北齐名医徐之才云∶妊娠一月名始胚，饮食精熟，酸美受御，宜食大麦，毋食腥辛，是
谓才正。妊娠一月，足厥阴脉养，不可针灸其经。（如大敦、行间、太冲、中封、五里、中
等穴是也。）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。
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（一只，治如食法） 茯苓 阿胶（各二两） 吴茱萸（一升） 麦门冬（五合，去心）
人参 芍药 白术（各三两） 甘草 生姜（各一两）
上 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。
补胎汤 若曾伤一月胎者，当预服此。
细辛（一两） 防风（二两） 干地黄 白术（各三两） 生姜（四两） 吴茱萸 大麦（各五合）
乌梅（一升）
上八味 咀，以水七升，煮取二升半，分三服，先食服。寒多者倍细辛、茱萸。热多
渴者去之，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，无食辛臊，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。（如胆窍、丘墟、付阳、绝骨、外立、阳陵泉等穴是也。）足少阳
内属于胆，胆主精，二月之时，儿精成于胞里，当慎护惊动也。
妊娠二月，始阴阳踞经。有寒多坏不成，有热即萎悴，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。宜服。
艾叶汤
艾叶 丹参 当归 麻黄（各二两） 人参 阿胶（各三两） 甘草（一两） 生姜（六两）
大枣（十二枚）
上九味， 咀，以酒三升，水一斗，煮减半，去滓内胶，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，次以水一斗二升，先
煮取汁，去鸡纳药，煎取三升，纳血、酒并胶，煎取三升，分温三服。
黄连汤 若曾伤二月胎者，当预服此。
黄连 人参（各一两） 吴茱萸（五合） 生姜（三两） 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，日三夜一，十日一修合。若颇觉不安，
加乌梅一升。加乌梅者不用浆，直用水耳。一方用当归半两。
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。（如中冲、劳宫、大陵、内关、间使、 门、曲泽等穴是也。）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，宜服。
雄鸡汤
雄鸡（一只，治如食法） 黄芩 白术 生姜
（各一两） 麦门冬（五合） 芍药 大枣（十二枚，掰） 甘草 人参 茯苓 阿胶（各二两）
上为 咀，以水一斗三升，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，一日令尽，当温卧。一方用当归、芎各二两，不用黄芩、生姜。
茯神汤 曾伤三月胎者，当预服此方。
茯神 丹参 龙骨（各一两） 阿胶 当归 甘草 人参（各二两） 大枣（二十一枚，掰）
赤小豆（二百粒）
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。（深师有薤白二两，麻子一升。）
〔丹〕一妇人但有孕至三个月左右必堕，其脉左手大而无力，重取则涩，知其血
少也。以其妙年，只补中气，使血自荣。时初夏，教以浓煎白术汤下黄芩末一钱，与数
十帖，得保全而生。因思之堕于纳热而虚者，于理为多。曰热，曰虚，当分轻重。盖孕至
三月，上属相火，所以易堕，不然何以黄芩，熟艾，阿胶，为安胎妙药也。
妇人经候三月验法∶川芎生末浓煎汤，空心下一匙，腹中微动者是有胎。
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。（如关冲、阳池、内关、三阳、天井、曲垣等穴是也。）
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，腰背腹育，往来有时，胎上迫胸，心
烦不得安，卒有所下。宜服。
菊花汤
菊花（鸡子大，一枚） 麦门冬（一升） 大枣（十二枚） 人参（一两半） 甘草
当归（各二两） 麻黄 阿胶（各三两） 半夏（四两） 生姜（五两）
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，煮汁煎药。
调中汤 若曾伤四月胎者，当预服此。
白芍药 生姜（各四两） 浓朴 生李根白皮 枳实 白术 柴胡（各三两） 续断 芎
甘草（各一两） 当归（一两半） 乌梅（一升）
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，浓其衣服，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，（如隐白、大都、公孙、商丘、三阴交、漏谷、阴陵泉
等穴是也。）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。宜服。
阿胶汤
阿胶（四两） 人参（一两） 生姜（六两） 当归 芍药 甘草 黄芩（各二两）
旋复花（二合） 吴茱萸（七合） 麦门冬（一升）
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
汁煎药减半，纳酒并胶，煎取三升半，分四服。
安中汤 曾伤五月胎者，当预服此。
黄芩（一两） 当归 芎 干地黄 人参（各二两） 甘草 芍药（各三两）
生姜（六两） 麦门冬（一升） 五味子 大麻仁（各五合） 大枣（三十五枚）
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。
安胎当归汤 若妊娠五月，举动惊愕，胎不安，小腹痛引腰胳，小便下血。
当归 阿胶（炒） 川芎 人参（各一两） 大枣（十二枚） 艾叶（一把）
上以酒水各三升，煮至三升，纳胶令烊，分三服。一方有甘草，无参、枣。
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。（如厉兑、丰隆、阴市、上下廉、三里等穴是也。）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，无太饱。
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（一升） 人参 甘草 黄芩（各二两） 干地黄（三两） 阿胶（四两） 生姜（六两）
大枣（十五枚）
上八味，以水七升，煮减半，纳清酒二升并胶，煎取三升，分三服，中间迸糜粥。一
方用乌雌鸡一只，煮汁煎药。
柴胡汤 若曾伤六月胎者，当预服此方。
柴胡（四两） 苁蓉（一两） 白术 芍药（一作紫葳） 甘草 麦门冬 芎 （各二两）
生姜（六两） 干地黄（五两） 大枣（三十枚）
上 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。一方有黄芩二两。
旋复花汤 《集验》疗妊娠六七月，胎不安常处。（亦治阻病。）
旋复花（一两） 浓朴（制） 白术 枳壳 黄芩（炒） 茯苓（各三两） 半夏（炒，一方无）
芍药 生姜（各二两）
上以水一斗，煮取二升半，分五服，先食服，日三夜二。忌羊肉、饧、醋、桃、李、
雀肉。
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。（如少商、鱼际、列缺、尺泽、天府等穴是也。）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（长三四寸，十四茎） 半夏 麦门冬（各一升） 旋复花（二合） 黄芩（一两）
人参（一两半） 甘草 当归 黄 （各三两） 阿胶（四两） 生姜（八两）
上十一味 咀，以水二升，煮减半，纳清酒三升及胶，煎取四升，每服一升，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。一方以
黄雌鸡一只，割咽取血纳酒中，煮鸡取汁以煎药。
杏仁汤 若曾伤七月胎者，当预服此。
杏仁 甘草（各二两） 紫菀（一两） 钟乳 干姜（各三两） 麦门冬 吴茱萸（一升）
粳米（五合） 五味子（三合）
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，和心静息，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。（如商阳、二间、合谷、上下廉、三里、曲池、肩并、
肩等穴是也。）手阳明内属于大肠，主九窍，八月之时，儿九窍皆成，无食燥物，无辄失食，
无忍大起。
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KT KT 。芍药汤 主之。
芍药 生姜（各四两） 浓朴（二两） 甘草 当归 白术 人参（各三两） 薤白（切，一升）
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。
葵子汤 若曾伤八月胎者，当预服此。
葵子（二升） 甘草 浓朴（各二两） 白术 柴胡（各三两） 芍药（四两） 生姜（六两）
大枣（二十枚）
上八味 咀，以水九升，煮取三升，分三服，日三，凡十日一剂。一方用乌雌鸡一
只，煮汁煎药。
丹溪缩胎丸 八九个月用之。
黄芩（夏一两、秋七钱、冬半两，酒炒） 白术（二两） 陈皮（三两，去白） 茯苓（七钱半）
上为末，粥丸桐子大。
妊娠九月，始受石精以成皮毛，六腑百节，莫不毕备，饮醴食甘，缓带自持而待之，
是谓养毛发，致才力。
妊娠九月，足少阴脉养，不可针灸其经。（如涌泉、然谷、太溪、交信、筑宾、伏溜等穴是也。）
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。
妊娠九月，若卒得下痢，腹满悬急，胎上冲心，腰背痛不可转侧，短气。宜服
半夏汤
半夏 麦门冬 吴茱萸 当归 阿胶（各三两） 干姜（一两） 大枣（十二枚）
上七味 咀，以水九升，煮取三升，去滓纳白蜜八合，微火上温，服四服，痢即止。
一方用乌雌鸡一只，煮汁煎药。
猪肾汤 若曾伤九月胎者，当预服此。
猪肾（一具） 茯苓 桑寄生 干姜 干地黄 芎 （各三两） 白术（四两）
附子（中者，一枚） 大豆（三合） 麦门冬（一升）
上 咀，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。
丹溪缩胎丸 九个月用之。
黄芩（一两，宜热药，不宜凉药，怯人减半） 枳壳（炒，七钱半） 滑石（七钱半，临月十
日前，小便多时，加此一味） 白术（一两）
上为末，粥丸如桐子大，每服三十丸，空心热汤下。
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。
妊娠一月始胚，二月始膏，三月始胞，四月形体成，五月能动，六月筋骨立，七月毛
发生，八月脏腑具，九月谷气入胃，十月诸神备，日满即产矣。宜服滑胎药，入月即服。
Xu Zhicai, a renowned physician of the Northern Qi Dynasty, stated: In the first month of pregnancy, it is called "Shi Pei" (Initial Embryo). The diet should be refined and well-cooked, with flavors favoring sour and delicious. Barley (*Hordeum vulgare*) is suitable for consumption, while fishy and pungent/spicy foods should be avoided. This is referred to as "Cai Zheng" (Regulation by Talent). During the first month of pregnancy, the Foot Jueyin Liver Meridian nourishes the fetus, and acupuncture or moxibustion on this meridian should be avoided. (Acupoints such as Dadun [LR1], Xingjian [LR2], Taichong [LR3], Zhongfeng [LR4], Wuli [LR10], and Zhongdu [LR6] are examples.) The Foot Jueyin Liver Meridian internally connects to the Liver, which governs the sinews and blood. In the first month, the flow of blood and qi is somewhat stagnant; one should avoid strenuous labor, sleep in tranquility, and avoid fear or fright.
In the first month of pregnancy, Yin and Yang newly combine to form the fetus. If Cold predominates, pain occurs; if Heat predominates, sudden fright ensues. Lifting heavy objects may cause lower back pain, abdominal distension, and uterine urgency. If there is sudden vaginal bleeding, preventive measures for calming the fetus should be taken. The appropriate prescription is Wu Ci Ji Tang (Black Hen Decoction).
Wu Ci Ji Tang (Black Hen Decoction)
Wu Ci Ji (Black Hen, one whole chicken, prepared according to culinary methods) Poria (*Poria cocos*) E'jiao (Donkey-hide Gelatin) (each 2 liang) Wu Zhu Yu (Evodia Fruit) (1 sheng) Mai Men Dong (Ophiopogon Tuber) (5 he, hearts removed) Ren Shen (Ginseng Root) Bai Shao (White Peony Root) Bai Zhu (Atractylodes Rhizome) (each 3 liang) Gan Cao (Licorice Root) Sheng Jiang (Fresh Ginger) (each 1 liang)
Chop all ingredients. Boil the chicken in 12 sheng of water until the liquid reduces to 6 sheng. Remove the chicken and dregs. Further decoct the liquid to obtain 3 sheng. Add 3 sheng of wine and dissolve the E'jiao completely. The final volume should be 3 sheng. Take warm, 1 sheng per dose, three times daily.
Bu Tai Tang (Fetus-Nourishing Decoction) If the fetus was previously injured in the first month, this formula should be taken preventively.
Xi Xin (Asarum Root) (1 liang) Fang Feng (Saposhnikovia Root) (2 liang) Gan Di Huang (Prepared Rehmannia Root) Bai Zhu (Atractylodes Rhizome) (each 3 liang) Sheng Jiang (Fresh Ginger) (4 liang) Wu Zhu Yu (Evodia Fruit) Da Mai (Barley Grain) (each 5 he) Wu Mei (Mume Fruit) (1 sheng)
Chop the eight ingredients. Boil in 7 sheng of water until reduced to 2.5 sheng. Divide into three doses. Take before meals. If Cold predominates, double the dosage of Xi Xin and Wu Zhu Yu. If Heat predominates with thirst, remove these and add Gua Lou Gen (Trichosanthes Root) 2 liang. If there is excessive mental preoccupation, remove Da Mai and add Bai Zi Ren (Biota Seed) 3 he. Another version includes Ren Shen (Ginseng Root) 1 liang.
In the second month of pregnancy, it is called "Shi Gao" (Initial Paste). Avoid pungent and fishy foods. Reside in quiet places. Men should avoid exertion. The joints ache throughout the body, indicating that the fetal essence is beginning to coalesce. During the second month, the Foot Shaoyang Gallbladder Meridian nourishes the fetus, and acupuncture or moxibustion on this meridian should be avoided. (Acupoints such as Dan Qiao, Qiuxu [GB40], Fuyang [GB38], Jiegu [GB39], Wailai, and Yanglingquan [GB34] are examples.) The Foot Shaoyang Gallbladder Meridian internally connects to the Gallbladder, which governs the essence. In the second month, the fetal essence forms in the uterus; care must be taken to prevent disturbance or fright.
In the second month, Yin and Yang energies begin to gather in the meridians. If Cold predominates, the fetus may fail to develop properly; if Heat predominates, the fetus may wither. Exposure to Wind-Cold may cause fetal instability, chest fullness, umbilical urgency, stiff back, and sudden bleeding accompanied by alternating chills and fever. The appropriate prescription is Ai Ye Tang (Mugwort Leaf Decoction).
Ai Ye Tang (Mugwort Leaf Decoction)
Ai Ye (Mugwort Leaf) Dan Shen (Salvia Root) Dang Gui (Angelica Sinensis) Ma Huang (Ephedra Stem) (each 2 liang) Ren Shen (Ginseng Root) E'jiao (Donkey-hide Gelatin) (each 3 liang) Gan Cao (Licorice Root) (1 liang) Sheng Jiang (Fresh Ginger) (6 liang) Da Zao (Jujube Fruit) (12 pieces)
Chop the nine ingredients. Boil in 3 sheng of wine and 1 dou of water until reduced by half. Strain and add E'jiao. Decoct to obtain 3 sheng. Divide into three doses. Another version uses one fat black hen, prepared culinarily. Cut off the head, collect the blood, and mix with 3 sheng of wine. Add 1.2 dou of water, boil to extract juice, remove the chicken, add the herbs, decoct to 3 sheng, then add the blood, wine, and gelatin. Decoct to 3 sheng. Divide into three warm doses.
Huang Lian Tang (Coptis Decoction) If the fetus was previously injured in the second month, this formula should be taken preventively.
Huang Lian (Coptis Rhizome) Ren Shen (Ginseng Root) (each 1 liang) Wu Zhu Yu (Evodia Fruit) (5 he) Sheng Jiang (Fresh Ginger) (3 liang) Sheng Di Huang (Raw Rehmannia Root) (5 liang; another version uses E'jiao)
Chop the five ingredients. Boil in 7 sheng of vinegar juice until reduced to 3 sheng. Divide into four doses. Take three times during the day and once at night. Reprepare every ten days. If significant discomfort is felt, add Wu Mei (Mume Fruit) 1 sheng. When adding Wu Mei, use plain water instead of vinegar juice. Another version includes Dang Gui (Angelica Sinensis) 0.5 liang.
In the third month of pregnancy, it is called "Shi Tai" (Initial Fetus). At this time, the form is not yet fixed, and external impressions influence development. To conceive a boy, handle bows and arrows; to conceive a girl, play with beads. To have a beautiful child, gaze frequently at jade stones. To have a virtuous child, sit upright in purity and emptiness. This is known as "external image affecting internal sensation." During the third month, the Hand Jueyin Pericardium Meridian nourishes the fetus, and acupuncture or moxibustion on this meridian should be avoided. (Acupoints such as Zhongchong [PC9], Laogong [PC8], Daling [PC7], Neiguan [PC6], Jianshi [PC5], Ximen [PC4], and Quze [PC3] are examples.) The Hand Jueyin Pericardium Meridian internally connects to the Heart. One should avoid sorrow, overthinking, and fright.
The third month is when the fetus takes shape. If Cold predominates, stools may turn green; if Heat predominates, urination becomes difficult, urine being either red or yellow. Sudden fright, worry, or anger may cause falling or stumbling, disturbing the meridians, leading to abdominal distension, severe periumbilical pain, or sudden lower back bleeding. The appropriate prescription is Xiong Ji Tang (Male Chicken Decoction).
Xiong Ji Tang (Male Chicken Decoction)
Xiong Ji (Male Chicken, one whole chicken, prepared according to culinary methods) Huang Qin (Scutellaria Root) Bai Zhu (Atractylodes Rhizome) Sheng Jiang (Fresh Ginger) (each 1 liang) Mai Men Dong (Ophiopogon Tuber) (5 he) Bai Shao (White Peony Root) Da Zao (Jujube Fruit) (12 pieces, broken) Gan Cao (Licorice Root) Ren Shen (Ginseng Root) Fu Ling (Poria) E'jiao (Donkey-hide Gelatin) (each 2 liang)
Chop all ingredients. Boil the chicken in 1.3 dou of water until reduced by half. Remove the chicken, add the herbs, and decoct until reduced by half again. Add 3 sheng of clear wine and gelatin. Decoct to obtain 3 sheng. Divide into three doses. Consume within one day. Rest in warmth afterwards. Another version uses Dang Gui (Angelica Sinensis) and Chuan Xiong (Ligusticum Rhizome) each 2 liang, omitting Huang Qin (Scutellaria Root) and Sheng Jiang (Fresh Ginger).
Fu Shen Tang (Poria with Heartwood Decoction) For those who previously injured the fetus in the third month, take this formula preventively.
Fu Shen (Poria with Pine Root) Dan Shen (Salvia Root) Long Gu (Fossilized Bone) (each 1 liang) E'jiao (Donkey-hide Gelatin) Dang Gui (Angelica Sinensis) Gan Cao (Licorice Root) Ren Shen (Ginseng Root) (each 2 liang) Da Zao (Jujube Fruit) (21 pieces, broken) Chi Xiao Dou (Red Bean) (200 grains)
Chop the nine ingredients. Boil in 1 dou of vinegar juice until reduced to 3 sheng. Divide into four doses. Take before meals. After seven days, administer one dose. For lower back pain, add Sang Ji Sheng (Taxillus Branch) 2 liang. (*Shen Shi Fang* includes Xie Bai (Allium Macrostemon Bulb) 2 liang and Ma Zi (Hemp Seed) 1 sheng.)
[Zhu Danxi] A woman invariably miscarried around the third month of pregnancy. Her pulse was large and weak on the left hand, and choppy upon deep pressure, indicating blood deficiency. Since she was young, only Middle Qi was tonified to allow blood to flourish naturally. It was early summer, so she was instructed to take 1 qian of Huang Qin (Scutellaria Root) powder with strong decoction of Bai Zhu (Atractylodes Rhizome) tea, taking dozens of doses, resulting in a successful delivery. Reflecting on this, miscarriages due to Heat and Deficiency are common. Heat and Deficiency must be differentiated by severity. By the third month, Ministerial Fire ascends, making miscarriage likely. Hence, Huang Qin (Scutellaria Root), cooked Ai Ye (Mugwort Leaf), and E'jiao (Donkey-hide Gelatin) are excellent fetuses-calming herbs.
Method for verifying pregnancy after three months of amenorrhea: Grind Chuan Xiong (Ligusticum Rhizome) into fine powder. Take one spoonful with strong decoction on an empty stomach. Slight movement in the abdomen indicates pregnancy.
In the fourth month of pregnancy, the fetus begins to receive the Essence of Water to form blood vessels. Diet should include rice and glutinous rice; soups should include fish and wild goose. This nourishes Blood and Qi to open the senses and circulate through the meridians.
During the fourth month, the Hand Shaoyang Sanjiao Meridian nourishes the fetus, and acupuncture or moxibustion on this meridian should be avoided. (Acupoints such as Guanchong [TE1], Yangchi [TE4], Neiguan [PC6 - *Note: Text error in source, likely meant TE acupoints like Waiguan*], Sanyangjiao, Tianjing [TE10], and Qu Yuan are examples.) The Hand Shaoyang Sanjiao Meridian internally connects to the Sanjiao (Triple Burner). In the fourth month, the six Fu Organs are formed in sequence. The body should remain still, the mind harmonious, and diet moderated.
In the fourth month, if Cold predominates, there is epigastric unease with nausea, chest fullness, and loss of appetite. If Heat predominates, urination is difficult and frequent, resembling strangury, with urgency below the umbilicus. Sudden exposure to Wind-Cold causes stiff neck, chills, and fever. Disturbance may cause body agitation, lumbar/back/abdominal discomfort, intermittent symptoms, fetal pressure on the chest, irritability, and sudden bleeding. The appropriate prescription is Ju Hua Tang (Chrysanthemum Decoction).
Ju Hua Tang (Chrysanthemum Decoction)
Ju Hua (Chrysanthemum Flower) (egg-sized, one piece) Mai Men Dong (Ophiopogon Tuber) (1 sheng) Da Zao (Jujube Fruit) (12 pieces) Ren Shen (Ginseng Root) (1.5 liang) Gan Cao (Licorice Root) Dang Gui (Angelica Sinensis) (each 2 liang) Ma Huang (Ephedra Stem) E'jiao (Donkey-hide Gelatin) (each 3 liang) Ban Xia (Pinellia Tuber) (4 liang) Sheng Jiang (Fresh Ginger) (5 liang)
Chop the ten ingredients. Boil in 8 sheng of water until reduced by half. Add 3 sheng of clear wine and E'jiao. Decoct to obtain 3 sheng. Divide into three doses. Rest in warmth; sweating is expected. Apply powder to the body and protect against Wind-Cold for four to five days. Another version uses one black hen, boiling its juice to decoct the herbs.
Tiao Zhong Tang (Middle-Regulating Decoction) If the fetus was previously injured in the fourth month, take this formula preventively.
Bai Shao Yao (White Peony Root) Sheng Jiang (Fresh Ginger) (each 4 liang) Hou Po (Magnolia Bark) Li Gen Bai Pi (Li Root White Bark) Zhi Shi (Immature Bitter Orange) Bai Zhu (Atractylodes Rhizome) Chai Hu (Bupleurum Root) (each 3 liang) Xu Duan (Dipsacus Root) Chuan Xiong (Ligusticum Rhizome) Gan Cao (Licorice Root) (each 1 liang) Dang Gui (Angelica Sinensis) (1.5 liang) Wu Mei (Mume Fruit) (1 sheng)
Chop the twelve ingredients. Boil in 1 dou of water until reduced to 3 sheng. Divide into four doses. Take three times during the day and once at night. After eight days, administer another dose.
In the fifth month of pregnancy, the fetus begins to receive the Essence of Fire to form its Qi. Sleep late, bathe, wash clothes, reside in deep quarters, wear thick clothes, absorb morning sunlight to avoid cold disasters. Eat rice and wheat; eat beef and mutton soups; season with Wu Zhu Yu (Evodia Fruit) and Five Flavors. This nourishes Qi to stabilize the Zang Organs.
During the fifth month, the Foot Taiyin Spleen Meridian nourishes the fetus, and acupuncture or moxibustion on this meridian should be avoided. (Acupoints such as Yinbai [SP1], Dada [SP2], Gong Sun [SP4], Shangqiu [SP5], Sanyinjiao [SP6], Lougu [SP9], and Yinlingquan [SP9] are examples.) The Foot Taiyin Spleen Meridian internally connects to the Spleen. In the fifth month, the fetal limbs are fully formed. Avoid extreme hunger or satiety, dry foods, self-heating near fire, and excessive fatigue.
In the fifth month, if Heat predominates, suffer from dizziness, mental confusion, and vomiting. If Cold predominates, suffer from abdominal distension and pain, and frequent urination. Sudden terror causes limb pain, chills, fever, erratic fetal movement, abdominal pain, fainting sensations, and sudden bleeding. The appropriate prescription is E'jiao Tang (Donkey-hide Gelatin Decoction).
E'jiao Tang (Donkey-hide Gelatin Decoction)
E'jiao (Donkey-hide Gelatin) (4 liang) Ren Shen (Ginseng Root) (1 liang) Sheng Jiang (Fresh Ginger) (6 liang) Dang Gui (Angelica Sinensis) Bai Shao (White Peony Root) Gan Cao (Licorice Root) Huang Qin (Scutellaria Root) (each 2 liang) Xuan Fu Hua (Inula Flower) (2 he) Wu Zhu Yu (Evodia Fruit) (7 he) Mai Men Dong (Ophiopogon Tuber) (1 sheng)
Chop the ten ingredients. Boil in 9 sheng of water until reduced by half. Add 3 sheng of clear wine and gelatin. Simmer over low heat to obtain 3.5 sheng. Divide into four doses. Take three times during the day and once at night, before meals. Cure is expected; if not, repeat. Another version uses one black hen, cutting the throat, collecting blood into wine, boiling the chicken juice, reducing it, then adding wine and gelatin. Decoct to 3.5 sheng. Divide into four doses.
An Zhong Tang (Middle-Calming Decoction) For those who previously injured the fetus in the fifth month, take this formula preventively.
Huang Qin (Scutellaria Root) (1 liang) Dang Gui (Angelica Sinensis) Chuan Xiong (Ligusticum Rhizome) Gan Di Huang (Prepared Rehmannia Root) Ren Shen (Ginseng Root) (each 2 liang) Gan Cao (Licorice Root) Bai Shao (White Peony Root) (each 3 liang) Sheng Jiang (Fresh Ginger) (6 liang) Mai Men Dong (Ophiopogon Tuber) (1 sheng) Wu Wei Zi (Schisandra Berry) Da Ma Ren (Hemp Seed) (each 5 he) Da Zao (Jujube Fruit) (35 pieces)
Chop the twelve ingredients. Boil in 7 sheng of water and 5 sheng of clear wine until reduced to 3.5 sheng. Divide into four doses. Take three times during the day and once at night. After seven days, administer another dose.
An Tai Dang Gui Tang (Fetus-Calming Angelica Decoction) If in the fifth month, sudden fright causes fetal unrest, lower abdominal pain radiating to the waist and hips, and hematuria.
Dang Gui (Angelica Sinensis) E'jiao (Donkey-hide Gelatin, stir-fried) Chuan Xiong (Ligusticum Rhizome) Ren Shen (Ginseng Root) (each 1 liang) Da Zao (Jujube Fruit) (12 pieces) Ai Ye (Mugwort Leaf) (one handful)
Boil in 3 sheng of wine and 3 sheng of water until reduced to 3 sheng. Dissolve the gelatin. Divide into three doses. Another version contains Gan Cao (Licorice Root) but lacks Ren Shen (Ginseng Root) and Da Zao (Jujube Fruit).
In the sixth month of pregnancy, the fetus begins to receive the Essence of Metal to form its 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 changes the pores, toughens the sinews, builds strength, and strengthens the back.
During the sixth month, the Foot Yangming Stomach Meridian nourishes the fetus, and acupuncture or moxibustion on this meridian should be avoided. (Acupoints such as Lidui [ST45], Fenglong [ST40], Yinshi [ST32], Shanglian, Xialian, and Zusanli [ST36] are examples.) The Foot Yangming Stomach Meridian internally connects to the Stomach, governing the mouth and eyes. In the sixth month, the fetal mouth and eyes are formed. Balance the Five Flavors, eat sweet and delicious foods, and avoid overeating.
In the sixth month, sudden fetal movement and unrest, alternating chills and fever, abdominal distension, body edema, fright, sudden bleeding, labor-like abdominal pain, and burning pain in hands and feet occur. The appropriate prescription is Mai Men Dong Tang (Ophiopogon Decoction).
Mai Men Dong Tang (Ophiopogon Decoction)
Mai Men Dong (Ophiopogon Tuber) (1 sheng) Ren Shen (Ginseng Root) Gan Cao (Licorice Root) Huang Qin (Scutellaria Root) (each 2 liang) Gan Di Huang (Prepared Rehmannia Root) (3 liang) E'jiao (Donkey-hide Gelatin) (4 liang) Sheng Jiang (Fresh Ginger) (6 liang) Da Zao (Jujube Fruit) (15 pieces)
Boil the eight ingredients in 7 sheng of water until reduced 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 one black hen, boiling its juice to decoct the herbs.
Chai Hu Tang (Bupleurum Decoction) If the fetus was previously injured in the sixth month, take this formula preventively.
Chai Hu (Bupleurum Root) (4 liang) Rong Radix (Cistanche Stem) (1 liang) Bai Zhu (Atractylodes Rhizome) Bai Shao (White Peony Root) (also recorded as Zi Wei/Catalpa Flower) Gan Cao (Licorice Root) Mai Men Dong (Ophiopogon Tuber) Chuan Xiong (Ligusticum Rhizome) (each 2 liang) Sheng Jiang (Fresh Ginger) (6 liang) Gan Di Huang (Prepared Rehmannia Root) (5 liang) Da Zao (Jujube Fruit) (30 pieces)
Chop the ingredients. Boil in 1 dou of water until reduced to 3 sheng. Divide into four doses. Take three times during the day and once at night. Consume millet porridge in between. Avoid raw, cold, hard, or solid foods. After seven days, administer another dose. Another version includes Huang Qin (Scutellaria Root) 2 liang.
Xuan Fu Hua Tang (Inula Flower Decoction) From *Ji Yan Fang*, treats fetal unrest in the sixth or seventh month (also treats obstruction disease).
Xuan Fu Hua (Inula Flower) (1 liang) Hou Po (Magnolia Bark, processed) Bai Zhu (Atractylodes Rhizome) Zhi Ke (Bitter Orange Peel) Huang Qin (Scutellaria Root, stir-fried) Fu Ling (Poria) (each 3 liang) Ban Xia (Pinellia Tuber, stir-fried; another version omits) Bai Shao (White Peony Root) Sheng Jiang (Fresh Ginger) (each 2 liang)
Boil in 1 dou of water until reduced to 2.5 sheng. Divide into five doses. Take before meals, three times during the day and twice at night. Avoid mutton, maltose, vinegar, peach, plum, and sparrow meat.
In the seventh month of pregnancy, the fetus begins to receive the Essence of Wood to form its bones. Labor the body, shake the limbs, do not stay still. Move and stretch to circulate Blood and Qi. Reside in dry places, avoid cold in diet. Eat rice and glutinous rice to tighten the pores. This nourishes the bones and strengthens the teeth.
During the seventh month, the Hand Taiyin Lung Meridian nourishes the fetus, and acupuncture or moxibustion on this meridian should be avoided. (Acupoints such as Shaoshang [LU11], Yuji [LU10], Lieque [LU7], Chi Ze [LU5], and Tianfu [LU3] are examples.) The Hand Taiyin Lung Meridian internally connects to the Lung, governing skin and hair. In the seventh month, the fetal skin and hair are formed. Do not speak loudly, cry out, wear thin clothes, bathe, or drink cold beverages.
In the seventh month, sudden fright and shaking, abdominal pain with sudden bleeding, cold extremities, pulse resembling Cold Damage, irritability, abdominal fullness, shortness of breath, and chronic stiffness of the neck and back occur. Cong Bai Tang (Scallion White Decoction) is indicated.
Cong Bai Tang (Scallion White Decoction)
Cong Bai (Scallion White) (3-4 cun long, 14 stalks) Ban Xia (Pinellia Tuber) Mai Men Dong (Ophiopogon Tuber) (each 1 sheng) Xuan Fu Hua (Inula Flower) (2 he) Huang Qin (Scutellaria Root) (1 liang) Ren Shen (Ginseng Root) (1.5 liang) Gan Cao (Licorice Root) Dang Gui (Angelica Sinensis) Huang Qi (Astragalus Root) (each 3 liang) E'jiao (Donkey-hide Gelatin) (4 liang) Sheng Jiang (Fresh Ginger) (8 liang)
Chop the eleven ingredients. Boil in 2 sheng of water until reduced by half. Add 3 sheng of clear wine and gelatin. Decoct to obtain 4 sheng. Take 1 sheng per dose, three times during the day and once at night. Rest in warmth; sweating is expected. If no sweat occurs, add Ma Huang (Ephedra Stem) 2 liang and decoct as before. In autumn, do not force sweating. Another version uses one yellow hen, cutting the throat, collecting blood into wine, boiling the chicken juice to decoct the herbs.
Xing Ren Tang (Apricot Kernel Decoction) If the fetus was previously injured in the seventh month, take this formula preventively.
Xing Ren (Apricot Seed) Gan Cao (Licorice Root) (each 2 liang) Zi Wan (Aster Root) (1 liang) Zhong Ru (Stalactite) Gan Jiang (Dried Ginger) (each 3 liang) Mai Men Dong (Ophiopogon Tuber) Wu Zhu Yu (Evodia Fruit) (1 sheng) Jing Mi (Glutinous Rice) (5 he) Wu Wei Zi (Schisandra Berry) (3 he)
Chop the nine ingredients. Boil in 8 sheng of water until reduced to 3.5 sheng. Divide into four doses. Take three times during the day and once at night. Eat meals in between. Administer one dose every seven days. Another version uses one white hen, boiling its juice to decoct the herbs.
In the eighth month of pregnancy, the fetus begins to receive the Essence of Earth to form its skin. Keep the mind peaceful and breathing calm. Do not let Qi become extreme. This tightens the pores and brightens the complexion.
During the eighth month, the Hand Yangming Large Intestine Meridian nourishes the fetus, and acupuncture or moxibustion on this meridian should be avoided. (Acupoints such as Shangyang [LI1], Erjian [LI2], Hegu [LI4], Shanglian, Xialian, Sanli, Quchi [LI11], Jianyu [LI15], and Jianjing [GB21] are examples.) The Hand Yangming Large Intestine Meridian internally connects to the Large Intestine, governing the nine orifices. In the eighth month, the fetal nine orifices are formed. Avoid dry foods, irregular eating, and straining to rise.
In the eighth month, exposure to Wind-Cold causes generalized body pain, alternating chills and fever, fetal unrest, chronic dizziness and headache, cold below the umbilicus, milky or colored urine, chills, cold painful back, and blurred vision. Shao Yao Tang (Peony Decoction) is indicated.
Shao Yao Tang (Peony Decoction)
Bai Shao (White Peony Root) Sheng Jiang (Fresh Ginger) (each 4 liang) Hou Po (Magnolia Bark) (2 liang) Gan Cao (Licorice Root) Dang Gui (Angelica Sinensis) Bai Zhu (Atractylodes Rhizome) Ren Shen (Ginseng Root) (each 3 liang) Xie Bai (Allium Macrostemon Bulb, cut) (1 sheng)
Chop the eight ingredients. Boil in 5 sheng of water and 4 sheng of clear wine until reduced to 3 sheng. Divide into three doses. Take twice during the day and once at night. Another version uses one black hen, boiling its juice to decoct the herbs.
Kui Zi Tang (Malva Seed Decoction) If the fetus was previously injured in the eighth month, take this formula preventively.
Kui Zi (Malva Seed) (2 sheng) Gan Cao (Licorice Root) Hou Po (Magnolia Bark) (each 2 liang) Bai Zhu (Atractylodes Rhizome) Chai Hu (Bupleurum Root) (each 3 liang) Bai Shao (White Peony Root) (4 liang) Sheng Jiang (Fresh Ginger) (6 liang) Da Zao (Jujube Fruit) (20 pieces)
Chop the eight ingredients. Boil in 9 sheng of water until reduced to 3 sheng. Divide into three doses. Take three times daily. Total course is one dose every ten days. Another version uses one black hen, boiling its juice to decoct the herbs.
Danxi Suo Tai Wan (Danxi's Fetus-Constricting Pills) Used in the ninth month.
Huang Qin (Scutellaria Root) (Summer 1 liang, Autumn 7 qian, Winter 0.5 liang, stir-fried with wine) Bai Zhu (Atractylodes Rhizome) (2 liang) Chen Pi (Tangerine Peel) (3 liang, pith removed) Fu Ling (Poria) (0.75 liang)
Grind into powder. Make pills with congee, size of paulownia seeds.
In the ninth month of pregnancy, the fetus begins to receive the Essence of Stone to form its skin and hair. The six Fu Organs and hundred joints are complete. Drink sweet wine, eat sweet foods, loosen the belt, and wait calmly. This nourishes hair and completes vitality.
During the ninth month, the Foot Shaoyin Kidney Meridian nourishes the fetus, and acupuncture or moxibustion on this meridian should be avoided. (Acupoints such as Yongquan [KI1], Ran Gu [KI2], Taixi [KI3], Jiaoxin [KI8], Zhubin [KI9], and Fuliu [KI7] are examples.) The Foot Shaoyin Kidney Meridian internally connects to the Kidney, which governs the meridians. In the ninth month, the fetal meridians are formed. Avoid damp/cold environments and wearing heated garments.
In the ninth month, sudden dysentery, abdominal distension and urgency, fetal Qi rushing to the heart, inability to turn due to back pain, and shortness of breath occur. Ban Xia Tang (Pinellia Decoction) is indicated.
Ban Xia Tang (Pinellia Decoction)
Ban Xia (Pinellia Tuber) Mai Men Dong (Ophiopogon Tuber) Wu Zhu Yu (Evodia Fruit) Dang Gui (Angelica Sinensis) E'jiao (Donkey-hide Gelatin) (each 3 liang) Gan Jiang (Dried Ginger) (1 liang) Da Zao (Jujube Fruit) (12 pieces)
Chop the seven ingredients. Boil in 9 sheng of water until reduced to 3 sheng. Strain and add 0.8 sheng of white honey. Warm over low heat. Take in four doses. Dysentery will stop. Another version uses one black hen, boiling its juice to decoct the herbs.
Zhu Shen Tang (Pig Kidney Decoction) If the fetus was previously injured in the ninth month, take this formula preventively.
Zhu Shen (Pig Kidney) (one unit) Fu Ling (Poria) Sang Ji Sheng (Taxillus Branch) Gan Jiang (Dried Ginger) Gan Di Huang (Prepared Rehmannia Root) Chuan Xiong (Ligusticum Rhizome) (each 3 liang) Bai Zhu (Atractylodes Rhizome) (4 liang) Fu Zi (Aconite Lateral Root, medium size) (one piece) Da Dou (Soybean) (3 he) Mai Men Dong (Ophiopogon Tuber) (1 sheng)
Chop the ingredients. Boil in 1 dou of water until the kidney is cooked. Remove the kidney, add the herbs, and decoct to obtain 3.5 sheng. Divide into four doses. Take three times during the day and once at night. After ten days, administer another dose.
Danxi Suo Tai Wan (Danxi's Fetus-Constricting Pills) Used in the ninth month.
Huang Qin (Scutellaria Root) (1 liang; suitable with warming herbs, not cooling herbs; halve for frail patients) Zhi Ke (Bitter Orange Peel, stir-fried) (0.75 liang) Hua Shi (Talcum) (0.75 liang; add this ingredient in the ten days before term if urination is frequent) Bai Zhu (Atractylodes Rhizome) (1 liang)
Grind into powder. Make pills with congee, size of paulownia seeds. Take 30 pills per dose with hot water on an empty stomach.
In the tenth month of pregnancy, the five Zang Organs are complete, the six Fu Organs are patent, and Heaven and Earth Qi are gathered in the Dantian. Thus, the joints and spirit are fully prepared, awaiting the time for birth.
First month: Initial Embryo. Second month: Initial Paste. Third month: Initial Fetus. Fourth month: Form established. Fifth month: Movement begins. Sixth month: Bones and sinews stand. Seventh month: Hair grows. Eighth month: Viscera complete. Ninth month: Grain Qi enters the stomach. Tenth month: Spirits complete. Upon fulfillment of the days, birth occurs. Slippery fetus medicines should be taken upon entering the month.