妇人乳岩，始有核肿，如鳖，棋子大，不痛不痒，五七年方成疮。初便宜多服疏气行血之药，须情思如意
则可愈。如成之后，则如岩穴之凹，或如人口有唇，赤汁脓水浸淫胸腹，气攻疼痛。用五灰膏去蠹肉，生新肉，
渐渐收敛。此疾多生于忧郁积忿，中年妇人。未破者，方可治；成疮者，终不可治。宜服十六味流气饮。
十六味流气饮 治乳岩。
当归 川芎 白芍、黄 人参 官桂 浓朴 桔梗 枳壳 乌药 木香 槟榔 白芷 防风 紫苏
甘草 乳痈
加青皮。亦治痘疹余毒作痈瘤。
上锉一剂，水煎，食远临卧频服。
妇人与鬼交通者，由脏腑虚，神不守舍，故鬼气得为病也。其状不欲见人，如有对晤，时独言笑，或时悲
泣是也。脉息迟伏，或为鸟啄，皆鬼邪为病也。又脉来绵绵，不知度数，而颜色不变，此亦是斯候也。宜灸鬼
哭穴。以患人两手拇指相并，用线扎紧，当合缝处半肉半甲间灼艾灸七壮。若果是邪祟病者，即乞求免灸，云∶
我自去矣。
茯神散 治妇人与鬼交通，妄有见闻，言语杂乱。
白茯神（一钱半） 白茯苓（去皮） 人参 石菖蒲（各一钱） 赤小豆（五分）
上锉一剂，水煎服。外用辟邪丹祛之。（方见瘟疫。）
妇人伤寒发热，经水适来，昼则明白，夜则谵语，如见鬼状，此为热入血室也。小柴胡汤（方见伤寒），
根据本方加生地黄。一方用四物汤去熟地黄，用生地黄，加柴胡，各等分煎服，亦治此症。
妇人阴肿者，是胞络虚，为风邪所客也。
黑白散 治阴中肿痛。
小麦 朴硝 白矾 五倍子 葱白
上件煎汤频洗。一方用马鞭草捣烂涂之。
妇人阴痒者，是虫蚀阴户也。治阴痒，用蛇床子、白矾煎水淋洗即止。一方用牛肝或猪肝三寸，纳入阴中，
其虫尽入肝内，取出立效。
妇人阴中生疮者，是湿热也。
疗女人阴中生疮 杏仁 雄黄 矾石（各二分） 麝香（二分半）
上研细，敷入阴中。一方单用硫黄敷之亦效，研细末。
一妇人，素郁闷，阴内痛痒，不时出水，饮食少思，肢体倦怠，用归脾汤加牡丹皮、山栀、芍药、柴胡、
生甘草主之而安。
一妇人，病愈后，小便出屎，此阴盛失于传送，名大小肠交也。先用五苓散二剂而愈；又用补中益气汤而
安。
一妇人，阴中寒冷，小便澄清，腹中亦冷，饮食少思，大便不实，下元虚寒。治以八味丸月余，饮食渐加，
大便渐实；又月余，诸症悉痊。
一妇人，每交接出血作痛，此肝火动脾而不能摄血。用补中益气、济生归脾，二汤而愈。若出血过多而见
他症，但用前药调补脾肝。
一妇人，阴中挺出一条五寸许，闷痛重坠，水出淋沥，小便涩滞。夕与龙胆泻肝汤分利湿热，朝与补中益
气汤升补脾气，诸症渐愈；再服归脾加山栀、茯苓、川芎、黄柏，间服调理而愈。后因劳役或怒气，下部湿痒，
小便不利，仍用前药即愈。亦有尺许者，亦有生诸虫物者，皆用此治。
一妇人，小便自遗，或时不利，日晡益甚，此肝热阴挺不能约制。用六味丸料加白术、酒炒黑黄连七分、
知母五分，数剂，诸症悉愈。若误用分利之剂，愈损真阴，必致不起。
一妇人有孕，小便不利，小腹肿胀，几至于殒。用八味丸一服，小便淋沥；再以前丸之料加车前子一剂即
利，肚腹顿宛而安。
一妊妇，无故自悲，用大枣十枚、甘草、小麦各三两，分三剂，水煎服而愈。后复患，又以前汤佐以四君
子加山栀而安。
一妇人，身颤振、口妄言，诸药不效。余以为郁怒所致。
询其故，盖为素嫌其夫，而含怒久矣。投以小柴胡汤稍可；又用加味归脾汤而愈。
一妇人，惊悸怔忡、无寐、自汗盗汗、怠惰嗜卧、饮食不甘。用归脾汤而愈。至年余，怀抱郁结，患前症，
兼衄血、便血，仍用前汤而愈。
一妇人，忽昏愦发谵语，自云，为前生赖某人银两，其神责我，将你解往城隍理问。两脚踝膝臀处皆青，
肿痛不可忍，口称苦楚。次日方苏，痛尚不止。用金银藤两许，水煎服即愈。
一女子，年二十岁，未婚。每见男子，即咬住不放，后昏倒，阴户流出冷精，顷间即醒。其厥阴肝脉弦出
寸口，乃阴盛、思男子不可得也。余令其父母用棍痛责，因思痛而失欲也，后服抑阴丸而愈。
妇女乳岩，起初有肿块，像鳖或棋子大小，不痛不痒，经过五七年才溃烂成疮。初期适宜多服用疏理气机、运行血行的药物，只要心情舒畅如意，就可以痊愈。如果已经溃烂，则像岩石洞穴般凹陷，或者像人嘴一样翻卷出唇口，赤色汁液和脓水浸淫胸腹部，气机攻冲导致疼痛。使用五灰膏去除腐肉，促进新肉生长，逐渐收敛。此病多因忧郁积愤所致，常见于中年妇女。未溃破者，才可以治疗；已溃烂成疮者，最终无法治愈。适宜服用十六味流气饮。
十六味流气饮：治疗乳岩。
当归、川芎、白芍、黄芪、人参、官桂、厚朴、桔梗、枳壳、乌药、木香、槟榔、白芷、防风、紫苏、甘草。
若为乳痈（乳房急性化脓性疾病），加青皮。也治疗痘疹余毒引发的痈瘤。
以上药材锉碎为一剂，用水煎煮，在饭后及临睡前频繁服用。
妇人与鬼魅交合的病症，是由于脏腑虚弱，神志不能守舍，所以鬼邪之气得以致病。其症状是不愿见人，好像对面有人交谈，有时独自说笑，有时又悲伤哭泣。脉象迟伏，或如鸟啄般节律不齐，都是鬼邪作祟的表现。又有脉来绵绵不绝，不知度数，而面色不变，这也是此类征候。适宜灸治鬼哭穴。让患者两手拇指并拢，用线扎紧，在指甲与肌肉交界处的缝隙间施艾绒灸七壮。如果是真正的邪祟病，患者就会乞求停止艾灸，说：“我自己就走了。”
茯神散：治疗妇人与鬼魅交合，出现幻觉妄见，言语杂乱。
白茯神（一钱半）、白茯苓（去皮）、人参、石菖蒲（各一钱）、赤小豆（五分）。
以上药材锉碎为一剂，用水煎服。外用辟邪丹祛除邪气。（方剂见瘟疫篇。）
妇人患伤寒发热，正值月经来潮，白天神志清醒，夜晚则胡言乱语，好像看见鬼怪，这是热邪陷入血室的表现。用小柴胡汤（方剂见伤寒篇），根据原方加入生地黄。另一方法是用四物汤去掉熟地黄，改用生地黄，加入柴胡，各等分煎服，也能治疗此症。
黑白散：治疗阴部肿痛。
小麦、朴硝、白矾、五倍子、葱白。
以上药材煎汤频繁清洗。另一方法是用马鞭草捣烂外涂。
妇人外阴瘙痒，是虫蚀阴户所致。治疗阴痒，用蛇床子、白矾煎水淋洗即可停止。另一方法是用三寸长的牛肝或猪肝，纳入阴道内，虫子会全部钻入肝内，取出后立即见效。
妇人阴中生疮，是湿热所致。
治疗女性阴中生疮：杏仁、雄黄、矾石（各二分）、麝香（二分半）。
以上研细末，敷入阴中。另一方法单用硫黄研细末外敷也有效。
有一位妇人，平素郁闷，阴道内疼痛瘙痒，不时流出液体，饮食减少思虑不足，肢体倦怠，用归脾汤加牡丹皮、山栀、芍药、柴胡、生甘草主治而安宁。
有一位妇人，病愈后，小便中排出粪便，这是因为阴寒过盛，大肠传导失职，名为大小肠交。先用五苓散两剂而痊愈；后又用补中益气汤调理而安。
有一位妇人，阴道寒冷，小便清长，腹中也冷，饮食少思，大便不成形，属于下元虚寒。用八味丸治疗月余，饮食逐渐增加，大便逐渐成形；又过月余，所有症状全部痊愈。
有一位妇人，每次性交时出血且疼痛，这是肝火扰动脾脏而不能统摄血液。用补中益气汤、济生归脾汤两方治疗而愈。如果出血过多而出现其他症状，只需使用前药调理补益脾肝。
有一位妇人，阴道挺出一条约五寸长的肿物，闷痛沉重坠胀，流水淋漓，小便涩滞。晚上服用龙胆泻肝汤分清利湿，早上服用补中益气汤升提补益脾气，各种症状逐渐痊愈；再服用归脾汤加山栀、茯苓、川芎、黄柏，间断服用调理而愈。后来因劳累或愤怒，下部潮湿瘙痒，小便不利，仍用前药即愈。也有长达一尺的，也有生出各种虫物的，都用此法治疗。
有一位妇人，小便失禁，有时排尿不畅，傍晚时分加重，这是肝热导致阴挺（子宫脱垂）而不能约束控制。用六味丸料加白术、酒炒黑黄连七分、知母五分，数剂后，所有症状全部痊愈。如果误用分利小便的药物，会更加损伤真阴，必定导致死亡。
有一位孕妇，小便不利，小腹肿胀，几乎危及生命。服用八味丸一剂，小便开始滴沥；再用该丸药料加车前子一剂，小便立即通畅，肚腹顿时舒适而安。
一位怀孕妇女，无故自己悲伤，用大枣十枚、甘草、小麦各三两，分三剂，水煎服而痊愈。后来复发，又以前方佐以四君子汤加山栀而安。
一位妇人，身体颤抖振摇，口出妄言，各种药物无效。我认为这是由郁怒所致。
询问原因，原来是因为平素嫌弃丈夫，含怒已久。投以小柴胡汤稍有好转；又用加味归脾汤而痊愈。
一位妇人，惊悸怔忡、失眠、自汗盗汗、怠惰嗜卧、饮食无味。用归脾汤而痊愈。至一年多后，怀抱郁结，患前述症状，兼有鼻衄、便血，仍用前方而痊愈。
一位妇人，忽然昏愦发谵语，自称因为前世赖了某人的银两，神灵责备我，将你解往城隍庙审理。两脚踝、膝盖、臀部皆青色，肿痛不可忍受，口中称苦楚。次日才苏醒，疼痛仍未止。用金银藤一两许，水煎服即愈。
一位女子，二十岁，未婚。每次见到男子，就咬住不放，随后昏倒，阴道流出冷精，片刻后即醒。其厥阴肝脉弦直超出寸口，这是阴气过盛，思念男子却不可得所致。我令其父母用棍棒痛责，因思痛而欲望消失，后来服用抑阴丸而痊愈。
Breast cancer (Ru Yan) in women begins with a lump, the size of a turtle or a chess piece, painless and non-itchy, which ulcerates after five to seven years. In the early stage, it is advisable to take herbs that soothe Qi and promote blood circulation; if the patient's mood is contented and free from worry, it can be cured. Once ulcerated, the wound resembles a hollow rock cave or everted lips like a human mouth, with red fluid and pus oozing over the chest and abdomen, causing pain due to Qi attack. Use Wuhui Gao (Five Ashes Plaster) to remove necrotic tissue and generate new flesh, leading to gradual contraction. This disease often arises from chronic depression and accumulated resentment, commonly seen in middle-aged women. If not ulcerated, it is treatable; once ulcerated, it is ultimately incurable. It is suitable to administer Shiliuwei Liuqi Yin (Sixteen-Ingredient Qi-Flowing Decoction).
Shiliuwei Liuqi Yin: Treats breast cancer.
Danggui (Angelicae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba), Huangqi (Astragali Radix), Renshen (Ginseng Radix), Guangui (Cinnamomi Ramulus), Houpo (Magnoliae Officinalis Cortex), Jiegeng (Platycodonis Radix), Zhike (Aurantii Fructus Immaturus), Wuyao (Tsaoko Fructus), Muxiang (Aucklandiae Radix), Binglang (Arecae Semen), Baizhi (Angelicae Dahuricae Radix), Fangfeng (Saposhnikoviae Radix), Zisu (Perillae Folium), Gancao (Glycyrrhizae Radix et Rhizoma).
For Ru Yong (Acute Mastitis), add Qingpi (Citri Reticulatae Pericarpium Viride). It also treats carbuncles and tumors caused by residual toxins from smallpox/rubella.
Decoct one dose in water and take frequently after meals and before bed.
The condition of "women having intercourse with ghosts" occurs due to deficiency of the Zang-Fu organs and the Shen (Spirit) failing to reside within its abode, allowing ghostly pathogens to cause disease. Symptoms include aversion to seeing people, as if conversing with someone invisible, sometimes laughing alone, sometimes weeping bitterly. The pulse is slow and deep, or irregular like bird pecks, indicating ghostly pathogenic influence. Another presentation features a continuous, indistinct pulse without clear rhythm, while facial color remains unchanged; this is also such a syndrome. It is suitable to moxa the Gui Ku (Ghost Cry) acupoint. Bind the patient's two thumbs together tightly with thread, and apply moxa cone burning at the junction of half-flesh and half-nail on the seam for seven moxa cones. If it is truly a possession illness, the patient will beg to stop moxibustion, saying, "I am leaving now."
Fushen San (Poria Spirit Powder): Treats women having intercourse with ghosts, experiencing hallucinations and disordered speech.
Baifushen (Poria Cum Mycelium), Baifuling (Poria), Renshen (Ginseng Radix), Shichangpu (Acori Tatarinowii Rhizoma) (each 1.5 qian), Chixiaodou (Vigna Angularis Semen) (0.5 qian).
Decoct one dose in water and take orally. Externally use Pixie Dan (Evil-Repelling Pill) to dispel evil (Formula see Epidemic Diseases chapter).
When a woman suffers from Shanghan (Cold Damage) fever and her menstruation coincides with the onset, she is lucid during the day but delirious at night, seeing things as if they were ghosts. This is Re Ru Xue Shi (Heat entering the Blood Chamber). Use Xiaochaihu Tang (Minor Bupleurum Decoction) (Formula see Shanghan chapter), adding Shengdihuang (Rehmanniae Radix Recens) to the base formula. Alternatively, use Siwu Tang (Four Substances Decoction) removing Shudihuang (Rehmanniae Radix Preparata), using Shengdihuang instead, adding Chaihu (Bupleuri Radix), equal parts, decocted and taken. This also treats this syndrome.
Female vulvar swelling is caused by deficiency of the Bao Luo (Uterine Collaterals) and invasion by Wind pathogens.
Heibai San (Black and White Powder): Treats vulvar swelling and pain.
Xiaomai (Tritici Fructus), Piao Xiao (Natrii Sulfas), Bai Fan (Alumen), Wubeizi (Galla Chinensis), Congbai (Allii Fistulosi Bulbus).
Decoct these ingredients in water and wash frequently. Alternatively, mash Biancao (Verbenae Herba) and apply externally.
Female vulvar itching is caused by worms eroding the vaginal opening. To treat vulvar itching, decoct Chuangzi (Cnidii Fructus) and Bai Fan (Alumen) in water for washing to stop the itching. Alternatively, insert a three-cun piece of beef liver or pork liver into the vagina; the worms will enter the liver, and upon removal, immediate relief occurs.
Ulcers in the female vagina are caused by Damp-Heat.
Treatment for female vaginal ulcers: Xingren (Armeniacae Semen Amarum), Xionghuang (Realgar), Fanshi (Alumen) (each 2 fen), Shexiang (Moschus) (2.5 fen).
Grind into fine powder and apply inside the vagina. Alternatively, applying sulfur powder alone is also effective.
A woman, prone to depression, experienced internal vulvar pain and itching, frequent discharge, poor appetite, and limb fatigue. She was treated with Guipi Tang (Restore the Spleen Decoction) plus Mudanpi (Moutan Cortex), Zhizi (Gardeniae Fructus), Shaoyao (Paeoniae Radix), Chaihu (Bupleuri Radix), and Sheng Gancao (Raw Licorice Root), resulting in recovery.
A woman, after recovering from an illness, passed feces through urine. This is due to excessive Yin cold and failure of the Large Intestine to transport, named Da Xiao Chang Jiao (Intertwining of Large and Small Intestines). She was first cured with two doses of Wuling San (Five-Ingredient Powder with Poria), then stabilized with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction).
A woman suffered from coldness in the vagina, clear urine, abdominal coldness, poor appetite, and loose stools, indicating Deficiency-Cold of the Lower Yuan. She was treated with Bawei Wan (Eight-Ingredient Pill) for over a month; her diet gradually improved, and stools became formed. After another month, all symptoms resolved.
A woman experienced bleeding and pain during intercourse due to Liver Fire disturbing the Spleen's ability to control blood. She was cured using Buzhong Yiqi Tang and Jisheng Guipi Tang (Guipi Decoction modified for Childbearing). If excessive bleeding led to other symptoms, regulating and tonifying the Spleen and Liver with previous formulas sufficed.
A woman had a prolapse of about five cun from the vagina, accompanied by stifling pain, heavy bearing sensation, dripping discharge, and dysuria. In the evening, Longdan Xiegan Tang (Gentian Decoction to Drain the Liver) was used to separate and drain Damp-Heat; in the morning, Buzhong Yiqi Tang was used to raise and tonify Spleen Qi. Symptoms gradually improved. Subsequently, Guipi Tang plus Zhizi, Fuling, Chuanxiong, and Huangbai was taken intermittently for regulation, leading to cure. Later, due to labor or anger, she developed lower body damp-itch and difficult urination, which resolved again with the previous formulas. Cases with prolapse up to one chi or even growth of various worm-like masses are also treated this way.
A woman suffered from urinary incontinence or intermittent difficulty urinating, worsening in the late afternoon. This was due to Liver Heat causing Yin Ting (prolapse) unable to maintain control. Liuwei Wan (Six-Ingredient Pill) material plus Baizhu (Atractylodis Macrocephalae Rhizoma), Jiuchao Hei Huanglian (Wine-fried Black Coptidis Rhizoma) 7 fen, and Zhimu (Anemarrhenae Rhizoma) 5 fen were administered for several doses, curing all symptoms. Misusing diuretic agents would further damage True Yin, inevitably leading to death.
A pregnant woman suffered from dysuria and lower abdominal swelling, nearly resulting in miscarriage. One dose of Bawei Wan (Eight-Ingredient Pill) resulted in dribbling urine; a second dose of the pill material plus Cheqianzi (Plantaginis Semen) promoted urination immediately, relieving the abdomen and ensuring safety.
A pregnant woman spontaneously felt sad without cause. Ten dates, Gancao (Licorice Root), and Xiaomai (Tritici Fructus) each three liang were decocted in water, divided into three doses, and taken, resulting in cure. Upon recurrence, the same decoction supplemented with Sijunzi Tang (Four Gentlemen Decoction) plus Zhizi (Gardeniae Fructus) ensured stability.
A woman exhibited tremors and delirious speech, unresponsive to various medicines. I attributed this to Depression and Anger.
Upon inquiry, it was revealed she harbored long-standing resentment against her husband. Xiaochaihu Tang (Minor Bupleurum Decoction) provided slight relief; Jiawei Guipi Tang (Modified Restore the Spleen Decoction) led to full recovery.
A woman suffered from palpitations, insomnia, spontaneous and nocturnal sweating, lethargy, and lack of taste in food. Guipi Tang (Restore the Spleen Decoction) cured her. Over a year later, due to emotional stagnation, she relapsed with previous symptoms plus epistaxis and hematochezia. The same formula cured her again.
A woman suddenly fell into coma and delirium, claiming that because she had embezzled money from someone in a past life, the spirits were blaming her and taking her to the City God Temple for judgment. Her ankles, knees, and buttocks turned blue, swollen and painful beyond endurance, and she cried out in agony. She regained consciousness the next day, but pain persisted. Jin Yin Teng (Lonicerae Japonicae Caulis), approximately two liang, decocted in water, cured her.
A twenty-year-old unmarried woman bit men uncontrollably upon seeing them, followed by fainting and emission of cold essence from the vagina, waking up shortly after. Her Jueyin Liver pulse was wiry and extended beyond the Cun position, indicating Excess Yin and unfulfilled desire for a man. I instructed her parents to beat her severely with a stick; the pain suppressed the desire. She subsequently recovered after taking Yi Yin Wan (Yin-Suppressing Pill).