论曰血积气痛者，恶血久积而成痛也，其状隐隐 痛，或成块攻筑，或聚或散，或沉或
浮，盖气通则血行，气涩则血滞，若月水不通，产后恶露不尽，或因他病，使血不行，皆致
气血凝滞，血因气聚，蕴而成积，积久不去，则为气痛。
治妇人血气血积，坚癖血瘕，发歇攻刺疼痛，呕逆噎塞、迷闷，及血蛊胀满，经水不行
。没药丸方
没药（研一两） 芫花（一两用米醋三升煎至一升半滤去滓不用将醋入石器内入 砂霜
一
豆蔻
枚糯米炒令黄
上一十味，捣罗七味为末，斑蝥没药研匀，入前膏内，和捣千百杵，丸如梧桐子大，初
服三丸，以醋炒薤白令焦黑。以酒浸，煎一两沸，吞下，渐加至五丸七丸为度，如急猝血气
攻心脾，以酒醋共一盏，煎沸吞下，血瘕坚癖结块，攻心疼痛闷绝，久医不效者，即入禹余
粮一两，火 醋淬七遍为末，和入为丸，每服五丸，苏木节二两锉细，酒三升，煎至七合，
去滓分作三服，每服下丸子三丸，并服三服，即血瘕随大小肠逐下。
治妇人年久血气，结积气块，攻刺疼痛，不可忍，或呕吐不进饮食，面黄怠惰。 砂丸
方
砂（去夹石者） 没药 当归（切焙） 芫花（醋煮炒微焦各一分） 蓬莪术（炮半
两） 木
上七味，先研 砂巴豆没药如粉，用米醋三升，同煎为稀膏，后将四味捣罗为细末，入
在前膏内，搜成剂，瓷合盛，用时丸如梧桐子大，每服七丸，看患人虚实，临时加减，用酒
醋各半盏，同煎数沸，通口服，不得嚼，仍须饮尽酒醋立瘥。
治妇人血气血积，腹胁有坚癖，攻筑疼痛，不思饮食。没药煎方
没药（别研） 砂（别研） 木香 当归（锉焙各半两） 五灵脂（二两半）
上五味，捣罗三味为细末，入二研药，银器内以酒醋各半盏，同熬成煎，瓷合盛，勿透
气，每服旋取一樱桃大，热酒化下，不计时候，日可二三服，如不饮酒，温醋汤化下。
治妇人虚冷血气，及血积隐隐 痛，血块攻筑疼痛。当归丸方
当归（切焙） 延胡索（各一两） 没药（研） 麒麟竭 砂（研各三分）
上五味，捣罗为末，合研匀，用狗胆和丸，如梧桐子大，每服十丸，加至二十丸，醋汤
或温酒下。
治妇人血脏久冷，血积气攻，心腹脐下疼痛，呕逆痰涎，不思饮食。延胡索丸方
延胡索（米醋炒黄三分） 当归（切焙） 沉香（锉各半两） 木香 白术 芎 青
橘皮（
棱（湿纸裹煨别
上一十二味，捣罗为末，以酒煮面糊和丸，如梧桐子大，每服二十丸，煎生姜醋汤下，
日进三服，不计时。
治妇人血积血癖，脐腹 痛，心膈满闷，四肢烦疼，口苦舌干，饮食减少，渐成劳瘦。
当归煎丸方
当归（切焙） 附子（去皮脐生用各半两） 没药（研） 砂（研） 血竭（各一分）
禹余粮
以上捣研为末，用酒三升调匀，于石器内，慢火熬成膏，和后药。
柴胡（去苗） 鳖甲（去裙 醋炙黄） 人参 生干地黄（焙） 芍药 磁石（ 醋淬
七遍）
上一十六味，将后九味捣罗为细末，入前膏内和丸，如豌豆大，每服二十丸，淡醋汤下
，空心食前服。
治妇人血积血块，攻筑疼痛，不可忍。 砂丸方
砂（研） 没药（研各一分） 粉霜（半钱） 干漆（炒烟尽半两） 干姜（炮） 京
三棱（炮
入白面少许作饼炙
上一十味为细末，煮醋面糊和丸，如绿豆大，每服十五丸，淡醋汤下，空心食前服。
治妇人血积心腹 痛，气刺少腹攻筑，或经候不行，肢节烦疼，痰逆癖块。胜金丸方
干漆（炒烟尽） 乌头（炮裂去皮脐） 野狼毒 京三棱（锉碎炒黄各一两） 紫薇（凌
霄花是
七枚去皮心
上一十二味，先以醋二升，熬大黄芫花二味末，次下巴豆 砂，同熬令稠，其余八味。
同捣，细罗为末，用熬者膏和剂，如干硬更少入炼熟蜜，同和剂令得所，丸如绿豆大，每服
七丸，至十丸，当归酒下。
治妇人血积气攻冲，心腹 痛，吐逆不下食，发作神思昏闷，四肢逆冷。青金丸方
五灵脂（二两取细末一两） 硝石（一分与五灵脂末同研） 斑蝥（不 者去翅足与糯
米同
上三味，同和令匀，滴水丸如豌豆大，每服七丸，煎生姜醋汤下，不嚼，不计时候服，
甚者再服愈。
治妇人月水不通，结坚瘕如石，腹胀血积不散。大黄丸方
大黄（锉炒） 硝石（熬沸研细各二两） 蜀椒（去目及闭口炒出汗半两） 代赭（别
研） 干
两）
上九味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，空心食前温酒下，米饮亦得
，渐加至三十丸。
治妇人血积脐下结块，痛如锥刺，或下赤白，月水不调，腰背痛。当归丸方
当归（切焙） 芍药 吴茱萸（汤洗焙干炒） 大黄（煨锉） 干姜（炮） 附子（炮
裂去皮脐）
各七十枚） 桂（去
两）
上一十四味，捣研为末，炼蜜和剂，捣令匀熟，丸如梧桐子大，每服二十丸，食前空心
温酒下，加至三十丸。
治妇人因月水不调，血结不通，血积小腹成块。如覆杯，地黄煎丸方
生地黄（肥者细切研烂绞汁一十斤） 生姜（去皮研烂绞汁一斤半二味汁于微火上煎令
如
生干地
蛭（糯米
上一十三味，捣罗后一十一味为末，入前地黄煎中，以微火上煎，硬软得所，众手丸如
梧桐子大，每服七丸，食前空心温酒下。
治妇人因月水不通，血积不散，气攻疼痛，积聚成块，桃仁散方
桃仁（汤浸去皮尖双仁炒二两） 刘寄奴（去根锉碎） 蓬莪术（炮细锉） 当归（炙
锉）
木香 附子（炮
上一十五味，捣罗为细末，每服二钱匕，温酒或醋汤调下，空心晚食前服。
治妇人血积气攻刺疼痛不已，面黄体瘦，经水不调。芍药汤方
芍药 芎 当归（切焙） 防风（去叉） 桂（去粗皮各半两） 甘草（炙锉） 生
干地黄（
上九味，粗捣筛，每服三钱匕，水一盏，煎七分，去滓温服，经水久不利，煎成入芒硝
半钱匕，稍热服。
治妇人因月水不利，血结成积，气攻疼痛。桃仁丸方
桃仁（汤浸去皮尖双仁麸炒黄） 泽泻 白茯苓（去黑皮） 芍药 瞿麦（用穗） 干
姜（炮
一两） 大黄（锉炒
上一十二味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，空心食前、温酒下。米
饮亦得。
治妇人冷癖血块虚胀，月经不调，瘦弱不能食，面无颜色，姜黄散方
姜黄 白术（各八两） 生姜（去皮细切三升） 当归（切十两） 陈曲末 大麦 末
（各二
橘皮（汤浸去白
上一十味，用木杵臼，捣如泥，纳甑中铺匀，以面封之，勿使泄气，蒸熟并甑置屋下，
三日开，出药曝干，捣罗为散，酒服方寸匕，日二服，取利为度，十日内忌生冷难消化物，
过十日，百无所忌，若炼蜜为丸亦得，每服三十丸，酒下、日再服。
治妇人血气。狗胆丸方
狗胆（一枚入巴豆七粒灶后挂七三日干后用） 木香 丁香 砂 槐花（各半两）
上五味，捣罗为细末，炼蜜和丸，如绿豆大，每服二丸，血风虚肿气急，煎薄荷酒下，
儿枕不散，疼痛不可忍，煎醋汤下，产后通身走住痛疼，莲荷汤下，吐血不止，刺蓟根煎汤
入小便送下，血块柱心酒下，血游、蓖麻汤下，热疾地黄酒下，败血冲心蒲黄汤下。
治妇人腹内冷癖血块虚胀，月经不调，瘦弱不能食，面无颜色，状如传尸。陈曲散方
陈曲（炒） 大麦 （炒各三两） 生地黄（切九合） 白术（八两） 牛膝（酒浸切
焙） 桑耳
（去双仁皮尖炒） 杏
上一十二味，捣如泥，纳瓶中，以物盖密封之，勿令泄气，于一石米上蒸之，饭熟出之
，停屋下，三日开出曝干，再捣罗为散，温酒调下三钱匕，空腹服，炼蜜丸服亦得。
治妇人脐下坚硬，大如升，月水不通，发热往来，下痢羸瘦，此为气瘕，生肉癖者，即
不可治。地黄丸方
生地黄（三十斤捣取汁） 干漆（熬烟尽一斤为细末）
上二味，用文武火熬令可丸，即丸如梧桐子，食后三丸，加至五丸，温酒熟水任下。
【论述】所谓血积气痛，是指恶血长期积聚而形成的疼痛。其症状表现为隐隐作痛，或结成块状攻冲筑痛，或聚散无常，或病位深沉或浮浅。大概是因为气机通畅则血液运行，气机涩滞则血液停滞。如果月经不通畅，产后恶露不尽，或者因为其他疾病导致血液不能正常运行，都会造成气血凝滞。血液因气机郁结而聚集，蕴酿形成积块；积块日久不消散，就会引发气痛。
治疗妇人血气与血积，症见坚硬的癖块、血瘕，疼痛发作时如针刺般攻冲，伴有呕吐逆气、噎塞感、神志迷闷，以及血蛊引起的腹胀满、月经不行等症。用没药丸方：
没药（研磨一两）、芫花（取一两，用三升米醋煎至一升半，滤去药渣，仅保留醋液，将醋倒入石器中，加入砂霜一枚豆蔻大小的量）、[此处原文缺失部分药材名，依文意推测为前文提到的其他药物，但根据“上一十味”及后续描述，需结合上下文补全，然此处仅翻译可见文本]……以上十味药，将其中七味捣碎过筛成粉末，斑蝥和没药单独研磨均匀，加入前面熬制的膏剂中，共同捣杵千百下，制成梧桐子大小的丸药。初次服用三丸，用醋炒薤白至焦黑，以酒浸泡，煎煮一两沸后吞服，逐渐增加至五丸、七丸为止。如果是急骤的血气攻心脾，用一杯酒和醋共煎沸腾后吞服。若是血瘕坚硬癖块结聚，攻冲心脏导致疼痛昏厥，久治不效者，可加入禹余粮一两，用火醋淬炼七遍后研末，混入药丸中。每服五丸，另取苏木节二两切碎，用三升酒煎至七合，滤去药渣，分三次服用，每次送服丸药三丸，连同汤药一起服完三次，这样血瘕就会随着大小便排出体外。
治疗妇人多年血气结积成块，攻冲刺痛难以忍受，或呕吐无法进食，面色萎黄倦怠无力。用砂丸方：
[砂]（去除夹杂的石子）、没药、当归（切片焙干）、芫花（用醋煮炒至微焦，各一分）、蓬莪术（炮制半两）、木[香]……以上七味药，先将[砂]、巴豆、没药研磨如粉状，用三升米醋同煎成稀膏，然后将另外四味药捣碎过筛成细末，加入前面的膏剂中，调和成适宜的药团，盛放在瓷盒中。用时制成梧桐子大小的丸药，每次服用七丸，根据患者的虚实情况临时加减用量。用半盏酒和半盏醋同煎数沸，通口服下，不可嚼碎，必须饮尽酒醋方可痊愈。
治疗妇人血气与血积，腹胁部有坚硬癖块，攻冲疼痛，不思饮食。用没药煎方：
没药（另研）、[砂]（另研）、木香、当归（锉碎焙干，各半两）、五灵脂（二两半）。以上五味药，将其中三味捣碎过筛成细末，加入另外两味研好的药，在银器中以半盏酒和半盏醋同熬成煎剂，盛放在瓷盒中，注意不要漏气。每次取樱桃大小的一块，用热酒化开服用，不限时间，每天可服二三次。如果不饮酒，可用温醋汤化开服下。
治疗妇人虚冷血气，以及血积引起的隐隐作痛，血块攻冲疼痛。用当归丸方：
当归（切片焙干）、延胡索（各一两）、没药（研磨）、麒麟竭、[砂]（研磨，各三分）。以上五味药，捣碎过筛成粉末，混合研磨均匀，用狗胆汁和丸，制成梧桐子大小的丸药。每次服用十丸，加至二十丸，用醋汤或温酒送服。
治疗妇人血脏久冷，血积气攻，心腹脐下疼痛，呕吐逆气痰涎，不思饮食。用延胡索丸方：
延胡索（米醋炒黄三分）、当归（切片焙干）、沉香（锉碎，各半两）、木香、白术、川芎、青橘皮（[此处原文有缺字，依常理推测可能为去白或其他处理]）、三棱（湿纸包裹煨熟，另研）……以上十二味药，捣碎过筛成粉末，用酒煮面糊和丸，制成梧桐子大小的丸药。每次服用二十丸，煎生姜醋汤送服，每天进服三次，不限时间。
治疗妇人血积血癖，脐腹部疼痛，心膈部胀满闷痛，四肢烦疼，口苦舌干，饮食减少，逐渐形成劳损消瘦。用当归煎丸方：
当归（切片焙干）、附子（去皮脐生用，各半两）、没药（研磨）、[砂]（研磨）、血竭（各一分）、禹余粮……以上药物捣碎研磨成粉末，用三升酒调匀，在石器中用慢火熬成膏，再和后药。
柴胡（去苗）、鳖甲（去裙边，醋炙黄）、人参、生干地黄（焙干）、芍药、磁石（醋淬七遍）……以上十六味药，将后面九味药捣碎过筛成细末，加入前面的膏剂中混合和丸，制成豌豆大小的丸药。每次服用二十丸，用淡醋汤送服，空腹饭前服用。
治疗妇人血积血块，攻冲疼痛难以忍受。用[砂]丸方：
[砂]（研磨）、没药（研磨，各一分）、粉霜（半钱）、干漆（炒至烟尽半两）、干姜（炮制）、京[三棱]（炮制……[此处原文有缺字，依常理推测为入白面少许作饼炙]）……以上十味药制成细末，煮醋面糊和丸，制成绿豆大小的丸药。每次服用十五丸，用淡醋汤送服，空腹饭前服用。
治疗妇人血积心腹疼痛，气刺少腹攻冲，或者月经不行，肢节烦疼，痰逆癖块。用胜金丸方：
干漆（炒至烟尽）、乌头（炮裂去皮脐）、野狼毒、京三棱（锉碎炒黄，各一两）、紫薇（即凌霄花是……[此处原文有误或残缺，通常指某味药]）、[大黄?]（七枚去皮心）……以上十二味药，先用二升醋熬煮大黄、芫花两味的粉末，然后下巴豆、[砂]，同熬令稠厚，其余八味药同捣，细罗成粉末，用熬好的膏剂和剂。如果太硬可稍加炼熟的蜜，调和得宜，制成绿豆大小的丸药。每次服用七丸，至十丸，用当归酒送服。
治疗妇人血积气攻冲，心腹疼痛，呕吐逆气不能进食，发作时神思昏闷，四肢逆冷。用青金丸方：
五灵脂（二两，取细末一两）、硝石（一分，与五灵脂末同研）、斑蝥（不去翅足与糯米同……[此处原文残缺，通常为炒或蒸]）……以上三味药，混合均匀，滴水泛丸如豌豆大小。每次服用七丸，煎生姜醋汤送服，不嚼碎，不限时间服用，重症者可再服直至痊愈。
治疗妇人月经不通，结成的坚瘕如石头般坚硬，腹胀血积不散。用大黄丸方：
大黄（锉碎炒制）、硝石（熬沸研细，各二两）、蜀椒（去目及闭口，炒出汗半两）、代赭[石]（另研）、干[姜?]（[此处原文残缺]）……以上九味药，捣碎过筛成粉末，用炼蜜和丸，制成梧桐子大小的丸药。每次服用二十丸，空腹饭前用温酒送服，米饮也可以，逐渐增加至三十丸。
治疗妇人血积脐下结块，痛如锥刺，或者下赤白痢，月经不调，腰背痛。用当归丸方：
当归（切片焙干）、芍药、吴茱萸（汤洗焙干炒）、大黄（煨锉）、干姜（炮制）、附子（炮裂去皮脐）……[此处原文残缺，似有数量描述]、桂（去[粗皮]）……以上十四味药，捣研成粉末，用炼蜜和剂，捣令均匀熟透，制成梧桐子大小的丸药。每次服用二十丸，空腹饭前用温酒送服，加至三十丸。
治疗妇人因月经不调，血结不通，血积小腹成块，大如倒扣的杯子。用地黄煎丸方：
生地黄（肥大的，细切研烂绞汁十斤）、生姜（去皮研烂绞汁一斤半。将这两味汁在微火上煎至如……[此处原文残缺，通常为膏状]）、生干地[黄?]、水蛭（糯米……[此处原文残缺，通常为炒或制]）……以上十三味药，将后面十一味药捣碎过筛成粉末，加入前面的地黄煎中，用微火煎至软硬适中，众人手搓制成梧桐子大小的丸药。每次服用七丸，空腹饭前用温酒送服。
治疗妇人因月经不通，血积不散，气攻疼痛，积聚成块。用桃仁散方：
桃仁（汤浸去皮尖双仁炒，二两）、刘寄奴（去根锉碎）、蓬莪术（炮制细锉）、当归（炙锉）……木香、附子（炮制）……以上十五味药，捣碎过筛成细末。每次服用二钱匕，用温酒或醋汤调下，空腹晚食前服用。
治疗妇人血积气攻刺痛不已，面色萎黄体瘦，月经不调。用芍药汤方：
芍药、川芎、当归（切片焙干）、防风（去叉）、桂（去粗皮，各半两）、甘草（炙锉）、生干地黄（[此处原文残缺]）……以上九味药，粗捣筛过。每次服用三钱匕，用水一盏，煎至七分，滤去药渣温服。如果月经久不通利，煎好后加入芒硝半钱匕，稍热服。
治疗妇人因月经不利，血结成积，气攻疼痛。用桃仁丸方：
桃仁（汤浸去皮尖双仁麸炒黄）、泽泻、白茯苓（去黑皮）、芍药、瞿麦（用穗）、干姜（炮制……[此处原文残缺]）、大黄（锉炒……[此处原文残缺]）……以上十二味药，捣碎过筛成粉末，用炼蜜和丸，制成梧桐子大小的丸药。每次服用二十丸，空腹饭前用温酒送服，米饮也可以。
治疗妇人冷癖血块虚胀，月经不调，瘦弱不能食，面无血色。用姜黄散方：
姜黄、白术（各八两）、生姜（去皮细切三升）、当归（切十两）、陈曲末、大麦[芽?]末（各二……[此处原文残缺]）、橘皮（汤浸去白……[此处原文残缺]）……以上十味药，用木杵臼捣如泥状，放入甑中铺匀，用面粉封口，勿使漏气，蒸熟后连甑置于屋下，三天后取出，晒干，捣罗成散剂。用酒服一方寸匕，每天服两次，以通便为度。十日内忌食生冷难消化之物，过了十天，百无禁忌。如果炼蜜为丸也可以，每次服用三十丸，酒送服，每天两次。
治疗妇人血气。用狗胆丸方：
狗胆（一枚，入巴豆七粒，灶后挂七天七夜干后用）、木香、丁香、[砂]、槐花（各半两）。以上五味药，捣碎过筛成细末，用炼蜜和丸，制成绿豆大小的丸药。每次服用二丸。若是血风虚肿气急，煎薄荷酒送服；若是儿枕不散，疼痛不可忍，煎醋汤送服；若是产后通身走注疼痛，莲荷汤送服；若是吐血不止，刺蓟根煎汤入小便送服；若是血块拄心，酒送服；若是血游，蓖麻汤送服；若是热疾，地黄酒送服；若是败血冲心，蒲黄汤送服。
治疗妇人腹内冷癖血块虚胀，月经不调，瘦弱不能食，面无血色，状如传尸劳。用陈曲散方：
陈曲（炒）、大麦[芽?]（炒，各三两）、生地黄（切九合）、白术（八两）、牛膝（酒浸切焙）、桑耳……[此处原文残缺]、杏[仁?]……以上十二味药，捣如泥状，放入瓶中，用物体盖密封，勿令漏气，在一石米上蒸之，饭熟后取出，停在屋下，三天后开出晒干，再捣罗成散剂。用温酒调下三钱匕，空腹服用，炼蜜丸服也可以。
治疗妇人脐下坚硬，大如升，月经不通，发热往来，下痢羸瘦，此为气瘕，若生肉癖者，即不可治。用地黄丸方：
生地黄（三十斤捣取汁）、干漆（熬至烟尽一斤为细末）。以上二味药，用文武火熬至可丸的程度，即制成梧桐子大小的丸药。饭后服用三丸，加至五丸，温酒或熟水任下。
[Discussion] The condition known as "blood accumulation and qi pain" refers to pain caused by the long-term accumulation of evil blood (stagnant blood). Its manifestations include dull, lingering pain, or masses that attack and pound, varying in aggregation and dispersion, and located either deeply or superficially. Generally, when qi flows smoothly, blood circulates; when qi is stagnant, blood becomes obstructed. Conditions such as amenorrhea, incomplete expulsion of lochia after childbirth, or other diseases causing blood stasis can all lead to qi-blood stagnation. Blood gathers due to qi constraint, condensing into accumulations. If these accumulations persist for a long time without resolving, they result in qi pain.
To treat women with blood qi disorders and blood accumulations, characterized by hard nodules, blood masses (xue jia), paroxysmal stabbing pain, vomiting and regurgitation, dysphagia, mental confusion, abdominal distension due to blood gu, and amenorrhea, use Myrrh Pill Formula (Moyao Wan):
Myrrha (Myrrh) (1 liang, ground); Yuanhua (Genkwa Flos) (1 liang, decocted with 3 sheng of rice vinegar until reduced to 1.5 sheng, filtered to remove dregs; retain the vinegar, pour into a stone vessel, add Sanduang [a mineral drug, likely containing realgar or similar arsenic sulfide compound] equivalent to the size of one cardamom seed, stir-fried with glutinous rice until yellow)... [Note: Original text implies ten ingredients total, but lists are fragmented]. Combine seven of the ten ingredients into powder. Separate grind Banzhao (Mylabris) and Myrrha evenly, mix into the previously prepared paste, and pound/beat for thousands of strokes. Form pills the size of Sophora seeds (Wutongzi). Initial dose: 3 pills. Take with scallion white (Xiebai) stir-fried with vinegar until charred black, soaked in wine, boiled briefly, and swallowed. Gradually increase to 5-7 pills. For acute attacks of blood qi attacking heart and spleen, boil 1 cup of wine and vinegar together and swallow. For hard blood masses attacking the heart causing pain and fainting, refractory to long-term treatment, add Yuyuliang (Hematitum) (1 liang), quenched in vinegar over fire seven times, ground to powder, and mixed into pills. Dose: 5 pills per serving. Additionally, take Sumu (Sappan Lignum) branch nodes (2 liang, chopped), decocted in 3 sheng of wine until reduced to 0.7 sheng, filtered, divided into three doses. Each dose taken with 3 pills. After completing three courses, the blood mass will be expelled through the large and small intestines.
For chronic blood qi accumulation in women, forming hard masses with unbearable stabbing pain, vomiting, inability to eat, sallow complexion, and lethargy, use Shadan Pill Formula (Shadan Wan):
Shadan (Realgar) (free of stones), Myrrha, Danggui (Angelicae Sinensis Radix) (sliced and dried), Yuanhua (decocted in vinegar and stir-fried until slightly charred, each 1 fen), Ezhu (Curcumae Rhizoma) (processed, 0.5 liang), Muxiang (Aucklandiae Radix)... [Text fragmentary]. Process seven ingredients: first grind Shadan, Badou (Crotonis Fructus), and Myrrha into powder. Decoct with 3 sheng rice vinegar into a thin paste. Grind the remaining four ingredients into fine powder, mix into the paste, form a cohesive mass, and store in a porcelain jar. Form pills the size of Sophora seeds. Dose: 7 pills, adjusted based on patient's deficiency or excess. Decoct half a cup of wine and half a cup of vinegar, boil briefly, swallow whole (do not chew), and consume the entire liquid to achieve cure.
For blood qi and blood accumulation in women, presenting with hard nodules in abdomen and hypochondrium, attacking pain, and anorexia, use Myrrha Decoction Formula (Moyao Jian):
Myrrha (separately ground), Shadan (separately ground), Muxiang, Danggui (chopped and dried, each 0.5 liang), Wulingzhi (Trogopteri Dung) (2.5 liang). Grind three ingredients into fine powder, add the two ground medicines, and decoct in a silver vessel with half a cup of wine and half a cup of vinegar until it becomes a thick decoction. Store in a sealed porcelain jar. Dose: A cherry-sized amount dissolved in hot wine, taken at any time, 2-3 times daily. Non-drinkers may use warm vinegar water.
For deficient-cold blood qi and blood accumulation in women, causing dull pain and attacking pain from blood masses, use Danggui Pill Formula (Danggui Wan):
Danggui (sliced and dried), Yanhusuo (Corydalis Rhizoma) (each 1 liang), Myrrha (ground), Xuejie (Strychni Semen / Dragon's Blood - *Note: Qilinjie usually refers to Dragon's Blood*), Shadan (ground, each 3 fen). Grind five ingredients into powder, mix evenly, and bind with dog bile. Form pills the size of Sophora seeds. Dose: 10 pills, increasing to 20, taken with vinegar water or warm wine.
For cold uterus, blood accumulation with qi attack, pain in heart/abdomen/umbilicus, vomiting of phlegm-saliva, and anorexia, use Yanhusuo Pill Formula (Yanhusuo Wan):
Yanhusuo (stir-fried in rice vinegar until yellow, 3 fen), Danggui (sliced and dried), Chenxiang (Aquilariae Lignum Resinatum) (chopped, each 0.5 liang), Muxiang, Baizhu (Atractodis Rhizoma), Xiong (Chuanxiong Rhizoma), Qingjupi (Citri Reticulatae Pericarpium), Sanleng (Sparganii Rhizoma) (wrapped in wet paper and baked, separately ground)... Twelve ingredients total. Grind into powder, bind with wine-boiled wheat paste. Form pills the size of Sophora seeds. Dose: 20 pills, taken with decocted ginger-vinegar water, 3 times daily, regardless of time.
For blood accumulation and癖 (masses), umbilical/abdominal pain, chest fullness, limb pain, bitter taste, dry tongue, reduced appetite, progressing to emaciation, use Danggui Decoction Pill Formula (Danggui Jian Wan):
Danggui (sliced and dried), Fuzi (Aconiti Lateralis Radix Praeparata) (raw, peeled, navel removed, each 0.5 liang), Myrrha (ground), Shadan (ground), Xuejie (Dragon's Blood) (each 1 fen), Yuyuliang... Grind and mix powders, blend with 3 sheng wine, slow-cook in a stone vessel into a paste. Add later ingredients: Chaihu (Bupleuri Radix), Biejia (Testudinis Carapax et Plastrum), Renshen (Ginseng Radix), Shengdihuang (Rehmanniae Radix), Shaoyao (Paeoniae Radix), Cishi (Magnetitum)... Sixteen ingredients total. Grind the last nine into powder, mix into the paste, form pills the size of peas. Dose: 20 pills, taken with light vinegar water, fasting before meals.
For blood accumulation and masses causing unbearable attacking pain, use Shadan Pill Formula (Shadan Wan):
Shadan (ground), Myrrha (ground, each 1 fen), Fenshuang (Halloysitum Rubrum / Lead Oxide?), Ganqi (Drynariae Rhizoma? *Note: Text says Gan Qi, likely Ganqi/Drynaria or similar*, stir-fried until smoke ceases, 0.5 liang), Ganjiang (Zingiberis Rhizoma), Jing Sanleng (Processed Sparganii Rhizoma)... Ten ingredients total. Grind into powder, bind with vinegar-wheat paste. Form pills the size of mung beans. Dose: 15 pills, taken with light vinegar water, fasting before meals.
For blood accumulation attacking heart/abdomen, qi stabbing lower abdomen, amenorrhea, limb pain, phlegm-nausea, and masses, use Shengjin Pill Formula (Shengjin Wan):
Ganqi (stir-fried until smoke ceases), Wutou (Aconiti Radix) (processed, peeled, navel removed), Yelangdu (Stellerae Radix), Jing Sanleng (chopped, stir-fried yellow, each 1 liang), Ziwei (Lagerstroemiae Flos / Lingxiao Hua)... Seven pieces of [Da Huang?], peeled and cored... Twelve ingredients total. Decoct Dahuang and Yuanhua powders in 2 sheng vinegar, then add Badou and Shadan, cook until thick. Grind remaining eight ingredients, sieve, and mix with the cooked paste. Adjust consistency with refined honey if too hard. Form pills the size of mung beans. Dose: 7-10 pills, taken with Danggui wine.
For blood accumulation with qi attack, heart/abdominal pain, vomiting, inability to eat, mental confusion, and cold limbs, use Qingjin Pill Formula (Qingjin Wan):
Wulingzhi (fine powder, 1 liang from 2 liang total), Xiaoshi (Natrii Nitras) (1 fen, ground with Wulingzhi powder), Banzhao (Mylabris) (with wings/legs removed, cooked with glutinous rice)... Three ingredients total. Mix evenly, drop-pill into pea-sized pellets. Dose: 7 pills, taken with decocted ginger-vinegar water, do not chew, any time. Severe cases may repeat dosage.
For amenorrhea, hard stone-like masses, abdominal distension, and unresolved blood accumulation, use Dahuang Pill Formula (Dahuang Wan):
Dahuang (Rhei Radix et Rhizoma) (chopped, stir-fried), Xiaoshi (boiled, finely ground, each 2 liang), Shujiao (Zanthoxyli Pericarpium) (pitted, closed-mouth removed, stir-fried to release moisture, 0.5 liang), Daizhe (Haematitum) (separately ground), Ganjiang... Nine ingredients total. Grind into powder, bind with refined honey. Form pills the size of Sophora seeds. Dose: 20 pills, fasting before meals with warm wine or rice drink. Gradually increase to 30 pills.
For blood accumulation below umbilicus forming masses, stabbing pain, red/white discharge, irregular menstruation, and back/waist pain, use Danggui Pill Formula (Danggui Wan):
Danggui (sliced and dried), Shaoyao, Wuzhuyu (Evodiae Fructus) (washed, dried, stir-fried), Dahuang (baked, chopped), Ganjiang (processed), Fuzi (processed, peeled, navel removed)... Fourteen ingredients total. Grind into powder, bind with refined honey, beat until uniform. Form pills the size of Sophora seeds. Dose: 20 pills, fasting before meals with warm wine. Increase to 30 pills.
For irregular menstruation, blood clots, and small abdominal masses like an inverted cup, use Dihuang Decoction Pill Formula (Dihuang Jian Wan):
Shengdihuang (Rehmanniae Radix) (fleshy, chopped, pounded, juice extracted, 10 jin), Shengjiang (Zingiberis Rhizoma Recens) (peeled, pounded, juice extracted, 1.5 jin). Simmer juices over low heat... Shengdihuang, Shuizhi (Hirudo)... Thirteen ingredients total. Grind the last eleven into powder, mix into the Dihuang decoction, simmer until proper consistency. Roll into Sophora seed-sized pills. Dose: 7 pills, fasting before meals with warm wine.
For amenorrhea, unresolved blood accumulation, qi attack pain, and mass formation, use Taoren Powder Formula (Taoren San):
Taoren (Persicae Semen) (soaked, peeled, split, stir-fried, 2 liang), Liuji Nu (Artemisiae Annuae Herba), Ezhu (processed, chopped), Danggui (roasted, chopped)... Muxiang, Fuzi... Fifteen ingredients total. Grind into fine powder. Dose: 2 qian bi (approx. 6g), taken with warm wine or vinegar water, fasting before evening meal.
For persistent stabbing pain from blood/qi accumulation, sallow/emaciated appearance, and irregular menstruation, use Shaoyao Decoction Formula (Shaoyao Tang):
Shaoyao, Xiong, Danggui (sliced and dried), Fangfeng (Saposhnikoviae Radix), Gui (Cinnamomi Ramulus) (bark removed, each 0.5 liang), Gancao (Licorice Root) (roasted, chopped), Shengdihuang... Nine ingredients total. Coarsely crush and sieve. Dose: 3 qian bi, decocted in 1 sheng water to 0.7 sheng, strained and taken warm. For prolonged amenorrhea, add Mangxiao (Natrii Sulfas) 0.5 qian bi near the end, take slightly warm.
For irregular menstruation leading to blood accumulation and qi attack pain, use Taoren Pill Formula (Taoren Wan):
Taoren (soaked, peeled, split, bran-roasted), Zexie (Alismatis Rhizoma), Baifuling (Poria) (black skin removed), Shaoyao, Qumai (Dianthi Herba) (using flower spikes), Ganjiang (processed)... Twelve ingredients total. Grind into powder, bind with refined honey. Form pills the size of Sophora seeds. Dose: 20 pills, fasting before meals with warm wine or rice drink.
For cold癖 blood masses, false distension, irregular menstruation, weakness, anorexia, and pallor, use Jianghuang Powder Formula (Jianghuang San):
Jianghuang (Curcumae Longae Rhizoma), Baizhu (each 8 liang), Shengjiang (peeled, finely cut, 3 sheng), Danggui (cut, 10 liang), Chenqu (Fermented Wheat Mass), Damai (Hordei Fructus Germinatus)... Ten ingredients total. Pound into paste, spread in a steamer, seal with flour dough to prevent steam escape. Steam thoroughly, place steamer under eaves for 3 days. Remove, dry, grind into powder. Dose: 1 fangcun bi (approx. 5-10g) with wine, twice daily. Goal: mild purgation. Avoid raw/cold/hard-to-digest foods for 10 days. After 10 days, no restrictions. Can also be made into honey pills: 30 pills with wine, twice daily.
For blood qi disorders, use Goudan Pill Formula (Goudan Wan):
Goudan (Dog Gallbladder) (1 piece, insert 7 Badou seeds, hang over stove for 7 days and nights to dry), Muxiang, Dingxiang (Caryophylli Flos), Shadan, Huaihua (Sophorae Flos) (each 0.5 liang). Five ingredients total. Grind into powder, bind with refined honey. Form pills the size of mung beans. Dose: 2 pills. Specific indications: Blood wind/swelling/shortness of breath -> Bo Mint wine. Retained placenta/pain -> Vinegar water. Postpartum wandering pain -> Lotus stem water. Unstopping hematemesis -> Thorny plant root decoction with urine. Blood mass blocking heart -> Wine. Blood wandering -> Castor bean soup. Heat disease -> Rehmannia wine. Evil blood attacking heart -> Puhuang (Lygodii Spora) soup.
For cold癖 blood masses, false distension, irregular menstruation, weakness, anorexia, pallor, resembling consumption (chuan shi), use Chenqu Powder Formula (Chenqu San):
Chenqu (stir-fried), Damai (stir-fried, each 3 liang), Shengdihuang (cut, 9 he), Baizhu (8 liang), Niuxi (Achyranthis Bidentatae Radix) (wine-soaked, sliced, dried), Sang'er (Fomes Officinalis)... Twelve ingredients total. Pound into paste, seal in jar, steam over 1 dan (approx. 60kg) of rice. Remove when rice is cooked, place under eaves for 3 days, dry, grind into powder. Dose: 3 qian bi with warm wine, fasting. Honey pills also acceptable.
For hard umbilical masses the size of a measuring cup, amenorrhea, alternating fever/chills, dysentery, emaciation, diagnosed as Qi Jia (Qi mass). If flesh癖 develops, it is incurable. Use Dihuang Pill Formula (Dihuang Wan):
Shengdihuang (juice extracted from 30 jin), Ganqi (stir-fried until smoke ceases, 1 jin, finely ground). Two ingredients. Cook over medium-low heat until pillable. Form Sophora seed-sized pills. Dose: 3 pills after meals, increase to 5. Take with warm wine or boiled water.