中有干血，（其下不止维何？即湿热腐变。所）下（之）白物，（时俗所谓白带是也。宜用外消法，以）矾石丸主之。此
为经水闭，由于子脏有干血，得湿热而变成白物者，出其方治也。
妇人六十二种风，腹中血气刺痛，红兰花酒主之。此为妇人凡有挟风腹中血气刺痛者，出其方治也。言血气者，所
以别乎寒疝也。六十二种未详。张隐庵云∶红花色赤多汁，生血行血之品也。陶隐居主治胎产血晕，恶血不尽绞痛，胎
死腹中。《金匮》红兰花酒治妇人六十二种风，又能主治 疟。临川先生曰∶治风先治血，血行风自灭。盖风乃阳邪，血
为阴液，此对待之治也。红花 茎叶且多毛刺，具坚金之象，故能制胜风木。夫男女血气相同，仲祖单治妇人六十二种
风者，良有以也。盖妇人有余于气，不足于血；所不足者，乃冲任之脉，散于皮肤肌腠之间，充肤、热肉、生毫毛；男
子上唇口而生髭须，女人月事以时下，故多未足也。花性上行，花开散蔓，主生皮肤间散血，能资妇人之不足，故主治
妇人之风。盖血虚则皮血之腠理不密，而易于生风也。此血主冲任，故专治胎产恶血。《灵枢经》云∶饮酒者，卫气先行
皮肤，故用酒煎，以助药性；症邪亦伏于膜原之腠理间，故能引其外出。夫血有行于经络中者，有散于皮肤外者，而所
主之药亦各不同，如当归、地黄、茜草之类，主养脉内之
血者也；红兰花主生脉外之血者也；川芎、芍药、丹皮、红曲之类，又内外之兼剂也。学人能体认先圣用药之深心，思
过半矣。
“妇人腹中诸疾痛，当归芍药散主之”。此为妇人腹中诸疾痛而出其方治也。寒、热、虚、实、气、食等邪，皆令腹
痛，谓可以就此方为加减，非真以此方而统治之也。尤在泾云∶妇人以血为主，而血以中气为主。中气者，土气也，土
燥不能生物，土湿亦不能生物，芎 、芍药滋其血，苓、术、泽泻治其湿，燥湿得宜，而土能生物，疾痛并蠲矣。
“妇人腹中痛，小建中汤主之。”此为妇人虚寒里急腹中痛者，出其方治也。
（长孙心典）按∶《伤寒论》云∶阳脉涩，阴脉弦，法当腹中急痛，宜小建中汤主之。不瘥，更与小柴胡汤。
问曰∶妇人病，饮食如故，烦热不得卧，而反倚息者，何也？师曰∶（饮食如故者，病不在胃也；烦热者，阳气不化
也；倚息不得卧者，水不下行也。）此名转胞，不得溺也，以胞系（不顺而）了戾，故致此病，（但无并症。）但（当）利
其小便，（则胞中之气，使之下行气道，斯胞系不了戾而）愈，以肾气丸主之。此为转胞症胞系了戾而不得溺者，出其方
治也。了戾与缭戾同，言胞系缭戾而不顺，而胞为之转，胞转则不得溺也。治以此方，补肾则气化，气化则水行而愈矣。
然转胞之病，亦不尽此，或中焦脾虚，不能散精归于胞；及上焦肺虚，不能下输布于胞；或胎重压其胞；或忍溺入房；
皆能致此，当求其所因而治之也。
妇人阴（中）寒，（宜）温（其）阴中（不用内服，止以药纳入，谓之）坐药，蛇床子散主之。此遥承上节令阴掣痛
少腹恶寒症，而出其方治也。但寒从阴户所受，不从表出，宜温其受邪之处则愈。蛇床子温以去寒，合白粉燥以除湿，
以寒则生湿也。
少阴（肾）脉滑而数者，（滑主湿，数主热，湿热相合，而结于阴分，故令前）阴中即生疮，阴中蚀疮烂者，（乃经
热之盛而生 也。以）野狼牙汤洗之。此为湿热下流于前阴、阴中生疮蚀烂者，出其方治也。野狼牙草味酸苦，除邪热气，
疥瘙恶疮，去白虫，故取治之。若无野狼牙草，以野狼毒代之。
胃气下泄，（不从大便为失气，而从前）阴吹（出）而正喧，（谓其连续不绝，喧然有声。）此谷气之实（大便不通故）
也，（以）猪膏发煎主之。（取其滋润以通大便，则气从大便而出，此通而彼塞也。）
胞宫中有干血，（其下不止的原因是什么？即是湿热腐败变质所致。）所下的白色分泌物，（即世俗所说的白带。适宜使用外治法，以）矾石丸主治。这是针对经水闭止，由于胞宫内有干血，遇湿热而变成白色分泌物的情况，给出方治的方法。
妇人受六十二种风邪侵袭，腹中血气刺痛，用红兰花酒主治。这是针对妇人凡是挟有风邪导致腹中血气刺痛的情况，给出方治的方法。文中提到“血气”，是为了与寒疝相区别。至于“六十二种”具体指什么，尚不明确。张隐庵说：红花色赤且多汁，是生血、行血的药物。陶隐居认为红花主治胎产血晕、恶血不尽引起的绞痛、胎死腹中等症。《金匮要略》中红兰花酒治疗妇人六十二种风，又能主治疟疾。临川先生说：治风先治血，血行则风自灭。因为风属于阳邪，血属于阴液，这是对待性的治疗方法。红花及其茎叶多毛刺，具有坚金的象意，所以能克制风木之气。男女的血气本质相同，仲景专门治疗妇人六十二种风，是有原因的。大概妇人阳气有余而阴血不足；其所不足的，乃是冲任二脉，它们散布于皮肤肌腠之间，充养肌肤、温暖肌肉、生长毫毛；男子在上唇口生胡须，女子月经按时来潮，所以说女子多有不足。红花药性上行，花开散蔓，主要作用于皮肤间消散瘀血，能够资助妇人的不足，所以主治妇人之风。大概血虚则皮肉腠理不致密，容易生风。此药主入冲任，所以专治胎产恶血。《灵枢经》说：饮酒者，卫气先行于皮肤，所以用酒煎煮，以助药性；病邪也潜伏在膜原的腠理之间，所以能引导病邪外出。血液有运行在经络中的，有散布在皮肤外的，而所主的药物也各不相同，如当归、地黄、茜草之类，是主养经脉内的血；红兰花主生经脉外的血；川芎、芍药、丹皮、红曲之类，又是内外兼治的药物。学医之人若能体悟先圣用药的深意，思过半矣。
“妇人腹中各种疼痛，用当归芍药散主治”。这是针对妇人腹中各种疼痛而给出的方治方法。寒、热、虚、实、气滞、食积等邪气，都会导致腹痛，意思是可以根据这些情况进行加减变化，并非真正以此方统管所有腹痛。尤在泾说：妇人以血为主，而血又以中气为主。中气，就是土气（脾胃之气），土燥不能生化万物，土湿也不能生化万物，川芎、芍药滋养其血，茯苓、白术、泽泻治理其湿，燥湿得宜，则土能生化万物，各种疼痛也就消除了。
“妇人腹中痛，用小建中汤主治。”这是针对妇人虚寒里急导致的腹中痛，给出方治的方法。
（长孙心典）按语：《伤寒论》说：阳脉涩，阴脉弦，按照脉法应当腹中急痛，适宜用小建中汤主治。如果不好转，再给小柴胡汤。
问：妇人患病，饮食正常，烦热不能卧，反而倚靠呼吸急促，这是什么原因？老师说：“（饮食正常，说明病不在胃；烦热，是阳气不能化行；倚靠呼吸急促不能卧，是水气不下行。）”这名叫转胞，导致小便不通，因为胞系（不顺而）扭转，所以导致此病，（只要没有合并其他病症。）只（需）利其小便，（这样胞中的气就能下行进入气道，于是胞系不再扭转而）痊愈，以肾气丸主治。这是针对转胞症因胞系扭转而导致小便不通的情况，给出方治的方法。“了戾”与“缭戾”同义，意思是胞系缠绕扭转而不顺，导致胞宫翻转，胞宫翻转则小便不通。用此方治疗，补肾则气化功能恢复，气化恢复则水液运行而痊愈。然而转胞之病，也不尽然如此，有的因中焦脾虚，不能将精微物质散布归于胞宫；以及上焦肺虚，不能向下输布津液于胞宫；或因胎儿过重压迫胞宫；或忍尿行房事；都能导致此病，应当探究其原因并针对性治疗。
妇人阴中寒冷，（适宜）温（暖）阴中（不用内服，仅将药物纳入阴道，称为）坐药，蛇床子散主治。这是遥承上一节令阴部掣痛、少腹恶寒的症状，给出方治的方法。但寒气从阴户侵入，不从体表排出，适宜温煦受邪的部位即可痊愈。蛇床子性温以驱除寒邪，配合白粉（铅粉）燥湿以除湿气，因为寒邪会导致湿气产生。
少阴（肾）脉滑而数者，（滑主湿，数主热，湿热相结合，结聚于阴分，所以导致前）阴中生疮，阴中蚀烂者，（乃是经热盛而生出的疮疡。用）野狼牙汤清洗。这是针对湿热下注于前阴、阴中生疮蚀烂的情况，给出方治的方法。野狼牙草味酸苦，能清除邪热，治疗疥癣瘙痒恶疮，去除白虫，所以取用它来治疗。如果没有野狼牙草，可以用野狼毒代替。
胃气下泄，（不是通过大便排气，而是从前阴）阴吹（出）并且声音喧响，（指连续不断，喧然有声。）这是因为谷气充实（大便不通的缘故）（用）猪膏发煎主治。（取其滋润以通大便，则气从大便而出，此处通畅彼处闭塞。）
There is dried blood in the uterus. (What causes the continuous discharge? It is due to damp-heat causing putrefaction and transformation.) The discharged white matter, (commonly known as leukorrhea in popular terms. An external treatment method should be used, primarily with Fanshi Wan [Alum Pill].) This addresses the condition of amenorrhea caused by dried blood in the uterus, which transforms into white discharge upon encountering damp-heat; it provides the prescription for this treatment.
Women suffering from sixty-two types of wind pathogens, experiencing stabbing pain in the abdomen due to blood and Qi stagnation, are treated with Honghua Jiujie [Safflower Wine Decoction]. This addresses cases where women have abdominal stabbing pain due to wind pathogens affecting blood and Qi. The mention of "blood and Qi" serves to distinguish this condition from cold colic (Hanshan). The specific meaning of "sixty-two types" remains unclear. Zhang Yin'an stated: Safflower (Honghua), being red and juicy, is a substance that generates and moves blood. Tao Hongjing noted that Safflower treats postpartum blood syncope, colic from incomplete expulsion of lochia, and fetal death in utero. *Jin Gui Yao Lue* states that Honghua Jiujie treats sixty-two types of wind in women and also malaria. Mr. Linchuan said: To treat wind, first treat the blood; when blood flows, wind extinguishes itself. Wind is a Yang pathogen, while blood is a Yin fluid; this represents a counter-treatment approach. Safflower flowers and stems/leaves are hairy and thorny, possessing the image of firm Metal, thus capable of subduing Wind-Wood. Men and women share similar blood and Qi natures; Zhongjing specifically treats sixty-two types of wind in women for good reason. Generally, women have excess Qi but deficient Blood; what is lacking is the Chong and Ren meridians, which disperse between the skin and muscle interstices, nourishing the flesh, warming the muscles, and generating hair; men grow mustaches on the upper lip, while women menstruate regularly, hence women often have deficiencies. The flower's nature ascends, its blooms spread vines, mainly dispersing blood in the skin, thereby supplementing women's deficiency; thus, it treats wind in women. When blood is deficient, the skin and flesh interstices are not tight, making one prone to wind generation. This herb governs the Chong and Ren, so it specifically treats lochia after childbirth. *Ling Shu Jing* states: For those who drink wine, Wei Qi (Defensive Qi) acts first in the skin; therefore, decocting with wine aids the medicinal properties; pathogens also hide in the membrane source interstices, so wine can guide them out. Blood circulates within the meridians and scatters outside in the skin; the governing herbs differ accordingly. For example, Danggui [Angelicae Sinensis Radix] and Dihuang [Rehmanniae Radix] nourish blood within the vessels; Honghua generates blood outside the vessels; Chuanxiong [Ligustici Rhizoma et Radix], Shaoyao [Paeoniae Radix], Danpi [Moutan Cortex], and Hongqu [Levisticum Fructus] act as internal-external combined agents. If practitioners can comprehend the profound intent of the sages in prescribing herbs, they will have grasped more than half of the essence.
"For various pains in the abdomen of women, Danggui Shaoyao San [Angelica and Peony Powder] is the primary treatment." This provides the prescription for various abdominal pains in women. Pathogens such as cold, heat, deficiency, excess, Qi stagnation, and food retention all cause abdominal pain; the implication is that modifications can be made to this formula based on these factors, rather than using this single formula to rule all abdominal pains. You Zaijing stated: Women are governed by blood, and blood is governed by Middle Qi. Middle Qi refers to Earth Qi (Spleen/Stomach Qi). If Earth is dry, it cannot generate things; if Earth is damp, it cannot generate things. Xiongqiong [Chuanxiong] and Shaoyao [Paeoniae Radix] nourish the blood; Fuling [Poria], Baizhu [Atractylodis Macrocephalae Rhizoma], and Zexie [Alismatis Rhizoma] treat dampness. When dryness and dampness are balanced, Earth can generate, and all pains are eliminated.
"For abdominal pain in women, Xiao Jianzhong Tang [Minor Construct the Middle Decoction] is the primary treatment." This provides the prescription for abdominal pain caused by deficiency-cold and interior tension in women.
(Changsun Xin Dian) Commentary: *Shang Han Lun* states: If the Yang pulse is choppy and the Yin pulse is wiry, according to pulse diagnosis, there should be urgent pain in the abdomen, and Xiao Jianzhong Tang [Minor Construct the Middle Decoction] is appropriate. If it does not improve, administer Xiao Chaihu Tang [Minor Bupleurum Decoction].
Question: A woman is ill; her diet is normal, she feels vexed and hot, cannot lie down, and instead leans forward to breathe heavily. What is the cause? The Master said: "(Normal diet indicates the disease is not in the Stomach; vexation and heat indicate Yang Qi failing to transform; leaning forward to breathe heavily indicates water failing to descend.)" This is called "Zhuan Bao" (Displaced Bladder/Uterus), resulting in inability to urinate. Because the bladder ligaments (are twisted and distorted), this disease occurs. (Provided there are no concurrent syndromes,) simply promoting urination will resolve it, as the Qi in the bladder will descend through the urinary pathway, untwisting the ligaments. Treat with Shenqi Wan [Kidney Qi Pill]. This provides the prescription for Zhuan Bao syndrome caused by twisted bladder ligaments leading to urinary retention. "Liao li" is synonymous with "Liao li," meaning the bladder ligaments are tangled and twisted, causing the bladder to rotate; rotation leads to urinary retention. Treating with this formula tonifies the Kidney, restoring Qi transformation; once Qi transforms, water flows, and the patient recovers. However, Zhuan Bao is not solely caused by this; it may result from Middle Jiao Spleen deficiency failing to scatter essences to the bladder; or Upper Jiao Lung deficiency failing to distribute fluids downward to the bladder; or a heavy fetus pressing on the bladder; or holding urine during intercourse. One must investigate the root cause and treat accordingly.
For cold in the female genitals, (warmth should be applied to) the vagina (not via oral administration, but by inserting medication internally, termed "Zuo Yao" [Sitting Medicine]). Shechuangzi San [Cnidium Seed Powder] is the primary treatment. This indirectly follows the previous section regarding pulling pain in the yin region and cold aversion in the lower abdomen, providing the prescription. Since cold enters through the vaginal opening and does not exit via the exterior, warming the affected area resolves the condition. Shechuangzi [Cnidii Fructus] is warm to dispel cold; combined with Baifen [Lead White], it dries dampness, as cold generates dampness.
If the Shaoyin (Kidney) pulse is slippery and rapid, (slipperiness indicates dampness, rapidity indicates heat; damp-heat combines and knots in the Yin division, causing sores to appear in the anterior yin, with erosion and ulceration of the vulva,) Ye Langya Tang [Wild Wolf Tooth Decoction] should be used for washing. This provides the prescription for damp-heat flowing downward to the anterior yin, causing erosive sores. Wild Wolf Tooth Grass [Saussureae Heterophyllae Herba] has a sour and bitter taste, clears evil heat, treats scabies, itching, and malignant sores, and removes roundworms; thus, it is used for treatment. If Wild Wolf Tooth Grass is unavailable, replace it with Yelangdu [Daphne Genkwa].
Stomach Qi leaking downward, (not passing as flatus from the anus, but emitting noise from the anterior yin, termed "Yin Chui" [Vaginal Flatulence]), creates a continuous, noisy sound. This is due to excess of Grain Qi (constipation). Treat with Zhigao Fa Jian [Lard and Hair Decoction]. (Its moistening property unblocks the bowels; thus, Qi exits through the anus, while the anterior passage remains sealed.)