少阴动甚知有子,阴搏阳别尺寸凭。但搏不滑胎三月,搏而滑石五月形。
【注】少阴肾脉动甚者,有子脉也。但当凭其两尺阴脉抟指有力,两寸阳脉不抟指
而别于两尺,斯为有子脉无疑也。其但抟不滑者,主三月之胎;抟而滑者,主五月之胎
也。
上小下大女腹箕,中正圆高男腹釜;右疾为女左疾男,胎气钟于阴阳主。
【注】上小下大,如箕之形,盖以女胎面向母腹,其足膝抵腹,故有是形也。中正圆
高,如釜之形,盖以男胎面向母背,则背脊抵腹,故有是形也。右手属阴,脉疾为女。左
手属阳,脉疾为男。是胎气钟于阴,则右盛主女;钟于阳,则左盛主男也。
孕病不分须诊乳,五月之后乳房升。何以知其母子吉,身虽有病脉和平。
【注】妇人经水不至,不分是孕是病者,五个月之后,以孕妇乳房辨之。若乳房升大
有乳者是胎,若乳房不大无乳者是病也。凡孕妇有病,其验可知,亦何以知其母子俱吉,
惟诊其脉象和平,则虽有病,知均吉无虑也。
分经养胎不足凭。无所专养论不经。形始未分无不具,阴阳之道渐分形。
【注】巢元方曰∶妊娠一月名胚胎,足厥
阴脉养之;二月名始膏,足少阳脉养之;三月名始胎,手心主脉养之,当此时血不流行,
形象始化;四月始受水精以成血脉,手少阳脉养之;五月始受火精以成气,足太阴脉养
之;六月始受金精以成筋,足阳明脉养之;七月始受木精以成骨,手太阴脉养之;八月始
受土精以成肤革,手阳明脉养之;九月始受石精以成毛发,足少阴脉养之;十月五脏、六
腑、关节、人神皆备。
又有推巢元方养胎之说,谓四时之令必始于春,所以一月、二月间,是足厥阴、少
阳木也;三月、四月间,手厥阴、少阳火也;五月、六月间,足太阴、阳明土也;七月、八
月间,手太阴,阳明金也;九月、十月间,足少阴、太阳水也。惟手少阴、太阳二经无所
专养者,以君主之官无为而已。此说更为不经。夫男女交接,精血聚而成胚,此孕形之
始也。虽未分身躯脏腑,而其理无不具也。犹太极浑然,包罗万象,而阴阳之一气氤氲,浸
渐化生而成,子母分形,自然而然如草木成熟,壳脱蒂落也。
少阴脉跳动明显可知怀孕,通过比较尺部阴脉与寸部阳脉的差异来判断。若脉象仅搏指而不滑利,主妊娠三个月;若脉象既搏指又滑利,则主妊娠五个月胎儿成形。
【注】少阴肾经的脉象跳动明显的,是怀孕的脉象。但应当依据两尺部的阴脉搏指有力,两寸部的阳脉不搏指而与两尺部脉象不同,这才是确凿无疑的怀孕脉象。那种仅搏指而不滑利的,主妊娠三个月;既搏指又滑利的,主妊娠五个月。
孕妇腹部上小下大如箕状的是怀女胎,腹部中正圆高如釜状的是怀男胎;右手脉疾速为怀女胎,左手脉疾速为怀男胎,胎气汇聚于阴阳所致。
【注】腹部上小下大,形状像簸箕,这是因为女胎面向母亲腹部,其足膝抵住腹壁,所以呈现这种形状。腹部中正圆高,形状像锅,这是因为男胎面向母亲背部,其背脊抵住腹壁,所以呈现这种形状。右手属阴,脉象疾速表示怀女胎。左手属阳,脉象疾速表示怀男胎。因此,胎气汇聚于阴,则右脉盛主怀女胎;汇聚于阳,则左脉盛主怀男胎。
怀孕后若有病症难以区分时须诊察乳房,妊娠五个月之后乳房会隆起。如何知道母子平安吉祥?即使身体有病,只要脉象平和即可。
【注】妇女月经停止,分不清是怀孕还是生病的,在妊娠五个月之后,通过观察孕妇乳房来辨别。如果乳房隆起增大且有乳汁的是怀孕,如果乳房不大且无乳汁的是疾病。凡是孕妇患病,其验证情况可知晓。又怎么知道母子都吉祥呢?只有诊察其脉象平和,那么即使有病,也知道都是吉祥无需担忧。
按经络分阶段养胎的说法不足为凭。专门论述各经养胎的理论不合经典。胎儿形体尚未分化时无不具备所有脏腑,阴阳之道逐渐分化形成形体。
【注】巢元方说:妊娠第一个月名为胚胎,由足厥阴肝经滋养;第二个月名为始膏,由足少阳胆经滋养;第三个月名为始胎,由手厥阴心包经滋养,正当此时血液不流行,形象开始变化;第四个月开始接受水精以形成血脉,由手少阳三焦经滋养;第五个月开始接受火精以形成气,由足太阴脾经滋养;第六个月开始接受金精以形成筋,由足阳明胃经滋养;第七个月开始接受木精以形成骨,由手太阴肺经滋养;第八个月开始接受土精以形成皮肤和肌肉,由手阳明大肠经滋养;第九个月开始接受石精以形成毛发,由足少阴肾经滋养;第十个月五脏、六腑、关节、人神都具备。
又有推演巢元方养胎说法的人,认为四季的命令必定始于春季,所以第一、二个月间,是足厥阴、足少阳木经;第三、四个月间,是手厥阴、手少阳火经;第五、六个月间,是足太阴、足阳明土经;第七、八个月间,是手太阴、手阳明金经;第九、十个月间,是足少阴、足太阳水经。只有手少阴、手太阳两条经脉没有专门滋养的作用,因为君主之官(心)是无为而治的。这种说法更加不合经典。男女交合,精血聚集成胚胎,这是孕育形体的开始。虽然身躯脏腑尚未分化,但其道理无不具备。就像太极浑然一体,包罗万象,而阴阳的一气氤氲,逐渐化生而成,子母形体分开,自然而然如同草木成熟,壳脱蒂落一样。
When the Shao Yin (Lesser Yin) pulse beats vigorously, one knows there is a pregnancy; relying on the distinction between the Yin pulse at the Chi position and the Yang pulse at the Cun position. If the pulse beats vigorously but is not slippery, it indicates a three-month pregnancy; if it beats vigorously and is slippery, it indicates a five-month pregnancy with formed fetus.
[Note] A vigorous beating of the Shao Yin Kidney meridian pulse is the pulse of pregnancy. One should rely on the Yin pulses at both Chi positions beating firmly against the finger, while the Yang pulses at both Cun positions do not beat firmly against the finger and are distinct from the Chi pulses; this is undoubtedly the pulse of pregnancy. The case where the pulse beats firmly but is not slippery indicates a three-month pregnancy; the case where it beats firmly and is slippery indicates a five-month pregnancy.
An abdomen that is small above and large below, shaped like a winnowing basket, indicates a female fetus; an abdomen that is upright, round, and high, shaped like a cauldron, indicates a male fetus; rapid pulse at the right hand indicates a female fetus, rapid pulse at the left hand indicates a male fetus; this is due to fetal Qi gathering in Yin or Yang.
[Note] "Small above and large below" resembles the shape of a winnowing basket because the female fetus faces the mother's abdomen, with its feet and knees pressing against the abdominal wall, thus creating this shape. "Upright, round, and high" resembles the shape of a cauldron because the male fetus faces the mother's back, with its spine pressing against the abdominal wall, thus creating this shape. The right hand belongs to Yin; a rapid pulse indicates a female fetus. The left hand belongs to Yang; a rapid pulse indicates a male fetus. Therefore, when fetal Qi gathers in Yin, the right pulse is strong indicating a female fetus; when it gathers in Yang, the left pulse is strong indicating a male fetus.
If it is difficult to distinguish pregnancy from disease after conception, one must examine the breasts; after five months of pregnancy, the breasts will rise. How does one know the mother and child are auspicious? Even if the body has disease, as long as the pulse is harmonious, it is auspicious.
[Note] When a woman's menstruation stops and it is unclear whether it is pregnancy or disease, after five months of pregnancy, one distinguishes by observing the pregnant woman's breasts. If the breasts rise and enlarge with milk present, it is pregnancy; if the breasts do not enlarge and there is no milk, it is disease. For any disease occurring in a pregnant woman, the verification can be known. How does one know the mother and child are both auspicious? Only by examining that the pulse image is harmonious; then even if there is disease, one knows it is all auspicious and without worry.
The theory of nourishing the fetus according to specific meridians is unreliable. The theory of exclusive nourishment by specific meridians is not canonical. Before the form begins to differentiate, everything is complete; the Way of Yin and Yang gradually differentiates into form.
[Note] Chao Yuanfang stated: In the first month of pregnancy, named Embryo, it is nourished by the Foot Jueyin Liver Meridian; in the second month, named Beginning Paste, it is nourished by the Foot Shaoyang Gallbladder Meridian; in the third month, named Beginning Fetus, it is nourished by the Hand Jueyin Pericardium Meridian; at this time, blood does not circulate freely, and the image begins to transform; in the fourth month, it begins to receive Water Essence to form blood vessels, nourished by the Hand Shaoyang Sanjiao Meridian; in the fifth month, it begins to receive Fire Essence to form Qi, nourished by the Foot Taiyin Spleen Meridian; in the sixth month, it begins to receive Metal Essence to form sinews, nourished by the Foot Yangming Stomach Meridian; in the seventh month, it begins to receive Wood Essence to form bones, nourished by the Hand Taiyin Lung Meridian; in the eighth month, it begins to receive Earth Essence to form skin and flesh, nourished by the Hand Yangming Large Intestine Meridian; in the ninth month, it begins to receive Stone Essence to form hair, nourished by the Foot Shaoyin Kidney Meridian; in the tenth month, the Five Zang Organs, Six Fu Organs, joints, and Human Spirit are all complete.
Others who extrapolate Chao Yuanfang's theory of fetal nourishment claim that the commands of the four seasons must begin in Spring; therefore, during the first and second months, it is the Foot Jueyin and Foot Shaoyang Wood meridians; during the third and fourth months, it is the Hand Jueyin and Hand Shaoyang Fire meridians; during the fifth and sixth months, it is the Foot Taiyin and Foot Yangming Earth meridians; during the seventh and eighth months, it is the Hand Taiyin and Hand Yangming Metal meridians; during the ninth and tenth months, it is the Foot Shaoyin and Foot Taiyang Water meridians. Only the Hand Shaoyin and Hand Taiyang two meridians have no exclusive nourishment function, because the Ruler Organ (Heart) acts through non-action. This theory is even less canonical. When man and woman join, essence and blood gather to form the embryo; this is the beginning of the pregnant form. Although the body and organs have not yet differentiated, their principles are all present. It is like Taiji being whole and undifferentiated, encompassing all phenomena, while the single Qi of Yin and Yang swirls, gradually transforming and generating; the forms of mother and child separate naturally, just like plants maturing, shell shedding, and stem falling.