【歌】安胎饮里紫苏甘，大腹砂仁桔藿堪，芩术归苓姜水煮，胎前诸症可相参。恶阻停痰半夏宜，茯苓甘
草藿陈皮，砂仁大腹同香附，苏叶生姜功最奇。胸满心疼号子悬，葱头枳壳可同煎，砂仁大腹甘苏叶，白术黄芩
应避嫌。口渴虚烦加麦冬，茯苓竹叶及防风，山栀知母归生地，补血生津有大功。肿胀皆因湿热多，健脾利水自
安和，木通苓泽姜皮术，大腹陈皮及炒莎。腰痛皆因肾气虚，须防孕子绝衣裾，地黄杜脂芎山药，续断当归总载
书。咳嗽原来属肺家，要分虚实莫涂鸦，虚将天麦阿胶等，实用苏陈桑杏砂。往来寒热属于肝，血少风邪勿误看，
四物八珍医血弱，柴胡加减疗风寒。食伤水泻损于脾，下痢稠粘作热医，热则香连丸可治，四苓香附茯陈皮。不
眠惊悸属于心，怔忡虚烦汗不禁，远志枣仁龙眼肉，茯神柏子及人参。触犯胎元动不安，缩砂末服是神丹，或兼
佛手同生地，胶艾加之治血干。大抵胎前宜四物，川
芎用早恐升提，地黄泥膈须加减，顺气和中勿执迷。
《内经》曰∶何以知怀子之且生也。曰∶身有病而无邪脉也。又曰∶妇人足少阴脉动甚者，妊子也。又曰∶
阴搏阳别，谓之有子。秦越人曰∶三部浮沉正等，按之不绝者，有妊也。崔紫虚曰∶阴搏于下，阳别于上，气血
调和，有子之象。手之少阴其脉动甚，尺按不绝，此为有孕。少阴属心，心主血脉，肾为胞门，脉应于尺，或寸脉微，
关滑、尺数，流利往来如雀之啄，或诊三部，浮沉一止，或平而虚，当问月水，妇人有病而无邪脉，此孕非病，所
以不月。齐仲甫曰∶阴搏阳别谓之有子，气血调和，阳施阴化也。王叔和曰∶脉平而虚，妊子法也。诊其脉左少阴
动甚者，妊子也。夫少阴心也，心主血。足少阴肾也，肾主胞门，大抵少阴经左手属心，右足属肾，下主乎尺，尺
中按之不绝者，有妊也。亦有元虚而微细濡弱或伏者。《脉诀举要》曰∶男女之别以左右取，左疾为男，右疾为女，
沉实在左，浮大在右，左男右女，可以预剖。盖左脉疾胜于右是为男，以男属阳居左，胎气钟于阳，故左胜。右
脉疾胜于左是为女，以女属阴居右，胎气钟于阴，故右胜也。大抵沉实者为男，沉细者为女，右尺浮大者，固知其女，
左尺浮大者，大约多男，沉细是女，沉实是男，即所谓诸阳为男，诸阴为女也。右尺浮大为女，左尺浮大为男，即所
谓左疾为男，右疾为女也。又曰∶中指一跳一止者，一月胎。二跳二止者，二月胎也。
妊娠之脉如何认，要辨阴阳衰与盛。阴阳俱盛滑而和，两手调和数相应。其人能食身无热，容色如常是妊定。
脉来左盛是男形，右手偏洪是女孕。孕真带呕头昏闷，此是停痰恶阻病，急宜正胃与消痰，固血安胎全两命。若还
腰腹具胀时，日暮咽干潮热盛，多眠恶食倦昏痰，此属经凝却非病。胃脉疾数胎三月，小肠但数五月母，指下动急
在大肠，八月怀孕知其数，大纲孕妇类如斯，任意推详审动静。妇人经自断而有躯，其脉反弦，恐其后必大下，不成
躯也。脉来近去远，故曰反以为有躯而反断，此为有
阳无阴故也。
【歌诀】安胎饮由紫苏、甘草组成，加上大腹皮、砂仁、桔梗、藿香最为适宜，用黄芩、白术、当归、茯苓、生姜煎煮水服，产前各种病症可以参考此方。恶阻（妊娠呕吐）伴有停痰者适合用半夏，配合茯苓、甘草、藿香、陈皮，再加砂仁、大腹皮和香附一起使用，苏叶和生姜的功效最为神奇。胸满心痛称为“子悬”，葱头、枳壳可以一同煎煮，砂仁、大腹皮、甘草、苏叶可用，但白术和黄芩应当避免使用。口渴虚烦可加麦冬、茯苓、竹叶及防风，山栀、知母、当归、生地，补血生津有巨大功效。肿胀多因湿热引起，健脾利水自然安宁调和，木通、茯苓、泽泻、姜皮、白术、大腹皮、陈皮及炒莎草。腰痛多因肾气虚弱，须防止孕期流产或胎盘滞留，地黄、杜仲、川芎、山药，续断、当归总载于医书之中。咳嗽原本属于肺系疾病，要分清虚实不要乱写，虚证用天冬、麦冬、阿胶等，实证用苏叶、陈皮、桑叶、杏仁、砂仁。往来寒热属于肝脏，血少风邪不要误看，四物汤、八珍汤治疗血弱，柴胡加减方治疗风寒。饮食损伤导致水泻损害脾脏，下痢稠粘属热证治疗，热证可用香连丸治疗，或用四苓散、香附、茯苓、陈皮。不眠惊悸属于心脏，怔忡、虚烦、汗出不止，远志、枣仁、龙眼肉，茯神、柏子仁及人参。触犯胎元导致胎动不安，服用缩砂末是神丹，或者兼用佛手同生地，胶艾汤加入治疗血干。大体上产前宜用四物汤，川芎如果过早使用恐怕升提太过，地黄滋腻碍膈必须加减，顺气和中不要固执迷惑。
《内经》说：怎么知道怀孕即将分娩呢？回答说：身体有病象但没有邪脉。又说：妇人足少阴脉跳动特别明显的，是怀孕了。又说：阴脉搏动有力且与阳脉有别，叫做有子。秦越人说：寸关尺三部脉浮沉力度正常，按之不绝的，是有孕。崔紫虚说：阴脉搏动于下部，阳脉别于上部，气血调和，是有子的征象。手少阴心经脉动明显，尺部按之不绝，这是有孕。少阴属心，心主血脉，肾为胞门，脉应于尺部，或者寸脉微，关脉滑、尺脉数，流利往来如雀啄米，或者诊察三部脉，浮沉间有一止，或者平而虚，应当询问月经情况，妇人有病象但没有邪脉，这是怀孕而非生病，所以月经停止。齐仲甫说：阴搏阳别叫做有子，气血调和，是阳施阴化的结果。王叔和说：脉象平和而虚，是怀孕的法度。诊察其脉左手少阴脉动明显的，是怀孕。夫少阴指心，心主血；足少阴指肾，肾主胞门。大体上少阴经左手属心，右足属肾，下部对应尺部，尺中按之不绝的，是有孕。也有元气虚弱而脉微细濡弱或伏的。《脉诀举要》说：男女的区别以左右脉来取，左脉疾快为男，右脉疾快为女，沉实在左，浮大在右，左男右女，可以预先判断。大概左脉疾快胜过右脉是为男，因为男属阳居左，胎气钟聚于阳，所以左胜。右脉疾快胜过左脉是为女，因为女属阴居右，胎气钟聚于阴，所以右胜也。大体上沉实者为男，沉细者为女，右尺浮大的，固然是女，左尺浮大的，大约多为男，沉细是女，沉实是男，即所谓诸阳为男，诸阴为女。右尺浮大为女，左尺浮大为男，即所谓左疾为男，右疾为女。又说：中指跳一下停一下的，是一个月胎。跳两下停两下的，是两个月胎。
妊娠的脉象如何辨认，要辨别阴阳的衰与盛。阴阳都旺盛则脉滑而调和，两手调和且数脉相应。其人能进食身体无发热，容色如常是怀孕确定。脉来左侧旺盛是男形，右手偏洪是女孕。怀孕确实伴有呕吐头昏闷，这是停痰恶阻病，急宜正胃与消痰，固血安胎保全母子两条命。如果还腰腹部都胀时，傍晚咽干潮热盛，多眠恶食倦昏痰，这属于经血凝滞却不是病。胃脉疾数表示胎三月，小肠脉仅数表示五月母体变化，指下动急在大肠脉位，八月怀孕知其月份，大纲孕妇脉象大致如此，任意推详审察动静。妇人月经自断而有身孕，其脉反弦，恐怕其后必然大出血，不能成胎。脉来近去远，故曰反以为有身孕却反而断绝，这是因为有阳无阴的缘故。
[Song Verse] An Tai Yin (Fetus-Calming Decoction) consists of Zi Su Ye (Perilla Leaf), Gan Cao (Licorice Root), Da Fu Pi (Areca Peel), Sha Ren (Amomum Fruit), Jie Geng (Platycodon Root), and Huo Xiang (Patchouli Herb). It is best decocted with Huang Qin (Scutellaria Root), Bai Zhu (Atractylodes Rhizome), Dang Gui (Angelica Sinensis), Fu Ling (Poria), and Sheng Jiang (Fresh Ginger). This formula can be referenced for various conditions during pregnancy. For E Zu (Morning Sickness/Nausea of Pregnancy) accompanied by retained phlegm, Ban Xia (Pinellia Tuber) is suitable, combined with Fu Ling (Poria), Gan Cao (Licorice Root), Huo Xiang (Patchouli Herb), Chen Pi (Tangerine Peel), along with Sha Ren (Amomum Fruit), Da Fu Pi (Areca Peel), and Xiang Fu (Cyperus Rhizome). The efficacy of Zi Su Ye (Perilla Leaf) and Sheng Jiang (Fresh Ginger) is most remarkable. For Xiong Man Xin Tong (Chest Fullness and Heart Pain) known as Zi Xuan (Subsiding Fetus), Cong Tou (Green Onion Head) and Zhi Qiao (Bitter Orange) can be decocted together; Sha Ren (Amomum Fruit), Da Fu Pi (Areca Peel), Gan Cao (Licorice Root), and Zi Su Ye (Perilla Leaf) may be used, but Bai Zhu (Atractylodes Rhizome) and Huang Qin (Scutellaria Root) should be avoided. For thirst and deficiency heat/restlessness, add Mai Dong (Ophiopogon Tuber), Fu Ling (Poria), Zhu Ye (Bamboo Leaf), and Fang Feng (Saposhnikovia Root); Shan Zhi (Gardenia Fruit), Zhi Mu (Anemarrhena Rhizome), Dang Gui (Angelica Sinensis), and Sheng Di Huang (Rehmannia Root) have great merit in nourishing blood and generating fluids. Swelling is mostly due to damp-heat; strengthening the spleen and promoting urination ensures harmony. Use Mu Tong (Akebia Stem), Fu Ling (Poria), Ze Xie (Alisma Rhizome), Jiang Pi (Ginger Peel), Bai Zhu (Atractylodes Rhizome), Da Fu Pi (Areca Peel), Chen Pi (Tangerine Peel), and Chao Sha (Cyperi Rhizoma). Lower back pain is often due to kidney qi deficiency; one must fear miscarriage or retained placenta. Di Huang (Rehmannia Root), Du Zhong (Eucommia Bark), Chuan Xiong (Ligusticum Rhizome), and Shan Yao (Dioscorea Rhizome), along with Xu Duan (Dipsacus Root) and Dang Gui (Angelica Sinensis), are recorded in medical texts. Coughs originally belong to the lung system; distinguish between deficiency and excess. For deficiency, use Tian Dong (Asparagus Tuber), Mai Dong (Ophiopogon Tuber), and E Jiao (Donkey-hide Gelatin); for excess, use Zi Su Ye (Perilla Leaf), Chen Pi (Tangerine Peel), Sang Ye (Mulberry Leaf), Xing Ren (Apricot Seed), and Sha Ren (Amomum Fruit). Alternating chills and fever belong to the liver; do not mistake blood deficiency and wind pathogen. Si Wu Tang (Four Substances Decoction) and Ba Zhen Tang (Eight Treasures Decoction) treat blood weakness; Chai Hu Jia Jian Tang (Bupleurum Modified Decoction) treats wind-cold. Food injury causing watery diarrhea damages the spleen; sticky dysentery indicates heat treatment. For heat, Xiang Lian Wan (Costus and Coptis Pill) can be used, or Si Ling San (Four Poria Powder) with Xiang Fu (Cyperus Rhizome), Fu Ling (Poria), and Chen Pi (Tangerine Peel). Insomnia and palpitations belong to the heart; panic, deficiency heat, and spontaneous sweating require Yuan Zhi (Polygala Root), Suan Zao Ren (Ziziphus Seed), Long Yan Rou (Longan Aril), Fu Shen (Poria with Hostwood), Bai Zi Ren (Biota Seed), and Ren Shen (Ginseng Root). If the fetal origin is disturbed causing restlessness, taking Su Sha Miao (Cardamom Seed Powder) is a divine pill; it can be combined with Fo Shou (Finger Citron) and Sheng Di Huang (Rehmannia Root), or Jiao Ai Tang (Collagen and Mugwort Decoction) added to treat dry blood. Generally, Si Wu Tang (Four Substances Decoction) is suitable for pregnancy; using Chuan Xiong (Ligusticum Rhizome) too early may cause excessive ascending; Di Huang (Rehmannia Root) is cloying and obstructs the chest, requiring modification; follow qi regulation and middle jiao harmonization without stubbornness.
The *Nei Jing* (Inner Canon) states: How to know if a pregnant woman is about to give birth? Answer: The body shows signs of illness but the pulse lacks evil characteristics. It also states: If the foot Sha Yin (Kidney Meridian) pulse beats vigorously, it indicates pregnancy. It further states: Yin pulse beats strongly and differs from Yang, this is called having a child. Qin Yue Ren says: If the three positions (Cun, Guan, Chi) show floating and sinking equally, and pressing does not cease, there is pregnancy. Cui Zi Xu says: Yin pulses beat at the lower position, Yang pulses differ at the upper position; with harmonious qi and blood, this is an image of having a child. The hand Sha Yin (Heart Meridian) pulse beats vigorously, and the Chi position remains unceasing when pressed; this indicates pregnancy. Sha Yin belongs to the Heart, which governs blood vessels; the Kidney is the womb gate; the pulse corresponds to the Chi position. Or the Cun pulse is faint, Guan is slippery, Chi is rapid, flowing smoothly like a sparrow pecking rice. Or examining the three positions, there is a pause between floating and sinking, or the pulse is level and deficient; one should ask about menstruation. A woman has illness signs but no evil pulse; this is pregnancy, not disease, hence menstruation stops. Qi Zhong Fu says: Yin beating and Yang differing is called having a child; qi and blood are harmonious, representing Yang imparting and Yin transforming. Wang Shu He says: A pulse that is level and deficient is the method for pregnancy. Diagnosing the pulse, if the left hand Sha Yin beats vigorously, it is pregnancy. Sha Yin refers to the Heart, which governs blood; Foot Sha Yin refers to the Kidney, which governs the womb. Generally, the left hand Sha Yin belongs to the Heart, the right foot Sha Yin belongs to the Kidney, governing the lower Chi position; if the Chi position is unceasing when pressed, there is pregnancy. There are also cases of original qi deficiency where the pulse is faint, fine, soggy, weak, or hidden. *Mai Jue Ju Yao* (Essentials of Pulse Diagnosis) states: Male and female differences are determined by left and right. Left rapid indicates male, right rapid indicates female; deep and solid on the left, floating and large on the right; left male, right female, allows for prediction. Generally, left pulse rapid exceeding right indicates male, because male belongs to Yang residing on the left, and fetal qi gathers in Yang, so left prevails. Right pulse rapid exceeding left indicates female, because female belongs to Yin residing on the right, and fetal qi gathers in Yin, so right prevails. Generally, deep and solid indicates male, deep and fine indicates female; right Chi floating and large confirms female, left Chi floating and large suggests mostly male; deep and fine is female, deep and solid is male, i.e., all Yang indicates male, all Yin indicates female. Right Chi floating and large is female, left Chi floating and large is male, i.e., left rapid is male, right rapid is female. It also states: One jump and one pause in the middle finger indicates one month of fetus; two jumps and two pauses indicate two months.
How to recognize pregnancy pulses? Distinguish the decline and prosperity of Yin and Yang. When both Yin and Yang prosper, the pulse is slippery and harmonious; both hands are harmonious and the rapid pulse corresponds. The person can eat, body has no fever, complexion is normal—this confirms pregnancy. Pulse strong on the left indicates male form; right hand predominantly洪 (Hong/Full) indicates female pregnancy. True pregnancy with vomiting, dizziness, and stuffiness indicates retained phlegm and E Zu (Nausea); urgently regulate the stomach and eliminate phlegm, secure blood and calm the fetus to save both lives. If waist and abdomen are distended, evening throat dryness, and flourishing tidal fever occur, along with hypersomnia, aversion to food, fatigue, and phlegm, this belongs to menstrual stagnation but is not disease. Stomach pulse rapid indicates three months of fetus; Small Intestine pulse only rapid indicates five months maternal change; movement urgency under fingers in Large Intestine position indicates eight months pregnancy. The general outline of pregnant women's pulses is thus; deduce details freely observing movement and stillness. When a woman's menstruation stops and she has a body, but her pulse is wiry (Xian), fear that later there will be heavy bleeding, failing to form a fetus. Pulse comes near and goes far; thus it is said that contrary to having a body, it instead cuts off; this is because there is Yang without Yin.