牛膝 赤茯苓 大黄 芒硝 半夏 附子 肉桂 南星 巴豆 大戟 芫花 米仁 藜芦
浓朴 槐花 桃仁 丹皮 茅根 瞿麦 三棱 通草 红花 苏木 麦芽 神曲 常山 葵
子干姜 麝香 蟹 牛黄 雄黄 乌豆 天雄 蝉蜕 槟榔 胡索 蒺藜 牵牛 皂荚
干漆 虻虫 水蛭 虫 蛇蜕 蜈蚣 水银 安息香 破故纸 王不留行 淡竹叶根
异症调护法 异症医方 难产调护 增补临产须知 凡产论病 产后脉辨
凡产育之难者，皆因坐产太早，用力太过，遂有横生倒产之危。且脐腹疼痛之初，自儿
身才转多未顺，且宜慎之。
一、儿身未顺，生路未正，产妇用力一逼，令儿偏生或左倾，虽儿逼门而不成下，但云
儿已
露顶，非顶也，或左右额角也，用力一逼即下。若是头之后骨逼在谷道，儿露顶未正，当令
稳婆熟手急于谷道轻推头正，然后用力一逼儿下。此全在稳婆之良，医药为次也。若胎水未
落，痛者开口，危甚。
一、儿先露手足，以盐涂足底，急搔之，并以盐涂母腹上，又以小绢针于儿手足，以针
入一
二分，以盐擦其上，轻轻送入，儿痛惊转一缩，当即回顺。（针刺之法，防儿痛上奔，母命
有碍。）
治横生逆产方
伏龙肝（即灶中心土，多年红者佳。）
研细末，酒调下一钱。其药儿头戴出妙。
治横生倒产方
蛇蜕（一条，全） 蚕蜕纸（一张，新瓦瓶中，盐泥封固，烧存性）
为末，煎乳香汤送一钱，二服即下。
治横倒先露手足方
阿胶（炒） 滑石 黄葵子
每服四钱，水煎服。
催生兔脑丸 治生理不顺，横逆难产，神效。
腊月兔脑髓 母丁香（一钱，为末） 乳香（一钱，另研） 麝香（一分）
用兔脑捣为丸，如芡实大，阴干，纸密封，温酒送一丸。男左女右，手握药丸娩下。
霹雳夺命丹 治临产未产时，目翻口噤，面黑唇青，口中吐沫，子母命在须臾。
若两脸微红，子死母活，急用此方。
蛇蜕（瓶 ） 蚕蜕纸（烧，一钱） 发灰（一钱） 乳香（五分）
酒送。
佛手散（即归芎汤）
当归 川芎
酒水煎。
催生如神散 须候儿顶产门方可服。（即黑神散）
百草霜（即锅底墨） 香白芷 滑石（等分）
研末，芎归汤送二钱。
加味益母丸 妊妇诸症可服。
益母草（四两） 白术（一两） 条芩（八分）
蜜丸弹大，清汤送。孕常服一丸甚好。
多气人，加木香三钱；弱人，安胎饮送化；胸膈不舒畅，加紫苏二钱、陈皮二钱。作细
丸亦可。
加参芎归汤 临盆胞水来而交骨不开停产，宜服大料加参芎归汤，以助血
气旺，自然即开分娩。
川芎（四钱） 当归（一两） 人参（三四两） 甘草（一钱） 益母草（一钱）
水煎，连服二三帖。如有合成益母丸，用前四味煎汤送化一丸。如服两三帖后不开，加
败龟板一两，醋炙，乱发一团，生育妇发烧灰。
加味生化汤 治子宫不收，产户不闭，交骨不开。
人参（二钱） 白术（一钱） 黄 （一钱） 川芎（一钱） 炙草（四分） 当归（二钱） 升麻
（八分）
子宫不收，再加半夏八分，北五味十五粒，酸以收之；芍药八分，醋炒，补而升之。以
上三
症，皆元气不足之甚，娩后患此，必先服生化汤消血块，继服加参生化汤。三症交骨不开，
补以开之；子宫不收，补以收之；产门不闭，酸以敛之；胞衣不下，详卷六二十九症第三条
。
牛膝、赤茯苓、大黄、芒硝、半夏、附子、肉桂、南星、巴豆、大戟、芫花、米仁（薏苡仁）、藜芦、浓朴（厚朴）、槐花、桃仁、丹皮（牡丹皮）、茅根（白茅根）、瞿麦、三棱、通草、红花、苏木、麦芽、神曲、常山、葵子（冬葵子）、干姜、麝香、蟹、牛黄、雄黄、乌豆（黑豆）、天雄、蝉蜕、槟榔、胡索（延胡索）、蒺藜、牵牛、皂荚、干漆、虻虫、水蛭、䗪虫、蛇蜕、蜈蚣、水银、安息香、破故纸（补骨脂）、王不留行、淡竹叶根。
异症调护法、异症医方、难产调护、增补临产须知、凡产论病、产后脉辨。
凡是分娩困难的情况，都是因为产妇坐产太早，用力过度，从而出现横生倒产的危急情况。而且在脐腹疼痛刚开始时，由于胎儿身体尚未转正，大多不顺，应当谨慎对待。
一、如果胎儿身体未顺，产道不正，产妇用力逼迫，导致胎儿偏生或向左倾斜，虽然胎儿头部逼近产门却未能娩出，只说胎儿露出头顶，其实并非正顶，或者是左右额角，此时若再用力逼迫即可娩出。如果是胎头后骨卡在肛门处，胎儿露出的头顶不正，应当让经验丰富的稳婆迅速在肛门处轻轻推正胎头，然后再用力逼迫胎儿娩出。这完全取决于稳婆的技术高低，医药治疗是次要的。如果胎水未破，腹痛剧烈，病情非常危险。
一、如果胎儿先露出手足，用盐涂抹脚底，迅速搔抓刺激，并用盐涂抹母亲腹部，再用小绢针在胎儿手足上刺入一分至二分深，用盐擦拭针孔，轻轻将肢体送入，胎儿因疼痛惊恐而收缩转动，随即就会回顺。（针刺的方法，是为了防止胎儿因疼痛向上冲撞，危及母亲性命。）
治疗横生逆产的方剂：
伏龙肝（即灶心土，多年呈红色的为佳。）
研成细末，用酒调服一钱。此药对胎儿头戴出者效果奇妙。
治疗横生倒产的方剂：
蛇蜕（一条，完整的） 蚕蜕纸（一张，放在新瓦瓶中，用盐泥密封，烧至存性）
研成末，用煎好的乳香汤送服一钱，服用两次即可娩出。
治疗横倒且先露出手足的方剂：
阿胶（炒制） 滑石 黄葵子
每次服用四钱，用水煎服。
催生兔脑丸：治疗生理不顺，横逆难产，效果神奇。
腊月兔脑髓 母丁香（一钱，研成末） 乳香（一钱，单独研细） 麝香（一分）
用兔脑捣碎制成丸药，大小如芡实，阴干后用纸密封，用温酒送服一丸。男孩握于左手，女孩握于右手，待药丸娩下。
霹雳夺命丹：治疗临产或未产时，眼睛上翻，牙关紧闭，面色发黑嘴唇青紫，口中吐沫，母子生命危在旦夕。
如果两颊微红，说明子死母活，紧急使用此方。
蛇蜕（瓶装的） 蚕蜕纸（烧制，一钱） 发灰（一钱） 乳香（五分）
用酒送服。
催生如神散：必须等到胎儿头顶到达产门方可服用。（即黑神散）
百草霜（即锅底墨） 香白芷 滑石（等量）
研成末，用芎归汤送服二钱。
加味益母丸：孕妇各种症状均可服用。
益母草（四两） 白术（一两） 条芩（八分）
制成蜜丸，大小如弹子，用清汤送服。孕期常服一丸很好。
气盛之人，加木香三钱；体弱之人，用安胎饮送服化开；胸膈不舒畅，加紫苏二钱、陈皮二钱。做成细丸也可以。
加参芎归汤：临盆时胞水已下但交骨不开导致停产，宜服用大量加参芎归汤，以助气血旺盛，自然就能打开并分娩。
川芎（四钱） 当归（一两） 人参（三四两） 甘草（一钱） 益母草（一钱）
用水煎服，连续服用二三帖。如果有合成益母丸，用前四味药材煎汤送化一丸。如果服用两三帖后仍不开，加败龟板一两，醋炙，以及一团乱发，生育妇发烧成的灰。
加味生化汤：治疗子宫不收，产户不闭，交骨不开。
人参（二钱） 白术（一钱） 黄芪（一钱） 川芎（一钱） 炙甘草（四分） 当归（二钱） 升麻（八分）
子宫不收，再加半夏八分，北五味子十五粒，利用酸味收敛；芍药八分，醋炒，起到补益和升提作用。以上三种病症，都是元气极度不足所致，娩患此症后，必须先服用生化汤消除血块，继服加参生化汤。对于交骨不开，通过补益来开启；子宫不收，通过补益来收敛；产门不闭，通过酸味来敛合；胞衣不下，详见卷六第二十九条第三条。
Achyranthis Radix (Niuxi), Red Poria (Chifuling), Rhubarb (Dahuang), Mirabilite (Mangxiao), Pinellia Tuber (Banxia), Aconite Root (Fuzi), Cinnamon Twig (Rougui), Arisaema Rhizome (Nanxing), Croton Seed (Badou), Euphorbia Root (Daji), Genkwa Flower (Yuanhua), Coix Seed (Miren), Veratrum Rhizome (Lilu), Magnolia Bark (Nongpo), Sophora Flower (Huaihua), Peach Kernel (Taoren), Moutan Cortex (Danpi), Imperata Rhizome (Maogen), Lychnis Herb (Qumai), Burreed Tuber (Sanleng), Tetrapanax Medulla (Tongcao), Safflower (Honghua), Dalbergia Wood (Sumu), Barley Sprout (Maiya), Medicated Leaven (Shenqu), Swallowwort Root (Changshan), Okra Seed (Kui Zi), Dried Ginger (Gan Jiang), Moschus (Shexiang), Crab, Calculus Bovis (Niuhuang), Realgar (Xionghuang), Black Bean (Wudou), Aconitum Lateralis Preparatum (Tianxiong), Cicada Slough (Chantui), Areca Seed (Binglang), Corydalis Rhizome (Husu), Tribulus Fruit (Jili), Pharbitis Seed (Qianniu), Gleditsia Sinensis Fruit (Zaojia), Dried Lacquer (Ganqi), Bleeding Leech (Mengchong), Hirudo (Shuizhi), Ground Beetle (Chong), Snake Slough (Shetui), Centipede (Wugong), Mercury (Shuiyin), Styrax (Anxi Xiang), Psoralea Fruit (Poguzhi), Vaccaria Seed (Wangbuliuxing), Light Bamboo Leaf Root (Danzhuyegen).
Management of Abnormal Conditions, Medical Prescriptions for Abnormal Conditions, Management of Difficult Labor, Supplementary Knowledge for Childbirth, General Discussion on Labor Diseases, Differentiation of Postpartum Pulse.
All difficulties in childbirth are caused by sitting to deliver too early and exerting excessive force, leading to the danger of transverse or breech presentation. Moreover, at the initial stage of umbilical and abdominal pain, since the fetal body has not yet turned properly, it is mostly unfavorable, and caution should be exercised.
1. If the fetal body is not aligned and the birth canal is not straight, when the mother exerts force to push, the fetus may present transversely or tilt to the left. Although the fetal head presses against the vaginal opening without descending, only the vertex might appear, which is actually not the true vertex but perhaps the frontal angle on either side. Exerting force again will cause delivery. If the occiput of the fetal head is lodged in the anus and the presenting vertex is misaligned, an experienced midwife should quickly and gently push the head back into alignment from the anal region, after which the mother can exert force for delivery. This relies entirely on the skill of the midwife; medical treatment is secondary. If the amniotic fluid has not ruptured and pain is severe, the condition is critical.
2. If the fetus presents with hands or feet first, apply salt to the soles of the feet and scratch them urgently. Also apply salt to the mother's abdomen. Use a small silk needle to prick the fetus's hands or feet to a depth of one to two fen, wipe the area with salt, and gently guide the limbs back inside. The fetus will contract and turn due to pain and fright, thereby correcting its position. (The purpose of acupuncture is to prevent the fetus from struggling upward due to pain, which could endanger the mother's life.)
Prescription for Transverse or Breech Presentation:
Dragon's House Earth (Fulonggan - soil from the center of the stove, preferably red from years of use.)
Grind into fine powder, mix with wine, and take one qian. This medicine is effective for cases where the fetal head presents first.
Prescription for Transverse or Inverted Presentation:
Snake Slough (one piece, complete)
Silkworm Cocoon Paper (one sheet, sealed in a new tile jar with salt mud, calcined until carbonized but retaining properties)
Grind into powder, decoct Frankincense (Ruxiang) soup, and take one qian. Delivery will occur after two doses.
Prescription for Transverse/Inverted Presentation with Hands or Feet First:
Donkey-Hide Gelatin (Ejiao - stir-fried)
Talcum (Huashi)
Abelmoschus Manihot Seeds (Huang Kui Zi)
Take four qian per dose, decoct in water and drink.
Parturition-Inducing Rabbit Brain Pills: Effective for physiological malalignment and difficult labor.
Rabbit brain marrow (collected in the twelfth lunar month)
Cardamom Seed (Mudingxiang - one qian, powdered)
Frankincense (Ruxiang - one qian, separately ground)
Moschus (Shexiang - one fen)
Mash rabbit brain and form pills the size of Chinese quince seeds. Dry in shade, seal tightly with paper, and swallow one pill with warm wine. Hold the pill in the left hand for male infants and the right hand for female infants until expelled.
Thunderbolt Life-Saving Pill: For use during labor or before delivery when eyes roll back, jaw is clenched, face is black, lips are cyanotic, and foaming occurs, indicating imminent death of mother and child.
If cheeks are slightly red, it indicates the fetus is dead while the mother lives; use this prescription urgently.
Snake Slough (in bottle)
Calcined Silkworm Cocoon Paper (one qian)
Ash of Hair (one qian)
Frankincense (Ruxiang - five fen)
Take with wine.
Buddha's Hand Powder (also known as Guixiong Decoction):
Angelica Sinensis Radix (Danggui)
Szechwan Lovage Rhizome (Chuanxiong)
Decoct in wine and water.
Parturition-Inducing Divine Powder: Must be taken only when the fetal vertex reaches the vaginal opening. (Also known as Heishen San)
Soot from the bottom of the pot (Baicaoshuang)
Angelica Dahurica Root (Xiangbaizhi)
Talcum (Huashi) (equal parts)
Grind into powder, take two qian delivered with Guixiong Decoction.
Modified Motherwort Pills: Suitable for various conditions during pregnancy.
Motherwort Herb (Yimucao - four liang)
Atractylodes Macrocephala Rhizome (Baizhu - one liang)
Scutellaria Baicalensis Root (Tiaoqin - eight fen)
Form honey pills the size of beans, take with clear soup. Taking one pill regularly during pregnancy is beneficial.
For individuals with abundant qi, add Costus Root (Muxiang) three qian; for weak individuals, dissolve with An Tai Yin (Fetal-Calming Decoction); for chest and diaphragm discomfort, add Perilla Leaf (Zisu) two qian and Tangerine Peel (Chenpi) two qian. Fine pills can also be made.
Ginseng-Enhanced Guixiong Decoction: When waters break at term but the pelvic bones do not open, causing arrest of labor, take a large dose of Ginseng-Enhanced Guixiong Decoction to boost blood and qi, allowing natural opening and delivery.
Szechwan Lovage Rhizome (Chuanxiong - four qian)
Angelica Sinensis Radix (Danggui - one liang)
Ginseng Radix (Renshen - three to four liang)
Licorice Root (Gancao - one qian)
Motherwort Herb (Yimucao - one qian)
Decoct in water, take continuously for two to three doses. If Modified Motherwort Pills are available, decoct the first four ingredients and use the soup to dissolve one pill. If there is no opening after two to three doses, add Calcined Turtle Plastron (Baiguiban) one liang (vinegar-processed) and a clump of human hair ash (from a woman who has given birth).
Modified Shenghua Decoction: Treats uterine prolapse, failure of the vaginal orifice to close, and non-opening of the pelvic bones.
Ginseng Radix (Renshen - two qian)
Atractylodes Macrocephala Rhizome (Baizhu - one qian)
Astragalus Membranaceus Root (Huangqi - one qian)
Szechwan Lovage Rhizome (Chuanxiong - one qian)
Prepared Licorice Root (Zhigancao - four fen)
Angelica Sinensis Radix (Danggui - two qian)
Cimicifuga Rhizome (Shengma - eight fen)
For uterine prolapse, add Pinellia Tuber (Banxia) eight fen and Schisandra Berry (Bei Wuwei Zi) fifteen grains to utilize sour flavor for astringency; add White Peony Root (Shaoyao) eight fen (vinegar-fried) to tonify and lift. All three conditions result from extreme deficiency of primordial qi. After delivery, if these symptoms occur, first take Shenghua Decoction to eliminate blood stasis, then take Ginseng-Enhanced Shenghua Decoction. For non-opening of pelvic bones, tonify to open; for uterine prolapse, tonify to retract; for failure of the vaginal orifice to close, astringe with sour flavors; for retained placenta, refer to Volume 6, Article 3 of Symptom 29.