治难产胎衣不下，及生产数日，并死胎不下者，效。
上用蓖麻子一两去壳、雄黄二钱研细成膏，涂母右脚心，才下即速洗去。不洗则肠出，
用此
治产讫，血流入胎衣中，为血所涨不得下，治之稍缓，胀满腹中，上冲心胸，疼痛
喘急。服此以逐去衣中之血，血散胀消，胎衣自下。
附子（半两，炮，去皮脐） 牡丹皮（一两） 干漆（一分捣碎炒烟尽）
上为末，酽醋一升，大黄末一两同熬成膏，和药丸如梧子大。温酒不拘时，下五七丸。
治产儿已出，胞衣不下，脐腹坚，胀急痛甚，及子死腹中，不得出者。
牛膝（酒浸） 瞿麦（各一两） 滑石（二两） 赤小豆（二合半） 当归（酒浸） 木
通（各一
两半）
上锉散。每服三钱，水二盏煎，不拘时服。
治胞衣不下及恶露不行，服之神效。（方见大方科失血类。）
灸法∶治横生逆产，诸药不效，灸右脚小指尖头三壮，艾柱如小麦大，下火立产。
方产戒忌∶不可便饮酒，多以酒调药服之，酒散五脏四肢，致成百病。凡一切药，止用
水煎
治产后恶露不尽，或胎衣不下，攻冲心腹，胸膈痞满，或脐腹坚胀撮痛，及神昏血
眼花口噤，产后瘀血诸疾。（又名乌金散。）
熟地（生也可用） 蒲黄 当归 干姜（炮） 桂心 芍药 甘草（炙各一两） 黑豆
（半
升，炒
上为末。每服二钱，酒半盏，童便半盏同煎调下。或去蒲黄用绵附，量虚实用之。
治疗难产、胎衣不下，以及分娩数日后死胎仍不排出的情况，此方有效。
取蓖麻子一两，去壳；雄黄二钱，研细成膏状，涂抹于产妇右脚心，待胎衣或胎儿一旦排出，立即洗去药膏。若不洗去，会导致肠管脱出。
使用此方。
治疗分娩结束后，血液流入胎衣中，因血液充盈导致胎衣无法排出。若治疗稍缓，腹部胀满，气逆上冲心胸，引起疼痛、气喘急促。服用此方以驱逐胎衣中的积血，血液消散、胀满消除后，胎衣自然排出。
附子（半两，炮制，去皮和脐） 牡丹皮（一两） 干漆（一分，捣碎并炒至烟尽）
以上药材研为末，用一升浓醋，加入一两大黄末一同熬制成膏，混合药末制成梧桐子大小的丸剂。温酒送服，不限时间，每次五至七丸。
治疗胎儿已产出，但胞衣不下，脐部及腹部坚硬，胀急疼痛剧烈，以及胎儿死于腹中无法排出的情况。
牛膝（酒浸） 瞿麦（各一两） 滑石（二两） 赤小豆（二合半） 当归（酒浸） 木通（各一两半）
以上药材切碎成散剂。每次服用三钱，加水两盏煎煮，不限时间服用。
治疗胞衣不下及恶露不行，服用后神效。（该方见大方科失血类。）
灸法：治疗横生逆产，诸药无效时，灸右脚小指尖头三壮，艾柱大小如小麦粒，施灸后胎儿立即产出。
产后禁忌：不可立即饮酒，也不可用酒调制药粉服用。酒会散乱五脏四肢之气，导致各种疾病。所有药物，仅用水煎煮。
治疗产后恶露不尽，或胎衣不下，瘀血攻冲心腹，胸膈痞闷胀满，或脐腹部坚硬胀满、挛缩疼痛，以及神志昏迷、眼花、口噤等产后瘀血诸疾。（又名乌金散。）
熟地黄（生用亦可） 蒲黄 当归 干姜（炮制） 桂心 芍药 甘草（炙，各一两） 黑豆（半升，炒）
以上药材研为末。每次服用二钱，加半盏酒、半盏童便同煎调服。或者去掉蒲黄改用绵附子，根据患者虚实情况酌情使用。
Treats difficult labor, retained placenta, and cases where the fetus has died and remains in the uterus for several days after delivery; this formula is effective.
Take one liang of Ricini Semen (Bì Mán Zǐ), remove the shells; take two qian of Realgar (Xióng Huáng), grind into a fine powder to form a paste. Apply to the sole of the mother's right foot. Immediately wash off once the placenta or fetus is delivered. If not washed off, evisceration (prolapse of intestines) may occur.
Use this method.
Treats the condition after delivery where blood flows into the placenta, causing it to swell and preventing expulsion. If treatment is delayed, abdominal distension occurs, with Qi rushing upward to the chest and heart, causing pain, panting, and urgency. Take this formula to expel the blood trapped within the placenta. Once the blood disperses and distension subsides, the placenta will naturally be expelled.
Fuzi (Prepared Aconiti Lateralis Radix, half liang, processed, skin and umbilical scar removed) Mudanpi (Moutan Cortex, one liang) Ganxi (Stagnant Lacca, one fen, crushed and stir-fried until smoke ceases)
Grind the above ingredients into powder. Add one sheng of strong vinegar and one liang of Dahuang (Rhei Radix et Rhizoma) powder, boil together into a paste. Mix with the herbal powder to form pills the size of a Chinese quinoa seed (Wu Zi). Take five to seven pills with warm wine at any time.
Treats cases where the infant has been born but the placenta remains, accompanied by hardness and severe distending pain in the umbilical and abdominal regions, as well as fetal death in utero with inability to expel.
Niuxi (Achyranthis Bidentatae Radix, soaked in wine) Qumai (Herba Dianthi, each one liang) Huashi (Talcum, two liang) Chixiaodou (Adzuki Bean, two he and half) Danggui (Angelicae Sinensis Radix, soaked in wine) Mutong (Akebiae Caulis, each one liang and half)
Cut the above ingredients into coarse pieces. Take three qian per dose, decoct in two zhan of water, and take at any time.
Treats retained placenta and lochia retention; takes divine effect. (See the formula under the category of Blood Loss in Large Formulas.)
Moxibustion: For transverse presentation or malpresentation where all medicines fail, moxibustion on the tip of the little toe of the right foot for three moxa cones. The moxa cone should be the size of a wheat grain. Delivery will occur immediately after application.
Postpartum Taboos: Do not drink alcohol immediately, nor use alcohol to mix herbal powders. Alcohol scatters the Qi of the five zang organs and four limbs, leading to various diseases. All medicines should only be decocted with water.
Treats postpartum lochia retention, or retained placenta, where blood stasis attacks the heart and abdomen, causing chest and diaphragm fullness and oppression, or hard, distending, and cramping pain in the umbilical and abdominal regions, as well as coma, blurred vision, and trismus due to postpartum blood stasis. (Also known as Wujin San / Black Gold Powder.)
Shudihuang (Rehmanniae Radix Praeparata, raw can also be used) Puhuang (Pollinis Typhae) Danggui (Angelicae Sinensis Radix) Ganjiang (Zingiberis Rhizoma, processed) Guixin (Cinnamomi Cortex) Shaoyao (Paeoniae Radix) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each one liang) Heidou (Vigna Angularis Seed, half sheng, stir-fried)
Grind the above ingredients into powder. Take two qian per dose, decoct with half zhan of wine and half zhan of child's urine, and take mixed. Alternatively, remove Puhuang and substitute with Mian Fuzi (Prepared Aconiti Lateralis Radix prepared with egg white), adjusting according to the patient's deficiency or excess condition.