凡胎死腹中,外证指甲青黑,胀闷不食,口中极臭,用平胃散。加朴硝五钱,水、酒煎
服。其胎化成血水而下。如血干有寒者芎归汤下。或服桂香丸,或服立竿见影方。
平胃散∶苍术二钱,陈皮、浓朴、甘草各一钱。
芎归汤∶即佛手散。
桂香丸∶肉桂、麝香。
立竿见影方∶黄葵花三钱,牡丹花三分,真芜荑三分,麝香一分,桑牛半个,巴豆半粒
去油,蓖麻半粒去油,共为末,醋糊为丸如弹子大,大黄为衣。临用研碎一丸,热酒和香油
少许送下。
按∶此方用葱汁打糊作丸更炒,此方活水瘦胎软骨,一切横生逆产死胎立下。
如双胎一死一活者,用蟹爪一两,甘草二两,东流水十盏,煎至三盏,去渣,入阿胶三
两,作三次顿服,能令生者安,死者出。
加味脱花煎∶治胞衣带断及胎死腹中奇效。全当归二钱,黑炮姜八分,净车前子一钱,
大川芎三钱,川牛膝一钱,东京桂(去粗皮,研末冲)六分,炙粉草八分,加芒硝五钱(冲
服
及
产毕不可实时卧倒,当根据人坐定,令人以热手从心下轻轻揉挪至脐腹五六次,然后睡下
。亦不可久坐,以致耗乏。睡时仍不时揉按。庶使恶露不滞,其法须将两足竖起,坐不可伸
膝。其睡须高枕浓褥,四壁无风。
产毕即服生化汤二三帖,连进数碗,如饥,则服一煎后食白粥,不可过饱,片时即服第
二煎。如不饥,将药服完,然后进食,自无块痛诸病。
产母腹中,时用小衣烘暖温之,即暑天亦不可缺被,或以薄棉衣盖护心腹。如春、冬天
气严寒,尤当密闭产室,四围置火,常令和暖,且下部衣被更宜加浓,方免胎寒血凝,变生
诸证。
初产不可问是男是女,恐因言多泄气,或以爱憎动气,皆能致病。不可独宿,恐致虚惊
;犯时微若秋毫,成病重于山岳,可不慎哉!
凡是胎死在腹中,外在表现为指甲青黑,腹部胀闷不想进食,口中气味极臭,使用平胃散。加入朴硝五钱,用水和酒煎煮后服用。胎儿会化成血水排出。如果血液干涸且有寒象的,用芎归汤送服。或者服用桂香丸,或者服用立竿见影方。
立竿见影方:黄葵花三钱,牡丹花三分,真芜荑三分,麝香一分,桑牛半个,巴豆半粒(去油),蓖麻半粒(去油),共研为细末,用醋糊制成如弹子大小的丸剂,以大黄粉末为衣。临用时将一丸研碎,用热酒调和少许香油送下。
按语:此方如果用葱汁打糊制作丸剂并炒制,此方能促进血液循环,使胎儿瘦小骨骼柔软,一切横位、逆产及死胎都能立即排出。
如果是双胎,其中一死一活的情况,使用蟹爪一两,甘草二两,东流水十盏,煎煮至三盏,滤去药渣,加入阿胶三两,分三次一次性服完,能使存活者平安,死者排出。
加味脱花煎:治疗胞衣带断以及胎死腹中有奇效。全当归二钱,黑炮姜八分,净车前子一钱,大川芎三钱,川牛膝一钱,东京桂(去掉粗皮,研成末冲服)六分,炙粉草八分,加入芒硝五钱(冲服)。
分娩结束后不可立即躺下,应当让人扶着坐定,由他人用热手从心下轻轻揉挪至脐腹部五六次,然后才能睡下。也不可久坐,以免耗损体力。睡觉时仍要不时揉按。这样才能使恶露不滞留,方法必须将两足竖起,坐着时不可伸直膝盖。睡觉时需要高枕厚褥,四周无风。
分娩结束后立即服用生化汤二三帖,连续喝几碗,如果饿了,就在一煎之后吃白粥,不可过饱,片刻后即服第二煎。如果不饿,将药服完后,再进食,自然就不会出现瘀块疼痛等病症。
产妇腹中,时常用小衣物烘暖温暖它,即使是夏天也不可不盖被子,或者用薄棉衣覆盖保护心腹部。如果在春天、冬天天气严寒,尤其应当密闭产房,四周放置火源,经常保持温和,且下部衣被更应加厚,这样才能避免胎寒血凝,变生各种病症。
刚分娩后不可询问是男是女,恐怕因为言语过多导致泄气,或者因为喜爱或憎恶而动气,都能致病。不可独自居住,恐怕导致虚惊;触犯禁忌时轻微如秋毫,但形成疾病后重于山岳,能不谨慎吗!
Whenever the fetus dies in the uterus, external signs include cyanosis and blackening of the fingernails, abdominal distension and fullness with loss of appetite, and extremely foul breath. Use Pingwei San (Stomach-Pacifying Powder). Add 5 qian of Puxiao (Mirabilite) and decoct with water and wine for oral administration. The dead fetus will transform into bloody fluid and be discharged. If there is blood dryness accompanied by cold syndrome, administer via Xionggui Tang (Angelica and Ligusticum Decoction). Alternatively, one may take Guixiang Wan (Cinnamon and Musk Pill) or Ligan Jianying Fang (Instant Effect Formula).
Pingwei San: Cangzhu (Atractylodis Rhizoma) 2 qian, Chenpi (Citri Reticulatae Pericarpium), Nongpo (Magnoliae Officinalis Cortex), Gancao (Glycyrrhizae Radix et Rhizoma) each 1 qian.
Xionggui Tang: Also known as Foshou San (Buddha's Hand Powder).
Guixiang Wan: Rougui (Cinnamomi Cortex), Shexiang (Moschus).
Ligan Jianying Fang: Huangkuihua (Abutilonis Indicae Flos) 3 qian, Mudanhua (Paeoniae Moutan Flos) 3 fen, Zhen Wuyi (Cantharis), Shexiang (Moschus) 1 fen, Sangniu (Sericum Bombycis infested with silkworms), Badou (Crotonis Fructus) half a grain (oil removed), Bimazi (Ricini Semen) half a grain (oil removed). Grind all into fine powder, make pills using vinegar paste the size of a bullet, coated with Dahuang (Rhei Radix et Rhizoma) powder. Before use, crush one pill, mix with hot wine and a little Sesame Oil, and swallow.
Note: If this formula is made into pills using green onion juice and stir-fried, it promotes blood circulation, softens fetal bones, and can immediately expel any malpresentation, breech birth, or retained dead fetus.
In cases of twins where one is dead and the other alive, use 1 liang of Xiezhuao (Carapax Trionycis), 2 liang of Gancao (Glycyrrhizae Radix et Rhizoma), and ten cups of Dongliushui (flowing water from east to west). Decoct until three cups remain, strain, add 3 liang of Ejiao (Colla Corii Asini), and divide into three doses taken at once. This will ensure the safety of the living fetus and expulsion of the dead one.
Jiawei Tuohua Jian (Modified Decoction for Expelling the Placenta): Highly effective for treating retained placenta due to cord rupture and intrauterine fetal death. Quan Danggui (Angelicae Sinensis Radix) 2 qian, Hei Paogjiang (Zingiberis Rhizoma Praeparatum cum Cinere) 8 fen, Jing Cheqianzi (Plantaginis Semen) 1 qian, Da Chuanxiong (Ligustici Chuanxiong Rhizoma) 3 qian, Chuan Niuxi (Achyranthis Bidentatae Radix) 1 qian, Dongjing Gui (Cinnamomi Ramulus, remove bark, grind to powder for adding during decoction) 6 fen, Zhi Fengcao (Glycyrrhizae Radix et Rhizoma Praeparatum cum Melle) 8 fen, add Mangxiao (Natrii Sulfas) 5 qian (add during decoction).
After delivery, one should not lie down immediately. Instead, sit upright with assistance, and have someone gently massage from below the heart down to the umbilical abdomen five or six times with warm hands before lying down. One should also avoid prolonged sitting to prevent exhaustion. While sleeping, continue to massage occasionally so that lochia does not stagnate. The method requires keeping both legs raised; do not extend the knees while sitting. Sleep on high pillows and thick mattresses, ensuring no drafts around.
Immediately after delivery, take Shenghua Tang (Life-Restoring Decoction) for two or three doses, drinking several bowls continuously. If hungry, eat white rice porridge after the first decoction, but do not overeat; take the second decoction shortly after. If not hungry, finish the medicine before eating. This prevents complications such as mass-related pain.
Keep the mother's abdomen warm by frequently warming small garments. Even in summer, bedding should not be omitted, or a thin cotton garment should cover the heart and abdomen. In winter or spring when the weather is severe, the delivery room must be tightly sealed with heat sources placed around to maintain warmth. Lower body clothing and bedding should be thicker to prevent cold-induced blood stasis and various syndromes.
Do not ask about the gender of the newborn immediately after delivery, lest excessive talk deplete qi, or emotions of love or hate cause qi stagnation, leading to illness. Do not sleep alone, lest fear and palpitations arise. Violating taboos initially seems trivial as an autumn hair, but the resulting disease becomes heavier than a mountain. How can one not be cautious!