淳于意治淄州王美人怀子而不乳,召于意往,饮以莨菪药一撮,以酒饮之,旋乳,意复
诊其脉,而脉躁,躁者,有余病,即饮以硝石一剂,出血,血如豆,比五六枚。(不乳不产也,
莨菪是迷药,其根恶毒,考之本草,并无催生语,然是毒药,亦或感其毒瓦斯而胎下也)
滑伯仁治一妇难产,七日而不乳,且食甚少。伯仁视之,以凉粥一盂(粥用凉者,以其烦
也,又凉则性降),捣枫叶煎汤调啖之,旋乳。
或诘其理?滑曰∶此妇食甚少,未有无谷气而生者,夫枫叶先生先落,后生后落,故以作汤
饮也。(本草枫叶亦能催生,今村妇亦每用之临月洗浴,第不知胃气不足者,亦可用否耳)
庞安常治一妇,产七日而子不下,百治不效,庞视之,令其家人以汤温其腰腹,自为上
下拊摩,孕者觉肠胃微痛,呻吟间,生一男,其家惊喜,而不知所以。庞曰∶儿已出胞,但一手
误执母肠不能脱,非符药所能为,吾隔腹扪儿手所在,针其虎口,痛即缩手,所以遽生(法术
神奇,罕闻见耳),无他术也。取儿视之,右手虎口,针痕存焉。
一妇累日产不下,服催生药不效,庞曰,此必坐草太早,心下怀惧,气结而不行,非不
顺也。素问曰∶恐则气下。盖恐则精神怯,怯则上焦闭,闭则气逆,逆则下焦胀,气乃不行
矣。以紫苏饮一服,便产,及治妇人子悬证。紫苏饮见胎前胀满。
吴茭山治一妇产难,三日不下,服破血行经之药俱罔效。吴因制一方,以车前子为君
( 即车前,或用草亦可,性最温利,故君之),冬葵子为臣,白芷、枳壳为佐使,巳服午
产,众医异之。吴曰∶本草谓催生以此为君,毛诗采 以防产难是也。
刘复真遇府判女产不利,已敛。刘取红花浓煎,扶女于凳上,以绵帛蘸汤罨之,连以浇
帛上,以器盛水,又暖又淋,久而苏醒,遂生男子。盖遇严冬血冷,凝滞不行,温即产,见亦神
矣(冻产治验,法奇而正,妙妙)。一医宿客店,值店妇产数日不下,下体已冷,无药甚窘,以
椒、橙、茱萸等煎汤,可下手,则和脐腹产门处,皆淋洗之,气温血行遂产。
淳于意治疗淄州王美人怀孕后无法分娩,(有人)召请淳于意前往。他给病人服用一撮莨菪药,用酒送服,随即分娩。淳于意再次诊察其脉象,发现脉象躁动。脉象躁动,说明体内仍有残留病邪,于是又给病人服用一剂硝石,随后排出瘀血,血量如同豆子大小,大约五六枚。(注:不乳即不产。莨菪是迷幻药物,其根部毒性极大。考证《本草》并无催生的记载,但这毕竟是毒药,或许是因为受到其毒气影响而导致胎下。)
滑伯仁治疗一位难产的妇人,七天未能分娩,且进食很少。滑伯仁观察病情后,给她一碗凉粥(使用凉粥的原因,是因为她心烦意乱;且凉性具有降逆的作用),将枫叶捣碎煎汤调和后喂服,随即分娩。
有人质问其中的道理?滑伯仁说:“这位妇人进食很少,没有不吃五谷之气就能生育的。枫叶是先开花结果后落叶,还是先落叶后开花结果,以此作为汤饮。”(《本草》记载枫叶也能催生,如今乡村妇女常在临产前用它洗浴,只是不知道胃气不足的人是否也可以使用罢了。)
庞安常治疗一位妇人,产后七天胎儿仍未娩出,各种治疗方法都无效。庞安常查看后,让她的家人用热水温敷腰腹部,亲自为她上下按摩抚摸。孕妇感觉肠胃轻微疼痛,在呻吟之间,生下一个男婴。家属既惊喜又困惑,不知原因。庞安常说:“胎儿已经产出胞衣,但有一只手误抓着母亲的肠子无法脱开,这不是符咒药物所能解决的。我隔着腹部摸到胎儿手的位置,针刺他的虎口穴,疼痛使他缩回手,所以迅速分娩了。(法术神奇,罕见见闻,没有其他手段。)取出婴儿查看,右手虎口处留有针痕。
一位妇人连续多天无法分娩,服用催生药物无效。庞安常说:“这一定是因为坐草太早,心中怀有恐惧,导致气机郁结而不运行,并非胎位不顺。《素问》说:‘恐则气下。’大概是因为恐惧导致精神怯弱,怯弱则上焦闭塞,闭塞则气机逆乱,逆乱则下焦胀满,气机因此不能运行。”服用一剂紫苏饮后,便顺利分娩。此外还用于治疗妇人的“子悬”证。紫苏饮见载于胎前胀满章节。
吴茭山治疗一位妇人难产,三天未下,服用破血行经的药物均无效果。吴茭山因此配制一方,以车前子为君药(即车前草,或用草亦可,性质最温和通利,所以作为主药),冬葵子为臣药,白芷、枳壳为佐使药。巳时服药,午时分娩,众医对此感到惊异。吴茭山说:“《本草》称催生以此为主药,《毛诗》中采摘以防难产也是这个意思。”
刘复真遇到府判的女儿生产不利,已经收敛准备入殓。刘复真取红花浓煎,扶女子坐在凳子上,用棉帛蘸取药汤敷盖,并不断浇淋在帛上,用容器盛水,又温暖又淋洗,许久后苏醒,遂生下男婴。大概是因为严冬时节血冷,凝滞不行,温暖后即可分娩,这也算是神妙之例。(冻产治验,法度奇特而正统,精妙啊。)
一位医生寄宿旅店,正值店主妇人数日无法分娩,下身已冷,没有药物非常窘迫,就用花椒、橙子、茱萸等煎汤,待温度适宜可下手时,和着脐腹及产门处,全部淋洗,气温血行遂分娩。
Chunyu Yi treated Wang Meiren of Zizhou, who was pregnant but unable to deliver. She was summoned to Chunyu Yi, who administered a pinch of *Lángdàng* (Datura seed) medicine, taken with wine, after which she delivered immediately. Chunyu Yi then re-examined her pulse and found it restless (Zào). A restless pulse indicates excess pathogenic factors remaining in the body; thus, he administered one dose of *Xiāoshí* (Niter/Saltpeter), resulting in the discharge of blood resembling bean-sized clots, approximately five or six pieces. (Note: "Bu ru" refers to failure to deliver. *Langdang* is a narcotic drug; its root is highly toxic. Examination of the *Bencao* reveals no records of its use for inducing labor. However, being a toxic substance, it may have induced fetal expulsion through its toxic vapors.)
Hua Bo-ren treated a woman suffering from dystocia who had not delivered after seven days and had very poor appetite. Upon examination, Hua Bo-ren provided her with a bowl of cool congee (cool congee was used because she was irritable/restless; furthermore, coolness has a descending nature). He crushed maple leaves (*Fēngyè*), decocted them into a soup, mixed it with the congee, and fed it to her, after which she delivered immediately.
Someone questioned the rationale behind this treatment. Hua Bo-ren replied: "This woman eats very little; there is no case of childbirth without the nourishment of grain qi (Gǔqì). Maple leaves shed their leaves either before or after bearing fruit/flowers; hence, they are used as a decoction." (The *Bencao* states that maple leaves can also induce labor. Nowadays, village women often use them for bathing near term, though it is unknown whether they are suitable for those with insufficient stomach qi.)
Pang An-chang treated a woman whose fetus had not been delivered after seven days of labor, and various treatments had failed. Pang examined her and instructed her family to warm her waist and abdomen with hot water, while he personally performed upper and lower abdominal massage. The pregnant woman felt slight pain in her intestines and stomach, and amidst groaning, she delivered a male infant. Her family was both surprised and delighted but did not understand why. Pang An-chang said: "The child has already exited the amniotic sac, but one hand mistakenly grasped the mother's intestine and could not release. This cannot be resolved by talismans or medicines. I palpated the location of the child's hand through the abdomen and acupunctured his Tiger Gate (Hukou, LI4) point. The pain caused him to retract his hand, leading to immediate delivery. (Such magical techniques are rare and seldom seen; there were no other methods.) Upon examining the infant, needle marks were found on the right Tiger Gate point."
A woman had been unable to deliver for several consecutive days, and labor-inducing drugs were ineffective. Pang An-chang stated: "This must be due to sitting on the birth mat too early, causing fear in the heart, leading to qi stagnation and failure to descend. It is not malposition. The *Suwen* states: 'Fear causes qi to sink.' Generally, fear leads to spiritual timidity; timidity causes closure of the Upper Jiao (Upper Burner); closure leads to qi rebellion; rebellion causes distension in the Lower Jiao (Lower Burner), thereby preventing qi movement." After administering one dose of *Zisu Yin* (Perilla Decoction), she delivered successfully. This formula is also used to treat the condition known as "Zixuan" (Fetal Distress/Hanging Fetus). See *Zisu Yin* under the section on prepartum abdominal fullness.
Wu Jiaoshan treated a woman with dystocia who had not delivered after three days. Medications for breaking blood stasis and regulating menstruation were all ineffective. Wu therefore formulated a prescription using *Cheqianzi* (Plantago Seed) as the Sovereign herb (i.e., Plantago, or the herb itself can be used; its nature is most warm and promoting flow, hence it serves as the sovereign), *Dongkuizi* (Malva Seed) as the Minister herb, and *Baizhi* (Angelicae Dahuricae Radix) and *Zhike* (Aurantii Fructus) as Assistant and Envoy herbs. Taken at Si hour (9-11 AM), delivery occurred at Wu hour (11 AM-1 PM). The attending physicians were astonished. Wu Jiaoshan said: "The *Bencao* cites these as sovereign herbs for inducing labor, and the *Classic of Poetry* mentions gathering them to prevent difficult childbirth, which confirms this."
Liu Fuzhen encountered the daughter of a Prefectural Judge who was experiencing difficult labor and had already been prepared for burial. Liu Fuzhen took a strong decoction of *Honghua* (Carthamus Flower), supported the young woman onto a stool, and applied cotton cloth soaked in the hot liquid to her abdomen, continuously pouring more liquid over the cloth. Using a vessel to hold warm water, he poured it over her repeatedly until she regained consciousness and subsequently delivered a male infant. This was likely due to cold blood coagulation and stagnation caused by severe winter cold; warmth facilitated delivery. This is considered a miraculous case. (Treatment of frozen/dystocia due to cold: the method is unique yet orthodox, truly exquisite.)
A doctor staying at an inn found that the innkeeper's wife had not delivered after several days, her lower body was cold, and she lacked medication, creating a dire situation. The doctor decocted pepper (*Huajiao*), orange peel (*Chengpi*), and evodia fruit (*Zhuyu*) in water. When the temperature was safe to apply, he washed and rinsed her umbilical area, abdomen, and vulva. The warmth promoted blood circulation, and she delivered successfully.