〔《大》〕治妊娠母因疾病，胎不能安，可下之。取七月七日法面四两，水二大盏，煎取一盏三分，绵滤
去渣，分温三服，立下。又方，大曲五升，清酒一斗，煮二沸，去渣，分五帖，隔宿勿食，但再服，其子如
糜，母无疾苦。（《千金》不传，妙。）又方，麦 一升，为末，和水煮二升服之即下，神效。又方，
附子二枚，为
末，以醇苦酒和涂右足，去之大良。又方，取鸡子一枚，以三指撮盐放鸡子中，服之立出。
〔丹〕断子法。
用白面曲一升，无灰酒五升，打作糊，煮二升半，用绢帛滤去渣，作三服。候前月经将来日晚
下吃一服，次日五更吃一服，天明吃一服，月经即行，终身绝子。
〔《大》〕断产验方。故蚕纸方圆一尺，烧为末，酒饮调服，终身不复怀孕。又方，油煎水银，空
心服，如枣核大一丸，永断，不损人。
〔丹〕阳施阴化，胎孕乃成。血气虚损，不足营养，其胎自堕。或劳怒伤情，内火便动，亦能堕胎。
推原其本，皆因于热，火能消物，造化自然。《病源》乃谓风冷伤于子藏而堕，此未得病情者也。
予见贾氏妇，但有孕，至三月左右必堕，诊其脉左手大而无力，重取则涩，知其血少也。以其妙年，
只补中气，使血自荣。时正夏初，教以浓煎白术汤下黄芩末一钱，服三四十帖，遂得保全其生。因而
思之，堕因内热而虚者，于理为多。曰热曰虚，当分轻重，盖孕至三月，正属相火，所以易堕。不然，
何以黄芩、熟艾、阿胶等为安胎妙药耶？好生之工，幸无轻视。
〔《大》〕治妊娠怀胎数落而不结实。
甘草 黄 人参 白术 川芎 熟地 吴茱萸（各等分）
上为末，空心，温酒调二钱。忌菘菜桃李雀肉醋物。（按丹溪论皆是虚热，而无寒者，今姑存此一
方，以俟施之于千百而一者也。）
醋附丸治数堕胎。（方见血崩。）
妊子不成，时时堕胎，后漏下五色，疼痛。灸胞门。（关门左边二寸名胞门，右边二寸名子户。）
〔《大》〕治疗妊娠期间母亲因患病，导致胎儿不安稳，可以采用下胎法。取七月七日采集的面粉四两，加水两大盏，煎煮至剩下一盏三分，用丝绸过滤去除药渣，分三次温服，胎儿即可迅速排出。另一个方子，用大曲五升，清酒一斗，煮沸两次，去渣，分五次服用，前一晚禁食，只再服药，胎儿会化为糜状，母亲没有疾苦。（《千金方》未收录此方，但极为奇妙。）又一个方子，用麦蘖一升，研为细末，和水煮至二升服用，胎儿立即排出，效果神奇。又一个方子，用附子两枚，研为细末，用醇厚的醋调和涂抹在右脚上，去掉后效果很好。又一个方子，取鸡蛋一枚，用三指撮的盐放入鸡蛋中，服用后胎儿立即排出。
〔朱丹溪〕断子法（绝育方法）。
用白面粉曲一升，无灰酒五升，调制成糊状，煮至二升半，用绢帛过滤去渣，分三次服用。等到下次月经来潮的前一晚晚上吃第一服，第二天五更天吃第二服，天亮时吃第三服，月经就会来潮，终身不再怀孕。
〔《大》〕断产验方。将旧蚕纸剪成方圆一尺，烧成灰烬，用酒送服调匀，终身不再怀孕。又一个方子，用油煎水银，空腹服用，如枣核大小的一丸，永久断绝生育，且不损伤人体。
〔朱丹溪〕阳气施放，阴气化生，胎孕才能形成。如果血气虚损，不足以营养胎儿，胎儿就会自然流产。或者因为劳累、愤怒导致情志受伤，内火随之而动，也能导致堕胎。推究其根本原因，都是因为热邪，火能消蚀万物，这是造化的自然规律。《诸病源候论》却说是风冷伤害了子宫而导致堕胎，这并没有掌握病情的本质。我见到贾氏妇人，只要怀孕，到三个月左右必然流产，诊察她的脉象，左手脉大而无力，重按则涩，知道她是血少。因为她正值青春年少，我只补益中气，使血液自然充盈荣润。当时正值初夏，教导她用浓煎的白术汤送服黄芩末一钱，服用三四十帖，最终得以保全胎儿并顺利生产。由此思考，因内热兼有虚损而导致的堕胎，在情理上是多数情况。关于“热”和“虚”，应当区分轻重程度，大概怀孕到三个月，正属于相火旺盛之时，所以容易流产。否则，为什么黄芩、熟艾、阿胶等是安胎的妙药呢？珍爱生命的医生，希望不要轻视这一点。
〔《大》〕治疗妊娠多次流产且胎儿不结实。
甘草、黄芪、人参、白术、川芎、熟地黄、吴茱萸（各等分）
以上药物研为细末，空腹时，用温酒调服二钱。忌食白菜、桃李、雀肉及醋制食物。（按：丹溪论述多为虚热，而无寒证，现在暂存这一方，以期待在千百例中有一例适用的情况。）
[From *Da Yi*] When a pregnant woman suffers from disease, causing fetal instability, the fetus may be expelled. Take four liang of flour collected on the seventh day of the seventh lunar month, add two large cups of water, and decoct until one cup and three fen remain. Filter through silk to remove dregs, divide into three warm doses, and the fetus will be expelled promptly. Another prescription: use five sheng of fermented dough (Daqu) and one dou of clear wine, boil twice, remove dregs, divide into five doses. Fast the night before, then take the remaining doses; the fetus will turn into mush, and the mother will suffer no distress. (Not recorded in *Qian Jin Fang*, but extremely effective.) Another prescription: use one sheng of malt (Mai Ya), grind into powder, mix with water, decoct to two sheng, and take it; the fetus will be expelled immediately with miraculous effect. Another prescription: use two pieces of Prepared Aconite Root (Fuzi), grind into powder, mix with strong vinegar, apply to the right foot, then wash off; this is highly effective. Another prescription: take one chicken egg, place salt amounting to three finger-pinches inside the egg, consume it, and the fetus will be expelled immediately.
[Zhu Danxi] Method for Sterilization.
Use one sheng of white flour yeast, five sheng of unadulterated wine, mix into a paste, and decoct to two sheng and half. Filter through silk to remove dregs, divide into three doses. On the evening before the expected onset of menstruation, take the first dose; at the fifth watch of the next morning, take the second dose; at dawn, take the third dose. Menstruation will then commence, resulting in permanent sterility.
[From *Da Yi*] Verified formula for preventing pregnancy. Burn one square chi of old silkworm paper to ash, mix with wine, and ingest; pregnancy will not occur again for life. Another prescription: fry Mercury (Shuiyin) in oil, take one pill the size of a jujube pit on an empty stomach; this permanently prevents conception without harming the body.
[Zhu Danxi] Fetal formation requires the interaction of Yang (Qi) and Yin (Blood). If Qi and Blood are deficient and insufficient to nourish the fetus, spontaneous abortion occurs. Alternatively, labor or anger may injure the emotions, stirring up internal Fire, which can also cause miscarriage. Tracing the root cause, all stem from Heat; Fire consumes matter, which is the natural law of creation. *Zhu Bing Yuan Hou Lun* attributes miscarriage to Wind-Cold injuring the uterus, which fails to grasp the true nature of the pathology. I observed a woman surnamed Jia who consistently miscarried around the third month of pregnancy. Her pulse was large and powerless on the left hand, and choppy upon heavy pressure, indicating Blood deficiency. Since she was young, I only tonified Middle Qi to allow Blood to naturally flourish. It was early summer, so I instructed her to take one qian of Scutellariae Radix (Huangqin) powder with strongly decocted Atractylodis Macrocephalae Rhizoma (Baizhu) soup. After taking 30-40 doses, the pregnancy was preserved successfully. Reflecting on this, miscarriages due to internal Heat combined with deficiency are common. One must distinguish the severity of "Heat" and "Deficiency." Generally, at three months of pregnancy, the Ministerial Fire (Xiang Huo) is dominant, making miscarriage likely. Otherwise, why are Scutellariae Radix (Huangqin), prepared Mugwort (Ai Ye), and Donkey-hide Gelatin (Ejiao) considered excellent fetuses-stabilizing herbs? Physicians who cherish life should not underestimate this.
[From *Da Yi*] Treatment for recurrent miscarriage with failure to maintain a solid pregnancy.
Licorice Root (Gancao), Astragali Radix (Huangqi), Ginseng Radix (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Chuanxiong Rhizoma (Chuanxiong), Prepared Rehmanniae Radix (Shudi), Evodiae Fructus (Wuzhuyu) (equal parts).
Grind the above into powder. On an empty stomach, mix two qian with warm wine. Avoid Chinese cabbage, peaches, plums, sparrow meat, and vinegar-preserved foods. (Note: Danxi's discussions focus on Deficient-Heat rather than Cold; this formula is retained here tentatively, hoping it may apply in one out of a thousand cases.)
Vinegar-Prepared Aconite Pill treats recurrent miscarriage. (See section on Metrorrhagia.)
Failure to conceive, frequent miscarriage, followed by leukorrhea of five colors and pain. Moxibustion on Baomen (Uterus Gate) point. (Baomen is located two cun to the left of Guanmen; Zihu (Child House) is two cun to the right of Guanmen.)