人参 乳香(焙去油各一钱) 辰砂(五厘) 为末。白酒送。白汤亦可。
产妇房中。宜老成安静者二三人。坐守。夏月更不宜多。恐热气壅盛。能令产母发晕。宜轻
宜劝安睡待时。不可交头接耳。致令忧疑。水温再易凉者。宜预烧
红秤锤。置醋瓶。以防产毕血晕。宜预煎生化汤。以候儿下地即服。
产妇第一宜慢临盆。盖早必揉腰擦肚。若系试痛。则生采强取而出。即或正生。恐儿身未转。
惟忍痛以待。产母手中指节或本节跳动。此时
浑身骨节疏解。胸前陷下。腰腹重坠。大小便齐急。目中金花爆溅。此乃瓜熟蒂落之候。临
盆用力得其时矣。
产妇切忌听稳婆言。盖此辈惟利自图。罔顾他人性命。一进门来。即令坐草。或适当其时。
非其时。欲了此适彼。则生采活剥。甚有逼死胎儿在腹。用碎割之法
。以见己功。借此尚欲居奇射利。以至母则受伤。子则惨死。祸不胜言。
(〔吴按〕既有此辈。要在我用他。不可他用我。)
临产全赖养精神。惜气力。夫欲惜力。莫如安睡。欲养精神。全赖药食。故产妇能上床安睡
时至。何妨产下裤中。能进饮食。凡无大碍。适意之物。不妨随意食
之。以壮神力。如不欲饮食。亦当将鸡鸭肉清汁汤。或补药食。勉强饮之。以接神力。
临产催生药。切忌兔脑鼠肾二丸。并回生丹。盖兔鼠二丸。例用香窜之味。产时百脉解散。
至儿出而香味未消。其损多矣。且令毛窍开张。招风入内。祸不
可言。若回生丹。以大黄红花为君。其余亦多消导。夫产妇血已耗。而又破多。致产后发热
等症。夫此二方。古今称为灵宝者。尚如此。外此更无论矣。如必须用药。莫若加味芎归汤
。佛手散。二方顿去宿血。聚生新血。有益无损。可称易得而利产者也。慎勿以熟方忽之。
人参、乳香(焙干去油,各一钱)、辰砂(五厘),研为细末。用白酒送服,白开水也可以。
产妇房内,宜留两三位稳重安静的老成人在旁守候。夏季更不宜人多,恐怕热气壅盛,导致产母头晕。宜保持环境轻松,劝产妇安心睡觉等待分娩时刻,不可交头接耳,以免引起产妇的忧虑和猜疑。水温变凉后应及时更换,宜预先烧红秤锤,放入醋瓶中,以防产后发生血晕。宜预先煎好生化汤,等候胎儿娩出后立即服用。
产妇临盆时最宜从容缓慢。因为过早用力,会揉搓腰部和腹部。如果是试痛(假性宫缩),则强行催产会导致难产;即使是正产,也恐怕胎儿体位尚未转正。只有忍耐疼痛等待时机。当产母手中指节或本节跳动时,此时浑身骨节松弛,胸前凹陷,腰腹沉重下坠,大小便同时急迫,眼前出现闪光(目中金花爆溅)。这是瓜熟蒂落的时候,临盆用力恰逢其时了。
产妇切忌听信稳婆(接生婆)的话。因为这类人只顾自己谋利,不顾他人性命。一进门来,就令产妇坐草待产。如果正当时候还好,如果不是时候,为了结束工作去照顾别家,就会生拉硬拽,甚至有逼迫胎儿在腹中死亡,使用碎割之法以显示自己的功劳,借此抬高身价谋取利益,以致母亲受伤,孩子惨死,祸患说不尽。
(〔吴按〕既然有这类人,要由我来利用他们,不可让他们利用我。)
临产全赖保养精神,爱惜气力。想要爱惜气力,不如安心睡觉;想要保养精神,全靠药物和饮食。所以产妇能上床安睡直到分娩时刻到来,即使生下孩子在裤子里也无妨。只要能进食,凡是没有大碍、合心意的食物,不妨随意食用,以增强体力。如果不欲饮食,也应当喝鸡鸭肉的清汁汤,或者补药食物,勉强喝下去,以接续体力。
临产催生药,切忌使用兔脑丸、鼠肾丸以及回生丹。因为兔鼠二丸,通常含有香窜的气味。生产时百脉解散,到胎儿娩出而香味未消散,损伤已经很多了。而且会使毛孔开张,招致风邪入内,祸患不可言说。至于回生丹,以大黄、红花为主药,其余也多属消导之品。产妇血液已耗损,再用破血药,会导致产后发热等症状。这两方,古今称为“灵宝”,尚且如此,其他就更不用说了。如果必须用药,不如使用加味芎归汤、佛手散。这两方能顿去宿血,聚生新血,有益无损,可称为容易得到且利于生产的方剂。千万不要因为方子熟悉而忽视它。
Ren Shen (Radix Ginseng), Ru Xiang (Baked and de-oiled Frankincense, each 1 qian), Chen Sha (Cinnabar, 5 li), ground into fine powder. Take with white wine; plain water is also acceptable.
In the delivery room, it is advisable to have two or three mature and quiet attendants on guard. In summer, there should be even fewer people, lest excessive heat causes dizziness in the parturient woman. The atmosphere should be relaxed, encouraging the woman to sleep peacefully until labor begins. Avoid whispering among attendants to prevent causing anxiety and suspicion in the mother. If the bathwater cools, replace it promptly. It is advisable to pre-heat a brass scale weight red-hot and place it in a vinegar bottle to prevent postpartum blood syncope. Shenghua Tang (Decoction for Generating Blood) should be pre-decocted to be administered immediately after the infant is born.
The parturient woman should ideally approach delivery slowly and calmly. Premature pushing may involve rubbing the waist and abdomen. If these are false pains (trial pains), forcing delivery can lead to difficult birth. Even in true labor, one must wait, fearing that the fetus has not yet turned into the correct position. One must endure pain and wait for the right moment. When the middle joint or proximal joint of the mother's middle finger throbs, at this time the joints throughout the body loosen, the chest sinks, the waist and abdomen feel heavy and descending, and there is an urgent need to urinate and defecate simultaneously, accompanied by visual flashes ("golden flowers exploding"). This is the sign that "the melon is ripe and the stem falls," meaning the timing for exertion during delivery is appropriate.
Parturient women must strictly avoid listening to midwives (Wenpo). Such individuals often act solely for their own profit, disregarding others' lives. Upon entering, they immediately instruct the woman to squat on the straw. If it is indeed the right time, so be it; but if not, eager to finish and attend to other cases, they may forcibly pull out the baby, or even cause fetal death in utero, using crude methods to display their skill, thereby inflating their reputation for profit. This results in injury to the mother and tragic death of the child, with disasters too numerous to recount.
([Commentary by Wu] Since such people exist, you should utilize them, rather than letting them control you.)
Delivery relies entirely on conserving spirit and preserving strength. To preserve strength, nothing is better than sleeping peacefully. To nourish spirit, one relies on medicine and food. Therefore, if the parturient woman can sleep in bed until the moment of delivery, even if the baby is born in the bedding, it is acceptable. As long as she can eat, any suitable food without major contraindications may be consumed freely to boost physical power. If she has no appetite, she should still drink clear broth from chicken or duck meat, or take tonic foods/medicines, forcing herself to consume them to sustain her strength.
For emergency delivery drugs, strictly avoid Rabbit Brain Pills and Rat Kidney Pills, as well as Huisheng Dan (Revival Pill). These pills typically contain aromatic and penetrating substances. During labor, when the meridians are dispersed, if the aromatic scent remains after birth, it causes significant damage. Moreover, it opens the pores, inviting wind pathogens inward, leading to dire consequences. Huisheng Dan uses Da Huang (Rhubarb Rhizome) and Hong Hua (Safflower) as chief ingredients, with other components being mostly digestive or resolving agents. Since the parturient woman's blood is already depleted, using blood-breaking herbs leads to postpartum fever and other syndromes. These two formulas, known since ancient times as "Lingbao" (Spiritual Treasure), are thus harmful; other formulas are even worse. If medication is absolutely necessary, Jiawei Xiong Gui Tang (Modified Ligusticum and Angelica Decoction) or Foshou San (Buddha's Hand Powder) are preferable. These two formulas eliminate old blood and generate new blood, offering benefits without harm. They are easily obtained and beneficial for delivery. Do not neglect them simply because they are familiar prescriptions.