千金论曰，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，和性情，节嗜欲，庶事清静
，生子皆良，长寿忠孝仁义，聪慧无疾，斯盖文王胎教者也。
又论曰，儿在胎，日月未满阴阳未备，腑脏骨节皆未成足故自初讫于将产，饮食居处，
皆有禁忌。
又妊娠食鸡子及干鲤鱼，令子多疮。
又妊娠食鸡肉糯米，令子多寸白虫。
又妊娠食雀肉并豆酱，令子满面 黯黑子。
又妊娠食山羊肉，令子多病。
又妊娠食兔犬肉，令子无音声，并缺唇。
又妊娠食驴马肉，延月。
又妊娠食椹并鸭子，令子倒出，心寒。
又妊娠食骡肉，难产。
又妊娠食雀肉，饮酒，令子心淫情乱，不畏羞耻。
又妊娠勿向非常之地大小便，必半产杀人。
又妊娠勿食羊肝，令子多厄。
又妊娠勿食鳖，令儿短项。
又妊娠食冰浆，绝产。（并出第二卷中）
千金妊娠一月，名始胚饮食精熟，酸美受御，宜食大麦，无食腥辛，是谓才正。
又妊娠一月，足厥阴脉养，不可针灸其经，足厥阴内属于肝，肝主筋及血，一月之时，
血行痞涩不为力事，寝必安静，无令恐畏。
又妊娠一月，阴阳新合为胎，寒多为痛，热多猝惊，举重腰痛腹满胞急，猝有所下当预
安之，宜服乌雌鸡汤方。
乌雌鸡一只（治如食法） 茯苓（一两） 吴茱萸（一升） 芍药 白术（各三两） 麦
门冬
（五合去心） 人参（三两） 阿胶（二两） 甘草（一两炙） 生姜（一两切）
上十味切，以水一斗二升，煮鸡，取汁六升，去鸡下药煮，取三升，纳酒三升并胶烊尽
取三升去滓，温服一升，日三服。
又若曾伤一月胎者，当预服补胎汤方。
细辛（一两） 防风（二两） 乌梅（一升） 吴茱萸（五合） 干地黄 白术（各一
两） 大
麦（五合） 生姜（四两）
上八味切，以水七升，煮取二升半，去滓，分温三服，若寒多者，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。忌生菜，芜荑桃李雀肉
等物，一方人参一两。
又妊娠二月，名始膏无食辛臊，居必静处，男子勿劳，百节皆痛，是谓胎始结。
又妊娠二月，足少阳脉养，不可针灸其经，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。
又妊娠二月，始阴阳踞经，有寒多坏不成，有热即萎，猝中风寒，有所动摇，心满脐下
悬急，腰背强痛，猝有所下，乍寒乍热，艾汤主之方。
丹参（三两） 当归 人参 麻黄（去节） 艾叶 阿胶（炙各二两） 甘草（一两炙）
大枣（
十二枚擘） 生姜（一两）
上九味切，以酒三升水一斗纳药煮，减半，去滓，纳胶煎，取三升，分温三服。忌海藻
菘菜。
又若曾伤二月胎者，当预服黄连汤方。
黄连 人参（各一两） 吴茱萸（五合） 生地黄（五两） 生姜（三两）
上五味切，以醋浆七升，煮取三升，分四服，日三夜一，每十日一作，若颇觉不安，加
乌梅一升，加乌梅者，不用浆，直用水耳。忌猪肉冷水芜荑，一方当归半两。
又妊娠三月，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，数视璧玉，欲子贤良，端坐清虚是谓外象而内感者也。
又妊娠三月，手心主脉养，不可针灸其经手心主内属于心，无悲哀无思虑惊动。
又妊娠三月为定形，有寒大便青，有热小便难，不赤即黄，猝惊恐忧愁嗔恚喜顿仆，动
于经脉，腹满绕脐苦痛，腰背痛，猝有所下，雄鸡汤方。
雄鸡（一只治如食法） 甘草（炙） 人参 茯苓 阿胶（各二两） 黄芩 白术（各
一两）
麦门冬（去心五合） 芍药（四两） 大枣（十二枚擘） 生姜（一两切）
上十一味切，以水一斗五升，煮鸡，减半，纳药煮，取半，纳清酒三升并胶再煎，取三
升，分三服，一日尽之，当温卧。忌海藻菘菜酢物桃李雀肉等。（一方当归芎 二两不用黄
芩生姜）
又若曾伤三月胎者，当预服茯神汤方。
茯神 丹参 龙骨（各一两） 阿胶 当归 甘草（炙） 人参（各二两） 赤小豆（二
十一
粒） 大枣（十三枚擘）
上九味切，酢浆一斗，煮取三升，分四服，七日后服一剂，腰痛者加桑寄生二两。忌海
藻菘菜。（深师有薤白二两麻子一升）
又妊娠四月，始受水精以成血脉，宜食稻粳羹鱼雁是谓成血气，以通耳目而行经络。
又妊娠四月，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。
又妊娠四月为离经，有寒心下温，温欲呕，胸膈满，不欲食，有热小便难，数数如淋状
，脐下苦急，猝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，猝有所下，菊花汤方。
菊花（如鸡子大一枚） 麦门冬（去心一升） 麻黄（三两去节） 阿胶（三两炙） 甘
草（二
两炙） 当归（二两） 人参（一两半） 生姜（五两） 半夏（二两洗） 大枣（十二枚
擘）
上十味，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。忌羊肉海藻菘菜饧等。
又若曾伤四月胎者，当预服调中汤方。
芍药（四两） 甘草（炙） 芎 续断（各一两） 生李根白皮 柴胡 白术（各三
两）
乌梅（一升） 当归（一两半） 生姜（四两） 浓朴（炙） 枳实（炙各二两）
上十二味切，以水一斗，煮取三升，分四服，日三夜一，八日复服一剂，一方半夏二两
。忌海藻菘菜桃李雀肉等物。
又妊娠五月始受火精，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。
又妊娠五月，足太阴脉养，不可针灸其经，足太阴内输于脾，五月之时儿四肢成，无大
饥无甚饱，无食干燥，无自炙热，无大劳倦。
又妊娠五月，毛发初生，有热苦头眩心乱呕吐，有寒苦腹满痛小便数，猝有恐怖四肢疼
痛，寒热胎动无常处，腹痛闷，顿欲仆，猝有所下，阿胶汤方。（又方旋复花汤）
阿胶（四两炙） 人参（一两） 麦门冬（一升去心） 生姜（六两） 吴茱萸 旋复
花
当归 芍药 甘草（炙） 黄芩（各一两）
上十味切，以清酒三升，以水九升，煮减半，纳清酒三升并胶微火煎，取三升半分四服
，日三服夜一，先食，再服便愈，不瘥更服。忌海藻菘菜。
又若曾伤五月胎者，当预服安中汤方。
甘草（炙） 芍药（各三两） 当归 人参 干地黄 芎 （各二两） 五味子（五合）
麦
门冬（去心一升） 大麻仁（五合） 生姜（六两） 大枣（三十五枚擘） 黄芩（一两）
上十二味切，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。
忌菘菜海藻芜荑。
又妊娠六月，始受金精，以成筋，身欲微劳，无得静处，出游于野，数观走犬马，食宜
鸷鸟猛兽之肉，是谓变腠理纫筋，以养其力，以坚背膂。
又妊娠六月，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。
又妊娠六月，猝有所动不安，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，麦冬汤方。
麦门冬（去心一升） 甘草（炙） 人参（各一两） 干地黄（三两） 黄芩（二两） 阿
胶
（四两） 生姜（六两） 大枣（十五枚擘）
上八味切，以水七升，煮减半，纳清酒二升并胶煎取三升，分三服，每服如人行三四里
，中间进糜粥。忌海藻菘菜芜荑。
又若曾伤六月胎，当预服柴胡汤方。
柴胡（四两） 芍药（一方作紫葳） 白术 甘草（炙各二两） 麦门冬（三两去心） 苁
蓉
（一两） 芎 （二两） 干地黄（五两） 生姜（六两） 大枣（三十枚擘）
上十味切，以水一斗，煮取三升，分四服，日三夜一，中间进糜粥，勿食生冷及坚强之
物，七日更服一剂。忌海藻菘菜芜荑桃李雀肉等。（一方有黄芩二两）
又妊娠七月，始受木精以成骨，劳身摇肢，无使定止，动作屈伸，以运血气，自此后居
处必燥，饮食避寒，常食粳稻，以密腠理，是谓养骨而坚齿。
又妊娠七月，手太阴脉养，不可针灸其经，手太阴内属于肺，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。
又妊娠七月，忽惊恐，摇动，腹痛，猝有所下，手足厥冷，脉若伤寒，烦热腹满，短
气，常苦颈项腰背强，葱白汤方。
葱白（长三四寸十四枚） 半夏（洗） 麦门冬（去心各一升） 生姜（八两） 甘草
（炙） 当
归黄 （各三两） 阿胶（四两） 人参（一两半） 黄芩（一两） 旋复花（一把）
上十一味切，以水八升，煮减半，纳清酒三升并胶煎，取四升，温服一升，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。忌羊肉饧海藻菘菜等。
又若曾伤七月胎者，当预服杏仁汤方
杏仁（去双仁皮尖） 甘草（炙） 钟乳（研各二两） 麦门冬（去心） 吴茱萸（各
一两）
干姜（二两） 五味子 粳米（各五合） 紫菀（一两）
上九味切，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。忌海
藻菘菜。
又妊娠八月，始受土精，以成肤革，和心静息，无使气极，是谓密腠理，光泽颜色。
又妊娠八月，手阳明脉养，不可针灸其经，手阳明内属于大肠，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。
又妊娠八月，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，或使寒栗腰背苦冷痛，而目视茫茫，芍药汤方。
芍药（四分） 人参 当归 甘草（炙各三两） 白术（一两） 浓朴（二两炙） 薤
白（切
一升） 生姜（四两切）
上八味切，以水五升酒四升合煮，取三升分三服，日再夜一。忌海藻菘菜桃李雀肉等。
又若曾伤八月胎者，当预服葵子汤方。
甘草（炙三两） 芍药（二两一方四两） 柴胡（三两） 葵子（一升） 白术（三两）
生姜（
六两） 大枣（二十枚擘） 浓朴（二两）
上八味切，以水九升，煮取三升，分三服，日三十日服一剂。忌海藻菘菜桃李雀肉等。
又妊娠九月，始受石精以成皮毛，六腑百节，莫不毕备，饮 食甘，缓带自持而待之，
是谓养毛发，多才力。
又妊娠九月，足少阴脉养，不可针灸其经，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。
又妊娠九月，若猝下痢，腹满悬急，胎上冲，腰背痛不可转侧，短气，半夏汤方。
半夏（洗） 麦门冬（去心各五合） 干姜（一两） 当归 吴茱萸 阿胶（炙各三两）
大枣
（十二枚擘）
上七味切，以水九升，煮取三升去滓，纳白蜜八合，微火上温，分四服，痢即止。
忌生血物饧等。
又若曾伤九月胎者，当预服猪肾汤方。
猪肾（一具） 茯苓 桑寄生 干姜 干地黄 芎 （各三两） 白术（四两） 麦门
冬
（一升去心） 附子（中者一枚炮） 大豆（三合）
上十味切，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。忌猪肉冷水芜荑桃李雀肉酢物等。
又妊娠十月，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
。（集验延年同并出第二卷中）
短剧疗妊娠五月日，举动惊愕，动胎不安，下在小腹，痛引腰胳（公洛切腋下也），小
便
疼，下血安胎当归汤方。
当归 阿胶（炙） 芎 人参（各一两） 大枣（十二枚擘） 艾（一虎口）
上六味切，以酒水各三升合，煮取三升，去滓，纳胶令烊分三服，腹中当小便缓瘥也。
（古今录验救急同出第七卷中）
The *Qianjin Fang* states that according to old theories, when conception occurs for three months, the fetus changes with external objects, and its constitution is not yet fixed. Therefore, during the first three months of pregnancy, it is desired that the pregnant woman observes rhinoceroses, elephants, and fierce beasts; pearls, jade, and treasures; sages, gentlemen, and great masters of virtue; rituals, music, bells, and drums; sacrificial vessels (*zu* and *dou*) and military formations; burns fragrant incense; recites the *Book of Poetry* and *Book of Documents*, as well as ancient and modern admonitions; resides in a simple and quiet place; does not eat food cut improperly; does not sit on mats arranged improperly; plays the qin and se; harmonizes the mind and spirit; moderates desires and passions; and keeps all affairs tranquil. The child born will be excellent, long-lived, loyal, filial, benevolent, righteous, intelligent, and free from disease. This is said to be the prenatal education of King Wen.
It further states that while in the womb, before the days and months are complete and Yin and Yang are fully prepared, the viscera, bones, and joints are not yet fully formed. Therefore, from conception until delivery, there are taboos regarding diet and living habits.
It also states that eating chicken 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 many tapeworms (*Cestoda*).
Eating sparrow meat and bean paste during pregnancy causes the child to have dark spots all over the face.
Eating goat meat during pregnancy causes the child to be prone to illness.
Eating rabbit and dog meat during pregnancy causes the child to be mute and cleft-lipped.
Eating donkey and horse meat during pregnancy leads to post-term pregnancy (delayed delivery).
Eating mulberries and duck meat during pregnancy causes breech presentation or footling presentation ("turning out") and coldness of the heart.
Eating mule meat during pregnancy causes difficult labor.
Eating sparrow meat and drinking alcohol during pregnancy causes internal licentiousness, emotional disorder, and a lack of shame.
Pregnant women should not urinate or defecate in inappropriate places, as this will certainly lead to miscarriage and even death.
Pregnant women should not eat sheep liver, as it causes the child to suffer many misfortunes.
Pregnant women should not eat soft-shelled turtle, as it causes the child to have a short neck.
Eating ice slush during pregnancy leads to sterility. (All above from Volume 2)
Regarding the first month of pregnancy, named "Initial Embryo" (*Shi Pei*), diet should be well-cooked, flavors sour and sweet, suitable for eating barley, and avoiding fishy, pungent, and spicy foods. This is called "Establishing Correctness" (*Cai Zheng*).
It also states that in the first month, the Foot Jueyin Meridian nourishes the fetus, and acupuncture/moxibustion on this meridian should be avoided. The Foot Jueyin internally connects to the Liver, which governs sinews and blood. At one month, blood flow is sluggish, and physical labor should be avoided. Sleep must be quiet, and fear should be prevented.
In the first month, Yin and Yang newly combine to form the embryo. If Cold predominates, pain occurs; if Heat predominates, sudden fright occurs. Lifting heavy objects causes lower back pain, abdominal fullness, and uterine urgency. If sudden bleeding occurs, preventive treatment is needed. The Wuci Ji Tang (Black Hen Decoction) is appropriate.
*Wuci Ji Tang:* One Black Hen (prepared for cooking), Poria (1 liang), Evodia (1 sheng), Peony, Atractylodes Macrocephala (each 3 liang), Ophiopogon (5 he, hearts removed), Ginseng (3 liang), Donkey-hide Gelatin (2 liang), Licorice (1 liang, roasted), Ginger (1 liang, sliced).
Ten ingredients are chopped. Boil the hen in 12 sheng of water to obtain 6 sheng of broth. Remove the hen and boil the remaining herbs in the broth to obtain 3 sheng. Add 3 sheng of wine and melt the gelatin. Obtain 3 sheng total. Strain. Warm and take 1 sheng, three times daily.
If the first month's fetus was previously damaged, Bupai Tang (Fetus-Nourishing Decoction) should be taken preventively.
*Bupai Tang:* Asarum (1 liang), Saposhnikovia (2 liang), Smoked Plum (1 sheng), Evodia (5 he), Rehmannia Root (dried), Atractylodes Macrocephala (each 1 liang), Barley (5 he), Ginger (4 liang).
Eight ingredients are chopped. Boil in 7 sheng of water to obtain 2.5 sheng. Strain. Divide into three warm doses. If Cold predominates, double the Asarum and Evodia. If Heat predominates with thirst, remove Asarum and Evodia, add Trichosanthes Root (2 liang). If there is excessive thinking, remove Barley, add Biota Seed (3 he). Avoid raw vegetables, Xanthium, peaches, plums, and sparrow meat. Another version uses Ginseng (1 liang).
Regarding the second month of pregnancy, named "Initial Paste" (*Shi Gao*), avoid pungent and fishy odors, reside in quiet places, and men should avoid exertion (sexual intercourse). All joints ache. This is called "Fetal Knotting."
In the second month, the Foot Shaoyang Meridian nourishes the fetus, and acupuncture/moxibustion on this meridian should be avoided. The Foot Shaoyang internally connects to the Gallbladder, which governs essence. At two months, the fetal essence forms in the uterus; care must be taken to prevent shock and disturbance.
At two months, Yin and Yang begin to occupy the meridians. If Cold predominates, the fetus may fail to develop; if Heat predominates, the fetus may wither. Sudden exposure to Wind-Cold causes movement, chest fullness, umbilical tension, stiff back, sudden bleeding, and alternating chills and fever. Mugwort Decoction is indicated.
*Mugwort Decoction:* Salvia (3 liang), Angelica Sinensis, Ginseng, Ephedra (nodes removed), Artemisia Folium, Donkey-hide Gelatin (roasted, each 2 liang), Licorice (1 liang, roasted), Jujube (12 pieces, broken), Ginger (1 liang).
Nine ingredients are chopped. Boil in 3 sheng of wine and 10 sheng of water until reduced by half. Strain, add gelatin, and simmer to obtain 3 sheng. Divide into three warm doses. Avoid Seaweed and Chinese Cabbage.
If the second month's fetus was previously damaged, Huanglian Tang (Coptis Decoction) should be taken preventively.
*Huanglian Tang:* Coptis, Ginseng (each 1 liang), Evodia (5 he), Fresh Rehmannia Root (5 liang), Ginger (3 liang).
Five ingredients are chopped. Boil in 7 sheng of vinegar-water mixture to obtain 3 sheng. Divide into four doses: three times daily and once at night. Prepare every ten days. If discomfort is felt, add Smoked Plum (1 sheng). If adding plum, use plain water instead of vinegar-water. Avoid pork, cold water, and Xanthium. Another version adds Angelica Sinensis (0.5 liang).
Regarding the third month of pregnancy, named "Initial Fetus" (*Shi Tai*). At this time, the form is not fixed, and it transforms upon seeing things. To conceive a boy, handle bows and arrows; to conceive a girl, play with beads/jewels. For beauty, gaze frequently at jade; for virtue, sit upright in purity. This is "external image affecting internal sensation."
In the third month, the Hand Jueyin Pericardium Meridian nourishes the fetus, and acupuncture/moxibustion on this meridian should be avoided. The Hand Jueyin internally connects to the Heart. Avoid sorrow, excessive thought, and shock.
At three months, the form is determined. If Cold predominates, stool is green; if Heat predominates, urination is difficult (yellow or red). Sudden fright, worry, anger, or joy causing falls disturbs the meridians, leading to abdominal fullness, periumbilical pain, back pain, and sudden bleeding. Rooster Meat Decoction is indicated.
*Rooster Meat Decoction:* One Rooster (prepared for cooking), Licorice (roasted), Ginseng, Poria, Donkey-hide Gelatin (each 2 liang), Scutellaria, Atractylodes Macrocephala (each 1 liang), Ophiopogon (hearts removed, 5 he), Peony (4 liang), Jujube (12 pieces, broken), Ginger (1 liang, sliced).
Eleven ingredients are chopped. Boil the rooster in 15 sheng of water until reduced by half. Add herbs, boil until half remains. Add 3 sheng of clear wine and gelatin, simmer again to obtain 3 sheng. Divide into three doses, finish within one day. Rest warmly. Avoid Seaweed, Chinese Cabbage, vinegar, peaches, plums, and sparrow meat. Another version adds Angelica Sinensis and Ligusticum Chuanxiong (each 2 liang), omitting Scutellaria and Ginger.
If the third month's fetus was previously damaged, Fushen Tang (Poria Spirit Decoction) should be taken preventively.
*Fushen Tang:* Poria with Hostwood, Salvia, Dragon Bone (each 1 liang), Donkey-hide Gelatin, Angelica Sinensis, Licorice (roasted), Ginseng (each 2 liang), Adzuki Bean (21 grains), Jujube (13 pieces, broken).
Nine ingredients are chopped. Boil in 10 sheng of vinegar-water to obtain 3 sheng. Divide into four doses. Take one dose after seven days. For lower back pain, add Taxus Chinensis Stem and Leaf (2 liang). Avoid Seaweed and Chinese Cabbage. (*Shenshi Fang* includes Scallion White (2 liang) and Hemp Seed (1 sheng)).
Regarding the fourth month of pregnancy, water essence is received to form blood vessels. Diet should include rice, porridge, fish, and wild goose. This forms blood and Qi, opening the ears and eyes and circulating through the meridians.
In the fourth month, the Hand Shaoyang Sanjiao Meridian nourishes the fetus, and acupuncture/moxibustion on this meridian should be avoided. The Hand Shaoyang internally connects to the Sanjiao. At four months, the six Fu organs are smoothly formed. Keep the body still, harmonize the mind, and regulate diet.
At four months, known as "Departing the Meridian," if Cold predominates, the epigastrium feels warm, nausea occurs, chest/diaphragm fullness arises, and appetite is lost. If Heat predominates, urination is difficult and frequent (like strangury), umbilical urgency occurs. Sudden Wind-Cold causes stiff neck, alternating chills/fever, body shock, back/abdominal pain, periodic episodes, fetal pressure on the chest, restlessness, and sudden bleeding. Chrysanthemum Decoction is indicated.
*Chrysanthemum Decoction:* Chrysanthemum (size of an egg, 1 piece), Ophiopogon (hearts removed, 1 sheng), Ephedra (3 liang, nodes removed), Donkey-hide Gelatin (3 liang, roasted), Licorice (2 liang, roasted), Angelica Sinensis (2 liang), Ginseng (1.5 liang), Ginger (5 liang), Pinellia (2 liang, washed), Jujube (12 pieces, broken).
Ten ingredients. Boil in 8 sheng of water until reduced by half. Add 3 sheng of clear wine and gelatin, simmer to obtain 3 sheng. Divide into three doses. Rest warmly. Induce sweating and apply powder. Protect against Wind-Cold for 4-5 days. Avoid mutton, Seaweed, Chinese Cabbage, and maltose.
If the fourth month's fetus was previously damaged, Tiaozhong Tang (Middle-Harmonizing Decoction) should be taken preventively.
*Tiaozhong Tang:* Peony (4 liang), Licorice (roasted), Ligusticum Chuanxiong, Dipsacus (each 1 liang), Li Root Bark (fresh), Bupleurum, Atractylodes Macrocephala (each 3 liang), Smoked Plum (1 sheng), Angelica Sinensis (1.5 liang), Ginger (4 liang), Magnolia Bark (roasted), Immature Bitter Orange (roasted, each 2 liang).
Twelve ingredients are chopped. Boil in 10 sheng of water to obtain 3 sheng. Divide into four doses: three times daily and once at night. Take another dose after eight days. Another version includes Pinellia (2 liang). Avoid Seaweed, Chinese Cabbage, peaches, plums, and sparrow meat.
Regarding the fifth month of pregnancy, fire essence is received to form Qi. Wake up late, bathe, wash clothes, live in deep quarters, wear thick clothes, absorb morning sunlight to avoid Cold. Eat rice and wheat, beef and mutton soup, flavored with Evodia and five flavors. This nourishes Qi and stabilizes the Zang organs.
In the fifth month, the Foot Taiyin Spleen Meridian nourishes the fetus, and acupuncture/moxibustion on this meridian should be avoided. The Foot Taiyin internally connects to the Spleen. At five months, fetal limbs form. Avoid extreme hunger or fullness, dry foods, self-heating, and excessive fatigue.
At five months, hair begins to grow. If Heat predominates, dizziness, mental confusion, and vomiting occur. If Cold predominates, abdominal fullness/pain and frequent urination occur. Sudden terror, limb pain, alternating chills/fever, irregular fetal movement, abdominal pain/fainting, sudden collapse, and sudden bleeding indicate Ejiao Tang. (Alternative: Inula Flower Decoction).
*Ejiao Tang:* Donkey-hide Gelatin (4 liang, roasted), Ginseng (1 liang), Ophiopogon (1 sheng, hearts removed), Ginger (6 liang), Evodia, Inula Flower, Angelica Sinensis, Peony, Licorice (roasted), Scutellaria (each 1 liang).
Ten ingredients are chopped. Boil in 3 sheng of clear wine and 9 sheng of water until reduced by half. Add 3 sheng of clear wine and gelatin, simmer on low heat to obtain 3.5 sheng. Divide into four doses: three times daily and once at night, before meals. Repeat if necessary. Avoid Seaweed and Chinese Cabbage.
If the fifth month's fetus was previously damaged, Anzhong Tang (Middle-Anchoring Decoction) should be taken preventively.
*Anzhong Tang:* Licorice (roasted), Peony (each 3 liang), Angelica Sinensis, Ginseng, Dried Rehmannia, Ligusticum Chuanxiong (each 2 liang), Schisandra (5 he), Ophiopogon (hearts removed, 1 sheng), Hemp Seed (5 he), Ginger (6 liang), Jujube (35 pieces, broken), Scutellaria (1 liang).
Twelve ingredients are chopped. Boil in 7 sheng of water and 5 sheng of clear wine to obtain 3.5 sheng. Divide into four doses: three times daily and once at night. Take another dose after seven days. Avoid Chinese Cabbage, Seaweed, and Xanthium.
Regarding the sixth month of pregnancy, metal essence is received to form sinews. The body should engage in slight labor, not remain static. Go outdoors, watch running dogs and horses. Eat meat of birds of prey and fierce beasts. This alters the pores, toughens sinews, builds strength, and strengthens the back.
In the sixth month, the Foot Yangming Stomach Meridian nourishes the fetus, and acupuncture/moxibustion on this meridian should be avoided. The Foot Yangming internally connects to the Stomach, governing the mouth and eyes. At six months, fetal mouth and eyes form. Harmonize the five flavors, eat sweet/delicious food, avoid overeating.
If the fetus moves suddenly and uncomfortably, with alternating chills/fever, abdominal distension, edema, fear, sudden bleeding, labor-like abdominal pain, and painful limbs, Maidong Tang is indicated.
*Maidong Tang:* Ophiopogon (hearts removed, 1 sheng), Licorice (roasted), Ginseng (each 1 liang), Dried Rehmannia (3 liang), Scutellaria (2 liang), Donkey-hide Gelatin (4 liang), Ginger (6 liang), Jujube (15 pieces, broken).
Eight ingredients are chopped. Boil in 7 sheng of water until reduced by half. Add 2 sheng of clear wine and gelatin, simmer to obtain 3 sheng. Divide into three doses. Between doses, consume millet gruel. Avoid Seaweed, Chinese Cabbage, and Xanthium.
If the sixth month's fetus was previously damaged, Chaihu Tang (Bupleurum Decoction) should be taken preventively.
*Chaihu Tang:* Bupleurum (4 liang), Peony (alternative: Cornus), Atractylodes Macrocephala, Licorice (roasted, each 2 liang), Ophiopogon (hearts removed, 3 liang), Cistanche (1 liang), Ligusticum Chuanxiong (2 liang), Dried Rehmannia (5 liang), Ginger (6 liang), Jujube (30 pieces, broken).
Ten ingredients are chopped. Boil in 10 sheng of water to obtain 3 sheng. Divide into four doses: three times daily and once at night. Consume millet gruel between doses. Avoid cold/raw/hard foods. Take another dose after seven days. Avoid Seaweed, Chinese Cabbage, Xanthium, peaches, plums, and sparrow meat. (Another version includes Scutellaria 2 liang).
Regarding the seventh month of pregnancy, wood essence is received to form bones. Labor the body, shake limbs, do not stay still. Move flexibly to circulate blood and Qi. From then on, keep living quarters dry, avoid Cold in diet, eat rice regularly to tighten pores. This nourishes bones and strengthens teeth.
In the seventh month, the Hand Taiyin Lung Meridian nourishes the fetus, and acupuncture/moxibustion on this meridian should be avoided. The Hand Taiyin internally connects to the Lung, governing skin and hair. At seven months, fetal skin and hair form. Do not speak loudly, cry, wear thin clothes, bathe, or drink cold liquids.
If sudden fright, shaking, abdominal pain, and sudden bleeding occur, with cold extremities, pulse resembling Cold Damage, irritability, abdominal fullness, shortness of breath, and stiff neck/back, Congbai Tang is indicated.
*Congbai Tang:* Scallion White (3-4 cun long, 14 pieces), Pinellia (washed), Ophiopogon (hearts removed, each 1 sheng), Ginger (8 liang), Licorice (roasted), Angelica Sinensis, Scutellaria (each 3 liang), Donkey-hide Gelatin (4 liang), Ginseng (1.5 liang), Scutellaria (1 liang - *Note: Text lists Scutellaria twice, likely cumulative or error, transcribed as is*), Inula Flower (1 bundle).
Eleven ingredients are chopped. Boil in 8 sheng of water until reduced by half. Add 3 sheng of clear wine and gelatin, simmer to obtain 4 sheng. Warm and take 1 sheng, three times daily and once at night. Rest warmly to induce sweat. If no sweat, add Ephedra (2 liang) and boil. Follow previous method. After autumn, do not force sweating. Avoid mutton, maltose, Seaweed, and Chinese Cabbage.
If the seventh month's fetus was previously damaged, Xingren Tang (Apricot Kernel Decoction) should be taken preventively.
*Xingren Tang:* Apricot Kernel (remove double kernels, skin, tips), Licorice (roasted), Calcitrum (ground, each 2 liang), Ophiopogon (hearts removed), Evodia (each 1 liang), Dried Ginger (2 liang), Schisandra, Glutinous Rice (each 5 he), Aster (1 liang).
Nine ingredients are chopped. Boil in 8 sheng of water to obtain 3.5 sheng. Divide into four doses: three times daily and once at night. Eat between doses. Take one dose every seven days. Avoid Seaweed and Chinese Cabbage.
Regarding the eighth month of pregnancy, earth essence is received to form skin. Calm the mind, breathe quietly, avoid excessive Qi tension. This tightens pores and brightens complexion.
In the eighth month, the Hand Yangming Large Intestine Meridian nourishes the fetus, and acupuncture/moxibustion on this meridian should be avoided. The Hand Yangming internally connects to the Large Intestine, governing the nine orifices. At eight months, fetal orifices form. Avoid dry foods, frequent fasting, and straining to rise.
If Wind-Cold invades, causing whole-body pain, alternating chills/fever, fetal restlessness, dizziness/headache, cold below the umbilicus, frequent urination with white/cloudy fluid (like rice water), yellow/green discoloration, chills, cold/stiff back pain, and blurred vision, Shaoyao Tang is indicated.
*Shaoyao Tang:* Peony (4 fen), Ginseng, Angelica Sinensis, Licorice (roasted, each 3 liang), Atractylodes Macrocephala (1 liang), Magnolia Bark (2 liang, roasted), Scallion White (cut, 1 sheng), Ginger (4 liang, sliced).
Eight ingredients are chopped. Boil in 5 sheng of water and 4 sheng of wine to obtain 3 sheng. Divide into three doses: twice daily and once at night. Avoid Seaweed, Chinese Cabbage, peaches, plums, and sparrow meat.
If the eighth month's fetus was previously damaged, Kuizi Tang (Abutilon Seed Decoction) should be taken preventively.
*Kuizi Tang:* Licorice (roasted, 3 liang), Peony (2 liang, alternative 4 liang), Bupleurum (3 liang), Abutilon Seed (1 sheng), Atractylodes Macrocephala (3 liang), Ginger (6 liang), Jujube (20 pieces, broken), Magnolia Bark (2 liang).
Eight ingredients are chopped. Boil in 9 sheng of water to obtain 3 sheng. Divide into three doses. *Text says "daily thirty days take one dose" (日三十日服一剂), likely a textual corruption for a specific frequency.* Avoid Seaweed, Chinese Cabbage, peaches, plums, and sparrow meat.
Regarding the ninth month of pregnancy, stone essence is received to form skin and hair. The six Fu organs and hundred joints are complete. Eat sweet foods, loosen belts, wait patiently. This nourishes hair and increases strength.
In the ninth month, the Foot Shaoyin Kidney Meridian nourishes the fetus, and acupuncture/moxibustion on this meridian should be avoided. The Foot Shaoyin internally connects to the Kidney, governing vessel connections. At nine months, fetal vessels are complete. Avoid damp/cold places and heated clothing.
If sudden diarrhea, abdominal fullness/tension, fetal rising, inability to turn due to back pain, and shortness of breath occur, Banxia Tang is indicated.
*Banxia Tang:* Pinellia (washed), Ophiopogon (hearts removed, each 5 he), Dried Ginger (1 liang), Angelica Sinensis, Evodia, Donkey-hide Gelatin (roasted, each 3 liang), Jujube (12 pieces, broken).
Seven ingredients are chopped. Boil in 9 sheng of water to obtain 3 sheng. Strain, add Honey (8 he), warm on low heat. Divide into four doses. Diarrhea stops. Avoid raw blood products and maltose.
If the ninth month's fetus was previously damaged, Zhushen Tang (Pig Kidney Decoction) should be taken preventively.
*Zhushen Tang:* Pig Kidney (one), Poria, Taxus Chinensis Stem and Leaf, Dried Ginger, Dried Rehmannia, Ligusticum Chuanxiong (each 3 liang), Atractylodes Macrocephala (4 liang), Ophiopogon (hearts removed, 1 sheng), Aconite (medium size, one, processed), Soybean (3 he).
Ten ingredients are chopped. Boil the kidney in 10 sheng of water until cooked. Remove kidney, add herbs, simmer to obtain 3.5 sheng. Divide into four doses: three times daily and once at night. Take another dose after ten days. Avoid pork, cold water, Xanthium, peaches, plums, sparrow meat, and vinegar.
Regarding the tenth month of pregnancy, the five Zang organs are complete, the six Fu organs are open, Heaven and Earth Qi are gathered in the Dantian. Thus, joints and spirit are complete, waiting only for the time to be born. (*Jiyan Fang* and *Yannian Fang* are identical, both from Volume 2).
*Duanju Fang* treats the fifth month of pregnancy where sudden shock disturbs the fetus, causing restlessness, bleeding in the lower abdomen, pain radiating to the waist/armpits, painful urination, and bleeding. Danggui Tang for Nourishing the Fetus is indicated.
*Danggui Tang for Nourishing the Fetus:* Angelica Sinensis, Donkey-hide Gelatin (roasted), Ligusticum Chuanxiong, Ginseng (each 1 liang), Jujube (12 pieces, broken), Mugwort (one tiger-mouthful).
Six ingredients are chopped. Boil in 3 sheng of water and 3 sheng of wine to obtain 3 sheng. Strain, melt gelatin. Divide into three doses. Urination should become smooth and recovery follows. (*Gujin Luyian* and *Jiuji Fang* are identical, both from Volume 7).