〔丹〕妇人有块，多是血块。
当归丸 治妇人月经不调血积证。
当归 赤芍 川芎 熟地 广术 京三棱（各半钱） 神曲 百草霜（各二钱半）
上为细末，酒糊为丸，桐子大，温水下。
〔《本》〕牛膝根净洗切，焙干捣，下酒煎温服，治妇人血块，立效。
（上轻剂）
〔杜〕尚书媳妇马氏年三十二，腹中血块作疼，经五六年，形已骨立，众皆曰不可为。奈其未死何？
家甚贫，而大小愍之，一日召杜至，告杜曰∶但以济物为怀则可，业已请召明公，非所言也。遂以少物帛赠
杜，杜不受。曰∶但服某药必获安，无以是为疑。遂示方∶用没药、牛膝、干漆、当归各半两， 砂、
木香、水蛭、炒红娘子、炒红花、牡丹皮、朱砂各一分，海马一个，斑蝥去翅足，炒十四个。为末，酒醋
各半升，熬为膏，每日天明，用一皂子大，酒醋化下，一月病退，六十日渐安。果如其言。
（上重剂）
〔垣〕加减四物汤 治妇人血积。
当归 川芎 芍药 熟地 广术 桂（去皮） 京三棱 干漆（炒烟尽，各等分）
上为粗末，每服二钱，水二盏，煎法如常，食前。
〔《大》〕黑神丸
神曲 茴香（各四两） 木香 川椒（炒香，出汗） 丁香（各半两） 槟榔（四个） 干漆（六两，半生半熟，
用姜汤煮半日令香）
上除椒漆外，五物皆半生半炒，为细末，用前生熟漆和丸，如弹子大。又用茴香十二两，铺阴地阴干，候
外干。并茴香收器中，至干，去茴香用。治肾气膀胱 癖，及疝坠五隔血崩，产后诸血，漏下赤白，并一丸，
分四服，死胎一丸，皆绵灰酒下。若难产，炒葵子四十九粒，杵碎，酒煎下。诸疾不过三服， 气十服，膈
气症癖五服，血瘕三丸。
一妇有块如杯，每发痛不可忍，诸药莫愈，投此丸尽三服，杯气尽消，终身不复作矣。
〔云〕没药散 治一切血气，脐腹撮痛，及产后恶露不行，儿枕痛。
血竭 没药（并细研） 桂心 当归 蒲黄 红花 木香 玄胡索 干漆（炒） 赤芍（各等分）
上为极细末，每服二钱，热酒调下，食前。若血块冲心痛甚，危者以大顺散三钱，酒调服，立止。
牡丹散 治妇人久虚羸瘦，血块走疰，心腹疼痛。
牡丹皮 桂心 当归 玄胡索（各一两） 莪术 牛膝 赤芍（各三两） 京三棱（一两半）
上为粗末，每服三钱，水酒各半盏。
〔罗〕木香 砂丸 治妇人 癖积聚，血块刺痛，脾胃虚寒，宿食不消，久不瘥者。
丁香 砂（研） 木香 官桂 附子（炮） 干漆（炒，烟尽） 细墨 大黄（炒锉） 乳香
广术 青皮 京三棱 巴豆霜（减半） 没药（研） 猪牙皂角 干姜（炮。各等分）
上除 砂、乳香、没药外，同为细末，以好醋一升，化开 砂，去渣脚，入银器中熳火熬。次下巴
豆霜、大黄末熬成膏，将前药末与膏为丸，如麻子大。每服三五十丸，食后温水送下，加至大便利为度。
治血积挟热之证，于产后血块求之。
〔《大》〕桃仁煎 治妇人血瘕血积，经候不通。（出《千金方》）
桃仁（去皮尖，炒黄） 大黄 虻虫 朴硝
上四味末之，以醇醋二升半，银石器中熳火煎取一升五合，下桃仁、大黄、虻虫等，不住手搅千下，次下
朴硝，更不住手搅，良久出之，丸如桐子大，前一日不用吃晚饭，五更初，用温酒吞下五丸，日午取下如黑
豆汁鸡肝虾蟆衣。未下再作，见鲜血即止，即以调气血药补之。
肠覃生于肠外，月事时下。石瘕生于胞中，月事不以时下。二病皆似蛊胀。（并见胀门。）
〔《脉》〕诊妇人疝癖积聚，脉弦急者生，虚弱小者死。
〔《甲》〕妇人子脏中有恶血，内逆满痛，石关主之。
[Danxi] Masses in women are mostly blood stasis masses.
Danggui Wan (Angelica Sinensis Pill): Treats menstrual irregularities and blood accumulation syndromes in women.
Ingredients: Danggui Radix Angelicae Sinensis, Chishao Radix Paeoniae Rubra, Chuanxiong Rhizoma Ligustici Chuanxiong, Shudi Radix Rehmanniae Preparata, Guangzhu Rhizoma Curcumae Longae, Jingsanleng Rhizoma Sparganii (each 0.5 qian); Shenqu Massa Medicata Fermentata, Baicaoshuang Carbonis Herbae Artemisiae Argyi (each 2.5 qian).
Preparation and Administration: Grind the above ingredients into fine powder, mix with wine paste to form pills the size of paulownia seeds, taken with warm water.
[Bencao] Clean and slice the root of Niuxi Radix Achyranthis Bidentatae, dry by baking, crush, decoct with wine, and take warm. It treats women's blood masses with immediate effect.
(This is a mild formula.)
[Dushu] The wife of the Minister of Works, Ms. Ma, aged thirty-two, suffered from abdominal pain due to blood masses for five or six years. Her body had become emaciated to the point of being skeletal. Everyone said it was incurable. However, since she was not yet dead, how could one leave her?
Her family was very poor, but both senior and junior members pitied her. One day, they summoned Doctor Du. She told Doctor Du, "As long as you have the intention to save lives, that is sufficient. Since we have already invited a renowned physician, there is no need to discuss rewards." She then presented a small amount of silk to Doctor Du, which he refused. He said, "Just take this medicine, and you will surely recover; do not doubt it." He then presented the prescription: Moyao Resina Myrrhae, Niuxi Radix Achyranthis Bidentatae, Ganqi Resina Cinnamomi (processed), Danggui Radix Angelicae Sinensis (each 0.5 liang); Sharen Fructus Amomi Rotundus, Muxiang Radix Aucklandiae, Shuizhi Hirudo, Hongniangzi Cicada (fried), Honghua Flos Carthami Tinctorii (fried), Mudanpi Cortex Moutan, Zhusha Cinnabaris (each 1 fen); Haema Hippocampus (one individual); Banmao Mylabris (remove wings and feet, fried, 14 individuals). Grind into fine powder. Use half a sheng of wine and half a sheng of vinegar, boil down to an ointment. Every morning at dawn, take an amount the size of a soap pod, dissolve in wine and vinegar, and swallow. After one month, the disease receded; after sixty days, she gradually recovered. It happened exactly as he said.
(This is a potent/heavy formula.)
[Lidongyuan] Jiawei Siwu Tang (Modified Four Substances Decoction): Treats blood accumulation in women.
Ingredients: Danggui Radix Angelicae Sinensis, Chuanxiong Rhizoma Ligustici Chuanxiong, Shaoyao Radix Paeoniae Alba seu Rubra, Shudi Radix Rehmanniae Preparata, Guangzhu Rhizoma Curcumae Longae, Guizhi Ramulus Cinnamomi Cassiae (bark removed), Jingsanleng Rhizoma Sparganii, Ganqi Resina Cinnamomi (fried until smoke ceases, all equal parts).
Preparation and Administration: Grind into coarse powder. Take 2 qian per dose, add two zhan of water, decoct as usual, take before meals.
[Daqanquan] Heishen Wan (Black Spirit Pill)
Ingredients: Shenqu Massa Medicata Fermentata, Huixiang Fructus Foeniculi Vulgaris (each 4 liang); Muxiang Radix Aucklandiae, Chuanjiao Pericarpium Zanthoxyli Schinifolii (fried until fragrant and sweating); Dingxiang Flos Syzygii Aromatici (each 0.5 liang); Binglang Semen Arecae (four pieces); Ganqi Resina Cinnamomi (6 liang, half raw half processed, boiled in ginger soup for half a day until fragrant).
Preparation and Administration: Except for Chuanjiao and Ganqi, the other five herbs are half-raw and half-fried. Grind into fine powder. Use the aforementioned raw-and-processed Ganqi to bind into pills the size of a bullet. Additionally, use 12 liang of Huixiang, spread on the ground in the shade to dry. When the exterior is dry, store together with the container until completely dry, then remove the Huixiang. Used to treat Qi stagnation in Kidney and Bladder, Pi accumulation, hernia descent, Wuge bleeding and metrorrhagia, various postpartum bleeding, leukorrhea with red and white discharge. Take one pill, divided into four doses; for retained dead fetus, take one pill. All are taken with wine mixed with cotton ash. For difficult labor, fry 49 Kuizi Semen Abelmoschi Moschatus, crush, decoct in wine, and take. Various diseases resolve within three doses; Qi stagnation requires ten doses; Ge Qi and Pi masses require five doses; Xuejia requires three pills.
A woman had a mass like a cup in her abdomen, unbearable pain upon onset, unresponsive to various medicines. After taking three doses of this pill, the Qi of the cup-shaped mass dissipated completely, and it never recurred in her lifetime.
[Yunqizi] Moyao San (Myrrha Powder): Treats all types of Blood and Qi disorders, cramping pain in the umbilical and abdominal regions, failure of lochia discharge postpartum, and Erzhen pain (afterbirth pain).
Ingredients: Xuexie Sanguis Draconis, Moyao Resina Myrrhae (both finely ground); Guixin Cortex Cinnamomi Cassiae, Danggui Radix Angelicae Sinensis, Puhuang Pollen Typhae, Honghua Flos Carthami Tinctorii, Muxiang Radix Aucklandiae, Yuanhusuo Rhizoma Corydalis Yanhusuo, Ganqi Resina Cinnamomi (fried), Chishao Radix Paeoniae Rubra (all equal parts).
Preparation and Administration: Grind into extremely fine powder. Take 2 qian per dose, mix with hot wine, take before meals. If blood mass attacks the heart causing severe pain and critical condition, take Dasunsan 3 qian mixed with wine, and pain stops immediately.
Mudan San (Tree Peony Powder): Treats chronic deficiency and emaciation in women, wandering blood masses, and pain in the heart and abdomen.
Ingredients: Mudanpi Cortex Moutan, Guixin Cortex Cinnamomi Cassiae, Danggui Radix Angelicae Sinensis, Yuanhusuo Rhizoma Corydalis Yanhusuo (each 1 liang); Ezhu Rhizoma Curcumae Longae, Niuxi Radix Achyranthis Bidentatae, Chishao Radix Paeoniae Rubra (each 3 liang); Jingsanleng Rhizoma Sparganii (1.5 liang).
Preparation and Administration: Grind into coarse powder. Take 3 qian per dose, decoct with half a zhan of water and half a zhan of wine.
[Luo Tianyi] Muxiang Sharen Wan (Aucklandia and Amomi Pill): Treats Pi accumulation and masses in women, stabbing pain from blood masses, Spleen and Stomach deficiency-cold, retention of undigested food, and conditions that persist without healing.
Ingredients: Dingxiang Flos Syzygii Aromatici, Sharen Fructus Amomi Rotundus (ground); Muxiang Radix Aucklandiae, Guanzi Gui Cortex Cinnamomi Cassiae, Fuzii Radix Aconiti Lateralis Preparata (pao); Ganqi Resina Cinnamomi (fried until smoke ceases), Xi Mo (fine ink stick), Dahuang Radix et Rhizoma Rhei (fried and cut), Ruxiang Resina Olibani; Guangzhu Rhizoma Curcumae Longae, Qingpi Pericarpium Citri Reticulatae Viride, Jingsanleng Rhizoma Sparganii, Badoushuang Semen Crotonis Tiglii (halved); Moyao Resina Myrrhae (ground); Zhuyazaojiao Fructus Gleditsiae Sinensis; Ganjiang Rhizoma Zingiberis Recens (pao. All equal parts).
Preparation and Administration: Except for Sharen, Ruxiang, and Moyao, grind the rest into fine powder. Use one sheng of good vinegar to dissolve Sharen, filter out dregs, put in a silver vessel, and simmer slowly. Then add Badoushuang and Dahuang powder, continue boiling into an ointment. Mix the previous herb powder with the ointment to form pills the size of hemp seeds. Take 30-50 pills per dose, send down with warm water after meals. Increase dosage until bowel movement occurs freely.
Used to treat blood accumulation complicated by heat, often sought for postpartum blood masses.
[Daqanquan] Tao Ren Jian (Peach Kernel Decoction): Treats Xuejia and blood accumulation in women, amenorrhea. (From Qianjin Fang)
Ingredients: Taoren Semen Pruni Persicae (remove skin and tip, fried yellow), Dahuang Radix et Rhizoma Rhei, Mengchong Aspis, Pu Xiao Natrii Sulfas.
Preparation and Administration: Grind the four ingredients into powder. Add two and a half sheng of strong vinegar, simmer slowly in a silver or earthenware vessel to reduce to one and a half sheng. Add Taoren, Dahuang, Mengchong, etc., stir constantly for a thousand turns. Then add Pu Xiao, continue stirring constantly. Remove after a while. Form into pills the size of paulownia seeds. Do not eat dinner the day before. At early dawn (Wugeng), swallow five pills with warm wine. By noon, pass material resembling black bean juice, chicken liver, or frog skin. If not passed, prepare again. Stop when fresh blood appears, then tonify with Qi and Blood regulating medicines.
Changtan (Intestinal Polyp/Tumor) arises outside the intestine, menstruation comes on time. Shijia (Uterine Fibroid/Mass) arises in the Baozhong (uterus), menstruation does not come on time. Both diseases resemble Guzhang (ascites/mass). (See Meniscus/Abdominal Distension section.)
[Maijing] In diagnosing women's Shanpi and accumulations, if the pulse is Xianji (wiry and urgent), prognosis is good (life); if the pulse is Ruoxiao (weak and small), prognosis is poor (death).
[Jiayi Jing] When evil blood exists in the Zizang (uterus) of women, causing internal reversal, fullness, and pain, Shiguan (KI15) is the primary acupoint for treatment.