当归（去芦，酒浸） 川芎 白芍药（各三钱） 木香（不见火） 甘草（炙。各一钱
半） 枳壳（去瓤，麸炒） 乳香（别研。各三钱） 血余（发灰一钱半，以 猪心血和之）
上为细末，每服二钱，水一盏，煎至八分，日进二服，不拘时候。
第十八问∶坐草蓦然气痿目翻口噤者何？答曰∶盖因恣意喜怒，遂致卫竭荣枯。胎转难
动
两
蛇蜕（一条，入瓦瓷罐内 ） 千里马（路上左脚旧草鞋一双，净洗，烧灰一钱
银箔（各七片） 发灰（一钱） 马鸣蜕蚕蜕，烧灰，一钱）乳香（半钱，别研） 黑铅（二
钱半，水银七分半，根据十五问中法修用）
上细末，以 猪心血为丸，如梧桐子大，倒流水灌下二丸，如灌不行，化开灌效。
第一论曰∶热病胎死腹中者何？答曰∶因母患热病，至六、七日以后，脏腑热极，熏煮
其胎
又有
禁忌
及
立便逐下，的知其胎死，则进香桂散，须臾，如手推下。
此方产后无所不治。
当归（去芦，酒浸） 芍药 干姜（炮） 官桂（不见火） 甘草（炙） 生地黄（洗。
各一两） 黑豆（炒去皮，净，二两 ）附子（炮，去皮脐，半两）
上研罗为细末，每服二钱匕，温酒调下。又方不用附子，入蒲黄，二物并用尤佳。香桂
散（
第二论曰∶胎衣不下者何？答曰∶母生子讫，血流入衣中，衣为血所胀，是故不得下。
治之
胎
胎
底灸热，熨小腹上下，三、五次，立效。
【背景信息】
书名：严氏济生方 作者：严用和 朝代：宋·宝元 章节：无忧散 / ... / 黑神散（共4节） 类别：方剂
当归（去除芦头，用酒浸泡）三钱，川芎三钱，白芍药（各三钱），木香（不经过火烤）一钱半，甘草（炙过。各一钱半），枳壳（去除瓤，用麦麸炒制），乳香（单独研磨。各三钱），血余（头发烧成的灰一钱半，用猪心血调和）。
以上药物研成细末，每次服用二钱，用水一盏，煎煮至八分满，每日服用两次，不限具体时间。
第十八问：临产时突然气虚衰竭、翻白眼、牙关紧闭是怎么回事？回答说：这是因为情绪喜怒无常，导致卫气竭尽、营血枯槁。胎位转动困难。
蛇蜕（一条，放入瓦罐或瓷罐内），千里马（路上左脚穿过的旧草鞋一双，洗净，烧成灰一钱），银箔（各七片），发灰（一钱），马鸣蜕蚕蜕（烧成灰，一钱），乳香（半钱，单独研磨），黑铅（二钱半，水银七分半，根据第十五问中的方法炼制使用）。
以上研成细末，用猪心血制成丸药，大小如梧桐子，用倒流水送服两丸，如果灌不下去，化开后灌入也有效。
第一论说：热病导致胎死腹中是怎么回事？回答说：因为母亲患热病，到了六七天以后，脏腑热极，熏蒸煎熬胎儿。
又有禁忌及
立便逐下，确实知道胎死，则进服香桂散，片刻之后，像用手推一样排出。
此方产后无所不治。
当归（去除芦头，用酒浸泡），芍药，干姜（炮制），官桂（不经过火烤），甘草（炙过），生地黄（洗。各一两），黑豆（炒去皮，净，二两），附子（炮制，去皮去脐，半两）。
以上研筛为细末，每次服用二钱匕，用温酒调服。另一个方子不用附子，加入蒲黄，两种并用尤其好。香桂散（
第二论说：胎衣不下是怎么回事？回答说：母亲分娩结束后，血液流入胎衣中，胎衣被血液胀大，所以不能下行。
治疗
胎
胎
底部灸热，熨烫小腹上下，三到五次，立即见效。
[Background Information]
Book: Yan Shi Ji Sheng Fang (Yan's Formulas for Relief and Life)
Author: Yan Yonghe
Dynasty: Song Dynasty, Baoyuan Era
Chapter: Wuyou San / ... / Heishen San (Total 4 sections)
Category: Formula
Danggui (Radix Angelicae Sinensis) [remove the rhizome head, soak in wine], Chuanxiong (Rhizoma Ligustici Chuanxiong), Baishao (Radix Paeoniae Alba) [each 3 qian], Muxiang (Aucklandiae Radix) [do not roast over fire], Gancao (Radix Glycyrrhizae Preparata) [roasted, each 1.5 qian], Zhike (Fructus Aurantii Immaturus) [remove the pith, stir-fry with bran], Xuxiang (Olibanum) [separately ground, each 3 qian), Xuyurong (Cinis Capillis) [hair ash 1.5 qian, mixed with pig heart blood].
Grind the above into a fine powder. Take 2 qian per dose, add one lamp of water, decoct until eight-tenths remain. Administer twice daily, at any time.
Question 18: What causes sudden qi collapse, eye rolling, and jaw locking during labor? Answer: This is due to excessive emotional fluctuations of joy and anger, leading to the exhaustion of Wei Qi (Defensive Qi) and the withering of Ying Blood (Nutritive Blood). The fetus moves with difficulty.
Shetui (Serpent Skin) [one strip, placed in a tile or porcelain jar], Qianlima (Old straw sandal from the left foot found on the road, washed clean, burned to ash 1 qian), Yinbo (Folium Argenti) [each seven pieces], Fayr (Cinis Capillis) [1 qian], Mingtuican Tui (Mantis Egg Case and Silkworm Molting Skin, burned to ash 1 qian), Xuxiang (Olibanum) [0.5 qian, separately ground], Heiqian (Plumbum) [2.5 qian], Shuiyin (Hydrargyrum) [0.75 qian, prepared according to the method in Question 15].
Grind the above into a fine powder. Use pig heart blood to make pills the size of Sophora japonica seeds. Administer two pills with "reverse-flowing water." If swallowing is difficult, dissolve the pill and administer.
Treatise 1: What causes fetal death in the uterus due to febrile disease? Answer: When the mother suffers from a febrile disease, after six or seven days, the internal organs become extremely hot, steaming and cooking the fetus.
There are also contraindications and
immediate expulsion methods. Once it is certain that the fetus has died, administer Xianggui San (Cinnamon and Frankincense Powder). Within a short while, the dead fetus will be expelled as if pushed out by hand.
This formula treats all postpartum conditions.
Danggui (Radix Angelicae Sinensis) [remove the rhizome head, soak in wine], Shaoyao (Radix Paeoniae), Ganjiang (Rhizoma Zingiberis Preparatum) [processed], Guanzi Gui (Cortex Cinnamomi) [do not roast over fire], Gancao (Radix Glycyrrhizae Preparata) [roasted], Shengdihuang (Radix Rehmanniae Preparata) [washed, each 1 liang], Heidou (Sojae Semen Nigrum) [stir-fried, skin removed, cleaned, 2 liang], Fuzi (Radix Aconiti Lateralis Preparata) [processed, skin and umbilicus removed, 0.5 liang].
Grind and sieve the above into a fine powder. Take 2 qian-bi (small spoonfuls) per dose, mix with warm wine and take orally. Another formula does not use Fuzi but adds Puhuang (Pollen Typhae); using both together is especially effective. Xianggui San (
Treatise 2: What causes retention of the placenta? Answer: After the mother gives birth, blood flows into the placenta, causing it to swell with blood, thus preventing its descent.
Treatment
The
The
Apply heat via moxibustion to the base, and apply hot compresses to the upper and lower abdomen three to five times. Immediate effect will be seen.