妇人腹痛数日，不能生产，人以为气虚力弱，不能送子出产门也，谁知血虚胶
滞，胎中无血，儿不易转身乎。夫胎之成由于肾之精，而胎之养半资于五脏六腑之
血，故血旺者子易生，血衰者子难产。所以临产之前，必须补血，虽血难骤生，
补气正所以生血也。然徒补其气，不兼补其血，则阳过于旺，而阴反不足，偏胜之
害，恐有升而不降之虞。故又宜气血之兼补，气能推送，而血又足以济之，则汪洋
易于转头，何至有胶滞之忧哉。方用送子丹治之。
黄 （一两） 当归（一两） 川芎（三钱） 熟地（五钱） 麦冬（一两） 水煎服。二剂子生，
且无横生倒养之病。
此方补气补血之药也。二者相较，补血重于补气，补气止有黄 ，其余无非补
血之品，无论气血两平，阴阳交泰，易于生产。而血旺于气，则胞胎之内，无非血
也。譬如舟遇水浅之区，虽用尽人功，终难推展，忽得春水泛滥，则舟能自行，又遇
顺风之送，有不扬帆而迅走者乎。血犹水也，气犹风也，无水则风虽顺何益哉，故
补气必须补血耳。
用麦冬升麻汤亦效。
麦冬（四两） 升麻（二钱） 水煎服。而儿身即转，易于速下也。
妇人有儿已到门，竟不能产，此危急存亡之时，人以为胞胎先破，水不能推送
之故，谁知交骨不开乎。盖产门之上，原有骨二块，两相斗合，未产之前，其骨自
合，将产之际，其骨自开，故交骨为儿门之关，亦为妇人阴门之键。然其能开能合
者，气血主之也。无血而儿门自闭，无气而儿门不开。欲儿门之开阖，必须交骨顺
滑，自非大补气血不可。然而闭之甚易，开之甚难。其不开者，因产前之贪色也，
过于泄精，则气血大亏，交骨粘滞而不易开。故开交骨，必须于补气补血之中用开
交骨之药，两相合治，不必推生，子自迅下。方用降子散∶
当归（一两） 人参（五钱） 川芎（五钱） 红花（一钱） 牛膝（三钱） 柞木枝（一两）
水煎服。一剂儿门一声响亮，骨如解散，子乃直降矣。
此方用人参补气，用归、芎补血，用红花活血，用牛膝下降，用柞木开关，君
臣佐使，同心协力，所以取效甚神，用开于补之内也。虽单服柞木亦能骨开，但无
补气补血之药，则开不易合。儿门不关，不无风入之忧，不若用此方而能开能闭之
为妙也。至于儿未到门，万不可先用柞木以开其门，然用降子散亦正无碍，以其补
气、补血耳。若单用柞木，必须俟儿头到门，而后用之也。
用突门散亦效。
黄 （二两） 败龟板（一个，捣碎） 牛膝 川芎（各五钱） 附子（三分） 水煎服。一
剂而儿门开，儿即生矣。加当归亦可，加人参更神。
妇人生产，有脚先下者，有手先出者，人以为横生倒产，至危之病，谁知气血
甚衰之病乎。凡儿在胎中，儿身正坐，惟男向内坐，女向外坐，及至生时，则头必
旋转而后生，此天地造化之奇，实非人力所能勉强。虽然先天与后天未常不并行而
不悖，天机之动，必得人力以济之。人力者，非产母用力之谓也，谓产母之气血耳。
气血足而胎必顺，气血亏而胎多逆。盖气血既亏，则母身自弱，子在胎中，何能独
强。势必子身怯弱，虽转头而往往无力，故破胞而出，此手足之所以先见。当是时，
急以针刺儿手足，则儿必惊缩而入，急用转天汤救之。
人参（一两） 当归（二两） 川芎（五钱） 升麻（四分） 牛膝（三钱） 附子（一分）
水煎服。一剂而儿转身矣，急服二剂，自然顺生。
此方用人参、归、芎以补气血之亏，人尽知其义，乃用升麻，又用牛膝、附子，
恐人未识其妙。盖儿已身斜，非用提挈则头不易转。然既转其头，非用下行，则身
不速降，二者并用，非加附子则不能无经不达，使气血之迅达推生也。
用转气催生汤亦神。
人参（二两） 川芎（五钱） 当归 黄 龟膏（各一两） 升麻 旋覆花（各一钱）
水煎服。一剂儿即转身而生矣。
妇人有生产三、四日，子已到门，交骨不开，子死而母未亡者，服开交骨之药
不验，必有死亡之危，今幸不死者，正因其子之死，则胎胞已堕，子母离开，子死
而母气已收，未至同子气之俱绝也。治法但救其母，不必顾其子矣。然死子在门，
塞住其口，亦危道也。仍宜用补血、补气，使气血两旺，死子可出矣。倘徒用祛除
降堕之剂，以下其子，则子未必下，母先脱矣。方用救母丹∶
当归（二两） 川芎（一两） 人参（一两） 荆芥（三钱） 益母草（一两） 赤石脂末（一钱） 水煎服。
一剂子下。
此方用芎、归以补血，用人参以补气，气血既旺，上能升而下能降，气能推而
血能送，安得有阻滞之忧乎。况益母草善下死胎，赤石脂复易化瘀血，自然一涌而
齐出耳。
用牛膝益母汤亦效。
牛膝（三两） 益母草（一两） 水煎服。一剂而死子立下矣。后用人参、当归各一两，川芎
五钱，肉桂一钱服之，保无变生也。
妇人生产六、七日，胞水已破，子不见下，人以为难产之故也，谁知其子已死于
腹中乎。儿在门边未死者，儿头必能伸能缩；已死者，必安然不动也。若系未死，
少拔其发，儿必退入矣。若只子死腹中者，产母之面必无黑气，母不死也。若产母
有黑气现面，兼唇黑舌黑者，子母两死。既知儿死于腹中，而母不死，不能用药以降
之，亦危道也。虽然生产至七日，若用霸道之药，其气血困乏，子下而母且立亡，
必须仍补其母，补母而子可自出矣。方用疗儿散∶
人参（一两） 当归（二两） 川芎（一两） 牛膝（五钱） 鬼臼（三钱） 乳香末（二钱）
水煎服。一剂而死儿下矣。
凡儿生必转其头，原因气血之虚，致儿头之难转，世人往往用催生之药，耗儿
气血，则儿不能通达，反致闭闷而死，此等之死，实医杀之也。所以难产之病，断
不可轻用催生之药。一味补气补血，全活婴儿之命，正无穷也。此方救儿死之母，
仍用大补气血，所以救其本也，谁知救本正所以催生哉。
用参 救母汤亦神效。
人参 黄 （各一两） 当归（二两） 升麻（五分） 龟板（一个） 母丁香（三枚）
水煎服。一剂而死子下生矣。
妇人产数日而胎不下，服催生药皆不效，前条曾言交骨难开，不知又有气结而
不行者。夫交骨不开，固是难产，然儿头到门不能下者，乃交骨之不开也，自宜用
开骨之剂。若儿未到门而不产者，非交骨不开之故也。若开其交骨，则儿门大开，儿头
不转，必且变出非常，万万不可轻开儿门也。大约生产之时，切忌坐草太早，儿未
转头，原难骤生。乃早于坐草，产妇见儿不下，未免心怀惧恐，恐则神祛，神祛则
气下而不升，气既不升，则上焦闭塞，而气乃逆矣。上气既逆，上焦胀满，气益难
行，气阻于上下之间，不利气而催生，则气愈逆而胎愈闭矣。治法但利其气，不必
催生，胎自下也。方用舒气饮∶
人参（一两） 紫苏（三钱） 川芎（五钱） 当归（一两） 陈皮（一钱） 白芍（五钱） 牛膝（三钱）
柴胡（八分） 水煎服。葱白七寸同煎。一剂逆转，儿即下矣。
此方利气而实补气也。气逆由于气虚，气虚则易于恐惧，补其气恐惧自定，恐
惧定而气逆者不知其何以顺也。况方中紫苏、柴胡、白芍、牛膝之类无非平肝疏肺
之品，佐人参、芎、归实有补利之益也，何必开交骨之多事哉。
亦可用归术降胞汤治之。
当归（二两） 白术（二两） 柴胡（一钱） 牛膝（三钱） 丹皮（三钱） 红花（五钱） 荆芥（三钱）
益母草（五钱） 水煎服。
一剂即产，又不伤胎。
妇人腹痛数日，无法分娩，人们认为是气虚力弱，不能将胎儿送出产门，谁知道其实是血虚导致胶滞，胎中无血，胎儿不易转身呢。胎儿的形成源于肾精，而胎儿的滋养一半依赖于五脏六腑之血，所以血旺者子易生，血衰者子难产。因此在临产之前，必须补血，虽然血难以迅速生成，但补气正是为了生血。然而如果只补其气，不兼补其血，则阳气过于旺盛，而阴血反而不足，偏胜的危害，恐怕有升而不降的忧虑。因此又适宜气血兼补，气能推送，而血又足以济助它，那么羊水汪洋易于转头，何至于有胶滞的担忧呢。方用送子丹治疗。
黄芪（一两） 当归（一两） 川芎（三钱） 熟地黄（五钱） 麦冬（一两） 水煎服。两剂后胎儿出生，且没有横生倒产的病。
此方是补气补血的药。二者相比，补血重于补气，补气只有黄芪，其余无非是补血的药物，无论气血两平，还是阴阳交泰，都易于生产。而血旺于气，则胞胎之内，无非是血也。譬如船遇到水浅的区域，虽用尽人力，终究难以推展，忽然得到春水泛滥，则船能自行，又遇上顺风的推送，有不扬帆而迅疾前行的吗？血犹如水，气犹如风，无水则风虽顺有何益处呢，所以补气必须补血。
用麦冬升麻汤也有效。
麦冬（四两） 升麻（二钱） 水煎服。胎儿身体随即转动，易于快速生下。
妇人有胎儿已到产门，竟然不能产出，这是危急存亡的时刻，人们认为是胞胎先破，羊水不能推送的缘故，谁知道其实是交骨不开呢。大概产门之上，原有两块骨头，两相斗合，未产之前，其骨自然闭合，将产之际，其骨自然张开，所以交骨为儿门的关卡，也是妇人阴门的钥匙。然而其能开能合的，由气血主宰。无血则儿门自闭，无气则儿门不开。想要儿门的开阖，必须交骨顺滑，自然非大补气血不可。然而闭之甚易，开之甚难。其不开的原因，是因为产前贪恋色欲，过于泄精，则气血大亏，交骨粘滞而不易开。所以开交骨，必须在补气补血之中加入开交骨的药，两者合治，不必强行推生，胎儿自然迅速下降。方用降子散：
当归（一两） 人参（五钱） 川芎（五钱） 红花（一钱） 牛膝（三钱） 柞木枝（一两） 水煎服。一剂后儿门一声响亮，骨如解散，胎儿乃直降而下。
此方用人参补气，用归、芎补血，用红花活血，用牛膝引血下行，用柞木开关，君臣佐使，同心协力，所以取效很神奇，是用在补益之中开启的方法。虽然单服柞木也能使骨开，但没有补气补血的药，则开之后不易合。儿门不关，不无风邪入侵的忧虑，不如用此方能开能闭的为妙。至于胎儿未到产门，万万不可先用柞木以开其门，然而用降子散也无妨碍，因为它是补气、补血的。若单用柞木，必须等到胎儿头到产门，而后使用它。
用突门散也有效。
黄芪（二两） 败龟板（一个，捣碎） 牛膝 川芎（各五钱） 附子（三分） 水煎服。一剂后儿门开，胎儿即生出。加当归也可以，加人参更神效。
妇人生产，有脚先下的，有手先出的，人们认为是横生倒产，是极危险的病，谁知道其实是气血非常衰弱的病呢。凡胎儿在胎中，胎儿身体正坐，只有男向内坐，女向外坐，及至出生时，则头必旋转而后出生，这是天地造化的奇妙，实在不是人力所能勉强的。虽然先天与后天未尝不并行而不违背，天机的发动，必定得人力来济助它。人力者，不是指产母用力，而是指产母的气血罢了。气血足而胎儿必顺，气血亏而胎儿多逆。盖气血既亏，则母身自弱，子在胎中，怎能独自强盛。势必子身怯弱，虽转头而往往无力，所以破胞而出，这就是手足之所以先见的原因。当此时，急以针刺儿手足，则胎儿必惊缩而入，急用转天汤救治。
人参（一两） 当归（二两） 川芎（五钱） 升麻（四分） 牛膝（三钱） 附子（一分） 水煎服。一剂后胎儿转身，急服二剂，自然顺生。
此方用人参、归、芎以补气血之亏，人尽知其义，乃用升麻，又用牛膝、附子，恐怕人未识其妙。盖胎儿已身斜，非用提挈则头不易转。然而既转其头，非用下行，则身不速降，二者并用，非加附子则不能无经不达，使气血之迅达推生也。
用转气催生汤也神效。
人参（二两） 川芎（五钱） 当归 黄芪 龟膏（各一两） 升麻 旋覆花（各一钱） 水煎服。一剂后胎儿即转身而生。
妇人有生产三、四天，胎儿已到产门，交骨不开，子死而母未亡的，服用开交骨的药不验，必有死亡的危险，今幸不死，正是因为胎儿之死，则胎胞已堕，子母离开，子死而母气已收，未至同子气之俱绝。治法只需救其母，不必顾及其子。然而死子在产门，塞住其口，也是危险之道。仍宜用补血、补气，使气血两旺，死子可出矣。倘若只用祛除降堕之剂，以下其子，则子未必下，母先脱矣。方用救母丹：
当归（二两） 川芎（一两） 人参（一两） 荆芥（三钱） 益母草（一两） 赤石脂末（一钱） 水煎服。一剂后子下。
此方用芎、归以补血，用人参以补气，气血既旺，上能升而下能降，气能推而血能送，安得有阻滞的忧虑呢。况且益母草善下死胎，赤石脂复易化瘀血，自然一涌而齐出耳。
用牛膝益母汤也有效。
牛膝（三两） 益母草（一两） 水煎服。一剂后死子立即落下。后用人参、当归各一两，川芎五钱，肉桂一钱服用，保全无变生。
妇人生产六、七天，胞水已破，胎儿不见下，人们认为是难产的缘故，谁知道其胎儿已死于腹中呢。胎儿在产门边未死的，胎儿头必能伸能缩；已死的，必安然不动。若系未死，少拔其发，胎儿必退入矣。若只是子死腹中者，产母之面必无黑气，母不死。若产母有黑气现于面部，兼唇黑舌黑的，子母两死。既然知道胎儿死于腹中，而母不死，不能用药物以降之，也是危险之道。虽然生产至七日，若用霸道之药，其气血困乏，子下而母且立亡，必须仍补其母，补母而子可自出矣。方用疗儿散：
人参（一两） 当归（二两） 川芎（一两） 牛膝（五钱） 鬼臼（三钱） 乳香末（二钱） 水煎服。一剂后而死儿下。
凡胎儿出生必转其头，原因因气血之虚，致胎儿头之难转，世人往往用催生之药，耗儿气血，则胎儿不能通达，反致闭闷而死，这种死，实在是医生杀死的。所以难产之病，断不可轻用催生之药。一味补气补血，全活婴儿之命，正无穷也。此方救儿死之母，仍用大补气血，所以救其本，谁知道救本正是为了催生呢。
用参芪救母汤也神效。
人参 黄芪（各一两） 当归（二两） 升麻（五分） 龟板（一个） 母丁香（三枚） 水煎服。一剂后而死子下生。
妇人产数日而胎不下，服催生药皆不效，前条曾言交骨难开，不知又有气结而不行的情况。夫交骨不开，固然是难产，然而胎儿头到产门不能下的，乃是交骨的不开，自然宜用开骨之剂。若胎儿未到产门而不产的，不是交骨不开的缘故。若开其交骨，则儿门大开，胎儿头不转，必且变出非常，万万不可轻开儿门。大约生产之时，切忌坐草太早，胎儿未转头，原难骤生。乃早于坐草，产妇见胎儿不下，未免心怀惧恐，恐则神祛，神祛则气下而不升，气既不升，则上焦闭塞，而气乃逆矣。上气既逆，上焦胀满，气益难行，气阻于上下之间，不利气而催生，则气愈逆而胎愈闭矣。治法只需利其气，不必催生，胎儿自然下也。方用舒气饮：
人参（一两） 紫苏（三钱） 川芎（五钱） 当归（一两） 陈皮（一钱） 白芍（五钱） 牛膝（三钱） 柴胡（八分） 水煎服。葱白七寸同煎。一剂后逆转，胎儿即下。
此方利气而实补气也。气逆由于气虚，气虚则易于恐惧，补其气恐惧自定，恐惧定而气逆者不知其何以顺也。况且方中紫苏、柴胡、白芍、牛膝之类无非平肝疏肺之品，佐人参、芎、归实有补利之益，何必开交骨之多事哉。
亦可用归术降胞汤治疗。
当归（二两） 白术（二两） 柴胡（一钱） 牛膝（三钱） 丹皮（三钱） 红花（五钱） 荆芥（三钱） 益母草（五钱） 水煎服。一剂即产，又不伤胎。
A woman suffers from abdominal pain for several days and cannot deliver. People assume it is due to Qi deficiency and weakness, unable to push the fetus out of the birth canal. Little do they know that it is actually Blood deficiency causing stagnation; with no Blood in the womb, the fetus finds it difficult to turn. The formation of the fetus stems from Kidney Essence (Jing), while its nourishment relies half on the Blood of the Zang-Fu organs. Therefore, when Blood is abundant, childbirth is easy; when Blood is deficient, childbirth is difficult. Thus, before labor, one must tonify Blood. Although Blood is hard to generate rapidly, tonifying Qi is precisely the method to generate Blood. However, if one only tonifies Qi without simultaneously tonifying Blood, Yang will become excessively vigorous while Yin/Blood becomes insufficient. The harm of such imbalance fears a condition of ascending without descending. Hence, it is appropriate to tonify both Qi and Blood. Qi can push, and Blood can support it, making the amniotic fluid ample for turning, avoiding concerns of stagnation. Use Songzi Dan (Child-Delivering Decoction) to treat this.
Huangqi (Astragali Radix, 1 liang), Danggui (Angelicae Sinensis Radix, 1 liang), Chuanxiong (Ligustici Chuanxiong Rhizoma, 3 qian), Shudi (Rehmanniae Radix Praeparata, 5 qian), Maidong (Ophiopogonis Radix, 1 liang). Decoct in water and take orally. After two doses, the child is born, without complications of transverse or breech presentation.
This formula consists of herbs that tonify Qi and Blood. Comparing the two, tonifying Blood is heavier than tonifying Qi; among them, only Huangqi tonifies Qi, while the rest are all Blood-tonifying substances. Whether Qi and Blood are balanced, or Yin and Yang interact harmoniously, childbirth becomes easy. When Blood is abundant relative to Qi, the interior of the gestational sac is filled with Blood. It is like a boat encountering shallow waters; despite using all human effort, it is difficult to move forward. Suddenly, spring floods arrive, allowing the boat to move on its own, and with a following wind, does it not sail swiftly without raising sails? Blood is like water, Qi is like wind. Without water, what good is a favorable wind? Therefore, tonifying Qi must include tonifying Blood.
Using Maidong Shengma Tang (Ophiopogon and Cimicifuga Decoction) is also effective.
Maidong (Ophiopogonis Radix, 4 liang), Shengma (Cimicifugae Rhizoma, 2 qian). Decoct in water and take orally. The fetal body turns immediately, facilitating rapid delivery.
In cases where a woman’s fetus has reached the birth canal but cannot be delivered, it is a critical moment of life and death. People attribute this to the premature rupture of membranes and lack of amniotic fluid to push. Little do they know that the issue lies in the failure of the pubic symphysis (Jiaogu) to open. Above the birth canal, there are originally two bones that interlock. Before labor, these bones remain closed; at the onset of labor, they naturally open. Thus, the pubic symphysis acts as the gatekeeper of the fetal passage and the key to the female genital opening. Its ability to open and close is governed by Qi and Blood. Without Blood, the passage closes itself; without Qi, it fails to open. To achieve opening and closing, the pubic symphysis must be smooth, which necessitates major tonification of Qi and Blood. Closing is easy, but opening is difficult. The reason for non-opening is often pre-natal indulgence in sexual activity, leading to excessive essence loss, severe depletion of Qi and Blood, and adhesiveness/stagnation of the pubic symphysis. Therefore, to open the pubic symphysis, one must use herbs that open it within the context of Qi and Blood tonification. Treating both together allows the fetus to descend rapidly without forced pushing. Use Jiangzi San (Child-Descending Powder):
Danggui (Angelicae Sinensis Radix, 1 liang), Renshen (Ginseng Radix, 5 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma, 5 qian), Honghua (Carthami Flos, 1 qian), Niuxi (Achyranthis Bidentatae Radix, 3 qian), Zuomuzhi (Ramulus Ziziphus Spinosae, 1 liang). Decoct in water and take orally. After one dose, a loud sound is heard from the birth canal, the bones seem to separate, and the fetus descends straight down.
This formula uses Renshen to tonify Qi, Danggui and Chuanxiong to tonify Blood, Honghua to invigorate Blood, Niuxi to guide downward, and Zuomuzhi to open the joints. The Sovereign, Minister, Assistant, and Envoy herbs work in concert, yielding miraculous effects by employing opening methods within tonification. Although Zuomuzhi alone can open the bones, without Qi and Blood tonification, the opening may not seal properly. An unsealed birth canal risks wind invasion. It is superior to use this formula which allows both opening and closing. If the fetus has not yet reached the canal, one must absolutely avoid using Zuomuzhi prematurely to open the passage. However, Jiangzi San is safe because it tonifies Qi and Blood. If using only Zuomuzhi, one must wait until the fetal head reaches the canal.
Using Tumen San (Aperture-Opening Powder) is also effective.
Huangqi (Astragali Radix, 2 liang), Baiguiban (Testudinis Carapax et Plastrum, one piece, crushed), Niuxi (Achyranthis Bidentatae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma, each 5 qian), Fuzi (Aconiti Lateralis Radix Praeparata, 3 fen). Decoct in water and take orally. After one dose, the birth canal opens, and the child is born. Adding Danggui is acceptable; adding Renshen is even more effective.
In childbirth, some present feet-first, others hands-first. People consider this transverse or breech presentation, a critical condition. Little do they know it is actually a disease of severe Qi and Blood deficiency. In the womb, the fetus sits upright: males face inward, females face outward. At birth, the head must rotate before delivery, a marvel of nature beyond human coercion. Although innate constitution and acquired constitution operate in harmony, heavenly mechanisms require human effort to assist. This "human effort" refers not to the mother's physical exertion, but to her Qi and Blood. Sufficient Qi and Blood ensure a smooth fetus; deficient Qi and Blood lead to abnormal presentations. Since Qi and Blood are deficient, the mother is weak, and the fetus cannot be strong. The fetus becomes timid and weak, lacking strength to turn, thus breaking the membrane and emerging with limbs visible first. At this time, urgently prick the fetal limbs with needles to cause retraction, then urgently use Zhuantian Tang (Heaven-Turning Decoction) to rescue.
Renshen (Ginseng Radix, 1 liang), Danggui (Angelicae Sinensis Radix, 2 liang), Chuanxiong (Ligustici Chuanxiong Rhizoma, 5 qian), Shengma (Cimicifugae Rhizoma, 4 fen), Niuxi (Achyranthis Bidentatae Radix, 3 qian), Fuzi (Aconiti Lateralis Radix Praeparata, 1 fen). Decoct in water and take orally. After one dose, the fetus turns. Urgently take two more doses for natural smooth delivery.
This formula uses Renshen, Danggui, and Chuanxiong to tonify deficient Qi and Blood, which everyone understands. The use of Shengma, Niuxi, and Fuzi might be less obvious. Since the fetus is tilted, lifting agents are needed to turn the head. Once the head turns, descending agents are needed for rapid body descent. Using both requires Fuzi to ensure unobstructed meridian flow, enabling Qi and Blood to rush and push the fetus out.
Using Zhuanqi Cuisheng Tang (Qi-Turning Labor-Inducing Decoction) is also miraculous.
Renshen (Ginseng Radix, 2 liang), Chuanxiong (Ligustici Chuanxiong Rhizoma, 5 qian), Danggui (Angelicae Sinensis Radix), Huangqi (Astragali Radix), Guigao (Tartarum Testudinis, each 1 liang), Shengma (Cimicifugae Rhizoma), Xuanfuhua (Inulae Flos, each 1 qian). Decoct in water and take orally. After one dose, the fetus turns and is born.
In cases where a woman has labored for three or four days, the fetus has reached the canal, the pubic symphysis will not open, the child is dead, but the mother survives, and remedies to open the pubic symphysis fail, there is a risk of death. Fortunately, survival is possible because the death of the fetus means the membranes have ruptured, separating mother and child. The mother's Qi recovers and does not perish with the child. The treatment should focus solely on saving the mother, ignoring the dead fetus. However, a dead fetus blocking the canal is dangerous. One should still tonify Blood and Qi to make both abundant, allowing the dead fetus to exit. If one merely uses purgative or expulsive agents to force the fetus out, the fetus may not pass, but the mother may collapse first. Use Jiumu Dan (Mother-Saving Pill):
Danggui (Angelicae Sinensis Radix, 2 liang), Chuanxiong (Ligustici Chuanxiong Rhizoma, 1 liang), Renshen (Ginseng Radix, 1 liang), Jingjie (Schizonepetae Spica, 3 qian), Yimucao (Leonuri Herba, 1 liang), Chishizhimo (Halloysit Rubra, 1 qian). Decoct in water and take orally. After one dose, the fetus is expelled.
This formula uses Chuanxiong and Danggui to tonify Blood, and Renshen to tonify Qi. With abundant Qi and Blood, there is ascending and descending, pushing and sending, eliminating obstruction. Moreover, Leonuri Herba excels at expelling dead fetuses, and Halloysit Rubra resolves blood stasis, ensuring simultaneous expulsion.
Using Niuxi Yimu Tang (Achyranthus and Motherwort Decoction) is also effective.
Niuxi (Achyranthis Bidentatae Radix, 3 liang), Yimucao (Leonuri Herba, 1 liang). Decoct in water and take orally. After one dose, the dead fetus drops immediately. Subsequently, administer Renshen and Danggui (each 1 liang), Chuanxiong (5 qian), and Rougui (Cinnamomi Cortex, 1 qian) to prevent complications.
In cases where a woman has labored for six or seven days, the amniotic fluid has broken, but the fetus has not descended, people assume it is dystocia. Little do they know the fetus has died in the abdomen. A living fetus near the canal can extend and retract its head; a dead fetus remains motionless. If alive, pulling the hair would cause retraction. If only the fetus is dead in the abdomen, the mother's face will show no black qi, and she will survive. If the mother shows black qi on her face, along with black lips and tongue, both mother and child die. Knowing the fetus is dead but the mother lives, failing to use medication to expel it is dangerous. Although seven days into labor, using harsh/expulsive drugs would deplete the already exhausted Qi and Blood, potentially killing the mother upon delivery. One must tonify the mother; tonifying the mother allows the fetus to exit naturally. Use Liaor San (Fetus-Curing Powder):
Renshen (Ginseng Radix, 1 liang), Danggui (Angelicae Sinensis Radix, 2 liang), Chuanxiong (Ligustici Chuanxiong Rhizoma, 1 liang), Niuxi (Achyranthis Bidentatae Radix, 5 qian), Jiubai (Podophylli Peltati Rhizoma et Radix, 3 qian), Ruxiangmo (Boswelliae Resina, 2 qian). Decoct in water and take orally. After one dose, the dead fetus is expelled.
Normally, the fetus must turn its head at birth. Difficulty turning is due to Qi and Blood deficiency. People often use labor-inducing drugs, which consume the fetus's Qi and Blood, preventing passage and causing suffocation death. Such deaths are effectively physician-induced. Therefore, in dystocia, one must never lightly use labor-inducing drugs. Solely tonifying Qi and Blood can save countless infants. This formula saves the mother of a dead fetus by heavily tonifying Qi and Blood, addressing the root. Who knows that treating the root induces labor?
Using Shenqi Jiumu Tang (Ginseng and Astragalus Mother-Saving Decoction) is also miraculous.
Renshen (Ginseng Radix), Huangqi (Astragali Radix, each 1 liang), Danggui (Angelicae Sinensis Radix, 2 liang), Shengma (Cimicifugae Rhizoma, 5 fen), Guiban (Testudinis Carapax et Plastrum, one piece), Mudingxiang (Eugeniae Caryophyllatus Flos, 3 pieces). Decoct in water and take orally. After one dose, the dead fetus is born.
In cases where a woman has labored for several days without delivering, and labor-inducing drugs fail, previous sections mentioned difficulty opening the pubic symphysis. However, there is also the case of Qi stagnation and failure to move. While pubic symphysis non-opening causes dystocia, if the fetal head has reached the canal but cannot descend, it is indeed due to the pubic symphysis, and bone-opening agents are appropriate. But if the fetus has not reached the canal and is not delivering, it is not due to pubic symphysis issues. Opening the pubic symphysis prematurely would widen the birth canal, causing the fetal head to fail to turn and leading to unusual complications. One must absolutely avoid opening the birth canal lightly. Generally, during labor, sitting on the grass (beginning active pushing) too early is forbidden. If the fetus hasn't turned, sudden delivery is impossible. Sitting too early causes anxiety upon seeing no progress. Fear disperses Shen (Spirit), causing Qi to sink rather than ascend. Unascended Qi blocks the Upper Jiao, causing Qi rebellion. Upper Qi rebellion leads to Upper Jiao distension, making Qi movement harder. Qi obstruction between upper and lower levels makes labor-inducing drugs counterproductive, worsening Qi rebellion and fetal closure. The treatment is to promote Qi flow, not induce labor; the fetus will descend naturally. Use Shuqi Yin (Qi-Regulating Decoction):
Renshen (Ginseng Radix, 1 liang), Zisu (Perillae Folium, 3 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma, 5 qian), Danggui (Angelicae Sinensis Radix, 1 liang), Chenpi (Citri Reticulatae Pericarpium, 1 qian), Baishao (Paeoniae Radix Alba, 5 qian), Niuxi (Achyranthis Bidentatae Radix, 3 qian), Chaihu (Bupleuri Radix, 8 fen). Decoct in water. Add 7 cun of Congbai (Allii Fistulosi Bulbus) and decoct together. After one dose, the situation reverses, and the fetus is delivered.
This formula promotes Qi flow while实质上 tonifying Qi. Qi rebellion stems from Qi deficiency; deficiency leads to fear. Tonifying Qi stabilizes fear, and stabilized fear allows rebellious Qi to normalize naturally. Moreover, herbs like Perillae Folium, Bupleuri Radix, Paeoniae Radix Alba, and Achyranthis Bidentatae Radix soothe Liver and diffuse Lung. Assisted by Ginseng, Ligustici Chuanxiong Rhizoma, and Angelicae Sinensis Radix, they truly benefit tonification and regulation. Why bother opening the pubic symphysis unnecessarily?
Guishu Jiangbao Tang (Angelica and Atractylodes Uterus-Descending Decoction) can also be used.
Danggui (Angelicae Sinensis Radix, 2 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 2 liang), Chaihu (Bupleuri Radix, 1 qian), Niuxi (Achyranthis Bidentatae Radix, 3 qian), Danpi (Moutan Cortex, 3 qian), Honghua (Carthami Flos, 5 qian), Jingjie (Schizonepetae Spica, 3 qian), Yimucao (Leonuri Herba, 5 qian). Decoct in water and take orally. Delivery occurs after one dose, without harming the fetus.