妇人经停三月。或脉象并无胎意。如偶有渗漏。法当验之。用川芎末一二钱。以艾少许
泡汤
巴豆天雄同附子。牡丹硝桂及桃仁。红花薏米偕麻角。茜草藜芦穿甲莘。槐角茅根与牛
膝
娠
用。
无殒
系破
昔陈良甫良方大全有验胎脉症辨。分纵横顺逆。以断男女双产三产之说。未可遽以为是
也。
脉司
足
厥
五月始受火精。四肢生。毛发出。足太阴脾经脉司胎。六月始受木精。筋骨成。游其魂。左
手振。足阳明胃经司之。七月始受金精。口目全。手太阴肺经司之。八月始受土精。皮肤生
。九窍成。游其魄。右手动。手阳明大肠经司之。九月始受石精。百节具备。三转其身。足
少阴肾经司之。十月神气完具。气血已足。足太阳膀胱司之。气化即能产矣。○尝云。堕胎
须防三五七。其故何也。因三月之胎。手厥阴心包司之。相火一动。虽大声笑语。亦能动胎
。五月之胎。足太阴脾气司胎。胞系系于脾经。湿热伤脾。故致胎病。七月之胎。手太阴肺
经司之。始受金精。一遇外邪。肺先受之。故胎易堕。凡治妊妇。必以安胎为主。虽有他
病。当以末治之。胎安而病自去矣。苟以祛邪为先。安胎为后。则邪未去而胎已伤矣。可不
知哉。古人另设安胎一法。不令人于有病之际服之。惟逐月服一二三剂。以养胎清热。治于
未
不知通变。何其愚之若是也。余制一方。按月加减养胎之品最为妥当。如遇外邪。即以清邪
之法佐之可也。
孕妇停经三个月。如果脉象并没有怀孕的迹象。如果有偶尔的阴道出血。应当进行验胎。用川芎粉末一到二钱。以少许艾叶泡汤服用。
（歌诀：巴豆、天雄同附子，牡丹、硝石、桂枝及桃仁。红花、薏苡仁偕麻黄角、茜草、藜芦、穿山甲、细辛。槐角、茅根与牛膝。）
以前陈良甫在《良方大全》中有验胎脉症辨析。分为纵、横、顺、逆四种情况。用来判断是男是女、单胎还是双胎或三胎的说法。不可以立刻认为它是正确的。
怀孕五月开始接受火之精气。四肢生成。毛发长出。足太阴脾经主管胎儿。六月开始接受木之精气。筋骨长成。魂游动。左手脉搏跳动明显。足阳明胃经主管它。七月开始接受金之精气。口目五官齐全。手太阴肺经主管它。八月开始接受土之精气。皮肤生成。九窍形成。魄游动。右手脉搏跳动明显。手阳明大肠经主管它。九月开始接受水之精气（原文作“石精”，疑为传抄错误，通常指水精）。全身关节具备。三次转动身体。足少阴肾经主管它。十月神气完备。气血充足。足太阳膀胱经主管它。气化功能正常就能生产了。○我曾经说过。堕胎需要防备第三、第五、第七个月。这是什么缘故呢？因为第三个月的胎儿。由手厥阴心包经主管。相火一旦妄动。即使是大声说话笑闹。也会扰动胎儿。五个月的胎儿。足太阴脾气主管胎儿。胞宫系带连接于脾经。湿热损伤脾气。所以导致胎病。七个月的胎儿。手太阴肺经主管它。刚开始接受金之精气。一遇到外邪。肺先受邪。所以胎儿容易流产。凡是治疗孕妇。必须以安胎为主。即使有其他疾病。也应当作为次要来治疗。胎儿安稳而疾病自然消除。如果以祛除邪气为先。安胎为后。那么邪气还没去除而胎儿已经受伤了。怎么能不知道这个道理呢。古人另外设立安胎的方法。不让人在有病的时候服用。只是逐月服用一二三剂。来养胎清热。治于未病之前。这是不知变通。怎么愚蠢到这种地步呢。我制定了一个方子。按月加减养胎的药物最为妥当。如果遇到外邪。就用清解邪气的方法辅助治疗就可以了。
The woman’s menstruation has stopped for three months. If the pulse does not show signs of pregnancy, but there is occasional spotting, a test for pregnancy should be performed. Use 1 to 2 qian of Chuanxiong Rhizoma powder (Chuanxiong), taken with a decoction prepared by soaking a small amount of Artemisia argyi Folium (Ai Ye).
(The rhyme: Baidu Fructus (Badou), Aconitum Lateralis Preparatum (Tianxiong) together with Aconitum Carmichaelii Radix Preparata (Fuzi); Peony Root (Mudanpi), Mirabilite (Xiaoshuang), Cinnamon Twig (Guizhi), and Peach Kernel (Taoren); Safflower (Honghua), Coix Seed (Yimi) along with Ephedra Stem (Mahuang), Rubia Cordifolia Root (Qiancao), Veratrum Nigrum Rhizome (Lilu), Pangolin Scales (Chuanshanjia), and Asarum Root (Xixin); Sophora Fruit (Huaijiao), Imperata Rhizome (Maogen), and Achyranthes Bidentata Root (Niuxi).)
In the past, Chen Liangfu in *Liangfang Daquan* provided a differentiation of pulse and symptoms for testing pregnancy, classifying them into Zong (vertical), Heng (horizontal), Shun (smooth), and Ni (reverse) patterns, to determine gender or whether the pregnancy was singleton, twin, or triplet. Such claims cannot be immediately accepted as correct.
At five months of gestation, the fetus begins to receive the essence of Fire; limbs are formed, hair grows, and the Foot-Taiyin Spleen Meridian governs the fetus. At six months, it receives the essence of Wood; bones and sinews mature, the Hun (Ethereal Soul) wanders, and the pulse on the left hand becomes vigorous, governed by the Foot-Yangming Stomach Meridian. At seven months, it receives the essence of Metal; mouth and eyes are complete, the Po (Corporeal Soul) wanders, and the pulse on the right hand becomes vigorous, governed by the Hand-Yangming Large Intestine Meridian. At eight months, it receives the essence of Earth; skin develops, nine orifices form, governed by the Hand-Yangming Large Intestine Meridian (Note: Text says Hand-Yangming, but traditionally Eight Month is often associated with Lung/Large Intestine transition or Stomach depending on lineage; here strictly translating text which attributes Right Hand/Vigorous pulse to Hand-Yangming). At nine months, it receives the essence of Water (Text says "Stone Essence", likely a textual error for Water); all joints are complete, the fetus turns three times, governed by the Foot-Shaoyin Kidney Meridian. At ten months, the Shen (Spirit) and Qi are fully developed, and Blood and Qi are sufficient; the Foot-Taiyang Bladder Meridian governs this stage. When Qi transformation is normal, delivery can occur. ○ I have said that one must guard against miscarriage during the third, fifth, and seventh months. Why is this? Because at three months, the Hand-Jueyin Pericardium Meridian governs the fetus. If the Ministerial Fire moves recklessly, even loud talking or laughing can disturb the fetus. At five months, the Foot-Taiyin Spleen governs the fetus. The uterine ligaments are connected to the Spleen Meridian; if Damp-Heat injures the Spleen Qi, fetal disease results. At seven months, the Hand-Taiyin Lung Meridian governs the fetus. Having just received the essence of Metal, upon encountering external pathogens, the Lung is affected first, making the fetus prone to abortion. In treating pregnant women, the primary principle must be to calm the fetus. Even if other diseases exist, they should be treated secondarily. Once the fetus is stabilized, the illness will naturally resolve. If expelling pathogens is prioritized over calming the fetus, the pathogens may remain while the fetus is injured. How can this be ignored? Ancients established separate methods for calming the fetus, advising against taking them when ill, instead prescribing one to three doses monthly to nourish the fetus and clear heat, treating before disease arises. This shows a lack of flexibility and is foolish. I have formulated a prescription where herbs for nourishing the fetus are added or subtracted according to the month, which is most appropriate. If external pathogens are encountered, methods for clearing pathogens can be used as adjuvants.