临产至妙法 凡孕妇将足月，腹觉微痛，不可便声扬每人家。不知事妇人，入房不查时候，即多人操扶，苦令
着力，不知时候未到，用力无济，甚至横生逆产，次则将产时，母无力送下，为害不小。须要识候产门肿满、方是的时，
一用力即生矣。如产门未肿，纵肚痛，须勉强行走，使气血流动。倘体弱倦怠，痛不能忍，即卧床无妨。但用一大枕放
在两腿之中，令其开而弗闭，或坐在便桶上尤妙。（《姚罗浮集验方》）
济生方 凡儿已露顶而不生，此因儿转身，脐带绊其肩也。急令产妇仰卧，轻轻推儿向上，徐徐以手指轻按儿
肩，去其脐带，候儿顺正，产妇用力一逼，儿即生下。（《敬修斋方》）
硫黄汤 专治产妇为收生婆不谨，损破尿脬，致淋沥不禁等症。用硫黄（四两，制），吴茱萸、菟丝子（各一两
五钱），蛇床子（一两），每用四钱，水煎汤，频洗之自愈。（同上）
胎动上逼 弩弦系带之立下。（《医林集要》）
胎动欲产 日月未足者，取槐树向东引枝，令孕妇手把之，即易生。（《子母秘 》）
催生方 蓖麻子（十四粒，去壳） 朱砂 雄黄（各一钱五分） 蛇蜕（一尺 ） 共为细末，粥糊为丸，如
弹
子大。临产先用川芎汤淋洗脐下，纳药一丸于脐中。仍以蜡纸数重覆药上，轻帛拴紧，产后急速洗去，迟则有误。一丸
可用三次，此方催生最妙。但素无痰火，精神健旺者，方可用。（《保产良方》）
一方，用蓖麻子研，敷产妇手足心，产毕速拭去。或以两手各执一枚，立下。（《慈惠小编》）
催生去胎 芫花根剥皮，以绵裹点麝香，套入阴穴中三寸，即下。（《摄生妙用方》）
催生下胎 不拘生胎死胎，蓖麻子、巴豆（各二粒），麝香一分，研贴脐中并足心。（《集简方》）
交骨不开 临产有交骨不开，二三日生不下者，即用凤仙花子、穿山甲、牙皂、麝香（各等分）为末，和蜜捏
作饼子。如指头大者一块，塞入阴户近骨之处，又将葱二三斤浓煎汤，令产妇坐浸于中，以手运之。交骨自开，儿即生
矣。（《医学正传》）
开骨膏 炙龟板（一钱） 大麻子（七粒） 麝香（一分） 捣为膏，贴脐下一寸三分丹田穴，交骨即开。屡
试屡验（《达生全编》）
临产晕绝 临产儿未生下，忽然晕绝者，此气闷乱不清所致。以生半夏捣，筛饭丸如大豆，纳鼻中即醒。此扁
鹊法也。（《求嗣秘书》）
难产 实因产母气衰，以致儿身不能回转，于是手先出而足先堕矣。一见此等生法，切勿惊惶，口中念“无上
至圣化生佛”百遍，儿之手足即便缩入。（《石室秘 》）
一方，用蛇蜕泡水，浴产门，自易。（《卫生宝鉴》）
难产危急 寒水石（四两，二两生用，二两， 赤），入朱砂（五钱）同研，如深桃花色。每用三分井花水调如
薄
糊，以纸花剪如杏叶大、摊上，贴脐心，候干再易。不过三上即产。横生、倒生、死胎皆验。（《世效单方》）
倒产逆生 凡有倒产儿足先下者，因儿在腹中不能得转，故脚先出来，谓之逆生。须臾不救，母子俱亡。若令
产母仰卧，令收生婆推足入去，一恐产母惊，二恐收生婆非老手，反致伤人性命，不若用小绢针于儿脚心刺三五刺，用
盐少许，涂刺处，实时顺生。（《古今录验》）
一方，以手中指取釜下墨，交画儿足心即顺。（《千金方》）
一方，以盐涂儿足，以指甲搔之，并以盐摩母腹上即顺。（《存仁堂秘 》）
盘肠生 产母平日气虚，及临产时，用力努挣，周身气血下注，以致肠随儿下。一次如此，二次路熟又复。如
此治法，以洁净不破损漆器盛之，待儿胞衣俱下，产母仰卧，自己吸气上升，收生婆以香油洗手，徐徐送入。（《大生要
旨》）
一方，用蓖麻子（四十九粒）去壳捣烂，涂产妇头顶心并脐上三寸，肠收入即洗去。（同上）
一方，用大纸捻麻油润之，点灯吹熄，以烟熏产母鼻中，肠即上。（《便易良方》）
盘肠生肠干不上 枳壳煎汤洗之，良久自入。（《袖珍方》）
一方，用生姜、半夏末，搐鼻即上。（《宜良李氏刊方》）
儿袋拖出 蕲艾（一两）煎汤，数汤熏之，热气上冲即收入。（同上）
产至数日子死腹中母气欲绝 以牛屎炒，令大热，入醋半盏，用青布包裹，于产妇脐上下熨之，立生。（同上）
一方，用黄牯牛屎不拘多少，涂产妇脐上立出。（同上）
胎死腹中 川芎（六钱） 归身（四钱） 肉桂（三钱五分） 归尾 苏木 红花 益母草（各三钱） 桃仁
（十四粒研） 好酒（三钟）和药同煎一杯，加水银（一两，吐津唾，将水银揉碎星），入滑石末（三钱）、麝香（二分），
共和入药酒内。用滚水一桶，将药酒投入水内，扶产妇坐桶上熏之。少刻须下血，过半时如不下，再用水银（二钱）煎
药渣，一杯半煎八分去滓，将水银撒投桶内，坐上熏之，少刻自下，恐血下多发晕，急用旧漆器烧烟，熏口鼻立
醒。（《同寿 》）
一方，用湿牛粪涂腹上良。（《产宝》）
附∶验死胎法 胎死腹中，产母舌必青黑，为验。如面舌青黑，口中沫出，子母皆死。故面以候母，舌以候子。
（《济阴纲目》）
胞衣不下 瓦油盏烘热，仰放产妇脐上，令一人以脚抵住油盏，其胞即下。（《医镜》）
一方，用锻石一升，置净盆中，以滚水泼之，扶产妇蹲其上，熏之立下。（《奇方类编》）
一方，取其夫之裤倒转，将裤腰向下，裤脚向上，束于腹上，其胞自下。（《瑞竹堂方》）
胞落子生大肠堕下 此虚极下陷，法当用人参加升麻、柴胡提之。而产妇初生未便，用升麻、柴胡以发散其正
气，恐气散而肠愈难收，不若用蓖麻子（一钱）捣烂，涂妇顶心，少顷肠自收入。急用温汤，将顶上蓖麻洗净，不使少
留些须。倘若时辰太久，则肠且上悬，又成危症，而不可救矣。（《岐天师别传》）
The Supreme Method for Childbirth When a pregnant woman reaches full term and feels slight abdominal pain, she should not immediately announce it to every household. Uninformed women entering the delivery room without checking the timing may have many people support them and urge them to exert force. Not knowing that the time has not yet arrived, exerting force is useless and may even lead to transverse or breech presentation. Later, when labor is imminent, if the mother lacks strength to push the baby down, the harm can be significant. One must recognize the sign of the birth canal swelling as the true moment; then, with one effort, the baby will be born. If the birth canal has not swollen, even if there is abdominal pain, one must try to walk to keep qi and blood flowing. If the body is weak and fatigued, and the pain is unbearable, lying in bed is acceptable. Place a large pillow between the legs to keep them open and not closed, or sitting on a toilet bucket is especially good. (From *Yao Luofu's Collected Prescriptions*)
Jisheng Formula When the fetal head has emerged but the baby does not deliver, this is because the fetus turned, and the umbilical cord caught its shoulder. Quickly have the mother lie supine, gently push the fetus upward, and slowly use fingers to press lightly on the fetal shoulder to free the umbilical cord. Wait for the fetus to align properly, then the mother exerts force once, and the baby is born. (From *Jingxiuzhai Prescriptions*)
Sulfur Decoction Specifically treats conditions where an unskilled midwife causes injury or rupture of the bladder during delivery, leading to continuous dribbling of urine. Use processed Sulfur (4 liang), Evodia Fruit and Dodder Seed (each 1.5 liang), and Cnidium Fruit (1 liang). Take 4 qian each time, decoct in water, and wash frequently until self-healed. (Same source)
Fetal Movement Pushing Upward Nuxianxidai takes effect immediately. (From *Yilin Jiyao*)
Fetal Movement Desiring Birth For those whose due date has not yet arrived, take a branch of a locust tree growing eastward, let the pregnant woman hold it in her hand, and birth will become easy. (From *Zimu Mi*)
Cui Sheng Formula Castor Seeds (14 grains, shelled), Cinnabar, Realgar (each 1.5 qian), Snake Slough (1 chi). Grind into fine powder, mix with congee paste to form pills the size of a bullet. Before childbirth, first wash below the navel with Ligusticum Decoction, insert one pill into the navel. Cover with several layers of wax paper, tie tightly with light silk. Wash off quickly after delivery; delay will cause error. One pill can be used three times. This formula is excellent for inducing labor. However, it can only be used by those who do not normally have phlegm-fire and have robust spirit. (From *Baocan Liangfang*)
Another prescription: Grind castor seeds and apply to the palms and soles of the mother. Wipe off quickly after delivery. Or, hold one seed in each hand, and birth follows immediately. (From *Cihui Xiao Bian*)
Cui Sheng Qu Tai Peel the root of Genkwa Flower, wrap in cotton, dip in Musk, insert three cun into the vaginal opening, and the placenta/fetus will descend. (From *Shesheng Miaoyong Fang*)
Cui Sheng Xia Tai Regardless of live or dead fetus, Castor Seeds and Croton Seeds (2 grains each), Musk (1 fen). Grind and apply to the navel and soles. (From *Jijian Fang*)
Jiao Gu Bu Kai During childbirth, if the pubic symphysis does not open and the baby cannot be delivered after two or three days, use equal parts of Balsam Apple Seeds, Pangolin Scales, Gleditsia Sinensis, and Musk. Grind into powder, mix with honey to make cake-like shapes. Take a piece the size of a finger, insert near the bone in the vaginal opening. Also, decoct 2-3 jin of green onions in strong soup, have the mother sit and soak in it, moving with hands. The pubic symphysis will open naturally, and the baby will be born. (From *Yixue Zhengzhuan*)
Kaigu Ointment Calcined Tortoise Shell (1 qian), Hemp Seeds (7 grains), Musk (1 fen). Pound into ointment, apply 1.3 cun below the navel at the Dantian acupoint. The pubic symphysis will open. Tested repeatedly with success. (From *Dasheng Quanbian*)
Lin Chan Yun Jue During childbirth, before the baby is born, if sudden fainting occurs, this is caused by chaotic and obstructed qi. Crush Raw Pinellia Tuber, sift through rice flour to make pills the size of soybeans, insert into the nose to awaken. This is the method of Bian Que. (From *Qiusi Mishi*)
Nanchan Actually caused by the mother's qi deficiency, leading to the inability of the fetal body to turn, resulting in hands emerging first and feet falling first. Upon seeing this type of delivery, do not panic. Chant "Wushang Zhisheng Huasheng Fo" one hundred times in the mouth, and the fetal limbs will retract immediately. (From *Shishi Mi*)
Another prescription: Soak snake slough in water, bathe the birth canal, and birth will be easy. (From *Weisheng Baojian*)
Nanchan Weiji Han Shui Shi (4 liang, 2 liang raw, 2 liang calcined/red), mixed with Cinnabar (5 qian) and ground together to a deep peach blossom color. Take 3 fen each time, mix with well water to a thin paste. Cut paper flowers apricot-leaf sized, spread the paste on them, and apply to the center of the navel. Change when dry. Within three applications, birth occurs. Effective for transverse, breech, and dead fetuses. (From *Shixiao Danfang*)
Dao Chan Ni Sheng For breech presentations where feet emerge first, this is because the fetus could not turn in the womb, hence feet come out first, called reverse birth. If not saved promptly, both mother and child die. If the mother lies supine and the midwife pushes the feet back in, one fears startling the mother, and two, if the midwife is inexperienced, it may cause death. Instead, prick the sole of the fetal foot 3-5 times with a small silk needle, apply a little salt to the pricked area, and the baby will be born smoothly immediately. (From *Gujin Luyan*)
Another prescription: Use the middle finger to take lampblack from under the pot, draw crosses on the sole of the fetal foot, and it will be smooth. (From *Qianjin Fang*)
Another prescription: Apply salt to the fetal feet, scratch with fingernails, and rub salt on the mother's abdomen, and it will be smooth. (From *Curent Tang Mi*)
Pan Chang Sheng The mother usually has qi deficiency. During childbirth, straining causes qi and blood to flow downward throughout the body, causing the intestine to follow the baby out. If this happens once, it may happen again as the path becomes familiar. To treat: place the protruding intestine in a clean, undamaged lacquerware vessel. Wait until the placenta is delivered. Have the mother lie supine, inhale deeply to lift qi internally. The midwife washes hands with sesame oil and gently pushes the intestine back in. (From *Dasheng Yaozhi*)
Another prescription: Use 49 shelled castor seeds, pound into paste, apply to the crown of the mother's head and 3 cun above the navel. Wash off once the intestine retracts. (Same source)
Another prescription: Moisten a large paper wick with sesame oil, light a lamp, blow it out, and smoke the mother's nose with the smoke. The intestine will rise. (From *Bianyi Liangfang*)
Pan Chang Sheng Intestine Dry and Unable to Retract Wash with Zhiqiao decoction; it will enter spontaneously after a while. (From *Xiuzhen Fang*)
Another prescription: Use Ginger and Pinellia powder, insufflate into the nose, and it will rise. (From *Yiliang Li Shi Kan Fang*)
Er Dai Tuo Chu Decoct Qiai (1 liang) in water, fumigate several times. The rising heat will cause retraction. (Same source)
Chan Zhi Shu Ri Zi Si Fu Zhong Mu Qi Yu Jue After several days of childbirth, if the fetus dies in the womb and the mother's qi is about to fail: Stir-fry cow dung until very hot, add half a cup of vinegar, wrap in blue cloth, and moxa/iron over the mother's navel area. Life returns immediately. (Same source)
Another prescription: Use any amount of yellow ox dung, apply to the mother's navel, and the fetus will be expelled immediately. (Same source)
Tai Si Fu Zhong Ligustica (6 qian), Angelica Sinensis Root Body (4 qian), Cinnamon Bark (3.5 qian), Angelica Sinensis Root Tail, Sappanwood, Safflower, Motherwort (each 3 qian), Peach Kernels (14 grains, crushed), Good Wine (3 zhong). Decoct medicine with wine to make one cup. Add Mercury (1 liang, chew saliva to crush mercury into stars), Powdered Talcum (3 qian), Musk (2 fen). Mix all into the medicinal wine. Boil a barrel of water, put the medicinal wine into the water, help the mother sit on the bucket to fumigate. Soon blood will discharge. If not discharged after half an hour, decoct the dregs again with 2 qian of mercury, boil 1.5 cups to 0.8 cups, strain, sprinkle mercury into the bucket, sit and fumigate. Blood will discharge soon. Fear of fainting from heavy bleeding: urgently burn old lacquerware to produce smoke, fumigate mouth and nose to awaken immediately. (From *Tongshou*)
Another prescription: Apply wet cow dung to the abdomen. Good. (From *Chanbao*)
Appendix: Test for Dead Fetus If the fetus dies in the womb, the mother's tongue must be blue-black, which is the sign. If face and tongue are blue-black, and foam comes from the mouth, both mother and child die. Thus, observe the face for the mother, and the tongue for the child. (From *Jiyin Gangmu*)
Baoyi Bu Xia Heat a clay oil lamp, place upside down on the mother's navel. Have one person hold the lamp steady with their foot. The placenta will descend. (From *Yijing*)
Another prescription: Put 1 sheng of Calcined Alum in a clean basin, pour boiling water over it. Help the mother squat over it to fumigate. It descends immediately. (From *Qifang Leibian*)
Another prescription: Take the husband's trousers, turn them inside out, waist down, leg openings up, bind around the abdomen. The placenta will descend. (From *Ruizhutang Fang*)
Baoluo Zisheng Dachang Duoxia This is extreme deficiency and sinking. The method should use Ginseng, Cimicifuga, and Bupleurum to lift. However, since the mother has just given birth and is not suitable for dispersing herbs, using Cimicifuga and Bupleurum to disperse righteous qi might scatter qi further, making intestinal retraction harder. Instead, use Castor Seeds (1 qian), pound into paste, apply to the top of the woman's head. In a short while, the intestine will retract itself. Immediately wash off the castor seeds with warm water, leaving no residue. If too much time passes, the intestine may hang suspended, becoming a critical and incurable condition. (From *QiTianshi Biezhuan*)