知母 苏叶(各二钱) 枳壳(四钱) 益母草 黄芩 滑石 香附(各三钱) 甘草(五分) 分
八月胎形。毛发俱齐。盖以胎至是月。而始生毛发也。
八月胎症。胎儿长发。令母心烦闷躁。多致思食而不知味。四肢无力。脾胃虚弱而不和。
温热相攻。脏腑欠安。或变痢疾。或伤胎气。宜服和气平胃散。以安胎利气。
浓朴 黄连 猪苓 泽泻 地榆 苍术 白术 白芍(各二钱) 柴胡 升麻(各四分) 豆蔻
(一钱) 陈皮(三钱) 甘草(一钱) 分三帖。空心温服。
(〔吴按〕此方宜去升柴。则平稳可用。)
九月胎形。七情开窍。眼有光。鼻有气。耳有闻。口有味。各道俱全。方能左右转身大动。
胎母觉知。忧闷烦也。
九月胎症。胎至九月。如胎欲产。急然肚痛。先行浆水。婴儿不降。此胎前误食热毒之物伤
胎。使胎不顺。故婴儿不降。速服保生如圣散。
柴胡(二钱) 益母草(二两) 枳壳(一两) 当归(四钱质弱者可多用) 砂仁 陈皮 益智仁
(去壳各二钱) 白芍(四钱) 甘草(一钱) 苏叶(五钱) 分二帖。煎服之后。胎犹未降。用
活鲤鱼(一尾) 加醋(一匙) 同上药煎服外。再服乌药丸(一粒) 无不降矣。(乌金丸具下
其十月胎形。受胎满足。必待胎母四肢交骨罅缝俱开。方许降生。既生。莫令婴赤之儿下地
。恐贼风吹。须人抱接包裹。至产母务谨慎调护。庶母子两保平安也。
其十月胎症。十月满足。临产有横逆之厄。皆因恣情内伤。或潮热所致。或胎前任用热毒之
物。瘀血相搏。或七情怒气所伤。当此仓忙。又不加谨辄使稳婆生生取出。必至触死。胎儿
在腹。不能医治。今备妙方防之。以济此急。惟服活命无忧散一二帖。加乌金丸(二枚) 可救。
知母、苏叶(各二钱)、枳壳(四钱)、益母草、黄芩、滑石、香附(各三钱)、甘草(五分),分次服用。
八月时胎儿的形态:毛发全部长齐。这是因为胎儿到了这个月份,才开始生长毛发。
八月时的胎症:胎儿头发变长,导致母亲心烦意乱、胸闷烦躁,常常想吃东西却尝不出味道,四肢无力,脾胃虚弱且不调和。体内温热邪气相互攻冲,脏腑不安稳,或者转变为痢疾,或者损伤胎气。适宜服用和气平胃散,以安胎并调理气机。
厚朴、黄连、猪苓、泽泻、地榆、苍术、白术、白芍(各二钱)、柴胡、升麻(各四分)、豆蔻(一钱)、陈皮(三钱)、甘草(一钱),分为三帖。空腹温服。
(吴氏按语:此方适宜去掉升麻和柴胡,这样更加平稳可用。)
九月时胎儿的形态:七情通过窍穴开启,眼睛有神光,鼻子能嗅气味,耳朵能听声音,嘴巴能辨滋味,各种感官功能齐全,才能灵活地向左右转身大幅活动。
胎儿和母亲都能感知到,这是忧虑闷烦的表现。
九月时的胎症:胎儿到了九月,如同即将分娩,突然肚子疼痛,先流出羊水(浆水),但婴儿未能下降。这是由于产前误食了热毒之物损伤了胎气,使得胎位不顺,所以婴儿无法下降。必须迅速服用保生如圣散。
柴胡(二钱)、益母草(二两)、枳壳(一两)、当归(四钱,体质虚弱者可多用)、砂仁、陈皮、益智仁(去壳,各二钱)、白芍(四钱)、甘草(一钱)、苏叶(五钱),分为两帖。煎服之后,如果胎儿仍未下降,用活鲤鱼(一条)加醋(一匙),与上述药物一起煎服;另外再服用乌药丸(一粒),没有不能降生的。(乌金丸的具体内容见下)
十月时胎儿的形态:受孕已满,必须等待母亲的四肢及耻骨联合处的缝隙全部打开,才允许降生。出生后,不要让刚出生的婴儿直接落地,恐怕被贼风侵袭,需要人抱接包裹好。对于产母务必谨慎调护,这样才能母子双方都保全平安。
十月时的胎症:十月期满,临产时出现横逆难产的厄运,都是因为纵欲内伤,或者因潮热所致,或者因为产前任用了热毒之物,导致瘀血相搏结,或者因七情怒气所伤。当此时仓促慌乱,如果不加谨慎,反而让稳婆强行生生取出,必定会导致胎儿触死。胎儿在腹中,无法医治。现在准备妙方以防患于未然,以救济这种紧急情况。只有服用活命无忧散一二帖,加上乌金丸(两枚),可以救急。
Zhi Mu (Anemarrhenae Rhizoma), Su Ye (Perillae Folium) (each 2 qian), Zhi Qiao (Aurantii Fructus, 4 qian), Yimu Cao (Leonuri Herba), Huang Qin (Scutellariae Radix), Hua Shi (Talcum), Xiang Fu (Cyperi Rhizoma) (each 3 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (0.5 fen), divided into doses.
Fetal morphology in the eighth month: Hair is fully grown. This is because the fetus begins to grow hair only at this month.
Fetal symptoms in the eighth month: The fetus's hair grows long, causing the mother to feel irritable, chest tightness, and restlessness. She often desires food but loses her sense of taste, experiences weakness in the four limbs, and suffers from spleen and stomach deficiency and disharmony. Internal heat and warm pathogens attack each other, causing internal organs to be unstable, potentially transforming into dysentery or damaging fetal qi. It is suitable to take Heqi Pingwei San (Harmonizing Qi and Stomach Powder) to calm the fetus and regulate qi.
Hou Po (Magnoliae Officinalis Cortex), Huang Lian (Coptidis Rhizoma), Zhu Ling (Polyporus), Ze Xie (Alismatis Rhizoma), Di Yu (Sanguisorbae Radix), Cang Zhu (Atractylodis Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Bai Shao (Paeoniae Radix Alba) (each 2 qian), Chai Hu (Bupleuri Radix), Sheng Ma (Cimicifugae Rhizoma) (each 0.4 qian), Dou Kou (Cardamomi Fructus Rotundus, 1 qian), Chen Pi (Citri Reticulatae Pericarpium, 3 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (1 qian), divided into three doses. Take warm on an empty stomach.
(Wu's commentary: It is advisable to remove Sheng Ma and Chai Hu from this formula for a milder and safer effect.)
Fetal morphology in the ninth month: The seven emotions open through the sensory orifices; the eyes have light, the nose perceives odors, the ears hear sounds, and the mouth tastes flavors. All sensory channels are complete, allowing for flexible turning and large movements left and right. Both the fetus and the mother perceive this as a state of worry and depression.
Fetal symptoms in the ninth month: When the fetus reaches the ninth month, resembling imminent birth, sudden abdominal pain occurs, followed by the leakage of amniotic fluid (shower water), yet the infant does not descend. This is due to consuming toxic heat substances before pregnancy, which damaged the fetal qi and caused malposition, thus preventing descent. One must quickly take Baosheng Rusheng San (Preserve Life Like Sage Powder).
Chai Hu (Bupleuri Radix) (2 qian), Yimu Cao (Leonuri Herba) (2 liang), Zhi Qiao (Aurantii Fructus) (1 liang), Dang Gui (Angelicae Sinensis Radix) (4 qian, can be increased for weak constitutions), Sha Ren (Amomi Fructus), Chen Pi (Citri Reticulatae Pericarpium), Yi Zhi Ren (Alpiniae Oxyphyllae Fructus) (shelled, each 2 qian), Bai Shao (Paeoniae Radix Alba) (4 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (1 qian), Su Ye (Perillae Folium) (5 qian), divided into two doses. After decoction and ingestion, if the fetus has not descended, use one live carp plus one spoonful of vinegar, decocted together with the above herbs; additionally, take one pill of Wuyao Wan (Black Pepper Pill). There will be no failure to descend. (The composition of Wu Jin Wan is listed below.)
Fetal morphology in the tenth month: Gestation is complete. One must wait until the gaps in the mother's limbs and the pubic symphysis are fully opened before delivery is permitted. After birth, do not let the naked infant touch the ground directly, fearing exposure to "thief wind" (drafts/cold winds). Someone should catch and wrap the baby. The postpartum mother must be carefully cared for, ensuring safety for both mother and child.
Fetal symptoms in the tenth month: Upon completion of the tenth month, difficult labor such as breech presentation may occur. This is due to excessive indulgence causing internal injury, tidal fever, consumption of toxic heat substances during pregnancy leading to blood stasis conflict, or injury from emotional anger. In this hurried situation, if caution is not exercised and midwives forcibly extract the fetus, it will inevitably result in death by trauma. The fetus in the womb cannot be treated once dead. Therefore, excellent formulas are prepared to prevent this and relieve emergencies. Taking Huoming Wuyou San (Life-Saving Worry-Free Powder) for one to two doses, combined with two pills of Wu Jin Wan (Gold Pill), can save the situation.