交骨不开者。有锁骨也。因血虚不能运达。故不开。令稳婆以麻油调滑石。涂入产门中。
或
加
当归（五钱） 川芎（三钱） 自败龟板（童便炙酥三钱） 妇人头发（一握烧灰存性）
水煎服。如人行五里地时即生。如无自败龟板。药肆中所买者。亦可代用。
（方见胎消症）
产后病苦杂乱。金匮中着产后三病。最为简括。一者病痉。二者病郁冒。三者病大便难。
悉
令
神
痰
并
坐
冲胃。则呕恶饱闷。腹满胀痛。失笑散平胃散治之。若腹胀而兼呕逆者。因败血已化为水。
在
者
务
故
症
之
之症
后
有表
多致
似外
确有
和之
尤
进
即
情
多。
重矣。
产者。
跌扑损
恐瘀
平素体
宜暖。
连进生
当归（八钱） 川芎（四钱） 桃仁（十三粒） 姜炭（五分） 炙甘草（五分）
用水三钟。煎至八分。加无灰陈酒三四匙。冲入而服。须产后二个时辰内服之。可免变
幻。
治胞衣不下。肘萆麻肉（二钱） 雄黄（二钱）共研成膏。涂母足心。胞衣即下。一下
即宜洗去为要。
治胞衣不下。以益母草一味连根叶花于当风处阴干为末。蜜丸。弹子大。每服一丸
化汤冲服。
（自制）
治产后胃燥亡津液。大便结闭。
制军（三钱） 川芎（三钱） 全当归（六钱） 桃仁泥（二钱） 炮姜（五分） 炙
甘草（五分）
水煎。加酒三匙冲。
When the pubic symphysis fails to separate, it is due to blood deficiency preventing the Qi and Blood from reaching the area, thus causing the birth canal to remain closed. In this case, a midwife should mix talcum powder (Hua Shi) with sesame oil and apply it inside the birth canal.
Alternatively, administer the following prescription:
Dang Gui (Angelicae Sinensis Radix, 5 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 3 qian), Zi Bai Gui Ban (Plastri Testudinis et Carapacis Trionycis, roasted in child's urine until crisp, 3 qian), Fu Ren Fa Tui (Cinis Capillorum Humani, burnt to ash retaining its properties, one handful).
Decoct in water and take orally. If the patient walks for a distance equivalent to five li, delivery will occur. If self-fallen turtle shell is unavailable, commercially purchased turtle shell may be used as a substitute.
(See "Tai Xiao Zheng" chapter for this formula.)
Postpartum diseases are complex. The *Jin Gui Yao Lue* summarizes them into three main conditions: first, spasm (Jing); second, depression and dizziness (Yu Mao); third, difficulty in defecation (Da Bian Nan).
If there is mental cloudiness, phlegm turbidity, and Qi rebelling upward to the Stomach, symptoms such as vomiting, nausea, fullness, abdominal distension, and pain may occur. These can be treated with Shixiao San and Ping Wei San. If abdominal distension is accompanied by vomiting and belching, it indicates that stagnant blood has transformed into fluid retention, which signifies a severe condition.
In cases of traumatic injury causing blood stasis, or in patients with a constitution prone to heat, warmth should be maintained. Continuously administer Sheng...
Dang Gui (Angelicae Sinensis Radix, 8 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 4 qian), Tao Ren (Persicae Semen, 13 grains), Jiang Tan (Carbonized Zingiberis Rhizoma, 5 fen), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma, 5 fen).
Decoct in three zhong of water until reduced to eight fen. Add three or four spoons of aged wine without sediment, mix well, and take orally. This must be taken within two shichen (four hours) after delivery to prevent unpredictable complications.
To treat retained placenta: Take Zhou Bi Ma Rou (2 qian) and Xiong Huang (Realgar, 2 qian), grind together into a paste, and apply to the sole of the mother's foot. The placenta will be expelled immediately. Once expelled, it is crucial to wash off the medication promptly.
To treat retained placenta: Use only Yi Mu Cao (Leonuri Herba), including roots, leaves, and flowers. Dry them in the shade in a ventilated place, grind into fine powder, and form pills with honey, sized like quail eggs. Take one pill per dose, dissolved in decoction and taken orally.
(Self-made formula)
To treat postpartum stomach dryness leading to depletion of body fluids and constipation:
Zhi Jun (Rhei Radix et Rhizoma processed with wine, 3 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 3 qian), Quan Dang Gui (Angelicae Sinensis Radix, 6 qian), Tao Ren Ni (Persicae Semen paste, 2 qian), Pao Jiang (Prepared Zingiberis Rhizoma, 5 fen), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma, 5 fen).
Decoct in water, add three spoons of wine, mix, and take orally.