人之所以生。气血而已。血之所以生。气而已。气。火也。血。水也。贮水于釜。厝火而烹之。其蒸蒸然浮动者。
水也。其所以然者。非水也。气也。火之用也。故治血必先理气。气行血行。气滞血滞。行则生。滞则死。见血之滞而
攻之使下。是犹见水之滞而激之使行也。今之业产科者。操此术以杀人。盖不知其几矣。嘉庆癸酉。余室人卫氏。产后
患
瘀滞。医曰。是非逐以莪术荆三棱不可。一剂而神昏谵语。则云。药轻不胜病。益以大剂而气上逆暴脱矣。余是时初未
知医。以为证固不治。但有悼痛。厥后稍稍习岐黄家言。得浦江倪氏所着产宝读之。遇戚鄙中有患此者。照是书于生化
汤中加生 一二两。恒获十全。他证按方取治。靡不愈。然后知前此为医所误。凡莪术荆三棱之属。破血而因以蚀气。
气蚀则血无以生。虽神奇亦化为臭腐。而生化汤于行血中理气。增以生 。气壮而血以行以生。故能奏效若此也。余既
悼逝者之不可作。复悯医之庸。顷承乏平度。听断之暇。因取是书略加删润。镂板传布。俾业产科者有所据根据。毋徒以
破血蚀气之药杀人也。嗟乎。是岂独产后然哉。四明高鼓峰论治血证。以固元汤先回其气。汤中重用参 。而今世粗
工。惟知用寒凉。直折重遏其心肺之阳。驯致生生之气绝而不可复救。岂不悲哉。附着弁言。为世之治血而不知理气者
告焉。倪氏名枝维。字佩玉。号凤宾。雍正六年成是书。向无刊本。余友赵文学魏寄视写本。弃之箧。衍二十五年矣。
生平所见治产诸书。未有出此上者。洵可宝也。
道光壬寅春仲。海昌许 序于平度州署之行吾素斋。
人之所以能够生存，依靠的是气和血。而血之所以能够生成，依靠的是气。气，属于火；血，属于水。就像在锅里盛满水，在下面放置火来烹煮，那些热气腾腾、浮动上升的，是水蒸气（水）。但使其产生这种变化的根本原因，不是水本身，而是气，是火的作用。所以治疗血病必须先调理气。气行则血行，气滞则血滞。气通畅则生命生生不息，气阻滞则导致死亡。看到血有瘀滞就强行攻逐使其下行，这就像看到水流停滞就强行激荡使其流动一样（违背自然规律）。如今从事产科的人，运用这种错误的方法杀人，大概不知有多少了。嘉庆癸酉年，我的妻子卫氏，产后患有瘀血阻滞。医生却说：这种情况非要用莪术、荆三棱等药驱逐不可。服用一剂后，病人出现神志昏迷、胡言乱语，医生又说：药力太轻，压不住病势，于是加大剂量使用大剂量的药物，结果导致气机上逆、突然虚脱。我当时刚接触医学不久，认为病情确实无法救治，只有悲痛哀悼。后来我渐渐学习中医理论，得到了浦江倪氏所著的《产宝》一书阅读。遇到亲戚朋友中患此病的人，依照这本书的方子，在生化汤中加入生地黄一两左右，常常能获得十全十美的疗效。其他证候按照方子取药治疗，没有不痊愈的。这才明白之前被医生误治了。凡是像莪术、荆三棱这类药物，虽然能破血，却因此损伤了气。气受损则血无法再生，即使原本神奇的药也会变成腐朽无用之物。而生化汤是在活血的同时调理气，再加入生地黄，使气壮盛从而推动血液运行和生成，所以能取得这样的效果。我既哀悼逝者不能复生，又怜悯庸医的无知。近期我代理平度州知州职务，在审理案件之余，便选取这本书略加删减润色，刻印流传，让从事产科的人有所依据，不要只用那些破血蚀气的药物去杀人。唉！这哪里只是产后病如此呢？四明高鼓峰论述治疗血证，主张用固元汤先挽回其气，汤中重用参、芪。而当今世间的粗劣工匠，只知道使用寒凉药物，直接折损并严重遏制心肺之阳气，逐渐导致生生不息之气断绝而无法挽救，难道不令人悲哀吗？写下这篇序言，是为了告诫世上那些治疗血病却不知道调理气的人。倪氏名枝维，字佩玉，号凤宾，于雍正六年写成此书。此前没有刊印版本。我的朋友赵文学魏寄来抄写的样本，收藏在箱子里，已经二十五年了。平生所见治疗产科的各种书籍，没有超过此书的，确实值得珍视。道光壬寅年春季二月，海昌许翰在平度州官署的行吾素斋作序。
The reason why human beings can survive lies in Qi (Vital Energy) and Blood. The reason why Blood is generated lies in Qi. Qi belongs to Fire; Blood belongs to Water. It is like storing water in a pot and placing fire underneath to cook it; the steaming, floating vapor that rises is Water. However, the cause of this phenomenon is not Water itself, but Qi, which is the function of Fire. Therefore, treating Blood disorders requires first regulating Qi. When Qi moves, Blood moves; when Qi stagnates, Blood stagnates. Movement leads to life, while stagnation leads to death. Seeing Blood stagnation and attacking it forcibly to make it descend is akin to seeing stagnant water and forcing it to flow by agitation. Today, practitioners of obstetrics employ this method to kill people, an occurrence whose frequency is incalculable. In the Guiyou year of the Jiaqing reign, my wife, Lady Wei, suffered from postpartum blood stasis. The physician stated: "This condition cannot be cured without expelling the stasis using Euphorbiae Lathyris Radix (Ezhu) and Bupleuri Radix (Sanleng)." After one dose, the patient became comatose and delirious. The physician then claimed: "The medication was too mild to overcome the disease," and increased the dosage significantly. Consequently, Qi rebelled upwards, leading to sudden collapse. At that time, I had just begun to study medicine and believed the condition was indeed incurable, feeling only grief and sorrow. Later, I gradually studied the teachings of Qi and Huang (Traditional Chinese Medicine) and obtained the book *Chanbao* (Precious Prescriptions for Obstetrics) authored by Ni of Pujiang. Upon encountering relatives or acquaintances suffering from similar conditions, I followed the prescriptions in this book, adding Sheng Di Huang (Rehmanniae Radix Preparata) in amounts of approximately two liang to Shenghua Tang (Postpartum Invigorating Decoction), often achieving complete recovery. For other syndromes, treatment according to the formulas resulted in universal cure. Only then did I realize that previous treatments by physicians were erroneous. Substances such as Ezhu and Sanleng break Blood but consequently damage Qi. When Qi is damaged, Blood cannot be regenerated; even miraculous remedies become useless. In contrast, Shenghua Tang regulates Qi while promoting Blood circulation. By adding Sheng Di Huang, Qi becomes robust, thereby facilitating the movement and generation of Blood, which explains its efficacy. Mourning the irretrievable loss of the deceased and pitying the ignorance of mediocre physicians, I recently served as the acting magistrate of Pingdu. During intervals between judicial duties, I selected this book, made slight revisions and refinements, and arranged for its printing and distribution. This aims to provide obstetricians with a reliable reference, preventing them from killing patients with drugs that break Blood and damage Qi. Alas! Is this phenomenon limited only to postpartum conditions? Gao Gufeng of Siming discussed the treatment of Blood disorders, advocating the use of Gu Yuan Tang (Solidify Origin Decoction) to first restore Qi, heavily utilizing Ginseng Radix et Rhizoma (Renshen) and Astragali Radix (Huangqi). However, crude practitioners of today only know how to use Cold-Cooling herbs, directly suppressing and severely obstructing the Yang Qi of the Heart and Lung. This gradually leads to the extinction of the vital generating Qi, making rescue impossible. Is this not tragic? I write this preface to warn those in the world who treat Blood disorders without understanding the importance of regulating Qi. Mr. Ni's name was Zhiwei, courtesy name Peiyu, pseudonym Fengbin. He completed this book in the sixth year of the Yongzheng reign. Previously, no printed edition existed. My friend Zhao Wenxue Weish sent me a handwritten copy, which I kept in a chest for twenty-five years. Among all the books on obstetrics I have seen in my life, none surpass this one; it is truly precious. In the spring of the second month of the Renyin year of the Daoguang reign, Xu Han of Haichang wrote this preface at Xingwusu Studio in the official residence of Pingdu Prefecture.