(一十四条)
一、临产宜择年高得当稳婆,及纯谨妇人一二扶持,凡闲杂一应外来之妇、丧服秽浊之人,
预宜杜绝,勿令触犯胎气,致产不利。产后客气犯小儿,亦主为害。
一、妊娠月满,不可占卜问神,巫觋之徒,哄吓谋利,妄称凶险不顺等辞,何如祷神HT ,
保产妇?闻之忧疑恐惧。夫惟忧虑则气结,气结则滞而不顺,必至于难产。如犯此类,宜服达
生散,以顺其气。方觉腹痛,不可便欲为生,怀疑巫说,惊动太早,则举家霍乱,致产不利
有之。
一、临月忽然腹痛,或作或止,或一二日,或三五日,胎水已来,腹痛不密者,名曰弄胎,
非当产也。又有一月前,忽然腹痛,如欲便生,却不产者,名曰试月,非当产也。凡腹痛,胎
水来与不来,俱不妨事,但当宽心候时。若果当生,痛极不已,胎孕偏陷,腰间重胀,谷道挺
迸,浆水淋下,其儿遂生。此乃正产,自有其时,如瓜熟蒂悬、果熟自落之类。
一、初觉腹痛,而腰不甚痛者,未产也,且须熟忍行动,不能行者可凭物而立,行得又行。
一、将产之时,产妇痛甚,不肯舒身,行动固执,曲腰睡卧,胎元转动,寻到生门,已被遮
闭,如此再三,胎已无力,决至难产。
一、初觉微痛,且当任意坐卧,勉要饮食,毋致临产乏力。
一、产初觉欲生,便须惜力调养,不可用力妄施,儿身方转,竟被用力一逼,令儿错路,
以致横逆。须待
临至产门,用力一逼,儿则下生,此所以当其用力也。若时候未到,用力徒然。
一、凡临产如觉心中烦闷,可用白蜜一匙,热水调服。
一、未产之先,或烦渴欲饮水者,只可与米饮绿豆汤为佳。
一、将产妇如觉饥饿,可吃稠软白粥,勿令饥渴,以乏气力,不可食硬饭、滋粽难化之物。
产时用力太乏,脾虚不能消磨,产后恐成伤食之病。
一、产后或服催生符法,宜以温酒、温水服之,不可服凉水,况血得寒则凝,血一凝则胎
滞不利,反致难产。
一、产妇临月,不可洗头,以免横生逆产。
一、产妇临时胞浆未下,但只稳守无妨。胞浆破后一二时辰不生,便宜急服催生之药。
夫胞浆乃胞内养儿之水也,儿既坼胞,其水即来,胎亦随下,此为易产。若胎元无力,转头迟慢,
浆水下尽,即污血闭塞门户,令子无路可通,故难产也。宜用催生丹、滑石散、益母丸之类,
逐去恶血,开滑子官,庶乎易矣。
一、凡临产,房中不得喧嚷惊慌,宜闭户,静以待生。
(第十四条)
一、临产时应当选择年长且稳重熟练的接生婆,以及品行纯正谨慎的一两位妇女进行扶持。凡是闲杂人员及所有外来的妇女、身穿丧服或身上有污秽之气的人,预先都应当杜绝其进入,不要让他们触犯胎气,导致生产不顺利。产后若有外邪客气侵犯婴儿,也主要会造成危害。
二、妊娠月份已满时,不可进行占卜问神等活动。巫医之流,往往通过恐吓来谋取利益,胡乱声称凶险不顺等言辞,这哪里比得上祈祷神灵保佑产妇平安呢?听到这些言论只会让人产生忧虑、猜疑和恐惧。因为忧虑会导致气机郁结,气机郁结则气血运行滞涩而不顺畅,必然导致难产。如果犯了这类忌讳,适宜服用达生散,以疏通气机。刚感觉到腹痛时,不要立刻想要分娩,若怀疑巫术的说法,过早惊慌动乱,会导致全家慌乱,从而造成生产不利。
三、临近预产期忽然出现腹痛,有时发作有时停止,持续一两天或三五天,羊水已经流出,但腹痛并不密集的情况,称为“弄胎”,并不是真正的临产。又有一种情况是在预产期前一个月,忽然腹痛,感觉好像要分娩,但实际上并未分娩,称为“试月”,也不是真正的临产。凡是腹痛,无论羊水是否流出,都不必担心,只要放宽心态等待时机即可。如果真的到了分娩的时候,疼痛剧烈不止,胎儿位置偏斜下陷,腰部沉重胀满,肛门有挺出感,羊水淋漓而下,胎儿随即娩出。这才是正产,自有其固定的时辰,就像瓜熟蒂落、果熟自坠一样。
四、刚开始感到腹痛,但腰部不怎么痛的,说明还未到分娩时候,此时应当忍耐并适当活动,不能行走的可以扶着物体站立,能走就走,走走停停。
五、即将分娩之时,产妇因疼痛剧烈而不肯舒展身体,行动固执,弯腰侧卧睡觉,导致胎元转动,寻找产门时被遮挡闭阻,如此反复多次,胎儿已无力气,最终必然导致难产。
六、刚开始感到轻微腹痛时,应当随意坐卧,勉强进食饮水,以免临产时体力不支。
七、刚感觉到快要分娩时,必须爱惜体力进行调养,不可用力妄施。胎儿身体刚刚转动,如果被强行用力逼迫,会使胎儿偏离正道,导致横位或逆位。必须等到胎儿到达产门时,再用力一逼,胎儿才能顺利生下,这就是所谓在恰当的时机用力。如果时机未到,用力是徒劳的。
九、未分娩之前,如果出现烦渴想喝水的情况,只可以给米汤或绿豆汤饮用为佳。
十、将分娩的产妇如果感到饥饿,可以吃稠软的小白粥,不要让产妇处于饥渴状态,以免缺乏气力。不可吃硬米饭、粽子等难以消化的食物。分娩时如果用力过度导致乏力,加上脾虚不能消磨食物,产后恐怕会形成伤食病。
十一、产后如果服用催生的符咒方法,宜用温酒或温水送服,不可服用凉水。况且血液遇寒则凝结,血液一旦凝结,胎气就会滞涩不利,反而导致难产。
十二、产妇临近预产期,不可洗头,以免导致横生或逆产。
十三、产妇临产时,如果胞浆(羊水)尚未破裂,只需安稳守候无妨。胞浆破裂后一二个时辰仍未分娩,就应紧急服用催生的药物。胞浆是胞宫内养育胎儿的水液,胎儿既然撑破胞衣,水液随即流出,胎体也随之下降,这是容易分娩的情况。如果胎元无力,转头迟缓,羊水排尽后,污血就会闭塞产门,使胎儿无路可通,因此导致难产。适宜使用催生丹、滑石散、益母丸之类的药物,驱逐恶露,润滑子宫,这样才容易分娩。
十四、凡临产时,产房内不得喧哗惊慌,应当关闭门户,安静地等待分娩。
(Article 14)
1. During childbirth, one should select an elderly, steady, and skilled midwife, along with one or two women of pure and cautious character to provide support. All idle personnel, any incoming women, and persons wearing mourning clothes or carrying impure energies should be strictly excluded in advance to prevent them from offending the fetal qi, which could lead to difficult labor. After delivery, if external pathogenic factors invade the infant, it is also likely to cause harm.
2. When the pregnancy term is full, divination or consulting spirits should not be conducted. Charlatans and shamans often deceive and frighten people for profit, falsely claiming ominous or unfavorable omens. How can this compare to praying to deities to protect the mother? Hearing such words only induces worry, suspicion, and fear. Worry causes qi stagnation; qi stagnation leads to sluggish and unsmooth flow, inevitably resulting in dystocia. If such taboos are violated, it is advisable to take Dasheng San (Reaching Life Powder) to smooth the qi. When abdominal pain is first felt, one should not immediately assume birth is imminent. Suspecting witchcraft theories and panicking too early can cause chaos in the household, leading to difficult labor.
3. Suddenly experiencing abdominal pain near the due date, which comes and goes, lasting one or two days or three to five days, with amniotic fluid having arrived but the pain not being frequent, is called "Nong Tai" (Playing Fetus), indicating it is not true labor. Another condition occurs a month before the due date, where sudden abdominal pain feels like impending birth, yet no birth occurs, called "Shi Yue" (Testing Month), which is also not true labor. In cases of abdominal pain, regardless of whether amniotic fluid has ruptured, there is no need for concern; one should simply relax and wait for the right time. If it is truly time for birth, the pain will become intense and unceasing, the fetus may shift position downwards, the lower back will feel heavy and distended, there will be a sensation of protrusion in the anus, amniotic fluid will drip down, and the baby will be born. This is normal delivery, which happens at its own appointed time, similar to a melon falling when ripe or a fruit dropping when mature.
4. When abdominal pain is first felt but the lower back does not hurt significantly, labor has not yet begun. One should endure patiently and move around; if unable to walk, one may stand leaning on objects, walking when able and resting when necessary.
5. At the moment of impending delivery, if the mother suffers severe pain and refuses to stretch her body, remaining rigid, sleeping curled up, the fetal yuan (vitality/position) rotates and seeks the birth canal but gets blocked. Repeatedly doing so exhausts the fetus's strength, decisively leading to dystocia.
6. When slight pain is first felt, one should sit or lie down as desired, and make an effort to eat and drink, to avoid weakness during labor.
7. When feeling close to delivery, one must conserve energy and nourish oneself, avoiding excessive straining. If the fetus's body is turning and one forces it prematurely, it may cause the fetus to deviate into a transverse or breech position. One must wait until the fetus reaches the cervix/vagina entrance before applying force to push the baby out. This is the correct timing for exertion. If the time is not right, forcing labor is futile.
8. If one feels mental restlessness or oppression during labor, one spoonful of white honey mixed with hot water can be taken.
9. Before delivery, if feeling irritable thirst and wanting to drink, rice water or mung bean soup is best.
10. If the laboring mother feels hungry, she should eat thick, soft white porridge. She should not be allowed to become hungry or thirsty, as this depletes qi and strength. Hard rice, zongzi (sticky rice dumplings), and other hard-to-digest foods should be avoided. If labor is too exhausting due to lack of strength, combined with spleen deficiency failing to digest food, postpartum food stagnation may occur.
11. If taking talismans or methods for inducing labor after delivery, they should be taken with warm wine or warm water, never cold water. Since blood coagulates when exposed to cold, blood coagulation causes fetal stagnation and difficulty, potentially leading to dystocia.
12. The laboring mother should not wash her hair near the due date to avoid transverse presentation or breech birth.
13. If the membranes have not ruptured before labor begins, one should simply stay calm and wait. If the membranes rupture and labor does not proceed within one or two hours, emergency administration of labor-inducing medicines is required. Amniotic fluid is the water within the uterus that nourishes the fetus. Once the membranes tear, the fluid flows out, and the fetus descends with it, facilitating easy delivery. However, if the fetal vitality is weak and rotation is slow, once the fluid is exhausted, foul blood may block the cervical opening, leaving the fetus with no passage, thus causing dystocia. It is advisable to use formulas such as Cuisheng Dan (Labor-Inducing Pill), Huashi San (Talcum Powder Dispersion), or Yimu Wan (Motherwort Pill) to expel lochia and lubricate the uterus, making delivery easier.
14. During labor, there should be no noise or panic in the delivery room. Doors and windows should be closed, and one should await birth in silence.