〔洁〕治胎产之病，从厥阴经论之，无犯胃气及上三焦，谓之三禁，不可汗，不可
下，不可利小便。发汗者同伤寒下早之证，利大便则脉数而已动于脾，利小便则内亡津液，
胃中枯燥。制药之法；能不犯三禁，则荣卫自和而寒热止矣。如发渴则白虎，气弱则黄
，血刺痛而和以当归，腹中疼而加之芍药。大抵产病天行从增损柴胡，杂证从增损四物，
宜详察脉证而用之。大抵外则和于荣卫，内则调于清便，同伤寒坏证治之。
〔李仲南〕胎前病唯当安胎顺气，若外感四气，内伤七情，以成他病，治法与男子
无异，当于各证类中求之，但胎前治他证者，动胎之剂，切须审详尔。
〔丹〕胎前当清热养血。产前安胎，白术、黄芩妙药也。胎前将临月，以三补丸加
炒香附、炒白芍药蒸饼丸服。又抑热以三补，
用生地黄膏丸。（芩、连、柏为末，地黄膏丸之。）有孕八九个月，必顺气，枳壳、苏茎。前至八
九月因火动胎，逆上作喘急者，可用条芩、香附之类为末调下。条芩于水中沉取重者用之。
固胎，地黄半钱，当归身尾、人参、白芍陈皮各一钱，白术一钱半，甘草三分，黄芩、
川芎各半钱，黄连、炒柏各少许，桑上羊儿藤（即金银花。）七叶完者，糯米十四粒， 咀煎
服。血虚不安者，用阿胶。痛者用缩砂，行血气故也。
《夷坚志》云∶政和中，蔡鲁公之孙妇有孕，及期而病，国医皆以为阳证伤寒，惧胎
堕不敢投以凉剂。张锐至，视之曰∶儿处胎十月将生矣，何药之能败。即以常法与药，且
使倍服之，半日而儿生，病亦失去，明日其妇大泄，而喉闭不入食。众医复指其疵，且
曰∶二疾如冰炭，又产蓐甫近，虽司命无如之何矣。张曰∶无庸忧也，将使即日愈。乃
取药数十粒使吞之，咽喉即通，下泄亦止。及盈月，鲁公酌酒为寿曰∶君术通神，吾不敢
知，敢问一药而愈二疾何也？张曰∶此于经无所载，特以意处之，向者所用药乃附子理
中丸裹以紫雪尔。方喉闭不通。非至寒药不为用，既以下咽，则消释无余，其得至腹中
者，附子力也，故一服而两疾愈。公大加叹异。
汪机治一妇，常患横生逆产七八胎矣，子皆不育。汪诊脉皆细涩颇弦，曰∶此气血两
虚兼热也。或曰∶气血有余，方成妊娠，气血既亏，安能胎耶？汪曰∶观其形长瘦而脉
细濡，属于气血两虚，色青脉弦，属于肝火时炽，而两尺浮滑，似血虚为轻而气虚为重
也，宜以补阴丸除陈皮，倍加香附、参、 ，蜜丸服之，常令接续。逾年临产果顺而育一子。
保生丸 （《局方》）养胎益血，安和子脏。治妊娠将理失宜，或因劳役胎动不安，腰腹
痛重，胞阻漏胎，恶露时下，子脏挟疾，久不成胎。或受妊不能固养，痿燥不长，过年
不产，日月虽满，转动无力，或致损堕，及临产节适乖宜，惊动太早，产时未至，恶露
先下，胎胞枯燥，致令产难，或横或逆，痛极闷乱，连日不产，子死腹中，腹上冰冷，口
唇青黑，吐出冷沫。新产恶血上冲，运闷不省，喘促汗出，及瘀血未尽，脐腹 痛，寒
热往来。或因产劳损，虚羸未复，面黄体瘦，心忪盗汗，饮食不进，渐成蓐劳。入月常服，
壮气养胎，正顺产理，润胎易产。产后常服，滋养血气，和调阴阳，密腠理，实腑脏，治
风虚，除痼冷。
大麻仁（去壳一两半） 贝母 黄芩 大豆 黄卷 粳米 甘草（炙，微赤） 干姜（炮）
肉桂（去粗皮） 石斛（去根） 石膏（细研） 秦椒（微炒出汗，各一两） 当归（去芦炒，半两）
上为细末，炼蜜和丸如弹子大，每服一丸，并用温酒或枣汤化下，嚼咽亦得，空心
食前服。
交感地黄煎丸 治妇人产前产后眼见黑花，或即发狂，如见鬼状，胞衣不下，失音
不语，心腹胀满，水谷不化，口干烦渴，寒热往来，口内生疮，咽中肿痛，心虚忪悸，夜
不得眠，产后中风，角弓反张，面赤，牙关紧急，崩中下血如豚肝状，脐腹 痛，血多
血少，结为 瘕，恍惚昏迷，四肢肿满，产前胎不安，产后血刺痛，皆治之。
生地黄（净洗研，以布绞汁留滓，以生姜汁炒地黄滓，以地黄汁炒生姜滓，各至干，
为末） 生姜（净洗烂研，以布绞汁，留滓，各二斤） 当归（去芦） 延胡索（拌糯米炒赤，
去米） 琥珀（别研，各一两） 蒲黄（炒香，四两）
上为末，蜜丸弹子大。当归汤化一丸，食前服。
琥珀丸 治妇人胎前产后百病，及疗三十六种血冷，七疝八瘕，心腹刺痛，卒中瘫
痪，半身不遂，八风十二痹，手足酸疼，乳中毒结瘀血，怀胎惊动，伤犯不安，死胎不
出，并胎衣不下，并宜服之。
琥珀（另研） 辰砂（另研） 阿胶（碎，炒） 五味
子（拣净） 石斛（去根） 附子（炮去皮脐） 肉桂（去粗皮） 沉香（不见火） 川芎（各半两）
牛膝（去芦，酒浸） 当归（去须，炒） 肉苁蓉（酒浸，炒） 人参 续断 没药（研） 熟地黄 木香（不见火，
各一两）
上为细末，炼蜜和丸如弹子大。每服一丸，空心暖酒化下，午后食前再服，能生新
血，去恶血。若腹胁疼痛，绕脐如刀刺，及呕逆上气筑心，痰毒，不思饮食，用姜汁少
许，和酒化服。诸痢及赤白带下，血冷，崩中下血，漏胎下血，用生姜与艾，锉、炒令
赤色，入酒同煎数沸，去滓调服。泄泻不止，陈米饮化服。涩尿诸淋，煎通草、灯心汤服。
血晕不知人，煎当归酒调服。上热下冷，煎人参汤服。遍身虚肿水气，煎赤小豆汤服。产
内二毒伤寒，及中风角弓反张如板硬，煎麻黄汤服，以衣被盖出汗。月经不通，或间杂
五色，频并而下，断续不止，饮食无味，肌肤瘦劣，面赤唇焦，乍寒乍热，四肢烦疼，五
心燥热，黑 ，遍身血斑，赤肿走注，及血风劳伤无力，用童子小便入姜汁少许调服。常
服以童便为妙，若恐恶心，和以半酒。如怀胎妇于临月一日一服，至产下不觉疼痛，或
服至五服十服，日倍饮食，是药力也，其功不能具述。
龙须汤 治胎前产后身疼。保室论云∶身疼者，肌体不实而受风邪，客于经络，邪气
与正气相搏，交击于骨肉之间，故身疼而不动，用龙须汤主之。若妊娠而患身体疼者，必
因劳役过多致使然也。不尔，经络受风寒，愈痛丸、防风汤主之。产者若因劳役身疼而不
能动转者，良由产后百节开张，血脉流走，气弱则骨肉之间血多凝滞，是故百节经脉紧急，
腰背不能转侧，手足不能动摇，身热若纳炭，头如钉钉，医者不识，妄为伤寒发汗，变生
他证，宜服。
黄 （一两，蜜炙） 当归（去芦，酒浸） 牛膝（洗去苗，酒浸一宿，如急用，酒蒸熟为度）
白术 防风（去芦） 独活（去芦） 甘草（各二钱半）
上 咀，每服半两，水五盏，生姜十片，薤白一握，同煎至三盏，去滓不拘时服。
佛手散 治产前产后，腹痛体热头疼，及才产未进别物，即先服此药，逐败血，生新
血，能除诸疾。
川芎（二两） 当归（三两）
上为细末，每服二钱，水一盏，酒二分，同煎七分温服。一方为粗末，每服四钱，水
七分，酒三分，同煎至七分热服，未产前先安排此药，将两服药煎之，产了速进之，三
日内日二服，三日外一服。一方名芎归汤，只此二味，等分 咀水煎，专治失血伤胎去
血，产后去血，崩中去血，金疮去血，拔牙去血不止，一切去血过多，心烦眩晕，闷绝
不省人事，头重目暗，举头欲倒，悉能治之。若产后眩晕，宜加芍药服之。一名桂香散，
治产后腹疼不可忍者，加桂心等分，酒与童子小便合煎，服之立效。一名当归汤，治
妊娠子死，或未死胎动不安，每服用酒水合煎，连进数服。胎若已死，服之便下。若未
死其胎即安。此经累效，万不失一。一名琥珀散，临月服之，只缩胎易产，兼治产后
诸疾。一名羊肉汤，治虚损羸乏，腹中 痛，往来寒热，吸吸少气，不能支持，头眩
自汗，腹内拘急，每服用精羊肉一两，生姜十片，水二盏，煎至六分，温服。一名
君臣散，治妇人室女心腹 痛，经脉不调，用水煎服。若妊妇胎气不安，产后诸疾，加酒
煎服。一名芎当散，治妇人血气，上喘下肿，二味等分为细末，每服二钱，空心煎艾
汤调下。又治产后损身，血冲心及腹胀气绝者，神验。难生倒横，子死腹中，先用黑
大豆一大合炒熟，水一盏，入童子小便一盏，药末四钱，同煎至一盏，以上分为二服。未
效再作。产后恶血注心，迷闷喘急腹痛，根据前用黑豆加生姜自然汁半合煎服。治脏毒，
每服一钱半，入炒槐花末半钱，水一盏，煎至六分，无时服，三日取下血块即愈。如
产后头疼，加荆芥煎，如吐血亦宜服之。若产难，多用百草霜、香白芷等分为末，名
乌金散，每服二钱，童子小便好醋各一合，沸汤浸服，止一服见效，甚者再服已，分娩矣。
一法以五积散加醋煎服，亦能催生。崩中漏下，失血过多，久不能止，用芎归汤疗
之不止者，宜以香附子炒去皮毛，为细末，每一两入甘草末一钱，清米饮点服，名顺元汤。
有白带者，于顺元汤内加芍药半两。或谓香附耗气则不然，许学士谓滋血养气，妇人
仙药，虽羸人亦宜服之。兼治男女吐衄便利，及诸证失血，用此药佐以米饮丸百草霜末，每
服百余丸，或以其他烧灰药皆能作效，不可遽以燥涩之剂止之，必致壅遏腐败，必生他
证。大抵血不能行，气使之然者，气得其平，则血循故道，必无妄行之患矣。香附子善能
导气，用之勿疑也。
返魂丹 治妇人胎前产后诸疾危证。
上用赤箭，即野天麻，叶似艾叶，开紫花如红蓼花，子名茺蔚子，又名益母草，又
名大札，又名贞蔚，又名负担。端五日采取阴干，用叶及花子，以瓷器研为细末，炼蜜
和丸如弹子大，随后治证嚼服。其根烧存性为末，酒调服，功与黑神散不相上下。如
胎前脐腹作痛或作声者，温米饮下。胎前产后脐腹刺痛。胎动不安，下血不止，水煎
秦艽、糯米汤下，或当归汤变可。如产时先用一丸，以童子小便化下，安魂定魄，自
然气血调顺，诸病不生。又能破血止痛，养脉息，调经络，温酒下。产后胎衣不下，血
在胞中，及横生不顺，死胎经日不下者，胀满腹中，心闷心痛，炒盐汤下。产后中风，
牙关紧急，半身不遂，失音不语，童子小便、无灰酒各半下。产后咳嗽，胸膈不利，恶
心，口吐酸水，面目浮肿，两胁痛，举动失力者，温酒下。产后两太阳痛，呵欠，心
忡气短，肌体羸瘦，不思饮食，血风身热，手足顽麻，百节疼痛，温米饮汤下。产后眼
前黑暗，血晕血热，口渴烦闷，如见鬼神，狂言不省人事，薄荷自然汁，如无生者，浓煎
薄荷汤下，及童子小便。酒各半亦可。产后面垢颜赤，五心烦热，或结成血块，脐腹
奔痛，时发寒热，有冷汗者，童子小便、酒各半下，温薄荷自然汁亦可。产后余血，恶
露不尽，结滞脐腹刺痛，恶物上冲心胸闷者，童子小便、酒各半下。产后大小便不通，烦
躁口苦者，薄荷自然汁下，如无生者，浓煎薄荷汤下。 产后泻血者，水煎枣汤下。
产后白带下者，煎胶艾汤下。月水不调，温酒下。血崩漏下，温酒下。妇人久无子
息，温酒下。服之十丸至二十丸，亦能注喜。一、子死腹中，盖因卒病脏腑热极，蒸其
胎，是以子死也，盖子死不居子宫，或堕胎于腹间冷痛，小便沫出，腹胀，四肢逆冷，爪
甲青者是也。或临产之时，此药安魂定魄，血气自然调顺，诸疾不生，破血补虚止痛，养
血气，调经络，酒、童子小便各七分化下。二、难产者，胎以食母之血，十月满足，则
余血结成块，俗呼为儿枕，欲产之时，血块先动，败血裹其子，是以难产，或产后恶物
不尽，脐腹刺痛，恶物上冲心胸主闷，用童便、酒各七分化下。三、垢面颜赤，胎衣
不下，既产了，脏腑虚羸，五心烦躁，血流入衣中则难出，发寒热，有冷汗出，但去其
败血，其衣自出，如带断了，服此药下。或横生不顺，心闷欲死者，童便、酒各七分化
下，薄荷自然汁、盐汤亦可。四、产后三日，起卧不得，眼前黑暗生花，盖产后血气
未定，运走五脏，入肝则目昏，俗为暗风，医家以风治之，或血热口干烦渴，心闷乱如见
鬼神，狂言妄语，不省人事，童便、酒各七分，薄荷自然汁亦可。五、产后口干心闷
及烦渴者，血气未定，即食热面，积滞在内，以致热躁烦渴者，俗为胸膈壅盛，或两太阳
穴痛，呵欠怔忡气短，身体羸瘦，不思饮食，血风身热，手足顽麻，百节疼痛甚者，温米
饮、童便各七分化下。六、产后四肢浮肿及寒热者，盖因败血流入五脏，渗入四肢，停
留日久，化为脓状，气喘或小便涩，或咳嗽胸膈不利，恶心口吐酸水，两肋疼痛，举动
乏力，温酒化下。七、产后寒热往来，盖因败血入心则热，入脾则寒，状如疟，脐腹
【朱丹溪】治疗胎产疾病，应从厥阴经进行辨证论治，严禁损伤胃气及上三焦，这被称为“三禁”，即不可发汗、不可攻下、不可通利小便。若误用发汗法，其后果如同伤寒病过早使用下法一样严重；若误用利大便之法，则会导致脉数且脾气受损；若误用利小便之法，则会导致体内津液亡失，胃中干燥。制药的原则是：只要不触犯这三项禁忌，营卫之气自然调和，寒热症状即可停止。如出现口渴，可用白虎汤（清热生津）；气虚者用黄芪汤（补气）；血瘀刺痛者配合当归（活血补血）；腹中疼痛者加入芍药（柔肝止痛）。大抵而言，产后因外感时行邪气引起的病症，宜在柴胡汤基础上增减用药；杂证则应在四物汤（补血调血）基础上加减。应当详细诊察脉象和症状后酌情使用。总体而言，对外调和营卫，对内调理二便，其治法与伤寒坏证（伤寒病误治后形成的复杂病证）相似。
【李仲南】妊娠期间的疾病，只应当安胎顺气。如果是外感风、寒、暑、湿四气，或内伤喜、怒、忧、思、悲、恐、惊七情，从而形成其他疾病，其治疗方法与男子无异，应当在各类病证的章节中寻求治法。但是，在治疗妊娠期除安胎以外的其他病证时，对于可能动胎的药物，必须仔细审查斟酌。
【朱丹溪】妊娠期应当清热养血。产前安胎，白术和黄芩是妙药。妊娠即将满一个月时，服用加有炒香附和炒白芍药的三补丸（滋阴补肾），以蒸饼为丸服用。又或用三补丸抑制内热，使用生地黄膏制成丸剂。（将黄芩、黄连、黄柏研为细末，用生地黄膏泛丸。）怀孕八九个月时，必须顺气，可用枳壳、苏梗。到了八九月，因火气扰动胎元，气逆上冲导致喘急的，可用条芩（优质黄芩）、香附等研为细末，调服。条芩应选用在水中下沉的重质者。固护胎元，用地黄半钱，当归身尾、人参、白芍、陈皮各一钱，白术一钱半，甘草三分，黄芩、川芎各半钱，黄连、炒黄柏各少许，桑上羊儿藤（即金银花）七叶完整的，糯米十四粒，切碎煎服。血虚不安者，用阿胶。疼痛者用缩砂仁，因其能行血气。
《夷坚志》记载：政和年间，蔡鲁公的孙媳妇怀孕，到期发病，御医们都认为是阳证伤寒，害怕胎儿坠落而不敢投用凉性药物。张锐来到后，观察说：“胎儿在母体十月即将出生，什么药能败坏它呢？”随即按常规方法给药，并且让加倍服用，半天后孩子出生，病也随之消失。第二天产妇出现严重腹泻，且咽喉闭塞无法进食。众医生再次指责他的失误，并且说：“这两种疾病如冰炭般性质相反，而且刚生产不久，即使是神医也无能为力。”张锐说：“不必担忧，将使她当天痊愈。”于是取数十粒药让她吞服，咽喉立刻通畅，腹泻也停止了。等到满月，鲁公斟酒祝寿说：“您的医术通神，我不敢知晓，敢问一种药治愈两种疾病是怎么回事？”张锐说：“这在经典中没有记载，只是凭心意处方。先前所用的药是将附子理中丸包裹紫雪散而成。当时咽喉闭塞不通，非至寒之药不能开通，既然咽下后，紫雪散消释无余，能到达腹中的，是附子的力量，所以一服药就治愈了两种疾病。”鲁公大为惊叹奇异。
汪机治疗一位妇人，经常发生横生逆产七八次，孩子都不能存活。汪机诊脉皆细涩颇弦，说：“这是气血两虚兼有热邪。”有人问：“气血有余，才能成妊娠，气血既然亏损，怎么能怀胎呢？”汪机说：“看她的形体长瘦而脉细濡，属于气血两虚；面色青、脉弦，属于肝火时常炽盛；而两尺脉浮滑，似乎血虚较轻而气虚较重。适宜用补阴丸去掉陈皮，加倍加入香附、人参、黄芪，制成蜜丸服用，常令接续服用。过了一年临产果然顺利并养育了一个儿子。”
保生丸（出自《太平惠民和剂局方》）养胎益血，安和子宫。治疗妊娠调养失宜，或因劳役导致胎动不安，腰腹疼痛沉重，胞阻漏胎，恶露时下，子宫夹杂疾病，久不成胎。或者受孕后不能固养，身体痿弱干燥不长，过年不产，日月虽满，转动无力，或者导致损伤流产，以及临产时节适乖违，惊动太早，产时未到，恶露先下，胎胞枯燥，导致难产，或者横生逆产，痛极闷乱，连日不产，子死腹中，腹部冰冷，口唇青黑，吐出冷沫。新产后恶血上冲，晕闷不省人事，喘促汗出，以及瘀血未尽，脐腹疼痛，寒热往来。或者因产劳损，虚羸未复，面黄体瘦，心悸盗汗，饮食不进，渐成蓐劳（产后虚劳）。入月常服，壮气养胎，正顺产理，润胎易产。产后常服，滋养血气，和调阴阳，密腠理，实腑脏，治风虚，除痼冷。
大麻仁（去壳一两半） 贝母 黄芩 大豆 黄卷 粳米 甘草（炙，微赤） 干姜（炮） 肉桂（去粗皮） 石斛（去根） 石膏（细研） 秦椒（微炒出汗，各一两） 当归（去芦炒，半两）
以上研为细末，炼蜜和丸如弹子大，每服一丸，并用温酒或枣汤化下，嚼咽也可以，空腹食前服。
交感地黄煎丸 治疗妇人产前产后眼前见黑花，或者立即发狂，如见鬼状，胞衣不下，失音不语，心腹胀满，水谷不化，口干烦渴，寒热往来，口内生疮，咽中肿痛，心虚心悸，夜不得眠，产后中风，角弓反张，面赤，牙关紧急，崩中下血如豚肝状，脐腹疼痛，血多血少，结为瘕块，恍惚昏迷，四肢肿满，产前胎不安，产后血刺痛，都治疗。
生地黄（净洗研，以布绞汁留滓，以生姜汁炒地黄滓，以地黄汁炒生姜滓，各至干，为末） 生姜（净洗烂研，以布绞汁，留滓，各二斤） 当归（去芦） 延胡索（拌糯米炒赤，去米） 琥珀（别研，各一两） 蒲黄（炒香，四两）
以上研为末，蜜丸弹子大。当归汤化开一丸，食前服。
琥珀丸 治疗妇人胎前产后百病，以及疗三十六种血冷，七疝八瘕，心腹刺痛，卒中瘫痪，半身不遂，八风十二痹，手足酸疼，乳中毒结瘀血，怀胎惊动，伤犯不安，死胎不出，并胎衣不下，都适宜服用。
琥珀（另研） 辰砂（另研） 阿胶（碎，炒） 五味子（拣净） 石斛（去根） 附子（炮去皮脐） 肉桂（去粗皮） 沉香（不见火） 川芎（各半两） 牛膝（去芦，酒浸） 当归（去须，炒） 肉苁蓉（酒浸，炒） 人参 续断 没药（研） 熟地黄 木香（不见火，各一两）
以上研为细末，炼蜜和丸如弹子大。每服一丸，空心暖酒化下，午后食前再服，能生新血，去恶血。若腹胁疼痛，绕脐如刀刺，以及呕逆上气筑心，痰毒，不思饮食，用姜汁少许，和酒化服。各种痢疾及赤白带下，血冷，崩中下血，漏胎下血，用生姜与艾，锉、炒令红色，入酒同煎数沸，去滓调服。泄泻不止，陈米饮化服。涩尿诸淋，煎通草、灯心汤服。血晕不知人，煎当归酒调服。上热下冷，煎人参汤服。遍身虚肿水气，煎赤小豆汤服。产内二毒伤寒，以及中风角弓反张如板硬，煎麻黄汤服，以衣被盖出汗。月经不通，或间杂五色，频并而下，断续不止，饮食无味，肌肤瘦劣，面赤唇焦，乍寒乍热，四肢烦疼，五心燥热，黑斑，遍身血斑，赤肿走注，以及血风劳伤无力，用童子小便入姜汁少许调服。常服以童便为妙，若恐恶心，和以半酒。如怀孕妇女于临月一日一服，至产下不觉疼痛，或者服至五服十服，日倍饮食，是药力也，其功不能具述。
龙须汤 治疗胎前产后身疼。保室论说：身疼者，肌体不实而受风邪，客于经络，邪气与正气相搏，交击于骨肉之间，故身疼而不动，用龙须汤主治。如果妊娠而患身体疼的，必定是因为劳役过多致使如此。不然，经络受风寒，用愈痛丸、防风汤主治。产者如果因劳役身疼而不能动转的，良由产后百节开张，血脉流走，气弱则骨肉之间血多凝滞，是故百节经脉紧急，腰背不能转侧，手足不能动摇，身热若纳炭，头如钉钉，医者不识，妄为伤寒发汗，变生他证，适宜服用。
黄芪（一两，蜜炙） 当归（去芦，酒浸） 牛膝（洗去苗，酒浸一宿，如急用，酒蒸熟为度） 白术 防风（去芦） 独活（去芦） 甘草（各二钱半）
以上切碎，每服半两，水五盏，生姜十片，薤白一握，同煎至三盏，去滓不拘时服。
佛手散 治疗产前产后，腹痛体热头疼，以及才产未进别物，即先服此药，逐败血，生新血，能除诸疾。
川芎（二两） 当归（三两）
以上研为细末，每服二钱，水一盏，酒二分，同煎七分温服。一方为粗末，每服四钱，水七分，酒三分，同煎至七分热服，未产前先安排此药，将两服药煎之，产了速进之，三日内日二服，三日外一服。一方名芎归汤，只此二味，等分切碎水煎，专治失血伤胎去血，产后去血，崩中去血，金疮去血，拔牙去血不止，一切去血过多，心烦眩晕，闷绝不省人事，头重目暗，举头欲倒，都能治疗。若产后眩晕，宜加芍药服之。一名桂香散，治疗产后腹疼不可忍者的，加桂心等分，酒与童子小便合煎，服之立效。一名当归汤，治疗妊娠子死，或未死胎动不安，每服用酒水合煎，连进数服。胎若已死，服之便下。若未死其胎即安。此经累效，万不失一。一名琥珀散，临月服之，只缩胎易产，兼治产后诸疾。一名羊肉汤，治疗虚损羸乏，腹中疼痛，往来寒热，吸吸少气，不能支持，头眩自汗，腹内拘急，每服用精羊肉一两，生姜十片，水二盏，煎至六分，温服。一名君臣散，治疗妇人室女心腹疼痛，经脉不调，用水煎服。若妊妇胎气不安，产后诸疾，加酒煎服。一名芎当散，治疗妇人血气，上喘下肿，二味等分为细末，每服二钱，空心煎艾汤调下。又治疗产后损身，血冲心及腹胀气绝者，神验。难生倒横，子死腹中，先用黑大豆一大合炒熟，水一盏，入童子小便一盏，药末四钱，同煎至一盏，以上分为二服。未效再作。产后恶血注心，迷闷喘急腹痛，根据前用黑豆加生姜自然汁半合煎服。治疗脏毒，每服一钱半，入炒槐花末半钱，水一盏，煎至六分，无时服，三日取下血块即愈。如产后头疼，加荆芥煎，如吐血亦宜服之。若产难，多用百草霜、香白芷等分为末，名乌金散，每服二钱，童子小便好醋各一合，沸汤浸服，止一服见效，甚者再服已，分娩矣。一法以五积散加醋煎服，亦能催生。崩中漏下，失血过多，久不能止，用芎归汤疗之不止者，宜以香附子炒去皮毛，为细末，每一两入甘草末一钱，清米饮点服，名顺元汤。有白带者，于顺元汤内加芍药半两。或谓香附耗气则不然，许学士谓滋血养气，妇人仙药，虽羸人亦宜服之。兼治男女吐衄便利，及诸证失血，用此药佐以米饮丸百草霜末，每服百余丸，或以其他烧灰药皆能作效，不可遽以燥涩之剂止之，必致壅遏腐败，必生他证。大抵血不能行，气使之然者，气得其平，则血循故道，必无妄行之患矣。香附子善能导气，用之勿疑也。
返魂丹 治疗妇人胎前产后诸疾危证。
上面用赤箭，即野天麻，叶似艾叶，开紫花如红蓼花，子名茺蔚子，又名益母草，又名大札，又名贞蔚，又名负担。端五日采取阴干，用叶及花子，以瓷器研为细末，炼蜜和丸如弹子大，随后治证嚼服。其根烧存性为末，酒调服，功与黑神散不相上下。如胎前脐腹作痛或作声的，温米饮下。胎前产后脐腹刺痛。胎动不安，下血不止，水煎秦艽、糯米汤下，或者当归汤变可。如产时先用一丸，以童子小便化下，安魂定魄，自然气血调顺，诸病不生。又能破血止痛，养脉息，调经络，温酒下。产后胎衣不下，血在胞中，以及横生不顺，死胎经日不下的，胀满腹中，心闷心痛，炒盐汤下。产后中风，牙关紧急，半身不遂，失音不语，童子小便、无灰酒各半下。产后咳嗽，胸膈不利，恶心，口吐酸水，面目浮肿，两胁痛，举动失力的，温酒下。产后两太阳痛，呵欠，心忡气短，肌体羸瘦，不思饮食，血风身热，手足顽麻，百节疼痛，温米饮汤下。产后眼前黑暗，血晕血热，口渴烦闷，如见鬼神，狂言不省人事，薄荷自然汁，如无生者，浓煎薄荷汤下，以及童子小便。酒各半亦可。产后面垢颜赤，五心烦热，或者结成血块，脐腹奔痛，时发寒热，有冷汗的，童子小便、酒各半下，温薄荷自然汁亦可。产后余血，恶露不尽，结滞脐腹刺痛，恶物上冲心胸闷的，童子小便、酒各半下。产后大小便不通，烦躁口苦的，薄荷自然汁下，如无生者，浓煎薄荷汤下。产后泻血者，水煎枣汤下。产后白带下的，煎胶艾汤下。月水不调，温酒下。血崩漏下，温酒下。妇人久无子息，温酒下。服之十丸至二十丸，也能注喜（怀孕）。一、子死腹中，大概因为突然患病脏腑热极，蒸其胎，是以子死也，盖子死不居子宫，或者堕胎于腹间冷痛，小便沫出，腹胀，四肢逆冷，爪甲青的是。或者临产之时，此药安魂定魄，血气自然调顺，诸疾不生，破血补虚止痛，养血气，调经络，酒、童子小便各七分化下。二、难产者，胎以食母之血，十月满足，则余血结成块，俗呼为儿枕，欲产之时，血块先动，败血裹其子，是以难产，或者产后恶物不尽，脐腹刺痛，恶物上冲心胸主闷，用童便、酒各七分化下。三、垢面颜赤，胎衣不下，既产了，脏腑虚羸，五心烦躁，血流入衣中则难出，发寒热，有冷汗出，但去其败血，其衣自出，如带断了，服此药下。或者横生不顺，心闷欲死的，童便、酒各七分化下，薄荷自然汁、盐汤亦可。四、产后三日，起卧不得，眼前黑暗生花，大概产后血气未定，运走五脏，入肝则目昏，俗为暗风，医家以风治之，或者血热口干烦渴，心闷乱如见鬼神，狂言妄语，不省人事，童便、酒各七分，薄荷自然汁亦可。五、产后口干心闷及烦渴的，血气未定，即食热面，积滞在内，以致热躁烦渴的，俗为胸膈壅盛，或者两太阳穴痛，呵欠怔忡气短，身体羸瘦，不思饮食，血风身热，手足顽麻，百节疼痛甚的，温米饮、童便各七分化下。六、产后四肢浮肿及寒热的，大概因为败血流入五脏，渗入四肢，停留日久，化为脓状，气喘或者小便涩，或者咳嗽胸膈不利，恶心口吐酸水，两肋疼痛，举动乏力，温酒化下。七、产后寒热往来的，大概因为败血入心则热，入脾则寒，状如疟，脐腹
[Ju Danxi] In treating diseases related to pregnancy and childbirth, one should differentiate and treat based on the Jueyin Meridian (Jueyin Jing). One must strictly avoid damaging the Stomach Qi (Wei Qi) and the Upper Sanjiao (Triple Burner), which is referred to as the "Three Prohibitions" (San Jin): no sweating therapy, no purgative therapy, and no diuretic therapy. If sweating therapy is misused, the consequences are similar to those of premature purgation in Cold Damage (Shanghan) disease; if bowel movement promotion is misused, it leads to rapid pulse and damage to Spleen Qi; if diuresis is misused, it leads to the loss of body fluids and dryness in the Stomach. The principle of preparing medicine is: as long as these three prohibitions are not violated, Ying and Wei (Nutritive and Defensive Qi) will naturally harmonize, and symptoms of cold and heat will cease. For example, if thirst occurs, Baihu Tang (White Tiger Decoction) can be used; for Qi deficiency, Huangqi Tang (Astragalus Decoction) is appropriate; for blood stasis with stabbing pain, Danggui (Angelica Sinensis) is added for invigorating blood and nourishing blood; for abdominal pain, Shaoyao (Peony Root) is added for softening the Liver and relieving pain. Generally speaking, postpartum illnesses caused by exogenous epidemic pathogens should be treated by modifying Chaihu Tang (Bupleurum Decoction); miscellaneous syndromes should be treated by modifying Siwu Tang (Four Substance Decoction). One should carefully observe the pulse and symptoms before applying treatment. In summary, externally harmonize Ying and Wei, internally regulate urination and defecation; the treatment method is similar to that for complicated syndromes of Cold Damage (Shanghan Huai Zheng).
[Li Zhongnan] Diseases during pregnancy should primarily focus on calming the fetus and smoothing Qi flow. If external contraction of Wind, Cold, Summerheat, or Dampness, or internal injury from Joy, Anger, Worry, Thought, Sadness, Fear, or Fright leads to other diseases, the treatment methods are no different from those for men, and one should seek treatments in the respective syndrome categories. However, when treating conditions other than fetal calming during pregnancy, one must carefully examine and deliberate any medications that might disturb the fetus.
[Ju Danxi] During pregnancy, one should clear heat and nourish blood. For calming the fetus before delivery, Baizhu (Atractylodes Macrocephala Rhizome) and Huangqin (Scutellaria Baicalensis Root) are excellent herbs. When pregnancy approaches one month, take Sanbu Wan (Three Tonics Pill) with added fried Xiangfu (Cyperus Rotundus Rhizome) and fried Shaoyao (Peony Root), formed into pills with steamed wheat dough. Alternatively, use Sanbu Wan to suppress internal heat, forming pills with Shengdihuang Paste (Rehmannia Glutinosa Paste). [Huangqin, Huanglian (Coptis Chinensis Rhizome), and Huangbai (Phellodendron Amurense Bark) are ground into powder and formed into pills with Rehmannia paste.] At eight or nine months of pregnancy, one must smooth Qi flow using Zhiqiao (Aurantii Fructus) and Sugen (Perilla Stem). In the eighth or ninth month, if fire agitates the fetus causing rebellious Qi leading to panting and urgency, Tiaohuangqin (Premium Scutellaria Baicalensis Root) and Xiangfu can be ground into powder and taken with water. Tiaohuangqin should be selected from those that sink in water, indicating density. To secure the fetus, use half a qian of Dihuang (Rehmannia Glutinosa Root), one qian each of Danggui Shenwei (Angelica Sinensis Root Body and Tail), Renshen (Ginseng Root), Shaoyao (Peony Root), and Chenpi (Citrus Reticulata Peel), one and a half qian of Baizhu (Atractylodes Macrocephala Rhizome), three fen of Gancao (Licorice Root), half a qian each of Huangqin (Scutellaria Baicalensis Root) and Chuanxiong (Ligusticum Chuanxiong Rhizome), a small amount of Huanglian (Coptis Chinensis Rhizome) and fried Huangbai (Phellodendron Amurense Bark), seven complete leaves of Sangshangyangerteng (Lonicera Japonica Flower/Stem, also known as Jinyinhua), and fourteen grains of Nuomi (Glutinous Rice). Chop and decoct for administration. For blood deficiency causing unrest, use Ejiao (Donkey-hide Gelatin). For pain, use Suosha (Amomum Tsao-ko Fruit) because it promotes blood and Qi circulation.
The *Yijian Zhi* records: During the Zhenghe era, the granddaughter-in-law of Duke Cai Lu fell ill at term. Imperial physicians believed it was a Yang-pattern Cold Damage and feared fetal expulsion, so they dared not administer cooling agents. Zhang Rui arrived, examined her, and said, "The fetus has been in the womb for ten months and is about to be born; what medicine could ruin it?" He then prescribed according to standard methods and instructed doubling the dose. Half a day later, the child was born, and the illness disappeared. The next day, the woman suffered severe diarrhea and throat closure preventing food intake. Other doctors criticized his error again, saying, "These two ailments are like ice and charcoal (mutually exclusive), and she has just given birth; even a life-saving deity would find this difficult." Zhang Rui said, "Do not worry; I will cure her today." He took dozens of pills and had her swallow them. Her throat immediately opened, and the diarrhea stopped. At the full month celebration, Duke Lu poured wine to toast him, saying, "Your medical skills are divine. I dare not ask how, but may I ask how one medicine cured two ailments?" Zhang Rui replied, "This is not recorded in the classics; I acted upon my intuition. The medicine I previously used was Fuzi Lizhong Wan (Aconite and Poria Decocted Pill) wrapped in Zixue (Purple Snow). At that time, the throat was blocked; only a supreme-cold medicine could open it. Once swallowed, Zixue dissolved completely. What reached the abdomen was the power of Fuzi (Aconite Lateral Root), thus curing both ailments with one dose." Duke Lu was greatly amazed.
Wang Ji treated a woman who had experienced transverse and breech deliveries seven or eight times, with all children failing to survive. Wang Ji's pulse diagnosis revealed fine, choppy, and slightly wiry pulses. He said, "This is a combination of Qi and Blood deficiency with Heat." Someone asked, "Only when Qi and Blood are sufficient can pregnancy occur; if Qi and Blood are deficient, how can the fetus survive?" Wang Ji said, "Her tall and thin physique with fine and soggy pulses indicates Qi and Blood deficiency. Her bluish complexion and wiry pulse indicate frequent flaring of Liver Fire. The floating and slippery pulses at the Chi position suggest that Blood deficiency is mild while Qi deficiency is severe. It is suitable to use Buyin Wan (Nourish Yin Pill), removing Chenpi (Citrus Reticulata Peel), and doubling the dosage of Xiangfu (Cyperus Rotundus Rhizome), Renshen (Ginseng Root), and Huangqi (Astragalus Membranaceus Root). Form into honeyed pills and take continuously. Over a year later, she delivered smoothly and raised a son."
Baosheng Wan (from *Tai Ping Hui Min He Ji Ju Fang*) nourishes the fetus and benefits blood, calming and harmonizing the uterus. It treats improper management during pregnancy, or fetal unrest due to overexertion, accompanied by heavy pain in the waist and abdomen, placental obstruction, leaking of amniotic fluid, intermittent lochia, uterine pathology preventing conception, or failure to conceive after conception. It treats cases where pregnancy cannot be maintained, resulting in emaciation and dryness, delayed delivery despite full term, lack of fetal movement, risk of miscarriage, or improper timing/intervention during labor causing early disturbance, premature lochia, dry placenta, leading to dystocia, transverse/breech presentation, extreme pain and confusion, prolonged labor, intrauterine fetal death, cold abdomen, blue-black lips, and vomiting of cold foam. It also treats postpartum evil blood rushing upward causing fainting and unconsciousness, panting and sweating, residual blood stasis causing umbilical/abdominal pain, alternating chills and fever. Or it treats weakness and emaciation due to labor damage, yellow complexion, thin body, palpitations, night sweats, anorexia, gradually developing into postpartum consumptive disease (Rulao). Regular consumption during the last month strengthens Qi, nourishes the fetus, facilitates normal delivery, and moistens the fetus for easier birth. Regular postpartum consumption nourishes blood and Qi, harmonizes Yin and Yang, tightens the interstices, solidifies the Zang-Fu organs, treats wind-deficiency, and eliminates chronic cold.
Hemp Seed (Quercus Semen, shell removed, 1.5 liang) Fritillaria Bulb (Beimu) Scutellaria Root (Huangqin) Soybean (Dadou) Yellowed Soybean Sprouts (Huangjuan) Rice (Jingmi) Licorice Root (Gancao, roasted, slightly red) Dried Ginger (Ganjiang, processed) Cinnamon Bark (Rougui, coarse bark removed) Dendrobium Stem (Shihu, roots removed) Gypsum (Shigao, finely ground) Sichuan Pepper (Qinjiao, lightly stir-fried to release moisture, 1 liang each) Angelica Root (Danggui, rhizome removed, stir-fried, 0.5 liang)
Grind all into fine powder, mix with refined honey to form pills the size of a bullet. Take one pill per dose, dissolving in warm wine or jujube soup, or chew and swallow. Take on an empty stomach before meals.
Jiaogan Dihuang Jianwan treats women experiencing black spots before the eyes pre- or postpartum, sudden mania resembling hallucinations, retained placenta, aphonia, chest and abdominal distension, inability to digest food and water, dry mouth with irritability and thirst, alternating chills and fever, oral ulcers, swollen and painful throat, heart deficiency with palpitations, insomnia, postpartum wind-stroke with opisthotonos, flushed face, locked jaw, metrorrhagia with blood resembling pig liver, umbilical/abdominal pain, varying amounts of bleeding, formation of masses (Jia-Ji),恍惚 (trance/coma), limb swelling, fetal unrest prepartum, and stabbing blood pain postpartum.
Raw Rehmannia Root (Shengdihuang, washed, crushed, juice squeezed out via cloth, residue kept; stir-fry residue with fresh ginger juice until dry, powder) Fresh Ginger (Shengjiang, washed, crushed, juice squeezed out via cloth, residue kept, 2 jin each) Angelica Root (Danggui, rhizome removed) Corydalis Rhizome (Yanhusuo, stir-fried with glutinous rice until red, remove rice) Amber (Hupo, separately ground, 1 liang each) Powdered Typha Pollen (Puhuang, stir-fried until fragrant, 4 liang)
Grind into powder, form into bullet-sized pills with honey. Dissolve one pill in Danggui Decoction, take before meals.
Hupo Wan (Amber Pill) treats hundred diseases pre- and postpartum, thirty-six types of blood-cold, seven hernias and eight masses, stabbing heart/abdominal pain, apoplexy with hemiplegia, eight winds and twelve bi-syndromes, sore limbs, toxic accumulation and blood stasis in breasts, fetal agitation causing discomfort, dead fetus retention, retained placenta.
Amber (separately ground) Cinnabar (Chensha, separately ground) Donkey-hide Gelatin (Ejiao, broken, stir-fried) Schisandra Berry (Wuweizi, cleaned) Dendrobium Stem (Shihu, roots removed) Prepared Aconite Root (Fuzi, processed, skin and buds removed) Cinnamon Bark (Rougui, coarse bark removed) Agarwood (Chenxiang, not exposed to fire) Ligusticum Rhizome (Chuanxiong, 0.5 liang each) Achyranthes Root (Niuxi, rhizome removed, soaked in wine) Angelica Root (Danggui, fibrous roots removed, stir-fried) Cistanche Stem (Roucongrou, soaked in wine, stir-fried) Ginseng Root (Renshen) Dipsacus Root (Xuduan) Myrrh (Moyao, ground) Prepared Rehmannia Root (Shudihuang) Aucklandia Root (Muxiang, not exposed to fire, 1 liang each)
Grind into fine powder, mix with refined honey to form bullet-sized pills. Take one pill on an empty stomach dissolved in warm wine, repeat before afternoon meal. Generates new blood, removes evil blood. For abdominal/flank pain, stabbing around the navel, retching with Qi rushing up to the heart, phlegm-toxin, anorexia, dissolve with a little ginger juice in wine. For various dysenteries, red/white leukorrhea, blood-cold, metrorrhagia, leaking fetal blood, stir-fry fresh ginger and Mugwort leaf (Aiye) until red, decoct in wine, strain, and take. For persistent diarrhea, dissolve in aged rice drink. For stranguria and various Lin syndromes, decoct Tongcao (Tetrapanax Papyrifer Stem) and Dengxincao (Juncus Effusus Axis). For blood syncope with unconsciousness, dissolve in Danggui wine. For upper heat/lower cold, decoct Ginseng tea. For generalized edema/water qi, decoct Adzuki Bean (Chixiaodou) tea. For postpartum double-poison Cold Damage or wind-stroke with opisthotonos rigid as board, decoct Mahuang Tang (Ephedra Decoction), cover with clothes to induce sweating. For amenorrhea, or mixed five colors flowing frequently, intermittently, anorexia, emaciated skin, flushed face/chapped lips, alternating chills/fever, limb pain, hot palms/soles, black spots, widespread blood spots, moving red swelling, blood-wind consumptive weakness, take with young boy's urine and a little ginger juice. Taking with young boy's urine is best; if nauseous, mix with half wine. Pregnant women taking one dose daily near term will deliver without pain; or taking five to ten doses increases appetite due to medicinal power.
Longxu Tang (Dragon Whisker Soup) treats body pain pre- and postpartum. *Baoshi Lun* states: Body pain results from weak musculature allowing Wind-Evil to invade meridians, where evil Qi fights righteous Qi between bone and flesh, causing pain and immobility. Longxu Tang is indicated. If pregnancy causes body pain, it is due to excessive labor. Otherwise, for Wind-Cold invading meridians, Yutong Wan (Pain Relief Pill) or Fangfeng Tang (Saposhnikovia Decoction) are indicated. For postpartum body pain with immobility due to labor, it is because postpartum joints open, blood vessels flow freely, and weak Qi causes blood stagnation between bone and flesh, leading to urgent meridians, inability to turn back or move limbs, burning body heat,钉-like head pain. Unaware physicians may mistakenly sweat for Cold Damage, causing complications. This formula is suitable.
Astragalus Root (Huangqi, 1 liang, honey-roasted) Angelica Root (Danggui, rhizome removed, soaked in wine) Achyranthes Root (Niuxi, leaves removed, soaked in wine overnight; if urgent, steam in wine until cooked) Atractylodes Rhizome (Baizhu) Saposhnikovia Root (Fangfeng, rhizome removed) Actaea Rhizome (Duohuo, rhizome removed) Licorice Root (Gancao, 2.5 qian each)
Chop coarsely. Take 0.5 liang per dose, decoct with 5 cups water, 10 slices ginger, and a handful of Scallion White (Xiebai) until reduced to 3 cups. Strain and take anytime.
Foshou San (Buddha's Hand Powder) treats pre- and postpartum abdominal pain, body heat, headache. Immediately after delivery, before consuming other foods, take this to expel bad blood, generate new blood, and cure various ailments.
Ligusticum Rhizome (Chuanxiong, 2 liang) Angelica Root (Danggui, 3 liang)
Grind into fine powder. Take 2 qian per dose, decoct with 1 cup water and 0.2 cup wine until 0.7 cup remains. Warm and take. Another method uses coarse powder, 4 qian per dose, 0.7 cup water, 0.3 cup wine, decoct to 0.7 cup, take hot. Prepare this before delivery. After delivery, take quickly. Twice daily for three days, once daily thereafter. Another name is Xionggui Tang (Ligusticum and Angelica Decoction), using equal parts chopped and decocted in water. Specifically treats blood loss from trauma, fetal injury, postpartum hemorrhage, metrorrhagia, metal wounds, tooth extraction, excessive blood loss causing irritability, dizziness, fainting, heavy head, dim vision, feeling of falling. Add Shaoyao (Peony Root) for postpartum dizziness. Also called Guixiang San (Cinnamon and Fragrance Powder) for unbearable postpartum abdominal pain; add equal parts Guixin (Cinnamon Heart), decoct with wine and young boy's urine for immediate effect. Also called Danggui Tang (Angelica Decoction) for dead fetus or restless fetus; decoct with wine and water, take several doses. If fetus is dead, it will be expelled; if alive, it will be secured. Highly effective. Also called Hupo San (Amber Powder); take near term to facilitate delivery and treat postpartum ailments. Also called Yangrou Tang (Mutton Soup) for deficiency/emaciation, abdominal pain, alternating chills/fever, shortness of breath, dizziness, spontaneous sweating, abdominal cramping. Take 1 liang lean mutton, 10 slices ginger, 2 cups water, decoct to 0.6 cup, warm and take. Also called Junchen San (Ruler-Minister Powder) for women's heart/abdominal pain, irregular menstruation; decoct in water. For pregnant women with unstable fetus or postpartum ailments, add wine. Also called Xiong Dang San (Ligusticum-Angelia Powder) for women's Qi/Blood issues, upper panting/lower swelling; grind equal parts, take 2 qian with mugwort tea on empty stomach. Also treats postpartum body damage, blood rushing to heart, abdominal distension/Qi blockage. For difficult transverse delivery or dead fetus, first fry 1 heaping measure of Black Soybeans (Heidoudou), decoct with 1 cup water and 1 cup young boy's urine, add 4 qian powder, decoct to 1 cup, divide into two doses. Repeat if ineffective. For postpartum evil blood rushing to heart causing coma/panting/pain, use black beans plus half a heaping measure of fresh ginger juice. For intestinal toxicity, take 1.5 qian with 0.5 qian fried Sophora Flower (Huaihua) powder, decoct in 1 cup water to 0.6 cup, take anytime; blood clots passed in three days cures. For postpartum headache, add Schizonepeta (Jingjie); also for hematemesis. For dystocia, use equal parts Baicaoshuang (Charred Grass Ash) and Xiangbaizhi (Angelica Dahurica Root) as powder, named Wu Jin San (Black Gold Powder). Take 2 qian with 1 heaping measure each of young boy's urine and good vinegar, soak in boiling water. One dose effective, severe cases require second dose for delivery. Another method uses Wuji San (Five Accumulations Powder) with vinegar decoction to induce labor. For metrorrhagia/leukorrhea with excessive blood loss not stopping with Xionggui Tang, use fried Cyperus (Xiangfu) powder, 1 liang with 1 qian Licorice powder, taken with clear rice drink, named Shunyuan Tang. For white leukorrhea, add 0.5 liang Shaoyao (Peony Root) to Shunyuan Tang. Some say Cyperus depletes Qi, but Scholar Xu says it nourishes blood and Qi, a fairy medicine for women, suitable even for the weak. Also treats male/female hematemesis/hematochezia and blood loss from various syndromes; use this medicine with rice drink to form pills with Charred Grass Ash powder, take 100+ pills, or other ash medicines. Do not abruptly stop bleeding with drying/astringent agents, as this causes stagnation/corruption and other syndromes. Generally, blood does not move because Qi is disordered; when Qi is balanced, blood follows its path, avoiding reckless flow. Cyperus excels at guiding Qi, use without doubt.
Fanhun Dan (Soul-Returning Pill) treats critical conditions pre- and postpartum.
Use Chijian (Wild Gastrodia Elata/Tianma), leaves resemble Artemisia, purple flowers like Polygonum, seeds named Chongweizi, also known as Yimucao (Motherwort), Dazha, Zhenwei, or Fudan. Collect on Dragon Boat Festival, shade dry. Use leaves, flowers, and seeds, grind in porcelain vessel to fine powder, mix with refined honey into bullet-sized pills. Chew and take according to syndrome. Roots burned to retain nature, ground, taken with wine; efficacy comparable to Heishen San (Black Divine Powder). For prepartum abdominal pain/sounds, take with warm rice drink. For pre/postpartum stabbing abdominal pain, fetal unrest with continuous bleeding, decoct Qinjiao (Gentiana Macrophylla Root) and Nuomi (Glutinous Rice) in water, or modify Danggui Tang. At delivery, take one pill dissolved in young boy's urine to calm soul/spirit, naturally harmonize Qi/blood, prevent diseases. Breaks blood, stops pain, nourishes vessels, regulates meridians, take with warm wine. For retained placenta, blood in uterus, transverse delivery, dead fetus retention with abdominal distension/heart pain, take with fried salt water. For postpartum wind-stroke, locked jaw, hemiplegia, aphonia, take with equal parts young boy's urine and non-ash wine. For postpartum cough, chest oppression, nausea, sour vomit, facial swelling, flank pain, weakness, take with warm wine. For postpartum temporal headache, yawning, palpitations, shortness of breath, emaciation, anorexia, blood-wind fever, limb numbness, joint pain, take with warm rice drink. For postpartum visual darkness, blood syncope/heat, thirst/irritability, hallucinations, mania/unconsciousness, take with fresh Mint Juice (Bohe), or strong Mint Decoction, or equal parts young boy's urine and wine. For postpartum dirty face/red complexion, five-heart heat, blood masses, running abdominal pain, alternating chills/fever with cold sweat, take with equal parts young boy's urine and wine, or warm Mint Juice. For postpartum residual blood/incomplete lochia, umbilical stabbing pain, evil matter rushing to heart/chest oppression, take with equal parts young boy's urine and wine. For postpartum urinary/fecal retention with irritability/bitter taste, take fresh Mint Juice, or strong Mint Decoction. For postpartum bloody diarrhea, take with date soup decocted in water. For postpartum white leukorrhea, take with Jiao'ai Tang (Collagen and Mugwort Decoction). For irregular menstruation, take with warm wine. For metrorrhagia/leukorrhea, take with warm wine. For infertility, take with warm wine. Taking 10-20 pills can induce pregnancy.
1. Dead fetus in womb: Caused by sudden organ heat steaming the fetus. Fetus does not stay in uterus; symptoms include cold pain in abdomen, foamy urine, abdominal distension, cold limbs, blue nails. At delivery, this pill calms soul/spirit, harmonizes Qi/blood, breaks blood/nourishes deficiency/stops pain, takes with 70% wine/young boy's urine.
2. Dystocia: Fetus feeds on maternal blood for ten months; residual blood forms mass (Erzhen/Pillow), moves first during labor, wrapping fetus in bad blood causing difficulty. Or postpartum incomplete expulsion causing stabbing pain/rushing evil matter. Take with 70% wine/young boy's urine.
3. Dirty face/red complexion, retained placenta: Postpartum organs weak, five-heart irritability, blood flows into placenta making it hard to exit, causing chills/fever/cold sweat. Expelling bad blood allows placenta to exit like a cut belt. Take with 70% wine/young boy's urine, or Mint Juice/Salt Water.
4. Postpartum day 3, unable to rise/sleep, visual darkness/spots: Postpartum Qi/blood unsettled, circulating to organs; entering Liver causes dim vision (An Feng/Dark Wind), treated as wind. Or blood heat/thirst/mania/hallucinations. Take with 70% wine/young boy's urine, or Mint Juice.
5. Postpartum dry mouth/heart oppression/thirst: Qi/blood unsettled, eating hot noodles causes stagnation/heat/thirst (Xiong Ge Yong Sheng/Chest Diaphragm Fullness), or temporal pain/yawning/palpitations/shortness of breath/emaciation/anorexia/blood-wind fever/limb numbness/joint pain. Take with 70% warm rice drink/young boy's urine.
6. Postpartum limb edema/chills-fever: Bad blood flows to organs/limbs, stays long, turns to pus, causing panting/stranguria/cough/chest oppression/nausea/sour vomit/flank pain/weakness. Take with warm wine.
7. Postpartum alternating chills-fever: Bad blood enters Heart causing heat, Spleen causing cold, resembling malaria, affecting umbilical...