生，不必催也，催之则宋人之揠苗耳，非惟无益，而又害之矣。古方有用兔脑者，有用
猪脂者，有用油蜜、葱白者，有用葵子者，有用牛乳、榆皮、滑石者，有用金风子者，有用
柞枝者，取其滑泽之义耳，犹近理也。又有用弩牙灰者，有用蛇蜕灰者，有用笔头灰者，有
用百草霜者，有用伏龙肝者，有用凿头灰者，有用蓖麻子贴于足心者，有握石燕者，虽曰各
有深意，但烧灰而服者，徒劫燥其津液，手握足贴者，用之弗验耳。噫！平时失于将理，至
于临产艰难，频以杂药催之，皆惑也。
人参 黄 白术 白芍药 茯苓 当归 川芎 甘草 熟地黄（等分） 肉桂（少许）
正产之后，气血虚耗者，此方主之。小产者，亦此方主之。
气虚宜补气，故用人参、黄 、白术、茯苓、甘草。血虚宜补血，故用当归、川芎、芍
药、地黄、肉桂。丹溪曰∶产后宜大补气血。此之谓也。
熟地黄 炒蒲黄 炒黑干姜 当归 白芍药 桂心（各二两） 炙甘草（三钱） 黑豆
（炒去皮，二合半）
上件共为末，此方主之。
胎死者，产难经日而胎死也，法以妊娠舌头青黑为用之方也。蒲黄能逐败血，熟地、芍
药、当归、能养新血，干姜、肉桂能引新血而逐败血，甘草、黑豆能调正气而逐败气。师云∶
此
故并治之。
如果胎儿已经存活，就不必使用催产药；强行催产，就像宋人“揠苗助长”一样，不仅没有益处，反而会造成伤害。古代方剂中有使用兔脑的，有用猪脂的，有用油蜜、葱白的，有用葵子的，有用牛乳、榆皮、滑石的，有用金凤子（即蓖麻子）的，有用柞树枝的，这些是取其“滑利润泽”的含义，尚且接近医理。又有使用弩牙灰的，有用蛇蜕灰的，有用笔头灰的，有用百草霜（锅底灰）的，有用伏龙肝（灶心土）的，有用凿头灰的，有用蓖麻子贴敷于足心的，有用手握石燕（一种化石或矿物）的，虽然都说各有深意，但烧成灰服用的方法，只会劫夺并燥化体内的津液；用手握或足贴的方法，使用时往往不灵验。唉！平时疏于调养，到了临产时发生困难，频繁地使用各种杂药来催产，都是被迷惑了。
人参、黄芪、白术、白芍药、茯苓、当归、川芎、甘草、熟地黄（以上各等分）、肉桂（少许）。
针对正常分娩后，气血虚弱耗损的情况，此方主治。小产（流产/早产）的情况，也以此方主治。
气虚应当补气，所以用人参、黄芪、白术、茯苓、甘草。血虚应当补血，所以用当归、川芎、芍药、地黄、肉桂。朱丹溪说：“产后宜大补气血。”说的就是这个道理。
产后如果有瘀血停留在子宫内导致疼痛的，适宜使用四物汤加上上述药物。
熟地黄、炒蒲黄、炒黑干姜、当归、白芍药、桂心（各二两）、炙甘草（三钱）、黑豆（炒去皮，二合半）。
将上述药物共研为细末，此方主治。
胎死腹中，是指难产多日而胎儿死亡的情况，其诊断方法是观察孕妇舌头呈青黑色作为使用该方的依据。蒲黄能驱逐败血（瘀血），熟地黄、芍药、当归能滋养新血，干姜、肉桂能引导新血运行并驱逐败血，甘草、黑豆能调和正气并驱逐病邪之气。老师曾说：因此将这些情况一并治疗。
If the fetus is alive, there is no need to induce labor; forcing induction is akin to the Song dynasty story of "pulling shoots to help them grow" (Yamiao Zhuzhang), which brings no benefit and only causes harm. Ancient formulas included the use of rabbit brain, pig lard, oil and honey, scallion whites, okra seeds, cow's milk, elm bark, and talc; others used *Ricini Semen* (Jinfengzi, Castor Bean Seed) or oak branches, taking advantage of their slippery and moistening properties, which is still somewhat consistent with medical logic. There were also methods using ash from crossbow triggers, snake skins, pen tips, *Baicaoshuang* (Bai Cao Shuang, soot from the stove bottom), *Fulonggan* (Fu Long Gan, calcined soil from the center of a cooking stove), chisel heads, applying *Ricini Semen* to the sole of the foot, or holding *Shiyan* (Shi Yan, a type of fossil/mineral). Although each method was said to have profound meaning, consuming ashes merely depletes and dries up body fluids (*Jinye*), while external applications on hands or feet often prove ineffective. Alas! Neglecting proper care during pregnancy leads to difficult labor; frequently resorting to various miscellaneous drugs to induce labor is a result of being deluded.
*Ren Shen* (Ginseng Radix), Huang Qi (Astragali Radix), Bai Zhu (Atractylodis Rhizoma), Bai Shao Yao (Paeoniae Radix Alba), Fu Ling (Poria), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Shu Di Huang (Rehmanniae Radix Praeparata) [equal parts]; Rou Gui (Cinnamomi Cortex) [a small amount].
This formula is indicated for cases where Qi and Blood are deficient and depleted after normal delivery. It is also indicated for miscarriage or premature birth (Xiao Chan).
For Qi deficiency, tonifying Qi is appropriate; thus, Ren Shen, Huang Qi, Bai Zhu, Fu Ling, and Gan Cao are used. For Blood deficiency, nourishing Blood is appropriate; thus, Dang Gui, Chuan Xiong, Shao Yao, Di Huang, and Rou Gui are used. Zhu Danxi stated: "Postpartum conditions require substantial tonification of Qi and Blood." This refers to that principle.
In postpartum cases where blood stasis remains in the uterus causing pain, Si Wu Tang (Four Substances Decoction) combined with the aforementioned herbs is suitable.
Shu Di Huang (Rehmanniae Radix Praeparata), Chao Pu Huang (Processed Pollen Typhae), Chao Hei Gan Jiang (Processed Blackened Zingiberis Rhizoma), Dang Gui (Angelicae Sinensis Radix), Bai Shao Yao (Paeoniae Radix Alba), Gui Xin (Cinnamomi Ramulus/Cortex Heart), each 2 liang; Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma) 3 qian; Hei Dou (Black Soybean, fried and peeled) 2.5 he.
Grind all the above ingredients into a fine powder. This formula is indicated for...
Fetal death in utero refers to fetal demise after prolonged difficult labor. The diagnostic criterion for using this formula is a blue-black discoloration of the pregnant woman's tongue. Pu Huang can expel stale blood (blood stasis); Shu Di Huang, Shao Yao, and Dang Gui can nourish new blood; Gan Jiang and Rou Gui can guide the circulation of new blood while expelling stale blood; Gan Cao and Hei Dou can harmonize healthy Qi and expel pathogenic Qi. The master said: Therefore, these conditions are treated concurrently.