小柴胡汤（方见《伤寒论》。）
半夏浓朴汤
半夏（一斤） 浓朴（三两） 茯苓（四两） 生姜（五两） 苏叶（二两）
上五味，以水一斗，煮取四升，分温四服，日三服，夜一服。
歌曰∶状如炙脔贴咽中，却是痰凝气不通，半夏一升苓四两，五（两）姜三（两浓）朴二（两）苏（叶）攻。
（次男元犀）按∶方中半夏之降逆，浓朴之顺气，茯苓之化气，人所尽知也。妙在重用生姜之辛，以开其结；佐以
苏叶之香，以散其郁；故能治咽中如有炙脔之症。后人变其分两，治胸腹满闷呕逆等症，名为七气汤，以治七情之病。
甘麦大枣汤
甘草（三两） 小麦（一斤） 大枣（十枚）
上三味，以水六升，煮取三升，分温三服。亦补脾气。
歌曰∶妇人脏燥欲悲伤，如有神灵太息长，（叹，欠伸。）小麦一升三两草，十枚大枣力相当。
魏云∶世医竞言滋阴养血，抑知阴盛而津愈枯，阳衰而阴愈燥，此方治燥之大法也。
小青龙汤（歌见《伤寒论》。）
泻心汤（歌见《伤寒论》。）
温经汤
土瓜根散
土瓜根 芍药 桂枝 虫（各三分）
上四味，杵为散，酒服方寸匕，日三服。
歌曰∶带下端由瘀血停，（不能如期而至，以致少腹满痛。）月间再见（既瘀而不行，则前经未畅所行，不及待后月
正期而至，故一月再见。）不循经，（经，常也，言不循常期也。） 瓜桂芍均相等，调协阴阳守典型。
（次男元犀）按∶方中桂枝通阳，芍药行阴，阴阳和则经之本正矣；土瓜根驱热行瘀， 虫蠕动逐血，治其本而不
遗其末；无一而非先圣之典型。
旋复花汤
旋复花（三两） 葱（十四茎） 新绛（少许）
上三味，以水三升，煎取一升，顿服之。
（长孙心典禀）按∶旋复花咸温下气，新绛和血，葱叶通阳。此方原治肝气着滞之病，于此症只示其意，不可泥其
方，故前贤疑此方之错简。
胶姜汤（方未见，或云即是干姜、阿胶二味煎服，《千金》胶艾汤中有干姜，亦可取用。）
大黄甘遂汤
大黄（四两） 甘遂 阿胶（各二两）
上三味，以水三升，煎取二升，顿服，其血当下。
歌曰∶少腹敦形（敦，音对。古器也。《周礼》∶“磬以乘血，敦以乘食。”少腹高起之状相似也。少腹，胞之室也。
胞为血海，其满大为蓄血也。）小水难，（小水难而不渴，亦蓄血也。）水同瘀血两弥漫，（结在血室，）大黄四两遂胶二，
顿服瘀行病自安。
（次男元犀）按∶方中大黄攻血蓄，甘遂攻水蓄。妙得阿胶，本清济之水，伏行地中，历千里而发于古东阿县之井，
此方取其以水行水之义也。《内经》谓∶济水内合于心，用黑驴皮煎造成胶，以黑属于肾，水能济火，火熄而血自生。此
方取其以补为通之义也，然而甘遂似当减半用之。
抵当汤（歌见《伤寒论》。）师云∶妇人经水不利下，此主脉症并实者；否则，当养其冲任之源，不可攻下。
矾石丸
矾石（三分，烧） 杏仁（一分去皮尖）
上二味，末之，炼蜜为丸，如枣核大，五内中，剧者再内之。
歌曰∶经凝成癖闭而坚，白物时流岂偶然？（蓄泄不时，胞宫生湿，湿反生热，所积之血，转为温热所腐，而白物
时时自下。）矾石（用）三分杏一分，纳时病去不迁延。
烧矾，驱湿热，且涩能固脱；佐以杏仁之苦润，去其干血；一外纳之方，亦兼顾不遗，可知古法之密。
红兰花酒
红兰花（一两）
上一味，酒一大升，煮减半，顿服一半，未止再服。
歌曰∶六十二风义未详，腹中刺痛势 徨；治风先要行其血，一两（红）兰花酒煮尝。
张隐庵注解甚详，不再释。
当归芍药散（方见《胎前》。）
小建中汤（歌见《伤寒论》。方意在扶脾以生血，不全恃四物之类也。）
肾气丸
干地黄（八两） 山药 山茱萸（各四两）
茯苓 丹皮 泽泻（各三两） 桂枝 附子（泡，各一两）
上（八）味，末之，炼蜜和丸，梧子大，酒下十五丸，加至二十丸，日再服。
歌曰∶小水不通病转胞，胞由气主一言包；（胞之内外空虚，有气充塞、方不游移，其系自正；气虚则胞无所主，其
系或致反戾，其溺必难矣。）萸薯四两桂附（一两），丹泽苓三地八（两）教。
此方妙在大补肾气，肾气足则胞正，胞正则系正，系正则小便不利而利矣。
蛇床子散
蛇床子一味，末之，以白粉少许和合相得，如枣大，绵裹纳之，自然温。
野狼牙汤
野狼牙（三两）
以水四升，煮取半升，以绵缠箸如茧，浸汤沥阴中，日四遍。
歌曰∶胞寒外候见阴（中）寒，纳入蛇床佐粉安，（此温胞益阳外治之善法，为肾气丸之佐也。）更有阴（中）疮
烂者，（乃温热不洁，而生 也。）野狼牙三两洗何难？（除湿热，杀虫。如无野狼牙草，以野狼毒代之。）
膏发煎
猪膏（半斤） 乱发（如鸡子大，三枚）
上二味，和膏中煎之，发消药成，分再服，病从小便出。（《千金》云∶太医校尉史脱家婢，黄病服此，胃中燥粪下，
便瘥，神效。）
歌曰∶阴吹症起大便坚，古有猪膏八两传，乱发三丸鸡子大，发消药熟始停煎。
门人问曰∶妇人杂病繁多，非笔楮所能尽，《伤寒论》、《金匮要略》二书，何一而非妇科之法治乎？然而业此者绝少，
通儒未免以集隘未全为议，请于《金匮》外而续补之，何如？
曰∶不能续也，不必续也。尔欲续，吾且 尔续之。各家近道之言可录者少，今择数条于下。究竟仁者见之谓之仁，
知者见之谓之知，善读书者自知之，而修园不赘也。
陈良甫曰∶妇人冲任二脉，为经脉之海，外循经络，内荣脏腑。若阴阳和平，则经下根据时；如劳伤不能约制，忽然
暴下，甚则昏闷。若寸脉微迟，为寒在上焦，则吐血、衄血；尺脉微迟，为寒在下焦，则崩血、便血；法当调补脾胃为
主。修园按∶理中汤为要药。李东垣曰∶圣人治病，必本四时升降浮沉之理。经漏不止，是前阴之气血已下脱；水泻不
止，是后阴之气血又下陷。后阴者，主有形之物；前阴者，精气之门户；前后二阴俱下，是病患周身之气常行。秋冬之
令，主肃杀收藏，人身中阳气上浮，杀气上行，则阳生阴长，春夏是也。既病则周身气血皆不生长，杀气不升，前虽属
热，下焦久脱，已化为寒，久沉久降，寒湿大胜，当急救之。泻寒以热，除湿以燥，大升大举，以助生长，补养气血，
不致偏枯。圣人立治法云∶湿气大胜，以所胜平之，当调和胃气而滋元气；如不止，用风药以胜湿，此是谓也。陈良甫
曰∶妇人血崩心痛，名曰杀血心痛，由心脾血虚也。若小产去血过多而心痛者，亦虚也。用乌 鱼骨炒为末，醋汤调下
失笑散亦效。武叔卿曰∶鹿茸丸治经血过多，其色瘀黑，甚者崩下，呼吸少气，脐腹冷极，则汗如雨，两尺脉微细，由
冲任虚衰，为风冷客胞中，气不能固，可灸关元百壮。夫丹溪以紫黑色为热，此言瘀黑者，乃下焦气寒，血凝而黑，各
有治法。然女子气海在上，血海在下，故下焦温而后气升血行。如鹿茸以血成形，由气而长，血随气上而成角，故入血
分以生升。又以附子、艾叶佐而温之，以赤石脂、禹余粮镇而固之，柏叶清之，归、地、续断补之，诚下元虚寒之全方
也。不加人参岂无意焉？而灸关元之意可想矣。武叔卿曰∶血虚须兼补气，譬之血犹水也，气犹堤也；堤坚则水不横决，
气固则血不妄行，自然之理也。武叔卿曰。五灵脂散，治血崩不止，不拘多少，炒令烟尽，研末，以当归酒或童便调下
三
钱。一名抽刀散，治产后恶血，心腹痛不可忍，其效如神，真急救之良方也。人家不可不备。并治蛇、蝎、蜈蚣咬，涂
伤处立愈。张子和曰∶妇人带下，《圣惠方》与巢氏二家之说皆非也。夫治病当先识经络，人身大经有十二，奇经有八脉，
十二经与八脉，通身往来。经络共二十道，上下流走环周，昼夜不息。然此十二经，上下周流者，止十九道耳。惟带脉
起少腹季胁之端，乃章门穴也，环周一身，络腰而过，如束带之于身。《难经》云∶“带之为病，溶溶如坐井中”。冲任者，
是经脉之海也，循腹胁，夹脑旁，传流于气冲，属于带脉，络于督脉。督脉者，起于关元穴。任脉者，女子养胎孕之所。
督乃是督领妇人经脉之海也。冲、任、督三脉，同起而异行，一源而三岐，皆络于带脉。冲、任、督三脉，皆统于篡户，
循阴器，行庭孔、溺孔上端。冲、任、督三脉，以带脉束之，
因余经上下往来，遗热于带脉之间，客热抑郁。热者血也，血积多日不流，从金之化而为白，乘少腹冤热，白物满溢，
随溲而下，绵绵不绝，是为白带。多不痛，或有痛者，因壅碍而成也。《经》曰∶少腹寒热，溲出白液冤者，屈滞也。病
非本经，为他经冤郁而成，此疾皆从湿热治之。遗热于小肠，从金代而为白，与治痢同法。赤白痢乃邪热入于大肠，赤
白带是邪热传于小肠，故治二症，不可骤用峻热药燥之。燥之则内水涸，内水涸则必烦渴，烦渴则小便不利，小便不利
则足肿面浮，渐至不起。治法先以导水禹功泻之，次以淡剂降心火、益肾水、下小溲、利水道则愈矣。张子和曰∶赤白
痢者，是邪热入于大肠，下广肠，出赤白也。带下者，传于小肠，入脬经，下赤白也。据此二症，皆可同以治湿之法治
之。
方约之曰∶带脉总束诸脉，使不妄行，如人束带而前垂也。妇人多郁怒伤肝，肝属木，脾属土，肝邪乘脾，则土受伤而
有湿；湿生热，热则流通，故滑浊之物渗入膀胱，从小便而出。古人作湿寒，用辛温药则非矣！丹溪作湿热，用苦温药
为是；不知用苦寒正治也，用辛温从治也。如湿热拂郁于内，腹痛带下，非辛温从治，能开散之乎？若少腹不痛，上下
赤白带者，虽有湿热，而气不郁结，用苦寒治之为当也。吴梅坡治赤白带下，用自制十六味保元汤，骨碎补、贯众（去
毛）三钱，杜仲、小茴香（盐水炒）各一钱五分，人参、巴戟各二钱，黄 、当归、山药、独活、莲蕊须各一钱，石斛、
升麻、茯苓各七分，甘草六分，黄柏八分，桂圆肉二枚。又方用六龙固本丸，山药、巴戟肉、山茱肉各四两，川楝子、
补骨脂、（青盐三钱，汤泡。）人参、莲肉、黄 各二两，小茴香，川芎、木瓜各一两。张潞玉曰∶冲为血海，即是血室。
冲脉得热则迫血下行，男子亦有是症，不独妇人也。《金匮要略·水气篇》云∶问病有血分水分，何也？师曰∶经水前断，
后病水，名曰血水，此病为难治；先病水，后断经水，名曰水分，此病易治。何以故？去水，其经自下也。汪石山曰∶
凡经先断而后病水，少阴脉沉而滑，沉则在里，滑则为实，沉滑相搏，血结胞门，为血分难治。若先病水，而后病经断，
少阳脉牢，少阴脉细，男子小便不利，妇人经水不通；经通则为血，不利则为水，名水分易治。此因脾肺虚冷，不能通
调水道，下输膀胱，渗泄之令不行，生化之气不转。东垣云∶水饮留积，若土在雨中则为泥，得和气暖日，水湿去而万
物自生长；用加减肾气丸，归脾汤，六君子加木香、炮姜、肉桂。
小柴胡汤（方剂见《伤寒论》。）
半夏厚朴汤
半夏（一斤） 厚朴（三两） 茯苓（四两） 生姜（五两） 紫苏叶（二两）
以上五味药，用水一斗，煮取四升，分四次温服，白天服三次，晚上服一次。
歌诀说：症状像有烤肉块贴在咽喉中，其实是痰凝气机不通，半夏用一升、茯苓四两，生姜五两、厚朴三两、紫苏叶二两来攻治。
（次子陈元犀）按语：方中半夏降逆气，厚朴顺气机，茯苓化湿气，这是人所共知的。妙在重用生姜的辛散之性，以开解郁结；佐以紫苏叶的芳香，以疏散郁滞；所以能治疗咽喉中如有烤肉块梗阻的症状。后人改变了药物的分量，用于治疗胸腹满闷、呕吐逆气等症状，命名为七气汤，用来治疗七情致病。
甘麦大枣汤
甘草（三两） 小麦（一斤） 大枣（十枚）
以上三味药，用水六升，煮取三升，分三次温服。也能补益脾气。
歌诀说：妇人脏躁想要悲伤，好像有神灵附体般长叹息，（叹气、呵欠、伸懒腰。）小麦一升、甘草三两、大枣十枚，力量相当。
魏云：世间的医生竞相谈论滋阴养血，却不知道阴盛则津液更加枯竭，阳衰则阴液更加燥热，这个方子是治疗燥证的大法。
小青龙汤（歌诀见《伤寒论》。）
泻心汤（歌诀见《伤寒论》。）
温经汤
土瓜根散
土瓜根 芍药 桂枝 䗪虫（各三分）
以上四味药，捣碎成散剂，用酒送服一方寸匕，每天服三次。
歌诀说：带下病端由瘀血停滞引起，（月经不能如期而至，导致少腹满痛。）一个月见两次月经（既然有瘀血而不行，那么前次月经未畅行所余之血，来不及等到后一个月的正常经期就来了，所以一个月见两次。）不循常期，（经，指常也，言不遵循常规周期也。）土瓜根、桂枝、芍药分量相等，调和阴阳，遵守典范。
（次子陈元犀）按语：方中桂枝通阳气，芍药行阴血，阴阳调和则月经的根本端正了；土瓜根驱除热邪、运行瘀血，䗪虫蠕动逐血，治其根本而不遗漏其标末；没有一样不是先圣的典范。
旋覆花汤
旋覆花（三两） 葱白（十四茎） 新绛（少许）
以上三味药，用水三升，煎取一升，一次性服下。
（长孙陈心典禀告）按语：旋覆花咸温下气，新绛和血，葱白通阳。此方原本治疗肝气着滞的病证，对于此症只是示意其意，不可拘泥于这个方子，所以前贤怀疑此方存在错简。
胶姜汤（方剂未见，有人说即是干姜、阿胶两味煎服，《千金方》胶艾汤中有干姜，也可以取用。）
大黄甘遂汤
大黄（四两） 甘遂 阿胶（各二两）
以上三味药，用水三升，煎取二升，一次性服下，瘀血应当下行排出。
歌诀说：少腹高起如敦形（敦，音对。古代器物。《周礼》：“磬以盛血，敦以盛食。”少腹高起之状相似。少腹，是胞宫的室舍。胞为血海，其满大为蓄血也。）小便困难，（小便难而不渴，也是蓄血的表现。）水湿与瘀血两相弥漫，（结在血室，）大黄四两、甘遂阿胶各二两，顿服后瘀行病自安。
（次子陈元犀）按语：方中大黄攻逐血蓄，甘遂攻逐水蓄。妙在用阿胶，本为清济之水，伏行地中，历经千里发源于古东阿县的井，此方取其以水行水的意思。《内经》说：济水内合于心，用黑驴皮煎造成胶，黑色属于肾，水能济火，火熄而血自生。此方取其以补为通的意思，然而甘遂似乎应当减半使用。
抵当汤（歌诀见《伤寒论》。）师云：妇人经水不利下行，这是主脉症并实者；否则，应当养其冲任之源，不可攻下。
矾石丸
矾石（三分，烧制） 杏仁（一分，去皮尖）
以上两味药，研成细末，炼蜜为丸，如枣核大，纳入阴道内，病情重的再纳入一枚。
歌诀说：经血凝结成癖闭而坚硬，白带时时流出岂是偶然？（蓄泄不时，胞宫生湿，湿反生热，所积之血，转为温热所腐，而白带时时自下。）矾石用三分、杏仁一分，纳药时病去不迁延。
烧矾，驱除湿热，且涩能固脱；佐以杏仁的苦润，去除干血；这是一个外纳的方子，也兼顾不遗，可知古法之严密。
红兰花酒
红兰花（一两）
以上一味药，用酒一大升，煮至减半，一次性服下一半，若未止再服。
歌诀说：六十二风义理未详，腹中刺痛势彷徨；治风先要行其血，一两红兰花用酒煮尝。
张隐庵注解甚详，不再解释。
当归芍药散（方剂见《胎前》篇。）
小建中汤（歌诀见《伤寒论》。方意在扶脾以生血，不全依赖四物汤之类。）
肾气丸
干地黄（八两） 山药 山茱萸（各四两）
茯苓 丹皮 泽泻（各三两） 桂枝 附子（炮制，各一两）
以上八味药，研成细末，炼蜜和丸，如梧桐子大，酒送下十五丸，加至二十丸，每天服两次。
歌诀说：小便不通病转胞，胞由气主一言包；（胞之内外空虚，有气充塞，才不游移，其系自正；气虚则胞无所主，其系或致反戾，其溺必难矣。）山茱萸、山药四两、桂枝附子一两，丹皮、泽泻、茯苓三地、干地黄八两教人知。
此方妙在大补肾气，肾气足则胞正，胞正则系正，系正则小便不利而利矣。
蛇床子散
蛇床子一味药，研成细末，以白粉少许调和均匀，做成如枣大，用棉裹好纳入阴道，自然温暖。
野狼牙汤
野狼牙（三两）
用水四升，煮取半升，用棉缠筷子如茧状，浸汤沥入阴道中，每天四次。
歌诀说：胞寒外候见阴中寒，纳入蛇床佐粉安，（这是温胞益阳外治的善法，作为肾气丸的佐助。）更有阴中疮烂者，（乃温热不洁，而生疮也。）野狼牙三两洗何难？（除湿热，杀虫。如无野狼牙草，以野狼毒代之。）
膏发煎
猪膏（半斤） 乱发（如鸡子大，三枚）
以上两味药，和膏中煎之，发消药成，分两次服，病从小便出。（《千金方》云：太医校尉史脱家婢女，患黄病服此，胃中燥粪下，便痊愈，神效。）
歌诀说：阴吹症起大便坚，古有猪膏八两传，乱发三丸鸡子大，发消药熟始停煎。
门人问曰：妇人杂病繁多，非笔墨所能尽，《伤寒论》、《金匮要略》二书，何一而非妇科之法治乎？然而业此者绝少，通儒未免以集隘未全为议，请于《金匮》外而续补之，何如？
答曰：不能续也，不必续也。尔欲续，吾且恐尔续之。各家近道之言可录者少，今择数条于下。究竟仁者见之谓之仁，知者见之谓之知，善读书者自知之，而修园不赘也。
陈良甫说：妇人冲任二脉，为经脉之海，外循经络，内荣脏腑。若阴阳和平，则经下根据时；如劳伤不能约制，忽然暴下，甚则昏闷。若寸脉微迟，为寒在上焦，则吐血、衄血；尺脉微迟，为寒在下焦，则崩血、便血；法当调补脾胃为主。修园按：理中汤为要药。李东垣说：圣人治病，必本四时升降浮沉之理。经漏不止，是前阴之气血已下脱；水泻不止，是后阴之气血又下陷。后阴者，主有形之物；前阴者，精气之门户；前后二阴俱下，是病患周身之气常行。秋冬之令，主肃杀收藏，人身中阳气上浮，杀气上行，则阳生阴长，春夏是也。既病则周身气血皆不生长，杀气不升，前虽属热，下焦久脱，已化为寒，久沉久降，寒湿大胜，当急救之。泻寒以热，除湿以燥，大升大举，以助生长，补养气血，不致偏枯。圣人立治法云：湿气大胜，以所胜平之，当调和胃气而滋元气；如不止，用风药以胜湿，此是谓也。陈良甫说：妇人血崩心痛，名曰杀血心痛，由心脾血虚也。若小产去血过多而心痛者，亦虚也。用乌贼鱼骨炒为末，醋汤调下失笑散亦效。武叔卿说：鹿茸丸治经血过多，其色瘀黑，甚者崩下，呼吸少气，脐腹冷极，则汗如雨，两尺脉微细，由冲任虚衰，为风冷客胞中，气不能固，可灸关元百壮。夫丹溪以紫黑色为热，此言瘀黑者，乃下焦气寒，血凝而黑，各有治法。然女子气海在上，血海在下，故下焦温而后气升血行。如鹿茸以血成形，由气而长，血随气上而成角，故入血分以生升。又以附子、艾叶佐而温之，以赤石脂、禹余粮镇而固之，柏叶清之，归、地、续断补之，诚下元虚寒之全方也。不加人参岂无意焉？而灸关元之意可想矣。武叔卿说：血虚须兼补气，譬之血犹水也，气犹堤也；堤坚则水不横决，气固则血不妄行，自然之理也。武叔卿说：五灵脂散，治血崩不止，不拘多少，炒令烟尽，研末，以当归酒或童便调下三钱。一名抽刀散，治产后恶露，心腹痛不可忍，其效如神，真急救之良方也。人家不可不备。并治蛇、蝎、蜈蚣咬，涂伤处立愈。张子和说：妇人带下，《圣惠方》与巢氏二家之说皆非也。夫治病当先识经络，人身大经有十二，奇经有八脉，十二经与八脉，通身往来。经络共二十道，上下流走环周，昼夜不息。然此十二经，上下周流者，止十九道耳。惟带脉起少腹季胁之端，乃章门穴也，环周一身，络腰而过，如束带之于身。《难经》云：“带之为病，溶溶如坐井中”。冲任者，是经脉之海也，循腹胁，夹脑旁，传流于气冲，属于带脉，络于督脉。督脉者，起于关元穴。任脉者，女子养胎孕之所。督乃是督领妇人经脉之海也。冲、任、督三脉，同起而异行，一源而三岐，皆络于带脉。冲、任、督三脉，皆统于篡户，循阴器，行庭孔、溺孔上端。冲、任、督三脉，以带脉束之，因余经上下往来，遗热于带脉之间，客热抑郁。热者血也，血积多日不流，从金之化而为白，乘少腹冤热，白物满溢，随溲而下，绵绵不绝，是为白带。多不痛，或有痛者，因壅碍而成也。《经》曰：少腹寒热，溲出白液冤者，屈滞也。病非本经，为他经冤郁而成，此疾皆从湿热治之。遗热于小肠，从金代而为白，与治痢同法。赤白痢乃邪热入于大肠，赤白带是邪热传于小肠，故治二症，不可骤用峻热药燥之。燥之则内水涸，内水涸则必烦渴，烦渴则小便不利，小便不利则足肿面浮，渐至不起。治法先以导水禹功泻之，次以淡剂降心火、益肾水、下小溲、利水道则愈矣。张子和说：赤白痢者，是邪热入于大肠，下广肠，出赤白也。带下者，传于小肠，入脬经，下赤白也。据此二症，皆可同以治湿之法治之。
方约之说：带脉总束诸脉，使不妄行，如人束带而前垂也。妇人多郁怒伤肝，肝属木，脾属土，肝邪乘脾，则土受伤而有湿；湿生热，热则流通，故滑浊之物渗入膀胱，从小便而出。古人作湿寒，用辛温药则非矣！丹溪作湿热，用苦温药为是；不知用苦寒正治也，用辛温从治也。如湿热拂郁于内，腹痛带下，非辛温从治，能开散之乎？若少腹不痛，上下赤白带者，虽有湿热，而气不郁结，用苦寒治之为当也。吴梅坡治赤白带下，用自制十六味保元汤，骨碎补、贯众（去毛）三钱，杜仲、小茴香（盐水炒）各一钱五分，人参、巴戟各二钱，黄芪、当归、山药、独活、莲蕊须各一钱，石斛、升麻、茯苓各七分，甘草六分，黄柏八分，桂圆肉二枚。又方用六龙固本丸，山药、巴戟肉、山茱肉各四两，川楝子、补骨脂、（青盐三钱，汤泡。）人参、莲肉、黄芪各二两，小茴香，川芎、木瓜各一两。张潞玉说：冲为血海，即是血室。冲脉得热则迫血下行，男子亦有是症，不独妇人也。《金匮要略·水气篇》云：问病有血分水分，何也？师曰：经水前断，后病水，名曰血水，此病为难治；先病水，后断经水，名曰水分，此病易治。何以故？去水，其经自下也。汪石山说：凡经先断而后病水，少阴脉沉而滑，沉则在里，滑则为实，沉滑相搏，血结胞门，为血分难治。若先病水，而后病经断，少阳脉牢，少阴脉细，男子小便不利，妇人经水不通；经通则为血，不利则为水，名水分易治。此因脾肺虚冷，不能通调水道，下输膀胱，渗泄之令不行，生化之气不转。东垣云：水饮留积，若土在雨中则为泥，得和气暖日，水湿去而万物自生长；用加减肾气丸，归脾汤，六君子加木香、炮姜、肉桂。
Xiao Chai Hu Tang (Formula seen in *Shang Han Lun*.)
Ban Xia Hou Po Tang
Ban Xia (Pinelliae Rhizoma, one jin) Hou Po (Magnoliae Officinalis Cortex, three liang) Fu Ling (Poria, four liang) Sheng Jiang (Zingiberis Rhizoma Recens, five liang) Zi Su Ye (Perillae Folium, two liang)
The above five herbs, with ten dou of water, decoct to obtain four sheng, divide into four warm doses: three times during the day and once at night.
Song says: The symptom feels like a roasted meat lump stuck in the throat, yet it is phlegm stagnation blocking qi flow; Ban Xia one sheng, Fu Ling four liang, Sheng Jiang five liang, Hou Po three liang, Zi Su Ye two liang attack it.
(Second son Chen Yuanxi) Note: In this formula, Ban Xia descends rebellious qi, Hou Po smooths qi mechanism, and Fu Ling transforms dampness; these are well known. The subtlety lies in heavily using the pungent nature of Sheng Jiang to open blockages; assisted by the aromatic Zi Su Ye to disperse stagnation; thus it can treat the symptom of feeling as if a roasted meat lump is obstructing the throat. Later generations altered the dosages to treat chest and abdominal fullness, vomiting, and rebellious qi, naming it Qi Qi Tang (Seven Qi Decoction), used to treat diseases caused by the seven emotions.
Gan Mai Da Zao Tang
Gan Cao (Licorice Radix et Rhizoma, three liang) Xiao Mai (Tritici Fructus, one jin) Da Zao (Jujubae Fructus, ten pieces)
The above three herbs, with six sheng of water, decoct to obtain three sheng, divide into three warm doses. It also tonifies spleen qi.
Song says: Women suffering from Zang Zao (Visceral Agitation) desire sadness, sighing long as if possessed by spirits (sighing, yawning, stretching); Xiao Mai one sheng, Gan Cao three liang, Da Zao ten pieces have equivalent power.
Wei Yun: Physicians of the world compete to discuss nourishing yin and blood, but do they know that when yin is excessive, fluids become even more depleted; when yang is deficient, yin becomes even more dry? This formula is the major method for treating dryness.
Xiao Qing Long Tang (Song seen in *Shang Han Lun*.)
Xie Xin Tang (Song seen in *Shang Han Lun*.)
Wen Jing Tang
Tu Gua Gen San
Tu Gua Root (Trichosanthes Radix) Shao Yao (Paeoniae Radix Alba or Rubra) Gui Zhi (Cinnamomi Ramulus) E Chong (Eupolyphaga seu Steleophaga) (each three fen)
The above four herbs, pound into powder, take one cun bi with wine, three times a day.
Song says: The root of leukorrhea is due to blood stasis stagnation (menstruation does not arrive on time, causing lower abdominal fullness and pain). Seeing menstruation twice a month (since there is stasis preventing flow, the residual blood from the previous unsmooth menstruation cannot wait for the next normal cycle, hence appearing twice a month). Not following the regular cycle (Jing refers to regularity, meaning not following the standard period); Tu Gua Gen, Gui Zhi, and Shao Yao are equal in amount, harmonizing yin and yang, adhering to the classic model.
(Second son Chen Yuanxi) Note: In this formula, Gui Zhi unblocks yang qi, Shao Yao moves yin blood; when yin and yang are harmonized, the root of menstruation is rectified; Tu Gua Gen expels heat and moves stasis, E Chong crawls to drive out blood; treating the root without neglecting the branch; nothing here is not a classic of the ancient sages.
Xuan Fu Hua Tang
Xuan Fu Hua (Inulae Flos, three liang) Cong Bai (Allii Fistulosi Bulbus, fourteen stems) Xin Jiang (New Crimson Dye, a little)
The above three herbs, with three sheng of water, decoct to obtain one sheng, take all at once.
(Grandson Chen Xindian reports) Note: Xuan Fu Hua is salty and warm, descending qi; Xin Jiang harmonizes blood; Cong Bai unblocks yang. This formula originally treats liver qi stagnation and adhesion. For this condition, it merely indicates the principle; one should not be rigidly attached to this formula, which is why earlier experts suspected textual errors (cuo jian) in this passage.
Jiao Jiang Tang (Formula not seen; some say it is simply Gan Jiang and E Jiao decocted together. Gan Jiang is present in Qian Jin Fang's Jiao Ai Tang, which can also be used.)
Da Huang Gan Sui Tang
Da Huang (Rhei Radix et Rhizoma, four liang) Gan Sui (Kansui Radix) E Jiao (Asini Corii Colla) (each two liang)
The above three herbs, with three sheng of water, decoct to obtain two sheng, take all at once; the blood stasis should then descend.
Song says: Lower abdomen rises like a Dun vessel (Dun, pronounced dui. An ancient vessel. *Zhou Li*: "Qing holds blood, Dun holds food." The shape resembles the lower abdomen rising. Lower abdomen is the chamber of the uterus. Uterus is the sea of blood; its fullness and enlargement indicate blood accumulation.) Difficulty urinating (difficulty urinating without thirst also indicates blood stasis). Water and blood stasis both diffuse widely (stagnating in the blood chamber); Da Huang four liang, Gan Sui and E Jiao two liang each; taking all at once allows stasis to move and the disease to settle.
(Second son Chen Yuanxi) Note: In this formula, Da Huang attacks blood accumulation, Gan Sui attacks water accumulation. The brilliance lies in using E Jiao. Originally made from clear Ji River water, hidden underground, traveling a thousand miles to emerge from wells in ancient Dong'e County, this formula takes the meaning of using water to move water. *Nei Jing* states: Ji River internally connects with the heart; using black donkey hide to make glue, black belongs to the Kidney; water can balance fire, and when fire extinguishes, blood generates naturally. This formula takes the meaning of using tonification to promote movement. However, Gan Sui should probably be halved in dosage.
Di Dang Tang (Song seen in *Shang Han Lun*.) Master said: When women's menstruation fails to flow downward, this is indicated by pulse and symptoms being excess; otherwise, one must nourish the source of Chong and Ren meridians, and must not use purgatives.
Fan Shi Wan
Fan Shi (Alumen, three fen, calcined) Xing Ren (Pruni Semen, one fen, skin and tip removed)
The above two herbs, grind into powder, mix with refined honey to form pills the size of a date pit, insert into the vagina. For severe cases, insert another.
Song says: Menstrual blood coagulates into masses, closed and hard; white discharge flowing occasionally is not accidental (irregular retention and discharge cause dampness in the uterus; dampness generates heat, rotting accumulated blood, causing white discharge to flow down from time to time). Fan Shi three fen, Xing Ren one fen; inserting the medicine removes the disease without delay.
Calcined Alumen drives out damp-heat and astringes to prevent collapse; assisted by the bitter and moistening Xing Ren to remove dry blood; this is an external insertion formula, yet comprehensive, showing the meticulousness of ancient methods.
Hong Lan Hua Jiu
Hong Lan Hua (Carthami Flos, one liang)
The above single herb, with one da sheng of wine, boil until reduced by half, take half at once. If not stopped, take again.
Song says: The meaning of sixty-two winds is unclear; stabbing pain in the abdomen causes hesitation; to treat wind, one must first move blood; boil one liang of Hong Lan Hua in wine to taste.
Zhang Yinan's annotation is very detailed; no further explanation needed.
Dang Gui Shao Yao San (Formula seen in the *Tai Qian* chapter.)
Xiao Jian Zhong Tang (Song seen in *Shang Han Lun*. The intent of the formula is to support the spleen to generate blood, not relying solely on formulas like Si Wu Tang.)
Shen Qi Wan
Gan Di Huang (Rehmanniae Radix Preparata, eight liang) Shan Yao (Dioscoreae Rhizoma) Shan Zhu Yu (Corni Fructus) (each four liang)
Fu Ling (Poria) Dan Pi (Moutan Cortex) Ze Xie (Alismatis Rhizoma) (each three liang) Gui Zhi (Cinnamomi Ramulus) Fu Zi (Aconiti Lateralis Radix Praeparata, each one liang)
The above eight herbs, grind into powder, mix with refined honey to form pills the size of a wutong seed, take fifteen pills with wine, increasing to twenty pills, taken twice a day.
Song says: Urine obstruction turns into Bao (uterus) disease, "Bao is governed by qi" covers it all (The inside and outside of the Bao are empty; only when filled with qi does it stay in place and its ligaments remain straight; if qi is deficient, the Bao has no master, its ligaments may twist, making urination difficult.) Shan Zhu Yu and Shan Yao four liang, Gui Zhi and Fu Zi one liang, Dan Pi, Ze Xie, Fu Ling three di (parts), Gan Di Huang eight liang teach us.
The妙 (subtlety) of this formula lies in greatly tonifying kidney qi. When kidney qi is sufficient, the Bao is rectified; when the Bao is rectified, the ligaments are straight; when ligaments are straight, urinary difficulty resolves.
She Chuang Zi San
She Chuang Zi (Cnidii Fructus) alone, ground into powder, mixed with a little Bai Fen (rice powder) to blend well, formed into pills the size of a date pit, wrapped in cotton and inserted into the vagina, naturally warming.
Ye Lang Ya Tang
Ye Lang Ya (Saussureae Radix, three liang)
With four sheng of water, decoct to obtain half a sheng. Wrap cotton around a chopstick like a cocoon, dip in the decoction, and drip into the vagina, four times a day.
Song says: External signs of uterine cold show cold in the yin; inserting She Chuang Zi with rice powder brings peace (This is a good external method for warming the uterus and benefiting yang, serving as an assistant to Shen Qi Wan.) For those with sores and ulcers in the yin (caused by damp-heat and filth generating sores), is it difficult to wash with three liang of Ye Lang Ya? (Drains damp-heat, kills parasites. If Ye Lang Ya grass is unavailable, substitute with Ye Lang Du.)
Gao Fa Jian
Zhu Gao (Porci Adipis, half a jin) Luan Fa (Human Hair, size of a chicken egg, three pieces)
The above two herbs, cook together in the fat until the hair dissolves and the medicine is ready, divide into two doses, taken orally. The disease exits via urine (*Qian Jin Fang* says: A maid in the household of Tai Yi Xiao Wei Shi Tuo suffered from jaundice; after taking this, dry feces passed from the stomach, and she recovered miraculously.)
Song says: Yin Chui (flatulence from the vagina) arises from hard stools; ancient texts record eight liang of pig fat; three pills of human hair the size of a chicken egg; stop boiling when the hair dissolves and the medicine is ripe.
Disciple asked: Women's miscellaneous diseases are numerous, beyond what pen and paper can exhaust. Are not *Shang Han Lun* and *Jin Gui Yao Lue* entirely methods for gynecology? Yet few practice this, and learned scholars may criticize the collection as too narrow and incomplete. Would it not be better to continue and supplement them outside *Jin Gui*?
Answer: It cannot be continued, nor need it be. If you wish to continue, I fear you will continue it. Few words from various schools approach the Dao and are worth recording; now I select a few items below. Ultimately, the benevolent see benevolence, the wise see wisdom; those who read well know for themselves, and Xiu Yuan adds nothing more.
Chen Liangfu said: The Chong and Ren meridians in women are the sea of the meridians, circulating externally along the collaterals and nourishing internally the zang-fu organs. If yin and yang are peaceful, menstruation arrives on time; if labor and injury fail to restrain, sudden profuse bleeding occurs, leading to faintness. If the Cun pulse is slightly slow, it indicates cold in the upper jiao, causing hematemesis or epistaxis; if the Chi pulse is slightly slow, it indicates cold in the lower jiao, causing metrorrhagia or hematochezia; the method should primarily regulate and tonify the spleen and stomach. Xiu Yuan notes: Li Zhong Tang is the essential medicine. Li Dongyuan said: The sage treats diseases based on the principles of ascending, descending, floating, and sinking of the four seasons. Continuous menstrual leakage means qi and blood from the anterior yin have already descended and escaped; continuous watery diarrhea means qi and blood from the posterior yin have sunk. The posterior yin governs tangible matter; the anterior yin is the gateway of essence and qi; when both anterior and posterior yin lose substances, the patient's whole-body qi flows constantly. The command of autumn and winter governs肃杀 (clearing and storing); in the human body, yang qi floats upward, and killing qi ascends, leading to yang generation and yin growth, which is spring and summer. Once sick, whole-body qi and blood cease to grow, killing qi does not ascend; although the front may seem hot, prolonged loss in the lower jiao has transformed into cold. Prolonged sinking and descending lead to excessive cold-dampness, requiring urgent rescue. Use heat to drain cold, use dryness to drain dampness, greatly lift and raise to assist growth, tonify qi and blood to prevent hemiplegia. The sage established treatment methods saying: When dampness is excessive, balance it with what controls it; one must harmonize stomach qi and nourish primordial qi; if it does not stop, use wind herbs to overcome dampness; this is called it. Chen Liangfu said: Women with metrorrhagia and heart pain are named Sha Xue Xin Tong (Killing Blood Heart Pain), caused by heart and spleen blood deficiency. If heart pain occurs after abortion due to excessive blood loss, it is also deficiency. Use cuttlefish bone (Hai Piao Xiao) stir-fried into powder, taken with vinegar water; Shi Xiao San is also effective. Wu Shuqing said: Lu Rong Wan treats excessive menstruation with dark clotted blood, severe metrorrhagia, shortness of breath, extreme cold in the umbilical and abdominal region, sweating like rain, and fine, weak Chi pulses, caused by Chong and Ren deficiency and cold-wind invading the uterus, failing to secure qi. One can moxa Guan Yuan for one hundred burns. Danxi considered purple-black color as heat; this says dark clotted blood is due to lower jiao cold qi congealing blood into black; each has its treatment. However, women's Qi Hai is above, Blood Sea is below; thus, warming the lower jiao allows qi to rise and blood to move. Like Lu Rong, formed by blood, growing by qi, blood follows qi upward to form horns, thus entering the blood level to generate and ascend. Assisted by Fu Zi and Ai Ye to warm, stabilized by Chi Shi Zhi and Yu Liang Shi to secure, cleared by Bai Ye, tonified by Dang Gui, Di Huang, and Xu Duan; truly a complete formula for lower yuan deficiency-cold. Why not add Ren Shen? Surely there is a reason; the intent of moxa Guan Yuan can be imagined. Wu Shuqing said: Blood deficiency must be combined with qi tonification; compare blood to water and qi to a dike; if the dike is firm, water does not burst; if qi is solid, blood does not flow recklessly; this is natural law. Wu Shuqing said: Wu Ling Zhi San treats unstoppable metrorrhagia, regardless of amount, stir-fry until smoke ceases, grind into powder, take three qian with Dang Gui wine or child's urine. Also named Chou Dao San, treats postpartum lochia with unbearable heart and abdominal pain, effective as a spirit, truly a good emergency formula. Every household should keep it. It also treats snake, scorpion, and centipede bites; apply to the wound for immediate healing. Zhang Zihe said: Regarding women's leukorrhea, the theories of *Sheng Hui Fang* and Chao Shi are both incorrect. To treat disease, one must first understand the meridians. The human body has twelve main meridians and eight extraordinary vessels. The twelve meridians and eight vessels circulate throughout the body. There are twenty meridian pathways flowing up and down in a circle, day and night without rest. However, of these twelve meridians, only nineteen pathways circulate up and down. Only the Dai Mai originates from the end of the lower abdomen and hypochondrium, namely the Zhang Men acupoint, circling the whole body, crossing the waist, like a belt binding the body. *Nan Jing* says: "Dai disease feels like sitting in a well." Chong and Ren are the sea of the meridians, circulating along the abdomen and hypochondrium, beside the brain, flowing to Qi Chong, belonging to Dai Mai, connecting to Du Mai. Du Mai originates from Guan Yuan. Ren Mai is where women nurture pregnancy. Du leads the sea of women's meridians. Chong, Ren, and Du originate from the same source but travel differently, one source branching into three, all connecting to Dai Mai. Chong, Ren, and Du are all controlled by the vulva, following the genitalia, passing through the urethral and vaginal openings. Chong, Ren, and Du are bound by Dai Mai. Because other meridians go up and down, leaving heat in the Dai Mai, guest heat stagnates. Heat is blood; blood accumulates for many days without flowing, transforms according to Metal into white, riding on lower abdominal unjust heat, white substance overflows, flows down with urine, continuously without stopping, this is called white leukorrhea. Mostly painless; if painful, it is due to obstruction. *Jing* says: Lower abdominal cold and heat, urinating white fluid, Yuan means屈滞 (stagnation). The disease is not in the original meridian but formed by stagnation in other meridians; this ailment is all treated as damp-heat. Leaving heat in the Small Intestine, transforming via Metal into white, treated similarly to dysentery. Red and white dysentery is evil heat entering the Large Intestine; red and white leukorrhea is evil heat transmitting to the Small Intestine. Therefore, treating these two conditions, one must not suddenly use harsh hot herbs to dry. Drying them depletes internal water; depleted internal water causes vexation and thirst; vexation and thirst cause urinary difficulty; urinary difficulty causes foot swelling and facial edema, gradually leading to inability to rise. Treatment method: first purge with Dao Shui Yu Gong San, then use mild agents to descend heart fire, benefit kidney water, promote urination, and unblock water passages to cure. Zhang Zihe said: Red and white dysentery is evil heat entering the Large Intestine, descending to the broad intestine, exiting as red and white. Leukorrhea transmits to the Small Intestine, enters the bladder meridian, exits as red and white. Based on these two conditions, both can be treated with damp-draining methods.
Fang Yue Zhi said: Dai Mai binds all meridians, preventing reckless flow, like a person wearing a belt hanging forward. Women often suffer liver injury from depression and anger; Liver belongs to Wood, Spleen to Earth; Liver evil attacks Spleen, damaging Earth and creating dampness; dampness generates heat, heat flows, so slippery turbid substances seep into the Bladder and exit via urine. Ancients considered it damp-cold, using pungent-warm herbs was wrong! Danxi considered it damp-heat, using bitter-warm herbs was correct; but did not know to use bitter-cold for direct treatment, or pungent-warm for indirect treatment. If damp-heat stifles internally, causing abdominal pain and leukorrhea, can pungent-warm indirect treatment open and disperse it? If the lower abdomen is not painful, with upper and lower red and white leukorrhea, although there is damp-heat, qi is not stagnant, using bitter-cold treatment is appropriate. Wu Mei Po treated red and white leukorrhea using self-made Shi Liu Wei Bao Yuan Tang: Gu Sui Bu, Guan Zhong (de-hair) three qian, Du Zhong, Xiao Hui Xiang (salt-water stir-fried) each one qian five fen, Ren Shen, Ba Ji each two qian, Huang Qi, Dang Gui, Shan Yao, Du Huo, Lian Rui Xu each one qian, Shi Hu, Sheng Ma, Fu Ling each seven fen, Gan Cao six fen, Huang Bo eight fen, Gui Yuan Rou two pieces. Another formula uses Liu Long Gu Ben Wan: Shan Yao, Ba Ji Rou, Shan Zhu Rou each four liang, Chuan Lian Zi, Bu Gu Zhi (soaked in green salt water three qian), Ren Shen, Lian Rou, Huang Qi each two liang, Xiao Hui Xiang, Chuan Xiong, Mu Gua each one liang. Zhang Lu Yu said: Chong is the sea of blood, which is the blood chamber. When Chong Mai receives heat, it forces blood downward; men also have this condition, not just women. *Jin Gui Yao Lue · Water Qi Chapter* asks: What are blood division and water division? Master said: If menstruation stops first, then water disease appears, it is called blood water, this disease is difficult to treat; if water disease appears first, then menstruation stops, it is called water division, this disease is easy to treat. Why? Remove the water, and menstruation will flow naturally. Wang Shi Shan said: Whenever menstruation stops first then water disease appears, Shao Yin pulse is deep and slippery; deep indicates interior, slippery indicates excess; deep and slippery interact, blood knots in the womb gate, making blood division difficult to treat. If water disease appears first then menstruation stops, Shao Yang pulse is firm, Shao Yin pulse is fine; men have urinary difficulty, women have amenorrhea; flowing menstruation is blood, difficult urine is water, named water division, easy to treat. This is due to spleen and lung deficiency-cold, unable to regulate water passages, transport downward to the bladder, the command of infiltration and excretion does not function, the qi of transformation and generation does not turn. Dongyuan said: Water drink retention, if soil is in rain becomes mud, getting harmonious qi and warm sun, water and dampness leave and all things grow naturally; use Modified Shen Qi Wan, Gui Pi Tang, Liu Jun Zi Tang plus Mu Xiang, Pao Jiang, Rou Gui.