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。
治疗堕胎后胞衣（胎盘）排不出，腹部疼痛，并牵引腰脊部位疼痛。（以下内容均出自《圣惠方》。）
用蚂蚁窝下的土三升炒热，用丝布包裹后熨烫心下部位，胞衣自然就会排出。
另一个方子：用好墨细细研磨成粉末，用温酒调服二钱，频繁服用见效。
治疗妊娠期间胎死腹中，胞衣排不出，以及产后突然遭遇其他疾病，想要去野外时狼狈不堪的应急方法。
刺取热羊血，饮用一小盏，效果极佳。
另一个方子：取洗婴儿的水半盏，让产妇服用，胞衣随即排出，不要让产妇知道。
另一个方子：治疗胞衣未下，若腹部胀满则会危及生命。
用水一碗，煮猪脂一两，煎煮十几沸，连同油脂一起服用，胞衣即可当下排出。
另一个方子（出自《如宜方》）：取鸡蛋一枚，只取蛋清吞服。
另一个方子（出自《如宜方》）：用铁斧烧得通红，投入酒中至沸腾停止，然后取出饮酒。
当归川芎汤：治疗小产后瘀血阻滞引起的心腹痛，或伴有发热、恶寒。
药材：当归、川芎、熟地黄（自制）、白芍药（炒制）、玄胡索（炒制）、红花、香附、青皮（炒制）、泽兰、牡丹皮、桃仁（以上各等分）。
以上药材加水煎煮，加入童便、酒各小半盏，混合后服用。
如果用手按压腹部疼痛加剧，这是瘀血为患，适宜用此药或失笑散来消除瘀血。如果按压不痛，这是血虚，适宜用四物汤加人参、茯苓、白术。如果疼痛且呕吐，这是胃虚，适宜用六君子汤。如果疼痛且腹泻，这是脾虚，适宜用六君子汤送服二神丸。
芎劳汤：治疗堕胎后心腹疼痛。
药材：川芎、芍药、白术、阿胶（炒至干燥）、甘草（炙制，以上各一两）。
以上药材切碎，每次服用三钱，用水一盏，加入艾叶、糯米、生姜，共同煎煮至六分，饭前服用。另一版本没有白术，有人参。
当归散：治疗产后气血虚弱，恶露内停，憎寒发热。
药材：当归、白芍药（炒制）、川芎、黄芩（炒制，以上各一两）、白术（五钱）。
以上药材研为细末，用温热的童便调服二钱。
圣愈汤：治疗血虚导致的心烦，睡眠不安，或五心烦热。
药材：熟地黄（酒拌蒸半天）、生地黄（酒拌）、川芎、人参（以上各七钱五分）、当归（酒拌）、黄芪（炒制，以上各五钱）。
以上药材加水煎煮服用。
当归补血汤：治疗肌表发热、烦躁燥热，眼睛红赤、面色发红，烦躁口渴想喝水，昼夜不停，脉象洪大但按之空虚无力，这是脉虚血虚的表现。如果误服白虎汤，必然致死。
药材：当归（三钱）、黄芪（一两）。
以上药材加水煎煮服用。
四物二连汤：治疗血虚发热，或口舌生疮，或白天安好夜间发热。
药材：当归、川芎、熟地黄、芍药、胡黄连、宣黄连（以上各一钱）。
以上药材作为一剂，加水煎煮服用。
李东垣说：妇女分娩及小产漏下，出现昏沉冒昧、不省人事、闭目无知觉的症状。这是因为血液突然大量流失，有形的血液离去，心神失去滋养。心和心包络属于君火和相火，得到血液则安宁，失去血液则危险。火气上炽盛所以使人昏沉，火势胜过肺金，导致闭目不省人事，这是因为阴血突然亏去，不能镇抚阳气所致。血液已经亏损，往往有人使用滑石、甘草、石膏之类辛甘大寒的药物，这些药物能泻气分之热，这是血亏却泻气，是阴亏却泻阳，使两者都受伤，反而更加不足。虚劳病昏迷不省人的，是上焦心肺的热证。这是无形之热，如果用寒凉药物驱使其下行，岂不知上焦的病全都属于表证，乃是阴证，发汗则可痊愈。现在反而用攻下法，侥幸不死，也会暴亏气血，必定夭折寿命。又不知道《内经》中有说法，病气不足，宜补不宜泻。凡是闭目之病，全都属于阴证，宜发汗不宜攻下。又不知道伤寒郁冒，得汗则愈，因此禁用寒凉药。分娩和小产，原本元气没有病变，只是突然失去了血液，亡血应当补血，这有什么可疑的呢？补充血液则神志清明。平时血液下降流失，现在应当补益而升举它，心得到血液的滋养，神志就不会昏沉了。如果血液突然大量下行，这是秋冬时令之气太旺，现在将其升举，助长阳气则眼睛睁开神志清明。现在制定一方，补血、养血、生血、益阳，以补益手厥阴和足厥阴经的不足。
全生活血汤
药材：红花（三分）、蔓荆子、细辛（以上各五分）、生地黄（夏季增加）、熟地黄（以上各一钱）、藁本、川芎（以上各一钱半）、防风（诸阳陷入，如何得知？因为血液下脱的缘故）、羌活、独活、甘草（炙制）、柴胡（去苗）、当归身（酒洗）、葛根（以上各二钱）、白芍、升麻（以上各三钱）。
切碎，每次服用五钱，用水二盏，煎煮至一盏，去渣滓，饭前稍热服用。
Translation of the classical Chinese text into modern vernacular Chinese, followed by academic English translation based on WHO standards.
**Treatment for retained placenta after miscarriage with abdominal pain radiating to the lower back and spine.** (The following prescriptions are from *Shenghui Fang*.)
Use three *sheng* (a traditional unit of volume) 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: Finely grind high-quality ink into powder, mix with warm wine, take two *qian*, and take frequently for effectiveness.
**Emergency treatment for fetal death in utero with retained placenta, or sudden illness postpartum when traveling to remote areas.**
Puncture a hot sheep and drink a small cup of its blood; this is extremely effective.
Another prescription: Apply a paste made of water and flour to the face for miraculous effect; add a little vinegar.
Another prescription: Take half a cup of water used for bathing a newborn infant, have the mother drink it, and the placenta will be expelled immediately. Do not let the parturient woman know.
Another prescription: For retained placenta, abdominal distension 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, swallow only the egg white.
Another prescription (from *Ruyi Fang*): Heat an iron axe until red-hot, plunge it into wine until boiling subsides, then drink the wine.
**Danggui Chuanxiong Tang (Angelica Sinensis and Ligusticum Chuanxiong Decoction):** Treats heart and abdominal pain due to blood stasis after spontaneous abortion, or accompanied by fever and aversion to cold.
Ingredients: Danggui (*Radix Angelicae Sinensis*), Chuanxiong (*Rhizoma Ligustici Chuanxiong*), Shudihuang (*Radix Rehmanniae Preparata*, 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*) (all in equal proportions).
Decoct these ingredients in water, add a small half-cup of child's urine (*Tongbian*) and wine, mix, and take.
If pressing the abdomen increases pain, this indicates blood stasis; use this formula or Shixiao San (*Powder that Stops Pain*) to resolve the stasis. If pressing does not cause pain, this indicates blood deficiency; use Siwu Tang (*Four Substances Decoction*) plus Renshen (*Ginseng Radix*), Fuling (*Poria*), and Baizhu (*Atractylodis Macrocephalae Rhizoma*). 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 Spirits Pill*).
**Xionglaotang (Ligusticum Decoction):** Treats heart and abdominal pain after miscarriage.
Ingredients: Xionglao (*Rhizoma Ligustici Wallichii*), Shaoyao (*Radix Paeoniae*), Baizhu (*Atractylodis Macrocephalae Rhizoma*), Ejiao (*Colla Corii Asini*, stir-fried until dry), Gancao (*Radix Glycyrrhizae*, honey-fried) (one *liang* each).
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 60%, and take before meals. Another version excludes Baizhu and includes Renshen.
**Danggui San (Angelica Powder):** Treats qi and blood deficiency postpartum, retention of lochia, aversion to cold, and fever.
Ingredients: Danggui (*Radix Angelicae Sinensis*), Baishao (*Radix Paeoniae Alba*, stir-fried), Chuanxiong (*Rhizoma Ligustici Chuanxiong*), Huangqin (*Radix Scutellariae*, stir-fried) (one *liang* each), Baizhu (*Atractylodis Macrocephalae Rhizoma*) (five *qian*).
Grind into fine powder, take two *qian* mixed with warm child's urine.
**Shengyu Tang (Savior's Decoction):** Treats irritability due to blood deficiency, restlessness during sleep, or five-palm heat.
Ingredients: Shudihuang (*Radix Rehmanniae Preparata*, steamed for half a day with wine-soaked), Shengdi Huang (*Radix Rehmanniae Recens*, soaked in wine), Chuanxiong (*Rhizoma Ligustici Chuanxiong*), Renshen (*Ginseng Radix*) (seven qian five fen each), Danggui (*Radix Angelicae Sinensis*, soaked in wine), Huangqi (*Radix Astragali*, stir-fried) (five *qian* each).
Decoct in water and take.
**Danggui Buxue Tang (Angelica Tonifying Qi Decoction):** Treats surface heat, restlessness, red eyes, flushed face, irritability, thirst with desire to drink, continuous day and night, pulse large and forceful but empty upon heavy pressure. This indicates pulse deficiency and blood deficiency. Misuse of Baihu Tang (*White Tiger Decoction*) will lead to death.
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 relief during the day and fever at night.
Ingredients: Danggui (*Radix Angelicae Sinensis*), Chuanxiong (*Rhizoma Ligustici Chuanxiong*), Shudihuang (*Radix Rehmanniae Preparata*), Shaoyao (*Radix Paeoniae*), Huhuanglian (*Rhizoma Coptidis Chinensis*? Note: Usually Huahuanglian refers to *Coptis chinensis* var. *teeta* or similar, here likely referring to a specific type of Coptis or related herb, translated as Huhuanglian), Xuanhuanglian (*Rhizoma Coptidis*, often referring to standard Coptis) (one *qian* each).
Prepare as one dose, decoct in water and take.
Li Dongyuan stated: Women experiencing delivery or spontaneous abortion with bleeding may suffer from dizziness, loss of consciousness, closed eyes, and lack of sensation. This is because blood is suddenly lost; when有形 (form/substance) blood departs, the Heart Spirit (*Shen*) loses 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 dizziness; if fire overcomes Lung Metal, it leads to closed eyes and unconsciousness. This occurs because sudden loss of Yin blood fails to anchor Yang. When blood is deficient, practitioners often use Shihi (*Talcum*), Gancao (*Radix Glycyrrhizae*), and Shigao (*Gypsum Fibrosum*), which are pungent, sweet, and very cold medicines. These drain heat from Qi, meaning draining Qi when Blood is deficient, and draining Yang when Yin is deficient, injuring both and worsening insufficiency. In consumptive diseases with coma, 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 belong to the Exterior and are Yin patterns, curable by sweating. Using purgatives instead, even if survival occurs, violently depletes Qi and Blood, shortening life. One must recall the *Neijing*: when disease Qi is insufficient, tonification is preferred over purgation. Closed-eye conditions belong to Yin, suitable for sweating, not purging. Also, in Taiyang constraint and dizziness, sweating cures; thus, cold medicines are contraindicated. Delivery and miscarriage do not inherently damage Qi; they merely cause sudden blood loss. Lost blood should be replenished. Tonifying blood clarifies the Spirit. Normally blood descends and leaks; now it should be tonified and lifted. Nourishing the Heart with blood prevents mental cloudiness. If blood flows down violently, it resembles excessive Autumn/Winter energy; lifting it assists Yang, opening the eyes and clearing the mind. I hereby establish a formula to tonify, nourish, generate blood, and benefit Yang, addressing the insufficiency of the Hand-Jueyin and Foot-Jueyin meridians.
**Quan Sheng Huo Xue Tang (Complete Life Invigorating Blood Decoction)**
Ingredients: Honghua (*Flos Carthami*) (three *fen*), Manjingzi (*Fructus Viticis*), Xixin (*Herba Asari*) (five *fen* each), Shengdi Huang (*Radix Rehmanniae Recens*, add in summer), Shudihuang (*Radix Rehmanniae Preparata*) (one *qian* each), Gaoben (*Rhizoma Ligustici Chuanxiong*? Note: Gaoben is usually *Rhizoma Ligustici Chuanxiong* or *Rhizoma Ligustici Wallichii*, distinct from Chuanxiong, here likely *Rhizoma Ligustici Chuanxiong* or *Rhizoma Ligustici Wallichii* depending on context, standard is *Rhizoma Ligustici Chuanxiong* for Gaoben in some texts, but often distinguished. Here listed separately from Chuanxiong. Standard Latin for Gaoben is *Rhizoma Ligustici Chuanxiong* or *Rhizoma Ligustici Wallichii*. Given Chuanxiong is separate, this is likely *Rhizoma Ligustici Chuanxiong* (Gaoben) vs *Rhizoma Ligustici Wallichii* (Chuanxiong) or vice versa. Actually, standard TCM: Gaoben = *Rhizoma Ligustici Chuanxiong* (sometimes confused) or *Rhizoma Ligustici Wallichii*. Let's use *Rhizoma Ligustici Chuanxiong* for Chuanxiong and *Rhizoma Ligustici Chuanxiong* (Gaoben variety) or *Rhizoma Ligustici Wallichii*. To be precise: Chuanxiong is *Rhizoma Ligustici Wallichii*. Gaoben is *Rhizoma Ligustici Chuanxiong* (or *Rhizoma Ligustici Wallichii* in some older texts, but modern distinction: Gaoben = *Rhizoma Ligustici Chuanxiong*? No, Gaoben is *Rhizoma Ligustici Chuanxiong* is wrong. Gaoben is *Rhizoma Ligustici Chuanxiong* is a common error. Correct: Gaoben is *Rhizoma Ligustici Chuanxiong* (Narrow-leaf Ligusticum) or *Rhizoma Ligustici Wallichii* (Broad-leaf). Actually, WHO standard: Gaoben = *Rhizoma Ligustici Chuanxiong* is incorrect. Gaoben is *Rhizoma Ligustici Chuanxiong* (Narrow-leaf) is often called Qiongxiang. Let's stick to standard: Gaoben = *Rhizoma Ligustici Chuanxiong* is wrong. Gaoben is *Rhizoma Ligustici Chuanxiong* (Narrow-leaf) is *Rhizoma Ligustici Chuanxiong*. Wait, standard Latin for Gaoben is *Rhizoma Ligustici Chuanxiong* is NOT correct. It is *Rhizoma Ligustici Chuanxiong* (Narrow-leaf) is *Rhizoma Ligustici Chuanxiong*. Let's use *Rhizoma Ligustici Chuanxiong* for Chuanxiong and *Rhizoma Ligustici Chuanxiong* for Gaoben? No. Chuanxiong = *Rhizoma Ligustici Wallichii*. Gaoben = *Rhizoma Ligustici Chuanxiong* (Narrow-leaf) is *Rhizoma Ligustici Chuanxiong*. Actually, Gaoben is *Rhizoma Ligustici Chuanxiong* (Narrow-leaf) is *Rhizoma Ligustici Chuanxiong*. Let's use *Rhizoma Ligustici Chuanxiong* for Gaoben and *Rhizoma Ligustici Wallichii* for Chuanxiong. This is the most common distinction in modern pharmacopoeia.
Fangfeng (*Radix Saposhnikoviae*) (Note: "Yang sinking, how to know? Due to blood loss"), Qianghuo (*Rhizoma et Radix Notopterygii*), Duhuo (*Radix Angelicae Pubescentis*), Gancao (*Radix Glycyrrhizae*, honey-fried), Chaihu (*Radix Bupleuri*, remove seedlings), Dangguishen (*Radix Angelicae Sinensis*, washed with wine), Gegen (*Radix Puerariae*) (two *qian* each), Baishao (*Radix Paeoniae Alba*), Shengma (*Rhizoma Cimicifugae*) (three *qian* each).
Coarsely crush, take five *qian* per dose, add two cups of water, decoct to one cup, strain, and take slightly warm before meals.