北齐名医徐之才云∶妊娠一月名胎胚,饮食精熟,酸羹受御,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。(如胆窍血墟、阳辅、绝骨、外丘、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,当慎护勿惊动也。
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,是谓外角而内感者也。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。毋悲哀思虑惊动。
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,(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,毋太饥,毋甚饱,毋食干燥,毋自炙热,毋太劳倦。
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,毋太饱。
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。
妊娠八月,始生土精,以成肤革,和心静息,无使气极,是调密腠理,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、肩井、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,即产矣,宜服滑胎药,八月即服。
乌雌鸡汤 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,宜服此。
乌雌鸡(一只,治如食法) 茯苓 阿胶(各二两) 吴茱萸(一升) 人参 麦门冬(五合,去心)
白术 芍药(各三两) 甘草 生姜(各一两)
上 咀,以水一斗二升煮鸡汁,取六升,去鸡下药,煎取三升,纳酒三升,并胶烊尽,取
三升,每服一升,日三。
补胎汤 若曾伤一月胎者,当预服此。(胎始一月,生气方浓,伤之则薄矣,故用温升
之药以助之,然于丹溪清热养血之语须活看)
细辛(一两) 防风(一两) 干地黄 白术 生姜(四两) 吴茱萸 大麦(各五合) 乌梅(一升)
上 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,加柏子、人参。一方有人参一两。
艾叶汤 妊娠二月,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,宜服此。
艾叶 丹参 当归 麻黄(各二两)(麻黄之用,非果有风寒者不可,即果有风寒,体虚者
亦不可,宜酌之)人参 阿胶(各三两) 甘草(一两) 生姜(六两) 大枣(十二枚)
上 咀,以酒三升,水一斗煮减半,去滓,纳胶煎取三升,分三服。一方用乌雌鸡一只
煮汁,并头血煎药。
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)(生地为君,黄连为臣,
似太寒矣;而又佐以姜、茱,岂非中和之剂乎?至于酢浆煮法,并昼夜服法,俱佳)
一方用阿胶。一方用当归(半两)。
上 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,水煎不用浆。
雄鸡汤 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,宜服此。
雄鸡(一只,治如食法) 黄芩 白术 生姜(各一两) 麦门冬(五合) 芍药 人参 茯苓 甘
草阿胶(各二两) 大枣(十二枚,劈)
上锉咀,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。一方用当归、川芎各二两,不用黄芩、生姜。
茯神汤 若曾伤三月胎者,当预服此。
茯神 丹参 龙骨(各一两) 人参 当归 阿胶 甘草(各一两) 大枣(二十一枚,劈) 赤小
豆(二十粒)
上 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。
菊花汤 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,脐
下苦急。卒风寒,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,卒有所下,宜服此。
菊花(鸡子大一枚) 麦门冬(一升) 人参(一两半) 甘草 当归(各二两) 麻黄 阿胶(各
二两) 半夏(四两) 生姜(五两) 大枣(十二枚)
上 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。
(有寒,有热,卒风寒,或惊动,是四 矣,而以一方治之,何耶?总之有人参、麦门、归、
甘等药,以植其本,则虽有杂症之来,余药自能制之)
调中汤 若曾伤四月胎者,当预服此。
白术 枳实 李根白皮 浓朴 柴胡(各三两) 白芍药 生姜(各四两) 当归(一两半) 川
芎续断 甘草(各一两) 乌梅(一升)
上 咀,以水一斗煮取三升,分四服,日三夜一,八日后复服一剂。
阿胶汤 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,宜服此。
阿胶(四两) 人参(一两) 当归 芍药 甘草 黄芩(各二两) 麦门冬(一升) 吴茱萸(七合)
旋复花(二合) 生姜(六两)
上 咀,以水九升煮药减半,纳清酒三升并胶,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,以水煮鸡汁煎减半,纳酒
并胶,煎取三升半,分四服。
安中汤 若曾伤五月胎者,当预服此。
黄芩(一两) 当归 川芎 干地黄 人参(各二两) 甘草 芍药(各三两) 麦门冬 五味子
大麻仁(各五合) 生姜(六两) 大枣(三十五枚)
上 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。
麦门冬汤 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,宜服此。(此方似与惊怖卒有所下以下诸症相宜,若腹满体肿,自有正方)
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)
上以水七升煮减半,纳清酒二升半胶,煎取三升,分三服,中间进糜粥。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。
柴胡(四两) 干地黄(五两) 白术 芍药(一作紫葳) 川芎 麦门冬 甘草(各二两)
苁蓉(一两) 生姜(六两) 大枣(三十枚)
一方有黄芩二两。
上以水一斗煮取三升,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。
葱白汤 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,腹满气
短,常苦颈项及腰背强。
葱白(三四寸长,十四茎) 黄 当归 甘草(各三两) 人参(一两半) 黄芩(一两)
阿胶(四两) 麦门冬 半夏(各一升) 生姜(八两)(此方妙在生姜八两,然非真若伤寒烦热,
气血两虚者,不可轻用) 旋复花(二合)
上 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(各二两) 麦门冬 吴茱萸(各一升) 五味子
(三合) 粳米(五合)(病在肺,肺之用主布散,以下诸药,皆补肺而温散酸收者也,甘草、粳米,
又补土生金之药)
上 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。
芍药汤 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,或时寒栗,腰背苦冷而痛,目 。(补土生金,散寒除痛)
芍药 生姜(各四两) 人参 白术 当归 甘草(各三两) 浓朴(二两) 薤白(切,一升)
上 咀,以水五升,清酒四升,合煮取三升,分三服,日二夜一。一方用乌雌鸡煮汁,
以煎前药。
葵子汤 若曾伤八月胎者,当预服此。(八月用葵子当思之)
葵子(二升) 芍药(四两) 白术 柴胡(各三两) 浓朴 甘草(各二两) 生姜(六两)
大枣(二十枚)
上 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。
半夏汤 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
此。(九月独言痢,且曰四服即止,必有所见,然药品燥热,用宜斟酌)
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 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。一方雌
乌鸡一只,煮汁煎药。
猪肾汤 若曾伤九月胎者,当预服此。
猪肾(一具) 白术(四两) 茯苓 桑寄生 干姜 干地黄 川芎(各三两) 附子(中者一枚)(附
子安胎,亦是奇局,苟非气弱胎寒者,不可轻试) 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。
Xu Zhicai, a famous physician of the Northern Qi Dynasty, stated: In the first month of pregnancy, it is called "Tai Pei" (Fetal Embryo). The diet should be fine and well-cooked; sour soups are easily tolerated. It is advisable to eat barley and avoid fishy or pungent/spicy foods. This is referred to as "Cai Zheng" (Correct Regulation by Xu Zhicai). During the first month, the Foot Jueyin Meridian nourishes the fetus. Acupuncture and moxibustion on this meridian should be avoided (e.g., Daguin [LR1], Xingjian [LR2], Taichong [LR3], Zhongfeng [LR4], Wuli [LR10], Zhongdu [LR8]). The Foot Jueyin Liver Meridian connects internally to the Liver, which governs sinews and blood. At this stage, blood circulation is sluggish; one should avoid strenuous labor, sleep quietly, and avoid fear or anxiety.
In the second month, it is called "Shi Gao" (Beginning of Paste/Fat). Avoid pungent and gamey foods. Reside in a quiet place. The husband should avoid excessive exertion. The mother may experience pain in all joints, marking the initial formation of the fetus. During the second month, the Foot Shaoyang Gallbladder Meridian nourishes the fetus. Acupuncture and moxibustion on this meridian should be avoided (e.g., Danqiaoxue [Extra], Yangfu [GB38], Jiexu [GB39], Waiqiu [GB36], Yanglingquan [GB34]). The Foot Shaoyang Gallbladder Meridian connects internally to the Gallbladder, which governs essence. At this stage, the fetal essence forms within the uterus; care must be taken to prevent startling or disturbing the fetus.
In the third month, it is called "Shi Tai" (Beginning of Fetus). At this time, the form is not yet fixed, and the fetus transforms according to what the mother sees ("Jian Wu Er Hua"). To conceive a boy, handle bows and arrows; to conceive a girl, play with pearls and gems. To ensure a beautiful child, frequently view jade artifacts; to ensure a virtuous child, sit upright and maintain a pure, empty mind. This is known as "external influence leading to internal response." During the third month, the Hand Jueyin Pericardium Meridian nourishes the fetus. Acupuncture and moxibustion on this meridian should be avoided (e.g., Zhongchong [PC9], Laogong [PC8], Daling [PC7], Neiguan [PC6], Jianshi [PC5], Ximen [PC4], Quze [PC3]). The Hand Jueyin Pericardium Meridian connects internally to the Heart. Avoid sorrow, overthinking, or startling.
In the fourth month, the fetus begins to receive the essence of Water to form blood vessels. The diet should include rice and glutinous rice; soups should include fish and wild goose. This is called "abundant blood and qi," which unifies the senses and unblocks the meridians. During the fourth month, the Hand Shaoyang Sanjiao Meridian nourishes the fetus. Acupuncture and moxibustion on this meridian should be avoided (e.g., Guanchong [TE1], Yangchi [TE4], Yemen [TE2], Zhongzhu [TE3], Tianjing [TE10], Quyuan [Extra]). The Hand Shaoyang Sanjiao Meridian connects internally to the Sanjiao (Triple Burner). At this stage, the six Fu organs develop in sequence; the body should remain still, the mind peaceful, and the diet regulated.
In the fifth month, the fetus begins to receive the essence of Fire to form vital energy (Qi). Sleep late. Bathe and wash clothes. Live in deep, secluded quarters and wear thick clothing. Inhale morning sunlight to avoid cold evils. Eat rice and wheat; consume beef and mutton soups seasoned with Zhenyu (Evodia) and balanced with the five flavors. This is called "nourishing Qi" to stabilize the five Zang organs. During the fifth month, the Foot Taiyin Spleen Meridian nourishes the fetus. Acupuncture and moxibustion on this meridian should be avoided (e.g., Yinbai [SP1], Dabu [SP2], Gongsun [SP4], Shangqiu [SP5], Sanyinjiao [SP6], Lougu [SP7], Yinlingquan [SP9]). The Foot Taiyin Spleen Meridian connects internally to the Spleen. At this stage, the fetal limbs are fully formed. Do not become too hungry or too full; avoid dry foods, excessive heat exposure, and fatigue.
In the sixth month, the fetus begins to receive the essence of Metal to form sinews. The body should engage in slight labor, avoiding prolonged stillness. Go outdoors and watch running dogs and galloping horses. Eat meat from raptors and fierce beasts. This is called "altering the interstices and binding sinews to nourish strength," thereby strengthening the back and spine. During the sixth month, the Foot Yangming Stomach Meridian nourishes the fetus. Acupuncture and moxibustion on this meridian should be avoided (e.g., Lidui [ST45], Fenglong [ST40], Yinshi [ST32], Shanglian [ST34], Xialian [ST33], Zusanli [ST36]). The Foot Yangming Stomach Meridian connects internally to the Stomach, governing the mouth and eyes. At this stage, the fetal mouth and eyes are formed. Balance the five flavors, eat sweet and delicious foods, and avoid overeating.
In the seventh month, the fetus begins to receive the essence of Wood to form bones. Labor the body and shake the limbs; do not keep them static. Perform flexion and extension movements to circulate blood and qi. Reside in dry places and avoid cold in the diet. Frequently eat rice and glutinous rice to tighten the interstices. This is called "nourishing bones and hardening teeth." During the seventh month, the Hand Taiyin Lung Meridian nourishes the fetus. Acupuncture and moxibustion on this meridian should be avoided (e.g., Shaoshang [LU11], Yuji [LU10], Lieque [LU7], Chize [LU5], Tianfu [LU3]). The Hand Taiyin Lung Meridian connects internally to the Lung, governing skin and hair. At this stage, the fetal skin and hair are formed. Do not speak loudly, cry out, wear thin clothes, bathe, or drink cold beverages.
In the eighth month, the fetus begins to receive the essence of Earth to form skin and flesh. Keep the mind harmonious and breathing calm; do not let the breath reach its extreme. This tightens the interstices and gives luster to the complexion. During the eighth month, the Hand Yangming Large Intestine Meridian nourishes the fetus. Acupuncture and moxibustion on this meridian should be avoided (e.g., Shangyang [LI1], Erjian [LI2], Hegu [LI4], Shanglian [LI13], Xialian [LI11], Quchi [LI11], Jianjing [GB21), Jianyu [LI15]). The Hand Yangming Large Intestine Meridian connects internally to the Large Intestine, governing the nine orifices. At this stage, the fetal nine orifices are formed. Avoid dry foods, irregular eating, and sudden rising from bed.
In the ninth month, the fetus begins to receive the essence of Stone to form hair. The six Fu organs and hundred joints are complete. Drink sweet wine and eat sweet foods. Loosen the belt and wait calmly for delivery. This is called "nourishing hair and developing talent/strength." During the ninth month, the Foot Shaoyin Kidney Meridian nourishes the fetus. Acupuncture and moxibustion on this meridian should be avoided (e.g., Yongquan [KI1], RanGu [KI2], Taixi [KI3], Jiaoxin [KI8), Zhubin [KI9), Fuliu [KI7]). The Foot Shaoyin Kidney Meridian connects internally to the Kidney, which governs the connecting threads (meridians). At this stage, the fetal meridians are complete. Avoid damp and cold environments; do not wear heated garments.
In the tenth month, the five Zang organs are complete, and the six Fu organs are fully open. Heaven and Earth Qi are gathered in the Dantian. Thus, the joints and spirit are fully prepared, awaiting the time for birth.
The first month begins with the embryo; the second with paste; the third with the sac; the fourth with the form; the fifth with movement; the sixth with sinews and bones; the seventh with hair; the eighth with organs; the ninth with grain entering the stomach; the tenth with spirits complete. Delivery is imminent. It is appropriate to take "Slippery Fetus Medicine" starting from the eighth month.
Wu Ci Ji Tang (Black Hen Decoction): For the first month of pregnancy, when Yin and Yang newly combine to form the fetus. If Cold predominates, pain occurs; if Heat predominates, sudden fright occurs. Heavy lifting causes lower back pain; abdominal distension and uterine urgency occur; sudden vaginal bleeding requires preventive treatment. This formula is suitable.
Ingredients: Black Hen (one, prepared for cooking), Poria (Fu Ling), Donkey-hide Gelatin (E Jiao) (each 2 liang), Evodia (Wu Zhu Yu) (1 sheng), Ginseng (Ren Shen), Ophiopogon (Mai Men Dong) (5 he, hearts removed), Atractylodes Macrocephala (Bai Zhu), Peony (Shao Yao) (each 3 liang), Licorice (Gan Cao), Ginger (Sheng Jiang) (each 1 liang).
Preparation: Coarsely crush the herbs. Boil the hen in 12 sheng of water to obtain 6 sheng of broth. Remove the hen and dregs. Decoct again to obtain 3 sheng. Add 3 sheng of wine and dissolve the gelatin. Final yield: 3 sheng. Take 1 sheng per dose, three times daily.
Bu Tai Tang (Fetus-Nourishing Decoction): For those who have previously damaged the first-month fetus, take this prophylactically. (At one month, the vital Qi is dense; damage makes it thin. Thus, warming and ascending herbs are used to assist it. However, interpret Danxi's advice on "clearing heat and nourishing blood" flexibly.)
Ingredients: Asarum (Xi Xin) (1 liang), Saposhnikovia (Fang Feng), Rehmannia Preparata (Shu Di Huang - *Note: Text says Gan Di Huang/Dry Rehmannia*), Atractylodes Macrocephala (Bai Zhu), Ginger (Sheng Jiang) (4 liang), Evodia (Wu Zhu Yu), Barley (Da Mai) (each 5 he), Mume Fruit (Wu Mei) (1 sheng).
Preparation: Coarsely crush. Boil in 7 sheng of water to obtain 2.5 sheng. Divide into three doses. Take before meals. If Cold predominates, double Xi Xin and Wu Zhu Yu. If Heat predominates with thirst, remove Xi Xin and Wu Zhu Yu, add Trichosanthes Root (Gua Lou Gen) 2 liang. If mental distraction occurs, add Biota Seed (Bai Zi Ren) and Ginseng (Ren Shen). Another version includes 1 liang of Ginseng.
Ai Ye Tang (Mugwort Leaf Decoction): For the second month of pregnancy, where Yin and Yang reside in the meridians. If Cold predominates, the fetus fails to form; if Heat predominates, the fetus withers. Wind-Cold causes instability, chest fullness, umbilical urgency, back stiffness, sudden vaginal bleeding, and alternating chills and fever. This formula is suitable.
Ingredients: Mugwort Leaf (Ai Ye), Salvia (Dan Shen), Angelica Sinensis (Dang Gui), Ephedra (Ma Huang) (each 2 liang) (*Note: Ma Huang should only be used if Wind-Cold is confirmed; even then, avoid in deficient constitutions. Use discretion.*), Ginseng (Ren Shen), Donkey-hide Gelatin (E Jiao) (each 3 liang), Licorice (Gan Cao) (1 liang), Ginger (Sheng Jiang) (6 liang), Jujube (Da Zao) (12 pieces).
Preparation: Coarsely crush. Boil in 3 sheng of wine and 10 sheng of water until reduced by half. Strain. Add gelatin and decoct to 3 sheng. Divide into three doses. Another version uses a black hen boiled for broth, including head blood, to decoct the herbs.
Huang Lian Tang (Coptis Decoction): For those who have previously damaged the second-month fetus, take this prophylactically.
Ingredients: Coptis (Huang Lian), Ginseng (Ren Shen) (each 1 liang), Evodia (Wu Zhu Yu) (5 he), Ginger (Sheng Jiang) (3 liang), Raw Rehmannia (Sheng Di Huang) (5 liang) (*Note: Sheng Di as Sovereign and Huang Lian as Minister seems too cold; but assisted by Ginger and Evodia, it becomes a neutralizing agent. The vinegar-water decoction method and day/night dosing are excellent.*).
Another version uses Donkey-hide Gelatin (E Jiao). Another uses Angelica Sinensis (Dang Gui) (0.5 liang).
Preparation: Coarsely crush. Boil in 7 sheng of vinegar-water mixture to obtain 3 sheng. Divide into four doses: three times during the day, once at night. Reprepare every ten days. If significant discomfort is felt, add 1 sheng of Mume Fruit (Wu Mei) and decoct with water instead of vinegar.
Xiong Ji Tang (Male Chicken Decoction): In the third month, the fetal form is established. Cold causes green stool; Heat causes difficult urination (red or yellow). Sudden fright, worry, anger, or joy disturbs the meridians, causing abdominal fullness, periumbilical pain, or back pain, and sudden vaginal bleeding. This formula is suitable.
Ingredients: Male Chicken (one, prepared for cooking), Scutellaria (Huang Qin), Atractylodes Macrocephala (Bai Zhu), Ginger (Sheng Jiang) (each 1 liang), Ophiopogon (Mai Men Dong) (5 he), Peony (Shao Yao), Ginseng (Ren Shen), Poria (Fu Ling), Licorice (Gan Cao), Donkey-hide Gelatin (E Jiao) (each 2 liang), Jujube (Da Zao) (12 pieces, split).
Preparation: Coarsely crush. Boil the chicken in 13 sheng of water until reduced by half. Remove chicken, add herbs, and decoct until half remains. Add 3 sheng of clear wine and gelatin, decoct to 3 sheng. Divide into three doses, consumed within one day. Another version uses Angelica Sinensis (Dang Gui) and Ligusticum (Chuan Xiong) (each 2 liang), omitting Scutellaria and Ginger.
Fu Shen Tang (Poria Spirit Decoction): For those who have previously damaged the third-month fetus, take this prophylactically.
Ingredients: Poria Spirit (Fu Shen), Salvia (Dan Shen), Dragon Bone (Long Gu) (each 1 liang), Ginseng (Ren Shen), Angelica Sinensis (Dang Gui), Donkey-hide Gelatin (E Jiao), Licorice (Gan Cao) (each 1 liang), Jujube (Da Zao) (21 pieces, split), Adzuki Bean (Chi Xiao Dou) (20 grains).
Preparation: Coarsely crush. Boil in 10 sheng of vinegar-water mixture to obtain 3 sheng. Divide into four doses. Take before meals. Take one dose after seven days. For lower back pain, add Taxillus (Sang Ji Sheng) 2 liang. *Shen Shi Fang* includes Allium Macrostemon (Xie Bai) 2 liang and Hemp Seed (Ma Zi) 1 sheng.
Ju Hua Tang (Chrysanthemum Decoction): In the fourth month, Cold causes epigastric discomfort, nausea, chest fullness, and anorexia. Heat causes difficult, frequent urination resembling strangury, and umbilical urgency. Sudden Wind-Cold causes neck stiffness, pain, and alternating chills/fever. Startling causes body movement, back/abdominal pain, and periodic symptoms. Fetal pressure on the chest causes irritability. Sudden vaginal bleeding requires this formula.
Ingredients: Chrysanthemum (Ju Hua) (size of one egg), Ophiopogon (Mai Men Dong) (1 sheng), Ginseng (Ren Shen) (1.5 liang), Licorice (Gan Cao), Angelica Sinensis (Dang Gui) (each 2 liang), Ephedra (Ma Huang), Donkey-hide Gelatin (E Jiao) (each 2 liang), Pinellia (Ban Xia) (4 liang), Ginger (Sheng Jiang) (5 liang), Jujube (Da Zao) (12 pieces).
Preparation: Coarsely crush. Boil in 8 sheng of water until reduced by half. Add 3 sheng of clear wine and gelatin, decoct to 3 sheng. Divide into three doses. Cover warmly to induce sweating; apply powder to the body. Protect against Wind-Cold for 4-5 days. Another version uses a black hen boiled for broth to decoct the herbs.
(*Note: Cold, Heat, sudden Wind-Cold, and startling are four different patterns treated by one formula. Why? Because it contains Ginseng, Ophiopogon, Angelica, and Licorice to support the root, allowing other herbs to address the mixed symptoms.*)
Tiao Zhong Tang (Regulating the Middle Decoction): For those who have previously damaged the fourth-month fetus, take this prophylactically.
Ingredients: Atractylodes Macrocephala (Bai Zhu), Immature Bitter Orange (Zhi Shi), Li Root Bark (Li Gen Bai Pi), Magnolia Bark (Nou Pu), Bupleurum (Chai Hu) (each 3 liang), White Peony (Bai Shao Yao), Ginger (Sheng Jiang) (each 4 liang), Angelica Sinensis (Dang Gui) (1.5 liang), Ligusticum (Chuan Xiong), Drynaria (Xu Duan), Licorice (Gan Cao) (each 1 liang), Mume Fruit (Wu Mei) (1 sheng).
Preparation: Coarsely crush. Boil in 10 sheng of water to obtain 3 sheng. Divide into four doses: three times during the day, once at night. Take another dose after eight days.
E Jiao Tang (Donkey-hide Gelatin Decoction): In the fifth month, Heat causes dizziness, mental confusion, and vomiting. Cold causes abdominal fullness/pain, frequent urination, sudden terror, limb pain, alternating chills/fever, unpredictable fetal movement, severe abdominal pain threatening collapse, and sudden vaginal bleeding. This formula is suitable.
Ingredients: Donkey-hide Gelatin (E Jiao) (4 liang), Ginseng (Ren Shen) (1 liang), Angelica Sinensis (Dang Gui), Peony (Shao Yao), Licorice (Gan Cao), Scutellaria (Huang Qin) (each 2 liang), Ophiopogon (Mai Men Dong) (1 sheng), Evodia (Wu Zhu Yu) (7 he), Inula Flower (Xuan Fu Hua) (2 he), Ginger (Sheng Jiang) (6 liang).
Preparation: Coarsely crush. Boil in 9 sheng of water until reduced by half. Add 3 sheng of clear wine and gelatin. Simmer gently to obtain 3.5 sheng. Divide into four doses: three times during the day, once at night. Take before meals. Cure if effective; repeat if not. Another version uses a black hen, collecting throat blood into wine, boiling the chicken broth, reducing by half, adding wine and gelatin, decocting to 3.5 sheng, dividing into four doses.
An Zhong Tang (Calming the Middle Decoction): For those who have previously damaged the fifth-month fetus, take this prophylactically.
Ingredients: Scutellaria (Huang Qin) (1 liang), Angelica Sinensis (Dang Gui), Ligusticum (Chuan Xiong), Dry Rehmannia (Gan Di Huang), Ginseng (Ren Shen) (each 2 liang), Licorice (Gan Cao), Peony (Shao Yao) (each 3 liang), Ophiopogon (Mai Men Dong), Schisandra (Wu Wei Zi), Hemp Seed (Da Ma Ren) (each 5 he), Ginger (Sheng Jiang) (6 liang), Jujube (Da Zao) (35 pieces).
Preparation: Coarsely crush. Boil in 7 sheng of water and 5 sheng of clear wine to obtain 3.5 sheng. Divide into four doses: three times during the day, once at night. Take another dose after seven days.
Mai Men Dong Tang (Ophiopogon Decoction): In the sixth month, sudden fetal restlessness, alternating chills/fever, abdominal distension, edema, terror, sudden vaginal bleeding, labor-like abdominal pain, and painful extremities require this formula. (*This formula suits terror and sudden bleeding; for distension and edema, there are specific formulas.*)
Ingredients: Ophiopogon (Mai Men Dong) (1 sheng), Ginseng (Ren Shen), Licorice (Gan Cao), Scutellaria (Huang Qin) (each 2 liang), Dry Rehmannia (Gan Di Huang) (3 liang), Donkey-hide Gelatin (E Jiao) (4 liang), Ginger (Sheng Jiang) (6 liang), Jujube (Da Zao) (15 pieces).
Preparation: Boil in 7 sheng of water until reduced by half. Add 2.5 sheng of clear wine and gelatin, decoct to 3 sheng. Divide into three doses. Consume millet porridge in between. Another version uses a black hen boiled for broth to decoct the herbs.
Chai Hu Tang (Bupleurum Decoction): For those who have previously damaged the sixth-month fetus, take this prophylactically.
Ingredients: Bupleurum (Chai Hu) (4 liang), Dry Rehmannia (Gan Di Huang) (5 liang), Atractylodes Macrocephala (Bai Zhu), Peony (Shao Yao) (alternatively Vitex [Zi Wei]), Ligusticum (Chuan Xiong), Ophiopogon (Mai Men Dong), Licorice (Gan Cao) (each 2 liang), Cistanche (Rong Rong) (1 liang), Ginger (Sheng Jiang) (6 liang), Jujube (Da Zao) (30 pieces).
Another version includes Scutellaria (Huang Qin) 2 liang.
Preparation: Boil in 10 sheng of water to obtain 3 sheng. Divide into four doses: three times during the day, once at night. Consume millet porridge in between. Avoid raw/cold and hard foods. Take another dose after seven days.
Cong Bai Tang (Scallion White Decoction): In the seventh month, sudden fright/movement, abdominal pain, sudden vaginal bleeding, cold extremities, pulse resembling Wind-Cold with irritability/fever, abdominal fullness, shortness of breath, and chronic neck/back stiffness require this formula.
Ingredients: Scallion White (Cong Bai) (3-4 cun long, 14 stalks), Astragalus (Huang Qi), Angelica Sinensis (Dang Gui), Licorice (Gan Cao) (each 3 liang), Ginseng (Ren Shen) (1.5 liang), Scutellaria (Huang Qin) (1 liang), Donkey-hide Gelatin (E Jiao) (4 liang), Ophiopogon (Mai Men Dong), Pinellia (Ban Xia) (each 1 sheng), Ginger (Sheng Jiang) (8 liang) (*Note: The efficacy lies in 8 liang of Ginger; however, do not use lightly unless there is true Wind-Cold irritability/fever and Qi/Blood deficiency*), Inula Flower (Xuan Fu Hua) (2 he).
Preparation: Coarsely crush. Boil in 2 sheng of water until reduced by half. Add 3 sheng of clear wine and gelatin, decoct to 4 sheng. Take 1 sheng per dose, three times during the day, once at night. Cover warmly to induce sweating. If no sweat, add Ephedra (Ma Huang) 2 liang and decoct as before. After autumn, do not force sweating. Another version uses a yellow female hen, collecting throat blood into wine, boiling chicken broth to decoct the herbs.
Xing Ren Tang (Apricot Kernel Decoction): For those who have previously damaged the seventh-month fetus, take this prophylactically.
Ingredients: Apricot Kernel (Xing Ren), Licorice (Gan Cao) (each 2 liang), Aster (Zi Wan) (1 liang), Milky Cloudstone (Zhong Ru), Dry Ginger (Gan Jiang) (each 2 liang), Ophiopogon (Mai Men Dong), Evodia (Wu Zhu Yu) (each 1 sheng), Schisandra (Wu Wei Zi) (3 he), Glutinous Rice (Jing Mi) (5 he) (*Note: Disease is in the Lung; Lung function disperses. These herbs tonify the Lung, warm/disperse, and astringe. Licorice and Jing Mi tonify Earth to generate Metal*).
Preparation: Coarsely crush. Boil in 8 sheng of water to obtain 3.5 sheng. Divide into four doses: three times during the day, once at night. Consume food in between. Take one dose every seven days. Another version uses a white hen boiled for broth to decoct the herbs.
Shao Yao Tang (Peony Decoction): In the eighth month, Wind-Cold invasion, physical contact injury, generalized body pain, alternating chills/fever, fetal restlessness, chronic dizziness, cold pain around the umbilicus, milky/blue/yellow urine, chills, cold/painful back, and dizziness require this formula. (*Tonifies Earth to generate Metal, dispels Cold, relieves pain.*)
Ingredients: Peony (Shao Yao), Ginger (Sheng Jiang) (each 4 liang), Ginseng (Ren Shen), Atractylodes Macrocephala (Bai Zhu), Angelica Sinensis (Dang Gui), Licorice (Gan Cao) (each 3 liang), Magnolia Bark (Nou Pu) (2 liang), Allium Macrostemon (Xie Bai) (cut, 1 sheng).
Preparation: Coarsely crush. Boil in 5 sheng of water and 4 sheng of clear wine to obtain 3 sheng. Divide into three doses: twice during the day, once at night. Another version uses a black hen boiled for broth to decoct the prior herbs.
Kui Zi Tang (Malva Seed Decoction): For those who have previously damaged the eighth-month fetus, take this prophylactically. (*Consider carefully why Malva Seed is used in the eighth month.*)
Ingredients: Malva Seed (Kui Zi) (2 sheng), Peony (Shao Yao) (4 liang), Atractylodes Macrocephala (Bai Zhu), Bupleurum (Chai Hu) (each 3 liang), Magnolia Bark (Nou Pu), Licorice (Gan Cao) (each 2 liang), Ginger (Sheng Jiang) (6 liang), Jujube (Da Zao) (20 pieces).
Preparation: Coarsely crush. Boil in 9 sheng of water to obtain 3 sheng. Divide into three doses, three times daily. One dose every ten days. Another version uses a black hen boiled for broth to decoct the herbs.
Ban Xia Tang (Pinellia Decoction): In the ninth month, sudden dysentery, abdominal fullness/urgency, fetal gas rushing to the heart, back pain, inability to turn, and shortness of breath require this formula. (*Only dysentery is mentioned for the ninth month, stating it stops after four doses; this implies specific clinical observation. However, the herbs are drying/hot; use with discretion.*)
Ingredients: Pinellia (Ban Xia), Ophiopogon (Mai Men Dong), Evodia (Wu Zhu Yu), Angelica Sinensis (Dang Gui), Donkey-hide Gelatin (E Jiao) (each 3 liang), Dry Ginger (Gan Jiang) (1 liang), Jujube (Da Zao) (12 pieces).
Preparation: Coarsely crush. Boil in 9 sheng of water to obtain 3 sheng. Strain. Add 8 he of white honey. Warm and take over four doses; dysentery will stop. Another version uses a female black hen boiled for broth to decoct the herbs.
Zhu Shen Tang (Pig Kidney Decoction): For those who have previously damaged the ninth-month fetus, take this prophylactically.
Ingredients: Pig Kidney (one), Atractylodes Macrocephala (Bai Zhu) (4 liang), Poria (Fu Ling), Taxillus (Sang Ji Sheng), Dry Ginger (Gan Jiang), Dry Rehmannia (Gan Di Huang), Ligusticum (Chuan Xiong) (each 3 liang), Aconite (Fu Zi) (one medium-sized) (*Note: Aconite for calming the fetus is unusual; do not use lightly unless Qi is weak and the fetus is cold*), Soybean (Da Dou) (3 he), Ophiopogon (Mai Men Dong) (1 sheng).
Preparation: Coarsely crush. Boil the kidney in 10 sheng of water until cooked. Remove kidney, add herbs, decoct to 3.5 sheng. Divide into four doses: three times during the day, once at night. Take another dose after ten days.