（见痰饮。）
泻心汤（见惊悸。）治妇人吐涎沫。医反下之。心下即痞。当先治其吐涎沫。小青龙汤
主之。
按。二方解见伤寒论浅注。不再释。
治妇人年五十所。病下利数十日不止。暮即发热。少腹里急。腹满。手掌烦热。唇
燥。此属带下。何以故。曾经半产。瘀血在少腹不去。何以知之。其证唇口干燥故知之
以此汤主之。
吴茱萸（三两。） 当归 芎 芍药 人参 桂枝 阿胶 丹皮 甘草（各二两。） 生
姜
上十二味。以水一斗。煮取三升。分温三服。亦主妇人少腹寒。久不受胎。兼治崩中去
血。
歌曰 温经芎芍草归人。胶桂丹皮二两均。（八物各二两，）半夏半升麦（冬）倍用。（生）
姜（
男元犀按。方中当归、芎 、芍药、阿胶。肝药也。丹皮、桂枝。心药也。吴茱萸。肝
药亦
病在
以
所以谓之温也。用半夏、生姜者。以姜能去秽而胃气安。夏能降逆而胃气顺也。其余皆相辅
而成温之之用。绝无逐瘀之品。故过期不来者能通之。月来过多者能止之。少腹寒而不受胎
者并能治之。统治带下三十六病。其神妙不可言矣。
治带下经水不利。少腹满痛。经一月再见者。此散主之。
土瓜根 芍药 桂枝 虫（各三分。）
上四味杵为散。酒服方寸匕。日三服。
歌曰 带下端由瘀血停。（不能如期而至。以致少腹满痛。）月间再见（既瘀而不行。则
前经
瓜桂芍均相等。调协阴阳病自宁。
男元犀按。此条单指经水不利之带下病也。经者常也。妇人行经。必有常期。尤云。血
满则行。血尽复生。如月之盈亏。海之潮汐。必定应期而至。谓之信。此云经水不利。一月
再见者
者。为
土瓜根
（此方见痰饮篇。）
泻心汤（见惊悸篇。）治疗妇人吐涎沫。医生反而使用攻下法，导致心下部痞塞。应当先治疗其吐涎沫的症状，用小青龙汤主治。
按语：上述两个方剂的解析参见《伤寒论浅注》，此处不再解释。
治疗五十岁左右的妇人，患下利数十日不止，傍晚即发热，少腹内部拘急不适，腹部胀满，手掌烦热，口唇干燥。这属于带下病范畴。为什么这样说？因为曾经有过半产（流产），瘀血停留在少腹没有去除。怎么知道有瘀血呢？根据口唇干燥这一症状就可以判断。用温经汤主治。
吴茱萸（三两）、当归、川芎、芍药、人参、桂枝、阿胶、丹皮、甘草（各二两）、生姜。
以上十二味药，用水一斗，煎煮取三升药液，分三次温服。本方也主治妇人少腹寒冷，长期不能受孕；兼治崩中漏下出血。
歌诀曰：温经汤由川芎、芍药、甘草、当归、人参组成，胶（阿胶）、桂（桂枝）、丹（丹皮）各二两均等。（八味药各二两，）半夏半升、麦冬加倍使用。（生）姜（用量未详）。
男元犀按语：方中的当归、川芎、芍药、阿胶，是调理肝脏的药物。丹皮、桂枝，是调理心脏的药物。吴茱萸也是入肝的药……（原文此处有缺漏或断句不清，依文意补全逻辑：病在……以……所以谓之温也。用半夏、生姜者，是因为姜能祛除秽浊而使胃气安宁，半夏能降逆气而使胃气顺调。其余药物都相辅相成，起到温补的作用，绝无专门逐瘀的药物。所以对于月经过期不来的能通之，月经来潮过多的能止之，少腹寒冷不能受孕的也能治疗。统管带下三十六病，其神妙之处不可言说。）
治疗带下病且月经不畅，少腹胀满疼痛，一个月来两次月经的，用土瓜根散主治。
以上四味药捣碎过筛为散剂，用酒送服一方寸匕，每日服用三次。
歌诀曰：带下端由瘀血停聚所致。（因不能如期而至，以致少腹满痛。）月间再见（既已瘀滞而不行，则前经未尽而后经又至，故一月再见）。土瓜根、桂枝、芍药剂量相等，调和阴阳，疾病自然安宁。
男元犀按语：此条单指月经不畅的带下病。经，就是常度。妇人行经，必有固定的周期。尤在泾曾说：血满则行，血尽复生，如同月亮的盈亏、大海的潮汐，必定应期而至，称为“信”。这里说经水不利，一个月来两次，是因为……（原文此处中断）土瓜根……
(See the section on Phlegm-Fluids.)
Xiexin Tang (Heart-Draining Decoction) (see the section on Palpitations due to Fright). It treats women who vomit saliva and froth. If the physician mistakenly applies purgative methods, it results in epigastric fullness and obstruction (Pi syndrome). One should first treat the vomiting of saliva and froth with Xiao Qinglong Tang (Minor Blue Dragon Decoction).
Note: The explanations for the above two formulas can be found in *Shanghan Lun Qianzhu* (Light Annotations on the Treatise on Cold Damage), so they are not repeated here.
It treats a woman around fifty years of age suffering from diarrhea that has persisted for dozens of days without stopping, accompanied by fever in the evening, urgency and tightness in the lower abdomen, abdominal fullness, vexatious heat in the palms, and dry lips and mouth. This belongs to the category of Dai disease (Leukorrhea disorders). Why is this so? Because she once had a spontaneous abortion (half-birth), and blood stasis remains in the lower abdomen unremoved. How do we know this? We know it from the symptom of dry lips and mouth. Wenjing Tang (Warming the Menses Decoction) is indicated.
Evodiae Fructus (Wuzhuyu, 吴茱萸) (3 liang), Danggui Radix Angelicae Sinensis (Danggui, 当归), Chuanxiong Rhizoma Ligustici Chuanxiong (Chuanxiong, 川芎), Shaoyao Radix Paeoniae Alba (Shaoyao, 芍药), Renshen Radix Ginseng (Renshen, 人参), Guizhi Ramulus Cinnamomi (Guizhi, 桂枝), Ejiao Colla Asini (Ejiao, 阿胶), Mudan Cortex Moutan (Danpi, 丹皮), Gancao Radix Glycyrrhizae (Gancacao, 甘草) (each 2 liang), Shengjiang Rhizoma Zingiberis Recens (Shengjiang, 生姜).
The above twelve ingredients are decocted in ten dou of water until three sheng of liquid remain. Divide into three warm doses. This formula also treats cold in the lower abdomen of women leading to infertility over a long period; and additionally treats metrorrhagia and leukorrhea with bleeding.
Verse:
Wenjing contains Chuanxiong, Shaoyao, Gancao, Danggui, and Renshen.
Ejiao, Guizhi, and Danpi are each two liang equally.
(Ba Wu Ge Er Liang - Eight herbs each two liang,)
Banxia half sheng, Maidong doubled in use.
Shengjiang...
Commentary by Nan Yuanxi:
In this formula, Danggui, Chuanxiong, Shaoyao, and Ejiao are herbs that nourish the Liver. Danpi and Guizhi are herbs that regulate the Heart. Evodiae Fructus (Wuzhuyu) also enters the Liver meridian... [Text fragment missing] ...therefore it is called "Warming" (Wen). Banxia and Shengjiang are used because Ginger can remove turbidity and calm the Stomach Qi, while Pinellia can direct rebellious Qi downward and smooth the Stomach Qi. The remaining herbs assist each other to achieve the warming effect. There are absolutely no herbs specifically for expelling blood stasis. Therefore, it can promote menstruation when it is overdue, stop it when it is excessive, and treat cold in the lower abdomen causing infertility. It comprehensively manages thirty-six types of Dai diseases, its efficacy being miraculous and beyond words.
For Dai disease accompanied by irregular menstruation, lower abdominal fullness and pain, and menstruation occurring twice in one month, Tuguagen San (Trichosanthes Root Powder) is indicated.
Tuguagen Radix Trichosanthis Kirilowii (Tuguagen, 土瓜根), Shaoyao Radix Paeoniae Alba (Shaoyao, 芍药), Guizhi Ramulus Cinnamomi (Guizhi, 桂枝), Echinoscopidae (Chong, 䗪虫) (each 3 fen).
The above four ingredients are pounded into a powder. Take one fangcun bi (square-inch measure) with wine, three times daily.
Verse:
Dai disease originates from the stagnation of blood stasis. (Unable to arrive on time, causing lower abdominal fullness and pain.)
Seeing it twice in a month (Since it is stagnant and does not flow freely, the previous menses have not cleared before the next arrives, hence appearing twice in a month).
Tuguagen, Guizhi, and Shaoyao are equal in dose; harmonizing Yin and Yang, the illness will naturally heal.
Commentary by Nan Yuanxi:
This clause refers specifically to Dai disease characterized by irregular menstruation. "Jing" (Menses) implies regularity. Women's menstruation must have a fixed cycle. You Zaijing stated: When blood is full, it flows; when empty, it regenerates, just like the waxing and waning of the moon or the tides of the sea. It must arrive on schedule, which is called "Trustworthiness" (Xin). Here, it says menstruation is irregular and occurs twice in a month because... [Text cuts off] Tuguagen...