凡欲生产，切不得喧闹，产妇房门常须关闭。选一年高、性和善产婆，又选稳审恭谨家人一、二人扶持，
切不用挥霍，致令产妇忧恐，又忌闲杂外人，丧孝秽浊之人瞻视。若不谨之，定是难产兼伤小儿，若腹中痛来，
但令扶行，或行不得，且立候，行得更行，或痛作阵，眼中如火生，此是儿回转，即进琥珀散一服，直至行不
得，即扶上蓐草，务要产妇惜力。或心中热闷，取白蜜一匙，新汲水调下，或未解，即吃生鸡子一枚。
琥珀散
临月缩胎催生，兼治产后诸疾。
川芎（一两，锉，略焙） 当归（一两半，去芦须，切，焙）
上为末，每服三钱，水一盏，酒半盏，煎八分，去滓，不计时候服。
大凡生产，自有时候痛不甚者，名曰弄痛。宜须强行熟忍，宜食软饭。若食饭不得，即宜食粥及饮蜜浆，
勿令饥渴，恐产妇无力困乏。若经时不产，进通灵散一丸。若生毕，暖少许醋墨与呷，以童子小便调七宝散一
服，心中自然开爽。不住烧砖石以醋沃之，直至七日，要令产妇鼻中常闻醋气。宜烧茅香、白术、皂荚等物，
切勿令见秽恶。右产讫，忽觉心中昏闷，或眼花如在舟车中，即是血晕，急须服牡丹饮子、黑神散。
催生通灵散（又一方在下卷，产科杂方门）
蛇脱皮（一条全者，紧卷以蚯蚓泥裹，烧黑，近药处泥些小用，无妨）
上为末，每服一钱，温酒调下。
七宝散
初产后，匀血和气，补虚压惊悸。
朱砂（研如粉） 桂心（去皮，不见火锉） 干姜（炮，去湿气） 当归（去芦须，洗，焙） 川芎（锉碎，
略焙） 人参（去芦，切片） 羚羊角灰 茯苓（锉）
上件等分，杵研为末。若产妇平和，三 以前直至盈月，每日各取一字，以羌活豆淋酒调下，空心服。若
觉心胸烦热，即减姜、桂，冷即加之。腹痛加当归，心闷加羚羊角，心胸虚气加桂，不下食或恶心加人参，虚
战加茯苓，以意斟酌。日二夜一服。不饮酒者，以童子小便调，却暖过服之。
牡丹饮子
疗产后血晕、闷乱、神昏。若口噤，即斡开口灌，必效。
牡丹皮（洗，锉） 大黄（生用，锉碎） 芒硝（别研，后入。各一两） 冬瓜子（半合） 桃仁（三、
七个，汤浸，去皮尖）
上为粗散，每服五大钱，水三盏煎至一盏半，去滓，入芒硝，服之。凡欲产，先煎下，以备缓急。
单方黑神散
防晕备急。
驴护千不计多少，以桑柴火烧，以刀刮。取黑煤更烧，更刮，令尽研为末，入真麝香少许。如才产了，及
觉血冲心，晕闷，取一钱末，以热酒和童子小便，调下。
若产后心空，但时与琥珀散一服，或煎芍药汤进之，更不用它治。常进温粥，勿与热食。如食热，则滞血。
或三五日内，但觉腹中 痛，儿枕未定，即进定痛散一服，琥珀散根据第三项。
芍药汤
治产后虚乏，不思饮食，四肢疲倦，心腹阵痛。补虚治气。
当归（一两半，去芦须，洗，切，焙干用） 芍药（洗，锉） 人参（去芦，切片） 肉桂（去皮，不见
火，锉） 生姜（后入） 甘草（炙。各一两） 生干地黄（二两，洗，酒浸，焙）
上锉，杵为粗散，每服三大钱。水二盏，入枣二枚，煎至一盏，去滓，放温服，日三服。
定痛散
治产后恶血不止，腹内热痛，不可忍及儿枕未定。
当归（洗，去芦须，切，焙） 芍药（洗。各二两） 桂心（一两，或体蒸热，以川芎代之）
上为末，每服二钱，水酒共一盏，生姜一块弹子大，擘破，同煎至六分，去滓，温服之。
若产后四肢安和，亦不用多吃酒药，缘气虚禁持未得，却多昏眩，唯饮童子小便无妨。勿平身，且侧卧，
夜常须一人看承，令屈起两膝卧睡，即须频唤。觉虚羸困乏，即空心进理中丸、七宝散。七日外，恐吃粥无味，
或虚乏无力，即烂煮羊肉汁、黄雌鸡汁作粥，未可吃肉，亦不可伤及吃硬物，便成积滞之患。常以净黑豆一升
炒，令烟出，以酒五升浇淋，入羌活一两，槌碎，同浸，常用此酒下药，或时饮一盏，大避风邪，令诸疾不生。
四顺理中丸
治新产后脏腑虚，不思饮食。补养五脏。
甘草（三两，炙，锉） 人参（去芦，切片） 白术（锉，焙） 干姜（泡，去湿气。各二两）
上为末，炼蜜丸梧桐子大。每服十五丸至二十九，空心温酒下。
七宝散
根据前项。
若三日后觉壮热、头痛，此是乳脉行，即进玉露散二服。或大小便秘涩，或发寒热，头痛，四肢如碎，此
是蓐劳。或产后大渴，胎损呗你咳嗽，别生他疾及带起宿患，亦宜检寻别方治之。月内不宜多语笑，强起离床
行或作针线运动。恣食生硬，不避风脱衣、洗浴，当时虽未觉大损，盈月后或成蓐劳，手脚及腰腿酸重、冷痛，
骨髓间飕飕如风吹，纵有名医，卒不能疗。大都产妇将息，须是百日，方可平复。大忌犯触，因此多致身体强
直，如角弓反张，名曰蓐风，遂至不救。小可虚羸，失于将补，便成大患，终身悔不及矣，戒之戒之。
玉露散
治产后乳脉行，烦热或大肠滞涩，肢体疼痛。凉膈、压热、下乳。
茯苓（锉） 人参（去芦，切片） 甘草（炙，各半两） 桔梗（去芦，切，焙） 白芷（洗，锉） 川芎
（洗，锉。各一两） 川大黄（湿纸裹，慢火煨熟，锉） 当归（去芦须，切。各一分） 芍药（三分，洗，锉）
上为末，每服二平钱水一盏煎至七分，温服，日三服。若脏腑泄泻，即除川大黄。
凡临近分娩，务必保持安静，产妇房门需常关闭。选择一位年长、性情温和的产婆，再选一至两名稳重谨慎的家人扶持，切忌慌乱失措，以免令产妇忧虑恐惧；同时忌讳闲杂外人及丧孝秽浊之人探视。若不谨慎，必然导致难产并损伤婴儿。若腹中疼痛发作，只让产妇扶床行走，若走不动，可站立片刻，稍缓后再行；或疼痛呈阵发性，眼中如火焰般灼热，这是胎儿回转之象，此时立即服用琥珀散一剂，直至无法行走时，再搀扶上铺有蓐草的床榻，务必让产妇爱惜体力。若心中烦热闷乱，取白蜜一匙，用新汲水调服；若未缓解，即吃生鸡蛋一枚。
琥珀散：临月缩胎催生，兼治产后诸疾。
川芎（一两，锉碎，略焙） 当归（一两半，去芦须，切，焙）
以上研为末，每服三钱，加水一盏、酒半盏，煎至八分，去渣，不拘时候服用。
大凡生产，自有其时，若疼痛不剧烈者，称为“弄痛”。应当强行忍耐，宜食软饭。若不能进食米饭，则宜食粥及饮用蜜浆，勿令产妇饥渴，恐致无力困乏。若经长时间仍未分娩，进服通灵散一丸。若分娩完毕，喂少许醋墨，并用童子小便调服七宝散一剂，心中自然感到舒畅。不断烧砖石，浇以醋，直至产后七日，要让产妇鼻中常闻到醋气。宜烧茅香、白术、皂荚等物，切勿让产妇见到秽恶之物。产后结束后，忽觉心中昏闷，或眼花如在舟车中晃动，即是血晕，急须服用牡丹饮子、黑神散。
催生通灵散（另一配方在下卷产科杂方门）：
蛇脱皮（一条完整的，紧密卷起用蚯蚓泥包裹，烧成黑色，靠近药物处泥土少用些，无妨）
以上研为末，每服一钱，温酒调下。
七宝散：初产后，调和气血，补虚镇惊悸。
朱砂（研如粉） 桂心（去皮，不见火锉碎） 干姜（炮制，去湿气） 当归（去芦须，洗，焙） 川芎（锉碎，略焙） 人参（去芦，切片） 羚羊角灰 茯苓（锉碎）
以上各等分，捣研为末。若产妇平和，从产后三天前直至满月，每日各取一字量，用羌活豆淋酒调下，空腹服用。若觉心胸烦热，即减少干姜、桂心用量，若觉冷则增加。腹痛加当归，心闷加羚羊角，心胸虚气加桂心，不下食或恶心加人参，虚战加茯苓，依意斟酌。每日两次夜间一次服用。不饮酒者，用童子小便调服，并加热后服用。
牡丹饮子：治疗产后血晕、闷乱、神昏。若口噤不开，即撬开口灌药，必效。
牡丹皮（洗，锉碎） 大黄（生用，锉碎） 芒硝（别研，后入。各一两） 冬瓜子（半合） 桃仁（三、七个，汤浸，去皮尖）
以上为粗散，每服五大钱，加水三盏煎至一盏半，去渣，入芒硝，服用。凡欲分娩，先煎好备用，以备缓急。
单方黑神散：防晕备急。
驴护千不计多少，以桑柴火烧，用刀刮取黑煤，再烧再刮，令尽研为末，入真麝香少许。如刚分娩完，及觉血冲心，晕闷，取一钱末，以热酒和童子小便调下。
若产后心空，但时时与琥珀散一服，或煎芍药汤进服，更不用其他治疗。常进温粥，勿给热食。如食热，则滞血。或三五日内，但觉腹中刺痛，儿枕未定，即进服定痛散一服，琥珀散根据第三项。
芍药汤：治疗产后虚乏，不思饮食，四肢疲倦，心腹阵痛。补虚治气。
当归（一两半，去芦须，洗，切，焙干用） 芍药（洗，锉碎） 人参（去芦，切片） 肉桂（去皮，不见火，锉碎） 生姜（后入） 甘草（炙。各一两） 生干地黄（二两，洗，酒浸，焙）
以上锉碎，捣为粗散，每服三大钱。加水二盏，入枣二枚，煎至一盏，去渣，放温服，日三服。
定痛散：治疗产后恶血不止，腹内热痛，不可忍及儿枕未定。
当归（洗，去芦须，切，焙） 芍药（洗。各二两） 桂心（一两，或体蒸热，以川芎代之）
以上研为末，每服二钱，水酒共一盏，生姜一块弹子大，擘破，同煎至六分，去渣，温服之。
若产后四肢安和，亦不用多吃酒药，缘气虚禁持未得，却多昏眩，唯饮童子小便无妨。勿平身，且侧卧，夜常须一人看承，令屈起两膝卧睡，即须频唤。觉虚羸困乏，即空心进理中丸、七宝散。七日外，恐吃粥无味，或虚乏无力，即烂煮羊肉汁、黄雌鸡汁作粥，未可吃肉，亦不可伤及吃硬物，便成积滞之患。常以净黑豆一升炒，令烟出，以酒五升浇淋，入羌活一两，槌碎，同浸，常用此酒下药，或时饮一盏，大避风邪，令诸疾不生。
四顺理中丸：治疗新产后脏腑虚，不思饮食。补养五脏。
甘草（三两，炙，锉碎） 人参（去芦，切片） 白术（锉碎，焙） 干姜（泡，去湿气。各二两）
以上研为末，炼蜜丸梧桐子大。每服十五丸至二十九丸，空心温酒下。
七宝散：根据前项。
若三日后觉壮热、头痛，此是乳脉行，即进玉露散二服。或大小便秘涩，或发寒热，头痛，四肢如碎，此是蓐劳。或产后大渴，胎损呗你咳嗽，别生他疾及带起宿患，亦宜检寻别方治之。月内不宜多语笑，强起离床行或作针线运动。恣食生硬，不避风脱衣、洗浴，当时虽未觉大损，盈月后或成蓐劳，手脚及腰腿酸重、冷痛，骨髓间飕飕如风吹，纵有名医，卒不能疗。大都产妇将息，须是百日，方可平复。大忌犯触，因此多致身体强直，如角弓反张，名曰蓐风，遂至不救。小可虚羸，失于将补，便成大患，终身悔不及矣，戒之戒之。
玉露散：治疗产后乳脉行，烦热或大肠滞涩，肢体疼痛。凉膈、压热、下乳。
茯苓（锉碎） 人参（去芦，切片） 甘草（炙，各半两） 桔梗（去芦，切，焙） 白芷（洗，锉碎） 川芎（洗，锉碎。各一两） 川大黄（湿纸裹，慢火煨熟，锉碎） 当归（去芦须，切。各一分） 芍药（三分，洗，锉碎）
以上研为末，每服二平钱，加水一盏煎至七分，温服，日三服。若脏腑泄泻，即除川大黄。
Whenever childbirth is imminent, it is imperative to maintain silence and keep the laboring woman's door closed. Select an elderly midwife with a gentle disposition, and choose one or two steady, cautious family members to assist. Avoid any flustered behavior that might cause the mother anxiety and fear; also, prohibit idle outsiders and those involved in mourning or unclean activities from visiting. Failure to observe these precautions will inevitably lead to difficult labor and injury to the infant. If abdominal pain arises, allow the mother to walk while supported; if she cannot walk, let her stand for a moment, then try walking again. If the pain comes in waves and her eyes feel as if fire is burning (indicating fetal rotation), immediately administer one dose of Hupo San (Amber Powder) until she can no longer walk, then help her onto the bed covered with birthing grass, ensuring she conserves her strength. If she experiences internal heat and stifling sensation, take one spoonful of white honey mixed with fresh drawn water; if not relieved, eat one raw egg.
Hupo San (Amber Powder): Used near term to contract the fetus and facilitate delivery, and to treat various postpartum disorders.
Chuanxiong Rhizome (Ligusticum Chuanxiong Rhizoma, 1 liang, sliced, slightly roasted)
Angelicae Sinensis Radix (Donggui, 1.5 liang, remove rhizome and roots, slice, roast)
Grind into powder. Take 3 qian per dose, decoct with 1 sheng of water and 0.5 sheng of wine until reduced to 0.8 sheng, strain, and take at any time.
Generally, labor has its own timing; if pain is not severe, it is called "Nong Tong" (playful pain). One should endure it forcibly and eat soft rice. If rice cannot be eaten, consume porridge and drink honey water, avoiding hunger and thirst which may cause weakness and exhaustion. If delivery is delayed for a long time, administer one pill of Tongling San (Spirit-Resolving Powder). After birth, give a small amount of vinegar ink to sip, and mix Qibao San (Seven-Treasure Powder) with child's urine to take one dose, which will naturally relieve mental distress. Continuously burn bricks or stones, pouring vinegar on them until seven days postpartum, so that the mother constantly smells the vinegar aroma. It is advisable to burn Mugwort Fragrance (Maoxiang), Atractylodis Macrocephalae Rhizoma (Baizhu), and Gleditsiae Sinensis Fructus (Zaojiao), etc., and strictly avoid exposing the mother to foul odors. After delivery, if sudden dizziness or visual disturbances resembling motion sickness occur, this is Xue Yun (Blood Fainting); urgently administer Mudan Yinzi (Peony Decoction) and Heishen San (Black-God Powder).
Cui Sheng Tongling San (Delivery-Promoting Spirit-Resolving Powder) (Another formula is in the lower volume, Obstetrics Miscellaneous Formulas section):
Ophidii Corium (Snake Skin, one complete piece, tightly rolled and wrapped in earthworm mud, burned to charcoal; use less mud near the medicine, no harm)
Grind into powder. Take 1 qian per dose, mix with warm wine.
Qibao San (Seven-Treasure Powder): For early postpartum, harmonizes blood and qi, tonifies deficiency, and calms fright palpitations.
Cinnabar (Zhasha, ground to powder)
Cinnamon Twig (Guixin, bark removed, sliced without roasting)
Dried Ginger (Ganjiang, processed to remove dampness)
Angelicae Sinensis Radix (Danggui, remove rhizome and roots, wash, roast)
Chuanxiong Rhizome (Chuanxiong, sliced, slightly roasted)
Ginseng Radix et Rhizoma (Renshen, remove rhizome, slice)
Cornu Saigae Tataricae Ash (Lingyangjiao Hui)
Poria (Fuling, sliced)
Mix equal parts, pound and grind into powder. If the mother is stable, from three days before delivery until full month postpartum, take one zi measure daily, mixed with Qianghuo Doulin Jiu (Notopterygium Bean-Infused Wine), taken on an empty stomach. If chest and heart feel hot, reduce Ganjiang and Guixin; if cold, increase them. For abdominal pain, add Danggui; for chest stifling, add Lingyangjiao Hui; for chest emptiness/qi deficiency, add Guixin; for poor appetite or nausea, add Renshen; for tremors, add Fuling. Adjust according to judgment. Take twice daily and once at night. For those who do not drink alcohol, mix with child's urine and warm before taking.
Mudan Yinzi (Peony Decoction): Treats postpartum blood fainting, agitation, and confusion. If the mouth is clenched, pry it open and pour the medicine in; it is highly effective.
Moutan Cortex (Mudanpi, wash, slice)
Rhubarb Root et Rhizome (Dahuang, raw use, slice)
Mirabilite (Mangxiao, separately ground, added later. Each 1 liang)
Benincasa Semen (Dongguazi, 0.5 he)
Peach Seed (Taoren, 3-7 pieces, soaked in hot water, skin and tips removed)
Grind into coarse powder. Take 5 da qian per dose, decoct with 3 sheng of water until reduced to 1.5 sheng, strain, add Mangxiao, and take. Prepare this decoction in advance before delivery for emergencies.
Single Formula: Heishen San (Black-God Powder): Prevents fainting and prepares for emergencies.
Donkey Hide Glue (Lvhuojiao, quantity unspecified), burn with mulberry wood, scrape off the black carbon residue, burn and scrape again until finished, grind into powder, add a small amount of real Moschus (Shexiang). Immediately after birth, or when feeling blood rushing to the heart causing faintness, take 1 qian of powder, mix with hot wine and child's urine, and take.
If the mother feels empty-hearted postpartum, occasionally administer Hupo San or decoct Shaoyao Tang (Peppermint/Peony Decoction - *Note: Context implies Peony Decoction based on ingredients*). Do not use other treatments. Regularly consume warm porridge; avoid hot food. Hot food causes blood stasis. If within three to five days, sharp abdominal pain is felt and the "child pillow" (uterine afterbirth mass) is unsettled, administer Dingtong San (Pain-Stopping Powder); refer to Hupo San as per item 3.
Shaoyao Tang (Peony Decoction): Treats postpartum deficiency, loss of appetite, limb fatigue, and paroxysmal abdominal pain. Tonifies deficiency and regulates qi.
Angelicae Sinensis Radix (Danggui, 1.5 liang, remove rhizome and roots, wash, slice, dry-roast)
White Peony Root (Shaoyao, wash, slice)
Ginseng Radix et Rhizoma (Renshen, remove rhizome, slice)
Cinnamon Bark (Rougui, bark removed, sliced without roasting)
Fresh Ginger (Shengjiang, added later)
Prepared Licorice Root (Gancao, roasted. Each 1 liang)
Prepared Rehmannia Root (Shengshengdi, 2 liang, wash, soak in wine, roast)
Slice and pound into coarse powder. Take 3 da qian per dose. Add 2 jujubes to 2 sheng of water, decoct until reduced to 1 sheng, strain, cool to warm temperature, and take. Take three times daily.
Dingtong San (Pain-Stopping Powder): Treats persistent postpartum lochia, unbearable internal heat pain, and unsettled "child pillow."
Angelicae Sinensis Radix (Danggui, wash, remove rhizome and roots, slice, roast)
White Peony Root (Shaoyao, wash. Each 2 liang)
Cinnamon Twig (Guixin, 1 liang; if body feels steaming hot, substitute with Chuanxiong Rhizome)
Grind into powder. Take 2 qian per dose, decoct with 1 sheng of water and wine together with a thumb-sized piece of broken Fresh Ginger until reduced to 0.6 sheng, strain, and take warm.
If limbs are comfortable postpartum, do not consume excessive medicinal wine, as qi deficiency may lead to dizziness; drinking child's urine is harmless. Do not lie flat; sleep on the side. Someone must watch over her at night, advising her to sleep with knees bent, and wake her frequently. If feeling weak and exhausted, take Lizhong Wan (Regulate-the-Middle Pill) and Qibao San on an empty stomach. After seven days, if porridge tastes bland or there is weakness, cook mutton juice or hen juice into porridge. Do not eat meat yet, nor hard foods, to avoid stagnation. Commonly, stir-fry 1 sheng of clean black beans until smoke appears, pour 5 sheng of wine over them, add 1 liang of Notopterygium Rhizome (Qianghuo), crush, and soak. Use this wine to administer medicines or drink one cup occasionally to ward off wind-cold and prevent diseases.
Sishun Lizhong Wan (Four-Harmony Regulate-the-Middle Pill): Treats postpartum organ deficiency and loss of appetite. Tonifies the five zang organs.
Prepared Licorice Root (Gancao, 3 liang, roasted, sliced)
Ginseng Radix et Rhizoma (Renshen, remove rhizome, slice)
Atractylodis Macrocephalae Rhizoma (Baizhu, sliced, roasted)
Dried Ginger (Ganjiang, processed to remove dampness. Each 2 liang)
Grind into powder, make pills with refined honey the size of paulownia seeds. Take 15 to 29 pills per dose with warm wine on an empty stomach.
Qibao San (Seven-Treasure Powder): Refer to previous entry.
If after three days high fever and headache occur, this indicates the milk channels are flowing; administer Yulu San (Jade-Dew Powder) for two doses. If constipation occurs, or chills and fever, headache, and fragmented limb pain arise, this is Chulao (Childbed Labor). If excessive thirst occurs postpartum, or if there is cough due to damaged fetus, or other new ailments and recurrence of old diseases, consult other formulas for treatment. Within the first month, avoid excessive talking and laughing, forced rising from bed, walking, or needlework. Indulging in raw/hard foods, exposure to wind, undressing, or bathing may not show immediate damage but can lead to Chulao after the full month, characterized by soreness, heaviness, cold pain in hands, feet, waist, and legs, and a whistling sensation in the marrow like wind blowing. Even famous doctors may fail to cure this. Generally, postpartum recuperation requires one hundred days for full recovery. Strictly avoid violations; many cases result in rigid body stiffness, such as opisthotonos, named Rufeng (Childbed Wind), leading to death. Minor weakness neglected in tonification becomes a major affliction, regretted for life. Beware, beware.
Yulu San (Jade-Dew Powder): Treats postpartum milk channel flow, irritability, heat, large intestine stagnation, and limb pain. Cools the diaphragm, reduces heat, and promotes lactation.
Poria (Fuling, sliced)
Ginseng Radix et Rhizoma (Renshen, remove rhizome, slice)
Prepared Licorice Root (Gancao, roasted. Each 0.5 liang)
Platycodon Root (Jiegeng, remove rhizome, slice, roast)
Angelicae Dahuricae Radix (Baizhi, wash, slice)
Chuanxiong Rhizome (Chuanxiong, wash, slice. Each 1 liang)
Rhubarb Root et Rhizome (Chuan Dahuang, wrapped in wet paper, slow-fire baked until cooked, sliced)
Angelicae Sinensis Radix (Danggui, remove rhizome and roots, slice. Each 1 fen)
White Peony Root (Shaoyao, 3 fen, wash, slice)
Grind into powder. Take 2 ping qian per dose, decoct with 1 sheng of water until reduced to 0.7 sheng, take warm, three times daily. If diarrhea occurs, omit Chuan Dahuang.