妊娠三月名始胞，此时未有定象，见物而化。欲生男者操弓矢，欲生女者弄珠玑。欲子贤能讲论诗书，
欲子端严，口谈正言，身行正事，是外象而内感者也。是月手厥阴心胞络脉养胎，其经不可针灸。胞络属心，
毋悲哀思虑，惊动此月，心经火盛最易堕胎。若呕吐不止，饮食少进，宜抑青丸。（须未交三月前服起）
抑青丸
川黄连（姜汁炒三次，三两）
研末，米糊，丸如绿豆大，每服三四分，加至七八分，用半夏汤（方见上）煎汤送下。
妊娠四月，始受水精，以成血脉。食宜稻宜鱼，是谓盛血气，以通耳目，而行经络。是月手少阳三焦脉养
胎，其经不可针灸。内输三焦，此时儿六腑顺成。当静形体和心志，节饮食。若倦卧不安或口苦、头痛、脚
弱及肿，急宜安胎和气散。
安胎和气散
白术（蜜炙，一钱五分） 广陈皮（去白、盐制） 白芍（炒） 黄芩（酒炒，各一钱） 当归身（一钱六分）
茯苓（八分） 香附（盐水制，二钱） 川芎 炙甘草（各五分）
水煎服。
如热多加山栀仁（炒黑）一钱。
妊娠五月，始受火精，以成其气。卧必晏起，沐浴浣衣，深其居处，浓其衣服。食稻粱，羹牛羊，调五味，
是谓养气，以定五脏。是月足太阴脾脉养胎，其经不可针灸。此时儿四肢皆成，毋太饥饱，毋食干燥炙热，毋
太劳倦。若胎长腹重，睡卧不安，宜养胎饮。
养胎饮
白术（蜜炙，一钱五分） 当归身（酒洗） 白芍（酒炒） 泽泻（盐水炒，各一钱） 川芎 黄芩（酒炒）
枳壳（麸炒，各八分） 炙甘草（四分）
水一钟半，煎七分，服二剂。
妊娠第三个月称为“始胞”，此时胎儿尚未形成固定的形态，会随所见之物而发生变化。想要生男孩的，可以操作弓矢；想要生女孩的，可以玩弄珠玑。希望孩子贤能、善于谈论诗书的，（孕妇应）多讲论诗书；希望孩子端庄严肃的，口中要谈正话，身体要做正事，这是通过外在形象来影响内在感应的结果。这个月由手厥阴心包络脉负责滋养胎儿，该经脉不可进行针灸治疗。心包络归属于心，不要悲伤、思虑或惊恐，以免惊动此月的气机，因为心经火气过盛最容易导致流产。如果出现呕吐不止、饮食减少的情况，适宜服用抑青丸。（必须在未满三个月前开始服用）
抑青丸
川黄连（用姜汁炒三次，三两）
研成粉末，用米糊做丸，大小如绿豆，每次服用三四分，逐渐增加到七八分，用半夏汤（方剂见上文）煎汤送服。
妊娠第四个月，开始接受水之精气，从而形成血脉。饮食宜吃稻米和鱼类，这被称为旺盛气血，以通畅耳目，运行经络。这个月由手少阳三焦脉负责滋养胎儿，该经脉不可进行针灸治疗。内连三焦，此时胎儿的六腑顺次成形。应当使形体安静、心情平和，节制饮食。如果出现倦怠嗜卧、心神不安，或者口苦、头痛、脚弱及浮肿等症状，应立即服用安胎和气散。
安胎和气散
白术（蜜炙，一钱五分） 广陈皮（去白瓤、盐制） 白芍（炒） 黄芩（酒炒，各一钱） 当归身（一钱六分）
茯苓（八分） 香附（盐水制，二钱） 川芎 炙甘草（各五分）
用水煎服。
如果热象加重，加山栀仁（炒黑）一钱。
妊娠第五个月，开始接受火之精气，从而形成其气。睡觉一定要晚起，沐浴洗衣，居住处所要深邃，衣物要厚实。饮食要吃稻米和高粱，喝牛羊的肉汤，调和五味，这被称为养气，以安定五脏。这个月由足太阴脾脉负责滋养胎儿，该经脉不可进行针灸治疗。此时胎儿的四肢都已长成，不要过于饥饿或饱食，不要吃干燥、炙烤发热的食物，不要过度劳累。如果出现胎体长大、腹部沉重、睡卧不安的情况，适宜服用养胎饮。
养胎饮
白术（蜜炙，一钱五分） 当归身（酒洗） 白芍（酒炒） 泽泻（盐水炒，各一钱） 川芎 黄芩（酒炒）
枳壳（麸炒，各八分） 炙甘草（四分）
用水一钟半，煎至七分，服用两剂。
The third month of pregnancy is called "Shi Bao" (Beginning of the Fetal Sac). At this time, the fetus has not yet formed a fixed shape and transforms according to what it sees. If one wishes for a boy, one may handle bows and arrows; if one wishes for a girl, one may play with pearls and gems. To desire a virtuous child skilled in discussing poetry and books, [the mother] should frequently discuss poetry and books. To desire a dignified and serious child, [the mother] should speak upright words and perform upright deeds. This is the principle of external images influencing internal感应 (sensation/resonance). During this month, the Pericardium Meridian of Hand-Jueyin nourishes the fetus, and acupuncture or moxibustion on this meridian is contraindicated. The Pericardium connects to the Heart. One should avoid sorrow, excessive thinking, or fright, lest these emotions disturb the qi of this month, as excessive Fire in the Heart Meridian easily leads to miscarriage. If vomiting persists and food intake is reduced, Yi Qing Wan (Suppressing Blue Pill) is indicated. (It must be started before the completion of the third month).
Yi Qing Wan (Suppressing Blue Pill)
Coptidis Rhizoma (Chuan Lian Lian), stir-fried three times with ginger juice, 3 liang.
Grind into powder, bind with rice paste into pills the size of mung beans. Take 3-4 fen per dose, gradually increasing to 7-8 fen, taken down with decoction prepared from Ban Xia Tang (see above).
In the fourth month of pregnancy, the fetus begins to receive the essence of Water to form blood vessels. The diet should include rice and fish, which is said to promote abundant Qi and Blood, to unblock the ears and eyes, and to circulate through the meridians. During this month, the San Jiao Meridian of Hand-Shaoyang nourishes the fetus, and acupuncture or moxibustion on this meridian is contraindicated. Internally connecting to the San Jiao, at this stage the fetus's Six Fu Organs are smoothly formed. One should keep the body quiet and the mind harmonious, and regulate the diet. If there is fatigue with restlessness, bitter taste in the mouth, headache, weakness in the legs, or edema, An Tai He Qi San (Pill for Calming the Fetus and Harmonizing Qi) should be administered urgently.
An Tai He Qi San (Pill for Calming the Fetus and Harmonizing Qi)
Atractylodis Macrocephalae Rhizoma (Bai Zhu), honey-roasted, 1.5 qian; Tangerine Peel (Guang Chen Pi), white pith removed, salt-processed; Paeoniae Radix Alba (Bai Shao), stir-fried; Scutellariae Radix (Huang Qin), wine-stir-fried, each 1 qian; Angelicae Sinensis Radix (Dang Gui Shen), 1.6 qian;
Poria (Fu Ling), 0.8 qian; Cyperi Rhizoma (Xiang Fu), salt-water processed, 2 qian; Ligustici Chuanxiong Rhizoma (Chuan Xiong); Glycyrrhizae Radix et Rhizoma Preparata (Zhi Gan Cao), each 0.5 qian.
Decoct in water and take orally.
If heat signs increase, add Gardeniae Semen (Shan Zhi Ren), charred, 1 qian.
In the fifth month of pregnancy, the fetus begins to receive the essence of Fire to form its Qi. Sleep should begin late; bathing and washing clothes should be done; living quarters should be deep/secluded, and clothing thick. The diet should include rice and millet, and broths of cattle and sheep, with the five flavors balanced. This is called nourishing Qi to stabilize the Five Zang Organs. During this month, the Spleen Meridian of Foot-Taiyin nourishes the fetus, and acupuncture or moxibustion on this meridian is contraindicated. At this stage, the fetus's four limbs are fully formed. One should avoid extreme hunger or fullness, avoid dry and roasted/hot foods, and avoid excessive labor. If the fetal growth causes abdominal heaviness and restlessness during sleep, Yang Tai Yin (Decoction for Nourishing the Fetus) is indicated.
Yang Tai Yin (Decoction for Nourishing the Fetus)
Atractylodis Macrocephalae Rhizoma (Bai Zhu), honey-roasted, 1.5 qian; Angelicae Sinensis Radix (Dang Gui Shen), washed with wine; Paeoniae Radix Alba (Bai Shao), wine-stir-fried; Alismatis Rhizoma (Ze Xie), salt-water stir-fried, each 1 qian; Ligustici Chuanxiong Rhizoma (Chuan Xiong); Scutellariae Radix (Huang Qin), wine-stir-fried; Aurantii Fructus Immaturus (Zhi Ke), bran-stir-fried, each 0.8 qian; Glycyrrhizae Radix et Rhizoma Preparata (Zhi Gan Cao), 0.4 qian.
Decoct with 1.5 zhong of water until 0.7 zhong remains, and take two doses.