桃仁苏木诸药。乃破瘀行血之峻剂也。但妇人经水不通有二。一由风寒冷湿。客抟冲任
。致
血气凝滞不通者。则宜用前药宣利之。若血海干枯。无经可行者则当纯补脾肝肾三经以滋生
化之源此治虚之道也若益母续断丹皮等药性主生新消瘀。犹属补泻兼行盖丹皮白色者可凉血
。同熟地当归参术尚能生血。其赤色者仅只清瘀而已无瘀则耗好血不可不知木槿紫荆兼解烦
热疮癣有验。
以上皆滑利之品。凡命门火衰滑泄。及素患梦遗者忌用之。枣仁治少阳胆热不眠。若风
秘及
热客大肠闭结者。则宜火麻郁李桃仁之属。若血涸津枯。致大便干涩者。则宜滋阴之味。但
火麻性最峻利。须酌之。蕤仁决明佐治肝虚风热目赤。亦有效。郁仁兼疗眼痛及水肿病。葵
子利二便。皆治实之物也。
姜生者同葱白主疗外感。初症发汗通经。所必用也。煨者主温暖脾胃性主守。炮者性却
平。
止呕吐。燥太阴之寒湿。及治产后发热有功。但患阴虚咳嗽。及病久阳虚者禁之。误用必致
脱汗。姜皮性平。能引药达表。
生栀性太寒。古方用为吐药。疗上膈之实热。经炒者性凉祛热解烦。保肺抑心。其炮黑
者
性平。除郁滞。理肝气。济生逍遥散加之亦止血窍此一物而有三用也性寒凉平随火变化耳。
此药方书谓疗中风惊风诸风。口眼 邪切牙闭齿四肢抽搐诸病为有功。但中风主脏病多
不治
。又有似中风而非真中风。若河涧主于热。丹溪主于湿。东垣主于气者是也。大都真中风实
由元气素虚故得乘虚召感所谓肝虚风自生者是也此须急投温剂。峻补真元。庶可望苏。若误
用前药辛窜耗散之物。只速其死耳。里人姜郢雪年六十余。素不谨酒色。一日因积劳远归。
醉鼾当风。遽病亡阳。面色如妆。闭目摇头。时醒时昏。遗尿足冷。绝无痰涎。此真气暴脱
。十有九死危症也。余令亟投大剂参附等药。谓或救万一。迟则不治矣。渠次郎即往市参。
许久未回。余与王遂生辞归。未几有一老医至。诊之曰。此病风痰何妨。予治之多矣。奈何
妄议参附燥毒助气之剂。少俟明日病愈。用参调理未晚。遂投驱风攻痰之药。至晚即殁。其
明验也。
桃仁、苏木等药物，属于攻破瘀血、通行血脉的峻猛药剂。但是妇女月经不通有两种情况：一种是由于风寒湿邪侵袭，搏结于冲脉和任脉，导致气血凝滞不通，这时适宜使用前面的药物来宣通利导；另一种是血海干枯，没有经血可下，这时应当纯粹补益脾、肝、肾三经，以滋生化源，这是治疗虚证的方法。至于益母草、续断、牡丹皮等药物，其药性主要在于生新血、消瘀血，仍属于补泻兼施的药物。其中白色的牡丹皮可以凉血，配合熟地黄、当归、人参、白术等还能生血；而红色的牡丹皮仅能清除瘀血而已，如果没有瘀血却使用它，就会耗伤好血，这一点不可不知道。木槿花和紫荆皮兼有解除烦热、治疗疮癣的功效，确有疗效。
以上这些药物都属于滑利之品。凡是命门火衰导致的滑泄，以及平时患有梦遗的人，都忌用这些药物。酸枣仁治疗少阳胆热导致的失眠。如果是风秘（因风邪引起的便秘）及热邪客居大肠导致的闭结，则适宜用火麻仁、郁李仁、桃仁这类药物。如果是血液枯竭、津液干涸导致的大便干涩，则适宜使用滋阴的药物。但是火麻仁的药性最为峻猛滑利，必须斟酌使用。蕤仁、决明子辅助治疗肝虚风热导致的目赤肿痛，也有效。郁李仁兼治眼痛及水肿病，葵子通利大小便，这些都是治疗实证的药物。
生姜同葱白一起，主要治疗外感病，在初起阶段发汗通经，是必须使用的药物。煨姜主要温暖脾胃，药性主守；炮姜药性平和，能止呕吐，燥除太阴脾经的寒湿，对于治疗产后发热也有功效。但是阴虚咳嗽及久病阳气虚弱的人禁用，误用必然导致脱汗。姜皮药性平和，能引导药力达于体表。
生栀子药性大寒，古方中用作吐药，治疗上焦膈膜的实热。经过炒制的栀子药性变凉，能祛热解烦，保护肺脏，抑制心火。经过炮制变黑的栀子药性平和，能消除郁滞，调理肝气，济生逍遥散中加入它也能止血窍。这一味药有三种用途，是因为其性寒、凉、平随火候变化而已。
这本书说该药方治疗中风、惊风等各种风病，对口眼歪斜、牙关紧闭、四肢抽搐等疾病有功。但是中风多属脏腑病变，大多难以治愈。又有类似中风而非真正中风的情况，比如刘河间主张热邪致病，朱丹溪主张湿邪致病，李东垣主张气虚致病的是这类情况。大多真正的中风实际上是由元气素来虚弱，从而乘虚受邪所致，所谓“肝虚风自生”就是这个道理。这种情况必须急投温补药剂，峻补真元，才有望苏醒。如果误用前面那些辛散耗气的药物，只会加速死亡罢了。同乡人姜郢雪，六十多岁，平时不节制酒色。有一天因为积劳远归，醉酒后打鼾当风，突然患上亡阳证，面色如妆（泛红），闭目摇头，时而清醒时而昏沉，遗尿，脚冷，完全没有痰涎，这是真气暴脱，十死九生的危重症。我命令立即投以大剂量的人参、附子等药物，说或许能救回万一，迟了就来不及了。他的次子立刻去市场买人参，许久未回。我与王遂生告辞回家。不久有一位老医生来到，诊察后说：“这是风痰病，有什么妨碍？我治过很多这样的病例。为什么妄议人参、附子是燥毒助气的药物，稍等明天病好了，再用参调理也不晚。”于是投用驱风攻痰的药物，到了晚上就去世了。这就是明显的验证。
Peach Kernel (Taoren) and Sappan Wood (Sumu), among other herbs, are harsh agents for breaking blood stasis and promoting blood circulation. However, there are two causes for amenorrhea in women: one is due to the invasion of wind-cold-damp pathogens, which bind to the Chong and Ren vessels, causing qi and blood stagnation and obstruction; in this case, it is appropriate to use the aforementioned herbs to promote free flow and unblock. The other cause is a dryness of the Blood Sea with no menstrual blood available to flow; in this instance, one should purely tonify the Spleen, Liver, and Kidney meridians to generate the source of transformation, which is the method for treating deficiency. As for herbs such as Motherwort (Yimucao), Dipsacus (Xuduan), and Moutan Cortex (Danpi), their properties mainly focus on generating new blood and eliminating stasis, still belonging to agents that both tonify and purge. Specifically, white Moutan Cortex can cool the blood; when combined with Rehmannia (Shudi), Angelica Sinensis (Danggui), Ginseng (Renshen), and Atractylodes (Baizhu), it can also generate blood. Red Moutan Cortex, however, only clears stasis; if used without stasis, it will consume healthy blood, a fact that must not be ignored. Hibiscus Mutabilis Flower (Mujin Hua) and Cercis Chinensis Bark (Zijing Pi) both relieve irritability and heat and treat sores and tinea, with verified efficacy.
All the above-mentioned substances are slippery and lubricating in nature. They are contraindicated for those with decline of Mingmen Fire leading to slippery discharge, and for those who habitually suffer from nocturnal emissions. Sour Jujube Seed (Suanzaoren) treats insomnia caused by Shaoyang Gallbladder heat. If constipation is due to wind obstruction or heat pathogen lodging in the Large Intestine, herbs such as Hemp Seed (Huomaren), Prunella Fructus (Yuliren), and Peach Kernel (Taoren) are appropriate. If dryness and roughness of stool result from depletion of blood and drying of fluids, nourishing yin substances should be used. However, Hemp Seed (Huomaren) has the most harsh and lubricating nature, so its dosage must be carefully considered. Prunus Persica Seed (Ruiren) and Cassia Seed (Juemingzi) assist in treating red eyes caused by Liver deficiency and wind-heat, and are also effective. Prunella Fructus (Yuliren) additionally treats eye pain and edema, while Abutilon Seed (Kuixi) promotes urination and defecation; these are all substances for treating excess conditions.
Fresh Ginger (Shengjiang) combined with Scallion White (Congbai) primarily treats exterior syndromes. In the initial stage, they are essential for inducing sweating and unblocking the meridians. Baked Ginger (Weijiang) primarily warms the Spleen and Stomach, with a property of retaining warmth. Processed Ginger (Paojiang) has a mild nature, stops vomiting, dries damp-cold of the Taiyin Spleen, and is effective in treating postpartum fever. However, it is contraindicated for Yin deficiency cough and chronic Yang deficiency; misuse will inevitably lead to collapse sweating. Ginger Skin (Jiangpi) has a neutral nature and can guide medicinal effects to the exterior.
Raw Gardenia Fruit (Shengzhi) is excessively cold. Ancient formulas used it as an emetic to treat excess heat in the upper jiao. Stir-fried Gardenia has a cooling nature, dispels heat, relieves irritability, protects the Lung, and suppresses Heart fire. Charred Gardenia has a neutral nature, removes stagnation, regulates Liver qi, and when added to Jisheng Xiaoyao San, can also stop bleeding from various orifices. This single herb has three uses because its cold, cool, and neutral properties change according to the processing fire.
This text states that the formula treats stroke, convulsive disorders, and various wind diseases, being effective for facial paralysis, lockjaw, and limb spasms. However, true stroke often involves internal organ pathology and is mostly incurable. There are also conditions resembling stroke but not true stroke, such as those attributed to heat by Liu Hejian, dampness by Zhu Danxi, and qi deficiency by Li Dongyuan. Most true strokes actually arise from inherent weakness of Yuan Qi, allowing pathogens to invade via deficiency, as described by "Liver deficiency generates internal wind." In such cases, warm tonifying agents must be urgently administered to severely tonify True Yuan, offering a chance of recovery. Misusing the aforementioned acrid, dispersing, and qi-consuming herbs will only hasten death. A townsman named Jiang Yingxue, over sixty years old, who was usually immoderate in alcohol and sexual activity, returned home exhausted one day. Falling asleep drunk facing the wind, he suddenly developed Yang Collapse syndrome: his face appeared flushed like makeup, he closed his eyes and shook his head, alternating between consciousness and coma, suffered urinary incontinence and cold feet, and had no phlegm secretions. This was a critical condition of sudden collapse of True Qi, with nine chances of death out of ten. I ordered the immediate administration of large doses of Ginseng (Renshen) and Aconite (Fuzi), stating that perhaps one in ten could be saved, but delay would make it untreatable. His second son went to the market to buy Ginseng and did not return for a long time. Wang Suisheng and I took our leave. Shortly after, an old physician arrived, diagnosed the pulse, and said, "This is Wind-Phlegm disease, what harm is there? I have treated many such cases. Why do you recklessly criticize Ginseng and Aconite as toxic, qi-assisting agents? Wait until tomorrow when the illness subsides, then tonify with Ginseng; it will not be too late." He then administered wind-dispelling and phlegm-resolving drugs. By evening, the patient died. This serves as clear proof.