汪石山曰∶徐之才与巢元方,有十月养胎用药之法,当逐月详其所属之经,气血虚实,而用是经之药,虚则
补之,壅者疏之,热则凉之,寒者温之,不可汗下,及利小便。盖胎元必赖气血以养,若汗则亡阳伤气,下则
亡阴伤血,利小便则伤精液。是以三者,皆在所忌。凡胎前病,总以养血、健脾、清热、疏气为主。
慎斋按∶十月分经养胎之说,创自巢元方《病源论》。夫巢氏为隋代名医,张子和叹其谬立名色。故云支派
之分,自巢氏始。《病源》之失,亦自巢氏始。即如受胎,始于命门子户,人身十二经气血,俱翕聚以养胎元,
岂有某经养某月胎之理。而陈良甫附会其说,以五行分发四时,安养胎法,尤无理甚矣。若
徐之才,又因元方、良甫之谬,而以十月分发某月见某证,则用某药立方主治,分列条下。夫孕妇胎前,病邪
百出,岂有限于某月必见某证,执用某方以治之,不但胶柱鼓瑟,直是齐东之语,荒诞不稽者也。故存巢陈二
论,删去徐氏十条,以正《妇人良方》讹以传讹之失。汪石山见理甚明,亦从而称述之,何欤?
汪石山曰∶妊娠必须清热调血,使血循经,以养其胎。故丹溪用黄芩、白术,为安胎圣药。盖胎之成,由母
之气血蓄聚以养之,气血既聚则易郁。是以先哲多用黄芩清热,香附开郁也。
Wang Shishan stated: Xu Zhicai and Chao Yuanfang proposed methods for medicinally nourishing the fetus over ten months of pregnancy. One should examine month by month which meridians are involved, as well as the deficiency or excess of Qi and Blood, and then use herbs corresponding to those meridians. For deficiency, tonify it; for stagnation, unblock it; for heat, cool it; for cold, warm it. Sweating (diaphoresis), purgation, and promoting urination must not be used. This is because the fetal origin relies on Qi and Blood for nourishment. If sweating is induced, Yang Qi is lost and Zheng Qi (Upright Qi) is damaged; if purgation is used, Yin fluids are lost and Blood is damaged; if urination is promoted, Essence and Body Fluids are damaged. Therefore, these three methods are all contraindicated. Generally, diseases during pregnancy should primarily focus on nourishing Blood, strengthening the Spleen, clearing Heat, and regulating Qi.
Shenzhai commented: The theory of nourishing the fetus by meridians according to specific months originated from Chao Yuanfang's *Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Symptoms of All Diseases). Chao was a famous physician of the Sui Dynasty; Zhang Zihe lamented his erroneous creation of disease categories. Thus, it is said that the branching of medical schools began with Chao, and the flaws in *Zhu Bing Yuan Hou Lun* also began with him. Regarding conception, it starts at the Mingmen (Gate of Life) and Zihu (Sub-house/Uterus). The Qi and Blood of the twelve meridians of the body gather together to nourish the fetal origin. How could there be a principle where one specific meridian nourishes the fetus in a specific month? Chen Liangfu later forced this theory upon the Five Elements distributed across four seasons, formulating methods for calming the fetus, which was extremely illogical. Furthermore, Xu Zhicai, following the errors of Chao Yuanfang and Chen Liangfu, assigned specific symptoms appearing in specific months over ten months, prescribing specific herbs and formulas for treatment, listed item by item. However, pathogenic factors in pregnant women during gestation are myriad and variable. How can it be limited to certain symptoms appearing only in certain months, rigidly using specific formulas for treatment? This is not only inflexible and dogmatic but also akin to the absurd tales of Qidong—wild, unreasonable, and unverifiable. Therefore, the theories of Chao and Chen were retained, while Xu’s ten points were deleted to correct the error of passing down mistakes found in *Fu Ren Liang Fang* (Good Prescriptions for Women). Wang Shishan saw the truth clearly and further expounded upon it. Why is this?
Wang Shishan stated: In pregnancy, one must clear Heat and regulate Blood, ensuring Blood circulates within the meridians to nourish the fetus. Therefore, Zhu Danxi used Huangqin (Scutellariae Radix) and Baizhu (Atractylodis Macrocephalae Rhizoma) as the sacred medicines for calming the fetus. The formation of the fetus depends on the accumulation and gathering of the mother's Qi and Blood for nourishment. Once Qi and Blood gather, they are prone to stagnation. Hence, ancient sages often used Huangqin to clear Heat and Xiangfu (Cyperi Rhizoma) to resolve stagnation.