一方 治产难数日，子死腹中不出，母气欲绝。
瞿麦（六两） 通草（三两） 桂心（三两） 牛膝（四两） 榆白皮（四两）
一方无榆白皮，有天花粉四两，大能堕胎。
上细切，用水九升，煎取三升，去渣，分三服，顿饮即下。
又方牛膝丸 下死胎。
杜牛膝（三两） 紫金藤（七钱） 肉桂（二钱） 当归（四钱） 蜀葵根（七钱） 麝香（半钱）
上为末，米糊为丸，如梧桐子大，朱砂为衣，每服五十丸，乳香汤送下。
又方 治子死腹中不出。
用黄牯牛屎不拘多少，涂母腹上，立出。一云∶以牛屎炒令大
热，入醋半盏，以青布包裹，于母脐上下熨之，立下。
又治子死腹中，用鸡子黄一个，生姜自然汁一合，调匀顿服。分娩后，用芸台粥补之。
生子下血过多，子死腹中，憎寒，手指甲青，面色黄黑，胎上抢
心，闷乱欲死，冷汗自出，喘满不食，或食毒物，或误服草药伤胎，下血不止，胎尚未损可安，若已死即下，极妙。
牡丹皮 赤芍药 桂心 桃仁 白茯苓
上各等分，为细末，炼蜜为丸，如弹子大，每服一丸细嚼，淡醋汤送下，连服数丸立验。
一方 治胞衣不下。
川牛膝（三钱） 当归身尾（二钱） 木通（三钱） 滑石（四钱） 冬葵子（二钱半）
上细切，水煎，连进二三服，即下。
（丹溪活套）云∶凡妇人胎前诸疾，只须以四物汤为主治，看证加减调治。如觉腹中烦闷，口苦厌食，不问月数多
少，本方加白术、条芩、砂仁煎服。如五、六个月后，胎动不安，或逆抢逼心，本方加阿胶、艾叶、砂仁、枳壳、条芩、
白术、野苎根，入金银，同煎服。如气血虚心烦，脉虚大无力，或怔忡手战，及时有微热，本方加人参、白术、黄芩、
甘草、酸枣仁、远志、麦门冬、地骨皮等药。如五、六个月前，无故下血，或因事下血，谓之漏胎，本方加条芩、白术、
甘草、白芷、茅根、地榆、桑寄生之类。如七、八个月前后，面目及四肢浮肿，本方加茯苓、泽泻、白术、条芩、炒栀
子、浓朴、甘草梢、麦门冬之类。如孕中忽然口噤吐沫，不省人事，言语错乱，本方合二陈汤，加麦门冬、竹茹、远志、
石菖蒲之类。如感冒风寒，头痛发热，或身体疼痛，本方合小柴胡汤，或更加细辛、白芷、防风、羌活等药。如二、三
个月内，呕吐恶心，不纳饮食，谓之恶阻，本方去地黄，加陈皮、半夏曲、砂仁、神曲、藿香、麦芽、陈仓米、白术之
类。或因事动胎，致胎不安，动撞不已，及下血欲堕，本方加人参、白术、白茯苓、条芩、白芷、桑寄生、砂仁、阿胶
珠、甘草等药。或时有白浊白带，本方加白茯苓、陈皮、苍术、半夏曲、牡蛎、龙骨之类。如无故腹痛，泻利清水，或
发热，胎动不安，本方加白术、茯苓、猪苓、泽泻、苍术、诃子皮、砂仁、神曲、干姜之类。
（祖传方）
治难产，沥浆胞干，胎不得下，用香油、蜂蜜各一碗和匀，用铜
铫慢火煎一、二沸，掠去沫，调白滑石末一两重，搅匀顿服，外以油蜜于母腹脐上下摩之，立产。
又方 催生，曾试甚验。
用兔头骨、家猫头骨各一个，烈火 ，地上出火毒，研为极细末，每服二、三钱，浓煎芎归汤调下，即产。
又方，治胞衣不下，三蜕饮∶
蛇蜕（一条，全者） 蚕蜕纸（一方） 蝉蜕（四十九个）
用瓷瓶盛烧存性，细研，顺流水调服，立下。
一方：治疗难产数日，胎儿死于腹中无法排出，产妇气息微弱、生命垂危。
瞿麦（六两） 通草（三两） 桂心（三两） 牛膝（四两） 榆白皮（四两）
另一方没有榆白皮，而是加入天花粉四两，具有极强的堕胎作用。
将上述药材切碎，用水九升，煎煮至三升，滤去药渣，分三次服用，一次性饮下即可使死胎排出。
又一方：牛膝丸，用于排出死胎。
杜牛膝（三两） 紫金藤（七钱） 肉桂（二钱） 当归（四钱） 蜀葵根（七钱） 麝香（半钱）
将上述药材研为细末，用米糊制作成丸剂，大小如梧桐子，外用朱砂粉末包衣，每次服用五十丸，用乳香汤送服。
又一方：治疗胎儿死于腹中无法排出。
取黄牯牛屎不限数量，涂抹在产妇腹部上，胎儿即可立即产出。另一种说法是：将牛屎炒至极热，加入半盏醋，用青布包裹，在产妇脐部上下熨烫，胎儿即可立即产出。
又法：治疗胎儿死于腹中，用一个鸡蛋黄，加生姜自然汁一合，调匀后一次性服用。分娩后，用芸台粥进行补养。
若因生产导致出血过多，或胎儿死于腹中，出现怕冷、手指甲发青、面色黄黑、胎气上冲心脏、胸闷烦躁欲死、冷汗自出、气喘腹胀不能进食，或因误食毒物、误服草药损伤胎元、下血不止等情况。若胎元尚未受损尚可安胎；若已死亡则应立即排出，效果极佳。
牡丹皮 赤芍药 桂心 桃仁 白茯苓
将上述药材各等分，研为细末，用炼蜜制作成丸剂，大小如弹子，每次服用一丸细细咀嚼，用淡醋汤送服，连续服用几丸后立即见效。
一方：治疗胞衣（胎盘）不下。
川牛膝（三钱） 当归身尾（二钱） 木通（三钱） 滑石（四钱） 冬葵子（二钱半）
将上述药材切碎，用水煎煮，连续服用二三剂，胞衣即可排出。
（丹溪活套）说：凡是妇人产前各种疾病，只需以四物汤为主治方，根据症状加减调理。如果感觉腹中烦闷，口苦厌食，不论怀孕月数多少，在本方基础上加白术、条芩（黄芩）、砂仁煎服。如果在五、六个月后，胎动不安，或胎气逆冲逼压心脏，本方加阿胶、艾叶、砂仁、枳壳、条芩、白术、野苎根，加入金银（金银箔或金银花，此处指金属箔片或贵重药材辅助），同煎服用。如果气血虚弱心烦，脉象虚大无力，或心悸手抖，偶尔有微热，本方加人参、白术、黄芩、甘草、酸枣仁、远志、麦门冬、地骨皮等药物。如果在五、六个月前，无故下血，或因事致下血，称为漏胎，本方加条芩、白术、甘草、白芷、茅根、地榆、桑寄生之类。如果在七、八个月前后，面目及四肢浮肿，本方加茯苓、泽泻、白术、条芩、炒栀子、浓朴、甘草梢、麦门冬之类。如果在孕中忽然口噤吐沫，不省人事，言语错乱，本方合二陈汤，加麦门冬、竹茹、远志、石菖蒲之类。如果感冒风寒，头痛发热，或身体疼痛，本方合小柴胡汤，或更加细辛、白芷、防风、羌活等药物。如果在二、三个月内，呕吐恶心，不能进食，称为恶阻，本方去掉地黄，加陈皮、半夏曲、砂仁、神曲、藿香、麦芽、陈仓米、白术之类。或者因事动胎，导致胎不安，撞击不停，以及下血欲堕，本方加人参、白术、白茯苓、条芩、白芷、桑寄生、砂仁、阿胶珠、甘草等药物。或者时有白浊白带，本方加白茯苓、陈皮、苍术、半夏曲、牡蛎、龙骨之类。如果无故腹痛，腹泻清水，或发热，胎动不安，本方加白术、茯苓、猪苓、泽泻、苍术、诃子皮、砂仁、神曲、干姜之类。
（祖传方）
治疗难产，沥浆（羊水早破）胞干，胎儿无法下行，用香油、蜂蜜各一碗和匀，用铜锅慢火煎一至二沸，撇去浮沫，调入白滑石末一两重，搅匀后一次性服用，同时在产妇腹部脐部上下用油蜜按摩，即可立即生产。
又一方：催生，曾经试验非常有效。
取兔头骨、家猫头骨各一个，烈火煅烧，去除火毒，研为极细末，每次服用二、三钱，用浓煎的芎归汤调服，即可生产。
又一方，治疗胞衣不下，名为三蜕饮：
蛇蜕（一条，完整的） 蚕蜕纸（一方，即蚕沙或蚕蜕皮，具体视版本而定，此处保留原名） 蝉蜕（四十九个）
用瓷瓶盛装烧存性，研细，顺着流水方向调服，胞衣即可立即排出。
One prescription: Treats difficult labor lasting several days, where the fetus has died in the uterus and cannot be expelled, leaving the mother with faint breath and critical condition.
*Epimedium Herba* (Qumai, 瞿麦) (6 liang), *Akebiae Caulis* (Tongcao, 通草) (3 liang), *Cinnamomi Cortex* (Guixin, 桂心) (3 liang), *Achyranthis Bidentatae Radix* (Niuxi, 牛膝) (4 liang), *Ulmus Macrocarpa Cortex* (Yubaipi, 榆白皮) (4 liang).
Another version omits *Ulmus Macrocarpa Cortex* and adds *Paeoniae Radix Alba* (Tianhuafen, 天花粉) (4 liang), which has a strong abortifacient effect.
Finely chop the above herbs, decoct with 9 sheng of water until reduced to 3 sheng, remove the dregs, divide into three doses, and drink all at once to expel the dead fetus.
Another prescription: Niuxi Wan (Achyranthus Pill), used to expel dead fetuses.
*Polygoni Multiflori Caulis* (Duniuxi, 杜牛膝) (3 liang), *Paederiae Scandentis Herba* (Zijin Teng, 紫金藤) (7 qian), *Cinnamomi Cortex* (Rougui, 肉桂) (2 qian), *Angelicae Sinensis Radix* (Danggui, 当归) (4 qian), *Malvae Root* (Shukui Gen, 蜀葵根) (7 qian), *Moschus* (Shexiang, 麝香) (0.5 qian).
Grind the above into fine powder, bind with rice paste to make pills the size of *Koelreuteriae Fructus* (Wutongzi, 梧桐子), coat with *Cinnabar* (Zhusha, 朱砂). Take 50 pills per dose, administered with *Boswelliae Resina* (Ruxiang, 乳香) decoction.
Another prescription: Treats fetal death in utero with inability to expel.
Apply an unspecified amount of yellow ox dung to the mother's abdomen; the fetus will be delivered immediately. Alternatively: Stir-fry ox dung until very hot, add half a zhan of vinegar, wrap in a blue cloth, and apply as a compress above and below the mother's umbilicus; the fetus will be delivered immediately.
Another method: For fetal death in utero, use one egg yolk mixed with 1 he of fresh ginger juice, taken orally in one dose. After delivery, nourish with Youcai Congee (Turnip Congee).
If excessive bleeding occurs during childbirth, or if the fetus is dead in the uterus, accompanied by aversion to cold, cyanosis of fingernails, sallow and dark complexion, fetal qi rushing to the heart causing chest oppression and delirium, spontaneous cold sweat, panting and abdominal fullness with anorexia, or due to ingesting toxic substances, accidental herb injury to the fetus, or continuous bleeding: If the fetus is not yet damaged, it can be preserved; if already dead, immediate expulsion is excellent.
*Moutan Cortex* (Mudanpi, 牡丹皮), *Paeoniae Radix Rubra* (Chishaoyao, 赤芍药), *Cinnamomi Cortex* (Guixin, 桂心), *Persicae Semen* (Taoren, 桃仁), *Poria* (Baifuling, 白茯苓).
Take equal parts of the above, grind into fine powder, bind with refined honey to make pills the size of a bullet. Chew one pill thoroughly per dose, swallow with light vinegar decoction. Continuous administration of several pills yields immediate results.
One prescription: Treats retained placenta (Baoyi, 胞衣).
*Achyranthes Bidentatae Radix* (Chuanniuxi, 川牛膝) (3 qian), *Angelicae Sinensis Radix* (Dangguishenwei, 当归身尾) (2 qian), *Akebiae Caulis* (Mutong, 木通) (3 qian), *Talcum* (Huashi, 滑石) (4 qian), *Abutilonis Fructus* (Dongkuizi, 冬葵子) (2.5 qian).
Finely chop, decoct in water, take 2-3 consecutive doses to expel the placenta.
According to "Danxi Huotao": For various prenatal conditions in women, primarily treat with Siwu Tang (Four Substances Decoction), modifying based on symptoms. If feeling abdominal stuffiness, bitter taste, and anorexia, regardless of gestational age, add *Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术), *Scutellariae Radix* (Tiaoqin/Huangqin, 条芩), and *Amomi Fructus* (Sharen, 砂仁) to the base formula. If after 5-6 months there is restless fetus or fetal qi rushing to the heart, add *Colla Corii Asini* (Ejiao, 阿胶), *Artemisiae Argyi Folium* (Aiye, 艾叶), *Amomi Fructus* (Sharen, 砂仁), *Citri Reticulatae Pericarpium Viride* (Zhike, 枳壳), *Scutellariae Radix* (Tiaoqin, 条芩), *Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术), and *Boehmeriae Niveae Radix* (Yezhugen, 野苎根), decocted together with gold/silver foil. If Qi and Blood deficiency causes vexation, pulse is deficient, large, and powerless, or palpitations and hand tremors occur with slight fever, add *Ginseng Radix* (Renshen, 人参), *Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术), *Scutellariae Radix* (Huangqin, 黄芩), *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草), *Zizyphi Semen* (Suanzaoren, 酸枣仁), *Polygalae Radix* (Yuanzhi, 远志), *Ophiopogonis Radix* (Maimendong, 麦门冬), and *Lycii Cortex* (Digupi, 地骨皮). If before 5-6 months there is unexplained bleeding or bleeding due to trauma, termed "Leaking Fetus" (Lou Tai, 漏胎), add *Scutellariae Radix* (Tiaoqin, 条芩), *Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术), *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草), *Angelicae Dahuricae Radix* (Baizhi, 白芷), *Imperatae Rhizoma* (Maogen, 茅根), *Sanguisorbae Radix* (Diyu, 地榆), and *Taxilli Herba* (Sangjisheng, 桑寄生). If around 7-8 months there is edema of face, eyes, and limbs, add *Poria* (Fuling, 茯苓), *Alismatis Rhizoma* (Zexie, 泽泻), *Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术), *Scutellariae Radix* (Tiaoqin, 条芩), stir-fried *Gardeniae Fructus* (Zhizi, 栀子), *Magnoliae Officinalis Cortex* (Houpo, 厚朴), *Glycyrrhizae Radix et Rhizoma* (Gancaoshao, 甘草梢), and *Ophiopogonis Radix* (Maimendong, 麦门冬). If suddenly jaw locking, foaming at the mouth, unconsciousness, and confused speech occur during pregnancy, combine with Erchen Tang (Two Aged Decoction), adding *Ophiopogonis Radix* (Maimendong, 麦门冬), *Bambusae Larix Texta* (Zhuru, 竹茹), *Polygalae Radix* (Yuanzhi, 远志), and *Acori Tatarinowii Rhizoma* (Shichangpu, 石菖蒲). If suffering from wind-cold invasion with headache, fever, or body pain, combine with Xiaochaihu Tang (Minor Bupleurum Decoction), or add *Asari Radix* (Xixin, 细辛), *Angelicae Dahuricae Radix* (Baizhi, 白芷), *Saposhnikoviae Radix* (Fangfeng, 防风), and *Notopterygii Rhizoma et Radix* (Qianghuo, 羌活). If within 2-3 months there is vomiting, nausea, and inability to eat, termed "Ezu" (Morning Sickness/Obstruction, 恶阻), remove *Rehmanniae Radix Preparata* (Dihuang, 地黄) from the base formula, and add *Citri Reticulatae Pericarpium* (Chenpi, 陈皮), *Pinelliae Rhizoma Praeparatum* (Banxiaqu, 半夏曲), *Amomi Fructus* (Sharen, 砂仁), *Massa Medicata Fermentata* (Shenqu, 神曲), *Agastaches Herba* (Huoxiang, 藿香), *Hordei Fructus Germinatus* (Maiya, 麦芽), aged rice (Chencangmi, 陈仓米), and *Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术). If trauma disturbs the fetus causing restlessness, constant kicking, and threatened miscarriage with bleeding, add *Ginseng Radix* (Renshen, 人参), *Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术), *Poria* (Baifuling, 白茯苓), *Scutellariae Radix* (Tiaoqin, 条芩), *Angelicae Dahuricae Radix* (Baizhi, 白芷), *Taxilli Herba* (Sangjisheng, 桑寄生), *Amomi Fructus* (Sharen, 砂仁), processed *Colla Corii Asini* (Ejiaozhu, 阿胶珠), and *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草). If there is frequent white turbid discharge or leukorrhea, add *Poria* (Baifuling, 白茯苓), *Citri Reticulatae Pericarpium* (Chenpi, 陈皮), *Atractylodis Rhizoma* (Cangzhu, 苍术), *Pinelliae Rhizoma Praeparatum* (Banxiaqu, 半夏曲), *Concha Ostreae* (Muli, 牡蛎), and *Os Draconis* (Longgu, 龙骨). If unexplained abdominal pain, watery diarrhea, or fever with restless fetus occurs, add *Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术), *Poria* (Fuling, 茯苓), *Polyporus* (Zhuling, 猪苓), *Alismatis Rhizoma* (Zexie, 泽泻), *Atractylodis Rhizoma* (Cangzhu, 苍术), *Terminalia Chebulae Fructus* (Hezipi, 诃子皮), *Amomi Fructus* (Sharen, 砂仁), *Massa Medicata Fermentata* (Shenqu, 神曲), and *Zingiberis Rhizoma Praeparatum* (Ganjiang, 干姜).
(Ancestral Prescription)
For difficult labor, premature rupture of membranes with dry amniotic fluid preventing descent, mix one bowl of sesame oil and one bowl of honey, slowly boil in a copper pot for 1-2 boils, skim off foam, mix in 1 liang of finely powdered *Talcum*, stir well, and take orally in one dose. Simultaneously massage the mother's abdomen above and below the umbilicus with the oil-honey mixture for immediate delivery.
Another prescription: Labor induction, proven effective through trial.
Use one rabbit skull and one domestic cat skull, calcine over fierce fire to remove toxicity, grind to extremely fine powder. Take 2-3 qian per dose, mixed with strongly decocted Xiong Gui Tang (Chuanxiong and Angelica Decoction) for immediate delivery.
Another prescription for retained placenta, named Sandui Yin (Three Molts Decoction):
*Ophichthus Skin* (Shetui, 蛇蜕) (one whole piece), *Bombyx Molt Paper* (Chentuizhi, 蚕蜕纸) (one portion), *Cicada Slough* (Chantui, 蝉蜕) (49 pieces).
Store in a porcelain bottle, calcine until carbonized but retaining properties, grind finely, administer with flowing water, resulting in immediate expulsion of the placenta.