一问∶妇人中风，右身半边不遂者，何治？
答曰∶右属气，此伤气也。须服行气汤∶
人参 香附 白芷 青皮 陈皮 白茯苓 白术 甘草
又用八味顺气散加枳壳、香附，腰痛加红花、柴胡。
凡中风者先服此汤以顺气。
二问∶妇人中风，左边半身不遂者，何治？
答曰∶左属血，此伤血也，须服活血之药∶
当归 枳壳 香附 红花 甘草 赤芍 乌药 青皮 木香 官桂
三问∶妇人中风，口眼歪斜，言语不清，头痛难眠者，何治？
答曰∶血少着风，医风先医血，血行风自灭。须服大补气血之剂，兼治痰。用二陈汤。
四问∶妇人中风，有肥瘦不同，如何治之？
答曰∶肥人治痰，瘦人补血。用补中益气汤，加贝母、黄连。
五问∶妇人中风，有汗不出与大便秘结，如何治之？
答曰∶大补血、生血兼痰治之，以四物汤为主，去熟地。
六问∶妇人伤风咳嗽，有痰、身热、头痛多汗者，何治？
答曰∶用旋覆花汤加人参。
七问∶妇人头痛身热，鼻息咳嗽者，何治？
答曰∶用人参败毒散，咳嗽加桔梗、半夏、桑皮、姜三枣一。
八问∶妇人咳嗽有发于旦者，何治？
答曰∶此阳火也，用黄芩之类治之。
又问∶有发于夕者，何治？
答曰∶此阴火也，用生地之类治之。
九问∶妇人连年咳嗽不止者，何治？
答曰∶此脾胃虚寒也，用人参润肺汤。
十问∶妇人胸中嘈杂，食过即饥者，何治？
答曰∶此虚火太盛也，用山栀、半夏、黄连、橘红。若肥人，用二陈汤加白术、苍术、山栀、抚芎。
十一问∶妇人胸中常饱，不能进食者，何治？
答曰∶此浊气在上，故生填胀。用木香顺气散。
十二问∶妇人夏四月四肢倦怠，气不能舒者，何治？
答曰∶调理脾胃为上，用清暑益气汤。
十三问∶妇人周身骨痛，有风、有劳、有痰者，何治？
答曰∶周身痛，心嘈，痰也。用二陈汤，加枳壳、山栀、橘红；满身痛、手足肿者，湿也。用健
脾汤；满身痛、内热、口干、面黄者，劳也。以血虚断之，用逍遥散；身热、咳嗽者，风也，用金沸散。
十四问∶妇人皮肤折裂，口渴舌干或大小便结者，何治？
答曰∶此症要犯血淋，今所患者，血枯也。当以散血补气为主，如生地、黄连、知母之类。
十五问∶妇人小便利而大便结，或大便通而小便结者，何治？
答曰∶宜服生血之剂。
十六问∶妇人喉中痰塞如块，又如梅核吐不出、咽不下，何治？
答曰∶此气郁也，用二陈汤，去半夏，加贝母，黄连、枳实可也。或用四七汤治之，尤妙。
十七问∶妇人饮食呕吐而不纳，甚至药亦不纳者，何治？
答曰∶此伤胃也，宜服下药∶
半夏 生姜 藿香 乌梅，忌甜食。
十八问∶妇人老疟而腹中有癖者，何治？
答曰∶宜用清胃汤。
十九问∶妇人泻而见血，有散、有块、有鲜、有紫，如何辩其为伤、为痢、为脏毒？
答曰∶泻而见血，有散有块，以手按之，腹作痛，此伤也，用胃风汤；腹作响，即欲去后
者，此痢也，用加减平胃散；腹不痛，不时去血，乃脏毒也，用槐角丸。
二十问∶妇人痢疾，不去纯红者，何治？
答曰∶此中暑毒盛，此症难治。
又问∶禁口痢者，何治？
答曰∶此热毒冲心，呕而不食也。用黄芩、吴茱萸，或仓 汤。
二十一问∶妇人胸中作痛，呕吐清水，得食即止，不食即饥者，何治？
答曰∶此火病也，服养胃汤，去参，加姜、炒黄连、香附。
二十二问∶妇人呕吐清水及黄水，食物痰饮，冬、夏各用何药？
答曰∶用养胃散，夏月去参加半夏，冬月用炮姜。
二十三问∶妇人腹胀者，何治？
答曰∶此多气也，用木香流气饮。如气下陷，加升麻，有痰，加半夏。
二十四问∶妇人胸中痞满壅塞者，何治？
答曰∶宜用指迷七气汤加木香。
二十五问∶妇人腹中有块，聚散生降、发寒热、作痛者，何治？
答曰∶有形作血治，服∶
蓬术 甘草 三棱 藿香 香附 益智仁 半夏 姜枣
二十六问∶妇人时时腰痛者，何治？
答曰∶用补中益气汤，加杜仲。
二十七问∶妇人腰膝走注，痛如虎咬之状不可忍者，何治？
答曰∶此伤也，当服活血药，如当归、白术、牛膝之类，加童便。
二十八问∶妇人跌扑闪挫，损伤凝血，胸肋作痛者，何治？
答曰∶用活血药，加丹皮，此乃生新血、去宿血之药。煎好，加童便。
二十九问∶妇人心胸嘈杂者，何治？
答曰∶妇人多患此症，乃多痰故也。皆汗液变成痰涎。不知，以血嘈治，谬矣。宜用旋覆花汤，加贝母、姜汁。
三十问∶妇人遍身麻木者，何治？
答曰∶麻者，气虚也；木者，无血也，又有胃中有痰而麻木者，有血虚而麻木者。凡妇人肥，血而心嘈，当以痰治
之；黄瘦而无力者，当以血虚治之。
三十一问∶妇人遗尿、遗粪者，何治？
答曰∶此气虚也，宜用补中益气汤，数帖而愈。
三十二问∶妇人阴痛、阴痒者，何治？
答曰∶此湿也，用柴胡石膏汤。
三十三问∶妇人阴痒不可忍者，何治？
答曰∶此湿热生虫蚀之也，不治，渐渐淫入脏腑。速用杏仁研烂，布包入阴户之内，一二日即愈。
三十四问∶妇人小便尿血者，何治？
答曰∶此下元委曲之火也，炒山栀不可无。
三十五问∶妇人破伤凤，如何断之？
答曰∶此患非轻。如头目青黑、额上出汗如珠不流、眼小目瞪、身上出汗如油，必不可治。如
伤不至此，当服防风散。
三十六问∶妇人腹中有块，诸药不效者，何治？
答曰∶宜鬼见愁草打汁，和酒饮之。或晒干力末，酒调亦可。
三十七问∶妇人交伤者，何治？
答曰∶小便出大便者，谓交伤，传送失度也。用茯苓散分利水谷，再服黄连阿胶丸。
三十八问∶妇人喉咙作痛者，何治？
答曰∶此名虚火，不可误以乳蛾治之。止用人参、薄荷、贝母、干葛、桑皮、甘草、桔梗、
玄参、花粉、当归、生地之类。如因酒伤人作痛，去人参活之。
三十九问∶妇人阴户生疮者，何治？
答曰∶用桃仁捣烂，麻布裹塞之。
四十问∶妇人阴户如水者，何治？
答曰∶用母丁香，缝纱囊如指头大者，塞入内即暖。
四十一问∶妇人无病而阴痛者，何也？
答曰∶必交伤也，用炒盐，青布裹熨之。
四十二问∶胎前心口气塞，腹痛自痢非痢，何治？
答曰∶以安胎为主。宜用后药∶
白术（二钱） 紫苏（五分） 甘草（五分） 陈皮（八分） 当归（二钱）
川芎（一钱） 黄芩（八分） 木香（三分）
气顺，去木香；虚，加熟地；腰痛，加山药、姜一片、枣三个。
四十三问∶妇人产后腰痛、腹痛，恶露似通非通，何治？
答曰∶可用后药∶
川芎（一钱） 当归（二钱） 甘草（三分） 桃仁（十粒） 干姜（五分）
酒六匙，煎服。
一问：妇女患中风，右侧半身不遂，如何治疗？
答：右侧属气，这是气受损。必须服用行气汤：
人参、香附、白芷、青皮、陈皮、白茯苓、白术、甘草。
另外使用八味顺气散加枳壳、香附，若腰痛则加红花、柴胡。
凡是中风者，先服此汤以理顺气机。
二问：妇女患中风，左侧半身不遂，如何治疗？
答：左侧属血，这是血受损，必须服用活血的药物：
当归、枳壳、香附、红花、甘草、赤芍、乌药、青皮、木香、官桂。
三问：妇女患中风，口眼歪斜，言语不清，头痛难以入睡，如何治疗？
答：血少受风邪侵袭，医治风证先医治血，血行则风自灭。必须服用大补气血的药剂，兼治痰湿。使用二陈汤（Erchen Tang, Two-Cured Decoction）。
四问：妇女患中风，有肥胖与消瘦的不同，如何治疗？
答：肥胖之人治痰，消瘦之人补血。使用补中益气汤（Buzhong Yiqi Tang, Tonify the Middle and Augment the Qi Decoction），加贝母、黄连。
五问：妇女患中风，无汗且大便干结，如何治疗？
答：宜大补血液、生血并兼治痰湿，以四物汤（Siwu Tang, Four-Substance Decoction）为主方，去掉熟地黄。
六问：妇女伤风咳嗽，有痰、身热、头痛多汗，如何治疗？
答：使用旋覆花汤（Xuanfuhua Tang, Inula Flower Decoction）加人参。
七问：妇女头痛身热，鼻息不利咳嗽，如何治疗？
答：使用人参败毒散（Renshen Baidisan, Ginseng Detoxification Powder），咳嗽加桔梗、半夏、桑白皮、生姜三片、大枣一枚。
八问：妇女咳嗽在早晨发作，如何治疗？
答：这是阳火所致，用黄芩等药物治疗。
又问：如果在傍晚发作，如何治疗？
答：这是阴火所致，用地黄等药物治疗。
九问：妇女连年咳嗽不止，如何治疗？
答：这是脾胃虚寒，使用人参润肺汤（Renshen Runfei Tang, Ginseng Lung-Moistening Decoction）。
十问：妇女胸中嘈杂，进食后即刻感到饥饿，如何治疗？
答：这是虚火太盛，用山栀、半夏、黄连、橘红。若是肥胖之人，用二陈汤加白术、苍术、山栀、抚芎。
十一问：妇女胸中常感饱胀，不能进食，如何治疗？
答：这是浊气停留在上部，导致填塞胀满。使用木香顺气散（Muxiang Shunqi San, Costus Regulating Qi Powder）。
十二问：妇女在夏季四月四肢倦怠，气机不畅，如何治疗？
答：调理脾胃为上策，使用清暑益气汤（Qingshu Yiqi Tang, Clear Summerheat and Augment Qi Decoction）。
十三问：妇女周身骨痛，有的因风，有的因劳损，有的因痰，如何治疗？
答：周身疼痛伴心中嘈杂，是痰湿所致。用二陈汤，加枳壳、山栀、橘红；满身疼痛、手足肿胀，是湿邪所致。用健脾汤（Jianpi Tang, Spleen-Strengthening Decoction）；满身疼痛、内热、口干、面色发黄，是劳损所致。断定为血虚，用逍遥散（Xiaoyao San, Free Wanderer Powder）；身热、咳嗽，是风邪所致，用金沸散（Jinfeisan, Golden Boiling Herb Powder）。
十四问：妇女皮肤皲裂，口渴舌干或大小便干结，如何治疗？
答：此症容易并发血淋（Blood Dysuria），如今患者属于血枯（Blood Exhaustion）。应当以散血补气为主，如生地、黄连、知母之类。
十五问：妇女小便通利而大便干结，或大便通畅而小便涩结，如何治疗？
答：适宜服用生血的药剂。
十六问：妇女喉中痰阻如块状，又如梅核吐不出、咽不下，如何治疗？
答：这是气郁（Qi Stagnation），用二陈汤，去掉半夏，加贝母、黄连、枳实即可。或者用四七汤（Siqi Tang, Four-Seven Decoction）治疗，尤为巧妙。
十七问：妇女饮食呕吐且不纳食，甚至药物也无法接受，如何治疗？
答：这是损伤了胃气，适宜服用以下药物：
半夏、生姜、藿香、乌梅，忌食甜食。
十八问：妇女患久疟疾且腹中有癖积（Abdominal Masses），如何治疗？
答：适宜使用清胃汤（Qingwei Tang, Clear Stomach Decoction）。
十九问：妇女腹泻带血，有的呈散状，有的成块，有的鲜红，有的紫暗，如何辨别是伤食、痢疾还是脏毒（Visceral Toxin）？
答：腹泻带血，有散状有块状，用手按压腹部作痛，这是伤食，用胃风汤（Weifeng Tang, Stomach Wind Decoction）；腹部作响，即欲排便，这是痢疾，用加减平胃散（Jiajian Pingwei San, Modified Pingwei Powder）；腹部不痛，不时出血，乃是脏毒，用槐角丸（Huaijiao Wan, Sophora Fruit Pill）。
二十问：妇女患痢疾，排出的全是纯红色血液，如何治疗？
答：这是中暑毒盛，此症难治。
又问：禁口痢（Anorexic Dysentery）如何治疗？
答：这是热毒冲心，呕吐而不思饮食。用黄芩、吴茱萸，或仓廪汤（Canglin Tang）。
二十一问：妇女胸中作痛，呕吐清水，进食后疼痛停止，不进食则感到饥饿，如何治疗？
答：这是火病，服用养胃汤（Yangwei Tang, Nourish Stomach Decoction），去掉人参，加生姜、炒黄连、香附。
二十二问：妇女呕吐清水及黄水，以及食物痰饮，冬季和夏季各用什么药？
答：使用养胃散（Yangwei San, Nourish Stomach Powder），夏季加入半夏，冬季用炮姜。
二十三问：妇女腹胀，如何治疗？
答：这多是气滞，用木香流气饮（Muxiang Liuqi Yin, Costus Moving Qi Infusion）。如气下陷，加升麻；有痰，加半夏。
二十四问：妇女胸中痞满壅塞，如何治疗？
答：适宜用指迷七气汤（Zhimi Qi Qi Tang, Finger-Amusing Seven-Qi Decoction）加木香。
二十五问：妇女腹中有肿块，聚散无常，发寒热，作痛，如何治疗？
答：有形之肿块按血分治疗，服用：
蓬莪术、甘草、三棱、藿香、香附、益智仁、半夏、生姜、大枣。
二十六问：妇女时时腰痛，如何治疗？
答：用补中益气汤，加杜仲。
二十七问：妇女腰膝游走性疼痛，痛如虎咬般不可忍受，如何治疗？
答：这是瘀伤，应当服用活血药，如当归、白术、牛膝之类，加童便（Child's Urine）。
二十八问：妇女跌打闪挫，损伤凝血，胸胁作痛，如何治疗？
答：用活血药，加牡丹皮，这是生新血、去宿血（Old Blood）的药。煎好后，加童便。
二十九问：妇人心胸嘈杂，如何治疗？
答：妇人常患此症，乃是因为多痰。皆由汗液变成痰涎所致。不知此理，而以血嘈（Blood-related Clamor）治疗，是错误的。适宜用旋覆花汤，加贝母、姜汁。
三十问：妇女遍身麻木，如何治疗？
答：麻，是气虚；木，是无血。又有胃中有痰导致麻木的，有血虚导致麻木的。凡是妇人肥胖且心胸嘈杂的，当以痰论治；面色黄瘦而无力的，当以血虚论治。
三十一问：妇女遗尿、遗粪，如何治疗？
答：这是气虚，适宜用补中益气汤，数剂后即可痊愈。
三十二问：妇女外阴疼痛、瘙痒，如何治疗？
答：这是湿邪，用柴胡石膏汤（Chaihu Shigao Tang, Bupleurum and Gypsum Decoction）。
三十三问：妇女外阴瘙痒不可忍受，如何治疗？
答：这是湿热生虫侵蚀所致，若不治疗，渐渐会淫入脏腑。速用杏仁研烂，布包后放入阴道内，一二日即可痊愈。
三十四问：妇女小便尿血，如何治疗？
答：这是下元委曲之火（Hidden Fire in the Lower Origin），炒山栀不可少。
三十五问：妇女破伤风，如何诊断？
答：此患非轻。如头目青黑、额上出汗如珠不流、眼小目瞪、身上出汗如油，必不可治。如果伤势不到这种程度，应当服用防风散（Fangfeng San, Saposhnikovia Powder）。
三十六问：妇女腹中有肿块，诸药无效，如何治疗？
答：适宜用鬼见愁草榨汁，和酒饮用。或晒干研末，酒调服亦可。
三十七问：妇女交伤（Intercourse Injury），如何治疗？
答：小便出大便者，谓之交伤，传送失度。用茯苓散分利水谷，再服黄连阿胶丸（Huanglian Ejiao Wan, Coptis and Donkey-Hide Gelatin Pill）。
三十八问：妇女喉咙作痛，如何治疗？
答：此名虚火，不可误以乳蛾（Milk Swallow/tonsillitis）治疗。只用人参、薄荷、贝母、干葛、桑白皮、甘草、桔梗、玄参、花粉、当归、生地之类。如因饮酒伤人作痛，去掉人参。
三十九问：妇女阴户生疮，如何治疗？
答：用桃仁捣烂，麻布包裹塞入。
四十问：妇女阴户流水，如何治疗？
答：用母丁香，缝制纱囊如指头大小，塞入内部即暖。
四十一问：妇女无病而阴痛，是什么原因？
答：必然是交伤所致，用炒盐，青布包裹熨烫患处。
四十二问：胎前心口气塞，腹痛自痢而非痢疾，如何治疗？
答：以安胎为主。适宜用以下药物：
白术（二钱）、紫苏（五分）、甘草（五分）、陈皮（八分）、当归（二钱）、川芎（一钱）、黄芩（八分）、木香（三分）。
气顺后，去掉木香；体虚，加熟地黄；腰痛，加山药、一片姜、三个枣。
四十三问：妇女产后腰痛、腹痛，恶露似通非通，如何治疗？
答：可用以下药物：
川芎（一钱）、当归（二钱）、甘草（三分）、桃仁（十粒）、干姜（五分）。
酒六匙，煎服。
Question 1: A woman suffers from wind-stroke (Zhong Feng) with paralysis of the right half of the body. How should it be treated?
Answer: The right side belongs to Qi; this is an injury to Qi. One must take Xingqi Tang (Regulate Qi Decoction):
Ren Shen (Ginseng Radix), Xiang Fu (Cyperus Rhizome), Bai Zhi (Angelicae Dahuricae Radix), Qing Pi (Citri Reticulatae Pericarpium Viride), Chen Pi (Citri Reticulatae Pericarpium), Bai Fu Ling (Poria), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gan Cao (Licorice Root).
Additionally, use Bawei Shunqi San (Eight-Ingredient Regulating Qi Powder) added with Zhi Ke (Aurantii Fructus Immaturus) and Xiang Fu. If there is lower back pain, add Hong Hua (Carthami Flos) and Chai Hu (Bupleuri Radix).
For all cases of wind-stroke, first take this decoction to smooth the flow of Qi.
Question 2: A woman suffers from wind-stroke with paralysis of the left half of the body. How should it be treated?
Answer: The left side belongs to Blood; this is an injury to Blood. One must take blood-invigorating medicines:
Dang Gui (Angelicae Sinensis Radix), Zhi Ke, Xiang Fu, Hong Hua, Gan Cao, Chi Shao (Paeoniae Radix Rubra), Wu Yao (Linderae Radix), Qing Pi, Mu Xiang (Aucklandiae Radix), Guan Gui (Cinnamomi Cortex).
Question 3: A woman suffers from wind-stroke with deviation of the mouth and eyes, unclear speech, headache, and insomnia. How should it be treated?
Answer: There is a deficiency of Blood allowing Wind pathogen to lodge. To treat Wind, one must first treat Blood; when Blood flows, Wind extinguishes itself. One must take a formula that greatly tonifies Qi and Blood, while simultaneously treating Phlegm. Use Erchen Tang (Two-Cured Decoction).
Question 4: Women suffering from wind-stroke vary in being fat or thin. How should they be treated?
Answer: Fat individuals are treated for Phlegm; thin individuals are treated by nourishing Blood. Use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), added with Bei Mu (Fritillariae Bulbus) and Huang Lian (Coptidis Rhizoma).
Question 5: Women suffering from wind-stroke have no sweating and constipation. How should they be treated?
Answer: It is appropriate to greatly tonify Blood, generate Blood, and concurrently treat Phlegm, using Siwu Tang (Four-Substance Decoction) as the main formula, removing Shu Di Huang (Prepared Rehmanniae Radix).
Question 6: A woman has caught a cold with cough, phlegm, fever, headache, and excessive sweating. How should she be treated?
Answer: Use Xuanfuhua Tang (Inula Flower Decoction) added with Ren Shen.
Question 7: A woman has headache, fever, nasal congestion, and cough. How should she be treated?
Answer: Use Renshen Baidisan (Ginseng Detoxification Powder). For cough, add Jie Geng (Platycodonis Radix), Ban Xia (Pinelliae Rhizoma), Sang Bai Pi (Mori Cortex), three slices of Sheng Jiang (Zingiberis Rhizoma Recens), and one date.
Question 8: A woman’s cough starts in the morning. How should it be treated?
Answer: This is caused by Yang Fire. Treat it with Huang Qin (Scutellariae Radix) and similar herbs.
Follow-up question: What if it starts in the evening?
Answer: This is caused by Yin Fire. Treat it with Sheng Di Huang (Rehmanniae Radix) and similar herbs.
Question 9: A woman has had continuous coughing for years. How should it be treated?
Answer: This is deficiency-cold of the Spleen and Stomach. Use Renshen Runfei Tang (Ginseng Lung-Moistening Decoction).
Question 10: A woman feels clammy discomfort in the chest and feels hungry immediately after eating. How should it be treated?
Answer: This is excessive deficient fire. Use Shan Zhi (Gardeniae Fructus), Ban Xia, Huang Lian, Ju Hong (Tangerine Peel). If the person is fat, use Erchen Tang added with Bai Zhu, Cang Zhu (Atractylodis Rhizoma), Shan Zhi, and Fu Xiong (Ligustici Chuanxiong Rhizoma).
Question 11: A woman often feels fullness in the chest and cannot eat. How should it be treated?
Answer: This is turbid Qi staying in the upper jiao, causing distension. Use Muxiang Shunqi San (Costus Regulating Qi Powder).
Question 12: In the fourth month of summer, a woman has weary limbs and stagnant Qi. How should it be treated?
Answer: Regulating the Spleen and Stomach is paramount. Use Qingshu Yiqi Tang (Clear Summerheat and Augment Qi Decoction).
Question 13: A woman has bone pain throughout the body, caused by Wind,劳损 (strain/overwork), or Phlegm. How should it be treated?
Answer: Body-wide pain with chest clamminess is due to Phlegm. Use Erchen Tang added with Zhi Ke, Shan Zhi, Ju Hong; body-wide pain with swollen hands and feet is due to Dampness. Use Jianpi Tang (Spleen-Strengthening Decoction); body-wide pain with internal heat, dry mouth, and sallow complexion is due to strain. Diagnose as Blood deficiency and use Xiaoyao San (Free Wanderer Powder); fever and cough are due to Wind. Use Jinfeisan (Golden Boiling Herb Powder).
Question 14: A woman has cracked skin, thirst, dry tongue, or constipation of both bowels and bladder. How should it be treated?
Answer: This condition risks developing into Xuelin (Blood Dysuria). The current patient suffers from Xueku (Blood Exhaustion). Focus on dispersing Blood and tonifying Qi, using herbs such as Sheng Di Huang, Huang Lian, and Zhi Mu (Anemarrhenae Rhizoma).
Question 15: A woman has free urination but constipation, or free defecation but difficult urination. How should it be treated?
Answer: It is suitable to take formulas that generate Blood.
Question 16: A woman has phlegm obstruction in the throat like a lump, feeling like a plum pit that cannot be spat out or swallowed. How should it be treated?
Answer: This is Qi stagnation. Use Erchen Tang, remove Ban Xia, and add Bei Mu, Huang Lian, and Zhi Shi (Aurantii Fructus). Alternatively, treat with Siqi Tang (Four-Seven Decoction), which is excellent.
Question 17: A woman vomits food and refuses to swallow, even refusing medicine. How should it be treated?
Answer: This is an injury to the Stomach. Take the following:
Ban Xia, Sheng Jiang, Huo Xiang (Agastaches Herba), Wu Mei (Mume Fructus). Avoid sweet foods.
Question 18: An elderly woman has chronic malaria and abdominal masses (Pi Ji). How should it be treated?
Answer: Use Qingwei Tang (Clear Stomach Decoction).
Question 19: A woman has bloody diarrhea. Some stool is scattered, some clotted, some bright red, some purple. How to distinguish between injury (Shang), dysentery (Li), and visceral toxin (Zang Du)?
Answer: Bloody diarrhea with scattered or clotted stool, painful upon pressure, is injury. Use Weifeng Tang (Stomach Wind Decoction); bowel sounds rumbling with immediate urge to defecate is dysentery. Use Jiajian Pingwei San (Modified Pingwei Powder); painless, intermittent bleeding is visceral toxin. Use Huaijiao Wan (Sophora Fruit Pill).
Question 20: A woman has dysentery consisting purely of bright red blood. How should it be treated?
Answer: This is severe summerheat toxin. This condition is difficult to treat.
Follow-up question: How to treat anorexic dysentery (Jinkou Li)?
Answer: This is heat toxin rushing to the Heart, causing vomiting and refusal to eat. Use Huang Qin and Wu Zhu Yu (Evodiae Fructus), or Canglin Tang.
Question 21: A woman has chest pain, vomits clear fluid, pain stops after eating, and hunger returns when not eating. How should it be treated?
Answer: This is a Fire disease. Take Yangwei Tang (Nourish Stomach Decoction), remove Ren Shen, add Sheng Jiang, fried Huang Lian, and Xiang Fu.
Question 22: A woman vomits clear and yellow fluids, as well as food and phlegm-fluids. What medicines are used in winter and summer?
Answer: Use Yangwei San (Nourish Stomach Powder). In summer, add Ban Xia; in winter, use Pao Jiang (Prepared Zingiberis Rhizoma).
Question 23: A woman has abdominal distension. How should it be treated?
Answer: This is mostly Qi stagnation. Use Muxiang Liuqi Yin (Costus Moving Qi Infusion). If Qi sinks, add Sheng Ma (Cimicifugae Rhizoma); if there is Phlegm, add Ban Xia.
Question 24: A woman has chest stuffiness and blockage. How should it be treated?
Answer: Use Zhimi Qi Qi Tang (Finger-Amusing Seven-Qi Decoction) added with Mu Xiang.
Question 25: A woman has abdominal masses that gather and scatter, accompanied by chills, fever, and pain. How should it be treated?
Answer: Tangible masses are treated according to Blood regulations. Take:
Peng E Zhu (Curcumae Rhizoma), Gan Cao, San Leng (Sparganii Rhizoma), Huo Xiang, Xiang Fu, Yi Zhi Ren (Alpiniae Oxyphyllae Fructus), Ban Xia, Sheng Jiang, Da Zao (Jujubae Fructus).
Question 26: A woman frequently has lower back pain. How should it be treated?
Answer: Use Buzhong Yiqi Tang added with Du Zhong (Eucommiae Cortex).
Question 27: A woman has wandering pain in the waist and knees, unbearable like a tiger bite. How should it be treated?
Answer: This is trauma/stasis. Take blood-invigorating medicines such as Dang Gui, Bai Zhu, Niu Xi (Achyranthis Bidentatae Radix), added with Tong Bian (Child's Urine).
Question 28: A woman suffers from falls or sprains, damaging coagulated blood, causing chest and hypochondriac pain. How should it be treated?
Answer: Use blood-invigorating medicines added with Dan Pi (Moutan Cortex). These are medicines to generate new Blood and eliminate old Blood (Su Xue). After decocting, add Tong Bian.
Question 29: A woman has chest clamminess. How should it be treated?
Answer: Women often suffer from this due to excessive Phlegm. Sweat transforms into phlegm-saliva. Treating it as blood-related clamminess is erroneous. Use Xuanfuhua Tang added with Bei Mu and Jiang Zhi (Ginger Juice).
Question 30: A woman has numbness all over the body. How should it be treated?
Answer: "Ma" (numbness/tingling) is Qi deficiency; "Mu" (wood-like insensitivity) is Blood deficiency. There are also cases of numbness due to Phlegm in the Stomach and those due to Blood deficiency. For fat women with chest clamminess, treat Phlegm; for sallow, thin, and weak women, treat Blood deficiency.
Question 31: A woman has involuntary urination and defecation. How should it be treated?
Answer: This is Qi deficiency. Use Buzhong Yiqi Tang; several doses will lead to recovery.
Question 32: A woman has vulvar pain and itching. How should it be treated?
Answer: This is Dampness. Use Chaihu Shigao Tang (Bupleurum and Gypsum Decoction).
Question 33: A woman has unbearable vulvar itching. How should it be treated?
Answer: This is caused by damp-heat generating parasites that erode the tissue. If untreated, it will gradually invade the zang-fu organs. Quickly grind Almond (Xing Ren) into a paste, wrap in cloth, and insert into the vagina. Recovery occurs in one to two days.
Question 34: A woman has hematuria. How should it be treated?
Answer: This is hidden fire in the lower origin. Fried Shan Zhi (Gardeniae Fructus) is indispensable.
Question 35: How to diagnose wind-stroke from broken skin (Po Shang Feng) in women?
Answer: This illness is serious. If the head and eyes are blue-black, sweat beads form on the forehead but do not flow, eyes are small and staring, and sweat oozes like oil, it is incurable. If the injury does not reach this stage, take Fangfeng San (Saposhnikovia Powder).
Question 36: A woman has abdominal masses unresponsive to various medicines. How should it be treated?
Answer: Use juice from Gui Jian Chou Cao, mixed with wine for drinking. Or dry and powder it, taken with wine.
Question 37: How to treat intercourse injury (Jiao Shang)?
Answer: When feces pass through the urethra, it is called intercourse injury, indicating loss of transport regulation. Use Fuling San (Poria Powder) to separate water and grain, then take Huanglian Ejiao Wan (Coptis and Donkey-Hide Gelatin Pill).
Question 38: A woman has a sore throat. How should it be treated?
Answer: This is named deficient fire. Do not mistake it for Ru E (Milk Swallow/Tonsillitis). Use only Ren Shen, Bo He (Menthae Haplocalycis Herba), Bei Mu, Ge Gen (Puerariae Lobatae Radix), Sang Bai Pi, Gan Cao, Jie Geng, Xuan Shen (Scrophulariae Radix), Hua Fen (Trichosanthis Radix), Dang Gui, Sheng Di Huang. If pain is caused by alcohol injury, remove Ren Shen.
Question 39: A woman has sores on the vulva. How should it be treated?
Answer: Pound Tao Ren (Pruni Semen) into a paste, wrap in hemp cloth, and insert.
Question 40: A woman has watery discharge from the vulva. How should it be treated?
Answer: Use Mu Ding Xiang (Eugeniae Caryophyllatus Flos), sewn into a gauze bag the size of a finger, and insert internally to provide warmth.
Question 41: Why does a woman have vulvar pain without other illnesses?
Answer: It must be an intercourse injury. Use fried salt wrapped in green cloth to apply heat (moxibustion-like therapy).
Question 42: During pregnancy, there is chest stuffiness, abdominal pain, and spontaneous diarrhea that is not true dysentery. How should it be treated?
Answer: Prioritize calming the fetus. Use the following:
Bai Zhu (2 qian), Zi Su (Perillae Folium, 0.5 qian), Gan Cao (0.5 qian), Chen Pi (0.8 qian), Dang Gui (2 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 1 qian), Huang Qin (0.8 qian), Mu Xiang (0.3 qian).
Once Qi flows smoothly, remove Mu Xiang; if deficient, add Shu Di Huang; if lower back pain, add Shan Yao (Dioscoreae Rhizoma), one slice of ginger, and three dates.
Question 43: Postpartum, a woman has lower back pain, abdominal pain, and lochia that seems to flow but does not fully clear. How should it be treated?
Answer: Use the following:
Chuan Xiong (1 qian), Dang Gui (2 qian), Gan Cao (0.3 qian), Tao Ren (Pruni Semen, 10 grains), Gan Jiang (Dried Zingiberis Rhizoma, 0.5 qian).
Decoct with six spoons of wine and take orally.