〔云〕妇人伤寒中风，治法与男子无异，惟热入血室、妊娠伤寒则不同也。宜以四物安养胎血，佐以汗下
之药治之。
妇人伤寒中风，自汗头痛，项背强，发热恶寒，脉浮而缓。恐热入血室，故倍加芍药，桂枝加芍药汤。
桂枝（一两半） 赤芍药（三两半） 生姜（一两半） 大枣（六枚）
上锉细，每服五钱，水煎。
妇人伤寒，脉浮而紧，头痛身热，恶寒无汗，发汗后恐热入血室，宜麻黄加生地黄汤。
麻黄（二两半） 桂枝（一两半） 甘草（半两） 生地黄（一两） 杏仁（二十五个，去皮尖）
上 咀，每服五钱，水煎。
〔《活》〕妇人伤寒，经脉方来初断，寒热如疟，狂言见鬼，宜用干姜柴胡汤。
柴胡（四两） 栝蒌根 桂枝（一两半） 牡蛎（一两） 干姜 甘草（炙。各一两）
上 咀，每服五钱，水一盏半，煎至七分，去渣温服。初服微烦，再服汗出而愈。
〔罗〕小柴胡加地黄汤 治妇人室女伤寒发热，经水适来适断，昼日明了，夜则谵语，如见鬼神。亦
治产后恶露方来，忽间断欲死。
柴胡（一两二钱半） 人参 黄芩 甘草（炙） 半夏（汤洗，七次） 生地（各七钱）
上为粗末，生姜三片，枣二枚，同煎。
〔云〕妇人伤寒，身热，脉长而弦，属阳明、少阳。往来寒热，夜躁昼宁，如见鬼状，经水适断，热入血
室。不实满者，小柴胡加牡丹皮主之，大实满者，桃仁承气主之。
小柴胡加牡丹皮汤
柴胡（二两） 黄芩（七钱半） 人参（二两） 半夏（六钱） 大枣（三枚） 甘草 生姜（各七钱半）
牡丹皮（二两）
上锉细，每服一两，生姜同煎。
桃仁承气汤（方见蓄血。）
妇人伤寒，头痛脉浮，医反下之，邪气乘虚而传于里，经水闭而不行，心下结硬，口燥舌干，寒热往来，狂言
如见鬼状，脉沉而数者，当下之，宜小柴胡加芒硝大黄汤主之。
柴胡（二两） 黄芩（七钱半） 半夏（制，一两五钱） 甘草（五钱半） 大黄 芒硝（各七钱）
大枣（三枚） 生姜（七钱半）
上锉，每服一两，生姜同煎．去渣，下芒硝，再沸，温服。若脉不沉数，即不可下。
〔《本》〕辛亥中，寓居毗陵，学官王仲礼，其妹病伤寒，发寒热，遇夜则如鬼物所凭，六七日忽昏塞，
涎响如引锯，牙关紧急，瞑目不知人，病势极危，召予视之。予曰∶得病之初，曾值月经来否？其家曰∶
月经方来，病作而经遂止。一二日发寒热，昼虽静，夜则有鬼祟。从昨日涎生，不省人事。予曰∶此热入
血室之证也。仲景云∶妇人中风，发热恶寒，经水适来，昼则明了，夜则谵语，如见鬼状，发作有时，
此名热入血室。医者不晓，以刚剂与之，遂致胸膈不利，涎潮上脘，喘急息高，昏冒不知人事。当先化
其痰，后除其热。予急
以一呷散投之。两时顷，涎下得睡，省人事。次授以小柴胡加地黄汤，三服而热除，不汗而自解矣。
〔云〕妇人伤寒表虚，自汗身凉，四肢拘急，脉沉而迟，太阳标病，少阳本病，经水适断，
桂枝加附红花汤。
桂枝（二两半） 芍药 生姜（各一两半） 甘草（一两，炙） 附子（炮） 红花（各五钱）
上锉细，各每服一两，水三盏，煎服。
妇人伤寒，太阳标病，汗解表除，邪热内攻，热入血室，经水过多，无满实者，甘草芍药汤。
甘草 芍药 生地 川芎（各一两）
上 咀，每服一两，水三盏，煎至一盏半，去渣，入发灰五钱，调匀，温服。不止者，刺隐白。
【云】妇女患伤寒或中风，其治疗方法与男子没有不同，只有热入血室、妊娠期间患伤寒则有所不同。应当使用四物汤来安养胎血，并配合发汗或攻下的药物进行治疗。
妇女患伤寒或中风，出现自汗、头痛、项背强直、发热恶寒、脉象浮而缓的症状。担心热邪陷入血室，因此加倍使用芍药，采用桂枝加芍药汤。
桂枝（一两半） 赤芍药（三两半） 生姜（一两半） 大枣（六枚）
以上药材切碎，每次服用五钱，用水煎煮。
妇女患伤寒，脉象浮而紧，头痛身热，恶寒无汗，发汗后担心热邪陷入血室，适宜使用麻黄加生地黄汤。
麻黄（二两半） 桂枝（一两半） 甘草（半两） 生地黄（一两） 杏仁（二十五个，去皮尖）
以上药材切碎，每次服用五钱，用水煎煮。
【《活》】妇女患伤寒，月经刚刚来潮随即中断，出现寒热往来如疟疾状，胡言乱语甚至看见鬼神，适宜使用干姜柴胡汤。
柴胡（四两） 栝蒌根 桂枝（一两半） 牡蛎（一两） 干姜 甘草（炙。各一两）
以上药材切碎，每次服用五钱，用水一盏半，煎至七分，去渣温服。初次服用稍感烦闷，再次服用出汗后即可痊愈。
【罗】小柴胡加地黄汤 治疗妇女及未婚女子患伤寒发热，月经适来或适断，白天神志清醒，夜晚则胡言乱语，如同看见鬼神。也治疗产后恶露刚来忽然中断导致濒死状态。
柴胡（一两二钱半） 人参 黄芩 甘草（炙） 半夏（汤洗七次） 生地（各七钱）
以上制成粗末，加入生姜三片，大枣二枚，共同煎煮。
【云】妇女患伤寒，身体发热，脉象长而弦，属于阳明、少阳经病。寒热往来，夜间烦躁白天安宁，如同看见鬼怪的样子，月经恰好中断，这是热入血室。腹部没有痞满胀实感的，用小柴胡加牡丹皮汤主治；腹部痞满胀实严重的，用桃仁承气汤主治。
小柴胡加牡丹皮汤
柴胡（二两） 黄芩（七钱半） 人参（二两） 半夏（六钱） 大枣（三枚） 甘草 生姜（各七钱半）
牡丹皮（二两）
以上药材切碎，每次服用一两，加入生姜同煎。
桃仁承气汤（方剂见蓄血篇。）
妇女患伤寒，头痛脉浮，医生反而使用下法，邪气乘虚传入里部，月经闭止不行，心下痞结硬满，口燥舌干，寒热往来，胡言乱语如同看见鬼怪，脉象沉而数，应当使用下法，适宜用小柴胡加芒硝大黄汤主治。
柴胡（二两） 黄芩（七钱半） 半夏（制，一两五钱） 甘草（五钱半） 大黄 芒硝（各七钱）
大枣（三枚） 生姜（七钱半）
以上药材切碎，每次服用一两，加入生姜同煎，去渣，加入芒硝，再煮沸，温服。如果脉象不沉数，就不可使用下法。
【《本》】辛亥年中，寓居毗陵，学官王仲礼的妹妹患伤寒，发作寒热，每到夜晚就像被鬼物附身，六七天忽然昏塞，喉间痰声如拉锯，牙关紧急，闭目不知人事，病情极其危险，请我诊治。我说：“得病之初，是否正值月经来潮？”家属说：“月经刚来，发病后月经便停止。一两天后发作寒热，白天虽然安静，夜晚则有鬼祟作怪。从昨天开始痰涎增多，不省人事。”我说：“这是热入血室的证候。张仲景说：妇女患中风，发热恶寒，月经恰好来潮，白天神志清醒，夜晚则胡言乱语，如同看见鬼怪，发作有定时，这名叫热入血室。医生不懂此理，给予刚烈之剂，于是导致胸膈不利，痰涎上涌至胃脘，喘急息高，昏迷不知人事。应当先化解痰涎，后清除热邪。”我急忙给予一呷散投服。两个时辰左右，痰涎下行得以入睡，恢复神志。接着给予小柴胡加地黄汤，服用三剂后热退，未出汗而自然痊愈。
【云】妇女患伤寒表虚，自汗身凉，四肢拘挛急迫，脉象沉而迟，为太阳标病，少阳本病，月经恰好中断，使用桂枝加附红花汤。
桂枝（二两半） 芍药 生姜（各一两半） 甘草（一两，炙） 附子（炮） 红花（各五钱）
以上药材切碎，每次服用一两，用水三盏，煎服。
妇女患伤寒，太阳标病，汗出解表除邪，邪热内攻，热入血室，月经量过多，没有痞满实感的，使用甘草芍药汤。
甘草 芍药 生地 川芎（各一两）
以上药材切碎，每次服用一两，用水三盏，煎至一盏半，去渣，加入发灰五钱，调匀，温服。若不止血，针刺隐白穴。
[Yun] For women suffering from Shanghan (Cold Damage) or Fengzhong (Wind Strike), the treatment methods are no different from those for men, except in cases of Re Ru Xue Shi (Heat Entering the Blood Chamber) and Shanghan during pregnancy. One should use Siwu Tang (Four Substances Decoction) to nourish and stabilize the fetal blood, assisted by herbs that induce sweating or purge accumulation.
When a woman suffers from Shanghan or Fengzhong, presenting with spontaneous sweating, headache, stiffness of the neck and back, fever with aversion to cold, and a floating and moderate pulse, one must fear Heat Entering the Blood Chamber. Therefore, increase the dosage of Shaoyao (Peony Root) and use Guizhi Jia Shaoyao Tang (Cinnamon Twig Decoction with Added Peony).
Guizhi (Cinnamon Twig, 1.5 liang) Chishao Yao (Red Peony Root, 3.5 liang) Shengjiang (Fresh Ginger, 1.5 liang) Dazao (Jujube, 6 pieces)
Crush these ingredients finely. Take 5 qian per dose, decoct in water.
When a woman suffers from Shanghan, with a floating and tight pulse, headache, body heat, aversion to cold without sweating, and after inducing sweating, if there is fear of Heat Entering the Blood Chamber, Mahuang Jia Shengdihuang Tang (Ephedra Decoction with Added Rehmannia) is appropriate.
Mahuang (Ephedrae Herba, 2.5 liang) Guizhi (Cinnamon Twig, 1.5 liang) Gancao (Licorice Root, 0.5 liang) Shengdihuang (Rehmanniae Radix, 1 liang) Xingren (Prunus Armeniaca Seed, 25 pieces, skin and tips removed)
Crush these ingredients. Take 5 qian per dose, decoct in water.
[From "Huofa"] When a woman suffers from Shanghan, and her menstrual period has just begun and then abruptly stopped, presenting with alternating chills and fever like malaria, delirious speech, and hallucinations of seeing ghosts, Ganjiang Chaihu Tang (Dried Ginger and Bupleurum Decoction) should be used.
Chaihu (Bupleuri Radix, 4 liang) Gualou Gen (Trichosanthis Radix) Guizhi (Cinnamon Twig, 1.5 liang) Muli (Ostreae Concha, 1 liang) Ganjiang (Zingiberis Rhizoma, 1 liang) Gancao (Licorice Root, roasted, 1 liang)
Crush these ingredients. Take 5 qian per dose, decoct in 1.5 sheng of water until reduced to 0.7 sheng, strain, and take warm. Initial administration may cause slight irritability; subsequent doses will induce sweating and cure the disease.
[Luo] Xiaochaihu Jia Dihuang Tang (Minor Bupleurum Decoction with Added Rehmannia) treats women and unmarried girls suffering from Shanghan with fever, where menstruation is either just starting or stopping. The patient is lucid during the day but experiences delirium at night, as if seeing ghosts. It also treats postpartum lochia that starts and suddenly stops, leading to a critical condition.
Chaihu (Bupleuri Radix, 1.25 liang) Renshen (Ginseng Radix) Huangqin (Scutellariae Radix) Gancao (Licorice Root, roasted) Banxia (Pinelliae Rhizoma, washed in boiling water seven times) Shengdi (Rehmanniae Radix, 0.7 liang each)
Grind into coarse powder. Add 3 slices of Shengjiang (Fresh Ginger) and 2 Dazao (Jujubes), decoct together.
[Yun] When a woman suffers from Shanghan, with body heat, and a long and wiry pulse, it belongs to Yangming and Shaoyang channels. Symptoms include alternating chills and fever, restlessness at night and tranquility during the day, hallucinations resembling seeing ghosts, and menstruation that has just stopped; this indicates Heat Entering the Blood Chamber. If there is no fullness or hardness in the abdomen, Xiaochaihu Jia Mudanpi Tang (Minor Bupleurum Decoction with Added Moutan Bark) is the primary treatment. If there is severe fullness and hardness, Tao Ren Chengqi Tang (Peach Kernel Decoction to Order the Qi) is used.
Xiaochaihu Jia Mudanpi Tang
Chaihu (Bupleuri Radix, 2 liang) Huangqin (Scutellariae Radix, 0.75 liang) Renshen (Ginseng Radix, 2 liang) Banxia (Pinelliae Rhizoma, 0.6 liang) Dazao (Jujube, 3 pieces) Gancao (Licorice Root) Shengjiang (Fresh Ginger, 0.75 liang each)
Mudanpi (Moutan Cortex, 2 liang)
Crush these ingredients finely. Take 1 liang per dose, decoct with Shengjiang (Fresh Ginger).
Tao Ren Chengqi Tang (See formula under Stasis of Blood.)
When a woman suffers from Shanghan, with headache and floating pulse, and the physician incorrectly uses purgation, pathogenic factors enter the interior due to deficiency. Menstruation ceases, epigastric region becomes knotted and hard, mouth is dry, tongue is parched, there are alternating chills and fever, delirious speech resembling seeing ghosts, and the pulse is deep and rapid. Purging is indicated; Xiaochaihu Jia Mangxiao Dahuang Tang (Minor Bupleurum Decoction with Added Natrii Sulfas and Rheum) is appropriate.
Chaihu (Bupleuri Radix, 2 liang) Huangqin (Scutellariae Radix, 0.75 liang) Banxia (Pinelliae Rhizoma, processed, 1.5 liang) Gancao (Licorice Root, 0.55 liang) Dahuang (Rhei Radix et Rhizoma) Mangxiao (Natrii Sulfas, 0.7 liang each)
Dazao (Jujube, 3 pieces) Shengjiang (Fresh Ginger, 0.75 liang)
Crush these ingredients. Take 1 liang per dose, decoct with Shengjiang (Fresh Ginger). Strain, add Mangxiao (Natrii Sulfas), boil again, and take warm. If the pulse is not deep and rapid, purging must not be used.
[From "Bencao"] In the Xinhai year, residing in Piling, Scholar Wang Zhongli's sister suffered from Shanghan, presenting with alternating chills and fever. At night, she appeared possessed by spirits. After six or seven days, she suddenly became comatose, with rattling phlegm sounds like sawing, locked jaw, eyes closed and unconscious. The condition was extremely critical, so I was summoned. I asked: "At the onset of the illness, did menstruation occur?" The family replied: "Menstruation had just started, but ceased when the illness began. For one or two days, there were alternating chills and fever; quiet during the day, but haunted at night. Since yesterday, excessive phlegm has developed, and she is unconscious." I said: "This is a case of Heat Entering the Blood Chamber. Zhang Zhongjing stated: When a woman suffers from Fengzhong (Wind Strike), with fever and aversion to cold, and menstruation happens to arrive, she is lucid during the day but delirious at night, as if seeing ghosts, with paroxysmal symptoms; this is named Heat Entering the Blood Chamber. Physicians who do not understand this administer harsh agents, leading to chest and diaphragm discomfort, upward surging of phlegm to the stomach, panting with high-pitched breathing, and coma. One must first resolve the phlegm, then eliminate the heat." I urgently administered Yicha San (One-Sip Powder). Within two hours, phlegm drained, she slept, and regained consciousness. Then, Xiaochaihu Jia Dihuang Tang (Minor Bupleurum Decoction with Added Rehmannia) was given. After three doses, the fever subsided, and she recovered spontaneously without sweating.
[Yun] When a woman suffers from superficial deficiency-type Shanghan, with spontaneous sweating, cool body, spastic limbs, and a deep and slow pulse, indicating Taiyang (Greater Yang) exterior syndrome and Shaoyang (Lesser Yang) root syndrome, with menstruation having just stopped, Guizhi Jia Fuhonghua Tang (Cinnamon Twig Decoction with Added Aconite and Safflower) is used.
Guizhi (Cinnamon Twig, 2.5 liang) Shaoyao (Peony Root) Shengjiang (Fresh Ginger, 1.5 liang each) Gancao (Licorice Root, roasted, 1 liang) Fuzi (Aconiti Lateralis Radix Praeparata, prepared) Honghua (Carthami Flos, 0.5 liang each)
Crush these ingredients finely. Take 1 liang per dose, decoct in 3 sheng of water.
When a woman suffers from Shanghan, Taiyang exterior syndrome, resolved by sweating, with pathogenic heat attacking internally and entering the Blood Chamber, accompanied by excessive menstruation but no fullness or hardness, Gancao Shaoyao Tang (Licorice and Peony Decoction) is used.
Gancao (Licorice Root) Shaoyao (Peony Root) Shengdi (Rehmanniae Radix) Chuanxiong (Ligustici Chuanxiong Rhizoma, 1 liang each)
Crush these ingredients. Take 1 liang per dose, decoct in 3 sheng of water until reduced to 1.5 sheng. Strain, add 5 qian of Fa Hui (Ash of Hair), mix well, and take warm. If bleeding does not stop, needle Yinbai (SP-1).