【临产歌】临产之时勿易看，蓦然气凑目珠翻。唇青口噤流涎沫，子母双双入死关。舌色鲜
红唇面黑，子存母死片时间。面红舌黑儿难保，佛手仍须夺命丹。横逆催生龙蜕散，滑胎可
救漏胎干。死胎欲下芎归饮，更捣务麻脚底摊。血入胞中时胀闷，上冲心胃死何难。朴硝散
共红花酒，夺命神丹逐下安。产下血逆成血晕，清魂急灌命须还。血由一倒心无主，目暗神
昏汗雨漫。气随血脱多难救，桂附参 大剂堪。血冲心闷成狂妄，喘促蒲黄不等闲。儿枕痛
知缘恶露，当归失笑效非凡。忽然口噤言颠倒，见鬼原非风与寒。败血上冲心血耗，妙香散
共黑龙丹。
夫妇人临产，死生反掌，若善于救治者，实可以起死回生。稍不急救，多致夭枉。救之不得
其法，药之不能应手，亦莫全其生也。将产努力过多，儿转未逮，以致胎落于胯，不能育者
，有因子横子逆而难产者，有体肥脂浓，平素逸而难产者，有子壮大而难产者，有年长遣嫁
，交骨不开而难产者，有胞水先破，胞内干涩而难产者，有胎死腹中而不下者，其腹冷舌黑
可验。有胞中积水，其腹大异常，脉息细弱，名曰胞水。时医不识，疑为双胎，临产必去水
斗余，方产。其儿手足，必然软短生理残障，盖水渍其胎故也。医者识此，早用去水之药，儿斯
无恙矣。有儿下地，去血太多，产下即死者。有血奔上而昏晕者，有子下而胞不下者，有败
血灌满胞中者。如胞不下，须行去胞血，则自下也。有因稳婆取胞，误伤五内，轻则带疾，
重则伤命，慎之慎之。大抵贫贱妇人生育极易者，以其劳役，胎气流动故也。富贵之家，浓
养安逸，身体肥壮，每难生育也。
《脉经》曰∶临产六至，脉号离经，或沉细滑，若无即生。浮大难产，寒热又频，此时急候
，急于色征。面颊唇舌，忌黑与青，面赤母活，子命必倾。若胎在腹，子母归真。
临产之时，切不可喧闹，选一善熟稳婆，或得力使女，无使挥霍慌张，致令产妇惊恐，宜食
软饭稀粥。若腹中痛，且令扶行，或痛或止，名曰弄胎，不可使稳婆手探，尤不可屈腰卧眠
。
如连引腰痛，眼前如见火光，此是儿转运，须扶掖徐行。起若艰难，即持物立住，须臾直至
腰腹相引，难以行立，然后坐草，切勿太早，恐儿在腹，难以转动。及胞水先破，子道干涩
，皆主难产。若心中热闷，将生鸡子一枚，打破吞服。抱腰之人，不可倾斜，则儿自然顺下
。若临事仓皇，用力失宜，随有难产之患。小儿已出，勿令便睡，宜闭目而坐，少顷，方扶
上床，仰卧立膝，勿令熟睡，宜频唤醒。切不可以得男为喜，喜则伤心，恐生红汗之症。亦
不可以得女为忧，忧则致败血攻心之患。房中常以醋烟熏之，以防晕闷血升。数日之外，不
可勉强下床，一月之外，莫犯房事。谨之慎之。
妊娠临产，有儿凑心不下者，其儿手必捧母心，多致母子俱亡，必用药引入心分，解开儿手
，方得产下。盖儿手捏物最紧，药气一到，其手自软，故曰解开。有产后胞衣不下，不可视
以为细故而忽之，多有升至心而死者，不可不知。
【临产歌】分娩之时切勿轻视，突然气机上逆导致眼球上翻。嘴唇发青、牙关紧闭、流涎沫，母子双双陷入死亡险境。舌色鲜红而唇面发黑，胎儿存活母亲却很快死亡。面色红赤而舌色发黑，胎儿难以保全，此时必须使用夺命丹来挽救生命。胎位横逆难产可用催生龙蜕散，滑胎或漏胎可用滑胎干救治。死胎欲下可用芎归饮，并捣碎务麻敷于脚底。血液进入胞宫导致胀闷，气血上冲心胃则死亡不难。朴硝散配合红花酒，以及夺命神丹可促使瘀血排出而安。产后因血逆形成血晕，急灌清魂散即可挽回生命。血液倒乱导致心神无主，出现目暗神昏、大汗淋漓。气随血脱多难救治，大剂量使用桂枝、附子、人参可以胜任。血气上冲心胸导致狂妄，喘促伴有蒲黄症候不可等闲视之。儿枕痛知晓是因为恶露残留，当归配伍失笑散疗效非凡。忽然牙关紧闭言语错乱，见鬼幻象并非风邪与寒邪所致。败血上冲耗伤心血，妙香散配合黑龙丹可治。
妇女临产，生死只在反掌之间，若善于救治，实在可以起死回生。稍不急救，多导致夭折枉死。救治不得法，用药不能应手，也不能保全其生命。即将分娩时努力过多，胎儿转动不及，以致胎落胯间，不能娩出者，有因胎位横逆而难产者，有身体肥胖脂厚，平素安逸而难产者，有胎儿壮大多难产者，有年长再嫁，交骨不开而难产者，有胞水先破，胞内干涩而难产者，有胎死腹中而不下的，腹部冷舌黑可以验证。有胞中积水，腹部异常增大，脉息细弱，名为胞水。当时医生不认识，怀疑为双胎，临产时必须去水一斗余，才能生产。其婴儿手足必然软短，生理残障，因为水浸泡胎儿的缘故。医者认识这一点，早用去水之药，胎儿便无恙了。有胎儿娩出后，失血太多，产后即死者。有血奔上而昏晕者，有胎儿已下但胞衣不下者，有败血灌满胞中者。如胞衣不下，须行去除胞血之法，则胞衣自然下行。有因稳婆取胞衣，误伤五脏，轻则带疾，重则伤命，务必谨慎。大抵贫贱妇人生育极易，因为劳役使胎气流动的缘故。富贵之家，浓养安逸，身体肥壮，往往难生育。
《脉经》说：临产六至（脉搏每分钟跳动六十次以上），脉象称为离经，或者沉细滑，若无其他凶兆即刻生产。浮大脉难产，伴有寒热又频繁，此时急切观察，急于从面色征象判断。面颊唇舌，忌讳黑色与青色，面赤母亲存活，胎儿性命必倾覆。若胎儿在腹中，母子回归正常。
临产之时，切不可喧闹，选择一位熟练的稳婆，或得力的侍女，不要使其挥霍慌张，致使产妇惊恐，适宜食用软饭稀粥。如果腹中疼痛，暂且令其扶行，或痛或止，名为弄胎，不可让稳婆用手探察，尤其不可屈腰卧眠。
如果连续牵引腰痛，眼前如见火光，这是胎儿转运，须扶持慢慢行走。起身若艰难，即持物站立片刻，须臾直至腰腹相互牵引，难以行立，然后坐草（准备接生），切勿太早，恐怕胎儿在腹中，难以转动。等到胞水先破，产道干涩，都主难产。如果心中热闷，将生鸡蛋一枚，打破吞服。抱腰之人，不可倾斜，则胎儿自然顺下。如果临事仓皇，用力失宜，随即有难产之患。小儿已出生，勿令立即睡觉，宜闭目而坐，少顷，才扶上床，仰卧立膝，勿令熟睡，宜频频唤醒。切不可以得男为喜，喜则伤心，恐生红汗之症。也不可以得女为忧，忧则致败血攻心之患。房中常以醋烟熏之，以防晕闷血升。数日之外，不可勉强下床，一月之外，莫犯房事。谨之慎之。
妊娠临产，有胎儿顶住心口不下者，其胎儿的手必捧母心，多致母子俱亡，必须用药引入心分，解开胎儿的手，方能产下。因为胎儿手握物最紧，药气一到，其手自软，故曰解开。有产后胞衣不下，不可视为小事而忽视，多有升至心而死者，不可不知。
[Song on Labor] At the time of labor, do not take it lightly. Suddenly, qi rushes upward causing the eyeballs to roll back. Lips turn cyan, jaw is clenched, and saliva foams; both mother and child enter the gate of death. Tongue color is bright red while lips and face are black; the child survives but the mother dies in a short time. Face is red and tongue is black; the child is hard to save, yet one must still seize the life-saving pill (Duoming Dan). For transverse or inverted presentation causing difficult labor, use Cui Sheng Long Tui San; for slippery fetus or leaking fetus, Huai Tai Gan can rescue. To expel a dead fetus, use Xiong Gui Yin, and mash Wu Ma to apply to the soles of the feet. Blood entering the uterus causes distension and oppression; rushing upward to the heart and stomach makes death easy. Piao Xiao San combined with Hong Hua wine, and Duoming Shen Dan, drive out the blood and bring peace. After delivery, blood reversal causes blood syncope; urgently administer Qing Hun San to restore life. Blood inversion leaves the heart without mastery, eyes dim, spirit confused, and sweat pours like rain. Qi follows blood loss and is hard to save; large doses of Guizhi (Cinnamon Twig), Fuzi (Prepared Aconite Root), and Renshen (Ginseng) are competent. Blood rushing to the chest causes madness; panting with Pul Huang (Polygonatum/Smilax symptoms, contextually likely referring to a specific syndrome treated by Pul Huang) is not trivial. Knowing that "child pillow" pain stems from lochia retention, Dang Gui (Angelica Sinensis) combined with Shixiao San yields extraordinary effects. Suddenly, jaw clenching and speech reversal occur; seeing ghosts is originally not due to wind or cold. Stagnant blood rushing upward depletes heart blood; Miao Xiang San combined with Hei Long Dan treats this.
Women at labor, life and death are reversed in the palm of a hand. Those skilled in treatment can truly revive the dead. Slight failure to rescue urgently often leads to premature death. If rescue methods are incorrect and medicines do not act promptly, life cannot be fully preserved. When about to deliver, excessive effort may cause the fetus to fail to rotate, leading to the fetus dropping into the hip crotch and unable to be born. There are cases of difficult labor due to transverse or inverted fetal positions. There are cases of difficult labor due to obesity and fat accumulation, usually sedentary. There are cases of difficult labor due to a large fetus. There are cases of difficult labor due to advanced maternal age and remarriage, where the pubic symphysis bones do not open. There are cases of difficult labor due to premature rupture of membranes and dryness inside the uterus. There are cases of a dead fetus in the womb that does not descend, verifiable by a cold abdomen and black tongue. There is a condition called "uterine water" (Bao Shui), where amniotic fluid accumulates in the uterus, causing abnormal abdominal enlargement and weak, fine pulse. Contemporary physicians do not recognize this, suspecting twins. At labor, over a dou of water must be expelled before birth. The infant's limbs will inevitably be soft and short, with physiological disabilities, because the water soaked the fetus. If physicians recognize this and use water-draining medicines early, the fetus remains unharmed. There are cases of death immediately after delivery due to excessive blood loss after the baby is born. There are cases of fainting due to blood rushing upward. There are cases where the fetus is delivered but the placenta does not descend. There are cases where stagnant blood fills the uterus. If the placenta does not descend, one must remove the uterine blood, and it will descend naturally. There are cases where midwives, attempting to extract the placenta, accidentally injure the five zang organs, resulting in chronic illness if mild, or death if severe. Be extremely cautious. Generally, women of low status give birth easily because their labor keeps the fetal qi flowing. Families of wealth, nourished richly and living in ease, with robust bodies, often find childbirth difficult.
The Mai Jing states: At labor, six pulses per breath indicate the pulse has left its regular channel. It may be deep, fine, and slippery; if no other ominous signs appear, birth occurs immediately. A floating and large pulse indicates difficult labor; frequent chills and fever require urgent observation, focusing on facial signs. The cheeks, lips, and tongue should not be black or cyan. A red face indicates the mother lives, but the child's fate is doomed. If the fetus remains in the abdomen, mother and child return to normalcy.
At the time of labor, noise must be avoided. Select a skilled midwife or capable maid. Do not allow them to be frantic or panicked, which would frighten the parturient woman. Soft rice and thin porridge are suitable foods. If abdominal pain occurs, let her walk while supported. Pain that comes and goes is called "playing fetus" (Nong Tai). Do not allow the midwife to probe with hands, nor allow her to lie with bent waist.
If lower back pain continuously radiates, and one sees flashes of light before the eyes, this indicates fetal rotation. Support her to walk slowly. If rising is difficult, hold onto something and stand for a moment. Wait until the waist and abdomen pull together and walking/standing becomes difficult, then assume the birthing position. Do not sit too early, lest the fetus in the abdomen cannot rotate. Once the membranes rupture and the birth canal is dry, difficult labor is indicated. If there is heat and oppression in the heart, break one raw egg and swallow it. The person supporting the waist must not tilt, so the fetus descends naturally. If one panics at the last moment and exerts force improperly, difficult labor ensues. After the child is born, do not let them sleep immediately. Have them sit with eyes closed. After a short while, help them to bed, lying supine with knees bent. Do not let them fall into deep sleep; wake them frequently. Do not rejoice excessively at having a son, as joy damages the heart and may cause "red sweat" syndrome. Do not grieve excessively at having a daughter, as sorrow may cause stagnant blood to attack the heart. Smoke vinegar in the room to prevent fainting and blood rising. Beyond several days, do not force oneself out of bed. Beyond one month, do not engage in sexual intercourse. Be cautious.
During pregnancy and labor, if the fetus presses against the heart and does not descend, the fetus's hands must be holding the mother's heart, often leading to the death of both. One must use medicine to guide action to the heart region to "unclasp" the fetus's hands before delivery is possible. Because a fetus grips objects tightly, once the medicinal qi arrives, the hands soften, hence the term "unclasp." Regarding retained placenta after delivery, do not treat it as a minor issue and ignore it. Many cases result in the placenta ascending to the heart causing death. This must be known.