儿未转身，产母用力太早，令儿脚被努出。当令产母安然仰卧，以稳婆之手轻轻推入，候儿自顺。若良久
不生，着稳婆手入产户，就一边拨儿转顺产门，乃服佛手散催之，俟头正顶对，努力即下。
产有横生，缘儿身方，转用力太急，逼令儿身不正。着产母仰卧，令稳婆轻推儿顺，直以中指探儿肩，勿令
脐带扳住，儿头对正，用佛手散即生。
佛手散（见前）。
（附∶暑产、冻产）
产有盘肠，临产子肠先出，然后生子，如肠带出，时以极洁净不破损之漆器盛，随用蓖麻子四十九粒，研
烂，涂产母头顶上，肠即收进。即用热水洗去蓖麻子。如肠已干，磨刀水少许温润之，再以地理家好磁石煎服
之，即收上。又方∶用麻油蘸火纸燃点，灯吹熄，以此烟熏产母鼻中，肠即收，此方甚善。
又有暑产。在盛暑之月，热气蒸逼产母，头昏面赤。用井水一盆，安于床边，以收暑气。倘有凉风雨时，
亦宜闭门避之。
有冻产者，言冬天严寒气血凝滞，致儿不下，此害最深，宜身背向火，下体温暖，血始流通，儿易生下。盖
腹痛时，宜缓待而坐盆，时宜速下，迟防误事。急服佛手散与催生之药，察情详理，速与儿出。
催生如神散
百草霜（即锅底烟煤。此物因恐血去多，红见黑即止之意，产后勿用）。白芷（不见火）
二物等分为末，每服三钱，用童便米醋和如膏，沸汤调服，或酒加童便热服。
神寝丸
明滴乳香（五钱，另研） 枳壳（一两，炒）
二味为末，炼蜜丸桐子大，温酒服三十丸。
催生散
黄蜀葵子（半合，研烂）
以酒滤去渣温服。
催生之方甚多，难以修合者如兔脑丸之类，一时无觅处。然予亦未用，只以佛手散用者，多已应验。今
略备三方，取易者用。叶氏有母死子存不能出者，用水银如弹子大，格口灌入喉口，捧起令下，一食顷，又捧
令起，子即出矣。因注于此，备而不用。
胎儿尚未转身，产妇过早用力，导致胎儿的脚被挤出。此时应让产妇安然仰卧，由接生婆用手轻轻将胎儿推回，等待胎儿自然转正。如果长时间仍无法分娩，接生婆可将手伸入产道，从一侧拨动胎儿使其转向正确的产门，然后服用佛手散以催产，等到胎头端正对准产门时，产妇再用力即可娩出。
分娩出现横位，是因为胎儿身体呈横向，产妇转力过急，迫使胎儿体位不正。应让产妇仰卧，由接生婆轻轻推正胎儿，直接用中指探触胎儿肩部，避免脐带牵拉，待胎头对正后，服用佛手散即可分娩。
佛手散（见前文）。
（附：暑天分娩、受冻分娩）
分娩出现盘肠（直肠脱垂），临产时直肠先于胎儿脱出，然后才生下胎儿。若肠管脱出，随时用极洁净且无破损的漆器盛放，随即取蓖麻子四十九粒，研烂，涂抹在产妇头顶上，直肠即可收回。随后用热水洗去蓖麻子。如果直肠已经干燥，可取少许磨刀水湿润之，再服用地理家配制的好磁石煎剂，直肠即可收回。另一方法：用麻油蘸火纸点燃，吹灭灯火，以此烟雾熏产妇鼻孔，直肠即可收回，此法甚好。
又有暑天分娩。在盛夏月份，热气蒸腾逼迫产妇，导致头晕面赤。可在床边放置一盆井水，以吸收暑气。如果有凉风雨天气，也应关门躲避。
有受冻分娩者，指冬天严寒导致气血凝滞，致使胎儿不下，这种情况危害最深。宜让产妇背部向火，保持下身温暖，血液才能流通，胎儿易于娩出。大概腹痛时，宜缓待而坐盆，时机适宜则迅速分娩，迟缓恐误事。急服佛手散及催生药物，根据情况详细分析，迅速使胎儿娩出。
催生如神散
百草霜（即锅底烟煤。此物因恐怕失血过多，红见黑即止之意，产后勿用）。白芷（不经过火炒）
两味药等分为末，每次服用三钱，用童便和米醋调和成膏状，用沸水冲服，或用酒加童便热服。
神寝丸
明滴乳香（五钱，另研细） 枳壳（一两，炒制）
两味药为末，炼蜜制成梧桐子大小的丸剂，温酒送服三十丸。
催生散
黄蜀葵子（半合，研烂）
用酒过滤去渣，温服。
催生的方剂很多，难以制备的如兔脑丸之类，一时难以寻觅。然而我也未曾使用，只以佛手散为主，大多已验证有效。现在略备上述三方，选取容易获取的来使用。叶氏记载有母亲死亡而胎儿存活不能娩出的情况，用水银如弹子大小，撬开口腔灌入喉中，托起身体使其向下，一顿饭工夫后，又托起使其向上，胎儿即可娩出。因此记录于此，作为备用而不使用。
If the fetus has not turned yet and the mother exerts effort too early, causing the fetal feet to be pushed out, the mother should lie flat on her back calmly. The midwife should gently push the fetus back in with her hand, waiting for the fetus to naturally align itself. If delivery does not occur after a long time, the midwife should insert her hand into the birth canal, maneuver the fetus from one side to face the correct birth passage, and then administer Foshou San (Buddha's Hand Powder) to induce labor. Once the fetal head is correctly aligned with the birth canal, the mother can exert effort to deliver the baby.
Transverse presentation occurs because the fetus is positioned horizontally, and the mother’s sudden or excessive pushing forces the fetus into an abnormal position. The mother should lie on her back while the midwife gently guides the fetus into alignment. The midwife should use her middle finger to probe the fetal shoulder, ensuring the umbilical cord is not pulled taut. Once the fetal head is aligned, administering Foshou San (Buddha's Hand Powder) will facilitate delivery.
Foshou San (Buddha's Hand Powder) (see previous text).
(Attachment: Summer Delivery and Cold-Induced Delivery)
In cases of prolapsed rectum during delivery, the rectum protrudes before the fetus is born. If the intestine protrudes, it should be kept in a very clean, unbroken lacquerware vessel. Immediately, grind forty-nine seeds of Ricini Semen (Castor Bean) into a paste and apply it to the crown of the mother’s head; the rectum will retract. Wash off the Ricini Semen with warm water afterward. If the rectum has dried, moisten it slightly with water used for sharpening knives, and then have the mother drink a decoction of high-quality magnetite prepared by geomancers; the rectum will retract. Another method: dip paper in sesame oil, ignite it, extinguish the flame, and use the smoke to fumigate the mother’s nostrils; the rectum will retract. This method is highly effective.
Summer delivery refers to situations occurring in the height of summer, where intense heat steams and oppresses the mother, causing dizziness and facial redness. Place a basin of well water beside the bed to absorb the summer heat. If cool winds or rain occur, close the doors to avoid exposure.
Cold-induced delivery refers to severe cold in winter causing stagnation of Qi and blood, preventing the fetus from descending. This condition is most harmful. The mother should keep her back facing the fire and maintain warmth in the lower body so that blood circulation resumes, facilitating delivery. Generally, when abdominal pain occurs, the mother should wait patiently and sit on a birthing stool. When the timing is right, she should deliver quickly; delay may lead to complications. Urgently administer Foshou San (Buddha's Hand Powder) and other labor-inducing medicines. Assess the situation carefully and ensure rapid delivery.
Cui Sheng Ru Shen San (Divine-Efficiency Labor-Inducing Powder)
Soot from the bottom of the cooking pot (Caogenshuang, i.e., soot. This substance implies stopping bleeding as red turns to black due to fear of excessive blood loss; do not use postpartum). Angelicae Dahuricae Radix (Baizhi, do not roast over fire).
Grind both ingredients into equal parts powder. Take three qian per dose. Mix with child’s urine and rice vinegar to form a paste, then take with boiling water, or mix with wine and child’s urine and take hot.
Shen Qin Wan (Divine Rest Pill)
Resina Incensi (Ru Xiang, clear dripping frankincense) (five qian, separately ground). Aurantii Fructus (Zhi Ke, bitter orange fruit, roasted).
Grind both into powder, mix with refined honey to make pills the size of tung tree seeds. Take thirty pills with warm wine.
Cui Sheng San (Labor-Inducing Powder)
Abelmoschi Semen (Huang Shu Kui Zi, half he, ground into paste).
Filter the residue using wine and take warm.
There are many formulas for inducing labor, such as Rabbit Brain Pills, which are difficult to prepare and hard to find at present. However, I have never used them myself. I primarily rely on Foshou San (Buddha's Hand Powder), which has proven effective in many cases. Here, I briefly list the above three formulas for ease of access. Ye Shi recorded a case where the mother died but the fetus survived and could not be delivered. In such a case, place mercury the size of a bullet into the mouth via the throat, lift the body downward, wait for the duration of a meal, then lift the body upward; the fetus will be delivered. This is recorded here for reference only and should not be used.