（隆兴府学论张世臣方）
大圣泽兰散
治妇人血海虚冷，久无子息及产后败血冲心，中风口噤。子
死腹中，擘开口灌药，须臾生下，便得无恙。并治胎堕腹中，攻刺疼痛，横生逆产，胎衣不下，血运，血癖、
血滞、血崩，血入四肢，应血脏有患及诸种风气，或伤寒吐逆，咳嗽，寒热往来，遍身生疮，头痛，恶心，经
脉不调，赤白带下，乳生恶气，胎脏虚冷，数曾堕胎，崩中不止，因此成疾及室女经脉不通，并宜服之。常服
暖子宫，和血气，悦颜色，退风冷，消除万病。兼疗五劳、七伤、虚损等病。
泽兰叶（去根，晒干） 石膏（研。各二两） 生干地黄（一两半，锉，用温汤浴过，浪干，焙用）
桂肉（一两一分，锉，不见火用） 吴茱萸（汤洗七次，炒） 浓朴（去粗皮，锉碎，用姜制一宿，炒干）
白茯苓（去皮，锉，焙） 卷柏（去根，锉） 细辛（去苗并叶，焙） 柏子仁（拣去壳，别研细） 防风
（去苗，锉） 桔梗（去芦，锉，焙） 白芜荑（各一两） 白术（切片，焙） 白芷（去稍，锉） 丹参（洗，
锉，焙） 干姜（炮烈，锉，焙） 五味子（去枝梗，锉） 本（去芦头，洗） 人参（去芦头，切） 川
乌头（炮，去皮脐） 川椒（去目及闭口者，微炒出汗） 黄 （锉，去芦头。各三分） 阿胶（锉碎，蛤粉
炒泡起，去粉用） 白薇（锉，焙。各半两） 当归（去芦须，洗，切片子，焙干） 白芍药（锉） 甘草
（炙，锉） 川芎（各一两三分）
上为细末，每服二钱，空心临卧热酒调下。若急疾有患，不拘时候。
夺命褐散子
妊娠四五月以上，忽然仆地，手足抽掣，咽中涎声滚滚，口眼不开，如小儿螈 之状，名曰胎痫。
甜葶苈（纸上微炒） 芫花（醋煮干，焙，燥。各半两） 郁李仁（汤浸，去皮） 地榆（锉。各一分）
上为细末，每服一字，煎沉香、人参、钩藤、钩子、防风汤调下。如牙噤者，用物斡开，灌下调药汁、
不过一匙，不拘时候，沉香但磨药汁尤妙。如醒时只用防风煎汤，调四君子汤，服苏合香丸及大圣泽兰散，半
月余，其病脱然，恐目昏不能视物，不必疑虑，气血凝静，自然光明，谨勿服眼药。有三、四妇人，皆患此证，
寸口脉伏，自关而下脉弦。盖伏者气不上升，弦者有饮在
内，此必因胎肥，流饮不化，注入胎宫，与血相搏，子不安静，故气不上升，乃胎触心络，遂有胎痫之证。先
是医者用安胎养血之药，未效，遂以此药。缘此证虽是产前之疾，却当作产后治疗，乃是血不循经，气不升降，
气闭血壅，其状如痫。当导气而遂其饮，气通饮消，则血循经入，养胎安气，则子安静矣，累用经验。
地榆降血饮子
治妊娠入月，临产之时，血出三日而子未下，手足不收，昏瞀如醉，不省人事，此乃漏血过多，血不养胎，
心气逆上，胎气留连，此名胎干。此药治之，神效甚速。
苏子降气汤（一帜，乃八味者是），只作一服，加地榆一钱半洗净，麦门冬十粒去心，水一盏半，生姜二
片，煎七分，去滓，入乳香少许透明者 开，温服。不能自饮者，扶起灌之。
大安胎饮子
治妊娠胎气不安，腹胁刺痛，经脉适来，气急上喘等疾。
当归（洗，去芦须，切片焙干） 干地黄（锉，洗，浪干，再焙用） 川芎（洗，锉） 赤芍药（锉）
地榆（锉。各一两） 阿胶（锉碎，蛤粉炒泡起，去粉用） 熟艾（各半两） 黄芩（一分，锉）
上为粗末，分作十五服。每服水二盏，煎至六分，去滓，通口服，不拘时候。
吴白术散
安胎养气，常服。十月中胎气安定，无诸疾苦。
白术（去芦，切片子焙） 人参（去芦，切片子焙） 白茯苓（去黑皮，锉，焙） 甘草（炙，锉） 阿
胶（锉碎，蛤粉炒泡起，去粉用。已上各等分）
上为 咀，每服三大钱、水一阿半煎至七分，去滓，温服，不拘时候。
滑胎，榆白皮为细末，每服一钱，空心白汤调下。自入月每日三服，令易产。儿生下，药皆涂身上。
催生并死胎不下，荜麻子三个、巴豆四个研细，入麝香少许，贴脐心上，须臾间便下。
难产三两日不生，以蚕种纸半张烧灰，熟水调下。（系已出蚕种纸
亦名歹明脱。）
治横生、逆生，灸产妇右脚小指尖头，如麦大三壮，立产。
又方 蛇退皮烧灰，酒调二钱，面东服。
又方 盐涂儿足底，急去之。
又方 车前子末，酒服二钱。
妊娠烦闷，胎热，睡卧不得，并腹中痛，又难产，知母新白者焙干为末，炼蜜丸如小弹子大，每服一丸，
温酒化下。
妊娠偶因所触，或坠高伤折，致胎动不安，腹中痛不可忍者，缩砂不以多少和皮炒，令热透，去皮，为细
末。每服二钱，热酒调下，胎即安，神效。
胎动日夜叫呼，口噤唇青，及下痢不止者，熟艾一两，酒五盏，煮四盏去滓，再煎至二盏，服。口闭者，
灌之。亦治腰痛下血。
胎动及下血，心腹胀者，当归二两、川芎一两为粗末，水四盏、酒五盏煎至三盏，分三服。若胎未死即安，
已死即便下。
产后血晕，五灵脂炒，令烟尽，为细末，温酒调下一钱，童子小便尤佳。
又方 干荷叶为细末，每服一钱，温酒调下。
又方 生半夏为末，一大豆许吹鼻中。
又方 红花或苏枋木，酒、水浓煮汁，饮。
产后中风，眼上视，四肢搐搦，荆芥穗为末，每服二钱，温酒调下。如不饮酒，只浓煎汤服。
产后发狂，每用大香附去须皮净为细末，每用二钱，入研极细，好辰砂末一钱，以烧通红秤捶，浸好酒调服。
产前伤寒，不问阴阳，身热头痛。白术二钱、黄芥一钱，粗末，水一盏煎六分，去滓，热服，不计时候。
(From the formulas of Zhang Shichen at the Longxing Prefecture Academy)
Da Sheng Ze Lan San (Great Sage Silverweed Decoction Powder)
Treats deficiency-cold of the Blood Sea in women, long-term infertility, as well as postpartum敗血 (retained blood) rushing to the heart, stroke with locked jaw. If the fetus dies in the womb, pry open the mouth and administer the medicine; within a moment, the fetus will be delivered, and the mother will be safe. It also treats fetus retained in the uterus, stabbing pain in the abdomen, breech or malpresentation, retained placenta, blood syncope, blood masses, blood stasis, metrorrhagia, blood entering the four limbs, any disorders of the blood organs, various wind pathogens, or vomiting and nausea due to cold damage, cough, alternating chills and fever, sores all over the body, headache, nausea, menstrual irregularities, red and white leukorrhea, foul odor from the breasts, deficiency-cold of the fetal organ, repeated miscarriages, continuous metrorrhagia, diseases resulting from these, and amenorrhea in unmarried women. All are suitable for taking this formula. Regular use warms the uterus, harmonizes Qi and Blood, beautifies the complexion, dispels wind-cold, and eliminates myriad diseases. It also treats Five Exhaustions, Seven Injuries, and deficiency-wasting conditions.
Ingredients: Radix Agrimoniae (Zelan Ye) (remove roots, sun-dry), Gypsum Fibrosum (Shigao) (crushed, 2 liang each), Raw Dried Rehmanniae Radix (Sheng Gan Dihuang) (1.5 liang, chopped, soaked in warm water, drained, and dried), Cinnamomi Cortex (Guirou) (1.1 liang, chopped, not stir-fried), Evodiae Fructus (Wuzhuyu) (washed seven times with decoction, stir-fried), Magnoliae Officinalis Cortex (Nongpu) (remove rough bark, chop, soak in ginger juice overnight, stir-fry dry), Poria (Baifuling) (remove skin, chop, dry), Serpylli Herba (Juanbai) (remove roots, chop), Asari Radix et Rhizoma (Xixin) (remove seedlings and leaves, dry), Biota Semen (Baiziren) (shell removed, separately ground fine), Saposhnikoviae Radix (Fangfeng) (remove seedlings, chop), Platycodonis Radix (Jiegeng) (remove rhizome, chop, dry), White Galangal Seed (Bai Wuyi) (1 liang each), Atractylodis Macrocephalae Rhizoma (Baizhu) (slice, dry), Angelicae Dahuricae Radix (Baizhi) (remove tips, chop), Salviae Miltiorrhizae Radix (Danshen) (wash, chop, dry), Dried Ginger (Ganjiang) (processed strongly, chop, dry), Schisandrae Fructus (Wuweizi) (remove branches and stems, chop), Ligustici Chuanxiong Rhizoma (Ben) (remove rhizome, wash), Ginseng Radix (Renshen) (remove rhizome, slice), Aconiti Lateralis Radix Praeparata (Chuan Wutou) (processed, remove skin and lateral roots), Zanthoxyli Fructus (Chuanjiao) (remove eyes and closed ones, lightly stir-fry until sweat appears), Astragali Membranacei Radix (Huangqi) (chop, remove rhizome, 3 fen each), Colla Corii Asini (Ejiao) (chop, stir-fry with Arsenoseptum Pulvis (Ge Fen) until bubbling, remove powder), Coptidis Rhizoma? No, Bupleuri Radix? Text says Baiwei (Baiwei) (chop, dry, 0.5 liang each), Angelicae Sinensis Radix (Danggui) (remove rhizome and hairs, wash, slice, dry), Paeoniae Radix Alba (Baishaoyao) (chop), Glycyrrhizae Radix et Rhizoma (Gancao) (honey-fried, chop), Chuanxiong Rhizoma (Chuanxiong) (1.3 liang each).
Grind the above into a fine powder. Take 2 qian each time, mixed with hot wine on an empty stomach or before bed. If there is an urgent illness, do not restrict the time.
Ming Dunming Heshi Sanzi (Life-Taking Brown Powder)
In pregnancy after the fourth or fifth month, if one suddenly falls to the ground, hands and feet convulse, phlegm sounds roll in the throat, mouth and eyes are closed, resembling infantile convulsions, it is named Fetal Epilepsy (Tai Xian).
Ingredients: Lepidii Semen (Tiantingli) (lightly stir-fried on paper), Genkwa Flos (Yuanhua) (boiled in vinegar until dry, dried, desiccated, 0.5 liang each), Prunus Sesquipedalis? No, Prunus japonica? Text says Yuliren (Yuliren) (soaked in water, peel removed), Sanguisorbae Radix (Diyu) (chopped, 1 fen each).
Grind the above into a fine powder. Take one zi dose each time, mixed with a decoction of Aquilariae Lignum Resinatum (Chenxiang), Ginseng Radix (Renshen), Uncariae Ramulus cum Uncis (Gouteng), Uncariae Ramulus (Gouzi), and Saposhnikoviae Radix (Fangfeng). If the jaw is locked, pry it open with an object and pour in the mixed medicine juice, no more than one spoonful, without restricting time. For Chenxiang, grinding it into the medicine juice is especially good. If awake, only use Fangfeng decoction to mix Si Jun Zi Tang (Four Gentlemen Decoction), take Su He Xiang Wan (Suhe Xiang Pill) and Da Sheng Ze Lan San (Great Sage Silverweed Decoction Powder); after half a month, the disease will naturally resolve. Do not worry about dim vision; when Qi and Blood condense and calm, vision will naturally brighten. Strictly avoid eye medicines. Three or four women suffered from this syndrome: Cun Kou pulse was hidden, Guan downwards pulse was wiry. Hidden indicates Qi does not ascend; wiry indicates fluid retention inside. This must be due to a large fetus, where flowing fluids fail to transform, pouring into the fetal palace, fighting with Blood, causing fetal unrest, thus Qi fails to ascend. This is the fetal Qi touching the Heart collaterals, leading to Fetal Epilepsy. Previously, doctors used fetal-calming and blood-nourishing medicines without effect, then used this medicine. Although this syndrome is a prenatal disease, it should be treated as a postpartum condition. This is because Blood does not follow its vessels, Qi does not ascend and descend, Qi closure and Blood stagnation occur, resembling epilepsy. One should guide Qi and drain the fluids; once Qi flows and fluids dissipate, Blood returns to its vessels, nourishing the fetus and calming Qi, making the fetus quiet. Repeated use has proven effective.
Diyu Jiangxue Yinzi (Sanguisorba Descending Blood Decoction)
Treats pregnancy nearing term, during labor, bleeding for three days while the fetus has not been delivered, hands and feet limp, dazed like drunkenness, unconscious. This is excessive leakage of blood, Blood failing to nourish the fetus, Heart Qi rebelling upward, Fetal Qi lingering, named Fetal Dryness. This medicine treats it with miraculous speed.
Su Zi Jiang Qi Tang (Perilla Seed Descending Qi Decoction - one prescription consisting of eight flavors), make only one dose, add 1.5 qian washed Diyu (Sanguisorbae Radix), ten grains of Ophiopogonis Tuber (Mendong) dehearted, 1.5 cups of water, two slices of Zingiberis Rhizoma Recens (Shengjiang), decoct to 0.7 parts, remove dregs, add a small amount of transparent Incensum (Ruxiang), take warm. If unable to drink independently, support and force-feed.
Da An Tai Yinzi (Great Fetal-Calming Decoction)
Treats fetal unrest in pregnancy, stabbing pain in abdomen and hypochondrium, menstruation just starting, rapid breathing and asthma.
Ingredients: Danggui (Angelicae Sinensis Radix) (wash, remove rhizome and hairs, slice and dry), Dihuang (Rehmanniae Radix) (chop, wash, drain, re-dry), Chuanxiong (Ligustici Chuanxiong Rhizoma) (wash, chop), Chi Shaoyao (Paeoniae Radix Rubra) (chop), Diyu (Sanguisorbae Radix) (chop, 1 liang each), Ejiao (Colla Corii Asini) (chop, stir-fry with Ge Fen until bubbling, remove powder), Shuai Ai (Artemisiae Argyi Folium) (0.5 liang each), Huangqin (Scutellariae Radix) (1 fen, chop).
Grind into coarse powder, divide into fifteen doses. Each dose uses 2 cups of water, decoct to 0.6 parts, remove dregs, take orally, without restricting time.
Wu Baizhu San (White Atractylodes Powder)
Calms the fetus and nourishes Qi, for regular use. In the tenth lunar month, fetal Qi stabilizes, free from various ailments.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma) (remove rhizome, slice and dry), Renshen (Ginseng Radix) (remove rhizome, slice and dry), Baifuling (Poria) (remove black skin, chop and dry), Gancao (Glycyrrhizae Radix et Rhizoma) (honey-fried, chop), Ejiao (Colla Corii Asini) (chop, stir-fry with Ge Fen until bubbling, remove powder. Above ingredients in equal parts).
Grind into coarse powder. Take 3 qian each time, decoct with 1.5 cups of water to 0.7 parts, remove dregs, take warm, without restricting time.
For facilitating delivery (Hua Tai), Yu Bai Pi (Celtis Cortex) ground to fine powder, take 1 qian each time, mixed with plain boiled water on an empty stomach. From the last month of pregnancy, take three times daily to facilitate delivery. After birth, apply the residue to the baby's body.
For inducing labor and expelling retained dead fetus, 3 Ricini Semen (Bimaizi) and 4 Crotonis Fructus (Badou) ground fine, add a little Moschus (Shexiang), apply to the umbilicus; the fetus will be expelled within moments.
For difficult labor lasting 2-3 days without delivery, burn half a sheet of silkworm egg paper to ash, mix with warm water and take. (Refers to paper already used for silkworm eggs, also called Daiming Tuo.)
For treating breech or malpresentation, moxa-burn the tip of the right foot little toe of the parturient woman, three moxa cones the size of wheat, immediate delivery.
Another formula: Burn snake skin to ash, mix with wine, take 2 qian facing East.
Another formula: Apply salt to the sole of the baby's foot, remove immediately.
Another formula: Take 2 qian of Plantaginis Semen (Cheqianzi) powder mixed with wine.
For pregnancy irritability, fetal heat, inability to sleep, abdominal pain, and difficult labor, bake fresh white Motherwort Root (Zhimu) to dry, grind to powder, make pills with refined honey the size of small marbles. Take one pill each time, dissolved in warm wine.
If pregnancy is accidentally touched or injured by falling from height, causing fetal unrest and unbearable abdominal pain, stir-fry Amomi Fructus (Suosha) with skin until thoroughly hot, remove skin, grind to fine powder. Take 2 qian each time, mixed with hot wine; the fetus will be calmed, miraculously effective.
For fetal unrest crying day and night, locked jaw, blue lips, and continuous dysentery, boil 1 liang of Shuai Ai (Artemisiae Argyi Folium) in 5 cups of wine to 4 cups, remove dregs, decoct again to 2 cups, take. If jaw is closed, force-feed. Also treats lower back pain with bleeding.
For fetal unrest and bleeding, abdominal distension, chop 2 liang of Danggui (Angelicae Sinensis Radix) and 1 liang of Chuanxiong (Ligustici Chuanxiong Rhizoma) into coarse powder, decoct in 4 cups of water and 5 cups of wine to 3 cups, divide into three doses. If the fetus is alive, it will be calmed; if dead, it will be expelled immediately.
For postpartum blood syncope, stir-fry Trogopterori Faeces (Wulingzhi) until smoke ceases, grind to fine powder, take 1 qian mixed with warm wine; child's urine is especially good.
Another formula: Dry Lotus Leaf (Heye) ground to fine powder, take 1 qian each time, mixed with warm wine.
Another formula: Raw Pinelliae Tuber (Banxia) ground to powder, blow a bean-sized amount into the nose.
Another formula: Carthami Flos (Honghua) or Dalbergia Odorifera Lignum (Sufangmu), decoct thickly with wine and water, drink.
For postpartum wind-stroke, eyes rolling up, limb convulsions, take Jingjie Sui (Schizonepeta Spike) powder, 2 qian each time, mixed with warm wine. If unable to drink wine, take strong decoction.
For postpartum mania, take large Cyperi Rhizoma (Xiangfu) cleaned of hairs and skin, grind to fine powder. Take 2 qian each time, mix with 1 qian of finely ground Cinnabar (Chensha), treat with a red-hot weighing hammer (quenching process?), soak in good wine and take.
For prenatal cold damage, regardless of Yin or Yang, with body heat and headache. Take 2 qian of Baizhu (Atractylodis Macrocephalae Rhizoma) and 1 qian of Huangjie (likely Huangqin or Huangqi, text says Huangjie), coarse powder, decoct 1 cup of water to 0.6 parts, remove dregs, take hot, without restricting time.