夫妇人月水来腹痛者。劳伤血气。致令体虚。风冷之气。客于胞络。损冲任之脉。手太
阳少
也。
冷与
治妇人月水每来。不得快利。于脐下疼痛不可忍。熟干地黄散方。
熟干地黄〔二（一）分〕 子 延胡索 当归（锉微炒） 木香 京三棱（微煨锉）
蓬
莪术
上件药。捣粗罗为散。每服二（三）钱。以水一中盏。入生姜半分。
煎至六分。次入酒二合。更煎三两沸。去滓。食前稍热服。
治妇人月水每来。脐下 刺。四肢烦疼。芎 散方。
芎 桂心 桃仁（汤浸去皮尖双仁微炒） 吴茱萸（汤浸七遍焙干微炒） 当归（锉
微炒
各三
上件药。捣筛为散。每服三钱。以水一中盏。
煎至六分。去滓。食前稍热服。
治妇人月水每来。绕脐疼痛。上抢心胸。往来寒热。桃仁散方。
桃仁（汤浸去皮尖双仁麸炒微黄） 薏苡仁 代赭 赤茯苓 牛膝（去苗） 川大黄（锉
微
炒以
上件药。捣细罗为散。每于食前。以温酒调下一钱。
治妇人月水每来。腰腹疼痛。 虫散方。
虫（四枚微炒） 芎 （半两） 女青（一分） 川大黄（一分锉微炒） 川椒（一
分去目及
闭口
上件药。捣细罗为散。每于食前。以温酒调下一钱。
治妇人胞络夙挟风冷。每至月事来时。脐腹多痛。蓬莪术散方。
蓬莪术（一两） 当归（一两锉微炒） 桂心（半两） 芎 （半两） 川大黄（一两
锉微炒）
牡丹
双仁麸炒
微黄）
上件药。捣细罗为散。每于食前。以温酒调下一钱。
治妇人月信来时。脐腹痛如锥刀所刺。麒麟竭散方。
麒麟竭 芫花（醋拌炒令干） 芎 桂心 延胡索 当归（锉微炒） 琥珀（以上各
半两）
麝
上件药。捣细罗为散。每于食前。以热酒调下一钱。
治妇人月水每来。心间刺痛。腹内 结。琥珀散方。
琥珀（三分） 芫花（一分醋浸炒令干） 牛膝（三分去苗） 当归（三分锉微炒） 赤
芍药
（三分）
上件药。捣细罗为散。每服于食前。以温酒调下一钱。
治妇人月水每来。脐腹乍痛。时发寒热。面色萎黄。 虫散方。
虫（十枚微炒） 芎 （一两） 当归（一两锉微炒） 女青（一两） 赤芍药（一
两） 川大
黄（
上件药。捣细罗为散。每于食前。以温酒调下一钱。
治妇人夙有滞血。至月水来时。脐腹疼痛。干漆丸方。
干漆（一两捣碎炒令烟出） 桃仁（三分汤浸去皮尖双仁麸炒微黄） 木香（半两） 槟
榔
（半两）
桂心
（三分）
上件药。捣罗为末。以醋煮面糊和丸。如梧桐子大。每服不计时候。以生姜酒下七丸。
治妇人月水每来。脐下 痛。如锥刀所刺。及腰背疼痛。当归丸方。
当归（二两锉微炒） 琥珀（一两） 子（一两） 益母草（半两） 吴茱萸（一
两汤浸七
遍炒
蛭（半两
炒微黄
上件药。捣罗为末。
炼蜜和捣三五百杵。丸如梧桐子大。每于食前。以温酒下十五丸。
治妇人夙有积血。月水来时。腹中 痛。宜下之。朴硝丸方。
川朴硝 当归（锉微炒） 薏苡仁 川大黄（锉微炒以上各二两） 代赭 牛膝（去苗）
桃
仁（
上件药。捣罗为末。
炼蜜和捣三二百杵。丸如梧桐子大。每于食前。以温酒下十丸。
治妇人久积虚冷。四肢羸瘦。饮食微少。月水来时。脐腹疼痛不可忍。 砂丸方。
砂（二两以浆水一升熬如膏） 当归（锉微炒） 琥珀 附子（炮裂去皮脐） 没药 桂
心
木
上件药。捣罗为末。以枣肉并 砂膏。同和。捣三五百杵。丸如梧桐子大。每于食前。
以温
治妇人夙血积滞。每至月水来时。脐下 痛。金漆丸方。
金漆（一两） 硫黄（一两） 水银（半两与硫黄结为砂子细研） 砂（半两细研） 没
药
（一两
（一分去
皮心研
上件药。先将水银砂子及巴豆。同研令匀。以酽醋一升半。熬金漆令稠。下诸药末和丸。
如
治妇人血海风冷。月水每来。攻刺脐腹疼痛。面色萎黄。四肢无力。朱砂丸方。
朱砂（二两细研水飞过） 砂（二两细研） 半夏（一两汤洗七遍去滑） 木香（一
两） 当
归（
上件药。捣罗为末。都研令匀。先以酽醋一升。和狗胆一枚汁。煎如稀饧。和丸如绿豆
大。
又方。
芫花（一分醋拌炒令干） 当归（半两锉微炒） 木香（半两）
上件药。捣细罗为散。不计时候。以热酒调下一钱。
又方。
延胡索（一两） 当归（一两锉微炒）
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。
煎至五分。去滓。食前稍热服之。
【背景信息】
书名：太平圣惠方 作者：王怀隐、陈昭遇等 朝代：宋·淳化三年 章节：治妇人月水来腹痛诸方 类别：方剂
【正文翻译】
凡是妇女在月经来潮时出现腹痛的，多因劳损伤及血气，导致身体虚弱。风冷之气侵袭胞络（子宫及其脉络），损伤冲脉和任脉（调节月经与生殖的重要经脉）。
治疗妇女每次月经来潮时，经血排出不畅，脐下疼痛剧烈难以忍受的方剂：熟干地黄散方。
药材：熟干地黄（二钱）、延胡索、当归（切碎后微炒）、木香、京三棱（微煨后切碎）、蓬莪术。
以上药材，捣碎并过粗筛制成散剂。每次服用二至三钱，用水一中盏，加入生姜半分，煎煮至六分，再加入酒二合，继续煎煮两三沸。去渣，饭前稍热服用。
治疗妇女每次月经来潮时，脐下有针刺感，四肢烦扰疼痛的方剂：芎䓖散方。
药材：芎䓖、桂心、桃仁（热水浸泡去皮尖及双仁后微炒）、吴茱萸（热水浸泡七遍焙干后微炒）、当归（切碎微炒）。各三钱。
以上药材，捣筛制成散剂。每次服用三钱，用水一中盏，煎煮至六分，去渣，饭前稍热服用。
治疗妇女每次月经来潮时，绕脐疼痛，痛势上冲心胸，伴有往来寒热的方剂：桃仁散方。
药材：桃仁（热水浸泡去皮尖及双仁，麸皮炒至微黄）、薏苡仁、代赭石、赤茯苓、牛膝（去苗）、川大黄（切碎微炒）。
以上药材，捣细罗制成散剂。每次于饭前，用温酒调服一钱。
治疗妇女每次月经来潮时，腰腹疼痛的方剂：虻虫散方。
药材：虻虫（四枚微炒）、芎䓖（半两）、女青（一分）、川大黄（一分切碎微炒）、川椒（一分去目及闭口者）。
以上药材，捣细罗制成散剂。每次于饭前，用温酒调服一钱。
治疗妇女胞络素有风冷，每次月经来潮时，脐腹部多痛的方剂：蓬莪术散方。
药材：蓬莪术（一两）、当归（一两切碎微炒）、桂心（半两）、芎䓖（半两）、川大黄（一两切碎微炒）、牡丹皮（去心微炒）。
以上药材，捣细罗制成散剂。每次于饭前，用温酒调服一钱。
治疗妇女月经来潮时，脐腹疼痛如锥刀刺扎的方剂：麒麟竭散方。
药材：麒麟竭、芫花（醋拌炒至干）、芎䓖、桂心、延胡索、当归（切碎微炒）、琥珀（以上各半两）、麝香。
以上药材，捣细罗制成散剂。每次于饭前，用热酒调服一钱。
治疗妇女每次月经来潮时，心间刺痛，腹内有结块的方剂：琥珀散方。
药材：琥珀（三分）、芫花（一分醋浸炒至干）、牛膝（三分去苗）、当归（三分切碎微炒）、赤芍药（三分）。
以上药材，捣细罗制成散剂。每次于饭前，用温酒调服一钱。
治疗妇女每次月经来潮时，脐腹阵发性疼痛，时而发冷发热，面色萎黄的方剂：虻虫散方。
药材：虻虫（十枚微炒）、芎䓖（一两）、当归（一两切碎微炒）、女青（一两）、赤芍药（一两）、川大黄（一两）。
以上药材，捣细罗制成散剂。每次于饭前，用温酒调服一钱。
治疗妇女素来有瘀血停滞，到月经来潮时，脐腹疼痛的方剂：干漆丸方。
药材：干漆（一两捣碎炒至烟出）、桃仁（三分热水浸泡去皮尖及双仁，麸皮炒至微黄）、木香（半两）、槟榔（半两）、桂心（三分）。
以上药材，捣罗成末，用醋煮面糊调和做成丸剂，如梧桐子大小。每次不拘时候，用生姜酒送服七丸。
治疗妇女每次月经来潮时，脐下疼痛，如锥刀刺扎，以及腰背疼痛的方剂：当归丸方。
药材：当归（二两切碎微炒）、琥珀（一两）、延胡索（一两）、益母草（半两）、吴茱萸（一两热水浸泡七遍炒干）、水蛭（半两炒至微黄）。
以上药材，捣罗成末，炼蜜调和捣三五百杵，做成如梧桐子大小的丸剂。每次于饭前，用温酒送服十五丸。
治疗妇女素来有积血，月经来潮时，腹中疼痛，宜用攻下法的方剂：朴硝丸方。
药材：川朴硝、当归（切碎微炒）、薏苡仁、川大黄（切碎微炒，以上各二两）、代赭石、牛膝（去苗）、桃仁（去皮尖）。
以上药材，捣罗成末，炼蜜调和捣三二百杵，做成如梧桐子大小的丸剂。每次于饭前，用温酒送服十丸。
治疗妇女久积虚冷，四肢消瘦，饮食稍少，月经来潮时，脐腹疼痛难以忍受的方剂：硇砂丸方。
药材：硇砂（二两用浆水一升熬成膏）、当归（切碎微炒）、琥珀、附子（炮裂去皮脐）、没药、桂心、木香。
以上药材，捣罗成末，用枣肉并硇砂膏调和，捣三五百杵，做成如梧桐子大小的丸剂。每次于饭前，用温酒送服。
治疗妇女素来有瘀血积滞，每次月经来潮时，脐下疼痛的方剂：金漆丸方。
药材：金漆（一两）、硫黄（一两）、水银（半两与硫黄结成砂子后细研）、硇砂（半两细研）、没药（一两）、巴豆（一分去皮心研）。
以上药材，先将水银砂子及巴豆同研均匀，用浓醋一升半，熬金漆令稠，下诸药末和丸，如梧桐子大小。
治疗妇女血海受风冷，每次月经来潮时，攻刺脐腹疼痛，面色萎黄，四肢无力的方剂：朱砂丸方。
药材：朱砂（二两细研水飞）、硇砂（二两细研）、半夏（一两热水洗七遍去滑）、木香（一两）、当归（一两）。
以上药材，捣罗成末，都研均匀。先用浓醋一升，和狗胆一枚汁，煎如稀饧状，和丸如绿豆大小。
又一方。
药材：芫花（一分醋拌炒至干）、当归（半两切碎微炒）、木香（半两）。
以上药材，捣细罗制成散剂。不拘时候，用热酒调服一钱。
又一方。
药材：延胡索（一两）、当归（一两切碎微炒）。
以上药材，捣筛制成散剂。每次服用三钱，用水一中盏，加入生姜半分，煎煮至五分，去渣，饭前稍热服用。
[Background Information]
Book: Taiping Shenghui Fang (Imperial Grace Formulas of the Taiping Era)
Authors: Wang Huaiyin, Chen Zhaoyu, et al.
Dynasty: Song Dynasty, Chunhua 3rd Year
Chapter: Formulas for Treating Abdominal Pain During Menstruation in Women
Category: Formulas
[Translation]
In cases where women experience abdominal pain during menstruation, it is often due to fatigue and injury to Qi and Blood, leading to physical deficiency. Cold and Wind pathogens invade the Bao Luo (uterine network), damaging the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel).
Formula for treating women who experience difficult and painful menstruation with unbearable pain below the umbilicus: Shu Gan Di Huang San (Prepared Rehmannia Powder).
Ingredients: Shu Gan Di Huang (Prepared Rehmanniae Radix, 2 qian), Yan Hu Suo (Corydalis Rhizome), Dang Gui (Angelicae Sinensis Radix, chopped and lightly stir-fried), Mu Xiang (Aucklandiae Radix), Jing San Leng (Bletillae Rhizoma, lightly roasted and chopped), Peng E Zhu (Curcumae Rhizoma).
Process: The above ingredients are coarsely ground and sieved to make a powder. Take 2-3 qian per dose. Add one zhong of water and half a fen of fresh ginger, decoct until reduced to six parts. Then add two he of wine and boil for two or three times. Strain and take warm before meals.
Formula for treating women who experience stabbing pain below the umbilicus and irritability/pain in the four limbs during menstruation: Xiong Qiong San (Ligusticum Wallichii Powder).
Ingredients: Xiong Qiong (Ligustici Chuanxiong Rhizoma), Gui Xin (Cinnamomi Ramulus Cortex), Tao Ren (Persicae Semen, soaked in hot water, skin and tip removed, stir-fried lightly), Wu Zhu Yu (Evodiae Fructus, soaked in hot water seven times, dried and stir-fried lightly), Dang Gui (Angelicae Sinensis Radix, chopped and stir-fried lightly). Each ingredient is 3 qian.
Process: The above ingredients are ground into a fine powder. Take 3 qian per dose. Add one zhong of water, decoct until reduced to six parts, strain, and take warm before meals.
Formula for treating women who experience peri-umbilical pain radiating to the chest and heart, accompanied by alternating chills and fever during menstruation: Tao Ren San (Persicae Semen Powder).
Ingredients: Tao Ren (Persicae Semen, soaked in hot water, skin and tip removed, bran-roasted until slightly yellow), Yi Yi Ren (Coicis Semen), Dai Zhe Shi (Haematitum), Chi Fu Ling (Poria with Red Core), Niu Xi (Achyranthis Bidentatae Radix, stem removed), Chuan Da Huang (Rhei Radix et Rhizoma, chopped and stir-fried lightly).
Process: The above ingredients are finely ground and sieved. Take 1 qian per dose before meals, mixed with warm wine.
Formula for treating women who experience lower back and abdominal pain during menstruation: Meng Chong San (Blatta Orientalis Powder).
Ingredients: Meng Chong (Blattariae Periplanetae, 4 pieces, stir-fried lightly), Xiong Qiong (Ligustici Chuanxiong Rhizoma, 0.5 liang), Nu Qing (unknown, likely a specific herb or mineral, 1 fen), Chuan Da Huang (Rhei Radix et Rhizoma, 1 fen, chopped and stir-fried lightly), Chuan Jiao (Sichuan Pepper, 1 fen, remove seeds and closed ones).
Process: The above ingredients are finely ground and sieved. Take 1 qian per dose before meals, mixed with warm wine.
Formula for treating women whose Bao Luo has chronic Wind-Cold, causing frequent peri-umbilical and abdominal pain during menstruation: Peng E Zhu San (Curcumae Rhizoma Powder).
Ingredients: Peng E Zhu (Curcumae Rhizoma, 1 liang), Dang Gui (Angelicae Sinensis Radix, 1 liang, chopped and stir-fried lightly), Gui Xin (Cinnamomi Ramulus Cortex, 0.5 liang), Xiong Qiong (Ligustici Chuanxiong Rhizoma, 0.5 liang), Chuan Da Huang (Rhei Radix et Rhizoma, 1 liang, chopped and stir-fried lightly), Mu Dan Pi (Moutan Cortex, stir-fried lightly).
Process: The above ingredients are finely ground and sieved. Take 1 qian per dose before meals, mixed with warm wine.
Formula for treating women who experience stabbing pain in the umbilical and abdominal region like needle pricks during menstruation: Qi Lin Jie San (Dragon's Blood Powder).
Ingredients: Qi Lin Jie (Dracaenae Sangue), Yuan Hua (Genkwa Flos, stir-fried with vinegar until dry), Xiong Qiong (Ligustici Chuanxiong Rhizoma), Gui Xin (Cinnamomi Ramulus Cortex), Yan Hu Suo (Corydalis Rhizome), Dang Gui (Angelicae Sinensis Radix, chopped and stir-fried lightly), Hu Po (Amber, each 0.5 liang), She Xiang (Moschus).
Process: The above ingredients are finely ground and sieved. Take 1 qian per dose before meals, mixed with hot wine.
Formula for treating women who experience stabbing pain in the heart region and abdominal masses/knots during menstruation: Hu Po San (Amber Powder).
Ingredients: Hu Po (Amber, 3 fen), Yuan Hua (Genkwa Flos, 1 fen, soaked in vinegar and stir-fried until dry), Niu Xi (Achyranthis Bidentatae Radix, 3 fen, stem removed), Dang Gui (Angelicae Sinensis Radix, 3 fen, chopped and stir-fried lightly), Chi Shao Yao (Paeoniae Radix Rubra, 3 fen).
Process: The above ingredients are finely ground and sieved. Take 1 qian per dose before meals, mixed with warm wine.
Formula for treating women who experience intermittent abdominal pain, occasional chills and fever, and sallow complexion during menstruation: Meng Chong San (Blatta Orientalis Powder).
Ingredients: Meng Chong (Blattariae Periplanetae, 10 pieces, stir-fried lightly), Xiong Qiong (Ligustici Chuanxiong Rhizoma, 1 liang), Dang Gui (Angelicae Sinensis Radix, 1 liang, chopped and stir-fried lightly), Nu Qing (1 liang), Chi Shao Yao (Paeoniae Radix Rubra, 1 liang), Chuan Da Huang (Rhei Radix et Rhizoma, 1 liang).
Process: The above ingredients are finely ground and sieved. Take 1 qian per dose before meals, mixed with warm wine.
Formula for treating women with pre-existing blood stasis who experience abdominal pain during menstruation: Gan Xi Wan (Toxicodendri Resina Pill).
Ingredients: Gan Xi (Toxicodendri Resina, 1 liang, crushed and stir-fried until smoke appears), Tao Ren (Persicae Semen, 3 fen, soaked in hot water, skin and tip removed, bran-roasted until slightly yellow), Mu Xiang (Aucklandiae Radix, 0.5 liang), Bing Lang (Arecae Semen, 0.5 liang), Gui Xin (Cinnamomi Ramulus Cortex, 3 fen).
Process: The above ingredients are ground into powder. Mix with paste made from flour boiled in vinegar to form pills the size of Sophora seeds. Take 7 pills at any time, washed down with ginger-infused wine.
Formula for treating women who experience stabbing pain below the umbilicus and lower back pain during menstruation: Dang Gui Wan (Angelicae Sinensis Radix Pill).
Ingredients: Dang Gui (Angelicae Sinensis Radix, 2 liang, chopped and stir-fried lightly), Hu Po (Amber, 1 liang), Yan Hu Suo (Corydalis Rhizome, 1 liang), Yi Mu Cao (Leonuri Herba, 0.5 liang), Wu Zhu Yu (Evodiae Fructus, 1 liang, soaked in hot water seven times and stir-fried dried), Shui Zhi (Hirudo, 0.5 liang, stir-fried until slightly yellow).
Process: The above ingredients are ground into powder. Mix with refined honey and pound 300-500 times to form pills the size of Sophora seeds. Take 15 pills before meals, washed down with warm wine.
Formula for treating women with accumulated blood stasis who experience abdominal pain during menstruation, suitable for purging: Xiao Ming Wan (Natrii Sulfas Pill).
Ingredients: Chuan Xiao Ming (Natrii Sulfas), Dang Gui (Angelicae Sinensis Radix, chopped and stir-fried lightly), Yi Yi Ren (Coicis Semen), Chuan Da Huang (Rhei Radix et Rhizoma, chopped and stir-fried lightly, each 2 liang), Dai Zhe Shi (Haematitum), Niu Xi (Achyranthis Bidentatae Radix, stem removed), Tao Ren (Persicae Semen, skin and tip removed).
Process: The above ingredients are ground into powder. Mix with refined honey and pound 200-300 times to form pills the size of Sophora seeds. Take 10 pills before meals, washed down with warm wine.
Formula for treating women with long-standing deficiency-cold, emaciated limbs, poor appetite, and unbearable abdominal pain during menstruation: Nao Sha Wan (Realgar Pill).
Ingredients: Nao Sha (Realgar, 2 liang, boiled in sour rice water to a paste), Dang Gui (Angelicae Sinensis Radix, chopped and stir-fried lightly), Hu Po (Amber), Fu Zi (Aconiti Lateralis Radix Praeparata, cracked, skin and navel removed), Mo Yao (Myrrha), Gui Xin (Cinnamomi Ramulus Cortex), Mu Xiang (Aucklandiae Radix).
Process: The above ingredients are ground into powder. Mix with jujube flesh and Nao Sha paste, pound 300-500 times to form pills the size of Sophora seeds. Take before meals with warm wine.
Formula for treating women with chronic blood stasis who experience lower abdominal pain during menstruation: Jin Qi Wan (Gold Lacquer Pill).
Ingredients: Jin Qi (Gold Lacquer, 1 liang), Liu Huang (Sulphur, 1 liang), Shui Yin (Hydrargyrum, 0.5 liang, combined with Sulphur to form cinnabar-like granules and finely ground), Nao Sha (Realgar, 0.5 liang, finely ground), Mo Yao (Myrrha, 1 liang), Ba Dou (Crotonis Fructus, 1 fen, skin and heart removed, ground).
Process: First grind Hydrargyrum granules and Ba Dou together evenly. Boil Jin Qi in strong vinegar (1.5 sheng) until thick. Add the other powdered ingredients and mix to form pills the size of Sophora seeds.
Formula for treating women with Wind-Cold in the Blood Sea who experience stabbing abdominal pain, sallow complexion, and limb weakness during menstruation: Zhu Sha Wan (Cinnabar Pill).
Ingredients: Zhu Sha (Cinnabaris, 2 liang, finely ground and water-washed), Nao Sha (Realgar, 2 liang, finely ground), Ban Xia (Pinelliae Rhizoma, 1 liang, washed in hot water seven times to remove slipperiness), Mu Xiang (Aucklandiae Radix, 1 liang), Dang Gui (Angelicae Sinensis Radix, 1 liang).
Process: The above ingredients are ground into powder and mixed thoroughly. First, boil strong vinegar (1 sheng) with juice from one dog gallbladder until thick like syrup. Mix with the powder to form pills the size of mung beans.
Another Formula.
Ingredients: Yuan Hua (Genkwa Flos, 1 fen, stir-fried with vinegar until dry), Dang Gui (Angelicae Sinensis Radix, 0.5 liang, chopped and stir-fried lightly), Mu Xiang (Aucklandiae Radix, 0.5 liang).
Process: The above ingredients are finely ground and sieved. Take 1 qian at any time, mixed with hot wine.
Another Formula.
Ingredients: Yan Hu Suo (Corydalis Rhizome, 1 liang), Dang Gui (Angelicae Sinensis Radix, 1 liang, chopped and stir-fried lightly).
Process: The above ingredients are ground into a powder. Take 3 qian per dose. Add one zhong of water and half a fen of fresh ginger, decoct until reduced to five parts, strain, and take warm before meals.