夫堕胎。胎初下后。妇人力羸。不能更用气力产胞也。便遇外冷。冷则血凝。故胞衣不
出也
治妊娠。五六月堕胎。胞衣不出。牛膝散方。
牛膝（三分去苗） 桂心（半两） 芎 （三分） 川朴硝（三分） 当归（一两半） 蒲
黄〔一
（二）
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。生地黄一分。
煎至六分。去滓。放温频服效。
治堕胎。胞衣不出。腹中 痛。牵引腰脊。蒲黄散方。
蒲黄（三分） 桂心（一两） 赤芍药（一两） 牛膝（二两去苗）
上件药。捣粗罗为散。每服四钱。以水酒各半盏。
煎至六分。去滓。温服。
又方。
上取蚁窠土三升。炒帛裹。拓心下。胞自出也。
又方。
上取好墨细研。每服。以温酒调下二钱。频服效。
治妊娠胎死腹中。衣不出。及产后卒有别病。欲至野狼狈方。
上刺羊血。及热饮一小盏。极效。
又方。
上以水 其面。神验。
又方。
上以洗儿水半盏。令母服。其衣便出。勿令产妇知。
又方。
若胞衣未下。腹满。宜以水一中盏。煮猪脂一两。煎五七沸。和脂服之。当下。
夫妊娠羸瘦。或挟疾病。脏腑虚损。气血枯竭。既不能养胎。致胎动而不坚固。终不能
安者
治胎动安不得。尚在腹。母欲死。须以牛膝汤下之方。
牛膝（半两锉去苗） 水银（二两） 朱砂（二两半）
上件药。以水五大盏。煮牛膝。可余一半。去滓。即以少蜜和朱砂及水银。研如膏。每
服以
治妊娠。母因疾病。胎不能安。可下之。桂心散方。
桂心〔一（二）两〕 栝蒌（二两） 牛膝（二两去苗） 瞿麦（一两） 当归（一两）
上件药。捣筛为散。每服四钱。以水一中盏。
煎至六分。去滓。每于食前温服。
治羸人腹不能安。欲去胎。蟹爪散方。
蟹爪 干姜（炮裂锉） 人参（去芦头） 芎 牛膝（去苗） 桂心 甘草（炙微赤）
黄
芩（以
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。
煎至六分。去滓。温服并服效。
又方。
瞿麦（二两） 桂心（一两） 蟹爪（二合） 牛膝（二两去苗）
上件药。捣细罗为散。每服不计时候。以温酒下二钱。
治妊娠欲去胎方。
麦 二两。以水一大盏半。煎至一盏。去滓。分温三服。
又方。
上取七月七日法曲四两。水二大盏。煎取一盏二分。绵滤去滓。分温三服。立下。
又方。
牛膝一握。细捣。以无灰酒一大盏。煎取汁七分。分温二服。
治妊娠。胎动不可安者。宜下之方。
杏仁（二七枚汤浸去皮尖麸炒微黄研） 桃仁（二七枚汤浸去皮尖双仁研） 桂心末（一
钱）
上件药。用多年盐梅肉和丸。如梧桐子大。每服以暖酒下十丸。未下。再服。
治母困笃恐不济。去胎方。
虻虫（十枚微炒令黄）
上捣细罗为散。以暖酒调服即下。
又方。
上捣菖蒲根绞取汁。饮半中盏效。
治临月损动。不可安方。
断弓弦（二寸烧灰） 箭 （一枚烧灰）
上件药。合研令细。以清水调顿服之。
Abortion. After the fetus is initially expelled, the woman's strength is depleted and she cannot exert further effort to deliver the placenta. If exposed to external cold, the cold causes blood coagulation, thus preventing the expulsion of the placenta.
For treating abortion during the fifth or sixth month of pregnancy with retained placenta: Niuxi San (Cowherb Powder) formula.
Niuxi (3 fen, remove seedlings), Guixin (Cinnamon Twig Heart, 0.5 liang), Xiong (Sichuan Lovage Rhizome, 3 fen), Chuan Puxiao (Mirabilite, 3 fen), Danggui (Angelica Sinensis, 1.5 liang), Puhuang (Tiger Lily Pollen, 1 qian).
The above ingredients are coarsely ground into a powder. Each dose consists of 4 qian. Add 1 zhong zhan of water, 0.5 fen of fresh ginger, and 1 fen of Shengdihuang (Rehmannia Root). Decoct until reduced to 0.6 zhong zhan. Strain the dregs. Allow to cool to warm temperature and take frequently for efficacy.
For treating abortion with retained placenta, abdominal pain radiating to the lower back and spine: Puhuang San (Tiger Lily Pollen Powder) formula.
Puhuang (3 fen), Guixin (Cinnamon Twig Heart, 1 liang), Chishao Yao (Red Peony Root, 1 liang), Niuxi (2 liang, remove seedlings).
The above ingredients are coarsely ground into a powder. Each dose consists of 4 qian. Add half a zhong zhan of water and half a zhong zhan of wine. Decoct until reduced to 0.6 zhong zhan. Strain the dregs and take warm.
Another prescription:
Take three sheng of soil from an ant hill. Wrap it in hot cloth and apply it to the epigastrium. The placenta will naturally be expelled.
Another prescription:
Take high-quality ink and grind it finely. For each dose, mix 2 qian with warm wine and take. Frequent administration yields results.
Emergency prescription for fetal death in utero with retained placenta, or sudden severe illness postpartum when one must travel hastily to the wilderness:
Stab a sheep and drink a small zhong zhan of the blood while it is still hot. This is extremely effective.
Another prescription:
Mix flour with water. This is miraculous.
Another prescription:
Have the mother drink half a zhong zhan of water used for bathing the newborn. The placenta will be expelled. Do not let the parturient woman know.
Another prescription:
If the placenta has not been expelled and the abdomen is distended, use one zhong zhan of water to decoct 1 liang of pork lard. Boil for five or seven boils. Consume the liquid along with the fat. This will promote the expulsion of the placenta.
In cases where the pregnant woman is emaciated or complicated by disease, leading to deficiency and damage of the Zang-Fu organs, exhaustion of Qi and Blood, resulting in the inability to nourish the fetus, causing fetal movement instability and failure to secure the pregnancy:
To treat unstable fetal movement where the fetus remains in the uterus and the mother's life is in danger, requiring the expulsion of the fetus using Niuxi Tang (Cowherb Decoction):
Niuxi (0.5 liang, cut and remove seedlings), Shuiyin (Mercury, 2 liang), Zhusha (Cinnabar, 2.5 liang).
Decoct Niuxi in five zhong zhan of water until half remains. Strain the dregs. Mix the Zhusha and Shuiyin with a small amount of honey and grind into a paste. Each dose is taken... [text missing].
For treating pregnancy where the mother's illness prevents fetal stability, allowing for expulsion: Guixin San (Cinnamon Twig Heart Powder) formula.
Guixin (1 or 2 liang), Gualou (Trichosanthes Fruit, 2 liang), Niuxi (2 liang, remove seedlings), Qumai (Dianthus Herb, 1 liang), Danggui (Angelica Sinensis, 1 liang).
The above ingredients are ground into a fine powder. Each dose consists of 4 qian. Add one zhong zhan of water. Decoct until reduced to 0.6 zhong zhan. Strain the dregs and take warm before meals.
For treating emaciated individuals with abdominal instability seeking to terminate pregnancy: Xiezha San (Crab Claw Powder) formula.
Xiezha (Crab Claws), Ganjiang (Dried Ginger, roasted and cut), Renshen (Ginseng, remove rhizome head), Xiong (Sichuan Lovage Rhizome), Niuxi (Cowherb Root, remove seedlings), Guixin (Cinnamon Twig Heart), Gancao (Licorice Root, roasted until slightly red), Huangqin (Scutellaria Root).
The above ingredients are coarsely ground into a powder. Each dose consists of 4 qian. Add one zhong zhan of water and 0.5 fen of fresh ginger. Decoct until reduced to 0.6 zhong zhan. Strain the dregs and take warm.
Another prescription:
Qumai (Dianthus Herb, 2 liang), Guixin (Cinnamon Twig Heart, 1 liang), Xiezha (Crab Claws, 2 he), Niuxi (Cowherb Root, 2 liang, remove seedlings).
The above ingredients are finely ground into a powder. Take 2 qian with warm wine at any time.
Prescription for terminating pregnancy:
Maidong (Ophiopogon Tuber, 2 liang). Decoct in 1.5 zhong zhan of water until reduced to 1 zhong zhan. Strain the dregs. Divide into three warm doses.
Another prescription:
Take 4 liang of Faqu (Medicated Leaven) collected on the seventh day of the seventh lunar month. Decoct in two large zhong zhan of water until reduced to 1.2 zhong zhan. Filter through silk to remove dregs. Divide into three warm doses. This will immediately induce expulsion.
Another prescription:
Take a handful of Niuxi (Cowherb Root), grind finely. Decoct in one large zhong zhan of non-ash wine until 0.7 zhong zhan of juice remains. Divide into two warm doses.
For treating unstable fetal movement that cannot be secured, requiring expulsion:
Xingren (Apricot Seed, 27 seeds, soaked in water, skin and tip removed, bran-roasted until slightly yellow and ground), Taoren (Peach Seed, 27 seeds, soaked in water, skin and tip removed, double-kernel seeds ground), Guixin Mo (Cinnamon Twig Heart Powder, 1 qian).
Mix the above ingredients with meat from aged salted plums to form pills the size of Sophora seeds. Take ten pills with warm wine. If not expelled, take another dose.
Prescription for expelling the fetus when the mother is critically ill and prognosis is poor:
Mengchong (Blue Bottle Fly Larva, 10 pieces, lightly roasted until yellow).
Grind finely into a powder. Mix with warm wine and take to induce expulsion.
Another prescription:
Grind Changpu root (Acorus Rhizome) and squeeze out the juice. Drink half a zhong zhan for efficacy.
Prescription for injury to the fetus near term that cannot be secured:
Duangongxian (Broken Bowstring, 2 cun, burnt to ash), Jianzhu (Arrowhead, 1 piece, burnt to ash).
Mix and grind finely. Administer in a single dose mixed with clear water.