金匮方当归散妊娠宜常服之
当归 黄芩 白芍 川芎(各一两) 白术(半两)
上五味为末酒饮调服方寸七日二次
按此方养血清热之剂也瘦人血少有热胎动不安数曾半产者难产者皆宜服之以清其源而无
后患也
千金茯苓半夏汤治妊娠恶阻心闷吐逆头眩四肢怠惰烦疼痰逆呕吐恶寒自汗黄瘦
半夏(泡七次炒黄) 茯苓 熟地黄(各三两) 橘红 细辛 人参 芍药 紫苏 川芎(
各二两) 苦梗 甘草(各半两)
上 咀每四钱水煎空心服
局方参橘散治妊娠三月恶阻吐逆不食或心虚烦闷
橘皮 茯苓(各一两) 麦门冬 白术 浓朴(制) 甘草(炙各半两)
上 咀每四钱入姜竹茹煎一方加人参名竹茹汤良方名人参橘皮汤
良方胶艾汤治妊娠或因顿仆胎动不安腰腹疼痛或胎上抢心或去血腹痛
胶(一斤炙) 艾叶(数茎) 指迷方加秦艽
上二味以水五升煮取二升分三服
阿胶散(严氏方作胶艾汤)不问妊娠月数深浅或顿仆或因毒药胎动不安腰痛腹满抢心短气
熟地黄 艾叶 白芍 川芎 黄 阿胶 当归 甘草(炙各一两)
上 咀每四钱入姜枣煎金匮方无黄
佛手散治妊娠伤胎下血
当归(三钱) 川芎(二钱)
上 咀水煎食前服
安胎散治妊娠自高坠下或为重物所压触动胎气腹痛下血胃虚呕逆并宜服之
缩砂(不以多少炒过)
上为末每二钱用酒调服艾盐汤亦可
简易方知母饮治妊娠心脾壅热咽膈渴苦烦闷多惊
赤茯苓 黄芩 黄 (各三两) 知母 麦门冬 甘草(各二两)
上 咀每四钱入桑白皮熟时再入竹沥些小服
竹叶汤治妊娠心惊胆怯终日烦闷名曰子烦
白茯苓(四两) 防风 麦门冬 黄芩(各三两)
上 咀每四钱入竹叶五片水煎外台方有竹沥二合无叶一方有黄芩知母
拔萃方枳壳汤治胎漏下血或因事下血
枳壳(炒) 黄芩(各半两) 白术(一两)
上为末每一钱白汤调下宣明方无枳壳
二黄散治胎漏下血
生地黄 熟地黄
上为末煎白术枳壳汤调下二钱或钱半
按良方论云妇人有子之后血蓄以养胎矣岂可复能散动耶所以然者有娠而月信每至是亦未
必
因血盛也若谓荣经有风则经血喜动以其风胜则可此例可见胎漏之因非止一端也治者宜扩充焉
地黄当归汤治胎痛
当归(一两) 熟地黄(二两)
上为末每半两水煎良方等分为末蜜丸名内补丸许学士云大率妇人妊娠唯在抑阳助阴盖此
等药
甚多然胎前药唯恶群队若阴阳交错别生他病唯是枳壳散所以抑阳四物汤所以助阴故尔然枳壳
散瘥寒若单服之恐有胎寒腹痛之疾以内补丸佐之则阳不至强阴不至弱阴阳调停有益胎嗣此前
人未尝论及也愚详阴阳调停不若不服为愈
全生方白术散治妊娠面目虚浮肢体肿如水气名曰子肿
白术(一两) 生姜皮 大腹皮 陈皮 白茯苓(各半两)
上为末每二钱米饮调下指迷方有桑白皮无术
李氏天仙藤散治妊娠自三月成胎之后两足自脚面渐肿腿膝以来行步艰辛以至喘闷饮食不
美状似水气至于脚指间有黄水出者名曰子气
天仙藤(洗略炒) 香附子(炒) 陈皮 甘草 乌药(等分)
上为末每服三钱水煎入姜三片木瓜三片紫苏三叶同煎空心食前服日三次肿消止药
按此二方治证例相类故并录之
严氏紫苏饮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 苏叶 当归(各一两) 人参 甘草(各半两)
上 咀每四钱入姜葱煎
安荣散治妊娠小便涩少遂成淋涩名曰子淋
麦门冬 通草 滑石(各三钱) 当归 灯芯 甘草(各半两) 人参 细辛(各一两)
上为细末每二钱煎麦门冬汤调下
羚羊角散治妊娠中风头项强直筋脉挛急言语謇涩痰涎不利或时发搐不省人事名曰子痫
羚羊角(镑) 川独活 酸枣仁(炒) 五加皮(各半钱) 薏苡仁 防风 当归 川芎 茯
神杏仁(各四分) 木香 甘草(各二分半)
上 咀每五钱入姜煎
八味丸治妊娠小便不通名曰转胞亦治子淋
方见补虚门
丹溪参术散治妊娠转胞
四物汤加人参 白术 半夏(制) 陈皮 甘草
上 咀入生姜煎空心服
按丹溪曰转胞之病胎妇之禀受弱者忧闷多者性躁急者食味浓者庸或有之古方皆用滑利药
鲜有
应效因思胞不自转为胎所压展在一边胞系了戾不通耳胎若举起居于其中胞系自疏水道自利然
胎之坠下必有其由近吴宅宠人患此两脉似涩重则弦左稍和予曰此得之忧患涩为血少气多则胎
气弱而不能举弦为有饮血少则胎弱气多有饮中焦不清而隘则胞知所避而就下乃以以上药与服
随以指探喉中吐出药汁候少顷气定又与之次早亦然至八帖安此法恐偶中耳后又治数人亦效未
知果何如耶
仲景云妇人本肌肥盛头举自满今反羸瘦头举中空胞系了戾亦多致此病但利小便则愈宜服
肾气丸以中有茯苓故也地黄为君功在补胞若头举等语其义未详恐有能知之者
按以上安娠诸法皆气血本病之药故非辛热苦寒之剂盖产前当清热养血也然有外感风寒内
伤生
冷以辛热散之温之大积大聚以药衰其大半而止经曰妇人重身毒之何如岐伯曰有故无殒故无殒
也斯法亦不为本病之谓也故任娠诸证例药详见大全良方兹不备录
束胎丸 第八个月服之
黄芩(炒夏一两春秋七钱半冬半两) 白术(二两) 茯苓(七钱半) 陈皮(三两忌火)
上为末粥为丸桐子大每三四十丸空心白汤下
达生散(又名束胎散)
大腹皮(三钱) 人参 陈皮(各半钱) 白术 白芍(各一钱) 甘草(炙二钱) 紫苏叶茎
(半钱) 当归尾(一钱)或加枳壳缩砂
上 咀作一服入青葱五叶黄杨脑七个煎服于八九个月服十数帖甚得力或夏加黄芩春加芎
冬根据正方或有别证以意消息
又方于第九个月服
黄芩(怯弱人减半) 白术(一两) 滑石 枳壳(各七钱半)
上为末粥丸如桐子大每服三十丸空心热汤下
按世俗妇室妊娠鲜有服束胎药者盖局方良方诸法未能以尽其妙用者多辄动娠故率不敢行
然丹溪先生因制以上诸方以备世俗取择实好生君子之一端也
滑胎易产药
枳壳散治妊娠胎肥壅隘难产临月服之
粉草(一两炙) 商州枳壳(二两炒)
上为细末百沸汤点二钱空心日三服
一方枳壳(六两) 甘草(一两)
一方有糯米半升淘控干同炒为末
温隐居加当归木香各等分
又法张氏方治妊娠胎肥动止艰辛临月服之缩胎易产治气宽膈
枳壳(五两) 甘草(一两半) 香附子(二两炒)
上为细末姜汤点服
神寝丸滑胎易产入月服之
通明乳香(半两) 枳壳(一两)
上为末炼蜜丸梧子大空心酒下三十丸
陆氏名寤生丸乳香只一分
保气散安胎易产或居处失宜偶然顿仆胎动胎痛漏胎下血兼服佛手散
香附子(四两) 山药(二两) 缩砂(一两) 木香(四钱) 粉草(一两) 益智仁 紫苏(
各半两)
上为细末白汤点二钱入月服之
益元散入月服之滑胎易产
方见前
产间药
施氏催生如意散临产腰疼方可服之
人参 乳香(各一钱末) 辰砂(半钱)
上三味一处研临产急用鸡清一个调药末再用生姜汁调冷服如横生倒产实时端顺而生
催生佛手散
方见前
严氏无忧散治胎肥气逆或人瘦血少胎弱临蓐难产者便产须知名保生无忧散
当归 川芎 白芍(各一两) 枳壳(炒五钱) 乳香(三钱) 木香(一钱半) 血余灰(二
钱) 甘草
上为末每二钱水煎服
简易集效黑散子催生兼治横生逆产
百草霜 白芷末(等分)
上和匀每二钱童便并好醋调稀更以沸汤调下
局方催生丹治产妇生理不顺产育艰难或横或逆并宜治之
十二月兔脑髓(去皮膜研如泥) 乳香(另研细如泥) 母丁香(二钱半) 麝香(另研五分
半)
上三味和匀以兔脑和丸如鸡头大阴干油纸裹每一丸温水下即产儿手中握出
良方催生乳香膏 名如神开骨膏 又名乳珠丹
一法滴乳为末猪心血为丸五月五日午时合
上如桐子大朱砂为衣每一粒面东酒吞下未下再服如胎干者先与四物汤
秘方益母丸专治横生逆产难产并安胎顺气神效
益母草五月采阴干石臼捣为末炼蜜丸如弹子大每一丸或二丸临产以童便和温酒送下气不
顺木香参汤送下或作小丸吞服亦可
独圣散
黄葵子炒七十粒 研烂酒服济君急 若也临危难产时 免得全家俱哭泣
短剧疗横生倒产手足先出方
用粗针刺儿手足入二分许儿得痛惊转即缩自当回顺而生
一法盐涂儿足底又可急搔爪之并以盐摩产妇腹上即产
机要半夏汤治胎衣不下或子死腹中或子冲上而昏闷或血暴下及胎干不能产者
半夏曲(一两半) 桂(七钱半) 桃仁(三十个炒) 大黄(半两)
上为细末先服四物汤三两次服此生姜同煎
良方治死胎不下其证产母舌青黑及胎上冷者子已死或指甲青舌青胀闷甚者口中作屎臭先
以平
胃散一帖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数沸温服胎化血水而下
鹿角散治因热病胎死腹中
鹿角屑(一两)
上水煎入葱白五茎豉半合丹溪云烧过治产后血晕
当归汤治子死不下
川当归(三两) 川芎(二两)
上为末水酒各半调下四钱未下再服
一方只用川芎末酒煎服
香桂散下死胎
麝香(半钱) 桂心(三钱为末)
上和匀只得一服温酒调下
一方朴硝末(二钱) 温童便调下
必效方牛膝汤治胎衣不出腹脐坚胀急痛即杀人服此胞即烂下死胎
牛膝 瞿麦(各四两) 当归(三两) 通草(六两) 滑石(八两) 葵子(五两)
上切细以水九升煮取三升分三服
宣明 砂散治胎死腹中不下
砂(研细) 当归(各一两)
上二味研极细只分作二服温酒调下如重车行五里不下再服
局方至宝丹
见本方
花蕊石散治胎死腹中及胎衣不下
花蕊石(一斤) 上色硫黄(四两)
上二味相拌匀炼制见良方
黑龙丹治产后一切血疾产难胎衣不下危急恶疾垂死者但灌得下无不全活
当归 五灵脂 川芎 良姜 熟地黄
各一两锉以沙合盛赤石脂泥封纸筋盐泥固济炭火十斤 令通赤去火候冷取开看成黑糟色
取细研却入后药
百草霜(五两) 硫黄 乳香(各一钱半) 花蕊石 琥珀(各一钱)
上五味并细研与前药再研如法修制和匀以米醋煮面糊丸如弹子大每服一丸炭火烧令通赤
投于
生姜自然汁与童便入酒漉出控干研细只此酒下一方取死胎用乌鸡一只去毛细切水煎三二升汤
通手用衣帛蘸摩脐下胎自出
产后杂方
局方芎归汤治产后去血过多晕烦不省
当归 芎 (等分)
上 咀每半两水煎服腹疼加桂名桂香散一名琥珀散治腹中痛急自汗头眩少气加羊肉名羊
肉汤黑神散治产后恶露不尽胎衣不下血气攻心及腹痛不止
黑豆(炒半升) 熟地黄 当归 肉桂 干姜 甘草 白芍 蒲黄(各四两) 生地黄(局
方良方俱无此味便产须知有之)
上为末每二钱酒童便各半调服一名乌金散
按此手少阴足厥阴太阴阳明表里血药也立方大意见前丹溪之论矣今人以为治产后百病率
用之故收入然用者自宜通变
人参当归散治产后去血过多血虚则阴虚阴虚则内热心烦短气自汗头痛
熟地黄 人参 当归 桂 麦门冬(各一两) 白芍(二两炒)
上 咀每五钱入竹叶生姜煎
当归黄 汤治产后失血多腰疼身热自汗
当归(三两) 黄 (二两) 白芍(一两半炒)
上 咀每五钱入姜煎
失笑散治产后心腹绞痛欲死及儿枕痛
蒲黄(炒) 五灵脂(各等分)
上为末醋调二钱熬成膏汤化服之
一法治小儿枕痛各单服
经验方三圣散治儿枕痛
当归 桂 玄胡索
上等分为细末每服二钱热酒或童便调下
严氏清魂散治产后血晕昏不知人更宜取漆器于床前烧熏之频置醋炭更服此药
泽兰叶 人参(各一两) 荆芥穗(四两) 甘草(炙八钱) 川芎(二两)
上为末每二钱热汤温酒各半盏调下
抵圣汤治产后血气伤于脾胃复胁满闷呕逆恶心
赤芍 半夏 泽兰叶 陈皮 人参(各二钱) 甘草(炙一钱)
上 咀作一服入生姜煎
当归羊肉汤治产后发热自汗肢体疼痛名曰蓐劳
当归 人参(各七钱) 黄 (一两) 生姜(半两)
上 咀用羊肉一斤煮清汁五大盏去肉入前药煎四盏去 作六服
良方茯苓散治产后心虚怔忡不定言语错乱
人参 甘草 山药 当归(各一钱) 生姜 远志 茯苓 桂心 麦门冬(各半钱) 大枣
上 咀水煎
机要增损柴胡汤治产后经水适断感于异证手足KT 搐切牙昏冒
柴胡(八钱) 黄芩(四钱半) 人参(三钱) 甘草(炒四钱) 石膏(四钱) 知母(三钱)
黄(五钱) 半夏(三钱)
上为粗末每半两入姜枣煎
血风汤治产诸风痿挛无力
秦艽 羌活 防风 白芷 川芎 芍药 白术 当归 地黄 茯苓 半夏 黄 (等分)
【金匮方】当归散：妊娠期间适宜常服。
配方：当归、黄芩、白芍、川芎（各一两），白术（半两）。
制法与用法：将上述五味药研为细末，用酒调服，每次一方寸匕，每日两次。
按语：此方是养血清热的剂型。形体瘦弱、阴血不足且有内热者，若出现胎动不安、多次习惯性流产或难产等情况，均宜服用此方，以清除病源，避免后患。
【千金方】茯苓半夏汤：治疗妊娠恶阻，症见心中烦闷、呕吐逆气、头晕目眩、四肢倦怠、烦痛、痰气上逆、呕吐、恶寒、自汗、面色萎黄。
配方：半夏（炮制七次，炒至黄色）、茯苓、熟地黄（各三两），橘红、细辛、人参、芍药、紫苏、川芎（各二两），桔梗、甘草（各半两）。
制法与用法：将药物切碎，每取四钱，加水煎煮，空腹服用。
【局方】参橘散：治疗妊娠三个月时出现的恶阻，症见呕吐逆气、不能进食，或因心虚导致的心烦闷乱。
配方：橘皮、茯苓（各一两），麦门冬、白术、厚朴（制）、甘草（炙，各半两）。
制法与用法：将药物切碎，每取四钱，加入生姜、竹茹煎煮。另一版本加入人参，名为竹茹汤，《良方》中称为人参橘皮汤。
【良方】胶艾汤：治疗妊娠期间因跌仆导致的胎动不安，症见腰腹疼痛；或胎气上冲心胸；或阴道出血伴腹痛。
配方：阿胶（一斤，炙），艾叶（数茎）。《指迷方》中加秦艽。
制法与用法：将两味药用水五升，煮取二升，分三次服用。
【阿胶散】（严氏方作胶艾汤）：不问妊娠月份深浅，或因跌仆、或因误服毒药导致的胎动不安，症见腰痛、腹部胀满、胎气上冲心胸、短气。
配方：熟地黄、艾叶、白芍、川芎、黄芪、阿胶、当归、甘草（炙，各一两）。
制法与用法：将药物切碎，每取四钱，加入生姜、大枣煎煮。《金匮要略》方中无黄芪。
【佛手散】：治疗妊娠伤胎导致的阴道出血。
配方：当归（三钱），川芎（二钱）。
制法与用法：将药物切碎，加水煎煮，饭前服用。
【安胎散】：治疗妊娠期间从高处坠落或被重物压迫，触动胎气导致的腹痛、阴道出血；以及胃虚引起的呕吐逆气，均宜服用。
配方：缩砂仁（用量不限，炒过）。
制法与用法：研为细末，每取二钱，用酒调服。也可用艾盐汤送服。
【简易方】知母饮：治疗妊娠期间心脾壅滞有热，症见咽喉膈部渴苦、心烦闷乱、易受惊吓。
配方：赤茯苓、黄芩、黄芪（各三两），知母、麦门冬、甘草（各二两）。
制法与用法：将药物切碎，每取四钱，加入桑白皮，待煮熟时再滴入少许竹沥服用。
【竹叶汤】：治疗妊娠期间心惊胆怯、终日烦闷，称为“子烦”。
配方：白茯苓（四两），防风、麦门冬、黄芩（各三两）。
制法与用法：将药物切碎，每取四钱，加入五片竹叶，加水煎煮。《外台秘要》方中有竹沥二合而无竹叶；另一版本有黄芩、知母。
【拔萃方】枳壳汤：治疗胎漏下血，或因其他原因导致的阴道出血。
配方：枳壳（炒）、黄芩（各半两），白术（一两）。
制法与用法：研为细末，每取一钱，用白开水调下。《宣明方》中无枳壳。
【二黄散】：治疗胎漏下血。
配方：生地黄、熟地黄。
制法与用法：研为细末，用白术、枳壳汤调下二钱或一钱半。
按语：《良方》论述说：妇女怀孕后，血液蓄积以滋养胎儿，岂能再分散扰动呢？之所以出现这种情况，是因为怀孕后月经仍每月来潮，这未必是因为血盛。如果说营经有风，则经血喜动，因为风性主动，由此类推，胎漏的原因不止一端，治疗者应当扩充思路。
【地黄当归汤】：治疗胎痛。
配方：当归（一两），熟地黄（二两）。
制法与用法：研为细末，每取半两，加水煎煮。《良方》等书将其等分为末，蜜丸，名为内补丸。许学士说：大抵妇人妊娠，关键在于抑制阳气、辅助阴气。这类药物很多，然而产前用药唯独厌恶杂乱无章。如果阴阳交错，会生出其他疾病。只有枳壳散所以抑制阳气，四物汤所以辅助阴气。然而枳壳散偏于寒凉，若单独服用，恐怕会导致胎寒腹痛之疾，以内补丸佐助它，则阳气不至于过强，阴气不至于过弱，阴阳调和有利于胎儿发育。这是前人未曾论及的。我详细考察，认为阴阳调和不如不服药更好。
【全生方】白术散：治疗妊娠期间面目虚浮、肢体肿胀如水气状，称为“子肿”。
配方：白术（一两），生姜皮、大腹皮、陈皮、白茯苓（各半两）。
制法与用法：研为细末，每取二钱，用米饮调下。《指迷方》中有桑白皮而无白术。
【李氏方】天仙藤散：治疗妊娠自三个月成胎之后，双足从脚面逐渐肿胀，延伸至腿膝，行走艰难，甚至气喘胸闷、饮食不佳，状似水气，直至脚趾间有黄水流出，称为“子气”。
配方：天仙藤（洗净略炒）、香附子（炒）、陈皮、甘草、乌药（等分）。
制法与用法：研为细末，每服三钱，加水煎煮，加入生姜三片、木瓜三片、紫苏三叶同煎，空腹、饭前服用，每日三次。肿胀消退即停药。
按语：这两个方子治疗的证候类似，故一并记录。
【严氏方】紫苏饮：治疗胎气不和，气机上冲导致心腹胀满疼痛，称为“子悬”。
配方：大腹皮、川芎、白芍、陈皮、苏叶、当归（各一两），人参、甘草（各半两）。
制法与用法：将药物切碎，每取四钱，加入生姜、葱白煎煮。
【安荣散】：治疗妊娠期间小便涩少，遂成淋涩，称为“子淋”。
配方：麦门冬、通草、滑石（各三钱），当归、灯芯、甘草（各半两），人参、细辛（各一两）。
制法与用法：研为细末，每取二钱，用麦门冬汤煎煮调下。
【羚羊角散】：治疗妊娠中风，症见头项强直、筋脉挛急、言语謇涩、痰涎不利，或时而抽搐、不省人事，称为“子痫”。
配方：羚羊角（镑），川独活、酸枣仁（炒）、五加皮（各半钱），薏苡仁、防风、当归、川芎、茯神、杏仁（各四分），木香、甘草（各二分半）。
制法与用法：将药物切碎，每取五钱，加入生姜煎煮。
【八味丸】：治疗妊娠期间小便不通，称为“转胞”，也治疗子淋。
方剂出处：见补虚门。
【丹溪方】参术散：治疗妊娠转胞。
配方：四物汤加人参、白术、半夏（制）、陈皮、甘草。
制法与用法：将药物切碎，加入生姜煎煮，空腹服用。
按语：朱丹溪说：转胞这种病，多见于禀赋薄弱的孕妇，或忧闷过多、性情急躁、饮食口味浓重的人。古方多用滑利药物治疗，很少见效。我想，胞宫并非自行扭转，而是被胎儿压迫偏向一边，导致胞系扭曲，水道不通。如果胎儿举起，居于其中，胞系自然舒展，水道自然通畅。然而胎儿坠下必有其原因。近来吴宅宠妾患此病，两手脉象稍涩，重按则弦，左手脉稍和缓。我说：这是由于忧患所致。涩脉主血少气多，则胎气虚弱而不能举起；弦脉主有饮邪，血少则胎弱，气多有饮邪，中焦不清而狭窄，则胞宫知道避让而下陷。于是给予上述药物服用。随后用手指探喉催吐药汁，待片刻气定后再喂药，次日早晨也是如此。服至八帖痊愈。此法恐怕只是偶然奏效。后来又治了几人也都有效，不知究竟如何。
张仲景说：妇人原本肌肉肥盛，头部抬起则自觉胸满，如今反而羸瘦，头部抬起则自觉中空，胞系扭曲，也多导致此病。只要利小便即可痊愈，宜服肾气丸，因为方中含有茯苓的缘故。以地黄为君药，功效在于补益胞宫。至于“头部抬起”等话语，其含义不详，恐怕有知晓的人。
按语：以上安胎诸法，都是针对气血本病的药物，所以不是辛热或苦寒的剂型。大概产前应当清热养血。然而如果有外感风寒、内伤生冷，则用辛热药物发散温散；有大积大聚，则用药物削弱其大半即止。《内经》说：妇人怀孕，毒之何如？岐伯说：有故无殒，亦无殒也。这种方法也不是针对本病而言的。故妊娠诸证候及用药详见《大全良方》，此处不再备录。
【束胎丸】：第八个月服用。
配方：黄芩（夏季一两，春秋七钱半，冬季半两），白术（二两），茯苓（七钱半），陈皮（三两，忌火）。
制法与用法：研为细末，用粥糊为丸，如梧桐子大。每服三四十丸，空腹，白开水送下。
【达生散】（又名束胎散）：
配方：大腹皮（三钱），人参、陈皮（各半钱），白术、白芍（各一钱），甘草（炙二钱），紫苏叶茎（半钱），当归尾（一钱）。可加枳壳、缩砂仁。
制法与用法：将药物切碎为一服量，加入青葱五叶、黄杨脑七个，煎煮服用。在怀孕八九个月时服用十数帖，非常得力。夏季加黄芩，春季加川芎，冬季依原方。若有别证，酌情加减。
又一方：第九个月服用。
配方：黄芩（体弱者减半），白术（一两），滑石、枳壳（各七钱半）。
制法与用法：研为细末，用粥糊为丸，如梧桐子大。每服三十丸，空腹，热汤送下。
按语：世俗孕妇很少有服用束胎药的。大概因为局方、良方等方法未能尽其妙用，容易动胎，所以大多不敢施行。然而丹溪先生因此制定以上诸方，以备世俗选择，实为好生君子的一番心意。
【枳壳散】：治疗妊娠胎肥壅隘难产，临月服用。
配方：粉草（一两，炙），商州枳壳（二两，炒）。
制法与用法：研为细末，用滚开水点服二钱，空腹，每日三次。
另一方：枳壳（六两），甘草（一两）。
另一方：加糯米半升，淘净控干，同炒为末。
温隐居方：加当归、木香各等分。
又法：张氏方治疗妊娠胎肥，动止艰辛，临月服用，缩胎易产，理气宽膈。
配方：枳壳（五两），甘草（一两半），香附子（二两，炒）。
制法与用法：研为细末，姜汤点服。
【神寝丸】：滑胎易产，入月服用。
配方：通明乳香（半两），枳壳（一两）。
制法与用法：研为细末，炼蜜为丸，如梧桐子大。空腹，酒送下三十丸。陆氏名“寤生丸”，乳香只用一分。
【保气散】：安胎易产。或因居处失宜、偶然跌仆导致的胎动、胎痛、漏胎下血，兼服佛手散。
配方：香附子（四两），山药（二两），缩砂仁（一两），木香（四钱），粉草（一两），益智仁、紫苏（各半两）。
制法与用法：研为细末，白开水点服二钱，入月服用。
【产间药】
【施氏催生如意散】：临产腰疼方可服用。
配方：人参、乳香（各一钱，研末），辰砂（半钱）。
制法与用法：将三味药一处研匀。临产急用时，用一个鸡清调药末，再用生姜汁调冷服。若是横生倒产，实时端正顺产而生。
【催生佛手散】：方剂出处：见前文。
【严氏无忧散】：治疗胎肥气逆，或人瘦血少胎弱，临蓐难产者，便产。须知名保生无忧散。
配方：当归、川芎、白芍（各一两），枳壳（炒五钱），乳香（三钱），木香（一钱半），血余灰（二钱），甘草。
制法与用法：研为细末，每取二钱，加水煎服。
【简易集效黑散子】：催生，兼治横生逆产。
配方：百草霜、白芷末（等分）。
制法与用法：和匀，每取二钱，用童便和好醋调稀，再用沸汤调下。
【局方】催生丹：治疗产妇生理不顺，产育艰难，或横生或逆产，均宜治疗。
配方：十二月兔脑髓（去皮膜，研如泥），乳香（另研细如泥），母丁香（二钱半），麝香（另研五分半）。
制法与用法：将三味药和匀，以兔脑和丸，如鸡头大。阴干，油纸包裹。每一丸，温水送下，即产。儿手中握出。
【良方】催生乳香膏：名如神开骨膏，又名乳珠丹。
一法：滴乳为末，猪心血为丸，五月五日午时合药。
制法与用法：如梧桐子大，朱砂为衣。每一粒，面东酒吞下。未下再服。如胎干者，先与四物汤。
【秘方】益母丸：专治横生逆产难产并安胎顺气，神效。
配方：益母草五月采，阴干，石臼捣为末，炼蜜为丸，如弹子大。
制法与用法：每一丸或二丸，临产以童便和温酒送下。气不顺者，木香参汤送下。或作小丸吞服亦可。
【独圣散】：
配方：黄葵子炒七十粒，研烂，酒服。济君急，若也临危难产时，免得全家俱哭泣。
【短剧】疗横生倒产手足先出方：
用粗针刺儿手足，入二分许。儿得痛惊转即缩，自当回顺而生。
一法：盐涂儿足底，又可急搔爪之，并以盐摩产妇腹上，即产。
【机要】半夏汤：治疗胎衣不下，或子死腹中，或子冲上而昏闷，或血暴下及胎干不能产者。
配方：半夏曲（一两半），桂（七钱半），桃仁（三十个，炒），大黄（半两）。
制法与用法：研为细末。先服四物汤三两次，再服此药，生姜同煎。
【良方】治死胎不下：其证产母舌青黑及胎上冷者，子已死；或指甲青，舌青，胀闷甚者，口中作屎臭。先以平胃散一帖，作两服，每服酒水各一盏，同煎至一盏，却投朴硝半两，研细，再煎数沸，温服。胎化血水而下。
【鹿角散】：治疗因热病胎死腹中。
配方：鹿角屑（一两）。
制法与用法：水煎，加入葱白五茎、豆豉半合。丹溪说：烧过治产后血晕。
【当归汤】：治疗子死不下。
配方：川当归（三两），川芎（二两）。
制法与用法：研为细末，水酒各半调下四钱。未下再服。
一方：只用川芎末，酒煎服。
【香桂散】：下死胎。
配方：麝香（半钱），桂心（三钱，为末）。
制法与用法：和匀，只得一服，温酒调下。
一方：朴硝末（二钱），温童便调下。
【必效方】牛膝汤：治疗胎衣不出，腹脐坚胀急痛，即杀人。服此胞即烂，下死胎。
配方：牛膝、瞿麦（各四两），当归（三两），通草（六两），滑石（八两），葵子（五两）。
制法与用法：切细，以水九升，煮取三升，分三服。
【宣明方】砂散：治疗胎死腹中不下。
配方：硇砂（研细）、当归（各一两）。
制法与用法：研极细，只分作二服，温酒调下。如重车行五里不下，再服。
【局方】至宝丹：
方剂出处：见本方。
【花蕊石散】：治疗胎死腹中及胎衣不下。
配方：花蕊石（一斤），上色硫黄（四两）。
制法与用法：将两味药相拌匀炼制，见《良方》。
【黑龙丹】：治疗产后一切血疾、产难、胎衣不下、危急恶疾垂死者，但灌得下，无不全活。
配方：当归、五灵脂、川芎、良姜、熟地黄（各一两）。锉碎，以沙合盛，赤石脂泥封，纸筋盐泥固济，炭火十斤，令通赤，去火候冷，取开看成黑糟色。取细研，却入后药：百草霜（五两），硫黄、乳香（各一钱半），花蕊石、琥珀（各一钱）。
制法与用法：将五味药并细研，与前药再研，如法修制和匀。以米醋煮面糊，为丸如弹子大。每服一丸，炭火烧令通赤，投于生姜自然汁与童便中，入酒漉出，控干，研细。只此酒下。一方：取死胎用乌鸡一只，去毛细切，水煎三二升，汤通手，用衣帛蘸摩脐下，胎自出。
【产后杂方】
【局方】芎归汤：治疗产后去血过多，晕烦不省。
配方：当归、川芎（等分）。
制法与用法：切碎，每半两，水煎服。腹疼加桂，名桂香散。一名琥珀散，治腹中痛急、自汗、头眩、少气，加羊肉，名羊肉汤。
【黑神散】：治疗产后恶露不尽、胎衣不下、血气攻心及腹痛不止。
配方：黑豆（炒半升），熟地黄、当归、肉桂、干姜、甘草、白芍、蒲黄（各四两），生地黄（局方、良方俱无此味，《便产须知》有之）。
制法与用法：研为细末，每二钱，酒、童便各半调服。一名乌金散。
按语：此方乃手少阴、足厥阴、太阴、阳明表里血药也。立方大意见前丹溪之论矣。今人以为治产后百病，率用之，故收入。然用者自宜通变。
【人参当归散】：治疗产后去血过多，血虚则阴虚，阴虚则内热，症见心烦、短气、自汗、头痛。
配方：熟地黄、人参、当归、桂、麦门冬（各一两），白芍（二两，炒）。
制法与用法：切碎，每五钱，加入竹叶、生姜煎煮。
【当归黄芪汤】：治疗产后失血多，腰疼、身热、自汗。
配方：当归（三两），黄芪（二两），白芍（一两半，炒）。
制法与用法：切碎，每五钱，加入生姜煎煮。
【失笑散】：治疗产后心腹绞痛欲死及儿枕痛。
配方：蒲黄（炒）、五灵脂（各等分）。
制法与用法：研为细末，醋调二钱，熬成膏，汤化服之。
一法治小儿枕痛：各单服。
【经验方】三圣散：治疗儿枕痛。
配方：当归、桂、玄胡索。
制法与用法：上等分为细末，每服二钱，热酒或童便调下。
【严氏方】清魂散：治疗产后血晕昏不知人，更宜取漆器于床前烧熏之，频置醋炭，更服此药。
配方：泽兰叶、人参（各一两），荆芥穗（四两），甘草（炙八钱），川芎（二两）。
制法与用法：研为细末，每二钱，热汤、温酒各半盏调下。
【抵圣汤】：治疗产后血气伤于脾胃，复胁满闷、呕逆恶心。
配方：赤芍、半夏、泽兰叶、陈皮、人参（各二钱），甘草（炙一钱）。
制法与用法：切碎为一服量，加入生姜煎煮。
【当归羊肉汤】：治疗产后发热、自汗、肢体疼痛，名曰蓐劳。
配方：当归、人参（各七钱），黄芪（一两），生姜（半两）。
制法与用法：切碎，用羊肉一斤，煮清汁五大盏，去肉，入前药煎四盏，去滓，作六服。
【良方】茯苓散：治疗产后心虚怔忡不定、言语错乱。
配方：人参、甘草、山药、当归（各一钱），生姜、远志、茯苓、桂心、麦门冬（各半钱），大枣。
制法与用法：切碎，水煎。
【机要方】增损柴胡汤：治疗产后经水适断，感于异证，手足KT 搐、切牙、昏冒。
配方：柴胡（八钱），黄芩（四钱半），人参（三钱），甘草（炒四钱），石膏（四钱），知母（三钱），黄芪（五钱），半夏（三钱）。
制法与用法：为粗末，每半两，加入姜枣煎煮。
[Golden Chamber Formula] Danggui San: Suitable for regular consumption during pregnancy.
Ingredients: Radix Angelicae Sinensis (Danggui), Radix Scutellariae (Huangqin), Radix Paeoniae Alba (Baishao), Radix Chuanxiong (Chuanxiong) (each 1 liang), Rhizoma Atractylodis Macrocephalae (Baizhu) (0.5 liang).
Preparation and Administration: Grind the above five herbs into fine powder. Take one fangcun bi (a measure of volume) mixed with wine, twice daily.
Commentary: This formula is a blood-nourishing and heat-clearing preparation. It is suitable for thin individuals with blood deficiency and internal heat who experience restless fetus, recurrent miscarriage, or difficult labor. It clears the source of pathology to prevent future complications.
[Qianjin Formula] Fuling Banxia Tang: Treats pregnancy nausea and vomiting (Ezu), characterized by mental oppression, retching, dizziness, limb fatigue, irritability and pain, phlegm counterflow, vomiting, aversion to cold, spontaneous sweating, and sallow complexion.
Ingredients: Rhizoma Pinelliae Preparatum (Banxia, prepared seven times and fried until yellow), Poria (Fuling), Prepared Rehmanniae Radix (Shudihuang) (each 3 liang), Pericarpium Citri Reticulatae (Juhong), Radix Asari (Xixin), Radix Ginseng (Renshen), Radix Paeoniae (Shaoyao), Folium Perillae (Zisu), Radix Chuanxiong (Chuanxiong) (each 2 liang), Radix Platycodonis (Kujie), Radix Glycyrrhizae (Gancao) (each 0.5 liang).
Preparation and Administration: Coarsely crush the herbs. Decoct 4 qian in water and take on an empty stomach.
[Jufang Formula] Shenju San: Treats pregnancy nausea and vomiting occurring at three months, characterized by retching, inability to eat, or mental oppression due to heart deficiency.
Ingredients: Exocarpium Citri Reticulatae (Jupi), Poria (Fuling) (each 1 liang), Radix Ophiopogonis (Maimendong), Rhizoma Atractylodis Macrocephalae (Baizhu), Cortex Magnoliae Officinalis (Noupi, processed), Radix Glycyrrhizae Uralensis (Gancao, honey-fried) (each 0.5 liang).
Preparation and Administration: Coarsely crush the herbs. Decoct 4 qian with fresh ginger and bamboo shavings (Zhuru). Another version adds Radix Ginseng (Renshen), named Zhuru Tang; Liangfang calls it Ren Shen Jupi Tang.
[Liangfang Formula] Jiao Ai Tang: Treats restless fetus due to falls during pregnancy, characterized by lower back and abdominal pain; or fetal qi rushing to the chest; or vaginal bleeding with abdominal pain.
Ingredients: Colla Corii Asini (Ejiao, 1 jin, honey-fried), Folium Artemisiae Argyi (Aiye) (a few sprigs). Zhimifang adds Radix Gentianae Macrophyllae (Qinjiao).
Preparation and Administration: Decoct the two ingredients in 5 sheng of water until 2 sheng remains. Divide into three doses.
[Ejiao San] (Yanshi Fang as Jiao Ai Tang): Regardless of the depth of pregnancy months, treats restless fetus due to falls or accidental ingestion of toxic drugs, characterized by lower back pain, abdominal fullness, fetal qi rushing to the chest, and shortness of breath.
Ingredients: Prepared Rehmanniae Radix (Shudihuang), Folium Artemisiae Argyi (Aiye), Radix Paeoniae Alba (Baishao), Radix Chuanxiong (Chuanxiong), Radix Astragali Membranacei (Huangqi), Colla Corii Asini (Ejiao), Radix Angelicae Sinensis (Danggui), Radix Glycyrrhizae Uralensis (Gancao, honey-fried) (each 1 liang).
Preparation and Administration: Coarsely crush the herbs. Decoct 4 qian with fresh ginger and dates (Zao). The Golden Chamber formula does not contain Huangqi.
[Foshou San]: Treats vaginal bleeding due to fetal injury during pregnancy.
Ingredients: Radix Angelicae Sinensis (Danggui) (3 qian), Radix Chuanxiong (Chuanxiong) (2 qian).
Preparation and Administration: Coarsely crush the herbs. Decoct in water and take before meals.
[Antenatal Calming Powder]: Treats abdominal pain and vaginal bleeding caused by touching the fetal qi due to falling from heights or being crushed by heavy objects during pregnancy; also suitable for retching due to stomach deficiency.
Ingredients: Fructus Amomi Rotundus (Suosha) (as needed, stir-fried).
Preparation and Administration: Grind into fine powder. Take 2 qian mixed with wine. Can also be taken with Aiyan Tang (Mugwort and Salt Decoction).
[Jianyi Formula) Zimu Yin: Treats pregnancy characterized by heat stagnation in the heart and spleen, bitter thirst in the throat and diaphragm, mental restlessness, and frequent fright.
Ingredients: Red Poria (Chifuling), Radix Scutellariae (Huangqin), Radix Astragali Membranacei (Huangqi) (each 3 liang), Radix Anemarrhenae (Zimu), Radix Ophiopogonis (Maimendong), Radix Glycyrrhizae Uralensis (Gancao) (each 2 liang).
Preparation and Administration: Coarsely crush the herbs. Decoct 4 qian with Cortex Mori Radicis (Sangbaipi). When nearly cooked, add a small amount of Bamboo Sap (Zhuli).
[Zhu Ye Tang]: Treats pregnancy anxiety and timidity with all-day mental restlessness, named "Zi Fan" (Fetal Irritability).
Ingredients: White Poria (Bailingfu) (4 liang), Radix Saposhnikoviae (Fangfeng), Radix Ophiopogonis (Maimendong), Radix Scutellariae (Huangqin) (each 3 liang).
Preparation and Administration: Coarsely crush the herbs. Decoct 4 qian with five leaves of Bambusa vulgaris var. viridistriatis (Zhu ye) in water. Waitai Fang has Zhu li but no Zhu ye; another version has Huangqin and Zimu.
[Bacui Formula) Zhiqiao Tang: Treats vaginal spotting (Tailou) or bleeding due to various causes.
Ingredients: Fructus Aurantii (Zhiqiao, stir-fried), Radix Scutellariae (Huangqin) (each 0.5 liang), Rhizoma Atractylodis Macrocephalae (Baizhu) (1 liang).
Preparation and Administration: Grind into fine powder. Take 1 qian mixed with plain boiled water. Xuanming Fang lacks Zhiqiao.
[Erhuang San]: Treats vaginal spotting (Tailou).
Ingredients: Radix Rehmanniae Recens (Shengdihuang), Prepared Rehmanniae Radix (Shudihuang).
Preparation and Administration: Grind into fine powder. Take 2 qian or 1.5 qian mixed with decoction of Baizhu and Zhiqiao.
Commentary: Liangfang states: After a woman conceives, blood accumulates to nourish the fetus. How can it be dispersed again? The reason is that menstruation continues monthly during pregnancy, which may not necessarily be due to abundant blood. If one claims wind in the Ying channel causes blood movement, since wind is active, this example shows that the causes of Tailou are manifold. Practitioners should expand their understanding.
[Dihuang Danggui Tang]: Treats fetal pain.
Ingredients: Radix Angelicae Sinensis (Danggui) (1 liang), Prepared Rehmanniae Radix (Shudihuang) (2 liang).
Preparation and Administration: Grind into fine powder. Decoct 0.5 liang in water. Liangfang and others grind equal parts into powder and make honey pills, named Neibu Wan. Xu Xueshi said: Generally, for pregnant women, the key is to suppress Yang and assist Yin. There are many such medicines. However, antenatal medications should avoid chaotic combinations. If Yin and Yang mix, other diseases may arise. Zhiqiao San suppresses Yang, while Siwu Tang assists Yin. However, Zhiqiao San is cold; taking it alone may cause fetal cold and abdominal pain. Using Neibu Wan to assist it balances Yang and Yin, benefiting the fetus. This was not discussed by predecessors. I carefully examine that balancing Yin and Yang is better than not taking medicine at all.
[Quansheng Formula) Baizhu San: Treats pregnancy edema, characterized by puffy face and limbs resembling water retention, named "Zi Zhong".
Ingredients: Rhizoma Atractylodis Macrocephalae (Baizhu) (1 liang), Cortex Zingiberis Recens (Shengjiangpi), Fructus Tsaoko (Dafupi), Exocarpium Citri Reticulatae (Chenpi), White Poria (Baifuling) (each 0.5 liang).
Preparation and Administration: Grind into fine powder. Take 2 qian mixed with rice drink. Zhimifang has Sangbaipi but no Baizhu.
[Li Shi Formula) Tianxianteng San: Treats pregnancy starting from the third month after conception, where swelling gradually spreads from the feet to the legs and knees, making walking difficult, accompanied by asthma, chest oppression, poor appetite, resembling water retention, until yellow fluid oozes from between toes, named "Zi Qi".
Ingredients: Herba Aristolochiae Manshuriensis (Tianxianteng, washed and lightly stir-fried), Rhizoma Cyperi Rotundi (Xiangfuzi, stir-fried), Exocarpium Citri Reticulatae (Chenpi), Radix Glycyrrhizae Uralensis (Gancao), Radix Linderae (Wuyao) (equal parts).
Preparation and Administration: Grind into fine powder. Take 3 qian, decoct in water with three slices of fresh ginger, three pieces of Chaenomelis Fructus (Mugua), and three leaves of Perillae Folium (Zisu). Take on an empty stomach and before meals, three times daily. Stop medication when swelling subsides.
Commentary: These two formulas treat similar syndromes, so they are recorded together.
[Yanshi Formula) Zisu Yin: Treats disharmony of fetal qi, with qi rushing upward causing abdominal distension and pain, named "Zi Xuan".
Ingredients: Fructus Tsaoko (Dafupi), Radix Chuanxiong (Chuanxiong), Radix Paeoniae Alba (Baishao), Exocarpium Citri Reticulatae (Chenpi), Folium Perillae (Zuye), Radix Angelicae Sinensis (Danggui) (each 1 liang), Radix Ginseng (Renshen), Radix Glycyrrhizae Uralensis (Gancao) (each 0.5 liang).
Preparation and Administration: Coarsely crush the herbs. Decoct 4 qian with fresh ginger and scallion white.
[Anrong San]: Treats pregnancy dysuria with scanty urine, named "Zi Lin".
Ingredients: Radix Ophiopogonis (Maimendong), Herba Tectariae (Tongcao), Talcum (Huashi) (each 3 qian), Radix Angelicae Sinensis (Danggui), Juncus Effusus (Dengxin), Radix Glycyrrhizae Uralensis (Gancao) (each 0.5 liang), Radix Ginseng (Renshen), Radix Asari (Xixin) (each 1 liang).
Preparation and Administration: Grind into fine powder. Take 2 qian mixed with Maimendong decoction.
[Lingyangjiao San]: Treats pregnancy stroke, characterized by stiffness of head and neck, muscle spasms, slurred speech, difficulty expectorating phlegm, occasional convulsions, and loss of consciousness, named "Zi Xian".
Ingredients: Cornu Saigae Tataricae (Lingyangjiao, shaved), Radix Actaeae Sarmentosa (Chuan Du Huo), Semen Ziziphi Spinosae (Suanzaoren, stir-fried), Cortex Acanthopanacis Senticosi (Wujia Pi) (each 0.5 qian), Semen Coicis (Yiyiren), Radix Saposhnikoviae (Fangfeng), Radix Angelicae Sinensis (Danggui), Radix Chuanxiong (Chuanxiong), Poria Cum Radix Pachymatis (Fushen), Semen Armeniacae Amarum (Xingren) (each 4 fen), Radix Aucklandiae (Muxiang), Radix Glycyrrhizae Uralensis (Gancao) (each 2.5 fen).
Preparation and Administration: Coarsely crush the herbs. Decoct 5 qian with fresh ginger.
[Bawei Wan]: Treats urinary retention during pregnancy, named "Zhuan Bao", and also treats Zi Lin.
Source: See Bu Xu Men.
[Danjxi Formula) Shenju San: Treats Zhuan Bao.
Ingredients: Siwu Tang plus Radix Ginseng (Renshen), Rhizoma Atractylodis Macrocephalae (Baizhu), Rhizoma Pinelliae Preparatum (Banxia, processed), Exocarpium Citri Reticulatae (Chenpi), Radix Glycyrrhizae Uralensis (Gancao).
Preparation and Administration: Coarsely crush the herbs. Decoct with fresh ginger and take on an empty stomach.
Commentary: Danxi said: Zhuan Bao occurs in women with weak constitution, excessive worry, irritable temperament, or rich diet. Ancient formulas used slippery lubricants rarely effective. I think the bladder is not twisted itself but compressed by the fetus to one side, causing the bladder ligaments to twist and block the water passage. If the fetus lifts, the ligaments relax and water flows freely. However, fetal descent has reasons. Recently, a concubine in Wu's house suffered this. Her pulses were slightly choppy, tight upon heavy pressure, and harmonious on the left. I said: This is due to worry. Choppy pulse indicates blood deficiency and excess qi, making fetal qi weak unable to lift. Tight pulse indicates fluid retention. Blood deficiency makes fetus weak; excess qi with fluid retention clouds the middle jiao, narrowing the space, causing the bladder to descend. I gave the above medicine. Then induced vomiting with finger, waited for qi to settle, then fed again. Next morning same. After eight doses, cured. This method may be coincidental. Later treated several others successfully. Zhang Zhongjing said: Women originally with fleshiness feel full when lifting head; now emaciated, feeling hollow when lifting head, bladder ligaments twist, causing this disease. Promoting urination cures it. Use Shengqi Wan because it contains Fuling. Dihuang as sovereign herb benefits the bladder. The meaning of "lifting head" is unclear.
Commentary: The above antenatal methods use medicines for fundamental Qi and Blood disorders, not acrid-hot or bitter-cold agents. Generally, antenatal care requires clearing heat and nourishing blood. However, if there is external wind-cold or internal cold damage, use acrid-hot to disperse and warm. For large accumulations, reduce them halfway. The Classic says: How to treat poison in pregnancy? Qibo said: If there is a cause, no injury occurs. This method is not for fundamental disease. See Daquan Liangfang for details.
[Shutai Wan]: Take in the eighth month.
Ingredients: Radix Scutellariae (Huangqin, stir-fried: 1 liang in summer, 7.5 qian in spring/autumn, 0.5 liang in winter), Rhizoma Atractylodis Macrocephalae (Baizhu) (2 liang), Poria (Fuling) (7.5 qian), Exocarpium Citri Reticulatae (Chenpi) (3 liang, avoid fire).
Preparation and Administration: Grind into fine powder. Make pills with porridge paste, size of Sophora japonica seeds. Take 30-40 pills on an empty stomach with plain boiled water.
[Dasheng San] (also named Shutai San):
Ingredients: Fructus Tsaoko (Dafupi) (3 qian), Radix Ginseng (Renshen), Exocarpium Citri Reticulatae (Chenpi) (each 0.5 qian), Rhizoma Atractylodis Macrocephalae (Baizhu), Radix Paeoniae Alba (Baishao) (each 1 qian), Radix Glycyrrhizae Uralensis (Gancao, honey-fried) (2 qian), Caulis et Folium Perillae (Zi Su Ye Jing) (0.5 qian), Radix Angelicae Sinensis (Dangguiwei) (1 qian). Can add Fructus Aurantii (Zhiqiao) and Fructus Amomi Rotundus (Suosha).
Preparation and Administration: Coarsely crush for one dose. Decoct with five leaves of Allium fistulosum (Qingcong) and seven heads of Buxus sinica (Huangyang Nao). Take in the 8th or 9th month for over ten doses for great effect. Add Huangqin in summer, Chuanxiong in spring, follow original formula in winter. Adjust for other symptoms.
Another Formula: Take in the ninth month.
Ingredients: Radix Scutellariae (Huangqin, half dose for weak persons), Rhizoma Atractylodis Macrocephalae (Baizhu) (1 liang), Talcum (Huashi), Fructus Aurantii (Zhiqiao) (each 7.5 qian).
Preparation and Administration: Grind into fine powder. Make pills with porridge paste, size of Sophora japonica seeds. Take 30 pills on an empty stomach with hot boiled water.
Commentary: Secular pregnant women rarely take Shutai medicines. Perhaps because Jufang and Liangfang methods do not fully utilize their efficacy and often disturb the fetus, people dare not use them. However, Mr. Danxi created these formulas for secular choice, showing benevolence.
[Slippery Fetus and Easy Delivery Medicine]
[Zhiqiao San]: Treats difficult labor due to fetal obesity and narrowness, take near term.
Ingredients: Radix Glycyrrhizae Uralensis (Fengcao, 1 liang, honey-fried), Fructus Aurantii Zhiqiao (2 liang, stir-fried).
Preparation and Administration: Grind into fine powder. Take 2 qian with boiling water on an empty stomach, three times daily.
Another Formula: Fructus Aurantii (Zhiqiao) (6 liang), Radix Glycyrrhizae Uralensis (Gancao) (1 liang).
Another Formula: Add Seminis Oryzae Sativae (Nuomi) 0.5 sheng, wash and dry, stir-fry together, grind.
Wen Yiju Formula: Add Radix Angelicae Sinensis (Danggui) and Radix Aucklandiae (Muxiang) in equal parts.
Another Method: Zhang Shi Formula treats fetal obesity and difficult movement, take near term to shrink fetus and facilitate delivery, regulate qi and widen diaphragm.
Ingredients: Fructus Aurantii (Zhiqiao) (5 liang), Radix Glycyrrhizae Uralensis (Gancao) (1.5 liang), Rhizoma Cyperi Rotundi (Xiangfuzi, 2 liang, stir-fried).
Preparation and Administration: Grind into fine powder. Take with ginger water.
[Shenqin Wan]: Slippery fetus and easy delivery, take in the last month.
Ingredients: Resina Incensi (Xiangru, 0.5 liang), Fructus Aurantii (Zhiqiao) (1 liang).
Preparation and Administration: Grind into fine powder. Make pills with refined honey, size of Sophora japonica seeds. Take 30 pills on an empty stomach with wine. Lu Shi names it Wusheng Wan, using only 1 fen of Xiangru.
[Baoqi San]: Calms fetus and facilitates delivery. For fetal movement, pain, or spotting due to improper living conditions or accidental falls, combine with Foshou San.
Ingredients: Rhizoma Cyperi Rotundi (Xiangfuzi) (4 liang), Rhizoma Dioscoreae (Shanyao) (2 liang), Fructus Amomi Rotundus (Suosha) (1 liang), Radix Aucklandiae (Muxiang) (4 qian), Radix Glycyrrhizae Uralensis (Fengcao) (1 liang), Fructus Alpiniae Oxyphyllae (Yizhiren), Folium Perillae (Zisu) (each 0.5 liang).
Preparation and Administration: Grind into fine powder. Take 2 qian with plain boiled water in the last month.
[Yiyuan San): Slippery fetus and easy delivery, take in the last month.
Source: See previous text.
[Intrapartum Medicine]
[Shi Shi Cuisheng Ruyi San]: Take only when experiencing lower back pain during labor.
Ingredients: Radix Ginseng (Renshen), Resina Incensi (Xiangru) (each 1 qian, powdered), Cinnabar (Chensha) (0.5 qian).
Preparation and Administration: Grind three ingredients together. At urgent labor, mix powder with one egg white, then with fresh ginger juice, take cold. For transverse or breech presentation, correct immediately for normal delivery.
[Cuisheng Foshou San]: Source: See previous text.
[Yanshi Wuyou San]: Treats fetal obesity with rebellious qi, or thin person with blood deficiency and weak fetus, facilitating delivery. Also known as Mingbao Sheng Wuyou San.
Ingredients: Radix Angelicae Sinensis (Danggui), Radix Chuanxiong (Chuanxiong), Radix Paeoniae Alba (Baishao) (each 1 liang), Fructus Aurantii (Zhiqiao, stir-fried 5 qian), Resina Incensi (Xiangru) (3 qian), Radix Aucklandiae (Muxiang) (1.5 qian), Cinis Capillis Humanis (Xueyu Hui) (2 qian), Radix Glycyrrhizae Uralensis (Gancao).
Preparation and Administration: Grind into fine powder. Take 2 qian, decoct in water.
[Jianyi Jixiao Heisanzi): Facilitates delivery, treats transverse and breech presentations.
Ingredients: Fuligo Silicea (Baicaoshuang), Radix Angelicae Dahuricae (Baizhi) powder (equal parts).
Preparation and Administration: Mix evenly. Take 2 qian mixed with children's urine (Tongbian) and good vinegar, then with boiling water.
[Jufang) Cuisheng Dan): Treats abnormal labor physiology, difficult birth, transverse or breech presentations.
Ingredients: Brain of rabbit from December (peeled and ground to paste), Resina Incensi (Xiangru, separately ground fine), Cardamomum (Mudingxiang) (2.5 qian), Moschus (Shexiang, separately ground 5.5 fen).
Preparation and Administration: Mix three ingredients. Form pills with rabbit brain, size of chicken head. Dry in shade, wrap in oil paper. Take one pill with warm water for immediate delivery. Baby may hold the pill.
[Liangfang) Cuisheng Xiangru Gao): Named Rushen Kaigu Gao, also known as Ruzhu Dan.
Method 1: Dragon's blood resin powder, pig heart blood pills, made at noon on May 5th.
Preparation and Administration: Size of Sophora japonica seeds, coated with Cinnabar (Zhusha). Swallow one pill facing east with wine. If not delivered, take again. If fetus is dry, first give Siwu Tang.
[Secret Formula) Yimu Wan): Specifically treats transverse/breech difficult labor and calms fetus/regulates qi.
Ingredients: Herba Leonuri (Yimucao), harvested in May, dried in shade, pounded in stone mortar to powder, refined honey pills, size of quail egg.
Preparation and Administration: One or two pills at labor, sent down with children's urine and warm wine. For qi stagnation, send down with Muxiang Renshen Tang. Small pills can also be swallowed.
[Dusheng San):
Ingredients: Semen Abutilonis (Huangkuizi), stir-fried 70 grains, pounded, taken with wine. Brings urgency relief, avoids family sorrow in dangerous labor.
[Duanji) Formula for Transverse/Breech Presentation with Limbs First]:
Prick baby's hands/feet with coarse needle, insert 2 fen. Pain startles baby to retract limbs, naturally turning for smooth delivery.
Method 1: Apply salt to baby's soles, scratch nails urgently, rub mother's abdomen with salt for immediate delivery.
[Jiyao) Banxia Tang): Treats retained placenta, dead fetus in uterus, fetal qi rushing up causing fainting, sudden bleeding, or dry fetus preventing delivery.
Ingredients: Fermented Rhizoma Pinelliae (Banxiaqu) (1.5 liang), Ramulus Cinnamomi (Gui) (7.5 qian), Semen Persicae (Taoren, 30, stir-fried), Radix Rhei Palmati (Dahuang) (0.5 liang).
Preparation and Administration: Grind into fine powder. First take Siwu Tang 2-3 times, then this formula decocted with fresh ginger.
[Liangfang) Treatment for Retained Dead Fetus]: Signs include cyanotic/black tongue in mother, cold fetus, cyanotic fingernails, severe distension/oppression, fecal odor in mouth. First take Pingwei San one dose divided into two, each with wine and water, decoct to one cup, add Natrii Sulfas (Puxiao) 0.5 liang finely ground, boil briefly, take warm. Fetus dissolves into bloody water and passes.
[Lujiao San): Treats dead fetus in uterus due to febrile disease.
Ingredients: Cornu Cervi Degloriatum (Lujiaoxie) (1 liang).
Preparation and Administration: Decoct in water with five stems of Allium fistulosum (Congbai) and 0.5 he of Sojae Semen Praeparatum (Chi). Danxi said: Calcined treats postpartum blood syncope.
[Danggui Tang): Treats dead fetus not expelled.
Ingredients: Radix Angelicae Sinensis (Chuan Danggui) (3 liang), Radix Chuanxiong (Chuanxiong) (2 liang).
Preparation and Administration: Grind into powder. Take 4 qian mixed with half water and half wine. Repeat if not expelled.
One Formula: Only Chuanxiong powder, decocted in wine.
[Xianggui San): Expels dead fetus.
Ingredients: Moschus (Shexiang) (0.5 qian), Cortex Cinnamomi (Guixin) (3 qian, powdered).
Preparation and Administration: Mix evenly. One dose only, taken with warm wine.
One Formula: Natrii Sulfas (Puxiao) powder (2 qian), taken with warm children's urine.
[Bixiao Formula) Niuxi Tang): Treats retained placenta with hard/swollen abdomen and acute pain, fatal if untreated. Causes placenta to rot and dead fetus to pass.
Ingredients: Radix Achyranthis Bidentatae (Niuxi), Herba Epimedii (Qumai) (each 4 liang), Radix Angelicae Sinensis (Danggui) (3 liang), Herba Tectariae (Tongcao) (6 liang), Talcum (Huashi) (8 liang), Semen Abutilonis (Kuizi) (5 liang).
Preparation and Administration: Cut finely. Decoct 9 sheng of water to 3 sheng. Divide into three doses.
[Xuanming Fang) Sha San): Treats dead fetus in uterus not expelled.
Ingredients: Natrii Chloridum (Naosha, finely ground), Radix Angelicae Sinensis (Danggui) (each 1 liang).
Preparation and Administration: Grind extremely fine. Divide into two doses, taken with warm wine. If not passed after traveling five li (metaphor for time/distance), take again.
[Jufang) Zhibao Dan):
Source: See original formula.
[Huaruishi San): Treats dead fetus in uterus and retained placenta.
Ingredients: Lapis Huaruishi (Huaruishi) (1 jin), Sulfur (Shangse Liuhuang) (4 liang).
Preparation and Administration: Mix and refine, see Liangfang.
[Heilong Dan): Treats all postpartum blood disorders, difficult labor, retained placenta, critical illnesses nearing death. Effective if administered.
Ingredients: Radix Angelicae Sinensis (Danggui), Resina Trogopterori (Wulingzhi), Radix Chuanxiong (Chuanxiong), Rhizoma Alpiniae Officinarum (Liangjiang), Prepared Rehmanniae Radix (Shudihuang) (each 1 liang). Chop, store in clay pot, seal with red kaolin mud, paper筋, and salt mud. Fire with charcoal for 10 jin until red hot. Cool, open, observe black residue. Grind fine. Add later herbs: Fuligo Silicea (Baicaoshuang) (5 liang), Sulfur (Liuhuang), Resina Incensi (Xiangru) (each 1.5 qian), Lapis Huaruishi (Huaruishi), Succinum (Hupo) (each 1 qian).
Preparation and Administration: Grind five herbs fine, mix with previous powder. Make pills with rice vinegar and wheat paste, size of quail egg. Take one pill, burn red on charcoal, dip in fresh ginger juice and children's urine, retrieve with wine, drain, grind fine. Take with this wine. One Formula: For removing dead fetus, use one black hen, cut finely, decoct 2-3 sheng water. When temperature is bearable, dip cloth in soup and rub below navel, fetus exits.
[Postpartum Miscellaneous Formulas]
[Jufang) Xionggui Tang): Treats postpartum excessive blood loss causing dizziness and unconsciousness.
Ingredients: Radix Angelicae Sinensis (Danggui), Radix Chuanxiong (Xiong) (equal parts).
Preparation and Administration: Coarsely crush. Take 0.5 liang, decoct in water. For abdominal pain, add Ramulus Cinnamomi (Gui), named Guixiang San. Also named Hupo San, treats acute abdominal pain, spontaneous sweating, dizziness, shortness of breath. Add mutton, named Yangrou Tang.
[Heishen San): Treats postpartum lochia不尽, retained placenta, blood/qi attacking heart, and unceasing abdominal pain.
Ingredients: Sojae Semen Nigrum (Heidou, stir-fried 0.5 sheng), Prepared Rehmanniae Radix (Shudihuang), Radix Angelicae Sinensis (Danggui), Cortex Cinnamomi (Rougui), Rhizoma Zingiberis Siccatum (Ganjiang), Radix Glycyrrhizae Uralensis (Gancao), Radix Paeoniae Alba (Baishao), Spora Pteridis (Puhuang) (each 4 liang), Radix Rehmanniae Recens (Shengdihuang - absent in Jufang/Liangfang, present in Bianchan Xuzhi).
Preparation and Administration: Grind into powder. Take 2 qian mixed with half wine and half children's urine. Also named Wujin San.
Commentary: This formula targets Hand-Shaoyin, Foot-Jueyin, Taiyin, Yangming blood channels. Principles seen in Danxi's discussion. Now used for all postpartum diseases, so included. Users should adapt.
[Renshen Danggui San): Treats postpartum excessive blood loss leading to blood deficiency, yin deficiency, internal heat, mental restlessness, shortness of breath, spontaneous sweating, headache.
Ingredients: Prepared Rehmanniae Radix (Shudihuang), Radix Ginseng (Renshen), Radix Angelicae Sinensis (Danggui), Ramulus Cinnamomi (Gui), Radix Ophiopogonis (Maimendong) (each 1 liang), Radix Paeoniae Alba (Baishao, stir-fried) (2 liang).
Preparation and Administration: Coarsely crush. Take 5 qian with Zhu ye and fresh ginger, decoct.
[Danggui Huangqi Tang): Treats postpartum excessive blood loss, lower back pain, body heat, spontaneous sweating.
Ingredients: Radix Angelicae Sinensis (Danggui) (3 liang), Radix Astragali Membranacei (Huangqi) (2 liang), Radix Paeoniae Alba (Baishao, stir-fried) (1.5 liang).
Preparation and Administration: Coarsely crush. Take 5 qian with fresh ginger, decoct.
[Shixiao San): Treats postpartum severe cardiac/abdominal pain and "Erzhen Tong" (afterbirth pain).
Ingredients: Spora Pteridis (Puhuang, stir-fried), Resina Trogopterori (Wulingzhi) (equal parts).
Preparation and Administration: Grind into powder. Mix 2 qian with vinegar, simmer into paste, dissolve in water to take.
One Method for Erzhen Tong: Take singly.
[Jingyan Formula) Sansheng San): Treats Erzhen Tong.
Ingredients: Radix Angelicae Sinensis (Danggui), Ramulus Cinnamomi (Gui), Rhizoma Corydalis (Xuansuhuo).
Preparation and Administration: Grind fine. Take 2 qian with hot wine or children's urine.
[Yanshi Qinghun San): Treats postpartum blood syncope with unconsciousness. Better to burn lacquerware near bed, place vinegar charcoal frequently, then take this medicine.
Ingredients: Herba Prunellae (Zelan Ye), Radix Ginseng (Renshen) (each 1 liang), Flos Schizonepetae (Jingjie Sui) (4 liang), Radix Glycyrrhizae Uralensis (Gancao, honey-fried) (8 qian), Radix Chuanxiong (Chuanxiong) (2 liang).
Preparation and Administration: Grind into powder. Take 2 qian mixed with half hot water and half warm wine.
[Disheng Tang): Treats postpartum blood/qi damaging spleen/stomach, with flank fullness, oppression, retching, nausea.
Ingredients: Radix Paeoniae Rubra (Chishao), Rhizoma Pinelliae (Banxia), Herba Prunellae (Zelan Ye), Exocarpium Citri Reticulatae (Chenpi), Radix Ginseng (Renshen) (each 2 qian), Radix Glycyrrhizae Uralensis (Gancao, honey-fried) (1 qian).
Preparation and Administration: Coarsely crush for one dose. Decoct with fresh ginger.
[Danggui Yangrou Tang): Treats postpartum fever, spontaneous sweating, limb pain, named "Rulao".
Ingredients: Radix Angelicae Sinensis (Danggui), Radix Ginseng (Renshen) (each 7 qian), Radix Astragali Membranacei (Huangqi) (1 liang), Rhizoma Zingiberis Recens (Shengjiang) (0.5 liang).
Preparation and Administration: Coarsely crush. Use 1 jin mutton, decoct clear broth 5 da zhan. Remove meat, add herbs, decoct to 4 zhan. Strain, divide into six doses.
[Liangfang) Fuling San): Treats postpartum heart deficiency with palpitations, irregular speech.
Ingredients: Radix Ginseng (Renshen), Radix Glycyrrhizae Uralensis (Gancao), Rhizoma Dioscoreae (Shanyao), Radix Angelicae Sinensis (Danggui) (each 1 qian), Rhizoma Zingiberis Recens (Shengjiang), Radix Polygalae (Yuanzhi), Poria (Fuling), Cortex Cinnamomi (Guixin), Radix Ophiopogonis (Maimendong) (each 0.5 qian), Fructus Jujubae (Dazao).
Preparation and Administration: Coarsely crush. Decoct in water.
[Jiyao Formula) Zengsun Chaihu Tang): Treats postpartum amenorrhea interrupted, affected by strange pathogens, convulsions, teeth grinding, fainting.
Ingredients: Radix Bupleuri (Chaihu) (8 qian), Radix Scutellariae (Huangqin) (4.5 qian), Radix Ginseng (Renshen) (3 qian), Radix Glycyrrhizae Uralensis (Gancao, stir-fried) (4 qian), Gypsum Fibrosum (Shigao) (4 qian), Radix Anemarrhenae (Zimu) (3 qian), Radix Astragali Membranacei (Huangqi) (5 qian), Rhizoma Pinelliae (Banxia) (3 qian).
Preparation and Administration: Coarse powder. Take 0.5 liang with ginger and dates, decoct.
[Xuefeng Tang): Treats postpartum wind syndromes with flaccidity, spasms, weakness.
Ingredients: Radix Gentianae Macrophyllae (Qinjiao), Radix Notopterygii (Qianghuo), Radix Saposhnikoviae (Fangfeng), Radix Angelicae Dahuricae (Baizhi), Radix Chuanxiong (Chuanxiong), Radix Paeoniae (Shaoyao), Rhizoma Atractylodis Macrocephalae (Baizhu), Radix Angelicae Sinensis (Danggui), Radix Rehmanniae (Dihuang), Poria (Fuling), Rhizoma Pinelliae (Banxia), Radix Astragali Membranacei (Huangqi) (equal parts).