellaria and Atractylodes Decoction):
Zi Qin (Scutellariae Radix, 3 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma, honey-fried, 1.5 qian).
Decoct in water and take. (In acute cases, take two doses per day; in mild cases, take one dose every five days).