（附论）
夫冷劳者。由血气不足。表里俱虚。脏腑久夹宿冷。致令饮食不消。腹内积聚。脐下冷
痛。
方
木香丸（出圣惠方）治妇人冷劳。经脉不调。脏腑气滞。四肢疼痛。饮食无
味。渐加羸瘦。
木香 琥珀 吴茱萸（炮） 当归 牡丹皮 赤芍药 三棱 附子（炮） 延胡索 川
芎
（各
橘
皮（各
柏子仁丸（出圣惠方）治妇人冷劳气。腹胁疼痛。不思饮食。四肢少力。渐
加
羸瘦。
柏子仁（三分） 干漆（三分捣碎炙令烟出） 当归（三分锉碎微炒） 鳖甲（一两半
涂醋令
黄去
裂
锉）
仁（各
二百
杵。
煮肝散（出圣惠方）治妇人冷劳。脾胃虚乏。大肠转泄。谷食不化。四肢羸
瘦。口内生疮。
北柴胡 缩砂仁 莳萝 荜茇（各三分） 白术 白芷 胡椒 白姜 陈皮 茵陈 人
参
芜
膜。
切如柳叶片。以新汲水洗过。入葱白三寸。细切入药末半两。于铫内以新水二大盏。入盐酌
少许。瓷碗合著。令水尽。空心以意食之。吃粥饮下。食后良久。饮暖酒一盏为妙。晚食前
再服亦佳。
煮肝散（出圣惠方）治妇人冷劳。面色痿黄。不多思食。或时腹痛。四肢少
力。积渐羸瘦。
白芍药 川芎 苦梗 浓朴 桂心（各三分） 陈皮（一两半） 白姜 当归 荆芥穗 莳
萝
盐
醋葱
熟地黄丸
熟干地黄 鳖甲 陈皮（各半两） 北五味子 当归 川芎 桂心（各半两） 川牛膝 人
参
如梧
桐子
浓朴散 治妇人冷劳气。面色痿黄。四肢羸瘦。多卧少起。不欲饮食。身体虚困。
浓朴（一两去粗皮涂生姜汁炙令香熟） 木香（半两） 当归（三分锉碎微炒） 熟干
地黄
（一两） 半夏（半两汤浸七次去滑） 人参（三分去芦头） 白茯苓（三分） 干姜（半
两炮裂
锉） 白芍药（半两） 牛膝（二分去苗） 陈橘皮（三分汤浸去白瓤焙） 白术（三分） 附
子（三
分炮裂去皮脐） 甘草（半两炙微赤锉） 上为粗散。每服四钱。以水一盏。入生姜半分。
去
滓不计时
牡丹丸 治妇人冷劳。血海气虚。经络不利。四肢疼痛。不欲饮食。渐加羸瘦。
牡丹（三分） 牛膝（一两去苗） 桂心（三分） 附子（一两炮裂去皮脐） 桃仁（一
两汤浸
去皮
（三
分）
水蛭
（三
三十
牛膝丸 治妇人冷血。气凝滞。面色痿黄。四肢羸瘦。不思饮食。腹中多痛。
牛膝（一两去苗） 川椒（一两去目及闭口者微炒去汗） 芎 （三分） 木香（半两）
附子
（一
干地黄
（一两
橘皮（三
分汤浸
三十丸
诃黎勒散 治妇人冷劳。气攻脾胃。腹胁妨闷。四肢不和。吃食减少。渐至虚羸。
诃黎勒皮 浓朴（去粗皮涂生姜汁炙令香熟） 柴胡（各一两去苗） 木香（半两） 当
归
（半两）
参（三
分去芦
为粗
散。每
桃仁散 治妇人冷劳气滞。经脉不通。腹胁妨闷。四肢羸瘦。不思饮食。
木香 诃子皮 白姜 桃仁 人参（各半两） 陈皮 琥珀 桂心（各一两） 赤芍药 延
胡索
煎
至七
浓朴汤 治妇人下焦虚冷。膀胱肾气损弱。白汁小便俱出。用浓朴如手大长四寸。
以酒五升
用水浓煎。空心
砂煎丸 治妇人冷劳。心腹积聚。腹胁疼痛。四肢羸瘦不食。
鳖甲（醋炙） 桃仁（去皮尖麸炒） 木香 五灵脂（去沙石炒） 当归 砂（二两
醋一升熬成
（附论）
所谓冷劳，是由于气血不足，表里俱虚，脏腑长期夹杂宿有的寒气，导致饮食无法消化，腹内形成积聚，脐下寒冷疼痛。
方剂
木香丸（出自《圣惠方》），治疗妇女冷劳。症状包括经脉不调、脏腑气机阻滞、四肢疼痛、饮食无味，逐渐消瘦。
药材：木香、琥珀、吴茱萸（炮制）、当归、牡丹皮、赤芍药、三棱、附子（炮制）、延胡索、川芎（各等分）。橘皮（各等分）。
柏子仁丸（出自《圣惠方》），治疗妇女冷劳之气。症状包括腹胁疼痛、不思饮食、四肢乏力，逐渐消瘦。
药材：柏子仁（三分）、干漆（三分，捣碎后炙烤至烟出）、当归（三分，锉碎后微炒）、鳖甲（一两半，涂醋令黄，去裂片，锉碎）。[注：原文此处有缺漏或排版错误，依文意推测为其他药材各等分] 二百杵。
煮肝散（出自《圣惠方》），治疗妇女冷劳。症状包括脾胃虚弱匮乏、大肠泄泻、谷食不化、四肢消瘦、口内生疮。
药材：北柴胡、缩砂仁、莳萝、荜茇（各三分）、白术、白芷、胡椒、白姜、陈皮、茵陈、人参、芜... [原文此处似有残缺] 膜。
制作与服用方法：将肝脏切如柳叶片大小，用新汲水洗过，加入葱白三寸，细切后拌入药末半两。在铫（一种煎药器具）内加入新水两大盏，酌加少许盐，用瓷碗覆盖密封，煮至水尽。空腹时用心食用，喝粥送下。饭后良久，饮暖酒一盏为佳。晚饭前再服一次也很好。
煮肝散（出自《圣惠方》），治疗妇女冷劳。症状包括面色萎黄、不想多思饮食、有时腹痛、四肢乏力，积渐消瘦。
药材：白芍药、川芎、苦梗、浓朴、桂心（各三分）、陈皮（一两半）、白姜、当归、荆芥穗、莳萝... [原文此处似有残缺] 盐、醋、葱。
熟地黄丸
药材：熟干地黄、鳖甲、陈皮（各半两）、北五味子、当归、川芎、桂心（各半两）、川牛膝、人参... [原文此处似有残缺] 如梧桐子大。
浓朴散，治疗妇女冷劳之气。症状包括面色萎黄、四肢消瘦、多卧少起、不欲饮食、身体虚困。
药材：浓朴（一两，去粗皮，涂生姜汁炙至香熟）、木香（半两）、当归（三分，锉碎微炒）、熟干地黄（一两）、半夏（半两，汤浸七次去滑）、人参（三分，去芦头）、白茯苓（三分）、干姜（半两，炮裂锉）、白芍药（半两）、牛膝（二分，去苗）、陈橘皮（三分，汤浸去白瓤焙）、白术（三分）、附子（三分，炮裂去皮脐）、甘草（半两，炙微赤锉）。以上为粗散。每服四钱，用水一盏，加入生姜半分，去渣，不拘时候服用。
牡丹丸，治疗妇女冷劳。症状包括血海气虚、经络不利、四肢疼痛、不欲饮食，逐渐消瘦。
药材：牡丹（三分）、牛膝（一两，去苗）、桂心（三分）、附子（一两，炮裂去皮脐）、桃仁（一两，汤浸去皮尖... [原文此处似有残缺] （三分）、水蛭... [原文此处似有残缺] 三十丸。
牛膝丸，治疗妇女冷血。症状包括气凝滞、面色萎黄、四肢消瘦、不思饮食、腹中多痛。
药材：牛膝（一两，去苗）、川椒（一两，去目及闭口者，微炒去汗）、芎... [原文此处似有残缺] 木香（半两）、附子... [原文此处似有残缺] 干地黄（一两）、橘皮（三分，汤浸... [原文此处似有残缺] 三十丸。
诃黎勒散，治疗妇女冷劳。症状包括气攻脾胃、腹胁妨闷、四肢不和、吃食减少，渐至虚羸。
药材：诃黎勒皮、浓朴（去粗皮，涂生姜汁炙至香熟）、柴胡（各一两，去苗）、木香（半两）、当归... [原文此处似有残缺] 参（三分，去芦... [原文此处似有残缺] 为粗散。每... [原文此处似有残缺]。
桃仁散，治疗妇女冷劳气滞。症状包括经脉不通、腹胁妨闷、四肢消瘦、不思饮食。
药材：木香、诃子皮、白姜、桃仁、人参（各半两）、陈皮、琥珀、桂心（各一两）、赤芍药、延胡索... [原文此处似有残缺] 煎至七... [原文此处似有残缺]。
浓朴汤，治疗妇女下焦虚冷。症状包括膀胱肾气损弱、白浊小便俱出。用药材浓朴如手大长四寸。以酒五升... [原文此处似有残缺] 用水浓煎，空心... [原文此处似有残缺]。
砂煎丸，治疗妇女冷劳。症状包括心腹积聚、腹胁疼痛、四肢消瘦不食。
药材：鳖甲（醋炙）、桃仁（去皮尖麸炒）、木香、五灵脂（去沙石炒）、当归、砂（二两... [原文此处似有残缺] 醋一升熬成... [原文此处似有残缺]。
(Attached Discussion)
Cold Lao (Cold Consumption) is caused by deficiency of blood and qi, leading to deficiency in both the exterior and interior. The viscera have long harbored residual cold pathogens, resulting in indigestion, accumulation within the abdomen, and cold pain below the umbilicus.
Formulas
Muxiang Wan (Cinnamon Twig Pill), from *Shenghui Fang*, treats Cold Lao in women. Symptoms include irregular menstruation, stagnation of qi in the viscera, pain in the four limbs, loss of taste for food, and gradual emaciation.
Ingredients: Muxiang (Costi Rhizoma), Hupo (Amber), Wuzhuyu (Evodiae Fructus, processed), Danggui (Angelicae Sinensis Radix), Mudanpi (Moutan Cortex), Chishaoyao (Red Peony Root), Sanleng (Sparganii Rhizoma), Fuzi (Aconiti Lateralis Radix Praeparata, processed), Yanhusuo (Corydalis Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma) [equal parts]. Jupi (Citri Reticulatae Pericarpium) [equal parts].
Baiziren Wan (Platycladi Semen Pill), from *Shenghui Fang*, treats Cold Lao Qi in women. Symptoms include pain in the abdomen and hypochondrium, anorexia, weakness in the four limbs, and gradual emaciation.
Ingredients: Baiziren (Platycladi Semen, 3 fen), Ganqi (Dry Resin of Toxicodendron, 3 fen, crushed and roasted until smoke emerges), Danggui (Angelicae Sinensis Radix, 3 fen, sliced and lightly stir-fried), Biejia (Testudinis Carapax et Plastrum, 1 liang 5 qian, coated with vinegar until yellow, cracked pieces removed, sliced). [Note: Original text has gaps or formatting errors; inferred other ingredients equal parts] Pounded into 200 pellets.
Zhu Gan San (Boiled Liver Powder), from *Shenghui Fang*, treats Cold Lao in women. Symptoms include deficiency and exhaustion of the Spleen and Stomach, diarrhea of the Large Intestine, undigested food in stool, emaciation of the four limbs, and sores in the mouth.
Ingredients: Beichaihu (Bupleuri Radix), Suosharen (Amomi Fructus Rotundus), Shiluo (Anethi Fructus), Bibai (Long Pepper Fruit) [each 3 fen], Baizhu (Atractylodis Macrocephalae Rhizoma), Baizhi (Angelicae Dahuricae Radix), Hujiao (Piperis Longi Fructus), Baijiang (White Ginger), Chenpi (Citri Reticulatae Pericarpium), Yichen (Artemisiae Capillaris Herba), Renshen (Ginseng Radix), Wu... [Original text seems incomplete here] Mo.
Preparation and Administration: Slice the liver like willow leaves, wash with fresh water, add 3 cun of scallion white, finely chop, and mix with half a liang of the powdered medicine. Place in a yao (decoction vessel) with two large cups of fresh water, add a pinch of salt, cover tightly with a porcelain bowl, and boil until the water is exhausted. Eat while empty stomach, using congee to swallow. After some time post-meal, drinking a cup of warm wine is excellent. Taking it again before dinner is also good.
Zhu Gan San (Boiled Liver Powder), from *Shenghui Fang*, treats Cold Lao in women. Symptoms include sallow complexion, lack of desire to eat, occasional abdominal pain, weakness in the four limbs, and gradual emaciation.
Ingredients: Baishaoyao (White Peony Root), Chuanxiong (Ligustici Chuanxiong Rhizoma), Kugeng (Platycodonis Radix), Nongpo (Magnoliae Officinalis Cortex), Guixin (Cinnamomi Ramulus) [each 3 fen], Chenpi (Citri Reticulatae Pericarpium, 1 liang 5 qian), Baijiang (White Ginger), Danggui (Angelicae Sinensis Radix), Jingjiesui (Schizonepetae Spica), Shiluo (Anethi Fructus)... [Original text seems incomplete here] Salt, Vinegar, Scallion.
Shudihuang Wan (Rehmanniae Preparata Pill)
Ingredients: Shugan Dihuang (Prepared Rehmanniae Radix), Biejia (Testudinis Carapax et Plastrum), Chenpi (Citri Reticulatae Pericarpium) [each half liang], Bei Wuweizi (Schisandrae Chinensis Fructus), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Guixin (Cinnamomi Ramulus) [each half liang], Chuan Niuxi (Achyranthis Bidentatae Radix), Renshen (Ginseng Radix)... [Original text seems incomplete here] Size of Sophora seeds.
Nongpo San (Magnolia Bark Powder), treats Cold Lao Qi in women. Symptoms include sallow complexion, emaciation of the four limbs, tendency to lie down rather than rise, anorexia, and general physical weakness.
Ingredients: Nongpo (Magnoliae Officinalis Cortex, 1 liang, remove rough bark, coat with ginger juice, roast until fragrant), Muxiang (Costi Rhizoma, half liang), Danggui (Angelicae Sinensis Radix, 3 fen, sliced and lightly stir-fried), Shugan Dihuang (Prepared Rehmanniae Radix, 1 liang), Banxia (Pinelliae Rhizoma, half liang, soaked in decoction seven times to remove acridity), Renshen (Ginseng Radix, 3 fen, remove rhizome), Baifuling (Poria, 3 fen), Ganjiang (Dried Ginger, half liang, roasted and cracked), Baishaoyao (White Peony Root, half liang), Niuxi (Achyranthis Bidentatae Radix, 2 fen, remove sprouts), Chenjupi (Citri Reticulatae Pericarpium, 3 fen, soaked in decoction, remove white pith, dry), Baizhu (Atractylodis Macrocephalae Rhizoma, 3 fen), Fuzi (Aconiti Lateralis Radix Praeparata, 3 fen, roasted, remove skin and navel), Gancao (Glycyrrhizae Radix et Rhizoma, half liang, honey-fried until slightly red and cracked). Grind into coarse powder. Take 4 qian per dose with one cup of water, add half a piece of ginger, strain, and take at any time.
Mudan Wan (Moutan Pill), treats Cold Lao in women. Symptoms include deficiency of qi in the Blood Sea (Chong and Ren meridians), obstruction of collaterals, pain in the four limbs, anorexia, and gradual emaciation.
Ingredients: Mudan (Moutan Cortex, 3 fen), Niuxi (Achyranthis Bidentatae Radix, 1 liang, remove sprouts), Guixin (Cinnamomi Ramulus, 3 fen), Fuzi (Aconiti Lateralis Radix Praeparata, 1 liang, roasted, remove skin and navel), Taoren (Persicae Semen, 1 liang, soaked in decoction, remove skin and tip)... [Original text seems incomplete here] (3 fen), Shuizhi (Hirudo)... [Original text seems incomplete here] 30 pills.
Niuxi Wan (Achyranthes Pill), treats Cold Blood in women. Symptoms include stagnant qi, sallow complexion, emaciation of the four limbs, anorexia, and frequent abdominal pain.
Ingredients: Niuxi (Achyranthis Bidentatae Radix, 1 liang, remove sprouts), Chuanjiao (Sichuan Pepper, 1 liang, remove eyes and closed ones, lightly stir-fry to remove moisture), Xiong... [Original text seems incomplete here] Muxiang (Costi Rhizoma, half liang), Fuzi... [Original text seems incomplete here] Gan Dihuang (Rehmanniae Radix, 1 liang), Jupi (Citri Reticulatae Pericarpium, 3 fen, soaked in decoction)... [Original text seems incomplete here] 30 pills.
Helile San (Terminalia Powder), treats Cold Lao in women. Symptoms include qi attacking the Spleen and Stomach, oppression and stuffiness in the abdomen and hypochondrium, disharmony of the four limbs, reduced appetite, and gradual debility.
Ingredients: Helile Pi (Terminaliae Chebulae Pericarpium), Nongpo (Magnoliae Officinalis Cortex, remove rough bark, coat with ginger juice, roast until fragrant), Chaihu (Bupleuri Radix) [each 1 liang, remove sprouts], Muxiang (Costi Rhizoma, half liang), Danggui (Angelicae Sinensis Radix)... [Original text seems incomplete here] Shen (Ginseng Radix, 3 fen, remove rhizome)... [Original text seems incomplete here] Grind into coarse powder. Each... [Original text seems incomplete here].
Taoren San (Persicae Seed Powder), treats Cold Lao Qi stagnation. Symptoms include obstruction of menstrual channels, oppression and stuffiness in the abdomen and hypochondrium, emaciation of the four limbs, and anorexia.
Ingredients: Muxiang (Costi Rhizoma), Hezi Pi (Terminaliae Chebulae Pericarpium), Baijiang (White Ginger), Taoren (Persicae Semen), Renshen (Ginseng Radix) [each half liang], Chenpi (Citri Reticulatae Pericarpium), Hupo (Amber), Guixin (Cinnamomi Ramulus) [each 1 liang], Chishaoyao (Red Peony Root), Yanhusuo (Corydalis Rhizoma)... [Original text seems incomplete here] Decoct until seven... [Original text seems incomplete here].
Nongpo Tang (Magnolia Bark Decoction), treats deficiency-cold in the Lower Jiao. Symptoms include damage and weakness of Bladder and Kidney qi, and simultaneous discharge of leukorrhea and urine. Use Nongpo (Magnoliae Officinalis Cortex) as large as a hand and 4 cun long. With five sheng of wine... [Original text seems incomplete here] Decoct strongly with water, take on an empty stomach... [Original text seems incomplete here].
Sha Jian Wan (Sand-Boiled Pill), treats Cold Lao in women. Symptoms include accumulations in the heart and abdomen, pain in the abdomen and hypochondrium, emaciation of the four limbs, and anorexia.
Ingredients: Biejia (Testudinis Carapax et Plastrum, vinegar-roasted), Taoren (Persicae Semen, remove skin and tip, stir-fried with bran), Muxiang (Costi Rhizoma), Wulingzhi (Trogopterori Faeces, remove sand and stones, stir-fried), Danggui (Angelicae Sinensis Radix), Sha (Sand/Mineral)... [Original text seems incomplete here] One sheng of vinegar, boil into... [Original text seems incomplete here].