(附论)
夫产难子死腹中者。多因惊动太早。或触犯禁忌。致令产难。皆因秽污先下。产时未到。
秽
须顺四时方面。并避五行禁忌。若有触犯。多招灾祸也。胞衣未出。急于胎之未降。子死腹
中。危于胞之未下。盖胞胎未下。子与母通其呼吸。若子死腹中。胞脏气寒。胎血凝聚。由
于子死。气不升降。所以难产。不观古之方论。多以行血顺气之药。及硝石、水银、 砂之
类。盖胎死则血凝。气聚不能转动。再服至寒之药。不惟无益。而害母命者有矣。然古人用
药。不能无意。但后觉不分尔。子死理有二端。用药寒温。各从其宜。有妊娠崩漏。血尽子
死者。有缘颠扑内伤子死者。有缘久病胎萎子死者。若此之类。遂令坐人提挈妊妇。使身体
平正。仍以 褥自腰抵定。令仰坐开足向地。如欲产势。便进附子汤三服。方见于后。即以
衣裹温瓦数片。三二人不住手。自脐腹腰胁。左右周遭熨之。使胞脏温暖。凝血流动。盖附
子汤。内能破寒堕胎。服之少顷。觉腹内痛阵连作。恶血渐动。良久必产。此用温药之意也
。有妊妇因伤寒热病温疟之类。胎受寒邪。热毒瓦斯内外攻逼。因致死胎不即下。留于胞脏。
古人虑胎受毒瓦斯。必致贻害。故能使死胎化成腐烂。随恶血行下。此用寒药之意也。临产更
令坐人以手垫体后。胎有横有逆。有死有生。以意治之。庶免留难。凡生产之理。胎活则所
生之子。日月已周。脐系不牢。所以自下。犹实果既熟。不候剪伐。若胎死。日月未足。脐
系尚固。犹之果实未熟。本质虽枯。不折不离。所以难治。行之有法。用之有度。斯无虞矣
。凡审死胎当宜熟辨。有妊妇缘病胎隐伏不动。难认存亡者。宜先令坐人以暖手就脐下款款
按至胎处。觉冷应是胎已死。稍温即非。更看妊妇外证。面青舌冷。舌下脉青黑者。皆子死
之候也。
方
真珠汤
熟真珠(一两) 榆白皮(切一升) 上二味。以苦酒三升。煮取一升。顿服之。死胎
立出。
治妊娠未足月。胎卒死不出。产母欲死方。
以苦酒浓煮大豆。每服一升。胎立出。不能顿服。一用醇酒煮大豆。亦治积聚成瘕。
治胎死腹中。苦母病欲下之方。
取榆白皮细切。煮浓三升。服之即下。难生者亦佳。
瞿麦散 治妊娠三五个月。胎死在腹内不出。
大腹皮 赤芍药 榆白皮(各三两) 当归(一两炒) 滑石末(二分) 瞿麦 葵子
(炒)
茯苓 粉草 子芩(各半两) 上为粗末。每服四钱。水一盏。煎七分去滓。不拘时候。温
服。
又须详母虚实冷热用之。母患热病。熏蒸至此。可用。
疗死胎腹内不出。母已危殆。不得已者立验方。
水银(半两) 桂末(一钱) 上只作一服。温酒调下。粥饮亦可。一方故鞋底热炙熨
小腹
上下
又方
以利斧 赤置酒中。待温饮之。其子便下。
锡粉丸 治妊娠胎死腹中。其母面赤者。宜用此方。
水银 锡粉(各一钱) 上同研。不觉水银为度。以枣肉和丸豌豆大。煎瞿麦汤下。
十全博救疗胎死腹中。
以好辰砂一两。水煮数沸。研令细。酒调服二钱。
又方
以鸡子黄一枚。用姜汁一合。调鸡子黄令匀。顿服。分娩后。吃芸苔粥良。一方。先用
酒三
稍
下死胎方。
桂心末(三钱) 麝香当门子(一个) 上同研。温酒服。须臾如手推下。比之用水银
等药
不损血气。一方无麝香。用桂末二钱。痛阵密时。温童子小便调下。名观音救生散。治产难
及横
又方 治子死腹中。
用水银如弹子大。以枣肉匀和。丸如大豆许。水吞下立出。
朴硝散 疗死胎不出。
以朴硝为末。每服二钱。温童子小便调下。即出。一云朴硝入砂同研。如有产妇子死腹
中。
治死胎不下。其证指甲青。舌青。胀闷甚者。口中作屎臭。
先以平胃散一贴作两服。每服酒水各一盏。同煎至一盏。却投朴硝半两。研细。再煎三
五沸。倾出。候微温服尽。其胎即化血水而下。一方童子小便调服。进贤鲁宰。以此与猫及
牛。
夺命散 治胎死腹中危甚。
以白扁豆生去皮为末。米饮调下一钱。未下煎数服亦可。
治胎死腹中。因打扑伤损所致。
上以局方至宝丹极妙。然须自合者方效。
治胎死腹中。因打扑伤损所致。其证指甲头青。闷胀。舌青甚者。口中作屎。
以栝蒌焙干为末。每服二钱。倒流水调下。一服取效。仍先备防晕药。
治生产不下。死胎在腹。横生倒生。胞衣不下。一切危急者。
以蛇蜕一条全者。断者不可用。以火箸挑起令直。用麻油纸燃。从尾烧上。以乳钵接贮。
研细罗过。又 窠一个。泥须通透出过子者。研细和匀。作一服。以无灰酒半盏。暖热。
再
条
治妊娠胎死腹中。若胎衣不下上抢心者。
以雀麦一把。水五升。煮汁二升服。
乌金散 治产难热病。胎死腹中。或因颠仆。或从高坠下。或房室惊搐。或临产惊
动太早。触犯禁忌。产时未到。经血先下。恶露已尽。致胎干子死。不能自出。但视产
妇面舌赤青。
或一死一活。其候
熟地黄(酒浸) 真蒲黄 归身 交趾桂 杨芍药 军姜(去皮) 粉草(各一两) 小
黑豆
(四两) 百草霜(五钱) 上为末。每服二钱半。醋半合。沸汤六七合。温服。如疑贰之
际。
且
进此药后。更进香桂散。须臾。如手推下。常用催生。更加好滑石末半两。葵子五十粒。捶
碎黄柞叶七八片。葱白二寸。顺流水煎汤调下。盖滑石能利小便。黄柞叶。行气逐血。葱白
内通阳气。气盛血行即产。此药疗多功效。
砂散 治胎死腹中不下。
砂(细研) 当归(各一两) 上二味。当归研极细。另研 砂为细末。只分作二服。
用温酒
治子死腹中不出方。
以牛屎涂母腹上。立出。极佳。
又方 治横逆不顺。子死腹中。
取灶下黄土三指撮。酒服之立出。土当着儿头。亦治逆生横生不出手足先见者。一方水
调服之。
又方
服水银三两立出。
又方
取夫屎二升。煮令沸饮之。
又方
用水吞槐子二七枚。亦治逆生。一方有蒲黄。
又方
用瞿麦一升。以水八升。煮取二升。一服一升。不出再服。
又方
以酢二升。拗口开灌之。
一字神散 治子死胎不下。胞破不生。此方累有效。救人万数。
用鬼臼不拘多寡。黄色者去毛碾为末。以指捻之。粉极细。每服二钱。用无灰酒一盏。
煎八分。通口服。立效。
牡丹丸 治小产下血至多。子死腹中。其人憎寒。手指唇口爪甲青白。面色黄黑。
或胎上抢
血不止。胎尚
牡丹皮(去骨) 白茯苓(去黑皮) 桂心(去粗皮) 赤芍药 桃仁(汤浸去皮尖双
仁麸炒)
上等分为末。蜜丸弹子大。每服一丸。细嚼。淡醋汤送下。连进二丸。一方夺命丸。治胎腐
烂
治子死腹中。胞衣不出。欲抢心方。
取灶突中墨三指撮许。以水苦酒调服。立出。当着儿头生。
又方
取炊蔽当户前烧服之。亦治胞衣不出。
牛膝丸 治产数日。子死不出。母气欲绝。
杜牛膝(五升) 紫金藤(十钱) 浓肉桂(二钱) 土当归(四钱) 葵根(一两) 麝
香(半
钱)
治子死腹中不出。
用雄鸡粪二十枚。水二升。煎取五合。下米作粥食即出。一方用雌鸡粪。
治子死腹中。
用黄明乳香。以端午日午时。或岁除夜。取猪心血相和。研为丸。如鸡头实大。以红丝
袋盛。挂于门上。如串心者。冷酒磨下一丸。
养正丹 治难产。子死腹中。昏沉。脉微。
水银 黑锡(去沙净秤与水银结沙子) 硫黄(研细) 朱砂(研细各一两) 上用黑
盏一只
。火
黄末
大。
末。
治胎死腹中。身体如蓝。舌稍红。
大剂芎归汤。多加肉桂、牛膝、葵子。每服半服。制三服。每服水二盏。煎一大盏服之
。又
母唇
而不
治胎死腹中干燥者。
葵子(一升) 阿胶(五两) 上二味。以水五升。煮取二升。频服之。未出再煮服。
治妊娠胎死腹中。若子生胞衣不出。腹中引腰背痛方。
甘草(一尺) 筒桂(四寸) 鸡子(一枚) 蒲黄(二合) 香豉(二升) 上以水
六升煮取二
升。
附子汤 治子死腹中。
桂(去粗皮不得见火) 乌头(大者炮去皮脐各一两) 上锉。每服二钱。水一盏。煎
七分
去滓。温服。须臾连三服。
粉霜散 治子死腹中。渐成胀满。
粉霜 硝石(各半两) 蛇蜕灰(二钱) 上各研细。和匀。每服二钱匕。温酒下。醋
汤亦
得。渐渐连并三两服。如更未下。即服丹砂散。
地黄酒 治妊娠因漏血伤胎。子死未下。
用生地黄二斤洗净。切。捣取自然汁。每服。用七分酒。三分水。同煎。稍热便服。未
下再服。
牛膝汤 治子死腹中。气血凝结。致子难下。
牛膝(酒浸去苗) 朴硝(研各三分) 生干地黄(一两半) 桂(去皮) 芎 大
黄(炒)
蒲黄
牛膝汤 治子死腹中。滑气血。破胞胎。或死子已久。坏烂。母欲闷绝者。
牛膝(去苗一两) 生地黄(汁一盏) 当归 桂(炒各三分) 芎 蒲黄(各半两)
瞿麦
(去根) 硝石(研各三分) 上除地黄汁外。捣为粗末。每服五钱。水一盏半。煎至一盏
去滓。
再煎。入地黄汁三分盏。打转煎沸。稍热服三两服。恶露下也。子出。免生他病。
地黄汤 治妊娠五六月。子死腹中不出。
生地黄(焙一两) 牛膝(去苗) 芎 桂(去皮) 朴硝(各三分) 当归 蒲黄
(研各半
两)
猪脂汤 治子死腹中。气血凝滞不下。
猪脂(一两切) 白蜜(半盏) 酒(一盏半) 上三味。相和。同煎沸。分作三服。
未下再
根据前
甘草汤 治妊娠颠扑内伤。致子死腹中。速服滑气血。
甘草(炙锉) 桂(去皮各一两) 上粗捣筛。每服三钱匕水一盏。煎七分去滓。温服。
连
三五
甘草汤 治子死腹中不下。
甘草(炙) 桂(去皮半两) 香豉(炒二两) 上为末。每服五钱匕水一盏半。煎一
盏去滓。
用鸡子一枚。取清。打转入药内。再煎七分。稍热服。须臾未下。再作服。
芎 汤 治子死腹中不下。
芎 当归(各一两生切) 瞿麦(去根三分) 上为散。每服三钱匕。水一盏。醋少
许。
同煎
黑豆汤 治子死腹中。温气滑血。
黑豆(捣碎半升) 生姜(细切四两) 上以童子小便三碗。同煎取二碗。去滓。每服
一盏。
连二三盏。未下再服。
龟甲汤 治产难或子死腹中不下。
龟甲(酒炙) 当归(各半两) 乱发(一块鸡子大取产多者妇人发于瓦上烧灰) 上
先细研
发灰
五里
水银丸 治妊娠子死腹中不出。
水银(半两) 硫黄(一分与水银结为砂子) 白矾灰(半两) 砂(半两) 上捣
研令细。
煮枣
又方
水银(一分以大枣肉研令星尽) 朱砂(一分) 雄黄(一分) 上同研令细。煮枣肉
和丸绿
豆大
治妊娠子死腹内不下方。
皂子黄(四两) 米醋(三升多年为妙) 上用五升瓶盛。文火煨熟。用纸盖瓶口。将
向妇
人面
又方
苏枋木(一片细捶绵裹) 水银(一两) 上以水五盏。煎苏木一大盏。每服取二分。
下水
银一
尽。
治胎死不出方。
用赤小豆一升。醋煮。冷热分二服。死儿立出。
疗妊身热病。子死腹中欲出之。
用乌豆一枚。细捣。水三升煮取二升。稍稍摩脐下至阴下。当立出。
疗妇人伤娠及胎死腹中。胞衣不出。产后疾病。及诸困欲死。
刺取羊血及热饮之。不能者。人含吐与之。能多益善。不能咽。啖少盐。又水 其面。
治胎死腹中。若母病欲之下方。
用生地汁一升。苦酒三合。令热服之。不能顿服。分再服。亦可。一方治血干胎死。为
末。
治妇人腹中有死胎。面皮黑。欲死。不思饮食。
三个红娘半个刚 更加硼砂共枣酿 根据方修合等分两 头明恰似宰猪羊 上为细末。三
五枣
治胎死腹中方。
用郁臭草捣。以少许暖酒和绞取汁。顿服。又葵子一大升。水三升。煮取二升。一服立
下。
治子死腹中。若衣不出欲上抢心方。
急取蚁蛭三升。熬令热。囊盛熨心下。令胎不得抢心。良。
牛膝散 治妊娠经五六个月。胎横。死在腹中不出。
牛膝(一两去苗) 蒲黄(半两) 当归(三分) 雄鼠粪(半两炒) 芎 (二分) 生
干地黄
(三分) 上为粗散。每服三钱。以水酒各半盏。煎五分去滓。不计时候。温服。
牡丹散 治死胎下坠。有败血冲心。闷绝。上气不停。
牡丹 赤芍药 青皮(汤去白) 荷叶 当归(炒) 蒲黄 干姜 川大黄(以上各一
两)
上为散。不计时候。以温酒调下二钱。
治妊娠胎死在腹。无计可为。宜用此方。
(附论)
所谓产难且胎儿死于腹中的情况,大多是因为过早惊动孕妇,或者触犯禁忌,导致分娩困难。这都是因为污秽之血先于产期流出,而真正的产时还未到。
必须顺应四季的方位规律,并避开五行相克的禁忌。如果有触犯,往往会招致灾祸。胞衣未排出时,其危险程度仅次于胎儿尚未降下;而胎儿死于腹中,其危险程度则超过胞衣未排出的情况。这是因为胎胞尚未排出时,胎儿与母体通过呼吸相通。如果胎儿死于腹中,胞脏之气变得寒凉,胎血就会凝聚。由于胎儿已死,气机不能升降,所以导致难产。
不查看古代的方论,大多使用行血顺气的药物,以及硝石、水银、丹砂之类的药材。大概是因为胎死则血液凝滞,气聚而不能转动,如果再服用过于寒凉的药物,不仅无益,反而可能害及母亲性命。然而古人用药,并非没有意图,只是后人未能分辨罢了。
胎儿死亡的道理有两端,用药的寒温,应各自适宜。有因妊娠期间崩漏,血液耗尽而导致胎儿死亡的;有因跌倒撞击内伤而导致胎儿死亡的;有因久病导致胎萎不长而死亡的。像这样的情况,就让接生人扶持孕妇,使身体保持平正,然后用褥子从腰部固定住,让孕妇仰卧坐立,双脚张开朝向地面。如果有临产的征兆,就立即服用三服附子汤,方剂见后。随即用衣服包裹几片烧热的瓦片,由两三人不停地轮流在脐部、腹部、腰部和胁部左右周围熨烫,使胞脏温暖,凝血流动。因为附子汤,内能破除寒气堕下死胎,服用片刻后,感觉腹内疼痛阵发连作,恶血逐渐松动,很久之后必然产出。这就是使用温热药物的用意。
有孕妇因伤寒、热病、温疟等疾病,胎受寒邪,热毒瓦斯内外攻逼,因此导致死胎不能立即排出,滞留于胞脏。古人担心胎受毒瓦斯,必定会遗留危害,所以能使死胎化成腐烂,随着恶血下行。这就是使用寒凉药物的用意。
临产时更让接生人手垫在产妇身后。胎位有横有逆,有死有生,凭心意治疗,以免留下阻碍。大凡生产的道理,胎儿存活则所生的孩子,月份已满,脐带系结不牢,所以自然向下,就像成熟的果实,不用等待剪伐自会掉落。如果胎儿死亡,月份未满,脐带系结尚牢固,就像果实未熟,本质虽然枯萎,但不折断就不会分离,所以难以治疗。施行要有方法,使用要有法度,这样就没有忧患了。
凡是审查死胎应当仔细辨别。有孕妇因病胎隐伏不动,难以辨认存亡的,应先让接生人用暖手在脐下慢慢按压至胎处,感觉冷则是胎已死,稍温则不是。再看孕妇的外证,面青舌冷,舌下脉青黑的,都是子死的征候。
方
真珠汤
熟真珠(一两) 榆白皮(切一升) 以上两味药,用苦酒(醋)三升,煮取一升,一次性服下。死胎立刻排出。
治妊娠未满月,胎突然死亡不出,产母濒死方。
用苦酒浓煮大豆,每次服一升,胎立刻排出。如果不能一次服完,可用醇酒煮大豆,也能治疗积聚形成的瘕块。
治胎死腹中,苦于母病想要下胎方。
取榆白皮细切,煮浓汁三升,服下即下。难产者服用也很好。
瞿麦散 治妊娠三五个月,胎死在腹内不出。
大腹皮 赤芍药 榆白皮(各三两) 当归(一两炒) 滑石末(二分) 瞿麦 葵子(炒) 茯苓 粉草 子芩(各半两) 以上为粗末,每次服四钱,用水一盏,煎至七分,去渣,不拘时候,温服。
又须详细根据母亲的虚实冷热来使用。母亲患热病,熏蒸至此,可以使用。
疗死胎腹内不出,母已危殆,不得已者的立验方。
水银(半两) 桂末(一钱) 以上只做一服,用温酒调下,粥饮也可以。另一方法是用故鞋底加热熨烫小腹上下。
又方
以利斧赤色部分置入酒中,待温后饮之,胎儿便下。
锡粉丸 治妊娠胎死腹中,其母面赤者,宜用此方。
水银 锡粉(各一钱) 以上同研,直到不觉有水银为止,以枣肉和丸如豌豆大小,煎瞿麦汤送下。
十全博救疗胎死腹中。
用好辰砂一两,水煮数沸,研令细,酒调服二钱。
又方
用鸡子黄一枚,用姜汁一合,调匀鸡子黄,一次性服下。分娩后,吃芸苔粥良好。另一方法,先用酒三勺稍下死胎方。
桂心末(三钱) 麝香当门子(一个) 以上同研,温酒服。须臾间如同手推下。比之用水银等药,不损血气。另一方无麝香,用桂末二钱,痛阵密时,温童子小便调下,名观音救生散。治产难及横生。
又方 治子死腹中。
用水银如弹子大,以枣肉匀和,丸如大豆许,水吞下立出。
朴硝散 疗死胎不出。
以朴硝为末,每次服二钱,温童子小便调下,即出。一说朴硝入砂同研。如有产妇子死腹中。
治死胎不下,其证指甲青,舌青,胀闷甚者,口中作屎臭。
先以平胃散一贴作两服,每服酒水各一盏,同煎至一盏,却投朴硝半两,研细,再煎三五沸,倾出,候微温服尽,其胎即化血水而下。一方童子小便调服。进贤鲁宰,以此与猫及牛。
夺命散 治胎死腹中危甚。
以白扁豆生去皮为末,米饮调下一钱,未下煎数服亦可。
治胎死腹中,因打扑伤损所致。
以上以局方至宝丹极妙。然须自合者方效。
治胎死腹中,因打扑伤损所致,其证指甲头青,闷胀,舌青甚者,口中作屎。
以栝蒌焙干为末,每次服二钱,倒流水调下,一服取效。仍先备防晕药。
治生产不下,死胎在腹,横生倒生,胞衣不下,一切危急者。
以蛇蜕一条全者,断者不可用,以火箸挑起令直,用麻油纸燃,从尾烧上,以乳钵接贮,研细罗过,又窠一个,泥须通透出过子者,研细和匀,作一服,以无灰酒半盏,暖热,再条。
治妊娠胎死腹中,若胎衣不下上抢心者。
以雀麦一把,水五升,煮汁二升服。
乌金散 治产难热病,胎死腹中,或因颠仆,或从高坠下,或房室惊搐,或临产惊动太早,触犯禁忌,产时未到,经血先下,恶露已尽,致胎干子死,不能自出。但视产妇面舌赤青,或一死一活,其候。
熟地黄(酒浸) 真蒲黄 归身 交趾桂 杨芍药 军姜(去皮) 粉草(各一两) 小黑豆(四两) 百草霜(五钱) 以上为末,每次服二钱半,醋半合,沸汤六七合,温服。如疑贰之际,且进此药后,更进香桂散,须臾,如手推下。常用催生,更加好滑石末半两,葵子五十粒,捶碎黄柞叶七八片,葱白二寸,顺流水煎汤调下。盖滑石能利小便,黄柞叶,行气逐血,葱白内通阳气,气盛血行即产。此药疗多功效。
砂散 治胎死腹中不下。
砂(细研) 当归(各一两) 以上两味,当归研极细,另研砂为细末,只分作二服,用温酒。
治子死腹中不出方。
以牛屎涂母腹上,立出,极佳。
又方 治横逆不顺,子死腹中。
取灶下黄土三指撮,酒服之立出,土当着儿头,亦治逆生横生不出手足先见者。一方水调服之。
又方
服水银三两立出。
又方
取夫屎二升,煮令沸饮之。
又方
用水吞槐子二七枚,亦治逆生。一方有蒲黄。
又方
用瞿麦一升,以水八升,煮取二升,一服一升,不出再服。
又方
以酢二升,拗口开灌之。
一字神散 治子死胎不下,胞破不生。此方累有效,救人万数。
用鬼臼不拘多寡,黄色者去毛碾为末,以指捻之,粉极细,每次服二钱,用无灰酒一盏,煎八分,通口服,立效。
牡丹丸 治小产下血至多,子死腹中,其人憎寒,手指唇口爪甲青白,面色黄黑,或胎上抢血不止,胎尚。
牡丹皮(去骨) 白茯苓(去黑皮) 桂心(去粗皮) 赤芍药 桃仁(汤浸去皮尖双仁麸炒) 上等分为末,蜜丸弹子大,每次服一丸,细嚼,淡醋汤送下,连进二丸。一方夺命丸,治胎腐烂。
治子死腹中,胞衣不出,欲抢心方。
取灶突中墨三指撮许,以水苦酒调服,立出。当着儿头生。
又方
取炊蔽当户前烧服之,亦治胞衣不出。
牛膝丸 治产数日,子死不出,母气欲绝。
杜牛膝(五升) 紫金藤(十钱) 浓肉桂(二钱) 土当归(四钱) 葵根(一两) 麝香(半钱) 治子死腹中不出。
用雄鸡粪二十枚,水二升,煎取五合,下米作粥食即出。一方用雌鸡粪。
治子死腹中。
用黄明乳香,以端午日午时,或岁除夜,取猪心血相和,研为丸,如鸡头实大,以红丝袋盛,挂于门上,如串心者,冷酒磨下一丸。
养正丹 治难产,子死腹中,昏沉,脉微。
水银 黑锡(去沙净秤与水银结沙子) 硫黄(研细) 朱砂(研细各一两) 上用黑盏一只,火黄末大,末。
治胎死腹中,身体如蓝,舌稍红。
大剂芎归汤,多加肉桂、牛膝、葵子,每服半服,制三服,每服水二盏,煎一大盏服之。又母唇而不。
治胎死腹中干燥者。
葵子(一升) 阿胶(五两) 以上两味,以水五升,煮取二升,频服之,未出再煮服。
治妊娠胎死腹中,若子生胞衣不出,腹中引腰背痛方。
甘草(一尺) 筒桂(四寸) 鸡子(一枚) 蒲黄(二合) 香豉(二升) 以上以水六升煮取二升。
附子汤 治子死腹中。
桂(去粗皮不得见火) 乌头(大者炮去皮脐各一两) 以上锉,每次服二钱,用水一盏,煎七分去滓,温服,须臾连三服。
粉霜散 治子死腹中,渐成胀满。
粉霜 硝石(各半两) 蛇蜕灰(二钱) 以上各研细,和匀,每次服二钱匕,温酒下,醋汤亦得,渐渐连并三两服,如更未下,即服丹砂散。
地黄酒 治妊娠因漏血伤胎,子死未下。
用生地黄二斤洗净,切,捣取自然汁,每次服,用七分酒,三分水,同煎,稍热便服,未下再服。
牛膝汤 治子死腹中,气血凝结,致子难下。
牛膝(酒浸去苗) 朴硝(研各三分) 生干地黄(一两半) 桂(去皮) 芎 大黄(炒) 蒲黄。
牛膝汤 治子死腹中,滑气血,破胞胎,或死子已久,坏烂,母欲闷绝者。
牛膝(去苗一两) 生地黄(汁一盏) 当归 桂(炒各三分) 芎 蒲黄(各半两) 瞿麦(去根) 硝石(研各三分) 以上除地黄汁外,捣为粗末,每次服五钱,水一盏半,煎至一盏去滓,再煎,入地黄汁三分盏,打转煎沸,稍热服三两服,恶露下也,子出,免生他病。
地黄汤 治妊娠五六月,子死腹中不出。
生地黄(焙一两) 牛膝(去苗) 芎 桂(去皮) 朴硝(各三分) 当归 蒲黄(研各半两)。
猪脂汤 治子死腹中,气血凝滞不下。
猪脂(一两切) 白蜜(半盏) 酒(一盏半) 以上三味,相和,同煎沸,分作三服,未下再。
根据前
甘草汤 治妊娠颠扑内伤,致子死腹中,速服滑气血。
甘草(炙锉) 桂(去皮各一两) 以上粗捣筛,每次服三钱匕,水一盏,煎七分去滓,温服,连三五。
甘草汤 治子死腹中不下。
甘草(炙) 桂(去皮半两) 香豉(炒二两) 以上为末,每次服五钱匕,水一盏半,煎一盏去滓,用鸡子一枚,取清,打转入药内,再煎七分,稍热服,须臾未下,再作服。
芎 汤 治子死腹中不下。
芎 当归(各一两生切) 瞿麦(去根三分) 以上为散,每次服三钱匕,水一盏,醋少许,同煎。
黑豆汤 治子死腹中,温气滑血。
黑豆(捣碎半升) 生姜(细切四两) 以上以童子小便三碗,同煎取二碗,去滓,每次服一盏,连二三盏,未下再服。
龟甲汤 治产难或子死腹中不下。
龟甲(酒炙) 当归(各半两) 乱发(一块鸡子大取产多者妇人发于瓦上烧灰) 以上先细研发灰五里。
水银丸 治妊娠子死腹中不出。
水银(半两) 硫黄(一分与水银结为砂子) 白矾灰(半两) 砂(半两) 以上捣研令细,煮枣。
又方
水银(一分以大枣肉研令星尽) 朱砂(一分) 雄黄(一分) 以上同研令细,煮枣肉和丸绿豆大。
治妊娠子死腹内不下方。
皂子黄(四两) 米醋(三升多年为妙) 以上用五升瓶盛,文火煨熟,用纸盖瓶口,将向妇人面。
又方
苏枋木(一片细捶绵裹) 水银(一两) 以上以水五盏,煎苏木一大盏,每次服取二分,下水银一尽。
治胎死不出方。
用赤小豆一升,醋煮,冷热分二服,死儿立出。
疗妊身热病,子死腹中欲出之。
用乌豆一枚,细捣,水三升煮取二升,稍稍摩脐下至阴下,当立出。
疗妇人伤娠及胎死腹中,胞衣不出,产后疾病,及诸困欲死。
刺取羊血及热饮之,不能者,人含吐与之,能多益善,不能咽,啖少盐,又水其面。
治胎死腹中,若母病欲之下方。
用生地汁一升,苦酒三合,令热服之,不能顿服,分再服,亦可。一方治血干胎死,为末。
治妇人腹中有死胎,面皮黑,欲死,不思饮食。
三个红娘半个刚 更加硼砂共枣酿 根据方修合等分两 头明恰似宰猪羊 以上为细末,三五枣。
治胎死腹中方。
用郁臭草捣,以少许暖酒和绞取汁,顿服。又葵子一大升,水三升,煮取二升,一服立下。
治子死腹中,若衣不出欲上抢心方。
急取蚁蛭三升,熬令热,囊盛熨心下,令胎不得抢心,良。
牛膝散 治妊娠经五六个月,胎横,死在腹中不出。
牛膝(一两去苗) 蒲黄(半两) 当归(三分) 雄鼠粪(半两炒) 芎 (二分) 生干地黄(三分) 以上为粗散,每次服三钱,以水酒各半盏,煎五分去滓,不计时候,温服。
牡丹散 治死胎下坠,有败血冲心,闷绝,上气不停。
牡丹 赤芍药 青皮(汤去白) 荷叶 当归(炒) 蒲黄 干姜 川大黄(以上各一两) 以上为散,不计时候,以温酒调下二钱。
治妊娠胎死在腹,无计可为,宜用此方。
(Attached Discussion)
Regarding difficult labor with the fetus dead in the uterus, this situation often arises from disturbing the pregnant woman too early or violating taboos, leading to labor difficulties. This is usually caused by foul blood flowing out before the actual time of delivery. One must conform to the directional laws of the four seasons and avoid contraindications related to the Five Elements. Violations often invite disaster. When the placenta has not been expelled, the danger is second only to the fetus not having descended; however, when the fetus dies in the uterus, the danger exceeds that of an unexpelled placenta. This is because, before the placenta is expelled, the fetus and mother are connected through respiration. If the fetus dies in the uterus, the Qi of the uterine organ becomes cold, causing fetal blood to coagulate. Due to the death of the fetus, Qi cannot ascend or descend, resulting in difficult labor. Examining ancient formulas, they mostly use herbs that promote blood circulation and smooth Qi, as well as substances like Shishi (Niter), Shuiyin (Mercury), and Dansha (Cinnabar). This is likely because when the fetus dies, blood stagnates and Qi gathers without movement. Administering excessively cold medicines would not only be ineffective but could also harm the mother's life. However, ancient physicians did not use medicines without intent; it is merely that later generations failed to distinguish appropriately. There are two main reasons for fetal death: the appropriate temperature of medicine should be chosen accordingly. Some cases involve fetal death due to hemorrhage during pregnancy exhausting the blood; some due to internal injury from falls or blows; and some due to fetal atrophy from prolonged illness. In such cases, the midwife should support the pregnant woman to keep her body straight, secure her waist with a cushion, and have her sit supine with legs spread facing the ground. If signs of impending labor appear, administer three doses of Fuzi Tang (Aconite Decoction), see formula below. Immediately wrap several heated tiles in cloth and have two or three people continuously apply heat around the navel, abdomen, waist, and flanks to warm the uterine organ and mobilize coagulated blood. Fuzi Tang internally breaks cold and expels the dead fetus. After taking it, one feels intermittent abdominal pain, the lochia begins to move, and after some time, delivery occurs. This illustrates the rationale for using warm medicines.
In cases where a pregnant woman suffers from Cold Damage, febrile diseases, or warm malaria, the fetus may be affected by cold pathogens while heat toxins attack from within and outside, causing the dead fetus to remain in the uterine organ. Ancient physicians feared that toxic vapors would cause lasting harm, so they used methods to rot the dead fetus so it could be discharged with the lochia. This illustrates the rationale for using cold medicines. During labor, the midwife should place hands behind the mother. Fetal positions vary (transverse, breech), and there are living and dead fetuses; treatment should be adjusted intuitively to avoid obstruction. Generally, if the fetus is alive and full-term, the umbilical cord is loose, and the baby descends naturally, like a ripe fruit falling without cutting. If the fetus is dead and not yet full-term, the umbilical cord remains tight, like an unripe fruit that does not detach even if dried. Thus, it is difficult to treat. Methods must be applied correctly and moderately to ensure safety.
When examining for a dead fetus, careful differentiation is required. If the fetal position is hidden and immobile, making survival uncertain, the midwife should gently press below the navel with warm hands. Coldness indicates fetal death; warmth suggests otherwise. Observe external signs: cyanosis of the face, cold tongue, and dark blue-black pulses under the tongue are all signs of fetal death.
Formulas
Zhenzhu Tang (Pearl Decoction)
Shu Zhenzhu (Prepared Pearl, 1 liang) Yubai Pi (Cut Elm Bark, 1 sheng). The above two ingredients are boiled in Kujiu (Vinegar, 3 sheng) until reduced to 1 sheng. Take in one dose. The dead fetus will be expelled immediately.
Formula for treating sudden fetal death before full term with no expulsion, approaching maternal death.
Boil Da Dou (Soybeans) strongly in Kujiu (Vinegar). Take 1 sheng per dose. The fetus will be expelled immediately. If unable to take in one dose, boil soybeans in Chunjiu (Mellow Wine); this also treats accumulations forming masses.
Formula for treating fetal death in the uterus where the mother desires expulsion.
Take finely cut Yubai Pi (Elm Bark), boil to obtain 3 sheng of concentrated decoction. Taking it induces expulsion. It is also beneficial for difficult labor.
Qumai San (Knotweed Powder)
Treats fetal death in the uterus between the third and fifth months.
Dafupi (Areca Peel), Chishao Yao (Red Peony Root), Yubai Pi (Elm Bark) (each 3 liang); Dang Gui (Angelica Sinensis, 1 liang, stir-fried); Huashi (Talcum Powder, 2 fen); Qumai (Knotweed), Kuizi (Abelmoschus Seeds, stir-fried); Fuling (Poria), Fencao (Licorice), Ziqin (Scutellaria Root) (each 0.5 liang). Grind into coarse powder. Take 4 qian per dose with 1 bo of water, decoct to 0.7 bo, strain, and take warm at any time.
Also, use according to the mother's deficiency/excess and cold/heat patterns. It can be used if the mother suffers from heat diseases causing steaming.
Immediate effective formula for fetal death in the uterus when the mother is critically endangered.
Shuiyin (Mercury, 0.5 liang); Guimo (Cinnamon Bark Powder, 1 qian). Mix for one dose, taken with warm wine or rice gruel. Another method involves heating an old shoe sole and applying it to the lower abdomen.
Another Formula
Place the red part of a sharp axe into wine, wait until warm, and drink. The fetus will be expelled.
Xifen Wan (Tin Powder Pills)
Treats fetal death in the uterus where the mother's face is red.
Shuiyin (Mercury), Xifen (Tin Powder) (each 1 qian). Grind together until mercury disappears. Form pills the size of pea seeds using jujube paste. Take with Qumai Decoction.
Shiquan Bojiuliao (Ten Thousand Remedies for Saving Lives)
For fetal death in the uterus.
Use Hao Chensha (Good Cinnabar, 1 liang), boil in water briefly, grind fine, and take 2 qian mixed with wine.
Another Formula
Take one chicken egg yolk, mix with 1 he of ginger juice until uniform, and take in one dose. After delivery, eating Youcai (Rapeseed) porridge is beneficial. Another method uses Jiu (Wine) to help expel the dead fetus.
Guixin Mo (Cinnamon Heart Powder), Muxiang Dangmenzi (Musk, 1 piece). Grind together, take with warm wine. Soon, the fetus will feel as if pushed out by hand. Compared to using mercury, this does not damage Qi and blood. Another version without Musk uses 2 qian of Guimo (Cinnamon Powder). When contractions are frequent, take with warm child's urine. Named Guanyin Jiusheng San (Guanyin Life-Saving Powder). Treats difficult labor and transverse presentation.
Another Formula
Treats fetal death in the uterus.
Take Shuiyin (Mercury) the size of a bullet, mix evenly with jujube paste, form pills the size of soybeans, and swallow with water for immediate expulsion.
Piaoxiao San (Saltpeter Powder)
Treats failure to expel dead fetus.
Grind Piaoxiao (Mirabilite) into powder. Take 2 qian with warm child's urine. Expulsion occurs immediately. Alternatively, grind Piaoxiao with Dansha (Cinnabar). For产妇 (parturient women) with fetal death in the uterus.
Treats failure to expel dead fetus. Signs include cyanotic fingernails, cyanotic tongue, severe distension, and fecal odor in the mouth.
First, take Pingwei San (Peaceful Stomach Powder) divided into two doses. Each dose is decocted with 1 bo of wine and 1 bo of water until reduced to 1 bo. Then add 0.5 liang of finely ground Piaoxiao (Mirabilite), boil 3-5 times, pour out, and take warm when slightly cool. The fetus will turn into bloody fluid and discharge. Another method takes it with child's urine. Lu Zai from Jinxiang used this for cats and cattle.
Dueming San (Life-Seizing Powder)
Treats critically dangerous fetal death in the uterus.
Grind Bai Biandou (White Hyacinth Bean, raw, peeled) into powder. Take 1 qian mixed with rice drink. If not expelled, decoct and take multiple doses.
Treats fetal death in the uterus caused by trauma/falls.
Jufang Zhibao Dan (Bureau's Precious Pill) is excellent. Must be prepared personally to be effective.
Treats fetal death in the uterus caused by trauma. Signs include cyanotic nail tips, distension, severe cyanotic tongue, and fecal odor in the mouth.
Grind Gualou (Trichosanthes Root), baked dry, into powder. Take 2 qian mixed with Dao Liu Shui (Reverse Flowing Water). Effective in one dose. Prepare anti-syncope medicine beforehand.
Treats failure to deliver, dead fetus in uterus, transverse/breech presentation, retained placenta, and all critical situations.
Use one complete Shed Snake Skin (She Tui). Broken ones are unusable. Straighten it with hot chopsticks, ignite with hemp oil paper from tail to head, catch ash in a mortar, sieve fine. Also take one bird nest, ensuring mud allows passage, grind fine, mix evenly. Take as one dose with 0.5 bo of non-grain alcohol, warmed.
Treats fetal death in the uterus where the placenta fails to descend and rushes upward to the heart.
Take Que Mai (Barnyard Grass), 1 ba, boil in 5 sheng of water until reduced to 2 sheng, and take.
Wujin San (Black Gold Powder)
Treats difficult labor with febrile disease, fetal death in the uterus, caused by falls, high drops, sexual excitement, or premature disturbance/taboo violation before labor, leading to exhausted lochia and dried fetus. Signs include red/cyanotic face and tongue, or one live/one dead fetus.
Shu Dihuang (Prepared Rehmannia Root, soaked in wine), Zhen Puhuang (True Cattail Pollen), Guishen (Angelica Root Body), Jiaozhi Gui (Cinnamon from Cochinchina), Yang Shaoyao (Peony), Junjiang (Ginger, peeled), Fencao (Licorice) (each 1 liang); Xiao Heidou (Small Black Soybeans, 4 liang); Baicao Shuang (Soot from Chimneys, 5 qian). Grind into powder. Take 2.5 qian mixed with 0.5 he of vinegar and 6-7 he of boiling water. Take warm. If doubtful, take this first, then Xianggui San (Fragrant Cinnamon Powder). Soon, the fetus will feel pushed out. Commonly used for induction. Add 0.5 liang of good Huashi (Talcum Powder), 50 Kuizi (Abelmoschus Seeds), crush 7-8 Huangzhou Ye (Yellow Oak Leaves), 2 cun of Congbai (Green Onion White). Decoct with Shun Liu Shui (Smooth Flowing Water) and take. Talcum promotes urination; Yellow Oak moves Qi and drives out blood; Green Onion connects interior Yang Qi. Abundant Qi and blood lead to delivery. This formula has many effects.
Sha San (Sand Powder)
Treats failure to expel dead fetus.
Sha (Sand/Cinnabar, finely ground), Dang Gui (Angelica Sinensis) (each 1 liang). Grind Dang Gui extremely fine separately, grind Sha fine. Divide into two doses. Take with warm wine.
Formula for fetal death in the uterus not expelling.
Apply Niu Shi (Cow Dung) to the mother's abdomen. Immediate expulsion. Very effective.
Another Formula
Treats transverse/oblique presentation and fetal death.
Take 3 finger-pinches of Tu from the stove base, take with wine for immediate expulsion. The earth touches the baby's head. Also treats breech/transverse presentations where limbs appear first. Another method takes with water.
Another Formula
Take 3 liang of Shuiyin (Mercury) for immediate expulsion.
Another Formula
Take 2 sheng of Fu Shi (Husband's Excrement), boil and drink.
Another Formula
Swallow 14 Huai Zi (Locust Seeds) with water. Also treats breech presentation. Another version includes Puhuang (Cattail Pollen).
Another Formula
Take 1 sheng of Qumai (Knotweed), boil in 8 sheng of water until reduced to 2 sheng. Take 1 sheng per dose. If not expelled, take again.
Another Formula
Pour 2 sheng of Cu (Vinegar) into the open mouth.
Yizi Shen San (One-Character Divine Powder)
Treats fetal death with retained placenta and ruptured membranes. This formula has repeatedly saved thousands.
Use Guijiu (Podophyllum Rhizome), any amount. Remove hairs from yellow ones, grind to fine powder, sift until very fine. Take 2 qian with 1 bo of non-grain alcohol, decoct to 0.8 bo, take orally. Immediate effect.
Mudan Wan (Tree Peony Pills)
Treats excessive bleeding after miscarriage, fetal death in the uterus, aversion to cold, cyanotic/white fingers/lips/nails, yellow-black complexion, or placenta rushing upward with continuous bleeding.
Mudan Pi (Tree Peony Bark, de-barked), Bai Fuling (Poria, de-blackened skin), Guixin (Cinnamon Heart, de-rugged bark), Chishao Yao (Red Peony Root), Taoren (Peach Kernel, blanched, peeled, split, stir-fried with bran). Equal parts, grind to powder. Form pills the size of弹子 (bullet seeds) using honey. Take one pill, chew finely, swallow with light vinegar water. Continue with two more pills. Another version, Dueming Wan (Life-Seizing Pill), treats rotten placenta.
Formula for fetal death in the uterus, retained placenta, rushing to the heart.
Take 3 finger-pinches of Mo (Soot) from the chimney flue, mix with water and vinegar, take. Immediate expulsion. Touches the baby's head.
Another Formula
Burn Chuibi (Cooking Cover) placed in front of the door and take. Also treats retained placenta.
Niuxi Wan (Achyranthes Pills)
Treats labor lasting days with fetal death and approaching maternal collapse.
Du Niuxi (Achyranthes Bidentata, 5 sheng), Zijin Teng (Purple Vine, 10 qian), Nong Rougui (Thick Cinnamon, 2 qian), Tu Dang Gui (Wild Angelica, 4 qian), Kui Gen (Abelmoschus Root, 1 liang), She Xiang (Musk, 0.5 qian).
Treats fetal death in the uterus not expelling.
Use 20 male chicken droppings, boil in 2 sheng of water until reduced to 0.5 he, add rice to make porridge and eat. Another method uses female chicken droppings.
Treats fetal death in the uterus.
Use Huangming Ruxiang (Yellow Clear Frankincense). On Dragon Boat Festival noon or New Year's Eve, mix with pig heart blood, grind into pills the size of chicken heads. Store in red silk bag, hang on door. If feeling piercing pain, grind one pill in cold wine and take.
Yangzheng Dan (Nourishing Righteousness Pill)
Treats difficult labor, fetal death in the uterus, coma, faint pulse.
Shuiyin (Mercury), Heixi (Black Tin, cleaned and reacted with mercury to form sand), Liuhuang (Sulfur, ground fine), Zhusha (Cinnabar, ground fine, each 1 liang). Use one black bowl, fire... [Text incomplete/garbled] ... Huangmo (Yellow Ash/Powder)...
Treats fetal death in the uterus, body blue, tongue slightly red.
Large dose of Xionggui Tang (Ligusticum and Angelica Decoction), add extra Rougui (Cinnamon), Niuxi (Achyranthes), Kuizi (Abelmoschus Seeds). Take half dose, prepare three doses. Each dose: 2 bo water, decoct to 1 bo, take. ... Mother's lips ... not ...
Treats dry fetal death in the uterus.
Kuizi (Abelmoschus Seeds, 1 sheng), Ejiao (Donkey-hide Gelatin, 5 liang). Boil in 5 sheng of water until reduced to 2 sheng. Take frequently. If not expelled, boil and take again.
Formula for fetal death in the uterus where the baby is born but placenta remains, causing back/waist pain.
Gancao (Licorice, 1 chi), Tonggui (Tube Cinnamon, 4 cun), Jizi (Chicken Egg, 1), Puhuang (Cattail Pollen, 2 he), Xiangchi (Fermented Soybean, 2 sheng). Boil in 6 sheng of water until reduced to 2 sheng.
Fuzi Tang (Aconite Decoction)
Treats fetal death in the uterus.
Gui (Cinnamon, de-barked, do not expose to fire), Wutou (Aconite, large, processed, de-skin/navel, each 1 liang). Cut into pieces. Take 2 qian with 1 bo of water, decoct to 0.7 bo, strain, take warm. Take three doses consecutively soon.
Fenshuang San (Lead Suboxide Powder)
Treats fetal death in the uterus, gradually becoming distended.
Fenshuang (Lead Suboxide), Xiaoshi (Niter) (each 0.5 liang), Shutui Hui (Burnt Snake Skin Ash, 2 qian). Grind each fine, mix evenly. Take 2 qian with warm wine. Vinegar water is also acceptable. Gradually take 2-3 doses. If still not expelled, take Dansha San (Cinnabar Powder).
Dihuang Jiu (Rehmannia Wine)
Treats fetal death due to leakage bleeding damaging the fetus.
Use 2 jin of fresh Dihuang (Rehmannia Root), wash, cut, crush to extract natural juice. Each dose: mix 0.7 part wine and 0.3 part water, decoct together, take warm. If not expelled, take again.
Niuxi Tang (Achyranthes Decoction)
Treats fetal death in the uterus where Qi and blood coagulate, making expulsion difficult.
Niuxi (Achyranthes, wine-soaked, remove sprouts), Piaoxiao (Mirabilite, ground, each 0.3 fen), Sheng Gan Dihuang (Raw Dried Rehmannia, 1.5 liang), Gui (Cinnamon, de-barked), Xiong (Ligusticum), Dahuang (Rhubarb, stir-fried), Puhuang (Cattail Pollen).
Niuxi Tang (Achyranthes Decoction)
Treats fetal death in the uterus, smoothing Qi and blood, breaking placenta. Or long-standing dead fetus, rotted, mother near syncope.
Niuxi (Achyranthes, de-sprouted, 1 liang), Sheng Dihuang (Fresh Rehmannia, juice 1 he), Dang Gui (Angelica), Gui (Cinnamon, stir-fried, each 0.3 fen), Xiong (Ligusticum), Puhuang (Cattail Pollen, each 0.5 liang), Qumai (Knotweed, de-root), Xiaoshi (Niter, ground, each 0.3 fen). Except for Rehmannia juice, grind remaining into coarse powder. Take 5 qian with 1.5 bo of water, decoct to 1 bo, strain, decoct again, add 0.3 he of Rehmannia juice, boil while stirring, take warm. Take 2-3 doses. Lochia flows, fetus exits, avoiding other diseases.
Dihuang Tang (Rehmannia Decoction)
Treats fetal death in the uterus between the fifth and sixth months.
Sheng Dihuang (Raw Rehmannia, baked, 1 liang), Niuxi (Achyranthes, de-sprouted), Xiong (Ligusticum), Gui (Cinnamon, de-barked), Piaoxiao (Mirabilite, each 0.3 fen), Dang Gui (Angelica), Puhuang (Cattail Pollen, ground, each 0.5 liang).
Zhuzhi Tang (Pork Lard Decoction)
Treats fetal death in the uterus where Qi and blood stagnate, preventing expulsion.
Zhuzhi (Pork Lard, cut, 1 liang), Baimi (White Honey, 0.5 he), Jiu (Wine, 1.5 he). Mix three ingredients, boil together, divide into three doses. If not expelled, take again.
Based on previous...
Gancao Tang (Licorice Decoction)
Treats fetal death in the uterus due to trauma/falls. Quickly smooth Qi and blood.
Gancao (Licorice, roasted/cut), Gui (Cinnamon, de-barked, each 1 liang). Coarsely grind and sieve. Take 3 qian with 1 bo of water, decoct to 0.7 bo, strain, take warm. Continue 3-5 doses.
Gancao Tang (Licorice Decoction)
Treats fetal death in the uterus not expelling.
Gancao (Licorice, roasted), Gui (Cinnamon, de-barked, 0.5 liang), Xiangchi (Fermented Soybean, stir-fried, 2 liang). Grind into powder. Take 5 qian with 1.5 bo of water, decoct to 1 bo, strain. Take one chicken egg, separate white, beat into medicine, decoct to 0.7 bo, take warm. If not expelled soon, prepare another dose.
Xiong Tang (Ligusticum Decoction)
Treats fetal death in the uterus not expelling.
Xiong (Ligusticum), Dang Gui (Angelica, each 1 liang, raw/cut), Qumai (Knotweed, de-root, 0.3 fen). Grind into powder. Take 3 qian with 1 bo of water, add little vinegar, decoct together.
Heidou Tang (Black Soybean Decoction)
Treats fetal death in the uterus, warming Qi and smoothing blood.
Heidou (Black Soybeans, crushed, 0.5 sheng), Shengjiang (Fresh Ginger, finely cut, 4 liang). Boil in 3 bowls of Child's Urine until reduced to 2 bowls. Strain. Take 1 bowl per dose. Continue 2-3 bowls. If not expelled, take again.
Guijia Tang (Turtle Shell Decoction)
Treats difficult labor or fetal death in the uterus not expelling.
Guijia (Turtle Shell, wine-roasted), Dang Gui (Angelica, each 0.5 liang), Luafa (Human Hair, chicken-egg sized, from women who bore many children, burned to ash on tile). First grind hair ash fine... [Text garbled: "five li"]
Shuiyin Wan (Mercury Pills)
Treats fetal death in the uterus not expelling.
Shuiyin (Mercury, 0.5 liang), Liuhuang (Sulfur, 1 fen, reacted with mercury to form sand), Baifan Hui (Alum Ash, 0.5 liang), Sha (Sand/Cinnabar, 0.5 liang). Grind fine... [Text garbled: "boil jujube"]
Another Formula
Shuiyin (Mercury, 1 fen, ground with jujube paste until stars disappear), Zhusha (Cinnabar, 1 fen), Xionghuang (Realgar, 1 fen). Grind fine, mix with boiled jujube paste, form pills the size of green beans.
Formula for fetal death in the uterus.
Zaohuang (Soapberry Yellow?, 4 liang), Mi Cu (Rice Vinegar, 3 sheng, aged is better). Place in 5-sheng bottle, simmer gently, cover mouth with paper, hold towards woman's face... [Text incomplete]
Another Formula
Sufang Mu (Sappan Wood, one piece, crushed/wrapped in cotton), Shuiyin (Mercury, 1 liang). Boil Sappan Wood in 5 bo of water until reduced to 1 bo. Take 0.2 part, mix with Shuiyin... [Text incomplete]
Formula for fetal death not expelling.
Use 1 sheng of Chi Xiaodou (Adzuki Beans), boil in vinegar. Divide into two doses (hot/cold). Dead fetus expelled immediately.
Treating febrile disease in pregnancy, fetal death in uterus desiring expulsion.
Use one Wu Dou (Black Soybean), crush fine, boil in 3 sheng of water until reduced to 2 sheng. Rub slowly below navel to Yin area. Immediate expulsion.
Treating injured pregnancy and fetal death in uterus, retained placenta, postpartum diseases, and critical conditions.
Stab sheep, collect blood, drink hot. If unable, person holds in mouth and spits into patient's mouth. More is better. If unable to swallow, eat little salt. Splash water on face.
Formula for fetal death in the uterus where mother is ill and desires expulsion.
Use 1 sheng of Shengdi Zhi (Fresh Rehmannia Juice), 3 he of Kujiu (Vinegar). Heat and take. If unable to take in one dose, divide into two doses. Another version treats blood-dry fetal death by grinding into powder.
Treating woman with dead fetus in abdomen, black facial skin, near death, loss of appetite.
San Ge Hongniang Ban Ge Gang (Three Red Maidens Half Male Steel? - Likely obscure/herbal code), plus Pengsha (Borax) stuffed in dates. According to formula, adjust equal weights... [Text garbled/poetic] Grind fine, 3-5 dates.
Formula for fetal death in the uterus.
Crush Yuchou Cao (Stinking Herb?), mix with little warm wine, squeeze juice, take in one dose. Also, 1 da sheng of Kuizi (Abelmoschus Seeds), boil in 3 sheng of water until reduced to 2 sheng. One dose causes immediate expulsion.
Formula for fetal death in the uterus where placenta fails to descend and rushes to heart.
Quickly take 3 sheng of Yi Zhi (Ants/Earthworms?), roast until hot, put in bag, apply heat to chest to prevent placenta from rushing up. Good.
Niuxi San (Achyranthes Powder)
Treats transverse fetal death in uterus between fifth and sixth months.
Niuxi (Achyranthes, de-sprouted, 1 liang), Puhuang (Cattail Pollen, 0.5 liang), Dang Gui (Angelica, 0.3 fen), Xiong Shufen (Male Rat Droppings, stir-fried, 0.5 liang), Xiong (Ligusticum, 0.2 fen), Sheng Gan Dihuang (Raw Dried Rehmannia, 0.3 fen). Grind into coarse powder. Take 3 qian with 0.5 bo water and 0.5 bo wine, decoct to 0.5 bo, strain, take warm at any time.
Mudan San (Tree Peony Powder)
Treats descending dead fetus,敗血 (败血/Broken Blood) rushing to heart, syncope, continuous upper Qi rebellion.
Mudan (Tree Peony), Chishao Yao (Red Peony Root), Qingpi (Green Tangerina Peel, blanch/remove white pith), Heye (Lotus Leaf), Dang Gui (Angelica, stir-fried), Puhuang (Cattail Pollen), Ganjiang (Dried Ginger), Chuan Dahuang (Sichuan Rhubarb) (each 1 liang). Grind into powder. Take 2 qian mixed with warm wine at any time.
Formula for fetal death in the uterus with no other means. Use this formula.