交骨不开者。有锁骨也。因血虚不能运达。故不开。令稳婆以麻油调滑石。涂入产门中。
或
加
当归（五钱） 川芎（三钱） 自败龟板（童便炙酥三钱） 妇人头发（一握烧灰存性）
水煎服。如人行五里地时即生。如无自败龟板。药肆中所买者。亦可代用。
（方见胎消症）
产后病苦杂乱。金匮中着产后三病。最为简括。一者病痉。二者病郁冒。三者病大便难。
悉
令
神
痰
并
坐
冲胃。则呕恶饱闷。腹满胀痛。失笑散平胃散治之。若腹胀而兼呕逆者。因败血已化为水。
在
者
务
故
症
之
之症
后
有表
多致
似外
确有
和之
尤
进
即
情
多。
重矣。
产者。
跌扑损
恐瘀
平素体
宜暖。
连进生
当归（八钱） 川芎（四钱） 桃仁（十三粒） 姜炭（五分） 炙甘草（五分）
用水三钟。煎至八分。加无灰陈酒三四匙。冲入而服。须产后二个时辰内服之。可免变
幻。
治胞衣不下。肘萆麻肉（二钱） 雄黄（二钱）共研成膏。涂母足心。胞衣即下。一下
即宜洗去为要。
治胞衣不下。以益母草一味连根叶花于当风处阴干为末。蜜丸。弹子大。每服一丸
化汤冲服。
（自制）
治产后胃燥亡津液。大便结闭。
制军（三钱） 川芎（三钱） 全当归（六钱） 桃仁泥（二钱） 炮姜（五分） 炙
甘草（五分）
水煎。加酒三匙冲。
交骨不开的情况，是指耻骨联合分离。这是由于血虚导致气血无法运达所致，因此产门无法打开。此时应让稳婆用麻油调和滑石粉，涂抹并送入产门中。
或者服用以下方剂：
当归（五钱） 川芎（三钱） 自败龟板（用童便炙烤至酥软，三钱） 妇人头发（一握烧成灰，保留药性）
用水煎服。如果产妇行走约五里地的时间，胎儿即可娩出。如果没有自败的龟板，药店购买的龟板也可以代替使用。
（此方详见“胎消症”章节）
产后病症繁杂，《金匮要略》中记载的产后三病最为简括。一是痉病，二是郁冒，三是大便难。
若神志昏沉、痰涎壅盛，且气机上冲于胃，则会出现呕吐、恶心、饱闷感，腹部胀满疼痛。可用失笑散和平胃散治疗。如果腹胀同时伴有呕吐逆气，这是因为败血已经化为水饮，病情大多严重。
若是因跌扑损伤导致的瘀血阻滞，或者平素体质偏热者，宜注意保暖。连续服用生...
当归（八钱） 川芎（四钱） 桃仁（十三粒） 姜炭（五分） 炙甘草（五分）
用水三钟，煎至八分，加入无灰陈酒三四匙，冲入后服用。必须在产后两个时辰内服用，可以避免发生变幻莫测的变证。
治疗胞衣不下。取肘萆麻肉（二钱）和雄黄（二钱），共同研磨成膏状，涂抹在母亲脚心。胞衣即会排出。一旦排出，务必立即洗去药物，这是关键。
治疗胞衣不下。单用益母草一味，连根、叶、花一起，在通风处阴干后研为细末，炼蜜为丸，如弹子大小。每次服用一丸，化开汤药冲服。
（自制方）
治疗产后胃燥导致津液枯竭，大便结闭不通。
制军（三钱） 川芎（三钱） 全当归（六钱） 桃仁泥（二钱） 炮姜（五分） 炙甘草（五分）
用水煎煮，加入酒三匙冲服。
When the pubic symphysis fails to separate, it is due to blood deficiency preventing the Qi and Blood from reaching the area, thus causing the birth canal to remain closed. In this case, a midwife should mix talcum powder (Hua Shi) with sesame oil and apply it inside the birth canal.
Alternatively, administer the following prescription:
Dang Gui (Angelicae Sinensis Radix, 5 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 3 qian), Zi Bai Gui Ban (Plastri Testudinis et Carapacis Trionycis, roasted in child's urine until crisp, 3 qian), Fu Ren Fa Tui (Cinis Capillorum Humani, burnt to ash retaining its properties, one handful).
Decoct in water and take orally. If the patient walks for a distance equivalent to five li, delivery will occur. If self-fallen turtle shell is unavailable, commercially purchased turtle shell may be used as a substitute.
(See "Tai Xiao Zheng" chapter for this formula.)
Postpartum diseases are complex. The *Jin Gui Yao Lue* summarizes them into three main conditions: first, spasm (Jing); second, depression and dizziness (Yu Mao); third, difficulty in defecation (Da Bian Nan).
If there is mental cloudiness, phlegm turbidity, and Qi rebelling upward to the Stomach, symptoms such as vomiting, nausea, fullness, abdominal distension, and pain may occur. These can be treated with Shixiao San and Ping Wei San. If abdominal distension is accompanied by vomiting and belching, it indicates that stagnant blood has transformed into fluid retention, which signifies a severe condition.
In cases of traumatic injury causing blood stasis, or in patients with a constitution prone to heat, warmth should be maintained. Continuously administer Sheng...
Dang Gui (Angelicae Sinensis Radix, 8 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 4 qian), Tao Ren (Persicae Semen, 13 grains), Jiang Tan (Carbonized Zingiberis Rhizoma, 5 fen), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma, 5 fen).
Decoct in three zhong of water until reduced to eight fen. Add three or four spoons of aged wine without sediment, mix well, and take orally. This must be taken within two shichen (four hours) after delivery to prevent unpredictable complications.
To treat retained placenta: Take Zhou Bi Ma Rou (2 qian) and Xiong Huang (Realgar, 2 qian), grind together into a paste, and apply to the sole of the mother's foot. The placenta will be expelled immediately. Once expelled, it is crucial to wash off the medication promptly.
To treat retained placenta: Use only Yi Mu Cao (Leonuri Herba), including roots, leaves, and flowers. Dry them in the shade in a ventilated place, grind into fine powder, and form pills with honey, sized like quail eggs. Take one pill per dose, dissolved in decoction and taken orally.
(Self-made formula)
To treat postpartum stomach dryness leading to depletion of body fluids and constipation:
Zhi Jun (Rhei Radix et Rhizoma processed with wine, 3 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 3 qian), Quan Dang Gui (Angelicae Sinensis Radix, 6 qian), Tao Ren Ni (Persicae Semen paste, 2 qian), Pao Jiang (Prepared Zingiberis Rhizoma, 5 fen), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma, 5 fen).
Decoct in water, add three spoons of wine, mix, and take orally.