交骨不开者，阴血虚也。或年幼受胎，阴气不足，阴不足则气不达，所以不开；或年大
方嫁，脉络长成；或元气虚弱，胎前失调，皆有此证。用参便佛手散补而开之，或十全大补
汤亦可。古法用加味芎归汤，每见服此药者，恶血凝滞，反成不救，惟大剂人参、童便入于
芎归剂中，助其气血，开阖之攻立致也。证见切牙昏晕，急以热小便灌之，稍迟则无济矣。
若元气不虚者，只有佛手散入小便服之，人参不必用也。又有用开骨膏以参便佛手散煎汤送
下，予谓又不如用加味神柞饮开交骨如神也。予曾治彭姓女，初次生产，经日不下，交骨不
开，神柞饮并诸催生药服之不效。用人参三钱煎服，立下。
参便佛手散∶治临产交骨不开，其验如神。当归三钱，川芎一钱，人参三五钱（去血过
多加至一两），水煎，临服入童便半盏，续续进之。质壮气实者，但加童便，其参不用可也。
开骨膏∶治交骨不开（即催生方乳朱丹，彼兼治难产，此独开交骨），明乳香一两，五
月
加味神柞饮∶开交骨如神，见本卷临产催生方内。
凡孕妇胞衣未下，急于胎之未生，子死腹中急于胞之未下。盖胞衣未下，子与母气尚相
呼吸。若子死腹中，则躯形已冷，胞脏气寒，胎血凝冱、气不升降；欲下死胎，若以至寒之
药用之，不惟无益，而害母命者多矣。所以古人有用附子汤使胞脏温暖，凝血流动。以附子
能破寒气堕胎也。又有因患伤寒、热病、温疟之类，胎受邪热毒瓦斯，内外交攻，因致胎死留
于胞脏。古人深虑胎受毒瓦斯，必然胀大，故用朴硝、水银、 砂之药，不惟使胎不胀，又能
使胎形化烂，再副以行血顺气之药，死胎即下。此古人立方之意，后人遵意仿而行之，所以
有立候下胎散一方。然药味俱多峻历，且有烂肉之能，即遇壮实村妇，予犹未敢轻用，又何
敢施于富贵弱质之体哉！况予屡见死胎，人不慌迫，亦能迟迟生下，并不伤母，其故何也？
盖
自
下
而
护
腰，伤胎
绝而死；
证等类，
其宜服者
阴督脉微
千金神
简易单
坠，口
血而后
未能审
立候下胎散∶治临产或横逆、或血海干涸、或胎死不下，命在顷刻。皮硝一钱，少壮者
一钱五分，大附子体弱者加三五分（煨去皮），壮者不用，如寒天，亦加附子三五分，煨去
皮
乌金散（《局方》名黑神散，《灵苑》名肉桂散）∶治产难，或热病胎死腹中，或因颠仆
，或从高坠下、或房室惊搐，或临产惊动太早，触犯禁忌，或产时未到、经行先下恶露已尽
，致胎干子死、身冷不能出。熟地（酒焙干）、蒲黄、当归、交趾桂、芍药、军姜（即炮姜
去
六
胎
更加好滑石末半两，葵子五十粒捶碎，黄柞叶七八分，葱白二寸，顺流水煎汤调下。盖滑石
能利小便，柞叶行气逐血，葱白能通阳气，气盛血行即产矣。
查《局方》黑神散，无百草霜，用童便、酒各半调服二钱。《良方》黑神散，有炮附子
半两，无蒲黄。《简易方》黑神散，止用百草霜一味，又有加乳、没、血竭之黑神散。《纲目》
用熟地一斤，生姜半斤，同炒干为末，乌梅汤下二钱，为治产后块痛之黑神散。俱各有
录此以别黑神散之方不一。
脱花煎∶凡将产者，宜先服此药催生最佳。并治难产经日、或死胎不下俱妙。当归七八
钱或一两，肉桂心一、二钱或三钱，川芎、牛膝各二钱，车前子一钱五分，红花一钱（催生
者不用此味亦可），水二钟，煎八分，热服。或服后饮酒数杯亦妙。若胎死腹中，或坚滞不
下者，加朴硝一二钱即下。若气虚困剧者，加人参随且。若阴虚者，加熟地三五钱。
香桂散（一名桂香散，附救苦散）∶治胎死腹中不下，简便而最效。桂心三钱，麝香三
分
胎猛
牛膝丸∶下死胎。杜牛膝三两，紫金藤（即紫木香）、蜀葵根各七钱，肉桂二钱，当归
四
琥珀丸∶治妇人或老少，或产前产后百病及疗三十六种诸病，七疝，八瘕，心腹刺痛，
卒中瘫痪，半身不遂，八疯，十二痹，手足瘦疼，乳中结核结毒，怀胎惊动伤犯不安，死胎
不下。琥珀、朱砂（各另研）、沉香、阿胶（炒珠）、附子（制）、川芎、肉桂、五味子、石
斛各
药各一
乳香
引。
凡妇人服至五服十服之后，日倍饮食，
其功不能尽述，服者当自觉也。
新法下胎方（即平骨散之变局，比平胃散稳妥）∶治胎死腹中最妙，或有用半剂者。
当归一两，浓朴三钱，陈皮二钱，酒、水各一钟，煎至一钟，入朴硝或一钱或二钱，再
煎十余沸，去渣、热温服，死胎自下，或化水而出。或止用脱花煎更妙。脱花煎方见前。或
用佛手散，以酒调服亦妙。
千金神造散∶如妊妇双躯一死一生，服此生者安死者出矣。蟹爪一升，阿胶二两，甘草
二钱，以流水先煮蟹爪，甘草、去渣，纳阿胶烊化服之。血凝不下，加桂心三钱。此方用蟹
爪以去其死，阿胶以安其生，甘草和药性。
扶羸短剧方∶虚弱人欲下胎，宜用此。人参、粉草、川芎、肉桂、干姜、桃仁、黄芩、
蟹爪，上等分，每服一两，水二钟、煎八分，空心服，未动再服。
仙传保命丹（一名安禳丸，又名夺命丹）∶凡孕妇下血不止，或小产下血，及子死腹
中
药
黑
弹
官桂散∶治产妇面赤舌青，子死母活者。或面青舌赤沫出，母死子活者。或唇舌俱青黑
、沫出，母子俱死者。此方下死胎如神。官桂五钱（去皮），丹皮、川芎、葵子各一钱五分，
为末，葱白煎汤调下三钱。
黑神散∶凡临产血多，胎为血裹，以致难产，宜弃子救母。横生逆产，子死腹中，以及
胎衣不下，血迷心窍，头晕眼花，败血乘虚流散，四肢浮肿，口渴舌燥，乍寒乍热，烦躁发
狂，言语错乱，其状如癫；或月内饮冷，败血凝聚，大便艰难，小便闭涩；或血流小肠，小
便出血；或恶露未尽，误食酸物收敛，因而崩漏；或肺败、鼻中气黑；或败血冲心，喉口气
急；或血滞脾胃，心腹胀满呕吐，亦似翻胃，服之神效。当归、熟地、白芍、（炒）肉桂、
炙
温酒调下。
鸡熨死胎法∶乌鸡一只去毛、细切、水煎二三升，候汤适手，用衣帛蘸摩腹中，胎自
出。
下胎单方∶牛粪不拘多少，炒极热，入醋半盏，以青布包裹，于母脐上下熨之，立下。
千金榆皮汤∶治胎死腹中，或母有疾欲下胎，榆树皮一握，将白皮煮汁服之自下。
返魂丹∶治生产诸证，并死胎恶血，胎衣不下，横生逆产。产前清热养血，产后推陈致
新。野天麻（一名益母草，四五月采花叶子阴干）半斤，赤芍六钱，当归七钱，木香五钱，
为
酌
交骨不开，是由于阴血亏虚所致。有的是因为年幼怀孕，阴气不足，阴气不足则阳气无法通达，所以产门打不开；有的是因为年纪大了才出嫁，脉络已经长成定型；还有的是因为元气虚弱，产前调养不当，这些情况都会出现这种症状。使用参便佛手散来补益气血并打开产门，或者使用十全大补汤也可以。古法使用加味芎归汤，但常见服用此药的人，恶血凝滞，反而导致无法救治，只有在大剂量人参、童便加入芎归剂中，辅助其气血，开阖攻下的功效才能立即显现。症状表现为咬紧牙关、昏晕，急需以热小便灌服，稍迟就无济于事了。如果元气不虚的，只需将佛手散加入小便中服用，不必用人参。又有使用开骨膏，用参便佛手散煎汤送下，我认为这还不如使用加味神柞饮来打开交骨，效果如神一般。我曾治疗一位彭姓女子，初次生产，过了几天胎儿未下，交骨不开，服用神柞饮及其他催生药均无效。后来使用三钱人参煎服，胎儿立刻生下。
参便佛手散：治疗临产时交骨不开，效果灵验如神。当归三钱，川芎一钱，人参三至五钱（若失血过多可加至一两），水煎，临服时加入半盏童便，慢慢服用。体质强壮、气实的人，只需加入童便，可以不用人参。
开骨膏：治疗交骨不开（即催生方乳朱丹，该方兼治难产，此方专开交骨），明乳香一两，五月……
凡是孕妇胞衣未下，比急于胎儿未生更甚；胎儿死在腹中，比急于胞衣未下更急。因为胞衣未下时，胎儿与母体的气息尚能相互呼吸。如果胎儿死在腹中，则躯形已冷，胞脏气寒，胎血凝固，气机不升降；想要排出死胎，如果使用极寒的药物，不仅无益，反而会危害母亲性命。所以古人有用附子汤使胞脏温暖，使凝血流动。因为附子能破除寒气堕胎。又有因为患伤寒、热病、温疟等疾病，胎儿受到邪热毒气的侵袭，内外交攻，导致胎死留在胞脏。古人深深忧虑胎儿受毒气必然胀大，所以使用朴硝、水银、硇砂等药物，不仅能使胎儿不胀大，还能使胎儿形体化烂，再辅以行血顺气的药物，死胎即可排出。这是古人立方的用意，后人遵循此意仿效施行，所以有立候下胎散一方。然而药味大多峻烈，且有烂肉的能力，即使遇到身体壮实的农村妇女，我也不敢轻易使用，又怎敢施用于富贵体弱之人呢？况且我多次见到死胎，人如果不慌张紧迫，也能慢慢生下，并不伤害母亲，这是什么原因呢？大概是因为……自下而护腰，伤胎绝而死；证等类，其宜服者阴督脉微千金神简易单坠，口血而后未能审立候下胎散：治疗临产或横位逆产、或血海干涸、或胎死不下，命在顷刻。皮硝一钱，少壮者一钱五分，大附子体弱者加三至五分（煨去皮），壮者不用，如寒天，亦加附子三至五分，煨去皮……
乌金散（《局方》名黑神散，《灵苑》名肉桂散）：治疗产难，或热病胎死腹中，或因跌倒，或从高坠落、或房事惊搐，或临产惊动太早，触犯禁忌，或产时未到、经行先下恶露已尽，导致胎干子死、身冷不能出。熟地（酒焙干）、蒲黄、当归、交趾桂、芍药、军姜（即炮姜去……六……胎……更加好滑石末半两，葵子五十粒捶碎，黄柞叶七八分，葱白二寸，顺流水煎汤调下。盖滑石能利小便，柞叶行气逐血，葱白能通阳气，气盛血行即产矣。
查《局方》黑神散，无百草霜，用童便、酒各半调服二钱。《良方》黑神散，有炮附子半两，无蒲黄。《简易方》黑神散，只用百草霜一味，又有加乳香、没药、血竭的黑神散。《纲目》用熟地一斤，生姜半斤，同炒干为末，乌梅汤下二钱，为治产后块痛的黑神散。俱各有录此以别黑神散之方不一。
脱花煎：凡是即将分娩者，宜先服此药催生最佳。并治难产经日、或死胎不下俱妙。当归七八钱或一两，肉桂心一至二钱或三钱，川芎、牛膝各二钱，车前子一钱五分，红花一钱（催生者不用此味亦可），水二钟，煎八分，热服。或服后饮酒数杯亦妙。若胎死腹中，或坚滞不下者，加朴硝一二钱即下。若气虚困剧者，加人参随且。若阴虚者，加熟地三至五钱。
香桂散（一名桂香散，附救苦散）：治疗胎死腹中不下，简便而最效。桂心三钱，麝香三分……胎猛……
牛膝丸：下死胎。杜牛膝三两，紫金藤（即紫木香）、蜀葵根各七钱，肉桂二钱，当归四……
琥珀丸：治疗妇人无论老少，或产前产后百病及疗三十六种诸病，七疝，八瘕，心腹刺痛，卒中瘫痪，半身不遂，八疯，十二痹，手足瘦疼，乳中结核结毒，怀胎惊动伤犯不安，死胎不下。琥珀、朱砂（各另研）、沉香、阿胶（炒珠）、附子（制）、川芎、肉桂、五味子、石斛各……药各一……乳香……引。
凡妇人服至五服十服之后，日倍饮食，其功不能尽述，服者当自觉也。
新法下胎方（即平骨散之变局，比平胃散稳妥）：治疗胎死腹中最妙，或有使用半剂者。当归一两，浓朴三钱，陈皮二钱，酒、水各一钟，煎至一钟，入朴硝或一钱或二钱，再煎十余沸，去渣、热温服，死胎自下，或化水而出。或止用脱花煎更妙。脱花煎方见前。或用佛手散，以酒调服亦妙。
千金神造散：如妊妇双躯一死一生，服此生者安死者出矣。蟹爪一升，阿胶二两，甘草二钱，以流水先煮蟹爪，甘草、去渣，纳阿胶烊化服之。血凝不下，加桂心三钱。此方用蟹爪以去其死，阿胶以安其生，甘草和药性。
扶羸短剧方：虚弱人欲下胎，宜用此。人参、粉草、川芎、肉桂、干姜、桃仁、黄芩、蟹爪，上等分，每服一两，水二钟、煎八分，空心服，未动再服。
仙传保命丹（一名安禳丸，又名夺命丹）：凡孕妇下血不止，或小产下血，及子死腹中……药……黑……弹……
官桂散：治疗产妇面赤舌青，子死母活者。或面青舌赤沫出，母死子活者。或唇舌俱青黑、沫出，母子俱死者。此方下死胎如神。官桂五钱（去皮），丹皮、川芎、葵子各一钱五分，为末，葱白煎汤调下三钱。
黑神散：凡是临产血多，胎为血裹，以致难产，宜弃子救母。横生逆产，子死腹中，以及胎衣不下，血迷心窍，头晕眼花，败血乘虚流散，四肢浮肿，口渴舌燥，乍寒乍热，烦躁发狂，言语错乱，其状如癫；或月内饮冷，败血凝聚，大便艰难，小便闭涩；或血流小肠，小便出血；或恶露未尽，误食酸物收敛，因而崩漏；或肺败、鼻中气黑；或败血冲心，喉口气急；或血滞脾胃，心腹胀满呕吐，亦似翻胃，服之神效。当归、熟地、白芍、（炒）肉桂、炙……温酒调下。
鸡熨死胎法：乌鸡一只去毛、细切、水煎二三升，候汤适手，用衣帛蘸摩腹中，胎自出。
下胎单方：牛粪不拘多少，炒极热，入醋半盏，以青布包裹，于母脐上下熨之，立下。
千金榆皮汤：治疗胎死腹中，或母有疾欲下胎，榆树皮一握，将白皮煮汁服之自下。
返魂丹：治疗生产诸证，并死胎恶血，胎衣不下，横生逆产。产前清热养血，产后推陈致新。野天麻（一名益母草，四五月采花叶子阴干）半斤，赤芍六钱，当归七钱，木香五钱，为……酌……
Jiaogu Bu Kai (failure of the pubic symphysis to open) is caused by a deficiency of Yin blood. In some cases, pregnancy occurs at a young age when Yin Qi is insufficient; insufficiency of Yin leads to an inability of Yang Qi to penetrate, thus preventing opening. In other cases, marriage occurs at an older age when meridians and collaterals have fully matured; or there is a weakness of Yuan Qi (Original Qi) with improper regulation before delivery; all these conditions can present this syndrome. Use Shen Bian Fo Shou San (Ginseng and Child's Urine Hand-Holding Powder) to tonify and open it, or Shi Quan Da Bu Tang (Ten Significant Tonifying Decoction) may also be used. The ancient method uses Jia Wei Xiong Gui Tang (Modified Ligusticum and Angelica Decoction), but it is often seen that those who take this medicine suffer from stagnant evil blood, which instead becomes incurable. Only by adding large doses of Ren Shen (Ginseng Root) and Tong Bian (Child's Urine) to the Xiong Gui formula, assisting Qi and Blood, can the attacking force of opening and closing be achieved immediately. Symptoms include teeth grinding and fainting; urgently irrigate with hot urine, otherwise it will be too late. If Yuan Qi is not deficient, only Fo Shou San taken with urine is needed, and Ren Shen need not be used. Some use Kai Gu Gao (Bone-Opening Paste), delivered with a decoction of Shen Bian Fo Shou San; I believe this is inferior to using Jia Wei Shen Zuo Yin (Modified Artemisia and Quercus Decoction) to open Jiaogu with miraculous effect. I once treated a woman surnamed Peng during her first delivery; after many days the fetus had not descended, and Jiaogu remained closed. She took Shen Zuo Yin and other parturition-inducing medicines without effect. Then three qian of Ren Shen were decocted and administered, and the fetus was delivered immediately.
Shen Bian Fo Shou San: Treats failure of Jiaogu to open during labor, with verification as if by divine spirit. Dang Gui (Angelica Sinensis Root) 3 qian, Chuan Xiong (Ligusticum Chuanxiong Rhizome) 1 qian, Ren Shen (Ginseng Root) 3–5 qian (increase to 1 liang if excessive blood loss); decoct in water, add half a zhan of Tong Bian (Child's Urine) just before administration, and drink slowly. For those with robust constitution and excess Qi, only Tong Bian needs to be added, and Ren Shen may be omitted.
Kai Gu Gao: Treats failure of Jiaogu to open (i.e., the parturition-inducing formula Ru Zhu Dan; that formula treats difficult labor generally, while this one specifically opens Jiaogu). Ming Ru Xiang (Boswellia Resin) 1 liang, May...
Jia Wei Shen Zuo Yin: Opens Jiaogu with miraculous effect; see the parturition-inducing formulas in this volume.
Whenever the placenta has not been expelled, it is more urgent than the fetus not having been born yet. When the fetus dies in the womb, it is more urgent than the placenta not being expelled. This is because when the placenta has not been expelled, the fetus and mother still breathe together through Qi exchange. If the fetus dies in the womb, the body becomes cold, the uterine Qi becomes cold, fetal blood coagulates and freezes, and Qi fails to ascend and descend. To expel a dead fetus, if extremely cold medicines are used, not only is there no benefit, but many harm the mother's life. Therefore, ancients used Fu Zi Tang (Aconite Decoction) to warm the uterus and make coagulated blood flow, because Fu Zi (Aconite Lateral Root) can break cold Qi and induce abortion. There are also cases where, due to contracting Shang Han (Cold Damage), Re Bing (Heat Disease), or Wen Nue (Warm Malaria), the fetus is attacked by pathogenic heat and toxic vapors from inside and outside, resulting in fetal death retained in the uterus. Ancients deeply feared that fetal exposure to toxic vapors would cause distension, so they used Po Xiao (Mirabilite), Shui Yin (Quicksilver), and Niao Sha (Sal Ammoniac) medicines. Not only do these prevent fetal distension, but they also rot the fetal form. Assisted by medicines that move Blood and smooth Qi, the dead fetus is expelled. This is the intent behind the ancient prescriptions; later generations followed this intent and imitated them, hence the creation of Li Hou Xia Tai San (Standby Fetus-Expelling Powder). However, the ingredients are mostly harsh and possess the ability to rot flesh. Even for robust rural women, I dare not lightly use them, let alone for frail noble ladies! Moreover, I have frequently observed that when people do not panic regarding a dead fetus, it can be slowly delivered without harming the mother. What is the reason? Generally... protecting the waist from below, injury to the fetus leads to death; syndromes etc., those suitable for taking... Yin and Du Mai (Conception and Governor Vessels) micro... Qian Jin Shen... Jian Yi Dan... fall, mouth... blood and then... failed to examine... Li Hou Xia Tai San: Treats breech or transverse presentation, dryness of the Blood Sea, or retained dead fetus, with life hanging in the balance. Pi Xiao (Mirabilite) 1 qian, for younger/stronger individuals 1.5 qian; for weaker individuals taking large Fu Zi (Aconite Lateral Root), add 3–5 fen (simmered, skin removed); strong individuals do not use it; in cold weather, also add 3–5 fen of Fu Zi (simmered, skin removed)...
Wu Jin San (named Hei Shen San in Ju Fang, Rou Gui San in Ling Yuan): Treats difficult labor, or fetal death in the womb due to heat disease, or due to falling, jumping from heights, sexual activity causing convulsions, premature excitement during labor, violating taboos, or menstruation preceding delivery with exhausted lochia, leading to dried fetus, fetal death, cold body unable to exit. Shu Di Huang (Prepared Rehmannia Root) (roasted in wine), Pu Huang (Typha Pollen), Dang Gui (Angelica Sinensis Root), Jiao Zhi Gui (Cinnamon Bark from Cochinchina), Bai Shao (White Peony Root), Jun Jiang (Prepared Ginger)... six... fetus... add good Hua Shi (Talcum) powder half liang, Kui Zi (Abutilon Seed) 50 grains crushed, Huang Zuo Ye (Quercus Leaf) 7–8 fen, Cong Bai (Scallion White) 2 cun, decoct in flowing water and mix with powder. Hua Shi promotes urination, Zuo Ye moves Qi and expels Blood, Cong Bai unblocks Yang Qi; when Qi is abundant and Blood flows, delivery occurs.
Checking Hei Shen San in Ju Fang, it lacks Bai Cao Shuang (Burnt Grass Ash), uses Tong Bian (Child's Urine) and Wine mixed equally to take 2 qian. Hei Shen San in Liang Fang contains Pao Fu Zi (Prepared Aconite Lateral Root) half liang, lacks Pu Huang. Hei Shen San in Jian Yi Fang uses only Bai Cao Shuang, and there is another Hei Shen San with added Ru Xiang (Boswellia Resin), Mo Yao (Myrrh), and Xue Jie (Dragon's Blood). Gang Mu uses 1 jin of Shu Di Huang and half a jin of Sheng Jiang (Fresh Ginger), stir-fried dry into powder, taken with Wu Mei Tang (Mume Decoction) 2 qian, for treating postpartum mass pain Hei Shen San. All have records distinguishing various formulas named Hei Shen San.
Tuo Hua Jian: For those about to deliver, taking this medicine first is best for inducing labor. It is also excellent for prolonged difficult labor or retained dead fetus. Dang Gui (Angelica Sinensis Root) 7–8 qian or 1 liang, Rou Gui Xin (Cinnamon Twig Heart) 1–2 qian or 3 qian, Chuan Xiong (Ligusticum Chuanxiong Rhizome) and Niu Xi (Achyranthes Root) each 2 qian, Che Qian Zi (Plantago Seed) 1.5 qian, Hong Hua (Safflower) 1 qian (this ingredient may be omitted for induction); decoct 2 zhong of water to 0.8 zhong, take hot. Drinking several cups of wine after taking it is also excellent. If the fetus is dead in the womb or hard and stagnant, adding 1–2 qian of Po Xiao (Mirabilite) causes expulsion. If Qi deficiency is severe, add Ren Shen (Ginseng Root) accordingly. If Yin deficiency, add Shu Di Huang (Prepared Rehmannia Root) 3–5 qian.
Xiang Gui San (also known as Gui Xiang San, attached to Jiu Ku San): Treats retained dead fetus in the womb, simple and most effective. Gui Xin (Cinnamon Heart) 3 qian, She Xiang (Musk) 3 fen... fetal aggression...
Niu Xi Wan: Expels dead fetus. Du Niu Xi (Cyathula Root) 3 liang, Zi Jin Teng (Pueraria Lobata Stem, i.e., Zi Mu Xiang), Shu Kui Gen (Malva Root) each 7 qian, Rou Gui (Cinnamon Bark) 2 qian, Dang Gui (Angelica Sinensis Root) 4...
Hu Po Wan: Treats women of any age, various diseases before and after delivery, thirty-six types of illnesses, seven hernias, eight masses, stabbing pain in heart and abdomen, sudden stroke paralysis, hemiplegia, eight wind disorders, twelve bi syndromes, swelling and pain in hands and feet, breast nodules and toxic swellings, fetal disturbance and injury causing unrest, retained dead fetus. Hu Po (Amber), Zhu Sha (Cinnabar) (each separately ground), Chen Xiang (Aquilaria Wood), E Jiao (Donkey-hide Gelatin) (fried into beads), Fu Zi (Processed Aconite Lateral Root), Chuan Xiong (Ligusticum Chuanxiong Rhizome), Rou Gui (Cinnamon Bark), Wu Wei Zi (Schisandra Berry), Shi Hu (Dendrobium Stem) each... medicine each one... Ru Xiang (Boswellia Resin)... guide.
After women take five to ten doses, doubling daily food intake, the merits cannot be fully described; users should feel it themselves.
Xin Fa Xia Tai Fang (a variation of Ping Gu San, safer than Ping Wei San): Best for treating retained dead fetus; sometimes half a dose is used. Dang Gui (Angelica Sinensis Root) 1 liang, Nong Po (Magnolia Bark) 3 qian, Chen Pi (Citrus Reticulata Peel) 2 qian, decoct with one zhong of wine and one zhong of water to one zhong, add Po Xiao (Mirabilite) 1 or 2 qian, boil ten more times, strain, and take warm. The dead fetus will naturally be expelled or dissolve into water. Using Tuo Hua Jian alone is even better; see formula above. Or using Fo Shou San (Hand-Holding Powder) mixed with wine is also excellent.
Qian Jin Shen Zao San: If a pregnant woman carries twins, one dead and one alive, taking this ensures the living one is safe and the dead one is expelled. Xie Zhua (Crab Claw) 1 sheng, E Jiao (Donkey-hide Gelatin) 2 liang, Gan Cao (Licorice Root) 2 qian. First decoct Xie Zhua and Gan Cao in flowing water, remove dregs, dissolve E Jiao, and take. If blood coagulation prevents expulsion, add Gui Xin (Cinnamon Heart) 3 qian. This formula uses Crab Claws to remove the dead, Donkey-hide Gelatin to protect the living, and Licorice to harmonize the medicinal properties.
Fu Lei Duan Ji Fang: For weak persons wishing to expel a fetus, use this. Ren Shen (Ginseng Root), Fen Cao (Licorice Root), Chuan Xiong (Ligusticum Chuanxiong Rhizome), Rou Gui (Cinnamon Bark), Gan Jiang (Dried Ginger), Tao Ren (Peach Seed), Huang Qin (Scutellaria Root), Xie Zhua (Crab Claw), equal parts. Take 1 liang per dose, decoct 2 zhong of water to 0.8 zhong, take on an empty stomach; if no movement, take again.
Xian Chuan Bao Ming Dan (also known as An Rang Wan, Duo Ming Dan): For pregnant women with continuous bleeding, miscarriage bleeding, or fetal death in the womb... medicine... black... pellet...
Guan Gui San: Treats postpartum red face and blue tongue indicating fetal death with maternal survival. Or blue face and red tongue with froth indicating maternal death with fetal survival. Or blue-black lips and tongue with froth indicating both mother and fetus death. This formula expels dead fetuses with miraculous effect. Guan Gui (Cinnamon Bark) 5 qian (skin removed), Dan Pi (Moutan Cortex), Chuan Xiong (Ligusticum Chuanxiong Rhizome), Kui Zi (Abutilon Seed) each 1.5 qian, grind into powder, mix with Scallion White decoction and take 3 qian.
Hei Shen San: For excessive bleeding during labor where the fetus is wrapped in blood causing difficult labor, it is advisable to sacrifice the fetus to save the mother. Breech/transverse presentation, fetal death in the womb, retained placenta, blood confusing the heart orifices, dizziness, blurred vision,败血 (failed blood) scattering due to deficiency, limb edema, thirst, dry tongue, alternating chills and fever, irritability, mania, confused speech resembling madness; or drinking cold liquids within the month causing failed blood coagulation, difficult defecation, urinary retention; or blood flowing into the Small Intestine causing hematuria; or lochia not finished, mistakenly eating sour foods causing astringency leading to metrorrhagia; or lung failure, black breath from nose; or failed blood rushing to the heart causing throat tightness and rapid breathing; or blood stagnating in Spleen and Stomach causing abdominal distension, fullness, vomiting resembling inversion of the stomach. Taking this yields miraculous effects. Dang Gui (Angelica Sinensis Root), Shu Di Huang (Prepared Rehmannia Root), Bai Shao (White Peony Root), (stir-fried) Rou Gui (Cinnamon Bark), Zhi... mix with warm wine and take.
Chicken Compress Method for Dead Fetus: One black chicken, plucked and finely chopped, decocted in 2–3 sheng of water. When the liquid is hand-warm, dip silk cloth and rub the abdomen; the fetus will naturally be expelled.
Single Formula for Expelling Fetus: Cow dung as needed, stir-fried until very hot, add half a zhan of vinegar, wrap in green cloth, compress above and below the mother's umbilicus; immediate expulsion.
Qian Jin Yu Pi Tang: Treats fetal death in the womb, or mother ill and wishing to expel fetus. A handful of Elm bark, boil the white inner bark into juice and take; it will naturally be expelled.
Hun Dan: Treats various childbirth syndromes, dead fetus and evil blood, retained placenta, breech/transverse presentation. Clears heat and nourishes Blood before delivery; eliminates stale matter and generates new matter after delivery. Ye Tian Ma (Wild Gastrodia Rhizome, also known as Yi Mu Cao/HMotherwort, flowers and leaves harvested in April-May and dried in shade) half jin, Chi Shao (Red Peony Root) 6 qian, Dang Gui (Angelica Sinensis Root) 7 qian, Mu Xiang (Aucklandia Root) 5 qian, grind into... adjust...