劳嗽,款花知母阿胶半夏麻黄甘草马兜铃黄芩杏仁柴胡姜钱诃子乌梅。 月经久闭,肉桂甘
草黄 姜钱枣子木通红花。 大便下血,四肢寒膨胀,及肠胃有风,槐花枳壳漏芦荆芥木香
白鸡冠花木通红内消柴草石榴皮陈皮黄芩青皮甘草白茅根槐角。 虚泻,人参川芎白芷蒲黄
炒阿胶白术茱萸续断干姜黑附子肉桂黄 赤石脂甘草,蜜丸盐梅汤下。 白带,用白龙骨酒
。胎前产后,痢后风,乳香龙骨茱萸木香肉桂苍术牡皮皮白薇人参甘草泽兰大椒茴香,炼
蜜为丸,木瓜酒下。 治带下赤白痢,陈米饮。 心腹胀,炒姜酒。 血气,艾醋汤。 浑
身劳倦,为末炒,姜酒陈青蒿盐和调下。 虚证四肢黄,甘草牡丹皮泽兰白薇苍术桂心茴香
,蜜丸,盐汤温酒下。 呕逆,饮食不入,加白术丁香甘草人参缩砂益智仁胡椒。 经行腹
痛,腰背痛,芸苔牛膝红花吴茱萸 甘草,银器灯心热服。 虚渴,人参干葛乌梅栝蒌根
。受胎,小肠气痛,木香茴香。 胎前嗽,枳壳甘草款花知母兜铃半夏木通葶苈人参苦梗
麦门冬。 脚肿,大腹皮赤小豆茯苓皮生姜皮。 产后不语失音,诃子人参沙蜜百药煎。
阴阳交合经脉行,赤石脂黄 肉桂百草霜败粽灰肉豆蔻当归木香龙骨白术茯苓地榆藕节。
胎气冲肝,腰脚痹,行步艰难,枳壳木通甘草连翘荆芥地黄羌活独活山栀子灯心,空心服。
气筑小腹痛,玄胡索煎服。 陈氏《经验方》云∶吴兴周端仁郎中项,赴省试,照嘱一邻
云∶某本医家,凡妇人百病,只以四物汤加茱萸,无不效者。产难及胎衣不下,子死腹中,
入酒同煎,凡用有效,谨以此为报。此药不知起于何氏,或云自魏华佗,佗之术精微,方类
单省传称,佗针灸不过数处。《千金方》云∶自三代以来,医方药论,未有如此详备,其间
有汉晋名公诸方,今《产宝方》乃末梁时节度巡官昝膺所撰,其中有四物散,后修入《圣惠
方》,自后医者易散为汤。善用者若驭良马,当随意无不得所至焉。命名医于四物中增损品
味,随意虚实寒燠,皆得其要者,然亦非止妇人之疾可用而已。
劳嗽(因劳累引发的咳嗽),使用款冬花、知母、阿胶、半夏、麻黄、甘草、马兜铃、黄芩、杏仁、柴胡、生姜、诃子、乌梅。
月经长期闭止,使用肉桂、甘草、干姜、大枣、木通、红花。
大便下血,四肢寒冷且腹部胀满,以及肠胃受风邪侵袭,使用槐花、枳壳、漏芦、荆芥、木香、白鸡冠花、红藤(内消)、甘草、石榴皮、陈皮、黄芩、青皮、白茅根、槐角。
虚性腹泻,使用人参、川芎、白芷、蒲黄、炒阿胶、白术、山茱萸、续断、干姜、黑附子、肉桂、赤石脂、甘草,制成蜜丸,用盐梅汤送服。
白带过多,使用白龙骨,以酒送服。
妊娠期间及产后,痢疾后感受风邪,使用乳香、龙骨、山茱萸、木香、肉桂、苍术、牡蛎、白薇、人参、甘草、泽兰、花椒、小茴香,炼蜜为丸,用木瓜酒送服。
治疗带下病伴有赤白痢疾,饮用陈米汤。
心腹胀满,使用炒姜,以酒送服。
血气病,使用艾叶醋汤。
全身疲劳倦怠,将药物研为细末炒制,用生姜、酒、陈年青蒿、盐调和后服用。
虚证导致四肢发黄,使用甘草、牡丹皮、泽兰、白薇、苍术、桂心、小茴香,制成蜜丸,用温热的盐汤或酒送服。
呕吐逆气,饮食无法进入,加用白术、丁香、甘草、人参、缩砂仁、益智仁、胡椒。
经期腹痛,腰背疼痛,使用芸苔子、牛膝、红花、吴茱萸、甘草,在银器中煎煮,加入灯心草,趁热服用。
虚性口渴,使用人参、干葛、乌梅、栝楼根。
受孕困难,小肠气痛,使用木香、小茴香。
妊娠期咳嗽,使用枳壳、甘草、款冬花、知母、马兜铃、半夏、木通、葶苈子、人参、桔梗、麦门冬。
脚部肿胀,使用大腹皮、赤小豆、茯苓皮、生姜皮。
产后不语、失音,使用诃子、人参、蜂蜜、百药煎。
阴阳交合时经脉运行,(若出现异常),使用赤石脂、黄柏、肉桂、百草霜、败粽灰、肉豆蔻、当归、木香、龙骨、白术、茯苓、地榆、藕节。
胎气上冲肝脏,腰脚麻木痹痛,行走艰难,使用枳壳、木通、甘草、连翘、荆芥、地黄、羌活、独活、山栀子、灯心草,空腹服用。
气滞导致小腹痛,使用玄胡索煎服。
陈氏《经验方》记载:吴兴周端仁郎中的颈部,赴省城参加科举考试,嘱咐一位邻居说:“我本是医家,凡是妇女的各种疾病,只用四物汤加上山茱萸,没有不有效的。”难产及胎盘不下,胎儿死于腹中,加入酒同煎,凡是用此法都有效,谨以此作为回报。此药不知起源于哪位人士,有人说自魏国华佗而来,华佗的医术精微,方剂种类简单精简,流传称颂,华佗针灸不过几个穴位。《千金方》记载:自夏商周三代以来,医方药论,没有像这样详尽完备的,其中包含汉晋名家的诸多方剂,现今《产宝方》乃是末梁时节度巡官昝膺所撰写,其中有四物散,后来被编入《圣惠方》,从此以后医者将散剂改为汤剂。善于使用者如同驾驭良马,应当随意驱使无不得其所至。命名医生在四物汤中增减药味,根据虚实寒热情况,都能抓住要领,然而也不仅仅适用于妇女的疾病。
Labor-induced cough (cough caused by overexertion), use *Flos Sedentis* (Kuanhua, 款冬花), *Radix Anemarrhenae* (Zhimu, 知母), *Corium Corii Asini* (Ejiao, 阿胶), *Rhizoma Pinelliae* (Banxia, 半夏), *Herba Ephedrae* (Mahuang, 麻黄), *Radix Glycyrrhizae* (Gancao, 甘草), *Fructus Aristolochiae* (Madouling, 马兜铃), *Radix Scutellariae* (Huangqin, 黄芩), *Semen Armeniacae Amarum* (Xingren, 杏仁), *Radix Bupleuri* (Chaihu, 柴胡), *Zingiberis Rhizoma Recens* (Shengjiang, 生姜), *Fructus Chebulae* (Hezi, 诃子), *Fructus Mume* (Wumei, 乌梅).
Long-standing amenorrhea (prolonged closure of menstruation), use *Cinnamomi Cortex* (Rougui, 肉桂), *Radix Glycyrrhizae* (Gancao, 甘草), *Zingiberis Rhizoma* (Ganjiang, 干姜), *Fructus Jujubae* (Dazao, 大枣), *Akebiae Caulis* (Mutong, 木通), *Carthami Flos* (Honghua, 红花).
Hematochezia (blood in stool), cold limbs with abdominal distension, and wind pathogen in the intestines and stomach, use *Sophorae Flavescentis Flos* (Huaihua, 槐花), *Aurantii Fructus* (Zhike, 枳壳), *Radix Agrimoniae* (Loulü, 漏芦), *Schizonepetae Herba* (Jingjie, 荆芥), *Aucklandiae Radix* (Muxiang, 木香), *Crown Flower* (Baijiguanhua, 白鸡冠花), *Spatholobus Suberectus* (Hongteng/Neixiao, 红藤/内消), *Radix Glycyrrhizae* (Gancao, 甘草), *Punicae Granati Pericarpium* (Shiliupi, 石榴皮), *Tangerine Peel* (Chenpi, 陈皮), *Radix Scutellariae* (Huangqin, 黄芩), *Citri Reticulatae Pericarpium Viride* (Qingpi, 青皮), *Imperatae Rhizoma* (Baimaogen, 白茅根), *Sophorae Angustifoliae Fructus* (Huaijiao, 槐角).
Deficiency-type diarrhea, use *Ginseng Radix* (Renshen, 人参), *Chuanxiong Rhizome* (Chuanxiong, 川芎), *Angelicae Dahuricae Radix* (Baizhi, 白芷), *Polygoni Multiflori Flos* (Puhuang, 蒲黄), stir-fried *Corium Corii Asini* (Chao Ejiao, 炒阿胶), *Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术), *Corni Fructus* (Zhuyu, 茱萸), *Dipsaci Radix* (Xuduan, 续断), *Zingiberis Rhizoma* (Ganjiang, 干姜), *Aconiti Lateralis Radix Preparata* (Hei Fuzi, 黑附子), *Cinnamomi Cortex* (Rougui, 肉桂), *Halloysit Rubrum* (Chishizhi, 赤石脂), *Radix Glycyrrhizae* (Gancao, 甘草), make into honey pills, take with salt plum decoction.
Leukorrhea (white vaginal discharge), use *Os Draconis* (Bailonggu, 白龙骨), take with wine.
During pregnancy and postpartum, wind after dysentery, use *Resina Frankincense* (Ruxiang, 乳香), *Os Draconis* (Longgu, 龙骨), *Corni Fructus* (Zhuyu, 茱萸), *Aucklandiae Radix* (Muxiang, 木香), *Cinnamomi Cortex* (Rougui, 肉桂), *Atractylodis Rhizoma* (Cangzhu, 苍术), *Ostrea Concha* (Muli, 牡蛎), *Anemarrhenae Radix* (Baiwei, 白薇), *Ginseng Radix* (Renshen, 人参), *Radix Glycyrrhizae* (Gancao, 甘草), *Leonuri Herba* (Zelan, 泽兰), *Zanthoxyli Fructus* (Dajiao, 大椒), *Foeniculi Fructus* (Huixiang, 茴香), make into honey pills, take with quince wine.
Treating leukorrhea with red and white dysentery, drink old rice water.
Heart and abdominal fullness, use stir-fried ginger, take with wine.
Blood and Qi disorders, use mugwort vinegar decoction.
General fatigue and exhaustion, grind into powder, stir-fry, mix with ginger, wine, old *Artemisiae Annuae Herba* (Qinghao, 青蒿), and salt, then take.
Deficiency syndrome causing yellow limbs, use *Radix Glycyrrhizae* (Gancao, 甘草), *Moutan Cortex* (Mudanpi, 牡丹皮), *Leonuri Herba* (Zelan, 泽兰), *Anemarrhenae Radix* (Baiwei, 白薇), *Atractylodis Rhizoma* (Cangzhu, 苍术), *Cinnamomi Ramulus* (Guixin, 桂心), *Foeniculi Fructus* (Huixiang, 茴香), make into honey pills, take with warm salt water or wine.
Vomiting and regurgitation, inability to eat, add *Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术), *Caryophylli Flos* (Dingxiang, 丁香), *Radix Glycyrrhizae* (Gancao, 甘草), *Ginseng Radix* (Renshen, 人参), *Amomi Fructus Rotundus* (Suosha, 缩砂), *Alpiniae Oxyphyllae Fructus* (Yizhiren, 益智仁), *Piperis Fructus* (Hujiao, 胡椒).
Menstrual abdominal pain, lower back and back pain, use *Brassicae Pekinensis Semen* (Yuntai, 芸苔), *Achyranthis Bidentatae Radix* (Niuxi, 牛膝), *Carthami Flos* (Honghua, 红花), *Evodiae Fructus* (Wuzhuyu, 吴茱萸), *Radix Glycyrrhizae* (Gancao, 甘草), decoct in silver vessel with *Junci Medulla* (Dengxin), take hot.
Deficiency thirst, use *Ginseng Radix* (Renshen, 人参), *Puerariae Lobatae Radix* (Gange, 干葛), *Fructus Mume* (Wumei, 乌梅), *Trichosanthis Radix* (Gualougen, 栝楼根).
Conception difficulties, intestinal gas pain, use *Aucklandiae Radix* (Muxiang, 木香), *Foeniculi Fructus* (Huixiang, 茴香).
Pregnancy cough, use *Aurantii Fructus* (Zhike, 枳壳), *Radix Glycyrrhizae* (Gancao, 甘草), *Flos Sedentis* (Kuanhua, 款冬花), *Radix Anemarrhenae* (Zhimu, 知母), *Fructus Aristolochiae* (Doulíng, 兜铃), *Rhizoma Pinelliae* (Banxia, 半夏), *Akebiae Caulis* (Mutong, 木通), *Semen Lepidii et Descurainiae* (Tinglizi, 葶苈子), *Ginseng Radix* (Renshen, 人参), *Platycodonis Radix* (Kugen, 苦梗), *Ophiopogonis Tuber* (Mendong, 麦门冬).
Foot swelling, use *Tangerine Peel* (Dafupi, 大腹皮), *Phaseoli Semen Rubrum* (Chixiaodou, 赤小豆), *Poria Cum Radio* (Fulingpi, 茯苓皮), *Zingiberis Rhizoma* (Shengjiangpi, 生姜皮).
Postpartum muteness and aphonia, use *Fructus Chebulae* (Hezi, 诃子), *Ginseng Radix* (Renshen, 人参), *Mel* (Shimi, 沙蜜), *Pilula Antidotalis* (Baiyaojian, 百药煎).
When yin and yang interact and meridians circulate, [for related disorders], use *Halloysit Rubrum* (Chishizhi, 赤石脂), *Phellodendri Cortex* (Huangbai, 黄柏), *Cinnamomi Cortex* (Rougui, 肉桂), *Carbonis Sparganii* (Baicaoshuang, 百草霜), *Ash of Spoiled Zongzi* (Baizonghui, 败粽灰), *Myristicae Semen* (Roudoukou, 肉豆蔻), *Angelicae Sinensis Radix* (Danggui, 当归), *Aucklandiae Radix* (Muxiang, 木香), *Os Draconis* (Longgu, 龙骨), *Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术), *Poria* (Fuling, 茯苓), *Sanguisorbae Radix* (Diyu, 地榆), *Nelumbinis Node* (Oujie, 藕节).
Fetal qi rushing to the liver, numbness and bi-syndrome in waist and legs, difficulty walking, use *Aurantii Fructus* (Zhike, 枳壳), *Akebiae Caulis* (Mutong, 木通), *Radix Glycyrrhizae* (Gancao, 甘草), *Forsythiae Fructus* (Lianqiao, 连翘), *Schizonepetae Herba* (Jingjie, 荆芥), *Rehmanniae Radix* (Dihuang, 地黄), *Notopterygii Rhizoma et Radix* (Qianghuo, 羌活), *Saussureae Radix* (Duhuo, 独活), *Gardeniae Fructus* (Shanzhizi, 山栀子), *Junci Medulla* (Dengxin, 灯心), take on an empty stomach.
Qi stagnation causing lower abdominal pain, decoct and take *Corydalis Rhizoma* (Yanyhusuo, 玄胡索).
Chen's *Experience Formula* states: Zhou Duanren, Langzhong from Wuxing, when going to the provincial examination, instructed a neighbor saying: "I am originally from a medical family; for all women's diseases, simply using Siwu Tang added with Corni Fructus is invariably effective." For difficult labor and retained placenta, fetus dead in the womb, add wine and decoct together; it is always effective when used this way, I谨 offer this as repayment. It is unknown which person originated this formula; some say it started with Hua Tuo of Wei. Hua Tuo's skills were profound and subtle, his formulas were simple and concise, passed down in reputation; his acupuncture points were few. The *Qianjin Fang* states: Since the Three Dynasties, medical formulas and pharmacological theories have not been as detailed and complete as this; among them are various formulas from famous doctors of Han and Jin dynasties. The current *Chanbao Fang* was compiled by Zan Ying, Patrol Officer of Liangzhou, during the late Liang period; it contains Siwu San. Later it was incorporated into the *Shenghui Fang*, after which physicians changed the powder form to decoction. Those who master its use are like riding a fine horse, able to go wherever they wish according to their needs. Physicians named 'Medical Masters' add or subtract ingredients within Siwu Tang, adapting to deficiency/excess and cold/heat, grasping the essence; however, it is not only applicable to women's diseases.