夫妇人症痞者。由冷热不调。食饮不节。积在腹内。或肠胃之间。与脏相结搏。其牢强
推之
动。
血得
治妇人症痞。及血气凝滞。心腹妨痛。四肢羸瘦。时吐清水。不欲饮食。穿山甲散
方。
穿山甲（二两炙令黄色） 京三棱（二两微炮锉） 木香（一两） 槟榔（一两） 桂
心（一两）
白
炒微黄）
防葵（三分） 鳖甲（一两半涂醋炙令黄去裙 ） 当归（三分锉微炒）
上件药。捣粗罗为散。每服四钱。水一中盏。入生姜半分。
煎至六分。去滓。食前稍热服。
治妇人症痞。心腹胀满。不能饮食。体瘦无力。宜服桃仁散方。
桃仁（一两汤浸去皮尖双仁麸炒微黄） 诃黎勒皮（三分） 白术（三分） 当归（三
分） 京
三棱
汤浸去
白瓤
上件药。捣筛为散。每服三钱。水一中盏。入生姜半分。
煎至六分。去滓。食前稍热服之。
治妇人症痞。心腹胀硬如石。经络不利。四肢瘦弱。少思饮食。宜服防葵散方。
防葵（一两） 郁李仁（一两汤浸去皮微炒） 桂心（一两） 鬼箭羽（一两） 桃仁
（一两汤
浸去
汤浸七
遍焙
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。
煎至六分。去滓。食前稍热服之。
治妇人症痞。及恶血气攻刺。心腹疼痛。面无颜色。四肢瘦弱。宜服穿山甲散方。
穿山甲（一两炙令黄色） 鳖甲（一两涂醋炙令黄去裙 ） 赤芍药（一两） 芎 （半
两）
当归
烟出）
桂心
上件药。捣细罗为散。入麝香。同研令匀。每服。不计时候。以热酒调下一钱。
治妇人症痞。腹脐妨痛。令人体瘦。不思饮食。蓬莪术丸方。
蓬莪术（三分） 桂心（半两） 当归（半两锉微炒） 赤芍药（半两） 槟榔（半两）
鳖甲
（一两
（半
两） 昆
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。以粥饮下三十丸。
治妇人症痞冷气。或时攻心腹痛。不能食。四肢瘦弱。鳖甲丸方。
鳖甲（一两涂醋炙令黄去裙 ） 木香（半两） 川大黄（一两半锉碎微炒） 当归（三
分锉
微炒）
面熟为
度）
上件药。捣罗为末。
炼蜜和捣三五百杵。丸如梧桐子大。食前。以暖酒下二十丸。
治妇人积年血气。症痞不消。四肢黄瘦。腹胁妨痛。经络不通。宜服 砂煎丸方。
砂（一两细研） 干漆（一两） 川大黄（一两）
以上三味。并捣罗为末。以无灰酒一升。以慢火熬成膏。次入后药。
鳖甲（半两涂醋炙令黄去裙 ） 没药（一两） 五灵脂（一两） 狗胆（一枚） 斑
蝥（十枚
糯米
上件药。捣罗为末。入前膏。和捣三二百杵。丸如小豆大。每于食前。以暖酒下五丸子。
治妇人症痞。及恶血气筑心。闷乱疼痛。四肢不和。身体羸瘦。不欲饮食。大黄丸
方。
川大黄（一两锉碎微炒） 鳖甲（一两涂醋炙令黄去裙 ） 干漆（三分捣碎炒令烟出）
京
三棱
槟榔
（三
上件药。捣罗为末。以酽醋一升半。熬令稠。煮面糊和丸。如梧桐子大。每服不计时候。
以
治妇人症痞。心腹胀硬疼痛。芫花丸方。
芫花（一两） 大戟（一两） 甘遂（一两） 木香（半两别捣罗为末） 巴豆（一两
去皮心纸
裹压
上件药。先以芫花等四味捣碎。用米醋一大盏。煮令干。捣细罗为末。研入巴豆。以醋
煮面
治妇人症痞。香墨丸方。
香墨（半两） 硫黄（半两） 砂（半两） 朱砂（半两） 麝香（一分） 巴豆（半
两去皮心
研纸
上件药。同研令极细。以醋煮面糊和丸。如绿豆大。每服空心。以温酒下三丸。
治妇人症痞。结块不散。心腹疼痛。水银丸子方。
水银（一两） 硫黄（半两） 砂（一分） 硝石（一分） 白矾（一分） 芫花（一
两醋拌炒
令干
上件药。同研如面。入铫子中。簇火渐烧烟起。将湿纸搭却。将下。候冷更烧。如此三
度即
又方。
芫花（半两醋拌炒令干） 巴豆（一分去皮心研纸裹压去油） 砂（半两细研） 当
归（半
两锉
上件药。捣罗为末。同研令匀。醋煮面糊和丸。如小豆大。每服空心。以当归酒下三丸。
妇女患有症痞病，是由于寒热失调、饮食不节制，导致积滞停留在腹内或肠胃之间，与脏腑相互搏结所致。其特点是肿块坚硬牢固，推之可移动。
治疗妇女症痞，以及血气凝滞引起的心腹部胀闷疼痛、四肢消瘦、时常呕吐清水、不想进食的症状，宜服用穿山甲散方。
穿山甲（二两，炙至黄色） 京三棱（二两，微炮制后锉碎） 木香（一两） 槟榔（一两） 桂心（一两） 白术（一两，炒至微黄） 防葵（三分） 鳖甲（一两半，涂醋炙至黄色，去除裙边） 当归（三分，锉碎后微炒）
以上药物，捣碎并粗筛成散剂。每次服用四钱，加水一盏，放入生姜半分，煎煮至六分，去渣滓，饭前稍温热时服用。
治疗妇女症痞，心腹胀满，不能进食，身体消瘦无力，宜服用桃仁散方。
桃仁（一两，汤浸去皮尖及双仁，麸炒至微黄） 诃黎勒皮（三分） 白术（三分） 当归（三分） 京三棱（一两，汤浸去白瓤）
以上药物，捣筛成散剂。每次服用三钱，加水一盏，放入生姜半分，煎煮至六分，去渣滓，饭前稍温热时服用。
治疗妇女症痞，心腹胀硬如石头，经络不利，四肢瘦弱，食欲减退，宜服用防葵散方。
防葵（一两） 郁李仁（一两，汤浸去皮微炒） 桂心（一两） 鬼箭羽（一两） 桃仁（一两，汤浸去皮尖及双仁微炒）
以上药物，捣筛成散剂。每次服用三钱，加水一盏，放入生姜半分，煎煮至六分，去渣滓，饭前稍温热时服用。
治疗妇女症痞，以及恶血攻刺引起的心腹疼痛，面色无华，四肢瘦弱，宜服用穿山甲散方（此方侧重活血破瘀）。
穿山甲（一两，炙至黄色） 鳖甲（一两，涂醋炙至黄色，去除裙边） 赤芍药（一两） 川芎（半两） 当归（半两，锉碎微炒） 干漆（半两，捣碎炒至出烟） 桂心（半两） 麝香（一分，另研）
以上药物，捣细罗成散剂，加入麝香，共同研磨均匀。每次服用，不拘时候，用热酒调服一钱。
治疗妇女症痞，腹脐部胀闷疼痛，使人身体消瘦，不思饮食，宜服用蓬莪术丸方。
蓬莪术（三分） 桂心（半两） 当归（半两，锉碎微炒） 赤芍药（半两） 槟榔（半两） 鳖甲（一两，涂醋炙至黄色，去除裙边） 京三棱（半两） 昆布（半两，洗去咸味）
以上药物，捣罗成末，炼蜜调和，捣杵三五百下，制成梧桐子大小的丸药。每次在饭前，用米粥饮送下三十丸。
治疗妇女症痞伴有冷气，有时攻冲心腹疼痛，不能进食，四肢瘦弱，宜服用鳖甲丸方。
鳖甲（一两，涂醋炙至黄色，去除裙边） 木香（半两） 川大黄（一两半，锉碎微炒） 当归（三分，锉碎微炒） 厚朴（一两，姜汁炙熟为度）
以上药物，捣罗成末，炼蜜调和，捣杵三五百下，制成梧桐子大小的丸药。饭前，用温酒送下二十丸。
治疗妇女多年血气积聚，症痞不消，四肢黄瘦，腹胁胀闷疼痛，经络不通，宜服用硇砂煎丸方。
硇砂（一两，细研） 干漆（一两） 川大黄（一两）
以上三味药，都捣罗成末，用无灰酒一升，以慢火熬成膏状。然后加入以下药物：
鳖甲（半两，涂醋炙至黄色，去除裙边） 没药（一两） 五灵脂（一两） 狗胆（一枚） 斑蝥（十枚，糯米同炒，去米不用）
以上药物，捣罗成末，加入前面的膏剂，和捣三二百下，制成小豆大小的丸药。每次在饭前，用温酒送下五丸。
治疗妇女症痞，以及恶血攻心，烦闷扰乱疼痛，四肢不和，身体消瘦，不想进食，宜服用大黄丸方。
川大黄（一两，锉碎微炒） 鳖甲（一两，涂醋炙至黄色，去除裙边） 干漆（三分，捣碎炒至出烟） 京三棱（一两，锉碎微炒） 槟榔（一两）
以上药物，捣罗成末，用浓醋一升半，熬至稠厚，煮面糊调和，制成梧桐子大小的丸药。每次服用，不拘时候，用温水送下。
治疗妇女症痞，心腹胀硬疼痛，宜服用芫花丸方。
芫花（一两） 大戟（一两） 甘遂（一两） 木香（半两，另捣罗成末） 巴豆（一两，去皮心，用纸包裹压去油）
以上药物，先将芫花等四味捣碎，用米醋一大盏，煮至干，捣细罗成末，再研入巴豆，用醋煮面糊调和，制成梧桐子大小的丸药。每次在饭前，用温水送下三丸。
治疗妇女症痞，宜服用香墨丸方。
香墨（半两） 硫黄（半两） 硇砂（半两） 朱砂（半两） 麝香（一分） 巴豆（半两，去皮心，研纸裹压去油）
以上药物，共同研磨至极细，用醋煮面糊调和，制成绿豆大小的丸药。每次空腹，用温酒送下三丸。
治疗妇女症痞，结块不散，心腹疼痛，宜服用水银丸子方。
水银（一两） 硫黄（半两） 硇砂（一分） 硝石（一分） 白矾（一分） 芫花（一两，醋拌炒令干）
以上药物，共同研磨如面粉状，放入铫子中，聚火慢慢烧至起烟，用湿纸覆盖在上面承接烟雾，待冷却后再烧。如此重复三次即可。
又一方：
芫花（半两，醋拌炒令干） 巴豆（一分，去皮心，研纸裹压去油） 硇砂（半两，细研） 当归（半两，锉碎微炒）
以上药物，捣罗成末，共同研磨均匀，用醋煮面糊调和，制成小豆大小的丸药。每次空腹，用当归酒送下三丸。
Women suffering from *zheng pi* (abdominal masses) are caused by disharmony of cold and heat, irregular diet, leading to accumulation within the abdomen or intestines and stomach, binding with the Zang-Fu organs. The masses are firm and hard, yet movable upon pushing.
To treat women's *zheng pi*, along with stagnation of Blood and Qi causing distending pain in the heart and abdomen, emaciation of the four limbs, frequent vomiting of clear fluid, and loss of appetite, the Chuan Shan Jia San (Pangolin Scale Powder) formula is indicated.
Chuan Shan Jia (Two liang, roasted until yellow), Jing San Leng (Two liang, slightly processed and chopped), Mu Xiang (One liang), Bing Lang (One liang), Gui Xin (One liang), Bai Zhu (One liang, stir-fried until slightly yellow), Fang Kui (Three qian), Bie Jia (One and a half liang, coated with vinegar and roasted until yellow, remove the skirt edge), Dang Gui (Three qian, chopped and slightly stir-fried).
The above medicines are coarsely ground and sieved into a powder. Each dose consists of four qian, boiled with one zhan of water and half a fen of fresh ginger, reduced to six parts. Strain and take warm before meals.
To treat women's *zheng pi*, abdominal distension and fullness, inability to eat, and physical emaciation with weakness, the Tao Ren San (Peach Kernel Powder) formula is indicated.
Tao Ren (One liang, soaked in hot water, skin and pointed ends removed, double-kernel removed, bran-roasted until slightly yellow), He Li Le Pi (Three qian), Bai Zhu (Three qian), Dang Gui (Three qian), Jing San Leng (One liang, soaked in hot water, white pith removed).
The above medicines are ground and sieved into a powder. Each dose consists of three qian, boiled with one zhan of water and half a fen of fresh ginger, reduced to six parts. Strain and take warm before meals.
To treat women's *zheng pi*, hardness of the heart and abdomen like stone, obstruction of collaterals, emaciation of the four limbs, and reduced desire for food, the Fang Kui San (Fang Kui Powder) formula is indicated.
Fang Kui (One liang), Yu Li Ren (One liang, soaked in hot water, skin removed, slightly stir-fried), Gui Xin (One liang), Gui Jian Yu (One liang), Tao Ren (One liang, soaked in hot water, skin and pointed ends removed, double-kernel removed, slightly stir-fried).
The above medicines are ground and sieved into a powder. Each dose consists of three qian, boiled with one zhan of water and half a fen of fresh ginger, reduced to six parts. Strain and take warm before meals.
To treat women's *zheng pi*, and stabbing pain in the heart and abdomen caused by evil blood attacking, pallor of the face, and emaciation of the four limbs, the Chuan Shan Jia San (Pangolin Scale Powder) formula is indicated.
Chuan Shan Jia (One liang, roasted until yellow), Bie Jia (One liang, coated with vinegar and roasted until yellow, remove the skirt edge), Chi Shao Yao (One liang), Xiong Duan (Half a liang), Dang Gui (Half a liang, chopped and slightly stir-fried), Gan Xi (Half a liang, crushed and stir-fried until smoke appears), Gui Xin (Half a liang), She Xiang (One fen, separately ground).
The above medicines are finely ground and sieved into a powder. Add She Xiang and grind together until uniform. Take one qian mixed with hot wine at any time.
To treat women's *zheng pi*, distending pain around the navel and abdomen, resulting in emaciation and lack of appetite, the Peng E Zhu Wan (Curcuma Pill) formula is indicated.
Peng E Zhu (Three qian), Gui Xin (Half a liang), Dang Gui (Half a liang, chopped and slightly stir-fried), Chi Shao Yao (Half a liang), Bing Lang (Half a liang), Bie Jia (One liang, coated with vinegar and roasted until yellow, remove the skirt edge), Jing San Leng (Half a liang), Kun Bu (Half a liang, washed to remove saltiness).
The above medicines are ground into powder. Mix with refined honey and pound 300-500 times. Form pills the size of paulownia seeds. Take thirty pills with millet gruel drink before meals.
To treat women's *zheng pi* accompanied by cold qi, sometimes attacking the heart and abdomen causing pain, inability to eat, and emaciation of the four limbs, the Bie Jia Wan (Softshell Turtle Pill) formula is indicated.
Bie Jia (One liang, coated with vinegar and roasted until yellow, remove the skirt edge), Mu Xiang (Half a liang), Chuan Da Huang (One and a half liang, chopped and slightly stir-fried), Dang Gui (Three qian, chopped and slightly stir-fried), Hou Po (One liang, processed with ginger juice until cooked).
The above medicines are ground into powder. Mix with refined honey and pound 300-500 times. Form pills the size of paulownia seeds. Take twenty pills with warm wine before meals.
To treat women's chronic blood and qi accumulation, persistent *zheng pi*, yellowish emaciation of the four limbs, distending pain in the abdomen and hypochondrium, and obstruction of collaterals, the Niao Sha Jian Wan (Ammonium Chloride Decoction Pill) formula is indicated.
Niao Sha (One liang, finely ground), Gan Xi (One liang), Chuan Da Huang (One liang).
The above three ingredients are all ground into powder. Boil one sheng of unadulterated wine over slow fire until it becomes a paste. Then add the following medicines:
Bie Jia (Half a liang, coated with vinegar and roasted until yellow, remove the skirt edge), Mo Yao (One liang), Wu Ling Zhi (One liang), Gou Dan (One gallbladder), Ban Mao (Ten insects, stir-fried with glutinous rice, discard the rice).
The above medicines are ground into powder. Mix with the previous paste and pound 200-300 times. Form pills the size of small beans. Take five pills with warm wine before meals.
To treat women's *zheng pi*, and evil blood attacking the heart causing restlessness, chaotic pain, discomfort of the four limbs, physical emaciation, and loss of appetite, the Da Huang Wan (Rhubarb Pill) formula is indicated.
Chuan Da Huang (One liang, chopped and slightly stir-fried), Bie Jia (One liang, coated with vinegar and roasted until yellow, remove the skirt edge), Gan Xi (Three qian, crushed and stir-fried until smoke appears), Jing San Leng (One liang, chopped and slightly stir-fried), Bing Lang (One liang).
The above medicines are ground into powder. Boil one and a half sheng of strong vinegar until thick. Use flour paste to bind and form pills the size of paulownia seeds. Take at any time without restriction, with warm water.
To treat women's *zheng pi*, hardness and pain in the heart and abdomen, the Yuan Hua Wan (Genkwa Pill) formula is indicated.
Yuan Hua (One liang), Da Ji (One liang), Gan Sui (One liang), Mu Xiang (Half a liang, separately ground into powder), Ba Dou (One liang, skin and heart removed, wrapped in paper and pressed to remove oil).
The above medicines, first crush Yuan Hua and the other three ingredients. Boil in one zhan of rice vinegar until dry. Grind finely and sieve into powder. Grind in Ba Dou. Bind with vinegar-boiled flour paste to form pills the size of paulownia seeds. Take three pills with warm water before meals.
To treat women's *zheng pi*, the Xiang Mo Wan (Incense Ink Pill) formula is indicated.
Xiang Mo (Half a liang), Liu Huang (Half a liang), Niao Sha (Half a liang), Zhu Sha (Half a liang), She Xiang (One fen), Ba Dou (Half a liang, skin and heart removed, wrapped in paper and pressed to remove oil).
The above medicines are ground together until extremely fine. Bind with vinegar-boiled flour paste to form pills the size of mung beans. Take three pills on an empty stomach with warm wine.
To treat women's *zheng pi*, indurated masses that do not dissipate, and heart and abdominal pain, the Shui Yin Wan (Mercury Pill) formula is indicated.
Shui Yin (One liang), Liu Huang (Half a liang), Niao Sha (One fen), Xiao Shi (One fen), Bai Fan (One fen), Yuan Hua (One liang, mixed with vinegar and roasted until dry).
The above medicines are ground together until powdery. Place in a ding vessel. Gather fire and slowly roast until smoke rises. Cover with wet paper to collect the fumes. Wait for cooling, then roast again. Repeat this process three times.
Another prescription:
Yuan Hua (Half a liang, mixed with vinegar and roasted until dry), Ba Dou (One fen, skin and heart removed, wrapped in paper and pressed to remove oil), Niao Sha (Half a liang, finely ground), Dang Gui (Half a liang, chopped and slightly stir-fried).
The above medicines are ground into powder and mixed uniformly. Bind with vinegar-boiled flour paste to form pills the size of small beans. Take three pills on an empty stomach with Dang Gui wine.