回生丹（妇六六） 下死胎方（妇五九） 桂香散（妇五五） 琥珀丸（妇一三四）
交骨不开，产门不闭，无非阴气不足，阴不足则气不达，所以不开。不开则产必艰难，
宜加味芎归汤，补而开之，大有奇效。或十全大补汤亦可。
产门不闭，由阴气大虚，不能收摄；或由阴火下流而然。故或为阴挺突出，或为肿胀，
或为淋涩不禁。若气血俱虚者，宜十全大补汤加五味子，补而敛之。或痛而觉热者，宜加味
逍遥散。若忧思伤脾血热者，加味归脾汤。若暴怒伤肝动火者，龙胆泻肝汤。
子宫不收而外坠者，宜补中益气汤加醋炒芍药，饮而举之。或外以黄 煎汤熏洗亦妙。
或以硫黄汤熏洗，硫黄散敷之。
一方∶治产后子宫不敛，用荆芥、藿香、椿根白皮煎汤熏洗，神效。
一方∶产后子肠不收，外用枳壳、诃子、五倍子、白矾煎汤熏洗。若不收，再灸顶心百
会穴数壮即上。
一方∶子宫脱出，用蓖麻仁十四枚，研烂涂顶心，入即洗去。
一方∶治产后阴脱，用绢袋盛炒热蛇床子熨之，亦治阴痛。又法∶用蛇床子五两，乌梅
十四个，煎水，日洗五六次。
小产之证，有轻重，有远近，有禀赋，有人事。由禀赋者，多以虚弱。由人事者，多以
损伤。凡正产者，出于熟落之自然；小产者，由于损折之勉强，此小产之所以不可忽也。若
其年力已衰，产育已多，欲其再振且固，自所难能。凡见此者，但得保其母气，则为善矣。
若少年不慎，以致小产，此则最宜调理，否则下次临期仍然复坠，以致二次三次，终难子嗣
，系不小矣。凡此安之之法，见前数堕胎条中。既产调理之法，亦与大产相似。详后产后条
中，俱当按而用之。
一、凡妇人年及中衰，胎元无力，则常有胎不能长，及多小产昏晕之患，此气血衰败而
然。血气既衰，则凡于小产之后，多有胎既落而复又下坠。如更有一胎欲产者，此非胎也，
乃因气虚而胞宫随胎下陷也。产母不知，必至惊慌，此无足虑，但以寿脾煎，或八珍、十全
大补、芎归补中汤之类主之，则自安矣。
又∶凡小产有远近，其在二月三月为之近，五月六月为之远。新受而产者其势轻，怀久
而产者其势重，此皆人之所知也。至若犹有近者，则随孕随产矣。凡今艰嗣之家，犯此者十
居五六。其为故也，总由纵欲而然。第自来人所不知，亦所不信。兹谨以笔代灯，用指迷者
，倘济后人，实深愿也，请详言之。尽胎元始肇，一月如珠露；二月如桃花；三月四月而后
，血脉形体具∶五月六月而后，筋骨毛发生。方其初受，亦不过一滴之玄津耳。此其橐 正
无根据，根 尚无地，巩之则固，决之则流。故凡受胎之后，极宜节欲以防泛溢。而少年
纵情，罔知忌惮，虽胎固欲轻者，保全亦多，其有兼人之勇者，或恃强而不败，或既败而复
战。当此时也，主方欲静，客不肯休，无奈狂徒敲门撞户，顾彼水性热肠，有不启扉而从，
随流而逝者乎？斯时也，落花与粉蝶齐飞，火枣共交梨并逸，合污同流，已莫知其昨日孕而
今日产矣。朔日孕而望日产矣，随孕随产，本无形迹。盖明产者胎已成形，小产必觉；暗产
者胎仍以水，直溜何知？故凡今之行院家多无大产，以小产之多也。娶娼妓者多少子息，以
其子宫滑而惯于小产也。今尝见艰嗣求方者，问其阳事，则曰能战；问其功夫，则曰尽通；
问其意况，则怨叹曰∶人皆有子我独无。亦岂知人之明产，而尔之暗产耶？此外如受胎三月
五月而每有堕者，虽衰薄之妇常有之。然必由纵欲不节，致伤母气而堕者为尤多也。故凡恃
强过勇者多无子，以强弱之自相残也；纵肆不节者多不育，以盗损胎元之气也。岂悉由妇人
之罪哉？欲求我方者，当以此篇先读之，则传方之思，已过半矣。
回生丹（妇科六六） 下死胎方（妇科五九） 桂香散（妇科五五） 琥珀丸（妇科一三四）
交骨不开，产门不闭，无非是阴气不足。阴气不足则阳气不能通达，所以产门打不开。产门不开则分娩必然艰难，适宜使用加味芎归汤，通过补益气血来开启产道，有极大的奇效。或者使用十全大补汤也可以。
产门不闭，是由于阴气极度虚弱，无法收摄；或者是由于阴火下流所致。因此有的表现为阴挺突出，有的表现为肿胀，有的表现为淋沥涩痛且不禁控。如果气血都虚弱，适宜使用十全大补汤加入五味子，通过补益和收敛的方法治疗。如果疼痛且感觉发热，适宜使用加味逍遥散。如果是忧思损伤脾气导致血热，使用加味归脾汤。如果是暴怒损伤肝脏引发肝火，使用龙胆泻肝汤。
子宫下垂不收而向外坠落的，适宜使用补中益气汤加入醋炒芍药，服用以提升举陷。或者外用黄柏煎汤熏洗也很好。或者使用硫黄汤熏洗，并用硫黄散外敷。
一方：治疗产后子宫不收缩，用荆芥、藿香、椿根白皮煎汤熏洗，效果神奇。
一方：产后子肠不收，外用枳壳、诃子、五倍子、白矾煎汤熏洗。如果仍不收回，再灸头顶百会穴几壮即可回升。
一方：子宫脱出，用蓖麻仁十四枚，研烂涂在头顶心，见效后立即洗去。
一方：治疗产后阴道脱出，用绢袋盛装炒热的蛇床子熨烫患处，也能治疗阴部疼痛。又一种方法：用蛇床子五两，乌梅十四个，煎水，每天清洗五六次。
小产的证候，有轻重的区别，有发生时间的远近，有先天禀赋的差异，有人为因素的原因。由先天禀赋导致的，多是因为体质虚弱。由人为因素导致的，多是因为身体受损。凡是正常足月生产，是出于成熟自然的规律；小产则是由于损伤折损而勉强进行的，这就是小产不可轻视的原因。如果年龄精力已经衰退，生育次数已多，想要再次振作并稳固，自然是很困难的。凡是遇到这种情况，只要保住母亲的气血，就是好的了。如果是年轻人不慎导致小产，这最需要进行调理，否则下次怀孕临产时仍然会坠落，导致两次三次，最终难以拥有子嗣，关系重大。以上安胎的方法，见前文数堕胎条中。产后调理的方法，也与足月生产相似。详见后文产后条中，都应当按照情况使用。
一、凡是妇人年龄到了中年衰退，胎元无力，则常有胎儿不能长大，以及多次小产昏晕的隐患，这是气血衰败所致。气血既然衰弱，那么凡是在小产之后，多有胎落之后又再次下坠的情况。如果此时又有一胎欲产，这并不是真正的胎儿，而是因为气虚导致胞宫随着胎气下陷。产母不知道，必定惊慌，这无需忧虑，只需使用寿脾煎，或八珍汤、十全大补汤、芎归补中汤之类的药物主治，自然就能安稳。
另外：凡是小产有发生时间的远近，在怀孕二月三月发生的称为近，五月六月发生的称为远。刚受孕就生产的，病情较轻；怀孕很久才生产的，病情较重，这都是人们所知道的。至于还有更近的，那就是随怀孕随生产。现在许多难以生育的家庭，犯此病的占十分之五六。其根本原因，总归是由于纵欲过度。只是向来人们不知道，也不相信。现在我谨以笔代灯，用来指引迷惑者，希望能救济后人，实在深愿，请详细说说。胚胎初始形成，一个月如珠露；两个月如桃花；三个月四个月之后，血脉形体具备；五个月六个月之后，筋骨毛发生长。在其刚刚受孕时，也不过是一滴玄津而已。此时胎元正没有根据，根基尚无立足之地，巩固它就稳固，决堤它就流失。所以凡是受孕之后，极宜节制性欲以防精液泛溢。而少年放纵情感，不知忌惮，虽然胎固欲轻者，保全也多，那些兼有勇力之人，有的倚仗强壮而不败，有的既败而复战。在这个时候，主方想要安静，客方不肯停止，无奈狂徒敲门撞户，顾及其水性热肠，有不打开门户而从之，随水流逝的吗？这时候，落花与粉蝶齐飞，火枣共交梨并逸，合污同流，已经不知道昨天怀孕今天生产了。初一怀孕十五就生产了，随孕随产，本来没有形迹。所谓明产，是胎儿已经成形，小产必能察觉；暗产，是胎儿仍以水状存在，直接溜走哪里知道？所以现在从事妓院行业的人大多没有足月生产，因为小产太多。娶妓女的人多少有些子息，因为他们的子宫滑利而习惯于小产。我曾经见到难以生育求方的人，问他的性功能，他说能战斗；问他的功夫，说能尽通；问他的心境，却抱怨叹息说：别人都有孩子我唯独没有。又怎么知道别人的是明产，而你的却是暗产呢？此外如受孕三月五月而经常堕胎的，虽然是体弱衰薄的妇女也常有。但必定是由纵欲不节制，导致损伤母气而堕胎的情况尤其多。所以凡是倚仗强壮过度的人大多没有子嗣，因为强弱相互残害；放纵不节制的人大多不育，因为盗损了胎元之气。难道全是妇人的罪过吗？想要寻求我方的人，应当先读这篇，那么传方的思路，已经过半了。
Huisheng Dan (Resurrection Pill) [Gynecology 66], Xia Sitai Fang (Decoction for Expelling Dead Fetus) [Gynecology 59], Guixiang San (Cassia and Sandalwood Powder) [Gynecology 55], Hupo Wan (Amber Pill) [Gynecology 134].
Failure of the pubic symphysis to open and failure of the vaginal orifice to close are due solely to deficiency of Yin Qi. When Yin is deficient, Yang Qi cannot penetrate, thus the orifice remains closed. If it does not open, childbirth will inevitably be difficult. It is appropriate to use Jiawei Xionggui Tang (Modified Angelica and Ligusticum Decoction) to tonify and open the passage, which yields remarkable effects. Alternatively, Shiquan Dabu Tang (Ten Substance Great Tonifying Decoction) may also be used.
Failure of the vaginal orifice to close results from severe deficiency of Yin Qi, leading to an inability to retain; or it may be caused by the downward flow of Deficient Fire (Yin Huo). Consequently, symptoms may include prolapse of the vagina (Yinting), swelling, or dribbling dysuria with incontinence. If both Qi and Blood are deficient, Shiquan Dabu Tang added with Wuweizi (Schisandra Fruit) should be used to tonify and astringe. If there is pain accompanied by a sensation of heat, Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) is suitable. If worry and overthinking damage the Spleen causing Blood Heat, Jiawei Guipi Tang (Modified Heart-Spleen Tonic Decoction) is indicated. If sudden anger damages the Liver stirring up Fire, Longdan Xiegan Tang (Gentian Decoction to Drain the Liver) is prescribed.
For uterine prolapse where the uterus fails to retract and descends outward, Buzhong Yiqi Tang (Middle-Boosting Qi-Invigorating Decoction) added with Chao Shaoyao (Vinegar-fried White Peony Root) should be taken to lift and raise the prolapse. Alternatively, external fumigation and washing with Huangbai (Phellodendron Bark) decoction is also excellent. Or, fumigate and wash with Liuhuang Tang (Sulfur Decoction) and apply Liuhuang San (Sulfur Powder) externally.
Another prescription: For postpartum uterine atony, fumigate and wash with decoction of Jingjie (Schizonepeta), Huoxiang (Patchouli), and Chun Gen Bai Pi (Toona Root Bark), yielding miraculous effects.
Another prescription: For postpartum rectal or vaginal prolapse, fumigate and wash externally with decoction of Zhike (Aurantii Fructus), Hezi (Chebula Fruit), Wubeizi (Chinese Gall), and Baifan (Alumen). If it does not retract, moxa several cones on Baihui GV20 (Hundred Convergences) on the vertex will cause it to rise.
Another prescription: For uterine prolapse, grind fourteen seeds of Biren Ren (Castor Bean) into a paste and apply to the vertex. Wash off immediately after retraction occurs.
Another prescription: For postpartum vaginal prolapse, place stir-fried hot Chuangzi (Cnidium Fruit) in a silk bag and apply as a warm compress; this also treats vulvar pain. Another method: Boil five taels of Chuangzi (Cnidium Fruit) and fourteen sour plums (Wumei) in water, and wash externally five to six times daily.
Syndromes of spontaneous abortion vary in severity, timing, constitutional predisposition, and iatrogenic factors. Those arising from constitutional predisposition are mostly due to weakness. Those arising from iatrogenic factors are mostly due to injury. Normal full-term delivery occurs naturally when mature; spontaneous abortion occurs due to damage and forced termination, which is why it must not be neglected. If one's age and vigor have declined and childbearing has been frequent, expecting recovery and stability is naturally difficult. In such cases, preserving the mother's Qi is the best outcome. If a young person suffers spontaneous abortion due to carelessness, regulation and conditioning are most crucial; otherwise, subsequent pregnancies may also miscarry, leading to repeated losses and difficulty conceiving, which is significant. Methods for stabilizing pregnancy are detailed in previous sections on recurrent miscarriage. Postpartum conditioning methods are similar to those for full-term delivery. See the postpartum section for details, and apply accordingly.
First, women entering middle age with weak fetal roots often suffer from inability to carry the fetus to term or recurrent spontaneous abortion with fainting. This is due to the decline of Qi and Blood. Once Qi and Blood are weakened, after spontaneous abortion, the uterus may continue to descend even after the fetus is expelled. If another pregnancy occurs simultaneously, this descent is not due to the fetus but to uterine sinking caused by Qi deficiency. The mother, unaware, may panic, but there is no need for concern. Treatment with Shoupi Jian (Longevity Spleen Decoction), Bazhen Tang (Eight Treasure Decoction), Shiquan Dabu Tang (Ten Substance Great Tonifying Decoction), or Xionggui Buzhong Tang (Angelica and Ligusticum Middle-Boosting Decoction) will ensure safety.
Furthermore, spontaneous abortions vary in timing: those occurring in the second or third month are considered "near," while those in the fifth or sixth month are "far." Abortions shortly after conception are milder in presentation, while those later in gestation are heavier, which is common knowledge. There is an even earlier type: continuous miscarriage throughout pregnancy. Among families struggling with infertility, five or six out of ten suffer from this. The root cause is invariably excessive sexual indulgence. Although people are often unaware and unwilling to believe this, I write this to illuminate the path for others, hoping to benefit future generations. Please listen carefully. At the initial stage of conception, the embryo is like dew in the first month; like peach blossoms in the second month; blood vessels and form are established by the third and fourth months; bones, muscles, and hair grow by the fifth and sixth months. Initially, it is merely a drop of profound essence. At this stage, the fetal root lacks foundation and stability; if consolidated, it remains firm; if breached, it flows away. Therefore, after conception, one must strictly abstain from sex to prevent seminal overflow. Yet youths indulge without fear. Even if the fetal root is initially stable, preservation is often compromised. Those with strong constitutions may rely on their strength, fail, and then resume intercourse. At this time, while the body desires rest, desire does not cease. Like a madman banging on doors, driven by watery nature and fiery passion, who would not open the door and let the flow pass? At such moments, falling flowers fly with butterflies, and fire dates escape with pear blossoms; mixing with filth and flowing together, one does not realize that pregnancy conceived yesterday resulted in birth today. Conceived on the first day, born by the fifteenth; continuous miscarriage leaves no trace. Obvious miscarriages involve formed fetuses and are felt; hidden miscarriages involve the fetus dissolving into fluid, passing unnoticed. Thus, prostitutes rarely have full-term births because they experience so many hidden miscarriages. Men marrying prostitutes often have children because their partners' uteri are "slippery" and accustomed to early loss. I have seen men seeking prescriptions for infertility who claim potent sexual performance and complete mastery, yet lament having no children. Do they not realize that what others experience as obvious birth, they experience as hidden loss? Additionally, women who miscarry repeatedly in the third or fifth months, though common among frail women, are mostly due to uncontrolled sexual indulgence damaging maternal Qi. Therefore, those who rely on excessive virility often remain childless due to mutual destruction of strength and weakness; those who indulge without restraint often remain infertile because they steal and damage the fetal Qi. Is this entirely the woman's fault? Those seeking my prescriptions should read this section first; understanding this concept constitutes half the treatment.