夫天地造端于夫妇乾坤配合于阴阳虽清浊动静之不同而成象效法之有类原兹妇人之病与
男子
不同者亦有数焉古方以妇人病比男子十倍难治不亦言之深乎但三十六病产蓐一门男子无之其
如外伤风暑寒湿内积喜怒忧思饮食房劳虚实寒热悉与丈夫一同也根据源治疗可得而知之
夫养胎须分能所母为能养子为所养名义既殊致养亦别故谓之重身父母交会之初子假父母
精血
投诚于其间然后成妊元气质始之谓也一月血聚谓之始 二月精凝谓之始膏三月成形谓之始胎
此亦无次第中次第也道生一一生二二生三三生万物既以三而成不得不数月而分也成形之后阴
阳施化男女始分随见外象而有感于内四月始受少阴君火气以养精五月受太阴湿土气以养肉六
月受少阳相火气以养气七月受阳明金气以养骨八月受太阳水气以养血九月受厥阴木气以养筋
十月脏腑俱备神明已全俟时而生此皆所养胎息之所成始成终也
一月足厥阴脉养内属于肝肝藏血不可纵怒及疲极筋力触冒邪风亦不可妄针灸其经二月足
少阳
脉养内属于胆胆合于肝共荣于血不可惊动及针灸其经三月手心主脉养内属右肾肾主精不可纵欲
及悲哀触冒寒冷亦不得针灸其经四月手少阳养内属三焦三焦精府合肾以养精不可劳逸及针
灸其经五月足太阴脉养内属于脾脾养肉不可妄思及饥饱触冒卑湿亦不可针灸其经六月足阳明
脉养内属于胃胃为脏腑海合于脾以养肉不得杂食及针灸其经七月手太阴脉养内属于肺以养皮
毛不可忧郁及叫呼触冒烦躁亦不得针灸其经八月手阳明脉养内属于大肠合肺以养气母食燥物
致气涩及针灸其经九月足少阴脉养内属于肾以养骨不可怀恐及房劳触冒生冷亦不得针灸其经
十月足太阳脉养内属于膀胱以合肾太阳为诸阳主气故使儿脉续缕皆成六腑通畅与母分气神气
各全俟辰而生唯不说手少阴心养者盖心为五脏大主如帝王不可有为也若将理得宜无伤胎脏更
能知转男胎教之法斯为尽善
天地万物的起源在于夫妇,乾坤的配合基于阴阳。虽然清浊、动静的性质不同,但成象效法各有类比。由此看来,妇女的疾病与男子不同的地方,也有若干原因。古方认为妇女的疾病比男子难治十倍,这话说得很有深意啊。只是三十六病和产褥这一门类,是男子所没有的;至于如外感风暑寒湿,内伤喜怒忧思、饮食房劳,以及虚实寒热等病症,则与男子完全相同。只要根据本源进行治疗,就可以明白了。
调养胎孕必须区分“能养”(母亲)与“所养”(胎儿)。母亲是能够滋养的一方,胎儿是被滋养的一方,名义既然不同,养育的方式也就有别,所以称为“重身”(怀孕)。父母交合之初,胎儿借助父母的精血,诚意投于其间,然后形成妊娠,这就是元气禀受的开始。第一个月血聚,称为“始血”;第二个月精凝,称为“始膏”;第三个月成形,称为“始胎”。这也是在看似无次第中蕴含的次第。道生一,一生二,二生三,三生万物,既然以“三”来成就,不得不分为数月。成形之后,阴阳施化,男女始分,随着见到外象而在内有感应。第四个月开始接受少阴君火之气以养精;第五个月接受太阴湿土之气以养肉;第六个月接受少阳相火之气以养气;第七个月接受阳明金气以养骨;第八个月接受太阳水气以养血;第九个月接受厥阴木气以养筋;第十个月脏腑俱备,神明已全,等待时机出生。这都是被滋养的胎息所成就的,从开始到结束的过程。
第一个月足厥阴肝经滋养,内属于肝,肝藏血,不可纵怒及使筋力疲极,也不可触冒邪风,更不可妄自针灸该经脉。第二个月足少阳胆经滋养,内属于胆,胆合于肝,共同荣养血液,不可惊动及针灸该经脉。第三个月手心主心包络经滋养,内属右肾,肾主精,不可纵欲及悲哀,不可触冒寒冷,也不得针灸该经脉。第四个月手少阳三焦经滋养,内属于三焦,三焦为精气之府,合于肾以养精,不可过劳或过逸,也不得针灸该经脉。第五个月足太阴脾经滋养,内属于脾,脾养肉,不可妄加思虑及饥饱失调,不可触冒卑湿之地,也不得针灸该经脉。第六个月足阳明胃经滋养,内属于胃,胃为脏腑之海,合于脾以养肉,不得杂食及针灸该经脉。第七个月手太阴肺经滋养,内属于肺,以养皮毛,不可忧郁及叫呼,不可触冒烦躁之气,也不得针灸该经脉。第八个月手阳明大肠经滋养,内属于大肠,合于肺以养气,母亲食用燥物导致气机涩滞,也不得针灸该经脉。第九个月足少阴肾经滋养,内属于肾,以养骨,不可怀有恐惧之心及房事劳累,不可触冒生冷之物,也不得针灸该经脉。第十个月足太阳膀胱经滋养,内属于膀胱,以合于肾。太阳为诸阳之主气,因此使胎儿脉络连续缕缕皆成,六腑通畅,与母体分受神气,各自完备,等待时辰出生。唯独不说手少阴心经滋养的原因,是因为心为五脏的大主,如同帝王,不可以有为(即不直接参与具体的滋养运作)。如果调理得当,不损伤胎脏,更能懂得转男胎教的方法,这就尽善尽美了。
The origin of heaven and earth lies in the union of husband and wife, and the coordination of Qian (Heaven) and Kun (Earth) is based on Yin and Yang. Although the properties of clarity and turbidity, movement and stillness differ, their manifestations and imitations have their respective analogies. From this perspective, there are several reasons why women's diseases differ from men's. Ancient prescriptions state that women's diseases are ten times harder to treat than men's; this statement carries profound meaning. However, among the thirty-six diseases and the category of postpartum conditions, which are unique to women, external injuries from wind, summerheat, cold, and dampness, as well as internal injuries from joy, anger, worry, and overthinking, improper diet, sexual excess, as well as deficiency-excess and cold-heat patterns, are exactly the same as those in men. By treating according to the root cause, one can understand this clearly.
Nourishing the fetus requires distinguishing between the "nourisher" (the mother) and the "nourished" (the fetus). The mother is the active agent of nourishment, while the fetus is the recipient. Since their roles differ, the methods of nourishment also differ, hence the term "chong shen" (heavy body/pregnancy). At the initial moment of parental intercourse, the fetus relies on the essence and blood of the parents, offering sincerity within, thereby conceiving. This is the beginning of receiving primordial qi. In the first month, blood gathers, termed "shi xue" (beginning of blood); in the second month, essence condenses, termed "shi gao" (beginning of paste); in the third month, form takes shape, termed "shi tai" (beginning of fetus). This represents order within apparent disorder. Dao generates One, One generates Two, Two generates Three, and Three generates all things. Since completion relies on "Three," it is necessary to divide into several months. After form is established, Yin and Yang transform, and male/female distinctions begin. With exposure to external phenomena, internal sensations arise. In the fourth month, it begins to receive the Qi of Shaoyin Jueyin Fire to nourish essence; in the fifth month, it receives the Qi of Taiyin Damp Earth to nourish flesh; in the sixth month, it receives the Qi of Shaoyang Ministerial Fire to nourish Qi; in the seventh month, it receives the Metal Qi of Yangming to nourish bones; in the eighth month, it receives the Water Qi of Taiyang to nourish blood; in the ninth month, it receives the Wood Qi of Jueyin to nourish sinews; in the tenth month, the zang-fu organs are fully prepared, and spirit/mind is complete, waiting for the time to be born. These are all accomplishments of the nourished fetal respiration, from beginning to end.
In the first month, the Foot-Jueyin Liver Meridian nourishes, internally belonging to the Liver, which stores blood. One must not indulge in anger or exhaust the tendons through labor, nor expose oneself to pathogenic winds, and one must not recklessly needle or moxa this meridian. In the second month, the Foot-Shaoyang Gallbladder Meridian nourishes, internally belonging to the Gallbladder, which harmonizes with the Liver to jointly nourish blood. One must avoid fright and disturbance, and not needle or moxa this meridian. In the third month, the Hand-Jueyin Pericardium Meridian nourishes, internally belonging to the Right Kidney, which governs essence. One must not indulge in lust or sorrow, nor expose oneself to cold, and one must not needle or moxa this meridian. In the fourth month, the Hand-Shaoyang Sanjiao Meridian nourishes, internally belonging to the Sanjiao (Triple Burner), the mansion of essence, which harmonizes with the Kidney to nourish essence. One must avoid excessive work or rest, and not needle or moxa this meridian. In the fifth month, the Foot-Taiyin Spleen Meridian nourishes, internally belonging to the Spleen, which nourishes flesh. One must avoid excessive thinking and irregular eating (hunger/fullness), nor expose oneself to damp and low places, and not needle or moxa this meridian. In the sixth month, the Foot-Yangming Stomach Meridian nourishes, internally belonging to the Stomach, the sea of zang-fu organs, which harmonizes with the Spleen to nourish flesh. One must avoid mixed/irregular diets and not needle or moxa this meridian. In the seventh month, the Hand-Taiyin Lung Meridian nourishes, internally belonging to the Lung, which nourishes skin and hair. One must avoid melancholy and shouting, nor expose oneself to irritability, and not needle or moxa this meridian. In the eighth month, the Hand-Yangming Large Intestine Meridian nourishes, internally belonging to the Large Intestine, which harmonizes with the Lung to nourish Qi. If the mother eats dry foods causing Qi stagnation/stiffness, one must not needle or moxa this meridian. In the ninth month, the Foot-Shaoyin Kidney Meridian nourishes, internally belonging to the Kidney, which nourishes bones. One must avoid fear and sexual fatigue, nor expose oneself to raw/cold items, and not needle or moxa this meridian. In the tenth month, the Foot-Taiyang Bladder Meridian nourishes, internally belonging to the Bladder, which harmonizes with the Kidney. Taiyang is the master of all Yang Qi, thus enabling the fetus's vessels to connect continuously, the six fu organs to become unobstructed, and sharing Qi with the mother so that spirit and Qi are individually complete, waiting for the proper time to be born. The reason the Hand-Shaoyin Heart Meridian is not mentioned as nourishing is that the Heart is the great master of the five zang organs, like an emperor, who does not engage in direct action (specific nourishing operations). If management is appropriate, damaging the fetal viscera is avoided, and further knowledge of methods to influence fetal gender and prenatal education leads to perfection.