《经》曰∶妇人手少阴动甚者，妊子也。又曰∶阴搏阳别，谓之有子。寸洪而尺大。又尺中之脉，
按之不绝者，妊娠也。按∶妇人带证，足少阴脉亦多滑利，颇似孕脉，然必与手少阴脉动相应，方为妊子，
否则为带也。
凡妇人怀孕，其血留气聚，胞宫内实，故尺阴之脉必滑数，此必然之理也。然亦有中年受胎，及血气
羸弱之妇，脉见细小不数者，但于微弱之中，必有隐隐滑动之象，此即阴搏阳别之谓，乃妊娠之脉也。
但胎孕之脉数，劳损之脉亦数，然损脉数中兼弦涩，胎孕数必兼和滑。此几证中，邪气、胃气之异，一诊
便知。再加审之以证，则显然而明见者也。血衰气旺定无妊，血旺气衰应有嗣。妇人经脉不见行，其脉
微滑带数意。身虽有病脉无邪，不涩不伏不弦劲。寸微关滑尺数形，流动往来雀啄利，两手关脉大相应，
胎已有形无差异。右尺左寸滑见形，症别一男又一女。又云左寸浮大男，右寸沉细称为女。滑疾按散三
月胎，但疾不散五月母。八九十月疾数无，亦有始终洪数妇。胎脉弦牢滑利安，沉细而微归泉路。若
脉沉细腹微疼，虽有形如怀抱瓮。腹满不动是为奇，独冷脐下翕翕动。更兼早暮尺不同，大小浮沉无定
论。或动或止或有无，此是鬼胎脉现症。连诊数日皆如此，补气活血何须问？
女子二七天癸至，调经察脉要分明。两手尺脉皆沉伏，此病分明是闭经。肝大肺小应有子，两
尺不断滑方真。心肾俱旺知是孕，肺大肝小孕不成。左寸滑实为男脉，右尺沉滑女现形。肝肺俱浮胸
膈痛，两关沉紧腹中疼。一月一行为经信，或前或后要留心。先期而行为血热，后期而至是寒经。
经来疼痛为气滞，行后而痛气之虚。其色黑者多实热，淡白而来痰所凝。烟尘黄水血不足，紫色由
来风邪侵。行经之时宜慎重，若有忧郁血必停。走于腰膝多疼痛，散在四肢则不仁。停于血海生
寒热，逆上冲心患战惊。此是调经真妙诀，医人熟记信有灵。
妇人尺中脉滑，女经不调，且有带、淋之症；关中脉涩，天癸已断，宁非郁塞之 。左寸滑而
左尺大，怀子之兆；左尺数而左关微，有儿之征。左寸带纵，两男之祥；右寸带纵，双女之喜。左
关左尺脉皆大，心脉流利必三男；右关右尺脉皆大，心脉流利必三女。然三部有一部之滞，未宜
遽许为胎；各脉无一脉之顺，何敢轻言是孕。子死母存，尺浮而寸沉；母亡子活，尺涩而寸伏。
盖子系于肾，尺浮则子无生气；母系于肺，寸沉则母有生机。子系于尺，尺涩而子之气不散；母系
于寸，寸伏而母之根已离。沉细之脉，胎欲离经；浮滑之脉，胎将即产。腹疼腰痛，定然作降；
浆来胞破，未可言生。身重体寒面又青，脉无可畏；心烦血燥舌兼黑，脉断堪忧。子母难留，唇
口沫出；娘儿全活，面白颜黄。新产脉缓，自存胃气；新产脉滑，未损脾阴。实大既形，定非佳
兆；弦急兼现，岂是□祥？沉小实为顺候，涩促半作返观。脉微何足害，尚可回阳；脉洪反宜愁，
最嫌逆冷。欲知有妊，尺中滑疾。左尺沉实，男子脉形；右尺浮大，女脉是实。左右俱滑，
定生两男；左右俱浮，二女脉真。左尺偏大为男，右尺偏大为女（大者如突状）。又左尺浮大者为男，右尺沉细者为女。
若脉来断续虚弱者，月水不利也。
妊娠脉∶其人能食身无苦，容饰如常是妊定，孕真带呕头昏闷。此时停痰恶阻病，急宜正胃与
消痰，固血安胎全两命。若还腰腹俱疼痛，日夜咽干潮热盛，多眠恶食倦昏沉，此属经凝却非妊。
《黄帝内经》说：妇女手少阴心经脉动明显，是怀孕的征象。又说：尺部脉搏搏动有力，与寸部脉象不同，称为怀孕。寸脉洪大且尺脉粗大，或者尺部的脉搏，重按不绝的，都是妊娠的表现。
按语：患有带下病的妇女，足少阴肾经的脉象也多见滑利，很像妊娠脉，但必须同时伴有手少阴心经脉动的现象，才是怀孕，否则就是带下病。
凡是妇人怀孕，血液汇聚于胞宫，气机聚结，胞宫内部充实，所以尺部阴脉必然滑数，这是必然的道理。然而也有中年受孕，以及气血虚弱的妇女，脉象表现为细小而不数的，但在微弱之中，必定有隐隐约约的滑动之象，这就是所谓“阴搏阳别”，属于妊娠脉。
但是胎孕之脉虽数，劳损之脉也数，然而劳损之脉在数中兼见弦涩，胎孕之脉在数中必兼和滑。这几类证候中，邪气与胃气的区别，一诊即可知晓。再结合症状仔细审察，就显然而明了。血衰气旺定无妊娠，血旺气衰应有子嗣。妇人月经停止不来，其脉微滑且带有数象。身体虽有不适但脉无邪气，不涩、不伏、不弦劲。寸脉微、关脉滑、尺脉数的形态，流动往来如雀啄般流利，两手关脉大而相应，说明胎已成形无疑。右尺脉和左寸脉见滑象，可辨别生男还是生女。又有人说左寸浮大为男，右寸沉细为女。脉滑疾而按之不散，是三个月的胎；仅见疾脉而不散，是五个月的孕妇。到了八九十月，脉象不再疾数，但也有始终洪数的孕妇。胎脉若见弦牢滑利则平安，若见沉细而微则是死胎（归泉路）。如果脉沉细且腹部微痛，虽然腹部有形如抱瓮状，但未必是真胎。腹部胀满不动是奇异之症，只有脐下寒冷且翕翕跳动。再加上早晚尺脉不同，大小浮沉没有定论，或动或止或有或无，这是鬼胎脉现的症状。连续诊断几天都是这样，补气活血还有什么好问的？
女子十四岁天癸至，调理月经需察脉分明。两手尺脉皆沉伏，这病分明是闭经。肝脉大肺脉小应有子，两尺脉不断且滑才是真孕。心肾俱旺知道是怀孕，肺大肝小则孕不成。左寸滑实为男脉，右尺沉滑女现形。肝肺俱浮则胸膈痛，两关沉紧则腹中疼。月经一月一行，或提前或推后要注意。先期而行是血热，后期而至是寒经。经来疼痛为气滞，行经后痛为气虚。经色黑者多实热，淡白而来是痰凝。烟尘黄水样是血不足，紫色由来是风邪侵。行经之时宜慎重，若有忧郁血必停。血走于腰膝多疼痛，散在四肢则麻木不仁。停于血海生寒热，逆上冲心患战惊。这是调经的真妙诀，医生熟记信有灵验。
妇人尺中脉滑，女经不调，且有带下、淋证的病症；关中脉涩，天癸已断，难道不是郁塞之症吗？左寸滑而左尺大，是怀子的征兆；左尺数而左关微，是有儿的征象。左寸带纵，是两男的祥兆；右寸带纵，是双女的喜事。左关左尺脉皆大，心脉流利必生三男；右关右尺脉皆大，心脉流利必生三女。然而三部脉中有一部滞涩，不宜遽然许诺为胎；各脉无一脉顺畅，怎敢轻言是孕。子死母存，尺浮而寸沉；母亡子活，尺涩而寸伏。因为胎儿系于肾，尺浮则子无生气；母亲系于肺，寸沉则母有生机。胎儿系于尺，尺涩而子之气不散；母亲系于寸，寸伏而母之根已离。沉细之脉，胎欲离经；浮滑之脉，胎将即产。腹痛腰痛，定然临产；浆破胞裂，未可言生。身重体寒面又青，脉象无可畏惧；心烦血燥舌兼黑，脉断令人堪忧。子母难留，唇口沫出；娘儿全活，面白颜黄。新产后脉缓，自存胃气；新产后脉滑，未损脾阴。实大既已形成，定非佳兆；弦急兼现，岂是吉祥？沉小实为顺候，涩促半作返观。脉微何足害，尚可回阳；脉洪反宜愁，最嫌逆冷。想要知道是否怀孕，看尺中是否滑疾。左尺沉实，是男子脉形；右尺浮大，是女脉是实。左右俱滑，定生两男；左右俱浮，二女脉真。左尺偏大为男，右尺偏大为女（大者如突状）。又左尺浮大者为男，右尺沉细者为女。如果脉来断续虚弱，是月经不调。
妊娠脉：其人能食身体无痛苦，容貌修饰如常是确定怀孕，真正怀孕伴有呕吐头昏闷。此时若是停痰恶阻病，急宜正胃与消痰，固血安胎保全两命。如果还腰腹俱疼痛，日夜咽干潮热盛，多眠恶食倦昏沉，这属于经血凝滞却不是怀孕。
The *Classic of Medicine* (*Huangdi Neijing*) states: When the pulse of the Hand-Shaoyin (Heart meridian) in women moves significantly, it indicates pregnancy. It also states: When the Yin pulse (at the chi position) beats vigorously and is distinct from the Yang pulse (at the cun position), it is called having a child. If the cun pulse is洪大 (hongda, large and surging) and the chi pulse is large, or if the pulse at the chi position remains unceasing upon deep pressure, these are signs of pregnancy.
Note: In women suffering from leukorrhea (dai zheng, 带证), the Foot-Shaoyin (Kidney meridian) pulse is often slippery and smooth, resembling a pregnancy pulse. However, it must correspond with the movement of the Hand-Shaoyin pulse to confirm pregnancy; otherwise, it is merely leukorrhea.
Generally, when a woman is pregnant, blood gathers and qi accumulates, making the uterine cavity full. Therefore, the Yin pulse at the chi position must be slippery and rapid, which is an inevitable principle. However, there are cases of conception in middle age or in women with weak qi and blood, where the pulse appears fine and small without being rapid. Yet, within this weakness, there must be a faint, sliding sensation. This is what is meant by "Yin beating and Yang distinguishing," which constitutes a pregnancy pulse.
However, while both fetal pulses and consumption (lao sun, 劳损) pulses can be rapid, the consumption pulse is rapid yet accompanied by wiry and choppy qualities, whereas the fetal pulse is rapid yet harmonious and slippery. The difference between pathogenic qi and stomach qi in these conditions can be known upon a single palpation. Further examination combined with symptoms makes it clear and obvious. Weak blood and flourishing qi indicate no pregnancy; flourishing blood and weak qi suggest conception. When menstruation ceases, the pulse is slightly slippery and rapid. Although the body may have ailments, the pulse lacks pathogenic qualities; it is not choppy, hidden, or wiry-taut. A slight cun, slippery guan, and rapid chi form a flowing, sparrow-pecking rhythm. If the guan pulses on both hands are large and corresponding, the fetus has taken shape without doubt. A slippery appearance in the right chi and left cun helps distinguish male from female. It is also said that a floating and large left cun indicates a boy, while a deep and fine right cun indicates a girl. A slippery and rapid pulse that does not scatter upon pressure indicates a three-month fetus; a rapid pulse that does not scatter indicates a five-month mother. By the eighth or ninth month, the pulse is no longer rapid, though some pregnant women remain surging and rapid throughout. A fetal pulse that is wiry, firm, slippery, and smooth indicates safety; one that is deep, fine, and minute suggests death (returning to the spring). If the pulse is deep and fine with slight abdominal pain, although the abdomen is shaped like a pot, it may not be a true fetus. Abdominal fullness without movement is a strange sign; only coldness below the navel with fluttering movement is noted. Furthermore, if the chi pulse differs between morning and evening, with varying size, depth, and floating/sinking characteristics, and if it stops, starts, exists, or disappears, this is the manifestation of a "ghost fetus" pulse. If diagnosis over several days remains consistent, why ask about tonifying qi and invigorating blood?
When a girl reaches fourteen years old, Tian Gui (heavenly water, menstrual essence) arrives; regulating menstruation requires clear pulse differentiation. If both chi pulses are deep and hidden, the disease is clearly amenorrhea. A large liver pulse and small lung pulse suggest conception; continuous and slippery chi pulses confirm true pregnancy. Flourishing heart and kidney pulses indicate pregnancy; a large lung pulse and small liver pulse mean pregnancy will not occur. A slippery and solid left cun is a male pulse; a deep and slippery right chi reveals a female form. Floating liver and lung pulses cause chest and diaphragm pain; deep and tight guan pulses cause abdominal pain. Menstruation occurs monthly; whether early or late, attention is needed. Early onset indicates blood heat; late onset indicates cold menstruation. Pain during menstruation is due to qi stagnation; pain after menstruation is due to qi deficiency. Black color indicates excess heat; pale white indicates phlegm condensation. Dust-like yellow fluid indicates blood insufficiency; purple color originates from wind-pathogen invasion. During menstruation, caution is required; depression causes blood stasis. Blood moving to waist and knees causes pain; dispersing to limbs causes numbness. Stagnation in the Blood Sea generates chills and fever; reversal rushing to the heart causes trembling and fright. These are the true secrets of regulating menstruation; doctors who memorize them find them effective.
If the chi pulse is slippery in women with irregular menstruation, accompanied by leukorrhea and stranguria, and the guan pulse is choppy indicating the cessation of Tian Gui, is this not a symptom of depression and obstruction? A slippery left cun and large left chi are signs of conception; a rapid left chi and subtle left guan are indications of bearing a child. A longitudinal quality in the left cun is an auspicious sign for two boys; a longitudinal quality in the right cun is a joyous sign for two girls. Large left guan and left chi pulses with a smooth heart pulse indicate three boys; large right guan and right chi pulses with a smooth heart pulse indicate three girls. However, if any of the three positions shows stagnation, one should not hastily promise pregnancy; if none of the pulses are smooth, how can one lightly claim pregnancy? If the fetus dies but the mother lives, the chi pulse floats and the cun pulse sinks; if the mother dies but the fetus lives, the chi pulse is choppy and the cun pulse hides. Because the fetus is connected to the Kidney, a floating chi means the fetus lacks vital energy; because the mother is connected to the Lung, a sinking cun means the mother retains vitality. The fetus is tied to the chi; if choppy, the fetus's qi does not dissipate. The mother is tied to the cun; if hidden, the mother's root has detached. Deep and fine pulses suggest the fetus is detaching from the channel; floating and slippery pulses suggest imminent delivery. Abdominal and lower back pain certainly indicate labor; rupture of membranes and amniotic fluid means birth is near. Heavy body, coldness, and bluish face indicate the pulse is not fearful; mental restlessness, dry blood, and black tongue with a cut pulse are worrisome. Difficulty saving both mother and child, with foam from lips and mouth; complete survival of mother and child, with white face and yellow complexion. After new childbirth, a slow pulse preserves stomach qi; a slippery pulse indicates spleen yin is undamaged. If the pulse becomes full and large, it is definitely not a good omen; if wiry and urgent appear together, how can it be auspicious? Deep, small, and solid is a favorable condition; choppy and hurried requires careful observation. A minute pulse is not harmful and can still restore yang; a surging pulse causes worry, especially if accompanied by reverse coldness. To know if pregnant, look for slippery and rapid chi pulses. A deep and solid left chi is the male form; a floating and large right chi is the female reality. Slippery on both sides indicates two boys; floating on both sides confirms two girls. A larger left chi indicates a boy; a larger right chi indicates a girl (large as if protruding). Also, a floating and large left chi indicates a boy; a deep and fine right chi indicates a girl. If the pulse comes intermittently and weakly, it indicates difficult menstruation.
Pregnancy Pulse: If the person eats well and suffers no pain, maintaining normal appearance and grooming, pregnancy is certain. True pregnancy involves vomiting, dizziness, and oppression. At this time, if it is phlegm retention causing nausea and aversion to food, one should urgently regulate the stomach and resolve phlegm, securing blood and calming the fetus to save both lives. If there is pain in the waist and abdomen, dry throat day and night, intense tidal fever, excessive sleepiness, poor appetite, fatigue, and drowsiness, this belongs to menstrual coagulation, not pregnancy.