（附验看生死法）
脉经云∶怀妊六七月，脉实大牢强弦紧者生，沉细者死。脉匀细易产，大浮缓气散难产。
脉诀云∶欲产之妇脉离经，沉细而滑也同名，夜半觉痛应分诞，来朝日午定知生。身
重体热寒又频，舌下之脉黑复青，反舌上冷子当死，腹中须遗母归冥。面赤舌青细寻看，母
活子死定应难，唇口俱青沫又出，母子俱死总教弃；面青舌赤沫出频，母死子活定知真。不
信若能看应验，寻之贤哲不虚陈。
束胎丸 胎瘦易生，服至产则已。
白术 枳壳（去穣麸炒，各等分）
上为末，烧饭丸如桐子大，入月，一日食前服三五十丸，温水下。（烧饭用荷叶煎汤更妙）
达生散 孕至八九个月内，服十数帖，甚好，易产。
大腹皮（三钱） 人参 陈皮 紫苏茎叶（各五分） 归身尾 白术（各一钱） 白芍药（炙，一钱）
甘草（炙，二钱）
上切作一服，入青葱五叶，黄杨脑七个，（即黄杨树叶梢，见食少胎瘦者，不须用。）水煎服。或
加枳壳、砂仁。春加川芎。夏加黄芩。秋加泽泻。冬加砂仁。气虚倍参、术。气实加香附、陈皮。
血虚加当归、地黄。形实倍紫苏。性急多怒，加黄连、柴胡。热甚加黄芩。湿痰加滑石、半夏。食积加
山楂。食后易饥，倍黄杨脑。腹痛加木香、官桂。（加法俱妙甚）
又方 第九个月服。（即束胎丸变法也，若气血不足者，当再酌之）
酒芩（酒炒，一两，虚弱人不宜凉药者减半） 白术（一两） 枳壳（麸炒） 滑石（各七钱半，临月
十日前用，小便多者，减此一味）
上为末，粥丸，桐子大，每服五十丸，空心热汤下。气实人宜服，多则恐损元气。
滑胎枳壳散 妊孕七八个月，常宜服，滑胎易产。湖阳公主每产累日不下，南山道人进此方。
商州枳壳（麸炒，二两） 粉甘草（炙，一两）
上为细末，每服三钱，百沸汤点服，日三服。（两方兼服固妙，然与气虚者非宜） 温隐
居加当归、广木香各等分。许学士云∶枳壳性苦寒，若单服之，恐有胎寒、胎痛之疾，以地
黄、当归蜜丸，佐之可也，名内补丸。盖枳壳散
破气有余，而内补丸补血不足也。
内补丸 治妊娠冲任脉虚，补血安胎，与枳壳散间服。
熟地黄（二两） 当归（一两，微炒）
上为末，炼蜜丸，如桐子大，每服三四十丸，温酒或滚汤下。
张氏方 治妊娠胎肥壅隘，动止艰辛，临月服之，缩胎易产。兼治肠中诸疾，下气宽膈。
（气实者宜之）
枳壳（五两） 甘草（一两半） 香附子（三两，炒去毛）
上为末，姜汤点服。如丈夫妇人，冷气攻刺胁肋疼痛者，用葱白三寸同煎服。妇人
脾寒，血气成块作刺，热酒调服。大小便不通，白牵牛汤调服。（牵牛太峻，恐非胎产所宜）
保生无忧散 治妊娠身居安逸，口厌甘肥，忧乐不常，食物不节，致胞胎肥浓，根蒂坚
牢，或瘦人血少胎弱，临蓐难产，入月服之，则易生也。
当归 川芎 白芍药 枳壳（麸炒） 木香 甘草（炙，各一钱半） 乳香（另研） 血余（烧存性，另
研，各五分）
上作一服，水煎，入乳香、血余和匀，不拘时服。
神寝丸 瘦胎滑利易产，临入月服之神效。（惟宜气盛者，故临月可服）
通明乳香（半两，另研） 枳壳（麸炒，一两）
上为末，炼蜜丸，如桐子大，每服三十丸，空心酒下。
（附：判断母子生死的诊法）
《脉经》说：怀孕六七月时，如果脉象实大、牢强、弦紧的，主生；如果脉象沉细的，主死。脉象匀细的容易生产，脉象大浮缓的因气散而难产。
《脉诀》说：临产的妇女，脉象离开常经（离经之脉），表现为沉细而滑，这是同名的征象。半夜感到疼痛，应在天亮时分分娩；如果到第二天中午还生不下来，就确定能生下来了。（若出现）身体沉重、发热且频繁发冷，舌下静脉颜色黑而青紫，舌头反卷且上冷，胎儿应当死亡，腹中遗毒会导致母亲归于冥界。面色赤红、舌色青紫，仔细查看，母亲存活胎儿死亡是确定的难题；嘴唇和口唇都发青且流出泡沫，母子俱死，总归要放弃；面色青紫、舌色赤红且频繁流出泡沫，母亲死亡胎儿存活是确定的真相。如果不相信，若能观察这些应验的情况，寻找贤哲的论述并非虚妄陈述。
束胎丸：胎儿瘦小容易生产，服用到预产期即可停止。
白术、枳壳（去除瓤部，用麸皮炒制，各等分）
将上述药材研为细末，用烧饭（煮熟的米饭）制成丸药，大小如梧桐子。进入妊娠最后一个月，每天饭前服用三五十丸，温水送服。（煮饭时用荷叶煎汤更好）
达生散：怀孕至八九个月时，服用十几帖，效果很好，易于生产。
大腹皮（三钱）、人参、陈皮、紫苏茎叶（各五分）、当归身尾、白术（各一钱）、白芍药（炙，一钱）、甘草（炙，二钱）
将上述药材切碎为一剂，加入青葱五叶、黄杨脑七个（即黄杨树叶梢，见食欲不振、胎儿瘦小的情况，不需要使用）。用水煎服。或者加枳壳、砂仁。春季加川芎。夏季加黄芩。秋季加泽泻。冬季加砂仁。气虚者加倍人参、白术。气实者加香附、陈皮。血虚者加当归、地黄。形体壮实者加倍紫苏。性情急躁易怒者，加黄连、柴胡。热盛者加黄芩。湿痰者加滑石、半夏。食积者加山楂。饭后容易饥饿者，加倍黄杨脑。腹痛者加木香、官桂。（以上加减法都非常精妙）
又一方：第九个月服用。（这是束胎丸的变法，如果气血不足的人，应当再斟酌使用）
酒黄芩（酒炒，一两，虚弱人不宜用凉药的减半）、白术（一两）、枳壳（麸炒）、滑石（各七钱半，临产前十天使用，小便多者，减去这一味药）
将上述药材研为细末，用米粥制成丸药，大小如梧桐子。每次服用五十丸，空腹用热汤送服。气实的人适宜服用，服用过多恐怕损伤元气。
滑胎枳壳散：怀孕七八个月时，经常适宜服用，使胎儿滑利易于生产。湖阳公主每次生产都几天生不下来，南山道人进献此方。
商州枳壳（麸炒，二两）、粉甘草（炙，一两）
将上述药材研为细末，每次服用三钱，用滚开水冲服，每天三次。（这两个方子一起服用固然好，但对于气虚的人不适宜）温隐居加当归、广木香各等分。许学士说：枳壳性味苦寒，如果单独服用，恐怕有胎寒、胎痛的疾病，用地黄、当归制成蜜丸来佐助它，名叫内补丸。大概是因为枳壳散破气有余，而内补丸补血不足。
内补丸：治疗妊娠冲任脉虚，补血安胎，与枳壳散交替服用。
熟地黄（二两）、当归（一两，微炒）
将上述药材研为细末，用炼蜜制成丸药，大小如梧桐子。每次服用三四十丸，用温酒或滚开水送服。
张氏方：治疗妊娠胎儿肥满壅塞隘窄，行动艰难，临产前服用，可缩小胎儿体积易于生产。兼治肠道各种疾病，下气宽胸膈。（气实的人适宜使用）
枳壳（五两）、甘草（一两半）、香附子（三两，炒去毛）
将上述药材研为细末，用姜汤冲服。如果是丈夫妇人，冷气攻刺胁肋疼痛的，用葱白三寸同煎服。妇人脾寒，血气结成块状刺痛，用热酒调服。大小便不通，用白牵牛汤调服。（牵牛子药性太峻猛，恐怕不适合胎产使用）
保生无忧散：治疗妊娠期间身居安逸，口中厌恶甘肥食物，忧乐情绪不常，饮食不节制，导致胞胎肥厚浓浊，根蒂坚牢；或者瘦人血少胎弱，临产难产，进入妊娠最后一个月服用，则容易生产。
当归、川芎、白芍药、枳壳（麸炒）、木香、甘草（炙，各一钱半）、乳香（另研）、血余（烧存性，另研，各五分）
将上述药材作为一剂，用水煎煮，加入乳香、血余混合均匀，不拘泥时间服用。
神寝丸：瘦胎滑利易于生产，临产前一个月服用有神奇疗效。（只适宜气盛的人，所以临产前可以服用）
通明乳香（半两，另研）、枳壳（麸炒，一两）
将上述药材研为细末，用炼蜜制成丸药，大小如梧桐子。每次服用三十丸，空腹用酒送服。
(Attached: Method for Determining Life and Death of Mother and Child)
The *Mai Jing* (Pulse Classic) states: During the sixth or seventh month of pregnancy, if the pulse is solid, large, firm, strong, wiry, and tight, it indicates survival; if the pulse is deep and fine, it indicates death. A uniform and fine pulse suggests easy delivery, while a large, floating, and slow pulse indicates difficult delivery due to scattered Qi.
The *Mai Jue* (Pulse Rhymes) states: For a woman about to give birth, the pulse deviates from the normal pattern (Li Jing Mai), presenting as deep, fine, and slippery, which is a common sign. Pain felt at midnight should result in delivery by dawn; if not delivered by noon the next day, it is certain she will deliver. (If there is) heavy body, fever, and frequent chills, with black and bluish veins under the tongue, and the tongue rolling back and cold on top, the fetus shall die, and toxins remaining in the abdomen will cause the mother to perish. If the face is red and the tongue is cyanotic, upon careful examination, it is certain that the mother survives but the fetus dies; if the lips and mouth are both cyanotic and foam issues forth, both mother and child die, and all hope should be abandoned; if the face is cyanotic, the tongue is red, and foam issues forth frequently, it is certain that the mother dies but the fetus survives. If you do not believe this, observe these verifiable signs, and the words of sages are not in vain.
Shu Tai Wan (Fetus-Binding Pill): The fetus is small and easy to deliver; take until the time of delivery.
Bai Zhu (Atractylodis Macrocephalae Rhizoma), Zhi Ke (Aurantii Fructus, pith removed, stir-fried with bran, equal parts).
Grind into powder, make pills using cooked rice, size of Sophora seeds. Enter the last month of pregnancy, take 30-50 pills before meals, wash down with warm water. (Using lotus leaf decoction to cook the rice is better).
Da Sheng San (Great Birth Powder): Take several doses during the eighth or ninth month of pregnancy; it is very good and facilitates easy delivery.
Da Fu Pi (Arecae Pericarpium, 3 qian), Ren Shen (Ginseng Radix et Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Zi Su Geng Ye (Perillae Caulis et Folium, each 5 fen), Dang Gui Shen Wei (Angelicae Sinensis Radix, body and tail), Bai Zhu (Atractylodis Macrocephalae Rhizoma, each 1 qian), Bai Shao Yao (Paeoniae Radix Alba, processed with honey, 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, processed with honey, 2 qian).
Cut into pieces for one dose, add five leaves of green onion and seven Huang Yang Nao (tips of Euonymus japonicus leaves; not needed if appetite is poor and fetus is thin). Decoct in water and take. Alternatively, add Zhi Ke and Sha Ren. In spring, add Chuan Xiong. In summer, add Huang Qin. In autumn, add Ze Xie. In winter, add Sha Ren. For Qi deficiency, double Ren Shen and Bai Zhu. For Qi excess, add Xiang Fu and Chen Pi. For Blood deficiency, add Dang Gui and Di Huang. For robust physique, double Zi Su. For irritable and angry disposition, add Huang Lian and Chai Hu. For excessive heat, add Huang Qin. For damp-phlegm, add Hua Shi and Ban Xia. For food stagnation, add Shan Zha. For hunger after eating, double Huang Yang Nao. For abdominal pain, add Mu Xiang and Guan Gui. (These modifications are excellent).
Another Formula: Take in the ninth month. (This is a variation of Shu Tai Wan; for those with insufficient Qi and Blood, reconsider).
Jiu Qin (Scutellariae Radix, wine-fried, 1 liang; reduce half for weak persons who should not use cold medicines), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1 liang), Zhi Ke (Aurantii Fructus, bran-fried), Hua Shi (Talcum, each 7.5 qian; use ten days before term; if urination is frequent, omit this ingredient).
Grind into powder, make pills with congee, size of Sophora seeds. Take 50 pills per dose, wash down with hot water on an empty stomach. Suitable for persons with Qi excess; taking too much may damage Yuan Qi.
Hua Tai Zhi Ke San (Slippery Fetus Aurantium Powder): Suitable for regular use during the seventh or eighth month of pregnancy to facilitate slippery fetus and easy delivery. Princess Huyang had prolonged labor for many deliveries; Daoist Nan Shan presented this formula.
Shang Zhou Zhi Ke (Aurantii Fructus, bran-fried, 2 liang), Fen Gan Cao (Glycyrrhizae Radix et Rhizoma, processed with honey, 1 liang).
Grind into fine powder. Take 3 qian per dose, mix with boiling water, three times a day. (Taking both formulas together is good, but not suitable for Qi deficiency). Wen Yin Ju added Dang Gui and Guang Mu Xiang in equal parts. Scholar Xu stated: Zhi Ke is bitter and cold; taking it alone may cause fetal coldness and fetal pain. It can be assisted by pills of Di Huang and Dang Gui made with honey, named Nei Bu Wan. This is because Zhi Ke San overcomes Qi excessively, while Nei Bu Wan supplements Blood insufficiently.
Nei Bu Wan (Inner Supplement Pill): Treats deficiency of Chong and Ren meridians in pregnancy, supplements Blood and calms the fetus; take alternately with Zhi Ke San.
Shu Di Huang (Rehmanniae Radix Praeparata, 2 liang), Dang Gui (Angelicae Sinensis Radix, 1 liang, slightly fried).
Grind into powder, make pills with refined honey, size of Sophora seeds. Take 30-40 pills per dose, wash down with warm wine or boiling water.
Zhang Shi Fang (Formula of Mr. Zhang): Treats pregnancy where the fetus is fat and obstructive, making movement difficult; take near term to shrink the fetus and facilitate delivery. Also treats various intestinal diseases, directs Qi downward and expands the diaphragm. (Suitable for Qi excess).
Zhi Ke (Aurantii Fructus, 5 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1.5 liang), Xiang Fu Zi (Cyperi Rhizoma, 3 liang, fried and de-hairy).
Grind into powder, mix with ginger juice to take. For men or women with cold Qi attacking and stabbing the hypochondrium causing pain, decoct with three cun of scallion white and take. For women with Spleen cold and Blood-Qi forming masses causing stabbing pain, mix with hot wine and take. For obstruction of urination and defecation, mix with Bai Qian Niu Tang and take. (Qian Niu is too harsh and likely unsuitable for pregnancy and childbirth).
Bao Sheng Wu You San (Protect Life Without Worries Powder): Treats pregnancy where one lives in comfort, dislikes sweet and fatty foods, has unstable emotions, and irregular diet, leading to thick and dense placenta with firm roots; or for thin persons with little Blood and weak fetus, causing difficult labor near term. Take in the last month to facilitate easy birth.
Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Bai Shao Yao (Paeoniae Radix Alba), Zhi Ke (Aurantii Fructus, bran-fried), Mu Xiang (Aucklandiae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma, processed with honey, each 1.5 qian), Ru Xiang (Olibanum, ground separately), Xue Yu (Calamitatis Capitis Humani Carbonized, ground separately, each 5 fen).
Combine as one dose, decoct in water, add Ru Xiang and Xue Yu, mix evenly, take at any time.
Shen Qin Wan (Divine Sleep Pill): Slims the fetus, makes it slippery and easy to deliver; takes divine effect when taken one month before term. (Only suitable for persons with abundant Qi, so can be taken near term).
Tong Ming Ru Xiang (Olibanum, clear and bright, 0.5 liang, ground separately), Zhi Ke (Aurantii Fructus, bran-fried, 1 liang).
Grind into powder, make pills with refined honey, size of Sophora seeds. Take 30 pills per dose, wash down with wine on an empty stomach.