论
《内经》曰∶阴搏阳别，谓之有子（谓阴脉搏手，其中别有阳脉也）。是为血气和平，阳施而阴化也。盖为人之夫妇，
犹天地然。天地之道，阴阳和而后万物育；夫妇之道，阴阳和而后男女生。是故欲求嗣者，先须调其妇之经脉，经脉既
调则气血和平，气血和平则百病不生而乐乎有子矣。《脉经》曰∶诊其手少阴之脉动甚者，妊子也。盖手少阴，心脉也，
心主血脉故也。又肾为胞门子户，尺中肾脉，按之不绝，当妊子也。又曰∶妇人妊娠一月之时，足厥阴脉养之；二月，
足少阳脉养之；三月，手少阴脉养之；四月手少阳脉养之；五月，足太阴脉养之；六月，足阳明脉养之；七月，手太阴
脉养之；八月，手阳明脉养之；九月，足少阴脉养之；十月，足太阳脉养之，是以诸经脉各养三十日也。若夫至期当养
之经，虚实不调，则胎孕为之不安，甚则下血而堕矣。夫手足十二经，气血盈亏不同，如手足厥阴太阳少气多血，手足
太阴少阴少血多气，手足少阳气多血少，手足阳明气盛血多。安胎之法，宜各按月根据经，视其气血虚实而调之，固无胎
堕之患，其或感冒风寒，别生异证，又宜各按法而调治之。机要曰∶治胎产之病，当从厥阴经论之，毋犯胃气及上二焦，
谓之三禁，不可汗，不可下，不可利小便。若发汗者，如伤寒下早之证。利大便者，则脉数已动于脾。利小便者，则内
亡津液，胃中枯燥。制方之法，能不犯三禁，则荣卫自和而寒热止矣，皆医者之绳墨也。其为妊娠之妇，早当绝去嗜欲，
安养胎元，性宜静而不宜躁，体宜动而不宜安，味宜凉而不宜热，衣宜温而不宜寒，毋久立，毋久坐，毋久行，毋久卧，
又宜却去一切肥甘、煎 油腻、辛辣咸酸、水果鱼鳖、狐兔鸽雀之类，即无胎漏胎痛、胎动下血、子肿子痫等证，及横
产逆生、胎死腹中之患矣。丹溪曰∶难产之妇，皆是八、九十月内不能谨欲，以致气血虚故也。传曰∶古者妇人妊子，
寝不侧，坐不偏，立不跸，不食邪味，割不正不食，席不正不坐，目不视邪色，耳不听淫声，口不出傲言，夜则令瞽诵
诗，道正事，则生子形容端正，才过人矣。古所谓胎教也，妊娠之妇，可不慎欤。
附∶期嗣论
夫人欲求嗣，必先视其妇之经脉调否，其或未调，必以药而调之，经脉既调，宜以人事副之，按其法而行之，庶不
失其候也。诀云∶三十时中两日半，二十八九君须算，落红满地是佳期，金水过时空霍乱。霍乱之时枉费工，树头树底
觅残红，但解开花能结子，何愁丹桂不成丛。此盖妇人月经方绝，金水才生，此时子官正开，乃受精结胎之候，妙合太
和之时，过此佳期，则子宫闭而不受胎矣。然男女之分，各有要妙存焉。如月候方绝，一日三日五日交会者成男，二日
四日六日交会者成女，过此则不孕矣。又云∶阴血先至，阳精后冲，纵气来乘，血开裹精，阴外阳内，则成坎卦之象而
为男。若阳精先入，阴血后参，横气来助，精开裹血，阴内阳外，则成离卦之象而为女。……。
脉法
《脉经》曰∶妇人三部脉浮沉正等，按之无绝者，妊娠也。妊娠初时，寸微小，呼吸五至，三月而尺数也。脉滑疾，
重以手按之散者，胎已三月也。脉重手按之不散，但疾不滑者，五月也。妊娠四月，脉左疾为男，右疾为女，俱疾为生
二子。又法∶得太阴脉为男，得太阳脉为女。又法∶左手沉实为男，右手浮大为女，左右手俱大生二男，大者如实状。
又法∶左右尺俱浮（当作沉）为生二男，不尔则女作男生。左右尺俱沉（当作浮）为产二女，不尔则男作女生也。此男
女兼形之说也。
妇人怀娠，脉离经而浮，设腹痛引腰脊，为欲生也。又法∶妇人欲生，其脉离经，半夜觉，日中即生也。怀娠六、
七月，脉实大牢强弦紧者生，沉细者死。怀娠至六、七月，暴下斗余水，其胎必倚而堕，此非时孤浆预下故也。寸口脉
洪而涩，洪则为气，涩则为血，气动丹田，其形则温，涩在于下，胎冷若冰，阳气胎活，阴气必终（洪则为气者生，涩
则为血者死），欲别阴阳，其下必僵，假令阳经，蓄血若杯（阴为死胎，阳为蓄血）。问∶妇人双胎，其一独死，其一
独生，医为下其死者，其病则愈，然后竟免躯，其脉何以别之？师曰∶寸口脉卫气平调，荣气缓舒，阳施阴化，精盛有
余，阴阳俱盛，故知双躯。今少阴微紧，血则浊凝，经养不周，胎则偏夭，少腹冷满、膝膑疼痛，腰重起难，此为血理，
若不早去，害母失胎。妇人经自断而有躯，其脉反弦，恐其后必大下，不成胎也。（大下，谓大下血也。）
方法
丹溪曰∶妇人无子者，多由血少不能摄精，俗医悉谓子宫虚冷，投以辛热之药，煎熬脏腑，血气沸腾，祸不旋踵。
或服艾者，不知艾性至热，入火灸则不行，入药服则上行，多服则致毒，咎将谁执？
瘦怯妇人，子宫干涩，宜滋阴养血，四物加香附、黄芩之类。肥盛者，乃躯脂满溢，闭塞子宫，宜行湿燥痰，南星、
半夏、川芎、滑石、防风、羌活（一本有苍术，无防风、羌活）或导痰汤之类。
堕胎乃血气虚损，不能荣养胎元而自堕耳，犹枝枯则果落，干萎则花坠也。又因恚怒伤情，内火便动，亦能堕胎，
犹风撼其木，人拊其枝也。火能销物，造化自然，病源乃谓风冷伤于子脏，未得病情者也。大抵属虚属热，二者又当视
其轻重而治之。
一妇有胎即坠，其脉左大无力，重取则涩，乃血少也。以其妙年，只补中气，使血自荣。浓煎白术汤，调黄芩末一
钱服之，至三四两，得保全而生。
（以上丹溪方法凡四条）
固胎饮
熟地黄 归身尾 人参 白芍药 白术 川芎 陈皮 甘草
桑树上羊儿藤（七叶，圆者。愚恐当作如检桑叶圆者，即俗名桑络也，真桑寄生尤妙）
少加黄连、黄柏，入糯米五、七十粒，煎服。血虚不安者，加阿胶珠。胎气痛者，加缩砂。
安胎饮 孕成之后，觉胎气不安，或腹微痛，或腰间作疼，或饮
食不美，宜服。或至五六个月，常服数帖甚好。
白术 当归 白芍药 熟地黄（各一钱） 人参 川芎 条黄芩
陈皮（各半钱） 甘草 砂仁 紫苏（各三分）
上细切，作一服，加生姜三片，水煎服。
安胎丸
白术 条芩 神曲（炒，各等分）
上为细末，粥丸，每服五十丸，清米汤下。盖白术、条芩，乃安胎之圣药也。
丹溪曰∶天行不息，所以生生而无穷。茺蔚子活血行气，有补阴之妙，命名益母，以其行中有补也。故曰胎前无滞，
产后无虚。
条芩、白术乃安胎之圣药，俗以黄芩为寒而不用，反谓温热药
能养胎，殊不知胎孕宜清热养血，使血循经而不妄行，乃能养胎。黄芩，必取细挺沉实者用之。
缩砂安胎，以其止痛行气故也。（砂仁，非八、九个月内不宜多用。）
怀妊嗜物，乃一脏之虚，如受酸物，乃肝脏止能养胎而虚也。
胎动者，因火逼动胎，逆上作喘，急用条芩、香附之类。
胎漏，谓有胎而血漏下也，属气虚有热，用四物汤加阿胶珠、白术、条芩、缩砂（炒），香附（炒黑），加糯米，白
水煎服。
又方 治胎漏下血。
条芩（五钱） 白术（一两） 砂仁（炒） 阿胶（炒成珠，各三钱）
上为细末，每服二钱，煎艾汤调服，水煎服亦可。
又方
枳壳（炒） 黄芩（各半两） 白术（一两） 水煎，食前温服。
胎痛宜用 当归地黄汤（良方）
当归（一钱） 熟地黄（二钱）上细切，水一盏半，煎至一盏，温服。
心腹诸痛，凡妊妇偶有所伤，腹痛不安，或从高堕下，重物所压，触动胎元，痛不可忍及下血者，甚妙。（产宝）
砂仁不拘多少，和皮略炒，勿令十分焦黑，去皮取仁为末，热酒调服。不饮酒者，米饮或艾汤、盐汤皆可调服。如
觉胎中热，其胎即安矣。此方即验，大抵妊妇不可缺此，常服安胎易产。
凡妊娠二、三个月，忽心痛 痛不安用。（产宝）
当归（三钱） 阿胶（炒，二钱） 甘草（炙，二钱） 葱白（四钱）
上细切，分作二服，每服用水二盏，煎至一小盏，温服。
凡妊妇四、五个月，忽心腹 痛。（产宝）
大枣（十四枚，炒令黑） 盐（一钱，烧令赤）
上为末，取一撮许，酒调服之，立愈。
治妊娠心腹大痛，气欲绝者。（产宝）
川芎 川归 茯苓 制朴（各一两）
上细切，作一服，用水三升，煎至一升，分二服，立饮而愈。
川芎散（产宝） 治妇素有冷气冲心，如刀刺者。
川芎（一钱） 人参 吴茱萸（各半钱） 茯苓 桔梗（各四分） 当归（一钱） 制朴（半钱） 芍药（七分半）
枳壳 炙甘草（各三分）
上细切，作一服，水一盏半，煎至一盏，稍热服。
妊娠，腰痛如折，不能转侧。（产宝）
鹿角（半两） 上以火烧令赤，酒淬，再烧再淬，以碎为度，细末，酒调服。
治妊娠腰脚肿痛。（产宝）
白茯苓 白术 干姜 甘草（炙，各一钱） 杏仁（三钱，去皮尖，研）
上细切，作一服，水一盏半，煎至一盏，温服。
胎肿，谓有胎或手足或头面通身浮肿者是也，属湿多，或用山栀子一合炒，为末，米汤调下。丸服亦可。
恶阻，乃有孕而恶心、阻其饮食者是也，多从痰治，用二陈汤之类。又方∶以白术为丸服。（一曰∶肥人是痰，瘦人
是热。）
半夏茯苓汤 治恶阻不食，吐逆头眩，四肢怠惰烦疼，恶寒自汗。
半夏（汤炮七次，通过心，姜汁拌，炒黄色） 生姜（各一钱） 茯苓（七分） 熟地黄 陈皮（去白） 桔梗 旋
复花（无嗽不用） 人参 芍药 甘草（炙） 川芎（各半钱） 上细切，水煎、空心服。《千金方》有紫苏、细辛各半
钱。
（丹溪医按）
一妇孕两月，呕吐头眩，医以参、术、川芎、陈皮、茯苓服之，愈重，脉弦，左为甚，此恶阻病，必怒气所激，问
之果然。肝气既逆，又挟胎气，参、术之补，大非所宜。以茯苓汤下抑青丸二十四粒，五服稍安，脉略数，口苦干，食
即口酸，意其膈间滞气未尽行，以川芎、陈皮、栀子、生姜、茯苓煎汤，下抑青丸十五粒而愈。但口酸易饥，此肝热未
平，以热汤下抑青丸二十粒，愈后两手脉平和，而右甚弱，其胎必堕。此时肝气既平，可用参、术以防之，服一日而胎
自堕矣。
参橘散（良方） 治妊娠三月内恶阻，吐逆不食。或心虚烦闷。
橘红 茯苓（各一钱） 麦门冬 白术 浓朴（姜制） 甘草（炙，各半钱）
上细切，作一服，加生姜三片，竹茹一钱，或加人参一钱，水一盏，煎七分，温服。
小胶艾汤（良方） 治妊妇因颠仆挫跌，胎动不安，或胎抢上逼心，或腹痛血下。
阿胶（炒成珠，一两） 艾叶（二两）
《指迷方》加秦艽（一两）
上细切，用水三升，煎至一升半，分三服。
胶艾汤 不问月数浅深，安胎极妙。
熟地黄 艾叶 当归 甘草（炙） 川芎 阿胶（各半钱） 黄 （二分半）
上细切，作一服，水一盏半，煎至一盏，温服。
治妊娠下血不止，胎上冲心，四肢厥冷，闷仆欲死。（产宝）
阿胶（炒） 艾叶（各一两） 竹茹（如拳大） 白砂蜜（二合）
上用水二升，煎至一升，入蜜更煎一二沸，分二服。
治妊娠下血，如月信来者。若致胞干，非特损子，亦能损母。（产宝）
熟地黄 干姜（炮，各一两）
上为细末，每服三钱，一日夜三、四服。
治胎孕无故下血，腹痛不可忍，或下黄汁如漆如水如豆汁者。（产宝）
野苎根（炒） 生银（各一两）
上用水、酒各一盏，煎至一盏，去渣分作二服，不拘时服。
胎动冲心，烦闷欲死，安胎止痛。（产宝）
当归（酒洗） 川芎 人参 阿胶（炒） 甘草（炙，各一两） 葱白（切，一升）
上用水七升，煎至三升，分三服。
妊娠，因举重仆跌损伤，胎气不安，或子死腹中。（产室）
川芎（一两）
上为细末，每服一匕，连进三服，死胎即下。
治妊娠遗尿失禁。
白薇 白芍药（各等分）
上为细末，酒调方寸匕，日三服。
子烦，妊娠苦烦闷不安。又曰∶心烦热闷，谓之子烦。
麦门冬 茯苓 防风 知母（各一钱）
上细切，作一服，用水二盏，煎至一盏，入竹沥一、二匙服。
犀角散 治子烦。
犀角屑 地骨皮 条芩 麦门冬 赤茯苓（各一钱） 甘草（半钱）
上细切，作一服，水一盏半，煎至一盏，入竹沥一合，温服。
当归饮（良方） 治子烦。
当归（一钱半） 川芎 阿胶珠 豆豉 桑寄生（各七分半） 葱白（七茎）
上细切，作一服，水一盏半，煎至一盏，温服。
竹沥汤 治子烦。
竹沥（一合） 防风 黄芩 麦门冬（各一钱） 白茯苓（一钱半）
上细切，作一服，水一盏半，煎至一盏，去渣，入竹沥，再煎数沸，温服。
泽泻散（产宝） 治妊娠气壅，身体腹胁浮肿，喘急气促，小便闭涩不利，谓之子满。
Treatise
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: "When the Yin pulse beats forcefully and differs distinctly from the Yang pulse, it is called pregnancy" (meaning the Yin pulse is palpable at the wrist, with a distinct Yang pulse within). This indicates that blood and Qi are in harmony, with Yang exerting its influence and Yin transforming. The relationship between husband and wife is akin to Heaven and Earth. The way of Heaven and Earth is that only when Yin and Yang harmonize can all things be nurtured; similarly, only when Yin and Yang harmonize between husband and wife can male and female offspring be born. Therefore, those desiring an heir must first regulate the woman's meridians. Once the meridians are regulated, blood and Qi will be in harmony; when blood and Qi are in harmony, myriad diseases will not arise, and one can joyfully have children. The *Mai Jing* (Pulse Classic) states: "If the pulse of the Hand Shaoyin (Heart Meridian) moves vigorously, it indicates pregnancy." This is because the Hand Shaoyin is the Heart pulse, and the Heart governs the blood vessels. Furthermore, the Kidney is the gate of the womb and the house of the fetus; if the Kidney pulse at the Chi position remains unceasing upon pressure, pregnancy should be suspected. It is also stated: "In the first month of pregnancy, the Foot Jueyin Liver Meridian nourishes the fetus; in the second month, the Foot Shaoyang Gallbladder Meridian; in the third month, the Hand Shaoyin Heart Meridian; in the fourth month, the Hand Shaoyang Sanjiao Meridian; in the fifth month, the Foot Taiyin Spleen Meridian; in the sixth month, the Foot Yangming Stomach Meridian; in the seventh month, the Hand Taiyin Lung Meridian; in the eighth month, the Hand Yangming Large Intestine Meridian; in the ninth month, the Foot Shaoyin Kidney Meridian; in the tenth month, the Foot Taiyang Bladder Meridian." Thus, each meridian nourishes for thirty days. If the relevant meridian is deficient or excessive when it should be nourishing, the pregnancy becomes unstable, potentially leading to bleeding and miscarriage. The twelve meridities of the hands and feet differ in their abundance or deficiency of Qi and Blood. For instance, the Jueyin meridities have little Qi and much Blood; the Taiyin and Shaoyin meridities have little Blood and much Qi; the Shaoyang meridities have much Qi and little Blood; the Yangming meridities have abundant Qi and Blood. The method for stabilizing the fetus involves regulating according to the specific meridian of each month, observing the excess or deficiency of Qi and Blood, thereby preventing miscarriage. If wind-cold invades causing other symptoms, treatment should follow specific protocols accordingly. *Jiyao* states: "When treating diseases related to pregnancy and childbirth, one should discuss them from the perspective of the Jueyin Meridian, avoiding injury to the Stomach Qi and the Upper and Middle Jiao. This is known as the 'Three Prohibitions': do not induce sweating, do not purge, and do not promote urination." Inducing sweating resembles complications from premature purgation in Cold Damage disorders. Promoting bowel movements causes the rapid pulse to disturb the Spleen. Promoting urination depletes internal fluids, leading to dryness in the Stomach. Formulating prescriptions without violating these three prohibitions allows Ying and Wei to harmonize naturally, stopping chills and fever; these are the standards physicians must adhere to. Pregnant women should early on abstain from desires, nurture the fetal origin, maintain a calm rather than agitated temperament, keep the body active rather than sedentary, consume cool rather than hot foods, wear warm rather than cold clothing, avoid standing, sitting, walking, or lying down for too long, and eliminate rich, greasy, fried, spicy, salty, sour foods, fruits, fish, shellfish, fox, rabbit, pigeon, sparrow, etc. This prevents conditions such as fetal leakage, fetal pain, threatened abortion, edema, eclampsia, malpresentation, breech birth, and intrauterine fetal death. Danxi said: "Women with difficult labor often failed to restrain sexual desire during the eighth and ninth months, resulting in Qi and Blood deficiency." Records state: "Anciently, pregnant women did not sleep on their sides, sit askew, stand limping, eat improper foods, meat cut incorrectly, or sit on mats arranged improperly; they did not look at lewd sights, listen to obscene sounds, or speak arrogantly. At night, blind men recited poetry to recount righteous matters, so that the child born would be handsome and talented beyond others." This is what ancients called prenatal education. Can pregnant women not be cautious?
Appendix: Treatise on Seeking an Heir
Those desiring an heir must first check if the woman's menstrual cycle is regular. If irregular, medication must be used to regulate it. Once regular, human intercourse should be timed according to specific methods to ensure conception does not miss the optimal window. A rhyme states: "Among thirty days, there are two and a half good days; calculate carefully around the twenty-eighth or twenty-ninth day. When red flow covers the ground, it is the auspicious time; after Jin-Shui passes, efforts are in vain. Wasting effort during chaos is futile; searching under trees for remaining red is useless. If you understand that flowers can bear fruit, why worry that cypress trees won't form clusters?" This refers to the time just after menstruation ends, when Jin-Shui begins to generate, the uterus opens, and it is the moment for fertilization and conception, a time of perfect harmony. After this period, the uterus closes and cannot conceive. However, the distinction between male and female has subtle secrets. Intercourse on the first, third, or fifth day after menstruation ends results in a boy; on the second, fourth, or sixth day, a girl. Beyond these times, infertility may occur. It is also said: "If Yin blood arrives first and Yang essence follows, with Zong Qi arriving, the blood opens to wrap the essence, Yin outside and Yang inside, forming the Kan trigram image, resulting in a male. If Yang essence enters first and Yin blood follows, with Heng Qi assisting, the essence opens to wrap the blood, Yin inside and Yang outside, forming the Li trigram image, resulting in a female." ...
Pulse Diagnosis
The *Mai Jing* states: "If the three positions of the woman's pulse are floating and sinking equally normal, and unceasing upon pressure, it indicates pregnancy." In early pregnancy, the Cun position is slightly small, with five breaths per pulse beat; by the third month, the Chi position becomes rapid. A slippery and rapid pulse that disperses upon heavy pressure indicates three months of pregnancy. A pulse that does not disperse upon heavy pressure but is rapid without slipperiness indicates five months. In the fourth month of pregnancy, a faster pulse on the left indicates a male, on the right a female; both fast indicates twins. Another method: obtaining a Taiyin pulse indicates a male; a Taiyang pulse indicates a female. Another method: a deep and solid left hand pulse indicates a male; a floating and large right hand pulse indicates a female; both large and solid indicate two boys. Another method: both Chi pulses floating (should be deep) indicate two boys; otherwise, a girl is mistaken for a boy. Both Chi pulses deep (should be floating) indicate two girls; otherwise, a boy is mistaken for a girl. This is the theory of mixed gender forms.
If a pregnant woman's pulse deviates from the standard and floats, accompanied by abdominal pain radiating to the lower back, it indicates impending labor. Another method: if the pulse deviates from the standard, feeling it at midnight means delivery by noon. In the sixth or seventh month, a firm, large, strong, wiry, or tight pulse indicates survival; a deep and fine pulse indicates death. In the sixth or seventh month, sudden diarrhea of over a dou of water causes the fetus to lean and miscarry due to premature rupture of membranes (isolated fluid discharge). The Cun position pulse is surging and choppy; surging indicates Qi, choppy indicates Blood. Qi moving in the Dantian warms the form; choppy below indicates a cold fetus like ice. If Yang Qi survives, Yin Qi ends (Surging Qi means life; Choppy Blood means death). To distinguish Yin and Yang, the lower body becomes rigid. If it is a Yang meridian, blood stasis accumulates like a cup (Yin indicates dead fetus; Yang indicates blood stasis). Question: In twin pregnancy, if one dies and one lives, and the physician expels the dead fetus, the illness resolves and the mother is saved. How to distinguish by pulse? Master says: The Cun position pulse shows balanced Wei Qi and slow Ying Qi, Yang exerts influence and Yin transforms, Essence is abundant, Yin and Yang are both prosperous, thus knowing it is twins. Now, the Shaoyin pulse is slightly tight, blood becomes turbid and coagulated, nourishment is insufficient, the fetus is prematurely aborted, lower abdomen is cold and full, knee and patella painful, heavy waist difficult to rise, this is a Blood pathology. If not removed early, it harms the mother and loses the fetus. If a woman's menses stop and she is pregnant, but the pulse is wiry, fear of massive hemorrhage follows, indicating failure to sustain the pregnancy. (Massive hemorrhage refers to heavy bleeding.)
Methods
Danxi said: Women infertile due to Blood deficiency unable to grasp Essence are often misdiagnosed by vulgar doctors as Uterine Deficiency-Cold, treated with acrid-hot medicines, boiling the organs, causing Blood and Qi to boil, bringing immediate disaster. Those using Mugwort (Ai Ye) do not know its extreme heat; applied externally it works, but internally it rises, and overdose causes toxicity. Who bears the blame?
For thin, weak women with dry, astringent uteri, nourish Yin and Blood using Siwu Tang plus Xiangfu and Huangqin. For obese individuals with excess fat blocking the uterus, resolve dampness and dry phlegm using Nanxing, Banxia, Chuanxiong, Huashi, Fangfeng, Qianghuo (some versions have Cangzhu, no Fangfeng/Qianghuo) or Daotan Tang.
Miscarriage is due to Qi and Blood deficiency failing to nourish the fetal origin, causing natural expulsion, like dry branches dropping fruit or withered trunks shedding flowers. Anger injuring emotions stirs internal fire, also causing miscarriage, like wind shaking trees or people hitting branches. Fire destroys matter, a natural process; disease sources attributing it to Wind-Cold injuring the Zi Zang miss the true pathology. Generally, it belongs to Deficiency or Heat, treated according to severity.
A woman who consistently miscarries had a large, powerless left pulse, choppy upon heavy pressure, indicating Blood deficiency. Due to her youth, only Middle Qi was tonified to allow Blood to naturally nourish. Strong decoction of Baizhu Tang with one qian of Huangqin powder taken, up to three or four liang, resulted in preservation and live birth.
(Four methods from Danxi above)
Gutai Yin (Stabilize Fetus Decoction)
Shudihuang, Guishenwei, Renshen, Baishaoyao, Baizhu, Chuanxiong, Chenpi, Gancao.
Yang'erteng from mulberry tree (seven leaves, round ones. I suspect this refers to round mulberry leaves, commonly known as Sangluo; genuine Sangjisheng is especially good).
Add small amounts of Huanglian and Huangbai, with fifty to seventy glutinous rice grains, decoct and take. For Blood deficiency with instability, add Ejiao Zhu. For fetal Qi pain, add Suosha.
Antai Yin (Stabilize Fetus Decoction)
After conception, if fetal Qi feels unstable, mild abdominal pain, or lower back pain, or poor appetite, take this. Or take several doses continuously at five or six months.
Baizhu, Danggui, Baishaoyao, Shudihuang (each one qian), Renshen, Chuanxiong, Tiao Huangqin.
Chenpi (each half qian), Gancao, Sharen, Zisu (each three fen).
Finely chopped, one dose, add three slices of fresh ginger, decoct in water and take.
Antai Wan (Stabilize Fetus Pill)
Baizhu, Tiao Qin, Shenqu (stir-fried, equal parts).
Grind into fine powder, make pills with congee, take fifty pills each time with clear rice soup. Baizhu and Tiao Qin are the sacred medicines for stabilizing the fetus.
Danxi said: Heavenly movement never ceases, thus generating life endlessly. Chongweizi activates Blood and moves Qi, having the subtlety of nourishing Yin, named Yimu (Beneficial Mother) because it moves while tonifying. Thus it is said: Before birth, no stagnation; after birth, no deficiency.
Tiao Qin and Baizhu are sacred medicines for stabilizing the fetus. Vulgar people consider Huangqin cold and avoid it, wrongly believing warm-hot medicines nourish the fetus. They do not realize pregnancy requires clearing heat and nourishing Blood so Blood follows the meridians without reckless flowing, which truly nourishes the fetus. Huangqin must be selected as slender, dense, and substantial.
Suosha stabilizes the fetus because it stops pain and moves Qi. (Sharen should not be used excessively in the eighth or ninth month.)
Cravings during pregnancy indicate deficiency of one Zang organ. Craving sour substances indicates Liver deficiency, where the Liver can only nourish the fetus but is itself deficient.
Fetal movement caused by Fire forcing the fetus upward, causing wheezing, urgently requires Tiao Qin and Xiangfu.
Taimou (Fetal Leakage) refers to bleeding during pregnancy, belonging to Qi deficiency with Heat. Use Siwu Tang plus Ejiao Zhu, Baizhu, Tiao Qin, Suosha (stir-fried), Xiangfu (charred black), add glutinous rice, decoct in plain water.
Another prescription for Taimou bleeding.
Tiao Qin (five qian), Baizhu (one liang), Sharen (stir-fried), Ejiao (fried into pearls, each three qian).
Grind into fine powder, take two qian each time, mix with decocted Ai Ye soup, or decoct in water.
Another prescription.
Zhike (stir-fried), Huangqin (each half liang), Baizhu (one liang). Decoct in water, take warm before meals.
For fetal pain, use Danggui Dihuang Tang (Liangfang).
Danggui (one qian), Shudihuang (two qian). Finely chopped, decoct in one and a half cups of water until one cup remains, take warm.
For various heart and abdominal pains, if a pregnant woman suffers accidental injury, abdominal discomfort, falls from height, is crushed by heavy objects, disturbing the fetal origin, unbearable pain and bleeding, this is excellent. (Chanbao)
Sharen any amount, stir-fry with peel slightly, do not let it burn completely black, remove peel, take kernel, grind to powder, mix with hot wine. Non-drinkers can use rice drink, Ai Ye soup, or salt water. If fetal heat is felt, the fetus calms. This prescription is effective; pregnant women should always have it, regular use stabilizes fetus and facilitates birth.
For sudden heart pain and discomfort in the second or third month of pregnancy. (Chanbao)
Danggui (three qian), Ejiao (fried, two qian), Gancao (roasted, two qian), Congbai (four qian).
Finely chopped, divide into two doses, decoct each dose in two cups of water until one small cup remains, take warm.
For sudden heart and abdominal pain in the fourth or fifth month of pregnancy. (Chanbao)
Dazao (fourteen pieces, roasted until black), Yan (one qian, burned red).
Grind to powder, take a pinch, mix with wine, take immediately for cure.
For severe heart and abdominal pain in pregnancy, Qi about to fail. (Chanbao)
Chuanxiong, Chuangui, Fuling, Zhipu (each one liang).
Finely chopped, one dose, decoct in three sheng of water until one sheng remains, divide into two doses, drink immediately for cure.
Chuanxiong San (Chanbao) treats women with chronic cold Qi rushing to the heart, stabbing like a knife.
Chuanxiong (one qian), Renshen, Wuzhuyu (each half qian), Fuling, Jiegeng (each four fen), Danggui (one qian), Zhipu (half qian), Shaoyao (seven and a half fen), Zhike, Zhigancao (each three fen).
Finely chopped, one dose, decoct in one and a half cups of water until one cup remains, take slightly warm.
Pregnancy, lower back pain like breaking, unable to turn. (Chanbao)
Lu jiao (half liang). Burn red, quench in wine, repeat burning and quenching until broken, grind to fine powder, mix with wine and take.
Treat pregnancy lower back and foot swelling and pain. (Chanbao)
Bailingfu, Baizhu, Ganjiang, Zhigancao (roasted, each one qian), Xingren (three qian, skin and tip removed, ground).
Finely chopped, one dose, decoct in one and a half cups of water until one cup remains, take warm.
Taizhong (Fetal Edema) refers to swelling of hands, feet, face, or whole body during pregnancy, belonging to excess Dampness. Use one he of Shanzhizi stir-fried, ground to powder, mix with rice soup. Pills also acceptable.
Ezu (Nausea of Pregnancy) refers to nausea and obstruction of diet during pregnancy, mostly treated from Phlegm, using Erchen Tang. Another method: make Baizhu into pills. (One says: Obese people have Phlegm, thin people have Heat.)
Banxia Fuling Tang treats Ezu with loss of appetite, vomiting, dizziness, lethargy and painful limbs, aversion to cold and spontaneous sweating.
Banxia (boiled seven times, core removed, mixed with ginger juice, stir-fried yellow), Shengjiang (each one qian), Fuling (seven fen), Shudihuang, Chenpi (remove white), Jiegeng, Xuanfuhua (omit if no cough), Renshen, Shaoyao, Zhigancao (roasted), Chuanxiong (each half qian).
Finely chopped, decoct in water, take on empty stomach. *Qianjin Fang* adds Zisu and Xixin each half qian.
(Danxi Medical Case)
A woman pregnant two months vomited and had dizziness. Doctor used Renshen, Baizhu, Chuanxiong, Chenpi, Fuling, condition worsened. Pulse wiry, worse on left. This is Ezu, provoked by anger. Indeed confirmed. Liver Qi rebellious, combined with fetal Qi, tonification with Renshen/Baizhu was inappropriate. Used Fuling Tang to deliver Yiqing Wan twenty-four pills, five doses slightly relieved. Pulse slightly rapid, mouth dry bitter, sour taste after eating. Suspected lingering Qi in diaphragm not fully moved. Used Chuanxiong, Chenpi, Zhizi, Shengjiang, Fuling decoction to deliver Yiqing Wan fifteen pills, cured. But sour taste and easy hunger indicated Liver Heat not settled. Used hot water to deliver Yiqing Wan twenty pills. After cure, both hands pulse平和 (harmonious), but Right very weak, fetus likely to abort. Now Liver Qi settled, could use Renshen/Baizhu to prevent, took one day then fetus aborted spontaneously.
Shanju San (Liangfang) treats Ezu within three months of pregnancy, vomiting, loss of appetite. Or heart deficiency with irritability.
Juhong, Fuling (each one qian), Maimendong, Baizhu, Nongpu (ginger processed), Zhigancao (roasted, each half qian).
Finely chopped, one dose, add three slices ginger, one qian Zhuru, or add one qian Renshen, decoct in one cup water until seven tenths remain, take warm.
Xiao Jiao'ai Tang (Liangfang) treats pregnant women due to falls/bruises, fetal instability, or fetus pressing up to heart, or abdominal pain with bleeding.
Ejiao (fried into pearls, one liang), Aye (two liang).
*Zhi Mi Fang* adds Qinjiao (one liang).
Finely chopped, decoct in three sheng water until one and a half sheng remain, divide into three doses.
Jiao'ai Tang regardless of gestational age is excellent for stabilizing fetus.
Shudihuang, Aye, Danggui, Zhigancao (roasted), Chuanxiong, Ejiao (each half qian), Huangqi (two and a half fen).
Finely chopped, one dose, decoct in one and a half cups water until one cup remains, take warm.
Treat continuous bleeding in pregnancy, fetus pressing to heart, cold limbs, fainting about to die. (Chanbao)
Ejiao (fried), Aye (each one liang), Zhuru (size of fist), Baisha mi (two he).
Decoct in two sheng water until one sheng remains, add honey, boil one or two more boils, divide into two doses.
Treat pregnancy bleeding like menstruation. If causing uterine dryness, harms not only fetus but mother. (Chanbao)
Shudihuang, Ganjiang (roasted, each one liang).
Grind to powder, take three qian each time, three to four times day and night.
Treat spontaneous bleeding in pregnancy, unbearable abdominal pain, or discharge of yellow fluid like lacquer, water, or bean juice. (Chanbao)
Ye zhu gen (fried), Sheng yin (each one liang).
Decoct in one cup water and one cup wine until one cup remains, remove dregs, divide into two doses, take anytime.
Fetal movement pressing to heart, irritability about to die, stabilize fetus and stop pain. (Chanbao)
Danggui (wine washed), Chuanxiong, Renshen, Ejiao (fried), Zhigancao (roasted, each one liang), Congbai (cut, one sheng).
Decoct in seven sheng water until three sheng remain, divide into three doses.
Pregnancy, due to lifting heavy objects or falling injuries, fetal Qi unstable, or dead fetus in womb. (Chanshi)
Chuanxiong (one liang).
Grind to powder, take one bi each time, three consecutive doses, dead fetus expelled.
Treat pregnancy enuresis/incontinence.
Baiwei, Baishaoyao (equal parts).
Grind to powder, mix with wine, take one cun bi, three times daily.
Zifan (Fetal Irritability), pregnancy suffering from irritability and restlessness. Also said: Heart irritation, heat, and stuffiness called Zifan.
Maimendong, Fuling, Fangfeng, Zhimu (each one qian).
Finely chopped, one dose, decoct in two cups water until one cup remains, add one or two spoons of Zhuli and take.
Xijiao San treats Zifan.
Xijiao xie, Digupi, Tiao Qin, Maimendong, Chifuling (each one qian), Gancao (half qian).
Finely chopped, one dose, decoct in one and a half cups water until one cup remains, add one he Zhuli, take warm.
Danggui Yin (Liangfang) treats Zifan.
Danggui (one and a half qian), Chuanxiong, Ejiao Zhu, Douchi, Sangjisheng (each seven and a half fen), Congbai (seven stalks).
Finely chopped, one dose, decoct in one and a half cups water until one cup remains, take warm.
Zhuli Tang treats Zifan.
Zhuli (one he), Fangfeng, Huangqin, Maimendong (each one qian), Bailingfu (one and a half qian).
Finely chopped, one dose, decoct in one and a half cups water until one cup remains, remove dregs, add Zhuli, boil a few more times, take warm.
Zexie San (Chanbao) treats pregnancy Qi congestion, body/abdomen/flank swelling, panting and shortness of breath, urinary blockage and difficulty, called Ziman.