初月胎形。一点精华。如草上露珠。未有宫室。在牝户之处。未入腹内。其形或聚或散。
初月胎症。少妇初次怀胎。一月满足。害羞不对人言。时医不识。误作阻经治。致有头晕
恶心。饮食少思。腹内作痛。六脉浮紧。并妇人禀气薄。及病后受胎。俱须用罩胎方保之。
若只气不和。可服安胎和气散。
当归 白芍(各四钱) 枳壳(三钱) 砂仁(二钱) 甘草(六分) 分二帖。空心温服。
藿香 陈皮 苍术 砂仁 黄芩 桔梗 益智仁(各二钱) 浓朴 枳壳(各一钱) 甘草 紫
苏(各二钱) 小茴(一钱五分) 分二帖。加灯心(一团) 空心温服。
二月胎形似花绽。以受胎一月满足。已受血近阳。形如桃花。分枝叶在母阴户内六七寸。其
胎入腹。未入衣裹。二月胎症。贫寒之妇。挑砖弄瓦。移床运物。伤触胎气。致有头晕。目
花。恶心。呕吐。不思饮食。并虚弱妇。胎气不安。俱宜安胎和气散治之。若惯堕胎者。当
一月内。两服安胎和气散。保过五个月。身孕而止。
(〔吴按〕凡受孕一月之后。不劳动者。亦有恶阻。轻者不必治。重者只服药数剂而已。倘
虚弱惯堕胎者。必须大补气血。庶根深蒂固。若和气散。只可治恶阻耳。)
三月胎形似蚕茧。渐渐长形。一头大一头小。其头尖圆。未入宫室。已至脐下。渐有裹其形
薄衣胞之。
三月胎症。虚弱之妇。胎气不和。恶心呕吐。或触动胎气。或秋天极寒极热相蒸。所染各症
。俱用前安胎和气散加减。如患疟。加青皮(二钱) 草果(三钱切忌用常山) 潮热。加黄芩
柴胡。(各三钱) 嗽。加杏仁。五味子。(各二钱) 气急。加沉香。(五分磨冲)
(〔吴按〕沉香重坠不宜用。)
四月胎形。已入子宫之室。衣裹已至丹田之所。忌食兔獐诸毒之物。
四月胎症。胎至四月。能令孕妇身体困倦。气急发热。饮食无味。贪眠。头晕。四肢酸软。宜用活胎和气散治之。
The fetal form in the first month. It is a point of essence. Like a dewdrop on grass. No uterine cavity (Baogong) has formed yet. It is located at the vaginal orifice. Not yet entered into the abdominal cavity. Its shape may be gathered or scattered.
The symptoms of pregnancy in the first month. Young women who are pregnant for the first time. When one month is complete. They feel shy and do not wish to speak of it to others. Contemporary physicians, unfamiliar with this condition. Mistakenly treated it as menstrual obstruction. Leading to symptoms such as dizziness, nausea, loss of appetite, and abdominal pain. The pulse presents as floating and tight in all six positions. As well as cases where the woman has a weak congenital constitution, or conceived after an illness. In these cases, Zao Tai Fang (Cage Fetus Decoction) must be used to protect the fetus. If it is merely disharmony of Qi, An Tai He Qi San (Fetus-Calming and Qi-Harmonizing Powder) can be taken.
Dang Gui (Angelicae Sinensis Radix), Bai Shao (Paeoniae Radix Alba) (4 qian each), Zhi Ke (Aurantii Fructus Immaturus) (3 qian), Sha Ren (Amomi Fructus Rotundus) (2 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (6 fen). Divided into two doses. Take warm on an empty stomach.
Huo Xiang (Agastaches Herba), Chen Pi (Citri Reticulatae Pericarpium), Cang Zhu (Atractylodis Rhizoma), Sha Ren (Amomi Fructus Rotundus), Huang Qin (Scutellariae Radix), Jie Geng (Platycodonis Radix), Yi Zhi Ren (Alpiniae Oxyphyllae Fructus) (2 qian each), Hou Po (Magnoliae Officinalis Cortex), Zhi Ke (Aurantii Fructus Immaturus) (1 qian each), Gan Cao (Glycyrrhizae Radix et Rhizoma), Zi Su (Perillae Folium) (2 qian each), Xiao Hui (Foeniculi Fructus) (1.5 qian). Divided into two doses. Add Deng Xin Cao (Junci Medullia) (one ball). Take warm on an empty stomach.
The fetal form in the second month resembles a blooming flower. Because after one month of conception. It has received nourishment from blood and approached Yang Qi. The shape is like a peach blossom. Branches and leaves extend within the mother's vagina, six to seven cun deep. At this stage, the fetus enters the abdominal cavity. But has not yet been enclosed by the chorion (Baoyi). Symptoms of pregnancy in the second month. Poor and hardworking women. Engaging in labor such as carrying bricks, moving beds, and transporting objects. Damage and disturb the fetal Qi. Resulting in dizziness, blurred vision, nausea, vomiting, and loss of appetite. Also suitable for women with weak constitutions experiencing unstable fetal Qi. All should be treated with An Tai He Qi San (Fetus-Calming and Qi-Harmonizing Powder). For those with a history of habitual abortion. Two doses of An Tai He Qi San (Fetus-Calming and Qi-Harmonizing Powder) should be taken within the first month. To protect through five months. Until the pregnancy stabilizes.
([Wu's Commentary] After one month of conception. Even non-working pregnant women may experience morning sickness (E Zu). Mild cases need no treatment. Severe cases require only a few doses of medicine. For weak women with a history of habitual abortion. Major tonification of Qi and Blood is necessary to ensure a solid foundation. An Qi San (Harmonizing Qi Powder) is only suitable for treating morning sickness.)
The fetal form in the third month resembles a silkworm cocoon. Gradually growing into shape. Large at one end and small at the other. The head is pointed and round. Not yet entered the uterus. Has reached below the umbilicus. A thin layer of chorion (Baoyi) gradually begins to wrap around its form.
Symptoms of pregnancy in the third month. Weak women with disharmonious fetal Qi. Experiencing nausea and vomiting. Or disturbed fetal Qi. Or contracted various ailments due to extreme cold and heat alternating in autumn. All such conditions should be treated with modifications of the aforementioned An Tai He Qi San (Fetus-Calming and Qi-Harmonizing Powder). If malaria occurs. Add Qing Pi (Tangerine Peel Immature) (2 qian) and Cao Guo (Tsaoko Fructus) (3 qian, strictly avoid Chang Shan). For tidal fever. Add Huang Qin (Scutellariae Radix) and Chai Hu (Bupleuri Radix) (3 qian each). For cough. Add Xing Ren (Armeniacae Semen Amarum) and Wu Wei Zi (Schisandrae Fructus) (2 qian each). For shortness of breath. Add Chen Xiang (Aquilariae Lignum Resinatum) (5 fen, ground and mixed).
([Wu's Commentary] Chen Xiang (Aquilariae Lignum Resinatum) is heavy and sinking, and should not be used.)
The fetal form in the fourth month. Has entered the interior of the uterus. The chorion (Baoyi) has reached the Dantian area. Avoid consuming toxic substances such as rabbit and zhang meat.
Symptoms of pregnancy in the fourth month. By the fourth month. The fetus causes the pregnant woman to feel physically fatigued. Shortness of breath, fever, loss of taste in food, excessive sleepiness, dizziness, and soreness and weakness in the four limbs. Should be treated with Huo Tai He Qi San (Living Fetus and Qi-Harmonizing Powder).