足阳明脉养胎。不可针灸其经。属胃。主口目。此时儿口目皆成。调五味。食甘美。毋太饱。是月卒有所动不安。寒热
往来。腹胀满。体肿。惊悸。卒有所下。腹痛如欲坠。手足烦疼。宜麦冬汤。
麦冬（二升） 人参 甘草 黄芩（各二两） 生地（三两） 阿胶（四两） 生姜（六两） 枣（十五枚）
水七升。煎半入胶。并酒二升。煎三升。分三服。中间进粥。
妊娠七月。始受木精以成其骨。劳身摇肢。毋使安逸。动作屈伸。以运血气。居燥处。饮食避寒。食稻粱。以密腠
理。是谓养骨而坚齿。是月手太阴脉养胎。不可针灸其经。属肺。主皮毛。此时儿皮毛已成。无多言哭。毋洗浴。毋薄
衣。毋饮冷。是月忽惊恐摇动。腹痛。卒有所下。手足厥冷。脉若微寒。烦热。腹满短气。常苦颈项及腰背强。宜葱白
汤。
葱白（长三四寸十四茎） 半夏 麦冬（各一升） 旋复花（二合） 黄芩（一两） 人参（两半） 甘草 蜜黄
当归（各三两） 阿胶（四两） 生姜（八两）
水七升。煎半入胶。并酒三升。煎四升。分四服。日三夜一。取汗。若无汗。加麻黄一两。再服。秋后勿强汗。
妊娠八月。始受土精以成肤革。和心静息。无使气极。是谓密腠理而光泽颜色。是月手阳明脉养胎。不可针灸其经。
属大肠。主九窍。此时儿九窍皆成。毋食燥物。毋大怒。是月中风寒。有所犯触。身体尽痛。乍寒乍热。胎动不安。常
苦头眩痛。绕脐下寒。时时小便白如米泔。或青或黄。或寒栗。腰背苦冷而痛。目 无见。宜芍药汤。
白芍（四两） 生姜（六两） 浓朴（二两） 甘草 当归 土白术 人参（各三两） 葱白切（一升）
水五升。酒四升。煎三升。分三服。日二夜一。
妊娠九月。始受石精以成皮毛。六腑百节。莫不毕备。饮醴食甘缓带。是谓养毛发致才力。是月足少阴脉养胎。不
可针灸其经。属肾。主续缕。此时儿脉络续缕皆成。毋处湿冷。无着炙衣。是月若卒得下痢。腹满悬急。胎上冲心。腰
背痛。不可转侧。短气。宜半夏汤。
半夏（三两） 大枣（二十枚） 麦冬 吴萸 当归 阿胶（各二两） 干姜（一两）
水九升。煎三升。入蜜八合。分四服。痢即止。
妊娠十月。五脏俱备。六腑齐通。纳天地气于丹田。故使关节人神皆备。只俟时而生。是月足太阳脉养胎。不可针
灸其经。属膀胱。宜服滑胎药。自一月至十月。惟手少阴手太阳无所专主。以君主之官无为也。
受胎保护 保产要录曰。一受胎后。不宜食牛羊犬等肉。并蟹鳖乌鱼无鳞鱼胡椒姜蒜及辛辣之物。一受胎后。
不可看戏及鬼怪形象。一最戒暴怒。口不可出恶言。手不可用鞭挞。盖怒伤气血。不能养胎。多有因此动胎者。即幸不
动
胎。怒气入胎。子生多痰。亦不可登高上梯。恐跌有损。亦不可伸手高处取物。恐伤胎而子鸣腹中。子鸣亦有法。但令
鞠躬片时自安。一受胎三五个月后。常要紧束其身。勿令胎放。或六七个月。或七八个月。胎忽乱动。三两日间。或痛
或止。或有水下。但腰不甚痛。脉未离经。名曰弄胎。又有临产一月前。忽然腰痛。却又不产。此是转胎。名曰试月。
胎水有无俱不妨。但直身坐卧行立。不可惊忧逼迫以致误事。二者俱非正产。必因曲身触犯致此。
鳌按。胎产书如达生录。达生编之类甚多。然明白周详。细心切要。语语可遵而行之者。惟有保产要录一书最妙。
余故于胎前小产临产产后各门。分录其语。俾妊孕家知有所法。又恐人混视之。特识于此。以使阅者触目惊心焉。卷后
但书青溪主人识五字。惜不得其姓名。
足阳明胃经负责滋养胎儿。在此期间，不可对该经脉进行针灸治疗。该经归属于胃，主管口和眼睛的功能。此时胎儿的口和眼均已发育成形。应当调和五味饮食，食用甘甜美味的食物，但不要吃得过饱。如果本月突然感到胎动不安，出现寒热往来、腹胀满、身体浮肿、惊悸、突然阴道出血、腹痛如坠胀感、手足烦痛等症状，适宜服用麦冬汤。
麦冬（二升） 人参 甘草 黄芩（各二两） 生地黄（三两） 阿胶（四两） 生姜（六两） 大枣（十五枚）
用水七升，煎煮至剩余一半药液时加入阿胶烊化，并加入酒二升，继续煎煮至三升药液，分三次服用。服药期间可进食粥食。
妊娠第七个月，胎儿开始接受木之精气以形成骨骼。孕妇应适度劳累身体、摇动四肢，不要过于安逸。通过身体的屈伸运动来运行气血。居住在干燥之处，饮食中避免寒凉之物，多吃稻米和高粱，以致密腠理（皮肤毛孔及皮下组织）。这被称为养骨而坚固牙齿。本月手太阴肺经负责滋养胎儿，不可对该经脉进行针灸治疗。该经归属于肺，主管皮毛。此时胎儿的皮毛已发育成形。孕妇不要多说话或哭泣，不要洗澡，不要穿薄衣服，不要喝冷饮。如果本月突然惊恐动摇，出现腹痛、突然阴道出血、手足厥冷、脉象微弱发凉、烦热、腹部胀满、呼吸短促、经常苦于颈项及腰背部僵硬强直等症状，适宜服用葱白汤。
葱白（长三四寸的十四根） 半夏 麦冬（各一升） 旋覆花（二合） 黄芩（一两） 人参（一两半） 甘草 蜜炙黄芪 当归（各三两） 阿胶（四两） 生姜（八两）
用水七升，煎煮至剩余一半药液时加入阿胶烊化，并加入酒三升，继续煎煮至四升药液，分四次服用。白天服三次，夜间服一次，以求出汗。如果没有汗出，增加麻黄一两，再次服用。秋季以后不要强行发汗。
妊娠第八个月，胎儿开始接受土之精气以形成皮肤和肌肉。孕妇应保持心情平和、静息，不要让气机过度耗极。这被称为致密腠理并使面色光泽。本月手阳明大肠经负责滋养胎儿，不可对该经脉进行针灸治疗。该经归属于大肠，主管九窍（眼、耳、鼻、口及前后二阴）。此时胎儿的九窍均已发育成形。不要吃燥热之物，不要大怒。如果本月感受风寒，有所触犯，导致全身疼痛，忽冷忽热，胎动不安，经常苦于头晕头痛，脐下寒冷，时时小便色白如米泔水，或青或黄，或有寒战，腰背苦冷且疼痛，视力模糊甚至失明，适宜服用芍药汤。
白芍（四两） 生姜（六两） 厚朴（二两） 甘草 当归 土炒白术 人参（各三两） 切碎的葱白（一升）
用水五升，酒四升，煎煮至三升药液，分三次服用。白天服两次，夜间服一次。
妊娠第九个月，胎儿开始接受石之精气以完善皮毛。六腑和各关节无不具备。饮用甜酒，食用甘味食物，松开腰带。这被称为滋养毛发并增强才力。本月足少阴肾经负责滋养胎儿，不可对该经脉进行针灸治疗。该经归属于肾，主管脉络连接。此时胎儿的脉络连接均已发育成形。不要处于潮湿寒冷的环境，不要穿经过火烤烫的衣服。如果本月突然患上痢疾，腹部胀满且拘急紧迫，胎气上冲心胸，腰背痛，身体不能转动，呼吸短促，适宜服用半夏汤。
半夏（三两） 大枣（二十枚） 麦冬 吴茱萸 当归 阿胶（各二两） 干姜（一两）
用水九升，煎煮至三升药液，加入蜂蜜八合，分四次服用。痢疾即可停止。
妊娠第十个月，五脏功能齐全，六腑通畅。将天地之气纳入丹田。因此使关节和神志皆已完备。只等待时辰到来而分娩。本月足太阳膀胱经负责滋养胎儿，不可对该经脉进行针灸治疗。该经归属于膀胱。适宜服用滑胎药（助产药）。从怀孕一个月到十个月，只有手少阴心经和手太阳小肠经没有专门主宰的任务，因为心为君主之官，其功能是无为而治。
受胎保护
《保产要录》说：一旦受孕后，不宜食用牛、羊、狗等肉类，以及蟹、鳖、乌鱼、无鳞鱼、胡椒、姜、蒜及辛辣之物。一旦受孕后，不可看戏及鬼怪形象。最忌讳暴怒，口中不可说出恶言，手中不可使用鞭打。因为愤怒会损伤气血，不能滋养胎儿，多有因此导致动胎者。即使侥幸不动胎，怒气进入胎中，孩子出生后多痰。也不可以登高爬梯，恐怕跌倒造成损伤。也不可以伸手高处取物，恐怕伤胎而导致子鸣腹中。子鸣也有缓解的方法，只需让孕妇鞠躬片刻即可安宁。受孕三五个月后，常要紧束身体，不要令胎气外散。或者在六七个月、七八个月时，胎儿突然乱动，两三日间，或痛或止，或有羊水流出，但腰部不很痛，脉象未离经，这叫做“弄胎”。又有临产前一个月，忽然腰痛，却不生产，这是转胎，叫做“试月”。无论有无胎水都不妨碍，只要直身坐卧行立，不可惊忧逼迫以致误事。这两种情况都不是正产，必定是因为曲身触犯所致。
沈金鳌按语：关于胎产的书籍如《达生录》、《达生编》等非常多，然而明白周详、细心切要、句句可遵而行之的，惟有《保产要录》一书最为精妙。我因此在胎前、小产、临产、产后各门类中，分别摘录其语句，使怀孕之家知道有所效法。又担心人们轻视它，特意在此标识，以使阅读者触目惊心。卷后仅书写“青溪主人识”五个字，可惜不知道他的姓名。
The Foot-Yangming Stomach Meridian nourishes the fetus. During this period, acupuncture and moxibustion should not be applied to this meridian. It belongs to the Stomach and governs the mouth and eyes. At this time, the fetus's mouth and eyes are fully formed. One should harmonize the five flavors in diet, consume sweet and delicious foods, but avoid overeating. If sudden fetal restlessness occurs in this month, accompanied by alternating chills and fever, abdominal distension and fullness, body edema, palpitations with fright, sudden vaginal discharge, abdominal pain as if falling, and vexing pain in the hands and feet, Maidong Tang (Ophiopogon Decoction) is appropriate.
Maidong (Ophiopogonis Radix, 2 sheng) Renshen (Ginseng Radix et Rhizoma), Gancao (Licorice Root), Huangqin (Scutellariae Radix) (each 2 liang), Shengdihuang (Rehmanniae Radix, 3 liang), Ejiao (Donkey-hide Gelatin, 4 liang), Shengjiang (Fresh Ginger Rhizome, 6 liang), Zao (Jujubae Fructus, 15 pieces).
Boil in 7 sheng of water until half remains, then dissolve Ejiao into the decoction, add 2 sheng of wine, and boil down to 3 sheng. Divide into three doses. Consume congee between doses.
In the seventh month of pregnancy, the fetus begins to receive the essence of Wood to form bones. The mother should engage in moderate physical exertion, shaking her limbs, and avoid excessive comfort or idleness. Perform flexion and extension movements to circulate Qi and Blood. Dwell in dry places, avoid cold foods in the diet, and consume rice and sorghum to consolidate the Couli (skin pores and interstitial spaces). This is referred to as nourishing the bones and strengthening the teeth. In this month, the Hand-Taiyin Lung Meridian nourishes the fetus; acupuncture and moxibustion should not be applied to this meridian. It belongs to the Lung and governs the skin and hair. At this time, the fetus's skin and hair are fully formed. The mother should speak little and avoid crying, refrain from bathing, wearing thin clothes, or drinking cold beverages. If sudden fright and agitation occur in this month, accompanied by abdominal pain, sudden vaginal discharge, cold extremities, a faint and cold pulse, vexing heat, abdominal fullness, shortness of breath, and frequent stiffness and rigidity of the neck and lower back, Congbai Tang (Scallion White Decoction) is appropriate.
Congbai (Scallion White, 14 stalks each 3-4 cun long) Banxia (Pinelliae Rhizoma), Maidong (Ophiopogonis Radix) (each 1 sheng), Xuanfuhua (Inulae Flos, 2 he), Huangqin (Scutellariae Radix, 1 liang), Renshen (Ginseng Radix et Rhizoma, 1.5 liang), Gancao (Licorice Root), Zhihuangqi (Honey-fried Astragali Radix), Danggui (Angelicae Sinensis Radix) (each 3 liang), Ejiao (Donkey-hide Gelatin, 4 liang), Shengjiang (Fresh Ginger Rhizome, 8 liang).
Boil in 7 sheng of water until half remains, then dissolve Ejiao into the decoction, add 3 sheng of wine, and boil down to 4 sheng. Divide into four doses. Take three times during the day and once at night, aiming to induce sweating. If no sweat occurs, add Mahuang (Ephedrae Herba, 1 liang) and take again. After autumn, do not force sweating.
In the eighth month of pregnancy, the fetus begins to receive the essence of Earth to form skin and flesh. The mother should maintain a calm mind and rest quietly, avoiding excessive strain on Qi. This consolidates the Couli and gives luster to the complexion. In this month, the Hand-Yangming Large Intestine Meridian nourishes the fetus; acupuncture and moxibustion should not be applied to this meridian. It belongs to the Large Intestine and governs the nine orifices. At this time, the fetus's nine orifices are fully formed. Avoid dry/hot foods and extreme anger. If Wind-Cold is contracted due to exposure or contact, causing generalized body pain, alternating chills and fever, fetal restlessness, frequent dizziness and headache, coldness below the umbilicus, milky white urine (or green/yellow), chills, cold and painful lower back, and blurred vision or blindness, Shaoyao Tang (Peony Decoction) is appropriate.
Baishao (White Peony Root, 4 liang), Shengjiang (Fresh Ginger Rhizome, 6 liang), Houpo (Magnoliae Officinalis Cortex, 2 liang), Gancao (Licorice Root), Danggui (Angelicae Sinensis Radix), TuBaizhu (Atractylodis Macrocephalae Rhizoma fried in soil), Renshen (Ginseng Radix et Rhizoma) (each 3 liang), Qiangbai (Cut Scallion White, 1 sheng).
Boil in 5 sheng of water and 4 sheng of wine down to 3 sheng. Divide into three doses. Take twice during the day and once at night.
In the ninth month of pregnancy, the fetus begins to receive the essence of Stone to perfect the skin and hair. The six Fu-organs and all joints are complete. Drink sweet wine, eat sweet foods, and loosen the belt. This nourishes the hair and enhances vitality. In this month, the Foot-Shaoyin Kidney Meridian nourishes the fetus; acupuncture and moxibustion should not be applied to this meridian. It belongs to the Kidney and governs the network vessels (Luo-connecting vessels). At this time, the fetus's network vessels are fully connected. Avoid damp and cold environments, and do not wear clothes that have been heated by moxa or fire. If sudden dysentery occurs in this month, with abdominal fullness and urgency, fetal Qi rushing up to the heart, lower back pain, inability to turn the body, and shortness of breath, Banxia Tang (Pinellia Decoction) is appropriate.
Banxia (Pinelliae Rhizoma, 3 liang), Dazao (Jujubae Fructus, 20 pieces), Maidong (Ophiopogonis Radix), Wuzhuyu (Evodiae Fructus), Danggui (Angelicae Sinensis Radix), Ejiao (Donkey-hide Gelatin) (each 2 liang), Ganjiang (Dried Ginger Rhizome, 1 liang).
Boil in 9 sheng of water down to 3 sheng, add 8 he of honey, and divide into four doses. Dysentery will cease.
In the tenth month of pregnancy, the five Zang-organs are complete, and the six Fu-organs are unobstructed. Heaven and Earth Qi are gathered in the Dantian. Thus, the joints and Shen (Spirit) are fully prepared. Only the timing for birth remains. In this month, the Foot-Taiyang Bladder Meridian nourishes the fetus; acupuncture and moxibustion should not be applied to this meridian. It belongs to the Bladder. It is appropriate to take Huatai Yao (Fetus-Slipping/Parturition-Assisting Medicines). From the first to the tenth month, only the Hand-Shaoyin Heart Meridian and Hand-Taiyang Small Intestine Meridian have no specific governing task, because the Heart is the Sovereign Officer and its function is non-action (Wuwei).
Protection of Conception
According to *Baochan Yaolu* (Essential Record for Protecting Childbirth): After conception, one should not consume meat from cattle, sheep, dogs, etc., nor crab, turtle, black carp, scaleless fish, pepper, ginger, garlic, or spicy foods. After conception, one should not watch plays or view ghostly images. Extreme anger must be strictly avoided; one should not speak ill words or use whips. Anger damages Qi and Blood, preventing them from nourishing the fetus, often leading to fetal disturbance. Even if the fetus is not disturbed, anger entering the fetus may cause the child to produce excessive phlegm after birth. One should not climb high or use ladders, fearing injury from falls. One should not reach for objects high up, fearing injury to the fetus which may cause the fetus to cry in the abdomen. There is a method to soothe fetal crying: simply have the mother bow for a moment, and it will settle. After three to five months of conception, the body should be tightly bound to prevent the fetus from shifting. Alternatively, in the sixth to seventh or seventh to eighth months, if the fetus suddenly moves chaotically for two to three days, with intermittent pain or relief, or with amniotic fluid leakage, but without severe lower back pain and with the pulse not having left the meridian, this is called "Nongtai" (Playing Fetus). Another case is one month before delivery, where sudden lower back pain occurs but labor does not start; this is called "Zhuan Tai" (Turning Fetus) or "Shiyue" (Testing Month). Whether amniotic fluid is present or not is not detrimental. One should sit, lie, walk, or stand upright, avoiding fear, worry, or pressure to prevent mishaps. Neither of these is true labor; they result from bending and touching improperly.
Commentary by Shen Jin'ao: There are many books on obstetrics such as *Dasheng Lu* and *Dasheng Bian*. However, among those that are clear, detailed, careful, essential, and every word actionable, *Baochan Yaolu* is the most excellent. Therefore, I have excerpted its statements for the sections on antenatal care, miscarriage, impending labor, and postpartum care, so that pregnant women know what to follow. Fearing that people might overlook it, I specifically note this here to make readers attentive. Only the five characters "Qingxi Zhuren Shi" (Recorded by Master Qingxi) appear at the end of the volume; unfortunately, his name is unknown.