产难死生候∶若母面赤舌青者,儿死母活。唇口青,口两边沫出者,子母俱死。面赤舌
青沫出者,母死儿活。(《医心方》卷二十三)
治产难方。
令夫从外含水,着妇口中二七过,立出。(《医心方》卷二十三)
治难产,二、三日不出方。
槐子十四枚,蒲黄一合,内酒中温服,须臾不生,更服之。(《外台》卷三十三)
又方
吞生鸡子黄三枚,并少苦酒。(《外台》卷三十三)
治产难日久气乏方。
用赤小豆一升,以水九升,煮取汁,入炙过黄明胶一两,同煎少时,一服五合,不过三、
四服,即产。(《本草纲目》卷二十四)
若日月未至而欲产者方。
末知母,蜜和兔屎大,服一丸,痛不止,更一丸。(《外台》卷三十三)
又方
取夫衣带五寸烧作灰,酒服立下。(《外台》卷三十三)
治产难,或半生,或胎不下,或子死腹中,或着脊及在草数日不产,血气上荡心,女
面无色,气欲绝方。
煎成猪膏(一升) 白蜜(一升) 淳酒(二升)
上三味,合煎,取三升,分五服,极验。(《医心方》卷二十三)
治横生方。
取梁上尘三指撮,酒服之。(《外台》卷三十三)
又方
菟丝子,酒若米汁服方寸匕,即出。(《医心方》卷二十三)
又方
车前子服之如上法。(《医心方》卷二十三)
治横产及侧或手足先出方。
可持粗针刺儿手足,入二分许,儿得痛,惊转即缩,自当回顺。(《外台》卷三十三)
难产及母子生死预后的征候:如果产妇面色红赤而舌色发青,是胎儿已死、母亲尚活的征象。如果嘴唇和口唇发青,且口角流出泡沫,则是母子双亡的征象。如果面色红赤、舌色发青且口角流沫,则是母亲死亡、胎儿存活的征象。(出自《医心方》卷二十三)
治疗难产的方剂。
让丈夫从外面含一口水,滴入产妇口中七次(二七为十四次),胎儿即可立即产出。(出自《医心方》卷二十三)
治疗难产,经过两三天仍无法产出的方剂。
取槐子十四枚,蒲黄一合,放入酒中温热后服用。如果片刻后仍未生产,再服用一次。(出自《外台秘要》卷三十三)
另一个方剂
吞服生鸡蛋黄三个,并加入少量醋。(出自《外台秘要》卷三十三)
治疗因难产日久导致气虚乏力的方剂。
用赤小豆一升,加水九升,煮取汁液,加入炙过的黄明胶一两,一同煎煮片刻。每次服用五合,不超过三四次,即可分娩。(出自《本草纲目》卷二十四)
如果未到预产期却想要生产的方剂。
将知母研成粉末,用蜂蜜调和制成如兔屎大小的药丸,服用一丸。如果疼痛不止,再服用一丸。(出自《外台秘要》卷三十三)
另一个方剂
取房梁上的灰尘三指撮的量,烧成灰,用酒送服,胎儿即可立即落下。(出自《外台秘要》卷三十三)
治疗难产,或胎儿半生出来,或胎衣不下,或胎儿死于腹中,或胎儿卡在脊柱处及在产道停留数日未能产出,气血上冲扰乱心神,产妇面色苍白无血色,气息微弱几乎断绝的方剂。
猪膏(一升) 白蜜(一升) 纯酒(二升)
以上三味药,混合煎煮,取药液三升,分五次服用,效果极佳。(出自《医心方》卷二十三)
治疗横位生产的方剂。
取房梁上的灰尘三指撮的量,用酒送服。(出自《外台秘要》卷三十三)
另一个方剂
菟丝子,用酒或米汤送服一方寸匕的量,胎儿即可立即产出。(出自《医心方》卷二十三)
另一个方剂
车前子,按上述方法服用。(出自《医心方》卷二十三)
治疗横产以及侧位生产,或手脚先露出的方剂。
可以用粗针刺胎儿的手足,刺入约二分深,胎儿感到疼痛受惊后会转身收缩,自然就会转为顺产。(出自《外台秘要》卷三十三)
Prognosis of Death and Life in Difficult Labor: If the mother's face is red and her tongue is cyan, it indicates that the fetus is dead but the mother survives. If the lips and mouth are cyan and foam issues from the corners of the mouth, it indicates the death of both mother and child. If the face is red, the tongue is cyan, and foam issues from the mouth, it indicates that the mother has died while the fetus survives. (From *Yixin Fang*, Vol. 23)
Formula for Treating Difficult Labor.
Have the husband hold water in his mouth from outside and drip it into the woman's mouth fourteen times (two sevens). The baby will be delivered immediately. (From *Yixin Fang*, Vol. 23)
Formula for Treating Prolonged Labor Where Delivery Has Not Occurred After Two or Three Days.
Take fourteen seeds of Sophora japonica (Huai Zi), one he of Acorus calamus powder (Puhuang), place them in wine, warm, and administer orally. If delivery does not occur shortly after, administer again. (From *Waitai Miyao*, Vol. 33)
Another Formula.
Swallow three raw egg yolks, along with a small amount of vinegar. (From *Waitai Miyao*, Vol. 33)
Formula for Treating Qi Deficiency Due to Prolonged Difficult Labor.
Use one sheng of Adzuki beans (Chi Xiaodou), add nine sheng of water, boil to extract the juice, add one liang of prepared Gelatinum Corii Asini (Huangming Jiao), and simmer together briefly. Administer five he per dose. Within three or four doses, delivery will occur. (From *Bencao Gangmu*, Vol. 24)
Formula for Inducing Labor Before the Due Date.
Powder Rhizoma Anemarrhenae (Zhimu), mix with honey to form pills the size of rabbit feces. Administer one pill. If pain persists, administer another pill. (From *Waitai Miyao*, Vol. 33)
Another Formula.
Take five cun of belt from the husband's clothing, burn it into ash, and administer with wine to induce immediate delivery. (From *Waitai Miyao*, Vol. 33)
Formula for Treating Difficult Labor, Where the Fetus is Partially Delivered, Placenta Retained, Fetus Dead in the Womb, Fetus Lodged Against the Spine or Stuck for Several Days, Blood and Qi Rushing Upward Disturbing the Heart, Woman's Face Lacking Color, and Qi Nearly Exhausted.
Porcine Fat (one sheng) White Honey (one sheng) Pure Wine (two sheng)
Combine the above three ingredients, decoct together, and obtain three sheng of liquid. Divide into five doses. This is extremely effective. (From *Yixin Fang*, Vol. 23)
Formula for Treating Transverse Lie.
Take a pinch (three fingers' worth) of dust from the roof beam, administer with wine. (From *Waitai Miyao*, Vol. 33)
Another Formula.
Cuscuta chinensis seeds (Tusizi), administer with wine or rice broth using a measure of one cun cube (Fang Cun Bi). The fetus will be delivered immediately. (From *Yixin Fang*, Vol. 23)
Another Formula.
Plantago asiatica seeds (Cheqian Zi), administer according to the aforementioned method. (From *Yixin Fang*, Vol. 23)
Formula for Treating Transverse Lie and Oblique Presentation, or Where Hands or Feet Emerge First.
One may use a coarse needle to prick the fetus's hands or feet, inserting approximately two fen deep. When the fetus feels pain and is startled, it will turn and retract, naturally returning to a cephalic presentation. (From *Waitai Miyao*, Vol. 33)