一方 治产难数日，子死腹中不出，母气欲绝。
瞿麦（六两） 通草（三两） 桂心（三两） 牛膝（四两） 榆白皮（四两）
一方无榆白皮，有天花粉四两，大能堕胎。
上细切，用水九升，煎取三升，去渣，分三服，顿饮即下。
又方牛膝丸 下死胎。
杜牛膝（三两） 紫金藤（七钱） 肉桂（二钱） 当归（四钱） 蜀葵根（七钱） 麝香（半钱）
上为末，米糊为丸，如梧桐子大，朱砂为衣，每服五十丸，乳香汤送下。
又方 治子死腹中不出。
用黄牯牛屎不拘多少，涂母腹上，立出。一云∶以牛屎炒令大
热，入醋半盏，以青布包裹，于母脐上下熨之，立下。
又治子死腹中，用鸡子黄一个，生姜自然汁一合，调匀顿服。分娩后，用芸台粥补之。
生子下血过多，子死腹中，憎寒，手指甲青，面色黄黑，胎上抢
心，闷乱欲死，冷汗自出，喘满不食，或食毒物，或误服草药伤胎，下血不止，胎尚未损可安，若已死即下，极妙。
牡丹皮 赤芍药 桂心 桃仁 白茯苓
上各等分，为细末，炼蜜为丸，如弹子大，每服一丸细嚼，淡醋汤送下，连服数丸立验。
一方 治胞衣不下。
川牛膝（三钱） 当归身尾（二钱） 木通（三钱） 滑石（四钱） 冬葵子（二钱半）
上细切，水煎，连进二三服，即下。
（丹溪活套）云∶凡妇人胎前诸疾，只须以四物汤为主治，看证加减调治。如觉腹中烦闷，口苦厌食，不问月数多
少，本方加白术、条芩、砂仁煎服。如五、六个月后，胎动不安，或逆抢逼心，本方加阿胶、艾叶、砂仁、枳壳、条芩、
白术、野苎根，入金银，同煎服。如气血虚心烦，脉虚大无力，或怔忡手战，及时有微热，本方加人参、白术、黄芩、
甘草、酸枣仁、远志、麦门冬、地骨皮等药。如五、六个月前，无故下血，或因事下血，谓之漏胎，本方加条芩、白术、
甘草、白芷、茅根、地榆、桑寄生之类。如七、八个月前后，面目及四肢浮肿，本方加茯苓、泽泻、白术、条芩、炒栀
子、浓朴、甘草梢、麦门冬之类。如孕中忽然口噤吐沫，不省人事，言语错乱，本方合二陈汤，加麦门冬、竹茹、远志、
石菖蒲之类。如感冒风寒，头痛发热，或身体疼痛，本方合小柴胡汤，或更加细辛、白芷、防风、羌活等药。如二、三
个月内，呕吐恶心，不纳饮食，谓之恶阻，本方去地黄，加陈皮、半夏曲、砂仁、神曲、藿香、麦芽、陈仓米、白术之
类。或因事动胎，致胎不安，动撞不已，及下血欲堕，本方加人参、白术、白茯苓、条芩、白芷、桑寄生、砂仁、阿胶
珠、甘草等药。或时有白浊白带，本方加白茯苓、陈皮、苍术、半夏曲、牡蛎、龙骨之类。如无故腹痛，泻利清水，或
发热，胎动不安，本方加白术、茯苓、猪苓、泽泻、苍术、诃子皮、砂仁、神曲、干姜之类。
（祖传方）
治难产，沥浆胞干，胎不得下，用香油、蜂蜜各一碗和匀，用铜
铫慢火煎一、二沸，掠去沫，调白滑石末一两重，搅匀顿服，外以油蜜于母腹脐上下摩之，立产。
又方 催生，曾试甚验。
用兔头骨、家猫头骨各一个，烈火 ，地上出火毒，研为极细末，每服二、三钱，浓煎芎归汤调下，即产。
又方，治胞衣不下，三蜕饮∶
蛇蜕（一条，全者） 蚕蜕纸（一方） 蝉蜕（四十九个）
用瓷瓶盛烧存性，细研，顺流水调服，立下。
One prescription: Treats difficult labor lasting several days, where the fetus has died in the uterus and cannot be expelled, leaving the mother with faint breath and critical condition.
*Epimedium Herba* (Qumai, 瞿麦) (6 liang), *Akebiae Caulis* (Tongcao, 通草) (3 liang), *Cinnamomi Cortex* (Guixin, 桂心) (3 liang), *Achyranthis Bidentatae Radix* (Niuxi, 牛膝) (4 liang), *Ulmus Macrocarpa Cortex* (Yubaipi, 榆白皮) (4 liang).
Another version omits *Ulmus Macrocarpa Cortex* and adds *Paeoniae Radix Alba* (Tianhuafen, 天花粉) (4 liang), which has a strong abortifacient effect.
Finely chop the above herbs, decoct with 9 sheng of water until reduced to 3 sheng, remove the dregs, divide into three doses, and drink all at once to expel the dead fetus.
Another prescription: Niuxi Wan (Achyranthus Pill), used to expel dead fetuses.
*Polygoni Multiflori Caulis* (Duniuxi, 杜牛膝) (3 liang), *Paederiae Scandentis Herba* (Zijin Teng, 紫金藤) (7 qian), *Cinnamomi Cortex* (Rougui, 肉桂) (2 qian), *Angelicae Sinensis Radix* (Danggui, 当归) (4 qian), *Malvae Root* (Shukui Gen, 蜀葵根) (7 qian), *Moschus* (Shexiang, 麝香) (0.5 qian).
Grind the above into fine powder, bind with rice paste to make pills the size of *Koelreuteriae Fructus* (Wutongzi, 梧桐子), coat with *Cinnabar* (Zhusha, 朱砂). Take 50 pills per dose, administered with *Boswelliae Resina* (Ruxiang, 乳香) decoction.
Another prescription: Treats fetal death in utero with inability to expel.
Apply an unspecified amount of yellow ox dung to the mother's abdomen; the fetus will be delivered immediately. Alternatively: Stir-fry ox dung until very hot, add half a zhan of vinegar, wrap in a blue cloth, and apply as a compress above and below the mother's umbilicus; the fetus will be delivered immediately.
Another method: For fetal death in utero, use one egg yolk mixed with 1 he of fresh ginger juice, taken orally in one dose. After delivery, nourish with Youcai Congee (Turnip Congee).
If excessive bleeding occurs during childbirth, or if the fetus is dead in the uterus, accompanied by aversion to cold, cyanosis of fingernails, sallow and dark complexion, fetal qi rushing to the heart causing chest oppression and delirium, spontaneous cold sweat, panting and abdominal fullness with anorexia, or due to ingesting toxic substances, accidental herb injury to the fetus, or continuous bleeding: If the fetus is not yet damaged, it can be preserved; if already dead, immediate expulsion is excellent.
*Moutan Cortex* (Mudanpi, 牡丹皮), *Paeoniae Radix Rubra* (Chishaoyao, 赤芍药), *Cinnamomi Cortex* (Guixin, 桂心), *Persicae Semen* (Taoren, 桃仁), *Poria* (Baifuling, 白茯苓).
Take equal parts of the above, grind into fine powder, bind with refined honey to make pills the size of a bullet. Chew one pill thoroughly per dose, swallow with light vinegar decoction. Continuous administration of several pills yields immediate results.
One prescription: Treats retained placenta (Baoyi, 胞衣).
*Achyranthes Bidentatae Radix* (Chuanniuxi, 川牛膝) (3 qian), *Angelicae Sinensis Radix* (Dangguishenwei, 当归身尾) (2 qian), *Akebiae Caulis* (Mutong, 木通) (3 qian), *Talcum* (Huashi, 滑石) (4 qian), *Abutilonis Fructus* (Dongkuizi, 冬葵子) (2.5 qian).
Finely chop, decoct in water, take 2-3 consecutive doses to expel the placenta.
According to "Danxi Huotao": For various prenatal conditions in women, primarily treat with Siwu Tang (Four Substances Decoction), modifying based on symptoms. If feeling abdominal stuffiness, bitter taste, and anorexia, regardless of gestational age, add *Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术), *Scutellariae Radix* (Tiaoqin/Huangqin, 条芩), and *Amomi Fructus* (Sharen, 砂仁) to the base formula. If after 5-6 months there is restless fetus or fetal qi rushing to the heart, add *Colla Corii Asini* (Ejiao, 阿胶), *Artemisiae Argyi Folium* (Aiye, 艾叶), *Amomi Fructus* (Sharen, 砂仁), *Citri Reticulatae Pericarpium Viride* (Zhike, 枳壳), *Scutellariae Radix* (Tiaoqin, 条芩), *Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术), and *Boehmeriae Niveae Radix* (Yezhugen, 野苎根), decocted together with gold/silver foil. If Qi and Blood deficiency causes vexation, pulse is deficient, large, and powerless, or palpitations and hand tremors occur with slight fever, add *Ginseng Radix* (Renshen, 人参), *Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术), *Scutellariae Radix* (Huangqin, 黄芩), *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草), *Zizyphi Semen* (Suanzaoren, 酸枣仁), *Polygalae Radix* (Yuanzhi, 远志), *Ophiopogonis Radix* (Maimendong, 麦门冬), and *Lycii Cortex* (Digupi, 地骨皮). If before 5-6 months there is unexplained bleeding or bleeding due to trauma, termed "Leaking Fetus" (Lou Tai, 漏胎), add *Scutellariae Radix* (Tiaoqin, 条芩), *Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术), *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草), *Angelicae Dahuricae Radix* (Baizhi, 白芷), *Imperatae Rhizoma* (Maogen, 茅根), *Sanguisorbae Radix* (Diyu, 地榆), and *Taxilli Herba* (Sangjisheng, 桑寄生). If around 7-8 months there is edema of face, eyes, and limbs, add *Poria* (Fuling, 茯苓), *Alismatis Rhizoma* (Zexie, 泽泻), *Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术), *Scutellariae Radix* (Tiaoqin, 条芩), stir-fried *Gardeniae Fructus* (Zhizi, 栀子), *Magnoliae Officinalis Cortex* (Houpo, 厚朴), *Glycyrrhizae Radix et Rhizoma* (Gancaoshao, 甘草梢), and *Ophiopogonis Radix* (Maimendong, 麦门冬). If suddenly jaw locking, foaming at the mouth, unconsciousness, and confused speech occur during pregnancy, combine with Erchen Tang (Two Aged Decoction), adding *Ophiopogonis Radix* (Maimendong, 麦门冬), *Bambusae Larix Texta* (Zhuru, 竹茹), *Polygalae Radix* (Yuanzhi, 远志), and *Acori Tatarinowii Rhizoma* (Shichangpu, 石菖蒲). If suffering from wind-cold invasion with headache, fever, or body pain, combine with Xiaochaihu Tang (Minor Bupleurum Decoction), or add *Asari Radix* (Xixin, 细辛), *Angelicae Dahuricae Radix* (Baizhi, 白芷), *Saposhnikoviae Radix* (Fangfeng, 防风), and *Notopterygii Rhizoma et Radix* (Qianghuo, 羌活). If within 2-3 months there is vomiting, nausea, and inability to eat, termed "Ezu" (Morning Sickness/Obstruction, 恶阻), remove *Rehmanniae Radix Preparata* (Dihuang, 地黄) from the base formula, and add *Citri Reticulatae Pericarpium* (Chenpi, 陈皮), *Pinelliae Rhizoma Praeparatum* (Banxiaqu, 半夏曲), *Amomi Fructus* (Sharen, 砂仁), *Massa Medicata Fermentata* (Shenqu, 神曲), *Agastaches Herba* (Huoxiang, 藿香), *Hordei Fructus Germinatus* (Maiya, 麦芽), aged rice (Chencangmi, 陈仓米), and *Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术). If trauma disturbs the fetus causing restlessness, constant kicking, and threatened miscarriage with bleeding, add *Ginseng Radix* (Renshen, 人参), *Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术), *Poria* (Baifuling, 白茯苓), *Scutellariae Radix* (Tiaoqin, 条芩), *Angelicae Dahuricae Radix* (Baizhi, 白芷), *Taxilli Herba* (Sangjisheng, 桑寄生), *Amomi Fructus* (Sharen, 砂仁), processed *Colla Corii Asini* (Ejiaozhu, 阿胶珠), and *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草). If there is frequent white turbid discharge or leukorrhea, add *Poria* (Baifuling, 白茯苓), *Citri Reticulatae Pericarpium* (Chenpi, 陈皮), *Atractylodis Rhizoma* (Cangzhu, 苍术), *Pinelliae Rhizoma Praeparatum* (Banxiaqu, 半夏曲), *Concha Ostreae* (Muli, 牡蛎), and *Os Draconis* (Longgu, 龙骨). If unexplained abdominal pain, watery diarrhea, or fever with restless fetus occurs, add *Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术), *Poria* (Fuling, 茯苓), *Polyporus* (Zhuling, 猪苓), *Alismatis Rhizoma* (Zexie, 泽泻), *Atractylodis Rhizoma* (Cangzhu, 苍术), *Terminalia Chebulae Fructus* (Hezipi, 诃子皮), *Amomi Fructus* (Sharen, 砂仁), *Massa Medicata Fermentata* (Shenqu, 神曲), and *Zingiberis Rhizoma Praeparatum* (Ganjiang, 干姜).
(Ancestral Prescription)
For difficult labor, premature rupture of membranes with dry amniotic fluid preventing descent, mix one bowl of sesame oil and one bowl of honey, slowly boil in a copper pot for 1-2 boils, skim off foam, mix in 1 liang of finely powdered *Talcum*, stir well, and take orally in one dose. Simultaneously massage the mother's abdomen above and below the umbilicus with the oil-honey mixture for immediate delivery.
Another prescription: Labor induction, proven effective through trial.
Use one rabbit skull and one domestic cat skull, calcine over fierce fire to remove toxicity, grind to extremely fine powder. Take 2-3 qian per dose, mixed with strongly decocted Xiong Gui Tang (Chuanxiong and Angelica Decoction) for immediate delivery.
Another prescription for retained placenta, named Sandui Yin (Three Molts Decoction):
*Ophichthus Skin* (Shetui, 蛇蜕) (one whole piece), *Bombyx Molt Paper* (Chentuizhi, 蚕蜕纸) (one portion), *Cicada Slough* (Chantui, 蝉蜕) (49 pieces).
Store in a porcelain bottle, calcine until carbonized but retaining properties, grind finely, administer with flowing water, resulting in immediate expulsion of the placenta.