【歌】临产之时勿易看，蓦然气凑目珠翻。唇青口噤流涎沫，母子双双入死关。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，滑胎可救漏胞干。死胎欲下芎归散，更捣蓖
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。产下血迷成血晕，清魂急
灌命须还。血山一倒心无主，目暗头眩汗雨漫。气随血脱多难救，姜桂参 大剂堪。血抢心闷成狂妄，喘绝蒲
黄不等闲。儿枕痛时缘恶露，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。
【论】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，亦莫能全其生也。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，平素安逸而难产者。有子壮大而难产者，有矮石妇人交骨不开而难产者。有胞破一、二日，
胞内干涩而难产者。有胎死腹中不下者，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，
医者不识，疑为双娠，临产必去水斗余方产。其儿手足软短，多不育，纵不死，亦为生理残障，盖水渍其胎故也，
医者识此，早用药行去其水，则无恙矣。有产下去血太多，产下即死者；有血奔上而昏晕者；有子下而胞不下，
败血灌满胞中，胞不得下者，须行去胞血则下。有因取胞稳婆误伤五内，轻则带疾，重则即死。慎之！慎之！
凡此之状，莫能悉举。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，
决难生育
也。
【脉】临产六至，脉号离经。或沉细滑，若无即生。浮大难产，寒热又频。此时凶候，急于色征，面颊
唇舌，忌黑与青。面赤母活，子命必倾。若胎在腹，子母归冥。
难产
坐草早，努力多，儿转不逮，或胞破水干难产者，滑胎散。若横逆及胞干难产，神应散三服，如鱼得水，
决自转生。或产不下，及矮石妇人交骨不开，芎归汤。横逆难生欲死，益母丸。如手足先出，以针刺儿手足，
入二分许，得痛惊转，即缩回顺生也。
滑胎散
治坐草太早，努力太多，以致难产。
滑石（六钱，水飞） 冬葵子（五钱） 甘草（一钱）
上末之，每二钱，白汤调下或酒下。
神应散
治横逆难产或胞浆先破，此药如鱼得水。
白芷（一两） 百草霜（一两）
末之，童便、米醋调下三钱。
益母丸
治横逆难生欲死。
益母草（不拘多少）
阴干，末之，蜜丸弹子大，童便、酒下。
芎归汤（方见胎前条下。）
催生
临产腰痛见红，催生如意散。如生理不顺，产育艰难，或横或逆，催生丹温水服下，即产儿手中握出药
丸为验也，或催生龙蜕散。如小儿手足先出，即以盐涂儿手足底，急搔
之，并以盐涂母腹上，服神应散。
催生如意散
临产腰痛方可服之。
人参（一钱，去芦） 乳香（一钱） 辰砂（五分）
上，用鸡子清一个调药，再用生姜汤调下。
催生丹
治生理不顺，或横或逆，生产艰难者。
兔脑髓（一个，取腊月内者，研如泥） 乳香（五分，另研） 麝香（五分，另研） 母丁香（二钱五分，末之）
以兔脑和丸如芡实大，阴干，油纸裹，每用一丸，温水下，即产儿手握出此丹为验。
催生龙蜕散
催生易产如神药也。
大蛇蜕（一条， 存性） 蝉蜕（一两， 存性） 滑石（五钱） 葵子（一两，炒）
末之，每一钱，顺流水煎，调服。
催生神应散（方见前难产条内。）
胞衣不下
胞衣不下，为血入胞中，上冲心胸，气血胀闷不出，欲死者，必用逐其血，酒煎红花服，或朴硝散，甚则
夺命丹。胞衣不下，脐腹坚胀，急痛欲死，牛膝汤服即烂下。产后一切危急证候，及胞衣不下急证者，黑龙丹。
朴硝散
下死胎，取胞衣、产后败血。
朴硝末之，每服三钱，童便调下。
夺命丹
死胎不出及胞衣不下欲死之候用此丹。
蛇蜕（一条， ） 千里马（即路上左脚草鞋，洗净， 存性，一钱） 金箔（七片） 银箔（七片） 血
余（ ，一钱） 马明蜕（即蚕蜕， 二钱） 乳香（五分，另研） 黑铅（二钱五分，火熔，投水银七钱半，
急搔，结成砂子，细研）
上为末，猪心血丸桐子大，每服二丸，倒流水灌下。
牛膝汤
治胞衣不出，脐腹坚胀急痛，服此烂下。
牛膝（四两，去芦） 瞿麦（四两） 当归（三两） 通草（六两） 滑石（八两） 葵子（五两）
锉，水九升，煎三升，三次服。
黑龙丹
治产后一切血疾及胎衣不下危急之证。
当归（二钱） 五灵脂（二钱） 川芎（二钱） 熟地黄（二钱） 良姜（二钱）
一两，以沙合盛赤石脂以泥缝纸筋，盐泥固济炭火十斤， 令通赤，火候冷，取开看，成黑糟色，研细，
却入后药。
百草霜（五两） 硫黄（一钱半） 乳香（一钱半） 花蕊石（一钱） 琥珀（一钱）
并研细，与前药再研匀，以米醋糊丸如弹子大，每服一丸，炭火 令通赤，投于生姜自然汁，与童便入酒
漉出控干，研细，只此酒下。
血晕
产后去血多，晕闷不醒者，芎归汤。产后火载血上，血迷、血晕昏不知人，清魂散。如不醒，以韭菜一、
二斤捣烂，入茶壶中，沸醋倾入壶内，盖壶头，以壶嘴放鼻中熏；或用醋、炭频淬熏之；或用干漆烧烟，令闻
烟。如不醒，急掐人中，提顶心中头发，灌以童便、姜汁自醒。
芎归汤（方见胎前条下。）
清魂散
治血迷、血晕昏不知人。
泽兰叶（一两） 人参（一两，去芦） 荆芥穗（四两） 甘草（炙，八分） 川芎（二两）
末之，每一钱，热汤、温酒各半盏调下。
失血
产后去血过多，芎归汤加人参、焦姜。腹痛，香桂散。失血过多，虚热太甚，目暗神昏，手足冷，芎、
归、姜、桂、人参，汗多加黄 ，或益母丸加童便。自汗，气欲脱，黄 汤。产后去血多，心虚怔忡错语，
茯苓益母丸。
芎归汤（方见前胎前条下。）
香桂散
治去血过多及下死胎。
麝香（五分） 桂心（三钱）
末之，作一服，温酒调下。
益母丸（方见前难产条内。）
黄 汤
治产后失血，自汗不止。
黄 （二钱，蜜炙） 白术（一钱，炒） 防风（一钱，去芦） 熟地黄（二钱） 牡蛎（煨，一钱半） 白茯
苓（一钱） 麦门冬（五分） 甘草（炙，五分）
上锉，一剂，加大枣二枚，水二盏，煎至八分，空心服。
茯苓散
产后心虚怔忡不定，言语错乱，神思不清。
人参（一钱，去芦） 甘草（一钱，炙） 干山药（一钱） 当归（一钱） 生姜（五钱） 远志（一钱，去
心） 白茯苓（八分） 桂心（五分） 麦门冬（一钱） 大枣（二个）
锉一剂，水二盏，煎八分服。
恶露
血抢心闷成狂，喘满欲绝者，蒲黄散。恶露不尽，心腹痛，黑神散。恶露不尽，儿枕疼，当归失笑散。一产
后，忽然口噤，语言颠倒，乍见鬼神，此败血冲心，非风寒及邪祟也，妙香散，或用黑龙丹 过酒调下。
蒲黄散
产后恶露不快，血上抢心，烦闷喘急等证。
干荷叶（炙，二钱五分） 甘草（二钱五分） 牡丹皮（二钱五分） 玄胡索（二钱五分） 生地黄（二钱
五分） 生蒲黄（六钱）
锉作二剂，水煎，入蜜少许，温服。
黑神散
恶露不尽，胎衣不下，血上攻，心腹痛不止。
黑豆（炒，半升） 熟地黄（四两） 当归（四两） 肉桂（四两） 干姜（四两，炒焦） 甘草（炙，四两）
蒲黄（生，四两） 白芍药（四两，炒）
上末之，每服二钱，童便、酒各半盏，空心时调下。
当归失笑散
治产后心腹绞痛欲死及儿枕作疼。
蒲黄（炒黑，五钱） 五灵脂（五钱）
上末之，每用二钱，醋调熬成膏子，白汤化下。
妙香散
麝香（一钱，研） 山药（姜汁炒，一两） 茯苓（一两） 茯神（一两） 远志（去心，一两） 黄 （一
两） 人参（五钱） 桔梗（五钱） 甘草（五钱） 木香（煨，二钱半） 辰砂（二钱）
上末之，每二钱，汤下。
黑龙丹（方见前胞衣不下条内。）
【歌诀】临产之时不可轻视，突然气逆上冲导致眼球上翻。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，胎儿存活但母亲很快死亡。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。胎位横逆难产可用龙蜕散催生，胞衣干涩难下可用滑胎散救治。死胎欲下可用芎归散，并在脚底涂抹捣烂的蓖麻子以助排出。瘀血进入胞宫导致胀闷，若上冲心胃则致死不难。朴硝散配合红花酒，服用夺命神丹可使瘀血下行而安。产后因失血迷心形成血晕，急灌清魂散可挽回生命。血崩导致心神无主，出现目暗头眩、大汗淋漓如雨的危象。气随血脱多难救治，重用姜、桂、人参大剂温补尚可挽救。血气上抢于心导致胸闷狂妄，喘促欲绝时蒲黄散不可等闲视之。儿枕痛是因为恶露不尽，当归配伍失笑散疗效非凡。忽然牙关紧闭、言语错乱颠倒，见鬼幻象并非风邪与寒邪所致。这是败血上冲、心血耗损所致，妙香散配合黑龙丹可治。
【论述】妇女临产，生死只在反掌之间，如果善于救治，确实可以起死回生；稍有不及时急救，多导致夭折枉死；如果救治不得法，药物不能应手见效，也不能保全其生命。分娩时用力过多，胎儿转动不及，导致胎落胯间不能顺利娩出者。有因胎位横、胎位逆而导致难产者。有身体肥胖脂肪厚，平时安逸少动而导致难产者。有胎儿过大而导致难产者，有骨盆狭窄（矮石妇人）交骨不开而导致难产者。有胞衣破裂一两天，胞内干涩而导致难产者。有胎死腹中不下者，腹部发冷、舌色发黑可以验证。有胞中积水，腹部异常增大，脉象细弱，名为“胞水”，医生不认识，误以为是双胎，临产时必须先排出一斗多的水才能生产。其婴儿手足软短，大多不能存活，即使不死，也是生理残障，这是因为水浸渍胎儿的缘故，医生识别此症，早用药行去其水，则无危险了。有产后出血太多，产后立即死亡者；有血奔上行而昏晕者；有胎儿已下但胞衣不下，败血灌满胞中，胞衣不得下降者，必须行去胞血则胞衣自下。有因接生稳婆取胞衣时误伤五脏，轻则带病，重则即死。谨慎啊！谨慎啊！以上这些情况，不能一一列举。大体上贫贱妇女生育极易，因为她们从事劳役，胎气流动的缘故；富贵人家，营养丰厚且安逸，身体肥壮，决难生育。
【脉诊】临产脉象六至（每呼吸一次脉搏跳动六次），脉号称为离经脉。或者脉沉细滑，若无其他凶兆则即将生产。脉浮大则难产，伴有寒热又频繁发作。这是此时的凶险征候，急于观察面色征兆，面颊、嘴唇、舌头，忌讳黑色与青色。面色赤红则母亲存活，胎儿性命必倾覆。若胎在腹中，则母子皆亡。
【难产】坐草过早，努力过多，胎儿转动不及，或胞破水干难产者，用滑胎散。若横逆及胞干难产，服神应散三剂，如鱼得水，自然转顺而生。或产不下，及骨盆狭窄妇人交骨不开，用芎归汤。横逆难生欲死者，用益母丸。如手足先出，以针刺儿手足，入针约二分，得痛惊转，即缩回顺生也。
【滑胎散】治疗坐草太早，努力太多，以致难产。
滑石（六钱，水飞） 冬葵子（五钱） 甘草（一钱）
研为末，每次二钱，白开水调下或酒调下。
【神应散】治疗横逆难产或胞浆先破，此药如鱼得水。
白芷（一两） 百草霜（一两）
研为末，童便、米醋调下三钱。
【益母丸】治疗横逆难生欲死。
益母草（不拘多少）
阴干，研为末，蜜丸如弹子大，童便、酒送下。
【芎归汤】（方剂见胎前条下。）
【催生】临产腰痛见红，用催生如意散。如生理不顺，产育艰难，或横或逆，用催生丹温水服下，即产儿手中握出药丸为验也，或用催生龙蜕散。如小儿手足先出，即以盐涂儿手足底，急搔之，并以盐涂母腹上，服神应散。
【催生如意散】临产腰痛方可服之。
人参（一钱，去芦） 乳香（一钱） 辰砂（五分）
上药，用一个鸡蛋清调药，再用生姜汤调下。
【催生丹】治疗生理不顺，或横或逆，生产艰难者。
兔脑髓（一个，取腊月内的，研如泥） 乳香（五分，另研） 麝香（五分，另研） 母丁香（二钱五分，研末）
以兔脑和丸如芡实大，阴干，油纸包裹，每次用一丸，温水送下，即产儿手握出此丹为验。
【催生龙蜕散】催生易产如神药也。
大蛇蜕（一条，存性） 蝉蜕（一两，存性） 滑石（五钱） 葵子（一两，炒）
研为末，每一钱，顺流水煎，调服。
【胞衣不下】胞衣不下，为血入胞中，上冲心胸，气血胀闷不出，欲死者，必用逐其血，酒煎红花服，或朴硝散，甚则夺命丹。胞衣不下，脐腹坚胀，急痛欲死，牛膝汤服即烂下。产后一切危急证候，及胞衣不下急证者，黑龙丹。
【朴硝散】下死胎，取胞衣、产后败血。
朴硝研为末，每次服三钱，童便调下。
【夺命丹】死胎不出及胞衣不下欲死之候用此丹。
蛇蜕（一条，存性） 千里马（即路上左脚草鞋，洗净，存性，一钱） 金箔（七片） 银箔（七片） 血余（煅，一钱） 马明蜕（即蚕蜕，二钱） 乳香（五分，另研） 黑铅（二钱五分，火熔，投水银七钱半，急搅，结成砂子，细研）
上为末，猪心血丸桐子大，每次服二丸，倒流水灌下。
【牛膝汤】治疗胞衣不出，脐腹坚胀急痛，服此烂下。
牛膝（四两，去芦） 瞿麦（四两） 当归（三两） 通草（六两） 滑石（八两） 葵子（五两）
锉碎，水九升，煎至三升，分三次服。
【黑龙丹】治疗产后一切血疾及胎衣不下危急之证。
当归（二钱） 五灵脂（二钱） 川芎（二钱） 熟地黄（二钱） 良姜（二钱）
将上述五味药装入沙合中，用赤石脂以泥缝纸筋，盐泥固济，炭火十斤烧令通赤，火候冷后，取开看，成黑糟色，研细，却入后药。
百草霜（五两） 硫黄（一钱半） 乳香（一钱半） 花蕊石（一钱） 琥珀（一钱）
并研细，与前药再研匀，以米醋糊丸如弹子大，每次服一丸，炭火烧令通赤，投入生姜自然汁，与童便入酒漉出控干，研细，只此酒送下。
【血晕】产后去血多，晕闷不醒者，用芎归汤。产后火载血上，血迷、血晕昏不知人，用清魂散。如不醒，以韭菜一二斤捣烂，入茶壶中，沸醋倾入壶内，盖壶头，以壶嘴放鼻中熏；或用醋、炭频淬熏之；或用干漆烧烟，令闻烟。如不醒，急掐人中，提顶心中头发，灌以童便、姜汁自醒。
【芎归汤】（方剂见胎前条下。）
【清魂散】治疗血迷、血晕昏不知人。
泽兰叶（一两） 人参（一两，去芦） 荆芥穗（四两） 甘草（炙，八分） 川芎（二两）
研为末，每一钱，热汤、温酒各半盏调下。
【失血】产后去血过多，芎归汤加人参、焦姜。腹痛，用香桂散。失血过多，虚热太甚，目暗神昏，手足冷，用芎、归、姜、桂、人参，汗多加黄芪，或益母丸加童便。自汗，气欲脱，用黄芪汤。产后去血多，心虚怔忡错语，用茯苓益母丸。
【芎归汤】（方剂见前胎前条下。）
【香桂散】治疗去血过多及下死胎。
麝香（五分） 桂心（三钱）
研为末，作一服，温酒调下。
【黄芪汤】治疗产后失血，自汗不止。
黄芪（二钱，蜜炙） 白术（一钱，炒） 防风（一钱，去芦） 熟地黄（二钱） 牡蛎（煨，一钱半） 白茯苓（一钱） 麦门冬（五分） 甘草（炙，五分）
上锉，一剂，加大枣二枚，水二盏，煎至八分，空心服。
【茯苓散】产后心虚怔忡不定，言语错乱，神思不清。
人参（一钱，去芦） 甘草（一钱，炙） 干山药（一钱） 当归（一钱） 生姜（五钱） 远志（一钱，去心） 白茯苓（八分） 桂心（五分） 麦门冬（一钱） 大枣（二个）
锉一剂，水二盏，煎八分服。
【恶露】血抢心闷成狂，喘满欲绝者，用蒲黄散。恶露不尽，心腹痛，用黑神散。恶露不尽，儿枕疼，用当归失笑散。一产后，忽然口噤，语言颠倒，乍见鬼神，此败血冲心，非风寒及邪祟也，用妙香散，或用黑龙丹过酒调下。
【蒲黄散】产后恶露不快，血上抢心，烦闷喘急等证。
干荷叶（炙，二钱五分） 甘草（二钱五分） 牡丹皮（二钱五分） 玄胡索（二钱五分） 生地黄（二钱五分） 生蒲黄（六钱）
锉作二剂，水煎，入蜜少许，温服。
【黑神散】恶露不尽，胎衣不下，血上攻，心腹痛不止。
黑豆（炒，半升） 熟地黄（四两） 当归（四两） 肉桂（四两） 干姜（四两，炒焦） 甘草（炙，四两） 蒲黄（生，四两） 白芍药（四两，炒）
上为末，每次服二钱，童便、酒各半盏，空心时调下。
【当归失笑散】治疗产后心腹绞痛欲死及儿枕作疼。
蒲黄（炒黑，五钱） 五灵脂（五钱）
上为末，每次用二钱，醋调熬成膏子，白汤化下。
【妙香散】
麝香（一钱，研） 山药（姜汁炒，一两） 茯苓（一两） 茯神（一两） 远志（去心，一两） 黄芪（一两） 人参（五钱） 桔梗（五钱） 甘草（五钱） 木香（煨，二钱半） 辰砂（二钱）
上为末，每次二钱，汤下。
[Song]
At the time of childbirth, do not underestimate the situation. Suddenly, Qi rushes upward causing the eyeballs to roll back. Cyan lips, clenched jaw, and drooling foam indicate that both mother and child are entering a deadly crisis. If the tongue is bright red but the lips and face are black, the fetus may survive while the mother dies in a short time. If the face is red and the tongue is black, the fetus is hard to save; one must urgently use Duoming Dan (Life-Rescuing Pill) to snatch life from death. For transverse or inverted difficult labor, Longtui San (Dragon-Shedding Powder) can be used to induce labor; for dry placenta hindering delivery, Huatai San (Slippery-Fetus Powder) can rescue the condition. To expel a dead fetus, Xionggui San (Ligusticum and Angelica Powder) is used, and crushed castor beans applied to the soles of the feet can assist expulsion. When blood enters the uterus causing distension and oppression, if it rushes upward to the heart and stomach, death is imminent. Puxiao San (Mirabilite Powder) combined with Safflower Wine, or taking Duoshen Dan (Divine Life-Rescuing Pill), will drive the blood downward and bring peace. After birth, blood confusion leading to syncope requires urgent administration of Qinghun San (Clear Soul Powder) to restore life. Massive hemorrhage leaves the heart without mastery, causing dim vision, dizziness, and profuse sweating like rain. Qi departing with blood is difficult to save, but large doses of Ginger, Cinnamon Twig, and Ginseng may still rescue the patient. Blood rushing to the heart causes chest tightness and madness; panting and impending suffocation require Pu Huang San (Cattail Pollen Powder), which should not be neglected. Pain of the "child pillow" (postpartum abdominal pain) is due to lochia retention; Dang Gui Shi Xiao San (Angelica Joy-Laughing Powder) has extraordinary efficacy. Sudden jaw clenching and inverted speech, seeing ghosts, are originally not due to Wind or Cold. This is敗血 (stagnant blood) rushing upward and consuming Heart Blood; Miaoxiang San (Wonderful Fragrance Powder) combined with Heilong Dan (Black Dragon Pill) treats this.
[Discussion]
For women during childbirth, life and death turn in an instant. Those skilled in treatment can indeed revive the dying; slight failure to rescue urgently often leads to premature death. If rescue methods are incorrect and medicines fail to act promptly, life cannot be preserved. Excessive effort during delivery, with the fetus failing to rotate in time, results in the fetus dropping into the hip cleft unable to be delivered. There are cases of difficult labor due to transverse or inverted fetal positions. There are cases due to obesity and excessive fat, coupled with a sedentary lifestyle. There are cases due to a large fetus, and cases due to narrow pelvises ("short-stone women") where the pubic symphysis fails to open. There are cases where the membranes rupture one or two days prior, causing dryness inside the uterus and difficult labor. There are cases of retained dead fetus in the womb; cold abdomen and black tongue serve as verification. There are cases of fluid accumulation in the uterus ("Bao Shui"), characterized by abnormal abdominal enlargement and weak, fine pulse. Physicians unfamiliar with this may mistake it for twin pregnancy; at delivery, over a dou of fluid must be expelled before birth. The infants have soft, short limbs and rarely survive; even if they live, they suffer physiological disabilities because water has soaked the fetus. Physicians recognizing this should medicate early to drain the fluid, ensuring safety. There are cases of massive postpartum hemorrhage leading to immediate death; there are cases of blood rushing upward causing fainting; there are cases where the fetus is delivered but the placenta remains, filled with stagnant blood preventing its descent; removing the uterine blood allows the placenta to descend. There are cases where midwives injure the internal organs while removing the placenta, resulting in chronic illness or immediate death. Caution! Caution! These conditions cannot be exhaustively listed. Generally, women of lower socioeconomic status give birth easily because their labor keeps the fetal Qi flowing; those of wealth, nourished richly and living idly, with robust bodies, find childbirth extremely difficult.
[Pulse Diagnosis]
During labor, the pulse beats six times per breath, known as the "Li Jing" (Departing from the Channel) pulse. If it is deep, fine, and slippery, with no other ominous signs, birth is imminent. A floating and large pulse indicates difficult labor, especially if accompanied by frequent chills and fever. These are ominous signs at this time; one must urgently observe facial signs. Black or cyan color on the cheeks, lips, and tongue is taboo. A red face indicates the mother survives, but the fetus's fate is doomed. If the fetus remains in the abdomen, both mother and child perish.
[Difficult Labor]
For sitting on the grass too early, excessive effort, fetal rotation failure, or membrane rupture with dried fluids causing difficult labor, use Huatai San (Slippery-Fetus Powder). For transverse/inverted positions or dry membranes, Shenying San (Divine Response Powder) taken in three doses acts like fish in water, ensuring natural rotation and birth. For failure to deliver or narrow pelvis with closed symphysis, use Xionggui Tang (Ligusticum and Angelica Decoction). For severe transverse/inverted labor nearing death, use Yimu Wan (Motherwort Pill). If hands or feet present first, prick the infant's extremities about two fen deep; pain and惊 startle cause retraction and normal delivery.
[Huatai San]
Treats difficult labor due to premature sitting and excessive effort.
Hua Shi (Talcum, 6 qian, water-flowered) Dong Kui Zi (Malva Seeds, 5 qian) Gan Cao (Licorice Root, 1 qian)
Grind to powder. Take 2 qian each time, mixed with white boiled water or wine.
[Shenying San]
Treats transverse/inverted difficult labor or premature membrane rupture; acts like fish in water.
Bai Zhi (Angelica Dahurica, 1 liang) Bai Cao Shuang (Soot from Hundred Herbs, 1 liang)
Grind to powder. Take 3 qian, mixed with child's urine and rice vinegar.
[Yimu Wan]
Treats severe transverse/inverted labor nearing death.
Yi Mu Cao (Motherwort Herb, any amount)
Dry in shade, grind to powder, mix with honey to form pills the size of a bullet. Take with child's urine and wine.
[Xionggui Tang] (See Pre-natal section for formula.)
[Inducing Labor]
For labor pain in the lower back with bleeding, use Cuisheng Ruyi San (Labor-Inducing Ruyi Powder). For irregular physiology, difficult birth, or transverse/inverted positions, take Cuisheng Dan (Labor-Inducing Pill) with warm water; the sign of efficacy is the baby grasping the pill upon exit. Alternatively, use Cuisheng Longtui San (Labor-Inducing Dragon-Shedding Powder). If hands/feet present first, apply salt to the infant's soles and scratch urgently, apply salt to the mother's abdomen, and take Shenying San.
[Cuisheng Ruyi San]
Only take when labor backache occurs.
Ren Shen (Ginseng Root, 1 qian, remove rhizome) Ru Xiang (Frankincense Resin, 1 qian) Chen Sha (Cinnabar, 5 fen)
Mix medicine with one egg white, then take with ginger decoction.
[Cuisheng Dan]
Treats irregular physiology, transverse/inverted positions, and difficult birth.
Tu Nao Sui (Rabbit Brain Marrow, one, from December, ground to paste) Ru Xiang (Frankincense Resin, 5 fen, separately ground) She Xiang (Musk, 5 fen, separately ground) Mu Ding Xiang (Clove, 2.5 qian, powdered)
Mix with rabbit brain to form pills the size of a Chinese bayberry seed. Dry in shade, wrap in oil paper. Take one pill with warm water. Efficacy sign: baby grasps the pill.
[Cuisheng Longtui San]
A miraculous drug for easy induction of labor.
Da She Tui (Large Snake Skin, one, preserved nature) Chan Tui (Cicada Slough, 1 liang, preserved nature) Hua Shi (Talcum, 5 qian) Kui Zi (Malva Seeds, 1 liang, stir-fried)
Grind to powder. Take 1 qian, decocted in smooth-flowing water, mixed and taken.
[Cuisheng Shenying San] (See Difficult Labor section above.)
[Retained Placenta]
Retained placenta caused by blood entering the uterus, rushing to the chest/heart, causing Qi/Blood stagnation and oppression nearing death, requires driving out the blood. Drink Safflower decocted in wine, or Puxiao San (Mirabilite Powder); in severe cases, Duoming Dan (Life-Rescuing Pill). Retained placenta with firm abdominal distension and acute pain nearing death: Niuxi Tang (Achyranthes Decoction) causes it to rot and descend. For all critical postpartum conditions and acute retained placenta, Heilong Dan (Black Dragon Pill) is used.
[Puxiao San]
Expels dead fetus, retrieves placenta, and clears postpartum stagnant blood.
Puxiao (Mirabilite) powdered. Take 3 qian, mixed with child's urine.
[Duoming Dan]
Used for retained dead fetus or retained placenta nearing death.
She Tui (Snake Skin, one, preserved nature) Qian Li Ma (Left straw sandal from road, washed, preserved nature, 1 qian) Jin Bo (Gold Leaf, 7 pieces) Yin Bo (Silver Leaf, 7 pieces) Xu Yu (Scorched Hair, 1 qian) Ma Ming Tui (Silkworm Slough, 2 qian) Ru Xiang (Frankincense Resin, 5 fen, separately ground) Hei Qian (Black Lead, 2.5 qian, melted, add 7.5 qian Mercury, stir quickly until granules form, finely ground)
Grind to powder. Form pills with pig heart blood, size of paulownia seeds. Take 2 pills,灌 down with inverted-flowing water.
[Niuxi Tang]
Treats retained placenta with firm abdominal distension and acute pain; causes it to rot and descend.
Niu Xi (Achyranthes Root, 4 liang, remove rhizome) Qu Mai (Dianthus Herb, 4 liang) Dang Gui (Angelica Sinensis, 3 liang) Tong Cao (Tetrapanax Pith, 6 liang) Hua Shi (Talcum, 8 liang) Kui Zi (Malva Seeds, 5 liang)
Chop. Decoct in 9 sheng water to 3 sheng. Take in three doses.
[Heilong Dan]
Treats all postpartum blood diseases and critical retained placenta.
Dang Gui (Angelica Sinensis, 2 qian) Wu Ling Zhi (Trogopterus Dung, 2 qian) Chuan Xiong (Ligusticum Chuanxiong, 2 qian) Shu Di Huang (Prepared Rehmannia Root, 2 qian) Liang Jiang (Galangal Rhizome, 2 qian)
Place these five herbs in a clay pot. Seal seams with Red Ochre mud and paper fiber, reinforce with salt mud. Fire with charcoal for ten jin until red hot. Cool, open, and grind to fine powder until black and crumbly. Add subsequent herbs:
Bai Cao Shuang (Soot from Hundred Herbs, 5 liang) Liu Huang (Sulfur, 1.5 qian) Ru Xiang (Frankincense Resin, 1.5 qian) Hua Rui Shi (Flower Porphyry Stone, 1 qian) Hu Po (Amber, 1 qian)
Grind all together, mix evenly with previous powder. Use rice vinegar paste to form pills size of bullets. Take one pill. Heat over charcoal until red hot, dip in fresh ginger juice, then in child's urine and wine, strain, dry, and grind fine. Take only with wine.
[Blood Syncope]
Postpartum massive blood loss with fainting/unconsciousness: Xionggui Tang (Ligusticum and Angelica Decoction). Postpartum fire carrying blood upward, blood confusion/syncope unconsciousness: Qinghun San (Clear Soul Powder). If unresponsive, crush 1-2 jin of leeks, put in teapot, pour boiling vinegar, cover spout, place spout near nose to inhale fumes; or repeatedly quench vinegar/charcoal to smoke; or burn dry lacquer and inhale smoke. If unresponsive, pinch Renzhong acupoint urgently, pull hair from top of head,灌 child's urine and ginger juice to wake.
[Xionggui Tang] (See Pre-natal section.)
[Qinghun San]
Treats blood confusion and syncope with unconsciousness.
Ze Lan Ye (Leonurus Leaf, 1 liang) Ren Shen (Ginseng Root, 1 liang, remove rhizome) Jing Jie Sui (Schizonepeta Spike, 4 liang) Gan Cao (Licorice Root, roasted, 8 fen) Chuan Xiong (Ligusticum Chuanxiong, 2 liang)
Grind to powder. Take 1 qian, mixed with half cup hot water and half cup warm wine.
[Blood Loss]
Postpartum excessive blood loss: Xionggui Tang plus Ren Shen and Charred Ginger. Abdominal pain: Xiang Gui San (Fragrant Cinnamon Powder). Excessive blood loss with severe deficiency heat, dim vision, mental confusion, cold limbs: Chuan Xiong, Dang Gui, Ginger, Cinnamon Twig, Ginseng. Profuse sweating: add Huang Qi (Astragalus). Or Yimu Wan plus child's urine. Spontaneous sweating, Qi impending collapse: Huang Qi Tang (Astragalus Decoction). Postpartum blood loss with Heart deficiency palpitations and confused speech: Fu Ling Yi Mu Wan (Poria Motherwort Pill).
[Xionggui Tang] (See Pre-natal section.)
[Xiang Gui San]
Treats excessive blood loss and expulsion of dead fetus.
She Xiang (Musk, 5 fen) Gui Xin (Cinnamon Bark Center, 3 qian)
Grind to powder. One dose, mixed with warm wine.
[Yimu Wan] (See Difficult Labor section.)
[Huang Qi Tang]
Treats postpartum blood loss and incessant spontaneous sweating.
Huang Qi (Astragalus Root, 2 qian, honey-roasted) Bai Zhu (Atractylodes Rhizome, 1 qian, stir-fried) Fang Feng (Saposhnikovia Root, 1 qian, remove rhizome) Shu Di Huang (Prepared Rehmannia Root, 2 qian) Mu Li (Oyster Shell, baked, 1.5 qian) Bai Fu Ling (White Poria, 1 qian) Mai Men Dong (Ophiopogon Tuber, 5 fen) Gan Cao (Licorice Root, roasted, 5 fen)
Chop. One dose, add 2 Jujubes. Decoct in 2 cups water to 0.8 cup. Take on empty stomach.
[Fu Ling San]
Postpartum Heart deficiency with restless palpitations, confused speech, unclear spirit.
Ren Shen (Ginseng Root, 1 qian, remove rhizome) Gan Cao (Licorice Root, roasted, 1 qian) Gan Shan Yao (Dried Yam, 1 qian) Dang Gui (Angelica Sinensis, 1 qian) Sheng Jiang (Fresh Ginger, 5 qian) Yuan Zhi (Polygala Root, 1 qian, remove heart) Bai Fu Ling (White Poria, 8 fen) Gui Xin (Cinnamon Bark Center, 5 fen) Mai Men Dong (Ophiopogon Tuber, 1 qian) Da Zao (Jujube, 2 pieces)
Chop one dose. Decoct in 2 cups water to 0.8 cup. Take.
[Lochia]
Blood rushing to heart causing madness, panting/oppression nearing death: Pu Huang San (Cattail Pollen Powder). Incomplete lochia with heart/abdominal pain: Hei Shen San (Black Divine Powder). Incomplete lochia with "child pillow" pain: Dang Gui Shi Xiao San (Angelica Joy-Laughing Powder). Postpartum sudden jaw clenching, inverted speech, seeing ghosts: this is stagnant blood rushing to Heart, not Wind/Cold or evil spirits. Use Miaoxiang San (Wonderful Fragrance Powder) or Heilong Dan (Black Dragon Pill) mixed with wine.
[Pu Huang San]
Postpartum sluggish lochia, blood rushing to heart, restlessness/panting urgency.
Gan He Ye (Dried Lotus Leaf, roasted, 2.5 qian) Gan Cao (Licorice Root, 2.5 qian) Mu Dan Pi (Moutan Bark, 2.5 qian) Yan Hu Suo (Corydalis Rhizome, 2.5 qian) Sheng Di Huang (Raw Rehmannia Root, 2.5 qian) Sheng Pu Huang (Raw Cattail Pollen, 6 qian)
Chop into two doses. Decoct in water, add little honey, take warm.
[Hei Shen San]
Incomplete lochia, retained placenta, blood attacking upward, incessant heart/abdominal pain.
Hei Dou (Black Soybean, stir-fried, half sheng) Shu Di Huang (Prepared Rehmannia Root, 4 liang) Dang Gui (Angelica Sinensis, 4 liang) Rou Gui (Cinnamon Bark, 4 liang) Gan Jiang (Dried Ginger, 4 liang, stir-fried until charred) Gan Cao (Licorice Root, roasted, 4 liang) Pu Huang (Cattail Pollen, raw, 4 liang) Bai Shao Yao (White Peony Root, 4 liang, stir-fried)
Grind to powder. Take 2 qian each time, mixed with half cup child's urine and half cup wine, on empty stomach.
[Dang Gui Shi Xiao San]
Treats postpartum severe heart/abdominal colic and "child pillow" pain.
Pu Huang (Cattail Pollen, stir-fried black, 5 qian) Wu Ling Zhi (Trogopterus Dung, 5 qian)
Grind to powder. Take 2 qian each time, mix with vinegar, boil into paste, dissolve in white boiled water.
[Miaoxiang San]
She Xiang (Musk, 1 qian, ground) Shan Yao (Yam, stir-fried in ginger juice, 1 liang) Fu Ling (Poria, 1 liang) Fu Shen (Poria with Hostwood, 1 liang) Yuan Zhi (Polygala Root, 1 liang, remove heart) Huang Qi (Astragalus Root, 1 liang) Ren Shen (Ginseng Root, 5 qian) Jie Geng (Platycodon Root, 5 qian) Gan Cao (Licorice Root, 5 qian) Mu Xiang (Aucklandia Root, baked, 2.5 qian) Chen Sha (Cinnabar, 2 qian)
Grind to powder. Take 2 qian each time, taken with decoction.
[Heilong Dan] (See Retained Placenta section.)