妇人年幼，天癸未行属少阴，天癸既行属厥阴，天癸既绝属太阴。治胎产之病
从厥阴始，是祖气生化之源也。治法无犯胃气者，是后天生化之源也。所谓三禁，不可汗，不可下，不
可利小便，恐亡其津液而伤其生气也。大抵产病天行，从增损柴胡；杂证，从增损四物。宜详脉证而用之。
教养宜忌之道，世人不特未谙，即有知者，亦鲜能遵而行之，难免半产、产难之虞，胎毒夭殇之患，
良可慨矣。今择其紧要者言之，妇人妊娠三月而形像始化，未有定仪，因感而变；口谈正言，身行正事，
生子端正庄严，欲生男者，听古文史鉴，执弓矢；欲生女者，观鸾凤牡丹，施环佩；欲子美好，佩白玉。
欲子贤能，看诗书；欲转女为男之法，有以绛纱囊佩雄黄于左者，或潜以夫发及手足甲置席下者，或潜
以雄鸡尾尖长毛三茎置席下者，无令本妇知。皆外象内感，屡试屡验者也。古者妇人有孕，即居侧室，令
老妪伴宿，不与夫接，勿乱服药，勿过饮酒，勿信师巫，勿食邪味，勿听淫词暴投，勿去登高涉险，
勿妄针灸，勿举重物，立不
跸，坐不边，口不可出恶言，手不可行鞭朴，勿看日用薄蚀，勿见鬼神怪戏，毋哭泣，毋嗔怒，毋惊恐，
毋沐浴。时当炎夏，虽难免于澡洗，然须避其热汤。若遇严冬，纵然寝被清寒，切勿迫以炉炭。若心有
大惊，犯之难产，子必癫痫。如或劳力过伤，肾气不足，生子解颅。自家及邻家修造动土，须宜远避；
若有冲犯，令子破形殒命。刀犯者，形必伤；泥犯者，窍必塞；打击者，色青黯；系缚者，相拘挛。坐不
实其前阴，卧不久偏一侧。若耽坐嗜卧，气血则为凝滞。常见富贵之家，浓养安逸，血滞气凝，交骨坚闭，
必难生育。虽曰无劳，时须小役，四体气血流行，胎息易于运动，即如贫贱之妇，因时常行走动作，疏通
筋骨，开豁骨眼，所以易产。其最甚者，不遵禁忌，纵情交接，以扰子宫，有触动胎元，一月而堕者，
有三五月而小产、半产者，有胎肥硕而难产者，有败精凝裹而碍产者，有生子多疾、痘疮稠密者，皆
由纵欲之故。其三五月之胎堕，人所共知，而一月之小产，人所不觉，可不慎欤？至孕妇腰腹渐粗，饮食不
宜过饱，茶汤更须节省。大热大凉，总非所宜。有毒之物，切宜禁食。即椒、姜常用之品，亦须少尝。其
豕肉醇酒湿面之类，纵不能屏绝不食，
亦不可恣啖，归精于胎，过于蕃长，致母临蓐难产，而子在胞中，禀质肥脆，襁褓必多羸困。妇人孕怀
甫交三月，即当满裹其腹，胎气渐长，仅可微松其束，切勿因其气急满闷而顿放之，致胎肥难产。俱当谨遵禁
戒，随时调护，可免诸患。此乃宗祧所重，人命所关，安可视为儿戏耶。
妇人年幼时，天癸（指月经及生殖功能）尚未到来，属于少阴经；天癸已经到来，属于厥阴经；天癸已经断绝，属于太阴经。治疗胎产疾病应从厥阴经开始，因为这是先天祖气生化之源。治疗方法中不可损伤胃气，因为这是后天生化之源。所谓的“三禁”，即不可发汗、不可攻下、不可利小便，这是担心耗亡津液而损伤生气。大致而言，产后遭遇外感时行邪气，用增损柴胡汤加减；杂病，用增损四物汤加减。应当详细诊察脉象和症状后使用。
关于教养的适宜与禁忌之道，世人不仅不熟悉，即使有知道的人，也很少能遵循并实行，难免有半产（流产）、难产的忧虑，以及胎毒导致夭折的祸患，实在令人感慨。现在选择其中紧要的说一说：妇人怀孕三个月时，胎儿形象才开始形成，还没有定形，容易因外界感应而变化；口中说正话，身上做正事，生下的孩子端正庄严；想生男孩的，听读古代文史典籍，手持弓矢；想生女孩的，观看鸾凤牡丹，佩戴环佩；想让子女美好的，佩戴白玉；想让子女贤能的，阅读诗书；想要转女为男的方法，有用红纱囊佩戴雄黄在左边的，或偷偷将丈夫头发及手足甲放在席子下的，或偷偷将雄鸡尾尖长毛三根放在席子下的，不让孕妇知道。这些都是外象内感，屡试屡验的。古时候妇女怀孕，就住在侧室，让老妇陪伴住宿，不与丈夫同房，不乱服药，不过量饮酒，不信师巫，不吃怪异食物，不听淫词暴语，不登高涉险，不妄自针灸，不举重物，站立要端正，坐要有规矩，口不出恶言，手不行鞭打之事，不看日食月食，不见鬼神怪戏，不哭泣，不嗔怒，不惊恐，不沐浴。正值炎夏，虽然难免洗澡，但必须避开热汤。若遇严冬，纵然寝被清寒，切勿逼迫使用炉炭取暖。如果心中大惊，犯此禁忌会导致难产，孩子必定癫痫。如果劳力过伤，肾气不足，生下的孩子会解颅（囟门迟闭）。自家及邻家修造动土，必须远离躲避；若有冲犯，令孩子破相殒命。被刀伤犯的，形体必伤；被泥水犯的，七窍必塞；被打击犯的，肤色青黯；被束缚犯的，肢体拘挛。坐着不要压迫前阴，躺着不要久偏一侧。如果沉迷久坐嗜卧，气血就会凝滞。常见富贵之家，过度养育安逸，血滞气凝，交骨（耻骨联合）坚闭，必然难以生育。虽然说没有劳累，但也需轻微活动，使四肢气血流行，胎息易于运动，就像贫贱之妇，因为时常行走动作，疏通筋骨，开豁骨眼，所以容易生产。其中最严重的，不遵禁忌，纵情交接，以扰动子宫，有触动胎元，一个月就堕胎的，有三五个月小产、半产的，有胎儿肥硕而难产的，有败精凝裹而阻碍生产的，有生子多疾、痘疮稠密的，都是由纵欲的缘故。其三五月之胎堕，人所共知，而一月之小产，人所不觉，能不谨慎吗？至于孕妇腰腹渐粗，饮食不宜过饱，茶汤更须节省。大热大凉，总不是适宜的。有毒之物，切宜禁食。即使是花椒、生姜常用之品，也须少尝。其猪肉、醇酒、湿面之类，纵然不能屏绝不吃，也不可恣意大吃，归精于胎儿，过于蕃长，致使母亲临产难产，而孩子在胞中，禀质肥脆，襁褓时期必多瘦弱困顿。妇人怀孕刚满三月，就应当满裹腹部，胎气渐长，仅可微微松开束带，切勿因其气急满闷而顿时放开，致使胎儿肥硕难产。都应当谨遵禁戒，随时调护，可免诸患。这是宗庙祭祀所重，人命所关，怎么可以视为儿戏呢。
When a woman is young and Tian Gui (menstruation and reproductive function) has not yet arrived, it belongs to the Shaoyin Meridian; when Tian Gui has arrived, it belongs to the Jueyin Meridian; when Tian Gui has ceased, it belongs to the Taiyin Meridian. The treatment of pregnancy and childbirth diseases should begin with the Jueyin Meridian, as this is the source of congenital Qi transformation. In treatment methods, one must not damage Stomach Qi, as this is the source of acquired Qi transformation. The so-called "Three Prohibitions" are: do not induce sweating, do not purge, and do not promote urination, for fear of exhausting Body Fluids and damaging Vital Qi. Generally speaking, for postpartum conditions caused by epidemic pathogens, use modified Chaihu Decoction (Bupleurum Decoction); for miscellaneous diseases, use modified Siwu Decoction (Four Substance Decoction). One should carefully examine the pulse and symptoms before applying these treatments.
Regarding the principles of appropriate and inappropriate practices in child-rearing, people in the world are not only unfamiliar with them, but even those who know them rarely follow and practice them, inevitably facing the risks of miscarriage (half-birth) and difficult labor, as well as the dangers of fetal toxins leading to premature death, which is truly lamentable. Now, I will discuss the most critical points: When a woman is three months pregnant, the fetus's form begins to transform and has not yet stabilized, making it susceptible to change through external influences; if she speaks upright words and performs upright deeds, the child born will be dignified and solemn; those wishing for a son should listen to ancient historical and literary classics and hold bows and arrows; those wishing for a daughter should observe images of phoenixes and peonies and wear rings and pendants; those wishing for beautiful children should wear white jade; those wishing for virtuous and capable children should read poetry and books. Methods to change a female fetus to male include wearing realgar (Realgar) in a crimson gauze pouch on the left side, or secretly placing the husband's hair and fingernails/toenails under the mattress, or secretly placing three long tail feathers of a rooster under the mattress, without letting the pregnant woman know. These are all examples of external forms influencing internal sensations, tested repeatedly with success. In ancient times, pregnant women would live in separate quarters, accompanied by an old woman, avoiding sexual intercourse with their husbands, refraining from taking medicine indiscriminately, avoiding excessive alcohol consumption, not believing in shamans or witches, avoiding strange foods, not listening to obscene or violent speech, not climbing heights or wading through dangerous waters, not undergoing acupuncture or moxibustion recklessly, not lifting heavy objects, standing upright, sitting properly, not uttering evil words, not wielding whips or sticks, not watching solar or lunar eclipses, not seeing ghostly or bizarre performances, not crying, not showing anger, not being frightened, and not bathing. During hot summer days, although bathing is unavoidable, one must avoid hot water. In severe winter, even if sleeping in cold bedding, one must not force the use of charcoal stoves for warmth. If one experiences great shock, violating these taboos can lead to difficult labor, and the child may suffer from epilepsy. If physical exertion causes excessive injury and Kidney Qi is insufficient, the child may be born with open fontanelles (Jie Lu). One must stay away from construction and earth-moving activities at home or in neighboring houses; if offended by such disturbances, the child may suffer disfigurement or death. Offense by knives leads to bodily injury; offense by mud/water leads to blocked orifices; offense by beating leads to dark discoloration; offense by binding leads to limb contracture. Do not sit pressing on the perineum, nor lie on one side for too long. Indulging in prolonged sitting or lying causes Qi and Blood stagnation. It is common to see wealthy families who over-nourish and remain idle, causing Blood stagnation and Qi condensation, leading to rigid pubic symphysis joints (Jiao Gu), resulting in difficult childbirth. Although they claim no labor, slight activity is necessary to keep Qi and Blood circulating in the four limbs, facilitating fetal movement. Just like poor women who walk and move frequently, unblocking sinews and bones and opening bone joints, thus delivering easily. The most severe cases involve ignoring taboos, indulging in sexual intercourse, disturbing the Uterus, which can disturb the Fetal Origin, leading to abortion within one month, spontaneous abortion or half-birth between three to five months, difficult labor due to an overly large fetus, obstruction by coagulated essence, or offspring with many diseases and dense smallpox lesions, all due to lust. While abortions at three to five months are known to everyone, early miscarriages at one month go unnoticed; how can one not be cautious? As the pregnant woman's waist and abdomen gradually enlarge, food intake should not be excessive, and tea/water should be rationed. Extreme heat or cold is generally unsuitable. Toxic substances must strictly be avoided. Even commonly used items like Zanthoxyli Fructus (Pepper) and Ginger Rhizome (Ginger) should be consumed sparingly. Foods like pork, strong wine, and damp noodles, although perhaps impossible to completely abstain from, should not be eaten greedily, as excess essence transferred to the fetus leads to excessive growth, causing difficult labor for the mother, while the fetus in the womb develops a fragile constitution, likely to be weak and distressed in infancy. When a woman has been pregnant for just three months, her abdomen should be fully wrapped; as fetal Qi grows, the binding can be slightly loosened, but never suddenly released due to breathlessness or fullness, lest the fetus become too large and cause difficult labor. All should strictly observe prohibitions and adjust care accordingly to avoid various ailments. This concerns the continuity of the family line and the value of human life; how can it be treated as a trivial matter?