论
巢氏《病源》曰∶妊娠一月名胎胚，足厥阴脉养之；二月名始膏，足少阳脉养之；三月名始胎，手心
主脉养之；当此之时，血不流行，形象始化，未有定仪，因感而变。欲子端正庄严，常口谈正言，
身行正事。欲生男，宜佩弦；欲生女，宜佩韦，施环 ；欲子美好，宜佩白玉；欲子贤能，宜看诗书，是为
外象而内感者也。四月始受水精，以成其血脉，手少阳脉养之；五月始受火精，以成其气，足太阴脉养之；
六月始受金精，以成其筋，足阳明脉养之；七月始受木精，以成其骨，手太阴脉养之；八月始受土精，以
成肤革，手阳明脉养之；九月始受石精，以成毛发，足少阴脉养之；十月五脏六腑关节人神皆备，此其
大略也。且四时之令，必始于春木，故十二经之养始于肝，所以养胎在一月二月。手心主，心包络脉也；
手少阳，三焦脉也，属火而夏旺，所以养胎在五月六月。手太阴，肺脉也；手阳明，大肠脉也，属金而
旺秋，所以养胎在七月八月。足少阴，肾脉也，属水而旺冬，所以养胎在九月。又况母之肾脏系于胞，是母
之真气，子之所赖也。至十月儿于母腹之中，受足诸脏气脉所养，然后待时而生。此论奥微而有至理，世
更有明之者，亦未过于巢氏之论矣。
马益卿曰∶胎教产图之书，不可谓之迂而不加信，然亦不可狎犯之。方今俚俗之家，与不正之属，
将息避忌，略不如仪，或药毒不消，或产于风露，无产厄而子母均安者，亦幸有之。若保胎之法，须多方
预养，庶无后患。如邻家有所兴修，亦或犯其胎气，令儿破形损命。如刀犯者，形必伤；泥犯者，窍必塞；
打击者，色青黯；击缚者，相拘挛。如此等验，有如指掌，不可不慎也。
胎化之法，有所谓转女为男者，亦皆理之自然。食牡鸡，取阳精之全于天产者；带雄黄，取阳精之全于
地产者。《千金方》转女为男，丹参丸，用东门上雄鸡头。又方取雄黄一两，缝囊盛带之。《本
草》丹雄鸡补虚，温中、通神、杀毒，其肝补肾，其冠血益阳。雄黄，人佩之鬼神不能近，毒物不能伤。操
弓矢，借斧斤，取刚物之见于人事者，气类潜通，造化密移，必于三月兆形之先；盖方仪则未具，阳可
以胜阴，变女为男，理固然也。
若妇人怀娠，未满三月，男女未定，形象未成，故药饵方术，可以转令生男者，理或有之。其法以斧
置妊娠床下，击刃向下，勿令人知。恐不信，试定鸡抱卵时，根据此置窠下，一窠尽出雄者。又
自初觉有娠，取弓弩弦缚妇人腰下，满百日去之，此紫宫玉女秘方也。
人具天地之性，集万物之灵，阴阳平均，气质完备，咸其自尔。然而奇偶异数，有愆有耗，刚柔异用，
或强或羸，血荣气卫，不能逃于消息盈虚之理，则禀质之初，讵可一概论耶？是以
附赘垂疣、骈拇枝指，休儒跛蹩，形气所赋有如此者；疮疡痈
肿，聋盲喑哑，瘦瘠疲瘵，气形之病有如此者。然则胚胎造化之始，精移气变之后，保卫辅翼，固有道矣。天
有五气，各有所凑；地有五味，各有所入。所凑有节适，所入有度量。凡所畏忌，悉知戒慎，资物为养者，
理固然也。故寝兴以时，出处以节，可以高明，可以周密，使雾露风邪；不得投间而入。因时为养者，理宜
然也。故必调喜怒，寡嗜欲，作劳不妄，而气血以之，皆所以保摄妊娠，使诸邪不得干焉。苟为不然，方
授受之时，一失调养，则内不足以为中之守，外不足以为身之强，气形弗克，而疾疚因之。若食兔缺
唇，食犬无声，食杂鱼而生疮癣之属，皆以食物不戒之过也。心气大惊而癫疾，肾气不足而解颅，脾胃不
和而羸瘦，心气虚乏而神不足，皆由气血不调之故也。诚能推而达之，使邪气无所乘。兹乃生育相待而成者。
故曰天不人不因（以上四条俱载《妇人良方》）
脉经云∶阴搏阳别谓之有子。搏者，近也。阴脉逼近于下，阳脉别出于上，阴中见阳，乃知阳施阴化，
法当有子。又少阴脉动甚者，妊子也。手少阴属心，足少阴属肾，心主血，肾主精，精血交会，投识于其间，
则有娠。王氏曰∶太冲盛而气虚者，乳子法也。尺中之脉，按之不绝者，法妊娠也。《难经》曰∶肾有两枚，
左为肾，右为命门。命门者，男子以藏精，女子以系胞，若三部脉浮沉正等，按之无绝者，为有妊。初持寸
脉微小，呼吸五至，三月而尺数也。脉滑疾，以手按之散者，胞已三月也。脉重手按之不散，但疾
不滑者，五月也。妇人妊娠四月，欲知男女，法左疾为男，右疾为女，俱疾为生二子。又法∶得太阴脉为男，
太阳脉为女。太阴脉沉，太阳脉浮。又法∶左手沉实为男，右手浮大为女。左右手俱沉实，猥生二男；左右手
俱浮大，猥生二女。又法∶尺脉左边大为男，右边大为女，左右俱大产二子，大者如实状。又法∶左右俱浮大，
产二男。不尔，则女作男生。左右俱沉，产二女，不尔，则男作女生。又法∶遣妊妇面南行，复呼之，左回
首者是男，右回首者是女，看上圊时，夫从后呼之，左回首是男，右回首是女，又妇人妊娠，其左乳房有核是
男、右乳房有核是女。妇怀离经，其脉浮大，而腹痛引腰脊，即为欲生也。但离经，即腹痛也。又法欲生者，
其脉离经，夜半觉，日中则生也。
方
验胎散 经脉不行，已经三月者。（更看尺脉不止，则是胎也） 川芎
为末，每服一钱，空心艾叶煎汤调下，觉腹内微动则有胎也。如服后一日不动非胎，必是经滞。
艾醋汤 如过月难明有无，如月数未足难明，好醋 艾服半盏后，腹中番大痛，是有孕；不为痛，定无。
妊娠恶阻病，《产宝》谓之子病，巢氏《病源》谓之恶阻。谓妇人有孕恶心，阻其饮食也。由胃气
怯弱，中脘停痰，脉息和顺，但肢体沉重，头眩择食，惟嗜醋咸，甚者寒热呕吐，胸膈烦满，肥人多
痰，瘦人多火，须用二陈汤为主。
保生汤 治妇人经候不行，身无病似病，脉滑大而六脉俱匀，乃是孕脉也。精神如故，恶闻食气，或
但食一物，或大吐清水。此名恶阻，切勿作寒病治之。
人参（二钱半） 白术 陈皮 香附 乌药（各五钱） 甘草（二钱半） 觉恶心呕吐，加丁香。
上锉作二剂，生姜三片，煎服。
复元汤 治妊妇呕吐不止，或头痛，全不思食，左脉弱，诸药不效，用以理血归原。
当归 川芎 白芍 人参（各五钱） 白术 茯苓 陈皮（各一两半）
半夏（姜汤泡，一两） 桔梗 枳壳（各二钱半） 丁香（三钱） 甘草（五钱，炙）
上锉作十剂，姜、枣煎服。
妊娠三两个月内，呕吐恶心，不纳米食，用∶
四物汤加陈皮、半夏、藿香、砂仁、白术、神曲、麦芽、陈苍米、生姜煎服。
妊娠子烦，谓烦躁而闷乱心神也。盖四月受少阴君火以养精，六月受少阳相火以养气，若母心惊胆寒，多
有是证。《产宝》云∶是心肺虚热，或痰积于胸。若三月而烦者，但热而已；若痰饮而烦
者，吐涎恶食。大凡停痰积饮，寒热相搏，吐甚则胎动不安。
竹叶汤
防风（去芦） 黄芩 麦门冬（泡去心，各一钱） 白茯苓（二钱） 竹叶（十斤） 水煎，食后温服。
妊娠子痫，谓痰涎潮搐，目吊口噤也。用
羚羊角散 治妊娠中风，头项强直，经脉拘急，语言謇涩，痰涎不利，或时发搐，不省人事，名曰子痫风。
当归 川芎 防风 独活 茯神 五加皮 杏仁 薏苡仁 酸枣仁（炒） 木香 羚羊角 甘草
上锉，生姜五片，水煎，不拘时服。
子悬，谓妊娠心胃胀满也。
紫苏和气饮 治妇人胎气不和，凑上心腹，胀满疼痛，或临产惊恐，气结连日不下，及胎前一切诸疾。
当归 川芎 白芍 人参 紫苏梗 陈皮 大腹皮 甘草
上锉，生姜三片，葱白七根，水煎服。腹痛，加香附、木香。
咳嗽，加枳壳、桑白皮。热，加黄芩。呕吐，加砂仁。泄泻，加白术、茯苓。难产，加枳壳、香附、车前子。
子肿者，谓妊娠面部虚浮、肢体满也。
茯苓汤 治妊娠七八个月前后，面目四肢浮肿。
当归 川芎 白芍药（炒） 熟地黄 白术（土炒） 茯苓 泽泻 子实 黄芩 栀子
（酒炒） 甘草（炙） 浓朴（姜汁炒） 麦门冬（去心）
上锉一剂，水煎服。
子气者，谓妊娠两足浮肿也。因脾衰不能制水，血化成水所致。
天仙藤散 治妊娠三月成胎之后，两足自脚面直肿至膝，行步
艰难，喘闷妨食状似水肿，生于脚趾间，黄水出者，名曰子气。
天仙藤（即青木香藤，洗炒） 紫苏 陈皮 香附 乌药 木香 甘草
上锉，生姜煎服。
子淋，谓妊娠小便涩少也。乃肾与膀胱虚热，不能制水，然妊妇胞系于肾，肾间虚热而成斯证，甚者心
烦闷乱，用∶
子淋散 治妊娠小便涩痛频数。
麦门冬（去心） 赤茯苓 大腹皮（洗去沙土，姜汁拌炒） 木通 甘草 淡竹叶
上锉，水煎服。
车前散 治小便淋沥，或不通，下焦有热者。
当归 陈皮 赤芍药 槟榔 滑石 木通 车前子 赤茯苓 石苇（炙，去毛）
上锉，水煎服。
转胞，谓妊娠卒不得小便也。因胞长逼近于胞，胞为所逼，令人数溲，胞即膀胱也。然子淋与转胞相类，
但小便频数，点滴而痛为子淋，频数出少，不痛为转胞。间有微痛，终是与淋不同，并以五苓散加阿胶。
冬葵子散 治孕妇转胞，小便不通。
木通 栀子（炒） 冬葵子 滑石（各五钱）
上锉一剂，水一钟半，煎至一钟，空心温服。
此药滑胎，临月可用。若六七个月以前，不可用。
又方 冬葵子、滑石、栀子为末，田螺肉捣膏，或生葱汁调膏，贴脐中立通。
妊娠经水时下，此由冲任气虚，不能约制。盖心、小肠二经相为表里，上为乳汁，下为月水。故妊娠
经水壅之以养胎，蓄之以为乳。若经水时下，名曰胞漏，血尽则毙矣，属气血虚有热。
胶艾四物汤
当归 川芎 白芍（酒炒） 熟地黄（姜汁炒） 条芩（酒炒） 白术（土炒） 艾
叶（少许） 真阿胶（蛤粉炒珠） 砂仁（炒） 香附（童便炒黑）
上锉一剂，用粳米同煎服。
芎归汤（刘敏庵传） 治胎漏下血不止，或心腹胀满，一服立效。
当归尾 南川芎（各五钱）
上锉一剂，黄酒煎，临卧服，入童便一盏即止。
妊娠胎动，或饮食起居，或冲任风寒，或跌仆击触，或怒伤肝火，或脾气虚弱，当推其因而治之。若因
母病而胎动，但治其母；若因胎动而母病，惟当安其胎。轻者转动不安，重者必致伤坠。若面赤舌青，是
儿死也；面青舌赤吐沫，是母死也；唇口俱青，两边沫出，是子母俱死也，察而治之。
佛手散 治妊娠六七个月，因事筑磕着胎，或子死腹中，恶露下，痛不已，口噤欲绝，用此探之。
若不损则痛止，子母俱安；若胎损，即便逐下。
当归（二钱） 川芎（四钱） 加益母草（五钱，更效）
上锉一剂，水一盏，入酒一盏，再煎一沸，温服。如人行五里，再进一服。
安胎散 治妊妇偶有所伤，腹痛不安，或从高坠下，重伤所压，
触动胎元，痛不可忍，及下血，又治胃虚气逆呕吐，心腹诸痛。大抵妊娠，不可缺此。
缩砂不拘多少为末，每服三钱，热酒调服，艾盐汤皆可。此药非八九个月内，不宜多用。
安胎饮 治孕成之后，觉气不安，或腹微痛，或腰间作疼，或
饮食不美，或胎动下血，及五六个月，常服数帖，甚效。
当归（一钱） 川芎（八分） 白芍（一钱） 熟地黄（一钱，酒洗） 条芩（一钱半）
白术（二钱） 砂仁（炒，一钱） 陈皮（一钱，炒） 紫苏（八分） 甘草（四分）
上锉一剂，水煎服。下血不止，加炒蒲黄（一钱）、阿胶（一钱）。腹痛，加香附（醋炒，一钱）、枳
壳（一钱，麸炒）
千金保胎丸（京师传） 凡女人受胎，经三月而坠者，虽气血不足，乃中冲脉有伤，中冲即阳明胃脉，
供应胎孕。至此时，必须谨节饮食，绝嗜欲，戒恼怒，庶免小产之患也。服此可保全。
归身（酒洗，二两） 南芎（一两） 熟地（姜炒，二两） 阿胶（蛤粉炒，二两） 香
附（酒、醋、童便，盐水各浸三日，二两） 艾叶（醋煮，一两） 砂仁（炒，五钱） 陈皮
（二两） 条芩（炒，二钱） 白术（土炒，四两） 川续断（酒洗，二两） 杜仲（姜炒，四两）
益母草（二两） 红枣（煮，去皮、核）
上为末，枣肉为丸，梧桐子大。每服百丸，空心米汤送下。
妊娠心痛，乍安乍甚者，可服
白术散 定痛安胎。
川芎（一钱） 归身（八分） 白术（土炒，五分） 白芍（酒炒，八分） 竹茹（五分）
紫苏（一钱） 前胡（八分） 木香（五分） 乌药（八分） 香附（便制，一钱） 陈皮（八分） 甘草（四分）
上锉水煎，食远服。如兼腹痛，加砂仁、泽泻。
妊娠中恶，忽然心腹刺痛，闷绝欲死，可服。
加减当归散
Discussion
Chao Yuanfang stated in *Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Manifestations of All Diseases): The first month of pregnancy is called "Tai Pei" (Fetal Embryo), nourished by the Foot Jueyin Liver Meridian; the second month is called "Shi Gao" (Beginning of Fat), nourished by the Foot Shaoyang Gallbladder Meridian; the third month is called "Shi Tai" (Beginning of Fetus), nourished by the Hand Jueyin Pericardium Meridian. At this time, blood circulation is sluggish, the fetal image begins to transform, has not yet taken a fixed form, and is prone to change due to external influences. To desire upright and solemn offspring, one should constantly speak righteous words and perform righteous deeds. To desire a male child, it is advisable to wear stringed instruments (symbolizing firmness); to desire a female child, it is advisable to wear leather (symbolizing flexibility) or jade rings. To desire beautiful offspring, one should wear white jade; to desire virtuous and capable offspring, one should read poetry and books. This is the principle of internal感应 (influence) through external images. By the fourth month, the fetus begins to receive the essence of Water to form its blood vessels, nourished by the Hand Shaoyang Sanjiao Meridian; by the fifth month, it receives the essence of Fire to form its Qi, nourished by the Foot Taiyin Spleen Meridian; by the sixth month, it receives the essence of Metal to form its sinews, nourished by the Foot Yangming Stomach Meridian; by the seventh month, it receives the essence of Wood to form its bones, nourished by the Hand Taiyin Lung Meridian; by the eighth month, it receives the essence of Earth to form its skin and flesh, nourished by the Hand Yangming Large Intestine Meridian; by the ninth month, it receives the essence of Stone to form its hair, nourished by the Foot Shaoyin Kidney Meridian; by the tenth month, the five Zang organs, six Fu organs, joints, and spirit are all complete. This is the general outline. Since the seasons begin with Spring Wood, the nourishment of the twelve meridians starts with the Liver; hence, fetal nourishment occurs in the first and second months. The Hand Jueyin Pericardium Meridian and the Hand Shaoyang Sanjiao Meridian belong to Fire and flourish in Summer; hence, fetal nourishment occurs in the fifth and sixth months. The Hand Taiyin Lung Meridian and the Hand Yangming Large Intestine Meridian belong to Metal and flourish in Autumn; hence, fetal nourishment occurs in the seventh and eighth months. The Foot Shaoyin Kidney Meridian belongs to Water and flourishes in Winter; hence, fetal nourishment occurs in the ninth month. Moreover, the mother's Kidneys are connected to the Bao Gong (Uterus); this is the mother's True Qi, which the fetus relies upon. By the tenth month, the fetus, having received nourishment from the Qi and pulses of all Zang and Fu organs within the womb, awaits the proper time for birth. This discussion is profound and contains ultimate truth; no subsequent exposition has surpassed Chao's treatise.
Ma Yiqing said: Books on fetal education and obstetric charts should not be dismissed as pedantic and ignored, nor should they be violated lightly. In contemporary common households, especially those of improper conduct, if care and taboos are slightly neglected, or if medicinal toxicity is not cleared, or if delivery is exposed to wind and dew, it is rare to find cases where mother and child remain safe without complications. Regarding methods to preserve the fetus, one must prepare and nurture in multiple ways to avoid future troubles. For instance, construction work by neighbors may disturb the fetal Qi, causing deformity or loss of life. Injury by blades causes physical damage; exposure to mud blocks orifices; beating causes dark discoloration; striking and binding cause limb spasms. Such signs are clear as day and must be treated with caution.
Regarding fetal transformation, there are claims of "changing a female fetus to male," which are considered natural processes. Eating rooster meat takes the full Yang essence from animal sources; wearing Realgar takes the full Yang essence from mineral sources. *Qian Jin Fang* mentions changing female to male using Danshen Pill, specifically the head of a rooster from the east gate. Another prescription uses one liang of Realgar sewn into a pouch for wearing. *Ben Cao* records that red roosters tonify deficiency, warm the middle, unblock the spirit, and detoxify; their liver tonifies the Kidney, and their comb blood benefits Yang. Realgar protects against evil spirits and venomous creatures when worn. Using bows and arrows, or axes, utilizes the symbolism of rigid objects in human affairs; Qi resonates secretly, and creation shifts subtly. This must occur before the third month when the fetal form is established; since the structure is not yet fixed, Yang can overcome Yin, making the change from female to male theoretically possible.
If a woman is pregnant for less than three months, the sex is undetermined, and the form is not yet formed, so drugs and techniques to influence the sex of the baby may have some basis. One method is to place an axe under the pregnant woman's bed with the blade facing down, keeping it secret. If skeptical, one might try placing a nest under a hen during incubation; all chicks hatched will be male. Another method, from the secret recipe of Zi Gong Yu Nu, is to bind a bowstring around the waist from the first sign of pregnancy and remove it after one hundred days.
Humans possess the nature of Heaven and Earth, gathering the spirit of all things. Yin and Yang are balanced, and constitution is complete, naturally so. However, odd and even numbers vary, deficiencies and losses occur, and hardness and softness serve different purposes, leading to strength or weakness. Blood and Wei Qi cannot escape the laws of waxing and waning. Thus, initial constitution cannot be generalized. Hence, anomalies like supernumerary digits, polydactyly, or physical disabilities arise from constitutional endowment; so do ulcers, abscesses, deafness, blindness, muteness, emaciation, and chronic wasting diseases. Therefore, at the beginning of embryonic formation, after the shift of Jing and Qi, protection and support indeed have methods. Heaven has Five Qi, each gathering in specific areas; Earth has Five Flavors, each entering specific pathways. Gathering requires moderation, entry requires measure. One must know and beware of what is feared, utilizing external substances for nourishment, which is natural law. Thus, regular sleep and wakefulness, moderate activity, allow for clarity and thoroughness, preventing fog, dew, wind, and pathogens from entering. Nourishing according to seasons is also natural. One must regulate emotions, reduce desires, and avoid excessive labor to harmonize Qi and Blood, thereby protecting pregnancy from pathogenic interference. Otherwise, at conception, any imbalance in care leads to internal weakness and external frailty, failing to sustain Qi and Form, resulting in disease. Eating rabbit meat may cause cleft lip; eating dog meat may cause muteness; eating mixed fish may cause skin sores, all due to dietary indiscretion. Great fright damages Heart Qi leading to epilepsy; insufficient Kidney Qi leads to craniotabes (delayed closure of fontanelles); Spleen-Stomach disharmony leads to emaciation; deficient Heart Qi leads to spiritual insufficiency, all caused by Qi and Blood imbalance. If these principles are understood and applied, pathogens will find no foothold. This is how reproduction depends on mutual conditions. Thus it is said: "Heaven does not act without Man." (The above four points are recorded in *Fu Ren Liang Fang*).
*Mai Jing* states: "Yin pulse pulsating strongly, distinct from Yang, indicates pregnancy." Pulsating means close. The Yin pulse is proximal inferiorly, while the Yang pulse emerges distinctly superiorly; seeing Yang within Yin indicates Yang imparting and Yin transforming, legally indicating pregnancy. It also states: "A markedly active Shaoyin pulse indicates pregnancy." The Hand Shaoyin corresponds to the Heart, and the Foot Shaoyin to the Kidney. The Heart governs Blood, the Kidney governs Essence. When Essence and Blood intersect and consciousness implants, pregnancy occurs. Wang Shi said: "Excessive Taichong pulse with deficient Qi is the method for lactation." A pulse at the Chi position that does not cease upon pressure indicates pregnancy. *Nan Jing* states: "There are two Kidneys; the left is the Kidney, the right is the Ming Men (Gate of Life). Ming Men stores Essence in men and connects to the Bao Gong in women. If the pulses at the three positions are equal in floating and sinking depth, and unceasing upon pressure, it indicates pregnancy. Initially, the Cun pulse is slight and small, with five breaths per pulse beat; by three months, the Chi pulse becomes rapid. A slippery and rapid pulse that disperses upon light pressure indicates three months of gestation. A pulse that does not disperse upon heavy pressure but is rapid without slipperiness indicates five months. In the fourth month of pregnancy, to determine sex: a rapid Left pulse indicates a male, a rapid Right pulse indicates a female; both rapid indicate twins. Another method: obtaining a Taiyin pulse indicates a male, a Taiyang pulse indicates a female. Taiyin pulse is deep, Taiyang pulse is superficial. Another method: Deep and solid Left pulse indicates male, floating and large Right pulse indicates female; both deep and solid indicate twin males; both floating and large indicate twin females. Another method: Larger Left Chi pulse indicates male, larger Right Chi pulse indicates female; both large indicate twins, appearing solid. Another method: Both sides floating and large indicate twin males; otherwise, female may appear male. Both sides deep indicate twin females; otherwise, male may appear female. Another method: Have the pregnant woman walk facing south and call her; turning head left indicates male, right indicates female. Similarly, when she is urinating, have her husband call from behind; left turn is male, right turn is female. Also, a nodule in the left breast indicates male, in the right breast indicates female. When approaching delivery, the pulse becomes floating and large, accompanied by abdominal pain radiating to the lower back, indicating imminent birth. Any deviation from the regular pulse (Li Jing) accompanied by abdominal pain indicates labor. Another method: If the pulse deviates, feeling symptoms at midnight results in delivery by noon.
Prescriptions
Yan Tai San (Test Fetus Powder): For amenorrhea lasting three months. (Check if Chi pulse remains active; if so, it is pregnancy.) Rhizoma Chuanxiong powder, one qian per dose, taken on an empty stomach with mugwort decoction. Feeling slight movement in the abdomen indicates pregnancy. If no movement after one day, it is not pregnancy but menstrual stagnation.
Ai Cu Tang (Mugwort and Vinegar Decoction): For uncertain pregnancy beyond term or early stage. Take good vinegar and mugwort, half cup. Severe abdominal pain indicates pregnancy; absence of pain indicates no pregnancy.
Ren Shen E Zu Bing (Pregnancy Nausea and Vomiting): Called "Zi Bing" in *Chan Bao*, "E Zu" in *Bing Yuan*. Refers to nausea and food aversion in pregnancy due to weak Stomach Qi and phlegm retention in the Middle Jiao. Pulse is harmonious, but limbs are heavy, dizzy, selective eating, craving sour/salty. Severe cases have chills, fever, vomiting, chest oppression. Obese people have more phlegm, thin people more fire. Use Er Chen Tang as the main formula.
Bao Sheng Tang: Treats amenorrhea, body feels ill but is healthy, pulse slippery and large, six pulses uniform—this is a pregnancy pulse. Spirit is normal, aversion to food smells, or eating only one type of food, or vomiting clear fluid. This is named E Zu, do not treat as Cold disease.
Ren Shen (2.5 qian), Bai Zhu, Chen Pi, Xiang Fu, Wu Yao (each 5 qian), Gan Cao (2.5 qian). Add Ding Xiang if nauseous/vomiting. Cut into two doses, decoct with three slices of fresh ginger.
Fu Yuan Tang: Treats persistent vomiting in pregnancy, headache, anorexia, weak Left pulse, ineffective other medicines. Used to regulate Blood and restore origin.
Dang Gui, Chuan Xiong, Bai Shao, Ren Shen (each 5 qian), Bai Zhu, Fu Ling, Chen Pi (each 1.5 liang), Ban Xia (soaked in ginger juice, 1 liang), Jie Geng, Zhi Ke (each 2.5 qian), Ding Xiang (3 qian), Gan Cao (5 qian, honey-fried). Cut into ten doses, decoct with ginger and jujube.
For nausea/vomiting in the first three months refusing rice: Si Wu Tang plus Chen Pi, Ban Xia, Huo Xiang, Sha Ren, Bai Zhu, Shen Qu, Mai Ya, Chen Cang Mi, fresh ginger.
Zi Fan (Fetal Irritability): Refers to restlessness and mental confusion. Fourth month receives Shao Yin Jun Fire to nourish Jing; sixth month receives Shao Yang Xiang Fire to nourish Qi. If the mother is fearful/anxious, this syndrome often occurs. *Chan Bao* says: Heart-Lung deficient heat or phlegm accumulation in chest. Irritation at three months is just heat; irritation from phlegm-fluid involves spitting saliva and food aversion. Generally, retained phlegm/fluid, cold-heat struggle, severe vomiting leads to restless fetus.
Zhu Ye Tang: Fang Feng (remove radix), Huang Qin, Mai Dong (soak, remove heart, each 1 qian), Bai Fu Ling (2 qian), Zhu Ye (10 jin). Decoct with water, take warm after meals.
Zi Xian (Fetal Eclampsia): Refers to tidal phlegm spasms, eyes rolling back, jaw locking. Use Ling Yang Jiao San.
Ling Yang Jiao San: Treats pregnancy wind-stroke, stiff neck/back, tendon contraction, slurred speech, difficult phlegm discharge, occasional spasms, unconsciousness, named Zi Xian Feng.
Dang Gui, Chuan Xiong, Fang Feng, Du Huo, Fu Shen, Wu Jia Pi, Xing Ren, Yi Yi Ren, Suan Zao Ren (fried), Mu Xiang, Ling Yang Jiao, Gan Cao. Cut, decoct with five slices of ginger, take anytime.
Zi Xuan (Fetal Suspension): Refers to epigastric/chest fullness in pregnancy.
Zi Su He Qi Yin: Treats disharmonious fetal Qi rising to heart/epigastrium, fullness/pain, or fear during labor causing Qi stagnation, and all pre-delivery disorders.
Dang Gui, Chuan Xiong, Bai Shao, Ren Shen, Zi Su Geng, Chen Pi, Da Fu Pi, Gan Cao. Cut, decoct with three slices of ginger and seven roots of scallion white. Add Xiang Fu, Mu Xiang for pain. Add Zhi Ke, Sang Bai Pi for cough. Add Huang Qin for heat. Add Sha Ren for vomiting. Add Bai Zhu, Fu Ling for diarrhea. Add Zhi Ke, Xiang Fu, Che Qian Zi for dystocia.
Zi Zhong (Fetal Edema): Refers to facial puffiness and limb swelling in pregnancy.
Fu Ling Tang: Treats facial/limb edema in late pregnancy (7-8 months).
Dang Gui, Chuan Xiong, Bai Shao Yao (fried), Shu Di Huang, Bai Zhu (earth-fried), Fu Ling, Ze Xie, Zi Shi, Huang Qin, Zhi Zi (wine-fried), Gan Cao (fried), Hou Po (ginger juice-fried), Mai Dong (remove heart). One dose, decoct with water.
Zi Qi (Fetal Gas): Refers to bilateral foot edema in pregnancy. Caused by Spleen failure to control water, blood transforming into water.
Tian Xian Teng San: Treats edema from instep to knee starting three months post-conception, difficulty walking, panting/appetite loss resembling edema, yellow fluid from toes, named Zi Qi.
Tian Xian Teng (Qing Mu Xiang Teng, washed/fried), Zi Su, Chen Pi, Xiang Fu, Wu Yao, Mu Xiang, Gan Cao. Cut, decoct with ginger.
Zi Lin (Fetal Strangury): Refers to scanty/difficult urination in pregnancy. Deficient-heat in Kidney/Bladder failing to control water. Fetal Bao is tied to Kidney; deficient-heat in Kidney causes this. Severe cases have irritability/confusion. Use Zi Lin San.
Zi Lin San: Treats painful/frequent urination in pregnancy.
Mai Dong (remove heart), Chi Fu Ling, Da Fu Pi (wash, stir-fry with ginger juice), Mu Tong, Gan Cao, Dan Zhu Ye. Cut, decoct with water.
Che Qian San: Treats dribbling/obstruction of urine with Lower Jiao heat.
Dang Gui, Chen Pi, Chi Shao Yao, Bing Lang, Hua Shi, Mu Tong, Che Qian Zi, Chi Fu Ling, Shi Wei (fried, remove hairs). Cut, decoct with water.
Zhuan Bao (Fetal Reversal): Refers to sudden inability to urinate in pregnancy. Due to fetal pressure on the bladder (Bao). Similar to Zi Lin but frequent/scant/painless vs. frequent/dribbling/painful. Rare mild pain still differs from Lin. Use Wu Ling San plus E Jiao.
Dong Kui Zi San: Treats urinary retention in pregnancy.
Mu Tong, Zhi Zi (fried), Dong Kui Zi, Hua Shi (each 5 qian). One dose, 1.5 zhong water, decoct to 1 zhong, take warm on empty stomach. Slippery to induce labor; use only near term. Not for 6-7 months.
Another prescription: Dong Kui Zi, Hua Shi, Zhi Zi powder, mixed with apple snail paste or raw scallion juice, applied to umbilicus for immediate relief.
Intermittent bleeding in pregnancy: Due to deficiency of Chong and Ren Qi, failing to contain blood. Heart and Small Intestine are exterior-interior; upper produces milk, lower produces menstruation. Pregnancy stops menstruation to nourish fetus and store for milk. Intermittent bleeding is named Bao Lou; if blood exhausts, death ensues. Belongs to Qi/Blood deficiency with heat.
Jiao Ai Si Wu Tang: Dang Gui, Chuan Xiong, Bai Shao (wine-fried), Shu Di Huang (ginger juice-fried), Tiao Qin (wine-fried), Bai Zhu (earth-fried), Ai Ye (small amount), Zhen E Jiao (tortoise shell powder fried beads), Sha Ren (fried), Xiang Fu (child's urine fried black). One dose, decoct with japonica rice.
Xiong Gui Tang (from Liu Min An): Treats continuous bleeding from fetal leakage, or abdominal distension/pain. Effective in one dose.
Dang Gui Wei, Nan Chuan Xiong (each 5 qian). One dose, decoct with yellow wine, take before bed. Add one zhong of child's urine to stop bleeding immediately.
Fetal Restlessness: Caused by diet/lifestyle, Wind-Cold in Chong/Ren, trauma, anger damaging Liver Fire, or Spleen Qi deficiency. Investigate cause and treat. If mother's illness causes fetal restlessness, treat mother; if fetal restlessness causes mother's illness, calm the fetus. Mild cases: restless movement; severe cases: miscarriage. Red face/blue tongue: fetus dead. Blue face/red tongue with froth: mother dead. Blue lips/mouth with froth: both dead. Examine and treat accordingly.
Fo Shou San: For trauma to fetus at 6-7 months, or dead fetus in uterus, lochia discharge, unrelenting pain, locked jaw. Use to test. If intact, pain stops, both safe; if damaged, expel immediately.
Dang Gui (2 qian), Chuan Xiong (4 qian), add Yi Mu Cao (5 qian, more effective). One dose, one zhong water, one zhong wine, boil once, take warm. After walking five li, take another dose.
An Tai San: For accidental injury, abdominal pain/restlessness, falling from height, compression disturbing fetal origin, unbearable pain, bleeding. Also treats Stomach deficiency/rebellious Qi vomiting, heart/abdominal pain. Essential in pregnancy.
Suo Sha (amount unspecified) powder, 3 qian per dose, taken with hot wine or Ai Yan Tang. Do not use excessively in last two months.
An Tai Yin: For post-conception Qi unrest, mild abdominal pain, lumbar pain, poor appetite, fetal restlessness/bleeding. Take several doses at 5-6 months, very effective.
Dang Gui (1 qian), Chuan Xiong (0.8 qian), Bai Shao (1 qian), Shu Di Huang (1 qian, wine-washed), Tiao Qin (1.5 qian), Bai Zhu (2 qian), Sha Ren (fried, 1 qian), Chen Pi (fried, 1 qian), Zi Su (0.8 qian), Gan Cao (0.4 qian). One dose, decoct with water. For continuous bleeding, add Chao Pu Huang (1 qian), E Jiao (1 qian). For pain, add Xiang Fu (vinegar-fried, 1 qian), Zhi Ke (bran-fried, 1 qian).
Qian Jin Bao Tai Wan (Capital transmission): For women who miscarry at three months. Though Qi/Blood deficient, Chong Mai (Yangming Stomach channel supplying fetus) is injured. Must regulate diet, eliminate desires, avoid anger to prevent miscarriage. This pill preserves.
Gui Shen (wine-washed, 2 liang), Nan Xiong (1 liang), Shu Di (ginger-fried, 2 liang), E Jiao (tortoise shell powder fried, 2 liang), Xiang Fu (soaked 3 days in wine, vinegar, child's urine, salt water, 2 liang), Ai Ye (vinegar-boiled, 1 liang), Sha Ren (fried, 5 qian), Chen Pi (2 liang), Tiao Qin (fried, 2 qian), Bai Zhu (earth-fried, 4 liang), Chuan Xu Duan (wine-washed, 2 liang), Du Zhong (ginger-fried, 4 liang), Yi Mu Cao (2 liang), Hong Zao (boiled, peeled/pitted). Powder, jujube flesh pills, size of paulownia seeds. 100 pills per dose, taken on empty stomach with rice gruel.
Pregnancy Heartache, alternating ease/severity: Take Bai Zhu San.
Bai Zhu San: Calms pain, calms fetus.
Chuan Xiong (1 qian), Gui Shen (0.8 qian), Bai Zhu (earth-fried, 0.5 qian), Bai Shao (wine-fried, 0.8 qian), Zhu Ru (0.5 qian), Zi Su (1 qian), Qian Hu (0.8 qian), Mu Xiang (0.5 qian), Wu Yao (0.8 qian), Xiang Fu (urine-processed, 1 qian), Chen Pi (0.8 qian), Gan Cao (0.4 qian). Cut, decoct with water, take well after meals. Add Sha Ren, Ze Xie if abdominal pain accompanies.
Pregnancy Zhong E (Sudden Evil Invasion): Sudden stabbing heart/abdominal pain, suffocation欲死. Take:
Jia Jian Dang Gui San