元戎四物汤 治妇人赤白带下，脉沉微腹痛，或阴中痛。
四物汤（四钱） 桂 附子（炮，各五分）
上锉。水煎，食前服。（前方中多以气分药内加温燥之味，此又以血药中加桂、附，要知不
同之故，在脉症上探讨。盖人之病，有气血之殊，故立方之师，亦因事制宜也） 一方四物加 香、桂。
玉仙散 治赤白带下。
干姜（焙黄） 白芍（炒） 香附（炒焦，各一两） 生甘草（五钱）
上为细末。每服三钱，用水白酒调下。（干姜用一两。是大剂大法，后方止用四分之一，又相径庭矣，均宜法之）
一方只用白芍酒炒二两，干姜炮半两，为细末，
米饮调下二钱。
玄胡苦楝汤 治脐下冷，撮痛，阴冷大寒，白带下。
玄胡索 苦楝子（各二分） 黄柏（一分） 附子 肉桂（各三分） 甘草（炙，五分） 熟地黄（一钱）
上作一服，水煎，食前温服。（玄胡、苦楝以治痛，肉桂、附子以温寒，熟地治脐下之虚，黄柏从其性之所喜）
桂附汤 治白带腥臭，多悲不乐，大寒。
肉桂（一钱） 附子（三钱） 黄柏 知母（各五分）
上作一服，水煎，食远热服。如少食常饱，有时似腹胀，加白芍药半钱。如不思饮食，
加五味子二十个（多悲不乐者，阴晦之象也。故宜桂、附以助阳，阳和则不悲而有乐矣！少以知、柏为从治者，恐桂附
上也，亦用热远热之意。少食似腹胀，何以加白芍，不思饮食，
何以加五味？思之）。如烦恼，面上麻木如虫行，乃胃中元气极虚，加黄 一钱，人参七分，甘
草二分，升麻五分。此补阳气极虚，用黄柏等为引用，又升降阴阳药也。
当归附子汤 治脐下冷痛，赤白带下。
当归（二钱） 良姜 干姜 附子（各一钱） 柴胡（七分） 升麻 蝎梢（各五分） 甘草（炙，六分）
炒黄盐（三分） 黄柏（少许）
上为粗末，每服五钱，水煎温服，为丸亦得（良姜、干姜，大治脐下冷痛；盐柏引之就下；蝎梢直至痛所；升、
柴引左右清气上升；盐柏引诸浊阴下降）。东垣回阳丹注云∶必用炒黄盐，无则不效
，盖寒疝之要药也。
酒煮当归丸 治 疝，白带下注，香港脚，腰以下如在冰雪中，居火炕以浓衣重盖犹冷，
小便不止，与白带长流而不禁固，肌肉消瘦，面白目青，目 无所见，身重如山
，行步欹侧，腿膝枯细，大便闭结，心下痞闷，懊 ，饮食不下，面垢背寒，小便遗而不知
。此上中下三阳真气俱竭，故哕呕不止，胃寒之极也。其脉沉紧而涩，按之空虚。若脉洪大
而涩，按之无力，犹为中寒之证，况按之空虚者乎？按之不鼓，是为阴寒之极也；其空虚，
乃气血俱虚之极也。（带脉为病，男子七疝，女子瘕聚，此以 疝在女子岂与男子同欤？尝闻女子
形如茄，突出阴户是亦疝也，故云然。 诸症皆寒，独便闭心下痞，懊 似热。 凡紧脉不拘浮沉均以为寒，按之不
鼓，无问大小，皆以为虚。诊者当须识此。 既曰血气俱虚，而本方中曾无一味气药，而血药又止一味当归，岂真阳
已竭，即甘温之味，亦未易为力也，芍、地能滞阳气，故亦不用）
当归（一两） 香（半两） 黑附子（炮去皮脐） 良姜（各七钱）
上四味，锉如麻豆大，以好酒一升半同煎，煮至酒尽为度，炭火焙干，同为细末，入
下药∶
炒黄盐 丁香（各半两） 全蝎（三钱） 柴胡（二钱） 升麻根 木香（各一钱） 苦楝子 甘草（炙，
各五分） 玄胡索（四钱）
上同为细末，酒煮，面糊丸，如桐子大。每服二十丸，空心宿食消尽，淡醋汤下。忌油
腻冷物酒面。（妙在前四味用酒煮，又以酒糊丸者，峻补其下，使真阳之气，生于九渊，上于九天也。其后九种，或引
之于降，或佐之于升，有开结透关之妙。非精识病源，究心药石者，不能到也！然其力量博大，非善用者不敢）
暖宫妙应丸 治妇人赤白带下，及子宫虚冷无子者。
当归 川芎 白芍药 熟地黄 艾叶 茯苓 龙骨 牡丹皮 赤石脂 牡蛎（各等分）
上为末，面糊丸，如桐子大。每服五十丸，空心艾醋汤下。（此方以四物合成剂，又以艾叶暖其下，茯苓渗其湿，
牡丹清其瘀，宜乎子宫温而怀妊矣）
鹤顶丸 治带下之证有三，（此三十六疾）未嫁之女，月经初下，止而即得，或浴之以冷水，或热而扇
，或当风，此室女病带下之由；有嫁之妇，阴阳过多，即伤胞络，风邪乘虚而入，胞经触冷
，遂成秽液，与血水相连而下；产后带下，由亡血失气，伤动胞络，门开而外风袭，肌体虚
而冷风入，冷风与热气相连，故成液而下，冷则多白，热则多赤，冷热相交，赤白俱下。
当归（七钱半，酒浸） 附子（炮，去皮，半两） 龙骨（盐泥包 ） 吴茱萸（汤泡，去涎） 赤
石脂（火 ，醋淬） 干姜（炮，各两半） 牡蛎（一两二钱，盐泥包 ） 艾叶（一两，以醋半盏煮干）
上为细末，研匀，醋糊和丸，如桐子大，以赤石脂为衣。每服五十丸，空心用艾叶、食
盐、乌梅煎汤下。（此大热之剂，非真寒者不可服）
白蔹丸 治室女冲任虚寒，带下纯白。（女子二七而天癸至，正当气旺之年，岂可轻用温热之剂，独以纯白二
字推之，便得虚寒之真，故可用鹿茸耳）
鹿茸（酒蒸，焙，二两） 白蔹 狗脊（燎去毛制，各一两）
上为细末，艾煎醋汁打糊丸，如桐子大。每服五十丸，空心温酒下。
神仙聚宝丹 （一名琥珀朱砂丸） 治妇人血海虚寒，外乘风冷，搏结不散，积聚成块（经曰∶气有是动，血
为
所生病。据此所言，病 先由血海虚寒，故气不能温，又为风冷外乘，故致血结不能散，非温行不可，故此方乃于血中
行气，气中行血，所谓气行血流，自无病也）。或
成坚癖，及血气攻注，腹胁疼痛，小便急胀，或虚鸣，呕吐涎沫，头旋眼花，腿膝重痛，面
色萎黄，肢体浮肿，月候欲行，先若重病，或多或少，带下赤白，崩漏不止，惊怖健忘，小
便频数或白，时见虚热盗汗，羸瘦。此药不问胎前、产后、室女，并皆治之，常服安心去邪
，逐败血，养新血，令有子。
当归 木香 琥珀 没药（各一两） 滴乳香（二钱半） 麝香 辰砂（各一钱）
上各另研为细末，合一处研匀，水丸如龙眼核大。每用一丸，温酒磨下，不拘时。胎息
不顺，腹内疼痛，一切产难，酒童便磨下。产后血晕，败血奔心，口噤舌强，或恶露未尽，
发渴面浮，煎乌梅汤，和童便磨下。室女月候不调，温酒磨下半丸。产后血气不调，童便磨
下。
茱萸浴汤 治下焦虚冷，脐腹疼痛，带下五色，月水崩漏，淋沥不断。
吴茱萸（汤泡） 杜仲（炒去丝） 蛇床子 五味子 丁皮（各一两） 木香 丁香（各半两）
上锉，如麻豆大。每用半两，以生绢袋盛，水三大碗，煎数沸，乘热熏下部，通手淋浴
，早晚二次熏洗。（此茱萸汤至下四方，皆外治法，于上热下寒，难服温补之药者宜之，盖以人功挽回造化，今罕知此。
亦有病者不能言，医者无以应，徒自待毙而已）
坐药龙盐膏 治带下。
玄胡索（五钱） 浓朴（三钱） 当归 茴香 炒黄盐 酒防己 肉桂 红豆 龙骨（各二钱） 川
乌头（炮） 丁香 木香（各一钱半） 良姜 木通（各一钱） 全蝎（五枚） 枯矾（五分）
上为末，炼蜜丸，如弹子大。绵裹留丝在外，纳阴户内。
胜阴丹 为上药力小，再加三钱，内加行性热药。
羌活 柴胡（各二钱） 大蒜（一钱） 破故纸（与蒜同焙，一钱） 三柰子 川乌头 大椒（各五分）
甘松（三分） 升麻 枯白矾（各二分） 全蝎（二个） 麝香（少许）
上为细末。同前法制用。
回阳丹 （此东垣先生方）
全蝎 升麻 甘松（各二分） 草乌头 羌活（各三分） 大椒 三柰子 荜茇 枯矾（各五分）
大蒜 破故纸（各二钱） 水蛭（三条炒焦，二钱） 川乌头 柴胡
（各七分） 虻虫（三个，去翅足，炒） 炒黄盐（一钱，必用之药，去之则不效）
上为细末，根据前制如指尖大。用绵裹，纳阴户中，觉脐下暖为效。
如圣丹 治妇人经脉不调，赤白带下。
枯矾（四两） 蛇床子（二两）
上为末，醋为丸，如弹子大，用胭脂为衣。绵裹放阴户中，
定坐半日，热极再换。大抵月水不通，赤白带下，多因子宫不洁，服药难效，下取易痊，且
速效而不伤脏气也。一方用枯矾、川乌各等分，炼蜜丸，如弹子大，绵裹纳阴户中，治带下
绝产。
元戎四物汤：治疗妇女赤白带下，脉象沉微且腹痛，或者阴部疼痛。
四物汤（四钱） 桂枝 附子（炮制，各五分）
以上药材切碎。加水煎煮，饭前服用。（前面的方剂多在理气药中加入温燥之品，此方则在补血药中加入桂枝、附子，需要明白其中的不同之处，应在脉象和症状上深入探讨。大概人的疾病，有气病和血病的区别，所以立方的医生，也根据具体情况制定适宜的方案。）另一版本：四物汤加木香、桂枝。
玉仙散：治疗赤白带下。
干姜（焙至黄色） 白芍（炒） 香附（炒焦，各一两） 生甘草（五钱）
以上研成细末。每次服用三钱，用水和白酒调服。（干姜用一两，是大剂量大法，后一方只用四分之一，又截然不同了，都应当效法它。）另一版本：只用白芍酒炒二两，干姜炮制半两，研成细末，米汤调服二钱。
玄胡苦楝汤：治疗脐下寒冷，牵引性疼痛，阴部寒冷大寒，白带下注。
玄胡索 苦楝子（各二分） 黄柏（一分） 附子 肉桂（各三分） 甘草（炙，五分） 熟地黄（一钱）
以上为一服的量，加水煎煮，饭前温服。（玄胡、苦楝用来治疗疼痛，肉桂、附子用来温散寒邪，熟地治疗脐下的虚损，黄柏顺从其本性所喜。）
桂附汤：治疗白带腥臭，多悲伤不快乐，大寒。
肉桂（一钱） 附子（三钱） 黄柏 知母（各五分）
以上为一服的量，加水煎煮，饭后热服。如果吃得少却常觉饱胀，有时像腹胀，加白芍药半钱。如果不思饮食，加五味子二十个（多悲伤不快乐，是阴晦的征象。所以宜用桂枝、附子来助阳，阳气调和则不再悲伤而能快乐！少量使用知母、黄柏作为从治之法，是担心桂枝、附子过于刚燥，也有“用热远热”的意思。吃得少像腹胀，为什么加白芍？不思饮食，为什么加五味子？请思考）。如果烦躁，面部麻木如虫行，这是胃中元气极虚，加黄芪一钱，人参七分，甘草二分，升麻五分。这是补益阳气极虚，用黄柏等作为引经药，也是升降阴阳的药。
当归附子汤：治疗脐下冷痛，赤白带下。
当归（二钱） 良姜 干姜 附子（各一钱） 柴胡（七分） 升麻 蝎梢（各五分） 甘草（炙，六分）
炒黄盐（三分） 黄柏（少许）
以上为粗末，每次服用五钱，加水煎煮温服，制成丸药也可以（良姜、干姜，大治脐下冷痛；盐、黄柏引导药力下行；蝎梢直达疼痛部位；升麻、柴胡引导左右清气上升；盐、黄柏引导诸浊阴下降）。李东垣在回阳丹注中说：必须用炒黄盐，没有就不见效，这是治疗寒疝的要药。
酒煮当归丸：治疗疝气，白带下注，脚气，腰部以下如在冰雪中，坐在火炕上用厚衣重重覆盖仍然冷，小便不止，与白带长流而不能固摄，肌肉消瘦，面色白眼睛青，视力模糊，身体沉重如山，行走倾斜，腿膝枯细，大便闭结，心下痞闷，懊恼，饮食不下，面垢背寒，小便遗溺而不知晓。这是上中下三阳真气俱竭，所以哕逆呕吐不止，是胃寒到了极点。其脉象沉紧而涩，按之空虚。如果脉象洪大而涩，按之无力，还是中寒的证候，何况按之空虚的呢？按之不鼓动，是为阴寒到了极点；其空虚，乃是气血俱虚到了极点。（带脉为病，男子患七疝，女子患瘕聚，这疝气在女子身上难道与男子相同吗？曾听说女子形体如茄子，突出阴户，这也是疝气，所以说如此。各种症状都是寒，唯独便闭心下痞闷，懊恼似热。凡紧脉不拘浮沉均认为是寒，按之不鼓动，无论大小，都认为是虚。诊者应当认识这一点。既然说是血气俱虚，而本方中竟无一味气药，而血药也只有一味当归，难道真阳已竭，即使是甘温之味，也难以发挥作用，芍药、地黄能阻滞阳气，所以也不用）
当归（一两） 木香（半两） 黑附子（炮制去皮脐） 良姜（各七钱）
以上四味，切碎如麻豆大，用好酒一升半同煎，煮至酒尽为止，炭火焙干，共同研为细末，加入下面的药：
炒黄盐 丁香（各半两） 全蝎（三钱） 柴胡（二钱） 升麻根 木香（各一钱） 苦楝子 甘草（炙，各五分） 玄胡索（四钱）
以上共同研为细末，用酒煮，面糊做丸，如梧桐子大。每次服用二十丸，空腹宿食消尽后，用淡醋汤送下。忌食油腻冷物及酒面。（妙在前四味用酒煮，又以酒糊丸，峻补下部，使真阳之气，生于九渊，上达九天。其后九种药，有的引导其降，有的辅助其升，有开结透关的妙处。不是精通识病源，钻研药理的人，不能达到这种境界！然而其力量博大，不善于使用的人不敢用）
暖宫妙应丸：治疗妇女赤白带下，以及子宫虚冷不孕者。
当归 川芎 白芍药 熟地黄 艾叶 茯苓 龙骨 牡丹皮 赤石脂 牡蛎（各等分）
以上研为末，面糊做丸，如梧桐子大。每次服用五十丸，空腹用艾叶醋汤送下。（此方以四物汤合成制剂，又用艾叶温暖下部，茯苓渗湿，牡丹清瘀，适宜子宫温暖而受孕）
鹤顶丸：治疗带下证有三种，（这是三十六疾中的三种）未出嫁的女子，月经初来，止住后立即患病，或用冷水洗澡，或受热扇风，或当风受吹，这是室女患带下的原因；已婚妇女，房事过多，即损伤胞络，风邪乘虚而入，胞经触冷，遂成秽液，与血水相连而下；产后带下，由失血耗气，伤动胞络，门户开放而外风侵袭，肌体虚弱而冷风进入，冷风与热气相连，故成液而下，冷则多白，热则多赤，冷热相交，赤白俱下。
当归（七钱半，酒浸） 附子（炮制，去皮，半两） 龙骨（盐泥包裹煅烧） 吴茱萸（汤泡，去涎） 赤石脂（火煅，醋淬） 干姜（炮制，各两半） 牡蛎（一两二钱，盐泥包裹煅烧） 艾叶（一两，用半盏醋煮干）
以上研为细末，研匀，醋糊和丸，如梧桐子大，以赤石脂为衣。每次服用五十丸，空腹用艾叶、食盐、乌梅煎汤送下。（这是大热之剂，非真寒者不可服用）
白蔹丸：治疗室女冲任虚寒，带下纯白。（女子十四岁天癸至，正当气旺之年，岂可轻用温热之剂，独以纯白二字推断，便得虚寒的真谛，所以可用鹿茸）
鹿茸（酒蒸，焙，二两） 白蔹 狗脊（燎去毛制，各一两）
以上研为细末，艾叶煎醋汁打糊做丸，如梧桐子大。每次服用五十丸，空腹温酒送下。
神仙聚宝丹 （又名琥珀朱砂丸）：治疗妇人血海虚寒，外乘风冷，搏结不散，积聚成块（医经说：气有是动，血为所生病。据此所言，病先由血海虚寒，故气不能温，又为风冷外乘，故致血结不能散，非温行不可，故此方乃于血中行气，气中行血，所谓气行血流，自然无病也）。或形成坚癖，以及血气攻注，腹胁疼痛，小便急胀，或虚鸣，呕吐涎沫，头旋眼花，腿膝重痛，面色萎黄，肢体浮肿，月经欲行，先像重病，或多或少，带下赤白，崩漏不止，惊怖健忘，小便频数或白，时见虚热盗汗，羸瘦。此药不问胎前、产后、室女，都治疗，常服安心去邪，逐败血，养新血，令有子。
当归 木香 琥珀 没药（各一两） 滴乳香（二钱半） 麝香 辰砂（各一钱）
以上各另研为细末，合一处研匀，水泛为丸如龙眼核大。每次用一丸，温酒磨化送下，不拘时间。胎息不顺，腹内疼痛，一切产难，用童便磨化送下。产后血晕，败血奔心，口噤舌强，或恶露未尽，发渴面浮，煎乌梅汤，和童便磨化送下。室女月经不调，温酒磨化半丸。产后血气不调，童便磨化送下。
茱萸浴汤：治疗下焦虚冷，脐腹疼痛，带下五色，月水崩漏，淋沥不断。
吴茱萸（汤泡） 杜仲（炒去丝） 蛇床子 五味子 丁皮（各一两） 木香 丁香（各半两）
以上切碎，如麻豆大。每次用半两，用生绢袋盛装，水三大碗，煎数沸，趁热熏洗下部，通手淋浴，早晚二次熏洗。（此茱萸汤至下方，皆是外治法，对于上热下寒，难服温补药物者适宜，盖以人力挽回造化，如今很少有人知道此法。也有病人不能言语，医生无法应对，只能坐以待毙而已）
坐药龙盐膏：治疗带下。
玄胡索（五钱） 浓朴（三钱） 当归 茴香 炒黄盐 酒防己 肉桂 红豆 龙骨（各二钱） 川乌头（炮制） 丁香 木香（各一钱半） 良姜 木通（各一钱） 全蝎（五枚） 枯矾（五分）
以上研为末，炼蜜做丸，如弹子大。用绵裹留丝在外，纳入阴户内。
胜阴丹：因为上述药力小，再加三钱，内加行性热药。
羌活 柴胡（各二钱） 大蒜（一钱） 破故纸（与蒜同焙，一钱） 三柰子 川乌头 大椒（各五分）
甘松（三分） 升麻 枯白矾（各二分） 全蝎（二个） 麝香（少许）
以上研为细末。同前法制用。
回阳丹 （此李东垣先生方）
全蝎 升麻 甘松（各二分） 草乌头 羌活（各三分） 大椒 三柰子 荜茇 枯矾（各五分）
大蒜 破故纸（各二钱） 水蛭（三条炒焦，二钱） 川乌头 柴胡
（各七分） 虻虫（三个，去翅足，炒） 炒黄盐（一钱，必用之药，去掉则不效）
以上研为细末，根据前法制如指尖大。用绵裹，纳入阴户中，感觉脐下暖为有效。
如圣丹：治疗妇人经脉不调，赤白带下。
枯矾（四两） 蛇床子（二两）
以上研为末，醋做丸，如弹子大，用胭脂为衣。绵裹放阴户中，
定坐半日，热极再换。大抵月水不通，赤白带下，多因子宫不洁，服药难效，下取易痊，且速效而不伤脏气也。另一方用枯矾、川乌各等分，炼蜜做丸，如弹子大，绵裹纳阴户中，治疗带下绝产。
Yuanrong Siwu Decoction: Treats leukorrhea (vaginal discharge) of red and white color in women, with a deep and faint pulse, abdominal pain, or pain in the vagina.
Siwu Decoction (4 qian), Guizhi (Cinnamon Twig), Fuzi (Prepared Aconite Root) (each 5 fen, processed).
The above herbs are cut into pieces. Decoct in water and take before meals. (Previous formulas often add warm and dry substances to Qi-regulating herbs; this formula adds Guizhi and Fuzi to Blood-nourishing herbs. One must understand the difference by exploring the pulse and symptoms. Generally, diseases differ between Qi and Blood disorders, so physicians formulate according to specific circumstances.) Another version: Siwu Decoction plus Muxiang (Aucklandia Root) and Guizhi.
Yuxian San: Treats leukorrhea of red and white color.
Ganjiang (Dried Ginger) (baked until yellow), Baishao (White Peony Root) (stir-fried), Xiangfu (Cyperi Rhizoma) (stir-fried until charred, each 1 liang), Sheng Gancao (Raw Licorice Root) (5 qian).
The above are ground into fine powder. Take 3 qian per dose, mixed with water and white wine. (Using 1 liang of Ganjiang is a large dose and major method; the later formula uses only one-quarter, which is quite different. Both should be emulated.) Another version: Only use Baishao stir-fried with wine (2 liang) and Ganjiang processed (0.5 liang), ground into fine powder, taken with rice drink (2 qian).
Xuanhu Koushen Tang: Treats coldness below the umbilicus, pulling pain, extreme cold in the genital area, and leukorrhea.
Yanhusuo (Corydalis Rhizoma), Koushenzi (Melia Toosendan Seed) (each 2 fen), Huangbai (Phellodendron Bark) (1 fen), Fuzi (Prepared Aconite Root), Rougui (Cinnamon Bark) (each 3 fen), Gancao (Honey-fried Licorice Root) (5 fen), Shudihuang (Prepared Rehmannia Root) (1 qian).
Take as one dose, decoct in water, and take warm before meals. (Yanhusuo and Koushenzi treat pain; Rougui and Fuzi warm and dispel cold; Shudihuang treats deficiency below the umbilicus; Huangbai follows its natural preference.)
Guifu Tang: Treats leukorrhea with a fishy odor, frequent sadness and unhappiness, and extreme cold.
Rougui (Cinnamon Bark) (1 qian), Fuzi (Prepared Aconite Root) (3 qian), Huangbai (Phellodendron Bark), Zhimu (Anemarrhena Rhizoma) (each 5 fen).
Take as one dose, decoct in water, and take hot after meals. If appetite is low but one feels full, or if there is occasional abdominal distension, add Baishao (White Peony Root) 0.5 qian. If there is no desire for food, add Wuweizi (Schisandra Berry) 20 fruits. (Frequent sadness and unhappiness indicate Yin obscurity. Thus, Guizhi and Fuzi should be used to assist Yang; when Yang is harmonious, sadness ceases and joy arises. Using small amounts of Zhimu and Huangbai as "following treatment" prevents Guizhi and Fuzi from being too harsh, also reflecting the principle of "using heat far from heat." Why add Baishao for low appetite resembling distension? Why add Wuweizi for loss of appetite? Reflect on this.) If there is irritability and facial numbness like insects crawling, this indicates extreme deficiency of Yuanqi (Original Qi) in the Stomach. Add Huangqi (Astragalus Root) 1 qian, Renshen (Ginseng Root) 7 fen, Gancao (Licorice Root) 2 fen, and Shengma (Cimicifuga Rhizome) 5 fen. This tonifies extreme deficiency of Yang Qi; Huangbai etc. serve as guiding herbs and regulate the ascending and descending of Yin and Yang.
Danggui Fuzi Tang: Treats cold pain below the umbilicus and leukorrhea of red and white color.
Danggui (Angelica Sinensis Root) (2 qian), Liangjiang (Galangal Rhizome), Ganjiang (Dried Ginger), Fuzi (Prepared Aconite Root) (each 1 qian), Chaihu (Bupleurum Root) (7 fen), Shengma (Cimicifuga Rhizome), Xieshao (Scorpion Tail) (each 5 fen), Gancao (Honey-fried Licorice Root) (6 fen), Chao Huangyan (Stir-fried Yellow Salt) (3 fen), Huangbai (Phellodendron Bark) (a little).
Grind into coarse powder. Take 5 qian per dose, decoct in water, and take warm. Pills are also acceptable. (Liangjiang and Ganjiang greatly treat cold pain below the umbilicus; Salt and Huangbai guide the action downward; Xieshao reaches the site of pain directly; Shengma and Chaihu guide clear Qi upward from left and right; Salt and Huangbai guide turbid Yin downward.) Dongyuan's note on Huiyang Dan states: Must use stir-fried yellow salt; without it, it is ineffective. It is an essential herb for treating cold hernia.
Jiuzhu Danggui Wan: Treats hernia, leukorrhea flowing down, jiaoxie (foot disease), feeling as if in ice and snow below the waist, still cold even sitting on a heated kang covered with thick clothes, uncontrollable urination, continuous leukorrhea that cannot be controlled, emaciation, pale face with blue eyes, blurred vision, heaviness of the body like a mountain, unsteady gait, withered and thin legs and knees, constipation, epigastric stuffiness, vexation, inability to eat, dirty face and cold back, urinary incontinence without awareness. This indicates exhaustion of True Qi in the Upper, Middle, and Lower Yang channels, hence incessant hiccups and vomiting, indicating extreme Stomach cold. The pulse is deep, tight, and choppy, empty upon pressure. If the pulse is surging, large, and choppy, yet weak upon pressure, it is still a Zhonghan (Middle Jiao Cold) pattern; how much more so if empty upon pressure? If non-pulsating upon pressure, it is extreme Yin cold; emptiness indicates extreme deficiency of both Qi and Blood. (Dai Mai (Girdle Vessel) disease causes seven types of hernia in men and masses in women. Is hernia in women the same as in men? I have heard that when a woman's form protrudes from the vagina like an eggplant, it is also considered hernia, hence the statement. All symptoms are cold, except constipation, epigastric stuffiness, and vexation which resemble heat. A tight pulse is always considered cold regardless of floating or sinking; non-pulsating upon pressure is always considered deficiency regardless of size. Physicians must recognize this. Although it says Qi and Blood are both deficient, this formula contains no Qi-tonifying herbs, and only one Blood-nourishing herb, Danggui. Does this mean when True Yang is exhausted, even sweet and warm herbs are ineffective? Shaoyao (Peony) and Dihuang (Rehmannia) can stagnate Yang Qi, hence they are not used.)
Danggui (Angelica Sinensis Root) (1 liang), Muxiang (Aucklandia Root) (0.5 liang), Hei Fuzi (Black Prepared Aconite Root) (processed, skin and core removed), Liangjiang (Galangal Rhizome) (each 7 qian).
Cut the above four herbs into pieces the size of hemp seeds. Decoct together with 1.5 sheng of good wine until the wine is consumed. Dry over charcoal fire and grind into fine powder. Add the following herbs:
Chao Huangyan (Stir-fried Yellow Salt), Dingxiang (Clove Bud) (each 0.5 liang), Quanxie (Whole Scorpion) (3 qian), Chaihu (Bupleurum Root) (2 qian), Shengmagen (Cimicifuga Root), Muxiang (Aucklandia Root) (each 1 qian), Koushenzi (Melia Toosendan Seed), Gancao (Honey-fried Licorice Root) (each 5 fen), Yanhusuo (Corydalis Rhizoma) (4 qian).
Grind all into fine powder. Boil in wine, mix with flour paste to make pills the size of paulownia seeds. Take 20 pills per dose on an empty stomach after residual food has digested, washed down with light vinegar soup. Avoid greasy, cold foods, alcohol, and wheat products. (The brilliance lies in boiling the first four herbs in wine and using wine paste for pills, strongly tonifying the lower part to generate True Yang Qi from the deepest abyss to the highest heaven. The latter nine herbs either guide downward or assist upward, possessing the subtlety of opening knots and penetrating barriers. Only those who thoroughly understand disease origins and study materia medica can achieve this! However, its power is vast, and only skilled practitioners dare use it.)
Nuangong Miaoying Wan: Treats leukorrhea of red and white color in women, and infertility due to uterine deficiency-cold.
Danggui (Angelica Sinensis Root), Chuanxiong (Sichuan Lovage Rhizome), Baishao (White Peony Root), Shudihuang (Prepared Rehmannia Root), Aiye (Mugwort Leaf), Fuling (Poria), Longgu (Fossilized Bones), Mudanpi (Tree Peony Bark), Chishizhi (Red Kaolin), Muli (Oyster Shell) (equal parts).
Grind into powder, mix with flour paste to make pills the size of paulownia seeds. Take 50 pills per dose on an empty stomach with Aiye (Mugwort Leaf) vinegar soup. (This formula combines Siwu Decoction, uses Aiye to warm the lower part, Fuling to drain dampness, and Mudanpi to clear stasis. It is suitable for warming the uterus to facilitate conception.)
Hetou Wan: Treats three types of leukorrhea (among the Thirty-Six Diseases):
1. Unmarried girls: Leukorrhea occurs immediately after the onset of menstruation, caused by bathing in cold water, exposure to heat and fans, or wind exposure.
2. Married women: Excessive sexual activity damages the Bao Luo (Uterine Collaterals); Wind-Cold enters through deficiency, chilling the Bao Jing (Uterine Meridian), forming foul fluid that mixes with blood and water to flow down.
3. Postpartum leukorrhea: Caused by blood loss and Qi depletion damaging the Bao Luo; the aperture opens allowing external Wind to invade; the body is weak allowing Cold Wind to enter. Cold Wind mixes with Heat Qi to form fluid. Cold leads to white discharge; Heat leads to red discharge; Cold and Heat mixing leads to both red and white discharge.
Danggui (Angelica Sinensis Root) (7.5 qian, soaked in wine), Fuzi (Prepared Aconite Root) (processed, skin removed, 0.5 liang), Longgu (Fossilized Bones) (wrapped in salt mud and calcined), Wuzhuyu (Evodia Fruit) (soaked in soup, saliva removed), Chishizhi (Red Kaolin) (calcined, quenched in vinegar), Ganjiang (Dried Ginger) (processed, each 0.5 liang), Muli (Oyster Shell) (1.2 liang, wrapped in salt mud and calcined), Aiye (Mugwort Leaf) (1 liang, boiled dry with half a cup of vinegar).
Grind into fine powder, mix evenly, bind with vinegar paste into pills the size of paulownia seeds, coat with Chishizhi. Take 50 pills per dose on an empty stomach with soup made from Aiye (Mugwort Leaf), table salt, and Wumei (Chinese Plum). (This is a strong heating formula; do not use unless there is true cold.)
Bailian Wan: Treats unmarried girls with Chong Ren (Penetrating and Conception Vessels) deficiency-cold, presenting with pure white leukorrhea. (Girls reach menarche at age fourteen, a time of vigorous Qi. How can one lightly use warm-hot formulas? Inferring from "pure white," we identify true deficiency-cold, thus Lu Rong (Deer Antler) can be used.)
Lu Rong (Deer Antler) (wine-steamed, baked, 2 liang), Bailian (Belamcanda Rhizome), Gouji (Cibotium Rhizome) (scraped to remove hair, each 1 liang).
Grind into fine powder. Make pills with Aiye (Mugwort Leaf) decoction and vinegar juice paste, size of paulownia seeds. Take 50 pills per dose on an empty stomach with warm wine.
Shenxian Jubao Dan (Also known as Hupo Zhusha Wan): Treats deficiency-cold of the Xue Hai (Sea of Blood) in women, compounded by external Wind-Cold, knotting and accumulating into masses. (The Classics state: Qi disorders cause movement issues; Blood disorders result from them. Here, the disease starts with Xue Hai deficiency-cold, so Qi cannot warm; combined with external Wind-Cold, Blood congeals and cannot disperse. It requires warming and moving. Thus, this formula moves Qi within Blood and Blood within Qi. When Qi moves and Blood flows, there is no disease.) It may form hard masses, or Blood-Qi attacking and flooding causing abdominal and hypochondriac pain, urgent and distended urination, or false borborygmi, vomiting of salivary foam, dizziness, blurred vision, heavy and painful legs and knees, sallow complexion, edema of limbs, menstrual irregularities preceding severe illness, varying amounts, red and white leukorrhea, metrorrhagia and metrostaxis, fright, amnesia, frequent or white urination, occasional deficiency-heat and night sweats, emaciation. This medicine treats all cases regardless of prenatal, postnatal, or unmarried status. Regular use calms the mind, expels evil, eliminates stale blood, nourishes new blood, and enables conception.
Danggui (Angelica Sinensis Root), Muxiang (Aucklandia Root), Hupo (Amber), Moyao (Myrrh) (each 1 liang), Diluxiang (Frankincense Resin) (2.5 qian), Shexiang (Musk), Chen Sha (Cinnabar) (each 1 qian).
Grind each separately into fine powder, mix well, and make water pills the size of longan seeds. Take one pill per dose, dissolved in warm wine, at any time. For difficult labor or abdominal pain during pregnancy, dissolve in child's urine. For postpartum blood syncope, stale blood rushing to the heart, locked jaw, stiff tongue, or incomplete lochia with thirst and facial edema, dissolve in Wumei (Chinese Plum) soup mixed with child's urine. For unmarried girls with irregular menstruation, dissolve half a pill in warm wine. For postpartum Blood-Qi disharmony, dissolve in child's urine.
Zhuyu Yu Tang: Treats deficiency-cold of the Lower Jiao, umbilical and abdominal pain, five-color leukorrhea, metrorrhagia, and continuous dripping.
Wuzhuyu (Evodia Fruit) (soaked in soup), Duzhong (Eucommia Bark) (stir-fried to remove silk threads), Chuangzi (Cnidium Fruit), Wuweizi (Schisandra Berry), Dingpi (Cloves Skin) (each 1 liang), Muxiang (Aucklandia Root), Dingxiang (Clove Bud) (each 0.5 liang).
Cut into pieces the size of hemp seeds. Use 0.5 liang per dose, place in a raw silk bag, decoct in three bowls of water for a few boils. While hot, fumigate and wash the lower part, showering with hands. Do this twice daily, morning and evening. (These formulas from Zhuyu Yu Tang downwards are all external treatments, suitable for patterns of upper heat and lower cold where warm-tonifying medicines are difficult to take. They use human effort to restore nature, though rarely known today. Some patients cannot speak, and doctors have no way to respond, leaving them to wait for death.)
Zuoyao Longyan Gao: Treats leukorrhea.
Yanhusuo (Corydalis Rhizoma) (5 qian), Houpo (Magnolia Bark) (3 qian), Danggui (Angelica Sinensis Root), Huixiang (Fennel Fruit), Chao Huangyan (Stir-fried Yellow Salt), Jiufangji (Alcohol-processed Stephania Root), Rougui (Cinnamon Bark), Hongdou (Adenanthera Seed), Longgu (Fossilized Bones) (each 2 qian), Chuan Wutou (Processed Sichuan Aconite Root), Dingxiang (Clove Bud), Muxiang (Aucklandia Root) (each 1.5 qian), Liangjiang (Galangal Rhizome), Mutong (Akebia Stem) (each 1 qian), Quanxie (Whole Scorpion) (5 pieces), Kufan (Alum) (5 fen).
Grind into powder, bind with refined honey into pills the size of a bullet. Wrap in cotton cloth, leaving threads outside, and insert into the vagina.
Shengyin Dan: Because the previous medicines have weak effects, add 3 qian of additional hot-moving herbs.
Qianghuo (Notopterygium Rhizome), Chaihu (Bupleurum Root) (each 2 qian), Dasuan (Garlic Bulb) (1 qian), Pogu Zhi (Cibotium Rhizoma) (roasted with garlic, 1 qian), Sanshaizi (Sand Cardamom Seed), Chuan Wutou (Sichuan Aconite Root), Da Jiao (Large Pepper) (each 5 fen), Gansong (Nardostachys Root), Shengma (Cimicifuga Rhizome), Ku Bai Fan (White Alum) (each 2 fen), Quanxie (Whole Scorpion) (2 pieces), Shexiang (Musk) (a little).
Grind into fine powder. Use according to the previous method.
Huiyang Dan (Formula by Mr. Dongyuan)
Quanxie (Whole Scorpion), Shengma (Cimicifuga Rhizome), Gansong (Nardostachys Root) (each 2 fen), Cao Wutou (Herba Aconiti Kusnezoffii), Qianghuo (Notopterygium Rhizome) (each 3 fen), Da Jiao (Large Pepper), Sanshaizi (Sand Cardamom Seed), Bibo (Long Pepper Fruit), Ku Fan (Alum) (each 5 fen), Dasuan (Garlic Bulb), Pogu Zhi (Cibotium Rhizoma) (each 2 qian), Shuizhi (Leech) (three pieces, stir-fried until charred, 2 qian), Chuan Wutou (Sichuan Aconite Root), Chaihu (Bupleurum Root) (each 7 fen), Mengchong (Blister Beetle) (three pieces, wings and feet removed, stir-fried), Chao Huangyan (Stir-fried Yellow Salt) (1 qian, an essential herb; without it, it is ineffective).
Grind into fine powder. Form into pills the size of fingertips according to the previous method. Wrap in cotton cloth, insert into the vagina. Warmth felt below the umbilicus indicates efficacy.
Rusheng Dan: Treats irregular menstruation and leukorrhea of red and white color in women.
Kufan (Alum) (4 liang), Chuangzi (Cnidium Fruit) (2 liang).
Grind into powder, bind with vinegar into pills the size of bullets, coat with rouge. Wrap in cotton cloth and place in the vagina. Sit quietly for half a day; change again if extremely hot. Generally, amenorrhea and red/white leukorrhea are often due to uterine impurity; oral medication is difficult to be effective. Local application is easier to cure, acts quickly, and does not damage Zang Qi. Another version: Equal parts Kufan (Alum) and Chuanwu (Sichuan Aconite Root), bind with refined honey into pills the size of bullets, wrap in cotton cloth, insert into the vagina to treat leukorrhea and sterility.