免乳大故，方书浩博，自非素习，谁能适从，危殆之间，颇艰应用。今采摭诸方，论中将护要法及预备经
效要用汤药，名曰∶产科备要，务从简易，以救仓卒。
凡女人妊娠，若素来虚羸，血气不足，体中有风气，心下多痰水者，欲有胎喜，病阻其状，颜色如常，脉
理和顺，但觉肢体沉重，头目昏眩，不思饮食，恶闻食气，多啖咸酸，心中愤懑，不知患之所在，以至三、四
月以后，则大剧吐逆，不能胜举。如有此证，则宜服疗阻病竹茹汤、人参散、地黄丸。
竹茹汤
治初有妊，择食呕逆，头痛，颠倒寒热，四肢不和，烦闷。
橘皮（去白，洗） 人参（去芦，切片） 白术（切碎，焙） 麦门冬（去心。各一两） 浓朴（去皮，
以善汁浸，炙） 茯苓（去黑皮。各半两） 甘草（一分，炙，锉） 淡竹茹（先刮下，临煎旋入）
上为粗末，每服四钱，水一盏半，入生姜、淡竹茹各一块如栗子大，拍破，煎取八分，去滓，微温服。
人参散
治初妊娠，恶食呕逆。
人参（一两，去芦，切片） 枳壳（三分，去穣，撕碎，麸炒微黄） 浓朴（削去皮，
姜汗涂，炙） 甘草（炙。各半两）
上为粗散，每服四钱，水一盏半，入生姜弹子大一块，拍破，同煎至七分，去滓，温服，不拘时候。
地黄丸
治初怀妊，醋心呕吐，腹痛不能食，或吐清水。
人参（去芦，切片） 干姜（炮，锉，各一两。）
上为末，用地黄汁和丸如桐子大。每服五丸，米饮下，日再服。
又妊娠脏气皆拥，关节不利，切不宜多睡，食粘硬难化之物，亦不须乱服汤药，大忌针灸。惟须数行步，
定心神，不得悲忧惊恐，负重震动。若觉胎脏不安，腹中微痛，心意烦闷，四体昏倦，宜服安胎顺气阿胶散。
近难月即服顺胎保安散、千金丸。
阿胶散
治妊娠不问月数深浅，因顿仆胎动不安，腰腹痛，或有所下，或胎奔上刺心，短气。安胎。
熟干地黄（二两，洗，细切，酒浸，焙） 艾叶（切，炒黄） 当归（洗，切，焙，去芦须） 甘草（炙，
锉） 芍药（洗，锉） 阿胶（锉碎，以蚌粉拌和，铫内炒泡起，候冷，筛去蚌粉用） 芎（洗，锉。各一两）
黄（一两，若虚羸，加此一味，蜜炙）
上为粗散，每服四钱，水一盏半，煎至八分去滓，温服。若胸中冷，气逆，加生姜五升，枣五枚同煎。
保安散
治妊娠胎气不安，心腹疼痛，胎动，安胎极妙。
当归（一两半，洗，切，焙，去芦须） 人参（一两，去芦，切片） 甘草（半两，炙，锉） 阿胶（半
两，锉碎，用蚌粉炒泡起，却筛去粉用之）
上为粗散，每服三大钱，水一盏半，入葱白一茎，拍破，煎八分去滓。食前温服，未定再服。
神妙千金丸
治产前、产后一切风冷、血气等疾。产前胎气不安，腰腹多疼，四肢疲倦，妊娠临月预合下。每日空心一
服，临产五脏不痛，易产，蓐中不生诸疾。兼治产后恶血不尽及胎衣不下，憎寒壮热，吐逆烦闷，皮肤虚肿，
或血晕狂迷，眼见神鬼，能补匀血气。
金钗石斛（一分，别捣为细末） 秦艽（去芦须，洗，锉，焙） 川椒（去子，微炒） 细辛（去叶，锉）
防风（去苗，锉） 贝母（麸炒微黄） 熟干地黄（切，酒浸，焙） 糯米 甘草（炙。各一两） 当归（去
芦须，洗，焙） 大麻仁（去壳取仁） 黄芩（尖如锥者） 干姜（炮，锉） 大豆柏（旋以黑豆生芽长二寸，
焙干用。各三分） 石膏（半分，软者火 ）
上精择为末，以炼蜜成剂，入木臼中杵一千下，分为七十二丸，择除破。天德月德，月合日合，每服一丸，
温酒化下。产前、产后、赤白带下，温酒嚼下。产前后或心痛血气，用薄荷汤嚼下。月信不通，当归酒下。临
产艰难，或三五日难产及胎衣不下，子死腹中，横生倒产，死绝不语，但心头有热气，用药一丸，京枣汤研化
灌之，下咽立瘥。产后恶血不尽，脐腹疼痛，呕吐壮热，憎寒烦闷，月候不调，或多或少，肢体倦怠，皮肤浮
肿，产血不止，虚劳中风，口噤不语，半身不遂，产前后赤白痢，大小便秘涩，血晕狂语，头痛，面色痿黄，
渐成劳瘦，饮食无味，并温酒化下一丸。产前临月，每旦一丸至临产，用当归酒下一、二丸。催生，五脏不痛，
子易生。
哺乳（此处指分娩后泌乳或泛指产科相关的大病，结合上下文“免乳大故”及宋代语境，更倾向于指代产科中重大的变故或疾病，但字面意为免除/避免乳汁问题或指代产后病，鉴于后文讲妊娠，此处“免乳”疑为“产乳”之误或特指产科重症，按原文直译为：关于产科的重大变故）在医书中浩如烟海，如果不是平时熟习，谁能适从？在危急关头，应用起来颇为艰难。如今摘录各方，论述其中的护理要法以及预备好的经效汤药，命名为《产科备要》，务必遵循简易原则，以应对仓促之急。
凡是女性怀孕，如果素来身体虚弱消瘦，血气不足，体内有风气，心下多痰水，想要受孕时，病症阻碍了正常的生理状态，面色如常，脉象和顺，只感到肢体沉重，头目昏眩，不想饮食，厌恶食物的气味，喜欢吃咸酸之物，心中愤懑不平，不知道病痛所在，到了三四个月以后，就会剧烈呕吐逆乱，不能承受举重等动作。如果有这些症状，就适宜服用疗阻病竹茹汤、人参散、地黄丸。
竹茹汤
治疗刚怀孕时，挑食呕逆，头痛，忽冷忽热，四肢不和，烦闷。
橘皮（去掉白色部分，洗净） 人参（去掉芦头，切片） 白术（切碎，焙干） 麦门冬（去掉心。各一两） 浓朴（去掉树皮，用善汁浸泡，炙烤） 茯苓（去掉黑皮。各半两） 甘草（一分，炙烤，锉碎） 淡竹茹（先刮取下来，临煎煮时放入）
以上药物捣成粗末，每次服用四钱，用水一盏半，加入生姜、淡竹茹各一块如栗子大小，拍破，煎取八分，去渣滓，微温服用。
人参散
治疗刚怀孕时，恶食呕逆。
人参（一两，去掉芦头，切片） 枳壳（三分，去掉瓤，撕碎，麸炒至微黄） 浓朴（削去外皮，涂姜汁，炙烤） 甘草（炙烤。各半两）
以上药物制成粗散，每次服用四钱，用水一盏半，加入生姜弹子大小一块，拍破，同煎至七分，去渣滓，温服，不拘时候。
地黄丸
治疗刚怀孕时，泛酸呕吐，腹痛不能进食，或者吐出清水。
人参（去掉芦头，切片） 干姜（炮制，锉碎，各一两。）
以上药物研成末，用地黄汁调和做成如梧桐子大小的丸剂。每次服用五丸，米饮送下，每日两次。
另外，怀孕期间脏腑之气都壅滞，关节不利，切不宜多睡，吃粘硬难消化的食物，也不须乱服汤药，严禁针灸。只须经常行走，安定心神，不得悲忧惊恐，负重震动。如果感觉胎脏不安，腹中微痛，心意烦闷，四肢昏倦，适宜服用安胎顺气阿胶散。临近预产期就服用顺胎保安散、千金丸。
阿胶散
治疗怀孕不问月份深浅，因跌倒胎动不安，腰腹痛，或者有出血，或者胎气上冲刺心，短气。安胎。
熟干地黄（二两，洗净，细切，酒浸，焙干） 艾叶（切碎，炒黄） 当归（洗净，切碎，焙干，去掉芦须） 甘草（炙烤，锉碎） 芍药（洗净，锉碎） 阿胶（锉碎，用蚌粉拌和，在铫内炒至起泡，候冷，筛去蚌粉使用） 川芎（洗净，锉碎。各一两） 黄芪（一两，如果身体虚弱消瘦，加这一味药，蜜炙）
以上药物制成粗散，每次服用四钱，用水一盏半，煎至八分去渣滓，温服。如果胸中冷，气逆，加生姜五升，枣五枚同煎。
保安散
治疗怀孕胎气不安，心腹疼痛，胎动，安胎极妙。
当归（一两半，洗净，切碎，焙干，去掉芦须） 人参（一两，去掉芦头，切片） 甘草（半两，炙烤，锉碎） 阿胶（半两，锉碎，用蚌粉炒至起泡，然后筛去粉使用）
以上药物制成粗散，每次服用三大钱，用水一盏半，加入葱白一茎，拍破，煎八分去渣滓。饭前温服，未定再服。
神妙千金丸
治疗产前、产后一切风冷、血气等疾病。产前胎气不安，腰腹多疼，四肢疲倦，妊娠临月预先合宜下（此处指预防性用药以便顺利生产）。每日空腹服用一次，临产时五脏不痛，容易生产，产褥期中不生各种疾病。兼治产后恶血不尽及胎衣不下，憎寒壮热，吐逆烦闷，皮肤虚肿，或者血晕狂迷，眼见神鬼，能补匀血气。
金钗石斛（一分，另捣为细末） 秦艽（去掉芦须，洗净，锉碎，焙干） 川椒（去掉籽，微炒） 细辛（去掉叶子，锉碎） 防风（去掉苗，锉碎） 贝母（麸炒微黄） 熟干地黄（切碎，酒浸，焙干） 糯米 甘草（炙烤。各一两） 当归（去掉芦须，洗净，焙干） 大麻仁（去掉壳取仁） 黄芩（尖如锥者） 干姜（炮制，锉碎） 大豆柏（随时用黑豆生芽长二寸，焙干使用。各三分） 石膏（半分，软的用火煅烧）
以上精心挑选研成末，用炼蜜成剂，放入木臼中杵一千下，分为七十二丸，选择吉日破例（此处“择除破”可能指制作时的特殊仪式或去除杂质，结合下文“天德月德”，指择吉日制作或服用）。在天德日、月德日、月合日、日合日，每次服用一丸，温酒化开下。产前、产后、赤白带下，温酒嚼服。产前后或心痛血气，用薄荷汤嚼服。月经不通，用当归酒送服。临产艰难，或者三五天难产及胎衣不下，子死腹中，横生倒产，死绝不语，只要心头有热气，用药一丸，京枣汤研化灌之，咽下立刻痊愈。产后恶血不尽，脐腹疼痛，呕吐壮热，憎寒烦闷，月经不调，或多或少，肢体倦怠，皮肤浮肿，产血不止，虚劳中风，口噤不语，半身不遂，产前后赤白痢，大小便秘涩，血晕狂语，头痛，面色痿黄，渐成劳瘦，饮食无味，都用温酒化开一丸服用。产前临月，每天早晨一丸直到临产，用当归酒送一、二丸。催生，五脏不痛，胎儿易生。
Breastfeeding (referring to the process of lactation and child-rearing after delivery) is a major undertaking. Medical texts are vast and numerous; unless one is well-versed in them, how can one know where to turn? In critical situations, application becomes quite difficult. Now, I have collected and excerpted various prescriptions, discussed essential care methods during pregnancy, and prepared effective and practical decoctions, naming this work *Obstetric Prepared Essentials* (*Chanke Beiyao*). It aims to be simple and easy to use to address emergencies.
For women who are pregnant, if they have been constitutionally weak and emaciated, deficient in blood and Qi, with wind-dampness in the body, and phlegm-fluid retention below the heart (epigastrium), when conceiving, pathological conditions may obstruct normal physiological states. The complexion remains normal, and the pulse is harmonious, yet the woman feels heaviness in the limbs, dizziness of the head and eyes, loss of appetite, aversion to food odors, a craving for salty and sour flavors, mental restlessness and depression, without knowing the source of the ailment. By the third or fourth month, severe vomiting and retching occur, leaving the body too weak to bear weight. If such symptoms appear, it is appropriate to take Zhuru Tang (Bamboo Shavings Decoction), Renshen San (Ginseng Powder), or Dihuang Wan (Rehmannia Pill) to treat "Zu Bing" (pregnancy malaise/nausea).
Zhuru Tang (Bamboo Shavings Decoction)
Treats early pregnancy symptoms including selective eating, vomiting and retching, headache, alternating chills and fever, disharmony of the four limbs, and mental restlessness.
Chenpi (Citri Reticulatae Pericarpium, remove white pith, wash) Renshen (Panacis Ginseng Radix, remove rhizome, slice) Baizhu (Atractylodis Macrocephalae Rhizoma, chop, roast) Maidong (Ophiopogonis Radix, remove heart. Each 1 liang) Houpo (Magnoliae Officinalis Cortex, remove bark, soak in ginger juice, roast) Fuling (Poria, remove black skin. Each banliang) Gancao (Glycyrrhizae Radix et Rhizoma, 1 fen, roast, chop) Danzhuru (Bambusae Caulis in Taeniam, scrape down beforehand, add just before decocting)
Grind the above into coarse powder. For each dose, take 4 qian, add 1.5 sheng of water, include a piece of fresh ginger and a piece of bamboo shavings (each the size of a chestnut), crush them, and decoct until 0.8 sheng remains. Strain and take warm.
Renshen San (Ginseng Powder)
Treats early pregnancy aversion to food, vomiting, and retching.
Renshen (Panacis Ginseng Radix, 1 liang, remove rhizome, slice) Zhike (Aurantii Fructus Immaturus, 3 fen, remove core, tear, stir-fry with bran until slightly yellow) Houpo (Magnoliae Officinalis Cortex, peel, coat with ginger juice, roast) Gancao (Glycyrrhizae Radix et Rhizoma, roast. Each banliang)
Grind the above into coarse powder. For each dose, take 4 qian, add 1.5 sheng of water, include a piece of ginger the size of a bullet, crush it, and decoct together until 0.7 sheng remains. Strain and take warm, at any time.
Dihuang Wan (Rehmannia Pill)
Treats early pregnancy acid regurgitation, vomiting, abdominal pain preventing eating, or vomiting clear fluid.
Renshen (Panacis Ginseng Radix, remove rhizome, slice) Ganjiang (Zingiberis Rhizoma, processed, chop. Each 1 liang.)
Grind the above into fine powder. Mix with juice of Dihuang (Rehmanniae Radix) to form pills the size of paulownia seeds. Take 5 pills per dose with rice water, twice daily.
Furthermore, during pregnancy, the Qi of the zang-organs tends to stagnate, and joints become unyielding. One must avoid excessive sleeping and consuming sticky, hard-to-digest foods. There is no need to indiscriminately take decoctions, and acupuncture/moxibustion is strictly contraindicated. One should walk frequently, calm the mind and spirit, avoid sorrow, worry, fear, and shock, and refrain from carrying heavy loads or experiencing jolts. If one feels uterine discomfort, slight abdominal pain, mental restlessness, and limb fatigue, An Tai Shun Qi Ejiao San (Ejiao Powder for Calming the Fetus and Regulating Qi) is suitable. As the due date approaches, take Shun Tai Bao An San (Fetus-Guiding Security Powder) or Qianjin Wan (Thousand Gold Pill).
Ejiao San (Donkey-Hide Gelatin Powder)
Treats fetal movement and instability due to falls, regardless of gestational age, accompanied by lower back and abdominal pain, vaginal bleeding, fetal Qi rushing upward piercing the heart, or shortness of breath. Calms the fetus.
Shudihuang (Prepared Rehmanniae Radix, 2 liang, wash, finely chop, soak in wine, roast) Aye (Colla Corii Asini, chop, stir-fry with clam powder until bubbling, cool, sieve off powder) Danggui (Angelicae Sinensis Radix, wash, chop, roast, remove rhizome and roots) Gancao (Glycyrrhizae Radix et Rhizoma, roast, chop) Shaoyao (Paeoniae Radix, wash, chop) Xiong (Ligustici Chuanxiong Rhizoma, wash, chop. Each 1 liang) Huangqi (Astragali Membranacei Radix, 1 liang; add if constitutionally weak, honey-roast)
Grind the above into coarse powder. For each dose, take 4 qian, add 1.5 sheng of water, decoct until 0.8 sheng remains, strain, and take warm. If there is cold in the chest and rebellious Qi, add 5 sheng of fresh ginger and 5 dates, decoct together.
Bao'an San (Security Powder)
Treats unstable fetal Qi, epigastric and abdominal pain, fetal movement; excellent for calming the fetus.
Danggui (Angelicae Sinensis Radix, 1.5 liang, wash, chop, roast, remove rhizome and roots) Renshen (Panacis Ginseng Radix, 1 liang, remove rhizome, slice) Gancao (Glycyrrhizae Radix et Rhizoma, banliang, roast, chop) Ejiao (Colla Corii Asini, banliang, chop, stir-fry with clam powder until bubbling, then sieve off powder)
Grind the above into coarse powder. For each dose, take 3 da qian, add 1.5 sheng of water, include one stalk of scallion white, crush it, decoct until 0.8 sheng remains, strain. Take warm before meals; repeat if not stabilized.
Shenmiao Qianjin Wan (Miraculous Thousand Gold Pill)
Treats all wind-cold and blood-Qi disorders before and after childbirth. Before childbirth, for unstable fetal Qi, frequent lower back and abdominal pain, limb fatigue, and to prepare near term. Take once on an empty stomach daily. At labor, the five zang-organs will not hurt, delivery will be easy, and postpartum diseases will not arise. Also treats retained lochia and placenta, aversion to cold with high fever, vomiting, retching, restlessness, puffiness of the skin, syncope with mania, hallucinations, and helps balance blood and Qi.
Jinchai Shihu (Dendrobii Nodosi Caulis, 1 fen, pounded separately into fine powder) Qinjiao (Gentianae Macrophyllae Radix, remove rhizome and roots, wash, chop, roast) Chuanjiao (Sichuan Pepper, remove seeds, lightly stir-fry) Xixin (Asari Radix et Rhizoma, remove leaves, chop) Fangfeng (Saposhnikoviae Radix, remove seed head, chop) Beimu (Fritillariae Cirrhosae Bulbus, stir-fry with bran until slightly yellow) Shudihuang (Prepared Rehmanniae Radix, chop, soak in wine, roast) Nuomi (Glutinous Rice) Gancao (Glycyrrhizae Radix et Rhizoma, roast. Each 1 liang) Danggui (Angelicae Sinensis Radix, remove rhizome and roots, wash, roast) Dama Ren (Cannabis Fructus, remove shell, take kernel) Huangqin (Scutellariae Radix, select those pointed like cones) Ganjiang (Zingiberis Rhizoma, processed, chop) Dadou Bai (Stemmadeniae Radix, grow black beans sprouts two cun long, dry and roast. Each 3 fen) Shigao (Gypsum Fibrosum, 0.5 fen, calcine soft ones)
Select carefully and grind into powder. Form into dough with refined honey, pound in a wooden mortar 1,000 times, divide into 72 pills. Choose auspicious days (Tian De, Yue De, Yue He, Ri He days) for production. Take one pill dissolved in warm wine. For pre/postpartum red and white leukorrhea, chew with warm wine. For pre/postpartum heart pain or blood-Qi disorders, chew with mint decoction. For amenorrhea, take with Angelica wine. For difficult labor, prolonged labor (3-5 days), retained placenta, dead fetus, breech presentation, coma, provided there is still warmth in the heart, dissolve one pill in Jujube soup and administer; recovery is immediate upon swallowing. For postpartum retained lochia, umbilical and abdominal pain, vomiting with high fever, aversion to cold, restlessness, irregular menstruation (scanty or profuse), limb fatigue, edema, continuous postpartum bleeding, deficiency-wasting stroke, lockjaw with mutism, hemiplegia, pre/postpartum dysentery, constipation, syncope with mania, headache, sallow complexion, gradual wasting, and loss of taste, dissolve one pill in warm wine. Near term before delivery, take one pill every morning until labor; take 1-2 pills with Angelica wine to induce labor, relieve organ pain, and facilitate birth.