按诸家产论云∶凡产妇入月,切忌饮酒,恐产时心神昏乱。临产之时,不
大小仓忙,虑致惊动产母。只可令熟事产婆及稳审谨卓老成亲密三、两人扶
痛,只宜任意坐卧,勉强饮食,恐致临产气力虚羸。若腹痛渐甚,唯且熟忍
服滑胎榆白皮散一、二服。服药之法,慎勿太早,须得其时。又,旁人不得
扶策徐徐而行。若行步稍难,即凭物而立,须臾扶策再行,直至腹痛连腰相
即服催生丹一服,更且勉强扶行。阵痛转甚,难以立,认定产时将至,即服
安详上草。上草之时,慎勿伤早,若太早,则子在腹中难以转侧。又须仔细
欲生,然后令抱腰也。抱腰之人,不得倾斜,则儿得顺其理,自然易产也。
待卧定,背平着席,体不抠曲,则子不失其道。苟或不能依此节适,必致产
必须变生诸疾。
按经云∶妇人非只临产须忧,至于产后,大须将理,慎勿以产时无他,乃
所不犯,犯时微若秋毫,感病重于嵩岱。且才得分娩,切忌问是男是女,看血
服压血运药。良久吃粥,服四顺理中丸,便令人从心下按至脐腹,日五、七次
即随证服药,粥药相间,频频服饵,且宜闭目而坐,背后倚物,左右看承。常
虽时眠睡,频令唤觉,过一复时方得上床,亦须立膝。高 床头,浓铺 褥,
塞孔隙,恐御贼风。一腊之内,常闻醋烟,以防晕闷。一腊之后,渐加滋味,
鸡煮取浓汁作糜粥,直至百 。常服当归丸、当归建中汤、四顺理中丸,日各
养脏气,补血脉。两腊之后,方得食糜烂肉食。盈月之内,尤忌任意饮食,触
喜怒,梳头用力,高声作劳工巧之类,及上厕便溺。如此节养将摄,以至百
调,脏腑平复。设不依此,即致产后余疾。
根据各家关于产后的论述:凡是产妇进入产后一个月(坐月子)期间,切忌饮酒,恐怕在分娩时导致心神昏乱。临产之时,不要惊慌失措,以免因惊吓而动胎气。只可让熟悉接生事务、稳重谨慎且老成持重的亲密亲友两三人搀扶照顾,产妇只宜随意坐卧,勉强进食,恐怕会导致临产时体力虚弱消瘦。如果腹痛逐渐加剧,只需忍耐并服用一两服滑胎榆白皮散。服药的方法,千万不要太早,必须等到合适的时机。另外,旁人不得扶着产妇慢慢行走。如果行走稍感困难,就依靠物体站立,片刻后再搀扶行走,直到腹痛连及腰部,立即服用一服催生丹,再勉强搀扶行走。阵痛变得更加剧烈,难以站立,认定分娩时刻将至,就服用“安详上草”(一种助产体位或仪式,此处指采取特定姿势准备生产)。采取该姿势时,千万不要过早,如果太早,胎儿在腹中难以转动位置。又必须仔细观察是否真的即将分娩,然后才让人抱住腰部。抱腰的人,身体不得倾斜,这样胎儿才能顺应生理规律,自然容易分娩。待躺定后,背部平贴席子,身体不蜷曲,这样胎儿就不会偏离产道。如果不遵守这些适宜的分娩节度,必然导致难产并引发各种疾病。
根据经典论述:妇人不仅临产时需要担忧,至于产后,更需要精心调理护理,千万不要认为分娩时没有发生其他意外,就什么都不做。一旦疏忽,起初看似微小如秋毫,但引发的疾病却重于嵩山和岱山。刚分完娩,切忌询问是男是女,先看是否有血晕症状,服用压血运药。过许久喝粥,服用四顺理中丸,随即让人从心窝下按压至脐腹部,每天五到七次。接着根据证候服药,粥和药交替服用,频繁进服,并且宜闭目静坐,背后倚靠物体,左右有人照看。经常即使想睡觉,也要频繁唤醒,过一个时辰后才得上床,也必须屈膝仰卧,抬高床头,厚铺褥垫,堵塞孔隙,恐怕抵御贼风(外邪)。产后一个月内,常闻醋烟,以防晕闷。产后两个月后,逐渐增加滋味,用鸡肉煮取浓汁做成糜粥,直至产后一百天。常服当归丸、当归建中汤、四顺理中丸,每天各服一次,以养护脏气,补益血脉。产后三个月后,才可以吃糜烂的肉食。产后满月之内,尤其忌讳任意饮食,触犯喜怒情绪,用力梳头,高声说话从事工匠劳作之类,以及上厕所大小便。如此节制调养摄护,直至百日调治,脏腑平复。如果不依从此法,就会导致产后余疾。
According to various treatises on postpartum care: For a woman entering the first month after childbirth (the confinement period), alcohol must be strictly avoided, lest it cause mental confusion during delivery. At the time of labor, one should not panic or act hastily, to avoid startling the mother and disturbing the fetus. Only two or three close relatives who are familiar with midwifery, steady, cautious, and mature should assist her. The mother should sit or lie down as she pleases and eat whatever she can manage, to prevent exhaustion and emaciation at the time of delivery. If abdominal pain gradually intensifies, she should endure it patiently and take one or two doses of Huatai Yubai Pi San (Slippery Fetus Elm Bark Powder). The method of taking medicine is crucial: do not administer it too early; wait for the appropriate timing. Furthermore, attendants must not support the woman to walk slowly. If walking becomes slightly difficult, she should lean against an object to stand, and after a moment, resume walking with assistance, until the pain radiates to the waist. At that point, immediately take one dose of Cuisheng Dan (Labor-Inducing Pill), and continue to walk with assistance. When the contractions become severe and standing is difficult, recognizing that delivery is imminent, assume the "Anxiang Shangcao" position (a specific posture for preparation for birth). When assuming this position, do not do so too early; if done prematurely, the fetus will have difficulty turning within the womb. One must carefully observe whether birth is truly imminent before allowing someone to hold her waist. The person holding the waist must remain upright and not tilt, so that the baby follows the natural physiological path and delivers easily. Once lying down, keep the back flat against the mat and the body uncurled, so the fetus does not deviate from its path. Failure to adhere to these proper labor protocols will inevitably lead to dystocia and various complications.
According to classical texts: A woman’s concern is not limited to labor; postpartum care requires meticulous management. Do not neglect care simply because no immediate complications occurred during delivery. Negligence, though seemingly minor at first like the tip of an autumn hair, can result in illnesses as heavy as Mount Song or Mount Tai. Immediately after delivery, refrain from asking about the gender of the infant. First, check for symptoms of blood syncope (yunchun) and administer Ya Xueyun Yao (Blood-Suppressing Syncope Medicine). After some time, consume congee, then take Sishun Lizhong Wan (Four-Oriented Middle-Warming Pill). Subsequently, have someone massage from the epigastrium down to the umbilical and abdominal region, five to seven times daily. Then, administer medicine according to the syndrome, alternating between congee and medicine, taken frequently. The patient should sit with eyes closed, leaning against an object, with attendants on both sides for support. Even if sleepy, wake her frequently; only after one shichen (two hours) should she go to bed, and even then, she should sleep with knees flexed and the head of the bed elevated. Use thick bedding and seal gaps to ward off "thief wind" (pathogenic external factors). Within the first lunar month of postpartum, frequently expose her to vinegar smoke to prevent dizziness and faintness. After two months, gradually introduce flavorful foods, such as congee made from rich chicken broth, continuing until the hundredth day. Regularly take Danggui Wan (Angelica Sinensis Pill), Danggui Jianzhong Tang (Angelica Twig-Decoction to Build the Middle), and Sishun Lizhong Wan, once daily each, to nourish the zang organs and tonify the blood vessels. After three months, soft-cooked meat may be consumed. Within the full month postpartum, one must especially avoid arbitrary diet, emotional extremes (anger or joy), forceful hair combing, loud speaking, physical labor akin to craftsmanship, and defecation/urination in toilets. By adhering to such regimen and care, leading up to the hundred-day mark, the organs and bowels will recover balance. Failure to follow this will result in residual postpartum diseases.