答曰。母生子讫。血流入衣中。衣为血所胀。故不得下治之稍缓。胀满腹中。以次上冲心胸
。疼痛喘息。急者难治。但服夺命丹。以速去衣中之血。血散胀消。胎衣自下而无所患。
夺命丹
附子(半两) 牡丹皮(一两) 干漆(碎炒烟尽二分半)
上为末。醋一升。大黄末一两。同熬成膏。和药丸如桐子大。温酒送下。每服五十丸。不拘
时。
牛膝汤。治产儿已出。胞衣不下。脐腹坚满。胀急疼痛。及子死腹中不得出者。宜服。
滑石(八两) 当归 木通(各六两) 冬葵子(五两) 牛膝(去苗酒浸焙) 瞿麦(各四两)
上为 咀。每服三钱水二盏。煎八分。去滓稍热服。不以时候。
答曰。胎侧有成形块。别呼为儿枕。子欲生时。枕破与败血裹其子。故难生。但服胜金散。
逐其败血。即自生。逆生横生。并皆治之。
胜金散
麝香(一钱) 盐豉(一两旧青衣裹烧令通红急以乳钵研为细末)
上为细末。取秤锤烧红。以酒淬之。调药一钱七服。
琥珀黑散。治产妇一切疾病。产前胎死。产难逆横生。产后胎衣不下。衣带先断。遍身疼痛
。口干心闷。非时不语。如血晕眼花。误以为暗风。乍寒乍热。误以为疟疾。四肢浮肿。误
以
为水气。言语颠倒。见鬼见神。误以为邪崇。腹胁胀满。呕逆不定。误以为反胃。大便秘涩
。小便出血。误以为五淋。及恶露未尽。经候未还。起居饮食。便不戒忌。血气之疾。聚即
成块。散即上冲。气急心痛。咳嗽多睡。四肢虚热。睡惊盗汗崩中败 。绕脐刺痛或头面赤。因变骨蒸。皆宜多服。若
产后鼻衄。口鼻黑色气起。喉中喘急。中风口
噤。皆为难治。须急服之。凡产前宜进一二服。皆能安神顺胎。产后虽无疾。七日内亦进一
二服。能散诸疾。或因惊恐。变生他证。当连服取效。
琥珀(别研) 朱砂(别研) 松墨 百草霜 新罗白附子 白僵蚕(炒去丝) 当归(去芦) 黑
衣(灶屋尘各半两一作突烟) 麝香(别研) 血苗灰鲤鱼鳞(各二分半)
上为细末。每二钱。炒姜温酒。和童便调下。食前。
回答说：母亲分娩完毕后，血液流入胎衣中，胎衣被血液胀满，所以不能排出。如果治疗稍微迟缓，胎衣在腹中胀满，依次向上冲撞心胸，导致疼痛、喘息，病情急重的难以治愈。只需服用夺命丹，以迅速去除胎衣中的积血。血液消散，胀满消除，胎衣自然排出，就不会有后患。
夺命丹
附子（半两） 牡丹皮（一两） 干漆（捣碎炒至烟尽，二分半）
以上药材研为细末。用醋一升，加入大黄末一两，共同熬制成膏状，与药粉混合，制成如梧桐子大小的丸剂。温酒送服。每次服用五十丸，不限时间。
牛膝汤：治疗胎儿已产出，但胞衣不下的情况。症见脐腹部坚硬胀满，胀痛紧急，以及胎儿死于腹中无法排出的情况，适宜服用此方。
滑石（八两） 当归 木通（各六两） 冬葵子（五两） 牛膝（去苗，酒浸，焙干） 瞿麦（各四两）
以上药材切碎。每次取三钱，加水两盏，煎煮至剩余八分，滤去药渣，趁稍热时服用，不限具体时间。
回答说：胎儿侧面有一成形块状物，另外称为“儿枕”。临产时，儿枕破裂，败血包裹住胎儿，所以导致难产。只需服用胜金散，驱逐体内的败血，胎儿即可自然娩出。对于胎位不正（逆生）、横位（横生）等情况，也都适用此法治疗。
胜金散
麝香（一钱） 盐豉（一两，用旧青衣包裹烧至通红，立即放入乳钵中研为细末）
以上研为细末。取秤锤烧红，用酒淬之（将烧红的秤锤投入酒中），用此酒调服药末一钱，一次服用。
琥珀黑散：治疗产妇各种疾病。产前胎死腹中、难产、胎位不正或横位；产后胞衣不下、胎盘带先断裂、全身疼痛、口干心慌、非正常时期不语、类似血晕眼花的症状（误以为是中风暗风）、忽冷忽热（误以为是疟疾）、四肢浮肿（误以为是水气病）、言语错乱、看见鬼神（误以为是邪祟侵扰）、腹部胁肋胀满、呕吐不定（误以为是反胃）、大便秘结涩滞、小便出血（误以为是五淋证），以及恶露未尽、月经未恢复。若起居饮食不加禁忌，导致血气疾病，聚集成块则上冲，引起气急心痛、咳嗽多睡、四肢虚热、睡眠惊悸盗汗、崩漏及败血症状、绕脐刺痛或头面发红，进而演变为骨蒸劳热，都适宜多服用此方。如果产后出现鼻出血、口鼻发黑且气息上冲、喉中喘急、中风牙关紧闭等症状，都属于难治之症，必须紧急服用此方。凡是产前宜进服一二剂，都能安神顺胎；产后即使没有疾病，七日内也宜进服一二剂，能消散各种疾患。如果是因惊恐而变生其他证候，应当连续服用以取得疗效。
琥珀（单独研磨） 朱砂（单独研磨） 松墨 百草霜 新罗白附子 白僵蚕（炒去丝） 当归（去芦头） 黑衣（灶屋尘，各半两，一作突烟） 麝香（单独研磨） 血余炭 鲤鱼鳞（各二分半）
以上研为细末。每次取二钱，用炒姜和温酒，配合童便调服。饭前服用。
Answer: After the mother has given birth, blood flows into the placenta (fetal membrane), causing it to become distended with blood, thus preventing its expulsion. If treatment is delayed even slightly, the distended placenta will rise sequentially from the abdomen towards the heart and chest, causing pain and panting. In acute cases, it is difficult to treat. One should simply administer Duoming Dan (Life-Stealing Pill) to rapidly remove the stagnant blood within the placenta. Once the blood dissipates and the distension resolves, the placenta will naturally descend without further complications.
Duoming Dan (Life-Stealing Pill)
Fuzi (Aconiti Lateralis Radix Praeparata, half tael)
Mudanpi (Moutan Cortex, one tael)
Ganxi (Resina Semecarpis Anacardii, crushed and stir-fried until smoke ceases, two qian five fen)
Grind the above ingredients into powder. Add one sheng of vinegar and one tael of Dahuang (Rhei Radix et Rhizoma) powder, and boil together into a paste. Mix with the medicine powder to form pills the size of paulownia seeds. Take fifty pills at a time with warm wine, regardless of meal times.
Niuxi Tang (Achyranthes Bidentata Decoction): Treats conditions where the fetus has been delivered but the placenta remains retained. Symptoms include hardness and fullness in the umbilical and abdominal regions, urgent distending pain, or situations where the fetus has died in the uterus and cannot be expelled. This formula is suitable for such cases.
Huashi (Talcum, eight liang)
Danggui (Angelicae Sinensis Radix)
Mutong (Akebiae Caulis, six liang each)
Dongkuizi (Malvae Semen, five liang)
Niuxi (Achyranthis Bidentatae Radix, remove sprouts, soak in wine, and bake)
Qumai (Dianthi Herba, four liang each)
Cut the above ingredients into small pieces. For each dose, take three qian, add two zhan of water, and decoct until eight fen remains. Strain the dregs and take while slightly warm, at any time.
Answer: There is a formed mass on the side of the fetus, separately called "Erzhen" (Child's Pillow). When labor begins, this mass ruptures, and the stagnant blood wraps around the fetus, making delivery difficult. Simply administer Shengjin San (Gold-Surpassing Powder) to drive out the stagnant blood, and the fetus will deliver itself spontaneously. This also treats malpresentation (breech or transverse lie).
Shengjin San (Gold-Surpassing Powder)
Shexiang (Moschus, one qian)
Yanchi (Fermented Soybean Paste, one tael; wrap in old green cloth, burn until red-hot, then immediately grind in a mortar into fine powder)
Grind the above into fine powder. Take a hammer weight, heat it until red-hot, quench it in wine, and use this liquid to mix one qian of the powder for oral administration.
Hupo Heisan (Amber Black Powder): Treats all diseases of postpartum women. It addresses antenatal fetal death, difficult labor, malpresentation, or transverse lie; postpartum retained placenta, premature rupture of membranes, generalized body pain, dry mouth, chest oppression, muteness at inappropriate times, symptoms resembling blood syncope or blurred vision (often misdiagnosed as latent wind/stroke), alternating chills and fever (often misdiagnosed as malaria), edema of the four limbs (often misdiagnosed as fluid retention/qi disorder), confused speech, hallucinations of ghosts and gods (often misdiagnosed as evil spirits), abdominal and hypochondriac fullness, irregular vomiting (often misdiagnosed as reverse reflux), constipation, hematuria (often misdiagnosed as the five stranguries), incomplete lochia discharge, and unreturned menstruation. If one does not observe dietary and lifestyle taboos, blood and qi disorders may arise; if they gather, they form masses that rush upward, causing shortness of breath, heart pain, cough, excessive sleepiness, deficiency-heat in the limbs, night sweats due to dream-disturbed sleep, metrorrhagia, and敗血 (decayed blood) symptoms; piercing pain around the navel or redness of the head and face may transform into bone-steaming consumption. All these conditions are suitable for frequent administration of this powder. However, if postpartum epistaxis occurs, with blackening of the nose and mouth and rising qi, wheezing in the throat, or stroke with jaw clenching, these are difficult-to-treat cases requiring urgent administration. Generally, taking one or two doses before delivery can calm the spirit and facilitate fetal positioning. Even if no disease exists after delivery, taking one or two doses within seven days can disperse various ailments. If other syndromes arise due to fright or shock, continuous administration should be taken to achieve efficacy.
Hupo (Amber, ground separately)
Zhusha (Cinnabar, ground separately)
Songmo (Pine Soot Ink)
Baicaoshuang (Soot from Hundred Herbs Burnt)
Xinluo Baifuzi (Baeckea Fructus from Silla)
Baijiangcan (Bombyx Batryticatus, stir-fried to remove silk threads)
Danggui (Angelicae Sinensis Radix, remove radicle)
Heiyi (Household soot/dust from kitchen hearth, half tael each; alternatively described as chimney soot)
Shexiang (Moschus, ground separately)
Xueyutan (Calculus Hominis / Urine Stone Charcoal)
Liyulin (Cyprini Carassii Squama / Carp Scale, two qian five fen each)
Grind the above into fine powder. For each dose, take two qian, mix with stir-fried ginger and warm wine, and administer combined with children's urine. Take before meals.