三因方云∶妇人趣产，劳力努极，致阴下脱若脱肛状，及阴下挺出，逼迫肿痛，或举动房劳，
皆能发作，清水续续，小便淋沥。
丹溪云∶一妇人三十余岁，生女二日后，产户下一物如手帕，下有帕尖，约重一斤。予思之，
此因胎前劳乏伤气，或肝痿所致，却喜血不甚虚耳。其时暮天寒，恐冷干坏了，急与炙黄 半钱，人参
一钱，白术五分，当归一钱半，升麻五分，三帖连服之，即收上，得汗通身
乃安，但下裔沾席处，干者落一片，约五六两重，盖脂膜也，食进得眠，诊其脉皆涩，左略
弦，视其形却实，与白术、芍药各半钱，陈皮一钱，生姜一片，煎二三帖以养之。
一妇人产子后，阴户中下一物如合钵状，有二岐，其夫来求治。予思之，此子宫也，必气
血弱而下坠。遂用升麻、当归、黄 大料一帖与之。半日后其夫复来，曰∶服二次后，觉响一
声，视之已收阴户讫，但因经宿干着席上，破一片如掌心大在席，某妻在家哭泣，恐伤破不
可复生。予思之，此非肠胃，乃脂膏也，肌肉破，尚可复完，若气血充盛，必可生满。遂用四
物汤加人参与一百帖，三年后复有子。
治子宫下，用黄 一钱半，人参一钱，当归七分，升麻三分，甘草二分，作一帖，水一钟
煎至五分，去滓，食前服，却用五倍子末泡汤洗，又用末敷之，如此数次，宜多服药，永不下。
一妇产后水道中出肉线一条，长三四尺，动之则痛欲绝，先服失笑散数次（何以服失笑
散），以带皮姜二斤研烂，入清油二斤，煎油干为度，用绢兜起肉线，屈曲于水道边，以前
姜熏之，冷则熨之，六日夜缩其大半，二六日即尽入，再服失笑散、芎归汤调理之。如肉线
断，则不可治矣。
当归黄 散 治产后阴脱，谓阴户脱下也。（补而升之）
当归 白芍 黄 人参（各二钱） 升麻（五分）
一方有甘草，无芍药。
上锉作一剂，水煎，食前温服，外用五倍子泡汤洗，又用末敷之。（五倍固脱也）
加味八珍汤 治产后生肠不收。（气血并补而升）
八珍汤（八钱） 黄 （一钱） 防风 升麻（各五分）
上锉一服，水煎服，外以荆芥、藿香、樗皮煎汤熏洗。
加味四物汤 治因产用力过多，阴门突出。（补血固脱）
四物汤（四钱） 龙骨（另研少许，临服入）
上锉，水煎服，阴痛者加 本、防风，去龙骨。（妙在一加一去，有本来升法）
当归散 治阴下脱，又名 疝。
当归 黄芩（各二两） 白芍（一两） 皮（烧存性，半两） 牡蛎（ ，二两半）
上为末，每服二钱，温酒米汤任意调下，忌登高举重。（ 即子宫之脱，刺 、牡蛎、
芩、芍凉而固脱也）
硫黄散 治产后努力太过，致阴下脱若脱肛状，及阴下挺出，逼迫肿痛（阴脱有属肝
热者），举动房劳，皆能发作，清水续续，小便淋沥。
硫黄 乌贼鱼骨（各半两）（硫黄、乌贼温而固脱也） 五味子（二钱半）
上为末，掺患处，日三易。
乌椒汤 治阴下挺出。（温法）
蜀椒（一方不用此味） 乌头 白及（各半两）
上为末，以方寸匕绵裹，纳阴中入三寸，腹中热易之，一日一度，明旦乃复着，七日愈。
寸金散 治妇人子肠下不收。（温涩清凉，妙妙）
蛇床子 龙脑 葫芦巴 紫梢花（各等分）
上为末，每服五七钱，煎水半碗，淋洗之，三二遍为效。
复元汤 治产后子宫不收。
荆芥穗 藿香叶 臭椿皮（各等分）
上 咀，煎汤熏洗，子宫即入。
一方 有临产子肠先出，产后肠不收，名曰盘肠献花产。
治法∶命产母仰卧，却用好米醋半盏和新汲水七合，搅匀，忽 产母面或背，每一 令
一缩。三 三缩，肠则尽收，此良法也。
一方 产肠出，俗用冷水 母面，其肠自收，此法虚弱之人切不可用。恐惊怯成病，或
即脱绝，以此方治之。
用蓖麻子四十粒（一方云十四粒），去壳研烂，涂产母头顶。自能收上，如收了，即以水
洗去顶上蓖麻。
又方 治肠出久而不收，为风吹干，不能收者。
以磨刀水少许火上温过，以润盘肠，仍煎好磁石汤一杯，与产母饮之，自收。（取意）
丹溪方 治产后肠不收。
用香油五斤煎热，盛盆俟温，坐油盆中。约一顿食时，以皂角末吹入鼻中，嚏作立上，妙。（有法）
杂方 治盘肠产。
半夏为末，搐鼻中，肠自上。（取嚏之义）
一方 全蝎不拘多少为末，口噙水，鼻内搐之，立效。
一方 以大纸捻蘸香油，点灯吹灭，以熏产母鼻中，肠即上。
杂方 治产后阴肿下脱。
铁精羊脂二味搅令稠，布裹炙热熨，推纳之。
一方 用枳壳二两，去穣锉碎，煎汤温浸，良久即入。
一方 用人尿，烧酒调下方寸匕。
一方 肠出，盛以洁净漆器，浓煎黄 汤浸之，肠即上。
一方 蛇蜕、蛇床子二味炒热，布裹熨患处，亦治产后阴痛。
一方 单用蛇床子一升，炒热，帛裹熨患处，亦治产后阴痛。
一方 烧兔头末，敷之。
一方 以温水洗软，却用雄鼠粪烧烟熏入。
灸法 治产后阴脱，灸脐下横纹二七壮。
一法 妇人阴挺出，四肢淫泺，身闷，少海主之。（一作照海）
一法 妇人胞胎门落颓不收常湿，灸神阙、玉泉（五十壮）、阴交。（脐下一寸指缝中，
灸五十壮，三报）
又法 玉泉旁开三寸。（灸随年壮，三报）
一法 女人阴门冷肿，灸归来。（三十壮）
The *San Yin Fang* records: When women exert themselves excessively during labor, it may cause prolapse of the vagina resembling rectal prolapse, or protrusion of the genitalia accompanied by a sensation of tightness, swelling, and pain. Sexual intercourse or physical fatigue can also trigger this condition, presenting with continuous discharge of clear fluid and dribbling urination.
Zhu Danxi recorded: A woman in her thirties, two days after delivering a daughter, had an object resembling a handkerchief with a pointed tip protruding from the vagina, weighing approximately one *jin*. I reasoned that this was caused by Qi deficiency due to pre-natal overexertion or liver flaccidity (*Gan Wei*), fortunately with minimal blood deficiency. As it was late and cold, fearing cold damage, I urgently prescribed half a *qian* of Honey-fried Huangqi (Astragali Radix), one *qian* of Renshen (Ginseng Radix), five *fen* of Baizhu (Atractylodis Macrocephalae Rhizoma), one and a half *qian* of Danggui (Angelicae Sinensis Radix), and five *fen* of Shengma (Cimicifugae Rhizoma). After three doses, the prolapsed part retracted, and she felt secure after sweating throughout her body. However, a piece of tissue, weighing about five or six *liang*, had dried and detached where it touched the mat; this was adipose membrane. Subsequently, her appetite improved and she slept well. Her pulse was choppy (*Se*) generally, slightly wiry on the left, yet her constitution appeared robust. I prescribed half a *qian* each of Baizhu (Atractylodis Macrocephalae Rhizoma) and Shaoyao (Paeoniae Radix Alba), one *qian* of Chenpi (Citri Reticulatae Pericarpium), and one slice of Shengjiang (Zingiberis Rhizoma Recens), decocted and taken for two to three doses to nourish her.
Another woman, after childbirth, had an object resembling a covered bowl with two branches protruding from the vagina. Her husband sought treatment. I reasoned this was uterine prolapse due to weak Qi and Blood causing sinking. I prescribed a large dose of Shengma (Cimicifugae Rhizoma), Danggui (Angelicae Sinensis Radix), and Huangqi (Astragali Radix) in one dose. Half a day later, the husband returned, saying, "After taking two doses, there was a sound, and upon inspection, it had retracted into the vagina. However, because it had been dry and stuck to the mat overnight, a piece the size of a palm broke off. My wife is crying at home, fearing that if it is broken, it cannot regenerate." I reasoned that this was not intestine but adipose tissue; muscle tears can heal, and if Qi and Blood become abundant, it will surely regenerate. I then prescribed Siwu Tang (Four Substance Decoction) added with Renshen (Ginseng Radix) for one hundred doses. Three years later, she gave birth again.
For treating uterine prolapse, use one and a half *qian* of Huangqi (Astragali Radix), one *qian* of Renshen (Ginseng Radix), seven *fen* of Danggui (Angelicae Sinensis Radix), three *fen* of Shengma (Cimicifugae Rhizoma), and two *fen* of Gancao (Glycyrrhizae Radix et Rhizoma). Prepare as one dose, decoct with one cup of water until reduced to half a cup, remove dregs, and take before meals. Additionally, wash with a solution of Wubeizi (Terminalia Chebulae Fructus) powder and apply the powder topically. Repeat several times, and continue oral medication to prevent recurrence permanently.
A postpartum woman expelled a fleshy cord from the urethra, three to four chi long. Touching it caused excruciating pain. She first took Shixiao San (Pain-Dispersing Powder) several times. Two *jin* of ginger with skin were mashed and mixed with two *jin* of refined sesame oil, boiled until the oil was absorbed/dry. The fleshy cord was wrapped in silk cloth, bent, and placed beside the urethra. It was fumigated with the ginger previously mentioned, and when cool, warmed by moxibustion or hot compress. After six nights, it shrank by more than half; after twelve days, it fully retracted. She then took Shixiao San (Pain-Dispersing Powder) and Xiong Gui Tang (Ligusticum and Angelica Decoction) for regulation. If the fleshy cord breaks, it is incurable.
Danggui Huangqi San (Angelica and Astragalus Powder) treats postpartum vaginal prolapse (retraction of the vaginal opening). (Tonifies and lifts.)
Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Huangqi (Astragali Radix), Renshen (Ginseng Radix) (each two *qian*); Shengma (Cimicifugae Rhizoma) (five *fen*).
One formula contains Gancao (Glycyrrhizae Radix et Rhizoma) instead of Baishao (Paeoniae Radix Alba).
Crush into one dose, decoct in water, and take warm before meals. Externally, wash with Wubeizi (Terminalia Chebulae Fructus) infusion and apply powder. (Wubeizi secures prolapse.)
Jiawei Bazhen Tang (Modified Eight Treasures Decoction) treats postpartum rectal prolapse. (Tonifies Qi and Blood and lifts.)
Bazhen Tang (Eight Treasures Decoction) (eight *qian*); Huangqi (Astragali Radix) (one *qian*); Fangfeng (Saposhnikoviae Radix), Shengma (Cimicifugae Rhizoma) (each five *fen*).
Crush for one dose, decoct in water, and take. Externally, fumigate and wash with Jingjie (Schizonepetae Spica), Huoxiang (Agastaches Herba), and Chupi (Toosendan Fructus) decoction.
Jiawei Siwu Tang (Modified Four Substance Decoction) treats vaginal protrusion due to excessive bearing-down efforts during delivery. (Nourishes Blood and secures prolapse.)
Siwu Tang (Four Substance Decoction) (four *qian*); Longgu (Fossilia Ossis Mastii) (lightly ground separately, added just before administration).
Crush, decoct in water, and take. For vaginal pain, add Gaoben (Ligustici Chuanxiong Rhizoma) and Fangfeng (Saposhnikoviae Radix), removing Longgu (Fossilia Ossis Mastii). (The brilliance lies in adding and removing one herb, utilizing Gaoben's lifting property.)
Danggui San (Angelica Powder) treats vaginal prolapse, also known as *Han* hernia.
Danggui (Angelicae Sinensis Radix), Huangqin (Scutellariae Radix) (each two *liang*); Baishao (Paeoniae Radix Alba) (one *liang*); Chupi (Toosendan Fructus) (burned to retain char, half *liang*); Muli (Concha Ostreae) (calcined, two and a half *liang*).
Grind into powder. Take two *qian* per dose, mixed with warm wine or rice broth as desired. Avoid climbing heights or lifting heavy objects. (This refers to uterine prolapse; Ciji (Tribuli Fructus), Muli (Concha Ostreae), Huangqin (Scutellariae Radix), and Baishao (Paeoniae Radix Alba) cool and secure prolapse.)
Liuhuang San (Sulfur Powder) treats severe bearing-down efforts during childbirth causing vaginal prolapse resembling rectal prolapse, or protrusion of the genitalia with tightness, swelling, and pain (prolapse due to Liver Heat), triggered by movement or sexual activity, with continuous clear discharge and dribbling urination.
Liuhuang (Sulfur), Haiheke (Sepiae Endoconcha) (each half *liang*) (Liuhuang and Haiheke warm and secure prolapse); Wuweizi (Schisandrae Chinensis Fructus) (two and a half *qian*).
Grind into powder, apply to the affected area, changing three times daily.
Wujiao Tang (Pepper and Aconite Decoction) treats vaginal protrusion. (Warming method.)
Shujiao (Zanthoxyli Fructus) (omitted in one formula), Wutou (Aconiti Radix), Baiji (Bletillae Rhizoma) (each half *liang*).
Grind into powder. Wrap a *fangcun bi* (square-inch measure) in cotton, insert three *cun* into the vagina. Replace when warmth is felt in the abdomen, once daily. Reapply the next morning. Cure in seven days.
Cunjin San (Inch Gold Powder) treats female rectal prolapse. (Warming, astringent, and cooling; ingenious.)
Shechuangzi (Cnidii Fructus), Longnao (Borneolum Syntheticum), Huluba (Trigonellae Semen), Zixiaohua (Calostomatis Caulis) (equal parts).
Grind into powder. Take five to seven *qian* per dose, decoct with half a bowl of water, and pour over the affected area. Effective after two or three applications.
Fuyuan Tang (Restoring Primordial Decoction) treats postpartum uterine non-retraction.
Jingjiesui (Schizonepetae Spica), Huoxiangye (Agastaches Folium), Choukunpi (Ailanthi Cortex) (equal parts).
Chop, decoct in water, and fumigate/wash. The uterus will retract.
One source states: If the rectum protrudes before delivery and fails to retract afterward, it is called "Pan Chang Xian Hua Chan" (Coiled Intestine Offering Flower Birth).
Treatment: Have the mother lie supine. Mix half a cup of good rice vinegar with seven *ge* of fresh spring water. Stir well, then suddenly splash it onto the mother's face or back. Each splash induces contraction. After three splashes and three contractions, the intestine fully retracts. This is an excellent method.
Another source states: For prolapsed intestine, folk custom uses splashing cold water on the mother's face to induce natural retraction. This method must never be used for weak individuals, as fear may cause illness or complete collapse. Use this formula instead.
Take forty seeds of Bamianzi (Ricini Semen) (one source says fourteen), remove shells, mash, and apply to the crown of the mother's head. It will naturally retract. Once retracted, wash the Bamianzi (Ricini Semen) off the head with water.
Another method: For prolonged prolapse dried by wind, unable to retract.
Warm a small amount of knife-sharpening water over fire, moisten the prolapsed intestine, then brew a cup of good Magnetitum (Ci Shi) decoction for the mother to drink. It will naturally retract. (Symbolic intent.)
Danxi Formula: Treats postpartum intestinal non-retraction.
Heat five *jin* of Sesamum indicum Oil (Xiangyou), pour into a basin, wait until warm, and have the patient sit in the oil basin. After about the time it takes to eat one meal, blow Sijiao (Gleditsiae Sinensis Spina) powder into the nose. Sneezing immediately causes retraction. Ingenious. (Has methodology.)
Miscellaneous Formulas: Treat "Pan Chang Chan".
Banxia (Pinelliae Rhizoma) powder insufflated into the nose causes the intestine to retract upwards. (Principle of inducing sneezing.)
One source: Scorpion (Quanxie) powder, any amount. Hold water in mouth, insufflate into nose. Immediate effect.
One source: Dip a large paper wick in sesame oil, light it, blow out, and fumigate the mother's nose with the smoke. The intestine rises.
Miscellaneous Formulas: Treat postpartum vulvar swelling and prolapse.
Mix Tiejing (Ferrum) and Yangzhi (Adeps Sus) until thick. Wrap in cloth, heat, apply as hot compress, and push inward.
One source: Use two *liang* of Zhike (Aurantii Fructus), remove pith, chop, decoct in water, soak warmly. After a while, it retracts.
One source: Human urine mixed with Shaojiu (Fermented Rice Wine) taken orally, one *fangcun bi* per dose.
One source: Place the prolapsed intestine in a clean lacquerware vessel, immerse in strong decoction of Huangqi (Astragali Radix). The intestine rises.
One source: Heat Shed of Snake (Shetui) and Shechuangzi (Cnidii Fructus), wrap in cloth, apply as hot compress to the affected area. Also treats postpartum vaginal pain.
One source: Use one *sheng* of Shechuangzi (Cnidii Fructus) alone, heat, wrap in silk, apply as hot compress. Also treats postpartum vaginal pain.
One source: Burn rabbit head to ash, apply topically.
One source: Wash soft with warm water, then fumigate with smoke from burning male mouse feces (Xiongshufen).
Moxibustion Method: Treats postpartum vaginal prolapse. Moxa on the transverse crease below the umbilicus, 27 moxa cones.
One method: For women with vaginal prolapse, lethargy in limbs, and chest oppression, govern with Shaohai (HT3). (Alternatively, Zhaohai (KI6)).
One method: For women with prolapsed womb, constant dampness, and failure to retract, moxa Shenque (CV8), Yuquan (EX-CA1), and Yinjiao (CV7). (One finger-width below the umbilicus, 50 moxa cones, repeated three times).
Another method: Three *cun* lateral to Yuquan (EX-CA1). (Moxa according to age, repeated three times).
One method: For women with cold swelling of the vaginal opening, moxa Guilai (ST29). (30 moxa cones).