《经》云∶肠覃者，寒气客于肠外，与卫气相搏，气不得荣，因有所系，瘕而内着，恶气乃起，息肉乃生。其始
生大如鸡卵，稍以益大，如怀子之状，按之则坚，推之不移，月事以时下，此其候也。此气病而血未病，故
月事不断，木香通气散，大辛热之剂主之（此结气大肠为气病）。
《折肱录》曰∶子媳申氏多郁怒，勿患不月，腹渐大，以为妊也。十余月勿产，诸证渐见，疑之，医者亦疑为蓄
血欲下，以体弱不胜，可暗消，久用行血调血药，竟至不起。后阅盛启东治东宫妃一案，大悔掉，永乐东宫妃
张氏，经不通者，已十越月，医以为胎也。胀愈甚，上命启东诊视，一一如见，其方皆破血之剂，下血数斗而疾平。
子媳病正与此合，当十月外既确知非妊，宜大胆下之，可得生矣。惜医者，无此胆识，不亦
伤乎！（此蓄血子门为血病）。
产前诸症，皆因胎气所致。夫胎动、胎漏皆下血，但胎动有腹痛，胎漏无腹痛，故胎动宜行气，胎漏宜清热也。恶
阻者，恶心而阻隔饮食也，肥者多因痰，瘦者多因热，宜二陈汤加减。子烦者，烦躁闷乱心神也。子痫者，痰涎潮搐，
目吊口噤也。子肿者，面目虚浮，肢体肿满也。子气者，两足浮肿也。子淋者，小便艰少也。转胞者，小便不通也。子
悬者，胎气不顺，凑心胀痛也。盖脾主运化水谷，妇人有胎则运化水谷不利而生湿，湿则生痰，痰生热，热生风也。子
肿、子气者，湿也。恶阻者，痰也。子烦、子淋者，热也。子痫者，风也。子悬者，气也。转胞者，虚也。湿则渗之，
痰则消之，热则清之，风则平之，气则散之，虚则补之，总以去邪保胎为要。保胎之法，三月以前宜养脾胃，四月以后
宜壮腰肾、补血顺气，佐以清热，此大法也。然尤宜以人阴阳盛衰、气血偏胜而调之。
《简便方》治频惯堕胎，或三、四月即堕者，于两月前，
以杜仲八两、糯米煎汤浸透，炒去丝，续断二两酒浸焙干为末，
山药五、六两为末，糊丸如梧子大，每服五十丸，空心米饮下。
怀妊受物，乃肝一脏之虚，其肝气止能生胎，无别用也，若血少不能荣其肝，则肝虚，故爱酸物。
产前安胎，白术、黄芩为妙药也。条芩安胎之圣药，俗人不知，以为寒而不敢用，反为温热之药可养胎，殊不知产
前宜清热，令血循经而不妄行，故能养胎。惟脉沉迟，脾胃虚弱者，非其所宜。
生产如抱船过坝一般，凡难产者，多由于气血虚也，有因九、十月之时不谨守者有之；有气血凝滞不转运者。故于
九个月内便须顺气调中，服达生散十数帖，临产自易也。
凡妊妇脉细匀者，是胎元已足，如果熟香飘之象也。易产。大浮缓者，是养胎而中气大虚，火气散也，难产。
故产前脉宜洪大，产后脉宜沉小。凡男女之别，以左右取，左疾为男，右疾为女。沉实在左，浮大在右，右女左男，
可以预剖。离经六至，沉细而滑，阵痛达腰，胎立时脱。半产漏下，革脉主之，弱即血耗，立见倾危。
一妇妊娠，久吐不已，诸药不受，张立后方，服之而愈。两寸俱洪大而数，右尤甚焉。金体本燥，今燥益甚矣。左
关洪弦，是肝主藏血，今无血受藏也。右关弦细而数，是久生谷气，肝家虚火来侮，因而弦数。其细者，胃气亏极之象
也。左尺细极若无，右尺洪大而疾，此皆津滋燥涸，少阴虚火上浮，厥阴郁火上达，少阳伏火上乘，燥涸之土为三火所
烁，焉能湿润化育乎。经曰诸呕吐酸皆属于热，此之谓也。具方于后，为救急治标之法。呕愈之后，仍当以六味加麦冬、
阿胶为丸，久服调理，以治其本。
条实芩（一钱二分） 麦门冬（去心三钱） 怀生地（三钱） 广桔红（盐汤泡七分） 白茯苓（一钱二分） 生
白芍药、肥白知母（各一钱二分） 甘草（二分） 白葛根（一钱，能提胃中真气，而清疏胃热故用之） 竹茹（二钱，
用鲜淡竹刮去青，取向里黄皮）
加灯心，水煎，温服即愈。
保胎神效丸方《锦囊秘传》
白茯苓（二两、色白坚重者用之） 真于术（一两，米泔浸一宿，去皮净切并晒干，
同黄土炒用） 条芩（酒拌炒，须拣实心细子） 香附子（童便浸二日，炒熟） 元
胡索（陈米醋拌炒） 红花（隔纸烘炒） 益母草（净叶。各一两） 真没药（三钱，
新瓦上隔火焙去油）
上各制度为末，蜜丸桐子大，每日空心白汤吞服七丸。
前药不可因其丸小加至七丸之外。凡孕妇胎不安者，一日可服四五次，安则照常。如遇腹痛腰酸，或作胀坠，宜即
服之。如受胎三五月常坠者，须先一月制服，能保足月。甚至见红将坠者，急服此丸，亦能保留。谨戒恼怒、劳力，忌
食煎炒、椒辣、发气、闭气、糟味、冷水冷物，切戒心劳。每药一料，可保数胎，但服此丸，无不收效。
茯苓丸
治妊娠恶阻停饮，忧闻食气。
赤茯苓 人参 肉桂 干姜（泡） 半夏（洗七次焙） 陈皮 白术 葛根 甘草（炙） 枳实（去白麸炒黄，各
一两）
为末，蜜丸如梧子大，每服五十丸，空心米饮下。
一法用黄芩为末，浓煎白术汤，调一钱服，一月余自安。
杜仲丸
治妊娠两、三月，胎动不安，防其欲堕，预宜服之。
杜仲（去皮， 姜汁炒去丝） 川续断（酒浸各二两）
为末，枣肉煮烂为丸，梧子大，每服三十丸，米饮下。
胶艾汤
治妊娠或因倒仆，胎动不安，腰腹疼痛。
熟地黄（洗） 艾叶（炒） 白芍药 川芎 阿胶（蛤粉炒成珠） 黄 当归（酒浸） 甘草（炙各等分）
用姜枣，水煎服。如虚者加人参。
益母丸
专治难产横逆，并安胎顺气。
益母草（五月五日采叶茎，阴干，忌铁器）
为末，蜜丸如弹子大，每服一丸。临产之时，以童便温酒化下。若气不顺，用木香人参汤。
桑寄生散
治胎漏经行淋漓；无病调理胎元。
当归（酒浸） 桑寄生 续断（酒浸） 川芎 白术 熟地 人参 香附（炒） 阿胶（蛤粉拌炒） 茯神（各一
钱） 甘草（炙五分）
水煎服。
三因鲤鱼汤
治妊娠腹大，胎间有水气。
白术（五两） 茯苓（四两） 当归 芍药（各二两）
上细 以鲤鱼一个，修事如食法煮取汁，去鱼用药四钱入鱼汁一钟半；生姜七片、陈皮少许，煎至七分，空心服下。
一方
无故卒下血，用阿胶（二两，蛤粉炒成珠） 生地黄（八两，捣取汁） 以清酒三升，将二味搅匀温热，
分三服饮之。
竹茹汤
治妊娠呕吐，头疼，眩晕。
桔红（去白） 人参 麦门冬（去心） 白术（各一两） 浓朴（姜制） 茯苓（各五钱） 甘草（二钱五分）
每服五钱，水二钟、姜五片，入竹茹如弹子大一块，煎至八分服。
竹叶汤
治妊娠心惊胆怯，终日烦闷，证曰子烦。
白茯苓（四两） 防风 麦门冬（去心） 黄芩（各三两）
每服四钱，水一钟、竹叶五片，不拘何时，皆可服之。
全生白术散
治妊娠面目肢体浮肿如水气，名曰子气。
白术（一两） 姜皮 大腹皮 陈皮 白茯苓皮（各五钱）
为末，每服二钱，米饮调下。一方有桑白皮。
李氏天仙藤散
治妊娠三月之后，两足渐肿，行步艰难。
饮食不佳，状如水气，名曰子气。
天仙藤（洗略炒） 香附子（炒） 陈皮 甘草 乌药（各等分）
为末，每服三钱，姜三片、紫苏三叶、木瓜三片同煎，空心食前服之。日三次，肿消止药。
紫苏散
治胎气不和，凑上心腹，胀满疼痛，谓之子悬。
大腹皮 川芎 白芍 陈皮 当归（去芦酒浸） 紫苏叶（各一两） 人参 甘草（各五钱）
每服四钱，姜五片、葱白七寸，水煎，空心温服。
儿在腹中哭 用多年空屋鼠穴中土一块，令孕妇噙之。
百合散
治妊娠咳嗽，心胸不利，烦满不食，胎动不安。
川百合 紫苑 麦门冬 桔梗 桑白皮（各一两） 甘草（五钱） 竹茹（一团）
每服八钱，水煎去滓，入蜜半匙，再煎一、二沸，食后温服。
干姜黄连丸
治妊娠下痢赤白，谷道肿痛，冷热皆可服。
干姜（炒黑） 黄连（去须） 缩砂仁（炒） 川芎 阿胶（蛤粉炒） 白术（各一两） 乳香（三钱别研） 枳
壳（五钱炒）
为末，用盐梅肉三个入醋糊同杵丸桐子大，每服四十丸，白痢干姜汤、赤痢甘草汤下，赤白痢干姜甘草汤下。
胜金散
治妊娠脾胃气冷，小腹虚胀。
吴茱萸（酒浸炒） 陈皮 生姜 干姜（炮） 川芎 浓朴 缩砂仁（炒） 甘草（各等分）
为末，每服二钱，盐汤调服。
桑螵蛸散
治妊娠小便不禁。
桑螵蛸（二十个，炙为细末。）
每服二钱，空心米饮调下。
瘦胎枳壳散
治妊娠孕七、八月，常宜服滑胎易产。
甘草（一两五钱炙） 枳壳（五两麸炒赤）
一方加香附。
为末，每服一钱，空心白汤服。
按∶枳壳散性苦寒，单服恐有胎寒、胎痛之疾，以地黄当归汤蜜丸佐之。
束胎散
第八个月可服。
条芩（酒炒一两） 白术（二两，不见火） 陈皮（三两） 茯苓（七钱五分，不见火）
为末，粥丸梧子大，每服五六十丸，食远温水下。
达生散
大腹皮（三钱） 人参 陈皮（各五钱） 白术 芍药 归尾（各一钱） 甘草（炙二钱） 紫苏（茎叶五分）
加青葱五叶、黄杨脑七个（即黄杨树叶梢儿），或加枳壳、砂仁，水煎食后服。八、九月服十数帖，甚妙。夏月加
黄芩，冬不必加；春加川芎。
催生如圣散
黄葵花焙干。
为末，热汤调下二钱，神效。或有漏血，胎脏干涩，难产痛剧者，并进三服，良久腹中气宽，胎滑实时产下。如无
花，以黄蜀葵子为末，酒服二钱。如胎死不下，红花煎酒调下。经验方用子四十九粒，或三十粒。
催生佛手散
治妊娠因事触胎，子死腹中，疼痛口噤。用此探之，不损则痛止，子母俱安；损则立下。
当归（六钱） 川芎（四钱）
水二钟半，煎令泣欲干，入头酒一钟，煎沸温服，口噤灌之，如人行五里，再服不过三服便生。
催生丹
治产妇生理不顺，临蓐艰难。
十二月兔脑髓（三皮膜研） 乳香（研细一分） 麝香（研细一字） 母丁香末（一钱）
研匀用兔髓和丸，如鸡头大，阴干，油纸封贮，每一丸研破，温水服，实时产下，随男左女右握药出是验。
一方 治妇人难产，数日不出。桃仁一个劈开，朱砂写一片可字、一片出字，吞之即生。
救生散
横生逆产。
用桂心（一钱）为末，童便酒调服之，异常神效。
一方 治难产用腊月兔头一枚，烧灰为末，葱白汤调下二钱，立时即生。或用伏龙肝细研，每服一钱，酒调服
之亦效。
香桂散
下死胎。
麝香（五分另研） 官桂（二钱）
为末，和匀酒调服。须臾如手推下。
一方 死胎不出，产妇面青、指甲青、口臭。用朴硝为末，每服二钱，顺流水调下。甚者，温童便调服，胎下
母活。亦治胎衣不下。
黑龙丹
治临产难生，或胎衣不下，产后血晕，不省人事，血崩恶露，腹中刺痛，血滞浮肿，血入心经、语言颠倒，血风相
搏、身热头痛，或类疟疾，胎前产后诸疾垂死，无不救活者。
五灵脂 当归（酒浸） 生地黄 川芎 良姜（各二两）
上入砂锅内，纸 盐泥封固， 红候冷取出，研细入后药。
百草霜（三钱） 乳香 生硫黄 琥珀 花蕊石（各二钱）
上五味计一两一钱为末，同前药和匀，米醋煮，麦糊丸如弹子大，每临用炭火 药通红，投入生姜自然汁，浸碎之，
以无灰酒并合童便顿服，神效不可尽述。
新定催生保产万全汤
人参（三钱至五钱） 当归（去芦三钱） 川芎（一钱） 桃仁（十三粒，不去皮尖捣碎） 干姜（炒焦黄一钱
）甘草（炙六分） 牛膝梢（二钱） 红花（酒炒三分） 肉桂（去皮，六分，冬天八分） 加枣一枚，水煎温服。
《黄帝内经》记载：肠覃这种病，是寒气侵袭到肠道外部，与卫气相互搏结，导致气机不能正常濡养组织，因此气滞凝结在体内，恶浊之气由此产生，息肉随之生成。它刚开始生长时像鸡蛋那么大，逐渐增大，状如怀孕的样子，按压时感觉坚硬，推动它也不移动，但月经仍然按时来潮，这就是它的征候。这是气分病变而血分未受累，所以月经不断，应当用木香通气散治疗，这是一首大辛大热的方剂（这是因为结气在大肠，属于气病）。
《折肱录》记载：某人的儿媳申氏，因为多郁怒，患上了闭经，腹部逐渐变大，被认为是怀孕。过了十几个月没有生产，各种症状逐渐显现，令人怀疑，医生也怀疑是蓄血证想要攻下，但因为患者身体虚弱承受不住，打算暗中消散瘀血，长期服用行血调血的药物，最终导致死亡。后来读到盛启东治疗东宫妃的案例，非常后悔自己的鲁莽。永乐年间东宫妃张氏，月经不通已经十个月以上，医生认为是胎孕。腹胀越来越严重，皇上命令启东诊治，情况完全符合蓄血证，他的方子都是破血药剂，排出几斗瘀血后疾病痊愈。儿媳的病与此完全吻合，如果在十月外确切知道不是怀孕，应该大胆使用攻下法，或许可以救活。可惜当时的医生没有这样的胆识，不也是令人悲伤吗！（这是蓄血在子宫口，属于血病）。
产前各种症状，都是由胎气引起的。胎动和胎漏都会出现阴道出血，但胎动伴有腹痛，胎漏没有腹痛，所以胎动适宜行气，胎漏适宜清热。恶阻，是指恶心且阻碍饮食，肥胖者多因痰湿，消瘦者多因内热，适宜用二陈汤加减治疗。子烦，是指烦躁闷乱心神。子痫，是指痰涎上涌、抽搐、眼睛上吊、牙关紧闭。子肿，是指面目虚浮、肢体肿胀满闷。子气，是指两脚浮肿。子淋，是指小便艰涩量少。转胞，是指小便不通。子悬，是指胎气不顺，冲逆心胸导致胀痛。大概脾主运化水谷，妇女有胎则运化水谷不利而生湿，湿生痰，痰生热，热生风。子肿、子气，属于湿邪；恶阻，属于痰邪；子烦、子淋，属于热邪；子痫，属于风邪；子悬，属于气滞；转胞，属于虚证。湿邪则渗利之，痰邪则消导之，热邪则清解之，风邪则平息之，气滞则疏散之，虚证则补益之，总以祛邪保胎为关键。保胎的方法，三个月以前宜调养脾胃，四个月以后宜强壮腰肾、补血顺气，佐以清热，这是大法。然而尤其应该根据人的阴阳盛衰、气血偏胜来进行调理。
《简便方》治疗习惯性流产，或在三、四个月即流产的情况，在预产期前两个月，用杜仲八两、糯米煎汤浸透，炒去丝，续断二两酒浸焙干为末，山药五、六两为末，糊丸如梧桐子大，每次服五十丸，空腹米饮送下。
怀孕受物，是肝脏一脏的虚损，肝气只能生胎，没有其他作用，如果血少不能濡养肝脏，则肝虚，所以喜爱酸味食物。
产前安胎，白术、黄芩是妙药。条芩是安胎的圣药，世俗之人不知道，认为它是寒性而不敢使用，反而认为温热药物可以养胎，殊不知产前宜清热，使血液循行经脉而不妄行，所以能养胎。只有脉象沉迟、脾胃虚弱的人，才不适合使用。
生产就像抱着船过坝一样艰难。凡难产的，多由于气血虚弱，有的因为在九、十月时不谨慎守养所致；有的是因为气血凝滞不能运转。所以在九个月内便须顺气调中，服用达生散十几帖，临产时自然容易生产。
凡是孕妇脉象细匀的，是胎元已足，像果实成熟香气飘散的景象，容易生产。脉象大浮缓的，是养胎导致中气大虚，火气散漫，难产。所以产前脉象宜洪大，产后脉象宜沉小。凡男女的区别，以左右手脉象判断，左手脉疾快为男，右手脉疾快为女。左脉沉实，右脉浮大，右女左男，可以预先推测。离经之脉，六至，沉细而滑，阵痛达腰，胎儿立即脱落。半产漏下，革脉主之，弱脉即表示血耗，立刻见到危险。
一位妇女妊娠，久吐不止，各种药物都吃不进去，张立后开出方子，服用后痊愈。两手寸脉俱洪大而数，右脉尤其严重。金体本燥，现在燥更严重了。左关脉洪弦，是肝主藏血，现在无血可藏。右关脉弦细而数，是久病生谷气，肝家虚火来侮犯，因而弦数。其细，是胃气亏损至极的景象。左尺脉细极若无，右尺脉洪大而疾，这都是津液滋润不足、燥涸，少阴虚火上浮，厥阴郁火上达，少阳伏火上乘，燥涸的土被三火所灼烧，怎么能湿润化育呢？经书说诸呕吐酸皆属于热，说的就是这个道理。具体方子在后面，这是救急治标的方法。呕吐痊愈之后，仍当用六味地黄丸加麦冬、阿胶制成丸药，久服调理，以治其本。
条实芩（一钱二分） 麦门冬（去心三钱） 怀生地（三钱） 广桔红（盐汤泡七分） 白茯苓（一钱二分） 生白芍药、肥白知母（各一钱二分） 甘草（二分） 白葛根（一钱，能提胃中真气，而清疏胃热故用之） 竹茹（二钱，用鲜淡竹刮去青，取向里黄皮）
加灯心草，水煎，温服即愈。
保胎神效丸方《锦囊秘传》
白茯苓（二两、色白坚重者用之） 真于术（一两，米泔浸一宿，去皮净切并晒干，同黄土炒用） 条芩（酒拌炒，须拣实心细子） 香附子（童便浸二日，炒熟） 元胡索（陈米醋拌炒） 红花（隔纸烘炒） 益母草（净叶。各一两） 真没药（三钱，新瓦上隔火焙去油）
以上各药按规定炮制为末，蜜丸如梧桐子大，每日空腹白开水吞服七丸。
前面的药不可因其丸小而加至七丸之外。凡是孕妇胎不安的，一天可服四五次，安定了就照常。如果遇到腹痛腰酸，或作胀坠感，应立即服用。如果受孕三五月常流产的，须提前一个月制服此药，能保足月。甚至见红将流产的，急服此丸，也能保留。谨戒恼怒、劳力，忌食煎炒、椒辣、发气、闭气、糟味、冷水冷物，切戒心劳。每料药，可保数胎，只要服用此丸，无不收效。
茯苓丸
治疗妊娠恶阻停饮，厌恶闻食气。
赤茯苓 人参 肉桂 干姜（泡） 半夏（洗七次焙） 陈皮 白术 葛根 甘草（炙） 枳实（去白麸炒黄，各一两）
为末，蜜丸如梧桐子大，每次服五十丸，空腹米饮送下。
另一种方法用黄芩为末，浓煎白术汤，调一钱服，一月余自安。
杜仲丸
治疗妊娠两、三月，胎动不安，防止欲堕，预先适宜服用。
杜仲（去皮， 姜汁炒去丝） 川续断（酒浸各二两）
为末，枣肉煮烂为丸，梧桐子大，每次服三十丸，米饮送下。
胶艾汤
治疗妊娠或因倒仆，胎动不安，腰腹疼痛。
熟地黄（洗） 艾叶（炒） 白芍药 川芎 阿胶（蛤粉炒成珠） 黄芩 当归（酒浸） 甘草（炙各等分）
用姜枣，水煎服。虚者加人参。
益母丸
专治难产横逆，并安胎顺气。
益母草（五月五日采叶茎，阴干，忌铁器）
为末，蜜丸如弹子大，每次服一丸。临产之时，用童便温酒化下。若气不顺，用木香人参汤。
桑寄生散
治疗胎漏经行淋漓；无病调理胎元。
当归（酒浸） 桑寄生 续断（酒浸） 川芎 白术 熟地 人参 香附（炒） 阿胶（蛤粉拌炒） 茯神（各一钱） 甘草（炙五分）
水煎服。
三因鲤鱼汤
治疗妊娠腹大，胎间有水气。
白术（五两） 茯苓（四两） 当归 芍药（各二两）
以上切碎，以鲤鱼一个，按食用方法处理煮取汁，去鱼用药四钱入鱼汁一钟半；生姜七片、陈皮少许，煎至七分，空腹服下。
一方
无故突然下血，用阿胶（二两，蛤粉炒成珠） 生地黄（八两，捣取汁） 以清酒三升，将二味搅匀温热，分三次服饮之。
竹茹汤
治疗妊娠呕吐，头疼，眩晕。
桔红（去白） 人参 麦门冬（去心） 白术（各一两） 浓朴（姜制） 茯苓（各五钱） 甘草（二钱五分）
每次服五钱，水二钟、姜五片，入竹茹如弹子大一块，煎至八分服。
竹叶汤
治疗妊娠心惊胆怯，终日烦闷，证曰子烦。
白茯苓（四两） 防风 麦门冬（去心） 黄芩（各三两）
每次服四钱，水一钟、竹叶五片，不拘何时，皆可服之。
全生白术散
治疗妊娠面目肢体浮肿如水气，名曰子气。
白术（一两） 姜皮 大腹皮 陈皮 白茯苓皮（各五钱）
为末，每次服二钱，米饮调下。一方有桑白皮。
李氏天仙藤散
治疗妊娠三月之后，两足渐肿，行步艰难。
饮食不佳，状如水气，名曰子气。
天仙藤（洗略炒） 香附子（炒） 陈皮 甘草 乌药（各等分）
为末，每次服三钱，姜三片、紫苏三叶、木瓜三片同煎，空腹食前服之。日三次，肿消止药。
紫苏散
治疗胎气不和，凑上心腹，胀满疼痛，谓之子悬。
大腹皮 川芎 白芍 陈皮 当归（去芦酒浸） 紫苏叶（各一两） 人参 甘草（各五钱）
每次服四钱，姜五片、葱白七寸，水煎，空腹温服。
儿在腹中哭 用多年空屋鼠穴中土一块，令孕妇噙之。
百合散
治疗妊娠咳嗽，心胸不利，烦满不食，胎动不安。
川百合 紫苑 麦门冬 桔梗 桑白皮（各一两） 甘草（五钱） 竹茹（一团）
每次服八钱，水煎去滓，入蜜半匙，再煎一、二沸，食后温服。
干姜黄连丸
治疗妊娠下痢赤白，谷道肿痛，冷热皆可服。
干姜（炒黑） 黄连（去须） 缩砂仁（炒） 川芎 阿胶（蛤粉炒） 白术（各一两） 乳香（三钱别研） 枳壳（五钱炒）
为末，用盐梅肉三个入醋糊同杵丸桐子大，每次服四十丸，白痢干姜汤、赤痢甘草汤下，赤白痢干姜甘草汤下。
胜金散
治疗妊娠脾胃气冷，小腹虚胀。
吴茱萸（酒浸炒） 陈皮 生姜 干姜（炮） 川芎 浓朴 缩砂仁（炒） 甘草（各等分）
为末，每次服二钱，盐汤调服。
桑螵蛸散
治疗妊娠小便不禁。
桑螵蛸（二十个，炙为细末。）
每次服二钱，空腹米饮调下。
瘦胎枳壳散
治疗妊娠孕七、八月，常宜服滑胎易产。
甘草（一两五钱炙） 枳壳（五两麸炒赤）
一方加香附。
为末，每次服一钱，空腹白汤服。
按：枳壳散性苦寒，单服恐有胎寒、胎痛之疾，以地黄当归汤蜜丸佐之。
束胎散
第八个月可服。
条芩（酒炒一两） 白术（二两，不见火） 陈皮（三两） 茯苓（七钱五分，不见火）
为末，粥丸梧子大，每次服五六十丸，食远温水下。
达生散
大腹皮（三钱） 人参 陈皮（各五钱） 白术 芍药 归尾（各一钱） 甘草（炙二钱） 紫苏（茎叶五分）
加青葱五叶、黄杨脑七个（即黄杨树叶梢儿），或加枳壳、砂仁，水煎食后服。八、九月服十数帖，甚妙。夏月加黄芩，冬不必加；春加川芎。
催生如圣散
黄葵花焙干。
为末，热汤调下二钱，神效。或有漏血，胎脏干涩，难产痛剧者，并进三服，良久腹中气宽，胎滑实时产下。如无花，以黄蜀葵子为末，酒服二钱。如胎死不下，红花煎酒调下。经验方用子四十九粒，或三十粒。
催生佛手散
治疗妊娠因事触胎，子死腹中，疼痛口噤。用此探之，不损则痛止，子母俱安；损则立下。
当归（六钱） 川芎（四钱）
水二钟半，煎令泣欲干，入头酒一钟，煎沸温服，口噤灌之，如人行五里，再服不过三服便生。
催生丹
治疗产妇生理不顺，临蓐艰难。
十二月兔脑髓（三皮膜研） 乳香（研细一分） 麝香（研细一字） 母丁香末（一钱）
研匀用兔髓和丸，如鸡头大，阴干，油纸封贮，每一丸研破，温水服，实时产下，随男左女右握药出是验。
一方 治疗妇人难产，数日不出。桃仁一个劈开，朱砂写一片可字、一片出字，吞之即生。
救生散
横生逆产。
用桂心（一钱）为末，童便酒调服之，异常神效。
一方 治疗难产用腊月兔头一枚，烧灰为末，葱白汤调下二钱，立时即生。或用伏龙肝细研，每服一钱，酒调服之亦效。
香桂散
下死胎。
麝香（五分另研） 官桂（二钱）
为末，和匀酒调服。须臾如手推下。
一方 死胎不出，产妇面青、指甲青、口臭。用朴硝为末，每服二钱，顺流水调下。甚者，温童便调服，胎下母活。亦治胎衣不下。
黑龙丹
治疗临产难生，或胎衣不下，产后血晕，不省人事，血崩恶露，腹中刺痛，血滞浮肿，血入心经、语言颠倒，血风相搏、身热头痛，或类疟疾，胎前产后诸疾垂死，无不救活者。
五灵脂 当归（酒浸） 生地黄 川芎 良姜（各二两）
以上入砂锅内，用纸、盐泥封固，煅红候冷取出，研细入后药。
百草霜（三钱） 乳香 生硫黄 琥珀 花蕊石（各二钱）
以上五味计一两一钱为末，同前药和匀，米醋煮，麦糊丸如弹子大，每次临用炭火煅药通红，投入生姜自然汁，浸碎之，以无灰酒并合童便顿服，神效不可尽述。
新定催生保产万全汤
人参（三钱至五钱） 当归（去芦三钱） 川芎（一钱） 桃仁（十三粒，不去皮尖捣碎） 干姜（炒焦黄一钱）甘草（炙六分） 牛膝梢（二钱） 红花（酒炒三分） 肉桂（去皮，六分，冬天八分） 加枣一枚，水煎温服。
The *Classic of Medicine* (Huangdi Neijing) states: Changtan (Intestinal Polyp/Tumor) is caused by cold pathogenic qi invading the exterior of the intestines, struggling with Wei Qi (Defensive Qi), preventing Qi from nourishing tissues. Consequently, Qi stagnates and adheres internally, evil Qi arises, and polyps are formed. Initially, it grows to the size of a chicken egg, gradually increasing in size until it resembles pregnancy. It feels firm upon pressure and does not move when pushed, yet menstruation continues on schedule; this is its characteristic presentation. This is a disease of Qi without involvement of Blood, hence menstruation remains uninterrupted. Muxiang Tongqi San (Wood Fragrance Qi-Regulating Powder), a formula of great acridity and heat, should be used to treat it (this involves Qi stagnation in the Large Intestine, constituting a Qi disorder).
*Zhe Gong Lu* (Records of Breaking the Arm) records: The daughter-in-law, Ms. Shen, suffered from amenorrhea due to excessive depression and anger. Her abdomen gradually enlarged, leading to the assumption that she was pregnant. After more than ten months without delivery, various symptoms emerged, causing suspicion. Physicians suspected blood stasis (Xue Yu) and considered purging, but because her constitution was weak and could not withstand harsh treatment, they opted for gradual dissolution using blood-invigorating and regulating herbs over a long period, which ultimately proved fatal. Later, reading Dr. Sheng Qidong’s case of treating the Crown Prince’s Consort, one deeply regrets such hesitation. During the Yongle reign, Empress Zhang of the Crown Prince had amenorrhea for over ten months. Physicians assumed it was pregnancy. As abdominal distension worsened, the Emperor ordered Dr. Qidong to diagnose her. The condition perfectly matched blood stasis. His prescription consisted of blood-breaking agents, resulting in the discharge of several dou of blood, after which the illness resolved. The daughter-in-law’s illness was identical. Had physicians boldly employed purging methods after confirming non-pregnancy beyond the tenth month, she might have survived. Alas, lacking such courage and insight, physicians failed her—how sorrowful! (This involves blood stasis at the cervical os, constituting a Blood disorder).
Various antenatal syndromes are caused by fetal Qi. Both fetal movement (Tai Dong) and fetal leakage (Tai Lou) involve vaginal bleeding, but fetal movement is accompanied by abdominal pain, whereas fetal leakage is not. Therefore, fetal movement requires Qi-regulation, while fetal leakage requires clearing heat. Ezu (Nausea and Vomiting of Pregnancy) refers to nausea obstructing food intake; obesity is often due to Phlegm, while emaciation is often due to Heat. Erchen Tang (Two-Cured Decoction) with modifications is suitable. Zifan (Fetal Irritability) refers to restlessness and mental agitation. Zi Xian (Fetal Epilepsy) refers to salivary overflow, convulsions, upward deviation of the eyes, and locked jaw. Zi Zhong (Fetal Edema) refers to puffy face and limbs. Zi Qi (Fetal Qi Swelling) refers to edema of both feet. Zi Lin (Fetal Strangury) refers to scanty and difficult urination. Zhuan Bao (Twisted Bladder) refers to urinary retention. Zi Xuan (Fetal Suspension) refers to irregular fetal Qi rushing to the heart and chest, causing distension and pain. Generally, the Spleen governs the transportation and transformation of water and grain. When a woman is pregnant, the transformation of water and grain becomes impaired, generating Dampness; Dampness generates Phlegm; Phlegm generates Heat; Heat generates Wind. Zi Zhong and Zi Qi belong to Dampness; Ezu belongs to Phlegm; Zifan and Zi Lin belong to Heat; Zi Xian belongs to Wind; Zi Xuan belongs to Qi stagnation; Zhuan Bao belongs to Deficiency. Dampness is treated by leaching; Phlegm by resolving; Heat by clearing; Wind by calming; Qi stagnation by dispersing; Deficiency by tonifying. The primary goal is always to eliminate pathogens and preserve the fetus. The method for preserving the fetus is to nourish the Spleen and Stomach before the third month, and to strengthen the waist and kidneys, nourish Blood, and regulate Qi with heat-clearing adjuvants after the fourth month; this is the general principle. However, regulation must particularly be based on the individual’s Yin-Yang balance and Qi-Blood excess or deficiency.
*Jianbian Fang* (Simple and Effective Prescriptions) treats habitual abortion or miscarriage at three or four months. Two months prior to the expected date, use eight liang of Du Zhong (Eucommia Bark), soaked in glutinous rice decoction, stir-fried to remove silk fibers; two liang of Xu Duan (Dipsacus Root), soaked in wine, dried, and powdered; five to six liang of Shan Yao (Dioscorea Rhizome), powdered. Mix with paste to make pills the size of wu zi (wu-tzu seeds). Take fifty pills each time with rice water on an empty stomach.
Conception relies on the deficiency of the Liver organ. Liver Qi can only generate the fetus and has no other function. If Blood is insufficient to nourish the Liver, Liver deficiency occurs, leading to cravings for sour foods.
For antenatal fetal preservation, Bai Zhu (Atractylodes Macrocephala Rhizome) and Huang Qin (Scutellaria Baicalensis Root) are excellent herbs. Tiao Qin (Baikal Skullcap Root) is the sacred herb for stabilizing the fetus. Laypeople do not understand this, fearing its cold nature, and instead believe warm-hot herbs nourish the fetus. They fail to realize that clearing heat during pregnancy allows Blood to follow the meridians without reckless flow, thereby nourishing the fetus. Only patients with deep-slow pulses and Spleen-Stomach deficiency are unsuitable for this.
Childbirth is like carrying a boat over a dam. Difficult labor is mostly due to Qi and Blood deficiency, sometimes caused by lack of caution in the ninth or tenth month, or by Qi and Blood stagnation failing to circulate. Therefore, within nine months, one must regulate Qi and harmonize the middle Jiao by taking Dasheng San (Reaching Life Powder) for about ten doses, making labor easier at term.
If a pregnant woman’s pulse is fine and regular, the fetal origin is complete, resembling the fragrance of ripe fruit; delivery will be easy. A large, floating, and slow pulse indicates severe Middle Qi deficiency due to nurturing the fetus and dissipated Fire Qi; delivery will be difficult. Thus, the antenatal pulse should be surging and large, while the postnatal pulse should be deep and small. Gender differentiation is determined by the left and right pulses: rapid left pulse indicates male, rapid right pulse indicates female. Deep and solid left pulse, floating and large right pulse indicates female then male; this can be predicted in advance. Li Jing (Departing from the Channel) pulse with six beats, deep, fine, and slippery, with labor pains reaching the waist, indicates immediate fetal expulsion. Ban Chan (Miscarriage) with leakage is indicated by Ge Mai (Drum-like Pulse); Ruo Mai (Weak Pulse) indicates Blood exhaustion and imminent danger.
A woman with prolonged vomiting during pregnancy, refusing all medicines, was cured by a prescription from Zhang Lihou. Both Cun (Inch) pulses were surging, large, and rapid, especially on the right. Metal constitution is naturally dry, now even drier. Left Guan (Gate) pulse is surging and wiry, indicating Liver storing Blood is deficient as there is no Blood to store. Right Guan pulse is wiry, fine, and rapid, indicating chronic generation of Grain Qi, with Liver deficiency Fire insulting, hence wiry and rapid. The fineness indicates extreme depletion of Stomach Qi. Left Chi (Cubit) pulse is extremely fine, almost absent; Right Chi pulse is surging, large, and rapid. These indicate fluid nourishment is exhausted and dry. Shaoyin (Lesser Yin) deficiency Fire floats upward, Jueyin (Terminal Yin) depressed Fire reaches up, Shaoyang (Lesser Yang) latent Fire ascends. Dry Earth scorched by the Three Fires cannot moisten and nurture. The Classic states: "All vomiting and acid regurgitation belong to Heat." This is what it means. The specific prescription follows, serving as an emergency symptomatic treatment. After vomiting ceases, Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) plus Mai Dong (Ophiopogon Tuber) and E Jiao (Donkey-Hide Gelatin) should be taken as pills for long-term conditioning to treat the root cause.
Tiao Shi Qin (Scutellaria Root, 1 qian 2 fen), Mai Men Dong (Ophiopogon Tuber, peeled, 3 qian), Huai Sheng Di (Rehmannia Root, 3 qian), Guang Ju Hong (Citrus Reticulata Peel, soaked in salt water, 7 fen), Bai Fu Ling (Poria, 1 qian 2 fen), Sheng Bai Shao (Raw White Peony Root), Fei Bai Zhi Mu (Anemarrhena Rhizome, 1 qian 2 fen each), Gan Cao (Licorice Root, 2 fen), Bai Ge Gen (Kudzu Root, 1 qian, raises true Qi of Stomach and clears/disperses Stomach Heat), Zhu Ru (Bamboo Shavings, 2 qian, from fresh bamboo scraped inner yellow skin). Add Deng Xin Cao (Juncus Effusus Pith), decoct in water, take warm for cure.
Baotai Shenxiao Wan Formula (Divine Effect Fetal-Preserving Pills) from *Jinnang Michuan*:
Bai Fu Ling (Poria, 2 liang, choose white, hard, and heavy), Zhen Bai Zhu (Atractylodes Rhizome, 1 liang, soaked in rice wash overnight, peeled, cut, dried, stir-fried with yellow earth), Tiao Qin (Scutellaria Root, mixed with wine and stir-fried, select solid thin seeds), Xiang Fu Zi (Cyperus Rhizome, soaked in child’s urine for two days, stir-fried cooked), Yuan Hu Suo (Corydalis Rhizome, mixed with aged rice vinegar and stir-fried), Hong Hua (Carthamus Flower, baked between papers), Yi Mu Cao (Leonurus Herb, clean leaves, 1 liang each), Zhen Mo Yao (Myrrh, 3 qian, baked on new tile over fire to remove oil).
Process each according to regulations, powder them, mix with honey to make pills the size of tung zi (tung seeds). Swallow seven pills daily on an empty stomach with plain water.
Do not increase the dose beyond seven pills despite their small size. For pregnant women with unstable fetus, take four to five times a day; once stable, resume normal frequency. If abdominal pain, lower back soreness, or bearing-down sensation occurs, take immediately. If habitual miscarriage occurs at three to five months, start taking this pill one month in advance to ensure full term. Even if spotting precedes miscarriage, urgent administration can preserve the pregnancy. Strictly avoid anger and physical labor; forbid fried/spicy foods, Qi-dispersing/closing foods, fermented smells, and cold items; strictly avoid mental exertion. One batch can protect multiple pregnancies; efficacy is guaranteed.
Fuling Wan (Poria Pill):
Treats pregnancy nausea/phlegm-fluid retention and aversion to food odors.
Chi Fu Ling (Red Poria), Ren Shen (Ginseng), Rou Gui (Cinnamon Bark), Gan Jiang (Dried Ginger, soaked), Ban Xia (Pinellia Tuber, washed seven times and baked), Chen Pi (Tangerine Peel), Bai Zhu (Atractylodes Rhizome), Ge Gen (Kudzu Root), Zhi Gan Cao (Honey-fried Licorice), Zhi Shi (Immature Bitter Orange, bran removed and stir-fried yellow, 1 liang each).
Powder, mix with honey to make wu zi-sized pills. Take fifty pills with rice water on an empty stomach.
Alternative method: Powder Huang Qin (Scutellaria Root), mix with strong decoction of Bai Zhu (Atractylodes Rhizome) soup, take one qian; self-heals within a month.
Duzhong Wan (Eucommia Pill):
Treats fetal movement instability at two to three months of pregnancy, preventing impending miscarriage; suitable for preventive use.
Du Zhong (Eucommia Bark, peeled, stir-fried with ginger juice to remove silk), Chuan Xu Duan (Dipsacus Root, soaked in wine, 2 liang each).
Powder, mix with jujube flesh boiled soft to make wu zi-sized pills. Take thirty pills with rice water.
Jiao Ai Tang (Gelatin and Mugwort Decoction):
Treats fetal movement instability, lower back and abdominal pain due to falls or trauma during pregnancy.
Shu Di Huang (Prepared Rehmannia Root, washed), Ai Ye (Mugwort Leaf, stir-fried), Bai Shao (White Peony Root), Chuan Xiong (Ligusticum Rhizome), E Jiao (Donkey-Hide Gelatin, stir-fried with clam powder into pearls), Huang Qin (Scutellaria Root), Dang Gui (Angelica Sinensis Root, soaked in wine), Zhi Gan Cao (Honey-fried Licorice, equal parts).
Decoct with ginger and jujube in water. Add Ren Shen (Ginseng) for deficiency.
Yimu Wan (Motherwort Pill):
Specifically treats difficult labor with malpresentation, and stabilizes fetus/regulates Qi.
Yi Mu Cao (Leonurus Herb, harvested May 5th, shade-dried, avoid iron).
Powder, mix with honey to make pellet-sized pills. Take one pill at labor onset, dissolved in warm child’s urine and wine. If Qi is unregulated, use Muxiang Renshen Tang (Wood Fragrance and Ginseng Decoction).
Sangjisheng San (Mulberry Mistletoe Powder):
Treats fetal leakage with continuous spotting; regulates fetal origin in healthy pregnancies.
Dang Gui (Angelica Sinensis Root, soaked in wine), Sang Ji Sheng (Mulberry Mistletoe), Xu Duan (Dipsacus Root, soaked in wine), Chuan Xiong (Ligusticum Rhizome), Bai Zhu (Atractylodes Rhizome), Shu Di (Prepared Rehmannia), Ren Shen (Ginseng), Xiang Fu (Cyperus Rhizome, stir-fried), E Jiao (Donkey-Hide Gelatin, stir-fried with clam powder), Fu Shen (Poria with Hostwood, 1 qian each), Zhi Gan Cao (Honey-fried Licorice, 5 fen).
Decoct in water and take.
Sanyin Liyu Tang (Three Causes Carp Decoction):
Treats abdominal distension in pregnancy due to water-Qi between the fetus.
Bai Zhu (Atractylodes Rhizome, 5 liang), Fu Ling (Poria, 4 liang), Dang Gui (Angelica Sinensis Root), Shao Yao (Peony Root, 2 liang each).
Finely chop ingredients. Cook one carp according to culinary methods to obtain broth. Remove fish, add four qian of herbs to one-and-a-half zhong of fish broth. Add seven slices of ginger and a little Chen Pi (Tangerine Peel). Decoct to seventy percent volume. Take on an empty stomach.
Another Prescription:
For sudden unexplained vaginal bleeding, use E Jiao (Donkey-Hide Gelatin, 2 liang, stir-fried with clam powder into pearls) and Sheng Di Huang (Fresh Rehmannia Root, 8 liang, crushed for juice). Mix with three sheng of clear wine, warm evenly, and divide into three doses.
Zhuru Tang (Bamboo Shavings Decoction):
Treats pregnancy vomiting, headache, and vertigo.
Ju Hong (Citrus Peel, white part removed), Ren Shen (Ginseng), Mai Men Dong (Ophiopogon Tuber, peeled), Bai Zhu (Atractylodes Rhizome, 1 liang each), Hou Po (Magnolia Bark, ginger-processed), Fu Ling (Poria, 5 qian each), Gan Cao (Licorice Root, 2 qian 5 fen).
Take five qian per dose with two zhong of water and five slices of ginger. Add a pellet-sized piece of Zhu Ru (Bamboo Shavings). Decoct to eighty percent volume and take.
Zhuye Tang (Bamboo Leaf Decoction):
Treats pregnancy anxiety, timidity, and constant irritability, syndrome known as Zifan (Fetal Irritability).
Bai Fu Ling (Poria, 4 liang), Fang Feng (Saposhnikovia Root), Mai Men Dong (Ophiopogon Tuber, peeled), Huang Qin (Scutellaria Root, 3 liang each).
Take four qian per dose with one zhong of water and five bamboo leaves. Take at any time.
Quansheng Baizhu San (Complete Life Atractylodes Powder):
Treats pregnancy edema of face and limbs resembling water-Qi, named Zi Qi (Fetal Qi Swelling).
Bai Zhu (Atractylodes Rhizome, 1 liang), Jiang Pi (Ginger Peel), Da Fu Pi (Areca Peel), Chen Pi (Tangerine Peel), Bai Fu Ling Pi (Poria Peel, 5 qian each).
Powder. Take two qian per dose mixed with rice water. Another version includes Sang Bai Pi (Mulberry Root Bark).
Li Shi Tianxianteng San (Ms. Li’s Heavenly Vine Powder):
Treats progressive edema of both feet and difficulty walking after the third month of pregnancy.
Poor appetite, resembling water-Qi swelling, named Zi Qi (Fetal Qi Swelling).
Tian Xian Teng (Akebia Stem, washed and lightly stir-fried), Xiang Fu Zi (Cyperus Rhizome, stir-fried), Chen Pi (Tangerine Peel), Gan Cao (Licorice Root), Wu Yao (Lindera Root, equal parts).
Powder. Take three qian per dose with three slices of ginger, three Perilla leaves, and three slices of Papaya. Decoct together. Take before meals on an empty stomach. Three times daily; stop when edema subsides.
Zisu San (Perilla Powder):
Treats disharmonious fetal Qi rushing to heart and abdomen, causing distension and pain, called Zi Xuan (Fetal Suspension).
Da Fu Pi (Areca Peel), Chuan Xiong (Ligusticum Rhizome), Bai Shao (White Peony Root), Chen Pi (Tangerine Peel), Dang Gui (Angelica Sinensis Root, de-gorged and wine-soaked), Zi Su Ye (Perilla Leaf, 1 liang each), Ren Shen (Ginseng), Gan Cao (Licorice Root, 5 qian each).
Take four qian per dose with five slices of ginger and seven cun of scallion white. Decoct in water. Take warm on an empty stomach.
Fetus Crying in Womb: Use a piece of soil from a mouse hole in an old empty house; let the pregnant woman hold it in her mouth.
Baihe San (Lily Powder):
Treats pregnancy cough, chest discomfort, irritability, loss of appetite, and fetal movement instability.
Chuan Bai He (Lily Bulb), Zi Wan (Aster Root), Mai Men Dong (Ophiopogon Tuber), Jie Geng (Platycodon Root), Sang Bai Pi (Mulberry Root Bark, 1 liang each), Gan Cao (Licorice Root, 5 qian), Zhu Ru (Bamboo Shavings, one ball).
Take eight qian per dose. Decoct in water, strain, add half spoon of honey, boil one or two times. Take warm after meals.
Gan Jiang Huanglian Wan (Dried Ginger and Coptis Pill):
Treats pregnancy dysentery with red and white discharge, anal swelling and pain. Suitable for both cold and heat types.
Gan Jiang (Dried Ginger, charred black), Huang Lian (Coptis Rhizome, de-stamen), Suo Sha Ren (Amomum Fruit, stir-fried), Chuan Xiong (Ligusticum Rhizome), E Jiao (Donkey-Hide Gelatin, stir-fried with clam powder), Bai Zhu (Atractylodes Rhizome, 1 liang each), Ru Xiang (Frankincense, 3 qian, separately ground), Zhi Ke (Bitter Orange, 5 qian, stir-fried).
Powder. Mix with three salt-plum meats and vinegar paste to make tung zi-sized pills. Take forty pills per dose: white dysentery with Gan Jiang Tang (Dried Ginger Decoction), red dysentery with Gan Cao Tang (Licorice Decoction), red-white dysentery with Gan Jiang Gan Cao Tang.
Shengjin San (Winning Gold Powder):
Treats pregnancy cold Qi in Spleen and Stomach, causing lower abdominal false distension.
Wu Zhu Yu (Evodia Fruit, wine-soaked and stir-fried), Chen Pi (Tangerine Peel), Sheng Jiang (Fresh Ginger), Gan Jiang (Dried Ginger, processed), Chuan Xiong (Ligusticum Rhizome), Hou Po (Magnolia Bark), Suo Sha Ren (Amomum Fruit, stir-fried), Gan Cao (Licorice Root, equal parts).
Powder. Take two qian per dose mixed with salt water.
Sangpiaoxiao San (Mantis Egg-case Powder):
Treats pregnancy urinary incontinence.
Sang Piao Xiao (Mantis Egg-case, twenty pieces, roasted and finely powdered).
Take two qian per dose mixed with rice water on an empty stomach.
Shoutai Zhike San (Slim-Fetus Bitter Orange Powder):
Treats pregnancy at seven to eight months; regularly taken to facilitate smooth and easy delivery.
Gan Cao (Licorice Root, honey-fried, 1 liang 5 qian), Zhi Ke (Bitter Orange, bran-fried red, 5 liang).
Another version adds Xiang Fu (Cyperus Rhizome).
Powder. Take one qian per dose with plain water on an empty stomach.
Note: Zhike San is bitter and cold; single use may cause fetal cold or pain. Supplement with Dihuang Danggui Tang (Rehmannia and Angelica Decoction) made into honey pills.
Shutai San (Bind-Fetus Powder):
Suitable for the eighth month.
Tiao Qin (Scutellaria Root, wine-stir-fried, 1 liang), Bai Zhu (Atractylodes Rhizome, 2 liang, avoid direct fire), Chen Pi (Tangerine Peel, 3 liang), Fu Ling (Poria, 7 qian 5 fen, avoid direct fire).
Powder. Make pills with congee the size of wu zi. Take fifty to sixty pills per dose with warm water far from meals.
Dasheng San (Reaching Life Powder):
Da Fu Pi (Areca Peel, 3 qian), Ren Shen (Ginseng), Chen Pi (Tangerine Peel, 5 qian each), Bai Zhu (Atractylodes Rhizome), Shao Yao (Peony Root), Gui Wei (Angelica Tail, 1 qian each), Zhi Gan Cao (Honey-fried Licorice, 2 qian), Zi Su (Perilla Stem/Leaf, 5 fen).
Add five green onion leaves and seven Huangyang Nao (Buxus Branch tips), or add Zhi Ke (Bitter Orange) and Sha Ren (Amomum Fruit). Decoct in water, take after meals. Taking ten-plus doses in the eighth and ninth months is excellent. Add Huang Qin (Scutellaria Root) in summer, not in winter; add Chuan Xiong (Ligusticum Rhizome) in spring.
Cuisheng Rusheng San (Urging Birth Like-Saint Powder):
Dry Huang Kui Hua (Yellow Hibiscus Flower) by roasting.
Powder. Mix with hot water, take two qian. Divine effect. For those with leakage, dry uterine cavity, severe painful difficult labor, take three doses together. After a while, abdominal Qi relaxes, fetus slides out easily. If no flower, use Huang Shu Kui Zi (Yellow Roselle Seed) powder, take two qian with wine. If dead fetus retained, use Hong Hua (Carthamus Flower) decocted in wine. Empirical formula uses forty-nine or thirty seeds.
Cuisheng Foshou San (Urging Birth Buddha-Hand Powder):
Treats pregnancy where external factors disturb the fetus, causing fetal death in uterus, pain, and locked jaw. Use this to test: if not damaged, pain stops, mother and child safe; if damaged, fetus expels immediately.
Dang Gui (Angelica Sinensis Root, 6 qian), Chuan Xiong (Ligusticum Rhizome, 4 qian).
Decoct in two-and-a-half zhong of water until nearly dry. Add one zhong of head wine, boil, take warm. If locked jaw, force-feed. After walking five li, take again. No more than three doses needed for birth.
Cuisheng Dan (Urging Birth Pill):
Treats abnormal labor physiology and difficult childbirth.
December Rabbit Brain Marrow (three membranes ground), Ru Xiang (Frankincense, finely ground 1 fen), She Xiang (Musk, finely ground 1 zi), Mu Ding Xiang (Eugenia Bud powder, 1 qian).
Grind uniformly, mix with rabbit marrow to make pills the size of chicken heads. Dry in shade, seal in oiled paper. Break one pill, take with warm water. Immediate birth results. Verification: hold medicine in left hand for boy, right hand for girl.
Another Prescription: Treats prolonged difficult labor lasting days. Split one Tao Ren (Peach Kernel). Write "Ke" (Can) on one half and "Chu" (Exit) with Cinnabar on the other. Swallow to induce birth.
Jiusheng San (Life-Saving Powder):
For transverse or breech presentation.
Gui Xin (Cinnamon Heart, 1 qian), powder. Mix with child’s urine and wine, take. Extraordinarily effective.
Another Prescription: Treats difficult labor using one December Rabbit Head, burned to ash, powder. Mix with scallion white decoction, take two qian. Immediate birth. Or use Fu Long Gan (Vermilion Dragon Liver/Hearth Soil), finely ground, take one qian with wine. Also effective.
Xiang Gui San (Wood Fragrance and Cinnamon Powder):
Expels dead fetus.
She Xiang (Musk, 5 fen, separately ground), Guan Gui (Official Cinnamon, 2 qian).
Powder, mix uniformly, take with wine. Soon expelled as if pushed by hand.
Another Prescription: Dead fetus retained, mother’s face and nails blue, foul breath. Use Po Xiao (Mirabilite), powder. Take two qian mixed with flowing water. Severe cases: mix with warm child’s urine. Fetus expelled, mother lives. Also treats retained placenta.
Heilong Dan (Black Dragon Pill):
Treats difficult labor, retained placenta, postpartum blood syncope/unconsciousness, metrorrhagia/lochia, stabbing abdominal pain, blood stasis edema, blood entering Heart meridian causing speech confusion, blood-wind struggle causing fever/headache, malaria-like symptoms, critical conditions before/during/after birth. Saves all dying cases.
Wu Ling Zhi (Trogopterus Feces), Dang Gui (Angelica Sinensis Root, wine-soaked), Sheng Di Huang (Raw Rehmannia Root), Chuan Xiong (Ligusticum Rhizome), Liang Jiang (Galangal Root, 2 liang each).
Place in clay pot, seal with paper and salt mud. Roast until red, cool, remove, grind fine. Add following herbs:
Bai Cao Shuang (Soot, 3 qian), Ru Xiang (Frankincense), Sheng Liu Huang (Native Sulfur), Hu Po (Amber), Hua Rui Shi (Flower Corundum, 2 qian each).
These five herbs total one liang one qian. Powder, mix with previous herbs. Boil in rice vinegar, bind with wheat paste to make pellet-sized pills. Before use, roast pill over charcoal until red, drop into fresh ginger juice, soak and crush. Take instantly with non-intoxicating wine mixed with child’s urine. Divine effects indescribable.
Newly Revised Cuisheng Baochan Wanquan Tang (Newly Regulated Urging-Birth Complete-Protection Decoction):
Ren Shen (Ginseng, 3-5 qian), Dang Gui (Angelica Sinensis Root, de-gorged, 3 qian), Chuan Xiong (Ligusticum Rhizome, 1 qian), Tao Ren (Peach Kernel, thirteen grains, skin and tip intact, crushed), Gan Jiang (Dried Ginger, charred yellow, 1 qian), Zhi Gan Cao (Honey-fried Licorice, 6 fen), Niu Xi Shao (Achyranthes Tip, 2 qian), Hong Hua (Carthamus Flower, wine-stir-fried, 3 fen), Rou Gui (Cinnamon Bark, peeled, 6 fen, 8 fen in winter). Add one jujube. Decoct in water, take warm.