〔大全〕妊娠羸瘦，或挟疾病，脏腑虚损，气血枯竭，既不能养胎，致胎动而不坚
固，终不能安者，则可下之，免害妊妇也。
〔薛〕前证宜用腰腹背痛门方论主之。其胎果不能安者，方可议下，慎之慎之。
鸿胪张淑人痢疾后胎动，心神不安，肢体殊倦，用八珍散二十余剂渐愈。因劳加烦热头
痛，以大剂补中益气汤加蔓荆子治之，热痛顿止，仍用前散又五十余剂而安。其后生产
甚易。今大中丞许少薇公向令金坛时，夫人胎漏，疗治不止，时迫于上。许公欲因其
势遂下之，谋于余，余第令服佛手散，以为可安即安，不可安即下，顺其自然而已。既
数服，公忧疑不决。女科医者检方以进，乃用牛膝一两，酒煎服，谓牛膝固补下部药耳，
用之何害。公遂信而服之，而胎果下。余时有从母之戚，未及知，比知而驰至，则闻盈
庭皆桂麝气，盖因胞衣未下，许医又进香桂散矣，血遂暴下如大河决，不可复止，亟煎
独参汤未成而卒。公哀伤甫定而过余谢，且念余曰∶牛膝补药而能堕胎，何也？余对曰∶
生则宣而熟则补，故破血之与填精，如箭锋相拄，岂独牛膝哉？鹿角亦堕胎破血，而煎
为白胶，则安胎止血，因其熟而信其生，此之谓粗工。公叹恨无已。余故特着之，以为
世戒。
〔大全〕治妊娠母因疾病，胎不能安，可下之。
取七月七日法面（《大全》作曲。）四两，水二大盏，煎取一盏，三分，绵滤去滓，分温
三服，立下。
又方 大曲五升，清酒一斗，煮二沸，去渣，分五服，隔宿勿食，但再服，其子如糜，
母无疾苦。（千金不传，炒。）
又方 麦 一升为末，和水煮二升，服之即下。（神效）
又方 附子（二枚） 为末，以淳苦酒和涂右足，去之，大良。
又方 取鸡子一枚，以三指撮盐放鸡子中，服之立出。
按∶陈良甫所列有牛膝汤、桂心散诸方，娄全善皆不之取，而独取此数方，其见卓矣。
〔断产〕
〔丹〕断子法 用白面曲一升，无灰酒五升，打作糊，煮二升半，用绢帛滤去渣，作
三服，候前月经将来日，晚下吃一服，次日五更吃一服，天明吃一服，月经即行，终身
绝子。
〔大〕断产验方 故蚕纸方圆一尺，烧为末，酒饮调服，终身不复怀孕。
又方 用油煎水银一日方息，空心服枣核大一丸，永断孕，不损人。
四物汤每服五钱，加芸苔子二钱，于经行后空心温服。
〔薛〕前云用蚕故纸尺许烧灰为末，产后酒服之，血虚者终不复孕。大抵断产之剂，
多用峻厉，往往有不起者，是则产之害未若断产之害也。吾闻阁老张罗峰、太常李恒斋
俱因服断产之剂，自谓形体俱怯，遇劳必病，有由然矣。
按∶《夷坚志》载∶东京女子白牡丹，以售堕胎药生，得恶报。今虽列如上方，以备
万一之用，用者尚其慎之。
【《产育宝庆集》】妊娠期间身体消瘦，或者兼夹疾病，导致脏腑虚损，气血枯竭，既然不能滋养胎儿，致使胎动不安且不能坚固，最终无法安胎的，可以采用下胎法，以免危害孕妇。
【薛己】上述证候应当参考“腰腹背痛门”中的方论进行治疗。如果胎儿确实无法保全，才可以考虑使用下胎法，务必谨慎再谨慎。
鸿胪寺官员张淑人在患痢疾后出现胎动，心神不宁，肢体极度疲倦，服用八珍散二十多剂后逐渐痊愈。后因劳累加重，出现烦热、头痛症状，用大剂量补中益气汤加蔓荆子治疗，热痛立即停止，随后继续服用前一方五十多剂后胎气安定。后来生产非常顺利。当时大中丞许少薇公在担任金坛县令时，其夫人出现胎漏（妊娠期阴道少量出血），治疗不止，病情危急迫在眉睫。许公想顺应病势让胎儿排出，向我咨询，我只让他服用佛手散，认为如果能安胎就安胎，如果不能安胎就让它排出，顺其自然罢了。服药几次后，许公忧虑疑惑，犹豫不决。另一位妇科医生检查药方后进献，竟然使用牛膝一两，用酒煎服，说牛膝本来就是补益下部的药物，用它有什么害处呢？许公于是相信并服用，结果胎儿果然排出。我当时正逢母亲去世的丧事，来不及知晓此事，等到得知消息急忙赶到时，只听到满院子都是肉桂和麝香的气味，原来因为胞衣未下，许医又进用了香桂散，于是血液突然大量涌出像大河决堤一样，无法再止住，紧急煎煮独参汤还没熬成人就去世了。许公哀伤刚定就来向我致谢，并且感叹对我说：“牛膝是补药却能堕胎，为什么呢？”我回答说：“生品具有宣通作用，熟品才具有补益作用，所以破血与填精的作用，就像箭锋相对一样截然相反，难道只有牛膝是这样吗？鹿角也能堕胎破血，但煎炼成白胶（阿胶）后，就能安胎止血，因为混淆了生熟的功效而误信其为补药，这就是所谓的粗工。”许公叹息悔恨不已。我特意记录此事，作为世人的警戒。
【《产育宝庆集》】治疗妊娠期间母亲因疾病导致胎儿不安，可以使用下胎法。
取七月七日制作的法面（《大全》中称为曲）四两，水两大盏，煎取一盏，分三次过滤去渣，温服三剂，胎儿即可迅速排出。
又一方：大曲五升，清酒一斗，煮沸两次，去渣，分五次服用，隔一夜不要进食，只需再服用一次，胎儿就会如糜粥般排出，母亲没有痛苦。（此方出自《千金方》，需炒制。）
又一方：麦麸一升研为末，和水煮至二升，服用后即能排出。（效果神效）
又一方：附子（两枚）研为末，用纯苦醋调和涂抹右脚，洗去后，效果很好。
又一方：取鸡蛋一枚，用三指撮量的盐放入鸡蛋中，服用后立即排出。
按语：陈良甫所列有牛膝汤、桂心散等方，娄全善都不采用，唯独选取这几个方子，他的见识确实卓越。
【断产】
【朱丹溪】断子法：用白面粉曲一升，无灰酒五升，调成糊状，煮至二升半，用绢帛过滤去渣，分三次服用。等到下次月经来潮的前一天晚上吃一服，第二天五更天吃一服，天亮时吃一服，月经随即行经，终身不再怀孕。
【《产育宝庆集》】断产验方：旧的蚕纸一方尺，烧成灰末，用酒调服，终身不再怀孕。
又一方：用油煎水银一天直到火熄灭，空腹服用如枣核大一丸的药丸，永久断绝受孕，且不损伤人体。
【薛己】前面所说用一尺见方的旧蚕纸烧灰为末，产后用酒服用，血虚者终身不再怀孕。大抵断产的药剂，多用峻烈之品，往往有人因此丧命，这说明生产的危害还不如断产的危害大。我听说阁老张罗峰、太常李恒斋都因为服用断产药剂，自认为形体虚弱，遇到劳累必定生病，这是有原因的。
按语：《夷坚志》记载：东京女子白牡丹，因贩卖堕胎药而生，得到恶报。现在虽然列出如上各方，以备万一之用，使用者尚且要谨慎啊。
[Daquan] If a pregnant woman is emaciated, or complicated by disease, resulting in deficiency and damage of the Zang-Fu organs, and exhaustion of Qi and Blood, such that she cannot nourish the fetus, leading to fetal restlessness and instability which ultimately cannot be stabilized, then the fetus may be expelled to avoid harming the mother.
[Xue] For the aforementioned syndrome, one should refer to the formulas and discussions in the section on "Lumbar, Abdominal, and Back Pain." Only if the fetus is indeed unsaveable should one consider expelling it; caution is paramount.
Zhang Shuren, an official of the Honglu Temple, experienced fetal restlessness after suffering from dysentery, with mental unrest and extreme fatigue of the limbs. He took Bazen San (Eight Treasures Powder) for more than twenty doses and gradually recovered. Due to overwork, his symptoms worsened with irritability, fever, and headache. He was treated with a large dose of Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) plus Jingjie (Schizonepetae Herba), after which the fever and pain ceased immediately. He continued taking the previous formula for another fifty doses, and the pregnancy stabilized. Subsequently, childbirth was very smooth.
At that time, Xu Shaowei, Grand Secretary, was serving as the magistrate of Jintan. His wife suffered from fetal leakage (vaginal bleeding during pregnancy), which did not stop despite treatment, and the situation became critical. Mr. Xu wished to follow the course of the pathology to expel the fetus and consulted me. I simply instructed him to take Foshou San (Buddha's Hand Powder), stating that if the fetus could be saved, let it be saved; if not, let it be expelled, following nature. After several doses, Mr. Xu remained anxious and indecisive. Another gynecologist examined the prescription and submitted one using Niuxi (Achyranthis Bidentatae Radix) in a dosage of one liang, decocted in wine, claiming that Niuxi is inherently a tonic for the lower body, so what harm would it do? Mr. Xu believed this and administered it, and the fetus was indeed expelled.
I was then observing mourning for my deceased mother and was unaware of the incident. When I learned of it and rushed to the scene, I smelled strong aromas of Rougui (Cinnamomi Cortex) and Shexiang (Moschus) filling the courtyard. It turned out that because the placenta had not been expelled, Dr. Xu had prescribed Xianggui San (Fragrant Cinnamon Powder). Consequently, blood gushed forth violently like a bursting river, impossible to stop. An urgent decoction of Dushen Tang (Single Ginseng Decoction) was prepared, but he passed away before it was ready.
After his grief subsided, Mr. Xu came to thank me and remarked, "Niuxi is a tonic, yet it causes abortion. Why?" I replied, "Raw herbs promote circulation and dispersion, while cooked herbs tonify. Thus, the actions of breaking blood stasis and replenishing essence are mutually exclusive, like opposing arrowheads. Is Niuxi the only herb like this? Lujiao (Cervi Cornus Degelatinatum) can also cause abortion and break blood stasis, but when decocted into Ejiao (Colla Corii Asini), it stabilizes the fetus and stops bleeding. Confusing the raw and cooked properties and mistakenly believing it to be a tonic characterizes a crude practitioner." Mr. Xu sighed and regretted deeply. I recorded this specifically as a warning to the world.
[Daquan] To treat a pregnant woman whose fetus is unstable due to maternal disease, the fetus may be expelled.
Take four liang of Fa Mian (Medicated Leaven made on the 7th day of the 7th lunar month; referred to as Qu in Daquan). Add two large bowls of water, decoct until one bowl remains, filter through cotton cloth to remove dregs, and divide into three warm doses. The fetus will be expelled rapidly.
Another formula: Take five sheng of Da Qu (Large Medicated Leaven) and one dou of clear wine. Boil twice, remove the residue, and divide into five doses. Fast for one night without eating. After taking the second dose, the fetus will be expelled like porridge, and the mother will suffer no distress. (From Qianjin Fang, requires stir-frying.)
Another formula: Take one sheng of Maifan (Wheat Bran), grind into powder, mix with water, and boil until two sheng remain. Ingestion leads to expulsion. (Highly effective.)
Another formula: Take two Fuzi (Aconiti Lateralis Radix Praeparata), grind into powder, mix with pure vinegar, and apply to the right foot. Wash off afterwards. This is highly beneficial.
Another formula: Take one chicken egg, place salt (amount held by three fingers) inside the egg, and ingest. Expulsion occurs immediately.
Commentary: Chen Liangfu listed formulas such as Niuxi Tang and Guixin San, but Lou Quanshan did not adopt them, selecting only these few formulas. His insight was indeed outstanding.
[Abortion/Contraception]
[Zhu Danxi] Method to prevent conception: Use one sheng of white flour leaven and five sheng of non-grain alcohol. Mix into a paste, boil until two and a half sheng remain, filter through silk cloth to remove residue, and divide into three doses. On the eve of the expected menstruation, take one dose at night; take the second dose at wugeng (3-5 AM); take the third dose at dawn. Menstruation will commence, and conception will be prevented for life.
[Daquan] Verified Formula for Contraception: Burn one square chi of old silkworm paper to ash. Take the powder mixed with wine. Pregnancy will not recur for life.
Another formula: Mercury fried in oil for one day until the fire extinguishes. Take a pill the size of a jujube pit on an empty stomach. This permanently prevents pregnancy without damaging the body.
Siwu Tang (Four Substance Decoction): Five qian per dose. Add two qian of Yuntaizi (Brassicae Pekinensis Seed). Take warm on an empty stomach after menstruation.
[Xue] Regarding the previous statement about burning one chi square of old silkworm paper to ash and taking it with wine postpartum, women with Blood deficiency will never conceive again. Generally, contraceptives use harsh and drastic agents, often leading to death. Thus, the harm of childbirth is less than the harm of contraception. I have heard that Grand Secretary Zhang Luofeng and Taichang Si Official Li Hengzhai both took contraceptive agents, resulting in physical weakness and illness upon exertion, which is understandable.
Commentary: Yijian Zhi records that Bai Mudan, a woman in Tokyo, sold abortifacients and received retribution. Although the above formulas are listed here for emergency use, users must exercise extreme caution.