独参汤 回生丹
堕胎暴下血不止，面黄唇白独参汤。恶血不出凝胀痛，回生益母酌相当。
【注】妊娠胎堕后血暴下不止，面黄唇白者，名脱荣。宜用独参汤峻补其气，以生其
血，所谓无形能生有形也。若恶血瘀滞不行，腹胁胀痛者，宜于回生丹、益母丸，酌其虚
实缓急相当而用之。
子死腹中须急下，舌青腹痛冷如冰，时久口中秽气出，寒热峻缓详斟平。
【注】凡一应伤胎，子死腹中者，须当急下，勿使上奔心胸。然必验其舌青面赤，肚
腹胀大，腹冷如冰，久之口中有秽气出者，方可议下。然犹必审其人之虚实寒热，或宜寒
下、热下、峻下、缓下，随其宜而施之。
佛手散 平胃散加芒硝方
下胎缓剂佛手散，峻剂平胃加芒硝。宜热宜寒须细审，产妇虚实莫溷淆。
【注】孕妇子死腹中宜下者，缓下用佛手散，峻下用平胃散加芒硝。或宜寒下，或宜
热下，须细细详审而投之。盖以产母之虚实，或缓或峻，不可溷淆轻率以致误也。
佛手散（方见首卷）
妊娠一切垂危候，母子存亡可预推，面赤舌青必子死，面青舌赤母命危，面舌俱青口吐沫，子母俱亡二命亏。
【注】凡妊娠一切凶危之候，欲知母子存亡者，当于孕妇面、舌之色定之。若面赤舌
青，则其子必死；面青舌赤，则其母必亡；若面舌二者俱见青色，口角两边流涎沫者，则
子母二命俱不能保也。
堕胎后暴发性大量出血不止，面色萎黄、口唇苍白者，使用独参汤。若恶露（瘀血）排出不畅，导致腹部和胁部胀痛，酌情选用回生丹或益母丸进行治疗。
【注】妊娠期间胎元堕落之后，出现暴发性大量出血不止，且面色萎黄、口唇苍白的症状，称为“脱荣”。适宜使用独参汤大补元气，以生化血液，这就是所谓的“无形之气能生有形之血”。如果是因为恶露瘀滞不通，导致腹部和胁部胀痛，适宜在回生丹、益母丸中，根据患者体质的虚实以及病情的缓急，斟酌恰当的药物使用。
胎儿死于腹中必须紧急攻下，舌色发青、腹部疼痛且冷如冰，时间久后口中散发秽气，需仔细权衡寒热及攻下的峻缓程度。
【注】凡是各种损伤胎元，导致胎儿死于腹中的情况，必须紧急采用攻下法，防止邪气上冲心胸。但是必须验证患者舌色发青、面色红赤，腹部胀大，腹部感觉冷如冰，时间久了口中散发出秽气的症状，才可以讨论使用攻下法。然而还必须审察患者的体质虚实和病性寒热，或者适宜寒下、热下、峻下、缓下，根据其适宜的情况来施治。
用于下胎的缓和剂型是佛手散，峻猛剂型是平胃散加芒硝。适宜寒下还是热下必须仔细审察，产妇的虚实情况不可混淆。
【注】孕妇胎儿死于腹中需要攻下的，缓下使用佛手散，峻下使用平胃散加芒硝。或者适宜寒下，或者适宜热下，必须细细详审后投药。因为产母的体质有虚实之分，用药或缓或峻，不可混淆轻率，以免导致误治。
佛手散（方剂见首卷）
妊娠期间一切垂危的症状，母子存亡可以预先推断，面赤舌青必定胎儿死亡，面青舌赤母亲生命危急，面舌俱青口吐涎沫，母子两条命都丧失。
【注】凡是妊娠期间一切凶险危急的症状，想要知道母子是否存活，应当通过观察孕妇的面色和舌色来确定。如果面赤舌青，那么胎儿必定死亡；面青舌赤，那么母亲必然死亡；如果面部和舌色都呈现青色，口角两边流出涎沫的，那么母子两条命都不能保全了。
Dushen Tang (Single Ginseng Decoction) Huisheng Dan (Resurrection Pill)
After a miscarriage, if there is sudden and profuse bleeding that does not stop, with sallow complexion and pale lips, use Dushen Tang (Single Ginseng Decoction). If lochia (stagnant blood) fails to discharge, causing distension and pain in the abdomen and hypochondrium, appropriately select Huisheng Dan (Resurrection Pill) or Yimu Wan (Motherwort Pill) for treatment.
[Note] After the expulsion of the fetus during pregnancy, if there is sudden and profuse bleeding accompanied by sallow complexion and pale lips, this condition is named "Tuo Rong" (Loss of Splendor). It is appropriate to use Dushen Tang (Single Ginseng Decoction) to vigorously tonify Qi, thereby generating Blood, which is referred to as "the formless [Qi] can generate the formed [Blood]." If the cause is stagnation of lochia preventing its discharge, leading to abdominal and hypochondriac distension and pain, one should choose between Huisheng Dan (Resurrection Pill) and Yimu Wan (Motherwort Pill), carefully considering the patient's deficiency or excess and the urgency of the condition to apply the appropriate remedy.
If the fetus dies in the uterus, urgent purgation is required; a bluish tongue, abdominal pain, and coldness like ice are signs. If foul odor emanates from the mouth after some time, carefully weigh the cold/heat nature and the severity of the purgative method.
[Note] In all cases where fetal injury leads to intrauterine fetal death, urgent purgation must be employed to prevent pathogenic factors from rushing upward to the chest and heart. However, one must verify signs such as a bluish tongue, reddish face, abdominal distension, coldness of the abdomen like ice, and the emission of foul odor from the mouth after a prolonged period, before discussing the use of purgatives. Furthermore, it is essential to examine the mother's constitution regarding deficiency/excess and cold/heat, determining whether cold purgation, heat purgation, severe purgation, or mild purgation is suitable, and applying treatment accordingly.
Foshou San (Buddha's Hand Powder) Pingwei San plus Mangxiao Formula
The mild formula for expelling the fetus is Foshou San (Buddha's Hand Powder); the severe formula is Pingwei San (Stomach-Ping Powder) added with Mangxiao (Mirabilite). Whether cold or heat purgation is indicated must be carefully examined; the mother's deficiency or excess must not be confused.
[Note] For pregnant women with an intrauterine fetal death requiring expulsion, Foshou San (Buddha's Hand Powder) is used for mild purgation, while Pingwei San (Stomach-Ping Powder) added with Mangxiao (Mirabilite) is used for severe purgation. Whether cold or heat purgation is indicated must be meticulously assessed before administering medication. This is because the mother's constitution varies between deficiency and excess; the choice between mild or severe treatment must not be confused or applied rashly to avoid misdiagnosis and error.
Foshou San (Formula see Volume 1)
In pregnancy, any critical condition allows for the prediction of life or death for both mother and child: red face and blue tongue indicate fetal death; blue face and red tongue indicate maternal peril; blue face and tongue with foaming at the mouth indicate the death of both mother and child.
[Note] Regarding all ominous and critical conditions during pregnancy, to determine whether the mother and child survive, one should ascertain this by observing the color of the pregnant woman's face and tongue. If the face is red and the tongue is blue, the fetus must be dead; if the face is blue and the tongue is red, the mother will perish; if both the face and tongue appear blue, with saliva foam flowing from the corners of the mouth, then neither the mother nor the child can be saved.