方三十四首
治妇人月水不利，闭塞绝产十八年，服此药二十八日有子。
白薇 细辛（各五分） 人参 杜蘅 半夏（洗） 浓朴（炙） 白僵蚕 牡蒙（各三
分） 牛
膝沙参 干姜（各半两） 附子（炮，一两半） 秦艽（半两） 当归（三分） 蜀椒（一
两半，
去目闭口者，汗） 紫菀（三分） 防风（一两半）
上一十七味，捣筛炼蜜和为丸如梧桐子。先食，酒服三丸，不知稍增至四五丸。此药
不用长服，觉有身则止。（《崔氏》有桔梗丹参各三分。）
治经年月水不利，胞中有风冷，故须下之。
大黄 牛膝（各五两） 代赭 干姜 细辛（各一两） 水蛭（熬） 虻虫（去翅足，
熬） 芒
硝（各二两） 桃仁（三升，去皮尖双仁者） 麻子仁（五合） 牡丹皮 紫葳（一云紫菀
各三两）
甘草（炙，三两） 朴硝（三两）
上一十四味， 咀，以水一斗，煮取三升，去滓，纳芒硝，烊令尽。分三服，五更即服，
相去一炊顷自下，之后将息，勿见风。
治妇人月水不利，小腹坚急，大便不通，时时见有物下如鼻涕，或如鸡子白，皆胞中风
冷也。方∶
大黄（四两） 吴茱萸（二升） 芍药（三两） 当归 干地黄 黄芩 干姜 芎 桂
心
牡丹皮 芒硝 人参 细辛 甘草（炙，各二两） 水蛭（熬） 虻虫（各五十枚，去翅足，
熬）
桃
上一十八味， 咀，以清酒五升渍药一炊久，又别以水二斗煮鸡取一斗，去鸡下药，合
煮取三升，绞去滓，纳芒硝烊尽，搅调，适寒温。服一升，日三服。
治月水不利小腹痛方∶
牡丹皮 当归 芎 黄芩 大黄 干姜 人参 细辛 硝石 芍药 桂心 甘草（炙
，各二两） 水蛭（熬） 虻虫（去翅足，熬） 桃仁（各五十枚，去皮尖） 蛴螬（十三
枚，熬） 干
地黄（三两） 黄雌鸡（一只，治如食法）
上一十八味， 咀，以清酒五升渍一宿，别以水二斗煮鸡，取一斗五升，去鸡纳药，煮
取三升，去滓，纳硝石烊令尽。适寒温，一服一升，日三服。
治久寒月水不利，或多或少方∶
吴茱萸（三升） 生姜（一斤） 桂心（一尺） 大枣（二十枚，擘） 桃仁（去皮尖，
五十枚）
两） 水蛭（熬）
上一十五味， 咀，以清酒三升水一斗，煮取三升，去滓。适寒温，服一升，日三服。
不能饮酒者，以水代之。汤临欲成，乃纳诸虫。病患不耐药者则饮七合。
Formula 34
Treating women with irregular menstruation (menstrual obstruction), amenorrhea, and infertility for eighteen years; taking this medicine for twenty-eight days will result in pregnancy.
Baiwei (Radix Cynanchi Atrati), Xixin (Radix Asari), Renshen (Radix Ginseng), Duheng (Rhizoma Heraclei), Banxia (Rhizoma Pinelliae Praeparatum cum Alumine et Zingibere), Houpo (Cortex Magnoliae Officinalis), Baijiangcan (Bombyx Batryticatus), Mumeng (Radix Codonopsis Pilosulae) [Note: Mumeng is an ancient name, often identified as Codonopsis or similar], Niuxi (Radix Achyranthis Bidentatae), Shashen (Radix Adenophorae seu Glehniae), Ganjiang (Rhizoma Zingiberis Secati), Fuzi (Radix Aconiti Lateralis Preparata), Qinjiao (Radix Gentianae Macrophyllae), Danggui (Radix Angelicae Sinensis), Shujiao (Fructus Zanthoxyli), Ziwan (Radix Asteris Tatarici), Fangfeng (Radix Saposhnikoviae). Each of Baiwei, Xixin, Duheng, Banxia, Houpo, Baijiangcan, Mumeng is 5 fen (approx. 1.5g); each of Niuxi, Shashen, Ganjiang is half a liang (approx. 15g); Fuzi is one and a half liang (approx. 45g); Qinjiao is half a liang (approx. 15g); Danggui is 3 fen (approx. 0.9g); Shujiao is one and a half liang (approx. 45g), remove the eyes and closed-mouth ones, stir-fry until sweat appears; Ziwan is 3 fen (approx. 0.9g); Fangfeng is one and a half liang (approx. 45g).
Crush and sieve the above seventeen ingredients, mix with refined honey to make pills the size of tung tree seeds. Take before meals, wash down with wine, three pills initially. If ineffective, gradually increase to four or five pills. This medicine does not need to be taken for a long time; stop when pregnancy is suspected. (Cui Shi's formula includes Jiegeng and Danshen, each 3 fen.)
Treating chronic menstrual obstruction due to wind-cold in the uterus, requiring purgation.
Dahuang (Radix et Rhizoma Rhei), Niuxi (Radix Achyranthis Bidentatae), Daizhe (Haematitum), Ganjiang (Rhizoma Zingiberis Secati), Xixin (Radix Asari), Shuizhi (Hirudo), Mengchong (Blatta Orientalis or similar insect depending on context, usually Oecanthus or similar predatory insect in ancient texts, here likely referring to a blood-invigorating insect like Blatta or similar, WHO term often uses specific insect names, here generic "Mengchong" treated as insect), Mangxiao (Natrii Sulfas), Taoren (Semen Persicae), Maziren (Semen Cannabis), Mudanpi (Cortex Moutan), Ziwei (Caulis Campsis), Gancao (Radix Glycyrrhizae Preparata with Honey), Puxiao (Natrii Sulfas). Dahuang and Niuxi are each 5 liang (approx. 150g); Daizhe, Ganjiang, Xixin are each 1 liang (approx. 30g); Mangxiao is 2 liang (approx. 60g); Taoren is 3 sheng (approx. 600ml volume); Maziren is 5 he (approx. 100ml volume); Mudanpi, Ziwei (or Ziwan) are each 3 liang (approx. 90g); Gancao is 3 liang (approx. 90g); Puxiao is 3 liang (approx. 90g).
Chop the above fourteen ingredients, boil in ten dou (approx. 20 liters) of water to obtain three sheng (approx. 600 ml). Strain the dregs, add Mangxiao, and dissolve completely. Divide into three doses. Take at wugeng (3-5 AM). Bowel movement should occur naturally after the time it takes to cook a meal. Afterwards, rest and avoid wind.
Treating women with menstrual obstruction, hardness and urgency in the lower abdomen, constipation, and frequent discharge resembling mucus or egg white, all caused by wind-cold in the uterus. Formula:
Dahuang (Radix et Rhizoma Rhei), Wuzhuyu (Fructus Evodiae), Shaoyao (Radix Paeoniae Alba), Danggui (Radix Angelicae Sinensis), Gadihuang (Radix Rehmanniae Preparata), Huangqin (Radix Scutellariae), Ganjiang (Rhizoma Zingiberis Secati), Xiong (Rhizoma Chuanxiong), Guixin (Cortex Cinnamomi), Mudanpi (Cortex Moutan), Mangxiao (Natrii Sulfas), Renshen (Radix Ginseng), Xixin (Radix Asari), Gancao (Radix Glycyrrhizae Preparata with Honey), Shuizhi (Hirudo), Mengchong (Insect), Taoren (Semen Persicae). Dahuang is 4 liang (approx. 120g); Wuzhuyu is 2 sheng (approx. 400ml volume); Shaoyao is 3 liang (approx. 90g); Danggui, Gadihuang, Huangqin, Ganjiang, Xiong, Guixin, Mudanpi, Mangxiao, Renshen, Xixin, Gancao are each 2 liang (approx. 60g); Shuizhi and Mengchong are each 50 pieces, remove wings and feet, fry.
Chop the above eighteen ingredients, soak in five sheng (approx. 1 liter) of clear wine for the time it takes to cook a meal. Separately, boil a chicken in two dou (approx. 40 liters) of water to obtain one dou (approx. 20 liters) of broth. Remove the chicken, add the herbs to the broth, boil together to obtain three sheng (approx. 600 ml). Strain, add Mangxiao and dissolve completely. Stir and adjust temperature. Take one sheng (approx. 200 ml), three times daily.
Formula for menstrual obstruction with lower abdominal pain:
Mudanpi (Cortex Moutan), Danggui (Radix Angelicae Sinensis), Xiong (Rhizoma Chuanxiong), Huangqin (Radix Scutellariae), Dahuang (Radix et Rhizoma Rhei), Ganjiang (Rhizoma Zingiberis Secati), Renshen (Radix Ginseng), Xixin (Radix Asari), Xiaoshi (Natrii Nitras), Shaoyao (Radix Paeoniae Alba), Guixin (Cortex Cinnamomi), Gancao (Radix Glycyrrhizae Preparata with Honey), Shuizhi (Hirudo), Mengchong (Insect), Taoren (Semen Persicae), Qicao (Larva Melolonthae), Gadihuang (Radix Rehmanniae Preparata), Huang Eji (Gallus gallus domesticus, female). Mudanpi, Danggui, Xiong, Huangqin, Dahuang, Ganjiang, Renshen, Xixin, Xiaoshi, Shaoyao, Guixin, Gancao are each 2 liang (approx. 60g); Shuizhi and Mengchong are each 50 pieces, remove wings and feet, fry; Taoren is 50 pieces, remove skin and tips; Qicao is 13 pieces, fry; Gadihuang is 3 liang (approx. 90g); Huang Eji is one whole chicken, prepared for cooking.
Chop the above eighteen ingredients, soak in five sheng (approx. 1 liter) of clear wine overnight. Separately, boil a chicken in two dou (approx. 40 liters) of water to obtain one and a half dou (approx. 30 liters) of broth. Remove the chicken, add the herbs, boil to obtain three sheng (approx. 600 ml). Strain, add Xiaoshi and dissolve completely. Adjust temperature. Take one sheng (approx. 200 ml), three times daily.
Formula for menstrual obstruction due to long-standing cold, with varying amounts:
Wuzhuyu (Fructus Evodiae), Shengjiang (Rhizoma Zingiberis Recens), Guixin (Cortex Cinnamomi), Dazao (Fructus Jujubae), Taoren (Semen Persicae), [Text fragment missing/unclear], Shuizhi (Hirudo). Wuzhuyu is 3 sheng (approx. 600ml volume); Shengjiang is 1 jin (approx. 250-500g depending on era standard, typically ~250g in Tang); Guixin is one chi (approx. 30cm length); Dazao is 20 pieces, split; Taoren is 50 pieces, remove skin and tips; Shuizhi is fried.
Chop the above fifteen ingredients, boil in three sheng (approx. 600 ml) of clear wine and one dou (approx. 20 liters) of water to obtain three sheng (approx. 600 ml). Strain. Adjust temperature. Take one sheng (approx. 200 ml), three times daily.
Those who cannot drink alcohol may use water instead. Add the insects just before the decoction is finished. For patients who cannot tolerate strong medicine, take seven ge (approx. 140 ml).