水蛭地胆虫。乌头附子配天雄踯躅野葛蝼蝈类。乌喙侧子及虻虫。牛黄水银并巴豆
大戟
赭
波流 草中。瞿麦 茹蟹爪甲。 皮赤箭赤头红。马刀石蚕衣鱼等。半夏南星通草同。干姜
蒜鸡及鸡子。驴肉兔肉不须供。切要妇人胎前忌。此歌须记在心胸。
凡受孕之后。切宜忌不可食之物。非惟有感动胎气之戒。然于物理亦有厌忌者。设或不
能禁
鱼及鸡子。令儿成疳多疮。 食犬肉。令儿无音声。 鸭子桑椹同食。令儿倒生心寒。 食
螃蟹。令儿横生。 食鳖。令儿项短。及损胎。 食兔肉。令儿唇缺。 雀肉同豆酱食。令
儿面生 黯黑子。 豆酱同藿香食。令之堕胎。 食雀肉。令儿不耻多淫。 食山羊肉。令
儿多病。 食椒蒜。令儿损目。 食生姜。令儿多指生疮。 食虾蟆HT 鱼。令儿喑哑。 食
驴骡马肉。令儿延月难产。
凡有胎孕者。当随症调理。如一月二月经水不通。无病似病。呵欠倦怠。神思昏昏。手
足软
弱。按其脉。滑大而俱匀。或尺脉不绝者。此孕脉也。脉诀云。肝为血兮。肺为气。血为荣
兮。气为卫。阴阳配偶不参差。两脏通和皆类例。血衰气旺定无妊。血旺气衰应有体。寸微
关滑尺带数。流利往来并雀喙。小儿之脉已见形。数月怀胎犹未觉。经云。阴搏阳别。谓之
有子。搏者近也。阴脉逼近于下。阳脉别出于上。阴中见阳。即滑脉是也。脉滑而动。是谓
阴施阳化。法当有子。足少阴脉动甚者。孕子也。手少阴属心。足少阴属肾主精。精血交会
。投识于其间。则有娠。又三部脉沉正等无病。而经不至者。妊也。脉经云。左手尺部脉浮
洪
者。男胎也。右手尺部浮洪者。女胎也。两手尺部俱洪者。为两男。俱沉实者。为两女。又
云。中指一跳一止者。一月胎。二止者。二月胎也。此娠妊脉之旧例如此。然迩来运气变
迁。其脉有异于前法者。往往不同。
一月始露珠。名曰胎 。足厥阴肝脉养之。夫十二经皆养胎者也。而肝经独养于初妊之
时。
何也。盖胎者。血之始。成而肝。则血之所藏。造化之相为合也。然受气之始。则何经以主
之。曰足少阴肾经也。天一生水。得气最先。故男子先生左肾。女子先生右肾。而妇人右肾
亦以系胞。为胎之根抵。先天真一之气。发此以为之朕兆耳。足
厥阴养胎。多有恶心呕逆。谓之恶阻。盖肝常有余。本不能容物。而今乃有妊。则肝气为胎
所碍。不得发泄。故恶心呕逆也。过此则别经养胎。而恶阻之病息矣。
二月如桃花瓣。名曰胎膏。足少阳胆。脉养之。此时腹中或动。或不动。犹可狐疑。若
吐逆思酸。有孕明矣。
三月如蚕茧。斯谓之胎。手厥阴心胞络脉养之。其脉滑疾重按之则散。男女未有定形。
宜用变女为男。是月相火所主。胎最易坠宜慎之。
四月男女以分。男思酸味。女思淡味。始受水精。以成血脉手少阳三焦脉养之。其左脉
疾者为男。右脉疾者为女。左右俱疾。当生双产。
五月始受火精。以成阴阳之气。足太阴脾脉养之。脾主四季。五月之时。儿四肢皆成。
按其
脉。重手按之不散。但疾不滑者。五月脉也。若脉紧。必胸阻。脉迟者。必腹满喘急。脉浮
者。必水气作肿。
六月始受金精。以成其筋。足阳明胃脉养之。脉喜弦长。迟涩则防坠。五六月胎不安者
。或腹微痛。或腰痛。或饮食不美。用安胎饮。或固胎饮。
七月始受木精。以成其骨。手太阴肺经养之。男向左胁动。女向右胁动。脉滑疾者。胎
动不安。若暴下恶水多者。其胎必坠。谓之非时孤浆预下。即服安胎饮。
八月始受土精。以成皮肤。手阳明大肠经养之。脉实大弦紧者。生子多寿。沉细微弱者
。子亦不禄。如胎不安者。即服固胎饮。
九月始受石精。以成皮毛。百节俱备。足少阴肾经养之。宜服达生散。
十月五脏六腑俱全。纳天地之气于丹田。自当正产宜服滑胎饮。
水蛭、地胆虫。乌头、附子配天雄,踯躅、野葛、蝼蝈之类。乌喙、侧子以及虻虫。牛黄、水银并巴豆、大戟、赭石、波流草(即瞿麦)、茹蟹爪甲、皮赤箭(即独活)、赤头红、马刀、石蚕、衣鱼等。半夏、南星、通草同用。干姜、蒜、鸡及鸡蛋。驴肉、兔肉不必供给。切要记住妇人怀孕前禁忌。这首歌诀必须记在心中。
凡是受孕之后,务必忌讳不可吃的食物。这不仅因为有触动胎气的戒律,而且在事物本性上也有厌恶忌讳的。如果不禁忌吃鱼和鸡蛋,会使孩子患上疳积且多生疮疡。吃狗肉,会使孩子没有声音。鸭子和桑葚一起吃,会使孩子倒产且心寒。吃螃蟹,会使孩子横产。吃鳖,会使孩子脖子短,并损伤胎气。吃兔肉,会使孩子唇裂。雀肉同豆酱一起吃,会使孩子脸上生出黑斑。豆酱同藿香一起吃,会导致堕胎。吃雀肉,会使孩子不知羞耻且多淫欲。吃山羊肉,会使孩子多病。吃花椒、大蒜,会使孩子眼睛受损。吃生姜,会使孩子手指多生疮疡。吃蛤蟆、河豚鱼,会使孩子失音哑巴。吃驴、骡、马肉,会使孩子过期难产。
凡是有胎孕的人,应当根据症状进行调理。如一个月、两个月时经血不通,似有病非有病,呵欠倦怠,神思昏沉,手足软弱无力。诊察其脉象,滑大而均匀,或者尺脉不绝者,这是妊娠脉象。《脉诀》说:肝主血,肺主气。血为营,气为卫。阴阳配偶不参差错乱,两脏调和都属同类。血衰气旺一定没有怀孕,血旺气衰则应有身孕。寸脉微、关脉滑、尺脉带数,流利往来如鸟雀啄食之状。小儿的脉象已经显现形态,但数月怀胎却尚未察觉。《内经》说:阴脉搏动有力而与阳脉有别,称为有子。“搏”是近的意思,阴脉逼近于下,阳脉别出于上。阴中见阳,就是滑脉。脉滑而动,这叫阴施阳化,法度上应当是有子。足少阴肾经脉动甚明显的,是怀孕。手少阴心经属心,足少阴肾经属肾主精。精血交会,神识投于其间,就有妊娠。另外三部脉沉正相等无病,而月经不来的,是怀孕。《脉经》说:左手尺部脉浮洪的,是男胎;右手尺部浮洪的,是女胎。两手尺部都洪大的,是双男孩;都沉实的,是双女孩。又说:中指跳动一次停一次的,是一个月胎;停两次的,是两个月胎。这是妊娠脉象的旧例如此。然而近来运气变迁,其脉象有不同于以前方法的,往往不同。
第一个月开始像露珠,名叫胎胚。足厥阴肝经滋养它。十二经都养胎,为什么唯独肝经在初妊之时滋养呢?大概胎是血的开始,成形于肝,因为肝是藏血之所,这是造化的相互配合。然而受气之初,是什么经主宰呢?说是足少阴肾经。天一生水,得气最先,所以男子先生左肾,女子先生右肾,而妇人的右肾也系胞宫,作为胎的根本。先天真一之气,发于此作为征兆罢了。足厥阴肝经养胎,多有恶心呕吐,叫做恶阻。因为肝常有余,本来不能容纳异物,而现在有了妊娠,肝气被胎所阻碍,不得发泄,所以恶心呕吐。过了这个阶段则由其他经养胎,恶阻的病也就停止了。
第二个月像桃花瓣,名叫胎膏。足少阳胆经滋养它。此时腹中有时动,有时不动,还可以怀疑。如果呕吐逆反想吃酸味,有孕就很明显了。
第三个月像蚕茧,这就叫胎。手厥阴心包络脉滋养它。其脉滑疾,重按之则散,男女还没有定形。宜用变女为男的方法(注:此处原文可能有误或指代特定习俗/方药,字面意为改变性别,但在中医语境下通常指调理),此月相火所主,胎最容易坠落,应该谨慎。
第四个月男女区分。男思酸味,女思淡味。开始接受水精,以成血脉。手少阳三焦经滋养它。左脉疾快的为男,右脉疾快的为女。左右都疾快,当生双胞胎。
第五个月开始接受火精,以成阴阳之气。足太阴脾经滋养它。脾主四季,五月的时候,胎儿四肢都长成了。按其脉象,重手按之不散,只是疾而不滑的,是五月的脉象。如果脉紧,必定胸膈阻滞;脉迟的,必定腹部胀满喘急;脉浮的,必定水气作肿。
第六个月开始接受金精,以成其筋。足阳明胃经滋养它。脉喜弦长,迟涩则要防备流产。五六月胎不安的,或者腹部微痛,或者腰痛,或者饮食不佳,用安胎饮,或者固胎饮。
第七个月开始接受木精,以成其骨。手太阴肺经滋养它。男向左胁动,女向右胁动。脉滑疾的,胎动不安。如果突然下泄大量恶水,其胎必坠,叫做非时孤浆预下,立即服用安胎饮。
第八个月开始接受土精,以成皮肤。手阳明大肠经滋养它。脉实大弦紧的,生子多长寿;沉细微弱的,孩子也不吉利。如果胎不安的,就服用固胎饮。
Leech (Shuizhi), Ge Dan Chong. Aconitum carmichaelii root processed side root (Wutou, 乌头) and Aconitum lateral root (Fuzi, 附子) combined with Aconitum lateral root prepared (Tianxiong, 天雄), Daphne genkwa bark (Zhizhu, 踯躅), Gelsemium elegans root (Yege, 野葛), mole cricket (Louguo, 蝼蝈) and similar substances. Aconitum kusnezoffii root (Wuhui, 乌喙), Aconitum carmichaelii lateral root (Cezi, 侧子) as well as Tabanid fly (Mengchong, 虻虫). Bovis Calculus (Niuhuang, 牛黄), Mercury (Shuiyin, 水银) along with Euphorbia pekinensis root (Badou, 巴豆), Euphorbia kansui root (Daji, 大戟), Hematite (Zhe, 赭), Polyporus (Polypori Sclerotium, Bo Liuc Cao, 波流草 - referring to Dianthus superbus root Qumai, 瞿麦), Crab claw shell (Jia, 甲), Radix Angelicae Dahuricae (Chijian, 赤箭 - also known as Du Huo, 独活), Red-headed red plant (Chitouhong, 赤头红), Mantis egg case (Madao, 马刀), Silkworm moth pupa (Shican, 石蚕), Fish maw (Yiyu, 衣鱼) etc. Pinellia ternata tuber (Banxia, 半夏), Aster tataricus rhizome (Nanxing, 南星), and Tinospora sinensis stem (Tongcao, 通草) used together. Dry ginger (Ganjiang, 干姜), Garlic (Suan, 蒜), Chicken (Ji, 鸡) and Chicken Egg (Jizi, 鸡子). Donkey meat (Lvr, 驴肉) and Rabbit meat (Toub, 兔肉) should not be provided. It is essential for women to know the taboos before pregnancy. This song must be kept in mind.
After conception, one must strictly avoid eating certain foods. Not only are there warnings about disturbing the fetal qi, but also according to the nature of things, there are aversions. If one does not abstain from fish and chicken eggs, the child may develop malnutrition syndrome (Gan Ji, 疳积) and many sores. Eating dog meat may cause the child to lose their voice. Eating duck and mulberries together may cause breech presentation and cold heart. Eating crab may cause transverse presentation. Eating soft-shelled turtle may cause a short neck and damage the fetus. Eating rabbit meat may cause cleft lip. Eating sparrow meat with bean paste may cause black spots on the child's face. Eating bean paste with Agastache rugosa (Huoxiang, 藿香) may cause abortion. Eating sparrow meat may make the child shameless and prone to lust. Eating goat meat may make the child prone to illness. Eating Sichuan pepper and garlic may damage the child's eyes. Eating fresh ginger may cause multiple fingers with sores. Eating toad and pufferfish may cause aphonia. Eating donkey, mule, or horse meat may cause post-term difficult labor.
For those who are pregnant, regulation should be based on symptoms. For example, in the first and second months, menstruation stops. The condition seems like an illness but is not; there is yawning, fatigue, mental dullness, and weak limbs. Palpating the pulse: slippery, large, and uniform, or the chi pulse is unceasing, indicates pregnancy. The *Mai Jue* states: Liver governs blood, Lung governs qi. Blood is Ying (Nutritive), Qi is Wei (Defensive). Yin and Yang match without discrepancy; harmony between the two organs follows this pattern. If blood is deficient and qi is prosperous, there is no pregnancy; if blood is prosperous and qi is deficient, there is pregnancy. Cun (inch) pulse micro, Guan (middle) pulse slippery, Chi (cubit) pulse rapid, flowing smoothly like a bird pecking. Children's pulses show form, yet several months of pregnancy remain unnoticed. The *Classic* says: "Yin pulse beats strongly and differs from Yang, called having a child." 'Bo' means close; Yin pulse approaches below, Yang pulse emerges above. Yang seen within Yin is the slippery pulse. Slippery and moving pulse indicates Yin acting and Yang transforming, legally indicating pregnancy. Strong movement of the Foot Shaoyin kidney meridian pulse indicates pregnancy. Hand Shaoyin belongs to Heart, Foot Shaoyin belongs to Kidney governing essence. When essence and blood intersect and consciousness enters there, pregnancy occurs. Additionally, if the three positions of the pulse are sunken, regular, and equal with no illness, but menstruation has ceased, it is pregnancy. The *Mai Jing* states: Floating and vigorous chi pulse on the left hand indicates a male fetus; floating and vigorous chi pulse on the right hand indicates a female fetus. Both chi pulses vigorous indicate twin boys; both sunken and solid indicate twin girls. Also, one beat followed by a pause at the middle finger indicates one month of pregnancy; two pauses indicate two months. These are the old examples of pregnancy pulses. However, due to recent changes in climatic influences, pulses often differ from previous methods.
The first month begins like dewdrops, named Tai Pei (Embryo). Foot Jueyin Liver meridian nourishes it. All twelve meridians nourish the fetus, but why does the Liver meridian alone nourish it at the beginning? Because the embryo is the beginning of blood, formed in the Liver, which stores blood; this is the cooperation of creation. However, who governs the initial reception of qi? It is the Foot Shaoyin Kidney meridian. Heaven generates Water, receiving qi earliest; thus, males generate the left kidney first, females the right kidney. In women, the right kidney also connects to the uterus, serving as the root of the fetus. The primordial true one qi emanates here as an omen. Foot Jueyin Liver nourishing the fetus often causes nausea and vomiting, called E Zu (Morning Sickness). Because Liver is often excessive and cannot tolerate foreign objects, now with pregnancy, Liver qi is obstructed by the fetus and cannot disperse, hence nausea and vomiting. After this, other meridians nourish the fetus, and morning sickness ceases.
The second month resembles peach petals, named Tai Gao (Fetal Paste). Foot Shaoyang Gallbladder meridian nourishes it. At this time, the abdomen may move or not, allowing for doubt. If there is vomiting, aversion, and craving for sour taste, pregnancy is clear.
The third month resembles a silkworm cocoon, then called Tai (Fetus). Hand Jueyin Pericardium meridian nourishes it. The pulse is slippery and rapid, scattering upon heavy pressure. Male and female forms are not yet determined. [Note: Original text suggests changing female to male, likely a textual error or specific folk practice context]. This month is governed by Ministerial Fire; the fetus is easily aborted, so caution is needed.
The fourth month distinguishes male and female. Males crave sour taste, females crave bland taste. Beginning to receive Water Essence to form blood vessels. Hand Shaoyang Sanjiao meridian nourishes it. Rapid left pulse indicates male, rapid right pulse indicates female. Rapid pulses on both sides indicate twins.
The fifth month begins to receive Fire Essence to form Yin and Yang qi. Foot Taiyin Spleen meridian nourishes it. Spleen governs the four seasons; in the fifth month, the fetus's four limbs are formed. Palpating the pulse: heavy pressure does not scatter, but it is rapid and not slippery, indicating the fifth-month pulse. If the pulse is tight, chest obstruction is certain; if slow, abdominal fullness and panting are certain; if floating, edema due to water qi is certain.
The sixth month begins to receive Metal Essence to form tendons. Foot Yangming Stomach meridian nourishes it. The pulse prefers string-like and long; slow and choppy pulses warn of miscarriage. For fetal instability in the fifth and sixth months, with slight abdominal pain, lower back pain, or poor appetite, use An Tai Yin (Stabilize Fetus Decoction) or Gu Tai Yin (Solidify Fetus Decoction).
The seventh month begins to receive Wood Essence to form bones. Hand Taiyin Lung meridian nourishes it. Males move towards the left hypochondrium, females towards the right. Slippery and rapid pulses indicate fetal restlessness. If sudden profuse discharge of foul fluid occurs, the fetus will fall, called premature rupture of membranes; immediately administer An Tai Yin.
The eighth month begins to receive Earth Essence to form skin. Hand Yangming Large Intestine meridian nourishes it. Solid, large, string-tight pulses indicate children who will live long; sunken, fine, weak pulses indicate poor prognosis for the child. If the fetus is unstable, administer Gu Tai Yin.
The ninth month begins to receive Stone Essence to form hair and skin. All joints are complete. Foot Shaoyin Kidney meridian nourishes it. Da Sheng San (Life-Reaching Powder) is suitable.
The tenth month, all five zang and six fu organs are complete, absorbing heaven and earth qi into the Dantian. Natural delivery is expected; Hua Tai Yin (Slippery Fetus Decoction) is suitable.