（附论）
夫胎气内动。不能自安。非时而堕。既堕而胞衣不出者。以衣带尚与母气相属。血气犹
固。伤堕之次。复加风冷。血气凝涩。遂致衣不出。治法宜以破血温气之剂服。堕胎。胎初
下后。妇人力羸。不能更用气力产胞也。复遇外冷。则血凝。故胞衣不出也。
方
当归汤 治妊娠堕胎。胞衣不出。
当归（切炒） 牛膝（酒浸切焙各一两半） 木通（锉） 滑石（碎各二两） 冬葵子
（炒一合）
瞿麦穗（一两） 上 咀。每服三钱。以水一盏半。煎至八分去滓。温服。未下再服。以下
为
度。
牛膝散（出圣惠方）治妊娠五六月。堕胎。胞衣不出。
牛膝（去苗） 芎 川朴硝 蒲黄（各三钱） 桂心（半两去粗皮） 当归（一两半）
上
咀。每服四钱。以水一中盏。入生姜半钱。生地黄一钱。煎至六分去滓。放温。频服效。
冬葵子汤 治妊娠堕胎。胞衣不出。
冬葵子（炒） 牛膝（酒浸切焙） 木通（锉各一两） 瞿麦穗（一两） 桂（去粗皮
二两） 上
咀。每服二钱。以水一盏半。煎至八分去滓。温服。以下为度。
大阿胶汤 治妊娠堕胎。胞衣不出。
阿胶（炙令燥） 冬葵子（炒） 牛膝（酒浸切焙） 当归（切焙各三钱） 上 咀。
每服三钱
以水一盏半煎至八分去滓。温服。以下为度。
雄黄散 治妊娠堕胎。胞衣不下。昏闷喘急者。宜急救。
雄黄 香墨（研各一钱） 金箔（三片） 马牙硝（一钱研） 上研匀。每服一钱。以
蜜少许。
与
蒲黄散（出圣惠方）治堕胎。胞衣不出。胞中 痛。牵引腰脊。
蒲黄（三钱） 桂心 赤芍药（各一两） 牛膝（二两去苗） 上 咀。每服四钱。以
水酒各半盏。煎至六分去滓。温服。
地黄酒 治妊娠堕胎。胞衣不出。
生地黄（以铜竹刀切炒半两） 蒲黄（炒） 生姜（切炒各一钱） 上 咀。以无灰酒
三盏。于银器内同煎至二盏去滓。分温三服。未下更服。
泽兰汤 治妊娠堕胎。胞衣不出。
泽兰叶（切碎） 滑石（末各半两） 生麻油（少许） 上以水三盏。先煎泽兰叶至盏
半去滓。入滑石末并油更煎。三沸。顿服之。未下更服。
蒲黄酒（一名槐子丸出大全良方）治妊娠堕胎。胞衣不出。
蒲黄（炒一合） 槐子（十四枚为末） 上以酒三盏煎至二盏。分温二服。未下更服。
一方治妊娠月数未足。欲产腹痛。用蜜丸温酒下。
治堕胎。胞衣不出。腹中 痛。牵引腰脊。（出圣惠方）
用蚁巢土三升炒。帛裹拓心下。胞自出也。
又方（出圣惠方）
用好墨细研。每服以温酒调下二钱。频服效。
治妊娠胎死腹中。胞衣不出。及产后卒有别病。欲至野狼狈方。（出圣惠方）
用刺热羊血饮一小盏极效。
又方（出圣惠方）
用水 其面。神验。用醋少许。
又方（出圣惠方）
用洗儿水半盏。令母服。其衣便出。勿令产妇知。
又方（出圣惠方） 若胞衣未下。腹满则杀人。
用水一盏。煮猪脂一两。煎五七沸。和脂服之。当下。
治胎衣不下。
用蛇蜕皮炒焦为末。酒调下。如胎衣在腹。另碾榆白皮末同煎服。立下。
治胎衣不下。
用蓖麻子十四枚。去壳。正裹贴足下。男左女右。衣下即去。
又方（出如宜方）
以鸡子一个。取清吞之。
又方（出如宜方）
用铁斧烧令通红。投酒中。沸定。则出。饮之。
(Attached Discussion)
When the fetal qi moves restlessly within, it cannot remain stable, leading to miscarriage before term. After the fetus is expelled, if the placenta (bao yi) fails to discharge, it is because the placenta remains attached to the mother's qi and blood, which are still consolidated. During the miscarriage process, exposure to wind and cold causes the qi and blood to coagulate and become stagnant, thereby preventing the expulsion of the placenta. The treatment principle should involve administering decoctions that break blood stasis, move qi, and warm the yang qi.
Following a miscarriage, after the fetus has been expelled, the woman's physical strength is depleted and weak, leaving her unable to exert further effort to deliver the placenta. If exposed to external cold, the blood coagulates, resulting in the retention of the placenta.
Formulas:
Danggui Tang (Angelica Decoction): Treats retained placenta following miscarriage during pregnancy.
Ingredients: Danggui Radix (Cut and stir-fried), Niuxi Achyranthes Root (Soaked in wine, cut, and dried, each 1.5 liang), Mutong Akebia Stem (Chopped), Huashi Talcum (Crushed, each 2 liang), Dongkuizi Malva Seed (Stir-fried, 1 he), Qumai Herba (1 liang).
Usage: Coarsely crush the herbs. Take 3 qian per dose. Add 1.5 sheng of water, decoct until reduced to 0.8 sheng, remove dregs, and take warm. If the placenta is not discharged, administer again. Continue until the placenta is expelled.
Niuxi San (Achyranthes Powder, from *Shenghui Fang*): Treats retained placenta following miscarriage at five or six months of pregnancy.
Ingredients: Niuxi Achyranthes Root (Remove sprouts), Xiong Chuanxiong Rhizome, Puxiao Rock Salt, Puhuang Pollen Lygodii Spore (each 3 qian), Guixin Cinnamon Bark (0.5 liang, remove coarse bark), Danggui Radix (1.5 liang).
Usage: Coarsely crush the herbs. Take 4 qian per dose. Add 1 zhong of water, half a qian of Shengjiang Fresh Ginger, and one qian of Shengdihuang Rehmannia Root. Decoct until reduced to 0.6 zhong, remove dregs, let cool to warm, and take frequently for effective results.
Dongkuizi Tang (Malva Seed Decoction): Treats retained placenta following miscarriage during pregnancy.
Ingredients: Dongkuizi Malva Seed (Stir-fried), Niuxi Achyranthes Root (Soaked in wine, cut, and dried), Mutong Akebia Stem (Chopped, each 1 liang), Qumai Herba (1 liang), Gui Cinnamon Twig (Remove coarse bark, 2 liang).
Usage: Coarsely crush the herbs. Take 2 qian per dose. Add 1.5 sheng of water, decoct until reduced to 0.8 sheng, remove dregs, and take warm. Continue until the placenta is expelled.
Da Ejiao Tang (Large Donkey-Hide Gelatin Decoction): Treats retained placenta following miscarriage during pregnancy.
Ingredients: Ejiao Donkey-Hide Gelatin (Roasted until dry), Dongkuizi Malva Seed (Stir-fried), Niuxi Achyranthes Root (Soaked in wine, cut, and dried), Danggui Radix (Cut and dried, each 3 qian).
Usage: Coarsely crush the herbs. Take 3 qian per dose. Add 1.5 sheng of water, decoct until reduced to 0.8 sheng, remove dregs, and take warm. Continue until the placenta is expelled.
Xionghuang San (Realgar Powder): Treats retained placenta following miscarriage during pregnancy, accompanied by coma, stifling sensation, and rapid breathing; requires emergency treatment.
Ingredients: Xionghuang Realgar, Xiangmo Ink Stick (Ground, each 1 qian), Jinbo Gold Leaf (3 pieces), Mayaxiao Sodium Sulfate (1 qian, ground).
Usage: Grind uniformly into powder. Take 1 qian per dose, mixed with a small amount of honey.
Puhuang San (Pollen Lygodii Spore Powder, from *Shenghui Fang*): Treats retained placenta following miscarriage, with pain in the uterus radiating to the lower back and spine.
Ingredients: Puhuang Pollen Lygodii Spore (3 qian), Guixin Cinnamon Bark, Chishao Radix Paeoniae Rubra (each 1 liang), Niuxi Achyranthes Root (2 liang, remove sprouts).
Usage: Coarsely crush the herbs. Take 4 qian per dose. Add half a sheng of water and half a sheng of wine. Decoct until reduced to 0.6 sheng, remove dregs, and take warm.
Dihuang Jiu (Rehmannia Wine): Treats retained placenta following miscarriage during pregnancy.
Ingredients: Shengdihuang Fresh Rehmannia Root (Cut with copper or bamboo knife and stir-fried, 0.5 liang), Puhuang Pollen Lygodii Spore (Stir-fried), Shengjiang Fresh Ginger (Cut and stir-fried, each 1 qian).
Usage: Coarsely crush the herbs. Add 3 sheng of non-fermented wine, decoct together in a silver vessel until reduced to 2 sheng, remove dregs, and divide into three warm doses. If the placenta is not discharged, continue administration.
Zelan Tang (Lycopus Decoction): Treats retained placenta following miscarriage during pregnancy.
Ingredients: Zelan Ye Lycopus Leaf (Chopped), Huashi Talcum (Ground, each 0.5 liang), Shengmayou Raw Sesame Oil (A little).
Usage: Add 3 sheng of water, first decoct Zelan Ye Lycopus Leaf until reduced to 1.5 sheng, remove dregs. Add Huashi Talcum and oil, decoct for three boils, and take all at once. If the placenta is not discharged, continue administration.
Puhuang Jiu (Pollen Lygodii Spore Wine, also known as Huaizi Wan, from *Daqian Liangfang*): Treats retained placenta following miscarriage during pregnancy.
Ingredients: Puhuang Pollen Lygodii Spore (Stir-fried, 1 he), Huaizi Sophora Fruit (14 pieces, ground).
Usage: Decoct in 3 sheng of wine until reduced to 2 sheng. Divide into two warm doses. If the placenta is not discharged, continue administration.
Another prescription: For abdominal pain preceding labor before full term, form pills with honey and take with warm wine.
For retained placenta following miscarriage, with abdominal pain radiating to the lower back and spine. (From *Shenghui Fang*)
Use 3 sheng of soil from an ant nest, stir-fry until hot, wrap in silk, and apply to the epigastrium. The placenta will naturally be expelled.
Another prescription (From *Shenghui Fang*)
Finely grind high-quality ink stick. Take 2 qian per dose, mixed with warm wine. Frequent administration is effective.
For fetal death in utero with retained placenta, and sudden onset of other diseases postpartum, requiring urgent measures while traveling. (From *Shenghui Fang*)
Drink a small cup (1 sheng) of hot sheep blood immediately; this is highly effective.
Another prescription (From *Shenghui Fang*)
Mix flour with water; this is miraculous. Add a little vinegar.
Another prescription (From *Shenghui Fang*)
Have the mother drink half a sheng of water used for bathing the infant. The placenta will be expelled. Do not let the parturient woman know.
Another prescription (From *Shenghui Fang*)
If the placenta is not discharged and the abdomen becomes distended, it can be fatal.
Add 1 sheng of water and decoct 1 liang of pork lard for five to seven boils. Mix with the lard and take orally. The placenta will be promptly discharged.
For retained placenta.
Stir-fry snake skin until charred, grind into powder, and take with wine. If the placenta remains in the abdomen, separately grind Ulmus Alba Bark and decoct together; the placenta will be expelled immediately.
For retained placenta.
Take 14 Castor Seeds, remove shells, and apply them to the soles of the feet with the inner side facing up. Apply to the left foot for males and the right foot for females. Remove immediately after the placenta is expelled.
Another prescription (From *Ruyi Fang*)
Take one egg, separate the white, and swallow it raw.
Another prescription (From *Ruyi Fang*)
Heat an iron axe until red-hot, drop it into wine. Once the boiling subsides, drink it. The placenta will be expelled.