前太仆卿霍山张公三君葆华继夫人，年轻体壮，孕必八个月而产，产必数日，百苦而下
，生女必周而夭。再孕、再产、再夭，皆同。予谓∶后当生，宜相闻。明年，又八个月坐草
，三日不下，忽忆予言，飞舆相召，中途逢驱者云∶迎其父母，作永诀计。比至，已夜分矣
，诊之，脉未离经，人余残喘，稳婆在旁，问之？曰∶儿头已至产门，不得出耳！予急令安
卧，且戒勿扰。与安胎药。明晨，主人出，笑而不言。问之？曰∶好了。予曰∶昨言儿头已
抵
八
在张宅日，邑庠程以学邀至其家，有宠人坐草二日而不生，亦与安胎药，越十六日生女
太学戴时济，与予比邻契好，先是其弟媳一产三男，母子俱殒，一犹在腹，今又婢孕，
其腹膨 ，颇患之。比产，先令安卧与加味芎归汤，每隔半日而产，积日半三子俱生。康
熙四十八年安抚叶公具题。
陈氏妻，生九日夜不下，一息尚存，闻余有兔脑丸，踵门求药，余问之？亦曰∶头逼产
门不得出。谕令安卧，再来取药，强而后去，继与加味芎归汤，明日生下，母子两全。
按∶此皆产母用力逼令横在腹中耳，岂有人倒悬十日而尚得生者乎？
昔一妇产儿，手出不得入，稳婆砺刃以须，予见而恻然。急令安卧，与大剂芎归汤，徐
徐托之手入，明早生下，母子皆安，右臂紫黑数月而后消。
增∶横生切忌刀割，割之多母子俱毙，凡产妇畏痛，曲腰则妨儿转身，多致难产，戒之
戒之！
前任太仆寺卿霍山人张葆华继任的夫人，年轻且身体强壮，怀孕必定在第八个月分娩，分娩过程往往持续数日，历经百般痛苦才生下孩子，生下的女儿通常满周岁就夭折。再次怀孕、再次分娩、再次夭折，情况都相同。我对他说：“这次应当能顺利生产，请让我知晓消息。”第二年，又是第八个月临盆，三天孩子仍不下来，忽然想起我说的话，急忙乘马车来召见我，途中遇到赶车的人说：“去迎接她的父母，准备做永别之计了。”等到我赶到时，已经是半夜了。诊察脉象，脉气未离经（指产妇脉象正常，未出现危重之象），人只剩微弱的气息，接生婆在旁边，我问她情况如何？她说：“孩子的头已经到了产门，只是出不来罢了！”我急忙让她安静躺卧，并且告诫不要打扰。给予安胎药。第二天早晨，主人出来，笑着不说话。我问她情况，她说：“好了。”我说：“昨天说孩子的头已经抵到……”
在张宅居住期间，县学生程以学邀请我到他家，有一位受宠爱的妾室临盆两天却生不下来，我也给予安胎药，过了十六天生下女儿。
太学戴时济与我比邻且关系亲密，起初他的弟媳一次生下三个男孩，母子全部死亡，其中一个还在腹中，现在又有婢女怀孕，腹部膨大，对此很担忧。等到分娩时，先让她安静躺卧并服用加味芎归汤，每隔半天生下一个，经过一天半的时间三个孩子都生下来了。康熙四十八年安抚使叶公将此案上奏朝廷。
陈氏的妻子，生了九个夜晚孩子仍不下来，只有一口气尚存，听说我有兔脑丸，登门求药，我问她情况，她也说：“孩子的头逼在产门出不来。”嘱咐她安静躺卧，再来取药，勉强答应后才离开，随后给予加味芎归汤，第二天生下孩子，母子两全。
按语：这些都是因为产母用力逼迫，导致胎儿横在腹中罢了，哪有婴儿倒悬十日还能存活呢？
从前有一位产妇分娩，手伸出后缩不回去，接生婆磨刀等待时机（意指可能需动刀或强行处理），我看见后感到怜悯。急忙让她安静躺卧，给予大剂量的芎归汤，慢慢托举使手回纳，第二天早上生下孩子，母子都平安，右臂紫黑数月后才消退。
补充：横生（胎位不正）切忌用刀切割，切割大多导致母子双亡。凡是产妇因害怕疼痛而曲腰，就会妨碍胎儿转身，多导致难产，务必戒除！
The second wife of Zhang Baohua, a former Grand Coordinator (Taipu Qing) from Huoshan, was young and robust. She invariably delivered at the eighth month of pregnancy, with labor lasting several days, enduring myriad hardships before birth. Daughters born this way typically died upon reaching one year of age. This pattern repeated for subsequent pregnancies: pregnancy, delivery, and death were identical each time. I remarked to him, "This time you will likely have a successful delivery; please let me know." The following year, again in her eighth month, she went into labor but did not deliver after three days. Suddenly remembering my words, she hastily summoned me by carriage. On the way, the driver told me, "Go fetch her parents; prepare for a final farewell." Upon my arrival, it was already midnight. I examined her pulse, which had not deviated from the normal meridian patterns (indicating no immediate critical danger), though she was left with only faint breaths. The midwife stood by. When I asked her the situation, she replied, "The baby's head has reached the birth canal but cannot emerge!" I urgently ordered her to lie still and warned against any disturbance. I administered a Fetus-Securing Decoction (Antai Yao). The next morning, the master came out, smiling silently. When I asked, he said, "It is resolved." I said, "Yesterday you mentioned the baby's head had reached..."
While residing at the Zhang residence, Cheng Yixue, a county-level scholar (Xiyang), invited me to his home. A favored concubine there had been in labor for two days without delivering. I also prescribed a Fetus-Securing Decoction. Sixteen days later, she gave birth to a daughter.
Dai Shiji, a student at the Imperial College (Tai Xue), was my neighbor and close friend. Previously, his younger brother's wife had delivered triplets, resulting in the death of both mother and children, with one fetus remaining in the womb. Now, another maid was pregnant, her abdomen distended, causing him great concern. At the time of delivery, I first instructed her to rest quietly and administer Modified Chuanxiong and Danggui Decoction (Jiawei Xionggui Tang). One infant was delivered every half day. After a day and a half, all three children were born safely. In the 48th year of the Kangxi reign, Prefect Ye memorialized this case to the court.
The wife of Mr. Chen had been in labor for nine nights without delivering, with only a single breath remaining. Hearing that I possessed Rabbit Brain Pills (Tunao Wan), she visited my door seeking medicine. When I inquired about her condition, she also stated, "The baby's head is pressed against the birth canal and cannot come out." I advised her to lie still and return for the medicine. After reluctantly agreeing, she left. Subsequently, I administered Modified Chuanxiong and Danggui Decoction (Jiawei Xionggui Tang). The next day, she delivered, and both mother and child survived intact.
Note: These cases all resulted from the parturient exerting excessive force, causing the fetus to become transverse in the abdomen. How could an infant survive suspended upside down for ten days?
Previously, a woman delivered with her hand protruding and unable to retract. The midwife sharpened a blade, waiting for an opportunity [to intervene forcibly]. Seeing this, I felt compassion. I urgently ordered her to lie still and administered a large dose of Chuanxiong and Danggui Decoction (Xionggui Tang). Slowly, I supported the limb back inside. By the next morning, the child was delivered, and both mother and child were safe. Her right arm remained purple and black for several months before fading.
Addendum: Transverse presentation (Hengsheng) must strictly avoid cutting with blades; such actions often result in the death of both mother and child. Whenever parturients fear pain and curl their waists, it hinders the fetus from turning, frequently leading to dystocia. Take heed!