〔大全〕夫有产儿出，胞衣不落者，世谓之息胞。由产初时用力，比产儿出，而体
已疲惫，不复能用力，产胞经停之间，而外冷乘之，则血道涩，故胞衣不出。须急以方
药救治，不妨害于儿，所奈者胞紧连儿脐，胞不出即不得以时断脐浴洗，冷气伤儿，则成
病也。旧法胞衣不出，恐损儿者，根据法截脐而已。产处须顺四时方面，并避五行禁忌，若
有触犯，多令产妇难产。
郭稽中论曰∶胎衣不下者何？答曰∶母生子讫，流血入衣中，衣为血所胀，故不得
下。治之稍缓，胀满腹，以次上冲心胸，疼痛喘急者，但服夺命丹以逐去衣中之血，血
散胀消，胎衣自下。牛膝汤亦效。
〔薛〕有因恶露入衣，胀而不能出，有因元气亏损而不能送出，其恶露流衣中者，腹
中胀痛，用夺命丹或失笑散以消瘀血，缓则不救。其元气不能送者，腹中不胀痛，用保
生无忧散以补固元气，或用蓖麻子肉一两，细研成膏，涂母右脚心，衣下即洗去，缓则肠
亦出。如肠不上，仍用此膏涂脑顶，则肠自入。益母丸亦效。家人妇胎衣不出，胸腹
胀痛，手不敢近，此瘀血为患，用热酒下失笑散一剂，恶露胎衣并下。一产妇胎衣不
出，腹不胀痛，手按之痛稍缓，此是气虚而不能送出，用无忧散而下。前证余询诸稳婆
云，宜服益母草丸，或就以产妇头发入口作呕，胎衣自出，其不出者必死，授与前法甚
效。一产妇产后面赤，五心烦热，败血入
胞，胞衣不下，热有冷汗。思但去其败血，其衣自下，遂用乌豆二合，炒透，然后烧红铁
秤锤同豆淬其酒，将豆淋酒化下益母丹二丸，胞衣从血而出，余证尽平。
夺命丹
附子（半两，泡） 牡丹皮（一两） 干漆（二钱半，碎之，炒烟尽）
上为细末，以酽醋一升，大黄末一两同熬成膏，和药丸如梧子大，温酒吞五七丸，不拘时。
花蕊石散 治产后气欲绝，缘败血不尽，血迷血晕，恶血奔心，胎死腹中，胎衣不下、
至死者，但心头暖，急以童子小便调一钱，取下恶物如猪肝，终身无血风血气疾。膈上有
血，化为黄水，即吐出或小便中出也。若先下胎衣，则泛泛之药不能达，若先治血闷，则
寻常之药无此功，无如此药有两全之效。
花蕊石（一斤） 上色硫黄（四两，各研细）
上二味，相拌令匀，先用纸和胶泥固瓦罐子一个，内可容药，候泥干，入药在内，密
泥封口了，焙笼内焙令透热，安在四方砖上，（砖上书八卦五行字。）用炭一秤，笼叠周匝，自巳
午时从下生火，令渐渐上彻，有坠下火放夹火上，直至经宿，炭消火冷，又放经宿，冷
定取出，细研，以绢罗至细，瓷合内盛，根据法用之。（此药便是疗金疮花蕊石散，寻常人自宜时
时收蓄防急。）
一亲戚妇人，产后胞衣不下，血涨迷闷，不省人事，告之曰∶死矣。予曰∶此血胀也，
可用花蕊石散救之。因以一钱，童便调灌下即苏，其胎衣与恶水旋即下而无恙。
芎 散 治胎衣不下。
芎 当归（焙，各半两） 榆白皮（一两，锉）
为细末，每服二钱，食前用生地黄汁同温酒调下。
必效方牛膝汤 治胎衣不出，脐腹坚胀急痛，即杀人。服此药胞即烂下，死胎亦下。
牛膝 瞿麦（各四两） 当归（三两） 通草（六两） 滑石（八两） 葵子（五两）
上细切，以水九升，煮取三升，分三服。若衣不下，腹满即杀人，宜服此药，衣即烂
出也。
牛膝散 治妊娠五六月堕胎，胞衣不出。
牛膝 川芎 朴硝 蒲黄（各七钱半） 桂心（半两） 当归（一两半）
上为粗末，每服四钱，水一盏，姜三片，生地黄一分，煎至六分，去滓温，频服。
千金备急丹 治产后恶血冲心，胎衣不下，腹中血块。
以锦纹大黄一两为细末，用酽醋半升，同煎如膏，丸如桐子大，温醋汤吞五丸，或七
丸，须臾恶血即下，愈。
《保命》治胎衣不下，或子死腹中，或血冲上昏闷，或血暴下及胎干不能生产。半夏
汤主之。（方见前催生。）
下胎丸
半夏 白散（各半两）
上细末，丸如桐子大。食后半夏汤下三十丸，渐加至五十丸。如未效者，须广大其
药，榆白皮散主之。又不效，用大圣散主之。有宿热者，宜服人参荆芥散。
治胞衣不出，若腹胀则杀人。
黑豆一合（炒令熟）
上入醋一盏，煎三五沸，去豆，分为三服。酒煮亦可。
《必效方》治胎衣不下。服蒲黄如枣大。（《集验》、《千金》、《崔氏方》并同。）
又方 生地黄汁（一升） 苦酒（三合） 暖服之。
又方 牛膝（一两） 葵子（一合） 杵碎，以水一盏半，煎至一盏，去滓分二服。
《广济》治胎衣不出方。
以灶突中土三指撮，以水服之。（《集验》、《千金》、《备急》同。）
又方 伏龙肝（一大块，研碎） 用好醋调令相合，纳脐中，续煎生甘草汤三四合服。
又方 醋汤饮之出。
又方 鸡子（一枚） 苦酒（一合） 和饮之，立出
《延年方》治胎衣不出，腹胀则杀人。
吞鸡子黄三个，仍解发刺喉中令呕，即出。若困极，以水煮蝼蛄一枚，二十沸，灌
入口，汁下即出。（崔氏同。）
《救急方》赤小豆（男七粒，女十四粒） 东流顺水吞下。
疗胞衣不下方。
栝蒌实（一个取子研令细）
上酒、童便各半盏、相和，煎至七分，去滓温服。（如无实，根亦得。）
又方 红花（一两） 酒煮浓汁服。
又方 以鹿角镑屑，研细三分，煮葱白汤调下。
凡欲产时，必先脱常所着衣以笼灶，胞衣自下，仍易产。
《广济方》胞衣不出取夫单衣盖井上，立出。
又方 取产母鞋底，火炙热，熨小腹上下二七次。
又方 取路傍破草鞋前截，连鼻烧灰，童便和酒调下。
又方 皂角刺烧为末，每服一钱，温酒调下。
《宝庆方》云∶妇人百病，莫甚于生产，产科之难，临产莫重于催生，既产莫甚于胞
衣不下，惟有花蕊石散一药，最为紧要。如黑神散、琥珀散诸方之类，虽皆有验，然乡
居或远于药局，仓卒之间，无法可施。今有一妙法，若产讫胞衣不下，停待稍久，非特
产母疲倦，又且血流入胞中，为血所胀，上冲心胸，喘急疼痛，必致危笃。若有此证，宜
急断脐带，以少物系坠，（以物系坠之时，切宜用心，先系然后截断，不尔则胞上掩心而死。）使其子
血脉不潮入胞中，则胞衣自当痿缩而下，纵淹延数日，亦不害人。只要产母心怀安泰，终
自下矣。累试有验，不可轻信坐婆，妄用手法，多有因此而亡者，慎之慎之。
〔针灸〕
胞衣不下 三阴交 中极（各泻之。）
〔标幽〕又法 照海 内关
〔甲〕女子字难，若胞不出，昆仑主之。
【大全】有的产妇胎儿娩出后，胎盘（胞衣）不脱落，世人称之为“息胞”。这是因为分娩时用力过度，等到胎儿娩出后，身体已经疲惫不堪，无法再用力。在胎盘尚未排出的间隙，外界寒气乘虚而入，导致血脉运行涩滞，所以胎盘不能排出。必须紧急用方药救治，这对婴儿没有妨碍，所担心的是胎盘紧紧连着婴儿的脐带，胎盘不排出就不能及时剪断脐带并给婴儿洗澡清洗，寒气伤害婴儿，就会致病。旧法认为胎盘不下，恐怕损伤婴儿，就按照方法剪断脐带即可。分娩的地方必须顺应四季的方向，并避开五行禁忌，如果有触犯，多会导致产妇难产。
郭稽中论述说：胎衣不下的原因是什么？回答说：母亲生下孩子后，血液流入胎衣中，胎衣被血液胀满，所以不能下行。治疗如果稍微迟缓，腹部会因胀满而疼痛，进而向上冲击心胸，出现疼痛、气喘急促等症状，只需服用夺命丹以驱逐胎衣中的瘀血，血液消散、胀满消除，胎衣自然排出。牛膝汤也有效。
薛己论述：有的因为恶露进入胎衣，胀满而不能排出；有的因为元气亏损而不能推送出来。那些恶露流入胎衣中的，腹部胀痛，使用夺命丹或失笑散来消除瘀血，如果治疗迟缓则无法挽救。那些元气不足不能推送的，腹部不胀痛，使用保生无忧散来补固元气，或者用一两蓖麻子肉，细细研磨成膏，涂抹在产妇右脚心，胎衣排出后立即洗去，如果拖延过久，直肠也会脱出。如果直肠不收回，仍然用此膏涂抹头顶，直肠自然会缩回。益母丸也有效。亲戚家的妇人胎衣不下，胸腹胀痛，手不敢触碰，这是瘀血为患，用热酒送服一剂失笑散，恶露和胎衣一并排出。另一位产妇胎衣不下，腹部不胀痛，用手按压疼痛稍缓解，这是气虚不能推送，使用无忧散使胎衣排出。之前的病症我询问各位稳婆（接生婆），她们说应该服用益母草丸，或者直接用产妇的头发入口引起呕吐，胎衣自然排出，如果不排出必死无疑，传授上述方法非常有效。一位产妇产后面色发红，五心烦热，败血进入胞宫，胎衣不下，伴有冷汗。我想只要去除败血，胎衣自然排出，于是用黑豆二合，炒透，然后将烧红的铁秤锤与豆子一起淬入酒中，将豆淋酒化开，送服益母丹两丸，胎衣随着血液排出，其余症状全部平息。
夺命丹
附子（半两，浸泡） 牡丹皮（一两） 干漆（二钱半，捣碎，炒至烟尽）
以上药物研为细末，用浓醋一升，大黄末一两一同熬制成膏，调和药粉制成梧桐子大小的丸剂，温酒吞服五到七丸，不限时间。
花蕊石散 治疗产后气息微弱欲绝，因为败血未尽，血迷血晕，恶血奔心，胎死腹中，胎衣不下导致死亡的情况，只要心头尚暖，紧急用童子小便调服一钱，排出如猪肝状的恶物，终身不再患血风血气疾病。膈上有血，化为黄水，就会吐出或从小便排出。如果先排出胎衣，普通的药物达不到病所；如果先治疗血闷，寻常的药物没有这种功效，只有这药有双全的效果。
花蕊石（一斤） 上色硫黄（四两，分别研细）
以上两味药，混合均匀，先用纸和胶泥密封一个瓦罐，内能容纳药物，待泥干后，放入药物在内，严密封口，在焙笼内焙透热，放在四方砖上，（砖上写八卦五行字。）用炭一秤，层层叠放包围，从巳午时开始从下生火，让热量渐渐向上穿透，有掉落的火放在夹火上，直到经过一夜，炭消火冷，又放置一夜，冷却后取出，细细研磨，用绢筛至极细，盛在瓷盒中，根据方法使用。（此药就是治疗金疮的花蕊石散，普通人应当时常收藏以防急用。）
一位亲戚的妇人，产后胎衣不下，血液胀满导致昏迷，不省人事，告知她说：死了。我说：这是血胀，可以用花蕊石散抢救。于是用一钱，童便调灌下去立即苏醒，其胎衣与恶水随即排出且无大碍。
芎䓖散 治疗胎衣不下。
川芎 当归（焙干，各半两） 榆白皮（一两，锉碎）
研为细末，每次服用二钱，饭前用生地黄汁同温酒调下。
必效方牛膝汤 治疗胎衣不出，脐腹部坚硬胀满急痛，这会致死。服用此药胎衣即烂而下，死胎也能排出。
牛膝 瞿麦（各四两） 当归（三两） 通草（六两） 滑石（八两） 葵子（五两）
以上切碎，用水九升，煮取三升，分三次服用。如果胎衣不下，腹部胀满就会致死，宜服用此药，胎衣即烂出。
牛膝散 治疗妊娠五六月堕胎，胎衣不出。
牛膝 川芎 朴硝 蒲黄（各七钱半） 桂心（半两） 当归（一两半）
以上为粗末，每次服用四钱，水一盏，姜三片，生地黄一分，煎至六分，去渣温服，频频服用。
千金备急丹 治疗产后恶血冲心，胎衣不下，腹中血块。
用锦纹大黄一两为细末，用浓醋半升，同煎如膏，制成桐子大小的丸剂，温醋汤吞服五丸或七丸，片刻后恶血即下，痊愈。
《保命》治疗胎衣不下，或子死腹中，或血冲上昏闷，或血暴下及胎干不能生产。半夏汤主治。（方剂见前文催生部分。）
下胎丸
半夏 白散（各半两）
以上研为细末，制成桐子大小的丸剂。饭后用半夏汤送服三十丸，逐渐加至五十丸。如果无效，须扩大药量，用榆白皮散主治。又无效，用大圣散主治。有宿热者，宜服人参荆芥散。
治疗胞衣不出，如果腹胀则会致死。
黑豆一合（炒熟）
以上加入醋一盏，煎煮三五沸，去掉豆子，分为三次服用。用酒煮也可以。
《必效方》治疗胎衣不下。服用蒲黄如枣大。（《集验》、《千金》、《崔氏方》都相同。）
又一方 生地黄汁（一升） 苦酒（三合） 温热服用。
又一方 牛膝（一两） 葵子（一合） 捣碎，用水一盏半，煎至一盏，去渣分两次服用。
《广济》治疗胎衣不出方。
取灶突中的土三指撮，用水送服。（《集验》、《千金》、《备急》相同。）
又一方 伏龙肝（一大块，研碎） 用好醋调匀，纳入脐中，随后煎服生甘草汤三四合。
又一方 喝醋汤使其排出。
又一方 鸡蛋（一枚） 苦酒（一合） 混合饮用，立即排出。
《延年方》治疗胎衣不出，腹胀则致死。
吞服鸡子黄三个，同时解开头发刺喉中引起呕吐，即排出。如果极度困倦，用水煮蝼蛄一枚，二十沸，灌入口中，汁液下即排出。（崔氏相同。）
《救急方》赤小豆（男七粒，女十四粒） 向东流的顺水吞下。
治疗胞衣不下方。
栝蒌实（一个取子研令细）
以上酒、童便各半盏，混合，煎至七分，去渣温服。（如果没有果实，根也可以。）
又一方 红花（一两） 酒煮浓汁服用。
又一方 用鹿角镑屑，研细三分，煮葱白汤调下。
凡是想要分娩时，必须先脱下平时穿的衣服覆盖在灶上，胞衣自然排出，仍然容易生产。
《广济方》胎衣不出，取丈夫的单衣盖在井上，立即排出。
又一方 取产母的鞋底，用火烤热，熨烫小腹上下十四次。
又一方 取路旁破草鞋的前截，连同鞋鼻烧成灰，童便和酒调下。
又一方 皂角刺烧为末，每次服用一钱，温酒调下。
《宝庆方》说：妇人百病，没有比生产更严重的，产科之难，临产没有比催生更重要的，既产之后没有比胎衣不下更危急的，只有花蕊石散这一味药，最为紧要。像黑神散、琥珀散等方剂，虽然都有疗效，然而乡居或远离药局，仓促之间，无法施治。现在有一个妙法，如果生产完毕后胎衣不下，停留等待稍久，不仅产妇疲倦，而且血液流入胞中，被血所胀，向上冲击心胸，气喘疼痛，必定导致危重。如果有此证候，应紧急剪断脐带，用少量物体系住坠下，（系住物体时，务必用心，先系然后截断，否则胎衣会上掩心脏而死。）使其子血脉不潮入胞中，则胎衣自然萎缩而下，即使拖延数日，也不害人。只要产妇心怀安泰，最终自然会排出。多次试验有效，不可轻信坐婆（稳婆），妄用手法，多有因此而亡者，慎之又慎。
[Daquan] In some cases, after the fetus is delivered, the placenta (Baoyi) does not detach, a condition known in the world as "Xi Bao" (Stagnant Placenta). This occurs because of excessive exertion during labor; by the time the fetus is born, the mother's body is exhausted and unable to exert further force. During the interval before the placenta is expelled, external cold pathogens invade, causing blood vessels to become sluggish, thus preventing the placenta from being discharged. Immediate treatment with herbal medicine is required. This does not harm the infant, but the concern is that the placenta remains tightly connected to the umbilical cord. If the placenta is not expelled, the umbilical cord cannot be cut and the infant bathed in a timely manner; cold pathogens may injure the infant, leading to disease. The old method states that if the placenta does not descend, fearing injury to the infant, one should simply cut the umbilical cord according to protocol. The place of delivery must conform to the directions of the four seasons and avoid taboos related to the Five Elements; violations often lead to difficult labor.
Guojizhong discussed: What is the cause of retained placenta? The answer is: After the mother gives birth, blood flows into the placenta, distending it, which prevents it from descending. If treatment is delayed, abdominal distension and pain will occur, progressively ascending to strike the chest and heart, causing pain, panting, and urgency. One should administer Duoming Dan (Life-Restoring Pill) to expel the stagnant blood within the placenta. Once the blood disperses and distension subsides, the placenta will naturally descend. Niuxi Tang (Achyranthes Decoction) is also effective.
Xue Ji discussed: Some cases are due to lochia entering the placenta, causing distension and preventing expulsion; others are due to deficiency of Yuan Qi (Primal Qi), which fails to push the placenta out. In cases where lochia flows into the placenta, there is abdominal distension and pain; use Duoming Dan or Shixiao San (Pain-Relieving Powder) to resolve blood stasis. If treatment is delayed, rescue is impossible. In cases where Yuan Qi is insufficient to push, there is no abdominal distension or pain; use Baosheng Wuyou San (Preserve Life and Ensure Safety Powder) to tonify and secure Yuan Qi. Alternatively, apply one liang of castor bean paste to the sole of the mother's right foot; wash it off immediately after the placenta is expelled. If delayed, the rectum may prolapse. If the rectum does not retract, apply this paste to the vertex of the head, and the rectum will naturally retract. Yimu Wan (Motherwort Pill) is also effective. A relative's wife had retained placenta with chest and abdominal distension and pain, intolerable to touch; this was caused by blood stasis. Administer one dose of Shixiao San with hot wine, and both lochia and placenta were expelled. Another patient had retained placenta without abdominal distension or pain, but tenderness upon pressure; this was Qi deficiency failing to push. Use Wuyou San to expel the placenta. Regarding previous cases, I asked midwives who suggested taking Motherwort Pills or inducing vomiting by placing the mother's hair in her mouth, which would cause the placenta to descend spontaneously; failure to do so would result in death. The aforementioned methods are very effective. A postpartum woman presented with a red face, five-palm heat,敗血 (stagnant blood) entering the uterus, retained placenta, and cold sweats. Thinking that removing the stagnant blood would allow the placenta to descend naturally, I used two he of black beans, thoroughly fried, then quenched a red-hot iron scale weight in wine with the beans. The resulting bean-dripping wine was used to dissolve two pills of Yimu Dan (Motherwort Pill); the placenta was expelled with the blood, and other symptoms resolved completely.
Duoming Dan (Life-Restoring Pill)
Fuzi (Prepared Aconite Root, half liang, soaked) Mudanpi (Tree Peony Bark, one liang) Ganxi (Dry Resin, two qian and a half, crushed, stir-fried until smoke ceases)
Grind all into fine powder. Boil strong vinegar (one sheng) with Rhubarb powder (one liang) until a paste forms. Mix with the powder to form pills the size of sophora seeds. Swallow five to seven pills with warm wine at any time.
Huarui Shi San (Flower Manganese Stone Powder) Treats postpartum faintness of breath due to incomplete expulsion of stagnant blood, blood confusion and vertigo, evil blood rushing to the heart, fetal death in utero, retained placenta leading to death. As long as the heart area remains warm, urgently mix one qian with child's urine and administer. It will expel foul matter resembling pig liver, preventing blood wind and blood qi diseases for life. Blood above the diaphragm transforms into yellow fluid, which is vomited or excreted in urine. If the placenta is expelled first, ordinary medicines cannot reach the pathology; if blood stagnation is treated first, common medicines lack this efficacy. Only this medicine achieves both goals.
Huarui Shi (Flower Manganese Stone, one jin) Shangse Liuhuang (Yellow Sulfur, four liang, each ground finely)
Mix the two ingredients evenly. Seal a clay jar with paper and mud, ensuring it can hold the medicine. Once dry, place the medicine inside, seal tightly with mud, and bake thoroughly in a kiln. Place on a square brick inscribed with Bagua and Five Elements characters. Surround with one cheng of charcoal, layering carefully. Start fire from below at Si-Wu hours, allowing heat to penetrate gradually upwards. Catch falling embers on upper fires. Continue overnight until charcoal is consumed and fire cools. Leave for another night. Remove when cool, grind finely, sieve through silk to extreme fineness, and store in porcelain jars. Use according to method. (This medicine is also Huarui Shi San for treating metal wounds; ordinary people should keep it for emergencies.)
A relative's wife suffered from retained placenta postpartum, with blood distension causing coma and unconsciousness. She was told she was dead. I said: This is blood distension; it can be saved with Huarui Shi San. One qian was mixed with child's urine and administered; she revived immediately, and the placenta and foul water were expelled without incident.
Xiong San (Ligusticum Powder) Treats retained placenta.
Xiong (Ligusticum Chuanxiong Rhizome) Danggui (Angelica Sinensis Root, dried, half liang each) Yubai Pi (Elm Bark, one liang, chopped)
Grind into fine powder. Take two qian per dose. Before meals, mix with fresh Rehmannia juice and warm wine.
Bixiao Fang Niuxi Tang (Must-Efficacy Achyranthes Decoction) Treats retained placenta with hard, distended, and painful umbilical and abdominal regions, which can be fatal. Taking this medicine causes the placenta to rot and descend; dead fetuses are also expelled.
Niuxi (Achyranthes Root) Qumai (Dianthus Herb, four liang each) Danggui (Angelica Sinensis Root, three liang) Tongcao (Tetrapanax Pith, six liang) Huashi (Talcum, eight liang) Kuizi (Abutilon Seed, five liang)
Finely chop. Boil in nine sheng of water until three sheng remain. Divide into three doses. If the placenta does not descend and abdominal distension occurs, it is fatal; take this medicine to cause the placenta to rot and exit.
Niuxi San (Achyranthes Powder) Treats retained placenta after miscarriage at five or six months of pregnancy.
Niuxi (Achyranthes Root) Chuanxiong (Ligusticum Rhizome) Piaoxiao (Mirabilite) Puhuang (Lygodium Spore, seven qian and a half each) Guixin (Cinnamon Twig, half liang) Danggui (Angelica Sinensis Root, one liang and a half)
Make into coarse powder. Take four qian per dose. Boil with one sheng of water, three slices of ginger, and one fen of fresh Rehmannia until six fen remains. Strain and drink warm frequently.
Qianjin Beiji Dan (Thousand Golden Emergency Pill) Treats postpartum evil blood rushing to the heart, retained placenta, and abdominal blood masses.
Use Jinwen Dahuang (Jinwen Rhubarb, one liang) ground into fine powder. Boil with half sheng of strong vinegar until a paste forms. Make pills the size of sesame seeds. Swallow five or seven pills with warm vinegar soup. Evil blood will be expelled shortly, leading to recovery.
"Bao Ming" Treats retained placenta, fetal death in utero, blood rushing upward causing faintness, sudden heavy bleeding, or dry placenta preventing delivery. Banxia Tang (Pinellia Decoction) is the primary formula. (See earlier section on promoting delivery.)
Xitai Wan (Fetus-Expelling Pill)
Banxia (Pinellia Tuber) Baisan (White Powder, half liang each)
Grind into fine powder and make pills the size of sesame seeds. Take thirty pills with Banxia Tang after meals, gradually increasing to fifty pills. If ineffective, increase dosage using Yubai Pi San (Elm Bark Powder). If still ineffective, use Dasheng San (Great Sage Powder). For those with chronic heat, Ren Shen Jingjie San (Ginseng and Schizonepeta Powder) is suitable.
Treating retained placenta; abdominal distension can be fatal.
Heidou (Black Soybean, one he, fried until cooked)
Add one sheng of vinegar, boil for three to five boils, remove beans, and divide into three doses. Can also be boiled in wine.
"Bixiao Fang" Treats retained placenta. Take Puhuang (Lygodium Spore) the size of a jujube. ("Ji Yan", "Qian Jin", "Cui Shi Fang" agree.)
Another prescription: Shengdihuang Zhi (Fresh Rehmannia Juice, one sheng) Ku Jiu (Vinegar, three he). Warm and drink.
Another prescription: Niuxi (Achyranthes Root, one liang) Kuizi (Abutilon Seed, one he). Crush, boil in one and a half sheng of water until one sheng remains. Strain and divide into two doses.
"Guang Ji" Prescription for Retained Placenta.
Take three finger-pinches of soil from the chimney flue, swallow with water. ("Ji Yan", "Qian Jin", "Be Ji" agree.)
Another prescription: Fulonggan (Dragon's Liver/Calcined Earth, large piece, ground) Mix well with good vinegar, apply to the umbilicus. Subsequently decoct and drink Sheng Gancao Tang (Fresh Licorice Decoction, three to four he).
Another prescription: Drink vinegar soup to expel it.
Another prescription: Ji Zi (Chicken Egg, one) Ku Jiu (Vinegar, one he). Mix and drink; it will be expelled immediately.
"Yan Nian Fang" Treats retained placenta; abdominal distension can be fatal.
Swallow three chicken egg yolks. Simultaneously untie hair and prick the throat to induce vomiting; it will be expelled. If extremely weak, boil one mole rat in water for twenty boils, and administer the liquid orally; it will be expelled. ("Cui Shi" agrees.)
"Jiu Ji Fang" Chi Xiaodou (Red Adzuki Bean, seven grains for males, fourteen for females). Swallow with east-flowing water.
Treatment for Retained Placenta.
Gualou Shi (Trichosanthes Fruit Seed, one fruit, seeds ground finely)
Mix half a cup of wine and half a cup of child's urine. Boil until reduced to seventy percent. Strain and drink warm. (If fruit is unavailable, root may be used.)
Another prescription: Honghua (Safflower, one liang). Boil in wine, consume concentrated juice.
Another prescription: Lu Jiao Bang Xie (Deer Horn Shavings), grind finely to three fen. Mix with scallion white decoction and take.
Whenever preparing for delivery, first remove commonly worn clothes and cover the stove with them; the placenta will descend naturally, facilitating delivery.
"Guang Ji Fang" For retained placenta, take the husband's single-layer garment and cover the well with it; it will be expelled immediately.
Another prescription: Take the mother's shoe sole, heat it over fire, and moxa/iron the lower abdomen up and down fourteen times.
Another prescription: Take the front part of a broken straw sandal found by the road, including the toe loop, burn to ash, mix with child's urine and wine, and take.
Another prescription: Burn Gaojiao Ci (Gleditsia Spine) to ash. Take one qian per dose, mix with warm wine.
"Bao Qing Fang" states: Among women's diseases, none are more severe than childbirth. In obstetrics, nothing is more critical than promoting delivery during labor; after delivery, nothing is more urgent than retained placenta. Only Huarui Shi San (Flower Manganese Stone Powder) is most crucial. Although formulas like Heishen San (Black Divine Powder) and Hupo San (Amber Powder) have efficacy, rural residents far from pharmacies may find themselves without options in emergencies. Here is a wonderful method: If the placenta does not descend after delivery and waits too long, not only will the mother be exhausted, but blood will flow into the uterus, distending it, striking the chest and heart, causing panting and pain, leading to critical danger. If such symptoms occur, urgently cut the umbilical cord and tie a small object to hang it down. (When tying, be careful: tie first, then cut; otherwise, the placenta may rise and crush the heart, causing death.) This prevents blood from flooding into the placenta, causing it to shrink and descend naturally. Even if delayed for several days, it will not harm the person. As long as the mother remains calm, it will eventually descend. Tested repeatedly with success. Do not blindly trust midwives to use manual manipulation; many have died due to this. Exercise utmost caution.
[Acupuncture]
Retained Placenta: Sanyinjiao (SP6), Zhongji (CV3). Apply reducing method.
[Biao You Jing] Another Method: Zhaohai (KI6), Neiguan (PC6).
[Jia Yi Jing] For women with difficult labor, if the placenta does not descend, Kunlun (BL60) is indicated.