脾，勿专消导。热不可用芩、连，恐致宿秽凝滞；寒不宜用桂、附，反招新血流崩。三阳见
表证之多，似可汗也，用麻黄则重竭其阳；三阴见里证之剧，似可下也，用承气则大涸其血
。耳聋胁病，乃肾虚恶露之停，休用柴胡；谵语汗多，乃元弱似邪之证，毋同胃实。厥由阳
气之衰，难分寒热，非大补不能回阳； 因阴血之亏，岂论刚柔，非滋营胡以润络？潮
热似疟，以疟治则迁延；神乱如邪，以邪论则立困。总属大虚，须从峻补。去血多而大便燥
，苁蓉加于生化，非润肠和气之能通；患汗出而小便难，六君倍用参、 ，必生津助液之可
利。加参生化频服，救产后之危；活命长生调摄，须产前加意。
当归川芎汤 治小产后瘀血，心腹疼痛，或发热恶寒。
当归 熟地黄 白芍药（炒） 玄胡索（炒） 川芎 桃仁 红花 香附 青皮（炒） 泽兰 牡丹皮
上水煎，入童便、酒各小半。若以手按腹愈痛，此是瘀血为患，宜用此药，或失笑散消
之。若按之反不痛，此是血虚，宜用四物、参、苓、白术。若痛而作呕，此是胃虚，宜用六
君子。若或作泻，此是脾虚，宜用六君子送二神丸。
加味芎归汤 治分娩交骨不开，或五、七日不下垂死者。
生男女妇人发（一握，烧存性） 自死龟壳（一个，或占过者亦可，酥炙） 川芎 当归（各一两）
上咀。每用一两，水煎服，良久，不问生死胎，自下。
当归黄 汤 方在补阵。治妊娠下痢腹痛。
芎归补中汤 治气血虚半产。
川芎 当归 黄 （炙） 白术（炒） 人参 芍药（炒） 杜仲（炒） 艾叶 阿胶（炒） 五
味子（杵，炒，各一钱） 甘草（炙，五分）
上每服五钱，水煎服。若脾气虚弱，须用补中益气汤；若气虚有火，宜用安胎饮。
保生无忧散 临产服之，补其血，顺其气，或胞胎肥浓，根蒂坚牢者，皆可使之易产。
又治小产瘀血腹痛。
当归 川芎 白芍 乳香 枳壳 南木香 血余
上等分，每服二、三钱，水煎，日二服。若胞衣既破，其血已涸，或元气困惫，急用八
珍汤斤许，水数碗，煎熟时饮救之，饮尽再制，亦有得生。
人参黄 汤 治小产气虚，血下不止。
人参 黄 （炒） 当归 白术（炒） 白芍（炒） 艾叶（各一钱） 阿胶（炒，二钱）
上作一剂，水煎服。
《良方》牛膝散 治胎衣不下，腹中胀痛，急服此药腐化而下，缓则不救。
牛膝 川芎 朴硝 蒲黄（各三两） 当归（一两半） 桂心（半两）
上每服五钱，姜三片，加生地黄一钱，水煎服。
《局方》黑神散 一名乌金散。《灵苑方》名肉桂散。治产后恶露不尽，胎衣不下，血
气攻心，腹痛不止，及治脾肾阴虚，血不守舍，吐衄等证。
黑豆（二两，炒） 当归（去芦，酒洗） 熟地 蒲黄 白芍 甘草（炙） 干姜（炮） 肉桂（各一两）
上为末。每服二钱，童便、酒各半调服。《良方》黑神散有炮附子半两，无蒲黄。
《简易》黑神散 方在和阵。治一切失血。
经验滑石散 治产难，凡水下胎干，胎滞不生，用此最效。
滑石（飞过，一两） 白蜜 香油（各半盏）
上将油、蜜慢火熬熟三、四沸，掠去沫，调滑石末顿服，外以油调于产妇脐腹，上下摩
之，立效。
难产方
令产妇以自己发梢含于口中，恶心即下，亦治胎衣不下。
《良方》桂心散 治妊娠因病胎不能安者，可下之。
桂心 栝蒌 牛膝 瞿麦（各五分，或一钱） 当归（一钱或二、三钱）
上水煎。
桂香散 治胎死腹中不下。
桂心（三钱） 麝香（五分）
上为末。作一服，酒调下。
下胎短剧方。
用麦 一升，擂碎，水二升，煮一升，服之即下，神效。按∶麦 能损气破血
如此，故凡脾胃虚弱，及饮食不化者，不宜用明矣。又方用牛膝一两，酒一钟，煎七分，作二服即下。
《广济》下胎方 并下死胎俱效。
天花粉（四两） 肉桂 牛膝 豆豉（各三两）
上咀。用水七碗，煎二碗半，分三服，每服后一时许又进一服。
扶羸短剧方 虚弱人欲下胎宜用此。
人参 粉草 川芎 肉桂 干姜 桃仁 黄芩 蟹爪
上等分，每服一两，水二钟，煎八分，空心服，未动再服。
下死胎 凡胎死腹中，其舌多见青黑，口中甚秽而呕，腹中不动，只觉阴冷重坠者是。
用平胃散一两，以黄酒、河水各一钟，煎至一钟，入朴硝三、五钱，再煎三、五沸。温
服，其死胎即化水而出，万不失一。又方∶单用朴硝末三钱，以热酒和热童便调服立出，或
用佛手散以酒调服亦妙。
《千金》去胎方
大麦曲（五升）
渍酒一斗，煮二、三沸，去滓，分五服，隔宿勿食，旦再服，其胎如糜，母无所苦，千金不传。
《良方》硫黄散 治产后阳气虚寒，玉门不闭。
硫黄 乌贼骨（各半两） 五味子（五钱）
上为末，掺患处，日三易。
硫黄汤 治产后玉门不敛，阴户突出。
硫黄（三钱） 菟丝子 吴茱萸（各二钱） 蛇床子（一钱半）
上研匀，用水二钟，煎汤频洗自收。
《良方》益母丸 一名返魂丹。治妇人赤白带，恶露时下不止，及治妇人胎前产后经中
诸般奇痛，无所不疗。
《本草》云∶此草胎前无滞，产后无虚，故名益母。
益母草一味 一名充蔚子，一名野天麻。方梗，对节生叶，叶类火麻，四五月间开紫花
是，白花者非。
上于五月采取晒干，连根茎叶，勿犯铁器，磨为细末，炼蜜丸，如弹子大。每服一丸，
用热酒和童便化下，或随证用汤引送下。一方∶以此为末，每服二钱，或酒或童便，或随证
用引服之。一方∶凡产时仓卒未合，只用生益母草捣汁，入蜜少许服之，其效甚大。一、益
母膏方∶根据前采取捣烂，以布滤取浓汁，用砂锅文武火熬成膏，如黑砂糖色为度，入瓷罐收
贮。每服二、三匙，酒、便调下，或于治血汤药中加一匙服之，尤妙。
《良方》夺命丹 治瘀血入胞，胀满难下，急服此药，血即消，衣自下。按∶此方颇有
回生丹之功用，下死胎必效，须用当归方。
附子（炮，半两） 干漆（碎之，炒烟尽） 牡丹皮（各一两）
上为细末，另用大黄末一两，以好醋一升同熬成膏，和前药丸，桐子大。温酒吞五、七
丸。一方有当归一两。
回生丹 治妇人产后诸疾，污秽未净，及一切实邪疼痛，死胎瘀血冲逆等证。
大黄膏法∶用苏木（三两，河水五碗，煎至三碗，去 听用） 红花（三两，炒黄色，用
好酒一大壶，煮十余滚，去 听用） 黑豆（三升，煮熟存汁三碗，去豆去皮，晒干为末，
俱听用） 大黄（一斤，为末，用好醋入碗熬成膏，次下红花酒、苏木汤、黑豆汁搅匀，又熬成
膏，盆内收盛候用。将锅焦焙干为末，同豆皮末俱入之）
人参 白术 青皮 木瓜（各三钱） 当归 川芎 元胡 苍术 香附（童便炒） 蒲黄 赤
茯苓 桃仁泥 熟地（各一两） 牛膝 三棱 山茱萸 五灵脂 地榆 甘草 羌活 陈皮 白
芍（各五钱） 良姜（四钱） 乌药（二两半） 木香 乳香 没药（各一钱）
上为末，用前大黄膏为丸，弹子大，金簿为衣。不拘时，随证择用汤引送下一丸。
断产灸法 一传方欲绝产者，灸脐下二寸三分阴动脉中三壮。此当自脐中至骨际折作五寸约之。
《千金》断产方
四物汤（一剂） 芸台子（一撮，即油菜子） 红花
水钟半，煎八分，经后空心服则不受胎。
断产短剧方 断产堕胎有验。
故蚕蜕纸（方一尺）
上烧为末，空心酒调服，终身不受孕。
（丹溪）断子法
用白面曲一升，无灰酒五升作糊，煮至三升半，滤去滓，分作三服，候经至前一日晚五
更及天明各吃一服，经即不（一无不字）行，终身无子矣。
（仲景）羊肉汤 治产妇腹中 痛寒痛，血气不足，虚弱甚者，及寒月生产，寒气
入于子门，手不可犯，脐下胀满，此产后之寒证也。并治寒疝腹中痛，及胁痛里急者。
精羯羊肉（一斤） 当归（三两） 生姜（五两）
上用水八升，煮取三升，加葱、椒、盐，温服七合，日三服。若寒多者，加生姜成一斤
；痛多而呕者，加橘皮二两，白术一两。
《良方》羊肉汤 治产妇脾虚，寒邪内乘，以致腹痛，或头眩，脐胁急痛。
精羊肉（四两） 当归 川芎（各半两） 生姜（一两）
上以水十盏，煎至四盏，分四次空心服。
《良方》黄雌鸡汤 治产后虚羸腹痛。
当归 白术（炒） 熟地黄 黄 （炒） 桂心（各半两） 小黄雌鸡（一只，去头足肠翅，细切）
上先用水七碗，煮鸡至三碗，每用汁一碗，药四钱煎。日三服。
母鸡汤 治产后褥劳，虚汗不止。
人参 黄 白术 白茯苓 麻黄根 牡蛎（ ，各三钱）
上用母鸡一只，去毛杂净，水六、七碗，同药煮至三碗，任意服之。
猪腰汤 治产后褥劳，寒热如疟，自汗无力，咳嗽头痛腹痛俱效。
猪腰（一对） 当归 白芍药（酒炒，各一两）
上以药二味，用水三碗，煎至二碗，去滓，将猪腰切如骰子块，同晚米一合，香豉一钱
，加葱、椒、盐煮稀粥。空心日服一次，神效。或加人参更妙。
四神散 治产后血虚，或瘀血腹痛。
当归（二钱） 川芎 芍药（炒，各一钱） 炮姜（五分）
上水煎服。
大岩蜜汤 治产后阳气虚寒，心腹作痛，不食呕吐，四肢厥逆。
生地 当归 芍药（炒） 干姜 吴茱萸 桂心 独活 甘草（炒） 小草（各一两） 细辛（半两）
上每服半两，水煎服。
《良方》人参汤 治产后诸虚不足，发热盗汗，内热晡热等证。此即参归汤，亦名团参散。
人参 当归（等分）
上为末，先以猪腰子一枚切片，糯米半合，葱白二茎，入水二钟，煎汁八分，再入药三钱煎服。
白茯苓散 治产后褥劳，头目肢体疼痛，寒热如疟。
白茯苓（一两） 人参 当归 黄 川芎 白芍药（炒） 熟地 桂心（各半两） 猪腰（一对）
上以水三盏，入猪腰并姜、枣各三事，煎二盏，去 ，入前药半两，煎一盏服。
《良方》七珍散 治产后不语。
人参 石菖蒲 生地 川芎（各一两） 细辛（七钱） 防风 朱砂（另研，各半两）
上为末。每服一钱，薄荷汤调服。
《良方》趁痛散 治产后骨节疼痛，发热头重，四肢不举。
牛膝（酒炒） 甘草（炒） 薤白（各一两） 当归 白术（炒） 黄 （炒） 桂心 独活（加姜，各半两）
上每服半两，水煎。
补脬饮 治产后伤动脬破，不能小便而淋沥。
生黄丝绢（一尺，剪碎） 白牡丹皮根 白芨（各一钱，俱为末）
用水一碗，同煮至绢烂如饧。空心顿服。服时不得作声，作声则不效。
《良方》止汗散
牡蛎（ 粉，半两） 小麦麸（八两，炒黄为细末）
上每服三、五钱，用猪肉汁调服。
《良方》麻黄根汤 治产后虚汗不止，身热发渴，惊悸不安。
麻黄根 人参 黄 （炒） 当归 牡蛎（ 粉） 甘草（炒，等分）
上每服四、五钱，水煎服。
二味参苏饮 治产后瘀血入肺，咳嗽喘急。
人参（一两） 苏木（二两）
上作一剂，水煎服。若既愈，当用六君子以补脾胃。若口鼻黑气起，宜急用此药加附子
五钱，亦有得生者。
《良方》黄龙汤 治妊妇寒热头疼，嘿嘿不食，胁痛呕痰，及产后经后外感风寒，热入
胞宫，寒热如疟等证。
按∶此即小柴胡汤之去半夏也。
柴胡（二钱） 黄芩（炒） 人参 甘草（各一钱）
上用水煎服。
（陈氏）二母散 治产后热血上攻，留于肺经，咳嗽喘促。
知母 贝母 人参 桃仁 杏仁（俱去皮尖） 白茯苓
上等分，每服五钱，姜、水煎服。
猪蹄汤 治气血不足，乳汁不下。
用八物汤加黄 、漏芦、陈皮、木通，先以猪蹄煮汁二碗，煎药服之。或加天花粉。
又方∶用猪蹄一副，通草二两，川芎一两，甘草一钱，穿山甲十四片炒。将猪蹄洗切，
入水六碗，同药煎煮约至三碗，加葱、姜、盐料，取汁饮之。忌冷物。要吃羹汤助其气血，
乳汁自下。夏月不可失盖，时用葱汤洗乳为佳。
《良方》涌泉散 下乳。忌食姜、椒辛辣饮食。
王不留行 瞿麦 麦门冬 龙骨（各二钱）
上用猪蹄汁一碗，酒一杯，煎服。以木梳于乳上梳下。
玉露散 治产后乳脉不行，身体壮热，头目昏痛，大便涩滞。
人参 白茯苓 当归 炙甘草（各五分） 桔梗 川芎 白芷（各一钱） 芍药（七分）
上水煎。食后服。如热甚大便秘结，加大黄三、五分炒用。
《良方》漏芦汤 治妇人肥盛，脉气壅结，乳少。
漏芦（二两） 蛇蜕（一条） 土瓜根
上共为末，酒调下二钱
栝蒌散 治吹乳肿痛。
栝蒌（一个） 乳香（二钱）
上用酒煎服。外用南星为末，以温汤调涂。
Spleen disorders should not be treated solely with methods for digestion and promoting movement. For heat syndromes, do not arbitrarily use *Scutellariae Radix* (Huangqin) or *Coptidis Rhizoma* (Huanglian), as this may cause stagnation of retained impurities; for cold syndromes, avoid using *Cinnamomi Ramulus* (Guizhi) or *Aconiti Lateralis Radix Praeparata* (Fuzi), lest it provoke new hemorrhage.
When the Three Yang meridians present with exterior syndrome patterns, sweating therapy might seem appropriate; however, using *Ephedrae Herba* (Mahuang) would severely deplete Yang Qi. When the Three Yin meridians present with severe interior syndrome patterns, purgative therapy might seem appropriate; however, using *Chengqi Decoction* (Chengqi Tang) would severely deplete Blood and fluids.
Deafness and hypochondriac pain are caused by Kidney deficiency leading to the retention of lochia; do not use *Bupleuri Radix* (Chaihu). Delirium accompanied by profuse sweating is a sign of Yuan Qi (Primordial Qi) weakness resembling pathogenic invasion; do not treat it as Stomach excess heat. Cold extremities (Jue) result from the decline of Yang Qi and are difficult to distinguish between cold and heat types; only vigorous tonification can restore Yang. If Jue results from Yin Blood deficiency, one cannot simply categorize it by rigid/flexible (Yin/Yang) distinctions; nourishing Ying (Nutritive) Blood is necessary to moisten the collaterals.
Tidal fever resembling malaria will drag on if treated as malaria; mental confusion resembling possession will worsen immediately if treated as an external pathogen. These symptoms all belong to severe deficiency and require vigorous tonification.
Postpartum blood loss leading to dry stool requires adding *Cistanche Deserticola* (Roucongrou) to *Shenghua Decoction* (Shenghua Tang); this is not something that can be resolved merely by moistening the intestines and harmonizing Qi. Postpartum excessive sweating leading to difficulty in urination requires doubling the dosage of *Ginseng Radix* (Renshen) and *Atractylodis Macrocephalae Rhizoma* (Baizhu) in *Liujunzi Decoction* (Liujunzi Tang); generating fluids and assisting liquids is essential for promoting urination. Frequent administration of *Renshen*-added *Shenghua Decoction* can rescue critical postpartum conditions; the *Huoming Changsheng* regulation method must be attended to during pregnancy.
*Danggui Chuanxiong Decoction*: Treats abdominal pain and heartache due to blood stasis after minor abortion, or fever and aversion to cold.
Ingredients: *Angelicae Sinensis Radix* (Danggui), *Rehmanniae Radix Preparata* (Shudihuang), stir-fried *Paeoniae Radix Alba* (Baishao), stir-fried *Corydalis Rhizoma* (Yanhusuo), *Chuanxiong Rhizoma* (Chuanxiong), *Persicae Semen* (Taoren), *Carthami Flos* (Honghua), *Cyperi Rhizoma* (Xiangfu), stir-fried *Citri Reticulatae Pericarpium Viride* (Qingpi), *Lycii Cortex* (Zelan), *Moutan Cortex* (Mudanpi).
Usage: Decoct in water, add half a small cup of child's urine (Tongbian) and wine. If pressing the abdomen increases pain, this indicates blood stasis; this formula is suitable, or use *Shixiao San* (Shixiao Powder) to dissipate the stasis. If pressing does not increase pain, this indicates Blood deficiency; *Siwu Decoction* (Siwu Tang) with *Ginseng*, *Poria* (Fuling), and *Atractylodes* is suitable. If pain is accompanied by vomiting, this indicates Stomach deficiency; *Liujunzi Decoction* (Liujunzi Tang) is suitable. If diarrhea occurs, this indicates Spleen deficiency; *Liujunzi Decoction* administered with *Ershen Wan* (Ershen Pill) is suitable.
*Modified Xiongui Decoction*: Treats failure of the pelvic bones to open during delivery, or fetal death without expulsion after five to seven days.
Ingredients: Hair from living men or women (one handful, burned to charcoal but retaining nature), carapace of a naturally dead turtle (one shell, or one previously used for divination is acceptable, roasted with butter), *Chuanxiong Rhizoma*, *Angelicae Sinensis Radix* (each 1 liang).
Usage: Cut into pieces. Use 1 liang per dose, decoct in water. After some time, whether the fetus is alive or dead, it will be expelled naturally.
*Danggui Huangqi Decoction*: See the Tonification Section. Treats dysentery and abdominal pain during pregnancy.
*Xiongui Buzhong Decoction*: Treats semi-abortion (minor abortion) due to Qi and Blood deficiency.
Ingredients: *Chuanxiong Rhizoma*, *Angelicae Sinensis Radix*, honey-roasted *Astragali Radix* (Huangqi), stir-fried *Atractylodis Macrocephalae Rhizoma*, *Ginseng Radix*, stir-fried *Paeoniae Radix*, stir-fried *Eucommiae Cortex* (Duzhong), *Artemisiae Argyi Folium* (Aiye), stir-fried *Colla Corii Asini* (Ejiao), crushed and stir-fried *Schisandrae Fructus* (Wuweizi, each 1 qian), honey-roasted *Glycyrrhizae Radix et Rhizoma* (Gancao, 5 fen).
Usage: Take 5 qian per dose, decoct in water. If Spleen Qi is weak, use *Buzhong Yiqi Decoction* (Buzhong Yiqi Tang); if Qi deficiency with fire, use *Antai Yin* (Antai Decoction).
*Bao Sheng Wuyou San*: Taken at the onset of labor to tonify Blood and smooth Qi; even if the placenta is thick and firmly attached, it facilitates easy delivery. Also treats abdominal pain due to blood stasis after minor abortion.
Ingredients: *Angelicae Sinensis Radix*, *Chuanxiong Rhizoma*, *Paeoniae Radix Alba*, *Frankincense* (Ruxiang), *Aurantii Fructus Immaturus* (Zhiqiao), *Costi Rhizoma* (Nanmuxiang), *Hominis Crinis Carbonisatus* (Xuyurong).
Usage: Equal parts. Take 2-3 qian per dose, decoct in water, twice daily. If the amniotic sac has ruptured and blood is exhausted, or Yuan Qi is exhausted, urgently administer *Bazhen Decoction* (Bazhen Tang) in large quantities (approx. 1 jin) with several bowls of water until cooked, drink to save life, prepare more if consumed, and survival is possible.
*Renshen Huangqi Decoction*: Treats Qi deficiency after minor abortion with continuous vaginal bleeding.
Ingredients: *Ginseng Radix*, stir-fried *Astragali Radix*, *Angelicae Sinensis Radix*, stir-fried *Atractylodis Macrocephalae Rhizoma*, stir-fried *Paeoniae Radix Alba*, *Artemisiae Argyi Folium* (each 1 qian), stir-fried *Colla Corii Asini* (2 qian).
Usage: One dose, decoct in water and take.
*Niuxi San* from *Liangfang*: Treats retained placenta with abdominal distension and pain; take urgently to rot and expel the placenta, otherwise it is untreatable.
Ingredients: *Achyranthis Bidentatae Radix*, *Chuanxiong Rhizoma*, *Natrii Sulfas* (Piaoxiao), *Lygodii Spora* (Puhuang) (each 3 liang), *Angelicae Sinensis Radix* (1.5 liang), *Cinnamomi Cortex* (Guixin) (0.5 liang).
Usage: Take 5 qian per dose, with 3 slices of fresh ginger and 1 qian of fresh *Rehmanniae Radix* (Shengdihuang), decoct in water.
*Heishen San* (Black Divine Powder) from *Jufang*: Also known as *Wujin San*. Called *Rougui San* in *Lingyuan Fang*. Treats incomplete expulsion of lochia postpartum, retained placenta, Blood and Qi attacking the Heart, unceasing abdominal pain, and also treats Spleen-Kidney Yin deficiency where Blood fails to reside, causing hematemesis and epistaxis.
Ingredients: Stir-fried black soybeans (2 liang), *Angelicae Sinensis Radix* (de-rooted, washed in wine), *Rehmanniae Radix Preparata*, *Lygodii Spora*, *Paeoniae Radix Alba*, honey-roasted *Glycyrrhizae Radix et Rhizoma*, roasted *Zingiberis Rhizoma* (Ganjiang), *Cinnamomi Cortex* (each 1 liang).
Usage: Grind into powder. Take 2 qian per dose, mixed with half child's urine and half wine. *Liangfang*'s *Heishen San* contains 0.5 liang of roasted *Aconiti Lateralis Radix Praeparata* and no *Lygodii Spora*.
*Jianyi Heishen San*: See the Harmonization Section. Treats all forms of blood loss.
*Experience Huashi San*: Treats dystocia; most effective when waters break first leaving the fetus dry, or when the fetus is stuck and not born.
Ingredients: Sieved *Talcum* (Huashi, 1 liang), white honey, sesame oil (each half zhan).
Usage: Slowly boil oil and honey until three or four boils, skim off foam, mix with *Talcum* powder and take at once. Externally, apply oil mixture to the mother's umbilicus and abdomen, massaging up and down for immediate effect.
Formula for Dystocia:
Have the parturient hold a tuft of her own hair in her mouth; nausea will induce expulsion. Also treats retained placenta.
*Guixin San* from *Liangfang*: Treats unstable fetus during pregnancy due to illness, allowing for termination.
Ingredients: *Cinnamomi Cortex* (Guixin), *Trichosanthis Fructus* (Gualou), *Achyranthis Bidentatae Radix*, *Dianthi Herba* (Qumai) (each 5 fen or 1 qian), *Angelicae Sinensis Radix* (1 qian or 2-3 qian).
Usage: Decoct in water.
*Guixiang San*: Treats retained dead fetus.
Ingredients: *Cinnamomi Cortex* (Guixin, 3 qian), *Moschus* (Shexiang, 5 fen).
Usage: Grind into powder. One dose, taken with wine.
Short-term Formula for Expelling Fetus:
Use 1 sheng of malt (Maiya), crush it, add 2 sheng of water, boil to 1 sheng, take to expel fetus, miraculous effect. Note: Malt damages Qi and breaks Blood so severely that those with weak Spleen/Stomach or indigestion should definitely avoid it. Another method: Use 1 liang of *Achyranthis Bidentatae Radix*, 1 zhong of wine, boil to 70%, divide into two doses to expel.
*Guangji* Formula for Expelling Fetus: Effective for both live and dead fetuses.
Ingredients: *Trichosanthis Radix* (Tianguafen, 4 liang), *Cinnamomi Cortex*, *Achyranthis Bidentatae Radix*, *Sojae Semen Preparatum* (Douchi) (each 3 liang).
Usage: Cut into pieces. Use 7 bowls of water, boil to 2.5 bowls, divide into three doses. Take another dose about one hour after each previous dose.
*Fu Lei Short-term Formula*: For weak individuals wishing to terminate pregnancy.
Ingredients: *Ginseng Radix*, licorice (*Fengcao*), *Chuanxiong Rhizoma*, *Cinnamomi Cortex*, *Zingiberis Rhizoma*, *Persicae Semen*, *Scutellariae Radix* (Huangqin), crab claws.
Usage: Equal parts. Take 1 liang per dose, with 2 zhongs of water, boil to 80%, take on an empty stomach; repeat if not expelled.
Expelling Dead Fetus:
If the fetus is dead in the uterus, the tongue often appears blue-black, breath is foul with vomiting, abdomen is still, and there is a sensation of cold heaviness in the vagina.
Use 1 liang of *Pingwei San* (Pingwei Powder), decoct with 1 zhong of yellow wine and 1 zhong of river water until reduced to 1 zhong, add 3-5 qian of *Natrii Sulfas*, boil for 3-5 boils. Take warm; the dead fetus will turn to water and exit, almost infallible. Another method: Use 3 qian of *Natrii Sulfas* powder alone, mixed with hot wine and hot child's urine, taken immediately to expel. Or use *Foshu San* (Foshu Powder) taken with wine, which is also excellent.
*Qianjin* Formula for Abortion:
Large barley yeast (5 sheng).
Steep in 1 dou of wine, boil for 2-3 boils, strain, divide into five doses. Fast overnight, take again in the morning; the fetus becomes like mush, causing no harm to the mother. A secret worth a thousand gold.
*Liangfang* Liuhuang San: Treats postpartum Yang deficiency and cold, with failure of the vulva to close.
Ingredients: *Sulfur* (Liuhuang), *Sepiae Endoconcha* (Wuzeigu) (each 0.5 liang), *Schisandrae Fructus* (5 qian).
Usage: Grind into powder, apply to the affected area, change three times daily.
Liuhuang Tang: Treats postpartum failure of the vulva to contract and prolapse of the vagina.
Ingredients: *Sulfur* (3 qian), *Cuscutae Semen* (Tusizi), *Evodiae Fructus* (Wuzhuyu) (each 2 qian), *Cnidii Fructus* (Shechuangzi, 1.5 qian).
Usage: Grind uniformly, decoct in 2 zhongs of water, wash frequently until retracted.
*Yimu Wan* (Motherwort Pill) from *Liangfang*: Also called *Fanhun Dan*. Treats leukorrhea (red and white discharge), continuous lochia, and various strange pains during menstruation, before and after childbirth.
*Bencao* states: This herb causes no stagnation before birth and no deficiency after birth, hence named "Beneficial to Mothers."
Ingredient: *Leonuri Herba* (Yimucao) alone. Also known as *Chongweizi* or *Yetianma*. Square stem, opposite leaves, leaf resembles hemp flower, purple flowers bloom in April-May (white flowers are inferior).
Usage: Harvest in May, dry in sun, including roots, stems, and leaves, avoid iron tools, grind to fine powder, refine honey into pills the size of quail eggs. Take one pill per dose, dissolved in hot wine and child's urine, or guided by decoction according to syndrome. Another method: Powder form, 2 qian per dose, with wine or child's urine. Another method: In urgent labor, crush fresh *Leonuri Herba*, extract juice, add little honey, take orally, very effective. I. *Yimu Gao* (Motherwort Paste): Crush harvested herbs, filter thick juice through cloth, boil in clay pot over medium-low heat until paste-like (color of dark brown sugar), store in porcelain jar. Take 2-3 spoons per dose, mixed with wine/urine, or add one spoon to blood-regulating decoctions, especially good.
*Duoming Dan* (Life-Restoring Pill) from *Liangfang*: Treats blood stasis entering the uterus causing distension and difficulty in expulsion; take urgently to dissolve blood and expel placenta. Note: This formula has functions similar to *Huisheng Dan*, highly effective for dead fetuses, requires *Angelica* formula.
Ingredients: Roasted *Aconiti Lateralis Radix Praeparata* (0.5 liang), dried lacquer (*Ganxi*, crushed, stir-fried until smoke ceases), *Moutan Cortex* (each 1 liang).
Usage: Grind to fine powder. Separately, take 1 liang of *Rhei Radix et Rhizoma* (Dahuang) powder, boil with 1 sheng of good vinegar into a paste, mix with the above powder to make pills the size of paulownia seeds. Swallow 5-7 pills with warm wine. Another version includes 1 liang of *Angelicae Sinensis Radix*.
*Huisheng Dan*: Treats various postpartum diseases, retained impurities, all excess pathogenic pain, dead fetus, and rebellious blood stasis.
Method for *Dahuang* Paste: Use *Sappan Wood* (Sumu, 3 liang, decoct in 5 bowls of river water until 3 bowls remain, strain and set aside), *Carthami Flos* (Honghua, 3 liang, stir-fry until yellow, boil in 1 large pot of good wine for 10+ boils, strain and set aside), black soybeans (3 sheng, cook until soft, keep 3 bowls of juice, remove beans and skins, dry and powder, set aside), *Rhei Radix et Rhizoma* (1 jin, powder, boil in good vinegar in a bowl into a paste, then add Honghua wine, Sumu decoction, and soybean juice, mix well, boil into paste, store in basin). Add powdered pot scorings and bean skin powder to the paste.
Ingredients: *Ginseng Radix*, *Atractylodis Macrocephalae Rhizoma*, *Citri Reticulatae Pericarpium* (Qingpi), *Chaenomelis Fructus* (Muqua) (each 3 qian), *Angelicae Sinensis Radix*, *Chuanxiong Rhizoma*, *Corydalis Rhizoma*, *Atractylodis Rhizoma* (Cangzhu), *Cyperi Rhizoma* (stir-fried in child's urine), *Lygodii Spora*, *Poria* (Chifuling), *Persicae Semen* (paste), *Rehmanniae Radix Preparata* (each 1 liang), *Achyranthis Bidentatae Radix*, *Sparganii Rhizoma* (Sanleng), *Corni Fructus* (Shanzhuyu), *Trogopterori Faeces* (Wulingzhi), *Sanguisorbae Radix* (Diyu), *Glycyrrhizae Radix et Rhizoma*, *Notopterygii Rhizoma et Radix* (Qianghuo), *Citri Reticulatae Pericarpium* (Chenpi), *Paeoniae Radix Alba* (each 5 qian), *Alpiniae Officinarum Rhizoma* (Liangjiang, 4 qian), *Styrax* (Wuyao, 2.5 liang), *Aquilariae Lignum Resinatum* (Muxiang), *Frankincense*, *Myrrha* (each 1 qian).
Usage: Grind to powder, use the *Dahuang* paste to make pills the size of quail eggs, coat with gold leaf. Take one pill at any time, guided by decoction according to syndrome.
Moxibustion Method for Contraception: To achieve sterility, moxa 3 cones on the Yin pulse point 2.3 cun below the umbilicus. Measure from umbilicus to pubic bone as 5 cun.
*Qianjin* Contraceptive Formula:
*Siwu Decoction* (one dose), *Brassicae Napus Semen* (Yuntaizi, i.e., rapeseed, a pinch), *Carthami Flos*.
Decoct in half a zhong of water until 80% remains, take on empty stomach after menstruation to prevent conception.
Short-term Contraceptive Formula: Effective for contraception and abortion.
Old silkworm molt paper (1 square chi).
Burn to powder, take with wine on empty stomach, lifelong infertility.
(Danxi) Sterilization Method:
Use 1 sheng of wheat dough starter, 5 sheng of clear wine to make paste, boil to 3.5 sheng, strain, divide into three doses. Take one dose at 5 AM on the eve of menstruation and one at dawn; menstruation will cease, resulting in lifelong infertility.
(Zhongjing) Mutton Soup: Treats postpartum abdominal cramping cold pain, insufficient Blood and Qi, severe weakness, and cold month production where cold enters the Zi Men (cervix), making the area intolerant to touch, with lower abdominal distension. This is postpartum cold syndrome. Also treats cold hernia with abdominal pain and hypochondriac tightness/pain.
Ingredients: Lean mutton (1 jin), *Angelicae Sinensis Radix* (3 liang), *Zingiberis Rhizoma Recens* (Shengjiang, 5 liang).
Usage: Boil in 8 sheng of water until 3 sheng remain, add scallion, pepper, salt, take 7 he warm, three times daily. If cold is severe, increase ginger to 1 jin; if pain is severe with vomiting, add 2 liang of *Citri Reticulatae Pericarpium* (Chenpi) and 1 liang of *Atractylodis Macrocephalae Rhizoma*.
*Liangfang* Mutton Soup: Treats postpartum Spleen deficiency with internal invasion of cold pathogen, causing abdominal pain, dizziness, or tight pain in umbilicus/hypochondrium.
Ingredients: Lean mutton (4 liang), *Angelicae Sinensis Radix*, *Chuanxiong Rhizoma* (each 0.5 liang), *Zingiberis Rhizoma Recens* (1 liang).
Usage: Decoct in 10 lamps of water until 4 lamps remain, divide into four doses, take on empty stomach.
*Liangfang* Yellow Hen Chicken Soup: Treats postpartum emaciation and abdominal pain.
Ingredients: *Angelicae Sinensis Radix*, stir-fried *Atractylodis Macrocephalae Rhizoma*, *Rehmanniae Radix Preparata*, stir-fried *Astragali Radix*, *Cinnamomi Cortex* (each 0.5 liang), small yellow hen (one, remove head, feet, intestines, wings, cut finely).
Usage: First boil chicken in 7 bowls of water until 3 bowls remain. Use 1 bowl of broth per dose with 4 qian of herbs to decoct. Take three times daily.
Hen Soup: Treats postpartum puerperal fatigue and continuous spontaneous sweating.
Ingredients: *Ginseng Radix*, *Astragali Radix*, *Atractylodis Macrocephalae Rhizoma*, *Poria* (Baifuling), *Ephedrae Radix et Herba* root (Mahuanggen), calcined *Ostreae Concha* (Muli) (each 3 qian).
Usage: Use one hen, clean thoroughly, boil with herbs in 6-7 bowls of water until 3 bowls remain, drink as desired.
Pig Kidney Soup: Treats postpartum puerperal fatigue, chills and fever like malaria, spontaneous sweating, weakness, cough, headache, abdominal pain; all effective.
Ingredients: Pig kidney (pair), *Angelicae Sinensis Radix*, wine-stir-fried *Paeoniae Radix Alba* (each 1 liang).
Usage: Decoct herbs in 3 bowls of water until 2 bowls remain, strain. Cut pig kidney into dice-sized cubes, cook with 1 he of late rice, 1 qian of fermented soybean (Xiangchi), scallion, pepper, salt into thin porridge. Take once daily on empty stomach, miraculous effect. Adding *Ginseng* is better.
*Sishen San*: Treats postpartum Blood deficiency or blood stasis abdominal pain.
Ingredients: *Angelicae Sinensis Radix* (2 qian), *Chuanxiong Rhizoma*, stir-fried *Paeoniae Radix* (each 1 qian), roasted *Zingiberis Rhizoma* (Paojiang, 5 fen).
Usage: Decoct in water and take.
*Dayanmi Tang*: Treats postpartum Yang deficiency and cold, heart/abdominal pain, anorexia/vomiting, cold extremities.
Ingredients: *Rehmanniae Radix* (Shengdi), *Angelicae Sinensis Radix*, stir-fried *Paeoniae Radix*, *Zingiberis Rhizoma* (Ganjiang), *Evodiae Fructus*, *Cinnamomi Cortex*, *Notopterygii Rhizoma et Radix* (Duhuo), stir-fried *Glycyrrhizae Radix et Rhizoma*, *Xiaocao* (each 1 liang), *Asari Radix et Rhizoma* (Xixin, 0.5 liang).
Usage: Take 0.5 liang per dose, decoct in water.
*Renshen Tang* from *Liangfang*: Treats postpartum various deficiencies, fever, night sweats, afternoon tidal fever. This is *Shengui Tang*, also called *Tuanshen San*.
Ingredients: *Ginseng Radix*, *Angelicae Sinensis Radix* (equal parts).
Usage: Grind to powder. Slice one pig kidney, add 0.5 he of glutinous rice, two stalks of white scallion, 2 zhongs of water, boil to 80% juice, add 3 qian of powder, decoct and take.
*Baifuleng San*: Treats postpartum puerperal fatigue, pain in head/eyes/limbs, chills and fever like malaria.
Ingredients: *Poria* (1 liang), *Ginseng Radix*, *Angelicae Sinensis Radix*, *Astragali Radix*, *Chuanxiong Rhizoma*, stir-fried *Paeoniae Radix Alba*, *Rehmanniae Radix Preparata*, *Cinnamomi Cortex* (each 0.5 liang), pig kidney (pair).
Usage: Use 3 lamps of water, add pig kidney, 3 slices of ginger, 3 dates, boil to 2 lamps, strain, add 0.5 liang of powder, boil to 1 lamp and take.
*Qizhen San* from *Liangfang*: Treats postpartum aphasia.
Ingredients: *Ginseng Radix*, *Acori Tatarinowii Rhizoma* (Shichangpu), *Rehmanniae Radix*, *Chuanxiong Rhizoma* (each 1 liang), *Asari Radix et Rhizoma* (7 qian), *Saposhnikoviae Radix* (Fangfeng), *Cinnabar* (Zhusha, separately ground, each 0.5 liang).
Usage: Grind to powder. Take 1 qian per dose, mixed with mint decoction.
*Chentong San* from *Liangfang*: Treats postpartum joint pain, fever/heavy head, inability to move limbs.
Ingredients: Wine-stir-fried *Achyranthis Bidentatae Radix*, stir-fried *Glycyrrhizae Radix et Rhizoma*, *Allii Macrostemonis Bulbus* (Xiebai) (each 1 liang), *Angelicae Sinensis Radix*, stir-fried *Atractylodis Macrocephalae Rhizoma*, stir-fried *Astragali Radix*, *Cinnamomi Cortex*, ginger-wine-stir-fried *Notopterygii Rhizoma et Radix* (each 0.5 liang).
Usage: Take 0.5 liang per dose, decoct in water.
*Bupao Yin*: Treats postpartum bladder injury/rupture, inability to urinate except for dribbling.
Ingredients: Raw yellow silk gauze (1 chi, cut into pieces), root bark of *Paeonia suffruticosa* (Baimudanpi), *Bletillae Rhizoma* (Baiji) (each 1 qian, both powdered).
Usage: Boil in 1 bowl of water until gauze dissolves like syrup. Take at once on empty stomach. Do not speak while taking, or it will be ineffective.
*Zhihan San* from *Liangfang*:
Calcined *Ostreae Concha* powder (0.5 liang), stir-fried yellow wheat bran powder (8 liang).
Usage: Take 3-5 qian per dose, mixed with pork broth.
*Mahuanggen Tang* from *Liangfang*: Treats postpartum continuous spontaneous sweating, body heat/thirst, palpitations/restlessness.
Ingredients: *Ephedrae Radix et Herba* root, *Ginseng Radix*, stir-fried *Astragali Radix*, *Angelicae Sinensis Radix*, calcined *Ostreae Concha* powder, stir-fried *Glycyrrhizae Radix et Rhizoma* (equal parts).
Usage: Take 4-5 qian per dose, decoct in water.
*Erwei Renshen Su Yin*: Treats postpartum blood stasis entering the Lung, causing cough and急促 breathing.
Ingredients: *Ginseng Radix* (1 liang), *Sappan Wood* (Sumu, 2 liang).
Usage: One dose, decoct in water. If recovered, use *Liujunzi Decoction* to tonify Spleen/Stomach. If black qi appears around mouth/nose, urgently add 5 qian of *Aconiti Lateralis Radix Praeparata* to this formula; survival is possible.
*Huanglong Tang* from *Liangfang*: Treats pregnant women with chills/fever/headache, silent anorexia, hypochondriac pain/phlegm vomiting, and postpartum exterior wind-cold after menstruation, heat entering the Uterus causing chills/fever like malaria.
Note: This is *Xiaochaihu Tang* minus *Pinelliae Rhizoma* (Banxia).
Ingredients: *Bupleuri Radix* (2 qian), stir-fried *Scutellariae Radix*, *Ginseng Radix*, *Glycyrrhizae Radix et Rhizoma* (each 1 qian).
Usage: Decoct in water and take.
(Chen's) *Ermu San*: Treats postpartum hot blood attacking upward, remaining in Lung meridian, causing cough and急促 breathing.
Ingredients: *Anemarrhenae Rhizoma* (Zhimu), *Fritillariae Thunbergii Bulbus* (Beimu), *Ginseng Radix*, *Persicae Semen*, *Pruni Armeniacae Semen* (Xingren) (all peeled and core removed), *Poria*.
Usage: Equal parts. Take 5 qian per dose, decoct with ginger and water.
Pig Trotter Soup: Treats insufficient Qi/Blood, lack of lactation.
Use *Bawu Decoction* plus *Astragali Radix*, *Radix Saposhnikoviae* (Loulu), *Citri Reticulatae Pericarpium*, *Akebiae Caulis* (Mutong). First boil pig trotters to get 2 bowls of broth, decoct herbs in it and take. Can add *Trichosanthis Radix*.
Another method: Use one pair of pig trotters, 2 liang *Tongcao*, 1 liang *Chuanxiong Rhizoma*, 1 qian *Glycyrrhizae Radix et Rhizoma*, 14 slices of stir-fried *Manis Squama* (Chuanshanjia). Wash/cut trotters, add 6 bowls of water, decoct with herbs to 3 bowls, add scallion/ginger/salt, drink juice. Avoid cold foods. Eat soups/stews to boost Qi/Blood, milk will flow. In summer, keep covered, wash breasts with scallion water occasionally.
*Yongquan San* from *Liangfang*: Promotes lactation. Avoid ginger, pepper, spicy foods.
Ingredients: *Vaccariae Semen* (Wangbuliuxing), *Dianthi Herba*, *Ophiopogonis Radix*, *Os Draconis* (Longgu) (each 2 qian).
Usage: Decoct in 1 bowl of pig trotter broth and 1 cup of wine. Comb breasts downward with wooden comb after drinking.
*Yulu San*: Treats postpartum failure of milk ducts, high fever, dizziness/head pain, constipation.
Ingredients: *Ginseng Radix*, *Poria*, *Angelicae Sinensis Radix*, honey-roasted *Glycyrrhizae Radix et Rhizoma* (each 5 fen), *Platycodonis Radix* (Jiegeng), *Chuanxiong Rhizoma*, *Angelicae Dahuricae Radix* (Baizhi) (each 1 qian), *Paeoniae Radix* (7 fen).
Usage: Decoct in water. Take after meals. If heat is severe with constipation, add 3-5 fen of stir-fried *Rhei Radix et Rhizoma*.
*Loulu Tang* from *Liangfang*: Treats obese women with obstructed Qi/blood vessels, low milk supply.
Ingredients: *Radix Saposhnikoviae* (Loulu, 2 liang), snake shed skin (1 strip), *Polygoni Cuspidati Radix* (Tugua Gen).
Usage: Grind to powder, take 2 qian with wine.
*Gualou San*: Treats mastitis (blowing breast) swelling and pain.
Ingredients: *Trichosanthis Fructus* (1 fruit), *Frankincense* (2 qian).
Usage: Decoct in wine and take. Externally, grind *Arisaema Cum Bile* (Nanxing) to powder, mix with warm water and apply.