论曰胞衣未出，急于胎之未降，子死腹中，危于胞之未下，盖胞胎未下。子与母气通其
呼吸，若子死腹中，胞脏气寒，胎血凝聚，冱于死子，气不升降，所以难下，观古之方论，
多以行血顺气之药，及硝石水银 砂之类。且胎死则躯形至冷，血凝气聚，复以至寒之药，
不惟无益。而害母命者有矣。然古人用药。不能无意，但后学不分尔，子死理有二端，用药
寒温。各服其宜，有妊娠胎漏，血尽子死者，有坠堕颠扑内伤子死者。有缘久病胎萎子死者
，若此之类，遂令坐人提挈孕妇。使身体平正，仍以 褥自腰抵定。令仰坐开足向地。如欲
产势。便进附子汤三服。方见于后即以衣裹温瓦数片，三二人不住手，自脐腹腰胁左右周回
熨之。使胞脏温暖。凝血流动，盖附子汤能破寒堕胎，服之少顷，觉腹内阵痛连作，恶血渐
动。良久必产，此用温药之意也，有妊娠因伤寒热病温疟之类，胎受邪热毒瓦斯，内外攻逼，
因致胎死，胎不即下，留于胞脏，古人虑胎受毒瓦斯，必致胀大，所以用硝石水银 砂之药
者
此
凡
枝蒂自分，子死腹中。所生在母，日月未足，脐系尚固，犹之果实未熟，枝末虽枯，不折不
离。所以在母。行之有法。用之有度，斯无虑矣，凡审死胎，当宜熟辨。有妊妇缘病胎隐伏
不动。难认存亡者，宜先令坐人。以暖手就脐下款款按至胎处。觉冷应手，是胎已死。稍温
即非，更看孕妇外证，面青舌冷，舌下脉青黑者，皆子死之候也。
治子死腹中，产宫气寒，胎血凝冱。死子难下，破寒堕胎。附子汤方
附子（端正紧实大者一枚生去皮脐切作一十片）
上一味，不得捣碎，都用水二盏，生姜五片，同煎取一盏，去滓不用，将药汁滤清，分
温二服，如经时不下，更服后桂心汤。
治胎死腹中。桂心汤方
桂（去粗皮不得见火） 乌头（大者炮去皮脐各一两）
上二味，锉如麻豆，每服三钱匕，水一盏，煎至七分，去滓温服，须臾连三服。
治妊娠因天行热病， 损胞胎，致子死腹中不出，速服此。救生散方
桂（去粗皮半两不见火捣为末） 水银（一分）
上二味，相和研匀，分三服，每服用温酒七分调下，连进，须臾未下，即服后方粉霜散
治子死腹中，或渐胀满。粉霜散方
粉霜 硝石（各半两） 蛇蜕灰（二钱）
上三味，各研细和匀，每服二钱匕，温酒调下，醋汤亦得，渐渐连并三两服。如更未下。
即服丹砂散。
治妊娠因伤寒热病疟疾，邪毒攻胎，致令子死不出。丹砂散方
丹砂（一两）
上一味，研令极细。每服一钱匕，水酒各三分煎，稍热调下。连三二服，未下再服。
治妊娠子死腹中未久，急服此。瞿麦汤方
瞿麦（用穗子二两）
上一味，捣为粗末。每服五钱匕，水一盏半，煎七分，去滓温服。连三二服。未下再服
治妊娠因漏血伤胎，子死未久。地黄酒方
生地黄（二斤净洗切）
上一味，捣取自然汁，每服用七分盏，酒三分盏，同煎才沸，稍热便服三二服。未下再
服。
治子死腹中，气血凝结，致子难下。牛膝汤方
牛膝（去苗酒浸切焙） 朴硝（别研各三分） 生干地黄（焙一两半） 桂（去粗皮） 芎
上七味，粗捣筛，每服三钱匕，水一盏，煎七分，去滓温服。连三五服，未下再服。
治子死腹中，三二日不出，母气欲绝。瞿麦汤方
瞿麦（去梗一两半） 牛膝（去苗切焙） 榆白皮（各一两细切） 桂（去粗皮） 木
通（锉各
上五味，粗捣筛，每服五钱匕，水一盏半，煎七分，去滓温服，连三五服，未下再服。
治子死腹中，滑气血。破胞胎，或死子已久坏烂，母欲闷绝者，牛膝汤方
牛膝（去苗切焙一两） 生地黄（汁一盏） 当归（切焙） 桂（去粗皮各三分） 芎
蒲黄
上八味，除地黄汁外，捣为粗末，每服五钱匕，水一盏半，煎至一盏。去滓再煎。入地
黄汁三分盏，打转煎沸，稍热服。三二服内恶血下，即子出也，或胎已损亦下。更令坐人以
手仔细探之。勿致腐肉，瘀在腹内，如得出毕，更一二服，逐秽恶余血，免生他病。
治妊娠五六月。子死腹中不出。地黄汤方
生干地黄（切焙一两） 牛膝（去苗锉） 芎 桂（去粗皮） 朴硝（别研各三分） 当
归（
上七味，粗捣筛，每服三钱匕，水酒各半盏，同煎七分，去滓稍热服。连三五服。
治子死腹中，气血凝滞不下。猪脂酒方
猪脂（一两切） 白蜜（半盏） 酒（一盏半）
上三味，相和同煎沸，热分作三服，未下再根据前法制服。
治子死腹中，滑胞胎，顺气血。葵子汤方
葵子（炒） 阿胶（炒燥各一两）
上二味，粗捣筛，每服三钱匕，水一盏，煎七分，去滓温服，连三二服。未下再服。
治子死腹中，气血凝冷难下。姜汁酒方
生姜汁（六分盏作三服） 鸡子黄（三枚作三服）
上二味，先用酒三分盏，醋二分盏，同煎沸，入姜汁二分盏，又煎令沸倾出，用鸡子黄
一枚。乘热打转，稍热服之。须臾未下，尽此三服。
治妊娠颠扑内损，致子死腹中，速服滑气血。甘草汤方
甘草（炙锉） 桂（去粗皮各一两）
上二味，粗捣筛，每服三钱匕，水一盏，煎七分，去滓温服。连三五服，未下再服。
治子死腹中，血气不滑。当归汤方
当归（切焙） 芎 （锉焙各一两）
上二味，捣为粗末，每服五钱匕，以酒醋水共一盏半，煎七分，去滓温服。连三二服。
须臾未下、再服。
治子死腹中未下。甘草汤方
甘草（锉一两） 桂（去粗皮半两） 香豉（炒二两）
上三味，捣为粗末，每服五钱匕，水一盏半，煎至一盏，去滓用鸡子一枚，取清打转，
入药内，再同煎七分，稍热服。须臾未下。再作服。
治子死腹中不下，芎 汤方
芎 当归（各一两生切） 瞿麦（去根三分）
上三味，捣为粗末，每服三钱匕，水一盏，醋少许，同煎七分。去滓连三二服必下。
治子死腹中，温气滑血，黑豆汤方
黑豆（捣碎半升） 生姜（细切四两）
上二味，以童子小便三碗，同煎取二碗去滓，每服一盏温服，连三二盏，未下再服。
治产难，或子死腹中不下。龟甲汤方
龟甲（醋炙） 当归（切炒各半两） 乱发（一块鸡子大取产多者妇人发于瓦上烧灰）
上三味，先细研发灰，次入当归末，以水一大盏半，煎取八分，然后下龟甲末，煎五七
沸。分为三服，服后如人行四五里，更服。
治妊娠子死腹中不出。水银丸方
水银（半两） 硫黄（一分与水银结为砂子） 白矾灰（半两） 砂（半两）
上四味，捣研令细，煮枣肉和丸，如绿豆大，每服煎榆白皮酒，下五丸，如觉似腹内痛
者，即是子下。
又方
水银（一分以少枣肉研令星尽） 朱砂（一分） 雄黄（一分）
上三味，同研令细。煮枣肉和丸，如绿豆大，不计时候，以槐子汤下五丸。
又方
榆皮（切一升） 赤熟珠（一两）
上二味，以苦酒五升，煮取一升顿服之。
治妊娠子死腹中不下。方
皂荚子黄（四两） 米醋（二升多年为用）
上二味，用五升瓶盛，文火煨热，用纸盖瓶口，将向妇人面前。去纸取气。熏少时即下
又方
上取利斧头，烧令通赤。置于酒中，待微温，令饮之。其子便下。
又方
苏枋木（一斤细槌绵裹） 水银（一两）
上二味，以水五大盏，煎苏木至一大盏，每服取二分。下水银一分，如人行三五里再服
，死胎当化为水下，下后三日，须食暖物，若食冷物，即恶血不尽。
治子死腹中不下。
朴硝（细研）
上一味为末，每服二钱，温童子小便调下。
治胎死不出。方
赤小豆（一升）
上一味，醋煮令熟，分二服，死儿立出。
又方
芎 （一两）
上一味，捣罗为末，米饮调服一钱匕。
治倒产。子死腹中。方
当归（切焙）
上一味，捣罗为末，酒调服方寸匕，立出。
又方
艾叶（四两微炒）
上一味，以清酒二升，煮取一升，去滓分温三服，水煮亦得。
又方
上取酽醋一升。格口灌之。
又方
榆白皮（锉二两）
上一味，以水三盏，煎取一盏半，顿服之。
治子死腹中不出者。方
上取牛尿涂母腹上。立出。
治妊娠六七月。子死腹中不出。方
黑豆（三合）
上一味，以醋一大升，煎取六合去滓，空腹分温三服，如人行六七里再服。
治妊娠子死腹中不出。方
雄鼠粪（三七枚炒）
上一味，以水二升，煎取一升半，去滓下米作粥，食即出。
治子死腹中、闷绝。方
水银（二两）
上一味，斡开口灌下。口不开，即自鼻中灌下，立出。
又方
取灶中黄土三指撮，和苦酒服之。立出。
Commentary states: The retention of the placenta (Baoyi, fetal membrane) is less critical than the situation before the fetus descends; however, a dead fetus in utero (Zisi Fuzhong) is more dangerous than retained placenta. This is because when the placenta has not been expelled, the fetus and mother share respiration. If the fetus dies in the womb, the Qi of the uterus becomes cold, causing fetal blood to coagulate and freeze around the dead fetus. This prevents the ascending and descending of Qi, making expulsion difficult. Ancient formulas often utilized herbs that promote blood circulation and regulate Qi, as well as minerals such as Nuxit (Niter), Shuiyin (Mercury), and Naosha (Sal Ammoniac). However, once the fetus dies, its body becomes cold, blood coagulates, and Qi stagnates. Administering extremely cold herbs under these conditions is not only ineffective but may also endanger the mother's life.
Although ancient physicians did not use medications without intent, later scholars failed to distinguish the nuances. There are two main causes for fetal death, and the choice between warm or cold herbs should be appropriate to each case. Some cases involve fetal leakage during pregnancy leading to excessive blood loss and fetal death; others result from internal injury due to falls or impacts; still others occur due to fetal atrophy caused by prolonged illness. In such instances, an assistant should support the pregnant woman to keep her body upright, secure her waist with a cushion, and have her sit with legs spread facing the ground. If labor signs appear, administer three doses of Fuzi Tang (Aconite Decoction) [formula follows]. Then, wrap several heated tiles in cloth and have two or three people continuously apply heat compresses around the umbilicus, abdomen, waist, and flanks to warm the uterus, melt the coagulated blood, and promote flow. Since Fuzi Tang can dispel cold and expel the fetus, after taking it, one should feel intermittent abdominal pain, followed by the movement of lochia. Eventually, delivery will occur. This illustrates the rationale for using warm herbs.
In other cases, the fetus dies due to external pathogens such as Shanghan (Cold Damage), febrile diseases, or Wen Nue (Warm Malaria). The fetus is attacked by pathogenic heat and toxins from both inside and outside, leading to fetal death and retention in the uterus. Ancient practitioners feared that toxin accumulation would cause distension, hence the use of Nuxit, Shuiyin, and Naosha to separate the stem and branches, facilitating the expulsion of the dead fetus. A fetus dying in the womb relies on the mother; if gestation is incomplete, the umbilical connection remains firm. Like an unripe fruit, even if the branch withers, it does not detach unless broken. Therefore, proper methods and measured usage ensure safety without worry.
When diagnosing a dead fetus, careful differentiation is required. If a pregnant woman’s condition hides fetal movement, making survival uncertain, an assistant should gently palpate below the umbilicus towards the fetus. Coldness upon touch indicates fetal death; warmth suggests otherwise. Observe external signs: cyanosis of the face, cold tongue, and bluish-black sublingual veins are all indicators of fetal death.
Treatment for Dead Fetus in Utero with Cold Uterus and Coagulated Blood: Fuzi Tang (Aconite Decoction)
Fuzi (Aconiti Lateralis Radix Praeparata): One large, solid piece, raw, peeled, cut into ten slices.
Process: Do not crush. Simmer with water (2 cups) and 5 slices of Shengjiang (Zingiberis Rhizoma Recens, Fresh Ginger) until reduced to 1 cup. Strain. Divide into two warm doses. If no expulsion occurs after some time, proceed to Guixin Tang.
Guixin Tang (Cinnamon Heart Decoction) for Dead Fetus in Utero
Gui (Cinnamomi Cortex, Cinnamon Bark): Remove rough bark, avoid fire.
Wutou (Aconiti Radix, Aconite Root): Large pieces, processed, peeled, remove core. Each 1 liang.
Process: Chop to size of hemp seeds. For each dose, take 3 qian bi, simmer in 1 cup of water until 0.7 cup remains. Strain and take warm. Take three doses consecutively within a short period.
Jiusheng San (Life-Saving Powder) for Fetal Death due to Epidemic Febrile Diseases Damaging the Uterus
Gui (Cinnamomi Cortex): Remove rough bark, half liang, do not expose to fire, grind to powder.
Shuiyin (Hydrargyrum, Mercury): 1 fen.
Process: Mix and grind evenly. Divide into three doses. Take each dose with 0.7 cup of warm wine. Continue administration. If no expulsion shortly after, take Fen Shuang San.
Fen Shuang San (Powder Frost Powder) for Dead Fetus with Distension
Fenshuang (Calomelas, Mercurous Chloride): Half liang.
Nuxi (Natrii Sulfas, Niter): Half liang.
Shetui Hui (Serpentis Shed Skin Ash): 2 qian.
Process: Grind each finely and mix. Take 2 qian bi per dose, mixed with warm wine or vinegar water. Gradually take 2-3 doses. If still not expelled, take Dansha San.
Dansha San (Cinnabar Powder) for Fetal Death due to Pathogenic Toxins from Cold Damage, Febrile Diseases, or Malaria
Dansha (Cinnabaris, Cinnabar): 1 liang.
Process: Grind extremely fine. Take 1 qian bi per dose, decocted with equal parts water and wine, taken slightly warm. Take 2-3 doses; repeat if necessary.
Qumai Tang (Ephedrae Herba? No, Euphorbiae Humifusae Herba / Dianthus Decursus) for Recent Fetal Death
Qumai (Dianthi Herba, Pink Herb): 2 liang of flower spikes.
Process: Crush to coarse powder. Take 5 qian bi per dose, simmer in 1.5 cups of water until 0.7 cup remains. Strain and take warm. Take 2-3 doses; repeat if necessary.
Dihuang Jiu (Rehmannia Wine) for Fetal Death due to Hemorrhage
Sheng Dihuang (Rehmanniae Radix Recens, Fresh Rehmannia Root): 2 jin, washed and sliced.
Process: Press to extract natural juice. Take 0.7 cup of juice mixed with 0.3 cup of wine. Boil briefly, take slightly warm. Take 2-3 doses; repeat if necessary.
Niuxi Tang (Achyranthis Bidentatae Radix Decoction) for Fetal Death with Qi and Blood Stagnation
Niuxi (Achyranthis Bidentatae Radix, Achyranthes Root): Remove sprouts, soak in wine, slice, dry.
Puxiao (Natrii Sulfas, Glauber's Salt): Separate grinding, each 3 fen.
Sheng Gan Dihuang (Rehmanniae Radix, Dried Rehmannia): Roasted, 1.5 liang.
Gui (Cinnamomi Cortex): Remove rough bark.
Xiong (Chuanxiong Rhizoma, Szechwan Lovage Root).
Process: Seven ingredients, coarsely crushed and sifted. Take 3 qian bi per dose, simmer in 1 cup of water until 0.7 cup remains. Strain and take warm. Take 3-5 doses; repeat if necessary.
Qumai Tang (Euphorbiae Humifusae Herba Decoction) for Fetal Death Retained for 2-3 Days with Exhaustion of Maternal Qi
Qumai (Dianthi Herba): Remove stems, 1.5 liang.
Niuxi (Achyranthis Bidentatae Radix): Remove sprouts, slice, dry.
Yubai Pi (Ulmus Radicis Cortex, Elm Root Bark): Each 1 liang, finely sliced.
Gui (Cinnamomi Cortex): Remove rough bark.
Mutong (Akebiae Caulis, Akebia Stem): Chopped.
Process: Five ingredients, coarsely crushed and sifted. Take 5 qian bi per dose, simmer in 1.5 cups of water until 0.7 cup remains. Strain and take warm. Take 3-5 doses; repeat if necessary.
Niuxi Tang (Achyranthis Bidentatae Radix Decoction) for Slippery Qi and Blood, Breaking Placenta, or Rotten Dead Fetus Causing Syncope
Niuxi (Achyranthis Bidentatae Radix): Remove sprouts, slice, dry, 1 liang.
Sheng Dihuang (Rehmanniae Radix Recens): Juice, 1 cup.
Danggui (Angelicae Sinensis Radix, Dong Quai): Slice, dry.
Gui (Cinnamomi Cortex): Remove rough bark, each 3 fen.
Xiong (Chuanxiong Rhizoma).
Puhuang (Typhae Pollen, Cattail Pollen).
Process: Eight ingredients, except Dihuang juice, crush to coarse powder. Take 5 qian bi per dose, simmer in 1.5 cups of water until 1 cup remains. Strain, boil again, add 0.3 cup of Dihuang juice, stir and boil. Take slightly warm. Within 2-3 doses, lochia should pass, and the fetus will be expelled. If the placenta is damaged, it will also pass. An assistant should carefully probe to ensure no retained necrotic tissue. Follow up with 1-2 doses to clear residual foul blood and prevent other diseases.
Dihuang Tang (Rehmannia Decoction) for Fetal Death at 5-6 Months
Sheng Gan Dihuang (Rehmanniae Radix): Slice, roast, 1 liang.
Niuxi (Achyranthis Bidentatae Radix): Remove sprouts, chop.
Xiong (Chuanxiong Rhizoma).
Gui (Cinnamomi Cortex): Remove rough bark.
Puxiao (Natrii Sulfas): Separate grinding, each 3 fen.
Danggui (Angelicae Sinensis Radix).
Process: Seven ingredients, coarsely crushed and sifted. Take 3 qian bi per dose, simmer in half cup water and half cup wine until 0.7 cup remains. Strain, take slightly warm. Take 3-5 doses.
Zhizhi Jiu (Pork Lard Wine) for Fetal Death with Qi and Blood Stagnation
Zhizhi (Suis Medulla, Pork Marrow): 1 liang, sliced.
Baimi (Mellis, Honey): Half cup.
Jiu (Vinum, Wine): 1.5 cups.
Process: Mix and boil together. Divide into three warm doses. Repeat previous method if not expelled.
Kuizi Tang (Abutili Semen Decoction) for Slippery Placenta and Smooth Qi and Blood
Kuizi (Abutili Semen, Indian Mallow Seed): Stir-fried.
Ejiao (Asini Corii Colla, Donkey-Hide Gelatin): Dry-fried, each 1 liang.
Process: Two ingredients, coarsely crushed and sifted. Take 3 qian bi per dose, simmer in 1 cup of water until 0.7 cup remains. Strain and take warm. Take 2-3 doses; repeat if necessary.
Jiangzhi Jiu (Ginger Juice Wine) for Fetal Death with Cold Qi and Blood
Jiangzhi (Zingiberis Rhizoma Recens Juice, Fresh Ginger Juice): 0.6 cup, divided into 3 doses.
Jizihuang (Gallic Ovi, Egg Yolk): 3 yolks, divided into 3 doses.
Process: First, boil 0.3 cup wine and 0.2 cup vinegar. Add 0.2 cup ginger juice, boil again, and pour out. Beat one egg yolk into the hot mixture. Take slightly warm. If not expelled shortly, finish all three doses.
Gancao Tang (Glycyrrhizae Radix Decoction) for Internal Injury from Falls Causing Fetal Death
Gancao (Glycyrrhizae Radix et Rhizoma, Licorice Root): Roasted, chopped.
Gui (Cinnamomi Cortex): Remove rough bark, each 1 liang.
Process: Two ingredients, coarsely crushed and sifted. Take 3 qian bi per dose, simmer in 1 cup of water until 0.7 cup remains. Strain and take warm. Take 3-5 doses; repeat if necessary.
Danggui Tang (Angelicae Sinensis Radix Decoction) for Fetal Death with Unsmooth Qi and Blood
Danggui (Angelicae Sinensis Radix): Slice, dry.
Xiong (Chuanxiong Rhizoma): Chop, dry, each 1 liang.
Process: Two ingredients, crush to coarse powder. Take 5 qian bi per dose, simmer in 1.5 cups of mixed wine, vinegar, and water until 0.7 cup remains. Strain and take warm. Take 2-3 doses; repeat if necessary.
Gancao Tang (Glycyrrhizae Radix Decoction) for Retained Dead Fetus
Gancao (Glycyrrhizae Radix et Rhizoma): Chopped, 1 liang.
Gui (Cinnamomi Cortex): Remove rough bark, half liang.
Xiangchi (Sojae Seminis Preparatum, Fermented Soybean): Stir-fried, 2 liang.
Process: Three ingredients, crush to coarse powder. Take 5 qian bi per dose, simmer in 1.5 cups of water until 1 cup remains. Strain, add one egg white, beat, return to medicine, simmer until 0.7 cup remains. Take slightly warm. Repeat if necessary.
Xiong Tang (Chuanxiong Rhizoma Decoction) for Retained Dead Fetus
Xiong (Chuanxiong Rhizoma): 1 liang, raw, sliced.
Danggui (Angelicae Sinensis Radix): 1 liang, raw, sliced.
Qumai (Dianthi Herba): Remove roots, 3 fen.
Process: Three ingredients, crush to coarse powder. Take 3 qian bi per dose, simmer in 1 cup of water with a little vinegar until 0.7 cup remains. Strain. Take 2-3 doses; expulsion is certain.
Heidou Tang (Black Soybean Decoction) for Warming Qi and Slipping Blood
Heidou (Sojae Semen Nigrum, Black Soybean): Crushed, half sheng.
Shengjiang (Zingiberis Rhizoma Recens, Fresh Ginger): Finely sliced, 4 liang.
Process: Two ingredients, decoct in 3 bowls of Tongzi Xiaoniao (Child's Urine) until reduced to 2 bowls. Strain. Take 1 bowl warm per dose. Take 2-3 doses; repeat if necessary.
Guijia Tang (Testudinis Carapax et Plastrum Decoction) for Difficult Labor or Retained Dead Fetus
Guijia (Testudinis Carapax et Plastrum, Tortoise Shell): Vinegar-processed.
Danggui (Angelicae Sinensis Radix): Slice, stir-fry, half liang each.
Luanfa (Capillis Humanis Carbonatus, Human Hair Ash): Size of a chicken egg, use hair from a woman with many births, burn to ash on a tile.
Process: Three ingredients. First, finely grind the hair ash. Add Danggui powder. Decoct in 1.5 cups of water until 0.8 cup remains. Then add Guijia powder, boil 5-7 times. Divide into three doses. After walking about 4-5 li, take another dose.
Shuiyin Wan (Mercury Pill) for Retained Dead Fetus
Shuiyin (Hydrargyrum): Half liang.
Liuhuang (Sulphur): 1 fen, combined with mercury to form cinnabar-like grains.
Baijian Hui (Aluminis Crystallisatio Ash, Alum Ash): Half liang.
Naosha (Sal Ammoniac): Half liang.
Process: Four ingredients, grind finely. Mix with date paste to form pills the size of mung beans. Take 5 pills with decoction of Yubai Pi (Elm Root Bark) and wine. If mild abdominal pain is felt, the fetus will be expelled.
Another Formula:
Shuiyin (Hydrargyrum): 1 fen, ground with small amount of date paste until dispersed.
Zhusha (Cinnabaris): 1 fen.
Xionghuang (Realgar): 1 fen.
Process: Three ingredients, grind finely. Mix with date paste to form mung-bean-sized pills. Take 5 pills with Sophora japonica seed tea at any time.
Another Formula:
Yupi (Ulmus Cortex, Elm Bark): Sliced, 1 sheng.
Chishu Zhu (Vermilion Bead/Cinnabar): 1 liang.
Process: Two ingredients, decoct in 5 sheng of Kujiu (Vinegar) until reduced to 1 sheng. Take in one dose.
Formula for Retained Dead Fetus:
Zaojiazi Huang (Gleditsiae Sinensis Fructus Yellow Part): 4 liang.
Mi Cu (Rice Vinegar): 2 sheng, aged is preferred.
Process: Two ingredients, place in a 5-sheng bottle, heat gently over low fire. Cover mouth with paper, hold near the woman's face, remove paper, and inhale the fumes for a short time to induce expulsion.
Another Formula:
Take a sharp axe head, heat until red-hot, place in wine, wait until slightly warm, and drink. The fetus will be expelled.
Another Formula:
Sufangmu (Sappan Lignum, Sappan Wood): 1 jin, pounded finely, wrapped in cotton.
Shuiyin (Hydrargyrum): 1 liang.
Process: Two ingredients, decoct Sappan Wood in 5 large cups of water until reduced to 1 large cup. Take 0.2 part of this decoction, add 0.1 part mercury. Walk 3-5 li, then take again. The dead fetus should dissolve and be expelled. After expulsion, eat warm foods for three days; cold food will leave foul blood behind.
Formula for Retained Dead Fetus:
Puxiao (Natrii Sulfas): Fine powder.
Process: One ingredient, make into powder. Take 2 qian per dose, mixed with warm child's urine.
Formula for Retained Dead Fetus:
Chixiaodou (Phaseoli Radiati Semen, Red Adzuki Bean): 1 sheng.
Process: One ingredient, cook thoroughly in vinegar. Divide into two doses. The dead fetus will be expelled immediately.
Another Formula:
Xiong (Chuanxiong Rhizoma): 1 liang.
Process: One ingredient, grind to powder. Take 1 qian bi mixed with rice water.
Formula for Breech Presentation with Dead Fetus:
Danggui (Angelicae Sinensis Radix): Slice, dry.
Process: One ingredient, grind to powder. Take 1 fangcun bi mixed with wine. Expulsion is immediate.
Another Formula:
Aiye (Artemisiae Argyi Folium, Mugwort Leaf): 4 liang, lightly stir-fried.
Process: One ingredient, decoct in 2 sheng of clear wine until reduced to 1 sheng. Strain, divide into three warm doses. Water decoction is also acceptable.
Another Formula:
Take strong vinegar (Yan Cu), 1 sheng, and force it into the mouth.
Another Formula:
Yubai Pi (Ulmus Radicis Cortex): Chopped, 2 liang.
Process: One ingredient, decoct in 3 cups of water until 1.5 cups remain. Take in one dose.
Formula for Retained Dead Fetus:
Take cow urine, apply to the mother's abdomen. Expulsion is immediate.
Formula for Fetal Death at 6-7 Months:
Heidou (Sojae Semen Nigrum): 3 he.
Process: One ingredient, decoct in 1 da sheng of vinegar until 6 he remain. Strain. Take on empty stomach, divided into three warm doses. Walk 6-7 li, then take again.
Formula for Retained Dead Fetus:
Xiong Shufen (Mus Cardios, Male Rat Feces): 3-7 pieces, stir-fried.
Process: One ingredient, decoct in 2 sheng of water until 1.5 cups remain. Strain, add rice to make porridge. Eating it induces expulsion.
Formula for Fetal Death with Syncope:
Shuiyin (Hydrargyrum): 2 liang.
Process: One ingredient, pry open mouth and pour down. If mouth cannot be opened, pour through nose. Expulsion is immediate.
Another Formula:
Take 3 finger-pinches of yellow earth from the stove, mix with vinegar, and take. Expulsion is immediate.