（注）按原注云∶血去则燥，燥则火旺，肺大枯，欲从肾源滋水，而不先滋水之母，有是理乎？然肺为多
气少血之脏，故一切血药概不欲用，以羊肺为主，诸味之润者佐之，人所易能也。若以真粉之甘凉，不独清金
，且以培土，人所未知也。愚谓此治上损之主剂也。肺热叶焦之痿，饮不解渴之上消，并
可仿此为法。夫可久先生为治损圣手，故叶氏治吐血诸证皆宗之。奈后人多从《医贯》入手，不分上损、下损，
惟知六味、八味等方而已，宜乎其无效也。今世所传葛氏方，仅一白凤膏脍炙人口，抑何陋哉！
燮理十全膏 平补阴阳，调和气血。
人参 黄 （各三两炙） 白术（六两） 熟地（八两） 归身 白芍 川芎（各二两） 甘草（一两炙）
上八味，熬膏，将成入鹿角胶四两，龟板胶三两收之，盛瓷器内，窨去火气。每开水调服数钱。
（注）此一瓢先生方也。其方论云∶古人治无形之劳倦，必培以甘温，人参为君，白术为臣，黄 为佐，
甘草为使，有形之劳倦，必助以辛温，归、芎是也，资以酸甘，芍、地是也。故以八味为章旨，而驱策以血肉
之物，如鹿之动，能通督脉，挺走险阻而不疲，角戴阳而上升，禀乎刚健之用；龟之静，能通任脉，潜藏固
蛰，抱阴负阳而善守，腹为阴而下降，禀乎柔顺之体。此二胶者，各禀一德，草木力微，赖之而神其用也。
阴阳两虚者服之，无偏胜，无不及，或加陈皮、半夏以利枢机，允为王道之剂。凡培养元气之方，宜简而纯。
简则脏腑易承，气血易行，纯则温浓和平，可以补偏救弊，俾自相灌注，循环无端，生生不已，以合其先天所
赋流行之道。若稍有穿凿，非本然之理矣。盖人身之精神，不外乎阴阳，阴阳又不外乎刚健柔顺，相倚循环，
并非分道扬镳者也。故无形之动，阳之性，即阳之理，有形之静，阴之性，即阴之理也。张之则为阳，驰之则
为阴。阳则刚健中正，阴则柔顺利贞。丹书敬胜怠
胜，夫人知之，无如气血精力与时推移，久劳其阳，阳必降而入阴，久敝其阴，阴必无力承阳，必使刚健中正
以行之阴，柔顺利贞以奉于阳，则阴阳二气无形体、无疆界，不劳不敝，则自然清明在躬也。
露珠丹 治殚虑劳神，火升心悸，震惕不寐，遇事善忘。
透明辰砂（一两，以玉器盛露四十九夜，除阴雨不算，研极细） 西牛黄（一钱，研细）
上二味，研匀，炼白蜜丸如豌豆大。每临文应事或卧时，以一丸噙化。
正诚丹 治同上。
透明辰砂（研极细，每砂一两，用生甘草一两煎汤飞净、去头底晒干，再研再飞，三次为度）
猪心中血（丝绵绞去滓，凡砂一两，用心血三个，每次一个，拌砂晒干，再研再拌，再晒三个，用讫再研极细）
上以糯米糊和捣万杵为丸，每重七分，阴干得五分，瓷瓶密收。服法如前。
神效散 治膈消。
白浮石 生蛤粉 蝉蜕
上三味，研细末，每三钱，鲫鱼胆七枚，取汁调服。
（注）晋三先生云∶心肺同居膈上，热邪移肺，劫其真津，而成 之势，炽若燎原，故渴而求救于水，饮
如长鲸之吸川，虽补水降火，犹恐不及，妙在即以水中咸寒之物，从其所欲以治之。故仲景用文蛤散、洁古化
水丹用蛤粉，皆同此义。是方更有进焉者，浮石、蛤粉、鲫鱼胆三者，以咸胜苦，以苦胜辛，辛，肺之气味也
。佐以蝉蜕轻浮上升，引领三者直达肺经，解热上渴。且浮石、蛤粉之咸，皆平善无过，非但止渴，兼能利水，
可无聚水之变幻。盖往往有寒凉过用，火热既消，
反不能消水而成中满肿胀者。吾于此敬服许学士具通天手眼，转展回顾有如此也。
太乙紫金丹
山慈姑 川文蛤（各二两） 红芽大戟 白檀香 安息香 苏合油（各一两五钱） 千金霜（一两） 雄
黄（飞净） 琥珀（各五钱） 冰片 当门子（各三钱）
上十一味，各研极细，再合研匀，浓糯米饮杵丸，绿豆大，外以飞净辰砂为衣。
（注）此治湿温、疫疠之邪，弥漫熏蒸，神明昏乱，及霍乱吐泻，痧胀腹痛，水土不服，岚障中恶等证，
兼解诸毒。薛一瓢先生云∶比苏合丸而无热，较至宝丹而不凉，兼太乙丹之解毒，备二方之开闭，洵为济生之
仙品，立八百工之上药也。
（刊）今世所行太乙丹，药品庞杂，群集燥热，惟风餐露宿藜藿人寒湿为病者，服之颇宜。若一概施之，
误人匪浅。
参香八珍膏
丹参（去头尾，酒洗蒸熟） 四制香附（各四两） 熟地 炙黄 白芍（酒炒） 蒸熟白术 白归身
（酒炒） 茯苓（各三两）
上八味，熬膏。每三钱，开水调服。
（注）一瓢先生云∶此女科调理方之首选也。气味和平，功能相称，同行脏腑，灌注血脉，虚人可以久服
。愚按气属阳，欲其刚健，血属阴，欲其柔顺。女子多郁。则气行不健，故去甘草之甘缓，加香附以承流 、
术之宣化，郁则生热，故血行不顺，爰去川芎之温窜，加丹参以协和三物而涵濡。且黄 得归、芍，补血之功
敏于人参，特舍彼而用此，不仅贫富可以共
尝也。
金凤衔珠 治妇女虚寒诸病，致不受孕。
蛇床子（四钱） 母丁香 肉桂 杏仁 白芨 吴萸 菟丝子 北细辛 薏苡仁 砂仁 牡蛎 川椒（各
三钱） 麝香（少许）
上十三味，各研细，再研匀，生蜜丸，樱桃大。每一丸，纳玉门中。
（注）此治玉门宽湿，虚寒带下，或行经腹痛，经迟色淡，并男子阳虚茎萎，遗浊精寒诸证。世之男妇，
患此而隐忍不言，遂至仳离，甚或酿事，盖不知可以药治也。录方之意，殆有深心。
吉祥丸 治妇人血寒气郁，不能有子。
天麻（煨） 芎 桂心 丹皮 桃花瓣 柳絮 白术 熟地 五味（去核） 茯苓（各一两） 菟丝子
覆盆子 楮实（各一升） 桃仁（百粒）
上十四味，为末，蜜丸豆大。每五丸，空心苦酒下，日三。
（注）晋三先生云∶吉祥者，《诗》言吉梦熊黑，男子之祥也。妇人血积胞门，或寒凝子宫，致任脉不荣，
不能受孕，断绪绝产，古人用荡胞汤、秦桂丸等方，闺中弱质，奚堪猛烈之品。是方君以天麻者，以其有游子
十二环于外，结子透虚入茎中，潜生土内，复芎 下行血海，治血闭无子，东垣言女子肝虚不足，宜天麻、芎
以补之也，臣以桂心，通子宫破瘀，桃仁、丹皮，补肝活血，桃花轻薄，柳絮颠狂，功皆下行走泄，其性可
以辟除秽恶，其情足以感发春心；佐以白术、地黄，补脾肾之正气；再使以菟丝、覆盆、五味，皆蔓延多子之
品，茯苓入阳通气，楮买入阴通神，俾使内之时，精气神混合一 ，自然受孕。方之取义甚佳，用亦屡效。
（校）此二方虽主虚寒无子，而一为外治之法，一则服药止
五丸，何也？丹溪先生尝论之矣。谓阳精之施，阴血能摄，精成其子，血成其胞，胎孕乃成。凡妇人无子，率
由血少不足以摄精也。血少固非一端，然必调补阴血，使无亏欠，乃可成胎，何可径用热剂煎熬脏腑！血气沸
腾，经来必转紫黑，渐致衰少，始则饮食骤进，久则口苦而干，病且蜂起，焉能受孕？纵然生子，亦多不寿，
以热药能耗损天真之阴也。且妇人血少内热者多，虽胶艾汤不可擅用，以艾性至热，入火灸则下行，入药服则
上行，多服则致毒，不可不知。然则此二方之外治、少服，良有深意，而中病即止，更为用药者所当知矣。
（刊）陈氏云∶男不能生子有六病∶精寒也，气衰也，痰多也，相火盛也，精少也，气郁也。女不能受孕
有十病∶胞门冷也，脾胃寒也，带脉急也，肝气郁也，痰气盛也，相火旺也，肾水亏也，任督病也，膀胱气化
不行也，气血偏而不能摄精也。可见精寒与胞门冷，特其一端耳。故喻氏谓丈夫无子，不可徒服壮阳之药。然
则女人不孕，岂可概投辛热之剂耶？惟确见虚寒之证者，始可用此等方。孙真人以五丸为一服，何其慎哉！后
世之神佑丸每服七粒，得其旨矣。雄谓男女纵无病，而两情未洽，亦不能孕，情之未洽，尤非笔所能罄。是二
方者，不仅治病，兼寓洽清，此我曾王父所以有取而录之，盖欲人之家室和而似续延，故先王父叹为有深意
存焉。旨哉言乎！
安胎饮子 怀妊两月服起，至六个月止，可免坠胎。
红莲子（杵碎） 台州青苎（洗去胶） 白糯米（各三钱）
上三味，水一钟，煎减半。每日侵晨服。
（注）晋三先生云∶半产由于房劳伤损足三阴，肾伤则精气
不固，肝伤则血热妄行，脾伤则胎元自坠。红莲子清君相之火，而能固涩真气，青苎利小水而通子户，清淫欲
之瘀热；糯米补益脾阴，能实阳明空窍，使肝气不妄动而胎气自安。以五谷果实为方，诚王道之剂也。
荡胞丸 凡屡屡堕胎者，堕后即以此丸服七日。
丹皮 桂枝 赤芍 茯苓 桃仁（去皮尖）
上五味，等分，生研末，醋曲糊丸，梧子大。每朝用紫花益母草三钱煎汤，送下二十丸。七朝后接用后方。
玉环丸 前丸服至七朝，第八朝接服此丸，至十四朝而止。
生地（切碎，同姜炒，去姜） 丹参（去头尾，酒洗炒，各四两） 全当归（三两）
四制大香附 赤芍（酒炒各二两） 川芎（童便炒） 陈艾绒（鸡子二枚同煮，水干炒黑各一两）
上七味，研末，以黑驴皮胶三两酒化烊，和捣丸，梧子大。每服二十丸。
（注）半产之因不一，补虚清火，夫人知之。惟胞宫留瘀致堕者，世罕论及。录此二方，以补未备。方名
“荡胞”，义自显然，但药非峻烈，虽与荡胞汤同名，而纯驳缓急大不侔矣。
神造汤 治双胎经养不周而偏夭，不去其死，害母失胎，此方主之。
蟹爪（一升） 生甘草（二尺） 阿胶（三两，汤成去滓下）
上三味，于东向炉上，炊以苇薪，煮以东流水一斗，取二升。顿服或分二服。若人昏不能服者，灌之即活。
（注）晋三先生云∶神造者，制方之妙，一若神仙所作者也。蟹爪尖专下死胎，甘草奠安中气，不使尸气
上乘；阿胶滑利前阴。分两用一、二、三者，取数之胜，衡以升、尺称者，
取器之动，炉向东者，取生气，炊以苇薪者，取轻脱。若双胎一死一生者，蟹爪又安生胎，阿胶专于育神，甘
草培植生气，服之令死者出，生者安，真神品也。
补脬饮 治产后脬损，小便淋沥。
生黄丝绢（一尺剪碎） 白丹皮根木 白芨（各一钱）
上三味，水一碗，煮至绢练如饧。空心服，咽时不得作声。
（注）晋三先生云∶脬，妇之膀胱也。产时为稳婆所伤，小水淋漓无度。观其补法，有不可思议之妙。生
丝造者曰绢，色黄者入血，丹皮连木者入里，色白者走气∶二者皆能泻膀胱之火，引清气以达外窍。白芨性粘
，功专收涩，能补五内之破损。咽之无声乃有效者，盖声出于五脏，有声则五脏之气动而来迎，无声则五脏之
气静而宁谧，所饵之药不由五脏分布入肺，竟从胃口阑门泌别清浊之处，由脂膜之络，渗于膀胱之外膜，使白
芨得以护外而为固也。
（刊）二方用药，可谓情义入神，而前方煎法，此方服法，尤足开人之慧悟也。
青附金丹 治妇女 瘕等病。
青皮（切四两，用消石五钱化水浸） 香附（捶碎四两，童便浸） 郁金（敲碎二两，用生矾五钱化水
浸） 丹参（切三两，姜汁浸）
上四味，研细末，醋糊丸，麻子大，晒干洒上阿胶水，摇令光泽，再用∶
人参 当归 川芎（各一两） 白术 茯苓 制半夏（各二两） 陈皮 炙草（各五钱）
上八味，研细末，以米饮泛在光泽小丸上作外廓，晒干。每三钱，开水下。
（注）此薛氏法，方制甚奇。缘虚弱人而患症痞 癖有形之病，不可径施攻下，故用此为缓消之计。其妙
在以六君、归、芎为外廓，使药入胃时不知有攻消之味，而胃气不伤，迨其渐化，则对证之药已至病所，俾病
去而正不伤。诚女科之要方也。
（刊）妇女经产，皆以血为用，故其体多虚，而受制于人，故其气多郁，气郁则痰易凝而血易滞，此症
等病所由成也。粗工率用峻剂，但可以治实证，庸流偏于养正，每致延为痼疾。观此方以六君、归、芎先为保
护中气，已寓化痰养血之治，可谓所至秋毫无犯，而暗伏奇兵拔其负固，安良除暴，允为王者之师。喻氏论治
下焦寒疝，义本于止，岂非善得师哉！雄谓以此类推，凡治下焦病，皆宜仿此法，庶无谚所云∶“兵马过”，
篱笆破之弊也。
五香丸 治同上。
五灵脂（一斤） 香附（去净毛一斤，水浸一日） 黑牵牛 白牵牛（各取头末二两）
上四味，于未研之先，一半微火炒熟，一半生用。共研细末，和匀，醋糊丸，芦菔子大。每七、八分或一
钱，临卧姜汤下；次早再一服，即愈。孕妇忌服，小儿减半，虚人慎用。
（注）五灵脂破瘀安新，香附调气舒郁，牵牛开结行痰、逐饮通水，合为消 散癖之方，不为不峻，然每
服钱许，用治实证，尚为善药。即痰积食积，气滞成瘕，蛊膈肿胀，实痢初起，审属痞聚在腹、有形攻痛之证，
（注）按原注说：失血会导致阴液亏虚而生燥，燥盛则火旺，导致肺脏极度干枯。如果想从肾源滋补肾水，却不先滋补肾水的源头（即肺金），这有道理吗？然而肺是气多血少的脏器，所以一切补血药都不大想用，而是以羊肺为主药，配合其他具有滋润作用的药物辅助，这是人们容易做到的。至于真粉（米粉/淀粉类）的甘凉之性，不仅能清润肺金，还能培补脾土，这是人们所不知道的。我认为这是治疗“上损”（肺系虚损）的主方。对于因肺热叶焦导致的痿证，以及喝水也不能解渴的上消证，都可以仿照此法治疗。夫可先生是治疗虚损病的圣手，所以叶天士治疗吐血等病症都尊崇他的方法。无奈后人大多从《医贯》入手，不分上损、下损，只知道使用六味地黄丸、八味地黄丸等方子，难怪没有疗效。现在世间流传的葛氏方，只有一张白凤膏脍炙人口，这也太浅陋了！
燮理十全膏 功效为平补阴阳，调和气血。
配方：人参、黄芪（各三两，蜜炙）、白术（六两）、熟地黄（八两）、当归身、白芍、川芎（各二两）、甘草（一两，蜜炙）。
以上八味药，熬制成膏，即将完成时加入鹿角胶四两、龟板胶三两收膏，装入瓷器中，埋入地下以去除火气。每次用开水调服数钱。
（注）这是一瓢先生的方子。其方论说：古人治疗无形的劳倦，必须用甘温的药物来培补，以人参为君药，白术为臣药，黄芪为佐药，甘草为使药；治疗有形的劳倦，必须辅以辛温的药物，如当归、川芎就是；再资助以酸甘的药物，如白芍、熟地黄就是。所以以这八味药作为章旨，而驱使血肉有情之品，如鹿，其行动敏捷，能通督脉，奔走险阻而不疲倦，鹿角戴阳而上升，禀受刚健的作用；龟，其性安静，能通任脉，潜藏固蛰，抱阴负阳而善于守持，腹部属阴而下降，禀受柔顺的体质。这两味胶，各自禀赋一种德行，草木药力微弱，依赖它们而使药效神奇。阴阳两虚的人服用它，不会有偏胜，也不会不及，或者加入陈皮、半夏以利于枢机运转，确实是王道的药剂。凡是培养元气的方剂，应该简单而纯粹。简单则脏腑容易承受，气血容易运行；纯粹则药性温和浓淡适中，可以纠正偏差补救弊端，使气血自然相互灌注，循环无端，生生不息，以符合先天赋予的流行之道。如果稍有穿凿附会，就不是本然的道理了。大概人的精神，不外乎阴阳，阴阳又不外乎刚健与柔顺，相互依存循环，并不是分道扬镳的。所以无形的运动，是阳的性质，也就是阳的道理；有形的静止，是阴的性质，也就是阴的道理。扩张则为阳，松弛则为阴。阳则刚健中正，阴则柔顺利贞。丹书说敬胜怠，人尽皆知，无奈气血精力随时间推移，久劳其阳，阳必降而入阴；久弊其阴，阴必无力承阳。必须使刚健中正以行于阴，柔顺利贞以奉于阳，那么阴阳二气无形体、无疆界，不劳不弊，则自然清明在躬。
露珠丹 治疗思虑过度、劳神伤精，火气上升、心悸，惊恐不安、失眠，遇事容易遗忘。
配方：透明辰砂（一两，用玉器盛放露水四十九夜，除去阴雨天气不算，研成极细粉末）、西牛黄（一钱，研细）。
以上两味药，研匀，炼白蜜制成如豌豆大的丸药。每次临文办事或睡觉前，含化一丸。
正诚丹 治疗同上。
配方：透明辰砂（研成极细粉末，每砂一两，用生甘草一两煎汤飞净，去掉头尾沉淀物晒干，再研再飞，重复三次为止）、猪心中血（用丝绵绞去渣滓，凡砂一两，用心血三个，每次一个，拌和辰砂晒干，再研再拌，再晒三个，用完后再研成极细粉末）。
以上药物用糯米糊和捣万杵制成丸药，每丸重七分，阴干后得五分，瓷瓶密封收藏。服用方法如前。
神效散 治疗膈消（上消）。
配方：白浮石、生蛤粉、蝉蜕。
以上三味药，研成细末，每次三钱，取鲫鱼胆七个的汁液调服。
（注）晋三先生说：心肺同居膈上，热邪移于肺，劫夺其真津，而成膈消之势，炽烈如同燎原之火，所以口渴而求救于水，饮水如长鲸吸川，虽然补水降火，还恐怕来不及，妙在立即使用水中咸寒之物，顺从其欲望来治疗。所以张仲景用文蛤散，洁古老人用化水丹用蛤粉，都是同样的义理。这个方子更有进益的地方，浮石、蛤粉、鲫鱼胆三者，以咸胜苦，以苦胜辛，辛是肺的气味。佐以蝉蜕轻浮上升，引领这三者直达肺经，解除热渴。而且浮石、蛤粉的咸味，平和善良没有过错，不仅止渴，兼能利水，可以避免聚水产生的变证。往往有因为过用寒凉，火热既消，反而不能运化水湿而成中满肿胀的。我对此敬佩许学士具有通天般的医术，辗转回顾能有如此见解。
太乙紫金丹
配方：山慈姑、川文蛤（各二两）、红芽大戟、白檀香、安息香、苏合油（各一两五钱）、千金霜（一两）、雄黄（飞净）、琥珀（各五钱）、冰片、当门子（各三钱）。
以上十一味药，各研成极细粉末，再混合研匀，用浓糯米饮和捣制成如绿豆大的丸药，外面用飞净辰砂为衣。
（注）此方治疗湿温、疫疠之邪，弥漫熏蒸，神明昏乱，以及霍乱吐泻、痧胀腹痛、水土不服、岚障中恶等证候，兼解各种毒邪。薛一瓢先生说：比苏合丸没有热性，较至宝丹不凉，兼有太乙丹的解毒功效，具备两方开闭的作用，确实是济世的仙品，立八百工之上的良药。
（刊）现在世间通行的太乙丹，药品庞杂，群集燥热，只有风餐露宿、吃粗茶淡饭的人患寒湿病者，服用颇为适宜。如果一概施用，误人不浅。
参香八珍膏
配方：丹参（去头尾，酒洗蒸熟）、四制香附（各四两）、熟地黄、炙黄芪、白芍（酒炒）、蒸熟白术、白归身（酒炒）、茯苓（各三两）。
以上八味药，熬制成膏。每次三钱，开水调服。
（注）一瓢先生说：这是妇科调理方的首选。气味和平，功能相称，通行脏腑，灌注血脉，虚弱的人可以久服。我按：气属阳，希望其刚健；血属阴，希望其柔顺。女子多郁结，则气行不健，所以去掉甘草的甘缓，加香附以承流，加白术以宣化；郁结则生热，所以血行不顺，于是去掉川芎的温窜，加丹参以协和三物而涵濡。而且黄芪得到当归、白芍，补血的功效灵敏于人参，特意舍弃人参而用黄芪，不仅贫富之人可以共同享用。
金凤衔珠 治疗妇女虚寒诸病，导致不能受孕。
配方：蛇床子（四钱）、母丁香、肉桂、杏仁、白芨、吴茱萸、菟丝子、北细辛、薏苡仁、砂仁、牡蛎、川椒（各三钱）、麝香（少许）。
以上十三味药，各研细，再研匀，用生蜜制成如樱桃大的丸药。每一丸，纳入玉门（阴道）中。
（注）此方治疗玉门宽湿、虚寒带下，或行经腹痛、经期推迟、经色淡，以及男子阳虚茎萎、遗浊精寒等证候。世上的男女，患此病而隐忍不言，遂至离婚，甚至酿成事端，大概不知道可以用药物治疗。记录此方的用意，大概有深心。
吉祥丸 治疗妇人血寒气郁，不能有子。
配方：天麻（煨）、川芎、桂心、丹皮、桃花瓣、柳絮、白术、熟地黄、五味子（去核）、茯苓（各一两）、菟丝子、覆盆子、楮实（各一升）、桃仁（百粒）。
以上十四味药，研成粉末，蜜丸如豆大。每次五丸，空腹用醋送下，每日三次。
（注）晋三先生说：吉祥者，《诗经》言吉梦熊罴，是男子的祥兆。妇人血积胞门，或寒凝子宫，导致任脉不荣，不能受孕，断绝后代。古人用荡胞汤、秦桂丸等方，闺中弱质，怎能承受猛烈之品？此方以天麻为君药，因为它有游子十二环于外，结子透虚入茎中，潜生土内，又配伍川芎下行血海，治疗血闭无子，东垣说女子肝虚不足，宜用天麻、川芎来补益；以桂心为臣药，通子宫破瘀，桃仁、丹皮，补肝活血，桃花轻薄，柳絮颠狂，功效皆下行走泄，其性可以辟除秽恶，其情足以感发春心；佐以白术、地黄，补脾肾之正气；再用菟丝、覆盆、五味子，皆是蔓延多子的品种，茯苓入阳通气，楮实入阴通神，使得内交之时，精气神混合为一，自然受孕。方剂的取义很好，使用也屡见疗效。
（校）这两个方子虽然主治虚寒无子，但一个是外治法，一个是服药仅止五丸，为什么呢？丹溪先生曾经论述过。认为阳精的施予，阴血能摄纳，精形成子，血形成胞，胎孕乃成。凡妇人无子，大都由于血少不足以摄精。血少固然不是单一原因，但必须调补阴血，使其无亏欠，才可以成胎，怎么能径自用热剂煎熬脏腑！血气沸腾，月经来潮必然转为紫黑，逐渐导致衰少，开始饮食骤进，久了口苦而干，病且蜂起，怎么能受孕？纵然生子，也多不长寿，因为热药能耗损天真之阴。而且妇人血少内热的很多，即使是胶艾汤也不可擅用，因为艾性至热，入火灸则下行，入药服则上行，多服则致毒，不可不知。然而这两个方子的外治、少服，良有深意，而中病即止，更是用药者所应当知道的。
（刊）陈氏说：男子不能生子有六种病：精寒、气衰、痰多、相火盛、精少、气郁。女子不能受孕有十种病：胞门冷、脾胃寒、带脉急、肝气郁、痰气盛、相火旺、肾水亏、任督病、膀胱气化不行、气血偏而不能摄精。可见精寒与胞门冷，只是其中一端罢了。所以喻氏说丈夫无子，不可徒服壮阳之药。那么女人不孕，难道可以概投辛热之剂吗？只有确见虚寒证候者，始可用此类方。孙真人以五丸为一服，何其慎重啊！后世的神佑丸每服七粒，得其旨趣了。雄认为男女即使无病，而两情未洽，也不能孕，情之未洽，尤其非笔墨所能穷尽。这两个方子，不仅治病，兼寓融洽情意之意，这是我曾祖父所以取而录之的原因，大概想让人家室和睦而似续延续，所以先祖父叹为有深意存焉。真是深刻的言论啊！
安胎饮子 怀孕两个月开始服用，至六个月停止，可避免坠胎。
配方：红莲子（杵碎）、台州青苎麻（洗去胶）、白糯米（各三钱）。
以上三味药，用水一钟，煎至减半。每日清晨服用。
（注）晋三先生说：半产（小产）由于房劳损伤足三阴经，肾伤则精气不固，肝伤则血热妄行，脾伤则胎元自坠。红莲子清君相之火，而能固涩真气，青苎麻利小水而通子户，清淫欲之瘀热；糯米补益脾阴，能实阳明空窍，使肝气不妄动而胎气自安。以五谷果实为方，确实是王道的药剂。
荡胞丸 凡是屡屡堕胎者，堕胎后立即以此丸服用七日。
配方：丹皮、桂枝、赤芍、茯苓、桃仁（去皮尖）。
以上五味药，等分，生研末，醋曲糊丸，如梧桐子大。每天早晨用紫花益母草三钱煎汤，送下二十丸。七朝后接用后方。
玉环丸 前丸服用至七朝，第八朝接服此丸，至十四朝而停止。
配方：生地（切碎，同姜炒，去姜）、丹参（去头尾，酒洗炒，各四两）、全当归（三两）、四制大香附、赤芍（酒炒各二两）、川芎（童便炒）、陈艾绒（鸡子二枚同煮，水干炒黑各一两）。
以上七味药，研末，以黑驴皮胶三两酒化烊，和捣丸，如梧桐子大。每次服二十丸。
（注）半产的原因不一，补虚清火，是人人都知道的。只有胞宫留瘀导致堕胎的，世间很少论及。记录这两个方子，以补充未备之处。方名“荡胞”，意义自显，但药非峻烈，虽然与荡胞汤同名，而纯驳缓急大不相同。
神造汤 治疗双胎经养不周而偏夭（一死一生），不去其死胎，会害母失胎，此方主治。
配方：蟹爪（一升）、生甘草（二尺）、阿胶（三两，汤成去滓下）。
以上三味药，在东向炉上，用苇薪炊煮，以东流水一斗，取二升。顿服或分两次服。如果人昏迷不能服者，灌之即活。
（注）晋三先生说：神造者，制方之妙，一若神仙所作者。蟹爪尖专下死胎，甘草奠安中气，不使尸气上乘；阿胶滑利前阴。分两用一、二、三，取数之胜，衡以升、尺称者，取器之动，炉向东者，取生气，炊以苇薪者，取轻脱。若双胎一死一生者，蟹爪又安生胎，阿胶专于育神，甘草培植生气，服用令死者出，生者安，真是神品。
补脬饮 治疗产后膀胱破损，小便淋沥。
配方：生黄丝绢（一尺剪碎）、白丹皮根木、白芨（各一钱）。
以上三味药，用水一碗，煮至绢练如饧糖状。空腹服，咽下时不得发出声音。
（注）晋三先生说：脬，妇之膀胱也。产时为稳婆所伤，小水淋漓无度。观其补法，有不可思议之妙。生丝造的曰绢，色黄的入血，丹皮连木的入里，色白的走气：二者皆能泻膀胱之火，引清气以达外窍。白芨性粘，功专收涩，能补五内之破损。咽之无声乃有效者，盖声出于五脏，有声则五脏之气动而来迎，无声则五脏之气静而宁谧，所饵之药不由五脏分布入肺，竟从胃口阑门泌别清浊之处，由脂膜之络，渗于膀胱之外膜，使白芨得以护外而为固也。
（刊）两个方子的用药，可谓情义入神，而前方煎法，此方服法，尤足开人之慧悟也。
青附金丹 治疗妇女癥瘕等病。
配方：青皮（切四两，用消石五钱化水浸）、香附（捶碎四两，童便浸）、郁金（敲碎二两，用生矾五钱化水浸）、丹参（切三两，姜汁浸）。
以上四味药，研细末，醋糊丸，如麻子大，晒干洒上阿胶水，摇令光泽，再用：
人参、当归、川芎（各一两）、白术、茯苓、制半夏（各二两）、陈皮、炙甘草（各五钱）。
以上八味药，研细末，以米饮泛在光泽小丸上作外廓，晒干。每次三钱，开水送下。
（注）这是薛氏的法子，方制甚奇。因为虚弱人而患症痞癖有形之病，不可径施攻下，所以用此为缓消之计。其妙在以六君子汤、当归、川芎为外廓，使药入胃时不知有攻消之味，而胃气不伤，待其渐化，则对证之药已至病所，使病去而正不伤。确实是女科的要方。
（刊）妇女经产，皆以血为用，故其体多虚，而受制于人，故其气多郁，气郁则痰易凝而血易滞，此症等病所由成也。粗工率用峻剂，但可以治实证，庸流偏于养正，每致延为痼疾。观此方以六君子、当归、川芎先为保护中气，已寓化痰养血之治，可谓所至秋毫无犯，而暗伏奇兵拔其负固，安良除暴，允为王者之师。喻氏论治下焦寒疝，义本于止，岂非善得师哉！雄认为以此类推，凡治下焦病，皆宜仿此法，庶无谚所云：“兵马过，篱笆破”之弊也。
五香丸 治疗同上。
配方：五灵脂（一斤）、香附（去净毛一斤，水浸一日）、黑牵牛、白牵牛（各取头末二两）。
以上四味药，在未研之前，一半微火炒熟，一半生用。共研细末，和匀，醋糊丸，如芦菔子大。每次七、八分或一钱，临卧姜汤送下；次早再服一次，即愈。孕妇忌服，小儿减半，虚人慎用。
（注）五灵脂破瘀安新，香附调气舒郁，牵牛开结行痰、逐饮通水，合为消癥散癖之方，不为不峻，然而每服钱许，用治实证，尚为善药。即痰积食积，气滞成瘕，蛊膈肿胀，实痢初起，审属痞聚在腹、有形攻痛之证，
(Note) According to the original note: Loss of blood leads to dryness, dryness leads to hyperactive fire, causing the Lung to become extremely withered. If one wishes to nourish Kidney Water from its source without first nourishing the mother of Water (i.e., Metal/Lung), is this logical? However, the Lung is an organ abundant in Qi and deficient in Blood, so all blood-nourishing herbs are generally not desired. Instead, sheep lung is used as the principal herb, assisted by other moistening substances, which is within everyone's capability. The sweet and cool nature of true powder (starch/flour), however, not only clears and moistens Lung Metal but also strengthens Spleen Earth, a fact unknown to many. I consider this the main formula for treating "Upper Consumption" (Lung deficiency). For flaccidity syndrome caused by Lung heat and scorched leaves, and for upper Xiao (polydipsia) where drinking does not quench thirst, one can imitate this method. Master Fuku was a sage in treating consumption; thus, Ye Tianshi respected his methods in treating hemoptysis and other syndromes. Regrettably, later practitioners mostly started from *Yi Guan*, failing to distinguish between Upper and Lower Consumption, knowing only formulas like Liuwei Dihuang Wan and Bawei Dihuang Wan, hence their ineffectiveness. The Ge family formulas currently circulated contain only one famous recipe, Baifeng Gao, which is too superficial!
Xieli Shiquan Gao (Perfect Harmony Ten-Ingredient Paste): Balances and tonifies Yin and Yang, harmonizes Qi and Blood.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix) (each 3 liang, honey-fried), Baizhu (Atractylodis Macrocephalae Rhizoma) (6 liang), Shudi (Rehmanniae Radix Preparata) (8 liang), Guishen (Angelicae Sinensis Radix Corpus), Baishao (Paeoniae Radix Alba), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 2 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (1 liang, honey-fried).
The above eight ingredients are decocted into a paste. Near completion, add Lujiaojiao (Cervi Cornus Colla) 4 liang and Guibanjiao (Testudinis Carapacis et Plastrum Colla) 3 liang to finish. Store in porcelain jars and bury underground to remove "fire qi." Take several qian mixed with boiled water each time.
(Note) This is a formula by Mr. Yipiao. Its theory states: In ancient times, for formless fatigue, one must tonify with sweet-warm herbs. Renshen is the Sovereign, Baizhu is the Minister, Huangqi is the Assistant, and Gancao is the Envoy. For tangible fatigue, one must assist with pungent-warm herbs, such as Danggui and Chuanxiong. Acid-sweet herbs, such as Baishao and Shudi, provide nourishment. Thus, these eight ingredients form the core, driven by blood-and-flesh sentient substances. Deer, being active, can unblock the Du Meridian, traverse dangers without fatigue, and its horns carry Yang upward, embodying firm and vigorous function. Turtle, being quiet, can unblock the Ren Meridian, hides and consolidates, embraces Yin and supports Yang, and its belly belongs to Yin descending, embodying soft and compliant constitution. These two collas each possess a specific virtue; herbal power is weak, relying on them to make efficacy miraculous. Those with dual deficiency of Yin and Yang taking it will have no excess or insufficiency. One may add Chenpi (Citri Reticulatae Pericarpium) and Banxia (Pinelliae Rhizoma Preparatum) to facilitate the pivot mechanism; truly a kingly formula. All formulas cultivating Yuan Qi should be simple and pure. Simplicity allows Zang-Fu organs to accept it easily and Qi-Blood to circulate smoothly; purity ensures mild and balanced properties, correcting deviations and saving deficiencies, allowing natural mutual infusion and endless circulation, generating life continuously, conforming to the innate flow. Any forced manipulation deviates from natural principles. Human spirit essentially lies in Yin and Yang, which in turn lie in firm-vigorous and soft-compliant qualities, interdependent and cyclical, not diverging. Thus, formless movement is the nature of Yang, i.e., the principle of Yang; tangible stillness is the nature of Yin, i.e., the principle of Yin. Expansion is Yang, relaxation is Yin. Yang is firm, vigorous, and central; Yin is soft, smooth, and correct. Daoist texts state reverence overcomes laziness, known to all. Yet Qi-Blood and energy change with time. Long-term labor of Yang causes Yang to descend into Yin; long-term damage to Yin causes Yin to lack strength to support Yang. One must use firm-vigorous-central to act upon Yin, and soft-smooth-correct to serve Yang. Then Yin and Yang Qi, having no body or boundary, neither labored nor damaged, naturally result in clarity in the body.
Luzhu Dan (Dewdrop Pill): Treats exhaustion from excessive thinking and mental labor, rising fire, palpitations, fright, insomnia, and forgetfulness.
Ingredients: Touming Chensha (Transparent Cinnabaris, 1 liang, soaked in jade vessel dew for 49 nights, excluding rainy days, ground to extreme fineness); Xiniuhuang (Bovis Calculus, 1 qian, ground fine).
Grind the above two ingredients evenly, refine white honey, and make pills the size of pea grains. Before writing or working, or before sleep, hold one pill in the mouth to dissolve.
Zhengcheng Dan (Sincere Integrity Pill): Treats the same conditions as above.
Ingredients: Touming Chensha (ground to extreme fineness; for every 1 liang of cinnabar, decoct 1 liang of Gancao [Glycyrrhizae Radix et Rhizoma] in water, levigate, remove sediment, dry, grind again, levigate again, repeat three times); Zhu Xin Zhong Xue (Blood from pig heart, squeezed through silk to remove dregs; for every 1 liang of cinnabar, use blood from three hearts, one at a time, mix with cinnabar, dry, grind again, mix again, dry three times, then grind to extreme fineness).
Mix with rice paste, pound ten thousand times, make pills weighing 7 fen each, dry in shade to 5 fen, store tightly in porcelain bottles. Administration as above.
Shenxiao San (Divine Efficacy Powder): Treats Ge Xiao (Diaphragm Xiao / Upper Xiao).
Ingredients: Baifushi (Pumex), Sheng Gafen (Raw Concha Meretricis), Chantui (Cicadae Periostracum).
Grind the above three ingredients to fine powder. Take 3 qian each time, mixed with juice from 7 crucian carp gallbladders.
(Note) Mr. JinSan said: Heart and Lung reside above the diaphragm. Heat pathogen shifts to Lung, robbing true fluids, forming Ge Xiao syndrome, blazing like a prairie fire. Hence thirst arises, seeking water, drinking like a whale sucking a river. Although replenishing water and lowering fire, it may still be insufficient. The brilliance lies in immediately using salty-cold substances from water, following its desire to treat it. Thus, Zhang Zhongjing used Wenli San, and Jiegu Laoren used Huashui Dan with Gafen, both sharing this meaning. This formula advances further: Baofushi, Gafen, and crucian carp gallbladder use salty to overcome bitter, and bitter to overcome pungent. Pungent is the flavor of Lung. Assisted by Chantui, light and floating ascending, leading the three directly to Lung Meridian to resolve heat and thirst. Moreover, the salinity of Baofushi and Gafen is mild and harmless, not only stopping thirst but also promoting urination, avoiding water accumulation complications. Often, overuse of cold-heat herbs eliminates fire but fails to transform water, resulting in fullness and swelling. I deeply admire Scholar Xu’s heavenly insight and retrospective wisdom here.
Taiyi Zijin Dan (Supreme Ultimate Purple Gold Pill)
Ingredients: Shancigu (Fritillariae Thunbergii Bulbus), Chuanwenha (Clam Shell, 2 liang each); Hongya Daji (Euphorbiae Humifusae Radix), Baitanxiang (Santalum Album Lignum), Anshixiang (Styrax), Suheyou (Liquidambaris Resina) (each 1.5 liang); Qianjin Shuang (1 liang); Xionghuang (Realgar, levigated), Hupo (Electrum) (each 5 qian); Bingpian (Borneolum Syntheticum), Dangmenzi (Moschus) (each 3 qian).
Grind all eleven ingredients to extreme fineness, mix evenly, knead with thick rice drink into pills the size of mung beans, coat with levigated Chensha.
(Note) Treats damp-warmth and epidemic pestilence pathogens, diffuse steaming, confusion of spirit, cholera vomiting/diarrhea, sand distension abdominal pain, maladaptation to local environment, mountain miasma evil invasion, etc., and resolves various toxins. Mr. Xue Yipiao said: Compared to Suhewan, it lacks heat; compared to Zhibao Dan, it is not cold; it combines the detoxifying effect of Taiyi Dan and the opening/closing function of both, truly a celestial product for saving lives, a superior medicine among hundreds of artisans.
(Commentary) Current Taiyi Dan in circulation has complex ingredients, gathering drying-heat herbs. It suits only those who endure wind and dew, eating coarse food, suffering from cold-dampness. General application misleads people significantly.
Shenxiang Bazhen Gao (Ginseng and Fragrant Eight-Treasure Paste)
Ingredients: Danshen (Salviae Miltiorrhizae Radix et Rhizoma, remove head/tail, wine-wash, steam), Sizhi Xiangfu (Cyperi Rhizoma prepared four ways) (each 4 liang); Shudi, Zhi Huangqi, Baishao (wine-fry), Zhengshu Baizhu, Bai Guishen (wine-fry), Fuling (Poria) (each 3 liang).
Decoct the above eight ingredients into paste. Take 3 qian mixed with boiled water.
(Note) Mr. Yipiao said: This is the premier formula for gynecological regulation. Mild in flavor and property, functions match, travels through Zang-Fu, infuses vessels, safe for long-term use by the weak. My analysis: Qi belongs to Yang, desiring firmness; Blood belongs to Yin, desiring compliance. Women often have stagnation, so Qi movement is unvigorous. Thus, remove Gancao’s sweetness/slowness, add Xiangfu to guide flow, add Baizhu to promote transformation. Stagnation generates heat, so Blood movement is unsmooth. Remove Chuanxiong’s warmth/piercing, add Danshen to harmonize the three and nourish. Huangqi combined with Danggui and Baishao boosts blood more sensitively than Renshen. Choosing this over that benefits both rich and poor.
Jinfeng Xianzhu (Golden Phoenix Holding Pearl): Treats various deficiency-cold diseases in women, leading to infertility.
Ingredients: Shechuangzi (Cnidii Fructus) (4 qian); Mudingxiang (Cardamomi Semen), Rougui (Cinnamomi Cortex), Xingren (Armeniacae Semen Amarum), Baiji (Bletillae Rhizoma), Wuyu (Evodiae Fructus), Tusizi (Cuscutae Semen), Beixixin (Asari Radix et Rhizoma), Yiyiren (Coicis Semen), Sharen (Amomi Fructus Rotundus), Muli (Concha Ostreae), Chuanjiao (Zanthoxyli Pericarpium) (each 3 qian); Shexiang (Moschus) (a little).
Grind all thirteen ingredients finely, mix, make pills with raw honey the size of a cherry. Insert one pill into the Yumen (vagina).
(Note) Treats wide/wet Yumen, deficiency-cold leukorrhea, dysmenorrhea, delayed/light menstruation, and male impotence, seminal emission, cold sperm. Men and women suffer silently, leading to divorce or tragedy, unaware of medicinal treatment. Recording this implies deep intent.
Jixiang Wan (Auspicious Pill): Treats women with blood-cold and Qi stagnation, unable to conceive.
Ingredients: Tianma (Gastrodiae Rhizoma, roasted), Chuanxiong, Guixin (Cinnamomi Ramulus), Danpi (Moutan Cortex), Taohua (Peach Blossom), Liuxu (Willow Catkin), Baizhu, Shudi, Wuweizi (Schisandrae Fructus, pitted), Fuling (each 1 liang); Tusizi, Fupenzi (Rubiae Semen), Chushizi (Broussonetiae Fructus) (each 1 sheng); Taoren (Persicae Semen) (100 grains).
Grind fourteen ingredients to powder, make honey pills bean-sized. Take 5 pills on an empty stomach with vinegar, three times daily.
(Note) Mr. JinSan said: "Auspicious" refers to dreaming of bears/tigers in the Book of Songs, an omen for men. Women with blood stasis in the uterus or cold congealing in the womb cause Ren Meridian disharmony, preventing conception. Ancients used Dangbao Tang and Qin Gui Wan, but frail women cannot withstand harsh herbs. Here, Tianma is Sovereign because it grows underground, connects to stems, descends to Blood Sea, treating blood closure infertility. Dongyuan said Liver deficiency in women suits Tianma and Chuanxiong. Guixin is Minister, unblocking uterus/breaking stasis; Taoren and Danpi tonify Liver/nourish Blood; Peach blossom and willow catkin are light/floating, moving downward, dispelling filth, stimulating spring passion. Baizhu and Dihuang are Assistants, tonifying Spleen/Kidney righteous Qi. Tusizi, Fupenzi, Wuweizi are spreading/multi-seed herbs; Fuling enters Yang/unblocks Qi, Chushizi enters Yin/unblocks Spirit. During intercourse, Essence-Qi-Spirit merge, naturally conceiving. Excellent design, frequent efficacy.
(Correction) Both treat deficiency-cold infertility, one external, one internal (small dose). Why? Danxi argued: Yang seed requires Yin blood to capture; seed forms fetus, blood forms placenta. Infertility usually stems from insufficient blood to capture seed. Must tonify Yin blood, not use hot herbs to boil viscera. Boiling causes purple/black menses, decline, bitterness, dryness, disease, preventing conception. Even if born, infants die young due to Yin depletion. Many women have blood deficiency/internal heat; even Jiao’ai Tang is risky as Aiye is hot. External/small dose methods have deep meaning; stop when illness is cured.
(Commentary) Chen stated six male infertility causes: cold sperm, weak Qi, phlegm, ministerial fire, scant sperm, Qi stagnation. Ten female causes: cold uterus, cold spleen/stomach, tight Dai Meridian, Liver Qi stagnation, phlegm Qi, ministerial fire, Kidney water deficiency, Ren/Du disease, Bladder Qi failure, Qi/Blood imbalance capturing seed. Cold sperm/uterus is just one aspect. Yu said men shouldn't just take yang-tonics. Should women take pungent-hot herbs? Only for confirmed deficiency-cold. Sun Simiao’s five-pill dose is prudent. Later Shenyao Wan’s seven pills get the point. Xiong adds: even without disease, mismatched emotions prevent conception. These formulas heal and harmonize emotions, why my grandfather recorded them: for family harmony and lineage continuation. Profound words!
Anta Yinzi (Fetus-Anchoring Decoction): Take from 2 months to 6 months pregnancy to prevent miscarriage.
Ingredients: Hong Lianzi (Red Lotus Seed, crushed), Taizhou Qingzhu (Green Ramie Stem, washed), Bainmi (White Glutinous Rice) (each 3 qian).
Decoct in one zhong water until half remains. Take every morning.
(Note) Mr. JinSan said: Half-miscarriage results from sexual exhaustion damaging Foot Three Yin meridians. Kidney damage fixes essence poorly; Liver damage causes wild blood heat; Spleen damage drops fetal origin. Red lotus clears sovereign/minister fire, secures true Qi; green ramie promotes urination/unblocks uterus, clears lust stasis-heat; glutinous rice tonifies Spleen Yin, fills Yangming cavities, calms Liver Qi, settles fetal Qi. Grain/fruit formula is truly kingly.
Dangbao Wan (Uterus-Cleansing Pill): For repeated miscarriages, take for 7 days after miscarriage.
Ingredients: Danpi, Guizhi (Cinnamomi Ramulus), Chishao (Paeoniae Radix Rubra), Fuling, Taoren (remove skin/husk).
Equal parts, raw grind, make pills with vinegar dough, mulberry seed-sized. Each morning, decoct 3 qian Zi Hua Yimucao (Leonuri Herba) in water, take 20 pills with it. After 7 days, switch to next formula.
Yuhuan Wan (Jade Ring Pill): Take starting day 8 after Dangbao Wan, stop at day 14.
Ingredients: Shengdi (Rehmanniae Radix, chopped, stir-fried with ginger, remove ginger), Danshen (remove head/tail, wine-wash/fry, each 4 liang), Quan Danggui (Angelicae Sinensis Radix) (3 liang), Sizhi Da Xiangfu, Chishao (wine-fry, each 2 liang), Chuanxiong (child’s urine-fry), Chen Airon (Artemisiae Argyi Folium, boiled with 2 eggs until water dries, fried black, each 1 liang).
Grind seven ingredients, melt 3 liang Hei Lvpi Jiao (Equi Corium Colla) in wine, mix and pound into mulberry seed-sized pills. Take 20 pills each time.
(Note) Miscarriage causes vary; tonifying deficiency/clearing fire is known. Uterine stasis causing miscarriage is rarely discussed. These two formulas supplement gaps. Named "Dangbao," implying cleansing, but herbs are not harsh. Unlike Dangbao Tang, they are gentle.
Shenzao Tang (Divine Creation Decoction): Treats twin pregnancy where one dies due to poor nourishment. Removing dead fetus saves mother/fetus.
Ingredients: Xiezha (Crab Claws, 1 sheng), Sheng Gancao (2 chi), Ejiao (Colla Corii Asini, 3 liang, add after decoction/filter).
Cook on east-facing stove with reed fire, using 1 dou east-flowing water, reduce to 2 sheng. Take at once or split twice. If unconscious, force-feed to revive.
(Note) Mr. JinSan said: "Shenzao" means divine creation. Crab claw tips expel dead fetus; Gancao stabilizes Middle Qi, preventing corpse Qi rising; Ejiao lubricates anterior yin. Numbers 1, 2, 3 denote victory; measures sheng/chi denote vessel movement; east stove denotes vital Qi; reed fire denotes lightness. For one dead/one alive twin, crab claws calm living fetus; Ejiao nurtures spirit; Gancao cultivates vital Qi. Dead exits, live stays. Truly divine.
Bupao Yin (Bladder-Repairing Drink): Treats postpartum bladder injury, dribbling urine.
Ingredients: Sheng Huang Si Juan (Raw Yellow Silk Gauze, 1 chi cut), Bai Danpi Genmu (Moutan Root Bark), Baiji (each 1 qian).
Decoct in one bowl water until gauze dissolves like syrup. Take on empty stomach. Swallow silently.
(Note) Mr. JinSan said: Pao is female bladder. Injury by midwife causes dribbling. Repair method is miraculous. Raw silk is juan; yellow enters blood; Danpi with bark enters interior; white moves Qi: both clear bladder fire, guide clear Qi to exterior apertures. Baiji is sticky/astringent, repairs internal damage. Silent swallowing works because sound activates Zang-Fu Qi; silence keeps it calm. Medicine bypasses Lung distribution, goes from stomach gate to separating clear/turbid, via fat membrane networks, infiltrating bladder outer membrane, letting Baiji protect externally.
(Commentary) Medicinal sentiment is divine; decoction/swallowing methods awaken wisdom.
Qingfujin Dan (Green Attaching Golden Pill): Treats women’s masses/lumps.
Ingredients: Qingpi (Citri Reticulatae Pericarpium Viride, 4 liang slices, soak in 5 qian Xiaoshi [Natrii Sulfas] water); Xiangfu (4 liang crushed, soak in child’s urine); Yujin (Curcumae Radix, 2 liang smashed, soak in 5 qian Shengfan [Alumen] water); Danshen (3 liang slices, soak in ginger juice).
Grind four ingredients, make vinegar-paste pills, sesame-sized, dry, sprinkle Ejiao, shake for gloss. Coat with:
Renshen, Danggui, Chuanxiong (each 1 liang); Baizhu, Fuling, Zhi Banxia (each 2 liang); Chenpi, Zhi Cao (each 5 qian).
Grind eight ingredients, roll glossy pills in rice drink mixture, dry. Take 3 qian with boiled water.
(Note) Xue’s method, unique design. Weak patients with tangible masses cannot tolerate harsh purgatives. This is slow resolution. Six Junzi + Danggui/Chuanxiong coat protects Stomach Qi from harsh taste. As coating dissolves, active drugs reach disease site, removing pathology without harming righteousness. Essential gynecological formula.
(Commentary) Women’s menstruation/childbirth use blood, so bodies are often deficient, controlled by others, so Qi often stagnates. Stagnation condenses phlegm/stagnates blood, causing masses. Crude doctors use harsh agents for excess patterns; mediocre ones focus on tonifying righteousness, prolonging chronic disease. This formula protects Middle Qi first, containing phlegm-resolving/blood-nourishing effects. Non-destructive, ambushing enemies, protecting good/removing bad, a king’s army. Yu’s treatment of lower jiao cold hernia follows this principle. Xiong suggests applying this to all lower jiao diseases to avoid "troops passing, fence breaking" side effects.
Wuxiang Wan (Five-Fragrance Pill): Treats same as above.
Ingredients: Wulingzhi (Trogopterori Faeces, 1 jin); Xiangfu (de-haired, 1 jin, soak in water 1 day); Hei Qianniu (Black Pharbitidis Semen), Bai Qianniu (White Pharbitidis Semen) (each take head powder 2 liang).
Before grinding, fry half lightly, keep half raw. Grind together, mix, make vinegar-paste pills, radish seed-sized. Take 7-8 fen or 1 qian with ginger tea before sleep; another dose next morning, cured. Pregnant women forbidden, children halve dose, weak use cautiously.
(Note) Wulingzhi breaks stasis/calms new; Xiangfu regulates Qi/relieves depression; Qianniu opens knots/moves phlegm/drains fluid/diuresis. Combined, it resolves masses/lumps. Not mild, but small dose for excess patterns is good. Also for phlegm/food accumulation, Qi stagnation masses, ascites, initial dysentery, if abdominal mass/pain is tangible/excess.