（附论）
夫妇人难产者。皆因燥涩紧敛。故产户不得开通。宜先于降诞之月。自入月之日。用长
流水调益元散。日三服。产必易。产后亦无一切虚热。气血不和之疾。如未入月。则不宜服
之。以滑石滑胎故也。
方
滑胎丸（出圣惠方）妊娠令易产。益气。
赤茯苓 赤芍药（各一两） 槟榔（二两） 芎 （半两） 诃黎勒皮（三钱） 枳壳
（半两麸炒微黄去瓤） 川大黄（一两锉微炒） 麦门冬（一两半去心焙） 浓朴（去皮姜
炒一两） 上捣罗为末。炼蜜和捣三五百杵。丸如桐子大。食前。温酒二十丸下。
甘草散（出圣惠方）凡难月前服之。入月儿生堕地不觉。
甘草（二两炙） 黄芩（三两酒浸） 大麻仁（三钱） 吴茱萸（三钱汤浸七次炒） 干
姜（炮
二钱） 大豆黄卷（一两种湿地令牙出晒干取牙用） 肉桂（三钱去皮） 上捣细为散。每
日空
心以米饮调一钱下。
难月前。预服此药。令易产方。（出圣惠方）
冬葵子（一合） 滑石（一两半） 瞿麦（炒） 丹参（各一两半） 牛酥 白蜜（各
一合） 上
捣筛。以水一大盏。煎取半大盏。去滓。内酥蜜和调。空心以米饮下一匙。食前再服。
榆白皮散（出三因方）治临产预服滑胎。
榆白皮 槐皮 瞿麦 木通 大麻仁（各等分） 上锉散。每服五大钱。水二盏。煎七
分去滓。日二服。
滑胎催生神效方。
益元散（一两） 蛇蜕（一条烧灰须要墙头及篱上） 蝉蜕（五个全） 男子乱发（入
油一两内熬化） 穿山甲（一个烧存性） 上为末。齑水一碗。入药一处。煎一沸。与发搅
匀。冷服。
酥膏令易产。入月便服。儿不觉出。或有难产经数日。或生不以理。百方千计。终
不平安者。服此膏。总有神效。初服只以半匙。渐加至一匙。若太多。恐呕逆。以意节
量服之佳。（
真牛酥（一升） 秋葵子（一斤） 白蜜（半斤） 滑石（捣末一两） 瞿麦（一两炒）
大豆黄卷（五钱） 上捣粗散。先以清酒一斤。细研葵子。内酥蜜中。微火消即下诸药。缓
火煎。常令
丹参膏
滑胎催生散（出圣惠方）
葵子 滑石（各一两） 蒲黄 木通（锉各半两） 上捣细散。食前以温酒调下一钱。
滑胎令易产方。（出圣惠方）
白蜜（一合） 猪脂（二合） 酒（半斤） 上同于银器中。慢火熬令稍稠。每服于空
心以酒下一大匙。服之。
榆白皮散（出余居士选奇方）治妊娠滑胎易生。
榆白皮 甘草（各二两） 葵子（一两） 上为粗末。每服三钱。水一盏。煎七分去滓。
温服。一方无榆白皮。名葵子散。
车前子散（出圣惠方）滑胎令易产。
阿胶（八两） 滑石（三两） 车前子（一升） 上治下筛。饮服方寸匕。日再。至生
月乃服药。利九窍。不可先服。一方用蜜汤调服。
神寝丸 治胎滑利易产。临入月服之。极有神效。知蕲州施少卿方。徐大丞传。
通明乳香（半两另研） 枳壳（一两） 上为细末。炼蜜丸如梧子大。空心温酒吞下三
十丸。
日
木香各等分。治妇人胎气不足。能令胎滑易产。常服养胎益气。安和子脏。
枳壳散（一名六乙散）瘦胎易产。抑阳降气。兼治胎中一切恶疾。湖阳公主
服
效。
枳壳（小浓突者麸炒去瓤二两又方用糯米浸控干炒赤色尤佳） 上为细末。每服二钱。
沸
汤调。空心日三服之。至七月方可服。忌登高厕。若大便秘涩。加防风。体弱加大当归去尾、
木香各等分。如胎肥壅溢。动止艰难。临产难生。加乳香、发灰效。枳壳能逐水。消胀满逆
气。若临月多服。则当产之时。无胀满逆气。产道顺而易生。诚有补于世也。又治肠中诸疾
。下气宽膈。加炒去毛香附子一两为末。姜汤调下。冷气攻刺胁肋疼痛。葱白汤调下。脾寒
。血气成块作痛。热酒调下。大小便不通。白牵牛为末。加入热汤调服。一方枳壳六两。甘
草一两。故加枳壳。减甘草。盖未产人甘草性寒故也。未产前一月。日服三。忌登高厕。一
方冷气能饮者。细嚼。葱白热酒调下服。胸膈气闭。饮食不进。葱白汤调服。肾气肿痛。煨
葱白二寸。茴香一撮。同嚼热酒咽下。若久久服之。永不发动。腰背气痛。葱白汤调服。服
讫即卧。少时旋能作效。香港脚发动。空心热酒或木瓜煎汤调下。产后血气不和。热酒调服。
心腹疼痛。口吐清水。饮食不进。胸膈膨胀。盐汤调服。冷物伤脾。发痛无时。胡椒煎汤调
下。妇人血晕。两太阳疼痛。头旋欲倒者。艾叶煎汤服。小儿面黄胃冷。吐食。木瓜煎汤调
服。妇人经血不行。手足发热。或身潮热。先用葱白汤。次用菖蒲汤调服。若经血不行。脾
胃稍壮者。当用大圣散服之。数月特有神效。若经血不调。血脏冷痛者。当用大圣散。间以
小温经汤。仍以红丸子佐之。
又方
用糯米半升。淘洗控干。炒为末。以米饮匀汤调下一二钱服之。
又方 治产前滑胎。
用腊月兔头髓一个。摊于纸上。令匀。候干。剪作符子。于面上书生字一个。觉母阵痛
时。用母钗子股上夹定。灯焰上烧灰。盏盛。煎丁香调下。
滑胎令易产。（出圣惠方）
用大麻根二两。锉。以水二中盏煎至一盏去滓。服。
易产滑胎方。（一名 散出永类钤方）
用车前子为末。酒服方寸匕。不能饮者。水调下。诗云采采 苜。注谓 苡能令妇人乐
有子矣。
治产前滑胎。
用牵牛子一两赤土少许研细。每觉阵痛时。煎榆白皮汤调下一钱。
枳壳散 治滑胎调气。利胸膈。消积滞。和脾胃。进饮食。常服亦得。
枳壳（二两） 桑白皮（一两锉以水三碗与枳壳同煎煮干取出去瓤净洗细切焙干只用桑
白
皮） 人参（半两） 糯米（二两炒黄色） 木香（一钱不见火） 甘草（一两炙） 麦
（半两炒
黄） 上
治滑胎易产。（出产胎救急方）
枳壳（五两） 阿胶（炒） 甘草（一两） 上为末。汤调服
又方
束胎丸（出保命集）
白术 枳壳（去瓤炒等分） 上为末。烧饭为丸如梧子大。入月一日。食前服三五十丸。
温热水下。胎瘦易生也。服至产则已。
治妇人临产浑身痛。浆破血下。未得分解。催产方。须是浆破血下然后可吃。若孕
妇浆未破血未下。须是浑身痛甚。腰痛忽轻。及数日身体困重。亦可进服。凡浑身痛。
须是腰痛。方是欲产也。若未是正产。误吃此药。即损母性命。须是正产不下。方可吃
也。
官桂（不见火者二两去皮） 牡丹皮（去心） 当归 牛膝 木通 滑石 冬葵子 上
为细
末。每服六钱。水一盏半。葱五枚。煎取一盏三分。空心和滓吃。如人行一里再吃。以儿生
为度。
治日月未足而欲产者。（出本草）
取槐树东枝。令孕妇手把即易产。
又方（出本草）
捣菖蒲根汁一二升。灌喉中。
主易产（出本草）
以弓弩弦烧灰为末。用酒服二钱正。即易生。一方缚心下立产。
又方\x（出本草）
以麝香一钱。研水调之服。立产。
(Attached Discussion)
Dystocia in women is all caused by dryness, astringency, tightness, and contraction of the birth canal, preventing it from opening. It is advisable to start taking Yi Yuan San (Yi Yuan Powder), mixed with long-flowing water, on the first day of the month preceding delivery, taken three times daily, which will facilitate delivery. Postpartum, there will be no disorders of deficiency-heat or disharmony of Qi and Blood. If not yet in the month preceding delivery, it should not be taken, because Hua Shi (Talcum) has the effect of promoting abortion.
Formulas
Hua Tai Wan (Slippery Fetus Pill) (from *Sheng Hui Fang*): Used during pregnancy to facilitate delivery and tonify Qi.
Chi Fu Ling (Red Poria), Chi Shao Yao (Red Peony Root) (each 1 liang), Bing Lang (Areca Seed) (2 liang), Xiong Qiong (Sichuan Lovage Rhizome) (0.5 liang), He Li Le Pi (Pericarpium Chebulae) (3 qian), Zhi Ke (Aurantium Fructus) (0.5 liang, stir-fried with bran until slightly yellow, remove pith), Chuan Da Huang (Rhubarb Radix et Rhizoma) (1 liang, sliced, slightly stir-fried), Mai Men Dong (Ophiopogonis Radix) (1.5 liang, remove heart, baked), Nong Po (Magnolia Bark) (peeled, stir-fried with ginger, 1 liang). The above are crushed, sieved into powder, mixed with refined honey, pounded for 300-500 strokes, and formed into pills the size of paulownia seeds. Take 20 pills before meals with warm wine.
Gan Cao San (Licorice Powder) (from *Sheng Hui Fang*): Taken before the month of delivery; when the baby is born, the mother feels nothing.
Gan Cao (Licorice Root) (2 liang, honey-fried), Huang Qin (Scutellaria Root) (3 liang, soaked in wine), Da Ma Ren (Cannabis Seed) (3 qian), Wu Zhu Yu (Evodia Fruit) (3 qian, washed seven times with hot water, then stir-fried), Gan Jiang (Dried Ginger) (2 qian, processed), Da Dou Huang Juan (Prepared Soybean Sprout) (1 liang, grown in damp soil, dried, use the sprouts), Rou Gui (Cinnamon Bark) (3 qian, peeled). The above are finely ground into a powder. Each day, take 1 qian on an empty stomach mixed with rice drink.
Formula to facilitate easy delivery if taken before the onset of labor. (from *Sheng Hui Fang*)
Dong Kui Zi (Malva Seed) (1 he), Hua Shi (Talcum) (1.5 liang), Qu Mai (Dianthus Herb) (stir-fried), Dan Shen (Salvia Root) (each 1.5 liang), Niu Su (Cow Butter), Bai Mi (White Honey) (each 1 he). The above are crushed and sieved. Decoct with one large cup of water until half remains, strain, add butter and honey, and mix. Take one spoonful on an empty stomach with rice drink, and take again before meals.
Yu Bai Pi San (Elm Bark Powder) (from *San Yin Fang*): Treats dystocia by taking beforehand to facilitate delivery.
Yu Bai Pi (Ulmi Cortex), Huai Pi (Sophora Bark), Qu Mai (Dianthus Herb), Mu Tong (Akebia Stem), Da Ma Ren (Cannabis Seed) (equal parts). The above are cut into pieces. Take five large qian per dose, with two cups of water, decoct until 70% remains, strain, and take twice daily.
Divine Efficacy Formula for Slippery Fetus and Urging Birth.
Yi Yuan San (Yi Yuan Powder) (1 liang), She Tui (Snake Slough) (one strip, burned to ash, must be from a wall or fence), Chan Tui (Cicada Slough) (five whole pieces), Nan Zi Luan Fa (Men's Loose Hair) (boiled until dissolved in 1 liang of oil), Chuan Shan Jia (Pangolin Scale) (one piece, burned to retain properties). The above are made into powder. Mix with one bowl of vinegar water, boil once, stir evenly with the hair, and take cold.
Butter Paste to Facilitate Delivery. Start taking it in the month of delivery; the baby will be born without the mother noticing. For difficult deliveries lasting several days, or abnormal births where hundreds of methods have failed without peace, taking this paste always yields divine efficacy. Initially take only half a spoonful, gradually increase to one spoonful. Too much may cause vomiting and reflux; adjust dosage according to judgment.
Zhen Niu Su (True Cow Butter) (1 sheng), Qiu Kui Zi (Malva Seed) (1 jin), Bai Mi (White Honey) (0.5 jin), Hua Shi (Talcum) (1 liang, powdered), Qu Mai (Dianthus Herb) (1 liang, stir-fried), Da Dou Huang Juan (Prepared Soybean Sprout) (5 qian). The above are crushed into coarse powder. First, grind the Kui Zi finely with 1 jin of clear wine, add to the butter and honey, melt over low heat, then add the other medicines. Simmer slowly, stirring constantly.
Dan Shen Gao (Salvia Paste)
Hua Tai Cu Sheng San (Slippery Fetus and Urging Birth Powder) (from *Sheng Hui Fang*)
Kui Zi (Malva Seed), Hua Shi (Talcum) (each 1 liang), Pu Huang (Typha Pollen), Mu Tong (Akebia Stem) (cut, each 0.5 liang). The above are finely ground into powder. Take 1 qian before meals mixed with warm wine.
Formula to Facilitate Easy Delivery. (from *Sheng Hui Fang*)
Bai Mi (White Honey) (1 he), Zhu Zhi (Pork Fat) (2 he), Jiu (Wine) (0.5 jin). The above are slowly boiled in a silver vessel until slightly thick. Take one large spoonful on an empty stomach with wine.
Yu Bai Pi San (Elm Bark Powder) (from Yu Ju Shi's Selected Strange Formulas): Treats slippery fetus in pregnancy for easy birth.
Yu Bai Pi (Ulmi Cortex), Gan Cao (Licorice Root) (each 2 liang), Kui Zi (Malva Seed) (1 liang). The above are coarse powder. Take 3 qian per dose, with one cup of water, decoct until 70% remains, strain, and take warm. Another version without Elm Bark is named Kui Zi San (Malva Seed Powder).
Che Qian Zi San (Plantago Seed Powder) (from *Sheng Hui Fang*): Facilitates slippery fetus for easy delivery.
E Jiao (Donkey-Hide Gelatin) (8 liang), Hua Shi (Talcum) (3 liang), Che Qian Zi (Plantago Seed) (1 sheng). The above are processed and sieved. Take one cun bi (square inch measure) with water, twice daily. Start taking medicine only in the month of delivery. It benefits the nine orifices; do not take earlier. Another method uses honey water for mixing.
Shen Qin Wan (Divine Sleep Pill): Treats slippery fetus for easy delivery. Take it when entering the month of delivery; extremely effective. Formula of Shi Shao Qing, Zhizhou, transmitted by Xu Da Cheng.
Tong Ming Ru Xiang (Transparent Frankincense) (0.5 liang, separately ground), Zhi Ke (Aurantium Fructus) (1 liang). The above are fine powder, mixed with refined honey into pills the size of paulownia seeds. Swallow 30 pills on an empty stomach with warm wine.
Mu Xiang (Costus Root) in equal parts: Treats insufficient fetal Qi in women, making the fetus slippery and easy to deliver. Regular use nourishes the fetus, tonifies Qi, and harmonizes the uterus.
Zhi Ke San (Aurantium Fructus Powder) (also known as Liu Yi San): Slims the fetus for easy delivery, suppresses Yang, descends Qi. Also treats all evil diseases in the fetus. Effective when taken by Princess Huyang.
Zhi Ke (Aurantium Fructus) (small, thick ones, stir-fried with bran, remove pith, 2 liang; another method: soak in glutinous rice, drain, stir-fry until red, which is better). The above are fine powder. Take 2 qian per dose mixed with boiling water. On an empty stomach, take three times daily. Can be taken starting from the seventh month. Avoid climbing high toilets. If stool is constipated and dry, add Fang Feng (Saposhnikovia Root). If the body is weak, add Dang Gui (Angelica Sinensis) (remove tail) and Mu Xiang (Costus Root) in equal parts. If the fetus is fat and obstructed, movement is difficult, and delivery is hard at term, add Ru Xiang (Frankincense) and Fa Hui (Hair Ash) for efficacy. Zhi Ke can expel water, reduce distension and rebellious Qi. If taken in excess near term, there will be no distension or rebellious Qi at delivery, making the birth canal smooth and easy. Truly beneficial to the world. Also treats various intestinal diseases, descends Qi, widens the chest. Add 1 liang of stir-fried, de-haired Xiang Fu (Cyperus Rhizome) as powder, mixed with ginger water. For cold qi attacking and piercing pain in hypochondrium, mix with scallion white water. For Spleen cold, blood stasis forming masses causing pain, mix with hot wine. For obstruction of urination and defecation, use Bai Qian Niu (White Morning Glory Seed) as powder, added to hot water. Another formula: 6 liang Zhi Ke, 1 liang Gan Cao, thus adding Zhi Ke and reducing Gan Cao, because Gan Cao is cold in nature for those not yet delivered. One month before delivery, take three times daily. Avoid climbing high toilets. Another formula for cold qi: chew finely, mix with scallion white and hot wine. For chest and diaphragm Qi blockage, loss of appetite, mix with scallion white water. For Kidney Qi swelling and pain, roast 2 cun of scallion white, mix with a pinch of Huixiang (Fennel Seed), chew together and swallow with hot wine. If taken for a long time, it will never trigger labor. For Qi pain in waist and back, mix with scallion white water. Lie down immediately after taking; effectiveness comes shortly. For Hong Kong Foot (gout/arthralgia) onset, take on empty stomach with hot wine or Qu Pa (Papaya) decoction. For postpartum Qi and Blood disharmony, mix with hot wine. For heart and abdominal pain, spitting clear fluid, loss of appetite, chest distension, mix with salt water. For spleen injury by cold foods, unpredictable pain, mix with pepper decoction. For women with blood syncope, temporal pain, dizziness wanting to fall, take Ai Ye (Mugwort Leaf) decoction. For children with yellow face and cold stomach, vomiting food, mix with Qu Pa decoction. For women with amenorrhea, hot hands and feet, or tidal fever, first use scallion white water, then Shi Chang Pu (Acorus Rhizome) water. If amenorrhea persists and Spleen/Stomach are strong, use Da Sheng San (Great Sage Powder). Especially effective after several months. If menstrual irregularity and cold pain in blood organs occur, use Da Sheng San, occasionally combined with Xiao Wen Jing Tang (Minor Warming Menses Decoction), assisted by Hong Wan Zi (Red Pills).
Another Formula
Use 0.5 sheng of glutinous rice, wash and drain, stir-fry into powder, mix with rice drink water, take 1-2 qian.
Another Formula: Treats pre-delivery slippery fetus.
Use one rabbit head marrow from the twelfth lunar month, spread evenly on paper. When dry, cut into talisman shapes, write a character meaning "birth" on the surface. When the mother feels contractions, clamp it onto the shaft of a hairpin, burn to ash over a lamp flame, collect in a cup, decoct with Ding Xiang (Clove) and take.
Facilitates Slippery Fetus and Easy Delivery. (from *Ben Cao*)
Use 2 liang of Da Ma Gen (Cannabis Root), cut. Decoct with two cups of water until one cup remains, strain, and take.
Easy Delivery Slippery Fetus Formula. (Also known as San, from *Yong Lei Ling Fang*)
Use Che Qian Zi (Plantago Seed) as powder, take with wine, one cun bi. If unable to drink wine, mix with water. The poem says: "Gathering clover," annotation states that Yi Yi (Coix Seed) enables women to joyfully conceive.
Treats Pre-delivery Slippery Fetus.
Use 1 liang of Qian Niu Zi (Morning Glory Seed), a little red earth, grind finely. Whenever contractions are felt, decoct Yu Bai Pi (Elm Bark) water, mix with 1 qian and take.
Zhi Ke San (Aurantium Fructus Powder): Treats slippery fetus, regulates Qi, benefits chest and diaphragm, eliminates stagnation, harmonizes Spleen and Stomach, promotes appetite. Regular use is also acceptable.
Zhi Ke (Aurantium Fructus) (2 liang), Sang Bai Pi (Mulberry Root Bark) (1 liang, cut, decoct with three bowls of water together with Zhi Ke until dry, remove pith, wash clean, slice finely, bake dry, use only Sang Bai Pi), Ren Shen (Ginseng Radix) (0.5 liang), Nuomi (Glutinous Rice) (2 liang, stir-fry until yellow), Mu Xiang (Costus Root) (1 qian, avoid direct fire), Gan Cao (Licorice Root) (1 liang, honey-fried), Mai Ya (Malt) (0.5 liang, stir-fry until yellow). The above...
Treats Slippery Fetus and Easy Delivery. (from *Chu Chan Jiu Ji Fang*)
Zhi Ke (Aurantium Fructus) (5 liang), E Jiao (Donkey-Hide Gelatin) (stir-fried), Gan Cao (Licorice Root) (1 liang). The above are powder, mix with water and take.
Another Formula
Shu Tai Wan (Fetus-Binding Pill) (from *Bao Ming Ji*)
Bai Zhu (Atractylodes Macrocephala Rhizome), Zhi Ke (Aurantium Fructus) (remove pith, stir-fry, equal parts). The above are powder, made into pills the size of paulownia seeds using cooked rice. On the first day of the delivery month, take 30-50 pills before meals with warm water. The fetus becomes thin and easy to deliver. Stop taking upon delivery.
Treats women experiencing whole-body pain at labor, rupture of membranes and bleeding, unable to resolve. Urging Birth Formula. Must wait until membranes rupture and bleeding starts before taking. If membranes have not ruptured and bleeding has not started, but whole-body pain is severe, sudden relief of lower back pain, or heavy body for several days, it can also be taken. Generally, whole-body pain must include lower back pain to indicate impending labor. If not true labor, taking this medicine mistakenly will harm the mother's life. Only take if true labor fails to progress.
Guan Gui (Cinnamon Twig) (2 liang, avoid direct fire, peeled), Mu Dan Pi (Moutan Cortex), Dang Gui (Angelica Sinensis), Niu Xi (Achyranthes Root), Mu Tong (Akebia Stem), Hua Shi (Talcum), Dong Kui Zi (Malva Seed). The above are fine powder. Take 6 qian per dose, with 1.5 cups of water, 5 stalks of scallion, decoct until 1.3 cups remain. Take with the dregs on an empty stomach. After walking about a *li*, take again. Continue until the baby is born.
Treats premature labor desire before full term. (from *Ben Cao*)
Take the eastern branch of a locust tree, let the pregnant woman hold it in hand to facilitate delivery.
Another Formula (from *Ben Cao*)
Crush Acorus root to extract juice, 1-2 sheng, pour into the throat.
Mainly for Easy Delivery (from *Ben Cao*)
Burn bowstring to ash, make into powder, take 2 qian with wine, immediate easy birth. Another method: tie under the heart, immediate birth.
Another Formula (from *Ben Cao*)
Take 1 qian of She Xiang (Musk), grind with water, mix and take, immediate birth.