大凡妇人生子，乃天地造化，皆自然之理，不必心慌惊怕，切勿性急坐草，总宜忍痛，为第一要诀。盖胎
至十月满足，儿身转动，常有试痛，并未正产，只宜服保胎无忧散一二剂。多有服此药而孕复安，隔十日半月始
产者，切勿略觉腹痛，即呼收生稳婆。此等人每一进门，极其性急，若候半日，即便动手。或被挖破胎胞，水
即流出，误事者众。或儿身未转，性急坐草，用力太早，每每倒生、横生伤胞坏事，其祸大矣。且待瓜熟蒂落，
如大富大贵之子，自有好时辰下地，何必人力为之？只在忍痛自耐，如可食即食粥以助力，可卧则静卧以养神，
必要坐直眠直立直，使儿易于转身，切勿因腹痛而鞠腰按摩。其稳婆不过待儿出腹，托按结脐等事用之，名曰接
生。未有在腹中能为力者也。或早唤来，令其远坐以待生，不可令其动手探摸。房中宜静，不可喧闹。傍人不
可交头接耳，免使产妇心疑。面前不可多人，不过本家一二搀扶者。如夏月炎热，人多更热，恐俾产妇受热气。
冬月天寒，房中宜置火盆，不可被冻。直待腰腹痛一阵紧一阵，渐渐痛急，有似大小便俱出之状，是其时也。斯
时坐盆，背后用有力妇人抱住，稍一用力，儿即出矣。如或来迟，再用稳婆看浆水血水俱到，
儿身扶正，无物牵绊，或煎佛手散与服，活胎助血，若系交骨不开，即进加味归芎散。若血水去多，胞中子肠
干涩，随服八珍汤即生。此数药宜预备在家，切不可妄用催生等药。有等老产妇，肠中宽展，儿易转身，常有
腰腹一痛，实时生下，绝不费力。此皆平时小劳，临产瓜熟，天生自然，并无难事，此概以初产者而言也。既
产矣，不必问是男是女。犹恐望子之切，一或生女，防致气恼，恼则产后多病。产时与人参汤饮之，贫者桂圆
汤亦好，但不可移动。服汤之后，然后轻轻扶上床，床上须将被絮新垫枕之，勿使低头眠，恐瘀血不得下行。
随与温粥食之，夜间用老成妇人伴眠，日间房中亦宜作伴，盖产妇心虚易惊。室内宜静，俾安睡养神，外人来
者不许入房。次日即服生化汤一二剂，去瘀生新，则产后无病。宜避风、少言语、戒气恼。食清粥水泡饭，七
日后煮白鲞鱼淡食，十日后煮烂老母鸡，二十日食火腿，或烧烂猪肚，盈月方食鲜肉。三五日间不可梳头，如
要洗面，只可令人绕手巾揩之，切勿用力劳动，恐致蓐劳之患。如此谨慎调护，则终身少病。兹或产后有故，
该服之方列明于后，各审其因而药之，不可错误。缘产科虽前人颇多方书，未免太繁，皆博而难约。吾故拣其
要者，简而易者，书中以是病附是方，使用方者一目了然。
保胎无忧散
此方孕妇于八九个月先服一二剂，临月再服二三剂。若月分虽足，腹中似痛，总宜服此药，则易产，并可
以免产后余患。若未及时痛者，服则即安，可称古之仙方。
生黄 （一钱五分） 当归（一钱五分） 川芎（八分） 白芍（八分，酒炒） 甘草（五分） 羌活
浓朴（姜汁炒） 枳壳（麸炒） 艾叶（各五分） 大腹皮（五分，此予加者） 荆芥穗（六分） 菟丝子
（一钱五分） 川贝母（一钱）
以上十三味，加老姜二片，水煎服。
此方全用撑法。当归、白芍养血活血者也，浓朴去瘀血者也。用之撑开血脉，俾恶露不致填塞。羌活、荆
芥疏通太阳，将背后一撑。太阳经脉最长，太阳治则诸经皆治。枳壳疏理结气，将面前一撑，俾胎气敛抑而无阻
滞之虞。艾叶温暖子宫，撑动子宫则胞胎灵动。贝母、菟丝最能滑胎顺气，将胎气全体一撑，大具天然活泼之
趣矣。加黄 撑扶元气，元气旺则转动有力也。生姜通神明去秽恶，散寒止呕，所以撑扶正气而安胃气。甘草
协和诸药，俾左宜右有，而全其撑法之神也。（徐评）
佛手散
当归（四钱） 川芎（一钱二分）
水煎，酒冲服。
临产催生，无过此方之妙。大抵浆水未行宜无忧散，胞水已破或延时不生，必用佛手散。若去血太多恐血
沥干，儿难以转身，方用八珍，大补气血以助生机，万无一失。
八珍汤
人参（一钱） 白术（一钱，土炒） 茯苓（一钱） 炙草（三分） 熟地（三钱） 当归（五钱）
白芍（一钱） 川芎（一钱）
加姜枣，水煎服。或加丹参（三钱），乳香（五分），益母草（二钱）。冬月寒天加炮姜（一钱）。若呕者，
生姜、砂仁。如胎上逼，加淮牛膝（三钱）。
加味归芎汤（治交骨不开如神）
当归（五钱） 川芎（二钱，体虚者减半） 自败龟板（三钱，或灼过者。）
亦可用童便炙妇人头发一握（肥皂煎水洗净烧灰存性）。水煎服下片时，交骨即开。
此方用者少。盖交骨不开，有锁骨者，有血虚不能运达者，令稳婆以麻油调滑石粉涂入产门内，或以两指缓
缓撑开。更有冬寒受冷
不开者，急以热汤倾盆内熏之，得暖即开，皆宜速治，勿致伤胎。
大凡妇女生育，是天地自然造化的结果，遵循自然的规律，不必惊慌害怕，千万不要急躁地坐在产床上。总之以忍耐疼痛为第一要诀。因为胎儿到十月期满，身体转动时，常有试痛（分娩前的假性宫缩），这并非真正的临产，只适宜服用保胎无忧散一两剂。有很多服用此药后妊娠得以安定，过十天半个月才真正分娩的情况。千万不要稍微觉得腹痛，就呼叫接生的稳婆。这类人每次进门都非常性急，如果等待半天，她们就会立刻动手操作。有的会被挖破胎胞，羊水流出，导致误事的人很多。或者胎儿体位未转正，因急躁而提前用力，往往造成倒生、横生等损伤胞宫、坏事的情况，其祸害非常大。还是等到瓜熟蒂落的时候吧，就像富贵人家的孩子，自有吉时下地，何必用人为力量去干预呢？只需忍耐疼痛，自我克制，如果可以进食就喝粥以补充体力，如果可以躺卧就安静休息以养神。一定要坐直、睡直、站直，使胎儿容易转身，千万不要因为腹痛就弯腰按摩。稳婆的作用不过是等待胎儿产出腹部，托按、结扎脐带等事务，名叫接生。在胎儿还在腹中时，她们是没有能力帮忙的。或者早点叫来稳婆，让她们远远坐着等待生产，不要让她们动手探摸。产房应当保持安静，不可喧闹。旁边的人不要交头接耳，以免使产妇心生疑虑。面前不要站太多人，不过本家的一两个人搀扶即可。如果是夏天炎热，人多会更热，恐怕使产妇受热邪侵袭。冬天天气寒冷，产房内应放置火盆，不可受冻。直到腰腹疼痛一阵紧似一阵，渐渐疼痛剧烈，有类似大小便排出的感觉时，才是时候了。这时坐在产盆上，背后由有力气的妇人抱住，稍一用力，胎儿就出来了。如果稳婆来得晚，再请稳婆查看浆水（羊水）血水都已到来，胎儿体位已扶正，没有东西牵绊，或者煎服佛手散，以活血助胎；如果是耻骨联合分离（交骨不开），就进服加味归芎散。如果血水流失过多，胞宫中子肠干涩，随即服用八珍汤即可分娩。这几味药宜预备在家，切不可妄用催生等药物。有一些经产妇，肠道宽展，胎儿容易转身，常常腰腹一痛，实时生下，绝不费力。这都是平时轻微劳作，临产时瓜熟蒂落，天生自然，并无难事，这是概指初产妇而言的。既然已经分娩了，不必问是男是女。还要担心对生子的迫切期望，一旦生下女孩，防止导致气恼，气恼则产后多病。生产时给人参汤饮用，贫穷者桂圆汤也好，但不可移动产妇。服汤之后，然后轻轻扶产妇上床，床上须将被絮新垫枕头，不要让产妇低头睡觉，恐怕瘀血不能下行。随后给予温粥食用，夜间用老成持重的妇人陪伴睡眠，日间产房内也宜有人陪伴，因为产妇心虚易受惊。室内宜安静，以便安睡养神，外人来访不许进入房间。次日即服用生化汤一两剂，去除瘀血，生成新血，则产后无病。宜避风、少言语、戒除气恼。饮食清淡，用清粥水泡饭，七日后煮白鲞鱼淡食，十日后煮烂老母鸡，二十日食火腿，或烧烂猪肚，满月后才食鲜肉。三五天内不可梳头，如果要洗脸，只可让人绕着手巾擦拭，切勿用力劳动，恐怕导致蓐劳（产后虚损性疾病）的祸患。如此谨慎调护，则终身少病。假如产后有旧疾，该服的方剂列明在后面，各自审察病因而用药，不可错误。因为产科虽然前人有很多方书，未免太繁杂，都广博却难以简约。所以我挑选其中重要的，简单而易行的，书中以疾病附以方剂，使用方剂的人一目了然。
保胎无忧散
此方孕妇在怀孕八九个月时先服用一两剂，临近预产期再服用二三剂。如果月份虽足，腹中似有疼痛，总宜服用此药，则易于分娩，并且可以避免产后余患。如果没有及时出现产痛，服用则立即安宁，可称为古代的仙方。
生黄芪（一钱五分） 当归（一钱五分） 川芎（八分） 白芍（八分，酒炒） 甘草（五分） 羌活 浓朴（姜汁炒） 枳壳（麸炒） 艾叶（各五分） 大腹皮（五分，这是我添加的） 荆芥穗（六分） 菟丝子（一钱五分） 川贝母（一钱）
以上十三味药，加老姜两片，水煎服。
此方全用“撑”法。当归、白芍是养血活血的药物，浓朴是去除瘀血的药物。用它们来撑开血脉，使恶露不致填塞。羌活、荆芥疏通太阳经脉，从背后进行支撑。太阳经脉最长，太阳经治理好则诸经皆治。枳壳疏理结聚之气，从面前进行支撑，使胎气敛抑而没有阻滞的忧虑。艾叶温暖子宫，撑动子宫则胞胎灵动。贝母、菟丝子最能滑胎顺气，对胎气整体进行支撑，具有天然活泼的情趣。加黄芪支撑扶助元气，元气旺盛则转动有力。生姜通神明去秽恶，散寒止呕，所以支撑扶助正气而安和胃气。甘草协和诸药，使左右适宜，而保全“撑”法的神妙。（徐评）
佛手散
当归（四钱） 川芎（一钱二分）
水煎，用酒冲服。
临产催生，没有比此方更妙的了。大抵羊水未行宜用无忧散，胞水已破或延时不生，必用佛手散。如果失血太多恐怕血液枯竭，胎儿难以转身，方才用八珍汤，大补气血以助生机，万无一失。
八珍汤
人参（一钱） 白术（一钱，土炒） 茯苓（一钱） 炙甘草（三分） 熟地黄（三钱） 当归（五钱） 白芍（一钱） 川芎（一钱）
加姜枣，水煎服。或加丹参（三钱），乳香（五分），益母草（二钱）。冬天寒冷天气加炮姜（一钱）。如果呕吐，加生姜、砂仁。如果胎气上逼，加淮牛膝（三钱）。
加味归芎汤（治疗交骨不开如神效）
当归（五钱） 川芎（二钱，体质虚弱者减半） 自败龟板（三钱，或者烧灼过的。）
也可以用童便炙烤的妇人头发一握（用肥皂煎水洗净后烧灰存性）。水煎服下片刻，交骨（耻骨联合）即开。
此方使用者少。因为交骨不开，有的是锁骨（此处指耻骨联合处骨骼僵硬）者，有的是血虚不能运达者，令稳婆用麻油调滑石粉涂入产门内，或者用两指缓缓撑开。更有冬天受寒导致不开的，急忙用热汤倾倒在盆内熏蒸，得暖即开，都宜速治，勿致伤胎。
Generally, childbirth in women is the creation of heaven and earth, following natural laws. There is no need for panic or fear, nor should one be impatient to sit on the birthing stool. Enduring pain is the primary principle. When the fetus reaches full term (ten months), its movements often cause "trial pains" (false labor contractions), which are not true labor. In such cases, it is appropriate to take Baotai Wuyou San (Safety During Pregnancy Powder) for one or two doses. Many pregnancies are stabilized by this medicine, with delivery occurring ten days or half a month later. One must not call the midwife immediately upon feeling slight abdominal pain. Such individuals are often extremely impatient; if waited upon for half a day, they may intervene prematurely. This can lead to ruptured amniotic sacs and premature rupture of membranes, causing many mishaps. If the fetus has not turned into the correct position and the mother exerts force too early due to impatience, it often results in malpresentations such as breech or transverse lie, damaging the uterus and causing serious harm. One should wait until the melon is ripe and the stem falls naturally. Just as children of noble families have auspicious times for birth, why interfere with human effort? The key is to endure pain patiently. If able to eat, consume congee for strength; if able to lie down, rest quietly to nourish the spirit. Maintain upright postures while sitting, sleeping, and standing to facilitate fetal rotation. Do not bend the waist or massage due to abdominal pain. The midwife's role is limited to assisting during the actual expulsion, supporting the perineum, and tying the umbilical cord—hence the term "receiving birth." They have no power over the fetus within the womb. It is better to summon the midwife early but instruct her to sit at a distance and wait, without touching or examining. The room should be quiet, not noisy. Bystanders should not whisper to avoid alarming the parturient. Few people should be present; only one or two family members should assist. In summer heat, excessive people increase heat, risking heatstroke for the mother. In winter cold, a fire basin should be placed in the room to prevent chilling. True labor begins when lower back and abdominal pains become regular and intense, resembling the urge to defecate or urinate. At this time, sit on the birthing basin, have a strong woman support your back from behind, and push gently; the baby will emerge. If the midwife arrives late, check if amniotic fluid and blood are present. If the fetus is aligned and unobstructed, administer Foshou San (Buddha's Hand Powder) to invigorate blood and aid the fetus. If there is failure of symphysis pubis separation (Jiaogu Bukai), administer Jiawei Guixiong Tang (Modified Angelica and Chuanxiong Decoction). If excessive loss of fluids and blood causes dryness in the uterus, administer Bazhen Tang (Eight Treasures Decoction) immediately to facilitate delivery. These medicines should be prepared in advance; do not recklessly use other催产 (inducing) drugs. Multiparous women often have wider pelvic floors, allowing easier fetal rotation, resulting in immediate delivery after slight pain without difficulty. This is due to daily mild exertion and natural ripening, posing no difficulty. This description applies generally to primiparas. After delivery, gender is irrelevant. Anxiety over expecting a son may lead to anger if a daughter is born; anger predisposes to postpartum diseases. Administer Ginseng Decoction during labor; for the poor, Longan Decoction is suitable. Avoid moving the patient. After drinking the decoction, gently help her to bed. Use fresh cotton padding for pillows; avoid lying with the head low to prevent retention of lochia. Serve warm congee afterward. Have an experienced woman accompany her at night and during the day, as postpartum women are emotionally vulnerable and easily frightened. Keep the room quiet for sleep and spirit nourishment; forbid visitors. On the next day, administer Shenghua Tang (Transforming the Remains Decoction) for one or two doses to eliminate stasis and generate new blood, preventing postpartum illness. Avoid wind, speak little, and avoid anger. Eat light diet: rice soaked in clear congee. After seven days, eat bland dried fish. After ten days, eat well-cooked old hen. After twenty days, eat ham or stewed pig stomach. Only after one full month (Yuezi period) should fresh meat be consumed. For three to five days, do not comb hair; for washing face, have someone wipe with a towel wrapped around hands. Avoid strenuous activity to prevent Rulao (postpartum consumptive disease). With such careful care, one will suffer few illnesses throughout life. If postpartum complications arise, the following formulas are listed for specific etiologies. Do not err. Although previous obstetric texts are abundant, they are often too complex and hard to summarize. I have selected the essential, simple, and effective ones, pairing diseases with formulas for clarity.
Baotai Wuyou San (Safety During Pregnancy Powder)
Pregnant women should take one or two doses in the eighth or ninth month, and two or three doses near term. Even if term is reached with slight abdominal discomfort, taking this powder facilitates delivery and prevents postpartum sequelae. If labor does not start promptly, taking it brings peace. It is considered an ancient immortal formula.
Sheng Huangqi (Astragali Radix, 1.5 qian) Danggui (Angelicae Sinensis Radix, 1.5 qian) Chuanxiong (Ligustici Chuanxiong Rhizoma, 0.8 qian) Baishao (Paeoniae Radix Alba, 0.8 qian, wine-fried) Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 qian) Qianghuo (Notopterygii Rhizoma et Radix) Houpo (Magnoliae Officinalis Cortex, ginger-juice fried) Zhike (Aurantii Fructus Immaturus, bran-fried) Aye (Artemisiae Argyi Folium, each 0.5 qian) Dafupi (Arecae Pericarpium, 0.5 qian, added by author) Jingjie Sui (Schizonepetae Spica, 0.6 qian) Tusizi (Cuscutae Semen, 1.5 qian) Chuanbeimu (Fritillariae Cirrhosae Bulbus, 1 qian)
Thirteen ingredients, plus two slices of old ginger, decocted in water and taken orally.
This formula employs the method of "supporting/expanding" (Cheng). Danggui and Baishao nourish and invigorate blood; Houpo removes blood stasis. They expand the vessels to prevent lochia obstruction. Qianghuo and Jingjie unblock the Taiyang (Greater Yang) meridians, providing posterior support. As the Taiyang meridian is the longest, regulating it regulates all meridians. Zhike disperses qi stagnation, providing anterior support to ensure fetal qi is contained without obstruction. Aye warms the uterus, stimulating uterine motility for fetal movement. Beimu and Tusizi lubricate the fetus and smooth qi, providing holistic support to enhance natural vitality. Huangqi supports Yuanqi (Original Qi); robust Yuanqi ensures strong fetal movement. Ginger clears the mind, removes turbidity, dispels cold, stops vomiting, thus supporting Zhengqi (Upright Qi) and harmonizing Stomach Qi. Gancao harmonizes all herbs, ensuring balance and preserving the efficacy of the "supporting" method. (Commentary by Xu)
Foshou San (Buddha's Hand Powder)
Danggui (Angelicae Sinensis Radix, 4 qian) Chuanxiong (Ligustici Chuanxiong Rhizoma, 1.2 qian)
Decoct in water, take with wine.
For inducing labor, no formula is superior. Generally, if amniotic fluid has not broken, use Baotai Wuyou San. If membranes have ruptured or labor is delayed, use Foshou San. If excessive blood loss risks drying up the blood, making fetal rotation difficult, use Bazhen Tang to greatly tonify Qi and Blood to sustain life, ensuring safety.
Bazhen Tang (Eight Treasures Decoction)
Renshen (Panacis Ginseng Radix, 1 qian) Baizhu (Atractylodis Macrocephalae Rhizoma, 1 qian, soil-fried) Fuling (Poria, 1 qian) Zhi Cao (Prepared Glycyrrhizae Radix et Rhizoma, 0.3 qian) Shudi (Rehmanniae Radix Preparata, 3 qian) Danggui (Angelicae Sinensis Radix, 5 qian) Baishao (Paeoniae Radix Alba, 1 qian) Chuanxiong (Ligustici Chuanxiong Rhizoma, 1 qian)
Add ginger and jujube, decoct in water and take. Alternatively, add Danshen (Salviae Miltiorrhizae Radix et Rhizoma, 3 qian), Xiangru (Olibanum, 0.5 qian), Yimucao (Leonuri Herba, 2 qian). In winter cold, add Paojiang (Zingiberis Rhizoma Preparatum, 1 qian). For vomiting, add Shengjiang (Zingiberis Rhizoma Recens) and Sharen (Amomi Fructus). For fetal pressure upward, add Huainiuxi (Achyranthis Bidentatae Radix, 3 qian).
Jiawei Guixiong Tang (Modified Angelica and Chuanxiong Decoction - Effective for Failure of Symphysis Pubis Separation)
Danggui (Angelicae Sinensis Radix, 5 qian) Chuanxiong (Ligustici Chuanxiong Rhizoma, 2 qian, halve for deficient constitution) Zi Beiguiban (Testudinis Carapax et Plastrum, 3 qian, or calcined)
Alternatively, use Renfa (Human Hair, one handful, treated with child's urine and burned to ash). Decoct in water and take. The symphysis pubis will separate shortly after ingestion.
This formula is rarely used. Failure of symphysis pubis separation may be due to skeletal rigidity or blood deficiency failing to reach the area. Midwives may apply talcum powder mixed with sesame oil into the vagina or gently separate with fingers. In winter cold-induced cases, steam with hot water in a basin; warmth resolves it. Prompt treatment is necessary to avoid fetal injury.