达生散(妇四十) 生化汤(妇四二) 加味芎归汤(妇四四 难产) 《良方》当归汤(妇
五滑胎催生) 经验滑石散(妇五二 胎干难产) 佛手散(妇四一)
产妇临盆,必须听其自然,弗宜催逼,安其神志,勿使惊慌,直待花熟蒂圆,自当落矣
。所以凡用稳婆,必须择老成忠浓者,预先嘱之,及至临盆,务令从容镇静,不得用法催逼
。余尝见有稳婆忙冗性急者,恐顾此失彼,因而勉强试汤,分之掐之,逼之使下,多致头身
未顺而手足先出,或横或倒,为害不小。若未有紧阵,不可令其动手,切记!切记!又或有生
息不顺,及双胎未下之类,但宜稳密安慰,不可使产母闻知,恐惊则气散,愈难生下。又尝
见有奸诡之妇,故为哼讶之声,或轻事重报,以显己能,以图酬谢,因致产妇惊疑,害尤非
细,极当慎也。
立斋《医按》载一稳婆云∶止有一女,于分娩时,适当巡街侍御行牌,取我视其内室分
娩,女为此惊吓,未产而死。后见侍御,更以威颜吩咐。迨视产母,胎虽顺而头偏在一边,
此时若以手入推正,可保顺生。因畏其威,不敢施手,但回禀云∶此是天生天化,非人力所
能。因是子母俱不能救。由此观之,可见产时当用静镇自然,而一毫惊恐疑畏有不可使混于其间者。
达生散(出自《妇人》卷四十) 生化汤(出自《妇人》卷四十二) 加味芎归汤(出自《妇人》卷四十四,主治难产) 《良方》当归汤(出自《妇人》卷五,主治滑胎、催生) 经验滑石散(出自《妇人》卷五十二,主治胎干难产) 佛手散(出自《妇人》卷四十一)
产妇临盆时,必须顺应自然规律,不宜强行催逼,应安定其神志,避免使其惊慌,直到瓜熟蒂落,胎儿自会娩出。因此,凡是聘请接生婆(稳婆),必须选择老成持重、忠诚厚道的人,并预先嘱咐她们,等到临盆时,务必让她们从容镇静,不得采用手段强行催逼。我曾经见过有些接生婆忙碌急躁,担心顾此失彼,因而勉强试药,用手分推掐按,逼迫胎儿产出,这往往导致胎头胎身尚未顺位,而手足先伸出,或横位或倒位,造成的危害不小。如果还没有出现规律的宫缩(紧阵),不可让接生婆动手操作,切记!切记!另外,如果有呼吸不顺,以及双胎未下等情况,只宜稳重严密地安慰产妇,不可让产妇知晓实情,恐怕惊吓会导致气机涣散,更加难以分娩。又曾经见过一些奸诈狡猾的妇女,故意发出惊呼怪叫,或将小事说大,以显示自己的能力,以图获取酬谢,从而导致产妇惊恐疑虑,造成的危害尤其不小,极需谨慎啊。
薛立斋(薛己)在《医案》中记载一位接生婆的故事:他只有一个女儿,在分娩时,恰逢巡街御史下达命令,召我去查看内室的分娩情况,我女儿因此受到惊吓,未及分娩便死亡了。后来见到御史,他又用威严的脸色吩咐此事。等到我去查看产妇时,胎儿虽然位置顺正,但头部偏向一边,此时如果用手进去推正,可以保证顺利生产。因为畏惧他的威严,不敢动手操作,只是回报说:“这是天生自然的造化,非人力所能干预。”因此母子都无法挽救。由此看来,可见分娩时应当保持镇静自然,丝毫的惊恐、怀疑和畏惧都不应混杂其中。
Da Sheng San (Fetus-Generating Powder) [Gynecology, Vol. 40] Sheng Hua Tang (Life-Born Decoction) [Gynecology, Vol. 42] Jia Wei Xiong Gui Tang (Augmented Ligusticum and Angelica Decoction) [Gynecology, Vol. 44, for Dystocia] Liang Fang Dang Gui Tang (Excellent Formula Angelica Decoction) [Gynecology, Vol. 5, for Slippery Fetus and Labor Induction] Jing Yan Hua Shi San (Empirical Talcum Powder) [Gynecology, Vol. 52, for Dry Fetus and Dystocia] Fo Shou San (Buddha's Hand Powder) [Gynecology, Vol. 41]
When a woman is in labor, one must follow nature and should not urge or force delivery. One should calm her spirit and mind, preventing panic, until the melon is ripe and the stem falls off naturally; then the fetus will be born spontaneously. Therefore, when employing a midwife (wenpo), one must select an experienced, mature, loyal, and honest person, and instruct them beforehand. When labor begins, they must remain calm and composed, and must not use methods to forcibly induce delivery. I have seen midwives who are busy and impatient, fearing that attending to one aspect might neglect another, thus reluctantly trying decoctions, pushing and pinching with their hands, forcing the fetus out. This often results in the head and body not being in position while the limbs emerge first, leading to transverse or breech presentations, causing significant harm. If regular uterine contractions (jin zhen) have not yet begun, do not allow the midwife to intervene. Remember this! Remember this! Furthermore, if there is difficulty in breathing or cases of twins where one has not yet been delivered, one should only provide steady and careful comfort to the mother, without letting her know the details, lest fright causes the Qi to scatter, making delivery even more difficult. I have also seen deceitful women who intentionally make loud cries or exaggerate minor issues to display their own ability and seek higher rewards, thereby causing the parturient woman to become frightened and doubtful, which causes even greater harm. This requires extreme caution.
Xue Lizhai (Xue Ji) recorded in his "Medical Cases" about a midwife: He had only one daughter. During her delivery, it happened that a patrol censor issued a warrant summoning him to view the delivery in the inner chamber. His daughter was frightened by this event and died before giving birth. Later, when he saw the censor, the censor again instructed him with a stern countenance. When he examined the parturient woman, although the fetus was in a normal position, its head was tilted to one side. At that moment, if he had used his hand to push it straight, a smooth delivery could have been ensured. However, fearing the censor's authority, he dared not intervene, but instead reported back saying, "This is determined by Heaven and Nature, beyond human power." Consequently, neither the child nor the mother could be saved. From this, we can see that during childbirth, one must maintain tranquility and naturalness, allowing no trace of fright, doubt, or fear to interfere.