益营卫，滋气血。治月水不调，脐腹 痛，妇人经病，或前或后，或多或少，疼痛不一，
腰足腹中痛，或崩中漏下，或半产恶露过多，或停留不出，妊娠腹痛下血，胎不安，产后血块
不散，或亡血过多，恶露不止，四物汤加茱萸煎服，若阳脏少使茱萸，若阴脏多使茱。一方加
香附子，治诸虚不足，并皆治之。
熟地黄（补血。如脐痛，非此不能除，乃通于肾经之药也） 川芎（治风泄肝木也。如血
虚头痛，非此不能除，乃通肝经之药也） 芍药（和血理脾 如腹中虚痛 非此不能除，乃通
脾经之药也） 当归（和血。如血刺痛，非此不能除刺如刀割，乃通肾经之药也）
上为粗末，水煎服，加减于后。治妇人骨蒸，加地骨皮牡丹皮。 若妊娠胎动不安，下
血不止者，加艾十叶，阿胶一片，又加葱白黄 ，若血脏虚冷，崩中去血过多，亦加胶。
若妇人常服，春倍川芎，脉弦头痛，夏倍芍药，脉洪飧泄。 秋倍地黄，脉沉涩血虚，冬倍
当归，脉沉寒而不食。 若春则防风四物，加防风，倍川芎。 若夏则黄芩四物，加黄芩，
倍芍药。 若秋则门冬四物，加天门冬，倍地黄。 若冬则桂枝四物，加桂枝，倍当归。
若血虚而腹痛，微汗而恶风，四物加茂桂谓之腹痛六合。 若风眩运，加秦艽羌活，谓之风
六合。 若气虚弱，起则无力，KT 然而倒，加浓朴陈皮，谓之气六合。 若发热而烦，
不能睡卧者，加黄连栀子，谓之热六合。 若虚寒脉微，自汗，气难布息，清便自调，加干
姜附子，谓之寒六合。 若中湿，身沉重无力，身凉微汗，加白术茯苓，谓之湿六合。
若产后虚劳，日久而脉浮疾，宜柴胡四物汤。
川芎 当归 芍药 熟地黄（各一两半） 柴胡（人线） 人参 黄芩 甘草（各三钱）
同煎服。
若妇人筋骨肢节疼，及头痛脉弦，增寒如疟，宜治风六合，或伤损气血，乘虚而晕者，
宜四物汤（四两） 防风 羌活 （各一两）
若血气上冲心腹，肋下满闷，宜治气六合。
四物汤（四两） 木香 槟榔（各一两）
若脐下虚冷腹痛，及腰脊间闷痛，宜玄胡六合，小腹痛同，用
四物汤（四两） 玄胡 苦楝（各一两，碎，炒焦）
若气冲经脉，故月事频并，脐下多痛，宜芍药六合。
四物汤（四两） 芍药（倍加） 黄 （一两）
若经事欲行，脐腹绞痛，临经痛者血涩也，宜八物汤。
四物汤（四两） 玄胡 槟榔 苦楝（碎，炒焦） 木香（各一两）
若经水过多，别无余证，宜黄芩六合。
四物汤（四两） 黄芩 白术（各一两）
若经水涩少，宜四物汤内加葵花煎，又加红花血见愁。
若妇人虚劳气弱，咳嗽喘满，宜浓朴六合。
四物汤（四两） 浓朴（一两制） 枳实（半两，炒）
以上四味，治法如前一证，于四物汤中各加一味用之如少。腹痛，四物汤四两，加玄胡
苦楝各一两。
若经水暴下，四物汤内加黄芩，若腹痛加黄连，如夏月不去黄芩。
若经水如黑豆汁者，加黄芩黄连各一两。
若经水少而色和者，四物汤加熟地黄当归各一两。
若经水适来适断，或有寒热往来者，先服小柴胡汤，以去其寒热，后以四物汤和之。
如寒热不退，勿服四物，是谓变证，表邪犹有，不能效也，根据前论中变证，随证用药调
治之。
若妇人血积者，四物汤内加
广术 京三棱 桂 干漆（炒烟尽，各一两）
若妇人伤寒汗下后，饮食减少，血虚者，宜八物汤。
四物汤（四两） 黄 白术 茯苓 甘草（各一两）
若妊娠，伤寒中风，表虚自汗，头痛项强，身热恶寒，脉浮而弱，太阳经病，宜表虚六
合汤。
四物汤（四两） 桂枝 地骨皮（各七钱）
若妊娠伤寒，头痛身热无汗，脉浮紧，太阳经病，宜表实六合。
四物汤（四两） 麻黄 细辛（各半两）
若妊娠伤寒，中风湿之气，肢节烦疼，脉浮而热，头痛，宜风湿六合汤，太阳标病也。
四物汤（四两） 防风 苍术（制各七钱）
若妊娠伤寒下后，过经不愈，温毒发斑如锦纹，宜升麻六合。
四物汤（四两） 升麻 连翘（各七钱）
若妊娠伤寒，胃胁满痛，脉弦少阳，头昏项强，宜柴胡六合。
四物汤（四两） 柴胡 黄芩（各七钱）
若妊娠伤寒，大便硬，小便赤，气满而脉沉数，阳明太阳本病也，急下之，宜大黄六合。
四物汤（四两） 大黄（半两） 桃仁（十个，去皮尖麸炒）
若妊娠伤寒，汗下后，咳嗽不止，宜人参六合汤。
四物汤（四两） 人参 五味子（各半两）
若妊娠伤寒，汗下后，虚痞胀满者，阳明本虚也，宜浓朴六合汤。亦治咳嗽喘满。
四物汤（四两） 浓朴 枳实（麸炒，各半两）
若妊娠伤寒，汗下后，不得眠者，宜栀子六合汤。
四物汤（四两） 栀子 黄芩（各半两）
若妊娠伤寒，身热大渴，蒸蒸而烦，脉长而大者，宜石膏六合。
四物汤（四两） 石膏 知母（各半两）
若妊娠伤寒，小便不利，太阳本病，宜茯苓六合汤。
四物汤（四两） 茯苓 泽泻（各半两）
若妊娠伤寒太阳本病，小便赤如血状者，宜琥珀六合汤。
四物汤（四两） 琥珀 茯苓（各半两）
若妊娠伤寒，汗下后血漏不止，胎气损者，宜胶艾六合汤。
四物汤（四两） 阿胶 艾（各半两。一方加甘草，同上。一方加干姜黄 甘草）
若妊娠伤寒，四肢拘急，身凉微汗，腹中痛，脉沉而迟，少阴病也，宜附子六合汤。
四物汤（四两） 附子（炮，去皮） 桂（各半两）
若赤白带下，宜香桂六合汤。
四物汤（四两） 香附子 桂（各半两）
若妊娠伤寒蓄血证，不宜堕胎药下之，宜四物大黄汤下之。
四物汤（四两） 生地黄 大黄（酒浸，各半两）
若虚热病，四物与参苏饮相合，名补心汤主之。
若四肢肿痛，不能举动，宜苍术各半汤主之。
若燥结，四物与调胃承气汤合半，名玉烛散。
若流湿润燥，宜四物理中各半汤。
若保胎气，令人有子，四物与缩砂四均子汤各半，名八珍汤。
若热与血相搏，口舌干燥饮水，加
当归 芍药
若腹中刺痛，恶物不止，加
当归 芍药
若血崩不止者，加
蒲黄 生地黄 黄芩（一方无）
若因热生风者，加
川芎 柴胡 防风（一方无）
若脏秘涩者，加
大黄 桃仁
若滑泻者，加
官桂 附子
若呕者，加
白术 人参 生姜（一方无）
若发寒热者，加
干生姜 牡丹皮 柴胡 芍药（一方无）
若大渴者，加
知母 石膏
若水停心下，微吐逆者，加
猪苓 茯苓 防己
若头昏项强者，加
柴胡 黄芩
若虚寒似伤寒者，加
人参 柴胡 防风
若产后诸证，各随六经，以四物与仲景药各半服之，甚效。
若妇人或因伤洒，或因产亡血，或虚劳，五心烦热者，宜四物二连汤。
四物汤（内用生地黄） 黄连 胡黄连
用温饮清服。
四物与桂枝麻黄、白虎柴胡、理中四逆、茱萸水气凉膈等，皆可作各半汤，易老用药大
略也。
若虚烦不得睡者。加
竹叶 人参
若妇人血虚，心腹 痛不可忍者，去地黄加干姜，名四神汤。
若诸痛有湿者，四物与白术相半，加
天麻 茯苓 穿山甲
用酒煎服。
若目暴赤，发作云翳，疼痛不可忍者，宜四物龙胆汤。
四物汤（各半两） 羌活 防风（各三钱） 草龙胆 防己（各二钱）
用水煎服。
一方等分为粗末，每服四钱，水一盏半，煎至八分去滓，取六厘清者，带热服，食前。
若平常血气不调及常服，只用本方，日二三服。 若经血凝滞，腹内血气作疼，加茂术官桂
等分用之。王石肤云∶熟地黄滞血，安能止痛，不若以五味子代之。 若因产后，欲推陈致
新，补血海治诸疾，加生姜煎。 若胎动不安下血，每服加艾叶五七片，更加葱白阿胶末，
减四味之半，当归用小半。如疾势甚者，以四味各半两，细锉，以水四盏，熟艾一块，如鸡
子大，阿胶五七片，煎至二盏半，去滓，分作四服，一日令尽。一方有粉草干姜黄 ，日二
三服至二腊，以一七日为一腊，胎前产后，每日可一二服。亦治血痢疾不止，痛难忍，宜加
阿胶艾叶煎服，名六物汤。如气虚血海不调，服一月不妨也。 若产后被惊气滞，种种积滞
败血，一月内恶物微少，败血作病，或胀或疼，胸膈胀闷，或发寒热，四肢疼痛，加玄胡索
没药香白芷，与四物等分为细末，淡醋汤或童子小便酒调下。 如血风，于产后乘虚发作，
或产后伤风头疼发热，百骨节痛，加荆芥穗天麻香附子石膏藿香各一分，四物料共一两中加
之，每服三钱，水一盏，煎至七分服。 如寒热往来，加炮干姜牡丹皮各一分，若平常些少
虚眩，肢体瘦倦，月信不调，只用生姜薄荷如常服，此是妇人常服之药，盖味寡而性缓，效
迟而功深。 治老人风秘，加青皮等分煎服。 一方治妇人腹痛作声，经脉不快，加熟地黄
一倍，添桂心半倍煎。 治疮疾，加荆芥酒煎常服。 一方添柴胡，名五神汤，柴胡大能补
虚，退虚热。 一方以四物汤共四两为细末，炼蜜为丸，如梧桐子大，空心米饮下三四十丸
，以疗年高妇人白带，又良验也，请详用之。 一方四物汤加甘草半两为细末，炼蜜为丸，
每两作八丸，酒醋共半盏煎汤，同化调停下，名当归煎，去败血，生好血，如人行五里，再
进一丸，无时候。 一方锉散，随病证加减后药煎服。 血气不调，加吴茱萸一两，甘草半
两。 补下元，加干姜半两，甘草七分。 血崩淋沥不断，加炮附子一个，去石脂一两。
便血及带下，加荆芥地椒。 气血滞腹内刺痛，加桂。 产后伤风头痛，加石膏一两，甘草
半两 。 血风劳，加荆芥柴胡。 潮热，加前胡干葛黄芩人参。 虚热口干，加麦门冬黄
芩一两 。 呕吐不止，加藿香白术半两，人参一钱。 产后虚惫，发热烦闷，加生地黄。
产后腹胀，加枳壳肉桂各三钱。 产后恶露，腹痛不止，加桃仁苏木牛膝。 产后寒热往
来，加柴胡麦门冬各半两。 经血淋漓不断，加干瑞连房，炒入药。 血滞不通，加桃仁红
花各一分。 产后闷乱，加茯神远志各半两。 虚而多汗，加 牡蛎麻黄根各半两。 妊娠
心烦，加竹茹一块。 如有败血，则用当归近上节，白芍药以赤易，熟地黄以生者。 一方
锉散，每服四钱，水一盏半，煎至七分，去滓，食前热服，为末服亦可，若常服血气不调，
平常服只用本方，春加当归，夏加芍药，秋加川芎，冬加地黄，各一两半，日二三服。 妊
娠作恶生寒，不思饮食，面青憔悴，加陈皮枳壳白术茯苓甘草。 产后败血筑心，地骨皮芍
药。 潮热，黄芩地骨皮柴胡。 咳嗽，桑白皮半夏人参生姜北五味子甘草。 损孕下血不
止，头痛寒热，耳鸣，气血劳伤所致，黄芩荆芥生地黄赤芍药生姜。 虚寒潮热，柴胡地骨
皮白术茯苓甘草秦艽知母黄芩麦芽贝母人参乌梅枣子。 心腹胀满，枳壳青皮。 虚汗，麻
黄根。 产后潮热，白术北柴胡甘草牡丹皮地骨皮。 有热黄芩。 汗多浮麦。 肠风下血
，槐角槐花枳觳荆芥黄芩大腹皮红内消地榆石楠叶白鸡冠花为散，煎一半为末，空心盐汤旧
酒调下。 鼻衄吐血竹青蒲黄藕节半夏丁香诃子桂花红枣飞罗面白茅根蚌粉。奶痈连翘慈菇
子红内消白芷菰片荆芥牛膝山蜈蚣乳香没药漏芦生地黄。 血风两胁筑疼，或盘肠成块，大
黄荜茇乳香。 胎动漏血不止，黄 侧柏阿胶甘草续断，平常经血淋沥不断，或多或少，或
赤或白，非时漏下，多服有效。 月水不通，野苎根牛膝红花苏木旧酒水同煎。 临产小腹
紧痛，红花滑石甘草灯心葵子。 经闭，枳壳大黄荆芥黄芩青皮滑石木通瞿麦海金沙山栀子
车前子。 安胎及漏胎下血，阿胶大艾甘草蒲黄炒过。 产后腹痛，血块攻肠，大艾没药好
酒。 产后病眼，北细辛羌活荆芥菊花甘草木贼石决明草决明。 赤眼头风疾，薄荷清茶。
赤眼生风，防风黄芩。 产后浮肿，气急腹大，喉中水鸡声，牡丹皮荆芥白术桑白皮赤
小豆大腹皮杏仁半夏马兜铃生姜葱白薄荷。 月水不调，血崩，或多少，或前后，呕逆心膨
，陈艾黄 。 血弱生风，四肢痹疼，行步艰难，乳香人参没药麝香甘草五灵脂羌活独活防
风荆芥地龙南星白附子泽兰为末，蜜丸，木瓜盐汤下。 血风膨胀，甘草木香枳壳马兜铃葶
苈紫苏藿香地黄，空心服。 补血住崩，百草霜棕灰首绵灰蒲黄炒过龙骨白姜。 血成片，
地黄藕节。 黑血片，人参白术。 白淫浊，龙骨。 地黄当归。 五色，研麝香好酒。
鲜红，温酒盐汤。 风疮赤肿，荆芥牛蒡子何首乌甘草防风羌活地黄盐酒。 带下，肉桂蒲
黄百草霜甘草黑豆白术玄胡索白姜龙骨，空心盐酒。 血寒，甘草乌梅柴胡桃柳枝。 感风
调和营卫，滋养气血。治疗月经失调，脐腹部疼痛，妇女经病，月经或提前或推后，量或多或少，疼痛性质不一，腰部、足部及腹部疼痛，或出现崩中漏下（非经期大量出血或淋漓不尽），或半产（流产）后恶露过多，或恶露停滞不出，妊娠期间腹痛伴阴道出血，胎动不安，产后血块不散，或因失血过多导致恶露不止。使用四物汤加吴茱萸煎服；若患者体质偏阳热者，减少吴茱萸用量；若体质偏阴寒者，增加吴茱萸用量。另一配方加入香附子，治疗各种虚损不足之证，均能主治。
熟地黄（具有补血功效。如脐部疼痛，非此药不能消除，它是通入肾经的药物）
川芎（治疗风邪疏泄肝木之气。如血虚引起的头痛，非此药不能消除，它是通入肝经的药物）
芍药（调和血液，调理脾脏。如腹部虚性疼痛，非此药不能消除，它是通入脾经的药物）
当归（调和血液。如血瘀刺痛，疼痛如刀割，非此药不能消除，它是通入肾经的药物）
以上药材研为粗末，加水煎服，具体加减法如下：
治疗妇女骨蒸潮热（阴虚发热），加地骨皮、牡丹皮。
若妊娠期间胎动不安，阴道出血不止者，加艾叶十片，阿胶一片，再加葱白、黄芩。若血脏虚冷，崩中出血过多，也加阿胶。
若妇女常服此方，春季加倍使用川芎，适用于脉弦且头痛者；夏季加倍使用芍药，适用于脉洪大且完谷不化的泄泻者；秋季加倍使用熟地黄，适用于脉沉涩且血虚者；冬季加倍使用当归，适用于脉沉迟且畏寒食欲不振者。
若春季，则用防风四物汤，即四物汤加防风，倍用川芎。
若夏季，则用黄芩四物汤，即四物汤加黄芩，倍用芍药。
若秋季，则用门冬四物汤，即四物汤加天门冬，倍用熟地黄。
若冬季，则用桂枝四物汤，即四物汤加桂枝，倍用当归。
若血虚而腹痛，伴有微汗和恶风症状，在四物汤中加入茂桂，称为“腹痛六合汤”。
若因风邪引起眩晕，加入秦艽、羌活，称为“风六合汤”。
若气虚弱，起身时感到无力，突然昏倒，加入厚朴、陈皮，称为“气六合汤”。
若发热且烦躁，无法入睡卧躺，加入黄连、栀子，称为“热六合汤”。
若属虚寒证，脉象微弱，自汗出，气息短促难以布息，大小便正常，加入干姜、附子，称为“寒六合汤”。
若感受湿邪，身体沉重无力，体表发凉且有微汗，加入白术、茯苓，称为“湿六合汤”。
若产后虚劳，病程日久且脉象浮数，宜用柴胡四物汤。
柴胡四物汤组成：
川芎、当归、芍药、熟地黄（各一两半）
柴胡（去芦头）、人参、黄芩、甘草（各三钱）
共同煎煮服用。
若妇女筋骨关节疼痛，以及头痛脉弦，怕冷如疟疾发作，宜用治风六合汤；或是因伤损气血，乘虚而入导致头晕者，宜用四物汤（四两）加防风、羌活（各一两）。
若血气上冲心腹，胁下胀满闷痛，宜用治气六合汤。
治气六合汤组成：
四物汤（四两）加木香、槟榔（各一两）。
若脐下虚冷腹痛，以及腰脊间闷痛，小腹痛同治，宜用玄胡六合汤。
玄胡六合汤组成：
四物汤（四两）加玄胡索、苦楝子（各一两，捣碎，炒焦）。
若气冲经脉，导致月经频发，脐下多痛，宜用芍药六合汤。
芍药六合汤组成：
四物汤（四两）加芍药（加倍用量）、黄芪（一两）。
若月经即将来潮，脐腹绞痛，经前疼痛者是血行涩滞所致，宜用八物汤。
八物汤组成：
四物汤（四两）加玄胡索、槟榔、苦楝子（捣碎，炒焦）、木香（各一两）。
若月经量过多，无其他兼证，宜用黄芩六合汤。
黄芩六合汤组成：
四物汤（四两）加黄芩、白术（各一两）。
若月经量少且涩滞，宜在四物汤中加入葵花煎服，再加红花、血见愁。
若妇女虚劳气弱，咳嗽气喘胸满，宜用浓朴六合汤。
浓朴六合汤组成：
四物汤（四两）加厚朴（一两，炮制）、枳实（半两，炒）。
以上四味药的治疗法则与前一种证候相同，即在四物汤中各加一味药使用。若用于腹痛，取四物汤四两，加玄胡索、苦楝子各一两。
若月经暴下（大量出血），在四物汤内加黄芩；若腹痛加黄连；若是夏季，不要去掉黄芩。
若月经刚来或刚停，或有寒热往来症状，先服用小柴胡汤以去除寒热，随后用四物汤调和气血。
如果寒热不退，不要服用四物汤，这属于变证，表邪依然存在，服用四物汤无效，应根据前述关于变证的论述，随证用药调治。
若妇女有血积（瘀血积聚），在四物汤内加莪术、京三棱、桂枝、干漆（炒至烟尽，各一两）。
若妇女患伤寒，经过发汗或攻下治疗后，饮食减少，血虚者，宜用八物汤。
八物汤组成：
四物汤（四两）加黄芪、白术、茯苓、甘草（各一两）。
若妊娠期患伤寒中风，表虚自汗，头痛项强，身热恶寒，脉浮而弱，属太阳经病，宜用表虚六合汤。
表虚六合汤组成：
四物汤（四两）加桂枝、地骨皮（各七钱）。
若妊娠期患伤寒，头痛身热无汗，脉浮紧，属太阳经病，宜用表实六合汤。
表实六合汤组成：
四物汤（四两）加麻黄、细辛（各半两）。
若妊娠期患伤寒，感受风湿之气，肢体关节烦疼，脉浮而热，头痛，宜用风湿六合汤，此为太阳标病。
风湿六合汤组成：
四物汤（四两）加防风、苍术（炮制，各七钱）。
若妊娠期患伤寒，攻下后，过了传经周期仍未愈，温毒发斑如锦纹状，宜用升麻六合汤。
升麻六合汤组成：
四物汤（四两）加升麻、连翘（各七钱）。
若妊娠期患伤寒，胃胁胀满疼痛，脉弦属少阳经，头昏项强，宜用柴胡六合汤。
柴胡六合汤组成：
四物汤（四两）加柴胡、黄芩（各七钱）。
若妊娠期患伤寒，大便硬，小便赤，气满且脉沉数，属阳明、太阳本病，需急下之，宜用大黄六合汤。
大黄六合汤组成：
四物汤（四两）加大黄（半两）、桃仁（十个，去皮尖，麸炒）。
若妊娠期患伤寒，发汗攻下后，咳嗽不止，宜用人参六合汤。
人参六合汤组成：
四物汤（四两）加人参、五味子（各半两）。
若妊娠期患伤寒，发汗攻下后，出现虚痞胀满，这是阳明本虚，宜用浓朴六合汤。也可治疗咳嗽气喘胸满。
浓朴六合汤组成：
四物汤（四两）加厚朴、枳实（麸炒，各半两）。
若妊娠期患伤寒，发汗攻下后，失眠不得眠，宜用栀子六合汤。
栀子六合汤组成：
四物汤（四两）加栀子、黄芩（各半两）。
若妊娠期患伤寒，身热大渴，蒸蒸而烦，脉长而大，宜用石膏六合汤。
石膏六合汤组成：
四物汤（四两）加石膏、知母（各半两）。
若妊娠期患伤寒，小便不利，属太阳本病，宜用茯苓六合汤。
茯苓六合汤组成：
四物汤（四两）加茯苓、泽泻（各半两）。
若妊娠期患伤寒太阳本病，小便赤红如血状，宜用琥珀六合汤。
琥珀六合汤组成：
四物汤（四两）加琥珀、茯苓（各半两）。
若妊娠期患伤寒，发汗攻下后，阴道出血不止，胎气受损，宜用胶艾六合汤。
胶艾六合汤组成：
四物汤（四两）加阿胶、艾叶（各半两）。一方加甘草，同上。一方加干姜、黄芪、甘草。
若妊娠期患伤寒，四肢拘挛紧急，体表发凉微汗，腹中痛，脉沉而迟，属少阴病，宜用附子六合汤。
附子六合汤组成：
四物汤（四两）加附子（炮制，去皮）、桂枝（各半两）。
若白带下，宜用香桂六合汤。
香桂六合汤组成：
四物汤（四两）加香附子、桂枝（各半两）。
若妊娠期患伤寒蓄血证，不宜用堕胎药攻下，宜用四物大黄汤攻下。
四物大黄汤组成：
四物汤（四两）加生地黄、大黄（酒浸，各半两）。
若要保胎气，助孕生子，将四物汤与缩砂仁四君子汤各半合用，名为八珍汤。
若产后诸证，各随六经辨证，将四物汤与张仲景的方药各半合服，效果很好。
若妇女或因外伤洒落，或因生产失血，或虚劳，出现五心烦热者，宜用四物二连汤。
四物二连汤组成：
四物汤（内用生地黄）加黄连、胡黄连。
用温水送服。
四物汤可与桂枝汤、麻黄汤、白虎汤、柴胡汤、理中汤、四逆汤、茱萸汤、水气方、凉膈散等，皆可作各半汤合用，这是易老（可能指某位医家）用药的大略原则。
若各种疼痛伴有湿邪，将四物汤与白术各半合用，加天麻、茯苓、穿山甲。
用酒煎服。
若眼睛突发红肿，发作云翳，疼痛不可忍受，宜用四物龙胆汤。
四物龙胆汤组成：
四物汤（各半两）加羌活、防风（各三钱）、草龙胆、防己（各二钱）。
用水煎服。
另一方将药物等分为粗末，每次服用四钱，加水一盏半，煎至八分，去渣滓，取澄清液六厘，趁热服，饭前服用。
若平常气血不调及日常保健服用，只用本方（四物汤），每日二三次服用。若经血凝滞，腹内血气作痛，加莪术、官桂等分使用。王石肤说：熟地黄滋腻滞血，怎能止痛，不如用五味子代替。若因产后，想要推陈致新，补血海以治诸疾，加生姜煎服。若胎动不安下血，每服加艾叶五七片，再加葱白、阿胶末，减少原方四味药的一半用量，当归用小半量。如病情严重，取原方四味药各半两，切碎，加水四盏，熟艾一块（如鸡蛋大），阿胶五七片，煎至二盏半，去渣滓，分四次服用，一日服完。另一方有粉草、干姜、黄芪，每日二三次服用，至两个“腊”（一腊为七日），胎前产后，每日可服一二剂。也治疗血痢疾不止，疼痛难忍，宜加阿胶、艾叶煎服，名为六物汤。如气虚血海不调，服用一个月无妨。若产后受惊气滞，种种积滞败血，一月内恶露微少，败血致病，或胀或疼，胸膈胀闷，或发寒热，四肢疼痛，加玄胡索、没药、香白芷，与四物汤等分为细末，用淡醋汤或童子小便调酒送下。如血风，于产后乘虚发作，或产后伤风头疼发热，百节疼痛，加荆芥穗、天麻、香附子、石膏、藿香各一分，四物汤料共一两中加入这些药，每次服用三钱，加水一盏，煎至七分服。如寒热往来，加炮干姜、牡丹皮各一分。若平常有些许虚眩，肢体瘦倦，月经不调，只用生姜、薄荷如常服用，这是妇人常服之药，味道清淡而药性缓和，见效慢但功效深远。治疗老人风秘，加青皮等分煎服。另一方治疗妇人腹痛有声，经脉不畅，加熟地黄一倍，添桂心半倍煎服。治疗疟疾，加荆芥酒煎常服。另一方加柴胡，名为五神汤，柴胡大能补虚，退虚热。另一方将四物汤共四两研为细末，炼蜜为丸，如梧桐子大，空心米饮送下三四十丸，用来治疗年高妇人白带，也有良效，请详细使用。另一方将四物汤加甘草半两研为细末，炼蜜为丸，每两做成八丸，用酒醋共半盏煎汤，同化调停下，名为当归煎，去败血，生好血，如人行走五里路，再进一丸，不限时候。另一方锉成散剂，随病证加减后药煎服。
血气不调，加吴茱萸一两，甘草半两。
补下元，加干姜半两，甘草七分。
血崩淋沥不断，加炮附子一个，去石脂一两。
便血及带下，加荆芥、地椒。
气血滞腹内刺痛，加桂枝。
产后伤风头痛，加石膏一两，甘草半两。
血风劳，加荆芥、柴胡。
潮热，加前胡、干葛、黄芩、人参。
虚热口干，加麦门冬、黄芩一两。
呕吐不止，加藿香、白术半两，人参一钱。
产后虚惫，发热烦闷，加生地黄。
产后腹胀，加枳壳、肉桂各三钱。
产后恶露，腹痛不止，加桃仁、苏木、牛膝。
产后寒热往来，加柴胡、麦门冬各半两。
经血淋漓不断，加干瑞莲房，炒入药。
血滞不通，加桃仁、红花各一分。
产后闷乱，加茯神、远志各半两。
虚而多汗，加牡蛎、麻黄根各半两。
妊娠心烦，加竹茹一块。
如有败血，则用当归近上节，白芍药以赤芍易之，熟地黄以生地黄易之。
另一方锉成散剂，每次服用四钱，加水一盏半，煎至七分，去渣滓，食前热服，研末服亦可。若常服血气不调，平常服只用本方，春加当归，夏加芍药，秋加川芎，冬加地黄，各一两半，每日二三次服用。
妊娠作恶生寒，不思饮食，面青憔悴，加陈皮、枳壳、白术、茯苓、甘草。
产后败血筑心，用地骨皮、芍药。
潮热，用黄芩、地骨皮、柴胡。
咳嗽，用桑白皮、半夏、人参、生姜、北五味子、甘草。
损孕下血不止，头痛寒热，耳鸣，气血劳伤所致，用黄芩、荆芥、生地黄、赤芍药、生姜。
虚寒潮热，用柴胡、地骨皮、白术、茯苓、甘草、秦艽、知母、黄芩、麦芽、贝母、人参、乌梅、枣子。
心腹胀满，用枳壳、青皮。
虚汗，用麻黄根。
产后潮热，用白术、北柴胡、甘草、牡丹皮、地骨皮。
有热，用黄芩。
汗多，用浮小麦。
肠风下血，用槐角、槐花、枳壳、荆芥、黄芩、大腹皮、红内消、地榆、石楠叶、白鸡冠花为散，煎一半为末，空心盐汤旧酒调下。
鼻衄吐血，用竹青、蒲黄、藕节、半夏、丁香、诃子、桂花、红枣、飞罗面、白茅根、蚌粉。
奶痈，用连翘、慈姑子、红内消、白芷、菰片、荆芥、牛膝、山蜈蚣、乳香、没药、漏芦、生地黄。
血风两胁筑疼，或盘肠成块，用大黄、荜茇、乳香。
胎动漏血不止，用黄芪、侧柏、阿胶、甘草、续断，平常经血淋沥不断，或多或少，或赤或白，非时漏下，多服有效。
月水不通，用野苎根、牛膝、红花、苏木、旧酒水同煎。
临产小腹紧痛，用红花、滑石、甘草、灯心、葵子。
经闭，用枳壳、大黄、荆芥、黄芩、青皮、滑石、木通、瞿麦、海金沙、山栀子、车前子。
安胎及漏胎下血，用阿胶、大艾、甘草、蒲黄炒过。
产后腹痛，血块攻肠，用大艾、没药、好酒。
产后病眼，用北细辛、羌活、荆芥、菊花、甘草木贼、石决明、草决明。
赤眼头风疾，用薄荷、清茶。
赤眼生风，用防风、黄芩。
产后浮肿，气急腹大，喉中水鸡声，用牡丹皮、荆芥、白术、桑白皮、赤小豆、大腹皮、杏仁、半夏、马兜铃、生姜、葱白、薄荷。
月水不调，血崩，或多少，或前后，呕逆心膨，用陈艾、黄芪。
血弱生风，四肢痹疼，行步艰难，用乳香、人参、没药、麝香、甘草、五灵脂、羌活、独活、防风、荆芥、地龙、南星、白附子、泽兰为末，蜜丸，木瓜盐汤下。
血风膨胀，用甘草、木香、枳壳、马兜铃、葶苈、紫苏、藿香、地黄，空心服。
补血住崩，用百草霜、棕灰、首绵灰、蒲黄炒过、龙骨、白姜。
血成片，用地黄、藕节。
黑血片，用人参、白术。
白淫浊，用龙骨、地黄、当归。
五色带下，研麝香、好酒。
鲜红，用温酒、盐汤。
风疮赤肿，用荆芥、牛蒡子、何首乌、甘草、防风、羌活、地黄、盐酒。
带下，用肉桂、蒲黄、百草霜、甘草、黑豆、白术、玄胡索、白姜、龙骨，空心盐酒。
血寒，用甘草、乌梅、柴胡、胡桃、柳枝。
感风...
Harmonize Ying and Wei (Defensive and Nutritive Qi), nourish Qi and Blood. Treat irregular menstruation, pain in the umbilical and abdominal regions, women's menstrual disorders where menses may come early or late, with varying amounts, and diverse types of pain; pain in the waist, feet, and abdomen; metrorrhagia and metrostaxis (heavy bleeding or prolonged spotting between periods); excessive lochia after miscarriage; retained lochia that fails to discharge; abdominal pain with vaginal bleeding during pregnancy indicating fetal instability; postpartum blood stasis clumps failing to disperse; lochia persisting due to excessive blood loss. Use Siwu Tang (Four Substances Decoction) added with Corni Fructus (Shanzhuyu) decocted and taken orally. If the constitution is Yang-predominant, reduce the dosage of Corni Fructus; if Yin-predominant, increase it. Another prescription adds Cyperi Rhizoma (Xiangfuzi) to treat various deficiencies and insufficiencies, applicable to all these conditions.
Prepared Rehmanniae Radix (Shudihuang) [Nourishes Blood. For umbilical pain, this herb is indispensable as it enters the Kidney Meridian.]
Ligusticum Chuanxiong Rhizoma (Chuanxiong) [Treats wind dispersing Liver Wood. For headache due to Blood deficiency, this herb is indispensable as it enters the Liver Meridian.]
Paeoniae Radix Alba/Rubra (Shaoyao) [Harmonizes Blood and regulates Spleen. For deficiency-type abdominal pain, this herb is indispensable as it enters the Spleen Meridian.]
Angelica Sinensis Radix (Danggui) [Harmonizes Blood. For stabbing blood-stasis pain resembling knife cuts, this herb is indispensable as it enters the Kidney Meridian.]
Grind the above herbs into a coarse powder, decoct with water, and take orally. Modifications are listed below:
For women suffering from bone-steaming fever (Yin-deficiency heat), add Lycii Cortex (Digupi) and Moutan Cortex (Mudanpi).
If there is fetal restlessness with continuous vaginal bleeding during pregnancy, add ten leaves of Artemisia Argyi Folium (Aiye), one piece of Colla Corii Asini (Ejiao), and also add Allii Fistulosi Bulbus (Congbai) and Scutellariae Radix (Huangqin). If the Blood organ is cold and deficient with excessive bleeding from metrorrhagia, also add Colla Corii Asini (Ejiao).
For regular use by women: In Spring, double the dose of Ligusticum Chuanxiong Rhizoma (Chuanxiong) for wiry pulse and headache; in Summer, double Paeoniae Radix (Shaoyao) for flooding pulse and undigested stool diarrhea; in Autumn, double Prepared Rehmanniae Radix (Shudihuang) for deep, choppy pulse and Blood deficiency; in Winter, double Angelica Sinensis Radix (Danggui) for deep, cold pulse and anorexia.
In Spring, use Fangfeng Siwu Tang (Siwu Tang plus Saposhnikoviae Radix/Fangfeng, doubling Ligusticum Chuanxiong Rhizoma/Chuanxiong).
In Summer, use Huangqin Siwu Tang (Siwu Tang plus Scutellariae Radix/Huangqin, doubling Paeoniae Radix/Shaoyao).
In Autumn, use Mendong Siwu Tang (Siwu Tang plus Asparagi Radix/Tiandong, doubling Prepared Rehmanniae Radix/Shudihuang).
In Winter, use Guizhi Siwu Tang (Siwu Tang plus Cinnamomi Ramulus/Guizhi, doubling Angelica Sinensis Radix/Danggui).
For Blood deficiency with abdominal pain, slight sweating, and aversion to wind, add Cinnamomi Ramulus (Maogui) to Siwu Tang, named Abdominal Pain Liuhe Tang (Six-Harmony Decoction for Abdominal Pain).
For dizziness caused by wind, add Gentianae Macrophyllae Radix (Qinjiao) and Notopterygii Rhizoma et Radix (Qianghuo), named Wind Liuhe Tang.
For Qi deficiency with weakness upon rising and sudden fainting, add Magnoliae Officinalis Cortex (Houpo) and Citri Reticulatae Pericarpium (Chenpi), named Qi Liuhe Tang.
For fever with irritability and inability to sleep, add Coptidis Rhizoma (Huanglian) and Gardeniae Fructus (Zhizi), named Heat Liuhe Tang.
For deficiency-cold with weak pulse, spontaneous sweating, shortness of breath, but normal urination and defecation, add Zingiberis Preparatum Radix (Ganjiang) and Aconiti Lateralis Radix Praeparata (Fuzi), named Cold Liuhe Tang.
For dampness invasion with heavy body, weakness, cool skin, and slight sweating, add Atractylodis Macrocephalae Rhizoma (Baizhu) and Poria (Fuling), named Dampness Liuhe Tang.
For postpartum deficiency consumption with long-standing disease and floating, rapid pulse, use Chaihu Siwu Tang.
Chaihu Siwu Tang Composition:
Ligusticum Chuanxiong Rhizoma (Chuanxiong), Angelica Sinensis Radix (Danggui), Paeoniae Radix (Shaoyao), Prepared Rehmanniae Radix (Shudihuang) (each 1.5 liang)
Bupleuri Radix (Chaihu) [remove root hairs], Ginseng Radix et Rhizoma (Renshen), Scutellariae Radix (Huangqin), Glycyrrhizae Radix et Rhizoma (Gancao) (each 3 qian)
Decoct together and take orally.
For women with pain in bones, tendons, and joints, headache with wiry pulse, chills like malaria, use Zhifeng Liuhe Tang (Wind-Regulating Six-Harmony Decoction); or for dizziness due to Qi and Blood injury invading through deficiency, use Siwu Tang (4 liang) plus Saposhnikoviae Radix (Fangfeng) and Notopterygii Rhizoma et Radix (Qianghuo) (each 1 liang).
For Blood and Qi rushing to the heart and abdomen with fullness and oppression in the hypochondrium, use Zhiqi Liuhe Tang (Qi-Regulating Six-Harmony Decoction).
Zhiqi Liuhe Tang Composition:
Siwu Tang (4 liang) plus Aquari Trogopterori Faeces (Muxiang) and Arecae Semen (Binglang) (each 1 liang).
For deficiency-cold abdominal pain below the navel and stifling pain in the lower back and spine, including lower abdominal pain, use Xuanhu Liuhe Tang.
Xuanhu Liuhe Tang Composition:
Siwu Tang (4 liang) plus Corydalis Rhizoma (Yanhusuo) and Toosendan Fructus (Kulian) (each 1 liang, crushed, stir-fried until scorched).
For Qi rushing to the meridians causing frequent menstruation and much pain below the navel, use Shaoyao Liuhe Tang.
Shaoyao Liuhe Tang Composition:
Siwu Tang (4 liang) plus Paeoniae Radix (Shaoyao) [doubled dose] and Astragali Membranacei Radix (Huangqi) (1 liang).
If menstruation is about to start with colicky umbilical and abdominal pain, indicating stagnant Blood before menses, use Bawu Tang (Eight-Substances Tang).
Bawu Tang Composition:
Siwu Tang (4 liang) plus Corydalis Rhizoma (Yanhusuo), Arecae Semen (Binglang), Toosendan Fructus (Kulian) [crushed, stir-fried until scorched], and Aquari Trogopterori Faeces (Muxiang) (each 1 liang).
For excessive menstrual flow without other symptoms, use Huangqin Liuhe Tang.
Huangqin Liuhe Tang Composition:
Siwu Tang (4 liang) plus Scutellariae Radix (Huangqin) and Atractylodis Macrocephalae Rhizoma (Baizhu) (each 1 liang).
For scanty and stagnant menses, add Helianthi Annui Flos (Kuihua) decoction to Siwu Tang, plus Carthami Flos (Honghua) and Sonchus Arvensis Herba (Xuejianchou).
For women with deficiency consumption, weak Qi, cough, wheezing, and chest fullness, use Nongpo Liuhe Tang.
Nongpo Liuhe Tang Composition:
Siwu Tang (4 liang) plus Magnoliae Officinalis Cortex (Nongpo/Houpo) (1 liang, processed) and Immature Bitter Orange (Zhishi) (0.5 liang, stir-fried).
The treatment principle for the above four flavors is similar to the previous condition: add one herb to Siwu Tang. For abdominal pain, use Siwu Tang (4 liang) plus Corydalis Rhizoma (Yanhusuo) and Toosendan Fructus (Kulian) (each 1 liang).
For sudden heavy menstrual bleeding, add Scutellariae Radix (Huangqin) to Siwu Tang; if abdominal pain is present, add Coptidis Rhizoma (Huanglian); do not remove Scutellariae Radix (Huangqin) in summer.
If menstrual blood is dark like black bean juice, add Scutellariae Radix (Huangqin) and Coptidis Rhizoma (Huanglian) (each 1 liang).
If menstrual flow is scanty but color is normal, add Prepared Rehmanniae Radix (Shudihuang) and Angelica Sinensis Radix (Danggui) (each 1 liang) to Siwu Tang.
If menses have just started or stopped, or there are alternating chills and fever, first administer Xiaochaihu Tang (Minor Bupleurum Decoction) to resolve the chills and fever, then harmonize with Siwu Tang.
If chills and fever do not subside, do not take Siwu Tang; this is a changed syndrome where exterior pathogens remain, so Siwu Tang will be ineffective. Follow the previous discussion on changed syndromes and medicate according to the specific presentation.
For women with Blood accumulation (stasis), add Curcumae Longae Rhizoma (Ezhu), Curcumae Phaeocaulis Rhizoma (Sanleng), Cinnamomi Ramulus (Guizhi), and Drynariae Caulis (Ganqi) [stir-fried until smoke ceases] (each 1 liang) to Siwu Tang.
For women with Shanghan (Cold Damage) who have undergone sweating or purging, resulting in reduced appetite and Blood deficiency, use Bawu Tang.
Bawu Tang Composition:
Siwu Tang (4 liang) plus Astragali Membranacei Radix (Huangqi), Atractylodis Macrocephalae Rhizoma (Baizhu), Poria (Fuling), and Glycyrrhizae Radix et Rhizoma (Gancao) (each 1 liang).
For pregnant women with Shanghan or Fengzhong (Wind-Cold), exterior deficiency with spontaneous sweating, headache, neck stiffness, fever, aversion to cold, and floating, weak pulse (Taiyang Meridian disease), use Biaoxu Liuhe Tang (Exterior-Deficiency Six-Harmony Decoction).
Biaoxu Liuhe Tang Composition:
Siwu Tang (4 liang) plus Cinnamomi Ramulus (Guizhi) and Lycii Cortex (Digupi) (each 7 qian).
For pregnant women with Shanghan, headache, fever, no sweat, floating tight pulse (Taiyang Meridian disease), use Biaoshi Liuhe Tang (Exterior-Excess Six-Harmony Decoction).
Biaoshi Liuhe Tang Composition:
Siwu Tang (4 liang) plus Ephedrae Herba (Mahuang) and Asari Radix et Rhizoma (Xixin) (each 0.5 liang).
For pregnant women with Shanghan complicated by Wind-Dampness, causing painful limbs and joints, floating hot pulse, and headache (Taiyang Mark Disease), use Fengshi Liuhe Tang (Wind-Dampness Six-Harmony Decoction).
Fengshi Liuhe Tang Composition:
Siwu Tang (4 liang) plus Saposhnikoviae Radix (Fangfeng) and Atractylodis Rhizoma (Cangzhu) [processed, each 7 qian].
For pregnant women with Shanghan after purging, where the pathogen has passed through the stages but persists, causing warm-toxin macules like brocade patterns, use Shengma Liuhe Tang.
Shengma Liuhe Tang Composition:
Siwu Tang (4 liang) plus Cimicifugae Rhizoma (Shengma) and Forsythiae Fructus (Lianqiao) (each 7 qian).
For pregnant women with Shanghan, stomach and hypochondriac fullness/pain, wiry pulse (Shaoyang Meridian), dizziness, and neck stiffness, use Chaihu Liuhe Tang.
Chaihu Liuhe Tang Composition:
Siwu Tang (4 liang) plus Bupleuri Radix (Chaihu) and Scutellariae Radix (Huangqin) (each 7 qian).
For pregnant women with Shanghan, hard stool, red urine, abdominal fullness, and deep, rapid pulse (Yangming and Taiyang Root Disease), urgent purging is required. Use Dahuang Liuhe Tang.
Dahuang Liuhe Tang Composition:
Siwu Tang (4 liang) plus Rheum Palmatum Radix et Rhizoma (Dahuang) (0.5 liang) and Persicae Semen (Taoren) [10 seeds, peel and remove tips, bran-fried].
For pregnant women with Shanghan after sweating and purging, with persistent cough, use Renshen Liuhe Tang.
Renshen Liuhe Tang Composition:
Siwu Tang (4 liang) plus Ginseng Radix et Rhizoma (Renshen) and Schisandrae Fructus (Wuweizi) (each 0.5 liang).
For pregnant women with Shanghan after sweating and purging, with deficiency-type bloating and fullness (Yangming Root Deficiency), use Nongpo Liuhe Tang. This also treats cough and wheezing.
Nongpo Liuhe Tang Composition:
Siwu Tang (4 liang) plus Magnoliae Officinalis Cortex (Nongpo/Houpo) and Immature Bitter Orange (Zhishi) [bran-fried, each 0.5 liang].
For pregnant women with Shanghan after sweating and purging, with insomnia, use Zhizi Liuhe Tang.
Zhizi Liuhe Tang Composition:
Siwu Tang (4 liang) plus Gardeniae Fructus (Zhizi) and Scutellariae Radix (Huangqin) (each 0.5 liang).
For pregnant women with Shanghan, high fever, intense thirst, steaming irritability, and long, large pulse, use Shigao Liuhe Tang.
Shigao Liuhe Tang Composition:
Siwu Tang (4 liang) plus Gypsum Fibrosum (Shigao) and Anemarrhenae Rhizoma (Zhimu) (each 0.5 liang).
For pregnant women with Shanghan, difficulty in urination (Taiyang Root Disease), use Fuling Liuhe Tang.
Fuling Liuhe Tang Composition:
Siwu Tang (4 liang) plus Poria (Fuling) and Alismatis Rhizoma (Zexie) (each 0.5 liang).
For pregnant women with Taiyang Root Disease, red urine resembling blood, use Hupo Liuhe Tang.
Hupo Liuhe Tang Composition:
Siwu Tang (4 liang) plus Succinum (Hupo) and Poria (Fuling) (each 0.5 liang).
For pregnant women with Shanghan after sweating and purging, with continuous vaginal bleeding and damaged fetal Qi, use Jiaoai Liuhe Tang.
Jiaoai Liuhe Tang Composition:
Siwu Tang (4 liang) plus Colla Corii Asini (Ejiao) and Artemisia Argyi Folium (Aiye) (each 0.5 liang). One formula adds Glycyrrhizae Radix et Rhizoma (Gancao) as above. Another adds Zingiberis Preparatum Radix (Ganjiang), Astragali Membranacei Radix (Huangqi), and Glycyrrhizae Radix et Rhizoma (Gancao).
For pregnant women with Shanghan, limb contracture, cool skin with slight sweating, abdominal pain, and deep, slow pulse (Shaoyin Disease), use Fuzi Liuhe Tang.
Fuzi Liuhe Tang Composition:
Siwu Tang (4 liang) plus Aconiti Lateralis Radix Praeparata (Fuzi) [pounded, peeled] and Cinnamomi Ramulus (Guizhi) (each 0.5 liang).
For leukorrhea (white and yellow discharge), use Xianggui Liuhe Tang.
Xianggui Liuhe Tang Composition:
Siwu Tang (4 liang) plus Cyperi Rhizoma (Xiangfuzi) and Cinnamomi Ramulus (Guizhi) (each 0.5 liang).
For pregnant women with Shanghan and Blood Accumulation Syndrome, avoid abortifacients; instead, purge using Siwu Dahuang Tang.
Siwu Dahuang Tang Composition:
Siwu Tang (4 liang) plus Rehmanniae Radix Recens (Shengdihuang) and Rheum Palmatum Radix et Rhizoma (Dahuang) [soaked in wine, each 0.5 liang].
For deficiency-heat diseases, combine Siwu Tang with Shen Su Yin, named Buxin Tang (Heart-Nourishing Decoction).
For swollen and painful limbs unable to move, use Cangzhu Geban Tang (Half-Dose Cangzhu Decoction).
For dry constipation, combine Siwu Tang with Tiaowei Chengqi Tang (Stomach-Regulating Purging Decoction) in equal halves, named Yuzhu San (Jade Candle Powder).
To moisten dryness and drain dampness, use Siwu Lizhong Geban Tang (Half-Dose Siwu and Lizhong Decoction).
To preserve fetal Qi and aid conception, combine Siwu Tang with Suisha Sizijunzi Tang (Amomum and Four Gentlemen Decoction) in equal halves, named Bazhen Tang (Eight-Treasure Decoction).
If Heat battles with Blood, causing dry mouth and throat with desire to drink, add Angelica Sinensis Radix (Danggui) and Paeoniae Radix (Shaoyao).
If there is stabbing abdominal pain and continuous expulsion of foul matter, add Angelica Sinensis Radix (Danggui) and Paeoniae Radix (Shaoyao).
If metrorrhagia does not stop, add Polygoni Multiflori Caulis (Puhuang), Rehmanniae Radix Recens (Shengdihuang), and Scutellariae Radix (Huangqin) [one formula omits Huangqin].
If wind arises from heat, add Ligusticum Chuanxiong Rhizoma (Chuanxiong), Bupleuri Radix (Chaihu), and Saposhnikoviae Radix (Fangfeng) [one formula omits Fangfeng].
If internal organs are constipated, add Rheum Palmatum Radix et Rhizoma (Dahuang) and Persicae Semen (Taoren).
If there is slippery diarrhea, add Cinnamomi Cortex (Guanni/Guizhi) and Aconiti Lateralis Radix Praeparata (Fuzi).
If vomiting occurs, add Atractylodis Macrocephalae Rhizoma (Baizhu), Ginseng Radix et Rhizoma (Renshen), and Zingiberis Fresh Rhizoma (Shengjiang) [one formula omits Shengjiang].
If chills and fever occur, add Zingiberis Preparatum Radix (Ganjiang), Paeoniae Moutan Cortex (Mudanpi), Bupleuri Radix (Chaihu), and Paeoniae Radix (Shaoyao) [one formula omits Shaoyao].
If extreme thirst occurs, add Anemarrhenae Rhizoma (Zhimu) and Gypsum Fibrosum (Shigao).
If fluid retention in the heart region with mild nausea/vomiting, add Polyporus (Zhuling), Poria (Fuling), and Stephaniae Tetrandrae Radix (Fangji).
If dizziness and neck stiffness occur, add Bupleuri Radix (Chaihu) and Scutellariae Radix (Huangqin).
If deficiency-cold resembles Shanghan, add Ginseng Radix et Rhizoma (Renshen), Bupleuri Radix (Chaihu), and Saposhnikoviae Radix (Fangfeng).
For various postpartum syndromes, differentiate by the Six Meridians, combining Siwu Tang with Zhang Zhongjing’s formulas in equal halves for excellent efficacy.
For women with trauma, blood loss from childbirth, or deficiency consumption causing five-palm heat, use Siwu Erlian Tang.
Siwu Erlian Tang Composition:
Siwu Tang (using Rehmanniae Radix Recens/Shengdihuang) plus Coptidis Rhizoma (Huanglian) and Picrorhizae Rhizoma (Huhuanglian).
Take with warm clear liquid.
Siwu Tang can be combined in half-doses with Guizhi Tang, Mahuang Tang, Baihu Tang, Chaihu Tang, Lizhong Tang, Sini Tang, Zhuyu Tang, Shuiqi Fang, and Liange San, reflecting general prescribing principles.
For deficiency irritability and insomnia, add Bambusae Folium (Zhuye) and Ginseng Radix et Rhizoma (Renshen).
For women with Blood deficiency and unbearable heart/abdominal pain, remove Prepared Rehmanniae Radix (Shudihuang) and add Zingiberis Preparatum Radix (Ganjiang), named Sishen Tang (Four-God Decoction).
For pains accompanied by dampness, combine Siwu Tang and Atractylodis Macrocephalae Rhizoma (Baizhu) in equal halves, adding Gastrodiae Rhizoma (Tianma), Poria (Fuling), and Manis Squama (Chuanshanjia).
Decoct with wine and take.
For sudden red eyes, corneal opacity, and unbearable pain, use Siwu Longdan Tang.
Siwu Longdan Tang Composition:
Siwu Tang (each 0.5 liang) plus Notopterygii Rhizoma et Radix (Qianghuo) and Saposhnikoviae Radix (Fangfeng) (each 3 qian), Gentiana Scabra Radix (Caolongdan) and Stephaniae Tetrandrae Radix (Fangji) (each 2 qian).
Decoct with water and take.
Another method: Grind equally into coarse powder. Take 4 qian per dose, add 1.5 cups of water, decoct to 0.8 cups, strain, take the clear supernatant (6 li) while hot, before meals.
For general Qi and Blood imbalance or daily maintenance, use only the base formula (Siwu Tang), 2-3 times daily. For stagnant menstrual blood and abdominal Qi/Blood pain, add Curcumae Longae Rhizoma (Emu) and Cinnamomi Cortex (Guanni) in equal parts. Wang Shifu stated: Prepared Rehmanniae Radix (Shudihuang) is cloying and stagnates Blood, thus cannot relieve pain; better to substitute with Schisandrae Fructus (Wuweizi). For postpartum purposes to eliminate old blood and generate new Blood in the Sea of Blood, add Zingiberis Fresh Rhizoma (Shengjiang). For fetal restlessness with bleeding, add 5-7 leaves of Artemisia Argyi Folium (Aiye) per dose, plus Allii Fistulosi Bulbus (Congbai) and Colla Corii Asini (Ejiao) powder, reducing the original four herbs by half, and using less Angelica Sinensis Radix (Danggui). For severe cases, take 0.5 liang of each of the four original herbs, finely chopped, with 4 cups of water and a piece of cooked Artemisia Argyi Folium (Aiye) the size of a chicken egg, and 5-7 pieces of Colla Corii Asini (Ejiao), decoct to 2.5 cups, strain, divide into 4 doses, finish in one day. Another formula includes Glycyrrhizae Radix et Rhizoma (Fengcao), Zingiberis Preparatum Radix (Ganjiang), and Astragali Membranacei Radix (Huangqi), taken 2-3 times daily for two "La" (periods of 7 days). It can be taken 1-2 times daily during pregnancy and postpartum. It also treats persistent bloody dysentery with unbearable pain; add Colla Corii Asini (Ejiao) and Artemisia Argyi Folium (Aiye) to decoct, named Liuwu Tang (Six-Substance Decoction). Safe for one month of use for Qi deficiency and Sea of Blood imbalance.
For postpartum fright and Qi stagnation with accumulated stale blood, where lochia is scanty within a month, causing distension, pain, chest oppression, chills/fever, or limb pain, add Corydalis Rhizoma (Yanhusuo), Myrrha (Moyao), and Angelicae Dahuricae Radix (Baizhi), mix equally with Siwu Tang into fine powder, take with light vinegar water or child's urine mixed with wine.
For Blood-Wind attacking postpartum deficiency, or postpartum wind-cold headache/fever and joint pain, add Schizonepetae Spica (Jingjie Sui), Gastrodiae Rhizoma (Tianma), Cyperi Rhizoma (Xiangfuzi), Gypsum Fibrosum (Shigao), and Agastache Herba (Huoxiang) (each 1 fen) to 1 liang of Siwu Tang ingredients. Take 3 qian per dose, decoct 1 cup of water to 0.7 cups.
For alternating chills and fever, add pounded Zingiberis Preparatum Radix (Ganjiang) and Paeoniae Moutan Cortex (Mudanpi) (each 1 fen). For mild deficiency dizziness, emaciation, fatigue, and irregular menses, simply use Zingiberis Fresh Rhizoma (Shengjiang) and Menthae Haplocalycis Herba (Bohe) as usual. These are gentle, slow-acting herbs for women's daily use.
For elderly wind-constipation, add Citri Reticulatae Pericarpium Viride (Qingpi) in equal parts.
Another formula for uterine pain with sounds and sluggish menses: double Prepared Rehmanniae Radix (Shudihuang) and add 1.5 times Cinnamomi Ramulus (Guixin).
For malaria, add Schizonepetae Spica (Jingjie), decoct with wine.
Another formula adds Bupleuri Radix (Chaihu), named Wushen Tang (Five-God Decoction); Bupleuri Radix (Chaihu) greatly tonifies deficiency and clears deficiency heat.
Another method: Grind 4 liang of Siwu Tang into fine powder, make pills with honey the size of paulownia seeds, take 30-40 pills with rice water on an empty stomach for leukorrhea in elderly women.
Another method: Add 0.5 liang of Glycyrrhizae Radix et Rhizoma (Gancao) to Siwu Tang, grind to powder, make pills with honey (8 pills per liang). Decoct with 0.5 cup of wine and vinegar mixture, dissolve pills in it, named Danggui Jian (Angelica Decoction), to eliminate stale blood and generate good blood. Take one pill every five li walk, anytime.
Another method: Grind into powder, modify based on syndrome.
Qi and Blood imbalance: add Corni Fructus (Wuzhuyu) 1 liang, Glycyrrhizae Radix et Rhizoma (Gancao) 0.5 liang.
Tonify Lower Yuan: add Zingiberis Preparatum Radix (Ganjiang) 0.5 liang, Glycyrrhizae Radix et Rhizoma (Gancao) 0.7 fen.
Persistent metrorrhagia: add one pounded Aconiti Lateralis Radix Praeparata (Fuzi), remove Lithii Carbonas (Shizhi) 1 liang.
Hematochezia and leukorrhea: add Schizonepetae Spica (Jingjie) and Zanthoxyli Fructus (Dijiao).
Qi and Blood stagnation with stabbing abdominal pain: add Cinnamomi Ramulus (Gui).
Postpartum wind-cold headache: add Gypsum Fibrosum (Shigao) 1 liang, Glycyrrhizae Radix et Rhizoma (Gancao) 0.5 liang.
Blood-Wind consumption: add Schizonepetae Spica (Jingjie) and Bupleuri Radix (Chaihu).
Tidal fever: add Peucedani Radix (Qianhu), Puerariae Radix (Gegen), Scutellariae Radix (Huangqin), and Ginseng Radix et Rhizoma (Renshen).
Deficiency-heat with dry mouth: add Ophiopogonis Radix (Maidong) and Scutellariae Radix (Huangqin) 1 liang.
Persistent vomiting: add Agastache Herba (Huoxiang) and Atractylodis Macrocephalae Rhizoma (Baizhu) 0.5 liang, Ginseng Radix et Rhizoma (Renshen) 1 qian.
Postpartum exhaustion with fever and irritability: add Rehmanniae Radix Recens (Shengdihuang).
Postpartum abdominal distension: add Aurantii Fructus (Zhike) and Cinnamomi Cortex (Rougui) 3 qian each.
Postpartum lochia with persistent abdominal pain: add Persicae Semen (Taoren), Sappan Lignum (Sumu), and Achyranthis Bidentatae Radix (Niuxi).
Postpartum alternating chills and fever: add Bupleuri Radix (Chaihu) and Ophiopogonis Radix (Maidong) 0.5 liang each.
Persistent dripping menses: add dried Nelumbinis Plumula (Ruilianfang), stir-fry into medicine.
Blood stasis obstruction: add Persicae Semen (Taoren) and Carthami Flos (Honghua) 1 fen each.
Postpartion confusion: add Poria Cum Pinode (Fushen) and Polygalae Radix (Yuanzhi) 0.5 liang each.
Deficiency with profuse sweating: add Ostrea Concha (Muli) and Ephedrae Caulis (Mahuanggen) 0.5 liang each.
Pregnancy with vexation: add Bamboo Shavings (Zhuru) one piece.
If there is stale blood, use the upper segment of Angelica Sinensis Radix (Danggui), replace white Paeoniae Radix (Shaoyao) with red Paeoniae Radix (Chishao), and replace Prepared Rehmanniae Radix (Shudihuang) with Rehmanniae Radix Recens (Shengdihuang).
Another method: Grind into powder, take 4 qian per dose, add 1.5 cups of water, decoct to 0.7 cups, strain, take hot before meals. Powder form is also acceptable. For general Qi and Blood imbalance, use base formula: Spring add Angelica Sinensis Radix (Danggui), Summer add Paeoniae Radix (Shaoyao), Autumn add Ligusticum Chuanxiong Rhizoma (Chuanxiong), Winter add Rehmanniae Radix (Dihuang), each 1.5 liang, 2-3 times daily.
Pregnancy with nausea, cold sensation, anorexia, pale/withered face: add Citri Reticulatae Pericarpium (Chenpi), Aurantii Fructus (Zhike), Atractylodis Macrocephalae Rhizoma (Baizhu), Poria (Fuling), and Glycyrrhizae Radix et Rhizoma (Gancao).
Postpartum stale blood attacking the heart: use Lycii Cortex (Digupi) and Paeoniae Radix (Shaoyao).
Tidal fever: use Scutellariae Radix (Huangqin), Lycii Cortex (Digupi), and Bupleuri Radix (Chaihu).
Cough: use Morus Alba Cortex (Sangbaipi), Pinelliae Rhizoma (Banxia), Ginseng Radix et Rhizoma (Renshen), Zingiberis Fresh Rhizoma (Shengjiang), Schisandrae Fructus (Wuweizi), and Glycyrrhizae Radix et Rhizoma (Gancao).
Abortion with persistent bleeding, headache, chills/fever, tinnitus due to Qi/Blood consumption: use Scutellariae Radix (Huangqin), Schizonepetae Spica (Jingjie), Rehmanniae Radix Recens (Shengdihuang), Paeoniae Radix Rubra (Chishao), and Zingiberis Fresh Rhizoma (Shengjiang).
Deficiency-cold tidal fever: use Bupleuri Radix (Chaihu), Lycii Cortex (Digupi), Atractylodis Macrocephalae Rhizoma (Baizhu), Poria (Fuling), Glycyrrhizae Radix et Rhizoma (Gancao), Notopterygii Rhizoma et Radix (Qinjiao), Anemarrhenae Rhizoma (Zhimu), Scutellariae Radix (Huangqin), Malto (Maiya), Fritillariae Cirrhosae Bulbus (Beimu), Ginseng Radix et Rhizoma (Renshen), Terminalia Chebula Fructus (Wumei), and Jujubae Fructus (Zaozi).
Heart/abdominal fullness: use Aurantii Fructus (Zhike) and Citri Reticulatae Pericarpium Viride (Qingpi).
Deficiency sweating: use Ephedrae Caulis (Mahuanggen).
Postpartum tidal fever: use Atractylodis Macrocephalae Rhizoma (Baizhu), Bupleuri Radix (Chaihu), Glycyrrhizae Radix et Rhizoma (Gancao), Paeoniae Moutan Cortex (Mudanpi), and Lycii Cortex (Digupi).
Heat: use Scutellariae Radix (Huangqin).
Profuse sweating: use Triticum Levis Fructus (Fumai).
Intestinal wind bleeding: make powder from Sophorae Flavescentis Cortex (Huaijiao), Sophorae Flavescentis Flos (Huaihua), Aurantii Fructus (Zhike), Schizonepetae Spica (Jingjie), Scutellariae Radix (Huangqin), Arecae Pericarpium (Dafupi), Anemones Radix (Hongneixiao), Sanguisorbae Radix (Diyu), Mesuaeae Flos (Shinan Ye), and Celosiae Cristatae Flos (Baijiganhua). Take half decocted, half powder, mixed with salt water and old wine on an empty stomach.
Epistaxis and hematemesis: use Bamboo Sheath (Zhuqing), Polygoni Multiflori Caulis (Puhuang), Nelumbinis Nucis Semen Album (Oujie), Pinelliae Rhizoma (Banxia), Caryophylli Flos (Dingxiang), Terminalia Chebula Fructus (Hezi), Osmanthus Fragrans Flos (Guihua), Red Date (Hongzao), Fine Flour (Feiluo Mian), Imperatae Rhizoma (Baimaogen), and Margarita (Bangfen).
Breast abscess: use Forsythiae Fructus (Lianqiao), Smilacis Glabrae Rhizoma (Cigu Zi), Anemones Radix (Hongneixiao), Angelicae Dahuricae Radix (Baizhi), Zizaniae Latifoliae Palea (Gupian), Schizonepetae Spica (Jingjie), Achyranthis Bidentatae Radix (Niuxi), Scolopendra (Shanwugong), Boswellia Resina (Ruxiang), Myrrha (Moyao), Radix Agrimoniae (Loulu), and Rehmanniae Radix Recens (Shengdihuang).
Blood-Wind stabbing pain in hypochondrium or intestinal mass: use Rheum Palmatum Radix et Rhizoma (Dahuang), Piperis Longi Fructus (Bibo), Boswellia Resina (Ruxiang).
Fetal restlessness with continuous leakage: use Astragali Membranacei Radix (Huangqi), Platycladi Cacumen (Cebaiye), Colla Corii Asini (Ejiao), Glycyrrhizae Radix et Rhizoma (Gancao), and Dipsaci Radix (Xuduan). Effective for persistent spotting (varying amount/color/timing).
Amenorrhea: decoct wild Boehmeria Root (Yezhu Gen), Achyranthis Bidentatae Radix (Niuxi), Carthami Flos (Honghua), Sappan Lignum (Sumu) with old wine and water.
Labor pain with tight lower abdomen: use Carthami Flos (Honghua), Talcum (Huashi), Glycyrrhizae Radix et Rhizoma (Gancao), Junci Medulla (Dengxin), and Abelmoschi Esculentus Semen (Kuizi).
Amenorrhea: use Aurantii Fructus (Zhike), Rheum Palmatum Radix et Rhizoma (Dahuang), Schizonepetae Spica (Jingjie), Scutellariae Radix (Huangqin), Citri Reticulatae Pericarpium Viride (Qingpi), Talcum (Huashi), Akebiae Caulis (Mutong), Lychnidis Flos (Qumai), Semina Descurainiae (Haijinsha), Gardeniae Fructus (Shanzhizi), Plantaginis Semen (Cheqianzi).
Fetal calming and stopping leakage bleeding: use Colla Corii Asini (Ejiao), Large Mugwort (Da Ai), Glycyrrhizae Radix et Rhizoma (Gancao), and stir-fried Polygoni Multiflori Caulis (Puhuang).
Postpartum abdominal pain with blood clumps attacking intestines: use Large Mugwort (Da Ai), Myrrha (Moyao), and good wine.
Postpartum eye disease: use Asari Radix et Rhizoma (Xixin), Notopterygii Rhizoma et Radix (Qianghuo), Schizonepetae Spica (Jingjie), Chrysanthemi Flos (Juhua), Cnidii Rhizoma (Mu Zei), Hemimitomenae Concha (Shijueming), Cassiae Semen (Jueming Zi).
Red eyes and head wind: use Menthae Haplocalycis Herba (Bohe) and clear tea.
Red eyes with wind: use Saposhnikoviae Radix (Fangfeng) and Scutellariae Radix (Huangqin).
Postpartum edema, shortness of breath, abdominal distension, frog-like sound in throat: use Paeoniae Moutan Cortex (Mudanpi), Schizonepetae Spica (Jingjie), Atractylodis Macrocephalae Rhizoma (Baizhu), Morus Alba Cortex (Sangbaipi), Adzuki Bean (Chixiaodou), Arecae Pericarpium (Dafupi), Armeniacae Semen (Xingren), Pinelliae Rhizoma (Banxia), Aristolochiae Radix (Madou Ling), Zingiberis Fresh Rhizoma (Shengjiang), Allii Fistulosi Bulbus (Congbai), and Menthae Haplocalycis Herba (Bohe).
Irregular menses, metrorrhagia, varying amounts/timing, vomiting, heart distension: use aged Artemisia Argyi Folium (Chen Ai) and Astragali Membranacei Radix (Huangqi).
Blood deficiency generating wind, limb bi-pain, difficulty walking: make powder from Boswellia Resina (Ruxiang), Ginseng Radix et Rhizoma (Renshen), Myrrha (Moyao), Moschus (Shexiang), Glycyrrhizae Radix et Rhizoma (Gancao), Trogopteri Faeces (Wulingzhi), Notopterygii Rhizoma et Radix (Qianghuo), Angelicae Pubescentis Radix (Duohuo), Saposhnikoviae Radix (Fangfeng), Schizonepetae Spica (Jingjie), Longdi Tongue (Dilong), Arisaema Rhizoma (Nanxing), Typhonii Rhizoma (Baifu Zi), and Lycii Cortex (Zelan). Make pills with honey, take with Quince (Mugua) and salt water.
Blood-Wind distension: take on empty stomach. Licorice, Aquari Trogopterori Faeces (Muxiang), Aurantii Fructus (Zhike), Aristolochiae Radix (Madou Ling), Lepidii Semen (Tingli), Perilla Fructus (Zisu), Agastache Herba (Huoxiang), Rehmanniae Radix (Dihuang).
Stop bleeding and metrorrhagia: use Carbonized Miscanthus Grass (Baicaoshuang), Palm Ash (Zonghui), Cotton Ash (Shumianhui), stir-fried Polygoni Multiflori Caulis (Puhuang), Ostrea Concha (Longgu), and Ginger Ash (Baijiang).
Blood clots: use Rehmanniae Radix (Dihuang) and Nelumbinis Nucis Semen Album (Oujie).
Black blood clots: use Ginseng Radix et Rhizoma (Renshen) and Atractylodis Macrocephalae Rhizoma (Baizhu).
White turbid discharge: use Ostrea Concha (Longgu) and Rehmanniae Radix (Dihuang)/Angelica Sinensis Radix (Danggui).
Five-colored discharge: grind Moschus (Shexiang) with good wine.
Bright red: take with warm wine and salt water.
Wind sores with red swelling: use Schizonepetae Spica (Jingjie), Arctii Fructus (Niubangzi), Polygoni Multiflori Radix (Heshouwu), Glycyrrhizae Radix et Rhizoma (Gancao), Saposhnikoviae Radix (Fangfeng), Notopterygii Rhizoma et Radix (Qianghuo), Rehmanniae Radix (Dihuang), salt wine.
Leukorrhea: take on empty stomach with salt wine. Cinnamon Bark (Rougui), Polygoni Multiflori Caulis (Puhuang), Carbonized Miscanthus Grass (Baicaoshuang), Glycyrrhizae Radix et Rhizoma (Gancao), Black Soybean (Heidou), Atractylodis Macrocephalae Rhizoma (Baizhu), Corydalis Rhizoma (Yanhusuo), Ginger Ash (Baijiang), Ostrea Concha (Longgu).
Blood cold: use Glycyrrhizae Radix et Rhizoma (Gancao), Pruni Fructus (Wumei), Bupleuri Radix (Chaihu), Juglans Regia Semen (Hutao), and Salix Branch (Liuzhi).
Wind invasion...