妊娠之妇,大宜寡欲为先。其于妇人,或未谙此。然则男子亦有所不谙者,岂不愚哉!至于
坏妊,犹有房事,殊不知情欲一动,血气皆燔,脏腑皆为之不宁,胎息因之而弗安者矣。不
特此也,寡欲二字,义甚扩充。凡所谓起居食息、七情六淫,一有遇触冒,则火随之而燔,俱
是欲也,宁不皆寡而节合于中乎!故妊娠但当清热养血为主,药以四物汤加白术、条芩。其有
杂证,用此增减治之。以至临产之月,不宜登高涉险,贪睡怀忧,须要时常行步,以运动之,
庶得血气畅通而产自易也。殆夫生产之难者,皆由妊妇未尝预闻讲说生育道理,不能临事无眩,
至期怆惶,用力失宜,因有难产之患矣。是故有机生者,则先露手;有逆产者,则先露足;有坐
生者,则先露臀。此皆用力太早之过。当夫脐腹疼痛之初,儿身才转而未顺,用力一逼,遂至
横逆。若正产时,子如梦觉,自能翻身,坼胞求路,则随浆水而下,此易产之常道也。若或胎息
体弱,犹如梦寐未醒,转头迟滞,不能随浆而出。浆水既涸,则子宫干涩,污血闭塞道路,子
无所从,以致不顺。当产之际,浆水下久,而犹不
就分解者,急服催生之药遂之。慎不可惊慌喧嚷,只用历练老成经惯妇人一二扶持,不可急遽
便欲为生,莽撞下手,因而伤早,触逆胎元,甚至子母倾危,职皆由于此也,可不慎哉!可不慎哉!
妊娠期的妇女,最应当以节制性欲为首要原则。那些妇人或许不懂这个道理。然而男子也有不懂的,这难道不是愚昧吗!至于导致流产的情况,如果仍有房事,却不知道情欲一旦发动,血气就会像火一样燃烧,脏腑都会因此不得安宁,胎息也因此而不安稳。
不仅如此,“寡欲”二字含义非常广泛。凡是所谓的起居饮食、七情六淫(指喜、怒、忧、思、悲、恐、惊七种情绪和风、寒、暑、湿、燥、火六种外感病邪),一旦有所接触冒犯,火气就会随之燃烧,这些都是“欲”的表现,难道不都应该减少并节制以符合中道吗!所以妊娠期只应当以清热养血为主,用药用四物汤(由当归、川芎、白芍、熟地黄组成的补血调经基础方)加白术、黄芩。如果有其他杂症,用此方加减治疗。
直到临产之月,不宜登高涉险,贪睡怀忧,需要时常行走,以活动身体,这样使得血气畅通,生产就容易了。那些生产困难的,都是因为孕妇未曾预先听闻讲解生育的道理,不能面对事情时不迷惑,到了时期惊慌失措,用力不当,因而有难产的祸患。
因此,有头位不正先露出手的;有臀位或足位先露出脚的;有坐生(臀位)先露出臀部的。这都是因为用力太早造成的过错。当脐腹疼痛刚开始时,胎儿身体才转动而未顺,用力一逼,遂至横逆。如果是正常生产,胎儿如同从梦中醒来,自然能翻身,破胞求路,则随着羊水而下,这是易产的正常道理。
如果胎息体弱,犹如梦境未醒,转头迟缓,不能随羊水而出。羊水既然枯竭,则子宫干涩,污血闭塞道路,胎儿无处可去,以致不顺。在分娩之际,羊水流出很久,仍然没有分解生产的,急服催生的药物促使它生产。千万不要惊慌喧嚷,只用经验丰富、老成持重的妇人一二名扶持,不可急躁便想要生产,莽撞下手,因而伤及过早,触犯逆乱胎元,甚至母子危殆,职责都在于此啊,能不谨慎吗!能不谨慎吗!
Pregnant women should prioritize the moderation of sexual desire above all else. Women may not be aware of this principle. However, men also lack understanding in this regard; is this not foolish? Regarding conditions that lead to miscarriage, if sexual intercourse continues, one fails to realize that once emotional desire arises, blood and qi will burn like fire, causing the zang-fu organs to become unsettled, and consequently, the fetal breath (Tai Xi) becomes insecure.
This is not all. The concept of "moderation of desire" has a broad meaning. Any aspect concerning daily routine, diet, rest, the seven emotions (joy, anger, worry, thought, sadness, fear, fright), or the six pathogenic factors (wind, cold, summer-heat, dampness, dryness, fire), if provoked or offended, causes internal heat to flare up. These are all forms of "desire." Should they not all be reduced and regulated to align with the mean? Therefore, during pregnancy, treatment should primarily focus on clearing heat and nourishing blood. The prescription used is Siwu Tang (Four Substance Decoction) augmented with Baizhu (Atractylodis Rhizoma) and Huangqin (Scutellariae Radix). For any accompanying miscellaneous syndromes, this formula can be modified accordingly.
In the month approaching delivery, one should avoid climbing heights or engaging in dangerous activities, nor indulge in excessive sleep or worry. It is necessary to walk frequently to promote movement, thereby ensuring the smooth flow of blood and qi, making delivery easier. Difficulties in childbirth often arise because pregnant women have never previously heard explanations regarding the principles of reproduction. Consequently, they cannot remain calm when labor begins, leading to panic at the due time and improper exertion of force, resulting in dystocia.
Thus, there are cases where the hand presents first (indicating malpresentation); cases where the foot presents first (breech or footling presentation); and cases where the buttocks present first (sacral presentation). All these are errors caused by pushing too early. When abdominal pain initially begins, the fetus is just turning and has not yet assumed the correct position. If force is applied prematurely, it leads to transverse or abnormal presentations. In normal delivery, the fetus acts as if waking from a dream, naturally turning its body, rupturing the membranes to seek the birth canal, and descending with the amniotic fluid. This is the normal course for easy delivery.
However, if the fetal vitality is weak, resembling a state of deep sleep, the turning of the head is sluggish, and it cannot descend with the amniotic fluid. Once the amniotic fluid dries up, the uterus becomes dry and sticky, and turbid blood blocks the pathway. With nowhere to go, the fetus cannot proceed smoothly. During the process of delivery, if the amniotic fluid has flowed for a long time but delivery has not progressed, emergency administration of parturition-inducing medicine is required to facilitate birth. One must strictly avoid panic and clamor. Only one or two experienced, mature midwives should provide support. Do not rush into action or attempt delivery hastily, as this may cause premature injury, disrupt the fetal origin, and even endanger both mother and child. Such outcomes are entirely due to such negligence. How can one not be cautious! How can one not be cautious!