〔洁〕治胎产之病，从厥阴经论之，无犯胃气及上三焦，谓之三禁，不可汗，不可
下，不可利小便。发汗者同伤寒下早之证，利大便则脉数而已动于脾，利小便则内亡津液，
胃中枯燥。制药之法；能不犯三禁，则荣卫自和而寒热止矣。如发渴则白虎，气弱则黄
，血刺痛而和以当归，腹中疼而加之芍药。大抵产病天行从增损柴胡，杂证从增损四物，
宜详察脉证而用之。大抵外则和于荣卫，内则调于清便，同伤寒坏证治之。
〔李仲南〕胎前病唯当安胎顺气，若外感四气，内伤七情，以成他病，治法与男子
无异，当于各证类中求之，但胎前治他证者，动胎之剂，切须审详尔。
〔丹〕胎前当清热养血。产前安胎，白术、黄芩妙药也。胎前将临月，以三补丸加
炒香附、炒白芍药蒸饼丸服。又抑热以三补，
用生地黄膏丸。（芩、连、柏为末，地黄膏丸之。）有孕八九个月，必顺气，枳壳、苏茎。前至八
九月因火动胎，逆上作喘急者，可用条芩、香附之类为末调下。条芩于水中沉取重者用之。
固胎，地黄半钱，当归身尾、人参、白芍陈皮各一钱，白术一钱半，甘草三分，黄芩、
川芎各半钱，黄连、炒柏各少许，桑上羊儿藤（即金银花。）七叶完者，糯米十四粒， 咀煎
服。血虚不安者，用阿胶。痛者用缩砂，行血气故也。
《夷坚志》云∶政和中，蔡鲁公之孙妇有孕，及期而病，国医皆以为阳证伤寒，惧胎
堕不敢投以凉剂。张锐至，视之曰∶儿处胎十月将生矣，何药之能败。即以常法与药，且
使倍服之，半日而儿生，病亦失去，明日其妇大泄，而喉闭不入食。众医复指其疵，且
曰∶二疾如冰炭，又产蓐甫近，虽司命无如之何矣。张曰∶无庸忧也，将使即日愈。乃
取药数十粒使吞之，咽喉即通，下泄亦止。及盈月，鲁公酌酒为寿曰∶君术通神，吾不敢
知，敢问一药而愈二疾何也？张曰∶此于经无所载，特以意处之，向者所用药乃附子理
中丸裹以紫雪尔。方喉闭不通。非至寒药不为用，既以下咽，则消释无余，其得至腹中
者，附子力也，故一服而两疾愈。公大加叹异。
汪机治一妇，常患横生逆产七八胎矣，子皆不育。汪诊脉皆细涩颇弦，曰∶此气血两
虚兼热也。或曰∶气血有余，方成妊娠，气血既亏，安能胎耶？汪曰∶观其形长瘦而脉
细濡，属于气血两虚，色青脉弦，属于肝火时炽，而两尺浮滑，似血虚为轻而气虚为重
也，宜以补阴丸除陈皮，倍加香附、参、 ，蜜丸服之，常令接续。逾年临产果顺而育一子。
保生丸 （《局方》）养胎益血，安和子脏。治妊娠将理失宜，或因劳役胎动不安，腰腹
痛重，胞阻漏胎，恶露时下，子脏挟疾，久不成胎。或受妊不能固养，痿燥不长，过年
不产，日月虽满，转动无力，或致损堕，及临产节适乖宜，惊动太早，产时未至，恶露
先下，胎胞枯燥，致令产难，或横或逆，痛极闷乱，连日不产，子死腹中，腹上冰冷，口
唇青黑，吐出冷沫。新产恶血上冲，运闷不省，喘促汗出，及瘀血未尽，脐腹 痛，寒
热往来。或因产劳损，虚羸未复，面黄体瘦，心忪盗汗，饮食不进，渐成蓐劳。入月常服，
壮气养胎，正顺产理，润胎易产。产后常服，滋养血气，和调阴阳，密腠理，实腑脏，治
风虚，除痼冷。
大麻仁（去壳一两半） 贝母 黄芩 大豆 黄卷 粳米 甘草（炙，微赤） 干姜（炮）
肉桂（去粗皮） 石斛（去根） 石膏（细研） 秦椒（微炒出汗，各一两） 当归（去芦炒，半两）
上为细末，炼蜜和丸如弹子大，每服一丸，并用温酒或枣汤化下，嚼咽亦得，空心
食前服。
交感地黄煎丸 治妇人产前产后眼见黑花，或即发狂，如见鬼状，胞衣不下，失音
不语，心腹胀满，水谷不化，口干烦渴，寒热往来，口内生疮，咽中肿痛，心虚忪悸，夜
不得眠，产后中风，角弓反张，面赤，牙关紧急，崩中下血如豚肝状，脐腹 痛，血多
血少，结为 瘕，恍惚昏迷，四肢肿满，产前胎不安，产后血刺痛，皆治之。
生地黄（净洗研，以布绞汁留滓，以生姜汁炒地黄滓，以地黄汁炒生姜滓，各至干，
为末） 生姜（净洗烂研，以布绞汁，留滓，各二斤） 当归（去芦） 延胡索（拌糯米炒赤，
去米） 琥珀（别研，各一两） 蒲黄（炒香，四两）
上为末，蜜丸弹子大。当归汤化一丸，食前服。
琥珀丸 治妇人胎前产后百病，及疗三十六种血冷，七疝八瘕，心腹刺痛，卒中瘫
痪，半身不遂，八风十二痹，手足酸疼，乳中毒结瘀血，怀胎惊动，伤犯不安，死胎不
出，并胎衣不下，并宜服之。
琥珀（另研） 辰砂（另研） 阿胶（碎，炒） 五味
子（拣净） 石斛（去根） 附子（炮去皮脐） 肉桂（去粗皮） 沉香（不见火） 川芎（各半两）
牛膝（去芦，酒浸） 当归（去须，炒） 肉苁蓉（酒浸，炒） 人参 续断 没药（研） 熟地黄 木香（不见火，
各一两）
上为细末，炼蜜和丸如弹子大。每服一丸，空心暖酒化下，午后食前再服，能生新
血，去恶血。若腹胁疼痛，绕脐如刀刺，及呕逆上气筑心，痰毒，不思饮食，用姜汁少
许，和酒化服。诸痢及赤白带下，血冷，崩中下血，漏胎下血，用生姜与艾，锉、炒令
赤色，入酒同煎数沸，去滓调服。泄泻不止，陈米饮化服。涩尿诸淋，煎通草、灯心汤服。
血晕不知人，煎当归酒调服。上热下冷，煎人参汤服。遍身虚肿水气，煎赤小豆汤服。产
内二毒伤寒，及中风角弓反张如板硬，煎麻黄汤服，以衣被盖出汗。月经不通，或间杂
五色，频并而下，断续不止，饮食无味，肌肤瘦劣，面赤唇焦，乍寒乍热，四肢烦疼，五
心燥热，黑 ，遍身血斑，赤肿走注，及血风劳伤无力，用童子小便入姜汁少许调服。常
服以童便为妙，若恐恶心，和以半酒。如怀胎妇于临月一日一服，至产下不觉疼痛，或
服至五服十服，日倍饮食，是药力也，其功不能具述。
龙须汤 治胎前产后身疼。保室论云∶身疼者，肌体不实而受风邪，客于经络，邪气
与正气相搏，交击于骨肉之间，故身疼而不动，用龙须汤主之。若妊娠而患身体疼者，必
因劳役过多致使然也。不尔，经络受风寒，愈痛丸、防风汤主之。产者若因劳役身疼而不
能动转者，良由产后百节开张，血脉流走，气弱则骨肉之间血多凝滞，是故百节经脉紧急，
腰背不能转侧，手足不能动摇，身热若纳炭，头如钉钉，医者不识，妄为伤寒发汗，变生
他证，宜服。
黄 （一两，蜜炙） 当归（去芦，酒浸） 牛膝（洗去苗，酒浸一宿，如急用，酒蒸熟为度）
白术 防风（去芦） 独活（去芦） 甘草（各二钱半）
上 咀，每服半两，水五盏，生姜十片，薤白一握，同煎至三盏，去滓不拘时服。
佛手散 治产前产后，腹痛体热头疼，及才产未进别物，即先服此药，逐败血，生新
血，能除诸疾。
川芎（二两） 当归（三两）
上为细末，每服二钱，水一盏，酒二分，同煎七分温服。一方为粗末，每服四钱，水
七分，酒三分，同煎至七分热服，未产前先安排此药，将两服药煎之，产了速进之，三
日内日二服，三日外一服。一方名芎归汤，只此二味，等分 咀水煎，专治失血伤胎去
血，产后去血，崩中去血，金疮去血，拔牙去血不止，一切去血过多，心烦眩晕，闷绝
不省人事，头重目暗，举头欲倒，悉能治之。若产后眩晕，宜加芍药服之。一名桂香散，
治产后腹疼不可忍者，加桂心等分，酒与童子小便合煎，服之立效。一名当归汤，治
妊娠子死，或未死胎动不安，每服用酒水合煎，连进数服。胎若已死，服之便下。若未
死其胎即安。此经累效，万不失一。一名琥珀散，临月服之，只缩胎易产，兼治产后
诸疾。一名羊肉汤，治虚损羸乏，腹中 痛，往来寒热，吸吸少气，不能支持，头眩
自汗，腹内拘急，每服用精羊肉一两，生姜十片，水二盏，煎至六分，温服。一名
君臣散，治妇人室女心腹 痛，经脉不调，用水煎服。若妊妇胎气不安，产后诸疾，加酒
煎服。一名芎当散，治妇人血气，上喘下肿，二味等分为细末，每服二钱，空心煎艾
汤调下。又治产后损身，血冲心及腹胀气绝者，神验。难生倒横，子死腹中，先用黑
大豆一大合炒熟，水一盏，入童子小便一盏，药末四钱，同煎至一盏，以上分为二服。未
效再作。产后恶血注心，迷闷喘急腹痛，根据前用黑豆加生姜自然汁半合煎服。治脏毒，
每服一钱半，入炒槐花末半钱，水一盏，煎至六分，无时服，三日取下血块即愈。如
产后头疼，加荆芥煎，如吐血亦宜服之。若产难，多用百草霜、香白芷等分为末，名
乌金散，每服二钱，童子小便好醋各一合，沸汤浸服，止一服见效，甚者再服已，分娩矣。
一法以五积散加醋煎服，亦能催生。崩中漏下，失血过多，久不能止，用芎归汤疗
之不止者，宜以香附子炒去皮毛，为细末，每一两入甘草末一钱，清米饮点服，名顺元汤。
有白带者，于顺元汤内加芍药半两。或谓香附耗气则不然，许学士谓滋血养气，妇人
仙药，虽羸人亦宜服之。兼治男女吐衄便利，及诸证失血，用此药佐以米饮丸百草霜末，每
服百余丸，或以其他烧灰药皆能作效，不可遽以燥涩之剂止之，必致壅遏腐败，必生他
证。大抵血不能行，气使之然者，气得其平，则血循故道，必无妄行之患矣。香附子善能
导气，用之勿疑也。
返魂丹 治妇人胎前产后诸疾危证。
上用赤箭，即野天麻，叶似艾叶，开紫花如红蓼花，子名茺蔚子，又名益母草，又
名大札，又名贞蔚，又名负担。端五日采取阴干，用叶及花子，以瓷器研为细末，炼蜜
和丸如弹子大，随后治证嚼服。其根烧存性为末，酒调服，功与黑神散不相上下。如
胎前脐腹作痛或作声者，温米饮下。胎前产后脐腹刺痛。胎动不安，下血不止，水煎
秦艽、糯米汤下，或当归汤变可。如产时先用一丸，以童子小便化下，安魂定魄，自
然气血调顺，诸病不生。又能破血止痛，养脉息，调经络，温酒下。产后胎衣不下，血
在胞中，及横生不顺，死胎经日不下者，胀满腹中，心闷心痛，炒盐汤下。产后中风，
牙关紧急，半身不遂，失音不语，童子小便、无灰酒各半下。产后咳嗽，胸膈不利，恶
心，口吐酸水，面目浮肿，两胁痛，举动失力者，温酒下。产后两太阳痛，呵欠，心
忡气短，肌体羸瘦，不思饮食，血风身热，手足顽麻，百节疼痛，温米饮汤下。产后眼
前黑暗，血晕血热，口渴烦闷，如见鬼神，狂言不省人事，薄荷自然汁，如无生者，浓煎
薄荷汤下，及童子小便。酒各半亦可。产后面垢颜赤，五心烦热，或结成血块，脐腹
奔痛，时发寒热，有冷汗者，童子小便、酒各半下，温薄荷自然汁亦可。产后余血，恶
露不尽，结滞脐腹刺痛，恶物上冲心胸闷者，童子小便、酒各半下。产后大小便不通，烦
躁口苦者，薄荷自然汁下，如无生者，浓煎薄荷汤下。 产后泻血者，水煎枣汤下。
产后白带下者，煎胶艾汤下。月水不调，温酒下。血崩漏下，温酒下。妇人久无子
息，温酒下。服之十丸至二十丸，亦能注喜。一、子死腹中，盖因卒病脏腑热极，蒸其
胎，是以子死也，盖子死不居子宫，或堕胎于腹间冷痛，小便沫出，腹胀，四肢逆冷，爪
甲青者是也。或临产之时，此药安魂定魄，血气自然调顺，诸疾不生，破血补虚止痛，养
血气，调经络，酒、童子小便各七分化下。二、难产者，胎以食母之血，十月满足，则
余血结成块，俗呼为儿枕，欲产之时，血块先动，败血裹其子，是以难产，或产后恶物
不尽，脐腹刺痛，恶物上冲心胸主闷，用童便、酒各七分化下。三、垢面颜赤，胎衣
不下，既产了，脏腑虚羸，五心烦躁，血流入衣中则难出，发寒热，有冷汗出，但去其
败血，其衣自出，如带断了，服此药下。或横生不顺，心闷欲死者，童便、酒各七分化
下，薄荷自然汁、盐汤亦可。四、产后三日，起卧不得，眼前黑暗生花，盖产后血气
未定，运走五脏，入肝则目昏，俗为暗风，医家以风治之，或血热口干烦渴，心闷乱如见
鬼神，狂言妄语，不省人事，童便、酒各七分，薄荷自然汁亦可。五、产后口干心闷
及烦渴者，血气未定，即食热面，积滞在内，以致热躁烦渴者，俗为胸膈壅盛，或两太阳
穴痛，呵欠怔忡气短，身体羸瘦，不思饮食，血风身热，手足顽麻，百节疼痛甚者，温米
饮、童便各七分化下。六、产后四肢浮肿及寒热者，盖因败血流入五脏，渗入四肢，停
留日久，化为脓状，气喘或小便涩，或咳嗽胸膈不利，恶心口吐酸水，两肋疼痛，举动
乏力，温酒化下。七、产后寒热往来，盖因败血入心则热，入脾则寒，状如疟，脐腹
【朱丹溪】治疗胎产疾病，应从厥阴经进行论述，不可损伤胃气及上三焦，这被称为“三禁”，即不可发汗、不可攻下、不可通利小便。误用发汗法，其后果如同伤寒病过早使用下法；通利大便则会导致脉数且扰动脾脏；通利小便则会导致体内津液亡失，胃中干燥。制药的原则是：如果不触犯这三项禁忌，那么营卫之气自然调和，寒热症状就会停止。如果出现口渴，可用白虎汤（清热生津方剂）；气虚则用黄芪（补气药材）；血刺痛并伴有和缓之象时加入当归（补血活血药材）；腹中疼痛则加入芍药（柔肝止痛药材）。大抵而言，产后因外感天行疫气引起的病症，宜在柴胡汤基础上增减用药；杂证则在四物汤（补血调血方剂）基础上增减用药，应当详细诊察脉象和症状后使用。总的来说，对外调和营卫，对内调理大小便，按照伤寒病误治后的坏证来治疗。
【李仲南】产前疾病只应当安胎顺气，如果是外感风、寒、暑、湿四气，或内伤喜、怒、忧、思、悲、恐、惊七情，从而形成其他疾病，治疗方法与男子无异，应当在各类证候中寻求治法，但在产前治疗其他疾病时，对于可能动胎的药物，必须仔细审查详辨。
【朱丹溪】产前应当清热养血。产前安胎，白术（健脾燥湿药材）、黄芩（清热燥湿药材）是妙药。产前临近一个月时，服用加有炒香附（理气药材）、炒白芍药（柔肝止痛药材）的三补丸（滋阴降火方剂），以蒸饼为丸服用。又用三补丸抑制火热，制成生地黄膏丸。（将黄芩、黄连、黄柏研为粉末，用生地黄膏制成丸剂。）怀孕八九个月时，必须顺气，可用枳壳（理气宽中药材）、苏茎（紫苏梗，理气宽中药材）。到了八九月，因火气动胎，气逆上冲导致喘急者，可用条芩（优质黄芩）、香附等研末调服。条芩应选用在水中下沉的重质者。固胎方：地黄半钱，当归身尾、人参、白芍、陈皮各一钱，白术一钱半，甘草三分，黄芩、川芎各半钱，黄连、炒黄柏各少许，桑上羊儿藤（即金银花，清热解毒药材）七叶完整的，糯米十四粒，切碎煎服。血虚不安者，用阿胶（补血止血药材）。疼痛者用缩砂（砂仁，化湿行气药材），因为能行血气。
《夷坚志》记载：政和年间，蔡鲁公的孙媳妇怀孕，到期患病，御医们都认为是阳证伤寒，害怕胎儿坠落不敢投用凉剂。张锐来到，查看后说：“胎儿在胎中十月即将出生了，什么药能败坏它呢。”随即按常规方法给药，并且让加倍服用，半天后孩子生下，病也随之消失。第二天产妇严重腹泻，且咽喉闭塞无法进食。众医生再次指责他的过失，并且说：“这两种疾病如冰炭不相容，而且刚生产不久，即使是神医也无能为力。”张锐说：“不必担忧，将使她当天痊愈。”于是取药数十粒让她吞服，咽喉立刻通畅，腹泻也停止了。等到满月，鲁公斟酒祝寿说：“您的医术通神，我不敢知晓，敢问一种药治愈两种疾病是怎么回事？”张锐说：“这在经典中没有记载，只是凭心意处置的，先前所用的药是用附子理中丸包裹紫雪（清热开窍药）罢了。当时咽喉闭塞不通，非至寒药不能发挥作用，既然已经咽下，紫雪就消释无余，能够到达腹中的，是附子的力量，所以一服药而两种疾病都好了。”鲁公大为惊叹奇异。
汪机治疗一位妇女，经常发生横生逆产七八胎，孩子都不能存活。汪机诊脉皆细涩颇弦，说：“这是气血两虚兼有热邪。”有人问：“气血有余，才能成妊娠，气血既然亏损，怎么能怀胎呢？”汪机说：“看她的形体长瘦而脉细濡，属于气血两虚，面色青脉弦，属于肝火时常炽盛，而两尺脉浮滑，似乎是血虚较轻而气虚较重，适宜用补阴丸去掉陈皮，加倍加入香附、人参、黄芪，制成蜜丸服用，常令连续服用。过了一年临产果然顺利并生育一子。
保生丸（出自《太平惠民和剂局方》）养胎益血，安和子宫。治疗妊娠调理失当，或因劳役导致胎动不安，腰腹痛重，胞阻漏胎，恶露时下，子宫挟带疾病，久不成胎。或者受孕后不能固养，痿弱干燥不长，过年不生产，日期虽满，转动无力，或者导致损伤流产，以及临产时节适违宜，惊动太早，产时未到，恶露先下，胎胞枯燥，导致难产，或者横生逆产，痛极闷乱，连日不生产，子死腹中，腹部冰冷，口唇青黑，吐出冷沫。新产后恶血上冲，晕闷不省人事，喘促汗出，以及瘀血未尽，脐腹疼痛，寒热往来。或者因产劳损，虚羸未恢复，面黄体瘦，心悸盗汗，饮食不进，渐成蓐劳（产后虚损劳热病）。入月常服，壮气养胎，正顺产理，润胎易产。产后常服，滋养血气，和调阴阳，密腠理，实腑脏，治风虚，除痼冷。
大麻仁（去壳一两半） 贝母 黄芩 大豆 黄卷 粳米 甘草（炙，微赤） 干姜（炮） 肉桂（去粗皮） 石斛（去根） 石膏（细研） 秦椒（微炒出汗，各一两） 当归（去芦炒，半两）
以上研为细末，炼蜜和丸如弹子大，每服一丸，并用温酒或枣汤化下，嚼咽也可以，空腹食前服。
交感地黄煎丸 治疗妇人产前产后眼见黑花，或者立即发狂，如见鬼状，胞衣不下，失音不语，心腹胀满，水谷不化，口干烦渴，寒热往来，口内生疮，咽中肿痛，心虚心悸，夜不得眠，产后中风，角弓反张，面赤，牙关紧急，崩中下血如豚肝状，脐腹疼痛，血多血少，结为癥瘕，恍惚昏迷，四肢肿满，产前胎不安，产后血刺痛，都治疗。
生地黄（净洗研，以布绞汁留滓，以生姜汁炒地黄滓，以地黄汁炒生姜滓，各至干，为末） 生姜（净洗烂研，以布绞汁，留滓，各二斤） 当归（去芦） 延胡索（拌糯米炒赤，去米） 琥珀（别研，各一两） 蒲黄（炒香，四两）
以上研为末，蜜丸弹子大。当归汤化一丸，食前服。
琥珀丸 治疗妇人胎前产后百病，以及疗三十六种血冷，七疝八瘕，心腹刺痛，卒中瘫痪，半身不遂，八风十二痹，手足酸疼，乳中毒结瘀血，怀胎惊动，伤犯不安，死胎不出，并胎衣不下，都适宜服用。
琥珀（另研） 辰砂（另研） 阿胶（碎，炒） 五味子（拣净） 石斛（去根） 附子（炮去皮脐） 肉桂（去粗皮） 沉香（不见火） 川芎（各半两） 牛膝（去芦，酒浸） 当归（去须，炒） 肉苁蓉（酒浸，炒） 人参 续断 没药（研） 熟地黄 木香（不见火，各一两）
以上研为细末，炼蜜和丸如弹子大。每服一丸，空心暖酒化下，午后食前再服，能生新血，去恶血。若腹胁疼痛，绕脐如刀刺，以及呕逆上气筑心，痰毒，不思饮食，用姜汁少许，和酒化服。诸痢及赤白带下，血冷，崩中下血，漏胎下血，用生姜与艾，锉、炒令赤色，入酒同煎数沸，去滓调服。泄泻不止，陈米饮化服。涩尿诸淋，煎通草、灯心汤服。血晕不知人，煎当归酒调服。上热下冷，煎人参汤服。遍身虚肿水气，煎赤小豆汤服。产内二毒伤寒，以及中风角弓反张如板硬，煎麻黄汤服，以衣被盖出汗。月经不通，或间杂五色，频并而下，断续不止，饮食无味，肌肤瘦劣，面赤唇焦，乍寒乍热，四肢烦疼，五心燥热，黑斑，遍身血斑，赤肿走注，以及血风劳伤无力，用童子小便入姜汁少许调服。常服以童便为妙，若恐恶心，和以半酒。如怀胎妇于临月一日一服，至产下不觉疼痛，或者服至五服十服，日倍饮食，是药力也，其功不能具述。
龙须汤 治疗胎前产后身疼。保室论说：身疼者，肌体不实而受风邪，客于经络，邪气与正气相搏，交击于骨肉之间，故身疼而不动，用龙须汤主治。如果妊娠而患身体疼者，必定因劳役过多致使如此。不然，经络受风寒，愈痛丸、防风汤主治。产者如果因劳役身疼而不能动转者，良由产后百节开张，血脉流走，气弱则骨肉之间血多凝滞，是故百节经脉紧急，腰背不能转侧，手足不能动摇，身热若纳炭，头如钉钉，医者不识，妄为伤寒发汗，变生他证，适宜服用。
黄芪（一两，蜜炙） 当归（去芦，酒浸） 牛膝（洗去苗，酒浸一宿，如急用，酒蒸熟为度） 白术 防风（去芦） 独活（去芦） 甘草（各二钱半）
以上切碎，每服半两，水五盏，生姜十片，薤白一握，同煎至三盏，去滓不拘时服。
佛手散 治疗产前产后，腹痛体热头疼，以及才产未进别物，即先服此药，逐败血，生新血，能除诸疾。
川芎（二两） 当归（三两）
以上研为细末，每服二钱，水一盏，酒二分，同煎七分温服。一方为粗末，每服四钱，水七分，酒三分，同煎至七分热服，未产前先安排此药，将两服药煎之，产了速进之，三日内日二服，三日外一服。一方名芎归汤，只此二味，等分切碎水煎，专治失血伤胎去血，产后去血，崩中去血，金疮去血，拔牙去血不止，一切去血过多，心烦眩晕，闷绝不省人事，头重目暗，举头欲倒，都能治疗。如果产后眩晕，适宜加芍药服用。一名桂香散，治疗产后腹疼不可忍者，加桂心等分，酒与童子小便合煎，服之立效。一名当归汤，治疗妊娠子死，或未死胎动不安，每服用酒水合煎，连进数服。胎若已死，服之便下。若未死其胎即安。此经累效，万不失一。一名琥珀散，临月服之，只缩胎易产，兼治产后诸疾。一名羊肉汤，治疗虚损羸乏，腹中疼痛，往来寒热，吸吸少气，不能支持，头眩自汗，腹内拘急，每服用精羊肉一两，生姜十片，水二盏，煎至六分，温服。一名君臣散，治疗妇人室女心腹疼痛，经脉不调，用水煎服。如果妊妇胎气不安，产后诸疾，加酒煎服。一名芎当散，治疗妇人血气，上喘下肿，二味等分为细末，每服二钱，空心煎艾汤调下。又治疗产后损身，血冲心及腹胀气绝者，神验。难生倒横，子死腹中，先用黑大豆一大合炒熟，水一盏，入童子小便一盏，药末四钱，同煎至一盏，以上分为二服。未效再作。产后恶血注心，迷闷喘急腹痛，根据前用黑豆加生姜自然汁半合煎服。治脏毒，每服一钱半，入炒槐花末半钱，水一盏，煎至六分，无时服，三日取下血块即愈。如产后头疼，加荆芥煎，如吐血亦宜服之。若产难，多用百草霜、香白芷等分为末，名乌金散，每服二钱，童子小便好醋各一合，沸汤浸服，止一服见效，甚者再服已，分娩矣。一法以五积散加醋煎服，亦能催生。崩中漏下，失血过多，久不能止，用芎归汤疗之不止者，适宜以香附子炒去皮毛，为细末，每一两入甘草末一钱，清米饮点服，名顺元汤。有白带者，于顺元汤内加芍药半两。或谓香附耗气则不然，许学士说滋血养气，妇人仙药，虽羸人亦适宜服用。兼治男女吐衄便利，以及诸证失血，用此药佐以米饮丸百草霜末，每服百余丸，或者以其他烧灰药皆能作效，不可遽以燥涩之剂止之，必致壅遏腐败，必生他证。大抵血不能行，气使之然者，气得其平，则血循故道，必无妄行之患矣。香附子善能导气，用之勿疑也。
返魂丹 治疗妇人胎前产后诸疾危证。
以上用赤箭，即野天麻，叶似艾叶，开紫花如红蓼花，子名茺蔚子，又名益母草，又名大札，又名贞蔚，又名负担。端五日采取阴干，用叶及花子，以瓷器研为细末，炼蜜和丸如弹子大，随后治证嚼服。其根烧存性为末，酒调服，功与黑神散不相上下。如胎前脐腹作痛或作声者，温米饮下。胎前产后脐腹刺痛。胎动不安，下血不止，水煎秦艽、糯米汤下，或者当归汤变可。如产时先用一丸，以童子小便化下，安魂定魄，自然气血调顺，诸病不生。又能破血止痛，养脉息，调经络，温酒下。产后胎衣不下，血在胞中，以及横生不顺，死胎经日不下者，胀满腹中，心闷心痛，炒盐汤下。产后中风，牙关紧急，半身不遂，失音不语，童子小便、无灰酒各半下。产后咳嗽，胸膈不利，恶心，口吐酸水，面目浮肿，两胁痛，举动失力者，温酒下。产后两太阳痛，呵欠，心忡气短，肌体羸瘦，不思饮食，血风身热，手足顽麻，百节疼痛，温米饮汤下。产后眼前黑暗，血晕血热，口渴烦闷，如见鬼神，狂言不省人事，薄荷自然汁，如无生者，浓煎薄荷汤下，以及童子小便。酒各半亦可。产后面垢颜赤，五心烦热，或者结成血块，脐腹奔痛，时发寒热，有冷汗者，童子小便、酒各半下，温薄荷自然汁亦可。产后余血，恶露不尽，结滞脐腹刺痛，恶物上冲心胸闷者，童子小便、酒各半下。产后大小便不通，烦躁口苦者，薄荷自然汁下，如无生者，浓煎薄荷汤下。产后泻血者，水煎枣汤下。产后白带下者，煎胶艾汤下。月水不调，温酒下。血崩漏下，温酒下。妇人久无子息，温酒下。服之十丸至二十丸，也能注喜（怀孕）。一、子死腹中，大概因卒病脏腑热极，蒸其胎，是以子死也，盖子死不居子宫，或者堕胎于腹间冷痛，小便沫出，腹胀，四肢逆冷，爪甲青者是也。或者临产之时，此药安魂定魄，血气自然调顺，诸疾不生，破血补虚止痛，养血气，调经络，酒、童子小便各七分化下。二、难产者，胎以食母之血，十月满足，则余血结成块，俗呼为儿枕，欲产之时，血块先动，败血裹其子，是以难产，或者产后恶物不尽，脐腹刺痛，恶物上冲心胸主闷，用童便、酒各七分化下。三、垢面颜赤，胎衣不下，既产了，脏腑虚羸，五心烦躁，血流入衣中则难出，发寒热，有冷汗出，但去其败血，其衣自出，如带断了，服此药下。或者横生不顺，心闷欲死者，童便、酒各七分化下，薄荷自然汁、盐汤亦可。四、产后三日，起卧不得，眼前黑暗生花，大概产后血气未定，运走五脏，入肝则目昏，俗为暗风，医家以风治之，或者血热口干烦渴，心闷乱如见鬼神，狂言妄语，不省人事，童便、酒各七分，薄荷自然汁亦可。五、产后口干心闷以及烦渴者，血气未定，即食热面，积滞在内，以致热躁烦渴者，俗为胸膈壅盛，或者两太阳穴痛，呵欠怔忡气短，身体羸瘦，不思饮食，血风身热，手足顽麻，百节疼痛甚者，温米饮、童便各七分化下。六、产后四肢浮肿以及寒热者，大概因败血流入五脏，渗入四肢，停留日久，化为脓状，气喘或者小便涩，或者咳嗽胸膈不利，恶心口吐酸水，两肋疼痛，举动乏力，温酒化下。七、产后寒热往来，大概因败血入心则热，入脾则寒，状如疟，脐腹
[Ju Danxi] In treating diseases related to pregnancy and childbirth, one should reason from the Jueyin Meridian (Jueyin Channel), without violating Stomach Qi (Stomach Energy) and the Upper Sanjiao (Triple Burner). This is called the "Three Prohibitions": do not induce sweating, do not purge downward, and do not promote urination. Inducing sweating leads to a condition similar to premature purgation in Cold Damage (Shanghan); promoting bowel movements causes rapid pulse and disturbs the Spleen; promoting urination leads to loss of body fluids internally and dryness in the Stomach. The principle of preparing medicines is: if these three prohibitions are not violated, Ying and Wei (Nutritive and Defensive Qi) will harmonize naturally, and chills and fever will cease. If thirst occurs, use Baihu Tang (White Tiger Decoction); if Qi is weak, use Huangqi (Astragalus Root); if there is stabbing pain in the blood with a harmonious quality, add Danggui (Angelica Sinensis); if there is abdominal pain, add Shaoyao (Peony Root). Generally speaking, for postpartum conditions caused by epidemic pathogens, modify Chaihu Tang (Bupleurum Decoction); for miscellaneous diseases, modify Siwu Tang (Four Substance Decoction). One should carefully observe the pulse and symptoms before using them. In general, externally harmonize Ying and Wei, internally regulate bowel movements and urination, and treat it as a complicated syndrome resulting from mishandled Cold Damage.
[Li Zhongnan] For pre-partum diseases, one should only focus on calming the fetus and smoothing Qi. If external contraction of Wind, Cold, Summerheat, or Dampness, or internal injury from Joy, Anger, Worry, Thought, Sorrow, Fear, or Fright leads to other diseases, the treatment methods are no different from those for men; one should seek remedies within the respective disease categories. However, when treating other conditions during pregnancy, one must carefully examine and verify any agents that might disturb the fetus.
[Ju Danxi] During pregnancy, one should clear heat and nourish blood. For calming the fetus before delivery, Baizhu (Atractylodes Macrocephala Rhizome) and Huangqin (Scutellaria Baicalensis Root) are excellent herbs. One month before delivery, take Sanbu Wan (Three Tonics Pill) added with fried Xiangfu (Cyperus Rotundus Rhizome) and fried Shaoyao (Peony Root), formed into pills with steamed wheat cake dough. To suppress heat, use Sanbu Pill made into pills with Shengdihuang Paste (Powdered Huangqin, Huanglian, and Huangbai mixed with Shengdihuang Paste). At eight or nine months of pregnancy, one must smooth Qi using Zhiqiao (Aurantii Fructus) and Sujing (Perillae Caulis). When reaching eight or nine months, if fire agitates the fetus causing rebellious Qi and wheezing urgency, use Tiaohuangqin (Premium Scutellaria) and Xiangfu powdered and taken with water. Select Tiaohuangqin that sinks in water, indicating density. To secure the fetus: use Dihuang (Rehmannia Root) half qian, Danggui Shenwei (Angelica Sinensis Root tip and tail), Renshen (Ginseng Root), Shaoyao (Peony Root), and Chenpi (Citrus Reticulata Peel) each one qian, Baizhu (Atractylodes Macrocephala Rhizome) one and a half qian, Gancao (Licorice Root) three fen, Huangqin (Scutellaria Baicalensis Root) and Chuanxiong (Ligusticum Chuanxiong Rhizome) half qian each, Huanglian (Coptis Chinensis Rhizome) and fried Huangbo (Phellodendron Amurense Bark) a small amount, Sangshangyangerteng (Honeysuckle Stem growing on Mulberry, i.e., Honeysuckle Flower) seven complete leaves, and fourteen glutinous rice grains; chop and decoct for administration. For blood deficiency causing insecurity, use Ejiao (Donkey-hide Gelatin). For pain, use Suosha (Amomum Villosum Fruit) because it moves blood and Qi.
*Yijian Zhi* records: During the Zhenghe era, the granddaughter-in-law of Duke Cai Lu fell ill at term. Imperial physicians believed it was Yang-pattern Cold Damage and feared fetal expulsion, so they dared not administer cooling agents. Zhang Rui arrived, examined her, and said, "The fetus has been in the womb for ten months and is about to be born; what medicine could ruin it?" He immediately prescribed standard medication and instructed doubling the dose. Half a day later, the child was born, and the illness disappeared. The next day, the woman suffered severe diarrhea and throat closure preventing food intake. Other doctors criticized his error again, saying, "These two ailments are like ice and charcoal; furthermore, she has just given birth. Even a master of life would have no remedy." Zhang Rui said, "Do not worry; I will cure her today." He took dozens of pills and had her swallow them. Her throat opened immediately, and the diarrhea stopped. At the full month celebration, Duke Lu poured wine to toast him, saying, "Your skills are divine. I dare not ask how, but may I ask how one medicine cured two ailments?" Zhang Rui replied, "This is not recorded in the classics; I acted according to my judgment. The medicine used previously was Fuzi Lizhong Wan (Aconite and Poria Decocting Pill) wrapped in Zixue (Purple Snow). At that time, the throat was blocked; only extreme cold medicines could work. Once swallowed, Zixue dissipated completely; what reached the abdomen was the power of Fuzi (Aconite Lateral Root). Thus, one dose cured both ailments." The Duke was greatly amazed.
Wang Ji treated a woman who had experienced transverse and breech deliveries seven or eight times, with all children failing to survive. Wang Ji's pulse diagnosis revealed fine, choppy, and slightly wiry pulses. He said, "This is a dual deficiency of Qi and Blood accompanied by Heat." Someone asked, "If Qi and Blood are sufficient, pregnancy can form; if Qi and Blood are deficient, how can the fetus survive?" Wang Ji said, "Her long and thin physique with fine and soggy pulses indicates dual deficiency of Qi and Blood. Her bluish complexion and wiry pulse indicate frequent flaring of Liver Fire. The floating and slippery pulses at the Chi position suggest that Blood deficiency is lighter while Qi deficiency is heavier. It is appropriate to use Buyin Wan (Nourish Yin Pill), removing Chenpi (Citrus Reticulata Peel), and doubling the dosage of Xiangfu (Cyperus Rotundus Rhizome), Renshen (Ginseng Root), and Huangqi (Astragalus Root). Form into honeyed pills and take continuously. After a year, she delivered smoothly and bore a son.
Baosheng Wan (from *Ju Fang*) nourishes the fetus and benefits blood, calming and harmonizing the Zi Zang (Uterus). It treats improper management during pregnancy, or fetal movement and insecurity due to labor/overexertion, heavy pain in the lower back and abdomen, placental obstruction and leaking fetus, intermittent lochia, uterine pathology preventing conception, or failure to maintain pregnancy leading to atrophy, dryness, failure to grow, passing the due date without delivery, full term but lack of strength to move, potentially causing miscarriage. It also treats inappropriate timing during labor, premature excitement, lochia appearing before labor begins, dry placenta leading to difficult labor, transverse or breech presentation, extreme pain and confusion, prolonged labor without delivery, dead fetus in the uterus, cold abdomen, blue-black lips, and vomiting of cold foam. It treats postpartum evil blood rushing upward causing fainting and unconsciousness, panting and sweating, incomplete expulsion of stasis, umbilical and abdominal pain, alternating chills and fever. It treats damage from labor, lingering emaciation, sallow complexion, thin body, palpitations, night sweats, poor appetite, gradually developing into Chulao (Postpartum Consumption). Taken monthly, it strengthens Qi, nourishes the fetus, regulates labor, moistens the fetus for easy delivery. Taken postpartum, it nourishes blood and Qi, harmonizes Yin and Yang, tightens Cou Li (pores/skin texture), solidifies Zang-Fu organs, treats Wind-Deficiency, and removes chronic cold.
Hemp Seed (Dehusked, 1.5 liang) Beimu (Fritillaria Bulb) Huangqin (Scutellaria Baicalensis Root) Soybean Huangjuan (Yellowed Bean Sprouts) Jingmi (Glutinous Rice) Gancao (Licorice Root, roasted, slightly red) Ganjiang (Dried Ginger, processed) Rougui (Cinnamon Bark, rough bark removed) Shihu (Dendrobium Stem, roots removed) Shigao (Gypsum Fibrosum, finely ground) Qinjiao (Gentiana Macrophylla Root) (lightly stir-fried to release moisture, each 1 liang) Danggui (Angelica Sinensis Root, de-rhizome, fried, 0.5 liang)
Grind into fine powder, mix with refined honey to form pills the size of quail eggs. Take one pill per dose, dissolved in warm wine or jujube soup, or chewed. Take on an empty stomach before meals.
Jiaogan Dihuang Jianwan Treats women seeing black spots before the eyes before or after delivery, sudden mania resembling hallucinations, retained placenta, aphonia, chest and abdominal distension, inability to digest food and water, dry mouth with vexatious thirst, alternating chills and fever, oral ulcers, swollen and painful throat, Heart deficiency with palpitations, insomnia, postpartum Wind-stroke, opisthotonos, flushed face, locked jaw, metrorrhagia with blood resembling pig liver, umbilical and abdominal pain, varying amounts of bleeding, formation of masses (Zheng and Jia), trance and coma, swollen limbs, fetal insecurity before delivery, and stabbing blood pain after delivery.
Raw Rehmannia Root (Clean, wash, grind, squeeze juice through cloth, reserve dregs; stir-fry dregs with fresh ginger juice, stir-fry ginger dregs with Rehmannia juice until dry, then powder) Fresh Ginger (Clean, mash, squeeze juice, reserve dregs, each 2 jin) Danggui (Angelica Sinensis Root, de-rhizome) Yanhusuo (Corydalis Rhizome, stir-fried with glutinous rice until red, remove rice) Amber (separately ground, each 1 liang) Puhuang (Typha Pollen, fragrant fried, 4 liang)
Grind into powder, form into pills the size of quail eggs with honey. Dissolve one pill in Danggui Decoction, take before meals.
Hupo Wan Treats hundred diseases before and after delivery in women, as well as thirty-six types of Blood-Cold, seven types of Hernia and eight types of Masses, stabbing pain in the Heart and Abdomen, apoplexy with paralysis, hemiplegia, Eight Winds and Twelve Bi syndromes, soreness and pain in hands and feet, toxic accumulation and blood stasis in breasts, fetal disturbance during pregnancy, injury and insecurity, retained dead fetus, and retained placenta. All are suitable for this prescription.
Amber (separately ground) Cinnabar (separately ground) Ejiao (Donkey-hide Gelatin, broken, fried) Wuweizi (Schisandra Berry, cleaned) Shihu (Dendrobium Stem, roots removed) Fuzi (Aconite Lateral Root, processed, skin and buds removed) Rougui (Cinnamon Bark, rough bark removed) Chenxiang (Aquilaria Wood, avoid fire) Chuanxiong (Ligusticum Chuanxiong Rhizome, each 0.5 liang) Niuxi (Achyranthes Root, de-rhizome, soaked in wine) Danggui (Angelica Sinensis Root, de-tips, fried) Rongzhuu (Cistanche Deserticola, soaked in wine, fried) Renshen (Ginseng Root) Xuduan (Drynaria Rhizome) Moyao (Myrrh, ground) Shudihuang (Prepared Rehmannia Root) Muxiang (Vladimiria Root, avoid fire, each 1 liang)
Grind into fine powder, mix with refined honey to form pills the size of quail eggs. Take one pill on an empty stomach dissolved in warm wine, and another dose before afternoon meals. It generates new blood and eliminates evil blood. For flank and abdominal pain, stabbing around the navel, rebellious Qi striking the Heart, phlegm-toxin, and loss of appetite, dissolve with a little Ginger Juice and wine. For various dysenteries, red and white leukorrhea, Blood-Cold, metrorrhagia, and leaking fetus, chop fresh Ginger and Aiye (Mugwort Leaf), stir-fry until red, decoct in wine, strain, and take. For persistent diarrhea, dissolve in aged rice water. For stranguria and various Lin syndromes, decoct Tongcao (Tetrapanax Pith) and Dengxincao (Juncus Effusus Axis) and take. For blood syncope with unconsciousness, dissolve in Danggui Wine. For upper heat and lower cold, decoct Renshen Tea. For generalized edema and water retention, decoct Xiaodou (Red Bean) and take. For postpartum Double-Toxin Cold Damage and Wind-stroke with opisthotonos rigid as a board, decoct Mahuang Tang (Ephedra Decoction), cover with clothes/blankets to induce sweating. For amenorrhea, or intermixed five colors flowing frequently and intermittently, loss of taste, emaciated skin, flushed face, cracked lips, alternating chills and fever, vexatious pain in limbs, burning sensation in Five Hearts, dark spots, widespread blood spots, moving red swelling, and weakness from Blood-Wind consumption, mix with young boy's urine and a little Ginger Juice. Using young boy's urine is best for regular use; if it causes nausea, mix with half wine. For pregnant women near term, taking one dose daily until delivery results in no pain perception. Taking five to ten doses increases appetite daily due to medicinal power; its merits cannot be fully described.
Longxu Tang Treats body pain before and after delivery. *Baoshi Lun* states: Body pain occurs when the body is deficient and receives Wind-Evil, lodging in the meridians. Evil Qi battles Righteous Qi, clashing between bone and flesh, causing body pain and immobility. Longxu Tang is the primary treatment. If pregnancy involves body pain, it is likely due to excessive labor. Otherwise, for Wind-Cold invading meridians, Yutong Wan (Pain Relief Pill) or Fangfeng Tang (Saposhnikovia Decoction) are primary treatments. For postpartum body pain and immobility due to labor, it is because after birth, the joints open, blood vessels flow freely, and weak Qi causes blood stagnation between bone and flesh. Thus, joint meridians become tense, the lower back cannot turn, hands and feet cannot move, body heat feels like swallowing charcoal, head feels like nails driving in. Unaware physicians mistakenly induce sweating for Cold Damage, generating other syndromes. This prescription is suitable.
Huangqi (Astragalus Root, 1 liang, honey-roasted) Danggui (Angelica Sinensis Root, de-rhizome, wine-soaked) Niuxi (Achyranthes Root, wash off sprouts, wine-soak overnight; if urgent, steam熟 in wine) Baizhu (Atractylodes Macrocephala Rhizome) Fangfeng (Saposhnikovia Root, de-rhizome) Du Huo (Angelica Pubescens Root, de-rhizome) Gancao (Licorice Root, each 2.5 qian)
Chop coarsely. Take 0.5 liang per dose, with 5 cups of water, 10 slices of fresh Ginger, and a handful of Xiebai (Allium Macrostemon Bulb). Decoct to 3 cups, strain, and take at any time.
Foshou San Treats pre- and post-partum abdominal pain, body heat, headache. Immediately after delivery, before consuming other foods, take this medicine first to expel bad blood, generate new blood, and eliminate various ailments.
Chuanxiong (Ligusticum Chuanxiong Rhizome, 2 liang) Danggui (Angelica Sinensis Root, 3 liang)
Grind into fine powder. Take 2 qian per dose, with 1 cup of water and 0.2 parts wine. Decoct to 0.7 parts, take warm. Another method uses coarse powder, 4 qian per dose, 0.7 parts water, 0.3 parts wine, decoct to 0.7 parts, take hot. Arrange this medicine before delivery; prepare two doses. After delivery, administer quickly. Twice daily for three days, once daily thereafter. Another name is Xiong Gui Tang (Cyperi et Angelicae Decoction), consisting of these two ingredients in equal parts, chopped and decocted in water. Specifically treats blood loss injuring the fetus, postpartum blood loss, metrorrhagia, traumatic bleeding, dental extraction bleeding that won't stop, excessive blood loss from any cause, mental restlessness, vertigo, fainting and unconsciousness, heavy head, dim vision, feeling of falling. It treats all these. For postpartum vertigo, add Shaoyao (Peony Root). Another name is Guixiang San (Cinnamon and Cyperus Powder), treating unbearable postpartum abdominal pain; add Rougui (Cinnamon Bark) in equal parts, decoct with wine and young boy's urine for immediate effect. Another name is Dang Gui Tang (Angelica Decoction), treating dead fetus in pregnancy or fetal movement insecurity; decoct with wine and water, take several doses. If the fetus is dead, it expels it. If alive, it calms it. This has proven effective repeatedly, never failing. Another name is Hupo San (Amber Powder), taken near term to shrink the fetus for easy delivery and treat postpartum ailments. Another name is Yangrou Tang (Mutton Decoction), treating deficiency and emaciation, abdominal pain, alternating chills and fever, shortness of breath, inability to support oneself, dizziness, spontaneous sweating, abdominal tension. Take 1 liang of lean mutton, 10 slices of fresh Ginger, 2 cups of water, decoct to 0.6 parts, take warm. Another name is Jun Chen San (Ruler and Minister Powder), treating Heart and Abdominal pain in unmarried women, irregular menstruation; decoct in water. For pregnant women with insecure fetal Qi or postpartum ailments, add wine. Another name is Xiong Dang San (Cyperi et Angelicae Powder), treating Women's Blood and Qi disorders, upper asthma and lower edema. Grind two ingredients equally into fine powder, take 2 qian on an empty stomach with mugwort tea. Also treats postpartum body damage, Blood rushing to the Heart, abdominal distension with Qi blockage; highly effective. For difficult transverse delivery or dead fetus in uterus, first fry 1 he of Black Soybeans until cooked, add 1 cup of water and 1 cup of young boy's urine, 4 qian of powder, decoct to 1 cup, divide into two doses. Repeat if ineffective. For postpartum evil blood rushing to the Heart causing confusion, panting, urgent abdominal pain, use Black Soybeans plus half he of fresh Ginger Juice decocted and taken. For Zang Du (Visceral Toxicity), take 1.5 qian, add 0.5 qian of fried Sophora Flower powder, 1 cup of water, decoct to 0.6 parts, take anytime; blood clots expelled in three days cures it. For postpartum headache, add Jingjie (Schizonepeta Spike) and decoct; also suitable for hematemesis. For difficult labor, use Baicaoshuang (Charred Grass Ash) and Xiangbaizhi (Aucklandiae Radix) in equal parts, powdered, named Wu Jin San (Black Gold Powder). Take 2 qian with 1 he each of young boy's urine and good vinegar, soak in boiling water and drink. One dose shows effect; severe cases require a second dose for delivery. Another method uses Wuji San (Five Accumulations Powder) decocted with vinegar to induce labor. For metrorrhagia and spotting, excessive blood loss unable to stop for a long time, if Xiong Gui Tang fails, use Xiangfu (Cyperus Rotundus Rhizome) fried, peeled, powdered. Add 1 qian of Gancao (Licorice Root) powder per 1 liang of Xiangfu powder, mix with clear rice water and take, named Shun Yuan Tang (Smooth Origin Soup). For white leukorrhea, add 0.5 liang of Shaoyao (Peony Root) to Shun Yuan Tang. Some say Xiangfu consumes Qi, but this is incorrect. Scholar Xu stated it nourishes blood and tonifies Qi, a fairy medicine for women, suitable even for the emaciated. It also treats vomiting and epistaxis in men and women, loose stools, and blood loss from various syndromes. Use this medicine with rice water to form pills with Baicaoshuang powder, take over 100 pills, or other ash medicines are effective. Do not abruptly stop bleeding with drying/astringent agents, as this causes stagnation and corruption, generating other syndromes. Generally, if Blood cannot move, it is due to Qi. When Qi is balanced, Blood follows its proper path, avoiding reckless movement. Xiangfu excels at guiding Qi; use it without doubt.
Fanhun Dan Treats critical conditions of various diseases before and after delivery in women.
Use Chi Jian (Wild Gastrodia Elata Rhizome/Tianma), whose leaves resemble Mugwort, opening purple flowers like Red Smartweed. The seed is named Chongweizi, also known as Yimucao (Motherwort Herb), Dazha, Zhenwei, or Fudan. Harvest on the Fifth Day of the Fifth Lunar Month, shade-dry. Use leaves, flowers, and seeds, grind into fine powder in a porcelain vessel, mix with refined honey to form pills the size of quail eggs. Chew and take according to the syndrome. The root, burned to retain character, powdered and taken with wine, has efficacy comparable to Heishen San (Black Divine Powder). For pre-partum abdominal pain or sounds, take with warm rice water. For pre- and post-partum stabbing abdominal pain. For fetal movement insecurity and continuous bleeding, decoct Qinjiao (Gentiana Macrophylla Root) and Glutinous Rice in water and take, or modify Dang Gui Tang. At delivery, take one pill first dissolved in young boy's urine to calm the Soul and Spirit, naturally harmonizing Qi and Blood, preventing various diseases. It also breaks blood, stops pain, nourishes vessels and tendons, regulates meridians; take with warm wine. For postpartum retained placenta, blood in the uterus, transverse difficult delivery, or dead fetus not expelled for days causing abdominal distension, Heart oppression, and Heart pain, take with fried salt water. For postpartum Wind-stroke, locked jaw, hemiplegia, aphonia, take with half young boy's urine and half non-ash wine. For postpartum cough, chest diaphragm discomfort, nausea, vomiting sour water, facial and eye edema, hypochondriac pain, weakness in movement, take with warm wine. For postpartum bilateral temporal headache, yawning, palpitations, shortness of breath, emaciation, loss of appetite, Blood-Wind body heat, numbness in hands and feet, joint pain, take with warm rice water. For postpartum visual darkness, blood syncope, blood heat, dry mouth, vexatious oppression, hallucinations, mania, unconsciousness, take with fresh Mint Juice; if unavailable, decoct strong Mint Tea, or young boy's urine and wine (half each). For postpartum dirty face, flushed complexion, burning sensation in Five Hearts, blood clots, running abdominal pain, intermittent chills and fever, cold sweat, take with half young boy's urine and half wine; warm fresh Mint Juice is also suitable. For postpartum residual blood, incomplete lochia, stagnation causing stabbing abdominal pain, evil matter rushing to Heart causing oppression, take with half young boy's urine and half wine. For postpartum urinary and fecal retention, irritability, bitter taste, take with fresh Mint Juice; if unavailable, decoct strong Mint Tea. For postpartum hemorrhage, take with water-decocted jujube soup. For postpartum white leukorrhea, take with Jiao Ai Tang (Collagen and Mugwort Decoction). For irregular menstruation, take with warm wine. For metrorrhagia and spotting, take with warm wine. For women infertile for a long time, take with warm wine. Taking 10 to 20 pills can induce pregnancy.
1. Dead fetus in uterus: Likely due to sudden organ heat steaming the fetus. The dead fetus does not remain in the uterus; signs include cold pain in the abdomen, frothy urine, abdominal distension, cold extremities, and blue nails. Or at delivery, this medicine calms the Soul and Spirit, harmonizes Qi and Blood, prevents disease, breaks blood, tonifies deficiency, stops pain, nourishes Qi and Blood, regulates meridians; take with half wine and half young boy's urine.
2. Difficult labor: The fetus feeds on maternal blood for ten months; remaining blood forms a mass, commonly called 'Child Pillow'. At delivery, the blood mass moves first, wrapping the fetus in bad blood, causing difficulty. Or postpartum, incomplete expulsion of evil matter causes stabbing abdominal pain and rushing to Heart/Chest causing oppression; take with half young boy's urine and half wine.
3. Dirty face, flushed complexion, retained placenta: After delivery, organs are deficient, Five Hearts are vexatious, blood flows into the placenta making it hard to exit, causing chills, fever, and cold sweat. Expelling the bad blood allows the placenta to exit naturally, like a severed belt. Take this medicine. Or transverse difficult delivery, Heart oppression nearing death; take with half young boy's urine and half wine; fresh Mint Juice or salt water is also suitable.
4. Three days postpartum, unable to rise or lie down, visual darkness and spots: Postpartum Qi and Blood are unsettled, circulating through the Five Zang. Entering the Liver causes dim vision, commonly called Dark Wind, treated by physicians as Wind. Or Blood Heat causing dry mouth, vexatious thirst, Heart oppression resembling hallucinations, mania, unconsciousness; take with half young boy's urine and half wine; fresh Mint Juice is also suitable.
5. Postpartum dry mouth, Heart oppression, and vexatious thirst: Qi and Blood unsettled, eating hot noodles causes stagnation, leading to heat, restlessness, and thirst, commonly called Chest-Diaphragm Fullness. Or bilateral temporal headache, yawning, palpitations, shortness of breath, emaciation, loss of appetite, Blood-Wind body heat, numbness, severe joint pain; take with half warm rice water and half young boy's urine.
6. Postpartum limb edema and chills/fever: Due to bad blood flowing into Five Zang, seeping into limbs, staying long, turning to pus. Panting, difficult urination, cough, chest discomfort, nausea, vomiting sour water, hypochondriac pain, weakness; dissolve in warm wine.
7. Postpartum alternating chills and fever: Due to bad blood entering the Heart causing heat, entering the Spleen causing cold, resembling malaria, affecting the abdomen...