因母患热症。至六七月。以致脏腑极热。熏蒸其胎。而至胎死。不能自出。故作此喘。胎
脉沉病喘死胎中。动热伤胎气上冲。桂麝和匀酒调下。黑神散子自然通。
熟地 当归 白芍 桂心 蒲黄(各三钱) 干姜 炙甘草(各三分) 炒黑豆(去皮二合半)
酒服。
妊妇失忌。或气逆而然。
妇人气逆胎遂横。益母童便酒下行。但将神应催生散。服之不久儿郎生。
黄蜀葵花(焙) 为末。热汤调服二钱。若漏血胎胞干涩难产。速进二帖。即产。若无花。
如神。
胎衣不下为如何。疲倦皆因用力过。停风衣冷或血入。胞胀令人无奈何。急服夺命丹行血。
童便酒调下。胎衣下利便清和。
附子(炮五钱) 丹皮 大黄(各一两) 干漆(炒烟尽为度) 为末。大黄成膏。丸桐子大。酒
牛膝 川芎 朴硝 蒲黄(各三两) 川归(一两五钱) 桂心(五钱) 为末和匀。每服五钱。姜
煎汤送。
牛膝 瞿麦 归尾 木通 枳壳(各一钱) 冬葵子(酒洗一钱五分) 滑石(二钱) 水煎热服
滑利水道。令儿易生。
凡发热乃气虚甚。非有实热也。有内伤发热者。有外感发热。恶寒者。乃气血虚甚。又有瘀
产后发热又憎寒。伤感须知有几般。外邪身热脉浮紧。五积交加疾自安。右寸脉大头必痛。
二陈加麦用。内伤莫作外伤看。小腹满痛有恶血。憎寒壮热掌心温。
弦急脉宜五积散。元胡葱白散为尊。日晡潮热宜八物。脉虚弦大补中论。医临脉药如临阵。
虚实分明仔细寻。
因为母亲患有热症，到了怀孕六七月时，导致脏腑极度发热，热气熏蒸胎儿，致使胎死腹中，无法自行排出，因此出现气喘的症状。
脉象沉伏而病势喘急，这是死胎在腹中，胎动热邪损伤胎气并向上冲逆所致。治疗可用桂麝散（含肉桂、麝香）调和均匀，用酒调服。或者服用黑神散，可使胎衣自然排出。
方剂组成：熟地黄、当归、白芍、桂心、蒲黄（各三钱），干姜、炙甘草（各三分），炒黑豆（去皮二合半）。用酒送服。
孕妇未能遵守禁忌，或因气机逆乱而导致此症。
妇女气机逆乱，胎儿随之横位难产。可用益母草配合童便和酒，引导气血下行。只需服用神应催生散，不久婴儿即可出生。
方剂组成：黄蜀葵花（焙干）研为细末。用热汤调服二钱。如果伴有漏血且胎胞干涩导致难产，迅速连服两帖，即可分娩。如果没有黄蜀葵花，其他药物也可起到如神效的作用。
分娩时用力过猛，恶血逆流向上，胎衣也随着气机上逆，导致胸闷昏迷。如果片刻后胎衣仍不下，产妇就会死亡。
胎衣不下是什么原因呢？疲倦是因为用力过度。停积的风寒或冷血进入胞宫，导致胞宫胀满，令人无可奈何。此时急需服用夺命丹以行血化瘀。用童便和酒调服。待胎衣排出后，大小便就会变得清利平和。
方剂组成：附子（炮制五钱）、牡丹皮、大黄（各一两）、干漆（炒至烟尽为止）。将上述药材研为细末，大黄熬成膏状，与药末混合制成梧桐子大小的丸剂。用酒送服。
另一组方剂：牛膝、川芎、朴硝、蒲黄（各三两），当归（一两五钱），桂心（五钱）。研为细末调和均匀。每次服用五钱，用生姜煎汤送服。
再一组方剂：牛膝、瞿麦、当归尾、木通、枳壳（各一钱），冬葵子（酒洗一钱五分），滑石（二钱）。水煎后热服。旨在滑利水道，使胎儿易于娩出。
凡是发热，大多是气虚至极所致，并非真正的实热。有因内伤导致的发热，也有因外感导致的发热。伴有恶寒症状的，是气血极度虚弱。又有瘀血阻滞……
产后发热又伴有憎寒（怕冷），感冒发热需知有多种情况。外邪侵袭导致身热、脉浮紧，若兼有五积证，疾病自会安宁。右寸脉大，头部必然疼痛，可用二陈汤加麦冬治疗。内伤发热不要当作外伤来看待。小腹满痛且有恶血残留，伴有憎寒壮热且掌心温热。脉象弦急者宜用五积散；元胡索葱白散为尊选。日晡时分（下午3-5点）潮热者宜用八物汤。脉象虚弦大者，依据《补中益气论》进行大补。医生临诊用药如同上阵打仗，必须仔细探寻，辨明虚实。
Because the mother suffered from a heat syndrome, by the sixth or seventh month of pregnancy, it led to extreme heat in the zang-fu organs. This heat steamed and scorched the fetus, causing fetal death. The dead fetus could not be expelled naturally, thus causing panting (shortness of breath).
A deep pulse with panting indicates a retained dead fetus. Heat damaging the fetal qi causes it to rush upward. Guizhe San (Cinnamon Musk Powder) should be mixed evenly and taken with wine. Heishen San (Black Spirit Powder) can also be used to facilitate the natural expulsion of the placenta.
Ingredients: Shudi (Prepared Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Guixin (Cinnamomi Cortex), Puhuang (Typhonii Rhizoma Pollen) (each 3 qian); Ganjiang (Zingiberis Rhizoma), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (each 3 fen); Chao Heidou (Fried Glycine Max Seed, peeled) (2.5 he). Take with wine.
This condition may arise if the pregnant woman fails to observe dietary and lifestyle taboos, or due to rebellious Qi.
If a woman's Qi rebels, the fetus may assume a transverse position, leading to difficult labor. Yimucao (Leonuri Herba) combined with Tongbian (Infant Urine) and wine can guide the Qi downward. Simply administering Shenyingshuai Sheng San (Divine Response Labor-Inducing Powder) will result in the birth of the infant shortly.
Ingredients: Huangshukuihua (Malvae Flower, dried). Grind into powder. Mix with hot water and take 2 qian. If accompanied by bleeding and dryness of the amniotic sac causing dystocia, quickly administer two doses for immediate delivery. If Huangshukuihua is unavailable, other remedies may prove equally effective.
During labor, excessive effort may cause lochia to flow upward in rebellion. The placenta may also ascend with the rebellious Qi, causing chest oppression and coma. If the placenta is not delivered within a short time, the mother may die.
Why does the placenta fail to descend? Fatigue results from excessive exertion. Retained wind-cold or cold blood entering the uterus causes uterine distension, leaving one helpless. Urgently administer Duoming Dan (Life-Snatching Pill) to invigorate blood circulation. Take with infant urine and wine. Once the placenta is delivered, urination and defecation will become clear and harmonious.
Ingredients: Fuzi (Prepared Aconiti Lateralis Radix, 5 qian), Danpi (Moutan Cortex), Dahuang (Rhei Radix et Rhizoma) (each 1 liang); Ganxi (Styracis Resina, stir-fried until smoke ceases). Grind into powder. Make Dahuang into a paste, mix with the powder, and form pills the size of tung tree seeds. Take with wine.
Another formula: Niuxi (Achyranthis Bidentatae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Poxiao (Natrii Sulfas), Puhuang (each 3 liang); Chuangui (Angelicae Sinensis Radix) (1.5 liang); Guixin (Cinnamomi Cortex) (5 qian). Grind into powder and mix evenly. Take 5 qian per dose, delivered with ginger decoction.
Yet another formula: Niuxi (Achyranthis Bidentatae Radix), Qumai (Dianthi Herba), Guiwei (Angelicae Sinensis Radix Tail), Mutong (Akebiae Caulis), Zhiqiao (Aurantii Fructus Immaturus) (each 1 qian); Dongkuizi (Abelmoschi Semen, washed in wine) (1.5 qian); Huashi (Talcum) (2 qian). Decoct in water and take hot. This aims to lubricate the water passages, facilitating easier delivery of the fetus.
Generally, fever is caused by extreme Qi deficiency, not by excess heat. There is fever due to internal injury and fever due to external contraction. Fever accompanied by aversion to cold indicates severe deficiency of Qi and Blood. There is also [fever due to] blood stasis...
Postpartum fever accompanied by aversion to cold requires understanding that there are several types. External pathogens causing body heat and a floating-tight pulse: if complicated by Wuji (Five Accumulations) syndromes, the illness will resolve itself. A large pulse at the Right Cun position indicates head pain; use Erchen Tang (Two-Cured Decoction) plus Maidong (Ophiopogonis Radix). Do not mistake internal injury for external trauma. Fullness and pain in the lower abdomen with lochia retention, accompanied by aversion to cold, high fever, and warmth in the palms: for a wiry and urgent pulse, Wujisan (Five-Accumulation Powder) is indicated; Yuanhusu Congbai San (Yuanhu and Scallion Powder) is highly respected. For tidal fever in the late afternoon, Bawu Tang (Eight-Ingredient Decoction) is suitable. For a deficient, wiry, and large pulse, follow the principles of tonification as discussed in Bu Zhong Yi Qi Lun (Discussion on Tonifying the Middle and Augmenting Qi). A physician treating patients with pulses and herbs is like going to battle; one must carefully investigate to clearly distinguish between deficiency and excess.