10.受孕分房宜静养, 谨戒食味使脾安, 调其喜怒防惊恐, 慎厥起居
避风寒.
【注】受孕之后, 分房静养, 恐动相火, 致生胎毒. 谨戒饮食五味,
使其脾胃调和, 母之气血易生, 子之形成必育. 内调七情, 外避风寒
,起居安顺, 不持重用力, 不安逸多睡, 不登高涉险, 则母无病, 子
亦安矣.
11.安胎之道有二法, 母病胎病要详分, 母病动胎当治母, 子病致母
审胎因.
【注】安胎之道有二法, 母病, 胎病当详分而施治也. 凡因母病以致
胎动者, 但疗其母, 母安则胎自安; 或因胎病有所触动, 以致母病者
,但宜安胎, 胎安则母自愈矣.
12.胎前清热养血主, 理脾疏气是为兼, 三禁汗下利小便, 随证虚实
寒热看.
【注】丹溪曰: 胎前当清热养血为主, 恐伤阴血也. 理脾脾健, 则气
血易生; 疏气气顺, 则气血调和; 理脾疏气, 兼以清热养血, 则胎自
安矣. 三禁者, 汗, 下, 利小便也, 盖恐过汗亡阳伤气, 过下亡阴伤
血,利小便伤津液也. 然又当随证详审表里, 虚实, 寒热, 以施其治
,不可过峻也.
13.形瘦不宜过热品, 体盛补气恐动痰, 安胎芩术为要药, 佐以他药
任抽添. 火盛倍芩痰倍术, 血虚四物气四君, 杜续胶艾胎不稳, 气盛
苏腹枳砂陈.
【注】形瘦之人多火, 过用温热则伤阴血. 肥盛之人多痰, 过于补气
,恐壅气动痰. 白术消痰健脾, 条芩清热养阴, 二味为安胎要药. 若
有他证, 则以药佐之, 或减白术加条芩, 或加白术减条芩, 任其抽添
.如火盛, 则当位芩以清火; 痰盛, 则当倍术以消痰; 血虚, 则合四
物汤以补血; 气虚, 则合四君汤以补气; 胎不安稳, 更佐以杜仲, 续
断,阿胶, 艾叶以安之; 若气盛胎高, 则加紫苏, 大腹皮, 枳壳, 砂
仁, 陈皮以舒之.
四物汤 四君子汤 方俱见首卷汇方内
10. 受孕后应分室而居、静养身心，谨慎节制饮食五味以使脾胃安宁，调节情绪以防喜怒惊恐，小心起居生活以避开风寒。
【注】受孕之后，应当分居静养，担心扰动相火（指寄居于肝肾、具有温煦作用的阳气），导致产生胎毒。谨慎节制饮食中的酸、苦、甘、辛、咸五味，使脾胃功能调和，母亲的气血容易化生，胎儿的形体必然发育良好。内部调理七情（喜、怒、忧、思、悲、恐、惊），外部避开风寒，起居安顺，不从事重体力劳动，不过度安逸多睡，不登高涉险，那么母亲就不会生病，胎儿也能安稳。
11. 安胎的方法有两种，必须详细区分是母病还是胎病。如果是母病导致胎动，应当治疗母亲；如果是胎儿疾病导致母亲不适，应当审察胎儿的原因。
【注】安胎之道有两种方法，母病和胎病应当详细区分并施治。凡是因母亲患病而导致胎动的，只需治疗母亲的疾病，母亲安康则胎儿自然安定；或者因为胎儿有病有所触动，导致母亲患病，只宜安胎，胎儿安定则母亲自然痊愈。
12. 妊娠前期以清热养血为主，理脾疏气作为兼治，严禁发汗、攻下、利小便三种疗法，需根据证候的表里、虚实、寒热来辨证施治。
【注】朱丹溪说：妊娠期间应当以清热养血为主，因为担心损伤阴血。调理脾胃使脾健运，则气血容易生成；疏通气机使气顺，则气血调和；通过理脾疏气，兼以清热养血，胎儿自然安定。所谓“三禁”，即禁止发汗、攻下、利小便，这是因为担心过度发汗亡失阳气而伤气，过度攻下亡失阴液而伤血，利小便损伤津液。然而又应当根据证候详细审察表里、虚实、寒热，从而实施治疗，不可用药过于峻猛。
13. 形体消瘦者不宜使用过热药物，形体肥胖者补气恐怕扰动痰湿，安胎以黄芩、白术为要药，辅助其他药物可根据情况随意增减。火盛加倍使用黄芩，痰盛加倍使用白术，血虚用四物汤，气虚用四君子汤，杜仲、续断、阿胶、艾叶用于胎不稳，气盛腹胀用紫苏、大腹皮、枳壳、砂仁、陈皮。
【注】形体消瘦的人多火，过度使用温热药物会损伤阴血。形体肥胖的人多痰，过度补气，恐怕壅滞气机而动痰。白术能消痰健脾，条芩（即黄芩）能清热养阴，这两味药是安胎的要药。如果有其他证候，则以药物佐助，或减少白术增加条芩，或增加白术减少条芩，任由其加减。如果火盛，则应当重用黄芩以清火；痰盛，则应当加倍使用白术以消痰；血虚，则配合四物汤以补血；气虚，则配合四君子汤以补气；胎不安稳，更佐以杜仲、续断、阿胶、艾叶来安胎；如果气盛导致腹部胀满，则加紫苏、大腹皮、枳壳、砂仁、陈皮以舒展气机。
四物汤、四君子汤的方剂均见本书首卷汇方内。
10. After conception, it is advisable to live separately and rest quietly; one should strictly guard against dietary flavors to ensure the peace of the Spleen and Stomach, regulate emotions to prevent fear and fright, and be cautious in daily life to avoid wind and cold.
[Note] After conception, living separately and resting quietly prevents the disturbance of Ministerial Fire (a type of Yang Qi residing in the Liver and Kidney with warming functions), which might otherwise generate fetal toxins. Strictly guarding against the five flavors (Sour, Bitter, Sweet, Pungent, Salty) in diet harmonizes the Spleen and Stomach, facilitating the generation of maternal Qi and Blood, thereby ensuring the proper formation and development of the fetus. Internally regulating the Seven Emotions (Joy, Anger, Worry, Thought, Sadness, Fear, Fright) and externally avoiding wind and cold, maintaining a smooth daily routine, avoiding heavy labor, excessive sleep, or climbing heights and dangerous places, ensures that the mother remains healthy and the fetus stays secure.
11. There are two methods for stabilizing the fetus: one must carefully distinguish whether the disease originates from the mother or the fetus. If the mother's illness causes fetal movement, treat the mother; if the fetus's condition causes maternal symptoms, examine the cause related to the fetus.
[Note] The approach to stabilizing the fetus involves two methods, requiring careful distinction between maternal diseases and fetal diseases for appropriate treatment. Whenever fetal movement is caused by the mother's illness, treating the mother alone will stabilize the fetus once the mother recovers. Conversely, if maternal illness is triggered by a fetal disorder, stabilizing the fetus alone will lead to the mother's recovery once the fetus is secured.
12. In early pregnancy, clearing heat and nourishing Blood are primary, while regulating the Spleen and soothing Qi are secondary adjuncts. Sweating, purging, and promoting urination are three prohibited therapies; treatment must be tailored according to the syndrome's exterior/interior, deficiency/excess, and cold/heat patterns.
[Note] Zhu Danxi stated that during pregnancy, clearing heat and nourishing Blood should be the main focus to avoid damaging Yin and Blood. Regulating the Spleen strengthens its transportation function, facilitating the generation of Qi and Blood; soothing Qi ensures its smooth flow, harmonizing Qi and Blood. By regulating the Spleen and soothing Qi, combined with clearing heat and nourishing Blood, the fetus becomes stable. The "Three Prohibitions" refer to sweating, purging, and promoting urination, as excessive sweating may deplete Yang Qi and damage Qi, excessive purging may deplete Yin fluids and damage Blood, and promoting urination may injure body fluids. However, treatment must still be administered based on a detailed examination of the syndrome's exterior/interior, deficiency/excess, and cold/heat characteristics, avoiding overly harsh medications.
13. For individuals with a thin physique, overheating herbs should be avoided; for those with a robust physique, tonifying Qi may risk disturbing Phlegm. Huangqin (Scutellariae Radix) and Baizhu (Atractylodis Macrocephalae Rhizoma) are essential herbs for stabilizing the fetus, with other herbs added or subtracted as needed. Increase Huangqin for excess Fire, increase Baizhu for excess Phlegm, use Siwu Tang (Four Substances Decoction) for Blood deficiency, use Sijunzi Tang (Four Gentlemen Decoction) for Qi deficiency. Duzhong (Eucommiae Cortex), Xuduan (Dipsaci Radix), Ejiao (Colla Corii Asini), and Aye (Folium Artemisiae Argyi) are used for unstable fetus; Zisu (Perillae Folium), Dafupi (Arecae Pericarpium), Zhike (Aurantii Fructus Immaturus), Sharen (Amomi Fructus), and Chenpi (Citri Reticulatae Pericarpium) are used for Qi excess causing abdominal distension.
[Note] Thin individuals tend to have internal Heat; using too many warming herbs damages Yin and Blood. Robust individuals tend to have Phlegm; excessive Qi tonification may stagnate Qi and stir Phlegm. Baizhu eliminates Phlegm and strengthens the Spleen; Tiaohuangqin (prepared Scutellariae Radix) clears heat and nourishes Yin; these two are key herbs for stabilizing the fetus. If other syndromes exist, auxiliary herbs are added, adjusting the ratio of Baizhu and Tiaohuangqin as necessary. For excess Fire, increase Huangqin to clear Heat; for excess Phlegm, double Baizhu to resolve Phlegm; for Blood deficiency, combine with Siwu Tang (Four Substances Decoction) to tonify Blood; for Qi deficiency, combine with Sijunzi Tang (Four Gentlemen Decoction) to tonify Qi. For an unstable fetus, add Duzhong, Xuduan, Ejiao, and Aye to stabilize it; for Qi excess causing abdominal fullness, add Zisu, Dafupi, Zhike, Sharen, and Chenpi to soothe Qi.
The formulas for Siwu Tang (Four Substances Decoction) and Sijunzi Tang (Four Gentlemen Decoction) are found in the collected formulas in Volume One.