断脐，必以绵裹咬断为妙。如遇天寒，或因难产，母子劳倦，宜以大麻油纸拈，徐徐烧断，以助元气。虽儿已死，
令暖气入脐，多得生，切勿以刀断之。
滑胎散 临月常服数剂以便易生
当归（三、五钱） 川芎（五、七钱） 杜仲（二钱） 熟地（三钱） 枳壳（七分） 山药（二钱）
水二钟，煎八分，食前温服。如气虚体弱人，加人参、白术，随宜服之；如便实多带滞者，加牛膝二钱。
歌括∶滑胎散用当归片，川芎熟地山药研。
杜仲枳壳同加入，临月常服效如仙。
治产秘验良方
治横生逆产，至数日不下，一服即下；有未足月，忽然胎动，一服即安；或临月先服一服，保护无虞，更能治
胎死腹中，及小产伤胎无乳者，一服即如原体。
全当归 川芎（各一钱五分） 川贝母（一钱，去心） 荆芥穗 黄 （各八分） 浓朴（姜炒） 菟丝
子（一钱二分） 蕲艾 红花（各七分） 甘草（五分） 羌活（六分，面炒） 枳壳（六分，面炒） 白芍
（一钱二分，冬月不用）
上十三味，只用十二味，不可加减。安胎去红花；催生去蕲艾，用井水钟半，姜三片为引，热服，渣用水一钟
煎半钟热服。如不好，再用水一钟煎半钟，服之即效，不用二剂。
歌括∶治产秘验一良方，临月先服保无殃。
横生逆产伤胎症，煎服一剂效便彰。
归芎川贝芥穗良，黄 红花浓朴羌。
艾叶枳壳菟丝子，芍药甘草引用姜。
催生兔脑丸 治横生逆产神效。
腊月兔脑髓（一个） 母丁香（一个） 乳香（一钱，另研） 麝香（一分）
兔脑为丸，芡实大，阴干密封，用时以温酒送下一丸。
歌括∶催生兔脑腊月良，乳香麝香母丁香。
兔脑为丸芡实大，密封用时温酒尝。
夺命丹
临产未产时，目翻口噤，面黑唇青，口中吐沫，命在须臾。若脸面微红，子死母活，急用∶
蛇退 蚕故子（烧灰不存性） 发灰（一钱） 乳香（五分）
共为细末，酒下。
歌括∶夺命丹用蛇退良，蚕子发灰与乳香。
共为细末酒送下，子死能保母命康。
加味芎归汤 治子宫不收，产户不闭
人参（二钱） 黄 （一钱） 当归（二钱） 升麻（八分） 川芎（一钱） 炙草（四分） 五味子（十五粒）
再不收，加半夏八分，白芍八分酒炒。
歌括∶子宫不收产门张，急用加味芎归汤，
人参黄 炙甘草，升麻五味共煎尝。
新产治法
生化汤先连进二服。若胎前素弱妇人，见危症热症堕胎，不可拘帖数，服至病退乃止。若产时劳甚，血崩形脱，即
加人参三、四钱在内，频服无虞。若气促亦加人参，加参于生化汤者，血块无滞，不可以参为补而弗用也。有治产不用
当归者，见偏之甚。此方处置万全，必无一失。世以四物汤治产，地黄性寒滞血，芍药微酸无补，伐伤生气，误甚。
产后用药十误
一因气不舒而误用耗气顺气等药，反增饱闷，陈皮用至五分，禁枳实、浓朴；
二因伤气而误用消导，反损胃气，至绝谷，禁枳壳、大黄、蓬、棱、曲、朴；
三因身热而误用寒凉，必致损胃增热，禁芩、连、栀、柏、升柴；
四因日内未曾服生化汤，勿用参、 、术，以致块痛不消；
五毋用地黄以滞恶露；
六毋用枳壳、牛膝、枳实以消块；
七便秘，毋用大黄、芒硝；
八毋用苏木、棱、蓬以行块、芍药能伐气。不可用；
九毋用山楂汤以攻块定痛，而反损新血；
十毋轻服济坤丹以下胎下胞。
产后危疾诸症，当频服生化汤，随症加减，照根据方论。
产后寒热
凡新产后，荣卫俱虚，易发寒热，身痛腹痛，决不可妄投发散之剂，当用生化汤为主，稍佐发散之药。产后脾虚，
易于停食，以致身热，世人见有身热，便以为外感，遽然发汗，速亡甚矣，当于生化汤中加扶脾消食之药。大抵产后先
宜补血，次补气。若偏补气而专用参 ，非善也。产后补虚，用参、 、芎、归、白术、陈皮、炙草，热轻则用茯苓淡
渗之药，其热自除，重则加干姜。或云大热而用姜何也？曰此热非有余之热，乃阴虚内生热耳。盖干姜能入肺分，利肺
气，又能入肝分，引众药生血，然必与阴血药同用之。产后恶寒发热腹痛者，当主恶血；若腹不痛，非恶血也。
产后寒热，口眼歪邪，此乃气血虚甚，以大补为主。左手脉不足，补血药多于补气药；右手脉不足，补气药多
于补血药，切不可用小续命等发散之药。
胎前患伤寒疫症疟疾堕胎等症
胎前或患伤寒、疫症、疟疾，热久必致堕胎，堕后愈增热，因热消阴血，而又继产失血故也。治者甚勿妄论伤
寒、疟疫未除，误投栀子豉汤、柴、芩、连、柏等药。虽或往来潮热，大小便秘，五苓、承气等药，断不可用。只
重产轻邪，大补气血，频服生化汤。如形脱气脱，加生脉散以防血晕。盖川芎味辛能散，干姜能除虚火，虽有便秘
烦渴等症，只多服生化汤，自津液生而二便通矣。若热用寒剂，愈虚中气，误甚。
Umbilical cord severing should ideally be done by wrapping the cord in cotton and biting it off. If the weather is cold, or due to difficult labor causing fatigue in both mother and child, one should use a paper wick soaked in hemp seed oil to slowly burn through the cord, thereby assisting the recovery of Yuan Qi (Original Qi). Even if the fetus has died, allowing warmth to enter the navel area increases the likelihood of the mother's survival; do not cut it with a knife.
Hua Tai San (Slippery Fetus Powder): Take several doses regularly near term to facilitate easy delivery.
Ingredients: Dang Gui (Angelicae Sinensis Radix) [3-5 qian], Chuan Xiong (Ligustici Chuanxiong Rhizoma) [5-7 qian], Du Zhong (Eucommiae Cortex) [2 qian], Shu Di Huang (Rehmanniae Radix Praeparata) [3 qian], Zhi Qiao (Aurantii Fructus) [7 fen], Shan Yao (Dioscoreae Rhizoma) [2 qian].
Preparation: Decoct two bowls of water until reduced to 80%. Take warm before meals. For those with Qi deficiency and weak constitutions, add Ren Shen (Ginseng Radix et Rhizoma) and Bai Zhu (Atractylodis Macrocephalae Rhizoma), adjusting as appropriate. For those with dry stools and stagnation, add Niu Xi (Achyranthis Bidentatae Radix) 2 qian.
Verse: Hua Tai San uses slices of Dang Gui, along with Chuan Xiong, Shu Di, and Shan Yao ground together. Add Du Zhong and Zhi Qiao; taking this regularly near term yields miraculous effects.
Secret Effective Prescription for Delivery
Used for transverse or malpresentations that have persisted for days without delivery; one dose results in immediate delivery. For premature fetal restlessness, one dose calms it. Taking one dose near term protects against complications. It also treats intrauterine fetal death and post-miscarriage conditions where lactation fails; one dose restores the original state.
Ingredients: Quan Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma) [1.5 qian each], Chuan Bei Mu (Fritillariae Cirrhosae Bulbus) [1 qian, heart removed], Jing Jie Sui (Schizonepetae Spica) [8 fen], Huang Qi (Astragali Membranacei Radix) [8 fen], Hou Po (Magnoliae Officinalis Cortex) [processed with ginger] [8 fen], Tu Si Zi (Cuscutae Semen) [1.2 qian], Qi Ai (Artemisiae Argyi Folium) [7 fen], Hong Hua (Carthami Flos) [7 fen], Gan Cao (Glycyrrhizae Radix et Rhizoma) [5 fen], Qiang Huo (Notopterygii Rhizoma et Radix) [6 fen, stir-fried with flour], Zhi Qiao (Aurantii Fructus) [6 fen, stir-fried with flour], Bai Shao (Paeoniae Radix Alba) [1.2 qian, omit in winter].
Of the thirteen ingredients listed, only twelve are used; do not arbitrarily add or subtract. For fetal stabilization, remove Hong Hua. For promoting labor, remove Qi Ai; use half a bowl of well water and three slices of fresh ginger as guides, take hot. The dregs can be decocted again with one bowl of water until half remains, taken hot. If ineffective, repeat the second decoction; it will work immediately without needing a second dose.
Verse: A secret effective prescription for delivery, taken near term ensures safety. For transverse or malpresentations affecting the fetus, one dose shows clear efficacy. Dang Gui, Chuan Xiong, Chuan Bei, Jing Jie Sui are good; Huang Qi, Hong Hua, Hou Po, Qiang Huo. Qi Ye, Zhi Qiao, Tu Si Zi, Shao Yao, Gan Cao, with ginger as a guide.
Cu Sheng Tu Nao Wan (Labor-Promoting Rabbit Brain Pill): Miraculous for transverse or malpresentations.
Ingredients: Rabbit brain marrow from the twelfth lunar month (one piece), Mu Ding Xiang (Syzygii Aromatici Flos) (one piece), Ru Xiang (Olibanum) [1 qian, separately ground], She Xiang (Moschus) [1 fen].
Form rabbit brain into pills the size of Euryale Seed (Qian Shi), dry in shade, seal tightly. Take one pill with warm wine when needed.
Verse: Rabbit brain pills made in the twelfth lunar month are excellent; Ru Xiang, She Xiang, Mu Ding Xiang. Formed like Euryale seeds, sealed tight, taken with warm wine.
Ming Dan (Life-Snatching Pill)
Used during labor or just before, for symptoms such as eyes rolling back, jaw clenching, black face, blue lips, foaming at the mouth, indicating imminent death. If the face is slightly red, it indicates fetal death but maternal survival; urgently use:
Ingredients: She Tui (Bombyx Batryticatus / Snake Slough - *Note: Text says She Tui which is snake slough*), Can Sha (Bombyx Batryticatus / Silkworm Excrement) [burnt to ash but retaining nature], Fa Hui (Hair Ash / Sanguis Carbonisatum) [1 qian], Ru Xiang (Olibanum) [5 fen].
Grind into fine powder, take with wine.
Verse: Ming Dan uses She Tui effectively, combined with Can Sha, Fa Hui, and Ru Xiang. Grind to powder, take with wine; even if the fetus dies, the mother's life is preserved.
Jia Wei Xiong Gui Tang (Modified Xiong Gui Decoction): Treats uterine prolapse and open cervix/vagina.
Ingredients: Ren Shen (Ginseng Radix et Rhizoma) [2 qian], Huang Qi (Astragali Membranacei Radix) [1 qian], Dang Gui (Angelicae Sinensis Radix) [2 qian], Sheng Ma (Cimicifugae Rhizoma) [8 fen], Chuan Xiong (Ligustici Chuanxiong Rhizoma) [1 qian], Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) [4 fen], Wu Wei Zi (Schisandrae Chinensis Fructus) [15 grains].
If still not retracting, add Ban Xia (Pinelliae Rhizoma) 8 fen and Bai Shao (Paeoniae Radix Alba) 8 fen (wine-fried).
Verse: Uterus not retracting, birth canal open; urgently use Jia Wei Xiong Gui Tang. Ren Shen, Huang Qi, Zhi Gan Cao, Sheng Ma, Wu Wei Zi decocted together.
Treatment Methods for New Postpartum
Sheng Hua Tang (Transforming the Stasis Decoction) should be taken consecutively for two doses initially. For women who were constitutionally weak before pregnancy and experience dangerous or heat syndromes leading to miscarriage, do not restrict the number of doses; continue until the illness recedes. If exhaustion during labor leads to severe bleeding and collapse, add Ren Shen (Ginseng Radix et Rhizoma) 3-4 qian and take frequently without worry. If shortness of breath occurs, add Ren Shen. The reason for adding Ginseng to Sheng Hua Tang is to prevent blood stasis; do not avoid it simply because it is a tonic. Some practitioners avoid Dang Gui in postpartum care, which is a serious error. This formula is comprehensive and infallible. People often use Si Wu Tang (Four Substances Decoction) for postpartum care; however, Shu Di Huang (Rehmanniae Radix Praeparata) is cold and causes stagnation, and Bai Shao (Paeoniae Radix Alba) is slightly sour and lacks tonifying properties, potentially damaging vital Qi, which is a major mistake.
Ten Errors in Postpartum Medication
1. Error due to Qi stagnation: Using Qi-consuming or Qi-moving herbs incorrectly increases bloating. Chen Pi (Citri Reticulatae Pericarpium) should not exceed 5 fen; Zhi Shi (Aurantii Fructus Immaturus) and Hou Po (Magnoliae Officinalis Cortex) are forbidden.
2. Error due to Qi injury: Using digestive herbs incorrectly damages Stomach Qi, leading to loss of appetite. Zhi Qiao (Aurantii Fructus), Da Huang (Rhei Radix et Rhizoma), Peng Lang (Curcumae Zedoariae Rhizoma / Curcumae Longae Rhizoma), Qu (Medicated Leaven), and Hou Po are forbidden.
3. Error due to body heat: Using cold/cool herbs incorrectly damages Stomach Qi and increases heat. Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), Zhi Zi (Gardeniae Fructus), Huang Bo (Phellodendri Cortex), Sheng Ma (Cimicifugae Rhizoma), and Chai Hu (Bupleuri Radix) are forbidden.
4. Not having taken Sheng Hua Tang within the day: Do not use Ren Shen, Huang Qi, or Bai Zhu, otherwise stasis pain will not resolve.
5. Do not use Shu Di Huang as it causes stagnation of lochia.
6. Do not use Zhi Qiao, Niu Xi (Achyranthis Bidentatae Radix), or Zhi Shi to eliminate stasis.
7. For constipation, do not use Da Huang or Mang Xiao (Natrii Sulfas).
8. Do not use Su Mu (Sappan Lignum), Leng (Sanleng), or Peng (Ezhu) to move stasis; Shao Yao inhibits Qi and should not be used.
9. Do not use Shan Zha Tang (Hawthorn Decoction) to attack stasis and relieve pain, as it damages new blood.
10. Do not lightly administer Ji Kun Dan to expel the fetus or placenta.
For critical postpartum conditions, frequently administer Sheng Hua Tang, modifying according to symptoms based on the standard formula discussion.
Postpartum Chills and Fever
After recent childbirth, Ying (Nutritive Qi) and Wei (Defensive Qi) are both deficient, making chills and fever, body pain, and abdominal pain common. Never recklessly administer dispersing agents. Use Sheng Hua Tang as the main formula, slightly supplemented with dispersing herbs. Postpartum Spleen deficiency easily leads to food stagnation causing fever. Laypeople see fever and assume exterior contraction, inducing sweat immediately, which accelerates death. One should add Spleen-fortifying and food-digesting herbs to Sheng Hua Tang. Generally, postpartum treatment prioritizes nourishing Blood, then tonifying Qi. Relying solely on Ren Shen and Huang Qi for Qi tonification is not ideal. For postpartum deficiency, use Ren Shen, Huang Qi, Chuan Xiong, Dang Gui, Bai Zhu, Chen Pi, and Zhi Gan Cao. For mild heat, use Fu Ling (Poria) for leaching out dampness, and the heat will subside. For severe heat, add Gan Jiang (Zingiberis Rhizoma). Why use Ginger for great heat? This heat is not excess heat, but deficiency heat generated internally due to Yin deficiency. Gan Jiang enters the Lung meridian to benefit Lung Qi, and the Liver meridian to guide other herbs in generating Blood, but must be used with Yin-nourishing and Blood-tonifying herbs. For postpartum chills, fever, and abdominal pain, treat the evil blood (stasis); if there is no abdominal pain, it is not stasis.
For postpartum chills and fever accompanied by facial paralysis (deviation of mouth and eyes), this indicates severe Qi and Blood deficiency; treat with strong tonification. If the Left hand pulse is deficient, use more Blood-nourishing than Qi-tonifying herbs. If the Right hand pulse is deficient, use more Qi-tonifying than Blood-nourishing herbs. Never use dispersing formulas like Xiao Xu Ming Tang (Minor Continuation of Life Decoction).
Prepartum Conditions: Cold Damage, Epidemic Diseases, Malaria, Miscarriage, etc.
If prepartum conditions include Cold Damage (Shang Han), epidemic diseases, or malaria, prolonged heat inevitably leads to miscarriage. After miscarriage, heat increases further because heat consumes Yin Blood, followed by blood loss from delivery. Practitioners must not wrongly argue that Cold Damage or malaria pathogens remain and mistakenly administer Zhi Zi Chi Tang (Gardenia and Soybean Decoction), Chai Hu, Huang Qin, Huang Lian, or Huang Bo. Even if there are alternating tidal fevers or constipation of urine and stool, Wu Ling San (Five-Ingredient Powder with Poria) and Cheng Qi Tang (Order the Qi Decoction) are absolutely contraindicated. Prioritize postpartum care over pathogenic factors; strongly tonify Qi and Blood, and frequently administer Sheng Hua Tang. If there is collapse of form and Qi, add Sheng Mai San (Generate Pulse Powder) to prevent blood syncope. Chuan Xiong is pungent and dispersing; Gan Jiang dispels deficiency fire. Even with constipation and thirst, frequent administration of Sheng Hua Tang generates fluids and unblocks bowels and bladder. Using cold remedies for heat further damages Middle Qi, which is a grave error.