疗胎死腹中不出，母欲绝。水银方。
水银（二两）
顿吞之，儿立出。
又方∶用水银如弹子大，以枣肉均研，和如大豆许，水吞下立出。
疗或半生胎不下，或子死腹中，或半着脊及在草不产，血气上荡心，母面无颜色，气欲
绝方。
猪脂（一升，煎） 白蜜（一升） 淳酒（二升）
上三味，合煎取二升，分温两服。不能饮，随所能服之。
又疗子死腹中不出。以牛屎涂母腹上立出。
疗胎死。
甘草（一尺） 蒲黄（二合） 筒桂（四寸） 香豉（二升） 鸡子（一枚）
上细切，以水六升，煮取三升，顿服。胎胞秽恶尽去，大良。
产经数日不出，或子死腹中，母气欲绝。
瞿麦（六两） 通草 桂心（各三两） 牛膝（四两） 榆白皮（一升）
上 咀，以水九升，煎取三升，去滓，分温三服。
治子死胎不下，胞破不生。此方累有效，救人几万数。
鬼臼不拘多少，黄色者。去毛、碾为末，以手指捻之如粉、极细为度，每服二钱。用无
灰酒一盏，同煎至八分，通口服，立生如神。此药不用罗，只碾令极细。
疗死胎不出。
朴硝为末，每用二钱，温童子小便调下。知洪州进贤曾通仕定求云∶昔为丰城尉时，有
猫孕五子，一子已生，四子死腹中，啼唤欲死。试问医者，令用此药灌之，死子即下，猫得
再生。后有一牛亦如此，用此法亦活。医云∶本治人方，用以治畜也。后因以救人无不验。
（仆为儿时，曾有一亲戚胎死腹中，不下数日，百计已穷。记忆我先人用朴硝半两研细，以
童子小便调下，胎即落矣）
治死胎不下，其证指甲青、舌青、胀闷，甚者口中作屎臭。先以平胃散一贴作两服，每
服酒、水各一盏，同煎至一盏，却投朴硝半两，研细再煎三、五沸倾出，候微温服尽，其胎
即化血水而下。
缪宅厥息孺人杜氏，生产数日不下，坐婆、魂童救疗皆无效，召仆诊之。仆曰∶产前脉
不可考，但当察色而知之。遂揭帐明烛以察之，其面色赤，舌色青，见此色者，知胎已死，
母却无忧矣。或问曰∶何以知之？余答曰∶面赤舌青者，子死母活明矣。供自合至宝丹二粒
服之，胎即落矣。以此见古人处方神速。至宝丹（方见《和剂方》）。
治疗胎死腹中不能排出，产妇气息将绝的方剂。水银方。
水银（二两）
一次性吞服，胎儿立即产出。
另一个方子：取如弹丸大小的水银，与枣肉均匀研磨，调和成大豆大小，用水送服，胎儿立即产出。
治疗胎儿死于腹中。取丈夫尿液二升，煮沸后饮用。
治疗半生之胎不下，或胎儿死于腹中，或胎盘粘连于脊背及在产道滞留难产，血气上冲冲击心脏，产妇面色无华，气息将绝的方剂。
猪脂（一升，煎煮） 白蜜（一升） 纯酒（二升）
以上三味药，混合煎煮至剩余二升，分两次温服。若不能饮酒，可根据其承受能力服用。
又治疗胎儿死于腹中不能排出。用牛粪涂抹在产妇腹部上，胎儿立即产出。
治疗胎死。
甘草（一尺） 蒲黄（二合） 筒桂（四寸） 香豉（二升） 鸡蛋（一枚）
以上药物细切，用水六升，煎煮至剩余三升，一次性服用。胎胞内的秽恶之物尽去，效果极佳。
《产经》记载数日不出，或胎儿死于腹中，产妇气息将绝。
瞿麦（六两） 通草 桂心（各三两） 牛膝（四两） 榆白皮（一升）
以上药物捣碎，用水九升，煎煮至剩余三升，去除药渣，分三次温服。
治疗死胎不下，胞衣破裂胎儿不生。此方屡次有效，救人数以万计。
鬼臼（不限数量，选黄色的）。去除绒毛，碾磨成粉末，用手指捻搓如面粉般极细为度，每次服用二钱。用无灰酒一盏，同煎至八分满，一次口服，胎儿立即出生如神助。此药不需要过筛，只需碾磨至极细。
治疗死胎不出。
朴硝研成粉末，每次用二钱，用童子小便调服。据洪州进贤县曾通仕定求说：过去担任丰城尉时，有一只猫怀了五只幼崽，一只已出生，四只死在腹中，哀鸣欲死。询问医生，令用此药灌服，死胎即下，猫得以再生。后来有一头牛也如此，用此法也救活了。医生说：本是治人的方子，用来治牲畜。后来用于救人无不灵验。（我小时候，曾有一位亲戚胎死腹中，数日不下，百计已穷。记得我的祖先用朴硝半两研细，用童子小便调服，胎儿即落下）
治疗死胎不下，其症状为指甲发青、舌头发青、腹胀闷，严重者口中散发屎臭味。先用平胃散一帖分两次服用，每次用酒、水各一盏，同煎至一盏，然后投入朴硝半两，研细再煎三、五沸，倒出，候微温服尽，胎儿即化为血水而下。
缪宅的厥息孺人杜氏，生产数日胎儿不下，接生婆、招魂童等救治均无效，请我诊治。我说：产前脉象难以确切考察，但应当通过观察面色来判断。于是揭开帐幔，点燃蜡烛以观察，其面色赤红，舌色青紫，见此面色者，可知胎儿已死，母亲却无忧患。有人问：何以知道？我回答：面赤舌青者，是子死母活的明证。供给她服用至宝丹二粒，胎儿即落下。由此可见古人处方神速。至宝丹（方见《和剂局方》）。
Treatment for fetal death in utero with failure to expel, and the mother's vital qi approaching exhaustion. Mercury Formula.
Mercury (2 liang)
Swallow in one dose; the fetus will be expelled immediately.
Another formula: Take mercury the size of a pellet, grind it evenly with jujube flesh, mix into pills the size of soybeans, swallow with water; the fetus will be expelled immediately.
Treatment for fetal death in utero. Take 2 sheng of the husband's urine, boil until boiling, then drink.
Treatment for retained half-born placenta, or fetal death in utero, or placenta adhering to the spine and retention in the birth canal, with blood and qi rushing upward to strike the heart, the mother having a sallow complexion, and vital qi approaching exhaustion.
Pig lard (1 sheng, boiled) White honey (1 sheng) Pure wine (2 sheng)
Combine the above three ingredients, decoct until 2 sheng remain, divide into two warm doses. If unable to drink wine, take according to tolerance.
Another treatment for fetal death in utero with failure to expel. Apply cow dung to the mother's abdomen; the fetus will be expelled immediately.
Treatment for fetal death.
Licorice Root (Gancao, 甘草) (1 chi) Coptis Rhizome equivalent here likely refers to Poria or similar, but text says Put Huang (Corydalis Rhizome/Pollen? No, Pu Huang is Lygodii Spora) -> Correction: Pu Huang (Lygodii Spora, 蒲黄) (2 he) Cinnamon Twig equivalent here "Tong Gui" (4 cun) Fermented Soybean (Xiang Chi, 香豉) (2 sheng) Chicken Egg (1 piece)
Finely chop the above herbs, add 6 sheng of water, decoct until 3 sheng remain, take in one dose. The foul matter of the fetal membrane will be completely expelled; this is highly effective.
The *Chanjing* records cases of retention for several days, or fetal death in utero, with the mother's vital qi approaching exhaustion.
Dianthus Root (Qumai, 瞿麦) (6 liang) Tong Cao (Lindera Root/ Tetrapanax Pith) Cinnamon Heart (Guixin, 桂心) (each 3 liang) Achyranthes Root (Niuxi, 牛膝) (4 liang) Elm Bark (Yubai Pi, 榆白皮) (1 sheng)
Coarsely crush the above herbs, add 9 sheng of water, decoct until 3 sheng remain, remove dregs, divide into three warm doses.
Treatment for retained dead fetus and ruptured membranes without delivery. This formula has been repeatedly effective, saving tens of thousands.
Aconitum Lateralis Preparatum equivalent here is Guibai (Daemonorops Spine/Guibai, 鬼臼) (any amount, select yellow ones). Remove hairs, grind into powder, rub between fingers until as fine as flour, this is the standard. Each dose is 2 qian. Use one cup of clear wine, decoct together until 80% remains, take orally in one go; the fetus will be born instantly as if by divine aid. This herb need not be sifted, only ground extremely fine.
Treatment for retained dead fetus.
Mirabilite (Piaoxiao, 朴硝) ground into powder, each dose 2 qian, taken mixed with child's urine. Zeng Tongshi Dingqiu from Jinxiang, Hongzhou stated: When he served as Magistrate of Fengcheng, a cat was pregnant with five kittens; one was born, four died in the womb, crying out in distress. He consulted a physician who instructed using this medicine to灌 (pour/feed); the dead fetuses were expelled, and the cat survived. Later, a cow had the same condition, treated with this method and also saved. The physician said: "Originally a human formula, used for animals." Later used for humans, it was invariably effective. (In my childhood, a relative had fetal death in utero, retained for several days, all remedies exhausted. I recall my ancestor used half a liang of Mirabilite, finely ground, mixed with child's urine, and the fetus was expelled.)
Treatment for retained dead fetus, characterized by cyanosis of fingernails and tongue, abdominal distension and oppression, and in severe cases, a fecal odor from the mouth. First, administer Pingwei San (Pingwei Powder) in one packet, divided into two doses. For each dose, use one cup of wine and one cup of water, decoct until one cup remains, then add half a liang of Mirabilite, finely ground, decoct for three to five boils, pour out, and when slightly warm, consume fully; the fetus will transform into bloody fluid and be expelled.
Lady Du of the Jueshi residence in Miao household, failed to deliver after several days of labor; midwives and spirit summoners' treatments were ineffective. I was summoned to diagnose. I said: "Pulse diagnosis before delivery is unreliable; one should judge by observation of color." Thus, I lifted the curtain, lit candles, and observed. Her face was red, and her tongue was cyanotic. Seeing these colors indicates fetal death, while the mother remains safe. Someone asked: "How do you know?" I replied: "Red face and cyanotic tongue clearly indicate fetal death with maternal survival." I administered two pills of Zhibao Dan (Precious Treasure Pill), and the fetus was expelled. This demonstrates the speed and efficacy of ancient prescriptions. Zhibao Dan (Formula found in *Heji Jufang*).