（郭稽中）
论曰∶热病，胎死腹中者何？答曰∶因母患热病，至六、七日以后，脏腑极热，熏煮其
胎，是以致死。缘儿死，身冷不能自出，但服黑神散暖其胎，须臾胎即自出。何以知其胎之
已死？但看产母舌青者，是其候也。
（又名乌金散。《灵苑方》名肉桂散）
桂心 当归 芍药 甘草（炙） 干姜（炮） 生干地黄（各一两） 黑豆（炒去皮，
二两） 附子（炮，去皮脐，半两）
上为细末，每服二钱，空心，温酒调下。（一方无附子，有蒲黄）
陈无择评曰∶夫妊娠谓之重身，二命系焉！将理失宜，皆能损胎，不特病熏煮所致。或
因顿仆惊恐，出入触冒，及素有症瘕积聚，坏胎最多。其候舌青，即知子死。《养胎论》
曰∶面青舌赤，母死子生；唇青吐沫，子母俱毙。又有双怀二胎，或一死一活，其候犹难知
。自非临歧观变，未易预述，不可不备学也。然以黑神散温胎，未若补助产母，使其气正，
免致虚乏、困顿，胎自下矣。催生汤殊胜黑神散。
治胎死腹中，或产母气乏委顿，产道干涩。
苍术（泔浸洗、炒，二两） 苦梗（一两） 陈皮（六钱） 白芷 桂心 甘草（各三
钱） 川芎（钱半） 川乌 当归 干姜（炮） 浓朴（制） 芍药 茯苓 半夏（汤泡） 附
子（炮，去皮） 南星（炮，各二钱） 枳壳（四钱，制） 木香（一钱） 杏仁（去皮尖，
炒） 阿胶（炒，各一分）
上为细末，每服一大钱，温酒调下。觉热闷，加白蜜，新汲水调服。只是五积散无麻黄
，有川乌、附子、南星、阿胶、木香、杏仁六味。
（郭稽中）
论述说：热病导致胎死腹中的情况是怎样的？回答说：因为母亲患有热病，到了六七天以后，脏腑极度发热，像用热水煮一样熏蒸胎儿，从而导致胎儿死亡。由于胎儿已死，身体变冷无法自行排出，只需服用黑神散温暖胞宫，片刻之后胎儿就会自然产出。怎么知道胎儿已经死亡呢？只要观察产妇舌头颜色发青的，就是这一征候。
（又名乌金散。《灵苑方》称为肉桂散）
桂心、当归、芍药、甘草（炙）、干姜（炮制）、生干地黄（各一两）、黑豆（炒后去皮，二两）、附子（炮制，去皮和脐，半两）。
以上药物研成细末，每次服用二钱，空腹时，用温酒调服。（另一版本没有附子，有蒲黄）
陈无择评价说：妊娠被称为“重身”，两条性命系于一身！调理失当，都能损伤胎儿，不仅仅是因为热病熏蒸所致。或者因为突然跌倒受惊、外出接触外邪，以及原本就有症瘕积聚，最容易损坏胎儿。其征象是舌头发青，就知道胎儿已死。《养胎论》说：面色青舌色红，母亲死而胎儿活；嘴唇青吐白沫，母子俱亡。又有双胎怀孕，或一死一活，其征候难以辨认。如果不是在临产时观察变化，很难预先陈述，不可不认真学习。然而用黑神散温暖胞宫，不如补助产妇，使其正气充足，避免导致虚乏困顿，胎儿自然会下落。催生汤比黑神散更为殊胜。
治疗胎死腹中，或者产妇气力匮乏委顿，产道干涩。
苍术（淘洗浸泡、炒制，二两）、桔梗（一两）、陈皮（六钱）、白芷、桂心、甘草（各三钱）、川芎（一钱半）、川乌、当归、干姜（炮制）、厚朴（制）、芍药、茯苓、半夏（汤泡）、附子（炮制，去皮）、南星（炮制，各二钱）、枳壳（四钱，制）、木香（一钱）、杏仁（去皮尖，炒制）、阿胶（炒制，各一分）。
以上药物研成细末，每次服用一大钱，用温酒调服。如果感觉热闷，加入白蜜，用新汲取的冷水调服。这个方子只是五积散去掉了麻黄，增加了川乌、附子、南星、阿胶、木香、杏仁六味药。
(Guo Jizhong)
Discussion: What is the condition of fetal death in the uterus caused by heat disease? The answer is: Because the mother suffers from a heat disease, after six or seven days, the zang-fu organs become extremely hot, steaming and cooking the fetus like boiling water, leading to its death. Since the fetus has died, its body becomes cold and cannot expel itself; one should only administer Heishen San (Black Divine Powder) to warm the uterus, and within a short time, the fetus will be expelled naturally. How does one know that the fetus has already died? By observing if the parturient's tongue is cyanotic; this is the sign.
(Also known as Wujin San [Black Gold Powder]. Named Rougui San [Cinnamon Twig Powder] in *Lingyuan Fang*)
Guixin (Cortex Cinnamomi), Danggui (Radix Angelicae Sinensis), Shaoyao (Radix Paeoniae Alba), Gancao (Radix Glycyrrhizae Preparated with Honey), Jiangjiang (Rhizoma Zingiberis Preparated), Shengdihuang (Radix Rehmanniae Preparata) (each 1 liang), Heidou (Semen Sojae Nigrum, stir-fried and peeled, 2 liang), Fuzi (Radix Aconiti Lateralis Preparata, peeled and de-navel, 0.5 liang).
The above are ground into fine powder. Take 2 qian per dose, on an empty stomach, mixed with warm wine. (Another prescription excludes Fuzi and includes Puhuang [Pollinis Typhae]).
Chen Wuyue commented: Pregnancy is called "chongshen" (double life), as two lives depend on it! Improper management can damage the fetus, not only due to heat disease steaming. It may also result from sudden falls or fright, exposure to external pathogens during travel, or pre-existing zhengjia (masses) and jijie (accumulations), which most often damage the fetus. The sign is a cyanotic tongue, indicating fetal death. *Yangtai Lun* states: If the face is cyanotic and the tongue red, the mother dies but the fetus lives; if the lips are cyanotic and froth is vomited, both mother and fetus perish. In cases of twin pregnancy, where one dies and the other lives, the signs are difficult to discern. Unless changes are observed at the time of delivery, it is hard to predict beforehand; thus, thorough study is essential. However, warming the uterus with Heishen San is inferior to supporting the parturient, ensuring her qi is upright, preventing deficiency and exhaustion, so that the fetus descends naturally. Cuansheng Tang is superior to Heishen San.
Treats fetal death in the uterus, or parturient qi deficiency and prostration, dryness and涩ness of the birth canal.
Cangzhu (Radix Atractylodis Macrocephalae, soaked in rice water, washed, stir-fried, 2 liang), Kujie (Radix Platycodonis, note: text says 苦梗 which is usually Jiegeng, here likely typo for 桔梗 Radix Platycodonis or refers to specific preparation, standard is Jiegeng), Chenpi (Pericarpium Citri Reticulatae, 6 qian), Baizhi (Radix Angelicae Dahuricae), Guixin (Cortex Cinnamomi), Gancao (Radix Glycyrrhizae Preparated with Honey) (each 3 qian), Chuanxiong (Rhizoma Chuanxiong, 1.5 qian), Chuanwu (Radix Aconiti Kusnezoffii), Danggui (Radix Angelicae Sinensis), Jiangjiang (Rhizoma Zingiberis Preparated), Houpo (Cortex Magnoliae Officinalis Prepared), Shaoyao (Radix Paeoniae Alba), Fuling (Poria), Banxia (Rhizoma Pinelliae Preparated with Ginger and Alum), Fuzi (Radix Aconiti Lateralis Preparata, peeled), Nanxing (Rhizoma Arisaematis Preparated) (each 2 qian), Zhike (Fructus Aurantii Preparated, 4 qian), Muxiang (Radix Aucklandiae, 1 qian), Xingren (Semen Armeniacae Amarum, peeled and de-husked, stir-fried), Ejiao (Colla Corii Asini, stir-fried) (each 1 fen).
The above are ground into fine powder. Take 1 daqian per dose, mixed with warm wine. If feeling heat and oppression, add Baimi (White Honey) and mix with fresh well water. This formula is essentially Wuji San (Five Accumulations Powder) without Mahuang (Ephedrae Herba), but adding Chuanwu, Fuzi, Nanxing, Ejiao, Muxiang, and Xingren, totaling six additional herbs.