〔《素》〕黄帝问曰∶妇人重身，毒之何如？岐伯曰∶有故无殒，亦无殒也。帝曰∶愿闻其故何谓
也？岐伯曰∶大积大聚，其可犯也，衰其太半而止，过者死。（六元正纪大论）
〔丹〕血块如盘，有孕难服峻剂，此方主之。
香附（醋煮，四两） 桃仁（去皮尖，一两） 海粉（醋煮，二两） 白术（一两）
面糊丸服。
南山妇人年三十八，于九月二十三日月经行，比前过后十日，得草药，以败血海为下胎之谋，有数
滴血下，因此腹痛，在小腹下有块如碗大，不可按，汤熨则痛稍定，大小便抽痛，小便涩，大便略下少
赤积垢，食不进，口略渴，发热。此胃气为草药所败，加以受伤之血妄行而不得泄，所以为病。
砂仁（三分） 甘草（炙，三分） 滑石（一钱半） 川芎 黄芩（各三分） 牛膝（二钱） 桃仁（七个）
水酒煎服。
〔《保》〕芍药汤 治产后诸积不可攻，宜养阴去热，其病自安。
芍药（一斤） 黄芩 茯苓（各六两）
上散，每半两，水煎，日三服，温。
〔丹〕产后消血块。
滑石（三钱） 没药（二钱） 血竭（二钱）
上为细末，醋糊丸。如恶露不下，以五灵脂为细末，面糊丸，白术汤陈皮汤送下。
又消血块。
香附（童便浸） 桃仁（去皮，留尖） 为末，醋糊丸。
【《黄帝内经》】黄帝问道：妇女怀孕时，若需用毒药治疗，情况如何？岐伯回答说：因为有病邪存在，所以用药不会伤害母体，也不会伤害胎儿。黄帝说：我想听听其中的道理，这是什么意思呢？岐伯说：对于体内有大的积滞和聚结的病证，可以使用峻猛的药物攻伐，但一旦病势消退大半就应停止，如果过度攻伐会导致死亡。（出自《素问·六元正纪大论》）
【朱丹溪】针对血块如盘子般大小，且有妊娠难以服用峻猛药物的情况，此方主治。
香附（用醋煮制，四两） 桃仁（去皮和尖，一两） 海粉（用醋煮制，二两） 白术（一两）
制成面糊丸服用。
南山有一位三十八岁的妇人，在九月二十三日月经来潮，比平时晚了十天，服用了草药，意图通过败坏血液来堕胎，仅有几滴血流出，因此出现腹痛，小腹下有碗口大小的硬块，不可按压，热敷后疼痛稍缓解，大小便时有抽掣样疼痛，小便涩滞，大便略排出少量赤色积垢，饮食不进，口微渴，发热。这是因为胃气被草药所败坏，加上受伤的血妄行而不能泄出，从而致病。
砂仁（三分） 甘草（炙，三分） 滑石（一钱半） 川芎 黄芩（各三分） 牛膝（二钱） 桃仁（七个）
用水和酒煎服。
【《产宝诸方》】芍药汤，治疗产后各种积滞不可强行攻下，应当滋养阴液、清除热邪，病自然痊愈。
芍药（一斤） 黄芩 茯苓（各六两）
制成散剂，每次取半两，水煎服，每日三次，温服。
【朱丹溪】治疗产后消除血块。
滑石（三钱） 没药（二钱） 血竭（二钱）
研为细末，用醋调面糊制成丸剂。如果恶露不下，可用五灵脂研为细末，面糊丸，用白术汤或陈皮汤送服。
[From *Suwen*] The Yellow Emperor asked, "When a woman is pregnant (Chongshen), how should toxic drugs be used?" Qibo replied, "If there is an existing pathology (Yougu), there will be no injury to the mother, nor to the fetus." The Emperor said, "I wish to hear the reason; what does this mean?" Qibo said, "For large accumulations (Daji) and large masses (Daju), it is permissible to use harsh treatments. Stop when the pathogenic factor has diminished by more than half; exceeding this limit leads to death." (*Suwen: Liuyuan Zhengji Dalun*)
[Zhu Danxi] For blood masses (Xuekuai) as large as a plate, where pregnancy makes the use of harsh agents difficult, this formula is indicated.
Cyperi Rhizoma (cooked with vinegar, 4 liang) Persicae Semen (skin and tip removed, 1 liang) Haifen (cooked with vinegar, 2 liang) Atractylodis Macrocephalae Rhizoma (1 liang).
Form into pills with wheat paste and take.
A thirty-eight-year-old woman from Nanshan had her menstruation on September 23rd, ten days later than usual. She took herbal medicine intending to induce abortion by damaging the blood (Baixue). Only a few drops of blood were discharged, after which she suffered from abdominal pain. A mass the size of a bowl formed in the lower abdomen, which was tender to touch. Pain subsided slightly with hot compresses. There was pulling pain during urination and defecation; urination was difficult and scanty. Defecation yielded a small amount of reddish fecal matter. Appetite was lost, mouth was slightly dry, and fever was present. This condition arose because the Stomach Qi (Weiqi) was damaged by the herbs, and the injured blood flowed recklessly without being able to discharge.
Amomi Fructus (3 fen) Glycyrrhizae Radix et Rhizoma (roasted, 3 fen) Talcum (1.5 qian) Chuanxiong Rhizoma Scutellariae Radix Huangqin (each 3 fen) Achyranthis Bidentatae Radix (2 qian) Persicae Semen (7 seeds).
Decoct with water and wine and take.
[From *Baoyu Zhufang*] Shaoyao Tang treats various postpartum accumulations that cannot be aggressively purged. One should nourish Yin (Yangyin) and clear heat (Qure); the disease will resolve spontaneously.
Paeoniae Radix Alba (1 jin) Scutellariae Radix (6 liang each) Poria (6 liang).
Grind into powder. Take 0.5 liang per dose, decoct with water, three times daily, warm.
[Zhu Danxi] To eliminate postpartum blood masses.
Talcum (3 qian) Myrrha (2 qian) Draconis Sanguis (2 qian).
Grind into fine powder, form into pills with vinegar-wheat paste. If lochia (Eluo) does not descend, grind Dryopteridis Crassirhizoma (Wulingzhi) into fine powder, form into pills with wheat paste, and swallow with Baizhu Decoction or Chenpi Decoction.
Another formula for eliminating blood masses.
Cyperi Rhizoma (soaked in urine of a young boy) Persicae Semen (skin removed, tip retained).
Grind into fine powder, form into pills with vinegar-wheat paste.