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Baitouweng (Folium Mahoniae), Gancao (Radix Glycyrrhizae), and Ejiao (Colla Corii Asini) each 2 liang; Qinpi (Cortex Fraxini) and Huanglian (Rhizoma Coptidis) and Bopi (Cortex Phellodendri, i.e., Huangbai) each 3 liang.
The above six herbs are decocted in 7 sheng of water, reduced to 2.5 sheng. Add Ejiao and stir until completely dissolved. Divide into three doses and take warm.

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Women's diseases often arise from deficiency, accumulated cold, and qi stagnation, leading to the cessation of menstruation, sometimes persisting for years. Blood-cold accumulates at the Baomen (uterine opening). Cold damages the meridians; if it condenses and solidifies in the upper part, it causes vomiting of saliva and froth, which over time may develop into Fei Yong (lung abscess), resulting in emaciation and physical deterioration. If it knots in the middle part, it manifests as Han Shan (cold hernia with periumbilical pain) or pain in both flanks, connecting with the zang-fu organs. Alternatively, heat may knot in the middle jiao, causing pain at the Guanyuan point, with a rapid pulse but no external sores, and skin rough like fish scales. These conditions may also occur in men, not exclusively in women. If there is excessive bleeding from the lower part, irregular menstruation, pulling pain in the yin region, aversion to cold in the lower abdomen, or pain radiating to the waist and spine, extending down to the Qi Jie (inguinal region) with urgent pain at the Qichong point, and painful restlessness in the knees and shins, sudden dizziness and vertigo resembling Jue syndrome (syncope/cold extremities) or Dian syndrome (mania/epilepsy), or accompanied by sorrow, grief, and irritability, these are all Dai Xia disorders (gynecological leukorrhea and related diseases), not caused by ghosts or spirits. Prolonged illness leads to emaciation, a deficient pulse indicating much cold. The thirty-six gynecological miscellaneous diseases have myriad variations. One must examine the pulse for yin/yang, deficiency/excess, tightness, and wiriness, and apply acupuncture and herbal medicine to transform critical conditions into safety. Although the diseases may be similar, their pulse origins differ; you should distinguish and record them, do not say otherwise.
[Commentary]
This paragraph serves as the outline for gynecological miscellaneous diseases and should be placed at the beginning of the chapter to reveal the general condition. The character "Lai" (coming) in "Zai Xia Lai Duo" should be "Wei" (not yet). This section describes pulses associated with the cessation of menstruation; if it were "excessive bleeding," it would contradict the preceding text and the subsequent mention of "irregular menstruation." Furthermore, the phrase "Ci Jie Dai Xia" (these are all Dai Xia disorders) should follow "Fei You Gui Shen" (not caused by ghosts or spirits) for logical coherence, indicating a transcription error.
[Annotation]
This paragraph is the guideline for various women's diseases. The reason these diseases differ from those in men is due to menstruation. The root cause of menstrual-related diseases is often deficiency, accumulated cold, and qi stagnation. Any of these three factors can cause the cessation of menstruation. Over years, cold accumulates in the Baomen, causing blood coagulation and qi stagnation, preventing flow. Ancients said: Women are healthy when menstruation is regular; if irregular, myriad diseases arise. The following discusses the pathological changes caused by these three factors obstructing menstruation. The variations depend on individual differences in zang-fu, meridians, cold/heat, and deficiency/excess. For instance, if external cold damages the meridians and the person has inherent upper jiao cold, condensation occurs in the upper part, affecting the chest and lungs. Cold damaging the lungs causes qi stagnation and fluid retention, leading to vomiting of saliva. If the person has inherent upper jiao heat, cold transforms into heat, damaging the lungs and causing lung abscess and emaciation. If the person has inherent middle jiao cold, it knots in the middle, causing periumbilical hernia pain or flank pain, involving the liver. If the person has inherent middle jiao heat, they suffer from internal heat knotting rather than cold hernia. Heat in the middle prevents cold hernia, but periumbilical pain remains at Guanyuan. A rapid pulse usually indicates sores; without sores, heat scorches yin fluids, causing dry, rough skin like fish scales. However, symptoms like vomiting saliva, cold hernia pain, and fish-scale skin can also occur in men, not just women. "Zai Xia Wei Duo" refers to irregular menstruation with scanty flow. Pathogens invading the Baozhong (uterus), located in the lower jiao, cause pulling pain in the yin and cold in the lower abdomen. Pain radiating to the waist/spine and urgent pain at the Qi Jie, along with knee/shin discomfort, are inevitable consequences of Chong and Ren meridian pathology in the uterus. Extreme pain may cause sudden dizziness resembling Jue or Dian syndromes, which is common with severe pain. If such symptoms occur alongside emotional distress like sorrow or irritability, it is not due to spirits. All blood disorders of the Baozhong and Chong/Ren meridians can lead to Dai Xia disorders, hence the saying: "Nine out of ten women have Dai Xia." Long-standing Dai Xia consumes body fluids, leading to emaciation and a deficient, cold-predominant pulse. It involves not just the thirty-six diseases but myriad variations. Despite these variations, one must examine the pulse for yin/yang, deficiency/excess, tightness, and wiriness, correlating with symptoms, and apply acupuncture and herbs to ensure safety. Even with similar diseases, differing pulses require careful differentiation; thus, "you should distinguish and record, do not say otherwise."
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When a woman feels as if there is a roasted meat slice stuck in her throat, Banxia Houpo Tang is indicated.
[Annotation]
"Yan Zhong Ru You Zhi Luan" means feeling phlegm and saliva in the throat like a piece of roasted meat, difficult to expectorate or swallow, known today as Mei He Qi (plum-pit qi). This disease arises from emotional stagnation condensing into phlegm. Therefore, Banxia, Houpo, and Shengjiang are used for their acridity to dissipate nodules and bitterness to direct rebellious qi downward. Fuling assists Banxia to promote fluid metabolism and resolve phlegm. Zisu, with its aromatic property, circulates stagnant qi. When qi flows freely and phlegm resolves, the disease heals. This condition can also occur in men, not exclusively in women.
[Collected Notes]
You Yi stated: Condensed phlegm and knotted qi block the throat. This corresponds to what the *Qianjin Fang* describes as feeling a lump in the throat like roasted meat, impossible to swallow or spit out.