论曰瘀血者，由经水蓄聚，或产后恶露不尽，皆本冲任气虚，风冷所乘，气不能宣，故
血瘀也，瘀血不去，结痼成积，则令人面黄肌瘦，烦渴憎寒，腰腹重痛，久变症瘕。
治妇人经水否涩，因冷血瘀不通，结积脐腹，发为气痛，面黄体瘦。桃仁汤方
桃仁（去皮尖双仁炒） 大黄（生用各一两） 桂（去粗皮） 当归（切焙各三分） 甘
草（炙
上七味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓下芒硝半钱匕搅匀，放温空心
日晚再服。
治妇人经水不利，血瘀不消。芎 汤方
芎 大黄（生用各一两） 荷叶蒂（烧灰三七枚） 桂（去粗皮） 庵 子（各一两）
上五味，粗捣筛，每服三钱匕，水一盏半，煎至一盏，入朴硝一钱匕，去滓空心温服。
治妇人经水或通或止，或产后寒凝，血积成瘀。顺经散方
吴茱萸（三两汤洗七枚炒） 麦门冬（五两半去心） 半夏（二两半汤洗七次） 当归
（二两
（二两去粗皮） 阿胶（二两碎炒令黄燥） 甘草（二两锉炒）
上一十一味，捣罗为粗散，每服三钱匕，水一盏半，入生姜五片，煎至一盏，去滓热服
，空心食前。
治妇人腹内有瘀血，月水不利，或断或来，心腹满急。桃仁丸方
桃仁（三两汤浸去皮尖双仁麸炒微黄） 虻虫（四十枚炒微黄去翅足） 川大黄（三两
锉碎
上四味，捣罗为末，炼蜜和捣百余杵，丸如梧桐子大，每服空心以热酒下十五丸。
治妇人经络痞涩，腹内有瘀血，疼痛不可忍。琥珀散方
琥珀（半两细研） 没药（半两细研） 生地黄汁（半升）
上三味，除地黄汁外，二味和匀，每服二钱匕，水酒各半盏，煎至七分，入地黄汁二合
，再煎数沸，去滓温服，不拘时。
治妇人血瘀不消，及扑损血瘀。大黄汤方
大黄（生用） 桃仁（汤浸去皮尖双仁各一两） 桂（去粗皮半两） 生干地黄（焙一
两） 郁
上五味，粗捣筛，每服三钱匕，水酒各半盏，同煎至七分，去滓温服。
治妇人因血涩内瘀不散，疼痛。败蒲汤方
败蒲（烧灰） 当归（各二两） 牡丹皮 芎 赤芍药（各一两） 豉心（一合） 桃
仁（汤
上九味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓入地黄汁一合，朴硝一钱匕。
温服日二。
论述说：瘀血这一病症，是由于月经蓄积停滞，或者是产后恶露排不干净引起的。这些情况根本原因在于冲脉和任脉（调节月经和生殖的主要经络）气虚，受到风邪和寒邪的侵袭，导致气机不能宣通，所以血液运行不畅形成瘀血。如果瘀血不去除，凝结成顽固的积聚，就会使人面色发黄、身体消瘦，感到心烦口渴、怕冷，腰部和小腹部沉重疼痛，时间久了会演变为症瘕（腹内结块病）。
治疗妇女月经不通畅，因寒冷导致血瘀阻滞不通，在脐腹部结成积块，引发气滞疼痛，面色萎黄、身体瘦弱。桃仁汤方：
桃仁（去皮尖、双仁、炒制）一两，大黄（生用）一两，桂枝（去掉粗皮），当归（切片焙干）三分，甘草（炙烤）。
以上七味药，捣碎并筛成粗末，每次服用三钱匕，加水一盏，煎煮至七分满，滤去药渣，加入芒硝半钱匕搅匀，放温后在空腹时早晚各服一次。
治疗妇女月经不顺，血瘀无法消散。芎䓖汤方：
川芎，大黄（生用）各一两，荷叶蒂（烧成灰，三七枚），桂枝（去掉粗皮），庵闾子（各一两）。
以上五味药，捣碎并筛成粗末，每次服用三钱匕，加水一盏半，煎煮至一盏满，加入朴硝一钱匕，滤去药渣，空腹温服。
治疗妇女月经有时通畅有时停止，或者产后寒凝，血液积聚形成瘀血。顺经散方：
吴茱萸（三两，用汤洗七次后炒制），麦门冬（五两半，去掉心），半夏（二两半，用汤洗七次），当归（二两），桂枝（二两，去掉粗皮），阿胶（二两，打碎炒至黄燥），甘草（二两，锉碎炒制）。
以上十一味药，捣碎过筛制成粗散，每次服用三钱匕，加水一盏半，放入生姜五片，煎煮至一盏满，滤去药渣，热服，空腹或饭前服用。
治疗妇女腹内有瘀血，月经不顺，有时中断有时来潮，心腹部胀满急迫。桃仁丸方：
桃仁（三两，用水浸泡去皮尖、双仁，用麸皮炒至微黄），虻虫（四十枚，炒至微黄，去掉翅膀和足），川大黄（三两，锉碎）。
以上四味药，捣碎过筛制成细末，用炼蜜调和并捣击百余下，做成梧桐子大小的丸药，每次空腹用热酒送服十五丸。
治疗妇女经络痞塞涩滞，腹内有瘀血，疼痛难以忍受。琥珀散方：
琥珀（半两，细细研磨），没药（半两，细细研磨），生地黄汁（半升）。
以上三味药，除了生地黄汁外，将另外两味混合均匀，每次服用二钱匕，用水和酒各半盏，煎煮至七分满，加入生地黄汁二合，再煮沸几次，滤去药渣温服，不限时间。
治疗妇女血瘀无法消散，以及跌打损伤导致的血瘀。大黄汤方：
大黄（生用），桃仁（用水浸泡去皮尖、双仁）各一两，桂枝（去掉粗皮）半两，生干地黄（焙干）一两，郁金。
以上五味药，捣碎并筛成粗末，每次服用三钱匕，用水和酒各半盏，同煎至七分满，滤去药渣温服。
治疗妇女因血液涩滞、内部瘀血不散引起的疼痛。败蒲汤方：
败蒲（烧成灰），当归（各二两），牡丹皮，川芎，赤芍药（各一两），豉心（一合），桃仁（用水浸泡去皮尖、双仁）。
以上九味药，捣碎并筛成粗末，每次服用三钱匕，加水一盏，煎煮至七分满，滤去药渣，加入生地黄汁一合，朴硝一钱匕。温服，每日两次。
Commentary states: Blood stasis arises from the accumulation of menstrual blood or the incomplete discharge of lochia after childbirth. The root cause lies in the deficiency of Qi in the Chong and Ren meridians (primary meridians regulating menstruation and reproduction), which are invaded by Wind-Cold pathogens. This prevents the smooth flow of Qi, leading to blood stasis. If the blood stasis is not resolved, it condenses into stubborn masses, causing sallow complexion, emaciation, restlessness, thirst, aversion to cold, heaviness and pain in the lower back and abdomen. Over time, this may evolve into Zheng Jia (abdominal masses).
Tao Ren Tang Decoction for treating women with irregular menstruation due to Cold-induced blood stasis obstructing flow, forming masses in the umbilical and abdominal regions, manifesting as Qi stagnation pain, sallow complexion, and emaciation.
Ingredients: Tao Ren (Peach Kernel, *Prunus persica* seed) [peeled, cleft, twin-kernel removed, stir-fried] 1 liang; Da Huang (Rhubarb Root, *Rhei Radix et Rhizoma*) [raw] 1 liang; Gui Zhi (Cinnamon Twig, *Cinnamomi Ramulus*) [bark removed]; Dang Gui (Angelica Root, *Angelicae Sinensis Radix*) [sliced and dried] 3 fen; Gan Cao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*) [roasted].
Preparation: The seven ingredients are coarsely crushed and sieved. Take 3 qian bi per dose, add one zhan of water, decoct until reduced to 0.7 zhan. Remove dregs, add Mang Xiao (Mirabilite, *Natrii Sulfas*) 0.5 qian bi, mix well, let cool to warm temperature, and take on an empty stomach morning and evening.
Xiong Qiong Tang for treating women with difficult menstruation and unresolved blood stasis.
Ingredients: Xiong Qiong (Sichuan Lovage Rhizome, *Ligustici Chuanxiong Rhizoma*); Da Huang (Rhubarb Root, *Rhei Radix et Rhizoma*) [raw] each 1 liang; He Ye Di (Lotus Leaf Stalk Base, *Nelumbinis Petioli Radix*) [burned to ash, 37 pieces]; Gui Zhi (Cinnamon Twig, *Cinnamomi Ramulus*) [bark removed]; An Lv Zi (Ageratum Fruit, *Agerati Fructus*) each 1 liang.
Preparation: The five ingredients are coarsely crushed and sieved. Take 3 qian bi per dose, add 1.5 zhan of water, decoct until reduced to 1 zhan. Add Pu Xiao (Thenardite, *Natrii Sulfas*) 1 qian bi, remove dregs, and take warm on an empty stomach.
Shun Jing San for treating women whose menstruation alternates between patency and cessation, or postpartum cold coagulation resulting in blood accumulation and stasis.
Ingredients: Wu Zhu Yu (Evodia Fruit, *Evodiae Fructus*) [3 liang, washed with hot water seven times, stir-fried]; Mai Men Dong (Ophiopogon Tuber, *Ophiopogonis Tuber*) [5.5 liang, heart removed]; Ban Xia (Pinellia Tuber, *Pinelliae Rhizoma*) [2.5 liang, washed with hot water seven times]; Dang Gui (Angelica Root, *Angelicae Sinensis Radix*) [2 liang]; Gui Zhi (Cinnamon Twig, *Cinnamomi Ramulus*) [2 liang, bark removed]; E Jiao (Donkey-Hide Gelatin, *Asini Corii Colla*) [2 liang, broken and stir-fried until yellow and dry]; Gan Cao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*) [2 liang, cut and stir-fried].
Preparation: The eleven ingredients are crushed and sieved into a coarse powder. Take 3 qian bi per dose, add 1.5 zhan of water and 5 slices of Sheng Jiang (Fresh Ginger, *Zingiberis Rhizoma Recens*), decoct until reduced to 1 zhan. Remove dregs and take hot on an empty stomach or before meals.
Tao Ren Wan Pill for treating intra-abdominal blood stasis in women, irregular menstruation (intermittent flow), and fullness/urgency in the heart and abdomen.
Ingredients: Tao Ren (Peach Kernel, *Prunus persica* seed) [3 liang, soaked in water, peeled, cleft, twin-kernel removed, stir-fried with bran until slightly yellow]; Meng Chong (Bladder Fluke, *Megabalanus* or similar insect, traditional term for blood-breaking agent) [40 pieces, stir-fried until slightly yellow, wings and legs removed]; Chuan Da Huang (Rhubarb Root, *Rhei Radix et Rhizoma*) [3 liang, cut into fragments].
Preparation: The four ingredients are crushed and sieved into fine powder. Mix with refined honey and pound over a hundred times. Form pills the size of paulownia seeds. Take 15 pills with warm wine on an empty stomach.
Hu Po San for treating women with blocked and stagnant meridians, intra-abdominal blood stasis, and unbearable pain.
Ingredients: Hu Po (Amber, *Electrum*) [0.5 liang, finely ground]; Mo Yao (Myrrh, *Commiphora Myrrha*) [0.5 liang, finely ground]; Sheng Di Huang Zhi (Fresh Rehmannia Juice, *Rehmanniae Radix Recens Succus*) [0.5 sheng].
Preparation: Except for the Sheng Di Huang Zhi, mix the other two ingredients evenly. Take 2 qian bi per dose, add 0.5 zhan of water and 0.5 zhan of wine, decoct until reduced to 0.7 zhan. Add 2 he of Sheng Di Huang Zhi, boil a few more times, remove dregs, and take warm at any time.
Da Huang Tang Decoction for treating unresolved blood stasis in women and blood stasis from traumatic injuries.
Ingredients: Da Huang (Rhubarb Root, *Rhei Radix et Rhizoma*) [raw]; Tao Ren (Peach Kernel, *Prunus persica* seed) [soaked in water, peeled, cleft, twin-kernel removed] each 1 liang; Gui Zhi (Cinnamon Twig, *Cinnamomi Ramulus*) [bark removed] 0.5 liang; Sheng Gan Di Huang (Dried Rehmannia Root, *Rehmanniae Radix Preparata*) [dried/baked] 1 liang; Yu Jin (Turmeric Tuber, *Curcumae Longae Rhizoma*).
Preparation: The five ingredients are coarsely crushed and sieved. Take 3 qian bi per dose, add 0.5 zhan of water and 0.5 zhan of wine, decoct together until reduced to 0.7 zhan. Remove dregs and take warm.
Bai Pu Tang Decoction for treating pain in women caused by stagnant blood and unresolved internal stasis.
Ingredients: Bai Pu (Old Cattail Pollen/Stamen, *Typhae Pollen* or similar, traditionally decaying cattail) [burned to ash]; Dang Gui (Angelica Root, *Angelicae Sinensis Radix*) each 2 liang; Mu Dan Pi (Moutan Bark, *Paeoniae Moutan Cortex*); Xiong Qiong (Sichuan Lovage Rhizome, *Ligustici Chuanxiong Rhizoma*); Chi Shao Yao (Red Peony Root, *Paeoniae Radix Rubra*) each 1 liang; Chi Xin (Fermented Soybean Core, *Sojae Semen Preparatum* core); Tao Ren (Peach Kernel, *Prunus persica* seed) [soaked in water, peeled, cleft, twin-kernel removed].
Preparation: The nine ingredients are coarsely crushed and sieved. Take 3 qian bi per dose, add 1 zhan of water, decoct until reduced to 0.7 zhan. Remove dregs, add 1 he of Sheng Di Huang Zhi (Fresh Rehmannia Juice, *Rehmanniae Radix Recens Succus*) and 1 qian bi of Pu Xiao (Thenardite, *Natrii Sulfas*). Take warm, twice daily.