回生丹（见鬼胎）
下死胎方（见《妇人规古方》）凡胎死腹中，其舌多见青黑，口中甚秽而呕，腹中不动，只觉阴冷
重坠者是。
用平胃散一两，以黄酒、河水各一钟，煎至一钟，入朴硝三五钱，再煎三五沸，温服。其死胎即化水而
出，万不失一。又方∶单用朴硝末三钱，以热酒和热童便调服，立出。或用佛手散以酒调服亦妙。
桂香散（见《妇人规古方》）治胎死腹中不下。
桂心（三钱） 麝香（五分）
上为末，作一服，酒调下。
琥珀散（见经痛论外方）
交骨不开，产门不闭，无非阴气不足，阴气不足则气不达，所以不开，不开则产必艰难，宜加味芎归汤，
补而开之，大有奇效。或十全大补汤亦可。
加味芎归汤（见滑胎论外方）
十全大补汤（见调经论外备用方）
产门不闭，由阴气大虚，不能收摄，或由阴火下流而然，故或为阴挺突出，或为肿胀，或为淋沥不禁。若
气血俱虚者，宜十全大补汤加五味子，补而敛之。或痛而觉热者，宜加味逍遥散。若忧思伤脾血热者，加味归
脾汤。若暴怒伤肝动火者，龙胆泻肝汤。
加味逍遥散（见经不调）
加味归脾汤（见胎漏）
《良方》龙胆泻肝汤（见《古方八阵·寒阵》）亦名龙胆汤。治肝经湿热，小便赤涩，或胁胀、口
苦、寒热。凡肝经有余之证，宜服之。
龙胆草（酒拌炒） 人参 天冬 麦冬 生甘草 黄连（炒） 山栀 知母（各五分） 黄芩（七分）
柴胡（一钱） 五味（三分）
水一钟半，煎服。
子宫不收而外坠者，宜补中益气汤加醋炒芍药，敛而举之。或外以黄 煎汤熏洗亦妙，或以硫黄汤熏洗、
硫黄散敷之。
一方∶治产后子宫不敛，用荆芥、藿香、椿根白皮煎汤熏洗，神效。
一方∶治产后子肠不收，外用枳壳、诃子、五倍子、
白矾煎汤熏洗。若不收，再灸顶心百会穴数壮，即上。
一方∶子宫脱出，用蓖麻仁十四枚研烂涂顶心，入即洗去。
一方∶治产后阴脱，用绢袋盛炒热蛇床子熨之，亦治阴痛。又法∶用蛇床子五两，乌梅十四个，煎水，日
洗五六次。
下死胎方（见《妇人规古方》）：凡是胎儿死于腹中，其舌色多见青黑，口中气味极其秽浊并伴有呕吐，腹部感觉不到胎动，只觉得阴部寒冷且有重坠感，这就是死胎的症状。
使用平胃散（Pingwei San, Atractylodes Combination）一两，用黄酒和河水各一钟（容量单位），煎煮至剩余一钟药液，加入朴硝（Mirabilite, Natrii Sulfas）三到五钱，再煮沸三到五次，温服。死胎就会化为水排出，万无一失。另一个方子：单用朴硝末三钱，用热酒和热童便（健康男童的小便）调和服用，死胎立即排出。或者使用佛手散（Foshou San, Ligusticum and Angelica Decoction）用酒调服也效果奇妙。
桂香散（见《妇人规古方》）：治疗胎儿死于腹中无法排下。
桂心（Cinnamomi Cortex, 3 qian） 麝香（Moschus, 5 fen）
将上述药材研为细末，作为一次服用的量，用酒调服。
交骨不开（耻骨联合分离/骨盆出口狭窄），产门不闭，无非是阴气不足所致。阴气不足则气机不能通达，所以产门打不开；产门不开则分娩必然艰难。适宜使用加味芎归汤（Jiawei Xionggui Tang, Modified Chuanxiong and Danggui Decoction），通过补益气血来开通产道，有极大的奇效。或者使用十全大补汤（Shiquan Dabu Tang, Ten Ingredients Great Supplement Decoction）也可以。
加味芎归汤（见滑胎论外方篇）
十全大补汤（见调经论外备用方篇）
产门不闭，是由于阴气极度虚弱，不能固摄收引；或者是由阴火下流所致。因此可能出现阴挺突出（子宫脱垂或阴道壁膨出）、肿胀，或淋沥不禁（漏尿或分泌物不止）。如果气血俱虚者，适宜使用十全大补汤加五味子（Schisandrae Fructus），通过补益来收敛固涩。如果疼痛且感觉发热者，适宜使用加味逍遥散（Jiawei Xiaoyao San, Modified Free and Easy Wanderer Powder）。如果是忧思伤脾导致血热者，使用加味归脾汤（Jiawei Guipi Tang, Modified Heart-Nourishing Decoction）。如果是暴怒伤肝引发内火者，使用龙胆泻肝汤（Longdan Xiegan Tang, Gentian Liver-Draining Decoction）。
加味逍遥散（见经不调篇）
加味归脾汤（见胎漏篇）
《良方》中的龙胆泻肝汤（见《古方八阵·寒阵》），又名龙胆汤。治疗肝经湿热证，症状包括小便赤涩，或胁肋胀满、口苦、寒热往来。凡是肝经有余（实热）的证候，适宜服用此方。
龙胆草（Gentianae Radix, 酒拌炒） 人参（Ginseng Radix） 天冬（Asparagi Radix） 麦冬（Ophiopogonis Radix） 生甘草（Glycyrrhizae Radix et Rhizoma, raw） 黄连（Coptidis Rhizoma, 炒） 山栀（Gardeniae Fructus） 知母（Anemarrhenae Rhizoma, 各5 fen） 黄芩（Scutellariae Radix, 7 fen） 柴胡（Bupleuri Radix, 1 qian） 五味子（Schisandrae Fructus, 3 fen）
用水一钟半，煎煮后服用。
子宫不收而向外坠落者，适宜使用补中益气汤（Buzhong Yiqi Tang, Tonify the Middle and Augment Qi Decoction）加醋炒芍药（Paeoniae Radix Alba, vinegar-fried），通过收敛和提升来治疗。或者外用黄柏（Phellodendri Cortex）煎汤熏洗也效果奇妙，或者使用硫黄汤熏洗、硫黄散敷贴患处。
一方：治疗产后子宫不收缩，用荆芥（Schizonepetae Herba）、藿香（Agastachis Herba）、椿根白皮（Toosendan Cortex）煎汤熏洗，神效。
一方：治疗产后子肠（直肠或阴道壁）不收，外用枳壳（Aurantii Fructus）、诃子（Terminalia Chebulae Fructus）、五倍子（Galla Chinensis）、白矾（Alumen）煎汤熏洗。如果仍不收回，再灸顶心百会穴（Baihui, GV20）数壮，即可回升。
一方：治疗子宫脱出，用蓖麻仁（Ricini Semen）十四枚研烂涂于顶心，子宫收回后立即洗去。
一方：治疗产后阴户脱出，用绢袋盛装炒热的蛇床子（Cnidii Fructus）熨烫患处，也能治疗阴痛。另一种方法：用蛇床子五两，乌梅十四个，煎水，每日清洗五六次。
Huisheng Dan (See Gui Tai chapter)
Xiasitai Fang (See *Furen Gui Ancient Formulas*): Whenever a fetus dies in the uterus, the tongue often appears cyanotic or black, the breath is extremely foul accompanied by vomiting, there is no fetal movement felt in the abdomen, and one feels coldness and a heavy bearing sensation in the yin region. These are the signs of a dead fetus.
Use Pingwei San (Atractylodes Combination) 1 liang, decocted with 1 zhong of yellow wine and 1 zhong of river water until 1 zhong remains. Add Puxiao (Natrii Sulfas) 3 to 5 qian, boil for three to five more boils, and take warm. The dead fetus will liquefy and be discharged; this method is infallible. Another prescription: Use only 3 qian of Puxiao powder, mixed and taken with hot wine and hot tongbian (urine of a healthy young boy). The dead fetus will be expelled immediately. Alternatively, using Foshou San (Ligusticum and Angelica Decoction) mixed with wine is also miraculous.
Guixiang San (See *Furen Gui Ancient Formulas*): Treats a dead fetus retained in the uterus unable to be expelled.
Guixin (Cinnamomi Cortex, 3 qian) Shexiang (Moschus, 5 fen)
Grind the above into powder, divide into one dose, and take with wine.
Hupo San (See Wai Fang of Jing Tong Lun)
Failure of the jiaogu (pubic symphysis/pelvic outlet) to open and failure of the chanmen (vulva/cervix) to close are due solely to insufficiency of Yin qi. When Yin qi is insufficient, Qi cannot flow freely, causing the chanmen not to open; if it does not open, childbirth must be difficult. It is appropriate to use Jiawei Xionggui Tang (Modified Chuanxiong and Danggui Decoction) to tonify and open the passage, yielding great miraculous effects. Shiquan Dabu Tang (Ten Ingredients Great Supplement Decoction) may also be used.
Jiawei Xionggui Tang (See Wai Fang of Huatai Lun)
Shiquan Dabu Tang (See Wai Beiyong Fang of Tiaojing Lun)
Failure of the chanmen to close results from severe deficiency of Yin qi, leading to an inability to secure and retain; or it may be caused by Yin fire flowing downward. Consequently, symptoms may include yinting protrusion (prolapse), swelling, or involuntary dribbling (leakage). If both Qi and Blood are deficient, Shiquan Dabu Tang added with Wuweizi (Schisandrae Fructus) should be used to tonify and astringe. If pain is accompanied by heat sensation, Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) is suitable. If worry and overthinking injure the Spleen causing blood heat, Jiawei Guipi Tang (Modified Heart-Nourishing Decoction) is indicated. If sudden anger injures the Liver stirring up fire, Longdan Xiegan Tang (Gentian Liver-Draining Decoction) is prescribed.
Jiawei Xiaoyao San (See Jing Buding chapter)
Jiawei Guipi Tang (See Tailou chapter)
Longdan Xiegan Tang from *Liangfang* (See *Gufu Bazhen · Han Zhen*), also known as Longdan Tang. It treats damp-heat in the Liver channel, characterized by red and scanty or painful urination, or distension in the hypochondrium, bitter taste, and alternating chills and fever. It is suitable for any syndrome of excess (redundancy) in the Liver channel.
Longdancao (Radix Gentianae, stir-fried with wine) Renshen (Radix Ginseng) Tiandong (Radix Asparagi) Maidong (Radix Ophiopogonis) Sheng Gancao (Radix Glycyrrhizae, raw) Huanglian (Rhizoma Coptidis, stir-fried) Shanzhi (Fructus Gardeniae) Zhimu (Rhizoma Anemarrhenae, each 5 fen) Huangqin (Radix Scutellariae, 7 fen) Chaihu (Radix Bupleuri, 1 qian) Wuwei (Fructus Schisandrae, 3 fen)
Decoct in 1.5 zhong of water and take.
For uterine inversion or prolapse where the organ fails to retract and falls outward, Buzhong Yiqi Tang (Tonify the Middle and Augment Qi Decoction) added with Cu Chao Shaoyao (Radix Paeoniae Alba, vinegar-fried) should be used to astringe and lift. Alternatively, fumigation and washing with decoction of Huangbai (Cortex Phellodendri) is also effective, or fumigation/washing with Liuhuang Tang (Sulfur Decoction) and application of Liuhuang San (Sulfur Powder).
One formula: For postpartum uterine non-retraction, fumigate and wash with decoction of Jingjie (Herba Schizonepetae), Huoxiang (Herba Agastachis), and Chun Gen Bai Pi (Cortex Toosendan). This is miraculous.
One formula: For postpartum prolapse of the zichang (rectum or vaginal wall), fumigate and wash externally with decoction of Zhike (Fructus Aurantii), Hezi (Fructus Terminaliae Chebulae), Wubeizi (Galla Chinensis), and Baifan (Alumen). If it does not retract, moxa-burn Baihui (GV20) at the vertex several times, and it will rise back.
One formula: For uterine prolapse, grind 14 Ricini Semina (Ricini Semen) into a paste and apply to the vertex. Wash off immediately after retraction.
One formula: For postpartum vaginal prolapse, place stir-fried Cnidii Fructus (Cnidii Fructus) in a silk bag and apply heat (ironing/moxa-like therapy) to the area; this also treats yintong (yin pain). Another method: Decoct 5 liang of Cnidii Fructus and 14 Wumei (Fructus Mume) in water, wash 5-6 times daily.