儿捧母心者,急用猪心血,调乳香五钱,煮酒送下,儿手遂开。如胞衣不下,用花蕊石一两
,硫黄四两,入罐,盐泥固济, 过为末,童便酒调一钱,即下。胞衣未下时,产妇将己发
推入口中,似欲作呕势,胞衣即下矣。
有胞水放干,儿不肯下者,急以大剂四物,加车前一二合,流水煎,频频服之,儿即随水而
下。此急开支河法也。虚者加人参。
《准绳》云∶胞衣不下,用瓦油盏烘热,仰放产妇脐上,令男人以脚抵住油盏,其胞即下,
乃乡村之法,果验。
交骨不开,有因元气素弱,胎前失于调养,以致气血不能运达而然,用加味芎归汤加柞树枝
一两,大剂服之,外以麻油调滑石末,涂入产门,交骨渐开。
达生散(即紫苏饮) 胎前之妙剂,催生之良方。
大腹皮(三钱) 人参 紫苏 陈皮 归身(各五分) 白术 白芍(各一钱) 炙草(二钱)
加黄杨头七个,枳壳、砂仁五分,青葱五茎,水煎服。(此方补中行滞能下死胎)
胃苓汤
苍术 浓朴 广皮 白术 茯苓(各一钱半) 猪苓(一钱) 甘草(六分) 官桂(五分)
姜一片,水煎。
防风通圣散
防风 荆芥 麻黄 山栀 赤芍 大黄 朴硝 甘草 桔梗 川芎 归身 滑石 薄荷 黄
芩白术 石膏 连翘
黑神散 治胞衣不下。
熟地 归尾 赤芍 蒲黄 肉桂 炮姜 甘草 黑豆(半升,炒)
童便冲服。
神仙聚宝丹
熟地 川芎 乳香 五灵脂 琥珀 当归 硫黄 花蕊石 良姜 黑龙 百草霜
夺命丹 治子死腹中不下。
桃仁 赤芍 官桂 茯苓 丹皮
养胃汤 治恶阻。
当归 白术 白芍 茯苓 半夏 藿香 砂仁 陈皮 神曲 香附
姜三片,大枣二枚。
五积散(见前)
安胎饮(见前)
苦楝丸
苦楝(打碎酒浸) 茴香(炒) 当归(等分) 共为末,酒糊丸。
妙香散(见产后)
清魂散(见产后)
所谓“儿捧母心”,是指胎儿在产道中紧握母亲的心胸部位,导致难产。此时应紧急使用猪心血,调入乳香五钱,用煮过的酒送服,胎儿的手随即松开。如果胞衣(胎盘)不下,可用花蕊石一两、硫黄四两,放入罐中,用盐泥密封加固,煅烧后研为细末,用童便和酒调服一钱,胞衣即可排出。在胞衣尚未排出时,产妇可将自己的头发推入口中,做出似要呕吐的姿态,胞衣自然就会落下。
若有羊水排干,胎儿不肯下降的情况,应紧急服用大剂量的四物汤,加入车前子一二合,用流动的水煎煮,频频服用,胎儿便会随着水流而下。这就是所谓的“急开支河”法。若产妇体质虚弱,可加入人参。
《准绳》记载:对于胞衣不下,可用瓦制的油盏烘烤热后,倒扣放在产妇的肚脐上,让男子用脚抵住油盏,这样胞衣就能排出。这是乡村中的方法,确实有效。
交骨不开(耻骨联合分离困难),有的因为元气素来虚弱,胎前缺乏调养,导致气血不能运达所致。可使用加味芎归汤,加入柞树枝一两,大剂量服用;外用麻油调和滑石末,涂抹并送入产门,交骨逐渐张开。
达生散(即紫苏饮)是胎前的妙剂,催生的良方。
组成:大腹皮三钱,人参、紫苏、陈皮、当归身、白术、白芍各五分,炙甘草二钱。
加减:加黄杨头七个,枳壳、砂仁各五分,青葱五茎,水煎服。(此方具有补中行滞、能下死胎的功效)
胃苓汤
组成:苍术、厚朴、广陈皮、白术、茯苓各一钱半,猪苓一钱,甘草六分,官桂五分,生姜一片,水煎。
防风通圣散
组成:防风、荆芥、麻黄、山栀、赤芍、大黄、朴硝、甘草、桔梗、川芎、当归身、滑石、薄荷、黄芩、白术、石膏、连翘。
黑神散 治疗胞衣不下。
组成:熟地黄、当归尾、赤芍、蒲黄、肉桂、炮姜、甘草、黑豆(半升,炒)。
用法:用童便冲服。
神仙聚宝丹
组成:熟地黄、川芎、乳香、五灵脂、琥珀、当归、硫黄、花蕊石、良姜、黑龙、百草霜。
夺命丹 治疗子死腹中不下。
组成:桃仁、赤芍、官桂、茯苓、丹皮。
养胃汤 治疗恶阻(妊娠呕吐)。
组成:当归、白术、白芍、茯苓、半夏、藿香、砂仁、陈皮、神曲、香附。
用法:生姜三片,大枣二枚,同煎。
"Infant Grasping the Mother's Heart" refers to a difficult labor condition where the fetus tightly grips the mother's chest area in the birth canal. In this emergency, use pig heart blood, mix with five qian of Ru Xiang (Frankincense), and administer with boiled wine; the infant's hands will then open. If the placenta fails to descend, use one liang of Hua Rui Shi (Flower Porphyry Stone) and four liang of Liu Huang (Sulfur). Place them in a jar, seal firmly with salt mud, calcine, and grind into powder. Mix one qian with child's urine and wine to take orally; the placenta will then be expelled. When the placenta has not yet descended, the parturient can push her own hair into her mouth, assuming a posture resembling vomiting, which will cause the placenta to drop naturally.
In cases where amniotic fluid has dried up and the fetus refuses to descend, urgently administer a large dose of Si Wu Tang (Four Substance Decoction) with one or two he of Che Qian Zi (Plantago Seed), decocted with flowing water, and drink frequently. The fetus will then descend along with the fluid. This is known as the method of "urgently opening branch rivers." For those with deficiency, add Ren Shen (Ginseng Root).
*Zhun Sheng* records: For placental retention, heat a clay oil lamp cup on fire, place it upside down on the parturient's umbilicus, and have a man press his foot against the cup to hold it steady; the placenta will then descend. This is a rural method that proves effective.
Failure of the pubic symphysis to open (Jiao Gu Bu Kai) may result from inherent weakness of Yuan Qi (Primal Qi) and lack of prenatal care, leading to an inability of Qi and Blood to circulate. Use Jia Wei Xiong Gui Tang (Modified Chuanxiong and Angelica Decoction) with one liang of Zha Shu Zhi (Zelkova Branch), administered in a large dose. Externally, apply Ma You (Sesame Oil) mixed with Hua Shi Mo (Talcum Powder) into the vaginal opening; the pubic symphysis will gradually open.
Da Sheng San (Da Sheng Powder), also known as Zi Su Yin (Perilla Infusion), is an excellent formula for prenatal care and a fine prescription for inducing labor.
Ingredients: Da Fu Pi (Areca Peel) three qian, Ren Shen (Ginseng Root), Zi Su (Perilla Leaf), Chen Pi (Aged Tangerine Peel), Dang Gui Shen (Angelica Sinensis Root Tip), Bai Zhu (Atractylodes Macrocephala Rhizome), Bai Shao (White Peony Root) each five fen, Zhi Gan Cao (Honey-fried Licorice Root) two qian.
Additions: Add seven Huang Yang Tou (Buxus Head), Zhi Ke (Aurantii Fructus), Sha Ren (Amomum Fruit) each five fen, and five stalks of Qing Cong (Green Onion). Decoct in water and take orally. (This formula tonifies the middle and moves stagnation, capable of expelling dead fetuses.)
Wei Ling Tang (Stomach and Spleen Regulating Decoction)
Ingredients: Cang Zhu (Atractylodes Lancea Rhizome), Hou Po (Magnolia Bark), Guang Pi (Tangerine Peel), Bai Zhu (Atractylodes Macrocephala Rhizome), Fu Ling (Poria) each one and a half qian, Zhu Ling (Polyporus) one qian, Gan Cao (Licorice Root) six fen, Guan Gui (Cinnamon Bark) five fen, one slice of Jiang (Fresh Ginger). Decoct in water.
Fang Feng Tong Sheng San (Saposhnikovia Unblocking Hero Powder)
Ingredients: Fang Feng (Saposhnikovia Root), Jing Jie (Schizonepeta Spike), Ma Huang (Ephedra Stem), Shan Zhi (Gardenia Fruit), Chi Shao (Red Peony Root), Da Huang (Rhubarb Rhizome), Pu Xiao (Mirabilite), Gan Cao (Licorice Root), Jie Geng (Platycodon Root), Chuan Xiong (Ligusticum Rhizome), Dang Gui Shen (Angelica Sinensis Root Tip), Hua Shi (Talcum), Bo He (Mint Leaf), Huang Qin (Scutellaria Root), Bai Zhu (Atractylodes Macrocephala Rhizome), Shi Gao (Gypsum Fibrosum), Lian Qiao (Forsythia Fruit).
Hei Shen San (Black Divine Powder) treats placental retention.
Ingredients: Shu Di Huang (Prepared Rehmannia Root), Dang Gui Wei (Angelica Sinensis Root Tail), Chi Shao (Red Peony Root), Pu Huang (Typha Pollen), Rou Gui (Cinnamon Bark), Pao Jiang (Roasted Ginger), Gan Cao (Licorice Root), Hei Dou (Black Soybean) half sheng, stir-fried.
Administration: Take with child's urine as a vehicle.
Shen Xian Ju Bao Dan (Immortal Treasure Gathering Pill)
Ingredients: Shu Di Huang (Prepared Rehmannia Root), Chuan Xiong (Ligusticum Rhizome), Ru Xiang (Frankincense), Wu Ling Zhi (Trogopterus Dung), Hu Po (Amber), Dang Gui (Angelica Sinensis Root), Liu Huang (Sulfur), Hua Rui Shi (Flower Porphyry Stone), Liang Jiang (Galangal Rhizome), Hei Long (Charred Dragon Bone), Bai Cao Shuang (Ash of Hundred Herbs).
Ming Dan (Life-Rescuing Pill) treats retained dead fetus.
Ingredients: Tao Ren (Peach Seed), Chi Shao (Red Peony Root), Guan Gui (Cinnamon Bark), Fu Ling (Poria), Mu Dan Pi (Moutan Cortex).
Yang Wei Tang (Stomach-Nourishing Decoction) treats E Zu (Morning Sickness/Nausea of Pregnancy).
Ingredients: Dang Gui (Angelica Sinensis Root), Bai Zhu (Atractylodes Macrocephala Rhizome), Bai Shao (White Peony Root), Fu Ling (Poria), Ban Xia (Pinellia Tuber), Huo Xiang (Patchouli Herb), Sha Ren (Amomum Fruit), Chen Pi (Aged Tangerine Peel), Shen Qu (Medicated Leaven), Xiang Fu (Cyperus Rhizome).
Administration: Add three slices of Jiang (Fresh Ginger) and two dates (Da Zao). Decoct in water.
Wu Ji San (Five Accumulations Powder) (See previous section)
An Tai Yin (Fetus-Calming Infusion) (See previous section)
Kou Lian Wan (Toosendan Pill)
Ingredients: Kou Lian (Toosendan Fruit, crushed and soaked in wine), Hui Xiang (Fennel Fruit, stir-fried), Dang Gui (Angelica Sinensis Root) in equal parts.
Preparation: Grind into powder, bind with wine paste to form pills.
Miao Xiang San (Wonderful Fragrance Powder) (See postpartum section)
Qing Hun San (Clear Soul Powder) (See postpartum section)