书符时，宜以水飞朱砂书之，贴于房内北壁上。遇坐褥之时扎于针上，就盏内以灯烧之
，庶免飞扬。温水调服。
坐月既明，须知产难，故以次之。
（夫产难之由有六，所受各异，故治疗之方不同。今具言之，以开世惑）
凡妇人以血为主，惟气顺则血顺，胎气安而后生理和。今富贵之家，往往保惜产母，惟
恐运动，故羞出入、专坐卧。曾不思气闭而不舒快，则血凝而不流畅，胎不转动。以致生理
失宜，临产必难，甚至闷绝，一也。且如贫者生育，日夕劳苦，血气舒畅，生理甚易，何
俟乎药！则孕妇常贵于运动者明矣。次则妇人妊娠已经六、七个月，胎形已具，而世人不知
禁忌，恣情交合，嗜欲不节，使败精、瘀血聚于胞中，致令子大母小，临产必难，二也。何
以知之？生下孩子头上有白膜一片，滞腻如胶，俗强名曰戴白生；儿身有青有黑，俗强名曰
宿痣，此皆是入月交合所致也。如此则不特母病，其子亦生浸淫、赤烂疮疡，俗谓之胎蛆，
动逾岁月不差，可不戒乎！三则临觉太早，大小挥霍，或信卜筮，或说鬼祟，多方误恐，致
令产母心惊神恐，忧恼怖惧。又被闲杂妇人、丧孝秽浊之人冲触，若不预为杜绝，临产必难
，三也。何以知之？如偷生之女、不正之属，既无产厄，子母均安，其理可知。凡临产初，
然腹痛或作或止，名曰弄痛。坐婆疏率，不候时至，便令试水；试水频并，胞浆先破，风飒
产门，产道干涩。及其儿转，便令坐草，坐草太早，儿转亦难，致令产难，四也。直候痛极
，眼中如火，此是儿逼产门，方可坐草，即令易产。如坐草稍久，用力太过，产母困睡，抱
腰之人又不稳当，致令坐立倾侧，胎死腹中，其为产难，五也。时当盛暑，宜居深幽房室，
日色远处，打开窗户，多贮清水，以防血晕、血闷、血溢妄行、血虚发热之证。如冬末春初
，天色凝寒，宜密闭产室，窒塞罅隙，内外生火，常令暖气如春，仍下部衣服不可去绵，方
免胎寒血结，毋致产难，六也。凡孕妇入月断不可洗头，方免产难及横生逆产。（自明）谨
论。
书写符咒时，宜用水飞朱砂来书写，贴在产房北面的墙壁上。遇到产妇坐褥（分娩）的时候，将符扎在针上，就在灯盏内用灯火烧化，这样可以避免药灰飞扬。用温水调服。
既然坐月子（产后调理）的道理已经阐明，必须了解产难的原因，所以接着论述这一部分。
（导致产难的原因有六种，所受病因各异，因此治疗方剂也不同。现在详细陈述，以解开世人的疑惑。）
大凡妇女以血为本，只有气机顺畅则血液运行也顺畅，胎气安和而后生理机能调和。如今富贵人家，往往过分保护产妇，唯恐其运动，所以羞于出门、专门坐着或躺着。却不曾想到气机闭塞而不能舒展畅快，则血液凝滞而不流畅，胎儿不能转动。以致生理机能失调，临产必定困难，甚至出现昏厥，这是第一种情况。况且贫苦人家的妇女生育，日夜劳作辛苦，气血舒畅，生产很容易，哪里需要药物呢！由此可见孕妇常需适度运动是显而易见的道理。其次是妇女怀孕已经六七个月，胎儿形体已具备，但世人不知禁忌，放纵情欲交合，嗜欲没有节制，使败精、瘀血积聚在胞宫之中，致使胎儿过大而母体相对较小，临产必定困难，这是第二种情况。怎么知道呢？生下孩子头上有一片白膜，黏腻如胶，俗称为“戴白生”；婴儿身上有青色或黑色的斑点，俗称为“宿痣”，这都是怀孕期间性交所致。这样不仅母亲生病，孩子也会生出浸淫、赤烂疮疡，俗称“胎蛆”，拖延数月不愈，怎能不警惕呢！第三种情况是感觉临产太早，大小便频繁，或者相信占卜算卦，或者说是鬼祟作怪，多方恐吓误导，致使产妇心惊神恐，忧愁烦恼恐惧。又被闲杂妇人、丧孝秽浊之人冲撞触碰，如果不预先杜绝这些干扰，临产必定困难，这是第三种情况。怎么知道呢？比如偷生之女、不正之属，既无产厄，子母均安，其理可知。凡是临产初期，腹痛或作或止，名叫“弄痛”。接生婆疏忽大意，不等待时辰到了，就令试水（试产）；试水频繁，胞浆先破，风飒产门，产道干涩。等到胎儿转动，就令坐在草垫上生产，坐草太早，胎儿转动也困难，致使产难，这是第四种情况。直到疼痛极度剧烈，眼中如火，这才是胎儿逼迫产门，才可以坐在草垫上生产，即刻容易产出。如果坐草时间稍久，用力太过，产妇困倦入睡，扶腰的人又不稳当，致使坐立倾斜侧倒，胎死腹中，这成为产难，这是第五种情况。当时正值盛夏，应居住在深幽的房室，远离日光，打开窗户，多贮清水，以防血晕、血闷、血溢妄行、血虚发热等证候。如果是冬末春初，天色寒冷，宜密闭产室，堵塞缝隙，内外生火，常令暖气如春，下身衣服不可去掉棉絮，方能避免胎寒血结，不要导致产难，这是第六种情况。凡是孕妇入月（临近预产期）断不可洗头，方可避免产难及横生逆产。（陈自明）谨慎论述。
When writing the talisman, it is advisable to use cinnabar (Zhu Sha) processed by water levigation for writing, and paste it on the north wall of the delivery room. When the time for parturition arrives, pin the talisman onto a needle and burn it in a lamp bowl over a flame, so as to prevent the ash from flying about. Mix with warm water and take orally.
Since the principles of confinement (postpartum care) have been clarified, one must understand the causes of difficult labor; therefore, this section follows.
(The causes of difficult labor are sixfold, varying according to the specific etiology, thus requiring different treatment formulas. I now elaborate on them to dispel worldly confusion.)
Generally speaking, women's health is rooted in blood. Only when Qi flows smoothly does Blood circulate freely, and only when fetal Qi is tranquil can physiological functions harmonize. Nowadays, wealthy families often overly protect the mother-to-be, fearing any movement, so she avoids going out and remains seated or lying down exclusively. They fail to realize that if Qi becomes stagnant and fails to flow freely, Blood will coagulate and lose its fluidity, preventing the fetus from moving. This leads to physiological dysfunction, making labor inevitably difficult, even resulting in fainting. This is the first cause. Furthermore, poor women who work day and night during pregnancy experience smooth Qi and Blood circulation, making childbirth easy without needing medicine! Thus, it is evident that pregnant women benefit from moderate exercise. The second cause is that when a woman is six or seven months pregnant and the fetus is fully formed, people ignore taboos and indulge in sexual intercourse without restraint. This causes seminal residue and stasis to accumulate in the uterus (Bao Gong), resulting in a fetus that is too large relative to the mother, leading to difficult labor. How do we know this? If a newborn has a white membrane on the head, sticky like glue, commonly called "Dai Bai Sheng" (Wearing White Birth); or if the infant's body has blue or black spots, commonly called "Su Zhi" (Old Moles), these are all caused by intercourse during pregnancy. Such practices not only harm the mother but also cause the child to develop spreading, red, and ulcerating skin lesions, commonly known as "Tai Qu" (Fetal Maggots), which may persist for months. Can one not be vigilant? The third cause is perceiving labor too early, frequent urination and defecation, or believing in divination and blaming ghosts, causing various fears that frighten the mother's heart and spirit, leading to worry, annoyance, and terror. Additionally, contact with idle women or those associated with mourning and filth can disturb the process. If these are not prevented in advance, labor will be difficult. This is the third cause. How do we know? For instance, illegitimate births often proceed without difficulty, ensuring safety for both mother and child, illustrating the principle. At the initial stage of labor, abdominal pain comes and goes, known as "Nong Tong" (Teasing Pain). If the midwife is negligent and does not wait for the proper time, instructing premature trials of water breaking; frequent trials break the amniotic sac prematurely, allowing wind to enter the birth canal, causing dryness and friction. When the fetus turns, if instructed to sit on the grass mat too early, fetal rotation becomes difficult, leading to difficult labor. This is the fourth cause. One should wait until the pain is extreme, with eyes feeling fiery, indicating the fetus is pressing against the cervix, before sitting on the mat for delivery, which facilitates easy birth. If sitting on the mat for too long, exerting excessive force, the mother falls into exhaustion and sleep, and if the person supporting her waist is unstable, causing tilting, the fetus may die in the womb, resulting in difficult labor. This is the fifth cause. During midsummer, one should reside in deep, cool rooms, away from direct sunlight, with windows open and plenty of clean water stored, to prevent conditions such as blood dizziness, blood stagnation, erratic bleeding, and fever due to blood deficiency. In late winter and early spring, when the weather is cold, the delivery room should be tightly sealed, gaps blocked, and fires lit inside and outside to maintain a spring-like warmth. Cotton clothing should be kept on the lower body to avoid fetal coldness and blood coagulation, preventing difficult labor. This is the sixth cause. Pregnant women approaching term must absolutely avoid washing their hair to prevent difficult labor, transverse presentation, or malpresentation. (Chen Ziming) respectfully discusses this.