妊娠九月,始受石精,以成皮毛,六腑百节无不悉备。饮醴、食甘、缓带,是谓养毛发致才力。是月足少
阴肾脉养胎,其经不可针灸。肾主续缕,此时儿脉络续缕皆成。毋处湿冷,毋着炙衣。故虽无他证,亦宜顺气
和中安胃,使无难产之患,宜顺胎饮。
顺胎饮
当归(二钱) 白术(蜜炙,二钱五分) 黄芩(酒炒) 苏梗 白芍(酒炒) 大腹皮(酒炒,各一钱)
水煎服,八日进一服。
妊娠十月,五脏俱备,六腑齐通,纳天地气于丹田,关节人神皆备,待时而生。是月足太阴膀胱脉养胎,
其经不可针灸。自初月至此,唯手少阴手太阳心脉也,以君主之,官无为而尊也。宜滑胎饮。
滑胎饮
当归 茯苓(各一钱五分) 白术(蜜炙) 川芎(煨) 香附(制) 陈皮(去白,各一钱) 苏梗(八分)
黄芩(酒炒,五分) 炙甘草(三分)
水煎服。
如气虚加人参一钱,胎肥者加枳壳(麸炒)一钱五分,二三日进一服,至产方止。
妇人月经一月不行,六脉平和,或见吞酸恶食,或见微寒微热,懒于举动,胎也。若六脉中见有病脉,
便非若知。已有胎而恶心呕吐不思饮食,惟养血安胎、理气健脾为第一要策,宜中和汤。少妇初次怀胎一月满
足,含羞不对人言,医者不识,误作阻经医治,致有头晕呕吐恶心,饮食不进,腰腹疼痛,六脉浮紧,及体弱
病后受胎,宜罩胎煎。
中和汤
人参(六分) 当归身(一钱五分) 砂仁(炒) 香附(制,各一钱) 白芍(酒炒) 茯苓 藿香
陈皮(去白,各八分) 炙甘草(五分)
水一钟半,煎七分,空心服。
罩胎煎
当归 白芍(酒炒,各一钱半) 枳壳(麸炒,二钱) 砂仁(一钱) 炙甘草(五分)
水煎,空心服。
妊娠第九个月,胎儿开始接受石精之气,从而形成皮毛,六腑和全身关节无不完备。此时应饮用甜酒、食用甘甜食物、放松腰带,这被称为养护毛发并促进才智力量的发育。这个月由足少阴肾经负责滋养胎元,该经脉不可进行针灸治疗。肾主管连接细微的脉络,此时胎儿的脉络细网都已形成。不要居住在潮湿寒冷的地方,不要穿经过火烤加热的衣服。因此,即使没有其他病症,也应当顺气和中、安胃,以避免难产的危险,适宜使用顺胎饮。
顺胎饮
当归(二钱) 白术(用蜜炙过,二钱五分) 黄芩(用酒炒过) 苏梗 白芍(用酒炒过) 大腹皮(用酒炒过,各一钱)
加水煎煮服用,每八天服用一次。
妊娠第十个月,五脏全部具备,六腑完全通畅,将天地之气纳入丹田,关节和人的神识都准备就绪,等待时机出生。这个月由足太阴膀胱经负责滋养胎元,该经脉不可进行针灸治疗。从第一个月到此时,只有手少阴心经和手太阳小肠经的心脉在起作用,因为心是君主之官,地位尊贵而无为而治。适宜使用滑胎饮。
滑胎饮
当归 茯苓(各一钱五分) 白术(用蜜炙过) 川芎(煨制) 香附(炮制) 陈皮(去掉白色部分,各一钱) 苏梗(八分)
黄芩(用酒炒过,五分) 炙甘草(三分)
加水煎煮服用。
如果气虚,加入人参一钱;如果胎儿肥胖,加入枳壳(用麦麸炒过)一钱五分,每两三天服用一次,直到分娩才停止。
妇人月经一个月不来,六脉平和,或者出现吞酸、厌恶食物的症状,或者出现轻微怕冷、轻微发热的症状,懒于活动,这是怀孕的表现。如果六脉中出现病脉,那就不是正常的妊娠脉象了。已经怀孕但出现恶心呕吐、不想吃东西的情况,养血安胎、理气健脾是第一重要的策略,适宜使用中和汤。年轻妇女初次怀孕满一个月,因含羞而不愿对人言说,医生如果不认识这种情况,误当作经血阻滞来治疗,会导致头晕、呕吐、恶心、饮食不进、腰腹部疼痛、六脉浮紧等症状。以及身体虚弱或病后怀孕的情况,适宜使用罩胎煎。
中和汤
人参(六分) 当归身(一钱五分) 砂仁(炒制) 香附(炮制,各一钱) 白芍(用酒炒过) 茯苓 藿香
陈皮(去掉白色部分,各八分) 炙甘草(五分)
用水一钟半,煎至七分,空腹服用。
In the ninth month of pregnancy, the fetus begins to receive the essence of stone (Shi Jing), thereby forming skin and hair. The six fu-organs and all joints are fully developed. Drinking sweet wine, eating sweet foods, and loosening the belt are referred to as nurturing hair and promoting intellectual and physical strength. During this month, the Foot-Shaoyin Kidney Meridian nourishes the fetus; acupuncture and moxibustion on this meridian are contraindicated. The Kidney governs the fine connective tissues; at this time, the fetal meridional networks are complete. One should avoid damp and cold environments and refrain from wearing clothes that have been heated by moxa or fire. Therefore, even in the absence of other symptoms, it is advisable to regulate Qi, harmonize the middle Jiao, and calm the Stomach to prevent difficult labor. Shuntai Yin (Fetus-Soothing Decoction) is appropriate.
Shuntai Yin (Fetus-Soothing Decoction)
Danggui (Radix Angelicae Sinensis, 2 qian) Baizhu (Rhizoma Atractylodis Macrocephalae, honey-fried, 2.5 qian) Huangqin (Radix Scutellariae, wine-fried) Sugen (Stem Perillae) Baishao (Radix Paeoniae Alba, wine-fried) Dafupi (Pericarpium Citri Reticulatae Viride, wine-fried, each 1 qian)
Decoct in water and take. Take one dose every eight days.
In the tenth month of pregnancy, the five zang-organs are fully equipped, and the six fu-organs are completely patent. Heaven and Earth Qi are gathered into the Dantian. The joints and the spirit (Shen) are fully prepared, awaiting the time for birth. During this month, the Foot-Taiyin Bladder Meridian nourishes the fetus; acupuncture and moxibustion on this meridian are contraindicated. From the first month until now, only the Hand-Shaoyin Heart Meridian and the Hand-Taiyang Small Intestine Meridian function, as the Heart acts as the Sovereign Monarch, respected and acting through non-action. Huatai Yin (Fetus-Slipping Decoction) is appropriate.
Huatai Yin (Fetus-Slipping Decoction)
Danggui (Radix Angelicae Sinensis) Fuling (Poria, each 1.5 qian) Baizhu (Rhizoma Atractylodis Macrocephalae, honey-fried) Chuanxiong (Rhizoma Chuanxiong, roasted) Xiangfu (Rhizoma Cyperi, processed) Chenpi (Pericarpium Citri Reticulatae, white pith removed, each 1 qian) Sugen (Stem Perillae, 8 fen)
Huangqin (Radix Scutellariae, wine-fried, 5 fen) Zhigancao (Radix Glycyrrhizae Preparata, 3 fen)
Decoct in water and take.
If there is Qi deficiency, add Renshen (Radix Ginseng, 1 qian). If the fetus is large/heavy, add Zhiqiao (Fructus Aurantii, bran-fried, 1.5 qian). Take one dose every two or three days, stopping only upon delivery.
When a woman’s menstruation does not occur for one month, and the six pulses are peaceful, accompanied by symptoms such as acid regurgitation, aversion to food, slight chills, slight fever, and lethargy, it indicates pregnancy. However, if pathological pulses appear among the six pulses, it is not a normal pregnancy pulse. For those already pregnant who experience nausea, vomiting, and loss of appetite, nourishing Blood, calming the fetus, regulating Qi, and strengthening the Spleen are the primary strategies. Zhonghe Tang (Harmonizing Decoction) is appropriate. For young women experiencing their first pregnancy for one month, they may feel shy and refuse to speak about it. If physicians fail to recognize this condition and mistakenly treat it as menstrual obstruction (Zu Jing), it may lead to dizziness, vomiting, nausea, inability to eat, lower back and abdominal pain, floating and tight pulses, especially in cases of weak constitution or pregnancy following illness. Zaotai Jian (Fetus-Covering Decoction) is appropriate.
Zhonghe Tang (Harmonizing Decoction)
Renshen (Radix Ginseng, 6 fen) Dangguishen (Radix Angelicae Sinensis, root body, 1.5 qian) Sharen (Fructus Amomi, fried) Xiangfu (Rhizoma Cyperi, processed, each 1 qian) Baishao (Radix Paeoniae Alba, wine-fried) Fuling (Poria) Huoxiang (Herba Agastaches)
Chenpi (Pericarpium Citri Reticulatae, white pith removed, each 8 fen) Zhigancao (Radix Glycyrrhizae Preparata, 5 fen)
Add 1.5 zhong of water, decoct until 0.7 zhong remains, and take on an empty stomach.
Zaotai Jian (Fetus-Covering Decoction)
Danggui (Radix Angelicae Sinensis) Baishao (Radix Paeoniae Alba, wine-fried, each 1.5 qian) Zhiqiao (Fructus Aurantii, bran-fried, 2 qian) Sharen (Fructus Amomi, 1 qian) Zhigancao (Radix Glycyrrhizae Preparata, 5 fen)
Decoct in water and take on an empty stomach.