（附论）
夫难生产者。缘胎气所成。子在胎中。每食母血。食血有余。遂成块。俗呼为儿枕。子
欲生
说
故
腹
方
甘草散（一名大豆卷散）治妊娠数日不产。滑胎易产。
甘草（炙一两） 黄芩（去黑心） 大豆黄卷（炒） 干姜（炮） 桂（去粗皮） 吴
茱萸（汤浸
各半
日频
服。
大黄丸 治妊娠数日不产。养胎易生。
大黄（炒二两） 枳壳（去瓤） 芍药（各一两） 芎 （三分） 干姜（炮） 浓朴
（姜炙半两）
白
梧桐
子
滑胎当归散 治妊娠数日不产。
当归（焙一两） 麻子仁（一合） 吴茱萸（汤浸去涎干） 干姜（炮） 知母 桂（去
粗皮）
黄芩
每服二钱。
空
治难产数日不生。子死腹内方。
取真川椒二斤。分为二分。蒸之。以布裹。更互热熨产妇脐腹中。死胎便出。
治产经数日不出。或子死腹中。母欲死。
以瞿麦煮浓汁服之。
麦门冬丸 治妊娠数日不产。益气滑胎。
麦门冬（去心） 芎 浓朴（去粗皮姜炙） 枳壳（去瓤麸炒） 芍药 赤茯苓（去
皮各二
两）
剂。捣
熟。丸
瞿麦汤 治妊娠数日不产。滑胎易产。
瞿麦穗（去根锉） 榆白皮 木通（各二两） 冬葵子（拣净一合） 滑石（一两） 上
为散。
每服
葵子汤 治妊娠数日不产。自由体性。
冬葵子（炒一合滑石碎） 瞿麦（去根各一两） 丹参（一两半） 上为散。每服四钱。
水一
盏半
治妊娠数日不产。令易产方。
以铜弩牙一只。烧通赤。投半盏食醋中。临产服之。一方酒服。
如圣散 治妊娠数日不产。
用生过乔纸烧灰。研为细散。每服二钱。温酒调下。不计时。
治妇人难产数日不下至危急者。
用官桂去粗皮。锉碎。略炒。铁器不妨。碾为细末。每服三钱。白汤调下。立产。此药
须旋
加味芎归汤 治产五七日不下垂死者。及主交骨不开者。
用川芎、当归各一两。自死干龟壳一个。酥炙。生男女者妇人头发一握。烧存性。共为
散。
壳亦
催生防葵散 治难产三两日不产。喘息不调。腹内疼痛。
防葵（一两） 滑石（三分） 朱砂（一分别研） 冬葵子（三分） 木通（三分） 瞿
麦（三分）
榆
温服。
治难产。或经日三五日不分娩。兼子死腹中方。
当归（三分微炒） 龟甲（三分涂酥炙令黄捣末） 上先取产多者妇人发半两。烧为灰。
细
研。
里便
治妊娠临月数日不产。觉不安。服药令儿手持出方。
照子鼻（八枚烧令内醋中九次为末） 槐子（一两末） 上和研令匀。炼蜜为丸梧桐子
大。
治三日不产方。
取鼠头烧灰。细研。以新汲水调服一钱。立效。
又方
右烧龟甲成灰。研。新汲水调下一钱。立效。酒调亦可。
又方
取门垠里土三指撮。酒调服之。
又方
取羚羊角屑烧研为末。酒调一钱服。
治七八日不产至困方。
以黄明胶一两火炙黄焦。用好酒一大盏。煎。不住手烊胶。约一二十沸。内新生鸡子一
枚。
又方
取颅 头手捉之。甚验。
又方
取益母草捣汁三合。服之立下。如无生者。干者一握。以水一大盏。煎取半盏去滓。温
服。
治产经数日不出。或子死腹中。母气欲绝。
瞿麦（六两） 通草 桂心（各三两） 牛膝（四两） 榆白皮（一升） 上 咀。水
九升。取
治数日不产。胎上冲心欲闷绝方。
榆白皮 滑石 当归 车前子 益母草（以上各半两） 上为细末。煎生姜小便调下二
钱。
治经日不产。
蒲黄 地龙 陈皮（各等分） 上将地龙洗去土。于新瓦上焙。令微黄。各为末。三处
贴
牛酥散 治数日不产。胎上冲心欲死。
牛酥（半两） 冬葵子（炒一合） 滑石（三分） 上以二味为末。和牛酥置生绢袋内
盛之。
茱萸汤 治妇人数日不产。下体已冷。无药甚窘。
以椒橙茱萸等叶。浓煎汤。可下手则和。脐腹人门处皆淋洗。即刻气温。血行遂产。或
以红
又暖
治难产三日不出。
以车轴脂吞大豆许两丸。一方车脂书儿足底。作出字。一方用酒。
又方
烧药杵三五遍令赤。内中酒饮之。立产。铁器亦得。
又方
上烧大刀 。以酒一杯沃之。顿服。即出。救死不分娩者。
【附论】
难以分娩的原因，是由于胎气形成的。胎儿在母体中时，每时每刻都在摄取母体的血液。如果摄取的血液过多，就会凝结成块，俗称“儿枕”。胎儿想要出生，
甘草散（又名大豆卷散）：治疗妊娠多日无法分娩。能滑胎，使分娩容易。
甘草（炙制一两）、黄芩（去除黑色中心部分）、大豆黄卷（炒制）、干姜（炮制）、桂枝（去除粗糙外皮）、吴茱萸（用汤浸泡）。各半两。每日多次频服。
大黄丸：治疗妊娠多日无法分娩。能养胎，使生产容易。
大黄（炒制二两）、枳壳（去除瓤）、芍药（各一两）、川芎（三分）、干姜（炮制）、厚朴（姜炙制半两）、白术、梧桐子。
滑胎当归散：治疗妊娠多日无法分娩。
当归（焙干一两）、火麻仁（一合）、吴茱萸（用汤浸泡，去涎沫，干燥）、干姜（炮制）、知母、桂枝（去除粗皮）、黄芩。每次服用二钱。
空（此处原文可能有缺漏或排版错误，暂略过无意义字符）
治疗难产多日不生，胎儿死于腹中的方剂。
取真川椒二斤，分为两份。蒸熟后，用布包裹，交替热敷产妇的脐腹部。死胎便会排出。
治疗分娩经过多日胎儿不出，或者胎儿死于腹中，母亲生命垂危的情况。
用瞿麦煮成浓汁服用。
麦门冬丸：治疗妊娠多日无法分娩。能益气滑胎。
麦门冬（去除心）、川芎、厚朴（去除粗皮，姜炙制）、枳壳（去除瓤，麸炒制）、芍药、赤茯苓（去皮，各二两）。捣碎煮熟，制成梧桐子大小的丸剂。
瞿麦汤：治疗妊娠多日无法分娩。能滑胎，使分娩容易。
瞿麦穗（去除根部，锉碎）、榆白皮、木通（各二两）、冬葵子（拣选干净一合）、滑石（一两）。以上药物研为散剂。每次服用...（原文此处有缺漏，通常为适量温水调服）。
葵子汤：治疗妊娠多日无法分娩，顺应体质本性。
冬葵子（炒制一合，滑石打碎）、瞿麦（去除根部，各一两）、丹参（一两半）。以上药物研为散剂。每次服用四钱。用水一盏半煎煮...（原文此处有缺漏）。
治疗妊娠多日无法分娩，使分娩容易的方剂。
取铜弩牙一只，烧至通红，投入半盏食醋中。临产时服用。另一法是用酒送服。
如圣散：治疗妊娠多日无法分娩。
用生过孩子的妇女用的草纸烧成灰，研为细散。每次服用二钱，温酒调下，不限时间。
治疗妇人难产多日不下，达到危急情况的方剂。
用官桂（肉桂的一种）去除粗皮，锉碎，略微炒制。铁器加工不妨碍。碾为细末。每次服用三钱，白开水调下，立即分娩。此药必须现做...（原文此处有缺漏）。
加味芎归汤：治疗产后五七日胎儿不下，濒临死亡者。以及主治交骨不开（耻骨联合分离困难）的情况。
用川芎、当归各一两，自死的干龟壳一个，用酥油炙烤，生过男女性别的妇女头发一握，烧至存性。共同研为散剂。龟壳也...（原文此处有缺漏）。
催生防葵散：治疗难产两三日不产。喘息不调，腹内疼痛。
防葵（一两）、滑石（三分）、朱砂（分别研细）、冬葵子（三分）、木通（三分）、瞿麦（三分）、榆白皮。温服。
治疗难产，或者经过三五日不分娩，兼有胎儿死于腹中的方剂。
当归（三分，微炒）、龟甲（三分，涂酥油炙烤至黄，捣成末）。以上先取多产的妇女头发半两，烧成灰。细细研磨。放入...（原文此处有缺漏）。
治疗妊娠临近预产期多日不产，感觉不安，服药让胎儿手持而出（指顺产）的方剂。
照子鼻（八枚，烧红后浸入醋中九次，研为末）、槐子（一两，研为末）。两者混合研匀。炼蜜制成梧桐子大小的丸剂。
治疗三日不产的方剂。
取鼠头烧成灰，细细研磨。用新汲取的冷水调服一钱。立即见效。
又一方
将龟甲烧成灰，研磨。用新汲取的冷水调服一钱。立即见效。用酒调服也可以。
又一方
取门槛里的土三指撮的量，用酒调服。
又一方
取羚羊角屑烧研为末。用酒调服一钱。
治疗七八日不产，导致困顿的方剂。
取黄明胶一两，用火炙烤至焦黄。用好酒一大盏，煎煮。不停地搅拌使胶融化。大约煮沸一二十次。加入一枚新鲜的鸡蛋。
又一方
取颅...（原文残缺，推测为某种头部相关物品或动作），用手捉之。非常有效。
又一方
取益母草捣取汁液三合。服用后立即分娩。如果没有鲜品，可用干品一握，加水一大盏，煎取半盏，去渣滓，温服。
治疗分娩经过多日胎儿不出，或者胎儿死于腹中，母亲气息欲绝的情况。
瞿麦（六两）、通草、桂心（各三两）、牛膝（四两）、榆白皮（一升）。以上药物切碎。用水九升，煎取...（原文此处有缺漏）。
治疗多日不产，胎气上冲心胸导致闷绝的方剂。
榆白皮、滑石、当归、车前子、益母草（以上各半两）。以上药物研为细末。煎生姜和小便调服二钱。
治疗经过一日不产。
蒲黄、地龙、陈皮（各等分）。先将地龙洗净去土，在新瓦上焙至微黄。分别研为末。贴在三个部位...（原文此处有缺漏）。
牛酥散：治疗多日不产，胎气上冲心胸欲死。
牛酥（半两）、冬葵子（炒制一合）、滑石（三分）。以上两种药物研为末，与牛酥混合，置于生绢袋内盛放。
茱萸汤：治疗妇人多日不产。下身已冷，无药可用非常窘迫的情况。
用花椒、橙叶、茱萸叶等，浓煎汤。温度适宜可下手时，和匀，淋洗脐腹及阴户处。即刻气温回升，血行通畅遂分娩。或者用红...（原文此处有缺漏）又暖...（原文此处有缺漏）。
治疗难产三日不出。
用车轴脂吞服像大豆大小的两丸。另一法是用车脂在婴儿脚底写字。另一法是用酒。
又一方
烧药杵三五遍使其变红，倒入酒中饮用。立即分娩。铁器也可以。
又一方
烧大刀...（原文残缺），用一杯酒浇淋。一次性服用。即出。救治死胎不分娩者。
[Supplementary Discussion]
The difficulty in childbirth stems from the formation of fetal qi. While in the womb, the fetus constantly consumes the mother's blood. Excessive consumption leads to coagulation into a mass, commonly known as "child pillow" (Erzhen). When the fetus desires to be born,
Gancao San (also known as Doudahuangjuan San): Treats prolonged pregnancy without delivery. It facilitates smooth delivery and eases birth.
Gancao (Licorice Root) (roasted, 1 liang), Huangqin (Scutellaria Root) (removed black center), Doudahuangjuan (Fried Soybean Sprout), Ganjiang (Dried Ginger) (processed), Guizhi (Cinnamon Twig) (coarse bark removed), Wuzhuyu (Evodia Fruit) (soaked in decoction). Each 0.5 liang. Take frequently throughout the day.
Dahuang Wan: Treats prolonged pregnancy without delivery. Nourishes the fetus and facilitates easy birth.
Dahuang (Rhubarb Root) (fried, 2 liang), Zhike (Bitter Orange Peel) (pith removed), Shaoyao (Peony Root) (each 1 liang), Xiong (Ligusticum Rhizome) (3 fen), Ganjiang (Dried Ginger) (processed), Houpo (Magnolia Bark) (ginger-processed, 0.5 liang), Baizhu (Atractylodes Rhizome), Wutongzi (Firmiana Seed) (text incomplete).
Huatai Danggui San: Treats prolonged pregnancy without delivery.
Danggui (Angelica Sinensis Root) (baked, 1 liang), Mazi Ren (Hemp Seed) (1 he), Wuzhuyu (Evodia Fruit) (soaked, saliva removed, dried), Ganjiang (Dried Ginger) (processed), Zhimu (Anemarrhena Rhizome), Guizhi (Cinnamon Twig) (coarse bark removed), Huangqin (Scutellaria Root) (text incomplete). Take 2 qian per dose.
Kong (Text fragment/omitted)
Formula for difficult labor lasting several days with fetal death in utero.
Take 2 jin of genuine Chuanjiao (Sichuan Pepper). Divide into two parts. Steam them. Wrap in cloth and apply alternating hot compresses to the产妇's umbilical and abdominal area. The dead fetus will be expelled.
For cases where delivery has been delayed for several days, or the fetus is dead in the uterus, and the mother is in critical condition.
Boil Qumai (Herba Descurainiae/Sophrae) into a concentrated decoction and take it.
Mendong Wan: Treats prolonged pregnancy without delivery. Benefits qi and facilitates smooth delivery.
Mendong (Ophiopogon Tuber) (heart removed), Xiong (Ligusticum Rhizome), Houpo (Magnolia Bark) (coarse bark removed, ginger-processed), Zhike (Bitter Orange Peel) (pith removed, bran-fried), Shaoyao (Peony Root), Chifuling (Red Poria) (peel removed, each 2 liang). Pound, cook until soft, and form pills the size of Wutongzi seeds.
Qumai Tang: Treats prolonged pregnancy without delivery. Facilitates smooth delivery and eases birth.
Qumaishui (Sophrae Spica) (roots removed, chopped), Yubaipi (Ulmus Bark), Mutong (Akebia Stem) (each 2 liang), Dongkuizi (Malva Seed) (cleaned, 1 he), Huashi (Talcum) (1 liang). Grind into powder. Take ... (text incomplete, typically mixed with warm water).
Kuizi Tang: Treats prolonged pregnancy without delivery, following the natural constitution.
Dongkuizi (Malva Seed) (fried, 1 he, Huashi crushed), Qumai (Herba Descurainiae/Sophrae) (roots removed, each 1 liang), Danshen (Salvia Root) (1.5 liang). Grind into powder. Take 4 qian per dose. Decoct with 1.5 zhan of water ... (text incomplete).
Formula to facilitate easy delivery after prolonged pregnancy.
Take one copper crossbow trigger. Heat until red-hot. Quench in half a zhan of rice vinegar. Take upon onset of labor. Another method uses wine.
Rusheng San: Treats prolonged pregnancy without delivery.
Burn paper used by women who have given birth to ash. Grind into fine powder. Take 2 qian per dose, mixed with warm wine, at any time.
For critical cases of difficult labor lasting several days.
Use Guanzi (official grade Cinnamon) remove coarse bark, chop finely, and lightly stir-fry. Processing with iron vessels is acceptable. Grind into fine powder. Take 3 qian per dose, mixed with plain boiled water. Delivery occurs immediately. This medicine must be prepared fresh ... (text incomplete).
Jiawei Xionggui Tang: Treats cases where delivery fails after 5-7 days, approaching death. Also treats non-separation of the pubic symphysis (Jiaogu Bukai).
Use Chuanxiong (Ligusticum Rhizome) and Danggui (Angelica Sinensis Root) each 1 liang; one dry turtle shell from a naturally deceased turtle, roasted with butter; one handful of hair from a woman who has borne both male and female children, burned until carbonized. Grind together into powder. The turtle shell also ... (text incomplete).
Cuisheng Fangkui San: Treats difficult labor lasting 2-3 days. Irregular breathing, abdominal pain.
Fangkui (Radix Saposhnikoviae) (1 liang), Huashi (Talcum) (3 fen), Zhusha (Cinnabar) (separately ground), Dongkuizi (Malva Seed) (3 fen), Mutong (Akebia Stem) (3 fen), Qumai (Herba Descurainiae/Sophrae) (3 fen), Yubaipi (Ulmus Bark) (text incomplete). Take warm.
Formula for difficult labor, or failure to deliver after 3-5 days, including cases of fetal death in utero.
Danggui (Angelica Sinensis Root) (3 fen, lightly fried), Guijia (Turtle Shell) (3 fen, coated with butter, roasted yellow, pounded to powder). First, take 0.5 liang of hair from a woman with many births, burn to ash. Grind finely. Place inside ... (text incomplete).
Formula for pregnancy near term failing to deliver for several days, causing discomfort, to facilitate expulsion.
Zhaobizi (likely a specific herb or part, text unclear) (8 pieces, heated red, soaked in vinegar 9 times, powdered), Huaizi (Sophora Seed) (1 liang, powdered). Mix and grind evenly. Form pills with refined honey, size of Wutongzi seeds.
Formula for 3-day non-delivery.
Burn rat head to ash. Grind finely. Mix with fresh cold water and take 1 qian. Immediate effect.
Another Formula
Burn turtle shell to ash. Grind. Mix with fresh cold water and take 1 qian. Immediate effect. Wine can also be used.
Another Formula
Take three finger-pinches of soil from the door threshold. Mix with wine and take.
Another Formula
Take Lingyangjiao (Antelope Horn) shavings, burn and grind to powder. Mix with wine and take 1 qian.
Formula for exhaustion due to 7-8 days of non-delivery.
Take 1 liang of Huangming Jiao (Yellow Clear Glue). Roast over fire until yellow and scorched. Add one large zhan of good wine. Boil, stirring constantly until the glue melts. Boil about 10-20 times. Add one fresh chicken egg.
Another Formula
Take ... (text fragment: skull/head related). Hold with hand. Very effective.
Another Formula
Take Yimucao (Motherwort Herb), crush to extract juice (3 he). Take immediately induces delivery. If fresh is unavailable, use a handful of dried herb. Add one large zhan of water, boil down to half a zhan, strain, and take warm.
For delivery delayed for several days, or fetal death in utero, with mother's vital qi nearly exhausted.
Qumai (Herba Descurainiae/Sophrae) (6 liang), Tongcao (Tetrapanacis Medulla), Guixin (Cinnamon Bark) (each 3 liang), Niuxi (Achyranthes Root) (4 liang), Yubaipi (Ulmus Bark) (1 sheng). Cut into small pieces. Decoct in 9 sheng of water, reduce to ... (text incomplete).
Formula for prolonged non-delivery with fetal qi rushing to the heart causing suffocation.
Yubaipi (Ulmus Bark), Huashi (Talcum), Danggui (Angelica Sinensis Root), Cheqianzi (Plantago Seed), Yimucao (Motherwort Herb) (each 0.5 liang above). Grind into fine powder. Decoct fresh ginger and urine, mix with 2 qian of powder and take.
For non-delivery after one day.
Puhuang (Lygodium Spore), Dilong (Earthworm), Chenpi (Citrus Peel) (equal parts). First, wash Dilong to remove dirt, bake on new tile until slightly yellow. Grind each into powder. Apply to three locations ... (text incomplete).
Niusu San: Treats prolonged non-delivery with fetal qi rushing to the heart causing near-death state.
Niusu (Butter) (0.5 liang), Dongkuizi (Malva Seed) (fried, 1 he), Huashi (Talcum) (3 fen). Grind the latter two into powder. Mix with Niusu (Butter) and place in a raw silk bag.
Zhuyu Tang: Treats women with prolonged non-delivery. Lower body is cold, extreme distress due to lack of medicine.
Decoct leaves of Jiaojiao (Pepper fruit?), Chengye (Orange Leaf), Zhuyu (Evodia Fruit) etc., into a strong decoction. When temperature allows hand immersion, mix well. Wash the umbilicus, abdomen, and genital opening. Temperature rises immediately, blood circulation resumes, and delivery occurs. Or use red ... (text incomplete) again warm ... (text incomplete).
For difficult labor not delivering after three days.
Swallow two pills of Chezhou Zhi (Axle Grease) the size of soybeans. Another method: write characters on the baby's soles with axle grease. Another method uses wine.
Another Formula
Heat the pestle 3-5 times until red. Pour wine into it and drink. Immediate delivery. Iron vessels are also acceptable.
Another Formula
Heat a large knife ... (text fragment). Pour one cup of wine over it. Drink in one go. Immediately delivers. Rescues cases of stillbirth/non-delivery.