葱白散
9.妇人?? 癖腹肋痛, 风冷血气结而成, 葱白四物参苓枳, 桂朴姜香
青莪棱, 茴香麴麦苦楝子, 葱盐煎服诃黄斟.
【注】妇人?? 癖腹肋疼痛者, 皆因风冷与气血抟结而成, 宜用葱白
散温散之. 其方即四物汤加人参, 茯苓, 枳壳, 肉桂, 厚朴, 干姜,
木香, 青皮, 莪术, 三棱, 茴香, 神麴, 麦蘖, 苦楝子, 葱白, 食盐
煎服也. 大便结燥, 去盐加大黄; 如大便自利加诃子.
四物汤方 见首卷汇方内
当归散
10.妇人疝病气攻冲, 胁腹刺痛当归芎, 鳖甲吴萸桃仁芍, 桂榔青木
大黄蓬.
【注】妇人疝病, 攻冲刺痛, 多因风冷寒湿客于胞门血室, 故其病皆
属厥阴肝经, 宜当归散. 即当归, 川芎, 鳖甲, 吴茱萸, 桃仁, 赤芍
,肉桂, 槟榔, 青皮, 木香, 大黄, 蓬莪术也.
11.形虚病盛先扶正, 形证俱实去病急, 大积大聚衰其半, 须知养正
积自除.
【注】凡治诸症积, 宜先审身形之壮弱, 病势之缓急而治之. 如人虚
,则气血衰弱, 不任攻伐, 病势虽盛, 当先扶正气, 而后治其病; 若
形证俱实, 宜先攻其病也. 经云: 大积大聚衰其半而止, 盖恐过于攻
伐,伤其气血也. 罗天益曰: 养正积自除, 可谓得经旨者矣.
9. 妇女患有癖块，腹部和胁肋部疼痛，这是由于风冷与血气凝结所致。方用葱白散：包含四物汤、人参、茯苓、枳壳、肉桂、厚朴、干姜、木香、青皮、莪术、三棱、小茴香、神曲、麦芽、苦楝子，煎服时加入葱白和食盐，并根据情况斟酌添加诃子或大黄。
【注】妇女患有癖块，出现腹部和胁肋部疼痛的症状，都是因为风冷与气血搏结而成，适宜使用葱白散来温通发散。该方剂即由四物汤加入人参、茯苓、枳壳、肉桂、厚朴、干姜、木香、青皮、莪术、三棱、小茴香、神曲、麦芽、苦楝子、葱白、食盐煎服组成。如果大便干结燥硬，去掉食盐并加大黄；如果大便自行通畅（腹泻），则加入诃子。
四物汤方剂见本书首卷汇方部分。
10. 妇女患疝病，气机攻冲，胁腹部位刺痛。方用当归散：包含当归、川芎、鳖甲、吴茱萸、桃仁、赤芍、肉桂、槟榔、青皮、木香、大黄、蓬莪术。
【注】妇女患疝病，表现为气机攻冲、刺痛，多因风冷寒湿邪气客居于胞门血室，因此这类病症都属于厥阴肝经病变，适宜使用当归散。该方剂即由当归、川芎、鳖甲、吴茱萸、桃仁、赤芍、肉桂、槟榔、青皮、木香、大黄、蓬莪术组成。
11. 身体虚弱而病势盛实的，应当先扶助正气；形体与证候都表现为实证的，应当急于祛除病邪。对于大的积聚，病势消退一半时就应停止攻伐，要知道养护正气，积聚自然就会消除。
【注】凡是治疗各种症积，应当先审视患者身体的强壮或虚弱，以及病势的缓慢或急迫，然后进行治疗。如果人体虚弱，那么气血衰弱，不能承受攻伐之药，即使病势旺盛，也应当先扶助正气，然后再治疗疾病；如果形体和证候都表现为实证，就应当先攻逐病邪。医经云：“大积大聚，衰其半而止”，这是担心过度攻伐会损伤气血。罗天益说：“养护正气，积聚自然消除”，这可以说是深得医经旨意的人了。
Congbai San (Scallion White Decoction)
9. In women suffering from *pi* masses (abdominal masses characterized by fixed pain and palpable lumps), with pain in the abdomen and hypochondrium, this is caused by the congealing of wind-cold and blood-qi. The formula Congbai San consists of Siwu Tang (Four Substances Decoction), Renshen (Ginseng Radix et Rhizoma), Fuling (Poria), Zhike (Aurantii Fructus Immaturus), Rougui (Cinnamomi Cortex), Houpo (Magnoliae Officinalis Cortex), Ganjiang (Zingiberis Rhizoma), Muxiang (Aucklandiae Radix), Qingpi (Aurantii Fructus Immaturus Pericarpium), Ezhu (Curcumae Rhizoma), Sanleng (Sparganii Rhizoma), Huixiang (Foeniculi Fructus), Shenqu (Massa Medicata Fermentata), Maiya (Hordei Fructus Germinatus), Kuanlianzi (Meliae Toosendan Fructus). It is decocted with Congbai (Allii Fistulosi Bulbus) and Yanshi (Sal), with Hezi (Chebulae Fructus) or Dahuang (Rhei Radix et Rhizoma) added as appropriate.
[Note] Women suffering from *pi* masses with abdominal and hypochondriac pain are caused by the binding of wind-cold with qi and blood. It is suitable to use Congbai San to warm and disperse. This formula is Siwu Tang (Four Substances Decoction) plus Renshen (Ginseng Radix et Rhizoma), Fuling (Poria), Zhike (Aurantii Fructus Immaturus), Rougui (Cinnamomi Cortex), Houpo (Magnoliae Officinalis Cortex), Ganjiang (Zingiberis Rhizoma), Muxiang (Aucklandiae Radix), Qingpi (Aurantii Fructus Immaturus Pericarpium), Ezhu (Curcumae Rhizoma), Sanleng (Sparganii Rhizoma), Huixiang (Foeniculi Fructus), Shenqu (Massa Medicata Fermentata), Maiya (Hordei Fructus Germinatus), Kuanlianzi (Meliae Toosendan Fructus), Congbai (Allii Fistulosi Bulbus), and Yanshi (Sal), decocted for administration. If the stool is dry and constipated, remove Yanshi (Sal) and add Dahuang (Rhei Radix et Rhizoma); if there is spontaneous diarrhea, add Hezi (Chebulae Fructus).
The formula for Siwu Tang (Four Substances Decoction) can be found in the collected formulas in the first volume.
Danggui San (Angelica Sinensis Decoction)
10. In women suffering from *shan* disease (hernia-like disorders involving qi attack), with qi attacking and thrusting, causing stabbing pain in the hypochondrium and abdomen. The formula Danggui San consists of Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Biejia (Testudinis Carapax et Plastrum), Wuzhuyu (Evodiae Fructus), Taoren (Persicae Semen), Chishao (Paeoniae Radix Rubra), Rougui (Cinnamomi Cortex), Binglang (Arecae Semen), Qingpi (Aurantii Fructus Immaturus Pericarpium), Muxiang (Aucklandiae Radix), Dahuang (Rhei Radix et Rhizoma), Peng'ezhu (Curcumae Rhizoma).
[Note] Women suffering from *shan* disease, characterized by qi attacking and stabbing pain, are mostly due to wind-cold and damp-cold pathogens lodging in the uterine gate and blood chamber. Therefore, these diseases belong to the Jueyin Liver Meridian, and it is suitable to use Danggui San (Angelica Sinensis Decoction). This formula consists of Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Biejia (Testudinis Carapax et Plastrum), Wuzhuyu (Evodiae Fructus), Taoren (Persicae Semen), Chishao (Paeoniae Radix Rubra), Rougui (Cinnamomi Cortex), Binglang (Arecae Semen), Qingpi (Aurantii Fructus Immaturus Pericarpium), Muxiang (Aucklandiae Radix), Dahuang (Rhei Radix et Rhizoma), and Peng'ezhu (Curcumae Rhizoma).
11. When the constitution is deficient but the pathogenic factor is excessive, first support the righteous qi; when both the constitution and the syndrome are excess, urgently eliminate the pathogenic factor. For large accumulations and aggregations, stop the attack when half has subsided; one must know that nourishing the righteous qi will cause the accumulation to disappear spontaneously.
[Note] In treating all kinds of *zheng* and *ji* accumulations, one should first examine whether the body is strong or weak, and whether the disease progression is slow or urgent, then treat accordingly. If the person is deficient, meaning qi and blood are weakened and cannot tolerate attacking methods, even if the disease progress is vigorous, one should first support the righteous qi, and then treat the disease; if both the physical condition and the syndrome indicate excess, one should first attack the pathogenic factor. The Classics state: "For large accumulations and aggregations, cease treatment when half has subsided," fearing that excessive attacking would damage qi and blood. Luo Tianyi said: "Nourishing the righteous qi causes the accumulation to disappear spontaneously," which can be said to have grasped the essence of the Classics.