欲产之妇脉离经，（一息六至，一息三至，皆曰离经。又云∶脉如歇止，亦谓之离经。） 沉细
而滑也同名。（肾脉沉滑与离经同。）夜半觉痛应分娩，来朝日午定当生。身重体热寒又频，舌下见脉黑
且青，卷舌流涎腹觉冷，腹中子女已归阴。面赤舌青细寻看，母活子死是定断。唇口俱青沫又出，母子
双双入鬼案。面青舌赤沫又频，母死子活定知真。新产妇脉缓滑吉，实大弦急死相侵。若得沉而小者昌，
忽若坚牢命不长。寸口涩疾不调死，沉细附骨不绝生。吉凶生死全凭脉，胗者须教指下明。
《启蒙》曰∶欲产之妇脉离经，离经之脉认分明。其来大小不调匀，或如雀啄屋
漏应。腰疼腹痛眼生花，产在须臾却非病。《脉经》云∶脉匀细易产，大浮缓，气散难产。
凡妊娠之于分娩，母子性命悬于顷刻，调理失宜，安反成危。将养有方，逆可使顺。故凡胎前诸证，当
随证加减，保护调理，甫及临月。若妇女初产，原未惯经，不免惊畏失错。虽惯产之妇，然气血亦伤，
又安得恃为无虞也。是以保产之方，断不可废。故达生散宜用于八九月之时，而养胎、神寝等药，当用
于临月之际。倘遇过月不产，则补血行气之方不可稍缓。至于居处失宜，顿扑动胎，及身居安逸，
食物不节，忧乐不常，致胎气难转，或胞浆先破，恶水来多，胎干不下，则保生、千金不换、万全、保气、
滑胎等剂犹宜，按证选方制服。予家传胎产金丹，不特治胎前产后为第一奇药，即临产服之，保生易产，
且胜催生诸药，更无产后诸患。若制此药备用，较胜诸药万万矣。至于神煞、符咒，亦难谓尽妄。
如受胎之后，胎
杀所在，不惟损胎，甚至损母，俱宜谨慎。而临月安产，产下藏衣，犹为紧要，不可不知。至所谓雷公、
招摇、运鬼力士、天狗等神方向，及生气方之宜向，祸害月、绝命方、八床方之宜避，昔人填入产图，
使人知所趋避，似属太琐。若拘拘于图，又不免避此触彼之疑，不若体玄子之借地法，既可以避神煞，
又可以消俗疑，因并录之于后。
达生散 孕妇八九个月时，宜服数剂。
人参 陈皮 紫苏（各五分） 白芍（酒炒） 白术（土炒） 当归（酒炒。各一钱） 炙草（三
分） 大腹皮（一钱五分，用黑豆汁洗，晒） 黄杨脑（三个，即黄杨树叶梢儿也） 葱白（三根）
水煎服。春加防风五分，川芎五分。夏加酒炒黄芩五分，酒炒黄连五分，五味子十粒。秋加泽泻五分。
冬加砂仁五分。或通加炒枳壳、砂仁。胎动不安，加金银箔些须，野苎根一钱，生地黄一钱。气上逼心，
加柴胡、紫苏。多怒人，加炒黄芩佐之。食少者，加砂仁、炒神曲。口渴，加去心麦冬、酒炒黄芩。能食，
倍加黄杨脑。（此味瘦胎，若胎瘦不用。）有痰，加姜制半夏，炒黄芩。予按达生散，即紫苏饮方去川芎，
加黄杨脑、白术。又一方，无当归、白芍、白术。
秘传达生散 孕至八九个月服之易产。奇效。
大腹皮（三钱，黑豆水洗净） 人参 紫苏（连茎叶） 陈皮 炙草 砂仁（各五分） 白术（土炒）
白芍（酒炒） 当归（酒炒。各二钱） 枳壳（七分，麸炒）
青葱五根，水煎，食前服。至十余剂，甚得力。予谓前达生散不及此方稳妥有效，但大腹皮体轻，
此方用三钱似乎太过，不若根据前方一钱五分，或加至二钱，则此方更觉全美矣。
养胎散 宜与神寝丸兼用。
当归（酒洗） 川芎 黄芩 陈皮 白术（土炒） 制香附（各一钱） 白芷 甘草（各三分） 人参
（七分，人虚者倍之）
水煎，去渣，调益元散服。临产小便多者，不宜加益元散。
神寝丸 临月服之易产。气盛者可服，素虚者忌用。
乳香（一两，透明者，另研） 枳壳（二两，麸炒）
为末，炼蜜成丸，如梧子大。每早温酒送下三十丸。
保生无忧散 临产服之，补其血顺其气，自然易产。
当归（酒洗） 川芎 白芍（酒炒） 枳壳（麸炒） 乳香 木香 血余
上等分，每服二三钱，水煎，日二服，神效。为末，服三钱亦可。或胞肥浓，根蒂坚牢者，服之使其
易产。又治小产瘀血腹痛。如临产胞衣既破，其血已涸，或元气困惫，非此药可治，急用八珍汤斤许，
水数碗，煎熟，时饮救之，亦有得生。
千金不换方（一名保产无忧散。）
当归（酒浸） 川芎 菟丝子（各一钱五分） 黄 （八分，蜜炙） 白芍（一钱二分，冬季用一钱
）川贝母（一钱，去心） 枳壳（六分，麸炒） 浓朴（七分，姜汁炒） 蕲艾 羌活（各五分）
荆芥穗（八分） 生草（五分）
加生姜二片，水二碗，煎八分，空心服。临产不拘时服，制度分两不可加减。如临产一二日前，觉
动履不安，服一剂可保无忧。此方屡经试效。
保气丸 治孕妇居处失宜，顿扑动胎，服此宽气进食，瘦胎易产。
制香附 木香（各四分） 山药（二两） 益智仁（五分） 砂仁 粉草（各一两） 紫苏叶（五分）
为末，炼蜜成丸，如梧子大，每服二钱，滚水送下。
滑胎煎 胎气临月，宜常服数剂，以便易生。
当归（三五钱） 熟地（三钱） 杜仲（盐水炒断丝） 山药（炒。各二钱） 川芎 枳壳（麸炒。各七分）
水二钟，煎八分，食前温服。如气体虚弱者，加人参、土炒白术，随宜用之。如便实多滞者，加牛膝一二钱。
滑胎散 临月服之易产。
人参（八分，如壮实不用） 陈皮（七分） 川芎 制香附 黄芩 紫苏 大腹皮（各八分。黑豆水洗
净） 白芍（炒） 白术（土炒） 当归（酒洗。各一钱） 砂仁（五分） 炙草（三分）
加姜三片，葱头一个，水二钟，煎八分温服。如冬月，加麸炒枳壳一钱。《尊生》书云∶孕妇月足临产，
八珍汤预服十数剂，最易生育，再无难产之患。
家传胎产金丹 治妇人经水不调，诸虚百损，种子安胎，及胎前产后诸证，应效如神。
当归（酒洗） 丹皮（水洗，晒干，勿见火） 蕲艾（醋煮） 延胡索（酒拌，炒干） 川芎 益母
草（取上头半截，童便浸，晒干） 青蒿（人多内热者更宜，不用亦可） 白薇（洗净，人乳拌）
人参 赤石脂（火 ，水飞
亦可） 白茯苓 川 本（洗净） 白术（土炒。各二两） 生地（酒洗，煮不犯铁器） 鳖甲（醋炙。各四两
）香附（共四两、醋、酒、盐、童便各浸一两） 桂心 没药（去油） 粉草（酒炒。各一两二钱） 北五味
（一两，去梗，焙） 沉香（六钱）
以上共为细末，再用新鲜头次男胎紫河车一具，长流水浸半日，洗净。黑铅打成大铅罐一个，将河车
放在铅罐内，再将黄柏四两，放在河车下，加白酒酿二斤，清水二碗，灌满铅罐，仍以铅化封口。再以铁
锅盛水，将铅罐悬在锅内，煮两日夜为度，取出捣烂，和入药内，拌匀晒干。再研为末，炼蜜丸，弹子
大，每丸重三钱五分，水飞朱砂为衣，再以黄蜡为皮，如蜡丸式收贮。治证开后。
一、妇人临产，米汤化服一丸，助精神气力，分娩顺利。
一、产下，童便好酒服一丸，神清体健，再无崩晕之患。
一、产后，每日服一丸，服过五日，气血完固，自无他病。
一、行经后，川芎当归汤服一丸，服之三日，必然有孕。
一、苦于小产者，胎动欲产，白滚汤服一丸，睡半日其胎自安。每月常服二三丸，保全足月，分娩无忧。
一、产后血崩，童便好酒服一丸，即止。
一、产后血晕者，当归川芎汤服一丸，即醒。
一、产后惊风，防风汤服一丸，即解。
一、儿枕痛者，山楂黑砂糖汤服一丸，即止。
一、胞衣不下，干姜炒黑煎汤服一丸，即下。
一、产后虚怯者，川芎当归汤每日服一丸，十丸全愈。
一、凡产后诸证，俱加好酒、童便服，皆保命护身，回生起死，其功不能尽述。家有孕妇者，宜早备之。
催生万全汤（见本卷催生门。） 益元散（见下卷淋证门。） 八珍汤（见上卷诸痛门。）
For a woman about to give birth, the pulse exhibits the "Li Jing" (Departing from the Channel) pattern. (Li Jing refers to a pulse rate of six or three beats per respiration cycle. It is also stated that an intermittent pulse is called Li Jing.) This pulse shares the same name as the deep, fine, and slippery pulse (the Kidney pulse being deep and slippery resembles Li Jing). If abdominal pain begins at midnight, delivery should occur then; if it persists until noon the next day, delivery will certainly take place. If the body feels heavy, accompanied by fever and frequent chills, with black and bluish veins under the tongue, tongue retraction, salivation, and a cold sensation in the abdomen, this indicates that the fetus in the abdomen has died. A red face but blue-green tongue, upon careful examination, definitively indicates that the mother is alive while the fetus is dead. If both lips and mouth are blue-green and froth is discharged, it signifies the death of both mother and child. If the face is blue-green while the tongue is red and froth is frequent, it is certain that the mother is dead and the fetus is alive. For a new postpartum woman, a slow and slippery pulse is auspicious, whereas a full, large, wiry, and rapid pulse portends death. A deep and small pulse indicates prosperity, whereas a suddenly firm and solid pulse suggests a short life. A choppy and rapid irregular pulse at the Cun Kou (radial artery) position indicates death, while a deep and fine pulse that remains palpable even when pressed to the bone indicates survival. Good fortune, misfortune, life, and death depend entirely on the pulse; the practitioner must clearly discern the pulse under the fingers.
The *Qimeng* states: For a woman about to give birth, the pulse departs from the channel; one must recognize the departing pulse clearly. The pulse may come in varying sizes and irregular rhythms, resembling the pecking of a sparrow or the leaking of a roof. Lower back pain, abdominal pain, and visual disturbances indicate imminent delivery and are not pathological conditions. The *Mai Jing* states: A uniform and fine pulse facilitates easy delivery; a large, floating, and slow pulse with scattered Qi leads to difficult labor.
When pregnancy reaches the stage of delivery, the lives of mother and child hang in the balance for an instant. Improper regulation can turn safety into danger. Proper care can transform adverse conditions into favorable ones. Therefore, for all syndromes occurring before delivery, treatments should be modified according to the syndrome to protect and regulate the condition until the final month. For first-time mothers who lack experience, panic and fear may lead to errors. Even for experienced mothers, Qi and Blood are depleted; how can they rely on experience without worry? Thus, formulas for protecting childbirth must not be discarded. The *Dasheng San* is suitable for use during the eighth and ninth months of pregnancy, while formulas for nourishing the fetus and *Shenqin Wan* should be used at the time of impending delivery. If the pregnancy exceeds the due date without delivery, formulas for tonifying Blood and moving Qi should not be delayed. Regarding improper living environments, falls that disturb the fetus, excessive comfort, unregulated diet, and emotional instability causing difficult fetal movement, premature rupture of membranes, excessive discharge of amniotic fluid, or fetal drying preventing descent, formulas such as *Baosheng*, *Qianjin Buhuan*, *Wanquan*, *Baoqi*, and *Huatai* are still appropriate and should be selected based on the syndrome. My family's heirloom *Taichan Jindan* is not only the premier miraculous medicine for prenatal and postnatal conditions, but when taken at the time of delivery, it ensures safe and easy birth, surpassing other催产 (labor-inducing) medicines and preventing postnatal complications. Preparing this medicine is vastly superior to others. As for deities, evil spirits, and spells, they cannot be dismissed as entirely false. After conception, the location of "Tai Sha" (fetal killing influences) can harm not only the fetus but also the mother, so caution is required. Securing the environment for safe delivery and storing clothing after birth are also crucial matters. Directions associated with deities like Leigong, Zhaoyao, Yungui Lishi, Tiangou, as well as auspicious directions, and avoiding inauspicious months and positions recorded in previous charts, seem too trivial. Relying strictly on these charts may cause confusion. It is better to adopt the method of borrowing land described by Tixuanzi, which avoids spiritual influences and dispels vulgar doubts. This is recorded below.
*Dasheng San*: Suitable for pregnant women in their eighth or ninth month to take several doses.
Renshen (Ginseng Radix), Chenpi (Citri Reticulatae Pericarpium), Zisu (Perillae Folium) (each 5 fen); Baishao (Paeoniae Radix Alba, stir-fried with wine), Baizhu (Atractylodis Macrocephalae Rhizoma, earth-stir-fried), Danggui (Angelicae Sinensis Radix, stir-fried with wine) (each 1 qian); Zhigancao (Prepared Licorice Root) (3 fen); Dafupi (Arecae Pericarpium) (1.5 qian, washed with black soybean juice and dried); Huangyangnao (Huangyang Tree Leaf Tip) (3 pieces); Congbai (Scallion White) (3 stalks). Decoct in water and take orally. In spring, add Fangfeng (Saposhnikoviae Radix) 5 fen and Chuanxiong (Ligustici Chuanxiong Rhizoma) 5 fen. In summer, add Huangqin (Scutellariae Radix, stir-fried with wine) 5 fen, Huanglian (Coptidis Rhizoma, stir-fried with wine) 5 fen, and Wuweizi (Schisandrae Fructus) 10 grains. In autumn, add Zexie (Alismatis Rhizoma) 5 fen. In winter, add Sharen (Amomi Fructus Rotundus) 5 fen. Alternatively, generally add Zhike (Aurantii Fructus Immaturus, stir-fried) and Sharen. For restless fetus, add a small amount of Jinyinbo (Gold Foil), Yezhugen (Artemisia Capillaris Root) 1 qian, and Shengdihuang (Rehmanniae Radix Recens) 1 qian. For Qi rushing to the heart, add Chaihu (Bupleuri Radix) and Zisu. For those prone to anger, add stir-fried Huangqin as an adjuvant. For poor appetite, add Sharen and Shenqu (Medicated Leaven, stir-fried). For thirst, add Maidong (Ophiopogonis Radix, core removed) and Huangqin. For good appetite, double the dosage of Huangyangnao (this herb thins the fetus; do not use if the fetus is already thin). For phlegm, add Banxia (Pinelliae Rhizoma, ginger-processed) and Huangqin. Note: Dasheng San is essentially Zisu Yin minus Chuanxiong, plus Huangyangnao and Baizhu. Another variant lacks Danggui, Baishao, and Baizhu.
*Misha Dasheng San*: Take at the eighth or ninth month for easier delivery. Extraordinary effect.
Dafupi (3 qian, washed with black soybean water), Renshen, Zisu (with stem and leaves), Chenpi, Zhigancao, Sharen (each 5 fen), Baizhu (earth-stir-fried), Baishao (wine-stir-fried), Danggui (wine-stir-fried, each 2 qian), Zhike (7 fen, bran-stir-fried). Five stalks of green onion, decoct in water, take before meals. Taking more than ten doses is very effective. I consider this formula more stable and effective than the previous Dasheng San, but Dafupi is light; using 3 qian seems excessive. It would be better to use 1.5 qian as in the previous formula, or increase to 2 qian, making this formula perfect.
*Yangtai San*: Should be used concurrently with *Shenqin Wan*.
Danggui (wine-washed), Chuanxiong, Huangqin, Chenpi, Baizhu (earth-stir-fried), Zhi Xiangfu (Cyperi Rhizoma, processed) (each 1 qian), Baizhi (Angelicae Dahuricae Radix), Gancao (Licorice Root) (each 3 fen), Renshen (7 fen, double for deficiency). Decoct in water, remove dregs, mix with Yi Yuan San and take. Do not add Yi Yuan San if there is frequent urination near delivery.
*Shenqin Wan*: Take near term for easier delivery. Suitable for those with abundant Qi; contraindicated for those with chronic deficiency.
Ruxiang (Frankincense Resin, 1 liang, transparent pieces ground separately), Zhike (2 liang, bran-stir-fried). Grind into powder, form pills with refined honey, size of Sophora seeds. Take 30 pills with warm wine every morning.
*Baosheng Wuyou San*: Take at delivery to tonify Blood and smooth Qi, ensuring natural ease of birth.
Danggui (wine-washed), Chuanxiong, Baishao (wine-stir-fried), Zhike (bran-stir-fried), Ruxiang, Muxiang (Aquilariae Lignum Resinatum), Xueyu (Hominis Plasmatis Crinis Carbonisatus). Equal parts, take 2-3 qian, decoct in water, twice daily. Highly effective. Powder form, 3 qian per dose, is also acceptable. Useful for thick placenta and firm attachment to facilitate delivery. Also treats abdominal pain due to blood stasis after miscarriage. If membranes have ruptured and blood is exhausted, or Qi and Blood are severely depleted, this medicine is insufficient; urgently use Bajia Tang (Eight Treasures Decoction) approx. 1 jin, decocted in several bowls of water, sip frequently to save the patient; survival is possible.
*Qianjin Buhuan Fang* (also known as *Baochan Wuyou San*):
Danggui (wine-soaked), Chuanxiong, Tusizi (Cuscutae Semen) (each 1.5 qian), Huangqi (Astragali Radix, 8 fen, honey-roasted), Baishao (1.2 qian, 1 qian in winter), Chuanbeimu (Fritillariae Cirrhosae Bulbus, 1 qian, core removed), Zhike (6 fen, bran-stir-fried), Houpo (Magnoliae Officinalis Cortex, 7 fen, ginger juice-stir-fried), Qiai (Artemisiae Argyi Folium), Qianghuo (Notopterygii Rhizoma et Radix) (each 5 fen), Jingjiesui (Schizonepetae Spica, 8 fen), Shenggancao (Raw Licorice Root, 5 fen). Add two slices of Shengjiang (Zingiberis Rhizoma Recens), decoct two bowls of water to eight-tenths volume, take on an empty stomach. Take at any time during delivery; dosages must not be altered. If feeling restless one or two days before delivery, one dose guarantees safety. This formula has proven effective repeatedly.
*Baoqi Wan*: Treats cases where improper living environment or falls disturb the fetus; widens Qi, promotes appetite, thins fetus for easier delivery.
Zhi Xiangfu, Muxiang (each 4 fen), Shanyao (Dioscoreae Rhizoma, 2 liang), Yizhiren (Myristicae Semen, 5 fen), Sharen, Fencacao (Licorice Root, each 1 liang), Zisuye (Perillae Folium, 5 fen). Grind into powder, form pills with refined honey, size of Sophora seeds. Take 2 qian with boiling water.
*Huatai Jian*: Near term, regular consumption of several doses facilitates easy birth.
Danggui (3-5 qian), Shudi (Prepared Rehmanniae Radix, 3 qian), Duzhong (Eucommiae Cortex, salt-water stir-fried until fibers break), Shanyao (stir-fried, each 2 qian), Chuanxiong, Zhike (bran-stir-fried, each 7 fen). Two cups of water, decoct to eight-tenths volume, take warm before meals. For weak constitution, add Renshen and earth-stir-fried Baizhu as needed. For constipation and stagnation, add Niuxi (Achyranthis Bidentatae Radix) 1-2 qian.
*Huatai San*: Take near term for easier delivery.
Renshen (8 fen, omit if robust), Chenpi (7 fen), Chuanxiong, Zhi Xiangfu, Huangqin, Zisu, Dafupi (each 8 fen, washed with black soybean water), Baishao (stir-fried), Baizhu (earth-stir-fried), Danggui (wine-washed, each 1 qian), Sharen (5 fen), Zhigancao (3 fen). Add three slices of ginger and one scallion head, decoct two cups of water to eight-tenths volume, take warm. In winter, add bran-stir-fried Zhike 1 qian. The book *Zunsheng* states: Pregnant women nearing term should pre-consume Bajia Tang for over ten doses to ensure easy delivery and prevent dystocia.
*Jiachuan Taichan Jindan*: Treats irregular menstruation, various deficiencies and damages, seed planting and fetal protection, and all prenatal/postnatal syndromes. Effect is instantaneous.
Danggui (wine-washed), Danpi (Moutan Cortex, washed and sun-dried, avoid fire), Qiai (vinegar-boiled), Yanhusuo (Corydalis Rhizoma, mixed with wine and stir-fried dry), Chuanxiong, Yimucao (Leonuri Herba, upper half soaked in infant urine and sun-dried), Qinghao (Artemisiae Annuae Herba, suitable for internal heat, optional), Baiwei (Cynanchi Atrati Radix, washed and mixed with human milk), Renshen, Chishizhi (Halloysit Rubrum, calcined, water-suspended亦可), Baifuling (Poria, washed), Chuanben (Ligustici Chuanxiong Rhizoma, washed), Baizhu (earth-stir-fried, each 2 liang), Shengdi (wine-washed, cooked avoiding iron vessels), Biejia (Trionycis Carapax et Plastrum, vinegar-roasted, each 4 liang), Xiangfu (total 4 liang, soaked in vinegar, wine, salt, and infant urine respectively 1 liang each), Guixin (Cinnamomi Cortex), Moyao (Myrrha Resin, oil removed), Fencacao (wine-stir-fried, each 1.2 liang), Bei Wuwei (Schisandrae Fructus, 1 liang, stems removed and roasted), Chenxiang (Aquilariae Lignum Resinatum, 6 qian). Grind all above into fine powder. Take one fresh male placenta (Ziheche), soak in running water for half a day, wash clean. Make a large lead pot from black lead. Place placenta inside, put 4 liang of Huangbai (Phellodendri Cortex) underneath, add 2 jin of white wine ferment and two bowls of clear water to fill the pot. Seal with melted lead. Suspend the lead pot in an iron pot filled with water. Boil for two days and nights. Remove, mash, mix with the powder, blend, dry, and grind again. Form pills with refined honey, size of a bullet, each weighing 3.5 qian. Coat with Zhusha (Cinnabar, water-ground) and seal with yellow wax like a wax pill. Indications:
1. For delivery: Dissolve one pill in rice soup to boost spirit and strength, ensuring smooth delivery.
2. After delivery: Take one pill with infant urine and good wine for clarity and health, preventing hemorrhage or fainting.
3. Postpartum: Take one pill daily for five days to consolidate Qi and Blood, preventing other diseases.
4. After menstruation: Take one pill with Chuanxiong Danggui Tang; pregnancy will likely occur within three days.
5. For habitual miscarriage: If fetus moves and threatens delivery, take one pill with plain boiled water; sleep for half a day to stabilize the fetus. Take 2-3 pills monthly to maintain full-term pregnancy and ensure safe delivery.
6. Postpartum hemorrhage: Take one pill with infant urine and good wine to stop bleeding immediately.
7. Postpartum syncope: Take one pill with Danggui Chuanxiong Tang to regain consciousness immediately.
8. Postpartum convulsions: Take one pill with Fangfeng Tang to resolve symptoms immediately.
9. Lochial pain (Erzhen Tong): Take one pill with Hawthorn and brown sugar tea to stop pain immediately.
10. Retained placenta: Take one pill with decoction of charred dried ginger to expel placenta immediately.
11. Postpartum weakness: Take one pill daily with Chuanxiong Danggui Tang; ten pills result in full recovery.
12. For all postpartum syndromes, take with good wine and infant urine to save lives, protect the body, and revive the dying; merits cannot be fully described. Families with pregnant women should prepare this early.
*Cuishan Wanquan Tang* (see Delivery Section of this volume). *Yiyuan San* (see Strangury Section of the next volume). *Bajia Tang* (see Pain Syndromes Section of the previous volume).