妇人经水闭（而）不利。（其子）脏（因有凝滞。而成）坚癖（又因湿热腐变。而为
下）不止。（其凝滞维何。以子脏）中有干血。（其下不止维何。即湿热腐变所）下（
之）白物。（时俗所谓白带是也。宜用外治。治以）矾石丸主之。
此为经水闭由于子脏有干血。得湿热而变成白物者。出其方治也。
矾石丸方
矾石（三分烧） 杏仁（一分）
上二味。末之。炼蜜丸枣核大。五内中。剧者再内之。
妇人六十二种风。腹中血气刺痛。红蓝花酒主之。
此为妇人凡有挟风。腹中血气刺痛者。出其方治也。言血气者。所以别乎寒疝也。
六十二种未详。
张隐 云、红花色赤多汁。生血行血之品也。陶隐居主治胎产血晕。恶血不尽。绞
痛。胎死腹中。金匮红蓝花酒。治妇人六十二种风。又能主治 疟。临川先生曰、治风
先治血。血行风自灭。盖风乃阳邪。血为阴液。此对待之治也。红花枝茎叶。且多毛刺。
具坚金之象。故能制胜风木。夫男女血气相同。仲祖单治妇人六十二种风者。良有以
也。盖妇人有余于气。不足于血。所不足者。乃冲任之血。散于皮肤肌腠之间。充肤热
肉。生毫毛。男子上唇口而生髭须。女人月事以时下。故多不足也。花性上行。花开散
蔓。主生皮肤间散血。能资妇人之不足。故主治妇人之风。盖血虚。则皮毛之腠理不密。
而易于受风也。此血主冲任。故专治胎产恶血。灵枢经云、饮酒者。卫气先行皮肤。
故用酒煎。以助药性。疟邪亦伏于膜原之腠理间。故能引其外出。夫血有行于经络中者。
有散于皮肤外者。而所主之药。亦各不同。如当归地黄甘草之类。主养脉内之血者也。
红蓝花。主生脉外之血者也。川芎芍药丹皮红菊之类。又内外之兼剂也。学人能体认
先圣用药之深心。思过半矣。
红蓝花酒方
红蓝花（二两）
上一味。酒一大升煎减半。顿服一半。未止。再服。
妇人腹中诸疾痛。当归芍药散主之。
此为妇人腹中诸疾痛。而出其方治也。寒热虚实气食等邪。皆令腹痛。谓可以就此
方为加减。非真以此方而统治之也。
尤在泾云、妇人以血为主。而血以中气为主。中气者。土气也。土燥不能生物。土
湿亦不生物。芎芍滋其血。苓术泽泻治其湿。燥湿得宜。而土能生物。疾痛并蠲矣。
当归芍药散方（见妊娠）
妇人腹中痛。小建中汤主之。
此为妇人虚寒里急腹中痛者。出其方治也。按伤寒论云。阳脉涩。阴脉弦。法当腹
中急痛。宜小建中汤主之。不瘥。更与小柴胡汤。
小建中汤方（见虚劳）
问曰。妇人病饮食如故。烦热不得卧。而反倚息者。何也。师曰。（饮食如故者。
病不在胃也。烦热者。阳气不化也。倚息不得卧者。水不下行也。）此名转胞。不得溺
也。以胞系（不顺而）了戾。故致此病。（既无兼证。）但当利（其）小便。则（胞中
之气。使之下行气道。斯胞系不了戾而）愈。（以）肾气丸主之。
此为转胞证。胞系了戾而不得溺者。出其方治也。了戾与缭戾同。言胞系缭戾而不顺。
而胞为之转。胞转则不得溺也。治以此方。补肾则气化。气化则水行而愈矣。然转胞之
病。亦不尽此。或中焦脾虚。不能散精归于胞。及上焦肺虚。不能下输布于胞。或胎重
压其胞。或忍溺入房。皆能致此。当求其所因而治之。
肾气丸方
干地黄（八两） 山药 山茱萸（各四两） 泽泻 丹皮 茯苓（各三两） 桂枝
（一两） 附子（一枚炮）
上八味。末之。炼蜜和丸梧子大。酒下十五丸。加至二十丸。日再服。
妇人阴（中）寒。（宜）温（其）阴中（不用内服。止以药纳入。谓之）坐药。蛇
床子散主之。
此遥承上节令阴掣痛少腹恶寒证。而出其方治也。但寒从阴户所受。不从表出。当
温其受邪之处。则愈。蛇床子温以去寒。合白粉燥以除湿。以寒则生湿也。
蛇床子散方
蛇床子
上一味。末之。以白粉少许。和合相得。如枣大。绵裹内之。自然温。
少阴（肾）脉滑而数者。（滑主湿。数主热。湿热和合。而结于阴分。故令前）阴中
即生疮。阴中蚀疮烂者。（乃湿热之盛而生历也。）野狼牙汤洗之。
此为湿热下流于前阴。阴中生疮蚀烂者。出其方治也。野狼牙草味酸苦。除邪热气。疥瘙
恶疮。去白虫。故取治之。若无野狼牙草。以野狼毒代之。
野狼牙汤方
野狼牙（三两）
上一味。以水四升。煮取半升。以绵缠箸如茧。浸汤沥阴中。日四遍。
妇女月经闭阻不通。（如果胞宫）内部（因为气血凝滞，形成）坚硬的积块（又因湿热腐败变质，导致分泌物）淋漓不止。（这种凝滞是什么？是因为胞宫）中有干血。（这种淋漓不止的分泌物是什么？就是湿热腐败变质所）排出的（白色）带下物。（当时世俗称之为白带。适宜采用外治法，用）矾石丸来主治。
这是指月经闭阻是由于胞宫内有干血，遇到湿热而变成白带的情况。这里列出其治疗方剂。
矾石丸方
矾石（三分，烧制） 杏仁（一分）
以上两味药，研成细末。用炼蜜制成如枣核大小的丸药。纳入阴道内。病情严重的，再次纳入。
妇女受六十二种风邪侵袭，腹中气血刺痛，用红蓝花酒主治。
这是针对妇女凡是挟有风邪，导致腹中气血刺痛的情况，列出其治疗方剂。所说的“血气”，是为了与寒疝相区别。
“六十二种”具体所指不详。
张隐庵说：红花色赤且多汁液，是生血、行血的药物。陶弘景主治胎产血晕、恶露不尽、绞痛、胎死腹中等症。《金匮要略》中的红蓝花酒，治疗妇女六十二种风邪，又能主治疟疾。临川先生说：治风先治血，血行风自灭。风属于阳邪，血属于阴液，这是对待性的治疗方法。红花的枝茎叶多毛刺，具有坚金的象意，所以能克制风木之气。男女的血气本质相同，仲景专门治疗妇女六十二种风邪，是有原因的。大概妇女气有余而血不足，所不足的，乃是冲任二脉之血，散布于皮肤肌腠之间，充养肌肤、温暖肌肉、生长毫毛；男子在上唇口生长胡须，女子月经按时来潮，所以说女子多血虚。红花性上行，花开散蔓，主要生发皮肤间的散血，能资助妇女血的不足，所以主治妇女的风邪。大概血虚，则皮毛腠理不致密，而易于受风邪侵袭。这血主要关乎冲任二脉，所以专治胎产恶露不尽。《灵枢经》说：饮酒后，卫气先行于皮肤，所以用酒煎煮，以助药性。疟邪也伏藏于膜原的腠理间，所以能将其引出体外。血有运行在经络中的，有散布在皮肤外的，而所主用的药物也各不相同。如当归、地黄、甘草之类，是滋养脉内之血的药物。红蓝花，是生发脉外之血的药物。川芎、芍药、丹皮、红菊之类，又是内外兼治的药物。学者若能体察先圣用药的深意，思虑便过半了。
红蓝花酒方
红蓝花（二两）
以上一味药，用一大升酒煎至减半。一次服下一半。若病未止，再服用。
妇女腹中各种疼痛，用当归芍药散主治。
这是针对妇女腹中各种疼痛，列出其治疗方剂。寒、热、虚、实、气、食等邪气，都会导致腹痛，意思是可以在这个方剂基础上进行加减，并非真正以此方通治所有腹痛。
尤在泾说：妇女以血为本，而血又以中气为本。中气，即土气（脾胃之气）。土燥不能生化万物，土湿也不能生化万物。川芎、芍药滋润其血，茯苓、白术、泽泻治疗其湿。燥湿得宜，则土能生化万物，疼痛即可消除。
当归芍药散方（见妊娠篇）
妇女腹中痛，用小建中汤主治。
这是针对妇女虚寒里急导致的腹中痛，列出其治疗方剂。按《伤寒论》所说，阳脉涩，阴脉弦，法当腹中急痛，宜用小建中汤主治。若不好转，再给予小柴胡汤。
小建中汤方（见虚劳篇）
问：妇女患病，饮食正常，烦热不得卧倒，反而倚靠呼吸急促，这是什么原因？老师说：“（饮食正常，说明）病不在胃。（烦热，是阳气不化所致。）（倚靠呼吸、不得平卧，是）水液不下行所致。”这名叫转胞，导致小便不通。因为胞系（扭曲不顺而）缭戾，所以导致此病。（既然没有兼夹证候。）只要通利（其）小便，就能使（胞中之气下行进入气道，这样胞系就不致缭戾而）痊愈。（用）肾气丸主治。
这是针对转胞证，胞系缭戾导致小便不通的情况，列出其治疗方剂。“了戾”与“缭戾”同义，指胞系缭戾而不顺，导致膀胱翻转，膀胱翻转则小便不通。用此方治疗，补肾则气化功能恢复，气化恢复则水液运行而痊愈。然而转胞之病，也不尽然如此。有的因中焦脾虚，不能将精微散布归于胞宫；有的因上焦肺虚，不能向下输布津液于胞宫；有的因胎儿过重压迫胞宫；有的因忍尿行房，都能导致此病。应当探求病因进行治疗。
肾气丸方
干地黄（八两） 山药 山茱萸（各四两） 泽泻 丹皮 茯苓（各三两） 桂枝
（一两） 附子（一枚，炮制）
以上八味药，研成细末。用炼蜜调和制成如梧桐子大小的丸药。酒送服十五丸，加量至二十丸。每日两次服用。
妇女外阴（部）寒冷。（适宜）温（暖）阴中（不用内服药，而是将药物纳入，称为）坐药。用蛇床子散主治。
这是承接上一节令阴部掣痛、少腹恶寒的证候，列出其治疗方剂。但寒邪从阴户侵入，不从体表排出，应当温煦受邪的部位，就能痊愈。蛇床子性温以驱寒，配合白粉燥湿以除湿，因为寒邪会导致湿气产生。
蛇床子散方
蛇床子
以上一味药，研成细末。用少许白粉，混合均匀。做成如枣核大小的丸药，用棉包裹纳入阴道内，自然感到温热。
少阴（肾）脉滑而数者。（滑主湿，数主热，湿热结合，结聚于阴分，所以导致前）阴中（部）生疮，阴中生疮溃烂者。（这是湿热盛极而生腐蚀所致。）用野狼牙汤清洗。
这是针对湿热下注于前阴，阴中生疮溃烂的情况，列出其治疗方剂。野狼牙草味酸苦，能清除邪热，治疗疥癣瘙痒、恶疮，去除白虫（寄生虫），所以取用它来治疗。如果没有野狼牙草，可以用野狼毒代替。
野狼牙汤方
野狼牙（三两）
以上一味药，用水四升，煎取半升。用棉缠绕筷子如茧状大小，浸蘸药汤冲洗阴道内，每日四次。
Women with amenorrhea (obstruction of menstrual flow). (If the uterus) internally (due to stagnation of Qi and blood, forming) hard masses (and further due to damp-heat causing putrefaction, leading to continuous discharge) dripping incessantly. (What is this stagnation? It is because there is dry blood in the) uterus. (What is this continuous discharge? It is the white) matter discharged (due to putrefaction by damp-heat). (Commonly known as leukorrhea. External treatment is suitable, using) Fanshi Wan (Alum Pill) as the main prescription.
This refers to amenorrhea caused by dry blood in the uterus, which transforms into white discharge upon encountering damp-heat. Here is its treatment formula.
Fanshi Wan Formula
Fanshi (Alumen, Alum) (3 fen, calcined) Xingren (Apricot Seed) (1 fen)
The above two ingredients are powdered. Mixed with refined honey to form pills the size of a date pit. Inserted into the vagina. For severe cases, insert again.
Women affected by sixty-two types of wind pathogens, experiencing stabbing pain in the abdomen due to Qi and blood stagnation, are treated with Honglanhua Jiu (Safflower Wine).
This addresses women suffering from wind pathogens causing stabbing pain in the abdomen due to Qi and blood stagnation, presenting its treatment formula. The term "Qi and blood" is used to distinguish it from Han Shan (Cold Cramp).
The specific meaning of "sixty-two types" is unknown.
Zhang Yinan stated: Safflower is red and juicy, a herb that generates and moves blood. Tao Hongjing indicated its use for postpartum blood syncope, incomplete expulsion of lochia, colic, and fetal death in utero. Honglanhua Jiu in *Jin Gui Yao Lue* treats women's sixty-two types of wind pathogens and can also treat malaria. Mr. Linchuan said: To treat wind, first treat the blood; when blood flows, wind extinguishes. Wind is a Yang pathogen, blood is Yin fluid; this is a counter-treatment approach. Safflower stems and leaves are hairy and thorny, possessing the image of firm Metal, thus able to overcome Wood (wind). Men and women share similar Qi and blood essence; Zhang Zhongjing specifically treats women's sixty-two types of wind because women have excess Qi but deficient Blood, specifically the Blood of the Chong and Ren meridians, which scatters between skin and muscle, nourishing flesh and generating hair. Men grow facial hair on the upper lip; women menstruate regularly, hence women are often blood-deficient. Safflower acts upward, spreading like vines, primarily generating scattered blood in the skin, aiding women's blood deficiency, thus treating women's wind. Blood deficiency leads to loose skin pores, making one susceptible to wind. This blood relates to Chong and Ren, so it specifically treats postpartum lochia. *Ling Shu* states: After drinking wine, Wei Qi (Defensive Qi) moves first in the skin; thus, decocting with wine aids the medicinal properties. Malaria pathogens also hide in the membrane source (Mo Yuan) and skin pores, so they can be drawn out. Blood circulates in meridians or scatters outside; corresponding herbs differ. Dang Gui (Angelica Sinensis), Di Huang (Rehmannia), Gan Cao (Licorice) nourish blood inside vessels. Hong Lan Hua (Safflower) generates blood outside vessels. Chuan Xiong (Ligusticum), Shao Yao (Peony), Mu Dan Pi (Moutan), Hong Ju (Chrysanthemum) treat both inside and outside. Scholars who understand the profound intent of ancient masters in herb selection will grasp half the wisdom.
Honglanhua Jiu Formula
Hong Lan Hua (Carthamus tinctorius L., Safflower) (2 liang)
One ingredient. Decoct with one large sheng of wine until reduced by half. Drink half at once. If symptoms persist, take another dose.
Various abdominal pains in women are treated with Danggui Shaoyao San (Angelica and Peony Powder).
This presents the formula for various abdominal pains in women. Cold, heat, deficiency, excess, Qi, and food stagnation can all cause abdominal pain; the implication is that modifications can be made based on this formula, not that it cures all abdominal pain universally.
You Zaijing stated: Women are governed by Blood, and Blood is governed by Middle Qi (Spleen/Stomach Earth Qi). If Earth is too dry, it cannot generate; if too damp, it cannot generate. Xiong (Ligusticum) and Shao Yao (Peony) nourish Blood; Fu Ling (Poria), Bai Zhu (Atractylodes), Ze Xie (Alisma) resolve Dampness. When dryness and dampness are balanced, Earth generates, and pain is eliminated.
Danggui Shaoyao San Formula (See Pregnancy Chapter)
Abdominal pain in women is treated with Xiao Jianzhong Tang (Minor Construct the Middle Decoction).
This addresses deficiency-cold with interior tension causing abdominal pain in women. According to *Shang Han Lun*, if the Yang pulse is choppy and the Yin pulse is string-like, acute abdominal pain is expected, treated with Xiao Jianzhong Tang. If ineffective, administer Xiao Chaihu Tang (Minor Bupleurum Decoction).
Xiao Jianzhong Tang Formula (See Deficiency Consumption Chapter)
Question: A woman suffers from normal appetite, irritability and heat preventing sleep, leaning forward to breathe, why? Master said: "(Normal appetite indicates the disease is not in the Stomach. Irritability and heat result from Yang Qi failing to transform. Leaning forward to breathe and inability to lie flat indicate Water failing to descend.)" This is called Zhuan Bao (Displaced Bladder), resulting in urinary retention. Because the bladder ligaments (are twisted and) disordered, this disease occurs. (Since there are no concurrent syndromes,) simply promote urination, allowing (Qi in the bladder to descend into the air passages, thereby straightening the bladder ligaments and) curing the disease. (Use) Shenqi Wan (Kidney Qi Pill) as the main prescription.
This addresses Zhuan Bao syndrome where disordered bladder ligaments cause urinary retention. "Liao Li" is synonymous with "Liao Li," meaning the bladder ligaments are twisted and disordered, causing the bladder to turn, leading to urinary retention. This formula tonifies Kidney, restores Qi transformation, promotes water metabolism, and cures the disease. However, Zhuan Bao is not solely caused by this. It may result from Middle Jiao Spleen deficiency failing to distribute essence to the bladder, Upper Jiao Lung deficiency failing to transmit fluids to the bladder, heavy fetus pressing on the bladder, or holding urine during intercourse. Treatment must address the specific cause.
Shenqi Wan Formula
Gan Di Huang (Prepared Rehmannia Root) (8 liang) Shan Yao (Chinese Yam) Shan Zhu Yu (Cornus Fruit) (4 liang each) Ze Xie (Alisma Rhizome) Mu Dan Pi (Moutan Bark) Fu Ling (Poria) (3 liang each) Gui Zhi (Cinnamon Twig)
(1 liang) Fu Zi (Prepared Aconite Lateral Root) (1 piece, processed)
Eight ingredients powdered. Mixed with refined honey to form pills the size of wutong seeds. Take 15 pills with wine, increasing to 20 pills. Taken twice daily.
Vulvar coldness in women. (Suitable for) warming (the) vulva (using external application rather than oral medicine, called) sit-medication. Shechuangzi San (Cnidium Powder) is the main prescription.
This follows the previous section regarding pulling pain in the yin region and coldness in the lower abdomen, presenting its treatment. Cold enters via the vaginal opening and does not exit via the exterior; thus, warming the affected area cures it. She Chuang Zi (Cnidium Fruit) is warm to dispel cold; combined with Bai Fen (White Powder/Lead White) to dry dampness, as cold generates dampness.
Shechuangzi San Formula
She Chuang Zi (Cnidium monnieri (L.) Cuss., Fruit)
One ingredient. Powdered. Mixed with a small amount of Bai Fen (Lead White) to form a pill the size of a date pit. Wrapped in cotton and inserted into the vagina, naturally producing warmth.
Shaoyin (Kidney) pulse slippery and rapid. (Slippery indicates Dampness, rapid indicates Heat; Damp-heat combines and knots in the Yin region, causing sores in the anterior) yin. (Sores eroding and rotting in the yin indicate excessive Damp-Heat causing corrosion.) Wash with Ye Langya Tang (Wolf-tooth Decoction).
This addresses Damp-Heat flowing downward to the anterior yin, causing erosive sores. Ye Lang Ya Cao (Wolf-tooth Herb) is sour and bitter, clearing evil heat, treating tinea, itching, malignant sores, and removing parasites (white worms); thus, it is used for treatment. If Ye Lang Ya Cao is unavailable, replace it with Ye Lang Du (Stellera Chamaejasme Root).
Ye Langya Tang Formula
Ye Lang Ya (Stellera chamaejasme L., Root) (3 liang)
One ingredient. Decoct with four sheng of water until half a sheng remains. Wrap cotton around a chopstick like a cocoon, dip in the decoction, and irrigate the yin region. Four times daily.