治堕胎胞衣不出，腹中 痛，牵引腰脊。（下并《圣惠》。）
用蚁窟土三升炒热，帛裹拓心下，胞自出也。
又方 好墨细研末，温酒调下二钱，频
服效。
治妊娠胎死腹中，衣不出，及产后卒有别病，欲至野狼狈方。
刺热羊血饮一小盏，极效。
又方 以水 其面、神验，加醋少许。
又方 洗儿水半盏，令母服，其衣即出，勿令产妇知。
又方 治胞衣未下，腹满则杀人。
用水一碗，煮猪脂一两，煎十数沸，和脂服之当下。
又方（出《如宜方》） 以鸡子一枚，取清吞之。
又方（出《如宜方》） 用铁斧烧令通赤，投酒中沸定，则出饮之。
当归川芎汤 治小产后瘀血心腹痛，或发热恶寒。
当归 川芎 熟地黄（自制） 白芍药（炒） 玄胡索（炒） 红花 香附 青皮（炒）
泽兰 牡丹皮 桃仁（各等分）
上水煎，入童便、酒各小半盏服。
若以手按腹愈痛，此瘀血为患，宜此药或失笑散消之。若按之不痛，此是血虚，宜
四物、参、苓、白术。若痛而作呕，此是胃虚，宜六君子。若痛而作泻，此是脾虚，宜
六君子送二神丸。
芎 汤 治堕胎心腹疼痛。
芎 芍药 白术 阿胶（炒令燥） 甘草（炙，各一两）
上 咀，每服三钱，水一盏，入艾叶、糯米、生姜，同煎至六分，食前服。一方无白
术，有人参。
当归散 治产后气血虚弱，恶露内停，憎寒发热。
当归 白芍药（炒） 川芎 黄芩（炒，各一两） 白术（五钱）
上为细末，温童便调下二钱。
圣愈汤 治血虚心烦，睡卧不宁，或五心烦热。
熟地黄（酒拌蒸半日） 生地黄（酒拌） 川芎 人参（各七钱五分） 当归（酒拌）
黄（炒，各五钱）
上水煎服。
当归补血汤 治肌热躁热，目赤面红，烦渴引饮，昼夜不息，脉洪大而虚，重按全无，
此脉虚血虚也，若误服白虎汤，必死。
当归（三钱） 黄 （一两）
上水煎服。
四物二连汤 治血虚发热，或口舌生疮，或昼安夜热。
当归 川芎 熟地黄 芍药 胡黄连 宣黄连（各一钱）
上作一剂，水煎服。
东垣云∶妇人分娩及半产漏下，昏冒不省，瞑目无所知觉。盖因血暴亡，有形血去，
则心神无所养。心与包络者，君火相火也，得血则安，亡血则危。火上炽故令人昏昌，火
胜其肺，瞑目不省人事，是阴血暴去，不能镇抚也。血已亏损，往往用滑石、甘草、石
膏之类，乃辛甘大寒文药，能泻气中之热，是血亏泻气，乃阴亏泻阳，使二者俱伤，反为
不足。虚劳之病，昏迷不省者，上焦心肺之热也。此无形之热，用寒凉之药驱令下行，岂
不知上焦之病，悉属于表，乃阴证也，汗之则愈。今反下之，幸而不死，暴亏气血，必
夭天年。又不知《内经》有说，病气不足，宜补不宜泻。但瞑目之病，悉属于阴，宜汗不
宜下。又不知伤寒郁冒，得汗则愈，是禁用寒凉药也。分娩半产，本气不病，是暴去其
血，亡血补血，又何疑焉。补其血则神昌。常时血下降亡，今当补而升举之，心得血而养，
神不昏矣。血若暴下，是秋冬之令太旺，今举而升之，助其阳则目张神不昏矣。今立一
方，补血、养血、生血、益阳，以补手、只厥阴之不足也。
全生活血汤
红花（三分） 蔓荆子 细辛（各五分） 生地黄（夏月加之） 熟地黄（各一钱）
蒿本 川芎（各一钱半） 防风（诸阳既陷，何以知之，血下脱故也） 羌活
独活 甘草（炙） 柴胡（去苗） 当归身（酒洗）
葛根（各二钱） 白芍 升麻（各三钱）
咀，每服五钱，水二盏，煎至一盏，去滓食前稍热服。
To treat retained placenta after miscarriage, with abdominal pain radiating to the lower back and spine. (The following are from *Shenghui Fang*.)
Use three sheng of soil from an ant hill, stir-fry until hot, wrap in silk cloth, and apply as a compress to the epigastrium; the placenta will naturally be expelled.
Another prescription: Grind high-quality ink into fine powder, mix with warm wine, take two qian, and take frequently for effectiveness.
For treating retained dead fetus and placenta during pregnancy, or sudden illness postpartum when one needs to travel to the wild in distress.
Puncture a hot sheep and drink a small cup of its blood; this is extremely effective.
Another prescription: Apply water-mixed flour paste to the face; it is miraculous. Add a little vinegar.
Another prescription: Have the mother drink half a cup of water used for bathing the newborn; the placenta will be expelled immediately. Do not let the parturient woman know.
Another prescription: To treat retained placenta; if the abdomen becomes distended, it can be fatal.
Take one bowl of water, boil one liang of lard, simmer for more than ten boils, and consume the liquid along with the fat to expel the placenta.
Another prescription (from *Ruyi Fang*): Take one egg, extract the egg white, and swallow it.
Another prescription (from *Ruyi Fang*): Heat an iron axe until red-hot, plunge it into wine until boiling stops, then drink the wine.
Danggui Chuanxiong Tang (Angelica and Ligusticum Decoction): Treats heart and abdominal pain caused by blood stasis after minor abortion, or accompanied by fever and aversion to cold.
Ingredients: Danggui (Radix Angelicae Sinensis), Chuanxiong (Rhizoma Chuanxiong), Shudihuang (Prepared Radix Rehmanniae) [homemade], Baishao (Radix Paeoniae Alba) [stir-fried], Yanhusuo (Rhizoma Corydalis) [stir-fried], Honghua (Flos Carthami), Xiangfu (Rhizoma Cyperi), Qingpi (Pericarpium Citri Reticulatae Viride) [stir-fried], Zelan (Herba Lycopi), Mudanpi (Cortex Moutan), Taoren (Semen Persicae) [equal parts].
Decoct these ingredients in water, add half a small cup of Tongbian (child's urine) and wine, mix, and take.
If pressing the abdomen increases pain, this indicates blood stasis; use this prescription or Shixiao San (Pain-Relieving Powder) to resolve it. If pressing does not cause pain, this indicates blood deficiency; use Siwu Tang (Four Substances Decoction) plus Renshen (Ginseng), Fuling (Poria), and Baizhu (Atractylodes Macrocephala Rhizome). If pain is accompanied by vomiting, this indicates stomach deficiency; use Liujunzi Tang (Six Gentlemen Decoction). If pain is accompanied by diarrhea, this indicates spleen deficiency; use Liujunzi Tang administered with Ershen Wan (Two Deities Pill).
Xiong Tang (Ligusticum Decoction): Treats heart and abdominal pain after miscarriage.
Ingredients: Chuanxiong (Rhizoma Chuanxiong), Shaoyao (Radix Paeoniae), Baizhu (Atractylodes Macrocephala Rhizome), Ejiao (Colla Corii Asini) [stir-fried until dry], Gancao (Radix Glycyrrhizae) [roasted, each one liang].
Coarsely crush the herbs, take three qian per dose, add one cup of water, along with Aiye (Folium Artemisiae Argyi), Nuomi (Oryza Sativa Glutinosa), and Shengjiang (Rhizoma Zingiberis Recens), decoct together until reduced to six-tenths, and take before meals. Another version excludes Baizhu and includes Renshen.
Danggui San (Angelica Powder): Treats qi and blood deficiency postpartum, with retained lochia, aversion to cold, and fever.
Ingredients: Danggui (Radix Angelicae Sinensis), Baishao (Radix Paeoniae Alba) [stir-fried], Chuanxiong (Rhizoma Chuanxiong), Huangqin (Radix Scutellariae) [stir-fried, each one liang], Baizhu (Atractylodes Macrocephala Rhizome) [five qian].
Grind into fine powder, mix with warm Tongbian (child's urine), and take two qian.
Shengyu Tang (Sage's Rescue Decoction): Treats irritability due to blood deficiency, restlessness during sleep, or five-palm heat.
Ingredients: Shudihuang (Prepared Radix Rehmanniae) [steamed for half a day with wine-soaked], Shengdi Huang (Raw Radix Rehmanniae) [soaked in wine], Chuanxiong (Rhizoma Chuanxiong), Renshen (Radix Ginseng) [each seven qian and five fen], Danggui (Radix Angelicae Sinensis) [soaked in wine], Huangqi (Radix Astragali) [stir-fried, each five qian].
Decoct in water and take.
Danggui Buxue Tang (Angelica Tonifying Qi Decoction): Treats muscle heat and restlessness, red eyes and face, thirst with desire to drink, continuous day and night, pulse is large and forceful yet empty, and completely void upon heavy pressure; this indicates pulse deficiency and blood deficiency. If mistakenly treated with Baihu Tang (White Tiger Decoction), death is certain.
Ingredients: Danggui (Radix Angelicae Sinensis) [three qian], Huangqi (Radix Astragali) [one liang].
Decoct in water and take.
Siwu Erlian Tang (Four Substances and Two Coptises Decoction): Treats fever due to blood deficiency, mouth and tongue ulcers, or feeling well during the day but feverish at night.
Ingredients: Danggui (Radix Angelicae Sinensis), Chuanxiong (Rhizoma Chuanxiong), Shudihuang (Prepared Radix Rehmanniae), Shaoyao (Radix Paeoniae), Huhuanglian (Rhizoma Coptidis Chinensis var. Wutai), Xuanhuanglian (Rhizoma Coptidis) [each one qian].
Prepare as one dose, decoct in water, and take.
Li Dongyuan stated: Women who have undergone delivery or spontaneous abortion with prolonged bleeding may experience fainting, loss of consciousness, closing their eyes, and lack of perception. This is because blood has been suddenly lost; when有形 (substantial) blood departs, the Heart Spirit loses its nourishment. The Heart and Pericardium belong to Ministerial Fire and Sovereign Fire; they are calm when nourished by blood and endangered when blood is lost. Excessive fire causes fainting; fire overcoming Lung Metal leads to closed eyes and unconsciousness, indicating that Yin blood has been suddenly depleted and cannot anchor Yang. When blood is deficient, practitioners often use Shihi (Talcum), Gancao (Radix Glycyrrhizae), and Shigao (Gypsum Fibrosum), which are pungent, sweet, and greatly cold medicines. These drain heat from Qi, meaning draining Qi while Blood is deficient, and draining Yang while Yin is deficient, injuring both and worsening insufficiency. In consumptive diseases with coma and unconsciousness, the heat is in the Upper Jiao (Heart and Lungs). This is formless heat; using cold medicines to drive it downward ignores that Upper Jiao diseases all belong to the Exterior and are Yin syndromes, which should be cured by sweating. Now, using purgatives instead, although survival is fortunate, the violent depletion of Qi and Blood will surely shorten life. Furthermore, one must not ignore the *Neijing* saying that when disease Qi is insufficient, tonification is preferred over purgation. All cases of closed eyes belong to Yin and should be treated with sweating, not purging. One must also not forget that in Taiyang syndrome with depression and dizziness, sweating cures it; thus, cold medicines are contraindicated. Delivery or abortion does not inherently damage the Original Qi; it is merely a sudden loss of blood. To lose blood is to tonify blood; what doubt remains? Tonifying blood clarifies the Spirit. Normally, blood descends and is lost; now it should be tonified and lifted. The Heart receives blood nourishment, and the Spirit will not be confused. If blood flows down violently, it is like the excessive dominance of Autumn/Winter energies; now lift and raise it, assisting Yang so the eyes open and the Spirit remains clear. I hereby establish a prescription to tonify, nourish, generate blood, and benefit Yang, to supplement the insufficiency of the Hand and Foot Jueyin meridians.
Quansheng Huoxue Tang (Complete Life Invigorating Blood Decoction)
Ingredients: Honghua (Flos Carthami) [three fen], Manjingzi (Fructus Viticis), Xixin (Radix et Rhizoma Asari) [each five fen], Shengdi Huang (Raw Radix Rehmanniae) [add in summer], Shudihuang (Prepared Radix Rehmanniae) [each one qian], Gaoben (Rhizoma Ligustici Wallichii), Chuanxiong (Rhizoma Chuanxiong) [each one qian and half fen], Fangfeng (Radix Saposhnikoviae) [Why do we know Yang Qi has sunk? Because blood has escaped downwards], Qianghuo (Rhizoma Notopterygii), Duhuo (Radix Angelicae Pubescentis), Gancao (Radix Glycyrrhizae) [roasted], Chaihu (Radix Bupleuri) [remove seedlings], Dangguishen (Body of Radix Angelicae Sinensis) [wash with wine], Gegen (Radix Puerariae) [each two qian], Baishao (Radix Paeoniae Alba), Shengma (Rhizoma Cimicifugae) [each three qian].
Coarsely crush, take five qian per dose, add two cups of water, decoct until one cup remains, remove dregs, and take slightly warm before meals.