（杂证男女一也。此二卷方论，出女科书，多杂病书所遗，故存之耳。）
劳倦所伤，用补中益气汤证治，乃暴病也。失治而有发热、潮热、盗汗、咳嗽诸证
出焉，谓之虚劳。又复失治而有皮聚毛落，饮食不为肌肤，骨髓中热，经闭不行诸证出焉，
谓之瘵。骨蒸热至于传尸之疾，别自一种，其源不起于劳HT ，其流或至于灭门。余于杂病
首册，则既条分而备列矣。然男以精为主，女以血为主，其致病既殊，其施治亦异，故应
别着方法。而陈氏《良方》分劳瘵、骨蒸劳、血风劳、气虚风劳、冷劳、热劳、客热等门，
未免惑乱后人，靡所适从。今厘正如下，医者更参杂病虚劳、传尸劳二门而用之，则无
道少之患矣。
〔初病大法〕
〔《保》〕治妇人虚劳，《局方》中谓首尾六合，如大圣散、熟地黄丸，是治无热虚
劳也，中道药牡丹煎丸，空心食前，人参荆芥散临卧食后，是治有热虚劳也。
〔戴〕有病后血虚者，有本体血虚者。其人往来寒热，或五心发热，言语无力，面
色痿黄，头目昏晕，变生诸疾，芎归汤加羊肉少许；或十全大补汤、四物汤、养荣汤服
之；血虚而气旺者，宜抑气汤，即香附末。
增损四物汤 （《易简方》）治妇人气血不足，四肢惰怠，乏力少气。兼治产后下血过多，荣
冲虚损，阴阳不和，乍寒乍热。
当归 川芎 人参 干姜（炮） 甘草（炙） 白芍药（各等分）
上 咀，每服四钱，水一盏，煎至六分，去滓热服。
六神汤 （《御药院方》）治脾气不和，荣卫不足，怠惰困倦，不嗜饮食。服之补养真气，
进美饮食，充泽肌肤。
当归 熟地黄 白芍药 川芎 黄 地骨皮（各等分）
上为粗末，每服五钱，水一盏半，煎至八分，去滓，空心温服。
加减大建中汤 （《普济》）治妇人胎前产后一切虚损，月水不调，脐腹 痛，往来寒热，
自汗口干烦渴。
芍药（二两） 当归 川芎 黄 桂（各一两） 甘草（炙） 白术（各七钱半）
上为末，每服二钱半，水一盏半，姜枣煎六分，去滓温服，食前。
清气汤 （《普济》）治肌热骨瘦者，阴衰阳盛也。是气弱而血热，则外蒸肌肉，内蒸骨
髓，烦渴口干，颊赤头疼，饮食无味，心神惊悸，肢体酸疼，或时盗汗，或时咳嗽，或
月家断绝，或经极少，俗谓血劳，产后白蓐劳，及羸瘦之人，与清气汤、羊乳丸治之。
紫苏子 五味子 大腹子 枳壳 桑白皮（微炒） 菖蒲 地骨皮 白术 柴胡 秦艽
独活 干葛 甘草（炙，各等分）
上 咀，每服五钱，水一盏，入紫苏七片，乌梅一个，煎至七分，温服。
黄 散（一名防风汤） 治劳气食后身疼倦，夜间盗汗。此因失血，荣卫损也。
黄 （一两） 白芍药 防风 当归 干地黄（各七钱五分） 甘草（半两）
上 咀，每服五钱，水一盏，姜三片，枣一枚，煎至七分，去滓温服，食前。
四白散 治男子妇人血虚发热，夜多盗汗，不进饮食，四肢羸瘦，骨节拘挛，脚痛
不能行。
黄 浓朴 益智仁 藿香 白术 白扁豆 陈皮（各一两） 半夏 白茯苓 人参
白豆蔻仁 天台乌药 甘草（各半两） 京南芍药 檀香 沉香（各一两）
上为细末，每服四钱，水一盏，姜三片，枣一个，煎至七分，温服。
桔梗饮子 （《大全良方》）治心气不足，解劳倦，益血。
黄 人参 麦门冬 苦梗 甘草（各一两） 青皮（半两）
上为末，每服三钱，水一盏，煎至七分，温服。
如圣散 （《大全良方》）治妇人所禀血气不足，不耐寒暑，易冒疾伤，月水不调，久而
心虚，状若心劳，四肢倦怠，筋骨少力，盗汗易惊。或时不宁，五心烦热，肌肤不长，间
作头昏，饮食无味，胸膈不利。或产前产后受病，并可服之。
北柴胡 白茯苓 甘草 熟地黄 人参 当归（各一两） 鳖甲 胡黄连 沉香 知母
（各半两） 桑寄生 干葛（各七钱半）
上为细末，每服二钱，水一盏，乌梅一个，枣二枚，麦门冬数粒，煎至八分，服无时。
劫劳散 治心肾俱虚，劳嗽二三声，无痰。遇夜发热，热过即冷，时有盗汗，四肢
倦怠，体劣黄瘦，饮食减少，夜卧恍惚，神气不宁，睡多异梦。此药能治微嗽有唾，唾
中有红线，名曰肺痿，失治便成羸劣之疾。
白芍药（六两） 绵黄 （蜜炙，四两） 甘草（炙） 人参（去芦，酒洗） 当归（去芦）
半夏 白茯苓（去皮） 熟地黄（洗净，焙干） 五味子 阿胶（各二两，炒）
上 咀，每服三钱，水一盏，生姜七片，枣三枚，煎至九分，温服，无时，日三。
筒骨煎 （《大全良方》）治诸虚疾羸瘦乏力，腰背引痛，心烦喘嗽，唾脓呕血，顽涎壅盛，
睡卧有妨，胸满气促，夜多盗汗，发焦耳鸣，皮寒骨热，一切五劳七伤，骨蒸等候，并皆
疗治。
地骨皮 粉草 北柴胡 前胡 乌药 麻黄（不去节） 干葛 青蒿 苦梗 知母 天
仙藤 条黄芩（各一两） 人参 生干地黄 秦艽 鳖甲 黄 （各半两）
上 咀，每服三钱，水一盏，酒一分，猪筒骨一茎，炙焦，分为四服，桃柳枝各七寸，
杏仁五粒，去皮尖、捶碎，煎至七分，去滓温服。加乌梅半个尤妙。一方，加当归、芍药。
滋血汤 治妇人经候不通，或血聚肢体麻木，肌热身重，倦怠少力，将成劳瘵。不
可妄行破血，宜滋养润利。（见经闭。）
补中丸 （《余居士选方》）治妇人虚损诸疾。
白术 地黄（各一两） 川芎 白芍药 当归 黄 人参 陈皮（各半两）
上为细末，炼蜜丸如梧桐子大，每服五七十丸，温水下。
温中丸 （《普济》）治冲任虚损，血气亏伤，月水断续，来不应期，或多或少，腹中 痛
不实，寒热烦壅，咽燥舌干，心神松悸，头目眩晕，肢体倦怠，腰背引痛，筋脉拘急，带
下赤白，饮食进退，或发寒热。
生地黄 生姜（二味各一斤，切碎，各研取汁，将姜汁炒地黄滓，却将地黄汁炒生姜滓）
白芍药（二两） 人参（去芦） 蒲黄（炒） 当归（酒洗） 琥珀（另研） 白茯苓（去皮）
黄（蜜炙） 延胡索（炒） 麦门冬（去心） 乌梅肉（焙，各一两）
上为末，别用白艾叶一斤，水一斗，煎取浓汁，熬成膏，和前药丸如梧桐子大。每
服五十丸，温米饮下，空心食前。
人参丸 （《十便良方》）养阴生血补虚。
人参 鹿角胶（炒） 熟地黄 芍药 当归 白术 川芎（各等分）
上为末，炼蜜丸如梧桐子大。每服三十丸，空心米饮下。
秘方十补丸 治妇人诸虚百损，荣卫不调，形体羸瘦，面黄背倦，口苦舌干，心忪
多汗，血衰气盛，寒热往来，一切血崩带下，坠胎落孕，此药皆治。孕妇服之，尤有神效。
熟干地黄（净洗，酒浸蒸过，焙干，秤重四两） 肉苁蓉（酒浸，焙干） 人参
绵黄 （去芦，蜜炙） 川芎 当归（去芦，酒浸焙） 白芍药（洗） 白茯苓
白术（去芦，洗净炒，各二两） 甘草（炙，半两） 肉桂（一两，去皮）
上为细末，用好酒调山药末打糊为丸，如梧桐子大。每服六七十丸，食前米汤或温酒下。
五圣丸 调益荣卫，滋养气血。治冲任虚损，月水不调，脐腹 痛，崩中漏下，血
瘕块硬，发渴疼痛，妊娠宿冷，将理失宜，胎动不安，血下不止，及产后乘虚风寒内搏，恶
露不下，结生瘕聚，小腹坚痛，时作寒热。
当归 川芎 白芍药 熟干地黄（各一两） 生干地黄（二两）
上为细末，酒煮面糊为丸，如梧桐子大。每服六七十丸，食前温酒下。
七补丸 （《十便良方》）治妇人气血虚弱，冲任不和，腹中经结，状若怀孕，月候尚来，未
分经脉，宜服此方。
当归 芍药 川芎（各三分） 白芷 白术 熟地黄 阿胶（炒，各二分）
上为细末，炼蜜丸如梧桐子大。每服五六十丸。空心米饮下。
羊乳丸 治虚劳羸瘦。
秦艽 柴胡 地骨皮 山茱萸肉 黄 （蜜炙） 地黄（酒浸蒸过，各等分）
上为末，炼蜜丸如梧桐子大。每服五十丸，煎人参汤下，不拘时候，日进三服。
人参鳖甲丸 （《普济》）治妇人一切虚损，肌肉瘦瘁，盗汗心忪，咳嗽上气，经脉不调，
或作寒热，不思饮食。
杏仁（汤浸，去皮尖，炒） 人参 当归 赤芍药 甘草（炙） 柴胡 桔梗（去芦，各一两）
地骨皮 宣黄连（去须） 胡黄连（各七钱半） 肉桂（去粗皮） 木香（各半两） 麝香（另研，半钱）
鳖甲（一枚，重二两者，醋炙黄色）
上为细末，用青蒿一斤，研烂绞汁，童子小便五升，酒五升，同熬至二升，次入真
酥三两，白沙蜜三两，再熬成膏，冷方下众药末，搜和令匀，丸如梧桐子大。每服五十
丸，温酒送下，无时。
艾前丸 （东垣） 治妇人诸虚。
北艾叶 大当归（各二两） 香附子（四两）
上醋煮半日，焙干为末，再用醋煮糊丸，艾醋汤下。
味丸 （东垣） 补虚败。
黄 （四两，盐水浸，火炙） 北五味（二两）
上为末，秫米糊丸，空心盐酒下。
〔无热虚劳〕
〔大〕妇人冷劳，属血气不足，脏腑虚寒，以致脐下冷痛，手足时寒，月经失常，饮
食不消，或时呕吐，恶寒发热，骨节酸疼，肌肤羸瘦，面色痿黄也。
〔薛〕前证有内外真寒，然有内外真热，亦有内真热而外假寒者，又有内真寒而外假
热者。若饮食难化，大便不实，肠鸣腹痛，饮食畏寒，手足逆冷，面黄呕吐，畏见风寒，此
内外真寒之证也。宜用附子理中汤以回阳，八味地黄丸以壮火。若饮食如常，大便坚实，胸
腹痞胀，饮食喜冷，手足烦热，面赤呕吐，不畏风寒，此内外真热之证也。宜用黄连解毒
汤以消阳，六味丸以壮水。若饮食如常，大便坚实，胸腹痞胀，饮食喜寒，手足逆冷，面
黄呕吐，畏见风寒，此内真热而外假寒也。亦用解毒汤、六味丸。若饮食少思，大便不实，
吞酸嗳气，胸腹痞满，手足逆冷，面赤呕吐，畏见风寒，此内真寒而外假热也。亦用附子
理中汤与八味丸。当求其属而治之。经曰∶益火之源，以消阴翳，壮水之主，以制阳光。使
不知真水火之不足，泛以寒热药治之，则旧疾未去，新病复生矣。夫所谓属者，犹主也，
谓心肾也。求其属也者，言水火不足而求之于心肾也。火之源者，阳气之根，即心是也。
水之主者，阴气之根，即肾是也。非谓火为心，原为肝，水为肾，主为肺也。 一妇食
少作呕，口吐痰涎，面黄腹痛，月经不调，手足逆冷。此内外俱寒之证，以六君加附子、木
香治之而愈。一妇忽呕吐酸水，内热作渴，饮食不进，惟喜冷水，面色青赤，投之以药，
入口即吐。此内外真热之证，积十余日，以黄连一味，煎汤饮之。徐加白术、茯苓，仍
加陈皮、当归、炙甘草。至月余始进米饮稀粥，调理而愈。一妇内热作渴，大便秘结，
畏恶风寒，手足逆冷。此内真热而外假寒，先用黄连解毒汤，后用六味丸而愈。一妇初
患痰喘热渴，医以降火散气治之，肌日削而气日索，延至甲辰，木旺痰盛，身热口腐，腹
胀神昏，绝食几死，此虚热无火，投以壮水生土之剂，随服随效。越数岁夏初，坐则头
坠不能起视，卧则背冷觉风透体，烦热晕眩，咳呕痰涌，手足麻冷。此内真寒外假热之证
也，遂以大补姜附之剂投之，不三四服而大势已平，仍以前药加减而愈。
韩懋治其嫂年三十余，十八胎九殒八夭，会家难作，惊忧过甚，遂昏昏不省人事，口
唇舌皆疮，或至封喉，下部虚脱，白带如注。如此四十余日，或时少苏，至欲自缢，悲不
能堪。医或投凉剂解其上，则下部疾愈甚；或投热剂，及以汤药熏蒸其下，则热晕欲绝。此
亡阳证也，急以盐煮大附子九钱为君，制以薄荷、防风，佐以姜、桂、芎、归之属，水
煎入井，冰冷与之，未尽剂鼾睡通宵，觉即能识人。或曰∶此何谓也？曰∶方书有之，假
对假，真对真尔。上乃假热，故以假冷之药从之，下乃真冷，故以真热之药反之，斯上
下和而病解矣。续以女金丹错综以三二方，不但去其疾，且调治元气。无何，连生二子。（以
上论及治验，有无当于虚劳者，而实治寒热变通之大法，不可不察也。）
〔局〕大圣散 治妇人血海虚冷，久无子息，及产后败血冲心，中风口噤，子死腹
中，掰开口灌药，须臾生下，便得无恙。治坠胎腹中攻刺疼痛，横生逆产，胎衣不下，血
运血癖，血滞血崩，血入四肢，应血脏有患，及诸种风气。或伤寒吐逆咳嗽，寒热往来，遍
身生疮，头痛恶心，经脉不调，赤白带下，乳生恶气，胎脏虚冷，数曾坠胎，崩中不定，因
此成疾。室女经脉不通，并宜服之。常服暖子宫，和血气，悦颜色，退风冷，消除万病，
兼疗丈夫五劳七伤虚损等病。
泽兰叶 石膏（研，各二两） 卷柏（去根） 白茯苓（去皮） 防风（去芦） 浓朴（去
（男女杂病的治疗原则是一致的。这两卷关于方剂和论述的内容，虽然出自妇科书籍，但包含了多本杂病书籍所遗漏的内容，因此保留下来。）
因劳倦过度而受伤，使用补中益气汤进行证治，这属于突发疾病。如果治疗延误，出现发热、潮热、盗汗、咳嗽等症状，称为虚劳。如果再延误治疗，出现皮肤干枯毛发脱落、饮食无法转化为肌肉营养、骨髓中感觉发热、月经闭止不行等症状，称为瘵（一种严重的慢性消耗性疾病）。骨蒸热发展到传尸劳这种病症，是另一种独立的疾病，其源头并非起于劳倦，但其后果严重到可能导致灭门之祸。我在杂病首册中，已经详细分类并全面列举了相关内容。然而，男性以精为主，女性以血为主，致病原因既然不同，治疗方法也各异，所以应当另行制定方法。陈氏的《良方》将劳瘵、骨蒸劳、血风劳、气虚风劳、冷劳、热劳、客热等分为门类，未免让后人感到困惑混乱，无所适从。现在整理修正如下，医生们再参考杂病中的虚劳、传尸劳两个门类来应用，就不会有疏漏之患了。
〔初病大法〕
〔《保命集》〕治疗妇人虚劳，《局方》中说从头到尾共六类方剂，如大圣散、熟地黄丸，这是治疗没有发热的虚劳；中途用药牡丹煎丸，空腹或饭前服用，人参荆芥散在临睡前饭后服用，这是治疗有发热的虚劳。
〔戴元礼〕有病后导致血虚的，也有先天体质血虚的。这类人出现忽冷忽热，或者五心（两手心、两足心和心口）发热，说话无力，面色萎黄，头晕目眩，进而引发各种疾病，可用芎归汤加少许羊肉；或者服用十全大补汤、四物汤、养荣汤；如果是血虚而气旺（气相对亢盛），适宜用抑气汤，即香附末。
增损四物汤 （出自《易简方》）治疗妇人气血不足，四肢懈怠懒惰，乏力少气。兼治产后下血过多，营冲二脉虚损，阴阳不和，忽冷忽热。
当归 川芎 人参 干姜（炮制） 甘草（炙） 白芍药（各等分）
以上药材切碎，每次服用四钱，加水一盏，煎至六分，去渣后热服。
六神汤 （出自《御药院方》）治疗脾气不和，营卫不足，怠惰困倦，食欲不振。服用后可补养真气，增进食欲，滋润肌肤。
当归 熟地黄 白芍药 川芎 黄芪 地骨皮（各等分）
以上药材制成粗末，每次服用五钱，加水一盏半，煎至八分，去渣，空腹温服。
加减大建中汤 （出自《普济方》）治疗妇人胎前产后一切虚损，月经不调，脐腹疼痛，忽冷忽热，自汗口干烦渴。
芍药（二两） 当归 川芎 黄芪 桂枝（各一两） 甘草（炙） 白术（各七钱半）
以上药材研为细末，每次服用二钱半，加水一盏半，加入生姜、大枣煎至六分，去渣温服，饭前服用。
清气汤 （出自《普济方》）治疗肌肉发热、身体消瘦者，这是阴衰阳盛的表现。这是因为气弱而血热，热气外蒸肌肉，内蒸骨髓，导致烦渴口干，脸颊发红头痛，饮食无味，心神惊悸，肢体酸痛，有时盗汗，有时咳嗽，有时月经断绝，或者经量极少，俗称血劳，以及产后的白蓐劳，还有身体羸瘦的人，都用清气汤、羊乳丸治疗。
紫苏子 五味子 大腹子 枳壳 桑白皮（微炒） 石菖蒲 地骨皮 白术 柴胡 秦艽 独活 干葛 甘草（炙，各等分）
以上药材切碎，每次服用五钱，加水一盏，放入紫苏叶七片，乌梅一个，煎至七分，温服。
黄芪散（又名防风汤） 治疗劳气引起的食后身体疼痛疲倦，夜间盗汗。这是由于失血导致营卫受损。
黄芪（一两） 白芍药 防风 当归 干地黄（各七钱五分） 甘草（半两）
以上药材切碎，每次服用五钱，加水一盏，生姜三片，大枣一枚，煎至七分，去渣温服，饭前服用。
四白散 治疗男子妇人血虚发热，夜间多盗汗，不进饮食，四肢羸瘦，骨节拘挛，脚痛不能行走。
黄芪 厚朴 益智仁 藿香 白术 白扁豆 陈皮（各一两） 半夏 白茯苓 人参 白豆蔻仁 天台乌药 甘草（各半两） 京南芍药 檀香 沉香（各一两）
以上药材研为细末，每次服用四钱，加水一盏，生姜三片，大枣一个，煎至七分，温服。
桔梗饮子 （出自《大全良方》）治疗心气不足，解除劳倦，益血。
黄芪 人参 麦门冬 苦桔梗 甘草（各一两） 青皮（半两）
以上药材研为细末，每次服用三钱，加水一盏，煎至七分，温服。
如圣散 （出自《大全良方》）治疗妇人先天禀赋气血不足，不耐寒暑，容易遭受疾病伤害，月经不调，日久导致心虚，症状像心劳，四肢倦怠，筋骨无力，盗汗易惊。有时心神不宁，五心烦热，肌肤不长肉，间歇性头晕，饮食无味，胸膈不利。或者是产前产后患病，都可以服用此方。
北柴胡 白茯苓 甘草 熟地黄 人参 当归（各一两） 鳖甲 胡黄连 沉香 知母（各半两） 桑寄生 干葛（各七钱半）
以上药材研为细末，每次服用二钱，加水一盏，乌梅一个，大枣二枚，麦门冬数粒，煎至八分，随时服用。
劫劳散 治疗心肾俱虚，劳嗽两三声，无痰。入夜发热，热退后即觉冷，时有盗汗，四肢倦怠，体质虚弱黄瘦，饮食减少，夜间睡眠恍惚，神气不宁，睡梦多且怪异。此药能治疗轻微咳嗽有痰唾，唾液中带有红线，名为肺痿，若延误治疗便成为羸劣的疾病。
白芍药（六两） 绵黄芪（蜜炙，四两） 甘草（炙） 人参（去芦头，酒洗） 当归（去芦头） 半夏 白茯苓（去皮） 熟地黄（洗净，焙干） 五味子 阿胶（各二两，炒）
以上药材切碎，每次服用三钱，加水一盏，生姜七片，大枣三枚，煎至九分，温服，随时服用，每日三次。
筒骨煎 （出自《大全良方》）治疗各种虚损疾病导致的羸瘦乏力，腰背牵引疼痛，心烦喘嗽，吐脓呕血，顽痰壅盛，影响睡眠，胸满气促，夜间多盗汗，头发焦枯耳鸣，皮肤寒冷骨头发热，一切五劳七伤，骨蒸热等症状，都予以治疗。
地骨皮 粉草 北柴胡 前胡 乌药 麻黄（不去节） 干葛 青蒿 苦桔梗 知母 天仙藤 条黄芩（各一两） 人参 生干地黄 秦艽 鳖甲 黄芪（各半两）
以上药材切碎，每次服用三钱，加水一盏，酒一分，猪筒骨一根，烤焦，分为四次服用，桃柳枝各七寸，杏仁五粒，去皮尖、捣碎，煎至七分，去渣温服。加半个乌梅尤其好。另一配方，加当归、芍药。
滋血汤 治疗妇人经候不通，或者血液积聚导致肢体麻木，肌热身重，倦怠少力，即将形成劳瘵。不可妄行破血疗法，宜滋养润利。（详见经闭章节。）
补中丸 （出自《余居士选方》）治疗妇人虚损各类疾病。
白术 地黄（各一两） 川芎 白芍药 当归 黄芪 人参 陈皮（各半两）
以上药材研为细末，炼蜜制成梧桐子大小的丸药，每次服用五七十丸，温水送下。
温中丸 （出自《普济方》）治疗冲任二脉虚损，血气亏伤，月经断续，来潮不应期，或多或少，腹中隐痛不实，寒热烦闷壅滞，咽燥舌干，心神松悸，头目眩晕，肢体倦怠，腰背牵引疼痛，筋脉拘急，带下赤白，饮食增减不定，或者发作寒热。
生地黄 生姜（这两味各一斤，切碎，分别研磨取汁，用姜汁炒地黄渣，再用地黄汁炒生姜渣） 白芍药（二两） 人参（去芦头） 蒲黄（炒） 当归（酒洗） 琥珀（另研） 白茯苓（去皮） 黄芪（蜜炙） 延胡索（炒） 麦门冬（去心） 乌梅肉（焙，各一两）
以上药材研为末，另外用白艾叶一斤，水一斗，煎取浓汁，熬成膏，与前药混合制成梧桐子大小的丸药。每次服用五十丸，温米饮送下，空腹饭前服用。
人参丸 （出自《十便良方》）养阴生血补虚。
人参 鹿角胶（炒） 熟地黄 芍药 当归 白术 川芎（各等分）
以上药材研为末，炼蜜制成梧桐子大小的丸药。每次服用三十丸，空腹米饮送下。
秘方十补丸 治疗妇人各种虚损百病，营卫不调，形体羸瘦，面色黄背部倦怠，口苦舌干，心慌多汗，血衰气盛，寒热往来，一切血崩带下，坠胎落孕，此药都能治疗。孕妇服用，更有神效。
熟干地黄（净洗，酒浸蒸过，焙干，称重四两） 肉苁蓉（酒浸，焙干） 人参 绵黄芪（去芦头，蜜炙） 川芎 当归（去芦头，酒浸焙） 白芍药（洗） 白茯苓 白术（去芦头，洗净炒，各二两） 甘草（炙，半两） 肉桂（一两，去皮）
以上药材研为细末，用好酒调山药末打糊制成丸药，如梧桐子大小。每次服用六七十丸，饭前米汤或温酒送下。
五圣丸 调益荣卫，滋养气血。治疗冲任虚损，月经不调，脐腹疼痛，崩中漏下，血瘕块硬，发渴疼痛，妊娠宿冷，调理失宜，胎动不安，血下不止，以及产后乘虚风寒内搏，恶露不下，结生瘕聚，小腹坚痛，时作寒热。
当归 川芎 白芍药 熟干地黄（各一两） 生干地黄（二两）
以上药材研为细末，酒煮面糊制成丸药，如梧桐子大小。每次服用六七十丸，饭前温酒送下。
七补丸 （出自《十便良方》）治疗妇人气血虚弱，冲任不和，腹中有经血凝结，状若怀孕，月经尚未来潮，未分清经脉，适宜服用此方。
当归 芍药 川芎（各三分） 白芷 白术 熟地黄 阿胶（炒，各二分）
以上药材研为细末，炼蜜制成梧桐子大小的丸药。每次服用五六十丸。空腹米饮送下。
羊乳丸 治疗虚劳羸瘦。
秦艽 柴胡 地骨皮 山茱萸肉 黄芪（蜜炙） 地黄（酒浸蒸过，各等分）
以上药材研为末，炼蜜制成梧桐子大小的丸药。每次服用五十丸，煎人参汤送下，不拘时候，每日进服三次。
人参鳖甲丸 （出自《普济方》）治疗妇人一切虚损，肌肉瘦瘁，盗汗心慌，咳嗽上气，经脉不调，或者发作寒热，不思饮食。
杏仁（汤浸，去皮尖，炒） 人参 当归 赤芍药 甘草（炙） 柴胡 桔梗（去芦头，各一两） 地骨皮 宣黄连（去须） 胡黄连（各七钱半） 肉桂（去粗皮） 木香（各半两） 麝香（另研，半钱） 鳖甲（一枚，重二两者，醋炙黄色）
以上药材研为细末，用青蒿一斤，研烂绞汁，童子小便五升，酒五升，同熬至二升，其次加入真酥三两，白沙蜜三两，再熬成膏，冷却后加入众药末，搅拌混合均匀，制成梧桐子大小的丸药。每次服用五十丸，温酒送下，随时服用。
艾前丸 （李东垣方） 治疗妇人各种虚损。
北艾叶 大当归（各二两） 香附子（四两）
以上药材用醋煮半天，焙干研为末，再用醋煮糊制成丸药，艾醋汤送下。
五味丸 （李东垣方） 补虚败。
黄芪（四两，盐水浸，火炙） 北五味子（二两）
以上药材研为末，秫米糊制成丸药，空腹盐酒送下。
〔无热虚劳〕
〔王节斋〕妇人冷劳，属于血气不足，脏腑虚寒，导致脐下冷痛，手足时常寒冷，月经失常，饮食不消化，有时呕吐，恶寒发热，骨节酸疼，肌肤羸瘦，面色萎黄。
〔薛己〕上述症状有内外真寒的情况，但也有内外真热的情况，也有内真热而外假寒的，又有内真寒而外假热的。如果饮食难化，大便不成形，肠鸣腹痛，饮食畏寒，手足逆冷，面色黄呕吐，畏惧见风寒，这是内外真寒的症状。适宜用附子理中汤来回阳，八味地黄丸来壮火。如果饮食正常，大便坚实，胸腹痞胀，饮食喜冷，手足烦热，面赤呕吐，不畏风寒，这是内外真热的症状。适宜用黄连解毒汤来消阳，六味丸来壮水。如果饮食正常，大便坚实，胸腹痞胀，饮食喜寒，手足逆冷，面色黄呕吐，畏惧见风寒，这是内真热而外假寒。也用解毒汤、六味丸。如果饮食少思，大便不成形，吞酸嗳气，胸腹痞满，手足逆冷，面赤呕吐，畏惧见风寒，这是内真寒而外假热。也用附子理中汤与八味丸。应当探究其所属根源而治疗。经文说：益火之源，以消阴翳，壮水之主，以制阳光。如果不了解真水火之不足，泛泛地使用寒热药物治疗，那么旧疾未去，新病又生了。所谓“属”，就像“主”一样，指的是心肾。求其属，就是说水火不足而从心肾寻求。火的源，是阳气的根，就是心。水的主体，是阴气的根，就是肾。不是说火对应心，原对应肝，水对应肾，主对应肺。有一位妇女食少作呕，口吐痰涎，面色黄腹痛，月经不调，手足逆冷。这是内外俱寒的症状，用六君子汤加附子、木香治疗而痊愈。有一位妇女突然呕吐酸水，内热作渴，饮食不进，惟喜冷水，面色青赤，投药入口即吐。这是内外真热的症状，积累十余日，只用黄连一味，煎汤饮用。慢慢加入白术、茯苓，仍然加入陈皮、当归、炙甘草。直到一个多月后才开始进食米饮稀粥，调理而痊愈。一位妇女内热作渴，大便秘结，畏惧恶风寒，手足逆冷。这是内真热而外假寒，先用黄连解毒汤，后用六味丸而痊愈。一位妇女起初患痰喘热渴，医生用降火散气的方法治疗，肌肉日渐消瘦而气日渐衰弱，拖延到甲辰年，木旺痰盛，身热口腐，腹胀神昏，绝食几乎死亡，这是虚热无火，投以壮水生土的药物，随服随效。过了几年夏初，坐着头坠不能抬起视物，躺着则背冷觉得风透体，烦热晕眩，咳呕痰涌，手足麻冷。这是内真寒外假热的症状，于是用大补姜附的药物投服，不到三四服大势已平，仍以前药加减而痊愈。
韩懋治疗他的嫂子三十多岁，十八次怀孕九次流产八次夭折，恰逢家庭变故，惊忧过度，于是昏昏不省人事，口唇舌皆生疮，甚至封喉，下部虚脱，白带如注。如此四十多天，有时稍微苏醒，甚至想自缢，悲痛不堪。医生有的投凉剂解上面的热，则下面的病更严重；有的投热剂，并用汤药熏蒸下面，则热晕欲绝。这是亡阳证，急忙用盐煮的大附子九钱为君药，配伍薄荷、防风，佐以姜、桂、川芎、当归之类，水煎后放入井水中冷却，给她喝，药未尽就通宵酣睡，醒来就能认得人。有人说：这是什么意思？回答说：方书上有记载，假对假，真对真罢了。上面是假热，所以用假冷的药顺从它，下面是真冷，所以用真热的药对抗它，这样上下调和而病解了。随后用女金丹错综结合二三张方子，不但去除了疾病，而且调理元气。不久，连生二子。（以上论述及治疗验案，虽有关于虚劳的，但实则是治疗寒热变通的大法，不可不仔细考察。）
〔《局方》〕大圣散 治疗妇人血海虚冷，久无子息，以及产后败血冲心，中风口噤，子死腹中，掰开口灌药，须臾生下，便得无恙。治疗坠胎腹中攻刺疼痛，横生逆产，胎衣不下，血运血癖，血滞血崩，血入四肢，应血脏有患，以及诸种风气。或者伤寒吐逆咳嗽，寒热往来，遍身生疮，头痛恶心，经脉不调，赤白带下，乳生恶气，胎脏虚冷，数曾坠胎，崩中不定，因此成疾。室女经脉不通，都适宜服用。常服暖子宫，和血气，悦颜色，退风冷，消除万病，兼疗丈夫五劳七伤虚损等病。
泽兰叶 石膏（研，各二两） 卷柏（去根） 白茯苓（去皮） 防风（去芦） 厚朴（去
(The treatment principles for miscellaneous diseases in men and women are the same. These two volumes of formulas and discussions, although originating from gynecological texts, contain content omitted by many miscellaneous disease texts, hence they are preserved.)
Injury caused by overexertion and fatigue is treated with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), which belongs to acute illness. If left untreated, symptoms such as fever, tidal fever, night sweats, and cough may arise, termed Xu Lao (Deficiency Consumption). If further neglected, symptoms like dry skin and falling hair, inability of food to nourish muscles, heat in the marrow, and amenorrhea may appear, termed Zhai (a severe chronic consumptive disease). Bone-steaming fever progressing to Chuan Shi Lao (Transmitting Corpse Labor) constitutes a distinct category of disease; its origin does not lie in overexertion, yet its consequences can be devastating, potentially leading to the extinction of a family. I have already detailed and listed these in the first volume of miscellaneous diseases. However, since men primarily rely on Jing (Essence) and women primarily rely on Xue (Blood), the causes of disease differ, and thus treatments must also differ; therefore, specific methods should be established separately. Chen's *Liangfang* (Good Prescriptions) categorizes Lao Zhai (Labor Affliction), Gu Zheng Lao (Bone Steaming Labor), Xue Feng Lao (Blood Wind Labor), Qi Xu Feng Lao (Qi Deficiency Wind Labor), Leng Lao (Cold Labor), Re Lao (Heat Labor), Ke Re (Guest Heat), etc., which inevitably confuses later generations, leaving them at a loss. The following corrections are presented herein. Physicians should refer to the Xu Lao (Deficiency Consumption) and Chuan Shi Lao (Transmitting Corpse Labor) sections in miscellaneous diseases when applying these, thereby avoiding omissions.
[Principles for Initial Illness]
[Bao Ming Ji] In treating female Xu Lao, *Ju Fang* (Formulas of the Bureau) states there are six categories from beginning to end. For example, Da Sheng San (Great Sage Powder) and Shu Di Huang Wan (Prepared Rehmannia Pill) treat Xu Lao without heat. Mid-treatment involves Mudan Jian Wan (Moutan Decoction Pill), taken fasting or before meals, and Renshen Jingjie San (Ginseng and Schizonepeta Powder), taken after meals before sleep, treating Xu Lao with heat.
[Dai Yuanli] There is blood deficiency resulting from post-illness, and constitutional blood deficiency. Such patients experience alternating chills and fever, or heat in the five centers (palms, soles, and chest), weakness in speech, sallow complexion, dizziness, and vertigo, leading to various ailments. Use Xiong Gui Tang (Ligusticum and Angelica Decoction) with a small amount of mutton; or administer Shiquan Dabu Tang (Ten Ingredients Great Tonifying Decoction), Siwu Tang (Four Substances Decoction), or Yangrong Tang (Nourish the Ying Decoction). If blood is deficient but Qi is vigorous, Yi Qi Tang (Suppress Qi Decoction), i.e., Cyperi Rhizoma powder, is suitable.
Zengsun Siwu Tang (Modified Four Substances Decoction) [from *Yijian Fang*]: Treats female Qi and Blood deficiency, lethargic limbs, fatigue, and shortness of breath. Also treats excessive postpartum bleeding, deficiency damage to the Chong and Ren vessels, Yin-Yang disharmony, and alternating chills and fever.
Angelicae Sinensis Radix (Danggui), Ligustici Chuanxiong Rhizoma (Chuanxiong), Ginseng Radix et Rhizoma (Renshen), Zingiberis Rhizoma Preparatum (Ganjiang - prepared), Glycyrrhizae Radix et Rhizoma Preparatum (Gancao - honey-fried), Paeoniae Radix Alba (Baishaoyao) (equal parts).
Coarsely chop. Take 4 qian per dose, add one cup of water, decoct to 60%, remove dregs, and take hot.
Liushen Tang (Six Spirits Decoction) [from *Yuyao Yuan Fang*]: Treats Spleen Qi disharmony, deficiency of Ying and Wei, lethargy, and poor appetite. It tonifies True Qi, improves appetite, and nourishes the skin.
Angelicae Sinensis Radix (Danggui), Rehmanniae Radix Preparata (Shudihuang), Paeoniae Radix Alba (Baishaoyao), Ligustici Chuanxiong Rhizoma (Chuanxiong), Astragali Membranacei Radix (Huangqi), Lycii Cortex (Digupi) (equal parts).
Make into coarse powder. Take 5 qian per dose, add 1.5 cups of water, decoct to 80%, remove dregs, and take warm on an empty stomach.
Jiajian Dajianzhong Tang (Modified Great Construct the Middle Decoction) [from *Puji Fang*]: Treats all deficiency damages during pregnancy and postpartum, irregular menstruation, umbilical and abdominal pain, alternating chills and fever, spontaneous sweating, dry mouth, and thirst.
Paeoniae Radix (2 liang), Angelicae Sinensis Radix (Danggui), Ligustici Chuanxiong Rhizoma (Chuanxiong), Astragali Membranacei Radix (Huangqi), Cinnamomi Ramulus (Guizhi) (each 1 liang), Glycyrrhizae Radix et Rhizoma Preparatum (Gancao - honey-fried), Atractylodis Macrocephalae Rhizoma (Baizhu) (each 7.5 qian).
Make into powder. Take 2.5 qian per dose, add 1.5 cups of water with ginger and jujube, decoct to 60%, remove dregs, and take warm before meals.
Qingqi Tang (Clear Qi Decoction) [from *Puji Fang*]: Treats muscle heat and emaciation, indicating Yin deficiency and Yang excess. This condition arises from weak Qi and hot Blood, causing heat to steam externally in muscles and internally in bones, leading to irritability, thirst, dry mouth, red cheeks, headache, loss of taste, palpitations, limb soreness, occasional night sweats, occasional cough, amenorrhea, or scanty menstruation. Commonly known as Xue Lao (Blood Labor), postpartum Bai Ru Lao (White Mat Labor), or affecting emaciated individuals. Treat with Qingqi Tang or Yangru Wan (Goat Milk Pill).
Perillae Fructus (Zisuzi), Schisandrae Fructus (Wuweizi), Arecae Semen (Dafuzi), Aurantii Fructus (Zhike), Morus Cortex (Sangbaipi - lightly fried), Acori Tatarinowii Rhizoma (Changpu), Lycii Cortex (Digupi), Atractylodis Macrocephalae Rhizoma (Baizhu), Bupleuri Radix (Chaihu), Gentianae Macrophyllae Radix (Qinjiao), Angelicae Pubescentis Radix (Duohuo), Puerariae Radix (GeGen), Glycyrrhizae Radix et Rhizoma Preparatum (Gancao - honey-fried) (equal parts).
Coarsely chop. Take 5 qian per dose, add one cup of water, seven slices of Perilla folium, one Mume Fructus, decoct to 70%, and take warm.
Huangqi San (Astragalus Powder, also known as Fangfeng Tang): Treats body pain and fatigue after eating due to Labor Qi, and night sweats. This results from blood loss damaging Ying and Wei.
Astragali Membranacei Radix (Huangqi) (1 liang), Paeoniae Radix Alba (Baishaoyao), Saposhnikoviae Radix (Fangfeng), Angelicae Sinensis Radix (Danggui), Rehmanniae Radix (Di Huang) (each 7.5 qian), Glycyrrhizae Radix et Rhizoma (Gancao) (0.5 liang).
Coarsely chop. Take 5 qian per dose, add one cup of water, three slices of ginger, one jujube, decoct to 70%, remove dregs, and take warm before meals.
Sibai San (Four Whites Powder): Treats blood deficiency fever in men and women, frequent night sweats, anorexia, emaciated limbs, joint spasms, foot pain preventing walking.
Astragali Membranacei Radix (Huangqi), Magnoliae Officinalis Cortex (Houpo), Alpiniae Oxyphyllae Fructus (Yizhiren), Pogostemonis Herba (Huoxiang), Atractylodis Macrocephalae Rhizoma (Baizhu), Dolichos Lablab Semen Album (Baidoudou), Citri Reticulatae Pericarpium (Chenpi) (each 1 liang), Pinelliae Rhizoma Preparatum (Banxia), Poria (Fuling), Ginseng Radix et Rhizoma (Renshen), Amomi Fructus Rotundus (Baidoukou), Lardizablae Seed (Tiantai Wuyao), Glycyrrhizae Radix et Rhizoma (Gancao) (each 0.5 liang), Paeoniae Radix Rubra (Jingshaoyao), Santalum Album (Tanxiang), Aquilariae Lignum Resinatum (Chenxiang) (each 1 liang).
Make into fine powder. Take 4 qian per dose, add one cup of water, three slices of ginger, one jujube, decoct to 70%, and take warm.
Jiegeng Yinzi (Platycodon Infusion) [from *Daquan Liangfang*]: Treats Heart Qi deficiency, relieves labor fatigue, and benefits Blood.
Astragali Membranacei Radix (Huangqi), Ginseng Radix et Rhizoma (Renshen), Ophiopogonis Tuber (Maimendong), Platycodonis Radix (Kugen), Glycyrrhizae Radix et Rhizoma (Gancao) (each 1 liang), Aurantii Fructus (Qingpi) (0.5 liang).
Make into powder. Take 3 qian per dose, add one cup of water, decoct to 70%, and take warm.
Rusheng San (Like-Sage Powder) [from *Daquan Liangfang*]: Treats females with congenital Qi and Blood deficiency, intolerance to cold and heat, susceptibility to injury, irregular menstruation, long-term Heart deficiency resembling Heart Labor, limb fatigue, weak sinews and bones, night sweats, and easy fright. Occasional restlessness, heat in the five centers, lack of flesh growth, intermittent dizziness, loss of taste, and chest discomfort. Applicable to illnesses contracted before or after childbirth.
Bupleuri Radix (Chaihu), Poria (Fuling), Glycyrrhizae Radix et Rhizoma (Gancao), Rehmanniae Radix Preparata (Shudihuang), Ginseng Radix et Rhizoma (Renshen), Angelicae Sinensis Radix (Danggui) (each 1 liang), Testudinis et Carapax et Plastrum (Biejia), Coptidis Rhizoma (Huhuanglian), Aquilariae Lignum Resinatum (Chenxiang), Anemarrhenae Rhizoma (Zhimu) (each 0.5 liang), Taxilli Herba (Sangjisheng), Puerariae Radix (GeGen) (each 7.5 qian).
Make into fine powder. Take 2 qian per dose, add one cup of water, one Mume Fructus, two jujubes, several Ophiopogonis Tubers, decoct to 80%, and take at any time.
Jielao San (Seize Labor Powder): Treats dual deficiency of Heart and Kidney, labor coughing (2-3 times) without phlegm. Fever at night, followed by cold once the fever subsides, occasional night sweats, limb fatigue, emaciated yellowish body, reduced appetite, vague sleep, restless spirit, and vivid dreams. This medicine treats mild cough with sputum containing red threads, named Fei Wei (Lung Flaccidity); if neglected, it becomes a debilitating disease.
Paeoniae Radix Alba (Baishaoyao) (6 liang), Astragali Membranacei Radix (Mian Huangqi - honey-fried) (4 liang), Glycyrrhizae Radix et Rhizoma Preparatum (Gancao - honey-fried), Ginseng Radix et Rhizoma (Renshen - removed rhizome, wine-washed), Angelicae Sinensis Radix (Danggui - removed rhizome), Pinelliae Rhizoma Preparatum (Banxia), Poria (Baifuling - peeled), Rehmanniae Radix Preparata (Shudihuang - washed and dried), Schisandrae Fructus (Wuweizi), Eclipticae Herba (Ejiao) (each 2 liang, stir-fried).
Coarsely chop. Take 3 qian per dose, add one cup of water, seven slices of ginger, three jujubes, decoct to 90%, take warm at any time, three times daily.
Tonggu Jian (Bone Marrow Decoction) [from *Daquan Liangfang*]: Treats various deficiency diseases causing emaciation and fatigue, pulling pain in waist and back, irritability, panting and coughing, vomiting pus and blood, excessive stubborn phlegm, disturbed sleep, chest fullness, shortness of breath, frequent night sweats, brittle hair, tinnitus, cold skin and hot bones. Treats all Five Labors and Seven Injuries, bone-steaming fever, etc.
Lycii Cortex (Digupi), Glycyrrhizae Radix et Rhizoma (Fengcao), Bupleuri Radix (Beichaihu), Peucedani Radix (Qianhu), Linderae Radix (Wuyao), Ephedrae Herba (Mahuang - joints unremoved), Puerariae Radix (GeGen), Artemisiae Annuae Herba (Qinghao), Platycodonis Radix (Kugen), Anemarrhenae Rhizoma (Zhimu), Aristolochiae Manshuriensis Rhizoma (Tianxianteng), Scutellariae Radix (Tiaohuangqin) (each 1 liang), Ginseng Radix et Rhizoma (Renshen), Rehmanniae Radix (Sheng Dihuang), Gentianae Macrophyllae Radix (Qinjiao), Testudinis et Carapax et Plastrum (Biejia), Astragali Membranacei Radix (Huangqi) (each 0.5 liang).
Coarsely chop. Take 3 qian per dose, add one cup of water, one portion of wine, one pig femur bone (roasted until charred), divided into four doses. Add seven-inch peach and willow branches, five apricot kernels (peeled, cored, crushed), decoct to 70%, remove dregs, and take warm. Adding half a Mume Fructus is excellent. Another formula adds Angelicae Sinensis Radix and Paeoniae Radix.
Zixue Tang (Nourishing Blood Decoction): Treats female menstrual obstruction, or numbness of limbs due to blood stasis, muscle heat, heavy body, fatigue, and weakness, approaching Lao Zhai. Do not recklessly use blood-breaking methods; instead, nourish and moisten. (See Amenorrhea.)
Buzhong Wan (Tonify Middle Pill) [from *Yu Jushi Xuanfang*]: Treats various deficiency diseases in females.
Atractylodis Macrocephalae Rhizoma (Baizhu), Rehmanniae Radix (Dihuang) (each 1 liang), Ligustici Chuanxiong Rhizoma (Chuanxiong), Paeoniae Radix Alba (Baishaoyao), Angelicae Sinensis Radix (Danggui), Astragali Membranacei Radix (Huangqi), Ginseng Radix et Rhizoma (Renshen), Citri Reticulatae Pericarpium (Chenpi) (each 0.5 liang).
Make into fine powder, mix with refined honey to make pills the size of paulownia seeds. Take 50-70 pills per dose with warm water.
Wenzhong Wan (Warm Middle Pill) [from *Puji Fang*]: Treats Chong and Ren vessel deficiency, Blood and Qi injury, intermittent menstruation, irregular timing, variable flow, dull abdominal pain, alternating chills and fever, irritability and fullness, dry throat and tongue, palpitations, dizziness, limb fatigue, pulling pain in waist and back, tendon spasms, leukorrhea (red and white), fluctuating appetite, or alternating chills and fever.
Rehmanniae Radix (Shengdihuang) and Fresh Ginger (Shengjiang) (each 1 jin, chopped and juiced separately; stir-fry Rehmannia residue with Ginger juice, then stir-fry Ginger residue with Rehmannia juice), Paeoniae Radix Alba (Baishaoyao) (2 liang), Ginseng Radix et Rhizoma (Renshen - removed rhizome), Poriella Spora (Puhuang - stir-fried), Angelicae Sinensis Radix (Danggui - wine-washed), Succinum (Hupo - ground separately), Poria (Baifuling - peeled), Astragali Membranacei Radix (Huangqi - honey-fried), Corydalis Rhizoma (Yanhusuo - stir-fried), Ophiopogonis Tuber (Maimendong - heart removed), Mume Fructus Flesh (Wumei Rou - baked) (each 1 liang).
Make into powder. Separately decoct 1 jin of Artemisia argyi leaves (Aiye) in 1 dou of water to obtain thick juice, boil down to paste, and mix with the powder to make pills the size of paulownia seeds. Take 50 pills per dose with warm rice drink, fasting before meals.
Renshen Wan (Ginseng Pill) [from *Shibian Liangfang*]: Nourishes Yin, generates Blood, and tonifies deficiency.
Ginseng Radix et Rhizoma (Renshen), Cornu Cervi Collum Gelatinum (Lujiaojiao - stir-fried), Rehmanniae Radix Preparata (Shudihuang), Paeoniae Radix (Shaoyao), Angelicae Sinensis Radix (Danggui), Atractylodis Macrocephalae Rhizoma (Baizhu), Ligustici Chuanxiong Rhizoma (Chuanxiong) (equal parts).
Make into powder, mix with refined honey to make pills the size of paulownia seeds. Take 30 pills per dose with rice drink on an empty stomach.
Mifang Shibu Wan (Secret Formula Ten Tonics Pill): Treats various deficiencies and hundred damages in females, Ying-Wei disharmony, emaciation, sallow face, back fatigue, bitter taste, dry tongue, palpitations, excessive sweating, Blood deficiency with Qi excess, alternating chills and fever, metrorrhagia, leukorrhea, miscarriage, and abortion. This medicine treats all these conditions. Especially effective for pregnant women.
Prepared Rehmanniae Radix (Shugan Dihuang - washed, wine-soaked, steamed, dried, weighed 4 liang), Cistanche Deserticola (Roucongrong - wine-soaked, dried), Ginseng Radix et Rhizoma (Renshen), Astragali Membranacei Radix (Mian Huangqi - removed rhizome, honey-fried), Ligustici Chuanxiong Rhizoma (Chuanxiong), Angelicae Sinensis Radix (Danggui - removed rhizome, wine-soaked and dried), Paeoniae Radix Alba (Baishaoyao - washed), Poria (Baifuling), Atractylodis Macrocephalae Rhizoma (Baizhu - removed rhizome, washed, stir-fried) (each 2 liang), Glycyrrhizae Radix et Rhizoma Preparatum (Gancao - honey-fried) (0.5 liang), Cinnamomi Cortex (Rougui) (1 liang, bark removed).
Make into fine powder, mix with good wine and Yam powder paste to make pills the size of paulownia seeds. Take 60-70 pills per dose before meals with rice soup or warm wine.
Wusheng Wan (Five Sages Pill): Regulates Ying and Wei, nourishes Qi and Blood. Treats Chong and Ren deficiency, irregular menstruation, umbilical and abdominal pain, metrorrhagia and metrostaxis, blood masses, thirst and pain, cold in pregnancy, improper care, fetal restlessness, continuous bleeding, postpartum wind-cold invasion, lochia retention, mass formation, lower abdominal hardness and pain, and alternating chills and fever.
Angelicae Sinensis Radix (Danggui), Ligustici Chuanxiong Rhizoma (Chuanxiong), Paeoniae Radix Alba (Baishaoyao), Prepared Rehmanniae Radix (Shugan Dihuang) (each 1 liang), Raw Rehmanniae Radix (Shenggan Dihuang) (2 liang).
Make into powder, cook in wine with wheat paste to make pills the size of paulownia seeds. Take 60-70 pills per dose before meals with warm wine.
Qibu Wan (Seven Tonics Pill) [from *Shibian Liangfang*]: Treats female Qi and Blood deficiency, Chong-Ren disharmony, abdominal menstrual clots resembling pregnancy, menstruation not yet arrived, meridians undifferentiated. Suitable for this formula.
Angelicae Sinensis Radix (Danggui), Paeoniae Radix (Shaoyao), Ligustici Chuanxiong Rhizoma (Chuanxiong) (each 3 fen), Angelicae Dahuricae Radix (Baizhi), Atractylodis Macrocephalae Rhizoma (Baizhu), Rehmanniae Radix Preparata (Shudihuang), Eclipticae Herba (Ejiao - stir-fried) (each 2 fen).
Make into powder, mix with refined honey to make pills the size of paulownia seeds. Take 50-60 pills per dose with rice drink on an empty stomach.
Yangru Wan (Goat Milk Pill): Treats Xu Lao and emaciation.
Gentianae Macrophyllae Radix (Qinjiao), Bupleuri Radix (Chaihu), Lycii Cortex (Digupi), Corni Fructus (Shanzhuyu Rou), Astragali Membranacei Radix (Huangqi - honey-fried), Rehmanniae Radix (Dihuang - wine-soaked and steamed) (equal parts).
Make into powder, mix with refined honey to make pills the size of paulownia seeds. Take 50 pills per dose with Ginseng decoction, at any time, three times daily.
Renshen Biejia Wan (Ginseng and Turtle Shell Pill) [from *Puji Fang*]: Treats all female deficiency damages, emaciation, night sweats and palpitations, cough with rebellious Qi, irregular menstruation, or alternating chills and fever, anorexia.
Prunus Armeniaca Semen (Xingren - soaked in water, peeled, cored, stir-fried), Ginseng Radix et Rhizoma (Renshen), Angelicae Sinensis Radix (Danggui), Paeoniae Radix Rubra (Chishaoyao), Glycyrrhizae Radix et Rhizoma Preparatum (Gancao - honey-fried), Bupleuri Radix (Chaihu), Platycodonis Radix (Jiegeng - removed rhizome) (each 1 liang), Lycii Cortex (Digupi), Coptidis Rhizoma (Xuan Huanglian - removed roots), Coptidis Rhizoma (Huhuanglian) (each 7.5 qian), Cinnamomi Cortex (Rougui - rough bark removed), Aucklandiae Radix (Muxiang) (each 0.5 liang), Moschus (Shexiang - ground separately, 0.5 qian), Testudinis et Carapax et Plastrum (Biejia - one piece, weighing 2 liang, vinegar-roasted to yellow).
Make into fine powder. Use 1 jin of Artemisia annua (Qinghao), crush and squeeze juice. Mix with 5 sheng of urine from an uncircumcised boy and 5 sheng of wine. Boil down to 2 sheng. Then add 3 liang of real butter and 3 liang of white sand honey, boil again into a paste. Once cooled, add the herb powders, mix evenly, and make pills the size of paulownia seeds. Take 50 pills per dose with warm wine, at any time.
Ai Qian Wan (Li Dongyuan Formula): Treats various female deficiencies.
Artemisia argyi Folium (Bei Aiye), Large Angelicae Sinensis Radix (Da Danggui) (each 2 liang), Cyperi Rhizoma (Xiangfu Zi) (4 liang).
Boil in vinegar for half a day, bake dry, make into powder. Boil paste in vinegar again to make pills. Take with Ai Cu Tang (Mugwort Vinegar Decoction).
Wuwei Wan (Li Dongyuan Formula): Tonifies deficiency and defeats decay.
Astragali Membranacei Radix (Huangqi) (4 liang, salt-water soaked, fire-roasted), Schisandrae Fructus (Beiwuweizi) (2 liang).
Make into powder, mix with Sorghum paste to make pills. Take with salt wine on an empty stomach.
[Deficiency Labor Without Heat]
[Wang Jiezhi] Female Cold Labor belongs to Qi and Blood deficiency, internal organ deficiency and cold, leading to cold pain below the umbilicus, cold hands and feet, irregular menstruation, indigestion, occasional vomiting, aversion to cold and fever, joint soreness, emaciation, and sallow complexion.
[Xue Ji] The aforementioned symptoms include true cold inside and out, but also true heat inside and out, true heat inside with false cold outside, and true cold inside with false heat outside. If digestion is difficult, stools are loose, borborygmus and abdominal pain occur, food is feared as cold, hands and feet are reversed cold, face is yellow with vomiting, and wind-cold is feared, this is true cold inside and out. Use Fuzi Lizhong Tang (Aconite Regulate the Middle Decoction) to restore Yang, and Bawei Dihuang Wan (Eight-Ingredient Rehmannia Pill) to strengthen Fire. If diet is normal, stools are firm, chest and abdomen are distended, food is preferred cold, hands and feet are hot, face is red with vomiting, and wind-cold is not feared, this is true heat inside and out. Use Huanglian Jiedu Tang (Coptis Detoxification Decoction) to eliminate Yang, and Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) to strengthen Water. If diet is normal, stools are firm, chest and abdomen are distended, food is preferred cold, hands and feet are reversed cold, face is yellow with vomiting, and wind-cold is feared, this is true heat inside with false cold outside. Also use Jiedu Tang and Liuwei Wan. If appetite is low, stools are loose, acid regurgitation and belching occur, chest and abdomen are full, hands and feet are reversed cold, face is red with vomiting, and wind-cold is feared, this is true cold inside with false heat outside. Also use Fuzi Lizhong Tang and Bawei Wan. Seek the root cause to treat. The Classic says: "Benefit the source of Fire to dissipate Yin shadows; strengthen the master of Water to control Yang brilliance." If one does not understand the insufficiency of true Water and Fire, and indiscriminately uses cold and hot medicines, old diseases will remain, and new ones will arise. "Shu" (belonging) refers to the Master, meaning Heart and Kidney. Seeking the belonging means seeking Heart and Kidney for Water and Fire insufficiency. The source of Fire is the root of Yang Qi, which is the Heart. The master of Water is the root of Yin Qi, which is the Kidney. It does not mean Fire corresponds to Heart, Yuan to Liver, Water to Kidney, and Zhu to Lung. One woman had poor appetite, vomiting, spitting phlegm, yellow face, abdominal pain, irregular menstruation, and reversed cold hands and feet. This was true cold inside and out; treated with Liujunzi Tang plus Fuzi and Muxiang, cured. Another woman suddenly vomited sour water, felt internal heat and thirst, could not eat, only liked cold water, face was green-red, and medicine was vomited immediately upon entry. This was true heat inside and out. After ten days, only Huanglian was decocted and drunk. Slowly added Baizhu, Fuling, Chenpi, Danggui, and Gancao. After over a month, she could drink rice soup and congee, and recovered with regulation. Another woman had internal heat, thirst, constipation, fear of wind-cold, and reversed cold hands and feet. This was true heat inside with false cold outside. First used Huanglian Jiedu Tang, then Liuwei Wan, cured. Another woman initially had phlegm-panting, heat, and thirst. Doctors used cooling and Qi-dispersing methods, causing muscle wasting and Qi depletion. By Jiachen year, Wood was prosperous, Phlegm was abundant, body was hot, mouth was ulcerated, abdomen was distended, spirit was confused, nearly died from starvation. This was deficiency heat without Fire. Administered medicine to strengthen Water and generate Earth, effective immediately. Years later, early summer, head drooped when sitting, back felt cold and windy when lying, irritable, dizzy, coughing and vomiting phlegm, numb and cold hands and feet. This was true cold inside with false heat outside. Administered large tonifying Jiang-Fu (Ginger-Aconite) medicine. Within 3-4 doses, major symptoms subsided. Continued with modified previous medicine, cured.
Han Mao treated his sister-in-law, over thirty years old, who had eighteen pregnancies, nine miscarriages, eight stillbirths/infant deaths. Due to family crisis, excessive shock and worry led to unconsciousness, ulcers on lips/tongue/throat, lower body collapse, profuse leukorrhea. For forty days, occasionally conscious, suicidal, unbearable grief. Doctors using cooling agents worsened lower symptoms; those using heating agents or fumigation caused fainting from heat. This was Wang Yang (Loss of Yang) syndrome. Urgently used 9 qian of salt-cooked large Fuzi as sovereign, processed with Bohe and Fangfeng, assisted by Jiang, Rougui, Chuanxiong, Danggui. Decocted in water, cooled in well water, given cold. Before finishing the dose, slept soundly through the night, woke up recognizing people. Asked: What is this? Answered: Formulas state, "False against false, true against true." Upper is false heat, so follow with false cold medicine; lower is true cold, so oppose with true heat medicine. Thus upper and lower harmonize, disease resolves. Subsequently used Nv Jin Dan mixed with 2-3 formulas to remove disease and regulate Yuan Qi. Soon, gave birth to two sons. (The above discussions and cases relate to Xu Lao but demonstrate the great method of varying cold and heat treatments, which must be carefully observed.)
[Jufang] Da Sheng San (Great Sage Powder): Treats female Blood Sea deficiency and cold, infertility, postpartum敗血 (decayed blood) rushing to Heart, stroke with jaw lock, dead fetus in womb. Force open mouth, pour medicine, deliver shortly after, safe. Treats miscarriage with stabbing abdominal pain, breech/transverse presentation, retained placenta, blood syncope, blood stasis, metrorrhagia, blood entering limbs, blood organ disorders, various wind pathogens. Or Shanghan with vomiting/cough, alternating chills/fever, body sores, headache, nausea, irregular menstruation, leukorrhea, breast odor, uterine cold, repeated miscarriages, unstable metrorrhagia, resulting illness. Virgin with blocked menstruation. All suitable. Regular use warms uterus, harmonizes Blood/Qi, beautifies complexion, dispels wind-cold, eliminates myriad diseases, treats male Five Labors, Seven Injuries, and deficiency.
Lycii Radix (Zelan Ye), Gypsum Fibrosum (Shigao - ground) (each 2 liang), Selaginellae Herba (Juanbai - roots removed), Poria (Baifuling - peeled), Saposhnikoviae Radix (Fangfeng - removed rhizome), Magnoliae Officinalis Cortex (Houpo - removed