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。
北齐名医徐之才说道: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,不要食用腥膻辛辣之物,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脏,肝主管筋和血。在妊娠第一个月时,气血运行尚且阻滞不畅,不宜从事体力劳动,睡眠必须安静,不要让孕妇感到恐惧惊畏。
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,举重会腰痛,腹部胀满胞宫拘急,突然有阴道流血,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烊化尽,最终取三升药液放温,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元,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、吴茱萸。热邪偏多且口渴者,去掉吴茱萸,加栝蒌根二两。若思虑过度,去掉大麦,加柏子仁三合。另一版本方中有红参一两。
妊娠第二个月称为“始膏”,不要吃辛辣腥臊之物,居住必须在安静的地方,丈夫不要过于劳累,孕妇全身关节皆痛,这是胎元开始结聚的征兆。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,胆主藏精。在妊娠第二个月时,胎儿的精气在胞宫内形成,应当谨慎保护,避免惊动。
妊娠第二个月,阴阳之气开始在经脉中踞守。若寒邪偏多则胎坏不成形,若热邪偏多则胎萎悴弱,若中风寒则胎动摇,出现心胸痞满、脐下悬急、腰背强痛,突然阴道流血,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,去渣后放入阿胶,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,再用一斗二升水,先煮鸡取汁,去掉鸡肉放入药物,煎取三升,纳入鸡血、酒及阿胶,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元,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,用酢浆七升,煮取三升,分四次服用,白天三次,夜间一次,每十天重新配制一次。若感觉颇不安稳,加乌梅一升。加乌梅者不用酢浆,直接用白水即可。另一版本用当归半两。
妊娠第三个月称为“始胎”,此时尚未定型,见物而化。想生男孩的,操持弓矢;想生女孩的,玩弄珠玑。想让子女貌美,多观看璧玉;想让子女贤良,端正坐姿保持清虚心境。这叫做“外象而内感”。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脏,不要让孕妇悲哀思虑惊动。
妊娠第三个月为定形期,若寒邪偏多则大便色青,若热邪偏多则小便困难,不赤即黄,突然惊恐、忧愁、嗔怒,喜欢跌倒仆地,扰动经脉,腹部胀满绕脐苦痛,或腰背突然阴道流血,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,煮取一半药量,加入清酒三升及阿胶,煎取三升,分三次服用,一天内服完,服药后应当温卧休息。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元的,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,用酢浆一斗,煮取三升,分四次服用,饭前服用,七日后服一剂。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〕一位妇人只要有怀孕到三个月左右必堕胎,其脉象左手大而无力,重按则涩,可知是血少所致。因为她正值妙龄,只补中气,使血自然充盈。当时正值初夏,教她用浓煎的白术汤送服黄芩末一钱,给予数十帖,得以保全胎儿并顺利生产。由此思考,因受热且体虚导致的堕胎,从道理上讲居多。所谓热、所谓虚,应当区分轻重。大概怀孕到三个月,上属相火,所以容易堕胎,否则为什么黄芩、熟艾、阿胶是安胎妙药呢?
妇人月经停闭三个月验胎法:川芎研成细末,浓煎汤,空腹服下一匙,腹中微动者是有胎。
妊娠第四个月,开始接受水精以形成血脉,饮食适宜稻粳,羹汤适宜鱼雁,这叫做盛养血气以通耳目,而行经络。
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,在妊娠第四个月时,胎儿六腑顺次成形,应当静养形体,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,胸膈满闷不欲食;若热邪偏多,小便困难,频频如淋状,脐下苦急;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,往来有时,胎气上迫胸部,心烦不得安宁,突然阴道流血。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,加入清酒三升及阿胶,煎取三升,分三次服用,服药后温卧当出汗,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元,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,开始接受火精以形成其气,睡觉必须晚起,沐浴洗衣,居所要深邃,衣服要厚实,早晨吸收天光,以避寒殃,食物吃稻麦,羹汤吃牛羊,调和以茱萸,调味以五味,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,在妊娠第五个月时,胎儿四肢皆已成形,不要大饥,不要过饱,不要吃干燥食物,不要自己烤火取暖,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;突然受到恐怖惊吓,四肢疼痛,寒热往来,胎动无常处,腹痛,昏闷欲倒,突然阴道流血。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,加入清酒三升及阿胶,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,将血纳入酒中,用水煮鸡汁煎药至减半,加入酒及阿胶,煎取三升半,分四次服用。
安中汤 曾经损伤过第五个月胎元的,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 若妊娠第五个月,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)
以上用酒水各三升,煮至三升,放入阿胶令其烊化,分三次服用。另一版本有甘草,无参、枣。
妊娠第六个月,开始接受金精以形成其筋,身体要轻微劳作,不要静止独处,出游野外,多次观看奔跑的狗,以及观看奔跑的马,饮食适宜猛禽猛兽之肉,这叫做改变腠理,坚韧筋骨以养其力,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,在妊娠第六个月时,胎儿口目皆已成形,调和五味,食用甘美食物,不要过饱。
妊娠第六个月,突然胎动不安,寒热往来,腹部胀满,身体浮肿,惊恐害怕,忽然阴道流血,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,加入清酒二升及阿胶,煎取三升,分三次服用,中间进稀粥。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元,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)
以上药材切碎,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,胎不安常处。(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,夜间两次。忌羊肉、饴糖、醋、桃、李、雀肉。
妊娠第七个月,开始接受木精以形成其骨,劳累身体摇动肢体,不要静止不动,动作屈伸,以运血气,居处必须干燥,饮食避开寒冷,常食稻粳,以密腠理,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,在妊娠第七个月时,胎儿皮毛已成,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,突然惊恐摇动,腹痛突然阴道流血,手足厥冷,脉象如同伤寒,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,加入清酒三升及阿胶,煎取四升,每次服用一升,白天三次,夜间一次。温卧,应当出汗。若不出汗者,加麻黄二两,煮服如前法。若在秋后不要强行发汗。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元,应当预先服用此方。
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)
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,开始接受土精以形成其肤革,调和心神静息,不要让气极,这叫做密腠理而光泽颜色。
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、肩井、肩髃等穴位即是。)手阳明大肠经内属于大肠,主管九窍,在妊娠第八个月时,胎儿九窍皆已成形,不要吃燥物,不要经常失食,不要忍痛大起。
妊娠第八个月,中风寒,有所犯触,身体尽痛,乍寒乍热,胎动不安,常苦于头晕痛,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,目视不明。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元,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,凡十日一剂。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)
以上研为末,用粥糊丸如梧桐子大。
妊娠第九个月,开始接受石精以形成皮毛,六腑百节,无不具备,饮甜酒食甘美,松绑腰带自持等待分娩,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),在妊娠第九个月时,胎儿脉络皆已成形,无处湿冷,不要穿烤热的衣服。
妊娠第九个月,若突然得下痢,腹部胀满悬急,胎气上冲心,腰背痛不可转侧,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,去渣纳入白蜜八合,微火上温,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元,应当预先服用此方。
猪肾(一具) 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)
以上药材切碎,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,十日更一剂。
丹溪缩胎丸 九个月时使用。
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)
以上研为末,用粥糊丸如梧桐子大,每次服用三十丸,空腹热汤送下。
妊娠第十个月,五脏俱备,六腑齐通,纳天地气于丹田,故使关节人神皆备,只等待时机而生。
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,日子满了即生产了。适宜服用滑胎药,入月即服。
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 to eat, while fishy and pungent/spicy foods should be avoided. This is referred to as "Cai Zheng". During the first month of pregnancy, the Foot Jueyin Liver Meridian nourishes the fetus, and acupuncture or moxibustion on this meridian should be avoided. (Such as the acupoints Datur *LR1*, Xingjian *LR2*, Taichong *LR3*, Zhongfeng *LR4*, Wuli *LR5*, Zhongdu *LR6*.) The Foot Jueyin Liver Meridian internally connects to the Liver, which governs the sinews and blood. At this stage, blood circulation is sluggish; one should not engage in strenuous labor, sleep must be quiet, and fear or dread should be prevented.
In the first month of pregnancy, Yin and Yang energies newly combine to form the fetus. If Cold predominates, pain occurs; if Heat predominates, sudden fright occurs. Lifting heavy objects causes lower back pain, abdominal distension, and uterine urgency. Sudden vaginal bleeding requires preventive treatment. It is suitable to consume Wu Ci Ji Tang (Black Hen Decoction).
Wu Ci Ji Tang (Black Hen Decoction)
Wu Ci Ji (Black Hen, one piece, prepared for cooking) Poria (*Poria cocos*) E'jiao (Donkey-hide Gelatin) (each 2 liang) Evodiae Fructus (Wuzhuyu, 1 sheng) Ophiopogonis Radix (Maidong, 5 he, heart removed) Ginseng Radix et Rhizoma (Renshen) Paeoniae Radix Alba (Baishao) Atractylodis Macrocephalae Rhizoma (Baizhu) (each 3 liang) Glycyrrhizae Radix et Rhizoma (Gancao) Zingiberis Rhizoma Recens (Shengjiang) (each 1 liang)
Chop the ingredients. Boil the hen in 12 sheng of water until the liquid reduces to 6 sheng. Remove the hen and dregs. Further decoct to obtain 3 sheng of liquid. Add 3 sheng of wine and dissolve the gelatin completely. Obtain 3 sheng of final liquid. Take 1 sheng warm, three times daily.
Bu Tai Tang (Fetus-Nourishing Decoction) If the first month's fetus was previously damaged, take this decoction preventively.
Asari Radix (Xixin, 1 liang) Saposhnikoviae Radix (Fangfeng, 2 liang) Rehmanniae Radix Preparata (Shudihuang) Atractylodis Macrocephalae Rhizoma (Baizhu) (each 3 liang) Zingiberis Rhizoma Recens (Shengjiang, 4 liang) Evodiae Fructus (Wuzhuyu) Hordeum Vulgare (Damai) (each 5 he) Mume Fructus (Wumei, 1 sheng)
Chop the eight ingredients. Boil in 7 sheng of water until reduced to 2.5 sheng. Divide into three doses, taken before meals. If Cold predominates, double the dosage of Asari Radix and Evodiae Fructus. If Heat predominates with thirst, remove Evodiae Fructus and add Trichosanthis Radix (Gualougen, 2 liang). If there is excessive mental preoccupation, remove Barley and add Biota Seed (Baiziren, 3 he). Another version includes Ginseng Radix et Rhizoma (1 liang).
In the second month of pregnancy, it is called "Shi Gao" (Initial Paste). Avoid pungent, spicy, and gamey foods. Reside in a quiet place. The husband should avoid overexertion. The pregnant woman may experience pain in all joints. This marks the initial formation of the fetus. During the second month, the Foot Shaoyang Gallbladder Meridian nourishes the fetus, and acupuncture or moxibustion on this meridian should be avoided. (Such as the acupoints Danqiao, Qiuxu *GB40*, Fuyang *GB38*, Junmai *GB39*, Waiall, Yanglingquan *GB34*.) The Foot Shaoyang Gallbladder Meridian internally connects to the Gallbladder, which stores essence. In the second month, the fetus's essence forms in the uterus; care must be taken to prevent disturbance.
During the second month, Yin and Yang energies settle in the meridians. If Cold predominates, the fetus may fail to develop properly; if Heat predominates, the fetus may wither. Wind-Cold invasion may cause fetal movement. Symptoms include chest fullness, umbilical urgency, stiff back, sudden vaginal bleeding, and alternating chills and fever. It is suitable to consume Ai Ye Tang (Mugwort Leaf Decoction).
Ai Ye Tang (Mugwort Leaf Decoction)
Artemisiae Argyi Folium (Aiye) Salviae Miltiorrhizae Radix (Danshen) Angelicae Sinensis Radix (Danggui) Ephedrae Herba (Mahuang) (each 2 liang) Ginseng Radix et Rhizoma (Renshen) E'jiao (Donkey-hide Gelatin) (each 3 liang) Glycyrrhizae Radix et Rhizoma (Gancao, 1 liang) Zingiberis Rhizoma Recens (Shengjiang, 6 liang) Jujubae Fructus (Dazao, 12 pieces)
Chop the nine ingredients. Boil in 3 sheng of wine and 1 dou of water until reduced by half. Strain and add gelatin. Decoct to obtain 3 sheng. Divide into three doses. Another version uses one black hen. Prepare as food, cut off the head, collect blood, mix with 3 sheng of wine. Boil the hen in 1.2 dou of water to extract juice. Remove chicken, add herbs, decoct to 3 sheng. Add blood, wine, and gelatin. Decoct to 3 sheng. Divide into three warm doses.
Huanglian Tang (Coptis Decoction) If the second month's fetus was previously damaged, take this decoction preventively.
Coptidis Rhizoma (Huanglian) Ginseng Radix et Rhizoma (Renshen) (each 1 liang) Evodiae Fructus (Wuzhuyu, 5 he) Zingiberis Rhizoma Recens (Shengjiang, 3 liang) Rehmanniae Radix Recens (Shengdihuang, 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: three times during the day, once at night. Reprepare every ten days. If discomfort persists, add Mume Fructus (1 sheng). When adding Mume Fructus, use plain water instead of vinegar juice. Another version includes Angelicae Sinensis Radix (Banliang).
In the third month of pregnancy, it is called "Shi Tai" (Initial Fetus). At this time, the form is not yet fixed, and external images influence internal development. To conceive a boy, handle bows and arrows. To conceive a girl, play with pearls and beads. To have a beautiful child, frequently view jade. To have a virtuous child, sit upright in purity. This is called "External Image and Internal Sensation". During the third month, the Hand Jueyin Pericardium Meridian nourishes the fetus, and acupuncture or moxibustion on this meridian should be avoided. (Such as the acupoints Zhongchong *PC9*, Laogong *PC8*, Daling *PC7*, Neiguan *PC6*, Jianshi *PC5*, Ximen *PC4*, Quze *PC3*.) The Hand Jueyin Pericardium Meridian internally connects to the Heart. Avoid sorrow, worry, and fright.
The third month is for determining form. If Cold predominates, stool is green. If Heat predominates, urination is difficult, either red or yellow. Sudden fright, grief, or anger may cause falling. Disturbance of meridians leads to abdominal distension, periumbilical pain, or sudden vaginal bleeding from the waist/back. It is suitable to consume Xiong Ji Tang (Rooster Decoction).
Xiong Ji Tang (Rooster Decoction)
Gallus Galli Domesticus (Rooster, one piece, prepared for cooking) Scutellariae Radix (Huangqin) Atractylodis Macrocephalae Rhizoma (Baizhu) Zingiberis Rhizoma Recens (Shengjiang) (each 1 liang) Ophiopogonis Radix (Maidong, 5 he) Paeoniae Radix Alba (Baishao) Jujubae Fructus (Dazao, 12 pieces, broken) Glycyrrhizae Radix et Rhizoma (Gancao) Ginseng Radix et Rhizoma (Renshen) Poria (*Poria cocos*) E'jiao (Donkey-hide Gelatin) (each 2 liang)
Chop the ingredients. Boil the rooster in 1.3 dou of water until reduced by half. Remove rooster, add herbs. Decoct to half volume. Add 3 sheng of clear wine and gelatin. Decoct to 3 sheng. Divide into three doses, consumed within one day. Rest warmly afterwards. Another version uses Angelicae Sinensis Radix and Ligustici Chuanxiong Rhizoma (each 2 liang), without Scutellariae Radix or Zingiberis Rhizoma Recens.
Fushen Tang (Poria Spirit Decoction) For those who previously damaged the third month's fetus, take this formula preventively.
Poria Cum Pinus Radix (Fushen) Salviae Miltiorrhizae Radix (Danshen) Os Draconis (Longgu) (each 1 liang) E'jiao (Donkey-hide Gelatin) Angelicae Sinensis Radix (Danggui) Glycyrrhizae Radix et Rhizoma (Gancao) Ginseng Radix et Rhizoma (Renshen) (each 2 liang) Jujubae Fructus (Dazao, 21 pieces, broken) Phaseoli Semen Rubrum (Chixiaodou, 200 grains)
Chop the nine ingredients. Boil in 1 dou of vinegar juice until reduced to 3 sheng. Divide into four doses, taken before meals. After seven days, take one dose. For lower back pain, add Taxilli Ramulus (Sangjisheng, 2 liang). (*Shenshi Fang* includes Allii Macrostemonis Bulbus (2 liang) and Cannabis Fructus (1 sheng)).
[Zhu Danxi] A woman consistently miscarried around the third month. 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. She was instructed to take Huangqin Powder (Scutellariae Radix) mixed in strong Baizhu Decoction (Atractylodis Macrocephalae Rhizoma Decoction), one qian per dose, for dozens of doses. The pregnancy was preserved and delivered successfully. Reflecting on this, miscarriages due to Heat and Deficiency are common. Heat and Deficiency must be differentiated in severity. Around the third month, the Upper Jiao belongs to Ministerial Fire, making miscarriage easy. Hence, Scutellariae Radix, cooked Mugwort Folium, and Donkey-hide Gelatin are excellent fetuses-stabilizing medicines.
Three-Month Menstrual Cessation Pregnancy Test Method: Crush Ligustici Chuanxiong Rhizoma (Chuanxiong) into powder. Brew strong decoction. Take one spoonful on an empty stomach. Slight abdominal movement indicates pregnancy.
In the fourth month of pregnancy, Water Essence is received to form blood vessels. Diet should include rice and glutinous rice. Soups should include fish and wild goose. This enriches 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. (Such as the acupoints Guanchong *SI1*, Yangchi *SJ4*, Neiguan *PC6*, Sanyangjiao, Tianjing *SJ10*, Quyuan *SI13*.) The Hand Shaoyang Sanjiao Meridian connects to the Sanjiao (Triple Burner). In the fourth month, the fetus's six Fu Organs are formed. Maintain physical stillness, harmonize the mind, and regulate diet.
If Cold predominates in the fourth month, there is epigastric discomfort with nausea, chest diaphragm fullness, and loss of appetite. If Heat predominates, urination is difficult and frequent like strangury, with lower abdominal urgency. Sudden Wind-Cold causes stiff neck and pain, chills and fever. Fetal disturbance causes body movement, waist/back/abdominal discomfort, alternating timing. Fetal Qi presses on the chest causing irritability and restlessness. Sudden vaginal bleeding may occur. It is suitable to consume Juhua Tang (Chrysanthemum Decoction).
Juhua Tang (Chrysanthemum Decoction)
Chrysanthemi Flos (Juhua, one piece, egg-sized) Ophiopogonis Radix (Maidong, 1 sheng) Jujubae Fructus (Dazao, 12 pieces) Ginseng Radix et Rhizoma (Renshen, 1.5 liang) Glycyrrhizae Radix et Rhizoma (Gancao) Angelicae Sinensis Radix (Danggui) (each 2 liang) Ephedrae Herba (Mahuang) E'jiao (Donkey-hide Gelatin) (each 3 liang) Pinelliae Tuber (Banxia, 4 liang) Zingiberis Rhizoma Recens (Shengjiang, 5 liang)
Chop the ten ingredients. Boil in 8 sheng of water until reduced by half. Add 3 sheng of clear wine and gelatin. Decoct to 3 sheng. Divide into three doses. Rest warmly to induce sweating. Apply powder to the body. Protect against Wind-Cold for four to five days. Another version uses a black hen boiled for decoction.
Tiaozhong Tang (Middle-Regulating Decoction) If the fourth month's fetus was previously damaged, take this decoction preventively.
Paeoniae Radix Alba (Baishao) Zingiberis Rhizoma Recens (Shengjiang) (each 4 liang) Magnoliae Officinalis Cortex (Houpo) Pruni Spinosae Cortex (Shengligenbapi) Aurantii Fructus Immaturus (Zhishi) Atractylodis Macrocephalae Rhizoma (Baizhu) Bupleuri Radix (Chaihu) (each 3 liang) Dipsaci Radix (Xuduan) Ligustici Chuanxiong Rhizoma (Chuanxiong) Glycyrrhizae Radix et Rhizoma (Gancao) (each 1 liang) Angelicae Sinensis Radix (Danggui, 1.5 liang) Mume Fructus (Wumei, 1 sheng)
Chop the twelve ingredients. Boil in 1 dou of water until reduced to 3 sheng. Divide into four doses: three times during the day, once at night. After eight days, take another dose.
In the fifth month of pregnancy, Fire Essence is received to form Qi. Wake up late. Bathe and wash clothes. Live in deep quarters. Wear thick clothes. Inhale morning sunlight to avoid Cold. Eat rice and wheat. Consume beef and mutton soups. Season with Evodiae Fructus 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. (Such as the acupoints Yinbai *SP1*, Dabu *SP2*, Gongsun *SP4*, Shangqiu *SP5*, Sanyinjiao *SP6*, Lougu *SP7*, Yinlingquan *SP9*.) The Foot Taiyin Spleen Meridian connects to the Spleen. In the fifth month, the fetus's four limbs are formed. Avoid extreme hunger or fullness. Do not eat dry foods. Do not self-bake for heat. Avoid severe fatigue.
If Heat predominates in the fifth month, suffer from dizziness, mental confusion, and vomiting. If Cold predominates, suffer from abdominal distension and pain, frequent urination. Sudden terror causes limb pain, chills and fever, irregular fetal movement, abdominal pain, fainting desire, and sudden vaginal bleeding. It is suitable to consume Ejiao Tang (Gelatin Decoction).
Ejiao Tang (Gelatin Decoction)
E'jiao (Donkey-hide Gelatin, 4 liang) Ginseng Radix et Rhizoma (Renshen, 1 liang) Zingiberis Rhizoma Recens (Shengjiang, 6 liang) Angelicae Sinensis Radix (Danggui) Paeoniae Radix Alba (Baishao) Glycyrrhizae Radix et Rhizoma (Gancao) Scutellariae Radix (Huangqin) (each 2 liang) Inulae Flos (Xuanfuhua, 2 he) Evodiae Fructus (Wuzhuyu, 7 he) Ophiopogonis Radix (Maidong, 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 gently to obtain 3.5 sheng. Divide into four doses: three times during the day, once at night. Take before meals for cure. If not cured, repeat. Another version uses a black hen. Cut throat, collect blood into wine. Boil hen in water to extract juice. Decoct medicine in juice until reduced by half. Add wine and gelatin. Decoct to 3.5 sheng. Divide into four doses.
Anzhong Tang (Middle-Stabilizing Decoction) For those who previously damaged the fifth month's fetus, take this formula preventively.
Scutellariae Radix (Huangqin, 1 liang) Angelicae Sinensis Radix (Danggui) Ligustici Chuanxiong Rhizoma (Chuanxiong) Rehmanniae Radix Preparata (Shudihuang) Ginseng Radix et Rhizoma (Renshen) (each 2 liang) Glycyrrhizae Radix et Rhizoma (Gancao) Paeoniae Radix Alba (Baishao) (each 3 liang) Zingiberis Rhizoma Recens (Shengjiang, 6 liang) Ophiopogonis Radix (Maidong, 1 sheng) Schisandrae Fructus (Wuweizi) Cannabis Fructus (Damaoren) (each 5 he) Jujubae Fructus (Dazao, 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: three times during the day, once at night. After seven days, take another dose.
Antai Danggui Tang (Fetus-Stabilizing Angelica Decoction) For fifth-month pregnancy with sudden fright, restless fetus, lower abdominal pain radiating to waist/groin, and hematuria.
Angelicae Sinensis Radix (Danggui) E'jiao (Donkey-hide Gelatin, stir-fried) Ligustici Chuanxiong Rhizoma (Chuanxiong) Ginseng Radix et Rhizoma (Renshen) (each 1 liang) Jujubae Fructus (Dazao, 12 pieces) Artemisiae Argyi Folium (Aiye, one handful)
Boil in 3 sheng of water and 3 sheng of wine until reduced to 3 sheng. Dissolve gelatin. Divide into three doses. Another version has Glycyrrhizae Radix et Rhizoma, without Ginseng Radix et Rhizoma or Jujubae Fructus.
In the sixth month of pregnancy, Metal Essence is received to form sinews. The body should undergo slight labor. Do not stay still. Go outdoors. Watch running dogs and horses. Eat meat of birds of prey and fierce beasts. This changes the pores, toughens 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. (Such as the acupoints Lidui *ST45*, Fenglong *ST40*, Yinshi *ST32*, Shanglian, Xiaolian, Zusanli *ST36*.) The Foot Yangming Stomach Meridian connects to the Stomach, governing the mouth and eyes. In the sixth month, the fetus's mouth and eyes are formed. Harmonize the five flavors, eat sweet/delicious foods, do not overeat.
If the fetus moves suddenly in the sixth month, causing restlessness, alternating chills and fever, abdominal distension, body edema, fright, sudden vaginal bleeding, labor-like abdominal pain, and painful hands/feet, it is suitable to consume Maidong Tang (Ophiopogon Decoction).
Maidong Tang (Ophiopogon Decoction)
Ophiopogonis Radix (Maidong, 1 sheng) Ginseng Radix et Rhizoma (Renshen) Glycyrrhizae Radix et Rhizoma (Gancao) Scutellariae Radix (Huangqin) (each 2 liang) Rehmanniae Radix Preparata (Shudihuang, 3 liang) E'jiao (Donkey-hide Gelatin, 4 liang) Zingiberis Rhizoma Recens (Shengjiang, 6 liang) Jujubae Fructus (Dazao, 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 3 sheng. Divide into three doses. Consume congee in between. Another version uses a black hen boiled for decoction.
Chaihu Tang (Bupleurum Decoction) If the sixth month's fetus was previously damaged, take this decoction preventively.
Bupleuri Radix (Chaihu, 4 liang) Cistanches Herba (Rongrong, 1 liang) Atractylodis Macrocephalae Rhizoma (Baizhu) Paeoniae Radix Alba (Baishao, alternatively Psoraleae Fructus/Ziwei) Glycyrrhizae Radix et Rhizoma (Gancao) Ophiopogonis Radix (Maidong) Ligustici Chuanxiong Rhizoma (Chuanxiong) (each 2 liang) Zingiberis Rhizoma Recens (Shengjiang, 6 liang) Rehmanniae Radix Preparata (Shudihuang, 5 liang) Jujubae Fructus (Dazao, 30 pieces)
Chop the ingredients. Boil in 1 dou of water until reduced to 3 sheng. Divide into four doses: three times during the day, once at night. Consume congee in between. Avoid raw/cold and hard foods. After seven days, take another dose. Another version includes Scutellariae Radix (2 liang).
Xuanfuhua Tang (Inula Flower Decoction) From *Jiyan Fang*: Treats fetal unrest in the sixth/seventh month. Also treats obstruction disease.
Inulae Flos (Xuanfuhua, 1 liang) Magnoliae Officinalis Cortex (Houpo, processed) Atractylodis Macrocephalae Rhizoma (Baizhu) Aurantii Fructus Immaturus (Zhike) Scutellariae Radix (Huangqin, stir-fried) Poria (*Poria cocos*) (each 3 liang) Pinelliae Tuber (Banxia, stir-fried, another version omits) Paeoniae Radix Alba (Baishao) Zingiberis Rhizoma Recens (Shengjiang) (each 2 liang)
Boil in 1 dou of water until reduced to 2.5 sheng. Divide into five doses, taken before meals: three times during the day, twice at night. Avoid mutton, malt sugar, vinegar, peach, plum, and sparrow meat.
In the seventh month of pregnancy, Wood Essence is received to form bones. Labor the body, shake limbs, do not stay still. Move and bend to circulate Blood and Qi. Live in dry places. Avoid cold in diet. Eat rice regularly to tighten pores. This nourishes bones and strengthens teeth.
During the seventh month, the Hand Taiyin Lung Meridian nourishes the fetus, and acupuncture or moxibustion on this meridian should be avoided. (Such as the acupoints Shaoshang *LU11*, Yuji *LU10*, Lieque *LU7*, ChiZe *LU5*, Tianfu *LU3*.) The Hand Taiyin Lung Meridian connects to the Lung, governing skin and hair. In the seventh month, the fetus's skin and hair are formed. Do not speak loudly, do not cry, do not wear thin clothes, do not bathe, do not drink cold liquids.
If sudden fright causes shaking, abdominal pain with sudden vaginal bleeding, cold extremities, pulse resembling Cold Damage, irritability, abdominal fullness, shortness of breath, and chronic stiff neck/back, Congbai Tang (Scallion White Decoction) is indicated.
Congbai Tang (Scallion White Decoction)
Allii Fistulosi Bulbus (Congbai, 14 stalks, 3-4 cun long) Pinelliae Tuber (Banxia) Ophiopogonis Radix (Maidong) (each 1 sheng) Inulae Flos (Xuanfuhua, 2 he) Scutellariae Radix (Huangqin, 1 liang) Ginseng Radix et Rhizoma (Renshen, 1.5 liang) Glycyrrhizae Radix et Rhizoma (Gancao) Angelicae Sinensis Radix (Danggui) Astragali Membranacei Radix (Huangqi) (each 3 liang) E'jiao (Donkey-hide Gelatin, 4 liang) Zingiberis Rhizoma Recens (Shengjiang, 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 4 sheng. Take 1 sheng, three times during the day, once at night. Rest warmly to induce sweating. If no sweat, add Ephedrae Herba (2 liang) and boil as before. In autumn, do not force sweating. Another version uses a yellow hen. Cut throat, collect blood into wine. Boil hen for juice to decoct medicine.
Xingren Tang (Apricot Kernel Decoction) If the seventh month's fetus was previously damaged, take this decoction preventively.
Pruni Armeniacae Semen Amarum (Xingren) Glycyrrhizae Radix et Rhizoma (Gancao) (each 2 liang) Asteris Tatarici Radix (Ziwan) 1 liang) Gleicheniae Spora (Zhongru) Zingiberis Rhizoma (Ganjiang) (each 3 liang) Ophiopogonis Radix (Maidong) Evodiae Fructus (Wuzhuyu) (1 sheng) Oryza Sativa (Jingmi, 5 he) Schisandrae Fructus (Wuweizi, 3 he)
Chop the nine ingredients. Boil in 8 sheng of water until reduced to 3.5 sheng. Divide into four doses: three times during the day, once at night. Eat in between. Take one dose every seven days. Another version uses a white hen boiled for decoction.
In the eighth month of pregnancy, Earth Essence is received to form skin and flesh. Harmonize the mind, rest quietly, do not exhaust Qi. This tightens pores and brightens complexion.
During the eighth month, the Hand Yangming Large Intestine Meridian nourishes the fetus, and acupuncture or moxibustion on this meridian should be avoided. (Such as the acupoints Shangyang *LI1*, Erjian *LI2*, Hegu *LI4*, Shanglian, Xiaolian, Zusanli *ST36*, Quchi *LI11*, Jianjing *GB21*, Jianyu *LI15*.) The Hand Yangming Large Intestine Meridian connects to the Large Intestine, governing the nine orifices. In the eighth month, the fetus's nine orifices are formed. Do not eat dry foods. Do not skip meals. Do not rise abruptly.
If Wind-Cold invades in the eighth month, causing body pain, alternating chills/fever, fetal unrest, dizziness/headache, cold below navel, milky/cloudy urine (green/yellow), chills, cold/painful back/waist, and blurred vision, Shaoyao Tang (Peony Decoction) is indicated.
Shaoyao Tang (Peony Decoction)
Paeoniae Radix Alba (Baishao) Zingiberis Rhizoma Recens (Shengjiang) (each 4 liang) Magnoliae Officinalis Cortex (Houpo, 2 liang) Glycyrrhizae Radix et Rhizoma (Gancao) Angelicae Sinensis Radix (Danggui) Atractylodis Macrocephalae Rhizoma (Baizhu) Ginseng Radix et Rhizoma (Renshen) (each 3 liang) Allii Macrostemonis Bulbus (Xiebai, sliced, 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: twice during the day, once at night. Another version uses a black hen boiled for decoction.
Kuizi Tang (Abutilon Seed Decoction) If the eighth month's fetus was previously damaged, take this decoction preventively.
Abutili Fructus (Kuizi, 2 sheng) Glycyrrhizae Radix et Rhizoma (Gancao) Magnoliae Officinalis Cortex (Houpo) (each 2 liang) Atractylodis Macrocephalae Rhizoma (Baizhu) Bupleuri Radix (Chaihu) (each 3 liang) Paeoniae Radix Alba (Baishao, 4 liang) Zingiberis Rhizoma Recens (Shengjiang, 6 liang) Jujubae Fructus (Dazao, 20 pieces)
Chop the eight ingredients. Boil in 9 sheng of water until reduced to 3 sheng. Divide into three doses, three times daily. One dose every ten days. Another version uses a black hen boiled for decoction.
Danxi Suotai Wan (Danxi Fetus-Contraction Pill) Used in the eighth/ninth months.
Scutellariae Radix (Huangqin, Summer 1 liang, Autumn 7 qian, Winter 0.5 liang, wine-fried) Atractylodis Macrocephalae Rhizoma (Baizhu, 2 liang) Citri Reticulatae Pericarpium (Chenpi, 3 liang, pith removed) Poria (*Poria cocos*, 0.75 liang)
Grind into powder. Form pills with porridge paste, size of wu-tong seeds.
In the ninth month of pregnancy, Stone Essence is received to form skin/hair. Six Fu Organs and hundred joints are complete. Drink sweet wine, eat sweet foods. Loosen belt, wait patiently. This nourishes hair and develops strength.
During the ninth month, the Foot Shaoyin Kidney Meridian nourishes the fetus, and acupuncture or moxibustion on this meridian should be avoided. (Such as the acupoints Yongquan *KI1*, RanGu *KI2*, Taixi *KI3*, Jiaoxin *KI8*, Zhubin *KI9*, Fuliu *KI7*.) The Foot Shaoyin Kidney Meridian connects to the Kidney, which governs vessel continuity. In the ninth month, the fetus's vessels are complete. Avoid damp/cold places. Do not wear heated clothing.
If sudden diarrhea, abdominal distension/urgency, fetal Qi rushing to heart, inability to turn due to back pain, and shortness of breath occur in the ninth month, Banxia Tang (Pinellia Decoction) is indicated.
Banxia Tang (Pinellia Decoction)
Pinelliae Tuber (Banxia) Ophiopogonis Radix (Maidong) Evodiae Fructus (Wuzhuyu) Angelicae Sinensis Radix (Danggui) E'jiao (Donkey-hide Gelatin) (each 3 liang) Zingiberis Rhizoma (Ganjiang, 1 liang) Jujubae Fructus (Dazao, 12 pieces)
Chop the seven ingredients. Boil in 9 sheng of water until reduced to 3 sheng. Strain. Add 0.8 sheng of white honey. Warm gently. Divide into four doses. Diarrhea stops. Another version uses a black hen boiled for decoction.
Zhushen Tang (Pig Kidney Decoction) If the ninth month's fetus was previously damaged, take this decoction preventively.
Sus Scrofa Domestica Ren (Pig Kidney, one piece) Poria (*Poria cocos*) Taxilli Ramulus (Sangjisheng) Zingiberis Rhizoma (Ganjiang) Rehmanniae Radix Preparata (Shudihuang) Ligustici Chuanxiong Rhizoma (Chuanxiong) (each 3 liang) Atractylodis Macrocephalae Rhizoma (Baizhu, 4 liang) Aconiti Lateralis Radix Preparata (Fuzi, medium, one piece) Sojae Semen Nigrum (Dadou, 3 he) Ophiopogonis Radix (Maidong, 1 sheng)
Chop the ingredients. Boil pig kidney in 1 dou of water until cooked. Remove kidney, add herbs. Decoct to 3.5 sheng. Divide into four doses: three times during the day, once at night. One dose every ten days.
Danxi Suotai Wan (Danxi Fetus-Contraction Pill) Used in the ninth month.
Scutellariae Radix (Huangqin, 1 liang; suitable for Hot formulas, not Cold; halve for timid patients) Aurantii Fructus Immaturus (Zhike, stir-fried, 0.75 liang) Talcum (Huashi, 0.75 liang; add this when ten days before delivery if urination is frequent) Atractylodis Macrocephalae Rhizoma (Baizhu, 1 liang)
Grind into powder. Form pills with porridge paste, size of wu-tong seeds. Take 30 pills each time with hot water on an empty stomach.
In the tenth month, the five Zang Organs are complete, six Fu Organs are connected. Heaven and Earth Qi are stored in the Dantian. Joints and spirit are fully prepared. Only await 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/Sinews established. Seventh month: Hair grows. Eighth month: Organs complete. Ninth month: Grain Qi enters stomach. Tenth month: Spirits complete. When the day is full, birth occurs. Suitable to take Slippery-Fetus Medicine. Start taking it in the tenth month.