（附论）
夫妊娠日月未足。胎气未全而产者。谓之半产。盖由妊妇冲任气虚。不能滋养于胎。胎
气不固。或 扑闪坠。致气血损动。或因热病温疟之类。皆致半产。仲景谓寒虚相搏。此名
为
又云。半产俗呼曰小产。或三四月。或五六月。皆为半产。以男女成形故也。或因忧恐
暴怒。悲伤太甚。或因劳力打扑。损伤及触冒暑热。慎勿用黑神散。以其犯热药。恐转生他
疾。只宜用玉烛散、和经汤之类。便产须知云。小产不可轻视。将养十倍于正产可也。又云。
半产即肌肉腐烂。补其虚损。生其肌肉。益其气血。去其风邪。养其脏气。将养过于正产十
倍。无不平复。宜审之耳。
方
安宫散 治妊娠不盈月小产。安胎如神。
黑附子（炮） 阿胶（粉炒） 北五味 山药 黄 （炙） 当归 熟地黄 赤芍药 木
香
甘草（炙各一钱） 糯米（一勺炒） 生姜（半两炒） 上锉末。每服五钱。苎根三寸。水
一盏半。
煎
补中汤 养新血。去瘀血。补虚扶危。治月未满半产。
干姜（炮） 阿胶（锉蛤粉炒） 芎 五味子（各一两） 白术（黄土炒） 黄 （去
芦蜜炙）
当
各半两）
上锉散。每服四钱。水一盏半。煎。通口服。不拘时候。
生地黄汤 治妊娠胎气损动。气血不调。或 扑闪坠。因致堕胎。谓之半产。及产
后气血不和。恶滞不尽。腹中 痛。
生地黄（焙一两） 大黄（略煨） 芍药 白茯苓（去皮） 当归（切酒炒） 细辛（去
苗） 甘
草（炙） 黄芩（去心） 桂（去皮各半两） 上 咀。每服五钱。以水一盏半。入生姜一
枣大。
拍
人参汤 治半产后。血下过多。心惊体颤。头目运转。或寒或热。脐腹虚胀疼痛。
人参 麦冬（去心） 生地黄（焙） 当归（切炒） 芍药 黄 （锉） 白茯苓（去
皮） 甘草
（炙
芒硝饮 治半产后恶露不尽。气攻疼痛。血下成块。结筑脐腹。烦满闷乱。
芒硝 蒲黄 芎 桂（去皮不见火） 鬼箭羽（各半两） 生地黄（焙一两） 桃仁
（去皮
尖炒半两） 上 咀。每服三钱。以水一盏。煎七分去滓。不拘时温服。一方有人参。无鬼
箭羽。名蒲黄汤。
艾叶汤 治半产恶露不断。心闷气短。
延胡索汤 治半产后气血不快。恶露断续。
延胡索 当归（切炒） 芍药 芎 桂（去皮） 甘草（炙各一两） 上 咀。每服
三钱。
以水一盏。煎至七分去滓。不拘时温服。
夺命丸（出简易方）专治妇人小产。下血过多。子死腹中。其人憎寒。手指
唇
口爪甲青白。面色黄黑。或胎上抢心。则闷绝欲死。冷汗自出。喘满不食。或食毒物。
或误服草药。伤动胎气。下血不止。胎尚未损。服之可安。已死服之可下。
牡丹皮 白茯苓 桂心 桃仁（制） 赤芍药（各等分） 上为细末。以蜜丸如弹子大。
每服一丸。细嚼。淡醋汤送下。速进两丸。至胎腐烂。腹中危甚者。立可取出。
羚羊角饮 治半产后心烦闷倦。
羚羊角屑（半两） 芍药（一两） 枳实（去瓤麸炒三钱） 人参（一两） 麦冬（去
心焙半两） 上 咀。每服三钱。以水一盏。煎至七分去滓。不拘时温服。
旋复花汤（出金匮方）治妇人半产漏下。
旋复花（三两） 葱（十四茎） 新绛（少许） 上以水三升。煮取一升。顿服之。
香豉汤（出千金方）治半产下血不尽。苦来去烦满欲死。
用香豉一升半。以水三升煮三沸。漉去滓。内鹿角末一方寸匕。顿服之。须臾血自下。
鹿
治小产恶露淋沥不断。将近月余。诸治不效。（出便产须知）
用五灵脂炒微焦为末。饭糊为丸如桐子大。米饮吞下三十丸。或四十丸。亦可应手而效。
一方用酒亦可。
全生活血汤（出兰室秘藏方） 治妇人分娩及半产漏下。昏冒不省。瞑目无所知
觉。
盖因其血暴下暴亡。有形血去。则心神无所养。心与胞络者。君火相火也。得血则安。
亡血则危。火上炽。则令人昏冒。火乘其肺。瞑目不省人事。是阴血暴去。不能镇抚。
令血亏损也。往往用滑石、甘草、石膏之类。乃辛甘太寒之药。能泄气中之热。是血亏
泻气。乃阴亏泻阳。使二者俱伤。反为不足虚劳之病也。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。汗出
则愈。今反下之。幸而不死。暴亏气血。生命岂能久活。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。于是
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。是秋冬之令大
旺。今举而升之以助其阳。则目开神不昏迷矣。今立一方。补血养血。生血益阳。以补
手足厥阴之不足也。
蔓荆子（五分） 本（一钱五分） 羌活（二钱） 独活（二钱） 升麻（三钱） 葛
根（二钱） 白芍药（三钱） 甘草（炙二钱） 柴胡（去苗二钱） 当归身（酒洗二钱） 生
地黄（一钱夏月加之） 熟地黄（一钱） 川芎（一钱五分） 防风（二钱诸阳既陷何以知
之血下脱故也） 红花（三分） 细辛（五分） 上 咀。每服五钱。水二盏。煎至一盏去
滓。稍热服。食前。
延龄散（出大全良方）治半产后补虚。生肌肉。平复正气。
桑寄生 当归 石斛 川芎 干地黄 续断 牛膝（各半两） 人参 泽兰 独活 防
风
木香 五味子 细辛 官桂（不见火各一两） 上为细末。每服三钱。空心入盐煎服。或炼
蜜
丸如桐子大。空心盐汤任下五十丸。更妙也。
治半产出血过多。不可禁止。忽气闷不识人。宜服此方。（出护命方）
吴茱萸（三钱） 石斛（去头） 当归（各半两） 续断 苍术 黄 防风 牡蛎（火
）
川芎 浓朴（去皮姜制） 龙骨 炙艾叶 独活（各一钱） 上为细末。每服五钱。水一盏
半。
煎至一盏三分。入枣二枚。同煎。空心去滓服。若血出过多。蜜为丸如桐子大。空心盐米汤
下三十丸。只进一两服。盖此药不可服滓也。服此药数日后。血止。长服补虚产子。
治胎死腹中。半产不下。（出护命方）
官桂（去皮一两） 牡丹皮（去心） 芎 葵子 上细罗为末。每服五钱。浓煎葱汤
调下。
治一切妇人半产后损伤正气。不能将养。经两三月恶露不止。面色黄瘁。吃食减少
。无力。脏腑虚冷。（出护命方）
当归（一两） 艾叶 川芎 细辛 木香 防风（各一两） 牡蛎（火 ） 续断 石
斛桑
寄生（各半两） 上为细末。每服二钱。水一盏煎三四沸。空心去滓服。
治一切妇人忽因半产正产之后。将养不到。血气伤损。经候过多。面色青黄。非时
泻痢。吃食减少。肌肉消瘦。腹内气痛。冲心刺胁下热。下部无力。耳立肩竦。眼色变
\x异。将成劳候
当归 五味子 牛膝 白芷 独活 干地黄 蓬莪术 防风 巴戟（去心） 石斛 延
胡
索官桂（去皮） 细辛（去叶） 鳖甲（醋炙） 木香 萆 本（各一钱） 上为细
末。炼蜜
丸如桐子大。早朝空心盐汤下五十丸。
（附论）
妊娠月份未满，胎气尚未完全形成而分娩的，称为半产。这通常是因为孕妇冲任二脉气虚，无法滋养胎儿，导致胎气不固；或者是受到撞击、闪挫、坠落等外力影响，致使气血受损动荡；也可能是因为患有热病、温疟等疾病所致，这些情况都会导致半产。张仲景曾说：“寒邪与虚损相互搏结”，这就叫做半产。他又说，半产在民间俗称小产，无论是怀孕三四月还是五六月发生的，都称为半产，这是因为此时男女胎儿已经成形。此外，还可能是因为忧愁恐惧、突然暴怒、过度悲伤，或者因劳累用力、被打扑伤、触犯暑热等原因引起。切记不要使用黑神散，因为它含有热性药物，恐怕会引发其他疾病。只适宜使用玉烛散、和经汤之类的方剂。《便产须知》中说：小产不可轻视，调养的程度应当是正常分娩的十倍。又说：半产后会出现肌肉腐烂的情况，需要补益其虚损，促进肌肉生长，补充气血，祛除风邪，养护脏气，调养程度超过正常分娩的十倍，没有不能痊愈的。应当仔细审察这一点。
方剂
安宫散：治疗妊娠不满一个月发生的小产，安胎效果如神。
黑附子（炮制）、阿胶（用蛤粉炒至粉末状）、北五味子、山药、黄芪（炙）、当归、熟地黄、赤芍药、木香、甘草（炙，各一钱）、糯米（一勺，炒）、生姜（半两，炒）。以上药材切碎成末。每次服用五钱，加苎麻根三寸，水一盏半，煎煮。
补中汤：滋养新血，去除瘀血，补虚扶危。治疗月份未满发生的半产。
干姜（炮制）、阿胶（切碎，用蛤粉炒）、川芎、五味子（各一两）、白术（黄土炒）、黄芪（去芦头，蜜炙）、当归（各半两）。以上药材切碎成散剂。每次服用四钱，水一盏半，煎煮，通口服下，不限时候。
生地黄汤：治疗妊娠期间胎气受损动荡，气血不调，或因撞击闪挫坠落，导致堕胎，称为半产。以及产后气血不和，恶露不尽，腹中疼痛。
生地黄（焙干，一两）、大黄（略加煨制）、芍药、白茯苓（去皮）、当归（切片，酒炒）、细辛（去苗）、甘草（炙）、黄芩（去心）、桂枝（去皮，各半两）。以上药材捣碎。每次服用五钱，用水一盏半，加入生姜一块大枣大小，拍碎，煎煮。
人参汤：治疗半产后，阴道流血过多，心惊胆战，身体颤抖，头晕眼花，或忽冷忽热，脐腹部虚胀疼痛。
人参、麦冬（去心）、生地黄（焙干）、当归（切片炒）、芍药、黄芪（切碎）、白茯苓（去皮）、甘草（炙，各一两）。
芒硝饮：治疗半产后恶露不尽，气机攻冲疼痛，血液结成块状，凝结堵塞脐腹部，烦闷胀满，心神扰乱。
芒硝、蒲黄、川芎、桂枝（去皮，不见火）、鬼箭羽（各半两）、生地黄（焙干，一两）、桃仁（去皮尖，炒，半两）。以上药材捣碎。每次服用三钱，用水一盏，煎至七分，去渣滓，不限时候温服。另一版本有人参，无鬼箭羽，名为蒲黄汤。
延胡索汤：治疗半产后气血不畅，恶露断续不定。
延胡索、当归（切片炒）、芍药、川芎、桂枝（去皮）、甘草（炙，各一两）。以上药材捣碎。每次服用三钱，用水一盏，煎至七分，去渣滓，不限时候温服。
夺命丸（出自《简易方》）：专门治疗妇人小产，阴道流血过多，死胎留在腹中。患者怕冷，手指、嘴唇、口唇、指甲呈现青白色，面色黄黑，或者胎气上抢心脏，导致胸闷窒息欲死，冷汗自出，气喘胸闷不能进食，或者吃了有毒食物，或者误服草药，损伤胎气，阴道流血不止，但胎体尚未损坏，服用此药可安胎；如果胎已死，服用此药可使死胎排出。
牡丹皮、白茯苓、桂心、桃仁（制过）、赤芍药（各等分）。以上药材研为细末，用蜂蜜制成如弹子大小的丸剂。每次服用一丸，细细咀嚼，用淡醋汤送下。若病情紧急，快速进服两丸，直到胎体腐烂，腹部危险严重时，可以立即取出。
羚羊角饮：治疗半产后心烦闷倦。
羚羊角屑（半两）、芍药（一两）、枳实（去瓤，麸炒，三钱）、人参（一两）、麦冬（去心，焙干，半两）。以上药材捣碎。每次服用三钱，用水一盏，煎至七分，去渣滓，不限时候温服。
旋复花汤（出自《金匮要略》）：治疗妇人半产后漏下出血。
旋复花（三两）、葱（十四茎）、新绛（少许）。以上药材用水三升，煮取一升，一次性服下。
香豉汤（出自《千金方》）：治疗半产后阴道流血不尽，苦于往来烦闷欲死。
用香豉一升半，用水三升煮三沸，滤去渣滓，加入鹿角末一方寸匕，一次性服下。不久后血液自然下行。
治小产恶露淋沥不断，将近一个月，各种治疗方法无效。（出自《便产须知》）
用五灵脂炒至微焦，研为细末，用米饭糊制成如梧桐子大小的丸剂，米汤吞服三十丸或四十丸，也能应手见效。另一方法用酒送服也可以。
全生活血汤（出自《兰室秘藏》）：治疗妇人在分娩及半产漏下之后，昏晕冒昧，不省人事，闭目无知觉。
这是因为血液突然大量流失，有形之血离去，心神失去供养。心和胞络属于君火和相火，得到血液则安宁，失去血液则危险。火气炽盛，就会使人昏晕冒昧。火气乘袭肺脏，导致闭目不省人事。这是阴血突然离去，不能镇抚，导致血亏损。往往医生使用滑石、甘草、石膏之类，这些都是辛甘大寒的药物，能泄气分之热，但这会导致血亏的同时又泻气，即阴亏同时泻阳，使两者都受伤，反而变成不足虚劳的病证。昏迷不省，是上焦心肺有热。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，都属于表证，乃是阴证，出汗就能痊愈。现在反而用下法，幸好没死，但气血突然亏损，生命怎么能长久存活？又不知道《内经》说过：病气不足，宜补不宜泻。凡是闭目之病，都属于阴，宜汗不宜下。又不知道伤寒郁冒，得汗则愈。因此禁用寒凉药。分娩半产，原本元气没有生病，只是突然失去了血液，亡血就要补血，这有什么可疑的呢？补充血液则神明昌盛。平时血液下降亡失，现在应当补益并升举它。心得血液滋养则神志清明不昏沉。如果血液突然大量下行，这是秋冬时令之气大旺的表现，现在将其升举以助阳气，则眼睛睁开，神志不昏迷。现在制定一方，补血养血，生血益阳，以补益手足厥阴经的不足。
蔓荆子（五分）、藁本（一钱五分）、羌活（二钱）、独活（二钱）、升麻（三钱）、葛根（二钱）、白芍药（三钱）、甘草（炙，二钱）、柴胡（去苗，二钱）、当归身（酒洗，二钱）、生地黄（一钱，夏季加上）、熟地黄（一钱）、川芎（一钱五分）、防风（二钱，诸阳既陷，何以知之？因血下脱故也）、红花（三分）、细辛（五分）。以上药材捣碎。每次服用五钱，水二盏，煎至一盏，去渣滓，稍热时服用，饭前。
延龄散（出自《大全良方》）：治疗半产后补虚，生肌肉，平复正气。
桑寄生、当归、石斛、川芎、干地黄、续断、牛膝（各半两）、人参、泽兰、独活、防风、木香、五味子、细辛、官桂（不见火，各一两）。以上药材研为细末。每次服用三钱，空腹时加盐煎服。或者炼蜜制成如梧桐子大小的丸剂，空腹时用盐汤任服五十丸，更加巧妙。
治疗半产出血过多，无法禁止，忽然气闷不识人，适宜服用此方。（出自《护命方》）
吴茱萸（三钱）、石斛（去头）、当归（各半两）、续断、苍术、黄芪、防风、牡蛎（火煅）、川芎、浓朴（去皮，姜制）、龙骨、炙艾叶、独活（各一钱）。以上药材研为细末。每次服用五钱，水一盏半，煎至一盏三分，加入红枣二枚，同煎，空腹去渣服用。如果出血过多，用蜜制成如梧桐子大小的丸剂，空腹时用盐米汤送下三十丸，只需进服一两副。因为此药不可服用渣滓。服用此药数日后，血止住。长期服用可补虚产子。
治疗胎死腹中，半产不下。（出自《护命方》）
官桂（去皮，一两）、牡丹皮（去心）、川芎、葵子。以上药材细罗研为末。每次服用五钱，用浓煎的葱汤调服。
治疗一切妇人半产后损伤正气，不能调养，经过两三个月恶露不止，面色黄悴，饮食减少，无力，脏腑虚冷。（出自《护命方》）
当归（一两）、艾叶、川芎、细辛、木香、防风（各一两）、牡蛎（火煅）、续断、石斛、桑寄生（各半两）。以上药材研为细末。每次服用二钱，水一盏，煎三四沸，空腹去渣服用。
治疗一切妇人忽然因半产或正产之后，调养不到，血气伤损，月经过多，面色青黄，非时而泻痢，饮食减少，肌肉消瘦，腹内气痛，冲心刺胁下热，下部无力，耳耸肩耸，眼色变异，将成劳候。
当归、五味子、牛膝、白芷、独活、干地黄、蓬莪术、防风、巴戟天（去心）、石斛、延胡索、官桂（去皮）、细辛（去叶）、鳖甲（醋炙）、木香、萆薢、藁本（各一钱）。以上药材研为细末，炼蜜制成如梧桐子大小的丸剂。早晨空腹时用盐汤送下五十丸。
(Attached Discussion)
When delivery occurs before the gestational months are complete and the fetal qi (vital energy) is not fully formed, it is called Ban Chan (Half Delivery). This is generally due to the deficiency of Qi in the Chong and Ren meridians in the pregnant woman, which fails to nourish the fetus, leading to unstable fetal qi. Alternatively, it may result from external trauma such as bumps, sprains, or falls, causing damage and agitation to the Qi and Blood. It can also be caused by febrile diseases or warm malaria. Zhang Zhongjing stated: "Cold pathogen and deficiency interact," which is named Ban Chan. He further said that Ban Chan is commonly referred to as Xiao Chan (Small Delivery) in folk terms; whether it occurs at three or four months or five or six months, it is all considered Ban Chan because the male or female fetus has already taken shape. Additionally, it may be caused by worry, fear, sudden rage, excessive grief, overexertion, physical injury from blows, or exposure to summer heat. One must strictly avoid using Hei Shen San (Black Divine Powder), as it contains hot-natured herbs, which might induce other illnesses. Instead, formulas such as Yu Zhu San (Jade Candle Powder) and He Jing Tang (Harmonizing Meridian Decoction) should be used. *Bian Chan Xu Zhi* (Necessary Knowledge for Childbirth) states: "Small delivery must not be underestimated; convalescence should be ten times more intensive than normal delivery." It further states: "After half delivery, muscle tissue may rot; one must tonify the deficiency, promote muscle growth, replenish Qi and Blood, dispel wind pathogens, and nourish the Zang organs. Convalescence exceeding that of normal delivery by tenfold will ensure recovery without exception. This point requires careful consideration."
Formulas
An Gong San (Palace-Anchoring Powder): Treats small delivery occurring within less than a month of pregnancy; calms the fetus with miraculous effect.
Hei Fuzi (Prepared Black Aconite Root), Ejiao (Donkey-Hide Gelatin, stir-fried with clam powder), Bei Wuwei Zi (Schisandra Berry), Shanyao (Chinese Yam), Huangqi (Astragalus Root, honey-fried), Danggui (Angelica Sinensis), Shudihuang (Prepared Rehmannia Root), Chishaoyao (Red Peony Root), Muxiang (Costus Root), Gancao (Licorice Root, honey-fried, each 1 qian), Nuomi (Glutinous Rice, 1 spoon, stir-fried), Shengjiang (Fresh Ginger, 0.5 liang, stir-fried). Crush the above herbs into powder. Take 5 qian per dose, add 3 cun of Ramie Root, and 1.5 sheng of water; decoct.
Bu Zhong Tang (Tonify the Middle Decoction): Nourishes new blood, removes stasis, tonifies deficiency, and supports critical conditions. Treats half delivery occurring before the full month.
Ganjiang (Dried Ginger, prepared), Ejiao (Donkey-Hide Gelatin, cut and stir-fried with clam powder), Xiong (Ligusticum Chuanxiong), Wuweizi (Schisandra Berry, each 1 liang), Baizhu (Atractylodes Macrocephala Rhizome, stir-fried with yellow earth), Huangqi (Astragalus Root, de-rhizomed and honey-fried), Danggui (Angelica Sinensis, each 0.5 liang). Crush the above herbs into a coarse powder. Take 4 qian per dose, add 1.5 sheng of water; decoct and take orally, regardless of timing.
Sheng Dihuang Tang (Rehmannia Decoction): Treats damage and agitation of fetal qi during pregnancy, irregular Qi and Blood, or abortion caused by bumps, sprains, or falls, known as Ban Chan. Also treats postpartum disharmony of Qi and Blood, incomplete lochia discharge, and abdominal pain.
Sheng Dihuang (Fresh Rehmannia Root, baked, 1 liang), Dahuang (Rhubarb Root, lightly roasted), Shaoyao (Peony Root), Baifuling (Poria Cocos, peeled), Danggui (Angelica Sinensis, sliced and wine-stir-fried), Xixin (Asarum, de-seeded), Gancao (Licorice Root, honey-fried), Huangqin (Scutellaria Root, de-heart), Guizhi (Cinnamon Twig, peeled, each 0.5 liang). Chop the above herbs. Take 5 qian per dose, add 1.5 sheng of water and a piece of ginger the size of a jujube, crushed; decoct.
Renshen Tang (Ginseng Decoction): Treats excessive vaginal bleeding after half delivery, palpitations, body tremors, dizziness, vertigo, alternating chills and fever, and empty, distending, painful sensation in the umbilical and abdominal regions.
Renshen (Ginseng Root), Maidong (Ophiopogon Tuber, de-heart), Sheng Dihuang (Fresh Rehmannia Root, baked), Danggui (Angelica Sinensis, sliced and stir-fried), Shaoyao (Peony Root), Huangqi (Astragalus Root, chopped), Baifuling (Poria Cocos, peeled), Gancao (Licorice Root, honey-fried, each 1 liang).
Mangxiao Yin (Mirabilite Drink): Treats incomplete lochia discharge after half delivery, Qi-attacking pain, blood clots, obstruction in the umbilical and abdominal regions, irritability, fullness, and mental confusion.
Mangxiao (Mirabilite), Puhuang (Tyrpha Pollen), Xiong (Ligusticum Chuanxiong), Guizhi (Cinnamon Twig, peeled, avoiding fire), Guijianyu (Strychnos Nux-vomica Twig, each 0.5 liang), Sheng Dihuang (Fresh Rehmannia Root, baked, 1 liang), Taoren (Peach Kernel, de-skin and de-pit, stir-fried, 0.5 liang). Chop the above herbs. Take 3 qian per dose, add 1 sheng of water; decoct until 0.7 parts remain, strain, and take warm at any time. Another version includes Renshen but excludes Guijianyu, named Puhuang Tang.
Aiye Tang (Mugwort Leaf Decoction): Treats continuous lochia discharge after half delivery, chest oppression, and shortness of breath.
Yanhusuo Tang (Corydalis Decoction): Treats sluggish Qi and Blood after half delivery, intermittent lochia discharge.
Yanhusuo (Corydalis Rhizome), Danggui (Angelica Sinensis, sliced and stir-fried), Shaoyao (Peony Root), Xiong (Ligusticum Chuanxiong), Guizhi (Cinnamon Twig, peeled), Gancao (Licorice Root, honey-fried, each 1 liang). Chop the above herbs. Take 3 qian per dose, add 1 sheng of water; decoct until 0.7 parts remain, strain, and take warm at any time.
Duoming Wan (Life-Seizing Pill) (from *Jianyi Fang*): Specifically treats women with small delivery, excessive vaginal bleeding, and retained dead fetus. Symptoms include aversion to cold, cyanosis of fingers, lips, mouth, and nail beds, sallow-dark complexion, or fetal Qi rushing to the heart causing suffocation and near-death experience, spontaneous cold sweat, panting, inability to eat, ingestion of toxic substances, or accidental consumption of herbal medicines damaging fetal Qi with continuous bleeding while the fetus remains intact. Taking this pill can calm the fetus; if the fetus is already dead, it aids expulsion.
Mudanpi (Tree Peony Bark), Baifuling (Poria Cocos), Guixin (Cinnamon Heart), Taoren (Peach Kernel, processed), Chishaoyao (Red Peony Root, equal parts). Grind into fine powder, mix with honey to form pills the size of a bullet. Take one pill per dose, chew thoroughly, and swallow with light vinegar water. For urgent cases, quickly take two pills until the fetus rots; if the abdomen is critically dangerous, it can be removed immediately.
Lingyangjiao Yin (Antelope Horn Drink): Treats mental restlessness and fatigue after half delivery.
Lingyangjiao Xie (Antelope Horn Shavings, 0.5 liang), Shaoyao (Peony Root, 1 liang), Zhishi (Immature Bitter Orange, de-pithed and bran-roasted, 3 qian), Renshen (Ginseng Root, 1 liang), Maidong (Ophiopogon Tuber, de-heart and baked, 0.5 liang). Chop the above herbs. Take 3 qian per dose, add 1 sheng of water; decoct until 0.7 parts remain, strain, and take warm at any time.
Xuanfuhua Tang (Inula Flower Decoction) (from *Jingui Yaolue*): Treats women with spotting after half delivery.
Xuanfuhua (Inula Flower, 3 liang), Congbai (Green Onion White, 14 stems), Xinjiang (New Crimson Fabric/Safflower infusion, a little). Add 3 sheng of water, boil down to 1 sheng, and take in one dose.
Xiangchi Tang (Fermented Soybean Decoction) (from *Qianjin Fang*): Treats incomplete vaginal bleeding after half delivery, severe alternating irritability and fullness nearing death.
Use 1.5 sheng of Xiangchi (Prepared Fermented Soybean), add 3 sheng of water, boil three times, strain, add 1 fangcunbi (square-inch scoop) of Lujiao Mo (Deer Antler Powder), and take in one dose. Blood will naturally descend shortly thereafter.
Treatment for continuous dripping lochia after small delivery lasting nearly a month, unresponsive to various treatments (from *Bian Chan Xu Zhi*).
Stir-fry Wulingzhi (Trogopterus Dung) until slightly scorched, grind into powder, bind with rice paste to form pills the size of tung seeds. Swallow 30–40 pills with millet drink. Efficacy is immediate. Another method uses wine for administration.
Quansheng Huoxue Tang (Complete Life Blood-Invigorating Decoction) (from *Lanshi Micang*): Treats women experiencing fainting, loss of consciousness, closed eyes, and lack of sensation after delivery or half delivery with spotting.
This occurs because blood suddenly drains away; when tangible blood leaves, the Shen (Spirit) loses nourishment. The Heart and Bao Luo (Uterine Collaterals) belong to Ministerial Fire and Sovereign Fire; they are peaceful with blood and endangered without it. Excessive fire causes fainting. If fire attacks the Lung, it leads to closed eyes and unconsciousness. This is sudden loss of Yin Blood failing to anchor Yang, resulting in blood deficiency. Often, physicians use Shi (Talcum), Gancao (Licorice), and Shigao (Gypsum), which are acrid-sweet and overly cold herbs that drain Qi-heat. This constitutes draining Qi alongside Blood deficiency, i.e., draining Yang alongside Yin deficiency, injuring both and creating deficiency-wasting disease. Fainting is due to Heat in the Upper Jiao (Heart and Lungs). This is formless Heat. Using cold herbs to force it downward ignores that Upper Jiao diseases belong to the Exterior and are Yin patterns, cured by sweating. Purging instead risks death from sudden Qi-Blood depletion. As stated in *Neijing*: When pathogenic Qi is deficient, tonification is preferred over purgation. Closed-eye diseases belong to Yin, favoring sweating over purgation. In Shanghan (Cold Damage) Yu Mao (Depression and Vertigo), sweating brings cure. Thus, cold herbs are prohibited. Delivery and half delivery do not inherently damage Yuan Qi; only sudden blood loss occurs. Lost blood must be replenished. Tonifying blood restores Shen. Normally, blood descends and is lost; here, it must be tonified and lifted. The Heart receives blood to nourish Shen, preventing dullness. Sudden blood descent mimics Autumn/Winter dominance; lifting it assists Yang, opening eyes and clearing Shen. This formula tonifies, nourishes, generates blood, and benefits Yang to address insufficiency in the Hand and Foot Jueyin meridians.
Manjingzi (Vitex Fruit, 5 fen), Gaoben (Ligusticum Wallichii Rhizome, 1.5 qian), Qianghuo (Notopterygium Rhizome, 2 qian), Duhuo (Angelica Pubescens Root, 2 qian), Shengma (Cimicifuga Rhizome, 3 qian), Gegen (Pueraria Root, 2 qian), Baishaoyao (White Peony Root, 3 qian), Gancao (Licorice Root, honey-fried, 2 qian), Chaihu (Bupleurum Root, de-seeded, 2 qian), Dangguishen (Angelica Sinensis Root Body, wine-washed, 2 qian), Sheng Dihuang (Fresh Rehmannia Root, 1 qian, added in summer), Shu Dihuang (Prepared Rehmannia Root, 1 qian), Chuanxiong (Ligusticum Chuanxiong, 1.5 qian), Fangfeng (Saposhnikovia Root, 2 qian; how do we know Yang Qi has sunk? Because blood has descended and escaped), Honghua (Carthamus Flower, 3 fen), Xixin (Asarum, 5 fen). Chop the above herbs. Take 5 qian per dose, add 2 sheng of water; decoct until 1 sheng remains, strain, and take slightly warm before meals.
Yanling San (Longevity Powder) (from *Daquan Liangfang*): Treats deficiency after half delivery, promotes muscle growth, and restores righteous Qi.
Sangjisheng (Taxillus Branch), Danggui (Angelica Sinensis), Shihu (Dendrobium Stem), Chuanxiong (Ligusticum Chuanxiong), Ganhudi Huang (Dry Rehmannia Root), Xuduan (Dipsacus Root), Niuxi (Achyranthes Root, each 0.5 liang), Renshen (Ginseng Root), Zelan (Leonurus Herba), Duhuo (Angelica Pubescens Root), Fangfeng (Saposhnikovia Root), Muxiang (Costus Root), Wuweizi (Schisandra Berry), Xixin (Asarum), Guangui (Official Cinnamon, avoiding fire, each 1 liang). Grind into fine powder. Take 3 qian per dose, decoct with salt on an empty stomach. Or, bind with refined honey into tung seed-sized pills, take 50 pills with salt water on an empty stomach; this is superior.
Treatment for excessive bleeding after half delivery that cannot be stopped, sudden chest oppression, and unconsciousness (from *Huming Fang*).
Wuzhuyu (Evodia Fruit, 3 qian), Shihu (Dendrobium Stem, de-head), Danggui (Angelica Sinensis, each 0.5 liang), Xuduan (Dipsacus Root), Cangzhu (Atractylodes Lancea Rhizome), Huangqi (Astragalus Root), Fangfeng (Saposhnikovia Root), Muli (Oyster Shell, fired), Chuanxiong (Ligusticum Chuanxiong), Houpo (Magnolia Bark, de-bark and ginger-processed), Longgu (Fossilized Bone, Aiye Mugwort Leaf, Duhuo (Angelica Pubescens Root, each 1 qian). Grind into fine powder. Take 5 qian per dose, add 1.5 sheng of water; decoct until 1.3 sheng remains, add 2 jujubes, decoct together, strain, and take on an empty stomach. If bleeding is excessive, bind with honey into tung seed-sized pills, take 30 pills with salt-millet water on an empty stomach. Only take one or two doses. Do not consume the dregs. After several days of taking this medicine, bleeding stops. Long-term use tonifies deficiency and aids childbirth.
Treatment for retained dead fetus in the womb, failure of half delivery (from *Huming Fang*).
Guangui (Official Cinnamon, de-bark, 1 liang), Mudanpi (Tree Peony Bark, de-heart), Chuanxiong (Ligusticum Chuanxiong), Kuizi (Abutilon Seed). Grind into fine powder. Take 5 qian per dose, mix with strong green onion decoction.
Treatment for all women who have damaged righteous Qi after half delivery, failed to convalesce, suffer from continuous lochia for two to three months, have sallow and emaciated complexion, reduced appetite, weakness, and cold deficiency in the Zang-Fu organs (from *Huming Fang*).
Danggui (Angelica Sinensis, 1 liang), Aiye (Mugwort Leaf), Chuanxiong (Ligusticum Chuanxiong), Xixin (Asarum), Muxiang (Costus Root), Fangfeng (Saposhnikovia Root, each 1 liang), Muli (Oyster Shell, fired), Xuduan (Dipsacus Root), Shihu (Dendrobium Stem), Sangjisheng (Taxillus Branch, each 0.5 liang). Grind into fine powder. Take 2 qian per dose, add 1 sheng of water; boil three times, strain, and take on an empty stomach.
Treatment for all women who, suddenly after half delivery or normal delivery, fail to convalesce properly, damaging Qi and Blood, suffering from excessive menstruation, bluish-yellow complexion, non-timed diarrhea and dysentery, reduced appetite, emaciation, abdominal Qi pain, heat stabbing the heart and hypochondrium, lower body weakness, erect ears, shrugging shoulders, altered eye color, approaching consumptive syndrome.
Danggui (Angelica Sinensis), Wuweizi (Schisandra Berry), Niuxi (Achyranthes Root), Baizhi (Angelica Dahurica Root), Duhuo (Angelica Pubescens Root), Ganhudi Huang (Dry Rehmannia Root), Peng'e Zhu (Curcuma Zedoaria Rhizome), Fangfeng (Saposhnikovia Root), Bajitian (Morinda Officinalis Root, de-heart), Shihu (Dendrobium Stem), Yanhusuo (Corydalis Rhizome), Guangui (Official Cinnamon, de-bark), Xixin (Asarum, de-leaf), Biejia (Softshell Turtle Shell, vinegar-fried), Muxiang (Costus Root), Bibo (Dioscorea Hypoglauca Rhizome), Gaoben (Ligusticum Wallichii Rhizome, each 1 qian). Grind into fine powder, bind with refined honey into tung seed-sized pills. Take 50 pills with salt water on an empty stomach in the morning.