一友继室夫人。身体肥盛。经候虽调。从未孕育。令仆定方而施转移化机之药。虽从古医书所未载。然可
得言也。盖山之不可葬者五。童断过石独。纵有明师。无所施其翦裁。以故女之不可孕。如方书所志生禀之
殊。非人工所能改移者。可不更论。若夫生禀不殊。但为形躯所累。而嗣孕终不乏者。古今来不知凡几。第夫妇
之愚。天然凑合之妙。虽圣神有不能传者。所以方书缺焉未备耳。仆试言之。地之体本重浓。然得天气以苞举
之。则生机不息。若重阴冱寒之区。天日之光不显。则物生实罕。人
之体中肌肉丰盛。乃血之荣旺。极为美事。但血旺易至气衰。久
而弥觉其偏也。夫气与血。两相维附。何以偏衰偏旺耶。盖气为主。则血流。血为主。则气反不流。非真气之
衰也。气不流有似于衰耳。所以一切补气之药。皆不可用。而耗气之药。反有可施。缘气得补则愈锢。不若耗
之以助其流动之势。久而久之。血仍归其统握之中耳。湖阳公主。体肥受孕。然不能产也。进诸御医商之。得
明者定一伤胎之方。服数十剂。而临产始得顺利。母子俱无灾害。盖肥满之躯。胎处其中。全无空隙。以故伤
胎之药。止能耗其外之血肉。而不能耗其内之真元也。此用药之妙也。仆仿是意而制方。预为受胎之地。夫岂
无术而杜撰乎。然而精诚之感。贯于金石。女之宜男者。先平其心。心和则气和。气和则易于流动充满也。其
次在节食。仙府清肌。恒存辟谷。宫中细腰。得之忍饥。志壹动气。何事不成耶。而且为斋心积德。以神
道之教。补药饵之不逮。有不天人叶应者乎。仆于合浦求珠。蓝田种玉之举。而乐道之。
胡卣臣先生曰。观此一论。不必问方。而已得其意之所存。破尽寻常窠臼矣。奇创奇创。
一位朋友的继室夫人，身体肥胖壮实。月经虽然规律，但从未怀孕。她让仆人制定处方，施用能够转移和化解体内气机阻滞的药物。这虽然是古代医书中未曾记载的，但其中的道理是可以阐述的。
就像山有五种不宜安葬的情况：童山（无草木）、断山（山势断裂）、过石山（岩石裸露）、独山（孤立无援）、漏风山（风口），即使有高明的风水师，也无法施展剪裁布局的手段。同理，女子因先天禀赋特殊导致的不孕，如同方书中所记载的那些非人力所能改变的情况，就不必多说了。
然而，如果先天禀赋并无异常，仅仅是因为形体肥胖阻碍了受孕，而最终能生育后代的例子，古往今来不知有多少。只是夫妇之间那种天然契合的奥妙，即使是圣人也无法完全传授，所以医书中对此记载不全。
我试着谈谈我的看法。大地的本质是厚重浓实的，但如果得到天阳之气的包裹举托，生机就会生生不息。如果是阴寒凝滞、阳光不显的地区，万物生长就很少见。人的身体中肌肉丰盛，这是血液荣旺的表现，本是极好的事。但是血旺容易导致气衰，时间久了就会觉得这种偏颇更加明显。
气和血，本来是相互依附的，为什么会一偏衰一偏旺呢？大概是因为气为主宰时，血液就能流动；如果血为主宰（即血盛而气弱），气反而不能流动。这并不是真气真的衰弱了，而是气不流动看起来像衰弱一样。所以，一切补气的药物都不可使用，反而是耗散气的药物，反而可以施用。因为气得到补益就会更加固结闭塞，不如用耗散的方法来帮助它恢复流动的趋势。久而久之，血液自然会重新回到气的统摄之中。
汉代的湖阳公主，身体肥胖却怀了孕，但却不能分娩。皇帝召进各位御医商议，得到一位明医定下的一个“伤胎”（此处指通过药物消耗多余血肉以利于生产，并非现代意义上的堕胎，而是指消除阻碍生产的病理产物）的方子。服用了数十剂药后，临产时得以顺利，母子都没有受到伤害。这是因为肥胖的身体，胎儿处在其中，周围全无空隙。所以那些能“伤胎”（消耗外周肥腻血肉）的药物，只能消耗外面的血肉，而不能消耗内部的真元。这就是用药的奥妙所在。
我模仿这个意思来制定方子，预先为受孕创造适宜的环境。这难道是毫无根据的杜撰吗？然而，精诚之心可以感动金石。女子想要宜男（容易怀孕生子），首先要平复心情。心情平和则和气生发，和气生发则易于流动充满。其次在于节制饮食。仙境中的肌肤清透，往往源于辟谷；宫中的细腰美人，得益于忍受饥饿。意志专一可以带动气机变化，有什么事情做不成呢？而且还要斋戒身心、积累功德，用神道教的教化来弥补药物治疗的不足，难道不会有天人感应的效果吗？
我对合浦寻珠、蓝田种玉这样的佳话，总是乐于谈论。
胡卣臣先生说：看这一篇论述，不必问具体的方子，就已经得到了它的意旨所在。打破了寻常的窠臼，真是奇特而创新啊，奇特而创新啊。
A friend's second wife had a robust and obese physique. Although her menstrual cycles were regular, she never conceived. She instructed her servant to obtain a prescription that would apply medicines to transform and shift the body's vital mechanisms. Although this is not recorded in ancient medical texts, the principles can be explained.
There are five types of mountains unsuitable for burial: barren hills (without vegetation), broken hills (with fissures), rocky hills (exposed stone), isolated hills (standing alone), and windy hills (exposed to drafts). Even with a master geomancer, there is no way to apply pruning and layout techniques. Similarly, infertility caused by unique congenital endowments, as recorded in medical books as being beyond human alteration, need not be discussed further.
However, if one's congenital endowment is unremarkable but conception is hindered solely by physical obesity, yet offspring are eventually born, there are countless such examples throughout history. The subtle miracle of natural union between husband and wife is something even sages cannot fully transmit, which is why medical books lack detailed records on this.
Let me attempt to explain. The earth's nature is heavy and dense, but when enveloped and lifted by heavenly Yang Qi (vital energy), life continues endlessly. In regions where Yin cold freezes and sunlight is obscured, the generation of things is rare. In the human body, abundant muscle indicates flourishing Blood (Xue), which is generally a good thing. However, excessive Blood can lead to Qi deficiency; over time, this imbalance becomes more apparent.
Qi and Blood are mutually attached. Why does one become deficient while the other becomes excessive? Generally, when Qi is dominant, Blood flows; when Blood is dominant (i.e., Blood is excessive and Qi is weak), Qi fails to flow. This is not because True Qi (Zhen Qi) is truly deficient, but because stagnant Qi resembles deficiency. Therefore, all tonifying Qi medicines should not be used. Instead, medicines that dissipate Qi may be applied. Because Qi, when tonified, becomes more entrenched and blocked; it is better to dissipate it to assist its flowing momentum. Over time, Blood will return to being controlled by Qi.
Princess Huyang of the Han Dynasty was obese yet conceived, but could not deliver. The Emperor summoned imperial physicians to consult. A wise physician prescribed a formula to "injure the fetus" (here referring to consuming excess peripheral flesh/fat to facilitate delivery, rather than modern abortion). After taking dozens of doses, delivery became smooth, and both mother and child were unharmed. This is because in an obese body, the fetus is surrounded with no space. Thus, medicines that "injure the fetus" (consume peripheral fatty tissue) only consume the outer flesh and blood, without harming the inner True Yuan (Original Essence). This is the subtlety of medication.
I imitated this idea to formulate a prescription, preparing the ground for conception in advance. Was this fabricated without basis? Sincerity can move metal and stone. For a woman to be conducive to bearing sons, she must first calm her mind. When the mind is harmonious, Harmonious Qi arises; when Harmonious Qi arises, it flows and fills easily. Secondly, one must regulate diet. Clear skin in immortal realms often comes from fasting (Bigu); slender waists in palaces result from enduring hunger. Focused intention moves Qi; what cannot be achieved? Furthermore, one should purify the heart and accumulate virtue, using spiritual teachings to supplement the limitations of herbal medicine. Would there not be a response from Heaven and Man? I always enjoy discussing tales like seeking pearls in Hepu or planting jade in Lantian.
Mr. Hu Youchen said: Reading this treatise, one need not ask for the specific formula to understand its intent. It breaks through ordinary conventions. Truly innovative, truly innovative.