疗胎死腹中不出，母欲绝。水银方。
水银（二两）
顿吞之，儿立出。
又方∶用水银如弹子大，以枣肉均研，和如大豆许，水吞下立出。
疗或半生胎不下，或子死腹中，或半着脊及在草不产，血气上荡心，母面无颜色，气欲
绝方。
猪脂（一升，煎） 白蜜（一升） 淳酒（二升）
上三味，合煎取二升，分温两服。不能饮，随所能服之。
又疗子死腹中不出。以牛屎涂母腹上立出。
疗胎死。
甘草（一尺） 蒲黄（二合） 筒桂（四寸） 香豉（二升） 鸡子（一枚）
上细切，以水六升，煮取三升，顿服。胎胞秽恶尽去，大良。
产经数日不出，或子死腹中，母气欲绝。
瞿麦（六两） 通草 桂心（各三两） 牛膝（四两） 榆白皮（一升）
上 咀，以水九升，煎取三升，去滓，分温三服。
治子死胎不下，胞破不生。此方累有效，救人几万数。
鬼臼不拘多少，黄色者。去毛、碾为末，以手指捻之如粉、极细为度，每服二钱。用无
灰酒一盏，同煎至八分，通口服，立生如神。此药不用罗，只碾令极细。
疗死胎不出。
朴硝为末，每用二钱，温童子小便调下。知洪州进贤曾通仕定求云∶昔为丰城尉时，有
猫孕五子，一子已生，四子死腹中，啼唤欲死。试问医者，令用此药灌之，死子即下，猫得
再生。后有一牛亦如此，用此法亦活。医云∶本治人方，用以治畜也。后因以救人无不验。
（仆为儿时，曾有一亲戚胎死腹中，不下数日，百计已穷。记忆我先人用朴硝半两研细，以
童子小便调下，胎即落矣）
治死胎不下，其证指甲青、舌青、胀闷，甚者口中作屎臭。先以平胃散一贴作两服，每
服酒、水各一盏，同煎至一盏，却投朴硝半两，研细再煎三、五沸倾出，候微温服尽，其胎
即化血水而下。
缪宅厥息孺人杜氏，生产数日不下，坐婆、魂童救疗皆无效，召仆诊之。仆曰∶产前脉
不可考，但当察色而知之。遂揭帐明烛以察之，其面色赤，舌色青，见此色者，知胎已死，
母却无忧矣。或问曰∶何以知之？余答曰∶面赤舌青者，子死母活明矣。供自合至宝丹二粒
服之，胎即落矣。以此见古人处方神速。至宝丹（方见《和剂方》）。
Treatment for fetal death in utero with failure to expel, and the mother's vital qi approaching exhaustion. Mercury Formula.
Mercury (2 liang)
Swallow in one dose; the fetus will be expelled immediately.
Another formula: Take mercury the size of a pellet, grind it evenly with jujube flesh, mix into pills the size of soybeans, swallow with water; the fetus will be expelled immediately.
Treatment for fetal death in utero. Take 2 sheng of the husband's urine, boil until boiling, then drink.
Treatment for retained half-born placenta, or fetal death in utero, or placenta adhering to the spine and retention in the birth canal, with blood and qi rushing upward to strike the heart, the mother having a sallow complexion, and vital qi approaching exhaustion.
Pig lard (1 sheng, boiled) White honey (1 sheng) Pure wine (2 sheng)
Combine the above three ingredients, decoct until 2 sheng remain, divide into two warm doses. If unable to drink wine, take according to tolerance.
Another treatment for fetal death in utero with failure to expel. Apply cow dung to the mother's abdomen; the fetus will be expelled immediately.
Treatment for fetal death.
Licorice Root (Gancao, 甘草) (1 chi) Coptis Rhizome equivalent here likely refers to Poria or similar, but text says Put Huang (Corydalis Rhizome/Pollen? No, Pu Huang is Lygodii Spora) -> Correction: Pu Huang (Lygodii Spora, 蒲黄) (2 he) Cinnamon Twig equivalent here "Tong Gui" (4 cun) Fermented Soybean (Xiang Chi, 香豉) (2 sheng) Chicken Egg (1 piece)
Finely chop the above herbs, add 6 sheng of water, decoct until 3 sheng remain, take in one dose. The foul matter of the fetal membrane will be completely expelled; this is highly effective.
The *Chanjing* records cases of retention for several days, or fetal death in utero, with the mother's vital qi approaching exhaustion.
Dianthus Root (Qumai, 瞿麦) (6 liang) Tong Cao (Lindera Root/ Tetrapanax Pith) Cinnamon Heart (Guixin, 桂心) (each 3 liang) Achyranthes Root (Niuxi, 牛膝) (4 liang) Elm Bark (Yubai Pi, 榆白皮) (1 sheng)
Coarsely crush the above herbs, add 9 sheng of water, decoct until 3 sheng remain, remove dregs, divide into three warm doses.
Treatment for retained dead fetus and ruptured membranes without delivery. This formula has been repeatedly effective, saving tens of thousands.
Aconitum Lateralis Preparatum equivalent here is Guibai (Daemonorops Spine/Guibai, 鬼臼) (any amount, select yellow ones). Remove hairs, grind into powder, rub between fingers until as fine as flour, this is the standard. Each dose is 2 qian. Use one cup of clear wine, decoct together until 80% remains, take orally in one go; the fetus will be born instantly as if by divine aid. This herb need not be sifted, only ground extremely fine.
Treatment for retained dead fetus.
Mirabilite (Piaoxiao, 朴硝) ground into powder, each dose 2 qian, taken mixed with child's urine. Zeng Tongshi Dingqiu from Jinxiang, Hongzhou stated: When he served as Magistrate of Fengcheng, a cat was pregnant with five kittens; one was born, four died in the womb, crying out in distress. He consulted a physician who instructed using this medicine to灌 (pour/feed); the dead fetuses were expelled, and the cat survived. Later, a cow had the same condition, treated with this method and also saved. The physician said: "Originally a human formula, used for animals." Later used for humans, it was invariably effective. (In my childhood, a relative had fetal death in utero, retained for several days, all remedies exhausted. I recall my ancestor used half a liang of Mirabilite, finely ground, mixed with child's urine, and the fetus was expelled.)
Treatment for retained dead fetus, characterized by cyanosis of fingernails and tongue, abdominal distension and oppression, and in severe cases, a fecal odor from the mouth. First, administer Pingwei San (Pingwei Powder) in one packet, divided into two doses. For each dose, use one cup of wine and one cup of water, decoct until one cup remains, then add half a liang of Mirabilite, finely ground, decoct for three to five boils, pour out, and when slightly warm, consume fully; the fetus will transform into bloody fluid and be expelled.
Lady Du of the Jueshi residence in Miao household, failed to deliver after several days of labor; midwives and spirit summoners' treatments were ineffective. I was summoned to diagnose. I said: "Pulse diagnosis before delivery is unreliable; one should judge by observation of color." Thus, I lifted the curtain, lit candles, and observed. Her face was red, and her tongue was cyanotic. Seeing these colors indicates fetal death, while the mother remains safe. Someone asked: "How do you know?" I replied: "Red face and cyanotic tongue clearly indicate fetal death with maternal survival." I administered two pills of Zhibao Dan (Precious Treasure Pill), and the fetus was expelled. This demonstrates the speed and efficacy of ancient prescriptions. Zhibao Dan (Formula found in *Heji Jufang*).