一产母面赤舌青。母活子死。母面青舌赤。口沫出。子活母死。母唇皆青。口两边沫出
身重寒热。舌上青黑。及舌上冷。遇此症者。子母俱死。不可治也。
一胎产横逆。多由坐草太早。努力过甚。儿身未转。或已破水。其血必干。致胎难转。
若先露脚。谓之逆。先
露手。谓之横。当以细绢针于儿手足心。针入一二分。三四刺之。以盐涂其上。轻轻送入。
儿得痛惊转一缩。即当回转而生矣。
一论难产或横或倒。死胎烂胀于腹中者。几觉腹痛。或腰重。若坐草时。将神柞散。即
温饮
一盏。便觉心下开豁。如渴。又饮一盏。觉下重便产。更无诸苦。横生倒逆。不过三服即正
子死腹中。不过三服即下。能保母子两全。最为神验。
有一妇人。横产手出。满腹肿胀。但欲截其手。不保其生。屡服催生药不效。以此药浓
煎一
碗与服。少顷苏醒。再与一碗。困睡少时。忽云。我骨节都折开了。快扶起我。血水俱下。
拔出死胎。全不费力。可谓更生。以此救人。百发百中。
催生神柞散
生柞树刺枝（如小指大者一握净洗锉碎一叶一刺者处处有之） 甘草（五钱）
上锉一剂。新汲水一碗半。入新瓦罐内。用纸三重密封之。文武火煎八分。温服。
一治孕妇临产艰难。或一二日不下者。服此自然转动下生。
三合济生汤
当归（二钱） 川芎（二钱） 枳壳（麸炒二钱） 紫苏（八分） 香附（炒二钱半） 大腹皮（
姜汁洗一钱半） 甘草（七分）
上锉。水煎。待腰痛甚。服之即产。
催生如意散 临产腰痛。方可服之。
人参（一钱） 乳香（一钱） 辰砂（五分）
上为末。临产之时。急用鸡子清一个调药。用生姜自然汁调开水。冷服。如横生倒产。
实时顺生。子母俱安。
一论妊娠子死。或未死。胎已动。芎归汤加苏叶。酒水煎服。死者即下。未死者即安。
一论胞衣已破。其血已涸。或元气困惫。用八珍汤斤许。再加益母草半斤。水数碗。煎
熟。时时饮之。饮完再煎。孕妇临月。预制此药。日进二服。则子易生。而胞易落也。
一论横生逆产。须臾不救。子母俱亡。
蛇蜕（一条） 蝉蜕（十四个） 胎发（一丸并烧灰）
上为末。分作二服。酒调下。须臾进一服。仰卧霎时即下。
一治难产。凑心不下者。蛇蜕烧灰。同原麝少许研细。温酒调下。立产。
一论临产破水。三五日不下。将死未绝者。（江月池传）鱼鳔用大者三寸。香油浸过。灯
上烧之。滴下油入酒内。其灰研末。酒调服。
一论难产。沥浆胞干。胎不得下。香油、蜂蜜。各三碗和匀。入铜铫内。慢火煎一二沸
掠去沫。调白滑石末一两。搅匀。顿服。外以油蜜摩母腹上。胎即下。
一妇人分娩艰难。产子已死。元气劳伤。用油纸捻烧断脐带。取其阳气以补之。俄闻儿
啼作声。若以刀物如常断之。其母亦难保生。
凡子死腹中者。多因惊动太早。或触犯禁。或抱腰太重。或频揉
拭水。胞衣先破。血水先尽。而胞干涸故耳。其候产母唇舌皆青者。子母俱死。若舌黑或胀
闷甚者。其子已死矣。先以平胃散一两。酒水各半煎。却收朴硝半两。（即熟皮硝）服之。或
用硝一两。以童便调下。亦妙。
一治胎衣不下。鸡子清三个。去黄。以酸醋一合和之。啜入口中即下。
一方治胎衣不下。即嚼生葱白数根即下。
一治胞衣不下。红花一两炒。清酒五爵沃之。温服。此乃气弱。而瘀血盈于胞也。故用
清酒壮其气。红花以败其血。
一治胞衣不下。因产母元气虚薄。用芎归汤倍桂以温之。自下。
一治妇人难产。及横生逆产如神。用蛇蜕炒焦为末。每五分酒调下。
一治死胎不下。兼难产及横生倒生。用桂心为末。每二钱。痛阵密时。用温酒调下。
一方用麝香五分为末。加桂末二钱。酒和服。
一治产后胎衣不下。恶血冲心。腹中血块。锦纹大黄一两。为末。以好醋半升。熬成膏
丸如梧子大。以醋化五丸服之。须臾即下。又治月经不通。
一治横生逆产。胎死腹中不下。
公老鼠腰子（一付） 轻粉（一分） 松香（一分）
共捣作三四丸。辰砂为衣。温酒下。
一治胎衣不下。令产妇衔自己发尾于口中。令呕哕。衣即下。此方可用。
一论妇人分娩。交骨不开。或五七日不下。垂死者。
活命芎归汤
川芎 当归（各一两） 生男女妇人发（一握烧灰存性） 自死龟壳（一个如无枯过者亦可
酥炙）上为末。每一两水煎服。良久。不问生死。胎即下。
一论妊娠十月满足。或因恣情内伤。或患潮热之症。又兼产前多吃热毒之物。瘀血相搏
七
情怒气所伤。临产横逆之厄。怆忙不谨。辄用稳婆下手取胎。触死胎儿在腹。不能施治。今
备妙方。防此之患。但服一二帖。加乌金丸二个甚妙。
活水无忧散
益母草（二两） 大枳壳（一两） 当归（四钱） 川芎（一钱） 白芍（二钱） 生地黄（二钱）
生鲤鱼（一个） 官桂（一钱） 急性子（四钱） 陈皮（一钱） 甘草（八分）
上各锉。分二服。每用水三碗。煎至二碗。临服之时。加好醋一匙。每一碗。加乌金丸
一粒。如其胎不下。急取无根水再煎药渣。连进二服。即救其性命。
一论横生逆产。临产艰难。胎死不下。及产后诸病。
乌金丸
真阿胶（一两八钱蛤粉炒） 苏木（一两） 艾叶（端午日收去根二两） 谷芽 麦芽（晒干
各二两） 蛇蜕（要全者一条焙干又要蛇头下向者方好）
上共为细末。炼蜜为丸。如芡实大。每用一丸。童便和酒化下。
一治横生逆产。并三五日不下。死在须臾。（姜师师周传）用从上往下蛇蜕一条。长尺余
者。烧灰存性。鹁鸽粪等分。为末。黄蜡为丸一个。皮硝化水吞下。
一治妇人交骨不开。产门不闭。皆由元气虚弱。胎前失于调摄。以致血气不能运达而然
交
骨不开。阴气虚也。用活命芎归汤、补中益气汤。产门不闭者。气血虚也。用十全大补汤。
活命芎归汤（方见前）
一治难产。兼胞衣不下。死胎不下。
巴三蓖七脱衣裳。细研如泥入麝香。捏作饼儿脐下贴。须臾子母便分张。
一方。用蓖麻子十粒剥去壳。研涂两脚心。衣即下。可即浣去。如不去。则肠出。如至
此时。就以此药贴顶心。缩回其肠。多用此药。如肠入则洗之。神效。
一治难产或横或逆。或血海干涸。或胎不下。惶惶无措。死在须臾。戴存愚传。
皮硝（二钱壮者三钱弱者或寒天可加大附子煨去皮脐三分半）
上用好酒半钟。童便半钟。入硝。煎一二沸。温酒服。立下。百中。
一治胎死腹中。或产母气乏委顿。产道干涩。或手足冷腹痛。即五积散。（见中寒）根据本
方去麻黄。加川乌、附子、南星、阿胶炒、木香、杏仁六味。
补中益气汤（方见内伤） 十全大补汤（方见补益）
一治女人出生肠。用脚盆盛贮其肠。取芋煎水洗过。盖芋水甚滑。洗过则肠滑。后用冷
水
胸前。使患者因咳嗽气则肠收。又用人以手托之。使肠入内。后用马蛤兜水洗。用渣搭于门
口上。女人睡倒。脚高起些。过一时即愈。
一位产妇面部发红、舌色发青，这是母亲存活而胎儿死亡的症状。若产妇面部发青、舌色发红且口角流涎，则是胎儿存活而母亲死亡的症状。如果产妇嘴唇全部发青，口角两侧流涎，身体沉重，忽冷忽热，舌面呈现青黑色或舌体发冷，遇到这些症状，母子均会死亡，无法救治。
胎位横逆难产，多因坐草（临产准备）过早，用力过猛，胎儿身体尚未转动，或者羊水已破，导致血液干枯，致使胎位难以回转。如果先露出脚部，称为“逆”；如果先露出手部，称为“横”。此时应用细绢包裹针，刺入胎儿手足心一二分深，针刺三四下，然后在上面涂抹盐，轻轻将手或脚推回。胎儿感到疼痛受惊后收缩肢体，胎位即可回转并顺利分娩。
论述难产，无论是横产还是倒产，或是死胎腐烂胀大在腹中的情况。刚觉得腹痛，或腰部沉重时，服用神柞散，温饮一盏，便感觉心胸豁然开朗，如同口渴一般；再饮一盏，感觉下身沉重欲便，随即分娩，再无其他痛苦。横生倒逆者，不过三剂即可转正；死胎在腹中者，不过三剂即可排出。此方能保全母子平安，最为神效。
曾有一位妇人，横产手部伸出，腹部肿胀，人们只想截断她的手以保其生，但未能保住性命。多次服用催生药无效，用此药浓煎一碗给她服用。不久苏醒，又给一碗，她困倦睡了一会儿，忽然说：“我的骨节都折开了，快扶我起来。”随后血水俱下，毫不费力地拔出死胎，可谓获得新生。以此方救人，百发百中。
催生神柞散：生柞树刺枝（如小指粗细的一把，洗净锉碎，一叶一刺的到处都有），甘草（五钱）。以上锉成粗末为一剂，用新汲水一碗半，放入新瓦罐内，用纸三层密封，用文武火煎至八分满，温服。
治疗孕妇临产艰难，或一二天未生产的，服用此药自然转动下行生产。
三合济生汤：当归（二钱），川芎（二钱），枳壳（麸炒二钱），紫苏（八分），香附（炒二钱半），大腹皮（姜汁洗一钱半），甘草（七分）。以上锉粗末，水煎。待腰痛剧烈时服用，即能分娩。
催生如意散：临产腰痛时方可服用。人参（一钱），乳香（一钱），辰砂（五分）。以上研为细末。临产时，急用一个鸡蛋清调药，用生姜自然汁调开水，冷服。若是横生倒产，实时顺产，母子平安。
论述妊娠期间胎儿死亡或未死但胎动不安，用芎归汤加苏叶，酒水各半煎服。死者即下，未死者即安。
论述胞衣已破，血液已干涸，或元气困乏疲惫，用八珍汤一斤许，再加益母草半斤，水数碗，煎熟，时时饮用。饮完再煎。孕妇临近预产期，预先制备此药，每日进服两次，则胎儿易生，胞衣易落。
论述横生逆产，片刻不救，母子俱亡。蛇蜕（一条），蝉蜕（十四个），胎发（一丸，烧灰）。以上研为细末，分作两服，酒调下。须臾间进服一剂，仰卧片刻即下。
治疗难产，胎盘不下者，蛇蜕烧灰，同少许原麝香研细，温酒调下，立即分娩。
论述临产破水，三五日不下，濒临死亡但未绝气者。（江月池传）取大鱼鳔三寸大者，用香油浸泡，在灯上烧之，滴下的油收集入酒内，其灰烬研末，酒调服。
论述难产，沥浆胞干，胎儿不得下行。香油、蜂蜜各三碗和匀，放入铜铫内，慢火煎一二沸，撇去浮沫，调入白滑石末一两，搅匀，顿服。外用油蜜按摩母亲腹部，胎儿即下。
一位妇人分娩艰难，产子已死，元气劳伤。用油纸捻烧断脐带，取其阳气以补母体。不久听到婴儿啼哭声，若用刀物像平常一样切断，母亲也难以保全性命。
凡是胎儿死在腹中的，多因惊动太早，或触犯禁忌，或抱腰太重，或频繁揉拭羊水，导致胞衣先破，血水先尽，胞衣干枯所致。其征象是产妇唇舌皆青者，母子俱死。若舌黑或胀闷严重者，胎儿已死。先用平胃散一两，酒水各半煎，然后加入朴硝半两（即熟皮硝）服用。或用硝一两，以童便调下，也很妙。
治疗胎衣不下，鸡子清三个，去黄，与酸醋一合同和，啜入口中即下。
一方治疗胎衣不下，嚼生葱白数根即下。
治疗胞衣不下，红花一两炒，用清酒五爵浇淋，温服。这是因为气弱，而瘀血充盈于胞宫。故用清酒壮其气，红花以败其瘀血。
治疗胞衣不下，因产妇元气虚薄，用芎归汤倍加桂枝以温之，自能下落。
治疗妇人难产，及横生逆产如神。用蛇蜕炒焦为末，每五分酒调下。
治疗死胎不下，兼难产及横生倒生。用桂心为末，每二钱，痛阵密集时，用温酒调下。
一方用麝香五分为末，加桂末二钱，酒和服。
治疗产后胎衣不下，恶血冲心，腹中血块。锦纹大黄一两，为末，用好醋半升，熬成膏，丸如梧桐子大，以醋化开五丸服用，须臾即下。又治月经不通。
治疗横生逆产，胎死腹中不下。公老鼠腰子（一副），轻粉（一分），松香（一分）。共捣作三四丸，辰砂为衣，温酒下。
治疗胎衣不下，令产妇衔自己发尾于口中，令其呕吐，衣即下。此方可用。
论述妇人分娩，交骨不开，或五七日不下，垂死者。
活命芎归汤：川芎，当归（各一两），生男女妇人发（一握，烧灰存性），自死龟壳（一个，如无枯过的亦可，酥炙）。以上为末，每一两水煎服。良久，不问生死，胎即下。
论述妊娠十月满足，或因恣情内伤，或患潮热之症，又兼产前多吃热毒之物，瘀血相搏，七情怒气所伤，临产横逆之厄，仓促不谨，辄用稳婆下手取胎，触死胎儿在腹，不能施治。今备妙方，防此之患。但服一二帖，加乌金丸二个甚妙。
活水无忧散：益母草（二两），大枳壳（一两），当归（四钱），川芎（一钱），白芍（二钱），生地黄（二钱），生鲤鱼（一个），官桂（一钱），急性子（四钱），陈皮（一钱），甘草（八分）。以上各锉粗末，分二服。每用水三碗，煎至二碗。临服之时，加好醋一匙，每一碗加乌金丸一粒。如其胎不下，急取无根水再煎药渣，连进二服，即救其性命。
乌金丸：真阿胶（一两八钱，蛤粉炒），苏木（一两），艾叶（端午日收去根二两），谷芽，麦芽（晒干各二两），蛇蜕（要全者一条焙干，又要蛇头下向者方好）。以上共为细末，炼蜜为丸，如芡实大。每用一丸，童便和酒化下。
治疗横生逆产，并三五日不下，死在须臾。（姜师师周传）用从上往下蛇蜕一条，长尺余者，烧灰存性，鹁鸽粪等分，为末，黄蜡为丸一个，皮硝化水吞下。
治疗妇人交骨不开，产门不闭，皆由元气虚弱，胎前失于调摄，以致血气不能运达而然。交骨不开，阴气虚也。用活命芎归汤、补中益气汤。产门不闭者，气血虚也。用十全大补汤。
活命芎归汤（方见前）。
治疗难产，兼胞衣不下，死胎不下。巴豆三枚，蓖麻子七枚，脱衣裳（此处疑为辅料或特定用法，原文如此），细研如泥入麝香。捏作饼儿脐下贴，须臾子母便分张。
一方，用蓖麻子十粒剥去壳，研涂两脚心，衣即下。可即浣去。如不去，则肠出。如至此时，就以此药贴顶心，缩回其肠。多用此药，如肠入则洗之，神效。
治疗难产或横或逆，或血海干涸，或胎不下，惶惶无措，死在须臾。戴存愚传。皮硝（二钱，壮者三钱，弱者或寒天可加大附子煨去皮脐三分半）。以上用好酒半钟，童便半钟，入硝，煎一二沸，温酒服，立下，百中。
治疗胎死腹中，或产母气乏委顿，产道干涩，或手足冷腹痛，即五积散。（见中寒）根据本方去麻黄，加川乌、附子、南星、阿胶炒、木香、杏仁六味。
治疗女人出生肠（子宫脱垂），用脚盆盛贮其肠，取芋煎水洗过。盖芋水甚滑，洗过则肠滑。后用冷水胸前，使患者因咳嗽气则肠收。又用人以手托之，使肠入内。后用马蛤兜水洗，用渣搭于门口上，女人睡倒，脚高起些，过一时即愈。
A parturient woman with a red face and cyanotic tongue indicates that the mother survives while the fetus dies. If the mother's face is cyanotic, the tongue is red, and froth issues from the mouth, it indicates that the fetus survives while the mother dies. If both lips of the mother are cyanotic, froth issues from the corners of the mouth, the body feels heavy, there are alternating chills and fever, the tongue surface is cyanotic or black, or the tongue feels cold, these symptoms indicate death for both mother and fetus, and the condition is incurable.
Breech or transverse presentation during childbirth often results from starting labor preparation too early or excessive straining, before the fetus has turned. Or if the amniotic sac has ruptured, the blood may dry up, making fetal rotation difficult. If the foot presents first, it is called "inverse" (nì); if the hand presents first, it is called "transverse" (héng). In such cases, use a fine silk-wrapped needle to prick the center of the fetal palm or sole to a depth of one or two fen, pricking three or four times. Apply salt to the area and gently push the limb back in. The pain and surprise will cause the fetus to contract and turn, allowing for normal delivery.
Regarding dystocia, whether transverse, breech, or involving a decomposing dead fetus in the abdomen: upon feeling abdominal pain or lower back heaviness, administer Shenzha San (Divine Oak Branch Powder). Drink one cup warm; the chest will feel open and clear, as if thirsty. Drink another cup; a sensation of heaviness in the lower body will arise, followed by delivery without further suffering. For transverse or inverse presentations, three doses will correct the position; for a dead fetus in utero, three doses will expel it. This formula ensures the safety of both mother and child and is highly effective.
There was a woman with a transverse presentation, hand protruding, and abdominal swelling. Attempts were made to amputate the hand to save her life, but she did not survive. Multiple催产 (labor-inducing) medicines failed. She was given a strong decoction of this medicine. After a short while, she regained consciousness. Another bowl was given, and after sleeping briefly, she suddenly said, "My joints have broken apart; help me up." Blood and water flowed down, and the dead fetus was extracted effortlessly. It can be said she was reborn. Using this prescription saves lives with 100% success.
Shenzha San (Divine Oak Branch Powder): Fresh oak branch thorns (one handful of those as thick as a little finger, washed clean and chopped; varieties with one leaf and one thorn are common), Licorice Root (Gancao, 5 qian). Chop into coarse pieces for one dose. Add 1.5 bowls of fresh well water to a new clay pot, seal tightly with three layers of paper, and decoct over mild heat until reduced to 80%. Take warm.
For pregnant women experiencing difficult labor or no delivery after one or two days, taking this medicine will naturally facilitate fetal movement and delivery.
Sanhe Jisheng Tang (Three-Combined Life-Sustaining Decoction): Angelica Root (Danggui, 2 qian), Szechuan Lovage Rhizome (Chuanxiong, 2 qian), Bitter Orange (Zhike, stir-fried with bran, 2 qian), Perilla Leaf (Zisu, 8 fen), Cyperus Rhizome (Xiangfu, stir-fried, 2.5 qian), Greater Betel Nut Peel (Dafupi, washed with ginger juice, 1.5 qian), Licorice Root (Gancao, 7 fen). Chop into coarse pieces, decoct in water. Administer when lower back pain becomes severe to induce delivery.
Ruyi San (As-You-Wish Powder): To be taken only when lower back pain occurs during labor. Ginseng Root (Renshen, 1 qian), Frankincense (Ruxiang, 1 qian), Cinnabar (Chensha, 5 fen). Grind into fine powder. At the onset of labor, mix urgently with one egg white. Dissolve in boiled water mixed with fresh ginger juice, and take cold. For transverse or breech presentations, it ensures immediate smooth delivery, keeping both mother and child safe.
Regarding fetal death in utero during pregnancy, whether dead or alive but moving restlessly, use Xiong Gui Tang (Peony and Angelica Decoction) plus Perilla Leaf (Suye). Decoct in wine and water. The dead fetus will be expelled; the living fetus will be stabilized.
When the amniotic sac has ruptured, fluids are exhausted, or vital energy is depleted, use Bazhen Tang (Eight-Treasure Decoction) in large quantities (approx. 1 jin), adding half a jin of Motherwort Herb (Yimucao). Decoct in several bowls of water. Sip frequently. Prepare this medicine near term, taking it twice daily to facilitate easy delivery and expulsion of the placenta.
Regarding transverse or inverse presentations, failure to act quickly results in death for both. Snake Slough (Shetui, one piece), Cicada Slough (Chantui, 14 pieces), Lanugo (Tai fa, one丸, calcined to ash). Grind into powder, divide into two doses, taken with wine. Administer one dose shortly after the other. Lie supine for a moment, and delivery will occur.
For dystocia with retained placenta, calcinate Snake Slough (Shetui) to ash, mix with a small amount of natural Musk (Shexiang), grind finely, and take with warm wine to induce immediate delivery.
Regarding rupture of membranes with no delivery after three to five days, approaching death but breath remaining (Transmission by Jiang Yuechi): Take a large fish bladder (3 cun), soak in sesame oil, burn over a lamp, collect the dripping oil into wine. Calcine the residue to ash, take with wine.
For dystocia due to dried amniotic fluid and inability of the fetus to descend, mix 3 bowls of Sesame Oil (Xiangyou) and Honey (Fengmi). Decoct slowly in a copper pot for one or two boils, skim off foam, mix in 1 ounce of Talcum Powder (Huashi), stir well, and take in one dose. Massage the mother's abdomen with the oil-honey mixture externally to facilitate delivery.
In a case of difficult delivery where the infant died and maternal vitality was damaged, burning the umbilical cord with an oiled paper twist was used to transfer yang qi to the mother. Soon after, the baby cried. Had the cord been cut normally with a knife, the mother might not have survived.
Dead fetuses in the uterus often result from premature stimulation, violation of taboos, excessive pressure on the waist, or frequent wiping of fluids, causing the sac to rupture early and fluids to dry up. Signs include cyanosis of lips and tongue (death for both); black tongue or severe distension indicates fetal death. First, administer Pingwei San (Calm the Stomach Powder, 1 liang) decocted in equal parts wine and water, then add 0.5 liang of Mirabilite (Puxiao, matured saltpeter) to take. Alternatively, take 1 liang of Mirabilite mixed with child's urine, which is also effective.
For retained placenta, mix three egg whites (yolks removed) with one he of sour vinegar, swallow immediately to expel the placenta.
Another method for retained placenta: chew several stalks of raw green onion white to expel it.
For retained placenta caused by weak qi and stagnant blood in the uterus, stir-fry 1 liang of Safflower (Honghua), pour five jugs of clear wine over it, and take warm. Wine strengthens qi, and Safflower resolves blood stasis.
For retained placenta due to deficient maternal qi, use Xiong Gui Tang (Peony and Angelica Decoction) with doubled Cinnamon Twig (Guizhi) to warm and promote expulsion.
For difficult labor, transverse, or inverse presentations, calcinate Snake Slough (Shetui) to ash, take 5 fen mixed with wine.
For retained dead fetus, complicated by dystocia or transverse/breech presentation, take Cinnamon Heart (Guixin) powder, 2 qian each time, mixed with warm wine during intense contractions.
Another formula: Mix 5 fen of Musk (Shexiang) powder with 2 qian of Cinnamon powder, take with wine.
For postpartum retained placenta with evil blood rushing to the heart and abdominal blood masses, use Jinwen Dahuang (Jinwen Rhubarb, 1 liang) ground to powder. Simmer 0.5 sheng of good vinegar into a paste, form pills the size of wu zi seeds. Dissolve five pills in vinegar and take. Expels quickly. Also treats amenorrhea.
For transverse/inverse presentation with retained dead fetus: One pair of male rat kidneys, Calomelas (Qingfen, 1 fen), Pine Rosin (Songxiang, 1 fen). Pound together into 3-4 pills, coat with Cinnabar (Chensha), take with warm wine.
For retained placenta, have the parturient hold the end of her own hair in her mouth to induce vomiting, which expels the placenta.
Regarding dystocia with unopened pubic symphysis (jiao gu) lasting 5-7 days, approaching death: Huoming Xiong Gui Tang (Life-Saving Peony and Angelica Decoction). Szechuan Lovage Rhizome (Chuanxiong), Angelica Root (Danggui) (each 1 liang), human hair (from living man or woman, one handful, calcined to ash preserving nature), shell of a naturally dead turtle (one piece, or dried one treated with butter). Grind to powder, decoct 1 liang in water. After some time, the fetus will be expelled regardless of life status.
Regarding full-term pregnancy (10 months), injury from excess desires, tidal fever, consumption of hot/toxic foods pre-labor, blood stasis conflict, emotional anger, leading to transverse/dystocia crises due to haste and improper midwifery causing fetal death in utero: Prepare excellent formulas to prevent this. Taking 1-2 doses plus two Wujin Wan (Black Gold Pills) is very effective.
Huoshui Wuyou San (Living Water Without-Worry Powder): Motherwort Herb (Yimucao, 2 liang), Large Bitter Orange (Dazhike, 1 liang), Angelica Root (Danggui, 4 qian), Szechuan Lovage Rhizome (Chuanxiong, 1 qian), White Peony Root (Baishao, 2 qian), Rehmannia Root (Sheng Dihuang, 2 qian), Live Carp (Sheng Liyu, one), Official Cinnamon (Guigui, 1 qian), Garden Balsame Seed (Jixingzi, 4 qian), Tangerine Peel (Chenpi, 1 qian), Licorice Root (Gancao, 8 fen). Chop each, divide into two doses. Decoct each dose in 3 bowls of water until reduced to 2 bowls. Before taking, add one spoon of good vinegar. Add one Wujin Wan per bowl. If the fetus does not descend, urgently decoct the dregs again using "rootless water" (rainwater/snowmelt), take two doses consecutively to save life.
Regarding transverse/inverse presentation, difficult labor, retained dead fetus, and postpartum diseases: Wujin Wan (Black Gold Pill). True Donkey-Hide Gelatin (Ejiao, 1 liang 8 qian, stir-fried with clam powder), Sappan Wood (Sumu, 1 liang), Mugwort Leaf (Aiye, harvested on Dragon Boat Festival, roots removed, 2 liang), Millet Sprout (Guya), Malt (Maiya) (sun-dried, 2 liang each), Snake Slough (Shetui, whole, roasted, head pointing down is best). Grind to fine powder, make pills with refined honey the size of euryale seeds. Take one pill dissolved in child's urine and wine.
For transverse/inverse presentation, no delivery after 3-5 days, impending death (Transmission by Jiang Shishi Zhou): Use a snake slough (Shetui) measuring over one chi long, oriented downwards, calcine to ash preserving nature. Mix equally with pigeon droppings, grind to powder, make one pill with yellow wax, swallow dissolved in Mirabilite (Puxiao) water.
For unopened pubic symphysis and unclosed birth canal due to weak vital qi and poor prenatal care leading to qi-blood stagnation: Unopened symphysis is yin deficiency; use Huoming Xiong Gui Tang and Buzhong Yiqi Tang (Tonify the Middle and Augment Qi Decoction). Unclosed canal is qi-blood deficiency; use Shiquan Dabu Tang (Ten-Tonics Great Tonifying Decoction).
Huoming Xiong Gui Tang (see above).
For dystocia with retained placenta and dead fetus: Three Barbados Loofah Seeds (Badazi), seven Castor Seeds (Bimazi). Remove shells, grind to mud, add Musk (Shexiang). Form into cakes and apply below the navel. Within moments, mother and child separate.
Another method: Ten Castor Seeds (Bimazi), peeled, ground, and applied to both soles. Placenta will descend. Wash off immediately. If not washed off, intestines may prolapse. If this happens, apply this medicine to the crown of the head to retract the intestines. If intestines enter, wash with water. Highly effective.
For dystocia, transverse/inverse, dry blood sea, or retained fetus, desperate situation, impending death (Transmission by Dai Cunyu): Mirabilite (Puxiao, 2 qian; 3 qian for robust patients; add 3.5 fen of baked Aconite Root (Fuzi) with skin and root removed for weak or cold patients). Mix with half a zhong of good wine and half a zhong of child's urine, add Mirabilite, boil once or twice, take warm. Immediate delivery, highly effective.
For dead fetus in utero, or maternal exhaustion, dry birth canal, cold limbs, abdominal pain: Use Wuji San (Five Accumulations Powder) (see Cold Damage). Remove Ephedra Herba (Mahuang), add Aconite Root (Chuanwu), Prepared Aconite Root (Fuzi), Pinellia Tuber (Nanxing), Fried Donkey-Hide Gelatin (Ejiao), Aucklandia Root (Muxiang), and Apricot Seed (Xingren).
Buzhong Yiqi Tang (see Internal Injury), Shiquan Dabu Tang (see Tonification).
For uterine prolapse (birth intestine): Place the prolapsed organ in a basin. Wash with decoction of taro, as taro water is slippery. Then splash cold water on the chest to induce coughing, which helps retract the organ. Support manually to insert it. Wash with horse clam water. Place the dregs at the door threshold, have the woman lie down with feet elevated. Recovery occurs after some time.