用砂仁炒为末，酒调下五分。
妊娠出痘胎痛者，此方主之。
胎痛者，热而气滞之故也。缩砂辛温，利而不滞，故可以利气，可以安胎。
人参 白术（炒） 茯苓 甘草 芍药（酒炒） 当归 川芎 砂仁 紫苏 黄芩（酒
炒） 陈皮 香附（醋炒） 大腹皮（净洗）
孕娠出痘，此方互用。
气血虚，则胎不安。气血热，则胎不安。气血滞，则胎不安。是方也，人参、白术、茯
苓、甘草，所以补气。当归、川芎、芍药，所以养血。黄芩所以清热。砂仁、香附、紫苏、
陈皮、大腹皮，所以行滞。
叙曰∶妇人杂病与男子等，惟月事，胎产异焉。今所考者，亦考其月事、胎产之方尔。
他证则向全方求其证治。
当归（酒洗） 川芎 白芍药（酒炒） 熟地黄
妇人月事不调，以此方为主而变通之。
无极之真，二五之精，妙合而凝。干道成男，坤道成女。女以坤道用事，故治妇人者以
阴为主。方其二七而癸至，月事以时下者，女子得坤之阴，阴中必有阳，故以七为纪，一七
而齿更，二七而天癸至也。人受天地之气以生，故能克肖天地。月，天之阴也，以月而盈，
以月而亏，故女子之血，亦以三十日而一下也。血之下也同于月，故名之曰月事。经曰∶月
事以时下，故能有子。是以月事不调者，宜以此方为主。随其寒热虚实而斟酌加减之，使月
事调匀，则阴阳和而万物生，有子之道也。是方也，当归、芍药、地黄，皆味浓之品也，味
浓为阴中之阴，故能益血。析而论之，当归辛温能活血，芍药酸寒能敛血，熟地甘濡能补血。
又曰∶当归入心脾，芍药入肝，熟地入肾，乃川芎者，彻上彻下而行血中之气者也。此四物
汤所以为妇人之要药，而调月者必以之为主也。脉数，血色紫黑为内热，本方加黄芩、黄连。
脉迟、血凝结者为寒，本方加官桂、附子。人肥有痰，加半夏、陈皮、南星。人瘦有火，加
山栀、黄柏、知母。有抑郁者，加香附、苍术、砂仁、神曲。有留滞者，加桃仁、红花，玄
胡索、肉桂。先期者为热，后期者为寒、为郁、为气、为痰。气虚者，加参、 。气实者，
加枳朴。或问∶四物亦有不宜者乎？余曰∶有之。气息几微者不宜川芎，恐其辛香，益耗散
真气也。大便溏泄不宜当归，恐其濡滑，益增下注也。脉迟腹痛不宜芍药，恐其酸寒，益增
中冷也。胸膈痞塞不宜地黄，恐其粘腻，益增泥滞也。明者解之，昧者误矣。
用砂仁炒成粉末，用酒调服五分。
妊娠期间出痘疹且伴有胎痛的，此方主治。
所谓胎痛，是由于热邪导致气机阻滞的缘故。缩砂（即砂仁）性味辛温，通利而不滞涩，因此能够行气，能够安胎。
人参、白术（炒）、茯苓、甘草、芍药（酒炒）、当归、川芎、砂仁、紫苏、黄芩（酒炒）、陈皮、香附（醋炒）、大腹皮（洗净）
妊娠期间出痘疹，此方可交替使用。
气血虚弱，则胎元不安；气血有热，则胎元不安；气血滞涩，则胎元不安。这个方子中，人参、白术、茯苓、甘草，是用来补气的；当归、川芎、芍药，是用来养血的；黄芩是用来清热的；砂仁、香附、紫苏、陈皮、大腹皮，是用来行气导滞的。
叙述说：妇女的杂病与男子相同，只有月经、怀孕和分娩是不同的。现在所考证的，也是考证关于月经、怀孕和分娩的方剂罢了。其他病症则向完整的方剂中去寻找证治方法。
当归（酒洗）、川芎、白芍药（酒炒）、熟地黄
妇女月经不调，以此方为基础进行加减变化。
无极的真谛，阴阳五行之精微，奇妙地结合而凝聚。天道生成男性，地道生成女性。女性顺应地道运行，所以治疗妇人疾病以阴为主。女子到了十四岁（二七之年）天癸至，月经按时来潮，是因为女子得坤卦之阴，阴中必含阳，所以以七为周期，一七岁时换牙，二七岁时天癸至。人禀受天地之气而生，所以能模拟天地。月亮是天的阴象，因月相盈亏而变化，所以女子的经血，也是每三十日下行一次。经血的下行如同月亮一样，所以称之为“月事”。《内经》说：“月经按时来潮，所以能生育。”因此月经不调者，适宜以此方为主。根据寒热虚实的不同斟酌加减，使月经调和均匀，那么阴阳和谐万物化生，这就是生育之道。这个方子中，当归、芍药、地黄，都是味道浓厚的药材，味厚属于阴中之阴，所以能益血。分析来看，当归辛温能活血，芍药酸寒能敛血，熟地黄甘润能补血。又说：当归入心脾经，芍药入肝经，熟地黄入肾经，至于川芎，则是贯通上下而行血中之气的药物。这就是四物汤之所以成为妇人的要药，调理月经必须以此方为主的缘故。脉数，血色紫黑为内热，本方加黄芩、黄连。脉迟，血液凝结为寒，本方加官桂、附子。身体肥胖有痰湿者，加半夏、陈皮、南星。身体瘦弱有火者，加山栀、黄柏、知母。有抑郁情绪者，加香附、苍术、砂仁、神曲。有瘀血留滞者，加桃仁、红花、玄胡索、肉桂。经期提前者为热，推后者为寒、为郁、为气滞、为痰湿。气虚者，加人参、黄芪。气实者，加枳壳、厚朴。有人问：四物汤也有不适合用的情况吗？我说：有的。气息微弱者不宜用川芎，恐怕其辛香之性，更加耗散真气。大便溏泄者不宜用当归，恐怕其濡滑之性，更加增加下注腹泻。脉迟腹痛者不宜用芍药，恐怕其酸寒之性，更加增加中焦寒冷。胸膈痞塞者不宜用地黄，恐怕其粘腻之性，更加增加泥滞。明智的人理解它，愚昧的人就会误用它。
Stir-fry Amomum fruit (Sha Ren) into powder, take 2.5 grams mixed with wine.
For pregnant women suffering from smallpox accompanied by fetal pain, this formula is indicated.
Fetal pain is caused by heat leading to Qi stagnation. Sha Ren (Amomum fruit) is pungent and warm, promoting free flow without causing stagnation; therefore, it can regulate Qi and calm the fetus.
Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Rhizoma, stir-fried), Fu Ling (Poria), Gan Cao (Licorice Root), Shao Yao (Peony Root, wine-fried), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Sha Ren (Amomi Fructus), Zi Su (Perillae Folium), Huang Qin (Scutellariae Radix, wine-fried), Chen Pi (Citri Reticulatae Pericarpium), Xiang Fu (Cyperi Rhizoma, vinegar-fried), Da Fu Pi (Arecae Pericarpium, washed clean).
This formula may be used alternatively for pregnant women suffering from smallpox.
When Qi and Blood are deficient, the fetus is unsettled. When Qi and Blood are hot, the fetus is unsettled. When Qi and Blood are stagnant, the fetus is unsettled. In this formula, Ren Shen, Bai Zhu, Fu Ling, and Gan Cao are used to tonify Qi. Dang Gui, Chuan Xiong, and Shao Yao are used to nourish Blood. Huang Qin is used to clear Heat. Sha Ren, Xiang Fu, Zi Su, Chen Pi, and Da Fu Pi are used to promote movement and resolve stagnation.
Narration: Women's miscellaneous diseases are similar to men's, except for menstruation, pregnancy, and childbirth. What is examined here pertains only to formulas for menstruation, pregnancy, and childbirth. For other conditions, one should refer to complete formulas to find the syndrome differentiation and treatment.
Dang Gui (washed with wine), Chuan Xiong, Bai Shao Yao (Peony Root, wine-fried), Shu Di Huang (Rehmanniae Radix Praeparata).
For irregular menstruation in women, this formula serves as the principal base for modification.
The true essence of Wuji (Limitless), the refined essence of Yin and Yang and the Five Elements, combine wondrously to condense. The Way of Heaven produces males, and the Way of Earth produces females. Females operate according to the Way of Earth; thus, treating female disorders prioritizes Yin. At age fourteen (two sevens), Tian Gui (menstrual essence) arrives, and menstruation occurs on time. This is because females obtain the Yin of Kun (Earth); within Yin, there must be Yang. Hence, the cycle is based on seven: at one seven, teeth change; at two sevens, Tian Gui arrives. Humans are born receiving the Qi of Heaven and Earth, thereby mirroring them. The moon represents the Yin of Heaven; it waxes and wanes with the lunar phases. Similarly, a woman's blood descends every thirty days. Since the descent of blood resembles the moon, it is named "Yue Shi" (Monthly Affairs). The Classic states: "When menstruation comes on time, conception is possible." Therefore, for irregular menstruation, this formula is appropriate. It should be modified according to Cold, Heat, Deficiency, and Excess to harmonize menstruation. When menstruation is regular, Yin and Yang are in harmony, allowing for the generation of life, which is the path to conception. In this formula, Dang Gui, Shao Yao, and Di Huang are substances with rich flavors. Rich flavor belongs to Yin within Yin, thus benefiting Blood. Analyzed separately: Dang Gui is pungent and warm, activating Blood; Shao Yao is sour and cold, astringing Blood; Shu Di Huang is sweet and moist, tonifying Blood. Furthermore: Dang Gui enters the Heart and Spleen meridians; Shao Yao enters the Liver meridian; Shu Di Huang enters the Kidney meridian. As for Chuan Xiong, it penetrates from top to bottom, moving Qi within the Blood. This is why Si Wu Tang (Four Substances Decoction) is considered the essential medicine for women, and must be the primary formula for regulating menstruation. If the pulse is rapid and the blood color is purple-black indicating Internal Heat, add Huang Qin and Huang Lian to the base formula. If the pulse is slow and blood is coagulated indicating Cold, add Guan Gui (Cinnamon Twig) and Fu Zi (Aconite Lateralis Radix Praeparata) to the base formula. For obese individuals with Phlegm, add Ban Xia (Pinelliae Rhizoma), Chen Pi, and Nan Xing (Arisaematis Rhizoma). For thin individuals with Fire, add Shan Zhi (Gardeniae Fructus), Huang Bo (Phellodendri Cortex), and Zhi Mu (Anemarrhenae Rhizoma). For those with depression, add Xiang Fu, Cang Zhu (Atractylodis Rhizoma), Sha Ren, and Shen Qu (Massae Fermentatae Medicamentosa). For those with stagnation, add Tao Ren (Persicae Semen), Hong Hua (Carthami Flos), Yuan Hu Suo (Corydalis Rhizoma), and Rou Gui (Cinnamomi Cortex). Early menstruation indicates Heat; late menstruation indicates Cold, Depression, Qi Stagnation, or Phlegm. For Qi Deficiency, add Ren Shen and Huang Qi (Astragali Radix). For Qi Excess, add Zhi Ke (Aurantii Fructus Immaturus) and Hou Po (Magnoliae Officinalis Cortex). A question arises: Are there cases where Si Wu Tang is unsuitable? I reply: Yes. For those with faint Qi, Chuan Xiong is unsuitable, lest its pungent and aromatic nature further deplete True Qi. For those with loose stools, Dang Gui is unsuitable, lest its moistening and slippery nature exacerbate downward discharge. For those with slow pulse and abdominal pain, Shao Yao is unsuitable, lest its sour and cold nature increase Middle Jiao Cold. For those with chest and diaphragm fullness/stuffiness, Di Huang is unsuitable, lest its sticky and cloying nature increase obstruction. Those who understand will apply it correctly; those who do not will misuse it.