答曰。妇人月经通流。流则水血消化。若风寒搏于经脉。血结不通。血积为水。故曰血分。
若先病。于后经水或断。名曰水分。其病易治。去其水。经自下也。若病患觉腹内胀。 外
视如常。大便黑。小便赤。是其证也。
椒仁丸。治因经水断绝。后致四肢面目浮肿。小便不通。名曰血分水化为血。血不通则为水
矣。
五灵脂 吴茱萸(汤洗七次醋浸炒) 玄胡索(各半两) 芫花(醋浸一宿炒焦一分) 椒仁 甘
遂(炒黄) 续随子 郁李仁(去皮研) 牵牛(炒熟各半两) 信砒(一钱研) 石膏( 通赤研
细一分) 附子(炮熟半两) 木香(半两) 胆矾(一钱)
上为细末。面糊为丸。如绿豆大。橘皮汤下一丸。临卧未通空心加一丸。腹未通日午再一服。
葶苈丸。治因小便不利后。身面浮肿。致经水不通。名曰水分。其余逆顺。并同水气。
葶苈(炒) 续随子(去皮研各半两) 干漆(一两)
上为末。枣肉和丸。桐子大。煎扁竹汤下七丸。如大便利者。减葶苈续随子各一分。加白术
半两。
答曰。经云。五脏猝痛。何气使然。岐伯对曰。寒气稽留于脉外。故猝然而痛也。举痛论中
所载痛病。共有一十七证。皆繇寒气之所致也。巢氏云。痛是脏虚受风冷。邪气乘心也。其
痛发有死者。有不死成疹者。心为诸脏主而藏神。其正经不可伤。伤之而痛者。名为真心痛。
朝发夕死。夕发朝死。若腑脏虚弱。风邪客于其间。痛随气之上下。或上攻于心则心痛。下
攻于腹则腹痛。上下相攻则心腹俱痛。或宿有风冷搏于血。血气停结。小腹痛也。
醋煎散。治妇人血气腹胁刺痛。及产后败血。儿枕急痛。
高良姜(一两) 当归 肉桂 白芍 橘红 乌药(各半两)
上为细末。每服三钱。水醋各半盏。煎七分。通口服。不拘时。
木香通气丸。治气刺疼痛。
京三棱 莪术(各四两) 芫花 木香 槟榔 大腹子(各一两)
上将米醋三斤同煮。令醋尽。独去芫花。炒令干。余五味切片子。焙为末。白面糊和丸。如
豌豆大。橘皮汤下三十丸。以止为度。
玉抱肚。治停寒痼冷疾。心腹刺痛。常系于脐腹间甚妙。郑主簿传一方。用针砂如上法炒讫
。止入 砂半两。并不用余药。
针砂(一两铁铫内炒用柳条或小竹不住手搅烟出为度放冷) 白矾 粉霜(各二钱) 砂(半两)
上件。白矾等三味同研为细末。与针砂拌和作一服。以水数点洒。用匙拌拥令浓。皮纸为贴
。阔二寸以上。长四五寸。贴之。外以帕子系疼处。或常系脐下。如觉太热。即以衣衬之。
若药力过。再洒水如前拌用。其热如初。可用四五次。药力退则将针砂再炒过。别入余药。
仍可用。
五香拈痛丸
木香 官桂 丁香 乳香 藿香叶 沉香(各半两) 斑蝥(七枚) 巴豆(三粒去油)
上八味为细末。白面糊丸。梧桐子大。每服五十丸。姜汤送下。
回答：妇女月经通畅流动，流动则水与血相互消化转化。如果风寒邪气搏结于经脉，导致血液凝结不通，血积滞化为水，这就称为“血分”。
如果先患病，后来月经停止或断绝，这称为“水分”。这种病容易治疗，去除体内的水湿，月经自然就会来潮。如果患者感觉腹内胀满，外观上却像常人一样（腹部无明显肿胀），大便颜色发黑，小便颜色发红，这就是该病的证候。
椒仁丸：治疗因月经断绝，随后导致四肢和面目浮肿、小便不通的情况，名为“血分水化为血，血不通则为水”。
药材组成：五灵脂、吴茱萸（用汤洗七次，醋浸后炒）、玄胡索（各半两）、芫花（醋浸一夜，炒至焦黄，一分）、椒仁、甘遂（炒至黄色）、续随子、郁李仁（去皮研碎）、牵牛子（炒熟，各半两）、信砒（一钱，研细）、石膏（烧至通红，研细，一分）、附子（炮制成熟，半两）、木香（半两）、胆矾（一钱）。
以上药物研为细末，用面糊制作成丸剂，大小如绿豆。睡前空腹时，用橘皮汤送服一丸；若腹部仍未通畅，可加服一丸；若白天腹部仍未通畅，在日午时分再服一丸。
葶苈丸：治疗因小便不利之后，出现身体和面部浮肿，导致月经不通的情况，名为“水分”。其余顺逆变化，均同于水气病。
药材组成：葶苈子（炒）、续随子（去皮研碎，各半两）、干漆（一两）。
以上药物研为细末，用枣肉调和制成丸剂，大小如梧桐子。煎煮扁竹汤送服七丸。如果大便通畅者，减少葶苈子和续随子各一分，增加白术半两。
回答：《黄帝内经》说：“五脏突然疼痛，是什么气导致的？”岐伯回答说：“寒气滞留于脉外，所以突然发生疼痛。”《举痛论》中记载的痛病，共有十七种证候，都是由寒气引起的。巢元方说：疼痛是因为脏腑虚弱，受风冷侵袭，邪气乘虚侵犯心脏所致。有的疼痛发作会导致死亡，有的不会死亡但会形成疹块。心是五脏的主宰并藏神，其正经不可受伤，如果受伤而疼痛，称为“真心痛”，早晨发病晚上死，晚上发病早晨死。如果腑脏虚弱，风邪客居在其中，疼痛随着气的上下运行，向上攻冲于心则心痛，向下攻冲于腹则腹痛，上下互相攻冲则心腹都痛。或者素有风冷搏结于血中，导致气血停聚凝结，引起小腹痛。
醋煎散：治疗妇人血气引起的腹胁刺痛，以及产后败血引起的儿枕急痛。
药材组成：高良姜（一两）、当归、肉桂、白芍、橘红、乌药（各半两）。
以上药物研为细末，每次服用三钱，用水和醋各半盏，煎至七分，一次性口服，不拘泥于固定时间。
药材组成：京三棱、莪术（各四两）、芫花、木香、槟榔、大腹子（各一两）。
以上药物用米醋三斤同煮，直到醋完全被吸收。单独取出芫花，炒干。其余五味药切片，焙干后研为细末，用白面糊调和制成丸剂，大小如豌豆。用橘皮汤送服三十丸，以疼痛停止为度。
玉抱肚：治疗寒邪停滞、顽固性冷疾引起的心腹刺痛，常系在脐腹部非常有效。郑主簿传授一方，用针砂按上述方法炒制后，只加入半两针砂，不使用其他药物。
药材组成：针砂（一两，在铁锅中炒，用柳条或小竹子不停搅拌，直到冒出烟为止，放凉）、白矾、粉霜（各二钱）、砂（半两，此处疑为朱砂或特定矿物，依原文保留）。
以上三味药（白矾等）同研为细末，与针砂混合拌和作为一次用量。用几滴水洒湿，用勺子搅拌使其浓稠，用皮纸做成贴剂，宽度两寸以上，长度四五寸，贴在患处。外面用帕子系在疼痛处，或者常系在脐下。如果觉得太热，就用衣服垫衬。如果药力过了，再像之前那样洒水搅拌使用。热度如初，可以用四五次。药力减退后，将针砂再次炒过，重新加入其他药物，仍可使用。
药材组成：木香、官桂、丁香、乳香、藿香叶、沉香（各半两）、斑蝥（七枚）、巴豆（三粒，去油）。
以上八味药研为细末，用白面糊制成丸剂，大小如梧桐子。每次服用五十丸，用姜汤送下。
Answer: When a woman's menstruation flows smoothly, the flow allows water and blood to transform and digest each other. If wind-cold pathogens bind in the meridians, causing blood to coagulate and obstruct, the accumulated blood transforms into water retention; this is termed "Blood Division" (Xue Fen).
If illness occurs first, followed by the cessation or interruption of menstruation, it is termed "Water Division" (Shui Fen). This condition is easy to treat; once the water retention is eliminated, menstruation will resume naturally. If the patient feels abdominal distension internally, while externally appearing normal (without obvious abdominal swelling), with black stools and reddish urine, these are the signs of this condition.
Jiaoren Wan (Pepper Kernel Pill): Treats cases where menstruation has ceased, subsequently leading to edema of the limbs and face, and urinary obstruction. It is named "Blood Division transforming into Water Division"; when blood circulation is obstructed, it leads to water retention.
Ingredients: Psoraleae Fructus (Wulingzhi, 五灵脂); Evodiae Fructus (Wuzhuyu, 吴茱萸) (washed seven times with decoction, soaked in vinegar, and stir-fried); Corydalis Rhizome (Yanhusuo, 玄胡索) (each half tael); Daphne Genkwa Flower (Yuanhua, 芫花) (soaked in vinegar overnight, stir-fried until scorched, one qian); Piperis Longi Pericarpium (Jiaoren, 椒仁); Kansui Radix (Gansui, 甘遂) (stir-fried until yellow); Euphorbia Lathyris Seed (Xuisui Zi, 续随子); Prunus Armeniaca Seed (Yuliren, 郁李仁) (peeled and crushed); Persicae Semen (Qian Niu, 牵牛子) (stir-fried ripe, each half tael); Realgar (Xin Pi, 信砒) (one qian, ground fine); Gypsum Fibrosum (Shigao, 石膏) (calcined until red-hot, ground fine, one qian); Aconiti Lateralis Radix Praeparata (Fuzi, 附子) (processed and cooked, half tael); Aucklandiae Radix (Muxiang, 木香) (half tael); Chalcanthite (Danfan, 胆矾) (one qian).
Grind the above ingredients into a fine powder. Use wheat paste to form pills the size of mung beans. Swallow one pill with Tangerine Peel Decoction (Chenpi Tang) before retiring to bed. If the abdomen remains unrelieved, add one more pill. If the abdomen remains unrelieved during the day, take another dose at noon.
Tingli Wan (Descurainiae Seed Pill): Treats cases where menstrual obstruction follows urinary difficulty, leading to edema of the body and face. It is termed "Water Division." The prognosis and variations are consistent with Edema Disease (Shui Qi).
Ingredients: Descurainiae Semen Lepidii Semeni (Tingli, 葶苈子) (stir-fried); Euphorbia Lathyris Seed (Xuisui Zi, 续随子) (peeled and crushed, each half tael); Drynaria Rhizoma (Ganqi, 干漆) (one tael).
Grind the above ingredients into powder. Mix with jujube flesh to form pills the size of paulownia seeds. Take seven pills with decoction of Commelina Communis (Bian Zhu Tang, 扁竹汤). If bowel movements are loose, reduce Tingli and Xuisui Zi by one qian each, and add Atractodis Rhizoma (Baizhu, 白术) half tael.
Answer: The Classic states: "Sudden pain in the five zang organs, what qi causes this?" Qibo replied: "Cold qi stagnates outside the vessels, thus causing sudden pain." The *Treatise on Pain* (*Ju Tong Lun*) records seventeen types of pain syndromes, all caused by cold qi. Chao Yuanfang stated that pain arises from deficiency of the zang organs making them susceptible to wind-cold, allowing pathogenic qi to invade the heart. Some painful attacks lead to death, while others do not but result in rashes. The Heart is the master of the five zang organs and houses the spirit; its regular channels must not be injured. If injured and painful, it is called "True Heart Pain" (Zhen Xin Tong), which can cause death if onset occurs in the morning and death in the evening, or vice versa. If the fu organs and zang organs are weak, wind pathogens lodge within. Pain follows the movement of qi upward or downward; attacking upward to the heart causes heart pain, attacking downward to the abdomen causes abdominal pain, and mutual attack causes both heart and abdominal pain. Alternatively, if chronic wind-cold binds with blood, causing qi and blood to stagnate and coagulate, lower abdominal pain results.
Cu Jian San (Vinegar-Boiled Powder): Treats stabbing pain in the abdomen and hypochondrium due to blood and qi disorders in women, as well as urgent pain from retained lochia (postpartum blood stasis) known as "Child Pillow Pain" (Er Zhen Ji Tong).
Ingredients: Galangal Rhizome (Gaoliangjiang, 高良姜) (one tael); Angelicae Sinensis Radix (Danggui, 当归); Cinnamon Twig (Rougui, 肉桂); White Peony Root (Baishao, 白芍); Exocarpium Citri Reticulatae (Juhong, 橘红); Linderae Radix (Wuyao, 乌药) (each half tael).
Grind the above ingredients into a fine powder. Take three qian per dose. Boil with half a cup of water and half a cup of vinegar until reduced to seventy percent. Drink orally in one go. Time of administration is unrestricted.
Muxiang Tongqi Wan (Aucklandia Qi-Circulating Pill): Treats stabbing pain caused by qi stagnation.
Ingredients: Sparganii Rhizoma (Jingsanleng, 京三棱); Curcumae Rhizoma (Ezhu, 莪术) (each four taels); Daphne Genkwa Flower (Yuanhua, 芫花); Aucklandiae Radix (Muxiang, 木香); Arecae Semen (Binglang, 槟榔); Aquatic Betel Nut (Dafuzi, 大腹子) (each one tael).
Boil the above ingredients in three jin of rice vinegar until the vinegar is completely absorbed. Remove the Yuanhua alone and stir-fry until dry. Slice the remaining five herbs, bake until dry, and grind into powder. Mix with white flour paste to form pills the size of pea seeds. Take thirty pills with Tangerine Peel Decoction (Chenpi Tang) until pain ceases.
Yu Baodu (Jade Belly Band): Treats persistent cold diseases caused by stagnant cold, resulting in stabbing pain in the heart and abdomen. It is highly effective when tied around the umbilical region. Master Zheng transmitted a formula using only Zhen Sha (Needle Sand) processed as described above, using half a tael, without other herbs.
Ingredients: Zhen Sha (Needle Sand) (one tael, stir-fried in an iron wok, stirring constantly with willow twigs or small bamboo until smoke appears, then cooled); Alum (Baifan, 白矾); Calomelas (Fenshuang, 粉霜) (each two qian); Cinnabar (Zhusha, 砂 - note: text says 'Sha', likely referring to Zhusha/Cinnabar given context of external use or specific mineral, kept as literal translation for entity extraction purposes, though historically 'Sha' might refer to specific processed minerals) (half tael).
Grind the three ingredients (Alum, etc.) into a fine powder. Mix with Zhen Sha as a single dose. Sprinkle with a few drops of water and mix thoroughly with a spoon until thick. Apply as a plaster on skin paper, width over two cun, length four to five cun. Apply to the affected area. Secure with a cloth bandage over the painful spot, or commonly tie below the navel. If it feels too hot, place clothing between the plaster and skin. If the medicinal power diminishes, sprinkle water again and remix. The heat should return to original levels; this can be done four or five times. When the medicinal power fades, re-fry the Zhen Sha and add other ingredients again for reuse.
Wuxiang Niantong Wan (Five-Aroma Relieving Pain Pill)
Ingredients: Aucklandiae Radix (Muxiang, 木香); Cassia Bark (Guangui, 官桂); Clove (Dingxiang, 丁香); Boswelliae Resin (Ruxiang, 乳香); Agastache Herba (Huoxiang Ye, 藿香叶); Aquilariae Lignum Resinatum (Chenxiang, 沉香) (each half tael); Mylabris (Banmao, 斑蝥) (seven insects); Crotonis Fructus (Badou, 巴豆) (three kernels, oil removed).
Grind the above eight ingredients into a fine powder. Form pills with white flour paste, size of paulownia seeds. Take fifty pills per dose, delivered with Ginger Decoction.