《保元论》云∶妇人妊娠，常令乐意，运动气血，安养胎元，早当绝欲，节调饮食，内远七
情，外避六淫。性宜静而不宜躁，体宜动而不宜逸。味宜凉而不宜热，食宜暖而不宜寒。毋
久立久坐，毋久行久卧。又宜却除一切肥甘，以及煎炒炙爆，油腻辛辣，水果鱼鳖，兔鸽牛
马之肉，以及鳗鱼鳅鳝无鳞等鱼，一切避忌，便无胎漏下血、子肿子痫子悬等症，以及横生
逆产、胎伤腹中之患，生后亦无胎热胎寒、胎肥胎怯，以及胎惊胎毒之证遗累小儿。前贤胎
教云∶妇人妊娠，寝不侧，坐不偏，立不跸，不食异味，目不视恶色，耳不听淫声，口不出
恶言。非义之物不取，非理之财不收，宜听诵读诗书，讲论致知格物道理，则生子形容端正
，才器过人。尝见禀性温良之妇，有妊而少嗜欲，生子少病而痘疮亦稀，此其验也。《指掌
诀》云∶胎前众集要须知，恶险当从痰火推，胎上凑心胸胀满，子悬芩术炒山栀。妊娠下血
名胎漏，血热而成或气虚，胎动芎归与胶艾，安胎顺气勿教迟。子淋须觅安荣散，胎水还当
用鲤鱼，肿满遍身如水气，但煎防己自宽舒。足趺浮肿身无恙，皱脚安胎大腹皮，五月
烦躁甚，子烦知母麦冬医。妊娠腹疼分虚实，寒热温清可辨之。子痫急服羚羊角，儿晕
荆芥奇。泻痢苍砂加二白，热须芩术信为宜。风寒感冒参苏饮，不解黄龙汤勿疑。胸满
加枳壳，热而无汗葛根驱。里热甚时罩胎散，热极谵语五苓施。脉迟四逆理中治，热泄柴芩
半夏除。汗吐下温须仔细，安胎为主勿差池。清脾疗疟须除半，四兽驱邪更补脾。痢疾香连
丸有验，胃风主痢补其虚。伤风咳嗽芎苏饮，半贝杏芩桑白皮，秘结不通麻子饮，小水不利
麦冬葵。怔忡恍忽心惊悸，气闷喧呼大圣祛。心痛火龙汤可定，腰疼痛气更难知。达生散可
将胎束，欲服须当九月时。又云∶孕妇之脉，阴搏于下，阳别于上，血气调和，有子之象。
手足少阴，其脉动甚，尺按不绝，此为有孕。少阴属心，心主血脉，肾为胞门，脉应于尺，
或尺脉微，关滑尺数，往来流利，脉微带数 ，身中无热，脉带洪滑，当诘月事，仔细参酌。
妇人似病而无邪脉，是孕非病，所以不
沉实在左，浮大在右，右女左男，可以预
血耗，立见倾
大凡妇人妊娠，贵乎冲任脉旺，元气充足，饮食如常，身体壮健，色泽不衰，而无杂病相侵
，则十月满足，分娩定然无虞。若气血不充，冲任之脉虚弱，经必愆期，而不受孕。即使得
孕，胞门子户虚寒，受胎终归不实。李南宫曰∶胎前诸病，惟当顺气安胎。若外感四时之气
，或内伤七情，以成他病，治法与男子无异，当以各证类求之。动胎之药，切不可用。
《圣济总录》云∶安胎有二法，有因母病以致胎动者，但治其母，胎自安。若胎气不固，触
动以致母病者，宜安胎而母自愈矣。
先师天锡陈先生曰∶妊娠之妇，身体康健，饮食如常，可保平安，勿生顾虑，勿妄服药，勿
过饮酒，勿举重登高，勿多睡卧，闲则步于庭，勿犯房事，扰乱子宫不安，难免产子艰难，
且生后多子胎疾，慎之慎之。
凡孕妇堕胎有二故∶一为跌仆负重轧伤，一为气血不足，盖腰膝系胎之处，如瓜果之蒂，花
卉之根，不得露不长，受热亦易伤。故一月厥阴用事，脏腑不能输精于肝，而致疏泄者有之
。二月少阳用事，脏腑不能输精于胆，而致萎瘁者有之。三月手心经脉用事，脏腑不能输精
于心，而致朽腐者有之。四五七月堕者，莫不皆然。是故安胎之法，当视其虚实寒热而药之
，则无不安矣。
《保元论》说：妇女怀孕后，应常保持心情愉悦，以调和气血，安养胎元。应当尽早戒除房事，节制并调节饮食，内在远离七情（喜、怒、忧、思、悲、恐、惊）的过度刺激，外在避开六淫（风、寒、暑、湿、燥、火）邪气的侵袭。性情宜静不宜躁，身体宜动不宜逸。口味宜凉不宜热，食物宜暖不宜寒。不要久站或久坐，不要久行或久卧。还应当摒弃一切肥腻甘甜的食物，以及煎炸烤爆、油腻辛辣的食品，还有水果、鱼鳖、兔鸽牛马等肉类，以及鳗鱼、泥鳅、黄鳝等无鳞鱼类，所有需要避忌的食物都要避免，这样就不会出现胎漏下血、子肿、子痫、子悬等症状，以及横生逆产、胎儿损伤在腹中等祸患，出生后也不会有胎热、胎寒、胎肥、胎怯，以及胎惊、胎毒等病症遗累小儿。前代的胎教理论说：妇女怀孕时，睡觉不侧卧，坐着不偏倚，站立不跛脚，不吃怪异的食物，眼睛不看丑恶的颜色，耳朵不听淫乱的声音，口中不说恶毒的话。不合道义的东西不拿，不合情理的钱财不收，应该听诵读诗书，讲论探究事物原理的道理，这样生下的孩子容貌端正，才智器量过人。我曾见到禀性温和善良的妇女，怀孕后欲望较少，生下的孩子少生病且痘疮也稀少，这就是验证。《指掌诀》说：产前诸症要知晓，恶险之证多从痰火推断。胎气上冲心胸导致胀满，用芩术炒山栀治疗。妊娠期间阴道出血称为胎漏，由血热或气虚引起，可用芎归胶艾汤安胎顺气，不可延误。子淋（妊娠小便淋痛）需寻找安荣散治疗，胎水过多（羊水过多）当用鲤鱼汤治疗。全身浮肿如水气病，只需用防己煎服即可宽舒。足背浮肿而身体无恙，是皱脚，用大腹皮安胎；若腹部肿胀明显，则是另一种情况。五月烦躁严重，子烦（妊娠心烦）用知母、麦冬医治。妊娠腹痛要分虚实，寒热温清治法可辨别。子痫（妊娠抽搐）急服羚羊角，儿晕（胎儿缺氧窘迫）用荆芥奇效。泻痢加用赤石脂、白石脂，热证用黄芩、白术、厚朴为宜。风寒感冒用参苏饮，不解表则用黄龙汤勿疑。胸满加枳壳，热而无汗用葛根驱散。里热严重时用罩胎散，热极谵语用五苓散施治。脉迟用四逆汤、理中汤治疗，热泄用柴胡、黄芩、半夏清除。汗、吐、下、温法须仔细，以安胎为主不可差错。清脾治疗疟疾须去除半夏，四兽饮驱邪更补脾。痢疾用香连丸有验，胃风汤主治痢疾并补其虚。伤风咳嗽用芎苏饮，加半夏、贝母、杏仁、黄芩、桑白皮；秘结不通用麻子仁丸，小便不利用麦冬、葵子。怔忡恍惚心惊悸，气闷喧呼用大圣散祛除。心痛用火龙汤可定，腰痛疼痛难以辨识。达生散可将胎束固，欲服用须在九月时。又说：孕妇的脉象，阴搏于下，阳别于上，血气调和，是有孕的迹象。手足少阴经的脉动甚为明显，尺部按之不绝，这是怀孕。少阴属心，心主血脉，肾为胞门，脉应于尺部，或者尺脉微细，关部滑利尺部数急，往来流利，脉微带数，身中无热，脉带洪滑，应当追问月经情况，仔细参酌。妇人似病而无邪脉，是怀孕而非生病，所以左脉沉实在左，右脉浮大在右，右脉盛主女，左脉盛主男，可以预先判断。
大凡妇女怀孕，贵在冲任二脉旺盛，元气充足，饮食如常，身体壮健，色泽不衰，而没有杂病相侵，那么十月满足，分娩定然无忧。如果气血不充，冲任二脉虚弱，月经必定延期，而不能受孕。即使受孕，胞门子户虚寒，受胎终究不实。李南宫说：产前诸病，只应当顺气安胎。如果外感四时之气，或内伤七情，形成其他疾病，治法与男子无异，应当根据各证候类别求治。动胎的药物，切不可用。
《圣济总录》说：安胎有两种方法，有因母亲生病以致胎动的，只需治疗母亲，胎自然安定。如果胎气不固，触动以致母亲生病的，应当安胎而母亲自然痊愈。
先师天锡陈先生说：怀孕的妇女，身体康健，饮食如常，可保平安，不要产生顾虑，不要妄自服药，不要过量饮酒，不要举重登高，不要多睡卧，空闲时在庭院散步，不要犯房事，以免扰乱子宫不安，难免生产艰难，而且出生后多有子胎疾病，谨慎再谨慎。
凡是孕妇堕胎有两个原因：一是跌仆负重轧伤，二是气血不足。腰膝是系胎之处，如同瓜果的蒂，花卉的根，不得露出地面不能生长，受热也容易受伤。所以一月厥阴肝经用事，脏腑不能输精于肝，而导致疏泄失常的有之。二月少阳胆经用事，脏腑不能输精于胆，而导致萎瘁的有之。三月手心包络经脉用事，脏腑不能输精于心，而导致朽腐的有之。四五七月堕胎者，莫不皆然。因此安胎的方法，应当视其虚实寒热而用药，就没有不安定的了。
According to *Baoyuan Lun* (Treatise on Preserving Vitality): When a woman is pregnant, she should maintain a joyful mood to harmonize Qi and Blood (Qi-Blood) and nourish the Fetal Origin (Taiyuan). She should abstain from sexual intercourse early on, regulate her diet, keep away internally from excessive Seven Emotions (Joy, Anger, Worry, Pensiveness, Sadness, Fear, Fright), and avoid externally the Six Exogenous Pathogens (Wind, Cold, Summerheat, Dampness, Dryness, Fire). Her temperament should be calm rather than irritable; her body should be active rather than idle. Her taste preferences should lean towards cool rather than hot; her food should be warm rather than cold. She should not stand or sit for long periods, nor walk or lie down for too long. Furthermore, she should avoid all rich, sweet, and greasy foods, as well as fried, roasted, grilled, and spicy items, fruits, fish, turtles, rabbit, pigeon, beef, horse meat, and scaleless fish such as eels, loaches, and eels. By avoiding all these禁忌 (taboos), she will prevent conditions such as fetal leakage with bleeding, pregnancy edema (Zi Zhong), eclampsia (Zi Xian), hanging fetus (Zi Xuan), malpresentation, difficult labor, intrauterine fetal injury, and postnatal issues like fetal heat, fetal cold, fetal obesity, fetal weakness, fetal fright, and fetal toxins affecting the child. Ancient prenatal education states: A pregnant woman should not sleep on her side, sit askew, or stand limping; she should not eat strange foods, look at ugly sights, listen to obscene sounds, or speak foul words. She should not take what is unjust, nor accept wealth that is unreasonable. Instead, she should listen to poetry and books, and discuss the principles of acquiring knowledge and investigating things. Thus, the child born will have a handsome appearance and exceptional talent. I have observed that women with gentle and kind dispositions who have few desires during pregnancy give birth to children who are rarely ill and have few cases of smallpox; this is the verification.
*Zhizhang Jue* (Finger-Palm Formula) states: One must know the essentials of pregnancy complications; dangerous conditions are often deduced from Phlegm-Fire. If fetal Qi rushes to the chest and heart causing distension, use Chaihu, Baizhu, and scorched Zhizi (Gardeniae Fructus). Bleeding during pregnancy is called "Tai Lou" (Fetal Leakage); it results from Blood Heat or Qi Deficiency. Use Xiong Gui Jiao Ai Tang (Cnidium, Angelica, and Donkey-Hide Gelatin Decoction) to calm the fetus and smooth Qi; do not delay. For Zi Lin (pregnancy dysuria), seek An Rong San. For Tai Shui (excessive amniotic fluid), use Li Yu Tang (Carps Decoction). For generalized edema resembling water accumulation, decoct Fang Ji (Stephaniae Tetrandrae Radix) alone for relief. Edema on the dorsum of the foot with no other symptoms is "Zhou Jiao" (wrinkled feet); use Da Fu Pi (Arecae Pericarpium) to calm the fetus. In the fifth month, severe irritability indicates Zi Fan (pregnancy vexation), treated with Zhi Mu (Anemarrhenae Rhizoma) and Maidong (Ophiopogonis Radix). Pregnancy abdominal pain must be differentiated into deficiency and excess; cold and heat, warming and clearing methods can distinguish them. For Zi Xian (pregnancy convulsions), urgently administer Ling Yang Jiao (Capricornis Cornu). For Er Yun (f晕/dizziness), Jingjie (Schizonepetae Spica) is miraculous. For diarrhea and dysentery, add Chi Shi Zhi (Halloysit Rubrum) and Bai Shi Zhi (Halloysit Albus); for heat, Huang Qin (Scutellariae Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), and Hou Po (Magnoliae Officinalis Cortex) are suitable. For wind-cold common cold, use Shen Su Yin (Ginseng and Schizonepeta Drink); if unresolved, use Huang Long Tang without hesitation. For chest fullness, add Zhi Ke (Aurantii Fructus); for heat without sweat, use Ge Gen (Puerariae Lobatae Radix) to dispel. For severe interior heat, use Zhao Tai San; for extreme heat with delirium, apply Wu Ling San (Five-Ingredient Powder with Poria). For slow pulse, treat with Si Ni Tang (Four Counterflow Decoction) and Li Zhong Tang (Regulate the Middle Decoction); for heat-induced diarrhea, remove with Chai Hu (Bupleuri Radix), Huang Qin, and Ban Xia (Pinelliae Rhizoma). Methods of sweating, vomiting, purging, and warming require care; the primary goal is calming the fetus, do not err. To clear the spleen and treat malaria, remove Ban Xia; Si Shou Yin (Four Beast Drink) expels pathogens and tonifies the spleen. For dysentery, Xiang Lian Wan (Costus and Coptis Pill) is effective; Wei Feng Tang treats dysentery by tonifying deficiency. For wind-cold cough, use Xiong Su Yin (Angelica and Schizonepeta Drink) with Ban Xia, Bei Mu, Xing Ren, Huang Qin, and Sang Bai Pi (Mori Cortex); for constipation, use Ma Zi Yin (Hemp Seed Drink); for difficult urination, use Maidong and Kui Zi (Malvae Semen). For palpitations,恍惚 (trance), heart fright, Qi stagnation, and shouting, use Da Sheng San (Great Sage Dispersion). For heart pain, Huo Long Tang (Fire Dragon Decoction) stabilizes it; for lower back pain, differentiation is difficult. Da Sheng San can bind the fetus, but should only be taken in the ninth month. It is also said: The pulse of a pregnant woman shows Yin pulsating below and Yang distinct above; harmonious Qi and Blood indicate pregnancy. The pulses of the Hand-Shaoyin and Foot-Shaoyin meridians move vigorously; pressing the Chi (Cun Cun) position does not cease; this indicates pregnancy. Shaoyin belongs to the Heart, which governs Blood vessels; the Kidney is the Gate of the Uterus (Bao Men); the pulse corresponds to the Chi position. If the Chi pulse is faint, or the Guan position is slippery and Chi rapid, flowing smoothly, faint yet slightly rapid, with no internal heat, or the pulse is surging and slippery, one must inquire about menstruation and deliberate carefully. A woman appearing ill but with no pathogenic pulse is pregnant, not sick. Therefore, if the left pulse is deep and firm, and the right pulse is floating and large, a strong right pulse indicates a female fetus, and a strong left pulse indicates a male fetus; this can be predicted in advance.
Generally, for pregnant women, it is crucial that the Chong and Ren meridians are vigorous, Yuan Qi (Original Qi) is sufficient, diet is normal, the body is robust, complexion remains un-withered, and no miscellaneous diseases invade. Then, after ten months, delivery will surely be worry-free. If Qi and Blood are insufficient, and the Chong and Ren meridians are weak, menstruation will be delayed, and conception will not occur. Even if conception occurs, if the Bao Men Zi Hu (Gate of the Uterus and House of the Child) is deficient and cold, the conceived fetus will ultimately not be solid. Li Nangong said: For various diseases before childbirth, one should only smooth Qi and calm the fetus. If exogenous Four Seasons Qi invades, or internal Seven Emotions cause other diseases, the treatment method is no different from men; one should seek treatment according to each syndrome category. Drugs that disturb the fetus must absolutely not be used.
*Shengji Zonglu* (General Records of the Sacred Repository) states: There are two methods for calming the fetus. If the fetus moves because the mother is ill, treat the mother alone, and the fetus will naturally settle. If the fetal Qi is unstable, disturbing the mother and causing illness, calm the fetus, and the mother will naturally recover.
My former teacher, Mr. Chen Tianxi, said: A pregnant woman who is healthy and eats normally can ensure safety. Do not worry, do not take medicine rashly, do not drink excessively, do not lift heavy objects or climb high, do not sleep too much. Walk in the courtyard when free. Avoid sexual intercourse to prevent disturbing the uterus and causing difficult labor, and to avoid postnatal fetal diseases. Be cautious, be very cautious.
There are two causes for miscarriage in pregnant women: one is trauma from falling or carrying heavy loads; the other is deficiency of Qi and Blood. The waist and knees are where the fetus is attached, like the stem of a melon or the root of a flower; if exposed, it cannot grow, and if heated, it is easily injured. Therefore, in the first month, when the Jueyin Liver meridian is dominant, if the zang-fu organs cannot transmit essence to the Liver, leading to disorder of dispersion and descent, miscarriage may occur. In the second month, when the Shaoyang Gallbladder meridian is dominant, if they cannot transmit essence to the Gallbladder, leading withering may occur. In the third month, when the Pericardium meridian is dominant, if they cannot transmit essence to the Heart, leading to decay may occur. Miscarriages in the fourth, fifth, and seventh months are all similar. Therefore, the method of calming the fetus should be based on its deficiency/excess and cold/heat nature, and medication administered accordingly, ensuring stability.