斑水蛭及虻虫,乌头附子配天雄,野葛水银并巴豆,牛膝薏苡与蜈蚣,棱莪代
赭芫花麝,大戟蛇蜕黄雌雄,牙硝芒硝牡丹桂,槐花牵牛皂角同,半夏南星与通草,瞿麦干
姜桃仁通, 砂干漆蟹甲爪,地胆茅根莫用好。(出《便产须知》)
妊娠之妇,大宜寡欲,其在妇人多所不知,其在男子而亦多有不知者,近乎愚矣。凡胎
元之强弱,产育之难易,及产后崩淋经脉之病,无不悉由乎此。其为故也,盖以胎神巩固之
日,极宜保护宫城,使不知慎而多动欲火,盗泄阴精,则藩篱由不固而伤,血气由不聚而乱
,子女由元亏而夭,而阴分之病亦无不由此而百出矣。此妇人之最宜慎者,知者不可不察。
妊娠滑胎之法,惟欲其坐草之期易而且速,而难易之由,则在血之盈虚,不在药之滑利
。盖血多则润而产必易,血亏则涩而产必难,故于未产之前,但宜以培养气血为主,而预为
之地,如四物汤、滑胎煎、五福饮、小营煎、八珍汤之类,即皆滑胎之要药。若不知此而过
用滑利等物,或产期未近,无火无滞而妄用清火行气,沉降苦寒等药,必皆暗残营气,走泄
真阴,多致血亏气陷,反为临期大害。若果肥盛气实者,则紫苏饮、保生无忧散、滑胎枳壳
散之类,皆可择用。
凡妊娠胎元完足,弥月而产,熟落有期,非可催也。所谓催生者,亦不过助其血气而利
导之耳。直待临期,乃可用脱花煎或滑胎煎,随证加减主之。或经日久产,母困倦难生,俱
宜服滑胎煎,以助其气血,令儿速生。其有气虚无力,艰于传送者,必用独参汤,随多随少
接济其力,皆为催生要法。若期未至而妄用行气导血等剂,以为催生,亦犹摘方苞之萼,揠
宋人之苗耳。
一、临盆将产,腹痛已甚,凡催生之药,无如脱花煎,少用肉桂五七分为最稳最妙。若
气虚无力者,加人参二三钱;虚甚者,任意加用之。
一、催生若水血下多,子道干涩难出者,宜用滑利之物,如猪脂油、蜜、酥油、葱白、
葵子、牛乳、滑石、榆白皮之类以润之,亦济急之法也。
斑蝥、水蛭以及虻虫,乌头与附子配合天雄,野葛(断肠草)、水银以及巴豆,牛膝、薏苡仁与蜈蚣,三棱、莪术、代赭石、芫花和麝香,大戟、蛇蜕、黄雌(雄)及牙硝、芒硝、牡丹皮、肉桂,槐花、牵牛子和皂角同用,半夏、南星与通草,瞿麦、干姜和桃仁通利,砂仁、干漆、蟹甲爪,地胆和茅根都不宜使用。(出自《便产须知》)
妊娠期间的妇女,非常适宜清心寡欲。这在女性中很多人不知道,在男性中也多有不知晓的,这近乎愚昧了。凡是胎元的强弱、分娩的难易,以及产后崩漏、淋证和经脉方面的疾病,无不都由此引起。其缘故在于,胎儿神灵巩固的日子,极需保护子宫,如果不知道谨慎而多动欲火,盗泄阴精,那么藩篱就会因不坚固而受损,血气就会因不聚拢而紊乱,子女就会因元气亏损而夭折,而阴分方面的疾病也无不因此层出不穷。这是妇人最应当谨慎的事项,知晓的人不可不仔细考察。
关于妊娠滑胎(促进顺利分娩)的方法,只希望临盆之日容易且迅速,而难易的原因,在于血的充盈或亏虚,不在于药物的滑利作用。因为血多则滋润,生产必然容易;血亏则干涩,生产必然困难。所以在未生产之前,只应以培养气血为主,预先做好准备,如四物汤、滑胎煎、五福饮、小营煎、八珍汤之类,都是滑胎的重要药物。如果不懂这个道理而过用滑利等药物,或者产期未到,没有火热也没有气滞却妄用清热泻火、行气、沉降苦寒等药物,必定会暗中残害营气,耗散真阴,多导致血亏气陷,反而成为临产时的大害。如果确实是身体肥盛、气实的人,那么紫苏饮、保生无忧散、滑胎枳壳散之类,都可以选择使用。
凡是妊娠胎元完整充足,满十月而分娩,成熟落下自有定期,不是可以强行催生的。所谓催生,也不过是帮助其血气并引导它顺利排出罢了。直到临产之时,才可以使用脱花煎或滑胎煎,根据症状加减后主治。或者经过长时间难产,母亲困倦难以生出,都适宜服用滑胎煎,以助其气血,让胎儿快速出生。其中有气虚无力,艰难于传送胎儿的,必须使用独参汤,根据情况多少适量补充其力量,这些都是催生的重要方法。如果产期未到却妄用行气导血等剂型,以为可以催生,这也就像拔苗助长一样愚蠢。
一、临盆即将分娩,腹痛已经非常剧烈,凡是用药催生,没有比得上脱花煎的,少用肉桂五分至七分是最稳妥最奇妙的。如果是气虚无力的,加入人参二三钱;虚损严重的,任意加用。
一、如果催生时羊水血液流出过多,产道干涩难以娩出的,适宜使用滑利的物品,如猪脂油、蜂蜜、酥油、葱白、冬葵子、牛乳、滑石、榆白皮之类来润滑,这也是救急的方法。
Banmao (Mylabris), Shuizhi (Leech), and Mengchong (Tabanus), Wutou (Aconite Lateral Root) combined with Fuzi (Prepared Aconite Child Root) and Tianxiong (Aconite Root), Yege (Gelsemium/Strychnos, often referring to toxic plants like Gelsemium elegans or historically Strychnos nux-vomica depending on context, here likely a toxic herb), Shuiyin (Mercury), and Badou (Croton Seed), Niuxi (Achyranthes Root), Yiyiren (Coix Seed), and Wugong (Centipede), Leng (Burreed Tuber), E (Curcuma Tuber), Daizhe Shi (Haematitum), Yuanhua (Kadua Flower), and Shexiang (Musk), Daji (Euphorbia Root), Shetui (Snake Slough), Huang Cixiong (likely referring to specific animal parts or herbs, contextually grouped with toxins), Yaxiao (Sal Nitratis), Mangxiao (Mirabilite), Mudan Pi (Tree Peony Bark), Rougui (Cinnamon Bark), Huaihua (Sophora Flower), Qianniu (Morning Glory Seed), and Zaojiao (Tamarind Fruit/Seed pod), Banxia (Pinellia Rhizome), Nanxing (Arisaema Rhizome), and Tongcao (Tetrapanax Pith), Qumai (Dianthus Herb), Ganjiang (Dried Ginger), and Taoren (Peach Kernel) are contraindicated; Sharen (Amomum Fruit), Ganqi (Dried Licorice? No, Ganxi is Dry Resin), Ganqi (Dry Resin of Rhus chinensis?), Xiejiazhao (Carapace of Pot-bellied Turtle), Didang (Euphorbia kansui root? Or specific insect), and Maogen (Imperata Rhizome) should not be used well. (From "Bian Chan Xu Zhi")
Pregnant women are highly advised to practice sexual abstinence. This is unknown to many women, and also largely unknown to men, which is nearly foolish. The strength of the fetal origin, the difficulty or ease of childbirth, and postpartum conditions such as metrorrhagia, strangury, and menstrual disorders are all attributable to this factor. The reason lies in the fact that during the period when the fetal spirit consolidates, it is crucial to protect the uterine palace. If one fails to exercise caution and indulges in lustful desires, leaking yin essence, the protective barriers will become insecure, leading to disordered qi and blood. Consequently, offspring may suffer from congenital deficiency and premature death, and various diseases of the yin aspect will emerge. This is the most critical precaution for women, which those who understand must carefully consider.
Regarding methods to facilitate smooth delivery (Hua Tai), the goal is merely to make the time of lying on the birth mat easy and rapid. The factors determining difficulty or ease lie in the fullness or deficiency of blood, not in the lubricating properties of drugs. Abundant blood provides moisture, making delivery easy; deficient blood causes dryness and friction, making delivery difficult. Therefore, before labor, the primary approach should be to nourish qi and blood, preparing in advance. Formulas such as Siwu Tang (Four Substances Decoction), Huatai Jian (Slippery Fetus Decoction), Wufu Yin (Five Blessings Drink), Xiaoying Jian (Little Camp Decoction), and Bazhen Tang (Eight Treasures Decoction) are essential for facilitating delivery. If one ignores this principle and overuses lubricating agents, or if the due date has not arrived and there is no heat or stagnation yet purgative, qi-moving, sinking, bitter-cold drugs are recklessly employed, they will secretly damage Ying qi and deplete True Yin. This often leads to blood deficiency and qi sinking, becoming a major hazard at the time of delivery. However, for those who are indeed obese and have excess qi, formulas such as Zisu Yin (Perilla Drink), Baosheng Wuyou San (Protect Life Without Worries Powder), and Huatai Zhike San (Slippery Fetus Aurantium Powder) can be selected.
When the fetal origin is complete and sufficient, delivery occurs naturally after ten months, following its own schedule; it cannot be forcibly induced. What is called "inducing labor" merely assists the qi and blood to guide the process smoothly. Only when labor is imminent should Tuohua Jian (Shedding Flowers Decoction) or Huatai Jian be used, modified according to symptoms. In cases of prolonged labor where the mother is exhausted and unable to deliver, Huatai Jian should be administered to boost qi and blood, enabling the fetus to be born quickly. For those with qi deficiency and weakness, struggling to expel the fetus, Dushen Tang (Single Ginseng Decoction) must be used, dosed appropriately to supplement strength. These are key methods for inducing labor. Using qi-moving and blood-guiding agents before the due date under the guise of induction is akin to pulling shoots to help them grow—a futile and harmful act.
1. When approaching delivery with severe abdominal pain, no formula is superior to Tuohua Jian for inducing labor. Using a small amount of Rougui (5-7 fen) is the safest and most effective method. For patients with qi deficiency and weakness, add 2-3 qian of Renshen (Ginseng); for severe deficiency, add as needed.
2. If excessive amniotic fluid and blood loss cause dryness and friction in the birth canal, making delivery difficult, lubricating substances should be used, such as Pig Fat Oil, Honey, Butter, Scallion White, Dongkuizi (Winter Melon Seeds), Cow's Milk, Huashi (Talcum), and Yu Baidi (Elm Bark). This is also an emergency rescue method.