一、横生者,以儿方转身,产母用力逼之太早,故致儿身未顺而先露手臂。但令母安然仰卧,稳婆以手徐
推儿臂下体,令其正直,复以中指摸其肩,弗使脐带攀系,即生。
二、倒生者,因儿未及转身,产母努力,故令儿先露足。令母正卧,以手徐推足入,良久,仍推儿身,徐
俟转正近门,即生。
三、偏生者,因儿未顺生路,产母努力逼,儿头偏一边,虽若露顶,实额角也。亦照前法推正,即生。若
儿顶后骨偏拄谷道旁,以手从外后旁轻轻托正,即生。
四、碍产者,儿身虽顺,门路虽正,但不能下,仍因胎转时脐带绊肩而然。令产母仰卧,以手轻推儿向
上,乃用中指按儿两肩,理顺脐带,即生。
五、坐产者,因儿将产,其母疲倦,久坐椅褥,抵其生路而然。须用手巾一条,拴系高处,令产母以手攀
之,轻轻屈足舒伸,以开生路,儿即顺生。
六、盘肠产者,临产,母肠先出,子产而肠未收,故曰盘肠产。古法以醋水各半盏,默然 产母面背,则
收。一法以蓖麻子四十九粒,研烂,涂母头顶,待肠收上,急洗去。俗以水 面背,惊之而肠亦收。但恐惊则
气散,反致他疾,戒之。
一方治横逆产难∶令产母仰卧,以小针刺儿手脚心三五次,用盐擦之,手脚即缩上转身,即生。
一方治盘肠产∶以半夏为末,用少许搐鼻中,肠自上。又方∶用大纸捻以麻油,润渗点着,吹灭,以烟熏
产妇鼻中,肠即上。又方∶肠出,盛以洁净漆器,浓煎黄 汤浸之,肠即上。
一、横生,是指胎儿正在转身时,产妇过早用力逼迫,导致胎儿身体尚未转正,手臂先露出来。只需让产妇安然仰卧,接生婆用手慢慢将胎儿的手臂推回体内,使其身体正直,再用中指触摸其肩部,避免脐带缠绕牵系,胎儿即可娩出。
二、倒生,是因为胎儿尚未转身,产妇用力过猛,导致胎儿脚部先露出来。让产妇端正躺卧,用手慢慢将脚推回体内,过一段时间后,再慢慢推动胎儿身体,等待其转正靠近产门,即可娩出。
三、偏生,是因为胎儿未顺应产道,产妇用力逼迫,导致胎儿头部偏向一侧,虽然看起来像是头顶露出,实际上是额角。也按照前面的方法将其推正,即可娩出。如果胎儿后脑勺的骨头偏向肛门旁,用手从外侧后方轻轻托正,即可娩出。
四、碍产,是指胎儿身体虽顺,产道虽正,但无法下降,仍因胎儿转身时脐带绊住肩膀所致。让产妇仰卧,用手轻轻将胎儿向上推,然后用中指按压胎儿双肩,理顺脐带,即可娩出。
五、坐产,是因为胎儿即将产出时,产妇疲倦,久坐椅子或褥垫,抵住了产道所致。需用一条手巾,拴系在高处,让产妇用手攀握,轻轻屈足伸展,以打开产道,胎儿即可顺产。
六、盘肠产,是指临产时,产妇的肠子先脱出,胎儿娩出后肠子仍未收回,所以称为盘肠产。古法是用醋和水各半盏,悄悄喷在产妇的面部和背部,肠子就会收回。另一种方法是用四十九粒蓖麻子,研烂,涂在产妇头顶,待肠子收回后,立即洗去。民间用水喷在产妇面部和背部,惊吓它使肠子收回。但恐怕惊吓会导致气散,反而引发其他疾病,需戒除这种做法。
一方治疗横逆产难:让产妇仰卧,用小针刺胎儿手脚心三五次,用盐擦拭,手脚就会收缩并转身,即可娩出。
一方治疗盘肠产:将半夏研成粉末,取少许吹入鼻中,肠子就会自行上升。又一方:用大纸捻蘸麻油,润湿渗透后点燃,吹灭,用烟熏产妇鼻子,肠子就会上升。又一方:肠子脱出后,盛放在洁净的漆器中,用浓煎的黄连汤浸泡它,肠子就会上升。
1. Transverse birth refers to the situation where the fetus is turning, but the mother exerts force too early, causing the fetal arms to present before the body aligns properly. The mother should lie supine comfortably. The midwife should gently push the fetal arm back into the body to straighten the posture, then use the middle finger to palpate the shoulder, ensuring the umbilical cord is not entangled or tethered. The fetus will then be delivered.
2. Breech birth occurs because the fetus has not yet turned, and the mother’s excessive effort causes the feet to present first. The mother should lie in a correct supine position. The midwife should gently push the feet back inside. After some time, the midwife should gently maneuver the fetal body, waiting for it to turn upright and approach the cervix, at which point delivery will occur.
3. Oblique birth happens when the fetus does not follow the correct birth path due to the mother’s forced exertion, causing the fetal head to tilt to one side. Although it may appear that the vertex is presenting, it is actually the frontal angle. The same method as above should be used to push the head back into alignment, allowing for delivery. If the occipital bone of the fetal head presses against the side of the anus, the midwife should gently support and correct it from the outside posteriorly, enabling delivery.
4. Impeded birth occurs when the fetal body is aligned and the birth canal is open, yet descent cannot proceed. This is often caused by the umbilical cord becoming entangled around the shoulders during fetal rotation. The mother should lie supine. The midwife should gently push the fetus upward, then use the middle finger to press on both shoulders to straighten and untangle the umbilical cord, facilitating delivery.
5. Seated birth results from maternal fatigue near the time of delivery, leading the mother to sit for a long time on a chair or cushion, obstructing the birth canal. A hand towel should be tied to a high place. The mother should hold onto it, gently flexing and extending her legs to open the birth canal, allowing the fetus to deliver normally.
6. Enteroptosis during labor (Pan Chang Chan) refers to the prolapse of the intestines before the fetus is born, with the intestines failing to retract after fetal delivery. Ancient methods suggest using half a cup of vinegar and half a cup of water, silently sprayed on the mother’s face and back, to cause retraction. Another method involves grinding forty-nine castor seeds (Ricini Semen), applying the paste to the mother’s crown, and washing it off immediately once the intestines have retracted. Folk practices involve splashing water on the mother’s face and back to startle the intestines into retracting. However, this is discouraged as startling may scatter Qi and cause other ailments.
A prescription for transverse or difficult labor: Have the mother lie supine. Prick the soles and palms of the fetus three to five times with a small needle, rub with salt, and the limbs will retract, causing the fetus to turn and deliver.
A prescription for enteroptosis during labor: Grind Pinelliae Rhizoma (Banxia) into powder, insufflate a small amount into the nose, and the intestines will ascend. Another method: Light a large paper taper soaked in sesame oil, extinguish it, and smoke the fumes into the mother’s nose to induce intestinal retraction. Another method: Place the prolapsed intestines in a clean lacquerware vessel and soak them in a strong decoction of Coptidis Rhizoma (Huanglian); the intestines will ascend.