《集略》云∶母之肾脏系于胎,是母之真气,子之所赖也。受妊之后,宜令镇
静,则血气安和。须内远七情,外薄五味。大冷大热之物,皆在所禁。使雾露风邪,
不得投间而入。亦不得交合阴阳,触动欲火。谨节饮食,若食兔缺唇,食犬无声,
食杂鱼而致疮癣。心气大惊而癫疾,肾气不足而解颅,脾气不和而羸瘦,心气虚乏
而神不足。儿从母气,不可不慎也。苟无胎动、胎痛、泻痢,及风寒外邪,不可轻
易服药。不得已,在审度疾势轻重,药性高下,不必多品。然父少母老,产女必羸。
母壮父衰,生男必弱。气受偏萃,与之补之。补羸女,则养血壮脾。补弱男,则壮
脾节色。羸女宜及时而嫁,弱男宜待壮而婚。昔人论年老有子者,男不过八八,女
不过七七,则知血气在人,固自有量,夫岂逃阴阳之至数哉。
丹溪曰∶胎前当清热养血。产妇因火逼动胎,逆上作喘急者,急用条芩、香附
之类,为末调下。条芩水中取沉者为佳,黄芩安胎,乃上、中二焦药,能降火下行。
天行不息,所以生生而无穷。茺蔚子治血行气,有补阴之妙。命名益母,以其行中
有补也。故曰胎前无滞,产后无虚。难产可煎作膏。条芩、白术,乃安胎圣药。俗
以黄芩为寒而不用,反谓温热药能养胎。殊不知胎孕宜清热凉血,使血循经而不妄
行,乃能养胎。怀妊嗜物,乃一脏之虚。如爱酸,乃肝脏不能养胎而虚也。
《集略》中说:母亲的肾脏与胎儿相连系,这是母亲的真气,也是胎儿所依赖的根本。怀孕之后,应当保持心境镇静,这样血气才能安和。必须在内远离七情(喜、怒、忧、思、悲、恐、惊)的过度刺激,在外节制五味(酸、苦、甘、辛、咸)的饮食。大冷大热的食物,都在禁忌之列。要防止雾露风邪乘虚而入。也不应有性生活,以免触动欲火。谨慎节制饮食,如果吃兔肉会导致孩子唇裂,吃狗肉会导致孩子无声,吃杂鱼会导致孩子生疮癣。心气受大惊惊吓会导致癫疾,肾气不足会导致解颅(囟门迟闭),脾气不和会导致身体消瘦,心气虚乏会导致精神不足。胎儿依附于母体之气,不可不谨慎对待。如果没有胎动、胎痛、腹泻痢疾以及风寒外邪等病症,不要轻易服药。如果不得已要用药,必须审度病势的轻重和药性的强弱,不必使用多种药物。然而父亲年轻母亲年老,生的女儿必定瘦弱;母亲强壮父亲衰弱,生的儿子必定虚弱。这是因为气血偏聚所致,需要给予补益。补益瘦弱的女儿,应当养血壮脾;补益虚弱的儿子,应当壮脾节制房事。瘦弱的女儿适宜及时出嫁,虚弱的儿子应当等待身体强壮后再结婚。古人论述年老得子者,男子不超过六十四岁(八八),女子不超过四十九岁(七七),就知道人的血气固然有定数,难道能逃脱阴阳的自然规律吗?
朱丹溪说:怀孕期间应当清热养血。产妇因火热逼迫导致胎动不安,气逆上冲出现喘急症状的,紧急使用条芩、香附等药物,研成粉末调服。条芩以在水中下沉者为佳,黄芩具有安胎功效,是作用于上、中二焦的药物,能降火下行。天道运行不息,所以生命生生无穷。茺蔚子能治疗血行和气滞,有补阴的妙用。命名为益母草,是因为它在行血中有补益的作用。所以说“胎前无滞,产后无虚”。难产可以煎煮制成膏剂。条芩、白术,是安胎的圣药。世俗之人认为黄芩性寒而不使用,反而认为温热药能养胎。殊不知胎孕适宜清热凉血,使血液循经而行而不妄行,这样才能养胎。怀孕时嗜食异物,是一脏之虚的表现。如喜爱酸味,是肝脏不能养胎而虚弱的表现。
The *Jilüe* states: The Kidney of the mother is connected to the fetus; this is the Mother's True Qi (Zhen Qi), which the offspring relies upon. After conception, one should maintain tranquility, so that Blood and Qi remain harmonious. Internally, one must avoid excessive influence of the Seven Emotions (Joy, Anger, Worry, Pensiveness, Sorrow, Fear, Fright); externally, one must moderate the Five Flavors (Sour, Bitter, Sweet, Pungent, Salty). Foods that are extremely cold or hot are strictly prohibited. One must prevent mist, dew, wind, and pathogenic factors from entering through gaps in the defenses. Sexual intercourse should be avoided to prevent stirring up desire. Diet must be regulated carefully; for instance, eating rabbit meat may cause cleft lip in the child, eating dog meat may result in a silent child, and eating miscellaneous fish may cause skin sores and tinea. A sudden fright affecting Heart Qi may lead to epilepsy; insufficient Kidney Qi may lead to delayed closure of fontanelles (Jie Lu); disharmony of Spleen Qi may lead to emaciation; deficiency of Heart Qi may lead to mental insufficiency. The fetus relies on the Mother's Qi, so caution is essential. If there are no signs of fetal movement, fetal pain, diarrhea, dysentery, or external wind-cold pathogens, medication should not be taken lightly. If medication is unavoidable, the severity of the disease and the potency of the herbs must be assessed; it is unnecessary to use many different ingredients. However, if the father is young and the mother old, the daughter will likely be frail; if the mother is strong and the father weak, the son will likely be feeble. This is due to an uneven distribution of Qi and Blood, requiring supplementation. To supplement a frail girl, nourish Blood and strengthen the Spleen; to supplement a weak boy, strengthen the Spleen and regulate sexual activity. Frail girls should marry in due time; weak boys should wait until they are robust before marrying. Ancients discussed having children in old age, stating that men should not exceed 64 years (8 x 8) and women should not exceed 49 years (7 x 7). Thus, it is known that Human Blood and Qi have their limits, and how can one escape the supreme numbers of Yin and Yang?
Zhu Danxi said: During pregnancy, one should clear heat and nourish Blood. If a parturient experiences fetal disturbance due to fire forcing upward, causing wheezing and急促 breathing, immediately use Tiao Qin (Striped Scutellaria Root) and Xiang Fu (Cyperus Rhizome) among others, ground into powder and taken with liquid. Tiao Qin that sinks in water is preferred. Huang Qin (Scutellariae Radix, Baikal Skullcap Root) calms the fetus and acts on the Upper and Middle Jiaos, descending fire. Heaven's movement is unceasing, thus life generates endlessly. Chong Wei Zi (Leonuri Fructus, Fruit of Dark-leaved Motherwort) treats blood stasis and Qi stagnation, possessing the wonder of nourishing Yin. It is named Yi Mu Cao (Motherwort Herb) because it has tonifying properties within its moving action. Therefore, it is said: "Before birth, there should be no stagnation; after birth, there should be no deficiency." Dystocia can be treated by decocting into a paste. Tiao Qin and Bai Zhu (Atractylodis Macrocephalae Rhizoma, Large-headed Atractylodes Rhizome) are the holy medicines for calming the fetus. Laypeople consider Huang Qin to be too cold and do not use it, instead believing that warm and hot herbs can nourish the fetus. They fail to realize that pregnancy requires clearing heat and cooling blood, allowing Blood to follow its vessels without reckless flowing, which is how the fetus is nourished. Cravings during pregnancy indicate the deficiency of one Zang organ. For example, craving sour taste indicates Liver deficiency, where the Liver cannot nourish the fetus.