妇人一生莫重于生产，临产莫急于催生，既产莫甚于胞衣不下。所以不下者，有因血少干涩，
或子宫空虚吸贴而不下。有因气血虚弱，产母力乏，气不转运，不能传送而停阁不下。其证但见无力，
腹中不痛胀，治当补气助血，速煎生化汤大剂，速进二三钟，或兼进益母丸，使血旺气和而衣自下。或用
保生无忧散以固元气。至于万密斋用五苓散，予恐无助血之能，不敢遵而用之。不若《景岳全书》
决津煎，或滑胎煎、无忧散、《局方》黑神散之类。又有因恶露流入胞中，胀而不能出。盖儿既生，胞
带必下坠，故胞在腹中，形如荷叶之仰，仰则盛聚血水，而胀碍难下。将儿抱定，不可断脐带，惟老成
有识见隐婆，以右手二指紧跟脐带而上，带尽处，将指向上半寸余，摸之觉有血便是胎衣，向下一捺，
其血覆，其衣自下。或以手指顶其胎底，使其血散。或以指摸上口，攀开一角，使恶露倾泻，则腹空
自下矣。法甚简明，当为下胞衣第一妙法。亦有人因衣迟不下，恐天寒不便于子，急断脐洗儿，用帛
系坠脐带。其系法已见前候胞衣生下须知论中矣。但血渗胞中不下，又不能用
手法下之，停蓄既久，渐充心胸，为胀痛或喘急，非逐血破血不可。古人用良方夺命丹，或用失笑散，
以热酒调服，使血散胀消衣下，缓则不救。又有下胎衣单方，择录以备乡村无药处急迫之用。世俗有以
本妇头发，令搅入喉中，使之作呕，则气升血散，胞软亦自下矣。亦有用产妇鞋底炙热，熨小腹上下
即出。又有血极膏、三奈方、花蕊石散、良方牛膝散、神应丹、灸足小趾法、牛膝汤、蛇蜕乌金丸、半夏
散，皆治胎衣不下之方。予谓既有手法下衣简便，又不伤人，当以用手法为最。至于吐法虽效，如不出，
反逆上者必死。至下胎衣诸方中，用硝、膝、花蕊石、硫黄等药，非惟不效，即使得下，胃气大伤，况
金石峻厉之品，恐非肠胃大虚者所宜。后方录之以备参考耳。用者慎之，况药力未必如手法之速效，而无
损于人也。如不能手法，必欲用药，总不若以失笑散，或万全汤去人参，并可取效为至当。其次亦
惟决津煎为善。
益母丸（一名返魂丹。附益母膏。） 治妇人赤白带，恶露时下不止，及治胎前、产后、经中诸
般奇痛，无所不疗。本草云∶此草胎前无滞，产后无虚，故名益母。
益母草（一味。一名茺蔚子，一名野天麻。方梗，对节生叶，叶类火麻，四五月开紫花是，白花者非）
上于五月采取，晒干连根茎叶，勿犯铁器，磨为细末，炼蜜丸如弹子大。每服一丸，用热酒和童
便化下。或随证用汤引送下。一方，以此为末，每服二钱，或酒或童便，或随证用引服之。一方，凡产
时仓卒未合，只用生益母草捣汁，入蜜少许服之，其效甚大。一益母膏方，根据前采取捣烂，以布滤取
浓汁，用砂锅文武火熬成膏，如黑砂糖色为度，入瓷罐收贮。每服二三匙，酒便调下。或于治血汤
药中，加一匙服之犹妙。
良方夺命丹 治瘀血入胞，胀满难下，急服此药，血即消，衣自下。予谓此方药峻，不可轻用。
附子（炮，五钱） 干漆（碎，炒烟尽） 牡丹皮 当归（各一两）
上为末，另用大黄末一两，以好醋一升，同熬成膏，和前药丸桐子大，温酒吞五七丸。
失笑散 治妇人心痛气刺不可忍，及产后儿枕蓄血，恶血上攻疼痛。并治小肠气痛，
更治胞衣由瘀血胀满不能出者。
五灵脂（生，酒研，澄去沙） 蒲黄（生，筛净）
为末，每服二三钱，葱汤调末服之。一方，用酒煎热服。一方，用好醋一杓，熬成膏，再入水一钟，
煎至七分，热服。一方，用醋糊和丸，龙眼大，每服一丸，以童便和水各半钟，煎七分，温服。按此方，
如行血，各等分，俱生用。如止血，俱炒用，或五灵脂减半用。若用以止痛，蒲黄宜减半。又一方，
蒲黄一半生，一半炒用。
下胎衣单方 治胞衣不下。（此方与前下死胎相同，但治法各别，故重录之。）
黑牛粪（不拘多少）
上略焙，带润，以布裹之，束于腹上，即下。
又方 治胞衣不下。
芒硝（三钱） 牛膝 当归（各五钱）
黄酒煎服即下。非壮实妇人，此方不可轻投。
血极膏（又名醋大黄丸） 治胞衣不下，恶血冲心，并腹中血块冲逆作痛。
锦纹大黄（一两）
上为末，以好醋半升，熬成膏，丸桐子大。以酒化五丸服之，须臾即下。又治女人干血有热，
脉弦数者，临卧温酒化服，大便利一二行，经脉自通。亦治经闭，通用。
三柰下胞方
三柰（一二斤）
含口内，有水咽下，其胞自落。
花蕊石散 治胎衣不下，胎死腹中。并治产后败血不尽，恶血奔心，血晕等症。或至死而心头
尚热，急以童便调服一二钱，取下恶物如鸡肝片，终身不患血虚血晕。若膈上有血，化为黄水，实时吐
出，或从小便而下。并治诸血凝滞，气绝欲死。凡血证人弱，不能攻者，服之凝血皆化为水。
花蕊石（一两） 硫黄（四钱）
为粗末，入瓦瓶内，盐泥固济，晒干。以炭火丛堆 炼一日，候冷取出，再研细。用一钱，
童便调服。此石药也，不可轻用。姑录之，以备参考耳。因产后肠胃之虚，何堪当此也。
良方牛膝散 治胞衣不下，腹中胀痛，急服此药腐化而下。
牛膝 川芎 朴硝 蒲黄（各三两） 当归（一两五钱） 桂心（五钱）
每服五钱，姜三片，加生地黄一钱，水煎服。
灸足小趾法 治产难及胞衣不下。
将产母右足小趾尖上，灸三炷，炷如小麦粒大，即易产也。此法或可治村农不裹足妇人。若缠足
者，则不便行之矣。
千金牛膝汤 治儿产胞衣不下。
牛膝 瞿麦（各一两） 当归 通草（各一两五钱） 滑石（二两） 葵子（半升）
上六味，水煎，分三服。一方，无滑石，有桂心一两。
蛇蜕乌金丸 胞衣不下，古法用蛇蜕一条，香油灯上烧研，入麝香为末，童便调服。或加蕲艾、
阿胶、苏木各一钱，麦芽末打糊为丸，名为乌金丸。遇有难产及死胎不出，俱童便服之。亦有单用蛇蜕，酥
炙为末，童便调下一钱匙者。
半夏散 治产妇肥盛多痰，阻逆气道而至产难，及子死胎干，或子下而胞衣不出。
半夏（制，不拘多少）
上为散，童便服方寸匙，连进三服。并用吹鼻取嚏，以激动关窍大妙。
生化汤（见下卷生化汤论后。） 保生无忧散（见本卷保产门易产方。） 决津煎（见上
卷鬼胎门。） 滑胎煎（见本卷保产门易产方。） 局方黑神散（见本卷子死腹中门，乌
金散即此方也。治胎衣不下，用童便、酒各半调服。） 神应丹。 保产万全汤（俱见本卷催生门。）
妇女一生之中，没有比生产更重要的；临产之时，没有比催生更急迫的；产后之患，没有比胞衣不下更严重的。之所以胞衣不下，有的是因为血少导致干涩，或者子宫空虚吸附贴附而排不下来。有的是因为气血虚弱，产母体力匮乏，气机不能运转，无法传送而导致停滞不下。其症状只是表现为无力，腹部不痛也不胀，治疗应当补气助血，迅速煎煮大剂量的生化汤，快速服用二三碗，或者同时服用益母丸，使血液旺盛、气机调和，胞衣自然就会下来。或者使用保生无忧散来固护元气。至于万密斋使用五苓散，我担心它没有补血的功能，不敢遵循并使用它。不如《景岳全书》中的决津煎，或者滑胎煎、无忧散、《局方》黑神散之类的方剂。又有因为恶露流入胞宫，胀满而不能排出的。大概婴儿出生后，胞衣和脐带必然下坠，所以胞衣在腹中，形状像仰放的荷叶，仰放则盛聚血水，从而胀满阻碍难以排出。将婴儿抱定，不要剪断脐带，只有经验丰富、有见识的老练稳婆，用右手食指和中指紧跟脐带向上探入，直到脐带的尽头，将手指向上半寸左右，摸到有血的感觉便是胎衣，向下按压，血液流散，胞衣自然脱落。或者用手指顶住胎底，使积血消散。或者用手指摸到上口，拨开一角，使恶露倾泻而出，则腹部空虚，胞衣自然排出。这种方法非常简明，应当是下胞衣的第一妙法。也有的人因为胞衣迟迟不下，担心天寒不利于婴儿，急忙剪断脐带清洗婴儿，用布带系住并坠吊脐带。其系法已经在前面“候胞衣生下须知论”中记载了。但是如果是血液渗入胞中导致不下，又不能用手法处理，停蓄时间既久，逐渐充塞心胸，出现胀痛或气喘急促，非用逐血破血的药物不可。古人使用良方夺命丹，或者使用失笑散，用热酒调服，使血液消散、胀满消除、胞衣排出，如果迟缓则无法救治。又有下胎衣的单方，择录以备乡村无药处紧急时使用。世俗有用产妇自己的头发，让搅动进入喉中，使之作呕，则气机上升、血液消散，胞衣变软也会自然排出。也有用产妇鞋底炙热，熨烫小腹上下即可排出。又有血极膏、三奈方、花蕊石散、良方牛膝散、神应丹、灸足小趾法、牛膝汤、蛇蜕乌金丸、半夏散，都是治疗胎衣不下的方剂。我认为既然有手法下衣简便，又不伤人，应当以使用手法为最佳。至于吐法虽然有效，但如果不出，反而逆上者必死。在下胎衣诸方中，使用硝石、牛膝、花蕊石、硫黄等药物，不仅无效，即使能排出，也会严重损伤胃气，何况金石类峻烈之品，恐怕不适合肠胃大虚的人。后方记录这些以备参考罢了。使用者要谨慎，况且药力未必如手法那样速效，且无损于人。如果不能用手法的，一定要用药，总不如使用失笑散，或者万全汤去掉人参，都可以取得疗效，最为妥当。其次也只有决津煎较好。
益母丸（又名返魂丹。附有益母膏。） 治疗妇人赤白带下，恶露时下不止，以及治疗产前、产后、经期各种奇痛，无所不疗。本草说：此草产前无滞碍，产后无虚损，所以名叫益母。
益母草（一味药。又名茺蔚子，又名野天麻。茎方，对节生叶，叶子类似火麻，四五月开紫花的是，白花的不行） 以上在五月采取，晒干连根茎叶，不要接触铁器，磨成细末，炼蜜制成如弹子大的丸药。每次服用一丸，用热酒和童便化开送下。或者随证用汤药引经送下。一方，以此药为末，每次服用二钱，或者用酒或童便，或者随证用引经药送服。一方，凡产时仓促未合，只用生益母草捣汁，加入少许蜂蜜服用，效果很大。一益母膏方，根据前法采取捣烂，用布过滤取浓汁，用砂锅文武火熬成膏，颜色如黑砂糖为度，装入瓷罐收贮。每次服用二三匙，酒和便调下。或者在治疗血的汤药中加入一匙服用尤其好。
良方夺命丹 治疗瘀血进入胞宫，胀满难下，急服此药，血液即消，胞衣自然排出。我认为此方药性峻猛，不可轻用。
附子（炮制，五钱） 干漆（捣碎，炒至烟尽） 牡丹皮 当归（各一两）
以上研为末，另外用大黄末一两，用好醋一升，同熬成膏，和前药混合制成如桐子大小的丸药，温酒吞服五七丸。
失笑散 治疗妇人心痛气刺不可忍受，以及产后儿枕蓄血，恶血上攻疼痛。并治小肠气痛，更治胞衣因瘀血胀满不能排出者。
五灵脂（生用，酒研，澄去沙） 蒲黄（生用，筛净）
研为末，每次服用二三钱，葱汤调末服下。一方，用酒煎热服。一方，用好醋一杓，熬成膏，再入水一碗，煎至七分，热服。一方，用醋糊和丸，龙眼大小，每次服用一丸，用童便和水各半碗，煎至七分，温服。按此方，如用于行血，各等分，都生用。如用于止血，都炒用，或者五灵脂减半用。若用以止痛，蒲黄宜减半。又一方，蒲黄一半生用，一半炒用。
下胎衣单方 治疗胞衣不下。（此方与前文下死胎相同，但治法各别，故重新记录。）
黑牛粪（不拘多少）
以上略加焙干，带着湿润，用布包裹，束于腹部上方，胞衣即下。
又方 治疗胞衣不下。
芒硝（三钱） 牛膝 当归（各五钱）
黄酒煎服即下。不是壮实妇人，此方不可轻投。
血极膏（又名醋大黄丸） 治疗胞衣不下，恶血冲心，并腹中血块冲逆作痛。
锦纹大黄（一两）
以上研为末，用好醋半升，熬成膏，制成如桐子大小的丸药。用酒化开五丸服下，片刻即下。又治女人干血有热，脉弦数者，临睡前温酒化服，大便通利一二行，经脉自然通畅。也治经闭，通用。
三柰下胞方
三柰（一二斤）
含在口内，有水咽下，其胞衣自然脱落。
花蕊石散 治疗胎衣不下，胎死腹中。并治产后败血不尽，恶血奔心，血晕等症。或者至死而心头尚热，急以童便调服一二钱，取下恶物如鸡肝片，终身不患血虚血晕。若膈上有血，化为黄水，实时吐出，或从小便而下。并治诸血凝滞，气绝欲死。凡血证人身弱，不能攻者，服之凝血皆化为水。
花蕊石（一两） 硫黄（四钱）
研为粗末，放入瓦瓶内，用盐泥密封固济，晒干。用炭火丛堆煅烧一日，候冷取出，再研细。用一钱，童便调服。此石药也，不可轻用。姑且记录，以备参考罢了。因为产后肠胃之虚，怎能承受此药呢。
良方牛膝散 治疗胞衣不下，腹中胀痛，急服此药腐化而下。
牛膝 川芎 朴硝 蒲黄（各三两） 当归（一两五钱） 桂心（五钱）
每次服用五钱，姜三片，加生地黄一钱，水煎服。
灸足小趾法 治疗产难及胞衣不下。
将产母右足小趾尖上，灸三炷，炷如小麦粒大，即易产也。此法或可治村农不裹足妇人。若缠足者，则不便行之矣。
千金牛膝汤 治疗儿产胞衣不下。
牛膝 瞿麦（各一两） 当归 通草（各一两五钱） 滑石（二两） 葵子（半升）
以上六味，水煎，分三次服。一方，无滑石，有桂心一两。
蛇蜕乌金丸 胞衣不下，古法用蛇蜕一条，香油灯上烧研，入麝香为末，童便调服。或加蕲艾、阿胶、苏木各一钱，麦芽末打糊为丸，名为乌金丸。遇有难产及死胎不出，俱童便服之。亦有单用蛇蜕，酥炙为末，童便调下一钱匙者。
半夏散 治疗产妇肥盛多痰，阻逆气道而至产难，及子死胎干，或子下而胞衣不出。
半夏（制，不拘多少）
以上研为散，童便服方寸匙，连进三服。并用吹鼻取嚏，以激动关窍大妙。
生化汤（见下卷生化汤论后。） 保生无忧散（见本卷保产门易产方。） 决津煎（见上卷鬼胎门。） 滑胎煎（见本卷保产门易产方。） 局方黑神散（见本卷子死腹中门，乌金散即此方也。治胎衣不下，用童便、酒各半调服。） 神应丹。 保产万全汤（俱见本卷催生门。）
In a woman's life, nothing is more important than childbirth; at the time of labor, nothing is more urgent than promoting delivery; after delivery, no condition is more severe than retained placenta. The reasons for retained placenta include: some cases are due to blood deficiency causing dryness and roughness, or uterine emptiness leading to adhesion and failure to expel. Other cases are due to Qi and Blood deficiency, where the mother lacks strength, Qi fails to circulate, and cannot transport the placenta, resulting in stagnation. The symptoms manifest only as weakness, without abdominal pain or distension. Treatment should focus on tonifying Qi and assisting Blood. Quickly decoct a large dose of Shenghua Tang (Life Generating Decoction) and administer two to three bowls rapidly, or concurrently administer Yimu Wan (Motherwort Pill), so that Blood becomes abundant and Qi harmonizes, allowing the placenta to fall naturally. Alternatively, use Baosheng Wuyou San (Protect Life and Ensure Peace Powder) to consolidate Yuan Qi. As for Wan Mizhai's use of Wuling San (Five-Ingredient Powder with Poria), I fear it lacks the ability to nourish Blood, and thus dare not follow its usage. It is better to use Juejin Jian (Decoction for Crossing the Ford) from *Jingyue Quanshu* (Complete Works of Zhang Jingyue), or Huatai Jian (Decoction for Slippery Fetus), Wuyou San, or Heishen San (Black Divine Powder) from *Ju Fang* (Formulas of the Bureau). Another cause is lochia flowing into the uterus, causing distension that prevents expulsion. Generally, after the infant is born, the placenta and umbilical cord must descend; thus, the placenta within the abdomen takes the shape of an inverted lotus leaf. An inverted shape collects blood and fluid, causing distension that hinders expulsion. Secure the infant firmly, do not cut the umbilical cord immediately. Only experienced and knowledgeable midwives should insert their right index and middle fingers along the umbilical cord upwards until the end of the cord. Insert the fingers slightly upward, about half a cun, and if blood is felt upon palpation, it indicates the placenta. Press downwards gently; as the blood disperses, the placenta will naturally detach. Alternatively, use a finger to push against the fetal bottom to disperse accumulated blood. Or, feel the upper opening with a finger, open a corner, allowing lochia to drain out; once the abdomen is empty, the placenta will naturally descend. This method is very simple and should be considered the best technique for expelling the placenta. Some people, fearing that delayed placental expulsion in cold weather harms the infant, hastily cut the umbilical cord and wash the baby, tying and suspending the cord with cloth. The method of tying was described in the previous section "Notes on Waiting for Placental Expulsion." However, if blood has seeped into the uterus preventing expulsion, and manual methods cannot be used, prolonged stagnation may gradually fill the chest and heart, causing distending pain or rapid breathing. In such cases, drugs that purge and break up blood stasis are indispensable. Ancients used Liangfang Duoming Dan (Miracle Drug Preserving Life Pill from Good Prescriptions) or Shixiao San (Pain-Stopping Powder), taken with hot wine to disperse blood, reduce distension, and expel the placenta; delay leads to untreatable conditions. There are also single-herb prescriptions for expelling the placenta, selected here for emergency use in rural areas lacking medicine. Secular practices include inserting a woman's own hair into her throat to induce vomiting, causing Qi to rise and blood to disperse, softening the placenta for natural expulsion. Others use heated soles of the mother's shoes to moxa-compress the lower abdomen, which can also expel the placenta. Other formulas include Xueji Gao (Blood Extreme Paste), Sannai Fang (Sanmae Prescription), Huaruishi San (Flower Rock Stone Powder), Liangfang Niuxi San (Good Prescription Achyranthes Powder), Shenying Dan (Divine Response Pill), Moxibustion on the Little Toe, Niuxi Tang (Achyranthes Decoction), Shetui Wujin Wan (Snake Slough Black Gold Pill), and Banxia San (Pinellia Powder), all treating retained placenta. I believe that since manual methods are simple, effective, and non-injurious, they should be preferred. Although vomiting methods are effective, if vomit does not occur but flows backward, death is certain. Among the various formulas for expelling the placenta, those using Niter (Xiao), Achyranthes (Niuxi), Flower Rock Stone (Huaruishi), and Realgar (Liuhuang) are not only ineffective but also severely damage Stomach Qi even if successful. Moreover, harsh mineral substances are likely unsuitable for those with severe deficiency of the intestines and stomach. These later formulas are recorded for reference only. Users must exercise caution, as drug efficacy may not match the speed of manual methods and carries risks of harm. If manual methods are impossible and drugs are necessary, Shixiao San (Pain-Stopping Powder) or Wanquan Tang (Ten-Thousand Complete Decoction) with Ginseng removed are most appropriate. Secondly, Juejin Jian (Decoction for Crossing the Ford) is also good.
Yimu Wan (also known as Fanhun Dan / Soul-Returning Pill. Includes Yimu Gao.) Treats leukorrhea (red and white discharge) in women, continuous postpartum lochia, and various strange pains during pregnancy, postpartum, and menstruation; it treats everything. Materia Medica states: This herb causes no stagnation before birth and no deficiency after birth, hence named "Beneficial to Mother."
Yimucao (Motherwort Herb) (Single ingredient. Also known as Chongweizi, also known as Yetianma. Square stem, opposite leaves, leaves resemble hemp flowers, opens purple flowers in April-May; white-flowered varieties are invalid.) Collect in May, dry completely including roots, stems, and leaves. Avoid iron contact. Grind into fine powder. Refine honey and form pills the size of a bullet. Take one pill each time, dissolve in hot wine and child's urine (Tongbian). Or take with decoction according to syndrome differentiation. Another prescription: Use this powder, take two qian each time, with wine or child's urine, or with syndrome-specific guiding herbs. Another prescription: In case of sudden labor preparation, use fresh Motherwort herb, crush and extract juice, add a little honey, and take orally; the effect is significant. One Yimu Gao (Motherwort Paste) formula: Follow the above collection method, crush, filter through cloth to obtain thick juice. Boil in a clay pot over moderate heat until it becomes a paste, dark brown like black sugar candy. Store in porcelain jars. Take two to three spoons each time, mixed with wine and urine. Or add one spoon to blood-regulating decoctions for better effect.
Liangfang Duoming Dan (Miracle Drug Preserving Life Pill from Good Prescriptions) Treats blood stasis entering the uterus, causing fullness and difficulty in expulsion. Take urgently; blood dissipates, and placenta falls naturally. I consider this formula harsh and advise against light use.
Fuzi (Prepared Aconite Root, 5 qian) Ganqi (Dry Resin, crushed, stir-fried until smoke ceases) Mudanpi (Tree Peony Bark) Danggui (Angelica Sinensis, 1 liang each)
Grind into powder. Separately, take Dahuang (Rhubarb) powder 1 liang, boil with 1 sheng of good vinegar into a paste. Mix with the aforementioned powder to form pills the size of tung tree seeds. Swallow 5-7 pills with warm wine.
Shixiao San (Pain-Stopping Powder) Treats unbearable stabbing heart pain in women, postpartum "child pillow" blood stasis, and pain caused by evil blood attacking upwards. Also treats intestinal Qi pain, and specifically treats retained placenta due to blood stasis distension.
Wulingzhi (Trogopterus Dung, raw, ground with wine, settled to remove sand) Puhuang (Lygodium Spore, raw, sifted clean)
Grind into powder. Take 2-3 qian each time, mix with scallion decoction. Another prescription: Boil with wine and take hot. Another prescription: Use one ladle of good vinegar, boil into paste, add one bowl of water, boil to 70%, take hot. Another prescription: Mix with vinegar paste to form pills the size of longan, take one pill each time, boil in half a bowl of child's urine and half a bowl of water to 70%, take warm. Note: For moving blood, use equal parts raw. For stopping bleeding, use fried versions, or halve Wulingzhi. For pain relief, halve Puhuang. Another prescription: Half raw, half fried Puhuang.
Xia Taiyi Danfang (Single Prescription for Expelling Placenta) Treats retained placenta. (This formula is identical to the one for expelling dead fetus, but treatment differs, so it is re-recorded.)
Heiniufen (Black Cow Manure) (Any amount)
Lightly roast while moist, wrap in cloth, bind to the upper abdomen. Placenta will expel immediately.
Another Formula for Retained Placenta
Mangxiao (Natrii Sulfas, 3 qian) Niuxi (Achyranthes Bidentata) Danggui (Angelica Sinensis, 5 qian each)
Decoct in yellow wine and take. Do not use lightly unless the woman is robust.
Xueji Gao (Blood Extreme Paste, also known as Cudahuang Wan) Treats retained placenta, evil blood rushing to the heart, and painful abdominal blood masses.
Jinwen Dahuang (Striped Rhubarb, 1 liang)
Grind into powder. Boil with half a sheng of good vinegar into a paste. Form pills the size of tung tree seeds. Dissolve five pills in wine and take. Expels quickly. Also treats women with dry blood and heat, wiry-rapid pulse. Take with warm wine before sleep. Promotes bowel movement 1-2 times, meridians clear naturally. Also treats amenorrhea, generally applicable.
Sannai Xiabao Fang (Sanmae Prescription for Expelling Placenta)
Sannai (Sanmae Rhizome, 1-2 jin)
Hold in mouth, swallow saliva when produced. Placenta will fall naturally.
Huaruishi San (Flower Rock Stone Powder) Treats retained placenta, dead fetus in uterus. Also treats incomplete postpartum lochia, evil blood rushing to heart, syncope due to blood loss, etc. If dead but heart still warm, urgently take 1-2 qian mixed with child's urine. Expels foul matter resembling chicken liver slices; lifelong prevention of blood deficiency syncope. If blood above diaphragm turns to yellow fluid, expectorate immediately or pass via urine. Also treats all blood stagnation, near-death Qi collapse. For weak patients unable to withstand strong purgatives, this converts clotted blood to liquid.
Huaruishi (Flower Rock Stone, 1 liang) Liuhuang (Realgar, 4 qian)
Grind into coarse powder. Place in earthenware bottle, seal with salt mud, dry. Roast over charcoal fire for one day. Cool, grind finely. Take 1 qian, mix with child's urine. This is a mineral drug; do not use lightly. Recorded for reference only. Postpartum intestine-stomach deficiency cannot tolerate this.
Liangfang Niuxi San (Good Prescription Achyranthes Powder) Treats retained placenta, abdominal distension and pain. Take urgently to rot and expel.
Niuxi (Achyranthes Bidentata) Chuanxiong (Ligusticum Chuanxiong) Puxiao (Mirabilite) Puhuang (Lygodium Spore, 3 liang each) Danggui (Angelica Sinensis, 1.5 liang) Guixin (Cinnamon Twig, 5 qian)
Take 5 qian each time, add 3 slices of ginger and 1 qian of Shengdihuang (Rehmannia Root), decoct in water and take.
Jiu Zu Xiaozhi Fa (Moxibustion on Little Toe Method) Treats difficult labor and retained placenta.
Moxa-burn three cones on the tip of the mother's right little toe. Cone size like wheat grain. Facilitates easy delivery. This method may suit rural women who do not bind feet. Not suitable for bound-footed women.
Qianjin Niuxi Tang (Thousand Gold Achyranthes Decoction) Treats retained placenta after delivery.
Niuxi (Achyranthes Bidentata) Qumai (Dianthus Superbus, 1 liang each) Danggui (Angelica Sinensis) Tongcao (Tetrapanax Papyriferus, 1.5 liang each) Huashi (Talcum, 2 liang) Kuizi (Abelmoschus Manihot Seeds, half sheng)
Decoct these six ingredients in water, divide into three doses. Another prescription: Without Huashi, add Guixin 1 liang.
Shetui Wujin Wan (Snake Slough Black Gold Pill) For retained placenta, ancient method uses one snake slough, burn over sesame oil lamp, grind to powder, add Shexiang (Musk), mix with child's urine. Or add Qiai (Artemisia argyi), Ejiao (Donkey-hide Gelatin), Sumu (Sappan Wood) 1 qian each, malt powder paste to form pills, named Wujin Wan. For difficult labor or dead fetus, take with child's urine. Some use only snake slough, roasted in butter, ground to powder, take one teaspoon with child's urine.
Banxia San (Pinellia Powder) Treats obese parturient women with excessive phlegm obstructing airways causing difficult labor, dead fetus with dried membranes, or placenta retention after fetal expulsion.
Banxia (Prepared Pinellia Tuber) (Any amount)
Grind into powder. Take one cun-sized spoon with child's urine, continue for three doses. Also blow powder into nose to induce sneezing, greatly activating orifices.
Shenghua Tang (See Shenghua Tang Discussion in Lower Volume) Baosheng Wuyou San (See Easy Delivery Formulas in Protection Chapter of This Volume) Juejin Jian (See Ghost Fetus Chapter in Upper Volume) Huatai Jian (See Easy Delivery Formulas in Protection Chapter of This Volume) Ju Fang Heishen San (See Dead Fetus in Uterus Chapter in This Volume; Wu Jin San is this formula. For retained placenta, mix equally with child's urine and wine) Shenying Dan. Baochan Wanquan Tang (All see Promotion Chapter in This Volume)