答曰。因母患热疾。至六日以后。脏腑极热。熏煮其胎。是以致死。缘儿身死冷。不能自出
。但服黑神散暖其胎。须臾。胎气温暖。即自出。何以知其胎之已死。但看产妇舌青色者。
是其验。
黑神散
官桂 当归 芍药 甘草 干姜(炮) 生地(各一两) 黑豆(炒焦去皮二两) 附子
(炮半两一本作蒲黄)
上为细末每服一钱。空心温酒调下。
乌金散。治产后血迷血运。败血不止。淋沥不断。脐腹疼痛。头目昏眩。无力多汗。及治崩
中下血。过多不止。宜服。
麒麟竭 乱发 松墨( 醋淬) 百草霜 当归头 肉桂 赤芍 玄胡索 鲤鱼鳞(烧)
上等分为细末。每服二钱。温酒调服下。
黑龙丹。治产后一切血疾垂死者。但灌药无有不效。
五灵脂 生地 当归 川芎 高良姜
以上各等分。入沙合内。赤石脂泯缝。纸筋盐泥固济封合。炭火十斤 通红。去火候冷。开取
合子看。成黑糟乃取出。细研入后药。
硫黄(研一分半) 花乳石( 一分) 乳香(别研一分半) 琥珀(研一分) 百草霜(别研五两)
上同为细末。醋煮糊丸弹子大。每服一丸。炭火烧通红。投生姜自然汁。与无灰好酒。各一
小合。小便半盏内。研开顿服。立效。
芎 汤。治产后去血过多。运闷不省。及伤治去血多。崩中去血多。金疮去血多。拔牙齿去
血多。不止。缘虚心烦眩晕。头目暗。耳聋满塞。举头欲倒。并皆治之。
当归 芎 (各等分)
上为饮子。每服三钱。水盏半。煎一盏。去滓稍热服。不拘时。
回答说：因为母亲患有热性疾病，到了六天以后，脏腑极度发热，熏烤煎熬胎儿，从而导致胎儿死亡。由于胎儿死后身体变冷，无法自行排出。只需服用黑神散来温暖胎气，片刻之后，胎气变得温暖，胎儿就会自然娩出。如何判断胎儿已经死亡呢？只要观察产妇的舌头呈现青色，这就是确凿的证据。
黑神散
官桂、当归、芍药、甘草、干姜（炮制）、生地黄（各一两）、黑豆（炒焦并去皮，二两）、附子（炮制，半两；另一版本作蒲黄）。
以上药材研成细末，每次服用一钱，空腹时用温酒调服。
乌金散，治疗产后血迷、血运（因瘀血导致的晕厥），败血不止，淋漓不断，脐腹部疼痛，头目昏眩，无力且多汗，以及治疗崩中下血，出血过多不止者适宜服用。
麒麟竭（血竭）、乱发、松墨（用醋淬炼）、百草霜、当归头、肉桂、赤芍、玄胡索（延胡索）、鲤鱼鳞（烧制）。
以上药材等分研为细末，每次服用二钱，用温酒调服。
黑龙丹，治疗产后各种血疾濒临死亡的情况。只要灌服药物，没有不生效的。
五灵脂、生地黄、当归、川芎、高良姜。
以上药材各取等分，放入沙盒内，用赤石脂抹平缝隙，用纸筋和盐泥加固密封，用十斤炭火煅烧至通红，去掉火源冷却后打开盒子查看，变成黑色糟粕状后取出，细细研磨，加入以下药物：
硫黄（研细，一分半）、花乳石（一分）、乳香（另研，一分半）、琥珀（研细，一分）、百草霜（另研，五两）。
以上药物共同研为细末，用醋煮糊制成如弹子大小的丸药。每次服用一丸，用炭火烧红该丸药，投入生姜自然汁和无灰好酒各一小合，再加入半盏小便，研磨开后立即顿服，立刻见效。
芎䓖汤（此处原文缺字，根据方义及常见方剂推测为川芎或包含川芎的汤剂，但依原文仅译“芎...汤”），治疗产后失血过多导致的晕闷不省人事，以及刀伤治疗失血过多、崩中失血过多、金疮（金属利器造成的创伤）失血过多、拔牙失血过多，出血不止。这是因为心虚导致心烦眩晕，头目昏暗，耳聋堵塞感，抬头欲倒，这些症状均可治疗。
当归、芎䓖（川芎，各等分）。
以上药材作为饮子煎煮，每次服用三钱，用水一盏半，煎至一盏，去渣滓，稍热时服用，不拘时间。
Answer: This occurs because the mother suffers from a febrile disease. After six days, the zang-fu organs become extremely hot, scorching and boiling the fetus, leading to its death. Since the fetus dies and becomes cold, it cannot expel itself. One should administer Heishen San (Black Divine Powder) to warm the fetal qi. Shortly thereafter, as the fetal qi warms up, it will be expelled naturally. How can one determine that the fetus has died? Simply observe if the parturient's tongue appears cyanotic; this is the diagnostic sign.
Heishen San (Black Divine Powder)
Guigui (Cinnamon Twig), Danggui (Angelica Sinensis Root), Shaoyao (Peony Root), Gancao (Licorice Root), Jiangjiang (Prepared Ginger Rhizome) (each 1 liang), Shengdihuang (Rehmannia Root) (1 liang), Heidou (Fried Black Soybean, peeled, 2 liang), Fuzi (Prepared Aconite Lateral Root) (0.5 liang; another version uses Puhuang/Typha Pollen).
Grind the above into a fine powder. Take 1 qian per dose, mixed with warm wine on an empty stomach.
Wujin San (Golden Metal Powder): Treats postpartum blood confusion and syncope due to blood stasis, persistent bleeding of decaying blood, continuous dripping, umbilical and abdominal pain, dizziness and vertigo of the head and eyes, weakness with excessive sweating, as well as metrorrhagia and hypermenorrhea with unceasing heavy bleeding. It is suitable for such cases.
Qilinjie (Dragon's Blood), Luankou (Human Hair), Songmo (Pine Charcoal quenched in vinegar), Baicaoshuang (Soot from burning straw), Danggui Tou (Angelica Sinensis Head), Rougui (Cinnamon Bark), Chishao (Red Peony Root), Yanhusuo (Corydalis Rhizome), Liyu Lin (Burned Carp Scales).
Grind the above equal parts into a fine powder. Take 2 qian per dose, mixed with warm wine.
Heilong Dan (Black Dragon Pill): Treats all kinds of postpartum blood disorders where the patient is near death. Administering this medicine is invariably effective.
Wulingzhi (Trogopterus Dung), Shengdihuang (Rehmannia Root), Danggui (Angelica Sinensis Root), Chuanxiong (Ligusticum Chuanxiong Rhizome), Gaoliangjiang (Galangal Rhizome).
Take equal parts of the above, place them in a clay pot. Seal the seams with Heshishi (Halloysitum Rubrum), reinforce with paper pulp and salt mud, and seal tightly. Roast over ten jin of charcoal fire until red-hot. Remove from heat, let cool, open the pot, and check. When it turns into black dregs, take it out, grind finely, and add the following herbs:
Huangliu (Sulfur, ground, 1.5 fen), Huarushi (Alunite, 1 fen), Ruxiang (Frankincense, separately ground, 1.5 fen), Hupo (Amber, ground, 1 fen), Baicaoshuang (Soot from burning straw, separately ground, 5 liang).
Grind all together into a fine powder. Make pills using vinegar-cooked paste, sized like bullet seeds. Take one pill per dose. Heat the pill until red-hot in charcoal fire, then drop it into fresh ginger juice and good non-fermented wine (each 1 xiaohe), along with half a zhan of urine. Grind until dissolved and consume immediately. Effect is immediate.
Xiong Tang (Chuanxiong Decoction): Treats postpartum syncope and unconsciousness due to excessive blood loss, as well as excessive blood loss from wound treatment, metrorrhagia, trauma from metal weapons (Jinchuang), and tooth extraction, where bleeding does not stop. This is due to heart deficiency causing mental restlessness, dizziness, dim vision, deafness and ear fullness, and a sensation of falling when lifting the head. All these conditions are treated by this formula.
Danggui (Angelica Sinensis Root), Xiongxiong (Ligusticum Chuanxiong Rhizome) (equal parts).
Prepare as a decoction. Take 3 qian per dose. Add 1.5 zhan of water, boil down to 1 zhan. Strain and drink while slightly warm. Take at any time.