论曰心气下通胞络,妊妇临产,心气和平,则胞络滑利,若恐怖惊忧,则心气不能下通
胞络,故令难产,凡临产切忌惊忧,傍人挥霍,及胎未逼迫,先用气力之类,根据此将护,必
免难产之厄。
治妊娠数日不产,或生不顺理,百方不得安。立生。酥葵膏方
酥(一斤) 秋葵子(一升)白蜜(半斤) 滑石(一两半) 瞿麦(一两) 大豆 黄
卷(二两)
上六味,以清酒一升,细研葵子,纳酥蜜中,微火熬令熔,即下诸药。慢火煎。常
令沸如鱼目,约半升,即以新绵滤,贮瓷器中,每服半匙,加至一匙。多恐呕逆。
治妊娠数日不产,滑胎易产,甘草散方
甘草(炙锉一两) 黄芩(去黑心) 大豆黄卷(炒) 干姜(炮) 桂(去粗皮) 吴
茱萸(汤
上八味,捣罗为散,每服三钱匕,温酒调下,若临月。每日频服。
治妊娠数日不产,养胎易产。大黄丸方
大黄(锉炒二两) 枳实(去瓤麸炒) 芍药(各一两) 芎 (三分) 干姜(炮) 浓
朴(去
萸(汤洗去涎
上九味,捣罗为末,炼蜜和捣匀,丸如梧桐子大。每服二丸,温酒下,不拘时。
治妊娠数日不产,滑胎易产。瞿麦汤方
瞿麦(去根锉) 榆白皮(锉) 木通(锉各二两) 冬葵子(拣净微炒一合) 滑石
(一两)
上五味,粗捣筛,每服四钱匕,水一盏半,煎至七分,去滓空心温服。
治妊娠数日不产。葵子汤方
冬葵子(炒一合) 滑石(碎) 瞿麦(去根锉各一两) 丹参(锉一两半)
上四味,粗捣筛,每服四钱匕,水一盏半,煎至八分。去滓下牛酥白蜜各半合,再煎至
六分。食前温服。入月预服。
治妊娠数日不产,滑胎。当归散方
当归(切焙一两) 麻子仁(一合) 吴茱萸(汤洗去涎焙干再与大豆同炒香) 干姜
(炮)
糯米(各一合)
上一十味。捣罗为散,研细,每服二钱匕,空腹温酒调下,渐加至三钱匕,欲作丸。即
炼蜜和丸,梧桐子大。温酒下二十丸。
治妊娠数日不产。大豆卷散方
大豆黄卷(拣微炒) 麻子仁 吴茱萸(汤洗去涎焙干炒各半两) 甘草(炙) 干姜
(炮)
上八味,捣罗为散,每服二钱匕,温酒调下,不拘时。
治妊娠数日不产,益气滑胎。麦门冬丸方
麦门冬(去心焙) 芎 浓朴(去粗皮生姜汁炙透锉) 枳壳(去瓤麸炒) 芍药 赤
茯苓
上九味,捣罗为末,炼蜜和,涂酥为剂,捣熟丸如绿豆大,每服二十丸。空心酒下。
治妊娠数日不产。令易产方
铜弩牙(一只)
上一味,烧弩牙通赤,投半盏食醋中,临产服之。
治妊娠数日不产,令易产方
石燕子(二枚)
上一味,临产令产妇两手执之。即产。
治妊娠数日不产,如圣散方
生过蚕纸(烧灰)
上一味,研为细散,每服二钱匕,温酒调下,不计时。
论述说:心气向下通达于胞络(子宫及其脉络),孕妇临产时,若心气平和,则胞络滑利通畅;如果遭遇恐怖、惊吓或忧愁,就会导致心气无法向下通达胞络,从而引起难产。因此,凡是临近分娩,最忌讳受到惊吓和忧虑,旁人不要喧哗躁动,以及在胎儿尚未压迫产道之前,产妇不要过早用力等情形。若能依据这些原则进行护理,必定能避免难产的灾难。
治疗妊娠多日未能分娩,或者生产不顺利、各种方法都无法使胎儿安定的情况。立生酥葵膏方:
酥(一斤) 秋葵子(一升) 白蜜(半斤) 滑石(一两半) 瞿麦(一两) 大豆黄卷(二两)
以上六味药,用清酒一升,将葵子细细研磨,放入酥和蜜中,用微火熬煮至熔化,然后加入其他药物。用慢火煎煮,经常保持沸腾如鱼眼泡状,煎至约半升,用新棉过滤,储存在瓷器中。每次服用半匙,逐渐增加至一匙。服用过多恐怕会引起呕吐逆气。
治疗妊娠多日未能分娩,或生产不顺理,百方无效者。立生甘草散方:
甘草(炙后锉碎一两) 黄芩(去除黑心部分) 大豆黄卷(炒制) 干姜(炮制) 桂枝(去除粗皮) 吴茱萸(汤洗去涎)
以上八味药,捣碎过筛制成散剂。每次服用三钱匕,用温酒调服。若在预产期前一个月,每日频繁服用。
治疗妊娠多日未能分娩,养胎并易于生产。大黄丸方:
大黄(锉碎炒制二两) 枳实(去除瓤麸炒) 芍药(各一两) 川芎(三分) 干姜(炮制) 浓朴(去除粗皮生姜汁炙透) 吴茱萸(汤洗去涎)
以上九味药,捣碎过筛制成末,炼蜜调和捣匀,制成梧桐子大小的丸剂。每次服用两丸,用温酒送下,不拘时间。
治疗妊娠多日未能分娩,滑胎易产。瞿麦汤方:
瞿麦(去除根锉碎) 榆白皮(锉碎) 木通(锉碎,各二两) 冬葵子(拣选干净微炒一合) 滑石(一两)
以上五味药,粗捣筛过。每次服用四钱匕,用水一盏半,煎至七分,去渣,空腹温服。
治疗妊娠多日未能分娩。葵子汤方:
冬葵子(炒一合) 滑石(碎) 瞿麦(去除根锉碎,各一两) 丹参(锉碎一两半)
以上四味药,粗捣筛过。每次服用四钱匕,用水一盏半,煎至八分,去渣,加入牛酥和白蜜各半合,再煎至六分。饭前温服。入月(临近预产期)预先服用。
治疗妊娠多日未能分娩,滑胎。当归散方:
当归(切焙一两) 麻子仁(一合) 吴茱萸(汤洗去涎焙干,再与大豆同炒香) 干姜(炮制) 糯米(各一合)
以上十味药。捣碎过筛制成散剂,研细。每次服用二钱匕,空腹用温酒调服,逐渐增加至三钱匕。若想制成丸剂,则用炼蜜和丸,梧桐子大小。温酒送下二十丸。
治疗妊娠多日未能分娩。大豆黄卷散方:
大豆黄卷(拣选微炒) 麻子仁 吴茱萸(汤洗去涎焙干炒,各半两) 甘草(炙) 干姜(炮制)
以上八味药,捣碎过筛制成散剂。每次服用二钱匕,用温酒调服,不拘时间。
治疗妊娠多日未能分娩,益气滑胎。麦门冬丸方:
麦门冬(去除心焙干) 川芎 浓朴(去除粗皮生姜汁炙透锉碎) 枳壳(去除瓤麸炒) 芍药 赤茯苓
以上九味药,捣碎过筛制成末,炼蜜调和,涂酥为剂,捣熟制成绿豆大小的丸剂。每次服用二十丸。空腹用酒送下。
治疗妊娠多日未能分娩。令易产方:
铜弩牙(一只)
以上一味药,烧铜弩牙至通红,投入半盏食醋中,临产时服用。
Commentary states: The Heart Qi (vital energy of the heart) descends to connect with the Bao Luo (uterine collaterals). When a pregnant woman is near delivery, if her Heart Qi is peaceful and harmonious, the Bao Luo will be smooth and unobstructed. However, if she experiences terror, fright, or sorrow, the Heart Qi cannot descend to connect with the Bao Luo, thus causing difficult labor. Therefore, when approaching delivery, one must strictly avoid fright and worry; bystanders should not make noise or act restlessly; and the mother should not exert force prematurely before the fetus presses against the birth canal. If care is taken according to these principles, the disaster of difficult labor can surely be avoided.
For treating prolonged pregnancy without delivery for several days, or unsuccessful delivery where various methods fail to bring peace, there is the Formula for Immediate Birth: Su Kui Gao (Butter and Mallow Seed Paste).
Ingredients: Butter (1 jin), Autumn Okra Seeds (1 sheng), White Honey (0.5 jin), Talcum (1.5 liang), Herba Siegesbeckiae (1 liang), Sprouted Soybean (2 liang).
Preparation: Take the above six ingredients. Use 1 sheng of clear wine to finely grind the okra seeds, add them to the butter and honey, and melt over low heat. Then add the other herbs. Simmer slowly until it bubbles like fish eyes, reducing to approximately 0.5 sheng. Filter through new cotton cloth and store in a porcelain vessel. Dosage: Start with half a spoonful, gradually increasing to one spoonful. Excessive intake may cause vomiting and regurgitation.
For treating prolonged pregnancy without delivery, or difficult labor that does not follow normal patterns, where hundred remedies fail to provide relief, there is the Formula for Immediate Birth: Gancao San (Licorice Powder).
Ingredients: Radix Glycyrrhizae Preparata (roasted and crushed, 1 liang), Radix Scutellariae (remove black core), Sprouted Soybean (stir-fried), Rhizoma Zingiberis Preparatum (processed), Ramulus Cinnamomi (remove rough bark), Fructus Evodiae (wash with water to remove saliva).
Preparation: Crush and sieve the above eight ingredients into a powder. Dosage: Take 3 qianbi per dose, mixed with warm wine. If approaching the month of delivery, take frequently daily.
For treating prolonged pregnancy without delivery, nourishing the fetus and facilitating easy birth, there is the Formula: Dahuang Wan (Rhubarb Pill).
Ingredients: Radix et Rhizoma Rhei Preparata (crushed and stir-fried, 2 liang), Fructus Aurantii Immaturus (remove pulp, stir-fried with bran), Radix Paeoniae Alba (each 1 liang), Radix Chuanxiong (3 fen), Rhizoma Zingiberis Preparatum (processed), Cortex Magnoliae Officinalis (remove rough bark, stir-fried with ginger juice until permeated), Fructus Evodiae (wash with water to remove saliva).
Preparation: Crush and sieve the above nine ingredients into powder. Mix with refined honey and knead evenly. Form pills the size of paulownia seeds. Dosage: Take 2 pills per dose, with warm wine, at any time.
For treating prolonged pregnancy without delivery, facilitating smooth and easy birth, there is the Formula: Qumai Tang (Siegesbeckia Decoction).
Ingredients: Herba Siegesbeckiae (remove roots, crush), Cortex Ulmi (crush), Caulis Akebiae (crush, each 2 liang), Semen Malvae (select clean, lightly stir-fry, 1 he), Talcum (1 liang).
Preparation: Coarsely crush and sieve the above five ingredients. Dosage: Take 4 qianbi per dose, with 1.5 zhan of water, decoct to 0.7 portion, remove dregs, and take warm on an empty stomach.
For treating prolonged pregnancy without delivery, there is the Formula: Kuizi Tang (Mallow Seed Decoction).
Ingredients: Semen Malvae (stir-fry, 1 he), Talcum (crushed), Herba Siegesbeckiae (remove roots, crush, each 1 liang), Radix Salviae Miltiorrhizae (crush, 1.5 liang).
Preparation: Coarsely crush and sieve the above four ingredients. Dosage: Take 4 qianbi per dose, with 1.5 zhan of water, decoct to 0.8 portion, remove dregs, add 0.5 he of Beef Butter and White Honey each, and decoct again to 0.6 portion. Take warm before meals. Take in advance once entering the ninth month.
For treating prolonged pregnancy without delivery, facilitating smooth birth, there is the Formula: Danggui San (Angelica Powder).
Ingredients: Radix Angelicae Sinensis (cut and roasted, 1 liang), Semen Cannabis (1 he), Fructus Evodiae (wash with water to remove saliva, roast dry, then stir-fry fragrant with soybeans), Rhizoma Zingiberis Preparatum (processed), Oryza Glutinosa (each 1 he).
Preparation: Process the above ten ingredients. Crush and sieve into powder, grind finely. Dosage: Take 2 qianbi per dose, mixed with warm wine on an empty stomach, gradually increase to 3 qianbi. To make pills: mix with refined honey and form pills the size of paulownia seeds. Dosage for pills: Take 20 pills with warm wine.
For treating prolonged pregnancy without delivery, there is the Formula: Dayuan San (Soybean Sprout Powder).
Ingredients: Sprouted Soybean (select and lightly stir-fry), Semen Cannabis, Fructus Evodiae (wash with water to remove saliva, roast dry and stir-fry, each 0.5 liang), Radix Glycyrrhizae Preparata (roasted), Rhizoma Zingiberis Preparatum (processed).
Preparation: Crush and sieve the above eight ingredients into powder. Dosage: Take 2 qianbi per dose, mixed with warm wine, at any time.
For treating prolonged pregnancy without delivery, benefiting qi and facilitating smooth birth, there is the Formula: Maimendong Wan (Ophiopogon Pill).
Ingredients: Radix Ophiopogonis (remove heart, roast), Radix Chuanxiong, Cortex Magnoliae Officinalis (remove rough bark, stir-fried with ginger juice until permeated and crushed), Fructus Aurantii (remove pulp, stir-fried with bran), Radix Paeoniae Alba, Poria Cocos Rubra.
Preparation: Crush and sieve the above nine ingredients into powder. Mix with refined honey, coat with butter as a binder, knead thoroughly, and form pills the size of mung beans. Dosage: Take 20 pills per dose, with wine on an empty stomach.
For treating prolonged pregnancy without delivery, facilitating easy birth, there is the Formula:
Ingredient: Copper Crossbow Trigger (one piece).
Preparation: Heat the copper crossbow trigger until red hot, then immerse it in half a zhan of food vinegar. Take this liquid when approaching delivery.
For treating prolonged pregnancy without delivery, facilitating easy birth, there is the Formula:
Ingredient: Stone Swallow (two pieces).
Preparation: When approaching delivery, have the parturient hold one stone swallow in each hand. Delivery will occur immediately.
For treating prolonged pregnancy without delivery, there is the Formula: Rusheng San (Like-Sage Powder).
Ingredient: Paper from Silkworm Rearing (burn to ash).
Preparation: Grind into fine powder. Dosage: Take 2 qianbi per dose, mixed with warm wine, at any time.