用四焰灯火加朱砂入盏内，点之即安。四焰者、一盏内用四灯头是也。
一时难觅医药，用白蜜、麻油各半盏，煎至一半，服之立效。终不若加味芎归汤（见前）
之妙。
难产者多因产母仓惶坐草太早，或胞浆虽破儿身未转，或转未顺被母用力努责，以致足
先来者谓之逆产，手先来者谓之横生，或漏其肩与耳与额者谓之侧产，或被脐带缠绊不得下
者谓之碍产。仓卒之间，二命所系，不可无端嚷闹、大惊小怪，更不许稳婆混行动手，总以
镇静为主。无论逆产、横产、碍产，将儿轻轻送入，用前佛手散服之，最稳最灵，并照以后
各法救之。
令产母正身仰卧，务要定心定神、不可惊怖，却求惯熟稳婆剪去手甲，以香油润手，将
儿足轻轻送入，又再推上儿身必转直，待身转头正，然后服前催生之药，渴则饮以蜜水，饥
则食以薄粥，然后扶掖起身，用力一送儿即生矣。此在稳婆之良，若粗率蠢人，断不可用，
更不可使针刺足心，儿痛上紧，母命难保。
一切照上，仍将儿手轻轻送入再推上，摸定儿肩渐渐扶正即下矣。忌用针刺。
亦令产母仰卧，俱如前法，稳婆用灯审视，或肩或额，或左或右，务得其真，以手法轻
轻扶拨令正，仍服药食如前法，起身用力儿即下矣。
用四焰灯（一种在一个灯盏中安装四个灯头的灯）点燃，加入朱砂于灯盏内，点燃后产妇即可安定。所谓“四焰”，即一盏灯中使用四个灯头。
取生半夏（Pinelliae Rhizoma, 未经炮制的半夏），大小如豆粒，研磨成粉末，吹入鼻孔中，若能打喷嚏则胎儿可存活。
若一时难以找到医生和药物，可用白蜜（蜂蜜）和麻油各半盏，煎煮至剩余一半量，服用后立即见效。但这终究不如加味芎归汤（见前文）的效果奇妙。
难产大多因为产妇惊慌失措，过早坐草（上产床待产），或者胞衣虽破但胎儿身体尚未转动，又或者胎儿已转动但未转正，被产妇用力努责，导致足部先露出的称为逆产，手部先露出的称为横生，或者肩部、耳朵或额头先露出的称为侧产，或者因脐带缠绕阻碍胎儿下降的称为碍产。在紧急关头，关系到母子两条性命，不可无端喧哗、大惊小怪，更不允许接生婆胡乱动手操作，总体原则以镇静为主。无论是逆产、横产还是碍产，都要将胎儿轻轻推回子宫内，服用前面的佛手散（Buddha's Hand Powder），最为稳妥灵验，并参照以下各种方法施救。
让产妇端正身体仰卧，务必使心神安定，不可惊恐害怕，然后请熟练的接生婆剪去指甲，用香油润湿双手，将胎儿的脚轻轻送入，再向上推托胎儿的身体，使其必然转为直立，等到身体转直、头部转正后，再服用前面的催生药物，口渴则饮用蜜水，饥饿则食用稀粥，然后扶起产妇，用力一送，胎儿即可娩出。这取决于接生婆的技术是否高明，若是粗鲁愚蠢之人，绝对不可使用，更不可用针刺足心，否则胎儿疼痛会上缩紧抓，导致母亲性命难保。
其他情况均照上述方法处理，仍将胎儿的手轻轻送入并向上推托，摸准胎儿的肩膀渐渐扶正，胎儿即可降下。忌用针刺。
同样让产妇仰卧，都按照前面的方法，接生婆用灯火仔细审视，无论是肩膀、额头，还是左侧或右侧，务必要看清准确，用手轻轻扶拨使其转正，仍然服药进食如同前法，起身用力，胎儿即可降下。
Use a four-flame lamp (a lamp equipped with four wicks in one holder), add Cinnabar (Zhusha) into the lamp holder, and once lit, the parturient will calm down. "Four flames" refers to using four lamp heads within a single lamp.
Take raw Pinelliae Rhizoma (Sheng Banxia), sized like a bean, grind it into powder, and blow it into the nostrils; if sneezing occurs, the infant will survive.
If medical help is unavailable for a moment, use half a cup of White Honey (Baimi) and half a cup of Sesame Oil (Mayou), boil until half remains, and administer orally for immediate effect. However, this is not as effective as Jiawei Xionggui Tang (see previous section).
Dystocia often results from the mother panicking and taking the birthing position too early, or when the amniotic sac has ruptured but the fetus has not yet turned, or when the fetus has turned but not into a proper position, leading to the mother pushing forcefully, causing the feet to present first (known as breech presentation/nichan), hands to present first (known as transverse lie/hengsheng), or shoulders, ears, or forehead to present first (known as shoulder presentation/cichan), or when the umbilical cord is entangled preventing descent (known as obstructed delivery/aichan). In such emergencies, where two lives are at stake, there must be no unnecessary noise or panic, and midwives are strictly forbidden from acting recklessly. The primary principle is calmness. Regardless of whether it is breech, transverse, or obstructed presentation, gently push the fetus back inside, administer Foshou San (Buddha's Hand Powder) mentioned earlier, which is the most stable and effective method, and refer to the following methods for rescue.
Have the parturient lie supine in a straight posture, ensuring her mind and spirit are calm and free from fear. Request an experienced midwife to trim her fingernails and moisten her hands with Sesame Oil (Mayou). Gently insert the fetal feet, then push the fetal body upward so that it necessarily turns upright. Wait until the body is straight and the head is aligned, then administer the previously mentioned labor-inducing medicine. If thirsty, drink honey water; if hungry, eat thin porridge. Then assist the mother to rise slightly, apply force, and the infant will be delivered. This depends on the skill of the midwife; rough or incompetent persons must absolutely not be used. Furthermore, pricking the sole of the foot with needles must be avoided, as fetal pain may cause it to grip tightly, endangering the mother's life.
For all other cases, follow the above methods: gently insert the fetal hand again and push upward. Locate the fetal shoulder and gradually straighten it, after which the infant will descend. Avoid using needle pricks.
Similarly, have the parturient lie supine, following the previous methods. The midwife should examine carefully under lamplight to accurately identify whether the shoulder, forehead, left side, or right side is presenting. Use manual manipulation to gently adjust and straighten the position. Administer medication and food as before, assist the mother to rise and exert force, and the infant will descend.