《大全》云∶产后血露不绝者,由产后损伤经血,虚损不足,或分解之时,恶血
不尽,留停腹中。致气血不摄,故令淋沥不绝也。
薛氏曰∶若前证肝气热而不能主血,宜六味地黄丸。若肝气虚而不能藏血,宜
逍遥散。若脾气虚而不能摄血,宜六君子汤。若胃气下陷而不能统血,宜补中益气
汤。若脾经郁热而血不归源,宜加味归脾汤。若肝经怒火而妄行,宜加味四物汤,若气血俱虚,宜
十全大补汤。若肝经风邪而血沸腾,宜四物加防风。他如乌金散、蒲醋饮子,俱宜审证用之。
保生无忧散 治妊娠身居安逸,口厌甘肥,忧乐不常,食物不节,致胞胎肥浓,根
蒂坚牢。或瘦人血少胎弱,临蓐难产。入月服之,则易生也。
当归 川芎 白芍药 枳壳(麸炒) 木香 甘草(炙,各一钱半) 乳香(另研) 血余(
烧存性,另研,各五分)
上作一服水煎,入乳香、血余和匀。不拘时服。
八珍汤(见第十六)
四物汤(见第二十一)
神妙乳砂丹 治难产。
明乳香为末,以猪心血为丸,如桐子。朱砂为衣。日干。每服一丸,嚼碎冷酒
下。良久未生,再服。或以莲叶蒂七个,水煎化服二丸。良久未生,再服。
葵子如圣散 催生。
黄蜀葵子,不拘多少,烙干为末。热酒调下二钱。神效。如无子,花亦可。若胎漏血干难产,痛
极者,并进三服。良久腹中气宽,胎滑即产。须见正产候,方可服之。如打扑死胎,红花酒下。
加味芎归汤 产后血气虚,感风寒,头疼寒热。
当归 川芎(各二钱) 紫苏 干葛(各一钱)
上锉,加生姜三片,水煎服。
补中益气汤(见第三十九)
龟壳散 治交骨不开,不能生产。
当归 川芎 败板(一个,酥炙) 妇人头发(生长过者一握,烧存性)
上为散。每服五钱,水煎服。约人行五里即生。始胎死不下,灼过龟版亦可。
十全大补汤(见第十六)
平胃散(见第四十四)
千金神造汤 治动胎及产难,子死腹中,或妊娠两儿,一死一生。服之令死者出,生者安。神验莫测。
蟹爪(一升) 甘草(二尺) 阿胶(三两)
上三味,以东流水一斗,先煮蟹爪,甘草得三升。去滓。次内胶令烊,顿服之。
不能下,再服。若人昏牙紧,拗口,内药。药入即活。煎药作东向灶,用苇薪煮之。
半夏汤 治胎衣不下,或子死腹中,或血冲上昏闷,或血暴下,及胞干而不能产者。
半夏曲(一两半) 桂(去皮,七钱半) 大黄(五钱) 桃仁(三十粒,去皮尖、炒)
上为粗末。先服四物汤一、二服,次用此药一钱,生姜三片,水煎服。如未效,次服下胎丸。
束胎丸 胎瘦易生,服至产则已。
白术 枳壳(去瓤,麸炒,各等分)
为末,烧饭丸如桐子大。八月,一日食前服三、五十丸,温水下。
达生散 八、九个月内,服十数帖,易产。
大腹皮(三钱) 人参 陈皮 紫苏茎叶(各五分) 归身尾 白术 白芍药(各一钱)
甘草(炙,二钱)
上作一服,入青葱五叶,黄杨脑七个(即黄杨树叶梢儿。食少胎瘦者不须用。)水煎服。或
加枳壳、砂仁。春加川芎。夏加黄芩。秋加泽泻。冬加砂仁。气虚,倍参、术。
气实,加香附、陈皮。血虚,加当归、地黄。形实,倍紫苏。性急多怒,加黄连、柴胡。热甚,加
黄芩。湿热,加滑石、半夏。食积,加山楂。食后易饥,倍黄杨脑。腹痛,加木香、官桂。
张氏方 治妊娠胎肥壅隘,动止艰辛。临月服之,缩胎易产。兼治肠中诸疾,下气宽膈。
枳壳(五两) 甘草(一两半) 香附子(三两,炒去毛)
上为末,姜汤点服。如丈夫妇人,冷气攻刺,胁肋疼痛者,用葱白三寸,同煎
服。妇人脾寒,血气成块作痛,热酒调服。大小便不通,白牵牛汤调服。
神寝丸 瘦胎滑利易产。临月服之神效。
通明乳香(半两另研) 枳壳(麸炒,一两)
为末,炼蜜丸如桐子大。每三十丸,空心温酒下。
佛手散 治妊娠因事仆跌,子死腹中,恶露妄行,疼痛不已,口噤欲绝,用此药探
之。若子死腹中,立便逐下。若腹痛随止,子母俱安。又治临产艰难,胞衣不下,
及产后血晕,不省人事,状如中风,血崩恶露不止,腹中血刺 痛,血滞浮肿,
血入心经,语言颠倒,如见鬼神,血风相搏,身热头痛,或似疟非疟,一切胎前
产后,危害野狼狈,垂死等证,并皆治之。丹溪云∶催生只用佛手散,最稳当,又效捷。
当归(酒洗、去芦,一两) 川芎(七钱,一方各等分)
上细锉,分作四分。每服先用水一盏,煎将干,投酒一盏半,煎五、七沸温服。
如口噤, 开灌之。如人行五里许,再灌一服。尽此四服,便产神验。如产难
倒横,子死腹中,先用黑豆炒熟,入白水、童便各一盏,用药四钱煎服。如胞产五七日,不下垂
死,及矮石女子,交骨不开者,加龟版,并生育过妇人头发,烧灰为末。每三钱,酒调服。
三合济生汤 以枳壳、芎归、达生三方,抽其精粹而成合此汤。治临产艰难。虽一、
二日不下者,服此自然转动下生。
当归(三钱) 川芎 枳壳(麸炒,各二钱) 香附子(炒,一钱) 苏叶(八分) 粉草(七
分) 大腹皮(姜汁洗,一钱半)
上用水煎。待腰腹痛甚,服之即产。一方加白芷一钱。
黑神散(一名催生如神散) 治横生逆产,其功甚大。并治胎前产后虚损,月水不止,崩漏等证。
百草霜 白芷(不见火,各等分)
上为末。每服二钱,以童便、米醋和如膏,加沸汤调下。或童便酒煎进二服。
然血得黑则止,此药大能固血,又免血涸,甚妙。一方加白滑石,煎芎归汤调下。
阿胶赤小豆汤 治难产累日,气力乏尽,不得生,此是宿有病者,宜此方。
阿胶(二两) 赤小豆(二升)
上,以水九升,煮豆令熟。去滓,内胶令烊。每服五合。不觉,更服。不过三服即出。
兔脑丸(一名催生丹) 治难产,及横生逆产。
兔脑(腊月者,去皮膜,研如膏) 明乳香(二钱半,细研) 母丁香(为末,一钱) 麝香(
一字,另研细)
上研匀,用兔脑髓和为丸,如鸡头大。阴干,油纸封里。每一丸。破水后,温
水下,即产。随男左女右手握药出。
如神散 催生累效,理则难通。
用路上草鞋一双,取鼻梁上绳,洗净烧灰,童便和酒调下三钱。一名千里马。
黄金散 治生产一、二日,难分娩者。服之如神。
真金箔,大者五片,小者七片。以小磁钟,将水少许,去纸,入箔在内,用指
研匀。后再添水至半钟。一面先令一人扶产妇虚坐,又令一妇人用两手大指,按
定产母两肩上肩井穴,前药温服,其胎即下。此催生圣药。如产月未足,又能安之。
清魂散 产后血晕者,气血暴虚,未得安静,血随气上,迷乱心神,故眼前生花。极甚者,令
人闷绝不知人,口噤神昏,气冷。宜先取干漆或漆器,烧鼻中熏之,频置醋炭房内,次进此药即醒。
泽兰叶 人参(各二钱半) 川芎(半两) 荆芥穗(一两)
上为细末。每服二钱,用温酒、热汤各半盏,或入童便调,急灌之。下咽眼即开,气定即醒。
六君子汤(见第十六)
当归建中汤 治产后劳伤,虚羸不足,腹中疼痛,呼吸少气,小腹拘急,痛连腰背,
时自汗出,不思饮食。产讫直至月满,一日三服,令人身壮强健。
当归(四两) 白芍(六两) 桂心(三两) 黄 (一两半)
上锉。每服四钱,加姜、枣,水煎。入饴糖一块再煎,稍热服。如崩中衄血,加阿胶、地黄。
夺命丹 治胎衣不下。盖儿之初生,恶血流入衣中,为血所胀塞,故不得下。须臾
冲上逼心即死,急服此药。
黑附子(炮,五钱) 牡丹皮(一两) 干漆(炒烟尽,二钱五分)
上为细末,用米醋一升,大黄末一两,同煮成膏,和前药为丸,如桐子大。每服五、七丸,温酒下。
牛膝汤 治胞衣不出,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) 当归尾 通草(各六两) 滑石(八两) 葵子(五两)
一方有桂心二两。
上细切。以水九升,煮取三升,分三服。
失笑散 产后恶血上攻,心腹 痛欲死,及儿枕痛或牙关紧急。一服可愈。
蒲黄(炒) 五灵脂(各一钱)
上为细末,作一服。用酽醋调膏,入水一盏煎服。
胡氏法 治产后胞衣不下。惟有花蕊石散一件,最为要紧。若乡居药局远者,仓卒
无之,今有一妙法。产讫胞衣不下,稍久,则血流胞中,为血所胀,上冲心胸,
喘急疼痛,必致危笃。若有此症,宜急断脐带,以少物系带,必用力牢固系之。
然后绝断,使其子血脉,不潮入胞中,胞衣自当痿缩而下。纵淹延数日,亦不害人。累验。
加桂芎归汤 有胞衣不下,因产母元气虚薄者,以此温之自下。
川芎 当归(各二钱) 官桂(四钱)
上锉一服,水煎服。
红花酒
红花(一两)
酒煮浓汁服。如口噤,斡开灌之。速效。
芎归汤(即佛手散)
荆芥散 治产后风虚血晕,精神昏昧。
荆芥(一两三钱) 桃仁(炒,五钱)
上为细末,温水调下三钱。微喘,加杏仁(炒)、甘草各三钱。
白薇汤 治产后胃弱不食,脉微,多汗,亡血发厥,郁冒等证。
白薇 当归(各六钱) 人参(三钱) 甘草(一钱半)
上切,分作二帖。水煎服。
花蕊石散(见第七十四)
起枕散 治产后恶血不行,心腹及儿枕作痛,甚危。
当归 白芍药(酒炒,各三钱) 川芎(二钱) 官桂 玄胡索 牡丹皮 蒲黄(炒) 五灵
脂(炒) 没药(各一钱) 白芷(一钱)
上锉,水煎,入童便,空心服。
六味地黄丸(见第十六)
逍遥散(见第五十一)
加味归脾汤(即归脾汤加柴胡、牡丹皮。见第五十八。)
加味四物汤 治产后血崩,如豆汁紫黑过多者。
当归 川芎 芍药 生地黄 蒲黄 阿胶 蓟根 白芷
上水煎服。
乌金散 治产后血迷、血晕,败血不止,淋漓不断,脐腹 痛,昏眩,多汗,无力,及崩中下血不止。
麒麟竭 男子乱发灰 松墨( 、醋淬) 百草霜 当归 肉桂 赤芍 延胡索 鲤
鱼鳞(烧存性,各等分)
上为末。每服二钱,空心温酒调下。
蒲醋饮子 治新产瘀血,逐败滋新。此药治血神效,又非黑神散之可比也。月内每
日一、二服尤良,及疗一切恶露与血积。
真蒲黄不拘多少。熬米醋令稠,和药成膏。每服一弹子大,食前醋汤化开服。
阴阳和而后孕,孕固有天成自然之妙也。不谙者,乃一意珍护,时进汤丸。久
久气血偏胜,反致胎气不安,及半产艰生者多矣。故胎前诸方不备录。然有不得
已者,于下外附验过方中求之。
According to the *Daquan* (Complete Collection): Postpartum lochia that does not cease is caused by damage to the menstrual blood after childbirth, leading to deficiency and insufficiency. Or, during delivery, if the evil blood (lochia) is not completely expelled, it remains stagnant in the abdomen. This results in the failure of Qi and Blood to control the blood, causing continuous dripping.
Xue Shi (Xue Ji) stated: If the aforementioned symptoms are due to Liver Qi heat failing to control the blood, Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) is appropriate. If Liver Qi is deficient and fails to store blood, Xiaoyao San (Free and Easy Wanderer Powder) is appropriate. If Spleen Qi is deficient and fails to hold the blood, Liujunzi Tang (Six-Gentlemen Decoction) is appropriate. If Stomach Qi sinks and fails to command the blood, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) is appropriate. If there is depression-heat in the Spleen channel causing blood to fail to return to its source, Jiaweigui Pi Tang (Modified Heart-Nourishing Decoction) is appropriate. If Liver channel fire causes reckless bleeding, Jiawei Siwu Tang (Modified Four Substances Decoction) is appropriate. If both Qi and Blood are deficient, Shiquan Dabu Tang (Ten-Ingredient Great Tonifying Decoction) is appropriate. If Wind pathogen in the Liver channel causes blood to boil and flow recklessly, Siwu Tang (Four Substances Decoction) added with Fangfeng (Saposhnikovia Root) is appropriate. Others such as Wujin San (Black Gold Powder) and Pu Cu Yinzi (Cattail Pollen and Vinegar Drink) should also be used according to a careful assessment of the syndrome.
Baosheng Wuyou San (Preserve Life and Eliminate Worries Powder): Treats pregnancy where the woman lives in ease, craves sweet and fatty foods, has irregular emotions, and eats without restraint, resulting in an overly plump fetus with a firm root. Or for thin women with little blood and weak fetus, experiencing difficult labor at term. Taking this in the last month facilitates delivery.
Ingredients: Danggui (Angelica Sinensis), Chuanxiong (Ligusticum Chuanxiong), Baishao (White Peony Root), Zhike (Bitter Orange, stir-fried with bran), Muxiang (Aucklandia Root), Gancao (Licorice Root, honey-fried, 1.5 qian each), Ruxiang (Frankincense, ground separately), Xueyu (Burnt Human Hair, retained character, ground separately, 0.5 qian each).
Preparation and Administration: Combine as one dose, decoct in water, add Ruxiang and Xueyu, mix well. Take at any time.
Bazhen Tang (Eight-Treasure Decoction) (See Chapter 16)
Siwu Tang (Four Substances Decoction) (See Chapter 21)
Shenmiao Rusha Dan (Divine and Wonderful Frankincense and Cinnabar Pill): Treats dystocia.
Grind Ming Ruxiang (Clear Frankincense) into powder, use Pig Xin Xue (Pig Heart Blood) as binder to make pills the size of Sophora seeds. Coat with Zhusha (Cinnabar). Dry in the sun. Take one pill per dose, chew and swallow with cold wine. If birth does not occur after a while, take another dose. Alternatively, use seven Lotus Leaf Peduncles, decoct in water, dissolve two pills, and take. If birth does not occur after a while, take another dose.
Kuizi Rusheng San (Hibiscus Seed Like-Sage Powder): Induces labor.
Huangshu Kui Zi (Yellow Hibiscus Seeds), quantity unrestricted, roast dry and grind into powder. Mix with hot wine and take 2 qian. Effectively miraculous. If seeds are unavailable, flowers may be used. For dystocia due to fetal leakage and dried blood with severe pain, take three doses consecutively. After a while, abdominal Qi will relax, and the fetus will slip out easily. Must wait for signs of normal labor before taking. For dead fetus due to trauma, take with Honghua (Safflower) wine.
Jiawei Xiong Gui Tang (Modified Ligusticum and Angelica Decoction): Treats postpartum Qi and Blood deficiency, contraction of Wind-Cold, presenting with headache, aversion to cold, and fever.
Ingredients: Danggui (Angelica Sinensis), Chuanxiong (Ligusticum Chuanxiong) (2 qian each), Zisu (Perilla Leaf/Ginger), Gange (Kudzu Root) (1 qian each).
Preparation and Administration: Cut, add three slices of Shengjiang (Fresh Ginger), decoct in water, and take.
Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) (See Chapter 39)
Gu Ke San (Turtle Shell Powder): Treats non-opening of the pubic symphysis (Jiao Gu), preventing delivery.
Ingredients: Danggui (Angelica Sinensis), Chuanxiong (Ligusticum Chuanxiong), Bai Ban (Tortoise Plastron, one piece, fried with butter), Furen Tou Fa (Woman's Hair, grown long, one handful, burnt to retain character).
Preparation and Administration: Grind into powder. Take 5 qian per dose, decoct in water, and take. Birth usually occurs within the time it takes a person to walk five li. For first-time mothers with a dead fetus retained, calcined turtle shell can also be used.
Shiquan Dabu Tang (Ten-Ingredient Great Tonifying Decoction) (See Chapter 16)
Pingwei San (Peace the Stomach Powder) (See Chapter 44)
Qianjin Shen Zao Tang (Thousand Golden Divine Creation Decoction): Treats threatened miscarriage and dystocia, dead fetus in utero, or twin pregnancy with one dead and one alive. Takes the dead out and keeps the living safe. Miraculous effect.
Ingredients: Xie Zhao (Crab Claws, 1 sheng), Gancao (Licorice Root, 2 chi), Ejiao (Donkey-Hide Gelatin, 3 liang).
Preparation and Administration: The above three ingredients, using 1 dou of East-flowing water, first decoct Xie Zhao and Gancao until 3 sheng remain. Strain. Then add Ejiao to melt, and take all at once. If not expelled, take again. If the patient is unconscious with clenched teeth, pry open mouth and administer. The patient will revive upon ingestion. Build the stove facing East, use reed firewood for decoction.
Banxia Tang (Pinellia Decoction): Treats retained placenta, dead fetus in utero, blood rushing upward causing faintness, sudden heavy bleeding, or dry uterus preventing delivery.
Ingredients: Banxia Qu (Pinellia Fermented Paste, 1.5 liang), Gui (Cinnamon Twig, peeled, 7.5 qian), Dahuang (Rhubarb Root, 5 qian), Taoren (Peach Kernel, 30 grains, peeled, de-seeded, fried).
Preparation and Administration: Grind into coarse powder. First take 1-2 doses of Siwu Tang (Four Substances Decoction), then take 1 qian of this medicine with three slices of Shengjiang (Fresh Ginger), decoct in water, and take. If ineffective, next take Xiatai Wan (Fetus-Expelling Pills).
Shutai Wan (Fetus-Binding Pill): Makes fetus slender for easier birth; stop taking when labor begins.
Ingredients: Baizhu (Atractylodes Macrocephala Rhizome), Zhike (Bitter Orange, pith removed, stir-fried with bran, equal parts).
Preparation and Administration: Grind into powder, make pills with steamed rice the size of Sophora seeds. In the eighth month, take 30-50 pills before meals, wash down with warm water.
Dasheng San (Reaching Life Powder): In the 8th or 9th month, take over ten doses for easy delivery.
Ingredients: Dafupi (Areca Peel, 3 qian), Renshen (Ginseng Root), Chenpi (Aged Tangerine Peel), Zisu Jing Ye (Perilla Stem and Leaf, 0.5 qian each), Guishen Wei (Angelica Sinensis Body and Tail), Baizhu (Atractylodes Macrocephala Rhizome), Baishao (White Peony Root, 1 qian each), Gancao (Licorice Root, honey-fried, 2 qian).
Preparation and Administration: As one dose, add five leaves of Qing Cong (Green Onion) and seven Huangyang Nao (Boxwood Leaf Tips - not needed for those with poor appetite and slender fetus), decoct in water, and take. Can add Zhike (Bitter Orange) and Sharen (Amomum Fruit). Spring: add Chuanxiong (Ligusticum Chuanxiong). Summer: add Huangqin (Scutellaria Root). Autumn: add Zexie (Alisma Rhizome). Winter: add Sharen (Amomum Fruit). Qi deficiency: double Renshen (Ginseng Root) and Baizhu (Atractylodes Macrocephala Rhizome). Qi excess: add Xiangfu (Cyperus Rhizome) and Chenpi (Aged Tangerine Peel). Blood deficiency: add Danggui (Angelica Sinensis) and Dihuang (Rehmannia Root). Solid constitution: double Zisu (Perilla Leaf/Ginger). Irritable and angry: add Huanglian (Coptis Rhizome) and Chaihu (Bupleurum Root). Excessive heat: add Huangqin (Scutellaria Root). Damp-heat: add Huashi (Talcum) and Banxia (Pinellia Tuber). Food stagnation: add Shanzha (Hawthorn Fruit). Hunger after eating: double Huangyang Nao (Boxwood Leaf Tips). Abdominal pain: add Muxiang (Aucklandia Root) and Guanzi Gui (Chinese Cinnamon Bark).
Zhang Shi Fang (Master Zhang's Formula): Treats pregnancy with large fetus causing obstruction and difficulty in movement. Take near term to shrink fetus and facilitate birth. Also treats various intestinal diseases, directs Qi downward, and opens the chest/diaphragm.
Ingredients: Zhike (Bitter Orange, 5 liang), Gancao (Licorice Root, 1.5 liang), Xiang Fu Zi (Cyperus Rhizome, 3 liang, stir-fried to remove hairs).
Preparation and Administration: Grind into powder, take with Ginger Soup. For husband or wife with Cold Qi attacking/stabbing, hypochondriac pain, decoct with three cun of Cong Bai (Scallion White) and take. For women with Spleen Cold, Blood/Qi forming masses with pain, take mixed with Hot Wine. For constipation/urinary retention, take mixed with Bai Qianniu (Morning Glory Seed) soup.
Shen Qin Wan (Divine Sleep Pill): Slims fetus, makes passage slippery for easy birth. Miraculous effect taken near term.
Ingredients: Tongming Ruxiang (Clear Frankincense, half liang, ground separately), Zhike (Bitter Orange, stir-fried with bran, 1 liang).
Preparation and Administration: Grind into powder, refine honey to make pills the size of Sophora seeds. Take 30 pills per dose, wash down with warm wine on an empty stomach.
Foshou San (Buddha's Hand Powder): Treats pregnancy where falling/injury causes dead fetus in utero, reckless lochia, unceasing pain, lockjaw approaching death. Use this to probe. If dead fetus in utero, expel immediately. If abdominal pain stops, mother and child are safe. Also treats difficult labor, retained placenta, postpartum blood fainting/unconsciousness resembling stroke, metrorrhagia/lochia unceasing, stabbing abdominal blood pain, blood stasis edema, blood entering Heart channel causing inverted speech/hallucinations, Blood-Wind combat causing fever/headache, or malaria-like symptoms. Treats all pre/post-natal dangers, critical conditions. Danxi said: For inducing labor, only Foshou San is safest and most effective.
Ingredients: Danggui (Angelica Sinensis, wine-washed, radix removed, 1 liang), Chuanxiong (Ligusticum Chuanxiong, 7 qian, some versions equal parts).
Preparation and Administration: Finely cut, divide into four portions. For each dose, first use one cup of water, decoct until nearly dry, add one and a half cups of wine, decoct for 5-7 boils, take warm. If lockjaw, pry open and pour in. After walking about five li, pour in another dose. After finishing these four doses, birth is miraculously achieved. For dystocia/breech/dead fetus, first stir-fry Black Soybeans until cooked, add one cup clear water and one cup Tong Bian (Child's Urine), decoct 4 qian of medicine, and take. If placenta not delivered after 5-7 days, critical condition, or narrow pelvis/non-opening of pubic symphysis, add Gui Ban (Tortoise Plastron) and hair from women who have given birth, burn to ash/grind. Take 3 qian per dose, mix with wine.
Sanhe Jisheng Tang (Three-Combined Life-Prolonging Decoction): Combines essence of Zhike, Xiong Gui, and Dasheng formulas. Treats difficult labor. Even if not delivered after 1-2 days, natural rotation and birth occur after taking.
Ingredients: Danggui (Angelica Sinensis, 3 qian), Chuanxiong (Ligusticum Chuanxiong), Zhike (Bitter Orange, stir-fried with bran, 2 qian each), Xiang Fu Zi (Cyperus Rhizome, fried, 1 qian), Su Ye (Perilla Leaf, 0.8 fen), Fen Cao (Licorice Root, 0.7 fen), Dafupi (Areca Peel, washed with Ginger Juice, 1.5 qian).
Preparation and Administration: Decoct in water. Take when lower back/abdominal pain is severe, birth follows. Another version adds Baizhi (Angelica Dahurica Root) 1 qian.
Heishen San (Black Divine Powder, aka Rusheng Rushen San): Treats transverse/opposite presentation, great efficacy. Also treats pre/post-natal deficiency, menorrhagia, metrorrhagia.
Ingredients: Baicao Shuang (Soot from Hundred Herbs Stove), Baizhi (Angelica Dahurica Root, avoid fire, equal parts).
Preparation and Administration: Grind into powder. Take 2 qian per dose, mix with Tong Bian (Child's Urine) and Mi Cu (Rice Vinegar) into paste, dilute with boiling water, and take. Or decoct with Tong Bian and wine, take two doses. However, blood stops when blackened; this medicine strongly consolidates blood and prevents blood depletion, very excellent. Another version adds Bai Huashi (White Talcum), take mixed with Xiong Gui Tang (Ligusticum and Angelica Decoction).
Ejiao Chixiaodou Tang (Donkey-Hide Gelatin and Red Bean Decoction): Treats prolonged dystocia, exhaustion of strength, inability to deliver, suitable for those with chronic illness.
Ingredients: Ejiao (Donkey-Hide Gelatin, 2 liang), Chixiaodou (Red Bean, 2 sheng).
Preparation and Administration: Above, use 9 sheng of water, cook beans until soft. Strain, add Ejiao to melt. Take 5 he per dose. If no improvement, take more. Will be expelled within three doses.
Tunao Wan (Rabbit Brain Pill, aka Rusheng Dan): Treats dystocia, transverse/opposite presentation.
Ingredients: Tunao (Rabbit Brain, December rabbit, skin/membrane removed, ground to paste), Ming Ruxiang (Clear Frankincense, 2.5 qian, finely ground), Mu Dingxiang (Mother Clove, ground, 1 qian), Shexiang (Musk, one zi, ground finely separately).
Preparation and Administration: Grind evenly, mix with Rabbit Brain Marrow to make pills the size of Chicken Head. Dry in shade, seal in oiled paper. One pill per dose. After waters break, wash down with warm water, birth follows. Hold pill in left hand for boy, right hand for girl upon exit.
Rushen San (Like-God Powder): Induces labor with repeated success, mechanism hard to explain.
Usage: Take one pair of straw sandals from the road, take the rope from the bridge/nose area, wash clean, burn to ash, mix with Tong Bian (Child's Urine) and wine, take 3 qian. Also known as Qianli Ma (Thousand-Li Horse).
Huangjin San (Golden Powder): Treats difficult delivery after 1-2 days. Effect like god.
True Jin Bo (Gold Foil), 5 large pieces or 7 small pieces. Use small porcelain bell, add little water, remove paper, put foil inside, grind evenly with finger. Then add water to half bell. Have one person support the parturient to sit vacantly, another woman press Shanjing Acupoint (GB21) on both shoulders with thumbs. Take previous medicine warm, fetus descends. This is the holy medicine for inducing labor. If term not reached, it can calm the fetus.
Qinghun San (Clear Soul Powder): Treats postpartum blood fainting. Sudden Qi/Blood deficiency, unrest, blood follows Qi upward, confusing Spirit, causing visual spots. Severe cases cause coma, lockjaw, cold Qi. First, burn Gan Qi (Dry Lacquer) or lacquerware to smoke nose, frequently place in room with Vinegar Charcoal, then administer this medicine to wake.
Ingredients: Zelan Ye (Lycopus Leaf), Renshen (Ginseng Root) (2.5 qian each), Chuanxiong (Ligusticum Chuanxiong, half liang), Jingjie Sui (Schizonepeta Flower Spike, 1 liang).
Preparation and Administration: Grind into fine powder. Take 2 qian per dose, mix with half cup warm wine and half cup hot water, or mix with Tong Bian (Child's Urine), pour in urgently. Eyes open upon swallowing, breath stabilizes, patient wakes.
Liujunzi Tang (Six-Gentlemen Decoction) (See Chapter 16)
Danggui Jianzhong Tang (Angelica Building the Middle Decoction): Treats postpartum labor injury, emaciation/deficiency, abdominal pain, shortness of breath, lower abdominal tension, pain radiating to waist/back, spontaneous sweating, loss of appetite. Take three times daily until one month postpartum to strengthen body.
Ingredients: Danggui (Angelica Sinensis, 4 liang), Baishao (White Peony Root, 6 liang), Guixin (Cinnamon Heart, 3 liang), Huangqi (Astragalus Root, 1.5 liang).
Preparation and Administration: Cut. Take 4 qian per dose, add Jiang (Ginger) and Zao (Jujube), decoct in water. Add Yi Tang (Malt Sugar) block, decoct again, take slightly warm. For metrorrhagia/epistaxis, add Ejiao (Donkey-Hide Gelatin) and Dihuang (Rehmannia Root).
Duoming Dan (Life-Seizing Pill): Treats retained placenta. Initially, evil blood flows into placenta, distending/blocking it, so it cannot descend. Soon rushes up to heart, causing death. Take urgently.
Ingredients: Heifuzi (Black Aconite Root, processed, 5 qian), Mudan Pi (Tree Peony Bark, 1 liang), Gan Qi (Dry Lacquer, fried until smoke gone, 2.5 qian).
Preparation and Administration: Grind into fine powder, use 1 sheng Rice Vinegar, 1 liang Dahuang (Rhubarb Root) powder, decoct together into paste, mix with previous medicine to make pills size of Sophora seeds. Take 5-7 pills per dose, wash down with warm wine.
Niuxi Tang (Achyranthes Decoction): Treats retained placenta, hard/swollen/painful umbilical/abdomen, fatal if untreated. Take this, placenta rots and falls, dead fetus also expelled.
Ingredients: Niuxi (Achyranthes Root), Qumai (Dianthus Herb) (4 liang each), Danggui Wei (Angelica Sinensis Tail), Tongcao (Tetrapanax Pith) (6 liang each), Huashi (Talcum, 8 liang), Kuizi (Hibiscus Seeds, 5 liang).
Another version has Guixin (Cinnamon Heart) 2 liang.
Preparation and Administration: Finely cut. Use 9 sheng water, decoct to 3 sheng, divide into three doses.
Shixiao San (Laughing Off Powder): Treats postpartum evil blood attacking upward, severe heart/abdominal stabbing pain nearing death, or "child pillow" pain/jaw stiffness. One dose cures.
Ingredients: Puhuang (Cattail Pollen, fried), Wulingzhi (Trogopterus Dung, 1 qian each).
Preparation and Administration: Grind into fine powder, as one dose. Mix with strong vinegar into paste, add one cup water, decoct, and take.
Hu Shi Fa (Master Hu's Method): Treats retained placenta postpartum. Only Huarui Shi San (Flower Mineral Stone Powder) is crucial. If remote from pharmacy and unavailable, here is a clever method. Postpartum retained placenta, if delayed, blood flows into placenta, distending it, rushing to chest/heart, causing panting/pain, critical danger. If this occurs, urgently cut umbilical cord, tie loosely with small object, tie firmly. Then sever completely, preventing blood tide from entering placenta, placenta shrinks and falls. Even if delayed days, harmless. Repeatedly verified.
Jiawei Xiong Gui Tang (Modified Ligusticum and Angelica Decoction): For retained placenta due to maternal Yuan Qi deficiency, warm to induce descent.
Ingredients: Chuanxiong (Ligusticum Chuanxiong), Danggui (Angelica Sinensis) (2 qian each), Guanzi Gui (Chinese Cinnamon Bark, 4 qian).
Preparation and Administration: Cut one dose, decoct in water, take.
Honghua Jiu (Safflower Wine)
Ingredients: Honghua (Carthamus Flower, 1 liang).
Preparation and Administration: Decoct in wine to thick juice, take. If lockjaw, pry open and pour. Fast effect.
Xiong Gui Tang (Ligusticum and Angelica Decoction, i.e., Foshou San)
Jingjie San (Schizonepeta Powder): Treats postpartum Wind-Deficiency blood fainting, mental confusion.
Ingredients: Jingjie (Schizonepeta Herb, 1.3 qian), Taoren (Peach Kernel, fried, 5 qian).
Preparation and Administration: Grind into fine powder, mix with warm water, take 3 qian. For slight wheezing, add Xingren (Apricot Kernel, fried) and Gancao (Licorice Root) 3 qian each.
Baiwei Tang (Anemarrhena Decoction): Treats postpartum weak Stomach/anorexia, faint pulse, excessive sweating, blood loss syncope, depression/fainting.
Ingredients: Baiwei (Anemarrhena Rhizome), Danggui (Angelica Sinensis) (6 qian each), Renshen (Ginseng Root, 3 qian), Gancao (Licorice Root, 1.5 qian).
Preparation and Administration: Cut, divide into two doses. Decoct in water, take.
Huarui Shi San (Flower Mineral Stone Powder) (See Chapter 74)
Qizhen San (Pillow-Raising Powder): Treats postpartum evil blood stagnation, heart/abdomen/"child pillow" pain, critical.
Ingredients: Danggui (Angelica Sinensis), Baishao (White Peony Root, wine-fried, 3 qian each), Chuanxiong (Ligusticum Chuanxiong, 2 qian), Guanzi Gui (Chinese Cinnamon Bark), Yuanhusuo (Corydalis Rhizome), Mudan Pi (Tree Peony Bark), Puhuang (Cattail Pollen, fried), Wulingzhi (Trogopterus Dung, fried), Moyao (Myrrh) (1 qian each), Baizhi (Angelica Dahurica Root, 1 qian).
Preparation and Administration: Cut, decoct in water, add Tong Bian (Child's Urine), take on empty stomach.
Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) (See Chapter 16)
Xiaoyao San (Free and Easy Wanderer Powder) (See Chapter 51)
Jiawei Guipi Tang (Modified Heart-Nourishing Decoction, i.e., Guipi Tang plus Chaihu and Mudan Pi. See Chapter 58.)
Jiawei Siwu Tang (Modified Four Substances Decoction): Treats postpartum metrorrhagia, especially dark purple/black discharge like bean juice.
Ingredients: Danggui (Angelica Sinensis), Chuanxiong (Ligusticum Chuanxiong), Shaoyao (Peony Root), Sheng Dihuang (Raw Rehmannia Root), Puhuang (Cattail Pollen), Ejiao (Donkey-Hide Gelatin), Jigen (Thistle Root), Baizhi (Angelica Dahurica Root).
Preparation and Administration: Decoct in water, take.
Wujin San (Black Gold Powder): Treats postpartum blood confusion/fainting, unceasing败血 (decayed blood), dripping lochia, umbilical/abdominal stabbing pain, dizziness, excessive sweating, weakness, and unceasing metrorrhagia.
Ingredients: Qilin Jie (Dragon's Blood), Nanzi Luanhfa Hui (Ash of Men's Random Hair), Song Mo (Pine Ink, calcined, quenched in vinegar), Baicao Shuang (Soot from Hundred Herbs Stove), Danggui (Angelica Sinensis), Rougui (Cinnamon Bark), Chishao (Red Peony Root), Yanhusuo (Corydalis Rhizome), Liyulin (Carp Scale, burnt to retain character, equal parts).
Preparation and Administration: Grind into powder. Take 2 qian per dose, mix with warm wine on empty stomach.
Pu Cu Yinzi (Cattail Pollen and Vinegar Drink): Treats postpartum blood stasis, expels decayed blood, nourishes new blood. Miraculous for blood disorders, superior to Heishen San. Take 1-2 times daily within the month, also treats all lochia and blood accumulations.
Ingredients: Zhen Puhuang (True Cattail Pollen), quantity unrestricted. Cook Mi Cu (Rice Vinegar) until thick, mix with medicine into paste. Take one bullet-sized amount per dose, dissolve in vinegar-water before meals.
Yin Yang harmonizes to conceive; gestation has natural heavenly wonder. Those ignorant insist on protection and frequent tonics. Long-term imbalance of Qi/Blood leads to unstable fetus and difficult births/miscarriages. Thus, pre-natal formulas are not fully recorded. However, for necessary cases, seek verified formulas attached below.