水蛭（熬）三十个 □虫（熬，去翅、足）三十枚 桃仁（去皮、尖）二十个 大黄
（酒浸）三两
右四味为末，以水五升，煮取三升，去滓，温服一升。
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妇人经水闭不利，藏坚癖不止，中有干血，下白物，矾石丸主之。
【注】
藏，阴内也。不止，不去也。经水闭而不通，瘀，宿血也。阴中坚块不去，血干凝也
。下白物，化血成带也。用矾石丸坐药治之，此方治下白物，若从湿化者可也，恐未
能攻坚癖干血也。
【集注】
尤怡曰：藏坚癖不止者，子藏干血坚凝，成癖而不去也。干血不去，则新血不荣，而
经闭不利矣，由是蓄泄不时，胞宫素湿，所积之血，与湿化而成白物，时时自下，是
宜先去其藏之湿，矾石燥湿水，杏仁润干血也。
矾石（烧）三分 杏仁一分
右二味，末之，炼蜜和丸，如枣核大，内藏中，剧者，再内之。
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妇人六十二种风及腹中血气刺痛，红蓝花酒主之。
【注】
六十二种风无可考。腹中血气刺痛，用红蓝花酒通经行血，诚要方也。
红蓝花一两
右一味，以酒一大升，煎减半，顿服一半，末去再服。
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妇人腹中诸疾痛，当归芍药散主之。
【注】
诸疾腹痛，谓妇人腹中诸种疾痛也。既曰诸疾痛，则寒、热、虚、实、气、食等邪，
皆令腹痛，岂能以此一方概治诸疾痛耶？当归芍归散主之，必是错简。
Sanguis Hirudinis (Leech, prepared) 30 pieces; Sanguis Muscae (Blister beetle, prepared, wings and feet removed) 30 units; Semen Persicae (Peach seed, skin and tip removed) 20 pieces; Radix et Rhizoma Rhei (Rhubarb root, soaked in wine) 3 liang.
The above four ingredients are ground into powder. Add five sheng of water, boil to obtain three sheng, filter out the dregs, and take one sheng warm.
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In women with amenorrhea or irregular menstruation, where hard masses persist in the uterus without dissipating, with dry blood retained inside and leukorrhea (white vaginal discharge), Fanshi Wan (Alum Pill) is the primary formula.
[Annotation]
"Cang" refers to the interior of the yin organs (uterus). "Bu zhi" means not going away. Amenorrhea implies stasis, which refers to old blood. The persistence of hard masses in the vagina indicates dried and coagulated blood. Leukorrhea results from blood transforming into vaginal discharge. Using Fanshi Wan as a suppository treats leukorrhea; this formula is suitable if the condition arises from dampness transformation, but it may not be effective for attacking hard masses and dry blood.
[Collected Notes]
You Yi stated: "Hard masses persisting in the uterus" refers to dry blood in the uterus that has hardened and formed a mass that does not dissipate. If dry blood is not expelled, new blood cannot nourish the body, leading to amenorrhea or irregular menstruation. Consequently, accumulation and discharge become irregular. Since the uterine cavity is inherently damp, the accumulated blood combines with dampness to form white discharge, which flows out spontaneously at times. In such cases, the dampness in the uterus should first be eliminated. Alum dries dampness, while Apricot Seed moistens dry blood.
Fansi (Calcined Alum) 3 fen; Xingren (Apricot Seed) 1 fen.
The above two ingredients are ground into powder, mixed with refined honey to form pills the size of a jujube pit, and inserted into the vagina. For severe cases, re-insertion may be performed.
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For women suffering from sixty-two types of wind pathogens and stabbing pain in the abdomen due to blood and qi stagnation, Honglanhua Jiu (Carthamus Wine) is the primary formula.
[Annotation]
The sixty-two types of wind pathogens cannot be verified historically. For stabbing pain in the abdomen caused by blood and qi stagnation, using Honglanhua Jiu to unblock the meridians and promote blood circulation is indeed an important formula.
Honglanhua (Flower of Carthamus tinctorius) 1 liang.
The above single ingredient is decocted in one da sheng of wine until reduced by half. Take half at once; if symptoms persist, take the remainder.
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For various abdominal pains in women, Danggui Shaoyao San (Angelica and Paeonia Powder) is the primary formula.
[Annotation]
"Various abdominal pains" refers to all kinds of abdominal pain in women. Since it is described as "various pains," pathogenic factors such as cold, heat, deficiency, excess, qi stagnation, and food retention can all cause abdominal pain. How can a single formula comprehensively treat all these conditions? The statement that Danggui Shaoyao San is the primary formula for this is likely due to textual disorder in the bamboo slips.