〔大〕大凡生产自有时候，未见时候，切不可强服催生滑胎等药，或势不得已，则服
之。又云∶切不可坐早，及令坐婆乱动手。（凡催生药必候腰痛甚，胎陷下，浆血破方可服。）大法∶
滑以流通涩滞，苦以驱逐闭塞，香以开窍逐血。气滞者行气，胞浆先破，疲困者，固血。
丹溪云∶催生只用佛手散，最稳当，又效捷。（方见胎产大法）
〔滑剂〕
催生如圣散
黄蜀葵子（小半合。一方二钱重。）研烂，以酒滤去滓，温服，神妙。或漏血胎干难产痛极
者，并进三服，良久腹中气宽，胎滑即产，须见正产候方可服之。歌曰∶黄葵子炒七十粒，
细研酒调济君急，若遇临危产难时，免得全家俱哭泣。
又方 以香油、白蜜、小便和匀，各半盏，调益母草末服。一方止用油、蜜、小便，
能下难产。
又方 治横倒生者。
明阿胶（炒） 滑石末（各一两） 葵子（二两）
上水一盏半，煎至一盏，去滓分二服。
治难产五六日不得分娩者，疲困虚乏。
光明水胶二两，微火焙，好酒一升半，煎滚入胶候烊，再入新鸡子一枚，盐一钱匕，搅
匀放温，令产母坐椅上，伸腰大口作二次服，觉小便重即生，缘坐草早惊动故也。
〔苦剂〕
催生柞木饮子 治产难或横或倒，死胎烂胀腹中，此方屡用神效。
大柞木枝（一大堆长一尺，洗净，寸锉生用） 甘草（大者五寸，锉作五段）
上用新汲水三升半，同入新瓷瓶内，以纸三重封紧，文武火煎至一升半，令香。候
产妇腰重痛欲坐草时，温饮一小盏，（腰末重痛勿服。）便觉心下开豁，如觉渴，再饮一盏至三
四盏，觉下重便生，此方最验。
〔梅〕治难产碍胎在腹中，如已见儿，胎衣不出，或胎死者。
蒺藜子、贝母各四两，为末，米饮下一匙，如人行四五里许，不下再服。
按∶苦能下气，柞木、蒺藜、贝母，则又不专于苦，要之亦有利窍行血之功，兹特
因娄氏所编而列之耳。
〔香剂〕
乳朱丹
用通明乳香研细，以猪心血为丸，梧子大，朱砂为衣，日干。每服一粒，催生冷酒
化下，良久未下，再服一粒。若大段难产，以莲叶心蒂七个，水二盏，煎至一盏，放温化
下一粒，良久未下，再服，其验如神。如胎下胞衣不下者，服此便下。若胎横逆不顺，即
先服神应黑散，再服此药催之。合药时要五月五日午时极妙，或七月七日、三月三日及
初上辰日亦可。
又方 通明乳香（如皂角子大为末，）腰痛时用新汲水一小盏，入醋少许同煎，令产母两
手捉两石燕，坐婆调药饮水，须臾坐草便生，无痛楚，神良。
开骨膏 （五月五日午时作。）
乳香研细，滴水丸如芡实大。每服一粒。无灰酒吞下。
又方 乳香 朱砂（等分） 为细末，麝香、酒调下。
催生丹 （一名兔脑丸。）治产妇生理不顺，产育艰难，或横或逆。
十二月兔脑髓（去皮膜，研如泥） 母丁香（一钱，细末） 乳香（二钱半，另研）
麝香（另研，一字）
上三味拌匀，以兔脑髓和丸鸡头实大，阴干，油纸裹。每服一丸，温汤下，即产儿握
药出。
如意散 临产腰疼方可服之。
人参（为末） 乳香（各一钱） 朱砂（二钱）
上同研，临产急用鸡子清一个调药末，再用生姜自然汁调开冷服。如横倒等实时端顺，
子母无恙。
胜金散 郭稽中云∶产难者，因儿转身，将儿枕血块破碎，与胞中败血壅滞，儿身不
能便利，是以难产。急服胜金散消散其血，使儿自易生。陈无择云∶多因儿未转顺，坐草
太早，或努力太过，以致胞衣破而血水干，产路涩而儿难下，宜先服催生如神散以固其血，
设或逆生横产，当用前法针刺之。
麝香（一钱，研） 盐豉（一两，以青布裹了烧红，急研细）
上取秤锤烧赤，淬酒中，以酒调服一钱。
〔行气〕
催生汤 治妊娠欲产，痛阵尚疏，难产经三两日不生，胎死腹中，或产母气乏委顿，
产道干涩。才觉痛密，破水后便可服。
苍术（二两，米泔浸洗，锉，炒黄） 小浓枳壳（去幅，麸炒） 白桔梗 薄陈皮（去白）
杨芍药 川白芷 大川芎 大当归（去尾，各一两） 交趾桂（去粗皮，不见火） 半夏（汤洗）
粉草 麻黄（去节） 军姜（去皮） 浓朴（去粗皮，锉，姜汁炒） 南木香（不见火）
杏仁（去皮尖，另研） 白茯苓（各五钱）
上为末，每服二钱，顺流水温暖调下，若觉热闷，白蜜汤下，或锉散入真米醋一合煎。
方内用杨芍药、肉桂，能开通子宫，其余药皆助气之盛，关窍自通。麻黄内通阳气，阳
气盛则血行，血行即产矣。外却寒邪，去积聚，皆得其宜。寒月用之甚确，隆暑不宜轻
服。但以五苓散用葵子、灯心煎汤调下，却暑清魂，滑胎易产。胞浆先破，则胎干难产，
用白蜜、清油，侵以热酒，令得所，顿服，胎气既润，即分娩矣。
难产
缩砂 香附（醋炒） 枳壳 甘草 滑石
上为末，白汤调服。
〔行血〕
《本草》主难产。捣益母草取汁七大合，煎减半，顿服立产。无新者，以干者一大握，
水七合煮服。
〔丹〕易产天麻丸 天麻（即益母草，六月间带根花叶采，晒干，不以多少，）为末，炼蜜丸
龙眼大，临产熟水嚼一丸，能除产后百病。
佛手散（方及加减法，见胎产大法。）
如圣散 专治孕妇难产。
紫苏叶 当归（各等分）
上 咀，每服三五钱，用长流水煎服。如无流水，以水顺搅动，煎服即下。
又方 取本夫 带五寸，烧存性，酒调服下。
又方 取槐树东枝，令产妇把之，易产。
又方 用紫苏煎汤，调益元散服之，即产。
无忧散 治胎肥气逆，临蓐难产。
当归（去芦，酒浸） 川芎 木香（不见火） 白芍药 枳壳（去白，盐炒） 甘草（炙，各一钱半）
乳香（另研） 血余（烧存性，另研。各半钱）
上作一服，水二盅，煎至一盅，入乳香、血余和匀，不拘时服。
〔固血〕
治胞浆先破，恶水来多，胎干不得下时，须先与四物汤补养血气，次更浓煎葱汤，放
冷，令坐婆洗产户，须是款曲洗，令气上下通畅，更用酥调滑石末涂产户里，次服神妙
乳朱丹，或葵子如圣散。
催生如圣散 治逆产横生，瘦胎。
百草霜 香白芷（不见火，为末）
上二味，等分研匀，每服二大钱，于临产时以童便并少米醋打为膏，沸汤调下。
《集验》用酒、童便各半盏同煎，才沸即热服，不过再服即产。（丹溪用芎归汤调血，血得黑则止。
此药大能固血，免得干生。）
妇人临产累日气尽不能生，兼恶露出尽，胞干终不产者，用赤小豆一斗，水九升，煮
令熟，去豆滓，以阿胶三两，入豆汁溶化，每服止半盏，未产再服，即出。
〔破血〕
半夏汤 治胎干而不能产。
半夏曲（一两半） 大黄（五钱） 肉桂（七钱半） 桃仁（三十枚，微炒）
上为粗末，先服四物汤一二服，次服半夏汤，姜三片水煎。
又方 当归为末，酒调方寸匕，服之。
七圣散 临产腰疼方服。
延胡索 没药 白矾 白芷 姜黄 当归 桂心（各等分）
上为末，临产阵痛时，烧铧刃铁（即犁头。）令通赤，淬酒调下三钱，服一两杯立产。
胜金散 治难产，逐败血，即自生。若横逆则转正，子死腹中则胎软膨宽即产。祖
宗秘传，千金不授。
王不留行 酸浆草（死胎倍用） 茺蔚子 白蒺藜（去刺） 五灵脂（行血宜生用，各等分）
上为散，每服三钱，取利方水一盏半，入白花刘寄奴子一撮，同煎温服，大效。
〔外取〕
如圣膏 治产难并治胞衣不下，兼治死胎。
蓖麻子（七粒）去壳，细研成膏，涂脚心，胞即下，速洗去，不洗肠出。却用此膏涂顶
上，肠自缩入。一方，蓖麻子百粒，雄黄一钱，细研，用如上法。
催生万金不传遇仙丹
蓖麻子（十四粒，去壳） 朱砂（研） 雄黄（研，各一钱半） 蛇蜕（一尺，烧存性）
一方，蓖麻子三粒。
上为末，浆水饭和丸如弹子大。临产时先用椒汤淋渫脐下，次安药一丸于脐中，用
蜡纸数重覆上，阔帛束之，头生下，急取去药。一丸可用三次。
三麻四豆脱衣裳，研碎将来入麝香，若有妇人遭产难，贴在脐中两分张。（用蓖麻子三
粒，巴豆四粒，去壳，入麝研细，贴脐中。）
立圣丹 治产难危急者。
寒水石（四两，二两生用，二两 赤）
上同研细，入朱砂同研如深桃花色，每用三分，井花水调如薄糊，以纸花剪如杏叶
大，摊上贴脐心，候干再易，不过三上，便产。横逆恶候，死胎不下并治，神验。（寒水石
非方解石，即今人谓软石膏是也。此方异人所传，妙。）
〔杂方〕
《图经》云∶令产妇两手各握石燕一枚，须臾子下。
救产难经日不生，云母粉半两，温酒调服，入口即产，万不失一。（陆氏云∶已救三五百
人，效。）
治横逆产理不顺，用伏龙肝细研，每服一钱，酒调服，其土从儿头上戴出，妙。
〔世〕如神散 治催生累效，灵妙之理，人所难通，用实殊效。
临产时令人路上寻破草鞋一双，取耳烧灰，温酒调下三钱匕。得左足者男，右足者
女，覆者死，侧者有惊，果是神奇。用此送催生丸尤妙。
胜金丹 治难产神妙。败兔毫笔头一枚，烧灰研细，捣生藕汁一盏下之。若产母虚弱
及素有冷疾者，恐藕冷动气，即于重汤内暖过服，立产。
〔针灸〕
〔东〕妇人将产，预先胎破，恶水长流，坐草早，无血可养，枯竭。独阴（五分，在足
小指第三节间。） 承阴（一寸五分）
〔玉〕催生，难产及死胎。太冲（八分，补百息。） 合谷（补） 三阴交（五分，泻，立时分解。）
足小指节（三壮。《心术》多此一穴。）产子上冲逼心。巨阙（令正坐，用抱头抱腰微偃，
针入六分，留七呼，得气即泻，立苏。如子掬母心，生下手心有针痕。子顶母心，人中有痕。向后
枕骨有痕。是其验也。神效。） 合谷（三分，留三呼，补之。） 三阴交（五分，泻寸吸。）
〔张仲文〕横产、难产。右脚小指尖头（灸三壮，立产。）
〔集〕又法 独阴（同上法，取灸七壮，禁刺。） 合谷（补） 三阴交（泻）
〔桑〕难产。三阴交
〔治验〕淳于意治 川王美人怀子而不
乳，召臣意往，饮以莨KT 药一撮，以酒饮之，旋乳。意复诊其脉而脉躁，躁者有余病，即
饮以消石一剂，出血，血如豆比五六枚。
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，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。
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，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》云∶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。（紫苏饮见胎上逼心。）
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，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 苡以防产难是也。
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 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，亦神矣哉。
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
下手则和脐腹入门处皆淋洗之，气温血行遂产。
〔交骨不开〕
〔薛〕交骨不开，产门不闭，皆由元气素弱，胎前失于调摄，以致血气不能运达而
然也。交骨不开，阴气虚也，用加味芎归汤、补中益气汤。产门不闭，气血虚也，用十全
大补汤。地官李孟卿娶三十五岁女为继室，妊娠虑其产难，索加味芎归汤四帖备用，至
期果产门不开，止服一帖，顿然分娩。上舍费怀德之室，产门不开，两日未生，服前
药一剂，实时而产。上舍传此方，用之者无有不验。一妇人分娩最易，至四十，妊娠
下血甚多，产门不开，与前汤一剂，又以无忧散斤许，煎熟时时饮之，以助其血而产。
加味芎归汤 主交骨不开，不能生产。
川芎 当归（各一两） 自死龟板（一枚，酥炙） 妇人头发（生男女多者，一握，烧存性）
上为散，每服五钱，水煎服，约人行五里即生。如胎死亦下。灼过龟板亦可。
【大】大凡分娩自有其适宜的时机，在未见临产征兆之前，切不可强行服用催生、滑胎等药物；除非形势迫不得已，才可服用。又说：切不可过早坐草（指产妇过早坐在产床上准备分娩），也不允许接生婆乱动手脚。（凡是催生的药物，必须等到腰痛剧烈、胎位下陷、羊水破裂时方可服用。）治疗大法是：用滑利之品疏通涩滞，用苦味之品驱逐闭塞，用芳香之品开窍逐瘀。气机阻滞者行气，若胞浆先破，气血疲困者，则需固摄血液。丹溪说：催生只用佛手散，最为稳妥，且见效迅速。（方剂见胎产大法）
〔滑剂〕
催生如圣散
黄蜀葵子（小半合。另一版本为二钱重。）研烂，用酒过滤去渣，温服，效果神妙。若是漏血导致胎干难产、疼痛极甚者，连续服用三剂，过一会儿腹中气宽，胎儿滑利即可产出，但必须见到正产的征兆方可服用。歌诀说：黄葵子炒七十粒，细研后用酒调服解君急，若遇临危产难之时，免得全家俱哭泣。
又一方 用香油、白蜜、小便混合均匀，各半盏，调入益母草末服用。另一版本仅用油、蜜、小便，能促使难产分娩。
又一方 治疗横位或倒位分娩者。
明阿胶（炒） 滑石末（各一两） 葵子（二两）
以上用水一盏半，煎至一盏，去渣分两次服用。
治疗难产五六天不能分娩，身体疲乏虚弱者。
光明水胶二两，微火焙干，好酒一升半，煎滚后放入胶使其融化，再放入新鲜鸡蛋一枚，盐一钱匕，搅拌均匀放温，让产妇坐在椅子上，伸腰大口分两次服用，感觉小便沉重感即会生产，这是因为过早坐草受惊动所致。
〔苦剂〕
催生柞木饮子 治疗产难，无论是横位还是倒位，或是死胎腐烂胀满腹中，此方屡用神效。
大柞木枝（一大堆长一尺，洗净，切成寸段生用） 甘草（大的五寸，锉成五段）
以上用新汲水三升半，同入新瓷瓶内，用三重纸封紧，用文武火煎至一升半，令其出香味。等到产妇腰部沉重疼痛想要坐草时，温饮一小盏，（若腰部不沉重疼痛勿服。）便觉得心胸开阔豁朗，如果感到口渴，再饮一至三至四盏，感觉下身沉重即会生产，此方最灵验。
〔梅〕治疗难产，胎儿碍于腹中，如已见到胎儿，但胎衣不出，或胎儿已死者。
蒺藜子、贝母各四两，研为末，米汤送服一匙，如人行走四五里左右，若未生下再服。
按语：苦味能下气，柞木、蒺藜、贝母，则不仅仅局限于苦味，总之也有利窍行血的功效，这里只是依据娄氏所编而列出罢了。
〔香剂〕
乳朱丹
用通明乳香研细，以猪心血为丸，梧桐子大小，朱砂为衣，晒干。每服一粒，用冷酒化开服用，良久未下，再服一粒。若是严重难产，用莲叶心蒂七个，水二盏，煎至一盏，放温化下一粒，良久未下，再服，其验如神。若胎儿娩出但胞衣不下者，服用此药胞衣即下。若胎位横逆不顺，即先服神应黑散，再服此药催产。制药时要选五月五日午时极好，或七月七日、三月三日及初上辰日也可以。
又方 通明乳香（如皂角子大为末，）腰痛时用新汲水一小盏，加少许醋同煎，让产妇双手各握两块石燕，接生婆调药饮水，片刻后坐草便生，无痛楚，效果良好。
开骨膏 （五月五日午时制作。）
乳香研细，滴水丸如芡实大小。每服一粒。无灰酒吞服。
又方 乳香 朱砂（等分） 研为细末，酒调下。
催生丹 （一名兔脑丸。）治疗产妇生理不顺，产育艰难，或横位或逆位。
十二月兔脑髓（去皮膜，研如泥） 母丁香（一钱，细末） 乳香（二钱半，另研）
麝香（另研，一字）
以上三味拌匀，以兔脑髓和丸如鸡头实大小，阴干，油纸包裹。每服一丸，温开水送下，即产出婴儿，婴儿手中握着药丸出来。
如意散 临产腰痛方可服用。
人参（为末） 乳香（各一钱） 朱砂（二钱）
以上同研，临产急用时用一个鸡蛋清调药末，再用生姜自然汁调开冷服。若是横倒等紧急情况，端正顺产后，母子平安。
胜金散 郭稽中说：产难，是因为胎儿转身，将儿枕处的血块破碎，与胞中的败血壅滞，胎儿身体不能便利，所以难产。急服胜金散消散其血，使胎儿容易出生。陈无择说：多因胎儿未转顺，坐草太早，或用力太过，以致胞衣破而血水干，产道涩而胎儿难下，宜先服催生如神散以固其血，假如逆生横产，当用前法针刺。
麝香（一钱，研） 盐豉（一两，用青布包好烧红，急研细）
以上取秤锤烧红，淬入酒中，用酒调服一钱。
〔行气〕
催生汤 治疗妊娠欲产，痛阵尚疏，难产经两三日生不出，胎死腹中，或产母气乏委顿，产道干涩。刚觉得痛密，破水后便可服用。
苍术（二两，米泔水浸洗，锉，炒黄） 小浓枳壳（去瓤，麸炒） 白桔梗 薄陈皮（去白）
杨芍药 川白芷 大川芎 大当归（去尾，各一两） 交趾桂（去粗皮，不见火） 半夏（汤洗）
粉草 麻黄（去节） 军姜（去皮） 浓朴（去粗皮，锉，姜汁炒） 南木香（不见火）
杏仁（去皮尖，另研） 白茯苓（各五钱）
以上为末，每服二钱，顺流水温暖调下，若觉热闷，用白蜜汤送下，或锉散加入真米醋一合煎。
方中使用杨芍药、肉桂，能开通子宫，其余药物皆助气之盛，关窍自通。麻黄内通阳气，阳气盛则血行，血行即产矣。外却寒邪，去积聚，皆得其宜。寒月使用很确切，盛夏不宜轻服。但若用五苓散加葵子、灯心煎汤调下，可消暑清魂，滑胎易产。胞浆先破，则胎干难产，用白蜜、清油，侵以热酒，令得所，顿服，胎气既润，即分娩矣。
难产
缩砂 香附（醋炒） 枳壳 甘草 滑石
以上为末，白开水调服。
〔行血〕
《本草》主治难产。捣益母草取汁七大合，煎减半，顿服立产。若无新鲜的，用干的的一大把，水七合煮服。
〔丹〕易产天麻丸 天麻（即益母草，六月间带根花叶采，晒干，不以多少，）为末，炼蜜丸龙眼大，临产熟水嚼一丸，能除产后百病。
佛手散（方及加减法，见胎产大法。）
如圣散 专治孕妇难产。
紫苏叶 当归（各等分）
以上切碎，每服三五钱，用长流水煎服。如无流水，以水顺搅动，煎服即下。
又方 取丈夫的包皮五寸，烧存性，酒调服下。
又方 取槐树东枝，让产妇拿着，易产。
又方 用紫苏煎汤，调益元散服之，即产。
无忧散 治疗胎肥气逆，临蓐难产。
当归（去芦，酒浸） 川芎 木香（不见火） 白芍药 枳壳（去白，盐炒） 甘草（炙，各一钱半）
乳香（另研） 血余（烧存性，另研。各半钱）
以上作一服，水二盅，煎至一盅，入乳香、血余和匀，不拘时服。
〔固血〕
治疗胞浆先破，恶露来多，胎干不得下时，须先与四物汤补养血气，其次更浓煎葱汤，放冷，让接生婆清洗产户，必须是仔细清洗，令气上下通畅，更用酥调滑石末涂产户里，其次服神妙乳朱丹，或葵子如圣散。
催生如圣散 治疗逆产横生，瘦胎。
百草霜 香白芷（不见火，为末）
以上二味，等分研匀，每服二大钱，于临产时以童便并少米醋打为膏，沸汤调下。
《集验》用酒、童便各半盏同煎，才沸即热服，不过再服即产。（丹溪用芎归汤调血，血得黑则止。此药大能固血，免得干生。）
妇人临产累日气尽不能生，兼恶露出尽，胞干终不产者，用赤小豆一斗，水九升，煮令熟，去豆滓，以阿胶三两，入豆汁溶化，每服止半盏，未产再服，即出。
〔破血〕
半夏汤 治疗胎干而不能产。
半夏曲（一两半） 大黄（五钱） 肉桂（七钱半） 桃仁（三十枚，微炒）
以上为粗末，先服四物汤一二服，次服半夏汤，姜三片水煎。
又方 当归为末，酒调方寸匕，服之。
七圣散 临产腰痛方服。
延胡索 没药 白矾 白芷 姜黄 当归 桂心（各等分）
以上为末，临产阵痛时，烧铧刃铁（即犁头。）令通赤，淬酒调下三钱，服一两杯立产。
胜金散 治疗难产，逐败血，即自生。若横逆则转正，子死腹中则胎软膨宽即产。祖宗秘传，千金不授。
王不留行 酸浆草（死胎倍用） 茺蔚子 白蒺藜（去刺） 五灵脂（行血宜生用，各等分）
以上为散，每服三钱，取利方水一盏半，入白花刘寄奴子一撮，同煎温服，大效。
〔外取〕
如圣膏 治疗产难并治疗胞衣不下，兼治疗死胎。
蓖麻子（七粒）去壳，细研成膏，涂脚心，胞即下，速洗去，不洗肠出。却用此膏涂顶上，肠自缩入。另一方，蓖麻子百粒，雄黄一钱，细研，用如上法。
催生万金不传遇仙丹
蓖麻子（十四粒，去壳） 朱砂（研） 雄黄（研，各一钱半） 蛇蜕（一尺，烧存性）
另一方，蓖麻子三粒。
以上为末，浆水饭和丸如弹子大。临产时先用椒汤淋渫脐下，次安药一丸于脐中，用蜡纸数重覆上，阔帛束之，头生下，急取去药。一丸可用三次。
三麻四豆脱衣裳，研碎将来入麝香，若有妇人遭产难，贴在脐中两分张。（用蓖麻子三粒，巴豆四粒，去壳，入麝研细，贴脐中。）
立圣丹 治疗产难危急者。
寒水石（四两，二两生用，二两煅赤）
以上同研细，入朱砂同研如深桃花色，每用三分，井花水调如薄糊，以纸花剪如杏叶大，摊上贴脐心，候干再易，不过三上，便产。横逆恶候，死胎不下并治，神验。（寒水石非方解石，即今人谓软石膏是也。此方异人所传，妙。）
〔杂方〕
《图经》云：让产妇两手各握石燕一枚，片刻后胎儿生下。
救产难经日不生，云母粉半两，温酒调服，入口即产，万不失一。（陆氏云：已救三五百人，有效。）
治疗横逆产理不顺，用伏龙肝细研，每服一钱，酒调服，其土从儿头上戴出，妙。
〔世〕如神散 治疗催生累效，灵妙之理，人所难通，用实殊效。
临产时让人路上寻破草鞋一双，取耳烧灰，温酒调下三钱匕。得左足者男，右足者女，覆者死，侧者有惊，果是神奇。用此送催生丸尤妙。
胜金丹 治疗难产神妙。败兔毫笔头一枚，烧灰研细，捣生藕汁一盏下之。若产母虚弱及素有冷疾者，恐藕冷动气，即于重汤内暖过服，立产。
〔针灸〕
〔东〕妇人将产，预先胎破，恶水长流，坐草早，无血可养，枯竭。独阴（五分，在足小指第三节间。） 承阴（一寸五分）
〔玉〕催生，难产及死胎。太冲（八分，补百息。） 合谷（补） 三阴交（五分，泻，立时分解。）
足小指节（三壮。《心术》多此一穴。）产子上冲逼心。巨阙（令正坐，用抱头抱腰微偃，针入六分，留七呼，得气即泻，立苏。如子掬母心，生下手心有针痕。子顶母心，人中有痕。向后枕骨有痕。是其验也。神效。） 合谷（三分，留三呼，补之。） 三阴交（五分，泻寸吸。）
〔张仲文〕横产、难产。右脚小指尖头（灸三壮，立产。）
〔集〕又法 独阴（同上法，取灸七壮，禁刺。） 合谷（补） 三阴交（泻）
〔桑〕难产。三阴交
〔治验〕淳于意治疗 川王美人怀子而不乳，召臣意往，饮以莨KT 药一撮，以酒饮之，旋乳。意复诊其脉而脉躁，躁者有余病，即饮以消石一剂，出血，血如豆比五六枚。
滑伯仁治疗一妇难产，七日而不乳，且食甚少。伯仁视之，以凉粥一盂，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。
庞安常治疗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，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》云：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。（紫苏饮见胎上逼心。）
吴茭山治疗一妇产难，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，冬葵子为臣，白芷、枳壳为佐使，巳服午产。众医异之。吴曰：《本草》谓催生以此为主，《毛诗》采 苡以防产难是也。
刘复真遇到府判之女产不利，已敛。刘取红花浓煎，扶女于凳上，以绵帛蘸汤浇之，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，亦神矣哉。
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，可下手则和脐腹入门处皆淋洗之，气温血行遂产。
〔交骨不开〕
〔薛〕交骨不开，产门不闭，皆由元气素弱，胎前失于调摄，以致血气不能运达而然也。交骨不开，阴气虚也，用加味芎归汤、补中益气汤。产门不闭，气血虚也，用十全大补汤。地官李孟卿娶三十五岁女为继室，妊娠虑其产难，索加味芎归汤四帖备用，至期果产门不开，止服一帖，顿然分娩。上舍费怀德之室，产门不开，两日未生，服前药一剂，实时而产。上舍传此方，用之者无有不验。一妇人分娩最易，至四十，妊娠下血甚多，产门不开，与前汤一剂，又以无忧散斤许，煎熟时时饮之，以助其血而产。
加味芎归汤 主交骨不开，不能生产。
川芎 当归（各一两） 自死龟板（一枚，酥炙） 妇人头发（生男女多者，一握，烧存性）
以上为散，每服五钱，水煎服，约人行五里即生。如胎死亦下。灼过龟板亦可。
[General Principles] Generally, childbirth has its own appropriate timing. Before the signs of labor appear, one must absolutely not forcibly administer drugs for inducing labor or facilitating delivery; only when circumstances leave no other choice should they be taken. It is also said: One must absolutely not sit on the birthing bed too early, nor allow the midwife to handle the mother recklessly. (All labor-inducing drugs must only be administered after severe lower back pain occurs, the fetus descends, and the amniotic fluid breaks.) The general treatment principle is: Use slippery agents to unblock stagnation, use bitter agents to expel obstruction, and use aromatic agents to open orifices and dispel blood stasis. For qi stagnation, promote qi movement; if the amniotic sac ruptures first leading to exhaustion, consolidate the blood. Danxi stated: For inducing labor, only Foshou San (Buddha's Hand Powder) should be used, which is the safest and most effective. (See General Principles of Fetal and Postpartum Care for the formula.)
[Slippery Agents]
Cui Sheng Ru Sheng San (Induction Like-Sage Powder)
Malvae Seed (Half a small measure. Another version specifies two qian weight.) Grind until smooth, filter through wine to remove dregs, and take warm. The effect is miraculous. For cases with bleeding leading to dry fetus and difficult labor with extreme pain, take three doses consecutively. After a while, abdominal qi will feel relaxed, and the fetus will slide out easily. However, it must only be taken when normal labor signs are present. The song says: "Seventy fried Malvae seeds, ground fine and mixed with wine to relieve your urgency; when facing life-threatening dystocia, it saves the whole family from weeping."
Another prescription: Mix sesame oil, white honey, and urine evenly, half a cup each, and take with Motherwort powder. Another version uses only oil, honey, and urine, which can facilitate difficult labor.
Another prescription: For transverse or breech presentation.
Ming E Jiao (Colla Corii Asini, processed by stir-frying) 1 liang, Hua Shi (Talcum) powder 1 liang, Kui Zi (Malvae Seed) 2 liang.
Add one and a half cups of water, decoct to one cup, remove dregs, and divide into two doses.
For difficult labor lasting five to six days without delivery, accompanied by physical exhaustion and deficiency:
Guang Ming Shui Jiao (Light-bright Water Gelatin) 2 liang, bake over low fire, add one and a half sheng of good wine, boil, add gelatin until melted, then add one fresh chicken egg and one qian of salt, mix well, let cool to warm temperature. Have the parturient sit on a chair, extend her waist, and drink in two large gulps. Delivery will occur when she feels heaviness in urination, as this is due to premature sitting on the birthing bed causing disturbance.
[Bitter Agents]
Cui Sheng Zuo Mu Yin Zi (Induction Oak Wood Drink)
Treats dystocia, whether transverse or breech, or retained dead fetus causing abdominal distension and rotting. This formula has proven miraculous repeatedly.
Large Zuo Mu Branch (A large bunch, one chi long, washed clean, cut into cun segments, used raw) 5 chi of large Gan Cao (Licorice Root), cut into five segments.
Place in a new porcelain jar with three and a half sheng of newly drawn water. Seal tightly with triple-layered paper. Decoct over mild heat until reduced to one and a half sheng until fragrant. When the parturient feels heavy, painful lower back and desires to sit on the birthing bed, take one small cup warm. (Do not take if there is no heavy/painful sensation in the lower back.) She will feel relief in the chest/epigastrium. If thirsty, drink another cup up to three or four cups. When she feels heaviness below, delivery will occur. This formula is highly effective.
[Mei] Treats difficult labor where the fetus obstructs the abdomen, such as when the head is visible but the placenta does not deliver, or if the fetus is dead.
Ji Li Zi (Tribulus Fruit) and Bei Mu (Fritillaria Bulb) each 4 liang, grind into powder. Take one spoonful with rice water. If not delivered after walking for about four to five li, take another dose.
Note: Bitterness can direct qi downward. Zuo Mu, Ji Li, and Bei Mu are not solely bitter; they possess the merit of benefiting orifices and promoting blood circulation. They are listed here merely following Lou's compilation.
[Aromatic Agents]
Ru Zhu Dan (Milky Cinnabar Pill)
Use transparent Ru Xiang (Frankincense), grind finely, form pills with pig heart blood, size of Sophora seeds, coat with Cinnabar, and dry in the sun. Take one pill per dose, dissolve in cold wine. If not delivered after a while, take another pill. For severe dystocia, use seven Lotus Leaf Heart Stems, decoct in two cups of water to one cup, warm, and dissolve one pill. If not delivered after a while, take another. The efficacy is miraculous. If the fetus is delivered but the placenta remains, taking this will cause the placenta to deliver. If the fetus is in a transverse or inverted position, first take Shen Ying Hei San (Divine Response Black Powder), then take this drug to induce labor. The best time to prepare the medicine is noon on the fifth day of the fifth lunar month, or the seventh day of the seventh lunar month, the third day of the third lunar month, or the Chen hour of the first Shang day.
Another prescription: Transparent Ru Xiang (grind to powder the size of a Gleditsia pod). When lower back pain occurs, take one small cup of newly drawn water, add a little vinegar, decoct together. Have the parturient hold two Shi Yan (Stone Swallows) in both hands. The midwife prepares and administers the medicine. Within moments, she will sit on the birthing bed and deliver without pain. Excellent effect.
Kai Gu Gao (Bone-Opening Ointment) (Prepare at noon on the fifth day of the fifth lunar month.)
Grind Ru Xiang finely, drop water to form pills the size of a Chinese Quince seed. Take one pill per dose, swallow with non-grain alcohol.
Another prescription: Ru Xiang and Zhu Sha (Cinnabar) in equal parts, grind to fine powder, take with wine.
Cui Sheng Dan (Induction Pill) (Also known as Rabbit Brain Pill.)
Treats abnormal physiology during childbirth, difficult delivery, or transverse/inverted presentations.
Rabbit brain marrow from the twelfth lunar month (remove skin/membrane, grind to paste) 1 qian of Mu Ding Xiang (Cloves), fine powder; 2.5 qian of Ru Xiang (Frankincense), separately ground; She Xiang (Musk), separately ground, one zi.
Mix these three ingredients, bind with rabbit brain marrow into pills the size of a cockle shell, dry in shade, wrap in oiled paper. Take one pill per dose with warm water. The infant will be born holding the medicine.
Ru Yi San (As-You-Wish Powder)
Only take when experiencing lower back pain during labor.
Ren Shen (Ginseng Root), ground; Ru Xiang (Frankincense) each 1 qian; Zhu Sha (Cinnabar) 2 qian.
Grind together. At urgent labor, mix with one egg white, then dilute with fresh ginger juice and take cold. If transverse or inverted, it will correct itself, ensuring safety for mother and child.
Sheng Jin San (Victorious Gold Powder)
Guo Jizhong stated: Dystocia is caused by the fetus turning, breaking the blood clots of the fetal pillow, which stagnates with decidual blood in the uterus, preventing the fetus from moving freely, thus causing difficult labor. Urgently take Sheng Jin San to dissipate the blood, making it easier for the fetus to be born. Chen Wuyue stated: Often due to the fetus not turning smoothly, sitting on the birthing bed too early, or pushing too hard, causing the amniotic sac to rupture and blood/fluid to dry up, making the birth canal rough and the fetus difficult to pass. First take Cui Sheng Ru Shen San (Induction Like-God Powder) to consolidate blood. If transverse or inverted birth occurs, use acupuncture as previously described.
She Xiang (Musk) 1 qian, ground; Yan Chi (Salted Fermented Soybeans) 1 liang, wrapped in green cloth, heated red-hot, quickly ground fine.
Heat a lead weight until red-hot, quench it in wine, mix with wine, and take one qian.
[Promoting Qi Movement]
Cui Sheng Tang (Induction Decoction)
Treats pregnancy nearing term with sparse contractions, difficult labor lasting two to three days without delivery, intrauterine fetal death, or maternal qi deficiency and fatigue, dry birth canal. Can be taken as soon as contractions become dense and waters break.
Cang Zhu (Atractylodes Rhizome) 2 liang, soaked/washed in rice water, cut, stir-fried yellow; Xiao Nong Zhi Ke (Bitter Orange Peel) remove pith, bran-fried; Bai Jie Geng (Platycodon Root); Bo Chen Pi (Tangerine Peel) remove white pith; Yang Shao Yao (Peony Root); Chuan Bai Zhi (Angelica Dahurica); Da Chuan Xiong (Sichuan Lovage Rhizome); Da Dang Gui (Chinese Angelica Root) remove tail, each 1 liang; Jiao Zhi Gui (Cinnamon Bark); Ban Xia (Pinellia Tuber) washed in hot water; Fen Cao (Licorice Root); Ma Huang (Ephedra Stem) remove joints; Jun Jiang (Ginger) peel off; Nong Po (Magnolia Bark) remove rough bark, cut, stir-fry with ginger juice; Nan Mu Xiang (Costus Root) avoid direct fire; Xing Ren (Apricot Seed) remove skin/tips, separately grind; Bai Fu Ling (Poria) each 5 qian.
Grind into powder. Take 2 qian per dose, mix with warm flowing water. If feeling hot/stuffy, take with white honey water, or decoct the powder with one he of true rice vinegar.
Yang Shao Yao and Rou Gui (Cinnamon Bark) in the formula can open the uterus; the rest boost qi, naturally opening orifices. Ma Huang internally promotes yang qi; abundant yang qi promotes blood circulation, leading to delivery. Externally expels cold pathogens and removes accumulations. Very suitable for winter months; not recommended for summer. Alternatively, use Wu Ling San (Five-Ingredient Powder with Poria) with Kui Zi and Deng Xin Cao (Juncus Effusus) decocted in water to take, which clears summer heat and soul, facilitating slipperiness and easy delivery. If amniotic fluid breaks first, causing dry fetus and difficult labor, use white honey and clear oil, soak in hot wine, take at once. Once fetal qi is moistened, delivery occurs.
Dystocia Formula: Suo Sha (Amomum Fruit), Xiang Fu (Cyperus Rhizome, vinegar-fried), Zhi Ke (Bitter Orange Peel), Gan Cao (Licorice Root), Hua Shi (Talcum).
Grind into powder, take with warm water.
[Promoting Blood Circulation]
Ben Cao (Compendium of Materia Medica) indicates it treats difficult labor. Crush Yi Mu Cao (Motherwort Herb) to extract juice (seven da he), decoct until halved, take at once for immediate delivery. If fresh is unavailable, use a large handful of dried herb, decoct in seven he of water.
[Dan] Yi Chan Tian Ma Wan (Easy-Birth Gastrodia Pill)
Tian Ma (Gastrodia Rhizome - Note: Text identifies this as Yi Mu Cao/Motherwort, June harvest with roots/flowers/leaves, dried) grind into powder, bind with refined honey into pills the size of a dragon eye. Chew one pill with warm water at labor onset; it can cure hundred postpartum diseases.
Fo Shou San (Buddha's Hand Powder) (See General Principles of Fetal and Postpartum Care for formula and modifications.)
Ru Sheng San (Like-Sage Powder)
Specifically treats pregnant women with difficult labor.
Zi Su Ye (Perilla Leaf) and Dang Gui (Chinese Angelica Root) in equal parts.
Cut into pieces, take 3-5 qian per dose, decoct in long-flowing water. If unavailable, stir water in a circular motion to simulate flowing water, decoct and take.
Another prescription: Take Ben Fu (Husband's) prepuce, 5 cun, burn until carbonized (preserve nature), take with wine.
Another prescription: Take an eastern branch of a Locust Tree, have the parturient hold it for easy delivery.
Another prescription: Decoct Zi Su (Perilla) in water, mix with Yi Yuan San (Benefit-Origin Powder) and take, resulting in delivery.
Wu You San (Carefree Powder)
Treats fetal obesity with rebellious qi, difficult labor at term.
Dang Gui (Chinese Angelica Root) remove radicle, soak in wine; Chuan Xiong (Sichuan Lovage Rhizome); Mu Xiang (Costus Root) avoid direct fire; Bai Shao Yao (White Peony Root); Zhi Ke (Bitter Orange Peel) remove pith, salt-fry; Gan Cao (Licorice Root) honey-roasted, each 1.5 qian; Ru Xiang (Frankincense) separately ground; Xue Yu (Scorched Human Hair) burn until carbonized, separately ground, each 0.5 qian.
Take as one dose, decoct in two zhong of water to one zhong. Add Ru Xiang and Xue Yu, mix well, take anytime.
[Consolidating Blood]
When amniotic fluid breaks first, excessive lochia flows, and the dry fetus cannot descend, first administer Si Wu Tang (Four-Substance Decoction) to nourish blood and qi. Then, decoct scallion soup strongly, let cool, have the midwife wash the vulva carefully to ensure qi flows up and down smoothly. Apply Hu Su (Butter) mixed with Hua Shi (Talcum) powder to the inside of the vulva. Then take Shen Miao Ru Zhu Dan (Miraculous Milky Cinnabar Pill) or Kui Zi Ru Sheng San (Malvae Seed Like-Sage Powder).
Cui Sheng Ru Sheng San (Induction Like-Sage Powder)
Treats inverted/transverse birth, thin fetus.
Bai Cao Shuang (Soot from Hundred Herbs) and Xiang Bai Zhi (Aromatic Angelica Dahurica) avoid direct fire, grind to powder.
Equal parts, grind uniformly. Take two large qian per dose. At labor onset, mix with child's urine and a little rice vinegar to form a paste, take with boiling water.
Ji Yan (Collected Proven Prescriptions): Decoct wine and child's urine (half cup each), take hot immediately upon boiling. Usually delivers after one more dose. (Danxi uses Xiong Gui Tang (Liquorice and Angelica Decoction) to regulate blood; blood stops when blackened. This drug greatly consolidates blood, preventing dry birth.)
For women who have labored for days, exhausted qi, unable to deliver, with lochia fully discharged and uterus dry, finally failing to deliver: Use one dou of Chi Xiao Dou (Adzuki Bean), nine sheng of water, cook until soft. Remove bean residue. Add three liang of E Jiao (Donkey-Hide Gelatin), melt in bean juice. Take half a cup per dose. If not delivered, take again, and it will come out.
[Breaking Blood Stasis]
Ban Xia Tang (Pinellia Decoction)
Treats dry fetus unable to be delivered.
Ban Xia Qu (Pinellia Fermented Paste) 1.5 liang; Da Huang (Rhubarb Root) 5 qian; Rou Gui (Cinnamon Bark) 7.5 qian; Tao Ren (Peach Seed) 30 pieces, lightly stir-fried.
Grind into coarse powder. First take Si Wu Tang (Four-Substance Decoction) one or two doses, then take Ban Xia Tang with three slices of ginger, decocted in water.
Another prescription: Dang Gui (Chinese Angelica Root) ground to powder, take one fang cun bi with wine.
Qi Sheng San (Seven-Saint Powder)
Take only when experiencing lower back pain during labor.
Yan Hu Suo (Corydalis Rhizome); Mo Yao (Myrrh); Bai Fan (Alum); Bai Zhi (Angelica Dahurica); Jiang Huang (Turmeric Rhizome); Dang Gui (Chinese Angelica Root); Gui Xin (Cinnamon Twig Heart) in equal parts.
Grind into powder. During labor contractions, heat a plowshare iron until red-hot, quench in wine, mix and take three qian. After drinking one or two cups, delivery occurs immediately.
Sheng Jin San (Victorious Gold Powder)
Treats difficult labor, expels stale blood, allowing natural birth. Corrects transverse/inverted positions; softens and expands the uterus if fetus is dead, leading to delivery. Secret transmission from ancestors, priceless.
Wang Bu Liu Xing (Vaccaria Seed); Suan Jiang Cao (Persicaria Hydropiper); Chong Wei Zi (Leonurus Fruit); Bai Ji Li (Tribulus Fruit) remove spines; Wu Ling Zhi (Trogopterus Dung) use raw for blood-moving, all in equal parts.
Grind into powder. Take 3 qian per dose. Take one and a half cups of Li Fang Shui (Water from a specific location favoring flow), add a pinch of Bai Hua Liu Ji Nu Zi (Bidens Pilosa Seed), decoct together, take warm. Highly effective.
[External Application]
Ru Sheng Gao (Like-Sage Ointment)
Treats difficult labor, retained placenta, and dead fetus.
Bi Ma Zi (Castor Seed) 7 pieces, remove shell, grind finely into ointment. Apply to sole of foot. Placenta will deliver; wash off immediately, otherwise intestines may prolapse. Apply this ointment to the crown of the head instead, and intestines will retract. Another version: 100 Bi Ma Zi (Castor Seeds), 1 qian Xiong Huang (Realgar), grind finely, apply as above.
Cui Sheng Wan Jin Bu Chuan Yu Xian Dan (Induction Ten-Thousand-Gold Non-Transmitted Immortal Pill)
Bi Ma Zi (Castor Seed) 14 pieces, remove shell; Zhu Sha (Cinnabar) ground; Xiong Huang (Realgar) ground, each 1.5 qian; She Tui (Snake Slough) one chi, burn until carbonized.
Another version: 3 Bi Ma Zi (Castor Seeds).
Grind into powder, mix with Jiang Shui Fan (Fermented Rice Water Rice) to form pills the size of a marble. At labor onset, first wash the umbilical area with pepper soup, then place one pill in the umbilicus, cover with several layers of wax paper, bind with wide cloth. Once the head is born, urgently remove the medicine. One pill can be used three times.
"Three Castor, Four Croton, strip clothes; grind fine, add Musk. If a woman faces dystocia, paste on umbilicus split apart." (Use 3 Castor Seeds, 4 Croton Seeds, remove shells, add Musk, grind fine, paste on umbilicus.)
Li Sheng Dan (Establishing Sage Pill)
Treats critical difficult labor.
Han Shui Shi (Calcitum) 4 liang, 2 liang raw, 2 liang calcined/red-hot.
Grind together finely, add Zhu Sha (Cinnabar), grind until deep peach-blossom colored. Take 3 fen per dose, mix with well-water to thin paste. Cut paper flower like apricot leaf, spread paste on it, apply to umbilicus. Change when dry. Not more than three applications, and delivery will occur. Treats transverse/inverted bad omens and retained dead fetus. Miraculous. (Note: Han Shui Shi is not Calcite, but what people now call Soft Gypsum. This formula was transmitted by an extraordinary person, very subtle.)
[Miscellaneous Prescriptions]
Tu Jing (Illustrated Classic) states: Have the parturient hold one Shi Yan (Stone Swallow) in each hand; within moments, the baby will be born.
Jiu Chan Nan Jing Ri Bu Sheng (Rescue Difficult Labor Lasting Days Without Birth): Yun Mu Fen (Mica Powder) 0.5 liang, take with warm wine. Delivers upon entering the mouth, ten thousand times never missing one. (Lu Shi states: Has saved three to five hundred people, effective.)
Treats transverse/inverted abnormal labor mechanics: Use Fu Long Gan (Dragon's Liver/Logwood Earth) finely ground, take 1 qian with wine. The earth will emerge wearing the baby's head, wonderful.
[Shi] Ru Shen San (Like-God Powder)
Treats induction with cumulative effectiveness. The spiritual mechanism is hard for people to understand, but the actual use is extremely effective.
At labor onset, have someone find a pair of broken straw sandals on the road, take the ear, burn to ash, take 3 qian bi with warm wine. Left foot yields male, right foot yields female, upside down yields death, sideways yields fright. Truly magical. Using this to send Induction Pills is especially wonderful.
Sheng Jin Dan (Victorious Gold Pill)
Treats difficult labor miraculously. Burn one failed rabbit-hair brush head to ash, grind fine, take with one cup of fresh lotus root juice. If the parturient is weak or has chronic cold disease, fearing lotus root's coldness moves qi, warm it in a double boiler before taking. Immediate delivery.
[Acupuncture]
[Dong] Women about to give birth, with premature rupture of membranes, continuous flow of foul water, sitting on birthing bed too early, no blood to nourish, depletion. Du Yin (0.5 cun, between the third joint of the little toe) Cheng Yin (1.5 cun).
[Yu] Induction, difficult labor, and dead fetus. Tai Chong (0.8 cun, tonify 100 breaths) He Gu (Tonify) San Yin Jiao (0.5 cun, sedate, immediate resolution). Zu Xiao Zhi Jie (3 moxa cones. Xin Shu adds this acupoint). Fetus rising upward pressing on heart. Ju Que (Have sit upright, embrace head and waist slightly leaning back, needle 0.6 cun, retain 7 breaths, sedate upon obtaining qi, immediate revival. If fetus grasps mother's heart, needle mark on palm after birth. If fetus presses heart, mark on Ren Zhong. Mark on occipital bone backward. These are signs. Divine efficacy.) He Gu (0.3 cun, retain 3 breaths, tonify) San Yin Jiao (0.5 cun, sedate inhale at Cun position).
[Zhang Zhongwen] Transverse birth, difficult labor. Tip of the little toe of the right foot (Moxibustion 3 cones, immediate delivery).
[Ji] Another method: Du Yin (Same method as above, moxibustion 7 cones, prohibit needling) He Gu (Tonify) San Yin Jiao (Sedate).
[Sang] Difficult labor. San Yin Jiao.
[Treatment Cases] Chunyu Yi treated Wang Meiren of Chuan who carried a child but did not lactate. Summoned Yi, who gave her a pinch of Lang Ku Ti (Cocklebur) medicine, drunk with wine, and lactation resumed. Yi examined her pulse again, finding it rapid. Rapid pulse indicates excess disease, so he gave her one dose of Xiao Shi (Niter), resulting in bleeding of five or six bean-sized clots.
Hua Borin treated a woman with difficult labor, not lactating for seven days, eating very little. Borin observed, gave her a bowl of cool porridge, decocted Maple Leaf tea to mix, she ate it and lactation resumed. When asked for the rationale, Hua said: This woman eats very little; one cannot give birth without grain qi. Maple leaves fall first if born first, last if born last, hence used as tea.
Pang Anchang treated a woman who had not delivered after seven days, hundred treatments ineffective. Pang observed, ordered family to warm her waist and abdomen with hot water, personally massaged up and down. The pregnant woman felt slight intestinal pain, groaned, and gave birth to a boy. Family was surprised and delighted, not knowing why. Pang said: The child has exited the sac, but one hand mistakenly grabbed the mother's intestine and could not release. Talismans and medicines cannot do this. I palpated the child's hand through the abdomen, needled his Tiger's Mouth (He Gu point), pain caused hand withdrawal, hence rapid birth. No other technique. Examining the child, the needle mark remained on the right Tiger's Mouth. A woman had repeated failures to deliver, induction drugs ineffective. Pang said: This must be due to sitting on the birthing bed too early, fear in the heart, qi knotting and not moving, not obstruction. Su Wen states: Fear causes qi to sink. Fear makes spirit timid; timidity closes Upper Jiao; closure causes qi rebellion; rebellion causes Lower Jiao distension; qi fails to move. One dose of Zi Su Yin (Perilla Drink) resulted in delivery. Also treated Zi Xuan Syndrome (Fetal Distress) in women. (Zi Su Yin see Fetal Distress Pressing Heart.)
Wu Jiaoshan treated a woman with difficult labor, not delivering for three days, various blood-breaking and menstruation-promoting drugs ineffective. Wu formulated a prescription using Che Qian Zi (Plantago Seed) as Sovereign, Dong Kui Zi (Wintermallow Seed) as Minister, Bai Zhi (Angelica Dahurica) and Zhi Ke (Bitter Orange Peel) as Assistant/Envoy. Taken at Si hour, delivered at Wu hour. Physicians were amazed. Wu said: Ben Cao states these are sovereign for induction; Mao Shi (Book of Songs) mentions harvesting Yi Yi (Coix Seed) to prevent dystocia.
Liu Fuzhen encountered the daughter of a Prefect who failed to deliver, already prepared for burial. Liu took concentrated Hong Hua (Safflower) decoction, supported the girl on a stool, dipped cotton cloth in the hot liquid, poured continuously onto the cloth, kept water vessel warm and poured. After a while, she revived and gave birth to a boy. Due to severe winter, blood was cold and stagnant; warmth induced delivery. Also miraculous.
A doctor staying at an inn found the owner's wife had not delivered for days, lower body cold, no medicine available, very distressed. Decocted Pepper, Orange, Evodia, etc., washed the umbilicus, abdomen, and entrance area with the warm liquid when possible. Warmth promoted qi and blood circulation, resulting in delivery.
[Pubic Symphysis Separation]
[Xue] Pubic symphysis separation (Jiao Gu Bu Kai) and failure of the birth canal to close are both due to inherent weakness of primordial qi, lack of regulation during pregnancy, leading to inability of blood and qi to circulate. Pubic symphysis separation is Yin qi deficiency, use Jia Wei Xiong Gui Tang (Modified Liquorice and Angelica Decoction) and Bu Zhong Yi Qi Tang (Tonify Middle and Augment Qi Decoction). Failure of birth canal to close is Blood and Qi deficiency, use Shi Quan Da Bu Tang (Ten Substance Great Tonifying Decoction). Official Li Mengqing married a 35-year-old woman as second wife, worried about difficult labor during pregnancy, requested four doses of Jia Wei Xiong Gui Tang for backup. At term, indeed birth canal did not open, took only one dose, and delivered instantly. Official Fei Huaide's wife, birth canal did not open, two days without delivery, took one dose of previous medicine, delivered immediately. Official passed on this formula, users found it infallible. A woman who delivered easily before, at forty years old, had heavy vaginal bleeding during pregnancy, birth canal did not open. Given one dose of previous decoction, plus one jin of Wu You San (Carefree Powder), decocted and sipped frequently to assist blood and enable delivery.
Jia Wei Xiong Gui Tang (Modified Liquorice and Angelica Decoction)
Mainly treats pubic symphysis separation, inability to deliver.
Chuan Xiong (Sichuan Lovage Rhizome) and Dang Gui (Chinese Angelica Root) each 1 liang; Zi Si Gui Ban (Carapace and Plastron of Naturally Dead Turtle) one piece, roast with butter; Fu Ren Tou Fa (Women's Hair) from those who bore many sons/daughters, one handful, burn until carbonized.
Grind into powder. Take 5 qian per dose, decoct in water. Delivery occurs approximately after walking five li. Even if fetus is dead, it will deliver. Calcined turtle shell can also be used.