胎气不和，怀胎迫上，胀满疼痛，谓之子悬。恐难产。
【主意】
胎气凑上腹心田，满闷胀痛曰子悬，紫苏散子安胎气，须教一服遂安然。
紫苏散
紫苏 人参 陈皮（去白） 大腹皮（洗净） 归尾 川芎 粉草 白芍 加姜（五片） 葱白（七寸）
煎服。胎前诸病，俱以此加减，腹痛加香附、木香，热加条
芩，咳嗽加枳壳、桑白皮，呕加砂仁，泻加白术、茯苓。
妊妇肾虚，膀胱热也。肾虚不能利水，则小便数也。膀胱热
则小便涩而不利。妊娠之妇胞系于肾，肾间虚热而成淋疾，甚者心烦闷乱，名曰子淋。
【主意】
子淋散在便淋中，热结便癃气不通，安荣散子功多效，服之宽快有奇功。
安荣散
麦冬 通草 滑石 川归 灯心 甘草 人参 细辛（各五分）
水煎服。
因母患热病，至六七日以后脏腑极热，熏蒸其胎，而致胎死自冷，不能自出而作喘。产母舌青者死。
【主意】
脉沉病喘死胎中，动热伤胎气上冲，桂射和匀酒调下，黑神散子亦能通。
黑神散
熟地 蒲黄（炒） 黑干姜 当归 白芍（酒炒） 桂心（各三两） 甘草（三钱） 黑豆（炒去皮，三合半）
共为末，每服二钱，童便和酒调下。它本用赤芍。
产时用力，恶血上逆，胎衣亦随气上，心头迷闷，须臾不止，即亡而不救矣。
【主意】
胎衣不下为何如，疲倦皆由用力过。停风衣冷或血入，胞肿
令人无奈何。急服夺命丹行血，牛膝汤煎效更多。益母童便酒调下，胞衣下利更清佳。
奇命丹
附子（泡一钱） 丹皮（一两） 干漆（一钱，炒、烟尽为度） 大黄（一两）
共为末，大黄成膏，丸梧桐子大，酒下五七丸。
牛膝汤
牛膝 川芎 朴硝 蒲黄（各三两） 川归（一两四钱酒洗） 桂心（五钱）
共为一剂，每服（五钱） 姜（三片） 加生地（一钱） 水煎。
又方
牛膝 瞿麦 归尾 木通（各一钱） 滑石（二钱） 冬葵子（酒洗，一钱五分） 枳壳（一钱）
水煎热服，治妇人生理不顺，用此滑利水道，令儿易产，药分三服，水二盅，煎八分温服。
胎气不和，怀胎时气机迫向上方，导致腹部胀满疼痛，这种病症称为“子悬”。担心会导致难产。
【治疗主旨】
胎气上凑至腹部和心胸部，出现满闷、胀痛的症状，就叫做子悬。使用紫苏散可以安胎气，必须让患者服用一剂后便能安然无恙。
紫苏散
紫苏、人参、陈皮（去除白色内层）、大腹皮（洗净）、当归尾、川芎、粉甘草、白芍。加入生姜五片、葱白七寸。
煎煮后服用。产前各种疾病，都以此方为基础进行加减：腹痛加香附、木香；有热象加黄芩；咳嗽加枳壳、桑白皮；呕吐加砂仁；腹泻加白术、茯苓。
孕妇肾虚，兼有膀胱湿热。肾虚不能正常利水，则小便频数。膀胱有热则小便涩滞而不通畅。妊娠妇女的胞宫系于肾，肾间产生虚热而引发淋证，严重的会出现心烦意乱、郁闷不安，名为“子淋”。
【治疗主旨】
子淋散见於治疗淋证的章节中，若因热结导致小便癃闭、气机不通，可使用安荣散，其功效显著，服用后能感到宽舒畅快，有奇效。
安荣散
麦冬、通草、滑石、当归、灯心草、甘草、人参、细辛（各五分）。
用水煎煮后服用。
因为母亲患有热病，到了六七天以后脏腑极度发热，热气熏蒸胎儿，导致胎死且身体变冷，胎儿无法自行排出并引起喘息。如果产妇舌头发青，则是死症。
【治疗主旨】
脉象沉伏，病在喘促且胎死腹中，此为死症。若因动热损伤胎气，气机上冲，可用桂枝与射干调和，用酒调服，黑神散也能起到通下的作用。
黑神散
熟地黄、蒲黄（炒制）、黑干姜、当归、白芍（酒炒）、桂心（各三两）、甘草（三钱）、黑豆（炒后去皮，三合半）。
共研为末，每次服用二钱，用童便和酒调服。其他版本使用赤芍。
分娩时用力过度，恶血上逆，胎衣也随着气机上逆，导致心头迷闷，如果片刻不止，就会死亡而无法救治。
【治疗主旨】
胎衣不下是怎么回事？疲倦都是因为用力过度所致。若是停风衣冷或血液进入胞宫，胞宫肿胀令人无可奈何。急需服用夺命丹以行血，牛膝汤煎服效果更多。益母草配合童便和酒调下，能使胞衣顺利排出且更清洁佳妙。
奇命丹
附子（炮制一钱）、牡丹皮（一两）、干漆（一钱，炒至烟尽为止）、大黄（一两）。
共研为末，将大黄制成膏状，丸如梧桐子大小，用酒送服五到七丸。
牛膝汤
牛膝、川芎、朴硝、蒲黄（各三两）、当归（一两四钱，酒洗）、桂心（五钱）。
共为一剂，每次服用五钱，加入生姜三片、生地黄一钱，用水煎煮。
又一方
牛膝、瞿麦、当归尾、木通（各一钱）、滑石（二钱）、冬葵子（酒洗，一钱五分）、枳壳（一钱）。
用水煎煮后热服，治疗妇人生理不顺，用此方滑利水道，使胎儿容易产出。药分三次服用，用水两盅，煎至八分，温服。
When the fetal qi is disordered, during pregnancy the qi forces upward, causing abdominal distension and pain; this condition is called "Zixuan" (Fetal Suspension). It is feared to lead to difficult labor.
[Therapeutic Principle]
When fetal qi rushes to the abdomen and heart region, causing fullness, oppression, distension, and pain, it is termed Zixuan. Zisu San (Perilla Leaf Decoction) can calm the fetal qi; one dose should render the patient peaceful and safe.
Zisu San (Perilla Leaf Decoction)
Perillae Folium (Zisu), Ginseng Radix et Rhizoma (Renshen), Citrus Reticulatae Pericarpium (Chenpi - white pith removed), Arecae Pericarpium (Dafupi), Angelicae Sinensis Radix Rubra (Guiwei), Chuanxiong Rhizoma (Chuanxiong), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Fengcao), Paeoniae Radix Alba (Baishao). Add five slices of Zingiberis Rhizoma Recens (Shengjiang) and seven cun of Allii Fistulosi Bulbus (Congbai).
Decoct and take orally. For various diseases before delivery, modify this formula as needed: add Cyperi Rhizoma (Xiangfu) and Aucklandiae Radix (Muxiang) for abdominal pain; add Scutellariae Radix (Huangqin) for heat; add Aurantii Fructus (Zhike) and Morus Cortex (Sangbaipi) for cough; add Amomi Fructus Rotundus (Sharen) for vomiting; add Atractylodis Macrocephalae Rhizoma (Baizhu) and Poria (Fuling) for diarrhea.
In pregnant women, Kidney deficiency combined with Damp-Heat in the Bladder occurs. Kidney deficiency fails to promote water metabolism, resulting in frequent urination. Bladder heat causes scanty, difficult, and obstructed urination. The uterus is connected to the Kidneys; deficiency-heat arising from the Kidneys leads to Lin syndrome (Strangury). In severe cases, mental restlessness and irritability occur, named "Zilin" (Fetal Strangury).
[Therapeutic Principle]
Zilin San is discussed in the chapter on treating strangury. If heat accumulation causes urinary retention and qi obstruction, Anrong San can be used. It has significant efficacy; taking it brings relief and remarkable results.
Anrong San (Nourishing Harmony Decoction)
Ophiopogonis Tuber (Maidong), Tectona Grandis Stem (Tongcao), Talcum (Huashi), Angelicae Sinensis Radix (Chuan Gui), Junci Medulla (Dengxin), Glycyrrhizae Radix et Rhizoma (Gancao), Ginseng Radix et Rhizoma (Renshen), Asari Radix et Rhizoma (Xixin) (each 0.5 fen).
Decoct in water and take orally.
If the mother suffers from a febrile disease, after six or seven days the internal organs become extremely hot. This heat steams the fetus, causing fetal death and cooling of the body. The dead fetus cannot be expelled naturally, leading to panting. If the mother's tongue turns blue, it indicates a fatal prognosis.
[Therapeutic Principle]
A deep pulse with panting and retained dead fetus indicates a fatal condition. If movement of heat damages the fetal qi, causing qi to rush upward, Guizhi (Cinnamon Twig) and Belamcandae Rhizoma (Shegan) can be mixed and taken with wine. Heishen San (Black Divine Decoction) can also facilitate expulsion.
Heishen San (Black Divine Decoction)
Rehmanniae Radix Praeparata (Shudi), Puerariae Radix (Puhuang - stir-fried), Zingiberis Rhizoma (Heiganjiang), Angelicae Sinensis Radix (Danggui), Paeoniae Radix Alba (Baishao - wine-fried), Cinnamomi Ramulus (Guixin) (each 3 liang), Glycyrrhizae Radix et Rhizoma (Gancao) (3 qian), Sojae Semen Nigrum (Heidou - stir-fried, skin removed, 3.5 he).
Grind into powder. Take 2 qian per dose, mixed with child's urine and wine. Other versions use Red Peony Root (Chishao).
During delivery, excessive effort causes lochia to reverse upward. The placenta follows the rebellious qi upward, causing cardiac confusion and oppression. If this persists for a moment without stopping, death will ensue and cannot be saved.
[Therapeutic Principle]
Why does the placenta fail to descend? Fatigue is due to excessive exertion. Retention of wind-cold or blood entering the uterus causes uterine swelling, which is helpless. Urgently administer Mingdan (Life-Saving Pill) to invigorate blood; Niuxi Tang (Achyranthes Decoction) offers even more efficacy. Yimucao (Motherwort) mixed with child's urine and wine facilitates the smooth and clean expulsion of the placenta.
Qiming Dan (Miraculous Life Pill)
Aconiti Lateralis Radix Praeparata (Fuzi - processed, 1 qian), Moutan Cortex (Danpi), Drynariae Rhizoma (Ganxi - 1 qian, stir-fried until smoke ceases), Rheum Palmatum Radix et Rhizoma (Dahuang) (1 liang).
Grind into powder. Make Dahuang into a paste, form pills the size of Chinese quince seeds. Take 5-7 pills with wine.
Niuxi Tang (Achyranthes Decoction)
Achyranthis Bidentatae Radix (Niuxi), Chuanxiong Rhizoma (Chuanxiong), Natrii Sulfas (Puxiao), Puerariae Radix (Puhuang) (each 3 liang), Angelicae Sinensis Radix (Chuan Gui - 1.4 liang, washed with wine), Cinnamomi Ramulus (Guixin) (5 qian).
Combine as one dose. Take 5 qian per serving, add three slices of ginger and 1 qian of Rehmanniae Radix Recens (Shengdi), decoct in water.
Another Prescription
Achyranthis Bidentatae Radix (Niuxi), Lupuli Flos (Qumai), Angelicae Sinensis Radix Rubra (Guiwei), Akebiae Caulis (Mutong) (each 1 qian), Talcum (Huashi) (2 qian), Abutilonis Semen (Dongkuizi - washed with wine, 1.5 qian), Aurantii Fructus (Zhike) (1 qian).
Decoct and take hot. Treats irregular menstruation in women; this prescription lubricates the water passages to facilitate easy childbirth. Divide into three doses. Use two bowls of water, decoct to eight-tenths, and take warm.