交骨不开，产门不闭，皆元气素弱，胎前失调，以致血气不能运达而然。交骨
不开，阴气虚。（宜加味芎归汤、补中益气汤、龟壳散之类。）产门不闭，气血虚。（宜十全大补汤。）
子死腹中者，多因惊动太早，或犯禁忌，致令产难。胞浆已破，无血养胎，枯
涸而死。须验产母舌青黑，其胎死矣，当下之。（宜平胃散加朴硝，千金神造汤，半夏汤之类。）大
法寒者，热以行之。热者，凉以行之。燥者，滑以润之。危急者，毒药下之。下宜朴硝之类。
临产束胎，瘦敛则易生（宜束胎丸、达生散、张氏方、保生无忧散、神寝丸之类。）
催生大法，滑以流通涩滞，苦以驱逐闭塞，香以开窍逐血。气滞者行气。胞浆
先破，疾困者固血。（宜佛手散、三合济生汤、黑神散、阿胶赤小豆汤、兔脑丸、如神散、黄金散之类。）
凡产毕，饮热童便一盏，不得便卧，宜闭目坐。须臾上床，宜仰卧，不宜侧。
宜竖膝，未可伸足。高倚床头，浓铺 褥。遮围四壁，使无孔隙，免致贼风。及以
醋涂鼻，或用醋炭及烧漆器。更以手从心掩按至脐下，使恶露不滞。如此三日，以
防血晕、血逆。不问腹痛不痛，有病无病，以童便和酒半盏，温服五七服。酒虽行
血，亦不可多，能发昏晕。宜频食白粥少许。一月后，宜食羊肉、猪蹄少许。仍慎
言语七情、寒暑、梳头、洗足，以百日为度。若气血素弱者，不计日月，否则患手
足、腰腿 痛等证，名曰蓐劳，最难治疗。初产时，不可问是男是女，恐因言语而
泄气，或以爱憎而动气，皆能致病。不可独宿，恐致虚惊。不可括舌，恐伤心气。
不可漱齿，恐致血逆。须气血平复，方可治事。犯时微若秋毫，成病重如山岳，可
不戒哉。产妇将息如法，脏腑调和，庶无疾苦。须先服黑神散，四物汤。若壮热头
痛，此乳脉将行。头目不清，是血晕，用清魂散。粥食不美，是胃气虚。（宜六君子汤、当归建中
汤。陈藏器云∶渍苎汁与产妇服之，将苎麻与妇人枕之，止血晕。产妇腹痛，置苎于腹上则止。）
Jiaogu bu kai (failure of the pubic symphysis to open), and chanmen bu bi (failure of the vaginal opening to close), are both caused by inherent weakness of Yuan Qi (Original Qi) and improper regulation during pregnancy, resulting in the inability of Blood and Qi to circulate and reach their destinations. Jiaogu bu kai indicates deficiency of Yin Qi. (Suitable formulas include Jia Wei Xiong Gui Tang [Modified Ligusticum and Angelica Decoction], Bu Zhong Yi Qi Tang [Tonify the Middle and Augment the Qi Decoction], Gu Ke San [Turtle Shell Powder], etc.) Chanmen bu bi indicates deficiency of Qi and Blood. (Suitable formula is Shi Quan Da Bu Tang [Great Tonifying Decoction for Ten Deficiencies].)
Fetus death in the abdomen often results from premature fright or violation of taboos, leading to difficult labor. After the amniotic sac has ruptured, lack of blood nourishment causes the fetus to wither and die. One must examine if the mother's tongue is cyanotic and black; if so, the fetus is dead, and purgation should be employed. (Suitable formulas include Ping Wei San [Calm the Stomach Powder] with Po Xiao [Mirabilite], Qian Jin Shen Zao Tang [Thousand Gold Divine Creation Decoction], Ban Xia Tang [Pinellia Decoction], etc.) The general principle is: for cold conditions, use hot agents to promote circulation; for heat conditions, use cool agents to promote circulation; for dryness, use slippery agents to moisten; for critical emergencies, use toxic agents to purge. Purging should involve agents like Po Xiao.
During late pregnancy, binding the fetus (Shu Tai) to make it slender and contracted facilitates easier delivery. (Suitable formulas include Shu Tai Wan [Fetus-Binding Pill], Da Sheng San [Generate Life Powder], Zhang Shi Fang [Master Zhang's Formula], Bao Sheng Wu You San [Protect Life Without Worry Powder], Shen Qin Wan [Divine Sleep Pill], etc.)
The general method for inducing labor involves: using slippery substances to unblock stagnation, bitter substances to drive away obstruction, and aromatic substances to open orifices and expel stasis. For Qi stagnation, promote Qi movement. If the amniotic sac ruptures prematurely and the condition is urgent, consolidate the Blood. (Suitable formulas include Fo Shou San [Buddha's Hand Powder], San He Ji Sheng Tang [Three Harmonies Generating Life Decoction], Hei Shen San [Black Divine Powder], E Jiao Chi Xiao Dou Tang [Donkey-Hide Gelatin and Red Adzuki Bean Decoction], Tu Nao Wan [Rabbit Brain Pill], Ru Shen San [Like God Powder], Huang Jin San [Golden Powder], etc.)
After delivery, drink one cup of hot Tong Bian (Child's Urine). Do not lie down immediately; instead, sit quietly with eyes closed. After a short while, go to bed in a supine position, not lateral. Keep knees upright and do not extend legs fully. Lean high against the headboard, with thick bedding. Seal all walls to prevent gaps, avoiding invasion by Zei Feng (Robber Wind). Apply vinegar to the nose, or use vinegar charcoal or burnt lacquerware. Additionally, press with hands from the heart area down to below the navel to prevent stagnation of E Lu (Lochia). Maintain this for three days to prevent Xue Yun (Blood Fainting) and Xue Ni (Blood Reversal). Regardless of abdominal pain or health status, take half a cup of Tong Bian mixed with wine, warm and taken five to seven times. Although wine promotes Blood circulation, do not consume too much, as it can induce fainting. Frequently consume small amounts of white rice porridge. After one month, consume small amounts of mutton and pig trotters. Continue to be cautious regarding speech, Seven Emotions (Qi, Joy, Worry, Thought, Sadness, Fear, Fright), temperature changes, hair combing, and foot washing, for a period of one hundred days. If Qi and Blood are inherently weak, regardless of time elapsed, otherwise symptoms such as limb, waist, and leg pain may occur, known as Ru Lao (Postpartum Asthenia), which is difficult to treat. At the time of birth, do not ask about the gender, lest speech leak Qi or love/hatred stir Qi, both causing disease. Do not sleep alone, lest虛惊 (Empty Fright) occur. Do not retract the tongue, lest Heart Qi be damaged. Do not rinse teeth, lest Blood Reversal occur. Only when Qi and Blood have stabilized should one resume daily activities. Violations at first are slight as autumn down, but resulting diseases are heavy as mountains. Can one not be vigilant? If the puerpera rests according to proper methods and internal organs harmonize, there will be no illness. Initially, take Hei Shen San and Si Wu Tang [Four Substances Decoction]. If there is high fever and headache, this indicates the Milk Meridian is about to flow. If the head and eyes feel unclear, it is Xue Yun (Blood Fainting); use Qing Hun San [Clear Soul Powder]. If food tastes bland, it indicates deficiency of Stomach Qi. (Suitable formulas are Liu Jun Zi Tang [Six Gentlemen Decoction] and Dang Gui Jian Zhong Tang [Angelica Build the Middle Decoction]. Chen Cangqi stated: Soak Ramie juice for the puerpera to drink; place Ramie under the pillow for women to stop blood fainting. For postpartum abdominal pain, place Ramie on the abdomen to stop pain.)