或问∶试痛何故？曰∶儿到七八个月，手足五官全备，已能动弹，或母腹中有火，或起
居不时，令儿不安，以此大动而痛，此等十胎而五，不足为奇，只宜照常稳食安眠一二日，
自然安静。或痛之不止，用安胎药一二服自止。此后近则数日，远则月余，甚至再过三四个
月才产。人多不知，轻易临盆，终日坐立，不令睡倒，或抱腰擦肚，或用手拖，或用药打，
生生将儿取出，母则九死一生，儿则十胎九夭，惨不可言！世间难产，皆此故也。盖胎养不
足，气血不全，如剖卵出雏，裂茧出蛹，岂可活乎！只说小儿难养，谁复根究到此。又有受
寒及伤食腹痛，不可不知。
或问∶何以知其试痛？曰∶只看痛法，一阵紧一阵者正生也，一阵慢一阵，或乍紧，或
乍慢，皆试痛也。
附∶《医宗金鉴》云∶妊娠月数未足时，或腹中痛，痛定仍然如常者，此名试胎。宜养
血以安其胎。若月数已足，腹痛或作或止，腰不痛者，此名弄胎，不宜轻动。二者均非正产
之时，切勿躁扰疑惑，惟宜安静以待其时。
或问∶伤食、受寒，何以辨之？曰∶伤食者当脐而痛，手按之更痛，或脐旁有一硬块。
寒痛多在脐下，绵绵而痛，不增不减，得热物而稍缓是也。
或曰∶试痛亦有，或未必多？曰∶甚多。曰∶何以见之？曰∶以今之难产者多也。
或问∶将试痛认作正生，其害如此，倘将正生认作试痛，以致过时，不亦有害乎？曰∶
无害。果当其时，小儿自会钻出，纵或过时，不过落在裤中，生在床上而已，有何大害？而
如此谆谆乎。
有人问：什么是试痛（分娩前的假性宫缩）？回答说：胎儿长到七八个月时，手足五官都已发育齐全，已经能够活动。如果母体腹中有热邪，或者起居作息不规律，导致胎儿不安，从而剧烈胎动引发腹痛。这种情况十分常见，十胎中约有五胎会出现，并不足为奇。只需让孕妇照常饮食、安稳睡眠一两天，疼痛自然会停止。如果疼痛不止，服用一两剂安胎药即可缓解。此后，距离预产期近的几天，远的则一个多月，甚至再过三四个月才生产。人们大多不知道这一点，轻易认为即将临盆，整天不让孕妇坐卧休息，或者抱着腰部、擦拭腹部，或者用手拖拽，或者用药强行催产，生生将胎儿取出。结果母亲九死一生，婴儿十胎中九个夭折，惨状不可言说！世间难产的原因，大多在于此。因为胎养不足，气血不全，就像剖开蛋壳取出雏鸟，撕破茧壳取出蛹，怎么可能存活呢！人们只说小儿难以抚养，谁又会追根究底到这一层呢。此外，还有因受寒和伤食引起的腹痛，也不可不知。
有人问：如何辨别试痛？回答说：只看疼痛的规律，一阵紧似一阵的是正产（真临产），一阵慢一阵，或者忽紧忽慢，都是试痛。
附注：《医宗金鉴》记载：妊娠月份未满时，如果腹中疼痛，痛定之后身体如常，这名叫“试胎”。应当养血以安胎。如果月份已满，腹痛时作时止，但腰部不痛，这名叫“弄胎”，不宜轻易干预。这两种情况都不是正产的时候，千万不要急躁疑惑，只应安静等待时机。
有人问：伤食和受寒引起的腹痛，如何辨别？回答说：伤食引起的疼痛多在肚脐周围，用手按压时疼痛加剧，或者在脐旁摸到一个硬块。寒痛多位于肚脐下方，疼痛绵绵不断，程度不增不减，遇到热物后稍微缓解，这就是其特征。
有人说：试痛也有，但未必很多吧？回答说：非常多。问：怎么看出来的？回答说：从当今难产者多的现象就可以看出来。
有人问：如果把试痛认作正产，危害如此之大；那如果把正产误认为试痛，导致错过时机，难道没有害处吗？回答说：没有害处。如果真的到了分娩时候，胎儿自然会有办法出来，即使过了预产期，也不过是生在裤子里或床上罢了，有什么大害呢？所以我才如此反复叮嘱。
A question is asked: What is the cause of "Shi Tong" (trial pains)? The answer is: When a fetus reaches seven or eight months, its limbs and five sense organs are fully developed, and it can already move. If there is heat in the mother's womb, or if her daily routine is irregular, causing the fetus to be restless, this leads to vigorous fetal movement and pain. This situation occurs in about five out of ten pregnancies and is not unusual. It is advisable for the mother to maintain normal eating habits and sleep peacefully for one or two days, after which the pain will naturally subside. If the pain persists, taking one or two doses of fetal-calming medicine will stop it. Afterward, delivery may occur within a few days, or up to a month later, or even three to four months later. Many people do not know this; they easily assume labor has begun, keeping the mother awake all day without allowing her to sit or lie down, holding her waist, rubbing her belly, pulling her, or using drugs to force delivery. This forcibly extracts the fetus, resulting in the mother facing death nine times out of ten, and nine out of ten infants dying. The tragedy is indescribable! Most cases of difficult labor in the world are due to this reason. Because fetal nourishment is insufficient and Qi and Blood are incomplete, it is like cracking an eggshell to take out a chick or tearing a cocoon to release a pupa; how can they survive? People only say that infants are hard to raise, but who traces the root cause to this level? Additionally, abdominal pain caused by cold invasion and food stagnation must also be known.
Another question is asked: How can one identify trial pains? The answer is: Observe the pattern of pain. If the pain intensifies in waves, it is true labor (Zheng Sheng). If the pain alternates between slow and fast, or becomes tight and loose intermittently, these are trial pains.
Appendix: *Yi Zong Jin Jian* states: When the gestational period is not yet full, if there is abdominal pain but the body returns to normal after the pain subsides, this is called "Shi Tai" (testing the fetus). One should nourish Blood to calm the fetus. If the gestational period is full, and abdominal pain comes and goes but the lower back does not hurt, this is called "Nong Tai" (playing with the fetus). One should not intervene lightly. Neither of these situations indicates the time for true delivery. Do not be anxious or confused; simply wait quietly for the proper time.
Another question is asked: How can one distinguish between pain from food stagnation and pain from cold invasion? The answer is: Pain from food stagnation is located around the umbilicus, worsens upon palpation, and may present as a hard mass beside the navel. Cold-induced pain is mostly below the umbilicus, characterized by a continuous, mild ache that does not increase or decrease, and provides slight relief when exposed to heat.
Someone says: Trial pains exist, but perhaps they are not very common? The answer is: They are very common. Question: How do you know? Answer: From the high incidence of difficult labor today.
Another question is asked: If mistaking trial pains for true labor causes such great harm, what if true labor is mistaken for trial pains, leading to a delay? Is that not harmful too? The answer is: There is no harm. If the time for delivery has truly arrived, the infant will find a way out. Even if the due date passes, the baby will simply be born in the pants or on the bed. What great harm could there be? That is why I emphasize this point so earnestly.