妊娠六月,始受金精,以成其筋。宜小劳,毋逸欲。毋食鸟兽肉,是谓变腠理纫筋,以养其力,以坚背膂。
是月足阳明胃脉养胎,其经不可针灸。胃主口目,此时儿口目皆成。调五味,食甘美,毋太饱。是月胎气不和,
卒有所动不安,或腹痛或胀闷,宜安胎和胜饮。
安胎和胜饮
当归(二钱) 白术(蜜炙,一钱五分) 黄芩(酒炒) 白芍(酒炒) 砂仁(炒去衣) 茯苓
续断(酒蒸,各一钱) 炙甘草(五分)
水一钟半,煎七分服,六日进一服。
妊娠七月,始受木精,以成其骨。劳身摇肢,毋使安逸,动作屈伸,以运血气。居燥处,饮食避寒。食稻
粱,以密腠理,是谓养骨而坚齿。是月手太阴肺脉养胎,其经不可针灸。肺主皮毛,此时儿皮毛已成。毋多言
哭,毋洗浴,毋薄衣,毋饮冷。若胎气不安,或损伤漏血,或腹大重坠,宜清胎万全饮。
清胎万全饮
阿胶(蛤粉炒珠) 熟地黄 白芍(酒炒) 黄芩(酒炒各一钱) 续断(酒蒸) 当归(土炒) 川芎
(各一钱五分) 茯苓(炒) 荆芥(炒) 桑寄生(各八分) 炙甘草
水煎服二剂。
妊娠八月,始受土精,以成皮肤。和心静息,无使气极,是谓密腠理而光泽颜色。是月手阳明大肠脉养
胎,其经不可针灸。大肠主九窍,此时儿九窍皆成。毋食燥物,毋大怒。若胎气不安,气逆气喘,不问有无外
感,宜和胎调气饮。
和胎调气饮
陈皮(去白、炒,二钱) 黄芩(酒炒,一钱五分) 茯苓(炒) 白术(蜜炙,各一钱) 枳壳(麸炒)
苏梗(各八分) 炙甘草(五分)
妊娠第六个月,胎儿开始接受金之精气,从而形成筋脉。此时孕妇应适当活动身体,避免过度安逸和纵欲。不要食用鸟兽的肉,这有助于调理腠理、坚韧筋脉,以滋养体力,使背部和脊柱强健。
这个月由足阳明胃经负责滋养胎儿,该经脉不宜进行针灸治疗。胃开窍于口目,此时胎儿的口和目已经发育成形。应当调和五味饮食,食用甘甜美味的食物,但不要吃得过饱。如果本月胎气不和,突然感到胎动不安,或者出现腹痛、腹胀闷等症状,适宜服用安胎和胜饮。
安胎和胜饮
当归(二钱) 白术(用蜜炙,一钱五分) 黄芩(用酒炒) 白芍(用酒炒) 砂仁(炒后去掉外皮) 茯苓
续断(用酒蒸,各一钱) 炙甘草(五分)
加水一钟半,煎煮至七分量时服用,每六天服用一次。
妊娠第七个月,胎儿开始接受木之精气,从而形成骨骼。孕妇应劳累身体、摇动四肢,不要让身体过于安逸,通过身体的屈伸运动来运行气血。居住在干燥的地方,饮食中避开寒凉之物。食用稻米和高粱,以致密腠理,这被称为滋养骨骼并坚固牙齿。这个月由手太阴肺经负责滋养胎儿,该经脉不宜进行针灸治疗。肺主皮毛,此时胎儿的皮毛已经发育成形。不要多说话或哭泣,不要洗浴,不要穿薄衣服,不要喝冷饮。如果胎气不安,或者有损伤导致漏血,或者腹部感觉沉重下坠,适宜服用清胎万全饮。
清胎万全饮
阿胶(用蛤粉炒成珠状) 熟地黄 白芍(用酒炒) 黄芩(用酒炒,各一钱) 续断(用酒蒸) 当归(用土炒) 川芎
(各一钱五分) 茯苓(炒) 荆芥(炒) 桑寄生(各八分) 炙甘草
用水煎煮后服用两剂。
妊娠第八个月,胎儿开始接受土之精气,从而形成皮肤。孕妇应保持心境平和、安静休息,不要让气息极度耗损,这被称为致密腠理并使面色光泽润泽。这个月由手阳明大肠经负责滋养胎儿,该经脉不宜进行针灸治疗。大肠主管九窍,此时胎儿的九窍都已经发育成形。不要吃燥热性质的食物,不要大怒。如果胎气不安,出现气逆气喘的症状,无论是否有外感病邪,适宜服用和胎调气饮。
和胎调气饮
陈皮(去掉白色内层、炒制,二钱) 黄芩(用酒炒,一钱五分) 茯苓(炒) 白术(用蜜炙,各一钱) 枳壳(用麸皮炒)
苏梗(各八分) 炙甘草(五分)
In the sixth month of pregnancy, the fetus begins to receive the essence of Metal, thereby forming its tendons. It is advisable for the mother to engage in mild physical activity and avoid excessive leisure or indulgence in desires. She should not consume meat from birds or beasts; this practice helps regulate the Couli (interstitial spaces) and strengthen the tendons, nourishing physical strength and fortifying the back and spine.
During this month, the Foot-Yangming Stomach Meridian nourishes the fetus, and acupuncture or moxibustion on this meridian is contraindicated. The Stomach opens into the mouth and eyes; at this stage, the fetus's mouth and eyes are fully formed. One should harmonize the five flavors in diet, consuming sweet and delicious foods, but avoiding overeating. If the fetal Qi becomes disharmonious during this month, resulting in sudden restlessness, fetal movement, abdominal pain, or distension and stuffiness, An Tai He Sheng Yin (Fetus-Anchoring Harmony-Victory Decoction) is indicated.
An Tai He Sheng Yin (Fetus-Anchoring Harmony-Victory Decoction)
Dang Gui (Radix Angelicae Sinensis, 2 qian) Bai Zhu (Rhizoma Atractylodis Macrocephalae, honey-fried, 1.5 qian) Huang Qin (Radix Scutellariae, wine-fried) Bai Shao (Radix Paeoniae Alba, wine-fried) Sha Ren (Fructus Amomi, fried and husked) Fu Ling (Sclerotium Poriae)
Xu Duan (Radix Dipsaci, wine-steamed, each 1 qian) Zhi Gan Cao (Radix Glycyrrhizae Preparata, 0.5 qian)
Add one and a half zhong of water, decoct until seven-tenths remains, and take orally. Take one dose every six days.
In the seventh month of pregnancy, the fetus begins to receive the essence of Wood, thereby forming its bones. The mother should exert herself physically and shake her limbs, avoiding excessive comfort or ease. Movements involving flexion and extension help circulate Blood and Qi. She should reside in dry places and avoid cold foods and drinks. Consuming rice and sorghum helps to consolidate the Couli; this is referred to as nourishing the bones and strengthening the teeth. During this month, the Hand-Taiyin Lung Meridian nourishes the fetus, and acupuncture or moxibustion on this meridian is contraindicated. The Lung governs the skin and hair; at this stage, the fetus's skin and hair are fully formed. The mother should avoid excessive talking or crying, bathing, wearing thin clothing, or drinking cold beverages. If the fetal Qi is unstable, leading to injury with bleeding, or if the abdomen feels heavy and sinking, Qing Tai Wan Quan Yin (Clear-Fetus Complete-Safety Decoction) is indicated.
Qing Tai Wan Quan Yin (Clear-Fetus Complete-Safety Decoction)
E Jiao (Colla Corii Asini, fried with clam powder into pearls) Shu Di Huang (Radix Rehmanniae Preparata) Bai Shao (Radix Paeoniae Alba, wine-fried) Huang Qin (Radix Scutellariae, wine-fried, each 1 qian) Xu Duan (Radix Dipsaci, wine-steamed) Dang Gui (Radix Angelicae Sinensis, earth-fried) Chuan Xiong (Rhizoma Chuanxiong, each 1.5 qian) Fu Ling (Sclerotium Poriae, fried) Jing Jie (Herba Schizonepetae, fried) Sang Ji Sheng (Cacumen Taxidi, each 0.8 fen) Zhi Gan Cao (Radix Glycyrrhizae Preparata)
Decoct in water and take two doses.
In the eighth month of pregnancy, the fetus begins to receive the essence of Earth, thereby forming its skin. The mother should maintain a peaceful heart and rest quietly, avoiding extreme exhaustion of Qi; this helps consolidate the Couli and gives luster to the complexion. During this month, the Hand-Yangming Large Intestine Meridian nourishes the fetus, and acupuncture or moxibustion on this meridian is contraindicated. The Large Intestine governs the nine orifices; at this stage, the fetus's nine orifices are fully formed. She should avoid eating dry/hot-natured foods and avoid intense anger. If the fetal Qi is unstable, manifesting as rebellious Qi and wheezing/dyspnea, regardless of whether there is an external pathogenic invasion, He Tiao Diao Qi Yin (Harmonize-Fetus Regulate-Qi Decoction) is indicated.
He Tiao Diao Qi Yin (Harmonize-Fetus Regulate-Qi Decoction)
Chen Pi (Pericarpium Citri Reticulatae, white pith removed, fried, 2 qian) Huang Qin (Radix Scutellariae, wine-fried, 1.5 qian) Fu Ling (Sclerotium Poriae, fried) Bai Zhu (Rhizoma Atractylodis Macrocephalae, honey-fried, each 1 qian) Zhi Ke (Fructus Aurantii, bran-fried) Su Geng (Caulis Perillae, each 0.8 fen) Zhi Gan Cao (Radix Glycyrrhizae Preparata, 0.5 qian)