□□□□□□有难余者曰∶此岂越人过邯郸,且妇人之□□更仆数己,子何独降是。余曰∶客时无谓余为妇人德耶。
人与世相阅,由一世二世以至万世者,惟生耳。故记有之曰∶时以为社稷主,为先主后,而可以不致敬乎,言所系重也。
且人道阴阳之患,何所非病,顾疾不尽人,人亦不尽病。产则妇人未能免者,产非疾而其杀人乃在顷刻之间,故妇人以
生子为免身,谓以得免,为幸免矣。一有不谨,贻患终身,皆妇人所独也。又闺帏秘密,望闻有所不及,巧工有所不尽,
往往寄命于俗媪狂巫之手。急于索劝,轻用其愚,以致母子俱殒,或致绝人宗祀,良可矜痛。余之为刻也,欲家一册,
得以时时检铎。夫妇人女子亦知其患之所起与所以自全也。闻之,养笋者与竹、养犊者与HT ,夫是直为妇人也
与哉?客曰∶善!请以公之四方。
万历戊午中元日琅琊 王化贞题
经曰∶阴搏阳别谓之有子,此乃血气调和,阳施阴化。王氏曰∶太冲盛而气虚者,乳子法也。诊其手少阴脉动盛者,
妊子也。少阴,心脉也。心主血脉,又肾为胞门子户,大抵少阴之经在手属心,在足属肾,肾主骨,手尺中之脉按之不
绝者,法妊娠也。难经曰∶“女子以系胞。”三部脉浮沉正等,按之无绝者,有妊娠。初持寸脉微小,呼吸五至。三月而
尺数,脉滑疾,以手按之散者,胞已三月也。脉重手按之不散,但疾不滑者,五月也。妇人妊娠四月,欲知男法,左疾
为男,右疾为女,但疾为生二子。又法,得太阴脉为男,太阳脉为女,太阴脉沉,太阳脉浮。又法,左手脉沉实为男,
右手脉浮大为女,左右脉俱沉实为生二男,左右手俱浮大为生二女。又法,尺脉左边大为男,右边大为女,左右俱大,
产二子,大者如实状。又法,左右俱浮大,产二男,不尔则女作男生。左右俱沉,产二女,不尔则男作女生。又法,遣
妊娠人面南行,后呼之,左回首者是男,右回首者是女。又法,看上圊时,夫从后呼之,左回首是男,右回首是女。又
妇人妊娠,其左乳房有核是男,右乳房有核是女。妇怀离经,其脉浮大而腹痛引腰脊,为即欲生也,但离经即痛也。又
法,欲生者,其脉离经,夜半觉,日中生也。
妊娠一月之时,足厥脉养之,二月足少阳,三月手少阴,四月手少阳,五月足太阴,六月足阳明,七月手太阴,八
月手阳明,九月足少阴,十月足太阳。
验胎散
经脉不行已经三月者,更看尺脉不止,则是胎也。
川芎为末,每服一钱,空心艾叶煎汤调下,觉腹内微动则有胎也。若服后一日不动,非胎,必是经滞。
艾醋汤
如过月难明有无,如月数未足难明。
好醋 艾,服半盏后,腹中翻大痛是有孕,不为痛定无。
有人责问我道:“这难道不是像扁鹊经过邯郸时那样,只关注妇人的疾病吗?妇女的疾病多得数不胜数,您为何唯独重视这一方面呢?”我回答说:“客人请不要认为我只是因为感激妇人而写此书。”
人与世间万物相互更迭,从一世、二世直到万世,唯有“生”(生育/生命)是根本。所以《礼记》中说:“君主被视为社稷的主宰,作为祖先的后代,怎能不致以最高的敬意呢?”这是说其所承担的责任重大。
况且人类在阴阳失调方面的病患,哪里没有疾病呢?只是疾病并不完全由人决定,人也不能完全掌控疾病。然而分娩则是妇人所无法避免的,分娩本身虽非疾病,但其致死往往发生在顷刻之间,因此妇人将生子视为免除身孕之苦,若能平安度过,便算是侥幸免灾了。一旦稍有疏忽,便会留下终身的祸患,这都是妇人独自承受的后果。此外,闺房之内隐秘难见,望诊和闻诊有所不及,即使是技艺高超的医生也难以穷尽所有情况,人们往往将性命寄托于庸俗的老妪或狂热的巫师手中。他们急于求成,轻率地运用愚昧的方法,导致母子双亡,或者断绝了家族的宗祀,实在令人怜悯痛惜。我刊刻这本书,是想让每家都有一册,以便时时查阅警示。使妇女们也能知道祸患产生的原因以及自我保护的方法。听说,养笋的人要保护竹子,养小牛的人要爱护牛犊,这难道仅仅是为了妇人吗?客人说:“好!请将此书公之于四方。”
万历戊午年中元日,琅琊王化贞题写
《内经》说:“阴脉搏动有力而与阳脉有别,称为怀孕。”这是血气调和,阳气施予、阴气化生的结果。王氏说:“太冲脉旺盛而气虚的,是哺乳期的正常表现。”诊察手少阴心经的脉搏跳动有力的,是怀孕的表现。少阴,指的是心脉。心主血脉,另外肾为胞门子户(子宫),大抵少阴经脉在手部属于心,在足部属于肾。肾主骨,如果手腕尺部的脉搏按之不绝,这是妊娠的法度。《难经》说:“女子以系胞(子宫)为重。”寸、关、尺三部脉浮沉力度相当,按之不绝的,是有妊娠。初诊时寸脉微小,呼吸五次脉动一次。到了三个月,尺脉数急,脉象滑疾,用手按压感觉散漫的,说明胞宫已有三个月。脉象重按不散,但急促而不滑的,是五个月。妇人怀孕四个月,想预测男女的方法:左手脉疾快为男,右手脉疾快为女,左右都疾快为生双胞胎。又一种方法,得太阴脉为男,太阳脉为女,太阴脉沉,太阳脉浮。又一种方法,左手脉沉实为男,右手脉浮大为女,左右脉都沉实为生两个男孩,左右手都浮大为生两个女孩。又一种方法,尺脉左边大为男,右边大为女,左右都大,生双胞胎,脉象大的如同充实的样子。又一种方法,左右都浮大,生两个男孩,否则就是女作男生。左右都沉,生两个女孩,否则就是男作女生。又一种方法,让孕妇面向南行走,从后面呼唤她,向左回头的是男孩,向右回头的是女孩。又一种方法,看孕妇上厕所时,丈夫从后面呼唤她,向左回头是男孩,向右回头是女孩。又有一种说法,妇人怀孕,左侧乳房有硬块是男孩,右侧乳房有硬块是女孩。妇人怀胎临产(离经),其脉浮大且腹痛牵引腰脊,这是即将分娩的迹象,只要出现离经之脉就会疼痛。又一种方法,将要分娩者,其脉离经,如果在半夜感觉到,那么白天就会出生。
怀孕一个月时,足厥阴肝经滋养胎儿;二月足少阳胆经;三月手少阴心经;四月手少阳三焦经;五月足太阴脾经;六月足阳明胃经;七月手太阴肺经;八月手阳明大肠经;九月足少阴肾经;十月足太阳膀胱经。
月经停止已经三个月,再看尺脉不止息的,那就是胎。
川芎研为末,每次服用一钱,空腹时用艾叶煎汤调服,感觉腹内微微跳动就是有胎。如果服药后一天没有动静,就不是胎,必定是经血阻滞。
如果过了预产期难以明确是否有孕,或者月份未到难以确定。
用好醋和艾叶,服用半盏后,腹中翻腾剧痛是有孕,如果不痛则无孕。
A person questioned me, saying: "Is this not like Bian Que passing through Handan, focusing solely on women's diseases? Women's ailments are too numerous to count; why do you single out this aspect?" I replied: "Guest, please do not assume that I wrote this merely out of gratitude to women."
Humanity and the world interact and succeed one another, from one generation to two, and even to ten thousand generations; it is only "birth" (life/reproduction) that remains fundamental. Thus, the *Book of Rites* states: "The ruler is regarded as the master of the state altars, and as the successor to the ancestors; how can one fail to pay utmost respect?" This emphasizes the weight of their responsibility.
Moreover, regarding illnesses caused by yin-yang imbalance in human conduct, where are there no diseases? However, illness does not entirely depend on human will, nor can humans completely control illness. Yet childbirth is something women cannot avoid. Childbirth itself is not a disease, but its lethality often occurs within moments. Therefore, women view giving birth as escaping the burden of pregnancy; if they survive safely, it is considered a fortunate escape. If there is any lack of caution, it may bring lifelong trouble, which is borne exclusively by women. Furthermore, the inner chambers are private and secret; observation (inspection) and listening/smelling have their limitations, and even skilled physicians cannot exhaustively cover all situations. People often entrust their lives to vulgar old women or fanatical shamans. Eager for quick results, they rashly employ foolish methods, leading to the death of both mother and child, or even cutting off the family lineage. This is truly pitiable and painful. My purpose in publishing this book is to ensure every household has a copy for frequent reference and warning, so that women may understand the causes of such dangers and know how to protect themselves. It is said that those who raise bamboo shoots must care for the bamboo, and those who raise calves must care for the young cattle. Is this concern not also directed toward women? The guest said: "Excellent! Please make this public to all directions."
Written by Wang Huazhen of Langya on the Zhongyuan Festival of the Wuchen Year of the Wanli Era.
The *Classic* says: "When the yin pulse beats vigorously and differs distinctly from the yang pulse, it indicates pregnancy." This signifies the harmony of qi and blood, where yang exerts influence and yin transforms. Master Wang stated: "When the Taichong pulse is vigorous but qi is deficient, it is the normal pattern during lactation." Diagnosing the hand Shaoyin (Heart) pulse as beating vigorously indicates pregnancy. Shaoyin refers to the Heart pulse. The Heart governs blood vessels. Additionally, the Kidney serves as the gate of the uterus (Bao Men Zi Hu). Generally, the Shaoyin meridian in the hand belongs to the Heart, while in the foot, it belongs to the Kidney. The Kidney governs bones. If the Chi position pulse at the wrist remains unceasing upon pressure, this is the method for diagnosing pregnancy. The *Nan Jing* (Classic of Difficult Issues) states: "Women rely on the Bao (uterus)." When the pulses at the three positions (Cun, Guan, Chi) are equal in floating and sinking depth, and unceasing upon pressure, it indicates pregnancy. Initially, the Cun pulse is slightly small, with five breaths per pulse beat. At three months, the Chi pulse becomes rapid, and the pulse is slippery and swift; if it feels scattered when pressed lightly, the uterus is three months along. If the pulse is unceasing under heavy pressure but rapid without being slippery, it indicates five months. For pregnant women at four months, to predict the sex: a rapid pulse on the left indicates a male, on the right a female; rapid pulses on both sides indicate twins. Another method: obtaining a Taiyin pulse indicates a male, a Taiyang pulse indicates a female; Taiyin pulses are deep, Taiyang pulses are superficial. Another method: a deep and solid pulse on the left indicates a male, a floating and large pulse on the right indicates a female; deep and solid pulses on both hands indicate twin boys; floating and large pulses on both hands indicate twin girls. Another method: a larger Chi pulse on the left indicates a male, on the right a female; large pulses on both sides indicate twins, with the pulse feeling full and solid. Another method: floating and large pulses on both sides indicate twin boys; otherwise, it may be a girl presenting as a boy. Deep pulses on both sides indicate twin girls; otherwise, it may be a boy presenting as a girl. Another method: ask the pregnant woman to walk facing south, then call her from behind; if she turns her head to the left, it is a boy; to the right, a girl. Another method: observe her when she goes to the toilet; if the husband calls her from behind and she turns left, it is a boy; right, a girl. Another sign: if a pregnant woman has a nodule in the left breast, it is a boy; in the right breast, a girl. When a woman is near delivery (Li Jing), her pulse is floating and large, accompanied by abdominal pain radiating to the waist and spine, indicating imminent birth. Once the Li Jing pulse appears, pain ensues. Another method: for impending delivery, if the Li Jing pulse is felt at midnight, birth will occur at noon.
During the first month of pregnancy, the Foot Jueyin Liver Meridian nourishes the fetus; the second month, the Foot Shaoyang Gallbladder Meridian; the third month, the Hand Shaoyin Heart Meridian; the fourth month, the Hand Shaoyang Sanjiao Meridian; the fifth month, the Foot Taiyin Spleen Meridian; the sixth month, the Foot Yangming Stomach Meridian; the seventh month, the Hand Taiyin Lung Meridian; the eighth month, the Hand Yangming Large Intestine Meridian; the ninth month, the Foot Shaoyin Kidney Meridian; the tenth month, the Foot Taiyang Bladder Meridian.
Yantai San (Pregnancy Verification Powder)
If menstruation has ceased for three months, and the Chi pulse continues to beat strongly, it indicates pregnancy.
Grind Chuanxiong Rhizoma (Chuanxiong) into powder. Take one qian each time on an empty stomach, mixed with decoction of Ai Ye (Artemisiae Argyi Folium) boiled in water. If slight movement is felt in the abdomen, it indicates pregnancy. If there is no movement after one day of taking the medicine, it is not pregnancy, but likely menstrual stagnation.
Ai Cu Tang (Mugwort and Vinegar Decoction)
Useful when the expected date has passed and pregnancy status is unclear, or when the gestational period is insufficient for clear diagnosis.
Take good vinegar and Ai Ye (Artemisiae Argyi Folium). After consuming half a cup, severe abdominal cramping indicates pregnancy; absence of pain indicates no pregnancy.