妇人怀孕,胞内惟有水,水涵儿身。胞儿脐带系母左肾,即犹果蒂在枝,赖母之元气生长,
胞之外皆是血养。若母因忧悲怒郁以动其血,或饮食辛热、老酒浓味,其鲜猪肉尤忌(诸失血证,
食之即甚。)经曰∶形役则阳亢。或因作劳所致,或跌扑振击胎元,致伤冲任之脉。先则微下,
后略有伤动则源源而来。有
至八、九个月血大行,仅存胞儿,视之如无孕者,能服参、归大补之药,将理得宜,仍得分娩无
虞,母子皆安。有不得药饵、饮食补益,致胎干难产,母子俱损者亦有之。有逐月血微下,谓之
记月。有少壮者,怀孕而复行经,名曰盛胎。有过月不产,十八、九,二十三、四月而产者,惟
宜大补气血可也。
主方 当归 川芎 白芍(酒炒) 熟地 阿胶 山药 条芩 白术 砂仁 香附(童便
制) 艾叶(等分) 糯米(一撮)水煎服。
不止 加蒲黄、荆芥(俱炒焦、)地榆之类。
有八、九月儿哭者,因母仰身承高取物,致儿口含脐带脱出故也,仍曲身令儿含之即安。或
煎黄连汤啜之。胎不安之故,非有触犯,不外虚热二字。虚者,气血之虚;热者,非五志之火,
则欲念之火,亦致不安。当加制相火之药治之。
妇人鬼胎之说,非实有鬼交而成胎也。皆本妇自心所现之境也。凡人昼之所思,即为夜之所
见,亦犹男子之梦遗。因女子血盛思欲所致,或虚而有欲念者,则相火无时不起。故淫津血液流
入子官,结聚成块者也。遂至腹中胀满,俨若胎形,因而精神气血相感,亦能转动,世俗谓之鬼
胎也。古良医治一女,因抵暮入庙,见黄衣神,忽然心动,是夜梦神与交,腹大似孕。母告其由
,医以破血堕胎药进之,下如蝌蚪鱼目者二升许而安。噫!非神之感女,乃女感于神。智者明之
。
When a woman is pregnant, the uterus (uterus) is filled with amniotic fluid, and the fetus floats within it. The fetal umbilical cord connects to the mother's left kidney (in Traditional Chinese Medicine, the Kidney governs reproduction and connects to the Chong and Ren vessels), just as a fruit stem attaches to a branch, relying on the mother's Yuan Qi (Original Qi) for growth, while the exterior of the uterus is nourished by blood. If the mother experiences emotional disturbances such as worry, grief, anger, or depression that disrupt Qi and Blood, or consumes spicy, hot, strong alcohol, or rich flavors—especially fresh pork, which is particularly contraindicated (as it exacerbates various hemorrhagic conditions)—it can lead to pathology. The *Neijing* states: "Physical overexertion leads to Yang hyperactivity." Pathology may also result from excessive labor or physical trauma like falls and blows that damage the Taiyuan (fetal root) and injure the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel). Initially, there may be slight vaginal bleeding; later, even minor movement causes continuous flow. In some cases, by the eighth or ninth month, heavy bleeding occurs, making the pregnancy appear non-existent visually. If treated with major tonifying herbs such as Renshen (Ginseng Root) and Danggui (Angelicae Sinensis Radix), and managed properly, safe delivery and health for both mother and child are still possible. Conversely, failure to use medication or dietary supplementation can lead to fetal desiccation, difficult labor, and harm to both mother and child. Some women experience slight monthly bleeding during pregnancy, termed "Ji Yue" (Recorded Month Bleeding). Young women who continue to menstruate during pregnancy are said to have "Sheng Tai" (Abundant Fetus). For those delivering after term, at eighteen, nineteen, twenty-three, or twenty-four months, treatment should focus solely on greatly tonifying Qi and Blood.
Main Formula: Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba, stir-fried with wine), Shudi (Rehmanniae Radix Preparata), Ejiao (Asini Corii Colla), Shanyao (Dioscoreae Rhizoma), Huangqin (Scutellariae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Sharen (Amomi Fructus), Xiangfu (Cyperi Rhizoma, processed with child's urine), Aiye (Artemisiae Argyi Folium) in equal parts, plus a pinch of Nuomian (Glutinous Rice). Decoct in water and take orally.
If bleeding does not stop, add Huyang (Polygoni Multiflori Caulis), Jingjie (Schizonepetae Spica), and Diyü (Sanguisorbae Radix), all stir-fried until charred.
In cases where the fetus cries in the womb during the eighth or ninth month, it is often because the mother leaned backward to reach high objects, causing the fetal mouth to hold the umbilical cord loosely. Having the mother bend forward allows the fetus to re-grasp the cord, bringing relief. Alternatively, decoct Huanglian (Coptidis Rhizoma) soup for ingestion. The cause of fetal restlessness, absent external trauma, lies in "Deficiency" (Xu) and "Heat" (Re). Deficiency refers to Qi and Blood insufficiency; Heat refers not to Fire from the Five Emotions, but to Fire from lustful desires, which also disturbs the fetus. Treatment should include herbs that subdue Ministerial Fire (Xiang Huo).
The concept of "Ghost Fetus" in women does not imply conception through actual supernatural intercourse. It manifests from the woman's own mental state. What one thinks during the day appears in dreams at night, similar to nocturnal emissions in men. This arises from abundant female blood combined with sexual desire, or in deficient individuals with lingering desires, causing Ministerial Fire to rise constantly. Consequently, seminal fluids and blood flow into the uterus, coagulating into masses. This results in abdominal distension resembling pregnancy. Due to the interaction of Spirit (Shen), Qi, and Blood, the mass may move, leading laypeople to call it "Ghost Fetus." An ancient physician treated a young woman who, upon entering a temple at dusk, saw a statue of a deity in yellow robes, felt her heart flutter, and dreamed of intercourse with the deity, resulting in an abdomen enlarged as if pregnant. Upon learning the cause, the physician administered blood-breaking and abortifacient herbs. She expelled approximately two sheng (a traditional unit of volume) of matter resembling tadpoles and fish eyes, and recovered. Alas! It was not the deity moving the woman, but the woman being moved by the deity. Wise individuals understand this.