论曰∶旧说,凡受胎三月,逐物变化,禀质未定。故妊娠三月,欲得观犀象猛兽,珠玉宝物,欲得见贤人
君子、盛德大师;观礼乐钟鼓,俎豆军旅,陈设焚烧名香,口诵诗书,古今箴诫;居处简静,割不正不食,席
不正不坐;弹琴瑟,调心神,和情性,节嗜欲,庶使清净,生子皆良,长寿忠孝,仁义聪惠无疾,斯盖文王胎
教者也。
论曰∶儿在胎日,月未满,阴阳未备,脏腑骨节皆未成足,故自初讫于将产,饮食居处皆有禁忌。
妊娠食羊肝,令子多厄。
妊娠食山羊肉,令子多病。
妊娠食驴马肉,延日。
妊娠食骡肉,产难。
妊娠食兔肉、犬肉,令子无音声并缺唇。
妊娠食鸡子及干鲤鱼,令子多疮。
妊娠食鸡肉、糯米,令子多寸白虫。
妊娠食堪并鸭子,令子倒出、心寒。
妊娠食雀肉并豆酱,令子满面多黑子。
妊娠食雀肉、饮酒,令子心经情乱,不畏羞耻。
妊娠食鳖,令子项短。
娠娠食冰浆,绝胎。
妊娠勿向非常地大小便,必半产杀人。
妊娠一月名始胚,饮食精熟,酸美受御,宜食大麦,无食腥辛,是谓才正。
妊娠一月,足厥阴脉养,不可针灸其经。足厥阴内属于肝,肝主筋皮及血。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。
乌雌鸡汤
乌雌鸡(一只,治如食法) 茯苓(去黑皮) 阿胶(锉碎,各二两) 芍药(白者) 白术(去芦)
人参(去芦。各三两) 甘草(炙,锉) 生姜(洗,去皮切。各一两) 吴茱萸(一升,拣去枝梗) 麦门冬
(五合,汤泡去心,晒,焙干)
上十味 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,日三次服。
若曾伤一月胎者,当预服补胎汤。
补胎汤
细辛(一两,高丽者去叶) 生姜(四两,洗,擦去皮,切碎) 乌梅(一升,捶碎) 防风(三两,去
芦) 干地黄(洗晒,锉,焙干) 白术(去芦。各三两) 大麦(炒) 吴茱萸(拣净。各五合。)
上八味 咀,以水七升,煮取二升半,分三服,食前服。寒多者,倍细辛、茱萸;若热多渴者,去细辛、
茱萸,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,无食辛燥,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。足少阳内属于胆,主精。二月之时,儿精成于胞里,当谨护惊动也。
妊娠二月始,阴阳踞经,有寒多坏不成,有热即萎。卒中风寒,有所动摇,心满,脐下悬急,腰背强痛,
卒有所下,乍寒乍热,艾叶汤主之。
艾叶汤
艾叶(去梗) 丹参(洗) 当归(洗,去芦须,切片,焙) 麻黄(不去节。各二两) 人参(去芦头,
切) 阿胶(锉碎。各三两) 甘草(一两,炙) 生姜(六两,洗,擦去皮,切) 大枣(十二枚,去核)
上九味 咀,以酒三升,水一斗煮,减半去滓,纳胶,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。鸡以水一斗二升先煮,取汁去鸡,纳药煎取三升,纳血酒并胶,煎取三
升,分作三服。若曾伤二月胎者,当预服黄连汤。
黄连汤
黄连(去须) 人参(去芦,切。各一两) 吴茱萸(五合,拣净) 生姜(三两,洗,擦去皮,切)
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,日三夜一,十日一作。若颇觉不安,加乌梅一升,加乌梅
者不用浆,只用水耳。一方用当归半两。
妊娠三月名始胞,当此之时,未有定义,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。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,雄鸡汤。
雄鸡汤
雄鸡(一只,治如食法) 甘草(炙,锉) 人参(去芦,切片) 茯苓(雪白者,去皮) 阿胶(锉碎,
各二两) 黄芩(尖如锥者) 白术(去芦。各一两) 麦门冬(五合,汤浸,去心,晒,焙干) 芍药
(四两,洗) 大枣(十二枚,去核) 生姜(一
两,洗,擦去皮)
上十一味 阻,以水一斗五升煮鸡,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
尽之,当温卧。一方用当归、芎各二两,不用黄芩、生姜。
若曾伤三月胎者,当预服茯神汤。
茯神汤
茯神(去木) 丹参(洗) 龙骨(五色紧者。各一两) 阿胶(碎,蛤粉炒泡起,去粉用) 当归(洗,
去芦须,切,焙) 甘草(炙,锉) 人参(去芦头。各二两) 赤小豆(二十一粒) 大枣(二十一枚,去核)
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
有韭白二两、麻子一升。)
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。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,腰背腹痛,往来有时,胎上迫胸,心烦不得安,卒有所下,菊花汤。
菊花汤
菊花(一握,如鸡子大) 麦门冬(一升,汤浸去心,焙干) 麻黄(不去节) 阿胶(锉碎。各三两)
甘草(炙,锉) 当归(洗,去芦须,切,焙。各二两) 人参(一两半,去芦头,切) 生姜(五两,洗,
擦去皮,切碎) 半夏(四两,汤浸七次,姜淹一宿) 大枣(十二枚,去核)
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,煮水煎药。
若曾伤四月胎者,当预服调中汤。
调中汤
续断(去根,洗,焙干) 芎 (洗,锉) 甘草(炙。各一两) 白术(去芦,切,焙)
柴胡(去芦,洗) 浓朴(削去皮,生姜捣碎,淹一宿,次日焙干) 枳实(去穣,麸炒) 生李根白皮(洗。
各三两) 白芍药(雪白者,锉) 生姜(洗,去皮,切,各四两) 当归(一两半,洗,去芦须) 乌梅(一
升,捶碎)
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,浓其衣裳,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。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,阿胶汤主之。
阿胶汤
旋复花(二合,去枝根) 阿胶(四两,锉碎) 人参(一两,去芦头,切) 麦门冬(一升,汤浸去心,
焙) 生姜(六两,洗,擦去皮,切) 吴茱萸(七合,拣净,汤洗三次,焙) 黄芩(尖如锥者) 当归
(洗,去芦须,切片子,焙) 芍药(雪白者,锉) 甘草(炙。各二两)
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,以煎药,减半,纳酒并胶,煎取三升半,分四服。
曾伤五月胎者,当预服安中汤。
安中汤
黄芩(一两,尖如锥者) 当归(洗,去芦须,切片,焙) 芎 (洗,锉) 人参(去芦头,切)
干地黄(洗净,焙干。各二两) 甘草(炙,锉) 芍药(雪白者。各三两) 生姜(六两,洗,擦去皮,切
碎) 麦门冬(一阿,汤泡去心,焙) 大麻仁(五合,去壳) 五味子(五合,拣去枝梗) 大枣(三十五
枚,去核)
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。
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。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,无大饱。
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。
麦门冬汤
麦门冬(一升,汤浸去心) 人参(去芦,切片) 甘草(炙,锉) 黄芩(各二两) 干地黄(三两,
洗,焙) 阿胶(四两,锉碎) 生姜(六两,洗,擦去皮) 大枣(十五枚,去核)
上八味 咀,以水七升煮,减半,纳清酒二升并胶煎,取三升,分三服,中间进糜粥。一方用乌雌鸡一只
煮水以煎药。
若曾伤六月胎者,当预服柴胡汤。
柴胡汤
柴胡(四两,去芦,洗,焙) 芍药(雪白者,一方作柴箴) 白术(去芦,切,焙干) 甘草(炙,各
二两) 苁蓉(一两,酒浸一宿,切碎,焙) 麦门冬(汤浸去心,焙) 芎 (洗,各二两) 干地黄(五
两,洗净,焙) 生姜(六两,洗,擦去皮,切片) 大枣(三十枚,去核)
上十味 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。
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。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。
葱白汤
葱白(十四茎,长三四寸) 麦门冬(一升,汤浸去心,焙) 生姜(八两,洗,擦去皮,切片) 甘草
(炙,锉) 当归(洗,去芦须,切片子,焙) 黄 (捶褊,蜜涂,炙。各三两) 人参(一两半,去芦,
切片) 阿胶(四两,锉碎) 黄芩(一两,尖如锥者) 旋复花(一合,去枝梗) 半夏(一升,汤泡,洗
七次,用生姜制一宿,焙干)
上十一味 咀,以水八升煮,减半,纳清酒三升及胶,煎取四升,服一升,日三夜一。温卧当汗出,若不
出者,加麻黄去节二两煮,服如前法,若秋后勿强渍汗。一方以黄雌鸡一只,割咽取血,纳酒中,煮鸡取汁,
以煎药。
若曾伤七月胎者,当预服杏仁汤。
杏仁汤
杏仁(汤浸,去皮尖) 甘草(炙,各二两) 麦门冬(汤浸,去心,焙) 吴茱萸(拣净,汤洗三、二
次,焙。各一升) 钟乳(使炼成者粉尤胜生钟乳) 干姜(炮烈。各二两) 粳米(五合) 紫菀(一两,
使茸) 五味子(三合,去梗)
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。和心静气,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。手阳明内属于大肠,主九窍。八月之时,儿九窍皆成。无食燥热,
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 ,芍药汤主之。
芍药汤
芍药(白者,锉) 生姜(洗净,去皮。各四两) 甘草(炙,锉) 当归(去芦须,洗,切片子,焙)
白术(去芦,焙) 人参(去芦,切片。各三两) 薤白(一升,切,洗) 浓朴(三两,去皮,生姜捣碎,
淹一宿,焙)
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。
若曾伤八月胎者,当预服葵子汤。
葵子汤
葵子(三升,拣,洗净) 生姜(六两,洗净,擦去皮,切片) 芍药(四两,雪白者,锉) 白术(去
芦,切,焙干) 柴胡(去芦,洗,焙。各三两) 大枣(二十枚,去核) 甘草(二两,炙,锉) 浓朴
(二两,去皮,生姜捣碎,淹一宿,焙)
上八味 咀,以水九升煮,取三升,分三服,日三,十日一剂。一方用乌雌鸡一只,煮水以煎药。
Commentary states: According to old theories, upon conception for three months, the fetus changes according to external objects, and its constitution is not yet fixed. Therefore, during the first three months of pregnancy, it is desirable for the pregnant woman to observe rhinoceroses, elephants, fierce beasts, pearls, jade, and treasures; to see sages, gentlemen, and great masters of virtue; to watch rituals, music, bells and drums, sacrificial vessels (Zu Dou), military formations, incense burning, recite poetry and books, and ancient admonitions; to reside in a simple and quiet place, not eating meat that is not cut square, not sitting on mats that are not laid straight; to play the qin and se, harmonize the mind and spirit, moderate desires and lusts, so as to maintain purity and tranquility. The child born will be excellent, long-lived, loyal and filial, benevolent, righteous, intelligent, and free from disease. This is the prenatal education of King Wen.
Commentary states: While in the womb, before the month is full, Yin and Yang are not complete, and the zang-fu organs, bones, and joints are not fully formed. Thus, from the beginning until delivery, there are taboos regarding diet and living conditions.
Eating sheep liver during pregnancy causes the child to suffer many misfortunes.
Eating goat meat during pregnancy causes the child to be prone to illness.
Eating donkey or horse meat during pregnancy prolongs the gestation period.
Eating mule meat during pregnancy leads to difficult labor.
Eating rabbit or dog meat during pregnancy causes the child to be mute and have a cleft lip.
Eating eggs and dried carp during pregnancy causes the child to have many sores.
Eating chicken meat and glutinous rice during pregnancy causes the child to have tapeworms (Cestoda).
Eating eel and duck during pregnancy causes breech presentation and cold heart.
Eeating sparrow meat and bean paste during pregnancy causes black spots on the child's face.
Eating sparrow meat and drinking alcohol during pregnancy causes mental confusion and lack of shame due to Heart channel involvement.
Eating soft-shelled turtle during pregnancy causes a short neck.
Drinking iced beverages during pregnancy causes abortion.
Urinating or defecating in improper places during pregnancy inevitably leads to miscarriage and harm to the mother.
The first month of pregnancy is called "Shi Pei" (Initial Embryo). Diet should be refined and well-cooked, sour and sweet flavors are preferred. Barley (Hordeum vulgare) is suitable; avoid raw, pungent, and spicy foods. This is called "Cai Zheng" (Establishing the Foundation).
In the first month, the Foot Jueyin Liver Channel nourishes the fetus; acupuncture and moxibustion on this channel are contraindicated. The Foot Jueyin internally connects to the Liver, which governs sinews, skin, and blood. At this time, Qi and Blood flow is sluggish; avoid strenuous work, sleep quietly, and avoid fear and terror. In the first month, Yin and Yang newly combine to form the embryo. If Cold predominates, pain occurs; if Heat predominates, sudden palpitations occur. Lifting heavy objects causes lower back pain, abdominal distension with uterine tension, or sudden vaginal bleeding. Prevention and treatment are necessary; Wuci Ji Tang (Black Hen Decoction) is indicated.
Wuci Ji Tang (Black Hen Decoction)
Wuci Ji (Black Hen, one whole, prepared for cooking) Poria (remove black skin) Donkey-hide Gelatin (crushed, each 2 liang) Shaoyao (White Peony Root, white variety) Atractylodis Rhizoma (remove rhizome head)
Ginseng Radetis et Rhizoma (remove rhizome head, each 3 liang) Glycyrrhizae Radix (roasted, crushed) Zingiberis Rhizoma (washed, peeled, sliced, each 1 liang) Evodiae Fructus (1 sheng, remove stems) Ophiopogonis Tuber (5 he, soak in boiling water, remove heart, dry, roast)
Ten ingredients. Coarsely crush. Boil the hen in 12 sheng of water, obtain 6 sheng of broth. Remove the hen, add herbs, decoct to obtain 3 sheng. Add 3 sheng of wine and dissolve the gelatin. Obtain 3 sheng. Take warm, 1 sheng per dose, three times daily.
If the first-month fetus was previously injured, Bupai Tang (Fetus-Nourishing Decoction) should be taken prophylactically.
Bupai Tang (Fetus-Nourishing Decoction)
Xixin (Asari Radix et Rhizoma, 1 liang, Korean variety, remove leaves) Zingiberis Rhizoma Recens (4 liang, wash, peel, chop) Mume Fructus (1 sheng, crush) Saposhnikoviae Radix (3 liang, remove rhizome head) Rehmanniae Radix Preparata (wash, dry, crush, roast) Atractylodis Rhizoma (remove rhizome head, each 3 liang) Hordei Fructus Germinatus (stir-fried) Evodiae Fructus (cleaned, each 5 he)
Eight ingredients. Coarsely crush. Boil in 7 sheng of water, obtain 2.5 sheng. Divide into three doses, take before meals. If Cold predominates, double Xixin and Evodiae. If Heat predominates with thirst, remove Xixin and Evodiae, add Trichosanthis Radix (2 liang). If overthinking, remove Hordei Fructus Germinatus, add Platycodonis Semen (3 he). Another version adds Ginseng Radetis et Rhizoma (1 liang).
The second month of pregnancy is called "Shi Gao" (Initial Paste). Avoid pungent and drying foods; reside in quiet places; men should avoid exertion; joint pain occurs throughout the body. This marks the initial knotting of the fetus.
In the second month, the Foot Shaoyang Gallbladder Channel nourishes the fetus; acupuncture and moxibustion on this channel are contraindicated. The Foot Shaoyang internally connects to the Gallbladder, which governs essence. In the second month, fetal essence forms in the uterus; caution against shock and disturbance is required.
From the second month, Yin and Yang occupy the channels. If Cold predominates, the fetus may fail to develop; if Heat predominates, the fetus may atrophy. Sudden exposure to Wind-Cold causes movement disturbances, chest fullness, umbilical urgency, stiff back pain, sudden vaginal bleeding, alternating chills and fever. Aiye Tang (Mugwort Leaf Decoction) is the primary treatment.
Aiye Tang (Mugwort Leaf Decoction)
Artemisiae Argyi Folium (remove stems) Salviae Miltiorrhizae Radix (wash) Angelicae Sinensis Radix (wash, remove rhizome head and whiskers, slice, roast) Ephedrae Herba (do not remove nodes, each 2 liang) Ginseng Radetis et Rhizoma (remove rhizome head, slice) Donkey-hide Gelatin (crushed, each 3 liang) Glycyrrhizae Radix (1 liang, roasted) Zingiberis Rhizoma Recens (6 liang, wash, peel, slice) Jujubae Fructus (12 pieces, remove pits)
Nine ingredients. Coarsely crush. Boil in 3 sheng of wine and 10 sheng of water, reduce by half, remove dregs, add gelatin, decoct to obtain 3 sheng. Divide into three doses. Another version uses one fat Black Hen, prepare as food, cut head, collect blood, mix with 3 sheng of wine. Boil hen in 12 sheng of water, obtain broth, remove hen, add herbs, decoct to obtain 3 sheng, add blood-wine mixture and gelatin, decoct to obtain 3 sheng. Divide into three doses. If the second-month fetus was previously injured, Huanglian Tang (Coptis Decoction) should be taken prophylactically.
Huanglian Tang (Coptis Decoction)
Coptidis Rhizoma (remove whiskers) Ginseng Radetis et Rhizoma (remove rhizome head, slice, each 1 liang) Evodiae Fructus (5 he, cleaned) Zingiberis Rhizoma Recens (3 liang, wash, peel, slice)
Rehmanniae Radix (5 liang, another version uses Donkey-hide Gelatin)
Five ingredients. Coarsely crush. Boil in 7 sheng of vinegar juice, obtain 3 sheng. Divide into four doses, three times day and once night, prepare every ten days. If feeling uneasy, add Mume Fructus (1 sheng); if adding Mume Fructus, use only water, no vinegar juice. Another version adds Angelicae Sinensis Radix (0.5 liang).
The third month of pregnancy is called "Shi Bao" (Initial Sac). At this time, form is not yet fixed, changing upon seeing objects. To conceive a boy, handle bows and arrows; to conceive a girl, play with beads/jewels; to have a beautiful child, frequently look at jade; to have a virtuous child, sit upright in purity and emptiness. This is "External Image Influencing Internal Sensation."
In the third month, the Hand Jueyin Pericardium Channel nourishes the fetus; acupuncture and moxibustion on this channel are contraindicated. The Hand Jueyin internally connects to the Heart; avoid sorrow, worry, and shock.
The third month is for shaping. With Cold, stool turns green. With Heat, urination is difficult, either red or yellow. Sudden fright, grief, anger, or excessive joy disturbs the channels, causing abdominal distension, painful periumbilical pain, or sudden vaginal bleeding with back pain. Xiongji Tang (Rooster Decoction) is indicated.
Xiongji Tang (Rooster Decoction)
Rooster (one whole, prepared for cooking) Glycyrrhizae Radix (roasted, crushed) Ginseng Radetis et Rhizoma (remove rhizome head, slice) Poria (snow-white, peel) Donkey-hide Gelatin (crushed, each 2 liang) Scutellariae Radix (cone-shaped tip) Atractylodis Rhizoma (remove rhizome head, each 1 liang) Ophiopogonis Tuber (5 he, soak in water, remove heart, dry, roast) Shaoyao (4 liang, wash) Jujubae Fructus (12 pieces, remove pits) Zingiberis Rhizoma Recens (1
liang, wash, peel)
Eleven ingredients. Coarsely crush. Boil hen in 15 sheng of water, reduce by half, remove hen, add herbs, decoct to half volume, add 3 sheng of clear wine and gelatin, decoct to obtain 3 sheng. Divide into three doses, finish within one day, rest warmly. Another version uses Danggui and Chuanxiong (each 2 liang), omit Scutellariae Radix and Zingiberis Rhizoma. If the third-month fetus was previously injured, Fushen Tang (Poria Spirit Decoction) should be taken prophylactically.
Fushen Tang (Poria Spirit Decoction)
Poria Cum Ramo Pinus (remove wood core) Salviae Miltiorrhizae Radix (wash) Os Draconis (five-color, tight texture, each 1 liang) Donkey-hide Gelatin (crushed, stir-fry with clam powder until puffed, remove powder) Angelicae Sinensis Radix (wash, remove rhizome head and whiskers, slice, roast) Glycyrrhizae Radix (roasted, crushed) Ginseng Radetis et Rhizoma (remove rhizome head, each 2 liang) Phaseoli Semen Rubrum (21 grains) Jujubae Fructus (21 pieces, remove pits)
Nine ingredients. Coarsely crush. Boil in 10 sheng of vinegar juice, obtain 3 sheng. Divide into four doses, take before meals. After seven days, take one dose. For lower back pain, add Sanjisheng (2 liang). (*Shenshi Fang* has Jiubai (2 liang) and Hemp Seed (1 sheng)).
The fourth month begins receiving Water Essence to form blood vessels. Diet should include rice gruel, fish, and wild geese. This enriches Qi and Blood, opens ears and eyes, and unblocks meridians.
In the fourth month, the Hand Shaoyang Sanjiao Channel nourishes the fetus; acupuncture and moxibustion on this channel are contraindicated. The Hand Shaoyang internally connects to the Sanjiao. In the fourth month, the six Fu organs are smoothly formed; calm the body, harmonize the mind, and regulate diet.
In the fourth month, with Cold, epigastric discomfort with nausea, chest fullness, anorexia. With Heat, difficult urination, frequent like strangury, umbilical urgency. Sudden Wind-Cold causes stiff neck, alternating chills/fever, body shock, back/abdominal pain, periodic symptoms, fetal pressure on chest, irritability, sudden vaginal bleeding. Juhua Tang (Chrysanthemum Decoction) is indicated.
Juhua Tang (Chrysanthemum Decoction)
Chrysanthemi Flos (one handful, egg-sized) Ophiopogonis Tuber (1 sheng, soak in water, remove heart, roast) Ephedrae Herba (do not remove nodes) Donkey-hide Gelatin (crushed, each 3 liang)
Glycyrrhizae Radix (roasted, crushed) Angelicae Sinensis Radix (wash, remove rhizome head and whiskers, slice, roast, each 2 liang) Ginseng Radetis et Rhizoma (1.5 liang, remove rhizome head, slice) Zingiberis Rhizoma Recens (5 liang, wash, peel, chop) Pinelliae Tuber (4 liang, soak in water seven times, marinate in ginger overnight) Jujubae Fructus (12 pieces, remove pits)
Ten ingredients. Coarsely crush. Boil in 8 sheng of water, reduce by half, add 3 sheng of clear wine and gelatin, decoct to obtain 3 sheng. Divide into three doses, rest warmly, induce sweating and apply powder, protect against Wind-Cold for 4-5 days. Another version uses Black Hen boiled in water to decoct herbs. If the fourth-month fetus was previously injured, Tiaozhong Tang (Middle-Qi Regulating Decoction) should be taken prophylactically.
Tiaozhong Tang (Middle-Qi Regulating Decoction)
Dipsaci Radix (remove root, wash, roast) Chuanxiong Rhizoma (wash, crush) Glycyrrhizae Radix (roasted, each 1 liang) Atractylodis Rhizoma (remove rhizome head, slice, roast)
Bupleuri Radix (remove rhizome head, wash) Magnoliae Cortex (scrape bark, crush with ginger, marinate overnight, roast next day) Immaturus Citri Fructus (remove pulp, stir-fry with bran) Cortex Pruni Spinosae (wash, each 3 liang) Bai Shaoyao (snow-white, crush) Zingiberis Rhizoma Recens (wash, peel, slice, each 4 liang) Angelicae Sinensis Radix (1.5 liang, wash, remove rhizome head) Mume Fructus (1 sheng, crush)
Twelve ingredients. Coarsely crush. Boil in 10 sheng of water, obtain 3 sheng. Divide into four doses, three times day and once night. After eight days, take another dose.
The fifth month begins receiving Fire Essence to form Qi. Sleep late, bathe, change clothes, live in deep quarters, wear thick clothes, absorb morning sunlight to avoid Cold. Eat rice and wheat, beef and mutton soup, season with Zhenyu (Evodiae Fructus) and Five Flavors. This nourishes Qi and stabilizes the Zang organs.
In the fifth month, the Foot Taiyin Spleen Channel nourishes the fetus; acupuncture and moxibustion on this channel are contraindicated. The Foot Taiyin internally connects to the Spleen. In the fifth month, fetal limbs are formed; avoid extreme hunger/fullness, dry foods, self-heating, and severe fatigue.
In the fifth month, with Heat, dizziness, mental confusion, vomiting; with Cold, abdominal distension/pain, frequent urination. Sudden fright causes limb pain, alternating chills/fever, irregular fetal movement, abdominal pain, fainting sensation, sudden vaginal bleeding. Ejiao Tang (Donkey-hide Gelatin Decoction) is indicated.
Ejiao Tang (Donkey-hide Gelatin Decoction)
Inulae Flos (2 he, remove stems/roots) Donkey-hide Gelatin (4 liang, crushed) Ginseng Radetis et Rhizoma (1 liang, remove rhizome head, slice) Ophiopogonis Tuber (1 sheng, soak in water, remove heart, roast) Zingiberis Rhizoma Recens (6 liang, wash, peel, slice) Evodiae Fructus (7 he, clean, wash three times in water, roast) Scutellariae Radix (cone-shaped tip) Angelicae Sinensis Radix
(wash, remove rhizome head and whiskers, slice, roast) Shaoyao (snow-white, crush) Glycyrrhizae Radix (roasted, each 2 liang)
Ten ingredients. Coarsely crush. Boil in 9 sheng of water, reduce herbs by half, add 3 sheng of clear wine and gelatin, simmer gently to obtain 3.5 sheng. Divide into four doses, three times day and once night, take before meals. Cures quickly; if not cured, repeat. Another version uses Black Hen, cut throat, collect blood, mix with wine, boil hen, use broth to decoct herbs, reduce by half, add wine and gelatin, decoct to obtain 3.5 sheng. Divide into four doses. If the fifth-month fetus was previously injured, Anzhong Tang (Middle-Qi Calming Decoction) should be taken prophylactically.
Anzhong Tang (Middle-Qi Calming Decoction)
Scutellariae Radix (1 liang, cone-shaped tip) Angelicae Sinensis Radix (wash, remove rhizome head and whiskers, slice, roast) Chuanxiong Rhizoma (wash, crush) Ginseng Radetis et Rhizoma (remove rhizome head, slice)
Rehmanniae Radix Preparata (wash, roast, each 2 liang) Glycyrrhizae Radix (roasted, crush) Shaoyao (snow-white, each 3 liang) Zingiberis Rhizoma Recens (6 liang, wash, peel, chop) Ophiopogonis Tuber (1 sheng, soak in water, remove heart, roast) Cannabis Semen (5 he, remove shell) Schisandrae Fructus (5 he, remove stems) Jujubae Fructus (35
pieces, remove pits)
Twelve ingredients. Coarsely crush. Boil in 7 sheng of water and 5 sheng of clear wine, obtain 3.5 sheng. Divide into four doses,
three times day and once night. After seven days, take another dose.
The sixth month begins receiving Metal Essence to form sinews. Body should move slightly, not stay still; go outdoors, watch running dogs and horses. Eat meat of birds of prey and fierce beasts. This alters pores, strengthens sinews, nourishes strength, and solidifies back muscles.
In the sixth month, the Foot Yangming Stomach Channel nourishes the fetus; acupuncture and moxibustion on this channel are contraindicated. The Foot Yangming internally connects to the Stomach, governing mouth and eyes. In the sixth month, fetal mouth and eyes are formed. Harmonize five flavors, eat sweet/delicious foods, avoid overeating.
In the sixth month, sudden fetal movement/restlessness, alternating chills/fever, abdominal distension, edema, fright, sudden vaginal bleeding, labor-like abdominal pain, hand/foot heat/pain. Maidong Tang (Ophiopogon Decoction) is indicated.
Maidong Tang (Ophiopogon Decoction)
Ophiopogonis Tuber (1 sheng, soak in water, remove heart) Ginseng Radetis et Rhizoma (remove rhizome head, slice) Glycyrrhizae Radix (roasted, crush) Scutellariae Radix (each 2 liang) Rehmanniae Radix Preparata (3 liang,
wash, roast) Donkey-hide Gelatin (4 liang, crushed) Zingiberis Rhizoma Recens (6 liang, wash, peel) Jujubae Fructus (15 pieces, remove pits)
Eight ingredients. Coarsely crush. Boil in 7 sheng of water, reduce by half, add 2 sheng of clear wine and gelatin, decoct to obtain 3 sheng. Divide into three doses, consume millet porridge in between. Another version uses Black Hen boiled in water to decoct herbs. If the sixth-month fetus was previously injured, Chaihu Tang (Bupleurum Decoction) should be taken prophylactically.
Chaihu Tang (Bupleurum Decoction)
Bupleuri Radix (4 liang, remove rhizome head, wash, roast) Shaoyao (snow-white, another version uses Chaizhen) Atractylodis Rhizoma (remove rhizome head, slice, roast) Glycyrrhizae Radix (roasted, each
2 liang) Cistanches Herba (1 liang, soak in wine overnight, chop, roast) Ophiopogonis Tuber (soak in water, remove heart, roast) Chuanxiong Rhizoma (wash, each 2 liang) Rehmanniae Radix Preparata (5
liang, wash, roast) Zingiberis Rhizoma Recens (6 liang, wash, peel, slice) Jujubae Fructus (30 pieces, remove pits)
Ten ingredients. Coarsely crush. Boil in 10 sheng of water, obtain 3 sheng. Divide into four doses, three times day and once night, consume millet porridge in between. Avoid raw/cold and hard foods. After seven days, take another dose.
The seventh month begins receiving Wood Essence to form bones. Labor the body, shake limbs, do not keep still; move flexibly to circulate Qi and Blood. Residence must be dry, diet avoid Cold,常吃 rice/millet to close pores. This nourishes bones and strengthens teeth.
In the seventh month, the Hand Taiyin Lung Channel nourishes the fetus; acupuncture and moxibustion on this channel are contraindicated. The Hand Taiyin internally connects to the Lung, governing skin and hair. In the seventh month, fetal skin and hair are formed. Do not speak loudly, cry, wear thin clothes, bathe, or drink cold liquids.
In the seventh month, sudden fright/shaking, abdominal pain, sudden vaginal bleeding, cold extremities/pulse. If Wind-Cold with fever, abdominal distension, shortness of breath, stiff neck/back, Congbai Tang (Scallion White Decoction) is indicated.
Congbai Tang (Scallion White Decoction)
Allii Fistulosi Bulbus (14 stalks, 3-4 cun long) Ophiopogonis Tuber (1 sheng, soak in water, remove heart, roast) Zingiberis Rhizoma Recens (8 liang, wash, peel, slice) Glycyrrhizae Radix
(roasted, crush) Angelicae Sinensis Radix (wash, remove rhizome head and whiskers, slice, roast) Astragali Radix (beaten flat, honey-roasted, each 3 liang) Ginseng Radetis et Rhizoma (1.5 liang, remove rhizome head,
slice) Donkey-hide Gelatin (4 liang, crushed) Scutellariae Radix (1 liang, cone-shaped tip) Inulae Flos (1 he, remove stems) Pinelliae Tuber (1 sheng, soak in water, wash seven times, process with ginger overnight, roast)
Eleven ingredients. Coarsely crush. Boil in 8 sheng of water, reduce by half, add 3 sheng of clear wine and gelatin, decoct to obtain 4 sheng. Take 1 sheng, three times day and once night. Rest warmly to sweat. If no sweat, add Ephedrae Herba (remove nodes, 2 liang), decoct, take as before. After autumn, do not force sweating. Another version uses Yellow Hen, cut throat, collect blood, mix with wine, boil hen, use broth to decoct herbs. If the seventh-month fetus was previously injured, Xingren Tang (Apricot Seed Decoction) should be taken prophylactically.
Xingren Tang (Apricot Seed Decoction)
Pruni Semen Armeniacae (soak in water, remove skin/pits) Glycyrrhizae Radix (roasted, each 2 liang) Ophiopogonis Tuber (soak in water, remove heart, roast) Evodiae Fructus (clean, wash 2-3 times in water, roast, each 1 sheng) Gypsum Fibrosum (calcined powder is superior to raw) Dried Ginger (roasted, each 2 liang) Oryzae Fructus (5 he) Asteris Radix et Rhizoma (1 liang, use fine hairs) Schisandrae Fructus (3 he, remove stems)
Nine ingredients. Coarsely crush. Boil in 8 sheng of water, obtain 3.5 sheng. Divide into four doses, three times day and once night, eat in between, take one dose every seven days. Another version uses White Hen, boil broth to decoct herbs.
The eighth month begins receiving Earth Essence to form skin and flesh. Harmonize mind, calm Qi, do not exhaust Qi. This closes pores and brightens complexion.
In the eighth month, the Hand Yangming Large Intestine Channel nourishes the fetus; acupuncture and moxibustion on this channel are contraindicated. The Hand Yangming internally connects to the Large Intestine, governing nine orifices. In the eighth month, fetal nine orifices are formed. Avoid dry/hot foods, frequent fasting, and straining to rise.
In the eighth month, Wind-Cold invasion causes body pain, alternating chills/fever, fetal restlessness, dizziness, periumbilical pain, lower cold, milky/cloudy urine (white/yellow/chilly), cold painful back, blurred vision. Shaoyao Tang (Peony Decoction) is indicated.
Shaoyao Tang (Peony Decoction)
Bai Shaoyao (crush) Zingiberis Rhizoma Recens (wash, peel, each 4 liang) Glycyrrhizae Radix (roasted, crush) Angelicae Sinensis Radix (remove rhizome head and whiskers, wash, slice, roast)
Atractylodis Rhizoma (remove rhizome head, roast) Ginseng Radetis et Rhizoma (remove rhizome head, slice, each 3 liang) Allii Macrostemonis Bulbus (1 sheng, chop, wash) Magnoliae Cortex (3 liang, peel, crush with ginger, marinate overnight, roast)
Eight ingredients. Coarsely crush. Boil in 5 sheng of water and 4 sheng of clear wine, obtain 3 sheng. Divide into three doses, twice day and once night. Another version uses Black Hen broth to decoct herbs. If the eighth-month fetus was previously injured, Kuizi Tang (Abutilon Seed Decoction) should be taken prophylactically.
Kuizi Tang (Abutilon Seed Decoction)
Abutili Semen (3 sheng, clean, wash) Zingiberis Rhizoma Recens (6 liang, wash, peel, slice) Shaoyao (4 liang, snow-white, crush) Atractylodis Rhizoma (remove
rhizome head, slice, roast) Bupleuri Radix (remove rhizome head, wash, roast, each 3 liang) Jujubae Fructus (20 pieces, remove pits) Glycyrrhizae Radix (2 liang, roasted, crush) Magnoliae Cortex
(2 liang, peel, crush with ginger, marinate overnight, roast)
Eight ingredients. Coarsely crush. Boil in 9 sheng of water, obtain 3 sheng. Divide into three doses, three times day, one dose every ten days. Another version uses Black Hen boiled in water to decoct herbs.