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Regarding the thirty-six diseases of women, as mentioned in previous texts, the names and categories vary. Some refer to seven *jia* (abdominal masses), eight *jia*, nine pains, and twelve leukorrheas, totaling thirty-six. Although there are numerical categories, specific symptoms are not described. Another treatise states that the "twelve leukorrheas" refer to different types of discharge: first, clear blood; second, black blood; third, purple fluid; fourth, red flesh-like tissue; fifth, pus and scabs; sixth, bean-water like fluid; seventh, mallow soup-like viscous fluid; eighth, coagulated blood; ninth, clear blood (repeated or distinct phase); tenth, rice-washing water-like fluid; eleventh, resembling menstrual flow; twelfth, menstruation occurring out of cycle.

The "nine pains" include pain from heat injury, pain from cold stagnation, painful dribbling, pain during urination, pain during menstruation, distending pain in the hypochondrium, pain like insect bites when discharge occurs, splitting pain under the hypochondrium, and breaking pain in the waist and hips.

The "seven harms" include obstruction of orifices, cold and heat sensations in the vagina, urgency and hardness in the lower abdomen, insensitivity within the organs, prolapse of the cervical os (*zi men*), severe diarrhea with vomiting.

The "five injuries" include fullness and distension in both hypochondria, heart pain radiating to the hypochondrium, qi knotting and blockage, pathological thoughts leading to diarrhea, and chronic cold in the anterior and posterior regions.

The "three stubborn conditions" (*gu*) include emaciation without muscle growth, infertility and inability to lactate, and amenorrhea.

These are also called the thirty-six diseases. Although the names differ, they are all essentially blood diseases. They often arise from improper regulation of meridians, poor care after childbirth, internal emotional disturbances (the seven emotions), external contraction of pathogenic factors (the six exogenous pathogens), imbalance of yin and yang, improper work and rest, and consumption of raw and cold foods. This leads to the failure of Ying and Wei Qi to circulate properly, conflict between new and old metabolic processes, accumulation of turbid敗 material along the meridians, leakage and stagnation, forming abdominal masses (*jia*), flowing out foul substances, causing pain, damage, and stubborn illnesses. At onset, symptoms may be slight as an autumn hair, but once established, the disease becomes heavy as a mountain. The ancients said that women's diseases are ten times more frequent than men's; although this is an exaggeration, it emphasizes the importance of caution and regulation.

To treat the thirty-six diseases of women, including metrorrhagia and metrostaxis (heavy bleeding or prolonged spotting during non-menstrual periods), emaciation, heat in hands and feet, aversion to wind and fear of cold, coughing with reverse flow, irritability and fullness, stiffness and shortness of breath, pulling pain connecting the heart, hypochondrium, waist, back, abdomen, and uterus, discharge of five-colored fluids from the vagina, constant fearfulness, and exacerbation upon anger, worry, or fatigue—all these are caused by internal injury.

Prescription: Bai'e (Halloysitum Rubrum, 1.5 liang), Baishizhi (Kaolinite, 1.5 liang), Yuyuliang (Hematitum, 1.5 liang, calcined with vinegar), Ouxieyugu (Sepiae Endoconcha, 1.5 liang), Muli (Ostreae Concha, 1.5 liang), Longgu (Fossilia Ossis Mastodi et Humeri, 1.5 liang), Xixin (Asari Radix et Rhizoma, 1.5 liang), Danggui (Angelicae Sinensis Radix, 1 liang), Shaoyao (Paeoniae Radix Alba, 1 liang), Huanglian (Coptidis Rhizoma, 1 liang), Baifuling (Poria, 1 liang), Ganjiang (Zingiberis Rhizoma Praeparatum, 1 liang), Guixin (Cinnamomi Ramulus, 1 liang), Renshen (Ginseng Radix, 1 liang), Shiwei (Pyri Folium, 1 liang, hairs removed), Qumai (Dianthi Herba, 1 liang), Baizhi (Angelicae Dahuricae Radix, 1 liang), Fuzi (Aconiti Lateralis Radix Praeparata, peeled and de-umbilicated, 1 liang), Bailian (Trollii Radix, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, 1 liang), Chuanjiao (Zanthoxyli Pericarpium, stir-fried to remove oil, 0.5 liang).

Grind the above herbs into fine powder, mix with honey to make pills the size of wutong seeds. Take 30 to 50 pills on an empty stomach with wine.