（附论）
夫胎不安而堕。既堕而血出不止者。以经养不周。血投虚出。甚则心神烦愦。乃至昏冒
也。堕胎后。复损于经脉。经脉既虚。故下血不止。便致闷烦乃死矣。
方
桑根煎丸 治妊娠堕胎后。血出不止。胸胁心腹满痛。时复寒热甚者。
桑根白皮（锉二两） 麻子仁（净洗五合研） 清酒（五盏煮煎二味药至三盏绞汁去滓）
枣（二十枚大者取肉） 饴糖（二两） 阿胶（炙令燥一两） 蜜（五大合枣糖胶同煎一大
盏如膏） 干姜（炮制） 浓朴（去粗皮生姜汁炙七次锉碎各半两） 芍药（半两） 蜀椒
（去目并合口者炒出汗） 肉桂（去粗皮） 甘草（炙令赤） 黄柏（锉碎炒） 生干地黄
（焙） 元参 五味子（各一
钱） 上以先七味共煎成稀膏。以后十味为末。与前膏同和为剂。涂酥。更捣令匀熟。丸如
弹子大。以温酒下一丸。食前服。
地榆散（出圣惠方）治妊娠损胎。下血不止。腹内疼痛。
地榆（三钱锉） 干姜（一钱炮制锉） 当归（三钱锉微炒） 龙骨（三钱） 芎 （二
钱） 艾叶（半两微炙） 阿胶（一钱捣碎炒令黄燥） 熟干地黄（一两） 蒲黄（三两） 牛
角腮（一两烧灰） 白术（半两） 乌贼鱼骨（三钱烧灰） 上为细散。不计时候。以粥饮
调下二钱。
当归散（出圣惠方）治妊娠损胎后。下血不止。
当归（三钱锉微炒） 龙骨（三钱） 地榆（五钱锉） 艾叶（半两） 阿胶（三钱捣
碎炒令黄燥） 牛角腮（一两烧灰） 熟干地黄（三钱） 芎 （三钱） 白芍（半两炒） 干
姜（半两炮裂锉） 黄 （半两锉） 柏叶（三钱微炙） 上为细散。不计时候。以粥饮调
下二钱。
龙骨散（一名当归散出圣惠方）治妊娠堕胎后。血出不止。腹痛并损动。
龙骨（半两炮） 生干地黄（焙） 地榆（去苗细锉各一两半） 芍药（各一两） 干
姜（炮裂）
蒲黄（微炒） 阿胶（炒令燥） 牛角腮（取黄牛角内者炙令匀焦错取末各半两） 艾叶（一
钱为
末） 上为细散。每服二钱。以煎生干地黄。酒调服。米饮调服亦得。忌生冷、油腻、猪肉、
鱼
地榆散（一名龙骨散）治妊娠堕胎后。血出不止。
地榆（去苗锉碎一两） 当归（切焙） 龙骨 艾叶（捣取末） 蒲黄（微炒各半两） 牛
角腮
（炙令匀焦另研一作犀角屑） 阿胶（炒令燥） 生干地黄（焙各一两一方用熟干地黄） 上
为细
散
当归散 治妊娠损胎后。下血不止。
当归（三钱锉） 熟干地黄（一两） 鹿茸（三钱去毛涂酥炙） 白胶（一两捣碎炒令
黄燥）
艾叶（半两微炒） 甜葶苈根（三钱） 附子（半两去皮脐） 黄芩（半两） 上为细散。
每于食
前。以粥饮调下一钱。
白胶散 治妊娠三两月后。或时伤损。下血不止。绕脐疼痛。吐逆闷绝。
白胶（一两捣碎炒令黄燥） 人参（去芦头） 半夏（汤洗七次去滑） 秦艽（去苗切）
紫菀
甘草（炙微赤锉各一两） 上 咀。每服三钱。以水一中盏。入葱白二茎。煎至六分去滓。
不
计时候。温服。
地榆汤 治妊娠堕胎后。血出不止。形体虚羸。
地榆（去苗刮净细锉一两） 当归（炙焙切碎二两） 生姜（去皮切碎阴干者） 艾叶
（捣为
末各半两） 赤石脂（一两） 上 咀。每服三钱。以水一中盏。入新竹叶十片。同煎至七
分
去滓。食前温服。一方为末。淡竹沥调下二钱。
地黄汤 治妊娠堕胎后。血出不止。小腹满痛。
葱豉汤 治堕胎后心痛。
榆白皮煮散 治妊娠堕胎后。血出不止。
榆白皮（刮净锉碎） 当归（切焙各半两） 上 咀。每服三钱。以水一盏。入生姜三
片。
同煎至七分去滓。空心服。
胶艾汤 治妊娠堕胎后。血出不止。腹痛。亦疗损动母去血。
艾叶（捣成末一两） 阿胶（炙令燥半两） 上 咀。每服三钱正。水一盏煎至五分去
滓。
空腹服之。未效更服。
小蓟饮 治妊娠堕胎后。血出不止。
小蓟根叶（锉碎） 益母草（去根茎切碎各五两） 上以水三大碗。煮二味烂熟去滓。
至一
大碗。将药于铜器中煎至二盏。分作二服。一日内服尽。
治妊娠堕胎后。血出不止。
用生地黄汁半盏。调代赭末一钱。必一日三五服。以瘥为度。
治妊娠堕胎后。血出不止。
用丹参去芦头二两。粗捣筛。每服四钱。以水一盏。煎至六分去滓。温服。食前。一方。
酒
治落胎下血不止。
用桑木中蝎虫烧灰。酒服方寸匕。日二。一方桑蝎虫屎烧灰服。
治妊娠堕胎下血不尽。苦烦满欲极。时发寒热。狂闷。
用鹿角屑一两。熬以水一大盏。煎豉一合取汁六分。分为三服。调鹿角屑二钱服。日三
服。须臾血下。
(Attached Discussion)
When the fetus is unstable and miscarries, and bleeding continues incessantly after the miscarriage, it is due to insufficient nourishment of the meridians. The blood flows out due to deficiency. In severe cases, it causes mental restlessness and confusion, leading even to coma.
After a miscarriage, if the meridians are further damaged, and since the meridians are deficient, the vaginal bleeding does not stop. This eventually leads to death from chest oppression and irritability.
Prescriptions
Sanggen Jian Wan (Mulberry Root Bark Decoction Pills): Treats incessant vaginal bleeding after pregnancy miscarriage, accompanied by fullness and pain in the chest, hypochondrium, heart, and abdomen, and severe intermittent chills and fever.
Cortex Mori Radicis (Sanbai Pi, 桑白皮) [2 liang, crushed]; Semen Cannabis Sativae (Huomaren, 火麻仁) [5 he, washed clean and ground]; Clear wine [5 zhen, used to decoct the first two ingredients until reduced to 3 zhen, then strained for juice]; Jujubae Fructus (Dazao, 大枣) [20 large ones, flesh only]; Malt Sugar (Yitang, 饴糖) [2 liang]; Corium Colla (Ejiao, 阿胶) [1 liang, roasted until dry]; Mel (Fengmi, 蜂蜜) [5 da he, decocted together with jujube flesh and corium colla until forming a paste-like consistency of 1 da zhen]; Zingiberis Rhizoma Praeparatum (Ganjiang, 干姜) [prepared]; Magnoliae Officinalis Cortex (Houpo, 厚朴) [coarse bark removed, roasted seven times with fresh ginger juice, crushed; each 0.5 liang]; Paeoniae Radix (Shaoyao, 芍药) [0.5 liang]; Zanthoxyli Fructus (Shujiao, 蜀椒) [eyes and closed-mouth ones removed, stir-fried until oil appears]; Cinnamomi Cortex (Rougui, 肉桂) [coarse bark removed]; Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [roasted until reddish]; Phellodendri Cortex (Huangbai, 黄柏) [crushed and stir-fried]; Rehmanniae Radix Recens (Shengdihuang, 生干地黄) [baked]; Scrophulariae Radix (Yuanshen, 元参); Schisandrae Fructus (Wuweizi, 五味子) [each 1 qian]. First, decoct the initial seven ingredients together into a thin paste. Then, powder the subsequent ten ingredients and mix them with the previous paste to form pills. Coat with butter, pound again until uniform and well-cooked. Form into pills the size of bullet seeds. Take one pill before meals, swallowed with warm wine.
Diyu San (Sanguisorba Powder, from *Shenghui Fang*): Treats damaged fetus during pregnancy with incessant vaginal bleeding and abdominal pain.
Sanguisorbae Radix (Diyu, 地榆) [3 qian, crushed]; Zingiberis Rhizoma Praeparatum (Ganjiang, 干姜) [1 qian, prepared and crushed]; Angelicae Sinensis Radix (Danggui, 当归) [3 qian, crushed and lightly stir-fried]; Os Draconis (Longgu, 龙骨) [3 qian]; Chuanxiong Rhizome (Chuanxiong, 川芎) [2 qian]; Folium Artemisiae Argyi (Aye, 艾叶) [0.5 liang, lightly roasted]; Corium Colla (Ejiao, 阿胶) [1 qian, crushed and stir-fried until yellow and dry]; Rehmanniae Radix Praeparata (Shudihuang, 熟干地黄) [1 liang]; Spora Typhae (Puhuang, 蒲黄) [3 liang]; Cornu Bubali Cutis (Niujiaosai, 牛角腮) [1 liang, burnt to ash]; Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) [0.5 liang]; Sepiae Endoconcha (Wuzheyu Gu, 乌贼鱼骨) [3 qian, burnt to ash]. Powder all ingredients finely. Take at any time, mixing 2 qian with rice broth.
Danggui San (Angelica Powder, from *Shenghui Fang*): Treats incessant vaginal bleeding after damaged fetus during pregnancy.
Angelicae Sinensis Radix (Danggui, 当归) [3 qian, crushed and lightly stir-fried]; Os Draconis (Longgu, 龙骨) [3 qian]; Sanguisorbae Radix (Diyu, 地榆) [5 qian, crushed]; Folium Artemisiae Argyi (Aye, 艾叶) [0.5 liang]; Corium Colla (Ejiao, 阿胶) [3 qian, crushed and stir-fried until yellow and dry]; Cornu Bubali Cutis (Niujiaosai, 牛角腮) [1 liang, burnt to ash]; Rehmanniae Radix Praeparata (Shudihuang, 熟干地黄) [3 qian]; Chuanxiong Rhizome (Chuanxiong, 川芎) [3 qian]; Paeoniae Radix Alba (Baishao, 白芍) [0.5 liang, stir-fried]; Zingiberis Rhizoma Praeparatum (Ganjiang, 干姜) [0.5 liang, cracked and crushed]; Astragali Radix (Huangqi, 黄芪) [0.5 liang, crushed]; Folium Platycladi (Baiye, 柏叶) [3 qian, lightly roasted]. Powder all ingredients finely. Take at any time, mixing 2 qian with rice broth.
Longgu San (Os Draconis Powder, also known as Danggui San, from *Shenghui Fang*): Treats incessant vaginal bleeding, abdominal pain, and fetal disturbance after pregnancy miscarriage.
Os Draconis (Longgu, 龙骨) [0.5 liang, prepared]; Rehmanniae Radix Recens (Shengdihuang, 生干地黄) [baked]; Sanguisorbae Radix (Diyu, 地榆) [remove seedlings, finely crushed, each 1.5 liang]; Paeoniae Radix (Shaoyao, 芍药) [each 1 liang]; Zingiberis Rhizoma Praeparatum (Ganjiang, 干姜) [cracked]; Spora Typhae (Puhuang, 蒲黄) [lightly stir-fried]; Corium Colla (Ejiao, 阿胶) [stir-fried until dry]; Cornu Bubali Cutis (Niujiaosai, 牛角腮) [take from yellow ox horn, roast until evenly charred, powder; each 0.5 liang]; Folium Artemisiae Argyi (Aye, 艾叶) [1 qian, powdered]. Powder all ingredients finely. Take 2 qian per dose, mixed with decoction of fresh Rehmannia root and wine. Mixing with rice drink is also acceptable. Avoid raw/cold, greasy foods, pork, and fish.
Diyu San (also known as Longgu San): Treats incessant vaginal bleeding after pregnancy miscarriage.
Sanguisorbae Radix (Diyu, 地榆) [remove seedlings, crushed, 1 liang]; Angelicae Sinensis Radix (Danggui, 当归) [cut and baked]; Os Draconis (Longgu, 龙骨); Folium Artemisiae Argyi (Aye, 艾叶) [pounded to powder]; Spora Typhae (Puhuang, 蒲黄) [lightly stir-fried, each 0.5 liang]; Cornu Bubali Cutis (Niujiaosai, 牛角腮) [roast until evenly charred and separately ground; alternatively, Rhinocerotis Cornu Xie, 犀角屑]; Corium Colla (Ejiao, 阿胶) [stir-fried until dry]; Rehmanniae Radix Recens (Shengdihuang, 生干地黄) [baked, each 1 liang; one prescription uses Rehmanniae Radix Praeparata, Shudihuang, 熟干地黄]. Powder all ingredients finely.
Danggui San: Treats incessant vaginal bleeding after damaged fetus during pregnancy.
Angelicae Sinensis Radix (Danggui, 当归) [3 qian, crushed]; Rehmanniae Radix Praeparata (Shudihuang, 熟干地黄) [1 liang]; Cornu Cervi Pantotrichum (Lurong, 鹿茸) [3 qian, remove hair, coat with butter and roast]; Baijiao (White Glue/Collagen) [1 liang, crushed and stir-fried until yellow and dry]; Folium Artemisiae Argyi (Aye, 艾叶) [0.5 liang, lightly stir-fried]; Radix Thlasidis (Tiantingli Gen, 甜葶苈根) [3 qian]; Aconiti Lateralis Radix Praeparata (Fuzi, 附子) [0.5 liang, remove skin and bud]; Scutellariae Radix (Huangqin, 黄芩) [0.5 liang]. Powder all ingredients finely. Take 1 qian before meals, mixed with rice broth.
Baijiao San (White Glue Powder): Treats incessant vaginal bleeding, periumbilical pain, vomiting, and suffocation occurring occasionally after three months of pregnancy due to injury.
Baijiao (White Glue/Collagen) [1 liang, crushed and stir-fried until yellow and dry]; Ginseng Radix (Renshen, 人参) [remove rhizome]; Pinelliae Tuber (Banxia, 半夏) [wash seven times in water to remove acridity]; Gentianae Macrophyllae Radix (Qinjiao, 秦艽) [remove seedlings and cut]; Asteris Radix (Ziwan, 紫菀); Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [roasted slightly red, crushed, each 1 liang]. Chop all ingredients. Take 3 qian per dose, decoct with 1 zhen of water and two stalks of white onion until reduced to 6/10 volume, then strain. Take warm at any time.
Diyu Tang (Sanguisorba Decoction): Treats incessant vaginal bleeding and emaciation after pregnancy miscarriage.
Sanguisorbae Radix (Diyu, 地榆) [remove seedlings, scrape clean, finely crush, 1 liang]; Angelicae Sinensis Radix (Danggui, 当归) [roast, bake, chop, 2 liang]; Zingiberis Rhizoma Recens (Shengjiang, 生姜) [peel, chop, shade-dried]; Folium Artemisiae Argyi (Aye, 艾叶) [pounded to powder, each 0.5 liang]; Halloysit Rubra (Chishizhi, 赤石脂) [1 liang]. Chop all ingredients. Take 3 qian per dose, decoct with 1 zhen of water and ten leaves of new bamboo until reduced to 7/10 volume, then strain. Take warm before meals. One prescription powders the ingredients and takes 2 qian mixed with light bamboo sap.
Dihuang Tang (Rehmannia Decoction): Treats incessant vaginal bleeding and lower abdominal fullness/pain after pregnancy miscarriage.
Congchi Tang (Scallion and Fermented Soybean Decoction): Treats heart pain after miscarriage.
Yubai Pi Zhu San (Elm Bark Boiled Powder): Treats incessant vaginal bleeding after pregnancy miscarriage.
Ulmi Cortex (Yubai Pi, 榆白皮) [scrape clean, crush]; Angelicae Sinensis Radix (Danggui, 当归) [cut and bake, each 0.5 liang]. Chop all ingredients. Take 3 qian per dose, decoct with 1 zhen of water and three slices of fresh ginger until reduced to 7/10 volume, then strain. Take on an empty stomach.
Jiao Ai Tang (Collagen and Mugwort Decoction): Treats incessant vaginal bleeding and abdominal pain after pregnancy miscarriage. Also treats maternal blood loss due to fetal disturbance.
Folium Artemisiae Argyi (Aye, 艾叶) [pounded to powder, 1 liang]; Corium Colla (Ejiao, 阿胶) [roasted until dry, 0.5 liang]. Chop all ingredients. Take exactly 3 qian per dose, decoct with 1 zhen of water until reduced to 5/10 volume, then strain. Take on an empty stomach. If ineffective, take again.
Xiaoji Yin (Small Thistle Drink): Treats incessant vaginal bleeding after pregnancy miscarriage.
Radix et Folium Cirsii Japonici (Xiaoji Genye, 小蓟根叶) [crush]; Leonuri Herba (Yimucao, 益母草) [remove roots and stems, chop, each 5 liang]. Decoct both ingredients in 3 large bowls of water until soft, then strain. Reduce to 1 large bowl. Further decoct the liquid in a copper vessel until reduced to 2 zhen. Divide into two doses. Consume within one day.
Treatment for incessant vaginal bleeding after pregnancy miscarriage:
Mix 0.5 zhen of fresh Rehmannia juice with 1 qian of Hematitum powder (Daizhe Shi, 代赭). Must be taken 3-5 times a day, until cured.
Treatment for incessant vaginal bleeding after pregnancy miscarriage:
Take 2 liang of Salviae Miltiorrhizae Radix (Danshen, 丹参), remove rhizome, coarsely crush and sieve. Take 4 qian per dose, decoct with 1 zhen of water until reduced to 6/10 volume, then strain. Take warm before meals. One prescription uses wine for decoction.
Treatment for incessant bleeding after induced abortion/miscarriage:
Burn the scorpion found in mulberry wood to ash. Take with wine, one fangcun bi (square inch spoonful). Twice daily. One prescription uses the feces of the mulberry scorpion, burnt to ash.
Treatment for incomplete expulsion of blood after pregnancy miscarriage, severe distress and fullness, frequent chills and fever, madness, and suffocation:
Take 1 liang of Cornu Cervi Pulvis (Lu Jiao Xie, 鹿角屑). Decoct with 1 large zhen of water and 1 he of fermented soybeans (Chi, 豆豉) to obtain 6/10 volume of juice. Divide into three doses. Mix 2 qian of deer horn powder into each dose. Take three times daily. Blood will descend shortly thereafter.