一妇人死血，食积痰饮成块，或在两胁间动，或作腹鸣嘈杂，眩运身热，时发时止（方见第五卷块条下）。治妇人
血海疼痛∶当归（一钱） 甘草 木香（各五钱） 香附（二钱） 乌药（一钱半） 作一帖，水煎食前服。
女人血气痛，酒磨莪术服之。一妇人血块如盘，有孕难服峻剂∶香附（四两） 醋煮桃仁（一两去皮尖）
海石（醋煮二两） 白术（一两） 神曲糊为丸。女人血气刺心痛不可忍，木香末，酒调服。血气入脑头，旋闷不知人，
苍耳嫩心，阴干为末，酒调服之。一妇人，腹中 瘕作痛者，
或气攻塞用∶香附（一两醋煮） 当归（一两） 白三棱（一两炮） 黑三棱（一两炮） 黑莪术（一两） 没
药乳香 川芎（各五钱） 昆布 海藻（以上各一两炒） 槟榔（五钱） 青皮（一两去穣） 干漆（五钱炒尽
烟） 木香 沉香 缩砂（各五钱） 上为末，米醋打糊为丸，如桐子大，每服六七十丸，空心白汤、盐汤随下，
忌生冷油腻。治血气腰腹痛，当归、玄胡，等分为粗末，每服三钱，姜三片煎服。
治一切瘀血为病方∶香附（四两醋煮） 桃仁 瓦龙子（二两，醋煮一日一夜， ） 牡丹皮 大黄（酒蒸） 当
归川芎 红花（各五钱） 上为末，炊饼丸。月水不通、腹中撮痛∶台乌（二两） 当归 莪
术（各一两） 为末，空心酒下二钱。一妇人，两月经不行，腹痛发热，行血凉血，经行病自愈。四物汤加黄芩、红
花、桃仁、香附、玄胡索之类。一妇人，年四十余，面白形瘦性急，因有大不如意，三月后，乳房下肋骨作一块，渐
渐长掩心，微痛膈闷，饮食减四分之三，每早觉口苦，两手脉微而短涩，予知其月经不来矣，为之甚惧，勿与治。思
至夜半，其妇尚能出外见医，梳妆言语如旧，料其尚有胃气，遂以人参、术、归、芎，佐以气药，作一大服，尽夜与四
次，外以大琥珀膏贴块上，防其块长。得一月余，服补药百余帖，食及平时之半，仍用前药。又过一月，脉渐充，又与
前药吞润下丸百余粒，月经行不及两日而止，涩脉减五分之四，时天气热意，其经行时必带，紫色，仍与前药加三
棱，吞润下丸，以抑青丸十五粒佐之。又经一月，忽块已消及一半，月经及期，尚欠平时半日，饮食甘美如常，但食
肉不觉爽快，予令止药，且待来春木旺时，再为区处。至次年六月，忽报，一夜其块又作，比旧又加指半，脉略
弦，左略怯于右，至数平和。自言饱食后，则块微闷，食行却自平，予意必有
动心事激之，问而果然。仍以前药加炒芩、炒连，以少木
通、生姜佐之，去三棱，煎汤吞润下丸，外以琥珀膏贴之，半月经行，气块散。此是肺金，因火所烁，木稍胜土，土不
能运，清浊相干，旧块轮廓尚在，皆由血气未尽复也。浊气稍留，旧块复起，补其血气，使肺不受邪，木气伏而土气
正，浊气行而块散矣。一婢，性沉多忧，年四十，经不行三月矣。小腹当中一块，渐如炊饼，脉皆涩重，稍和块按则
痛甚，试扪之高半寸，与千金消石丸至四五次。彼忽自言∶乳头黑且有汁，恐是孕。予曰∶涩脉无孕之理，又与两帖，
脉稍大豁，予悟曰∶大峻矣！令止药，以四物汤倍白术，以陈皮、炙甘草为佐，至三十帖，候脉充，再与硝石丸四五
次，忽自言块消一晕，便令勿与。又半月，经行痛甚，下黑血近半升，内有如椒核者数十粒，而块消一半，又来索药，
晓之曰∶块已破，勿再攻，但守禁忌，次月经行当自消尽，已而果然。
一位妇人患有死血（瘀血停滞），兼有食积、痰饮凝结成块，这些病邪有时在两胁之间窜动，有时引起腹中鸣响和嘈杂感，伴有眩晕、身体发热，症状时发时止（治疗方法见第五卷“块”条之下）。
治疗妇人血海疼痛：当归（一钱）、甘草、木香（各五钱）、香附（二钱）、乌药（一钱半），作一帖，水煎，饭前服用。
女人因血气引起的疼痛，用酒磨莪术服用。一位妇人腹中有如盘子大小的血块，但已有身孕，难以服用峻猛的药物：香附（四两）、醋煮桃仁（一两，去皮尖）、海浮石（醋煮二两）、白术（一两），用神曲糊制成丸剂。女人因血气刺痛心痛，难以忍受，可用木香末，酒调服。血气上冲入脑头，导致头晕目眩、昏迷不省人事，可用苍耳嫩心，阴干研为末，酒调服。
一位妇人，腹中有瘕聚作痛，或因气机攻冲堵塞，可用以下方剂：香附（一两，醋煮）、当归（一两）、白三棱（一两，炮制）、黑三棱（一两，炮制）、黑莪术（一两）、没药、乳香、川芎（各五钱）、昆布、海藻（以上各一两，炒）、槟榔（五钱）、青皮（一两，去瓤）、干漆（五钱，炒至烟尽）、木香、沉香、缩砂（各五钱）。以上药物研为细末，用米醋打糊制成丸剂，如梧桐子大，每次服用六七十丸，空腹时用白开水或盐汤送下，忌食生冷油腻食物。
治疗血气引起的腰腹痛：当归、玄胡索，等分为粗末，每次服用三钱，加生姜三片煎服。
治疗一切瘀血致病的方法：香附（四两，醋煮）、桃仁、瓦楞子（二两，醋煮一日一夜）、牡丹皮、大黄（酒蒸）、当归、川芎、红花（各五钱）。以上药物研为细末，用炊饼（发酵面团）制成丸剂。
月经不通、腹中撮痛：台乌药（二两）、当归、莪术（各一两），研为细末，空腹时酒送服二钱。
一位妇人，两个月经周期未来潮，腹痛且发热，通过行血、凉血的方法，待月经来潮后疾病自愈。可用四物汤加入黄芩、红花、桃仁、香附、玄胡索等药物。
一位妇人，四十多岁，面色苍白，形体消瘦，性格急躁，因为遇到不顺心的事，三个月后，乳房下方的肋骨处出现一块肿块，逐渐长大遮盖心脏部位，轻微疼痛，胸膈闷塞，饮食减少四分之三，每天早晨觉得口苦，两手脉象微而短涩，我推断她的月经已经停止，对此非常担忧，建议不要治疗。想到半夜，这位妇人还能出门看医生，梳妆打扮、言语如常，料想她还有胃气，于是用人参、白术、当归、川芎，佐以理气药物，组成一大剂药，整夜分四次给予，同时在肿块外贴大琥珀膏，防止肿块继续长大。经过一个多月，服用补药一百多帖，饮食恢复到平时的一半，仍然使用前面的药物。又过一个月，脉象逐渐充盈，又让患者服用前面的药物并吞服润下丸一百多粒，月经来潮不到两天就停止了，涩脉减轻了四分之五，当时天气炎热，意欲其经行时必带紫色，仍给前面的药物加入三棱，吞服润下丸，以抑青丸十五粒作为辅助。又过一个月，忽然发现肿块已消退一半，月经按时来潮，只是比平时少半天，饮食甘美如常，只是吃肉不觉爽快，我令其停药，暂且等到来年春天木气旺盛时，再作打算。到了次年六月，忽然报告，一夜之间肿块又发作，比旧时又增加了半个指头的宽度，脉象略微弦，左侧略怯于右侧，至数平和。自述饱食后，则肿块微闷，食物消化后自然平复，我心想必定是有动心事激怒了肝气，询问果然如此。仍然用前面的药物加入炒黄芩、炒黄连，以少量木通、生姜作为辅助，去掉三棱，煎汤吞服润下丸，外用琥珀膏贴敷，半个月后经行，气块消散。这是肺金被火邪灼烧，木气稍胜土气，土气不能运化，清浊之气相干扰，旧块的轮廓还在，都是因为血气尚未完全恢复。浊气稍微停留，旧块复发，补益其血气，使肺不受邪气侵扰，木气潜伏而土气端正，浊气运行而肿块消散。
一位婢女，性格沉静多忧，四十岁，月经三个月未行。小腹正中出现一块肿块，逐渐像炊饼一样大，脉象皆涩重，稍微温和地按压肿块则疼痛剧烈，试着触摸高出皮肤半寸，给予千金消石丸一至四次。她忽然自己说：乳头变黑且有乳汁，恐怕是怀孕。我说：涩脉没有怀孕的道理，又给了两帖药，脉象稍大豁，我醒悟道：药力太峻猛了！令其停药，用四物汤加倍白术，以陈皮、炙甘草作为辅助，到三十帖时，候脉象充盈，再给予硝石丸一至四次，她忽然自己说肿块消退了一圈，便令其不要再给药。又过了半个月，月经来潮疼痛剧烈，排出近半升的黑血，里面有数十粒像花椒核一样的东西，而肿块消退了一半，又来索要药物，我告诉她：肿块已破，不要再攻伐，只要遵守禁忌，下次月经来潮时自然会完全消退，后来果然如此。
A woman suffered from dead blood (stagnant blood), accompanied by food retention, phlegm-fluids condensing into masses. These pathogenic factors sometimes moved between the two hypochondria, or caused borborygmus and epigastric discomfort in the abdomen, accompanied by vertigo and fever, with symptoms appearing intermittently (for treatment, see Volume 5, under the section "Masses").
For treating pain in the Sea of Blood (uterus) in women: Dang Gui (Radix Angelicae Sinensis) 1 qian, Gan Cao (Radix Glycyrrhizae) and Mu Xiang (Radix Aucklandiae) each 5 qian, Xiang Fu (Rhizoma Cyperi) 2 qian, Wu Yao (Fructus Linderae) 1.5 qian. Prepare as one dose, decoct in water, and take before meals.
For women suffering from pain due to blood and qi disorders, grind E Zhu (Rhizoma Curcumae) with wine and administer. A woman had a blood mass in her abdomen the size of a plate; however, she was pregnant and could not tolerate harsh medications. The prescription consisted of Xiang Fu (Rhizoma Cyperi) 4 liang, Tao Ren (Semen Persicae) boiled in vinegar 1 liang (skin and tip removed), Hai Shi (Lapis Calcitae) boiled in vinegar 2 liang, Bai Zhu (Rhizoma Atractylodis Macrocephalae) 1 liang. These were made into pills using Shen Qu (Massa Medicata Fermentata) paste. For women suffering from unbearable stabbing heart pain due to blood and qi disorders, administer Mu Xiang (Radix Aucklandiae) powder mixed with wine. When blood and qi rush into the head and brain, causing dizziness, fainting, and loss of consciousness, use the tender heart of Cang Er (Fructus Xanthii), dry it in the shade, grind into powder, and mix with wine for administration.
A woman suffered from pain caused by a Jia mass (abdominal mass) in her abdomen, or blockage due to qi attacking and obstructing. The prescription included: Xiang Fu (Rhizoma Cyperi) 1 liang (boiled in vinegar), Dang Gui (Radix Angelicae Sinensis) 1 liang, Bai San Leng (Rhizoma Sparganii) 1 liang (processed), Hei San Leng (Rhizoma Sparganii) 1 liang (processed), Hei E Zhu (Rhizoma Curcumae) 1 liang, Mo Yao (Resina Myrrhae), Ru Xiang (Resina Olibani), Chuan Xiong (Rhizoma Chuanxiong) each 5 qian, Kun Bu (Thallus Laminariae), Zao Hai (Thallus Sargassii) each 1 liang (stir-fried), Bing Lang (Semen Arecae) 5 qian, Qing Pi (Pericarpium Citri Reticulatae Viride) 1 liang (pith removed), Gan Qi (Cortex Cinnamomi processed with honey/charred) 5 qian (stir-fried until smoke ceased), Mu Xiang (Radix Aucklandiae), Chen Xiang (Aquilariae Lignum Resinatum), Suo Sha (Fructus Amomi Rotundus) each 5 qian. Grind all ingredients into fine powder, make pills using rice vinegar paste, sized like paulownia seeds. Take 60-70 pills per dose, on an empty stomach, washed down with plain water or salt water. Avoid raw, cold, and greasy foods.
For treating waist and abdominal pain caused by blood and qi disorders: Use Dang Gui (Radix Angelicae Sinensis) and Yuan Hu (Rhizoma Corydalis Yanhusuo) in equal parts, ground into coarse powder. Take 3 qian per dose, decoct with 3 slices of fresh ginger.
Formula for treating diseases caused by all types of stagnant blood: Xiang Fu (Rhizoma Cyperi) 4 liang (boiled in vinegar), Tao Ren (Semen Persicae), Wa Long Zi (Concha Arcae) 2 liang (boiled in vinegar for one day and one night), Mu Dan Pi (Cortex Moutan), Da Huang (Radix et Rhizoma Rhei) steamed in wine, Dang Gui (Radix Angelicae Sinensis), Chuan Xiong (Rhizoma Chuanxiong), Hong Hua (Flos Carthami) each 5 qian. Grind into fine powder and make pills using steamed wheat dough.
For amenorrhea and cramping abdominal pain: Tai Wu Yao (Rhizoma Linderae) 2 liang, Dang Gui (Radix Angelicae Sinensis), E Zhu (Rhizoma Curcumae) each 1 liang. Grind into powder, take 2 qian on an empty stomach with wine.
A woman had missed two menstrual cycles, accompanied by abdominal pain and fever. By promoting blood circulation and cooling the blood, the disease would resolve spontaneously once menstruation resumed. Use Si Wu Tang (Four Substances Decoction) added with Huang Qin (Radix Scutellariae), Hong Hua (Flos Carthami), Tao Ren (Semen Persicae), Xiang Fu (Rhizoma Cyperi), Yuan Hu Suo (Rhizoma Corydalis Yanhusuo), etc.
A woman in her forties, pale-faced, emaciated, and irritable, experienced a mass forming under her breasts below the ribs three months after encountering significant distress. The mass gradually enlarged, covering the heart region, causing mild pain and chest oppression. Her appetite decreased by three-quarters, and she felt bitter taste in her mouth every morning. Her pulses in both hands were faint, short, and choppy. I deduced that her menstruation had ceased and was very concerned, advising against treatment initially. However, at midnight, observing that she could still go out to see doctors, dress up, and speak normally, I surmised she still had Stomach Qi. Thus, I prescribed a large dose of Ren Shen (Radix Ginseng), Bai Zhu (Rhizoma Atractylodis Macrocephalae), Dang Gui (Radix Angelicae Sinensis), and Chuan Xiong (Rhizoma Chuanxiong), assisted by qi-regulating herbs. This large dose was administered four times throughout the night. Externally, a large Hu Po Gao (Amber Plaster) was applied to the mass to prevent further growth. After more than a month, having taken over a hundred doses of tonifying medicine, her diet recovered to half of normal. She continued with the previous medication. Another month later, her pulse became fuller. She took the previous medicine along with over a hundred grains of Run Xia Wan (Moistening Down Pills). Menstruation lasted less than two days and then stopped. The choppy pulse reduced by four-fifths. Given the hot weather, when menstruation occurred, the blood was purple. She continued with the previous medicine plus San Leng (Rhizoma Sparganii), swallowing Run Xia Wan, assisted by Yi Qing Wan (Suppress Green Pill) 15 grains. Another month passed, and suddenly the mass had diminished by half. Menstruation arrived on time, though half a day shorter than usual. Appetite was good and normal, but eating meat did not feel satisfying. I instructed her to stop medication and wait until spring when Wood Qi is vigorous to reassess. In June of the following year, she reported that overnight the mass reappeared, increasing by half a finger's width compared to before. The pulse was slightly wiry, with the left side slightly weaker than the right, and the rate was peaceful. She stated that after full meals, the mass felt slightly oppressive, but subsided after digestion. I suspected that emotional agitation had triggered it, which proved true. I used the previous formula added with stir-fried Huang Qin (Radix Scutellariae) and Chuan Lian Zi (Fructus Toosendan) [Note: Text says Chao Lian, likely Chai Hu or Huang Lian contextually, but literal is Lian], assisted by small amounts of Mu Tong (Caulis Akebiae) and Sheng Jiang (Rhizoma Zingiberis Recens). San Leng was removed. Decoct and swallow Run Xia Wan. Apply Amber Plaster externally. Half a month later, menstruation occurred, and the qi mass dissipated. This condition resulted from Lung Metal being scorched by Fire, allowing Wood to slightly overcome Earth. Earth failed to transport, leading to interference between clear and turbid qi. The outline of the old mass remained because blood and qi had not fully recovered. Slight retention of turbid qi caused the old mass to recur. Tonifying blood and qi prevents Lung from receiving evil, subdues Wood, rectifies Earth, promotes the movement of turbid qi, and dissipates the mass.
A maid, melancholic and prone to worry, aged forty, had not menstruated for three months. A mass appeared in the center of the lower abdomen, gradually growing to the size of a steamed bun. All pulses were choppy and heavy. Pressing the mass gently caused severe pain. Palpation revealed it protruded half a cun above the skin. She was given Qian Jin Xiao Shi Wan (Millennium Stone-Dissolving Pills) one to four times. She suddenly said, "My nipples are dark and secreting fluid; I fear I am pregnant." I replied, "A choppy pulse does not indicate pregnancy." I gave two more doses. The pulse became slightly larger and open. I realized, "The medication was too harsh!" I ordered cessation of drugs. I prescribed Si Wu Tang (Four Substances Decoction) with doubled Bai Zhu (Rhizoma Atractylodis Macrocephalae), assisted by Chen Pi (Pericarpium Citri Reticulatae) and Zhi Gan Cao (Radix Glycyrrhizae Preparata). After thirty doses, waiting for the pulse to become full, I administered Xiao Shi Wan (Stone-Dissolving Pills) one to four times again. She suddenly said the mass had receded by one circle, so I told her to stop. Half a month later, menstruation began with severe pain, expelling nearly half a sheng of black blood containing dozens of particles resembling pepper seeds. The mass reduced by half. She came to request more medicine. I explained, "The mass has ruptured; do not attack it further. Just observe dietary restrictions, and the next menstruation will cause it to disappear completely." This indeed happened.