治妊娠腹大，胎间有水气方。
鲤鱼（一头，二斤） 白术（五两） 生姜（三两） 芍药 当归（各三两） 茯苓（四
两）
上六味 咀，以水一斗二升先煮鱼，熟澄清，取八升，纳药煎，取三升，分五服。
治妊娠毒肿方∶
芜菁根洗净去皮，捣酢和如薄泥，勿令有汁，猛火煮之二、三沸，适性敷肿以帛急裹之
，日再。寒时温覆。非根时用子，若肿在咽中，取汁含咽之。
又方 烧 牛屎酢和敷之，干则易，亦可服方寸匕，日三。
治妊娠手脚皆肿挛急方∶
赤小豆（五升） 商陆根（一斤，切）
上二味以水三斗，煮取一斗，稍稍饮之，尽更作。一方加泽漆一斤。
（论一首八条 方二十一首 针法一首）
论曰∶产妇虽是秽恶，然将痛之时，及未产已产，并不得令死丧污秽家人来，视之则生
难，若已产者则伤儿也。
妇人产乳，忌反支月。若值此月，当在牛皮上，若灰上勿令水血恶物着地则杀人。及浣
濯衣水，皆以器盛，过此忌月乃止。
凡生产不根据产图，脱有犯触，于后母子皆死，若不至死，即母子俱病，庶事皆不称心。
若能根据图，无所犯触，母即无病，子亦易养。凡欲产时特忌多人瞻视，惟得二三人在旁，待
产讫，乃可告语诸人也。若人众看视，无不难产。
凡产妇第一不得匆匆忙怕，旁人极须稳审，皆不得预缓预急及忧悒，忧悒则难产。若腹
痛眼中火生，此儿回转，未即生也。儿出讫，一切人及母皆忌问是男是女，儿始落地，与新
汲井水五咽，忌与暖汤物，勿令母看视秽污。
凡产妇慎食热药、热面，食常识此。饮食当如人肌温温也。
凡欲临产时，必先脱寻常所着衣，以笼灶头及灶口，令至密即易产也。
凡产难及子死腹中，并逆生与胞胎不出，诸篇方可通检用之。
治产难，或半生，或胎不下，或子死腹中，或着脊及坐草数日不产，血气上抢心，母面
无颜色，气欲绝者方∶
醇酒（二升） 白蜜 成煎猪膏（各一升）
上三味合煎取二升，分再服。不能再服，可随所能服之。治产后恶血不除，上抢心，痛
烦急者，以地黄汁代醇酒。
治产难方∶
槐枝（切，二升） 榆白皮（切） 大麻仁（各一升） 瞿麦 通草（各五两） 牛膝
（四两）
上六味 咀，以水一斗二升，煮取三升半，分五服。
又方 吞皂荚子二枚。
又方 取厕前已用草二七枚，烧灰水调服之。
又方 令夫唾妇口中二七过立出。
又方 针两肩井入一寸泻之，须臾即分娩。
治产难三日不出方∶
取鼠头烧作屑，井花水服方寸七，日三。
又方 车轴脂吞大豆许两丸。
又方 烧药杵令赤，纳酒中饮之。
又方 烧大刀环，以酒一杯沃之，顿服即出，救死不分娩者。
治产难累日，气力乏尽，不能得生，此是宿有病者方∶
阿胶（二两） 赤小豆（二升）
上二味以水九升，煮豆令熟，去滓，纳胶令烊，一服五合，不觉更服，不过三服即出。
又方 槐子（十四枚） 蒲黄（一合
上二味合纳酒中温服，须臾，不生再服之。水服亦得。
又方 生姜汁 生地黄汁（各半升）
上二味合煎熟，顿服之。
治产难及日月未足而欲产者方∶
知母一两为末，蜜丸如兔屎大，每服一丸，痛不止更服一丸。
Formula for treating abdominal distension during pregnancy with fluid accumulation between the fetus.
Carp (one, two jin) [Cyprinus carpio], Baizhu (five liang) [Atractylodis Macrocephalae Rhizoma], Shengjiang (three liang) [Zingiberis Recens Rhizoma], Shaoyao [Paeoniae Radix], Danggui (each three liang) [Angelicae Sinensis Radix], Fuling (four liang) [Poria].
The above six herbs are cut into pieces. Boil the carp in one dou and two sheng of water first until cooked, clarify the liquid, take eight sheng, add the herbs, decoct to obtain three sheng, divide into five doses.
Formula for treating toxic swelling during pregnancy:
Wujinggen (芜菁根, Turnip Root), wash clean and peel, pound into a thin paste mixed with vinegar, ensure no juice remains. Boil vigorously for two or three boils, apply warm to the swollen area, wrap tightly with cloth, twice daily. Keep warm when cold. If not using the root, use the seed; if swelling is in the throat, take the juice and gargle/swallow.
Another formula: Burn cow dung, mix with vinegar, apply to the affected area, change when dry. Can also be taken as a "fangcunbi" dose, three times daily.
Formula for treating swelling and spasms in hands and feet during pregnancy:
Chixiaodou (five sheng) [Vigna angularis Seed], Shanglugen (one jin, sliced) [Phytolaccae Radix].
The above two herbs are boiled in three dou of water to obtain one dou of liquid. Drink slowly in small amounts. Finish and prepare again. Another method adds Zekel (one jin) [Euphorbiae Pekinensis Radix].
(One treatise containing eight articles, twenty-one formulas, one acupuncture method)
Treatise states: Although the parturient woman is in a state of impurity, during the time of pain, and before and after delivery, one must not allow persons associated with death and mourning to enter the home. Their presence causes difficult labor; if delivery has occurred, it harms the infant.
Women delivering milk should avoid the "Fan Zhi Month" (a taboo month). If this month arrives, deliver on ox hide or ash, ensuring blood and foul matter do not touch the ground, as this can cause death. Water from washing clothes must be collected in vessels; this taboo ends after the specified month.
If childbirth does not follow the obstetric charts and taboos are violated, mother and child may die subsequently. If not fatal, both suffer illness, and all affairs go unsatisfactorily.
If one follows the charts and avoids violations, the mother remains healthy, and the child is easy to raise. Specifically, many people watching during labor is taboo; only two or three people should be present. Inform others only after delivery is complete. Crowds viewing lead to dystocia.
The parturient woman must not be hurried or fearful. Attendants must be steady and prudent, avoiding premature slowness, haste, or depression. Depression leads to difficult labor. If abdominal pain occurs with a sensation of fire in the eyes, the fetus is turning and will not be born immediately. After birth, everyone including the mother must avoid asking about the sex of the baby. Upon touching the ground, give the infant five mouthfuls of fresh well water. Avoid warm soups/foods. Do not let the mother view impure substances.
Parturient women should cautiously consume hot medicines and hot noodles. Dietary temperature should be lukewarm, similar to body temperature.
Upon approaching labor, remove ordinary clothing. Cover the stove head and opening tightly with a cage to facilitate delivery.
For dystocia, fetal death in utero, malpresentation, or retained placenta, consult various chapters for applicable formulas.
Formula for dystocia, partial delivery, retained placenta, fetal death in utero, fetal position against the spine, prolonged labor on the birthing mat, blood qi rushing to the heart, pale complexion, and impending exhaustion of vital energy:
Chunjie (two sheng) [Mature Wine], Baimi (white honey), Chengjian Zhigao (pig fat, each one sheng).
Decoct the three ingredients together to obtain two sheng. Divide into two doses. If unable to take more, take according to capacity. For postpartum retention of lochia with blood qi rushing to the heart causing painful irritability, replace Chunjie with Dihuangzhi (Rehmanniae Juice).
Formula for dystocia:
Huai Zhi (sliced, two sheng) [Sophorae Tomentosae Ramulus], Yu Bai Pi (sliced) [Ulmus Rubra Cortex], Dama Ren (each one sheng) [Cannabis Fructus], Qumai [Dianthi Herba], Tongcao (each five liang) [Tetrapanacis Medulla], Niuxi (four liang) [Achyranthis Bidentatae Radix].
Cut the six herbs. Decoct in one dou and two sheng of water to obtain three sheng and half. Divide into five doses.
Another formula: Swallow two seeds of Gaojiao (Gleditsiae Sinensis Fruit).
Another formula: Take fourteen pieces of used grass from the toilet, burn to ash, mix with water, and take orally.
Another formula: Have the husband spit into the wife's mouth fourteen times; delivery will occur immediately.
Another formula: Acupuncture at Liang Jianjing (Bilateral Jianjing, GB21), insert one cun, perform reducing method. Delivery occurs shortly thereafter.
Formula for dystocia lasting three days without delivery:
Burn rat head to powder. Take a "fangcunqi" dose with Jinghua water (well water drawn early in the morning), three times daily.
Another formula: Swallow two pills of Chezhou Zhi (axle grease) the size of soybeans.
Another formula: Burn the pestle until red-hot, put into wine, and drink.
Another formula: Burn the ring of a large knife, pour one cup of wine over it, drink in one gulp. This saves those dying from failure to deliver.
Formula for prolonged dystocia with exhaustion of strength and vitality, unable to deliver, indicating pre-existing chronic illness:
Ejiao (two liang) [Colla Corii Asini], Chixiaodou (two sheng) [Vigna angularis Seed].
Boil the beans in nine sheng of water until cooked. Remove dregs, add Ejiao until melted. Take five he per dose. If no improvement, take again. Not exceeding three doses ensures delivery.
Another formula: Huai Zi (fourteen seeds) [Sophorae Tonkinensis Fructus], Puhuang (one he) [Typhae Pollen].
Mix into wine, take warm. If not delivered shortly, take again. Water administration is also acceptable.
Another formula: Shengjiangzhi (fresh ginger juice), Shengdihuangzhi (fresh Rehmannia juice, each half sheng).
Decoct together until cooked, take in one dose.
Formula for dystocia and premature labor desire before term:
Zhimu (one liang) [Anemarrhenae Rhizoma] powdered, made into pills with honey the size of rabbit feces. Take one pill per dose. If pain persists, take another pill.