（附∶转男 验胎法 验男女 半产 恶阻 漏胎 鬼胎 妊娠药忌 妊娠食忌）
帝曰∶人有重身，九月而喑，此何为也？岐伯对曰∶胞之络脉绝也。胳络者，系于肾，少阴之
脉贯肾、系舌本，故不能言，当十月而复（十月胎产，胞络复通，不治而语音自出也。）又曰∶妇
人重身，毒之奈何？岐伯对曰∶有故无殒，
亦无殒也，衰其大半而已。盖妊妇有疾，不可不投药也。必在医者审度疾势轻重，量度药性高下
，处以中庸，不必多品。视其疾势已衰，药宜止服，则病去母安，子亦无损，复何惧于攻治哉！
夫妊娠受孕之始，其说见于古书。一月名始胎，二月名始膏，三月名始胚。血不流行，形象始化
，未有定仪，见物而变。母宜见贤良贵人。欲男操弓矢，玩美玉、观孔雀。四月始受水精，以成
血脉。五月始受火精，以成其气。六月始受金精，以成其筋。七月始受木精，以成其骨。八月始
受土精，以成其肤。九月始受石精，以成其毛发。十月五脏六腑、关节人神皆备。古人胎教之法
，寝不侧，坐不偏，立不跸。不食邪味，动止端严，情性和悦，常处静室，多听美言，聆人讲读
诗书，陈礼说乐。耳不听淫声，目不视恶色。如此则生子形容端正，才力过人，忠孝贤达，智能
聪明，此所谓因外象而内感也。最宜净房帏，儿不受淫人之毒，无危恶之痘疹，尤免半产堕胎之
忧，不虑临盆横逆之害。母受惊，恐儿有胎惊诸证；母食热毒，儿成胎热 赖疮疡；母受风冷，
儿致胎寒呕泄诸尤。儿生月内诸患，皆母怀娠之失调也。孕妇若发动喜怒忧悲，感风寒暑湿及多
沐浴，掬冷水，妄作劳，轻举动。受胎之后，身体不安而腰酸腹痛，甚至下坠；及身热倦怠，少
食吐呕，胸膈满闷，至于行动少力等证，皆由气血两亏，无所荣养而使然也。有怀孕而仍行经者
，名盛胎，血盛故也。有逾月不产，十二、三至二十四、五月生者亦有之，由气血不足故也。惟
宜服大补气血药。有贵人多在十一、二月生。
主方 白术 黄芩（条） 当归 香附（醋炒） 生地（各二钱） 川芎 白芍药（各一钱）
上水煎服。胎痛，加紫苏；胎动，砂仁（一钱）调服。胎漏，加牡蛎（醋 一钱，） 桑寄
生（一钱。） 房室动加阿胶（一钱服）。
安胎饮 妊娠胎气不安，腰腹微痛，饮食少进。
白术 条芩 当归（各一钱半） 白芍药（酒炒） 熟地（各一钱） 人参 川芎 陈皮（各
五分） 砂仁 甘草 紫苏（各三分）
上水煎服。下血 加阿胶，甚加艾叶。腹痛，倍芍药。腰痛，杜仲、枸杞。
保胎丸 三月胎堕，气血不足，中冲脉伤，宜戒怒少劳，节饮食。
香附子（四制法，见前） 当归身 条芩（无热减半） 白术 熟地（各四两） 川芎 白
芍药 艾叶（醋煮） 阿胶（酒蒸） 川续断 益母草 陈皮 砂仁（各一两，有热减半）
上为末，煮枣肉和丸，桐子大，每二钱，米汤下。
白术散 妊娠四肢浮肿，或面目遍身俱浮，名子肿。
白术（一两） 大腹皮 白茯苓 生姜皮 陈皮 上末，每二钱，米汤调下。
未安加木通、条芩、槟榔、木香。足肿加青木香、苍术。
消痰利气汤 四肢不能转侧，痰气喘促，饮食不进，腹胀甚者。
陈皮 贝母 茯苓（各一钱半） 杏仁 荆芥（各一钱） 紫苏 枳壳 桑皮（鲜者尤妙）
泽泻（各八分）
先服二帖，痰消喘定，去贝母、荆芥、枳壳、杏仁，加荆芥子，倍茯苓。下体安，去荆芥子
、泽泻，加白术、条芩、当归、川芎、芍药。有热加栀子（连皮炒。为末，）米汤下。
竹叶汤 妊妇烦闷不安，名子烦。
当归 茯神 麦冬（各钱半） 防风 黄芩 栀子
加竹叶二十片煎。未安加人参、生地、犀角、甘草，去防风、栀子，加莲肉煎服。
泽泻散 喘急胸满，小水不利，名子满。
泽泻 赤茯苓 木通（各一钱） 枳壳 桑皮 槟榔 陈皮（各八分）
加生姜三片煎服。不食加白术、腹皮、紫苏、桑皮煎。
车前散 妊妇小便频涩作痛，下焦有热，名子淋。
当归 枳壳 栀子（各八分） 车前子（研） 赤苓（各一钱） 木通（五分） 赤芍（五
分） 石苇（炙，去毛） 陈皮 槟榔 川芎（各四分） 甘草（三分）
加灯心煎服。未安加泽泻、石莲肉、地肤、淡竹叶、 蓄、瞿麦。
又 地肤草（四两，）水煎或捣汁服（可治诸淋。）或鲜地黄捣汁，入蜜二匙，服。
羚角散 忽然冒闷不省人事，四肢角弓反张，痰壅盛，名子痫。
羚羊角（锉） 当归 川芎 酸枣仁（炒、研） 茯神（各一钱） 五加皮 防风 薏苡仁
杏仁（各五分） 木香 甘草（各三分） 加姜煎服。
泻肝饮 人事不省，目直上视，谵语，骂詈、狂叫，关脉洪数。
贝母（三钱） 白芍药 茯苓（各一钱半） 黄连 天麻 橘红 龙胆草 栀子（各一钱）
青皮（八分） 上水煎成，调青黛五分服。
紫苏饮 妊娠胎元不和，上凑心腹胀满疼痛，名子悬。
香附 当归（各一钱） 紫苏 大腹皮 陈皮（各八分） 白芍药 川芎（各五分） 甘草（三
分） 水煎服。
藿香正气散可服。
又 紫苏、橘红、麦冬等分为末，每服四钱，加枇杷叶、竹茹一钱五分煎。
当归汤 胎动冲心，闷躁口渴，上冲下筑，唇口青黑，手足厥冷。
当归 人参 阿胶（各二钱） 甘草（一钱） 葱白（带根一握） 连煎二剂。
四圣散 妊娠不能饮食，冲心欲死，遍身疼痛。
白术 黄芩 白芍（各一两） 砂仁（五钱） 上分四帖，水煎服。
(Attached: Methods for Changing Fetal Sex, Verifying Pregnancy, Determining Fetal Gender, Spontaneous Abortion, Morning Sickness, Threatened Abortion with Bleeding, Hydatidiform Mole, Contraindications for Herbs and Food during Pregnancy)
The Yellow Emperor asked: When a woman is pregnant and becomes aphonic (loss of voice) in the ninth month, what is the cause? Qibo replied: This is due to the obstruction of the collateral vessels of the uterus. These collaterals are connected to the Kidney, and the Shaoyin (Lesser Yin) channel passes through the Kidney and connects to the root of the tongue; therefore, speech is impaired. It will recover after the tenth month. (After delivery in the tenth month, the uterine collaterals resume their flow, and without treatment, voice naturally returns.) He also said: If a pregnant woman has an illness requiring medication, how should it be handled? Qibo replied: "If there is a pathogen, there will be no destruction [of the fetus or mother]; if there is no pathogen, there is no destruction." One should only reduce the pathogenic factor by more than half. Generally, when a pregnant woman is ill, medication cannot be avoided. The physician must carefully assess the severity of the disease and weigh the potency of the herbs, prescribing moderate doses without using too many ingredients. Once the disease process has subsided, medication should be stopped. Thus, the disease is eliminated, the mother remains safe, and the fetus is unharmed; why fear such aggressive treatments?
Regarding the initial stages of conception, ancient texts state: The first month is called "Beginning of Embryo," the second month "Beginning of Paste," and the third month "Beginning of Germ." At this stage, blood does not circulate freely as usual; the image of the embryo begins to transform but lacks a fixed form, changing according to what the mother sees. The mother should associate with virtuous and noble people. To conceive a male, one may handle bows and arrows, play with beautiful jade, or observe peacocks. In the fourth month, the essence of Water is received to form blood vessels. In the fifth month, the essence of Fire is received to form Qi. In the sixth month, the essence of Metal is received to form sinews. In the seventh month, the essence of Wood is received to form bones. In the eighth month, the essence of Earth is received to form skin. In the ninth month, the essence of Stone is received to form hair and body coverings. By the tenth month, the Zang-Fu organs, joints, and spirit are all complete. Ancient methods of prenatal education included sleeping on one's side, sitting upright, standing straight, avoiding strange tastes, maintaining dignified movements, keeping emotions peaceful and joyful, residing in quiet rooms, listening to good words, hearing poetry and books recited, discussing rituals and music, avoiding obscene sounds, and refraining from viewing ugly sights. Doing so results in a child with correct features, superior talent, loyalty, filial piety, virtue, intelligence, and wisdom. This is known as internal感应 (resonance/induction) caused by external images. It is most important to keep the bedroom clean so the infant is not exposed to the toxicity of licentious individuals, avoiding dangerous pox and rashes, and preventing miscarriage or difficult labor. If the mother is startled, the fetus may suffer from fetal fright syndromes; if the mother consumes hot-toxic foods, the fetus may develop fetal heat sores; if the mother contracts wind-cold, the fetus may suffer from fetal cold leading to vomiting and diarrhea. All ailments in the newborn's first month stem from maternal imbalance during pregnancy. If the pregnant woman experiences anger, excessive joy, sorrow, or grief, or contracts Wind-Cold, Summer-Heat, or Dampness, or bathes frequently, handles cold water, overexerts herself, or moves lightly/improperly, she may experience discomfort after conception, including sore back and abdomen, bearing-down sensations, fever, fatigue, poor appetite, nausea, chest fullness, and weakness. These are caused by deficiency of both Qi and Blood failing to nourish the body. Some women continue to menstruate during pregnancy, termed "Prosperous Menstruation" (Sheng Tai), due to abundant blood. Some do not deliver for a month past term, or even at twelve to thirteen months up to twenty-four to thirty months, due to insufficient Qi and Blood; they should take strong tonics for Qi and Blood. Noblewomen often deliver in the eleventh or twelfth month.
Main Formula: Bai Zhu (Atractylodis Macrocephalae Rhizoma), Huang Qin (Scutellariae Radix, specifically Tiao Qin), Dang Gui (Angelicae Sinensis Radix), Xiang Fu (Cyperi Rhizoma, stir-fried with vinegar), Sheng Di Huang (Rehmanniae Radix) (each 2 qian); Chuan Xiong (Ligustici Chuanxiong Rhizoma), Bai Shao Yao (Paeoniae Radix Alba) (each 1 qian). Decoct in water and take orally. For fetal pain, add Zi Su (Perillae Folium); for fetal movement, mix with Sha Ren (Amomi Fructus, 1 qian). For threatened abortion with bleeding, add Mu Li (Ostreae Concha, vinegar-processed 1 qian) and Sang Ji Sheng (Taxilli Ramulus, 1 qian). If sexual activity triggers symptoms, add E Jiao (Colla Corii Asini, 1 qian).
An Tai Yin (Stabilize the Fetus Decoction): For restless fetal Qi, slight waist and abdominal pain, and reduced appetite.
Bai Zhu (Atractylodis Macrocephalae Rhizoma), Tiao Qin (Scutellariae Radix), Dang Gui (Angelicae Sinensis Radix) (each 1.5 qian); Bai Shao Yao (Paeoniae Radix Alba, wine-fried), Shu Di Huang (Rehmanniae Radix Preparata) (each 1 qian); Ren Shen (Ginseng Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Chen Pi (Citri Reticulatae Pericarpium) (each 0.5 qian); Sha Ren (Amomi Fructus), Gan Cao (Glycyrrhizae Radix et Rhizoma), Zi Su (Perillae Folium) (each 0.3 qian). Decoct in water and take orally. For vaginal bleeding, add E Jiao (Colla Corii Asini); for severe cases, add Ai Ye (Artemisiae Argyi Folium). For abdominal pain, double the dose of Bai Shao Yao (Paeoniae Radix Alba). For lower back pain, add Du Zhong (Eucommiae Cortex) and Gou Qi (Lycii Fructus).
Bao Tai Wan (Protect the Fetus Pill): For miscarriage at three months due to Qi and Blood deficiency and damage to the Chong Mai (Penetrating Vessel). Anger should be restrained, labor minimized, and diet regulated.
Xiang Fu (Cyperi Rhizoma, four-processing method, see previous text), Dang Gui Shen (Radix Angelicae Sinensis Caulis), Tiao Qin (Scutellariae Radix, halve if no heat), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Shu Di Huang (Rehmanniae Radix Preparata) (each 4 liang); Chuan Xiong (Ligustici Chuanxiong Rhizoma), Bai Shao Yao (Paeoniae Radix Alba), Ai Ye (Artemisiae Argyi Folium, boiled with vinegar), E Jiao (Colla Corii Asini, steamed with wine), Chuan Xu Duan (Dipsaci Radix), Yi Mu Cao (Leonuri Herba), Chen Pi (Citri Reticulatae Pericarpium), Sha Ren (Amomi Fructus) (each 1 liang, halve if heat is present). Grind into powder, mix with dates cooked into paste, and form pills the size of tung tree seeds. Take 2 qian each time, washed down with rice soup.
Bai Zhu San (Atractylodes Powder): For edema of the four limbs, or swelling of the face, eyes, and entire body, termed Zi Zhong (Edema of Pregnancy).
Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1 liang), Da Fu Pi (Arecae Pericarpium), Bai Fu Ling (Poria), Sheng Jiang Pi (Zingiberis Rhizoma Recens Pericarpium), Chen Pi (Citri Reticulatae Pericarpium). Grind into powder. Take 2 qian each time, mixed with rice soup. If unresolved, add Mu Tong (Akebiae Caulis), Tiao Qin (Scutellariae Radix), Bing Lang (Arecae Semen), and Mu Xiang (Aucklandiae Radix). For foot swelling, add Qing Mu Xiang (Aucklandiae Radix) and Cang Zhu (Atractylodis Rhizoma).
Xiao Tan Li Qi Tang (Eliminate Phlegm and Promote Qi Decoction): For inability to move limbs, phlegm-induced asthma and shortness of breath, inability to eat, and severe abdominal distension.
Chen Pi (Citri Reticulatae Pericarpium), Bei Mu (Fritillariae Bulbus), Fu Ling (Poria) (each 1.5 qian); Xing Ren (Armeniacae Semen Amarum), Jing Jie (Schizonepetae Spica) (each 1 qian); Zi Su (Perillae Folium), Zhi Ke (Aurantii Fructus Immaturus), Sang Bai Pi (Mori Cortex, fresh is best), Ze Xie (Alismatis Rhizoma) (each 0.8 qian). Take two doses first. Once phlegm dissipates and breathing stabilizes, remove Bei Mu (Fritillariae Bulbus), Jing Jie (Schizonepetae Spica), Zhi Ke (Aurantii Fructus Immaturus), and Xing Ren (Armeniacae Semen Amarum); add Jing Jie Zi (Schizonepetae Spica) and double the Fu Ling (Poria). Once the lower body is stable, remove Jing Jie Zi (Schizonepetae Spica) and Ze Xie (Alismatis Rhizoma); add Bai Zhu (Atractylodis Macrocephalae Rhizoma), Tiao Qin (Scutellariae Radix), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), and Shao Yao (Paeoniae Radix). If heat is present, add Zhi Zi (Gardeniae Fructus, stir-fried with peel, ground into powder), taken with rice soup.
Zhu Ye Tang (Bamboo Leaf Decoction): For pregnant women experiencing restlessness and irritability, termed Zi Fan (Restlessness of Pregnancy).
Dang Gui (Angelicae Sinensis Radix), Fu Shen (Poria with Hostwood), Mai Dong (Ophiopogonis Radix) (each 1.5 qian); Fang Feng (Saposhnikoviae Radix), Huang Qin (Scutellariae Radix), Zhi Zi (Gardeniae Fructus). Add twenty Zhu Ye (Phyllostachys Nigra Folium) leaves and decoct. If unresolved, add Ren Shen (Ginseng Radix), Sheng Di Huang (Rehmanniae Radix), Xi Jiao (Rhinocerotis Cornu), and Gan Cao (Glycyrrhizae Radix et Rhizoma); remove Fang Feng (Saposhnikoviae Radix) and Zhi Zi (Gardeniae Fructus); add Lian Rou (Nelumbinis Semen) and decoct.
Ze Xie San (Alisma Powder): For rapid breathing, chest fullness, and difficult urination, termed Zi Man (Fullness of Pregnancy).
Ze Xie (Alismatis Rhizoma), Chi Fu Ling (Poria with Red Skin), Mu Tong (Akebiae Caulis) (each 1 qian); Zhi Ke (Aurantii Fructus Immaturus), Sang Bai Pi (Mori Cortex), Bing Lang (Arecae Semen), Chen Pi (Citri Reticulatae Pericarpium) (each 0.8 qian). Add three slices of Sheng Jiang (Zingiberis Rhizoma Recens) and decoct. For loss of appetite, add Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Pi (Arecae Pericarpium), Zi Su (Perillae Folium), and Sang Bai Pi (Mori Cortex).
Che Qian San (Plantago Seed Powder): For frequent, difficult, and painful urination due to Lower Jiao Heat, termed Zi Lin (Strangury of Pregnancy).
Dang Gui (Angelicae Sinensis Radix), Zhi Ke (Aurantii Fructus Immaturus), Zhi Zi (Gardeniae Fructus) (each 0.8 qian); Che Qian Zi (Plantaginis Semen, ground), Chi Fu Ling (Poria with Red Skin) (each 1 qian); Mu Tong (Akebiae Caulis, 0.5 qian), Chi Shao (Paeoniae Radix Rubra, 0.5 qian), Shi Wei (Pyri Folium, processed, hairs removed), Chen Pi (Citri Reticulatae Pericarpium), Bing Lang (Arecae Semen), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (each 0.4 qian); Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.3 qian). Add Deng Xin Cao (Junci Medullia) and decoct. If unresolved, add Ze Xie (Alismatis Rhizoma), Shi Lian Rou (Nelumbinis Plumula), Di Fu Zi (Kochiae Fructus), Dan Zhu Ye (Lophatheri Herba), Bian Xu (Polygoni Avicularis Herba), and Qu Mai (Polygalae Herba).
Another Prescription: Di Fu Cao (Kochiae Herba, 4 liang), decoct in water or crush for juice (treats various stranguries). Or crush fresh Sheng Di Huang (Rehmanniae Radix) for juice, add two spoons of honey, and take.
Ling Jiao San (Antelope Horn Powder): For sudden fainting, unconsciousness, opisthotonos (rigid arching of the back), and profuse phlegm, termed Zi Xian (Eclampsia of Pregnancy).
Ling Yang Jiao (Saiga Tataricae Cornu, crushed), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Suan Zao Ren (Ziziphi Spinosae Semen, fried and ground), Fu Shen (Poria with Hostwood) (each 1 qian); Wu Jia Pi (Acanthopanacis Cortex), Fang Feng (Saposhnikoviae Radix), Yi Yi Ren (Coicis Semen), Xing Ren (Armeniacae Semen Amarum) (each 0.5 qian); Mu Xiang (Aucklandiae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma) (each 0.3 qian). Add Sheng Jiang (Zingiberis Rhizoma Recens) and decoct.
Xie Gan Yin (Drain Liver Decoction): For unconsciousness, upward staring of the eyes, delirious speech, cursing, screaming, and surging-rapid pulse at the Guan position.
Bei Mu (Fritillariae Bulbus, 3 qian), Bai Shao Yao (Paeoniae Radix Alba), Fu Ling (Poria) (each 1.5 qian); Huang Lian (Coptidis Rhizoma), Tian Ma (Gastrodiae Rhizoma), Ju Hong (Citri Reticulatae Pericarpium Rubrum), Long Dan Cao (Gentianae Radix), Zhi Zi (Gardeniae Fructus) (each 1 qian); Qing Pi (Citri Reticulatae Pericarpium Viride, 0.8 qian). Decoct in water, then mix with Qing Dai (Indigo Naturalis, 0.5 qian) and take.
Zi Su Yin (Perilla Infusion): For disharmony of the fetal origin, rising to cause heart, chest, and abdominal distension and pain, termed Zi Xuan (Suspension of Pregnancy).
Xiang Fu (Cyperi Rhizoma), Dang Gui (Angelicae Sinensis Radix) (each 1 qian); Zi Su (Perillae Folium), Da Fu Pi (Arecae Pericarpium), Chen Pi (Citri Reticulatae Pericarpium) (each 0.8 qian); Bai Shao Yao (Paeoniae Radix Alba), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (each 0.5 qian); Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.3 qian). Decoct in water and take. Huo Xiang Zheng Qi San (Agastache Powder to Rectify the Qi) can also be taken.
Another Prescription: Zi Su (Perillae Folium), Ju Hong (Citri Reticulatae Pericarpium Rubrum), Mai Dong (Ophiopogonis Radix) equal parts, ground into powder. Take 4 qian each time, add Pi Pa Ye (Loquat Leaf) and Zhu Ru (Bambusae Caulis in Taenia, 1.5 qian) and decoct.
Dang Gui Tang (Angelica Decoction): For fetal movement rushing to the heart, stifling irritability, thirst, upward rushing and downward pounding, blue-black lips and mouth, and cold hands and feet.
Dang Gui (Angelicae Sinensis Radix), Ren Shen (Ginseng Radix), E Jiao (Colla Corii Asini) (each 2 qian); Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian); Cong Bai (Allii Fistulosi Bulbus, with roots, one handful). Decoct continuously for two doses.
Si Sheng San (Four Sages Powder): For inability to eat during pregnancy, sensation of rushing to the heart causing near-death feeling, and whole-body pain.
Bai Zhu (Atractylodis Macrocephalae Rhizoma), Huang Qin (Scutellariae Radix), Bai Shao (Paeoniae Radix Alba) (each 1 liang); Sha Ren (Amomi Fructus, 5 qian). Divide into four doses, decoct in water, and take.