孕妇不语非病也闻如此者不须服药临产日但服保生丸四物汤之类产后便语亦自然之理非
药之功岂其功也哉(医余)
夫半产正产妇人之常事也然其间多有产后染成大患忽绝无月行忽宫脏亏损不禁忽积成 瘕
而岁久月深倾损性命此无他轻之以为半产而不甚将养之所致也不知半产之后
其将养过当如正产十倍正产止血脏空虚半产即肌肉腐烂常切譬之正产有如果中之栗夫栗之为
物俟其自熟阴阳气足则其壳自开而栗自坠方是之时子之与壳两无所损如妇人怀孕十月已满阴
阳气足则其子宫自开而儿子生下若月未满足因误服药饵忽寒邪热毒所伤忽扶轻举重忽倒地
打
伤其胎脏伤损胞系腐烂然后其胎坠下即有如世人采折新栗碎其皮壳就壳中断其根蒂然后取得
栗
子此其半产之喻也以其胎藏伤损胞系断去而后胎坠下则其半产之人将养调治得不过如正产十
倍者哉正产之后补其虚生其好血化其恶血保其脏气去其风邪人人无有不安也半产之后补其虚
生其肌肉益其血穷其所因解其病去其风邪养其脏气加之将养过如正产十倍伤损之胎无不平复
也吁世之人多轻之至于倾危不可胜数得不惜哉(琐碎录)
凡治产难之法有四一肾为悭藏其气以悭秘为事如催生之方多用滑利迅疾之药如兔脑笔头
灰弩
牙蛇皮之类有水血先下子道干涩令儿不能下者如猪脂蜜酒葱白葵子牛乳榆白皮滑石之类有稽
停劳动之久风冷乘虚客于胞胎使气血凝滞涩而不下如桂牛膝酒葱之类五积散加顺元散煎服尤
妙有触犯禁忌者如符法腊月兔脑朱砂乳香之类
孕妇不说话并不是病，听到这种情况不需要服药。到了临产那天，只要服用保生丸、四物汤之类的药物，产后就会自然说话，这也是自然的道理，并非药物的功效，难道真是药物的功劳吗？（出自《医余》）
半产（流产）和正产（足月分娩）是产妇的常事，但其中很多人因为产后护理不当而染成大病。有的突然完全停止月经，有的子宫脏腑亏损无法承受，有的积聚形成瘕块，年深日久损害性命。这没有别的原因，是因为轻视半产，认为它不像足月生产那样需要精心调养所致。不知道半产之后的调养应当比足月生产严格十倍。足月生产时，止血后脏腑空虚；而半产则导致肌肉腐烂。常常打比方：足月生产就像果实中的栗子，栗子这种东西，等到它自然成熟，阴阳之气充足，外壳自然会裂开，栗子自然掉落。在这个时候，果子和外壳都无损。就像妇女怀孕十月期满，阴阳之气充足，子宫自然打开，胎儿生下。如果月份未满，因误服药物，忽受寒邪热毒伤害，忽因扶举重物或跌倒受伤，损伤胎脏，损坏胞系并腐烂，然后胎儿坠落。这就好比世人采摘折断新栗，弄碎皮壳，在壳中断其根蒂，然后取得栗子。这就是半产的比喻。因为胎藏受损，胞系断裂而后胎儿坠落，所以半产之人如果不像足月生产那样调养十倍，怎么能恢复呢？足月生产之后，补其虚损，生成好血，化解恶血，保护脏气，去除风邪，人人没有不安稳的。半产之后，补其虚损，生长肌肉，益其血液，穷究病因，解除病症，去除风邪，养护脏气，再加上比足月生产严格十倍的调养，受损的胎儿（指身体）没有不康复的。唉！世上的人大多轻视半产，以至于倾覆危险的情况数不胜数，怎能不珍惜呢？（出自《琐碎录》）
大凡治疗难产的方法有四种：一是肾为闭藏之脏，其气以闭秘为特点，如催生方剂多用滑利迅疾的药物，如兔脑、笔头灰、弩牙、蛇皮之类；二是有水血先下，子道干涩令胎儿不能下来的情况，可用猪脂、蜜、酒、葱白、葵子、牛乳、榆白皮、滑石之类；三是稽留停滞后劳动过久，风冷乘虚侵入胞胎，使气血凝滞涩滞而下不来，可用桂枝、牛膝、酒、葱之类，五积散加顺元散煎服尤其妙；四是触犯禁忌者，可用符法、腊月兔脑、朱砂、乳香之类。
The silence of a pregnant woman is not a disease. Upon hearing of such cases, medication is unnecessary. On the day of labor, simply administering formulas such as Baosheng Wan (Life-Preserving Pill) or Siwu Tang (Four Substances Decoction) will result in natural speech after delivery. This is a natural principle, not the merit of medicine; how could it truly be the功 (merit/effect) of drugs? (From *Yiyu*)
Spontaneous abortion (half-birth) and full-term delivery are common occurrences for women. However, many suffer severe illnesses postpartum due to improper care. Some experience sudden cessation of menstruation, some suffer from uterine and organ deficiency unable to sustain health, and others accumulate masses (*jia*, abdominal lumps), damaging their lives over years. This stems not from other causes, but from underestimating spontaneous abortion and failing to provide adequate recuperation. One must understand that recuperation after spontaneous abortion should be ten times more rigorous than after full-term delivery. In full-term delivery, after bleeding stops, the organs are empty; whereas in spontaneous abortion, muscle tissue rots. Consider this analogy: full-term delivery is like a chestnut within its fruit. When the chestnut ripens naturally and Yin-Yang Qi is sufficient, the shell opens and the nut falls. At this time, both the kernel and the shell remain undamaged. Similarly, when a woman’s pregnancy reaches ten months and Yin-Yang Qi is sufficient, the uterus opens naturally, and the child is born. If the term is not complete, and due to erroneous medication, injury by cold pathogens or heat toxins, lifting heavy objects, falling, or physical trauma damages the fetal organs and ruptures the fetal membranes causing rot, then the fetus falls. This is akin to someone picking a fresh chestnut, crushing its shell, breaking its stem while still in the shell, and then retrieving the nut. This illustrates spontaneous abortion. Because the fetal organs are damaged and the membranes severed before the fetus falls, those who undergo spontaneous abortion cannot recover unless they follow recuperation protocols ten times stricter than those for full-term delivery. After full-term delivery, tonifying deficiency, generating good blood, resolving bad blood, protecting organ Qi, and expelling wind pathogens ensures everyone remains stable. After spontaneous abortion, one must tonify deficiency, regenerate muscle tissue, nourish blood, investigate the root cause, resolve pathology, expel wind pathogens, nurture organ Qi, and apply recuperation ten times stricter than for full-term delivery; thus, no damage to the body will fail to heal. Alas! People often underestimate spontaneous abortion, leading to countless cases of critical danger. How can one not cherish [proper care]? (From *Suosuilu*)
Generally, there are four methods for treating difficult labor:
1. The Kidney is a storage organ, characterized by closure and retention. For inducing labor, formulas often use slippery and rapid-acting herbs, such as Rabbit Brain, Pen-tip Ash, Crossbow Tooth, and Snake Skin.
2. Cases where amniotic fluid or blood descends first, leaving the birth canal dry and slippery, preventing the fetus from descending, can be treated with Pig Fat, Honey, Wine, Scallion White, Malva Seed, Cow’s Milk, Elm Bark, and Talcum.
3. Cases where labor is delayed due to prolonged exertion, allowing Wind-Cold to invade the womb through deficiency, causing Qi and Blood to stagnate and preventing descent, can be treated with Cinnamon Twig, Achyranthes Root, Wine, and Scallion. Decocting Wuji San (Five Accumulations Powder) with Shunyuan San is particularly effective.
4. Cases involving violation of taboos may be treated with talismanic methods, Rabbit Brain collected in the twelfth lunar month, Cinnabar, and Frankincense.