《妇人良方》曰∶妊娠至临月，当安神定虑，时常步履，不可多睡饱食，过饮酒醴杂药。欲产时，不可多
人喧哄怆惶。若见浆水，腰间痛甚，是胎已离经，方用药催生坐草，不可早服催生药早坐草，慎之。
薛立斋曰∶欲产时，觉腹内转动，即当正身仰卧，待儿转身向下，时作痛，试捏产母手中指中节或本节
跳动，方临盆即产。若初觉，不可仰卧，以待转胞。或未产而水频下，此胞衣已破，血水先干，必有逆生难产
之患。若胞衣破，不得分娩，用保生无忧散，以固其血。如血已耗损，八珍汤加益母草浓煎，时饮之。凡孕妇
上腹痛，未产也。连腰痛者，将产也。肾候于腰，胞系于肾故也。凡孕有生息不顺，宜嘱稳婆只说未产。或遇
双胎，只说胞衣。恐惊则气散，愈难生息。大抵难产，多患郁闷、安佚富贵之家。治法虽云胎前顺气，产后补
血，不可专执。若脾胃不实，气血不充，宜预调补之。
《妇人良方》曰∶花蕊石散，为血入胞衣，胀大不能下，或恶露上攻。佛手散治血虚危证，加味芎归汤入
龟板，治交骨不开。蓖麻
子治胎衣不下，失笑散治恶露腹痛，不省人事。醋油调滑石，涂入产门，为滑胎之圣药。清魂散，治血晕诸证。
平胃散、朴硝、水银，为腐化死胎之剂。皆为临产时紧要之药也。若气血虚损，以八珍、十全汤加减。
《妇人良方》说：妊娠到了临近预产期时，应当安神定虑，经常散步，不可多睡、饱食，过量饮酒或服用杂药。将要分娩时，不可让太多人喧哗惊扰导致产妇惊慌失措。如果见到羊水流出（浆水），腰部疼痛剧烈，这是胎儿已经脱离经络（进入产道）的迹象，此时才用药催产并上产床待产，不可过早服用催生药或过早上产床，务必谨慎。
薛立斋说：将要分娩时，感觉腹内胎动转动，就应当端正身体仰卧，等待胎儿转身向下，出现阵发性腹痛，测试捏产妇手中指的中节或本节有跳动感应，这时才是临盆即将分娩的时机。如果刚感觉到胎动，不可立即仰卧，以免等待过程中发生胎位异常（转胞）。或者在尚未分娩时羊水频繁流出，这是胞衣（胎盘/胎膜）已经破裂，若血水先干涸，必然会有逆生难产的隐患。如果胞衣破裂但无法分娩，使用保生无忧散，以固护其血。如果血液已经耗损，用八珍汤加入益母草浓煎，时时饮用。凡是孕妇感到上腹部疼痛，说明还未分娩。如果是连及腰部的疼痛，说明即将分娩。因为肾位于腰部，胞宫系于肾的缘故。凡是怀孕生产气息不顺的，应当嘱咐接生婆只说“还未分娩”。如果遇到双胎，只说“胞衣”相关的事宜。恐怕惊吓会导致气机涣散，更加难以顺利生产。大抵难产，多见于患有郁闷情绪、生活安逸富贵的家庭。治疗方法虽然常说产前顺气，产后补血，不可专门固执于此。如果脾胃虚弱不实，气血不充足，应当预先调理补益。
《妇人良方》说：花蕊石散，用于治疗血液进入胞衣，导致胞衣胀大不能排出，或恶露上攻心胸。佛手散治疗血虚危重证候，加味芎归汤加入龟板，治疗交骨（耻骨联合）不开。蓖麻子治疗胎衣不下，失笑散治疗恶露腹痛、神志不清。醋和油调和滑石粉，涂抹入产门，是滑胎的圣药。清魂散，治疗血晕各种证候。平胃散、朴硝、水银，是腐化死胎的药剂。这些都是临产时紧要的药物。如果气血虚损，用八珍汤、十全汤加减运用。
The *Furen Liangfang* (Good Prescriptions for Women) states: When pregnancy reaches the month before delivery, one should calm the spirit and stabilize thoughts, walk frequently, and avoid excessive sleep, overeating, or consuming alcohol and miscellaneous medicines in excess. When labor is imminent, there should be no noise from many people causing panic. If amniotic fluid (referred to as "plasma water") appears and severe lower back pain occurs, this indicates that the fetus has detached from its meridian path [entered the birth canal]. Only then should medicine be administered to induce labor and the mother should ascend the birthing bed. One must not take labor-inducing drugs too early or ascend the bed prematurely; caution is essential.
Xue Lizhai stated: When labor is imminent, if one feels movement inside the abdomen, one should lie supine with the body straight, waiting for the fetus to turn downward. When intermittent abdominal pain begins, test by pinching the middle phalanx or proximal phalanx of the mother's middle finger; if a pulsation is felt, this indicates impending delivery. If movement is felt initially, one should not lie supine immediately, to wait for proper fetal positioning and avoid complications such as malpresentation (tumor displacement). If water flows frequently before actual delivery, this indicates rupture of the membranes (bao yi). If blood and fluids dry up first, there will inevitably be risks of dystocia due to abnormal presentation. If the membranes have ruptured but delivery does not occur, use Baosheng Wuyou San (Preserve Life and Ensure Safety Powder) to consolidate the blood. If blood has already been depleted, decoct Bazhen Tang (Eight-Treasure Decoction) with heavy doses of Motherwort Herb (Yimucao), and drink it frequently. Generally, upper abdominal pain in pregnant women indicates that delivery has not yet begun. Pain extending to the lower back indicates that delivery is imminent. This is because the Kidney governs the waist, and the uterus is connected to the Kidney. For pregnancies where breathing and vital energy are obstructed during delivery, instruct the midwife to only say that delivery has not yet started. In cases of twins, only mention matters related to the placenta/membranes. Fear may cause Qi to scatter, making delivery even more difficult. Generally, dystocia is common among those who suffer from depression and live in leisurely, wealthy households. Although treatment methods often state that one should regulate Qi before delivery and tonify Blood after delivery, one should not adhere rigidly to these rules. If the Spleen and Stomach are weak and Qi and Blood are insufficient, preventive regulation and tonification should be employed.
The *Furin Liangfang* states: Huarui Shi San (Flower Porphyry Stone Powder) is used for blood entering the placental membranes, causing them to swell and preventing expulsion, or for lochia attacking upward. Foshou San (Buddha's Hand Powder) treats critical conditions of Blood deficiency. Jiawei Xiong Gui Tang (Modified Ligusticum and Angelica Decoction) added with Turtle Shell (Guiban) treats non-separation of the pubic symphysis (Jiaogu). Castor Seed (Bimazi) treats retained placenta. Shixiao San (Pain-Relief Powder) treats abdominal pain from lochia retention and unconsciousness. A paste of滑石 (Talcum) mixed with vinegar and oil, applied to the vaginal opening, is a sacred medicine for facilitating smooth delivery. Qinghun San (Clear Soul Powder) treats various syndromes of syncope due to Blood loss. Pingwei San (Peaceful Stomach Powder), Mirabilite (Piaoxiao), and Mercury (Shuiyin) are agents for decomposing dead fetuses. These are all crucial medicines for the time of delivery. If Qi and Blood are deficient and damaged, modify Bazhen Tang (Eight-Treasure Decoction) or Shiquan Tang (Ten-Complete Decoction).