经云。阴搏阳别。谓之有子。是气血调和。阳施阴化也。诊其手少阴脉动甚者。妊子也
少
阴心脉也。心主血脉。又云。肾名胞门子户。尺中肾脉也。尺中之脉。按之不绝者。妊娠之
脉也。三部浮沉正等。按之无断绝者。有娠也。又左手沉实为男。右手浮大为女。左右俱沉
实。生二男。左右俱浮大。生二女。又尺脉左偏大为男。右偏大为女。左右俱大产二子。又
左右两尺脉皆浮。为产二男。不尔女作男生。俱沉为产二女。不尔男作女生。又左手尺脉浮
大者男。右手尺脉沉细者女。又
得太阴脉为男。得太阳脉为女。太阴脉沉。太阳脉浮。欲知男女。背面行。夫自后呼之
左回首是男。左回首是女。又看上阃时。夫从后急呼之。左回首是男。右回首是女。妇人
妊娠左首乳房有核。是男。右首乳房有核。是女。
妊娠一月。名曰始形。饮食精熟。酸美受御。宜食大麦。毋食腥辛之物。是谓才贞。足
厥阴
养之。足厥阴者。肝之脉也。肝主血。一月之时。血流涩如不出。故足厥阴养之。足厥阴穴
右足大指歧间白肉际处。
妊娠二月。名曰始膏。毋食腥辛之物居必静处。男子勿劳。百节皆痛。是谓始藏也。足
少阳
养之。足少阳者。胆之脉也。主于精。二月之时。儿精成于胞里。故足少阳养之。足少阳穴
在足小指间本节后跗骨上一寸陷中者是。
妊娠三月始胎。当此之时。血不流。形像始化。手心主养之。手心主者。脉中精神。内
属于
心。无悲哀思虑惊动。手心主穴在掌后横纹是。诊其妊娠脉滑疾。重以手按之散者。胎已三
月也。
妊娠四月之时。始受水精。以成血脉。其实宜稻粳。其羹宜鱼雁。是谓盛荣。以通耳目
而
行经络。洗浴远避寒暑。是手少阳养之。手少阳者。三焦之脉也。内属于腑。四月之时。儿
六腑顺成。故手少阳养之。手少阳穴。在手小指间。本节后二寸是也。诊其妊娠四月。欲知
男女。左脉疾为男。右脉疾为女。左右俱疾为生二女。当此之时。慎勿泻之。必致产后之殃
何谓也。是手少阳三焦之脉。内属于三焦。静形体。和心志。节饮食。
妊娠五月。始受火精。以成其气。卧必晏起。洗浣衣服。深其屋室。浓其衣裳。朝吸天
光。
以避寒殃。其食宜稻麦。其羹宜牛羊。和以茱萸。调以五味。是谓养气。以定五脏者也。一
本云。宜食鱼鳖。足太阴养之。足太阴脾之脉主四季。五月之时。儿四肢皆成。故足太阴
养之。足太阴穴在足内踝上三寸也。诊其妊娠脉。重手按之不散。但疾不滑者。五月也。又
其脉数者。必血怀。脉紧者必胞阻。脉迟者必腹满喘。脉浮者必水怀为肿。
妊娠六月。始受金精。以成其筋。欲微劳。无得静处。出游于野。数观走犬。及视走
马。宜
食惊鸟猛兽之肉。是谓变腠膂筋。以养其爪。以牢其背膂。足阳明养之。足阳明胃之脉。
主其口目。六月之时。儿口目皆成。故足阳明养之。足阳明穴在太冲上二寸者是也。
妊娠七月。始受木精以成体。劳躬摇支。无使定止。动作屈伸。居处必燥。饮食避寒。
常宜
食稻粳。以密腠理。是谓养骨牢齿者也。手太阴养之。手太阴肺脉主皮毛。七月之时。儿皮
毛已成。故手太阴养之。手太阴穴。在手大指本节后。白肉际陷中。诊其妊娠七月。脉实大
牢强者生。沉细者死。怀躯七月而不可知。时时衄而转筋者。此为躯衄。时嚏而动者非躯也
怀躯七月。暴下斗余水。其胎必损而堕。此非时孤浆陨下故也。
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。手
阳明
养之。手阳明者大肠脉。大肠主九窍。八月之时。儿九窍皆成。故手阳明养之。手阳明穴。
在大指本节后。宛宛中是。诊其妊娠八月。脉实大牢强弦紧者生。沉细者死。
妊娠九月。以受石精。以成皮毛。六腑百节。莫不毕备。饮醴食甘。缓带自持而待之。
时谓
养毛发。多才力。足少阴养之。足少阴者肾之脉。肾主续缕。九月之时。儿脉续缕皆成。故
足少阴养之。足少阴穴在足内踝后。微近下前动脉是也。妊娠十月。五脏俱备。六腑齐通。
纳天地于丹田。故使关节人神咸备。然可预修滑胎方法也。
一论妇人经水不行。已经三月者。尺脉不止。则是胎也。
验胎散
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。若服后一日不动。
非胎。必是经闭。
一治妇人经水过月不来。难明有无胎孕。
艾醋汤
用好醋炒艾。服半盏后。腹中翻大痛。是有孕。不为痛。是无孕。
一论妇人经水不行。身无病似病。脉滑大而六脉俱匀。乃是孕妇之脉也。精神如故。恶
闻食
气或但嗜一物。或大吐。或时吐清水。此名恶阻。切勿作病寒治之。宜服此药。如觉恶心呕
吐。加丁香、生姜煎。
保生汤
人参（二钱） 白术（五钱） 橘红（五钱） 香附子（五钱） 乌药（五钱） 甘草（一钱）
每锉一两。水一盏半。生姜五片。水煎五分。去渣。温服。不拘时候。或为末。姜汤调
亦可。
一论恶阻。谓妇人有孕。恶心阻其饮食也。宜服
养胃汤
当归（酒洗） 白芍（酒炒） 白术（去芦炒） 白茯苓（去皮） 陈皮 藿香 砂仁 神曲（
炒） 半夏（汤泡透切片用杏仁炒过不伤胎气） 香附（炒各等分） 甘草（减半）
上锉生姜三片。枣二枚。
一妇人有孕。呕吐不止。予用二陈汤。半夏姜汁炒用一半。甘草用一半。生姜七片。煎
服立止。
一妇人妊孕三月。其经月来三五次。但不多。饮食如故。此血盛有余。儿大能饮自不来
矣。后果然也。
一论子烦。谓妊娠烦躁。而闷乱心神也。宜进
竹叶汤
白茯苓（去皮一钱） 防风（去芦一钱） 麦门冬（去心） 黄芩（各一钱半）
上锉一剂。竹叶五片。水煎。温服。
一论子痫。谓妊娠痰涎潮涌。目吊口噤。不省人事也。
羚羊散
当归（酒洗） 川芎 防风 独活 白茯苓（去皮） 五加皮 薏苡仁 酸枣仁（炒） 杏仁
（去皮） 木香 甘草 羚羊角
上锉一剂。生姜五片。水煎。温服。
一论儿在腹中哭。用多年空房下鼠穴中土一块。令孕妇噙之。即止。
一论子悬。谓妊娠心胃连痛。兼治胎气不和。心腹胀满疼痛。或临产惊恐气结。连日不
下。及胎前一切诸疾。悉宜此方加减治之。
紫苏和气饮
当归（酒洗） 川芎 白芍（酒炒） 人参 紫苏 陈皮 大腹皮 甘草
上锉剂。生姜五片。葱白五寸。水煎。温服。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。加白术去芦炒。白茯苓去皮。感冒。加羌活、麻黄。
伤食。加山楂、香附。气恼。加香附、乌药。
一论子肿。谓妊娠七八月前后。面目虚浮。肢体肿满也。宜
茯苓汤
当归 川芎 白芍（炒） 熟地黄 白术（去芦炒） 白茯苓 泽泻 条芩 栀子（炒） 浓
朴（姜炒） 甘草 麦门冬（去心）
上锉一剂。水煎。温服。
一论子气。谓妊娠自三月成胎以后。两足自脚面渐肿腿膝以来。行步艰难。以至喘闷。
似水气之状。至于脚指间有黄水出者。谓之子气。
天仙藤（即青木香藤洗清略炒） 陈皮 香附（炒） 乌药 木瓜 甘草
上锉。生姜煎服。加苍术、紫苏。尤妙。
一论子淋。谓妊娠小便涩痛频数也。宜后方。
子淋散
麦门冬（去心） 赤茯苓 大腹皮 木通 甘草
上锉。淡竹叶十片。水煎。空心服。
一论转胞。谓妊娠卒不得小便也。因胎长逼近于胞。胞为所逼而侧。令人数溲。胞即膀
胱也
然子淋与转胞相类。但小便频数。点滴而痛谓子淋。频数出少而不痛。为转胞。间有微痛
终是与淋不同。并宜五苓散加炒阿胶。又宜冬葵散。治孕妇转胞。小便不通。及男子小
便不通。皆效。
冬葵散
冬葵子（五钱） 山栀子（五钱炒研） 木通（三钱） 滑石（五钱研此药滑胎临月可用六七
月以前不可用）
上锉一剂。水一盏半。煎八分。温服。外以冬葵子、滑石、栀子为末。田螺肉捣膏。或
生姜汁调膏。贴脐下。立通。
一妊娠转胞。不得小便者。用八物汤加半夏、陈皮。名曰三合汤。服之探吐。以升提其
气。上窍利而下窍自开也。
一论胎漏下。谓妊娠有胎而血漏下。属气血虚而有热也。
芎归汤
当归尾 川芎（各五钱）
上锉一剂。好酒煎。入童便一盏同服。一服立止如神。
胶艾四物汤 治症同前。
当归（酒洗一钱） 川芎（八分） 白芍（酒炒一钱） 怀熟地黄（酒蒸二钱） 条芩（一钱五
分）
白术（去芦炒二钱） 砂仁（炒一钱） 香附（炒一钱） 艾叶（少许） 真阿胶（炒成珠八分）
粳米一撮。水煎服。一方。加炒蒲黄一钱。陈皮七分。杜仲盐水炒一钱。续断一钱。甘
草炒四分。去艾叶不用。只用水煎服。
一治胎动出血。产门痛。黄连为末。酒调二钱。日三服。
一论胎动。谓妊娠因事跌仆。子死腹中。恶露妄下。疼痛不已。口噤欲死。因用此药探
之。
若子死腹中。立便逐下。若腹痛即止。子母俱安。又治临产难。生胞衣不下。及产后血晕。
不
省人事。状似中风。血崩恶露不止。腹中血刺疼痛。血滞浮肿。血入心经。语言颠倒。如见
鬼神。血风相搏。身热头痛。似疟非疟。一切胎前产后。野狼狈垂死等症。并皆治之。宜
佛手散
当归（酒洗一两） 川芎（七钱）
上锉一剂。水煎将熟。再入酒煎。温服。如口噤。撬开灌之。如人行五里许。再灌之。
便醒立产。如胎漏下血不止。以酒煎。入童便一盏。温服。
一方。治胎气动。用鲤鱼一个。水煮熟。并汤食。立效。
一因事胎动不安。动撞不已。及下血欲堕者。四物汤合四君子汤。加条芩、阿胶、砂仁
、白芷、桑寄生。
一论安胎。谓安胎有二。有因病而胎动者。但疗母病。其胎自安。有胎不应。妄触母病
但安胎气。母病自瘥。
一论孕成之后。觉气不安。或腹微痛。或腰间作痛。或饮食不美。或胎动。及五六个月
常服数剂甚妙。
安胎饮
当归身（酒洗一钱） 川芎（八分） 白芍（酒炒一钱） 条芩（一钱五分） 白术（去芦炒二
钱） 砂仁（微炒二钱） 陈皮（一钱） 苏梗（八分） 甘草（四分） 熟地黄（酒蒸一钱）
上锉一剂。水煎。温服。如下血不止。加蒲黄炒。阿胶炒。各一钱。腹痛。加香附醋炒
、枳壳麸炒各一钱。
一论半产。谓妇人怀孕。气血虚弱。不能荣养。以致数月而堕也。
芎归补中汤
黄 （蜜水炒） 人参 白术（去芦炒） 当归 川芎 白芍（炒） 干姜（炒） 阿胶（炒）
五味子 木香 杜仲（姜汁炒） 甘草（炙）
水煎。温服。
一论阳施阴化。胎孕乃成。血气虚乏。不足荣养。其胎则堕。又有劳恐伤情。内火便动
亦
能堕胎。火能消物。造化自然。予见一妇。但有孕及至三个月左右必堕。诊其脉。左手大而
无
力。重按则涩。知其血少。以其壮年。只补中气。使血自荣。时正初夏。教以浓煎白术汤下
黄芩末一钱。与数十剂。得全而生一子也。盖孕至三月上属相火。所以易堕。
安胎丸 妊娠宜常服之。
当归（酒洗） 川芎 白芍（酒炒） 条芩（各一两） 白术（去芦炒一两）
上为细末。酒糊为丸。如梧子大。每服五十丸。茶汤任下。空心日服。养血清热之剂也
瘦人血少有热。胎动不安。素惯半产者。皆宜服此。以清其源而后无患也。
一妇人小产。常服此以保胎孕十月完足。胡莲肉去心四两。砂仁炒二两。共为末。每服
二三匙。米饮调下。日服二三次。
一论妇人惯常小产。久而不蓄者可服。过七个月不必服。
千金保孕丹
当归（酒洗一两） 熟地黄（酒蒸一两） 人参（一两五钱） 白术（去芦炒四两） 条芩（一
两） 陈皮（一两） 香附子（童便浸一两） 续断（酒浸一两五钱） 杜仲（盐酒炒一两半）
上为细末。糯米饭为丸。如梧子大。每服七十丸。白汤下。
一方。去人参。加砂仁、川芎、阿胶、艾叶、益母草。枣肉为丸。
一论妇人曾经小产。今有孕。预先培补为妙。大凡妇人堕胎。只是奇经废弛。冲任带脉
受亏而然。宜服此汤大有益。
加味八珍汤
黄 （二钱） 白术（去芦一钱） 甘草（炙三分） 防风（七分） 熟地黄（酒洗一钱） 川芎
（七
分） 白芍（酒炒一钱） 人参（二钱） 知母（一钱） 当归（酒洗一钱） 山药（一钱） 益智仁（
研八分） 升麻（四分） 黄柏（酒浸炒一钱）
以上锉一剂。水煎。温服。
一治妇人每怀胎至三四月必堕。不肯服药。用四五年老母鸡煮汤。入红壳小黄米。煮粥
食之。不数日胎竟固全。至月满而生。
一论妊娠身居富贵。口餍甘肥。忧乐不常。食物不节。既饱便卧。致令胎胞肥浓。根蒂
坚牢
The ancient texts state: "When the Yin pulse beats distinctly different from the Yang, it is called having a child." This refers to the harmonization of Qi and Blood, where Yang Qi exerts its influence and Yin receives transformation. If the pulse of the Hand-Shaoyin (Heart) channel moves vigorously upon palpation, it indicates pregnancy.
The Hand-Shaoyin corresponds to the Heart pulse. The Heart governs the blood vessels. It is also said that the Kidney is referred to as the "Gate of the Womb" (Baomen Zihu), and the Chi (Cun-Guan-Chi) pulse position corresponds to the Kidney. A Chi pulse that remains unbroken upon deep pressure indicates pregnancy. When the pulses at the three positions (Cun, Guan, Chi) are equal in floating and sinking qualities, and continuous upon pressure, it signifies conception. Furthermore, a deep and solid pulse on the left hand suggests a male fetus, while a floating and large pulse on the right hand suggests a female fetus. If both hands show deep and solid pulses, twins will be boys; if both show floating and large pulses, twins will be girls. Additionally, if the Chi pulse is larger on the left side, it indicates a boy; if larger on the right, a girl. If both Chi pulses are large, two children will be born. If both Chi pulses are floating, two boys will be born; otherwise, girls (or vice versa depending on specific variations). If both Chi pulses are deep, two girls will be born; otherwise, boys. Also, a floating and large Chi pulse on the left hand indicates a boy, while a deep and fine Chi pulse on the right hand indicates a girl. Obtaining a Taiyin pulse (deep) suggests a boy, while obtaining a Taiyang pulse (floating) suggests a girl. To determine the gender, one method involves the pregnant woman walking with her back to her husband, who calls out to her from behind; if she turns her head to the left, it is a boy; if to the right, it is a girl. Another method involves calling out suddenly when she is using the toilet; turning left indicates a boy, turning right indicates a girl. Another sign is observing the breasts: a nodule on the left breast indicates a boy, while one on the right indicates a girl.
In the first month of pregnancy, termed "Beginning of Form," diet should be refined and well-cooked, favoring sour and pleasant flavors, with barley being suitable. Avoid raw, pungent, or spicy foods. This stage is called "Initial Purity." It is nourished by the Foot-Jueyin Liver channel. The Foot-Jueyin is the Liver meridian, which governs blood. During this month, blood flow is sluggish, so the Foot-Jueyin nourishes the fetus. The acupoint of the Foot-Jueyin is located at the junction of white flesh between the big toe of the right foot.
In the second month, termed "Beginning of Paste," avoid raw, pungent, or spicy foods, and reside in quiet places. Men should avoid exertion, and the mother may experience pain in all joints. This stage is called "Beginning of Storage." It is nourished by the Foot-Shaoyang Gallbladder channel. The Foot-Shaoyang is the Gallbladder meridian, governing essence. In the second month, the fetal essence forms in the womb, hence the Foot-Shaoyang nourishes it. The acupoint is located one cun above the metatarsophalangeal joint of the little toe, in the depression of the tarsal bone.
In the third month, the fetus begins to take shape. At this time, blood does not flow freely, and the form begins to transform. It is nourished by the Xinbao (Pericardium) channel, also known as Shou-Xinzhu. The Pericardium contains spirit and connects internally to the Heart. One should avoid sorrow, worry, and shock. The acupoint is located at the transverse crease of the palm. Palpating the pregnancy pulse, if it is slippery and rapid, and disperses under heavy pressure, it indicates three months of pregnancy.
In the fourth month, the fetus begins to receive the essence of Water to form blood vessels. Diet should include rice and glutinous rice, with soups made from fish or wild geese. This stage is called "Abundant Prosperity," facilitating the ears, eyes, and meridians. Bathing should avoid extreme cold and heat. It is nourished by the Hand-Shaoyang Sanjiao (Triple Burner) channel. The Hand-Shaoyang is the Sanjiao meridian, connecting internally to the Fu organs. In the fourth month, the six Fu organs of the fetus develop smoothly, hence the Hand-Shaoyang nourishes it. The acupoint is located two cun proximal to the metacarpophalangeal joint of the little finger. To determine gender at four months, a rapid pulse on the left indicates a boy, on the right a girl; rapid pulses on both sides indicate two girls. At this stage, purgative methods must be avoided to prevent postpartum disasters. This is because the Hand-Shaoyang Sanjiao meridian connects to the Sanjiao, requiring physical stillness, mental harmony, and dietary moderation.
In the fifth month, the fetus receives the essence of Fire to form its Qi. The mother should sleep late, wash clothes, stay in deep rooms, wear thick clothing, absorb morning sunlight to avoid cold evils, and eat rice, wheat, beef, and mutton, seasoned with cornel and five flavors. This is called "Nourishing Qi" to stabilize the Five Zang organs. Alternatively, fish and turtle are recommended. It is nourished by the Foot-Taiyin Spleen channel. The Foot-Taiyin Spleen meridian governs the four seasons. In the fifth month, the fetal limbs are formed, hence the Foot-Taiyin nourishes it. The acupoint is three cun above the medial malleolus. Palpating the pulse, if it is rapid but not slippery under heavy pressure, it indicates five months. A rapid pulse suggests blood accumulation; a tight pulse suggests uterine obstruction; a slow pulse suggests abdominal fullness and asthma; a floating pulse suggests edema.
In the sixth month, the fetus receives the essence of Metal to form tendons. Mild labor is encouraged, avoiding complete rest. Outdoor activities like watching running dogs and horses are beneficial. Eating meat from startled birds or fierce beasts helps transform the fascia and tendons, nourishing nails and strengthening the back. It is nourished by the Foot-Yangming Stomach channel. The Foot-Yangming is the Stomach meridian, governing the mouth and eyes. In the sixth month, the fetal mouth and eyes are formed, hence the Foot-Yangming nourishes it. The acupoint is two cun above Taichong (LR3).
In the seventh month, the fetus receives the essence of Wood to form the body. Physical activity and limb movement are encouraged, avoiding stillness. Living environments should be dry, and food should avoid cold. Eating rice and glutinous rice helps tighten the pores, nourishing bones and teeth. It is nourished by the Hand-Taiyin Lung channel. The Hand-Taiyin Lung meridian governs skin and hair. In the seventh month, fetal skin and hair are formed, hence the Hand-Taiyin nourishes it. The acupoint is in the depression at the radial border of the thenar eminence, proximal to the thumb's metacarpophalangeal joint. A strong, large, and firm pulse indicates survival; a deep and fine pulse indicates danger. Frequent epistaxis and tetanus suggest "uterine bleeding"; frequent sneezing suggests fetal movement. Sudden profuse watery discharge indicates threatened miscarriage due to premature rupture of membranes.
In the eighth month, the fetus receives the essence of Earth to form skin. Mental peace and calm breathing are required to avoid Qi exhaustion, tightening pores and brightening complexion. It is nourished by the Hand-Yangming Large Intestine channel. The Hand-Yangming is the Large Intestine meridian, governing the nine orifices. In the eighth month, fetal orifices are formed, hence the Hand-Yangming nourishes it. The acupoint is in the depression proximal to the index finger's metacarpophalangeal joint. A strong, wiry, and tight pulse indicates survival; a deep and fine pulse indicates danger.
In the ninth month, the fetus receives the essence of Stone to complete skin and hair. All six Fu organs and joints are complete. Sweet wine and foods are recommended, loosening belts to await delivery. This nourishes hair and increases strength. It is nourished by the Foot-Shaoyin Kidney channel. The Foot-Shaoyin is the Kidney meridian, governing vessel connections. In the ninth month, fetal vessels are complete, hence the Foot-Shaoyin nourishes it. The acupoint is posterior to the medial malleolus, near the anterior tibial artery. By the tenth month, the Five Zang and Six Fu are complete, absorbing Heaven and Earth Qi into the Dantian, preparing for birth. Methods for promoting delivery can be prepared in advance.
If menstruation stops for three months and the Chi pulse remains active, it indicates pregnancy.
Yantai San (Fetal Verification Powder): Cinnamomi Ramulus powder, one qian, taken with mugwort decoction on an empty stomach. Abdominal movement indicates pregnancy; no movement after one day indicates amenorrhea.
Aijia Tang (Mugwort Vinegar Decoction): Mugwort stir-fried with vinegar. Severe abdominal pain after ingestion indicates pregnancy; lack of pain indicates no pregnancy.
Irregular menstruation with slippery, large, and uniform pulses, normal spirit, aversion to food odors, cravings, vomiting, or spitting clear fluid indicates "Ezu" (Morning Sickness). Do not treat as cold. Baosheng Tang (Life Preservation Decoction) is suitable: Ren Shen (2 qian), Baizhu (5 qian), Juhong (5 qian), Xiangfu (5 qian), Wuyao (5 qian), Gancao (1 qian). Decoct with ginger. Add Dingxiang and Shengjiang if vomiting occurs.
Yangwei Tang (Stomach Nourishing Decoction) treats Ezu: Danggui, Baishao, Baizhu, Baifuling, Chenpi, Huoxiang, Sharen, Shenqu, Banxia (processed with Xingren), Xiangfu, Gancao. Decoct with ginger and jujube.
For persistent vomiting, Erchen Tang with processed Banxia and Shengjiang stops it immediately.
Menstrual bleeding during early pregnancy with normal appetite indicates excess blood; the fetus will consume it, stopping the bleeding.
Zifan (Fetal Irritability) causes restlessness and mental disturbance. Zhuye Tang (Bamboo Leaf Decoction) is used: Baifuling, Fangfeng, Maidong, Huangqin.
Zixian (Fetal Epilepsy) involves phlegm surging, eye deviation, jaw lock, and unconsciousness. Lingyang San (Antelope Horn Powder) is used: Danggui, Chuanxiong, Fangfeng, Duhuo, Baifuling, Wujiapi, Yiyiren, Suanzaoren, Xingren, Muxiang, Gancao, Lingyangjiao.
To stop fetal crying in the womb, hold a piece of soil from an old mouse hole in the mouth.
Zixuan (Fetal Suspension) causes heart-stomach pain and abdominal distension. Zisu Heqi Yin (Perilla Harmonizing Qi Decoction) treats this and other pre-labor issues: Danggui, Chuanxiong, Baishao, Renshen, Zisu, Chenpi, Dafupi, Gancao. Modify based on symptoms: add Xiangfu/Muxiang for pain, Zhike/Sangbaipi for cough, Huangqin for heat, Sharen for vomiting, Baizhu/Baifuling for diarrhea, Qianghuo/Mahuang for cold, Shanzha/Xiangfu for food stagnation, Xiangfu/Wuyao for anger.
Zizhong (Fetal Edema) causes facial swelling and limb edema in the 7th-8th month. Fuling Tang is used: Danggui, Chuanxiong, Baishao, Shudihuang, Baizhu, Baifuling, Zexie, Tiaohuangqin, Zhizi, Houpo, Gancao, Maidong.
Ziqi (Fetal Qi) causes leg swelling from the feet up, difficulty walking, and shortness of breath, resembling water retention. Tianxianteng Tang is used: Tianxianteng, Chenpi, Xiangfu, Wuyao, Mugua, Gancao. Add Cangzhu and Zisu for better effect.
Zilin (Fetal Strangury) causes painful, frequent urination. Zilin San is used: Maidong, Chifuling, Dafupi, Mutong, Gancao. Decoct with bamboo leaves, take on an empty stomach.
Zhuanbao (Displaced Bladder) causes sudden inability to urinate due to fetal pressure on the bladder. Differentiate from Zilin: Zilin is painful and scanty; Zhuanbao is painless and scanty. Wuling San plus fried Ejiao or Dongkui San can be used. Dongkui San: Dongkuizi, Shanzhizi, Mutong, Huashi. Apply external paste of these herbs with snail meat or ginger juice to the umbilicus. For Zhuanbao, Bayi Tang plus Banxia and Chenpi (Sanhe Tang) induces vomiting to raise Qi and open the lower orifice.
Tailouxia (Fetal Leakage) involves vaginal bleeding with a viable fetus, caused by Qi/Blood deficiency and heat. Xiong Gui Tang (Dangguiwei and Chuanxiong) decocted with good wine and Tongbian (child's urine) stops bleeding instantly. Jiao Ai Siwu Tang is also effective.
For fetal movement with bleeding and perineal pain, Huanglian powder mixed with wine is taken three times daily.
For trauma causing fetal death, lochia discharge, severe pain, and jaw lock, Foshou San (Danggui and Chuanxiong) is used to expel the dead fetus or save the mother in cases of difficult labor, retained placenta, postpartum hemorrhage, or stroke-like symptoms. Induce vomiting if necessary. Alternatively, cooked carp soup helps settle fetal movement.
For threatened miscarriage with bleeding, Siwu Tang combined with Sijunzi Tang plus Tiaohuangqin, Ejiao, Sharen, Baizhi, and Sangjisheng is used.
There are two types of An Tai (Fetal Stabilization): treating the mother's illness stabilizes the fetus, or directly stabilizing the Qi calms the mother. An Tai Yin (Fetal Stabilization Decoction) is used for general discomfort, mild pain, or poor appetite in mid-pregnancy: Dangguishen, Chuanxiong, Baishao, Tiaohuangqin, Baizhu, Sharen, Chenpi, Sugeng, Gancao, Shudihuang. Modify for bleeding or pain.
Ban Chan (Miscarriage) results from Qi/Blood deficiency failing to nourish the fetus. Xiong Gui Buzhong Tang tonifies Qi and Blood: Huangqi, Renshen, Baizhu, Danggui, Chuanxiong, Baishao, Ganjiang, Ejiao, Wuweizi, Muxiang, Duzhong, Gancao.
Pregnancy forms through Yang exerting influence and Yin transforming. Deficiency leads to miscarriage. Emotional stress and internal fire can also cause miscarriage. A case study describes a woman miscarrying around three months due to weak blood. Treating with Baizhu decoction and Huangqin powder stabilized the pregnancy. The third month corresponds to Ministerial Fire, making it vulnerable.
An Tai Wan (Fetal Stabilization Pills) is for regular use: Danggui, Chuanxiong, Baishao, Tiaohuangqin, Baizhu. Pill form with wine paste. Suitable for thin women with heat or history of miscarriage.
Another formula for preventing miscarriage uses Lotus seeds and Sharen.
Qianjin Baoyun Dan (Thousand Gold Pregnancy Preservation Pill) treats habitual miscarriage: Danggui, Shudihuang, Renshen, Baizhu, Tiaohuangqin, Chenpi, Xiangfu, Xuduan, Duzhong. Pill form with glutinous rice.
Jiawei Bazhen Tang (Modified Eight Treasures Decoction) tonifies Qi and Blood for women with prior miscarriages: Huangqi, Baizhu, Gancao, Fangfeng, Shudihuang, Chuanxiong, Baishao, Renshen, Zhimu, Danggui, Shanyao, Yizhiren, Shengma, Huangbai.
Dietary therapy for threatened miscarriage involves chicken soup with red millet porridge.
Wealthy women consuming rich foods, lying down immediately after eating, may have excessive amniotic fluid or strong placental attachment.