（附论）
大全良方云。夫妇人疝瘕之病者。由饮食不节。寒温不调。气血劳伤。脏腑虚弱。受于
风冷
人之
挟于
其
方
干漆散（出圣惠方）治妇人疝瘕久不消。令人黄瘦 羸。两胁妨闷。心腹疼
痛。
干漆（炒令烟尽） 木香 芫花（醋炒） 赤芍药 桂心 当归 川芎 琥珀（各半两）
大黄（
一钱。
当归散（出圣惠方）治妇人疝瘕。及血气攻刺。心腹疼痛不可忍。
当归（一两微炒） 鳖甲（三两涂酥炙令黄去裙 ） 芎 （半两） 蓬莪术（二分） 吴
茱萸（半
两） 青橘皮（半
为散。每服三钱。
琥珀丸 治妇人疝瘕。兼血气脐腹疼痛。不欲饮食。四肢羸瘦。
琥珀（半两细研） 当归（半两微炒） 芎 （半两） 牛膝（一两去苗） 京三棱（一
两煨微炒）
（半两捣碎炒令烟出）
） 上为末。炼蜜和捣三二百杵。丸如梧桐子大。每服不计时候。暖酒下二十丸。
木香散 治妇人疝瘕。及血气积聚。时攻腹胁疼痛。
木香（半两） 巴豆（一分去皮心麸炒黄纸裹压去油） 干漆（半两捣碎炒令烟尽） 吴
茱萸
（一
去子）
附
五百
杵
桓圣丸 治妇人疝瘕恶积聚。并月候不通。
斑蝥（半两糯米拌炒令黄去翅足） 桂心 砂（半两细研） 麒麟竭 没药 莽草（微
炒）
野狼
蓝
花
桃仁散 治妇人疝瘕。腹中拘急。心胁胀满。宜服。
桃仁（一两汤浸去皮尖双仁麸炒微黄） 芎 槟榔 上为散。每服四钱。水一盏。入
生姜半
当归汤 治妇人寒疝。虚劳不足。若产后腹中绞痛。
当归 芍药（各二两子母秘录作甘草） 生姜（五两） 羊肉（一斤） 上 咀。以水
八升煮
羊肉
砂丸（出圣惠方）治妇人疝瘕。及积瘀血在脏。时攻腹胁疼痛。
川芒硝 砂（各一两） 当归 雄黄 桂心（各半两） 大黄（炮） 三棱（各二两）
上为
细末
至三
黑神丸（出大全良方）
神曲 茴香（各四两） 木香 槟榔（四枚） 椒（炒香出汗） 丁香（各半两） 漆
（六两半
生半
香末十
坠五膈
血崩产后诸血。漏下赤白。并一丸。分四服。死胎一丸。皆绵灰酒下。难产炒葵子四十
九枚
妇病
曰。
巴豆丸（出圣惠方）治妇人疝瘕及血气疼痛。
巴豆（一分去皮心醋炙半日） 桃仁（三分） 木香（半两） 上为末。炼蜜为丸如绿
豆大。
淡汤
鳖甲散（出圣惠方）治妇人疝瘕。及血气心腹疼痛。
鳖甲（一枚中者以小便半盏涂炙令尽为度去裙 ） 干漆（一两捣碎炒令烟出） 当归
（一
两锉
大黄丸（出圣惠方）治妇人疝瘕。及胞门中积瘀诸病。并宜服。
川大黄（四两蒸饭熟为度炙干） 土瓜根（二两） 牛膝（二两去苗） 桃仁（三两汤
浸去皮
尖双
治疝瘕小腹及阴中相引痛。自汗出欲死。
以丹参一两杵为散。每服热酒调下二钱匕佳。
（附论）
《大全良方》说：妇女患疝瘕病，是由于饮食不节制，寒热失调，气血劳损受伤，脏腑虚弱，受到风冷邪气侵袭。
干漆散（出自《圣惠方》），治疗妇女疝瘕日久不消退，使人面色萎黄消瘦、身体羸弱，两胁胀闷不适，心腹部疼痛。
组成：干漆（炒至烟尽）、木香、芫花（醋炒）、赤芍药、桂心、当归、川芎、琥珀（各半两）、大黄（一钱）。
当归散（出自《圣惠方》），治疗妇女疝瘕，以及血气攻冲刺痛，心腹疼痛难以忍受。
组成：当归（一两，微炒）、鳖甲（三两，涂酥炙至黄色，去裙边）、川芎（半两）、蓬莪术（二分）、吴茱萸（半两）、青橘皮（半两）。
用法：上药研为散剂，每次服用三钱。
琥珀丸，治疗妇女疝瘕，兼治血气引起的脐腹疼痛，不想进食，四肢消瘦。
组成：琥珀（半两，细研）、当归（半两，微炒）、川芎（半两）、牛膝（一两，去苗）、京三棱（一两，煨后微炒）、干漆（半两，捣碎炒至烟出）。
用法：以上药物研为末，用炼蜜调和，捣杵三二百下，制成梧桐子大小的丸剂。每次服用不限时候，用温酒送服二十丸。
木香散，治疗妇女疝瘕，以及血气积聚，时常攻冲腹胁疼痛。
组成：木香（半两）、巴豆（一分，去皮心，用麸炒黄，纸裹压去油）、干漆（半两，捣碎炒至烟尽）、吴茱萸（一分，去子）。
用法：以上药物研为细末，用炼蜜调和，捣杵五百下。
桓圣丸，治疗妇女疝瘕恶积聚，以及月经不通。
组成：斑蝥（半两，与糯米拌炒至黄色，去翅足）、桂心、砂（半两，细研）、麒麟竭、没药、莽草（微炒）。
用法：以上药物研为细末，用炼蜜调和，捣杵数百下，制成丸剂。
桃仁散，治疗妇女疝瘕，腹部拘急，心胁胀满，适宜服用。
组成：桃仁（一两，汤浸去皮尖及双仁，麸炒微黄）、川芎、槟榔。
用法：以上药物研为散剂，每次服用四钱，用水一盏，加入生姜半片，煎至七分，去滓温服。
当归汤，治疗妇女寒疝，虚劳不足，如果是产后腹中绞痛。
组成：当归、芍药（各二两，《子母秘录》作甘草）、生姜（五两）、羊肉（一斤）。
用法：以上药物切碎，用水八升煮羊肉，取汁服用。
砂丸（出自《圣惠方》），治疗妇女疝瘕，以及积瘀血在脏，时常攻冲腹胁疼痛。
组成：川芒硝、砂（各一两）、当归、雄黄、桂心（各半两）、大黄（炮制）、三棱（各二两）。
用法：以上药物研为细末，用炼蜜调和，制成丸剂。
黑神丸（出自《大全良方》），治疗妇人产后诸血证，漏下赤白带下，均服一丸，分四次服用；死胎服一丸，皆用绵灰酒送下；难产者加炒葵子四十九枚同服。
组成：神曲、茴香（各四两）、木香、槟榔（四枚）、花椒（炒香出汗）、丁香（各半两）、漆（六两半，生用半，炒用半？原文此处有缺漏或歧义，依文意推测为处理漆的方法）、香末十？坠五膈？（原文此处文字混乱，疑似脱简或错乱，仅提取明确药材）。注：根据上下文，主要药材为神曲、茴香、木香、槟榔、椒、丁香、漆等。
巴豆丸（出自《圣惠方》），治疗妇女疝瘕及血气疼痛。
组成：巴豆（一分，去皮心，醋炙半日）、桃仁（三分）、木香（半两）。
用法：以上药物研为末，用炼蜜制成绿豆大小的丸剂。淡汤送服。
鳖甲散（出自《圣惠方》），治疗妇女疝瘕，以及血气引起的心腹疼痛。
组成：鳖甲（一枚中等大小，以小便半盏涂炙至尽为度，去裙边）、干漆（一两，捣碎炒至烟出）、当归（一两，锉碎）、大黄（一两，锉碎）。
用法：以上药物研为散剂，每服三钱，水一盏，煎至七分，去滓温服。
大黄丸（出自《圣惠方》），治疗妇女疝瘕，以及胞宫中积瘀各种疾病，都适宜服用。
组成：川大黄（四两，蒸饭熟为度，炙干）、土瓜根（二两）、牛膝（二两，去苗）、桃仁（三两，汤浸去皮尖及双仁）。
用法：以上药物研为末，用炼蜜调和，制成丸剂。
(Attached Discussion)
The *Daquan Liangfang* states: Women suffering from Shan Jia (abdominal masses) are afflicted due to irregular diet, imbalance of cold and heat, exhaustion and injury of Qi and Blood, weakness of the Zang-Fu organs, and invasion by wind-cold pathogenic factors.
Ganxi San (Dry Resin Powder, from *Shenghui Fang*) treats persistent Shan Jia in women that does not dissipate over time, causing sallow complexion, emaciation, and weakness; distension and oppression in both hypochondria; and pain in the heart and abdomen.
Ingredients: Ganxi (Dry Resin, stir-baked until smoke ceases), Muxiang (Costus Root), Yuanhua (Genkwa Flower, vinegar-fried), Chishaoyao (Red Peony Root), Guixin (Cinnamon Twig), Danggui (Angelica Sinensis), Chuanxiong (Sichuan Lovage Rhizome), Hupo (Amber, each 0.5 liang), Dahuang (Rhubarb Root, 1 qian).
Danggui San (Angelica Sinensis Powder, from *Shenghui Fang*) treats Shan Jia in women, as well as stabbing pain caused by Qi and Blood attacking, with unbearable pain in the heart and abdomen.
Ingredients: Danggui (Angelica Sinensis, 1 liang, slightly stir-baked), Biejia (Tartaric Turtle Shell, 3 liang, coated with butter and roasted until yellow, remove skirt), Chuanxiong (Sichuan Lovage Rhizome, 0.5 liang), Peng'ezhu (Curcuma Zedoaria Rhizome, 2 fen), Wuzhuyu (Evodia Fruit, 0.5 liang), Qingju pi (Green Tangerine Peel, 0.5 liang).
Usage: Grind the above into a powder. Take 3 qian per dose.
Hupo Wan (Amber Pill) treats Shan Jia in women, combined with umbilical and abdominal pain caused by Qi and Blood, loss of appetite, and emaciation of the four limbs.
Ingredients: Hupo (Amber, 0.5 liang, finely ground), Danggui (Angelica Sinensis, 0.5 liang, slightly stir-baked), Chuanxiong (Sichuan Lovage Rhizome, 0.5 liang), Niuxi (Achyranthes Root, 1 liang, remove sprouts), Jingsanleng (Burreed Tuber, 1 liang, baked and slightly stir-baked), Ganxi (Dry Resin, 0.5 liang, crushed and stir-baked until smoke emerges).
Usage: Grind the above into powder. Mix with refined honey and pound for three to two hundred strokes. Form pills the size of paulownia seeds. Take 20 pills at any time, washed down with warm wine.
Muxiang San (Costus Root Powder) treats Shan Jia in women, as well as accumulation of Qi and Blood, with frequent attacking pain in the abdomen and hypochondria.
Ingredients: Muxiang (Costus Root, 0.5 liang), Badou (Croton Seed, 1 fen, remove skin and heart, stir-bake with bran until yellow, wrap in paper and press to remove oil), Ganxi (Dry Resin, 0.5 liang, crushed and stir-baked until smoke ceases), Wuzhuyu (Evodia Fruit, 1 fen, remove seeds).
Usage: Grind the above into fine powder. Mix with refined honey and pound for five hundred strokes.
Huansheng Wan (Pill of Huansheng) treats malignant accumulations of Shan Jia in women, and amenorrhea.
Ingredients: Banmao (Mylabris, 0.5 liang, stir-bake with glutinous rice until yellow, remove wings and feet), Guixin (Cinnamon Twig), Sharen (Cardamom, 0.5 liang, finely ground), Qilinjie (Dragon's Blood), Moyao (Myrrh), Mangcao (Polygonum Arthrax Root, slightly stir-baked).
Usage: Grind the above into fine powder. Mix with refined honey and pound for several hundred strokes to form pills.
Taoren San (Peach Kernel Powder) treats Shan Jia in women, abdominal tension and urgency, and fullness and distension in the heart and hypochondria. Suitable for consumption.
Ingredients: Taoren (Peach Kernel, 1 liang, soaked in water, remove skin and tips, discard double-kernel ones, stir-bake with bran until slightly yellow), Chuanxiong (Sichuan Lovage Rhizome), Binglang (Areca Seed).
Usage: Grind the above into powder. Take 4 qian per dose. Add half a slice of Shengjiang (Fresh Ginger) to one cup of water, decoct to seven-tenths, strain, and take warm.
Danggui Tang (Angelica Sinensis Decoction) treats Cold Shan Jia in women, deficiency and insufficiency of Xu Lao (consumptive disease). If there is colicky pain in the abdomen after childbirth.
Ingredients: Danggui (Angelica Sinensis), Shaoyao (Peony Root, each 2 liang; *Zimu Milu* records this as Gancao/Licorice Root), Shengjiang (Fresh Ginger, 5 liang), Yangrou (Mutton, 1 jin).
Usage: Cut the above ingredients. Decoct mutton in eight sheng of water and consume the broth.
Shawan (Sand Pill, from *Shenghui Fang*) treats Shan Jia in women, as well as accumulated stagnant blood in the Zang organs, with frequent attacking pain in the abdomen and hypochondria.
Ingredients: Chuan Mangxiao (Mirabilite), Sharen (Cardamom, each 1 liang), Danggui (Angelica Sinensis), Xionghuang (Realgar), Guixin (Cinnamon Twig, each 0.5 liang), Dahuang (Rhubarb Root, processed), Sanleng (Burreed Tuber, each 2 liang).
Usage: Grind the above into fine powder. Mix with refined honey to form pills.
Heishen Wan (Black Divine Pill, from *Daquan Liangfang*) treats various bleeding conditions postpartum, leukorrhea with red and white discharge. Take one pill, divided into four doses. For retained dead fetus, take one pill. All are taken down with wine mixed with cotton ash. For difficult labor, add 49 fried Kuaizi (Sunflower Seeds).
Ingredients: Shenqu (Medicated Leaven), Huixiang (Fennel Fruit, each 4 liang), Muxiang (Costus Root), Binglang (Areca Seed, 4 pieces), Jiao (Sichuan Pepper, stir-bake until sweat appears), Dingxiang (Clove, each 0.5 liang), Qi (Lacquer, 6.5 liang, half raw, half processed?).
Usage: As described above.
Badou Wan (Croton Seed Pill, from *Shenghui Fang*) treats Shan Jia in women and pain caused by Qi and Blood.
Ingredients: Badou (Croton Seed, 1 fen, remove skin and heart, roast in vinegar for half a day), Taoren (Peach Kernel, 3 fen), Muxiang (Costus Root, 0.5 liang).
Usage: Grind the above into powder. Mix with refined honey to form pills the size of green beans. Take with light soup/water.
Biejia San (Turtle Shell Powder, from *Shenghui Fang*) treats Shan Jia in women, and pain in the heart and abdomen caused by Qi and Blood.
Ingredients: Biejia (Tartaric Turtle Shell, one medium-sized shell, coat with half a cup of urine and roast until fully absorbed, remove skirt), Ganxi (Dry Resin, 1 liang, crushed and stir-baked until smoke emerges), Danggui (Angelica Sinensis, 1 liang, cut), Dahuang (Rhubarb Root, 1 liang, cut).
Usage: Grind the above into powder. Take 3 qian per dose. Add one cup of water, decoct to seven-tenths, strain, and take warm.
Dahuang Wan (Rhubarb Pill, from *Shenghui Fang*) treats Shan Jia in women, as well as various diseases of accumulated stagnant blood in the Bao Men (uterine opening). Suitable for all such cases.
Ingredients: Chuan Dahuang (Rhubarb Root, 4 liang, steamed with rice until cooked, dried by roasting), Tugua Gen (Trichosanthes Thunbergiana Root, 2 liang), Niuxi (Achyranthes Root, 2 liang, remove sprouts), Taoren (Peach Kernel, 3 liang, soaked in water, remove skin, tips, and double kernels).
Usage: Grind the above into powder. Mix with refined honey to form pills.
Another method: Treats Shan Jia causing pulling pain in the lower abdomen and yin region, spontaneous sweating, and a sensation of impending death.
Usage: Use Danshen (Salvia Root) 1 liang, crush into powder. Take 2 qianbi (small scoops) each time, mixed with hot wine. This is optimal.