两尺脉微而带数,两寸浮大两关滑;身中无热脉亦洪,此是妇女胎脉法。
左手滑大而疾男,右手滑大而疾女;更参乳核孰先生,右女左男信无差。
双胎脉法问如何,两手俱洪断不诬;欲识是男并是女,纵横详见叔和歌。
脉来沉细腹腰疼,胎伏多寒冷是冰;再看舌色青纹起,胎死何须问鬼神。
脉来乱点如风雨,忽去移时又复来;此是夜叉人不识,实时诊断勿疑猜。
初月胎形似珠露,未入宫罗在昆户;犹如秉烛在风前,风急此时难翼庇。
初月胎形,如草上珠露,未有宫罗也。在昆户之所,未入腹内也。其形欲聚欲散,未得坚强
也。如月信报之,当时头晕恶心,不喜饮食,六脉浮紧者是也。多有畏羞隐讳,而医者不识
,作歇经者亦有之,宜服安胎和气饮。或病后受胎,或禀气虚,服罩胎散。
安胎和气饮
白芍 木香 益智仁 砂仁 香附 紫苏 甘草
加葱,水煎服。
罩胎散
当归 川芎 白芍 砂仁 甘草 枳壳
二月胎形北极中,如花初绽蕊珠红;分枝未入宫罗内,气受阴阳血脉同。
二月胎形,受血近阴,在母北极之中,阴户内六寸是也。其胎入腹,未有衣裹,或负重触伤
胎气,必致头晕目眩,恶心呕吐,不思饮食,宜服保胎和气饮。
藿香 浓朴 广皮 枳壳 砂仁 黄芩 桔梗 苍术 小茴 紫苏
三月胎形似血英,有宫血室未 ;母憎饮食诸般爱,苦辣酸咸并纳成。
三月胎形,与二月相等,不问虚弱,胎气不和,恶心呕吐,兼秋风时气,寒热头疼,悉照前
安胎和气饮加减。如寒热不退,加柴胡、黄芩。咳嗽加杏仁。喘急加沉香。
四月胎形入宫室,在母脐胯内相过;兔獐热物诸般忌,免儿唇缺及疯麻。
四月胎形,入宫罗之室,河车衣裹,渐至丹田。忌食一切毒物。如无鳞鱼鳖之类,以免贻毒
小儿。如身体疲倦,气急发热,饮食无味,嗜卧头晕,四肢酸软,宜服活胎和气饮。
陈皮 香附 砂仁 小茴 苏叶 浓朴 苍术 枳壳 甘草
五月胎形男女分,四肢胞稳不须忧;男酸女淡思餐味,此定阴阳造化云。
五月胎形,男女已定,令胞母前行,使人后唤之,左回头是男,右回头是女。男思酸,女思
淡。已入宫室之内,其胎安稳。胎母喜嗜卧,饮食无味,肚腹胀闷,宜服瘦胎饮。
当归 益母草 砂仁 益智仁 枳壳 香附 白芍
水煎服。
六月胎形在腹游,左手男胎似线抽;女魂右手轻摇动,却在脐中渐渐浮。
六月胎形,男动于左,女动于右,在母脐中,渐渐浮动。若胎母虚弱,用瘦胎饮,使胎气调
和,易于产育。
七月胎形身觉邪,男将左手动拿拿;女能右手时时动,行步艰难母叹嗟。
七月胎形,男向左胁动,女向右胁动,胎重如石,行步艰难,脾胃虚弱,气急上冲胸臆,以
致腹满喘咳,卒然头晕,勿以中风治之,此乃胎气热邪不安,否则令儿冲心,名曰子悬,宜
服知母安胎饮。
知母 苏叶 黄芩 香附 枳壳 滑石 甘草 益母草
水煎服。
八月胎形具备身,毛发生长定精神;穷思饮食吞难下,困弱忧愁眈闷因。
八月胎形,毛发俱生胎母心闷烦躁,味美不甘,胎气因弱,以致脾胃不和,宜服和气平胃散
。
和气平胃散 治胎气不和,热毒泻痢。
苍术 浓朴 陈皮 升麻 柴胡 白芍 地榆 肉果 泽泻
水煎服。
九月胎形重若山,七情开窍一般般;每夜一升三合血,待时生育临时难。
九月胎形,眼有光,鼻有气,耳闻强,口知味,身舒缩,人道俱全,出世将转身大动,胎母
左右胁知觉,宜服保胎如圣散。
保胎如圣散 治产忽然腹痛,先行其水,婴儿降下,忽误吞热物伤胎者。
当归 红花 益智 白芍 益母草 甘草
如儿不下,取鲤鱼一尾,同药再煎,入醋一杯,服乌金丸。
乌金丸
阿胶(四两) 艾叶(二两) 谷芽(二两) 麦芽(二两) 蛇壳(一条) 五味(一两)
上为末,醋糊丸,如弹子大,每服一丸。
十月胎形已完足,四肢罅缝骨精开;坐产即宜加谨慎,莫教儿下客气来。
十月胎形完足,中肢罅缝俱开,至期产下,莫令久卧地下,莫被贼风吹犯。急令包裹,盈月
之后,始得平安,宜服活水无忧散。因儿未下,恐稳婆动手。
活水无忧散
急性子 当归 益母 紫苏 艾叶 秦艽 陈皮 肉桂 枳壳 白芍 生地 鲤鱼(一条)
水煎,加醋一杯,服乌金丸。如儿死腹中不下,急取无根水再煎服,此急救之法。
两尺脉象微弱而兼数,两寸脉浮大,两关脉滑;身体无发热感但脉象洪大,这是妇女妊娠的脉象特征。
左手脉滑大而疾速为怀男胎,右手脉滑大而疾速为怀女胎;再参考乳房结节的出现先后,右侧先起为女胎,左侧先起为男胎,确信无误。
双胎的脉法如何判断?两手脉象都洪大,断言不会错误;若想辨别是男胎还是女胎,详细情况可见叔和(王叔和)的歌诀。
脉象沉细且伴有腹部腰部疼痛,胎气伏匿多因寒冷如冰;再看舌色青紫且有纹路显现,胎死腹中何须问鬼神。
脉象杂乱急促如风雨之声,忽而去掉片刻后又重新出现;这是夜叉(指凶险怪异的病证)人不认识,实时诊断不要迟疑猜测。
初月胎儿形状像珍珠露水,尚未进入子宫在昆户(阴道口/子门);犹如拿着蜡烛在风中,风急此时难以庇护。
初月胎儿形状,像草上的露珠,还没有进入子宫。位于昆户之处,未进入腹内。其形态欲聚欲散,尚未变得坚强。如同月经来潮的信号,当时头晕恶心,不喜欢饮食,六脉浮紧的就是这种情况。多有因害羞隐瞒,而医生不认识,误当作停经的也有,适宜服用安胎和气饮。或者病后受孕,或者禀赋气虚,服用罩胎散。
安胎和气饮
白芍、木香、益智仁、砂仁、香附、紫苏、甘草
加葱,水煎服。
罩胎散
当归、川芎、白芍、砂仁、甘草、枳壳
二月胎儿形状如在北极之中,如花初绽蕊珠红;分枝尚未进入子宫内,气血受阴阳血脉同化。
二月胎儿形状,受血靠近阴部,在母体北极之中,即阴户内六寸处。胎儿入腹,尚无衣裹,若负重或触伤胎气,必致头晕目眩,恶心呕吐,不思饮食,适宜服用保胎和气饮。
藿香、浓朴、广皮、枳壳、砂仁、黄芩、桔梗、苍术、小茴、紫苏
三月胎儿形状似血英(血块/初期胚胎),有宫血室未成形;母亲厌恶各种饮食,苦辣酸咸都能接受。
三月胎儿形状,与二月相等,不论虚弱与否,若胎气不和,恶心呕吐,兼有秋风时气,寒热头疼,全部参照前文安胎和气饮加减。如寒热不退,加柴胡、黄芩。咳嗽加杏仁。喘急加沉香。
四月胎儿形状进入宫室,在母亲脐胯内相交;忌食兔肉、獐肉及热物等,以免导致婴儿唇裂及疯麻。
四月胎儿形状,进入子宫之室,由河车(胎盘)衣裹,渐至丹田。忌食一切毒物。如无鳞鱼鳖之类,以免毒素遗留小儿。如身体疲倦,气急发热,饮食无味,嗜睡头晕,四肢酸软,适宜服用活胎和气饮。
陈皮、香附、砂仁、小茴、苏叶、浓朴、苍术、枳壳、甘草
五月胎儿形状男女已分,四肢胞稳不须担忧;男胎母思酸味,女胎母思淡味,这决定了阴阳造化。
五月胎儿形状,男女已定,令胞母前行,让人在后呼唤,向左回头的是男胎,向右回头的是女胎。男胎母喜酸,女胎母喜淡。已入宫室之内,胎儿安稳。胎母喜欢嗜卧,饮食无味,肚腹胀闷,适宜服用瘦胎饮。
当归、益母草、砂仁、益智仁、枳壳、香附、白芍
水煎服。
六月胎儿形状在腹中游动,左手脉象男胎似线抽;女魂右手轻摇动,却在脐中渐渐浮动。
六月胎儿形状,男动于左,女动于右,在母亲脐中,渐渐浮动。若胎母虚弱,用瘦胎饮,使胎气调和,易于产育。
七月胎儿形状身体感觉邪气,男将左手动作拿拿;女能右手时时动,行走艰难母亲叹息。
七月胎儿形状,男向左胁动,女向右胁动,胎重如石,行走艰难,脾胃虚弱,气急上冲胸臆,以致腹满喘咳,突然头晕,不要当作中风治疗,这是胎气热邪不安,否则令儿冲心,名曰子悬(胎气上逆),适宜服用知母安胎饮。
知母、苏叶、黄芩、香附、枳壳、滑石、甘草、益母草
水煎服。
八月胎儿形状具备全身,毛发生长定精神;穷思饮食吞咽困难,困弱忧愁郁闷所致。
八月胎儿形状,毛发俱生,胎母心闷烦躁,味美不甘,胎气因弱,以致脾胃不和,适宜服用和气平胃散。
和气平胃散 治胎气不和,热毒泻痢。
苍术、浓朴、陈皮、升麻、柴胡、白芍、地榆、肉果、泽泻
水煎服。
九月胎儿形状重若山,七情开窍一般般;每夜一升三合血,待时生育临时难。
九月胎儿形状,眼有光,鼻有气,耳闻强,口知味,身舒缩,人道俱全,出世将转身大动,胎母左右胁知觉,适宜服用保胎如圣散。
保胎如圣散 治产忽然腹痛,先行其水,婴儿降下,忽误吞热物伤胎者。
当归、红花、益智、白芍、益母草、甘草
如儿不下,取鲤鱼一尾,同药再煎,入醋一杯,服乌金丸。
乌金丸
阿胶(四两)、艾叶(二两)、谷芽(二两)、麦芽(二两)、蛇壳(一条)、五味(一两)
上为末,醋糊丸,如弹子大,每服一丸。
十月胎儿形状已完足,四肢罅缝骨精开;坐产即宜加谨慎,莫教儿下客气来。
十月胎儿完足,中肢罅缝俱开,至期产下,莫令久卧地下,莫被贼风吹犯。急令包裹,盈月之后,始得平安,适宜服用活水无忧散。因儿未下,恐稳婆动手。
活水无忧散
急性子、当归、益母、紫苏、艾叶、秦艽、陈皮、肉桂、枳壳、白芍、生地、鲤鱼(一条)
水煎,加醋一杯,服乌金丸。如儿死腹中不下,急取无根水再煎服,此急救之法。
The pulses at both Chi positions are faint and rapid, while those at both Cun positions are floating and large, and the Guan positions are slippery; if there is no heat in the body but the pulse is surging, this is the pulse method for women's pregnancy.
If the left hand pulse is slippery, large, and rapid, it indicates a male fetus; if the right hand pulse is slippery, large, and rapid, it indicates a female fetus; further consulting which breast nodule appears first, if the right appears first it is a female, and if the left appears first it is a male, with certainty without error.
How to ask about the pulse method for twins? If both hands' pulses are surging, the judgment will not be false; to know whether it is a male or female fetus, see detailed descriptions in Shuhe's (Wang Shuhe) verses.
When the pulse comes sinking and fine accompanied by abdominal and lower back pain, the fetus is hidden due to cold like ice; looking again at the tongue color being bluish with visible veins, why ask ghosts and gods when the fetus has died in the womb?
The pulse comes chaotic and hurried like wind and rain, disappearing for a moment then returning; this is what laypeople do not recognize as a dire condition, diagnose immediately without hesitation or guessing.
In the first month, the fetal shape resembles pearl dew, not yet entering the uterus but at the Kunhu (vaginal opening/subgate); like holding a candle in the wind, when the wind is urgent, it is hard to protect at this time.
In the first month, the fetal shape is like dew on grass, not yet having entered the uterine chamber. It is located at the Kunhu, not yet inside the abdomen. Its form is gathering and dispersing, not yet firm. Like the signal of menstruation, at that time one feels dizzy and nauseous, dislikes food, and the six pulses are floating and tight; this is the case. Many hide it out of shyness, and doctors may not recognize it, mistaking it for amenorrhea; it is suitable to take Antai Heqi Yin (Calming Fetus and Harmonizing Qi Decoction). Or if conceived after illness, or with deficient constitution, take Zhaotai San (Fetal-Covering Powder).
Antai Heqi Yin (Calming Fetus and Harmonizing Qi Decoction)
Bai Shao (Radix Paeoniae Alba), Mu Xiang (Radix Aucklandiae), Yizhi Ren (Fructus Alpiniae Oxyphyllae), Sha Ren (Fructus Amomi), Xiang Fu (Rhizoma Cyperi), Zi Su (Folium Perillae), Gan Cao (Radix Glycyrrhizae)
Add scallion, decoct in water and take.
Zhaotai San (Fetal-Covering Powder)
Dang Gui (Radix Angelicae Sinensis), Chuan Xiong (Rhizoma Chuanxiong), Bai Shao (Radix Paeoniae Alba), Sha Ren (Fructus Amomi), Gan Cao (Radix Glycyrrhizae), Zhi Ke (Fructus Aurantii)
In the second month, the fetal shape is in the North Pole (upper abdomen), like a flower just blooming with red stamen pearls; branches have not yet entered the uterine chamber, qi receives yin and yang blood vessels together.
In the second month, the fetal shape receives blood near the yin, in the mother's North Pole, which is six cun inside the vaginal opening. The fetus enters the abdomen, without clothing wrapping; if burdened or injured, it must cause dizziness, vertigo, nausea, vomiting, and loss of appetite; it is suitable to take Baotai Heqi Yin (Protecting Fetus and Harmonizing Qi Decoction).
Huo Xiang (Herba Agastaches), Nong Po (Cortex Magnoliae Officinalis), Guang Pi (Pericarpium Citri Reticulatae), Zhi Ke (Fructus Aurantii), Sha Ren (Fructus Amomi), Huang Qin (Radix Scutellariae), Jie Geng (Radix Platycodonis), Cang Zhu (Rhizoma Atractylodis Lanceae), Xiao Hui (Fructus Foeniculi), Zi Su (Folium Perillae)
In the third month, the fetal shape resembles blood essence, the uterine blood chamber is not yet formed; the mother dislikes various foods, but bitter, spicy, sour, and salty flavors are all accepted.
In the third month, the fetal shape is equal to the second month; regardless of weakness, if the fetal qi is unharmonious, causing nausea and vomiting, combined with autumn wind seasonal pathogens, chills and fever, headache, follow the previous Antai Heqi Yin (Calming Fetus and Harmonizing Qi Decoction) with modifications. If chills and fever do not subside, add Chai Hu (Radix Bupleuri), Huang Qin (Radix Scutellariae). For cough, add Xing Ren (Semen Armeniacae Amarum). For panting urgency, add Chen Xiang (Lignum Aquilariae Resinatum).
In the fourth month, the fetal shape enters the palace room, crossing within the mother's umbilicus and hips; avoid rabbit, cheetah meat, and hot foods, to prevent the child from having cleft lip and madness/numbness.
In the fourth month, the fetal shape enters the uterine chamber, wrapped by the Hetche (placenta), gradually reaching the Dantian. Avoid eating all toxic substances. Such as scaleless fish and turtles, to avoid poisoning the child. If the body is fatigued, breathing is rapid with fever, food tastes bland, prone to sleepiness and dizziness, limbs are sore and weak, it is suitable to take Huotai Heqi Yin (Reviving Fetus and Harmonizing Qi Decoction).
Chen Pi (Pericarpium Citri Reticulatae), Xiang Fu (Rhizoma Cyperi), Sha Ren (Fructus Amomi), Xiao Hui (Fructus Foeniculi), Su Ye (Folium Perillae), Nong Po (Cortex Magnoliae Officinalis), Cang Zhu (Rhizoma Atractylodis Lanceae), Zhi Ke (Fructus Aurantii), Gan Cao (Radix Glycyrrhizae)
In the fifth month, the fetal shape distinguishes male and female, limbs and womb are stable, no need to worry; males crave sour, females crave bland, this determines yin and yang creation.
In the fifth month, the fetal shape, male and female are determined, let the pregnant woman walk forward, call her from behind; turning head to the left is a male fetus, turning head to the right is a female fetus. Males crave sour, females crave bland. Having entered the uterine chamber, the fetus is stable. The pregnant mother likes lying down, food tastes bland, abdomen is distended and stuffy, it is suitable to take Shoutai Yin (Slimming Fetus Decoction).
Dang Gui (Radix Angelicae Sinensis), Yi Mu Cao (Herba Leonuri), Sha Ren (Fructus Amomi), Yizhi Ren (Fructus Alpiniae Oxyphyllae), Zhi Ke (Fructus Aurantii), Xiang Fu (Rhizoma Cyperi), Bai Shao (Radix Paeoniae Alba)
Decoct in water and take.
In the sixth month, the fetal shape swims in the abdomen, the left hand pulse for a male fetus feels like a thread pulling; the female soul moves lightly on the right, gradually floating in the umbilicus.
In the sixth month, the fetal shape moves on the left for males, on the right for females, in the mother's umbilicus, gradually floating. If the pregnant mother is weak, use Shoutai Yin (Slimming Fetus Decoction) to harmonize fetal qi, making childbirth easier.
In the seventh month, the fetal shape feels evil, the male moves his left hand grasping; the female moves her right hand frequently, walking is difficult, the mother sighs.
In the seventh month, the fetal shape moves to the left hypochondrium for males, to the right hypochondrium for females, the fetus is heavy as stone, walking is difficult, spleen and stomach are weak, qi rushes urgently to the chest and epigastrium, causing abdominal fullness, panting, coughing, sudden dizziness; do not treat it as stroke, this is fetal qi heat evil uneasiness, otherwise it causes the child to rush to the heart, named Zixuan (Fetal Qi Rising Upward), it is suitable to take Zimu Antai Yin (Anemone Root Calming Fetus Decoction).
Zimu (Radix Anemarrhenae), Su Ye (Folium Perillae), Huang Qin (Radix Scutellariae), Xiang Fu (Rhizoma Cyperi), Zhi Ke (Fructus Aurantii), Hua Shi (Talcum), Gan Cao (Radix Glycyrrhizae), Yi Mu Cao (Herba Leonuri)
Decoct in water and take.
In the eighth month, the fetal shape has a complete body, hair grows and spirit settles; craving food but swallowing is difficult, due to weakness and sorrow causing depression.
In the eighth month, the fetal shape, hair is all grown, the pregnant mother feels chest stuffiness and irritability, food tastes not sweet, fetal qi is weak, causing spleen and stomach disharmony, it is suitable to take Heqi Pingwei San (Harmonizing Qi and Leveling Stomach Powder).
Heqi Pingwei San (Harmonizing Qi and Leveling Stomach Powder) Treats fetal qi disharmony, heat toxin dysentery.
Cang Zhu (Rhizoma Atractylodis Lanceae), Nong Po (Cortex Magnoliae Officinalis), Chen Pi (Pericarpium Citri Reticulatae), Sheng Ma (Rhizoma Cimicifugae), Chai Hu (Radix Bupleuri), Bai Shao (Radix Paeoniae Alba), Di Yu (Radix Sanguisorbae), Rou Guo (Nucis Arecae Catalpae - likely referring to a specific part or typo for Rou Dou Kou), Ze Xie (Rhizoma Alismatis)
Decoct in water and take.
In the ninth month, the fetal shape is heavy as a mountain, seven emotions open orifices generally; every night one sheng and three he of blood, waiting for time to give birth, temporary difficulty.
In the ninth month, the fetal shape, eyes have light, nose has breath, ears hear strongly, mouth knows taste, body expands and contracts, human ways are complete, about to turn and move greatly for birth, the pregnant mother feels sensation in left and right hypochondria, it is suitable to take Baotai Rusheng San (Protecting Fetus Like Holy Powder).
Baotai Rusheng San (Protecting Fetus Like Holy Powder) Treats sudden abdominal pain during labor, waters break first, infant descends, suddenly swallowed hot food injuring the fetus.
Dang Gui (Radix Angelicae Sinensis), Hong Hua (Flos Carthami), Yizhi (Fructus Alpiniae Oxyphyllae), Bai Shao (Radix Paeoniae Alba), Yi Mu Cao (Herba Leonuri), Gan Cao (Radix Glycyrrhizae)
If the infant does not descend, take one carp, decoct again with the medicine, add one cup of vinegar, take Wu Jin Wan (Black Gold Pill).
Wu Jin Wan (Black Gold Pill)
E Jiao (Corpus Corii Asini Colla, four liang), Ai Ye (Folium Artemisiae Argyi, two liang), Gu Ya (Semen Hordei Germinatum, two liang), Mai Ya (Semen Hordei Germinatum, two liang), She Qiao (Testudo Carapax and Plastrum, one strip), Wu Wei (Fructus Schisandrae, one liang)
Grind into powder, make pills with vinegar paste, size of a bullet, take one pill each time.
In the tenth month, the fetal shape is complete, limb fissures and bone essences open; sitting birth should be cautious, do not let the child come down with external evil qi.
In the tenth month, the fetal shape is complete, middle limb fissures are all open, born at the due date, do not let lie on the ground for long, do not be blown by thief wind (drafts). Quickly wrap, after a full month, peace can be achieved, it is suitable to take Huoshui Wuyou San (Living Water Without Worries Powder). Because the child has not descended, fearing the midwife's handling.
Huoshui Wuyou San (Living Water Without Worries Powder)
Ji Xing Zi (Semen Impatientae), Dang Gui (Radix Angelicae Sinensis), Yi Mu (Herba Leonuri), Zi Su (Folium Perillae), Ai Ye (Folium Artemisiae Argyi), Qin Jiao (Radix Gentianae Macrophyllae), Chen Pi (Pericarpium Citri Reticulatae), Rou Gui (Cortex Cinnamomi), Zhi Ke (Fructus Aurantii), Bai Shao (Radix Paeoniae Alba), Sheng Di (Radix Rehmanniae), Li Yu (Cyprinus Carpio, one fish)
Decoct in water, add one cup of vinegar, take Wu Jin Wan (Black Gold Pill). If the child dies in the womb and does not descend, quickly take Wugen Shui (Water without Source) to decoct and take again, this is an emergency rescue method.