（附论）
夫妊娠惊胎者。是怀妊月将满。其胎神识已具。或将产之时。从高坠下。伤损胞络。致
血下胎动。遂上抢心胸。气绝不醒。其母面赤舌青。口无沫出者。儿死母活。唇口俱青。沫
出者。子母俱死。面青舌赤沫出。母死子活。若下血不止。胞燥胎枯。令子死矣。
方
桑寄生散（出危氏方）治妊娠或因房室惊触。劳力过度。伤动胞胎。或食毒
物。致令子宫虚滑。经血淋沥。若不急治。败血凑心。子母难保。日渐胎干。危亡不
久。
桑寄生 当归（去芦酒浸） 川续断（酒浸） 川芎 香附（去毛炒） 茯神（去木） 阿
胶
（蛤粉炒成珠子） 白术（各一两） 人参 甘草（炙各半两） 陈艾叶（一两） 乌梅（去
核半两）
上
龙骨散（出圣惠方）疗妇人因损娠下血不止。
蟹爪汤（出千金方）治妊娠僵仆失据。胎动转上抢心。甚者血从口出。逆不
得
息。或注下血一斗五升。胎不出。子死。则寒熨人腹中。急如产状。虚乏少气。困顿欲
死。烦闷反复。服药。母即得安。下血亦止。其当产者。立生。并妊娠两儿一死一生。
服令死者出。生者安。
蟹爪（一升） 甘草 桂心（各二钱） 阿胶（二两或鹿角胶） 上 咀。以东流水一
斗。煮
取三升。去滓。内胶烊尽。能为一服佳。不能者。食顷再服。若口急不能饮者。格口灌之。
药下便活也。与母俱生。若胎已死。独母活也。若不僵仆。平安妊娠。无有所见。下血服此
汤即止。一方无桂心。或云桂不安胎。亦未必耳。煎药作东向灶。用苇薪煮。
竹茹酒（出大全良方）治妊娠误有失坠。损筑。胎损疼痛。或八九月胎动。
青竹茹（二合） 好酒（一升） 上煮三五沸。分作三服。即安。
疗妇人怀妊数伤胎。（一名鲤鱼 方出大全良方）
鲤鱼（二斤） 粳米（一升） 上如法作 。少着盐。多着葱豉。醋食之甚良。一月中
须三
遍作效。安稳无忌。一方有生姜。无醋。
芎 散（出肘后方）治妊娠因坠倒仆。胎不转动。腹内疼痛。腰重。及子死
腹
中不出。须臾三服立下。
用川芎为细末。以热酒调服方寸匕。日三四服。立出。一方用热水调服。
治妊娠因失所。胎动困绝。千金方亦治子烦。（出大全良方）
取竹沥饮一升立愈。（制法云取淡竹断两头节火烧中央器盛两头得汁取之）
疗妊娠。
用朱砂末一钱。以生鸡子三颗。取白和朱砂。顿服。胎若死即出。如未死即安。
治妊娠损动腹痛。
用冬麻子一升。杵碎。熬以水二升。煮取汁。热沸。分为三四服。
治孕妇胎损。亦治白丹。
用苎根浓煮水浴之。日三四瘥。
产宝方川芎黄 汤（胎产急救方） 治伤胎腹痛。下黄汁。
川芎 黄 （等分） 上锉。每服五钱。秫米炒一合。水煎服。
郑氏胜金散（出永类钤方）治妊娠因食伤胎。传于脾胃。气虚冷逼。小腹胀
痛
。或腰重。大便秘。\x
吴茱萸（酒浸） 陈皮（净去白） 川芎 干姜（炮） 生姜（切焙各一钱半） 甘草
（炙） 浓
朴（
（附论）
所谓妊娠惊胎，是指怀孕月份将满时，胎儿的神识已经具备。如果在临产之时，从高处坠落，损伤了胞络，导致出血并引起胎动，气血随即上冲心胸，致使气绝不醒。此时若母亲面色红赤而舌色青紫，口中无泡沫流出，则是胎儿死亡而母亲存活；若嘴唇和口唇都呈青色，且有泡沫流出，则是母子双亡；若面色青紫而舌色红赤，且有泡沫流出，则是母亲死亡而胎儿存活。如果下血不止，胞宫干燥、胎儿枯槁，也会导致胎儿死亡。
方剂
桑寄生散（出自《危氏方》），治疗妊娠期间因房事惊吓触动、劳累过度，损伤胞胎；或因食用有毒食物，导致子宫虚滑，经血淋漓不尽。如果不紧急治疗，败血攻心，母子均难保全，日渐胎儿干枯，不久即面临危亡。
药材：桑寄生、当归（去芦头，酒浸）、川续断（酒浸）、川芎、香附（去毛，炒）、茯神（去木心）、阿胶（用蛤粉炒成珠状）、白术（以上各一两）、人参、甘草（炙，各半两）、陈艾叶（一两）、乌梅（去核，半两）。
蟹爪汤（出自《千金方》），治疗妊娠期间跌倒失据，胎动上冲心胸。严重的甚至血液从口吐出，气息逆乱无法呼吸，或者向下出血一斗五升，胎儿不出。若胎儿已死，则用寒物熨烫产妇腹部，使其产生如临产般的假象，以排出死胎。若产妇虚弱气短，困顿欲死，烦闷反复，服用此药后，母亲即可安定，下血也会停止。若到了分娩期，胎儿立即出生。对于妊娠双胞胎一死一生的情况，服用此药可使死者排出，生者平安。
药材：蟹爪（一升）、甘草、桂心（以上各二钱）、阿胶（二两，或用鹿角胶代替）。
制法：将药材切碎，用东流水一斗，煮取三升，去渣，加入阿胶烊化尽。能一次服完最好，不能的话，过一顿饭的时间再服。如果牙关紧闭不能吞咽，撬开嘴巴灌入。药力到达后胎儿就会娩出，母子俱生。如果胎儿已经死亡，仅母亲存活。如果没有跌倒，而是平安妊娠中出现下血，服用此汤即可止血。另一版本没有桂心，有人说桂枝不安胎，但也未必如此。煎药时使用朝东的灶，用芦苇柴火煎煮。
竹茹酒（出自《大全良方》），治疗妊娠误有失坠，损伤筑骨（指骨骼或身体支撑结构），胎损疼痛。或者在八九月时胎动不安。
药材：青竹茹（二合）、好酒（一升）。
制法：煮三五沸，分作三次服用，即可安胎。
治疗妇人多次怀孕损伤胞胎。（又名鲤鱼粥，方出《大全良方》）
药材：鲤鱼（二斤）、粳米（一升）。
制法：按常规方法煮粥，少放盐，多放葱豉，加醋食用效果很好。一个月内需制作三次，方可见效，安稳无禁忌。另一版本有生姜，无醋。
芎䓖散（出自《肘后方》），治疗妊娠因坠倒仆跌，胎不动转，腹内疼痛，腰部沉重，以及子死腹中不出。须臾间分三次服用，即可迅速排出。
用法：用川芎研为细末，用热酒调服一方寸匕，每日三四次，可立即排出。另一版本用热水调服。
治疗妊娠因意外失所，胎动困绝。《千金方》也用于治疗子烦。（出自《大全良方》）
用法：取竹沥饮用一升，立愈。（制作方法说：取淡竹，截断两头节，火烧中间部位，用器皿承接两头流出的汁液。）
治疗妊娠。
用法：用朱砂末一钱，与生鸡蛋清三颗混合，一次性服用。若胎儿已死即排出，若未死则安胎。
治疗妊娠损伤引起的腹痛。
用法：用冬麻子一升，捣碎，加水二升，煮取汁液，煮沸后分为三四次服用。
治疗孕妇胎损，也治疗白丹（一种皮肤病）。
用法：用苎麻根浓煮水沐浴，每日三四次，病愈。
产宝方川芎黄芩汤（胎产急救方），治疗伤胎腹痛，下黄汁。
药材：川芎、黄芩（等分）。
制法：切碎，每次服用五钱，配合炒过的秫米一合，水煎服。
郑氏胜金散（出自《永类钤方》），治疗妊娠因饮食损伤胞胎，邪气传于脾胃，气虚冷逼，小腹胀痛，或腰部沉重，大便秘结。
药材：吴茱萸（酒浸）、陈皮（净去白）、川芎、干姜（炮）、生姜（切，焙，各一钱半）、甘草（炙）、厚朴（...
(Attached Discussion)
The condition known as "Frightened Fetus in Pregnancy" occurs when the pregnancy is nearing full term and the fetus's spirit and consciousness are already formed. If a fall from a height occurs during the time of impending labor, damaging the uterine vessels (Baoluo), it leads to bleeding and fetal movement. The Qi and Blood then rush upward to the chest and heart, causing Qi obstruction and unconsciousness. In this state, if the mother's face is red and her tongue is cyanotic, with no foam coming from the mouth, it indicates that the fetus is dead but the mother survives. If both the lips and mouth are cyanotic and foam is present, it indicates the death of both mother and fetus. If the face is cyanotic and the tongue is red with foam, it indicates the death of the mother but the survival of the fetus. If bleeding continues without stopping, leading to dryness of the uterus and withering of the fetus, the fetus will die.
Formulas
Sangjisheng San (Mulberry Mistletoe Powder), sourced from *Wei Shi Fang*, treats pregnancy complicated by fright or trauma due to sexual intercourse, excessive physical labor damaging the fetal sac, or ingestion of toxic substances causing uterine deficiency and slipping, resulting in persistent dripping of menstrual blood. If not treated urgently,敗血 (decayed blood) may attack the heart, endangering both mother and fetus, leading to gradual drying of the fetus and imminent danger.
Ingredients: Sangjisheng (Taxilli Herba), Danggui (Radix Angelicae Sinensis, remove radicle, soak in wine), Chuanxuduan (Radix Dipsaci, soak in wine), Chuanxiong (Rhizoma Chuanxiong), Xiangfu (Rhizoma Cyperi, remove hairs, stir-fry), Fushen (Poria cum Radix Pini, remove wood core), Ejiao (Colla Corii Asini, stir-fry with Arseni Trioxidum powder into beads), Baizhu (Radix Atractylodis Macrocephalae) — each 1 liang; Renshen (Radix Ginseng), Gancao (Radix Glycyrrhizae, honey-fried) — each 0.5 liang; Chen Aiye (Folium Artemisiae Argyi, aged) 1 liang; Wumei (Fructus Mume, remove pits) 0.5 liang.
Longgu San (Dragon Bone Powder), sourced from *Shenghui Fang*, treats women suffering from continuous bleeding due to traumatic abortion.
Xiezha Tang (Crab Claw Decoction), sourced from *Qianjin Fang*, treats pregnancy complicated by falling and loss of balance, causing fetal movement rushing upward to the chest and heart. In severe cases, blood may be vomited, breathing becomes obstructed and irregular, or there is heavy downward bleeding (one dou five sheng). If the fetus does not deliver and has died, apply cold compresses to the abdomen to simulate labor conditions to expel the dead fetus. If the mother is weak, short of breath, exhausted to the point of death, and suffers from restlessness and tossing, administering this medicine will calm the mother and stop the bleeding. If delivery is due, the fetus will be born immediately. For twin pregnancies where one is dead and one alive, this medicine helps expel the dead fetus while keeping the live one safe.
Ingredients: Xiezha (Claws of Potamocarcinus sinensis) 1 sheng; Gancao (Radix Glycyrrhizae), Guixin (Cortex Cinnamomi Cassiae) — each 2 qian; Ejiao (Colla Corii Asini) 2 liang (or use Lujiaojiao/Colla Cornus Cervi).
Preparation: Coarsely crush the herbs. Boil in 1 dou of water flowing from the east until reduced to 3 sheng. Strain the dregs, dissolve the Ejiao completely. It is best to take as a single dose; if not possible, take another dose after a meal interval. If the jaw is stiff and swallowing is difficult, pry open the mouth and pour the medicine in. Once the medicine takes effect, the fetus will be delivered, saving both mother and child. If the fetus is already dead, only the mother survives. If there was no fall but normal pregnancy with bleeding, this decoction will stop the bleeding. Another version excludes Guixin; some claim Cinnamon Twig disturbs the fetus, but this is not necessarily true. When decocting, use an east-facing stove and reed firewood.
Zhuru Jiu (Bamboo Sheath Wine), sourced from *Daquan Liangfang*, treats accidental falls during pregnancy causing bone injury (Zhu) and fetal pain, or fetal restlessness in the eighth or ninth month.
Ingredients: Qingzhuru (Caulis Bambusae in Taeniam) 2 he; Haojiu (Good Rice Wine) 1 sheng.
Preparation: Boil for three to five boils, divide into three doses. This will stabilize the fetus.
To treat women who have repeatedly suffered fetal damage during pregnancy. (Also known as Carp Congee, sourced from *Daquan Liangfang*)
Ingredients: Liyu (Cyprinus carpio) 2 jin; Jingmi (Oryza sativa var. glutinosa) 1 sheng.
Preparation: Cook according to standard congee methods. Use little salt, plenty of Congbai (Scallion bulb) and Chichi (Fermented Soybean Paste), and eat with vinegar for best results. Prepare this three times within a month for efficacy. It ensures safety without taboos. Another version includes Shengjiang (Zingiberis Rhizoma Recens) and excludes vinegar.
Xiong San (Chuanxiong Powder), sourced from *Zhouhou Fang*, treats pregnancy complicated by falling, where the fetus does not move, accompanied by abdominal pain, heavy sensation in the waist, and retention of a dead fetus in the womb. Taking three doses in a short time will cause immediate expulsion.
Usage: Grind Chuanxiong (Rhizoma Chuanxiong) into fine powder. Mix with hot wine and take one fangcunbi (approx. 5-10 grams) per dose. Take 3-4 times daily for immediate expulsion. Another version uses hot water for mixing.
To treat pregnancy complicated by unexpected mishaps, causing fetal restlessness and critical exhaustion. *Qianjin Fang* also uses this for Zifan (Fetal Restlessness/Anxiety). (Sourced from *Daquan Liangfang*)
Usage: Drink 1 sheng of Zhuli (Bamboo Sap). Recovery is immediate. (Preparation note: Take fresh bamboo, cut off nodes at both ends, burn the middle section, and collect the juice dripping from both ends.)
To treat pregnancy.
Usage: Mix 1 qian of Zhusha (Cinnabar) powder with the white of 3 raw chicken eggs. Take all at once. If the fetus is dead, it will be expelled; if alive, it will be stabilized.
To treat abdominal pain caused by fetal trauma in pregnancy.
Usage: Take 1 sheng of Dongmazi (Ricini Semen), crush it, add 2 sheng of water, boil to extract the juice. Bring to a boil and divide into 3-4 doses.
To treat fetal damage in pregnant women; also treats Baidan (a skin condition resembling vitiligo or leukoderma).
Usage: Bathe in strong decoction of Zhu Gen (Phyllodisci Radix) 3-4 times daily until healed.
Chanbao Fang Chuanxiong Huangqin Tang (Chuanxiong and Scutellaria Decoction for Obstetric Emergencies), treats traumatic abortion with abdominal pain and discharge of yellow fluid.
Ingredients: Chuanxiong (Rhizoma Chuanxiong), Huangqin (Radix Scutellariae) in equal parts.
Preparation: Coarsely chop. Take 5 qian per dose, combined with 1 he of stir-fried Shumi (Sorghum vulgare), decoct in water and drink.
Zhengshi Shengjin San (Zheng’s Victory-Gold Powder), sourced from *Yonglei Qianfang*, treats pregnancy complicated by dietary injury to the fetus, with pathogenic factors transmitting to the Spleen and Stomach, causing Qi deficiency and cold oppression, leading to lower abdominal distension and pain, heavy sensation in the waist, and constipation.
Ingredients: Wuzhuyu (Evodiae Fructus, soak in wine), Chenpi (Pericarpium Citri Reticulatae, clean and remove albedo), Chuanxiong (Rhizoma Chuanxiong), Ganjiang (Zingiberis Rhizoma, processed), Shengjiang (Zingiberis Rhizoma Recens, sliced and dried) — each 1.5 qian; Gancao (Radix Glycyrrhizae, honey-fried); Houpo (Magnoliae Officinalis Cortex)...