凡妇人头风眩运,登车乘船,眩运眼涩,手麻发脱,健忘喜怒,皆胸中宿痰所致
。可用瓜蒂散吐之;次以长流水煎五苓散、大人参半夏丸。
凡妇人腰胯痛,两脚麻木,恶寒喜暖,《内经》曰∶风寒湿合而为痹。先可服除湿丹七、八
十丸,量虚实以意加减;次以禹功散投之,泻十余行,清冷积水,清黄涎沫为验;后用长流水煎生
姜、枣,同五苓散服之,风湿散而气血自和也。
凡妇人乳痈发痛者,亦生于心也,俗呼吹奶是也。吹者,风也。风热结于乳房之间,血脉凝
注,久而不散,溃腐为脓。宜用益元散,生姜汤调下,冷服;或新汲水,时时呷之勿辍,昼
夜可三、五十次,自解矣;或煎解毒汤,顿服之。
凡妇人月事沉滞,数月不行,肌肉渐减,《内经》曰∶小肠热已满,移热于大肠
,则伏瘕为沉。沉者,月事沉滞不行,故云“伏瘕”。急宜桃仁承气汤加当归,大作剂料煎服,不过
三服立愈。后用四物汤补之,更宜服宣明中槟榔丸。
凡妇人血崩,或年及四十以上,或悲哀太甚故然。《内经》曰∶悲哀太甚,则心系急,心系
急,则肺举而上焦不通,热气在中。故《经》云∶血崩下,心系者,血山也。如久不愈,则面黄、肌
热、瘦弱,慎不可以热治之。盖血得热而散,故禁之。宜以当归散等药治之。
凡妇人年五十以上,经脉暴下。妇人经血,终于七七之数。数外暴下者,此乃《内经》所谓火主
暴速,亦因暴喜暴怒,忧愁惊恐致然。慎勿作冷病治之。如下峻热药治之必死。止宜黄连解
毒汤以清上,更用莲壳、棕毛灰以渗其下,然后用四物汤、玄胡索散,凉血和经之药也。
凡妇人月事不来,室女亦同,《内经》曰∶谓月事不来,皆是胞脉闭也。胞脉者,属心而络于胞中。
令气上通于肺,心下不通,故月事不来也。可用茶调散吐之;次用玉烛散、芎 汤、三和汤、桂
苓白术散之类,降心火,益肾水,开胃进食,分阴阳,利水道之药皆是也。慎勿服峻热有毒
之药。若服之,变成肺痿,骨蒸潮热,咳嗽咯脓,呕血喘满,小便不利,寝汗不止,渐至形
瘦脉大,虽遇良医,亦成不救。呜呼!人之死者,岂命使之然也。
凡怀孕妇人病疟,可煎白虎汤、小柴胡、柴胡饮子等药。如大便结硬,可用大柴胡汤下。微
利过,不可大吐泻,恐伤其孕也。《经》曰∶夏伤于暑,秋必 疟。
凡双身妇人,伤寒、时气、温疫,头痛身热,可用升麻散一两,水半碗,大作剂料,去滓,分
作二服,先一服吐了,后一服勿吐;次以长流水加生姜、枣,煎五苓散,热服之,汗尽其痛立止。
凡妇人双身,大、小便不利,可用八正散,大作剂料,去滑石,加葵菜子煎服。《经》曰∶
膀胱不利为癃。癃者,小便闭而不通也。如八正散加木香取效更捷。《经》曰∶膀胱气化则能
出焉。然后服五苓散,三、五服则愈矣。
凡妇人身重,九月而喑哑不言者,是胞之络脉不相续也,故不能言。《经》曰∶无治也。然
有是言,不若煎玉烛散二两,水半碗,同煎至七分,去滓,入蜜,放温,时时呷之,令火下降,
肺金自清,故声复出也。肺主声音也。
凡妇人难产者,皆因燥涩紧敛,故产户不得开通。宜先于降诞之月,自月之日,用长流水调
益元散,日三服,产必易。产后亦无一切虚热气血不和之疾。如未入月,则不宜服之,以滑石滑胎故也。
凡妇人大产后,或脐腹腰痛,乃败血恶物之致然也。医者便作虚冷,以燥热药治之,误已久
矣!《难经》曰∶诸痛为实。实者,热也。可用导水丸、禹功散,泻三、五行;然后以玉烛
血通经、降火益水之药治之。独不可便服黑神散燥热之药,当同半产治之。
凡妇人产后心风者,不可便作风治之。宜调胃承气汤二两,加当归半两,细锉,用水三、四
盏,同煎去滓,分作二服,大下三、五行则愈矣。如未愈,以三圣散吐之。盖风狂便属阳。
凡妇人产后一、二日,渐热口干,可用新汲水调玉烛散,或水调甘露散亦妙。勿作虚寒治之。
In cases where women suffer from head wind (Toufeng) and vertigo, experiencing dizziness, dry eyes, numbness in the hands, hair loss, forgetfulness, and mood swings when riding in carriages or boats, these symptoms are all caused by phlegm-fluids retained in the chest. One may use Gudi San (Melon Peduncle Powder) to induce vomiting; subsequently, administer Wuling San (Five-Ingredient Poria Decoction) and Darenshen Banxia Wan (Ginseng and Pinellia Pill) decocted in long-flowing water.
For women suffering from pain in the waist and hips, numbness in both legs, aversion to cold and preference for warmth, as stated in the *Neijing* (Classic of Internal Medicine): "Wind, cold, and dampness combine to form Bi syndrome" (Obstruction syndrome). Initially, one may take Shichu Dan (Dampness-Expelling Pill), 70–80 pills, adjusting the dose according to deficiency or excess. Next, administer Yugong San (Yu Gong Powder) to purge, aiming for more than ten bowel movements; the expulsion of clear, cold accumulated fluid and yellowish frothy saliva indicates efficacy. Afterwards, decoct fresh ginger and jujube in long-flowing water and take it together with Wuling San (Five-Ingredient Poria Decoction); this disperses wind-dampness and naturally harmonizes Qi and Blood.
Regarding breast abscesses causing pain in women, the pathology also resides in the Heart, commonly known as "Chui Nai" (Blowing Milk). "Chui" refers to wind pathogen. Wind-heat accumulates between the breasts, causing blood vessels to coagulate and stagnate; over time, if not resolved, it ulcerates and rots into pus. It is appropriate to use Yiyuan San (Yi Yuan Powder), taken with ginger juice tea, served cold; or sip newly drawn cool water frequently without stopping, three to fifty times day and night, until relief occurs; alternatively, decoct Jiedu Tang (Detoxification Decoction) and take it in one dose.
When women experience menstrual stagnation, with menses absent for several months and gradual emaciation, the *Neijing* states: "Heat in the Small Intestine is full and transfers heat to the Large Intestine, resulting in Fu Xia" (Hidden Mass) becoming stagnant. "Chen" (Sinking/Stagnant) refers to the stagnation of menstruation, hence termed "Fu Xia". Urgent treatment with Tao Ren Cheng Qi Tang (Peach Kernel Decoction to Order the Qi) added with Dang Gui (Angelica Sinensis) is required, prepared in a large dose; recovery will occur within no more than three doses. Subsequently, tonify with Si Wu Tang (Four Substance Decoction), and it is advisable to also take Bing Lang Wan (Areca Seed Pill) from the Xuanming formulas.
For women suffering from metrorrhagia (blood flooding), whether aged forty or above, or caused by excessive grief, the *Neijing* states: "Excessive grief causes the Heart Tie (Heart Tendon/Connection) to contract; contraction of the Heart Tie causes the Lung to rise, blocking the Upper Jiao, leading to heat accumulation in the middle." Thus, the classics say: "Downward flow of blood involving the Heart Tie constitutes 'Blood Mountain' (severe hemorrhage)." If chronic and unhealed, symptoms include sallow complexion, hot skin, and emaciation; one must strictly avoid heat-inducing treatments. Since blood scatters when exposed to heat, such methods are contraindicated. Treatment should employ Dang Gui San (Angelica Powder) and similar remedies.
For women over fifty experiencing sudden heavy vaginal bleeding, which exceeds the normal cessation of menstruation at the age of forty-nine (seven sevens), this aligns with the *Neijing*'s principle that "Fire governs sudden speed," often triggered by sudden joy, anger, worry, or fear. Do not treat this as a cold condition. Using harsh heat-inducing drugs will certainly lead to death. Instead, clear the upper burner with Huanglian Jiedu Tang (Coptis Detoxification Decoction), use Lotus Shell and Charred Palm Fiber Ash to drain dampness from the lower burner, and then administer Si Wu Tang (Four Substance Decoction) and Yanhusuo San (Corydalis Powder), which are cooling-blood and meridian-harmonizing agents.
When women, including unmarried maidens, do not have their menses, the *Neijing* states: "This is due to the closure of the Bao Mai" (Uterine Vessels). The Bao Mai belongs to the Heart and connects to the Uterus. Currently, Qi ascends to connect with the Lung, but Heart Qi fails to descend, thus preventing menstruation. One may use Chatiao San (Tea-Regulating Powder) to induce vomiting; subsequently, use Yuzhu San (Jade Candle Powder), Xiong Tang (Ligusticum Decoction), Sanhe Tang (Three-Harmony Decoction), or Guiling Baizhu San (Cinnamon, Poria, and Atractylodes Macrocephala Powder) to reduce Heart Fire, nourish Kidney Water, stimulate appetite, differentiate Yin and Yang, and promote urination. Strictly avoid harsh, toxic heat-inducing drugs. Ingestion may transform the condition into Fei Wei (Lung Atrophy), bone-steaming tidal fever, cough with purulent sputum, hematemesis, wheezing and distension, difficult urination, and continuous night sweats, progressing to emaciation and a large pulse; even with a skilled physician, it becomes incurable. Alas! Is human death truly determined by fate?
For pregnant women suffering from malaria, one may decoct Baihu Tang (White Tiger Decoction), Xiao Chaihu Tang (Minor Bupleurum Decoction), or Chaihu Yinzi (Bupleurum Drink). If the stool is hard and constipated, Da Chaihu Tang (Major Bupleurum Decoction) may be used to purge. Mild purgation is sufficient; severe vomiting or purging must be avoided to prevent harming the pregnancy. The classics state: "Summer injury by summer-heat leads to autumn malaria."
For pregnant women suffering from Shanghan (Cold Damage), Shi Qi (Seasonal Epidemic), or Wen Yi (Warm Epidemic), presenting with headache and fever, one may use Shengma San (Cimicifuga Powder), one liang, decocted in half a bowl of water in a large dose, strained, and divided into two doses. The first dose induces vomiting; the second does not. Subsequently, decoct Wuling San (Five-Ingredient Poria Decoction) with fresh ginger and jujube in long-flowing water, take it hot; once sweating is complete, the pain stops immediately.
For pregnant women with difficulty in urination and defecation, Bazheng San (Eight-Righteousness Powder) may be used in a large dose, omitting Huashi (Talcum), and adding Kuicai Zi (Malva Seeds). The classics state: "Bladder dysfunction is called Long" (Urinary retention). Long refers to the obstruction and non-passage of urine. Adding Muxiang (Aucklandia Root) to Bazheng San accelerates efficacy. The classics state: "The Bladder excretes through Qi transformation." Subsequently, take Wuling San (Five-Ingredient Poria Decoction); three to five doses will result in cure.
For women whose bodies feel heavy and who become aphasic (mute) in the ninth month of pregnancy, this is due to the discontinuity of the collateral vessels of the Uterus, hence the inability to speak. The classics state: "No treatment is needed." However, rather than ignoring this, one may decoct Yuzhu San (Jade Candle Powder), two liang, in half a bowl of water until reduced to seven-tenths, strain, add honey, warm, and sip occasionally to direct Fire downward, clearing Lung Metal, thereby restoring voice, as the Lung governs sound.
For women suffering from dystocia (difficult labor), caused by dryness, astringency, and tightness preventing the opening of the birth canal, it is advisable to start in the month of expected delivery. From the beginning of that month, take Yiyuan San (Yi Yuan Powder) mixed with long-flowing water, three times daily, ensuring easy delivery. Postpartum, various deficiencies, heat, and Qi-Blood disharmony will be prevented. If taken before the due month, it is contraindicated because Huashi (Talcum) has a slippery effect on the fetus.
After major postpartum hemorrhage, if umbilical, abdominal, or lower back pain occurs, it is caused by retained evil blood and foul matter. Physicians mistakenly treating this as deficiency-cold using drying-hot drugs have been in error for a long time. The *Nanjing* (Classic of Difficult Issues) states: "All pain is Excess. Excess implies Heat." One may use Daoshui Wan (Water-Guiding Pill) or Yugong San (Yu Gong Powder) to purge three to five times; then treat with Yuzhu San (Jade Candle Powder) and other herbs that unblock meridians, descend fire, and benefit water. One must not directly use Heishen San (Black Divine Powder) or other drying-hot drugs; it should be treated similarly to miscarriage management.
For postpartum women suffering from Xin Feng (Heart Wind), do not simply treat it as generic Wind disease. Use Tiaowei Chengqi Tang (Regulate the Stomach Decoction to Order the Qi), two liang, added with Dang Gui (Angelica Sinensis), half a liang, finely chopped, decocted in three to four bowls of water, strained, and divided into two doses. Profuse purgation of three to five stools will cure it. If unresolved, use Sansheng San (Three-Saints Powder) to induce vomiting. This is because manic wind belongs to Yang.
For postpartum women, one or two days after delivery, experiencing gradual fever and dry mouth, one may mix Yuzhu San (Jade Candle Powder) with newly drawn cool water, or Ganlu San (Sweet Dew Powder) mixed with water, which is also excellent. Do not treat this as deficiency-cold.