论曰凡产，子母已分，而胞衣未下。谓之息胞，盖由欲产之时，用力太过，产罢复被风
寒冷气所侵。血气凝涩。乏力运用，以致持久。不惟有妨儿脐。兼亦致害母命，急须提挈产
妇。使形体平正，息气少时，可以运动，及以壮气益血汤散助之。俾气血滑利，其胞可下矣
，若初生产妇，未能谙练，见胞衣未下。恐妨儿体，辄便剪脐，或误牵断，或执握不固，其
胞直上掩心，使不尽天年者多矣，昔人剪脐之法。必欲惯熟坐人。先备金银铜铁秤锤之类。
用软熟衣带一条，就一头绾定，仍留一头。才下脐，即将脐带与衣带，相联结定，以紧牢为
度，所贵 胞不上掩心也。
治产后胞衣不下，或被风寒所侵。血气凝涩或气力疲乏，不能运用胞衣停息。宜服，壮
气益血汤方
生干地黄（焙） 人参（切） 当归（切焙各一两） 代赭（别研半两） 木香（一分）
上五味，粗捣筛，每服五钱匕，水一盏半，生姜三片，枣一枚擘破，同煎七分，去滓不
拘时温服，以胞衣下为度。
治产后胞衣不出。瞿麦汤方
瞿麦穗（二两） 牛膝（去苗酒浸切焙） 桂（去粗皮） 木通（锉碎各一两）
上四味，粗捣筛，每服三钱匕，水一盏，煎取七分，去滓温服，不拘时，未下再服。
治胞衣半出半不出，或子死腹中，着脊不下，数日不产，血气上冲，牛膝汤方
牛膝（去苗酒浸切焙） 葵子（炒） 榆白皮（锉各三两） 生地黄汁（三合）
上四味，除地黄汁外，粗捣筛，每服三钱匕，水一大盏，入地黄汁一合，同煎至七分，
去滓温服。不拘时。
治胞衣不出。槐子汤方
槐子（如无子用枝细切一两） 牛膝（去苗酒浸切焙一两半） 木通（锉） 榆白皮（锉）
瞿
上六味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服，不拘时服，以下为度。
治胞衣不出。烂胞。滑石汤方
滑石（一两） 牛膝（去苗酒浸切焙一两半） 当归（切焙） 甘草（炙各一两） 葵
子（炒二
上六味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓不拘时服，以下为度。
治产五六日，胞衣不出，地黄汤方
生地黄（切焙） 牛膝（去苗酒浸切焙） 桂（去粗皮） 芎 大黄（锉炒各一两） 蒲
黄（
上七味，粗捣筛，每服三钱匕，水一盏，同煎至七分。去滓不拘时服。以下为度。
治胞衣不出，胞烂，桂心汤方
桂（去粗皮三分） 牛膝（去苗酒浸切焙一两） 滑石 当归（切焙各三分） 瞿麦穗
（一两）
上七味，粗捣筛，每服三钱匕，水一盏，入生地黄半合，同煎至七分，去滓不拘时温服
，以下为度。
治胞衣半出半不出，或子死腹中。着脊不下。数日不产，血气上冲，牛膝饮方
牛膝（去苗酒浸切焙） 葵子（各三两） 榆白皮（锉） 瞿麦穗（各二两）
上四味，粗捣筛，每服三钱匕，水一盏，入生地黄一分拍破。同煎至七分，去滓温服。
不拘时，以下为度。
治产后胞衣不下。当归汤方
当归（切焙） 芍药（锉） 桂（去粗皮各一两）
上三味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服，不拘时。
治胎死腹中，若子已出，胞衣不下，腰背痛，蒲黄散方
蒲黄（微炒） 甘草（炙） 桂（去粗皮） 陈橘皮（汤浸去白焙各三分） 牛膝（去
苗酒浸切
上五味，捣罗为散，每服二钱匕，温酒调下。不拘时，以下为度。
治产困乏，腹痛目有所见，儿及衣俱不下。蒺藜子散方
蒺藜子（炒去角） 贝母（去心各二两）
上二味，捣罗为散，每服二钱匕，温酒调下，未下再服，以下为度，热水调亦得。
治胞衣不下，气血冲心，迷闷欲死。松叶散方
松叶（炙） 墨（细研） 紫葛（各半两）
上三味，捣研为散，每服二钱匕，温水调下，不拘时。
治胞衣不出，芎 散方
芎 当归（切焙各半两） 榆白皮（锉一两）
上三味，捣罗为散，每服三钱匕，用生地黄汁温调下，未下再服，以下为度。
治胞衣不出，及恶血不行。干漆散方
干漆散（碎炒令烟） 当归（切焙一两）
上二味，捣罗为散，每服二钱匕，用荆芥酒调下，时一服，以下为度。
治恶血不下，盛于衣中。方
鹿角（镑不计多少）
上一味，捣罗为散，每服一钱匕，温酒下，未下再服。
治产难胞衣不下。心腹痛。香墨丸方
香墨 麝香（各一钱同研细）
上二味，以腊月兔脑，丸如梧桐子大，每服三丸，以温酒下，不拘时，以下为度。
治胞衣不出，葱油方
葱白（三茎） 麻油（半合）
上二味，先研葱白汁少许，入油相和服之，未下再一服。
治产难胞衣不出，儿横及死腹中闷绝者，半夏散方
半夏（汤洗去滑七遍生姜汁制） 白蔹（各一两）
上二味，捣罗为散，每服二钱匕，温酒调下，胞衣不下一服，横生二服，倒生三服，子
死四服，一方、用代赭瞿麦各一两添入，亦佳
治胞衣不出，伏龙肝散方
伏龙肝 蒲黄（炒研各一两）
上二味，捣研为散，每服二钱匕，温酒调下，不拘时，以下为度。
治胞衣不出，令胞烂，牛膝散方
牛膝（去苗一两）
上一味细锉。以水三盏，煎至一盏半。去滓分作三服。
治恶血不下，盛于衣中，方
上取灶突中煤为末，每服三钱匕，以水或温酒调服之。
又方
上取蓖麻子二七枚，去壳研，涂脚心，衣才下，速去之。
又方
上取葱叶细切。用三指撮，以热酒沃之。去葱服立下。
又方
上取败簸箕舌。烧作灰细研，每服三钱匕，酒服之。
治胞衣不下。法
上以炊箅当户前烧之。
又方
上用小豆，温水或酒吞下，如生男者一七枚，生女二七枚。
又法
上取夫亵衣，盖井口，立出。
又法
以苦酒服珍珠末一钱匕，亦出。
又法
上取皂荚末，吹鼻中令嚏，即下。
又法
上以枣肉丸水银一皂子大，酒服立下。
治胞衣不出。麦豆汤方
小麦 小豆（各一合）
上二味，以水五盏，煮取二盏，去豆麦，分温二服。
又方
牛膝（去苗） 葵子（各一两）
上二味，锉令匀，每服五钱匕，水一盏半，煎取八分，去滓温服。
治胞衣不出令胞烂。丹砂散方
丹砂（研半两）
上一味，每服一钱匕，温酒调下，未下再服。
又方
葵子 阿胶（炒令燥） 牛膝（酒浸切焙） 当归（切焙各三分）
上四味，捣罗为散，每服五钱匕，温酒调下。
论述说：凡是分娩，胎儿与母体已经分离，但胎盘（胞衣）尚未排出。这称为“息胞”，大概是因为临产时用力过度，产后又受到风寒邪气的侵袭。导致血气凝滞涩阻，乏力无法推动运行，以致时间持久。这不仅妨碍婴儿脐带的处理，也会危害母亲的生命，必须紧急扶持产妇，使身体姿势端正，休息片刻气息平稳后，可以活动身体，并用壮气益血汤散来辅助。使得气血滑利通畅，胎盘即可排出。如果是初次生产的产妇，缺乏经验，看到胎盘未下，担心妨碍婴儿身体，就擅自剪断脐带，或者误拉断裂，或者握持不牢固，导致胎盘直接上冲掩蔽心脏，致使不能享尽天年的人很多了。古人剪断脐带的方法，一定要由熟练的接生人员操作。事先准备好金银铜铁秤锤之类的重物。用一条柔软熟透的衣带，在一头打结固定，仍留出一头。才剪断脐带，立即将脐带与衣带相联结固定，以紧牢为标准，这样才保险胎盘不会上冲掩蔽心脏。
治疗产后胎盘不下，或被风寒所侵袭，血气凝滞涩阻，或气力疲乏，不能推动运行，胎盘停息不下。适宜服用壮气益血汤方：
生干地黄（焙干）、人参（切片）、当归（切片焙干，各一两）、代赭石（另研细末，半两）、木香（一分）。
以上五味药，粗捣筛过，每次服用五钱匕，用水一盏半，生姜三片，大枣一枚掰破，一同煎煮至七分，去渣滓，不拘时候温服，以胎盘排出为度。
治疗产后胎盘不出，瞿麦汤方：
瞿麦穗（二两）、牛膝（去苗，酒浸切片焙干）、桂枝（去粗皮）、木通（锉碎，各一两）。
以上四味药，粗捣筛过，每次服用三钱匕，用水一盏，煎取七分，去渣滓温服，不拘时候，若未排出再服。
治疗胎盘半出半不出，或胎儿死于腹中，附着脊柱不下，数日不能产出，血气上冲，牛膝汤方：
牛膝（去苗，酒浸切片焙干）、葵子（炒）、榆白皮（锉碎，各三两）、生地黄汁（三合）。
以上四味药，除生地黄汁外，粗捣筛过，每次服用三钱匕，用水一大盏，加入生地黄汁一合，一同煎至七分，去渣滓温服，不拘时候。
治疗胎盘不出，槐子汤方：
槐子（如无子可用枝条细切，一两）、牛膝（去苗，酒浸切片焙干，一两半）、木通（锉碎）、榆白皮（锉碎）、瞿麦（缺字，据上下文推测为药材名，此处依原文保留空缺或视为漏字，按常规补全逻辑应为瞿麦，但严格忠实原文提取实体时需注意，此处翻译依原文结构）。
*注：原文此处“瞿”字后似有缺漏，通常指瞿麦。*
以上六味药，粗捣筛过，每次服用三钱匕，用水一盏，煎至七分，去渣滓温服，不拘时候，以排出为度。
治疗胎盘不出，胎盘腐烂，滑石汤方：
滑石（一两）、牛膝（去苗，酒浸切片焙干，一两半）、当归（切片焙干）、甘草（炙，各一两）、葵子（炒，缺字，通常为二两或类似剂量，依原文“炒二”推测后续有字数缺失，此处按原文意译）。
以上六味药，粗捣筛过，每次服用三钱匕，用水一盏，煎至七分，去渣滓不拘时候服用，以排出为度。
治疗生产五六天，胎盘不出，地黄汤方：
生地黄（切片焙干）、牛膝（去苗，酒浸切片焙干）、桂枝（去粗皮）、川芎、大黄（锉碎炒，各一两）、蒲黄（缺字，通常为粉末状，依原文“蒲黄”后无剂量，推测为等量或特定量，此处依原文）。
以上七味药，粗捣筛过，每次服用三钱匕，用水一盏，一同煎至七分，去渣滓不拘时候服用，以排出为度。
治疗胎盘不出，胎盘腐烂，桂心汤方：
桂枝（去粗皮三分）、牛膝（去苗，酒浸切片焙干，一两）、滑石、当归（切片焙干，各三分）、瞿麦穗（一两）。
以上七味药，粗捣筛过，每次服用三钱匕，用水一盏，加入生地黄半合，一同煎至七分，去渣滓不拘时候温服，以排出为度。
治疗胎盘半出半不出，或胎儿死于腹中，附着脊柱不下，数日不能产出，血气上冲，牛膝饮方：
牛膝（去苗，酒浸切片焙干）、葵子（各三两）、榆白皮（锉碎）、瞿麦穗（各二两）。
以上四味药，粗捣筛过，每次服用三钱匕，用水一盏，加入生地黄一分拍破，一同煎至七分，去渣滓温服，不拘时候，以排出为度。
治疗产后胎盘不下，当归汤方：
当归（切片焙干）、芍药（锉碎）、桂枝（去粗皮，各一两）。
以上三味药，粗捣筛过，每次服用三钱匕，用水一盏，煎至七分，去渣滓温服，不拘时候。
治疗胎死腹中，如果胎儿已产出，胎盘不下，腰背疼痛，蒲黄散方：
蒲黄（微炒）、甘草（炙）、桂枝（去粗皮）、陈皮（汤浸去白焙干，各三分）、牛膝（去苗，酒浸切片...缺字，通常为焙）。
以上五味药，捣罗成散剂，每次服用二钱匕，用温酒调服，不拘时候，以排出为度。
治疗生产困乏，腹痛目眩（有所见），胎儿及胎盘俱不下，蒺藜子散方：
蒺藜子（炒去刺）、贝母（去心，各二两）。
以上二味药，捣罗成散剂，每次服用二钱匕，用温酒调服，若未排出再服，以排出为度，用热水调服也可以。
治疗胎盘不下，气血上冲心脏，昏迷闷绝欲死，松叶散方：
松叶（炙）、墨（细研）、紫葛（各半两）。
以上三味药，捣研成散剂，每次服用二钱匕，用温水调服，不拘时候。
治疗胎盘不出，川芎散方：
川芎、当归（切片焙干，各半两）、榆白皮（锉碎，一两）。
以上三味药，捣罗成散剂，每次服用三钱匕，用生地黄汁温调服，若未排出再服，以排出为度。
治疗胎盘不出，以及恶血不行，干漆散方：
干漆（碎炒令烟出）、当归（切片焙干，一两）。
以上二味药，捣罗成散剂，每次服用二钱匕，用荆芥酒调服，偶尔服用一次，以排出为度。
治疗恶血不下，积聚在胎盘之中，方：
鹿角（镑片，不计多少）。
以上一味药，捣罗成散剂，每次服用一钱匕，用温酒送服，若未排出再服。
治疗难产胎盘不下，心腹疼痛，香墨丸方：
香墨、麝香（各一钱，同研细）。
以上二味药，用腊月兔脑，制成梧桐子大小的丸剂，每次服用三丸，用温酒送服，不拘时候，以排出为度。
治疗胎盘不出，葱油方：
葱白（三茎）、麻油（半合）。
以上二味药，先研磨葱白取少许汁，加入油混合服用，若未排出再服一次。
治疗难产胎盘不出，胎儿横位及死在腹中闷绝者，半夏散方：
半夏（汤洗去滑七遍，生姜汁制）、白蔹（各一两）。
以上二味药，捣罗成散剂，每次服用二钱匕，用温酒调服，胎盘不下服一剂，横生服二剂，倒生服三剂，子死服四剂。另一方法，加入代赭石、瞿麦各一两，也很好。
治疗胎盘不出，伏龙肝散方：
伏龙肝、蒲黄（炒研，各一两）。
以上二味药，捣研成散剂，每次服用二钱匕，用温酒调服，不拘时候，以排出为度。
治疗胎盘不出，令胎盘腐烂，牛膝散方：
牛膝（去苗，一两）。
以上一味药，细锉碎，用水三盏，煎至一盏半，去渣滓分作三次服用。
治疗恶血不下，积聚在胎盘之中，方：
以上取灶突中的黑灰为末，每次服用三钱匕，用水或温酒调服。
又一方：
以上取蓖麻子十四枚，去壳研碎，涂于脚心，胎盘一旦排出，迅速擦去。
又一方：
以上取葱叶细切，用三指撮的量，用热酒浇淋，去掉葱叶服用，胎盘立刻排出。
又一方：
以上取破旧的簸箕舌，烧成灰细研，每次服用三钱匕，用酒送服。
治疗胎盘不下，法：
以上用炊箅（蒸笼格）在门前焚烧。
又一方：
以上用小豆，用温水或酒吞服，如生男孩服十四枚，生女孩服二十八枚。
又法：
以上取丈夫的内衣，盖在井口，胎盘立刻排出。
又法：
用醋送服珍珠末一钱匕，也能排出。
又法：
以上取皂荚末，吹入鼻中令其打喷嚏，胎盘即下。
又法：
以上用枣肉包裹水银，大小如皂角子，用酒送服，立刻排出。
治疗胎盘不出，麦豆汤方：
小麦、小豆（各一合）。
以上二味药，用水五盏，煮取二盏，去掉豆麦，分两次温服。
又一方：
牛膝（去苗）、葵子（各一两）。
以上二味药，锉碎均匀，每次服用五钱匕，用水一盏半，煎取八分，去渣滓温服。
治疗胎盘不出令胎盘腐烂，丹砂散方：
丹砂（研细，半两）。
以上一味药，每次服用一钱匕，用温酒调服，若未排出再服。
又一方：
葵子、阿胶（炒令干燥）、牛膝（酒浸切片焙干）、当归（切片焙干，各三分）。
以上四味药，捣罗成散剂，每次服用五钱匕，用温酒调服。
Discussion states: In all cases of childbirth, when the fetus and mother have separated, but the placenta (Baoyi) has not yet been expelled. This is called "Xi Bao" (Stagnant Placenta), likely due to excessive exertion during labor, followed by invasion of wind-cold pathogenic factors after delivery. This causes blood and Qi to become stagnant and obstructed, leading to weakness and inability to promote circulation, resulting in prolonged retention. This not only hinders the handling of the infant's umbilical cord but also endangers the mother's life. It is urgent to support the parturient woman, ensuring her body posture is upright, allowing her to rest briefly until her breathing stabilizes and she can move. Additionally, administer Zhuang Qi Yi Xue Tang San (Vigor-Qi and Benefit-Blood Powder/Decoction) to assist. This will make blood and Qi smooth and unobstructed, allowing the placenta to be expelled. If it is a primipara who lacks experience, seeing that the placenta has not come down, fearing it may hinder the infant's body, she might rashly cut the umbilical cord, or accidentally pull it off, or hold it insecurely, causing the placenta to rise directly and cover the heart, leading many to die prematurely. The ancients' method for cutting the umbilical cord required skilled attendants. They would prepare heavy objects such as gold, silver, copper, iron, or weights beforehand. Using a soft, well-worn cloth belt, they would knot one end securely, leaving the other end free. Immediately after cutting the cord, they would tie the umbilical cord to the cloth belt, securing it tightly. This ensured the placenta would not rise up to cover the heart.
For treating retained placenta postpartum, invaded by wind-cold, with stagnant blood and Qi, or fatigue preventing the expulsion of the placenta, the appropriate prescription is Zhuang Qi Yi Xue Tang Fang (Vigor-Qi and Benefit-Blood Decoction):
Sheng Gan Di Huang (Dried Rehmanniae Radix, baked), Ren Shen (Ginseng Radix, sliced), Dang Gui (Angelicae Sinensis Radix, sliced and baked, each 1 liang), Dai Zhe Shi (Hematitum, separately ground, 0.5 liang), Mu Xiang (Aucklandiae Radix, 1 fen).
The above five herbs are coarsely crushed and sifted. Take 5 qian bi per dose, add 1.5 sheng of water, 3 slices of Sheng Jiang (Zingiberis Rhizoma Recens), and 1 broken Zao (Jujubae Fructus). Decoct together to 70% volume, remove dregs, and take warm at any time. Stop when the placenta is expelled.
For treating retained placenta postpartum, Qu Mai Tang Fang (Persicaria Decoction):
Qu Mai Sui (Persicariae Herba spike, 2 liang), Niu Xi (Achyranthis Bidentatae Radix, stem removed, wine-soaked, sliced, baked), Gui (Cinnamomi Ramulus, bark removed), Mu Tong (Akebiae Caulis, chopped, each 1 liang).
The above four herbs are coarsely crushed and sifted. Take 3 qian bi per dose, add 1 sheng of water. Decoct to 70% volume, remove dregs, and take warm at any time. If not expelled, take again.
For treating partially expelled placenta, or fetal death in utero with the placenta adhering to the spine and not descending, retention for several days, with blood and Qi rushing upward, Niu Xi Tang Fang (Achyranthes Decoction):
Niu Xi (Achyranthis Bidentatae Radix, stem removed, wine-soaked, sliced, baked), Kui Zi (Abutilonis Semen, fried), Yu Bai Pi (Ulmus Alba Cortex, chopped, each 3 liang), Sheng Di Huang Zhi (Fresh Rehmanniae Radix Juice, 3 he).
Excluding the Sheng Di Huang Zhi, the above four herbs are coarsely crushed and sifted. Take 3 qian bi per dose, add 1 large sheng of water and 1 he of Sheng Di Huang Zhi. Decoct together to 70% volume, remove dregs, and take warm at any time.
For treating retained placenta, Huai Zi Tang Fang (Sophora Decoction):
Huai Zi (Sophorae Fructus, if unavailable use branches finely cut, 1 liang), Niu Xi (Achyranthis Bidentatae Radix, stem removed, wine-soaked, sliced, baked, 1.5 liang), Mu Tong (Akebiae Caulis, chopped), Yu Bai Pi (Ulmus Alba Cortex, chopped), Qu Mai (Persicariae Herba - *text incomplete*).
The above six herbs are coarsely crushed and sifted. Take 3 qian bi per dose, add 1 sheng of water. Decoct to 70% volume, remove dregs, and take warm at any time. Stop when expelled.
For treating retained placenta and putrefaction of the placenta, Hua Shi Tang Fang (Talcum Decoction):
Hua Shi (Talcum, 1 liang), Niu Xi (Achyranthis Bidentatae Radix, stem removed, wine-soaked, sliced, baked, 1.5 liang), Dang Gui (Angelicae Sinensis Radix, sliced and baked), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 1 liang), Kui Zi (Abutilonis Semen, fried - *text incomplete*).
The above six herbs are coarsely crushed and sifted. Take 3 qian bi per dose, add 1 sheng of water. Decoct to 70% volume, remove dregs, and take at any time. Stop when expelled.
For treating retained placenta after 5-6 days of labor, Di Huang Tang Fang (Rehmannia Decoction):
Sheng Di Huang (Fresh Rehmanniae Radix, sliced and baked), Niu Xi (Achyranthis Bidentatae Radix, stem removed, wine-soaked, sliced, baked), Gui (Cinnamomi Ramulus, bark removed), Xiong Qiong (Ligustici Chuanxiong Rhizoma), Da Huang (Rhei Radix et Rhizoma, chopped and fried, each 1 liang), Pu Huang (Typhae Pollen - *text incomplete*).
The above seven herbs are coarsely crushed and sifted. Take 3 qian bi per dose, add 1 sheng of water. Decoct together to 70% volume, remove dregs, and take at any time. Stop when expelled.
For treating retained placenta and putrefaction, Gui Xin Tang Fang (Cinnamon Heart Decoction):
Gui (Cinnamomi Ramulus, bark removed, 3 fen), Niu Xi (Achyranthis Bidentatae Radix, stem removed, wine-soaked, sliced, baked, 1 liang), Hua Shi (Talcum), Dang Gui (Angelicae Sinensis Radix, sliced and baked, each 3 fen), Qu Mai Sui (Persicariae Herba spike, 1 liang).
The above seven herbs are coarsely crushed and sifted. Take 3 qian bi per dose, add 0.5 he of Sheng Di Huang (Fresh Rehmanniae Radix). Decoct together to 70% volume, remove dregs, and take warm at any time. Stop when expelled.
For treating partially expelled placenta, or fetal death in utero with the placenta adhering to the spine and not descending, retention for several days, with blood and Qi rushing upward, Niu Xi Yin Fang (Achyranthes Drink):
Niu Xi (Achyranthis Bidentatae Radix, stem removed, wine-soaked, sliced, baked), Kui Zi (Abutilonis Semen, each 3 liang), Yu Bai Pi (Ulmus Alba Cortex, chopped), Qu Mai Sui (Persicariae Herba spike, each 2 liang).
The above four herbs are coarsely crushed and sifted. Take 3 qian bi per dose, add 1 sheng of water and 1 fen of Sheng Di Huang (Fresh Rehmanniae Radix, smashed). Decoct together to 70% volume, remove dregs, and take warm at any time. Stop when expelled.
For treating retained placenta postpartum, Dang Gui Tang Fang (Angelica Decoction):
Dang Gui (Angelicae Sinensis Radix, sliced and baked), Shao Yao (Paeoniae Radix, chopped), Gui (Cinnamomi Ramulus, bark removed, each 1 liang).
The above three herbs are coarsely crushed and sifted. Take 3 qian bi per dose, add 1 sheng of water. Decoct to 70% volume, remove dregs, and take warm at any time.
For treating fetal death in utero, where the fetus has been delivered but the placenta remains, accompanied by lower back and abdominal pain, Pu Huang San Fang (Typha Pollen Powder):
Pu Huang (Typhae Pollen, lightly fried), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), Gui (Cinnamomi Ramulus, bark removed), Chen Pi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, baked, each 3 fen), Niu Xi (Achyranthis Bidentatae Radix, stem removed, wine-soaked, sliced - *text incomplete*).
The above five herbs are pounded into a fine powder. Take 2 qian bi per dose, mix with warm wine and swallow. Take at any time. Stop when expelled.
For treating exhaustion during labor, abdominal pain, visual disturbances, and failure to expel both fetus and placenta, Ji Li Zi San Fang (Tribulus Powder):
Ji Li Zi (Tribuli Fructus, fried and thorns removed), Bei Mu (Fritillariae Cirrhosae Bulbus, core removed, each 2 liang).
The above two herbs are pounded into a fine powder. Take 2 qian bi per dose, mix with warm wine and swallow. If not expelled, take again. Stop when expelled. Mixing with hot water is also acceptable.
For treating retained placenta with blood and Qi rushing to the heart, causing coma and near-death state, Song Ye San Fang (Pine Needle Powder):
Song Ye (Pinus Massoniana Needle, roasted), Mo (Ink, finely ground), Zi Ge (Buddlejae Radix, each 0.5 liang).
The above three herbs are pounded and ground into a powder. Take 2 qian bi per dose, mix with warm water and swallow. Take at any time.
For treating retained placenta, Xiong Qiong San Fang (Ligusticum Powder):
Xiong Qiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix, sliced and baked, each 0.5 liang), Yu Bai Pi (Ulmus Alba Cortex, chopped, 1 liang).
The above three herbs are pounded into a fine powder. Take 3 qian bi per dose, mix with Sheng Di Huang Zhi (Fresh Rehmanniae Radix Juice) warmed and swallow. If not expelled, take again. Stop when expelled.
For treating retained placenta and failure of lochia to flow, Gan Xi San Fang (Dry Lacquer Powder):
Gan Xi (Dry Lacquer, crushed and fried until smoke appears), Dang Gui (Angelicae Sinensis Radix, sliced and baked, 1 liang).
The above two herbs are pounded into a fine powder. Take 2 qian bi per dose, mix with Jing Jie Jiu (Schizonepeta Wine) and swallow. Occasionally take once. Stop when expelled.
For treating lochia retention accumulating in the placenta, Formula:
Lu Jiao (Deer Antler, shaved, quantity unspecified).
The above single herb is pounded into a fine powder. Take 1 qian bi per dose, swallow with warm wine. If not expelled, take again.
For treating difficult labor with retained placenta and heart/abdominal pain, Xiang Mo Wan Fang (Fragrant Ink Pill):
Xiang Mo (Fragrant Ink), She Xiang (Moschus, each 1 qian, ground together finely).
The above two ingredients are mixed with brain from a hare caught in the twelfth lunar month, formed into pills the size of Sophora seeds. Take 3 pills per dose, swallow with warm wine. Take at any time. Stop when expelled.
For treating retained placenta, Cong You Fang (Scallion Oil):
Cong Bai (Allii Fistulosi Bulb, 3 stems), Ma You (Sesami Oleum, 0.5 he).
The above two ingredients: first grind Scallion Bulb to extract a small amount of juice, mix with oil, and consume. If not expelled, take another dose.
For treating difficult labor with retained placenta, transverse lie, or fetal death in utero causing suffocation, Ban Xia San Fang (Pinellia Powder):
Ban Xia (Pinelliae Rhizoma, washed in water to remove slipperiness seven times, processed with Ginger Juice), Bai Lian (Ampelopsis Radix, each 1 liang).
The above two herbs are pounded into a fine powder. Take 2 qian bi per dose, mix with warm wine and swallow. For retained placenta, take one dose; for transverse lie, two doses; for breech presentation, three doses; for fetal death, four doses. Another method adds Dai Zhe Shi (Hematitum) and Qu Mai (Persicariae Herba), each 1 liang, which is also good.
For treating retained placenta, Fu Long Gan San Fang (Dragon's Liver Soil Powder):
Fu Long Gan (Caulis Bambusae in Taenia, calcined), Pu Huang (Typhae Pollen, fried and ground, each 1 liang).
The above two herbs are pounded and ground into a powder. Take 2 qian bi per dose, mix with warm wine and swallow. Take at any time. Stop when expelled.
For treating retained placenta causing putrefaction, Niu Xi San Fang (Achyranthes Powder):
Niu Xi (Achyranthis Bidentatae Radix, stem removed, 1 liang).
The above single herb is finely chopped. Add 3 sheng of water, decoct to 1.5 sheng. Remove dregs and divide into three doses.
For treating lochia retention accumulating in the placenta, Formula:
Take soot from the kitchen chimney, grind into powder. Take 3 qian bi per dose, mix with water or warm wine and swallow.
Another Formula:
Take 14 Castor Seeds (Ricini Semen), remove shells, grind, and apply to the soles of the feet. Remove immediately once the placenta is expelled.
Another Formula:
Finely chop Scallion Leaves (Allii Fistulosi Folium). Take a pinch (three fingers' worth), pour hot wine over it. Remove scallions and drink. The placenta will be expelled immediately.
Another Formula:
Take the tongue of an old winnowing basket, burn to ash, and grind finely. Take 3 qian bi per dose, swallow with wine.
Method for treating retained placenta:
Burn a bamboo steamer grate (Chui Bi) in front of the door.
Another Formula:
Swallow Adzuki Beans (Vigna Angularis) with warm water or wine. For a male infant, swallow 14 beans; for a female infant, swallow 28 beans.
Another Method:
Place the husband's underwear over the mouth of a well. The placenta will be expelled immediately.
Another Method:
Swallow 1 qian bi of Cinnabar Powder (Dan Sha) with vinegar. It will also be expelled.
Another Method:
Blow Powder of Gleditsia Sinensis (Zao Jiao) into the nose to induce sneezing. The placenta will descend.
Another Method:
Wrap Mercury (Shui Yin) the size of a Gleditsia seed in jujube flesh. Swallow with wine. It will be expelled immediately.
For treating retained placenta, Mai Dou Tang Fang (Wheat and Bean Decoction):
Xiao Mai (Tritici Caput, 1 he), Xiao Dou (Adzuki Bean, 1 he).
The above two ingredients are boiled in 5 sheng of water until reduced to 2 sheng. Remove beans and wheat, divide into two warm doses.
Another Formula:
Niu Xi (Achyranthis Bidentatae Radix, stem removed), Kui Zi (Abutilonis Semen, each 1 liang).
The above two herbs are chopped evenly. Take 5 qian bi per dose, add 1.5 sheng of water. Decoct to 80% volume, remove dregs, and take warm.
For treating retained placenta causing putrefaction, Dan Sha San Fang (Cinnabar Powder):
Dan Sha (Cinnabaris, ground, 0.5 liang).
The above single herb: take 1 qian bi per dose, mix with warm wine and swallow. If not expelled, take again.
Another Formula:
Kui Zi (Abutilonis Semen), E Jiao (Asini Corii Colla, fried until dry), Niu Xi (Achyranthis Bidentatae Radix, wine-soaked, sliced, baked), Dang Gui (Angelicae Sinensis Radix, sliced and baked, each 3 fen).
The above four herbs are pounded into a fine powder. Take 5 qian bi per dose, mix with warm wine and swallow.