富贵之家过于安逸者,每多气血壅滞,常致胎元不能转动。此无未产之先,亦须常为运动,庶使气血流畅,
胎易转动则产亦易矣。是所当预为留意者。
产妇临月不可占卜问神,如巫觋之徒哄吓谋利,妄言凶险祷神只保产妇,闻之必生疑惧。心有疑惧则气结
血滞而不顺,多至难产,所宜戒也。
正产者,将产之时稳婆以意揣度产妇,以意审详。若小儿逼到产门,则腹痛必急,腰痛必甚。胸中下陷,
交骨分开。大小便一齐迸急,眼中金花乱闪,浆水或血俱下。此时子已出胎,产母方努力一迸,子即生下,
庶不误事。如数证未到即半日一日不产无妨,切不可老少惊慌,求神许愿,恐产
母见之闻之必生忧虑。一有忧虑自然胆怯力衰,饮食难进,亦不可悯其痛楚,急欲离身。强之用力,用力太早,
关系母子性命,可不畏哉!
少妇初产交骨不开,或因临盆太早,用力催逼,儿横腹内,诸药无效者,宜神柞饮(亦治一切难产)。
又有破胞已久,胞浆沥尽,产门风进,产路干涩而难产者,宜神应散。又有中年妇女生育过多,气血而虚难产
者,宜脱花煎。又有血先下,或胞浆先下,子逆上冲者,宜大顺汤,或单用黄葵子七十粒(炒,研末)调下。
若统治一切难产而有效者,如加味芎归汤、佛手散、油蜜煎、阿胶汤、胜金丹、归 汤皆可择用。又有胞水先
破不即产,甚至延及二三日,四五日者,宜用鱼胶五钱( ,存性研)酒调下,或用冬葵子三钱(炒)煎服。
神柞饮
生柞枝(洗锉) 益母草(各一两) 川芎(五钱) 当归(五钱) 人参(三分)
水二钟,煎一钟,温服。
神应散
生蜂蜜 甜酒酿 麻油(各一杯)
上共煎数沸,入童便一杯服。
脱花煎
川芎(二钱) 当归(七钱) 肉桂(一钱) 牛膝(二钱) 车前子(一钱五分)
水二钟,煎八分,热服,再饮酒数杯(更妙)。
大顺汤
人参(二钱) 砂仁(一钱) 麻油(一两,熬)
水煎服。
加味芎归汤
当归(一两) 血余(即壮妇头发,如鸡子大一团洗净,瓦上炙存性) 川芎(七钱) 龟板(一个,酥炙)
水煎服。约人行五里许即生。
佛手散
当归(五钱) 川芎(三钱)
水七分,酒三分,同煎七分服。
油蜜煎
蜂蜜 麻油 童便(各一钟)
共煎温服。
阿胶汤
阿胶(二两,炒珠) 赤小豆(一钟)
水二碗煮豆令熟,去豆,入胶化服,每服半钟,不过三服即出。
胜金丹
兔毫笔(即败笔头一枝,烧灰存性研) 生藕汁(一钟)
共调匀服。
若虚弱及素有冷疾者,即以银器盛之,隔水炖,温服。
归 汤
当归(一两) 黄 (五钱) 川芎(三钱) 益母草(二钱) 枳壳
(麸炒,一钱)
水一钟半,煎七分服。
富贵人家生活过于安逸的人,往往容易出现气血运行不畅、阻滞的情况,常常导致胎儿在子宫内无法转动。因此在分娩之前,就应当经常进行适当的运动,以便使气血流通顺畅,胎儿容易转动,生产也就容易了。这是产前应当预先注意的事项。
产妇临近预产期时,不可去占卜问神。如果遇到巫医神汉之流为了哄骗恐吓以谋取利益,胡言乱语说会有凶险,祈祷神灵保佑产妇,听到这些话必然会产生怀疑和恐惧。心中一旦有了疑虑和恐惧,就会导致气机郁结、血液停滞而不顺畅,多会造成难产,这是应当戒除的。
所谓正产(正常分娩),是在将要分娩的时候,稳婆(接生婆)要根据情况推测判断产妇的状态,仔细审察详辨。如果胎儿已经逼临产门,那么腹痛一定剧烈,腰痛一定非常严重。胸部感觉下陷,耻骨联合分开。大小便一齐感到紧迫急迫,眼中看到金花乱闪,羊水或血液一起流出。此时胎儿已经脱离母体,产妇只需用力一推,孩子就能立即生下,这样才不会误事。如果上述症状还没有出现,即使半天或一天没有分娩也没有妨碍,千万不可让老少亲属惊慌失措,去求神许愿,恐怕产妇见到或听到这些情况必然会产生忧虑。一有忧虑自然会胆怯、力气衰竭,饮食也难以进用。也不可因为怜悯产妇的痛苦,急于让她脱离苦海而强迫她用力。用力过早,关系到母子两人的性命,怎么可以不敬畏谨慎呢!
年轻妇女初次分娩时耻骨联合打不开,可能是因为临盆太早,用力催逼,导致胎儿横卧在腹中,各种药物无效的情况下,适宜使用神柞饮(也能治疗一切难产)。又有胎膜破裂已久,羊水流尽,产门受风侵袭,产道干涩而导致难产的,适宜使用神应散。又有中年妇女生育过多,气血虚弱导致难产的,适宜使用脱花煎。又有先见血下行,或者先破羊水,胎儿逆向上冲的,适宜使用大顺汤,或者单用黄葵子七十粒(炒熟,研成粉末)调服。如果要统管治疗一切难产且有效的方剂,如加味芎归汤、佛手散、油蜜煎、阿胶汤、胜金丹、当归黄芪汤都可以酌情选用。又有胎水先破但不立即分娩,甚至拖延到两三天、四五天的,适宜用鱼胶五钱(炮制存性,研末)用酒调服,或者用冬葵子三钱(炒)煎服。
神柞饮
生柞枝(洗净锉碎) 益母草(各一两) 川芎(五钱) 当归(五钱) 人参(三分)
用水二钟,煎至一钟,温服。
神应散
生蜂蜜 甜酒酿 麻油(各一杯)
以上共同煎煮几沸,加入童便一杯服用。
脱花煎
川芎(二钱) 当归(七钱) 肉桂(一钱) 牛膝(二钱) 车前子(一钱五分)
用水二钟,煎至八分,热服,再喝几杯酒(更好)。
大顺汤
人参(二钱) 砂仁(一钱) 麻油(一两,熬制)
用水煎服。
加味芎归汤
当归(一两) 血余(即健康妇女的头发,如鸡蛋大一团洗净,在瓦上炙烤存性) 川芎(七钱) 龟板(一个,酥炙)
用水煎服。大约人行走五里路的时间即可分娩。
佛手散
当归(五钱) 川芎(三钱)
用水七分,酒三分,一同煎至七分服用。
阿胶汤
阿胶(二两,炒成珠状) 赤小豆(一钟)
用水两碗煮豆子至熟,去掉豆子,放入阿胶使其融化服用,每次服用半钟,不超过三次即可产出。
胜金丹
兔毫笔(即废弃的笔头一枝,烧成灰存性研末) 生藕汁(一钟)
共同调匀服用。
如果是体质虚弱及素有寒疾的患者,即用银器盛装,隔水炖热,温服。
Those from wealthy families who live in excessive comfort often suffer from stagnation and obstruction of Qi and Blood, which frequently prevents the fetus from turning. Therefore, before delivery, one must engage in regular exercise to ensure the smooth flow of Qi and Blood, facilitating fetal movement and making childbirth easier. This is a matter that should be attended to in advance.
In the month preceding delivery, parturients should not consult fortune-tellers or deities. If shamans or priests deceive and frighten them for profit, falsely claiming ominous signs and praying for divine protection, hearing such words will inevitably cause doubt and fear. Doubt and fear in the heart lead to Qi stagnation and Blood stasis, resulting in difficult labor; this must be avoided.
Normal delivery (Zhengchan) occurs when, at the time of impending birth, the midwife assesses the parturient's condition based on observation and careful examination. If the infant has reached the birth canal, abdominal pain will be urgent, and lower back pain will be severe. The chest feels sunken, and the pubic symphysis separates. There is an urgent need to urinate and defecate simultaneously, golden flowers flash before the eyes, and amniotic fluid or blood flows down. At this moment, the child has exited the womb, and if the mother exerts effort once, the child will be born immediately, avoiding mishaps. If these symptoms have not yet appeared, even if half a day or a day passes without delivery, it is harmless. One must absolutely avoid panic among family members of all ages, nor should they pray to gods or make vows, as seeing or hearing this will inevitably cause anxiety in the parturient. Anxiety leads to timidity and weakness, making it difficult to eat or drink. One should not, out of pity for the mother's pain and eagerness for her relief, force her to exert effort. Exerting effort too early affects the lives of both mother and child; how can one not revere and caution against this?
For young women experiencing their first delivery where the pubic symphysis does not open, possibly due to premature labor or forced pushing causing the fetus to lie transversely in the abdomen with ineffective medications, Shen Zuo Yin (Divine Oak Drink) is suitable (also treats all types of dystocia). For cases where the membranes have ruptured for a long time, amniotic fluid is exhausted, wind enters the birth canal, and the birth passage is dry and slippery leading to dystocia, Shen Ying San (Divine Response Powder) is suitable. For middle-aged women who have given birth too many times, suffering from Qi and Blood deficiency leading to dystocia, Tuo Hua Jian (Flower-Removing Decoction) is suitable. For cases where bleeding precedes, or amniotic fluid breaks first, with the fetus reversing and rushing upward, Da Shun Tang (Great Smoothness Decoction) is suitable, or simply using 70 seeds of Abelmoschus manihot (Huangkui Zi) (stir-fried, ground into powder) taken with water. For formulas effective in managing all types of dystocia, such as Jia Wei Xiong Gui Tang (Modified Ligusticum and Angelica Decoction), Fo Shou San (Buddha's Hand Powder), You Mi Jian (Oil and Honey Decoction), E Jiao Tang (Donkey-Hide Gelatin Decoction), Sheng Jin Dan (Victory Golden Pill), and Dang Gui Huang Qi Tang (Angelica and Astragalus Decoction) can be selected. For cases where amniotic fluid breaks first but delivery does not follow, extending to two, three, four, or five days, 5 qian of Fish Maw (Yu Jiao) (processed to retain nature, ground) mixed with wine is suitable, or 3 qian of Malva verticillata seeds (Dong Kui Zi) (stir-fried) decocted and taken orally.
Shen Zuo Yin
Fresh Oak Branches (Xizuo Zhi) (washed and chopped) - 1 liang
Motherwort Herb (Yimucao) - 1 liang
Szechuan Lovage Rhizome (Chuanxiong) - 5 qian
Chinese Angelica Root (Danggui) - 5 qian
Ginseng Root (Renshen) - 3 fen
Decoct 2 zhong of water to 1 zhong, take warm.
Shen Ying San
Raw Honey - 1 cup
Sweet Fermented Rice Wine (Tianjiuniang) - 1 cup
Sesame Oil (Mayou) - 1 cup
Boil together briefly, add 1 cup of Child Urine (Tongbian) and take.
Tuo Hua Jian
Szechuan Lovage Rhizome (Chuanxiong) - 2 qian
Chinese Angelica Root (Danggui) - 7 qian
Cinnamon Twig (Rougui) - 1 qian
Achyranthes Root (Niuxi) - 2 qian
Plantago Seed (Cheqianzi) - 1.5 qian
Decoct 2 zhong of water to 8 fen, take hot. Drinking a few cups of wine afterwards is better.
Da Shun Tang
Ginseng Root (Renshen) - 2 qian
Amomum Fruit (Sharen) - 1 qian
Sesame Oil (Mayou) - 1 liang (boiled)
Decoct in water and take.
Jia Wei Xiong Gui Tang
Chinese Angelica Root (Danggui) - 1 liang
Scorched Human Hair (Xueyu) (from healthy women, approx. size of chicken egg, washed clean, roasted on tile until carbonized) - 1 unit
Szechuan Lovage Rhizome (Chuanxiong) - 7 qian
Turtle Shell (Guiban) (softened and roasted) - 1 piece
Decoct in water and take. Delivery usually occurs within the time it takes a person to walk about five li.
Fo Shou San
Chinese Angelica Root (Danggui) - 5 qian
Szechuan Lovage Rhizome (Chuanxiong) - 3 qian
Decoct with 7 parts water and 3 parts wine to 7 parts, then take.
You Mi Jian
Honey - 1 zhong
Sesame Oil (Mayou) - 1 zhong
Child Urine (Tongbian) - 1 zhong
Boil together and take warm.
E Jiao Tang
Donkey-Hide Gelatin (Ejiao) (2 liang, stir-fried until granular) - 2 liang
Adzuki Bean (Chixiaodou) - 1 zhong
Cook beans in 2 bowls of water until soft, remove beans, dissolve gelatin in the liquid, take 0.5 zhong per dose. Delivery usually occurs within three doses.
Sheng Jin Dan
Rabbit Hair Brush Head (Tu Hao Bi) (discarded brush head, burned to ash retaining nature, ground) - 1 unit
Fresh Lotus Juice (Sheng Ou Zhi) - 1 zhong
Mix evenly and take.
For those with weakness or chronic cold conditions, use a silver vessel, steam over water, and take warm.
Dang Gui Huang Qi Tang
Chinese Angelica Root (Danggui) - 1 liang
Astragalus Root (Huangqi) - 5 qian
Szechuan Lovage Rhizome (Chuanxiong) - 3 qian
Motherwort Herb (Yimucao) - 2 qian
Bitter Orange Peel (Zhiqiao) (bran-fried) - 1 qian
Decoct 1.5 zhong of water to 0.7 zhong and take.