勿坐草太早，恐儿在腹中难于转侧，致胞先破，横生逆生，至危也。倘然，先见手足，急用
细针刺手足心一二分三四刺，以盐涂之，轻轻送入，儿后痛惊，转乃顺矣。有破水后经日不
产者，因失于调理，临月不谨之故，当详辨之，其体热作寒，面黑，舌青及舌上冷，子母俱
死；唇口俱青，吐沫，子母俱死；面赤舌青，母活子死；面青舌赤，口出沫，母死子活。遇
胎衣不下者，防带一断，胞上掩心，死在须臾，宜两头缚紧剪断，以物坠住，其血不入胞中
，胞自萎缩而下，产母能宽心，纵淹数日，亦不害人。
天麻丸（即益母草）六月初，连根采益母草，阴干为末，炼蜜丸如龙眼大，临产童便温
酒或汤
临产，腰痛至甚时，用鸡子清一个调药，再用姜汁调开冷服。如横生、倒产实时顺，子母平
安。
又方
治沥浆胞干，胎不得下，用香油、蜂蜜各一碗，和匀，铜锅内慢火煎一二沸，掠去沫，
调白滑石一两搅匀，顿服。外以油蜜于母腹脐上下摩之。
黄金散 治一二日难分娩者，服之如神。真金箔大者五片，小者七片，小瓷钟盛水少许
，去纸入金在内，以指研匀，再添水至半钟，令一人扶产妇虚坐，再令一人将大指按定产妇
两肩井穴，温服前药，其胎即下。
夺命丸 治妇人小产，下血过多，子死腹中，其人憎寒，手指爪甲、唇舌青黑，或胎上
抢心，闷欲死，冷汗自出，或食毒物，或误食草药，动胎气下血不止，服之可安胎，已死服
之可下。
桃仁（麸炒去皮）赤芍 官桂 白茯苓 牡丹皮各二分蜜丸弹子大。每一丸，细嚼淡醋
汤下，连进二丸，虽胎腐烂腹中，立可取出。
兔脑丸 母丁香、乳香各一钱，麝香一字，为极细末。
腊月取兔脑（去皮研如泥）和为丸，如鸡头实大，辰砂一钱为衣，阴干，油纸密封，每
服一丸
单方
治坐草三四日不下，即刻可下。蜂蜜、香油、好酒各一钟，合煎，产妇面东服。
又方
鱼胶七寸，麻油灯上烧过，为末，酒调服。
脱衣散 胞衣不下。
滑石四钱 川牛膝 木通各三钱 归 冬葵子 枳壳各二钱
又方
治产母元气虚薄者，用川芎、归尾，倍桂温之，自下。
又方
用蓖麻子七粒去壳，研膏涂脚心，胞衣下即速洗去。不洗肠出，却用此膏涂顶上，复
入。一方产妇自将头发，咽咽作呕即出。
附下死胎 官桂三钱，麝香五分，俱另末温酒调服，须臾如手推下。
又方
治横逆不顺，子死腹中。伏龙肝为末二钱，温酒调服，其儿带土而下。又方平胃散一
酒水各一盏煎八分，入朴硝五钱再煎，领出候温胎，其胎化为水下。
产后
男弗喜，女弗怒，勿遽睡，令闭目而坐，须臾方可上床，倚背仰卧立膝，勿令伸足，勿
令熟睡，常淬醋烟，以防晕闷。逡巡少进白粥，五七日不可恃强下床。一月内若伤于房事，
则生别症，最难医治。最宜谨戒。后有外感内伤杂症，与男子等，但宜当加理血药为助，消
息之而参用焉。
产后发热六种
新产之脉宜虚。叔和云∶缓滑吉，实大弦急死。大侵寸口，焱疾不调死，沉细附骨生。
夫产后发热，有恶露不尽者，有去血过多者，有伤力者，有饮食者，有感风寒者，有感冒夹
食夹气者，有三日蒸乳者。俱身痛腹痛，俱以理血为主，不可骤用人参，不可轻用芍药，不
可表发，不可苦寒药。恶露不尽，发热恶寒，胁肋胀满，大小腹有块作痛，宜四物加五灵脂
、丹皮、桃仁、红花、延胡、香附、青皮、干姜、官桂，酒水各一钟，黑豆一撮煎八分，磨
木香，入童便、姜汁，取下恶物为妙。或用黑神散尤妙，后以八物汤加干姜、陈皮、香附（
童便炒）调理。去血过多发热，脉虚大无力，内无痛者，乃阴虚不足，阳无所附也，四物去
芍药，加白术、茯苓淡渗其热。若大热不退加黑姜神效，或用芎归调血饮亦妙。伤力者同此
治。内伤饮食发热，头痛，有噫气作酸，恶闻食臭，口中无味，胸膈饱闷，气口脉紧盛，宜
治中
外感风寒，脉浮而微，或自汗，盖冒风也，以芎芷香苏散加羌活、防风主之；脉弦而悬
，或恶露不退，是感寒也，以五积散主之；脉浮而紧，风寒两感，以五积交加散主之，有汗
去麻黄加人参。
感冒夹食夹气，人迎气口脉俱紧盛，以行气香苏散主之。
蒸乳乳间胀硬疼痛，令产母揉乳，令汁通自愈。或用木通、通草、猪蹄煎服。无子者当
稍用
凡产后有病，先固血气为主，余疾者从末治。
产后杂症八种产后血晕，虽有力乏、血多、血少三种，大约虚火立血上行，概用韭叶细
切，盛于有嘴瓶中，以热醋沃之，急封瓶口，以嘴塞产妇鼻，可止眩晕。又方，使鹿角烧灰
出火毒，研极细末，童便合好，酒灌下即醒。
又方
没药、血竭等分，名为夺命散，童便、好酒各半盏煎一二沸，调下二钱，良久再一服
，并治血入心经狂乱。
产后中风口噤，乃血虚而风入夹口也；若角弓反张，乃体虚而风入阳经，故腰背挛急也
。四物加秦艽、羌活、荆芥（略炒为末），每服三钱，黑豆淋酒下。又方，当归、荆芥各一
钱五分，水一盏，酒少许，煎七分灌之，下咽即效。□□可服小续命汤。
产后水肿，亦须大补气血，少佐苍术、茯苓，其水自利。
产后血崩，瑞莲一两（烧灰存性），棕桐灰、当归各一两，官桂五钱，槟榔二枚，鲤鱼
鳞（炒）
产后不语，败血迷心也。四物加辰砂、红花、石菖蒲、人参。
产后失音，血侵心肺，又伤风故也。茯苓补心汤去陈皮、枳壳、川芎，加升麻、防风、
薄荷、赤芍、当归、生地、红花、黄连、胆星、生姜煎服。
产后子宫不收，荆芥穗、藿香叶、臭椿皮、等煎汤熏洗。
又方
治子宫痛不可忍，五倍子、白矾、汤洗、干糁亦可。
红花散 产后血盛血崩、月事不调，及远年干血气。
干荷叶 丹皮 当归 红花 蒲黄（炒）各等分酒调下一钱，若胞衣不下，以椿白皮煎
汤调下五钱，立效。
黑神散 当归 熟地 白芍 肉桂 甘草（炙）各一两 沉香 棕灰 蒲黄 没药各五
钱乳香三钱 赤芍一钱 血竭五分为细末，每服二钱，空心无灰酒送下。此方可代夺命散，
凡败血作患，及胞衣不下，皆宜服
理脾汤 产后停食，胸膈饱闷，身发寒热，不思饮食。
麦芽二钱 神曲 浓朴（姜汁炒）各一钱五分 苍术 陈皮 山楂 桔梗各一钱 黑姜
八分
理中汤 脾胃虚惫，饮食不进，呕吐泄泻，心腹疼痛，体虚有热，胎前产后□□□□□
□□
白术（土炒） 干姜（汤泡炒黑） 陈皮（去白） 神曲（炒） 香附（炒）各一两 砂
仁（炒） 麦芽□□□□□六钱神曲糊为丸，如桐子大，空心米汤服下八十丸。
推气养血丸 产后右胁膨胀有块，如竖弦一条，着紧便疼。用∶
白米（土炒） 青皮（香油炒） 陈皮 枳实（麸炒） 乌药 浓朴（姜汁炒） 干姜
（炒黑） 白芥子（炒） 川芎 当归（酒洗） 白芍（酒炒）各一两 麦芽（炒） 肉桂
各六钱 木香三钱 三棱 莪术各八钱（皆醋炒） 香附二两（童便浸炒）醋糊丸如桐子大，
空心米汤一百丸。
养血佐肝丸 产后胀闷，一块在左，卧不着床。
当归 南芎 半夏（香油炒） 白术（炒） 白芍（酒炒） 陈皮（去白） 青皮（去
心香油炒） 神曲（炒） 莱菔子（炒） 丹皮（酒洗） 白茯苓 红花各一两 柴胡（酒
炒）一钱 龙胆草（酒洗）六钱 三棱 莪术各五钱（醋炒） 桃仁（去皮尖，炒）八分 香
附二两（醋炒）酒糊丸如梧桐子，白汤下一百丸。
失笑散 治小肠气痛，及妇人血气痛欲死者。五灵脂、蒲黄各等分，上为末，每服二钱，
醋一合，熬膏，入水一盏，煎一分，热服。
血竭膏 治平血气。锦纹大黄四两，酒浸干为末，好醋一升熬膏，丸如弹子大，熟酒化
开一丸，临卧服。大便行一二次，红脉自下。乃调经之仙药。
单方
产后一切血气腹痛。天仙藤（炒）三两，为末，每服二钱。腹痛，炒姜和童便、酒调下
；患气用酒下。
又方
治产后败血不止，生地一两，石器内捣为末，每服二钱，食前热酒调服，连进三服。
催乳
乳汁不通有血□□成，乳脉涩而不行者；有血气虚弱而绝少者；有忿怒郁闷或浓味所酿，
热甚血沸而化脓者；有因乳子含乳而睡，口气 热，致成桔核不化，宜忍痛揉软而成毒者。
通乳汤 气少血弱。用∶
猪蹄（下节）四只 通草二两 川芎一两 穿山甲十四（炒黄） 甘草一钱用水五升，
煮三升，一日饮之，外以葱汤频洗乳，忌风寒生冷。
漏芦散 气脉壅塞。用∶
漏芦二两半 蛇蜕十条（炙） 栝蒌十个（急火烧存性） 酒调一二钱，仍吃热羹助之。
玉露饮 乳脉不行，身体壮热，头痛，此凉膈压热，下乳。用∶
川芎 白芷 桔梗（炒）各五钱 甘草 白茯苓各二钱半 人参二钱 白芍一钱半 当
归一钱
不要过早坐在产床上，恐怕胎儿在腹中难以转动体位，导致胞衣先破裂，出现横生或逆生的难产情况，这是非常危险的。如果已经看到胎儿的手足伸出，应立即用细针针刺手足心一二分深，刺三四下，并在针孔处涂上盐，轻轻将肢体推回，胎儿之后因疼痛受惊而转动，就能转为顺产了。如果有破水后过了一天仍不生产的，是因为缺乏调理、临产前不慎的缘故，应当详细辨别：若身体发热却感觉寒冷，面色发黑，舌色青紫及舌面发冷，母子都会死亡；若嘴唇和口唇都发青，吐白沫，母子都会死亡；若面色赤红而舌色青紫，母亲存活胎儿死亡；若面色青紫而舌色赤红，口出白沫，母亲死亡胎儿存活。遇到胎衣不下的情况，要防止脐带断裂，胎盘上移压迫心脏，片刻间就会死亡，应当将脐带两头扎紧剪断，用物体坠住，使血液不流入胞中，胞自然会萎缩下降，产妇若能宽心，即使拖延数日，也不会伤害性命。
天麻丸（即益母草）：六月初，连根采摘益母草，阴干研为粉末，用炼蜜制成如龙眼大小的药丸，临产时用童便温酒或汤送服。
临产时，腰痛至极时，用一个鸡蛋清调和药粉，再用姜汁调开冷服。如果是横生、倒产，能立即转为顺产，母子平安。
又一方：
治疗羊水早破、胞衣干燥，胎儿无法娩出，用香油、蜂蜜各一碗，混合均匀，在铜锅内用慢火煎煮一两次沸腾，撇去浮沫，调入白滑石一两搅匀，一次性服用。同时在母亲腹部脐上下涂抹油蜜进行按摩。
黄金散：治疗分娩困难一二日的，服用后效果如神。取大真金箔五片或小真金箔七片，用小瓷钟盛少许水，去掉纸放入金箔在内，用手指研磨均匀，再添水至半钟，让一人扶产妇虚坐，再让一人用大拇指按住产妇两肩井穴，温服前药，胎儿即可娩出。
夺命丸：治疗妇人小产，下血过多，胎儿死于腹中，患者憎恶寒冷，手指、指甲、嘴唇、舌头青黑，或者胎气上抢心脏，闷欲死，冷汗自出，或者食用毒物，或者误食草药，动胎气下血不止，服用此药可安胎，若胎儿已死服用此药可排出死胎。
桃仁（麸炒去皮）、赤芍、官桂、白茯苓、牡丹皮各二分，蜜丸如弹子大。每一丸，细细咀嚼后用淡醋汤送下，连续服用二丸，即使胎儿腐烂在腹中，也能立即取出。
兔脑丸：母丁香、乳香各一钱，麝香一字，研为极细末。
腊月取兔脑（去皮研成泥状）和药末制成药丸，如鸡头实大小，用辰砂一钱为衣，阴干，油纸密封，每次服用一丸。
单方：
治疗坐草三四日不下，即刻可下。蜂蜜、香油、好酒各一钟，合煎，产妇面向东方服用。
脱衣散：治疗胞衣不下。
滑石四钱，川牛膝、木通各三钱，当归、冬葵子、枳壳各二钱。
又方：
治疗产母元气虚弱者，用川芎、归尾，加倍桂枝温补，自然能娩出。
又方：
用蓖麻子七粒去壳，研膏涂脚心，胞衣下来后立即洗去。若不洗，肠子会脱出，此时再用此膏涂头顶，肠子可复入。另一方法：产妇自己将头发吞咽，咽咽作呕即可产出。
附下死胎：官桂三钱，麝香五分，均研为细末，温酒调服，片刻间如手推般排出。
又方：
治疗横逆不顺，胎儿死于腹中。伏龙肝研为末二钱，温酒调服，其儿带着泥土样物质而下。又方：平胃散一酒水各一盏煎至八分，加入朴硝五钱再煎，待温度适宜时喂服，其胎化为水排出。
产后护理：
男丁不要欢喜，女眷不要愤怒，不要急于睡觉，令产妇闭目而坐，片刻后方可上床，倚背仰卧立膝，不要伸直腿，不要熟睡，常熏醋烟，以防晕闷。稍后进食少量白粥，五七天内不可勉强下床。一个月内若房事不慎，则产生其他病症，最难医治。最宜谨慎戒除。此后若有外感内伤杂症，与男子相同，但宜适当加入理血药辅助，观察情况参用。
产后发热六种：
新产后的脉象宜虚。叔和说：缓滑为吉，实大弦急为死。脉大侵寸口，疾速不调为死，沉细附骨为生。
产后发热，有恶露不尽的，有去血过多的，有伤力的，有饮食积滞的，有感风寒的，有感冒夹食夹气的，有三日蒸乳的。都伴有身痛腹痛，都以理血为主，不可骤用人参，不可轻用芍药，不可发汗解表，不可用苦寒药。恶露不尽，发热恶寒，胁肋胀满，大小腹有块作痛，宜用四物汤加五灵脂、丹皮、桃仁、红花、延胡索、香附、青皮、干姜、官桂，酒水各一钟，黑豆一撮煎至八分，磨木香，加入童便、姜汁，取下恶物为妙。或用黑神散尤妙，后用八物汤加干姜、陈皮、香附（童便炒）调理。去血过多发热，脉虚大无力，内部无痛者，是阴虚不足，阳无所附也，四物汤去芍药，加白术、茯苓淡渗其热。若大热不退加黑姜神效，或用芎归调血饮亦妙。伤力者同此治法。内伤饮食发热，头痛，有打嗝作酸，厌恶食物气味，口中无味，胸膈饱闷，气口脉紧盛，宜治中焦。
外感风寒，脉浮而微，或自汗，是盖冒风也，以芎芷香苏散加羌活、防风主之；脉弦而悬，或恶露不退，是感寒也，以五积散主之；脉浮而紧，风寒两感，以五积交加散主之，有汗去麻黄加人参。
蒸乳：乳间胀硬疼痛，令产母揉乳，令乳汁通畅自愈。或用木通、通草、猪蹄煎服。无子者当稍用。
产后杂症八种：
产后血晕，虽有力乏、血多、血少三种，大约虚火引血上行，概用韭叶细切，盛于有嘴瓶中，以热醋沃之，急封瓶口，以嘴塞产妇鼻，可止眩晕。又方，使鹿角烧灰出火毒，研极细末，童便和好，酒灌下即醒。
又方：
没药、血竭等分，名为夺命散，童便、好酒各半盏煎一二沸，调下二钱，良久再一服，并治血入心经狂乱。
产后中风口噤，乃血虚而风入夹口也；若角弓反张，乃体虚而风入阳经，故腰背挛急也。四物汤加秦艽、羌活、荆芥（略炒为末），每服三钱，黑豆淋酒下。又方，当归、荆芥各一钱五分，水一盏，酒少许，煎七分灌之，下咽即效。□□可服小续命汤。
产后血崩，瑞莲一两（烧灰存性），棕桐灰、当归各一两，官桂五钱，槟榔二枚，鲤鱼鳞（炒）。
产后失音，血侵心肺，又伤风故也。茯苓补心汤去陈皮、枳壳、川芎，加升麻、防风、薄荷、赤芍、当归、生地、红花、黄连、胆星、生姜煎服。
红花散：产后血盛血崩、月事不调，及远年干血气。
干荷叶、丹皮、当归、红花、蒲黄（炒）各等分酒调下一钱，若胞衣不下，以椿白皮煎汤调下五钱，立效。
黑神散：当归、熟地、白芍、肉桂、甘草（炙）各一两，沉香、棕灰、蒲黄、没药各五钱，乳香三钱，赤芍一钱，血竭五分，为细末，每服二钱，空心无灰酒送下。此方可代夺命散，凡败血作患，及胞衣不下，皆宜服。
理脾汤：产后停食，胸膈饱闷，身发寒热，不思饮食。
麦芽二钱，神曲、浓朴（姜汁炒）各一钱五分，苍术、陈皮、山楂、桔梗各一钱，黑姜八分。
理中汤：脾胃虚惫，饮食不进，呕吐泄泻，心腹疼痛，体虚有热，胎前产后□□□□□□□。
白术（土炒）、干姜（汤泡炒黑）、陈皮（去白）、神曲（炒）、香附（炒）各一两，砂仁（炒）、麦芽□□□□□六钱，神曲糊为丸，如桐子大，空心米汤服下八十丸。
推气养血丸：产后右胁膨胀有块，如竖弦一条，着紧便疼。用：
白米（土炒）、青皮（香油炒）、陈皮、枳实（麸炒）、乌药、浓朴（姜汁炒）、干姜（炒黑）、白芥子（炒）、川芎、当归（酒洗）、白芍（酒炒）各一两，麦芽（炒）、肉桂各六钱，木香三钱，三棱、莪术各八钱（皆醋炒），香附二两（童便浸炒），醋糊丸如桐子大，空心米汤一百丸。
养血佐肝丸：产后胀闷，一块在左，卧不着床。
当归、南芎、半夏（香油炒）、白术（炒）、白芍（酒炒）、陈皮（去白）、青皮（去心香油炒）、神曲（炒）、莱菔子（炒）、丹皮（酒洗）、白茯苓、红花各一两，柴胡（酒炒）一钱，龙胆草（酒洗）六钱，三棱、莪术各五钱（醋炒），桃仁（去皮尖，炒）八分，香附二两（醋炒），酒糊丸如梧桐子，白汤下一百丸。
失笑散：治小肠气痛，及妇人血气痛欲死者。五灵脂、蒲黄各等分，上为末，每服二钱，醋一合，熬膏，入水一盏，煎一分，热服。
血竭膏：治平血气。锦纹大黄四两，酒浸干为末，好醋一升熬膏，丸如弹子大，熟酒化开一丸，临卧服。大便行一二次，红脉自下。乃调经之仙药。
单方：
产后一切血气腹痛。天仙藤（炒）三两，为末，每服二钱。腹痛，炒姜和童便、酒调下；患气用酒下。
又方：
治疗产后败血不止，生地一两，石器内捣为末，每服二钱，食前热酒调服，连进三服。
催乳：
乳汁不通有血瘀成，乳脉涩而不行者；有血气虚弱而绝少者；有忿怒郁闷或浓味所酿，热甚血沸而化脓者；有因乳子含乳而睡，口气热，致成桔核不化，宜忍痛揉软而成毒者。
通乳汤：气少血弱。用：
猪蹄（下节）四只，通草二两，川芎一两，穿山甲十四（炒黄），甘草一钱，用水五升，煮三升，一日饮之，外以葱汤频洗乳，忌风寒生冷。
漏芦散：气脉壅塞。用：
漏芦二两半，蛇蜕十条（炙），栝蒌十个（急火烧存性），酒调一二钱，仍吃热羹助之。
玉露饮：乳脉不行，身体壮热，头痛，此凉膈压热，下乳。用：
川芎、白芷、桔梗（炒）各五钱，甘草、白茯苓各二钱半，人参二钱，白芍一钱半，当归一钱。
Do not sit on the birthing mat too early, lest the fetus be unable to turn within the uterus, causing the amniotic sac to rupture prematurely, resulting in transverse or breech presentation, which is extremely dangerous. If hands or feet are seen protruding, immediately prick the palms and soles with fine needles to a depth of one or two fen, pricking three or four times, apply salt to the puncture sites, and gently push the limbs back. The infant will subsequently move due to pain and fright, thereby converting to a normal presentation. In cases where water breaks but delivery does not occur after a day, it is due to lack of regulation and negligence before term; this must be carefully differentiated: if the body feels hot yet cold, the face is black, the tongue is cyanotic and cold, both mother and child will die; if lips and mouth are cyanotic with foaming, both mother and child will die; if the face is red and the tongue cyanotic, the mother survives but the child dies; if the face is cyanotic and the tongue red with foaming from the mouth, the mother dies but the child survives. For retained placenta, prevent umbilical cord rupture; if the placenta ascends to cover the heart, death occurs instantly. Tie the umbilical cord tightly at both ends, cut it, and use an object to weigh it down so blood does not enter the uterus; the uterus will naturally shrink and descend. If the mother remains calm, even if delayed for several days, it will not harm her.
Tianma Wan (Houttuynia Cordata Pill): In early June, harvest Houttuynia Cordata (Yimucao) including roots, dry in shade, powder, and form pills with refined honey the size of a longan. Take at parturition warmed with neonatal urine or wine/water.
For severe lower back pain during labor, mix one egg white with the medicine, then dilute with ginger juice and take cold. This can immediately correct transverse or breech presentations, ensuring safety for mother and child.
Another Prescription:
For premature rupture of membranes and dried amniotic sac preventing delivery, mix one bowl of sesame oil and one bowl of honey. Slowly boil in a copper pot for one or two boils, skim off foam, mix in one liang of Talcum (Huashi), and take at once. Massage the mother's abdomen above and below the navel with the oil-honey mixture externally.
Huangjin San (Gold Leaf Powder): For difficult labor lasting one or two days, effective as magic. Use five large pieces or seven small pieces of real gold leaf. Place in a small porcelain cup with a little water, remove paper, add gold leaf, grind evenly with finger, add water to half full. Have one person support the laboring woman in a sitting position, another press the Liangjian acupoints (GB21) on both shoulders with the thumb, and take the previous medicine warm. The fetus will be delivered.
Duoming Wan (Life-Rescuing Pill): For miscarriage with excessive bleeding, fetal death in utero, aversion to cold, cyanosis of fingers, nails, lips, and tongue, or fetal qi rushing to the heart causing suffocation, cold sweat, ingestion of toxins or erroneous herbs causing continuous bleeding. It calms the fetus if alive, or expels dead fetus if deceased.
Peach Kernel (bran-fried, skin removed), Red Peony Root, Official Cinnamon, White Poria, Moutan Cortex, each 2 fen. Honey-pilled to the size of a bullet. Chew one pill thoroughly, swallow with light vinegar water. Take two pills consecutively; even if the fetus has decomposed in the uterus, it can be expelled immediately.
Tunaowan (Rabbit Brain Pill): Mother Clove, Frankincense, each 1 qian; Musk, 1 zi. Grind to ultra-fine powder.
In the twelfth lunar month, take rabbit brain (skin removed, ground to paste), mix with powder, form pills the size of corn kernels. Coat with 1 qian of Cinnabar. Dry in shade, seal in oiled paper. Take one pill per dose.
Single Prescription:
For labor lasting three to four days without delivery, immediate expulsion follows. Mix one zhong of honey, sesame oil, and good wine. Boil together. Laboring woman faces east and takes it.
Another Prescription:
Fish glue, 7 cun, burnt over sesame oil lamp, powdered, taken with wine.
Tuoyi San (Placenta-Expelling Powder): For retained placenta.
Talcum, 4 qian; Cyathula Root, Akebia Stem, each 3 qian; Angelica Sinensis, Malva Seed, Aurantium Fruit, each 2 qian.
Another Prescription:
For mothers with deficient Yuan Qi, use Ligusticum Wallichii and Angelica Sinensis tail, with doubled Cinnamon Twig for warming, leading to natural delivery.
Another Prescription:
Use seven Castor Seeds, remove shells, grind into paste, apply to soles. Wash off immediately after placenta delivery. If intestines prolapse due to non-washing, apply paste to vertex to retract them. Alternative: Laboring woman swallows hair until vomiting occurs, leading to expulsion.
Assisting Expulsion of Dead Fetus:
Official Cinnamon, 3 qian; Musk, 5 fen. Both powdered, mixed with warm wine. Expelled quickly like being pushed by hand.
Another Prescription:
For transverse/oblique presentation with fetal death in utero. Longmax Earth (Fulonggan) powder, 2 qian, mixed with warm wine. The fetus exits with earthy matter. Another Prescription: Pingwei San, decocted with wine and water (one sheng each) to 0.8 sheng, add Mirabilite, 5 qian, boil again. Feed when warm; the fetus dissolves into water.
Postpartum Care:
Men should not rejoice, women should not anger. Do not sleep immediately; have the patient sit with eyes closed for a moment, then lie on bed leaning back, supine with knees bent. Do not extend legs, do not sleep deeply. Frequently fumigate with vinegar smoke to prevent fainting. Gradually introduce white porridge. Do not force getting out of bed for five to seven days. Within one month, sexual misconduct causes difficult-to-treat complications. Strictly avoid. Subsequent exogenous/endogenous disorders are similar to men's but require adding blood-regulating herbs. Observe and adapt.
Six Types of Postpartum Fever:
Postpartum pulse should be empty. He Hanzhong said: Wavy and slippery is auspicious; solid, large, wiry, and rapid indicates death. Large pulse invading Cun position with rapid irregularity indicates death; deep, thin, adherent to bone indicates survival.
Postpartum fever arises from: incomplete lochia discharge, excessive blood loss, physical strain, dietary stagnation, wind-cold invasion, cold with food/qi stagnation, or milk engorgement after three days. All present with body and abdominal pain. Treatment focuses on regulating blood. Do not abruptly use Ginseng, lightly use Peony, induce sweating, or use bitter-cold herbs.
For incomplete lochia: fever, aversion to cold, hypochondriac distension, masses in upper/lower abdomen causing pain. Use Siwu Tang plus Psoralea Seed, Moutan Cortex, Peach Kernel, Safflower, Corydalis Rhizome, Cyperus Rhizome, Tangerine Peel, Dried Ginger, Official Cinnamon. Decoct with wine and water (one zhong each), a pinch of Black Soybean, reduce to 0.8 zhong. Grind Costus Root, add neonatal urine and ginger juice. Best to expel foul matter. Heishen San is also excellent, followed by Bawu Tang plus Dried Ginger, Tangerine Peel, Cyperus Rhizome (fried in neonatal urine) for regulation.
For excessive blood loss: fever, empty-large powerless pulse, no internal pain. Indicates Yin deficiency with Yang floating. Siwu Tang minus Peony, add Atractylodes Macrocephala, Poria to leach out heat. If high fever persists, add Charred Ginger (effective) or Xionggui Tiaoxue Yin. Physical strain treated similarly.
For dietary injury: fever, headache, belching with sour taste, aversion to food odor, tastelessness, chest fullness, tight-full Chi Kou pulse. Treat Middle Jiao.
Exogenous Wind-Cold: Pulse floating and slight, or spontaneous sweating, covered by wind. Use Xiongzhi Xiangsu San plus Notopterygium Root, Saposhnikovia Root. Pulse wiry and suspended, or lochia not stopping, indicates Cold invasion. Use Wuji San. Pulse floating and tight, Wind-Cold dual invasion. Use Wuji Jiajia San. If sweating, remove Ephedra, add Ginseng.
Cold with Food/Qi Stagnation: Renying and Qikou pulses both tight-full. Use Xingqi Xiangsan San.
Milk Engorgement: Breast swelling, hardness, pain. Have mother massage breasts to promote flow. Or decoct Akebia Stem, Tetrapanax Pith, Pig Trotters. For those without children, use slightly.
Generally, postpartum illness prioritizes securing Blood and Qi; other ailments are treated secondarily.
Eight Postpartum Miscellaneous Disorders:
Postpartum Blood Vertigo: Though categorized as Qi exhaustion, Excess Blood, or Deficient Blood, generally caused by deficient fire drawing blood upward. Cut Chive leaves finely, place in a spouted bottle, pour hot vinegar, seal quickly, insert spout into mother's nose to stop vertigo. Another prescription: Burn Deer Antler to ash, remove fire toxicity, grind ultra-fine, mix with neonatal urine and good wine, drink to wake.
Another Prescription:
Myrrh and Hematite in equal parts, named Dueming San. Decoct half sheng neonatal urine and half sheng good wine for one or two boils, mix 2 qian, take. Repeat later. Also treats madness from blood entering Heart Meridian.
Postpartum Facial Paralysis/Jaw Lock: Due to Blood deficiency allowing Wind to enter the mouth. Opisthotonos indicates Body deficiency allowing Wind to enter Yang meridians, causing back spasms. Siwu Tang plus Gentian Macrophylla Root, Notopterygium Root, Schizonepeta Spike (lightly fried to powder), 3 qian per dose, taken with Black Soybean soaked in wine. Another prescription: Angelica Sinensis, Schizonepeta Spike, each 1.5 qian, one sheng water, little wine, decoct to 0.7 sheng, administer. Effective upon swallowing. □□ may take Xiao Xuming Tang.
Postpartum Edema: Requires major tonification of Qi and Blood, with minor addition of Atractylodes Lancea, Poria. Water will naturally drain.
Postpartum Metrorrhagia: Ruilian, 1 liang (burnt to ash retaining nature), Palm Ash, Angelica Sinensis, each 1 liang; Official Cinnamon, 5 qian; Areca Nut, 2 pieces; Carp Scales (fried).
Postpartum Aphasia: Due to敗血 (foul blood) confusing the Heart. Siwu Tang plus Cinnabar, Safflower, Acorus Tatarinowii Rhizome, Ginseng.
Postpartum Loss of Voice: Blood invading Heart/Lungs, combined with Wind-Cold. Furong Buxin Tang minus Tangerine Peel, Aurantium Fruit, Ligusticum Wallichii; add Cimicifuga Rhizome, Saposhnikovia Root, Mint, Red Peony Root, Angelica Sinensis, Rehmannia Root, Safflower, Coptis Rhizome, Pinellia Ternata (prepared with bile), Ginger. Decoct and take.
Postpartum Uterine Prolapse: Schizonepeta Spike, Pogostemon Cablin Leaf, Toona Sinensis Bark. Decoct for fumigation and washing.
Another Prescription:
For unbearable uterine pain: Chinese Gall, Alum. Wash with water, or sprinkle dry powder.
Honghua San (Safflower Powder): For postpartum heavy bleeding/metrorrhagia, irregular menstruation, and old dry blood qi.
Dried Lotus Leaf, Moutan Cortex, Angelica Sinensis, Safflower, Typha Pollen (fried), equal parts. Take 1 qian with wine. For retained placenta, decoct Toona Sinensis Bark, take 5 qian mixed in liquid. Immediate effect.
Heishen San (Black Divine Powder): Angelica Sinensis, Prepared Rehmannia Root, White Peony Root, Cinnamon Bark, Licorice Root (roasted), each 1 liang; Agarwood, Palm Ash, Typha Pollen, Myrrh, each 5 qian; Frankincense, 3 qian; Red Peony Root, 1 qian; Hematite, 0.5 fen. Grind to fine powder. Take 2 qian on empty stomach with unfiltered wine. This can replace Dueming San; suitable for all foul blood disorders and retained placenta.
Lipi Tang (Spleen-Regulating Soup): Postpartum food stagnation, chest fullness, alternating chills/fever, anorexia.
Malt, 2 qian; Medicated Leaven, Magnolia Bark (fried with ginger juice), each 1.5 qian; Atractylodes Lancea, Tangerine Peel, Hawthorn Fruit, Platycodon Root, each 1 qian; Charred Ginger, 0.8 fen.
Lizhong Tang (Middle-Regulating Soup): Spleen/Stomach deficiency/exhaustion, poor appetite, vomiting/diarrhea, abdominal pain, body deficiency with heat, pre/post-natal □□□□□□□.
Atractylodes Macrocephala (earth-fried), Dried Ginger (soaked in water, fried black), Tangerine Peel (peeled), Medicated Leaven (fried), Cyperus Rhizome (fried), each 1 liang; Amomum Fruit (fried), Malt □□□□□ 6 qian. Form pills with Medicated Leaven paste, size of Sesame seeds. Take 80 pills on empty stomach with rice water.
Tuiqi Yangxue Wan (Qi-Pushing Blood-Nourishing Pill): Postpartum right hypochondriac distension with mass, like a vertical string, painful when tight.
White Rice (earth-fried), Green Tangerine Peel (fried with sesame oil), Tangerine Peel, Aurantium Fructus (bran-fried), Lindera Root, Magnolia Bark (fried with ginger juice), Dried Ginger (fried black), White Mustard Seed (fried), Ligusticum Wallichii, Angelica Sinensis (wine-rinsed), White Peony Root (wine-fried), each 1 liang; Malt (fried), Cinnamon Twig, each 6 qian; Costus Root, 3 qian; Burreed Tuber, Curcuma Zedoaria, each 8 qian (all vinegar-fried); Cyperus Rhizome, 2 liang (soaked in neonatal urine, fried). Form pills with vinegar paste, size of Sesame seeds. Take 100 pills on empty stomach with rice water.
Yangxue Zuogan Wan (Blood-Nourishing Liver-Assisting Pill): Postpartum distension/fullness, mass on left, unable to lie flat.
Angelica Sinensis, Southern Ligusticum, Pinellia Ternata (fried with sesame oil), Atractylodes Macrocephala (fried), White Peony Root (wine-fried), Tangerine Peel (peeled), Green Tangerine Peel (heart removed, fried with sesame oil), Medicated Leaven (fried), Radish Seed (fried), Moutan Cortex (wine-rinsed), White Poria, Safflower, each 1 liang; Bupleurum Root (wine-fried), 1 qian; Gentian Root (wine-rinsed), 6 qian; Burreed Tuber, Curcuma Zedoaria, each 5 qian (vinegar-fried); Peach Kernel (skin/point removed, fried), 0.8 fen; Cyperus Rhizome, 2 liang (vinegar-fried). Form pills with wine paste, size of Sophora seeds. Take 100 pills with plain water.
Shixiao San (Laughing-Out-of-Pain Powder): For Small Intestine Qi pain and women's Qi/Blood pain causing near-death sensation. Psoralea Seed, Typha Pollen, equal parts. Powder. Take 2 qian. Add half he of Vinegar, boil to paste, add one sheng water, boil to one fen. Take hot.
Xuejie Gao (Hematite Ointment): For balancing Qi/Blood. Polygonum Multiflorum Stem (Jinwen Dahuang), 4 liang. Soak in wine, dry, powder. Boil one sheng good vinegar to paste. Form pills bullet-sized. Dissolve one pill in warm wine before bed. Bowel movement one to two times, red veins descend. Excellent herb for regulating menstruation.
Single Prescription:
All postpartum Qi/Blood abdominal pain. Aristolochia Vine (fried), 3 liang. Powder. Take 2 qian. For abdominal pain, mix with fried Ginger, neonatal urine, wine. For Qi issues, take with wine.
Another Prescription:
For postpartum foul blood not stopping: Rehmannia Root, 1 liang. Pound in stone mortar to powder. Take 2 qian before meals with hot wine. Take three doses consecutively.
Lactation Promotion:
Blocked lactation due to Blood stasis forming, ducts rough/stagnant; or Qi/Blood deficiency with scarcity; or anger/depression/rich flavors causing heat, boiling blood into pus; or sleeping while nursing, hot breath causing hard knots, best to endure pain, massage soft, becoming toxic.
Tongru Tang (Lactation-Unblocking Soup): For low Qi/weak Blood.
Pig Trotters (lower joint), 4; Tetrapanax Pith, 2 liang; Ligusticum Wallichii, 1 liang; Pangolin Scales, 14 (fried yellow); Licorice Root, 1 qian. Use 5 sheng water, boil to 3 sheng. Drink throughout day. External: frequently wash breasts with Scallion soup. Avoid wind/cold/raw/cold foods.
Loulu San (Rhododendron Powder): For Qi/Meridian obstruction.
Rhododendron Root, 2.5 liang; Snake Slough, 10 strips (roasted); Trichosanthes Fruit, 10 (quick fire burnt to retain nature). Mix with wine, take 1-2 qian. Eat hot broth to assist.
Yulu Yin (Jade Dew Drink): For blocked lactation ducts, strong body heat, headache. Clears Upper Jiao heat, promotes lactation.
Ligusticum Wallichii, Angelica Dahurica, Platycodon Root (fried), each 5 qian; Licorice Root, White Poria, each 2.5 qian; Ginseng, 2 qian; White Peony Root, 1.5 qian; Angelica Sinensis, 1 qian.