治产方书伙矣。类皆见证治证。不审本原。间有一二善本。而博引繁征。纷然杂出。读其书者。奚所折衷也。夫产
后劳倦异常。腠理不密。脾胃恒弱。气血多亏。急宜滋补。以回其元。而他证概从末治。其需补而不遽补者。特以恶露
未净。收固升提之品。碍难骤进耳。若痛块既除。调理失当。则正气久衰。变证百出。害将不可胜言。世医不明此旨。
或因烦热而妄用清凉。或因瘀滞而误施攻下。或因外感而谬加表散。或因内结而专主消耗。治其标而舍其本。究之。本
愈亏而标亦不可治。其不危者几希矣。道光丙午。家君光禄公。宦京师。得许珊林刺史所刊倪氏产宝读之。窃叹为济人
宝筏。欲付梓以公于世久矣。归里后。值赭乱滋扰。练兵筹饷。昕夕不遑。致稽寿枣。今先君弃养三年矣。偶理遗箧。
睹是书。重为黯然。爰悉心校正。付剞劂氏。以承先志。吾知流传日广。必有同志之士。什袭珍藏。相继刊布者。由此
家置一编。宇字内共庆达生。是则予之浓望也夫。
同治辛未秋仲石阳黄祖经序于三余家塾。
余家得是书。曾镌印万数千本。以广其传。数十年来。戚友乡里中。按方施治。靡不奏效。年远者不能记忆。若近
事之奇验者。可略举一二焉。余宦浙。侄宝芝宦金陵。光绪甲午。宝芝以同知权盐城县篆。遣眷属来杭。其侧室杨氏。
体质素强。夏月生子极速。绷儿甫毕。即出房料理他务。佥止之。入室后。又以冷水浣手。推窗挥扇。当风而坐。复止
之。日晡忽发寒热眩晕。佥云。强壮如此。冒风贪凉如此。是因产后腠理不密。护卫失宜。致受外感也。余窃疑之。诊
其脉有虚象。进以养正通幽汤。一服而证减。再服则全瘳矣。甲辰秋。余孙媳生子。产后三日。患痰闭搐搦之证。此血
虚生风也。以滋荣活络汤。加半夏竹沥姜汁进之。应手而愈。盖产妇当忍痛用力之时。出汗多则亡阳。阳虚故畏寒。失
血多则伤阴。阴虚故发热。气血两亏。则神散而有眩晕。甚至痰闭搐搦。状类中风。自应用扶正之品。以调和营卫。设
使目为客邪。任意表散。鲜有不由虚弱而成危殆者也。丙午夏。偶谈及此。笏堂太守。欣然以石印是编为任。嘱余补记
于简端。因振笔书之。
黄子 谨识。
治疗产后疾病的方书已经很多了。大都是根据症状来治疗症状，不探究疾病的根本原因。偶尔有一两本好的版本，但引用繁杂征引过多，内容杂乱无章。读书的人，该以什么为标准呢？
妇女在产后，劳累过度且身体状态异常，腠理（皮肤毛孔及肌肉纹理）不致密，脾胃功能通常虚弱，气血大多亏损，急需滋补，以恢复元气。其他病症一概从次要方面治疗。那些需要补益但不能立即峻补的，特别是因为恶露（产后子宫内残留的瘀血和粘液）尚未排净，收敛固涩、升提的药物难以突然进用罢了。如果疼痛肿块既已消除，而调理失当，那么正气长期衰弱，各种变证就会层出不穷，危害将不可胜数。世间的医生不明白这个道理，有的因为烦热就胡乱使用清凉药，有的因为瘀滞就错误地施用攻下药，有的因为外感就谬加解表发散药，有的因为内部结滞就专门主用消耗正气的药物。治疗标症而舍弃本元，最终结果是本元更加亏损，标症也无法治愈。这样还不陷入危境的，几乎没有多少了。
道光丙午年（1846年），家父光禄公在京师做官时，得到许珊林刺史刊刻的《倪氏产宝》，读后私下赞叹这是救人的宝贵舟筏，想要付梓印刷以公开于世，已经很久了。回到家乡后，正值战乱滋扰，练兵筹饷，早晚忙得没有闲暇，导致推迟了印行。如今先父去世已经三年了，偶然整理遗留的书箱，看到这本书，再次感到黯然神伤。于是悉心校正，交给刻工，以继承先父的遗志。我知道流传日益广泛，必定有志同道合的人士，层层包裹珍藏，相继刊布发行。由此家家户户置备一册，天下人都能庆幸顺利生育，这是我的深切期望啊。
同治辛未年（1871年）秋季，石阳黄祖经在三余家塾作序。
我家得到这本书，曾刻板印刷一万数千本，以扩大其传播。几十年来，亲戚朋友乡邻中，按照书中的方子施治，没有不奏效的。年代久远的不能记忆，如果是近期事情中疗效奇特的，可以略微列举一两件。我在浙江做官时，侄子宝芝在南京做官。光绪甲午年（1894年），宝芝以同知的身份代理盐城县县令，派遣家属来到杭州。他的侧室杨氏，体质向来强壮，夏天生孩子极快。包裹婴儿刚完毕，就走出房间料理其他事务。大家都劝阻她，进入房间后，又用冷水洗手，推开窗户摇着扇子，对着风坐着。大家再次劝阻她。傍晚时分忽然发作寒热、眩晕。大家都说，体质如此强壮，冒风贪凉如此严重，这是因为产后腠理不密，护卫功能失调，导致感受外邪所致。我私下对此表示怀疑，诊察她的脉象有虚象，给予养正通幽汤服用，服一次后症状减轻，再服用则完全痊愈了。
甲辰年（1904年）秋天，我的孙媳妇生孩子，产后三天，患痰闭、抽搐痉挛的症状。这是血虚生风的表现。用滋荣活络汤，加入半夏、竹沥、姜汁给她服用，立刻见效而痊愈。大概产妇在忍受疼痛用力之时，出汗多则亡阳，阳虚所以畏寒；失血多则伤阴，阴虚所以发热。气血两亏，则神气涣散而有眩晕，甚至痰闭抽搐，症状类似中风，自然应当应用扶正的药品，以调和营卫。假如认为是客邪（外来病邪），任意使用解表发散药，很少有不是由虚弱而导致危殆的。
丙午年（1906年）夏天，偶然谈到此事，笏堂太守欣然承担用石印法印刷此书的任务，嘱咐我在书前补充记录这件事。于是振笔书写下来。
黄子 谨识。
There are numerous books on formulas for treating postpartum conditions. Most of them merely address symptoms with treatments without examining the root cause. Occasionally, there are one or two good editions, but they cite extensively and cite too many sources, resulting in a chaotic mix. How can readers find a standard to follow?
After childbirth, women often suffer from excessive fatigue and abnormal physical states. Their *Couli* (pores and interstitial spaces) are not dense, their Spleen and Stomach functions are typically weak, and Qi and Blood are mostly deficient. It is urgent to tonify and nourish to restore their Yuan Qi (Original Qi). Other conditions should generally be treated as secondary matters. For those who need tonification but cannot receive it abruptly, this is specifically because the *Eluo* (lochia/residual blood and mucus after birth) has not yet cleared; thus, astringent, consolidating, and ascending herbs are difficult to administer suddenly. Once pain and masses have been removed, if regulation is improper, Zheng Qi (Upright Qi/Healthy Qi) will remain deficient for a long time, and various complicated syndromes will emerge endlessly, causing harms that are incalculable. Physicians of the world do not understand this principle. Some, due to irritability and heat, recklessly use cooling agents; some, due to blood stasis, mistakenly apply purgatives; some, due to external contraction, erroneously add diaphoretic dispersants; some, due to internal accumulation, exclusively focus on consuming agents. They treat the branch (symptoms) while abandoning the root (cause). Ultimately, the root becomes more deficient, and the branch cannot be treated either. Those who do not fall into critical danger are few indeed.
In the Bingwu year of the Daoguang reign (1846), my father, Guanglu Gong, was serving in the capital. He obtained the edition of *Ni Shi Chan Bao* (*Ni's Obstetric Treasure*) published by Cishi Xu Shanlin. Reading it, I privately sighed that it was a precious raft for saving lives. I had wanted to print it for public dissemination for a long time. After returning to my hometown, war and unrest broke out. Military training and fund-raising occupied my days and nights without respite, delaying the printing. Now, my late father has passed away for three years. While occasionally organizing his leftover book chest, seeing this book again made me feel deeply sorrowful. Therefore, I carefully corrected it and entrusted it to the engravers to fulfill my late father's wishes. I know that as its circulation widens day by day, like-minded scholars will surely treasure it carefully and publish successive editions. Consequently, every household will possess a copy, and people throughout the world will rejoice in safe childbirth. This is my earnest hope.
Preface by Huang Zu Jing of Shiyang at the Sanjia Family School, in the mid-autumn of the Xinwei year of the Tongzhi reign (1871).
My family obtained this book and had it woodblock printed ten thousand times to spread its transmission. Over the past decades, relatives, friends, and villagers who used the formulas according to the book achieved efficacy without fail. Events from distant years cannot be remembered, but regarding recent cases with miraculous effects, I may briefly mention one or two.
When I was serving in Zhejiang, my nephew Bao Zhi was serving in Jinling (Nanjing). In the Jiawu year of the Guangxu reign (1894), Bao Zhi, acting as Tongzhi (Associate Prefect), took charge of Yancheng County. He sent his family members to Hangzhou. His concubine, Lady Yang, had always possessed a strong constitution. She gave birth very quickly in summer. Immediately after wrapping the newborn, she went out of the room to attend to other affairs. Everyone advised against it. Upon re-entering the room, she washed her hands with cold water, pushed open the window, waved a fan, and sat facing the wind. Everyone advised against this again. At dusk, she suddenly developed chills, fever, and dizziness. Everyone said, "Her constitution is so strong, and she exposed herself to wind and cold so severely. This is because her Couli were not dense after birth, her defensive function was improper, leading to an external contraction." I privately doubted this diagnosis. Palpating her pulse revealed signs of deficiency. I administered Yangzheng Tongyou Tang (Nourishing Uprightness and Unblocking Darkness Decoction). After one dose, symptoms decreased; after two doses, she was completely cured.
In the autumn of the Jiachen year (1904), my granddaughter-in-law gave birth. Three days postpartum, she suffered from phlegm obstruction and convulsions/spasms. This was Wind generated from Blood deficiency. I administered Zirong Huoluo Tang (Nourishing Prosperity and Activating Collaterals Decoction) with added Banxia (Pinelliae Rhizoma), Zhuli (Bambusae Caulis in Taeniae Succus), and Jiangzhi (Zingiberis Recensis Succus). The effect was immediate, and she recovered.
Generally, when a parturient endures pain and exerts effort, excessive sweating leads to loss of Yang; Yang deficiency causes aversion to cold. Excessive blood loss injures Yin; Yin deficiency causes fever. When both Qi and Blood are deficient, Shen (Spirit/Mind) scatters, leading to dizziness. Severe cases involve phlegm obstruction and convulsions, resembling Stroke (Zhong Feng). Naturally, one should employ tonifying agents to harmonize Ying (Nutritive Qi) and Wei (Defensive Qi). If one mistakes this for an external pathogen and arbitrarily uses diaphoretic dispersants, few cases do not become critical due to weakness.
In the summer of the Bingwu year (1906), this matter was casually discussed. Prefect Hutang willingly undertook the responsibility of lithographically printing this edition and requested that I add a record to the beginning. Thus, I wrote this down with pen in hand.
Huang Zi respectfully records.