Wellness guide · Pregnancy
Pregnancy & Chinese Medicine
Nausea, fatigue, back pain, sleep… What your body goes through, what Chinese medicine reads in it, and how to support it at every stage.
By Ziad Nammour, Traditional Chinese Medicine practitioner
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The test is positive.
And very quickly, everyone has an opinion. Your mother, your friends, the forums, the app that tells you every week which fruit your baby is the size of…
But nobody really explains what is happening on the inside. Why this fatigue pins you to the couch at 9 p.m. Why the smell of coffee, which you used to love, now turns your stomach. Why your back gives out in the fifth month, and your sleep in the eighth.
Chinese medicine has an answer to each of these questions. It has been supporting pregnant women for more than two thousand years, and it has observed something essential: a pregnancy is not a state, it is a journey. Each month has its own needs. What does you good in the second month may no longer suit you in the seventh.
This guide follows that journey, trimester by trimester. At each stage: what is happening in your body, how Chinese medicine reads it, and what you can do, concretely, to go through it more calmly.
Before you begin. This guide complements your prenatal care; it does not replace it. The practices it suggests are comfort measures: gentle pressure, a warm plate, a breath. Herbs, essential oils and moxibustion are not offered here for self-use: during pregnancy, they are decided with the professionals who follow you. Weeks are counted from the first day of your last period, the way your midwife or doctor counts them.
What Chinese medicine sees in a pregnancy
Western medicine measures a pregnancy: centimeters, grams, blood levels. Chinese medicine asks a different question. Where is the energy going?
The answer is simple: downward. Toward the uterus, toward the child. For nine months, your whole body reorganizes itself around this priority. And that is the key to almost every discomfort of pregnancy: what goes to the baby is missing a little elsewhere.
Four treasures called into service
Qi, the energy that carries. It moves everything: digestion, circulation, body warmth. During pregnancy, it takes on one more mission: to carry and to hold. When it weakens, you feel it: fatigue, shortness of breath, a heavy, dragging feeling low in the belly.
Blood, what nourishes. It nourishes, moistens, calms. The baby is served first; you get what is left. When it runs short: cramps, dry skin, sluggish bowels, light sleep.
Jing, the Essence. It is your deep reserve, received from your parents and stored by the Kidneys. This is where building the child begins. It does not recharge like a battery: it is preserved, through rest.
Shen, the spirit. Housed in the Heart, it needs abundant Blood to stay settled. When Blood is busy elsewhere, the mind drifts: racing thoughts, vivid dreams, easy tears.
The organs on the front line
The Kidneys, the root. They store the Essence and, as tradition puts it, "govern the lower back." When your back aches and the fatigue runs deep, this is where we look.
The Spleen, the household kitchen. Together with the Stomach, it turns what you eat into Qi and Blood. It loves warmth, simplicity, regularity. It hates cold, excess and overthinking.
The Liver, the conductor. It stores Blood and keeps Qi flowing, emotions included. When the flow jams: irritability, sighing, a lump in the throat.
The Heart, home of the spirit. The classics connect it directly to the uterus through a vessel, the Bao Mai. A way of saying that what you live through and what you carry are one.
Two vessels for one uterus
Two special vessels supply the uterus. The Ren Mai, the Conception Vessel, presides over pregnancy. The Chong Mai, nicknamed the "Sea of Blood," rises up to the chest, crossing the territory of the Stomach.
Remember this detail: it explains a lot. In early pregnancy, the Chong Mai fills up. Blood no longer leaves with your periods, pressure builds, and it drags the Stomach Qi upward instead of letting it descend. For Chinese medicine, this is one of the sources of nausea.
What physiology observes
Western medicine describes the same phenomena, in different words:
- blood volume increases by 40 to 50%, but the blood becomes diluted : this is "physiological anemia," where TCM speaks of heavily solicited Blood;
- progesterone slows the intestines and relaxes the valve at the top of the stomach : constipation and heartburn, Qi that does not descend properly;
- relaxin loosens the pelvic ligaments : Kidneys carrying more than usual;
- the pregnancy hormone (hCG) peaks around weeks 9 to 10 , just when nausea is at its worst.
Two ways of reading, one reality: a body fully called into service.
Three principles for nine months
- 1. Nourish without weighing down. Eat enough, and simply, rather than rich and complicated.
- 2. Slow down without stopping. Rest protects the Essence, gentle movement keeps the Qi flowing. You need both.
- 3. Soothe without forcing. Calm cannot be ordered. It is prepared: through rhythm, warmth and support.
Key takeaway. In Chinese medicine, supporting a pregnancy is not about correcting anything. It is about supporting a body that is already doing immense work, and keeping it from wearing itself out along the way.
The ten moons: pregnancy month by month
You count in weeks. Chinese physicians counted in moons: ten lunar months of four weeks, from conception to birth.
In the 6th century, the physician Xu Zhicai put forward an idea that Sun Simiao, one of the greatest names in Chinese medicine, would pass down a century later: each moon is "nourished" by a different meridian, so each moon calls for a different kind of care. This is yang tai, the art of "nourishing the fetus."
- Moon 1Weeks 1–4Liver
Let things happen. Rest, no sudden effort, simple cooked food.
- Moon 2Weeks 5–8Gallbladder
Protect your calm. A regular life, as little agitation as possible.
- Moon 3Weeks 9–12Pericardium
Choose what you look at and what you listen to. This is the month of taijiao, "prenatal education."
- Moon 4Weeks 13–16Triple Burner
Eat well: the body is building its vessels.
- Moon 5Weeks 17–20Spleen
Sleep your fill, get some daylight.
- Moon 6Weeks 21–24Stomach
Go out, walk, loosen up.
- Moon 7Weeks 25–28Lung
Move your arms and legs, breathe deeply.
- Moon 8Weeks 29–32Large Intestine
Keep your calm, stay away from anger.
- Moon 9Weeks 33–36Kidney
Loosen your belt: loose clothing, slow pace.
- Moon 10Weeks 37–40Bladder
Everything is in place. Wait for the hour.
A telling detail: the Heart does not appear on the list. Tradition says it is left alone, so that the mother's mind can stay at peace.
Nobody is asking you to take this map literally. But look at it more closely: rest at the beginning, nourishment in the middle, movement next, calm at the end. This text is nearly fifteen centuries old, and Chinese thinking about pregnancy is older still. Yet it is exactly the rhythm this guide follows.
As for taijiao, it does not say that a bad day will leave a mark on your child. It says that beauty, music and tranquility are good for you. That is a very good reason to treat yourself to them.
First trimester — Taking root
Up to week 14 · Moons 1 to 3
Nobody sees anything. You feel everything.
The fatigue that hits all at once in the middle of the afternoon. Tender breasts. That colleague whose perfume makes you nauseous from ten feet away. And that strange feeling of being exactly the same… and not at all.
It is normal. Your body is laying the foundations. Foundations do not show, but they take an enormous amount of work.
How the trimester unfolds
The first weeks: settling in. The placenta is forming, hormones are soaring. For Chinese medicine, Qi and Blood descend to the uterus to "anchor" the pregnancy. These are the moons of the Liver and the Gallbladder: moons of rest and calm.
The low point, around weeks 8 to 11. Nausea and fatigue are often at their peak. The Chong Mai is full, the Stomach Qi rises, the Spleen struggles to keep up. This is the time to lower your expectations, not to grit your teeth.
The three-month milestone, around weeks 12 to 14. The first ultrasound, often the announcement, and the first signs that your energy is coming back. The body has finished settling in.
The challenges of this trimester
Nausea
It often starts around week 5 or 6, peaks around week 9 or 10, then usually eases between weeks 14 and 16. "Morning" sickness? Not always. Many women carry it all day long.
What Chinese medicine brings here is a nuance you will not hear anywhere else: not all nausea is the same. And it is not relieved in the same way.
- The tired Stomach. Dull nausea, a bland taste in the mouth, deep fatigue. It eases when you eat a little and comes back when your stomach is empty. Here, warm, cooked food and very frequent small snacks work wonders.
- Liver heat. Nausea with a bitter or sour taste, irritability, thirst, a craving for cool things. It gets worse with stress and frustration. Here, avoid spicy and greasy food, choose warm over piping hot, and protect your calm.
- Phlegm. Nausea with mucus, a heavy head, dizziness, an aversion to fatty food. Here, lighten things up: less dairy, sugar and fried food, and a thin slice of fresh ginger in a broth or in hot water.
What helps, in every case:
- Eat before you get hungry. A cracker on your nightstand, to nibble before getting up, then a small snack every two to three hours.
- Drink in small sips, between meals rather than with them.
- Follow your nose. If cooking smells turn your stomach, lukewarm or room-temperature food is perfectly fine. This trimester, the real rule is: whatever stays down.
- Rest. Fatigue feeds nausea, and nausea feeds fatigue.
- Press Neiguan (PC6), described below.
If you cannot keep anything down, not even water, it is no longer simple discomfort: your midwife needs to know quickly.
Fatigue
Not the tiredness of a bad night. A deep fatigue that knocks you out at 9 p.m. and that ten hours of sleep do not always erase.
For Chinese medicine, it is the price of construction: Qi and Blood are called into service, and the body draws even on the Essence. It is not laziness. It is invisible work.
- Go to bed earlier, no negotiating with yourself.
- A twenty-minute nap beats an hour of struggling.
- Lighten your schedule, without justifying yourself.
- Walk for fifteen minutes in daylight: gentle movement gives back more energy than it costs.
- Do not skip meals. The Spleen needs regularity to produce.
Bloating and a sluggish gut
Progesterone slows the intestines from the very first weeks. Chinese medicine sees a tired Spleen and Qi that does not descend properly.
- Choose cooked over raw, and chew slowly.
- A glass of warm water when you wake up gets digestion going.
- Bring in prunes, cooked pears, kiwis and soft-cooked vegetables.
- Walk for a few minutes after meals.
A word of caution: many commercial "regularity" teas contain laxative herbs not recommended during pregnancy. Ask first.
Emotional ups and downs
Joy, fear, doubt, sometimes all within the same hour. And often without being able to talk about it, because you have not told anyone yet.
In Chinese medicine, the Liver keeps Qi and emotions flowing. When the body changes this fast, the flow jams: irritability, sighing, easy tears, a lump in the throat.
- Confide in someone; one person is enough.
- Write down what keeps going round in your head: once it is on paper, it weighs less.
- Breathe: five seconds in, five seconds out, for two minutes. It is the simplest way to unknot the Liver Qi.
- Go easy on the forums. Seriously.
On your plate this trimester
Forget the perfect plate. A little, often, whatever stays down: that is already very good. Broths, rice, potatoes, stewed fruit and toast are your allies. And no fasting: the months of pregnancy are months for nourishing.
This trimester's practice
Neiguan — Inner Pass (PC6), the nausea point. On the inner forearm, 2 cun above the wrist crease, which is three finger-widths, between the two tendons that stand out when you make a fist. It is the opening point of a vessel that governs the chest and the stomach: it sends back "down" what is rising. It is also the point that anti-nausea wristbands press on.
The right touch, for all three points in this guide: the pad of your finger, light pressure, one minute on each side while breathing slowly, one to three times a day. Never painful, never on the belly or the lower back. And stick to these three points: others, such as Hegu (LI4) or Sanyinjiao (SP6), are traditionally avoided during pregnancy. Distances in cun are measured with your own fingers: see Measuring in cun.
Key takeaway. In the first trimester, your only mission is to conserve your energy. Everything you do not spend elsewhere goes into the foundations.
Second trimester — Blossoming
Weeks 15 to 28 · Moons 4 to 7
One morning, you wake up and… nothing. No nausea. You are hungry. You feel like going out.
Welcome to what many call the golden season of pregnancy. Your belly rounds out, your complexion brightens, and one day, a little bubble flutters below your navel.
The mission changes. It is no longer about holding on, but about building. And building takes materials.
How the trimester unfolds
Energy returns, around weeks 15 to 18. Your appetite comes back, the body has finished settling in. Tradition speaks of the moon of the Triple Burner, when the child builds its vessels. Time to eat well.
First movements, around weeks 18 to 22. Bubbles, flutters, then real kicks. It is also the time of the anatomy scan. The baby becomes real, and the pregnancy becomes visible to everyone.
The belly takes its place, around weeks 23 to 28. The uterus rises and pushes on the stomach, the center of gravity moves forward, the ligaments loosen. Your back starts to speak up. These are the moons of the Spleen, the Stomach and the Lung: nourish, walk, breathe.
The challenges of this trimester
Back, pelvis and sciatica
Your lower back aches by the end of the day. A buttock throbs. Sometimes the pain runs down your leg or settles at the pubic bone. It is the number one discomfort of mid-pregnancy.
Chinese medicine distinguishes two main patterns, and the difference changes everything.
- Fatigue pain. Dull, diffuse, worse at the end of the day, relieved by rest and warmth. The Kidneys are struggling to carry the load. Here, go easy: breaks, naps, a warm hot-water bottle on your back.
- Blockage pain. Sharper, more localized, worse when you stay still, better when you move. Qi and Blood are stagnating. Here, get things moving: walking, mobility, gentle stretches.
What helps:
- Move every day: walking, swimming, prenatal yoga.
- Cat-cow: on all fours, round your back as you breathe out, release as you breathe in. Ten times, slowly. Morning and evening.
- Sleep on your side, with a pillow between your knees.
- Sit down to put on your shoes, and bend your knees to pick things up.
- Change position every thirty minutes.
- Gentle warmth on your back, yes. On your belly, never.
If the pain comes in regular waves, or comes with a fever, it is no longer a back problem: your midwife first.
Heartburn
The uterus pushes the stomach upward, and progesterone relaxes the valve that closes it. In Chinese medicine: Stomach Qi rising, charged with heat.
- Cut down your portions and add a snack.
- Eat dinner early and light.
- Stay upright for an hour after meals.
- Raise the head of your bed.
- Spot your triggers: fatty, spicy, acidic, coffee, chocolate.
- Drink between meals rather than with them.
Cramps and heavy legs
The calf that knots up in the middle of the night. Heavy legs at the end of the day.
In Chinese medicine, the Liver governs the tendons, and nourishes them with its Blood. But that Blood is busy elsewhere. Less well nourished, the muscles tighten.
- During a cramp: straighten your leg and pull your toes toward you.
- Stretch your calves before bed.
- Drink regularly throughout the day.
- Put your feet up whenever you sit down.
- End your shower with a stream of cool water, from ankles to knees.
A red, hot, swollen calf on one side only is something else: get it checked without waiting.
A full head
The shopping list, the paperwork, the nursery to get ready. And now that it shows, everyone's advice.
Chinese physicians had a saying for this: "overthinking knots the Qi." Rumination exhausts the Spleen, the very organ that makes your energy. In other words, every hour spent worrying is paid for in fatigue.
- One list, and three priorities a week.
- One pregnancy-free hour a day: a book, a friend, a series.
- The right to answer "thanks, we'll see" to unsolicited advice.
- Shenmen in the evening, described below.
On your plate this trimester
This is the trimester of the plate: make the most of your returning appetite to build Blood. Cooked vegetables of every color, leafy greens, legumes, eggs, well-cooked meat and fish, grains. Chinese tradition adds long-simmered broths and Chinese dates (jujubes). A source of protein at every meal, three meals and one or two snacks.
This trimester's practice
Shenmen — Spirit Gate (HT7), the calming point. On the wrist crease, on the little-finger side, in the small hollow against the tendon, on its thumb side. It is the source point of the Heart, the "gate" through which the Shen is soothed. One minute on each side, in the evening, breathing slowly.
And cat-cow, morning and evening.
Key takeaway. In the second trimester, you build. Nourish Blood on your plate, move Qi through movement: this duo prepares a lighter third trimester.
Third trimester — Getting ready
Week 29 to birth · Moons 8 to 10
You get up from the couch in three moves. You know where the restroom is in every store in the neighborhood. And at three in the morning, while you stare at the ceiling, your baby is on the trampoline.
The last trimester is a strange mix: the body grows heavier, the mind grows impatient, and everything converges on a single moment. We return to the gentleness of the beginning, with one direction: preparing for the meeting.
How the trimester unfolds
Slowing down, around weeks 29 to 33. The baby gains weight, the uterus rises under your ribs. Your breath shortens, heartburn sets in, nights break up. The moon of the Large Intestine calls for calm: time to really ease off.
Nesting, around weeks 34 to 37. The hospital bag, the nursery, questions about the birth. The baby chooses its position. The moon of the Kidneys advises "loosening the belt": loose clothing, a slow pace, and an open door to help.
Waiting, from week 37. The baby drops, you breathe better, you sleep less. "Everything is in place, wait for the hour," says the tenth moon. Easier said than done!
The challenges of this trimester
Broken sleep
Your bladder, your belly, the kicks. And the three-in-the-morning thoughts.
For Chinese medicine, the Shen needs Yin and Blood to settle at night, the way a bird needs a branch. In late pregnancy, both are in high demand. Two patterns often show up:
- Blood running short. Trouble falling asleep, racing thoughts, mild palpitations, light sleep. The mind has nothing to anchor to.
- Yin overheating. Waking in the middle of the night, hot flashes, burning feet sticking out from under the covers, vivid dreams.
What helps:
- A short ritual, always the same: dim lights, screens off an hour before, a few slow breaths.
- A light dinner, and most of your drinking done before the evening.
- Pillows everywhere: between your knees, under your belly, behind your back. Lying on your side is the most comfortable position, and the one recommended in late pregnancy.
- If you have been awake for more than twenty minutes, get up, read under soft light, then go back to bed. Tossing and turning stirs up the Shen.
- A nap during the day, with no guilt whatsoever.
- Yintang at bedtime, described below.
Heavy legs and swollen feet
Ankles that swell by the end of the day, shoes that pinch. In Chinese medicine, it is the Spleen struggling to transform and move fluids, and the Kidneys struggling to clear them.
- Put your legs up several times a day.
- Walk a little every day: walking is the body's best pump.
- Rest lying on your side.
- Keep drinking regularly: cutting back does not help.
- Go easy on salt in processed food, and load up on cooked vegetables.
Sudden swelling of the face or hands, especially with headaches or vision problems, has nothing to do with the Spleen: your midwife needs to know the same day.
Shortness of breath and heartburn
The uterus takes up the room of the diaphragm and the stomach. Sit up straight, open your chest, slow your pace, split your meals. The second-trimester advice on heartburn still applies, and late pregnancy is often when it helps the most.
A pulling pelvis, a tightening belly
The baby's weight presses on the pelvis. And the uterus is practicing: now and then, the belly tightens, without pain or regularity, then relaxes. These are practice contractions.
- Lie down on your side as soon as your belly tightens: they ease with rest.
- Do pelvic tilts, sitting on a birth ball.
- Treat yourself to a warm bath, not a hot one.
- Less standing, more breaks.
Before week 37, contractions that become regular or painful are no longer practice: head to the maternity unit.
Fear of giving birth
Almost every woman feels it. Even those who say otherwise.
In Chinese medicine, fear belongs to the Kidneys, and it has a direction: it "makes the Qi descend," it drains your strength. Whatever reassures you, on the other hand, restores it. It is not a matter of willpower, it is a matter of preparation.
- Get your information from the right source: childbirth classes, a tour of the maternity unit.
- Write down what matters to you, and share it with the team.
- Practice the long exhale: breathe in for four counts, out for six to eight. It is the breath that carries you through contractions, and the one that calms you fastest.
- Sort out the practical side: hospital bag, route, care for older children. Every task done is one less thing to think about.
If your baby is breech
Many babies turn on their own until the eighth month. For those taking their time, Chinese medicine has a famous answer: moxibustion on the Zhiyin (BL67) point, at the edge of the little toe. It is warmed with a mugwort stick, traditionally between weeks 33 and 35.
What studies observe is interesting: a 2023 Cochrane review of 13 trials and 2,181 women concluded that, added to usual care, moxibustion probably reduces the number of babies still breech at birth. In France, however, obstetricians remain cautious and instead offer a manual turning technique (external cephalic version) from week 36.
If the idea appeals to you, talk to your midwife about it. It is a practice done under supervision, by a trained practitioner and with your care team's agreement, never alone at home.
Waiting
The last days are the longest. Two things to know to get through them:
- There is no recipe to "bring on" labor. No acupressure point, no herbal tea, no castor oil. The points said to encourage labor are kept for the big day.
- A baby does not move less "because it is running out of room." Its movements change in form, not in frequency. If your baby is moving less than usual, call the maternity unit, without waiting until the next day.
For the rest: walk, sleep, see your friends, and cook for the freezer. You will thank yourself in three weeks.
On your plate this trimester
Your stomach has less room: smaller meals, more often. Warm, cooked, easy to digest, and a light dinner for better nights. Keep Blood on your plate (legumes, well-cooked meat, cooked leafy greens), and start filling the freezer with broths and stews for afterward.
This trimester's practice
Yintang — Hall of Impression (EX-HN3), the sleep point. Between the eyebrows. An extra point, outside the meridians, known for calming the mind within a few breaths. Here, no pressure: tiny, very gentle circles for one minute as you go to bed.
Key takeaway. In the third trimester, there is nothing to gain by forcing. The body knows where it is going: your job is to save its strength for the last mile.
On your plate: nourish without weighing down
In Chinese dietetics, digestion is a gentle fire under a pot. This fire makes Qi and Blood. During pregnancy, it is cooking for two.
The whole art lies in tending it: do not drown it with cold and raw food, do not smother it with fat and sugar, feed it regularly. Nothing more, nothing less.
Five principles
- Cooked and warm when digestion is tired. Soups, broths, stewed vegetables, well-cooked grains: the pot has less work to do, leaving more energy for everything else.
- Regularity over quantity. Three meals and one or two snacks are better than two big meals. The Spleen likes a schedule.
- Simplicity. Few ingredients, few sauces, gentle cooking.
- Color. The orange of carrots, squash and sweet potatoes. The green of cooked spinach and broccoli. The deep red of beets and lentils. In TCM, these are the colors that nourish Blood.
- No dogma. If you digest a salad or fresh fruit very well, keep them. Chinese medicine adapts the plate to the person, not the other way around.
The reference plate: half cooked vegetables, a quarter grains or starches, a quarter protein, a drizzle of good oil.
A word on food safety: your midwife or doctor has given you the list of precautions against listeria and toxoplasmosis (raw-milk cheeses, raw meat and fish, cured meats…). It takes priority over everything that follows. And one point where tradition must step aside: liver, a Chinese classic for "nourishing Blood," should be limited during pregnancy because of its vitamin A content.
Four basic recipes
The comfort bowl (rice, carrot and squash congee)
The ultimate convalescence dish in China. Rinse half a glass of rice and cook it over very low heat in four glasses of water, with a diced carrot and a piece of squash, a pinch of salt and, if you like it, a thin slice of ginger. Allow 45 minutes, stirring now and then, until creamy. A drizzle of olive oil, a few sesame seeds. Ideal on nauseous mornings.
Vegetable broth with small grains
Sauté a sliced leek in a little oil. Add a diced carrot, turnip and celery stalk, cover with water and add salt. After 15 minutes, add a handful of einkorn or rice and simmer until tender. Parsley just before serving. Freezes very well: think of it for after the birth.
Warm pear and apple compote
One pear and one apple in pieces, a splash of water, half a vanilla bean. Ten to fifteen minutes covered, no added sugar. Cooked fruit is fruit made digestible: all the sweetness, none of the cold.
Oat porridge with cooked fruit
Four tablespoons of rolled oats, a glass of milk, half a grated apple. Five minutes over low heat, stirring. Top with chopped walnuts and a pinch of sesame. A warm breakfast that keeps you going until lunch.
If you have gestational diabetes: very soft porridges raise blood sugar quickly. Keep the spirit and adapt the recipe: half the grains, red lentils or chickpeas, an egg or some chicken on top, whole fruit rather than compote. And your dietitian's advice comes first.
Snacks that save the day
A handful of almonds or walnuts. A plain yogurt. A slice of whole-grain bread with hard cheese. A hard-boiled egg. A banana. A bowl of reheated broth.
What to drink?
Water, throughout the day. Warm or hot if you like: it is an old Chinese habit, and your stomach appreciates it. For herbal teas, the same rule applies as for all herbs during pregnancy: ask first.
The ten-minute ritual
Ten minutes a day, always the same, are worth more than a big program abandoned after a week. This ritual works across all three trimesters. Only the point changes.
- 1. Breathe, two minutes. Sitting, or lying on your side, hands on your belly. Five seconds in, five seconds out.
- 2. Loosen up, two minutes. Ten rounds of cat-cow on all fours. Or slow shoulder circles if you are at the office.
- 3. Drink, one minute. A glass of warm water, in small sips.
- 4. Press, two minutes. The point of the trimester: Neiguan in the first, Shenmen in the second, Yintang in the third.
- 5. Put your feet up, two minutes. Feet on a stool or a cushion, back supported.
- 6. Take note, one minute. A word about your day, your energy, your baby.
The best time? The one you will stick to.
After the birth: the golden month
The baby is here. Everyone is looking at the baby. And you?
In the West, a new mother is often expected to "bounce back" within days. China made a radically different choice: it devotes a whole month to the mother, the zuo yuezi, literally "sitting the month." The new mother is surrounded, kept warm and fed. And excused from everything else.
Why a whole month?
For Chinese medicine, giving birth empties you. It takes Blood, a great deal of Qi, and draws on the Essence. The body is left "open": pores dilated, defenses lowered, and cold and wind get in more easily. What you rebuild in those weeks, you keep for a long time. What you neglect, says tradition, you pay for later.
The spirit of the golden month
- Truly rest. Sleep when the baby sleeps. Lie down whenever you can. Everything else can wait.
- Stay warm. Feet covered, hot drinks, no drafts, no wet hair in the cold.
- Eat warm, nourishing food. Time for long-simmered broths, chicken and ginger soup, eggs, congee, Chinese dates. And everything you tucked away in the freezer.
- Let yourself be surrounded. The best visits are the ones that bring a meal or hang up a load of laundry. The others can wait until next month.
Keep the spirit, not the letter. Some old rules, like not washing or not leaving bed for a month, are not to be followed: hygiene and a few steps every day are part of a good recovery.
Mood, another Blood to rebuild
The easy tears of the first days, the famous baby blues, are so common they are almost the rule. Chinese medicine sees depleted Blood that no longer nourishes the Shen enough. Rest, warmth and good food usually settle them within a few days.
If sadness lingers beyond two weeks, or returns in the months that follow, it is no longer just a matter of Blood: talk to your midwife or your doctor. This also concerns fathers, more often than people think.
Knowing the difference
Throughout this guide, you have come across discomforts: nausea, fatigue, back pain, heavy legs, broken nights. They are part of the journey, and Chinese medicine has a lot to offer to ease them.
But a good practitioner also knows the limits of their field. Three criteria to help you find your way.
Intensity. A discomfort bothers you; it does not stop you from living. Severe pain, vomiting that keeps you from drinking, fainting: you are outside the scope of this guide's practices.
Nature. Fatigue, nausea, heaviness, emotions: familiar territory. Bleeding, fluid leakage, fever, a violent headache with vision problems, sudden swelling, a baby moving less than usual: signs to get checked without waiting.
Rhythm. A discomfort comes and goes. Contractions coming at regular intervals before term, sadness that lingers for more than two weeks: talk to your midwife.
When in doubt, your midwife is your first point of contact. The practices in this guide come in addition, never instead.
Final word
Nine months is long, and it is short. You do not have to do everything perfectly. If you were to keep only three things from this guide: eat warm and simple, rest without guilt, and listen to what your body is telling you.
Chinese medicine does not do the pregnancy for you. It simply helps your body accomplish, in the best possible conditions, what it has always known how to do.
To keep exploring: the acupressure point atlas and the rest of ZN Academy.
Frequently asked questions
Hegu (LI4), Sanyinjiao (SP6), Jianjing (GB21), Kunlun (BL60), Zhiyin (BL67), as well as the sacrum and the lower abdomen. Tradition associates them with the descent of Qi: they are kept for labor. During pregnancy, stick to gentle points such as Neiguan, Shenmen and Yintang.
In early pregnancy, the Chong Mai, the "Sea of Blood," fills up and drags the Stomach Qi upward. Depending on the person's constitution, nausea takes the form of a tired Stomach, Liver heat or Phlegm.
Yes, with a practitioner trained in pregnancy care and with your midwife's agreement. Many maternity units also have midwives trained in acupuncture.
A 2023 Cochrane review concluded that it probably reduces the number of breech babies at birth. It is done under supervision, with your midwife's agreement.
Warm, cooked, simple and regular food: soups, broths, stewed vegetables, well-cooked grains and protein, while following the food-safety precautions from your prenatal care.
Not on your own. Many are not recommended during pregnancy, Chinese herbal medicine included: everything is decided with a healthcare professional.
Zuo yuezi, the Chinese tradition of rest after giving birth: a month to rest, stay warm, eat warm and nourishing food, and rebuild Qi and Blood.
