妇人经水不行,已经三月,或脉不应指,或经事偶见,法当验之。用川芎为细末,煎艾
汤,空心调下二钱,腹内微动,则有胎,不动者,非胎也。
有孕之后,凡忌食之物,切宜戒谨∶一食鸡子、糯米,令子生寸白虫。一食羊肝,令子
多疾。一食鲤鱼,令儿成疳。一食犬肉,令子无声。一食兔肉,令子缺唇。一食鳖,令子项
短。一食鸭子,令子心寒。一食螃蟹,多致横生。一食雀肉,令子好淫。一食豆酱,令子发
哮。一食野兽肉,令子多怪疾。一食生姜,令子多指。一食水鸡、鳝鱼,令子生癞。一食骡
如此之类,无不验者,所当深戒。
娠孕药忌歌,凡数十种。推之尚不止此,然药中如斑蝥、水蛭、蛇蜕、蜈蚣、水银、信
砒等药,皆非恒用之品,姑置勿论。兹特选其易犯者,约纂数语,俾医家举笔存神,免致差
误。其他怪异险峻之品,在有孕时,自应避忌,不待言也。
乌头附子与天雄,牛黄巴豆并桃仁,芒硝大黄牡丹桂,牛膝藜芦茅茜根,
槐角红花与皂角,三棱莪术薏苡仁,干漆 茹瞿麦穗,半夏南星通草同,
干姜大蒜马刀豆,延胡常山麝莫闻,此系妇人胎前忌,常须记念在心胸。
上药忌禁犯,似矣。然安胎止呕,有用半夏者,娠孕热病,有用大黄者,娠孕中寒,有
用干姜、桂、附者,是何说也?昔黄帝问于岐伯曰∶妇人重身,毒之如何?岐伯对曰∶有故无
殒,亦无殒也,大积大聚,其可犯也,衰其大半而止。有故者,谓有病。无殒者,无损乎胎
也。亦无殒者,于产母亦无损也。盖有病则病当之,故毒药无损乎胎气。然必大积大聚,病
势坚强,乃可投之,又须得半而止,不宜过剂,则慎之又慎矣。用药者,可不按岐黄之大法耶?
If a woman's menstruation has ceased for three months, or if the pulse does not correspond to the symptoms, or if menstruation occurs occasionally, it is necessary to verify pregnancy. Use Ligusticum Chuanxiong Rhizome (Chuanxiong) ground into fine powder, mixed with decoction of Artemisia Argyi Herba (Ai Ye, Mugwort), taken on an empty stomach in a dose of two qian. If there is slight movement in the abdomen, pregnancy is confirmed; if there is no movement, it is not pregnancy.
After conception, one must strictly avoid certain foods: consuming chicken eggs and glutinous rice may cause the child to develop tapeworms (Cestoda); eating sheep liver may make the child prone to illness; eating carp may lead to infantile malnutrition syndrome (Gan Syndrome); eating dog meat may cause the child to be mute; eating rabbit meat may result in cleft lip; eating soft-shelled turtle may cause a short neck; eating duck may cause "cold heart" in the child; eating crab often leads to breech presentation; eating sparrow meat may predispose the child to lustful behavior; eating bean paste may induce asthma in the child; eating wild beast meat may cause rare diseases in the child; eating ginger may result in polydactyly; eating frogs and eels may cause leprosy-like skin conditions; eating mule meat... All such prohibitions are effective and should be deeply observed.
There are dozens of verses regarding medicinal contraindications during pregnancy. In reality, there are even more. However, drugs such as Mylabris (Ban Mao), Hirudo (Shui Zhi), Ophichthys Skin (She Tui), Scolopendra (Wu Gong), Mercury (Shui Yin), Realgar (Xin Shi), and Arsenic Trioxide (Pi Shuang) are not commonly used items and are set aside for now. Here, we specifically select those that are easily mistaken and compile a few lines of verse to remind physicians to remain vigilant and avoid errors. Other bizarre and hazardous substances should naturally be avoided during pregnancy without need for further explanation.
Aconite Root (Wutou), Prepared Aconite Lateral Root (Fuzi), and Aconitum Lateral Root (Tianxiong); Calculus Bovis (Niuhuang), Croton Seed (Badou), and Peach Kernel (Taoren); Mirabilite (Mangxiao), Rhubarb Radix et Rhizoma (Dahuang), Peony Root (Mudan Pi), and Cinnamon Twig (Guizhi); Achyranthes Bidentata Root (Niuxi), Veratrum Nigrum Rhizoma (Lilu), Imperata Rhizome (Maogen), and Rubia Cordifolia Root (Qiancao); Sophora Fruit (Huaijiao), Safflower Flower (Honghua), and Gleditsia Sinensis Spine (Zaojiao); Bupleurum Root (Sanleng), Curcuma Longa Rhizome (Ezhu), and Coix Seed (Yiyiren); Dried Lacquer (Ganqi), Kansui Root (Gansui), and Lychnophora Spike (Qumai); Pinellia Tuber (Banxia), Star Fritillary Bulb (Nanxing), and Thlaspi Stem (Tongcao); Dried Ginger (Ganjiang), Garlic Bulb (Dasuan), and Lablab Bean (Madoudou); Corydalis Rhizome (Yanhusuo), Oldenlandia Herb (Changshan), and Moschus (She Xiang)—these are all contraindicated before childbirth for women and must always be kept in mind.
Although these prohibitions seem complete, there are instances where Pinellia Tuber (Banxia) is used to calm the fetus and stop vomiting; Rhubarb Radix et Rhizoma (Dahuang) is used for febrile diseases during pregnancy; and Dried Ginger (Ganjiang), Cinnamon Twig (Guizhi), and Prepared Aconite Lateral Root (Fuzi) are used for cold syndromes during pregnancy. What is the rationale? The Yellow Emperor once asked Qibo: "How should toxic medicines be handled when a woman is pregnant?" Qibo replied: "Where there is pathology, there is no injury; nor is there injury to the mother." This means that if there is a pathogenic accumulation, using attacking medicines will not harm the fetus ("no injury") nor the mother ("also no injury"). "Major accumulations and masses can be treated," but treatment should cease when the condition has improved by more than half. "Pathology" refers to the presence of disease; "no injury" means no damage to the fetal qi because the disease acts as a buffer against the toxicity of the medicine. However, this applies only to major accumulations with strong pathological forces, and dosage must be controlled to avoid excess. Thus, extreme caution is required. Should practitioners not follow the great principles of Huangdi and Qibo?