北齐名医徐之才云∶妊娠一月名始胚,饮食精熟,酸美受御,宜食大麦,毋食腥辛,是
谓才正。妊娠一月,足厥阴脉养,不可针灸其经。(如大敦、行间、太冲、中封、五里、中
等穴是也。)足厥阴内属于肝,肝主筋及血,一月之时,血行痞涩,不为力事,寝必安静,无
令恐畏。
妊娠一月,阴阳新合为胎,寒多为痛,热多卒惊,举重腰痛,腹满胞急,卒有所下,当
预安之,宜服。
乌雌鸡汤
乌雌鸡(一只,治如食法) 茯苓 阿胶(各二两) 吴茱萸(一升) 麦门冬(五合,去心)
人参 芍药 白术(各三两) 甘草 生姜(各一两)
上 咀,以水一斗二升,煮鸡取汁六升,去鸡下药,煎取三升,纳酒三升并胶烊尽,取
三升放温,每服一升,日三。
补胎汤 若曾伤一月胎者,当预服此。
细辛(一两) 防风(二两) 干地黄 白术(各三两) 生姜(四两) 吴茱萸 大麦(各五合)
乌梅(一升)
上八味 咀,以水七升,煮取二升半,分三服,先食服。寒多者倍细辛、茱萸。热多
渴者去之,加栝蒌根二两。若有所思,去大麦,加柏子仁三合。一方有人参一两。
妊娠二月名始膏,无食辛臊,居必静处,男子勿劳,百节皆痛,是为胎始结。妊娠二
月,足少阳脉养,不可针灸其经。(如胆窍、丘墟、付阳、绝骨、外立、阳陵泉等穴是也。)足少阳
内属于胆,胆主精,二月之时,儿精成于胞里,当慎护惊动也。
妊娠二月,始阴阳踞经。有寒多坏不成,有热即萎悴,中风寒有所动摇,心满脐下悬
急,腰背强痛,卒有所下,乍寒乍热。宜服。
艾叶汤
艾叶 丹参 当归 麻黄(各二两) 人参 阿胶(各三两) 甘草(一两) 生姜(六两)
大枣(十二枚)
上九味, 咀,以酒三升,水一斗,煮减半,去滓内胶,煎取三升,分三服。一方
用乌雌鸡一只,宿肥者,治如食法,割头取血,纳三升酒中相和,次以水一斗二升,先
煮取汁,去鸡纳药,煎取三升,纳血、酒并胶,煎取三升,分温三服。
黄连汤 若曾伤二月胎者,当预服此。
黄连 人参(各一两) 吴茱萸(五合) 生姜(三两) 生地黄(五两,一方用阿胶)
上五味 咀,以酢浆七升,煮取三升,分四服,日三夜一,十日一修合。若颇觉不安,
加乌梅一升。加乌梅者不用浆,直用水耳。一方用当归半两。
妊娠三月名始胎,当此之时,未有定仪,见物而化。欲生男者,操弓矢。欲生女者,弄
珠玑。欲子美好,数视壁玉。欲子贤良,端坐清虚。是谓外象而内感者也。妊娠三月,手
心主脉养,不可针灸其经。(如中冲、劳宫、大陵、内关、间使、 门、曲泽等穴是也。)手心主
内属于心,无悲哀思虑惊动。
妊娠三月为定形,有寒大便青,有热小便难,不赤即黄,卒惊恐、忧愁、嗔怒,喜
顿仆,动于经脉,腹满绕脐苦痛,或腰背卒有所下,宜服。
雄鸡汤
雄鸡(一只,治如食法) 黄芩 白术 生姜
(各一两) 麦门冬(五合) 芍药 大枣(十二枚,掰) 甘草 人参 茯苓 阿胶(各二两)
上为 咀,以水一斗三升,煮鸡减半,出鸡纳药,煮取半,纳清酒三升并胶,煎取三
升,分三服,一日令尽,当温卧。一方用当归、芎各二两,不用黄芩、生姜。
茯神汤 曾伤三月胎者,当预服此方。
茯神 丹参 龙骨(各一两) 阿胶 当归 甘草 人参(各二两) 大枣(二十一枚,掰)
赤小豆(二百粒)
上九味 咀,以酢浆一斗,煮取三升,分四服,先食服,七日后服一剂。腰痛者加桑
寄生二两。(深师有薤白二两,麻子一升。)
〔丹〕一妇人但有孕至三个月左右必堕,其脉左手大而无力,重取则涩,知其血
少也。以其妙年,只补中气,使血自荣。时初夏,教以浓煎白术汤下黄芩末一钱,与数
十帖,得保全而生。因思之堕于纳热而虚者,于理为多。曰热,曰虚,当分轻重。盖孕至
三月,上属相火,所以易堕,不然何以黄芩,熟艾,阿胶,为安胎妙药也。
妇人经候三月验法∶川芎生末浓煎汤,空心下一匙,腹中微动者是有胎。
妊娠四月,始受水精以成血脉,食宜稻粳,羹宜鱼雁,是谓盛血气以通耳目,而行
经络。
妊娠四月,手少阳脉养,不可针灸其经。(如关冲、阳池、内关、三阳、天井、曲垣等穴是也。)
手少阳内输三焦,四月之时,儿六腑顺成,当静形体,和心志,节饮食。
妊娠四月,有寒,心下愠愠欲呕,胸膈满不欲食;有热,小便难,数数如淋状,脐
下苦急;卒风寒,颈项强痛,寒热;或惊动身躯,腰背腹育,往来有时,胎上迫胸,心
烦不得安,卒有所下。宜服。
菊花汤
菊花(鸡子大,一枚) 麦门冬(一升) 大枣(十二枚) 人参(一两半) 甘草
当归(各二两) 麻黄 阿胶(各三两) 半夏(四两) 生姜(五两)
上十味 咀,以水八升,煮减半,纳清酒三升并阿胶,煎取三升,分三服,温卧当
汗,以粉粉之,护风寒四五日。一方用乌雌鸡一只,煮汁煎药。
调中汤 若曾伤四月胎者,当预服此。
白芍药 生姜(各四两) 浓朴 生李根白皮 枳实 白术 柴胡(各三两) 续断 芎
甘草(各一两) 当归(一两半) 乌梅(一升)
上十二味 咀,以水一斗,煮取三升,分四服,日三夜一,八日后复服一剂。
妊娠五月,始受火精以成其气,卧必晏起,沐浴浣衣,深其居处,浓其衣服,朝吸
天光,以避寒殃,其食稻麦,其羹牛羊,和以茱萸,调以五味,是谓养气以定五脏。
妊娠五月,足太阴脉养,不可针灸其经,(如隐白、大都、公孙、商丘、三阴交、漏谷、阴陵泉
等穴是也。)足太阴内输于脾,五月之时,儿四肢皆成,无大饥,无甚饱,无食干燥,无自
炙热,无大劳倦。
妊娠五月,有热,苦头眩,心乱呕吐;有寒,苦腹满痛,小便数;卒有恐怖,四肢疼
痛,寒热,胎动无常处,腹痛,闷顿欲仆,卒有所下。宜服。
阿胶汤
阿胶(四两) 人参(一两) 生姜(六两) 当归 芍药 甘草 黄芩(各二两)
旋复花(二合) 吴茱萸(七合) 麦门冬(一升)
上十味 咀,以水九升,煮药减半,内清酒三升并胶,微火煎取三升半,分四服,日
三夜一,先食服便愈,不瘥再服。一方,用乌雌鸡一只,割取咽,血纳酒中,以水煮鸡
汁煎药减半,纳酒并胶,煎取三升半,分四服。
安中汤 曾伤五月胎者,当预服此。
黄芩(一两) 当归 芎 干地黄 人参(各二两) 甘草 芍药(各三两)
生姜(六两) 麦门冬(一升) 五味子 大麻仁(各五合) 大枣(三十五枚)
上十二味 咀,以水七升,清酒五升,煮
取三升半,分四服,日三夜一,七日复服一剂。
安胎当归汤 若妊娠五月,举动惊愕,胎不安,小腹痛引腰胳,小便下血。
当归 阿胶(炒) 川芎 人参(各一两) 大枣(十二枚) 艾叶(一把)
上以酒水各三升,煮至三升,纳胶令烊,分三服。一方有甘草,无参、枣。
妊娠六月,始受金精以成其筋,身欲微劳,无得静处,出游于野,数观走犬,及视
走马,食宜鸷鸟猛兽之肉,是谓变腠理,纫筋以养其力,以坚背膂。
妊娠六月,足阳明脉养,不可针灸其经。(如厉兑、丰隆、阴市、上下廉、三里等穴是也。)足
阳明内属于胃,主其口目,六月之时,儿口目皆成,调五味,食甘美,无太饱。
妊娠六月,卒有所动,不安,寒热往来,腹内胀满,身体肿,惊怖,忽有所下,腹痛
如欲产,手足烦疼。宜服。
麦门冬汤
麦门冬(一升) 人参 甘草 黄芩(各二两) 干地黄(三两) 阿胶(四两) 生姜(六两)
大枣(十五枚)
上八味,以水七升,煮减半,纳清酒二升并胶,煎取三升,分三服,中间迸糜粥。一
方用乌雌鸡一只,煮汁煎药。
柴胡汤 若曾伤六月胎者,当预服此方。
柴胡(四两) 苁蓉(一两) 白术 芍药(一作紫葳) 甘草 麦门冬 芎 (各二两)
生姜(六两) 干地黄(五两) 大枣(三十枚)
上 咀,以水一斗,煮取三升,分四服,日三夜一,中间进糜粥,勿食生冷及坚硬之
物,七日更服一剂。一方有黄芩二两。
旋复花汤 《集验》疗妊娠六七月,胎不安常处。(亦治阻病。)
旋复花(一两) 浓朴(制) 白术 枳壳 黄芩(炒) 茯苓(各三两) 半夏(炒,一方无)
芍药 生姜(各二两)
上以水一斗,煮取二升半,分五服,先食服,日三夜二。忌羊肉、饧、醋、桃、李、
雀肉。
妊娠七月,始受木精以成其骨,劳身摇肢,无使定止,动作屈伸,以运血气,居处
必燥,饮食避寒,常食稻粳,以密腠理,是谓养骨而坚齿。
妊娠七月,手太阴脉养,不可针灸其经。(如少商、鱼际、列缺、尺泽、天府等穴是也。)手太
阴内属于肺,主皮毛,七月之时,儿皮毛已成,无大言,无号哭,无薄衣,无洗浴,无
寒饮。
妊娠七月,忽惊恐摇动,腹痛卒有所下,手足厥冷,脉若伤寒,烦热腹满短气,常苦
颈项及腰背强。葱白汤 主之。
葱白(长三四寸,十四茎) 半夏 麦门冬(各一升) 旋复花(二合) 黄芩(一两)
人参(一两半) 甘草 当归 黄 (各三两) 阿胶(四两) 生姜(八两)
上十一味 咀,以水二升,煮减半,纳清酒三升及胶,煎取四升,每服一升,日三
夜一。温卧,当汗出。若不出者,加麻黄二两,煮服如前法。若秋后勿强责汗。一方以
黄雌鸡一只,割咽取血纳酒中,煮鸡取汁以煎药。
杏仁汤 若曾伤七月胎者,当预服此。
杏仁 甘草(各二两) 紫菀(一两) 钟乳 干姜(各三两) 麦门冬 吴茱萸(一升)
粳米(五合) 五味子(三合)
上九味 咀,以水八升,煮取三升半,分四服,日三夜一,中间进食,七日服一剂。一
方用白鸡一只,煮汁煎药。
妊娠八月,始受土精以成肤革,和心静息,无使气极,是谓密腠理而光泽颜色。
妊娠八月,手阳明脉养,不可针灸其经。(如商阳、二间、合谷、上下廉、三里、曲池、肩并、
肩等穴是也。)手阳明内属于大肠,主九窍,八月之时,儿九窍皆成,无食燥物,无辄失食,
无忍大起。
妊娠八月,中风寒,有所犯触,身体尽
痛,乍寒乍热,胎动不安,常苦头眩痛,绕脐下寒,时时小便白如米汁,或青或黄,或
使寒栗,腰背苦冷而痛,目KT KT 。芍药汤 主之。
芍药 生姜(各四两) 浓朴(二两) 甘草 当归 白术 人参(各三两) 薤白(切,一升)
上八味 咀,以水五升,清酒四升,合煮取三升,分三服,日再夜一。一方用乌雌
鸡煮汁以煎药。
葵子汤 若曾伤八月胎者,当预服此。
葵子(二升) 甘草 浓朴(各二两) 白术 柴胡(各三两) 芍药(四两) 生姜(六两)
大枣(二十枚)
上八味 咀,以水九升,煮取三升,分三服,日三,凡十日一剂。一方用乌雌鸡一
只,煮汁煎药。
丹溪缩胎丸 八九个月用之。
黄芩(夏一两、秋七钱、冬半两,酒炒) 白术(二两) 陈皮(三两,去白) 茯苓(七钱半)
上为末,粥丸桐子大。
妊娠九月,始受石精以成皮毛,六腑百节,莫不毕备,饮醴食甘,缓带自持而待之,
是谓养毛发,致才力。
妊娠九月,足少阴脉养,不可针灸其经。(如涌泉、然谷、太溪、交信、筑宾、伏溜等穴是也。)
足少阴内属于肾,肾主续缕,九月之时,儿脉续缕皆成,无处湿冷,无着炙衣。
妊娠九月,若卒得下痢,腹满悬急,胎上冲心,腰背痛不可转侧,短气。宜服
半夏汤
半夏 麦门冬 吴茱萸 当归 阿胶(各三两) 干姜(一两) 大枣(十二枚)
上七味 咀,以水九升,煮取三升,去滓纳白蜜八合,微火上温,服四服,痢即止。
一方用乌雌鸡一只,煮汁煎药。
猪肾汤 若曾伤九月胎者,当预服此。
猪肾(一具) 茯苓 桑寄生 干姜 干地黄 芎 (各三两) 白术(四两)
附子(中者,一枚) 大豆(三合) 麦门冬(一升)
上 咀,以水一斗,煮肾令熟,去肾纳诸药,煎取三升半,分四服,日三夜一,十
日更一剂。
丹溪缩胎丸 九个月用之。
黄芩(一两,宜热药,不宜凉药,怯人减半) 枳壳(炒,七钱半) 滑石(七钱半,临月十
日前,小便多时,加此一味) 白术(一两)
上为末,粥丸如桐子大,每服三十丸,空心热汤下。
妊娠十月,五脏俱备,六腑齐通,纳天地气于丹田,故使关节人神皆备,但俟时而生。
妊娠一月始胚,二月始膏,三月始胞,四月形体成,五月能动,六月筋骨立,七月毛
发生,八月脏腑具,九月谷气入胃,十月诸神备,日满即产矣。宜服滑胎药,入月即服。
北齐著名医学家徐之才曾说:妊娠第一个月称为“始胚”,此时饮食应精细熟软,口味宜酸美,适宜食用大麦,避免食用腥膻辛辣之物,这叫做“才正”。妊娠第一个月,由足厥阴肝经滋养胎儿,不可对该经脉进行针灸治疗。(如大敦、行间、太冲、中封、五里、中等穴位即是。)足厥阴肝经内属于肝,肝主筋和血,在妊娠第一个月时,气血运行尚显滞涩,不宜从事体力劳动,睡眠必须安静,不要受到惊恐畏惧的刺激。
妊娠第一个月,阴阳之气新结合形成胎元,若寒邪偏多则会出现疼痛,热邪偏多则突然受惊,举重会导致腰痛,腹部胀满且胞宫拘急,若有突然出血,应当预先安胎,适宜服用乌雌鸡汤。
乌雌鸡汤
乌雌鸡(一只,按食用方法处理) 茯苓 阿胶(各二两) 吴茱萸(一升) 麦门冬(五合,去心) 人参 芍药 白术(各三两) 甘草 生姜(各一两)
以上药材切碎,用水一斗二升,煮鸡取汁六升,去掉鸡肉及药渣,再煎取三升药汁,加入酒三升并放入阿胶使其完全溶化,最终取三升药液,放温后每次服用一升,每日三次。
补胎汤 如果曾经损伤过第一个月的胎气,应当预先服用此方。
细辛(一两) 防风(二两) 干地黄 白术(各三两) 生姜(四两) 吴茱萸 大麦(各五合) 乌梅(一升)
以上八味药切碎,用水七升,煮取二升半,分三次服用,饭前服用。寒邪偏多者,加倍使用细辛和吴茱萸;热邪偏多且口渴者,去掉这些药,加栝蒌根二两;若思虑过度,去掉大麦,加柏子仁三合。另一版本有一两人参。
妊娠第二个月称为“始膏”,不吃辛辣腥臊食物,居住必须在安静的地方,男子不要劳累,全身关节都感到疼痛,这是胎气开始凝结的标志。妊娠第二个月,由足少阳胆经滋养胎儿,不可对该经脉进行针灸治疗。(如胆窍、丘墟、付阳、绝骨、外立、阳陵泉等穴位即是。)足少阳胆经内属于胆,胆主精,在第二个月时,胎儿的精气在胞宫内形成,应当谨慎保护,防止惊动。
妊娠第二个月,阴阳之气开始在经络中汇聚。若寒邪偏多则胎坏不成形,若热邪偏多则胎萎枯萎,若中风寒则胎动摇不定,出现心胸痞满、脐下悬急、腰背强痛,或有突然出血,忽冷忽热。适宜服用艾叶汤。
艾叶汤
艾叶 丹参 当归 麻黄(各二两) 人参 阿胶(各三两) 甘草(一两) 生姜(六两) 大枣(十二枚)
以上九味药切碎,用酒三升、水一斗,煮至减半,去渣放入阿胶,煎取三升,分三次服用。另一版本用乌雌鸡一只,肥壮过夜者,按食用方法处理,割头取血,纳入三升酒中混合,再加水一斗二升,先煮取汁,去掉鸡肉放入药物,煎取三升,加入鸡血、酒和胶,煎取三升,分三次温服。
黄连汤 如果曾经损伤过第二个月的胎气,应当预先服用此方。
黄连 人参(各一两) 吴茱萸(五合) 生姜(三两) 生地黄(五两,另一版本用阿胶)
以上五味药切碎,用醋浆七升,煮取三升,分四次服用,白天三次,夜间一次,十天重新配制一次。如果觉得身体颇感不安,加乌梅一升。加乌梅时不用醋浆,直接用清水即可。另一版本用当归半两。
妊娠第三个月称为“始胎”,在这个时候,胎儿的形态尚未固定,见到什么事物就会发生感应变化。想生男孩,就操持弓矢;想生女孩,就玩弄珠玑。想让孩子相貌美好,就多看看壁玉;想让孩子贤良,就端正坐姿,保持清虚心境。这就是所谓的外象内感。妊娠第三个月,由手厥阴心包经滋养胎儿,不可对该经脉进行针灸治疗。(如中冲、劳宫、大陵、内关、间使、郄门、曲泽等穴位即是。)手厥阴心包经内属于心,要避免悲哀、思虑和惊动。
妊娠第三个月是胎儿定形的时期,若寒邪偏多则大便发青,若热邪偏多则小便困难,颜色不红即黄,突然惊恐、忧愁、愤怒,喜欢跌倒仆倒,触动经脉,导致腹部胀满、绕脐剧烈疼痛,或腰背突然出血,适宜服用雄鸡汤。
雄鸡汤
雄鸡(一只,按食用方法处理) 黄芩 白术 生姜(各一两) 麦门冬(五合) 芍药 大枣(十二枚,掰开) 甘草 人参 茯苓 阿胶(各二两)
以上药材切碎,用水一斗三升,煮鸡至减半,取出鸡肉放入药物,煮至减半,加入清酒三升和胶,煎取三升,分三次服用,一天内服完,服药后应温暖卧床休息。另一版本用当归、川芎各二两,不用黄芩、生姜。
茯神汤 曾经损伤过第三个月胎气的,应当预先服用此方。
茯神 丹参 龙骨(各一两) 阿胶 当归 甘草 人参(各二两) 大枣(二十一枚,掰开) 赤小豆(二百粒)
以上九味药切碎,用醋浆一斗,煮取三升,分四次服用,饭前服用,七日后服用一剂。腰痛者加桑寄生二两。(《深师方》中有薤白二两,麻子一升。)
〔朱丹溪〕有一位妇人,怀孕到三个月左右必然流产,其脉象左手大而无力,重按则涩,可知其血少。因为她正值妙龄,只补益中气,使血液自然充盈。当时正值初夏,教她用浓煎的白术汤送服黄芩末一钱,连续服用数十帖,得以保全胎儿并顺利生产。由此思考,因受热而虚导致的流产,在情理上较多。所谓热、所谓虚,应当区分轻重。大概怀孕到三个月,相火上行,所以容易流产,否则为什么黄芩、熟艾、阿胶是安胎的妙药呢?
妇人月经停闭三个月后的验胎法:将川芎研成细末,用浓煎汤,空腹服用一匙,腹中微微跳动的是有胎。
妊娠第四个月,开始接受水之精气以形成血脉,饮食适宜稻米粳米,羹汤适宜鱼雁肉,这叫做盛养血气以通利耳目,并运行经络。
妊娠第四个月,由手少阳三焦经滋养胎儿,不可对该经脉进行针灸治疗。(如关冲、阳池、内关、三阳、天井、曲垣等穴位即是。)手少阳三焦经内输于三焦,在第四个月时,胎儿的六腑顺次完成,应当使形体安静,调和心志,节制饮食。
妊娠第四个月,若寒邪偏多,心下愠愠欲呕,胸膈满闷不想进食;若热邪偏多,小便困难,频频像淋病状,脐下苦于拘急;若突然感受风寒,颈项强痛,寒热往来;或惊动身躯,腰背腹部不适,发作有时,胎气上迫胸部,心烦不得安宁,或有突然出血。适宜服用菊花汤。
菊花汤
菊花(鸡蛋大小,一枚) 麦门冬(一升) 大枣(十二枚) 人参(一两半) 甘草 当归(各二两) 麻黄 阿胶(各三两) 半夏(四两) 生姜(五两)
以上十味药切碎,用水八升,煮至减半,加入清酒三升和阿胶,煎取三升,分三次服用,服药后温暖卧床,应当出汗,并用粉扑身,防护风寒四五日。另一版本用乌雌鸡一只,煮汁煎药。
调中汤 如果曾经损伤过第四个月的胎气,应当预先服用此方。
白芍药 生姜(各四两) 浓朴 生李根白皮 枳实 白术 柴胡(各三两) 续断 川芎 甘草(各一两) 当归(一两半) 乌梅(一升)
以上十二味药切碎,用水一斗,煮取三升,分四次服用,白天三次,夜间一次,八日后复服一剂。
妊娠第五个月,开始接受火之精气以形成其气,睡觉一定要晚起,沐浴洗衣,居所要深邃,衣服要厚实,早晨吸收天光,以避寒灾,食物吃稻麦,羹汤吃牛羊,用茱萸调和,用五味调味,这叫做养气以安定五脏。
妊娠第五个月,由足太阴脾经滋养胎儿,不可对该经脉进行针灸治疗。(如隐白、大都、公孙、商丘、三阴交、漏谷、阴陵泉等穴位即是。)足太阴脾经内输于脾,在第五个月时,胎儿的四肢皆已长成,不要大饥,不要过饱,不要吃干燥食物,不要自己靠近热源炙烤,不要过度劳累疲倦。
妊娠第五个月,若热邪偏多,苦于头晕目眩,心中烦乱呕吐;若寒邪偏多,苦于腹部胀满疼痛,小便频数;若突然遭受恐怖,四肢疼痛,寒热往来,胎动无常处,腹痛,昏闷欲倒,或有突然出血。适宜服用阿胶汤。
阿胶汤
阿胶(四两) 人参(一两) 生姜(六两) 当归 芍药 甘草 黄芩(各二两) 旋复花(二合) 吴茱萸(七合) 麦门冬(一升)
以上十味药切碎,用水九升,煮药至减半,加入清酒三升和胶,用微火煎取三升半,分四次服用,白天三次,夜间一次,饭前服用即愈,若不愈再服。另一版本,用乌雌鸡一只,割取咽喉,血纳入酒中,用水煮鸡汁煎药至减半,加入酒和胶,煎取三升半,分四次服用。
安中汤 曾经损伤过第五个月胎气的,应当预先服用此方。
黄芩(一两) 当归 川芎 干地黄 人参(各二两) 甘草 芍药(各三两) 生姜(六两) 麦门冬(一升) 五味子 大麻仁(各五合) 大枣(三十五枚)
以上十二味药切碎,用水七升,清酒五升,煮取三升半,分四次服用,白天三次,夜间一次,七日后复服一剂。
安胎当归汤 如果妊娠第五个月,举动惊愕,胎气不安,小腹痛牵引腰胯,小便下血。
当归 阿胶(炒) 川芎 人参(各一两) 大枣(十二枚) 艾叶(一把)
以上用酒和水各三升,煮至三升,放入胶使其溶化,分三次服用。另一版本有甘草,无人参、大枣。
妊娠第六个月,开始接受金之精气以形成其筋,身体要轻微劳作,不要静处,出游野外,多次观看奔跑的狗,以及观看奔跑的马,饮食适宜猛禽猛兽的肉,这叫做改变腠理,坚韧筋骨以培养力气,以坚固背脊。
妊娠第六个月,由足阳明胃经滋养胎儿,不可对该经脉进行针灸治疗。(如厉兑、丰隆、阴市、上廉、下廉、三里等穴位即是。)足阳明胃经内属于胃,主管口目,在第六个月时,胎儿的口目皆已长成,调和五味,食用甘美食物,不要过饱。
妊娠第六个月,若突然胎动不安,寒热往来,腹部胀满,身体浮肿,惊恐害怕,忽然出血,腹痛如临产状,手足烦疼。适宜服用麦门冬汤。
麦门冬汤
麦门冬(一升) 人参 甘草 黄芩(各二两) 干地黄(三两) 阿胶(四两) 生姜(六两) 大枣(十五枚)
以上八味药,用水七升,煮至减半,加入清酒二升和胶,煎取三升,分三次服用,中间进喝稀粥。另一版本用乌雌鸡一只,煮汁煎药。
柴胡汤 如果曾经损伤过第六个月的胎气,应当预先服用此方。
柴胡(四两) 肉苁蓉(一两) 白术 芍药(一作紫葳) 甘草 麦门冬 川芎(各二两) 生姜(六两) 干地黄(五两) 大枣(三十枚)
以上药切碎,用水一斗,煮取三升,分四次服用,白天三次,夜间一次,中间进喝稀粥,不吃生冷及坚硬之物,七日后更服一剂。另一版本有黄芩二两。
旋复花汤 《集验方》治疗妊娠六七月,胎气不安常居一处。(也治疗阻病。)
旋复花(一两) 浓朴(制) 白术 枳壳 黄芩(炒) 茯苓(各三两) 半夏(炒,另一版本无) 芍药 生姜(各二两)
以上用水一斗,煮取二升半,分五次服用,饭前服用,白天三次,夜间二次。忌食羊肉、饴糖、醋、桃、李、雀肉。
妊娠第七个月,开始接受木之精气以形成其骨,劳累身体,摇动肢体,不要静止不动,动作屈伸,以运化血气,居所必须干燥,饮食避开寒冷,常食稻米粳米,以致密腠理,这叫做养骨而坚固牙齿。
妊娠第七个月,由手太阴肺经滋养胎儿,不可对该经脉进行针灸治疗。(如少商、鱼际、列缺、尺泽、天府等穴位即是。)手太阴肺经内属于肺,主管皮毛,在第七个月时,胎儿的皮毛已成,不要大声说话,不要号哭,不要穿薄衣,不要洗浴,不要喝冷饮。
妊娠第七个月,若突然惊恐动摇,腹痛突然出血,手足厥冷,脉象像伤寒,烦热腹满短气,常苦于颈项及腰背强直。葱白汤主治。
葱白汤
葱白(长三四寸,十四茎) 半夏 麦门冬(各一升) 旋复花(二合) 黄芩(一两) 人参(一两半) 甘草 当归 黄芪(各三两) 阿胶(四两) 生姜(八两)
以上十一味药切碎,用水二升,煮至减半,加入清酒三升及胶,煎取四升,每次服用一升,白天三次,夜间一次。温暖卧床,应当出汗。若不出汗,加麻黄二两,煮服如前法。若在秋季以后,不要强行发汗。另一版本用黄雌鸡一只,割咽取血纳入酒中,煮鸡取汁以煎药。
杏仁汤 如果曾经损伤过第七个月的胎气,应当预先服用此方。
杏仁 甘草(各二两) 紫菀(一两) 钟乳石 干姜(各三两) 麦门冬 吴茱萸(一升) 粳米(五合) 五味子(三合)
以上九味药切碎,用水八升,煮取三升半,分四次服用,白天三次,夜间一次,中间进食,七日服一剂。另一版本用白鸡一只,煮汁煎药。
妊娠第八个月,开始接受土之精气以形成其皮肤,心情平和,呼吸宁静,不要让气机极度亢奋,这叫做致密腠理而光泽面色。
妊娠第八个月,由手阳明大肠经滋养胎儿,不可对该经脉进行针灸治疗。(如商阳、二间、合谷、上廉、下廉、三里、曲池、肩髃、肩井等穴位即是。)手阳明大肠经内属于大肠,主管九窍,在第八个月时,胎儿的九窍皆已长成,不吃燥物,不要经常失食,不要忍耐力竭而起立。
妊娠第八个月,若中风寒,有所犯触,身体全部疼痛,忽冷忽热,胎动不安,常苦于头晕痛,绕脐下寒冷,时时小便白如米汁,或青或黄,或引起寒战,腰背苦冷而痛,眼睛视物模糊不清。芍药汤主治。
芍药汤
芍药 生姜(各四两) 浓朴(二两) 甘草 当归 白术 人参(各三两) 薤白(切,一升)
以上八味药切碎,用水五升,清酒四升,合煮取三升,分三次服用,白天两次,夜间一次。另一版本用乌雌鸡煮汁以煎药。
葵子汤 如果曾经损伤过第八个月的胎气,应当预先服用此方。
葵子(二升) 甘草 浓朴(各二两) 白术 柴胡(各三两) 芍药(四两) 生姜(六两) 大枣(二十枚)
以上八味药切碎,用水九升,煮取三升,分三次服用,每天三次,总共十日一剂。另一版本用乌雌鸡一只,煮汁煎药。
丹溪缩胎丸 八九个月时使用。
黄芩(夏季一两、秋季七钱、冬季半两,酒炒) 白术(二两) 陈皮(三两,去白) 茯苓(七钱半)
以上研为细末,用米粥做成梧桐子大小的丸药。
妊娠第九个月,开始接受石之精气以形成其皮毛,六腑百节,无不具备,饮用甜酒,食用甘美食物,松开腰带,从容等待分娩,这叫做养毛发,致才力。
妊娠第九个月,由足少阴肾经滋养胎儿,不可对该经脉进行针灸治疗。(如涌泉、然谷、太溪、交信、筑宾、伏溜等穴位即是。)足少阴肾经内属于肾,肾主续缕(脉络),在第九个月时,胎儿的脉络皆已长成,不要处于湿冷环境,不要穿炙烤过的热衣。
妊娠第九个月,若突然患痢疾,腹部胀满悬急,胎气上冲心脏,腰背痛无法转侧,短气。适宜服用半夏汤。
半夏汤
半夏 麦门冬 吴茱萸 当归 阿胶(各三两) 干姜(一两) 大枣(十二枚)
以上七味药切碎,用水九升,煮取三升,去渣加入白蜜八合,微火上温热,分四次服用,痢疾即止。另一版本用乌雌鸡一只,煮汁煎药。
猪肾汤 如果曾经损伤过第九个月的胎气,应当预先服用此方。
猪肾(一个) 茯苓 桑寄生 干姜 干地黄 川芎(各三两) 白术(四两) 附子(中等大小,一枚) 大豆(三合) 麦门冬(一升)
以上药切碎,用水一斗,煮肾令熟,去掉肾脏放入诸药,煎取三升半,分四次服用,白天三次,夜间一次,十日后更服一剂。
丹溪缩胎丸 九个月时使用。
黄芩(一两,宜配合热药,不宜配合凉药,体弱者减半) 枳壳(炒,七钱半) 滑石(七钱半,临产前十日内,小便多时,加此一味) 白术(一两)
以上研为细末,用米粥做成梧桐子大小的丸药,每次服用三十丸,空腹用热汤送下。
妊娠第十个月,五脏俱备,六腑齐通,纳天地之气于丹田,因此使关节和人的精神神识皆已完备,只等待时机出生。
妊娠一个月始胚,两个月始膏,三个月始胞,四个月形体成,五个月能动,六个月筋骨立,七个月毛发生,八个月脏腑具,九个月谷气入胃,十个月诸神备,日子满了即分娩。适宜服用滑胎药,进入月份即服用。
Xu Zhicai, a renowned physician of the Northern Qi Dynasty, stated: In the first month of pregnancy, it is called "Shi Pei" (Initial Embryo). The diet should be refined and well-cooked, with flavors favoring sour and delicious. Barley (*Hordeum vulgare*) is suitable for consumption, while fishy and pungent/spicy foods should be avoided. This is referred to as "Cai Zheng" (Regulation by Talent). During the first month of pregnancy, the Foot Jueyin Liver Meridian nourishes the fetus, and acupuncture or moxibustion on this meridian should be avoided. (Acupoints such as Dadun [LR1], Xingjian [LR2], Taichong [LR3], Zhongfeng [LR4], Wuli [LR10], and Zhongdu [LR6] are examples.) The Foot Jueyin Liver Meridian internally connects to the Liver, which governs the sinews and blood. In the first month, the flow of blood and qi is somewhat stagnant; one should avoid strenuous labor, sleep in tranquility, and avoid fear or fright.
In the first month of pregnancy, Yin and Yang newly combine to form the fetus. If Cold predominates, pain occurs; if Heat predominates, sudden fright ensues. Lifting heavy objects may cause lower back pain, abdominal distension, and uterine urgency. If there is sudden vaginal bleeding, preventive measures for calming the fetus should be taken. The appropriate prescription is Wu Ci Ji Tang (Black Hen Decoction).
Wu Ci Ji Tang (Black Hen Decoction)
Wu Ci Ji (Black Hen, one whole chicken, prepared according to culinary methods) Poria (*Poria cocos*) E'jiao (Donkey-hide Gelatin) (each 2 liang) Wu Zhu Yu (Evodia Fruit) (1 sheng) Mai Men Dong (Ophiopogon Tuber) (5 he, hearts removed) Ren Shen (Ginseng Root) Bai Shao (White Peony Root) Bai Zhu (Atractylodes Rhizome) (each 3 liang) Gan Cao (Licorice Root) Sheng Jiang (Fresh Ginger) (each 1 liang)
Chop all ingredients. Boil the chicken in 12 sheng of water until the liquid reduces to 6 sheng. Remove the chicken and dregs. Further decoct the liquid to obtain 3 sheng. Add 3 sheng of wine and dissolve the E'jiao completely. The final volume should be 3 sheng. Take warm, 1 sheng per dose, three times daily.
Bu Tai Tang (Fetus-Nourishing Decoction) If the fetus was previously injured in the first month, this formula should be taken preventively.
Xi Xin (Asarum Root) (1 liang) Fang Feng (Saposhnikovia Root) (2 liang) Gan Di Huang (Prepared Rehmannia Root) Bai Zhu (Atractylodes Rhizome) (each 3 liang) Sheng Jiang (Fresh Ginger) (4 liang) Wu Zhu Yu (Evodia Fruit) Da Mai (Barley Grain) (each 5 he) Wu Mei (Mume Fruit) (1 sheng)
Chop the eight ingredients. Boil in 7 sheng of water until reduced to 2.5 sheng. Divide into three doses. Take before meals. If Cold predominates, double the dosage of Xi Xin and Wu Zhu Yu. If Heat predominates with thirst, remove these and add Gua Lou Gen (Trichosanthes Root) 2 liang. If there is excessive mental preoccupation, remove Da Mai and add Bai Zi Ren (Biota Seed) 3 he. Another version includes Ren Shen (Ginseng Root) 1 liang.
In the second month of pregnancy, it is called "Shi Gao" (Initial Paste). Avoid pungent and fishy foods. Reside in quiet places. Men should avoid exertion. The joints ache throughout the body, indicating that the fetal essence is beginning to coalesce. During the second month, the Foot Shaoyang Gallbladder Meridian nourishes the fetus, and acupuncture or moxibustion on this meridian should be avoided. (Acupoints such as Dan Qiao, Qiuxu [GB40], Fuyang [GB38], Jiegu [GB39], Wailai, and Yanglingquan [GB34] are examples.) The Foot Shaoyang Gallbladder Meridian internally connects to the Gallbladder, which governs the essence. In the second month, the fetal essence forms in the uterus; care must be taken to prevent disturbance or fright.
In the second month, Yin and Yang energies begin to gather in the meridians. If Cold predominates, the fetus may fail to develop properly; if Heat predominates, the fetus may wither. Exposure to Wind-Cold may cause fetal instability, chest fullness, umbilical urgency, stiff back, and sudden bleeding accompanied by alternating chills and fever. The appropriate prescription is Ai Ye Tang (Mugwort Leaf Decoction).
Ai Ye Tang (Mugwort Leaf Decoction)
Ai Ye (Mugwort Leaf) Dan Shen (Salvia Root) Dang Gui (Angelica Sinensis) Ma Huang (Ephedra Stem) (each 2 liang) Ren Shen (Ginseng Root) E'jiao (Donkey-hide Gelatin) (each 3 liang) Gan Cao (Licorice Root) (1 liang) Sheng Jiang (Fresh Ginger) (6 liang) Da Zao (Jujube Fruit) (12 pieces)
Chop the nine ingredients. Boil in 3 sheng of wine and 1 dou of water until reduced by half. Strain and add E'jiao. Decoct to obtain 3 sheng. Divide into three doses. Another version uses one fat black hen, prepared culinarily. Cut off the head, collect the blood, and mix with 3 sheng of wine. Add 1.2 dou of water, boil to extract juice, remove the chicken, add the herbs, decoct to 3 sheng, then add the blood, wine, and gelatin. Decoct to 3 sheng. Divide into three warm doses.
Huang Lian Tang (Coptis Decoction) If the fetus was previously injured in the second month, this formula should be taken preventively.
Huang Lian (Coptis Rhizome) Ren Shen (Ginseng Root) (each 1 liang) Wu Zhu Yu (Evodia Fruit) (5 he) Sheng Jiang (Fresh Ginger) (3 liang) Sheng Di Huang (Raw Rehmannia Root) (5 liang; another version uses E'jiao)
Chop the five ingredients. Boil in 7 sheng of vinegar juice until reduced to 3 sheng. Divide into four doses. Take three times during the day and once at night. Reprepare every ten days. If significant discomfort is felt, add Wu Mei (Mume Fruit) 1 sheng. When adding Wu Mei, use plain water instead of vinegar juice. Another version includes Dang Gui (Angelica Sinensis) 0.5 liang.
In the third month of pregnancy, it is called "Shi Tai" (Initial Fetus). At this time, the form is not yet fixed, and external impressions influence development. To conceive a boy, handle bows and arrows; to conceive a girl, play with beads. To have a beautiful child, gaze frequently at jade stones. To have a virtuous child, sit upright in purity and emptiness. This is known as "external image affecting internal sensation." During the third month, the Hand Jueyin Pericardium Meridian nourishes the fetus, and acupuncture or moxibustion on this meridian should be avoided. (Acupoints such as Zhongchong [PC9], Laogong [PC8], Daling [PC7], Neiguan [PC6], Jianshi [PC5], Ximen [PC4], and Quze [PC3] are examples.) The Hand Jueyin Pericardium Meridian internally connects to the Heart. One should avoid sorrow, overthinking, and fright.
The third month is when the fetus takes shape. If Cold predominates, stools may turn green; if Heat predominates, urination becomes difficult, urine being either red or yellow. Sudden fright, worry, or anger may cause falling or stumbling, disturbing the meridians, leading to abdominal distension, severe periumbilical pain, or sudden lower back bleeding. The appropriate prescription is Xiong Ji Tang (Male Chicken Decoction).
Xiong Ji Tang (Male Chicken Decoction)
Xiong Ji (Male Chicken, one whole chicken, prepared according to culinary methods) Huang Qin (Scutellaria Root) Bai Zhu (Atractylodes Rhizome) Sheng Jiang (Fresh Ginger) (each 1 liang) Mai Men Dong (Ophiopogon Tuber) (5 he) Bai Shao (White Peony Root) Da Zao (Jujube Fruit) (12 pieces, broken) Gan Cao (Licorice Root) Ren Shen (Ginseng Root) Fu Ling (Poria) E'jiao (Donkey-hide Gelatin) (each 2 liang)
Chop all ingredients. Boil the chicken in 1.3 dou of water until reduced by half. Remove the chicken, add the herbs, and decoct until reduced by half again. Add 3 sheng of clear wine and gelatin. Decoct to obtain 3 sheng. Divide into three doses. Consume within one day. Rest in warmth afterwards. Another version uses Dang Gui (Angelica Sinensis) and Chuan Xiong (Ligusticum Rhizome) each 2 liang, omitting Huang Qin (Scutellaria Root) and Sheng Jiang (Fresh Ginger).
Fu Shen Tang (Poria with Heartwood Decoction) For those who previously injured the fetus in the third month, take this formula preventively.
Fu Shen (Poria with Pine Root) Dan Shen (Salvia Root) Long Gu (Fossilized Bone) (each 1 liang) E'jiao (Donkey-hide Gelatin) Dang Gui (Angelica Sinensis) Gan Cao (Licorice Root) Ren Shen (Ginseng Root) (each 2 liang) Da Zao (Jujube Fruit) (21 pieces, broken) Chi Xiao Dou (Red Bean) (200 grains)
Chop the nine ingredients. Boil in 1 dou of vinegar juice until reduced to 3 sheng. Divide into four doses. Take before meals. After seven days, administer one dose. For lower back pain, add Sang Ji Sheng (Taxillus Branch) 2 liang. (*Shen Shi Fang* includes Xie Bai (Allium Macrostemon Bulb) 2 liang and Ma Zi (Hemp Seed) 1 sheng.)
[Zhu Danxi] A woman invariably miscarried around the third month of pregnancy. Her pulse was large and weak on the left hand, and choppy upon deep pressure, indicating blood deficiency. Since she was young, only Middle Qi was tonified to allow blood to flourish naturally. It was early summer, so she was instructed to take 1 qian of Huang Qin (Scutellaria Root) powder with strong decoction of Bai Zhu (Atractylodes Rhizome) tea, taking dozens of doses, resulting in a successful delivery. Reflecting on this, miscarriages due to Heat and Deficiency are common. Heat and Deficiency must be differentiated by severity. By the third month, Ministerial Fire ascends, making miscarriage likely. Hence, Huang Qin (Scutellaria Root), cooked Ai Ye (Mugwort Leaf), and E'jiao (Donkey-hide Gelatin) are excellent fetuses-calming herbs.
Method for verifying pregnancy after three months of amenorrhea: Grind Chuan Xiong (Ligusticum Rhizome) into fine powder. Take one spoonful with strong decoction on an empty stomach. Slight movement in the abdomen indicates pregnancy.
In the fourth month of pregnancy, the fetus begins to receive the Essence of Water to form blood vessels. Diet should include rice and glutinous rice; soups should include fish and wild goose. This nourishes Blood and Qi to open the senses and circulate through the meridians.
During the fourth month, the Hand Shaoyang Sanjiao Meridian nourishes the fetus, and acupuncture or moxibustion on this meridian should be avoided. (Acupoints such as Guanchong [TE1], Yangchi [TE4], Neiguan [PC6 - *Note: Text error in source, likely meant TE acupoints like Waiguan*], Sanyangjiao, Tianjing [TE10], and Qu Yuan are examples.) The Hand Shaoyang Sanjiao Meridian internally connects to the Sanjiao (Triple Burner). In the fourth month, the six Fu Organs are formed in sequence. The body should remain still, the mind harmonious, and diet moderated.
In the fourth month, if Cold predominates, there is epigastric unease with nausea, chest fullness, and loss of appetite. If Heat predominates, urination is difficult and frequent, resembling strangury, with urgency below the umbilicus. Sudden exposure to Wind-Cold causes stiff neck, chills, and fever. Disturbance may cause body agitation, lumbar/back/abdominal discomfort, intermittent symptoms, fetal pressure on the chest, irritability, and sudden bleeding. The appropriate prescription is Ju Hua Tang (Chrysanthemum Decoction).
Ju Hua Tang (Chrysanthemum Decoction)
Ju Hua (Chrysanthemum Flower) (egg-sized, one piece) Mai Men Dong (Ophiopogon Tuber) (1 sheng) Da Zao (Jujube Fruit) (12 pieces) Ren Shen (Ginseng Root) (1.5 liang) Gan Cao (Licorice Root) Dang Gui (Angelica Sinensis) (each 2 liang) Ma Huang (Ephedra Stem) E'jiao (Donkey-hide Gelatin) (each 3 liang) Ban Xia (Pinellia Tuber) (4 liang) Sheng Jiang (Fresh Ginger) (5 liang)
Chop the ten ingredients. Boil in 8 sheng of water until reduced by half. Add 3 sheng of clear wine and E'jiao. Decoct to obtain 3 sheng. Divide into three doses. Rest in warmth; sweating is expected. Apply powder to the body and protect against Wind-Cold for four to five days. Another version uses one black hen, boiling its juice to decoct the herbs.
Tiao Zhong Tang (Middle-Regulating Decoction) If the fetus was previously injured in the fourth month, take this formula preventively.
Bai Shao Yao (White Peony Root) Sheng Jiang (Fresh Ginger) (each 4 liang) Hou Po (Magnolia Bark) Li Gen Bai Pi (Li Root White Bark) Zhi Shi (Immature Bitter Orange) Bai Zhu (Atractylodes Rhizome) Chai Hu (Bupleurum Root) (each 3 liang) Xu Duan (Dipsacus Root) Chuan Xiong (Ligusticum Rhizome) Gan Cao (Licorice Root) (each 1 liang) Dang Gui (Angelica Sinensis) (1.5 liang) Wu Mei (Mume Fruit) (1 sheng)
Chop the twelve ingredients. Boil in 1 dou of water until reduced to 3 sheng. Divide into four doses. Take three times during the day and once at night. After eight days, administer another dose.
In the fifth month of pregnancy, the fetus begins to receive the Essence of Fire to form its Qi. Sleep late, bathe, wash clothes, reside in deep quarters, wear thick clothes, absorb morning sunlight to avoid cold disasters. Eat rice and wheat; eat beef and mutton soups; season with Wu Zhu Yu (Evodia Fruit) and Five Flavors. This nourishes Qi to stabilize the Zang Organs.
During the fifth month, the Foot Taiyin Spleen Meridian nourishes the fetus, and acupuncture or moxibustion on this meridian should be avoided. (Acupoints such as Yinbai [SP1], Dada [SP2], Gong Sun [SP4], Shangqiu [SP5], Sanyinjiao [SP6], Lougu [SP9], and Yinlingquan [SP9] are examples.) The Foot Taiyin Spleen Meridian internally connects to the Spleen. In the fifth month, the fetal limbs are fully formed. Avoid extreme hunger or satiety, dry foods, self-heating near fire, and excessive fatigue.
In the fifth month, if Heat predominates, suffer from dizziness, mental confusion, and vomiting. If Cold predominates, suffer from abdominal distension and pain, and frequent urination. Sudden terror causes limb pain, chills, fever, erratic fetal movement, abdominal pain, fainting sensations, and sudden bleeding. The appropriate prescription is E'jiao Tang (Donkey-hide Gelatin Decoction).
E'jiao Tang (Donkey-hide Gelatin Decoction)
E'jiao (Donkey-hide Gelatin) (4 liang) Ren Shen (Ginseng Root) (1 liang) Sheng Jiang (Fresh Ginger) (6 liang) Dang Gui (Angelica Sinensis) Bai Shao (White Peony Root) Gan Cao (Licorice Root) Huang Qin (Scutellaria Root) (each 2 liang) Xuan Fu Hua (Inula Flower) (2 he) Wu Zhu Yu (Evodia Fruit) (7 he) Mai Men Dong (Ophiopogon Tuber) (1 sheng)
Chop the ten ingredients. Boil in 9 sheng of water until reduced by half. Add 3 sheng of clear wine and gelatin. Simmer over low heat to obtain 3.5 sheng. Divide into four doses. Take three times during the day and once at night, before meals. Cure is expected; if not, repeat. Another version uses one black hen, cutting the throat, collecting blood into wine, boiling the chicken juice, reducing it, then adding wine and gelatin. Decoct to 3.5 sheng. Divide into four doses.
An Zhong Tang (Middle-Calming Decoction) For those who previously injured the fetus in the fifth month, take this formula preventively.
Huang Qin (Scutellaria Root) (1 liang) Dang Gui (Angelica Sinensis) Chuan Xiong (Ligusticum Rhizome) Gan Di Huang (Prepared Rehmannia Root) Ren Shen (Ginseng Root) (each 2 liang) Gan Cao (Licorice Root) Bai Shao (White Peony Root) (each 3 liang) Sheng Jiang (Fresh Ginger) (6 liang) Mai Men Dong (Ophiopogon Tuber) (1 sheng) Wu Wei Zi (Schisandra Berry) Da Ma Ren (Hemp Seed) (each 5 he) Da Zao (Jujube Fruit) (35 pieces)
Chop the twelve ingredients. Boil in 7 sheng of water and 5 sheng of clear wine until reduced to 3.5 sheng. Divide into four doses. Take three times during the day and once at night. After seven days, administer another dose.
An Tai Dang Gui Tang (Fetus-Calming Angelica Decoction) If in the fifth month, sudden fright causes fetal unrest, lower abdominal pain radiating to the waist and hips, and hematuria.
Dang Gui (Angelica Sinensis) E'jiao (Donkey-hide Gelatin, stir-fried) Chuan Xiong (Ligusticum Rhizome) Ren Shen (Ginseng Root) (each 1 liang) Da Zao (Jujube Fruit) (12 pieces) Ai Ye (Mugwort Leaf) (one handful)
Boil in 3 sheng of wine and 3 sheng of water until reduced to 3 sheng. Dissolve the gelatin. Divide into three doses. Another version contains Gan Cao (Licorice Root) but lacks Ren Shen (Ginseng Root) and Da Zao (Jujube Fruit).
In the sixth month of pregnancy, the fetus begins to receive the Essence of Metal to form its sinews. The body should engage in slight labor, not remain static. Go outdoors, watch running dogs and horses. Eat meat of birds of prey and fierce beasts. This changes the pores, toughens the sinews, builds strength, and strengthens the back.
During the sixth month, the Foot Yangming Stomach Meridian nourishes the fetus, and acupuncture or moxibustion on this meridian should be avoided. (Acupoints such as Lidui [ST45], Fenglong [ST40], Yinshi [ST32], Shanglian, Xialian, and Zusanli [ST36] are examples.) The Foot Yangming Stomach Meridian internally connects to the Stomach, governing the mouth and eyes. In the sixth month, the fetal mouth and eyes are formed. Balance the Five Flavors, eat sweet and delicious foods, and avoid overeating.
In the sixth month, sudden fetal movement and unrest, alternating chills and fever, abdominal distension, body edema, fright, sudden bleeding, labor-like abdominal pain, and burning pain in hands and feet occur. The appropriate prescription is Mai Men Dong Tang (Ophiopogon Decoction).
Mai Men Dong Tang (Ophiopogon Decoction)
Mai Men Dong (Ophiopogon Tuber) (1 sheng) Ren Shen (Ginseng Root) Gan Cao (Licorice Root) Huang Qin (Scutellaria Root) (each 2 liang) Gan Di Huang (Prepared Rehmannia Root) (3 liang) E'jiao (Donkey-hide Gelatin) (4 liang) Sheng Jiang (Fresh Ginger) (6 liang) Da Zao (Jujube Fruit) (15 pieces)
Boil the eight ingredients in 7 sheng of water until reduced by half. Add 2 sheng of clear wine and gelatin. Decoct to obtain 3 sheng. Divide into three doses. Consume millet porridge in between. Another version uses one black hen, boiling its juice to decoct the herbs.
Chai Hu Tang (Bupleurum Decoction) If the fetus was previously injured in the sixth month, take this formula preventively.
Chai Hu (Bupleurum Root) (4 liang) Rong Radix (Cistanche Stem) (1 liang) Bai Zhu (Atractylodes Rhizome) Bai Shao (White Peony Root) (also recorded as Zi Wei/Catalpa Flower) Gan Cao (Licorice Root) Mai Men Dong (Ophiopogon Tuber) Chuan Xiong (Ligusticum Rhizome) (each 2 liang) Sheng Jiang (Fresh Ginger) (6 liang) Gan Di Huang (Prepared Rehmannia Root) (5 liang) Da Zao (Jujube Fruit) (30 pieces)
Chop the ingredients. Boil in 1 dou of water until reduced to 3 sheng. Divide into four doses. Take three times during the day and once at night. Consume millet porridge in between. Avoid raw, cold, hard, or solid foods. After seven days, administer another dose. Another version includes Huang Qin (Scutellaria Root) 2 liang.
Xuan Fu Hua Tang (Inula Flower Decoction) From *Ji Yan Fang*, treats fetal unrest in the sixth or seventh month (also treats obstruction disease).
Xuan Fu Hua (Inula Flower) (1 liang) Hou Po (Magnolia Bark, processed) Bai Zhu (Atractylodes Rhizome) Zhi Ke (Bitter Orange Peel) Huang Qin (Scutellaria Root, stir-fried) Fu Ling (Poria) (each 3 liang) Ban Xia (Pinellia Tuber, stir-fried; another version omits) Bai Shao (White Peony Root) Sheng Jiang (Fresh Ginger) (each 2 liang)
Boil in 1 dou of water until reduced to 2.5 sheng. Divide into five doses. Take before meals, three times during the day and twice at night. Avoid mutton, maltose, vinegar, peach, plum, and sparrow meat.
In the seventh month of pregnancy, the fetus begins to receive the Essence of Wood to form its bones. Labor the body, shake the limbs, do not stay still. Move and stretch to circulate Blood and Qi. Reside in dry places, avoid cold in diet. Eat rice and glutinous rice to tighten the pores. This nourishes the bones and strengthens the teeth.
During the seventh month, the Hand Taiyin Lung Meridian nourishes the fetus, and acupuncture or moxibustion on this meridian should be avoided. (Acupoints such as Shaoshang [LU11], Yuji [LU10], Lieque [LU7], Chi Ze [LU5], and Tianfu [LU3] are examples.) The Hand Taiyin Lung Meridian internally connects to the Lung, governing skin and hair. In the seventh month, the fetal skin and hair are formed. Do not speak loudly, cry out, wear thin clothes, bathe, or drink cold beverages.
In the seventh month, sudden fright and shaking, abdominal pain with sudden bleeding, cold extremities, pulse resembling Cold Damage, irritability, abdominal fullness, shortness of breath, and chronic stiffness of the neck and back occur. Cong Bai Tang (Scallion White Decoction) is indicated.
Cong Bai Tang (Scallion White Decoction)
Cong Bai (Scallion White) (3-4 cun long, 14 stalks) Ban Xia (Pinellia Tuber) Mai Men Dong (Ophiopogon Tuber) (each 1 sheng) Xuan Fu Hua (Inula Flower) (2 he) Huang Qin (Scutellaria Root) (1 liang) Ren Shen (Ginseng Root) (1.5 liang) Gan Cao (Licorice Root) Dang Gui (Angelica Sinensis) Huang Qi (Astragalus Root) (each 3 liang) E'jiao (Donkey-hide Gelatin) (4 liang) Sheng Jiang (Fresh Ginger) (8 liang)
Chop the eleven ingredients. Boil in 2 sheng of water until reduced by half. Add 3 sheng of clear wine and gelatin. Decoct to obtain 4 sheng. Take 1 sheng per dose, three times during the day and once at night. Rest in warmth; sweating is expected. If no sweat occurs, add Ma Huang (Ephedra Stem) 2 liang and decoct as before. In autumn, do not force sweating. Another version uses one yellow hen, cutting the throat, collecting blood into wine, boiling the chicken juice to decoct the herbs.
Xing Ren Tang (Apricot Kernel Decoction) If the fetus was previously injured in the seventh month, take this formula preventively.
Xing Ren (Apricot Seed) Gan Cao (Licorice Root) (each 2 liang) Zi Wan (Aster Root) (1 liang) Zhong Ru (Stalactite) Gan Jiang (Dried Ginger) (each 3 liang) Mai Men Dong (Ophiopogon Tuber) Wu Zhu Yu (Evodia Fruit) (1 sheng) Jing Mi (Glutinous Rice) (5 he) Wu Wei Zi (Schisandra Berry) (3 he)
Chop the nine ingredients. Boil in 8 sheng of water until reduced to 3.5 sheng. Divide into four doses. Take three times during the day and once at night. Eat meals in between. Administer one dose every seven days. Another version uses one white hen, boiling its juice to decoct the herbs.
In the eighth month of pregnancy, the fetus begins to receive the Essence of Earth to form its skin. Keep the mind peaceful and breathing calm. Do not let Qi become extreme. This tightens the pores and brightens the complexion.
During the eighth month, the Hand Yangming Large Intestine Meridian nourishes the fetus, and acupuncture or moxibustion on this meridian should be avoided. (Acupoints such as Shangyang [LI1], Erjian [LI2], Hegu [LI4], Shanglian, Xialian, Sanli, Quchi [LI11], Jianyu [LI15], and Jianjing [GB21] are examples.) The Hand Yangming Large Intestine Meridian internally connects to the Large Intestine, governing the nine orifices. In the eighth month, the fetal nine orifices are formed. Avoid dry foods, irregular eating, and straining to rise.
In the eighth month, exposure to Wind-Cold causes generalized body pain, alternating chills and fever, fetal unrest, chronic dizziness and headache, cold below the umbilicus, milky or colored urine, chills, cold painful back, and blurred vision. Shao Yao Tang (Peony Decoction) is indicated.
Shao Yao Tang (Peony Decoction)
Bai Shao (White Peony Root) Sheng Jiang (Fresh Ginger) (each 4 liang) Hou Po (Magnolia Bark) (2 liang) Gan Cao (Licorice Root) Dang Gui (Angelica Sinensis) Bai Zhu (Atractylodes Rhizome) Ren Shen (Ginseng Root) (each 3 liang) Xie Bai (Allium Macrostemon Bulb, cut) (1 sheng)
Chop the eight ingredients. Boil in 5 sheng of water and 4 sheng of clear wine until reduced to 3 sheng. Divide into three doses. Take twice during the day and once at night. Another version uses one black hen, boiling its juice to decoct the herbs.
Kui Zi Tang (Malva Seed Decoction) If the fetus was previously injured in the eighth month, take this formula preventively.
Kui Zi (Malva Seed) (2 sheng) Gan Cao (Licorice Root) Hou Po (Magnolia Bark) (each 2 liang) Bai Zhu (Atractylodes Rhizome) Chai Hu (Bupleurum Root) (each 3 liang) Bai Shao (White Peony Root) (4 liang) Sheng Jiang (Fresh Ginger) (6 liang) Da Zao (Jujube Fruit) (20 pieces)
Chop the eight ingredients. Boil in 9 sheng of water until reduced to 3 sheng. Divide into three doses. Take three times daily. Total course is one dose every ten days. Another version uses one black hen, boiling its juice to decoct the herbs.
Danxi Suo Tai Wan (Danxi's Fetus-Constricting Pills) Used in the ninth month.
Huang Qin (Scutellaria Root) (Summer 1 liang, Autumn 7 qian, Winter 0.5 liang, stir-fried with wine) Bai Zhu (Atractylodes Rhizome) (2 liang) Chen Pi (Tangerine Peel) (3 liang, pith removed) Fu Ling (Poria) (0.75 liang)
Grind into powder. Make pills with congee, size of paulownia seeds.
In the ninth month of pregnancy, the fetus begins to receive the Essence of Stone to form its skin and hair. The six Fu Organs and hundred joints are complete. Drink sweet wine, eat sweet foods, loosen the belt, and wait calmly. This nourishes hair and completes vitality.
During the ninth month, the Foot Shaoyin Kidney Meridian nourishes the fetus, and acupuncture or moxibustion on this meridian should be avoided. (Acupoints such as Yongquan [KI1], Ran Gu [KI2], Taixi [KI3], Jiaoxin [KI8], Zhubin [KI9], and Fuliu [KI7] are examples.) The Foot Shaoyin Kidney Meridian internally connects to the Kidney, which governs the meridians. In the ninth month, the fetal meridians are formed. Avoid damp/cold environments and wearing heated garments.
In the ninth month, sudden dysentery, abdominal distension and urgency, fetal Qi rushing to the heart, inability to turn due to back pain, and shortness of breath occur. Ban Xia Tang (Pinellia Decoction) is indicated.
Ban Xia Tang (Pinellia Decoction)
Ban Xia (Pinellia Tuber) Mai Men Dong (Ophiopogon Tuber) Wu Zhu Yu (Evodia Fruit) Dang Gui (Angelica Sinensis) E'jiao (Donkey-hide Gelatin) (each 3 liang) Gan Jiang (Dried Ginger) (1 liang) Da Zao (Jujube Fruit) (12 pieces)
Chop the seven ingredients. Boil in 9 sheng of water until reduced to 3 sheng. Strain and add 0.8 sheng of white honey. Warm over low heat. Take in four doses. Dysentery will stop. Another version uses one black hen, boiling its juice to decoct the herbs.
Zhu Shen Tang (Pig Kidney Decoction) If the fetus was previously injured in the ninth month, take this formula preventively.
Zhu Shen (Pig Kidney) (one unit) Fu Ling (Poria) Sang Ji Sheng (Taxillus Branch) Gan Jiang (Dried Ginger) Gan Di Huang (Prepared Rehmannia Root) Chuan Xiong (Ligusticum Rhizome) (each 3 liang) Bai Zhu (Atractylodes Rhizome) (4 liang) Fu Zi (Aconite Lateral Root, medium size) (one piece) Da Dou (Soybean) (3 he) Mai Men Dong (Ophiopogon Tuber) (1 sheng)
Chop the ingredients. Boil in 1 dou of water until the kidney is cooked. Remove the kidney, add the herbs, and decoct to obtain 3.5 sheng. Divide into four doses. Take three times during the day and once at night. After ten days, administer another dose.
Danxi Suo Tai Wan (Danxi's Fetus-Constricting Pills) Used in the ninth month.
Huang Qin (Scutellaria Root) (1 liang; suitable with warming herbs, not cooling herbs; halve for frail patients) Zhi Ke (Bitter Orange Peel, stir-fried) (0.75 liang) Hua Shi (Talcum) (0.75 liang; add this ingredient in the ten days before term if urination is frequent) Bai Zhu (Atractylodes Rhizome) (1 liang)
Grind into powder. Make pills with congee, size of paulownia seeds. Take 30 pills per dose with hot water on an empty stomach.
In the tenth month of pregnancy, the five Zang Organs are complete, the six Fu Organs are patent, and Heaven and Earth Qi are gathered in the Dantian. Thus, the joints and spirit are fully prepared, awaiting the time for birth.
First month: Initial Embryo. Second month: Initial Paste. Third month: Initial Fetus. Fourth month: Form established. Fifth month: Movement begins. Sixth month: Bones and sinews stand. Seventh month: Hair grows. Eighth month: Viscera complete. Ninth month: Grain Qi enters the stomach. Tenth month: Spirits complete. Upon fulfillment of the days, birth occurs. Slippery fetus medicines should be taken upon entering the month.