论曰血性喜温而恶寒，温则宣流，寒则凝滞。妊娠堕胎，恶血不出者，由妊娠宿有风冷
。在于胞脏，冷搏恶血，故令不下，令人寒热去来，脐腹满痛，口干燥渴，手足苦烦，若血
随气逆，上冲于心，或语言狂妄，或迷闷不省，至其病变，不可胜数。宜速以破血下气药治
之。血下乃已。
治妊娠堕胎后，恶血不出，四肢无力，体热心胸满闷，及诸疾。乌金散方
墨（二两打折二寸挺子烧通赤用好醋一升蘸七遍又再烧通赤放冷别研为末） 没药（研）
麒麟竭（各一分） 麝香（一钱）
上四味，并研和为散，每服温酒调下一钱匕，如血迷心，用童子小便，和酒调下二钱匕
治妊娠堕胎后，败血不出。方
墨（三两用炭火烧红以酽醋淬如此三遍以瓷碗于净地上合令冷取出细研如粉） 没药（一
两别研末）
上二味，合研令极细，再罗过，每服二钱匕，以煎醋调下，不拘时。
治妊娠堕胎后。恶血不出，少腹 痛，琥珀煮散方
琥珀（研一分） 没药（研） 蒲黄 当归（去苗切焙） 赤芍药 姜黄 红蓝花 土
瓜根
上一十一味，捣罗为散，每服三钱匕，童子小便酒各半盏，同煎至七分温服。心腹胀痛
，温酒调下二钱匕。
治妊娠堕胎后，血不出奔心，闷绝不识人。红蓝花散方
红兰花（微熬过） 男子发（烧灰） 墨（烧通红） 麒麟竭（研） 蒲黄（隔纸炒各
一分）
上五味，捣研为散，以童子小便三四分。调二钱匕服之。立瘥。
治妊娠堕胎后，血不出。大黄汤方
大黄（锉炒） 当归（微炙） 甘草（炙锉） 牡丹（去心） 吴茱萸（汤洗炒黄） 芍
药（各一
上六味，粗捣筛，每服三钱匕，水一盏，生姜一分拍破，同煎至六分，去滓温服。相次
再服。
治妊娠堕胎后，恶血不出。白蜜汤方
白蜜（二两） 生地黄汁（一盏） 酒（半盏）
上三味，将地黄汁与酒，于铜器中，煎五七沸。入蜜搅匀，分作两服放温，相次再服，
服三剂，百病可愈。
治妊娠堕胎后，血不出，往来寒热腹痛，桃仁汤方
桃仁（汤浸去皮尖双仁麸炒黄色二十枚） 吴茱萸（汤洗炒黄二两） 当归（微炙） 黄
（
上六味，除醍醐外，粗捣筛，每服三钱匕，生姜一分拍破，水一盏，酒半盏，煎至六分
，去滓下醍醐半两以来，搅匀温服。
治妊娠堕胎后，血不出，心腹疼痛。鉴鼻汤方
铜鉴鼻（别捣细研如粉） 大黄（锉微炒） 芍药 生干地黄（微炒各一两） 甘草（炙
锉）
上九味，粗捣筛，每服三钱，水一盏，煎至七分，去滓投芒硝少许，再煎一二沸温服，
相次更服。
治妊娠堕胎后，血不出上抢，心痛烦愦，猪膏饮方
猪膏（七合） 白蜜（三合） 生地黄（切二两）
上三味，先将猪膏地黄相和，煎令赤色。去却地黄，纳蜜三合，搅匀，分温二服，相次
再服。
治妊娠堕胎后，血不出，腹中 痛，不可忍，大黄饮方
大黄（锉炒） 芍药 黄芩（去黑心） 当归（微炙）
桃仁（汤浸去皮尖双仁麸炒黄色各一两） 生干地黄（焙一两半） 桂（去粗皮） 甘
草（炙
上八味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服，食顷再服。
治妊娠堕胎后。血不出。当归酒方
当归（炙令香锉） 芍药（锉炒各二两）
上二味，粗捣筛，每服三钱匕，以无灰酒一盏，入生地黄汁一合，于银器内，慢火煎至
七分，去滓温服，以恶血下为度。
治妊娠堕胎后血不出，寒热腹痛，牡丹丸方
牡丹（去心） 当归（炙令香锉） 芍药 白术 鬼箭羽 桂（去粗皮各一两） 大黄
（锉炒
上七味，捣罗为末，炼蜜和丸，梧桐子大，每服二十丸，温酒下。时时一服，渐加至三
十丸。
治妊娠堕胎后，血不出，少腹满痛。方
取羚羊角，烧灰细研如面，每服三钱匕，不计早晚，以豆淋酒调下。
论述说：血的性质喜欢温暖而厌恶寒冷，温暖则血液宣通流畅，寒冷则血液凝滞不通。妊娠期间发生堕胎，恶露（产后残留的瘀血）排出不畅，是因为孕妇体内素有风冷之邪，滞留于胞宫（子宫），寒邪与瘀血相搏结，导致瘀血无法下行排出。这会引起忽冷忽热的症状，脐腹部胀满疼痛，口干燥渴，手足烦扰不适；如果瘀血随着气机逆乱，向上冲犯心脏，就会出现言语狂妄、神志昏迷不省人事等症状。其病变情况繁多，不可胜数。应当迅速使用破血行气的药物进行治疗，直到瘀血排出为止。
治疗妊娠堕胎后，恶露不出，四肢无力，身体发热，心胸满闷，以及各类相关病症。乌金散方：
墨（二两，折断成二寸长的段，烧至通红，用一升好醋蘸七次，再烧至通红，放冷后单独研成粉末） 没药（研细） 麒麟竭（各一分） 麝香（一钱）
以上四味药，一起研和制成散剂。每次服用一钱匕，用温酒调服；如果是瘀血迷心所致的神志不清，用童子尿（健康男童的小便）和酒调服二钱匕。
治疗妊娠堕胎后，败血（瘀血）排不出。方剂：
墨（三两，用炭火烧红，用浓醋淬炼，如此三次，用瓷碗扣在干净的地面上使其冷却，取出后细细研磨如粉状） 没药（一两，单独研成粉末）
以上两味药，混合研磨至极细，过筛。每次服用二钱匕，用煎过的醋调服，不拘时间。
治疗妊娠堕胎后，恶露不出，少腹疼痛。琥珀煮散方：
琥珀（研细，一分） 没药（研细） 蒲黄 当归（去苗，切片，焙干） 赤芍药 姜黄 红蓝花 土瓜根
以上十一味药，捣碎过筛制成散剂。每次服用三钱匕，用童子尿和酒各半盏，共同煎至七分量，温服。如果是心腹胀痛，用温酒调服二钱匕。
治疗妊娠堕胎后，血不出上冲于心，胸闷窒息，不识人。红蓝花散方：
红兰花（微炒） 男子头发（烧成灰） 墨（烧至通红） 麒麟竭（研细） 蒲黄（隔纸炒，各一分）
以上五味药，捣碎研细制成散剂，用童子尿三四分调服二钱匕。立即痊愈。
治疗妊娠堕胎后，血不出。大黄汤方：
大黄（锉碎，炒） 当归（微炙） 甘草（炙，锉碎） 牡丹皮（去心） 吴茱萸（汤洗，炒黄） 芍药（各一两）
以上六味药，粗捣筛过。每次服用三钱匕，用水一盏，生姜一分拍破，共同煎至六分，去渣温服。随后再次服用。
治疗妊娠堕胎后，恶露不出。白蜜汤方：
白蜜（二两） 生地黄汁（一盏） 酒（半盏）
以上三味药，将地黄汁与酒放入铜器中，煎煮五到七沸。加入蜂蜜搅匀，分两次服用，待温度适宜后再次服用。服用三个疗程，百病可愈。
治疗妊娠堕胎后，血不出，往来寒热腹痛。桃仁汤方：
桃仁（汤浸去皮尖，双仁者，麸炒黄色，二十枚） 吴茱萸（汤洗，炒黄，二两） 当归（微炙） 黄芪（一两） 桂枝（去粗皮，一两） 甘草（炙，一两）
以上六味药，除醍醐外，粗捣筛过。每次服用三钱匕，生姜一分拍破，水一盏，酒半盏，煎至六分，去渣，加入醍醐半两以下，搅匀温服。
治疗妊娠堕胎后，血不出，心腹疼痛。鉴鼻汤方：
铜鉴鼻（另捣细研如粉） 大黄（锉碎，微炒） 芍药 生干地黄（微炒，各一两） 甘草（炙，锉碎）
以上九味药，粗捣筛过。每次服用三钱，水一盏，煎至七分，去渣，投入少许芒硝，再煎一二沸，温服，随后再次服用。
治疗妊娠堕胎后，血不出上冲，心痛烦乱。猪膏饮方：
猪脂油（七合） 白蜜（三合） 生地黄（切，二两）
以上三味药，先将猪脂油和地黄混合，煎至红色。去掉地黄，加入三合蜂蜜，搅匀，分两次温服，随后再次服用。
治疗妊娠堕胎后，血不出，腹中疼痛，难以忍受。大黄饮方：
大黄（锉碎，炒） 芍药 黄芩（去黑心） 当归（微炙） 桃仁（汤浸去皮尖，双仁者，麸炒黄色，各一两） 生干地黄（焙，一两半） 桂枝（去粗皮） 甘草（炙，各一两）
以上八味药，粗捣筛过。每次服用三钱匕，水一盏，煎至七分，去渣温服，饭后片刻再服。
治疗妊娠堕胎后，血不出。当归酒方：
当归（炙至香，锉碎） 芍药（锉碎，炒，各二两）
以上两味药，粗捣筛过。每次服用三钱匕，用无灰酒一盏，加入生地黄汁一合，在银器内，用慢火煎至七分，去渣温服，以恶露排出为度。
治疗妊娠堕胎后血不出，寒热腹痛。牡丹丸方：
牡丹皮（去心） 当归（炙至香，锉碎） 芍药 白术 鬼箭羽 桂枝（去粗皮，各一两） 大黄（锉碎，炒，一两）
以上七味药，捣碎过筛制成粉末，炼蜜和丸，如梧桐子大小。每次服用二十丸，温酒送下。时时服用一次，逐渐增加至三十丸。
Commentary states: Blood naturally prefers warmth and dislikes cold. Warmth promotes smooth circulation, while cold causes stagnation. In cases of abortion during pregnancy where lochia (residual blood after childbirth) fails to discharge, it is due to pre-existing wind-cold pathogens in the body lodging in the uterus (Bao Zang). The cold pathogen clashes with the retained blood, preventing it from descending. This manifests as alternating chills and fever, fullness and pain in the umbilical and abdominal regions, dry mouth and thirst, and vexation in the hands and feet. If the retained blood follows rebellious Qi upward to harass the Heart, it may cause delirious speech or unconsciousness. The pathological changes are numerous and incalculable. It is advisable to promptly treat with blood-breaking and Qi-moving medications until the blood discharges.
For treating retained lochia after abortion during pregnancy, accompanied by weakness in the four limbs, fever, and chest oppression, along with various related disorders. Wu Jin San Formula:
Mo (2 liang, broken into 2-inch segments, burned red-hot, dipped seven times in one sheng of good vinegar, burned red-hot again, cooled, and separately ground into powder) Moyao (ground) Qilinjie (each 1 fen) Shexiang (1 qian)
The above four ingredients are mixed and ground into a powder. Each dose consists of 1 qian bi, taken with warm wine. If the condition involves blood confusing the Heart, take 2 qian bi mixed with Tongzi Xiaobian (urine of a healthy young boy) and wine.
For treating retained敗血 (stagnant blood) after abortion during pregnancy. Formula:
Mo (3 liang, burned red-hot with charcoal, quenched three times in strong vinegar, covered with a porcelain bowl on clean ground to cool, then finely ground like flour) Moyao (1 liang, separately ground into powder)
The above two ingredients are mixed, ground extremely fine, and sieved. Each dose consists of 2 qian bi, taken with boiled vinegar, at any time.
For treating retained lochia after abortion during pregnancy, with lower abdominal pain. Hupo Zhusan Formula:
Hupo (ground, 1 fen) Moyao (ground) Puhuang Danggui (remove seedlings, slice, bake) Chishao Yao Jianghuang Honglanhua Tugua Gen
The above eleven ingredients are crushed, sieved, and made into a powder. Each dose consists of 3 qian bi, decocted together with half a zhan of Tongzi Xiaobian and half a zhan of wine until reduced to 70%, taken warm. For heart and abdominal distension and pain, take 2 qian bi mixed with warm wine.
For treating retained blood rushing up to the Heart after abortion during pregnancy, causing chest stifling, suffocation, and loss of consciousness. Honglanhua San Formula:
Honglan Hua (lightly stir-fried) Nanzi Fa (burned to ash) Mo (burned red-hot) Qilinjie (ground) Puhuang (stir-fried through paper, each 1 fen)
The above five ingredients are crushed and ground into a powder, taken with 3-4 fen of Tongzi Xiaobian mixed with 2 qian bi. Recovery is immediate.
For treating retained blood after abortion during pregnancy. Dahuang Tang Formula:
Dahuang (chopped, stir-fried) Danggui (lightly roasted) Gancao (roasted, chopped) Mudan (remove heart) Wuzhuyu (washed in water, stir-fried yellow) Shaoyao (each 1 liang)
The above six ingredients are coarsely crushed and sieved. Each dose consists of 3 qian bi, decocted with one sheng of water and one fen of Shengjiang (crushed), until reduced to 60%. Strain and take warm. Repeat administration subsequently.
For treating retained lochia after abortion during pregnancy. Baimi Tang Formula:
Baimi (2 liang) Shengdihuang Zhi (1 sheng) Jiu (half a sheng)
The above three ingredients: Decoct the Shengdihuang Zhi and Jiu in a copper vessel for five to seven boils. Add honey, mix well, divide into two doses, and take when warm. Repeat administration. After three courses, various ailments can be cured.
For treating retained blood after abortion during pregnancy, with alternating chills and fever and abdominal pain. Taoren Tang Formula:
Taoren (soaked in water, remove skin and tips, double-kernel ones, stir-fried with bran until yellow, 20 kernels) Wuzhuyu (washed in water, stir-fried yellow, 2 liang) Danggui (lightly roasted) Huangqi (1 liang) Guizhi (remove rough bark, 1 liang) Gancao (roasted, 1 liang)
The above six ingredients, excluding Titu, are coarsely crushed and sieved. Each dose consists of 3 qian bi, decocted with one fen of Shengjiang (crushed), one sheng of water, and half a sheng of wine, until reduced to 60%. Strain, add Titu (up to half a liang), mix well, and take warm.
For treating retained blood after abortion during pregnancy, with heart and abdominal pain. Jianbi Tang Formula:
Tongjianbi (separately crushed, ground fine like powder) Dahuang (chopped, lightly stir-fried) Shaoyao Shenggan Dihuang (lightly stir-fried, each 1 liang) Gancao (roasted, chopped)
The above nine ingredients are coarsely crushed and sieved. Each dose consists of 3 qian, decocted with one sheng of water until reduced to 70%. Strain, add a small amount of Mangxiao, boil for one or two more boils, and take warm. Repeat administration subsequently.
For treating retained blood rushing up after abortion during pregnancy, with heart pain and vexation. Zhigao Yin Formula:
Zhigao (7 he) Baimi (3 he) Shengdihuang (sliced, 2 liang)
The above three ingredients: First mix Zhigao and Shengdihuang, decoct until reddish. Remove Shengdihuang, add 3 he of Baimi, mix well, divide into two warm doses, and repeat administration subsequently.
For treating retained blood after abortion during pregnancy, with unbearable abdominal pain. Dayin Formula:
Dahuang (chopped, stir-fried) Shaoyao Huangqin (remove black heart) Danggui (lightly roasted) Taoren (soaked in water, remove skin and tips, double-kernel ones, stir-fried with bran until yellow, each 1 liang) Shenggan Dihuang (baked, 1.5 liang) Guizhi (remove rough bark) Gancao (roasted, each 1 liang)
The above eight ingredients are coarsely crushed and sieved. Each dose consists of 3 qian bi, decocted with one sheng of water until reduced to 70%. Strain and take warm. Take again after a short while post-meal.
For treating retained blood after abortion during pregnancy. Danggui Jiu Formula:
Danggui (roasted until fragrant, chopped) Shaoyao (chopped, stir-fried, each 2 liang)
The above two ingredients are coarsely crushed and sieved. Each dose consists of 3 qian bi, decocted with one sheng of Wuhui Jiu (wine without sediment) and one he of Shengdihuang Zhi in a silver vessel over slow heat until reduced to 70%. Strain and take warm. Continue until lochia discharges.
For treating retained blood after abortion during pregnancy, with chills, fever, and abdominal pain. Mudan Wan Formula:
Mudan (remove heart) Danggui (roasted until fragrant, chopped) Shaoyao Baizhu Guijianyu Guizhi (remove rough bark, each 1 liang) Dahuang (chopped, stir-fried, 1 liang)
The above seven ingredients are crushed, sieved into powder, and mixed with refined honey to form pills the size of paulownia seeds. Each dose consists of 20 pills, taken with warm wine. Administer periodically, gradually increasing to 30 pills.
For treating retained blood after abortion during pregnancy, with lower abdominal fullness and pain. Formula:
Take Lingyangjiao, burn to ash, grind finely like flour. Each dose consists of 3 qian bi, taken at any time, mixed with Doulin Jiu (bean-dripping wine).