（附论）
夫鬼胎者何。人之脏腑调和。则血气充实。风邪鬼魅不能干之。若营卫虚损。则精神衰
弱。妖魅鬼精得入于脏。状如怀娠。故曰鬼胎也。
方
牡丹散（出圣惠方） 治妇人鬼胎。腹内 痛。日夜不止。
牡丹 干姜（炮锉） 桂心 紫葛（锉） 赤芍药 当归（锉炒） 赤箭（各半两） 延
胡索
虻虫（炒黄） 水蛭（炒黄） 买子木 枳壳（去瓤炒） 白僵蚕（炒） 地龙（炒各一钱）
上捣筛
为散。每服四钱。以水一中盏。煎至六分去滓。每于食前温服。
穿山甲散（出圣惠方）治妇人经脉不通。一月至三个月。腹内有气块发。从
胁
下起冲心。是
穿山甲（三钱炙） 牡丹 肉桂（去皮各半两） 鬼臼（去毛） 驴护杆 蒲黄（各一
两） 当
归（三钱酒炒） 莲子（一两） 川大黄（半两炒） 桃胶（三钱） 槟榔（一钱） 上捣
筛为散。每
服
雄黄丸（出圣惠方）治妊娠是鬼胎。致腹中黑血散。下腹痛。
雄黄（细研） 鬼臼（去毛） 甘草 丹砂（细研） 巴豆（去心并皮油） 獭肝（炙
半两） 白
杨（炙一两） 蜈蚣（一条炙黄） 上为细末。蜜丸如桐子大。空心温酒下二十丸。日二服。
后
当利。如不利。加至三十丸。初下清水。次下虫如马尾状无数。病极者。下蛇蛊或如假卵鸡
子。或如白膏。或如豆汁。其病即除。
治鬼胎如抱一瓮。（出危氏方）
茱萸 川乌 秦艽 柴胡 巴戟（生用） 白僵蚕（直者洗） 巴豆（去壳不去油） 芫
花
（酒煮各一两） 上为末。蜜丸如桐子大。每服七丸。蜜吞下。取出恶物即愈。
治妇人鬼胎及血气不可忍。（出圣惠方）
斑蝥（去头足翅） 延胡索（炒各三枚） 上为细末。再研如面。以温酒调下半钱。以
胎下
为度。
治妇人虚羸有鬼胎。症块。经候不通。（出圣惠方）
用芫花根三两。锉炒令黄色为细末。每服一钱。桃仁煎汤调下当下恶物。
治妇人经脉不通。症块胀满。腹有鬼胎方。\x（出圣惠方）
用葛上亭长五枚。以糙米相和炒令熟。去翅足。碾为末。分三服。空心煎甘草汤调服。
须臾觉脐腹急痛。煎黑豆汤服之。当通。
（附论）
什么是鬼胎？当人的脏腑功能调和时，血气就会充实，风邪和鬼魅就不能干扰人体。如果营卫之气虚弱受损，精神就会衰弱，妖魅鬼精就能侵入五脏。其症状表现如同怀孕，所以称为鬼胎。
方剂
牡丹散（出自《圣惠方》），治疗妇女患鬼胎。腹内疼痛，日夜不停止。
药材：牡丹、干姜（炮制锉碎）、桂心、紫葛（锉碎）、赤芍药、当归（锉碎炒制）、赤箭（即天麻，各半两）、延胡索、虻虫（炒至黄色）、水蛭（炒至黄色）、买子木、枳壳（去瓤炒制）、白僵蚕（炒制）、地龙（炒制，各一钱）。
制法与用法：将上述药材捣碎过筛制成散剂。每次服用四钱，用水一中盏，煎煮至六分，去渣。每次在饭前温服。
穿山甲散（出自《圣惠方》），治疗妇女经脉不通畅。从一个月到三个月，腹内有气块发作，从胁下升起冲击心脏。
药材：穿山甲（三钱，炙制）、牡丹、肉桂（去皮，各半两）、鬼臼（去毛）、驴护杆（即驴皮胶或相关药材，此处依原文保留）、蒲黄（各一两）、当归（三钱，酒炒制）、莲子（一两）、川大黄（半两，炒制）、桃胶（三钱）、槟榔（一钱）。
制法与用法：将上述药材捣碎过筛制成散剂。每次服用适量（原文未详述具体剂量，仅言为散），以温水送服。（注：原文此处断句略有缺失，通常此类方剂亦为每服若干钱，但依原文忠实翻译）。
雄黄丸（出自《圣惠方》），治疗妊娠期间实为鬼胎的情况。导致腹中黑血散乱，下腹部疼痛。
药材：雄黄（细研）、鬼臼（去毛）、甘草、丹砂（细研）、巴豆（去心及皮油）、獭肝（炙制，半两）、白杨（炙制，一两）、蜈蚣（一条，炙黄）。
制法与用法：将上述药材研成细末，用蜂蜜制成如梧桐子大小的丸剂。空腹时用温酒送服二十丸，每日两次服药。之后应当出现腹泻。如果不腹泻，增加到三十丸。初次排出清水，随后排出无数如马尾状的虫体。病情极重的，排出蛇蛊或像假鸡蛋一样的物体，或像白膏，或像豆汁。病随即消除。
治疗鬼胎感觉如同抱着一个瓮。（出自《危氏方》）
药材：茱萸、川乌、秦艽、柴胡、巴戟天（生用）、白僵蚕（直者洗净）、巴豆（去壳不去油）、芫花（酒煮，各一两）。
制法与用法：将上述药材制成粉末，用蜂蜜制成如梧桐子大小的丸剂。每次服用七丸，用蜜水吞服。排出恶物后痊愈。
治疗妇女鬼胎及气血疼痛难以忍受。（出自《圣惠方》）
药材：斑蝥（去头足翅）、延胡索（炒制，各三枚）。
制法与用法：将上述药材研成细末，再研磨如面粉般细腻。用温酒调服半钱。以胎物排出为度。
治疗妇女身体虚弱消瘦且有鬼胎、症块、月经不通。（出自《圣惠方》）
使用芫花根三两，锉碎炒至黄色，研成细末。每次服用一钱，用桃仁煎汤调服。当下出恶物。
治疗妇女经脉不通，症块胀满，腹中有鬼胎的方剂。（出自《圣惠方》）
使用葛上亭长（一种昆虫，即蛤蟆/蟾蜍类，此处指特定药用部位或种类，依原文保留）五枚，与糙米一起炒熟，去掉翅膀和脚，碾成粉末。分三次服用。空腹时用甘草汤调服。不久会感到脐腹部急痛，此时煎黑豆汤服用，应当通畅。
(Attached Discussion)
What is Gui Tai (Ghost Fetus)? When the Zang-Fu organs are harmonious, Qi and Blood are abundant, and Wind pathogens or demonic influences cannot interfere with the body. If Ying Wei (Defensive and Nutritive Qi) are deficient and damaged, the spirit becomes weak, allowing demonic essences to enter the Zang organs. The condition resembles pregnancy, hence it is called Gui Tai (Ghost Fetus).
Formulas
Mudan San (Peony Powder) [From *Shenghui Fang*]
Indications: Treats women suffering from Gui Tai (Ghost Fetus), with abdominal pain that persists day and night.
Ingredients: Mudan (Moutan Cortex), Ganjiang (Dried Ginger, processed and crushed), Guixin (Cinnamon Twig Heart), Zige (Puerariae Radix? Note: Text says Zige, likely referring to a specific root, kept as Zige), Chishao Yao (Red Peony Root), Danggui (Angelica Sinensis, crushed and stir-fried), Chijian (Atractylodes Rhizome? Note: Text says Chijian, often refers to Tianma/Gastrodia in ancient texts or Atractylodes, kept as Chijian), each half tael; Yanhusuo (Corydalis Rhizome), Mengchong (Blister Beetle, stir-fried until yellow), Shuizhi (Leech, stir-fried until yellow), Maizimu (Bischoffia Fructus?), Zhike (Aurantii Fructus Pericarpium, pith removed and stir-fried), Baijiangcan (Bombyx Batryticatus, stir-fried), Dilong (Pheretima, stir-fried), each one qian.
Preparation and Administration: Pound and sieve into a powder. Take four qian per dose. Add one zhong of water, decoct to six parts, remove dregs. Take warm before meals.
Chuanshanjia San (Pangolin Scale Powder) [From *Shenghui Fang*]
Indications: Treats women with obstructed menstruation. From one to three months, gas masses arise in the abdomen, rising from the hypochondrium and rushing towards the heart.
Ingredients: Chuanshanjia (Pangolin Scales, three qian, processed), Mudan (Moutan Cortex), Rougui (Cinnamon Bark, bark removed, each half tael), Jiubai (Podophyllum Rhizome, hairs removed), Lühugan (Donkey Hide Glue? Note: Text says Lühugan, kept as Lühugan), Puhuang (Lygodii Spora, each one tael), Danggui (Angelica Sinensis, three qian, wine-processed), Lianzi (Nelumbinis Semen, one tael), Chuan Dahuang (Rhei Radix et Rhizoma, half tael, processed), Tao Jiao (Pruni Persicae Gum, three qian), Binglang (Arecae Semen, one qian).
Preparation and Administration: Pound and sieve into a powder. Take appropriate amount per dose (specific dosage omitted in source text for this formula section), taken with warm water.
Xionghuang Wan (Realgar Pill) [From *Shenghui Fang*]
Indications: Treats pregnancy that is actually Gui Tai (Ghost Fetus), causing scattered black blood in the abdomen and lower abdominal pain.
Ingredients: Xionghuang (Realgar, finely ground), Jiubai (Podophyllum Rhizome, hairs removed), Gancao (Licorice Root), Dansha (Cinnabar, finely ground), Badou (Croton Seed, heart, skin, and oil removed), Tagan (Lutra Liver, processed, half tael), Baiyang (White Poplar, processed, one tael), Wugong (Centipede, one piece, processed until yellow).
Preparation and Administration: Grind into fine powder. Make pills the size of tung seeds using honey. Take twenty pills on an empty stomach with warm wine, twice daily. Diarrhea should follow. If no diarrhea occurs, increase to thirty pills. Initially, clear water will be discharged, followed by countless worms resembling horse tails. In severe cases, snake parasites or objects resembling fake eggs, white paste, or bean juice may be discharged. The disease will then be eliminated.
Treatment for Gui Tai feeling like holding a jar [From *Wei Shi Fang*]
Ingredients: Zhuyu (Cornus Fruit), Chuanwu (Aconitum Carmichaelii Side Root), Qin Jiao (Gentiana Macrophylla Root), Chaihu (Bupleuri Radix), Bajitian (Morinda Officinalis Root, used raw), Baijiangcan (Bombyx Batryticatus, straight ones washed), Badou (Croton Seed, shell removed but oil retained), Yuanhua (Genkwa Flos, wine-boiled), each one tael.
Preparation and Administration: Make into powder. Form pills the size of tung seeds using honey. Take seven pills per dose, swallowed with honey water. Recovery occurs upon discharge of foul matter.
Treatment for women's Gui Tai and unbearable Qi-Blood pain [From *Shenghui Fang*]
Ingredients: Banmao (Mylabris, head, feet, and wings removed), Yanhusuo (Corydalis Rhizome, stir-fried), three pieces each.
Preparation and Administration: Grind into fine powder, then mill until fine as flour. Mix with warm wine and take half a qian. Continue until the fetus/mass is discharged.
Treatment for women who are emaciated due to deficiency, having Gui Tai (Ghost Fetus), mass formations, and amenorrhea [From *Shenghui Fang*]
Use San liang of Yuanhua Gen (Genkwa Root). Crush, stir-fry until yellow, and grind into fine powder. Take one qian per dose, mixed with Decoction of Tao Ren (Persicae Semen). Discharge of foul matter should occur.
Formula for women with obstructed menstruation, distension from mass formations, and Gui Tai (Ghost Fetus) in the abdomen [From *Shenghui Fang*]
Use five Ge Shang Tingzhang (likely referring to a specific insect, possibly Toad/Bufo related in ancient context, kept as Ge Shang Tingzhang). Stir-fry together with coarse rice until cooked. Remove wings and feet. Grind into powder. Divide into three doses. Take on an empty stomach mixed with Licorice Decoction. Soon, acute pain in the umbilical and abdominal region will be felt. At this point, drink Black Bean Decoction. Obstruction should resolve.