坐草须知要及时，儿身未顺且迟迟。若教产母用力早，逼胎不正悔难追。
【注】凡产妇坐草，最要及时，不可太早。若儿身未顺，宁可迟迟，宽心以待。倘坐草
太早，非正产之时，妄使产母用力，往往逼胎不正，遂至横倒者有之，虽悔无及矣！
儿身转顺顶当门，胞浆已破腹腰疼，中指跳动谷道挺，临盆用力送儿生。
【注】凡儿之生自有其时，时至则儿身转顺，头顶正当产门，胞浆大来，腰重腹痛，谷
道挺迸，产母中指中节或本节跳动。此方为正产之时，方可临盆用力送儿，自顺生矣！
交骨不开须细审，或因不足或初胎，总宜开骨通阴气，佛手龟版妇发灰；若因不足加参妙，一服能令骨立开。
【注】产妇交骨不开，有因气血不足者，有因初次胎产者，二者均宜用开骨散通其阴
气。其方即佛手散加败龟版，与生过子女妇人头发也。气血不足者加人参，服之可使其
骨立开。
盘肠未产肠先出，已产婴儿肠不收，顶贴萆麻服升补，肠干润以奶酥油。
【注】妊娠妇人有盘肠生者，临产之时其肠先拖出，及儿已产下，其肠有仍不收者。须
以蓖麻仁捣烂贴于顶心，内服升补之剂，如补中益气汤或八珍、十全大补等汤加升麻，以
升补之，其肠自收矣。
补中益气汤 十全大补汤（方俱见首卷）
坐草（临产）须知把握时机，若胎儿体位不顺且产程进展缓慢。如果让产妇过早用力，导致胎位不正，届时后悔也来不及了。
【注】凡是产妇临产，最重要的是把握时机，不可太早。如果胎儿体位尚未顺正，宁可等待产程稍慢一些，放宽心态以待其自然发动。倘若临产过早，并非正产之时，妄自让产妇用力，往往会导致逼迫胎儿姿势不正，从而出现横位倒置等情况，即使后悔也无济于事了！
胎儿体位转顺、头顶抵住产门时，羊水破裂，腹部和腰部疼痛，肛门有挺出感，中指跳动，此时方可临盆用力送胎儿出生。
【注】凡是胎儿出生自有其时，时机到了则胎儿体位转顺，头顶正当产门，羊水大量流出，腰部沉重腹痛，肛门挺迸，产妇的中指中节或本节跳动。这才是正产之时，才可以临盆用力送儿，自然顺利生产！
交骨（耻骨联合）不开须仔细审察，可能是因为气血不足或是初次分娩，总宜使用开骨散以通利阴气；方用佛手散加龟版和妇人头发灰；若是因气血不足所致，加入人参效果更佳，一服药就能使骨头立刻张开。
【注】产妇交骨不开，有的因气血不足引起，有的因初次胎产引起，这两种情况都适宜用开骨散来通其阴气。此方即佛手散加败龟版，以及生过子女的妇女头发烧成的灰。气血不足者加入人参，服用后可使其骨头立刻张开。
盘肠生（直肠脱垂）是指未产之前肠子先出来，已产后婴儿生下但肠子仍不收纳。可在头顶贴敷蓖麻仁捣烂之物，内服升提补益之剂，如肠子干燥则用奶酥油润湿。
【注】妊娠妇女中有盘肠生这种情况，临产之时其肠子先拖出，及至婴儿已产出，其肠子仍有不收缩回纳者。需用蓖麻仁捣烂贴于头顶心，内服升补之剂，如补中益气汤或八珍汤、十全大补汤等方加升麻，以升提补益，其肠子自然就会收纳回去。
It is essential to know the timing for labor; if the fetus's position is not yet favorable and progress is delayed. If the mother exerts effort too early, it may force the fetus into an abnormal position, making regret futile later on.
[Note] Regarding labor (Zuocao), timing is most critical, and one should not start too early. If the fetal position is not yet aligned, it is better to wait patiently for a slightly slower progression, keeping a relaxed mind until natural onset. If labor begins prematurely, before the time of normal delivery, and the mother is urged to exert force in vain, it often forces the fetus into an incorrect posture, leading to transverse or inverted positions. Even then, regret would be of no avail!
When the fetal body turns favorable and the vertex presses against the birth canal, with rupture of membranes, abdominal and lumbar pain, protrusion sensation at the anus, and pulsation in the middle finger, this is the time to push during labor to deliver the baby.
[Note] The birth of a fetus has its own appointed time. When the time arrives, the fetal position becomes favorable, the vertex aligns with the birth canal, amniotic fluid flows abundantly, the lower back feels heavy with abdominal pain, there is a sense of protrusion at the anus, and the middle segment or proximal phalanx of the mother's middle finger throbs. Only at this moment of normal delivery should the mother push to facilitate birth, ensuring a smooth delivery!
If the pubic symphysis (Jiaogu) fails to open, careful examination is required; it may be due to Qi and Blood deficiency or being a primipara. Generally, one should use Kaogu San (Bone-Opening Powder) to unblock the Yin Qi. The formula consists of Foshou San (Buddha's Hand Decoction) added with Testudinis Carapax et Plastrum (Tortoise Shell) and ash from the hair of women who have given birth to daughters. If caused by Qi and Blood deficiency, adding Ren Shen (Ginseng Root) is excellent; a single dose can cause the bones to open immediately.
[Note] Failure of the pubic symphysis to open in parturient women may be due to Qi and Blood deficiency or being a first-time mother. Both conditions are suitable for using Kaogu San (Bone-Opening Powder) to unblock the Yin Qi. This formula is Foshou San (Buddha's Hand Decoction) added with Testudinis Carapax et Plastrum (Tortoise Shell) and ash made from the hair of women who have borne children. For those with Qi and Blood deficiency, adding Ren Shen (Ginseng Root) allows the bones to open immediately upon ingestion.
Prolapse of the rectum (Panchang Sheng) refers to the intestine protruding before delivery, or remaining prolapsed after the infant is born. Apply a paste of Ricini Semen (Castor Bean) mashed to the vertex, and internally administer decoctions that lift and tonify. If the intestine is dry, moisten it with butter oil.
[Note] Pregnant women may experience Prolapse of the Rectum (Panchang Sheng), where the intestine drags out prior to delivery, or remains unretracted after the infant is delivered. One must apply mashed Ricini Semen (Castor Bean) to the center of the vertex (Baihui GV20 area implied) and internally administer lifting and tonifying formulas, such as Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) or Bazhen Tang (Eight Treasures Decoction), Shiquan Dabu Tang (Ten Significant Tonification Decoction), etc., added with Shengma (Cimicifugae Rhizoma), to lift and tonify, so that the intestine will naturally retract.
Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction); Shiquan Dabu Tang (Ten Significant Tonification Decoction) [Formulas are found in the first volume].