妇人以血为主，惟气顺则血和，胎安而产亦顺，又何俟诸般调护乎？奈富贵之家，嗜欲
骄恣，使精血凝淤胞胎。且耽于安逸，全不运动，以致胞胎肥浓。又或食生冷硬物，凝滞气
血。又或临产惊恐，恐则情怯气下，而下焦壅闭不行，皆致难产。有如腹痛或作或止，名曰
弄胎。浆水淋漓来少，名曰试水。虽脐腹俱痛，儿已转身，而腰不痛者切莫仓惶，切禁稳婆
于腹上揣摩，将手入探，以致胞破浆干，儿身难以运转。直待时候已到，痛阵已紧，水破腰
疼，眼中如火，儿逼产门，方可坐草，待儿头顺正，方可用力逼送。其或本家仓惶，稳婆冒
昧，致令坐草太早，用力太过，产母困倦而犹迟迟难下者，方可用催生之药。又不可轻用峻
剂，徒渗水道，愈令难产。如当盛暑，气散血沸，则产室宜贮水一大盆，以收暑毒，并时烧
旧漆器以防血晕。如遇严冬，气血凝滞，则产室用火和暖，下部衣被加浓，方免胎寒血结。
此调护之法，尤宜因时以制宜者也。
一曰正产。怀胎十月，阴阳气足，忽然作阵疼痛，胎至产门，浆破胎下，儿即正产。
二曰伤产。胎未足月，有所伤动，以致忽然脐腹疼痛，或服催生药太早，或产母用力太
过，逼儿错路，以致不能正生。故分娩须待儿身转动对产门，然后努力一送，自然产下。
三曰催生。欲产时，儿头已至产门，而生犹迟滞者，方用药催之。又或挨延日久，产母
困倦难支，宜服药以助其气血，令儿速生。
按∶助其气血四字甚妙，须细玩之。
四曰冻生。天气寒冷，产母血气凝滞，不能速生，务要产室和暖，衣被加浓，使产母温
和，不致血凝胎滞。
五曰热生。暑天产母热甚，则头痛面赤昏晕，产室人多气逼，亦致此患，名曰血晕。宜
多放水盆以收热毒，庶免崩晕。然或凉风阴雨，又当谨避。
六曰横生。此由儿方转身，产母努力逼之，以致儿头不正。当令产母安然仰卧，推儿身
正直，拨头对产门。推拨时，以中指探儿肩，不令脐带系绊，方用药催之，总以努力一送即
生矣。用芎、归、阿胶、葵子、滑石为末，酒蜜调下。古人用三退散为末，用蜜调下。
七曰倒生。由儿尚未掉头，努力一逼故也。亦令安然仰卧，令稳婆徐徐将儿足推送入腹
，候儿身自顺，切勿惊惶。如良久不生，令稳婆用手轻轻以推足就令一边，直上拨儿转身，
令儿头一边渐渐顺下，正对产门，然后服催生药，努力一送即生矣。
八曰偏生。由儿头未顺生路，产母努力一逼，以致儿头偏坠一边，虽已露顶，实乃头角
也。亦当令仰卧，轻轻将手拨正小儿头面直对产门，一送即下。若见儿顶后骨偏坠谷道而先
露头，则令稳婆以棉衣烘暖裹手，于谷道外旁轻轻推儿，努力送之自生矣。
九曰碍生。儿身已正，门路已顺，儿头已露，因儿转身时，脐带绊住其肩，以致难下。
亦令仰卧，轻手推儿近上以中指托儿肩脱去脐带，仍候儿身顺正，一送即下。
十曰坐产。言儿欲生时，当于高处牢挂手巾一条，令产母以手攀，轻轻屈足，良久儿即
顺生。
十一曰盘肠生。临产时，小肠先出，然后生儿，其肠不收，名曰盘肠。急以热水浸软旧
布盖住其肠，不可包托，外以醋半盏、新汲水半盏默喷产母背面，一喷令一缩，再喷再缩，
以尽为度，不可惊惶。可用如圣膏涂顶心，收尽即洗去。一方以半夏末吹鼻即收。又方∶以
麻油纸烟熏鼻。又方∶用磨刀水少许，火上温过，以润其肠，后用好磁石煎汤一盏服之自收
。磁石即吸铁石，盖用磨刀水之故，即以借其吸力，如肠久出而为风吹干不能收者，用一净
器盛贮，煎黄 汤浸之。
十二曰交骨不开，阴门不闭。二症皆由元气素弱，胎前失于调摄，以致血气不能运达而
然。交骨不开者，阴气虚，用加味芎归汤，阴门不闭者，气血两亏也，用十全大补汤。
妇女以血为本，只有气机调顺，血液才能调和，胎儿安稳，分娩也就顺利，哪里还需要其他的特别调护呢？无奈富贵人家的人，欲望放纵骄横，导致精血在胞胎中凝结淤滞。况且贪图安逸，完全不运动，致使胞胎变得肥厚浓浊。或者又吃生冷坚硬的食物，使气血凝滞不通。又或者临产时受到惊恐，恐惧则情志怯弱、气机下陷，导致下焦壅塞闭阻、运行不畅，这些都导致了难产。
如果腹痛时而发作时而停止，这叫做“弄胎”。羊水淋漓流出但量少，这叫做“试水”。虽然脐腹部都疼痛，胎儿已经转身，但腰部不痛的，千万不要惊慌失措，严禁接生婆（稳婆）用手在腹部揣摩，或将手伸入探查，以免胞衣破裂、羊水干枯，导致胎儿难以转动。一定要等到时候到了，宫缩阵痛已经紧密，破水且腰痛，眼中感觉如火烧，胎儿逼迫产门时，才可以上床待产（坐草），等到胎头位置端正后，才可以用力推送。如果家属惊慌失措，接生婆鲁莽冒失，导致产妇过早上床待产，用力过度，产妇疲倦乏力而仍然迟迟不能生下胎儿的，这时才可以使用催生的药物。但又不可轻易使用药性猛烈的方剂，那样只会渗漏水道，反而更加导致难产。
如果在盛夏时节，气散血沸，产室应该放置一大盆水，以吸收暑热毒气，并时常焚烧旧漆器以防血晕。如果遇到严冬，气血凝滞，产室要用火取暖保持温暖，下部衣物被褥加厚，这样才能避免胎寒血结。这些调护的方法，尤其应当根据时令变化来制定适宜的措施。
第一叫正产。怀孕满十个月，阴阳之气充足，忽然出现阵发性疼痛，胎儿到达产门，羊水破裂胎盘娩出，婴儿即正常出生。
第二叫伤产。胎儿未满月，受到损伤触动，以致忽然脐腹疼痛，或者服用催生药太早，或者产妇用力太过，迫使胎儿走错路径，以致不能正常出生。所以分娩必须等待胎儿身体转动对准产门，然后努力一送，自然就能生下。
第三叫催生。想要生产时，胎儿头部已经到达产门，但生产仍然迟滞的，才用药催产。又或者拖延日久，产妇疲倦难以支撑，宜服药以辅助其气血，让胎儿快速出生。
按语：辅助其气血这四个字非常精妙，须仔细体会。
第四叫冻生。天气寒冷，产妇气血凝滞，不能快速出生，务必使产室温暖，衣被加厚，使产妇温和，不致于血凝胎滞。
第五叫热生。暑天产妇热邪很盛，就会头痛面赤昏晕，产室内人多气息逼仄，也会导致这种病患，名叫血晕。宜多放水盆以吸收热毒，从而避免崩漏昏晕。然而如果有凉风阴雨，又应当谨慎避开。
第六叫横生。这是由于胎儿正在转身，产妇努力逼迫它，以致胎儿头部不正。应当让产妇安然仰卧，推扶胎儿身体使其正直，拨正胎头对准产门。推拨时，用中指探摸胎儿肩膀，不让脐带缠绕绊住，然后用药催产，总体上是努力一送就生出来了。用川芎、当归、阿胶、冬葵子、滑石研为末，用酒和蜜调服。古人用三退散研为末，用蜜调服。
第七叫倒生。由于胎儿尚未掉头，产妇努力逼迫的缘故。也令产妇安然仰卧，让接生婆慢慢将胎儿脚推送入腹内，等候胎儿身体自然顺位，切勿惊慌。如果很久不生，让接生婆用手轻轻推动脚使其偏向一边，直接向上拨动胎儿使其转身，让胎儿头部一边渐渐顺下，正对产门，然后服用催生药，努力一送就生出来了。
第八叫偏生。由于胎儿头部未顺生路，产妇努力一逼，以致胎儿头部偏坠在一边，虽然头顶已露出，实际上是头角。也应当令其仰卧，轻轻用手拨正小儿头面直对产门，一送就下来了。如果见到胎儿后脑勺偏坠谷道而先露出头角，则令接生婆用棉衣烘暖包裹双手，在谷道外侧轻轻推扶胎儿，努力送之自然生出。
第九叫碍生。胎儿身体已正，产道已顺，胎头已露，因胎儿转身时，脐带绊住了其肩膀，以致难以下生。也令其仰卧，轻手推胎儿靠近上方，用中指托起胎儿肩膀脱去脐带，仍等候胎儿身体顺正，一送就下来。
第十叫坐产。说胎儿要出生时，应当在高处牢固悬挂一条手巾，令产妇用手攀扶，轻轻屈足，良久胎儿即顺遂出生。
第十一叫盘肠生。临产时，小肠先出来，然后生儿，其肠不收纳，名叫盘肠。急忙用热水浸软旧布盖住其肠，不可包扎托举，外面用醋半盏、新汲水半盏默默喷向产妇背部，一喷令其收缩，再喷再缩，直到完全收回为止，不可惊慌。可用如圣膏涂抹头顶心，收尽后即洗去。另一方法是用半夏末吹入鼻腔即可收回。又一法：用麻油纸烟熏鼻。又一法：用少许磨刀水，在火上温过，用来润湿其肠，后用好的磁石煎汤一盏服用，肠自会收回。磁石即吸铁石，大概是用磨刀水的缘故，即是借其吸力，如果肠久出而被风吹干不能收回的，用一个干净的器具盛贮，煎黄耆汤浸泡它。
第十二叫交骨不开，阴门不闭。这两种症状都是由元气素来虚弱，产前失于调摄，以致气血不能运达所致。交骨不开者，是阴气虚，用加味芎归汤；阴门不闭者，是气血两亏，用十全大补汤。
Women are fundamentally based on blood. Only when the Qi mechanism is smooth can the blood harmonize, the fetus remain secure, and delivery proceed smoothly; why then wait for various other care measures? However, those in wealthy families indulge their desires and act arrogantly, causing essence and blood to coagulate and stagnate within the gestational sac. Moreover, they indulge in comfort and do not exercise at all, resulting in a thickened and dense gestational sac. Or they consume raw, cold, and hard foods, causing Qi and blood to stagnate. Or they experience fright during labor; fear leads to timidity of spirit and sinking of Qi, causing obstruction and blockage in the lower Jiao, preventing circulation. All these lead to difficult labor.
If abdominal pain comes and goes intermittently, it is called "Nong Tai" (Playing Fetus). If amniotic fluid drips out in small amounts, it is called "Shi Shui" (Testing Water). Although both the navel and abdomen hurt, and the fetus has turned, if there is no back pain, one must not panic. One must strictly forbid midwives from palpating the abdomen or inserting hands to probe, as this may cause the membranes to rupture and amniotic fluid to dry up, making fetal movement difficult. One must wait until the time is right, contractions are tight, water breaks with back pain, eyes feel like burning fire, and the fetus presses against the birth canal, before getting into bed to deliver ("Zuo Cao"). Only after the fetal head is aligned correctly should one exert force to push. If the family panics and the midwife acts rashly, causing the mother to get into bed too early and exert excessive force, leading to exhaustion while still unable to deliver, only then should parturition-inducing medicines be used. Yet, one must not lightly use harsh/potent formulas, as this will merely drain the water passages and further complicate delivery.
In midsummer, when Qi scatters and blood boils, a large basin of water should be placed in the delivery room to absorb summer heat toxins, and old lacquerware should be burned occasionally to prevent blood syncope. In severe winter, when Qi and blood stagnate, the delivery room should be warmed by fire, and lower-body clothing and bedding should be thickened to avoid fetal coldness and blood coagulation. These care methods should especially be adapted according to the seasons.
First is "Zheng Chan" (Normal Delivery). After ten months of pregnancy, Yin and Yang Qi are sufficient. Suddenly, paroxysmal pain begins, the fetus reaches the birth canal, membranes rupture, and the placenta descends; the infant is born normally.
Second is "Shang Chan" (Traumatic Delivery). The fetus is not yet full-term but is disturbed/injured, causing sudden abdominal pain. This may result from taking parturition-inducing medicine too early or the mother exerting excessive force, forcing the fetus onto the wrong path, preventing normal birth. Therefore, delivery requires waiting for the fetal body to turn and align with the birth canal, then exerting effort to push once, resulting in natural birth.
Third is "Cui Sheng" (Induced Delivery). When labor begins, if the fetal head has reached the birth canal but delivery remains delayed, medicine should be used to induce it. Or if time has dragged on and the mother is exhausted and unable to sustain herself, medicine should be taken to assist her Qi and Blood, enabling rapid birth.
Note: The phrase "assist her Qi and Blood" is very profound and requires careful contemplation.
Fourth is "Dong Sheng" (Cold-induced Delivery). In cold weather, maternal Qi and Blood stagnate, preventing rapid birth. It is essential to keep the delivery room warm and thicken clothing/bedding so the mother remains warm, avoiding blood coagulation and fetal stagnation.
Fifth is "Re Sheng" (Heat-induced Delivery). In summer, if the mother's heat is severe, she may suffer headache, red face, and fainting. Crowded rooms with stifling air also cause this condition, named "Xue Yun" (Blood Syncope). Placing many basins of water helps absorb heat toxins, preventing hemorrhage and syncope. However, if there is cool wind or rain, one must carefully avoid exposure.
Sixth is "Heng Sheng" (Transverse Delivery). This occurs because the fetus is turning, and the mother forces it, causing the fetal head to be misaligned. The mother should lie quietly on her back. Push the fetal body straight and adjust the head to face the birth canal. During pushing/manipulation, use the middle finger to probe the fetal shoulder to ensure the umbilical cord does not entangle. Then use medicine to induce. Generally, a single strong push results in birth. Use Xiong (Chuanxiong Rhizome), Gui (Angelicae Sinensis Radix), E'jiao (Colla Corii Asini), Kuizi (Abelmoschi Fructus), and Huashi (Talcum) ground into powder, mixed with wine and honey for administration. Ancients used "San Tui San" (Three Retreats Powder) ground into powder, mixed with honey.
Seventh is "Dao Sheng" (Breech/Inverse Delivery). This happens because the fetus has not yet turned, due to the mother's forced efforts. The mother should lie quietly on her back. Let the midwife slowly push the fetal feet back into the abdomen, waiting for the fetal body to naturally align. Do not panic. If birth is delayed for a long time, let the midwife gently push the foot to one side, directly upward to rotate the fetus, letting the fetal head gradually descend on one side, aligning with the birth canal. Then take parturition-inducing medicine and push strongly to deliver.
Eighth is "Pian Sheng" (Oblique Delivery). This occurs because the fetal head has not aligned with the birth path, and the mother's forceful push causes the head to deviate to one side. Although the vertex is visible, it is actually the temporal angle. The mother should lie on her back. Gently use hand to correct the fetal head and face to align with the birth canal; one push will deliver. If the occiput deviates to the anus while the temporal angle appears first, let the midwife wrap hands in heated cotton cloth and gently push from outside the anus; with effort, it will deliver naturally.
Ninth is "Ai Sheng" (Obstructed Delivery). The fetal body is correct, the path is clear, and the head is visible. However, during turning, the umbilical cord entangles the shoulder, causing difficulty. The mother should lie on her back. Gently push the fetus upward, using the middle finger to lift the shoulder to release the cord. Wait for the fetal body to align, then one push delivers.
Tenth is "Zuo Chan" (Sitting Delivery). When the fetus is about to be born, hang a towel securely at a high place. Let the mother hold it, gently bending her legs. After a while, the fetus will be born smoothly.
Eleventh is "Pan Chang Sheng" (Prolapsed Intestine Delivery). During labor, the small intestine protrudes first, followed by the baby. The intestine does not retract, called "Pan Chang". Immediately soak an old cloth in hot water and cover the intestine without bandaging. Externally, spray half a cup of vinegar and half a cup of fresh well-water onto the mother's back. Each spray causes retraction; repeat until fully retracted. Do not panic. Apply "Ru Sheng Gao" (Like-Saint Ointment) to the top of the head; wash off after retraction. Another method: blow Banxia (Pinelliae Rhizoma) powder into the nose to retract. Another method: smoke the nose with paper smoked with sesame oil. Another method: use a little grinding stone water, warmed over fire, to moisten the intestine, then drink a cup of decoction made from Cishi (Magnetitum). Magnetite attracts iron; perhaps the grinding water aids this magnetic attraction. If the intestine has been out too long, dried by wind, and cannot retract, store it in a clean vessel and soak it in Huangqi (Astragali Radix) decoction.
Twelfth is "Jiao Gu Bu Kai, Yin Men Bu Bi" (Pubic Symphysis Diastasis, Vaginal Laxity). Both conditions arise from inherent weakness of Yuan Qi (Original Qi) and lack of proper care during pregnancy, leading to failure of Qi and Blood to circulate. For pubic symphysis diastasis, caused by deficiency of Yin Qi, use Jiawei Xiong Gui Tang (Modified Chuanxiong and Angelica Decoction). For vaginal laxity, caused by deficiency of both Qi and Blood, use Shiquan Dabu Tang (Ten Complete Tonifying Decoction).