广济疗落胎方。
栝蒌(四两) 桂心(五两) 牛膝(三两) 瞿麦(二两)
上四味切,以水七升煎,取二升三合,去滓,分三服,服别如人行八九里进之,无忌。
又方
取牛膝六七茎,绵缠捶头令碎,深纳至子宫头。忌生葱猪牛肉。(并出第三卷中)
短剧疗羸人欲去胎方。
甘草(炙) 干姜 人参 芎 生姜 桂心 蟹爪 黄芩(各一两)
上八味切,以水七升,煮取二升,分三服。忌海藻菘菜生葱。(出第七卷中)
千金欲去胎方。
大曲五升,清酒一升煮三沸,去滓,令尽,分五服,当宿勿食,旦再服,其子如糜,令
母肥盛无疾苦。千金不传。(出第三卷中)
崔氏夫人生寿夭,虽有定分,中间枉横,岂能全免,若调摄会理,或可致长生,若将护
乖方,乃胎乳伤促,且中人之性,识异弘远,言及产育,情多鄙之,都未知此道幽深,博施
处广,仆寨帷之暇,颇敦经史,逮乎药术,弥复关怀,今历选群方,兼申短思,苟非切要,
讵能载录,晚述职孤城,空庄四绝,寻医访道,理阙多疑,岂得坐而相守,以俟其毙,此书
所记,故录于此,盖拟备诸私室,未敢贻厥将来,必有以为要,亦所不隐也,余因披阅峦公
调气方中,见峦公北平阳道庆者,其一妹二女,并皆产死,有儿妇临月,情用忧虑,入山寻
余,请觅滑胎方,余报言少来多游山林,未经料理此事,然当为思量,或应可解,庆停一宿,
余辄忆想畜生之类,缘何不闻有产死者,淫女偷生,贱婢独产,亦未闻有产死者,此当由无
人逼佐,得尽其分理耳,其产死者,多是富贵家,聚居女妇辈,当由儿始转时觉痛,便相告
报,旁人扰扰,令其惊怖,惊怖蓄结,生理不和,和气一乱,痛切唯甚,旁人见其痛甚,便
谓至时,或有约髻者,或有力腹者,或有冷水 面者,努力强推,儿便暴出,蓄聚之气,一
时奔下不止,便致晕厥,更非它缘,至,且以此意语庆,庆领受无所闻,然犹苦见邀向家,
乃更与相随,停其家十余日,日晡时见报云,儿妇腹痛,似是产候,余便教屏除床案,遍一
房地,布草三四处,悬绳系木作衡,度高下,令得蹲当腋,得凭当衡,下敷慢毡,恐儿落草
误伤之,如此布置讫,令产者入位,语之坐卧任意,为其说方法,各有分理,顺之则全,逆
之则死,安心气,勿怖强,此产亦解人语,语讫闭户,户外安床,余共庆坐,不令一人得入,
时时隔户问之何似,答言小痛可忍,至一更,令烂煮自死牝鸡,取汁作粳米粥,粥熟,急手
搅,使浑浑适寒温,劝令食三升许,至五更将末,便自产,闻儿啼声,始听人入,产者自若,
安稳不异,云小小痛来,便放体长吐气,痛即止,盖任分和气之效也,庆问何故须食鸡肉汁
粥,答云,牝鸡性滑而濡,庶使气滑故耳,问何不与肉,答云,气将下,恐肉不猝消为妨,
问何故与粥,答云,若饥则气上,气下则速产,理不欲令气上故耳,庆以此为产术之妙,所
传之处,无不安也,故知峦公隐思,妙符神理,然则日游反支之类,复何豫哉,但以妇人怯
弱,临产惊遽,若不导以诸法,多恐志气不安,所以简诸家方法,备题如下,其间取舍,各
任量裁,凡妇人产难,必须先简此书,推所投月日知犯忌,各须豫慎,不得犯之,其次应须
帐幕皮醋藏衣等物之类,并早经营,入月即须使足,若不豫备,临急用逮事必致阙,唯旧经
事者,始达此言,豫备不虞,古之善教也。
又凡产者,虽是秽恶,然将痛之时,及未产已产,皆不得令死丧污秽家人来视之,必产
难,若已产者则伤子。
又凡产法,唯须熟忍,不得逼迫,要须儿痛欲出,然后抱腰,旁人不得惊扰,浪作情势,
但此事峦公法中已经商略,无用师巫妄述,已能横相牵挽,失其本性,今故重述,特宜防也。
Guangji Fang (Extensive Essential Prescriptions) for inducing abortion.
Gua Lou (Trichosanthes Fruit, 4 liang), Guixin (Cinnamon Twig Heart, 5 liang), Niuxi (Achyranthes Root, 3 liang), Qumai (Dianthus Herb, 2 liang).
The above four herbs are chopped, decocted in seven sheng of water to obtain two sheng and three he of liquid, filtered to remove dregs, and divided into three doses. Administer each dose at intervals equivalent to a person walking eight or nine li. No dietary or lifestyle restrictions apply.
Another prescription:
Take six or seven stalks of Niuxi (Achyranthes Root), wrap the ends with cotton cloth, pound them until crushed, and insert deeply into the vagina up to the cervix. Avoid raw green onions, pork, and beef. (Both from Volume III)
Duanju Fang (Short Treatise Formulas) for removing fetus in emaciated persons.
Gancao (Licorice Root, roasted), Ganjiang (Dried Ginger), Renshen (Ginseng Root), Xiong (Ligusticum Rhizome), Shengjiang (Fresh Ginger), Guixin (Cinnamon Twig Heart), Xiezhao (Crab Claws), Huangqin (Scutellaria Root) (each 1 liang).
The above eight herbs are chopped, decocted in seven sheng of water to obtain two sheng of liquid, and divided into three doses. Avoid seaweed, Chinese cabbage, and raw green onions. (From Volume VII)
Qianjin Fang (Prescriptions Worth a Thousand Gold) for removing fetus.
Daqu (Medicated Leaven, 5 sheng), Qingjiu (Clear Wine, 1 sheng). Boil together for three boils, filter to remove dregs, and have the patient consume it all entirely. Do not eat on the previous night; take another dose in the morning. The fetus will be expelled like congee, leaving the mother robust and free from illness. This formula was not transmitted in Qianjin Fang. (From Volume III)
Cui Shi opined that although the longevity of children born to women is determined by fate, sudden deaths and premature deaths in between cannot be completely avoided. If one regulates life according to proper principles, longevity might be achieved; if care is mismanaged contrary to reason, it leads to injury in pregnancy and childbirth, shortening life. Moreover, people of average intelligence have vastly different insights. When discussing childbirth, attitudes are often vulgar, completely unaware of the profound and subtle nature of this path, which requires broad application. In my leisure time behind the curtains, I studied classics and history, and paid particular attention to medical arts. Now, having selected various prescriptions and expressed my humble thoughts, if they were not essential, how could they be recorded? In my late years, serving in an isolated city, surrounded by barriers, seeking doctors and the Dao, I found theories lacking and doubts numerous. How could I sit idly waiting for death? Therefore, I record what is written in this book here, intending it for private use, daring not to pass it to future generations. If anyone considers it essential, I shall not conceal it.
While reviewing Luang Gong’s Qi Regulation Formulas, I encountered Yang Daoqing from Beiping. His sister and two daughters all died in childbirth. His daughter-in-law, nearing term, was anxious and sought me out in the mountains, requesting a formula to facilitate delivery. I replied that in my youth I wandered in forests and had no experience in such matters, but I would consider it, perhaps finding a solution. Yang Daoqing stayed overnight. I then recalled animals, wondering why none die in childbirth. Promiscuous women giving birth secretly, or lowly maids giving birth alone, were also not heard to die in childbirth. This is likely because no one forces assistance, allowing natural physiological processes to complete themselves. Those who die in childbirth are mostly from wealthy families, where women live in close quarters. Probably when the fetus begins to move and pain starts, they inform each other. Bystanders create chaos, causing fear and terror. Fear and stagnation disrupt physiology; when harmonious Qi is disturbed, pain becomes severe. Seeing the severe pain, bystanders assume labor has begun. Some tie up their hair, some press the abdomen, some splash cold water, pushing forcefully, causing the fetus to be expelled violently. Accumulated Qi rushes downward uncontrollably, leading to fainting, not due to other causes. I explained this to Yang Daoqing, who accepted it but had never heard such things, yet still earnestly invited me home. I accompanied him and stayed for over ten days. At dusk, news came that his daughter-in-law had abdominal pain, suggesting labor. I instructed to remove beds and tables, cover the room with grass mats in several places, hang ropes tied to wood to form a horizontal bar, adjusting height so she could squat with her armpits against the bar for support. Place soft felt underneath to prevent injury if the baby falls. After such preparation, let the woman enter the position, telling her to sit or lie as she wishes, explaining the method: there are specific principles; following them ensures safety, opposing them leads to death. Calm the mind and Qi, do not fear or force. Childbirth responds to human understanding. After speaking, close the door, place a bed outside, and sit with Yang Daoqing, allowing no one else in. Periodically ask through the door how she feels. She replies that slight pain is bearable. At the first watch, boil a dead hen thoroughly, take the broth to make rice porridge. Once cooked, stir vigorously to ensure uniform temperature, advising her to eat about three sheng. Near the end of the fifth watch, she delivers naturally. Hearing the baby cry, allow entry. The mother remains calm and stable, stating that when slight pain comes, she relaxes and exhales deeply, and the pain stops. This is the effect of following natural harmony. Yang Daoqing asked why chicken broth porridge was necessary. I answered that hens have a slippery nature, hoping to facilitate smooth Qi flow. Asked why not meat, I replied that Qi is descending, fearing meat might not digest quickly and cause obstruction. Asked why porridge, I replied that hunger causes Qi to rise, while descending Qi accelerates delivery; thus, we do not wish to cause Qi to rise. Yang Daoqing considered this a wonderful technique, and wherever transmitted, results were safe. Thus, Luang Gong’s hidden wisdom matches divine principles. What then does daily wandering or taboo days matter? It is merely that women are timid and panicked during labor. Without guiding methods, their spirit and Qi may become unsettled. Therefore, I have selected methods from various schools and listed them below. Selections and rejections are left to individual judgment. For difficult labor, one must first consult this book, calculate the month and day to know taboos, and be cautious beforehand, avoiding violations. Secondly, prepare items like curtains, skins, vinegar, and clothing early. By the ninth month, these must be sufficient. If not prepared, emergencies will lead to shortages. Only experienced individuals understand this saying: preparing for the unexpected is ancient good teaching.
Furthermore, although childbirth involves filth, during pain, before delivery, and after delivery, family members affected by death or filth must not visit, or it will certainly cause difficult labor. If postpartum, it harms the infant.
Furthermore, the method of childbirth requires patience and forbearance, not coercion. One must wait until the fetus is painful and ready to emerge, then hold the waist. Bystanders must not disturb or act rashly. This matter was already discussed in Luang Gong’s methods. There is no need for shamans’ false descriptions, which forcibly pull and twist, losing natural nature. I repeat this now specifically to warn against it.