苏木、牛膝、南星、桃仁、桂心、麝等味。虚人用十全大补汤，缓图收效，不可峻用川乌、巴豆厉剂，急追取
咎。尝见孕过期，产出水胎异形，其后必费调理。
〔胎死〕产母舌青，腹中冷而重坠，是胎死矣。宜速用脱花煎。后察虚实调补，若舌与爪甲俱青，腹
胀气喘，口中臭秽者危。速令稳婆以手法下之。古法，用童便调朴硝五钱。或平胃散，水酒煎，调朴硝。虚寒，
用理中汤，倍人参，调朴硝。冬月胎死，腹觉冷，用香桂散加乌头，或黑神散、黑龙丹。恶血上逆，呕搐
昏晕，用童便乘热灌之。唇青吐沫不治。凡面赤舌青，母活子死。面青舌赤，母死子存。面舌俱青，母子两亡。
〔过期不产〕因气虚者补气，因血漏者培血，气血不足者，益其气血。若过期脉沉细者，非胎也。亦有
胎已萎，而在腹不腐。服补剂以和其气血，而自下者。
妇人经停二三月，脉微滑而数，尺中按之不绝者妊脉。凡妊脉宜滑利数实，不涩、不弦、不伏。大忌
迟涩浮缓。辨男女脉法，左大为男，右大为女。然多素禀偏大者，惟寸口滑实为男，尺中滑实为女。又如两寸
俱滑实为双男，两尺俱滑实为二女。左寸右尺俱实，为一男一女，此最验者。（《医通》），妊脉初时寸微小，
呼吸
五至，三月而尺数也。脉滑疾，重以手按之散者，胎三月。脉重手按之不散，但疾不滑者，五月也。（《脉经》）
若脉沉细，按之冰冷，或两尺乍大乍小，乍有乍无，鬼胎也。脉急如风雨，少停复来如初者，夜叉胎也。寸
微关滑尺带数，流利往来并雀啄，小儿之脉已见形，数月怀妊犹未觉。（《脉诀》）欲产之脉必离经，其
来大小不匀停，或如雀啄屋漏应，腰痛腹痛眼生花，产在须臾却非病。
苏木、牛膝、天南星、桃仁、桂心、麝香等药物。体质虚弱者使用十全大补汤（由人参、白术、茯苓、甘草、当归、川芎、白芍、熟地黄、黄芪、肉桂组成），缓慢图谋以收效，不可峻烈地使用川乌、巴豆等猛烈药剂，以免急迫追取导致过错。我曾见过妊娠过期后，产出水胎且形态异常的情况，此后必定需要耗费精力进行调理。
〔胎死〕产妇舌头发青，腹部感觉寒冷且有沉重下坠感，这是胎儿死亡了。应当迅速使用脱花煎（由当归、川芎、肉桂、牛膝、车前子、独活组成）。之后观察虚实情况进行调补，如果舌头和指甲都发青，腹胀气喘，口中气味臭秽的，情况危急。应迅速让稳婆用手手法协助分娩。古法中，用童便调和朴硝五钱。或者用平胃散（由苍术、厚朴、陈皮、甘草组成），用水和酒煎煮，调入朴硝。若是虚寒证，使用理中汤（由人参、干姜、白术、甘草组成），加倍人参用量，调入朴硝。冬季胎死，腹部感觉寒冷，使用香桂散加乌头，或者黑神散、黑龙丹。恶血上逆，出现呕吐、抽搐、昏晕，用童便趁热灌服。嘴唇发青、吐白沫的，无法救治。凡是面色赤红而舌头青紫的，母亲存活而胎儿死亡。面色青紫而舌头赤红的，母亲死亡而胎儿存活。面色和舌头都青紫的，母子双双死亡。
〔过期不产〕因为气虚的，补气；因为血漏（出血）的，培补血液；气血不足的，补益其气血。如果过期脉象沉细的，不是真正的胎儿。也有胎儿已经枯萎，但在腹中未腐烂的情况。服用补剂来调和其气血，胎儿自然会排出。
妇人月经停止二三个月，脉象微滑而数，尺部脉搏按之不绝的，是妊娠脉象。凡是妊娠脉象宜见滑利、数、实，不见涩、弦、伏。最忌讳迟、涩、浮、缓。辨别男女脉法，左手脉大为男，右手脉大为女。然而很多人素来禀赋偏大，只有寸口脉滑实为男，尺中脉滑实为女。又如两寸俱滑实为双男，两尺俱滑实为双女。左寸右尺俱实，为一男一女，这是最灵验的。（出自《医通》）。妊娠脉象初起时寸部微小，呼吸五次为一至，到三个月时尺部脉数。脉象滑疾，重手按压感觉散漫的，是怀孕三个月。脉象重手按压不散，只是疾而不滑的，是怀孕五个月。（出自《脉经》）。如果脉象沉细，按之冰冷，或者两尺脉忽大忽小，忽有忽无，是鬼胎。脉象急骤如风雨，稍停后又恢复如初的，是夜叉胎。寸脉微、关脉滑、尺脉带数，流利往来并见雀啄脉，这是小儿脉象已现形，数月怀妊却尚未察觉。（出自《脉诀》）。临产的脉象必然离经，其来势大小不均匀，或者如雀啄、屋漏脉相应，伴有腰痛腹痛、眼前发花，分娩在即，这并非疾病。
Suxmu (Radix Lygodii), Niuxi (Radix Achyranthis Bidentatae), Nanxing (Rhizoma Arisaematis), Taoren (Semen Persicae), Guixin (Cortex Cinnamomi), Shexiang (Moschus) and other substances. For patients with deficiency constitution, Shiquan Dabu Tang (Decoction for Ten-Absence Great Tonification) should be used to gradually achieve efficacy; one must not rashly use severe agents such as Chuanwu (Radix Aconiti Lateralis Preparata) or Badou (Fructus Crotonis Tiglii), lest urgent pursuit leads to blame. I have seen cases where pregnancy exceeded the term, resulting in the delivery of a "water fetus" with abnormal morphology, which would subsequently require extensive recuperative treatment.
[Death of Fetus] If the mother's tongue is cyanotic, and the abdomen feels cold and heavy with a bearing-down sensation, it indicates fetal death. Tuohua Jian (Decoction for Delivering the Flower) should be administered promptly. Subsequently, tonify based on excess or deficiency patterns. If both the tongue and fingernails are cyanotic, accompanied by abdominal distension, panting, and foul breath, the condition is critical. Immediately instruct the midwife to assist delivery manually. Ancient methods suggest using Tongbian (Child Urine) mixed with Puxiao (Natrii Sulfas) 5 qian. Alternatively, Pingwei San (Powder for Calming the Stomach) decocted with water and wine, mixed with Puxiao. For deficiency-cold patterns, Lizhong Tang (Decoction for Regulating the Middle) with doubled Renshen (Radix Ginseng) mixed with Puxiao may be used. In winter, if the fetus dies and the abdomen feels cold, Xianggui San (Powder for Fragrant Cassia) added with Wutou (Radix Aconiti Preparata), or Heishen San (Black Divine Powder), or Heilong Dan (Black Dragon Pill) can be employed. If evil blood rebels upward causing vomiting, convulsions, and syncope, pour hot Tongbian into the mouth. Cyanosis of lips with foaming at the mouth is untreatable. Generally, red face and cyanotic tongue indicate the mother survives while the fetus dies. Cyanotic face and red tongue indicate the mother dies while the fetus survives. Cyanosis of both face and tongue indicates death of both mother and fetus.
[Post-term Pregnancy without Delivery] If due to Qi deficiency, tonify Qi; if due to blood leakage, nourish Blood; if Qi and Blood are insufficient, benefit both Qi and Blood. If the pulse is deep and fine after the term, it may not be a viable fetus. There are also cases where the fetus has withered but remains unrotted in the abdomen. Administer tonifying agents to harmonize Qi and Blood, allowing natural expulsion.
When a woman's menstruation stops for two to three months, and the pulse is slightly slippery and rapid, with the Chi (Cun-Che-Guan-Chi) position pulse remaining uninterrupted upon pressure, this is the pulse of pregnancy. Generally, pregnancy pulses should be slippery, rapid, and solid, and should not be choppy, wiry, or hidden. It is strictly contraindicated to see slow, choppy, floating, or moderate-slow pulses. To differentiate fetal sex: a larger pulse on the left side indicates a male, and on the right side indicates a female. However, many individuals have inherent constitutional asymmetry; thus, only a slippery and solid pulse at Cun (Inch) indicates a male, and at Chi indicates a female. Furthermore, slippery and solid pulses at both Cun positions indicate twin males; at both Chi positions, twin females. Solid pulses at left Cun and right Chi indicate one male and one female, which is considered most accurate (from *Yitong*). Initially, the pregnancy pulse at Cun is minute, counting five breaths per pulse beat; by the third month, the Chi pulse becomes rapid. A slippery and rapid pulse that disperses under heavy pressure indicates three months of pregnancy. A pulse that does not disperse under heavy pressure, being rapid but not slippery, indicates five months (from *Maijing*). If the pulse is deep and fine, cold to touch, or if the bilateral Chi pulses fluctuate between large and small, present and absent, it indicates a "Ghost Fetus." A pulse rapid like wind and rain, pausing briefly then returning to its original state, indicates a "Night-Ya Fetus." A minute Cun, slippery Guan, and rapid Chi pulse, flowing smoothly with sparrow-pecking characteristics, indicates the fetal pulse has manifested; the mother may be several months pregnant without realizing it (from *Maijue*). The pulse before labor must deviate from the regular channel pattern, appearing uneven in size, or resembling sparrow-pecking or leaking-roof pulses, accompanied by lower back pain, abdominal pain, and visual disturbances; delivery is imminent, and this is not a disease.