（治法皆与男子相同但热入血室与胎前产后则不同也）
妇人伤寒。经水适来。昼则明了。夜则谵语。此名热入血室。（小柴胡汤加生地丹皮归
尾枳壳）妊娠伤寒。安胎为主。不可过于汗下。有表者。（羌活冲和汤加当归芍药）燥渴便闭。（小
承气汤大黄须酒炒）直中寒症。（理中汤加桂）护胎法。（井底泥青黛伏龙肝等分加面少许水调
涂脐下二寸许干则再涂）产后伤寒。血气空虚。勿轻汗下。有表症者。（四物汤加羌活苏叶苍
术葱头）燥渴便闭。（四物汤加枳壳酒炒大黄浓朴）汗下太过。遂变郁冒昏迷。筋惕肉 。（八珍汤
加干姜主之）
桂枝 芍药 甘草 生姜 大枣
太阳中风。阳浮者。热自发。阴弱者。汗自出。啬啬恶寒。淅淅恶风。翕翕发热者。此
方
自汗。风邪干卫者。乃为相宜。仲景以解肌为轻。发汗为重。故汗吐下后身痛者津液耗也。
虽有表邪。止可用桂枝解肌也。内经曰。风淫于内。以辛散之。以酸收之。以甘缓之故以桂
枝为君。芍药为臣。甘草为佐。姜枣为使。姜枣行脾之津液。而和营卫者也。麻黄汤。不用
姜枣者。为其专于发汗。不待行化。津液自通耳。桂枝麻黄二汤。为冬月伤寒而设。若春温
夏热之病。决不可用。
麻黄 桂枝 甘草 杏仁
主太阳头痛。发热身疼。腰痛。骨节痛。恶寒。无汗而喘。 本草云。轻可去实。麻黄
是也
枝所能独散。所以为臣。内经曰。寒淫于内。治以甘热。佐以辛苦。甘草甘平。杏仁甘
苦。用以为佐。经所谓肝苦急急食甘以缓之也。且桂枝汤。治风伤卫。则卫实营弱。故佐以芍药
。和其营血也。麻黄汤。治寒伤营。则营实卫虚。故佐以杏仁利其卫气也。
(The treatment methods are generally the same as for men, but differ when heat enters the Blood Chamber or during pregnancy and postpartum.)
When a woman contracts Cold Damage (Shanghan) while her menstrual flow is just beginning. She is lucid during the day. But speaks deliriously at night. This is called Heat Entering the Blood Chamber (a condition where pathogenic heat invades the uterus/blood chamber). (Use Xiaochaihu Tang [Minor Bupleurum Decoction] with added Shengdi Huang [Rehmanniae Radix], Mudan Pi [Moutan Cortex], Danggui Wei [Angelicae Sinensis Radix], and Zhike [Aurantii Fructus].) During pregnancy, if one contracts Cold Damage. The primary principle is to calm the fetus. One must not overuse diaphoresis (sweating) or purgation (downward draining). If there are exterior symptoms. (Use Qianghuo Chonghe Tang [Notopterygium Harmonizing Decoction] with added Danggui [Angelicae Sinensis Radix] and Shaoyao [Paeoniae Radix].) If there is dryness, thirst, and constipation. (Use Xiao Chengqi Tang [Minor Order the Qi Decoction]; the Dahuang [Rhei Radix et Rhizoma] must be stir-fried with wine.) If it is a direct transmission of cold pathogens (Zhizhong Hanzheng). (Use Lizhong Tang [Regulate the Middle Decoction] with added Guizhi [Cinnamomi Ramulus].) Methods to protect the fetus. (Mix Jingdini [Mud from the bottom of a well], Qingdai [Indigo Naturalis], and Fulonggan [Fired Long-stone Soil] in equal parts. Add a little flour. Mix with water. Apply to the area two cun below the umbilicus. Reapply when dry.) After childbirth, if one contracts Cold Damage. The blood and qi are deficient. Do not lightly use diaphoresis or purgation. If there are exterior symptoms. (Use Siwu Tang [Four Substances Decoction] with added Qianghuo [Notopterygii Rhizoma et Radix], Ziyey [Perillae Folium], Cangzhu [Atractylodis Rhizoma], and Congtou [Allii Fistulosi Bulbus].) If there is dryness, thirst, and constipation. (Use Siwu Tang [Four Substances Decoction] with added Zhike [Aurantii Fructus], Jiuchao Dahuang [Rhei Radix et Rhizoma fried with wine], and Houpo [Magnoliae Officinalis Cortex].) If diaphoresis or purgation was excessive. It may transform into Yu Mao Hunmi (depression, dizziness, coma, and confusion). With muscle twitching and tremors. (Treat with Bazhen Tang [Eight Treasures Decoction] with added Ganjiang [Zingiberis Rhizoma].)
Guizhi (Cinnamomi Ramulus), Shaoyao (Paeoniae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Shengjiang (Zingiberis Rhizoma Recens), Dazao (Jujubae Fructus)
In Taiyang Wind Strike (Taiyang Fengzhong). When the yang pulse floats. Fever arises spontaneously. When the yin pulse is weak. Sweat flows spontaneously. There is slight aversion to cold (Sese Ehan). Slight aversion to wind (Xixi Efeng). And mild fever like feathers covering (Xixi Fare). This formula is indicated. For spontaneous sweating. Caused by wind pathogens interfering with the Defensive Qi (Wei Qi). It is appropriate. Zhang Zhongjing considered resolving the muscle layer (Jieji) to be mild, while inducing sweating (Fahan) to be heavy. Therefore, after sweating, vomiting, or purging, body pain indicates consumption of body fluids. Even if exterior pathogens remain, only Guizhi Tang should be used to resolve the muscle layer. The *Neijing* states: "For wind invading internally, disperse with acrid flavors, astringe with sour flavors, and moderate with sweet flavors." Thus, Guizhi is the Sovereign (Jun) herb. Shaoyao is the Minister (Chen) herb. Gancao is the Assistant (Zuo) herb. Ginger and Jujube are the Envoy (Shi) herbs. Ginger and Jujube circulate the spleen's fluids and harmonize the Ying (Nutritive) and Wei (Defensive) levels. Mahuang Tang does not use ginger and jujube because its purpose is solely to induce sweating; it does not rely on transformation via these herbs, as fluids will naturally circulate. Guizhi Tang and Mahuang Tang were established for winter Cold Damage. They absolutely must not be used for spring warm diseases or summer heat diseases.
Mahuang (Ephedrae Herba), Guizhi (Cinnamomi Ramulus), Gancao (Glycyrrhizae Radix et Rhizoma), Xingren (Armeniacae Semen Amarum)
It primarily treats Taiyang headache. Fever and body ache. Lower back pain. Joint pain. Aversion to cold. Anhidrosis (no sweat) and wheezing. Materia Medica states: "Light substances can remove excess/stagnation. Mahuang is such a substance." Guizhi branches can independently disperse pathogens. Therefore, it serves as the Minister herb. The *Neijing* states: "For cold invading internally, treat with sweet-hot substances, assist with acrid-bitter substances." Gancao is sweet and neutral. Xingren is sweet and bitter. They are used as Assistant herbs. As the classics say: "When the Liver suffers from urgency, eat sweet substances to moderate it." Furthermore, Guizhi Tang treats wind injuring the Wei level. In this case, the Wei is excess and the Ying is weak. Therefore, Shaoyao is added to harmonize the Ying blood. Mahuang Tang treats cold injuring the Ying level. In this case, the Ying is excess and the Wei is deficient. Therefore, Xingren is added to benefit/drain the Wei qi.