合。淫火尽归其子。以酿痘疹疥癞之毒。然须妊娠禀性安静。不假强为。力遵实济。若强制以违
其性。则郁火弥炽。此与恣情无禁者。虽截然两途。而热归胎息则一。尝见有切于求嗣者。得孕
即分处房帏。而子仍殁于痘。岂非强制其火弥炽之明验乎。盖人之志欲匪一。苟未能起出寻常。
又须曲体母情。适其自然之性。使子气安和。是即所谓胎教也。当知胎教原非一端。若怀子受惊。
则子多胎惊。怀子抱郁。则子多结核流注。怀子恐惧。则子多癫痫。怀子常起贪妄之念。则子多
贪吝。怀子常挟愤怒之心。则子多暴狠。怀子常造绮语诡行。则子多诈伪。非但怀子之后。当检
束身心。而轻净交感。慎毋恣肆。以遗胎息之患。若大醉后媾精。精中多着酒湿。则子多不育。
大怒后媾精。精中多挟怒火。即子多乖戾。大劳后媾精。精中不满真气。则子多孱弱。若夫热药
助战。作意秘精。精中流行毒悍。则子多异疾。至于风雨雷电媾精。感触震气。则子多怪类。以
此言之。则三元五腊。宜确遵禁戒。诞育自是不凡。宗祧重务。安得视为嬉戏哉。
（脉辨 验胎 养胎 恶阻 胎动 漏胎下血 惊胎僵仆 胎上逼 安胎 半产 胎不长养
过期不产 咳嗽 子烦 类中风 伤风 伤寒 疟 痢 子淋 遗尿 诸血 吐衄 诸痛 子肿
不语 谵语 子悬 子痫 乳泣腹啼 鬼胎 下私胎法 断子法）
经云。何以知怀子之且生。身有病而无邪脉也。人有重身。九月而喑。此胞络之脉绝也。胞络者。
系于肾。少阴之脉贯肾。系舌本。故不能言。无治也。当十月复。妇人重身。毒之何如。曰。有
故无殒。亦无殒也。
言有是病而用是药。药虽峻克。可无伤于胎息也。
金匮云。师曰。妇人得平脉。阴脉小弱。其人渴。不能食。无寒热。名妊娠。桂枝汤主之。
于法。六十日当有此证。设有医治逆者。却一月。加吐下者。则绝之。
平脉者。言其无病之脉也。惟阴脉小弱。以其营气不足耳。凡感邪而营气不足者。则必恶寒
发热。今无寒热。妨于食。是知妊娠矣。妊娠血聚气搏。经水不行。至六十日始凝成胎。斯时营
气并于胎元。而胃气不足。津液少布。故其人渴不能食。宜桂枝汤和营益胃。设有医以他治。反
加吐下者。此为恶阻。则绝之。谓绝止医治。候其自安。不可用药更伤其胃气也。楼全善云。尝
治一妇恶阻病吐。愈治愈逆。因思仲景绝之之旨。遂停药月余自安。
妇人宿有 病。经断未及三月。而得漏下不止。胎动在脐上者。为 痼害。妊娠六月动者。
前三月经水利时。胎也。下血者。后断三月 也。所以血不止者。其 不去故也。当下其 。桂
心茯苓丸主之。宿有 痼。谓妇人行经时遇冷。则余血留而为 。然 病妇人恒有之。或不碍子
宫。则仍行经而受孕。虽得血聚成胎。胎成三月而经始断。断未三月而 病复动。遂漏下不止。
在下。迫其胎。故曰 痼害。胎以脐上升动不安。洵为真胎无疑。若是鬼胎。即属阴气结聚。
断无动于阳位之理。今动在于脐上。是胎已六月。知前三月经水虽利。而胎已成。后三月经断。
而血积成 。是以血下不止。故用桂心、茯苓、丹皮、桃仁以散其 。芍药以护其营。则血方
止而胎得安。世本作桂枝茯苓丸。乃传写之误。详桂枝气味俱薄。仅堪走表。必取肉桂之心。方
有去。 之功。安常所谓桂不伤胎。勿疑有碍于妊。观下条子脏开用附子汤。转胞用肾气丸。俱
用桂、附。内经所谓有故无殒是也。妇人怀妊六七月。脉弦发热。其胎愈胀。腹痛恶寒者。少腹
如扇。所以然者。子脏开故也。当以附子汤温其脏。妊娠脉弦为虚寒。虚阳散外。故发热。阴寒
内逆。故胎胀。腹痛恶寒者。其内无阳。子脏不能司闭藏之令。故阴中觉寒气习习如扇也。用附
子汤以温其脏。则胎自安。世人皆以附子为堕胎百药长。仲景独用以为安胎圣药。非神而明之。
莫敢轻试也。
师曰。妇人有漏下者。有半产后。因续下血。都不绝者。有妊娠下血者。假令妊娠腹中痛。
为胞阻。胶艾汤主之。行经与结胎。皆属冲任。冲任虽持乎阴阳交合。为肝肾之用事。然长养成
胎。皆坤土所资。盖阴阳抱负则不泄。坤土堤防则不漏。若宿有瘀浊客于冲任。则阴自结。不得
与阳交合。故有时漏下半产不绝也。凡妊娠胎气。阳精内成。阴血外养。今阴血自结。与胎阻隔。
不得相和。独阴在内。作腹中痛下血。皆阴阳失于抱负。坤土失于堤防。此方皆治之。芎、归宣
通其阳血。芍、地宣通其阴血。阿胶血肉之质。同类者以养之。甘草缓中解急。此方调经止漏。
安胎养血。然加减又必从宜。若脉迟缓。阴胜于阳。则加干姜。或见数大。阳胜于阴。则加黄芩。
可不言而喻矣。妇人怀娠。腹中 痛。当归芍药散主之。
此与胞阻痛者不同。因脾土为木邪所克。谷气不举。湿淫下流以滞阴血而痛。故君以芍药。
泻肝利滞。佐以芎、归补血止痛。苓、泽渗湿益脾。则知内外六淫。皆能伤胎成痛。不独湿也。
妊娠呕吐不止。干姜人参半夏丸主之。
此即后世所谓恶阻病也。先因脾胃虚弱。津液留停蓄为痰饮。至妊二月之后。浊阴上冲。中
焦不胜其逆。痰饮遂涌。中寒乃起。故用干姜止寒。人参补虚。半夏、生姜治痰散逆也。
妊娠小便难。饮食如故。当归贝母苦参丸主之。
此小便难者。膀胱热郁。气结成燥。病在下焦。所以饮食如故。用当归以和血润燥。贝母以
清肺开郁。苦参以利窍逐水。并入膀胱以除热结也。
妊娠有水气。身重。小便不利。洒淅恶寒。起即头眩。葵子茯苓散主之。小便利则愈。
膀胱者内为胞室。主藏津液。气化出溺。外利经脉。上行至头。为诸阳之表。今膀胱气不化。
水溺不得出外。不利经脉。所以身重洒淅恶寒。起即头眩。但利小便。则水去。而经气行。表病
自愈。用葵子直入膀胱。以利癃闭。佐茯苓以渗火道也。
妇人妊娠。宜常服当归散主之。常服即易产。胎无疾苦。产后百病悉主之。
内经曰。阴搏阳别。谓之有子。尺脉搏击者。由子宫之气血相搏。而形于脉也。故妊娠之血。
不可以静。静则凝泣。亏少则虚。皆不能与化胎之火相合。要其胎孕生化。必先和其阴阳。利其
气血。常服养胎之药。非惟安胎易产。且免胎后诸患。芎、归、芍药之安胎补血。白术之补胃养
胎。其胎外之血。因寒湿滞者皆解之。黄芩化壮火而生气。故为常服之剂。然当以脉证虚实加减。
有病则服。否则不必也。
妊娠养胎。白术散主之。但苦痛。加芍药。心下毒痛。倍加芎 。心烦吐痛。不能食饮。加细辛
一两。半夏大者二十枚。服之后。更以醋浆水服之。若呕。以醋浆水服之。复不解者。小麦汁服
之。以后渴者。大麦粥服之。病虽愈。服之勿置。
本方四味。本草皆谓能去恶血。而养胎用之何也。盖血聚而后成胎。少遇邪。则所聚之血。
将宿而不运。反类恶血。必开陈。然后胎可安也。养胎不惟在血。而胎系于肾。养之又在于胃。
所以补肾调胃。以固精和中。用白术调胃。秦椒开痹。痹开则阳精至。牡蛎治崩。崩止则阴精固。
川芎下入血海。运动胎血。破旧生新。或阴血不利。肝木为害。在内抑屈而痛者。泻以芍药之酸
寒以通其阴。设直冲过而痛者。散以芎 之辛温以通其阳。或挟瘀恶之气。上逆于胃。而胃中吐
烦不能食者。用细辛温中去痰下气。半夏治心下急痛。和胃进食。止吐逆。若呕而不止者。由肝
木妄动。用小麦饮养其本气以安之。大麦主消渴益气调中。故中气不足而渴者用之。
问曰。妇人病。饮食如故。烦热不得卧。而反倚息者。何也。师曰。此名转胞。不得溺也。
以胞系了戾。故致此病。但利小便则愈。宜肾气丸主之。
此方在虚劳中。治腰痛小腹拘急。小便不利。此治肾虚转胞不得溺。皆用此利小便也。转胞
之病。为胞居膀胱之室内。因下焦气衰。水湿在中。不得气化而出。遂致鼓急其胞。因转筋不止。
了戾其溺之系。水既不出。经气遂逆。上冲于肺。故烦热不得卧而倚息也。用此补肾。则气化
水行。湿去而胞不转。胎自安矣。虽然。转胞之病。岂尽由下焦肾虚所致耶。或中焦气虚。土湿
下干害其胞。与上焦肺气壅塞。不化于下焦。或胎重压其胞。或忍溺入房者。皆足以成此病。必
各求其所因以治之。
脉辨 妇人经水二三月不来。诊其脉微滑而数。略无间断于其间。虽身有病而无邪脉。不涩
不伏。不弦劲。即胎脉也。辨男女法。古人咸以左大为男。右大为女。然多有素禀偏大偏小者。
惟寸口滑实为男。尺中滑实为女。最为要诀。如两寸俱滑实为双男。两尺俱滑实为二女。尺右左
寸俱滑实为一男一女。此屡验者。若脉沉细。腹重而不时微痛。虽有形如抱瓮状。满腹不动。但
当脐下翕翕动。按之冰冷。又两尺乍大乍小。乍有乍无。或浮或沉。或动或止。早暮不同者。乃
鬼胎也。须连视三四日乃见。宜补气活血。若脉来急如风雨。少停复来如初者。夜叉胎也。亦有
关部微似雀啄之形者。又有大小不匀。而指下弦劲不和者。皆夜叉之兆也。若脉来沉细。腰腹痛。
胎伏不动。或反觉上抢心闷绝。按之冰冷。即非好胎。更察舌纹青色。此胎已死也。若并唇亦青。
连母都不可救。但伏而不动者。亦有好胎。宜服顺气和血之药。
验胎 妇人经候不行已三月。欲验有胎否。生川芎二钱为末。空心浓煎。艾汤调下。腹内微
动则胎也。
养胎 妇人受孕一月。足厥阴脉养。其阴阳新合。名曰始胚。大集经云。胎成七日。初不增
减。二七日如薄酪。三七日如生酪。四七日如熟酪是也。二月足少阳脉养。阴阳居经。名曰始膏。
经霜五七日如生酥。六七日如息肉。七七日如段肉。八七日其坚如坏是也。三月手心主脉养。初
有定形。名曰始胞。经调九七日变五泡。两肘两髀及头。十七日续生五泡。两手腕两足及颈。十
一七日复生二十六泡。十手指。十足指。及眼耳口鼻。十二七日泡相成就是也。四月手少阳脉养。
始受水精以成血脉。而形体成。经谓十三七日现腹相。十四七日生五脏。十五七日生大肠。十六
七日生小肠是也。五月足太阴脉养。始受火精以成其气。而肢节充。经谓十七七日有脾处。十八
七日生三脘。十九七日
生手掌足趺臂节。二十七日生阴脐颐乳是也。六月足阳明脉养。始受金精以成其筋。而骨干立。
经谓二十一七日有三百柔软骨。如初生瓠。二十二七日如未熟瓠。二十三七日坚如胡桃。二十四七
日生一百筋是也。七月手太阴脉养。始受木精以成其骨。而毛发生。经谓二十五七日生七千脉。
尚未具成。二十六七日成如藕丝。二十七七日有三百六十三筋。二十八七日始生肌肤是也。八月
手阳明脉养。始受土精以成肤革。而脏腑具。经谓二十九七日肌肤稍浓。三十七日方有皮像。三
十一七日皮转浓坚。三十二七日皮革转成是也。九月足少阴脉养。始受石精以成皮毛。而谷气入
胃。石禀五气之余。脏腑百骸俱实。故谓之石。经谓三十三七日耳鼻唇指膝节成。三十四七日生
九十九万毛发孔。犹尚未成。三十五七日毛孔具足。三十六七日爪甲成就是也。十月五脏俱备。六
腑齐通。纳天地之气于丹田。经谓三十七七日母腹中有风起。通其七窍。三十八七日随其宿世善
恶。分香臭二种风。以定容貌骨节贵贱。右千金述徐之才养胎法。与大集经吻合。求其细。则受
胎在母腹。七日一变。展转相成。然多有不足月产。而能长育长年者。此各经荣养与七日之变。皆
不及期。而养胎之气仍周遍也。若经脉荣养未周。总属半产。非正产也。
恶阻 经候不行两三月。精神如故。喜酸恶食。或嗜一物。或大吐。或时吐痰与清水。肢体
沉重。头目昏眩。此名恶阻。不可作病治。四君子加乌药、香附、橘皮。咳而渴者。加橘红、五
味、生姜。若胸中愦闷。四肢沉重。怠惰不能转舒。恶闻食气。喜咸酸。胎动不安。呕逆不食者。
理中汤加茯苓、木香、半夏。若中脘停痰。二陈加枳壳。若饮食停滞。香砂六君子加枳壳。若脾
胃虚弱。异功散。兼气恼。加枳壳、砂仁。若饮食少思。六君子加紫苏、桔梗。头晕体倦。六君
子汤。若呕吐不食。倍苓、半。盖半夏乃健脾气化痰湿之主药也。今人以半夏有动胎之性。鲜有
用之者。以胎初结。虑其辛散也。楼全
善云。余治妊娠阻病。累用半夏。未尝动胎也。千金用半夏茯苓汤二剂。次用茯苓丸。怀妊爱酸。
乃肝脏之虚。不能荣养其肝。肝虚故爱酸物。戴氏云。恶阻者。谓妇人有妊恶心。阻其饮食也。
肥者有痰。二陈加枳、术。瘦者有火。异功加芩、连。
胎动 怀胎数动。此胎气热。所以逆上而作喘急也。急用条芩、香附、白术之类。腹中满痛
叉心。不得饮食。千金用黄芩、白术、芍药煎服。令微下水则易生。月饮一剂为善。因恼怒而胎
合。淫火尽归其子。以酿痘疹疥癞之毒。然须妊娠禀性安静。不假强为。力遵实济。若强制以违 其性。则郁火弥炽。此与恣情无禁者。虽截然两途。而热归胎息则一。尝见有切于求嗣者。得孕 即分处房帏。而子仍殁于痘。岂非强制其火弥炽之明验乎。盖人之志欲匪一。苟未能起出寻常。 又须曲体母情。适其自然之性。使子气安和。是即所谓胎教也。当知胎教原非一端。若怀子受惊。 则子多胎惊。怀子抱郁。则子多结核流注。怀子恐惧。则子多癫痫。怀子常起贪妄之念。则子多 贪吝。怀子常挟愤怒之心。则子多暴狠。怀子常造绮语诡行。则子多诈伪。非但怀子之后。当检 束身心。而轻净交感。慎毋恣肆。以遗胎息之患。若大醉后媾精。精中多着酒湿。则子多不育。 大怒后媾精。精中多挟怒火。即子多乖戾。大劳后媾精。精中不满真气。则子多孱弱。若夫热药 助战。作意秘精。精中流行毒悍。则子多异疾。至于风雨雷电媾精。感触震气。则子多怪类。以 此言之。则三元五腊。宜确遵禁戒。诞育自是不凡。宗祧重务。安得视为嬉戏哉。
（脉辨 验胎 养胎 恶阻 胎动 漏胎下血 惊胎僵仆 胎上逼 安胎 半产 胎不长养 过期不产 咳嗽 子烦 类中风 伤风 伤寒 疟 痢 子淋 遗尿 诸血 吐衄 诸痛 子肿 不语 谵语 子悬 子痫 乳泣腹啼 鬼胎 下私胎法 断子法）
经云。何以知怀子之且生。身有病而无邪脉也。人有重身。九月而喑。此胞络之脉绝也。胞络者。 系于肾。少阴之脉贯肾。系舌本。故不能言。无治也。当十月复。妇人重身。毒之何如。曰。有 故无殒。亦无殒也。
言有是病而用是药。药虽峻克。可无伤于胎息也。
金匮云。师曰。妇人得平脉。阴脉小弱。其人渴。不能食。无寒热。名妊娠。桂枝汤主之。 于法。六十日当有此证。设有医治逆者。却一月。加吐下者。则绝之。
平脉者。言其无病之脉也。惟阴脉小弱。以其营气不足耳。凡感邪而营气不足者。则必恶寒 发热。今无寒热。妨于食。是知妊娠矣。妊娠血聚气搏。经水不行。至六十日始凝成胎。斯时营 气并于胎元。而胃气不足。津液少布。故其人渴不能食。宜桂枝汤和营益胃。设有医以他治。反 加吐下者。此为恶阻。则绝之。谓绝止医治。候其自安。不可用药更伤其胃气也。楼全善云。尝 治一妇恶阻病吐。愈治愈逆。因思仲景绝之之旨。遂停药月余自安。
妇人宿有 病。经断未及三月。而得漏下不止。胎动在脐上者。为 痼害。妊娠六月动者。 前三月经水利时。胎也。下血者。后断三月 也。所以血不止者。其 不去故也。当下其 。桂 心茯苓丸主之。宿有 痼。谓妇人行经时遇冷。则余血留而为 。然 病妇人恒有之。或不碍子 宫。则仍行经而受孕。虽得血聚成胎。胎成三月而经始断。断未三月而 病复动。遂漏下不止。 在下。迫其胎。故曰 痼害。胎以脐上升动不安。洵为真胎无疑。若是鬼胎。即属阴气结聚。 断无动于阳位之理。今动在于脐上。是胎已六月。知前三月经水虽利。而胎已成。后三月经断。 而血积成 。是以血下不止。故用桂心、茯苓、丹皮、桃仁以散其 。芍药以护其营。则血方 止而胎得安。世本作桂枝茯苓丸。乃传写之误。详桂枝气味俱薄。仅堪走表。必取肉桂之心。方 有去 。 之功。安常所谓桂不伤胎。勿疑有碍于妊。观下条子脏开用附子汤。转胞用肾气丸。俱 用桂、附。内经所谓有故无殒是也。妇人怀妊六七月。脉弦发热。其胎愈胀。腹痛恶寒者。少腹 如扇。所以然者。子脏开故也。当以附子汤温其脏。妊娠脉弦为虚寒。虚阳散外。故发热。阴寒 内逆。故胎胀。腹痛恶寒者。其内无阳。子脏不能司闭藏之令。故阴中觉寒气习习如扇也。用附 子汤以温其脏。则胎自安。世人皆以附子为堕胎百药长。仲景独用以为安胎圣药。非神而明之。 莫敢轻试也。
师曰。妇人有漏下者。有半产后。因续下血。都不绝者。有妊娠下血者。假令妊娠腹中痛。 为胞阻。胶艾汤主之。行经与结胎。皆属冲任。冲任虽持乎阴阳交合。为肝肾之用事。然长养成 胎。皆坤土所资。盖阴阳抱负则不泄。坤土堤防则不漏。若宿有瘀浊客于冲任。则阴自结。不得 与阳交合。故有时漏下半产不绝也。凡妊娠胎气。阳精内成。阴血外养。今阴血自结。与胎阻隔。 不得相和。独阴在内。作腹中痛下血。皆阴阳失于抱负。坤土失于堤防。此方皆治之。芎、归宣 通其阳血。芍、地宣通其阴血。阿胶血肉之质。同类者以养之。甘草缓中解急。此方调经止漏。 安胎养血。然加减又必从宜。若脉迟缓。阴胜于阳。则加干姜。或见数大。阳胜于阴。则加黄芩。 可不言而喻矣。妇人怀娠。腹中 痛。当归芍药散主之。
此与胞阻痛者不同。因脾土为木邪所克。谷气不举。湿淫下流以滞阴血而痛。故君以芍药。 泻肝利滞。佐以芎、归补血止痛。苓、泽渗湿益脾。则知内外六淫。皆能伤胎成痛。不独湿也。
妊娠呕吐不止。干姜人参半夏丸主之。
此即后世所谓恶阻病也。先因脾胃虚弱。津液留停蓄为痰饮。至妊二月之后。浊阴上冲。中 焦不胜其逆。痰饮遂涌。中寒乃起。故用干姜止寒。人参补虚。半夏、生姜治痰散逆也。
妊娠小便难。饮食如故。当归贝母苦参丸主之。
此小便难者。膀胱热郁。气结成燥。病在下焦。所以饮食如故。用当归以和血润燥。贝母以 清肺开郁。苦参以利窍逐水。并入膀胱以除热结也。
妊娠有水气。身重。小便不利。洒淅恶寒。起即头眩。葵子茯苓散主之。小便利则愈。
膀胱者内为胞室。主藏津液。气化出溺。外利经脉。上行至头。为诸阳之表。今膀胱气不化。 水溺不得出外。不利经脉。所以身重洒淅恶寒。起即头眩。但利小便。则水去。而经气行。表病 自愈。用葵子直入膀胱。以利癃闭。佐茯苓以渗火道也。
妇人妊娠。宜常服当归散主之。常服即易产。胎无疾苦。产后百病悉主之。
内经曰。阴搏阳别。谓之有子。尺脉搏击者。由子宫之气血相搏。而形于脉也。故妊娠之血。 不可以静。静则凝泣。亏少则虚。皆不能与化胎之火相合。要其胎孕生化。必先和其阴阳。利其 气血。常服养胎之药。非惟安胎易产。且免胎后诸患。芎、归、芍药之安胎补血。白术之补胃养 胎。其胎外之血。因寒湿滞者皆解之。黄芩化壮火而生气。故为常服之剂。然当以脉证虚实加减。 有病则服。否则不必也。
妊娠养胎。白术散主之。但苦痛。加芍药。心下毒痛。倍加芎 。心烦吐痛。不能食饮。加细辛 一两。半夏大者二十枚。服之后。更以醋浆水服之。若呕。以醋浆水服之。复不解者。小麦汁服 之。以后渴者。大麦粥服之。病虽愈。服之勿置。
本方四味。本草皆谓能去恶血。而养胎用之何也。盖血聚而后成胎。少遇邪。则所聚之血。 将宿而不运。反类恶血。必开陈。然后胎可安也。养胎不惟在血。而胎系于肾。养之又在于胃。 所以补肾调胃。以固精和中。用白术调胃。秦椒开痹。痹开则阳精至。牡蛎治崩。崩止则阴精固。 川芎下入血海。运动胎血。破旧生新。或阴血不利。肝木为害。在内抑屈而痛者。泻以芍药之酸 寒以通其阴。设直冲过而痛者。散以芎 之辛温以通其阳。或挟瘀恶之气。上逆于胃。而胃中吐 烦不能食者。用细辛温中去痰下气。半夏治心下急痛。和胃进食。止吐逆。若呕而不止者。由肝 木妄动。用小麦饮养其本气以安之。大麦主消渴益气调中。故中气不足而渴者用之。
问曰。妇人病。饮食如故。烦热不得卧。而反倚息者。何也。师曰。此名转胞。不得溺也。 以胞系了戾。故致此病。但利小便则愈。宜肾气丸主之。
此方在虚劳中。治腰痛小腹拘急。小便不利。此治肾虚转胞不得溺。皆用此利小便也。转胞 之病。为胞居膀胱之室内。因下焦气衰。水湿在中。不得气化而出。遂致鼓急其胞。因转筋不止。 了戾其溺之系。水既不出。经气遂逆。上冲于肺。故烦热不得卧而倚息也。用此补肾。则气化 水行。湿去而胞不转。胎自安矣。虽然。转胞之病。岂尽由下焦肾虚所致耶。或中焦气虚。土湿 下干害其胞。与上焦肺气壅塞。不化于下焦。或胎重压其胞。或忍溺入房者。皆足以成此病。必 各求其所因以治之。
脉辨 妇人经水二三月不来。诊其脉微滑而数。略无间断于其间。虽身有病而无邪脉。不涩 不伏。不弦劲。即胎脉也。辨男女法。古人咸以左大为男。右大为女。然多有素禀偏大偏小者。 惟寸口滑实为男。尺中滑实为女。最为要诀。如两寸俱滑实为双男。两尺俱滑实为二女。尺右左 寸俱滑实为一男一女。此屡验者。若脉沉细。腹重而不时微痛。虽有形如抱瓮状。满腹不动。但 当脐下翕翕动。按之冰冷。又两尺乍大乍小。乍有乍无。或浮或沉。或动或止。早暮不同者。乃 鬼胎也。须连视三四日乃见。宜补气活血。若脉来急如风雨。少停复来如初者。夜叉胎也。亦有 关部微似雀啄之形者。又有大小不匀。而指下弦劲不和者。皆夜叉之兆也。若脉来沉细。腰腹痛。 胎伏不动。或反觉上抢心闷绝。按之冰冷。即非好胎。更察舌纹青色。此胎已死也。若并唇亦青。 连母都不可救。但伏而不动者。亦有好胎。宜服顺气和血之药。
验胎 妇人经候不行已三月。欲验有胎否。生川芎二钱为末。空心浓煎。艾汤调下。腹内微 动则胎也。
养胎 妇人受孕一月。足厥阴脉养。其阴阳新合。名曰始胚。大集经云。胎成七日。初不增 减。二七日如薄酪。三七日如生酪。四七日如熟酪是也。二月足少阳脉养。阴阳居经。名曰始膏。 经霜五七日如生酥。六七日如息肉。七七日如段肉。八七日其坚如坏是也。三月手心主脉养。初 有定形。名曰始胞。经调九七日变五泡。两肘两髀及头。十七日续生五泡。两手腕两足及颈。十 一七日复生二十六泡。十手指。十足指。及眼耳口鼻。十二七日泡相成就是也。四月手少阳脉养。 始受水精以成血脉。而形体成。经谓十三七日现腹相。十四七日生五脏。十五七日生大肠。十六 七日生小肠是也。五月足太阴脉养。始受火精以成其气。而肢节充。经谓十七七日有脾处。十八 七日生三脘。十九七日 生手掌足趺臂节。二十七日生阴脐颐乳是也。六月足阳明脉养。始受金精以成其筋。而骨干立。 经谓二十一七日有三百柔软骨。如初生瓠。二十二七日如未熟瓠。二十三七日坚如胡桃。二十四七 日生一百筋是也。七月手太阴脉养。始受木精以成其骨。而毛发生。经谓二十五七日生七千脉。 尚未具成。二十六七日成如藕丝。二十七七日有三百六十三筋。二十八七日始生肌肤是也。八月 手阳明脉养。始受土精以成肤革。而脏腑具。经谓二十九七日肌肤稍浓。三十七日方有皮像。三 十一七日皮转浓坚。三十二七日皮革转成是也。九月足少阴脉养。始受石精以成皮毛。而谷气入 胃。石禀五气之余。脏腑百骸俱实。故谓之石。经谓三十三七日耳鼻唇指膝节成。三十四七日生 九十九万毛发孔。犹尚未成。三十五七日毛孔具足。三十六七日爪甲成就是也。十月五脏俱备。六 腑齐通。纳天地之气于丹田。经谓三十七七日母腹中有风起。通其七窍。三十八七日随其宿世善 恶。分香臭二种风。以定容貌骨节贵贱。右千金述徐之才养胎法。与大集经吻合。求其细。则受 胎在母腹。七日一变。展转相成。然多有不足月产。而能长育长年者。此各经荣养与七日之变。皆 不及期。而养胎之气仍周遍也。若经脉荣养未周。总属半产。非正产也。
恶阻 经候不行两三月。精神如故。喜酸恶食。或嗜一物。或大吐。或时吐痰与清水。肢体 沉重。头目昏眩。此名恶阻。不可作病治。四君子加乌药、香附、橘皮。咳而渴者。加橘红、五 味、生姜。若胸中愦闷。四肢沉重。怠惰不能转舒。恶闻食气。喜咸酸。胎动不安。呕逆不食者。 理中汤加茯苓、木香、半夏。若中脘停痰。二陈加枳壳。若饮食停滞。香砂六君子加枳壳。若脾 胃虚弱。异功散。兼气恼。加枳壳、砂仁。若饮食少思。六君子加紫苏、桔梗。头晕体倦。六君 子汤。若呕吐不食。倍苓、半。盖半夏乃健脾气化痰湿之主药也。今人以半夏有动胎之性。鲜有 用之者。以胎初结。虑其辛散也。楼全 善云。余治妊娠阻病。累用半夏。未尝动胎也。千金用半夏茯苓汤二剂。次用茯苓丸。怀妊爱酸。 乃肝脏之虚。不能荣养其肝。肝虚故爱酸物。戴氏云。恶阻者。谓妇人有妊恶心。阻其饮食也。 肥者有痰。二陈加枳、术。瘦者有火。异功加芩、连。
胎动 怀胎数动。此胎气热。所以逆上而作喘急也。急用条芩、香附、白术之类。腹中满痛 叉心。不得饮食。千金用黄芩、白术、芍药煎服。令微下水则易生。月饮一剂为善。因恼怒而胎
Together. The excessive fire all returns to the child, thereby brewing the toxicity of smallpox, measles, scabies, and leprosy. However, it is necessary that the pregnant woman's constitution be tranquil, without forced intervention, but rather following practical assistance. If one forces compliance against her nature, then the stagnant fire will become even more intense. This, although on a completely different path from indulging desires without restraint, results in heat returning to the fetal breath in the same way. I have seen those eager for offspring who, upon becoming pregnant, immediately separate into different chambers, yet the child still dies of smallpox. Is this not clear evidence that forcing the fire makes it more intense? Human desires are manifold. If one cannot rise above the ordinary, one must also carefully understand the mother's feelings, adapting to her natural nature, so that the child's qi is peaceful and harmonious. This is what is called prenatal education (Taijiao). One should know that prenatal education is not limited to one aspect. If the mother is startled while carrying a child, the child often suffers from fetal fright (Taijing). If the mother harbors depression, the child often suffers from tubercles and flowing deposits (Jiehe Liuzhu). If the mother is fearful, the child often suffers from epilepsy (Dianxian). If the mother frequently entertains greedy and delusional thoughts, the child often becomes greedy and stingy. If the mother often harbors anger, the child often becomes violent and fierce. If the mother often engages in frivolous speech and deceitful behavior, the child often becomes deceptive and false. Not only after conception should one restrain body and mind, but also during intercourse, one must keep it light and pure, and surely avoid excess, so as not to leave troubles for the fetal breath. If conception occurs after heavy drunkenness, the sperm will carry much alcohol-dampness, and the child will often be infertile. If conception occurs after great anger, the sperm will carry much angry fire, and the child will often be perverse. If conception occurs after great fatigue, the sperm will lack true qi, and the child will often be weak. If hot medicines are used to aid sexual intercourse, or if one intentionally retains essence, the essence will circulate with toxic and fierce qualities, and the child will often suffer from strange diseases. As for conception during wind, rain, thunder, or lightning, being affected by shock qi, the child will often be of a strange kind. Speaking thus, during the Three Yuan and Five La festivals, one should strictly observe prohibitions. Birth and rearing will naturally be extraordinary. How can the important matter of continuing the family line be regarded as play?
(Pulse Differentiation, Fetal Verification, Nourishing the Fetus, Morning Sickness, Fetal Movement, Bleeding from Miscarriage, Fetal Startle and Falling, Fetal Pressure Upward, Calming the Fetus, Premature Birth, Fetal Failure to Grow, Post-term Non-delivery, Cough, Fetal Irritability, Stroke-like Syndrome, Wind-cold, Cold Damage, Malaria, Dysentery, Fetal Strangury, Enuresis, Various Bleedings, Vomiting Blood and Epistaxis, Various Pains, Fetal Edema, Mutism, Delirium, Fetal Suspension, Fetal Convulsions, Milky Discharge and Fetal Crying, Ghost Fetus, Methods for Private Abortion, Methods for Sterilization)
The Classic says: "How do we know that a woman is about to give birth? She has symptoms of illness but no abnormal pulse." A woman with a double body (pregnant) becomes mute at nine months. This is because the pulse of the uterus-lining (Baoluo) is cut off. The uterus-lining is connected to the Kidney. The Shaoyin pulse passes through the Kidney and connects to the root of the tongue; therefore, she cannot speak. No treatment is needed. It will recover when the tenth month arrives. For a pregnant woman, how should toxic drugs be used? It is said: "If there is a disease (pathogen), there will be no injury [to the fetus], nor will there be injury [to the mother]."
This means that if there is such a disease, use such medicine. Although the drug is harsh and attacking, it can harm neither the fetal breath.
The *Jingui Yaolue* says: The Master said, "When a woman has a normal pulse, but the Yin pulse is slightly weak, and she is thirsty, unable to eat, without chills or fever, this is named pregnancy. Guizhi Tang (Cinnamon Twig Decoction) should be used." According to the method, these symptoms should appear around the sixtieth day. If a physician treats it incorrectly, causing vomiting and purgation a month earlier, then stop the treatment.
"Normal pulse" refers to a pulse indicating no disease. Only the Yin pulse is slightly weak due to insufficient Ying Qi (Nutritive Qi). Generally, when contracting pathogens with insufficient Ying Qi, there must be chills and fever. Now, with no chills or fever, but difficulty eating, we know it is pregnancy. During pregnancy, blood gathers and qi contends, menstruation stops, and by the sixtieth day, the fetus begins to form. At this time, Ying Qi merges with the fetal origin, while Stomach qi is insufficient, and fluids are sparingly distributed. Therefore, she is thirsty and unable to eat. Guizhi Tang (Cinnamon Twig Decoction) should be used to harmonize Ying and benefit the Stomach. If a physician treats it otherwise, causing vomiting and purgation, this is Morning Sickness (Ezu). Then stop the treatment, meaning cease medical intervention and wait for her to settle naturally. Do not use drugs to further injure her Stomach qi. Lou Quanshan said: "I once treated a woman with morning sickness and vomiting. The more I treated, the worse it became. Reflecting on Zhongjing's principle of 'stopping treatment,' I stopped medication for over a month, and she recovered spontaneously."
If a woman has an existing mass (Ji Ju) disease, and menstruation has stopped for less than three months, yet she experiences continuous bleeding, and fetal movement is felt above the navel, this is a chronic affliction harming the fetus. If fetal movement occurs at six months of pregnancy, and menstruation was regular for the first three months, it is a true fetus. If bleeding occurs after menstruation stops for three months, it is due to the mass. The reason the bleeding does not stop is that the mass has not been removed. The mass should be purged. Guixin Fuling Wan (Cinnamon Heart and Poria Pill) should be used. "Existing chronic mass" means that when a woman menstruates and encounters cold, residual blood remains and forms a mass. However, women with masses often have them; if they do not obstruct the uterus, menstruation continues and conception occurs. Even though blood gathers to form a fetus, menstruation stops only after three months. Before three months pass, the mass disease moves again, leading to continuous bleeding. The mass is below, pressing on the fetus, hence called a chronic affliction harming the fetus. The fetus moves upward above the navel, unsettled. This is undoubtedly a true fetus. If it were a ghost fetus, it would belong to yin qi aggregation and would never move in a yang position. Now it moves above the navel, indicating the fetus is already six months old. We know that although menstruation was regular for the first three months, the fetus had formed. After three months, menstruation stopped, and blood accumulated to form the mass. Therefore, blood flows down continuously. Thus, Guixin (Cinnamon Heart), Fuling (Poria), Danpi (Moutan Cortex), and Taoren (Peach Seed) are used to dissipate the mass. Shaoyao (Peony Root) protects the Ying. Then the bleeding stops and the fetus is calmed. World editions make it Guizhi Fuling Wan (Cinnamon Twig and Poria Pill), which is a transcription error. Detailed analysis shows Guizhi (Cinnamon Twig) has thin flavor and aroma, suitable only for releasing the exterior. One must take the heart of Rougui (Cinnamon Bark) to have the function of removing masses. An Chang said, "Cinnamon does not harm the fetus," do not doubt it hinders pregnancy. Observe the next section: for opening of the uterus, Fuzi Tang (Aconite Decoction) is used; for inverted bladder, Shenqi Wan (Kidney Qi Pill) is used. Both use Guizhi and Fuzi. This is what the *Neijing* calls "If there is a disease, there will be no injury." When a woman is pregnant for six or seven months, the pulse is wiry, she has fever, the fetus swells more, abdominal pain, aversion to cold, and the lower abdomen feels like a fan blowing. The reason is that the uterus is open. Fuzi Tang (Aconite Decoction) should be used to warm the uterus. A wiry pulse in pregnancy indicates deficiency-cold. Deficient yang scatters outward, causing fever. Yin-cold rebels inward, causing fetal swelling. Abdominal pain and aversion to cold indicate there is no yang inside. The uterus cannot govern the closure and storage functions, so one feels cold air blowing like a fan in the yin region. Using Fuzi Tang (Aconite Decoction) to warm the uterus will calm the fetus. People generally consider Fuzi (Aconite Root) the chief among drugs that cause abortion. Zhongjing alone uses it as a holy medicine for calming the fetus. Without divine understanding, no one dares to try it lightly.
The Master said: "Women may have continuous bleeding, or continuous bleeding after a miscarriage, or bleeding during pregnancy. If a pregnant woman has abdominal pain, it is called Bao Zu (Womb Obstruction). Jiao'ai Tang (Colla-Hogget Skin and Mugwort Decoction) should be used." Menstruation and conception both belong to the Chong and Ren vessels. Although Chong and Ren hold the intersection of yin and yang, functioning for the Liver and Kidney, the nourishment and growth of the fetus rely on Kun Earth (Spleen/Stomach). When yin and yang embrace, leakage does not occur; when Kun Earth acts as a dike, leaking does not happen. If there are chronic stasis and turbidity lodging in the Chong and Ren vessels, yin knots itself and cannot intersect with yang, causing occasional leakage or continuous bleeding after miscarriage. In general, fetal qi is formed internally by yang essence and nourished externally by yin blood. Now, yin blood knots itself, blocking the fetus, unable to harmonize. With only yin inside, it causes abdominal pain and bleeding. This is due to yin and yang failing to embrace, and Kun Earth failing to act as a dike. This formula treats all these. Xiong (Ligusticum) and Gui (Angelica Sinensis) circulate yang blood. Shao (Peony) and Di (Rehmannia) circulate yin blood. Ejiao (Donkey-hide Gel) is of flesh-and-blood quality, nourishing with similar substances. Gancao (Licorice Root) soothes the middle and resolves urgency. This formula regulates menstruation, stops leakage, calms the fetus, and nourishes blood. However, modifications must be appropriate. If the pulse is slow and moderate, yin exceeds yang, add Ganjiang (Dried Ginger). If the pulse is rapid and large, yang exceeds yin, add Huangqin (Scutellaria Root). This goes without saying. For a pregnant woman with abdominal pain, Danggui Shaoyao San (Angelica and Peony Powder) should be used.
This differs from Bao Zu pain. It is because Spleen Earth is overcome by Wood pathogen, grain qi does not rise, dampness overflows downward, stagnating yin blood and causing pain. Therefore, Shaoyao (Peony Root) is the sovereign herb to drain Liver and relieve stagnation. Xiong (Ligusticum) and Gui (Angelica Sinensis) are assistants to nourish blood and stop pain. Ling (Poria) and Ze (Alisma) seep out dampness and benefit the Spleen. Thus, we know that internal and external Six Evils (Pathogens) can all injure the fetus and cause pain, not just dampness.
For incessant vomiting during pregnancy, Jiangshen Renshen Banxia Wan (Ginger, Ginseng, and Pinellia Pill) should be used.
This is what later generations call Morning Sickness (Ezu). Initially, due to Spleen and Stomach weakness, fluids remain and accumulate as phlegm-fluids. After the second month of pregnancy, turbid yin rushes upward, the Middle Jiao cannot withstand the rebellion, phlegm-fluids surge, and middle-cold arises. Therefore, Jiang (Ginger) is used to stop cold, Renshen (Ginseng Root) to tonify deficiency, Banxia (Pinellia Tuber) and Shengjiang (Fresh Ginger) to treat phlegm and scatter rebellion.
For difficult urination during pregnancy, with diet unchanged, Danggui Beimu Kushen Wan (Angelica, Coix Seed, and Sophora Pill - Note: Text says Beimu Kushen, usually interpreted as Fritillaria and Sophora) should be used.
This difficulty in urination is due to Bladder heat stagnation, qi condensing into dryness. The disease is in the Lower Jiao, so diet is unchanged. Danggui (Angelica Sinensis) is used to harmonize blood and moisten dryness. Beimu (Fritillaria Bulb) clears Lung and opens stagnation. Kushen (Sophora Root) benefits orifices and expels water, entering the Bladder to remove heat accumulation.
For edema during pregnancy, heaviness of body, difficult urination, shivering aversion to cold, dizziness upon rising, Kuizi Fuling San (Abelmoschus Seed and Poria Powder) should be used. Recovery occurs when urination becomes free.
The Bladder serves internally as the cavity, governing the storage of fluids, and qi transformation produces urine. Externally, it benefits meridians, ascending to the head, serving as the exterior of all yang. Now, Bladder qi does not transform, water and urine cannot exit externally, meridians are not benefited. Therefore, body heaviness, shivering aversion to cold, and dizziness upon rising occur. Only by benefiting urination will water depart, meridian qi flow, and exterior disease heal. Kuizi (Abelmoschus Seed) enters the Bladder directly to relieve retention. Fuling (Poria) assists in seeping fire pathways.
For pregnant women, Danggui San (Angelica Powder) should be taken regularly. Regular consumption leads to easy delivery, the fetus suffers no distress, and it treats all postpartum diseases.
The *Neijing* says: "Yin pulsation distinct from Yang is named having a child." The Chi pulse beating vigorously is due to the contention of qi and blood in the uterus manifesting in the pulse. Therefore, pregnancy blood cannot be static. Static blood coagulates and stagnates. Deficiency leads to emptiness, neither of which can combine with the fire that transforms the fetus. To ensure fetal gestation and transformation, one must first harmonize yin and yang, benefit qi and blood. Regularly taking fetal-nourishing drugs not only calms the fetus and eases delivery but also prevents various post-fetal ailments. Xiong (Ligusticum), Gui (Angelica Sinensis), and Shaoyao (Peony Root) calm the fetus and nourish blood. Baizhu (Atractylodes Macrocephala Rhizome) tonifies the Stomach and nourishes the fetus. Blood outside the fetus stagnated by cold-dampness is resolved. Huangqin (Scutellaria Root) transforms vigorous fire and generates qi, making it a regular preparation. However, modifications should be based on pulse and syndrome deficiency/excess. Take it if sick; otherwise, it is unnecessary.
For nourishing the fetus during pregnancy, Baizhu San (Atractylodes Powder) should be used. If suffering pain, add Shaoyao (Peony Root). If severe pain in the epigastrium, double the amount of Xiong (Ligusticum). If irritability, vomiting, pain, inability to eat or drink, add Yixixin (Asarum) one qian, and twenty large Banxia (Pinellia Tuber). After taking, administer with vinegar-water. If vomiting, administer with vinegar-water. If still unresolved, administer wheat juice. If thirsty later, administer barley porridge. Even if the disease is cured, continue administration.
These four ingredients in this formula are all said in Materia Medica to remove bad blood. Why use them to nourish the fetus? Because blood gathers before forming the fetus. If slightly exposed to pathogens, the gathered blood becomes stagnant and untransported, resembling bad blood. One must clear the old before the fetus can be calmed. Nourishing the fetus is not only in the blood; the fetus is rooted in the Kidney, and nourishment also lies in the Stomach. Therefore, tonifying the Kidney and regulating the Stomach solidifies essence and harmonizes the middle. Baizhu (Atractylodes Macrocephala Rhizome) regulates the Stomach. Qinjiao (Sichuan Pepper) opens obstruction. Once obstruction opens, yang essence arrives. Muli (Oyster Shell) treats metrorrhagia. Once metrorrhagia stops, yin essence is solidified. Chuanxiong (Ligusticum Chuanxiong Rhizome) descends into the Sea of Blood, moving fetal blood, breaking the old to generate the new. If yin blood is unfavorable and Liver Wood harms, causing suppression and pain inside, drain with the sour-cold of Shaoyao (Peony Root) to unblock yin. If rushing upward causes pain, disperse with the acrid-warm of Chuanxiong (Ligusticum Chuanxiong Rhizome) to unblock yang. If accompanied by stasis and evil qi rebelling upward to the Stomach, causing vomiting, irritability, and inability to eat, use Yixixin (Asarum) to warm the middle, resolve phlegm, and direct qi downward. Banxia (Pinellia Tuber) treats acute epigastric pain, harmonizes the Stomach, promotes eating, and stops vomiting. If vomiting persists, it is due to妄动 (reckless movement) of Liver Wood. Use wheat drink to nourish its original qi to calm it. Dama (Barley) primarily treats thirst, benefits qi, and harmonizes the middle. Therefore, it is used for middle qi deficiency and thirst.
Question: A woman is ill, diet is unchanged, but she has irritability and heat, cannot lie down, and instead leans on something to breathe. What is this? Master said: This is named Zhuanbao (Inverted Bladder/Womb), inability to urinate. Because the bladder ligament is twisted, this disease arises. Only by benefiting urination will it heal. Shenqi Wan (Kidney Qi Pill) should be used.
This formula, in consumptive disorders, treats lower back pain, abdominal tightness, and difficult urination. Here it treats Kidney deficiency causing Zhuanbao and inability to urinate. Both use this to benefit urination. The disease of Zhuanbao is when the womb resides in the room of the Bladder. Due to decline of qi in the Lower Jiao, water-dampness is in the middle, unable to transform and exit via qi. This causes the bladder to swell tightly, leading to continuous twisting, twisting the urinary ligament. Since water does not exit, meridian qi rebels, rushing upward to the Lung. Therefore, irritability, heat, inability to lie down, and leaning to breathe occur. Using this to tonify the Kidney allows qi transformation and water flow. Dampness departs, the womb does not twist, and the fetus is calmed. Although, does the disease of Zhuanbao arise entirely from Lower Jiao Kidney deficiency? Or Middle Jiao qi deficiency, where earth-dampness downward harms the womb? Or Upper Jiao Lung qi congestion, failing to transform in the Lower Jiao? Or the heavy fetus pressing on the womb? Or holding urine during intercourse? All these are sufficient to cause this disease. One must seek the cause in each case to treat it.
Pulse Differentiation: If a woman's menstruation has not come for two or three months, diagnose her pulse as slightly slippery and rapid, with no interruption. Although she has bodily symptoms, there is no abnormal pulse. It is not choppy, not hidden, not wiry and stiff. This is the fetal pulse. Method for distinguishing male and female: Ancients all believed left larger is male, right larger is female. However, many have constitutions naturally larger or smaller. Only if Cun Kou (Radial Artery at wrist) is slippery and substantial is male; Chi (Radial Artery deeper) is slippery and substantial is female. This is the most essential key. If both Cun are slippery and substantial, it is twin boys. If both Chi are slippery and substantial, it is twin girls. If Right Chi and Left Cun are slippery and substantial, it is one boy and one girl. This has been verified repeatedly. If the pulse is deep and fine, abdomen heavy with occasional slight pain, shape like holding a urn, full abdomen immobile, but only fluttering movement below the navel, cold to touch, and both Chi pulses suddenly large and small, present and absent, floating and sinking, moving and stopping, different morning and evening, this is a Ghost Fetus. Must observe continuously for three or four days to see. Tonify qi and invigorate blood. If pulse comes urgent like wind and rain, pausing briefly then returning as before, this is Yaksha Fetus. Also, Guan section slightly resembles sparrow-pecking shape. Also, size uneven, and under fingers wiry and stiff and discordant, all are omens of Yaksha Fetus. If pulse is deep and fine, waist and abdominal pain, fetus lying still, or feeling rushing up to heart and suffocation, cold to touch, this is not a good fetus. Further inspect tongue markings for cyanosis. This fetus is already dead. If lips are also cyanotic, even the mother cannot be saved. But if lying still, it may also be a good fetus. Take herbs to smooth qi and harmonize blood.
Fetal Verification: If a woman's menstruation has stopped for three months, and she wishes to verify if she is pregnant, take Sheng Chuanxiong (Raw Ligusticum Chuanxiong Rhizome) two qian, powder it. Decoct strongly on an empty stomach. Mix with Mugwort decoction and take. Slight movement in the abdomen indicates a fetus.
Nourishing the Fetus: When a woman conceives for one month, the Foot Jueyin Meridian nourishes. Yin and yang newly combine, named Shi Pei (Initial Embryo). *Da Ji Jing* says: Fetus formed in seven days, initially no increase or decrease. Second seven days like thin curd. Third seven days like raw curd. Fourth seven days like cooked curd. Second month, Foot Shaoyang Meridian nourishes. Yin and yang reside in the meridian, named Shi Gao (Initial Paste). Fifth seven days like raw butter. Sixth seven days like polyp. Seventh seven days like piece of meat. Eighth seven days hard like broken shell. Third month, Hand Shaoyin (Pericardium) Meridian nourishes. Initially has definite form, named Shi Bao (Initial Cell). Ninth seven days changes to five bubbles. Two elbows, two thighs, and head. Seventeenth day, five more bubbles grow. Two wrists, two feet, and neck. Eleventh seventeen days, twenty-six more bubbles grow. Ten fingers, ten toes, eyes, ears, mouth, nose. Twelfth seven days, bubbles complete. Fourth month, Hand Taiyang (Sanjiao) Meridian nourishes. Begins receiving Water Essence to form blood vessels, and形体 (form) completes. Classic says: Thirteenth seven days, abdominal features appear. Fourteenth seven days, five Zang organs born. Fifteenth seven days, Large Intestine born. Sixteenth seven days, Small Intestine born. Fifth month, Foot Taiyin (Spleen) Meridian nourishes. Begins receiving Fire Essence to form qi, and limbs and joints fill. Classic says: Seventeenth seven days, spleen location appears. Eighteenth seven days, three stomachs born. Nineteenth seven days, palms, insteps, arm joints born. Twenty-seventh days, yin, umbilicus, chin, breasts born. Sixth month, Foot Yangming (Stomach) Meridian nourishes. Begins receiving Metal Essence to form sinews, and bone structure stands. Classic says: Twenty-first seven days, three hundred soft bones appear, like newborn gourd. Twenty-second seven days like unripe gourd. Twenty-third seven days hard like walnut. Twenty-fourth seven days, one hundred sinews born. Seventh month, Hand Taiyin (Lung) Meridian nourishes. Begins receiving Wood Essence to form bones, and hair grows. Classic says: Twenty-fifth seven days, seven thousand meridians born, not yet complete. Twenty-sixth seven days, like lotus root threads. Twenty-seventh seven days, three hundred sixty-three sinews. Twenty-eighth seven days, skin and flesh begin to grow. Eighth month, Hand Yangming (Large Intestine) Meridian nourishes. Begins receiving Earth Essence to form skin and leather, and zang-fu are complete. Classic says: Twenty-ninth seven days, skin slightly thick. Thirty-seventh days, skin image appears. Thirty-first seven days, skin turns thick and hard. Thirty-second seven days, leather transforms. Ninth month, Foot Shaoyin (Kidney) Meridian nourishes. Begins receiving Stone Essence to form hair and skin, and grain qi enters the stomach. Stone inherits the remainder of the five qi, zang-fu and bones are all solid, hence called Stone. Classic says: Thirty-third seven days, ears, nose, lips, fingers, knee joints form. Thirty-fourth seven days, nine hundred ninety thousand hair pores born, still not complete. Thirty-fifth seven days, pores complete. Thirty-sixth seven days, nails form. Tenth month, five zang organs are ready, six fu organs connect fully. Absorbs heaven and earth qi into the Dantian. Classic says: Thirty-seventh seven days, wind rises in the maternal womb, opening the seven orifices. Thirty-eighth seven days, according to past life good and evil, divides into fragrant and foul winds to determine appearance, bone structure, nobility, and baseness. The above *Qianjin* describes Xu Zhicai's method of nourishing the fetus, matching *Da Ji Jing*. Seeking details, conception in the maternal womb changes every seven days, transforming successively. However, many are born before term but can grow and live long years. This is because the nourishment of each meridian and the seven-day changes are not completed on schedule, but the qi nourishing the fetus is still pervasive. If meridian nourishment is not complete, it is always a miscarriage, not a full-term birth.
Morning Sickness: Menstruation stops for two or three months, spirit is as usual, likes sour, dislikes food, or craves one item, or vomits heavily, or occasionally vomits phlegm and clear fluid, limbs heavy, head and eyes dizzy. This is named Ezu (Morning Sickness). Do not treat as disease. Sijunzi Tang (Four Gentlemen Decoction) plus Wuyao (Aucklandiae Radix), Xiangfu (Cyperi Rhizoma), Jupi (Tangerine Peel). If coughing and thirsty, add Juhong (Tangerine Red), Wuweizi (Schisandra Berry), Shengjiang (Fresh Ginger). If chest is stuffy, limbs heavy, lethargic unable to stretch, dislikes smell of food, likes salty and sour, fetal movement unrest, vomiting and inability to eat, Lizhong Tang (Regulate the Middle Decoction) plus Fuling (Poria), Muxiang (Aucklandiae Radix), Banxia (Pinellia Tuber). If phlegm stagnates in Zhongwan, Erchen Tang (Two Aged Decoction) plus Zhike (Aurantii Fructus). If food stagnation, Xiangsha Liujunzi Tang (Costus and Amomum Four Gentlemen Decoction) plus Zhike (Aurantii Fructus). If Spleen and Stomach weakness, Yigong San (Extraordinary Power Powder) plus Qi Nao (Anger), add Zhike (Aurantii Fructus), Sharen (Amomi Fructus). If little desire for food, Liujunzi Tang (Four Gentlemen Decoction) plus Zisu (Perilla Leaf), Jiegeng (Platycodon Root). Dizzy and tired, Liujunzi Tang (Four Gentlemen Decoction). If vomiting and inability to eat, double Ling (Poria) and Ban (Pinellia). Banxia (Pinellia Tuber) is the main herb for strengthening Spleen qi, resolving phlegm, and drying dampness. Nowadays, people think Banxia (Pinellia Tuber) has a property of disturbing the fetus, rarely using it, fearing its acrid dispersal when the fetus first forms. Lou Quanshan said: "I treated pregnancy obstruction disease, repeatedly using Banxia (Pinellia Tuber), never disturbing the fetus." *Qianjin* uses Banxia Fuling Tang (Pinellia and Poria Decoction) for two doses, then Fuling Wan (Poria Pill). Pregnant women loving sour is due to Liver deficiency, unable to nourish the Liver. Liver deficiency loves sour items. Dai Shi said: Ezu means a pregnant woman feels nauseous, obstructing her diet. Fat people have phlegm, Erchen Tang (Two Aged Decoction) plus Zhi (Immature Bitter Orange), Zhu (Atractylodes). Thin people have fire, Yigong San (Extraordinary Power Powder) plus Qin (Scutellaria), Lian (Coptis).
Fetal Movement: Frequent fetal movement. This is fetal qi heat, so it rebels upward causing panting. Urgently use Tiaohuangqin (Striped Scutellaria), Xiangfu (Cyperi Rhizoma), Baizhu (Atractylodes Macrocephala Rhizome). Abdominal fullness and pain piercing the heart, unable to eat. *Qianjin* uses Huangqin (Scutellaria Root), Baizhu (Atractylodes Macrocephala Rhizoma), Shaoyao (Peony Root) decocted and taken. Let slight water pass, then easy birth. Taking one dose monthly is good. Due to anger and the fetus...