凡妊娠胎前两乳硬肿疼痛，寒热并发者，此名内吹。乃督任不通，经络不和，寒束毛窍，气闭血滞，乳管阻
塞。治宜加减无忧散。
加减无忧散
生黄 （三钱） 当归（二钱） 川芎（一钱） 菟丝饼（二钱） 浓朴（姜炒，八分） 枳壳（面炒，一钱）
川羌（七分） 荆芥穗（一钱） 川贝（一钱五分） 生甘草（一钱） 远志（一钱五分） 蒲公英（一钱五分）
姜（三片）
甚者，加鹿角屑五钱，净银花一钱，服后饮烧酒一杯。
一方，单用鹿角屑四五钱，烧酒煎服。一方，用豆腐皮一两，炙焦研末，烧酒冲服。一方，用远志二两，煎烧酒，
时时服之。即将远志渣捣烂，铺乳硬处，再用葱姜捣烂，和食盐少许，铺远志上，用艾灸七大壮。重者，用麻黄
三钱，青皮二钱，炒研末，烧酒调服。凡产后乳吹，皆可照前方用。
凡妊娠临产艰难者，大率由口餍甘肥，身耽安逸，既饱既卧，遂令胞胎肥浓，行动气急，以致临盆难产。宜于
胎将足月之时，时时动作，勿嗜肥鲜，勿贪坐卧，勤行勤走，此即不药滑胎之妙法也。乃世医咸谓安胎之后，必
须更进滑胎药，始为合宜。岂知滑胎名目，昔人原为湖阳公主而设，盖以贵家居养丰逸，身体肥盛，诚恐躯脂凝结，
胞系坚固，特藉此以稍疏其肥滞耳。若平等妇人，一母之气血，分荫其胎，尚虞不敷，苟复加无忧、易生名目，一
概施之，是犹 人而复遭削夺，其能胜此乎。然恐后人疑为未备，特详录二方，以为体肥禀浓者采择也。昔湖阳
公主，每产累日不下，南山道人进以滑胎枳壳散。用面炒枳壳二两，炙甘二两，共为末，每服二钱，白滚汤送下，
一日三服，殊效。盖为壮实者立法也。
无忧散
当归 枳实（各二钱） 白芍（一钱二分） 乳香 麦冬 神曲（各一钱） 陈皮（八分） 木香（五分）
诃肉（一枚） 血余（一团） 甘草（八分）
易产汤
当归 川芎 生地 甘草 腹皮 白术 益母草（各等钱）
凡是妊娠期间，在分娩前两乳出现硬肿疼痛，并伴有寒热症状的，这种病症称为“内吹”。这是由于督脉和任脉不通畅，经络气血不和，寒气束缚毛孔，导致气机闭塞、血液停滞，乳管发生阻塞。治疗适宜使用加减无忧散。
加减无忧散
生黄芪（三钱） 当归（二钱） 川芎（一钱） 菟丝饼（二钱） 厚朴（姜炒，八分） 枳壳（面炒，一钱）
羌活（七分） 荆芥穗（一钱） 川贝母（一钱五分） 生甘草（一钱） 远志（一钱五分） 蒲公英（一钱五分）
生姜（三片）
病情严重的，加入鹿角屑五钱，金银花一钱，服药后饮用一杯烧酒。
另一种方子，单用鹿角屑四五钱，用烧酒煎服。另一种方子，用豆腐皮一两，烤焦研成粉末，用烧酒冲服。另一种方子，用远志二两，用烧酒煎煮，时时服用。将剩下的远志药渣捣烂，敷在乳房硬结处，再用葱和姜捣烂，混合少许食盐，铺在远志之上，用艾条灸七壮。病情重的，用麻黄三钱，青皮二钱，炒制后研成粉末，用烧酒调服。凡是产后发生的乳吹，都可以按照前面的方子使用。
凡是妊娠临产困难的人，大都是因为平时饮食过于甘甜肥腻，身体贪图安逸，吃饱后就躺卧，从而导致胞胎脂肪丰厚浓重，行动时气息急促，以致于临盆时难产。适宜在胎儿即将足月的时候，经常活动身体，不要嗜好肥鲜食物，不要贪恋坐卧，勤于行走，这就是不用药物也能顺利滑胎的妙法。然而世俗医生都认为安胎之后，必须再进服滑胎药，才算是合宜。哪里知道“滑胎”这个名目，古时候原本是为湖阳公主而设立的，大概是因为贵族女子居家生活丰盛安逸，身体肥胖，确实担心体内油脂凝结，胞系坚固，特意借此方法稍微疏通其肥滞之气罢了。如果是普通平民妇女，母亲的气血供养一个胎儿，还担心不够用，如果再加上无忧散、易产汤等名目的药物，一概施用，这就像人又遭受剥夺一样，怎么能承受得住呢？然而恐怕后人怀疑记载不完整，特别详细记录两个方子，供体质肥胖禀赋浓厚者选择使用。昔日湖阳公主，每次生产都连续几天胎儿下不来，南山道人进献了滑胎枳壳散。用面粉炒制的枳壳二两，炙甘草二两，共同研成粉末，每次服用二钱，用白开水送服，一天服用三次，效果显著。这是为体格壮实者制定的法则。
无忧散
当归 枳实（各二钱） 白芍（一钱二分） 乳香 麦冬 神曲（各一钱） 陈皮（八分） 木香（五分）
诃子肉（一枚） 血余炭（一团） 甘草（八分）
Whenever, during pregnancy before delivery, the breasts become hard, swollen, and painful, accompanied by alternating chills and fever, this condition is named "Neichui" (Internal Blowing). It arises from the obstruction of the Du Mai (Governor Vessel) and Ren Mai (Conception Vessel), disharmony of the meridians, cold constricting the hair follicles, closure of Qi mechanism, stagnation of blood, and blockage of the mammary ducts. The treatment should employ Jiawei Wuyou San (Modified Free-from-Worry Powder).
Jiawei Wuyou San (Modified Free-from-Worry Powder)
Sheng Huangqi (Raw Astragali Radix, 3 qian) Danggui (Angelicae Sinensis Radix, 2 qian) Chuanxiong (Ligustici Chuanxiong Rhizoma, 1 qian) Tusizi Bing (Prepared Cuscutae Semen Cake, 2 qian) Houpo (Magnoliae Officinalis Cortex, stir-fried with ginger, 8 fen) Zhike (Aurantii Fructus, stir-fried with flour, 1 qian)
Chuan Qiang (Notopterygii Rhizoma et Radix, 7 fen) Jingjie Sui (Schizonepetae Spica, 1 qian) Chuanbei (Fritillariae Cirrhosae Bulbus, 1.5 qian) Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma, 1 qian) Yuanzhi (Polygalae Radix, 1.5 qian) Pugongying (Taraxaci Herba, 1.5 qian)
Shengjiang (Fresh Zingiberis Rhizoma, 3 slices)
In severe cases, add Lujiaoxie (Cervi Cornu Degelatinatum, 5 qian) and Yinhuaren (Lonicerae Japonicae Flos, 1 qian); after taking the medicine, drink one cup of Sha Jiu (Baijiu/Chinese Liquor).
Another prescription uses only Lujiaoxie (4-5 qian), decocted in Sha Jiu for oral administration. Another prescription uses Doufupi (Tofu Skin, 1 liang), roasted until scorched, ground into powder, and taken with Sha Jiu. Another prescription uses Yuanzhi (2 liang), decocted in Sha Jiu, taken frequently. The residual dregs of Yuanzhi are mashed and applied to the hardened area of the breast; then, Jiang (Ginger) and Cong (Scallion) are mashed, mixed with a small amount of Yan Shi (Salt), spread over the Yuanzhi, and treated with Ai Jiu (Moxibustion) for seven Zhu (cones). For heavier conditions, use Mahuang (Ephedrae Herba, 3 qian) and Qingpi (Citri Reticulatae Pericarpium Viride, 2 qian), stir-fried and ground into powder, mixed with Sha Jiu for oral administration. For all cases of Neichui occurring postpartum, the aforementioned prescriptions may be used.
Difficult labor at term is generally caused by excessive consumption of sweet and fatty foods, indulgence in comfort, lying down immediately after full meals, leading to a fetus surrounded by thick fat, rapid breathing upon movement, and consequently difficult parturition. It is advisable to engage in frequent physical activity when the fetus is near full term, avoid craving rich and fresh foods, avoid excessive sitting or lying, and walk diligently. This is the wonderful method of facilitating smooth delivery without medication. However, contemporary physicians believe that after stabilizing the fetus, it is necessary to administer drugs for facilitating delivery to be appropriate. They do not realize that the term "Huatai" (Slippery Fetus/Facilitating Delivery) was originally established for Princess Huyang, who lived a luxurious and idle life, resulting in obesity. There was genuine concern that accumulated body fat might solidify and make the uterine ligaments tight, so this method was specifically used to slightly relieve the stagnation of fat. If applied indiscriminately to ordinary women, whose maternal Qi and Blood are barely sufficient to nourish a single fetus, adding formulas like Wuyou San or Yisheng Tang would be akin to further depriving them, making it unbearable. Nevertheless, fearing that later generations might consider the record incomplete, two specific prescriptions are detailed here for selection by those with obese constitutions and robust endowment. In the past, Princess Huyang experienced prolonged labor lasting several days without delivery. Nanshan Daoren presented Huatai Zhike San (Slippery Fetus Aurantium Powder). It consists of Zhike (stir-fried with flour, 2 liang) and Gancao (roasted, 2 liang), ground into powder. Each dose is 2 qian, taken with plain boiling water, three times a day, yielding remarkable effects. This prescription is formulated for individuals with strong constitutions.
Wuyou San (Free-from-Worry Powder)
Danggui (Angelicae Sinensis Radix) Zhishi (Aurantii Fructus Immaturus) (each 2 qian) Baishao (Paeoniae Radix Alba, 1.2 qian) Xuxiang (Olibanum) Maidong (Ophiopogonis Radix) Shenqu (Massa Medicata Fermentata) (each 1 qian) Chenpi (Citri Reticulatae Pericarpium, 8 fen) Muxiang (Aucklandiae Radix, 5 fen)
Kerou (Arecae Semen, one piece) Xuyu (Carbonized Human Hair, one ball) Gancao (Glycyrrhizae Radix et Rhizoma, 8 fen)
Yichang Tang (Easy Delivery Decoction)
Danggui (Angelicae Sinensis Radix) Chuanxiong (Ligustici Chuanxiong Rhizoma) Shengdi (Rehmanniae Radix) Gancao (Glycyrrhizae Radix et Rhizoma) Fupi (Pericarpium Citri Reticulatae) Baizhu (Atractylodis Macrocephalae Rhizoma) Yimucao (Leonuri Herba) (equal parts)