加味芩连四物汤
17.产后便血大肠热, 四物芩连酒炒黑, 地榆阿胶荆穗炒, 蜜制升麻
棕榈灰. 脾虚不摄归脾效, 气虚下陷补中宜.
【注】产后大便出血, 有因大肠经热者, 宜芩连四物汤, 黄芩, 黄连
俱酒炒黑用, 更加地榆, 阿胶, 荆芥穗微炒, 蜜制升麻, 棕榈皮灰治
之.若因脾虚不能摄血者, 宜归脾汤. 中气下陷, 补中益气汤.
芩连四物汤 归脾汤 补中益气汤 方俱见首卷
加味生化汤
18.荣气不从逆肉理, 败血留内发痈疽, 只用生化加连翘, 银花甘草
乳没宜. 切勿败毒施过剂, 致令溃腐必难医.
【注】产后气血两虚, 荣气不从, 逆于肉理, 或败血留内结成痈疽者
,只宜用生化汤加连翘, 金银花, 甘草节, 乳香, 没药治之. 切不可
用寒凉败毒之药, 恐溃后腐烂, 必难医治.
19.震亨产后惟大补, 从政莫作不足看, 二说须合形证脉, 攻补虚实
仔细参.
【注】朱震亨云: 产后气血两虚, 惟宜大补, 虽有他证, 以末治之.
张从政云: 产后慎不可作诸虚不足治之. 二说各有偏处, 当合形, 证
,脉三者细参, 方不致误.
1.开骨散
当归五钱 龟板 ( 醋炙, 研 ) 三钱 川芎二钱 妇人发一团水煎服
.
2.夺命散
没药 血竭各等分, 上研为细末. 才产下, 便用童便细酒各半杯, 煎
一两沸, 调下二钱, 良久再服. 其恶血自下行, 便不冲上, 免生百疾
.
3.清魂散
泽兰叶 人参各二两 川芎五钱 荆芥穗一两 甘草 ( 炙 ) 二钱,
上为末. 用温酒热汤各半杯, 调一钱灌之, 下咽, 眼即开, 气定即醒
.
4.大岩蜜汤
当归 熟地 白芍各二钱 干姜 肉桂各一钱 吴茱萸 独活 远志
(炙 ) 细辛 甘草 ( 炙 ) 各八分, 上水煎服.
5.香桂散
当归 肉桂 川芎各等分, 上为末, 酒调服.
6.延胡索散
当归 赤芍 生蒲黄 桂心 琥珀 红花 延胡索各等分, 以上以好
醋浸一宿, 焙干为末. 每服二钱, 酒调.
7.趁痛散
当归 官桂 白术 黄耆 独活 牛膝 生姜各五钱 甘草 ( 炙 )
薤白各三钱半, 桑寄生五钱, 上嚼咀, 每服五钱, 水煎服.
8.丁香豆蔻散
公丁香 白豆蔻仁 伏龙肝各等分, 上为末, 生姜汤点服.
9.茹橘饮
竹茹 橘红各三钱 干柿一枚, 水, 姜煎服.
10.参附汤
人参一两 附子 ( 炮 ) 五钱, 上作一服, 姜, 枣水煎, 徐徐服. 去
人参加黄耆, 名耆附汤.
11.二味参苏饮
人参 ( 为末 ) 一两 苏木二两, 上以苏木煎汤, 冲人参末服.
12. 枳术汤
枳实 ( 炒 ) 二两 白术 ( 土炒 ) 二两, 水, 姜煎服.
3.小调中汤
茯苓 当归 白芍 陈皮各一钱 白术一钱五分, 上作一剂, 煎汤服
.
14.小调经散
白芍 当归 没药 琥珀 桂心各一钱 细辛 麝香各五分, 上为细
末,每服五分. 姜汁, 温酒各少许调服.
15.更生散
当归 川芎 人参 生地各二钱 荆芥穗三钱 干姜 ( 炮 ) 八分,
水煎服.
16.当归六黄汤
当归 熟地 ( 自制 ) 黄耆 ( 炙 ) 各二钱 生地 黄柏 ( 炒黑
) 黄芩 ( 炒黑 ) 黄连 ( 炒黑 ) 各一钱, 上水煎服.
17.黄耆汤
黄耆 ( 炙 ) 三钱 牡蛎粉二钱 白术 ( 土炒 ) 二钱 茯苓一钱
麦冬二钱 熟地三钱 防风一钱 甘草 ( 炙 ) 七分, 上加浮小麦一
合,煎服.
18.七珍散
人参 石菖蒲 生地 川芎各一两 细辛一钱 防风 辰砂 ( 另研
)各五钱. 上为细末, 每服一钱. 薄荷煎汤调服.
19. 茯神散
茯神 ( 去木 ) 一两 人参 黄耆 ( 炙 ) 赤芍 牛膝 琥珀 龙
齿( 研 ) 各一钱五分 生地一两五钱 桂心五钱 当归二两, 上为
末,每服三钱, 水煎服.
20.妙香散
甘草 ( 炒 ) 五钱 远志 ( 制, 去心 ) 山药 ( 姜汁炙 ) 茯苓
茯神 ( 去木 ) 黄耆 ( 炙 ) 各一两 人参 桔梗各五钱 辰砂
(另研 ) 三钱 麝香 ( 另研 ) 二钱 木香一钱五分, 上为细末,
每服二钱. 当归, 熟地煎汤调下.
21. 参麦饮
人参 麦冬, 上水煎服.
22.人参当归汤
人参 当归 熟地 麦冬 白芍各二钱 五味子三分 桂枝一钱, 上
锉,水煎服.
23.竹叶归耆汤
人参 白术 ( 土炒 ) 当归 黄耆 ( 炙 ) 各二钱 竹叶二十片
甘草 ( 炙 ) 五分, 上锉, 水煎服.
24.旋覆花汤
旋覆花 赤芍药 荆芥穗 半夏麴 前胡 甘草 ( 炙 ) 茯苓 五
味子 杏仁 ( 去皮尖, 麸炒 ) 麻黄各等分. 上?? 咀, 每服四钱.
水一盏半, 生姜三片, 枣一枚, 煎至七分, 去滓, 食前温服. 有汗不
宜用.
25.人参泽兰叶汤
人参五钱 泽兰叶 丹皮 牛膝各二钱 生地三钱 熟地五钱 藕节
五枚, 煎, 冲童便服.
26.槐连四物汤
当归 川芎 赤芍药 生地 槐花 黄连 ( 炒 ) 各一钱 御米壳 (
去蒂, 蜜炙 ) 五分, 上锉, 水煎服.
27.芍药汤
芍药 ( 炒 ) 当归 黄连 ( 炒 ) 各半两 槟榔 木香 甘草 (
炙) 各二钱 肉桂二钱五分 黄芩 ( 炒 ) 三钱, 上每服半两, 水
煎.如不减, 加大黄. 此证又有因中气虚弱, 脾气郁结者, 治当审察
.
28.真人养脏汤
人参 白术 白芍药各二钱 肉桂 肉豆蔻 诃子 ( 煨 ) 各一钱
木香 甘草 罂粟壳各八分, 上锉, 姜, 枣煎服.
29.人参败毒散
羌活 独活 柴胡 前胡各一钱五分 枳壳 桔梗 人参 茯苓各一
钱 川芎八分 甘草五分, 上锉, 姜, 葱煎服.
30. 香连丸
黄连 ( 净 ) 十二两 吴茱萸 ( 去枝梗 ) 十两, 上先将二味用热水
拌和, 入磁器内, 置热汤炖一日, 同炒至黄连紫黄色, 去茱用连为末
,每末四两, 入木香末一两, 淡醋米饮为丸, 梧桐子大, 每服二, 三
十丸, 滚汤下. 久痢中气下陷者, 用补中益气汤下; 中气虚者, 用四
君子汤下; 中气虚寒者, 加姜, 桂.
31.藿香正气散
藿香一钱五分 桔梗 大腹皮 紫苏 茯苓 白术 ( 炒 ) 白芷
半夏麴 陈皮 厚朴 ( 炙 ) 各一钱 甘草 ( 炙 ) 五分, 上锉, 加
姜,枣, 水煎服.
32.三合散
当归 白芍 茯苓 熟地各一两 柴胡 人参各一两五钱 黄芩 半
夏( 制 ) 甘草各六钱 川芎一两, 上为粗末, 每服一两. 水一钟
半,煎服, 日三.
33.黄耆当归散
人参 白术 ( 土炒 ) 黄耆 当归 白芍各三钱 甘草八分, 上锉
,姜, 枣水煎服.
34.桂附地黄汤
熟地四钱 山萸肉 山药各二钱 丹皮 泽泻 茯苓各一钱五分 附
子( 制 ) 肉桂各一钱, 上锉, 水煎服.
35.回生丹
锦纹大黄 ( 为末 ) 一斤 苏木 ( 打碎, 用河水五碗, 煎汁三碗听
用) 三两 大黑豆 ( 水浸取壳, 用绢袋盛壳, 同豆煮熟, 去豆不用
,将壳晒干, 其汁留用 ) 三升 红花 ( 炒黄色, 入好酒四碗, 煎三
,五滚, 去渣, 取汁听用 ) 三两 米醋 ( 陈者佳 ) 九斤. 将大黄
末一斤, 入净锅, 下米醋三斤, 文火熬之, 以长木筋不住手搅之成膏
,再加醋三斤熬之, 又加醋三斤, 次第加毕, 然后下黑豆汁三碗, 再
熬,次下苏木汁, 次下红花汁, 熬成大黄膏. 取入瓦盆盛之, 大黄锅
粑亦铲下, 入后药同磨: 人参 当归 ( 酒洗 ) 川芎 ( 酒洗 )
香附 ( 醋炒 ) 延胡索 ( 酒炒 ) 苍术 ( 米泔浸炒 ) 蒲黄 (
隔纸炒 ) 茯苓 桃仁 ( 去皮, 尖, 油 ) 各一两 川牛膝 ( 酒洗
)五钱 甘草 ( 炙 ) 地榆 ( 酒洗 ) 川羌活 广橘红 白芍 (
酒炒 ) 各五钱 木瓜 青皮 ( 去穣, 炒 ) 各三钱 乳香 没药各
二钱 益母草三两 木香四钱 白术 ( 米泔浸炒 ) 三钱 乌药 (
去皮 ) 二两五钱 良姜四钱 马鞭草五钱 秋葵子三钱 熟地 ( 酒
浸,九次蒸晒, 如法制就 ) 一两 三棱 ( 醋浸透, 纸裹煨 ) 五钱
五灵脂 ( 醋煮化, 焙干, 研细 ) 五钱 山萸肉 ( 酒浸, 蒸捣 )
五钱, 上三十味, 并前黑豆壳, 共晒为末, 入石臼内, 下大黄膏拌匀
,再下炼熟蜜一斤, 共捣千杵, 取起为丸. 每丸重二钱七, 八分, 静
室阴干须二十余日. 不可日晒, 不可火烘, 干后只重二钱有零. 铄蜡
护之, 即蜡丸也. 用时去蜡壳, 调服.
17. 产后大便出血若因大肠有热，宜用四物汤加黄芩、黄连（均经酒炒后炒黑），并加入地榆、阿胶、荆芥穗（微炒）、蜜制升麻及棕榈皮灰。若因脾虚不能统摄血液，则归脾汤疗效显著；若因气虚下陷，则宜用补中益气汤。
【注】产后大便出血，有的因大肠经有热所致，适宜使用芩连四物汤，其中黄芩、黄连均需经酒炒后炒黑使用，再加用地榆、阿胶、荆芥穗（微炒）、蜜制升麻、棕榈皮灰来治疗。如果是因为脾虚不能统摄血液，适宜使用归脾汤。如果是中气下陷，则使用补中益气汤。芩连四物汤、归脾汤、补中益气汤的方剂组成均见本书首卷。
18. 营气运行不畅逆乱于肌肉纹理之间，败血留滞体内发为痈疽，只需在生化汤基础上加用连翘、金银花、甘草、乳香、没药即可。切勿使用过于猛烈的败毒药物，否则会导致溃烂腐坏，难以医治。
【注】产后气血两虚，营气运行不顺，逆乱于肌肉纹理之间，或者败血留滞体内结成痈疽的，只适宜使用生化汤加连翘、金银花、甘草节、乳香、没药来治疗。切不可使用寒凉败毒的药物，恐怕溃破后腐烂，必然难以医治。
19. 朱震亨认为产后只需大补元气，张从正则认为不可将产后视为诸虚不足之证，这两种说法都必须结合形体、症状和脉象仔细参详攻补虚实。
【注】朱震亨说：产后气血两虚，只适宜大补，即使有其他病症，也应作为次要问题处理。张从正说：产后千万不要当作各种虚损不足的病证来治。这两种说法各有偏颇，应当结合形体、症状、脉象三者仔细参详，才不会导致误诊。
1. 开骨散
当归五钱，龟板（醋炙，研碎）三钱，川芎二钱，妇人头发一团，水煎服。
2. 夺命散
没药、血竭各等分，以上药材研为细末。刚生产完，便用童便、好酒各半杯，煎煮一两沸，调服二钱，过一会儿再服一次。恶血自然下行，就不会上冲，从而避免产生百种疾病。
3. 清魂散
泽兰叶、人参各二两，川芎五钱，荆芥穗一两，甘草（炙）二钱，以上药材研为细末。用温酒、热汤各半杯，调服一钱灌下，咽下后眼睛即睁开，气息平稳后即苏醒。
4. 大岩蜜汤
当归、熟地黄、白芍各二钱，干姜、肉桂各一钱，吴茱萸、独活、远志（炙）、细辛、甘草（炙）各八分，以上药材水煎服。
5. 香桂散
当归、肉桂、川芎各等分，以上药材研为细末，用酒调服。
6. 延胡索散
当归、赤芍、生蒲黄、桂心、琥珀、红花、延胡索各等分，以上药材用好醋浸泡一夜，焙干后研为细末。每次服用二钱，用酒调服。
7. 趁痛散
当归、官桂、白术、黄芪、独活、牛膝、生姜各五钱，甘草（炙）、薤白各三钱半，桑寄生五钱，以上药材切碎，每次服用五钱，水煎服。
8. 丁香豆蔻散
公丁香、白豆蔻仁、伏龙肝各等分，以上药材研为细末，用生姜汤送服。
10. 参附汤
人参一两，附子（炮制）五钱，以上作为一剂，加生姜、大枣用水煎煮，徐徐服用。去掉人参改用黄芪，名为耆附汤。
11. 二味参苏饮
人参（研为末）一两，苏木二两，以上用苏木煎汤，冲服人参末。
12. 枳术汤
枳实（炒）二两，白术（土炒）二两，加水、生姜煎服。
3. 小调中汤 （注：原文序号有误，此处依原文列出）
茯苓、当归、白芍、陈皮各一钱，白术一钱五分，以上作为一剂，煎汤服用。
14. 小调经散
白芍、当归、没药、琥珀、桂心各一钱，细辛、麝香各五分，以上研为细末，每次服用五分。用姜汁、温酒少许调服。
15. 更生散
当归、川芎、人参、生地黄各二钱，荆芥穗三钱，干姜（炮制）八分，水煎服。
16. 当归六黄汤
当归、熟地黄（自制）、黄芪（炙）各二钱，生地黄、黄柏（炒黑）、黄芩（炒黑）、黄连（炒黑）各一钱，以上水煎服。
17. 黄芪汤
黄芪（炙）三钱，牡蛎粉二钱，白术（土炒）二钱，茯苓一钱，麦冬二钱，熟地黄三钱，防风一钱，甘草（炙）七分，以上加浮小麦一合，煎服。
18. 七珍散
人参、石菖蒲、生地黄、川芎各一两，细辛一钱，防风、辰砂（另研）各五钱。以上研为细末，每次服用一钱。用薄荷煎汤调服。
19. 茯神散
茯神（去木质部分）一两，人参、黄芪（炙）、赤芍、牛膝、琥珀、龙齿（研碎）各一钱五分，生地黄一两五钱，桂心五钱，当归二两，以上研为细末，每次服用三钱，水煎服。
20. 妙香散
甘草（炒）五钱，远志（制，去心）、山药（姜汁炙）、茯苓、茯神（去木质部分）、黄芪（炙）各一两，人参、桔梗各五钱，辰砂（另研）三钱，麝香（另研）二钱，木香一钱五分，以上研为细末，每次服用二钱。用当归、熟地黄煎汤调下。
22. 人参当归汤
人参、当归、熟地黄、麦冬、白芍各二钱，五味子三分，桂枝一钱，以上切碎，水煎服。
23. 竹叶归耆汤
人参、白术（土炒）、当归、黄芪（炙）各二钱，竹叶二十片，甘草（炙）五分，以上切碎，水煎服。
24. 旋覆花汤
旋覆花、赤芍药、荆芥穗、半夏曲、前胡、甘草（炙）、茯苓、五味子、杏仁（去皮尖，麸炒）、麻黄各等分。以上切碎，每次服用四钱。用水一盏半，生姜三片，枣一枚，煎至七分，去渣，饭前温服。有汗者不宜使用。
25. 人参泽兰叶汤
人参五钱，泽兰叶、丹皮、牛膝各二钱，生地黄三钱，熟地黄五钱，藕节五枚，煎煮后冲入童便服用。
26. 槐连四物汤
当归、川芎、赤芍药、生地黄、槐花、黄连（炒）各一钱，御米壳（去蒂，蜜炙）五分，以上切碎，水煎服。
27. 芍药汤
芍药（炒）、当归、黄连（炒）各半两，槟榔、木香、甘草（炙）各二钱，肉桂二钱五分，黄芩（炒）三钱，以上每次服用半两，水煎。如症状不减，加大黄。此证又有因中气虚弱、脾气郁结者，治疗时应当审察清楚。
28. 真人养脏汤
人参、白术、白芍药各二钱，肉桂、肉豆蔻、诃子（煨）各一钱，木香、甘草、罂粟壳各八分，以上切碎，加生姜、大枣煎服。
29. 人参败毒散
羌活、独活、柴胡、前胡各一钱五分，枳壳、桔梗、人参、茯苓各一钱，川芎八分，甘草五分，以上切碎，加生姜、葱煎服。
30. 香连丸
黄连（净）十二两，吴茱萸（去枝梗）十两，以上先将两味药用热水拌和，放入磁器内，置于热汤中炖煮一天，同炒至黄连呈紫黄色，去掉茱萸只用黄连研为细末，每四两黄连末中加入木香末一两，用淡醋米饮做成丸药，梧桐子大小，每次服用二三十丸，滚开水送下。久痢且中气下陷者，用补中益气汤送服；中气虚者，用四君子汤送服；中气虚寒者，加生姜、肉桂。
31. 藿香正气散
藿香一钱五分，桔梗、大腹皮、紫苏、茯苓、白术（炒）、白芷、半夏曲、陈皮、厚朴（炙）各一钱，甘草（炙）五分，以上切碎，加生姜、大枣，水煎服。
32. 三合散
当归、白芍、茯苓、熟地黄各一两，柴胡、人参各一两五钱，黄芩、半夏（制）、甘草各六钱，川芎一两，以上研为粗末，每次服用一两。用水一钟半，煎服，每日三次。
33. 黄芪当归散
人参、白术（土炒）、黄芪、当归、白芍各三钱，甘草八分，以上切碎，加生姜、大枣水煎服。
34. 桂附地黄汤
熟地黄四钱，山萸肉、山药各二钱，丹皮、泽泻、茯苓各一钱五分，附子（制）、肉桂各一钱，以上切碎，水煎服。
35. 回生丹
锦纹大黄（研为末）一斤，苏木（打碎，用河水五碗，煎汁三碗备用）三两，大黑豆（水浸取壳，用绢袋盛壳，同豆煮熟，去豆不用，将壳晒干，其汁留用）三升，红花（炒黄色，入好酒四碗，煎三至五沸，去渣，取汁备用）三两，米醋（陈年者佳）九斤。将大黄末一斤，放入干净锅中，下米醋三斤，文火熬制，以长木棍不停搅拌成膏状，再加醋三斤熬制，又加醋三斤，依次加完，然后下黑豆汁三碗，再熬，接着下苏木汁，再下红花汁，熬成大黄膏。取入瓦盆盛放，大黄锅巴也铲下，加入以下药物一同研磨：人参、当归（酒洗）、川芎（酒洗）、香附（醋炒）、延胡索（酒炒）、苍术（米泔水浸炒）、蒲黄（隔纸炒）、茯苓、桃仁（去皮、尖，去油）各一两，川牛膝（酒洗）五钱，甘草（炙）、地榆（酒洗）、川羌活、广橘红、白芍（酒炒）各五钱，木瓜、青皮（去瓤，炒）各三钱，乳香、没药各二钱，益母草三两，木香四钱，白术（米泔水浸炒）三钱，乌药（去皮）二两五钱，良姜四钱，马鞭草五钱，秋葵子三钱，熟地黄（酒浸，九次蒸晒，按法制成）一两，三棱（醋浸透，纸裹煨）五钱，五灵脂（醋煮化，焙干，研细）五钱，山萸肉（酒浸，蒸捣）五钱，以上三十味药，连同前面的黑豆壳，共同晒为细末，放入石臼内，下入大黄膏拌匀，再下入炼熟蜂蜜一斤，共同捣千杵，取出制成丸药。每丸重二钱七分或八分，在静室阴干需二十余日。不可日晒，不可火烘，干后只重二钱有余。用蜡封护，即蜡丸。用时去掉蜡壳，调服。
Modified Qín Lián Sì Wù Tāng (Coptis and Scutellaria Decoction of Four Substances)
17. Postpartum hematochezia due to heat in the Large Intestine: Use Sì Wù Tāng (Four Substances Decoction) with Huáng Qín (Scutellariae Radix) and Huáng Lián (Coptidis Rhizoma), both fried in wine and charred, plus Dì Yú (Sanguisorbae Radix), Ē Jiā (Colla Corii Asini), Jīng Jiè Suì (Schizonepetae Spica) lightly fried, Shēng Má (Bupleuri Radix) prepared with honey, and Zōng Lǘ Huī (Ash of Palm Leaf). For spleen deficiency failing to control blood, Guī Pí Tāng (Restore the Spleen Decoction) is effective; for qi deficiency with sinking, Bǔ Zhōng Yì Qì Tāng (Tonify the Middle and Augment the Qi Decoction) is appropriate.
[Note] Postpartum hematochezia may be caused by heat in the Large Intestine meridian, for which Qín Lián Sì Wù Tāng is suitable. Huáng Qín and Huáng Lián should be fried in wine and charred, added with Dì Yú, Ē Jiā, Jīng Jiè Suì (lightly fried), Shēng Már (honey-processed), and Zōng Lǘ Pí Huī (ash of palm bark) for treatment. If caused by spleen deficiency failing to control blood, Guī Pí Tāng is suitable. If due to middle qi sinking, Bǔ Zhōng Yì Qì Tāng is used. The formulas for Qín Lián Sì Wù Tāng, Guī Pí Tāng, and Bǔ Zhōng Yì Qì Tāng are found in the first volume.
Modified Shēng Huà Tāng
18. When Ying Qi (Nutritive Qi) fails to flow smoothly and rebels into the muscle tissue, causing retained blood to form abscesses or sores internally, only use Shēng Huà Tāng (Generate the New Decoction) added with Liáo Qiào (Forsythiae Fructus), Yìn Jīn Huā (Lonicerae Japonicae Flos), Gān Cǎo (Glycyrrhizae Radix et Rhizoma), Rǔ Xiāng (Olibanum), and Mò Yào (Myrrha). Do not use overly harsh detoxifying drugs, lest they cause ulceration and putrefaction that will be difficult to treat.
[Note] In postpartum conditions with dual deficiency of Qi and Blood, if Ying Qi flows irregularly and rebels into the muscle tissue, or if retained blood forms abscesses internally, only Shēng Huà Tāng added with Liáo Qiào, Yìn Jīn Huā, Gān Cǎo Jié (Glycyrrhizae Radix et Rhizoma with nodes), Rǔ Xiāng, and Mò Yào is suitable. Cold and detoxifying herbs must be avoided, as they may lead to severe ulceration and putrefaction after rupture, making treatment difficult.
19. Zhū Zhènghēng advocated major tonification for postpartum conditions, while Zhāng Cóngzhèng warned against treating them merely as deficiencies. Both views must be carefully evaluated in conjunction with physical signs, symptoms, and pulse to determine the correct balance of attacking and tonifying.
[Note] Zhū Zhènghēng stated: Postpartum involves dual deficiency of Qi and Blood, requiring major tonification; even if other syndromes exist, they should be treated secondarily. Zhāng Cóngzhèng stated: Postpartum conditions must never be treated simply as various deficiencies. Both views have their biases; one must carefully evaluate the physical appearance, symptoms, and pulse together to avoid error.
1. Kāi Gǔ Sǎn (Bone-Opening Powder)
Dāng Guī (Angelicae Sinensis Radix) 5 qian, Guī Bǎn (Testudinis Carapax et Plastrum) processed with vinegar and ground 3 qian, Chuān Xiōng (Ligustici Chuanxiong Rhizoma) 2 qian, a ball of human hair, decocted in water and taken orally.
2. Duó Mìng Sǎn (Life-Seizing Powder)
Mò Yào (Myrrha) and Xuè Jié (Dracoanis Sanguis) in equal parts, ground into fine powder. Immediately after delivery, mix half a cup of child's urine and half a cup of good wine, boil briefly, take 2 qian mixed with the powder, and repeat after some time. This promotes the discharge of lochia downwards, preventing it from rushing upwards and avoiding various diseases.
3. Qīng Hún Sǎn (Clearing Soul Powder)
Zé Lán Yè (Lycopersici Herba) and Rén Shēn (Ginseng Radix) each 2 liang, Chuān Xiōng 5 qian, Jīng Jiè Suì 1 liang, Gān Cǎo (Glycyrrhizae Radix et Rhizoma) processed 2 qian. All ground into powder. Mix 1 qian with half a cup of warm wine and half a cup of hot water, and administer. Upon swallowing, the eyes open, and upon stabilization of breath, consciousness returns.
4. Dà Yán Mì Tāng (Great Rock Honey Decoction)
Dāng Guī, Shú Dì Huáng (Rehmanniae Radix Praeparata), Bái Sháo (Paeoniae Radix Alba) each 2 qian, Gān Jiāng (Zingiberis Rhizoma) and Ròu Guì (Cinnamomi Cortex) each 1 qian, Wú Zhū Yú (Evodiae Fructus), Dú Huó (Angelicae Pubescentis Radix), Yuǎn Zhì (Polygalae Radix) processed, Xì Xīn (Asari Radix), Gān Cǎo (Glycyrrhizae Radix et Rhizoma) processed each 8 fen. Decoct in water and take orally.
5. Xiāng Guì Sǎn (Fragrant Cinnamon Powder)
Dāng Guī, Ròu Guì, Chuān Xiōng in equal parts. Ground into powder and taken with wine.
6. Yán Hú Suǒ Sǎn (Corydalis Powder)
Dāng Guī, Chì Sháo (Paeoniae Radix Rubra), Shēng Pú Huáng (Pollinis Typhae), Guì Xīn (Cinnamomi Ramulus), Hǔ Pò (Amber), Hóng Huā (Carthami Flos), Yán Hú Suǒ (Corydzidis Rhizoma) in equal parts. Soak overnight in good vinegar, dry by baking, and grind into powder. Take 2 qian each time, mixed with wine.
7. Chèn Tòng Sǎn (Following Pain Powder)
Dāng Guī, Guān Guì (Cinnamomi Cortex), Bái Zhú (Atractylodis Macrocephalae Rhizoma), Huáng Qí (Astragali Radix), Dú Huó, Niú Xī (Achyranthis Bidentatae Radix), Shēng Jiāng (Zingiberis Rhizoma Recens) each 5 qian, Gān Cǎo (Glycyrrhizae Radix et Rhizoma) processed, Xiè Bái (Allii Macrostemonis Bulbus) each 3.5 qian, Sāng Jì Shēng (Taxilli Herba) 5 qian. Cut into pieces, take 5 qian each time, decoct in water and take orally.
8. Dīng Xiāng Dòu Kòu Sǎn (Clove and Cardamom Powder)
Gōng Dīng Xiāng (Caryophylli Flos), Bái Dòu Kòu Rén (Cardamomi Semen), Fú Lóng Gān (Terra Viridissima) in equal parts. Ground into powder and taken with ginger soup.
9. Rú Jú Yǐn (Bamboo Sheath and Tangerina Peel Drink)
Zhú Rú (Bambusae Caulis in Taenia) and Jú Hóng (Citri Reticulatae Pericarpium) each 3 qian, Gān Shì (Kaki Fructus) one piece. Decoct with water and ginger and take orally.
10. Shēn Fù Tāng (Ginseng and Aconite Decoction)
Rén Shēn 1 liang, Fù Zǐ (Aconiti Lateralis Radix Praeparata) processed 5 qian. Taken as one dose, decoct with ginger and jujube in water, and take slowly. Removing Rén Shēn and adding Huáng Qí creates Qí Fù Tāng.
11. Èr Wèi Shēn Sū Yǐn (Two-Ingredient Ginseng and Sappanwood Drink)
Rén Shēn (ground into powder) 1 liang, Sū Mù (Sappan Lignum) 2 liang. Decoct Sū Mù in water, and take the powder mixed with the decoction.
12. Zhǐ Zhú Tāng (Immature Bitter Orange and Atractylodes Decoction)
Zhǐ Shí (Aurantii Fructus Immaturus) fried 2 liang, Bái Zhú (Atractylodis Macrocephalae Rhizoma) earth-fried 2 liang. Decoct with water and ginger and take orally.
3. Xiǎo Tiáo Zhōng Tāng (Minor Regulating the Middle Decoction) [Note: Numbering follows original text]
Fú Líng (Poria), Dāng Guī, Bái Sháo, Chén Pí (Citri Reticulatae Pericarpium) each 1 qian, Bái Zhú 1.5 qian. Taken as one dose, decoct in water and take orally.
14. Xiǎo Tiáo Jīng Sǎn (Minor Regulating Menstruation Powder)
Bái Sháo, Dāng Guī, Mò Yào, Hǔ Pò, Guì Xīn each 1 qian, Xì Xīn, Shè Xiāng (Moschus) each 5 fen. Ground into fine powder. Take 5 fen each time, mixed with a little ginger juice and warm wine.
15. Gēng Shēng Sǎn (Regeneration Powder)
Dāng Guī, Chuān Xiōng, Rén Shēn, Shēng Dì Huáng (Rehmanniae Radix) each 2 qian, Jīng Jiè Suì 3 qian, Gān Jiāng (Zingiberis Rhizoma) processed 8 fen. Decoct in water and take orally.
16. Dāng Guī Liù Huáng Tāng (Angelica Six Yellows Decoction)
Dāng Guī, Shú Dì Huáng (self-made), Huáng Qí (Astragali Radix) processed each 2 qian, Shēng Dì Huáng, Huáng Bǎi (Phellodendri Cortex) charred fried, Huáng Qín (Scutellariae Radix) charred fried, Huáng Lián (Coptidis Rhizoma) charred fried each 1 qian. Decoct in water and take orally.
17. Huáng Qí Tāng (Astragalus Decoction)
Huáng Qí (Astragali Radix) processed 3 qian, Mǔ Lì Fěn (Concha Ostreae) 2 qian, Bái Zhú (Atractylodis Macrocephalae Rhizoma) earth-fried 2 qian, Fú Líng 1 qian, Mài Dōng (Ophiopogonis Radix) 2 qian, Shú Dì Huáng 3 qian, Fáng Fēng (Saposhnikoviae Radix) 1 qian, Gān Cǎo (Glycyrrhizae Radix et Rhizoma) processed 7 fen. Add Fú Xiǎo Mài (Tritici Fructus Vulgaris) one he, decoct and take.
18. Qī Zhēn Sǎn (Seven Treasures Powder)
Rén Shēn, Shí Chāng Pǔ (Acori Tatarinowii Rhizoma), Shēng Dì Huáng, Chuān Xiōng each 1 liang, Xì Xīn 1 qian, Fáng Fēng, Chén Shā (Cinnabaris) separately ground each 5 qian. Ground into fine powder. Take 1 qian each time, mixed with mint decoction.
19. Fú Shén Sǎn (Poria Spirit Powder)
Fú Shén (Poria cum Radice Xyli) without wood 1 liang, Rén Shēn, Huáng Qí (Astragali Radix) processed, Chì Sháo, Niú Xī, Hǔ Pò, Lóng Chǐ (Dentibus fossilis Mammoth separately ground) each 1.5 qian, Shēng Dì Huáng 1.5 liang, Guì Xīn 5 qian, Dāng Guī 2 liang. Ground into powder. Take 3 qian each time, decoct in water and take orally.
20. Miào Xiāng Sǎn (Marvelous Fragrance Powder)
Gān Cǎo (Glycyrrhizae Radix et Rhizoma) fried 5 qian, Yuǎn Zhì (Polygalae Radix) processed, removed heart, Shān Yào (Dioscoreae Rhizoma) ginger-juice processed, Fú Líng, Fú Shén (Poria cum Radice Xyli) without wood, Huáng Qí (Astragali Radix) processed each 1 liang, Rén Shēn, Jié Gěng (Platycodonis Radix) each 5 qian, Chén Shā (Cinnabaris) separately ground 3 qian, Shè Xiāng (Moschus) separately ground 2 qian, Mù Xiāng (Aquilariae Lignum Resinatum) 1.5 qian. Ground into fine powder. Take 2 qian each time, taken down with Dāng Guī and Shú Dì Huáng decoction.
21. Shēn Mài Yǐn (Ginseng and Ophiopogon Drink)
Rén Shēn, Mài Dōng (Ophiopogonis Radix). Decoct in water and take orally.
22. Rén Shēn Dāng Guī Tāng (Ginseng and Angelica Decoction)
Rén Shēn, Dāng Guī, Shú Dì Huáng, Mài Dōng, Bái Sháo each 2 qian, Wǔ Wèi Zǐ (Schisandrae Chinensis Fructus) 3 fen, Guì Zhī (Cinnamomi Ramulus) 1 qian. Cut into pieces, decoct in water and take orally.
23. Zhú Yè Guī Qí Tāng (Bamboo Leaf and Angelica-Astragalus Decoction)
Rén Shēn, Bái Zhú (Atractylodis Macrocephalae Rhizoma) earth-fried, Dāng Guī, Huáng Qí (Astragali Radix) processed each 2 qian, Zhú Yè (Phyllostachys Nigra Folium) 20 leaves, Gān Cǎo (Glycyrrhizae Radix et Rhizoma) processed 5 fen. Cut into pieces, decoct in water and take orally.
24. Xuán Fù Huā Tāng (Inula Flower Decoction)
Xuán Fù Huā (Inulae Flos), Chì Sháo Yào (Paeoniae Radix Rubra), Jīng Jiè Suì, Bàn Xià Qū (Pinelliae Rhizoma Preparatum), Qián Hú (Peucedani Radix), Gān Cǎo (Glycyrrhizae Radix et Rhizoma) processed, Fú Líng, Wǔ Wèi Zǐ (Schisandrae Chinensis Fructus), Xìng Rén (Armeniacae Semen Amarum) skin and tip removed, bran-fried, Má Huáng (Ephedrae Herba) in equal parts. Cut into pieces, take 4 qian each time. Decoct with 1.5 cups of water, 3 slices of ginger, and one jujube until reduced to 0.7 cups. Strain and take warm before meals. Not suitable for those with sweating.
25. Rén Shēn Zé Lán Yè Tāng (Ginseng and Lycopus Decoction)
Rén Shēn 5 qian, Zé Lán Yè (Lycopersici Herba), Dān Pí (Moutan Cortex), Niú Xī (Achyranthis Bidentatae Radix) each 2 qian, Shēng Dì Huáng (Rehmanniae Radix) 3 qian, Shú Dì Huáng (Rehmanniae Radix Praeparata) 5 qian, Ǒu Jié (Nelumbinis Node) 5 pieces. Decoct and take mixed with child's urine.
26. Huái Lián Sì Wù Tāng (Sophora and Coptis Four Substances Decoction)
Dāng Guī, Chuān Xiōng, Chì Sháo Yào (Paeoniae Radix Rubra), Shēng Dì Huáng (Rehmanniae Radix), Huái Huā (Sophorae Flos), Huáng Lián (Coptidis Rhizoma) fried each 1 qian, Yù Mǐ Ké (Papaveris Pericarpium) tip removed, honey-processed 5 fen. Cut into pieces, decoct in water and take orally.
27. Sháo Yào Tāng (Peony Decoction)
Sháo Yào (Paeoniae Radix) fried, Dāng Guī, Huáng Lián (Coptidis Rhizoma) fried each 0.5 liang, Bīng Láng (Arecae Semen), Mù Xiāng (Aquilariae Lignum Resinatum), Gān Cǎo (Glycyrrhizae Radix et Rhizoma) processed each 2 qian, Ròu Guì (Cinnamomi Cortex) 2.5 qian, Huáng Qín (Scutellariae Radix) fried 3 qian. Take 0.5 liang each time, decoct in water. If symptoms do not subside, add Dà Huáng (Rhei Radix et Rhizoma). This syndrome may also be caused by weak middle qi and constrained spleen qi; treatment requires careful examination.
28. Zhēn Rén Yǎng Zàng Tāng (True Person Nourishing Viscera Decoction)
Rén Shēn, Bái Zhú (Atractylodis Macrocephalae Rhizoma), Bái Sháo Yào (Paeoniae Radix Alba) each 2 qian, Ròu Guì (Cinnamomi Cortex), Ròu Dòu Kòu (Myristicae Semen), Hē Zǐ (Chebulae Fructus) roasted each 1 qian, Mù Xiāng (Aquilariae Lignum Resinatum), Gān Cǎo (Glycyrrhizae Radix et Rhizoma), Yīng Sù Ké (Papaveris Pericarpium) each 8 fen. Cut into pieces, decoct with ginger and jujube and take orally.
29. Rén Shēn Bài Dú Sǎn (Ginseng Overcoming Toxins Powder)
Qiāng Huó (Notopterygii Rhizoma et Radix), Dú Huó (Angelicae Pubescentis Radix), Chái Hú (Bupleuri Radix), Qián Hú (Peucedani Radix) each 1.5 qian, Zhǐ Qiào (Aurantii Fructus), Jié Gěng (Platycodonis Radix), Rén Shēn (Ginseng Radix), Fú Líng (Poria) each 1 qian, Chuān Xiōng (Ligustici Chuanxiong Rhizoma) 8 fen, Gān Cǎo (Glycyrrhizae Radix et Rhizoma) 5 fen. Cut into pieces, decoct with ginger and scallion and take orally.
30. Xiāng Lián Wán (Fragrant Coptis Pill)
Huáng Lián (Coptidis Rhizoma) purified 12 liang, Wú Zhū Yú (Evodiae Fructus) branches and stems removed 10 liang. Mix the two ingredients with hot water, place in a ceramic vessel, stew in hot water for one day, stir-fry together until Huáng Lián turns purple-yellow. Remove Wú Zhū Yú, keep Huáng Lián and grind into powder. For every 4 liang of powder, add 1 liang of Mù Xiāng (Aquilariae Lignum Resinatum) powder. Form pills with light vinegar and rice drink, size of wutong seeds. Take 20-30 pills each time with boiling water. For chronic dysentery with middle qi sinking, take with Bǔ Zhōng Yì Qì Tāng (Tonify the Middle and Augment the Qi Decoction); for middle qi deficiency, take with Sì Jūn Zǐ Tāng (Four Gentlemen Decoction); for middle qi deficiency-cold, add Shēng Jiāng (Zingiberis Rhizoma Recens) and Ròu Guì (Cinnamomi Cortex).
31. Huò Xiāng Zhèng Qì Sǎn (Patchouli Corrective Qi Powder)
Huò Xiāng (Agastaches Herba) 1.5 qian, Jié Gěng (Platycodonis Radix), Dà Fù Pí (Arecae Pericarpium), Zǐ Sū (Perillae Folium), Fú Líng (Poria), Bái Zhú (Atractylodis Macrocephalae Rhizoma) fried, Bái Zhǐ (Angelicae Dahuricae Radix), Bàn Xià Qū (Pinelliae Rhizoma Preparatum), Chén Pí (Citri Reticulatae Pericarpium), Hòu Pò (Magnoliae Officinalis Cortex) processed each 1 qian, Gān Cǎo (Glycyrrhizae Radix et Rhizoma) processed 5 fen. Cut into pieces, add ginger and jujube, decoct in water and take orally.
32. Sān Hé Sǎn (Three Harmonies Powder)
Dāng Guī (Angelicae Sinensis Radix), Bái Sháo (Paeoniae Radix Alba), Fú Líng (Poria), Shú Dì Huáng (Rehmanniae Radix Praeparata) each 1 liang, Chái Hú (Bupleuri Radix), Rén Shēn (Ginseng Radix) each 1.5 liang, Huáng Qín (Scutellariae Radix), Bàn Xià (Pinelliae Rhizoma) processed, Gān Cǎo (Glycyrrhizae Radix et Rhizoma) each 6 qian, Chuān Xiōng (Ligustici Chuanxiong Rhizoma) 1 liang. Ground into coarse powder. Take 1 liang each time. Decoct with 1.5 cups of water, three times daily.
33. Huáng Qí Dāng Guī Sǎn (Astragalus and Angelica Powder)
Rén Shēn (Ginseng Radix), Bái Zhú (Atractylodis Macrocephalae Rhizoma) earth-fried, Huáng Qí (Astragali Radix), Dāng Guī (Angelicae Sinensis Radix), Bái Sháo (Paeoniae Radix Alba) each 3 qian, Gān Cǎo (Glycyrrhizae Radix et Rhizoma) 8 fen. Cut into pieces, decoct with ginger and jujube in water and take orally.
34. Guì Fù Dì Huáng Tāng (Cinnamon, Aconite, and Rehmannia Decoction)
Shú Dì Huáng (Rehmanniae Radix Praeparata) 4 qian, Shān Yú Ròu (Corni Fructus), Shān Yào (Dioscoreae Rhizoma) each 2 qian, Dān Pí (Moutan Cortex), Zé Xiè (Alismatis Rhizoma), Fú Líng (Poria) each 1.5 qian, Fù Zǐ (Aconiti Lateralis Radix Praeparata) processed, Ròu Guì (Cinnamomi Cortex) each 1 qian. Cut into pieces, decoct in water and take orally.
35. Huí Shēng Dān (Life-Returning Pill)
Jǐn Wén Dà Huáng (Rhei Radix et Rhizoma) ground into powder 1 jin, Sū Mù (Sappan Lignum) crushed, decocted in five bowls of river water to yield three bowls of juice for later use 3 liang, Dà Hēi Dòu (Sojae Glycines Semen) soaked in water, shells extracted, cooked with beans in a silk bag, beans discarded, shells dried, juice reserved 3 sheng, Hóng Huā (Carthami Flos) fried yellow, decocted in four bowls of good wine for three to five boils, dregs removed, juice reserved 3 liang, Mǐ Cù (Acetum Oryzae) aged best 9 jin. Put 1 jin of Dà Huáng powder into a clean pot, add 3 jin of Mǐ Cù, simmer on low heat, stirring constantly with a long wooden stick until it becomes a paste. Add another 3 jin of vinegar and simmer, then add another 3 jin of vinegar. After all vinegar is added, pour in 3 bowls of Dà Hēi Dòu juice and simmer again. Then add Sū Mù juice, then Hóng Huā juice, until a Dà Huáng paste is formed. Transfer to a clay pot. Scrape the crust from the bottom of the Dà Huáng pot and add the following herbs for grinding: Rén Shēn (Ginseng Radix), Dāng Guī (Angelicae Sinensis Radix) wine-washed, Chuān Xiōng (Ligustici Chuanxiong Rhizoma) wine-washed, Xiāng Fù (Cyperi Rhizoma) vinegar-fried, Yán Hú Suǒ (Corydzidis Rhizoma) wine-fried, Cāng Zhú (Atractylodis Rhizoma) rice-water-soaked and fried, Pú Huáng (Pollinis Typhae) paper-separated fried, Fú Líng (Poria), Táo Rén (Persicae Semen) skin and tip removed, oil removed each 1 liang, Chuān Niú Xī (Achyranthis Bidentatae Radix) wine-washed 5 qian, Gān Cǎo (Glycyrrhizae Radix et Rhizoma) processed, Dì Yú (Sanguisorbae Radix) wine-washed, Chuān Qiāng Huó (Notopterygii Rhizoma et Radix), Guǎng Jú Hóng (Citri Reticulatae Pericarpium), Bái Sháo (Paeoniae Radix Alba) wine-fried each 5 qian, Mù Guā (Chaenomelis Fructus), Qīng Pí (Citri Reticulatae Pericarpium viride) pith removed, fried each 3 qian, Rǔ Xiāng (Olibanum), Mò Yào (Myrrha) each 2 qian, Yì Mǔ Cǎo (Leonuri Herba) 3 liang, Mù Xiāng (Aquilariae Lignum Resinatum) 4 qian, Bái Zhú (Atractylodis Macrocephalae Rhizoma) rice-water-soaked and fried 3 qian, Wū Yào (Styracis Pericarpium) peeled 2.5 liang, Liáng Jiāng (Alpiniae Officinarum Rhizoma) 4 qian, Mǎ Biān Cǎo (Verbenae Herba) 5 qian, Qiū Kuí Zǐ (Abutili Semen) 3 qian, Shú Dì Huáng (Rehmanniae Radix Praeparata) wine-soaked, steamed and sun-dried nine times according to method 1 liang, Sān Léng (Sparganii Rhizoma) vinegar-soaked thoroughly, wrapped in paper and roasted 5 qian, Wǔ Líng Zhī (Trogopterori Faeces) vinegar-boiled until melted, baked dry, finely ground 5 qian, Shān Yú Ròu (Corni Fructus) wine-soaked, steamed and pounded 5 qian. These thirty ingredients, along with the previously mentioned Dà Hēi Dòu shells, are sun-dried and ground into powder. Place in a stone mortar, add the Dà Huáng paste and mix well, then add 1 jin of refined honey and pound for a thousand strokes. Take out and form into pills. Each pill weighs 2.7 or 2.8 qian. Dry in a quiet room in the shade for over twenty days. Do not expose to sun, do not bake with fire. Once dry, it weighs slightly over 2 qian. Seal with wax, creating wax pills. When using, remove the wax shell and take mixed with liquid.