Library

The etiology of this syndrome lies in the initial onset of menstruation in women. If a recent fall or injury has occurred, and the blood and qi have not yet stabilized, while the body is not yet at rest and the zang-fu organs are weak, defecating in strong wind can lead to the formation of *Huang Jia* (Yellow Mass). The manifestations include alternating cold and heat in the four limbs, heaviness of the body with profuse sweating, anorexia when lying down, a firm mass of qi binding under the left hypochondrium, pulling pain between the lower back and waist, dysmenorrhea or irregular menstruation, and infertility. Treatment utilizes:
*Gleditsiae Fructus* (Zaojiao, 皂荚) [roasted, skin and seeds removed] 1 liang; *Sichuan Pepper* (Shujiao, 蜀椒) 1 liang; *Asari Radix* (Xixin, 细辛) 6 fen.
Crush these into a powder. Place the powder in a triangular pouch approximately the size of a finger and two cun in length. Insert the pouch into the vagina. Remove it if discomfort occurs, and reinsert it when symptoms subside. Once the foul blood is completely expelled, wash with warm water. Abstain from sexual intercourse for three days.

The etiology of this syndrome arises when a woman who has recently given birth (less than ten days postpartum) bathes too early with hot water, leading to deficiency of yin and yang and laxity of the vulvar tissues. Alternatively, sleeping in the wind, residing in damp places or on wet mats, and failing to exercise caution can prevent the expulsion of foul blood and allow stagnant heat to accumulate, resulting in *Qing Jia* (Green Mass). Manifestations include qi accumulation in the right and left hypochondria, frequent spitting, inability to eat much, reluctance to move the four limbs, mental confusion and vivid dreams, edema of the hands and feet, yellowish complexion, difficulty in urination and defecation, and reduced fertility. Treatment utilizes:
*Rong Salt* (Rongyan, 戎盐) 1 sheng; *Gleditsiae Fructus* (Zaojiao, 皂荚) [roasted, skin and seeds removed] 5 qian; *Asari Radix* (Xixin, 细辛) 1 liang 6 qian.
Crush these into a powder. Place the powder in a triangular pouch approximately the size of a finger and three cun in length. Insert the pouch into the vagina. Upon lying down, the mass will descend and be discharged, appearing green like spinach juice.

The etiology of this syndrome stems from incomplete expulsion of foul blood during menstruation, followed by rapid walking or strenuous labor during the summer heat, causing急促 breathing and sweating, which obstructs both menstrual flow and qi movement. Manifestations include a mass in the abdomen the size of a cup that moves up and down, nausea, night sweats during sleep, soreness and weakness of the legs making prolonged standing difficult, urinary incontinence or sudden involuntary discharge resembling seminal emission, dysuria, and reduced fertility. Treatment utilizes:
*Rhubarb Rhizome* (Dahuang, 大黄) [size of a chicken egg] 1 piece; *Dried Ginger* (Ganjiang, 干姜) 2 liang; *Gallus gallus domesticus Gizzard Lining* (Jineijin, 鸡内金) [roasted] 1 piece; *Coptis Rhizome* (Huanglian, 黄连) 2 liang; *Cinnamon Twig Heart* (Guixin, 桂心) 1 stick; *Blatta orientalis* (Machong, 虫/虻虫) 3 pieces; *Phellodendri Cortex* (Houpo, 厚朴) [roasted] 10 zhu; *Prunus humilis Seed* (Yuliren, 郁李仁) [skin and tips removed, roasted] 1 liang.
Crush these into a powder. Take 3 qian bi (a small measure) mixed with one cup of warm wine on an empty stomach in a single dose. The mass will descend and be discharged. Abstain from sexual intercourse for three days.