夫妊娠因染温疫伤寒积邪毒之气。入于胞脏。致令胎死。候其当胎处若冷。为胎已死。
可下
治妊娠热病。胎死腹中。欲出方。
上取乌鸡一枚。去毛。细锉。以水三升。煮取二升。去鸡。稍稍摩脐下。胎当自出。
又方。
上取醋。浓煎黑豆汁。温服一小（中）盏。死胎当（立）下。
又方。
上取鸡子一枚。去壳。以三指撮盐。置鸡子中。搅匀服之。立出。
治妊娠热病。胎夭腹中。下之方。
鹿角膏（一两）
上以水一大盏。入葱白五茎。豉半合。
煎至六分。去滓温服。
又方。
上以益母草捣绞取汁。服一中盏立效。
又方。
上以芩子三两。以水二大盏。
煎至一中盏。去滓温服。
夫妊娠疟者。因夏伤于暑。客于皮肤。至秋因劳动血气。腠理虚而风邪乘之。动前暑热。
正
歇
而
二
上
日
治妊娠疟疾。憎寒。头疼壮热。腹痛。乃胎不安稳。腰脐下重。阿胶散方。
阿胶（一两半捣碎炒令黄燥） 赤芍药（一两） 当归（一两锉微炒） 柴胡（一两去
苗） 麦
门冬
锉）
上件药。捣筛为散。每服一（四）钱。以水一中盏。入薤白二茎。
煎至六分。去滓。不计时候温服。
治妊娠疟疾。头疼。憎寒壮热。面黄。不思饮食。人参散方。
人参（去芦头） 知母 麦门冬（去心） 柴胡（去苗） 桑寄生 白茯苓 浓朴（去
粗皮涂
生姜
上件药。捣筛为散。每服四钱。以水一中盏。
煎至六分。去滓。不计时候温服。
治妊娠疟疾忽患。不瘥。恒山散方。
恒山（一两） 甘草（半两炙微赤） 黄芩（半两） 乌梅（十四枚微炒） 石膏（一
两捣碎）
上件药。细锉。以酒一大盏。水一大盏相和。浸一宿。平旦 煎至一盏。去滓。分为
二服
治妊娠疟疾。寒热体痛。烦温。乌梅散方。
乌梅肉（微炒） 黄连（去须） 桑寄生 人参（去芦头） 甘草（炙微赤锉以上各一
两）
上件药。捣筛为散。每服四钱。以水一中盏。
煎至六分。去滓。不计时候温服。
治妊娠患疟。憎寒体颤。当归散方。
当归（锉微炒） 白芍药 茯神 枳壳（麸炒微黄去瓤） 白术 鳖甲（一两半涂醋炙
令黄
去裙
上件药。捣筛为散。每服四钱。以水一中盏。
煎至六分。去滓。不计时候温服。
治妊娠患疟。寒热头痛。口干心烦。黄芩散方。
黄芩（一两） 乌梅肉（十枚微炒） 石膏〔一（二）两〕 甘草（半两炙微赤锉） 麦
门冬（一
两
上件药。捣筛为散。每服四钱。以水一中盏。
煎至六分。去滓。不计时候温服。
治妊娠疟疾。憎寒壮热。口干烦闷。知母散方。
知母（一两） 白茯苓（一两） 乌梅肉（三分微炒） 大青（半两） 麦门冬（一两
去心） 柴
胡（
上件药。捣筛为散。每服四钱。以水一中盏。
煎至六分。去滓。不计时候温服。
治妊娠疟疾。寒热腹痛。黄连散方。
黄连（一两去须） 当归（一两锉微炒）
上件药。捣筛为散。每服三钱。以水一中盏。
煎至六分。去滓。不计时候温服。
治妊娠患疟。发时憎寒壮热。口干多吃冷水。腹内 刺。疼痛不止。松萝散方。
松萝（半两） 鳖甲（半两涂醋炙令黄去裙 ） 恒山（半两） 乌梅肉（七枚微炒） 朱
砂
（一分
两） 连
翘（半两
两）
上件药。捣细罗为散。每服。不计时候。以温酒调下二钱。
治妊娠疟疾。寒热腹痛。鳖甲散方。
鳖甲（一两涂醋炙令黄去裙 ） 干姜（半两炮裂） 当归（一两锉微炒） 桃仁〔三
两（分）
汤浸
上件药。捣细罗为散。每于发时。用煎水调下一钱。
During pregnancy, if one contracts a warm pestilence or cold damage, accumulating pathogenic toxic qi that enters the Baozang (uterus), it may cause fetal death. If the area where the fetus is located feels cold to the touch, it indicates that the fetus has died.
The following methods can be used to expel the dead fetus:
Formula for treating heat disease during pregnancy with a dead fetus in the uterus, intended for expulsion:
Take one black-bone chicken, remove feathers, chop finely, and boil in three sheng of water until reduced to two sheng. Remove the chicken meat. While warm, massage the area below the navel; the dead fetus will naturally be expelled.
Another formula:
Take vinegar and mix it with strongly decocted black soybean juice. Take one small cup warm; the dead fetus will be expelled immediately.
Another formula:
Take one egg, remove the shell, place salt amounting to three fingerfuls into the egg, stir evenly, and ingest; the dead fetus will be expelled immediately.
Formula for treating heat disease during pregnancy with a dead fetus in the uterus, intended for downward purgation:
Lujiao Gao (Deer Horn Paste) 1 liang.
Add five stalks of scallion white and half he of fermented soybeans to one large cup of water.
Decoct until reduced to sixty percent volume, filter dregs, and take warm.
Another formula:
Crush and squeeze fresh Yimucao (Leonurus japonicus) to obtain juice. Take one medium cup for immediate effect.
Another formula:
Take Sanliang of Qinzizhong (Scutellaria seeds) and two large cups of water.
Decoct until reduced to one medium cup, filter dregs, and take warm.
Pregnancy malaria occurs because summer-heat pathogen was contracted in summer and lodged in the skin. In autumn, due to labor and exhaustion of Qi and blood, the Couli (pores and interstices) become deficient, allowing wind pathogen to invade and stir up previous summer-heat. The righteous Qi and pathogen contend, leading to paroxysmal episodes.
Formula for treating pregnancy malaria with aversion to cold, headache, high fever, abdominal pain causing fetal instability, and heaviness in the lower back and umbilical region: Ejiao San (Donkey-hide Gelatin Powder).
Ejiao (Donkey-hide Gelatin) 1.5 liang (crushed, fried until yellow and dry), Chishao Yao (Red Peony Root) 1 liang, Danggui (Angelica Sinensis) 1 liang (chopped, slightly fried), Chaihu (Bupleurum) 1 liang (rhizome removed), Maidong (Ophiopogon Tuber) (heart removed, chopped).
Grind the above herbs into a powder. Each dose consists of four qian. Add two stalks of Xiebai (Chinese Onion Bulb) to one medium cup of water. Decoct until reduced to sixty percent volume, filter dregs, and take warm at any time.
Formula for treating pregnancy malaria with headache, aversion to cold, high fever, sallow complexion, and loss of appetite: Renshen San (Ginseng Powder).
Renshen (Ginseng) (rhizome removed), Zhimu (Anemarrhena Rhizome), Maidong (Ophiopogon Tuber) (heart removed), Chaihu (Bupleurum) (rhizome removed), Sangjisheng (Taxillus Chinensis), Baifuling (Poria Cocos), Houpo (Magnolia Bark) (rough bark removed, processed with ginger juice).
Grind the above herbs into a powder. Each dose consists of four qian. Use one medium cup of water. Decoct until reduced to sixty percent volume, filter dregs, and take warm at any time.
Formula for treating sudden onset of persistent pregnancy malaria: Hengshan San (Dichroa Root Powder).
Hengshan (Dichroa Root) 1 liang, Gancao (Licorice Root) 0.5 liang (fried until slightly red), Huangqin (Scutellaria Root) 0.5 liang, Wumei (Mume Fruit) 14 pieces (slightly fried), Shigao (Gypsum Fibrosum) 1 liang (crushed).
Finely chop the above herbs. Mix one large cup of wine with one large cup of water, soak overnight, and decoct at dawn until reduced to one cup. Filter dregs and divide into two doses.
Formula for treating pregnancy malaria with alternating chills and fever, body pain, and irritability/warmth: Wumei San (Mume Fruit Powder).
Wumei Rou (Mume Fruit Flesh) (slightly fried), Huanglian (Coptis Rhizome) (fibers removed), Sangjisheng (Taxillus Chinensis), Renshen (Ginseng) (rhizome removed), Gancao (Licorice Root) (fried until slightly red, chopped, each 1 liang).
Grind the above herbs into a powder. Each dose consists of four qian. Use one medium cup of water. Decoct until reduced to sixty percent volume, filter dregs, and take warm at any time.
Formula for treating pregnancy malaria with aversion to cold and body tremors: Danggui San (Angelica Sinensis Powder).
Danggui (Angelica Sinensis) (chopped, slightly fried), Baishao Yao (White Peony Root), Fushen (Poria with Hostwood), Zhike (Aurantii Fructus) (bran-fried until slightly yellow, placenta removed), Baizhu (Atractylodes Macrocephala Rhizome), Biejia (Testudinis Carapax et Plastrum) 1.5 liang (coated with vinegar, fried until yellow, apron removed).
Grind the above herbs into a powder. Each dose consists of four qian. Use one medium cup of water. Decoct until reduced to sixty percent volume, filter dregs, and take warm at any time.
Formula for treating pregnancy malaria with alternating chills and fever, headache, dry mouth, and irritability: Huangqin San (Scutellaria Root Powder).
Huangqin (Scutellaria Root) 1 liang, Wumei Rou (Mume Fruit Flesh) 10 pieces (slightly fried), Shigao (Gypsum Fibrosum) 1 liang (or 2 liang), Gancao (Licorice Root) 0.5 liang (fried until slightly red, chopped), Maidong (Ophiopogon Tuber) 1 liang (heart removed).
Grind the above herbs into a powder. Each dose consists of four qian. Use one medium cup of water. Decoct until reduced to sixty percent volume, filter dregs, and take warm at any time.
Formula for treating pregnancy malaria with aversion to cold, high fever, dry mouth, and irritability: Zhimu San (Anemarrhena Rhizome Powder).
Zhimu (Anemarrhena Rhizome) 1 liang, Baifuling (Poria Cocos) 1 liang, Wumei Rou (Mume Fruit Flesh) 3 fen (slightly fried), Daqing (Isatidis Folium) 0.5 liang, Maidong (Ophiopogon Tuber) 1 liang (heart removed), Chaihu (Bupleurum) 1 liang (rhizome removed).
Grind the above herbs into a powder. Each dose consists of four qian. Use one medium cup of water. Decoct until reduced to sixty percent volume, filter dregs, and take warm at any time.
Formula for treating pregnancy malaria with alternating chills and fever and abdominal pain: Huanglian San (Coptis Rhizome Powder).
Huanglian (Coptis Rhizome) 1 liang (fibers removed), Danggui (Angelica Sinensis) 1 liang (chopped, slightly fried).
Grind the above herbs into a powder. Each dose consists of three qian. Use one medium cup of water. Decoct until reduced to sixty percent volume, filter dregs, and take warm at any time.
Formula for treating pregnancy malaria where, upon onset, there is aversion to cold, high fever, dry mouth with desire to drink cold water excessively, and piercing abdominal pain that does not cease: Songluo San (Usnea Powder).
Songluo (Usnea) 0.5 liang, Biejia (Testudinis Carapax et Plastrum) 0.5 liang (coated with vinegar, fried until yellow, apron removed), Hengshan (Dichroa Root) 0.5 liang, Wumei Rou (Mume Fruit Flesh) 7 pieces (slightly fried), Zhusha (Cinnabar) 1 fen, Lianqiao (Forsythiae Fructus) 0.5 liang.
Grind the above herbs finely through a sieve. Each dose, taken at any time, is mixed with warm wine and administered as two qian.
Formula for treating pregnancy malaria with alternating chills and fever and abdominal pain: Biejia San (Turtle Shell Powder).
Biejia (Testudinis Carapax et Plastrum) 1 liang (coated with vinegar, fried until yellow, apron removed), Ganjiang (Zingiberis Rhizoma) 0.5 liang (processed/cracked), Danggui (Angelica Sinensis) 1 liang (chopped, slightly fried), Taoren (Prunus Persica Seed) 3 liang (soaked in hot water, skin and pointed ends removed).
Grind the above herbs finely through a sieve. At the time of onset, take one qian mixed with decocted water.